HomeMy WebLinkAboutBURWELL ST., 202
r-. - tJo;L 8{;lfJJ~
Telefax Cover Letter
('
Date: ?1-12-,~ ) Job # r:71\Jb ?1
r ., _ . , "
Fax Phone No.: {;t>o
To: C\1'i 6f ~~f1~&O~
ART ANDERSON Attn: t-A~. C.-Rltt e
ASSOCIATES
Reference: f>0~N~ -~ ~\-\IN6-"()N ~\u)'N"6
Subject: ( ~^rs~oN l'~ .. f>(4c..~ S\J~~)
I ~
,~
ANAl, (O~~U-n~ / ~ti~A\fL 1'~ ~ kc-c-oMf'Ll ~ l-tc-t?
1'f \0/ e \ ~
o Please
. : (360) 479-5600
B MERTON OFFICE -19- ~ " -!----
._--~-_._-"' -..-..---.-.. ~ nduding this cover letter
202 PACIFIC AVENUE
BREMERTON, W A 98337 Our telefax is fuliy automatic. If you do not receive the number
TEL (360) 479-5600 of pages listed directly above, please call (360) . 479-5600.
FAX (360) 479-5605
~-'---~",-'___"o/_"""""~"'~',~:'''''~___<,,~._,"''_''' -___~ --'-:;_~_.~'_7"_ ----.,.- ~----"""""'","--'-_. ----,,-.",~
.J"
d"~~
I \
BREMERTON PERM:I'T CENTER
286 4th street.., 8remerton~ WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PER.MIT
Job Adel'(': ~;~O~; BUf~WELL :.".err ~e'('mit No: 98-0558
" ." 1" \'oj ") . ,,".. (~." (." .. , . ""t"' ) Status: ISSUED
LUCdt .on. ~06 811i~W~LL ~l GOLIDl~~
Parcf.~l No:' Applied: 10/01/1998
I ssUt::ld: 1 (VOl /1998
Appl icant;: T1UPL.E C CONSTRUCTION Expires: 03/30/199'
7618 TYEE WAY Nt: BREMEfnON p WA 98311
Owm~n SOUZAp JACKIE (GOODIES)
7612 Nt: TYEE CT BREMERTON p WA (r8~n 1
Contracto'('1 TRIPLE C CONSTRl~TION L.:ic 1*: TFUPL.CCOnOA Exp: 9/1/1999
76601t.J..,AHEERD 8t~t::MER'rON I \AlA 9mHO
Sl.lbcontr:,
DI:Jsc= rNTERIor~ REMCIDE.L (FALSE WAL.L.,/SINK) FOR TENAN'r
.*** *.)t****,**~.********.x.** l('******'**********'lH~*****1("*')HH~* ****.***.******.l('*'*****~')MH~*******_l(.********
Valuat hm * P . t F 1.06.;?0 'rot al Ca leu1 at e~d FElt;:i: 16;';~" 18
E~rm r ,ef.}~l:
4;61 S ,,00 * Plan Check Fees: S1.,,4H Additional Fees: .00
* Ot hflY'FElBS : 4.50 Totf.il Permit Feet 16;';~" ifJ
*~.**********.**l('***********,*********,******,**,******.***.***.**.*l('***~:-lH~'~******')('*****'*'*****'*********
MECHANICAL/PLUMBING FIXTURES~~ PLBtH.avatory. . . . . . . . . . . . . . , .: 1 PLB6-Kitchen Si nk. . . . . ... .. . .: 1.
*****.~****!*****.**.**************,*******.***~*********l('********'**'l*,*****,****'***'**********'l* ***.x'***
'. This p,ermitshall become null and void if the building .or work aut hod zed by this permit is not commenced within
180 dayS from the date of. such permit ,or if this building or work Bllthodzedby such permit iesuspended or
abandoned at.al1Y t illle after the work Ja commenced for a period or J80 days. .
, - . - .: .
NOnCE -It lathe responsibi lit)' of the permJtholder'J not the City of Bremerton QrBuHdingOffidal toses
to it that, fequ.iredlnspectionsare maps. The permitholdermustnotHy the Building Officialwhenready for.
inspectlons;....Failure. of...the .permit.hold,er. to "nott fy the Building-OHicial of . required inspections mayresul t
dr\ thestopps.geof lheworkuntH such time that the permit holder can substantiate tothe building officiaL .
that. the,cpncealedworkmeet~.orexceedscode requirements, ..Any demoliHol1p ~esting,orfinancialburdenshall
be borne directly. by thepermith<llder . Failure to substantiate code, requi rementswUl . indemnify the Ci ty
against any and all responsibility orliabil ity connected with theconatruction,
. .
. .
'. .
I hereby certify that 1 have read and examined thi~ permit and know the same to be true and correct.. All
provil,dons oflaws~nd'on;linances governing th~s type of work wilLbe complied with whether specified hereIn
or not. The Qrantingof BIPermitdoesnot .presume to give authority to violate or cancel thepro\,iisions of
any ot h~nt at ~ .or 1 ocalla~ r~gu~ const ructI on or t he per farmance of const:,,"t i~. . .
. Signature:_.:._ __.... -----I-...b---;-d~-----_.~_.,,--- oate:_....___.~~__.~_{~_':"fZ..._____
I certify that! a exempt from the requirements of the state contractor's registration law, under
Sect ion 3, Cha te 126 f laws of 1967.
~~~:~~:~;-"~""""".."'-------{J,"----------- Date' -~---"-"------------------
Perm! t Cent er--Approyed 'l>Y' .__~ __..____.. Oat e , -----"-tlJ.=-L-:::'1%
,'C---~ ._r-----'-;;...-~'''~-~. -:C''''-~,_'1''--.~.-,.-~-o.",_,-- ----
I BREMERTON PERMl:T CENTER
I 286 ,4th Street" Bremerton',f,WA 98337
Phone = (;360)' 478-5275 FAX I: (360) 478-5278
I
BUilding Permit NQr. 98-0558
Job Address: 202 BURWEll ST Statl.l~i~= J: S~::;UED
I I l ,." 0"\ nllr~Wr'l l (""'1" (Conn H"l'" ) I.sued= 10/91/1998
.."OCi:~';: on r. .~:, .::, ::..' ':::, "".., .::) 'J.. " " " :::,.::)
A*i:H!.fJ'" Acc:tNcJ: I::::xpj, f'eH~~ = O:::1/~10/1 \1911
I:~ I:::: 1;~U J: HE D INS PEe T ION S
Itf.!Jm:: 01.(:;00 PLJ.JMlaJNfiii ROUGH"'''IN D~(~pt r. BL,DG D:I, v J, f.':1 i"on =
Item: 01700 FRAMING D€~)Pt::: BL,DI:i Div:l*i:~:l.on:
Item: 01900 S~~ETROCK NAILING De:?pt; ,: BL,!)G 0:1. v:t ~~ :i, (in ::
Item: 02175 ~~AlTH DISTRICT D((flpt ,:: HF,:r~L, 'fl'''1 D1. v 1, $.~ :I"cin:
Item: 02701 FINAl-~FIRE Delpt:: F' I r~Ii:: D 1. v :i. €~:I. i;:n-n
Itf.'mm: O~;:?OO F'INAL,"'''"'''EILD(~ Dept;:: l::H.,DG [,:t v :1, e:i. on r.
M******************************************************""""**"**""**"""""*"******
''1''1::::5''1' I NGr. ~1U*i3t ,bf.o:l 'reGOI;;ln:l.zEld by th~:~ 'Wa€:lhJ.n~;ltonA!af.~ociat:l.on of 'Bu:i.ld:l.,n9 O'ff:l.c:l.al*:3
~5PEC INSP:; Must be registered with the State of WA
S'T' OF WA II State QfWA Dept. of Labor and Industries, .4 7B'''''4 9:;:~ 1
}'H::::AL,,"n"'I," Bremerton/K:tts8P Health District 4 "1 !:~ '"'' S ~:~~:::l S
At.!.. I NSPE:::C"1" IONS Pf;:;RFClRl"ll::::IJ BY' 'T'HF C:r "l"Y ',OF' BF<f.:::MEI:~"rON MU5"j" BE:' SCHE:D,ULED 'rf',IROUGI.,,1 TI'''IE
PFRMIT rFNtFR (9~O) 4jB-~?75
,,,' " .,1 ''''_ "" 9- \.. ,), " . ~..J A". ~,: -"I
*"*********~M*"*********"*****************************N"*******""*"***"********"*
. ~ .
" " ,',' ,I
Pt:~rmlt l"lciJ,d(f.1r>>,,~ ,"" ,.' ,'t " , , " . Da t €:;:....... ,....It? ,-:(:..ffl .............. "..'... ".... "..
S I gnat!, r" , "f;~."rJ~:4.C~ ... _...._......_............._"._
,\,) ,',",' .'.
I
I
I
1
. !
i
. I
i
1
"
j
- ~-:-~"--",,"~'''--;''---'----''~ ~-------:"--'~----"."'--~'-~"""""''''''''''~''''''\'''-'-~'''-''"!~i!]~r-,,Mlll'JH-'IIIW~''~;;-C~f<~~l~;';~;;"'~;~"''-=><"'''''--''''.'-;~
:,i'
.
==='====~===:ID:~=====~==~:~:ill~=====~===========I====~=:==~===~==~=~~==:===~~=~:~~=~~======~~=
BREM/;:;J~TT)N 'PEf:~MIT' t;:EN'T'ER
PEHM J. T CONI) I"I" IONS
I P€~fl"m:1. t Nt:) ~ 9H.....05SB Pa.9f~ ~ 1
==:~~:=~=::i~:~=:==:~====~~:~~=:=:==~===:==~~~~~~:=~:==:=:~======:'~====::======:====:=~=========:~~==,=::~=:
I. Job AddreBB~ 202 BURWELL ST App], J ed:: lO/Ol/199B
A~~l*:':~Y" :Ac;(jt; Nc) ~' Appr' oved : 10/01/199f..s
I....oe:at,:l.on:: '''10'''\ nllRwr"l I 1"'''1'' (roon T r"('~) I !~lBUed ~ 1 0/01/1 119B
.t::, t::, ;:' ",' :::., ''''" ,," ~::~ . ';I. ... '. .:::. .::) ,
Appl :1, c:{:~nt : TRIPLE C CONSTRUCTION
Cl ("Tn J:l.ATAf'K T r" (rnon T F"l'" )
:, wner:: ..::;.... ",... ~ '" ..'.., .. :::..::1.. .. " .. ,::.,::)
Cont r act (Jr': 'rRIPL..F C CONS'fF<,UC'rION
D(~~~!:.~cr' :1. pt; :1. on,:
T N'T'FF<'f nr~ 1:~F'MnDr:'1 (F' AI I~'F' WAI I /f.;' T Nl") F,(,lf~ "l"r'NAN'r
~ " ,...'.. .. ...... . ........ "....'oJ .". I........ ""),, \, . ....
Cond:l. t; :1. tm~~ r.
I 1." A. t>" ADDF~ESS NUMBEF<S AF~E F<E{;~U I f~E:D .
[ 1:3" 1::>I:~nv '\' DF:' 1 ",~A 1 OBr F'1m:' FXf lNF'1 J T 1:~HF'I:~ Tf F:~F' WH IN'fr:'n TN
1 " .,.. "" ,"" ," , ..,.., '. ........ ., ,~ .. ., ...; "" ..I" .... ' \..,.. ...... "
CI..,,!::::M< VIEW AND r~EACH.
c; u f~~nV1nF HFAT nFTFrT'\'nN FOR FTRF Al A~M ~Y~TFM (rFPARA-F
.. ,...... '...... "" ,.'..' .... ...... ..,.. .,~ ,,,l .... .,J.." I ,",
PFf~M J'r PFtJ\ I T F<f::'n )
'.., . '" .I"",' ", .' ,"~ .. If
f D.. PROVIDE 1 40BC FIRE EXTINGUISHER IN T~E KITCHEN"
P"rmit Hnld"~ ~ . Date:.~ !tJ;-l-rg
S j gn~t u r ~~~_:_:_... :._.. ___, ____ .. ..__ -:.U-----. ____----- ..'....... ",.................".............".."......."""".",..,
1
U ' "
1
j
1
l'
I
I
I
I
I
;
----- - - ~"-",,---,--.,. '" - .. . ..' Ii ..' I
_~-'~-'_'~-;~__'" -;:,),'~;,'(':'I!;,,"lf1;'\8)'i'!if';'9';_~; ..,,"ry;.;r~-;::"'.i;-';,.'!?<!f:';~~ '''W~~'"."'~___.~~~ ~,~-,,- ~"".r__ ---,~,<~'" ,_'"m."~ _'7'__"_ "~'-"""- '^'~.- _r____'__. ,.__n_ 1
.' ;
.\' -,~w<, i
I
I~.')(~ltt)(. ~'~~,~ ** ,* 111: ')1;* *.x, * * ilt M * ,*'* ,)1(. 'M * * '* MMX'M'*"* * ** *:* 11) ,x.)(. '*M,*.l-!r '* ~* 1(..)(.)(- * ,\'t.)<, * ')Ii 1<(' IX: **.)1( .~, ':W:
tIlY"" B!'~FME~f(TON !Pl'
I ***M**MMM~*HH*.***M**MM**.****H.*MM***.******M*M**MM**HMMMMMM"*"
pr'CT'IPT N ,I",'" '. 'innr)1nnn (."" ,,';-a 1 j"i 'O/e'/f/rl ]"~~":>J
I ~",;,:~:~','~..." ~,~~,:€iT: :,," '~,:, ":"';"'" ;~'(:~t;l",l,: (:' """, I" ".,~:,. J,." )J:, :;;:" "'::,,",~:-"
r~ l::i.. mbnt, M~~,t hod. CHf:,LI\ Not,:}.~, Hln, ,,:,OUZ.A I, 1 n l"" 1 (IJ
I m" '~1\' .".., ~"" ..,,, >>-1" '''', "." "'" ~'." '.w "",' ",,' ,.oj" ~",. "'-,,' ,.,,\j .H..., ,,,,, '4~ ,,',-'. ,~'" ",,<,,' ".,',_ ,.Ii' ."" ,,,,' ""-' ..,~ ,,,.'. ",,' .". <,'." ,..", ''''" ,"". "_,,, C"', .~,,~ u."> '"'' "," T'.'- ,,;,' """,,,',,-,,,,,,,,,,,,,,,,,,,,,,'''''''.''',,,,,,
Permit No: 98-0558 "fypc-;:) ~ BL,DG SLOG PERMIT W/MECH/P I
I j
I S j t ('::l t~ddn:~*7.H:~; ~~\O~;~ BtJf~t~F.LL. ST
I Lnciiit 1. on,~ BURWELL Sf (GOODIES)
Tot t:l:l " :I. "l8
I "
1'h1. s 1)I!1ym(~jrt; t " lB r nt; rid ;t~LJ.", Pmt ~:., :: 1- .. 1. E~ I
I F11:11 anc((;~ f; "00
""MMMMM""""""""""*""""*"""""""*""""""" I
I fK:t:ount Codt':-J De*!H::r 1. f)t Jon P'l1'flQU n t I
I I
I ], " tOOl ( .l.l ) C$U I LJ) t: NO PF::f~I'1 :r '1' "
1 ., HHOO (4!::JHO) BU 1 tD I N(~ PI. AN CHECK !::;l ,,4f.J 1
I 1 " 1 om~ ( 1 a "J PtJJ~1B I NO PE]~~11 ''I'' ,,00 j
I " 1:3 ( ) OF l"ft"i SUHCI'h~I;~(~E .!::;.o I
I
>~" ., ", I,L~.j ,., . "." ,-,,,.,.,,,.,,-,,,,,,,,, ~~"~".~'~_'~n"~'-~.'~\.NII.~M.~P.~<<o~,.,.~ab"_~~ I
I I
1
I
I
I ~
I
I
I
I
I
I
1
I
~. ~
I !
I
1
:1
l
1
I
I
I
I
"-
l
j
I
-
I
I
Certificate
of
Occupanc!'
llepartment of <!Communitp llebelopment
7it4 ~ul44<<ed ~ t<J tie ~ ~ s~ 109 ~ tie
~~,e,u, a4,~4tie~~e,u, ~ .'
ti4Z at tie time' ~ t4~, tit4. ~ lQa4 III ~ wid 8itIf
~ttDIU 1M ~,M 1t4e,
ISSUED TO: GOODIES
~ SITE ADDRESS: 202 BURWELL ST
Type of Occupancy Occupant
Construction Gassification Load Common Use
VN M 11 RETAIL SALES
Permit Number: Date: 11/17/1998
THIs CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE
-
... :Bremerton .:.
~ . Willa A. Fisher, MD, MPH, Director
Kitsap County 109 Austin Drive
Bremerton, WA 98312
Health District
September 22, 1998
Goodies
202 Burwell St.
Bremerton, W A 98337
A TTN.: John & Jackie Souza
Re: PLAN REVIEW AND APPROVAL FOR GOODIES
Dear John & Jackie:
The plans for Goodies to be located at 202 Burwell Ave. in Bremerton have been reviewed and are approved in
accordance with the Rules and Regulations of the State Board of Health for Food Service (WAC 246-215) and the
Bremerton"Kitsap County Health Ordinance 1992-16, subject to the following:
1) As a condition of operation the wash compartment of the 2 compartment sink may be used as a handwash sink.
If any problems are noticed by an inspector an additional handwash sink will be required to be installed within the
timeframe decided by the inspector,
2) All food service equipment which is plumbed to a wastewater supply must be indirectly plumbed with a
minimum one inch air gap.
3) All surfaces in the food preparation and storage areas must be smooth, water impervious and easily cleanable ~
bare wood surfaces are not acceptable.
4) Light fixtures in the food preparation and food storage areas must be shielded to prevent accidental breakage.
Prior to opening to the public a pre-operational inspection of the facility must occur. At this time all equipment
must be operating with thermometers placed in each refrigeration unit. Please call this department at least 5
working days in advance of the intended opening to arrange for the pre-operational inspection, If you have any
further questions please contact me at (360) 478-5285. Thank you for your attention.
Sincerely,
VYZv#/
Ed North
Environmental Health Specialist
Food and Living Environment Program
food3\c:\winword\planrev\template\Goodies.doc
cc. Bremerton Building Department
ENVIRONMENTAL HEALTH DIVISION
(360) 478-5285
FAX (360) 478-2091
.. ,-- e ., - PROJECTNUMBER=- 1:) tf!-m?:'? SHEET_OF_
.
,; :f3;lJ MEETING NOTES NOTES ISSUED BY
REGION
DATE
SUBJECT: ;5i)OV:vt - 6oo.o/~ ~tTz'f/L 3#-U::S
202- !3U((aJt=LL
~:~~:NG r- 30-9r LOCATION
ATTENDEES:
1Iu-I1)ttW'1 kf't
:&:ott E:.- ~~~
~~~
NOTES BY: &i~ REGION
~ -
TOPICS DISCUSSED ACTION/NOTES
fl)allf / ,u, jJmIJg~ #
~~-;f'~AdPJJ/ Pll?d ~ ~/"/'rIyf-'I;Jh~ -Lw~er~.
- 1'/ )'lASf ~~ 1AllLLt '"1 ~ 8/n~ lit(y oR-.
- .iJew (f')u.;..t rod- (--< ~.t. - tJ.e
- Aleut ,tJerrnlr Iff SJtaJ r/Jek / waLt cj sJn.i::. (/n&1 .
Fire. : ~~j,1 fR /1 Mdrl!Sf #S
~eJ#cP n re... f!l'IJnr:J Aers .
~ ddich'M IiY' 4f/~
(}I" IF ~..5CJ()O ~ Ol"~ -rod shr.2:ahpler
Y/1A.~ ~ak - wJA Y1.ld SIte- //ltVYI) ~~~ ok, ,
, I ' /
.' ~dv1 dt2M./ls -
-w/a'/Je ~~ F~
cant. reverse side
BREMERTON BUILDING DEPARTMENT
. Inspection Report
Scope of work: Interior remodel (false wall/sinkpermit Number: 98-0558
Address: 202 Burwell St.
Owner: Jackie Souza (Goodies) Phone:
Contractor: Triple C Construction Phone: 698-6837
FOUNDATION
I I Inspection card/approved plans on site Setbacks I
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
Bearing soil (soil$ analysis if applicable) Special inspector (when applicable)
.
COMMENTS:
FOOTINGS APPROVED: WALLS APPROVED:
FRAMING
Electrical approved Plumbing & mechanical approved '''''"l
Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth
Positive connections posts & beams Foundation vents
Posts properly supported Anchor bolts: nuts & washers in place
Mudsi": treated material Floor joists: size & span
Beams/girders: size & span Notching & drilling: joists & beams, studs
Smoke detectors: all required locations Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom
Fans terminating directly outisde Range hood
Dryer exhaust vent All vent terminations: windows & property line
Fireplace combustion air Windows: meets egress requirements
Windows: proper U valve Windows: safety glazed where required
Ceiling heights Stairs: headroom clearance
Stairs: rise & run; proper width Fireblocking: wall to ceiling, furred walls every 10'
Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers
Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates
Sheetrock backing Wall bracing
Rafters size/notching Trusses: specs, bracing
Attic access Attic ventilation
Wall & roof sheathing Shear nailing
Building dried in
,
COMMENTS:
APPROVED: ~ /A~.v9 y
.
ENERGY CODE COMPLIANCE
Insulation: proper R value Insulation: proper fastening
Insulation: vapor barrier Bottom plates caulked to floors
Penetrations caulked as required Electrical boxes gasketed or caulked
6 mil black poly in crawl space
COMMENTS:
UNDER FLOOR/FOUNDATION INSULATION APPROVED:
WALL INSULATION APPROVED: CEILING INSULA TIQN APPROVED:
'~b ~";;~~{;~- , ~\
~ ;",tiI" l: 1.;:.'":';
'!l;,:,.i;: ,p ~~ ,
$.;~ " 'j \.' /:~~ "'i."Jf'
,
MECHANICAL
. Appliance location and access, proper support Appliance clearance to combustibles
Venting: clearance to combustibles Venting: size & support
Vent termination Combustion air
Ducts: size & support Gas pipe under test
Gas pipe: size & support Gas pipe: underground min. 12" below grade
Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance
Gas logs: safety shut-off Gas logs: damper permanently open
Woodstoves: EPA certified Wood stoves & fireplaces: Tight-fitting doors
Wood stoves & fireplaces: proper hearth Manufacturer's specs on site
Chimney liner: when required Chimney: separate flues when required
COMMENTS:
GAS PIPING APPROVED: FURNACE APPROVED:
OTHER APPLIANCES APPROVED:
PLUMBING
DWV & water piping under test DWV: proper grade
DWV: proper sizing DWV: proper drainage fittings where required
DWV & water piping: proper support DWV: required cleanouts
Vent termination All fixtures vented properly
Water supply: proper sizing Shut-off valves on all fixtures
Water heater: gate valve on cold water supply Vacuum breakers: where required
Water heater relief valve drain to outside Water heater: siesmic strap
R-10 pad under water heater when required Water-piping insulated as required
Grease trapslinterceptors: where required Proper indirect wastes: where required
. . . . .
COMMENTS:
PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED
SHEETROCK
. Proper fastening: nails-7" o.c. horiz. plane , , nails 8" o.C. vertical plane .
Proper fastening: screws~12" o.c. horiz. plane (1/2") screws-12" o.c. horiz. plane (1/2") 24" o.c. framing
Proper fastening: screws-16" o.c. vert. plane (1/2") screws-12" o.c. vert. plane (1/2") - 24" o.c. framing
Proper fastening screws-12" o.c. horiz. plane (5/8") screws-12" o.c. horiz. plane (5/8") - 24" o.c. framing
Proper fastening: screws- 16" o.C. vert. plane (5/8") screws-12" o.c. vert. plane (5/8") - 24" o.c. framing
Area & occupancy separation walls Draftstops where required
Usable space under stairs (5/8" required) Waterboard where required (not on ceiling)
Corridors
COMMENTS:
SHEETROCK APPROVED: ~/~- /r '? At!'"
/
INAL
Energy code requirements met, exhaust fans Plumbing & mechanical
Garage/dwelling door self closing solid core Smoke detectors where required
Handrails & guardrails, as required Fire ratings maintained
Exit signs when required Emergency lighting when required
Occupant load posted when applicable Building weathertight
Wood siding to earth separation (6" Building Address posted
Radon monitor when required
COMMENTS: -~ . L ~~ It/;Jh ~ ~
4?U' I '
FINALAPPROVED:~ /~ ". 17"'-8
,
1 .. ------
-
, :TRIPLE C CO=-'ISTRUCTION
.
7618 TYEE WAY. N.E.
BREMERTON, WA. 98311
FAX (360) 698-6837
PHONE (360) 698-6837
PAGER (360) 405-4698
.!Bi!:~.!I::::::II~::~:::lffi:I:I:MI:I::::::!::::::::::;::::::::I::::::I::::i!m~.wi::::::::flil:::::::Egi:::::::1:1:::::::lli~::::!':EIII:::::::g~~'i.w@:::::;R!Wi":.I
CONTACT PERSON: ADDRESS: 202 BURWELL ST TEL. NO.
JOHN & JACKIE BREMERTON, WA. 98'31 0
SOUZA -~----- -- .~, ~~
GENERAL CONTRACTOR: MEL CUNNINGHAM LICENSE TRIPLECC0770A
1. REMOVE NON LOAD BEARING WALLS WHICH HOUSED THE MAIL BOXES, AND THE
WINDOW AREA AND REMOVE ALL DEBRIS FROM THE REMOVAL.
2. PULL CARPET UP AND DISPOSE OF ALL FLOOR COVERINGS.
3. REMOVE THE STORAGE BOX UNDER THE FRONT WINDOW. DISPOSE OF.
4. MOVE THE WALL BETWEEN THE TOILET AND SINK TO THE OUTSIDE OF THE SINK
AND BUILD NEW ENCLOSURE FOR THE BATHROOM. DISPOSE OF DEEP SINK AND
DEBRIS. ,INSTALL VANITY IN TOILET AREA.
S. INSTALL WALL BETWEEN THE RETAIL AREA AND STORAGE / PREP AREA.
WITH POCKET DOOR.
6. MAKE AND INSTALL CABINETS AND COUNTER TOP FOR SCALES AND REGISTER.
( TIME AND MATERIAL)
7. FINISH INSTALLING DROPPED CEILING AND MATCH AS CLOSE AS POSSIBLE TO
EXISTING CEILING.
8. SMOOTH OUT FLOOR AND INSTALL TILE IN THE RETAIL AREA, BATHROOM, AND
STORAGE / PREP. AREA. (TIME AND MATERIAL)
9. INSTALL COUNTER IN STORAGE / PREP. AREA, INSTALL VENT AND DUCTING IN
THE STORAGE / PREP. AREA. (TIME AND MATERIAL)
~'
OWNERS TO FURNISH BUILDING PERMIT. l/~~;;;?;}:'~!~
TILE TO BE PURCHASED BY OWNERS.
PAINTING TO BE DONE BY OWNERS. ';"
\
,,/
" /
'--=~_P
- ----- ------
J
'TRIPLE C CONSTRUCTION
7618 TYEE WAY. N.E.
BREMERTON, WA. 98311
PHONE & FAX (360) 698-6837
CONTACT PERSON: ADDRESS: 202 BURWELL ST. TEL. NO.
GENERAL CONTRACTOR: MEL CUNNINGHAM LICENSE TRIPLECC0770A
):::'::::,:::i:i:::i:i':.:,..::::::::::":::::::,,:!"':'iiDiz,~:"i)Es6ijIPmtfQ:ti Oir::::GOips.""'~::::,:~EUi@~" ,", ',', :'::::!:!::'!:::::!:!:::::'!:'!:'::::"::"':::":':!:.'!::::':'!:::
ICOST BREAKDOWN OF WORK TO BE DONE COVERED BY BLDG PERMIT.
INSTALLING FALSE WALL AND BATHROOM WALL APROX $800.00
PURCHASING AND INSTALATION OF CABINE~AND SINK USING EXISTING
PLUMBING WILL BE APROX $ 700.00
TOTAL COST OF THESE TWO ITEMS WOULD BE ABOUT $1,500.00
ra_- SUB TOTAL $
........... ............. ............ ...... ..................... ..................... ............ ........................
.. .............. ........... ...... ..................... ..................... ............ ........................
......................... ........................... ....................... ............ .......................................... .......................................... ........................ ................................................
................................................. ........................... ....................... ............ .......................................... .......................................... ........................ ......................... ...
................................................. ........................... ....................... ............ .......................... .................................... ........................ ....... ...................
................................................. ....................... ....................... ............ .... ............. ........ ........................ ................................................
................................................. ....................... ............ ......................................... ...................................... ........................ ..................
}::::::::::::::::::::::::::::::::::::::::::::; ::::;::;:;::::::::::::: :::::::::::: .............;.:.:.:.:.:.:::::::.........:.:.. .........;.:.:.:.:.:.:::.:.:.:.:.:.:.. ::::::::;::::::::::::::: ...............:.:-:-:.:.:.:.:.:.:::::.:.:
SALES TAX $
GRAND TOTAL $
:::::::::::::,:;':,:':'::::::,:'::::::::,:'::::: :::::::::::::::::::::::::::::: !H!::!:::::::::::t:i':::,::::::::::::::::::::::::::::::H:::::::::::::::::,:,,':::::::::::::,::::::
.
.
.
~./O IJ- ~vlG.vJQ;U- "S,i""t, \
!
.- ,uifi:f
:: '. _ ~ n - '-'
J..... ~ \,.,.
~-;>_/ )
~"". /
,
/
~~"\4'2 ., ",,,N O""G PLUMS
'Pi\) ~o1" 1)0.
N.EW WAL
J::}J
...-
5'~ CJ
. If
20'2 '6~v..l@L L c:::.1. p~~
. . " ~" J'
.. ' llr ~'<l'
. '\6 ~ ~
~~tIJ~r I
t'{
... \
.
a
~
1
ti.
f'-I-CFO 12...
p~J..$ e- (,AJ ~ll
-
pc
.
PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
360-478-5275
.
INSPECTION REPORT
PERMIT #: 98 '05>'6 ADDRESS: 262- 15Uy.....Je.J(
I - FrfJAL-
J(0 l?ov~ k <::; "f~ 0 I..l~V cLoov C e--+---7) ll_. P -h
I ktJ 00......
,/ '?~~~ d.-../oc.keL 'D\Jv~.-c... :gUSl.....~..S I~..J\T'"~ If
\
-:;:::0"; Lz e.le<-{-v,c..<;, ( c..v-e-f t)T'L.. ell b o-r<-e S ~
Ob~l- e~ 1<fL ..r Fr e:. + 6 ' a> r./J. ~ ('
Schedule a reinspection when the above items are corrected. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date:Jf~i Time: / Z : (r( W
INSPECTOR
.
.
PEHMIT CENTER Id: ACTP150 Keyword: UACT User: TRISH 11/17/98
Activity Maintenance - Inspection Processing BLDG PERMIT W/MECH/PLBG
Permit No: 98-0558 Owner: SOUZA, JACKIE (GOODIES)
status: ISSUED Address: 202 BURWELL ST
Inspections for Activity
Item Flags Description
1600 r PLUMBING ROUGH-IN
1700 r j FRAMING
1900 r j SHEETROCK NAILING
2175 r HEALTH DISTRICT
2701 r j FINAL--FIRE
2700 r . FINAL--BLDG
** End of Inspection Items **
Fl=Help, INS=Insert, A=Add at End,
I .-
,~
~,;} l;~~~~~m~~~~~'~l~~li:~~~~ml:~~ml
......_.....,...... . , . ._. .. ._._ ". ._. :_ .... . ," ....,. ......_. .":. . ','_ . ." ".'," ,'_'_","_' '_' "," ';"'_'_' .__,'" :." '_' ... ',' ._n _'_'_ .. _ ._ ",' ...... ..............::.::..
:::.:_::.:;.::<<:.::::::' - _.:. . ,_:_" ',_' . ..<' . ":. ';::. - :::.:" ":,:-:_:_", . "./' , "::" _:.::::::' ":", ' "_:_::" -':-:-:,: :':.' "," .:" ".:" ':. - n-:- "-::: :':::.:::.:::.:.:::-::::-::_'_:-_'.-:-:
.... .........'. ...._....___.... _.,_,__ ,_n,___" __ _........ _............'...........'..__..........................:::_;.:.;::';_:_:::'::'::';':::_::-:_::-:::_:_::::,:-:':::,:::,::::::::-;'::::::_:::"::::::_::_::::::::.:.::::::::::::::_::::::>::;:::-::::::::::-::::;;_._:-:.:-:-:-::::::::::::.::::::::::::::
...,....'.r~~,..~ttt'.$tt.f~.ijteIti~p~;,~~i~j~~7: ..i~h~.i(~~ij)~7jf$~7':]:1~.(~~ij).~7jf5i~78......'.,
APPLICANT: ~ OWNER 0 CO\^CTOR 0 OTHE~ 8-' 0
SITE ADDRESS: 202 't) U('uJ~J ASSESSOR PARCEL #:
OWNER:~)Dh +.c)CtL0e ~LA ADDRESS: 7'" ( 2- l\Je 1l{c'~ c:r. 8v'~
CONTRACTOR: j[1 ~I ~hl'1 t' '1Jh ~Ir\ ADDRESS: 7 ~ (g 1f1~e W~
CONTRACTOR LICENSE.# f(-('p/-e. CCJ:) 77014- EXPIRATION DATE: q-l- q 1
CONTACT PERSON: _~ Lu'IIi; VU1 ~'--/ CONTACT PHONE # laq$~& g37
-.'
DSFR o DUPLEX D MULTI-FAMILY IZl BUSINESS o OTHER:
o SIGN 0 DEMO D MOVE BLDG. D MOBILE o GRADING(yds):
D NEW 0 REPAIR ~ REMODEL D ADDITION 0 OTHER:
o SEWER D SEPTIC
INTENDED USE: f( e ~"I' I ~ l-e 7
.
NATURE OF WORK PROPOSED: r.e 14;10 c1..t./ iNfld~ ~.(' hCt,'(P{,...n /-0
Ct(C~"",--(/~.1 c.- A/-l?(AJ s Jot--L...
SQUARE FOOTAGE: Dwelling: '?Z-5 S~. -B-. Garage: Decks:
.,.,.....,..",..VAt;ilJATlON '.'.) .,.,..PLANRBVI.EW;.FEE.~ ~~g~~:=;'~~~~ .~nl~.SUR.CHAf{CES".".,..'\ntt:Q"tAtFJ:;FS).".
...... ..... .... ........ ...... ............ ........ .... .......................... .
$ $ $ ENERGY: $50.00 $ ~,
STATE: $4.50 /w Z-,l-
CITY: $5.00 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. No application shall be extended more than once. In order to
renew action on an application after expiration, the applicant shall resubmit plans and para new plan review fee.
I hereby certify that the above information is correct to the best of my knowledge.
4..., DATE: !D--/-751
bpapp.dot revised 4/23/97
.-.,.....'.'..... .. :~~ .'.-. '>' .--..-.....--... ,.,.... .......::::::: ::':-: :-:':-:::: :.::-:-:'::-::: :-:::<::: ::;-::::;::::;: ;;: :';::.::: ::.::.:,:': :.:>::> ::::::.... ..... '.......:::::: ::::::::::...:........ .
..;:';....,'; ,'::::.:.:'::.' """":""~:::::"""""",:""",,,:,::,.~,, 'LE'" :,"'~'.,' ",:, ',',::" "''''''ITI' "':::,~:::: Y:I,:q,~., "L:'::':~"'(5"":':A"": ':::Uf' "'I' ':O"'c::'~"'::' ,::::"" ,',..",,,,,"::,::::::"'::,::::,,,,...
S,_,_<".-'" .;.....>:._.,.>>> .'............... :.:._._..:::::.:.:,:-:.:...::::.:,......-. .. :. ", '-" '.:. ;.. '-", ." '.',"- ........,.. ......' ..-,' .' >- ;. >-..... .. ........ ,-...... .;..- -' :...... .... - . ......
-"::::<1;'; ;';:'::-:-:':'::;': :;::-:::-:":':-: .:,::;-::::;:::':.::::::::::::::::':::::: :.~.:':: ::: :-::' .: ":::.:.;':_ :::: ::::: :::::-::::- :,_ '::_::, ~:..{- -:.:-:: :';-;:::,: :.: :-:::::::: .: -:-:::: :':::: ,: :'::::' ,_: ::. :' ::::::~~:::::::::::::::::::::':::::::::::::::~::::::::::::::::,::::::::
..... : : : .: :,: ::::, ,;::' -: ':,: '-:.'.'-:. .:-: :.' :-.' .' .'. .::::::: _:.:; ~:-:' ;~::- :,;. ':, :.:.;-: ':,.':':: :-:. .' -:. :' :::: :: : - ::: . :.- '-:" ,:' '.::: :-: : : :; :. : : : : ::.' : :: :::.:: :::::::::.'::::::::: :.::::;::: : ::: : ::: ::: :::: :
:...'...':...';....~i~~fr~r~~~it()Il,.washi~~()#,...'~~3~,7 ....'.....g~~~e:.(36(})..478~5275. ...F~.(~6(J).,.~.7'$sd27~,...'..':.. I
. ',..: .. ," ..,',' ,':':"":" , ..' ,,' "',' ',' ,.., ",.,:"" ~' '".. ' .. ..', """,' , "'" , '" I
"':':'::::::':::":ME" ", '<C" HANI' ,"',' 'C'.A":"L"::':.' ,:,::::,:,,', ,,., , ,':: , ':p' L: U" 'M' B"I'N'::G: .., ..,. ." '
."......... ,.. .. - ....- . '-." , . --.. - ..... ". -,' .'- --,.
. . . - . : . : "- ~-' -. . : . '. ': :. '-:: : . .':' : . .. ; - .".. , - - : ;.". . . ." -,:: .': - - :'.
. ". '., , .. " . " '" - , . . .
I
APPLICANT: [21 OWNER D CONTRACTOR D OTHER:
COMMENTS:
SITE ADDRESS: l.D2tburw-e.. {J
OWNER: ' j Dh h + jO-cJ:..{ ~ S~G{Z--q ADDRESS: I ~ {Z, tiS 1Lf f ~ C--:f.
CONTRACTOR:~-t-\ (..v....t\/IVt. nJAaJV\ ADDRESS:
CONTRACTOR LICENSE # EXPIRATION DATE:
OWNER PHON.E # Co ( 3 ,-- ~ f, 'L- CONTRACTOR PHONE #
._n ,i::'l'YP:t~Of$tQ;tJlPMEN1r'Y:I:JR~.tNQv:t> >::::<TYF:BOF:ltlXTUB;a::;:J'ipltEC
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
=== CAS FURNACE btu's: --r- LAVATORY
CONVERSION BURNER btu's: SHOWER
---- UNIT HEATER btu's: , KITCHEN SINK
BOILER .btu 's: DISHWASHER
GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btu's: CLOTHES WASHER
AC UNITbtu's: WATER HEATER
HEAT PUMP btu's:tons: URINAL
~
REHEAT BOX bttt's: DRINKING FOUNTAIN
AIR HANDLING UNIT btu's: FLOOR SINK OR DRAlN
.-
EXHAUST FANS SLOP SINK
_ RANGE HOOD (residential) WATER PIPIING & ALTERATION
,_ RANCE HOOD (commercial) GREASE TRAPlINTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUcT ALTERATION SWIMMING POOL
_ TANKS, type: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
MECHANICAL PERMIT FEE $16.50 PLUMBING PERMIT FEE (15.00 or 4.50)
MECHANICAL FEES:
PLUMBING FEES:,
CITY SURCHARGE:
TOT FEES:
APPLICANT'S SIGNATU ~ DATE: (D~( -r?
pmapp.dot revised 4f23f97
~
,..
.
"
~
CITY OF BREMERTON
Commercial Building Permit Checklist
Applicant: ~)Dh ~ ()~L.~c SlJU VJ4'
Building Permit#: Date:
\...~ Sheet (w/occupancy & type of consl) -.
_ Site Plan (dimensioned)
l..T X6j)eofWork _ Zoning District Indicated
v"7 Completed Application Contractor Verification
-
J3id or Floor Area Breakdown _ Landscaping
\...0-'" ~ ...Boor Plan Parking Plan
(../'~ Framing Plan (cross-section) _ SEPA Checklist (if applicable)
Elevations Site Plan Review Questionnaire
- -
Foundation Plan _ Vicinity Map
-
_ Barrier Free Compliance _ Special Land Use Conditions
Or Permits
-
_ Architectural/Engineered Drawings _ Sign Permit Applicable
Street & Utility Permits required ,-""- "'Plumbing Plan ,
Mechanical Plan Cross Connection
-
_ NREC Stamp/Compliance _ Fire Department Info
_ Lighting _Alarm System
Mechanical _ Sprinkler System
-
_ _ Envelope -
Erosion Control Plan ~ Drainage Plan
-
_ WSVIAQ Compliance ~ ealth Department Approval
Comments:
c
c.J.1\Jj dL \\ _~ . l- z.. !2--C( 'e> .
,.,..---
.-
Certificate
0 f
Occup anc!,
1Bepartment of (tCommunttp 1Bebelopment
7"'" ~ttl<<Ate (d4<<ed ~ ((J tie ~ ~ s~ 109 ~ tie
~ ~ (!Mte. a4 ad4ftted 4 tie ~ ~ (!Mte. ~
fiat at tie tuNe 01 ~. tiu, ~ <<leU is ~ <<dd 8it9
'te<j<</a~ 1M ~ en U4e.
ISSUED TO: GOODIES
SITE ADDRESS: 202 BURWEIL ST
Type of Occupancy Occupant
Construction Gassitication Load Common Use
VN M 11 RETAIL SALES
Permit Number: BL98-0152 Date: 11 /17/1998
- ~~~ -.
JU' JOHN ,c .0. BUILDING OFFICIAL
Special Conditions '
THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE
---- -~ --- - -- - -
~ -
3U-:..U)~ \JG :)~=~V1 - ~" \
I
-
City of Bremerton, Washington C6-~ ~,~~.... fU+jP'--..Aj,
Phone: (206) 478-5281
OWNER'S VALUE SLOG, DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$
OWNER'S NAME PHONE.s'7S'" 3Sd-
CONTRACTOR S 6L F STATE CONTRACTOR'S L1C. #
ADDRESS PHONE ~.
o RESIDENCE ~. BUSINESS o OTHER o NEW o REPAIR o REMODEL o ADDITION o DEMOLISH
o FENCE o SIGNS
PLANNING I ZONING STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: [d 6 C'I<.~ s 6cfu to
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINAL 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY: REINSPECTION:
~PPROVED NOT
TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED
,
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE BY
Authorized Agent
, BUILDING DEPT.
.
..~," _. r",
,
i
i, ~ --r------
, ,"
". ,
~ ...... I ,
\oJ (J '
H', t-
?! ,.~
~ ~ ,I
Ij) ~ i 4 1._____-)_
'1)\1-, \ i ,lO
I (::4 !J)
d! ij <.g i
01 i') \J
j!.L. .-
N (j ~ .-
x I-l [j o.! 1:
<t '.J\.. - 013 ''', "2;
" c< ~._--~.-, III ~
$. (), 0 0- ;'"' :8 ~ 01- -- I >l~ ~
4 i21 <! .on i~ !,C :,L"'~ _-- .,. ~ ~V) :2:
' '- !D 'z !I' ' 0 ::\ H
"-, ' 0 l I :t
V) C\ '11l, . {1
~J t \L" iN ~ - '-' '-"----g=- "-J ~ <t
~ "o~ I HA'I"", _-)
" ~ III 2: S~,,~ t 11\ )
_J "r'O _ \ !l.
I>- c. It''
~ ~pa ~ 1
W " I
~L- r ----
--
, \
"~
\11
--- - ~"1 ~ ~-'~r:tc I""
\-- "C!~~~:;r'V.j Htl3{J? 3?:1:. i
~ -------- ~.
- - , -- , .. ,-,---~
~~-<" ?J'.:1 L N\i('5? I ,-.
.~ ~~ \ },: '--". ..
'-- ~ ~
"" '~' ,_ft
'S i ~
,,) ~: Ii
' , t) ,~ 'X:i ..J
< · "5
· . ~ Ii ",j 8
"'("', ~ ~ ltri- -- -,
./,', --, ~
<E '.' ( __~_ ~
d, ~_
~',~ ---
\J; s
.li ..
0'
;-1 j
IJj
.
> ~ ;7;,l, :J '.
~ ~-. 'Dr
,r., ii, fW", j ~?~ '" '" _ ___ _,' -,-, , _ _" __,_ _....,::, L...----+__
-~, --....----- --"I T.'T\OW
^ '7 -<>. W"/~ v,..,
,...... P ~'-J 'r-4
;: ~ ',^,,",
" :J t.., 1:\.:':' I ....... ',.' ,
;:1 ' \ J'::J :<~"', r:~'" ...,
'-I rf) " ''-~ \
3' t'""iilJ _,
^ ~ ~~ ....f
JI ~ ~ :,',. (-____
:: c~ (t! il d f'v\ C\, YI (cL
e"'''''.'''.' -,:.,~ ...-',_.....,..,~;..;,...'''''--'''''-...,''''-...::',~-".";;~..,~_..e'.-{.....,,.''',-, ,.__,,,,,,_',;,"";',,-_~,',"""~'_'-~'-J"_.\' ".~-" ""'- -M ~ ,., ~~~""''''~,~';!~::';'.-::"1~-~::':::'"'=-?i'''::'~~~; - ~ -- ~""J '" :
PERMIT AP :)IJIC'A TION:\
. 'I ,.,"
CITY BREMERTON BUILDING DEPARTME .~ ,-_.. _.~.~-",. "-''''''~'-"-''
PHONE: 478-5281
JOB ADDRESS
ZIP PHONE
MAIL ADDRESS PHONE LICENSE NO.
4120(./ ve../ 0
Class of work: o NEW o ADDITION ftALTERATION o REPAI R
0 MECHANICAL 0 PLUMBING
CHIMNEY (No fee information only) INSPECTION: Groundwork Gas Test
Masonary Lines Unlined Wasted Vents Water
Faclory Mfg Type B Type L Htg. Ruffin Chimney
Location: Internal Outside Wall Stove or Insert Refrig.
No. Type of Equipment Fee No. Type of Fixture or Item Fee
STOVES Gas_ Oil_ Wood_ -- WATER CLOSET (TOILET) --
FIREPLACE INSERT -- BATHTUB ---
FURNACE Gas (Nat,_ LPG. _) Oil_ LAVATORY (WASH BASIN) --
Wood add on _ Other_ Electric_ SHOWER 5,ru-
BTU KITCHEN SINK & DISP.
Type: Up flow_ Down flow_ DISHWASHER --
Horizontal_ Wall_ -- LAUNDRY TRAY --
CONVERSION BURNER: Gas_INat._ LP_) CLOTHES WASHER --
Under 100,000_ Over 100,000_ WATER HEATER --
OiL- -- URINAL --
UNIT HEATERS BTU_ Gas_ Elec._ -- DRINKING FOUNTAIN --
BOILER Gas_ Oil_ Electric_ FLOOR - SINK OR DRAIN --
Other_ HP_ -- SLOP SINK --
GAS SYSTEM Max. 5 outlet Total_ -- WATER PIPING & TREATING EQUIP. --
EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease) --
BTU~ -- VACUUM BREAKERS & BACKFLOW DEVICE --
AC UNIT Electric_ Gas Elec. Combo LAWN SPRINKLER SYSTEM --
BTU_ -- SWIMMING POOL - Private Public --
HEAT PUMP Single Package_ SpliL GROUNDWORK --
Add on_ BTU Ton_ -- SUMP --
MIXING OR REHEAT BOXCFM_ BTU_ ALTERATION --
AIR HANDLING UNITCF~ BTU_ -- POST & BEAM --
FANS Exhaust- Supply_ Bat"- -- PERMIT$~S-O
RANGE HOOD Residential_ Comm,_
CLOTHES DRYER Res._ Comm~ -- TOTAL$~O 0
Incinerator -- NOTICE
ALTERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR.
Heating/Coolins-- Exhaust- -- IZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS
TANKS Oil_ Gas_ Propane wlOK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
from Fire Dept._ Gallons_ WORK IS COMMENCED.
--
REFRIGERATION UNIT ' HEREBY CERTIFY THAT' HAVE READ AND EXAMINED THIS APPLICATION AND
-- KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
PERMIT $ -- THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE.
TOTAL FEE $ SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
--- OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR.
MANCE OF CONSTRUCTION.
SIGNA TURE OF CONTRACTOR OR AUTHORIZED AGENT rDA TE)
lNAL APPROVAL
SIGNA TURE OF OWNER (IF OWNER BUlLDt:g' tnATFI
(SEE OTHER SIDE) RECEI PT NO. PERMIT N(
t\Nhl\ll-ORIGINAL. Yellow-INSPECTOR, Pink.APPLlCANT) ... r,
~~ '~.,~\~
. PERMIT e
"
CITY OF BREMERTON BUILDING DEPARTMENT
Burwe II 202 PHONE: 478-5281
JOB' ADDRESS
Chris Ha Id (Son) 373-3526
OWNER MAl L ADDRESS ZIP PHONE
A II around Plumbing (Father)
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Class of work: D NEW D ADDITION D ALTERATION D REPAIR
D MEeHAN leAL ,~ PLUMBING
CHIMNEY (No fee information only) INSPECTION: Groundwork Gas Test
Masonary Lines Unlined Wasted Vents Water
Factory Mfg Type B Type L Htg. Ruffin Chimney
Location: Internal Outside Wall Stove or Insert Refrig.
No. Type of Equipment Fee No. Type of Fixture or Item Fee
-- -'
STOVES Gas_ Oil_ Wood_ -- WATER CLOSET (TOILET) --
FIREPLACE INSERT -- BATHTUB --
FURNACE Gas (Nat._ LPG.~) Oil_ LAVATORY (WASH BASIN) --
Wood add on ---'-'- Other_ Electric_ SHOWER --,
BTU KITCHEN SINK & DISP. ~ ....5.D-
Type: Up flow_ Down flow_ DISHWASHER --
Horizontal_ Wall_ -- LAUNDRY TRAY --
CONVERSION BURNER: Gas_(Nat._ LP_) CLOTHES WASHER --
Under 100,000_ Over 100,000_ WATER HEATER --
Oil_ -- URINAL --
UNIT HEATERS BTU~ Gas_ Elec._ -- DRINKING FOUNTAIN --
BOILER Gas_ Oil_ Electric_ FLOOR - SINK OR DRAIN --
Other_ H P ---'-' -- SLOP SINK --
GAS SYSTEM Max. 5 outlet Total_ -- WATER PIPING & TREATING EQUIP. --
EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease) --
BTU_ -- VACUUM BREAKERS & BACKFLOW DEVICE --
AC UNIT Electric_ Gas Elec. Combo LAWN SPRINKLER SYSTEM --
BTU_ -- SWIMMING POOL - Private Public --
HEAT PUMP Single Package_ SpliL.. GROUNDWORK --
Add on_ BTU Ton_ -- SUMP --
MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION --
AIR HANDLING UNIT CFM_ BTU_ -- POST & BEAM --
FANS ExhausL-- Supply_ Bath_ --
RANGE HOOD Residential_ Comm._ PERMIT$~~
CLOTHES DRYER Res._ Comm._ TOTAL $ 9 00
--
Incinerator -- NOTICE
ALTERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK 01;1 CONSTRl,JCTION AUTHOR-
Heating/Cooling_ ExhausL-- -- IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION ORWORK IS
TANKS Oil_ Gas_ Propane wlOK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
from Fire Dept._ Gallons~ WORK IS COMMENCED.
--
REFRIGERATION UNIT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
-- KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
PERMIT $ -- THER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE-
TOTAL FEE $ SUME TO 'GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
-- OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR-
MANCE OF CONSTRUCTION.
SIGNA TURE OF CONTRACTOR OR AUTHORIZED AGENT (DA TE)
FINAL APPROVAL C~i~~ ~. 3/19/85
(DATE)
SIGNATURE 0 OWNER (IF OWNER BUILDER).
(SEE OTHERSIDE) RECEI PT NO. 73762 PERMIT NO. ~
(White-O R IG I NAL, Yellow-I NSPECTOR, Pink-APPLI CANT)