The URL can be used to link to this page

Home My WebLink AboutBLD2007-00087 TEMP ELEC & MECH APPL.TIF11/13/2007 09:04 8283226814 CATAWBA CO PAGE 01/02 -- - -- .- �••.,, ��.•• i tszn abo UJbZ k.U01i001 Catawba County aullding Services Division PO Box 388, Newton, NC 28658 Permit Center $28- 465.8399 Plan Aiwlew 828.466.5130 Newton Fax 828- 465 -8375 Hickory Fax SM32z -6814 SERVICE AGREEMENT TEMPORARY ELECTRICITY NOTE: Eadt separate tmeta to be connected it cossldared a stparate request and subject to a sgxrok (t:. Please list lice total nnaaabar of electrical maters to be Installed on this projec PermllO m - 00 Job 14 kl w f A A4 n PIN# We do hereby release and agree to intlemnify, save and hold harmless Catawba County and it's employees and poke Power Company from any and ail liability due to or arising from Catawba County wincing the electrical service to the above.snentioned 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 conaectlon remins in use beyond 30 days general contractor will be billed monthly per County Fee Schedule. The temporary mr of the system is neeawry to operate the XVAC and to provide fighting for the completion of the finish work Only those circuits that are necessary and/or have been Inspected and approved by the electricito and electrical inspector will be energized. Any 125v singio -phase circuits temporarily energized for construction purposes will be ground fault Inswupt 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 atfetled below, The respumible agent for the purpose of *9%X tbls form may be the general contractor or owner. The General Contractor is rraponsible for Adtltish ttive tees tlumlm other wise arranged and agrees to set V a billing account with Catawba County Finance Department for renewal of agreement, lf a lcd. The electrical contractor shall coordinate this Inspection wkh bonding service offlelal, (A CONMU]TY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.) 1. ..~... _ ; s • 'YM �do hereby apply for temporary use of the per;;; ;t /�r�. electrical service (Name) (Size of service) to th cture located t ' (Address of site) (Building number) (Unit number) 1 b a N ruplraa, to the followhsg aedve Catawba County billing account number ulc- Owner Conttt♦etot simuare Date Permit Specialist or Notary Please Print Name f&,En _6 6mfs Tide Aof_ AW As�6lwtdcal contractor I hereby certify that the building at ( y (4 is Sky to be energized. Branch ei,� _ e energized as stated above. Electrical C r signature Date Date \ Permit Spec Notary Please Print Name S�v t: p Tide QCLIS`�l As AC •. ......... ^.• .............�._.-_ . contractor I hereby certify that the HVAC equipment installed at ( ) is r ( is ady to be placed in service. I am LP e electrical systems will be activatiul a stated above. H C Con actor sigature Date Petinit Specialist or Notary Please Print Name �-d Title A ff -5 1 * 4 f As plum bing contractor I hereby certify that the Plumbing equipment installed at (ill nt lee service. I am aware at el Ica[ systems will be activated as stated above. Plumbing Contractor signature ba Permit Specialist or Notary Please Print Name ��+•., Title Dr.J vtNr 1 July 2004 TOTAL P.001 1 842 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 -8375 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 fee. Please //,, Clthe total number of gas meters to be installed on this project Permit # Zoo� - QyD b Job Tit I ' (� I C�hC` 1 1(�(�_ 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: I. 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. 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. - - -- -.- - -�- --- - -- -,j -� - - - ------------------------------------------------------------------------------------------------------------------------------ �"ir7{rl�� S do hereby apply for temporary use of the permanent heating (Printed Name of G�n�,r l Con r) s � d �� j �t lC (size /type system) system located at 77 r Aw �l/ , ( 't/ (Address of site) (Building number) (Unit number) I aut ize billing-of all r new , if required to the following active Catawba County billing account number h ; 7 Owner /General Contra or signature ,� / Date Permit Specialist or Notary Please Print Name ?• �� /"r'�rr ' Title Ow at e V - -- - - - - -- - - -- ------------------- - - - - -- Xj ------------------------------------------------------------ --------- -- - - - - -- - - - -- - - - - -- -- I � * v . -10 WL A47 o ereby apply for temporary use of the permanent utility service identified above. (P inted Name o (HVAC Contractor) _ k /� r • - HV C Contractor signat re Date /� Permit Specialist or Notary Please Print Name �. �� Title _ " I July, 2004 1 42 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 -8375 Hickory Fax 828 - 322 -6814 I SERVICE AGREEMENT TEMPORARY ELECTRICITY NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee. Pleas e list the total number of electrical meters to be installed on this project Perm / it# t) l(J� - WQ�J Job Ti tle Jd � /? A o, 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 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 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.) - - - - -- - ----- - - - - -- - - - - ------- ----------------------------------------------------------------------- ------------------------------- I, orra� `s re do hereby apply for temporary use of the permanent ?•r electrical service (Name) IRQ q 1 C- (Size of service) to the structure located t ( 3 1 / (Address of site) (Building number) (Unit number) I bltli�g 1 all4enewals, if required, to the following active Catawba County billing account number Owner/ 'eneral Contractor signature Date Permit Specialist or Notary Please Print Name F7912\11 F° A6dVS Title Iy11W A L ------------------------------------------------------------------------------------------------------------------------------------------------------------ - - - - -- electrical contractor I hereby certify that the building at ( ) is ready ( ) is not ready to be energized. Branch circuits will be energized as stated above. Electrical Contractor signature Please Print Name Date Permit Specialist or Notary ---------------------------------------------------------------------------------------------------------------------------------------------------------------- As PVAC contractor I hereby certify that the HVAC equipment installed at (V) is r a ( ) s n to be placed in service. I a7war hahe electrical systems will be activate� sated above. HCAC Conactor signature Date A Permit Specialist or Notary Please Print Name " �/•� Title ----------------------------------------------------------------------------------------------------------------------------------------------------------------- As plumbing contractor I hereby certify that the Plumbing equipment installed at ( i ad not r ady lace in service. I am aware at t e el ctrical systems will be activated as stat d above. Plumbing Contractor signature ate Permit Specialist Notary Please Print Name Dodd /lo ✓v. Title 0G) ✓t Pr 1 July 2004