Electrical Subcode Technical

BID #: N/A

ISSUED: 11/1/2009

DUE: TBD

VALUE: TBD

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Executive Summary

This document is an official application form (U.C.C. F120) for Electrical Subcode approval, designed for use by contractors or property owners. The form requires applicants to provide detailed identification, including federal employer ID, contact information, and contractor license details. Key sections include a description of the electrical characteristics, technical site data, and a comprehensive outline of the proposed electrical work. Applicants must certify their authority to perform the work.

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--- Document: Electrical Subcode Technical Document ---
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ELECTRICAL SUBCODE
TECHNICAL SECTION
Date Received
Control #
U.C.C. F120 (rev. 11/09)    1 White = Inspector Copy    2 Canary = Office Copy    3 Pink = Office Copy    4 Gold = Applicant Copy
Temp. Cut-in-Card Date Issued
Final Cut-in-Card Date Issued
Annual Pool Inspection
Date of Grounding and Bonding
Certification
A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGING
CONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.
Federal Emp. ID No.
FAX:
(              )
Contractor:
Tel.
(              )
Address
e-mail
Exp. Date
Contractor License No.
Home Improvement Contractor Registration No. or Exemption Reason (if applicable):
Final
Service
Other
TCO
Constr. Serv.
Temp. Serv.
Rough
Initial
Approval
Failure
Failure
Type:
Dates (Month/Day)
INSPECTIONS
   Barrier-Free
Trench
   Barrier-Free
Block
Lot
Qualification Code
Work Site Location
zip code
municipality
street
Address
e-mail
Tel. (              )
Owner in Fee:
B. ELECTRICAL CHARACTERISTICS
Use Group
Present
Proposed
Pole/Pad
Temporary
Other
[    ]
[    ]
[    ]
#
Building Occupied as
Est. Cost of Elec. Work $
Utility Co.
JOB SUMMARY (Office Use Only)
Joint Plan Review Required:
Approved by:
Date:
CA
[    ]
CO
SUBCODE APPROVAL for CERTIFICATE
[    ]
[    ] CCO
SUBCODE APPROVAL for PERMIT
Date:
Approved by:
[   ] Bldg.   [   ] Plumb.   [   ] Fire.   [   ] Elev.
PLAN REVIEW
Partial -Underslab Utilities Approved
[   ]
Approved by:
Date:
No Plans Required
[   ]
Approved by:
Date:
Electric Plans Approved
[   ]
Date Issued
Permit #
$
$
$
$
TOTAL FEE
Minimum Fee
Administrative Surcharge
State Permit Surcharge Fee
$
HP Garbage Disposal
HP/KW Space Heater/Air Handler
KW Central A/C Unit
KW Dishwasher
KW Elec. Dryer/Receptacle
KW Elec. Water Heater
KW Oven/Surface Unit
KW Elec. Range/Receptacle
Storable Pool/Spa/Hot Tub
Pool Permit/with UW Lights
TOTAL NUMBERS
Alarm Devices/F.A.C. Panel
Communications Points
Emergency & Exit Lights
Motors—Fract. HP
Light Poles
Detectors
Switches
Receptacles
Lighting Fixtures
KW Elec. Sign/Outline Light
AMP Motor Control Center
AMP Subpanels
AMP Service
KW Transformer/Generator
HP Motors 1/+ HP
KW Baseboard Heat
[  ] Licensed Elec. Contractor [  ] Certif'd Landscape Irrigation Cont'r  [  ] Exempt Applicant
D. TECHNICAL SITE DATA
C. CERTIFICATION IN LIEU OF OATH
I hereby certify that I am the (agent of) owner of record and am authorized to make this
application and perform the work listed on this application.
DESCRIPTION OF WORK:
Applicant sign/Contractor
sign and seal here:
Print name here:
ITEMS
SIZE
QTY.
FEE (Office Use Only)