BUILDING OV 11/2008 09:15 FAX 9104246175 fa 00 1/00 1
May 11 06 09:22a Pat & Earl Atkinson 910-460-9372 P.1
Harnett County Central Permitting e9try
PO ew 95 liE gim NC 77519
Tdr aw Number 910-843-4756
n an Trade Permit
Owners Name: Dote:
Address: IOO~S}va~S.- o--IeA Phorre ygo n~ 48o-937a(~
Directions to job site: 41u] u 'd 2 u) +o r%b 'kr,~,u Le$ ♦ o n '7 a..
o n o I spbx ue `o a.~ c sF ow
Subdiviffiron- Ay.A.L sS C.ra:e,Y., J tot: '3 g'1
Constru "Tvge: (Please Check) Building Uaa: (Please Check)
X New Y Residential
Renovation Modular
-Addition - Commercial
Moved House -Multi-Family
Other tt
Description of proposed work: Na.uy ~'rTVt ~~Truc~Ti or LC~ 2.9 -7 -~~ttxseT~
Total PTOjeCi Coal:
Baillin o
Heated SF 2_ Crawl Space IQ uif ng onsMuoWn Coat S ~Q 000.
Unheated SF Slab ( 1 Acres Disturbed Stones ( n
Peru v.nc --.:jtferS. 1., O16
-~f~U-1~ 1 i Dv
Sullding Contractors, om any N me
Tie fhho71
nn%
re c. 0 4 License 0 ,
Signature atOffcer(e Corporation
j;tW&JSal Permilt Informallon
Description of Work EjW.; <,`c_ Electrical Costs
TS Pole: Yes pp~~ No Undo round (•plOverheard
P rant Sefv)ca: Unoerg un jW 17VafFf88d ( ) Se ue Size: Amps
•s.rscl o - 10 - 71, a;
IF elCorrbaclora pan a8 Tale
pltfm 4
License 0
6 re of 01111c s) %~Corpcratft ban
~C UJ
Me a
Cl~~
De.ription of Work co.~ 33M
Number of Units C7- Vftu System Mechanical 00 Cost
slip- S5'18 3
an Can rs Company Name Telephones w
Addreas ay_. 'l (%fgn nre s~ Licensed 1(a SSA, W ;3 3~~~~Y`~
` x;21 ~ ~
signature o Ificer(s) of corporation
Pilrmbina Permit IrNermation
Description of Work
Numberef Baths Plumbing Coat S
71- ft .l. O - u{ 2J% - 1-1 W.
lumbin Ire r s Compan ~Telephone
4 r ag3(, 5a.7
r License 0
Sig re of Niter(s) of Corporation gg~~((ggpp
g~y~d~~C ~Diher ) Required ILLIC r.S0 ~S;&,D/
n` C,i is u i onl 0:1 N 3~3c I ~c//D 4/ SS
Insulation 0 ntractoesCompany Name Ad uses Telephone
Pagel of 3 12!04
r Sprinkler System Information
Sprinkler Contractor's Company Name Telephone
Contact Person
Address License #
Signature of Officer(s) of Corporation
Fire Alarm System Information
Fire Alarm Contractor's Company Name Telephone
Contact Person
Address License #
Signature of Officer(s) of Corporation
Driveway Access
NC Department of Transportation Driveway Access/Permit? Yes - No
I hereby certify that I have the authority to make necessary application, that the application is
correct and that the construction will conform to the regulations in the Building, Electrical,
Plumbing and Mechanical codes, and the Harnett County Zoning Ordinance. I state the
information on the above contractors is correct as known to me and if any changes occur
including listed contractors, site plan, building and trade plans, Environmental Health permit
changes or proposed use changes, I certify it is my responsibility to notify the Harnett County
_Cwtral Permitting Div ~ isio ny and all changes. R A ll /
3~ M4~v u~
Signature of Owner/Contrac Officer(s) of Corporation Date
Page 2 of 3 12/04
Affidavit for Workers Compensation
N.C.G.S. 87-14
The undersigned applicant for Building Permit # b being the:
X Contractor
Owner
Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s), firm(s) or corporation(s)
performing the work set forth in the permit:
Has/have three (3) or more employees and has/have obtained workers'
compensation insurance to cover them.
Has/have one (1) or more subcontractors(s) and has/have obtained workers'
compensation insurance to cover them.
Has/have one (1) or more subcontractors(s) who has/have their own policy of
workers' compensation insurance covering themselves.
Hasftve not more than two (2) employees and no subcontractors.
While working on the project for which this permit is sought it is understood that the Central
Permitting Department issuing the permit may require certificates of coverage of worker's
compensation insurance prior to issuance of the permit and at any time during the permitted work
from any person, firm or corporation carrying out the work.
Firm Name: U. 2rS Cam.
By/Title: Y`; c; c~- At %6r~5 Q
Date: 3( Rcu, ob
Page 3 of 3 12/04
Monday, August 28, 2006 4:06 PM Pat & Earl Atkinson 910-480-9372 p.02
Aug 28 06 08:41a Ron Co 910.858.7338 p.1
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Required Inspections for SFA/SFD Appl # oG 500
/+Tp p8
Valuation ] L r I1>73
Sq. Ft 7l
Sea seq
10 ~R'Bldg Footing 60 Two Trade Final > 2500
10-30 R"Elec Temp Service Pole 60 One Trade Final
20 'Bldg Foundation 60 One Trade Final > 2500
20 rdd ess Confirmation 999 L/ Envir. Operations Permit
30-999 'Open Floor
30-999 R'Bldg Slab Insp
30-999 R'Elec Under Slab
30-999 R•Plumb under Slab
30-999 R'Bldg Water/Damp Proofing
40 Four Trade Rough In
40 Four Trade Rough In > 2500
40 Three Trade Rough In
40 Three Trade Rough In > 2500
40 Two Trade Rough In
40 Two Trade Rough In > 2500
40 One Trade Rough In
40 One,Trade Rough In > 2500
50 /R'Insulation Inspection
60 v Four Trade Final
60 Four Trade Final > 2500
60 Three Trade Final
60 Three Trade Final > 2500
60 Two Trade Final