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| Homeowner_Electrical_Permit_Application_Questionnaire_FRM-1378-00.pdf | 136.75 KB |
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Home Owner Electrical Permit Application Questionnaire
Name:
Date
Permit Number: (provided by BCSA)
To be completed by the homeowner, as a first level assessment: 1. Are you the registered owner of the premises/home? 2. Is this premises/home a fully detached single family dwelling, garage or pool shed located on a similar property? 3. Does a strata council manage the premises/home? 4. Is the premises/home or any part of, a rental or going to be rented in the near future? 5. Will any part of this building be used for commercial purposes or personal income? 6. Except for garages, shops, vacation homes, or other outbuildings, will you be living in or intending to live in this premises? 7. Will anyone assist you with this work? If Yes, provide the name(s) and/or qualifications on permit application. 8. Will you be compensating any individual for assistance with this work? 9. Have you performed previous electrical installations through the homeowner permit process? 10. Will this home be listed for sale within 30 days of completion of all work? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No
BCSA Staff Initials: Permit Holder Initials: Date:
505 6th Street, Suite 200 New Westminster V3L 0E1 Phone: (778) 396-2000 Fax: (778) 396-2064 Toll Free 1-866-566-7233 “ We inspire safety excellence in British Columbia.” www.safetyauthority.ca
FRM-1378-00 (2011-12-13)
Home Owner Electrical Permit Application Questionnaire
Name:
Date
Permit Number: (provided by BCSA)
To be completed by the homeowner, as a first level assessment: 1. Are you the registered owner of the premises/home? 2. Is this premises/home a fully detached single family dwelling, garage or pool shed located on a similar property? 3. Does a strata council manage the premises/home? 4. Is the premises/home or any part of, a rental or going to be rented in the near future? 5. Will any part of this building be used for commercial purposes or personal income? 6. Except for garages, shops, vacation homes, or other outbuildings, will you be living in or intending to live in this premises? 7. Will anyone assist you with this work? If Yes, provide the name(s) and/or qualifications on permit application. 8. Will you be compensating any individual for assistance with this work? 9. Have you performed previous electrical installations through the homeowner permit process? 10. Will this home be listed for sale within 30 days of completion of all work? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No
BCSA Staff Initials: Permit Holder Initials: Date:
505 6th Street, Suite 200 New Westminster V3L 0E1 Phone: (778) 396-2000 Fax: (778) 396-2064 Toll Free 1-866-566-7233 “ We inspire safety excellence in British Columbia.” www.safetyauthority.ca
FRM-1378-00 (2011-12-13)
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