BPE3219Blair Building Permit Detail
Permit #: E3219 Issued: 6/18/2010 Type: Electrical Miscellaneous
Completed: 6/4/2010 Valuation:
Location: 610 S 16th St
Owner: Kevin Robinson Permit Fee: 15
Address: 610 S 16th St Issue Fee: 25
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot: 1 Block:
Repairing Mast and changing meter socket
Contractors
Interstates Construction Services General Contractor Permit # Issued
Remarks
Inspections Date By
6/4/2010 KAR Electrical Permanent Service Pass
6/4/2010 KAR Electrical Final Pass
BUILDING INSPE REPORT
C ' -OF BLAIR
❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION
NAME
N
f- ' - � q ` CONTRACTO
�
DATE INSPECTION REQUESTED " '` TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED: ❑ CONFERENCE ❑ STATUS CHECK
BUILDING: ❑
FOOTING ❑] DECK FOOTING ❑ FRAMING ❑ DRYWALL [:1 FINAL ❑ PARTIAL
PASSED
FAILED
❑
❑
COMMENTS:
UTILITIES: ❑�
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED
FAILED
❑
PARTIAL
❑
❑
COMMENTS:
ELECTRICAL: F]
ROUGH IN,❑] FINAL ' .PERMANENT SERVICE ❑TEMPORARY SERVICE ❑ PRECONNECT
PASSED"
FAILED
❑
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
N0TFS1RFMARK.4
Q
Application Date:
A'-
i /L� P
Permit Fee: $
Job Address J s
Owner ddress,, Zip Phone
Contractor ail Add ens Zip Phone
2.7 /7t�
3. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING /ADDITIONS PGRADE SERVICE
Describe Work: _
4.
5.Current License on Fie Yes r O No O N/A Completi Dat
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
Fire Alarm System ..................... $15.00
201 -300 Amp Fee .......................$55.00
301 -400 Amp Fee .......................$75.00
Signs ( each) .............................. $25.00
401 -500 Amp Fee .......................$95.00
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
I' 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 (I 10 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
Smoke Detectors..... x $3.00
gnatu e & Conthictoror Authorized Agent
Permit Issuance Fee.. .$25.00
Total
Date
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
Rev. 2008 -10
BUILDING INSPEC REPORT
`- C OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE
LOCATION OF INSPECTION:
i J � f
NAME F OWNER : < _ ` € '. < ��" ., - ,r
Q CONTRACTO
05 E cslot AS da-L
DATE INSPECTION REQUESTED ' TIME INSPECTION REQUESTED PERMIT N0 a
TYPE OF INSPECTION REQUESTED: ❑ CO NFERENCE ❑ S TATU S
CHECK
BUILDING: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL
PASSED FAILED
❑ ❑
COMMENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
PASSED FAILED
❑ PARTIAL
❑ F]
COMMENTS:
ELECTRICAL: ❑ ROUGH IN Q� FINAL '_Q.PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
PASSED' FAILED F
❑ PARTIAL,
6'
El I
COMMENTS:
� a ' amo✓ x� .n�..�..aaa�.¢T.,.d'sm � f' I .m a������ $
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
El ❑
C OMMENTS:
,;.
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
ARKS s,' r 8 . -__
NOTES/REM fi
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INSPECTO g ` ".,- f f �_ . ", .` DATE OF INSPECTION MADE. -'� ` T TMF
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FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY
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