HomeMy WebLinkAboutElectrical Permit 12. 231 p F PRtp --
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' "N Es6°- CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date Rough -In Inspection Required? �
Contractor /Employer Must Schedule All Rough-In Inspections ctio Yes Inspection Other Than Rough -in: Ready Now
7/I �/ g P Contractor /Employer Must Schedule All Final Inspections
Address of Inspection - Street Project Description:
Owner Name } ? 7 / ✓ W •
FiV.Sior �Qrn.Jy /V
Owner Phone
Home: 9c _ t.1 Q t('a'7 Cell: 6./Z- Z£fZ - 79
Contractor /Registered Employer Name
u ` Contractor /Registered Employer Mailing Address
Copt or /Employer Telephone Number _15 u /YVC r" -) t ?- k-Pr 5
Contractor /Employer E -mail Address Electrical Utility
Work: Cell:
Contractor /Employer Authorized � nature � , `J� G `� ��� � � �'oN1 //IV
Signature Contractor License Number Job /Project Contact Person:
FEE CALCULATION
Service /Power Supply 0 -400 ampere @ $35
Technology Systems Devices ( ) @ $ .75 Each
Service /Power Supply 401- 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
Service /Power Supply Above 800 ampere @ $100 Equipotential Planes ( ) @ $35 Each
Center Pivot Irrigation Booms ( ) @ $35 Each
New /Extended Feeders /Circuits Up to 200 A Plus ( ) Electrical Drive Units @ $5 Each
( ) @$6 Each Luminaire Retrofit Modifications
( ) @ $.25 Each
Feeders /Circuits Above 200A ( ) @ $15 Each Concrete - Encased Electrode Inspection P ( ) @ $35 Each
Reconnected Feeders /Circuits ( ) @ $2 Each Investigative Fee $70 Or The Total Inspection Fee,
Manufactured Home Park Lot Su 1 Whichever is Greater Up to $1,000
PP y ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour
Recreational Vehicle Site Su PP Y 1 E ui ment Plus ( ) Miles @ The IRS Mileage Rate of ( )
9 P
( ) Circuits Originating in the Equipment @ $6 Each Other
3S
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 regiirlar fee (does not
Transformers Up to 10 kva apply to electric sign and outline Lighting)
P ( ) @ $15 Each ( ) New Multi- Family Dwellings @ $70 Each
( ) State Surcharge of -
( ) Additional Circuits Above the 20 Allowed
Per unit @ $6 Each
Transformers Over 10 Icva ( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the
number of required inspection trips, whichever is greater) l YU
Receipt # 4 32-
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 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
952.934.0229
Final Inspection Date