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DOCUMENTS Initial Application ate: MIY�. I l8 Application# t-I33S)w ORB* CUM COMMERCIAL COUNTY OP NARIEn LAND USE APPUCA11ON CUOY Paroling (physic*IN Rml tart llembaI NC RIM! wow P0 M[M lanpanNC 27545 Phone ono'Man M.: Fsc OM)41347N .w*.ermrsems'pama LANDOWNER: Harnett County School Malang Address 1500 South Main City: Lillington Stew NC zip: 27546 Contact* 910-985-1003 Email: APPLICANT: Harnett County School Meting Address: 1500 South Main St City: Lillington State: NC Zip: 27546 Coed* 910-985-1003 Emal: rgregoryt@harnett.kl2.nc.us 'Premed OLX pI dlnloa, ,a AMmd than tendcwner CONTACT NAME APPLYING IN OFFICE; Rodney Gregory phone 910-9851003 PROPERTY LOCATION:SuteBeidon: 2495 Ray Roadll���� Lott. I Lot sine: 5 4 Slat*Road* `IL 3 t State Road Name: 1"cote Rr4 Map Book&Page: 410. Parcel: �p<5��11 061 S t>")-a% PIN: nS bel �iy 14Lig E s)ta" Zone Flood Zone: 1Z WsWthad:at" Deed Book&Pagel esti I / u115 Power Company: Mew structures wM PmGau Energy es amine provider need to swab,Premise number from Pegram Energy. SPECIFCDIRECTIONSTO TIE PROPERTY PROW UWNITOW take 210 south to ray road turn riaht no about 2 mile school is left PROPOSED WE D MWIFemily Dwelling No.Unite: No.BedroanWnit O Banns Sq.Ft.Retail Spasm Type: *Employees: Hours of Operation: o Dayna *Preschoolers: S AMWeolea: I Employees: Hours of Oparal= O Indaby 9a.Pt: Type: _ *Employer: Hours of Operation: U Chorda Seating Capacity. It Betivams: ICt en: o AeaaorylAddltioNOMx(Siite 2% 36 )Urs: Classroom Wer Supply. County _Editing Well _New Wet*(#ofdwN'kin using wet ) 'MUST has operable water before gnat Swap Supply:_New Septic Tank(Camelot*Chec*Y.) _Editing Septic Tank(CenpAie ChedlWN) _County Sewer Commode: N panda aro panted I epee to conform to an wdinannea and laws of the State of North Carolina regulating such wvk and the epecMratlm of plans submNed. I hereby dote that bagoing statements we accurate and cared tote best of my knowledge. Parma subject to rewadon If false information te terreidoil. ont4A Signatureof or Owner'sc*, ata "this applialbn aspires a monde from the Inial de If permit*bees not been Uwe A RECORD®SURVEY YAP.RECOMIO OM(OR OPP6l TO PURCHASE)AND PIAT ARE REQUIRED WHEN APPLYING FOR LAND Mg APPLICATION 'Each ..dim belowmust be Bled out W Application# wtWNS! le performing the weer. wee Harnett Count'Central Permitting owner or Iiceisad contractor. Address. Po Box 65 Langton,NC 27548 company name & phut' rust match 81088}1525 Fax 010-893-2793 vnvw.hansp.ayperr bs intama5on on slats license. COMMERCIAL Aoolication for Building and Trades Permit Owner's Name: Harnett County School - Date: Site Address: 2495 Ray Road Phone: Directions to job site from Edlington: Take 210 to Ray Road turn right onto Ray Road rd school is school is Left Subdivision: Lot Description of Proposed Work: Build mobile classroom Heated SF 864 Unheated SF General Contractor Information'Building Cost$ Harnett County School Building Contractors Company Name Telephone 1500 South Main St. Address Email Address Signature owner/C aor/Ofiicer_f4ff Corporation License# EI I Contrabtor Information Electrical Cost$ Description of Work Install wiring for classroom Service Size: 100 Amps #T-Poles Harnett County School Electrical Contractor's Company Name Telephone 1500 South Main St. Address 1 __7- Email Address Signature of r/ConIracmrl r(s)of Corporation License# Meehan • Contractor Information.Mechanical Cost$ Description of Work #Units Mechanical Contractor's Company Name Telephone Address Email Address Signature of OwneNContractor/Orficer(s)of Corporation License# Plumbing Contractor Information:Plumbing Cost$ Description of Work #Baths Plumbing Contractor's Company Name Telephone Address Email Address Signature of Owner/Contractor/Officer(s)of Corporation Ucense# Insulation Contractor Information • Insulation Contractors Company Name&Address Telephone 'NOTE:General Contractor must till out and sign the second page of this application Com:rerc:ai Building Application 1 ort 3:10 Sprinkfer Contractor Information Sprinkler Contractor's Company Name Telephone Address Email Address Signature of Offioer(s)of Corporation License# Fire Alarm Contractor Information Fire Alarm Contractors Company Name Telephone Address Email Address Signature of Officer(s)of Corporation License# Driveway Access- NC Department of Transportation Driveway Access/Pennit? Yes No I hereby certify that I have the authority to make necessary application, that the appiicabon 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 In changes occur including listed contractors,site plan, number of bedrooms,building and trade plans, Environmental Health permit changes or proposed use changes, I certify it is my responsibility to notify the Harnett County Central Permitting Department of • any and all changes. Expired Permit Fees-ti months to 2 years permit re-issue fee is$150.00. After 2 years re-issue fee is charged at full price per current fee schedule. Signature Owner/Contra r/ORcer(s)of Corporation Date Affidavit for Worker's Compensation N.C.G.S. 87-14 The undersigned applicant being the: General Contractor _Owner Officer/Agent of the Contractor or Owner Do hereby confirm under penalties of perjury that the person(s),flrm(s)or corporation(s)performing the work set forth in the permit: Has three(3)or more employees and has obtained workers'compensation insurance to cover them. Has one(1)or more subcontractors(s)and has obtained workers'compensation insurance to cover them. Has one(1)or more subcontractors(s)who has their own policy of workers'compensation insurance covering themselves. i. Has no 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. / / / Company or Name:/7 �.a2.Ve •ti/L�Y 6944= H $LG/a Sign Millie: 'DCerolrl6P (9K6',oG/ /�o "m I.✓1$•x- Date: a\a.,\11 • Comme,cm,B ,dngA Hoauo O 2 y 2 l' Harnett COUNTY M1m f111014110,SWAMIS Department . �. . � 1 ! vwrJw"•may Application for Plan Review Application#1 p • cD. Date Received:c).`3.\ ' O Received By: stab Name of Project: Harnett County School Physical Address of Project: 2495 Ray Road Spring Lake ,NC 28390 Plans Submitted By: Rodney Gregory Project Phone: ( 910 )- 985 _ 1003 Contact PersonlAddress: Rodney Gregory 1500 South main St. Contact Email: rgregoryl©harnett.k12.nc.us Contact Phone: ( 910 )- 985- - 1005 ( Contractor's Namellnfo: Harnett County School 1500 South Main Lillington Contractor's Phone: ( 91n )- 985 - 1003 • Plans that are submitted will be reviewed as quickly as possible with an average time of review between 7-10 working days. • Status checks may be conducted on plan reviews by visiting the website http:lTteweb.harnett.org/Click2GovBP/Index.isp or by calling the Harnett County Central Permitting Office(910-893-7525,Option#2),or the Harnett County Fire Marshal's Office (910-893-7580). • Approved plans must be picked up from the Central Permitting Office and all fees paid before any required inspections can be conducted. HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Application Number 18-50043352 Date 3/01/18 Property Address 2495 RAY RD MAIN BLDG PARCEL NUMBER 01-0513- - -0201- - - Application type description CP COMMERCIAL MODULAR Subdivision Name Property Zoning PENDING Owner Contractor HARNETT COUNTY BOARD OF HARNETT COUNTY SCHOOLS EDUCATION MAINTENANCE DEPT. PO BOX 1029 PO BOX 1029 LILLINGTON NC 27546 LILLINGTON NC 27546 (910) 893-4808 Applicant HCBE-OHHS-SCHOOL PROJECT 17/18 PO BOX 1029 LILLINGTON NC 27546 (910) 985-1003 -- - Structure Information 000 000 24X36 SCHOOL PROJECT HUT 17-18 SCH YEAR Flood Zone FLOOD ZONE X Other struct info PROPOSED USE SCHOOL HUT SEPTIC - EXISTING? NA Permit COMMERCIAL ELECTRICAL PERMIT Additional desc . Phone Access Code 1230019 Issue Date . . . 3/01/18 Valuation . . 0 Expiration Date . 3/01/19 Permit LAND USE PERMIT Additional desc . Phone Access Code 1230028 Issue Date . 3/01/18 Valuation . . . . 0 Expiration Date . 8/28/18 Permit MODULAR PERMIT Additional desc . SINGLE ROOM HUT Phone Access Code 1230037 Issue Date . . . 3/01/18 Valuation . . . . 0 Expiration Date . 3/01/19 Special Notes and Comments T/S: 09/22/2017 10:58 AM JBROCK ---- 2495 RAY RD HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call : (910) 893-7525 Fax: (910) 893-2793 Page 2 Application Number 18-50043352 Date 3/01/18 Special Notes and Comments THIS HUT IS TO BE MOVED AT A LATER DATE TO ANOTHER SCHOOL HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call : (910) 893-7525 Fax: (910) 893-2793 Page 3 Application Number 18-50043352 Date 3/01/18 Property Address 2495 RAY RD MAIN BLDG PARCEL NUMBER . 01-0513- - -0201- - - Application description . . CP COMMERCIAL MODULAR Subdivision Name Property Zoning PENDING Required Inspections Phone Insp Seq Insp# Code Description Initials Date Permit type . . . . COMMERCIAL ELECTRICAL PERMIT 999 265 E265 C*ELEC FINAL —/ / 999 257 E257 C*ELEC OVERHEAD —/—/- 999 263 E263 C*ELEC RECONNECT —/_/- 999 253 E253 C*ELEC TEMP POWER CERT —/_/_ 999 261 E261 C*ELEC UND POOL —/—/- 999 259 E259 C*ELEC UNDER SLAB _/_/- 999 255 E255 C*ELECTRICAL UNDERGROUND / /_ 999 251 E251 C*ELEC ROUGH IN _/ / 999 267 E267 C*ELEC TEMP SERVICE POLE / / Permit type . . . . LAND USE PERMIT 999 818 Z818 PZ*ZONING INSPECTION _/ / 999 820 Z820 PZ*ZONING/FINAL INSPECTION / /_ Permit type . . . . MODULAR PERMIT 10 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_ 20 103 B103 R*BLDG FOUND & TEMP SVC POLE / /_ 20 814 A814 ADDRESS CONFIRMATION _/ / 20-50 163 C163 C*BLDG FLOOR FRAMING _/ / 30-40 119 B119 R*MOD MARRIAGE WALL _/ / 40-50 425 R425 FOUR TRADE ROUGH IN _/—/_ 40-50 427 R427 FOUR TRADE ROUGH IN >2500 —/_/_ 40-50 125 R125 ONE TRADE ROUGH IN _/ / 40-50 127 R127 ONE TRADE ROUGH IN > 2500 / / 40-50 325 R325 THREE TRADE ROUGH IN _/—/_ 40-50 327 R327 THREE TRADE ROUGH IN >2500 /_/_ 40-50 225 R225 TWO TRADE ROUGH IN _/—/_ 40-50 227 R227 TWO TRADE ROUGH IN >2500 / /_ HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Page 4 Application Number 18-50043352 Date 3/01/18 Property Address 2495 RAY RD MAIN BLDG PARCEL NUMBER . 01-0513- - -0201- - - Application description . . CP COMMERCIAL MODULAR Subdivision Name Property Zoning PENDING Required Inspections Phone Insp Seq Insp# Code Description Initials Date 50-60 131 R131 ONE TRADE FINAL _I /_ 50-60 429 R429 FOUR TRADE FINAL _/ /_ 50-60 431 R431 FOUR TRADE FINAL >2500 _/ /_ 50-60 133 R133 ONE TRADE FINAL > 2500 / /_ 50-60 329 R329 THREE TRADE FINAL II_ 50-60 331 R331 THREE TRADE FINAL >2500 / /_ 50-60 229 R229 TWO TRADE FINAL / I_ 50-60 231 R231 TWO TRADE FINAL>2500 / I_ 999 H824 ENVIR. OPERATIONS PERMIT / I_ 999 H828 ENVIRO. WELL PERMIT II_