HomeMy WebLinkAboutBURWELL ST., 1421
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BREMERTON PERMIT CENTER
286 4th Street" Bremertcm" WA 98337
Pt1ont',): (360) 47'8-52,75 FAX: (360) 478-52;'8
BUILDING PERMIT
Appl i.ermt ~ PEET WIL.BUH/ElE"f"!"Y
1. 4~~ 1. BURWELL ST BREMEffl'ClN WA 9B:;:137
Permit No:
StatlJ.tl:
Appl ted::
I sl:ltled :
Exp:i. Y'1:~H~
~/9'""06<;":t
I !:;;SUED
11/1:i11 fl;<:;(':;
1. ;;::122/1 f:n9
0611. 9 nooo
Job Addr:: l.4~:~i, BURWEL,L S'T
L.De;" t:i. on ::
Parcel No: 3785005-01B-mJ04
Owner:: PEEl" WI l...BUR/BETTY
14;::~1 BURWEL,L ST m~EMERrON Wf:1 9m:l~r7
Crmt;r;:~ctor:: SEL.I:::'
L. Ie ;~: SEL.F Exp:
Subcc.mt r :
Dt~)ac;: REI::)I!.lj I H &' REPL.ACE DECI\S
*********************************************************************************************
Valuation * Permit Fees: 31.05 Total Calculated Fee: 55.73
l~)OO,OO M Plan Check Fees: 20.18 Additional Fees: ,00
* Other Fees: 4.50 Total PermttFee:55.73
***************************************************************************************~*****
ihis permit shall become null and void if the buildinG or i~ork authorized by this permit is not commenced within
HIO days from the date of such permit, or if this building or work authorized by such permit is suspended or
abandoned a.t any time aftf..lr the work is commenced for a period of 180 da)ls.
NonCE.. It Is the n:lsponsibility of the permit holder, f\(')t the city of Bremertt'1fl or Building Official to see
to it that requlredirmpections are made, The permit hCllder must notify the Building Offic:ial whenY'eady for
inspections. Failure of the permit holder to notify the Building official of required l.nspections may result
in the 8~Oppage of the work untH suchtime that the permit holder can substantiate to the buildiD9 official
that the concealed work me(~ts or exceeds code requirements, Any demolition, testing, or financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all reaponsibil i ty or 11abi lity connected with the construct ion,
I hereby cart ify that ! have read and examined thl.s. permi t and know the same to be true and correct. All
provisions of la~Jg and ordinances governing this type ofwdrk will be complied with whether specified herein
Oinot. The granting of a permit doesnot. presume to give authority to violate or cancel the pro\iisions of
any other ~.T ate. or loc,.allaW,regulating/}construction or the performance of construction.
Signature: __,,__fj~__;!"-_-I::~-___..---_--_ Oate: __.11:,.:..d2.-:..2.2_______
I cenif)! that 1 am exempt from the requirements of the statecr.mtractor's registratim"l law, under
Section 3, Chapter 126, laws of 1967,
Signsture :..+.g4-_LL~._...._..-.... Date: _.LJ,.~2:).,.;L(L..-_-.----
**.M***********M******K****
Pt~)rmJ. t . Centf.:l':".....~..App'(.t:lve')d By g...c>,~3::~,....,'" Dc~te: ..,......,L2:....a,a,..:..,,1..8
;'-:.~'1,r~.""t!\0f:'n~;,~.!,..rw,~s,~ " "...}~ ; .,;t';".'~;;;.\::MI: ~;(',:>'::f-',~~;~"
BRE.::MER,rC.:llN'," I~EI~M!I ,.. CE r-.JlT'Ef~
286 4th street~ BremBrton~ WA 98337
Phone: (360) 4.78-5.2.715 FAX:: (360) 4.78-5278
Job Address: 1421 BURWELL ST
/... ('i (: crt :1 Cl n ::
Aser Acct No: 8785005-018-0004
Building Permit No: 99~0691
~::;t fit UE1: I S~::;UI::::1:)
Issued: 12/22/1999
Expires: 06/19/2000
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Item: 02700 FINAL--BLDG Dept: SLDG DivisIon: I
~******************************************************************************~
TESTING: Must be recognized by the Washington Association of Building Official
SPECINSP= Must be registered with the State of WA 'I
ST OF WA: State of WA Dept. of Labor and Industries 478-4921
HEALTH: Bremerton/KitsBP Health District 478-5235
1:~EC~U:rHED
:r N
S P E C T JON S
ALL INSPECTIDNS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THF
I~I-QM'I'.I" r~I-N.I.I-I~ (0L")) l"7'n ~~'7.F
,. :~:, I' 'I, . , , .,d :::. :::, " ~ ~::) <;:) l. 1'1', C:,} "". ..,) .<::, ~:) I,
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HEeL J PT Numbl:'!'!" ~ 9f7'Cl{)1 j Amnunt:: :::l~:j ,,~15 12l';,:~?/99 1 ~1 ~ CIA
Pi1:/mi,~n1; \'if:it hod: CHf::Ct, Not ,)j,t; i, on: a!;.i;~:::l In :i. t ~rYri
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pm"m'lt No: (;1>9-,01':)91 r)"pl':l~ BLJ)GONLY i~lU)(;~ PEI~MT r""NO MFCHl
PaJ'r;e 1 No r ~flf;le\()\;)~""() 18."0004
S'l.t~ if)ddrni:w~ 1.4?1 BUHWELL, ::iT
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r'lccount: Code DEH,lcr:1 pt j on ()mnunt
1, " 1. 001. ( 1 ) BU IIJ)ING PEHM t r FI;::ES ;:3'1, "OS
C,,(la,..<?S7, 1, ::3 ( ():;~a6 ) STI>ITf:! OF ~,/j~ SURCI"WIHHF 4 . ~:IO
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~~ PERMIT CENTER
Residential Site Plan Review Questionnaire
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Permit applications arc reviewed by our staff to make a preliminary determination of the presence or
,lbsence of unique areas on the property. To help us make this determination, please supply the
follO\ving mformation with a scaled and dimensioned site plan.
I Applicant Name: .# /J
- 1;J6.-rrj r Cb r
I Description of Proposal: /
I RePAIR. 1?/:;;-PLI"iC~ Dc-c.J<Cs 'II- ZA'L/t\J4
! Street Address (or cross streets if no address has been assigned):
I I '-I ?. I t3 u (L IAJ eLL- S r- 15 R.&"" b~r-orJ W n-
Critical Area Questions:
1. Is there any standing or running water on the surface of the site at ANY tIme during the year?
If YES, please describe conditions:
'YES
2. Has any portion of the site been identitied as a wetland?
If yes please describe:
>< ~O
YES
J( ~O
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! 3. Is the site characterized as:
j -t. Is the slope of the property:
Forest
Hat
Cleared
gentle slopt::
15 n or :more
Steep (15%+)
3 ft or less
J
Flat (0% to 3%)
100 ft.
1-
The applicant hereby certities 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
clut any such statement or other information contained herein is 61se.
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CITY OF BREMERTON. 239 4th Street. Bremerton, WA 98337
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Dec 08, 1999
PEET WILBUR/BETTY
1421 BURWELL ST
BREMERTON WA
98337
SUBJECT: Application No: 99-0691
Site Address: 1421 BURWELL ST
Your building permit for the above site address is ready to issue. The balance
due is $ 35.55.
Permit Center office hours are from 8:00 a.m. to 5:00 p.m., Monday
through Friday. Please contact me at (360) 478-5275 if you have any
questions.
Sincerely,
/) , ."t
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U iLk OJ &--JZ
Building and Development Specialist
* Equal Opportunity Employer *
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BREMERTON PERM~T CENT R
286' a11t/l Street ~ Bremertoilfl Wi> 98337
:( 360) 478--52."15 FAX: (3~-SO) 4."18~5.2."18
BUILDING PERMIT.
Job I~ddr:: 1421 BUr~WE:L"L. S"j'
L.ocat :1. on::
Parcel No: 3785005-018-0064
Applicant: PEEr WILBUR/BETTY
1421 BURWELL ST BREMERTON WA 98337
Permit No: 99-0691
St at us:: PEND ING
Applied: 11/15/1.999
Issued:
Exp:i.res::
Owner: PEEr WILBUR/BETTY
1421 BURWELL ST BREMER TON WA 98337
Contri;lctor:: SEl"F'
L. :1, c :U:;: SEL.I:::' E:xp;;
Subcontr ::
Cese: REPAIR.& REPLAC~ DECKS
******************************************************xxxxxx*****x***x**x********************
Valuaticm * Permit Fe0s: 31.05 Total Calculated Fee: 55.73
l~OOO.OO * Plan Check Fees: 20.18 Additional Fees: .00
'd
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*****x**************************x***xx********x***xx*xxx*xxx*xx**x***************************
This P€~i'mit shall become null and void if the buildIng or work authodZl~d by thIs p€:rmit is not cClmmel'ic€~d within
lElO days from the date of such permit, or if this buildin~J or work authorized by such permit :i!3 sl.mpendEld or
abandonf:d at any time after the work is cClmmenced fclT' a period clf 180 days.
I
NDTI,CE' ~'''.It '18 tht~ rt~Hpont~ibilj,ty of the permit r'HJldt;l'p not the; C:lty of 8re~rnelton OY' Building Off"ici,al to ~,H~(~
to it thatrec~ired inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holdt~r to notify the Buildinq Offidalof' required inspections may result
in the stoppage of the work until 8uch Urne that the permit hell.df:r can sub(~tantiat€! to the building official
that the cClnc:eal(~d work m€~ets or exceeds code requi n~mentB . Any demolition, teBt i ng, or financial burden shall
bE~'.bClrnEi dir~c:tly.t1Y tht~ permit hold€'iY'a Fcfilure to- subst;antiatE~ C:OdfJ r€~qufi'ement?~ vJill ind~Hnhify th~~ City
"cg' ".1 l1f;'1" !'r'IV !"l'ld ',' i lv'''NY)' n,~ p,,.: 1 ., 1" \' "')Y' i it <' '0' .1 '1 ,1 'f' v C-("'I'I!'le''''.l''''~'! w '! t ~;l T' 'f'".''' .""")1",,""""'1 H..t' '11'''n
(J..,~J.,J. ~I Yi I ~...... '~.l.-,L 11l;lr.,}f"tll\,~,Itt,J,j.,I"bIY ...1 'L,l,i "'-,J.d,ll/ !",/'; I Vlt;l\,,~ .l.,,1 Y 1\;,,-.\,".... 1\,')\fl\.I.\nfW,I."l'la
I hereby certify that I have read and ~xamined this permit and know the same t~be true and correct. All
prdvision~ of laws and ordinanc:esgoverning this type of work will be complied with whether specified herein
or .not. . The granting of a permit does not pn',mume to give ('iut;hority to violate or cancel the provisions of
any other state or local law regulating construction or the performance of cormtrllctlon.
S i gnat ure: __,._~_~___,:,;""_______.._..__..__".________,,,___..__..______ Dat~:: __.._______..___________________..
I certify that I am exe~~tfrom the requirements of the state' contractor's registration law, under
Section.3, Chapter 126, lawB of 1967.
Sign~turl=======~=======~==~================================
******************x********
Fla
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E3:f~EMER"'rON m.::JtERM i'T' CENT'ErR:
286 4th Streetv 8remerton~ WA 98337
Phcl'ne: (::.J60) 4,'l8-'.5:;'.~,7.5 PO"AX:. (:-360) 478-5278
au r. LO I NG PEf~M I T
:Jnb I~ddr: 14:;~1 f:lUf~Wf::l...J., S'l
l..oGat i.on~
Pa r C:f.J 1 No: ::!'lE!t)()Ob""'() j H..,..0004
Appl tcant: PEET WIL.BUH/FlF'fTY
j 4;:,~ j BURIN!::: I...!. !~;"l BHEMERTDN Wtl
Permit NOI 99-0691
Status:: PENDING
t'Jpp J j f.id I 1 j /1 SI j 999
I lrH;nwd n
Exp'j,Y'(?!lll'
nwm~r: PEEr WILRUR/FlETry, ' ' .
I "1 8I1RWfll. q RREM't WA_
co:::::::::: S::FPcIr' ,.. Lie ~: ~~X~:7
O~mc:: I'~I::::PA I j.( & DE(,;I<S U." ,
V..iHatlon '. I ~~~::~..;~~~J.~'!!i't~.~~flil.t~~~;;.
, lA' Y oqL 00 * P:I l'H'l:: hee kJi;:': eet~ I, ;::~() " 1 n (0'1" H::it:.. J H:Jf.'l!~ I " 00
~/)H'* if 1fU' 'A~Jal ~...~ .~~~.. r" ,:>' lit ~I.. ~:5!:LJ:~1
~;~::;~.~'i'; .C'. ::UtO~r~r~~.'.':7!;::~:;~!i6' ..~ i:~:':7.^ :~.;:::.*.
~~:~~:~ .~O:k~t:. ::10.. l'J::~.i_~~c "'4..
to it thAf.'t! inap cons oJoade, The permit holder must notilr the BUlldln~.cial .hen ready for
inspect.' .... ..., F."ail.un..~ o. f...t.h..~..... .I.arm..!.. t.ll).l.dr.~.Y' t..o no.ti..f.Y the. B~." ... .Ifff.i.~, a~... q' .'. C . ions. may result
in the, ' . 'of t_rlw_H.s~NtJ'" permi'lM~~l~lfs. . , CI he. .llil~n(~ official
that the';; .. led w~'f1!'eet$or (~xceeas-code requirements, Any (jemohtlOI1, testing, or flnancal burden shall
be borne directly b.Y the permit holder, Failure t.o Sl.lbstil.ntif.l.tEl co~,...: iremel.ltS....W....l.l..l.,..i......r...IZje.T1.i...f.Y.. .t.he CIty
agaInst any and all respoMibill.ty or liability connected with the ,~tion., ... ,.',.. ..f f
I hereby certify that I have read and examined this pElrmit and know the same t/b1rn .! correct, All.
provisions of laws and ordinances governing this type of work will be complied with whether specified herein
o. r fl.Q\' The ~.J...r.. ......t.....i..n.. g........ O...f. '....8....... p. e.,.r,......m. i..t.., dQ..e...s....... ..n.ot... p., resume... ...t.o.. 9.. .i'J..e.. .a...u. .t. h.. ...0.. ri t..y. ....t..t.' ViOla..t...e,. o. r. . ca..,fIG. e.. 1..... t. I.le ..pr. ...t:'IV.. is..itJ,.n.. ..)O.....f
::y ~t her ,sto: ~cal, la~ reg) lor- construct ion cr I h. pe" f or manes of conat rucl ion, OJ.., ,.' .
,11911dtur f;' ___,' __JM~_f,_~.__IAtS__~.__g,.~'JDat'e,_____~~_~____.:,__:..J.
I certify that! am exempt from the requirements of the state contractor's registratifJI1 law, under
Section ~1l Chapter 126, laws of 1.967.
S:I, Glf1at U\"tlI! "",,,,,,,,,.,".,,,,,,,..,,,,,,,"",,,.=,,,,,..,,,,,,,,.,,,m,,,,,,,,,,,..~.~.,,==,,,,=,.,='_==_""'_"'~"_=_____'''_=' Olil t t!i l___,.._",__=."==,._,,..__,=,~=_=_#,.=.=.,=_..,_.",
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PERl\'IIT CENTER
286 Fourth Street, Ilremcrton \VA 98337
Phone: (J60)478-5275 Fax: (360)478-5278
Building Deparuncnt
Fire Department
REQ'D I:VSPECTIOIV TYPE
F')undJilOn Footm
F'JunJat!on \\i:uls
I F:lcctnul
\fechJ11lC:U
r~umbll1 Grr)unJwork
Plumbll1 Rou h - In
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[nsubtJon
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I f:;'ire Spnnklers
I Fire ,'lann Sv'stem
I Other
I Final
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Special Inspections
Public Works
REQ'D LVSPECTION- TYPE I REQ'D ; fjVSPECTION DPE,,,
:::nds. compaction I! EroslL'n C)ntrr)l
. Cmcrete Strength I; Public nI.?:ht-'Jt" W,W
\X'eluing ! Se-.1icr L.ltcnl
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I) ther: i [rn,\!"Jt1on ;vs terns
.\ion-Residential Ener. Code* I (f0SS Connect'\on
: .slab / undertlon r Insulation I Other:
I W,tll msubtJon Final
: Cetling/ roof Insulatlon
\If le:1kJ e Plannin
I Cb.ztng
, Ll htin Bud et
\[ech:miCl.l Ventln Systems
[-TV.\C
I \[otor EftiClenc{
Other:
. Inspecnons to be performed by WSEC Certitied Specijl Inspectors recognized by \\".\BO
JIld registered with State bbor and Industries.
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Appl ;lcant: PEEl WILBUB/BETTY
l.4~n. F3URWELL Sl 8f~EMEFnON WA 98~i37
Perm1. t No: 99"~069l
Statw:~: PENDING
ApplIed: 11/15/1999
I l'ilsut:,d :
Expi, re~~::
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BREMERTON PERMIT CENTER
286 4th Streetll 8remertong WA 98337
Phone:: (360) 4,78:""5275 FAX: (360) 4.78-5278
BUILDING PERMIT
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::r ob Addr': 14 21 BUf~Wf.?L L, ST
L,Clcat 1. l::m:
Pr:i't ce:l. No: :~i'l8~:iOO~:i.'''O]' a".0004
Owner ~ PEE'rW IL.BUR/BErry
.14;?1 I,UHWELL Sf" Bf~EMERrON WA 9t~~137
!..j (;:jH SEL.FEx p :
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'1.*~,******'******:~***.)(\***,**~.**********.*****~**** ****** ********,*****'********.********.*** ,***** ****
.Vi:l.:t:iatttm *Perm:l.t Fees: :31.0:) "rotal. Ci,lc::ul~li.t~:.~d, Fee: sS..n
t>> 000 .0.0* Plan Ch€~c k Ft:::E:l!!l: 20 <i 113 Add i, tb:mr.d, F e(0l!!l: . GO
. ...*. .' . '. tIt; hF~r I~' f.!lf,!I!H " 4 .50 ''I'' (';It a 1 Pf.rr m i t F !I',M';t!i !:is . '7:"~
~:'i*'*'****'************ ***l<'****'*'l* ****.lY******~HH~*****,******~Ht*********,****.* * **'****1+-:1"**************
This permit shall become null and void if the buildl.ng or work authorized by this permit is not commenced within
180 daYI:'! from the date of such permit , or if this building or work authorized by such permit is suspended or
abandoned at any time after the work iecommenced for a period of 180 days,
NonCE - It is the responsibIlity of the permit holder, not the City of Bremerton or Building Official to see
to it that required inspect ions are made. The permit holder must riot ify t he Building Offici.al when ready for
inspections. Failure of the permit holder to notify the BUilding Official of required inspections may result
in the stoppage of the work until such time that the permit holder can substantiate to thebLJildingofficial
that the cOl1Cealed work meeteor exceeds code requirements. Any demolition, testing, or financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements ~)ill indemnify the City
against any and all responsibility or liability connected with the construction. .
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I hereby certify that I have read and examined this permit and know the Bame to be true and correct.. All
p'fovisions.of laws and ordinances governing this type of work will be complied with whether specified herein
or noL nlt:vgrantlng ofa permit does not presume to give authority to violate (ir cancel the provisions of
any other state or luoatlaw regulating construction or the performance of constriu({~"ion.
S1 gnat u:re: ~~~_"..__._~~.._,.._,______,__.___._'_____________..,.,__.__.'___'.
Da te: __________..____~________.._,_____
I Certify that I am, exempt from the reqUIrements of the state contractcrr ~s registration law. under
Section 3, Chapter 126~ laws of 1.967,
***************************
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Pennj t Nl,"i~ S"I"'''06(~1
Sttlt\.H~~ PFJ1Dl:NG
l'iPP J j t~d ~ :11/1 Hl/ 199(1
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BREMERTON PER~iT CENTER
~~86.4t"t Streel:M l:~Yt'ffm~:t'('t(Jn" Ufc~ 98:..~:-31
Pi. ( ~J"1' \. A"'''Ci ~~'~J~"'" ""'....... (':'';0 \ .A""e.Jl 1i-'J"~lC'
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BU I LOJ NG PfE:f~M 11"
I~ppl. icant: PEET 'Wlt.BUR/BErTY
l4~~1 BURWFIJ.. S'l BREt1ERTlJN HI:\ 9H~:~~i'7
Oi,llrH~r ~ PI:;:r,:: r I,JII.,HUR/8ETIY
1 BURl/jELl SI BHE~1ERTON llJI~ ',\8~:l~t?
Conl;rt.lctor: Sf:LF
L j, C :If ~ SELF EX~7i ~
Subenntr~
Dt~f~G: r-:1EPI~\fR & HFPL"ACI:::: DECI<S
* ~~,~ J~~HI * ;~H~* * * **'',lBH<Ii *11\* ~* *.~ .*** * * ** *~'* 1>(i **~~l'i 1<'1HH~ ')if *..HIi*.)t * ~(i* l* * * 7\'~',** ')if:'~ * JH<1: 111 ~ * *.lji 1~'Y,: ~ * 1* ~ :\~ * *** *~)*** * ,/Ii *~,,)i\ **1f* t(.
Vr:lluati.on * plt~rfnit Ft.)t'u~:; al"!Oti 'f()tal. C(J,1.C;Ul/'ltf.~(,j Ff.:~~ ~'~)S.,'7~~1
:l1'O()('f,.OO .l* P 1 Ml Check 1:';I.~~)i.'H ~:\o" H1 i\rldi t; 1 (,ma J F€ile*iH "GO
* Other Ftilt~f.i:: 4,.50 rot:f~l Pf:;'t'mH F~f~~ S!~.
* 'l~ * '11:* *,4 1* ~** ')I'; %'ifJii *}f:** *~: ** ** i*'~)1/ ~t .)+*** ~HH~ *)1':1<' ft ~'1>t l~ * .l(. ~Hi' WII: * ** .1I\.jli* * *it ilHt;'ll; ?H.(..)lHiH~1H'f* * * ~HI\*tB~** *,~ ~BHH4; 'iII'~ *** 1\' *'11"1(- '*
Thl.!il perml.t8haH become null Flnd v~1id if the b\J:l1diHi~ 0'( WOrk1,1uthorhed by thl~ penrdt fa not t;ornmlmcedwithin
1BO days fn.llfl the date of ~luGh pey'mit, or i.f thiril buUding or Wt'H'k a.uthorized by ~iudl permit is s(J$pendt~d !Jr
abandoned at any Hille eltter too work If~ o(lmmenced 'foy'a period of 180 da>'s. .
NonCfi ., It j;he ret~pon:r,dbi Hty of the pr$flllit holder ~ not th! eHy ~Jf Eln~merton or al.li1dh~l OfHe!al ttl Bee
t() it that requinild inspacth10S are made, 'The P€n"ITlIt holder illW)t; Mtif'>' the l3uHdin\~ Offidalwh~lf'I ready for
inspectionl]!. Fai1un~ ()f thi~ permit n(711clf:lY to notHY' t;ht.~ BuHding Officd,z..d, of rr~qlJin~d irtspectionil IIIay result
in l;he ~rl:oppa9~ or thl~ work I.mtH liiuch tl.trte thi:lt ti'rl:; permit: h(jld~r can ~{ubstar.tiate to the bundtn~l offid,~l
that: the COlleeitled wQ'('kmeetr~(Jr (~xc~led$ c()de r~quiYementg, (.trlY dl~'I'llClHtion1 te~1tIng, or financial burden i~h,ll
b~ bonw.i dIrect it by the pE~'rmJt h()ld{~r, Failure to t.i\!batantl.tlte eode n~qll.l'('emf..mt;!3 Id H irlt:JJ.!lmni fy th~l City
il!;u:dnst tim' and all rt~lElPon$jbn il;,' Q'( lii:\bilJty' l;tmrli~ct;l?'d with thi$ I,~cmstru(;ti(m.
r hereby I~ertif)l that 1. have \'earl r:md ~~xl:l.m.lnf.ld this pt1lrmit /lnd kno~1 the ~lflme to be trUtl and coY'reot. ~lll
l)yovililicms of laws and ordhlf.li'lr,;!~tiI govl~rnin9 tills tYPI* of l\lcrk ~lin bl':l complied l'lith ~Ihether apecHi.ed herein
Qr not. The granting or a Plilflliit dUffJ not pftlSUme to Qiv~authorH:y 1;0 v.l.olelte or (.;("nc~;l the provisions of
any othfitr t~tlllt~l-j tIt lr!Gb'\l IaN '((~aulatin9 ccm~trlH::;ti('m or the p(H'TOnnance ofcomltr:uetlml,
S i 9Hl!i. t Ui~) : _~""m'_'t!:.,/.o,..,..,~.t2:2~~',~~"m....'''~_".._,.,."".."'"~.,,.;.~ Oil t e : ...~w.~...,""'''''''~""...,,,,,.,''~_,~_......,,___.,,..__,_'.,,_~,
.1 cf::rtify that I am exempt f\'rlm th(~ req!Jh~\ment~l of the st\lJte cantnrt{~taru$rl3g!!~:tTatfot1 L:!llIJ, undl:Y'
Seetlon a~ Chapter 12~~, hww of 11M?
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..........l..[,.l.III~!.IIII..IB~I1II"'&;~~;~~~~~~;.. ....
APPLICANT: ~OWNER OCONTRACTOR OOTHER
<>'
Contractor:
Tax Account Number:
Site Address: l.. \ u rz.~t;LL. .5 r:
tJ/lbMG~ro1J (;.)".,. 9fr33 7
Contractor License #:
Expiration Date:
;!o/i.! ?; (P 6 - 'B" 7 - to 'I 7
Check the type of application applied for below: LNIc3 (p 0 ) 1" - fp ~ 'Z.1
o SFR 0 DUPLEX 0 MULTI-FAMILY
o MOBILE 0 ACCESSORY BLDG 0 RES ADDN
o RES REM 0 COMM ADDN 0 COMM REM
~REPAIR 0 SIGN 0 DEMOLITION
o NEW COMM. 0 TENANT IMPROVEMENT
o GRADING (cubic yards: . ) 0 01HER:
Nature of Work Proposed: /C.e-PA-' il.. / JCt=-Pt.J9.Ct;; Jf/O!Z'1"" /1,.)0 j)cZK
II fl.1V D lZfi.1 t;.. S;
Square Footage: Dwelling
Garage:
Decks
...............YalWiti6a....:.....:.pWi.R€fYiiWiPee:::;..:..Pertifii.,F~t..!'.:::!:.'sfif&hit....e$.:.:... ..!t;.W&tafPee$:..'..:.....
. ... ..............................._.... ..................................................... ......................u.............. ........................... ............. ................ .........................
I. 05F~'ilIbJ. $S8.M cc:!.7)
State: $ 4.50 0 J. .
oDD
d-DJ
Applications for which no permit is issu~d 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 application 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 pay a new
plan review fee.
API'UCANT'S SIGNATURE: ~..4.Iif~' ~p1;
DATE: 11,- {,S'- 9 '1
'----
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PBrmlt NOI 99-~J691 Type:
ParGa] No: 8785005-018-0004
t t;t~ t')dd'rf~>'\UH 1 t BUH~IEL.L Sf'
BtJ)GONt.Y HIJ)G! PEI.~r-1:r 1"''''1'40 MECI...l/
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Rep~intedD 11/1 18=46 RECEIPT
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1:~':I,yrMu,t; Ml"'~thn~.::l:: NCl't il~t :1. on ~ I: n U:: r. Vt.,'
~_F____,~~~.___\____._~u~,.~_*~_,__m~~n_~'__'k~'~~W~__~~_~'>>~~_'_"m._um_,'_~_'~'_M~<<._n~~N'
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16-345.8300 (4580)
n~)fH:::'1" j pt: :1. tm
WJILOING PLAN CHE~K
Arl'\<::lunt
.. H:~
___~~~~_.~~~_~__"mw~~.,.~i~<<I~~~,,__._.~_.rni_~"~~~__r~'N."~,,___~~'__'M~'U~.~p~.~_,___~__~___~!~__,,m~
CITY OF BREMERTON
Residential Building Permit Checklist
Applicant:
Building Permit#:
G1~ C{ - Olo9/
Date:
pleted Application
cope of Work
. cinity Map
Site Plan (dimensioned)
S' Ian Review Questionnaire
Fo ation Plan
fPlan
Framing Plan
Wall Bracing Shown On Plans
Elevations
Energy Code Information
StreetlUtility Permits Required?
Paved Parking Indicated (2-off street)
Contractor's Labor & Industry Card on File
Route to Health Department (septic)
Sepa Required?
YES
NO Why
...
D Special Conditions/Permits?
Comments:
C : \My Documents\Residential Checklist. doc
Last printed 02/26/99 II :03 AM
Scope of work:
Address:
Owner:
Contractor:
BREMERTON BUILDii~G DEPARTMENT
Inspection Report
Permit Number: q q
(f)
--O&q/
Phone:
Phone:
Inspection card/approved plans on site Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
--- Special inspector (when applicable)
Bearing soil (soils analysis if applicable)
FOUNDA TION
COMMENTS:
FOOTINGS APPROVED:
WALLS APPROVED:
Electrical approved Plumbing & mechanical approved
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
Mudsill: 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
FRAMING
COMMENTS:
APPROVED:
e;-~
~uc5
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
ENERGY CODE COMPLIANCE
COMMENTS:
"
UNDER FLOOR/FOUNDATION INSULATION APPROVED:
WALL INSULATION APPROVED:
CEILING INSULATION APPROVED:
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
---- \lYoodstove~ & fireplaces: Tight-fitting doors
Woodstoves EPA certified
Woodstoves& fireplaces: proper health 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 Vacuurn 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 requ!red
Grease traps/interceptors: 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"lfastening screws-16" o.c, vert. plane (1/2") screws-12" o.c. vert. plane (1/2") - 24" oc. 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" oc. 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:
FINAL
Energy code requirements met, exhaust fans Plumbing & mechanical
Garage/dwelling door self closing solid core Smoke detectors where required
-- Fire ratings maintained
Handrails & guardrails, as required
-- Emergency lighting when required
Exit signs when required
Occupant load posted when applicable Building weathertight
Wood siding to earth separation (6" Building Address posted
-. Radon monitor when required
COMMENTS:
FINAL APPR,OVED:
& -23-0' CJ