HomeMy WebLinkAboutElectrical Permit 12. 133 PERMIT #12 - '> I
N ESO CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date Rough -In Inspection Required? 17 Yes Inspection Other Than Rough -in: 17 Read Now
Rough-In g Inspections 23, 2012 Contractor /Employer Must Schedule All Rou Ins ections y
Contractor /Employer Must Schedule All Final Inspections
Address of Inspection - Street , / �^ y. -1>J6. X Will Schedule
16119 Eagle Creek Ave. SE L J - /O ( Proj ect Description:
Owner Name Stre Lighting Along Eagle Creek Ave. SE (CSAH 21) from Grainwood
City of Prior Lake Circle to approximately 300 ft west of Duluth Ave. SE. (Ltg System B)
Owner Phone (952) 447 -9830
Home: Cell: /g a 55
Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address
Killmer Electric Co. Inc.
5141 Lakeland Ave. N., Crystal, MN 55429
Contractor /Employer Telephone Number Contractor /Employer E -mail Address
Work: (763) 425 -2525 Cell: (612) 363 -3114 Electrical Energy
Utility
( ) dballing @killmerelectric.com Xcel Enerr gy
tractor /Emplo r Au: .. ;• Signature Contractor License Number
Job /Project Contact Person:
EA001003 Daniel Balling
• !�
t no1 rz( ��a FEE CALCULATION
Service /Power Supply 0 -400 ampere @ $35 35.00 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 4 Plus ( ) Electrical Drive Units @ $5 Each
( ) @$6 Each 24.00 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 ( )
q P
( ) Circuits Originating in the Equipment @ $6 Each Other
Street, Parking Lot, Lighting Standard ( 22) @ $5 Each 110.00 Over 600 Volts - Add the combined service /power supply and
feeder /circuit fee to result in double the regular fee (does not
Transformers Up to 10 kva ( ) @ $15 Each apply to electric sign and outline lighting)
( ) New Multi- Family Dwellings @ $70 Each
( X) State Surcharge of $5.00 5.00
( ) Additional Circuits Above the 20 Allowed
Transformers Over 10 kva Per unit @ $6 Each
( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the $174.00
number of required inspection trips, whichever is greater)
Receipt # (,i Re 7 .i
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