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DIAL Application to Install Construction Personnel Hoist

Instructions
To prevent processing delays, submit a completed application at least 60 days before the planned installation. Send a check or money order payable to the Department of Inspections, Appeals, & Licensing for the amount owed.

Submit a single electronic plan with sufficient resolution so no detail is lost when enlarged.

Fee(s)

Base fee: The base fee for a construction personnel hoist (CPH) is $500.
Jump Inspection Fee: You must submit a $150 inspection fee with this application for each time you plan to jump (or increase) the number of floors served.

Inspections
A CPH must be inspected prior to first use, at least once each quarter, and prior to the first use after additional floors are added. The Department of Inspections, Appeals, & Licensing must be notified at least seven days before a planned jump inspection.

General Contractor Information

First Name

Last Name

Contractor Email

Phone Number

Company Name

Company Address

Company Address 2

Company City

State

Zip Code

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Jobsite Information

Contact First Name

Contact Last Name

Contact Phone Number

Jobsite Building Name

Jobsite Address

Jobsite Address 2

Jobsite City

State

Zip Code

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Elevator Information

Elevator Manufacturer

Elevator Capacity

Rated Speed

Anticipated Removal Date

Number of Landings in Initial Phase

Final Number of Landings

Jump Information

Cost per jump is $150.

Base fee is $500.

Number of Jumps Expected

Jump Cost

Base fee

DIAL Application to Install Construction Personnel Hoist

General Contractor Information

Jobsite Information

Elevator Information

Anticipated Removal Date

Jump Information

Jump Cost

Total Cost

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