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BURWELL ST., 2600
'" ~ . .; ~ ...Boo, ' , " \' .- . .'" ., e , , , ~1"~ J '1 '. '/ , ~\c' -t.." .', .r' ..-" ~~ -> '.',. ~:' , ~, - , " : '. ; 'r ..;. ,.::, 1..;' ~ ,f. . .' .t!:' : t"I,:' . "....... ....'>:., , , J - ': . " ( ~I ;'" '" " ,'r BU'I' t, p' J,N,'(f<'~,.<D E PAR:T MEN T , " L .,.l') B REM E,,'RT:9"t.(, ~, ~. .." ~ : - , . ,,; ~. P E~' R'M j:T',' A P P' LIe A T to' N' , '- - ". ~ ~.', , " ~ .~,~,,~.(-.- ~ ','" " ~;:"'" .' ,~, "".' .c,,-, = ='= = = = =.= =.= '=:= =',= = =='::: ~-=.=.= = = :::,,=,='=::: =.= =';:"~"= = = = = = =::::: =,=-~ = = == '= = =:::: = = ='= = = = = = ~= = = = = = <. ';, ~\'.-. .," \ ~ . ." . It " ,\', .j. ~.'.' ,','4l '" l' Appl ipat:ion" n'ate,:' ,0.9/26/r9'95'" Issue' D,ate; ,'" '< y :-- "1- , Assessor Accf #,'~' " " , ' Site LocatiorF," "'2 600 'BUR~tELL, ; 'Owner - La~t" Name~HbsKtNSON ,,', , '" ~,st:reet'- ':'",~O:?W G.ARFfELD' " ',":';-:, Ci"ty',: . iSEATTI'lE!:'>' '" ',,' .'-"-: Phone " :(369)'377,-710,3 , Tenap.t,' s'Name': '~; " ,-' Agent's' N'ame',' ;;~ , Archi tec,t 'sName. ", ',:.' -,' ~" , [X'] Bufl ding , L"f:'Gradi,ng: " [ ] ,Mechanical,:. L.L.MevEi'Bui l<Ung [ ] pI umbing,:[ l' M~?:il e~ ;Home:,> -<'I A~~l{~atio~ N~mb~r pednit Number' ' prQj~ctGroup 95AP08943 " ' " ""- "Fiist"OWEN ,MI . , , ' :,Sta'te' WlA'__,Zip 9812.2 ". ':: Pho'~e(206r ' -" Phone(206) 1~1 s:' , ' ; [, lBig'n'~': [ ] Burning ,~ "'l".l Lan'd G}e~r .~ [ ] Faving [ ]" Underground [ :1D~molition . _ _ _ _ _ __ _ _ __:_ _ -.::. _ _ _ _'_,_._..:.....;. :..;:_ ":'-.:.. ~_ _..:.. ..:---._'.:.......; _,_~.~ ~ ....,_ _ _-J.-_ __'_'__ _ _ _ _ _ _ _>''';;'_ _ _..... _ _ _-___ " - " " - ' . - ,>;. ~ ." ~. . _ "f':"' -.' ,'" Building"Cof).tl:actor,:,,' ," " . . " . .'.:;." " . - '~ ...- ~ ." ",', . ,~,;,. . ~ .. ';', . :? . ~ '" ", ~ ,.,..~. - Cqntractor, q' j'J~BOR SERVICES, 'INC,!, ' , ,,st reet'P.'O.' BOX 4163 .;" ,', ~Gi ty ":~~;:-BREMERTON" .' ,Phoni=. . ,:' ('206) :,377':"7103.: St'ate'WA "Z-ip~98310':', Repr,esentatfve",'c,HOSK}NSON . PAUL, Sta.:te', License -#' LABORSIF43CQ City, LJcense'# .~ . -" ~, "t-'i" , (~ .. ~- '. ., " .'"' " ',1, Exp~ration'Dat'e 02/15/1996 ,:: Expiration'Dat,e '. .Nature of work:' " ~ ,i.. inst:aTl If' ~oor /at':p'~rking' lot >- miscint.er,ior'impr0vement~ . " , t.. . '." .,~ . ~ " l' " , ," , ~r_ '''- . ~ , " ~ ."". f . J ~" . ,_~:.. ...' . . " " , . ,~ ,.:: Tl.,., ' ,-l.~, -.l,' _' ""'r . 'B'4iJding"Valuati.on' . "$7500.00' ~ '_ _ ___-_ i.. ____ _ _~.:...__ ~-_ _ _'~'~ __~_.:.: _:.,:;;_ _ ________ __ _.~_....;......:.,.;,..~;:._.'-..~2.,~ ____ ___ _ _ _ _ _____ __ , . ,"j' - .~... -, ~~. .', "'T'":' '~-I""~ . .. COlJncil Qistric4i.' ,7" ,'Census Tr.~~9t..,,:.,,!,. :.. "_. '...' o' '",' . , . ~ -'."'.0, '>" ,'~. i'y, ; Constr'u:ction " ' " SqFeet . .' Inspections <:. Type e, '"~'... " . Jj.,L >,' "Requi red '" ,~- .~- " " ...,',' ,. , " ~ Zoni):lg , "Type' ';>t,-:.+ ,.,. ,Foundation Framing Insulation' Plumbing Mech,fni ca 1 Wallboard . Final ' [ ] [ xl [, l [ ] [ ] , ,[ ], [X'J' , . . '.~ . ~ ~' ,,,', '. " -..-"\. . S.ta ius 'Code t'< , "f :;. . ~ ::' , ,12 ',: ::' , ' . ' .. ~.". '- .' ~ . ~,'-,,' ,..... . ..... - ----~~._--~._-~_.~--~--~~---_._-----~._-~~--'~-- -------~--------.--~-------~~----------------- ", ~ h:j : ~-';,J\ ~, ",-,' .~ ,,..\1' . "\ " \ 3.'" '"""' \ ,,\ ~ 'f"',<J~ '\" iJ \, '\''c ~~. :;-~ ~" '. " 1 , ' """ ",I .~ '/-.,:+;"<< l .i , " , B R.,F;"M ,f$.."RT 0 N .A1i {J . ~"",,",,' \,~ ' ...~.- ~ t<1,.,~",;r~'l' ~ REeF-1M.', f'3i~Q..~~9~7 k 'I< This '~,:\':;j 'I1J}) J NO D E PAR T MEN T I,lS Not A Permi t * {4 ~ Sep 26 I 1995 , ' , _,__<-....,-..:.....'......'.h......._~.....--~!~;:!!'~~" .",,_-""" ~~,.. ...............~,' .".::.,,~.'.:.:.~.. ",' .._~~""--"~ ......._-....::......~_,~^_~_-... _""""_,,__,.. ""...___-,,......,.._._." _ ,......-,"~ ...__....... -.,-,.....,.. ....,....,'..."'_~I'-~'-........" ~.""...,::t~..--.-''''~" 1,:" Butldill9' 62-322.1QQl ME!chanicaJ 62-322.100.'1 Plumbing 62-'322.1003 /.....,A~ ,.r !~ - ...J1 StO:r2; Adapter 34"'38€L 1000 '~ "." ~ '" 1>. ", . ,....,''\ . , :P~' 'I'" '1''':''' "~r P.~rmit FeflS $ 99,00 $ .00 $ .00 oth~r. Fees $ ,{H) Zoning Fees >...." " ... t ~mc.HJ,n t,pe 1. d ~~=z~=~~%~c=~~~=~~~~cz= ,00 $ 99.00 $ R~oei. Vf!:1d FtQm, ""<ii," labotf:ervice~ 95B8 Plan Check Fee$ Amo.unt Paid $ 64.35 $ 64.35 :;. .00 is .00 ; .1 z==z:~~~~~=~~~=~=~~~~~= $ 64.35 62-345.8300 Chm, P ~ YIDft n t Other Fees $ City Sur-Char9&$ 81-32".1009 State S/<."',. 643-237.13 Total Fees $ Amount Paid $ Pr.ior Payment $ Balance Due On 09/26/1995 For. '95AP0894:, s '" 64.35 " ,00 5.00,., . ~ ~,'~ $ 4.50 ~:::::~~::t:.t:~~ 172.85 6.4. 35 .no .s:=:t:::+~1':~,~--:: $ 10B.50 _"........".......~ -..._......~..,__'Of_,....,..' ____~"....._ _.....,-........ ..,-~_t,.,.,...._.... .___._-.,,....,..,_-~,~_~___.-..,,-"""~^_.," _ _,_~.,........ _,_~_"'..............__. ___,_._,.........,,.,....->....1:i.......,~...,,..._---+-__ '" !to " /' :.' , ;~ r '-'f. _.....,..,,<!.~ / /' ' ,/ ./ ./ / ~" ./ /' .' ~~ . I"~' '\~ <' t;,,~!t~'If!::'f"~:, :' - . ,<,: \~'~ ~r.. l '" , , . ~~'.:i~1~~~,/ ..;J> ' 4;..{!.~-::"(', ,,2<' ~ ~'"$f~\' ,... CITY OF BREMERTON PERMIT CENTER Application Review Type of Application: Applicant: Site Location: Application # Submittal Date: Committee Review Date: IlEPARTMEi'IT 'RoUTE COMPLETE , .. SIMPLE .." APPROVED,. -0, .. .. . ..,COMMENTS , :.-.'..'.-',.." " , , " , "," , ..'....To .. , , , " .'A'fMTG. , ",,', " Building y N y N Y N Y N Zoning y N y N Y N Y N Environmental y N Y N y N y N Engineering/Streets y N Y N y N Y N Engineering;Utilities y N Y N Y N Y N Fire y N y N Y N y N Other y N Y N y N Y N Additional Comments: Q ~ ~1;":-'''t'-/ I (,~v W~ (j)~~-ryr; .. '" /;"h "" ~~'/' l ~y "L~ ~_. APPUCANT: DOWNER 0 cONTRAcrOR 0 OTHBe SITEADDRESS:. Z-&OC> ~uew ~ OWNElC (') W ~H ,1JaI-I?O"'" cONTRAcrOR: L~]:.- c'~CoJ.l<' LtJebO'f- $~ 1~'!7 cONTRAcrOR UCENSE. C cONTAcrPERSON?~ =-.:: COUNTY ASSESSOR PARCEL.I: ADDRESS: B:::>~ t.u .~tb S~ k ADDRESS7'V.o ~ cj [(03- EXPfRA TION OATh '2/7 (, cONTAcrPHONEl '87'7~7/0? o SFR 0 DUPLEX 0 MULTI-FAMILY D BUSINESS 0 OTHER: o SIGN 0 DEMO 0 MOVE BLDG. DMOBILE 0 GRADrNG\ych): o NEW 0 REPAIR 0' RE.\1ODEL D .ADDITION D OT'r1E~ INTENDED'~~ ~VV\rtKM l J NATURE OFWOR..X PROPOSED~ ~ ~ COUNCIL DISTRlcr: SQUARE FOOTAGE: Dwelling: Gange: Deda~ For De llrlment Use OnI :~:::tiNWAtU~;'TIONMtr1@ t;n~f!'AN;R.E'ltlEW;F"cltW; ::rm@*P-Et.~mF..EEEi&;{ tm@sURarARGESMtti :WllNTOTA.bF.EES;~,f::tW s /)'-"'0 s S ENERGY: 550.00 5 I :::> v STATE: $4.5a .00 Applictions 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 rerurned 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 req~t by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew- action on an application after expiration, the applicant shall resubmic plans and pay a new plan review fee. I hereby certifY that the ab1'!formation is correct to the best of my knowledge. APPLI~T'S SIGNATURE:Y~ .. DATE; - - , \ '., ~> - I" , /"-., , ) '.. , ..::::.;; " ,.", . ," ". "v' , .'"" , " : /- ,'~ '"..." " ~', _I,CITY OF:BREMERION · 23~ 4th Street ,. B~merton, ~A 9~37 / . ~d.j , ",' , " ',? \ " '.,.ffi ' ~f1p.t ~I T~'" V' , ; 'a). 17f': , - j ,'~O ~ fr" iJ"J&;~ , , ; ,'. '.; , "1~~' ~ ~ ~; . ' ' " BREMERTON BUILDING DEP A,R:rMENT 5 v.\.t- 1",; \1'''-:', V~ '.' ' '," /JiJl':, /Jv'" ..4,.)lf , Septe~ber 27~ 1995 ' If.~ v 1 li r~ r:~~~~;::~; , .,' ~ltP ~~~,fV ~~jli 1>:0. B~x 4163 . , "Jj ,,' rP" ~;~ ' ~" " Bremmon, WA 98310 lW~-f"",~'JYr~Vi~ .... ...... Re ,,' Appli~atioir"I95AP08943 ..... '(:prr.. 01l~ l(.~, .... ..'........ ,Ml~..iurth<]frOvieww~ fi~dyour application to beiirco~pletoW~ req~ir<t~fol~n~" '.' '.'" . addItIonal informatIon:' ,; ", ' ' " , ' ' . " , ,t1"; , ' " .' t. ' " , , " ' '. ~,' ~ , > "1'< , . ' 'J" . ~ ' . , ; , ,Provide eQgi~eeri~ stamp for lintel over proposed, do~r openi~g',. ti,,~aP' &~ " . '" ,:p~ ~~ ~, dA.<:!itZzr!r --- . ~_ frH4' ",:p~. For further information, please contact Janef Lunceford at (360)478-5275. ,"UIP ' , l-> ' l, '_.' , . /' \ . ""'>1/?W:r-lF')-gU>OFr~, ' ".' '. ' '~ \~- " ' " -"'~"," " .,., ' ,,~:, '" '" " . '. ,- "1 ,. . ~. ..~~l' ,~~ . , . . i~""'~ " \t)', \j ~ .', SJJ~; '.' ., I . ',.!,' '<,"\1 \-' ' ,,'~ , . ,~\;J : , 'J; e , " ,T I '.,- '.1 ,'." , , .. . dt" . ".~'," ",. .J," '-{3,'," ",,'" :"::'~"~~,I, . 6;~~~rL~:f~~~:niiy bcyet1;oint.. ,~~ ;'-' ,"~ -, .'; \,' ,i DLPlbk ,,' " ' '~ " '-; " \", , ,- --.. , ~ r!t/ " fiAA,A' '0 \,' /'_ L," 1,1'" ;.1 , ! " ". " , { I '1 ,', "..-- ., J , J ,"" " " , · Celebrating 50 Years of rreedom ., ,:! . I . ,'. ,I: . CITY OF- BREMERfON · 239 4th Street · Bremerton, WA 98337 BREMERTON BUILDING DEPARTMENT Paul Hoskinson Labor Services P.O. Box 4163 Bremerto~ W A 98310 Re: Application #95AP08943 September 27, 1995- 11/115 S After further review we find your application to be incomplete. We require the following additional infonnation: Provide engineer's stamp for lintel over proposed door opening. "t~~~~~ For furthe; ~rmatio~ please contact Janet Lunceford at (360)478-5275, ~~.~~ Director of Community Developm nt . DLPIbk / 9J~~~~ \ \\\ '\ ~ ~~i I, \~ , JJ J~\Y ~ ~~~., · Celebrating 50 Years of Freedom · , J' ! ! ..-.:...... , ~. - - " ~ B U I L DIN G E~P A R If M E N ~ ,,' T.: ;'0 N ~ REM E R TON D . PERM 1 T APPIIICAT , " , , =a~======~~~==========;~=~~~=:======:===g===~====*~====~~=~====.====~'~' Application Date, I s:sue Date' Assessor .Acct, Site Location Owner- '"'La$t Name - street - City .. Phone Tena.nt's, Name Agentt,g Name Arehitedt's Name (X.lBuilding [ ] Mechanical f ]E>lVlmbinq 09/26/1995 Appl icat,ion Number 95AP08943 Permi tN).unber projectproup 2600 BURWELL HOSKtNSON' 803 W GARFIELD SEATTLE (360) 3'17-7103 Fi rat:OWElt State WA :~ip ~8122 Pl1one( 2(6) P:bone( 2(6) , Nl ", r J Grading [ J sign. '" [ ] Paving b ] Move Building [ ] Burning r J Und-erground ] Mobile Home [ J Land Clep:r [ J Demolition , '. , ' , " ' ~. ~'--~'~~--~._---~-------------~-~----~-----~-~~----~-----'--~-----~-.-~-- 'Building Contraotor: Cont,tactor street City Phone Representative' state L,icense # City License # , ' ~ 'c.~~ ""~..;"..~~,>.,,"'^ l.1\J!~OR SRR" ICES, P.O. BOX 4163 BREMER TON (2(6) 377-710S HOSKINSON PAUL LABORSI143CQ INC. " St.ate WA Zi.p., 98310 Ex~iration Date 02/15/199~ Expiration Date Jsture ,of Wbrk: , '. . '., ' , ,install a' door at parking lot - mise interior~mproveme:ntrfb"d '~l ~ ~m'~U1~~c-~ ~ k 6~~~ ~ ,',' ~ \'1e"'~,'L (1 ~~ ," ~~'1n-" '\~rzr-' ~ M ~.~~ ,,/-J ,e,.-ec ' r~~ ,\~''''\~~~, ~I l fV', f\J)v~v-...-\=3 ~.~s~' me. ~~," ," , ~\ot. ,~"~, sr~lCr ~6~-s ,~[l~J 1d--4-QS@ '()BU11dJ.ug Val uation ,$7500.00 ' 'U /,- , ", --_._------~--~~---_.,-------.-~-~-----~------------~----~---~----~----~-' ,(}-t l' ,C{,Hln~ i 1 nifJ t r i ct , , t0v.AJ ,',' , , ~~l O,~,,', ,,",' Con~tr"nC!tion ' (\0 ~ " Type ~,u~~", ", , ' "f .--c.{Rt?j,sidence ,[ J , ,,"13'~siness (X] Oth~r [] New . ( J Repair [J N.~model [~) Addition [] .,--.... --- - - ~ _...-=\\:;~ ~- - ..--- - -~ -- -. '\'i\ 7 Census Tract Sq Feet . <l(' Inspeotions R4&quirad Zoning Type, Foundation' Framing " Insul ation plumbinq Mechanical Wallboard Final, [ J (X] ( J r ']." r J [ J (Xl status Code , ~~'~, ',"" 12 , ' ~ =~=:=====~=~======~==~=======~===:==~~~=~ , !-~, *~~l~f # 0&9259 iREMti:R'fON B U 1 t U 1 N G D re PAR ! H~ . 1 ,'.' i' tell Ol, B% * this II!; lWt 'A Fermi t "* .. : " I "'..-' ..'O#-....~-...' ""'-'""""""_'+"'-' _ "'" "'~.""'''''''''''''''' ""~'r""""'>""~__""~r _,",,"""'" _.,-.'-~..........' ___...... ..."'.,-....- ~.. '" ..~..,..,....... "'.." __,..",.....,.-....s,. ................-...--''''~, __ .....__. B-uHdifi9 62-322, lOtH MechMic~l S2-322 .ltI05 Plumbing 62<122.1003 St~)rr. Adapter 34-.%,g.1@O ,t>~nlU.t 100s il~}unt Paid Plan Check Fees Amotlnt flaid S 99,(lfJ $ 99.fJO $ 64.S5 $ 37,00 $ ,(Hi other hes $ .1)1) Zoning j<!f1er. $ 37.0.0 Recei:ved l"rOlll ~ l.abor ~!lrvf~l') $ 136.00 ~=~e=~~n~=C=~:~=7~~==.: $ Uf.,OQ $ 11.311 S 14.~ $ .00 2~:~~~==Z=;~~=~:;r~==== $ 78.b5 $ 14.30 f,f.-345.83M G-en Pa,ymoot $ Li\\) Other Feecs $ ,00 City Bur-ChargeS 5.00 21-,312. H}O~ '\ Stah sIc $ 4.~O 1)43-231,13 z::;~::!.:'~z=~ 'r'otal ll'e~$ $ 224.15 Amount l'lirl $ 159.80 Prior Payment $ 61,35 ~~~;:~::::i::: B~ lance Due $ . no {)n frli\ll!l ij9G Fer i95A.l'Q29B ""-....-..-,..-........,"'"".,'.......,....~,,.'" ".l_.,-........'"!..........'"'.~".,....<",...._",_....,""'___'"""'_..-,.......!_~~ ,....,~,.,.....,.,....-_'-"--.._.~~"-.~....-.. ~ "\" ",','._"'- . B REM E R TON B U I r.. n I N G PER M I '1' DEPARTMENT ---"-~-_._-~----------~----------------------"------~"------~-~------ -~-------------~._------------~----------~---~----~-------~----------- Application Date 09/26/1995 Issue Date 02/01/1996 Assessor Acct # Site Location 2600 BURWELL OWner - Last Name HOSKINSON - street 803 W GARFIELD - City SEATTLE - Phone (360) 377-7103 Tenant's Name Agent's Name Architect's Name [X] Building [X] Mechanical [ ] Plumbing Application Number 95AP08943 Permit Number 16791 Project Group First OWEN MI state WA Zip 98122 Phone(206) Phone(206) [ J Grading [ ] Sign ( ] Move Building [] Burning [ ] Mobile Home [] Land Clear Building Contractor: Contractor street City Phone Representative state License ~ City License # ] Paving ] Underground J Demolition LABOR SERVICES, INC. P.O. BOX 4163 BREMERTON (206) 377-7103 state WA Zip 98310 HOSKINSON PAUL LABORSI143CQ Expiration Date 02/15/1996 Expiration Date Nature of Work: install 8' door at parking lot - misc interior improvements Building Valuation . $7500.00 Council District 7 Construction Type Census Tract . "'1:', Sq Feet Inspections Required Residence [ ] Zoning Foundation [ ] Business (Xl Ty~e Framing [Xl Other [ ] \ lnsulation [ ] New ( ] Plumbing [J Repair' [] status Mechanical [X] Remodel [X] Code Wallhoard [ 1 Addition [J 12 Final [X] :::E~Yfb:~:::::::::~~~::~:::::::j; ~\'f ",,_,I', \f,,<l,,"', 1 ~~~, ~ l., """"',., ; fr'\"*-.....'.. """, { ''t ! "'it.; ~ ~;~" ' ~~r~~ ~'4\~' ",r" '5 " "'~_w....~,.,.If" . B REM E R TON B 0 I L DIN G D E PAR T;M'E N T M E C H A N I C ALP E R M I TAP P LIe A T ION ==~==:===========:==============~=========~===============~=:===:==== Application Number 95AP08943 Contractor street City Phone Representative State License # City License # LABOR SERVICES, INC. P.O. BOX 4163 BREMERTON (206) 371-7103 state WA Zip 98310 HOSKINSON PAUL 'LABORSI143CQ Expiration Date 02/15/1996 Expiration Date stoves Fire place Inserts Furnaces Conversion Burners Unit Heater Boilers Gas System: Max 5 Outlets' Evaporation Coolers Air Conditioning Units 2 Heat Pumps Mixing or Re~Heat Box Air Handling Units Fans Range Hoods Clothes Dryers Incinerators Duct Alterations Tanks Refrigeration Units Other Items ==~===================:=====================:=========:===~======:=~= -, " BREMERTON B U I L DIN G I' DE PAR T~:E N T CON D 1 T r 0 N S o P PER M I T ~=================~===~=:=~============:=:=========:============:=~== Application Number 95AP08943 Permit Number 16791 --------~-----~-----------------------------------------------~---_.- Buildinq.-All mechanical work to be inspected by NREC inspector, as well as Buildipg Department. All improvements shall meet Washington state Barrier Free standards. All new signage requires separate permits. :::: =:::::: =:: = = = = -: = = = = = = = =::::: = == = = = = =:: =;::::::.::::::::.:: ==: = =::: = = = == =:'=::: = = = = = = = = =:: = " "~~'c~:' ~~' i ,: ~~ ~ '3'}~' ~~~ :~,~ ~. t:..; , ";;"1' }~ ~;:' - r ,~ '1'" BRBMllRI'ON BmLDING,DEPAR'I'MENT Inspecdon Report improvements Scope ofwork:Insta11 8' door, mise interior Pennit Nunaher: Address: BURWElL, 260b OWner: H()~KTN~ON lMFN Contractor: LABOR SERVICES COMMENTS: >- 16791 ..laolle: (,60) 377-7103 Plaolle: FOUNDATION Hable) FOOTINGS APPROVED: WAllS APPROVED: COMMENTS: (le cIearan<Je to earth Hoe uiftd 10' APPROVED: COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAll INSUlATION APPROVED: CEILING INSUlATION APPROVED: MECIlANlCAL ....coated ' hartI1 COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHERAPPUANCES APPROVED: COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED 8B..ti1S'1'.OCK P P p P COMMENTS: SHEETROCK APPROVED: aired aired COMMENTS: FINAL APPROVED: l\";"; Project Info Project Address ''ZUD(f;> E u 12,.t.V!;:i..-L.- Date '"z1lt/Cf,b ~HoZ;Je0 For Building Department Use " Applicant Name: +t 0 <G ILl 0 60 to -$ Ac:;;.50 c:. l Applicant AddresS:z.f"O 'z. g viLWG: LL- Applicant Phone: "377 ,,,;,,103 Project Description Briefly describe mechaniccil system i. type and features, <$A~ FIIL:ze;.P H V A C- J " OtJ €' G' -\'o tV t.J ',oiV&.' 4-IO~ \IN ~o~ M DU 1\.fjC..r::::::> , . ~ Compliance Option ISI ~imple System. ' Clc Complex System D Systems Analysis (See Decision FloWchart (over) for qualifications) Equipment Schedules The following information is r:equired to be .incorporate<;! with the mechanical equipment schedules on the , plans: For projects Without plans, fill In the. required information below. . , . ~. ',',: .' Cooling Eq~ipmertt SChedUle " .. ," . -, Equip. .. OSA CFM SEER n 10 Brand Name' " . MooeINo.' ..~.capacit'/ Total CFM .. -Econo or EER IPLyJ Location .. <>'i;,: ,':.', . ::>>,' ~:,., ')~:' '> " " . ,~c ..'e.. " ., : " .'"c , -- , '-,<, , '.. " .. ; , '- " .. 'i' J.,e. N ~o fC. '~GP />Jp.y) I~ ',' ~No.' , 4 c.$)c....611 - ? 6 G,S i t..b:?l-16 , ofZ'-1{::) ti I (p M ~ b b 'Total cFM "$ 'a~ ~ e Input Btuh '-i'~' :;J , t>Ct? 1-5,600 .. output Btuh JO.&,P'DO ~ c-oo Brand Name', . LtlVrvO?< ~8~.. }ooQp iJ-Y,'- Fan Equipmeilt Schedule " ~~. " ..~,~~ ...~ ' -- ~,~ : > .~"':, ,- '-'-'.' " ~. ,...... ... Equip, Brand Name' 10 Model No," CFM .SP' HPfBHP FloW Control5' "Location of Service " : .. " , , 'If available, 2 As tested accordinQ to Table 14.1. 14-2 or 14-3, ,3 If reqUIred. · COP, HSPF, Combustion Efficiency, 'or AFUE, as applicable, 5 Flow control types: VAV, constant volume: or ,variable speed, ( ::1557 P03 -4, r"' {' -:0' ~ ; DEe -15- '95 F~: I 10: 17 I D : -~, I LUERDHLE P~!_;f'1B I r~G TEL ~jO: 2813-1392-1867 ~, .... ~ \:. "" -~ ~ ":t1rJ 1:l[I'-!""l'll'TiJflll!rS;;'Ir;fJ."jlllf~mrnl'l.. - . ....... 1 GCS16-61,-,25 GCS16.513-125 126.000 95 000 112,500 85,000 18.3% 78.S% 7!).0% 75mb m ~o x 25 )( 1 lDOI'o'uretllllnlal 550 I ~90 530 I 560 660 I 710 T 590, 620 208!23Ov _ 60 hz - 1 or 3 ohase or ~ eo hz. - 3 ohase LB-62Q90DB ' LB-62:090DD I LB~B LB'62090DD L8,82199CC OAP16.65 112 lb.,) 6 x 11 x 1 18H70 (1/2"1 RMF16-41 176 lbs.! Or RMF16-e5 (86 Ibs,) REMD16-66 166 Ibs.l REM016M-66 16e lba.1 .(11 2O/C25lt. 1 (1} 16 X 25 x 1 (aluminum mesh) EMOH16.65 1130 IbS,) EMDH16M-66 (130 lbll.) (1116 x 26)( 1 6t (1114 X 25 x 1 (flberRlallS) (1\ 8 x 28 x 1 laluml"\Im meshl GEDH16-65 14 lbs.' Use with EMbH16 RTD9--65 (67 !ba.) F09-aS (37 Ibs.) SRT16'66 (20 IbI.1 Elec:tro,Mllohanical Tllermost.t Controls W973 Controls W7400 Controls Plo-slat Thermostat Controls T7300 Thermoetat Control, 23H14 Furnished and Factorv lnstalllild Mod&1 NQ, ~ ( GCS18-511,76 GCS1Mi13'15 He/Hina cilDaclty Ioout (Btuhl Naturel G<l5 Heat'''Q CIilD8citlt O\.ItDI,n (I!tuhl - Niltur31 Ges Healina caoacltv inout [Bluhl "LPG He",tina eaolcltv outout IBtl,lhl - ..LPG Nl!ltural Ges "LPG Naturel Gas Callfornie Seasonal Efficiency '.LPG it AAI St\lndilrd 270SRN (belsl . A~I Total cooling cllDiCTtY {Btvhl Stlmdard T0181 unit watts 210/;140 SEER IBtuh/Wattsl Ratings E'ER (Btuh/Wettsl - Refrigerant IR.22.1 charge Evaporetor ~Iower wheel nominal diameter l( width lill,) Blower Motor hor'SeDower Net fe08 arelllllQ. ft.! E:vilporator Tube cllIm, (in.) & number of rows , Coil Fi~ eer Inch Net face IOuter coli COf\denser area (SQ. tt,) nnllef coil Coli Tl,Ibe dI8m. (in.) & number 01 rOWl! FIns per Il'Ieh ~ Dlemeler lin, I & number of tlades Condenser AIr volume (cfm' Fan Motor horseoower Motor wattt Gila Suoo" Connection fot lin.) ~ Naturel & "LPG Reeommendl!ld Gas I Naturel Sunolv Pressure (we. In,) I"LPG Condllnsete drain .IZIJ mot lin.l Number end slJe of fHts" (In,) Nel welQtlt of basic unit Hbs.l Shipping welaht of besle unit lIbt;,) 1 pack,ae EleetricllI charact8l'18tiCIiI 160 ht} O'OptlonallPG conversion !tit Ootional Con<lens8l' Coil GuardS Optional Outdoor Air Dampers (Manual) - (Net Weight\ filte< media site (In,) OotiOl'lS' Aoof Cl,lrb Power Entrv Kit [conO\,lit &iz.el Optional Roof Mounting Frame - INsl Walghtl Optional Model 13 DQ$ition INlt Weiahtl Economizer Oempera No. I Mod<ilatino (Net Waiaht) with Number ,md size Ilndoor Gravity Ex.,Sust of f~ters (in, I 'Outdoor Optionel Model 13 oositiOI1 (Ne! Weight) Ilorizontitl No, fModvl\lting (Net Weight) Economizer Number and site (Indoor Demoe11l _ of flltera On.l IOutdoot\ Optional Gr8vRVE~eust Dar'l'\DerS - (Net Weight)' ' Optlon,1 Ceiling Supply ,md Steo'oown Return Air Oiffueers Flush" (Net Welchll Trllnsition 'O!,~ 58 000 67 500 52,000 18,4% 79,9% 72,7% 73,7% tA,F,U,E, 8,2 46.500 4890 10,35 9.5 6 tbs. 0 01. 11-1/2 x 9 3i4 1;,3 3/8 - 2 15 14.3 5,9 3/8 - 1.4 20 24 - 4 368Q 1/4 340 1/2 7 11 3/4 Optional Controls Selection Oplional Down-flc Units Commercia! Controls Bo)! 1 t tCommercla1 ContlVhl Platform ~ ..... GCS1&-661,]5 GCS1&-663-7S GCS18-651. j:2fi OCS '6,6053,126 125,000 95,000 112.500 85,000 78,3% 78.5% 75.1)% 75.0% --/ 58,000 67,600 52,000 78.4 % 78.4 % 72,7% 72.3% 8.2 58,500 6570 10.00 8,90 7 !bs. 0 oz, 1I-112x9 3;4 6,2 3/8 - 2 15 14,3 13.7 3/B - 2 20 24 - 4 3nO 1/4 360 1/2 7 11 3/4 J tAM\JIII Fuel UtllizatlOn Efflclencv based (In DOE te$l ;rocedulVS o"ld FTC le\:>9I'''9 regulations, . Sound 118MQ NI.Imber In atC(I,dance with ARl S~and.;d 270, OReted In .ceordance wlth ARI Standard 210/240 sr.o :J0li; 950F outdoor ~r temperatllre end I[)op dtl/670F wb el'lterlng ewpO'lIlor air, o oFor l..PG ......\1:1 II field ch8l'\"eo.,er kit \s reQllired end nl\J$t be ordered exit.. t'1F\""i$hed 8! atandard, CQriSlata of: fector;- Il'\alBlled CQfltrOllayatern end economizer_witlng ~ar"e", : h'.iloor Inter II no! f\,lmlalled with ecOo'l(l1\'llfer. REM01e utlHZIIII exit-ling 7'1t fllrnl~t(I with GCS16 unit T - 73DD 1"-JE:'.I2.,..."oS\AT' '-0 6~ DeAoBL\,-.l.C) _1"- ~ '7 DA IrJ f';LVtbt2AMABl..E... UIG7K} 5E-fgibC-~ f ':0 1994 Washington State Nonresidential Energy.Code Compliance -Form .,~ll'''. . -. I...~ , ' .- ..,.' . ,1'~ W~Shlngton Stale Energy Code Co~p"ance Forms , ' ,', ' ' ,Ap"I, 1994 Project Address Date The following information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the Washington State Nonresidential Energy Code, Applicability Code , Location .Building DePartment circle one) I Section Component' Information Required on Plans ' , Notes- I......... II ~ (Sections 1j ,O1-1424} 1411 '. EQpmtpertormance yes no n.ii, 1411.4 Pka. elec. hta,& cia, List heat pumos on schedule < ~no n,a. .1'411.1 Minim\Jm efficiency EQUipment schedule with type, capaCrtV. efficiency "Tf.b ',1412 HV~Ccontrols , ROO n. a. , 1412.1 . T emoerature zones Indicate lQcatioiJs on plans ~I ~' ~ no n. a: 1412.2 DeadbBnd control Indicate 5 -decree deadband minimum Aj(trr' ._- es no CI'i.'lt; 1412.3 Humiditv control , Indicate humidistat --c- , ~no n.a. 1412.4 Automatic setback Indicate thermostat witt:l niQht'settiack and? differentdavtVPes ( ~oo n,a. 1412.4.1 Damoers Indicate.damoer location and automatic controls ~1k"\ ' es no (n1t 1412.5 Heat pump control " IndiCate microprocessor on thermostat schedule , no ,tf.ii: 1412,6 Combustion htQ, Indicate modulatinQ orstaQed control no l'1,a. 1412,7 Balancina Indicate balaneinQ features on plans ~lrr\ ., irno'~ 1422,. Thetmostat interlock Indicate thermostat interlock on plans no n,a, "..1423 Economiz,ers ' ' , EQuipment schedule , . , .. 1413 ' Air economIZers ,'" ~no n.a: ;14131 Oi:leraoon Indicate 1 00% Capabllitv on schedule , " 144-rr' I . ~ no ,n.a. 1413,2. Contr,ol ,.'" Indicate controls able to, evaluate outside air " . "'-;> 1;:!:>(...., '';". ~' , I-(J.ti" 1" .' ~";. ./~ .....: ~ " , yes' no G:Ut, 1413,3 Intearated oPeration Indicate capabilitY for partial cooling , ' ",.,' ,-,~:: -., ~ .' .< .- ,'~n . .'~ ," -'-"'1414:' Ductina sYStems ,........ " . --' , ' ano~ .a 14141 Duct sealing 04'"",- Indicate sealinQ necessary " ,.' '.,' 'x, " ," no<: ',14142 Duct Insulation " '.~~ .~ IndicateR-value of insulation on duct 0 Yes 'no 1415.1' PiPina insulation Indicate R-Value of insulation on DIclna , . ' ' , - - .--v ",t;.,J,- . - " ," ~r: " yes '00 l n, ,.,,,,1424,. , Separate air svs.. ' . " Indicate seoarate systems on plans ~'- ~ ",t' f,!, 7_:~"';'- {., ~1lO ,,;,~,' ,>,;':-' Mach. Sum. FOrm ,_ Completed and attached. Equipment schedl.lle WIth types.~,,:,.~i' , - ~ -'< ',....~':. ~~~' 7;,.;,' . , ~ , '. ',...~,.#~ inP4t/outilut. efficiency, ctin, hP: economizer ,0 0 -;;,;~""':l ,,;: ". " ' , ',' " ~'" '.: .' .."',, '" .- ..' rvAIt:K 1t:A IINu AND Me I'" ell POOl ~ (sections mo:.1454T i , " ,01440 Service water htQ, ,; .... , ~ " . ~'" ~ t, yes 'no n:a, '",1441 Elec:water heater Indicate R-10 insulation under tank 0 ... ' ,.' j>; ,\~ . " ..,:ir';, " , yes 'no"n. a. - "'1442 .-' Shut-off controls ' ~:'$..~ Indicate automatIC shut'-Off ': . "~ ~ -',,-^ 1450, Heated pOOlS -- '.. " , ." ,'4 " lyes no n,a. " 1452 Pool waterhe~ers 0 0 ; Indicate not' etectricresrstarice . , " " yes no n.a. 1453 ," Pool heater controls" Indicate swrtchiind 65 dearee control , " yes no, n.a. 1454 . Pool covers Indicate vapot retardant cover ; yes no 'n.a. 001454 Pools 90+ degrees ' . Indicate R-12 pool cover ' , If "no'" IS, circled for an uestlon, rovide eXllanatlon: ; ,.J .:,'"" yq p p :-.,;'1' ~" I~"" --, -~!,-,~"- ...... " ;::~;.. . <, \, /' 01i01/1995 22:35 13604780339 I HO~;f< I NSm ~ AND ASS!]C PAGE 01 . . ~ , , , , , , I : , " , , " " :i ;:~,,)' 'i v' I] I " ;1 " I I ~) Lv~~ls /..vie - . 7& 5?? &18 - t%:Si O~~fI. ---- "I .-- rAI- I " bLA>h -r?lo<:Jc -- / / ~ ~ X ~~ e U V twL =- ,0~ r!h II P L - e.. f~ s~k I 6 -{... \~' lQ. UV~ ILi6 ~ '"T'U>~'% I UV~ 'Z. "-$ cl '; I ,i ! I 'I :i ! i , :1 :1 7- II () vi~ Jk,~~ nl (~L -' S, k, z.~ - z(-', 1.-- '/ 12-1 ( 0 v rt fl tt 0 LJ J h L . Sv ~_ z""ot/ t?n ~ FT 1...-,:t 1100 '7Q'I'IAt'~l1ut-r --z:::- W/I-:;P;.tO -- .. .. :1 L. ........ \~ ~"-\V~ - - 1.,1. I~ CA,Jo\-1'r f{~ ,,/1? 'S '7 - ~ )~;~ ~ /t"~f^"~O ~ - ~ '~&fl~ 5 - ""I"v.)~.~r- C1Z.~ ~ rI - 19~f'/~- ""~I '\,~.e.:p IS .. rA r ~ ll.,.O ~ ~llC I 20 C)4.IG;. ZlJO(/ ~' I I f60 1~lli , 0 f.:)I2../ G:> " ~ <!:IlLl C, Z,(,oo 'z./., () '- '- 1Z.c. fl,..Jt-q;;o I ~ 3e; . ,~~<--.. I I I I 'I !I , i ...,D LeS::> -P-;MI\J lDO?" ~~ pj..,.ot?~ _ c:::~ \, ~." " lX' ; . -r -;-','. t"\'>h"~\{\{'\,.(tl:,, .{:'-,:':~". . A" ":''';' .t::",...,:: <~, ,!, '. \: ~~:s.,' "1<~\, \~;, "':f \,.....7.~. - \ .....\ -. \,,:.....t 'I'" ",,' "',,',', '~ . ' . '~-"'- \,\>- \ , ' , '-"\ ':\.,',.\ , ~'c:\.\,. , ,,(.\. .cC.,\\-:':,,"i. ' f"',\':;.t "'t'<~' ,;.\ Y n\'O'V,' ' , .".\ {) ':,'.';\\:>: ' 0\...1' >,\\,'\ ",' "\:i~<(:,' 'l;," '-;--i'-' "'.', """. ' .;,," .' , ';",' . "',',. ",1 r %G\~' ,. .":~:;;:'.,,' ',C , u\.) ~t '0 ';G:-\ (~~ ~): .'~;'..... ',~-\,. "~'~"t/\tV .. '~'~'~'~'l:.~~'.'",,',t'~""""'O, ~'~"" '1.~~ :..-.' ~t ~~i).,.~. ~::';I ',~., " ;,)', ~ ^ ,.i,- '1:' \ . ~' ~ :: ! ' "(,j" ' "" I' "':,' ,_', ~ ..."f~' "f ; .(~, "".~" ,..} .,,' CERTIFICATE OF OCCUPANCY'> ,,'-. '~ '~ i ~ CITY OF BREMERTON BUILDING DEPARTMENT ff~~~w located at 2600 Burwell St. f!JJ~J O)f~ ~,UudEk~nzoybe~uUtIt~~o/~ ~ ~o/dte ~o/f!JJ~a4~~ Laura's Variety & Video Store TYPE TYPE OCCUPANCY CONSTRUCTION OCCUPANCY LOAD VN ' B 2 49 9lJaIe: 4/3/87 COMMON USE Retail Sales/Video Rentals (!JfIidaI This certificate must be posted and permanently maintained in a conspicuous place. Permit No. na . , '/.. ~.-o I c.P't"t;~ ~.t)~ , - ;;'--":-;...-0 . . J /1; ;6 R . N f3:'/ 7"~ Fee ......................~..!!f.................._...u.u.................. ece1pt o. ..."".u.uL.m........__m.....m..............u..... ... ; --:_ -, "'A N9 45349 B U I L D I H G P ER M I T CITY OF BREMERTON BUILDING DEPARTMENT / F. E, IRISH, Building Inspector . ESsex 3-1411, Ext. 36 Owner's Value I Bldg, Dept. $ 51)1) Value DESCRIPTION: Lot Block Additions Address on Job _..:26 f1tL __.. d~..f;~".;,<:t{..m_ __ __ _.. ____ __ m'__ _ __ n. _ __.__ n_" _ __.._ __._. n_ __ . Date n_'_ ._~ ~:t!?~.--::'_ m_. .m._m Building m.m__m_.__ x .n_n...n_____ and m__m___m__ stories _.____.__.n_.._m_____ basement. Lot _mm._n_m_ x __.__mm_.._. Front Yard mmm__m.__n_.m Rear Yard _m____n______m_m_ Side Yard ....___n.n__._m_..__ Garage m._mm_m______._______. OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone m_.__.___m__.__m__m__mn_.n_m Owner __~~~_f5{Jd(c'..~_ ~_;kd<. _~&dfd...,,~._: n_ n__._ __..._:...._ _ mm Address .m__ m __ __ __ _m __n on.... _ n __ _'_ n' n _ Phone __ ____ ___ .... ..._ , .. / , Contractor ~a.,..!_~[/__,A:&:_~0Y_l..n____..nn._...._.__.___ Address m._________________mm__________n_..n Phone n_____...n__m This permi~ is issued for: /' (.__d.d_~"~e_4.Le._.__._~:<!L._~_._.___L_L&_d'~L,.'U..4..k.E/_.::__.l9.d:~-:2C:.~__._.__._______.________..______.___.._.._._____________._._______..____ ~_ _. _ L_1:.Ld.-&."r. (' "'~__ ___._ _" _.. __. __ ____. __._ __ .__.._ _'_ .___.... _ .._ _ ___ ______ _ __ .__ __~._ __ __ __ .._ _. __ _ _ __ _._ _ .__ _ _ __. _.' ____ __ __......._._._ _ ..______ ___. ._____.._. All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. AIl plumbing, wiring and the frame of all buildings must be inspected and approved before covering. WO<KJ preservative to be used on all wood aga,inst masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - _.- - - - - - - - - - - - - - - - - - _.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - - - - - -- --.. - - - -- - - -- - - - - - - - -- --- - - - - - --- - - --- - -- -- --- --- -- - -- --- - - -- -- -- - - -- - - --- ---- - -- -- -- -- --- -- - - - - - - - -- - - -- - - -- - - - - - - - - --.. - --.. -- - -- -- --- - - - - - -- -- -- - - - -- - -- - - -- - --- -- -- - - --- ---- - ----- , , ,... _. _._..._ _.. _.. __ _ u __ _. __ _ u.. __. .__. _. __ '_' _ ._... _. _ _ __ _. ,__ _.h.... _ _'_ __ .___ ._... _ _.. _... _ _ _....... _ __ _. _f..... _.... _....' _ _._. _ _ _ _ _...:_ _ _. _ _ _._ __.. _ ___ _ _._ _ ___ ____ ___ --- /\ ~ 1"_ F Owner's Signarure_(~::G-=':-7' Umn_m.m. By .-c;f/U-f.~Hf;-~{(~n~-.m-..--.u- 4</ tL' Building Inspector _..\_m.-...&....L.....!':~4/.:.__.__u..__..u.n. .m._u_m. .nm_.u_._uu By ____.. _ _. _..__. __..eA __ ~.. __ _ __ __ _ __ _. _ _ _n _ n__ ____ ____.._ .__.__ _' n.... _______.. ~DF ,~....'" ..' ,., , '. .,.~... '... , ''I'"",~...~-. 1 _~_ ~__A__5_6_7__~+lQ _11. 12 13 14 HL.jL.n_~WS_210 21 22_~2~_~L~_2rL2~_2lL__3Q...J1.32 1 . ~<.. . r. ~I tl -I ! 5' 0 ~ c 7 -=j _I J '1 101 I 11 t.. f /' 1.2 . .~ /'0. ..-" _ )1---- ' f (/ It" j 71 J J, ~~j - "-" - "" __ P\./ ,--, J f;:{2{fl 1 J o~iJ: -t- I.~ .~I-- .5/ , '. \ , ~1 ',.' , ~Pt t I j , j I 1 : :J i~g - i-- I , if) :;: 2?- 2 ?,{ ~ I 28 ---i -- I 27 281 2,- sd-- ,V~~~l~ 7~1~~D /~~.~~~/iL~~'hlt . ,7"'!I / A I e a_v /.') 'iil:'" {I'-I~ J ~~. I ........ icfjl""'" ""- - "-F ~- ,-, ;::; I " j()rp "11 ~J-b; ~~'f2~ /"'. w' . J IV - tJ j ~ )_ ./ ' ..I----~---l ~+-- L...-"f "7) -1;..1. . ,.. '- J ,~-=~ ( I}~~tt/~_ c.!' "1_ _ &;"t}'AV I _ "Y-t A1 € ~ ~_ - ---J I I 31 32, J '~! R( I Si5f ~J--- ,- I . :1'~1 E21-- -- 1----- - -- ---1-- o ~:I;' ~ (iY AIA- <-;~~J ; . d1 L/ J' <~- ---- " --- --- - - .. i j---- -,-~- '" i 3~i__ _ ~J .) ~ 1 : ,: = 1 -- 'lll~F r J--+ ~V-:;VL) -- ~I--- ,__ _'<__ - __ 1-_ ,- -- I~!n -'6-PJ !, , I -, .-- -1 , , - .......-.--',...jj e e Nt} 42548 ?f' :) ~ h'1 } , '. . -' ~y Fee $m_uu'_____~,<:::'~~~'um____'u_m___h______h___muu. Receipt No. h___~__;;!~~u:~_~__hUh"uu_uumumh'U< t-> ~.,/ ,8 U I L DIN G PER M I T CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext, 36 ,~.--- Owner's Value Bldg. Dept. ( ......!-t a $ '7~ ~~S -- Value I DESCRIPTION: ,Lot Block v../' Additions Address on Job -~-:>: ~L<? ).;". __ !~:~ :<,"(, ,,_ "",~":'R.. _, __ _ _ _ _ _ _ _ _, _ __ _ __ _ _ __ __. _. _ _ _ _ _ __ _ _ _ __ _ __ _ _ _ __ _ __ _ _ __ _ _ __ _ _ _ Date __:,:'s:_ ~ .i~':?. :____~-Z;J,: __ __ n __ _ __ ___ _ __ Building ________________ x ________________ and ________________ stories ________________________ basement. Lot ________________ x ________________ Front Yard ________________________ Rear Yard _________m____________ Side Yard ___.---------------_____ Garage ______________________________ Occupancy _ _ _ __ _ _ _ _ _ _ _ _ :c_ _ _ _ n _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ ____ _ __ _ _ _ __ _ _ __ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ _ Zone _n __ __, _ __ _ _ n _ ____ ___ _ _ __ _ _ __ h __ _ _ _ ____ Owner );-r'<'t~~,t::"':._,________f~'~{!?t~~(Jj~~,,;.,-::;:_"__,__________no"~ Address ____________________________________________ Phone ______________h_ , // ' Con tractor. _ ~~:;W~-_ L< -;~~'!'_-:~ __" _ d;';t~~;,--_~_ _ "~_ _ _ _,_ _ _ _ - - _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ Address _ __ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _, _ _ _ _ Phone _ _ _ _ _ _ _ _ _ _ _ _ __ _ n This permit is issued for: ,'. _ , =~~~~~~~;~~!~~~0~~~ All work to conform to all applicable building ordinances and amendments'. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB I NSPECTI'ON - Rein,foi'cing steel must be inspeded after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the halme- of all buildings must be inspec.ted and a1pproved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa.- rate permits requ'ired for plumbing, wiring and heating. See City Engineer before wocrking ocn streets or sidewalks. - -~ - -~ - -- - - -- - - - -- - -- -- - - - ~ -- -- -- ~ - - ~ - - -- - - ~ - - - -- - - -- - - - - - -.. -.. - -- - - --,.. - -- - ~ - - - - - -- - -- - - - - - - -- - - -- - - -- -- - -.;; - -- - - - - - - - - ~ - -- - - - ~ - - -- - - - - -.. -- - ~ -- - - -- -.. - - - - ~- - - -- - - -- - - -- - - -- -- --.. -- - - - - - - - - - - - - - ~ ~ - ~ - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - ~ - -.. ~ - ~ - - - - - - - - -.. - - - - - ":,- - - - - - - ~ - - - - - - - - - - - - - - - - - -- - - - - - - - ~ - - ~ - _ _ _ _ _ _ _ _ _ _ _ _ _ a _ _ _ _ ~ _.. _ _ _ _ ~ _ _ _ _ _ _ ~ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _.. ~ _ _ _ -: _ _ _ _ _ _ _ _ _ ~_ ___~_____________~_____________..__M__~_________~______~_..__________~____~____________________________~______..__~_~_____a______~____~______~______..____..____~_____~___~__________ ______~______________.._________M__~__~__..______~_____,.~--------____~___~______________________________~_____---------~------..-----..____~______..______________a_________________~ - - - - - -- --- -- -- - - - - - -- - - - - - - -- - - -- -- -- - --- -- - -- - ---- -- - - --- -.;; 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