HomeMy WebLinkAboutElectrical Permit 12. 502 z2
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C ® lMT A C OR/ RE G STER -0 Its EPAIPLOY E R R QU Er S ll FOR
ELECTRICAL NSPE CTION
Date Rough-In Inspection Required? Owes Inspection Other Than Rough-in : Q Ready Now
2 Contractor/Employer Must Schedule All Rough-In Inspections Contractor/Employer Must Schedule All Final Inspections
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Will Schedule
Address of Inspection — Street Project Description :
Owner Name IN l fl
Owner Phone
Home: Cell :
Contractor/Registered Employer Name Contractor/Registered Employer Mailing Addre s'
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Contractor/EmployerTe ephone Number Contractor/Employer E-mail Address Electrical Utility
Work: Cell,
Contra for/Employer Authorized ignature Contractor License Number Job/Project Contact Person :
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FEE CALCULATION
ION
Service/Power Supply 0-400 ampere @ $35 3 .� 1 �— Technology Systems Devices ( ) @ $ .75 Each
Service/Power Supply 401 — 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
E ui otential Planes @ $35 Each
Service/Power Supply Above 800 ampere @ $100 Center Pivot Irrigation Booms ( ) @ $35 Each
Plus Electrical Drive Units @ $5 Each
New/Extended Feeders/Circuits Up to 200 A ( ) @$6 Each Luminaire Retrofit Modifications ( ) @ $.25 Each
Feeders/Circuits Above 200A ( ) @ $15 Each Concrete-Encased Electrode Inspection ( ) @ $35 Each
Reconnected Feeders/Circuits ( ) @ $2 Each Investigative Fee $70 Or The Total Inspection Fee,
Whichever is Greater U to $ 1,000
Manufactured Home Park Lot Supply ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour
Plus Miles @ The IRS Mileage 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
apply to electric sign and outline lighting)
Transformers Up to 10 kva ( ) @ $15 Each ( ) New Multi-Family Dwellings .@ $70 Each
( ) State Surcharge of $5.00
( ) Additional Circuits Above the 20 Allowed Q Q
Per unit @ $6 Each
Transformers Over 10 kva ( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the number of required inspection trips, whichever is greater) //
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Vk Receipt #
Requests for Electrical Inspection (Rl;i) with a fee of $2 i0 or 1 rs le 2 months from the filing date. The owner
must have the work completed within the 12 mouth period or submit another RBI that includes the inspection fee for
the uncompleted work. Inspection fees do not carry over from one R1aI to another. A service charge of $28 will be
added for all dishonored checks.
I hereby certify that I inspected the electrical installation herein on the
dates stated:
Rough-In Inspection (s) Date Walt Lusian, Electrical Inspector
952 . 934. 0229
Final Inspection Date