HomeMy WebLinkAboutELE2005-00107.tif P.O. Box 389
ELECTRICAL
\ Newton, NC 28658
PERMIT
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I Phone: (828)465 -8399
Fax: (828)465 -8962 PERMIT NO.: ELE2005 -00107
\ APPLIED: 01/13/2005
\ /
Web Site: www.co.catawba.nc.us. ISSUED: 02/07/2005
Popular Pages / Online Permit Center EXPIRES: 08/07/2005
SITE ADDRESS: 1129 ROLLINGWOOD DR CLAREMONT NC
ASSESSOR'S PARCEL NO.: 377003042067
TYPE OF WORK: ADDITIONS
TYPE OF USE: SINGLE FAMILY RESIDENTIAL
BUILDING SQ. FOOTAGE: 385 sf
PHYSICAL DIRECTIONS:
PROJECT DESCRIPTION: INSTALLED ELECT SYSTEM *' fees paid with bldg permit
OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2
DONALD POLOCHAK FRYE ELECTRIC, D.R.
1129 ROLLINGWOOD DR 3313 BETHANY CHURCH RD
CLAREMONT NC 28610 -82( CLAREMONT
SWT #43331
Electrical Fixtures Fees
Fixture Type Amps Quantity Type By Date Amount
PRMT RAG 01/13/2005 $0.00
Total: $0.00
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 1 st INSPECTION ON NEW CONSTRUCTION) has not been commenced. If after commencement the work is discontunued for a
period of 12 months, the permit therefore shall expire.
* * *AN ADDITIONAL CHARGE OF $121.00 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.
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(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
41 www.catawbacountync.gov
Ap4 PIease print or type) P.0 Box 389 Newton, NC 28658
Type of Permit J Electrical ❑ Plumbing ❑ Mechanical ❑ Fire Date Alms
Active Building / Mobile Home Permit # idl Property ID # (if known) 37700c30J14a (Yo
* If no active Building or Mobile Home permit please list driving directions from a major intersection:
Use of structure: ❑ Mobile Home [Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory
Physical 911 Address of Project I Q I 0 1K6L W 00 1 t 1*
Owner or Business , 0OrJAd_ Telephone
Address I 1 aq h i%) "
Subcontractor tk Ch_J _ _ L1 Telephone "464 — 0q la
Address 3313 )�c License # 4/91
General Contractor Telephone
Design Professional Telephone
Address NC Reg # r
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ELECTRICAL Panel # 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) lJQ W
*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 ❑ Other (List)
❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total # ❑ Mobile Home t
❑ Air Conditioner Total # _ ❑ Unit Heater Total #
❑ Water Heater (Electric /Gas) Total # _ ❑ Modular Home
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
permits and inspection of work described and agrees to comply with all applicable State, County codes and laws regulating the work.
A SK INT NAME ii SIGNATURE
ubcontractorj Licero Holder /Owner
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