HomeMy WebLinkAboutElectrical Permit 12. 309 ✓ Li �'tf' J l! tr 2L2
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ELECTR CAL IISP CCTION
Date Rough-In Inspection Required ? IkYes Inspection Other Than Rough-in : O Ready Now
,,2 1 �7 Contractor/Employer Must Schedule All Rough-In Inspections Contractor/Employer Must Schedule All Final Inspections
L QWill Schedule
Ad$r ; of I spection — Street Project Description :
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Owner Phone
Home: SFS Z" of s ✓ro 67r Cell:
Contractor/Registered Employer Name Contractor Registered Employer Mai 'ng Addr s * 3
Contractor/Employer Telephone Number 4 ,(l Contractor/Employer E-rn I Address Electrical Utility
Work: Cell: jl �� 2 .mot A < fiCt G' JP
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ContractorYer A thoriature Contractor License Number Job/Project Contact Person :
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FEE CALCULATION
Service/Power Supply 0400 ampere @ $35 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 Luminafre 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 Milea a Rate of
Recreational Vehicle Site Supply Equipment
( ) Circuits Originating in the Equipment@ $6 Each Other 4AJ
�pbG 70� 411,
Street, Parking Lot Lighting Standard ( ) @ $5 Each Over 600 Volts - Add the combined se 'ce/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
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//) ( �
(4:�2z 2 4ler8 �� Receipt # l0
Requests for Electrical Inspection (REI) with ae f $2 50 or less expire 12 months from the filing date. The owner
must have the work completed within the 12 month period or submit another REI that includes the inspection fee for
the uncompleted work. Inspection fees do not carry over from one REI 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
M . 9340229
Final Inspection Date