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HomeMy WebLinkAboutE. BROAD ST., 1039 -~~~-~_.--_._.._---~~--_... - ... _._-~--~- - l o,~~ ...4( 4- BREMERTON PERMIT CENTER 286 4th Street s BremertDn IT I4A 98337 Phone: (360) 478-5275 FAX: (S6b) 478-5278 BUILt}I N,G PERM I T :Job Addr: 1m:l':; EBf~OAD S'l'/ Perro:i. t No: (17.....0290 l ,,' .t". · 1'() <':.19' 1:" '~I':lC)A'I')' 1"'''1'' I':lI~lf)A' ')MC;){"ll') ".V' I:II ...AI.'I.... I ..," 1':.1 (~... ".~ .. l' c.t'! 11""1) "OCt:! 1. on". ,';I' r:. 0"., . ,'). ~ ,::nl..I... "". ,..,...." ,') ::. '''' :.l ~:n, a I.lH3 . .. .,')~I" :::. . Parta:)), No :O~:~~?4011.mO~:~B""'~?()OO App 1. :i.ed: 05/0tJ/l(997 Issued: OS/~~ 1.1 Fr97 K[-:::~:NAN DE;SIGN INC" '::160.....~ln.",,8::17() Exp:i.re~H 11.1l7/1997 ,PO BOX :3028 Elt~EMEf~TONWA 9S31 0 ' Own~r: FPH MANAGEMENT 479~4137 . . ~~3:;H K nSAP WAY BI~EMERTONWA 98;n~~ I ' I'" t. .' . 1"!~'J:"NAN ')J-."IG"N' .I.N.... '5L() ':>"7"'1 ,('~'::l7'1'[ JI... 1..t.f.....N^[)'f("J'"r.:.Nl''' I"" ."" q/.p~/r.j'7 [...Lon,rar;tor: m::'1~". r'1 l..:.';"~a,, "C.".i' .... ,;g:I."m';;/t""O,:I,w,C '1\" r\,,:.::. t"I",b",~.,,)._ 1::'XP' f". ~:.'t '. rJ08ClX a(),~8 BREMFRTON WA (rSal () I subcontr: , , I' ", . ". . "Th G '~ctL ~ to '., ". ("",', '" ,"',' "... . '"(,''' ''', " "\ "" _ .., .". "II" _' , " ., _, DE)Scf,NEW~,1.NbLJ::, I,,'AMIL,Y RE:,..)IDENU::~ MUD [;:. 1.... A I. e. C<.//.co ' ".UL ,'.e J- .'~ ~,. ..... . .... . .... ". '')6Y"VU1 tP-Vvvvtd- ,***1('**~'******1\'****'li'**'*;("**')(-?('*************'*'*.*.)\\*.*~********~******-****?(.~************.)\\1(,*****.)(.*** r ValuatIcm' * PE'~rroi.tFfjf.:!l7.d6'74.2()T(')tal Galculf:ited F'€lf:1: 1 J078..3~) Ie, L'4 I'" ,.;() "1()' >t. I') 'l C ~ . k I'"'''' . ":'.I.l4 L '::l ^ '1 'j. . 1".1 ... "J.' f'" ". ()O t' Ct. . >>.:l,::, ." t 'K' . an .,II(i:~C: ". t.1~~~\1: ,:J~. "t;),:J t"IC (. 1, J.Qna. . "€lea. , . . I. *. 'Other F€1e€H . S9 "so Totl'Jl P:ermtt F0~(tH lJ07EL~:!~3 ,***, * .****1(. * * * ********1(..)(: ** ********** * * * 1(..)(:1(.1(. 1\'** ****?(.*.)(: ** * *****')('***')\\***'lE* *** *** * 1(..)\\.** *1(.* *?(. :*** * .** ** . I.MECHANICALlPLUMBINGPIXTURES-- MECH-Range.; ..." "'". ... "",: 1. MECK-Gas Furnace to lOOk btu.: 1. ~";MECH"GasPiping (outlets)...,,: 3 MECK-Exhaust Fans..............: 3 MECH...Range Hood (res)"".....: 1 IMECR"ClothesDryer.. . ....; .: 1 pLB6--:Water Closet".....; "'..: 2 PLBG...Bathtub.... .. ..... ......: 1 ~ PLBS..tavat ory....".... . .. .. ,,: 2 PLB(s~Shower . .. "" .. .. .. . .. . . .: 1 PLBG-K i t chen Sink.. '" . .. .... . : 1 [:PLB6:0ishwasher.. .... .,.,.. ": 1 PLB6-Clothes Washer...... ",..: 1 PLBG-Water Heater............: 1 . PL.BG Hose Bibbs...,.......,... 2 l . , . . , 1"\1(")(')('***** *~lt* ** 'It***.lt *,******,** * .It* *~* .It**.lt**,lt*~* * *** *** **** ** * ** ***,)(.)(**** *.It ** * * ****,* ************ ** * ~Thispennitshallbecomenun and void if the building or work authorized by this permit is not commenced within !laO daysrrom the date of such permit Jor if thisbuUdingor work aut hod zed by such perrnitissuspended or !~bandoned atany time afterthe work is commenced fora period of 180 days. .... rNQ11CE ."". ItistheresponsibHity of the permit holder , not the City of 8remerton or Building Official to see rto itthaf required inspections are made. The permit holder must notify the Building Official when ready for i,inspecHons.Faflureofthe permit holder to notify the Building Official of required inspections may result in the etoppage.o.fthe workul'ltilsuch time that the permit holder can substantiate to the buHdingofficial t.hat the cono~aled work meets Dr exceeds C098 requirements. Any demolitio~, testing, o\".financialburd~nshall ; be borne direct 1y by the permit holder. Fallure to substant iatecode requIrements wlll. lndemnify the CIty against anyial'ldall responsiblIityor liabilitycotlnectedwith the cOl1struc.tion..' I hlllrebycerHfy that I have readandelli!Unined thilli p~rmH iiifld know thi)jijamti to b~t'(Ye iiflde:of'f'eot. All .~rovi!ifi(inl!!t.lf l~w~ and ordlnanctiJllt fJoveffliflQtMll1type of work win bt! complied with wheth!!ir!1lP~cdHedhl!lfeifl :0'1' fU::Jt. ThesrfJnUl'Iij or ~'. flotprelJlUmf;itOQive fjutMdty to violate or ciincel th~pfovhlit'm~ of ianyotne 'state r ingconstructioYl or the performance of construction, oate;_______~~~!~~-~--_____~_ .' Signatu\"(1. ....;.__..._.._............___.........:....__...__~,..'_......;. _.11__,.--:........,.:...._.................._... .Da t e t ___...~"...;.__...._______~.;....___....__...~__ ,.***.*~..*******'*****.*~.~.******* .' . .,' .. " . '.' " P(erro H - Ce!~It;l:rl"...""".ApprCJved By ~:. .."'."".."...:..,.....".,.''''''"''..."..;. [jaff:! !!j,...."'...."J-..{",,,..::,..Fl.. 7 ':,--_"",:" ;~ J-' " _ '," "'~: """",~~,$4~i;~~~'V"'_ .t~.rjj\~~~., , ,41. ,,'1,'I,j'\J,,~,11,,'~";J;.i\ :: ._'--:- -,- .-. -- --, ',-,;-:' ,-_.. -",- -1 I , I I I BREMERTON Pll;i::~M X-r:",CENTER 286 4th Street, BremertoT1, UA 9833.7 I Phone: (360) 478-5275 FAX: (360) 478--5278 B . 'I"'jj P . I N 97 0''''90 I. .: U:l. .. (; :. n~;~ .. eY'm 1. .; Cl~ . ..". .,~.' , " I ", -- _ I . ,,~, (n ','" .... ,. ',-'_', ('~ .. .. Stat us :: ISSUED . Job AddTeBB~ 10~~ ~ BRUAD ~I I ...' . " . IBBued~ OS/21/1997 :' 1 .' : i! ' i" ("- .", .., ,", (.." ''l'' " ",.' ", ...." '. " ,. ',"~ .." "",.. ..... . .' L.l:)(:::at Ion" 1. Od ,:/1:::, BfWAlJ .::>1 v bH~UADMl.JURV.l. L"t..Abl:::,L I ~3 Al"'f"TAcC"'l" Nn'" (')''''''\40 j ,,' ()'''In ''''000 E:xp:l. '1"f,~~;l:: 11/17/1.997 I ''''~'':'', .... .' ~, ..." ,,;;,.::."" ... " "":.. '::, :. ""''::... , . t H {;~U I I:~ I:::: D INS P E C T ION S I t f.~Hn: () 11 00 FOUNDA'rJ ClN","FOO'T' I NGS Dt::lpt ~ BL.DG D :i.v :l.E~ :1. on~ I t ~~m:: Ol~::~()O Fi'OI.JNI:JA"l"I ON."..tAJAL..L"S . Df:lpt ~ BL,DCi Dtv:l. B :1. on :: Item: 01400 MECHANICAL [)f!:)pt ::. laL..Dt\i D iv. :1. ~~ :I. em:: Item ~ 0150Q' PLJJMBI NG GI:~CllJNDWClW\ Dept: BI.."DEi D:l.vision:: J'l""'U en (;o(') 1':)1 tl[\1rslNf" r~rllr"'ll TN Df,'~pt: ~ 1::sL,D(:~ D :1. v :1. fj,~:1. on i! ", ,((>:)m " ,..:1.,' .n,;i ~: '0' ,:~ ',...j t:l '" '"'' " Item; 01700 FRAKING Dt:~pt: BL,DG D:1. v:hx~:l. on: It(~~m ~ OlBOO INSI.JI,..Ar I ON Dl~~pt I: BL.DG D d. v:l:E~ J. on ~ :t tt::~m~Ol 'rOO ~:iI".u::::ETRClC:I(NA I L:[ NG De~H::)t ::BI....DG Dtv:I.!:~:rOT1!: I t(f.)m:: o~t7'O(). F'.I NAL.""'''''HLDC~ . 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Comments tegard1ng an Activity SLOG PERMIT W/MECH/PU3G Permit No: 9?~O290 Applicant: KEENAN DESIGN INC. StifitUl::~ :: rssuElj Addr €(~Ss : J. 039 E: Bl:WAD s"r 1....:l.ne UseY' I.d ,T'E(,lXt J. COUN'T'EI:~ this was taken in as a new res with an attached garage. ...., ClJUNTJ::::r~ it is in faqt a detached garage~ this one time we will 1 ea,VE') ..:::. 3 COUN"I"E:I:~ this under one permit insterid of splitting it. Activity Maintenance Menu .~:.::I 1.:::::Va 1 uat :1, on J. O:::::L..IH/N .~:::l ~;:~:::::'r ab 1 e SCY' (((~E:~n*::~ J. 1 :::::Addr (~:~!?~f.:~E(~S ";:1 3::::: F t::lf/:l Su mm (:" Y' y J. ~;:~:::::Pa Y' ce:l. !:.~ ' .1;,.. ,;:::1 4::~:PY' lnt out f!.~ J. :::I:::::PY' ojt:.~ct .;;::' !::) ::::: P tY,'l 0 p 1 f!.'l J. 4:::::Pro.:lect Act *:.~ ,;;::' , 6:::::Df!.~8CY' :i.pt.:i,on .J. !::):::::Rout i n!;;l l::::nt E:~r opt:1. on :: A=Add~ C=Change~ O=Oe:l.2 '7:::::Comm(:(~nt s ,;~:I B:::::Cond :i:t :i,'ons ,;:::) 9::::: Inspect :i, on*:.~ .;:::' I:::: n t t::'lY' C h 0 :i, c (;;l, :: B ,;:::1 .~:::I.;:.::I ;;:.::1 ;:::I.;:::I.;:.::I.;~~I.~::I.;:.::1 ;:~i' ~:::'.~.:? ~.::i ;'~:I.;:,:? .;:.::~ ,;:::1 ,;:.::I.;:::I.;:.::I.;:::I.;:.::I.;:,::I.;'~:I.;~:I.;:.::I,;:.::I.;:.:? .;:~? .;:.::I.;:.::I,;:.~I.;:::1 ;:?:;:::I <F'l>I"'le:l.p ~ <ESC> New Opt j, on/ Act:!. v:1. t y No ~ <F'B) f<eywon::1 ~ <F J. 0) 'T'ype 1",le:l. p 'J " . ....,...BIJu..IN~PERIIIT1\.PPUCATION . ............ City ofBremerton~ Washingron '98310 Phone: (206) 478-5275 FAX: (206) 478-5278 APPLICANT caOWNER Q-e6NTRACfOR 0 OTHER, q 1 ~ 03} Lot' SITE ADDRESS: 1031 $-rsJUrtrJ 57 TAX ACCOUNT NO. OWNER:--EJ2.d.. (' O~~~ T . ADDRESS.:331/1(lh~L1.~1 ~i.~ CONTRACfOR:~~ A1J D~ i1N ~JC ADDRESS: 1m B/lA)eul-Ht1J-r,'\.. Loc)llLtl . CONTRACfOR LICENSE #J(fE~Al40 I O\-("JlJC- EXPIRATION DATE: 8/q) CONTACf PERSON:-.B f\12JV( CONTACf PHONE # 5bO ~]71~Y37o EJSPR D DUPLEX 0 MULTI-FAMILY D BUSINESS o OTHER: o SIGN D DEMO D MOVE BLDG. D MOBILE .. 0 GRADING(yds): ....'-' o REMODEL D ADDITION 0 OTHER; 0'NEW 0 REPAIR NATURE OF WORK PROPOSED: NQ.;I/J .. r. i1 _~'\"',l t-'] ,---) '~':'-'",~~ -,,' l..r: IU' \.J t,,~)c.) J 1/01 ~2-<J B~~Erjr;EHTD:'; l I Dwelling:~ ~ ~jlnlr\~-~ nrnlif)TJ\flrr~1 SQUARE FOOTAGE: Garage: Decks: ..." ~'".Jf i,."kJ! f H~ t {H...~ ij 9" 't)~ ~ t)tt4 .'.'.::.... ......V'ALUATIOl:'of\(: .P:Q\NREVlEWFEE{:U::;:::::\ttSR&tl$.:fBE{f: ::: i:}SUJ(CflARGl!S:? :\?:\:::TOTALf+E.ES....>)::: 530~L'$~ Co~ $ 6 r5LD ENERGY: $50.00 $ . 3~ 30. STATE: $4.50 / . L 5vO 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. N pplication shall be extended more than once. In order to renew action on an application after expiratio ,dl plicant shall resubmit plans and pay a new plan review fee. APPLICANT'S SIGNAT~!/--"'---"'--- DATE: . / ?--- '- '::;'.:;;.:.x;<:.:;.':'::t',:,~~:::::':':;;:.i;.i;.::.:i:,::i;:(~:','", ":::P.ER,~;;::::;:~)!n~:.;tl:~ION:':~):;;l::i::':J.::;...,:.:,.:i./~~r".::h:';';', I ... ....;' _, ..'l.:..:.;-.............. ........,.................. '0"" .. 1 .. '.. .. ,'0:-;"11" .0 . ':. . -.. . -' .l ...-.'_...,...........of....~..".....,,<,~;,.l,:.,'J~..'.-..' ,~". I , :,:,,'i:~:~g.. Cit.jf.or.J3.re:ne:-::On;:.:W'Z;t7 1 ng:.ca::., 98~.rQ:.,~..:.::.:. ',_ ,O!!.~.~~Q6. j.: .: 19~):.:. ;..).:-.:L:. ~~' ;,;..:.O6}.:.:::: 8-;- J)~~,;);~i),! . ,;;<::-:f-.,'-,l' "">-' k:.:;:~~~;?;~~:~!:I?ff:~1~~I~}!i:!I1;ME-{R.~~:J CAL;:::'::::;.:.:;;::'!:~;j;; ,:~::;::.g;~ t ~.::::.............." PLOfBIN"G> "''''<'&~'P(''; 'I .. . ...... .. .n. .......... . . ,. .'.~.~ ~ ,.:,./,,:_~: _ .' ~ f ')'&;:, '. =r}~~:~:;~~f.~:~7~;;::;;~:;'::'~~~:~::.:~;:::::;'::':'~''.~::~' . '. . :;,. ~.; .~:-. ';. ..', ~:~:~}~~A~;.~~~~,!~/f;~ i~,>., . .-\PP!.l C ~ ~ --:; ~a ~~,CCR n 07:-:;"":'; t:;.....; - .....-. COM~r=:Y!5': SiTE.ill D R.E..SS: 1639 f'. rSMI1 ~F- L<Jt 'd' OWNE..~-P ? H- COtJS\' ~ .\DDR2SS: 333 UC/~-s~ L~ S~ \Q cON-n..J..croR:~f)Jr-wO€t...fjN o;vC-. ADDRESS: 3'111 AMfWlJ1(JoL~ y CONTlt-\CTORllCENSE# ILt::f.1\JJtO I QSS'"}\)~ l:..C'!RA.TION DAr:. <6 !q7 O'~ER PHONE ;; LfrjrLf/37 C:Jl'i-n..-\crOR PHOt-.'E;; }77-]J70 . ..',.,.:,:i1.;;~ , ;~~@!\~~re{tlWll~~~i~E:'€}EiEQ_t;"1:P.M2'~;dif;t[~imiiMMf?.Eti~U;N::OSlii~~}*J{W@fl~i~:;:;::DE~:E:tTtt.~i:;jt*i~{$Wal~itE-~~1 ; RA~'\iGE ." ;:;_.; ,.'," i..t..; i ."','Z--: !w.J..:r~..~ C:CS'::'l ' ; -':';::~l F';::; :~~:~~;~r1.~t~~2~fJ IWOQDIPE!.l.ET SlaV:=' ' /.',.'.... ! / t BA 7:-:Tti"B " "'Hi?~:!o\;5t~\,i?;'f II GAS -ilt.'iACE' ". .,,' , . 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'."/'i.'~i':,""'::~'J.~j:<:.y,""lti{'. ,i .. ² l,r~~~~~"~'~J~_II"> .' , - ,,,,1':;;~"~' ,)"" "r~'cr;!'''',. ;';',)''2:;':'''''''''' ...",' , '~.!i'<i."1"':'i!,:,i',:,,:. ":j~;ri0'" ""'i""""" I': ,".' ; ," ,."" !,.::.;~~i" ' ' , ',.. i.' ',," ' ". "'. '; , . '~ ,'; '].~;; ';iJ ;~'~:ii "i~;~O~3: . "!~':~~ . . ',',,: ' , 1~";i~1~1iiil,4~~;i~~"~ii , ',i+!~ii~~~1~~;r"}';'" " ' :;::;'&*,~,;:' .. , 't. ,,,1~ ^ _ ,'(-,:, ,I~:;;I';''';..,F;~~i' "" ",;~l:i::~ ,',.., ,;~:;:,i,;:;..,; '" , ' ,", ' \C,' " , , '\. . ' >j) " ~ ~ "-- " u -,-- ------- - ~l ";, . ~"...M!I ", '.' I ~- . I '. I . , " '.'..,' ' I BREMERTON'PERMITCENTER- i ' . 2864th Street. Bremertoh. 14A ,98337' '. Phone: (360) 478-5275 'FAX:( 360T478~5278 BUILDING PERMIT r ,:Job Addr: 1 ()~W E BROAD ~~T Perrot t No: 97-();;:~90 I . I" (" ...~ .',' . " (".'~" '".." - . "- , - - .. " '........ c> :.....' .. f.... - _ n 'J '" ", . 0', I...,oeat 1 on: 1. Od.? 1:::,BI'WAI..l .::) I ~ 1:3HUA[)M{JOl~ V I 1....I.."Abl:::, 1...,1 . B ':",t at u.s. I" E:,NlJ I Nt. , I") '" 'I N (')'''''''14(') 1,1 "(')"'0' ,',() (') (') , A "I,' j' (')~'/(')O/1 Cl~,):7, . "arce" 0:,.::,.:" "1,J,...",.::,Q"'"t.:,,, -~~p"lec.. "J,,"l ,1,17 Issued: I A J' t K'E'f.""NAN [')l:mC'I("'N' '[N'('" ':.I'lO, "~'7":7 OP~"70 r'" " . pp.lean": .,.,:.L7..,..:I, ,. " ,_" .:IL';I '-,:l/."(:l':;> c..xplY'es. , PO BOX ~lO~:~H f3REMERTON WA. 98310. , Owm~r: FP1-l MANAGf.::MENT. 479-.41 ~~17 ' , ~1331 K I T~~AP WAY BI~EMEJ~rON WA-?B~31.;;:~ I (' - 't. t" 1'1""E"N^N '[')""'1" 'I' ("'N ]' N(" ,,~ L O' "17' '7" """1'7" t' i." Jj,,, '1t'1"~J:~'NA[') f ")1:: ''''Nf' 'I'. ". (~I 1''':1/'1''7 "un, r .:1C' or: r\ ::~' ::, l"'1. ' ~::",':)" :.1 . " .,'" , .;:lC:, , '-," .....(,h:, ,,,:' C. .,f'. \ :~t;;;, , i. t .:).;) ,d ::~xp" t'Jl .:~ ,I, I PO BOX 3026 f3REMERTON WA 98310 1 Subcontr: I [',,'. New ("]'Nt':'LI"" f'''AMII Y 1':lf.....I"..['..)'I..'N(".I"" M ('J I") f.'"[ "A" 1 ,It::)~3C. I;;, ,.), ~~..:" ";,.." ",::,~L ..::. '.':: ~ ,.. ::.... . , . ,I I......~....~. ............"*,~,,.~..~~~:-~....*..... ~..~"."*..~~~~V~~.~*.~~~..~~~~.........~~ "~~" I I "ValuatHm, * , .,~E.rmlt fE-E...."'" 674....,0 Iota,!. Lt'l..I.rA,l1dte.df St,,,, ' 1 ~07B",,3...l I 64,530,,70 ",)f pJ:an Chf~ck /~~ees: ~1~~.~3 '"..Add~t:~(ma!, Fee(~: ... ,'~)~) I I *. Otherf'e(~l:p ~)9.:)0 'Iotal Per'rolt Fee. 1 ~()7f.:l..3.::l I * *.)t * ')f * * ** ')f * * * * **~.** ,**~ * * *~:~,~,*:X.* ** ~~'~*.~:**~' ~,* ')f *,)f**.)f:)t** ,)t ,)t*,~ * ')f * ~.)f * * 'If** * :If* ***~,* * **** *** *~, * ,)f,,*.* ')f ')f ,*,* * * MECHANICAL/PLUMBING FIXTURES-.. MECH-Range. ...... . . .. .'.... . . ,,' ,1, MECH-Gas Furnace to lOOk htu,. 1 I MECH-GasPiping(outlets)...,:3 'MECH,...Exhaust Fans......;.....: 3, MECH-Range Hood (res)........: 1 I MECH-Clothes Dryer.~...;.....: 1 .PLBG-Water Closet.........,..: 2 ,., PLBG,;-Bathtub...............,,,: 1 PLBG'-Lavatory..:..~......"... :,2 PLBG..Shower....;.., "".".." ..,: '1. PLBG-Kitchen Sink............: .1 I PLBG-Dishwa~her..............: 1 , pCBG~ClothesWasher...,~,..~.,: 1. PLBG-WaterHeater...;....."..: 1 ' , ,PLBG,]-,HO,Se B,lb,bS.,,;.,'..... ".' "'''""...:,.',' ...,2"". , ,'" '...' , ",. , .' " " '. .",' '. ' , "b,'"., ,'. " , L",,' '. ,"" .,.. C' " -r.---' I Lt L 'Q .,' I ' " . r r . . 'r-- \ ' ' '. '. , ' ,~- t ~ ',- L ""-], " )' ,'" , , " " \Jt ,,' . , ' . ?k)t 'If ** * 'If'lf')(' **'If ')(")f ,)f.)t.)f .)f* ')f')f* *****~, * '*')f **')f ** *,*.)f * ')f * * ,*~ ')f ,* ')f**')f,)f ***,* ')f')f *,* ,* ,** *,)f ')f ')f ,*,** * ')f ,)(, * ,***.*** *:* f')f ')f * ,* ,)(,*~,* ,* " r T'his permit shall become mill andvoid if ~he 'b~i ldi~g ?r' WO! kauthori zed ,bY this permit i~ not commenced wi thin I 180 days from the ?,~teof,sUchpermi,t~"or lfttns bUlldlng?r," work,authonzed.bY such PermIt is susp~nded or abandohed at any,tIme after the work lS commencedJor apenod of 180 days. " ," I ,NOTICE'- It is the responsibility of the,'permit holder, not thf),City'ofBremerton or Build;:ng Sff1cial to see , . to it that required inspections are made. The permit holder must notify the Building Official when ready far' I-inspect ions.. Fa.,il~re of t h8.p,ermft holder .to :no. t i fy the SUil. ding.' Officfa.lof ,recjUi, red inspect ions. ma, Y resul t ' in the stoppage of the wor.kuntil such time that the permit holder.cansubs,tantiate to the building affiCial I that the c?i1cealed'wark meets, Orex(;eed$c:o~e requirements., Any demo. lit iO~I, testfng~or ,finansial burd~n shan I ,be bo.rnedlrectly by the permlt holder. Fallore to. subatantlate code requIrements wllllndemmfythe Clty aga i nst any and a 11 r eapone i b i li t y ar. l'i ab i li t yconnect ~d wi t h the construct ion. . ,. . .' I herebY'certify that I have read and examined this permit and.knaw the same to b~ true and cor~ect.All' provisions of laws and ordinancesgo.verni ng this type of work wi 11 be complied wi.th whether, .spec,i fied herein I or, not.. ,The gra~tingof a permit dO~S.. not.p,r,esum7 t,o 9iveauthorittt,ov,io,late o.r c~nce.l the provisions of any other'stateo.r local lawregulatlng canstructlon or the perfo.rmanceof cohstructlon. I Signature: ..: . .' " , . . ,Date:... . . . ~-----~.---~_....._--_...._-_._----_._---_....._-,---_._.-...._,;",------- ~ .-:"'M-__..'N_____i-._____-;--____________..... I 'certify that! .am exempt from the requirements of the ?tate contractor's registration law,uhder',. Section 3, Chapter; 126,: laws of 1967. ' . . 5i gna t ute : ..:_,;.......,...--.,.,-~,",-_.:.-.:...----~-,..;-.,,-..-----------,..;,...,-_:...___..._ Oat e: ___.._______________._,__.._____,_,_..,_ ~,K,)(*~,**,)(..*****~,**.)(*******,***' , ,', .. " Permit Cent er..~APproved By : -i.~~ Dat e :.--~='l.-::.'l1_--. I - - --- -'--::---' --;-- - -~,,---7 ,-"..~'~j'~~'i~'~l'~'-T"",'r-:;-;';'''::"''''''\;:--- ---"'':'t"Ti>'C",;'F''''''W~j'''i,"'''..''';'''0<i-;<-'--; -- ------;-~-.,-~-~-~.-~-,~,~.~,.~'-;.......--.,.- -\.. <, i ,,. BREMER'TON PERIf"1, I T CENTER 286 4t:h Street" ,Bremer-ton" tJA 9833.7 ! Phone: (3~.;,O) 478-5275 FAX: (:'-160) 478-5278 BU!LDING PERMIT Job Addr: 1039 E BROAD S1 Permit No~ 97-0290 Location: 1039 E BROAD sr~ BROADMOOR VILlAGELT 8 ~:~tatuf:.i:: Pr::NDING Parcel No: 0224011-028-2000 A 'I'" 01" 'OB/19?'? ",pp, J eo:: ":u",, ,,' ' i~ I EHilued :: I Applicant: KEENAN DESIGN INC" 360"377,,,,8::170 E:xp:1. res:: , PO BOX 3028 BREMERTON WA 98310 , ': ~ Owner: F~~ MANAGEMENT 479,,,,,41 :37 t 33S1 KITSAP WAY En~EMERTON WA 98312 ! Contractor: KEENAN [~SIGN INC.. 360-377-837lic II KEENAOr055NC EXpl PO BOX 3028 BREMERTON WA 98310 , ~., Subc;ont r :: i (~ Del:.lc::NEW SINCiL,E FAMIL,Y 1:<ESJDENCE:, MODEL, "A" ~ MMI***I*M*M******"*"*I***************..***************M*MM*MM******************************** ] Valuation ,~ Perm:i.t F:'ees:: 674 ,,:'::~O Total Calculated"F'ee:: 1. ~ O'7[L:::l:::l ~ M p 5:]0 .. 70 ,~ PI em Cf'H:.:G kF'ees :: :~l44 ,,6;:l Additional Feef:.i~ ..00 .1 * Dt her F:'ef.'~~~:: 59 ,,!::j() TotalPsrmit Fee: '1 .07fl ,,3:::! .1 I ******M********M***************************************************************************** , MECHAN I CAL/PLUMB I NG F I XTURES-'. MECH-Range. . . " . . .. . , , . . , , , , . . . : 1 MECH..Gas Furnace tCi100kbtu.: 1 Jj MEcH~Gas Piping (outlets)"".: 3 MECH-Exhaust Fans""....,.""..,,: " MECH''''Range Hood (res) n , , , . . . : 1 ,I MECH"'Clothes Dryer"".........: 1 PLBG-Water Closet,,,..,,,,.,..: ,., PLBG..8ath,tub.........."....., : 1 1 t:, PL8G''''Lavatory" , . , , . . " , . .. . , . , " : ? PLBG-Shower. . ". . . ." .. '" , . . . ". .: 1 PL8G-Kitchen Sink......,,,,.,,..: 1 .. ,'~ PLBG~DishwaBher.........,"".,: , PLBG"'''Clothes Washer.....,....: 1 PLBG-Water Heater"...,,,.,,....: 1 ,I I' ~HoCrt"."""".'5 ~ l ~ - <i . b L L\ . t. ;] , , t *t:****************************************::l*********************.************.*.~********* I Thic{ permit (,hall become null. and vnid if the building or work authorized by this permit is not commenced within 180 days from the date of such permit p nr if this building or work authorized by sueh permit is suspended or I abandoned at any time after the work iS~:?,~mencedfor a period of 180 days. l ',,".' f ,,:""' If, ',,', .', ,'. NOTICE -, It is th~~ responsib:ility of the pl:1r,tfiit r,4'i:dd~T,(lJtltthe City of Bremerton or Building Official to see ~' to it thatrsquired inspectl,ons are made. The pef.mft' hr;1d('[) must notify the Building Offieit'll when ready for !. inspecticms. Failure of the permit holder to notify the Building Official of required inspections may result L in the s;toppageof the work until (,uch tJ,me that th~lpermit holder can substantiate to the building official ! that the concealed work meets or exceeds code requirr.~ments. Any demolition, testing,or financial burden shall r bl;: bClrne direct 1}' by the permit holder, FI:iiluY'e to substantiate code requ i rements wl.1)' indemnify the Ci ty t against any and all ref>pcmsl,bility or liability conm:.cted~it9<".th~ construction. / \. ~~'''... , ""', \ \..0'11) I hereby certify that I have read and exArnI;hed tnt's p'~Mt~:tnd[kn&~'/the same to be true and correct. All 1, provisions of la,ws andordinancEls governind this typ,~ of work will be complied with whether specified herein ! or not. The granting of a permit does not presume to giv,~ authority to violatEt or cancel the provll.:dons of r: any other state or local law regulating construction or the performance of construction. r. ~. I Sl(;mature Date: k , ~. ! certify that. lam exempt from the requirements of the state contract(:Jr's registration la~J, under SectionS, Chapter 126, laws of 1967... Signa t ur el :____~,,_,~__..,.,,_,~._'''''___.,,____..._.........,,'___,_,_,__..u"_,...."",,..c,..,__,_,.,,_..._ Da t e: .."'__,~_,.,.,____,;.."._.."_,_,..".,_..,__,,,._...;,_,,..;,,.,,.__ ,~j('1("jl),~ *~, 'j('. ~'*, **, 'x: 'j(' * **,,)(,* j(' ** * ~,**, t Permit Center--Approved By: Dat!:;):: [ ',- . ~~~~,...:.L..:....iJ~~__,_~_,~~C_..J'2~''''''''''. ! q ~ ':.. "I", BREMEATON < PERM X "1'~ .CEN"-'~R " :i?B6 4t:h $tri!'tIt ~ EJremer'tan, UA~e337 P"".,', ", ,( "aLO' .,,) ',A..."ej 'I'i.<:,.~.",,,,, IlC~AV" (~.),.t,....) ..r ";.;i,o,'"e...)"'1f,'::J ',',lane'!' '.''''Q , "".I.r;;fi":,".,~..~:'.:J, rM'J'lI:, ..pQV. "'to,' l;~,"".;;.7A:..",Q sur L:OI H€:! 'PE:RM 1:1' ~f,cjb Add~"~ HJ3J1fF:: BROAD . !:J\l:rrmlt NO~ t.()l:~tlt;j,cm~ to:9<r~;f~fU),An S'f~, 1~3H;OAnMClOH\;IJ.t;I~AliEt,r f,~ Stl:rtw3 ~ t: " , Pa r C~~ J*,,~ ();:~~~40 11 ""()2,a'"'Z~OO() Ar~p 1 feeH l "~~ !: ^ "'1,1.,' ',... " .,.'.t.."I:.N^N l"lk'("f(::'N' 1'i.I(" ""A("""7"',y, ,"'''''3' "7"'" . ."... ' '. *',(, "" r"!PP,)'CiiHH'~.,.I,\:.,.,:,.f,;:'.,ll1,,',,' '.""1,1::,.:,,,..'1,.,,"''),','., "'"',1'.,."",".,.,, ...' ',.." .',' "",.,. .~:I':1<J"".;> t""f,h y ::~XPU~,,;l. I.. 'po ,BOX :~t'~lEmt:.MFrUON WA 'a~n() ~ Owner 1 FPHMA.NA(~t:M!:tNT 4, 7~r~'''41 ~:17 f , .' ..... ~~l KI~~:,WAY !~~TQNWA 'e9~', _ "'. " I LI;mtrr.iG1:i:>Y' ~ KEt:,NAN Ol:::.SH';lN IN{~. , ,~l~O..""'17,,..I,~,~l'tJ\.J 'If:. I: ' f>O!1;WX ~IO;~t~ l1REMFfft'ClN WA 9:t!fl! 1 (J . t Subcorrf:rt' t ,.'....,:, Nt'l'l ~":ffi.lt"'I/r" r"AM1I, Y ,f:le(:'1f'\r".Nt"t'..M(~f'~t.I' '"AU ~:', ,Ief~t;. ,r.:,w .,::I:;,l'lI;~....J: {"'nn;/",., f"Ii'",,)~,t,,!:, "I:::, > Yl ;VI;:., t:.' *,!i(:**~**********~***;~***M,*********~*****************1(.*************~*:)H~********,*************~,~,~ I' It ~, · +' , 'f'):'~ '''', " ;I~7A "'.>1'\' 1" I" 1 ,I"" 1 "'j' ",1" J'f" '. '1" .1"1"/"'''''': ""'~i'" , , vat,I~~1;1 on '~,j", :Y'm:\: 1';,t:lE~~ ::;!"h;'~' . 'I:H: ih \:"~ ~ntca,:!-C\,:f.~~).:.Vr.!'i~::' t ',:. ",., ,,' '.' 64, ~,;1,3,O, " '*, ',1 ,l,a,H (,~,","~,'~,'.(,:,.k,: ,':"e:!':,;:, ..,... ' , . ,", ,,"', ' ',J,4,4", '~,~,3,' ,', ,', ' . "A., tJd"".J,',t,',,::. ~(,'".,~,r.l"a,.,.,~ ,! l;;(:~,.,.',..,',' ," "". .,.', . ,,', "'"..,.,',',",'.'.,,.., ','.'.,/.:.,.~,', ,.~,[".),',' t '" . .. *, {Jthf.~r ree,~..50 . lotBl."Pff('l1ut. ! f.,e,~. 1 ~(17S.,_t3 ' i"",,, ',*,,' '*,'**,. ,',*, *,',',~ ',*.',',*,' *,',*, .*".*,'*,,':,,',*.' ',',~"'**~',*, *~"****,',',******, ".*. *",",.,.*, '*, *". ','***.",.0)('*,,*,' ,*, *, *'*'**'**1('~**..**,:*,,'*****, ,,**,.*,':,,"*,'.,*,',','.***,.',*,,*'..,',*,'."~,,*,:.*,.'*,'.*,,',','.*, '*,*" **,' ..,.~..~,.**'~,/***;* ,.'. r l'1ECHANICAt/PLl1l1BIMG FlXTURiS..- MECH'":RaTlgj. d.... ........ ""HI 1 .MEGH--Gaa fijrnace, to lOOk. btu.: 1 ,: .i1ECH~tias~t:p!ng (outlets )....:3 ~CH:ExbaustFans.. ,...... ...: ','.~ ,l1teH.~Range Htl(Jdjrlll$)~ ..... 1 /,;,.M, It,., C~"".., C,' ,lot,.,I""l",e,. $,D,' ,r,.,.re, r..,."" " ..',. .,.,. .",. ',:,~' PL. E$.G,"_,w.,.,a.,t.,~,r, C,l,.O,',.3,e. t,' .,.. ... "".' " . ...' ",'" Pt., '., "B..."~,.",_e,,a,. t. ',1'1,' t,Ub, . .,.".. ,', .,.. .. "..,. , 1 '. PlBG lavatory,........,........:; PLBfJ Shower... ,..."... n. ...0; 1 PLBG, fa tchen Sink... 1 [ PlBa.:{Jis~wa'$her... .. .. .. .~ .. n; 1 .PLOO-ClottresWQsna1". ... ... ..,: l' PLBG"Water Heater... .,. ~." .. 1 .' r",." ' P.l""acl"NO.",,$,e, .',51. '"l,b,b" ,8".,. ;,..,., '., ", ...., .,..'...,"'",.,..,.2...",."..' ,',," '.' .'., '"".,' ',. ,"..,,' ,',' ,',',' ,.,' ' " , '" t).' ',.'.'."...',' " "."., " ~,.'.',., .,"".'.' ',.".""",'",'" '" ,...,',',.,..,,',.."'..;.,".',',' " ",' .", .,'.',.,'."'""'",,',,,.,, I"', .,.',. 'S' .j,., , """,,,.,, (;\"" C" ',,',.' " , ' " ," '1" < " " , '. '. .', . .t:J*k~...~........*.;,;.~.1..;ifIl'i:J......*.1 .' .................."*~~.........,,~~~~~ ThIs penHahaUbecome ot;.tl1anQ void ifthfll building o~wofk aut horhedby this permit i.snQteoill$$l'IC~dwithln " 100 daYf!fromt'ne..dateofst.lch permit. or if this bi.J1 1 dlrnr or wor,k authorIzed by sueh'peYlTtlt lssu$t\lI1l~d"o,r . '. abandont;ldatanyt hneafter' theworkts C~lllllll1inc~ fOfll' Pelrlod clf leo days..'. '..' .," . .' " , (_~' :',>f : - ""~""" . . , :NO'T~C~" Rhtthe respOru.dbilityof th~~e~Jit~I~~",.~~ theCltyof are\1ltrt~n ~raufld'i~tf (.If'f,lci~1 to see t '. tOlt that y;equiredinsPliIctl,ot'lsare made,.. lhePEWlIll.t' hQll~r;,mlJlllt!nptHy the BU11d'mg OfficHd:wn~nreadY .for l",' 1",OS" ~,:le,.,ct,jO,l'$,'.,'.,."." ,faHure af"",.,t, tie, p,e"..rmh, hO, Hle,r, '" tono,U, f",''1" t,h!!,..SU1,.1,d""i',,',n,9 0, J. f,i,."..,Cil:i,l,',0, f. r,', 6,. i1l,',tl, ,fredine,' Pf:,.ct"."lO,l1,." s"ma, '>'.',\"e, $, U",.l.t, ' , r in thestopPiilie of the wort u.ntil stich time that thepetlllithptditr cinaubstantlateto thftbuUd1ngo.fftciaJ I that the cOilc:ealedworkllllilets or exceeds code n~ul reents,.Antdemoll Hon. t~ting, or firlancJal bt.frderl$h~U I be borne directbby the" permit holder. failure..to sl:kbBtant,l&:tsoode reQUlrEllllentswill'iMemnfry. the.'Cltr.., ' ~'..". ".igaiostanyand all resPoMibi11ty or liab.ilityCOnllecteq;wit~,.~hq~on$trucUoll. ,'., ,,' " .' .,' , ".,". r".'" , IherebrcerUfythat I have read ahdex'~llled,,~hitlS~~~i{~nd:~~\lr{he same to be trueandcorD1c~~Ml. I', ,.provt sl OI\S Of ,liWS ii, nd?,r. tttnanc,.'tIl$ "'91:,' lverilln~, th, 1 S "type, O! ,w,orkwH f,' :~ CO, IlIP 11, ed, " ,W,it,' nwf'le, t her $pec.11~e? h..a"", fel.n .. " or not'. The J;lranting of a permit ooe.snat presume to gltveauthoflty to vicilate oft.1anc.eI,theprOVlSlotJS t ' ~ny other st,ateor local law re9I,H,aUf1~ c:onetructicmOir the performance ofconatructton. < l " S i (.'ln8 turtl '. ,,' " ,.' ", ' r ~ ...c~"'<IIf."'I"""_j!l\t\lltl_""'JiWll;lo1_'...111t!JIl!~1\lIIIjj~r!;O(llllillil'!!tI_Iriii\~;.>l/lIl.oIf~'..ll1l1<""'fl;l'-..1\j''l'"_!o/II;.l/I;;'~l~..;y....il.j''';,4\ll'_''1lI<_,,",,'''';'_1lolI- r' t certifythaf I amexsmptfrol!\ then:iflj.lJirementsofthe statecoritractorfs ~~gi$tfanon law, under f ' . Secti oTlS,Chapter 126, laws of t 967.' , " Sh."ntllre3, " " '" , , ' , ,'" . _ ..1f a ._:: ':: _ .-"'"'_'""'!WJt''''*_'...n1Al':-_JllII;.~''"',~.u_~~!l!J!.1lill'iAA,W-~..'_~~G",'''''''i"".~..'''.'ll>''""""""I9i~'___Gljj."""''''''''''~':1lri.1''''1fII,l/I!I':<'''A'~'''''''''''''' **.~~~**~1f*lf~~*;(,'~************ P1!~rm) t'l:~Y1tl'lr,,,,,.~"JI'it~~provt~d f:~Y: '.' !)ttrti "'" i I',' .... ,,,,,i,"~If!#III,', "' '...., "'}J~" ,>:1,1>':<' ~ ~- ~ . 13 R e: MER '11" t:Jt..... J,::>> .~: 1F:t~"1 :J.' C;a:::::: t,..fl':r E: lF~ 4th r';i$!:f~t ,.t,):n~mtfw.t:{Jn~ MA9t:J:::~:;~? J"j,..... '. . f J" "";'''1) ,i .",<:'1 ~"'T'7j,'" I""" V ("~~'U") Ii '''N':J l"~~"'''r':j f'""tfJ;:~"n~~r'tr (, ,,~.1te~~, ~',}' ~;. '''''''h::,.,.(,',~.J ,.~t '~"1.~,,:: ~.O'J" 11,+,/ Cl-,""''''I,,,!.I.-';,J t:~" I, . BU3: tn 1: fiG PEJ~l"'1 J ,.. , .Jc1bl~kkl'l": HKW F HFWAD $iT Permit: No:: 9'7'''O;~90 I 1 ,4,.,' .,'~" l()'~'~ )'..' '1\,f~I),A,I') ~":I' 1'11">f'\^I'jMf)"I" tJj"l I A"'I"'I "I' ('1 ',,''4..'' ,I. ,.. 1,}t"'NJ)' n.l~' , ..l}L,h H.lh" ,.,.J; "~, ''') ;,1"1, ;,1 "')~.w,,,n,.\'" v .1,.,1"'11:1"\'., I~ ~'ldhtU!H "[",., H'lb t) 'I 1.1 ~ ()"V' A,(" 1'; ("'if'l ,,'''J''''I,(lO I! ' . I j J.. ('I" '(iS/'i <:)I(i'" /: rlW[)f.L 11t:J'"G'~}J'''lil:''",d..., flpr,) J~:~,'{,l' ),:)/",,' ;1.:'/ [Ulf:~I.ied~ I' I ' ,.1 ' .... '... \.'!dj'''N' AN, !)!:"\" Il""d "I" N" .:,,~"\ <:1'7' I', ,()'Y'() (', . '" .,. . f,'1PPJ, H,ieHlI." ',',"";':::',,1"1,'. "":~,::j,,,..~I',I, ',.'. ,'#,.,' ',' '..", .;H~j"r"" ""I~),:>t. l'"ltPUf.~b' PO B()X ~:l()::.iH fj~HFt1FHTClN WA 9saw O"'.mf~Y' ~ FT'H MANf~IGEMF:Nr 479,,,41::17 :;'i:~~H 10 TSAP WfYY' BIU~MFJnON VU~ %KH ~ii Cnntr~~r;t:or~ f<EFNANDr::SfIiN 1: He , :~60.' a7l'"'H:ill'l"l.c"l 'l~~ KF::t::NC\l)rU!5;:~NC Exp~ r)o HOX ~lO~li:3 fiIHI~MEI::rmN Wi:l S'8~, 1 0 SubemttY"~ nt:lS(~~ NtH SHKJLF FAMH Y f~I:'::;Wf'NC[ ~ ~'IOnFI. !J(e)" If' ~*lf ~Of***<' * *** It'll,~' 'IHifI ,,)Ii;:~')('WJHf,* .)l\~HHH('** .)(,~ *~ ~("lt)!!\II * i4:'ffll! ~.f)H~*'*l(lH" 'j('1HHHr "Hi{ * i(. ~;.j(~ ** lHH~ ** **~''l(.*"r.: '1(0 **,jii * *1\' *** 1l'lHi"~ ** Valw'ltion * Perfl1:lt F~:ll;lf;I~6l,4,?() 'fo'l.;t'l1 C.ah)ulat~~d,,,r{"Illf}~ l,Ol€I..:)::3 6,~ ~ " "J() * PI iUI C:l'~\!!Gk F:!~eB ~ 344 ,(<3 ~tddi. t; hJHf* 1 ~ ~(JO ~'11:< Dt hf.J'f F ~~f,l)H: Sir> so Tot a 1,;;'pf:1'rm j t ~ 1.0ln, * 'fi' *,)(* * x 'x: :l(>X, ~~ ')(1/1 ~,~)~ ~ *,~ * * ~ ,)l! 'X,*J~*****#.I\" '!(i-lH4i *' ~~'K~hl<l *** )(-oli( lHH( )rI'1HI:o)(: **,~];;, ~:II: 1(.** *;1('1<' ~,*:l(,*)i'1H\'**)'I-* ;l(*~~'%1(;,)f~, il('~1f:' $\' 'H~ 1\':\(' ,ttECI1ANICALlPUIMflING FnmiRf.:S~'"'" rft:CH""'Rl.mlife, , . ,. .. . . . ., , . , . . , " I " 11ECH"'Gas Furnace to WOk btl.l,: 1 M€CHl!"fj~l Piping (tllltleh)",,:::3 HEt'l+'txhawJI't Falls....."......: S MECH-Ri:l1'lge Hood {f(~S).nH..,1 1 . f1ECH,.,Clothes Dryer....",,,.,...l 1 pt"aQ....t~ater (;10$(1'1:.....,.,."..:;~ PLBG."Bathtub". """"" ""....: 'l PI".BIii':'t.flvatOry." . .. , . , . . , , , " ,l ~~' PLB(H,howElr '" ,. . ., '.. .. " " " . .... "l 1 PLaH"'l\itch~m S'l.nk...... ,. " .. , ,,:1 Pl..BG..;Di!i.i"hwaaher "... .....".. H: 1 PLB'(i-Clothee Washer..........: 1 PLBG'~WateV' Heater..,,,.,......: t, PLB(Hlooo Bibbs.,.. . . . , . . , " . , I 2 .' :r.:.L~..~.~.....*.~.;.l.~.;..:3..:J........B.........~:~.*~"~i'~'*"* 'This permit ahall bectJlIlenull .;md Vt'Jid if the bu lldi 119 or \~ork authorized by thiep(~nlltt fa not c_~Jn1::ed~~ithin 190 daye from the dat~ of Illl.lf.:,h p';<:jmit I or H this buildil1~1 or work authorized by suoh Pflirmtt 1B llluSperK.1ed or abandl:med at anI time i1Iftey the work is commenced. few' a J::ll!frlvd elf HlO daYEl.; ~jOnCE " It h the reaponslbilit" of the .~~rJit~ltllder I ;,fiot; t.hel City' of: flremerton or auildimJ Oftjcial to $f.~I!! :, to it that r.et:lul,red lrrf1lP~1cHon$ arl!~ I'Ilade, Thf! permit h&ld~t,mu$t<ntjtHy thl\':! Building Offi.c:tal when Y'i;ll.ldy for .' inr:iP19cti(1)s" F~nun~ err; the permit holder to notify the Hlltldin~ Official. of requ!rt:lld insP!~ctionsm>iiY result in thestt:lppagt1 of the liJClrk Imt,l1 such tJ.lIl€! that ttltl permit holder can substant late to the bulJdin1;lo:rHctal that th~ c(Jncf:l!ll~d work meert~ or exc;eede code reJ:\uirementa, Arw;.delW;llItionJ teatirl9, e,r financIal burdl~l"l shrill be borne dlrectl.>' bY th~.'lpflYmit holder. F'ailUfl!l to subatantiate,code re.quirelllents wHlirldemnify t.he CHy aGlainr~t any andaH re$pon€~ibU OV' HabiUty c()nnf.!cted.~itl'!,the construction. . ,,' , "''''''>', " ",_' ~\ (,,; i '~ I ht4rebr certify thlllt I have read and €iXaml,rie(1 this P'l"~it..,:~fld!kf~Mlthe $lll!le t() be true and correct. All provhdons of laW!il and fJl'dlnanc(~a QOVf~rnj,ng this tY~le 'of vJ(~rk will be complied wl.th l\lhl~ther spe(ilf:ll1id henllin or not, The tl'rantl~ ofa permit dose not: prel$utne tCl 9iv~l eauthority to vioL'lte or carj(~~)l the PHwhiot\s of :' any nth!;;! \'Stat(~ or local la~J re~)Ulat:i~l COl'\strucUon (lY' thl~ performance of construction. Oat~l I ce\'t;!fy th&t' 1 am ~xelllpt~rom 'too Tetlt.drememts of the state contractor'!i.li~'dl3tn!tioTl lall), undj;~r Sf.lctIon a, Chapter 126, lawilt of 11167. S 1 t~natu i e : ..~~"~~,,,,,,,,~.~...^,,,,'''''~'~'''_~''~''''''_ _"~'."_'~'_""'~'''__'''''''''~' ,.'..."..,,_...._..~'''' ~,."".... ()a t e ': .~..,,'...,,~,~ '.,'~... _"_,~...~"".,, ....'M..""'",._"..._........,.."" ".,...,"~ ~MMMI**M**MMMI"M..IM*MM***N PEi"rlYIl t CiH\hrr.."""..f\P~i\("(M:~('1 Fly ~ '''''' Or\t.(H, ,. .", , , . " ,", ,f!'-""'" .,v"~~ ... r'~'T' - -'-- I ... . I . ~ ! Nt! **~:***')HHH'f:'iHt * ** * ***~:t)\,:~**:*~ .)l;M'j(,:r('*1i:.** * *"~'I4,**'li) **** '1l'1I:~HH{;j1l,')rHiI~~('~HH~ ~7()ol'iff I C:J "rr OF m<FMFf;;:TON f;:!-:' Cr:: J III I .*"M***************M*MMM***M*******.*****I*MM_WM**M***"""""*HMM" F:~F CF: IPT Numb!;l'/" ~ '~r700046~~ I~mi)tmt: ~ 344 "6~3 O!:VOf:1/97 16 ~ 1 ~:l l",a,yment; Hf:~t hmi ~ 14ASrFf~NDt ;~t t on~: M(\ni~HCi t1AS rr::J~ Init: V~l ~," ",,' '''_ ''',,-w'' ",', "H\ \"" ~>~, ,'", .1", ",,~ ,,< ,.",., '''''' n" Fv>, Ih"" ..", I,,:... '....' l"_~ .".., -Ill,,' ~"" .,'j, ,,,',. "". .,;., ...,0 ..'" "'J-'" ",-.'-, j,j'" >1'" .h'_ "", ,,..,h ...." >>,,, ",,' "~. "'" r... "'" ..." I".'. "'" ",,,. ..~. ...." ./,., I'" 'o~ 1>h\ "hi"" "'" I.." ".. >,,', ,-,,,,, ., P(~rm1,t; N.ot. (?7"'O:~(fO l;yp~t:J = BLDG IllJJG F>EHM I T M/~1FJ~!'Vp: l'Jrrrct:1:l Nt): ()~~24()11 '''028,<)000 S i. t fl Addr I;lHt'l ~ 1 (K39 E I3f~OI~lD Sf I,oc€rt HHH W~{9t: nrmf\n Sl ~ HHOt~nMO(H~ V:n,IAGE: L'r €I ! Totf~,!. : I > 07B " Thhl Paymf.\:nt :a44. 'f ot ~dALL Pm t s ~ a44. ,6~'l I BH~ 1 inlet:! ~ 1':3(3 " 10 ***M*MIMM...****HM*M*****M*MM********M**MW*MM*M**HMM**~*****MM.M I Ac;(;ount Codt(j \,Jt:i:ier j pt :Ion Atllount t~/.,~~}46 ,B:WO (4SBO) BU UJ) (NG PL,I\N C::HECK :J44 ,6:3 "" "'''' ,0,,_ ~"I ~'"~ '<I"" "" 11"" I"" ',.J> '''-'' r'o', ..", .,-,., ,,~, ,",' ,~'" ,.." ,,,,,<C_'" "l>. j'" ", ,. .,~, ~,;, >;""'"," "'~ ".,. ~"." .""" . I<' '_"" '" ,- ,-",,,L.,' ,"". '1-1, ,'".-, r."l , " ,,," '~"'~"" ,,,. "'.j .,." '''''' h' .~" ".r. ,,"', '.'" ..,", ,',h "". "".< ~~, ",.. ,~,. '",\ '0,. I,~...'i/(./l.g),~'- ,j" 1"'"..1 .I (J