HomeMy WebLinkAboutE. BROAD ST., 1011
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SREr"'1ERT(:lIN PE.RM Jf T CEN'T
2815. 4th Street 11 Bremerton"ltJA 98337
J Phone: (;360) 478--5275 Fi4X:: (360) 4/,,'8--5:278
BUILDING PERMIT
t Job Addr: 1011 E ~~OAD 5T Permit No: 97.....Cll;?f.l
I I'" 0 11 r' m~nAn c'T (I "f' 1 r' rYWF !"lMnnr~ V T I IArf:" ) ~::;tatu~;,;: ISSUED
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! Parcel No: 0224011-028-2000 Applied: 03/08/1997
Issued: 03/11/1997
Applicant: ~EENAN DESIGN 377....B;:l70 r::xpJ. rBfi':: 09/07/19''17
::3r1591::lHOADMOOI~ LP LmEMERTClN I..JA 9B310
~. Owm~r: F'PH MANf'lGEMEN"!' 479"".41:37
~ 38S1 KITSAP WAY BREMERTPN WA 98312
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! Cont r actor: t\EI::::NAN ClE::S I GN I NC " 360-377-837Lic I: KEENADIC~5NC Exp: 8/2/97 I
POBOX ~m2B BREMERTON WA 98810
I Subcontr:
t r ."H" "':: NFl,,) r::;F'I:~ WI F 'rr.AC"Hr::'j") FARAFF (MODEl "(''')
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! VaJtlat:[Cln )( Pe'rm:i. t F' f,:'~f:)B ~ ?4fl !,4S Totf.dCi:iIcldfited F(~;f.,)~ .) ,;:::00 " B4
,. 79 ~ 6;?~:l , lrO * Plan Ch(~~c;k F'e(:~i'il~ :::l(r:;:~ :,09 Add:i. t i (millF'BeE~:: ,,00
t,
t * ot; her F (:l(~~I.~ : 59,,50 Total Permit Fee= 1 ,;::~OO " 04
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I *******)()(************)(*******************~**U******)(**************'11:**************************
~ MECHANICAL/PLU~1BING FIXTURES--. MECH-Range......,......,.,..,: 1 MECH-Gas Furnace to lOOk btu.: 1
t MECH-Gas Pi pi ng (outlet s ) " . "" : :3 MECI-Hxhaust Fans,,,.,,...,,.,,..: :3 MECH-R!mgeHood (res)""."...,,: 1
MECH-'Clothes Dryer..,." " " . ,. ,: 1 PLBD-Water Closet.".,.....,.: I) PLBG-Bathtub....,,,,,,.....,...: 1
.. .
-PUIG,..tavatory...",.,.,. ,.",,: 2 PI..:SG.....Sh(;wer II II II M II II Mil" ~ II \l II II II II II I! : 1 PLBG-Ki tehen Sink",,,,, u", "..,: 1
...
PLBG.,..Dighwasner..,,,..,....... : 1 P1..8G.'ClothesWasher, . " , . , . " , ": 1 pL.Br:l~'Water Heater..,.,.......: 1
...
PL.8G..Hose B i bb~{ . . , , . . . , . , . , . . : '\
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l This permit shall become null and void tf the builclin9 01' work authorized by this permit is not commenced within
180 days from the date of such permit, err if this building or work authorized by such permit is suspended or
abandoned at any tIme after the work is commfmced for a periodllf 180 claya,
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 8uilding Official when ready for
r i.nspi?lctiona" Failure of thi; permit holder to notify the Building Official of required inspections may result
" in the stoppage of the work until such time that the permit holder can substantiate to the building official
that the concf3aIed work meets or exceeds code requirements. Any demolition, testing, nrfinancial burden.shall
be borne directly by the permit hClldsr. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability connected with the cCll1fltructicm,
I hereby certify that Lhav~l read and examinfid this permit and know the stlm~ to be trw~ I'md (;grf~e;t, All
provIsions of laws and ordinanceEl governin~l this type of work vii 11 b\~ complied vJith whether (~pecif'ied herein
or not, The granting of 1~permit dm:ls Mt presume! tel 91.V€i allthority to violate or cimcel the provisions of
any ot her ~ I aca I 1 a. yegu 1 at i ng con$t rupt i on or the performance 0 f canst r oct Ion.
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Signature: . .., .~... ..."'r:::.~._-";-~~i")....._.,,..~22d~_ Date: ,.-....",-?:;;.....:::..:../L:..".:._Y-.2.-,-..-
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1 certify that I am exempt from the reqlliremel'1t:~ of the state CCJl1tractor ~s registration law, under
Section 3J Chapter 126, laws of 1967,
Signa 1; u r e : __."_"._,;......__."._,...._,..,,.....____._,._......____..,4~""...-.~..",_......".,_.~.".,.." Clat e: ,__~~__.____.~___....__."_.,,~.__"'___..,,.,,_.._.
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R MERTON RMIT CENTER
286 4th Street IT Bremer'tcm" 14A 983,'37
~. Phone: (::U,O) 478-5275 FAX: (360) 478--.5278
I 8uilding Permit No: 9?-0128
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t. It (i::)m:: 01400 ME:CI'IANJ CPd.... Dept:: 131....DO D i. v J s:l. on::
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.. J t ('.~1m:: 01.600 PI."Ui"'10 I NG r~CJUGI"')"'''J: N fJC1pt:: BL..DG D:l. v:l t:,:1. on ::
It; (i:..)m:: 01.'700 FF(AM I NG Dl::':pt:: BI..,DG D:I. v:l. s :1. on ::
Item: 01BOO INSULATION Dept: BLDG D:l.vision:
Item: 01900 SHEETROCK NAILING Dept: SLOG Division:
:I: t (,':)m:: O;':~ l1::iO CRCl~::;S CONNE:CT'1 ON CON"rr~OL. DE')pt:: CI:~O~::;~::;CC; D :I.!J:I. B J on::
I t em:: O;:rl00 F' I Nf~I,""'''''I::HDG Ih:':pt:: 1::nJ)(:J D :1, \):i. s :ion::
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· SPECINSP: Must be registered with the State ofWA
s'r OF \AlA:: St fit f';l cd',' WA Df!lpt:" of' L.r:ibor {:i.nd I nduErt; I' :1. es .4 '7 B."" 49;':;' 1.
HEALrH: Bremerton/KJtsap Health D:i.striat 4'78-5285
AL.L. J NSF)[.':l:;'T' IONS PERF'CH~M[]) BY 'T'i"H::: C I 'T'Y OF' I3f~E:ME:RrClN MUS"!, OF: E;Ci"IEIll..Jl.EJ) "!'+'H~Clt..JGH 'rl".IF
l~rl~.M'I'f ('.'I-t"I"I"'-I- (41('))' 4~n~~7r
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BREMERTON PERMIT CENTER
286 4th street_ Bremertonll bJA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
'. BUILDING PERMIT ,
J6b Addr: 1011 E BROAD 51 Permit No: 97-0128
Lo(;ation:l011 E 13HOAD,5r(LT 1!::i 13ROADMOOR VILLAGE) Status: PENDING
Parcel No: 0224011-0~B-2000 Applied: 03/08/1997
. . I8~U~d:
A 'l' t K.f....E..NAN [')f....(...j. ('N '''1'7'''7' n'Y7" (') ,...., .. i " .., .
PP,lCi:l.n': ;.. .::.,),,~ '. .':: .....(.),;).. :::.xp.Ln.s.
~1959 BROADMOOR ..L.P BREMER10N WA 9B::ll0
, ,
, Owner: FPH MANACiiEMENT 479-'41~::17"
I 3331' KITSAP WAY 8REMERTON WA 9831.2
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Contractor: KEENAN DESIGN INC., 360"<377""'B37Lic~: KEENADI055NC Exp: 8/;U97
PO BOXZ;I028 BREMERTON WA 98310
Subcontr:
De~)c: NEW SFR W/ATTACHED GARAGE (MODEL. "e")
********K'.********'***K'****'***'**K'*K'*'***********'************K'**'*********'***'***'*K'************'***.*
Valuation * Permit Fees: 748~45 Total Calculated Fee: . 1~200.84
79p6;;:~8:.90 * . Plan ,Check Fees: 3(t;2~B9 Additional Fees: .00
. * Other Fee~r: '59.50 'rotal Permit Fee: 1. ,;WO.B4
**********~'*****************************,**************.*************************************.**
MECHANICAL/PLUMBING.. FIXTURES-- , MECH-Range... ;........;.... ..: 1 MECH-Gas Furnace to lOOk btu.: 1
MECH-Gas Piping (out 1 eta).. ..:.3 MECH-Exhaust Fans............: 3 . MECH-Range Hood (res)..... ~ .. : 1
MECH-Clothes Dry.er...........: 1 PLBG-Water Closet.~...... ...: ,2 PLBG-Bathtub..................: l'
PLBG-Lavatory ... .. ; .. .. ... .. .: 2 PLBG""'Shower.. .. .. .. . ... .....: 1 PLBG-Ki tchen Si nk. .... .. .. . ..: 1
PL.BG:Dishwa~her..;..............: 1 .' .PL..BG-Clothes Washer.. .;........:.1 ,'P.LBG-Water.He.a...t. er....f.;8.:....y...... ........1
Pllli.Ho.r[.....3.~.L'; 2Jt1 .'.... L .( JI >z- .
*'****'****'**'**K"*'**'*'***'**********'***'****'***K. ..****.**.**.*** ****.*****.*.***.**~~*;.t.***'*'**'*'***'*****
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 permit is suspended or
abandoned at any time after the work iscommenced for a period of 180 days.
NOTICE - Jtis the responsibility of the permit holder, not the City of Breinerton or Buildirig Official to see
to it that required inspections arelnade. The permit holder must notify the Building Official when ready for
inspections. Failure ,of the' permit holder to notify the Building Qfficial of required inspections may result I
in the stoppage of the work until such time that the permit holder can substantiate to the building official'
that the concealed work meets or exceeds code requirements. . Any demolition, test ing, or financial burden 'shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
aQainst any and all responsibility ot 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 ofa 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.
Signature:_~_______~________________________________________ Date:____________________________~__
I certify that lam exelliptfrom the requirements of the state' contractor's registration law, under
Section 3, Chapter 126, laws of 1967.
Signature:_~---~--___________________~__~___~_______~_______ Date:_______________________________
*************************~*
Permit Center--Appr00ed.By:_______________ Date:_________________
---'-~-----'--~-------
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!
BREMERTON PERMIT CENTER
286 4th Street~ 8remerton~ WA 98337
Phone:: (360) 478-5:iD'75 FAX:: (360) 4.78-5.2.78
BUIL.DING PERMIT
Job Addr= 1011 E ~~OAD 51 Permit No: 97-012a
LJ)cat:i.on:'1Clll E: BROAD s"r {l"f 15 nl:~OADj'10Of~ VII"LJ.jGE:) Sti:rtus:: PENDING
Parcel No: 0224011-028-2000 Applied: 08/03/1997
IBSll.H~d I
Applicant: KEENAN DESIGN 877~8370 Expires:
3959 BROADMOQR lP BREMERTON WA 9B310
O!AJner I F:'PH Mf.,NAGEt1E::N"r 479..,..4 U:l7
3881 KI1SAP WAY BREMERTON WA 98312
Contractor: KEENAN DESIGN INC. 360-377-B37Lic I: KEENAOI055NC Exp: 8/2/97
PO BOX 8028 BREMERTON WA 9a810
Subcorit r :
1"),"'(:'''''' t..lr::'w (::'l:::'f:) W/f.:.I"..rA..'..",.'I.I:::.I..j r:'AI:)A"I'.~'I:::' (M''')1')I:::'1 ,,(,.,,)
.., (""",C" I'lL.. ...) \ 1'''1 L... " I:. \ I ,~l,... "I.. .... .". ..'
* ,It x.j( X **,j( ;XX')i:)(. **)( ,x.)(.x* *.* .)(,?(.)( xx' -)o~ .x,)(.x -)(.?(. .)(,)( *-)(. .)(.*)( ,x.)()( .);;.)o>()(.)()()()( t/: 'X'I\:)( )()OH~ * ')O~,)(. x. *** ')(')Hli'** -)~)(..*)( ,** ''Ii:)(' *)( x.)(,)(. .)(.* * .**)( *.)(
V.. ]";,'t' i.. . . t') ..," .. 'l" f"''', "'<'." "14'''j 4 c;' "('" 't." 'I (",,,', . '1" .t., r"j I":",.,,, j ':I ('j (l ,;u
d"UI~.,.I.0n -)I; f'i:"ym.l., "I::.i::":",,, Ie;", ...J (,.l,d.I, ".d~"c'U..(.Le.. 'f,-,.f;... ,,~<" "c.,>"I'
I 79.628.90 M Plan Check Fees: 392.89 Additional Fees: .00
* OthE,rr i:::f~es: S9,,50 'rotaJ perm:lt FEll:;:: 1 ,~'::O(LB4
* )H~.)f.j(. .j(..)f)(. **)(. * .)f.x: * *:x:,)(:~,)( .)(, * **.*, * .j(,.** 1(: )("x: -);'; ** 1>(.)f .)(..x:* * *.)(. .)(.** .j(. *.j(: .j(. M'*,)(. M.l(. *.)(. * *...j(,,)f.)(..* * * M *.)(. **'lE.J( 'lE'X:')(.X:?(' **.)0\. *,* ,X:.X: *. 'X: * .** *.X:
MECHANICf~L/PUJMBING FIXTURES-,.. MECH-'Range" , " ." . "" .. H" ,,: 1 t1ECH-Gas Furnace to 1()Ok btu,,: 1
M,ECH:;:-,Gae P.ipi ng ( out 1 et s ) " "" : 3 MECH-Ex hauet Fans" , .." .,.;;,,, ,,: 3=CH;'Range Hood ( res) .. '" , ... . : 1
cJ' 'MECH-'~Jothe8 Dryer.,...,. '" " . . : 1 PLBlH.Jat e~Cl,p$ef' , . . . .. . . ,J, . ~. '~_ PLBG~at htub. , . . . . , . , ". " , . ,: 1
",:PLSr:r:{avatory..",..",."...,..: 2 PLBG'-Showerii.,.. ~,,,..,,,,...,,,,], PL.8G-K~chenSink",,,,,,. n.,.,.: 1"
PLBl:Hlishwa$her.,...,,,,,, ,.",: 1 PLBG-Clothes Washer. "',,,.. ,,: 1... PL8G"W;;i'~er.Heater...""."..: 1
, P~HOSLbb."""3'~'~_ 2_q] 3 2-. I .0t E- ..
, .****.....~*........**..........*.................. ................ ..........1..,*.*.......** .
I This permit shallbeco1l16 null {Hid vClidlf the building or work a thQrlZed by thi' permit is notc:ommenced within
i. 180 daysfrom the date of ,such permit. or if this building or war auth . , lY such permit is suspended or
~ abandoned at any time after the work is commenced fora period of 18
! NOTICE - ({tis thf~resprmsibiHty of the permit holder, not the City of Bremertorl twBuilding Official to Elee
r to it that tequil"ed inspections aremadr:l..The perm,it holder must notify the BuildingOffici.al when ready fGlr
t inspections. FaiIureof the permit holder to not1.fy the BuiIdi.ng Offic:ial of required inspectionr~ may result
~." in thel3toppage oJ ths.work until suc:h time that tht"lpermit holder can substantiate to the bui.ldingofficial.
t that the concealed. work meets or exceedsc:ode requirements. Any demcilition, testing, or financial burden shall
~ be borne! dir8ctl,Y bYt,he.'permit .holde.r, Fai, lure to substantiate code requirements will indemnify the City
t against any and all responsibility or liability connected with the construction,
I hereby certify ~that I have read and examined thitl permit ahd know the same to be true and correct. AlI
provisions of laws andordinances9overning this tYP€f of work w.ill be'complied with whether specified h!m~in
or not, The granting of a permit does not presume to give i:J.uthority to violate or cancel the provi.sionsof
any other state! or local law. regulating c:onstructi.on or the performrmceof construction"
t Sifml'ltu~el . ..... .... Dat€J:==~"._=_u-.,=~'~...==n==~,""~n~_.."..,.~~
t r cert! fy t hiJt I .am exempt from t he requirements clft he state contractor '8 registrat ion law, IJnd(~r
t . S€,,ct i cm 3, Chapt er 126, 1 aws of 1967"
f. 51 gnat ure: _...__,,_"._....__.,__...__"..___;......._..;__,__.._...__.___~._,_'..___..._,___...... Dat e: _' _."..._________ _"._"..._~,_...__ _'..,,~____
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! t:t'f((}Af')M()mc~ LP HI1FMF:'FHONI~1~
H Ownt:~r 'r, MANA(iENf:!:NT
! KI1~:;AP ~IAY BRFMFRTON WA 9f391'~
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PO HREJ1f:RTON WA 0
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I KECHANICA/..IPLUIfJING FIXTUR[g..... MECH.Rangr), . . , , . , . . . , . . , . . . . , ~ 1 ~lECl4"(:1a~ rl,H naCf~ to lOOk btu,. 1
1. . .MEg~~~~$ R~.pi ng (outlet s) . .. . ~ 3MECH"'Exhj;}ust Fao$..., U', ,. ...:3 MEfJH'~aflge Ho(~ (y e$ ), .. . .. .. ; 1
~i$I":'~~i"'MECH~}~l~M~ Oner,.., H....': ~\ PLB~:~ater,,:,c;i~~e~H"~'" l' -: pt,.BtB~t~tu~j. ,. > ..... ..., I
! *"w~U:lG'I#taVi,j;ton.....q.....,....~"PLa!, ,~rJO~~erl'" '....H?.... 1 PLSb Klt(,hen ",H1k....,..,... ,.1
PlBG-OtshWiiA\!hl>1'f' ........."' ...: 1 PlBG-elothe$ Wisher. ,>". H"": 1 PlBG-Water eater.. Y" q....; 1
Pl:~.:WJ" &lbbs......3'~.4 1 ~ 17 A( L (,l' ~/
~".....l"..~~~...*........................~....................,..~..~....~....
fhUI pet/lilt !~hilll become null and voId if tnf;Jbld.ld1.,ri'g or 4lJtlrk itutrl(l\"lzf;ld this per 1...tFis rn:lt (;;( c6dw1thm
180 dati rY(llll the di'lteof ~uChpeY'lllit. or tli!a building or work iiiJtl'lCw'hed by $Ueh rnit ia, :lended or
abandoned at any Hille after the l<<.irk i~~ OOlllme:tlCOO a period of ISO da}/$.
NOnCE - It tt~ resPoiil3lbHity of the permit holder, flot the C;lty of Br ellll\n't 011 or auUding {Iffioial see
t:o it that reqUir~1q ~l1$pecUona are lii!keJe. The Pf:iT'mtt holder 1l'l1l$tnoH the Building Offi.c:laiwhen ready for
hlipectiQHSl. . FaHI.rre of thep:ermtt holder to notify the BuUdint;l Offk!al of re~lUi\"edim.1'f.'lectifmi may re~tlH
in the $toppageo.fworkl.mtH weh Ull\I,)i that tt!t~ permit ht:'!ld(1~( Ci:J:r\ Iitubstarrtiate to th!!il bui1dirl\lOfflcial
that the, OOflcea 1 ed wor k ~!ti$ 0''1' e~;i~oods code requ 1 \'~rool'1t ~, Any demoli ti on. ihg i or fi nane! al burden 1
. oorne direct bY the ~e'('mH h(tld!1l1. Failure to subg'tanHate code relql.dr~lIltmt$ wB 1 lndellll"dfy thel CH)'
la9ain~t l\r!yand aU rl.!!spol1!!libU .or HabiUty conflet~ted~lith the co-l1stnJI;:ticlfi. .
I he.taby ify that I have '((:Wad and examined this peYlllitand know the l:!:flllll;'~ to be tl"U~1 and (.~orrtl~~L.AH
PfClVisiQfl~ of laws l!Il'idordii'lliH'll;;eS 9Qvc-lrnlf1g this tYPI!I\':lfw()l"~ will be complied with whl1lther Sj::1edfied l1erillin
(lr . nle 9rtiftHrll;lof a permit does pre~~Umt1 to give authority to violatf,) or c~n(:el th(~ ~frovif$i(jn$
other state or law regu.!aHn9 r.:on-structif,m or trn~ perfc,l'f'ml:Snce of construction.
1 ify tMt. !l.ll'tltlXlllf$'lt from the re\ll.l:lr~M'1'l~erJf cOfltn:u:::toY'llI ft$~t!:lti'aU(m law., IJrid~'!".
ion Chl!lpt~r 126. laws .
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~BRE:MER.~r'()N PER'M.lt "y-, . C~e:N'TlE:~
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n"'.' ...( '~'O.), '4 '.'J't'" ~.,,,:;,,t!:::' .tA v. ('.":1 < ",.) . J7t">. &:";':"'''''0
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BUIU:)lN(iPe:I~MIT .
J Qb Addr: .1.1 () 11. F~ BROlin ,lift' Perm j t No'~ f)'j,.{) 1::;'f;)
I' ',~.,. .." l'.Ol't I" 'f-:1'I~~I"IAr') ('.J. "I' ~.l'" .I'!j?I'IAn!'1'I')I')'R" 'V'f.I.1 A.rot..). <"'4.." 'l"l ,,' 1)F'lI.IlJ'/'.hM"
,....D(.~i:h t em. . ..'., ". .:1, '. ':;' .~) ',\,.1"'.. .".1, ,:;l r;.:" 1'~J.l '.,. ..,." . "Y"fGC, . " .~ (, d..' ..H'., "'. ,',/";,: ,,1'.' \~
i Pl!H't;:eJ No:: O?~:'~40.n .."O;?H,,'20ClO . App ti eel ~()::l/O~~(l(~t;.'7'
t ,ls.usda
[ , Appl tcaht: 1\I~:::CNANOf:::STGN . , ::~n"!:!(~170 Expi, Y'e!~ ~
~j9S(f Hf(()ADM()()H IP BRFMEfnON WA 9132:lJ,O
Owner: FPH. MANAGI~:MFNT ,4r9.,...4t:::\;f
::'l23~n Kr..r~iAP WAY HRE MtRr ON WA 9Hiill~;~
(". t ..~:." 1"r."I""N'A.hl !')I''''!"'I',i''N "N'" "~tO"::;""J'!':}":)"'YI.'i' Jlt; l(f"I'.'''N^t')'f.I''iw''''Nf'' F'<I"H/"/l~"7""
...em .;.)"i~(':;\;()Y' : \(':, :::..,' 111. ,::;,,:u "L, I C., . '. ' .:~t:l '''',,;1, I "'. .);~I .. C 'IT" ,j~:, :,'. 11. ..,,;),) ,\'" ',Xli.,;" ~"r :
PO B()XSO~~8 HHFMFifiTON WA('f8(,1l 0
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Va]w:'t't: ton * Pf!Y'mj,t; F~':E~*n 74B,,4~:i ., .Totiidt:alcuJatEH;l Fft~EB "'j s200;84, .
7" <:l 6 ")f:> !~(" .\1. 1';) 'I "r' . (""L'i~("!'" t".,,,...,,.. '''>(!!.') '!':H:l ^-.('I'''l' .' .'1 c'I,,;,"I. 'I~" ,...~(,.,. ' (')('1
li6',-t~,'(~<t-'"I~ ~. f' .~l';,~,.t ~t,lh.....l,....r".-'t(.,'(;>o~'~ ~;:~7~;,^,j.;;'1 1"1:.:~, tIt,' ;'Ilf.il;; ,"("#~~f~~,1l- )I",J
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MECHANICALIPUJt1SING FrXTURES~'~ MEGH:",Ral1se.. ........ ,... .....: 1 MECH..,;r:ias FuY't\ace to lOOk btu,l 1
MECH'.(ias Piping (out leU)....' SMECH~Exhaust rc.. ;-.-"...~ p..A 3MECH~Ran~llood (res)... ..n .: I,
,MECH""Clothea Dryer...........,: 1 P!.BG~Wate'( .os!ilL.....,'i\o.: 2 PLElG-Sathtub......'.......;",: 1,
P1.Bt}-Lavatoy.y..n ..'. .,d.. ....;2 ..... PLBG..KitchehSinkpH.n, ,; .,( 1
PLB6....,Ot$hWi~sher. .. .... '. ...... u I 1 PLElI~"'C,othe$ Washer. "'.... U': 1. . PLBG,~Water Heater.. ...,....;~ L 1
P...LB.G.-.H.o..s.e,.'. e....i.b....b..$.............'.'....,.......,= .,1. .... ....... .' .3',..'.... '.' '.' .2-,'. ...., '.' .' ..... ,.,CA.....'. ".. E.,...... .......,.,....... .
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This permftshallbecomenijll. arid void if th"buIlding orwor."thodzedbY thlapi:lnnft is not cOlllm~mced within
18.0 days frClm 'the dat1!:crf such permit. or if ts bu:llding" ~orkauthorizedby such permit is $uspendedor
abandoned at afty Hmeafter the work is ctlmrnetlcf~ .ertod of. 180daya,
, . .
NOTICE~' It isthen!lstlortsibil1t.;r of the permit. holder i not the liityof BremertmlorSuHdiTl9 OfftctilltoSBf!i
to l.t thi~t reqUired inspections are made. The~rmH holdermustnotH'itheB 'ldingOHioial whenready for
in....$p.e. ct., i.on..a." .Fa. .i,...l...ti.....'.r..'€.:rOf... t.n.!!!.._. F.)t!.'i, ,.m.. it. ....h. 0, ld.',e... r .t...(). nCt.t. i fy ...t.. .h. e,'. B. IJ. U.....,d...... i..,.n.9....'.O,.If,.f..,.....'f.,.......'......G..'. :.!., a. ..1.,.,....'.O......f. '.". ..qUi.n:~d....,.i... r....\g..,p..e..,c~io.....~g... m, av..... ~€...~.,.SU1..,t
in the atoppageof' the workunt 11 such time that the permit 'holder"substa ~tethebul.ldHlg offwial .
that theocmceaJed ,worK m(~ets: or tixc:e~~decQde r~~li remetlts.Anr de '. .~ eat'.. or "'l1anoial Durdenr.{hall
be borne direGtly by the permit holde:r. Failure to ~l,lbatantiatecQ. ' .diire 'indemnifythe City ,
against any and an reaponsibHHy or liabil i ty c:cmnected with the"o' i I H. .. '. '.
Ih.r.by ""rtlfy that 1 hi"" read and. ex.mined thl$ permit and ;00. thet9 ilfit'rt 1nd""rrect. All
,p1"ovis1,0I1$ of laws andorclinances governingthia type of work will be clhtJ2~iThwhetharapef~ified herein"
or not. Thegrantiog t"tfapermH doe~l Mt pr~!aurne to give authority tr vIDlat' or 'cancel theprovt~don$ of
alnyother state or local law regulating construction or the per.forrnance of construction. '
. . . ,', .'
S.l 'Jf\tl t u r ~ ; .1#,lI.mr:>'I!l'AA;;llrlllllll'''''''II:r;~lllll'I.U!lIi'jr.:q.I1CI...~~ ~"'" *"u.b>~"oi,...lllIl ""'<IIl,'llIi,,,",,=p-\l!W.~""'I!l,,,...,.,.;. ~...".,"""<!II<l~~~,ll'....I..-:',j~~'"::""':_.;,,;.... Oat e,~ """.~.,,,.,,'"'" ,.,~.... "I".=,....~...,.'''''.'''''',Mo!''''!......t>l''''''''''''~.........''''':''''..,';.,,;J .W<,""""",_....,. .
I c\!rrtHy that I '.aJfI I!xEllnpt frOlJl the Y'$qij1n~llIEmt$ of 'the stat a contractor's registntir:m law, \JriCeY'
S~t,tiCln 3, Chapter 126, laws of 1:167. .. . ,',
Sil~nature:,. . .... . ", .... ." '. .' .
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A, · I, ~1 0 O~ '987
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~.~ 4----- , f \ _~t-- -,~~J.-i-- BREMERTON
_ --=- _}! _ 'L ___ ._BUILDlNGDEPARTMENT
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, C!tY!>~~l'P~erton~ Wuhi~n~on'98310""'Phrine: ~6) 478-527~ FA~ '(206) 478~
, APP~~T' ca'OWNER Q-roNTRACfoRD OTHER, q 7 - 0 I J-J"
,-
SITEADDRESS: /0// ~151U)Jo/J ()r~ fAyfJ S TAX ACCOUNT NO.
OWNER:-E.P4 (" OJ.JS;, . ADDRESS:J31W(.1 h A"f 't.~1 .~utb.P
CONTRACTOR:~~A-}J O~i1N.fk!c.... ADDRESS: $,Ir! BlUuJffl-(jv'\.. ~/t.J.
CONTRACTOR LICENSE #ll~~#J11O I o~~AlC. EXPIRATION DATE: ~/q7
CONTACT PERSON:----.B.fiUi( CONTACf PHONE # 3IPo '-J7J-H'J7b
E]SFR 0 DUPLEX 0 MULTI.FAMILY 0 BUSINESS 0 OTHER: , '" r;~,
o S~GN 0 DEMO 0 MOVE BLDG, 0 MOBILE 0 GRADING(yd.),_~ ~ ~ E,U ~O ~ 1,1>>
!2tNEW 0 REPAIR 0 REMODEL 0 ADDITION 0 OTHER: t'il[\.R 03 19-;;7
. BREMERTON
NIl--'--- --....--.. ----..., ft...... Un.I.1 () II A · tJ..A.,.. f.) ,..- , BUilDING DFPARTMENT
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sQ.UAl.... .,..............,..1':'. n....__lIl__ / ~ i' Garaoe' /' 0 Decks- ----
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~"--MA.L..' "'-l"A;"'Jl"ON' '.;...,..;.:><l0ip':~W.::; "'U..M.... ',EW. . ~FEJ' ,.,',",.L..",...'r:../.t'r-ER1"" 7.:':-'-.8;::'::::;':';::';;::":;::;:';":;;:;:::"::';':$',"U':'X'C:HAR';: ;' ,:' :GES.'" ", '?;;:;;;::::;:':.. :;':::::':/::::;:'T' O'l1"~:"'':/'p' m.:", ",:/:"...\,:.,]
, ... .. "-'. ." , ....., ..'....-.,...- '."'. ."'.. " 1',-, '..... ... ,...... .'.- ..... ...,":...,'..,.. '., . ,"'.~.........-....ll:"'. .........'........... ...,....'.'..-;. '.' , .- ., .. .........:-..'-.,. '.,.,........,...,.. "-', , " ... '.' . .... " ..,' ,...........,
T),<q ',/~_?;9,'.~$;" :;;?qd8';:':$~-:-;::f,~:-;'4-5':':"ENERC:: $50.~:~; , '. '."~4;,
_ ~~ 1..:2 ' ~. 4' STATE,.. $4.50 I, ;).OD, ..
= __ ": (("IV 5,06 I _~
Apjtlic:ations for~micl1 n,':) permit i~ ;ssued withir. 180 liays following the date of application shall expire by
limitatioll, and plans ~nd OthC!f data subm;tted. fur !:evi,:-w- .m:a.;r thereafter be ret~ttned to the appli~nt or
des1:royeci by the buiic~ing ofiiciai. The: buUciing oflicia11l1ay Cltend the time for action by the ap.F!cant for a
perilod u.~Ji Q-;~i.i.i.g 130 '{i)iii vii. request 0)' the applica.t:t shovrlng that circumstances beyond the control of the
applic!!"t h!l'''. rrflVf>,,!f'.t! ~eti(ln ftom heing taken.. !'SJ.1:Jppllcation shall be extended. more than Ol1<:e.. In order to
renl:W action on an application aft~ expin.ti~,t~4pj)Hcant shall resubmit plans and pay a new' p~an review fee.
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f ; ...... '..... ,'...,.... ''''r.. [;: :fl!l\, ~'.I.J~...I." ..""::J.'....... r~~i"" Ij l.1,,~!.~ \,. ..' '.' ..,'.... ..' ' , I
;i..,,;i::;~i!~j::/::~:?~;:;;:~;i:~l:"~;f::":'::;~"':::::";:~iti~i;::.:".L. ~':'::;;'::"'2~ 7:~'~~:"":;::f:~:"1 ~',: '~;'~;;;::':,' "1:~,)::;'::;';';:i;~~:;'A;~<" :;?~: 1.,:,;1. r'~:~.~<~ ;I~:"\::;'~...;~.: ~'~::~ '~~' .... " :
, ,:.,:.:.:::",Ot:'f:ar:Hre:tle:-:OII....W~illt\...,...Il:." '-.". ,...,.""..1. O:one...\:_...6!.,;,f, 8'-).~r .,... !:.... M \ ...~6i. .. _ .,,_1 S .
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I, I.....'.~.".;;:......,. "'_",' ~.~ . ..... .~~~,.. I":.:~'''''' '. "',' ,:_,.. ,". 111.
.. "....,.."",....,...,...."....'.. ":'f.If"'l!;~. J' ........ .&'. Y" ......... .. ,,, 1 ' ..,',','.'..... ,...,.,. ......... PL'W"-C'l!.~ ~ ' I
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O'W'NE:=t:--Ef t!. COIVS1" . _\DDRlS5:J13) .J{/i~ L~ ,5L~k kJ
CON7it\crOR;~f.W ~'1N j:"VC' .-\DDRES: _31 11 ~/lA)JW /J1d'~4rp IJ
CONTIt-\CTORLlCE;.'fSE;# ILe:EIVItO I os)"~~ EC!IV.7!ON DATI: g/tt7
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. BREMERTON BUILDING DEPARTMENT
, Inspection Report
Scope of work: 3 p/Z- /~~u~er: 9: ' 0;::
~~r::s: %~~dlJj'; Lr
Phone: 77-' n
Contractor:;:::: f? J-f Phone:
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:
FOOTINGS APPROVED: tf'2- ~ :1-/t,..'; 1 WALLS APPROVED: ~~ '1-17/ e;
FRAMING
Electrical approved Plumbing & mechanical approved
Crawlspace 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 10'
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:
APPROVED: ~/~ 7/t-..?A 7
(
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:
WALL INSULATION APPROVED:
---- I
MECHANICAL ,..
. Appliance location and access, proper support , , Applianc~ clearance to combustibles .
"-
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 Woodstoves & fireplaces: Tight-fitting doors
Wotidstoves & fireplaces: proper hearth Manufacturer's specs on site
Chimney liner: when required Chimney: separate flues when required
COMMENTS:
GAS PIPING APPROVED: ~/~ FURNACE APPROVED: 7/2-~(~7
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 c1eanouts
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 trapslinterceptors: where required Proper indirect wastes: where required
. , . , .
COMMENTS:
PLUMBING GROUNDWORK APPROVED: ~UMBING ROUGH-IN APPROVED
SHEETROCK
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 (1/1") 24" o,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 (5/8") screws-12" o,c, vert. plane (5/8")- 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: 7.. Z5.... '?'7
I FINAL
I Energy code requirements met, exhaust fans I I Plumbing & mechanical
Garage/dw~l1Ing door self closing solid core Smoke detectors where required
Handrails & guardrails, as required Fire ratings maintained
Exit signs when required Emergl'lncy lighting when required
Occupant load posted when applicable Building weathertight
Wood siding to earth separation (6" Building Address posted
Radon monitor when required
. . ,
COMMENTS:
FINAL APPROVED: "'/~ If'. /:1. '1