HomeMy WebLinkAboutElectrical Permit 12.529 at YRiO4, \ /
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'� ` FOR
`- ` k!r CONTRACTOR /REGISTERED EMPLOYER REQUEST
ELECTRICAL INSPECTION
Rough -In Inspection Required? (4 es Inspection Other Than Rough -in:
Ready Now
Date Contractor /Employer Must Schedule All Final Inspections
1,27 / k Contractor /Employer Must Schedule All Rough -In Inspections _►- ill Schedule
Project Description:
Owner Name
Address of Inspection - Street �j •� , ,/ \ V n n
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Owner Phone l/
Home: Cell: Contractor /Registered Employer Mailing Ad
Contractor /Registered Employer Name \ (^„ � � � t �1 � �
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Contractor /Employer E -mail Address
Contractor /EmployerTeiephone Number to n p ,�
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WorkgS . '` / t of l vY t ' G G i (�.`
"l Ju (� / Job /Project Contact Person:
I. ■ -r Authorized Signature Contra or License Nu ber
C. rector/ • d I I. 0 l q
"'�'� 1 "� FEE CALC LATION
0 -400 ere @ $35 Technology Systems Devices ( ) @ $ .75 Each
Service /Power Su p ply amp
Service /Power Supply
401- 800 ampere @ $60 - Separate Bonding Inspections for Swimming Pools and _
E . ui • otential Planes @ $35 Each
Center Pivot Irrigation Booms ( ) @ $35 Each
Service /Power Supply Above 800 ampere @ $100 Plus Electrical Drive Units @ $5 Each
- Luminaire Retrofit Modifications ( ) @ $.25 Each
New /Extended Feeders /Circuits Up to 200 A ( ) @$6 Each -
- Concrete - Encased Electrode Inspection ( ) @ $35 Each
Feeders /Circuits Above 200A ( ) @ $15 Each
Reconnected Feeders /Circuits ( ) @ $2 Each - Investigative Fee $70 Or The Total Inspection Fee,
Whichever is Greater U • to $1,000
Special Inspection Fee ( ) Hours @ $80 Per Hour
Manufactured Home Park Lot Supply ( ) @ $35 Each Plus Miles @ The IRS Milea:e Rate of
Recreational Vehicle Site Supply Equipment
( ) Circuits Originating in the Equipment @ $6 Each Other
Street, Parking Lot, Lighting Standard ( ) @ $5 Each Over 600 Volts - Add the combined service /power supply and
feeder /circuit fee to result in double the regular fee (does not
a . .1 to electric si: and outline li :4 tin:
( ) New Multi- Family Dwellings @ $70 Each
Transformers Up to 10 kva ( ) @ $15 Each ( ) State Surcharge of $5.00
( ) Additional Circuits Above the 20 Allowed
Per unit @ $6 Each
Transformers Over 10 kva ( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the /44 ,
number of re • uired ins • ection tri • s, whichever is : - ater
Receivt # /, 7 /3 6
Requests for Electrical Inspection (REI) with a fee of $250 or less expire 12 months from the filing date. The owner
must have the work completed within the 12 month period
from one REI to another. Ae service charge of $2�8 will be for
the uncompleted work. Inspection fees ad f� 1 dishonored checks.
I hereby certify that I inspected the electrical installation herein on the
dates stated: Walt Lusian, Electrical Inspector
Rough -In Inspection (s) Date 952.934.0229
Final Inspection Date