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Home My WebLink AboutELE2004-00236.tif P.O. Box 389 ELECTRICAL / Newton, NC 28658 PERMIT )� I Phone: (828)465 -8399 d ! Fax: (828)465 -8962 PERMIT NO.: ELE2004 -00236 j APPLIED: 02/02/2004 -- / Web Site: www.co.catawba.nc.us. ISSUED: 03/01/2004 �8 a?_/ Popular Pages / Online Permit Center EXPIRES: 09/01/2004 SITE ADDRESS: 1167 1st Av SW Hickory NC ASSESSOR'S PARCEL NO.: 279208989942 TYPE OF WORK: ALTERATIONS TYPE OF USE: ASSEMBLY BUILDING SQ. FOOTAGE: sf PHYSICAL DIRECTIONS: PROJECT DESCRIPTION: INSTALL 400 AMP SERVICE CHANGE & INTERIOR WIRING OWNER /APPLICANT CONTRACTOR1 CONTRACTOR 2 TROXGARD LLC TROXGARD LLC 2328 FRIENDSHIP CH RD 2328 FRIENDSHIP CH RD TAYLORSVILLE NC 28681 TAYLORSVILLE SWT # 100 Electrical Fixtures Fees Fixture Type Amps Quantity Type By Date Amount f) 201 -400 AMPS 1.00 PRMT SS 03/01/2004 $137.00 Total: $137.00 This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for such permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of the County of Catawba and the State of North Carolina. A permit issued for work under this Code shall expire by limitations six months after the date of issuance if the work authorized (FOOTINGS ARE CONSIDERED 1st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a peri od of 12 months, the permit therefore shall expire. * * *AN ADDITIONAL CHARGE OF $115.00 MAY BE ASSESSED FOR EACH UNWARRANTED INSPECTION SCHEDULED. ** If there are any questions, please contact the office between 8:00a m. and 5:00p.m. (828) 465 -8399 Office Number Catawba County FAX ❑ CALL ❑ WITH ISSUED PERMIT # (828) 465 -8962 Newton Fax Number Application for Permit TO THIS NUMBER (_ ) (828) 322.6814 Hickory Fax Number www.catawbacountync.gov Please print or type) P.0 Box 389 Newton, NC 28658 Type of Permit ectrical ❑ Plumbing ❑ Mechanical ❑ Fire Date Active Building / Mobile Home Permit # ;Z 7 j 0 Y `Y ? Property ID # (if known) Use of structure: ❑ Mobile Home ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory 2-10hurch Owned ❑ Gov't Owned ❑ Accessory ^ Physical 911 Address of Project Owner or Business o itil LA Ali Telephone Address Subcontractor At C �. C�— Telephone I z Of E - U Address �U_ , e_� Gc fit; Z U c L License # I f Fs - -") L General Contractor �Ua eAJ (" , Telephone Design Professional Telephone Address NC Reg # ELECTRICAL P el # 1 Amps Panel # 2 Amps Panel # 3 Amps Panel # 4 Amps New Panel ❑ Pole Service ❑ Wire Mechanical unit only (No Svc Chg) Total# ❑ Sub Panel ❑ Service Change Amps ❑ Interior Wiring (No Service Change) ❑ Saw Service ❑ Load Control ❑ Modular Home ❑ Sign Service ❑ Mobile Home ❑ Other (List) *List each panel installed separately* ❑ RV Service Total Electrical Cost $ PLUMBING ❑ Full or Partial Bath/Toilet Rooms.(Includes future.) ❑ Fire Sprinkler System ( ❑ New ❑ Addition) Total number being installed ❑ Gas Line /Pressure Test only ❑ Mobile home (new set -up only) ❑ Modular Home ❑ Water Heater (Electric, Gas) ❑ Other (List) MECHANICAL (Check One ) ❑ New Installation ❑ Change out exiting system ❑ Heat Pump or Furnace with A/C Total #_ ❑ Gas Line/ Pressure Test ❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total # ❑ Air Conditioner Total # _ ❑ Unit Heater Total # ❑ Water Heater (Electric /Gas) Total # _ ❑ Modular Home ❑ Other (List) FIRE (Check permit type applicable) ❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping ❑ Fire Alarm /Detection System ❑ Hazardous Materials ❑ Standpipe Systems ❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures ❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other * *All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit.* *The undersigned makes application for ermits and inspection of work described and agrees to comply with all applicable State, Coun es and laws re ting the w PRINT NAME �c�ti c le� ' l/ �1L� (�� SIGNATURE i (Subcontractor) License Holder wner CITY OF HICKORY PRIVILEGE LICENSE APPLICATION 1) Name of Business f L-12 , kz [ L�� Fed Tax ID # f "y q6 7(o 2) Location Address 3 1 L /J c S /7 i /,� l.-Y 1 , pri . Business Phone # - 3 1.2- ' O v 3) Mailing Address ° -'-1 8 Fi i a wd s / le Imo. PA , 1 a� 0 hs V t e STREET CITY STATE ZIP CODE 4) Business Corp. Name if Different From Above 5) Owners Name N d '� 5.7<h Home Address g2 J 7� L�.S1REEr CITY STATE, ZIP CODE Home PH # SS# Birth Date _ l I - S Z— Drv. Lc# 6) Managers Name I Home Address STREET CITY STATE ZIP CODE Home PH# SS# Birth Date Drv. Lc# CHECK OR FILL IN BLANKS THAT APPLY & ENTER FEE AMOUNTS: 7) A. Hotel/Motel _Number of Rooms $1.00 per room ($25.00 minimum) ..............................$ B. Restaurant_ (Seating _ G4 _ 5 or more) ................................ ............................... C. Bar & Lounge ............................................................................... ............................... D. Cabarets Wor Night Club .................................................................. ............................... —� E. Cabarets Wor Night Clubs (with entertainment Wor dancing) .................... ............................... 8) A. General Construction or Grading ..................................................... ............................... B. Electrical/Plumbing/Heating & Air ........................................................ ............................... ` e 1� d C. Landscape ..................................................................................... ............................... 9) A. Retail Fees Based on Gross Receipts: * $ ............. ............................... B. Wholesale Fee Based on Gross Receipts: * $ ......... ............................... * The amount reported as gross receipts on a business' state Income tax return. The law provides that satisfactory evidence shall be furnished showing the facts on which retail and wholesale license(s) are based. A request may be made to present an operating statement or other records reflecting gross sales before the license can be Issued. 10) A. Type of Business ............................... ............................... 11) A. Chain Store Fee ............................................................................ ............................... B. Sundries ........................................... ............................... ....... ............................... C . Other * ............................................ ............................... See enclosed Fee Schedule for OTHER applicable fees. 12) PENALTY, IF APPLICABLE (MINIMUM $ 2. 00) ......................................... ............................... 13) TOTAL (ADD ALL FEE AMOUNTS) ............................................ ............................$ v d THE UNDERSIGNED CERTIFIES, TO THE BEST OF THEIR KNOWLEDGE, THE ABOVE BUSINESS IS IN COMPLIANCE WITH ALL CITY OF HICKORY ORDINAN AND ZONING EQUIREMENTS. A440, THAT GROSS SALES I RECEIPTS GIVEN ARE ACCURATE. SIGNATURE: w DATE: 3 PLEASE REMIT * NOTE: MU BE SIGNED BY OW R OR FFICER OF BUSINESS COMPLETED 1 r---, � 12 �2g303i � �,� APPLICATION 1 CRY PRINTED NAME: ` (+" 0 K ` C` l �' �c Sys PO BOX 398 HICKORY, NC 28603 DO NOT WRITE BELOW THIS LINE Y -1 (828j - 23 -7424 y. % FOR OFFICE USE ONLY: ff NEW (OL) RENEWAL (OR) c? :�