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BRISTLECONE DR., 278
INSPECTION RE~RD CAROe 8 CITY OF BREMERTON BUILDING DEPARTMENT A 3;? 1 ~ PERMIT NUMBER ADDRESS & DIRECTIONS ~. I e:? J f' / OWNER PHONE ~;/;L~J7S-? CONTRACTOR PHONE 77'1-c?Y1~ 1 FOUNDATION CORR O.K. COMMENTS: 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 COR~O~MENTS: CORR O.K. 1. WIRING APPROVED _ _ 20. FIREBLOCKING _ _ 2. FOUNDATION VENTS _ _ A-STAIRS _ _ 3. SHIELD UNDER POSTS _ _ B-DROP CEILINGS _ _ 4. POSITIVE CONNECTIONS _ _ C-TUBS OR SHOWERS _ _ 5. SOIL TO WOOD CLEARANCE _ _ D-ROOF & CEILING LINES _ _ 6. POST CLEARANCE - 2" _ _ E-FURRED OUT AREAS _ _ 7. BEAM SUPPORT _ _ F-FIREPLACE AT CEILING _ _ 8. TR. MAT. NEXT TO CONC. _ _ G-ELECTRICAL HOLES PLUGGED_ _ 9. WASHERS ON ANCHOR BOLTS _ _ H-PLUMBING HOLES PLUGGED__ 10. BEAMS PROPER SIZE _ _ I-LID IN VOIDS _ _ 11. FLOOR JOISTS 9PAN _ _ 21. WINDOWS _ _ 12. NOTCHING & DRILLING _ _ A-SAFETY GLAZING __ A-FLOOR JOISTS _ _ B-VENTILATION _ _ B-STUDS _ _ C-REQUIRED FIRE EXITS _ _ 13. STAIRS _ _ D-WINDOW SILL HEIGHT _ _ A-WIDTH _ _ 22. CEILING HEIGHTS _ _ B-RISE & RUN _ _ A-BASEMENT _ _ C-WINDERS _ _ B-MAIN FLOOR _ _ D-LANDINGS _ _ C-UPPER FLOOR _ _ E-HEADROOM _ _ 23. SWAY BRACING _ _ 14. ATTIC VENTILATION _ _ 24. TRUSSES __ 15. CHIMNEY STRAPS SECURED _ _ A-PROPERLY INSTALLED __ 16. FIREPLACE COMBUSTION AIR _ _ B-STAMPED _ _ 17. FANS VENTED OUTSIDE _ __ 25. ATTIC ACCESS _ _ 18. A-BATHROOMS _ _ 26. CEILING JOIST SPANS __ B-LAUNDRY ROOMS _ _ 27. RAFTER SPANS _ _ C-KITCHEN _ _ 28. ROOF SHEATHING _ _ 18. WATER CLOSET CLEARANCE _ _ 29. ROOFING APPLICATION _ _ 19. SMOKE DETECTOR _ _ 30. SIDING _ _ 31. CLOTHES CHUTE _ _ 32. SHEETROCK BACKING _ _ A-UNDER STAIRS _ _ B-ABOVE GARAGE DOOR HANGERS _ _ FRAMING INSPECTION APPROVED BY: M MECHANICAL e e CORR O.K. CORR O.K. 1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE -- 2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE -- 3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION -- 4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT -- 5. 'B' VENT CLEARANCE -- 6. 'B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- FURNACE APPROVED BY: 9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY: 10. DUCT SUPPORT -- 11. DUCT JOINTS -- GAS PIPING APPROVED BY: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- OTHER: 15. OTHER -- P 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: -----..- ---------..------- 'li<<"',r . 1<.... .. ..~. . . . .' . ., .. , ,.. . '.' '. . ... r- BUilDING PERMIT IN2 8327 h City of Bremerton, Washington 98310 . Phone: (206) 478..5281 Assessor's Tax Account No.: J959~OOO-022-0009 Daae. of Application. 7/4187 Site Address: 278 Bristlecone Dr . t Phone No.: 377-5856 Owner's Name:1..rilfredo'O. Fernande;i 'Z- Address: 3087 Yancy Dr.~ San Jose, CA 98148 , Applicant: 0 Owner 0 Archite~t . >> [iJ. Tenant Architect Firm: Tenant B.r.. RichardCoheri Rapresentative: Address: . Phone: Contractor: Hoff Construction Represer),tative: Rort Hoff Address: 14133 St. Hwy 303 NE, Pou1sbo, WA 98370 Phone: . 779;..2406 Contractor's License No.: HOFFC205P9 Exp,Date: .10/27/87 QRasidence 0 Business o Other: . J]New 0 Rep~ir [i] RemodellAddn o Demolish D Duplex ' 0 Multi-Family (No. units o Sign 0 Parking Lot o Grading (cu. yds )0 Bld~.Move Nature of VV?tk Proposed: R.emoval of wall be.tween small bedrooms. ScyFt.: . Utilities: o Water 0 Sewer' 0 Septic o New [~J Existing Valuation of . MaterialS/Labor: . Permit Fee: Surcharges: I~BC Sec. 304(b)] . . 3 "19' 00 $3.50 " $ 12. 5 $ · , . n . Stata iiflcloo $610 Receipt No.:7?-liG . Raceipt No.:77L/;G Energy $10/$15 0 Date: 9/8/87 Date: 9/8/87 Zone Designation: Rl Occupancy Classification (UBC): .R3 No. Stories: Mmimum Req. Setbacks: Front: Side: Rear: Height: CommentS/Conditions of Approval: , .,..-, INSPECTIONS E . IRED:, FoundationD Framing[].. Plumbing 0 .' Mechanical 0 Wallboard [!J , FINALLl OWNEROR BUILDER SHALLCALL4713-5281 FOR ALL REQUIREDINSPEQTIONS AND RECEIVEAPPROVAL PRIOR TO CONTINUING - WORK',SEPARATEPERMITS.ARE REQUIRED. (WHERE APPLlCABLE)'FOR PLUMBING AND MECHANICAL. . All provisionsot laws andordin~~ces .governing this type of ,I/{ork Will be complied with whether specitiedherein or not.The gri'"ting ota permit does not presume togive authority to violate or cancel the provisions of any other ~atr opocai I.aw re~ulatingCOnstr'~5'tion/)( t e pe~~rmance of constr~cti9~. SEE AND'READ NOTICE ON REVERSE. , ' ., . ,', . /1' AI). .... / ,V,f' .' '/ / Signature', . I /M.~l /' " ~ .'. . Date' 9 8 87 ./ Copies to: White-owner; Yellow-file; Pink-Assessor: Golc;lenrod-BlJilding Stat. Code I 5 I SEAl 1) "PH'/tn1 J r rD.' ])~. 'ill Clln1eb aoI'lEXT) 7?N"#1f/ ~ A r A ~/l.BS :BELt> I;'J. - IT. 'ERMiT . APPLiClTION r ~UILDING City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: 3 95'l- 0 0 0 -02. 2..- 00 oc; q ~ '3 10; -n 9 $R/& fL r:CDN r! :lJe/rE. J3RE7Y1a:.-io/L Phone No.: ,3'7'7 - 5FSC Site Address: ,..-,I / , - Owner's Name: IU/L r~Ej)O 0, r ~/l-r",:; /t/}JE L Address:\ 10 F7 0:rA/C'-/ ~;(. SrrJ -JDjF ell ) . Applicant: B- Owner o Architect o Contractor 01 - . Architect Firm: Representative: Address: Phone: Contractor: 111fT pa/oEl) Yb(: Representative: - ~ - Address: Phone: Contractor's License No.: Exp. Date: o Business o Other: o New o Repair J2g Remodel - D Duplex o Multi-Family (No. units o Sign o Parkin ) ~ o Bldg. Move - 0;':::- tJA tf..... nUl) a)/ .;:;i m ,qLL ~--;")Rc'D//Z c:- - - 71 J/r.i- - ~ t = Sq. Ft.: - - o Water o Waste o Sewer o Septic o New o Existing D~ . Utilities: - - Valuation of Materials/Labor: Plan Review Fee: Permit Fee: ~ Surcharges: [UBC Sec. 304(b)) 7~ $I /0 - $3-:S--- 3~ [2] 1J~~ $ ~--- State ~ - 0 Receipt No.: Receipt No.: Energy $10/$15 - - Date: Date: ~ '~ - Zone Designation: \.~ Occupancy Classification (UBC): No. Stories: ~ " . Setbacks: Front: Side: Rear: Height: Heat Source: - - Comments/Conditions of Approval: -7.j9/~).' - r'. l.r (~ .-\ I =- = - I understand that applications for which no permit is issued within 180 days following "' of application shall expire by limitation, plans and/or other data submitted may be ret to applicant or destroyed by the Building Official. (Sec. 304(d)UBC) . I certify that t information on this application furnished by me is true and correct and that the applic ; reqUire~. of he Cit f erto will be met. Date * I t. /l{}e-;Jr n-' t), jA./E~ = S~nawre .. /"- C ..- E:/ Copies 10: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code [ .seND PrKm-l1'" 'TO: ])R. 'R.lc~d ~j#Af) ng;q.jti)~ A-r A'/1)!t4s'S .&LD~. ~BUILDING "ERMIT APPLiC!TION s 1 City of Bremerton, Washington 98310 Phone: (206) 478..5281 Assessor's Tax Account No.: 3 tl>r-OOo -:0 "2.2-0 009 q ~31 D . Site Address:-J1 921C/6/L FCD;} & 7Je lyE. :b/;:'7e7t1EK--IO/LI Phone No.:,-.3'JIJ - 5FSt;, , Owner's Name: !tfILr~El)O {J. rQ/l-f/J/t9E'L Address:\.30F7 Yl:;ttl2'! fl/!. sftJ ...JDjE; (;/f 9S/tj}; Applicant: :0.. Owner 0 Architect 0 Contractor 0 Tenant Architect Firm: Representative: Address: Phone: Contractor: IldT ])aloE[) 1//:;-7 Representative: Address: Phone: Contractor's License No.: Exp. Date: o Business D New 0 Repair ~ Remodel/Addn o Duplex ) 0 Sign 0 Parking Lot UUI) g:;J ..;$ m..-?t..L ;jk.--;)/CbD/?'l ~ Sq. Ft.: Utilities: 0 Water 0 Waste 0 Sewer 0 Septic 0 New 0 Existing 0 Storm Valuation of Materials/Labor: Plan Review Fee: Permit Fee: ~ Surcharges: [UBC Sec. 304(b)] $ -:t-1 ~ $ 3-::;: --- 1/3 {2 1 ----- =--' cr- StaIB - EtI J ~~ Receipt No.: Receipt No.: Energy $10/$15 0 Date: Date: r-- ,-j '--. Zone Designation: \ < Occupancy Classification (UBC):'~ No. Stories: Setbacks: Front: Side: Comments/Conditions of Approval: ~:>~.:;(r\ -) --.J I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returned to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the information on this application furnished by me is true and correct and that the applicable requireZ4 '::Lf he Cit f erto will be met. y( . ~ I; .d/?~,.rr.c;, 1'1' I I~P Signature . /1(" rlI.::Tt::r- T v W If.., C f'-. Date C ~ EI Copies 10: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code [ ! SeAlD :Vrltm I r 7""0.' "])/f. 'Rlc~b ~1kN)n-N'A1f/~ Ar AIDIL6S .B8LD".J . ~RMIT APPLlCtrlON I ,.--BUILDING '"\ City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: 39S'71-000-022.-00tYj q~'3I()/ . Site Address: .-J 1 ~ --BRIG It. ECOAf &. 7JelrE. .:B!2~ro/L PhoneNo.:J77-5F5C, , Owner's Name: tV! L rite 0 0, F,eKN-4Il!)EZ- Address:\.30 F7 Y/f;Jcy ])f(. $l'rrJ ..::JD5'E C/I 15'11$- ) Applicant: 0-0wner o Architect o Contractor o Tenant Architect Firm: Representative: Address: Phone: Contractor: Illorr PE:::C-I{)E[) Yz!:'7 ~Dn tL~ ~ ~-: Representative: k~Y'\ Address: ICf/~~ ~/-/1A)Y~<"~~ ?ac..--:rb~~70Phone: 77'7 ;;2~ -" I Jc/7/fr7 Contractor's License No.: \-\ \:)~ C~~ ?CP .1IIi Exp. Date: '0' Residence o Business o Other: o New o Repair ..0' Remodel/Addn o Demolish o Duplex o Multi-Family (No. units ) o Sign o Parking Lot D Grading (cu. yds ) o Bldg. Move ~ Nature of Work Proposed: / X!.e: /?to V; ({);:::- tJA u", Y3Er?J a= ~ .,ff /?1l'9tL &--VRoD.m Sq. Ft.: - Utilities: o Water o Waste o Sewer D Septic o New o Existing o Storm Valuation of Materials/Labor: PI~ :~~ Surcharges: lUBCS~ -II ""'0 3~ 1 /~ $ ,.' ---:::::> State ~ 0 \:2. ~ 7>btO* Receipt No.: Receipt No.: Energy $10/$15 0 Date: Date: Zone Designation: Q \ Occupancy Classification (UBC): \23 No. Stories: '"" '. Setbacks: Front: Side: Rear: Height: Heat Source: Comments/Conditions of Approval' N I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returned to applicant or destroyed by the Building Official. (Sec. 304 (d) UBC) . I certify that the information on this application furnished by me is true and correct and that the applicable reqUire~ - of; he Cit f erto will be met. Date * Signature /JrJrdr rot<:: ~;;)~€/E- Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code I I i _ SE~7Tr/tfl1,lr ro: 7>/? 'ilIC~4 C6IkAl) 7?ArAN~ 1/-,.. A1D/l.II5$ .&LD/;'J. ~ ~ BUILDING ~RMIT APputlnoN · City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: 3 957'- 0 0 () -() 2.1..- 00 09 q ~ '3 10 . Site Address:---J1 7 $RIS It. rCDN (; JJI!: /~E, .J3RElYlEK-rO/LI Phone No.:.3'?'7 - 5F5C- , Owner's Name: itl/LF~E'j)o O. r.EK~.//-l/l./)EL Address:\3'oF7 Yittl-/C'I JJK. SrrJ -JD5E; C/1 95/'1 Applicant: g Owner 0 Architect 0 Contractor D Tenant Architect Firm: Representative: Address: Phone: Contractor: II tfT lJ[Z/ [)El) if 1::-7 Representative: Address: Phone: Contractor's License No.: Exp. Date: - t8J' Residence 0 Business 0 Other: D New D Repair j2g Remodel/Addn D Demolish D Duplex 0 Multi-Family (No. units ) D Sign 0 Parking Lot D Grading (cu. yds ) 0 Bldg. Move Nature of Work Proposed: / ;2E /?'lin' 0;:::- tu/ltc 'i!ETt.L!EE~ ~m..qtL a-;)RoD/n ~ 711/6-- t:CKS. Sq. Ft.: Utilities: D Water D Waste 0 Sewer D Septic 0 New D Existing D' Storm Valuation of Materials/Labor: Plan Review Fee: Permit Fee: <::5:) Surcharges: [UBC Sec. 304(b)] $ ~ ~ $ 3-5' --- 113 {9 i ,~ ~c::r State ~ 0 , I ~ ~ Receipt No.: Receipt No,: Energy $10/$15 0 Date: Date: G \/'~ Zone Designation: ''< Occupancy Classification (UBC): ~ No. Stories: Setbacks: Front: Side: Rear: Height: Heat Source: Comments/Conditions of Approval: ~ h;--e. 7/9 )7,/: ~$L' 4q1fi;,~ ~7 I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returnee to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the information on this application furnished by me is true and correct and that the applicable requirO' of he Cit I f erto ,wi:lrbe ~et. . fA / _" Signature ",-- /x c- /l&t::/v r Ii; () ,j~ c:~ Date '1'( , t~ C e Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code C-'- ,- . ->0 e e . , . CIT':[ OF BREMERrON BUIIDIm DEPA.~ PERMIT APPLIC1'<..TION DATE 7-10- 7 'ID BE ca.1PIErED BY 7-14- 198 7 198 Wilfreda O. Fernandez undecided CJY.7NER CONI'RACIOR 278 Bri st 1 ecane IJX:1IcTION OF JOB For remodel ENGJ:NEERINS CCMMENTS/REVIEWED BY ~ /VI} CONNeN/~ ___________ __n_ ____ ! (!.IUIE" AfJ "n'N" A 1'/" A r A 'If) /l.6"'SS ' .. ..-...-. i I:, ...--' 5€Alp 0, 'PFftm. 1'- ro.' 1>R. J<.lc~d .8eLD~. t: - V ~~ .. I I r-BUILDING PERMIT APPLICATION --------"'"~ City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: 39..5'l-oOO -:-() 2.2-0 ooc; q '6"31 D ..r _ -n )( -bR! 6 It. r CDA/ ~ 7);: / r'E, :E K67tto:-rO/LI Phone No.:.3? '7 - 5 g:J( Site Address: --< I , Owner's Name: IL(IL rKE'j)D [;, F a'/l-I/JA/~EL Address:\. 30 F7 '/ql/C'/ ~K. SmJ -JD.'jF ell 9~/'I ) Applicant: J21.0wner o Architect o Contractor o Tenant Architect Firm: Representative: Address: Phone: Contractor: IloT PEe/DEl) Y~7 Representative: Address: Phone: Contractor's License No.: Exp. Date: o Business D Other: o New o Repair ~ Remodel/Addn o Duplex D Multi-Family (No. units ) o Sign o Parking Lot D Bldg. Move of "vAle ~T ti./ (;"E)/ .,;;r mAt..L 3= 'i) Kcvnz c:: 7l1/c;:. Sq. Ft.: Utilities: o Water o Waste o Sewer o Septic o New o Existing o Storm Valuation of Materials/Labor: Plan Review Fee: [ Permit Fee: ~ Surcharges: [UBC Sec. 304(b)] , 75 Ii /0 1!~~ $ ~--- $3~--- 3 ~ 1St! State ~ Receipt No.: Receipt No.: Energy $10/$15 0 Date: - Date: \ ~ ~I . Zone Designation: --, Occupancy Classification (UBC): ~...:::.. No. Stories: " Setbacks: Front: Side: Rear: Height: Heat Source: Comments/Conditions of Approval: ---y; , .~/I::; /.-7''-'. '~~!,Ir> ~'; " ," {, -....._~ I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returne~ to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the information on this application furnished by me is true and correct and that the applicable reqUire~ . of he Cit f erto will be met. Date y( I /!{}c)fr n' -? () /~/c~ Signature . /; . ....1( L- C t:1 Copies 10: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building -~~-- ----- - au ~D NG '~:={VL T ~ 2319 A City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ / CJ.;L?cJ() - $ JC; ~ 'Y7!JJ $ 5';1 -- :'r7t /2- ?;l? 17 SITE ADDRESS I LOCATION oJ. ') 9 ~ / .- / r;,A/ <P- i? ;... . ;./:5 /0 - OWNER'S NAME tv re-rjr1 N~ & L ADDRESS '} "".i* t"'_ PHONE CONTRACTOR PHONE ~ RESIDENCE o BUSINESS o OTHER o NEW o REPAIR o REMODEL ~ ADDITION o DEMOLISH PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: A/6>W Ji e t:n /7DOh? , All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation W Framing [2f' Plumbing tz( Electrical IJ" Wallboard ff FINAL ~ FOR INSPECTORS USE ONLY: REINSPECTlON: . NOT TYPE OF INSPECTION DATE TIME APPROVEd APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE acc OWNER'S SIGNATURE BY , Authorized Agent BUILDING DEPT. 7C/-~-c!'a': ~ .. ,"' -- ee. , INS P E C T ION S ----------- Inspections Required For Stated Construction BUILDING DEPARTMENT ~OUNDATION ~LECTRICAL 0 INSULATION o POST & BEAM o PLUMBING ~ SHEET ROCK OR COVER Gr'FRAMING I2r'MECHANICAL E1' FINAL ENGINEERING DEPARTMENT o FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK [] FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK [] CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES o PIPE INSTALLATION PRIOR TO COVERING FIRE DEPARTMENT o LIFE SAFETY 0 FIRE CODE [j FIRE EXTINGUISHING SYSTEM 0 SPRINKLING SYSTEM [JREMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN FLAMMABLE MATERIALS Allow 24 hour prior notice for all inspections. Emergencies will be handled as soon as possible. If required inspections are not called for and made by the necessary City Departments, a Stop Work \ Order will be posted until necessary inspection is completed. Any materials hindering the inspection will be removed so an adequate inspection can be performed. All completed structures will have a Certificate of Occupancy BEFORE the structure is occupied. If a structure is occupied without a Certificate of Occupancy, the City will have the water utilities removed and order the structure vacated until compliance is achieved. I have read and understand all the above that pertain to the Construction at CD ,~ /..:::>^ . SIGNATURE DATE 7~? 751 / , TITLE ,) .. i .- _ ".PUCATIO~~.. - '", ,,~ CITY OF BRE RTON BUILDINGa:P RTMENT (" VAL~E) , 5J- (>8 C ' ;26JU-) ~ JjCE'5 ) $./tP.,/.t/lt1P.-:::.... ' ,PERMIT FEE S......~.... PLAN CHECr. S.........:......~ . .,0/.10.'.. ....... A~DRES~/LOCATJON OF .JOB... J.:.1..~... ~.~/fz-/.4~.. ..;t)/:-;........ .i... .............. ................. ..... ... ,:PPL;~~TI.ON I SSUED FOR: ./?C!..~p.cLL~.f? A... /fj?P.'.u....:.s:.(f?____...,..;:. ........... .... ... . . . . . . . . . '. .. . . . ... ....:. ,"-- .- "PLANN I NG ZOIH NG . . . . . . . . . . . ,. flR~ ZONE.~.........,.. OCCUPANCY". .....: ...... .',~ TYP'E OF CONSTRUCTioN..-:-. ..~.. ..n.... ~Wi~ER.' "1.~r iF ..~ep:t'11.J4#~;Z.... . : . . . . . . : . .. .. .. _CON_TRACTOR._ ~~~;q-://~,.C;~?.. . . .. . . ADDRESS........... ..J:[..~.$~:/.t};M-e... . Rh.. . ...... .. ADDRESS..................... ... ::"H.....'...... ..... -. . . .~o",.. . .7I."2.L; .~ ~ ... 'H..,,'-7f$?~? ",n U C I.....:.........;......... 'S;GN~TURE-~PPLlCANT~.... .,. . ,..... ..... DATE.7.~L--./l? . RECEI~E~~'''''' i i ACCEPTANCE OF APPLICATION DOES OT INSURE ISSUANCE OF BLDG. PERMIT. PLANNING COMMENTS/REVIEWED BY. ... ?/eXY/l9 ~?>,-.ad'~ad~~~' ENGINEERING COMMENTS/REVIEwED - . . -~- SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY I; S"[ORM SEWER. FIRE DEPT. COMMENTS/REVIEWED By.......... f I- I .TRAFFIC DEPT. COM.~E!'ITS/RE:VIEWED By.......... r APP . D '" BY PLUMBING REVIEWED By.::....:.. . ".>-< APP'D BY ----- 1 WATER DCPT. SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL WORK. ELECTRICAL REVIEWED BY. SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK. \ BUI LOIN!; REVI EWED BY.. -:-.. :-:'::'-:', .~ BY , .J '-----J C~~tH:"<: ..~'.':::r .. . . . . . . . .. . .: ~ '"'" ..- DATE... "............ .J ~~ ~--=--- ,~ .. ",,-'" .' '.n \ . . , . \'<) \ _- liIi...l. . , ~ "-~..:< ./; \ \ ~... / '.. __\ . '..\ r."::> \:,' , \ --.... 'C' ",,\ . , " . --' .' \' . . ,. \ t..... ,. " , . I; < c~, \ 'OJ)' \ \ ). /', _, . \' . /l.-.---:: / ..../.; A ..._-....') ,___/-ljNo~3 N Id )L (t)" ". A IcJO .. ~.----;::' /,' ; ~ '-~\\"'-"'''''' ~ ' . '.S ,';:'.. 'j" -,," -,~ " / ", ,/.,< ,. . .' . ' ..,.-c/"" ' .,' ,\ :;, , " . .'::--. \" ,', I.'" \ \ \, "- " "'. ) -\ -,. ~ ' \ , ,'- ;; . .:\ \ '-s. ' '.::-'.. / \ ,~. __\ ~ ' t\' . ,', F-t.! ': " " ," .! \ . .' ., " . ' \ ,.,' . , . ' ' \ . ' . ' \ '. \; '. ' \~ . ' ,\' ." '. ' . \ W ' . "...'X' "".......- ""' ....... \ .' ' \ ~ . .. ' _ -;:;:' \., c r\~ "'?, r ' . '-'- . I;, ,'-., ',' , .' , :~ . I ..., \ ~ a . ,,'0' /, ,,' ,~ 1 \(' / / \, - ~~ ~., /' . . , .' . .' . ",: . ./ ,I,' .... . t ." .d"/< .1 "--::.:".., //\' '.\'':: ~ \~<.".,,<:.. ..' _ . r',"~" " ~1 ,,:--' \ .., \ ....-,/ ~." ' .," . ' .. \ \ \," ' .' . .., . .i /' ' \ ,., '. \" """ ~ _ .,..._' ,,' ' \..U \ \ I '-l...1 \" ,- \ \ ' . , \ . . ,\'" ,,' \ ......... ' ~~\ -.,. .. . "\ ............' \ ' \ ~ \------ .' . --- " I ." \ .... .'~ ' - ' .' ,\' _.J...---'-' .,/\ t'Y ' / _." ; \, :( \ cc.. \- _..-'---'..', ",-,-' \ t..- .' I . . , ,~ '. Ii'-' . \ ---<,/ \ .,.......,' \,.", \ ~ '.> \ _---' a \ ' ~ \ --- ' ,.' . \ ---~ \ \ .- '. ., . \ \ , .." 'C)/ \' I,:'''' \ ' , '- . ,.- .... ' \ ,. .' \ \ \ C", \ \~- \. \ C)." \ ,~ ' ,'C' . . ." ' . , " " \ \, \ ., \ ' ,..... " ,- .~ \ \;:/ ,\ \ C) \ \ ,_~-----\ ,..' r, _,~,\ Ii, \ \., \ . ." \/ ".;,~ \ "" i ,-;- \ ,,\ Ii\ .......-,/' ~ ' \ //"-,, . ,\, .' ,," .' ____ \ '2. 1____----, _".;..------'. ,;. \, ',', \\(','Ii //' -,---- \' "... ''', ' / ., , .,', " ," -' /.",. , ,. -- \ \ ..' ! ' . , - ",' c'''' \ Q. \ .' ,\ ' . , ,/;/,/ (I , . " ' .' ' "\ " ' . \ .' . ' ' \ .' ./ . I, ..-/i, \. ,.\ \ ) W \"-' -..." · ,': J \ .__-----...1 . __.......... <. \..U t, . !'2,\ \. 133cJ15 r---.. /--.. <. ~, . ~ . ' , . ,,-,' \ C) -:;,~.' .,'.." -., ..,' \ t ..... ' t," +J \ ..__/,~...-- --- \7. (/ / / ~ \ r \ (..... \ 'J . /"' ,,, '-, ~ ..~. , '-' .. 1'--.,,/,--1 I " ()') \. -1 ~". A ,~..' \ W \'-:,:..,',. ," ,," c- t; \ ~ \ ..' \ \. ". .'" '<-, \ I' .. C- t (~.. \ '-'- '::\ \.l) ,r-' \ \ -1 \ /- .. \r',J' <:::t \ !\'\ (j) \ V) \ ~.-\ \- ~..' '" t ' ~ \ ~ , \ I'<) ..- - ... ':-:C\ c .' '. V) '. . ,... 1: ~ --..... \___--: ."1"> .:;.-, tr:.. \,' \ r.' '.' \ ..- \';";'~" 'Il'~'''' ,--.J '';'. \ -\ ~/ ,,\ i-' 1, ~ .. "II. .. ,"=" ,'. ,..... . i N--. \" " . " \ \ ",C ,,'. \ \...1.-. ",. .. ' v J I .. ". " '-U Ii ,,,." en \ .'" ", .. \ ! " .\ vel " ~ .... '.' \., .' ' , ,,' \ ." " ..,; <," \n \,'\ \ ,/;~:, ~,~ ..' \ ,- .,' \ \ \ t. ,'t'. \ " '- \ p e <I: .. . e -- e INS P E C T ION S ----------- Inspections Required For Stated Construction . BUILDING DEPARTMENT D FOUNDATION D ELECTRICAL 0 INSULATION o POST & BEAM o PLUMBING 0 SHEET ROCK OR COVER o FRAMING o MECHANICAL [] FINAL ~' ENGINEERING DEPARTMENT [J FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK [] FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK [] CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES [] PIPE INSTALLATION PRIOR TO COVERING FIRE DEPARTMENT o LIFE SAFETY 0 FIRE CODE .- [j FIRE EXTINGUISHING SYSTEM 0 SPRINKLING SYSTEM [JREMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN FLAMMABLE MATERIALS \ Allow 24 hour prior notice for all inspections. Emergencies will be handled as soon as possible. If required inspections are not called for and made by the necessary City Departments, a Stop Work Order will be posted until necessary inspection is completed. Any materials hindering the inspection will be removed so an adequate inspection can be performed. All completed structures will have a Certificate of Occupancy BEFORE the structure is occupied. If a structure is occupied without a Certificate of Occupancy, the City will have the water utilities removed and order the structure vacated until compliance is achieved. I have read and understand all the above that pertain to the Construction at . (address) SIGNATURE DATE TITLE . . I L_ --------- ------------ .. e- . e e .. . ( PER M ITS ------- . Indicate below what requirements, permits are required for this project. . PLANNING DEPARTMENT o SHORELINE o REZONE 0 SPECIAL USE PERMIT o VARIANCE o SHORT PLAT 0 CHANGE OF SITE PLAN (JENVIRONMENTAL IMPACT ASSESSMENT [JENVIRONMENTAL IMPACT STATEMENT BUILDING DEPARTMENT DBUILDING 0 ELECTRICAL 0 DEMOLITION DMECHANICAL 0 GRADING 0 SIGN o HOUSE MOVING o PLUMBING ! ENGIREERING DEPARTMENT []SIDEWALK CONSTRUCTION 0 STORM SEWERS 0 DRIVEWAY " , 0 CURB & GUTTER CONST. 0 SANITARY SEWER CONSTRUCTION []STORM DETENTION REQUIRED [JINSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK HEALTH DEPARTMENT o SEPTIC TANK D FOOD SERVICE . . --;-,----,-;--..------,--,---, --,---- - -_.~,. "..,..,.".~~'".. - "~.", ,~ .-" ~ ~ .~ ~-- 4~ ~........JIl:F .""'''''_~~''',W.~ -~? ..-._".>~ . . 63J t}(?_ .i :)"', '~1,5 ........... :.~_....-'...-;;.. ..-1 Y..~ ~'" CJ N 9 42321 Fee $_n...........::;:;gJ.;.~1."__mmn...h.nmnmmnmnnm ReceIpt No. m.m.~....'"n~;nmmmmm.mmnn..nmn.. . BUILDING PERM IT V CITY OF BREMERTON . BUILDING DEPARTMENT F. E. IRISH, Building Ins,pector . ESsex 3-1411, Ext. 36 Owner's Value Bldg. Dept. Value'DESCRIPTION: . . 1. ",,', .,.l:) '" $ q'10,..,:.' 0 ,;) rI'..t;.t-;~./.;!..::) d .2J C" Lot "'? .,11' Block Additions /~.t:...::::':-&G:..x,"..JfI.;>IL ':;;:>:;;" Address on Job ",:?..11'l:._ _&,(~..z~~'f;_.. ';~?t'.,(' __ ~?4'{.:~&_~;'L_ n moo 00 m _00___._ _ __ _m '_n ___ __ m 00 Date /.~?'1.:.::,fL?.::_:l..l__ moo n_ n_ 00 _00 __ Building __n_._m__n__ x ..m_.__m__._ and _n.__nm__n. stories __m.nn____nmm_. basement. Lot m___.____._m x m_mmnm_ Front Yard __.___mUm_m_.n__ Rear Yard _m_".__m_m....m_ Side Yard _n._m_m_n___.__m Garage __m__.m_n._n___m.nm Occupanc:y __ -00_ .__. _ _' 00 _ __ 00_ _.00 _ _ _ _. n_. _ __._ __ _ _ __ _ _ _00 _._ 00 __. __n 00_ _ _ 00_ __ _00 00_.. ___ u. 00 __. _._ 00__._ 00'_ _ Zone _00_ n' __ ___ n_ n _00 0000. _00 .__00 _00 nn__ 'i..~J , .. ! I Add ,,' ,', ' Owner u""'!:(:~:(_:;{~_ __ __1i....!.I!-:'::;zrf-!c";.::,_ n _ _~.JkY':,.d!~:' n 00_ n _00 n __00 .._ u. ress ___..,:c.,p::,~r.,;Cd"__ n.&<e...!.., 00 00 _._ 00 __._. Phone 00 _ m ___'_ __ __ 00 j Contractor n ___._ ___ _ _n_ ___ _00.. ___ n_ 00 00_'_ __ _00' 00 00 n_' _'00'_ n '_n 00_ 00 _ _ Address 6~~ 00 00 _n..._ _00 00 00 _ n _._ _'__ 0000 _ 00 n_. 00 Phone _ 00__ 00 __._ 00__00 This permit is issued for: .. ,,7, ..,.. . . . .;9.'- {r' ,( ......, , & ... ,'7 1~~t~!:~~~{}~~:;7~~~:;;~:.;~;f~~:~:::~~;;'~,i~,~~:~'~~:~~:::::~::~::~::~::~~~;.::::~~~<'::~::;~~~~:~::.:;~;;;~::::::.~~~~:::::::: . ,...1 ~ ~~;' f~7'!f, ~ ./( ,.t)" .'./ .. t ." \ I~ ,/ t ~ ~.!!' ,ff:_A~(":_ .__~",!t,L~_."t: ___ _ .~_ _ __ ::?:<::if.: .=_ __._ _ _ .,..,~_.z....l_ - -..?_~_ __ __~~_..t"6{',,,,__,.i.. __ ___ "g_ (: __,A_.-_", _ -"-'-",4--- .-,-"",1.~,t-<:_,,-..~,_ _____/..;.:'''-c, ..;:""",t._. - ~ - ." - /" ,.;1.. l'~ -... d')~ ~ . .,P~':;;" .......-- ~;;;.. All work to conform to all applica6le building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Re'info,rcing steel must be inspected a,fte,r pladng and before covering. FORMS shall be inspelCted and appro,ved before pouring. All plumbing, wiring and the fra,me of all buildi,ngs must be i,nspected and a1ppro,ved before corvering. Wood pre'servati:ve to be use,d on all wood a,gainst maso'nry. Ve1ntilate fo,undation and attic. Sepai. rate permits reiqu,ired for plumbing, wiri1ng a,nd he,ati,ng. Se'e City Engineer before wo,rki'ng o'n streets olrside'walks. ................00......................_...................................................................................................................................... ................................................................................................................................................................................ .............. --................................................................................ - - - - - - ~ ~ - - ~ - ~ - - - - - - - - ~ - - - - - - - - - - - - -" - - - - - - - - - - - - - - - - - - - - - ~.. - - - - - - - ~ - - - -.. - - - - - - - - - - - - - - - - - - ~ - -.. - - - - - -.. - -- - - - - - - - - - - -- - - -.. -.. - - - -- -.. - - - - - - - - - - - - ~.. -.. - -- -.. - - - - - - - - -.. - - -- - - - - - - -.. - - - - - -.. - - - - - - ~ - - - - --.. - - - -.... - - - - - - - - - - - -- - - - -.. -.. - - - -- - - - ~ - - - - - - -- - - - - - - - - - - - - - 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V { J ./..... '-"~;,,t: ~7'/ -' ,...<;11".- .___ ,. I"'t' ~f.'",.. '7 cJ /.. 7,1'''-'-7 \, If, (., ,~'~/. ~ ....-. -::;'f// ,/ I' '? -; f'" -. ...':,.....l<' Owner s SlgnatureL..,1-,~n'1t_:;.__u~ :__"''", <~--';:'_-,.P---='--..,;""7....c.{c":'-n- By -,'.-:-:~_,,:'..-"'-""",,...--_-~--.,-n"--~,.(~~..' ~~.....""#_~...../~_:...,/:" .. tr .... t.........- "'--.... --" "';.4-';1"'~ . ~--::;#... <Jr. -- ~P* ,..,...-.i:.....-:::~ C1f>o'>> .;...<";,:....---:.. ~'> ~............. '{:;.....~~..:;..~,--{......{.;'" "",;,.::.'f';';;r Onn'lp .,l".,,., ',' nrn." I',T R,~n, ,..., ' , t, ',' ,.'" , HIS AuthorIzed Agent ' ", nl'!I'lf ''''to'' "" ..,nro utIL hl~IJi i dLi; \~i..!J.l\[ Building Inspector --noi..~-.t.~~n._________n_nm____m..m__,__._m__.______.m_m BEFnnr l'!1r,','r,"","".1",',!'1 S'P!, -,",..,,'p' ~ U,R UGuUI~i i~~l1 'U;UJ:l\~J , ~ OF ,U By _nU_n__ .~-..--n...--.----..-nu___..__n___.._..____...._nu.u_n__un_n__ l, ;1."',1 /)1'7T PiA"! 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I -.. ---. -..,. -,._~",-.~,".., 2 5" I 26' .".,.-1-- /r:;3.t :2 (// ,- t ~ .__.b_._ i l B5f1NI EI. l (I'> I "-l f i 100.5 j ,... l fJ') - +,1:'1[;' /, 'PSi ' /IPB S f'\ t,o;::.,. -I . \J ~ ~ r i ft l..tj, 0 :J3DC , , ! \:J i.i) , ~ ~Q ;.;, t{) I . - it'i '" t'-. rtJ .- 9"---/4..f --;1l\J}---'---:- I V ?' 5' it}-. f __ __,,,....._,___,_,,... .o......;.S',_ ~._" ('\ ,- ' ! )>- , /8 'A"rh-i'''' , .." ...' (JI'I ,JJ I " ' '1) I .URI If!;' k'A Y i I \) I' i I "f.' -< I __.e _...._____.._~~__.__~,,_,..,...._,~,.,."' , - " I 1,:,2 ~', C." .......i I i ..~ /" (';J- ---....----.. . ~ C? 0 - /'<.;-----------..,--....,.- ._,.__. . ...s' ' I ~o.SZ,----- --, 1 -. .----------... /0 \ Y' \ '0' \ .. /\ \. .../ ".,}-;.x~"j.;,' t "w .. . ;.''< BUILDING PLANS ROUTING SLIP Name ~/U'// \. 2L.""",/",../ \.......J...z."'..A" ../ Type of Construction NEW ~ REMODEL ..tffA -t~Z-& ADDITION Address "'#7J1i' ~F~~-J'"' ALTEJIlATION Phone Building Dept. Approval q ;r:;fJ-.., Date Received /P ... ,:J, /- 7/ Date Permit Issued TRAFFIC ~ DEPT. Initial Date Received Approved Date Approved Not approved Comments Correction - Not Permit ENgINEERING DEPT. Approved Approved Correction feequired ~ Sanita~ Drainage V- I V' Storm Drainage Gas Hains - Underground Utilities Sidev,ralk fvf2 Driveway I/' 1/ Date Heceived Comments S~ cl"-<?.,.;......_.~ :5 tit..47. Date k:-:rproved Ie /1..1 / 71 f'..~.A'~l.;J;; ,fVl"'"'"'""- (''-'f' ~~" f ~. ~ /U.r~cL ~-I'~ -L ~ 5~.~ ~ f)~~/tJt:2 ELECTRICAL DEPT. Initial '", I Date Received Approved Date Arrpoved Not Approved Comments Correction PL mliBr NG, DEPT. Initial \ Date Received Approved Date Apprpved :' Not approved Comments ~ Correction ~