HomeMy WebLinkAbout20210317111256321City of La Porte
604 W. Fairmont Pkwy
La Porte TX 77571
Planning & Development Phone: 281.470.5073
BUILDING COMMERCIAL ELECTRICAL PERMIT APPLICATION Fax: 281.470.5005
permits@laportetx.gov
1. PROJECT
T INFORMATION
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'JI ADDRESS: �`jut_"j
DESCRIBE WORK: JAI _r-FA L e_ S/C�-Q_ O I-
THIS. ELECTRICAL JOB IS PART OF A BUILDING PROJECT: DES �NO
IF YES, PROVIDE BLDG. PERMIT NO.:
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2. PROPERTY OWNER:
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NAME: /Lt I+7R C. %1l � G.(� 10�wc( PHONE NO.:
MAILING ADDRESS:
E-MAIL ADDRESS:
3. ELECTRICAL CONTRACTOR:
COMPANYNAME: 5-4I/161,e
PLC Z%R/C
PHONENO.: 93,aL-9ii`5;;Zq/
E-MAILADDRESS:
MAILING ADDRESS: / R %D /
UIOP 0 SPR/ MG— T/--Y/t� 7 F
CONTACTPERSON:
PHONE NO.: &3zk—3'7-7-5-z
ITEM
FEE QU Y TOTAL
PERMIT ISSUE FEE- COMMERCIAL
$20.00 1 $20.00
MINIMUM PERMIT FEE $20.00
OUTLETS, FIXTURES, LIGHTS & SWITCHES
$3.00
J
FIRST FIVE
1
OUTLETS, FIXTURES, LIGHTS & SWITCHES
$0.601 EACH
(ADDITIONAL)
WASHING MACHINE/ DRYER
$2.001 EACH
RANGE RECEPTACLE
$3.001 EACH
COOKTOP/ OVEN
$3.001 EACH
A/C, WINDOW UNIT RECEPTACLE
$3.001 EACH
WATER HEATER
$3.751 EACH
DISHWASHER/ GARBAGE DISPOSAL
$1.50/EACH
NEW METER LOOP & SERVICE
$15.00/ EACH
INCLUDES TEMPORARY CUT -IN
I
TEMPORARY SAW POLE (T-POLE)
$15.001 EACH
REPAIR/ REPLACE/ RECONNECT EXISTING
$15.001 EACH
METER LOOP & SERVICE
MOTOR (UP TO Ya HP)
$1.50/ EACH
MOTOR I%HP TO. LESS THAN 10 HP)
$2.501 EACH
MOTOR (10 HP TO LESS THAN 50 HP)
$3.501 EACH
MOTOR (50 HP AND OVER PER HP)
$4.501 EACH
4. NOTES TO APPLICANT:
NOT A VALID PERMIT UNTIL CONTRACTOR IS NOTIFIED OF APPROVAL AND ALL APPLICABLE FEES ARE PAID IN FULL.
• CERTIFICATE OF GENERAL LIABILITY INSURANCE AND STATE LICENSE MUST BE CURRENT WITH STATE OF TEXAS AND
CITY OF LA PORTE. PROVIDE CERTIFICATE OF GENERAL LIABILITY INSURANCE WITH CITY OF LA PORTE AS CERTIFICATE
HOLDER AND STATE LICENSE
TO REGISTER (NO ADDITIONAL FEE).
• RE -INSPECTION FEE $35.00
COMPLETE APPLICATION AND
ALL SUPPORTING DOCUMENTS REQUIRED PRIOR TO PERMIT ISSUANCE.
APPLICANT SIGNATURE: �
JA , PRINTED NAME:%01U1!�9 -Si}11/Z-'�'6_`DATE: 3ll%//aoW
FOR STAFF USE ONLY
APPROVED FOR ISSUANC,E/ BY:
DATE:
PERMIT NO.: �-�"- T
TOTAL PERMIT FEE:
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