HomeMy WebLinkAboutElectrical Permit 12. 530 pRlp . \ V :2- 0,5 v
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tiM�YNES ?S CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
i es Inspection Other Than Rough -in: 0 Ready Now
Date Rough-In Inspection r Must Sc Contractor /Employer Must Schedule All Final Inspections
Contractor /Employer Must Schedule All Rough In Inspections _ ►_- ill Schedule
Project Description:
Address of Inspection — Street . 1, • , • / ,, MUNI
Owner Namei / 1 / j'1 _
Owner Phone
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Home: Cell: Contractor /Registered Employer Mailing Ad� I
Contractor /Registered Employer Name � ` c ) / ` { r '�,],f, W f Ai
�� j (��1' I \ Y O u Y O `� Electrical Utility
Contractor /EmployerTeiepho Number p ne ( ,
Contractor /Employer E -mail Address
Worktic 27�(�3� t► � 11 II 011 IOW G G 1 rte , ow
`'l J Contra tor License Nu ber Job /Project Contact Person:
C. ractor /E � pl. � er Authorized Signature Contra
", '�' FEE CALC LATION
0 -400 ampere @ $35 - Technology Systems Devices ( ) @ $ .75 Each
Service /Power Supp 1 y
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
Manufactured Home Park Lot Supply ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour
- Plus Miles @ The IRS Milea:e Rate of
Recreational Vehicle Site Supply Equipment Other
( ) Circuits Originating in the Equipment @ $6 Each
Over 600 Volts - Add the combined service /power supply and
Street, Parking Lot, Lighting Standard ( ) @ $5 Each feeder /circuit fee to result in double the regular fee (does not
_ a • .1 to electric si: and outline li :htln:
[ ) 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
TOTAL (the fee calculated above or $35 multiplied by the /4A ,
Transformers Over 10 kva ( ) @ $30 Each number of re • uired ins • ection tri • s, whichever is : eater
1 Receipt # b 7 X 3 5 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 1 month nth period
over from one REI that
A includes ervie charge of $28 will be
the uncompleted work. Inspection fees added for 1 dishonored checks.
I hereby certify that I inspected the electrical installation herein on the
dates stated: Walt Lusian, trical Inspector
Rough In Inspection (s) Date 952.934Elec.0229
Final Inspection Date