Please print this out, fill it out, and fax it to 301-699-8830 or email an image of it as a JPEG attachment to inspect@davidelishapiro.com. (I recommend that you use your return receipt option, and call 301-699-8833 if you don't get a response within a day.)

I wish to hire David E. Shapiro, trading as Safety First ECC&SE, to inspect the wiring at the

address,__________________________________________________________, Washington,

D.C., work that I performed via Electrical Permit #_______________________________________. I have applied for and received permission from DCRA to have him perform this inspection. OR I have been notified by an Authority Having Jurisdiction in Maryland that I may utilize his services for an official inspection. I understand that I am responsible to pay his fee at the time, in cash or a valid check, whether my work passes or fails inspection.

If he notes any violation(s), I recognize that I have three choices: first, I can convince him that the work is not in violation, by showing him the applicable text in my Code book; second, if I have the materials needed, and the time, I can correct the violation(s) while he waits, paying for his extra time if this runs into over an hour of his time on-site; or, third, I can accept a red tag and pay him for the inspection, bringing him or another inspector back later. I appreciate the fact that no inspection is guaranteed to find all violations or hazards that may be present. I also recognize that DCRA reserves the right to come behind any Third Party Agency, and their employee may sample different items and make different judgement calls.

I understand that the normal* base fee consists of $84 an hour for round-trip travel time and $108 an hour for basic inspection, with a one hour minimum of inspection time charged. Basic inspection includes a verbal report of his findings, a red or green tag, and a report to DCRA.

Signed:_____________________________________________________

Print name__________________________________________________

Business name, if different_____________________________________

Address____________________________________________________

Phone number(s)_____________________________________________

Fax _______________________________________________________

email______________________________________________________

* There are additional costs in two circumstances. (1) Where what's required is not just a basic inspection but formal consultation, involving a written report or a deposition, this costs an extra $30 an hour (not for the travel, though). (2) Where what's required includes abnormal scheduling, this costs more per hour for all my time, both the inspection and travel, as follows:

Rush (out of sequence or next day) @$14/hr...................Holiday/Weekend scheduling@$44/hr.. ...............
Urgent rush (top priority or same day) $24/hr............... ..Overtime, from 7-9 A.M. or 6-8 P.M.@$14/hr.........
Emergency (come right away)@$34/hr............................ Further outside normal hours@$34/hr.

These extra charges are additive when more than one applies.