HomeMy WebLinkAboutBLD2007-01517 TEMP POWER & HEAT AGREEMENT.TIFQ Catawba County Building Services Division
PO Box 389, Newton, NC 28658
G Permit Center 828- 465 -8399 Plan Review 828- 466 -5130
Newton Fax 828- 465 -8375 Hickory Fax 828 - 322 -6814
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SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
7T�� Please list the total number of electrical
l meters to be installed on this project
d -
Permit# WCMT 01 S D Job Title l r. I C9 F CA i, V PIN#
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
general contractor will be billed monthly per County Pee 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 General Contractor is
responsible for Administrative fees unless other wise 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.)
11 , ��P�i — ^ r ,� 2 rp7le S do hereby apply for temporary use of the permanent electrical service
°(Name) (Size of service)
to the structure located at ace u �m
(Address of site) (Building number) (Unit number)
I a billing of all renewals, if required, to the following active Catawba County billing account number
/closes
r (�wner /Gen al Contractor signature Date Permit Specialist or Notary
Please Print Name
r As elec our for I hereby certify that the building at
is n [ re. to be energized. Branch ei coils ill be nergized as stated above.
let cal C36101or signature Date '/ Permit Specialist or Notary
Please Print Naun xj- S Title W& "h7 4CoE
As HVAC contractor hereby certify that the HVAC equipment installed at
X ( red ( , is d to be placed in service. I a eta t electrical systems will be activatedgey )led above.
HVAC Con��[JJr,a��etor n
igture Date Specialist or Notary
Please Print Name %% �r� 1 J n� Title V •-C� �j� J (,CY/t
As plumbing contractor I hereby certify that the Plumbing equipment installed at
( ) is ready (�is not ready to be placed in service. I am aware that the electrical systems will b ivated as s. above.
5t -f K r. nc
Plumbing Contractor sig aare Date Permit Specialist or Notary
Please Prini Name Je Ia CLvl..nn Title P/ —L) 16FX_
I July 2004
eA Catawba County Building Services Division
Q , PO Box 389, Newton, NC 28658
F 2 Permit Center 828 - 465 -8399 Plan Review 828- 466 -5130
Q ` Newton Fax 828-465 -8375 Hickory Fax 828- 322 -6814
/g4 SERVICE AGREEMENT TEMPORARY HEAT
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Please list the total number of gas meters to be installed on this project
Permit # T)Qa0bD -0ISI Job Title C, �COUO PIN#
In an effort to assist contractors in completing 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 manufacturers 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.
It. All gas tubing shall be labeled per gas code prior to temporary heat inspection.
L Approved temporary electrical power is a prerequisite for temporary heat. (This can be scheduled simultaneously with
temporary electrical.)
1 No occupancy of any kind (persons, furnishings, etc.) shall be allowed during this period, without prior approval of the Code
Enforcement Official.
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.
><1 `2 2�OM {a J✓�'f S do hereby apply for temporary use of the permanent (aO0 heating
PrintU Name of General �CQna6tor) - (size/type system)
system located at �3R� i`v V x� r 6 a-k e �[if P
(Address of site) (Building number) (Unit number)
I authorize billing of all renewals, if required to the following active Catawba County billing account number
/��=
w u /General Contryltor signature Dare Permit Specialist or Notary
Please Print Name
I n do hereby apply for temporary use of the permanent utility service identified above.
I d Nnn eof FIV Contra or)
HVAC Contr cmr signature C Date Permit Specialist or Notary
Please Print Name
1 July, 2004