PERSON COUNTY INSPECTIONS DEPARTMENT
***APPLICATION FOR TEMPORARY ELECTRICAL SERVICE***
NEW RESIDENTIAL --- FEE $100.00
ALL INFORMATION MUST BE PROVIDED OR REQUEST WILL BE DENIED
PLEASE READ THOROUGHLY & PRINT CLEARLY
Building Permit # _______________
Electrical Permit # _____________________
Date of Request: ____/_____/_______
( ) City
( ) County
Jurisdiction
Project Name: ___________________________
Project Address: __________________________________________
Request Made By: ___________________________________________________________
Phone#: _________________
GENERAL CONTRACTOR (RESPONSIBLE AGENT) PLEASE PRINT
Name of Utility Company: __________________________________________
Premise# _______________
(Progress Energy Customers Only)
Area(s) of structure to be energized:
QUALIFICATIONS:
1. The structure must be under roof and permanent exterior walls in place with exterior windows and lockable doors installed.
2. In addition to a rough electrical inspection, a temporary power inspection must be made and approved. Wiring shall comply with the
NC State Electrical Code, meet the provisions of section 10.8, and approved by local electrical inspector.
a) All undeviced circuits shall be unterminated in panel and secured.
3. All rough-in inspections (B, E, M, P) shall have been conducted and approved.
4. All feeders to sub panels shall be installed, unless otherwise approved by the inspector.
5. All receptacles authorized for use shall have GFCI protection.
6. All dead fronts shall be installed on utilized panels.
Type of Payment
INSPECTIONS OFFICE USE ONLY
Inspector ___________
( ) Cash ( ) Check
Rec’d by ____________Date________ TEMPORARY POWER EXPIRES
_____/_______/__________
Receipt #: ________________________
Type Occupancy: Single Family Dwelling
Type Application: Temporary Power
ELECTRICAL CONTRACTORI/we hereby certify that the electrical system for this residence has been installed in accordance with the National Electrical
Code, and further certify that the electrical system is completed to the point that no danger or risk will be involved if
temporary power is granted for this project at this time. I/we agree to complete this electrical installation in accordance with
all applicable laws within the allotted time frame. I/we will call the electrical inspector for the required final electrical
inspection and approval, and understand that if the final inspection is not made within the allotted time, the appropriate utility
company will be notified to disconnect the source of power. I/we agree to assume all liability for any damage which may occur
due to the electric power being so connected.
MECHANICAL CONTRACTORI/we hereby certify that the mechanical system for this residence has been installed in accordance with the provisions of
Volume VII, North Carolina Residential State Building Code, and further certify that the mechanical system is completed to
the point that no danger or risk will be involved if temporary power is granted for this project at this time.
GENERAL CONTRACTOR AND HOMEBUYER
We the undersigned hereby acknowledge that it is unlawful to occupy or to permit the occupancy of any building for which a Certificate of
Compliance has not been issued (N.C.G.S. 153A-363 and 160A-423), and that a Certificate of Compliance cannot be issued until all applicable
trades (Building, Plumbing, Mechanical and Electrical) have conducted and approved their respective final inspections, and any required
water tests, engineering right-of-way inspections, N.C. State Department of Transportation inspections and Person County Environmental
Health Department inspections have been approved. Furthermore, we understand that the North Carolina State Building Code defines
"occupied" as follows: "As applied to a building, shall be construed as though followed by the words ' or intended, arranged or designed to be
occupied'," and that the presence of furniture, clothing, boxes, etc. is therefore construed by the Person County Inspections Department as
occupancy. We understand that any furniture, clothing, boxes, etc. moved into the building prior to the issuance of a Certificate of
Compliance will result in a denial of further requested inspections and notification to the appropriate utility company to disconnect the source
of power, and that all furniture, clothing, boxes, etc. will be completely removed from the building before inspections will resume. I also
understand clearly that any such unauthorized, premature occupancy in violation of this temporary electrical service agreement could result
in the denial of any future requests by the Person County Inspections Dept. for temporary electrical service.
As general contractor and responsible agent, I understand that electrical power is being connected at this dwelling for the purpose as
stated above. I understand that before any other parts of the electrical system may be energized, it must be inspected and approved. I
realize that energizing any part of the electrical system without authorization will result in the disconnection of power to this dwelling.
I/we agree to assume all liability for any damage which may occur due to the electric power being so connected or disconnected.
_____________________________________________
General Contractor (Company Name) Please Print
__________________________
Phone Number
_____________________________________________
Signature
__________________________
Date
_____________________________________________
Owner / Tenant
Please Print
__________________________
Phone Number
_____________________________________________
Signature
__________________________
Date
_____________________________________________
Electrical Contractor (Company Name) Please Print
__________________________
Phone Number
_____________________________________________
Signature
__________________________
Date
_____________________________________________
Mechanical Contractor (Company Name) Please Print
__________________________
Phone Number
_____________________________________________
Signature
__________________________
Date
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Inspections Use Only
_____________________________________________
Inspected By
__________________________
Approval Date
Of Temp. Power
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