BPE3214Blair Building Permit Detail
Permit #: E3214 Issued: 6/2/2010 Type: Electrical Miscellaneous
Completed: 6/2/2010 Valuation:
Location: 2005 Nebraska St
Owner: Don Ward Permit Fee: 15
Address: 2005 Nebraska St Issue Fee: 25
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township
Subdivision:
Replacing overhead service
Contractors
Dick's Electric
Remarks
Range:
Lot: 1
General Contractor
Block: 2
Permit # Issued
Inspections Date By
6/2/2010 KAR Electrical Permanent Service Pass
6/2/2010 KAR Electrical Final Pass
...........
❑ AIR
LOCATION OF INSPECTION-
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❑ WASHINGTON COUNTY ❑
NAME OF OWNER
ROUGH IN .,R ` FINAL
a--PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
Y
CONTRACTO
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a
s `TIME "'
COMME
DATE INSPECTION REQUESTED
INSPECTION REQUESTED PERMIT NO
MECHANICAL: ❑
TYPE OF INSPECTIO REQUESTED:
❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
PASSED
❑ CO ❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECKFOOTING
❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL
PASSED FAILED
❑
❑
COMMENTS:
❑ ❑
C OMMENTS:
PLUMBING: ❑
GROUNDWORK ❑
ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
UTILITIES: ❑ SEWER TAP ❑
SEWER
❑
SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED FAILED
❑ PARTIAL
❑
COMMENTS:
❑ ❑
COMMENT
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
ELECTRICAL: ❑
ROUGH IN .,R ` FINAL
a--PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASS AILED
F
PARTIAL
❑
COMME
MECHANICAL: ❑
ROUGH -IN �❑ A/C
❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
PASSED
FAILED
❑
❑
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑
ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED
FAILED
❑
PRESSURE TEST
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS
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BY
WHEN PKOPEKLY VALIDATED (IN THIS SPACE) "PHIS IS YOUR PERMIT
Approved By:
Job Address
ed
Owner ail Address �� � 7 Phone
Contracto ail Ydress r p
Z1 Zly.
mi ISM
2.
3. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING /ADDITIONS O UPGRADE SERVICE
? escribe Work: ,
4 a c�Q
5.Current License on File Yes O Nd O N/A Completion Date
ELECTRICAL PERMIT FEES
Service Fee = (Amp Fee + $5.00 per branch circuit)
Upgrade Existing Service .............$25.00
1 -100 Amp Fee .......................$25.00
Temporary Service............ .... $15.00
101 -200 Amp Fee .......................$35.00
201 -300 Amp Fee .......................$55.00
Fire Alarm System ............ ...$15.00
"""
301 -400 Amp Fee .......................$75.00
401 -500 Amp Fee .......................$95.00
Signs (each) .............................. $25.00
Miscellaneous Apparatus .............. $15.00
501 -600 Amp Fee .....................$115.00
601 -700 Amp Fee .....................$135.00
Commercial/Multi Family and All Upgrades:
701 -800 Amp Fee .....................$155.00
801 -900 Amp Fee .....................$175.00
# of Circuits x $5.00
901 -1000 Amp . ........................$195.00
Amp Fee
IF OVER 1000 Amp
1" 1000 Amp Fee ..................$195.00
Amp Fee + Circuit Total
Each additional 100 Amps ......... $20.00
New Residential: (Finished Area)
Single /Two Family Dwellings
Notice
sq. ft. x.063
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
Modular/Manufactured Homes ....... $50.00
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
Other: (alterations, additions and modifications)
not. The granting of a permit does not presume to give
Receptacles /Switches/Lighting Fixtures (110 volt only)
authority to violate or cancel the provisions of any other
# of Apparatus x $1.00
state or local law regulating construction or the
..........
performance of construction.
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
P 2A la
Smoke Detectors..... x $3.00
Signature of Contractor or A horized Agent
Permit Issuance Fee.. ..$25.00
00
Total
— /-?" '0
Date
Comment:
I
Rev. 2008 -10
BUILDING INSPEC REPORT
r CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPEC -m,,fiE "•
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,
ELECTRICAL: ❑
ROUGH IN FINAL ❑z PERMANENT SERVICE F1 TEMPORARY SERVICE ❑ PRECONNECT
NAME OF OWNER ` � ` � � y t -t
CONTRACTO
PARTIAL
❑
fir " � Jk �` '�#' �n 6
DATE INSPECTION REQUESTED
TIME INSPECTION REQUESTED
t ''{ -.'' 3 ,. ,'`
' ` PERMIT NO
gF ,,,
TYPE OF INSPECTION REQUESTED:
PASSED FAILED
❑ CONF
❑ STATUS CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑
FRAMING ❑ DRYWALL ❑
FINAL ❑ PARTIAL
PASSED
FAILED
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED FAILED
❑
❑
❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
❑ PARTIAL
. 4' x" (,
❑
❑
COMMENT
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TO CONNECT SERVICE:
'
ELECTRICAL: ❑
ROUGH IN FINAL ❑z PERMANENT SERVICE F1 TEMPORARY SERVICE ❑ PRECONNECT
PASS AILED
❑
PARTIAL
❑
COMMENTS:
MECHANICAL: ❑
ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
PASSED FAILED
❑ ❑
COMMENTS:
PLUMBING: ❑
GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
PASSED FAILED
❑
PRESSURE TEST
❑ ❑
COMMENTS:
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
7
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NOTES/REMARKS
. 4' x" (,
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TO CONNECT SERVICE: