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Home My WebLink AboutBLDC-10-09-1823 Temp elect agreement.tif PtLVm l 1,J� r� "r7ZRNS�i OL AT /Vt�,2f� Catawba County Building Services Divisional n ° -1 PO Box 389, Newton, NC 28658 Permit Center 828 -465 -8399 Newton Fax 828 -465 -8962 Hickory Fax 828 - 322 -6814 1 4 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 BLD �obTitle T �A IN# �"�1r1� � �� Bldg # 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 /0 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 HV 2 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 electrical service to the structure identified above. I authorize Date of acknowledgment billing of all renewals, if required, to the following active Catawba County billing account number Official signature of Notary Owner or`6. igS nature Notary's Printed or Typed Name (Official Seal) Printed N ma ------ Title My commission expires: As electrical contractor, 1 •hereby certify that the electrical system (_1 ( ) is not ready to be energized. Branch circuits will be Date of ackhowl4i ment energized as stated above. M I r El ec al Contractor SignaturejaAZ4,io Official signature of Notary /I�� Notary's Printed or Typed Name Printed Name ft tf 1 AWC F(ec/Vic_ Title ' ?. , c e "' (Official Seal) My commission expires: As HVAC contractor I hereby certify that the HVAC equipment ( ) is ready ( ) is not ready to be placed in service. I am Date of acknowledgment aware that the electrical systems will be activated as stated above 1 Official signature of Notary tic a cal Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Seal) My commissio ex ire As plumbing contractor I hereby certify that the Plumbing equip. ( ) is ready ( ) is not ready to be p ced in service. I am a are Date of acl owledg ent that the electrical sy c ' ed as stated a Official signature of Notary ; P ing Contractor Signatu Notary's Printed or Typed Na e Printed Nami d �/�S /u��lpe Csi t`f Official Seal) My commission expires: i G r. R. E i May 20 10 11:45a Ponder & Cc Inc 1- 803 -831 -1779 p.2 s MAY -20 -2010 08:36 From: To:1 803 831 1779 P.1J1 rtro-o5t9tlat e667�It26T0» I#03f3!t71'9 P (. ,r•a_p. •• j Catawba County Building Services Division PO Box 38l. taawtoa, NO 78858 Pltrrnit Cal W 02846S -8399 PWWWR Fair 828.465•ii862 Mi(ko%y Fax 828.922.8614 amytC6 AQUENENT TEMPORARY CLECTRICti'Y WJrrE: Each separate soeter to be eoonerted Is eoaidered a aept+rMe regaiest sad tim bject to a "rim lee. r e out Ike total member ofdeetrleal noten to be iasb r isk Isrokct� BLD4C- la • 4--1/ Jo b Title pll'�me'� r �A M�� sm� a Unit a -- ----�— .. - -- i We do hereby release and agree to indcrmni4. save rind hold hormic3s Catewlsa County and it's omplorccs and Duke Power Company from may end lU' (lability due lo or orb* from Catawba County causing the elvetiicai serviceto the above- moniiened premises Wrig disconnected. 'lemporary service it issued solely as a ww%sy for the COMPIetinn of cnnxtruetion and lhn building is not to be o=pied until a ecniincato aroccupattcy is issued. Any via lation of the above will automatically voidieraporory lervica The mid of the ayslem before final inspection is anticipated to be /C dogs or less. If utility connection remains in use beycMd '1 30 drys GC will be billed ma0ly per County Fee Schedule. The scropprwy use of the system is necessary to operate the NVAC and to provide lighting fur the rurnptesion of the r1oM work. Only ghost circuits !hat are necessary aritV ar have been inspected sad approved by the electrician and clocickal in simctor will be energized. Any 125v sinoc -phase tiraaits temporarity .eatorgized for ermsarvetion purposes will be drou faoh interrupt protected. with the exeeptiai of lighting circuits in mco1 eonduit The building will be collstamly supervised or will be securely locked whets it ii notsuperviscel. The electrician, kVAC, and P(ttotbing coatracrar) rte ready for the systems to be caergired as +nested below. The responsible agent for the part ow signing this hrat may be the gaReral cuetrmtor or owner. The CC k re"onslble for Administrative fees untels olkerwise arranged and agrees to sM up a 0111115C account who Catawba Cominty ]f'tunca Deportalent let renewolot',.sr.aowse, Ifamdarl. The deeirkat contractor sager coordanate flab taspectloa with livilding service Of iod. m cawTDetm TcsTLRSMA6t. w Ftiam"m mY ►r,ItCrllrGnl. L:t;IPr71aA4TUtt ATTtMY. U1 .M.11M:lito1.11t Irlsra:r'fHHV J I. lax a '� eby a for temporary use of t6o ptnmm�cnt amp 1-- -, elteerienl serviea to glee sumora idantiiAW abovs. 1 iMtharka D dprareat billing ora ls reaewats, i r regairsrl, 141 Ibe following actlac �- F •�, f • :y�� M � Catawba Cnaay billing rceouut number r i of N m re ;k , f� Owner or Slgnslurc 1 i ! Nolaryi Printed or d None i' I Printed Title Mv 99tMm113510e o1rpIR3; Glontrmisglotl w2 zz {y z . r. 4 i 11 • A% eirclrieRl COaereoror. I kreby conily that the electrical " ism ( !s wady () is *or ready w be an ir4d. Rmteh circuits will be rw a energized u stated shove - i E, - •••• ��r �'�� ( Notary4 Prince or Name PrkmW Naha tqf �/l'�vc rlrcr �h�'ci'r.� COma1i961t)rt f Z7. �1 `>r'>i0fiwiN d iN commission expires: As HVAC ConlraRor t hereby 4xrtil'y thY the $I VAC equtpetenl stems will bo activet stated above. - - '�- — ,� S eI� W is irt* ( 1 1t na reedy to be placed In selyke. i am v " are aw that the electricals r vre of a .. enienl Contractor Sipaatu � I Notary' Printed or Typed Name �� - c `A f7 Tqk Ir =a (OfRclll cal) 1 Printed Name �� f ! M Coralissioa a ire+: O ? plumbing contractor 1 her cr�til' abet the Nturnbin ui 06-0 C�� As p s r 6 p it ( ) is ready t ) is not ready W be placed in service. I am awar Data of nokrx�..lcdgraenl of gloat the electrical systems will be aAivated as stated above. t7tt ir:ial nidaalurn uf'\vtory I P billy Can lrrctorS ilgaatu re i Naery'a PrinteA or Typed yams i iTa _sad Alareso 7!r!s (official Seal) � �My contrrrissian expires __ 1 E i p � 4 9 ( i i i i May 20 10 11:44a Ponder & Cc Inc 1- 803 -831 -1779 P.1 Ponder & Co., Inc ' GENERAL CONTRACTOR i i May 20, 2010 i Attention: I I Catawba County Building Services Division Hickory Fax: (828) 322 -6814 i i Please see attached Service Agreement for Temporary Electricity. I Permit Number: BLDC -10 -09 -1823 The plumber, TM Caldwell has already signed off on his portion today at your office. F Thank you. 1 i Ponder & Co., Inc. 740 Anchors Bend Cove — P.O. Box 5128 Lake Wylie, SC 29710 803 - 831 -1778 E -mail: ponderk42bellsouth.net 803 -831 -1779 (Fax) www.ponderandcompanv.com