HomeMy WebLinkAboutElectrical Permit 11.253 OF PRI0
C PERMIT # 11- Z53
U M
4 " . "'. 56 `'' CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date
Rough -In Inspection Required? Q Yes Inspection Other Than Rough -in: Read Now
( 211172/t I Contractor /Employer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final Inspections
D Will Schedule
Address of Inspection - Street Project Description:
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Owner Name
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Owner Phone
Home:4f40 Geti� 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: - C 2 Cell: .
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Contractor /Employer Authorized Signature Contractor License Number Job /Project Contact Person:
I` L L _ "00 ?...7 0779 G2ZC1 9 61 4 —
FE CUL TIO
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Service /Power Supply 0 -400 ampere @ $35 T chnology Systems Devices ( $ .75 Each
(4H.
Service /Power Supply 401- 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
Equipotential 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 Luminaire 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 Up to $1,000
Manufactured Home Park Lot Supply ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour
Plus ( ) Miles @ The IRS Mileage Rate of ( )
Recreational Vehicle Site Supply Equipment
( ) Circuits Originating in the Equipment @ $6 Each Other t.C7... 2 '1- =F_--
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
apply to electric sign and outline lighting)
Transformers Up to 10 kva ( ) @ $15 Each ( ) New Multi - Family Dwellings @ $70 Each
(n0 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)
l ( e C6 tPr - 1 AC(3(t, t(9 Receipt# 6.4ir7 � 61 1
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.
1 I hereby certify that I inspected the electrical installation herein on the
Order for Payment
simill..r•r• . ..
Date Request for Inspection Serial Number Date Filed
2''70 // /A 00,5 - 3 1 /5
Electrical Contractor /Installer License Number
C; NA TLJ/ if_iz / C
Owner /Occupant County
Job Address - Street
610 nship
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This Order for Payment is for additional fees associated with the above referenced Request for Electrical Inspection.
Fee Calculation/Explanation
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Return this Order for Pay with your check payable to the in the
amount of $ / (I l by (fourteen days from the date issued)
A service charge of S30 will be added for all dishonored checks.
Inspector me and N mber For Department Use Only
16 T la-VI N
Inspector Telephone Number
7.57z 3 e / 0 9
Inspector E -mail Address/Website
Inspec or ' natur
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