HomeMy WebLinkAboutBLD2007-00631 TEMP ELEC APPLS.TIFJan 24 08 02:59p
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CaMWIM C w ty Building &wvk" Dhftlon
PO soot an, Newton, Nc ae6�
BM n CorMr 0&485am Plan Re dew 828-4%-030
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lrOr1'8~ Siscfl NpMats metssr ti be mastaeled �4osdidecM ase�arats s+e�eat soilfjoR p
we do bmby Wksme WA wm w iadmdfl h sa !d b eis C UMM meaty: ift leyee�s Duos Power Ca pm
tram any raid e8 itibititp due do ar stistag name Csrta�rbs Coot�ty rawdag the et�ssrieat tesvioe m �v abays- �coiemtioned paemiieae bci�
eAsoo+mocted. Tomponvy m wvim b iskmd soW as a .mu lay fw tbs aysnpieEkar of e a I mc0u- and !be badidit d not w ae oocapiod
vent t oeetifieaee of Oeenpal�ey iasuad. Any viofadao of dx above vnit Mommy void tm*muy eerrir e.
The me d tbo syam bdbre f ot irapec is sMapaeed bo be Opp ar leas. 7rvoWsty oonemtlon remains isi in bcyoed 30 days
� m grorW ZW tiog 6ar� a4arpie - I m oftfndtb wodc. Qdy iosQ daadd tAot we'ooeaprf ardtor bava i�nspacerd and
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eormracav�s sm rwdyforms sl►seeae� a be oner�aod aUmbd bdowv.
The rdperrtrale smrmfer vw poReposaeidseiis8 tlrftftsa may be+a as posesat eartrasleeae ewttsr. Tltesane*al Csaeractet�w
:aspoa ale f9ar iahs6ls161 a 1 Wlrrwtee aged and smtm bo sAap aDft aooeaat �w1At Caa�wba C-mob
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scow vflbcisl. (A Mit SBALL U XURNEMO SY BK- ZL"I1C[CAL CiOMACTOR AT T1M01r
Vi�aD 'i�pl'L}
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{lQgsy (Size of sa ke)
(Addw s of s (sa►ta+t nmetbery
I biidiap aE K smin, 6 to the auvwks awe 'f.%sew a C) bilb aexedrtt say it 4 r• -
/
Coe Dsee PeereitS NOOtry
Pkase Print Na m. = Tick IY1A.� 1,J c�St
As elocaicsl watea w I bweY certify dal the bo nlg xtbM " AW di fc of d
(Xk is rowdy ( f sad / w be wwvj$ std- Ib dtFIftl will be
Electrfcat Dsts t�peciitti,�c a d!ioe.y.
.pJamePrintrlaree �Yrle .
As ca O *4 _
( y { is aotra�d�r to Isaed in service. I am w I - 3 O. eial sysbeais above
Ptasc Prtnt� W . �-k'�• Zile i"7 S 1rv"� .
As pianobinS cooraacxor Y 1Y mat tttc Phsmbivg nnndkd at
f ) � �Y ( 1 is not rely m be placed in survive. t srn swan dmt the electriarl systcnat will be activaeed as staeod shore:
PMttebfe= CorretaorM sisctsevea Dart Aenodt Speeislist or Mary
PUMM Print NMO
Ti tk�,
I My 2004
JAN 04,2008 10:33A 8283225814 page I
V1! VYI LVVV 1V -- V J.CLOOlY 11 , '"I"WOH , ...1..1
Catawba County Building Services Division
PO Box 389, Newton, NC 28658
Permit Cent 8 26:465-8 399 Plan Review 828- 466 -5130
Newton Fax 828. 465- 8837- > Hickory Fax 828- 322 -6814
SERVICE A GR EEMENT TEMPORARY ELEC RICITX
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Phrase list the total number of chwhical meters to be installed on this project
Permit# - 3 Job Title ` PIN# rL
LU
We do hereby release and agree to indemnify, sa an ld ha ess Catawba County and it's m byre a 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 courteey 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
approval by the electrician and electrical inspector will be energized. Any 125v single -phase circuits temporarily energized for
constriction purposes will be ground fault interrupt protected, with the exception of lighting circuits in metal condtrit
The building will be constantly supervised or will be securely locked when it is not supervised. The electrician, RVAC, and Plumbing
contractors are ready for the systems to be energized as attested below.
The responsible agent for the purpose of sigulag this form may be the general eonhwetar or owner. The General Contractor is
responsible for Administrative few unless other wise arranged and agrees to set up a billing account with Catawba County
Finaum Department for renewQ of agreement, N needed. The electrical contractor shall oaordimte this inspection with building
sere offixbl. (A CONT1i WM TESTER SHALL BE SM40HW BY ELECTRICAL CONTRACTOR AT TIME OF
SCHEDULED IN"ECTION.)
I, � e 67 4% W .............. . .................
o hereby apply for temporary use of the permanent � - - - -..- electrical service
(Name)
6gp ` J� �^ (Size of service)
to the structure located at �
(Address of site) .1$ , 673 (Building number) (Unit number)
I a billing of r N required, to the following active Catawba County billing account number
o ?,
Q'� W'9#ral Con for afore Date Permit S st otary
Please Print Name I tur Title
As electrical contractor I hereby certify that the building at W " rC y i aE "'• ' �'-
( is ready ( i t ready to be energized. Branch ci its will be _ gib Z g
1 d MY �XPIR
hiectrieal Contrackr si Atire Date Specialist or Notary
Please Print Name Title
As HVAC contractor 1 hereby certify that the HVAC equipment installed at
( ) is ready ( ) is not ready to be placed in service. lam aware that the electrical systems will be activated as stated above.
kIVAC Contractor signature
Please Print Name
Date
Permit Specialist or Notary
Title
----- ------ ----- ------- ----------- ------ --------- --..---------
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 be activated as stated above.
Plumbing Contractor signature
Please Print Name
1 July 2004
Date
Permit Specialist or Notary
Title
JAN 04,2008 10:33A 8283226814 page 1
Jan 23 08 06:41p Dennis Chapman 828 -632 -8234 p.1
3AN 23.2008 09:36 CATAWBA COUNTY 1 828 465 6962 P- 001/001
Catawba County Building Services Division
PO Box 389, Newton. NC 2$658
Pt rmit Genter 828.465$399 Newton Fax A28.4W8375 Hickory Fax 828-M-6814
9RVICBAGRIEEM) TTCMPOriARY itL,LFXMCITY
NOTE: FAcb sM arate meter to be connected Is cowidelred a wparate Iregocat and subject to a separate fee.
Please fist the total number of ebx rkcai m irtem to be instalkd on this project_.
BI.D 200 `..: � Job Tida��M �9'I S A.�`i3 Bhtg * . Lt5� unit tt
We do hereby ncle*le Sed SSW to indemnify. save and hold hanniew Catawba County acid its employees and Duke Powe
Company from any and all liability duc to or u sad8 fi+oe't Catawba County Causing the electrical service to tltc above- memloncd prcfise
being 44minceted. Temporary acrvice is issued solely as a COui tCly for $0 eornpleti0n Of Conitrucfirnt and the building is not to b
oocupied until a certificate of occupancy is issued. Any violation of the above will automtically void temporary sarvice.
The we of the %ystern before final ingx=tiou is anticipated to be_ days or Icwe. If utility eonaoction mmaim in use beyon
30 drys GC will be billed monthly pa County Fee Schodole:. IU tomporvy ut+c of the system is nems,•vy to operate the HVAC and t
provide lighting for the eomplatioa of rho ft $b worts. Oiily dtoae circuits that are neomary and/or have been inspxted Acct awovod b
the clemic an and electrical imp xlor will be energised. Any 125v sitigleq*tw c if Wts temporarily cnm&wAd for contraction purpost
will be ground fault uftn upt protected, with the exception of lighting circuits in metal cm duit. The building will be conswily supexvisc
or will be secwdy Iocked when it is Got svpervb4d. The electrician. RVAC, and Plumbic$ eontracaxx we ready for the xymems to t
cncrgized as attested below.
Tbc responsible agar for ft pwpew of this form vuey be am gemnal coattramw or owner. The M is respoissibl
for A tr- Mv* fees tttakw stltcrwise arranged aid alprees to at up a hie account with Catawba coanty >rluaboe
I)mpartmeit for renewa ea<aQrok soak iTneedtiL Tire dechwal contractor shall eeordinatt• this irnpeotia with building servicet
of6cipL. cA (?ONt'lZRJ[P]f TEFM MAta. tit Y *N==XY M&CMIC&t COliMCTOR AT TM9 OF SCE 1MiMi0MNa
1, hccby apply for tatnpm y mcc of the petrrAMw atop
ckmical mviec to the structure idendfied above. I watborize
Datc of acknowledgment
MM of an reueweds, if regnirsd, to the Mooning witive
Catawba County baling a000ait camber • _
Oftteial sigouvc of Notary
Owner or GC Sivnatwn
Notary's Printed or Typed Name
(official scat)
Printed No me Me
My eommiraicm cx '
As electrical apt+tractor. I hereby certify that the electrical syctcnn
( ) i5 ready ( ) is not ready to be etwgized. Brxneb CkCaits will be
Date of acJtctowledgntcnt
energ ized as stated above.
OffiCla1 5isttature Of Notary
Electrical Coate SIOAMIMUM
Notary's Primed or Typed Name
Printed Nance Title
(Ortficial Seal)
1�I oornmiy5icrn ex "
As HVAC OotaV=w I hereby certify dW the HVAC ogtopmtnt
Data of acknowlerJgrnetu
( ) is ready ( ) is not ready to be PIWO in :teri► & I am
aware that the alec trwal systicim will be activated as stated above.
Olfiew xignatare of Notary
MeelmaA al Contractor Sooaare
Notary's Printed or Typed Name
Printed Name 71de
(0fftcial Sea))
my coaumission a retie
As lambing contractor I hereby a rfify that tbephdabing equip•
Q
1 r�l
,,'. .•,�;' ...
,. • t ,
: :� ,��
(t/1 is ready ( ) is not nerdy 10 be in sav= 1 as aware
Date led nt
��ti•
that the eleariral systcn will be as
<<
t�fFieial lu
_� � %-
Plttmbiog Cantnketor Skustar!
/ � ofNotary
Notary's Printed M Typcd Namc
Printed Nanrc Title
Y� '(official SC4..
�k.....b •
M cxttrunission ex sac L l $'
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