HomeMy WebLinkAboutBURWELL ST., 1216
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...; BREMERTON .PERMIT CENTER ~f'W Oi
~ 286 4th Street~ Bremerton~ WA 98337~/\. I
· Phone: (360) 478-5275 FAX: (360) 478-5278 (\ 0 j /I~ e-n
BUILDING PERMIT ' t Vn:f.. c...fl W/5
Job Addr: 1216 BURWELL ST Permit No: 02-0620 .
L~oation: status: ISSUED i
Parcel No: 3785003-007-0002 Applied: 10/01/2002:
Issued: 10/01/2002 I
Applicant: PORTER HOUSE SEVICES 360 697 6695 Expires: 03/30/2003 J
6997 ne eisenhardt poulsbo wai
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! Owner: LALLY ANDREW G!
i 1216 BURWELL ST BREMERTON WA 98337 l
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IContraotor: L1C fl:: Exp: :1
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t Oesc: demo garage I
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Valuation lit Permit Feeli',l: 6.60 Total Cdcuht IIId FUI 11. 10
:88 I ~l~H @h@€~ fl@!i Additf@nil rl'~: ~oo
* Other Fees: 4.50 Total Permit Fee: 11.10
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,.*,Tbi$pet'mi-s".$hall becl:lflle null $.nd vOl,a if the Puilding o.y wo'l'k allJthoYi%ed by thb pet'mit. is rot CQIl'lll1enced within
(' i~ ~-":frQtnt.M date of weh permit. ~.)r if th1. building o~' WOYk authoYized bY$l..lch pf/molt is $U$pel'ldoed OY
aba\ndoned at. any tis'!!e j;J,ft,ey the \'\IOYk i. eam_nc::Ctd for .. ".Yield of 110 ~Y!j.
llJOTICE - It iethe r\Ih'DPomsibil i ty of the permit holder, 110t the city' of Br'/tlneYton oy Buildi nil Official b;:. $"
to it that. requi n~d il1$peCHons are made. The PlH'mi t holdey fllIJst notify the Building Official \.)hen readYfoy
il1$pection$. Failun~ of the permit holdeY to notify the Building Official of required il1$pectioms f'(~>'r.$Ult
in the stQPpaseof the w.::>d until 9lJch time that the peymit holder can $Ub$tant,iate to the building official
that the concealed WOYk ffiHts oY exceet.1s code yequil"emerrt:.s. Any cwrnolition. t(!$Hl'I9. or fiMl"ICial bl.Jyden shan
be ooYne diYecUy by the peymit holdel'.Fai.luYf!> to $U.bstantiate code yoequiYements will i'fldE.mnify the City
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against atlyand alln!!$Ponsibilit}' CJ)" liability con'fIeCt-ed with t.he constyuction.
I tltayE/by certi h' that I, have tead and exa.mi ned thi$ peymi t and k'(j()W the sa,me to be t meandcoY'l'ect. All
Pl'ovisiol1$ of laws andordinanc&s govfl>Yl'1inGl this type> of o.JOyk will be complied with whet.her $Pf!>cified herein
01' not. The ~Ya1"ltingof a peYf'(ti't.d~snot pYGlw,me to sive authoYit}' to violate OY cancel the pyovisions of
any othey $lute oy local lawrlflgulaUrl9 constyuction oy the perfoymancfl> of construction.
Signatu'n!!:_.., _. _~ Dater:. _____
ICf!>Ytify that I am exempt horn the nilquiYements o'f the1Jlit.ate contractoy's YE'Sistnation 'Law. uy'!dey
Section 3. Chapter 146. la~~of~7.
X $i9natUYe:~ ~ .' ;/1~~" . _ oahu--1fJA il J-.
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Permit Center--Approved By,_. D--- Date'. lD/J./k-
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BREMERTON PERMIT CENTER
286 4th Street, Sremerton~ UA 98337
Phone: (360) 478-5??5 FAK: ,(360) 478-5278
I Building Permit No: 02-0620
Job Addr'ess: 1216 BURWELL ST Status: ISSUED
I Location: Issued: 10/01/2002
I Ass~ Acct No: 3785003-007-0002 Expires: 03/30/2003
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l R E QUI RED INS PEe T ION S I
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I Item: 02700 FINAL--8LDG Dapt: BLDG Division: I
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I Must be recognized by the Washington Association of Building Officials I
TESTING: j
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SPECINSP= Must be regi~tered with the state of WA 1
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I SLDG : City of Bremerton 8uildingDep~rtment 47$-5275 i
',' PLANNING: City of Bremerton Planning Department 478-5275 J
I PU8\...IORKS: City of 8remerton Utilities Department 478-5318 I
l FIRE: City of Bremertoh FiTe Marshal'sOffiee 478~5380 I
I ENG: City of 8remerton Engineering Department 478-5270 j
r HEALTH: Bremerton/Kitsap Health Department 478--5235. I
I ST OF WA: State of WA Dept. of Labor & Industries 478-4921 1
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BREMERTON PERMIT CENTER
PERM;r;.;r CONOITIQt)lS
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Permit No: 02-0620 Page:
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I Job Address: 1216 BURWELL ST Appl ied : 10/01/2002
Assr ~cct No: 3785003-007~OOO2 Appr oved : 10/01/2002
Location: Issued: 10/0~/2002
Applicant: PORTER HOUSE SEVICES
I Owner: LALLY ANDREW G
Contractor:
Description:
demo garage
Conditions:
1. ONCE DEMOLITION WORK HAS BEGUN, IT MUST BE COMPLETED AND
READY FOR INSPECTION WITHIN 60 DAYS.
2. ALL PORTIONS OF THE FOUNDATION SHALL BE REMOVED AND
DISPOSED OF AT AN APPROVED LEGAL DUMP SITE AND THE SITE
GRADED TO MATCH EXISTING CONTOURS. , FILL IN EXCESS OF 49
CUBIC YAROS REQUIRES SEPARATE GRADING PERMIT.
3. PRIOR TO PERFORMING ANY RENOVATION OR DEt10LITION !"'IORK,
PUGET SOUND CLEAN AIR AGENCY (CLEAN AIR AGENCY) AND
WASHINGTON OEPARTMENT OF LABOR AND INDUSTRIES (L&I)
REGULATIONS REQUIRE AN ASBESTOS SURVEY BE PERFORMED TO
DETERMINE WHETHER THERE ARE ASBESTOS-CONTAINING MATERIALS
IN THE WORK AREA OR STRUCTURE. THE ASBESTOS SURVEY MUST BE
CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR
(EXCEPT RENOVATION OF OWNERw-OCCUPIED SINGLE FAMILY
RESIDENCES).
FOR MORE INFORMATION. PLEASE CONTACT CLEAN AIR AGENCY
THROUGH THEIR WEB SITE AT www .p$cleanai r .org OR BY PHONE r~T
800-552-3565 OR 206-689-4058. THE L&I WEB SITE CAN BE
FOUND AT www.lni.wa.gov/wisha/p-ts/asbestos/asbestos.htm.
;(~r;~~~u~~~de~~~ <~,I~ ~~ Date~_
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PERMIT CENTER
Department of Community Development ::. 286 4th Street::. Bremerton ':. WA ':. 98337
(360) 478-5275 * Fax (360) 478-5278
Building Permit Application
APPLICANT: DOWNER [g-etfNTRACTOR o AUTHORIZED AGENT
Site Address J J I (p f>vr~ l I Tax Account Number: I
I CONTRACTOR: \b-f~fu\&L~us. OWNER or Authorized Agent: I
qq7 E: Gl~~t I
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O\J lsho LJ(\ ~<(-~76 Address: I
City, State, Zip I
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License # & Expir. Date: ry,J~ City, State, Zip I
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Contact Name: kext-y ftJ'\e..c- i
Phone #: ( ) !
Contact Phone #: c3~o ) 617-(;0C( S-
Check the type of application for below:
0 NEW SINGLE-FAMILY RESIDENCE o NEW COMMERCIAL D NEW GARAGE/CAR PORT
0 NEW DUPLEX D COMMERCIAL REMODEL D NEW ACCESSORY SLOG
0 NEW MANUFACTURED HOME D COMMERCIAL ADDITION D NEW SIGN
0 RESIDENTIAL REMODEL D COMMERCIAL REPAIR ~RUCTURE DEMOLITION
0 RESIDENTIAL ADDITION D NEW MULTI-FAMILY D GRADING (Cubic yards: _ )
0 RESIDENTIAL REPAIR D TENANT IMPROVEMENT D OTHER
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES D NO~
Scope of Work Proposed: ~ cb'--0V\ ~JL
Square Footage: Dwelling: Garage: ,){)K(J Decks:
Valuation I Plan Review Fee Permit Fee Surcharge Total Fees i
Application 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 the circumstances beyond the control of the applicant have prevented action from being taken. No
applicant shall ~ extended more than once. In order to renew action on an application after expiration, the applicant
shan ",,"bmll plans and pay a new plan ~e. flo DATE: 10 /t Pd
APPLICANT'S SIGNATURE: ~ ;j ~
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fp()RT~HOUSE SERVICES Estimate
~14\)S1m4e 1\4 NW
;Sif~,o/~.9838j OATE EST"" TE ,YO.
PORTES.OO6BE 0110312001 19 I
,(3~O)620~205 fax;(360) 697-6695 I I f
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SERVICE FOR:
l21.6 Burwell
11lJ~0lJSE COVE
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\"S'CVt t)'C'QCR\P"l'CM R~1E '\01 ~l
Job par bid , To tear down & remove exist.inj sinsJe ClU garage. I 600.00 6OO.ooT 1
(Labor only, dump fee will be additional)
sales tax 8.20% 49.20
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.. \I TOTAL BID $649.20 J .
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I Application Date 0/'/1. ;?/ 1 ')?O Application Numbe~ ?OAP02161
I E1: E~ u. (.:.:,; [) Ei t: c; ():7 /" 1. :~':':~ ../ 1. it'::,;:' () Pf>y'mit Number 110:::)<:,;;
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Application Number 90AP02161
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INSPECTION RECORD CARD
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CITY OF BREMERTON BUILDING DEPARTMENT 11059
PERMIT NUMBER
ADDRESS 1216 BURWELL
OWNER MICHELLE SHIPLET PHONE
CONTRACTOR SELF PHONE
, FOUNDA liON
....
1. PERMIT ON SITE 7. CHECK FOR ALL
2. CHECK PLANS TO PERMIT 8. REQUIRED STEEL IN PLACE
3. CHECK SETBACKS 9. CHECK FIREPLACE FOOTING
4. PROPERTY STAKES 10. ANCOR BOLTS
5. FOOTING WIDTH & DEPTH 11. FOUNDATION VENTS
6. SOIL BEARING O.K. 12. CRAWL ACCESS
. COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
2A FRAMING 20. FIREBLOCKING
STAIRS
1.WIRING APPROVED DROP CEILINGS
2.FOUNDATION VENTS TUBS OR SHOWERS
3. SHIELD UNDER POSTS ROOF & CEILING LINES
4. POSITIVE CONNECTIONS FURRED OUT AREAS
5. SOil TO WOOD CLEARANCE FIREPLACE AT CEILINGS
6. BEAM SUPPORT HOLES PLUGGED TOP & BOTTOM
7. TR. MAT. NEXT TO CONC. LID IN VOIDS
B. WASHERS ON ANCHOR BOLTS 21. WINDOWS
9. BEAMS PROPER SIZE MEETS ENERGY CODE CLASS
10. FLOOR JOIST SPAN SAFETY GLAZING
11. NOTCHING & DRILLING REQUIRED ARE EXITS
12. STAIRS WINDOW SILL HEIGHT
WIDTH 22. CEILING HEIGHTS
RISE & RUN 23. SWAY BRACING
WINDERS 24. TRUSSES
LANDINGS PROPERLY INSTALLED
HEADROOM STAMPED
13. ATTIC VENTILATION (upper & lower) PROPERLY BRACED
14. CHIMNEY STRAPS SECURED 25. A TIIC ACCESS
15. FIREPLACE COMBUSTION AIR 26. RAFTER & JOIST SPAN
16. FANS VENTED TO OUTSIDE 27. ROOFING, FLASHING, SHEATHING
17. WATER CLOSET CLEARANCE 28. SIDING
1 B. SMOKE DETECTOR
19. SHEETROCK BACKING COMMENTS:
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
FRAMING INSPECTION
APPROVED BY:
23 INSULA liON COMMENTS:
1. PROPER R~ VALUE I..
2. VAPOR BARRIER . '
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3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
~v~ MECHANICAL HVAC APPROVED BY: ... ....
1. PERMIT ISSUED
2. FURNACE LOCATION GAS PIPING APPROVED BY:
3. FURNACE CLEARANCE WDST
4. IBI VENT SIZING
5. IBI VENT CLEARANCE 1. WOOD STOVE CLEARANCE
6. IBI VENT SUPPORT 2. CHIMNEY CLEARANCE
7. COMBUSTION AIR 3. HEARTH EXTENSION
8. DUCT SIZING 4. CHIMNEY HEIGKf cJJ-(9f-
9. DUCT SUPPORT & JOINTS 7- Z. c.t --~
10.GAS PIPING TEST
11. GAS PIPE SIZING WDST APPROVED BY:
12. GAS PIPE SUPPO~T f&.. D.IJ. A. /ld ~~
COMMENTS: t),N" ~ e~.{.. ,-/7- ~() ~
~v$.f~.c. ?"e..,~ a ~''I.eJ.,f slove
"""..$1-- 64 .,...'4bt of-;. UvtP. ~ ? - /;~*7D
J PLUMBING
- 1. PERMIT ISSUED 6. PROPER ATIINGS
2. UNDER TEST 7. REQUIRED CLEANOUTS
3. WATER PIPE SIZING 8. PROPER GRADE
4. OW SIZING 9. HWr PRES. RELIEF VALVE & LINE
5. PROPER SUPPORT 10. SEISMIC STRAP
COMMENTS:
UNDERGROUND APPROVED ROUGH-IN APPROVED
BY: BY:
3 WALLBOARD 6. FIRE SEPARATION IN GARAGE
1. LID OVER SIDES 7. ATTIC ACCESS
2. NAILING 8. DRAFT STOP IN A TnC
3. W/R AT TUB OR SHOWER 9. PROPER CONST. OF FIRE WALLS
4.518 UNDER STAIRS 10. DROP CEILING & LIGHTING
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
L. FINAL
- 1. HANDRAILS 9. HOTWATEA TANK PRL
2. GUARDRAILS 10. OUTSIDE GRADE
HEIGHT 11. SOIL TO SIDING CLEARANCE
INTERMEDIATE 12. SMOKE DETECTORS
3. EXHAUST FANS 13. FIREPLACE HEARTH
4. WATERPROOFING IN SHOWERS 14. SAFETY GLAZING
5. DISHWASHER AIRGAP 15. INSULATION
6. FIRE DOORS WINDOWS MEET ENERGY CODE
LABLED AS REQUIRED UNDERFLOOR & ATTICE INSUL.
SELF CLOSING WATER PIPE & HEAT DUCTS
7. FIRE DAMPERS INSTALLED 16. WOODSTOVE APPROVED
8. PENETRA TtONS IN FIRE WALLS 17. WINDOWS & DOORS CAULKED
FINAL PLMB. APPA. (comm.) ~'y{;. COMMENTS:
FINAL MEeH, APPR, (1:on"lm.) '.t?V..f~
FINAL BUILDING APPR.
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INSPECTION RE~RD CARD e
CITY OF BREMERTON BUILDING DEPARTMENT 3473-M
PERMIT NUMBER
ADDRESS & DIRECTIONS 1216 Burwell
OWNER Century 21 Realty PHONE
CONTRACTOR Service Fuel PHONE 379-2172
1 FOUNDATION COMMENTS:
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY:
2 FRAMING COMMENTS:
CORR O.K. CORR O.K.
1. WIRING APPROVED -- 20. FIREBLOCKING --
2. FOUNDATION VENTS -- A-STAIRS --
3. SHIELD UNDER POSTS -- B-DROP CEILINGS --
4. POSITIVE CONNECTIONS -- C-TUBS OR SHOWERS --
5. SOIL TO WOOD CLEARANCE -- D-ROOF & CEILING LINES --
6. POST CLEARANCE - 2" -- E-FURRED OUT AREAS --
7. BEAM SUPPORT -- F-FIREPLACE AT CEILING , --
8. TR. MAT. NEXT TO CONC. -- G-ELECTRICAL HOLES PLUGGED_ _
9. WASHERS ON ANCHOR BOLTS -- H-PLUMBING HOLES PLUGGED__
10. BEAMS PROPER SIZE -- I-LID IN VOIDS --
11. FLOOR JOISTS SPAN -- 21. WINDOWS --
12. NOTCHING & DRILLING -- A-SAFETY GLAZING --
A-FLOOR JOISTS -- B-VENTILATION --
B-STUDS -- C-REQUIRED FIRE EXITS --
13. STAIRS -- D-WINDOW SILL HEIGHT --
A-WIDTH -- 22. CEILING HEIGHTS --
B-RISE & RUN -- A-BASEMENT --
C-WINDERS -- B-MAIN FLOOR --
D-LANDINGS -- C-UPPER FLOOR --
E-HEADROOM -- 23. SWAY BRACING --
14. ATTIC VENTILATION -- 24. TRUSSES --
15. CHIMNEY STRAPS SECURED -- A-PROPERLY INSTALLED --
16. FIREPLACE COMBUSTION AIR -- B-STAMPED --
17. FANS VENTED OUTSIDE --- 25. ATTIC ACCESS --
18. A-BATHROOMS - 26. CEILING JOIST SPANS
-- --
B-LAUNDRY ROOMS -- 27. RAFTER SPANS --
C-KITCHEN -- 28. ROOF SHEATHING --
18. WATER CLOSET CLEARANCE -- 29. ROOFING APPLICATION --
19. SMOKE DETECTOR -- 3D. SIDING --
31. CLOTHES CHUTE --
32. SHEETROCK BACKING --
A-UNDER STAIRS --
B-ABOVE GARAGE
DOOR HANGERS --
FRAMING INSPECTION APPROVED
BY:
e e
M MECHANICAL CORR O.K. CORR O.K.
1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE --
2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE --
3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION --
4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING -- FURNACE APPROVED BY:
9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY:
10. DUCT SUPPORT --. ~ Sf:.
11. DUCT JOINTS -- GAS PIPING APPROVED BY: I~'.... -""7
12. GAS PIPING TEST -- WOOD STOVE APPROVED BY:
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT -- OTHER:
15. OTHER --
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
3 WALLBOARD CORR O.K. COMMENTS:
1. LID OVER SIDES --
2. NAILING --
3. W/R AT TUB OR SHOWER --
4. 5/8 UNDER STAIRS --
5. FURNACE ENCLOSURE --
6. FIRE SEPARATION GARAGE --
7. ATTIC ACCESS --
8. DROP CEILING & LIGHTING --
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
. B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS. -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED __
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
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~ .
e PERMIT <_
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
1216 Burwell
SITE ADDRESS ASSESSOR'S ACCl. #
C(~ntury 21 ~-t-1
OWNER MAIL ADDRESS ZIP PHONE
S,ervice Fuel, 1732 Pennsylvania.. Bremerton. WA 98310 879-2772 SERVIF*145.J8
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Class of work: D NEW D ADDITION GJ ALTERATION D REPAIR
~ MECHANICAL D PLUMBING
COMMENTS
No. lYpe of Equipment Fee No. Type of Fixture or Item Fee
STOVES Gas_ Oil_ Wood_ WATER CLOSET (TOILET)
FIREPLACE INSERT BATHTUB
FURNACE Gas (Nat.---X... LPG._) Oil_ 9.00 LAVATORY (WASH BASIN)
Wood add on_ Other_ Electric_ SHOWER
BTU KITCHEN SINK & DISPOSAL
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 HEATER 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 & BLACKFLOW 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 CMF _ BTU_ KIDNEY MACHINE
FANS ExhausL- Supply_ Bath_ 10.00
RANGE HOOD Residential_ Comm._ PERMIT $
ROOF DRAINS TOTAL $
CLOTHES DRYER Res._ Comm._ NOTICE
INCINERATOR THIS PER,MIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
ALTERATION TO DUCT SYSTEM IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS-
Heating/Cooling_ Exhau~ PEND ED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
TANKS Oil_ Gas_ Propane wlOK I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
from Fire Dept._ Gallons KNOW THE SAME 10 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
REFRIGERATION UNIT 15.00 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER
PERMIT $ /I,OtOO SPECIFIED HEREIN OR NOT. THE GR"f!T'I~G OF A PERMIT DOES NOT PRESUME
10 GIVE AUTHORITY 10 VIOLATE ORr CA ;CEL THE PROVISIONS OF ANY OTHER
TOTAL FEE $ 24.00 ~ OR LOCAL LAW REGULATING pONSTi;luprION OR THE PERFORMANCE OF
o N UCTION. '-- 1 j r .
f1/f"'-- !I
\\ ~ 10/8/81
N TURE OF CONTRAGTOR OR A THOt;llZED AGENT (DATE)
FINAL APPROVAL
IGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
--"7 ---, ' '-""11 -.;z N~ 3473
RECEIPT NO. / / ~ 't- L- ..:~ PERMIT
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
---- ------- --- ,- .---- ~_.
... . PERM~T APPLIi,A TIGHT
-- ~- ----.CITy 'SREMERTON BUILDING DEPA ENT '~---_.-C~'-,' -, ----- ---
PHONE: 478-5281
) ;} J 0 r3lARW~J.-L
SITE CfiESN r u f!.- y ~n1--JY ASSESSOR'S ACCT. #
0L
,
OWNER MAIL ADDRes ~~') 6C?l8'1~~) W/J- PHONE
5mvl01: Pit EJ- cr. C), 0 ~ J.j 79'- 3-77?-
/
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ) ~5 J 8
Class of work: o NEW o ADDITION D.1' ALTERATION o REPAIR 5J?RVJF
0 MECHANICAL D PLUMBING
COMMENTS
No. lYpe of Equipment Fee No. lYpe 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 7 Sf fJl'rD KITCHEN SINK & DISPOSAL
Type: Up flow_ Down f1ow_ DISHWASHER
Horizontal_ Wall_ LAUNDRY TRAY
CONVERSION BURNER: Gas_ (Nat._ LP _) CLOTHES WASHER
Under100~OO_Over 100~OO_ WATER HEATER
Oil_ URINAL
UNIT HEATER 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 & BLACKFLOW 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 CMF _ BTU_ KIDNEY MACHINE
FANS ExhausL- Supply_ Bath_
RANGE HOOD Residential_ Comm._ PERMIT $
ROOF DRAINS TOTAL $
CLOTHES DRYER Res._ Comm._ - NOTICE.
INCINERATOR THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
ALTERATION TO DUCT SYSTEM IS NOT COMMENCED. WITHIN 120 DAYS, OR IF CONSTRUCl'ION OR WORK IS SUS.
Heating/CoolinQ- Exhau~ PENDED OR AB~NDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED. .
TANKS Oil_ Gas_ Propane wlOK I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
from Fire Dept._ Gallons KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
REFRIGERATION UNIT ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
PERMIT $ TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
TOTAL FEE $ STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHOF/IZED AGENT (DATE)
FINAL APPROVAL
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
RECEIPT NO. PERMIT
(While-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
,- ---~
8U:~:):NG ~-=:qVl-- NQ 5572 /
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ ~DO 6i> .- - - 7' ~~Q a t?~~ (; -I? ~g 7
$ $
SITE ADDRESS I LOCATION /2/6 t$~~~~AY/ 4-
OWNER'S NAMrr( [J. ??7'~4' ADDRESS PHONE
CONTRACTOR STATE CONTRACTOR'S L1C. #
ADDRESS PHONE
~ RESIDENCE o BUSINESS o OTHER o NEW o REPAIR REMODEL o ADDITION o DEMOLISH
o SIGNS
PLANNING I ZONING STORIES OCCUPANCY
THJS PERMIT ISSUED FOR: ~ Yf~~'~~
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINAL ))('
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
"
FOR INSPECTORS USE ONLY: . REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED COMMENT DATE TIME APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDI~.J
OWNER'S SIGNATURE Byl~r$ Urt(Jtv
. 4 e-'w,~",,)(,
BUILDING DEPT.
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