HomeMy WebLinkAboutBURWELL ST., 1405
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BUILl)'lNG 1~ERMI1~
PD.~YEC'l' 'l'MBS ~J4fR~ FROWl Tl8fE WEA TIHfIEf!(
Building Plumbing D Mechanical D AlarinlSprinkler D
DURING INSPECTIONS THE nUILDlNG PERMIT & AI>PROVEn PLANS SHALL BE ON SITE
Permit # !! ~ Q ~ - -D ~ 2.5" ~, [P@@lj @~ @Dlj~
For Inspections Call (360) 473- 5870 Approved Date Notes
1st Erosion Control In Place
FOUNDATION
DO NOT POUR CONCRETE Foundation Footing (Check Setbacks)
PIUOR TO APPROVAL Foundation Walls
Plumbing Ground Work
In Slab Mechanical I
Footing Insulation ~
2nd PUJMBING Rough In (I
IUECHANICAL Duct / Vent
(iflS PIPE Support / Test / Meter set
~ Under Floor Framing V~ \
, FRAMING
If J sf & 2 mf d Shear & Hold Down Connections
. are approve \):)
L&I Electrical Approved
Ventilation Requirements
.......... Framing ..........
Under-floor ,
th ' ~-
4 INSULATION Walls 0
Ceiling -
~ O-
S SHEETROCK
&Pf;;~VAL yr ~
~{I.
el' '
pUILDING 473-5870
4
All or the al)(l\;e mus' be FINAL ELBC1'RICAL He pl. oll.llbor & ludustlY 415-4000 0
aPPl'Oved ,
prior to f~lIal WATER MAINTENANCE 473-5927 ~
Grease Trap, Back Flow, Water Meters
PUBLIC Driveway Approach 473-5270 I~'
WORKS Sewer Connection 473-5270
FIRE 473-5384/5385 A.I
1:1-1- FINAL INSPECTlONS COMPLETED Occupancy Approval (Single 473-5870 V
Fami{y Residence Ollly)
DO NOT OCCUPY UUlLDING WITHOUT BUILDING DEPARTMENT APPROVAL
PROTECT THIS CARD FROM THE WEAl1lBR
[?ij[!J3 BUmLDING DEPARTMENT
,f) 00 I 0 015 2. CSTY OF BREMERTON
7)!J ~ / PHONE ~5275
-473 - tJ27 S-
STO WORK AT ONCE
, r'i ~ '(
Job Location =-=lLJ [) b '15 C(I{'W e(
This structure has been inspected and the following
VIOLATIONS of City Laws and Ordinances have
been found: THE VIOLATION OF THIS SlOP WORK ORDER SHALL
CONSTITU'IE A MISDEMEANOR, PUNISHABLE BY IMPRISONMENT IN JAIL FOR A MAXIMUM
. TERM FIXED BY THE COURT OF NOI' MORE THAN NINEI'Y (90) DAYS, OR BY A FINE
I.~-AN-AMQTJNr~~XEQ-~~~~-(;;;QUR.T~g;r_MQ~~_Q.DJE_,];!MQ.TJ~~
( $1 , 000. 00), OR BY BOI'B SUCH IMPRISONMENT AND FINE. (B!'1C 1. 04 . 050 )
tUCJt;C . 6e ~ jJ ~~p ~ f11l-s
J 8Ca.-'i-\'-cn1 f'1eti L.Ll't;.e ~ CL- ki Iol, .
Q lL- L't- 1 1) e Ie...
.0;1 t"J'l{- f;-
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You are hereby notified that the above corrections
shall be made BEFORE ANY FURTHER WORK is
done. Failure to respond to this Order within 5 days
may result in legal action.
Date 10 - :3 -.6 Inspector ~~
DO NOT REMOVE THIS TAG
~. ~r--
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 8806 00753
DATE ISSUED: 10/10/2006
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
lENDER NAME:
3785-005-023-0007
ENGHOLM STEVEN C & ANDREA
ENGHOLM STEVEN C & ANDREA S
SELF
SUBMITTED:
10/10/2006
VALUATION:
$10,000.00
Building Permit
State Surcharge
$181.25 2211
$4.50 0236
$185.75
TOTAL FEES:
Inspection Requests
DCD: Building Inspections
l&l: Department of labor and Industries
ZONING: R10
PHONE:
PHONE:
PHONE: '
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1405 BURWELL ST
1405 BURWELL, BREMERTON, WA 98337
1405 BURWELL, BREMERTON, WA 98337
APPR
04108/2007
STATUS:
ISSUED
1 TOTAL
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shail become nuil and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or
abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain
required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code
requirements. Any demolition, testing, or financial burden shail be borne directly by the permit holder. Failure to substantiate code requirements wiil indemnify the City against any and ail
responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. Ail provisions of laws and
ordinances governing this type of work wiil be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of
any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the
State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. Ail revisions to an approved plan require DCD review and approval prior to performing work. Ail building
and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
EXPIRATION:
Building Permit - No Mechanical/Plumbing
REMOVE AND REPLACE SIDING ON A SFR
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
Square Footage:
Bid Price from Applicant
(360) 473-5870
(360) 415-4000
Fire Inspections
H/D: Bremerton, Kitsap County Health District
PW: Department of Public Works
SIGNATURE OF OWNER OR
AGENT:
4.
-
fi.A..
I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
..4".L...", _~, i:::-"y k..l~
PRINTED NAME:
DATE:
/1;/ ~';; /pi"
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
1. (DCD-01)
DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency
(Clean Air Agency) and Washington Department 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 conducted
by and EPA~certified (AHERA) building inspector (except renovation or owner-occupied
single family residences).DCD: For more information, please contact Clean Air Agency
through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689~4058.
The L&I web site can be found at www.lnLwa.gov/p-ts/asbestos/asbestos.htm.
DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data. The building official is
2. (DCD-02)
tow
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Page 1 of 2
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB06 00753
DATE ISSUED: 10/10/2006
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3785-005-023-0007
ENGHOLM STEVEN C & ANDREA
ENGHOLM STEVEN C & ANDREA S
SELF
ZONING: R10
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1405 BURWELL ST
1405 BURWELL, BREMERTON, WA 98337
1405 BURWELL, BREMERTON, WA 98337
SUBMITTED:
10/10/2006
APPROVED: 10/10/2006
EXPIRATION:
04/08/2007
STATUS: ISSUED
also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the City of Bremerton.
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Framing
Insulation
Final Inspection - Building
Page 2 012
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CITY OF ' I
BREMERTON :i:
_~_=I:
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REMERTON-Dt.:PI OF Building Permit Application
MUNITY DEVELOPMENT
Dept. ofCornmunity Development * 345 - 6th Street Suite 600 * Bremerton * WA * 98337-1873
(360) 473-5275 * Fax (360) 473-5278
1~IDPJ.lrAijJ.~:::~::~~:~:~:~:::::t::r~T:[:::::IIP."rII::::::::::::::::::~:::::::::I::::D~:~:::lq;tm~tiUr:::t~~::~~:~:::~;:~:~~~~~:::::::I~:::::::::D~::~IQtftijiif.4~::lginf.~:~:~:~:~~:::~l~::::~:::~:j~:::~:::::::!:~:IEIIII::~:::::~;[/
Site Address:
l'fOf) AL,'v('W"tI Strut
CONTRACTOR: ~ If
Address:
Cit , State I Zi :
License # & Ex . Date:
Contact Name:
Contact Phone #:
Tax ID/Parcel #: 3 7~5~ 0 :-- :13'- 000'1
.37
What is the application for? (Please check one)
D NEW SINGLE-FAMILY RESIDENCE
D NEW DUPLEX
D NEW MANUFACTURED HOME
D RESIDENTIAL REMODEL
D RESIDENTIAL ADDITION
o RESIDENTIAL REPAIR
D NEW COMMERCIAL
D COMMERCIAL REMODEL
D COMMERCIAL ADDITION
D COMMERCIAL REPAIR
D NEW MULTI-FAMILY
D TENANT IMPROVEMENT
D NEW GARAGE/CAR PORT
D NEW ACCESSORY BUILDING
D NEW SIGN
D STRUCTURE DEMOLITION
D GRADING (Cubic Yards:
D OTHER:
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
YES 0 NO [ZI
Scope of work proposed: f{)l'Y\ovt sk;n.a" s/J.:n,:)) f'pfiALL- cJrl5 f~Ji s;d-;'''J
rfJ T, r/'/,.1J1- tl/r..d N;"ku In M ,w ,,-,ad ed , 7',p &VI Y ,.11." lJ.#UIi-hW ...N. J)?p$ed I
.!;...... ,,,Sf A i"J.;..,-;,. R<'~~~i;r .!;;tru.cfu.ri .u; lJe~dl'c:l
wkrL. hNdR,L I i"'r.tir
.,:tt 1---,~ f i ~ ,7-" t".AA.>
, I
Square Footage: Dwelling:
Garage:
Decks:
Valuation Plan Review Fee Permit Fee Surcharge Total Fees
, jlJ, 000 '1'~-o IcfS'?:)
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 destrop by the bUildin~Of icial. Th I in offcial may extend the time
for action by the applicant for a period not exceeding 18~ aYf90n reques~ b~licant, s i - mstances beyond the control of the
applicant have prevented action from being taken, ~~ lic t shal~e~~ore th e_ n order to renew action on an application
after expiration, the applicant shall resubmit plans LJ~ ya plan revie e,
/L_ .~~__O I~
./ __~ 'C-. U <:J""
Applicant's Signature
/~'1 /r&7 / ole
Date
".::;t
Department of Community Development
345 Sixth Street, Suite 600 Bremerton, W A 98337
(360) 473-5275; Fax: (360) 473-5278
website: www.ci.brernerton.wa.us
RESIDENTIAL SITE PLAN QUESTIONNAIRE
The answers to this questionnaire assist the staff in reviewing one or two-unit residential building
permit. Please complete the form and submit it along with the building permit. Providing complete
information will help ensure the timely processing of your permit.
APPLICANT INFORMATION:
NAME: J'ilj/IC11 t. ,;-. Andl"iJI... ~,t"jAv/v&.1
ADDRESS: NOt> Bu..1Vt11 S+f'Rut--
CITY: a,e mer/on
TELEPHONE: Work: />/1.-1
~.
STATE: w..-r ZIP 18'.3.37
Home/Cell: ."'?i.o-762 -1'33~
PROJECT INFORMATION:
1. Tax Account Number: ~r786.-()()s--O~3 -0007
2. Site Address: r,-/06J (3t!A"weJJ <Sfrut I /3r~mh"f>>,. Wl4- '18,,,>.3~
GENERAL SITE INFORMATION:
3. Please check sewage
provided:
servIce Iia City of Bremerton Sewer
o Septic (contact Kitsap County Health for letter of
acceptability)
4. Is the site characterized as:
Forest or Vegetation
Cleared
,/ Developed
SHORELINE:
5. Are any areas being developed on the site
within 200 feet of the shoreline?
Yes@
6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist
(WAC 173-27-180)
Residential Questionnaire
1 of 4
Revision: March 2006
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CRITICAL AREA CHECKLIST:
Fill in the blank or circle the answer(s) that apply directly to the site and areas that are within 200 feet
of the site.
a. Slope is calculated by dividing the vertical distance by the horizontal distance and then multiplying the
result by 100. Example:
Vertical
Distance = 20 feet
Vertical 20 feet
Horizontal 100 feet =.2 X 100 = 20% slope
Horizontal
Distance = 100 feet
Check all that apply to the site and areas within 200 feet of the site.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of IO-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of IO-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of IO-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
b. Does the site or properties within 200 feet of the site contain areas of year-round standing water?
Yes/@
If so what is the approximate Depth:
c. Does the site or properties within 200 feet of the site contain areas of seasonal standing water?
Yes@
If so what is the approximate Depth:
What season(s) of the year is the standing water present? Winter / Spring / Summer / Fall
How long is the standing water present?
Residential Questionnaire
20f4
Revision: March 2006
;ii'
d. Is there an apparent wetland present on the site or on properties within 200 feet of the site?
Yes /~
If a wetland is present what is its approximate depth and size?
e. Does the Site or properties within 200 feet of the site contain a creek or an area where water flows
across the ground surface? Yes @
Does it flow year-round or seasonally?
If it is seasonal, what season(s) of the year is it present? Winter / Spring / Summer / Fall
f. The site or properties within 200 feet of the site are primarily: Forested / Meadow / Shrubs ~
Landscaped (lawn, shrubs etc) / and or Other (please describe)
.....-
g. Please describe the soil type on the site (clay, sand, gravel, peat, etc).
Sa.Y\dy Srar/~I
h. Do you ever see wildlife on ~r within 200 feet of your property? Yes /@
(Examples of wildlife can include but are not limited to: Squirrels, Raccoons, fish, deer,
opossums, fox, heron, eagles, songbirds etc.)
If you do see wildlife on or near your property, what species and how often?
1. Are you aware of an aquifer recharge area on or within 200 feet of the site? Yes /@
(See maps on file with the Department of Community Development)
RESIDENTIAL DEVELOPMENT WORKSHEET:
1. What is the zoning designation: e i a
2. Wha! is the area (square footage) of the lot?
3. What is the amount of grading proposed (in cubic yards), not including foundation area? '(WY'W...
Residential Questionnaire 3 of 4 Revision: March 2006
,
.
't;
~'
Fill amount
()
Cut amount
()
Total grading 0
Will the grading material be imported or exported?
Yes/@
If yes, please identify where the material is being deposited or imported from:
NOTE: Grading over 100 cubic yard requires an Environmental Review (SEP A). Please submit
an Environmental Checklist with your permit application.
4. Please provide the following information. Zoning development requirements are found in
Bremerton Municipal Code (BMC) Title 20. Two off-street parking spaces are required for each
residential unit. When adding to or replacing an existing structure, this information should reflect
the entire site after work is completed.
FRONT YARD SETBACK
REAR YARD SETBACK* .
SIDE YARD SETBACK
SIDE YARD SETBACK
MAXIMUM HEIGHT
LOTCQYERAGE**
NUMBER OF OFF-STREET
PARKING SPACES
~
itJ
*Use this as the second front yard setback for corner lots and through lots.
* *Lot Coverage is defined as that portion of a lot covered' by the roof areas of ALL structures, but
not including driveways, walkways, patios and low open' decks. A low open deck is defined as
rising 30 inches or less above the finished grade.
The applicant herby certifies that all of the above statements and the information contained in any
other transmittals made herewith are true, and the applicant acknowledges that any action taken by
the City of Bremerton based in whole or in part on this application may be reversed if it develops
that any such statement or other information contained herein is false.
Applicant Signature
Date
Residential Questionnaire
40f4
Revision: March 2006
i.
BREMER TON PERMIT CENTER
286 4th Street~ Bremerton~ WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Applicant: MARTA PINTOLLORCA
1405 BURWELL ST 98337
206-748-9283
Permit No: 02-0092
Status: ISSUED
Applied: 02/26/2002
Issued: 02/26/2002
Expires: 08/25/2002
Job Addr: 1405 BURWELL ST
Local ion: 1405 BURWELL ST
Parcel No: 3785005-023-0007
Owner; LLORCA-PINTO, MARTA 360-373-7371
1405 BURWELL ST BREMERTON WA 98337
Contractor:
Lic j:j:: Exp:
Subcontr:
Desc: BACK FLOW
~~~~~~~~*~~~*~~~~~~*~*~~~~~~~~~~~*~*~~*~~~~~~~*~~*~~***~**~*~**********~~****~~**************
Valuation * Permit Fees: 27,00 Total Calculated Fee: 31.50
.00 ~ Plan Check Fees: ,00 Additional Fees: .00
* Other Fees: 4,50 ~otal Perpjt Fee: 31,50
** ** ~ ** * **** * * ** * * ** **** * * * ** * ** * *** * * * ** * )f(llt.)f( ** ** )f(llt.llt.;$.;$.lt\;$. * llt.lii' ,:;$. 1ll1ll'~u4k~ III *W, * * * * * * * * * * !Ii !Ii !Ii * * * * !Ii
MECHANICAL/PLUMBING FIXTURES-- ~./~-~'"
pPf-
/)PIlI-
(!/. ro -P'
~********~*****~*~***~~~~*~~~**~**~~~~~****~~~~*~*******~**~~******~~************************
This peymit shall become null and void if the building oy woyk authoYized by this peymit is not commenced within
180 days h'om the date of such peymit, oy if this building o~' woyk authoYized by such peymit is suspended oy
abandoned at any time aftey the woyk is commenced foy a peYiod of 180 days,
NOTICE - It is the yesponsibi li ty of the peymi t holdey, not the City of Byemeyton oy Building Off icial to see
to it that yequiyed inspections aye made, The peymit holdey must notify the Building Official when yeady foy
inspections. Failuye of the peymit holdey to notify the Building Official of n~quiYed inspections may yesult
in the stoppage of the woyk until such time that the peymit holdey can substantiate to the building official
that the concealed woyk meets oy exceeds code yequiyements. Any demolition, testin3, oy fil1ancial buyden shall
be borne diYectly by the pe'(mit holdey. Failuye to substantiate code yequiYements ~Jill indemnify the City
against any and all yesponsibili ty Oy liability connected ~~i th the constyuction.
I heyeby ceytify that I have yead and examined this peymit and know the same to be tyue and coyyect. All
pyovisions of laws and oydinances governing this type of woyk will be complied with whethey specified heyein
oy not. The gyanting of a peymit does not pyesume to give authoyity to violate oy cancel the pyovisions of
any othey state oy local law yegulating constyuction oy the peyfoymanceof constr'uction.
Signatuye:
Date:
I ceytify that I am exempt fyom the yequiyements of the state contYactoy's yegistyation law, undey
Section 3, Chaptey 126. laws of 1967,
l' SignatuYf:: ~~~
***************************
Permit Center--Approved By:
Date: 2. ~ 2-b .' 0 Z-
Date: 2-4-07
.>.'. .. \'
BREMERTON PERMIT CENTER
286 4th street~ Bremerton~ WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
Job Address: 1405 BURWELL ST
Location: 1405 BURWELL ST
Assr Acct No: 3785005-023-0007
Building Permit No: 02-0092
Status: ISSUED
Issued: 02/26/2002
Expires: 08/25/2002
R E QUI RED
INS P E C T ION S
Item: 01400 MECHANICAL
Item: 01600 PLUMBING ROUGH-IN
Item: 01800 INSULATION
Item: 01900 SHEETROCK NAILING
Item: 02700 FINAL--BLDG
Dept: 8LDG
Dept: BLDG
Dept: 8LDG
Dept.: BLDG
Dept: 8LDG
Division:
Division:
Division:
Division:
Division:
*********************************************************************************
TESTING: M~st be recognized by the Washington Association of Building Officials
SPECINSP: Must be registered with the State of WA
ST OF WA: State of WA Dept. of Labor and Industries 478-4921
HEALTH: Bremerton/Kitsap Health District 478-5235
ALL INSPECTIONS PERFORMED 8Y THE CITY OF 8REMERTON MUST 8E SCHEDULED THROUGH THE
PERMIT CENTER, (360) 478-5275.
*********************************************************************************
X' Permi t Holder's ~
(' Signature:~ ~~ -C \ c..X'C.--C-
Date: '2-_2.6 . 0 -z....
'~
-----------------------------------~--------------------~---------------------
--~-~------------------------------------------------------------------------
BREMERTON PERMIT CENTER
PERMIT CONDITIONS
Permit No: 02-0092
Page:
1
============================~=====================~===========================
Job Address: 1405 BURWELL ST
Assr Acct No: 3785005-023-0007
Location: 1405 BURWELL 5T
Applied: 02/26/2002
Approved: 02/26/2002
Issued: 02/26/2002
Applicant: MARTA PINTOLLORCA
Owner: LLORCA-PINTO, MARTA
Contractor:
Description:
BACK FLm.J
Conditions:
Y" ~ r m i tHo 1. ~!: ' s A-:- rJ;;:>.-t-::""
()Slgnature~US '1 \/\.1<::1 -L \~...-c.~
Date '2,2 b. DZ-
I ...~..::~...........................~~..::::::::..:....
I ~ RECEIPT
. * >>tllli'l:~*l((*lf(*:ltJt ** :If:$;*** *~*lIllll*lloll:Un+tlIOIO!(*;II.:If: IIOIOIt***::KliOlr.illlllt% *It* ,1:;* ~:>l:lK)!( lII.JI( *)j(*)I(
RECEIPT NI,Uliher: 0200016-6 AmounU 31. 50 02/2~/02 ~ 42
PaYlJl'ent Met hod~ CK Notation: BACKF'l.:~.w "~i.:ftfd t: RD
_~~_____~_____.__~_______~w__~___________~_______~__________.___
Pel"mit No: 02"'0092 Type :B'LOG-E:(. Elll:.H:il!1t,CH/PLe,'lG-OVER
Parcel No. 3785005-023-0007
Site Address: 1405 BURWEll, Sf
Loeation:: 1405SLl~Wf.LL 5T
Total '8.8: 31.50
This Pa.Ylllent 31.50 fotal ALL Prnt,s: 3L50
Balance:: ,,00
**.....**........1Il..*...........................**..............
Account Code" OescripUt,n p)mount
16-322.1003 (2213; PlUMBING PER~1n nLES 21'.00
643"237.:t3 (0236) SlATE OF ~~A $IJRCHARi3E 4.50
~~----~--~~---~----------------~---_._-----~-----~-----~----~~---
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.......................
Type of Fuel:
Occupancy:
B Electric
Residential
El g:mmercial
pOil
CI Propane
Site Address:
Owner: Mh/C/
Address:
Contractor:
Address:
J4D5
Phone'
B~lls+
?>1?,-53S!
tLp69'2-83
Phone
v0 t-.(~O~
Contractor's License Number/Expiration Date:
No. 'IYPE OF EQUIPMENT No. I 'IYPE OF FIXTURE
RANGE WATER CLOSET
WOOD/PEILET STOVE/GAS FIREPLACE BATIITUB
GAS FURNACE btu: LAVATORY (bath sink)
CONVERSION BURNER btu: SHOWER
UNIT HEATER btu: KITCHEN SINK
BOILER btu: , DISHWASHER
GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btu: CLOTIIES WASHER
AC UNIT btu: WATER HEATER
HEAT PUMP btu: URINAL
~.
RBHE.-\T BOX bm: DRlNKING FOUNTAIN
AIR HANDUNG UNIT btu: FLOOR SINK OR DRAIN
E.XHAUST FANS SLOP SINK
RANGE HOOD (residential) WATER PIPING & ALTERATION
RAt'-JGE HOOD (commexcial) GREASE TRAP IINTERCEPTOR
CLOTIIES DRYER HOSE BIBBS
INCIN'ERATOR LAWN SPRlNKLER SYSTE.\.1
DUCT ALTERATION Sw:r:wvfING POOL
TANKS type: BLDG. SEWER: (mobile/moved house)
REFRIGERATION UNIT ROOF DRAINS
OTIIER: OTIIER:
MECHANICAL FEES:
PLUMBING FEES:
CITY SURGL-\RGE:
TOTAL FEES:
APPLICANT'S SIGNATURE:
DATE:
BUllDINGPERMI:-r .
.,'
.
BUILDING
PERMIT
APPLICATION
City of Bremerton, Washington 98310
Assessor's Tax Account No.: -3 715'- (;; ()5 - O.:J 2>- 0007
l<.{o rJ '
, Phone: (206) 478-5281
Site Address:
Phone No.: 3 'J 0 --ilL ~ /
IC/t:>s ~LUl~ ~
Owner's Name:
ddress:
Address:
Representative:
. Ph~ne: ~ '7 ) ,.. /6''' 0
Applicant:
DOwner
o Architect
~r
Contractor: tA} ~ l \ i ~ ~ ~ JCR-n ~~rJY
Address: 4~3 -5;!~ U~ 720:1 AVL6vct.-~
Contractor's License No,: W ~ 11;5!2.. I L 9"L., 9
Representative: M/ 'k"-e
Phone: ~? I r/i[a.-o
E ,6 -2<./--$9
xp. Date: __
~Residence
o Demolish
o Grading (cu. yds
Nature of Work Proposed:
o Busin~ss
o Duplex
)
R~.-
o Other:
o Multi-Family (No. units
!iZ~':P-e 0 7
o New
~air'
o Sign
o RemodellAddn
o Parking Lot
~u a..rt'3><)
0-~~
Sq.Ft.:
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
o Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b}J
5Lfq 1 06
Plan Review Fee:
Permit Fee:
Surcharges:
Receipt No.:
Date:
$ f l 0 0
Recei~ 7 J;~e
Date: f
State $3. 50JZ[
Energy $10/$15 0
$
Zone Designation:
Setbacks: Front:
Occupancy Classification (UBC):
Side:
Rear:
Height:
No. Stories:
Heat Source:
Comments/Conditions of Approval:
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
~eqUir.e~~ the Ci.ty~! ~1r>onfwill be. met.
Signature ~..5tf-~ ~~ Date ~ ,/1'''f!
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
I
INSPECTION RECORD CARD
CITY OF BREMERTON BUilDING DEPARTMENT
ADDRESS & DIRECTIONS
1405 Burwell
8926
PERMIT NUMBER
OWNER
CONTRACTOR
Ida Langley
Williams & Sons Roofing
PHONE
PHONE
377-0271
871-1800
COMMENTS:
1 FOUNDATION
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.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ~PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
l
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS _ _
21. WINDOWS __
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
I
_I
M MECHANICAL CORR O.K. CORR O.K.
1, FURNACE SIZING -- 1. WOOD STOVE CLEARANCE --
2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE --
3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION --
4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING -- FURNACE APPROVED BY:
9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY:
10. DUCT SUPPORT --
11. DUCT JOINTS -- GAS PIPING APPROVED BY:
12. GAS PIPING TEST -- WOOD STOVE APPROVED BY:
13, GAS PIPING SIZING --
14. GAS PIPING SUPPORT -- OTHER:
15. OTHER --
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES: ~
PLANNING:
if/1. p
~
.
BUILDING PERMIT
.
NQ
City of Bremerton,Washington ge310
3785~005-023~0007
Phone: (206) 478-5281
Assessor's Tax Account No.;
1405 Burwell St.
Site Address:
Phone No.:
377-0371
Owner's Name: Ida Langley
Address:
same
Applicant:
DOwner, friend
D, Arch itect
D Contractor
D Tenant
Architect Firm: ,
Address:
Representative:
Phone:
Contractor:
vJilliams and Son Roofing ;and Chimney S,^7eep
4853 LlikValley Rd SE, Pt. Or~hard, trJA 98366
WILLIS*134B6
Representative:
Phone:
Bob Williams
Contractor'S ,License No.:
Exp. Date:
871-1600
1/5/88
Address:
Residence D Business D Other:
Demolish D Duplex 0 MUlti-Family (No. units
Grading (cu. yds D Bldg. Move
Nature of Work Proposed: Repair 1% sloped flat roof io x 24! on garage, remove all paper
and supply coldmpp, 3 ply.
D
New
~ Repa.ir
o ,Sign
D RemodellAddn
Dparking Lot
,Sq.FL:
Utilities:
o Water
o Waste
o Sewer
o Septic'
o 'New
~ Existing
D..' Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
Plan Review Fee:
Permit Fee:
Surcharges:
$ 0
$ 15.00
Date:
Receipt No.:
Date:
State ,$1.50 [iJ
Energy $10/$15 ,0
$300.00:
\
Zone Designation:\
Minimum Req. Set'packs: Front:
Occupancy Classifica.tion, (UBC):
R 3
Side:
Rear:
Height:
No. Stories:
Heat Source:
"
Comments/Conditi6ps of Approval:
<J
- . .
--., ....-- -, .j -': '.
INSPECTIONS REQUIRED: Fo Jndati op 0 FramingDplumbingD . Mechanical D ,wallboardOFINALIiJ
OWNER OR BUILDER SHALL CA.(L 478-5281 FOR, ALL REQUIRED INSPECTIONS;p,ND RECEIVE APPROVAl PRIOR TOCONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.'
All prOVisions of laws and ordinances governing thiS type'of work will be compiled 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, SEE AND READ NOTICE ON REVERSE. ". r-
, ( ,I ~/] ,'" "''''') /\......~ II (
. , /' '~l /.// '><"'4/L ~ I ..-j/'>" -~... ....-') ( "'\!, l\ ? ,f /' )}
Signature ~~, !~ ~.. -" . ,:"'-h",A"><,J c"-,--,,,/'--""t/\JV Y Date.."\. _.- u'
, ",:' ,. ,:' , ., \ ;/, . " , '
Gopiesto:White-oy.tner; Yellow-file; 'Pink-Assessor: Goldenrod:Suilding 4
,.-BUILDING
.
PERMIT
APPLlctTlON
City of Bremerton, Washington 98310
Assessor's Tax Account No.: :3 76')- 00)'- 0 2..- '3 -ODD1
Site Address: I%.s- ~ S+-
Owner's Name~.La /1,.. . o.
Phone: (206) 478-5281
Phone No.:
377-0'2.71
.1
Address:
Applicant:
~er~ R?;;.e",'t'
o Architect
o Contractor
o Tenant
Architect Firm: 1{ A-
Address:
Representative:
Phone:
Contractor:
~(;J~-
c.f~S-:S L~ vI'! RA
s~ r'~
I
Representative: IbC D
Phone: K' 7 ( -6 / () ()-
Address:
Contractor's License No.:
ucQ(Residence ~ ~r.o;l;~D Business 0 Other: 0 New
o Demolish 0 Duplex 0 Multi-Family (No. units )
o Grading (cu. yds ) 0 Bldg. Move
Nature of Work Proposed: ~ i 4) / o;?, ~ ~ ~
<~o~j-{' ~ ~- ~ ~ ~ ry "3/)
Exp. Date:
0-Repair
o Sign
o RemodellAddn
o Parking Lot
.. (
'LO)('L r.j rx-~JL
Sq. Ft.: tj So
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
[!h;ci~ing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
Plan Review Fee:
Permit Fee:
ci3
$/~~
r;;;;-
Receipt No.:
Date:
Receipt No.:
Date:
Surcharges:
State $1.50 0'
Energy $10/$15 0
$ Nit
Zone Designation:
Setbacks: Front:
Occupancy Classification (UBC):
No. Stories:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
,.. '. "u u
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building OfficiaL (Sec. 304 (d) UBC) , I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
"" Signature
Date
~
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code i
CITY OF BREMERTON - BUILDING DEPARTMENT
478-5281 - 817 PACIFIC AVENUE, BREMERTON, WA98310
.INSPECTION REPORT
PERMIT NO.
'7&]Q 3
. I have this day inspected this structure and these premises and have 10und the following violations
of City, County and/or State laws 99verning same:
I ~ P' /-AS t.J I "/6 K6~) J r;:&.t> I) v IltR .--J't!) r
V N D~ Co!) rl r CR. p::', ,"" AJ>H I 1'/ b
tJ.,r
.';~.,.,
;'~~'tot
i~ -'('%~,"<
~~~ r:- It NT)
" I'
-,' ~,,' '
'''''1''
'v}1;~. .ry
~~I
I. ",Ii
; ~,' ~ ,-,
';', "~.'::
; ;:, ,:~J::L;~~.."
t,l"IO mor:e work shall be covered upon these premises until the above..viqla-
Jions have been made, call for re-inspection.'
," is Tag DATE
You are hereby notified.t",
tions are corrected. Wherf"
Do Not Remo
INSPECTOR FOR BUILDING DEPT.,
:. _1',~",,~,
, ";"'_,', .,,' _;d,
p-'- ,,'O','~'.._ "'" __,
,
INSPECTION RECORD CARD
CITY OF BREMERTON BUilDING DEPARTMENT
ADDRESS & DIRECTIONS 1405 Burwell St.
OWNER
Ida Langley
CONTRACTOR Williams & Sons
PHONE
PHONE
377-0371
871-1600
1 fOUNDATION
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 --
S. 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:
COMMENTS:
2 fRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ?PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAI RS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
\- 4<.
-- ~~',
__ 6l
--
--
110 f<2'C"",\.t o~ job
'-
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. IB' VENT SIZING -- 4. CHIMNEY HEIGHT --
5. 'B' VENT CLEARANCE --
6. IB' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING -- FURNACE APPROVED BY:
9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY:
10. DUCT SUPPORT --
11. DUCT JOINTS -- GAS PIPING APPROVED BY:
12. GAS PIPING TEST -- WOOD STOVE APPROVED BY:
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT -- OTHER:
15. OTHER --
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE __
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING __
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 fiNAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
BUILDING ftERMIT
~!
3898
AI
V
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
$ j Ol'o Qi)
BLDG. DEPT. VALUE
PLAN CHECK FEE
lIE'
OWNER'S NAME
CONTRACTOR a .
ADDRESS S 7.j,-S- A/ IE.
~ RESIDENCE D BUSINESS
PLANNING I ZONING
D OTHER D NEW
FIRE ZONE
RECEIPT NO:
RECEIPT NO.
DATE
4- /jI-~ /
-
-(JIB ._~()O
PHONE
STATE CONTRACTOR'S L1C.#
'~~
PHONE
D ADDITION D DEMOLISH
~, PAIR D REMODEL
~ 1ft -,e
STOR~
OCCUPANCY
~~ ~~G
~~~
:8 ~
THIS PERMIT ISSUED FOR:
~~
INSPECTIONS REQUIRED: Foundation D
Framing D
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.
Wallboard D
Plumbing D
FINAL~
Electrical D
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL
FOR INSPECTORS USE ONLY:
REINSPECTION:
!APPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
, ','
,.
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
,
,
,
, '..,'
OWNER'S SIGNATURE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OC
BY
BUILDING DEPT.~ A:orltf1dAgent .'
t/ .'
BUILDING "ERMIT
.N~
2111
AI
City of Bremerton, Washington
Phone: (206) 478-5281
v
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ -2 ,,~ .-r-- $ - $ 5~ ~s</'l / 7-~4-1q
~() -
SITE ADDRESS I LOCATION I '-to S
OWNER'S NAME E'ItVH-l LAN6US'I
1So-~LL
ADDRESS
PHONE
CONTRACTOR
<SA.....E:
STATE CONTRACTOR'S L1C.#
ADDRESS'
./
~ RESIDENCE
o BUSINESS
o NEW
[}l-""R E ~ A I R
PHONE
o REMODEL
o ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
'1<6 PAnt..
~
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 orthe performance of construction.
INSPECTIONS REQUIRED: Foundation 0
INSPECTION:
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
FINAL ~
FOR INSPECTORS USE ONLY:
REINSPECTION:
APPROVEd 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
BY
BUILDING DEPT.
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.
N9
45551
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Fee $_____-"__"-.....___________.__.........._.__000..._.000.___.____.__.___ ReceIpt No, m......,......_..........._...ooo.............____.,.___.
BUILDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
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DESCRIPTION:
Owner's Value Bldg. Dept,
Lot
Block
Additions
Address on Job j'..?-(t!.~:_~.4:..t...!d'_U..mm_............m..mmmmm..m..mmm.. Date .m..6..-:.Y-2.rJ'........m...mm.
Building"h.........m x mmh.mh.. and m,'m'm.m stories ...mm._."hm__m basement. Lot 'mm.'h.m. X .m.mm.....
Front Yard "..om.m.m..m... Rear Yard ......mm.m....m. Side Yard ..mmm'__...m.m Garage .........,..m..m...m.m
OCCUPANCY PERMIT REQy'IRED BEFORE OCCUPYING BUILDING Zone m.~Im"'hm..mmm..m.
Owner .2!f.4,.<<:.<., .<~..,..~..~d.,..d::. ;i;;i!t;"",.&:;&<:..",. .__.__...................... Addr.e"ll:s .......................................__... Phone .................
,...~. - -. -. ' (J ,.., f'
Contractor &.t:.~.L.~.-.*'!<t'.-~.(..m.. ::.L1'-~:j........m.h... Address ............................mmhm..m Phone ....mmmm'
This permit is issued 1or:
~tt.~-:':!..~::~::::::~::: :~: :~~~::::::::::::::::::::::::::::::::::::::::: ::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements. '
1,,\
,.DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION - Reinforcing steel must be iinspected after placing and before covering. FORMS shaU be inspected
and approved before pouri,ng. All plumbing, wiring a,nd the fra!me of all buildings must be inspected and a1pproved
before covering. Wood preservative to be used on all wood against masonry. Ventila,te foundation and a,ttic. Sepa,.
rarte permits requ'ired for plumbing, widng aind heating. See City Engineer before working on streelts or sidewa,lks.
............... __.. _.................._.............. __..... __.... __........".............. __............................................_......................._....... .. ~ i"~:t ~i~................... ..':':_................................................... ~;. ~<;. ~ ~ __ ~ ~ ~ ~ __ ~ _ ~ _ ~_ ~ ~ ~ _eo ~~... ~ ~ __ ~ _ ~ __ _ ..__.._
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Owner's Signature.4~.~~~.4i;~.,.,~~~~.n...n..--... By ................__............mm....'h.__.............__.........,:,.coo';'; ,
// ",/ , His Authorized Agent ' . .,.' ".
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BUlldmg Inspector ..00.............. un".u _,e~.: .J:),A_",;:.~.,":"_ n.._. h.. _. h' _........ ..... .........
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