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HomeMy WebLinkAboutBROADWAY AVE., 1229 PERMIT CENTER 286 Fourth Street Bremerton, W A 98337 360-478-5275 INSPECTION REPORT PERMIT #: 01<) \ SC1 /) @ S6t4 J V~v(\ Q, C1t \ ~ V1 '6--/] f (3) \t>v~~ p- ~h~L- 1J141V::L ov\ w/J-I 16 CJvILlDA / Schedule a reinspection when the above items are corrected. Call 360-478-5275 by 5:00 p.m. for next day inspection. Date~Time: "'-^' I r' 1 ..... . BREMERTON PERMIT CENTER ..... ~.-.~ 286 4th Street" Bremerton" IJA 98337 Phone:: (36()) 478-5275' FAX: (360) 478-5278 BUILDING PERM;n Job Addr: 1229 BRO{;OWAV AVE Permit No: 01,..0159 Location: Status: ISSUED Parcel No: 3740000-002-0007 Applied: 04/02/2001 Issued: 04/02/2001 Applicant :SWANLUND HEATING So FAB.RICMING 360-692-9927 Expires: 09/29/2001 PO BOX 579 POULSBO. 1..\IA. 98370 ". l' Ol...'ner: WILLIAI1S, GARY 792-1808 1229 BROfiDWAYAVE BREMERTONWA 98337 Cont ractor: St~ANLUNO HEATING 8: FA8RICATING 360-692-992Uc #: $W(INLHF1100Z Exp:08:--29'-2002 Po BOX 579 POUlSeO, WA. 98370 Subcontr: O~:$c: GAS fURNACE. Gf~S HOT WATER TANK, GAS PIPING F P 1I0K)I;::<< **)1;: *)j( )f!)!(.;!tl\( *)I(:t::m ** >Xlt:::I:* * * )!::li(%;)j(:<<)I( w.)I( *::!<*)I()I( *::to: JI()I()I:: *)/( * *)!( ll(jj( ll<)\()I( **;I()/( ** *:1( * *)1( **)j()I(* ** * ** *** ** * ***.)l::lIOI( 1I0K *)/()I()/()\( I.........'..... Valuation)\: Permit Fees: 61.55 rotd.l Calculated .F..e.,e;(/ 61.55 '. . . .' .,.00 *.. p.lan Check Fees: . .00 . Ad.ditiO..II.. a.I... ..l"F7e .(: .... . . .00 * Other Fees: .00 Total PermiYfee: 61. 55 I **.*.....*.. .***.. *..******.*nn....*...'....*... )1':)10101(*.*. **li:***::r.***********)IOl<*****lt(**********. **~. .*.............. . . )t;){()K*****. .nnJl(l/OI(UlK.u.* HE';CHANICAt,./PLUMBING f'IxrJ~Es~'- MECH~Gas Furnace to lOOk btu.: 1.' MECH- A iping (outlet,s)..,,: 2 PLBG-Wlil.ter Heater..,".........: 1 .' '. ***11( *** /I(){( *)I()I(*)I( *ll(1l<::l<)/( lI<*** )j()j{)(<)j()(< **)I()I()(( *** *)f(::1()/()/( *l(()(()\( llO!()!(;I< *)I<)/;: *)1( ****){( * * * *)(( )I()\(*)I()\()f( **** ***** ****)1(* It( * *lK**'IOfi This pe'r'roit shall bec~ null and void if the buildin!;;l or W(.1yk authoYiz:ed by this Pllmnit 1a11Ot cOilitl1enced within leo daY$ froro the date 0-1' such permit. or if this buildim 01" WOyk authoYiz:ed by such per'mit is. Sl.!.spended dt" l\\bandoned at w.ny time s:f't~w t.he work is cOflll11ellcoo for a. period of 180 days. NOTrCE: "'-. It is the l:esPoY'1sibility of the, p~wmit holdey', not the City of f,3r'emerton or Building Official. to se-e to it that requiredinapectians aYe made. The permit holder must notih' the Buildim Official when yeady foy inspections. Failttye of the permit holder to notifY the BUilding OH.icial of required inspections may rewlt . . in the eWpp~~ of the work until such tillle that the pe-nnit holdel' cansub$tamia.te to i::hE: buildins official that thE: concealed. wotk meets en' exceeds code r!\tquiYfemenl:s. Any demolii::ion. te$t:in~h 0)' financial burden shaH r bE! bOtTle di yaclIy b>'the perm~.t holdet ~ Failure to $ubs l:anU ate code i'equirement,;. will indtrtmnify too Ci tf' ~' against any and a.ll reaponsibili ty or liability coymected with the construction. I rhe:~'>' cfer:ify.thatI ha.:e r'ead ,and eXa,mined.thi'i> penrdt and ~now the sam~ to ~e true and co'(r~::. All. f: Pi'OVlSl0ns 011aws and ordlnancfeS govermng thl type of work (..n.ll be compIled ,^Ilth whether apecihed henun , or not. The ~;atin9 of a pel'lIii t 90es not p e to give al.lthoYi ty .to violat.e or canctlll the provisiol"1S of I: a.ny other sb / Y It!:cal 1-' 1': ~wra.tirl9 co ructlcl\"l ell" the peyfonnance of con$tl"(.p-~n. Signa.ture~;t' o~~~: /~ ;17 ~ - / -.-. ~-'-'-'----' "'..'" ----l"I-r'::-'--WM.--. I, I c.'WV ,....\", am _t f",. ,he '."'h...."". of 'he .tate con''''_''. ,..!.".tioo law, u_, ~. :ei.cti~o 3: ~"., 12Q, ,- ~ 1%JjiJ7' () t. . . . J.'.: .;~~:;~r:;m;;;;;;;n~";;;n;...... ............. w, '---.' __..w' a Ii!.____.:_.__. "--. ,'-.-- I Permit Cenlerw"'Approved BY:." . '._ ____~_ Dat€,:.___._~.J_.::..Q) .~' " \}': i t', ',,; ,'":~': '~'; "c'-' ,. ,'. I"''''''''', , ,/ ), , - , . · "-""-,".it _. '_' _'~~.J,_,_'__ _~_'''';''_ _"-'_ ""..::.'~, ~! r ,~--_c'-~"'-',.--""'"'---7-~ ~-.;- -,...-.::-:', T"".,-;- :--; --', .,. I '~r""". BREMER TON PERMIT C.ENTER 286 4th Street" Bremer ton " UA 98337 ~.. Phone: (;:;:60) 478..5275 PAX: (360) 478-5278 ! Building Permit No: 01-0159 Job A.ddress: 1229 BROADW{'lY AVE Status :: ISSUED Location: Issued: 04/02/2001 , Assr Acct No: 3740000-002-0007 Expires: 09/29/2001 r R E Q IJ IRE D INS P E C T ION ~ 1\ ,(~,_.-. I: Item: ()1400 MECHAl'HCAL Dept: SLDG Division: ""'.'-" Item: 91550 PLUMBING Dept: BLDG Division: ";1-"-1': " ; i:,~ ;:;{:~[!~},\',s. I ' ~ ': "'; ''i '. * **' *' * ***** * * ** ** * ***** ** ** * ** ****** * *' ******* **** * ** ** ** ***** * * **** **** ****** * i~~tf'~;E I' TESTING~ Must be recognized by th~ Washington Association of Building Official.~ I St:'iECINSP: Must b~ registered with the State of WA ~,.. ST OF WA: State of WA Dept. of Labor a fld Iondustr i es 478~-4921 [1 " HEf~i"::TH : Bremerton/Kitsap Health District 478-523,5 ;;- ALL INSPECTIONS PERFORMED BY lHE CITY OF 8REMERTON MUST BE SCHEDULED THROUGH THE PERMIT CENTr (360) 478-5275 /" / ************ ********~.~ *** . .********************~******************* " ,./ ~ j' 'A ir~~;~u~~~~;1~-- . __ __.___ j;:;e:~2Y~_ L/ t t, ,', \ , .. ,. ~. VICI~ITY ~AP ~;WfIf . 4if-J?Z7B \~ J ~ -- --;:;. - --- 1~ . - (1$ -J --- ~ I) 'I I~ .~'~.__~~_~."_".__..__.. _c_''_._ ~..".__ .......--.--'~~_ - - --,~. .It< .:!:::$J!(;ti: **;1: lit. Jl(.lIi~Jl: * :I\'(~ lit lit1\( 1IOIl:<l:lItl\l:il1)l(::t< JUt:l*:<< ~ ::!tli(Jl(.~'#,** l>!I: JfOt::Ylt.W, ~ *:t Ii( ~:1L)j( jj(:;j!(Jl( * '* !<<:<<.)I:::Ii >>::tit;-l( REC::E:1PT i!Olt~. ~ >>: ;$,il( llt i:i'li )j(:'ll'It~iit:)\( ~ Jl( 1I()II; lit ~;$'1<<~ Jl(Jl(1/i * ,/{li'{ ifiJi: iI/i.~')II;: lI! * Jl( *;1( ;;K.;<<::<<~ *,~:u *,*l:)I()j(:li: *~ Jl( lit:$; :$; ilt * lI! I NUlabenOl0002S8 AmOClJflt ~ ,55 04/02/01 .i3~' I Cf( Notathm~ SWANLUNO CK Initrt VW I ",,,,.',,,,,, __ '"~"'F '",'"", '.......",...,~, ."'~ '......''\''''W< ";'.'"" .."....,t, 't4." "'.'-' "'~""'"-W"~'"h"""'~^, ""'-,> """ ;'w '"""..,,.. ";"'-~-'>""""'V ,~'.~,i, """""""'''''' ,~".~.....,,-",! ,,.j."N'''''I- _"'~" """'-A~' .......",,-, ,,", "",.. """....' ","' ".~ """ ,,,.. "'f '.,'.' ""'''''f I p$f\u.:!, t nl-01S'1 Type; MlP HECH/PLBG PERMIT I 3;14 OO{)O -GO t.~\JOt';~ ~ 122' aROADWAY AVE Tot F~!:esr, 61..55 I Pa,Yltli3nt 61.. lot ALL. PlIlt s~. 6.1. 55 I 8alance :t .QO I 'iIi~\l1)tiJl: Ii' ~i:'l\)j:* ~ .;t:lItlli:~.Jl('l<<1i1,'l!::')lJ;.l<<'* ~.Jt<**Jl,;)f;m~ *' *.lk ****lKi<<:)t;*::lI*~*lKllt:t***l!(:l1i * *~*** *:t;;>>; JltJ!l, I Account' Codti) D~t:lcrlpt AmOll nt i HHJ5 ) flI!CHANH;At Pc.RltIT 44.55 I I 100:$ ) f'!,JJf1lillNG PERMH ,,00 .__~__~_~__'___~_,w~w__~.~__~~~~'__~,_____~__~__~__.__,~._____~_~___~_,___ I I, l I I I I I t ! I I i I I. I ! Ii I i I I 1 1 I ! I i i i ! I t l i f 1 I' . .' ~ i,,",,:~ t.~::.L~-' ,,,,;-,"I>'''';;''.'':l.:::\':E{':'i!.-2;, ':-.;L<1...:., ...f.~,- ~" '......~.:.=.r~I,<.:-..:":;.~::;..;.;..~.-:-..,,~_i"~,,:......~~~:i:.i..,",d~~.,ffii.:~~~.~ ........ _ _.'~'.id-~"'i1.:::i., ~~. .....:....~"'_..~,..~,. ~.....:-.i.. -...':- """,,"-,.:' ...:..',....... -"'<.1,.....,;.;..,.....;. ":......:,;.;..t~~~'"' ""52;:"1.: i~f, , I:' :~'i:.~~~, . ; 5 .... ..>........n..:MnCl1^'l~u~...:...................... t3f\ Type of Fuel: Electric Gas Oil Occupancy: Residen cial Commercial Site Address: l1.-1-Q BtwAOvJAy &atMEetON lAJA. l . . Owner:f?A-rL'f W{u'lAM~ Contractor: $vJMJt.u.IJD ~b Addre\1.,"J.-QBYtOAiH..JAI Address:r;o. Bot<" 38'17 ~~. .lJA. 1t>=?tD SJL-tjep.fJ~ ItA/A .1~9? Phone: (?"O ) 11d.-- t f60e, Phone &~O) ~12- ~1Z,1 Contractor's License Number/Expiration Date: 5wldJ4fr:llopz /)~!D3/0)' No. 'I'\'PE OF EQUIPMENT No. TYPE OF FIXTURE - RANGE WATER CLOSET - WOOD/PELLET STOVE/GAS FIREPLACE BA1HTUB --1- GAS FURNACE bUJ: 7S~ol - LAVATORY (bath sink) - SHOWER CONVERSION BURNER tu: UNIT HEATER btu: - KITCHEN SINK :\ BOILER btu: - 1 DISHWASHER --L GAS PIPING - LAUNDRY TRAY - CL01HES WASHER EVAPORATION COOLERS btu: BREMERTON AC UNIT btu: - WATER HEATER BUlWING OEPARIMH T HEAT PUMP btu: - URINAL REHEAT BOX btu: - DRINKING FOUNTAIN . A(R HANDLING UNIT btu: - FLOOR SINK OR DRAIN EXHAUST FANS - SLOP SINK RANGE HOOD (residential) - I WATER PIPING & ALlERATION RANGE HOOD (commercial) - GREASE TRAP/INTERCEPTOR CLO'ffiES DRYER - HOSE BIBBS INCINERAmR - LAWN SPRINKLER SYSTEM DUCT ALlERATION - SWIMMING POOL -r-. TANKS type: l-fv T \Ai~ - BLDG. SEWER: (mobile/moved h REFRIGERATION UNIT ROOF DRAINS OlliER: - MECHANICAL FEES: 0C5 PLUMBING FEES: CITY SURCHARGE: TOTAL FEES: APPLICANT'S SIGNATURE: DATE: BltEMElrrON nUILDIN(~ DEI>>Alll'MI~N'r PlmubinglMechanicallnspection Report Scope of work: omler~itNUI~~C; Address: Contractor" Plaone: ~~ - -- ,; Under test (lOpsi f2!-12.1:'.!!.nu~es) _Pro~~_:rJ~~~ support 1,2ft m}nir~~n 1H:10'!J2!.~1.e whe,,' und~oUll<l ~~~~_~~!wr~l whenundergrowld or withih 6" of earth. I GlOUlul-joint Ifnion~ l'rohibitc(l in certain location! , . Bushings not alloW't'd in conce:tk(l areas . COMMENTS: -- --- - _. GAS PIPING APPROVED: M:Ulu!.a~urer's~~ficati~llS O!! site: Locatio"'!..~.!.!!..!.tpr.~r.t Clearance to combustihks Ve~'-~Ig: ckarance 10 comhuslibks -------- Vent siii!.!fL & s-'!l'port/connectiollS VCIll termill:ltioll Combustion air Cl~illl""'c:1: Ii_ncr and/or separate: flUC3 a, required Gas shl1t--off widlin 3' Pi-'~.~e:k:vated off ~oor i_~arage ~_._-- Duct,: she & supl'oruirlSulated when required Return air COMMENTS: FURNACE APPROVED: IJ 4/3);1 MISC. APPLIANCES -.M!.nu~~urer's specifications 011 site ~_t.~,~I.!.!CCC:SS, s~fllorr Clearallce (0 combustibles __ _~~,!"!_"'lr ~_~!..oe to comhl18lihles _Ven~~_~~~lg & supporr/connections Vent termination --..----- CornLu91ioll air _ Chir~ li!ler amVor separate: fluc:s as required Gas shut-ofT wiEllin 3' WOOll stove & fi~laccs: plOra hearth Wood stoves: EPA al'1'-~ _9_as logll: sa_~~(lt--ofT Wood stoves &: firc:p~oes: tight fining doan Gas sinH-off within 3' I I I I COMMENTS: MISC. APPUANCFS APPROVED: WATER BEA.TER . . Manufacturer', ,pecifications on ,ite . . I Locati~~. ac.cns, supporr Clearance to combwubles Venting: deara~lce to combustibles Vent sizing & 8u..eforuconnc:ctiollll Vent termination -----... Combustion air C~mney: Iintt and/or lIIc:paratc: flues u requ.ired Gas ,Ilut--o(f witllin 3' Pilot ekvated ofT floor in gange: _9 ate: valve on coM ~~ sur.r.1y Relic:f valve: drained to olltsi(le: _.__._~--~._--- Copper to galvanized co~moction. Unions on water pipes Seismic stta WATER HEATER APPROVED: . ""- ALL WORK UNDER THIS PERMI'-r ~PROVED: -KJ 10 ~-(!;G I - .~ INSPECTION RECORD CARD g:~3 CITY OF BREMERTON BUILDING DEPARTMENT &-~t:W' PERMIT NUMBER ADDRESS & DIRECTIONS Ie:? e:J? OWNER G~, ~ PHONE 37J-42-s-;? CONTRACTOR . / PHONE 1 FOUNDATION COMMENTS: CORR O.K. 1. PERMIT ON SITE -- 2. CHECK PLANS TO PERMIT -- 3. CHECK SETBACKS -- 4. PROPERTY STAKES -- 5. FOOTING SIZE CORRECT -- 6. WALL SIZE CORRECT -- 7. CHECK FOR FILL -- 8. REQUIRED STEEL IN PLACE -- 9. CHECK FIREPLACE FOOTING -- 10. ANCHOR BOLTS -- 11. FOUNDATION PLATE -- 12. FOUNDATION VENTS -- 13. CRAWL SPACE ACCESS -- FOUNDATION INSPECTION APPROVED BY: 2 FRAMING COMMENTS: CORR O.K. CORR O.K. 1. WIRING APPROVED -- 20. FIREBLOCKING -- 2. FOUNDATION VENTS -- A-STAIRS -- 3. SHIELD UNDER POSTS -- B-DROP CEILINGS' -- 4. POSITIVE CONNECTIONS -- C-TUBS OR SHOWERS -- 5. SOIL TO WOOD CLEARANCE -- D-ROOF & CEILING LINES -- 6. POST CLEARANCE - 2" -- E-FURRED OUT AREAS -- 7. BEAM SUPPORT -- F-FIREPLACE AT CEILING -- 8. TR. MAT. NEXT TO CONC. -- G-ELECTRICAL HOLES PLUGGED_ _ 9. WASHERS ON ANCHOR BOLTS -- H-PLUMBING HOLES PLUGGED__ 10. BEAMS PROPER SIZE -- I-LID IN VOIDS -- 11. FLOOR JOISTS $PAN -- 21. WINDOWS -- 12. NOTCHING & DRILLING -- A-SAFETY GLAZING -- A-FLOOR JOISTS -- B-VENTILATION -- B-STUDS -- C-REQUIRED FIRE EXITS -- 13. STAIRS -- D-WINDOW SILL HEIGHT -- A-WIDTH -- 22. CEILING HEIGHTS -- B-RISE & RUN -- A-BASEMENT -- C-WINDERS -- B-MAIN FLOOR -- D-LANDINGS -- C-UPPER FLOOR -- E-HEADROOM -- 23. SWAY BRACING -- 14. ATTIC VENTILATION -- 24. TRUSSES -- 15. CHIMNEY STRAPS SECURED -- A-PROPERLY INSTALLED -- 16. FIREPLACE COMBUSTION AIR -- B-STAMPED -- 17. FANS VENTED OUTSIDE --- 25. ATTIC ACCESS -- 18. A-BATHROOMS -- 26. CEILING JOIST SPANS -- B-LAUNDRY ROOMS -- 27. RAFTER SPANS -- C-KITCHEN -- 28. ROOF SHEATHING -- 18. WATER CLOSET CLEARANCE -- 29. ROOFING APPLICATION -- 19. SMOKE DETECTOR -- 30. SIDING -- 31. CLOTHES CHUTE -- 32. SHEETROCK BACKING -- A-UNDER STAIRS -- B-ABOVE GARAGE DOOR HANGERS -- FRAMING INSPECTION APPROVED BY: .- M MECHANICAL CORR O.K. CORR O.K. . 1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE -- 2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE -- 3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION -- 4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT -- 5. 'B' VENT CLEARANCE -- 6. 'B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- FURNACE APPROVED BY: 9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY: 10. DUCT SUPPORT -- 11. DUCT JOINTS -- GAS PIPING APPROVED BY: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- OTHER: 15. OTHER -- P PLUMBING CORR O.K. 1. UNDER TEST -- 2. GATE VALVE -- 3. WATER PIPE SIZING -- 4. DRAIN PIPE SIZING -- 5. VENT PIPE SIZING -- 6. PROPER SUPPORT -- 7. PROPER FITTINGS -- UNDERGROUND APPROVED BY: 8. VENTING -- 9. CLEANOUTS -- ROUGH-IN APPROVED BY: 10. PROPER GRADE -- 11. HOT WATER TANK P. R. VALVE -- 12. OTHER -- 3 WALLBOARD CORR O.K. COMMENTS: 1. LID OVER SIDES -- 2. NAILING -- 3. W/R AT TUB OR SHOWER -- 4. 5/8 UNDER STAIRS -- 5. FURNACE ENCLOSURE -- 6. FIRE SEPARATION GARAGE -- 7. ATTIC ACCESS -- 8. DROP CEILING & LIGHTING -- 9. BACKING AS NOTED ON FRAMING_ _ WALLBOARD INSPECTION APPROVED BY: 4 FINAL CORR O.K. CORR O.K. 1. HANDRAILS -- 9. OUTSIDE GARAGE -- 2. GUARDRAILS -- 10. CLOTHES CHUTE -- A-HEIGHT -- 11. SEWER/HEALTH DEPT. -- B-INTERMEDIATE -- 12. COMMERCIAL BUILDING -- 3. EXHAUST FANS -- A-MECHANICAL APPROVED -- A-KITCHEN VENTING -- B-PLUMBING APPROVED -- B-BATHROOMS -- 13. SMOKE DETECTORS -- C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH -- D-DRYER -- 15. SAFETY GLAZING/ 4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED -- 5. DISHWASHER 16. INSULATION CERTIFICATE -- PROPERLY INSTALLED -- 17. FREE-STANDING 6. FIRE DOORS -- FIREPLACE APPROVED -- A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED __ B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED -- 7. ATTIC ACCESS -- 8. HOT WATER TANK -- FINAL INSPECTION APPROVED BY: ff~~ NOTES: PLANNING: ~P.~/37 ~ ~jI'f: Bt.JIL1)I~G.PERMIT - . ~ ,........ I'N2 8303 · h " . . . . . City of Brernetton>, Wa?hington 98310. Phone: (206)."47~-5281 3740"'000-002-0007 Date ofApPlication:8/!-8/87 Owner's' NalTlEl: George G.Erickson. Architect Firm; Phone: D.. Septic o New [iJ. Existing D.Storm PermitFee: Surcharges: $ 17 000 .' ..$3.50 State~r~g [iJ 0 Energy $10/$15 INSPEOTIONSQUIRED: FOllndationD framing[]' PlumbingD Mechanical D '. WaUb6ardD. FINAL .'.~ . . ." -" ... ........ '.' :,.... . . ..... .... '. .' . . OWNER ORSOILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIO~S ANO RECEIVE APPROVAL PRIOR TO CONTINUING WORK:$EPARATEPERMITSAREREQUIRED(\iVHERE APPLICABLE) FOR PLUMBING AND MECHANICAL: . '. . AU provisions-aflaws and ordinances, governing this tYPe 61 workwlilbe cbmpiiedwith whether specified herel~ or no!. The granting ~f a perrnl!does not presume to give authority to violate or cancel the pr~visions of any other.~iateorlocallaw. regulatlng.c!:instructior.ar the. performa1!ce 01 constructlon.S:EE'AND READ NOTICE: ON' REVERSE. '. " :"" ,':". 'i '::<)~~ ,':' .,,' i:,,~~' '/,<~F " ':'. :.. .'J::./,,':"_'~'!,,;L . '. . ': . "Signature.. .:.<1:~,/i:c,:rr'1:.;:~~:" .::::::j,. i<:~~:;'\--'j~:'l "''"t~Y-(...lc Date: 8/18/87 Stat Code I 4 I ';""f;'~~7-':""~",, . ...,~......'<;.~. , .,.:.' . ~-r> i:" ,..-., . ~~i~'\,;,~; < ,,/' J-'f~': ~'J{i;:':}I't ...: <'. .~';,':<~"'~-'" ;'~ ":,r ' "'-;'~ '~:~'[:;::::~-:: :';t~~~ :", 'i P,,"'''"~ ,'r"6",.---'.o .::,;" -,~~ . :'~.-~'~ .:~ '7., ': ::.:!-\:. :~' ," '; ",.';1":'!~ ~. ;tw~~~..;/"";7~-i;';:;'~: "::~~:1~-J~,~~;, .,..,._:,' .~~<; -, .-, 7:r<:.' _',.., .~;' .... ,,:,~'i ':. '1" "t;:~ -,.,., '"""1 - e ,.. ., - - This or work this is commenced within 180 orifthis or work such is time after the is com- menced for a of 180 that I have read and examined this and know the same to be All of laws and this of work will with herein or not The presume to to violate or the construction or the of constmction, from the of the state contractor's laws of - - L of concrete. 2. inside walls and after all etc., are in- stalled 3. Wallboard or befofe 4. after and before occupancy. NOnCE - It is the not the of Bremerton Of Official to see to it that the are made. The must the Oft1cial when for the Failure of holder to the Official that construction has commenced to a is ap- relieve the of Bremerton of any and all the marmer construction is ';/' I .. -BUILDING .PERMIT APPU!ATION r '\ ~ City of Bremerton, Washington 98310 Phone: (206) 478-5281 - Assessor's Tax Account No.: '31L/o - 0 Ci 0 ~ 0 D ~ - 1]) ()61 Site Address: I '- '"2-1 [5r:z.c)'::jd Lx, t<1 L 1'16 r Phone No.: ~ 73. - <0751 Owner's Name: 6- cc.:,gGE G~ F]? Ie 'KS c1 IV Address: ~y:) J?l C Applicant: JkJ Owner o Architect o Contractor o Tenant Architect Firm: Representative: Address: Phone: c Contractor: $EL~.. Representative: - Address: Phone: - - Contractor's License No.: Exp. Date: , ,,\"J Repair ~ 1st! Residence o Business o Other: o New D RemodellAddn = o Demolish o Duplex o Multi-Family (No. units :J Sign o Parking Lot - ) ~ o Grading (cu. yds ) o Bldg. Move - kC /2uor C ~~,t; ~ - - Nature of Work Proposed: - - - - Sq. Ft.: - Utilities: o Water o Waste o Sewer o Septic o New o Existing o Storm - - Valuation ot Mate"a'slLabO(' j Plan Review Fee: Permit Fee: Surcharges: - . [UBC Sec. 304(b)] t:H 6. % 17 c:!:2- -'0 . $ $ "5~ . :r "-. State '$t:'5t}@ I 0 ~ Receipt No.: Receipt No.: Energy $10/$15 - Date: Date: - . Zone Designation: ~ Occupancy Classification (UBC): R3 No. Stories: - Setbacks: Front: Side: Rear: Height: Heat Source: - Comments/Conditions of Approval: 0 - = - . - - - I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returned to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the - information on this application furnished by me is true and correct and that the applicable requirements of the City of Bremerton will be met. ) - ,--Signature Date Copies to: White-owner: Yellow-file: Pink-Assessor: Goldenrod-Building Stat Code i ,