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HomeMy WebLinkAboutELE2005-00134.tif P.O. Box 389 ELECTRICAL i\ Newton, NC 28658 PERMIT ?' s Phone: (828)465 -8399 U ! Fax: (828)465 -8962} PERMIT NO.: ELE2005 -00134 APPLIED: 01 /19/2005 Web Site: www.co.catawba.nc.us. ISSUED: 01/19/2005 Popular Pages / Online Permit Center EXPIRES: 07/19/2005 SITE ADDRESS: 1911 EMMANUEL CHURCH RD CONOVER NC ASSESSOR'S PARCEL NO.: 375109056130 TYPE OF WORK: SAFETY INSPECTION TYPE OF USE: FACTORY/ INDUSTRIAL BUILDING SQ. FOOTAGE: sf PHYSICAL DIRECTIONS: PROJECT DESCRIPTION: REPLACE CONTROL PANEL FOR ALARM SYSTEM THAT WAS DAMAGED/** PERMIT DEDUCTED FOR SAFETY FEE ($205- $71 =134 REMAINING OF SAFETY PERMIT FEE) OWNER/APPLICANT CONTRACTOR 1 CONTRACTOR 2 ABC SUPPLY LAKE NORMAN SECURITY PATROI 1911 EMMANUEL CHURCH D ATESVIALARM SOUTH CONOVER NC 28613 SWT #6982 Electrical Fixtures Fees Fixture Type Amps Quantity Fire Alarm Existing Building 1 Type By Date Amount PRMT PQ 01/19/2005 $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 1st 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. i (828) 465 -8399 Office Number Catawba County FAXX CALL ❑ WITH ISSUED PERMIT # (82,8 -$962 Newton Fax Number Application for Permit TO THIS NUMBER (??J) 83ts -�0 7 (828) 322 -6814 Hickory Fax Number www.catawbacountync.gov lease print or type) P.0 Box 389 Newton, NC 28658 ype of Permit ❑ Electrical ❑ Plumbing ❑ Mechanical # 1 F / ire Date _7 ue- vs Active Building / Mobile Home Permit # Property ID # (if known) Use of structure: ❑ Mobile Home ❑ Single family ❑ Multi family ❑ Commercial ❑ Industrial /Factory ❑ Church Owned ❑ Gov't Owned ❑ Accessory Physical 911 Address of Project /(( J I (ICt L Owner or Business L3 L — Telephone 66 "7 7 Address ,," 2 c 11v I 1 2' 6 t 3 Subcontractor 6 o v U Q 0 { A' e epgn o ` — .Z- ° / A ddress (, d �X -5 3 S { s ue, ((L / License # 2. O 6 C7 General Contractor Z$68� Telephone Design Professional Telephone Address NC Reg # 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 D 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) t MECHANICAL (Check One ) ❑ New Installation ❑ Change out exiting system ❑ Heat Pump or Furnace with A/C Total #_ D Gas Line/ Pressure Test • ❑ Furnace (Oil, Gas, or Electric) Total # _ ❑ Gas Logs Total If ❑ Air Conditioner Total # _ ❑ Unit Heater Total # ❑ Water Heater Total # _ ❑ Modular Home ❑ Other (List) FIRE (Check permit type applicable) j ❑ Fire Extinguishing System ❑ Compressed Gases ❑ Spraying & Dipping ,*Fire Alarm/Detection System ❑ Hazardous Materials ❑ Standpipe Systems f ❑ Fire Pumps & Related Equipment ❑ Industrial Ovens ❑ Temp. Membrane Structures ❑ Flammable & Combustible Liquids ❑ PVT Fire Hydrants ❑ Other r "All fees entered by Permit Center, DOUBLE FEE charged for work started prior to obtaining permit. "The undersigned makes application for m um its and inspection of work described and agrees to comply with all applicable State, County codes and laws regulating the work. PRINT NAME ((j { PyL;:�c SIGNATURE (Subcontractors 0 License Holder /Owner t ZP 2003 ­L3via.umu n rrLl%_A1 WN NU: WNER/APPLICANT: PHONE NO: MAILING ADDRLiSS:1_LL L nt �� U L,.4 l� (a4 ADDRESS OF PROPERTY (if different from mailing address): 37 '/- 0905- 6 13 0 QUADRANT: ( ) NE ( ) NW SE ( SW CI3 CONTRACTOR: kcltr, STATE LICENSE NO: 2 d 6 6 MAILING ADDRESS: pc cyc 2 � q{- �,� f (l PHONE NO: 2� - - PROPERTY IDENTIFICATION NUMBER (PIN): 75/- 09OS- Co/3C1 FIRE DISTRICT: #I i02_ 1 PERMIT REQUESTED: ( )NEW CONSTRUCTION ( )EXCAVATION /FILLING ( )OCCUPANCY ( )REMODELING ()M HANLCAL ( )EXPANSION /ALTERATION (-)ELECTRICAL ()SION(SEE BACK PACE) ( )MANUFACTURED HOME ( )PLUMBING ( )HOME OCCUPATION ( )SEPTIC TANK ( )FENCING ( )INSULATION ( )UTILITY 1UILDING ( )SAFETY INSPECTION ( )GRADING ( )DEMOLITION(SEE BACK PAGE) � nrSCRIP'r10N OF WORK S 7 DCONI'RAC'TOR' ELECTRICAL PLUMBING _ MECHANICAL ~"- INSULATION TOTAL ESTIMATED COST: $ B o TYPE OF USE: ( ) SINGLE FAMILY RESIDENTIAL ( ) INDUSTRIAL ( )MULTIFAMILY RESIDENTIAL O ACCESSORY (X COMMERCIAL •( ) INSTITUTIONAL "PERMIT MUST FIRST BE APPROVED By FIRE DEPARTMENT. NOTES /CONDITIONS /REQUIREMEN'I'S: ZONING; DIS'T'RICT: �'� ' _ A/ClTY (04) ( )EXTRA TERRITORIAL. AREA (00) IS THIS PROPERTY WITHIN A DESIGNATED FLOODPLAIN: ( ) NO () YES / COMM. PANEL 0 BUILDING SETBACKS: FRONT — A/ /" SIDE _ REAR ( ) CORNER LOT- SIDE ROAD ()I STORY ()2 STORY ( ) SPLIT LEVEL 1S THE STRUCTURE IN THE RIGHT -OF -WAY Of: OCIT'Y UTILITIES ( )NCDOT OR CITY ROAD ( )PROPOSED THOROUGHFARE ( )RAILROAD *EITHER I I PERCENTAGE ( %) OF LOT IN BUILDING COVERAGE: APPLICATION CONTINUED ON REVERSE SIDE T 'd X0 -4 90:9T 90, 6T 'uFf IS PERMIT RESULT OF: ( )VARIANCE ( )CW41) TONAL USE NEITHER DISCONNECTION OF UTILITIES: ( )YES ( )NO UTILITY SERVICE: CITY WATER ( )SEPTIC TANK $40TY SEWER ( )GAS ( )WELL ( )ELECTRICITY CITY UTILITY FEES: ( )DEPOSIT ( )TAP FEES ( )SEWER CAPACITY CHARGE WILL STRUCTURE: BE SPRINKLED? ( )YES ( )NO 'TYPE OF HEAT: ,v /A SIZE ELECTRICAL SERVICE DEMOLITION PLANS- WHERE IS THE DUMPSITE? "+ WHICH ROADS /STREETS WILL BE TRAVELED? WHAT TYPE OF MATERIALS WILL BE DUMPED? VESTED RIGHTS: () YES ( ) NO SIGN INFORMATION: HEIGHT OF SIGN: A AREA (SQUARE FEET): DISTANCE FROM RIGHT OF WAY: ANN TYPE OF SIGN: ( - )FREE- STANDING ( )BANNER (Temporary) ( )WALL ATTACHED ( )OFF SITE ( )PORTABLE (Temporary) ( ),SUSPENDED WILL SIGN HAVE ELECTRICAL SERVICE? ( )YES ( )NO TYPE OF ILLUMINATION: NOTES: CENSUS TRACT q I I do hereby certify that the foregoing statements are accurate and correct to the best of my understanding and knowledge, and I agree to conform to all City Ordinances and La of the State of North Carolina regulating such work and any plans or specifications submitted. 7- SIGNATURE OF APPLICANT: DATE: SIGNATURE OF ZONING OFFICIAL: - - -G:�' �_. DATE: )proved Permit shall expire and be canceled unless the work authorized by it shall have begun within six (6) months of its issued date, or if the authorized by it is suspended or abandoned for a period of one year, unless vested rights is requested, then this permit is valid for a period of two (2) years. r t ZP 2003 TOO 39dd S00 I A3dd W0d-J 3ON I iN00