HomeMy WebLinkAboutELE2003-00572.tif P.O. Box 389 ELECTRICAL
Newton, NC 28658 PERMIT
Phone: (828)465-8399
Fax: (828)465 -8962 PERMIT NO.: ELE2003 -00572
►v �, !►"' ' APPLIED: 04/04/2003
Web Site: www.co.catawba.nc.us. ISSUED: 04 /04/2003
js 4 2_% Popular Pages / Online Permit Center EXPIRES: 10/04/2003
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SITE ADDRESS: 3742 PROVIDENCE MILL RD MAIDEN NC
ASSESSOR'S PARCEL NO.: 365701085635
TYPE OF WORK: ADDITIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 60 sf
PHYSICAL DIRECTIONS: 321 S/ TURN LF MAY'S CHAPEL CH RD/ TURN RT CAMPBELL RD/ AT
THE END TURN RT PROVIDENCE MILL RD/ 4TH HOUSE ON LEFT
(WOOD FRAME)
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PROJECT DESCRIPTION: INSTALL MISC WIRING FOR ADDITION
OWNER/APPLICANT CONTRACTOR1 CONTRACTOR 2
PHILLIP KILLIAN SAME AS OWNER
3742 PROVIDENCE MILL RI
MAIDEN NC 28650 -8549
SWT #100
Electrical Fixtures Fees
Fixture Type Amps Quantity Type By Date Amount
PRMT TC 04/04/2003 $55.00
Total: $55.00
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
period of 12 months, the perrrrit therefore shall expire.
i * * *AN ADDITIONAL CHARGE OF $110.00 MAYBE ASSESSED FOR EACH UNWARRANTED INSPECTION SCHEDULED. * **
f If there are any questions, please contact the office between 8:00a.m. and 5:00p.rn
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County Building Inspector
(Inspector's Office Hours: 8:00 - 9:00 a.m.)
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(828) 465 -8399 Office Number Catawba County P.O. Box 389
(828) 465 -8962 Fax Number Application for Permit Newton, NC 28658
(Please print or type)
www.catawbacountync.gov
Type of Permit Electrical _ -- Plumbing - -_ Mechanical - -_ Fire Datey,/C
uilding /Mobile Home # — _�---- - - - - -_ Property ID#
- - - - --
se of Structure: Mobile Home_ in e Family— Multi Family_ ,C'mmercial — Industrial Church Owned Gov't —_
t Physical Street Addres T d ��f�r –-- - - - - - --
Owner/ or Business _ i r �� Vii � � ` —_— Telephone Z
Address 37 � a a
- - - - --
Subcontractor - - - -- -- - -_ - -- ------ -_ - - -- _Telephone --- _- - - - - -_
Address - - - - -_— License # ---- - - - -__
General Contractor _ - - -- _ - - - - -- ---- _-- - - - - -- Telephone _—
Design Professional —_ - -- ------- _---- - - - - -- Telephone-- -
Address — -- - - - - - -- -- - - - -_ - - -_ NC Reg # -- _
Directions to job site ------ - - -_ --
ELECTRICAL Panel # 1 Z00 _ Amps Panel #2 _ -- Amps Panel #3 _ -- Amps Panel #4 _Amps
New Panel Pole Service Wire Mechanical unit only (no Service Change)
Sub Panel Service Change _ Interior Wiring (no Se ice Change)
_ Saw Service - -- Load Control _ �_ Other (List) tt U� "1 G /�rr
_ -- Sign Service _ -- Mobile Home
*If more than one panel, list size of each* Total Electrical Cost $ < Z t 3 Permit $ -- —
PLUMBING
Total Number of Full or Partial Bath/ Toilet Rooms _— Fire Spinkler System (New/ Addition)
(Including ones for future use) — Gas Gas Line/ Pressure Test Only
_ -- Mobile Home (New Set -up) — Other Other (List)
- - -- --- - - - - --
_ -- Water Heater (Electric/ Gas)
Permit $ -- — _
MECHANICAL (Check One) -- New Installation — Change out existing system (additional wiring - No/ Yes)
# Heat Pump or Furnace with A/C # - -_ Gas Line/ Pressure Test
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# (Oil, Gas, or Electric) # Gas Logs
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# Conditioner # Unit Heater
# Heater (Electric/ Gas) # Other
Permit $ _ - -_ -- -- _
FIRE (Check permit type applicable)
_ Fire Extinguishing System _ -- Compressed Gases - -_ Spraying & Dipping
_ -- Fire Alarm/ Detection System _ -- Hazardous Materials _ -- Standpipe Systems
i = -- Fire Pumps & Related Equipment - -- Industrial Ovens = _ = Temp. Membrane Structures - - --
I ! Flammable & Combustible Liquids PVT Fire Hydrants Other - --
Permit $ ----- - - - - --
* *All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit ** Theundersigned makes
application for permits and inspection of work described and agrees to comply with all applicable State, County, codes and
laws regulating the work.
PRINT NAME -- - - - - -- - - -- - -- SIGNATURE_��
j (Subcontractor) LICENSE HOLDER or OWNER
% ""`I, ------- - -_ —_, a Notary Public, do hereby certify that _-- - - - - --
r personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand
and official seal, this the - -_ day of - - -- - - -, 20 _ —_. Notary Public _----- -_ - - -- _
Commission Expires _------ - - - - -_