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Home My WebLink AboutBLD2008-00725 TEMP POWER - GAS AGREEMENTI.TIFN QA FT Z Catawba County Building Services Division PO Box 389, Newton, NC 28658 Permit Center 828 - 465 -8399 Newton Fax 828- 465 -8962 Hickory Fax 828 - 322 -6814 842 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 200f- _I�QZ� JobTide 6._'F PIN# 13 C II Bldgq I1nRn_ We do hereby release and agree to indemnify, save and hold harmless Catawba County and its 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 u 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'rESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIhIE OF SCHEDULED INSPE(1TON.) 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 accoul nu er Official signature of Notary Owner or GC Signature ti ate(, Notary's Printed or Typed Name (� (Official Seal) I D Printed Name T' Q My commission expires: sn� 'C2v IorJ As electrical contractor, I hereby certify that the electrical system ( ) 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 Notary's Printed or Typed Name p '` t t ��yr Printed Name �C LTitle (Official Seal) My commission expires: As HVAC contractor I hereby certify that the HVAC equipment Date of acknowledgment ( ) is ready ( ) is not ready to be placed in service. I am aware that the electrical systems will be aut as stated ve. Official signature of Notary Mechanical Contractor Signature Notary's Printed or Typed Name 7-� Printed Name LJ. /� D GJ�I' itle (Official Seal) My commission expires: As plumbing contractor I hereby certify that the Plumbing equip. Date of acknowledgment ( ) is ready ( ) is not ready to be placedn service. I am aware that the electrical systems will be activa stated ve. Official signature of Notary Plumbing Contractor Signature � Notary's Printed or Typed Name (Official Seal) Printed Name d16.d Title __ M commission expires: _ ,eA vY X84 Catawba County Building Services Division PO Box 389, Newton, NC 28658 Permit Center 828 - 465 -8399 Plan Review 828- 466 -5130 Newton Fax 828- 465 -8962 Hickory Fax 828 - 322 -6814 SERVICE AGREEMENT TEMPORARY HEAT NOTE: Each separate meter to be connected is considered a separate request and subject to a separate Pee. Please list the total number of gas meters to be installed on this project BLD200 nn 7d 71ob Title �4 PIN Bldg N _ Unit # 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 cnvirommentally sensitive materials, or finishes in accordance with manufacturer's instructions is permitted by the North Carolina Stara 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. of Water Tines 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. E 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. 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 do hereby apply for temporary use of the permanent heating system located at the structure id t tied a e. I au orize billing Date of acknowledgment of all renewals, if required, to a follow a atawba County billing account no Official signature of Notary Owner or GC Signature Notary's Printed or Typed Name T S n�I'itle (Official Seal) Printed No My commission expires: A*L T✓luC.Zc,/c As mechanical contractor, I hereby certify that the mechanical system ( ) is ready ( ) is not ready to be in service. Date of acknowledgment Official signature of Notary Mechanical Contractor Signatu Notary's Printed or Typed Name Printed Name A"—D"L— (Official Seal) My commission expires: