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Home My WebLink AboutBLDR-8-11-20514TEMPPOWERONBLD.tif i 01/24/2012 11:26 8283226814 CATAWBA COUNTY PAGE 01/02 (r RAIN D A- 6 (,0 Tire- Tar U" 0- (h Catawba County Building Services Division PO Box 389, Newton, NC 28558 Permit Center 828 -465 -8399 Newton Pax 828 -465 -8962 Hickory Fax 828- 322 -6814 SERVICE AGREEMENT TEMPORARY ELECTRICITY NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee. �� ..1 -05 Please list the total number of electrical riieters to be installed on this project T NL �oS c M �tR -rND BI.D �5� Job Title �y� PIN #_ Bldg# Unit # 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 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 of 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 CON'rtNum TEMR SHALL RE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPCCTION.) I, hereby apply for temporary use of the permanent amp U Z C 2 ZD i 2 g electrical service to the structure identified above. l authorize D fackno le ment TRINA SNUGGS billing of all renewals, if required, to the following active 40 Vl.0 Notary Public Catawba County billing account uIn ber Official signature of Notar North C a r o l i n a g Cabarrus County tort A,�,,,, 4 TY 'S Iti LLg Owner or GC Signature Notary's Printed or Type 1 J os � ,. (Official Seal) Printed Name / t itle �IVtll4> My commission expires: ta.I tots I As electrical contractor, I hereby certify that the electrical system O is ready O is not ready to be energized. Branch circuits will be hate of acknowledgment energized as stated above. Official signature of Notary Electrical Contractor Signature Notary's Printed or Typed Name i Printed Name Title (Official Seal) My commission expires: As HVAC contractor I hereby certify that the HVAC equipment ( ) is ready ( ) is not ready to be placed in service. I am Date of acknowledgment is aware that the electrical systems will be activated as stated above. Official signature of Notary Mechanical Contractor Signature Notary's Punted or Typed Name I Printed Name Title (Official Seal) My commission expires: As plumbing contractor 1 hereby certify that the Plumbing equip. ( ) is ready ( ) is not ready to be placed in service. 1 am aware Date of acknowledgment that die electrical systems will be activated as stated above. Official signature of Notary Plumbing Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Seal) My commission ex ires: E : 1 i s 01/24/2012 11.;26 8293226814 CATAWBA COUNTY PAGE 01102 Catawba CounBuilding Services division 00 x 389, Newton, NC. 28868 Permit Center 828 - 465 -8390 . iYawton Fax B9046"961 Hickory. Fax 828 - 322.6914 SERVICEAGREE"WrTEMpopARl ,i CxRX1X'Y NOTE. Each.separate motor to be connected is considered a separate request and snbjact to a separate fee, Please list, the total of ecectrfca� lic�stQiNhApNO, #ect flab Tit � PtN (i f3tdg # [colt ii We 4.0 hereby release and agree to indomniFy, gave and. hold hartnlc9g Catawba County and it'u ttnpioyeds and Duke Pft er Company from any stud stl Liability due to or arising from Ca%wbs County causing tho cicctrieal aervictr to tho abouo•mentfoned being disconnected. Toporary service is issued SOWY as c couftesy for the Cotn111106n of cm0traction and the bul►diog is not to bt o0eupied until a tertifidate R focoapattoy is lasued. Any viglatio» of the alcove wi autorna tioally kcid temporary sorvUco;. The use of the system before ilt►al Inspection is aritieipatedtq be _ *4 0063%, lays, if utility connection remains ip i# beyond 30 days GC iai.11 be billed. manthly per County Fee, Schet!410. T iss tvtgporary uga of tfl4 gystotn is. r1cMisaty C9 CPORe Cho NVAG and m proAda lighting for then ai mpletio of the finish wank. poly those cirotiia that are.nmisary arwor>lave been inspcctrxl and appr dved. by the eleatr"ician and eloctcioal inapootor will be cuprgigosl, /try iZS,� aWoo -pha t etrcuits temporarily ono 'Ud for construction gurpo&os will be grq�tnd fault fitarrupt protected, with the pxcaptlon ty iiglitiii9 cirouits in rnbtai. conduct, The butkfl g will ba Consmtttiy supervised ,Of will be security lock 0 wlrert it is not supervised. The elttetrletan, HV A.C, and Plumbing cantrdat,ora ace ready for tfic .systems to be en.crgized. es. attested. below The f0ponsible agent fat toe: purpose 10 4 this form .may be the 99.44M t oetractor or owner. T heme toe respoflslble for Adminirrtt•ativalees untess otho!rwisrarranged and agra" to ket;.up.a killing Rec6ant w:4h Catkwba County Pinanco. Departmont for.renewai ofagtvWxitap.t,.If deedeQ• The eiertrikal corltl6 Mrshall coordh ate this aspection:with buiidi!lgaervtsz of iciei. fh CON IgUJITtf rB n StIALL U t?ttltPl7l,9t;gt) Dy F,LECTt I Al, Ct7Tr'TMCTOlt A uMtL O�SC}1E11t71,1LD M51►gC'rtOMi 1,, bercby apply fox tt Mporary use ofthe prermwient coop clOCbacal sarvicei to the'structut+o-identificd abowc. authorize Data afaclrnovc wg t b #Iling 4fail renewat9; It rc gttttoA, to t he to lFrfvvilgg active Catawba Chuaty biliitag account cumber _ Qffeciai signature of Notary owner or GC Signature NoW I$. printed ar.Typecl Nartto Printed Name Tide (O icial $cal) tt!l:Y:commissfotr expires, As, 0ececal eori racttlr, I hcrchy.eettity that cicctris ;cystettt c L}1- I � fi`� cA� te,gfc . r^ is rosily () is not ready to be:e>fergi-rt=d, $ Ch c will be l i ont energized a& stated .abovcC � Iglectrical Cotih�actor $ignatprc Notary's 1Print4d cr Typod Narnc . Printed Name Title v; �?,(afE OW — Seal t �4r MY Commission c iron:. 71 1 1A As HVAC contractor 1 hetxby certify that tlto 14VAC edttijunent Date ofaatctv►vtodgment (. :) la ready ( ) is _not reedy( to be placed in wvioc t a,n fl*am that the. olectrkal ;yttimt w ill b e activated as state a bove. 041; at si gn ature of Notary Mechanical Contractor Stgoattire Rotary's Printed or Typed Nam* Printed Name T itle (0ffieial seal) MY commission exti ltev , As pluutbing contractor l hereby certify Oita the Plumbing equip. — ( )"is ready( ) Fs not ready to be p {aced in service, t am,aware Dace -of acknowledgment thlit tht electrical systetns will be activated as stated above. OfRoiai 4 of Notary Plumbing Contractor 5ignattire Notaty'.s i'rintcd or Typed Name Printed Nsme. Title -- M aomrttission ex ices: (Official Seal) 01/24/2012 11:26 8283226814 CATAWBA COUNTY PAGE 01/02 Catawba County Building Services Division PO Box 388, Newton, NC 28858 Permit Center 828. 465 -8399 Newton Fax 828-465-8962 Hickory Fax 826- 322 -6814 SERVICE AGRE1rMEj4T 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 dieters to be installed on this project BLD 09 dob Title � A,41 W i)/{- ,�' P>ilva �n1 1u Bldg 0 Unit t1 We do hereby release and agree to indemnity, 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 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 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 ntrested be low. The responsible agent for the purpose of signing this form way be' e the general contractor or owner. The GC is responsible for Administrative fees anku otherwise arranged and agrees to sat 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 Offickl. (A CONTINUITY TMM SHALL air, FURMMCD BY ELECTRICAL CONTRACTOR A T TIME OF SCHEDULRD nrSrECr ON.) I, hereby apply for temporary use of the permanent amp electrical service to the structure identified above. l authorize Date of acknowledgment i WOMB of all renewals, if required, to the following active k Catawba County billing account number Official signature of Notary s Owner or GC Signature Notary's Printed or Typed Name Printed Name Title My commission expires. (Official Seal) a As electrical contractor, I hereby certify that the electrical system ( ) is ready ( ) is not ready to be estergized. Branch circuits will be Date of acknowledgment energized as stated above. Official signature of Notary Electrical Contractor Signature I Notary's Printed or Typed Name Printed Name Title =(Offroial Seal) 6 MY commission expires: As HVAC contractor I hereby certify that the HVAC equipment ( k1 is ready ( ) is not ready to be placed in service. I am awwre that the electrical systems will be activated as stated above. 011ic'al signapne fu ry Mechanical Contractor Signature K Notary's Printed or Typed Name Printed Name /yin *r ..i +i.f w Title rrt 3, ,t,..L My commission expires: - 0.0 � ` • As plumbing contractor 1 hereby catify that the Plumbing equip. ( ) Is ready ( ) is not ready to be placed in service. 1 am aware Dare ofacknowledgment that the electrical systems will be activated as stated above. Ofickl signature of Notary Plumbing Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Seal) commission expires: 0 - 1 i i i s 01/24/2012 11:26 8283226814 CATAWBA COUNTY PAGE 01/02 i Catawba County Building Services Division y PO Sox 389, Newton, NO 28858 Permit Center 828- 465 -8399 Newton Fax 828 -465 -8962 HiCkory Fax 828- 322 -6814 SERVICE AGREEMENT TEMPORARY ELECTRICITY NOTE; Each separate meter to be connected Is considered it separate request and subject to a separate fee. Please list the total number of electrical teeters to be installed on this project BLD 5 f' Job Title / (�/ PJ.N$0 L j o.Rs"� ✓►'► K A /r�07f'_'_'' Bldg # Unit tl 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 GC will be billed monthly per County Fee Schedule. The temporary use of the system is necessary to oerate the HVAC d to provide lighting for the completion of the finish work. Only those circuits that are necessary and/or have een inspected and approved b i. the electrician and electrical inspector will be energized. Any 125v single -phase circuits temporarily en y i will be ground fault interrupt protected, with the exception of lighting circuits in metal conduit building will e constantlyy superv�s�ed or will be securely locked when it is not supervised. T11e 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 E 0MCi al. (A CONTINUITY TESTER SHALL RE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.) i, hereby apply for temporary use of the permanent amp elechical service to the structure identified above. l authorize Date of acknowledgment billing of all renewals, if required, to the following active Catawba County billing account number Official signature of Not p Owner or GC Signature Notary's Printed or Typed Name Printed Name Title My commission expires: (Official Seal) 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 .Printed Name Title (Official Seal) M Y commission expires: As HVAC contractor I hereby certify that the HVAC equipment ( ) is ready ( ) is not ready to be placed in service. i am Date of acknowledgment aware that the electrical systems will be activated as stated above. Official signature of Notary Mechanical Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Seel) M commission expires: [As plumbing contractor 1 hereby certify that the Plumbing equip. F�ff USAN B MILLER i ready ( ) is not ready to be planed in service. 1 ate aware Dare facknowledgrnent Notary Pubtic hat the electrical systems will be activ d as stated above. eklenburg County signature g� otary _ North Carolin a Plumbing Contractor Signatur �j N/� sion Expires Apr 30. 016 -� Notary's Printed or Typed Nanl )Name -� Printed ' itle M commission ex ices: Otlicial Seal)