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HomeMy WebLinkAboutB4-411 TEMP HEAT-ELEC APPLS.PDF07/13/2004 15:22 FAX ljOQ1/002 Pal PO Box 389, Newton, NC 28658 Plan Review # 828-46=513 Newton Fax # 828-465-8375 Hickory Fax 9 828-322-6814 SERVICE AGREEMENT TE<) RY ELECTRICITY 1, :u5c��L a--QD --.do hereby apply for temporary u se o f the perin a nf - n t 3YA11w-clec tri ca U ser v i ce, (Size of service) (Address of site) (Building number) (Unit number) We do hereb release and aerce to indemnifv save and hold harmless Catawbi Cainli aud d'S disconnected, Tomporary service is issued solely as a courtesy for the completion of construction and the building is not to b occupied until a certificate of occupancy is issued, Any violation of the, above will automatically void temporary servicc, The use of the systern before final inspection is anticipated to be—��r — days or less. If utility connection remains in use beyond 30 a eftr&I contractor will be The building, ill be constantly supervised or will be sectucly locked when it is not supervised, The electrician, HVAC, and Plumbing Coroacto read systems to be energized as attested below, — print Name keW The responsible agautfacOw-purpoax,ef sIghfagjhjsfiwua-uaayEp shall coordinate this inspection with building service officiaL (A CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT 71ME OF SCHEDULED INSpECTION.) Witnos&l Notary _____,__ xr._____ _____®___ t In r iay fy that the H A equipment installed at 1- C�.4I1 � ttitr tar I t r t its s I aware that the electrical systems W1 be acttya edd ds st t d gyp w`- �~� �� wit � F lease I�rant a I iti��._ Notary _-____a ._a_____ _______________- —----- a_ ---------- .a_.___ ______®_ .._.__. _d__.._. As p ittrnbing contrac r 1 hereby certify that t the Plumbing equipment ihstalred at �� g � is ready j i or ready to e placed in ice. I am aware that the electrical systemswill actiyttt d a sta ab yg. Plu n Contractor � Witness 1 i*tacary l f'c --- Thi& agfeernent is tt until: _..__ GENERAL CONTRACTOR IS RESPONSIBLE FOR AD I TI ' UNLESS OTHERWISE ARRANGED. PIN # PER IT — � ��%VaS ttut tttrrxo Hood S' stcrn nitre tact Detector System —� 9 ire 4lrrsz Systeaz •o 15 March 2004r a(iiARW �`, ffoG . 5 I X,, �`rteer t zttatt°�gnn � ry t i ---t C- I , 07/13/2004 15:24 FAX duel. U-1 Cl4 LL; 19a City of Hickcir237474 1� 0 0 1 / 0 0 2 F.? PO Box 389, Newlti�' , NC 28658 Telephone #787846541399 Plan Review # 828-466-5130 Now" Fwt-#-828-4658VS- Hickory Fax # 828-322-6814 SERVICE AGREEMENT TEMPORARY HEAT NOTE: Each se-,,parate meter to be 0 In an effort to assist contractors in completing construction projects, this office will implaursdE the telluddrig4tolicy. Thr, utibZ9604-G� permanently inStaffed' 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 Ad--s4raftewand following local -requirements. The owner, general contractor, and mechanical contractor must sign this request form for temporary utility isaturections. The form must be filled out conifilctely, The following requirements wjU also apjrjya 1. All heating units to be placed ire operation shall have apphebja� a. Vent system (Products of combustion) bAppropriate 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- Condausaw traWgred Jmas in -place. -and hwpcctv&. 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. hAll gas tubing shall be labeled per gas code priar tea teamoureye beatinspection, , - L Approved temporary electrical power is as prerequisite for temporary beat, (This can be scheduled simultaneously with temporary electrical.) No occuparreyof-any kind (persons, furnishings, etc.) shall be allowed during this period, without prior approval of the Code Enforcement Official. 3, The use af the daysroriess 1ruthilty connection remains in use beyond 30 days general contractor will be billed monthly per County Fee Schedule 4, If diare is any violation Of this agreement, this service shall be To, thepftodcipadftThe shall be done without any obligation of responsibility on the put of the Code Official or Catawba County, 5. All processing fees are applicable as set forth in the Catawba County fee arb"Ad"'I 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 ith; issued. I further revocation of permit, and/or the refusal to consider further requests for temporary gas, ----- -- - --- - - ---------------- heating r use of the permanent (size/type system) ly (Building number) t number) Date) (Owner/General Contractor) Title Witrxv;sormicro uiryLAO-V�-� Date�^'� 9WCA --------- --- - ------- -'-- -------------------------------- - -------------------- - ----- --'- -------- do hereby Ls2v,I �- y apply for temporary use of the permanent utility service identified above, (Printed N c f a hanical ontracts)r) Signat a C-1 Witness or Notary Date lift PIN to pd Pgrizat # "6 15 March, 2004 r y cv PUBOG e4y 07/13/2004 15:25 FAX FA002/002 07/1,2/2004 15:33 FAX Onni TX REPORT TRANSMISSION OK TX/RX NO 4924 DESTINATION THL 8284658=375 DESTINATION ID ST, TIRE 07/12 15:32 rTffF rSV (IT, FIT PAGES SENT RPSULT (7 Dual 12 04. 1J-1; 19a' Cilt!d of 'Hickortt 8283237474 P. 2 Catawba County Building Services Division PO Box 389, Newton, NO 28658 -i 'relephone # 62e-465-8399 Plan ElOVIOW # 6Z6-466-5130 Nawtm Fox r a2j�--465-p� HICKOry Fax # 828-322-6814 SERVICE AGREEMENT TEMPORARy HKAT 07/13/2004 15:23 FAX Q 002,/002 07/12/2004 15:31 FAX Q, a a i — - -------- - T1 REPORT TRANSMISSION OR TX/RX NO 4923 DESTINATION TEL 8284658375 DHSTINATION ID ST, TIME 07/12 15:30 TINr TISE 01 1 16- PAGES SENT RESULT 7'U1 12 04. 11: 18a, 'Cit!d of Htcklalrij 9283237474 Catawba County, Btffkfing Servfees- Dfvls� PO Box 389, Newton, NC 28658 Telephaw# &28-465-SOW- Plan Review # 828-466-5130 Nawton Fax-# 8M-465--&V-5 Hickory Fax # 828-322-6814 Vc"V-e�c hereby apply for temporary use of the porrnanent'11'1�'Iectrical sarvice (Name) (Size ot"SmVice) 4e scruenare located at (Address of site) <NOTE; Each separate wder w be, energUad u,,b,,) We do hereby refease and agree to indemnify, save and hold harmless Catawba Counqvand-it�mea@� WWIPWMPF"�awr from any and all liatit Unyduc to or wising from Catawba County causing the electrical service to the above -mentioned prtrnJses being disconnected, Yernporary service is issued solely as a courtesy for the, completion of ustruction and the building is not to be occupied until a certificate of occupancy is issued. Any violation of the above will aurtimaticoally void temporary servicv, The use Of rhe $Yrteru befOn! final imPection is anticipated to b.--LLC;,-)- da s or less. If utilit connec --------------- - - -- ---------- ------ ----------- _ - - -------------------------------- I ---------------------- -- ..... - ify that tho HVAC equippscut instafed at 1am aware that nw,:rc��