HomeMy WebLinkAboutBLD2007-02319 TEMP ELEC-HEAT APPLS.TIF.,a, a...r acrvo L4: LY tsLC3 "L'1b1314 CATAWBA Ca PAGE 91192
,Catawba County Building Services Division
t PO Box 389, Newton, NC 28658
Permit Center 828- 465-8399 Plan Review 82 &466 - 8130
Newton Fax 828 - 46548370 Hickory Fax 82 8-322 -68).4
SERVICE AGREENENT TCMPORARY ELECTRICYT1f
NOTE: Each separate meteor to be a onmeted is eondde. - a separate "gftst and subject to a separate fee -
Permit# &-V 40014AW ,lob Tltk tf ad h ` O(f r PIN#
We do hereby release and agree to indemnify. save and hold hatmkss Catawba County and it's employees and Dube Power Company
fmun any and all ]lability due to or arising from Catawba County causing the electrical service to the above - mentioned promises 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 autemtatically 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 Pet Schedule. The temporary use of the system is necessary to ope mte the
HVAC and to provide )igbting for the completion of the fitdsh work. Only those circuits that are necessary and /or have been
inspected and approved by the electrician and electrical Inspector will be energized. Any 123v single -phase circuits awnWrerily
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 system to be energized as attested below.
The responsible agent for the prr pose of aigteitpt this fatm way be the kcal contractor or owner. GENi3RAL
CONTRACTOR IS RESPONSIBLE FOR ADMNISTRATIVB FM UNLESS OTHERWISE ARRANGED. The electrical
contractor shall coordinate this iaspection with building service oRkbL (A CON'1 TKU1TY TESTIER SHALL BE
FURNISKED BY ELECTRICAL CON'T'RACTOR AT TIME OF SCHEDULED INSPECTION.)
h ereby apply for temporary rase of the permanent � electeiCal service
(Name) 6 `mow // (Size of service)
to the struct located at v �/' �1I??(_ ('yuYB
(Address of site) (Building number) (Unit number)
1 authorize billing of rranewab, If iced, to the fnilowbo active: Catawbae Couanty billing account number
� 9 0. Owner /General Contractor signature /�/ �/ Date Permit S 010 Please Print Name 7d�v� e / L Ur��l�l Tit �1 �1
--- •- - ...... __.
As trice] contractor I hereby certify that the building at __ „....__.
s of ready to be energized. Branch circui a il r,Qtucrgized as stated above
Electrical Co �Signamre if ` t Permit Specie storNotwy
Please Priot Nano L/ t G e' / ✓`� Title
_ _ ________________
As HVAC contractor t hereby certify that the HVAC equipment installed at
t(�lgraad ( ) nor y. be placed in service. 1 am are that the electrical systems will be activated as stated above.
HVAC r ctor signatuwe Date Permit Specialist or Notary
Please Print Name �( 11M 1� . � - ----- --- - -- Title VC S
_ .... . ........ _....
As robing contactor I hereby certify that the Plumbing equipment installed at .--
M i= ), i no be placed in service. I am aware that electrical systems will be 'vated as stated vt.
Plumbing C n etor :rz$ e ate Permit Specialist en Notary
Please Point No m. �Ae i Title _ lto " ," _-¢ rc'+
I July 2004
.. - -„ W W L 4 CATAWBA CO PAGE 02/02
Catawba County Building Services Division
PO Box 389, Newton, NC 28658
Telephone 828465.8399
Plan Review 828- 466 -5130
Newton Fax 828- 465 -8375
Hickory Fax 828 -322 -6814
SERVICE AGREEMENT TEMPORARY If1iE4T
NOTE: Ruh separate meter to be eoarteemd is cottsidere a separate request amid subject to a separate fee.
Permit # — 64 D 40 - 10 43`1 9 '
110 d 4 3` Job nde `QQjQ � IPIN #
In an effort to assist contractors in completing construction projects, this office will implement the following policy. The utilization of
permanently installed heating equipment to maintain environmental conditions necessary to facilitate the installation of
environmentally sensitive materials, or finishes in accordance with manufacturer 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 forth for temporary utility connections. The form must be filled out completely.
The following require menfs 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 litres shall be pressure tested and inspected.
d. Water litres shall be pressure tasted 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 testa.
h. All gas tubing shall be labeled per gas code prior to temporary beat inspecticui.
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 Cede
Enfcrcenxnt Official.
3. The use of the system before final inspection is anticipated to be days or Ion. 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.
S. All processing fees arc applicable as spa forth in the Catawba County fee schedule.
1 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 futher 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.
1 Y�Oti /�C� hereby apply for temporary usa of the permarnent _�/ _ TN - heating
(.Printed Name of Go 1 tractor (sizdtypc system)
system located at _ U ( Otidl/
C (Address of site) (Building number) (Unit be
Signature bee
Signature d�� i U' Title y
(OwncrKieneral Contractor)
22,11111 do hereby apVy for temporary use of the permanent utility service identified above.
(Printed Name of Mechani Contractor)
Signature
F1VAC Co s�lp!
Witness or Notary
Title 1D U c f
Date
1 July, 2004