HomeMy WebLinkAboutCity of La Porte Electrical Permit App.pdfCity of la Porte
604 W. Fairmont Pkwy,
La Porte, TX 77571
Planning & Development Department
BUILDING PERMIT APPLICATION ELECTRICAL
Phone: 281.470.5073
Fax: 281.470.5005
permits@laportetx.gov
1. PROJECT INFORMATION:
DATE OF SUBMITTAL: Z ZU
PROJECT ADDRESS (if existing): IW4S .
DESCRIBE WORK:I,--
STAND ALONE PERMIT?: �ES ®NO (PROVIDE BUILDING PERMIT NUMBER):
ITEM
FEE
QUANTITY
TOTAL
PERMIT ISSUE FEE (MINIMUM PERMIT FEE $20.00)
$7.50
1
$7.50
Outlets, Fixtures, Lights & Switches (First Five = Flat Fee)
$3.00
Outlets, Fixtures, Lights & Switches (Additional over First Five)
$0.60/Ea.
Washing Machine / Dryer
$2.00/Ea.
Range Receptacle
$3.00/Ea.
Cook Top / Oven
$1.50/Ea.
A/C, Window Unit Receptacle
$3.00/Ea.
Water Heater
$3.75/Ea.
Dishwasher/Garbage Disposal
$1.50/Ea.
New Meter Loop & Service (includes temp. cut -in)
$15.00/Ea.
**Temporary Saw Pole (T-Pole)
$15.00/Ea.
Repair / Replace / Reconnect existing ML&S
$15.00/Ea.
(
# �o
Electric Welder
$2.00/Ea.
Motor (less than 1/2 hp)
$1.50/Ea.
Motor (1/2 hp to less than 10 hp)
$2.50/Ea.
Motor (10 hp to less than 50 hp)
$3.50/Ea.
Motor (50 hp and above)
$4.50/Ea.
2. PROPERTY OWNER CONTACT INFORMATION:
OWNER'S NAME: LEC ?2: AL,i&' it//TS /1'I %T-
Q J
( PHONE :
MAILING ADDRESS:/yI ]`tGC�G�-
E-MAf L:
3. ELECTRICAL CONTRACTOR:
® *HOMEOWNER IS CONTRACTOR
CONTRACTOR COMPANY:i'�/7//`C�(,
PHONEI:_ 7�� �Co/'D %�f� PHONE2:
E-MAI L:T�y�i yl,T p �a �c ,� � _C- e e C= l- '- 1 oie SEA U tl ffS
Gl��y7
- FAX #:
MAILINGADDRESS: � �t-f��/7r�jliyC_ A J,a ,
-�
CONTACT PERSON'S NAME: L \ i VY1W1 a_
PHONE: %Zlffl�& f * ,
4. APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION (Check applicable boxes): *If Homeowner /s Contractor,
COMPLETE ITEMS 1 THRU 4 OF PERMIT APPLICATION
must furnish notarized
NOTES TO APPLICANT:
Homestead Affidavit
• NOT A VALID PERMIT UNTIL OWNER/CONTRACTOR IS NOTIFIED OF APPROVALANO
ALL APPLICABLE FEES ARE PAID IN FULL
• MASTER LICENSE & INSURANCE REQUIREMENTS MUST BE CURRENT WITH STATE OF TEXAS & CITY OF LA PORTE
• TO REGISTER, SUBMIT CURRENT MASTER LICENSE & INSURANCE (WITH CITY NAME &
ADDRESS AS CERTIFICATE HOLDER). NO FEE REQUIRED.
• REINSPECTION FEE = $35.00
• **T-POLES MUST BE PERMITTED UNDER SEPARATE APPLICATION UNLESS SAME ELECTRICALCONTRACTOR IS PERMITTING BOTH T-P EMAINING ELECTRICAL.
WORK
APPLICANT PRINTED NAME:t�1
APPLICANT SIGNATURE: i w
(FOR STAFF USE ONLY):
Approved for Issuance By:
Date:
PERMIT NO.:
Total Permit Fee:$