BPE3113
Permit #: E3113 Issued:
Completed:
Location: 1005 Nebraska St
Owner: Lynn Darnel
Address: 1005 Nebraska St
Blair, NE 68008
Phone: 426-9876
Township:
Section:
Subdivision:
Changing from 60 to 200 amp service.
Contractors
Hipnar Electric
Remarks
6/4/2009
KAR
Inspections Date
6/4/2009
11/2/2009
By
KAR
KAR
Blair Building Permit Detail
5/28/2009
11/2/2009
Range:
Lot: 1
Type: Electrical Miscellaneous
Valuation:
General Contractor
Not a final.
Electrical Permanent Service
Electrical Final
Permit Fee: 35
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block: 3
Permit #
Issued
Pass
Pass
Partial
DC~lR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
LOCATION OF INSPECTION'
4 }\ "~ I{
l tJ IJ ':J;
o OTHER
Pi L, J.jl" f)" ..,'1.. i'"
Jid II /'i,,1 ,-~{J.',-,,'il:',..'; \'_":~""'~. "
..r"~\ (11 ") '"\ r-"~'t! "i
. " 4 ;; ,....f.t... '....',/..,';\....' ""'... I .. " . ) Pi" "1'/;
NAMEOFOWNER,!)(q'Ai!,~" " .'. I,,, ,-', .. CONTRACTOR' l':~''('ilji!'''t/l t/', ,,'",,/Vi.,. (
6; J
'1 I '" :; !
:'::~::;:;::::::~e'~ ~ IN%EC~~~ J I^ 0 ~O~FEREN::Mrr
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
411
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
o 0
NOTES/REMARKS'
INSPECTOR r::Da ~~~1>-.
DATE OF INSPECTION MADE:
!/@-(j ~
TIME' 0. '10
FAXED OPPD\BURT REA
TOCONNECTSERVICE: ON
BY
~OFnAlR
BUILDING INSPECTION REPORT
------- -.. -..---- ~-~-~._-
o W ASHlNGTON COUNTY
o OTHER
I / J
ii' / '__,&1 ,L:,I// (~f.:,) j'{~':"': l~?
<,1<:/ .
NAME OF OWNER'. . i ((;:' ;/. Ii
{/
\, I
,// f,,;;',/.{/~f //
.l'e:) () \ -.-;
LOCATION OF INSPECTION'
CONTRACTOR'
/ <//.t:J,/:,r?,
DATE INSPECTION REQUESTED' (,,/
,i'_.J,; 'r' {") !;}
,/
TIME INSPECTION REQUESTED'" ), '.:.1/ i) /). (J1'.
PERMIT
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWERTAP 0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL:Cj,:'PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CO'J}"[ON:>>'OCC,UPANCYGRA~ :'!' _ /J /J /1 'I, '//7" ~td/
NOTES/REMARKS' c~ ~ 1/'1 tb (I ~ LL.. 0 bl.. ex L Uy(
DATE OF INSPECTION MADE:
TIMF~' ~
~URT;:g#o1
TO CONNECT SERVICE: ON
BY
ELECTRICALPE~lf~iCI~A~oN
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
'ILl -J. J.. I -i P + ^" V fi~ s.f 'U tJL>3 Fax (402) 426-4195
<DC CN /, ~() fJA/., (402) ;+26-4191
I (Lf. PG 1 BCjooq(alf~
Application Date: S:,;? t3 ~ (/ 1 /p- / / L. L (j L
/t/tJ5 /Vdl:qC0.e.a cJ'T'
~\
E 3113
PennitFe" $ j 0. 0 of .
j,
Owner
1.
Contractor
2.
3. Class ofWo
Describe Work:
4.
5.Current License on File
7'
WHEN PROPERL Y VALIDATED (IN T S SPA E) THIS IS YOUR PERMIT
I Approved By: c fl /:..tl ~
Job Address
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee.................... ...$25.00
101-200 Amp Fee.................... ...$35.00
201-300 Amp Fee......... ...... ...... ..$55.00
301-400 Amp Fee......... ... ... ... .. ...$75.00
401-500 Amp Fee...... ... ............ ..$95.00
501-600 Amp Fee...... ...... ...... ... $115 ,00
601-700 Amp Fee.................... .$135.00
701-800 Amp Fee................... ..$155.00
801-900 Amp Fee...,."......,...... .$175.00
901-1000 Amp....................... ..$195.00
IF OVER 1000 Amp
151 1000 Amp Fee............... ...$195.00
Each additiona1100 Amps.........$20.00
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction,
'> 2l>....C)
Date
Zip Phone
Zip Phone
eJ em
o REMODELING/ADDITIONS PGRADE SERVICE
. ()711 /pp fb ;/00 Sf/t!-o
pletion Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service.....,...... .$25.00
Temporary Service... '............ ,... $15.00
Fire Alarm System............ ..... ....$15.00
Signs (each)........................ ......$25.00
Miscellaneous Apparatus......... .....$15.00
CommerciaIIMu1ti Family and All Upgrades:
# of Circuits x $5.00
Amp Fee <. 15 l)t/
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq.ft.x.063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/SwitcheslLighting Fixtures (110 volt only)
# of Apparatus.......... x $1.00
Power Apparatus (220 V oIt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
Permit Issuance Fee.................. .$25.00 dli()O
Comment:
I
Rev. 2008-10
~
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
1) A -1.J- I~' 'P t vi V fi i!- :S:f '72 /Jib 3 Fax (402) 426-4195
"IJ-.: (M) I' 00.. f-JA'. (402) 426-4191
I (Lf pc:.. I f!jCj OOLf ( aLf~
Application Date: 5';?f3 ,09 //, j / L. L (1.L
/(/0.5 /Vdt;J-fC0ect cJ7'
7
WHEN PROPERLY VALIDATED (IN T S SPACE) THIS IS YOUR PERMIT
c6. ~/~
Job Address
Contractor
2.
3. Class ofWo
Describe Work:
4.
5.Current License on File
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee.................... ...$25.00
101-200 Amp Fee.......................$35.00
201-300 Amp Fee.................... ...$55.00
301-400 Amp Fee...... ...... ...... .....$75.00
401-500 Amp Fee... ... .. .... ...... .. ...$95.00
501-600 Amp Fee................... ..$115.00
601-700 Amp Fee.....................$135.00
701-800 Amp Fee.....................$155.00
801-900 Amp Fee.................... .$175.00
901-1000 Amp........................ .$195.00
IF OVER 1000 Amp
1st 1000 Amp Fee..................$195.00
Each additional100 Amps...... ...$20.00
Notice
I hereby certifY that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
(
2!J.....(jQ
Date
I Approved By:
E 3113
~..~
P,nnit Fee: $ Ii (} _ 0 o~ .
I.
Zip
Phone
Zip Phone
REMODELING/ADDITIONS PGRADE SERVICE
. 'ttm /pp tb ,;;JOO S?/(l.
pletion Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$25.00
Temporary Service.................... $15.00
Fire Alarm System................. ....$15.00
Signs (each)........................ ......$25.00
Miscellaneous Apparatus......... .....$15.00
Commercial/Multi Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
" 5'5 .()(J
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/SwitcheslLighting Fixtures (110 volt only)
# of Apparatus .......... x $1. 00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
Permit Issuance Fee.................. .$25.00 dti'{){)
Comment:
Rev. 2008-10
BUILDING INSPECTION REPORT
CITY OF BLAIR
D WASHINGTON COUNTY
LOCATION OF
CONTRACTOR'
"/"<~I:'/ t.,;",:!;}!f':Z", i~/ '"'1,/? .,j
It'
NAME OF
DATE INSPECTION REQUESTED' i!/
./ i /',:) ~~:l
y"
TIME INSPECTION REQUESTED' c,:?' ',:S'{J P' (yt', PERMIT
,
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
ELECTRICAL: D ROUGH IN D FINAL~t3lr'PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
D STATUS CHECK
PASSED FAILED
D D
PASSED FAILED
D D
FAILED
D
PASSED FAILED
D D
PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
COMMENTS:
COMMENTS:
MECHANICAL:D ROUGH-IN D A/C D FURNACE D RADIANTHEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
COMMENTS:
NOTES/REMARKS'
OCCUPANCY GRANTED
" ~
I
o OCCUPANCY GRANTED D
mSPEcTIJ~(Vi~
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
DATE OF INSPECTION MADE:
cf-o If-attJ; TIMP?:~
D rnY~IR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
:"
I,J o..lJ ,t6J,,JL,;,
\\ i~~'-~
.);;
LOCATION OF INSPECTION'
I J,
"Ij
c'"
fl_\, . {}
NAME OF OWNER' I , } (~AA""gj\,
] , .~~
/~,'_'" 1:,.~j,?i\.",l'7;F'-_'""" i \ 1 I'
,~.-'If' .J" ' CONTRACTOR' l-.~J(,{"A I"Z,,/"
& J
::::~::;::::::~ <~ ~~1bEc~~~}5"3 ~ D ~O~FE~;:MITN~S~:~:~~:K
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL PASSED FAILED
D D
?~I~i{)f=e~,_r'
COMMENTS:
UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
COMMENTS:
MECHANICAL:D ROUGH-IN D AfC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
ELECTRICAL: D ROUGH n-:.J~ FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTESfREMARKS'
rnSPKTOR I?Pa ~~.
DATE OF INSPECTION MADE:
!/rH.-Cj ~
TIMF' 0,'1 ()
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY