HomeMy WebLinkAboutElectrical Permit 12. 358 - YRfo
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4111vms'I> CI T CTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECT! 1 Al
Date Rough -In Inspection Required?
9 L Contractor /Employer Must Schedule All Rough -In Inspections s Cont a /Employer Must Schedule All Final Inspecttiionsady Now
Ad ress of Inspection 61 — A
(Will Schedule
5Y 12 % ANe� Project Description: ✓ /AL
Owner Na e �
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Owner Phone
Home: Cell:
Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address
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Contractor /Employer Telephone Number Contractor /Employer E -mail Address Electrical Utility
Work: Cell: 4,/Z -349 -- JJ
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Contracto pia er Authorized Signature Contractor License Number
Job /Project Contact Person:
FEE CALCULATION
Service /Power Supply 0 -400 ampere @ $35 Technology Systems Devices
gY Y ( ) @ $ .75 Each
Service /Power Supply 401– 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
EquipotentialPlanes ( ) @ $35 Each
Service /Power Supply Above 800 ampere @ $100 Center Pivot Irrigation Booms
g ( ) @ $35 Each
Feeders/Circuits U to 200 A Plus ( ) Electrical Drive Units @ $5 Each
New /Extended Feeders
/ P ( ) @$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 1 E ui ment Plus ( ) Miles @ The IRS Mileage Rate of ( )
PPY q p
( ) Circuits Originating in the Equipment @ $6 Each Other 35 . O'0
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
Transformers Up to 10 kva apply to electric sign and outline lighting)
p ( ) @ $15 Each ( ) New Multi- Family Dwellings .@ $70 Each
( ) State Surcharge of $5,00 _
( ) Additional Circuits Above the 20 Allowed 6
Transformers Over 10 kva Per unit @ $6 Each
( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the
number of required inspection trips, whichever is greater)
Receipt # cc? ZZ¢-
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