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Home My WebLink AboutBLDC-11-09-2751 Temp elect - heat agreements.tif P 1L:C ~J rU~c Ufa Catawba County Building Services Division Q PO Box 389, Newton, NC 28658 Permit Center 828-465-8399 Newton Fax 828-465-8962 Hickory Fax 828-322-6814 SERVICE AGREEMENT TEMPORARY ELECTRICITY NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee. ~Please list the total number of electrical meters to be installed on this project 1J&--V77'✓cr 11?r 7- BLD 200 Job Title (.^Zr PINt# Bldg i# Unit # We do hereby release and agree to indemnify, save and hold harmless Catawba County and it's employees and Duke Power Company from any and all liability due to or arising from Catawba County causing the electrical service to the above-mentioned premises being disconnected. Temporary service is issued solely as a courtesy for the completion of construction and the building is not to be occupied until a certificate of occupancy is issued. Any violation of the above will automatically void temporary service. The use of the system before final inspection is anticipated to be days or less. If utility connection remains in use beyond 30 days GC will be billed monthly per County Fee Schedule. The temporary use of the system is necessary to operate the HVAC and to provide lighting for the completion of the finish work. Only those circuits that are necessary and/or have been inspected and approved by the electrician and electrical inspector will be energized. Any 125v single-phase circuits temporarily energized for construction purposes will be ground fault interrupt protected, with the exception of lighting circuits in metal conduit. The building will be constantly supervised or will be securely locked when it is not supervised. The electrician, HVAC, and Plumbing contractors are ready for the systems to be energized as attested below. The responsible agent for the purpose of signing this form may be the general contractor or owner. The GC is responsible for Administrative fees unless otherwise arranged and agrees to set up a billing account with Catawba County Finance Department for renewal of agreement, if needed. The electrical contractor shall coordinate this inspection with building service official. (A CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.) I, hereby apply for temporary use of the permanent amp o / l 0 electrical service to the structure identified above. I authorize Date o acl o ledgment billing of all renewals, if required, to the following active Catawba County billing account number Official signature of Notary- Owner or GC Signature ~ Notary's Printed or Typed Name (Official Seal) Printed Name Title 5N pf'~ My commission expires: As electrical contractor, I hereby certify that the electrical system U 1 0 ( ) is ready ( ) is not ready to be energized. Branch circuits will be Date of acknowledgment energized as stated above. _ Official signature of Notary Electrical Contractor Signature. 16AA4 % '/n Notary's Printed or Typed Name Printed Namejma,.. R~xL,&,, Title S"; J?w f (Official Seal) % M commission expires: As HVAC contractor I hereby certify that the HVAC equipment O 0/ o ( ) is ready ( ) is not ready to be placed in service. I am Date of ackn wledgment aware that the electrical systems will be activated as stated above. Official signature of Notary Mechanical Contractor Signature ,rG(~ ► Notary's Printed or Typed Ne Printed Name (Official Seal) , ~iyl itle M commission expires: ~j~ a As plumbing contractor I hereby certify that the Plumbing equip. 01 0V / ( ) is ready ( ) is not ready to be placed in service. I am aware Date of acknowledgment that the electrical systems will be activated as stated above. Official signature of Notary Plumbing Contractor Signature "-,.A d Notary's Printed or Typed Name Printed Name ITD~L~1Jt/Title/- (Official Seal) M commission expires: P R 0 1 GT 7vr►c up` T ~A Catawba County Building Services Division Q PO Box 389, Newton, NC 28658 i, Permit Center 828-465-8399 Plan Review 828-466-5130 U Newton Fax 828-465-8962 Hickory Fax 828-322-6814 1842 SERVICE AGREEMENT TEMPORARY HEAT NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee. 7 lease list the total number of meters to be installed on this project J1WC. ~ BLD200 Job Title A& j_./T PIN # Bldg # Unit # In an effort to assist contractors ivenp'Ie g construction projects, this office will implement the following policy. The utilization of permanently installed gas heating equipment to maintain environmental conditions necessary to facilitate the installation of environmentally sensitive materials, or finishes in accordance with manufacturer's instructions is permitted by the North Carolina State Administration and Enforcement Code with the following local requirements. The owner, general contractor, and mechanical contractor must sign this request form for temporary utility connections. The form must be filled out completely. The following requirements will also apply: 1. All heating units to be placed in operation shall have the following items inspected for compliance if applicable. a. Vent system (Products of combustion) b. Appropriate amount of combustion air is provided. c. Gas lines shall be pressure tested and inspected. d. Water lines shall be pressure tested and inspected if geothermal or coil supplied by a hot water heater. e. Condensate traps and lines in place and inspected. f. Electrical circuits installed with appropriate disconnect, over-current, equipment grounding, conductors and raceways. g. Refrigeration lines shall be inspected with appropriate pressure certification tests. h. All gas tubing shall be labeled per gas code prior to temporary heat inspection. i. Approved temporary electrical power is a prerequisite for temporary heat. (This can be scheduled simultaneously with temporary electrical.) 2. No occupancy of any kind (persons, furnishings, etc.) shall be allowed during this period, without prior approval of the Code Enforcement Official. r 3. The use of the system before final inspection is anticipated to be days or less. If utility connection remains in use beyond 30 days general contractor will be billed monthly per County Fee Schedule. ' 4. If there is any violation of this agreement, this service shall be disconnected without prior notice to the participants. This shall be done without any obligation of responsibility on the part of the Code Official or Catawba County. 5. All processing fees are applicable as set forth in the Catawba County fee schedule. I have read and agree to this procedure and guidelines as set forth by Catawba County and will abide by the conditions and qualifications under which it is issued. I further agree that failure to comply with the procedure may result in disconnection of gas, revocation of permit, and/or the refusal to consider further requests for temporary gas. I also agree to have a billing account set up with Catawba County Finance Department so that any renewal fees of temporary service can be automatically billed if needed. I do hereby apply for temporary use of the permanent heating 1 0 ° system located at the structure identified above. I authorize billing Date of acknoedgment of all renewals, if required, to the following active Catawba County billing account number Official signature of Notary Owner or GC Signature Notary's Printed or Typed Name 11JJ (Official Seal) Printed Name ~ Q."T~ F. Title SCI My commission expires: As mechanical contractor, I hereby certify that the mechanical system ( ) is ready ( ) is not ready to be placed in service. Date of acknowle gment Official signature of Notary Mechanical Contractor Signature 3 Notary's Printed or Typed Name Printed Name rXit e Asst (Official Seal) My commission expires: