HomeMy WebLinkAboutBLOOMINGTON AVE., 1505
It PERMIT _
CITY OFBREMERTON BU'lDING DEPARTMENT
PHONE: 478-5281
1505 Bloomington,
SITE ADDRESS
Mark Hovila, same
OWNER .
MAIL ADDRESS
ASSESSOR'S ACcr #
ZIP
PHONE
Pat's Burner Service, PATSPS*174NS PO Ro'?{ 1)1)2, Bremet:on
CONTRACTOR MAIL ADDRESS
Class of work: D NEW bJ ADDITION D ALTERATION D REPAIR
PHONE
LICENSE NO;
Q MECHANICAL
GJ PLUMBING
COMMENTS
No.
Fee
Type of Equipment
STOVES Gas~ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (I\iat.X- LPG._) Oil_
Wood add on_ Other_ Electri.c~
BTU
Type: Up flow_ Down flow_
Horizontal_ Wall~'
CONVERSION BURNER: Gas_ (Nat._ LP_)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU---.:. Gas_ Elec._
BOILER Gas_ Oil_~lectric_
Other_ HP ----'
GAS SYSTEM Max. 5 outlet Total-x
EVAPORATION COOL.ERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo~
BTU_
HEAT PUMP Single Package_ Spli~
Add on--,- BTU Ton~
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS Exhaus~ Supply_ Bath_
RANGE HOOD Residential----, Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
,ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhaus~
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
9.00
3 75
11),00
19fJPI
?7 7r::.. .'
PERMIT $
TOTAL FEE $
FINAL APPROVAL
No.
Type of Fixture or Item
Fee
WATER CLOSET (TOILE:r)
BATHTUB
LAVATORY (WASH BASiN)
SHOWER
KITCH~N SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER'
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYST~M
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
6.00.
PERMIT $
TOTAL $
15.00
1Q.fJfJ/
21. 00
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION' AUTHORIZED
IS NOT c'OMMENCED WITHIN 120 DAYS, OR 'IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME m BE TRUE AND CORRECT.' AlL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLED WITH WHETHER'
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY m VIOLATE OR CANCEL THE PROVISIONS OF ANY. OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF"
CONST I. .
(DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
RECEIPT NO.
7s~'-'1 /
I
(White~ORIGINAL, Ye"ow~INSPECTOR, Pink~APPLlCANT)
. 'NO
PERMIT',..
3051
~', ~~,,''ta,,~ n~-' .~;.
>',-' :....>-,".. ",.""..'
, - , ""
i. PE,RMIT
CITY OFBREMERTON BUILDING DEPARTMENT
. PHONE: 478-5281 377-cf499
1505 Bloominqtori
..... , -~ ' ...~
JOB ADDRESS
Fr~ncls May 741
OWNER
Owner
. CONTRACTOR
Hassmusson Lane
MAILADDRESS
MAIL ADDRESS
o REPAIR
Class of work: 0 NEW
o ADDITION
o ALTERATION
D PLUMBING
{Qil' MECHANICAL
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal Outside Wall
377-1003
ZIP
PHONE
LICENSE NO.
INSPECTION: Groundwork
Wasted Vents
Htg. Ruffin
Stove or Insert
No.
Type of Equipment
Fee
Gas Test
Water
Chimney
Refrig.
STOVES Gas_ Oil_ 'Wood XX ~~!~
FIREPLACE INSERT l~
FURNACE Gas (Nat.~ LPG. _) Oil-----l~
Wood add on _ Other_ Electric_'
',BTU
Type: Up flow_ Down flow_
Horizontal_ Wal'--
CONVERSION BURNER: Gas_(Nat,_ LP_)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATERS BTU_ Gas_ Elec,_
BOILER Gas_ Oil_ Electric_
Other_ H P_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU-,,----
AC UNIT Electric~. Gas Elec. Combo
BTU_
HEAT PUMP Single Package_ SpliL-
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CFM_ BTU_
FANS Exhaus~ Supply_ Bath_
RANGE HOOD Residential_ Comm._
CLOTHES DRYER Res._ Comm._
Incinerator
ALTERATION TO DUCT SYSTEM
Heating/Cooling~ Exhaus~
TANKS Oil_ Gas_ Propane wlOK
from Fire..Dept._ Gallons_
REFRIG~RATION UNIT
PERMIT $
TOTAL FEE $
FINAL APPROVAL
(SEE OTHER SIDE)
---1- -2..Q.
f'
.;~.i\r
5 50
--
10 00
No.
Type of Fixture or Item
Fee
WATER CLOSET (TOILE1)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP,
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP,
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private Public
GROUNDWORK
SUMP
ALTERATION
POST & BEAM
,~
2-J1-gS- PERMIT$__
TOTAL $
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCED WITHIN 120 DAYS, OR. IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WORK IS COMMENCED,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
THER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE-
SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHE~RATE OR LOCAL LAW REGiJ'tATING CONSTRUCTION OR THE PERFOR-
MANCE 0 CONSTRUCTldNJ I
, .I / / ,~-'-,-
I - I /. j' " "
)\ if' ') ..L:J.._ -" ,/:, -.."",-I- . 2/ 1 9/ [) 5
'V...i,A~''''~ t '" . J.\ ~- \Qr <-....."...$t... :;;;;,(
,
SIGNA TURE OF CONTRACTOR OR AUTHORIZED AGENT (DA TE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
RECEIPT NO. 73 ft?tj5 PERMIT NO, !'\{o,
(DATE)
2561
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
.
.
CITY OF BREMERTON
~) . ~~) ~ ',. 3 ?{~F ~p~' /<
Fee $___4i::~__u_______u______hn______m__u_m__n_h__u________u__ ReceIpt No. __':-:~___m~~~_____:;"___~h__h_h_________________U___ /,/
,/"
V/
BUILDING PERM IT
BUILDING DEPARTMENT
N~
42420
F. E. IRISH, Building Ins,pector . ESsex 3-1411, Ext. 36
Owner's Value Bldg. Dept. Value DESCRIPTION:
$ ?,.s"-- ;::';::"',_.. Lot Block Additions
" ,.... " ('.- j-.-; '7 ',. ;"" ' "' ~~ /'
Address on Job _ /,~.)J:Z ~_ __ -~~:;"-~:'?:~:::X::::?-~~~:::':~:~f::C.(';;,:~o:- - - __ - - __ __ _ n __ n ___ _ __ __ _ __ _ __ Date ul__.'::L _:"::~ _/:J_ __ _':"ul_ u:n__
Building ______n________ x __n__n__._____ and __._n___n___?: stories __n_____n_____n__n__ basement. Lot _________n_____ x _n_____________
Front Yard Un____U__Un________ Rear Yard __________________u____ Side Yard __________________n____ Garage _n___m___nun_______n___
g::~r2Z~~~~~:~~~~~~~~~~~:i~~:~~~,~~~4~~~~~? ~~~ ~~~~~ ~~~~~~~~~~:-Add~~~~- ~-_-_~~-_-_-_-_~-_-_~-_-_-_-_~-_ ~~_ ~~~~_ ~~~~~~~ ~~~~~ ~-Ph~~~- ~~ ~~~-_~-_~-_-_~~-_-_-_~
r" :' ,- - II
Contractor, u_ ___ u_: _ _n _ _n _n n _ n n_ _ _ __ n __ __ __._ __ __ _n ___ n __ _ _ __ n _ __ _ __ Address __ __ __ n_ __ _ __ ___ _ ___ __ _ u _ __ _ __ U n_ _ n__ n Phone _ n _n ___ n _ n ___
This permit is issued for:
- - -. - -}.-.. - ~...... -...... - "":0........................................ ~.......................... --...................... -.;v~-""""""""""""""" ........ 4......................;;,...:........................ --..............................................................................-............ --..............
./, ..;l '" 0""''';1 !f'.ra....,~'_,tl~...4';~ 12" /' C-Pi <':t..4"\...~'~' /.1;'7/, f ,,{;.. /
..:'c.a_-,~..,,-~?J...<:~:.~7';,..tll'~- --- _:'~__Il._ ---., --- --- -- ;,."j;':":.i:.'::~: _ --., _ _ -- _.- -- ~-- .5..t::. --- --:;'7r-'1!:.~-., - ~-;.. __-<'(_c"''';<J!.~ _ -- --- --- _ _ -., --., --.. ___., ___ ____ __ .__ ____ ___ __ __ __._ __ ___ ___ __ ___ ___ __ .____
\~ (,.._,1' (':'''' ,;-;1"'"
All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION - Re>inforcing steel must be i1nspected a,fte'r pla>ci>ng and be>fore covering. FORMS shall be inspected
and appro>ved before pouri:ng. All p>lumbing, wiring and the fralme olf all buildi'ngs must be i,nspected and a!pproved
befolre cOlvering. Wood presenative to be used o,n all wood a>ga,inst maso>nry. VeintHa,te fo'undation and attic. Sepa-
ra,te permits r'e'qu>ired fo>r plumbing, wiri:ng alnd heaHng. Se'e City Engiinee>r before wo>rki'ng o>n streeb olr side'walks.
- - - - - - - -- -., - - -.,., - - - --., - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -., - - - - - - - - - - -., - - - - - - - - - -., - - - - - - - - - - - -., - - - -., -., - - - -., - -., - - - _.- - - - - - - - - - - - - - - - - - - -~ - --
- - - - - - - - - - - - - - - - - - - -., - - - - - - - - - - - - - - - -., - - - - - - - - - -., - - - - - -., - - - - - - _.- - - - - -.,., - - - ~ - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -..-
- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -.. - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
----------------------------------------.._--------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ------------,-------------------------------------i(~------------------------------------
-~',
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
>
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - _, - - - - - - - - - - - - - - - - - - - - - - - - - - - - -;; - - - - - - - - - - - - - - - - - - - - - - - -, - - - - - - - - - - - - -, - - - - - - - - - - - - - - - - - - - - - _. - - - - - - - - - - - - - - - - - - - - - - - - - - n _ _ _ _ _ _ __ _ _ _ _ _ _.
Owner' sSignaturey_;~/I.~k:--)lf-/-tc~~-----n------------ By ______________._____._____m___________.__________________________,_________
) His Authorized Agent
, Building Inspector n -_ -- - -7,.S1:':_-~ - - -- - - - - - _._ - - __ - - - - n _ n _ n _ __ _ _ _ __ _.:. _ n n _ _n. __ _ _ ___ _ __ _ _ ___ _ __ _ __
By _ _ _ _"t::-:,:: ~_ __ - _ _ ___ n __ _ __ n __ _ _ __ _ ___ _ _ _ _ _ _ u __ _ u _ _ _ _ _ __ u __ _ _ _n _ __ __ _n ___ __ ___ __
~
e PERMIT
e
1505 Bloomington
JOB ADDRESS
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281 377-8499
Francis May
OWNER
Owner
CONTRACTOR
741 Rassmusson Lane
MAl L ADDRESS
MAIL ADDRESS
Class of work: 0 NEW
o ADDITION
o ALTERATION
fi] MECHANICAL
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal Outside Wall
377-1003
ZIP
PHONE
PHONE
LICENSE NO,
o REPAIR
D PLUMBING
INSPECTION: Groundwork
Wasted Vents
Htg, Ruffin
Stove or Insert
Water
Chimney
Refrig.
No.
Type of Equipment
STOVES Gas_ Oil~ ,Wood XX
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG, _) Oil_
Wood add on _ Other_ Electric_
BTU
Type: Up flow_ Down flow_
Horizontal_ Wall~
CONVERSION BURNER: Gas----,-(Nat.~ LP_)
Under 1 OO,OOO~ Over 100,000_
Oil_
UNIT HEATERS BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other~ H P_
GAS SYSTEM Max, 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo
BTU_
HEAT PUMP Single Package_ SpliL-
Add on_ BTU.Ton_
MIXINGOR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CFM_ BTU_
FANS ExhausL-- Supply_ Bath_
RANGE HOOD Residential_ Comm._
CLOTHES DRYER Res._ Comm._
Incinerator
F,e
---1... ---2..Q..
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ ExhausL--
TANKS Oil_ Gas~ Propane w/OK
from Fire Dept._ Gallons~
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
5 50
--
10 00
--
FINAL APPROVAL
(SEE OTHERSIDE)
RECEIPT NO.
(White.-O R IG I NA L, Yellow,INSPECTOR, Pink-APPU CANT)
PERMIT NO.
Gas Test
No,
Type of Fixture or Item
Fee
WATER CLOSET (TOILET) ,
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTH,ES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
HOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private Public
GROUNDWORK
SUMP
ALTERATION
POST & BEAM
PERMIT$__
TOTAL $
NOTICE
THIS PERMIT BeCOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK is
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WORK IS COMMENCED,
I HEREBY CERTiFY THAT I HAVE READ AND EXAMINEDTHIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS AND
'ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE-
SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHER ATE OR LOCAL LAW RE" TING CONSTRUCTION OR THE PERFOR-
MANCE CONSTRUCT N
2/19/85
SIGNA TURE OF CONTRACTOR OR AUTHORIZED AGENT
(DA TE)
SIGNATURE OF OWNER (IFOWNERBUILDER)
73 (P1/5
Nt!
(DATE)
256~
INSPECTION RECO'D CARD
. CITY OF BREM.ERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS
Bloomington 1505
.
2561
PERMIT NUMBER
OWNER Francis May
CONTRACTOR S elf
PHONE
PHONE
377-t003
COMMENTS:
1 FOUNDATION
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK,. SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY:
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS 9PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O.K.
20. FIREBLOCKING __
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
.
M MECHANICAL
1. FURNACE SIZING
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. 'B' VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT CLEARANCE
10. DUCT SUPPORT
11. DUCT JOINTS
12. GAS PIPING TEST
13. GAS PIPING SIZING
14. GAS PIPING SUPPORT
15. OTHER
e
CORR O.K.
CORR O.K.
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
FURNACE APPROVED BY:
HEAT PUMP APPROVED BY: )) /
GAS PIPING APPROVED BY:~ 1-c};-ifb
WOOD STOVE APPROVED BY:
OTHER:
II PLUMBING CORR O.K.
.;;:; 1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12: OTHER --
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
._PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281 377-3499
1505 8lo0mingtofl
. JOB ADDRESS
r-i:J'1cis ~la\1
OWNER ,
741 Rassmusson Lane
MAIL ADDRESS
O\V't~r
CONTRACTOR
MAIL ADDRESS
Class of work: 0 NEW
o ALTERATION
o ADDITION
[i) MECHANICAL
377-1003
ZIP
PHONE
LICENSE NO.
o REPAIR
D PLUMBING
Gas Test
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal ' Outside Wall
INSPECTION: Groundwork
Wasted Vents
Htg. Ruffin
Stove or Insert
Water
Chimney
Refrig.
No.
Type of Equipment
STOVES Gas_ Oil_ Wood X X
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG. -.--) Oil_
Wood add on _ Other_ Electric_
,BTU
Type: Up flow_ Down flow_
Horizontal_ Wal'-
CONVERSION BURNER: Gas_(Nat._ LP_)
Under 100,000_ Over 100,000_
Oi'-
UNIT HEATERS BTU_ Gas_ Elec._
BOILER Gas_ Oi'- Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo
BTU_
HEAT PUMP Single Package_ SpliL
Add on_ BTU To"-
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CF~ BTU_
FANS ExhausL- Supply_ Bath_
RANGE HOOD Residential_ Comm._
CLOTHES DRYER Res._ Comm._
Incinerator
-A- --.2ll
Fee
ALTERATION TO DUCT SYSTEM
Heating/Coolin9-- ExhaUSL-
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons_
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
5 50
1"T 00
FINAL APPROVAL
No.
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL '
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL. Private Public
GROU~DWORK
SUMP
ALTERATION
POST & BEAM
PHONE
Fee
$--
$--
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF DAYS AT ANY TIME AFTER
WORK IS COMMEN,CED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE-
SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHER S;rATE OR LOCAL LAW REGlJtATING CONSTRUCTION OR THE PERFOR-
MAN,CiJ CONSTRU"C~710r;j1 ,JI , '. ~.
~~l<.;.. ^>'ar-<-~ 2/1 j / ~::
SIGNA TURE OF CONTRACTOR OR AUTHORIZED AGENT (DA TE)
(SEE OTHER SIDE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
RECEIPT NO. 73 &!.j5 PERMITNO.N?
(White-ORIGINAL. "(allow-INSPECTOR, Pink-APPLICANT)
IDA TE)
25*11