HomeMy WebLinkAboutE. BROAD ST., 1009
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BREMERTON BUILDING DEPARTMENT
Inspection Report
Scope of work: SFR with attached garage Permit Number: 96...,0704
Address: 1009 E. Broad St.
I' Owner: RPH Canst. Phone: 377-8370
Contractor: Keenan Design Inc. Phone: 377-8370
FOUNDATION
Inspection card/approved plans on site Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
Bearing soil (soils analysis if applicable) Special inspector (when applicable)
COMMENTS:
~ ~~ //P~/4"~
FOOTINGS APPROVED: WALLS APPROVED:
FRAMING
Electrical approved Plumbing & mechanical approved
Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth
Positive connections posts & beams Foundation vents
Posts properly supported Anchor bolts: nuts & washers in place
Mudsill: treated material Floor joists: size & span
Beams/girders: size & span Notching & drilling: joists & beams, studs
Smoke detectors: all required locations Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom
Fans terminating directly outisde Range hood
Dryer exhaust vent All vent terminations: windows & property line
Fireplace combustion air Windows: meets egress requirements
Windows: proper U valve Windows: safety glazed where required
Ceiling heights Stairs: headroom clearance
Stairs: rise & run; proper width Fireblocking: wall to ceiling, furred walls every to'
Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers
Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates
Sheetrock backing Wall bracing -
Rafters size/notching Trusses: specs, bracing
Attic access Attic ventilation
Wall & roof sheathing Shear nailing
- Building dried in
COMMENTS: ~ h; I/A,Sv/~ (S""e.L. . ~J)
(~) I /Z1/~' .
~ 6", eo-
APPROVED: ~/~ z:h~ ~
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ENERGY CODE COMPLIANCE
Insulation: proper R value Insulation: proper fastening
Insulation: vapor barrier Bottom plates caulked to floors
Penetrations caulked as required Electrical boxes gasketed or caulked
6 mil black poly in crawl space
COMMENTS:
UNDER FLOOR/FOUNDATION INSULA T7~ROVED:
WALL INSULATION APPROVED: ~ _ CEILING INSULATION APPROVED:
.- -
MECHANICAL
. . Appliance clearance to combustibles .
Appliance location and access, proper support
Venting: clearance to combustibles Venting: size & support
Vent termination Combustion air
Ducts: size & support Gas pipe under test
Gas pipe: size & support Gas pipe: underground min. 12" below grade
Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance
Gas logs: safety shut...:off Gas logs: damper permanently open
Woodstoves: EPA certified Wood stoves & fireplaces: Tight-fitting doors
Woodstoves & fireplaces: proper hearth Manufacturer's specs on site
Chimney liner: when required Chimney: separate flues when required
COMMENTS:
GAS PIPING APPROVED: ~~($1..) FURNACE APPROVED: Il1..'i 1'1,
OTHER APPLIANCES APPROVED:
PLUMBING
DWV & water piping under test DWV: proper grade
DWV: proper sizing DWV: proper drainage fittings where required
DWV & water piping: proper support DWV: required cleanouts
Vent termination All fixtures vented properly
Water supply: proper sizing Shut-off valves on all fixtures
Water heater: gate valve on cold water supply Vacuum breakers: where required
Water heater relief valve drain to outside Water heater: siesmic strap
R-10 pad under water heater when required Water-piping insulated as required
Grease traps/interceptors: where required Proper indirect wastes: where required
COMMENTS:
~ ~
PLUMBING GROUNDWORK APPROVED: 1/3f,
Proper fastening: nails-7" O.C. horiz. plane nails 8" o.c. vertical plane
Proper fastening: screws~12" o.c. horiz. plane (1/2") screws-12" o.c. horiz. plane (1/2") 24"0.c. framing
Proper fastening: screws-16" o.c. vert. plane (1/2") screws-12" o.C. vert. plane (1/2") - 24" o.c. framing
Proper fastening screws-12" o.c.horiz. plane (5/8") screws-12" o.c. horiz. plane (5/8") - 24" o.c. framing
Proper fastening: screws- 16" o.c. vert. plane (518") screws-12" o.c. vert. plane (518") - 24" o.c. framing
Area & occupancy separation walls Draftstops where required
Usable space under stairs (5/8" required) Waterboard where required (not on ceiling)
Corridors
COMMENTS:
SHEETROCK APPROVED: ~/~ t-t,,9.?
, FINAL
Energy code requirements met, exhaust fans Plumbing & mechanical
Garage/dwelling door self closing solid core Smoke detectors where required
Handrails & guardrails, as required Fire ratings maintained
Exit signs when required Emergency lighting when required
Occupant load posted when applicable Building weathertight
Wood siding to earth separation (6" Building Address posted
Radon monitor when required
COMMENTS: ~ J!JJ Itt"',-v:ftff\ - ~ - (etv~t;h~/r5 ?jtJ 0 ehvI4/- (r-V
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FINAL APPROVED:~ 111'1 ., 11
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CITY OF BREMERTON - BUILDING DEPARTMENT IO()~ l. J5'1b-.vJ..
478.5275 - 286 FOURTli STREET, BREMERTON, WA 98337
INSPECTION REPORT PERMIT NO. 1(, -()7Jtf
es until the above
Do Not Remove This Tag DATE
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BRE:MER'TON PERMIT CENTER
286 4th Street~ Bremerton~ WA 98337
Phone:; (:'360) 478-.52.7.5 FAX: (:~6()) 478-52.78
BUILDING PERMIT
Job Arldr: 1009 F B~OAD ST Permit No: 96-0704
t I I ' · 009 1"" nrWAD I"'f (, T 1 f: rmnADMnnr~ V TI I I ("'I"" ) St at U €l : I SSUE::D
..,DCil"; l on:: ,I,,' ':::, ~' , "'.. .::l ....' ,) ::,' .. '.. " ',.., ,..1"1 '~~:,
Raree] No: 0224011-028-2000 A~']lerl: 11/01/1996
( Issued: 11/06/1996
Applicant: KEENAN DESIGN INC. ::160 "":::l77 ,.. 'B::1'70 ExpireB: OS/05/199/\
t PO BOX ~~?8 rn~EMFRTON WA 98310 ~'
t OWrlr:'lr: r:'PH CONS"!,
3331 KITSAP WAY BREMERTON WA98312
Cont r act or = t\;t:::CNAN D,C:S I ON I NC " 360-877-8371..1c #= KEENADI055NC Exp: 8/2/97
PO BOX 3028 BREMFRTON WA 98310
Subcont: r ::
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Vi:iluat ion :;(, P~:!'I'm:lt Ff'l~:l€l:: 14tL4~:) 'fatal Calculated Ff:\l€i:: 1 p ~::~OO ,,84
'79p62El,,90 ,~ Plan Ch~;!ck r;'f:)eB~ ::19;:~ "Bl; Additional FeeB~ ,,00
* Ot her I:::' efm ~ ~:')'1 " 50 Tetal Permit Fee: I, ;:~OO "B4
*********************************************************************************************
, ' MECH'''6as Furnace to lOOk btu,,:
MEeHAN I CAL/PLUMB I NG F I XTURES.,,- MECH-Ran~le G W If I ~ " '1 I M W ~ R ~ W Q ~ >> f U: 1 1
MECH-Gas Piping (out leb3),.....: 2 MECH-Exhaust Fans.............: 8 MECH-Range Hood (res).".......: 1
"
MECH-Clothes Dryer",...."".,: 1 PLBG-Water Closet....".,.."..~ ~2 PLBG-Bat ht ub, .. . . , . . " . . . , . . . . . : 1
PL8G-Lavatory".,..".....~..,.,: ,., PL.BG-Show(~r . . . . . , . " . . . . , . . . . . : 1 PLBG-Kitchen Sink.....,........: 1
.;,
PL.BG-Dishwasher............,..: 1 Pl.BG-Clothes Washer"...........,,: 1 PLBG-,Water Heater....""."....: 1
PlBG-Hose Bibbs".".".........: "
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Thi.s permit shall become null and void if thE~ bu' din9lr ~rk lorizecl by this permit is not c()mmenC~f~ ,within
180 daYf:1 from the datEl of sllch permit, pr if thi bull in 0 work authQrized by such permit is suspended/or
abandoned at any time after the work is commenc d for f >ri('Jd of 180 days. "
NOTICE ~ It iathe H"lsponf:dbility of the permit: hold' , not the City of Bn:'Jmertcm or Buildin9 Official to see
"'I,to it th;J,t required inspections are madE!. The::lermi holder must notify the Building official when ready for
. '4iJ!spections/Failure of the permit holder to npti'f: the Building Official of requir€1d inspections may result
m,,,,t,hestoppage of the work until such time tha ' IS permit holder can substantiate to the buildIng official
tHi''ft'~lhe, concealed work meets or exceeds code requirements" Any demolItion, testing, or financ:ial burden shall
be borne directly by the permit holder, Failure to subBtantJ.ate code requirements wIll Indemnify the City
against any and ('ill responEdbj1~t;y\,)~y.abiHty ccmnected wIth the cCiT'1struction"
.;--- .
r hereby certify~t r have;cr::a?rld examined this permIt and know the same to be tru€~ and coned. All
Pio\;ision~~ o'~~ws,ar~.~:l g,rarfian ~t~ governing thIs type r.1~; work wil~ l)e comr~1ie71 with whe1thtH' EIPecif~ecl herei.n
or mlt. ThEl, m*!p~-l51 ,'(mlt dOE!S nCI1: presume to gIve authonty to vl,olate: (jr cancel the PICivIsions of
any otht3' eta e:or 19C' aw regulating construction or the performanci3 of cClr1€ltruction.
Signalure. _A. /- Dale' // L~t.
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I c:cH't;H !/that I~"exempt from th!:1 rc~quirements of the f~tate 'contractClr 's registration li~w, under
Sect ion ?!.,-ChBPter 126, lawr{ of 1967.
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BR MERTON PERMIT eNTER
286 ,4th Street it B.reme'('ton~ bJA ~iJ83371
Phone:: (:360) 478,.,5275 FAX:: (360) 4.78-:-5278 1
Buildinq Permit No: ~6-0704 I
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t ::rob AddrE:')!:'~~;,:: 1009 E:: BI~OAD s'r StatuE;:: I~::;~::;U[:D '
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~ R F QUI R [D INS P E C T ION S
I t (~':)m:: 011 00 F::'ClUNDtr.~"r I UN "F'CJ(JT' I NC'~~::; Dep'!';:: i3l...0G 0 :1. v 'i. stem ~
I t ~::)m:: 01. ::?OO F'CJt..JNDAT I ON"W'lL L;::; O(q:'l'f;:: i3LJ)(:~ D:i. v:i.. E,:1. on i;
Item: 01400 MECHANICAL Dept= BLDG Division:
I t ~:':~m:: 01 !::iOO PLUt1B I NG (?mOUNDWOF<t\ Dep'l';:: AL,DG D:i. v:i r::~:1. on::
Item~ 01600 PLUMBING ROUGH-IN Dept: BLDG Division:
Item: 01700 FRAMING Dept: BLOG Division:
Ite~: 01800 INSULATION Dept= BLDG Division:
, Item: 01900 SHEETROCK NAILING Dept: BLOG Division:
Item: 02150 CROSS CONNECTION CONTROL" Dapt: CROSSCC Dtvision~
Item: 02700 FINAl--ALDG Dept: BLOG Division:
***MM***~******M**M*****M*M***M***********M*****M*****""*""*""""*""""""*"***"*"*"
TESTING: Must be recognized by the Washington Association of Building Officials
SPECINSP: Must be registererl with the State of WA
ST OF WA= State uf WA Dept. of labor and Industries 478-4921
HEALTH: 8remerton/Kttsap Health District 478-5285
......----~ '
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P(nmit No~ 96'.,0704 l}"P(fI~ f':lIDG HI.nGi PFnr'11'! W/MFCH/P 1
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A(;count Code nfJ~~cr j pt j (HI I~mount
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BREMER TON PERMIT CENT~R
, '286 4th Street;. Brelnerton. ~A 98337 ~,'
Phone: (360) 478~5275 FAX: ,( 360) 478-5278
BUILDING PERMIT
Job Acldr : .1009 E BROAD ST., ' Permit No: 96-0704
I . " t ' . 1009 f.'" 1~)I':l["lAr')- ("'''1'' (I "I" 1 L 1::lf:l('lADMOOR V I'I 'I AI"I'''' ) (;.t "t c.' p' ENn '[ Nt':. ,
.,,,Clt;d , 1. on " ,'.:.:~', ,,"I:. ,~) "" .1.\:) fo .,. . ". "" , .. :::, ,.:;l a Ud. .:, I..J. \.::1
I ParGel NCl: 022401 i ""028-'~:~000 ", A~P 1 ieQ:.l1/01/1996
,[ ssued ~,
Appl icarlt: KEENAN, DESIGN INC, 360-~~77"~B370 f.~xpi.res:
PO' BOX, ~:.10~~8 ElREMERTON WA 98310
I Owner: ,FPH CONST
3,:~31 KITSAP WAy 8REMERTON WA 98::11.2
Contractor: K~:::ENAN DESIGN INC. ~160,,"377-8:37Lic:ll:: KEENADWS5NC Exp:8/2/1n
pO 80X30~~8' BREMERTON WA 98~11 0
SUbGCl1'1tr:
DeElr.:: SINGL.E ,FAMIL.Y, RESIDENCE W/ATTACHED GAf<AGE( MODEl..".C
~,*********************~,************.~.~*;***,************~.*~****,****************.*****************
Valllation" *', ,perl1'(it Fees: '74~l.45, TCltal Calcul.ated Fee,: , 1 ;200 ,B4,
, 79,62B,?0, *, Plan Check Fef..lf,3: 392.B9 ,Adclitir.mal Fet;:!8,: ' ,00
" l"lt'~ ' F' ' '. ~o S'() .r ~ I ~ 't F" 1 200 B4
, ' *. "dler, ,ee~l. ~~7."" ,o'"ar erml' ee" .1. ,. "
*********************~*******************~***************************************************
MECHANI'CALlPLUMBING FIXTURES-- .MECH-Range... .. . ... ~ ~ .. .. ....: 1 'MECH-Gas Furnace to lOOk btu.: 1
M~CH-Gas Pfping (out lets)..; .: 2 MECH-Exhaust Faris...... ....: .: 3 'MECH-Range Hood (res)~.......: 1
MECH~Clothes DrYer.. ..........: 1 PLBG,:,Wat Closet............: i 'PLB~-Bathtub',;""",,,,,,,,,: l'
PLBG-Lavatory.. .... . . .. ..'. ;.. : ~' PLBG- ower... .. .. .. .... ....: 1 PLBG-Ki tchen Sink............: 1
PLBG-Dishwasher q .... .. ......,: J .. ....: 1 lLBG-water Heater............: 1
P~l"Li~S"'~""'",,,: 2 . . UC ( . '.
*****~~****~***~:*~**** . **************. ~**************** *************************~*****
This permit shall become, null a void if the building or work authorized by this permit is not ,commenced within
180 days from the date 'of such permit; or i (this builclingor work 9uthoriied by such.permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days., '
. . . ,
NO~ICE - It .is the responsibi lity of the permi tholder ,not' the' City of Bremerton or ,Buildi n9 Off~cial to. see
,~it that required inspections are maqe.' The pernlitholder must notify the BuildingOfficialwhen'ready for _
J~iPections. . Failure of the permit holder to, notify the Build.ing Official of required inspections may result ,...
in\the stoppage of the work until such time that the permit holder can substantiate to.the bu-ildingofficial
thit the ooncealed ,work meets or exceeds code requirements. Any demolition,',testing,or.financial'burden shall.
be borne dIrectly by the permH'holder. Failure to substantiate code requir-ements willindemni,fy the City' ..
" against ariy and all responsIbility or liability connected with the constru~don." " "
,
1 hereby certi:fythat 'I have: read and examined this permit and know the same to be true and correct. A'll ..
provisions of laws and ordinances, governing this type of work will, be complied with whetherspecified.heredn
or, not. The granting of a permit does not presume to give authority to violate or cancel the pT'ovisionsof '
any other state or local law regulating construction or the performance,otconsti'uction.
. ' . . .
Signat ur e : ...,__.:...__.;..:..__...;.;....;_______;;._________~______.,..~__________... Da t e : _____________________________~~ '.'
1 certify that 1 am exempt fr.om the requirements of the state contractor's registration law, under.
Sect1onS,'Chapter 126, laws'of ,1967. . ."
Signature: . .' . .' , " .'. " '. ..Date:'.., ". . "
------------------------*------------------------- -------------------------------..
**********************~**** ',' . , . . ,
, Pr.~rmi. t Cf~nte'('''.''.':Approveld' ,BY :_._............~..."""....,..,.....,'''".............. Date: _.........,....._'..","'......"".."."..."","'."....,,_,..... ' , , '
I ", '.
... ~. ,. ...
BREMERTON PERMIT CENTER
I 286 4th Street, Bremerton, UA 98337
Phone: (360) 478-5275 FAX: . ( 360) 478-5278
! . BUILDING PERMIT
i <JO~ ~d~r: 1009 ~~ ~HOAD ;:: "..',.' ,,:' :"::' per~~'~ ,NO~ 9~""070~
I LClt.ation. 1009 L 81iOAD ,,,II (1...,116 f3ROADMl..lOH VIl....I..Abt) ,,)tatus PE.NDINb.
Parcel No: 0224011-028-2000 Applied: 11/01J1996
I Issued:
Applicant: KEENAN DESIGN ING. ~~60""37'7""8::170 ExpIres:
PO BOX 3028 BREM~RTON WA 98310
Owner: . .FPI"j CONS"I". ,
3331 KITSAP WAY Bf<EMEFHON WA9831~:~
I" 't' t ' K'f:-r"NAN I)Ec']'("N 'I'NI'" '3J.() '3'77 t:3"~71 j .Jj,. K~r"'f."'NA I'(")""t:.NC E'" . 8/~"7
...on r ae or: ::,,:, . ,:..:) , :J " ",. . I::) ""'" ''''t ,:, .."" C 'If" t:, ~,' , .:).) " xp " ,,,' ~
PO SOX 3028 BREMERTON WA 98310 .
Subcontr: .' 0./1 C~ ~/o/V\,
[lese: ~iINGI....E FAMILY RESIDENCE W/ATTACHED GAf~AGE (MODEL. B fvL D ~ C-
.' '\ I -- S -qCo o/.0/n((J
******************~**********************~*************************~*************************a~jI
ValuatIon *. PermJ.t Fee~~: 698,,9~:; Toted Calculated Fee: 1,1.19.1'7 ~
69,634.90 * Plan Check Fees: 360.72 . AddItional Fees: . . .00
* Other Fees: 59,,50 Total PermIt Fee: 1,119.17
*********************************************************************************************
- .
MECHANICAL/PLUMBING.FIXTURES-- MECH-Range...................: 1 MECH-Gas Furn~ce to lOOk btu.: 1
MECH-Gas Piping (outlets)....: 2 MECH-Exhaust Fans............: 3 . MECH-Range Hood,(res)........: l' '-.
MECH-Clothes Dryer...........: 1 PLBG-Water Closet............: 2 PLBG-Bathtub.;...............: 1
PLBG-Lavat ory . . ..; .. .. .. .. .. . : 2 PLBG-Shower .. .. .. .. . .... .. . .. : 1 PLBG-K i t chen Sink............: 1,L.
PLBG-D i shwasher .... .. . .. .... . : 1 PLBG:"C I othes Washer..........: 1 PLBG-Wat er Heat er .... .. . .. ; .. : 1
PLr~ls~t..........;....:. 2~.. . 2- . .LA E" .
I. -.. . .... \
*,)H~*!**,)f*i\*,)f~,w*** * *')f ')f')f')f* ,* * ')f')f , " ,****~,**,)f******,)f*,***.**,**~,,*,*,)f.**,)f,****,)f*****,**************,)f,***.)f
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days from the date of such permit, or if this building or work authorized by such perrilit is suspended or
abandoned at any time after .the work is commenced for a period of 180 days.
NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see
to it that required inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holder to notify the Building Official of required inspections may result
in the stoppage 6fthe work .untilsuch time that the permit holder can substantiate to the building official
that the concealed work meets or exceeds code requirements. Any demolition, testing, .0'1' financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability: connected with the construction.
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 authprity to violate or cancel the provisions of _
any other state or local law regulating construction or the performance of construction.
- . -
. .
Signature:_____~____~_______~_______________~______~________ Date:_______________________________
\ I cert i fy that I am exempt from the requirements of the state contractor's registrat ion law, under
~ Sect ion 3,. Chapter 126, laws of 1967.. . . .
\ i gnat ure: __~___..;..____________..._________________________:____ ." Oat e: _____,__________________________
~**~~*~~~**~****~*~*~****~ '. '."
sm J. l. Ce.Tlt er -"'''Appr oVE.d By. '''"._.....,_'".."'".....,_..."'....:~......".....,,..:,,... Date" ._"..._._..,..""..,_,.""'"..,,........._"'''........._,
~ .
-.----.,~,:,~~---.-,,-c--~-.............."~-----~--..,----~>,----, ~~~ ~-------.- ------ ----,
..,~--- "t,.... ,
BRE.ME_R'-C~N PERM X T' Clt::::",N-rER
28i5 4th Street i' Breme:rtoni' WA 98::~3.7
Ph' . (~' 0) 478-t:::":rJI€.- FA)<;':: (360) 478-5278
[ onE! " ,.6 . , ,_'.€.,.' M1
BUILDING PERMIT
! Job Addr:l009 F BROAD S1 PRrmit No: 96-0704 I
Loci:rtlon: 1009 E BI:~OAD ::~'r (1,"1' 1.6 rmClADMOOI'~ VIIJ.AGr::) St at us:: PEND I NO
I, Parcel No: 0224011-028-2000 App)ied: ]]/01/1996
! IBBued: ;
r APplicant: KEENAN DESIGN INC. :~(':lO""3'17"'B:J70 r::xp'lres:: ~
[
PO BOX 3028 BREMERTON WA 98310 J
J
Owner: F'PI".1 CONST
]
3~3J KITSAP WAY 8REMERTON WA 98312
r Contractor: KEENAN DESIGN INC. :360'''::l'1'7".B371.,,:I. c :11:: 1<:1:::r::NAD I 0!55NC EXf): 8/;::~/9'l j
l PO f:lOX :::1028 fll<[ME:F('l' ON viA 9B:::l] 0 1
, j
i Subcontr: l
"j
D'" "'" PINel 1"" f''^MTI Y f~rf"'DI'N(,'I" tAl 'A"'TAC'HFT' (,Al~AfT' (MOnrl C j
, r,:H:,H. t 11 ~~ ,.. '4 ',". ;:~, "1"'1 " " '; ~:') J ,,',:, "t ,:"" . I ..., ", f " -",.) ~ '.'r' ,~ ,',~ ":, ." " ,::." d
,
1
********************************************************************************************* J
,
Valui:it Jon .* Permit Fl':":e!:.l:: 'l4B ,,4:::) 'rotel] Ca]culi:it~:;d Fl'!;)~'l:: 1 i' ~::OO , B4- i
i
19 ~ 6;;::F.l " 90 .* Plan chl'~ck Fe(;'l~j; :39;'::: "B9 Additional Fees: ,,00 'J
.);; Ot het' F'E'lea:: ~l9 ,.bO Total Permit Fee: 1 9 ~)OO " B4 1
.' I
\ ********************************************************************************************* J
[ MECHANICAL/PLUMBING FIXTURES-- MECH"~RaT1ge P )I II lr iI II M I ij II H II ~ I " II lJ II II : 1 MECH~Gas Furnace to look btu.: 1
!: MECH,..Gas PIping (outlets),.,,: 2 MECH-Exhaust Fans.."..".",: 3 MECH..Range Hood (res).,,,...,.: 1
,-
I MECH-Clothes Dn'er,,,,.,,,,,.,,: 1 PLBG-Water Closet........,.,,: 2 PLBG-Bathtub...,......,.......: 1
~ PLBG'.Lavatory. , . " . . , . . . . . . . . ,,: 2 PL8G~ShowernK~b~..~RnnJ.zu~uiju: 1 PL8G-Kitchen Sink............: 1 i
.1
, PLBG..{)i.shwasher. . , , . , , , . . . , . ,: 1 PL8G-Clothes Washer.......,..: 1 PL8G-Water Heater."....,."".: 1 i
~' PL~,~itN' 'f' 'K} ~
,
t i
f *********J**\*.~.*,~*;*~*~**************************************************************** :1
.1
'j
This permit !Shall become null ,':lnd yoid if th€~ building or work authorized by this permit is not commenc~1d within J
180 days from the date of such permit, or if this buUding or wnrk authoY'lzed by such permit is suspended or
abandoned at any time aft f.)r the Wllr k h~ commenc(.:;d for a perl oel of 180 days, ;j
NOnCE: .... It is the responsibility of the permit holder, not the City of 8remerton or BuUding OfficJ.al to see i
to it that required inspectj,()ns are made. The perml.t holder must not i fy the Building Official when ready for
inspect i ems, Failure of the permit holder to notify the Building Official of required Inspections may result j
in the atoppa\J€l of the work until such tIme thZlt the permit holder Can substantiate to the;! building offidal ]
that the concealed work meets or f.~xceed8 code requirements. Any demolJ.tion, testing, or financial burden shall
be bornf.:directly by the permit holder. Failure to substantiate code requIrements will indemnify the City 1
against any and all responsibility or liabIlity connected with the construction, j
l
r hErreby c€n'tJ.fy that I hav~) read and €lxamined this permit and know the same tCibe true and correct. Al.l
j
provisiems of laws and Clrdinances governing this type of workwi11 be compli~1d with whether specified herein
or not. The grantin~l of a perma does not pHiSUm€J trl gIve authority trJ violate or cancel the PHlviB10nn of
any other state or local law regulating construction or the per'formance of construction,
S i ~ma t u r e : ._.._ ___"__..."."'.....,.."..._......_...."_...".._..,__'"'.._,.._.._,.._:_._.____~"....._-...._._ Oat e: mo.__ .___ .__ _.,__.__,____ ..____ .,_..__ __._
I certify that! am exempt from the requiremr:mts of thestatJ contractor's \"egir~t'(atici!i law,under
Section 3, Chapter 126, l.aws of 1967,
~
Date 1
LI-0- l~";!"
\")Ti €,,,. - . ; .. "--,:;,-':- __ __ _~ ~_"_~__~ ~__ . _..d J
I: .. '", .. c . . ;,,,,,... ..,......""...''''..~:;''''~::'.~i:~i:f
r~~-~-,-~;c;:-:'"';~,"7'~~'- ~.'~- ---, 1y",\>;,~",,\"h:n.~"''''-''' , ;,~, ,,'c',..... ,. 7,,,""'- . "~;f
, ..
....-,.~_. -.:.... .,
."
Br~E:ft"'1le;R "'&"" fCIIN ~)1 iE~": Fit f"1 ::[ ':Y"" C~ IE?: N"-Ib'"! R
.~:?!iM< ,If'!: 1'1 St; r'f:~et " !~lr'f:,UtrfJ.1'rt:on" 141'-\ j;~t;1:iI:,;17
Pl1rmi'J: (' ::l(.;.O) .4 ,:l(:f-..~j2,?,~~ Pf;~X:: (<ll.O) 4;Ji'f:l,~,.r'i~:\'n-:j
.., \\. ." ... , '..,.,1<',.." H.
! tiRll tD 1: N6i PE]:~M 1: 1
, :hJb t~ddr. j 009 r:: FWWAO Perm}, t No ~ i~\~,"'O'7t)4
I
I It' . ior' r" lrn{1f) ~"r (11' I J ITPADwnH ~m Iii':,! \ :~t f:ff: 1m ~ PENn [Nn
.,Clca;U)/'I1 , H ::, :hLL .:),'<~ 'H,,'!.U, . ",'\\1";, ,I
I l~aHf\v:d Hoz O~J~;:j4m! ".()~,)~~.,?O()O App) ied:: lllOJJ19(N,
t: tH~lJisd .
i t~ppl iC:i~nt; ~ I<:EFNllN DESIHN [t,~C. 36()":::177"'~rVO f~:'\,pt Y't:HiII?
PO !lOX ~lO?H nr~F~1FRr ON WI', 9H~J 1 ()
O~\trH:;r~. FPI.j CONE; r
I 10 TBAP 1^'~1"( FW~FMrRfON I,U::j 9H:~H:(~
Contri,~c;tn'f' 3 KEI.::NAI'll DFstnN (NC, :JM:;J<r77'H:3/Ltc w~ 1(J\J:W!l}WS::iNC Fxf':: H/,:U'f.'?
I PO BOX ;:JO~)~1 HH1"Nft(lCIN Ijl{t lri:m1 ()
SubcontY'1
Dl':'ttH: ~ SINGI F !:(.:\Nlt.'-{ Rr'~;J I)FN(;r \4/"\'1 'I (~\CHFn f:!I'\I~AGr (f'10nl' I.. (;
N.*XMM*MM*M*.MR*M***.*NM***M*M..X.*~.*M.M*M****M*N..***M*M*M*M**.***MM*~*#MM***M*".**NMM*M~MH
~)rlJ t,I.:lt j (in 'M< Pf'!nnJ 1': Fef:llii:: 741::1 /. 4~.;1 'loti;d Ci',]C\df~tf:!d Fefl: 1 1- :;~n{) . B,1l
.90 * I) lim Chell; k . , l3\j) ()dd I t; IOfm l Fe(~$ ~ ,(lO
"
:~ nt h!;V" ~ " ~;j() "0'1: 11:1 P€:j'( m.l t f"f.:~e.: 1 ~~?On J3A
*****~************~*****~***~~****~********~**~****~***~***********~**~*~*~******~*~~**~~*~**
Me;CW\N r C/iLlPUJMB I Nf<i F IKru~f,S""'" t!E:.CI+"RaTlge . . , . , . . .. . ., . , , , " . . , l I MECH"Gas FUfMce t!) lOOk btu.~ 1
MECt+~(1as PipirltJ (put lets)..",,: ":\ MECHwEXhatlBt Fane."".",.".",,: :3 NECH.'Ran\lt1 Hood {'( es }, . " " . ~ ' .. .: 1
"
I'1tC~H~lClt he(~ On'err"""."""". 4 , : 1 PLaG""~,late'( Clf.IBet"".",.".""",: 't~ PLBG'.Elathtub" ". , '" << , <<". , .. , ,.: 1
PLSri....t,avator~/ 11 it Ii 10 It ~ " 11 1I '# 11 .. Ii jl I' 'I{ ~ :2 'PlB'G"'~ShOWfrt' 111 I,'l II: It l!I " . " !.' " 1- I< j!; ~ to. " ~ a ~ 1 PL9G'''IUtchen Sink......"..... ~ 1.
Pt~tH;'ishl1jMher. "".."..".". , .,,: l. r}t,1ll6~,(;loth(!s Wij$ilher."..."...,,: 1 PtB6".ldeter Heater".,,,.,,,.,,,,,, ,: 1.
Pi.,en-HO!36, (H bps. , .. , . , , . , . . , . , : 2
U~ ..
*,**)*~,;i*%,)i., ,,*;w.If/;1-.*: ~*,~*#<)( 'xx \1\*)1; IlHBl\ **')('l***'~'l>1i'~ \i( 10~~ :1I;:l{'l#*,)l;>)f,:/( ,)(: ,J<iI*X 'It ~10;;IHl * '/,HHHi'itHHHH1.# II( ~Hi~ 1(. ~BHf'l'i 1~*;i:*IiHf1HIIf*"0f
Thi~ f,!lilf'mit ~'1hall bt1COl\'lti'l null and void if' thl~ building Q'( IrKw'k autho'dzed by this perlllH is not CO!l'lllleOC€lct within
180 dlf*Y$ froll'! the date of l1~uch perlllH, or if this buildin9 or ~l(lrk aIJthori:n~d by otlch permit if> .suaPf.!ndt':ld' ~w
~lt'lfmd(,m~~d at an)' t iroe after the w(lrk in oommenced for a period of 1130 dais,
NOTICE - It :i's the ((.'lspom:;ibH it! of the permit holder. not thf.! City of Brr~merton or r~uildinq Official to $f:Je
it that y eql; j, \'I:~d j, nt{rJect hms are melClEI. The permit holder must. itot! 6' the Buildin9 Official Illhen Hlcldy for
inspect i one, Failure of thll'l permit holde" to notify "the Building Official of rr;qui.red i.n$~~cti()ns may n~ault
in the ~1t:ot:)Pflj~e of the WI:i'tk unt il stich time that th€l permit holdElf t':t~n I~ubstant iate to thl:i building official
that; the c(m(":ei~litd W<.'Irk me(::ts orexc:el~de code '((iqui n:~ment$, {my demolltion~ test lng~ 0\' fin..1Tlclal burden shall
bra borne di reet ly by th~~ plfl\"mj, t hold*~" Failure t061ubt:rtant:iatFJ cr.l!:le requirements i.d U Jndemnify the City
&t;1ain~tt ~r\)t Imd aU \"(ir~pcmlSlbUity Of .liabil'ity conn/?lctedwith the construction.
1 heieby certify that 1 hr:we I"Eitld and t1Kamin€:d this ptwmit and knol>l thf~ same to bE! tnle l:lnct con'ect. I\ll
pn:jvi~,liun$ of laws i'ind ordiT\am~t~~ gi;iv~~rl'dnlil1:Ml\'1 tyP(z of wl)rk ~1111 bt, (;(!rnplit~dwHh wheth(er SP!~cif!l1ld herein
or not, The tJ\"anting of a fJl1'lrllll.t dOIIlU not pnl$U!!\~; t;(l ~lv~: authority tn VI.OLiltlij 0'( ()a.nG~ll Uti pr(llJh~lof'it~ ofl
any otoer $tate I:!\" loct-ll law n::l~lulatin9 com~trl.lctiCln or the pey'f'cl"rl1lant:e of con$tructiOIi,
,," S 11 9na t; u r ~1: 'l'"j;r>.\fI"'~" ~"''>''(lJ''''I\II'fI4,<v,....t'''''''''''l''''NIl''ll~~m>'MlIf'?i.I1~;'''' M'''i'' 1I<~y"j"'" w,"""''''''l/T.'~~'~ 'O#t!""I\'I\'\\l', ~~,-\'IlIl i""''''''"",'''''' ...~,w,~,r,...~ I""~'''-''''''''~ r)l:lte~
m't:/<- ni<l"""tIl,"lI~ l<1o~1I11,moi"'\' l'i"'\""jf.l,I:r~;"I\I9'J_~jl,-"'.Jr~.tl'<lll~~'W.l1llli"l'f;Ilt~ 1\.1>: 1:lJ,~'
I oertH'y t;hat 1 iftlll elf:lmpt fn'l1ll tn\:' '(t1quin~m(~nh of th~! sti'it~ crmtnc:tr.rrts re~Il;;;t\'i5tl.f)n law, undr*y'
~~l'}r.;t ion 3, Cl'lJ:)f;,t er 126 , I a\~t'l 0 f 19t;7. '."~,
Sl\lf~tur.' . I" . ." Oat.,
~:~4~~~~. M'~:~~r':~5!~~~,,~f::~t:~*~:~',-"':":v2~'";~;~~'I~:'~, .' ,.!(~';;~?;"':"_.~:",~~,,,"~w._~,,,,,~_,,,,,~,.,,.,,,.Q,",,,, . ,
, ,^4" ,: '<\~>,~. J. '7~~~ ,
----.------ ---
~
.
- . -
. .. . ,-- . ... . ....
.... .BIJILDING PDl._1tP~~IC1l.'I'ION
. .. .... ..... ". . . . . . . . .. .
.. ". ......... . .."". -. .'. . .. . .. ". ',' . .. ......... .... . .. . . ...'.. . . - .... ....
.'.. .'.'. ... ." ..... .. . '.' .. . ....... ..' . .... ..... '. '.. .' . . ... .. .'.. .... .
'.. .... . . .. . .. .' .. --. .... .
..":' ...: : .. ..' , ;'. :., . . ~:. :' . ,.., :. : ... . .':'. : ... >:'::' .: ":'. .... - =-=:. :.. . . . :::: . ': .' ., '.'." ...
.. . . , .' . .. ... '. ...... . ..'"
.. . . . . . . . .. . .. . .... .... ... ,. . .. ...... . . . ~..
'.-- . . . . . ... ."".... ............ . .. .
.. ..... . . . .... .':.. :-'.'.'. .' '..'::... '.:--'... .. .. '.'.:. . '.' ..'. . . : ,'.' ......
,... '. . .-". ". .,..... .. .. ... . .... .
... ..... . -- .. . --.. .. --...... --. -- ''-'"'' --.
. .... ... ... . . . .. - -. ... .. .. .... . . ... . .. . . .. . .
. .. ..... -' ... -- .. .. . .. -- -- -- ..
.....(:ityoFBremer.to.n,Wasl1ington..9831Q.n t.~1i(}J,1e:{2(J6J478~5275n.FAX:.(206Jn478..5.278dd...
APPLICANT: ~ER ~CTOR D OTHER: ctCo- D1 0 [-
{(per Mf(1,
SITE ADDRESS: ~, 6J01 % sr TAX ACCOUNT NO.
OWNER:~f l-t CA IrJsr ADDRESS: ~)3f ,- ~ ,}.j Y'}- ~ lr1/,4{../
CONTRACTOR:_K tS ~A-W ~ ADDRESS: fu, tSN JoLt 1~)UA.fr--
r-
.
CONTRACTOR LICENSE # )C~f. IvAO / (J <<;:\N~ EXPIRATION DATE: ?fc17
CONTACT PERSON: gA~___ CONTACT PHONE # 377r-J~ IV
,~L~rJ A-DToS5 NC
~ 0 DUPLEX 0 MULTI-FAMILY 0 BUSINESS o OTHER: (
D SIGN D DEMO D MOVE BLDG. D MOBILE o GRADING(yds):
D NEW D REPAIR D REMODEL D ADDITION 0 OTHER:
NATURE OF WORK PROPOSED: rJ -{)Ai ~ ./iVv [) 0 tL".O
1 L; i ! :..:i f i;~ I,:;' " \ li ; c'
. ~.,.... I ,_~ !" i ,,"'- ,! \ I! '. i
" :! j 1 ,--.j , ,'~ ~ j ; -._J
n[;-r< 3.'; .."'(' ~
~ ; J I' I "...,
SQUARf. FOOTAGE: Dwelling: \-203, Garage: 22-U Decks: ill
b'~?1 '.":' , - . r' ", ,--, r \-:'1\;-;
;".,,:;'i
?~ 't)~ ~ tJ,
n .. nn . n . ... .. n. ... . ...... ...... .....nn. ..nn..n.. . ... .n. . .. .n ... nen . n ..n . ...... .. ...n..n . n....... n. ... .......nn...... ...nn...... . n
i/2l:.i\NREVIEW.par..... ..........f~lTFfiE}...( ,.. ..:SUR .....HARGES.. () ....TQW:M:lFRF$) ....
. - . . -. ..... . .
$ $ ENERGY: $50.00 $
STATE: $4.50
Applications for which no permit is issued within 180 days following the date of application shall expire by
limitation, and plans and other data submitted for review may thereafter be returned to the applicant or
destroyed by the building official. The building official may extend the time for action by the applicant for a
period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the
applicant have prevented action from being taken. No . tion shall be extended more than once. In order to
renew action on an application after expiration e appli t shall resubmit plans and pay a new plan review fee.
APPLICANT'S SIGNATU DATE: /()/7/ 19 i
I /
-
PERMIT CENTER Id: ROUT130 Keyword: UACT User: VAL 11/04/96
Activity document routing maintenance. BLDG PERMIT W/MECH/PLBG
Permit No: 96-0704 Applicant: KEENAN DESIGN INC.
Status: PENDING Address: 1009 E BROAD ST
Route: 1 Current Route Line: 1 of 6
Packet units Description Station Status Received Assigned Complete
BUILD ~BUILDING PLAN CK STRT-B-VW Approved 11/01/96 11/01/96 11~
BUILD 1 BUILDING BLDG - Waiting 11/01/96 ../../.. ..~. .
BUILD 2 L LAND USE PLNG - Waiting 11/01/96 ../../.... ..
BUILD 3 jPUBLIC WORKS PUBWKS- waiting 11/01/96 ../../.. ../../..
BUILD 4 ( UTILITIES UTIL - Waiting 11/01/96 ../../.. ../../..
BUILD BUILDING PLAN CK END-B - Partial 11/01/96 ../../.. ..1../..
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i\.PPUC.~'jT: ~R ~TRACTOR 0 OTriE:~:
COMM.E.:.'iTS:
SITE ADDRESS: / () 0 7 ~ ~ tJ!to Y)1tJ ~ r
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OWNElC -fP If [okS1 -'. . . ADDRESS, 733) ~ kJ;b~r/v7-
CONTRACTOR: .t:~ ~ ADDRESS: ;10.60 ~Y~2-d
CONTRACTORUCU'iSE# ~..-</h/rtl.IOs5"hJC E<:P!R-\TION DATE: 0/91
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OWNER PHONE;; CONlRACTOR PHONE;; 377- JJ70
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I I RA.J."4GE I i I WATER CLOSET
I WOOD/P1=T T FT STOVE I! I BATIiTh""B
I GAS FU'R.N'ACE brui: I I I L-\YATORY
I CONVE..."SION B(i''Rl'iER br:: ~.: I i ISHOWL1{ '" .
. 1 UN1T H:E..1,,'!"L't( b~i: ! I I KITCHE.'i SINK u ']
I BOll..ER br-.ls: I I I DfSh\VASH.ER . il
! GAS PiP!NG I I i LU}'NDRY TRAY
I EVAPOR..\TION COOLERS of::i: I I I CLOTHES WASHER
I AC 'U'NTT bru's: I I ( I WATER P.E.AT.ER
I P..E.AT PUMP En;:!: tons: I , I L:KINAL .. III f'ij" I r1'::;r.:"-'?~'
, 'REHEAT BOX brui':' I I I DRINKING FOUNT. l.... ,,~
, A1R H.-\.N'DLING ul'i1T bru $: I I I FLOOR SINK OR DRA1N
I EXHAUST FAl'fS ! I I SLOP SINK
( I RAl'iGE HOOD (residenci.u) I I I WATE3. P!PIING & AL1ER..-\TION
I RAl'TGE HOOD (commerc:.u) i'l I GREASE TRAPIINTERCEPTOR I
I CLOT.ri.ES DRYER I '2-/ HOSE BIBBS I
, INCINER,A.TOR I L-\WN SPRINKLER SYSTEM I
I DUCT .ALTERATION I j SWTMM1NG POOL i
TANKS r. e: I' BLDG. SEWER (mobile I moved house) I
I REr'!uGERATION UNIT I I ROOF DR-\lNS I
OTP'.E.R; I I OTHER: I
I MECHANICAL P-.ERivfIT FEE I $15.0 I PlUMBlPiG PERMIT FEE 05.00 or 4.50) !
.
APPUCk~T'S SIGNATU DATE: i I /i; / t(
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BREMER~r(:)N P[';:RM :I 'T O::;EN 'T' Elf~
.~;~8{~ 41: h St reet'? BY'I'JU'fJtfiH" t on 1.' t4A 9S::?::l.7
Ph ,,( a60) >4 '"1a-~"'1~"5 FAX:: '( ::]60) '478"~'..5:?,7f3
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eu 1: L D 1: Nt=i P.ERM I T
. ~f ob Addy': ~ ('j()r; I:: f11~(lAn ST' Pf:ltmj t No: 'r6""O'704
l.noat,i.rm: . 1009 F f:IHOAD ST (LT tt:t HHf)AI)Mom~ VIL.LAf~E:) 1'1' 1" . " prNOINf'
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P.arce:l No~ 02\~?4011-"Onhilooo App]led~ Jl(01/1996
:r. i~!:sued ~
App 11 Cii1 nt:: KEENAN DES 1: GN t NC 0' :36()""':3Tl,'a~3n) Exp:l. r~f.H~:
PO BOX ::.'lO?f3 BF~FMERT ON WA ;18~J j 0
nwm~r: FPI"1 'CONB;T
~lm31 to.'r~:AP WAY Bf~FMFI~TON WA 9(~:::JJ 2
Cont r act: or: KI~J::NAN DES ION t NC. ~~lt)O,,'<:r7T'B::n'L,t c :It:: KF.EWtO I O;.jSNC Fxp'~ fJ/;~I\:iI'7
PO f:lC)X ~30~>H !:ll~t'MFRrON v-IA9B::.i1 0
Subc;nnt Y' :
n H~"~ 'TNt'1 F FAMJI Y HFt:'lDFNCF W/ATlAnWn fARA1:'.'F (MOOrl f'
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* ~.* * :1<0 iI:'lf1* 111 .jt)(, 1(. ** **~,* ,~,**'*x;*** ~H~ ~B("lH('* ****')('1(' \1* ,)(.* * * 1HHf% ;Hi: * .If*)HOi: **** l( ~.**.* *** *'lH~ **.)(! *** ***X'* \It ***i!' ** * * * '*
Valwtt;fcm .~ P(\lymit:. Fe'~!'~~~~ "Y .li!:l ,,4~\j 'rot e':11 Ced r:ul ated H~€~:t 1 ,~)()O,' E~4
'r116~~H. IrO '* PI f:H'l Chf~C k. F (~(:':l:~ ; :3'1~~ J B? Add i, t.l Orlf:i 1 1:;'(~(:0$: ,,00.
'* Clt /'If}l'( re)f.'~li.n ,::) '1 .. ~~() 'rot.l:dPf.~,(ll'd t. Fe(:{; 1" ~)nO , fi4
.)1: * * .~1(. * * * * ~:*,~*** ****~ ~,'* IH~ ~"M' *.)l: )(.l<t* **,~. **~,**'l(. * * ~(O)Hf * .)t'X'1('~'X'+l' ,*:If ,)(:.)(..**.***~. *~. ** **.)Ii *****'X'*** * tH~; *)(. x' lHi: *' * If* ** 0/(\
MECHANICAL/PLUMBING 'FIXTllRf::S~" 'MECH'~"Range II .1l II If "" If ,1I /I; * If >> . II ~ II ~ '( . If : 1. MECH~Gas Furnace to lOOk btu,l 1
MECH"Gas Pip! ng (out lets) Ok Ok: ? MECH-Exhau8t Fane.. Ok"....'".: 3 MECH-Range HOQd (re$)...,....~ 1
MECH~'Clothes DrYf;lY'........". ,: '1 PUfH4ater Closet..."....,.".: 2. PLSEHlat ht ub. . . . . . . . :. . . , . ... . : 1 .
P1I3G-Lavatory.. . . . . .; ".. .. . .,: 2 PUilfl-ShcIW€l'( ... ...... Ok .. ... . ...; 1 PL86-Ki tchen-sink... . .. ......: 1
PlBG""Disnwaaher.... ".. ., ... ,,: 1, PLBa'..Clttt hes Washer.. n'" . ,.: 1 PLBG-Water Heater. n . .. ... ...= 1
PLaa~Ble;L6b2 . . .. ...) ; .... ... .
.~t r ~ - c;r~. q.' .fIIl;'" . .
*,~,**,,***~,)t*~'*~H~*' ; '~*?itH~" ,*.*tl'~.)(o~*. . .'... "~'~*'~***'~*')('1H(,~HHO('**.'ifi:x**,j(,***~, ,"**' !~*_' .* ~t*iX***'~'lBBHHH('*~
Thl.\:l perfll1,t shall become "null and vend if' ~he b~i1din9 err work authorized by tIns per' ... i,:~:.\ ;\:>lfimenclllCl w1thh'l
180 days frorli the date (If such perlllit, or If thiS buildiogor work aut.horized by sue . ann t 'lS suspended or .
abandoned at any time after the work hl commenced fCl'f a period of 180 days.
NonCE -. It is the responsibility of ttle permit holder, not thei.City of Bremerton or Building Official to €I!l!e
to it that required insp~cticms are made. The permit holcker must notify the Building Offidal when ready fefr
inspections. Failure of the permit holder to notify the Building Off.idal of required inspecti.on$ may result
in the 8tappa~~e of the work until such ti,me that the peflnit ooIdal" can substantiate to the building oHidal
t na t the concea 1 ed war k meet s or ex ceeds code requ i n~ments . Any demolition, testing" or financial burden s.hall
be borne directly by the permIt ho.lder. . FaihlY'€1 to suostatlti,ate code uquiremel'lts wiIlindemnify the City
against any and all reapcma1bility or liability cmmectecJ with theCOl'lstY'Llction,
I hereby cert lfy that I have read trod ~))(tll1iined this permit and know the same to be tnle and corn~ct. All
provisioflll of lawa ;ind ordinanctit$ govf~Y'n:ln9 thi1.l type, of work wi 11 be complied with whether aped fied herein.
or not., The granting ofaPEJ'flll!,t does not prS$UJ!lel tel giveauthc'fity to violate (i'!" c:ancel the provisirrns of~
any o;thet str~te or local law re~lulat:lng construction or. thepel'fl)rmanCf!i ofCOtistrllction.
S i gfls't u~re : _~.""'J\oIh:'-''''''''''''''''''<I>oI',,*, ~"''''''''':'lOlr'''''''lt\li,~IM'''''''''''''''''\1W''''''''~~''''''''''~-''''''"~ v"'~ ""'i!.....,,,..._~,~ '....""".....""'_,_.....~"'''''. ........."'" O/1l.te! .. .~...__ '''~'_'_'' _~,___"'w._." __~,""".__.__...."_
I certify that 1 am exempt from the rt.':lCluiren\l!ints of the atateCiontri:lctor's registration law, under
Section 3, Chapter 1.26, laws of 1961. . . .'~,,"...,~
Signa t ur~ ~ ~~"""*'I"'",".,....,.j~1,",<li<<'._""'IoI,..t~')l"':II""''''lI'<l_ilt,,.~..to-~'"'''''''1'j'III_l>>4'''fl'''''~","..,,,.o#t......_4</J"""""''''''WJI_'''''Ito\I'*i;,,"",'.''''''' O!:lt;6 .'
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Ct Of:' I:~RFME]~TON
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, IPT Numher ~ !;?600lOOl AI'I'ltllJl"lI:'~ 1~lt9i17 11/0t/96 "
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P€~rr!i i '(; N~): ~ I~L DG EnLJ{~ PEHNIT 14/t1ECN/P
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