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HomeMy WebLinkAboutBURCHFIELD DR., 5802 - ~ B REM E R TON B U I L DIN G D E PAR T MEN T PER M I T -~-----------~-----~--------------~-~-----~----------~~-----~~-------- ------~---~----~----~-~---------_._--~-------------------~----,~-----~~ Application Date 01/30/1995 Application Number 95AP083H5 Issue Date 03/01/1995 Permit Number 16158 l:'\.ssessot' Acct I: 3119-002-007-0500 Project Group Si teLc)cation. 5802 BURCHFIELD Owner - Last Name MENTOR First l.ours MI - street 5070 ELDORADO BLVD. -. Ci. ty BREMERTON state WA Zip 98312 - Phone (206) 692-190.3 'l'enant I s Name Phone(206) - Agent.'s Name Phone(206) .. Architect's Name (X] Building [ ] Grading [ ] Sign [ ] Paving (X] Mechanical [ ] Move Building [ ] Burning [ J Underground [X] Plumbing [ ] Mobile Home [ ] r.and Clear: [ ] 1) ] . "- . . . erno" 1. t.1.on i l ---~--~-------~-~~--~-------------~-----~-~------~-------~-~--------- I Building Contractor: \ 1 Work will be completed by owner. I I Nature of Work: I New SFR, 1280 square feet, 336 square foot garage. I l APPROVED PLANS AND SITE PLAN MUST REMAIN ON SITE AND I AVAILABLE FOR INSPECTION. t I i Building Valuatien $71648.00 --~------~~-~~-~--~-~--------~~-------------~~---~-----------------~- Council District 9 Census 'llract Construction Sq: .F'eet Inspections 'fype Required Residence [X] Zoning Foundat.ion [X] Business [ ] Type Framing (X] Other [ ] SF-3 Insulation rX] New [X] Plumbing [X] Repair [ ] status Mechanical eX] Remodel [ ] Code Wallboard [X] Addition [] 1 Pinal [X] ---------------~---------------~------------------------------------ ::::::::,::~~~~::::::::,:~",.=. ! ---.- - ...~--...,.- ~-",'--.- .,'-,............--';..............-:_~.;;:-~..~,~-~". 1 ; I B REM E R TON B U I I,DING D E PAR T MEN T I I M E C H I T A P r...,l, GA 'l1"21:'+"'Q N I t ,...,.....-"'--.....----.......- ~------~-----_._----~-~-------~--~- .."".-...........-------.-......... ---~------~---~-----~--~-~----~--- Application Number 95AP08385 , I I Work wi 11 be completed by owner. I I ! stoves Fire Place Inserts ! Furnaces f Conversion Burners Unit Heater 1 r Boilers I Gas System: M.ax 5 Outlets I I Evaporation Coolers r Air Conditioning Units Heat Pumps Mixing or Re-Heat Box Air Handling Units 4 Fans I 1 Range Hoods 1 Clothes Dryers 1 Inci.nerators Duct Alterati.ons Tanks Refrigeration Units other I t €~ms ------~---------~----------------------------------~-~----~-------~-- ---~--------~~---------~------~-------------~--------~~------------~- I -~l>i~N.iF1-""!( (y ~i",~-r!i.\'.ol... ~!r :' ':lil'l~;t.W':;Ii' r:1f~~":~,:'!j'.jWi~Jl/ ..... ~""_"'__""_____~'__'_____T~.~____'~__. ____.'____......--,-.__ -_0_ B REM E R TON BUII..DING D E PAR T MEN T ! PI.UMBING PERM!').' A P P L I. CAT ION I ===~~===============;==================~===========~=~==============~ I Application Number 95A.P08385 1 Work will be completed by owner. I I 3 Toilets 2 Bathtubs I 3 Basins II Showers I, 1 Kitchen Sinks r 1 Dishwashers i Laundry Tra,ys I 1 Clothes Washers 1 Water Heat.ers Urinals Drinking Fountains Dra,ins Slop Sinks Water Piping and Alterations Intercepto:es 2 Hose Bibb Lawn Sprinkler Pr'ivate Pools Public Pools Building Sewer (3a5 Pipe Roof Drain Private Hot Tubs Public Hot. Tubs other Options ===~====~==============================~===========;================= - = - - r " '~'.,< !'f~""'11~"1'-!" .tI", .,t, ",~<";''''' ~,,,.~,; ;.\~,"~" ;'l\" ."'{~n~" \~, ~--- B REM E R TON B U I I, D I N G D E PAR T MEN T CON D IT I o N S o F PER. M I T I ===============================~~'==================================== Application Number 95AP08385 Permit Number 16158 -~--------~---_._~-~--------~-~----~-~~-----------~-------~---~--~---- I I WA TER. . . , . I Water & sewer fees & assessments due. Sewer main I 10',-12' 1 deep in center of road. Owner responsible for !I ! .1 eXGavaticm and lateral :install ati on. II I ===~=============~==========:=============================~========== " << . \ , ~'h~_~~.k r-- ~~ BRBMBRTON BUILDING DBPARTMBNT InspedioD Report Scope of won: New SFR Penult NDlDber: 16158 Ad.....: 5802 BURCHFIELD 'OWner: IDUIS MENTOR Phone: Contrador: SELF Phone: FOUNDATION COMMENTS: IP~ I &>K ~~ ~'I'hY ~ 0oftr- FOOTINGS APPROVED: ~ WAUSAPPROVED: line 10' COMMENTS: ~~ c- Z'- -, s- ~ - -- -- - APPROVED: ~ 1\hLctf COMMENTS: ------ -- -- - -- - - - -- -- -- UNDER FLOOR/FOUNDATION INSUlATION APPROVED:' , WAIL INSUlATION APPROVED:_\J'PA. 1. p 3-') CEILING INSUlATION APPROVED:___ - MBCBANlaI. Appliana: location and aaleSS, proper support Appliana: cIearamle to combustibles Venting: dearana: to combustibles Venting: size lie support Vent lamination Combustion air DUCh: size lie support Gas pipe under test Gas pipe: size lie support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or und.erground-coated Gas shutoff within 3' of appliana: Gas logs: safety shut-off Gas logs: damper permanently open Woodstoves: EPA ClCrtified. Woodstoves lie fireplaa:s: Tight-fitting doors Woodstoves lie fireplaa:s: proper hearth. Manufacturer's specs on sire Chimney liner: when required Chimney: separare flues when required COMMENTS: ----.----------------------------- GAS PIPING APPROVED: ____FURNACE APPROVED: OTHERAPPLIANCFS APPROVED: PLUMBING DWV lie water piping under test DWV: proper grade DWV: proper sizing DWV: proper drainage fittings where required DWV lie watu piping: proper support DWV: required deanouts Vent tamination All fixtures vented properly Watu supply: proper sizing Shut-offvalves on aU fixtures Watu beatu: gare valve on cold watu supply Vacu.wn breaJras: where required Watu beatu reliefvalve drain to outside Water beater: siesmic strap R-10 pad under water beater when required Watu-piping insulated as required Grease traps/intua:ptors: wh.ae required Proper indirect wastes: wbere required COMMENTS: ~ R/oJ':"t;e .I''lc....c.J_" b (\t 4 ,~,. , t1""'" U. s.e. ,',JbS PLUMBING GROUNDWORKAPPROVIlD, ~~ ~ PLUMBING ROUGH-IN APPROVED ;f2- /~ ~".t'..,. 7~ V ';l 9'5" SBBBTIlOCK Proper fastening: nails -7" o.c. horiz. plane nails-8" o.c. vertical plane Proper futening: _12" o.c. horiz. plane(1I2") _12" o.c. horiz. plane(l/2") 24" o.c. framing Proper fasreniing:screws-16" o.c. vert. plane (112") saews-12" o.c. vert. pIane(1I2")-24" o.c. framing Proper fastening:screws-12" o.c.l1oriz. plane (5/8") saews-12" o.c.l1oriz. pIane(5/8")-24" o.c. framing Proper fastening:screws-16" o.c. vert. pIane(5/8") saews-12" O.c. h.orlz. pIane(5/8")-24" O.c. framing Area lie oa:upancy separation walls Draftstops wbere required Usable spa<le under stairs (5/8" required) Watuboard wbere required. (not on <ldling) Corridors COMMENTS: SHI!ETROCKAPPROVIlD'~ / 1\~\~~ PINAL Energy code requirements met, emaust fans Plumbing lie mechanical GanFdwdIing door self dosing solid core SmoIre detectors wbere required. Handrails lie guardrails, as required. Fire ratings maintained Exit signs when required. Emergenqr lighting when required. O<:a1pant load posted when applicable Building weatbertigh.t Wood. siding to earth. separation (6") Building address posted . Radon monitor when required ~J- ~ COMMENTS: ;;tk ~ $'" 2/"' rj FINAL APPROVED: ~ ._--.. ". EMERTON -BUilDING DEPARTMENT 8;5275 - 286 FOURTH STREET, BREMERTON,WA 98337 PECTION 'R:EPORT. PERMIT NO, 1~/sg' I have this day inspected this structure and these premises and have found thE! following violations of City, County and/or State laws governing same: (j) r:-k~ pi'" -r. . ~/~? ? Lne~""~~J .,K,.i V? 4- I " I R,~ '-t/ 1fIC' II.. r~v/.Ie c. J~ 1,1 ~4-tel/'k4t-k V ~ 5" ~/7"" ~ tfJ/--1 {!~ IffS!J,,, J You are l:1ereby notified that no more work shall be covered upon these pr~mises until tllleabove violations are corre'cted. When corrections have beenm9?' call for .J..e.inspec~ ' I Do Not Remove This Tag DATE .' Z (, 7). . . '.' . , . . . . ' INSPECTOR FOR BUILDING DEPT. L_ . '," CITY OF BREMERTON -BUILDING DEPARTMENT 418-5275 - 286 FOURTH STREET, BREMERTON, WA 98337 , ' INSPECTION'RiEPORT '/ ,a PERMIT NO, ' (PI S- 0 I have this day inspected this structure and these 'premises and have found, the following violations of City, County and/or State laws governing same: R~ I J1, "'.,./ 5- ~14",1- L ~J " /L p.,. 1,.,,,, e ~ ~~ ~e:ba.~J .f-'tl'fl- h r kH~ ~.<.,.s (J) , c1v~-/':' ".c '.e,,~...J~-4- '.~ cI I<,~ y~~~ of:- fTJ I~ ~ ."./4.;.k " .. Vouare hereby notified that no more work shall be covered upon these premises until the above violations are corrected. 'Whencorre~tions have been made cel' foyre-inspectio~ Do Not Remove ThiS Tag. DATE t" z.v. i) ... . , , INSPECTOR FOR BUILDING DEPT. ,---- --- - ------- - ROUTING SHEET . - . , ~-.,-. ". Project#'i5A-f6f 3~5 Date Received: I{ c..30 /q5 Application Review date:~ q.5 Pre-submittal meeting date: Date accepted as complete: ...:::L, J~q ~ B\liIUin~> ,... d. '.......'. ..Dj......~.:s.'... ' ....... .... ........... .... ~..... ............... ...... f,..,:::..:~... ";$:,L--.. '.' I l,and U:lY ..' ~: ...... 'S'" .. ..a. [.., :....... . <:::::::::.::.:::, :':if':' .:..:.... .' . " ., ' -. . -". - -, ..... ............., ..... .. -..... .... . ... ......,. "..', '".... .. ..""".' ." <f)... . . . . .... .'" . ..l ' . ... ............ '....... ......,: .... ... C::;:>.(. .... ." . . , . .. d' '..' ." ...-..... . , .. .. ." ."' .. .. :::::;;:nug . ,'?J.IJ<1~ ~+."" ~~~.. v'n:v+: D1Q."::'~::.'.... ,. ~.... .} Jlf1'~" "................: . !'!oj... "zlJ ..... .'....... ...'. ,.. ,.., .. :..:. ..:' !<:. . .. '..f."..'......- .... ., ,.~......_....,., .........-...... ._.....~, ::: :; ;::;: ":: .. ;" ".':::.: ;:,,; :.; .... ":~ :::: :: ;: .;::... ......- ..' ..." -. ." :.. .:...... Fire He@hBCPt' :,' Trame Ehv/idillllchi .;' ,:..::. ,.... (~(~P J\} .... '.' .......:....: Long Range Planning $l;!Iilill$ . Neigh borhoou Date permit application is approved or denied: Date applicant is advised of approval by phone: 3/1 /1 c:; by mail: .In ".., Date applicant received permit: 3/' /'16' OTHER PERA1ITS ~~NQ'D'!~~~~~ir8(:!~ij!~~l~f'~ i,Wilb~~W '(.~~~\:~i Building Utilities I" " 'd,".'" ':::::::':d~t~9*~4N'(;4t.:.::>d'::.':':::' '1 . ... :~:.i"g ,... .1 ... I .. ...... ...... ", .' .' .:.. ")lAHGJt..]I()()I)/Slli\FT, I Building Fire .n:T>~mE$rfiINJ{l,ER, .......... .,. FiI'c Utilities I d Y ':':)<.il!',*"~AtAftij 'i,:' . ',:"'. . ..~ir~". .... .., .,J.",. .... ",::L.".. '. ,I' '" ...,..,.1., ...."" .. t .,'." ..:.' ""':..i<SIGNAGE ..........:.:. .:::> . " . . ,................--... .,.-.,.. .... ,... -... . '. I I ............. .. j" ......... I . ~... Ihulding Llmll Use Engineering Water Fire . . . . LOG SIIEET ADDRESS: ApPLICA TlON No. DATE COMMENTS I I 1 . M ............................%............................................................................................ .,r ~- ....... .......oL6~ ~............mm.i;wm~..m.~..m.m.......~..<~mii.i.i0~l~i........ rescnp ,"lle.. 'BUD . a ...11.11............... '.. . ".- .... " . . -. ---.... . . . . -. "-,', ......--.... ..... .. .,. .. - .., '. '.. - . ..- ... . . - . . . - . - " . ........ . ....... .. . .'. .' - - .. .".- - -.. .... . ",", -. .' .' . .'... L.B~ilJ.tb~.~t:i_~8Wm) ..................... . .. .. ." ...... '" ., . . .. . . .... . . ... '. .' .. .. .. '" .... .. .. .. ................................ .._"..,,--...... .-.......--..., . . ... ,',' -.... '.- -',' ," ,". -."....,.-.....,.,................... :::::::::::_:-::.:.;:.:-:-:-:::_::<<::-::_::-:.:::::::::::::::::. ::::..::- ::::::::::-:--':::':::,::,::-::-:::::::_:.:-::-:-:'::_::-:::':-::::::::-::::::':::':_::::":-:':::':::"':':':-:::->:'::::':'_: ":::::':'::':-:':-:::::-:::,:-:-:,::::.:::::::':-::..::,.:::-:,::-::::,,::,:-:,:/:-:::-,:,:-:'.:::::::::::::::::::::X::::::::-:.:::::-:-.-.-:-:-:-:':.:.::-::. ....................................~.$.QgJ~....fQ..Q.Jle~id,iii..Fffi!I....'~~t.~qJjlfi~~Ju......!..........'..'.. .,.--.. ......._--,... ..-- -.,,, ".., ---'--" ....,... - -- -" ". --..---"" 6" or 8" walls MINIMUM FOOTING REINFORCEMENT: f\\.t (2) #4 bars, typical all cases. VERTICAL WALL REINFORCEMENT: #4 bars not to exceed spacing of 18" on center. (0 F-. MINIMUM HORIZONTAL WALL REINFORCEMENT ...,... - -......,....... -.......... ....... -... ijQlizQ..ial$t~lr<. ......... ...J)i'l.tJ.e~iijrl..~n.~ ..................... Less than 24" 1 #4 Bar . Over 24" to 36'" 2 #4 Barsl Over 36" to 48" 3 #4 Barsl E ? 1 Spacing not to exceed 18" on center, top bar placed 0 not more than 7" from top of wall. ~ '!.l: N FOUNDATIONS FOR STun BEARING WALLS MINIMUM'REQUlREMENTSl .N~ltib~titr.. t. .tEA~~< · Hi#) ..~~ctt: . - """ -- ",. . - - '" "-,, "-,, ,.. ,,--- -- ."""". .~~~r~f~~~'u~f!:Jf!I.ii.t. 1 12" 6" 12" . 2 18" 7" 15" 3 24" 8" 18" 1 Based on UBC Table 29-A " Minimum concrete strength 2000 psi at 28 days. Minimum grade 40 reinforcing steel Lap splices shall be a minimum of 12". Anchor bolts (l/2"x10', shall be ~placed a maximum spacing of 48" on center. Any variation to the prescribed reinforcement must be approved by the Building Official 1 '".! ~ ~--- ., ..~' ~ '" , BREMERTON BUILDING DEPARTMENT 1991 WSEC Compliance Worksheet--E/ectric APPLICATION NUMBER: DATE: / - / 2. -7')- APPLICANT: L t :-t ~.> IV{ t:= J....; + d t~ SITE ADDRESS: 5-~ C K f3 (...J~ ( II F/~L/J II [23 . ....... .., . ....... . .. .......... "D . .................... .... ...........% U ". -............ ......-......, ,'.'- ".-.".'-. '", .' . .'..... .... . ......0.0........-......-:........... - "." - .-.'.... .:......................;... SCOPE OF WORK: .. ...........'.NEW. ........... I.'.... .....AD. . D. IT..IO.. N...... ...., . .............................'.....REM. . O' O. EL......... .................,............. . 7.:':':':':-.';', '-. . .:.;-;.:-:.;.:. -...., :-:.;-."." -.;. ':'.'_" .;.:.:. :';', : _:.;.;':':';':';':_:_:-:';':':'._:':'. _ ",_ _' ....:.:.: ....;.:.:.:.:.:.:.._:-:.;...;. . ........ .... ...-...- .-.. ... - - - ,. '. ". ._....~-........-... -. - ... .....-........ . ", ........._...,-'... ", ....... ... "',dO_'_"_'_'_",',",',__,"',_.",_',_,"',_,_,_, n. . ,_... ..............._'._'_' ...,.._............ ... .. _ . HEATING SYSTEM: E7L Ec' f- QIC. TOTAL HEATED SQ. FT. I 2... S; i:. TOTAL GLAZING SQ. FT. f K t D Ft- COMPLIANCE OPTIONS i~'I:!I.iIIE!j II.J'jlailli. !ili nlilina'l i1;%~;IIJlrrflp'i 1. 10% 0.46 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-IO 2. 12% 0.43 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10 3. 12% 0.40 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10 ... ' . 4. 15% 0.40 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10 5. 18% 0.39 0.20 R-38 R-30 R-21 R-21 R-I0 R-30 R-10 6. 21% 0.36 0,20 R-38 R-30 R-21 R-21 R-I0 R-30 R-10 7. 25% 0.35 0.20 R-38 R-30 R.19& R-5 R-21 R-IO R-30 R-10 8. 30% 0.32 0.20 R-38 R-30 R-19&R-5 R-21 R-10 R-30 R-IO To comply with the WSEC, you may choose one of the above options. Indicate which option is equal to or greater than the percentage obtained by dividing your glazing square footage by your total heated square footage. Folloiu the line across to detennine the required insulation values of building elements for that option. A heat loss calculation may be submitted in lieu of choosing one of these options, but will be subject to review and approval by the Building Official WHOLE HOUSE VENTILATION Outdoor air shall be supplied to the conditioned space at the rate of 15 cfm for each bedroom Ius 15 cfm for the remainin livin area. Choose one 0 these 0 tions: ::::iW)N.D.:Q\VPPB.t$::::W'4tVP.()B.'t:S::::;MAlCE;PP:)tI~~~t1~H.Jt:9~taXW~#t#VA.G#M&i~Uk{$~$m WINDOW SCHEDULE ON FOLLOWING PAGE MUST BE COMPLETED , II 7" ""'.., BREMERTON BUILDING DEPARTMENT .. / WSEC Wmdow Schedule ;< . / ..i!1~! .lfllll..ti!IIII"II\llI.II=!l~f!)I~!I:1 P JR--fk W-r;:s r . 'I .3 . / i ( I i....J j M \> ~y"S L-rJ5'C 0 { ~ ;(3 ~ 13 ~ '1- u~,,~ t \.1 Lf))1 ~,3 '1 t/ 3' f~/ {]f' J J~"'- \ \ ~ ~ 3v l'jJi If I [?e!....~~ (l ~ ,3"( 6')(3 It' (1:1," , ( . ~/( Ii I J; '" ()_ { L~\ 3>0 ~ oX ~ LfU'I'h5 F-c.J,-,- ( { .., ... '3 (j 3/ / . J' '\-. f- .' ... I' e v q l.- (. C. t' V'\..r .~'-' "'\ ( , J _ _ __ _ ' LiJ 2 D .J, G . J).1Ji;;, jI.., ~ "" j m- I BRE4\1ERTON BUILDING DEPARTMENT WSEC Wmdow Schedule I _fII....~IlI:,~~.. /VII L G-h /2-1::> Sl/L.(/f ( .. '} 5" G 'y b' 6 e{ J l' ' ]) f ~ / JJ G,.. , \ I vI , , hi.,.., " Cj7 JI D 1'11.- ,'J, '1 ~ 'i :>' f ~ V-e-d I <.AI b ,.., If I _ (' ( ( 6 rID J{U ,'3 Cj UJ x)" /51 ' r"l. "'~ i /U) II A I' t\ b(IO ~~ \ 1-(.1 t'x:>' J~' l>~l1Lrtt'^1 (t 61Io~~ t1'16X3' IS' ~~LL ( r G! I D ~(v .). i G'x 5' J 0 f L ( ~ l'tJ-G- 1'Gt ~ ( ( ~lIb ~(cJ · j.lf 10 4X Sl '3. 6 ,. Ll U I IvC- ~J'V.-, r ~ ~ , I 0 H~ ,31 J 1 )( 3 I . 9' ' k I .J- cA e-.. , -- - -BUiJding -bepannient. ---'- '--~~--.- - --- ----.-~, ''''- ---- --I r--~----'-' ------------ I I I i i .. "~ , . tU TSAP COUNTY FILED FOR RECORD AT THE REQUEST OF' FI~E8L~~: LOUIS MENTORCASH . JAN 27, t 995, 2:;J7 PM KAREN FLYNN, AUDITOR William H. Broughton CLERK: HEINENAN BROUGHTON & GIANNESCHI 9230 Bayshore Drive NW A...F....: 95012-70202 Silverdale, W A 98383 REEL OB-47 FR 09.1.".,.1- GRANT OF EASEMENT THE GRANTORS, LOUIS and PAULETTE MENTOR, husband and wife, and ROGER and CLAUDIA COYLE, husband and wife, are the owners as tenants in common and hereby grant and convey to themselves their heirs, successors and assigns a non-exclusive easement which shall run with the land and which is described as follows: That portion of Lot 7, Block 2, Brentwood Park, according to plat recorded in Volume 5 of Plats, page 6 in Kitsap County, Washington, described as follows: Beginning at the northwest corner of said Lot 7; thence east along the north line thereof 242 feet to the northeast corner of tracts sold to Pearl E. Potter and Daisy L Potter, by deed recorded October 29, 1956, under Auditor's File No. 649523, the true point of beginning; thence due south along the east line of Potter tract 47 feet; thence southeasterly in a straight line to a point on the south line of said Lot 7, 158 feet from the southeast corner thereof; thence easterly 108 feet along said south line; thence northerly along a line parallel with the easterly line of said lot to the north line thereof; thence westerly along the north line thereof to the true point of beginning; except the easterly 60 feet thereof (measured at right angles) and except the south 30 feet for county road. Situate in Kitsap County, Washington. The Grantors hereby grant, convey, and warrant a ten foot easement for ingress and egress over, across, under and through the above-described property, the exact location of said easement to be determined by Grantors subsequent to the granting of this easement and which easement location will be later defined as on the roadway to be constructed for ingress and egress to adjoining property. The granting of this easement is for the purpose of allowing ingress and egress to a single family home to be constructed upon the following property: The easterly 60 feet (measured at right angles) of the following described property: That portion of Lot 7, Block 2, Brentwood Park, according to plat recorded in Volume NO. ..$"- 7c?' 5 of plats, page 6, in Kitsap County, Washington, described as follows: KtTSAP COUNTY TRANSACTION EXCtSE TAX PAlO JAN 27 1995 - 1 - AMOUNT 7Lt;rpvc.J COUNTY TREA~R l \;l'( # 7t '. ~-- T \, (~I ~ .'-~ '" ") .... PLEASE TYPE OR PRINT REAL ESTATE EXCISE TAX AFFIDAVIT This fOf!TI is your receipt when stamped PLEASE SEE REVERSE by cashier, . Form No. 84 OOOlA CHAPTER 82.45 RCW - CHAP'! ER 458-61 WAC For Use at County Treasurer's Office (Use Form No, 84..()()()m for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) TIDS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLEfED D Name 1 i .1. :., II Name i '/ l f \ "I CIIlClll ~ . . ... . CIIl~ ... '. ~ g ~{ ,..,.~ . 1" " ,: (. " f) I ' r:::!z; < , '.\ !.' ! I I I ;, I ~~ Strec .,,> '.. ! L eLI.'. ,'-l'" ),' /. ~... .il... .1'.,), S~ Street.) /...:. . /1 ,), ! I., ,-,.J I.. tI) ," I 1"1 r'" ' ,.' , . . I ' . ~ I) i:Q Cl I .!, . . I ' ; ; ..., City ,',. I q . c I ~., ,) 10 State} /." Zip I ,. -' <l:.. City \ I L ," I.. . '.' State Zip ( c" IJADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE - ALL TAX PARCEL NUMBERS:::::::::~W<lr:Y:~JM.!!ip:\U\R.}!LACE.:<: ::>0 1''' ';'L Il) I~'~\ f I., U /) l.r ,Ce! .~II I .., · I ..; I ...., , ", Il'llllii Cily/State'; i' " I ,.- I .1" I. I ,I .! ZiP'.! / L ' )/ )... ,',, C ,.' i I - C c, II1'...Illtl;;l II LEGAL DESCRIPTION ?F PROP~IITY SITUATED IN 0 UNINCORPORATED . i. COUNTY 0 OR IN CITY OF '" Street Address (if property is improved):: I" t, j i i ":l j t (" tl ,. II Is this property currently: YES NOB Description of tangible personal property if included in sale (furniture, ., 0 O' appliances, etc.) Classified or deSIgnated as forest land? Chapter 84.33 RCW Classified as current use land (open space, farm 0 0 and agricultural, or timber)? Chapter 84,34 RCW Exempt from property tax as a nonprofit 0 D' If exemption claimed, list WAC number and explanation,. ) organization? Chapter 84.36 RCW "; ,( ( r ., Seller's Exempt Reg. No. _ _ _ _ _ _ _ _ _ WAC No. (See/Sub) . Receiving special valuation as historic 0 0 Explanation property under? Chapter 84.25 RCW Property Type: Llland only 0 land with new building o land with previously used building 0 land with mobile home Type of Document ' , ! o timber only 0 building only , .' Date of Document Principal Use: 0 Apt. (4 + unit) 0 residential o timber 0 agricultural 0 commercial/industrial Gross Salc Price $ o other Personal Property (deduct) $ D (1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34) Taxable Sale Price $ Excise Tax State $ If the new owner(s) of land that is classified or dcsignatcd as current usc I $ or forest land wish to continue the classification or designation of such Loca land, the newowner(s) must sign below. If the new owner(s) do not desire Dclinquent Interest: State $ to continue such classification or designation, all compensating or additional Local $ tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall D I' t n It St t $ . e mquen ..cna y: a e be due and payable by the seller or transferor at the tllne of sale. The county assessor must determine if the land transferred qualifies to continue Total Due $ classification or designation and must so indicate bclow. Signatures do THERE IS A $2,00 FEE FOR PROCESSING THIS FORM IF NO TAX IS DUE not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the compensating taxes II A F F I D A V IT will be applied. All new owners must sign. . . I certify under penalty of ~Jury under the laws of the state of This land 0 does 0 does not qualify for continuance. Washington thatthe~~~g~}ng ~ true and correct. Date Signature of DEPUTY ASSESSOR Grantor/Agent (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) Name (print) If the new owner(s) of property with special valuation as historic property .'..' ~ish to continue this special val!1ation the .new owner(s) ~ust sign. below. Date & Place o($lgmng 7":'l ; If the new owncr(s} do not deSire to contm'..e such speCial valuation, all. r'.J.", ,.. _,Iv' \/ ,-' \, additional tax calculated pursuant to Chapter 84.26 RCW, shall be due Signature of . and payable by the seller or transferor at the time of sale. Grantee/Agent (3) OWNER(S) SIGNATURE Name (print) Date & Place of Signing t i. Ii S \ Ii 17', I, . . PERJURY: Perjury is a class C felony which is punishable by imprisonment in a state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5 000.00) or by both imprisonment and fine (ReW 9A.20.020 (lC)). 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'" , ~~ f't .- \ V, '" <:) '" , Ir L ~ \ ' \ ,<, t; " ~ li1~ -~ ~ ~ - ""' "'.n '" f --t- - ~ f ~ --- tV'" .. -;.. If' .... ~ - 0- J -.J c.. f r.; ,1 ,- ",~Q ""'...loO c;- r--" ~ \ <"' ~ .t ... .,0 0 - ~ , -C:. 3( .. f' ~~ ~ ~ r> ~( ... ~ ?if' . -t 1"'- r to. f"", ...t. tJ. - '^ ..... ... -'l:I <: - (0. - .,- \It !#!.1- .,- ..;;;-<V f' t. '1.' ~ ~ )(.../' 0 _t 0 '" V't X~~ \) :;e: -:. "\'If -. l' ;~ e ~ \ V .-- +- 'f\ - }' .f COn ~ . /\l (, ,J' \ f)' ,t 11 \ -1<1 ">' '> '.1\ ."' (I..' :z~" c . f' lC "t1 0 1\1 1(" (::. ...t. fJ .J. n 0- c... ~ p - ~.~~~lZIiI' NOTICE OF PERMIT REGUlATIONS 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 pernll4 or if this building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a peri~ of 180 days. NOTI~ - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see to it that the required inspections are made. Thepermit holder must notify the Building Official when ready for the 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 inde~ the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and ex.a.mined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit dbes not presume to give authority to violate or cancel the provisions of any other state or lccallaw regulating construction or the performance of construction. Signature Date I certify that I am exempt from the requirements of the state contractor's registration law, under Sec. 3, 2~26' laws of 1967. . j/, /r~ /tD/s8 ....~,\~ - Signature Date Permit Number lJCI"IOi<-dClO ~) r-:--~'-'-'--:::-~"~--'- '-"~~----'---'--~---~-'~--~---------'----"-------'----l I B R F. M F. R TON BU:ll,DJNG D E PAR T MEN T Ii REC!XPT # 088288 * 'l'his Is Not A P$rlwi,t '# Mar 01, 1995 [ ....M>'.""""''','.'''.''A''_.,~' ~,,"~' "",,,",",,, ",,'~"''''''''' ~"""","""""<''''_'''"'''''''' . ""'~<o,, ...,,,,~, ",~~_."-~~".,,,.",,, ",~.,,,..',',..'1,~"-'" ,-,,",.,,,",.,4 .""" '''''J'''''~'' ,L_,,",",,",,' ., c. ,,,", "~~"<<,~~_",~_",_,-",,,,,." "",:""",-",,,,.,,,,,,,,,,,,,,~,,,,,_,,,,,,,,,,!,,,,,,",,,,~\_,,,,,,",,,,~,^,,,,,,,,,,,,,,,,,,,""..w_"""', Permit Feea Amount. Paid PI an Check Fees AmmlfitPaid Bui, 1 d.i, n9 $ 51:$. 50 S ,513.50 S 2J33.'18 62.. 2.1001- 1 Mecban:tea:l $ 46.00 $ 46.00 I 62~ 2,1005 Plumbing $ 100.50 $ 100.50 62 2',L lOO:~ ~~~~~~~~~~~~~~~~=~~~~=~ $ :",3.18 $ .00 I 62<~45, 8300 othe-r.' P,'ees I stot'lc'; Ad,apte:r. ~ ,00 t~ 34-388.1000 Zoni. ng Feet"t I Gan Payment .$ 54.50 Other Fees $ .00 Ene:r91 CheJIl"ge .$ 50.00 I state SIC .$ 4.50 64:3~237,J3 ,;.,",: t!i .;;: ':; :=: ':;: ': '~ =:; Total Fet!H!! .$ 1048.28 Amount Pai.d .$ '714. SO pr:i.orPayment $ :,33.78 t ~,;:=~'rt~;t~lt:;.~~ Balanoe Due .$ ,00 I ~~~=~~z~~~~ =:=~~~~~~~~ $ 660.00 .$ 660.00 Received From: OIl 03/01/1995 J",. Mentor:' # P'or: t951U~OB3a5 I I l I I I Ii I, t t ~ ; ~ ~, " ,;;., , ~\,~ -' ,- > . , . . I'. :;};' , <~ , r;. < '. Y :~f(:<>'~~~':-,:~ ~" '- .., .:,. >. " _'\-. -..1 "" .. B REM E R TON B U I L DIN G D E PAR T MEN T PER M I T A P P L I CAT ION --------------------------------------------------------------------- --------------------------------------------------------------------- Application Date 01/30/1995 Application Number 95AP08385 Issue Date Permit Number Assessor Acct # 3719-002-007-0500 Project Group Site Location ?~D~BURCHFIELD First LOUIS MI Owner - Last Name MENTOR - Street 5070 ELDORADO BLVD. - City BREMERTON State WA Zip 98312 - Phone (206) 692-1903 Tenant's Name Phone(206) - Agent's Name Phone(206) - Architect's Name [X] Building [ ] Grading [ ] Sign [ ] Paving [X] Mechanical [ ] Move Building [ ] Burning [ ] Underground [X] Plumbing [ ] Mobile Horne [ ] Land Clear [ ] Demolition --------------------------------------------------------------------- Building Contractor: Work will be completed by owner. Nature of Work: New SFR, 1280 square feet, 336 square foot garage. Building Valuation $71648.00 --------------------------------------------------------------------- Council District 9 Census Tract Construction Sq Feet Inspections Type Required Residence [X] Z~;~:Sr / ') Foundation [X] Business [ ] Framing [X] Other [ ] Insulation [X] New [X] Plumbing [X] Repair [ ] Status Mechanical [X] Remodel [ ] Code Wallboard [X] Addition [ ] 1 Final [X] ------"-~---- ------------------------------------------------- 4 -~--r-- ----f\n-~----~---------n--n----------------- - r I ..............1_1...:.....1.........1.. ...r.::,:..,,::.;.:.: ............ -iI' ......... . . .. ." ". n. .. ", .. ,. -, .. ..... ..n '. .. . .. .... ...... . ." ..... ....__. .'.. . n.. _ .... .... .. .. ... .............h............ ilii;tI~.~lliilli_j;lil]jJi".jii;iillti.lililil.'tllijill APPLICANT: ~ OWNER 0 CONTRACfOR 0 OTHER: " :>-) I 'I-(;(j '--DC'} - O::rcO SITE ADDRESS: S:6 0 (j t?..... QcJI t="'5LD COUNTY ASSESSOR PARCEL #: OWNER: L C \...(.l5. !-1.f:Z: IV k L ADDRESS: 5 C) C 7Z f-.. b t\ i~A.. ~ ('\ 13L U ~ . CONTRACfOR: ADDRESS: (3, ILlti"'-te II...+,:,J CJ<i:3, L CONTRACfOR LICENSE # EXPIRATION DATE: CONTACT PERSON: CONTACf PHONE # \ ,: ~SFR o DUPLEX 0 MULTI-FAMILY 0 BUSINESS D OTHER: I] SIGN 0 DEMO D MOVE BLDG. o MOBILE D GRADING(yds): .. ff] NEW D REPAIR D REMODEL o ADDITION 0 OTHER: INTENDED USE:_{Ze>"t ~ e.....ce ZONING CLASSIFICATION: 5F.3 COUNCIL DlSTRICf: 9 NATURE OF WORK PROPOSED: ~I-; U 'I Hc'-'.p f.v '2 c...J SQUARE FOOTAGE: Dwelling:- I L 8 D Garage: J, 3 ~ Decks: .-- For De artment Use Onl ;:;':;M4tPAWIQ&;:::r :t;;~t&NJ:W;~~:):;J&ltf},;:::';:JtJt{{MtWJm.;';;t;::: f:;,tr:;$t$f$aJ\.f($.&$: ::,;::;::tt;aWht$tJ;!$' :t,:i: $ $ $ ENERGY: $50.00 $ STATE: $4.50 Applications for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the. building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the applicant have prevented action from bemg taken. No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. I hereby certifY ~bove itifO~.C!',,-ect to the best of my kno1(l~ge. APPLICANT'S SIGNATURE: ~. [0 '\~ DATE: 1- /2. -1 S-- - it_il~._I~ilhii',IlI'\~ill!iit_,.&flli.lijii :J...............,..:...................'.......M..~~....11.....[:..:;..;......:..:..:.:.:..'...:.::.....:0.........:....:,......:.:....:.:...,.:..:...:.'..............:.....::BIi_...._~....;.......:}.........:.....:................., APPLICANT: [] OWNER D CONTRACfOR D OTHER: COMMENTS: SITE ADDRESS: S(J b <is " f3 Lt. RC. H. E1..E.L D OWNER: L C LL ~S; f'l\ ~NH ~ ADDRESS: )C I C; (z: L (::> ~ ~ A (> C 13 L U i) P k. (:;:;, 4.. C-IL t-.:.... ~~S, L CONTRAerOR: ADDRESS: CONTRAerOR LICENSE # EXPIRATION DATE: OWNER PHONE # CONTRAerOR PHONE # ..:litgi:..I,:::....I....:.:::i:...I::}.~g..Q:Jt::I~\W1gM~x..:.....::..i.:::::t...:.:]::.IF~~;::..I'fSQ.~'::.I.::..::.:...:.t::.:..:::.:::::i~pf411mF~t<;S.:.,. I..:.......:...\::I.R~...:. -L RANGE ~ WATER CLOSET . WOOD/PELLET STOVE 2- BATHTUB - GAS FURNACE btu's: .3 LAVATORY - CONVERSION BURNER btu's: SHOWER - I KITCHEN SINK UNIT HEATER btu's: - BOILER btu's: ( DISHWASHER - GAS PIPING LAUNDRY TRAY - EVAPORATION COOLERS btu's: / CLOTHES WASHER - AC UNIT btu's: -L WATER HEATER - HEAT PUMP btu's: tons: URINAL REHEAT BOX bUt s: DRINKING FOUNTAIN - AIR HANDLING UNIT btus: FLOOR SINK OR DRAIN --.::L EXHAUSTFANS SLOP SINK / RANGE HOOD (residential) WATER PIPIING & ALTERATION RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR ---1- CLOTHES DRYER . 2- HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM - DUer ALTERATION SWIMMING POOL - - TANKS type: BLDG. SEWER (mobile / moved house) REFRIGERATION UNIT ROOF DRAINS - OTHER: OTHER: - MECHANICAL PERMIT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50) MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: , I APPLICANT'S SIGNATURE: DATE: r-' ~>/"-'--"" c~.........- .._~ ____.,.- ~,~ -"~"~~--:"-"'- ,-~.,,--:-,~,~,-,-,--,- '--~X'-"'.,"" ,..,-] I I .. . I I B REM E R TON BUIL))ING n E PAR T MEN T l I RECEIP'[' # 088208 * This Is MDt A Permit * Jan 30, 1 I I I I tFee~"l Amoltnt P~,id plan ChecK Fees Amount Paid I Bu.11 di ng $ 513.50 $ 33~i."8 $ .78 I 62-322.1001 1 Mechanj eft J $ 46,00 I ~<322. ,100S l l"lumbing a- 100..e,\O 1 li*, I 62-322.1003 I =~~=~~~~;~~~~~~~~=~~~~~ I $ 33.3.78 :;; .3 ,78 I 62~3 .8300 I Ot~he:r Fees Stfn:z Adapt.ei:' $ ,00 34- :~88 . 1000 ng F'~es, Oen :Payment ot hl!H:' l"ees $ ,00 If:n e r. 9i' rge $ 50.nO Stat.e SIc. $: 4.50 64:5- 237.13 -""," -. _ ._~" ,'.... ,\>>' ..., ~ 'V,' I ,,.."'"'"''''..... ,""''''......'" 'o>!<''''''''' ',... Total $ 1048. I AmOLu1t Paid $ 333.78 1 Pri,ca" Payment $ ,()O :::::P:=,:;::t'=l':;:;:~~ Bti 1 an(H:l Due $ 714.50 ~~~~~=~~~==~~~~~~=~~~~~ $ 660.00 $ Received From: On 01/30/1995 1~ end. $ tor #l;'>:U~ For :lj:95APOB:~a5 "_''''W''~~''''''~;~''''''''''''"'''''''''''''''"''''''~^''''''''"' ..-","'..;,~..'" ,,,.......... '~....."~""~""("'",~" "_"'~"<''''''''""_,,~., ~"_4""'_' ".,_.""""",,,,,. '.'~'="" ""...,",_~",,,,', ",",>,,,,,,~~ <<Y'_..,_ ._,,.,.,,"_,..,,....;.,,. ^-:<~.~....."._..:._~",,, ., _,__~" <, _~'___~""''''~__M,,"''''',,_'"'''~'"'~ "....".~,,' ~,. r....,_'..''''-........,.........-<,.^~.,.._.''" "_..._,_.,,,..~ """"'-_f""_ .w."',," ,"""".,..,_."~ ,,"M"" .',",'" - ~ J I I I 1 ) -..,.,--;,\ \ I \ ~ ~ I ~ , - ' -- ,~,. '. > .'''' -., . ',' -. , , I -_"'_'_"""_';~"_I"'^',,",, o:~"~;,, ",~~~,,,,_~c:~;;';~"".",,"_~"__A~ i+~.' ...,'- ,_""!_.,,,,,._ ,_~_.;";;,,\-~,,,,~ ~.- , ~~~:'>'--':'.:\:~.<' ;'~::_::_'::: ---, ~ ,C.>-: ..~:.._" . '~,;--;":~:~~-3ii~:: :~::,i:2;~<:t:r~i;,ifu'i-;J;0iif~~.~;:.::;Sb::' ~--::--;~,-~-.-;:'--:~\~:1~~4~~~#-~.'- '. . __ . - ""'-~';;=o;~"2'"--':'~"?1li,,:;:::'~-;';:;:"7:;;;"'.i'"j~',::::-~ .- --<-O::~E~-__ ,-- .---- ':0"- ~ ~ ~- ~ ----- ~._~_~""'...~ ___~.. "'..,..,.,-_~__~ --- - .-,--' ,""" :.- ..,.. ~:''''''"C''''_'''''''''' . -- . - -, -' -, .,,>,: i',,- -~_'=:~"'" ;:'::-- . ,-,:- :~-_:::~: '~7:?E:7::~;;f:~;~~"';:::;;~:;;:~~e'":;:_'::::..:~--:;;~t~1~'~~T:;;X.;---:;;;i~~~i~~~:i-" , '" ~ L__ _" ,_'m --'-.",;_,__'_,~";..,'_'~.."._~".._ ",;CO_.'.__ ,;.....-",-,_'... ','-. '" .,_.-..,."",;",=,"~",",,".""'-_, -. , ",- "",~" ,'. "~'W;,'"''~'''':'~~'~''--.."''' --""~,>.,, '.,,", , ,-, "'_' '-'''+" ,,- ,,,,,. . ",...,'"'t'r''''''''''"'''''''' __ ".._,,_-,___-.'"",,"'~'_-..__-__'.~__...- _" ,,~_~. d '" __, __."_.~,~____~ ~ C I T Y OF BREMERTON - ---,~';'~.;~:;~,;7:'?~-;.~.:~:;;;'i.,,;.,C;.g~.;:~i~,":-::'~-:~;.:j ";;:';;'~;' ,.. _ -,_~_!,j,it~~- . "__~_,.".",,", ''''''_.. ~,,_~ _ "' _ ..__ _ h,'~___",:,""'::,,"~--!,:;"';-;?," '~:j,\~}) -"'---:"-,,"--,:-" -"'7""::::<7-.~.'_"_~"'-" . ",/. ~-"', -~~ . ,. " "-- "---,-'--- ,----. - , , -, -, .. '" .. --- ~ , __'_'_"~',,,"" _, _ e-C__' - " '--" - . '",,~ -., " - ~- ,'M> , .. ",' Gateway to the Olympics and Home of the Puget'Soimd Naval Shipyard .,,--"---,,----- -, -- ------- .,~~....,,---- ,,-- . ----.,-... , - ~C--'-'0".(:'~::';:"':!;-/""'>~ .-- ;'- --,_':: ":.:;-;, -",":,--.,:~ . .,~ ,-",,-;;;-:;...;;~,-;,:;- ".- ,"~ .' ~ - -".~'7"'" ",,' '. ' . -',--,' '-"':',': -,. , "'-'.' :' _ _, c, '.';:____ ,_ " "'~':'_'__"~'~_;/_"': .._,__.____ -.-" ---_ ',.. ," ,,__..-c'c-'_ " . - -- - ',.. _ -"...- '-,"- -" -" ,...., - ' d~"""..'.>' ,.,_,.,,,,,,_. __'~_,__, ,__ . .,.. _ "''-_''~.' " ,'- -.-- .- ..'" , , '" : ':'-:: ~1~~~~~t:'~__" -: -<~~~::,:'tf~~j':f{fX~:ii~~{~:~-:~F:(, ~ -..', < ',-," 7;~:'~,:-~:_~~~~ /;j,;::;E>~'::'-~~t'~I~~~~~ BREMERTON BUILDINGDEPARTMENT'~~""',--,-,~" ..' ....... .........'".,"',...._,,~,-.._" . , _ "..,~,,____,,_,__" .."'__"...~~~._<~__ ___ _ _.c_.__ .,."~_"....~,--.____-l,"'''''",_~__'''''''.'''.",'''....,.,. .. , '~,~;,;;~ ',_: ;; ''''. ,c' -, .,-;--'~'~-~~;,.,~~':~~:"~;f.~~is~;~~,~-~-.,:,., ',-'- o,.o'c..~,:,-,-:,2~f;:c;;~[I;;;~~i:~?~~)~;~,:.:: 'L::;:;:: .,;J'-.:.'".~f~;:,;~:~..~,~~~-~~~~~~t Louis Mentor 5070 Eldorado Blvd. Bremerton, WA 98312 Re: Application #95AP08385 . . Dear Louis: After further review we find your application to be incomplete. Please submit the "~fo~owing additional information: . " ',,'"'~,-:'''' .' ,,- '" ,'- --'-". . -p ,> -','-'::-"';:'c"_"':;"'.' ",,-; -.-" -'.~ n<:c"i~~i~~address given on permit application is 5608 Burchfield. Legal descriptipn i","indicates address is '58~Burchfield.cWhich iscorre.ct? Plans need to indicate front setback and finish grade. Plan review cannot commence until this information is provided. For further information, please contact Janet Lunceford at (360)478-5275. ~~9).~ Donald L. Pratt, ~ ~ Director of-Community Develo ent DLP/bk: 239 4TH STREET . BREMERTON. WA 98310 - I I '. J I .. . I B R E,M E R TON BU I L DIN G n E PAR T MEN T PER M I T A P P LI CAT ION I =====.=========================:=======-================='======="======== Application Date 01/30/1995 Application Number 95AP08385 Issue Date perrili t Number I Assessor Acct # 3719-002-067-0500 Project Group si te Locati6nG~CJZ-a6a8 'BURCHFIELD Owner - Last Name MENTOR First LOUIS MI ..,. Street 5070 ELDORADOBLVD. -City BREMER TON State WA Zip 98312 ..,. Phone (206) 692-1903 Tenant's Name Phone(206) - Agent's Name Phone(206) - Architect's Name [x] Building [ ] Grading [ ] Sign [ ] Paving [X] Mechanid~ll [ ] Move Building [ ] Burning [ ] Under~round [X] Plumbing [ ] Mobile Hoine [ ] Land Clear [ ] Demolition --------------------,-~----------------~-----,-.--------~----~---------- I I Building Contractor: Work will be completed by owri~r. 336 square foot garage~ If}ot ~/)~." ~ ' .. ~+ ,,~) \lq~ , . ----------------------------_._----'------------~--~--~--- Council District 9 Census Tract ! Construction Sq .Feet Inspections Type Required Residence [X] Zoning Foundation [X] Business [ ] Type Framing [X] . Other [ ] Insulation [X] New [X] Plumbing [Xl Repair [ ] Status Mechanical [X] Remodel [ ] Code Wallboard [X] Addi tion [ ] 1 Final [X] ~=====3.=~=q=~=q=~==~:=.:=;~r;~:f;;:== . . &t~i1~f.' ."""' ,.' . . ~.. . .-- . ---' ,.". ,. .", ~3/'j~ . , . . - - --'-----;---~-----~~'-. . '. , I I pooooooooooo- '- - - - - - -- - - - - -- - - - - - - - - - -... - - - - - - - - - - - - - - - -- - - - - - - -'-- ----------.------------------------------.------------ Application Number 95AP08385 Work will be completed by owner. - stoves Fire Place Inserts Furnaces Conversion Burners Unit Heater Boilers Gas System: Max 5 Outlets Evaporation Coolers Air Conditioning Units Heat Pumps I Mixing or Re~Heat ~ox I Air; Handling Units I 4 Fans 1 Range Hoods I 1 ClotheS Dryers I Incinerators Duct Alterations Tanks Refriger'tion Units Other I'terns " '" " ----------'----------------------------------------------------------- -------------------'-----------~-------------------------------------- I I - -- - ---~-~ I . roooooooo----------------------~--------------------~----- ----------------------~-------------------------- ~ Application Number 95AP08385 Work wi 11 be compl eted by owner. 3 ,:'oilets 2 Bathtubs 3 Basins I Showers 1 Kitchen Sinks 1 Dishwashers Laundry Trays I 1 Cloth~s Washers 1 Water Heaters I Urinals. Drinkirig Fountains Drains I Slop Sinks. Water Piping and Alterations I . Interceptors. 2 Hos.e Bibb I Lawn Sprdnkler I Private Pools Public Pools Building Sewer Gas Pipe Roof Drain Private Hot 'Tubs Publ ic Hot Tubs. . Other Options =================,=================~=~============================~=== ~'--- - .- --- -----------~ fit' - . BREMERTON BUILDING DEPARTMENT Residential Plan Review Correction List 1991 UBC, UMC, UPC, WSEC &WSVIAQ APPLICATION NO. q 5 r+-f 6~ 3. gs-- DATE: ~ / J~ J C; \-- , . OWNER: LD\J; S ~e ,,+0-< SITE ADDRESS: ARCHITEcr/DESIGNER: VALUATION: '11,f#&lS FLOORAREA: ~t: 12..1'0.' 60\("'.,: .,,,,, ~ VALUATION SHOULD BE: r SCOPE OF WORK: Ne~ St: IC- (f9W'!PA1l19~'f.~t ffP?PI.M:'~(: ::~4nQN'~,',\ CR9~SECTION. {ENERGY;,\ppllCATION;:' ..... .. - .... --..... 1"""eORRE€Tf'CHE. ... ................. ........"O\~f'MUS'::tBE"::MXDE.ON'PEANS"kif.':....'i1€AN .,.. ... OlfTi.".. ............... .':JSs' ............... .""1 ..... .... ... . ,n. ONS n '€KEDER' . ...n .n. . .... ... n..', . n . nAPE.... mp.RI. '" a'PERMIT. HANCEn".. ::{:::::::;::"':'..:. ", .,.....::. ....:., . ...\:::. '::-. :-.:::',:,,:: .-.:.-.}::-:::', - ;", - : ..:-::':. '.- "':::=:"" . -' '",.: :::. -.:?:. ,-:.: .":.:. - ?" ';:::- ., ,. :::::.,:.-:. ,": . -' .-: -.,:::. ::.... .:;.?...::../ ':-." :;. .,.:.,.:::.,"-,_:.- ?:-.:...:-. ::" ::. '::. . ....:: -.:: ,":::",.: . :.", -. ::::::_" ;:. .... {..:::.-.." .,..' .. -' "::"'':::::'' .-: '. ",:' ': ,:.- . .:. ,.::-.::. -. ,::::::::::=::: FLOOR PLAN -; . 1. ROOM IDENTIFICATION: intended use of 16. VACUUM BREAKERS: potable water outlets with hose _ each room must be indicated on plans. - attachments must com I with UPC s~tion 1003(n). 2. EGRESS WINDOWS: must comply with UBC 17. TRAP PRIMERS: required on floor drains as per UPC _ s~tion 1204 for ea.ch sleeping area.. s~tion 707, -- 3. SMOKE DETEcrORS: must complywith.UBC 18. GARAGE/DWELLING DOOR: must comply with UBC s~tion 1210(a). -- s~tion 503( d). 4. SAFETI GLAZING: must comply with UBC 19. GARAGE/DWELLING SEPARATION: walls & ceilings - section 5406. -- must com I with UBC section 503(d). 5. EXHAUST FANS: must comply with UBC 20. SEPARATION BETWEEN DWELLING UNITS: must s~rion 1205; UMC s~tion 1107(j); WSVIAQ comply with UBC s~tion 1202(b). s~tions 302 & 303. - -.- 6. . RANGE HOOD: mast comply with UMC section 21.. FIRE -RESISTANCE OF EXTERIOR WALLS: as _ 1901 &WSVlAQ303.I.l r uired b UBC table 5-A. -- 7. WATER CLOSET: dearance~ as per UBC section 22. ROOM DIMENSIONS: must comply with UBC s~tion - 511(a). -- 1207(b). ~ 8. TIGHT-FI1TING DOORS (fireplaces): must 23. MIN. CEILING HEIGHTS: must comply with UBC _ comply with WSVIAQs~tion 401. section 1207(a). y. 9. FIREPLACE HEARTH: must comply with UBC 24. ATIICACCESS: must comply with UBC s~tion section 3707(k). 3205(a). - -- 10. SHAFf ENCLOSURES: must comply with UBC X 25. GUARDRAILS: must comply with UBC section 1712(a). section 1706. " - -- :j 11. COMBUSTION AIR: must comply with UMC X 26. HANDRAILS: must comply with UBGsection 3306(i). 'I chapter 6. - -- 12. APPLIANCE LOCATIONS: must comply with 27. STAIR WIDTH: must comply with UBC section 3306(b). UM C section 704. - -- 13. APPLIANCES LOCATED IN GARAGE: must 28. STAIR RISE & RUN: must comply with UBC s~tion _ complywithUMC secnon508. 3306(c). , -- )(14. WATER HEATER: ~ismlc !,tn,p.. relief line to X 29. STAIR HEADROOM CLEARANCE: must comply with outside, R-I0 pad when required.. UPC s~tions UEC s~tion 3306(0). _ 1310(e) & 1007(e); WSEC section 504.2.1. -- 15. MANUFAcruRER'S SPECS.: must be provided 30. USABLE SPACE UNDER STAIRS: must comply with for all m~hanical equipment, as per UMC section UBC section 3306(1). 504(a). COMMENTS: " STRUCTURAL/GENERAL 3l. SPECIFY FOOTING SIZE: must comply with 50. WALL BRACING: as required by UBC section 2517(g)3 UBC section 2907 & table 29-A. -- & table 25- V. - 32- FOOTING REINFORCEMENT: must comply 5l. HEADERS: must comply with UBC section 2517(g)5. with UBC section 2615. - - 33. SPECIFY WALL SIZE: must comply with UBC 52. FIRE -BLOCKS & DRAFT-STOPS: as required by UBC table 29-A. section 2516(f). - 34. WALL REINFORCEMENT: must comply with 53. TRUSSES: must conform to manufacturer's installa.tion UBC section 2614. s ecifications &. be submitted for Ian review. - -- 35. SPECIFY FOOTING DEPTH: must comply with 54. RAFTERS: must comply with UBC section 2517(h)& UBC section 2907 & table 29-A. tables 25-U-R-l throu 25-U-R-I4. " -- '- 36. SPECIFY WALL HEIGHTS: wall must c:xtend 6" 55. CEILING JOISTS: must comply with UBC section L- above grade. UBC section 2907 (a). -- 2517(h) &. table 25-U-J-6. 37. PIER PADS: must comply with UBC table 29-A. '" 56. AITIC VENTILATION: must comply with UBC section 3205(c). - -- 38. FOOTING/PIER SETBACK FROM SLOPE: 57. SPECIFY ROOF SLOPE: must comply with UBC table _ must comply with UBC section 2907(d). 32. - 39. CHIMNEY FOUNDATION: as required by UBC 58. SPECIFY ROOF COVERING: installed. in accordance section 3707(b). with UBC section 3208 & table 32- - 40. FOUNDATION Yr:NTIL\TION: must comply 59. CHIMNEY HEIGHT: must comply with UBC table 37-B. with UBC section 2516(1:)6. -- 4l. SPECIAL INSPECTOR: as required by UBC X 60. SPECIFYSIDING TYPE: must comply with UBC section section 306. 2516( 2. 42. DAMPRooF FOUNDATION WALLS: must 'X 61. WEATHER RESISTIVE BARRIER/SIDING: as required _ comply with UBC section 1708 (d). b DBC section 1708(a.). ~ 43. ANCHOR BOLTS: must comply with UBC ~762. SIDING/EARTH SEPARATION: as required by UBC section 2907 (f). section 2516(c)7. 44. SPECIFY WOOD SPECIES & GRADES: as 63. DECKS &. EXTERIOR STAIRS: trea.ted wood as required _ required by UBC section 2505. b UBC section 2516 (c)11. -- ;< 45. FLOOR FRAMING: must comply with UBC 64. HEIGHT OF BUILDING: as defined by UBC section _ section 2517 & table 25-U-J-l. 409; com lies with UBC table 5-D. -- 46. POSITIVE CONNECTIONS: post to beams as 65. STORY: as defined by UBC section 420; or basement as _ required by UBC section 2516(m). defined in section 403. -- 47. UNDER-FLOOR CLEARANCE: must comply 66. RETAINING WALLS: engineered design as required by with UBC secti9n 2516(c)2. UBC section 2308(b). 48. UNDER-FLOOR ACCESS: min. 18nx24n per 67. GYPSUM WALLBOARD: must compy with UBC UBC section 2516(c)2. sections 4711, 4712 &. table 47. 49. WALL FRAMING: must comply with UBC 68. PREMISES IDENTIFICATION: street address must be section 2517( &. table 25-R-3. osted as r UBC section 513. \ , COMMENTS: See.. & SC; I ..f.,;-t. R e.~ ""~c..e__...{. k c&.~clo..J t-. @ ~cl L'PJ:. '?r~'$. , ,. ENERGY CODE 69. ENERGY APPLICATION COMPLETED. must 75. VAPOR RETARDER: show type (walls, ceilings, floors); _ match information submitted on pl~s. must com I with WSEC section 502.1.6. 70. FOUNDATION INSULATION: must comply 76. VAPOR BARRiER IN CRAWLSPACE: 6 mil black poly - withWSEC section 502.1.4.8. - as r uired b WSEC section 502.1.6.7. 71. UNDER-FLOOR INSULATION: must comply 77. WINDOWS: must comply withWSEC tables 6-1 withWSEC section 602.5. thro 6-6. - - 72. WALL INSULATION: must comply with WSEC 78. EXTERIOR DOORS: show U-values on plans, must section 602.2. com I with WSEC section 602.6. - - 73. ATTIC INSULATION: must comply with WSEC 79. WINDOW OR WALL PORTS: must comply with section 602. 1. WSVIA section 302.6.2 - 74. VAULTED CEILING INSULATION: must 80. MAKE-UP AIR THROUGH FURNACE: must comply. com Iywith WSEC sections 602.1 & 502.6.3. with WSVIAQ section 303.1.2. COMMENTS: -, :::!~ii:!:~:f!~!!I:I!:;:!:~!:::!:!I::::::!::I~!~!:!!~:I:~I!!i~:!~!:!::!~!::!::::I:!::i!I::!::~:::!!::~!!:~::!:I:~::'I:::!:~::!:~:!!~::i:;m~!~!QIt.~!!t?I4m9J~#;y.ttg~1M~Ws.::::!:!::!::!::!::I!!:I:::;:!::!::::~::f:::!:!:::::!::::::!!I!Ii:::;:::i!i!!:!!::::fff!I!!!!i!:ij:i!i!!:!i:j!i::ii:f:fi~i:::::!:( THIS CORRECfION LIST, ALONG WITH THE ENERGY COMPLIANCE WORKSHEET (when applicable) IS PART OF THE PlANS AND MUST REMAIN ATTACHED THERETO. IT IS THE RESPONSIBILITY OF THE APPLICANT TO MAKE CORRECfIONS INDICATED ON THE PLANS FROM THE CORRECfION LISTS AND THEN RESUBMIT TO THE BUILDING DEPARTMENT. ONCE THE PLANS ARE MARKED APPROVED, THEY MAY NOT BE CHANGED OR ALTERED WITHOUT AUTHORIZATION FROM THE BUILDING OFFICIAL. THE PERMIT HOLDER IS RESPONSIBLE TO RETAIN THE COMPLETE APPROVED SET OF PLANS ON SITE FOR THE DURATION OF THE PRO]ECf. FAILURE TO COMPLY WILL RESULT IN FAILURE OF REQUIRED BUILDING INSPECfIONS. EVERY PERMIT SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF THE BUILDING OR WORK AUTHORIZED BY SUCH PERMIT IS NOT COMMENCED WITHIN 180 DAYS FROM THE DATE OF ISSUANCE, OR IF THE BUILDING OR WORK AUTHORIZED BY SUCH PERMIT IS SUSPENDED OR ABANDONED AT ANY TIME AFTER THE WORK IS COMMENCED FOR A PERIOD OF 180 DAYS. CHECKED & APPROVED BY: SIGNED: Bremerton Building Department Applicant DATE: ,,..,..,.........,,,....,........,- - ,r',,, ~'c~'''7 .. Ii ". '-, ^,'i-,," :;..,...----;'",~-~ _....".-"-:--._-~ .,-,-----:~---,---------,-;..,,-----_._-- ., J ,. C?"-/t ..., . B REM ER TON B U I L DIN G D E PAR T MEN T PER M I T A P P LIe A T ION ___~~__~_________~_____~N~_______~__~_~_____~~___~____~~~_____~_~_____ -~---~~--~--------~--~-----~~-~-~-~-----~---~--------~--------------- ApplIcation Date 01/30/1995 Application Number 95AP08385 Issue Date Permit Number Assessor Acct # 3119-002-007-0500 Project Group Si te l.ocation 5608 BURCBJHEI,D Owner - Last Name MENTOR First IAODIS 1'1.1 - street 5010 ELDORADO BLVD. -. Ci ty ERE-MERTON state WA Zip 98312 - Phone (206) 692-1903 Tenant's Name Phone(206) - Agent's Name Phone(206) - Architect's Name [X] Building [ J Grading [ ] Sign [ j Paving [X] Mechanical r ] Move Building [ ] Burning ( ] Underground 1. [X) Plumbing [ J Mobile Home [ ] Land Clear ( ] Demolition --------------------~---T--------------------------------------- Building Contractor: _1fI~ · ~G: ~ ci~rt? t5J.J ~ . Nork will be completed by , . . Nature of Work: f ~ '. ..' New SFR, 1280 square feet, 336 square foot < . { Census Tract Constnwtion Sq Feet. " Type '~l~" I " '"~ '.~i>" -, o,t,'- ", . , ,::;'i :_',::, _:' ':':;:,~.":. .' ", _ :",p.'.' ,:.", l Residence [X] Zoning. g F?~ndatlb~t~J Business r ] Type r'7f~1] i~:ei~fi':n m l- ather [ ] New [X] ~ Plumbing on Repai [ ] Status r1lChanical [X] I Remodel [ ] Code . 'llboard [X] I Addition [ ] 1 Final' [X] J ~----~~-------~~--~-------~-~----~-~--~------- -----~--------~------- -------------------------~~--~--~~~-----~----- ----~----~~~---------- t ~ -f~ f- ~ J --C[a I I r I I I L~_~ ':~..c. ,........-.......'. ' . .' .' .' , . ..~_.,~~,_"~"_,~.-:,____.'.'=_'..,.~~~",.,........._-.~~....'~"U~.,_~__~. u [ "'1" " J,":"~'P:'I ~.~ '-''1lf.i<fil,;f.!";,:,,,;,'f"\Y;' '. ,,"-,:~':\!":i~"\)W"'f~':"';~,,"; f.'.1;i'n/"-- ~~----==c...~~------.c,..---------.:.... 00000000000==================================================== Applicat~on Number 95AP08385 Work wi 11 be completed by owner. stoves Fire Place Inserts l"urnaces Conver.sion Burners i Unit Heater Boilers Gas System: Max 5 Outlets Evaporation Coolers Air Conditioning Units Heat Pumps xing or He-Beat Box Air Handling Units 4 Fans 1 Range Hoods 1 Clothes Dryers Incinerators Duct Alterations Tanks Refrigeration Units Other Items ======:====~=====================~~=======~======~==~================ . .' ~ 'c 1';1 !li;~:,"tl'l~~t!l!t"~' ~-r7:'i:i'~~'\ t'" - ~~~',rd'~~5~~7W~i'~,'~' ~__m..,_~_, --.- ~,~ ..~,'--- ,----.---.'------ I . . ~oooooooo------------------------------------------------- -~-------------------------------~---~~---------- I Application Number 95AP08385 I: I Work will be completed by owner, 3 Toilets J 2 Bathtubs 3 Basins l Showers t 1 Kitchen Sinks 1 Dishwashers I Laundry Trays t 1 Clothes Washers 1 Water Heaters ~ Urinals Drinking Fountains Drains Slop Sinks Water Piping and Alterations I Interceptors :2 Hose Bibb Lawn Sprinkler J Pd. vate Pool s Public Pools I Building Sewer I Gas Pipe t Roof Drain Private Hot Tubs I Public Hot Tubs Ot.her Options --~---------~-~----~-~--~-------~---~~--------------~-----~--~------- ~-~-~--------~-~-~~--~---~~--~----~--~---~--~-------------~~--------- f r I 'I: l I J I , t I I I L ,". ~ " ..,~ .. .,- . . CITY OF BREMERTON BUILDING DEPARTMENT PERMIT APPLICATION 1-31- 5 2-7- , 1995 DATE: , 199 TO BE COMPLETED BY Louis Mentor owner' OWNER CONTRACTOR 6' 8-Cl L- ...a.6e8 Burchfield LOCATION OF JOB 00& @ (g g W &J] FOR new SFR ENGINEERING COMMENTS/REVIEWED BY ~~ FIB 09 19S5 .. . BREMERTON BUILDING DEPARTMEN1 ;V'9 U^"""""" ~IIV'" I . B R E ~ 8 R TON B U T L D I N G D E PAR ~ MEN T PERM. I 'r A P P. f.. I CAT I o N -----------.----------.--.---------..----------.-------------------_._-_._._-~----- -.----.---.-------------------------_"________.___~r_.___.____~._______________.__ A.ppt)(;ation Date 01/~iO/199f) Application Numbp.r 95AP08385 [ssw:" Date Permit Number Assessor Acct #: 3719-002-007-0500 Proiect Group Site Location ~~CHFIF:r.D OHn01" - Last Name ~'l'OR ~i t'S t LOUIS Ml -, stceet 5070 F:LDORADO BLVD. - City BREM.ERTON State WA Zip 98312 - Ph()ne (:>06) 60;'-1903 Tenant.'s Name Phone(206) - Agen tIs Name Phcme( )06) - Architect'z NQme [X] Building f 1 Graclinq r. ] Si.gn [ :I Paving ., [Xl Mechanical [ ] Move Building ( 1 Burning [ 'I Underground I [Xl Plumbina r 1 Mobile Home ( 1 Land Clear r 1 Demolition I C -----------------------------------------------------------.------.---- BuiJdinq Contractor: W 0 L k '.n 1 1 h,:"' comptet.ed hy owner. Ni'1T',1rp. of ~'lot"k: Ne'A SF'R, :; 280 '3quare feet! 336 sqnare foot qarage. Building V~luation $71648.00 ---------------------------------------------------------------------- Council District, 9 Censlls Tract COD;st nwt i on Sq Feet Inspections Type Required f [Xl C1 '-\(.~.s:i derlee '7 . Fl11mda t i on [XI .,on1ng RU8J.neS:3 [ J Type F.'raming [X] other r 1 Insulation [X] I New (X] Plumbing [X] Repa:i r: [ ] Status Mechard ca) eX] Remodel [ 1 Code W;:;.llhoard [X] AdC'ti t:i on r 1 1 Final [X'l I, i C .I , ~;;""""-""";"~"~";~:r:r:"""""""""-"""""""-"""""""="""="="""""="=""" , ~ i u_~, -, . '1 , ~ 1 .~ ~ B(jLP/~ ~ I . ~ c: --.... I <:> ~.'l Itl'U E tOJ II' (') Kl '" nIt' fl" '1 !'if (' )1 l<' ',) '/\ tl 'I> .. r,' II\t I']' I JO . t:, r1l ., n . , n ..;c> ~ t.. I. J n -' .' ." ., n. 1'\ .1 1'1 ,., n I PER M I TAP P LIe A T ION t ..................................................................... I Appl :l.cat ion Date 01/301 J 99S App l.],cal:ion Number 95AJ?08385 ' J l:H~Ue Date .Permi t Number ASBessor Aoct I 3119-002-007-0500 Project Group Site Location 5608 BURCHPIBLD OwneI: - .Last. N/'!UlleMJCNTOR Ftn3t Lotn:SMI -street ~l070 ,E:LD()l~ADO, BI,vn. _. Gi, ty BRJ},:M,ER.~rON st...tte WA Z t~) 98312 - Phone (206) 692-1903 Tenant'. Name Phone(206) - Agent's Name Phone(206) - Architect's Name [Xl Building [ ] Grading [ ] Sign [ J Paving [X] Mechanical [] Move 8uilding [] Burning [ ] Underground [X] Plumbing I ] Mobile Home [] I.gnd Clear r] Demol:it:i.c;x'! _~________,__________~__~,___w___~_________~.____________"________________ Building Contractor: Wot:k wi.ll be c!omplet.edby owner. NatuJ':'e (.If Work: ,New 8J!':R, :I 780 elquare f€lt~t, 336 ~HJuatefoot garage, OOl~m lW iID ft~ t\ 9 ~~~s n '~d'... v I t' ~'7'l64800 ><RfMI:j:lH1N 1',) tn, I. 1. ng If a .U8, ,,::1. on ,<> . .' . . .., ., . 'Nl .. -- - -.- - - ,- - -"- -- -, - ,". -.. ".. - - ... _.~.""......... - ". ".... '-"'~'". _.. - -. -.- ,- '.. .,. ,- '.'BUllOlcNG.-DEPIARJ.ME- ... --..- """ '"' - - ". CouDcil District 9 CenBus Tract Construction Sq Peet Inspections Type Required Residence [X] Zoning Poundation [Xl Business [] Type Fr.ming~ [Xl other [] Jnsu]atjon [X] New [X] plumbing [Xl :Repai:r [) Status' Mechanical [Xl Remodel [] Code Wallboard [X] Addition [J 1 ..'~":inal. [in =~~=~====%~~:z=~===z===zc;~=======~==;=~=======~:=2==:~====s===z===~~ w~ (- ~/-q~-- .' "' W4-ree. 6 ,St;,V,U-J:.. pee,:> e. A SSE.SS Mt:A..\.'t.S "PV1E.. SCwe:.e. ""~I,j 10-,; ~ De.eP ~ , I ItJ ~'lltR- ~r:: ~~(). OW~ eafo"l$'lBtA. Foc.. e.'f.cA\JfltrltAJ f l.4"'~ ~~1itJ ~~ .:s;~ 2-9-9'5 [~ ;",~-;: '-, ~~..--.-.....\, , -~." ;\'~'j" ,.-.y.........--.-'" -;-;--~~~~'iT-.:"';: I I I rooooooooooo- .. -,.,. .. .,. .. - Il: .,. - -. - .. =: .. .., ;:: .. -- - ~, .., .. ;;: -- - .., 1ll: .. .. .., .. .. .. .. -- .... -' .., :. .. .. ....- .. .. .- ... " - ~-------' ----- -- ----~-. ---- ---- -~-------------- I AppU.cation Number 95APOa:~85 I I WOt"k wi.ll be completed by owne,r , I I stoves I Pi re }:')) ace Inserts 1 Furnaces I I Conversion Burners I Uni t. Heatel: I Boilers I I Gas SY$tem: Max" Outlets I Evaporation Coolers I I Air Conditioning Units I Heat Pumps I Mixing or Re-H..t Box I Air Handling Units 4 P'ane'! I 1 Rang- Hoodl!! I 1 Clothes Dr:yers I Inci neratori!;l I Duct Alterations J Tanks I Refrigeration Units at bel: ItemlS 1 I :: ~'~ ~'=-:nI=::': ~:=;;: ~=;::;'t';: m==::~~=~======ams==~==.=:=====C~==:==ZE=====:=~===~ I I I I I I I I I I .. y -, - ~ ; ""~'~~~""'---;f'~,~.~~~~': --,.~._-------. '-'-------'l . . . .~., 1 ~ I 00000000=::: I.:!.;::;;:;: Z;:::::::::::;:::l: ;:::;::;=::;';:;::Jl:;;=:;;:::' ;::;::;:::; ;:::!;:.::;;::;:::;::::;:;: ;:;:;:::; = =::;':;: =;;:: :;:;;:;::;;::::: == I I Applicl,lt,;ion Number 9 ,~)AP.O 8 38 5 I I I I Work will be compl atea by ownel'. I I I l I ;1 '1'01. 1 (.,.t!~"i I 1. aatbtu,h:il I :i fSl,lsil)s I I 8h()wers I 1 I\:l tehen Sinks 1 Dishwasher's I r,at:l:ncl:r:y ',h'ays 1 1 Clothes W..hers I .1 Water Heaters Urina,l s I Drinking PountaiDs I Onains Slop Sinks I Water Piping and Alterations ! Int.eroeptc'n~ I 1. Il()~Hli Bi,bh I Lawn Sp:dnk I er: I Pr:i. va te p()(j 1 s I Publi,~ Pools Building Sewer I G~:'HiJ Pipe RI;;)of Drain Pri va t. Hl..")t l}'ubl'3 publole Hl1t 'rub. ot 011t i OJH~ __ "'i..~.....- ~." ",.,. "". :.-::: ~"i:t; :;;: '~ ~'t: ,;,;:,:,;: :: :::::: ~: ~~:; ;:::; .-::. :~:=%==~~%~=:~=;=;=~:=~=~==~=======:E==:==C'===~ ..W -'- ,...u "". ~'"'" ~... I I I I I I I I I I I I I ~ ,," I I ! I I I I I 'j I I L ~" .;."""""'--<.:i:. .'~'-->' ~~";' ~'-<~,;" ,"...........--................... ,,"----....- ._,.___J ,< ' 0 '2 -'----------.---~ ~.S,-< -.J - - ..,."'..... 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