HomeMy WebLinkAboutE. BROAD ST., 1015
BREMERTON BUILDING DEPARTMENT
Inspection Report
Scope of work: Permit ~mber: q 7- () / d 7
Address: I {)/5
Owner: Phone: 377~ ~70
Contractor: Pf')-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 so1\ (soils analysis if applicable) Special inspector (when applicable)
COMMENTS:
FOOTINGS APPROVED: ~/K"S.{{; if, WALLS APPROVED: of~ ~"r7'~1
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
Mudslll: 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 ceilin9s 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: ~~ 7/7- ~ I
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:
MECHANICAL
I Appliance location and access, proper support I I Appliance clearance to combustibles
Venting: clearance to combustibles Venting: size & support
Vent termination Combustion air
-- Gas pipe under test I
Ducts: size & support
Gas pipe: size & support Gas pipe: underground min. 12" below grade
Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance I
Gas logs: safety shut-off Gas logs: damper permanently open
Woodstoves: EPA certified Woodstoves & firepl~ces: Tight-fitting doors
Wood stoves & fireplaces: proper hearth Manufacturer's specs on site I
Chimney liner: when required Chimney: separate flues when required
COMMENTS: I
GAS PIPING APPROVED: ~~ FURNACE APPROVED: '7 2'3 /
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: 3/2 7 . /' PLUMBING ROUGH-IN APPROVED~~/I" '17
SHEETROCK
Proper fastening: nails-?" o.C. horiz. plane I 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. franiing
Area & occupancy separation walls Draftstops where required
Usable space under stairs (5/8" required) Waterboardwhere required (not on ceiling)
Corridors
COMMENTS:
SHEETROCK APPROVED: ~/~ 't/~ ~Cf 1
FINAL
I 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:
FINAL APPROVED: rrl-/W &a~ ro[Zi/1!
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BREIt-'1E RTON PERM X'T CEN'-E.R J
286 4th Street.. Bremert.oni1i Will 9833.7
at . (~'O) 4?B-5?75 FAX: (360) 478-527'8
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BUIL.DING PERMIT
Job Addr: ~015 E BROAD 5T Permit No: 97~0127
I I'. 1 (') 1 j- r-lIWAO <"''1'' (.'1" 1 4 'mnAnMnnl~ ') I I I Arl'- ) Statui::>:: ISSUE::!J
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Parcel No: 0224011-028-2000 Applied: 03/03/1997
t Issued: 03/11/1997
Applicant~ KEENAN DESIGN ::177""8370 Expires: 09/07/1997
I 3959 AROADMOOR LP BREMERTON WA 98310
! OtAlT'!{,:r: F'PlI CUNST
8331 KITSAP WAY~ SUITED BREMERTON WA 98310
Contractor: KEENAN DESIGN INC. 360-377-837Ltc #: KEENADI055NC Exp: 8/2/97 i
PO nox ;;:lO;?8 EmEMERi"ON WI~ 9B:::lI0 J
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! ValuatIon * P!::rr m:! t F' f!~E')~3 :: 74B,4t:) Total Calculated Fee: 1 ,200 , 84-
;If:; ,6213 ,90 ..~ Plan Chec k r;'f:~es:: :Jf)?.. 139 Addi t:i.onal F'eo8:: ..GO
* Ot her Fees :: 59..t:lO Total Permit Fee: 1 , ;100 , \34
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MEeHAN I CAL/PLUMB I NG FrXTURES~"- MECH-Range.....~.......i......: 1 t'1ECH-6at~Furnace to lOOk btu ,: 1.
MECH"(;as Piping (outlets)"..,,: 3 MECH-Exhaust Fans........,,,..: 3 MECl-H<ange. Hood (res)....".. ,: 1
i1ECH-Cloth(~s Dryer"..,...,...: . PLBG-Water Closet.......,....: 2 PL.SG-8athtub. . .. .. . . .. .. .. " , , , .. .. ..: 1
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PlBG-Lavatory.....",.....",.: 2 PLBG.....Shower ,-" II Ii fi .. ~ II 11'11 II ~ 5 II i Ii II 1I : 1 PLBG-Kitchen Sink.r.".."",,: 1
PL8G"{)iEihwasher, .. . .. , .. . .. , .. .. , .. .: 1. PL8G-ClothesWasher,. n,,,,,.,,,,: 1 PL8G~.Wat(~r Heater..,,,...,,,,.,,,: 1 'I
PL8G.+1ose BIbbs,.""...."",,,,,,,.: 2
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This permit shall become null and void if the building or work authorlzedby this permit is not commencedwl.thl.n j
181) days from the date clfsuch permit ~ or if this bui.ldirWJ or work authorized by such permit is suspended or 1
abandtmt1d at [my time after the work is commenced for a perIod of 180 days.
NonCE- It is the responsibility of the permit holder, not the City of Bremerton or Buildin9 Official to see
to it that required inspections are made, ThE! permit holder must notify the Building Offi.cial wh(:l!1 ready for
i nSPE)(::t iOlis . F.aHure of the perm:lt htllder to notify the Buil.dj,ng 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 t he concealed war k meets or exceeds code requi rements, Any demol:l t ion, test i ng, or f i nancii~l burden shall
be borne directly by the permit holder. FailuY'(:: to substantiate code requirements will indemnHy the City 1
against emy and all responsibility or liability connected with the:ccmstruc:tion.
I hem:lby certify that r have rSf:ld and examined this permit and know the same to be true imd con eeL rUl
prov:i.sicms of laws and ordinances governing this t:yr)e of work \1Jill be complied with whether specified herein
I or nClt:. The granting of a permit doe~l nrJt presume to \~iVf;! authority to vl.olate or cancel the provIsions crf ]
any other state or local law regulating construction or the performance of construction.
Si~mature: ""._~~."-J:n.,-.-6plJ::II4::J.:---_..._._....",- Dflt E! :_..___.."_,__3~",.:.lL"._.=q_"Z... I
Ui€!rtify that I am exempt from tht:.! requIrements elf the I~t:lte contractor's Hlflistration la\'J, undf:lr j
Sf:lctl.cm ;3, Chapter 1:1.6, laws of 1%7" ,1
,1 gnatu"'__ _ _ ~ D;:ite:
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SIf:;;;;: M RTClN PERM J[ 'T tr'::;ENTE:R
~'286 4th Street ..eremerton.. 14.A . 98;'~3?
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Building Permit No: 97-0127
f ,Job. AddY'(.ilBS:: 101.:j 1:::: 1;:3HOI<1D ST' ~::; t i:'i t (,1 *::~ :: ISSLJL::D
t L.ocr:'l.t :1 on:: 101r F ij~OAD ~T (I T J4RROADMOOR u L.AGF: ) IBsued= 03/11/1997
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Assr Acct No: 0224011-028-2000 Expires: 09/07/1997
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1:< r: (;~ U I ..F: I:::: D I N SPE: C ''1' J Cl N S
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t Iteml 01100 FOUNDATiON-FOOTINGS Delpt:: BI..DG D:i.v:i.f!.~:I.on ::
I t (~lml: 0 1 ~?OO FTll.JNDr:1T' I ON':"'~J~lI..J.S Dept:: FlL.DF~ [):I v :1. *::~ :1. on ::
!. Item: 01400 MECHANICAL o (:':1Pt: :: ElL.DS D~. v:l. B :1. on :
f Item: 01S00 PLUMBING GROUNDWORK D(::~pt:: BL.DG D:I v:i. *::d.on ::
Item: 01600 PLUMBING ROUGH-IN [)(;:'l pt:: B I.." 0 f~ D :1. \):1. s:l. on::
! Item: 01700 FRAMING Dept:: BLD(:J D:l 'v':I. 8.:l.on::
Item: 01800 INSULATION DE';lp'I';:: ElL.DO. D :1. v:l. s :i, on ::
I J t em:: 01.900 ~::;HE:I::"rROCf( NA J L. ING [)e::lpt:: Eli.,DG 0:1. v:l.s:l. on::
t I t em:: o:.::~ 150 CI:~O~::;:::; CClNNE;:C>r I ON C:ClNT'F~OL. DE:1pt:: CI:~O~::;SCC D:i.v:l.sior1::
:r t f~)rn:: O:?7'OO F' I Nr:qL.".,....BL.DC) [)(.;)pt:: BL.DG D:1. (J:I. t;;:!. on ::
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~ 'n:::::::;'\" :r NrJ :: Must be recognized by the Wash:l.ngton Associat:l.on of Build:lng Off:lclals
[ SPE:CINSP :: Must be registered with the State of WA
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I ALL INSPECTIONS PERFORMED 8Y THE CITY OF 8REMERTON MUST BE SCHEDULED THROUGH THE
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BREMERTON PERMIT CENTER
286 4th Street.. Bremerton.. IJA ' 98337
, 'Phone: (360) 478-5275 , ' FAX: (360) 478-5278
BUILDING PERMIT
I Job Addr: 1015 E BROAD ST ~ermit No:97~0127
. Location: lois EBI:WAD sr (l.,T 14 BROADMClOR VIL"l..AGE) StatuEl: PENDING
parce I No: O~~24011-'O~~8'''''2000 App Ii ed: 03/0~:l/1997
IfJElued:. .
Applicant: KEENAN DESIGN 377-8370 Expires:
3959 BROADMOOR LP BREMERTON WA 98310
.Owner: FPH CONST
3;331 KITSAP WAY, SUITE 0 BREMERTON WA 9B~110
('c r tr' ".t" ( r. :' K,:::'eN. AN'.[')C::'C"I{"'N '[Ne' ':l6(l,,,,,~~'7'''7' ",..(}';I'7'1 i ' J~.' 1"I::'f.~NA(lI'(J'::'5"NC f.::' " c:l/":'\/~~'7'
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PO BOX ~J()~~B BREMERl"ON WA 98310
Subcorit r :
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*********************************************************************************************
Valuat~on * Permit; Fees: 748.4S' Total Calculated Fee: 1,200.84 '
79 ,6~~tL?O * Plan Check Fees..:, ~192 .89 Additional Fees: .()O
* Other FeeB~ S9~SO Total Permit Fee: 1,200.84
*******~*************************************************************************************
MECHANICAL/PLUMBING FIXTURES-- MECH-Range..........;........: 1 MECH-Gas Furnace to lOOk btu.: 1
MECH-Gas Pip i ng (out let? ) .... : 3 MECH-Exhaust Fans............: MECH-Range Hood (res)....;...: 1
MECH-Clot.hes Dryer...........: 1 PLBG;"Water Clo.set.............. PLBG-Bathtub..................: 1
. .
. PLBG-Lavatory................: 2 PLBG-Shower....... ... ...... .: PLBG-Ki tchen S1nk.. . ... .... ..: 1
PL.BG=Dishwa.she.r....'. . .... . '. ..: 1 . .PLBG-. .C.l. oth. e. s .waSher. . .. .. . PLBG- ter Heater....... . .~. 1
PLBG Hose Bibbs............... 2 .. ,. .
F L€-: 3-t,~q1 .' ".' ',,' ,'.
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This permit shall become null and void if the building or work authorized b>; thispermit is not 'comlllencedwithio'
180 days from the date of such permit, or if this building or workauthori dby such permit is suspended or
abandoned at any t imeafter the work is commenced f9.r a period of 180 day . '
NOTICE - It is the responsibil ity of the permi tholder, 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 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, testing, or 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 constructio~.
I herebycert ify that I have r.ead and examined this permi t 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 authority to violate or cancel the provisions of
any other.stat~ or loc~l law regulating construction or the performance of construction. .
Signature:' '. ....' Date:
------------~------------------------------------- -------------------------------
I certify that I am exempt ,Trom the requirements of the state contractor's registration law, under
Sect ion 3, Chapter 126, laws of 1967. '
Signature:. . . '. Date:
---------------------.-----------,...----------------- -------------------------------
*************************** ' PElrmi t Ct::,mteY'''''''"''ApprClved By: ~_"'''__"_''',.._,_.."'_,_.....,,',,._ Oat e: ...I"_...:;...,_.._,_",._"~__",,,.._",_,,,,",_
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BREMERT(:JN PERM I 'T CENTER
,,286 4th street" Bremer-tan" tlllA 98337
( Phone: (360) 478-5275 FAX,~ (360) 478-5278
BUILDIN(1 PERMIT
r J ()b Addr:: 101 ~:t E 1::~I:~ClAD .!:rr Permit No: 97-0127
I I' '1 (~l ~"'" nrOAD e'''1' ("f 1 4 I'll" f')A")Mrlf'H~ V T II AC'f" ) St i:rl: US : PF:ND I NG
,,,.pCi;;.'; ). on~ co ,I. ,) I:::. .:'(..'"" ,) . c.... .; '(" ",L .. '. ' ..". ",'" :~ :::.
Pin' c!:.11 No: ()~?~::'40 11","02!1"" 2000 A~)]ied: 08/(3)1997
l: BtlUf~d :
Applicant:: f\Fl::NAN m::SIGN 377""'B~:I'.70 ExpIrt:1H:
:E19S9 1::H~ClADMOOf~ LP Bf~E:MFRTClN Wli i1H~ll 0
Owner: FPHCONST
~:l~3~ll K I 'rS(.iP WAY ~ su:r 'rF D BHEMErrrON WA 90::310
Contractor: KEENAN DESIGN INC" S60-377-B37lIc I~ KEENADI055NC Exp= 8/2/97
PO BOX ::302f.~f Eml::::Mf::;R"I"ON I~A 9B:;;110
Subcontr:
n ,.:.,.,., ': NFW ("Fr~ W/AT'T'Af'HI::T) F'ARAFF' (MnDFI. nc,,,)
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". ... ... * Clt her Feel3; .;59" 50 ff't:t:1ta 1 Perm:i t I:::'ee:: 1 ,;~OO "B4
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.,;i.",."I\'lECl:lANICALlPLUM6ING FIXTURES-- MECH-Range.. .. .. , , , . , , . , , . , , , ,'~'MEGtHiaf'f Furnace to WOk btu.: 1
MECH-Gas Pi ping {outlets)",,: 3 MECH~ExhaU!3t Fans...........". 3 'iMe.CH"'R~t\ge Hc)od (res).",.,"..: 1.
~1EC:H-C lothes DrYer, . ... .. " .. " : 1. , PLBG..Wat sr C 1. aset.. '" "" , .. .. : 2 PLBG~8at ht ub "" " ". " . " ... " ,: . 1
PLBG-:-Lavatory. ,.., , " ,. , ., ,. .: " P1.6G'!"'.$hower- If II P II I' II ~ . 1I II II II ~ Q 1/ II II ~ : 1 " . Sink 1I lilt" JI W I! V-ll \I ll'e: ,
,:; !
PLBG"Oishwasher..... , . . . . . . , . , .: 1 PL8G....Clothes Washer...".,.",: 1 1 ]
i PLB~-HOSL~'''''''''3:~ ~. _ ..cr.... .~. L. (Ai...> . I
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r 'rhis p€lrmitshallbecome nul.land void if the building or work authorized I ~i8 not commenced within ]
180 days from the date of such permit, or if this building or work authorized lYsucf"permit is suspended or
abandoned at any time afterthe work is commenced for. a.pedod of 180 days,
NOTICE - It is the responsibility crf the permit \holdier,.'not--f~f~ City clf 8remertcm or Building Offic.ial toaee
to it. that required inspections are!llatie~ The pT~1fmVthQ)"der.!lnust notify the Bul.lding OfficIal when ready for
inspections. Failure of.the permit jholder:to nbt'ify the Building Official of required inspections may result
in the stoppage of the work until sl!c:htime that the:) permit holder Cim substantiate to the building offici.a.l
that. the cOl'lcealed work meets or exceeds code requirements. Any demolition, testing, or fim,mdal burden shall
be~ borne dirf!ctlyby the permit holder. Failure to 8ubt~tantj.a.tt;1 code requirements will indemnify the City
agal.nstanyand all responsibility or liability connected with thecoTlstruction,
thereby certify that I have read and examin€~d this permit and know the $i1me to be true and correct ,All
provj,sicmsof laws and cjrdinancesgoverning this type of work wi l.l be c1:lmplied with whether specified herein
or not . The granti.ng ofa permit does not presume to give authodty to violate or cancel the provisions of
any other state or local lawregul.atingconstruction or the performance of Construction,
S i. gna t u r e : _.__._...__._.._,...._.__.;._.__...._,_..__...._........_._...__...._..,_."__~........,..______ Dat €1: _.__._ _.__....._.____.. _,...__........ .,__........__.. _ ."
t certify that I am exempt from the requirements of the state contractor's registration law, under
Section:" Chapter 126, laws of 1967.
Signa t ur e: ..._....._,~.._..........._..,.._~_,........_._.'"_..__.................__.._....._.._...~____......_...._~_..... Date: _"U_~""""'_ ,..__,,,....~....,__''''''''~__......_....._~''' ""...,,_~~, "",...".,,, '"
.~.)Ht.*.**',K.**.*.)(.**'**10i:'*)(***100H(..lt .....k . D"it'(".'~ l-//"'J2
Pf:rmit: Cent er '"'.'''(.lpproved By::..."..."...... ....... ..co.......... ., t 'c,' '.', .........".....,..,..,.......,......:, ,..,...,."........'."'..'
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Addr ~ 1 () 1 t:',r: . HROAn P~l'nrd t Nt:l~ (;117",01
LXlC;.lt i,on ~ HH:, H t.~f~nAn (LJ .t:4 .t:}I~OADMODr;( V iLLA!lE ) Sf;;~tHij: PENIHNQ
No: 1 ''''tl~,~~~",OOO f~Ptj }..i€;ld ~
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APl';l h:Jilnt ~ KErf NAN !)ES'!GN r~?f;l :
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WAYI f) Hf~FMt;;'Rr()N WA ~1~1~1l0
CtH'ltrl;);ctnr r. Kfi[,e:Nf1':tN fNC, Ie .1i' ~ ~:I:;:li~:I';MOr{~I~)SNC
PO Em/( ~~O?€~ Bm;:ME:RlON w~ 10
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: NEM~:;'FHW1ATlA\~t'IEl) ( ~lClnFt " )
**,)1,\ fi).***'i('~'*~:!.I;*~'***loIl:*****~{.:j('*********ili:***** ******:*******1H~*****tH*-l(,* ***,~*tH~'l!:*********~'*'~****:~'IHI'*~
J !lilt: Jon ;\1; t }: 14H. 'fot/'il Calc:ul c:~d' . 1.~rOO
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,If nt hlftr . ed P.l']'('!l'li 1; F~':e:; l.~ 20()
.
FIX1URii:$"'- Ms:C~Range ~ 1t, v -~ It ~ . '" Ii .it It ~ It "-- ft. .If ~ " ~ ~ MECH.'Ga~.Furnace to100k btu,; 1 .
(outlet\!!)..., = 3 f1ECH"ExhausctF ans , .. . , . . . . . . MEC~~Ra~e Hood (res). .;... .. ,: 1
ME~H-Clothes OrY~f...........~ 1 PUil'EHlJater Cll)~et."...,....., l PLSa-Ba,htub.,..,.......,....: 1
PLSG""t.avatcrl'Y. . . ,.. , . . . . . . . . . ; -':' Pf",,_Btl'-Shower 1!I If ~ ., ~ II 'J ~ ~ . 'Il' II ~ \l. ~ ;It Ii ..: 1 PLBIN(itehen Sink. n"
.,. ;JJ. I'< -'iI ~ ~
'.pt,8Q"{)lsh~a$her . . . . . . . ~ . .. . , ,~ i PLeG",C h:lt hes , 1 PLBG-~1at!!lr Hel!t(~r.. ...,....,~
.. 10-11. 1lI II ll; o.i.- It IJ *,"
f'I.lllHI:JOe 91 bbe.. .. ..... ... ..: .2 ~ .. 1
I, .. :2..... .............. .C" .. .......................... ....... .... .. . .. ............ ........... . >'.>A
f'*J~""....iii?;.i.;..*t*J*.....*. ...........:2...""... .~"'.!' :,.,
This permit s~tall be(::O!lle nun iandvoid if the buUdhl~ or work authoriZed by this F:I~nflit at .cOl4l~..nc~d wH
IB<)daYliI f'rQlYl the date elf auchpElrmU t crf thhl building [:lr work authorized bYSI..lchpeYlIlit sUi$pend.
abantkmedat itl; t l1I1Ei the work cOI'lll!l~nced for a F)l1lr hid 1)1' 180 days,
NOnCE .. l'th the r~$pol"lsibiHty of t;he permit holder I riot en~mer1;Qn or aut hUog OfHti$l to $eEl
taU ttllilt requlredlf\!ilpectiona ar~l Made,Th(il flenllit holder lpU$t "noti the Bul.ldinQ Official l~hen ready
inSf,lef;tloos, Fetih.lre the .Pf.lrmHfu,'ldd\"tt.lr~ttlfY" thf.;'Sld18il19 Off!ci&:\ of required jn~~~ct.iclfls I1U.lyrel3Ul't
i\l the 1&t\Wtligeof the work Uflt! lsl.;fch t 11lle that'the pe~;rdt hoJdera.ubs<t(lnti~.It:e h1 the buildlnG official
thit thllt c(lfiCe~led work flIefits (;If eXl.\1eed$ Gode r1!lqulr!lllll~ntl!l, 'Any tll!lmtl1idon, teaUnt:h r)'t HMnd!')! burden shaH
OOOOl"ne directb,br the permit holder,. F'aHur~ toaur~ta!1tiiiltg, code requirements tdll indt~nmHt th.e Cfty
1:l9aifl$t 1il11Yi:lnd all resPt"lflsH,fUtyor Uabilit)/ cofl.fl!ctedwlth tire c;l'JMtruct1oN.
.,
r. hIl!rebr cart i fy that 1 Mveread and &i<lilminetl pen III t and knoW the $f:llll(;; to be tntf$ a~1dcorreCit. All
f,woviah\l\'1i'1 (fr law~~rn:lQrdiT\Qnce!:'l goV11H'Tllng tM$typec>f work \!IBl be complied wit Ii whether l1lpec1fic~ Mrein
or not, The grant1~ of a permit dol:.lI,~ not preeUll'I€1 to giveauthnrUy to violate or canr.t.il tile j:lffNistofi$ of
any otheY' etate (ir local law regulating COflstnlCUO/'l or the perfl'\"mIilnc;e of Ci)r\$t:rucHf,l/'I,
I that I Illll€jX~pt fromtheY'e~ltlirementa of the1ShrtecOt1.tractot' \"i!I;i$tnticm law~ uncle\"
t~ot i Ol'l :3 p Chapter < law~l 1 (fJ w~
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!;:tl'~ I Fl'r Nwnb"'~T'I: 97CX)019? Amount. .89 03/08/97 34=40
i Payment Method: MASTER Notmtlon: Mf~rIR'IJG t"lr~lSrPJ~ Tn'!. t i; (lltl
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p{'~'(cl~::~l Not 02~fl40 II . o~:-'n",,;\()oO
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If.)c;c;ount Cndf,') OliHiGY :1 pt :1 (In f'^1ffiCltJ,nt
1 v H::300 {4SHO) UCJ t I ,I) r. NC; PI.AN Cl-H::CI< " !~l':1
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I (; 1 'TY OF nr:(E ME RlON HF'CF 1 Fff
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! f<F:.CF I PT Numb!'.';, ~lll'O()O:;) 1 :';) Amcnmt Ii B07.YS 08/]0/97 13=46
, Pi':~>"m~~tnt r1l1:~t hod r. r\'iM3r!::~H 1'40t I~t i. em:: t'ltff'l,lt,J 1: G !'11(;it:rrlc,:H T. n :1.1':~. VI.I I
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, P{~l)"rn i,l'; Nl:l ~ 97",01 l'ype'l ~ OI.J)G rn,OG PERMIT W/MECH/P
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, fJt'fn::fi:d No r.O?:;:,',40:l1 "'"O?H"?OOO I
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~ stte i{~dcITef:;:!:~~ 101 !;~ I.:: BROPll) S r
~ L (lei:!;'!: ~.. fJn t :1 0 j ~;) r Hh;Or\D ( I 'I' 14r,IFd:Jft;:;CWiOCH\ IJ 1 LLAGt ) 1
r nt al F;"i":(!)*~:: 1. ~ :;:;;00 .H4 !
i 'f h :l([;l P f;\ Y 1m::) nt: no '7 .9 !::) l crt.: f;~ 1 f~l L l"l'I'lt ~:~ ~ :1 ~~",OO ,H4
I IJa 1 finc:I.'~ ~ ,,00 I
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I f7)c(;CH.\ntCo(ll~i~ rUiH:H:::Y J ion ~-:>lmc;Lmt
If' ;"i"j." I no 1 ( 1 1 ) 13U 1: L.D 'f Nf:, PF:J~t'11f 1:1::1:: S 604.li,S
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( j e: . "Ii "'''f'''' 00 ( 4- r: B '') ~ BUJLDJNl:i Plf\N CI'IF'C::l';: FFl:S t:l(J ,,00
.., .:~"" ,:: ~., ,,;) .' L ,;;1. ... ,~.::} :, t. )
1. ..1005 ( 1'" ) MF:CI'IAN I CriI, f1F::RM'tf 6(:; .00
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.1 , 1 OO~:s ( 1 a) Pl.1W1EU NG r,IFP11'lJ T FF n],.oo
. 1 ::~ ( ) STr'\Tl::: OF W(,q SUf~C;IU)I~c~r:: 4.S0
. 1 OOI? ( 19 ') PF RM J'r stU:;~CHAr~(,if 1::. ,,00
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.'......-B:IJ.JUj'IN.c... .1~R":JI~!r'?'.........APPU~41~ION
Ci~~fB!~m~rton~ Washiagton.9831(J:.Pht;n~::(206) 478-5275 FAX: (206) 478-5278
--' - -----
---- - ----- -..-
APPLICANT: GlOWNER G}eONTRACfOR 0 OTHER: 9.J - 0 l d.-l
SITEADDRESS:LOI) If,. tiUJY-W ~f- trJflLj TAX ACCOUNT NO. o-d~fo / ~l~. 0 cL-p-d-() 0 (r
OWNER:-EQ.d. (' o~~r . ADDRESS:~S31 JLI11 Ay t~b:k1 s;.ui...h.n
CONTRAcrOR:~f\~ ()~ iCt~ ~1Jc.... ADDRESS:. 1m 8/ZAJ(,u/.fflAJ1/\. ~o/ IU .
CONTRAcrOR LICENSE #J(~~~40' D)-{""A.)c" EXPIRATION DATE: 8ft;)
CONTACTPERSON:_-BI\~..JV( CONTACTPHONE# 3iPo '-J7?--H'37o
f:jSFR 0 DUPLEX 0 MULTI-FAMILY 0 BUSINESS 0 OTHER: \
o :GN 0 DEMO 0 MOVULDG. 0 MOBILE 0 GRADING(yW.h_~ It ~ .E ] Wi ~ tDJ
[2t"NEW 0 REPAIR 0 REMODEL D ADDITION D OTHER: M~.J~ () 3 1997 .
NAT1JREOFW -~~-~..-... U()lAJ ODA' "........d BREMERTON
ORK I'KUl"V,7LV; ..-- ~~- ~/~ BUILi>ING DEPARTMENT
W1-n~_~
---.- - -------.-- -- --
SQUAlU:. l'uO T AGE: Dwd:;'-ig;_ ! 2 1.1-7 Garage:~:? ~ Decks: ----
_ =---_ 'W_
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'~.%'ef~~~.e~~, ............ .. ... ......... .. ......
... ......:.,,->:.':_i:l!r.:l;tj:;;E:'~::,?i:'.: .::/:\SUXCHMl(;E$<\'" ...};.:'(/f('lTEPE!S......;\. .
$. 0445'ENE~C:: $50.00$. '1.o/'\?-4
~ ' STA fE. $4.50 ot- U
~ C . z:J::. 5'. D D
__ ~ _1_.......__.-.: / t.
-- ---~ ----.----...
Applkations [(H' whkh no permit is :sslled withUl 180 days following the date of ap jl::ation sh~Jl expire by
limiltation, and plans imd omt!! data submitted f':I! J:evi.~ ma;, thereafter be returned to the app.licant O!
des':royed by the build!'-'g officiaL The: buU~ing oflicial t'laYei..'1end the time fOJ 1tuion by the ap?~kant for a
pedod nClt eJ~ceecilllg laG lilt; vi:. request br the a~pli,aJlt ShOViing that circumstances beyond the Gontml of the
applic",.ui h.'.-: p:.-::~:~~~"ted ~('dnn from being t~il. ~?l'J:'~:..-ation shall be extended more than c nee. In order to
reneW' actlo!"l on atl, application aft~:;: el:.pir:iti~Jk1:lj4~licant shall resubmit plans and pay a new p tan review fee.
....- /"
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AI"PUCANT'S Si(;NA~'l):::~~~;:::J-/ . DATE: .3 :5 'i
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CON7~V.C70~~AtJ O~fjN ~v~. A.DDRESS:. 5111 a/U)w t?1dc.c4rp M
CONTRACTOR .u~'(s'E # JLt:Et\J1.91 osS'~c. i;.C'fRATION DAr:. g/q7
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