HomeMy WebLinkAboutCALLOW AVE. N., 939
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER Brs@~i;;'~091_
DATE ISSUED: 03/3.Q!~lbb4i~~
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
3735-022-001-0009
M L FIELDS LLC
M L FIELDS LLC
TRI TEK SYSTEMS INC
SF-3
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
939 CALLOW
2177 LAKEHURST DR NW
2177 LAKEHURST DR NW
1421 SUNSET VISTA
SUBMITTED:
03/09/2004
APPROVED:
VALUATION:
$4,500.00
Fir'i\~it
'- '~I\ ' .., , \::l1,:
'''f'''l't?'tl~~.~ j__
Building Permit
Plan Review Fee
State Surcharge
$111.25 2211
$72.31 4580
$4.50 0236
INSTALL FIRE ALARM SYSTEM
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
TOTAL FEES:
'j-,'
'i.:
,.188,06
Square Footage:
Bid Price from Applicant
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
1 TOTAL
(360) 473-5380
(360) 337-5285
(360) 473.5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any State or localloaw 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 Contracto~s Registration Law
under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All 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.
m' including all conditions of zoning, building codes, and State and Federal laws.
~~ ~l1llVf
. CONDITIONS /1.-...-........
City of Bremerton's app, va of this application pertains only to the City's rejulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws. ' ;Jj;fj
1. Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and {pl/
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 m'ust
be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family
residences).
2. 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.
3. Fire protection systems must comply with UFC, NFPA, UBC and BMC standards.
4. Knox Box/Key Lock Box required to UFC and BMC standards.
5. Acceptance test required prior to activation of alarm.
6. Provide fire alarm system to NFPA 72 and sprinklers to NFPA 13 standards. Fire alarm shall have an annunciator
inside the entrance, horn strobe shall be provided on the outside of the building, above the Knox Box. All sprinkler
systems shall be monitored by UL listed central station.
7. Copies of fire ordinances and Bremerton Municipal Codes are available at the City's website,
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
&L)
~/
~\
Page 1 of 2
.'f~
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB04"OCl9:;'i5!'':'
m-"~' ~'"
DATE ISSUED: 03f3Pt~Oo4:.
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3735-022-001-0009 ZONING: SF-3 SITE ADDRESS: 939 CALLOW
APPLICANT NAME: M L FIELDS LLC PHONE: ADDRESS: 2177 LAKEHURST DR NW
OWNER NAME: M L FIELDS LLC PHONE: ADDRESS: 2177 LAKEHURST DR NW
CONTRACTOR: TRI TEK SYSTEMS INC PHONE: (360)373-8373 ADDRESS: 1421 SUNSET VISTA
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 03/09/2004 APPROVED: 03/29/2004 EXPIRATION: 09/26/2004
www.cLbremerton.wa.us.ToreachScottRappleye.caI360-478-5384 or e-mail atsrappleye@ci.bremerton.wa.us.
To reach Jim Hardy, call 360-478-5385 or e-mail atjhardy@ci.bremerton.wa.us.
8. Fire alarm system required and must meet NFPA 72 requirements.
9. Alarm system shall be pretested prior to scheduling an inspection. Pretest record shall be made available to Fire
Marshal at time of inspection.
wv
1iLL
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.
Final Inspection - Fire
Page 2 of 2
v-
I
March 7, 2004
Subject Site:
Building action:
Enclosures:
Assessor's ID:
Tri- Tek Systems
1421 SunsetVista-Bremerton, WA 98310 Phone/Fax 360.792.1212
Fire Alarm Plan Submittal
939 Building
939 Callow
Bremerton, W A
Remodel
fD)~~rgBW~Jn)
1n1 I1AR 0 9 2004 ~
BREMERTON
BUILDING DEPARiME~'"
Fire alann plan mark-ups and device specifications.
373502-2-001-0009
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Fire protection systems must comply
with UfC, NfPA, UBC, and 3MC
standards. Plan review required.
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Project Information
Project Name: 939 Callow
Prepared By: Eric Harder
Project 10: 0
Date: 3/7/2004
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Totals
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Project Information
Project Name: 939 Callow
Prepared By: Eric Harder
Project 10: 0
Date: 3/7/2004
System Sensor P241575 Horn/Strobe
S stem Sensor MOL Sync-Module
Unused
Unused
Totals
System Sensor P241575 Horn/Strobe
System Sensor MOL Sync-Module
System Sensor S241575 Strobe
Unused
System Sensor P241575 Horn/Strobe
System Sensor MOL Sync-Module
Unused
Unused
Zl TOP FLOOR SOUTH 0HEAT 0PULL 18-2 EOL
Z2 TOP FLOOR NORm 0HEAT 0SMOKE0pULL 18-2 EOL
Z3 TOP FLOOR WEST 0HEAT 0SMOKE0pULL 18-2 EOL
Z4 LOWER FLOOR EAST 0HEAT 0PULL 18-2 EOL
Z5 LOWER FLOOR WEST 0HEAT 0PULL 18-2 EOL
INDICATING
CIRCUIT 16-2 EOL
TYP. x 2
ANNUN 18-4
FACP TELCO 1 22-4
TELCO 2
SILENT KNIGHT 22-4
5208 120 VAC 14-2
939 (~.AL.LO"T
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[!!I HORNt3TROBE COMBO ~} MANUAL PULLST A TION
m STROBE INDICATING DEVICE
DEVICE LEGEND
Tri-Tek Systems
1421 Sunset Vista Bremerton. WA 98310
(360) 373-8373 (FAX) 360-792-1212
FIRE ALARM CONTROl PANEL
Model 5208
Fire Alarm Control Panel with
Digital Communicator
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The fire Alarm Control Designed to Grow with Your
Systems Needs, Without The Growing Pains.
The SK-5208 is a microprocessor based control panel with built-in UL listed communicator designed for
applications requiring smoke detection, manual pull stations, and sprinkler supervision. It features an easy to
. read LCD display with programmable English readout and user friendly tactile keys. The basic unit offers 10
zones of initiation and is expandable up to 30 zones for larger applications. The SK-5208 has a complete line of
supervised accessories that provide remote annunciation, auxiliary control zone expansion. Ideal for new and
retrofit applications, the SK-5208 delivers the performance to handle your installation.
Features .
. 10 zones, 8 Class B (Style B) and 2
Class A (Style D) or Class B (Style
B) zones, expandable to 30 zones
Supervised zone expanders and I/O
modules can be mounted remotely
from the main control panel
. Event History Buffer (150 events)
with date/timestamp
. All zones are compatible with 2- or
4-wire detectors
. 8 selectable/programmable output
patterns for notification appliance
circuits
. Built-in Digital Alarm Communicator
Transmitter (DACT)
. 4 Notification Appliance Circuits
4 programmable general purpose
relays
. Programmable smoke verification,
pre-alarm delay, cross zoning and
enhanced verification mode features
that can help minimize false alarms
. Programmable from the built-in
control panel touchpad, remote
annunciator, or Windows@
downloading software
. Direct connect port for on-site
up/down loading with Windows@
downloading software
. Built-in walk test feature
. Single or Dual Interlock water
releasing capability
Specifications
Operating
Voltage:
Primary AC:
Total DC Load:
Current Draw:
Standby:
Alarm:
Flush Mount
Dimensions:
Height:
Width:
Depth:
Overall
Dimensions:
Height:
Width:
Total Depth:
24 VDC
120 Vrms @
60Hz, 2A
6Amp
140 mA
460 mA
24.75" (62.9 em)
14.5" (36.8 cm)
3-7/16" (8.73 em)
with 5/8" protruding
26-3/8" (67 cm)
17-3/16" (43.66 cm)
4" (10.16 em)
Operating Temp: 320 to 1200 F
W to 490 C)
Optional Accessories
. SK-5235 LCD Remote Annunciator
. SK-5217 10 Zone Expander
(2 max. per system)
SK-5280 Status Display Module (8
max. per system)
. 7181 Fire Zone Converter
. 5220 Direct Connect Module
. SKSS Downloading Software
SK.5208
Listings and Approvals
. U L Listed
. CSFM Listed
. MEA approval 429-92-E Vol. XIlI
~ SILENT
KNIGHT
@
FIRE ALARIVl CONTROL PANEL
Model 5208
Fire Alarm Control Panel with Digital Communicator
Engineering Specification
The system shall contain a fire alarm control panel to supervise and operate heat and smoke detection devices,
manual fire alarm devices, alarm notification devices and visual annunciators. The system shall also be capable
of monitoring for sprinkler supervisory and water flow conditions. The system must have a built in UL listed fire
communicator that can be enabled/disabled as needed on a per job basis. In addition, the system will sound
alarms locally for purpose of evacuation.
6 Class B (Style 8)
Initiation Circuits
Telephone Line 2
Direct Connect
For On-Sitt::; Programming
Telephone line 1
2 Class A (Style D)
or Class B {Style B
Initiation Circuits
Programmable
Form C Relays
ToAC
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Appliance Circuits
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.; d. ;; ;';',:> t Annunciators
-+ 'SBUSD~~ices,
5280 and 5217
'-1 SILENT
KNIGHT
'"
7550 Meridian Circle, Maple Grove, MN 55369-4927
800-446-6444 or in Minnesota 763-493-6435
FAX: 763-493-6475
World Wide Web: http://www.silentknight.com
MADE IN AMERICA
FORM# 350318, Rev. 10/01
Copyright @ 2001 Silent Knight
~ FIRE AtARMEQUiPNI1:NT . .. .. .- ..
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Fire Alarm Pull Station
Break Glass Type
270. Series
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The 270 Series fire alarm pull station is for fire alarm installations in
! schools, hospitals, factories, and industrial locations.
1
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i Available in both open and closed circuit designs and has a tamper
proof reset function. The station's die cast body is painted red, with
painted silver stripes. For replacement glass rods, order Catalog No.
270-GLR (pkg. of20).
The 270 Series mounts on a 4" (1 02mm) square box with single
gang plaster cover. It may be surface mounted using the P-027193
cast back box or the P-039250 steel back box. For weatherproof
mounting, order the Catalog No. STI-3150.
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I @Copyright2002Edwards I .1 Ph: 203.'699.3300,1 Fx: 203,699,3108
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Fixed Temperature
Heat Detectors
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The 280B-PL Series heat detectors offer fixed temperature or com-
bination rate-of-rise and fixed temperature features. The heat detec-
tor is available with a white plastic reversible mounting plate. The
plastic plate can be used for either flush or surface mounting. It in-
cludes a white skirt which covers the space between detector base
and the mounting surface.
*NOTE: Maximum detector coverage has been determined by UL to
provide detection time equal to sprinkler devices spaced at 10ft
(3.05m) intervals on a smooth ceiling 15 feet 9 inches (4.8m) high.
Higher ceilings may adversely affect detection time. Earlier detec-
tion may be obtained by reducing the spacing between detectors.
(See NFPA 72, Chapter 5)
Detector twists and locks onto mounting plate. Mounting plate may
be surface mounted or mounted onto any 3 1/4" (83mm) or 4"
(1 02mm) octagon box.
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Ph. 203.699.3300 I F~: 203.699.3108 I 5 I G N A L I N G
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Surface Mount
Flush Mount
Skirt Mount
5" dia, Wire entrance ,-- - - -i-- --Tn--"
t~:z~'""POP" i : :
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I -;:;;;- I mounting 3 7/16
- - Reversible 5" DI~ plate (87mm)
(127mm) I
plastic !
mounting plate Flush mounting
(supplied) uSing 3 1/2" or 4" octagonal Mounting using
1 1/2" deep electrical outlet box 6253 skirt (not sUpplied)
(not supplied) with 3 1/2" or 4" octagonal
1 1/2" deep electrical outlet box
(not supplied)
713/16" dia,
(198mmr-;-~
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6253
skirt
\(not supplied)
Reversible plastic mount-
ing plate (supplied) *
I 281B-Pl ROR & Fixed 150F/min,
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283B.PL
284B-PL
Fixed
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135
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150
100
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Models Available
Two-Wire Models
2W-B
2WT-B
2-wire standard
2-wire standard with thermal
Four-Wire lv10dels
4W-B
4WT-B
4-wire standard
4-wire standard with thermal
Accessories
2W-MOD2
SENS-RDR
RT
A77-AB2
2-wire loop test/maintenance module
Sensitivity reader
Removal/replacement tool
Retrofit adapter bracket
Product Overview
Plug-in detector line - mounting base
included
large wire entry port
In-line termina!s with SEMS screws
Mounts to octagonal and single-gang
backiloxes, 4-square backboxes, Of
direct to ceiling
Stop-Drop 'N lock'" attachmeln~ to ui.'ise
Removable detector cover and chamber
for easy cleaning
Built-in remote maintenance signaling
Drift compensation and smoothing
algorithms
Simplified sensitivity measurement
Wide angle, dual cohn LED indication
Loop testing via EZ Walk feature
Built-in test switch
@ <8> . MEA M~fv~
LISTED '''''''' v> approved app
System Sensor's 13'" series smoke detectol's represent a significant advancement in
conventional detection, The 13 family is founded on three principles; Installation
+3ase, intelligence, and ~~stant inspection.
InstA~lation ease" The i3 line redefines installation ease with its plug-in design.
This allows an installer to pre-wire the bases included with the heads. The large
wire entry port and in-line terminals provide ample room for neatly routing the
wiring inside the base, The base accommodates a variety of back box mounting
methods as well as direct mounting with drywall anchors, To complete the
installation, i3 heads plug-in to the base with asimple Stop-Drop 'N Lock
action.
Intelligence, i3 detectors offer a number of intelligent features to simplify
testing and maintenance. Drift compensation and smoothing 'algorithms are
standard with the i3 line, to minimize nuisance alarms, When connected to the
2W-MOD2 loop test/maintenance module, or a panel equipped with the i3
protocol, 2-wire i3 detectors are capable of generating a remote maintenance
signal when they are in need of cleaning. This signal is indicated via an LED
located at the module and the panel. To read the sensitivity of i3 detectors, the
SENS-RDR is a wireless device that displays the sensitivity in terms of percent
per foot obscuration.
Instant inspection. The i3 series provides wide angle red and green LED indica-
tors for instant inspection of the detector condition, indicating: normal standby,
out-of-sensitivity, alarm, or freeze trouble conditions. When connected to the
2W-MOD2 loop test/maintenance module or a panel with the i3 protocol,
the EZ Walk loop test feature<is available on 2-wire i3 detectors. This feature
verifies the initiating loop wiring by providing LED status indication at each
detector.
Architect/Engineer Specifications
Smoke detector shall be a System Sensor i3
Series model number_, listed to
Underwriters Laboratories UL 268 for Fire
Protection Signaling Systems. The detector
shall be a photoelectric type (model 2W-B,
4W-B) or a combination photoelectric/ther-
mal (model2WT-B, 4WT-B) with thermal
sensor rated at 1350F (57.20C). The detec-
tor shall include a mounting base for
mounting to 3Ji-inch and 4-inch octagonal,
single gang, and 4-inch square back boxes
Electrical Specifications
Operating Voltage
Nominal: 12/24 V non-polarized
Min.: 8.5 V
Max.: 35 V
Maximum Ripple VOit9ge
30% peak to peak of applied voltage
LED Modes
with a plaster ring, or direct mount to the
ceiling using drywall anchors. Wiring con-
nections shall be made by means of SEMS
screws. The detector shall allow pre-wiring
of the base and the head shall be a plug-in
type. The detector shall have a nominal
sensitivity of 2.5% per foot nominal as
measured in the UL smoke box. The detec-
tor shall be capable of automatically adjust-
ing its sensitivity by means of drift compen-
sation and smoothing algorithms. The
S't 3ndby Current
2-wire: 50 /lA maximum average
4.wire: 50 /lA maximum average
Mf.~y, I!1Hlm f'!-. ran'.') Cun e:n~
2-wire: 130 mA iimited by controi panel
4-wire: 20 mA @12V, 23mA @ 24V
detector shall provide dual color LED indi-
cation which blinks to indicate power up,
normal standby, out of sensitivity, alarm,
and freeze trouble (model2WT-B, 4WT-B)
conditions. When used in conjunction with
the 2W-MOD2 module, 2-wire models
shall include a maintenance signal to indi-
cate the need for maintenance at the alarm
control panel, and shall provide a loop test-
ing capability to verify the circuit without
testing each detector individually.
P()a~ Slandby C\lrrent
2-wire: 100 /lA
4-wlre: n/a
,\lal'ln Contact Racings
2-wire: nla
I.\-wire: 0.5 A @ 30V AC/DC
Power Up Sequence for LED Indication
LFD Iv1 ode
Power up
Normal (standby)
Out of sensitivity
Freeze trouble
Alarm
Green I.ED
Blink every 10 seconds
Blink every 5 seconds
off
off
off
Physical Specifications
operating Temperature nange
2W-B and 4W-B: 32'F-120'F (O'C-49'C)
2WT-B and 4WT.B: 32"F-100'F (O'C--37.SOC)
operating Hwnldlty Ri:lnge
o to 95% RH non-condensing
n'errnal $pnsor
135'F (57 .2'C) fixed
Fret';;" Troubk;
2WT-B and 4WT-B only: 41'F (5'C)
Ordering Information
Red LED
Blink every 10 seconds
off
Blink every 5 seconds
Blink every 10 seconds
Solid
COI)dltl:;:1I1
Initial LED status indication
Sensitivity
2.5%/ft. nominal
Input Terrrdnals
14-22 AWG
DIf'fl0nSIGtlS \Jnciudmg base;
5.3 inches (127 rnm) diameter
2.0 inches (51 mm) height
\V(.Ji~rrt
6.3 oz. (178 grams)
Model Thermal WIring Alarm Cun-ant
2W-B No 2-wire 130 mA max. limited by control panel
2WT.B Yes 2-wire 130 mA max. limited by cOl1trol panel
4W-B No 4-wire 20 mA @ 12V, 23mA @ 24V
4WT-B Yes 4-wire 20 mA @ 12V. 23mA @ 24V --
Model Dt7:scrjptjl)!l
2W-MOD2 2-wire loop test I maintenance module
SENS-RDR Sensitivity reader
RT Removal I replacement tool
A 77-AB2 Retrofit adapter bracket, 6.6 in. (16.76 cm) diameter
System Sensor Sales and Service
Duration
80 seconds
Mounting
3J5-lnch octagonal back box
4-inch octagonal back box
Single gang back box
4-inch square back box with a plaster ring
Direct mount to ceiling
System Sensor Headquarters
3825 Ohio Avenue
St. Charles, I L 60174
Ph:800jSENSOR2
Fx: 630/377-6495
Documents-on-Demand
800/736-7672 x3
www.systemsensor.com
System Sensor Canada
Ph: 905.812.0767
Fx: 905.812.0771
System Sensor Europe
Ph: 44.1403.276500
Fx: 44.1403.276501
System Sensor in China
Ph: 86.29.524.6253
Fx: 86.29.524.6259
System Sensor in Singapore
Ph: 65.6273.2230
Fx: 65.6273.2610
System Sen50r - India
Ph: 91.124.637.1770 x.2700
Fx: 91.124.637.3118
System Sensor - Far East
Ph: 85.22.191.9003
Fx: 85.22.736.6580
System Sensor - Australia
Ph: 613.54.281.142
Fx: 613.54.281.172
Models Available*
Horn/Strobes
P1215
P2415
P2430
P24110
P121575
P241575
P2475
Strobes
81215
82415
82430
824110
8121575
8241575
82475
Horns
H12/24
* Refer to Ordering 'Information for other
configurations
Product Overview
System Sensor's SpectrAlert0 Wali4'1'lOlmt series includes a complete line of electronic
horns, strobes, ancl hom/strobes. li'ltel1dedl for primary signa~ing use, SpectrAlert
products Im~et IlJL1971, UL464, and Americans with Disabilities Act requirements.
Technology" With its extremely efficient reflector design and Xenon flash tube,
SpectrAlert offers current draw reductions as high as 40% over previous gener-
ation designs. By consuming less current, the flexibility to connect more devices
per loop is possible, for a lower installed cost.
insta!!ation. SpectrAlert products offer installation ease which also lowers the
installed cost. By taking up no room in the back box, SpectrAlert strobes and
horn/strobes make wiring connections simpler and faster. Each SpectrAlert
includes a universal mounting plate for 4" square and single gang back box
mounting. Accessory mounting plates are also available for small footprint or
surface mount applications.
Flexibmtj/. SpectrAlert offers the flexibility to meet a broad range of
requirements. The SpectrAlert horns and horn/strobes feature a number of
field-selectable/reversible horn tones. For visible requirements, SpectrAlert
strobes and horn/strobes are available in a wide variety of configurations to
address non-sleeping area, sleeping area, and corridor requirements.
Offerings include 24-volt models at 15, 15/75, 30, 75, and 110 candela,
and 12-volt devices at 15 and 15/75 candela.
Aesthetics. To meet building owner aesthetic requirements, SpectrAlert
MEA incorporates a stylish, low profile design. And this aesthetic is consistent across
approv<!d all SpectrAlert wall-mount products.
Meet UL aml ADA signaling ~equirements
t.ower current draw
More devices per loop
Lower installed cost
Universal mounting plate included
Accessory mounting plates avaliable,
Fleld-selectab!e horn tones
Electromechanical/3kHz
Temporal 3 / Non-temporal 3
High / Low dBA output
Available in :1.5. 15/75. SO, 75, and 1.10
candela
Synchronizabie horns and strebes with
Sync.Circllit~ module
Aesthetic design
~(@~
Engineering Specifications
General
SpectrAlert horns, strobes and horn/strobes shall be capa-
ble of mounting to a standard 4" x 4"x 1112" back box or a
single gang 2" x 4" X 17/8" back box using the universal
mounting plate included with each SpectrAlert product.
Also, SpectrAlert products, when used in conjuction
with the accessory Sync. Circuit Module, shall be pow-
ered from a non-coded power supply and shall operate
on 12 or 24 volts. 12 volt rated devices shall have an
operating voltage range of 10.7-17 volts. 24-voIt rated
devices shall have an operating voltage range or 20-30
volts. Sp'ectrAlert products shall have an operating tem-
perature of 320 to l200F and operate from a regulated
DC or full wave rectified, unfiltered power supply.
Horn
Horn shall be a System Sensor SpectrAlert Model
capable of operating at 12 and 24 volts. Horn shall be
listed to UL 464 for fire protective signaling systems. The
horn shall have two tone options, two audibility options
(at 24 volts) and the option to switch between a temporal
3 pattern and a non-temporal continuous pattern. All born
models shall operate on a coded power supply.
strobe
Strobe shall be a System Sensor SpectrAlert Model _
listed to UL 1971 and be approved for fire protective
service. The strobe shall be wired as a primary signaling
notification appliance and comply with the Americans with
Disabilities Act requirements for visible signaling appli-
ances, flashing at 1Hz over the strobe's entire operating
voltage range. The strobe light shall consist of a xenon
flash tube and associated lens/reflector system.
Specifications
Horn/Strobe Combination
HornJStrobe shall be a System Sensor SpectrAlert Model
listed to UL 1971 and UL 464 and shall be
approved for fire protective service. Horn/strobe shall
be wired as a primary signaling notification appliance
and comply with the Americans with Disabilities Act
requirements for visible signaling appliances, flashing at
1Hz over the strobe's entire operating voltage range.
The strobe light shall consist of a xenon flash tube and
associated lens/reflector system. The horn shall have two
tone options, two audibility options (at 24 volts) and the
option to switch between a temporal 3 pattern and a
non-temporal continuous pattern. Strobes shall be powered
independently of the sounder with the removal of factory
installed jumper wires. The horn on horn/strobe models
shall operate on a coded or non-coded power supply
(the strobe must be powered continuously).
Synchronization Module
Module shall be a System Sensor Sync. Circuit
listed to UL 464 and shall be approved for fire protective
service. The module shall synchronize SpectrAlert strobes
at 1Hz and horns at temporal 3. Also, the module shall
silence the horns on horn/strobe models, while operating
the strobes, over a single pair of wires. The module shall
be capable of mounting to a 411116" x 411/16"X 21/8" back
box and shall control two Style Y (class B) or one Style Z
(class A) circuit. Module shall be capable of multiple zone
synchronization by daisy chaining multiple modules
together and re-synchronizing each other along the chain.
The module shall not operate on a coded power supply.
Wt?ight, J':orn on'y
7.2 oz.
Wall: lest SpectrAlert horn/ strobe and 11Or"-l only
work on "walf~ tests" wltl'" tirflB durations of
4 se(;onds or greater
Input l'erminals
12 to 18 AWG
Weatherproof (horn and horn/~~tr()bf)S)
Operatlnci Temperature
320F to 1500F (OOC to 660C)
(Odt':jC'or strobe only)
-40oF to 15SOF (-40oC to 700C)
ULe Cani:.,tii~-m ~v1ndel~,;
-40oC to 660C
\M$;ght, t~tl'obe end 1),Jrn/~~'lrobe
8.8 oz.
Mour'tin(
4" x 4" X 11f2" or 2" x 4" X 17/s"
standard box es
Dimensions
Strobe and !1o'Vstrobe with uclversal piate
5" x 55/8" X 215/16"
Strobe ant! horn/str':,be with small
footprint plate
33/3" x 55/8" X 25/16"
Horn with u~1Ive~sal l1lol!ntlng plate
5" x 55/8" X 15/16"
Horn withoul mounting pl~-;Le
215/16" x 55/16" X 15/16"
[nOuor Gperating TellJperaturt.:)
320F to 1200F (OOC to 490C)
M,n',lnll;(n humidity
95% as tested per U L464
Volt ages
12 or 24VDC and FWR unfiltered
Operating voitage range'
12V: 10.5-17V; 24V: 20-30V
Op~rB1.iI"lg, voltage I f.mgp'-r
(Wit!1 Sync-Circuit module, MLJlj
12V, 11-17V; 24V, 20-30V
* These products should be operated wlthrn their rated
voltage range; UL does. however. test functional
Integrity to -20% and +1.0% of manufacturer's stated
ranges.
U.S. Patent Numbers
5.593,569
5,914,665
6,049,446
SpectrAlert Current Draw Table
Strobe Only
Averagfj Curmrrl (rnA) Peak CUrr(3nt (mA) In Rust! Current (mAj
12V Models 24\/ \'iodels 12V fvl orJels 24V MorJels 12V MorJels 24V Models
'1O,5V 1.2V J.7V 20V ?,1V :30V 10.EN J.~'V 17V 20V 24\1 30V W.5V 12V :.1.7V 20V 24V aov
Canc!ela DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR
15 133 159 114 157 81 128 50 61 43 60 38 60 460 460 450 460 420 480 135 204 135 208 135 185 80 108 92 124 140 19D 97 129 116 152 147 198
15/75 168 182 142 171 99 150 56 65 49 64 44 62 490 520 49D 520 460 480 150 199 150 207 150 198 76 104 88 126 160 185 97 135 116 164 147 211
30 NA NA NA NA NA NA 78 84 67 82 58 72 NA NA NA NA NA NA 183 201 183 219 183 216 NA NA NA NA NA NA 97 129 116 152 147 198
75 NA NA NA NA NA NA 145 170 123 159 102 141 N~, NA NA NA NA NA 350 440 340 460 330 480 NA NA NA NA NA NA 190 240 230 280 290 380
110 NA NA NA NA NA NA 169 220 140 191 115 174 NA NA NA NA NA NA 460 560 450 570 420 620 NA NA NA NA NA NA 190 230 220 290 290 370
Horn Only
IWr->rage C;Jrrent {mAl
12V f\.;lodel:.:; ;JAV f\,1odels
High/Low TemPI 10,5V J2V :L7V 20V 24V .30V
fone Volume Non DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR
Electro- High Temp 10 11 10 10 14 14 19 21 25 18 29 26
mech. Non 10 16 10 19 14 25 17 29 23 34 30 42
Low Temp NA NA NA NA NA NA 11 12 13 13 17 15
Non NA NA NA NA NA NA 12 16 14 19 17 24
3000 Hz High Temp 11 13 11 11 16 16 24 26 28 23 37 33
Interrupt. Non 11 17 11 21 14 28 19 34 27 39 35 45
Low Temp NA NA Nil" NA NA NA 14 14 17 15 21 19
Non NA NA NA NA NA NA 13 18 16 21 22 25
Horn/Strobe 15 cd
Average Curr~nt (mA)
.1.2V Mod..;.~ls 24V Moc!(,ls
Higl1/ Low 'Temp! 10,5V 12V 17V 20V 24V 30V
Tone Vo~urne Non DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR
Electro- High Temp 143 170 124 167 95 142 69 82 68 78 67 87
mach. Non 143 170 124 167 95 142 67 90 66 94 68 103
Low Temp NA NA NA NA NA NA 61 73 56 73 55 76
Non NA NA NA NA NA NA 62 77 57 79 55 85
3000 Hz High Temp 144 172 125 168 97 144 74 87 71 83 75 94
Interrupt. Non 144 173 125 168 95 146 69 95 70 99 73 106
Low Temp NA NA NA NA NA NA 64 75 60 75 59 80
Non NA NA NA I NA NA NA 163 79 59 81 60 86
Horn/Strobe 1575 cd
Avorngu Curren1 {mAl
12V Mo(~els 24V fv1(;dels
High/Low Ten,p! :LO.5V 12V 17\1 20V 24V ~SOV
T(H'le VOh.i~lle Non DC FWR DC FWR DC FWR DC FWR DC FWR DC FWR
Electro- High Temp 178 193 152 181 113 164 75 ' 86 74 82 73 88
mech. Non 178 193 152 181 113 164 73 94 72 98 74 104
Low Temp NA NA NA NA NA NA 67 77 62 77 61 ?7
Non NA NA NA NA NA NA 68 81 63 83 61 86
3000 Hz High Temp 179 195 152 183 115 166 80 91 77 87 81 95
Interrupt. Non 179 196 152 183 113 168 75 99 76 103 79 107
Low Temp NA NA NA NA NA NA 70 79 66 79- 65 81
Non NA NA NA NA NA NA 69 83 65 85 66 87
Sound Output Guide (dBA)
Horn/Strobe 30 cd
AverFlge Current (mlq
24V MOdels
High/Low T t:n1p/ 20V 24V :30V
Tone Volume Non DC FWR DC FWR DC FWR
Electro. High Temp 97 105 92 100 87 98
mech. Non 95 113 90 116 88 114
Low Temp 89 96 80 95 75 87
Non 90 98 81 101 75 96
3000 Hz High Temp 102 108 95 105 95 105
Interrupt. Non 97 116 94 121 93 117
Low Temp 92 96 84 97 79 91
Non 91 100 83 103 80 97
Horn/Strobe 75 cd
Average Current (mAl
24V Modeis
High/Low T"rnp/ 20V 24V 30V
T(:>I1e Volume NOl1 DC FWR DC FWR DC FWR
Electro- High Temp 164 191 148 167 131 167
mech. Non 163 188 146 169 132 169
Low Temp 156 182 136 162 119 156
Non 157 182 137 162 119 157
3000 Hz High Temp 169 196 151 172 139 174
Interrupt. Non 164 192 150 175 137 177
Low Temp 159 184 140 164 123 160
Non 158 188 139 163 124 162
Horn/Strobe 110 cd
Average Curi'ent (mA)
Ton~;
24V Modells
High/Low Temp/ 20V 24V 30V
Volume Non DC FWR DC FWR DC FWR
High Temp 188 241 165 209 144 200
Non 186 238 163 211 145 202
Low Temp 180 232 153 204 132 189
Non 181 232 154 204 132 190
High Temp 193 246 168 214 152 207
Non 188 242 167 217 150 210
Low Temp 183 234 157 206 136 193
Non 182 232 156 205 137 195
Electro.
mech.
3000 Hz
Interrupt
UL ReverlJerant Room dBA @ volts DC
Anechoic Room Peak dBA @ 10ft.jvolts DC
10.5 12 17 20 24 30
Temporal Low Tone Electrornec hanic al NA NA NA 75 75 79
3000 HZ Interrupted NA NA NA 75 79 79
High Tone Electromechanical 75 75 79 82 82 82
3000 HZ Interrupted 75 75 79 82 85 85
on:! emporal Low Tone Electromechanical NA NA NA 79 82 85
3000 HZ I nterruptec! NA NA NA 82 82 85
High Tone ElectromechanICal 79 79 85 85 88 88
3000 HZ Interrupted 79 82 85 88 88 88
N
10.5 12 17 20 24 30
NA NA NA 94 96 98
NA NA NA 94 96 98
94 95 98 1.00 1.01. 1.02
94 95 98 100 101 102
NA NA NA 94 96 98
NA NA NA 94 96 98
94 95 98 100 101 102
93 95 98 100 101 102
. '
SpectrAlert Ordering Information
Red Avg. mA* Avg. mA *
White Voltage Candela @Nom. VDC @Nom.FWR**
Horn/Strones P1215 P 1215W 12 15 124
167
P121575 P121575W 12 15/75 152 181
P2415 P2415W 24 15 68 78
P241575 P241575W 24 15/75 74 82
P2430 P2430W 24 30 92 100
P2475 P2475W 24 75 148 167
P24110 P24110W 24 110 165 209
P121575K (weatherproof) - 12 15/75 124 167
P241575K (weatherproof) - 24 15/75 74 82
P2475K (weatherproOf) - 24 75 148 167
P24110K (weatherprOOf) - 24 110 165 209
P241575P (no lettering) P241575PW 24 15/75 74 82
P241575AG (AGENT) - 24 15/75 74 82
P241575EV (EVAC) - 24 15/75 74 82
Canada P2415A P2415WA 24 15 68 78
P241575A P241575WA 24 15/75 74 82
P2475A P2475WA 24 75 148 167
P24110A P24110WA 24 110 165 209
P241575KA (weatherproof) - 24 15/75 74 82
P2475KA (weatherproof) - 24 75 148 167
P24110KA (weatherproof) - 24 110 165 209
Latin America P241575F (FUEGO) 24 15/75 74 82
St 'obes S1215 S1215W 12 15 114 157
S121575 S121575W 12 15/75 142 171
82415 S2415W 24 15 43 60
8241575 S241575W 24 15/75 49 64
S2430 S2430W 24 30 67 82
82475 S2475W 24 75 123 159
824110 S24110W 24 110 140 191
S121575K (weatherprOOf) - 12 15/75 142 171
S241575K (weatherprOOf) - 24 15/75 49 64
S2475K (weatherproOf) - 24 75 123 159
S24110K (weatherproof) - 24 110 140 191
8241575P (no lettering) S241575PW 24 15/75 49 64
S241575AG (AGENT) - 24 15/75 49 64
8241575EV (EVAC) - 24 15/75 49 64
Canada 82415A S2415WA 24 15 43 60
S241575A S241575WA 24 15/75 49 64
82475A S2475WA 24 75 123 149
S24110A S24110WA 24 110 140 191
S241575KA (weatherproof) - 24 15/75 49 64
82475KA (weatherproof) - 24 75 123 149
S24110KA (weatherproOf) - 24 110 140 191
Latin America S241575F (FUEGO) - 24 15/75 49 64
Hottls H12/24 H12/24W 12/24 NA 10/25 10/18
H12/24K (weatherprOOf) - 12/24 NA 10/25 10/18
Canada HC12/24A HC12/24WA 12/24 NA 10/25 10/18
HC12/24KA - 12/24 NA 10/25 10/18
Sync-Circuit MDL MDL1N 12/24 NA 10/11 12/15
Module Canada MDLA MDLWA 12/24 NA 10/11 12/15
Small Footprint Mounting
Plate for Single Gang Only S-MP S-MPW NA NA NA NA
Surface Mount Bac k Box Ski rt BBS BBSW NA NA NA NA
Universal Mounting
Plate (replacement) D-MP D-MPW NA NA NA NA
Weatherproof Back Box waB - NA NA NA NA
Notes: Agency Ustings -Indoor models; UL, ULC, FM, CSFM, MEA. Weatherproof models: UL, CSFM (strobe only), MEA, ULC. ..
All of these SpectrAlert products are designed for wall mount only. All weatherproof models J:!J.!lli! use weatherproof back box model WBB. Installation of less than 75 can-
dela strobes may be permisSible under the equivalent facilitation clause of the ADAAG (Sec. 2.2). However, it is the responsibility of the person or entity designing the fire
alarm system to determine the acceptability of less than 75 candela strobes. All 15/75 candela strobes or horn/strobes are recommended for 20' x 20' rooms or less.
*Horn and horn/strobe current draws assume horn is set at temp 3, electromechanical tone and high audibility.
*' FWR = Full Wave Rectified
System Sensor Sales and Service
System Sensor Canada
Ph: 905.812.0767
Fx; 905.812.0771
System Sensor in China
Ph: 86.29.524.6253
Fx: 86.29.524.6259
System Sensor - Far East
Ph; 85.22.191-9003
Fx: 85.22.736.6580
System Sensor - Australia
Ph: 613.54_281.142
Fx: 613.54.281.172
System SC!nsor - India
Ph: 91.124.637.1770 x.2700
Fx: 91.124.637.3118
System Sensor Headquarters
382.5 Ohio Avenue
st. Charles, I L 60174
Ph: aOO/8ENSOR2
Fx: 630/377-6495
Documents-on-Demand
800/736-7672 X3
www.systemsensor.com
@ 2002 System Sensor. The company reserves the right to change product speclficatfons without notIce.
System Sensor Europe
Ph: 44.1403.276500
Fx: 44.1403.276501
System Sensor in Singapore
Ph: 65.6273.2230
Fx: 65.6273.2610
A05-0936-010' 9/02' #1002
II
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D\ST b
C';d"!$I.l~I't:fiIBli~".li"'~~~~,[;riii""':::
APPLICANT: DOWNER CONTRACTOR DOTHER
Ta.x Account Number:
~
Check the type of application applied for below: ~ ~ ~ [g ~ \W [e: ~
o SFR D DUPLEX D MULTI-FA ILY If; 0
o MOBILE ,0 ACCESSORY BLDG D)tES ADD 'i'iAR O!~ 2004
o RES REM 0 COMM ADDN P COMM REM BREMERTON
o REPAIR D SIGN 0 DEMOLITIO:tiU)LDINGDEPARTMENT
o NEW COMM. 0 TENANT IMPROVEMya<TT -/ Ii
o GRADING (cubic yards: ) tJ OTHER:B.lM; NW1~
Nature of Work Proposed: \="' . A LA
Square Footage: Dwellin~roD
,
Garage:
II ~.'!IHf:I
U t rh'q
DnEivIIEnTGi~
Dec1a!;lILOING DEPARTMENT
'" ..... .. ...... .. .... .... . . ...... ". .............
'.;,..Y.Y[~~h{i#.()n.: ..i:..rljn:Re:Vi~wf:~e(
4~\)i) .Jv 1 fA ~ I ?- '5
d.. ecK L 'v\ J (tLUJ0r
Applications for which .no permit is issued within 180 days following the date of application shall expire by
limitation, and plans and other data submitted for review may thereafter be returned to the applicant or
destroyed by the building official. The building official may extend the time for action by the applicant for a
period not exceeding 180 days on reques by the application showing that circumstances beyond the control
of the applicant have prevented action ro being taken. No application shall be extended more than once.
In order to renew action on an appli rio after expiratio , th applicant shall resubmit plans and pay a new
plan review fee.
) ,j'
APPLICANT'S SIGNATURE:
DATE;1/l1DL
,
gg D3 00 't7"f
C-b
b ~~ T 7
PERlVIIT CENTER
Department of Community Development :;. 286 4th Street :;. Brernerton ::. 'J/A:i- 98337
(360) 478-5275 :i- Fax (360) 478-5278
Building Permit Application
APPLlCAl\JT: 0 OWNER ~ 'CONTRACTOR 0 AUTHORIZED AGEI"-lT
Site Address 9:59 M (';?/41-c) 4vt-
Tax Account Number: 7.1[- 02z~(JClI-"'l?v
J7J[ -fJ:J.Z-iJOr-(;JUO)-
Address:
City, State, Zip ';t.~P1Cyj({L/ tvIP.
Phone #: C J60 ) ! JG - 9/~/ J
xpir. Date:~
(J".) j- t? (
(,J6tJ) ;JD c,/'/J
, Address:
City, State, Zip
Phone #:
Authorized Agent Address: ;;... ,ti,,/cb
City, State, Zip tlJtO?7t',;li... ~~
Phone#: C.J6tJ).A1 [-1)7)
Contact Phone #:
Check the tvpe of aoplication for below:
D NEW SINGLE-FAMILY RESIDENCE
D NEW DUPLEX
D NEW MAhlUFACTURED HOME
D RESIDENTIAL REMODEL
D RESIDENTIAL ADDITION
D RESIDENTIAL REPAIR
D f\JEW COMMERCIAL
D COMMERCIAL REMODEL
D COMMERCIAL ADDITION
D COMMERCIAL REPAIR
D NEW MULTI-FAMILY
D TENANT IMPROVEMENT
.l.V-
D
D
D
D
D
D
YES 0
NEW GAP-AGE/CAR PORT
NEW ACCESSORY SLOG
NEW SIGN
STRUCTUR,E DEMOLITION
GRADING (Cubic yards: _)
OTHER
NO ~
IS THIS PROPERTY WITHIN 200 FEET OF A Sl-IORELlNE?
Scope of Work Proposed: ~;I-.JIb.-/1 t/- po/.> /9/7..... "/~(/~~~7 /"-',,Tt p-/.,-.........
IJv-t'- I-A.J:T~ /?u.~F hu~.;lno,;;'(. 4~ HI'''''? ~7v'7 t:mh~P.<J~
I'
Y::/y-r./lt'- h.../ #~-""J'" 22{) hi 4. ._U~' t';-r~
. . /'
,-
Square Footage: Dwelling: _ f6 ou ~ Garage:
Plan Review Fee
.~.
(' O'Q-/; -""'~
:t c r.,..~
Decks:
Permit Fee
Surchar e
Total Fees
t '1 f 2~
lft.:>~D
7.'7~
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and
plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official.
The building official may extend the time for action by the applicant for a period not exceeding 180 da)/s on request by
the applicant showing the circumstances beyond the control of the applicant have prevented action from being taken. I-Jo
applicant shall be e)8:ended 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,
,~PPLlCANT'S SIGNATURE~~/ ~
, <Die. ps If5C(~r>f2~ a~r;>
OA TE: ?4 AJ
1
o y- ft, ) - () ~
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER ~~.2~_~~042? __.J
DATE ISSUED: 0812,1/200-3::
l_~_,_w"
286 Fourth SI. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3735-022-001-0009
FIELDS DELMAR
FIELDS DELMAR
C ROOFING
ZONING: CD SITE ADDRESS:
PHONE: ADDRESS:
PHONE: ADDRESS:
PHONE: (360)830-9140 ADDRESS:
PHONE: ()- ADDRESS:
APPROVE EXPIRATION:
943 N CALLOW AVE
2177 LAKEHURST DR NW
2177 LAKEHURST DR NW
2919 LOST CREEK LANE
SUBMITTED:
08/21/2003
02/17/2004
VALUATION:
$8,640.00
Suilding1Permit -NClMeCha'licaiipiumbing
~t'1'
Building Permit
State Surcharge
$167.25 2211
$4.50 0236
$17{7~
INSTALL A POL YSTER CAP SHEET WITH ALUMINUM COATING USING HENRY
307 EMULSION ROOF COATING
Building Code Edition: UBC: 1997
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
TOTAL FEES:
Square Footage:
Bid Price from Applicant
1 TOTAL
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any State or localloaw 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. All revisions to an approved plan require DCD review and approval prior to performing work. All 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.
I have read, and agree to abide by the conditions of
SIGNATURE OF OWNER OR /~./
AGENT: ~X .
PRINTED NAME: J7~r-/#~2./ ~
is permit including all conditions of zoning, building codes, and State and Federal laws.
c".;?'.; T< ~./
DATE:
/.h/h:J
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. 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.
2. 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).
,~
~
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.
Final Inspection - Building
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
0812;1720D3...
~=_~b<,'
286 Fourth SI. Bremerton. WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3735-022-001-0009 ZONING: CD SITE ADDRESS: 943 N CALLOW AVE
APPLICANT NAME: FIELDS DELMAR PHONE: ADDRESS: 2177 LAKEHURST DR NW
OWNER NAME: FIELDS DELMAR PHONE: ADDRESS: 2177 LAKEHURST DR NW
CONTRACTOR: C ROOFING PHONE: (360)830-9140 ADDRESS: 2919 LOST CREEK LANE
LENDER NAME: PHONE: ()- ADDRESS:
SUBMITTED: 08/21/2003 APPROVED: EXPIRATION: 02/17/2004
Page 2 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
,BD9~B~~_~~6 c.J
286 Fourth SL Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB03 00478
BB0300478
Building Permit
State Surcharge
1/2211
110236
$ 167.25
$ 4.50
Total:
$ 167.25
$ 4.50
$171.75
$0.00
$0.00
Re~eiptD~te
. ,
erevioi'Js Payrnent,f1 istony
Fee Description
"" ^
8\<'''
'Amount Paid""
Permit #
J,PaymElnt
i~jMethod
CHECK
~<lyme'l~
;;Amount
^>?
Total:
$ 171.75
$171.75
4569
Page 1 of 1
.'
f" ',".
'C ~D'Dr~~lG
Comme1I'ci.&1l Roofung, New, Repm, Mafum1l:enSl.i1Jlce
Ucense Sl.i1Jld. Bond.ed CROOF-i:*Jl.18C8
Mary L. Fields (Owner)
2177 Lakehurst Drive NW.
Bremerton WA. 98312
360-479-1177
Roof Repairs
Kitsap Office Furniture Building
939 N. Callow Ave.
Bremerton WA. 98312
Tax # 3735-022-001-0009
Tax # 3735-022-005-0005
Cost to repair and install a polyester cap sheet over approx. 5400 square feet
of roof would be $ 8640.00 plus tax.
Materials used:
Henry 307 Emulsion Roof Coating
TIETEX T272po~e~erfubric
Henry 220 Fibered Aluminum Roof Coating
C Roofing CROOF**118C8
Steve Casteel
2919 Lost Creek Lane NW.
Bremerton WA. 98312
360-830-9140
Bremerton City Lie. # 15285
2919 Los1l: Creek lI..sume NW, JBremeri:on WA98312
Office 360a830-9Jl.4ID, 1!hlldk 360a731-Jl.131
~ ~@@~O[M@
Commercial Roofing, New, Repair, Maintenance
Licensed and Bonded CROOF**118C8
r
1<, fd/fl P
OFFJ(~
Ft...w ,"-h.1t. 4.
[ I
---=
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}/
/ J 1jJ. cftitceT
2919 Lost Creek Lane NW. Bremerton WA. 98312
Office 380-830-9140, Truck 380-731-1131
I
~
~
~
.~
~
#~~7 f'ibrated Em~lsion Roof Coating
DESCRIPTION: This non-f1ammable,ready-mlxed coating is for the waterproof protection of
composition and metal roofs, and for top coating new smooth surface built-up roofing. It Is made from
asphalt, emuislfled with bentonite clay and water, and 'is reinforced with aluminum-silicate fibers. When
dry, this coating provides a tough, fire retardant, resilient, weather-resistant film that bonds firmly
through weather extremes. It will not run or sag In the hottest weather, or crack or peel In the coldest.
It is effective on all roof slopes. An approved membrane ~urfacedwith #301 EmulsIOn Is ImpervIous to
water, light In weight, and easily maintained. This coating Is cold-applled by roofing brush or heavy
duty spray equipment. It Is safe, odorless, and non-air polluting. This ~Ing meets or exceeds all
.r~qulrements of ASTM 0-1221-81 Type 81 IV. ','. .
RECOMMENDED USES: Henry #301 isreoommended for
· Weatherproof coating of new or existing smooth surface built-up roofs.
· MoistUreproof sealIng of brIck planters and masonry or metal surfaces.
· Embedding granule or gravel surfacing on, built-up roofs., '
r-:::
C.,
TECHNICAL DATA:
e Base - Asphalt, alumlnum-sllicate fibers,
' bentonite clay, and water.
-Solids Content - Approximately 50% by weight.
oColor - Dark brown when wet; dries black.
GOdor - essentially none.
.Maxlmum V.O.C. - 0 grams/liter
-ConsIstency - Thixotropic liquid, similar In
consistency to mayonnaise.
-Flammability - Non-Flammable while wet.
-Weight per Gallon - Approximately 9' Ibs.
-Container Sizes - 1-GaI, 5-GaI, 55-Gal
APPLICATION: Surface must be clean and In good repair. Hose down thoroughly to remove all
dust and dirt. Scrub low areas with detergent and rinsing thoroughly. Remove rust and scale from
metal by wire brushing.
Carefully Inspect are. to be coated. Pay particular attention to areas around pipes, chimneys.
equipment. roof edges and walls. Repair all cracks, breaks, tears and holes by embedding Henry
#183 open mesh glass fabric between 2 heavy coats of #204 Plastic Roof Cement, applied over and
at least 2 Inches beyond the repair. Stir coating thoroughly. A tighter bond will result If roof surface is
damp when coatIng is applied, though It must be free of standing water.
c.
To renew smooth surface roofs, such as mInerai-surfaced cap sheet, or previously coated roofs: Use
a layer of glass fabrIc, applied without wrinkles or buckles, as reinforcing between 2 coats of emulsion.
Apply each coat of emulsion at the rate of 3 gallons per 100 sq. ft. Uniformly coat entire surface.
As 8 maIntenance coatIng for smooth roof. In good condition, as 8 top coating for new built-up
roofs, or a base coat for reflective coatIngs such as Henry White or Aluminum: Apply emulsion by
roofing brush or spray, uniformly covering the surface at the rate of 3 to 6.gallons per 100 sq. ft.
Brush appllcatfons of over 3 gallons per 100 sq. ft. should be applied In 2 coats. Brush the second
coat at the right angles to the first. If a reflective coating is also to be used, apply It over the emulsion
when dry and firm enough ~o take foot traffic without damaging the film, normally after about 1 days.
DRYING: Usually 6-24 hours In good drying conditions. Allow at least 4 hours between coats,
Page 1 of 2
f,
. :
I
.r
. '.' '-':-,- -~r'--'I,-''''' ",~IV"'''' "''''','UV~~' Il. uepenulng on appll~n proceaure. a:srusn
'application, 3 g~lon per 100 sq. ft. per ,coat. . Spra~ application, 3 to 6 gallon: per 109 sq. ft. ,in one. ..
. coat. " , " , .
- ,~,'
CLEAN;;;UP: F~esh coating Can be'removed with water..Use kerosene or mineral spirits, if material
has started to dry; Keep brushes in, water when not In use. ,.
': "PRECAUTION: This coating is not recommended over 9~vel, over shingles of any kind, or old
roofs that are too c(ry and brittle to withstand the sh~inkage stresses that OCCU~ after, the application of
any coating. The usual age limit for roofs to be eoated is' 7 to 10 years, but this varies with prevailing
temperatures and direction of slope. Do not apply when air temperature is below 6OoF, or if there is a
threat of rain or temperatures beloW 40"1=: within 24 hours. .
CAUTION: ~ DO '~Qt bike internally. 'Close container after each use. KEEP OUT OF REACH OF
CHILDREN. DO ~OT HEAT CONTAINER OR STORE IN TEMPERATURES ABOVE 120oF. "
WARNINGf This product contain~ ,achemieal (extracts of refined asphalt) known' to the State of
Callfo~~.ia tQ cause cancer. (Pr9P. 65) : .
NOTE: ThIs coating, like all asphalt-basecfprooucts, forms a small amount of water,soIuble material as It wea~. Normally
this Is not nOtIceable bi!cause the rain washes It away. However, roofs having a pitch less than W per ft.,or ones having poor
drainage. will accentuate the problem by allowing water to stand in low spots. thus oonc:entnl1ing the water soluble material. If
there Is no rainfall, these roofs should be hosed off to remove the water solubfes. Frequent inspection of these roofs Is
reoommended because abnormally rapid ,deterioration of anY roofing material may occur wh8re water stands for long periods.
LIMITED WARRANTY: Henry Cclmpany warr:ants only that this product Is free of defeds. sinCe many f3ct0rs whIch affect the
results obtained from this product - such as .weather, workmanship, equipment utilized and priOr cOndition of the substrate _
are all beyond our control. We will replace at nO charge any product proved to be defective within ,12rnonthS of manufacture,
provided It has been applied In aa:on:fance with our written directions for uses we recommended as suitable for this product.
ThIs warranty 18 IN UEU OF any other warranties express Dr Implied IncludIng but not Dmlted 10 any Implied warranty of
MERCHANTABILITY or fftness for a particular purpose, and Henry Company shall have no further liability .of any kind
. IncludIng liability for consequential or IncIdental damages resuftlngfrom'any detects or any delays caused by
replacement or otherWise. ." . :
Page 2 012 "
;;. '
H3,Ol 12194
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HENRY CO., ~11 Slauson Ave.. Huntington PaTk; CA90255 (213) 583-5000 '
, ,
, '.-'". . . ". . .
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~:~~~~;~:'::J.::~~~:;.~:r;~~?~&~,~~:t>~:.r:}}j,~:~:~:;i2!~;,;:~. ;r;~~~,~~:f,:,~~<.~:~?~~1.~ :\',::::':~ ~~~=<~:/~;~~~! ~~ ~~,?~~~~:i~";: ~f~~:~~' '~'~l: ~ :~~;i{~-~~~~:~~. ';rI~:f':~}F~0;~~~~\'
DATA SHEET
POLYESTER COLD PROCESS ROOFING FABRICS
T272, T264, T325, T326, W201
Tietex stitchbonded polyester. is ont;! of the strongest
materials available to the roofing industry. f()r use as
reinforcement in cold process roofirig,
Stitch bonding offers an unusual combination of high
strength properties with good elongation for excellent
thermal stress force accommodations:
Styles T272 and T325 are soft polyesters that will
readily conform to embedded gravel and standing
seam metal roof decks. It is also much easier to handle
and apply properly than other soft polyester sheets.
T254 and T326 are also stitchbonded polyesters but
have a firm finish to reduce wrinkles during applica-
tion on smooth roof decks,
; ii". \: : (. ,~'.l: :~~~ f;. ~... :Y.:Jt;:'~
_. .. t.. ... "'. t. '. ,i-. .. ,. f'. ~.:,!
1" '.,,,"<jI '.y. . )..~4. ~. .1:.. .'.",.;~".\..~
'~-. .~..,"/-. ,.- ....,. ~<~. . .,,,,,'~j'.
=11 ,.~'.~ (../~ , .~. " ;.. ~~. \Ll.i \:;~':;l'f
,1..,7. ~.1...A"':;'l';'~' '. ~:~I'~
~' ~'" .< . 1) . t! .ti.~ :) :.t.....r. ...:.' .
. tt (.'. L..,.~.;.; .-;V ~"~"'~'1ii ~~
~.,. :~.~ ',,":- L7>'f "~..' '...; ..~ft.. ,~_ . ,
~,,~~"}l~,f!'.~~4.'t.~=,. t".,,4~'i,'~~~j~
~ i1. ~"~I~:.,~;~ "..\ ~:;;:i. ..~ ..
~.1,tii""~I#"~' ,;,1 ~)",' "'~
1:; ~S.tJ!!;~;r1:.j~, '. ~~~~Q
. ...,~\C"~~:, ~l~... ,(j.;~ ...;,,;w;,!~.:,~...
~ t... I>. .~. "'"'\'",.. . ;.'t~..
Ii- f ::':~I~"(l" f ;:.,~.:. . . 'ot':!:o.~;/
!';,}~~r~!;;f%~~:, :*~
T272 and T254
. ,.- 1 .... ., '''-.' ~
.....~.a't/ M'~.";jlO.i:- ~ ,..'!tr'
. ~ . . ~'. . ~ 'f i - f' '.."
.:.' "." , ! '. F......
h,-~~;."~'t'~: ,.' .:-tIf:::'~~
.1. ~_. .......r~ ....p.. 1,:"
! ~ t /. j--'''' , 1 \
" ,.":1 ......., ..,.",. .
'"4 I/' J.. ... ir.,O.-",,': _. .
!l<r.'~,If/l'''':~' -:';'~"~"4'
. $' \ -" 1. " i .: r }..'. I !
:~ 1, 1 'I. ut ',~ ! \
;r#~ ,;."P."4ii.":.1i~Z'~\'~;'':'::'''' .-""..,
I .. . .'~ -- .t-
d . \- \ ' t" . i I :
i .' t " i - i .' \ II
"'... ..... ,"4~'.. Jt.'" ',.II,.. . ~"-.'-- " :.,,,
. (.:-....r:. l - . i "~f --:-"";- -; I
. I :" L.. ' : " &. f .,\., i
:t ~' ." .. ~ : .~. . I
~. .:..,;....~-.:,.,".~::e-..:.' .o<.;a:~"'-. '.4'1'
.,"L t . i 1- j ~ ,.;
;a. ,. .
T325 and T326
Style W20l is a warp knit mat designed speCifically for jobs where lower coating application rates necessitate a
polyester that does not absorb as rnuch coating.
AVERAGE TYPICAL PROPERTIES**
'lest Method T272 T254 T325 T326 W20l
Weight 3-oz/sq yd 3-oz/ sq yd 2.75-oz/sq yd 2.9-oz/sq yd 2.75-oz/sq yd
Tensile ASTM D 1682 57.1 lbs* 75.3 Ibs* 31.6 lbs* 41 Ibs* 75 Ibs*
Elongation ASTM D 1682 61.65%* 44.25%* 40.6%* 25.8%* 42.9%*
Mullen Burst ASTM D 3786 176.8 Ibs 139.0 Ibs 99.6 lbs 127 lbs 150 lbs
Trapezoid ASTM D 1117 . 16.1 Ibs 17.4 lbs 13,2 Ibs* 14.2 lbs* 13.4 Ibs*
{Tear Strength) .,. Average machi-'1e and cross machine direction.
..These average typical properties are lhe dVet<\qe results of"randQm tests conducted on this fabric by an independent testing Illboratory. They are not to be
construed as performance specifications, Tilis' doCument reports accurate and reliable Information to the best of our knowledge. but our suggestions and
recommendations cannol be quaranteed because the conditions of use are beyond our control. Information presented herein is given without reference to
any patent questions which may be encouI1tered in the use thereof. Such questions should be investigated by those using this information. TIelex
Corporation assumes no responsibility lor th~ USB of informalion presented herein and hereby expressly disclaims allliahili,ly in regard 10 such use.
t;
.ri
#220'AlumiTop@ F~bered Aluminum, Roof Coati rIg
DESCRIPTION: #220 AlumiTop@ Is a premium heavy-bodied, reflective and protective coating formulated with
aluminum plgment"chrysotile minerai fibers and asphalt in a solvel1t system. Asingle application provides
outstanding weather resistant protection. Ideal for most meta,l, commercial and low Slope ~sidential roofs. #220.." '
complies with ASTM D2824~94Type II and the aluminum pigment meets Federal Specification TT-p'-320D Type II,
Class 3. ' ". , , '
#220 AlumiTop provides the following benefits: '"", .,
- 1-coat gives reflection and protection. -Cooler interiors, lower MC costs. "
- Twice as reflective as new white cap sheet. -Minimi~es granule loss on cap sheets.
- Prolongs roof life by reflecting UV rays. -U.L. classified as to external fire exposure.
RECOMMENDEQ FOR:
Mineral surface cap sheet: conventional, SSS or APP.
- Metal roofs, mobile homes with metal roofs and other roof metal.
- Smooth surface conventional or SSS systems (such as Ruftac@ or smooth surface SBS) should be coated ~ithin
two days of installation. '
- Roof surfaces previously coated with asphalt emulsion may be coated as soon as the emulsion cures.
- The following substrates must first be coated with Henry asphalt emulsion: smooth surfaceAPP and roofs which
have been surfaced with a thin "glaze" coat of hot asphalt. '
- Roof surfaces previously coated with solvent-based coatings must,weather for a season - apprcix. 3 months _
before applying AlumiTop." ,
- Masonry surfaces previously coated with asphalt roof coating or asphalt primer. ,
- "Flood" coats of hot asphalt can be coated but are not warranted as they are inherently unstable.
.'
" ,
PRECAUTIONS: Do not heat container or store attemperatures greater than 120oF. When transporting this
product, be sure the pail is secured and the lid is tight. Do not allow pail to tumble as this may loosen the lid and
allow leakage to occur. CLOSE AIR INTAKES ON ROOF UNTIL SOLVENTS DISSIPATEI This coating is not
recommended over gravel, rubber or PVC sheet roofing, shingles of any kind, or old roofs that are too dry and brittle
to withstand the shrinkage stresses that occur after the application of any coating. The usual age limit for roofs to be
coated is 7 to 10 years, but this varies with condition of the roofing. If in doubt, consult a professional roofing
contractor. '
-Container Sizes - Quart, 1-Gal, 3~-Gal, 5~Gal & 50-Gal.
-Viscosity - 115-125 Krebs units.
~SET A Flash Point - Approximately 11 oaF. .
-Maximum V.O.C. - 500 gramslllter complies with SCAQMD
, regulations.
REPAIRS: Carefully inspect area to be coated, including around pipes, chimneys. equipment, roof edges and'
wails. Repair ail cracks, breaks, splits and holes by embedding polyester fabric or open mesh glass fabric between 2
heavy coats of #204 Plastic Roof Cement or #505 'FlashMaster™ applied over and at least 2 inches beyond repair.
Use #209 ElastoMastic@ on ail metal roofs. Allow mastic to cure 30 days before coating to aVe>id discoloration. Note:
AlumiTop is not designed to seal leaks! .
TECHNICAL DATA:
-Base - Aluminum pigment, inert mineral fibers,
asphalt, and petroleum solvents.
-Solids Content- 50% by weight minimum.
-Weight per Gallon - Approximately 9.5 Ibs.
PREPARATION: Surface must be clean and in good repair. Remove rust by wire brushlng>Sweep or hose down
area to remove all dust, dirt, and residues. Scrub areas where water ponds with detergent am:i water, and rinse well.
Uncoated concrete and masonry, new galvanized me~al and hard-te-c1ean surfaces such as a built-up roof from
which the gravel has been removed should be primed with a light coat of #1 04 or #1 05 Asphalt Primer, Just enough
to seal the surface without any build-up of film. AllOW primer to dry thoroughly before applying #220.
APPLICATION: Do not thin. Because the solids settle during storage, stir #220 coating thoroughly until any"
dark streaks disappear and the coating is a uniform, thick, silver paste. If available, 'power mixing is easier and is
recommended for a uniform color. Surface must be completely dry. Apply a single heavy coat with a soft bristle
roofing brush, stucco-roller or heavy duty spray equipment. Keep application strokes parallel to avoid blotchy
appearance.
P""no 1 ,..,f?
'. .
COVERAGE: Approx. 2 gal!ons per 100 sq. ft. on mineral surface cap sheet, 1Yz gallons per 100 sq. ft.
on smooth asphalt surfaces, 1 Yo. gallons per 100 sq. ft. on metal. Coverage varies with' surface texture.
CLEANUP: Remove coating from tools, etc., with kerosene, paint thinner or mineral spirits. Clean
hands with waterless hand cleaner
CAUTION I COMBUSTIBLEI
Contains petroleum distillate. Keep away from heat and flame. Do not heat containeror store at temperatures
greater than 120oF. CLOSE AIR INTAKES on roof until solvents dissipate. Contains volatile solvents that might
contaminate potable water. Close container after each use.,
DANGERI. HARMFUL,OR FATAL IF SWALLOWEDI '. .' . .
If swallowed, do not induc\'l vomiting: CALL PHYSICIAN IMMEDIATELY! Use protecti",e mE:)asures to avoid contac;:t
with eyes and skin. In case 'otaye contact, open eyelids wide and flush immediately with plenty of water for at least:..
15 minutes. GET MEDICAL ATTENTION! . . .
USE ONLY WITH ADEQUATE VENTILA TIONI
. Avoid breathing of vapor. If you experience eye watering, headaches or dizziness, leave area or increase fresh air or _
wear respirator (NIOSHlMSHA TC 23C or equal). Repeated and prolonged occupational exposure to solvents can
result in permanent brain and nervous system damage.' . '. . :....
KEEP OUT OF REACH OF CHILDREN.
MAINTENANCE NOTE: This coating, like all asphalt-based products, forms a small amount of water soluble
material as it weathers. Normally this is not noticeable because the rain washes it away. However, roofs having' a
pitch less than 1/2" per foot, or ones having poor drainage, will accentuate the problem by concentrating the water
soluble material in low spots. This can degrade the aluminum coating. If there is no rainfall, hose these roofs off to .
remove the water solubles. Frequent inspection of these roofs is recommended because abnormally rapid .
deterioration of any roofing material may occur where water stands for I~ng periods.
, .
LIMITED WARRANTY: We, the manufacturer, warrant only that this product is free of defects, since many factors
which affect the results obtained from this product -,- such as weather,'workmanship, equipment utilized and prior
condition of the substrate - are all beyond our control. We will replace at no charge any product proved to be .
defective within 12 months of purchase, provided it has been applied in accordance with our written directions for
uses we recommended as suitable for this product. Proof of purchase must be provided. DISCLAIMER OF
WARRANTIES: The 12-month Limited Warranty and the Stay Bright 10+ Extended Warranty are IN LIEU OF
any other warranties express or implied InclUding but not limited to any Implied warranty of .
MERCHANTABILITY or fitness for a particular purpose, and we, the manufacturer, shall have no further
liability of any kind including liability for consequential or incidental damages reSUlting from any defects or
any delays caused by replacement or otherwise.
STAY BRIGHT 10+ EXTENDED WARRANTY'i~in addition-to our Limited Warranty: The "Limited Warranty" is in
force for the first year after purchase of the product. After the Limited Warranty period has expired; we guarantee in
this Extended Warranty that 220 AlumiTop Roof Coating will remain reflective for at least ten years. As the
brightness of aluminum reflective coatings does vary with age, we make no claim that #220 AlumiTop will maintain
the maximum possible brightness for the full ten year period. But we do guarantee that.it will remain more, reflective'
than uncoated white mineral surface cap sheet which has been comparably weathered. If our examination and.
testing determines that this is not the case, the sole and exclusive remedy is that we wili provide a suitable
replacement coating (material only, labor not included) charging for the number of months from purchase date
through the date of the claim. The monthly charge will be computed by dividing the current retail selling price by'120
(ten years Umes twelve months). This warranty applies only to the original purchaser, and the original invoice is
required as proof of purchase. The coating must have been properly applied to a sound surface which we state is
appropriate for the product and all recommendations, precautions and instructions printed on the label must have
been fully complied with. Loss of reflectance due to a surface accumulation of foreign material such as dust. dirt,
mildew, algae, etc., as they should be removed in the course of regular roof maintenance, is excluded.
DISCLAIMER OF WARRANTIES: The 12-month Limited Warranty and the Stay Bright 10+ Extended Warranty
are IN LIEU OF any other warranties express or implied including but riot limited to any implied warranty of
MERCHANTABILITY or fitness for a particular purpose, and we, the manufacturer, shall have no further
liability of any kind including liability for consequential or Incidental damages resulting from any defects or
any delays caused by "e'placement or otherwise. .
Page 2 of2
MAX v.a.c.= 500 grams per liter
H220 12/97
HENRY CO., 2911 Slauson Ave., Huntington Park, CA 90255 (213) 583-5000
BREMERTON BUILDING DEPARTMENT
Inspection Report
Scope of work: C0M Mc\<.C.'-\-t4 ( KQQJ R elo"(.H~
Address: Of39 NOJ4.TU Ci4iLOW ft.Jt::... .
Owner: MlJtZ't- Fi~5
Contractor: ' c-.4 00 1 AJ 6
Permit Number: "'38>03 0 aLl, ~
Phone: 5i:O - Lf7 9-1 (77
Phone: '3bC- 830 9/,/0
;'
Inspection card/approved plans on site Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required widtll & depth Walls: required size
Bearing soil (soils analysis if applicable) I I Special inspector (when applicable) .
FOUNDATION
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 FOlmdation 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 outside Range hood
Dryer exhaust vent All vent tenninations: windows & property line I
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 Fire blocking 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
Sheet rock backing Wall bracing
Rafters size/notching Trusses: specs, bracing
Attic access Attic ventilation
Wall & roof sheathing Shear nailing
Building dried in
FRAMING
COMMENTS:
APPROVED:
Insulation: proper R valve 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:
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
Wood stoves EPA certified Wood stoves & fireplaces: Tight-fitting doors
Wood stoves & fireplaces: proper health Manufacturer's specs on site
Chimney liner: when required Chimney: separate flues when required
MECHANICAL
COMMENTS:
GAS PIPING APPROVED:
OTHER APPLIANCES APPROVED:
FURNACE APPROVED:
OWV & water piping under test OWV: proper grade
OWV: proper sizing OWV: proper drainage fittings where required
DWV & water piping proper support OWV: required c1eanouts
Vent termination All fixtures vented properly
Water supply: proper sizing Shut-off valves on all fixtures
Water heater: gate valve on cold water supply Vacuum breakers: where required
Water heater relief valve drain to outside Water heater: seismic strap
R-10 pad under water heater when required Water-piping insulated as required
Grease traps/interceptors: where required Proper indirect wastes: where required
PLUMBING
COMMENTS:
PLUMBING GROUNDWORK APPROVED:
PLUMBING ROUGH-IN APPROVED:
Proper fastening nails - 7" o.c. horiz. Plane Nails 8" o.c. vertical plane
Proper fastening screws 12" o.C. horiz. Plane (1/2") Screws - 12" o.C. horiz. plane (1/2") 24" o.c. framing
Proper fastening: screws - 16" o.c. vert. Plane (1/2") Screws - 12" o.c. vert. plane (1/2") 24" o.c. framing
Proper fastening screws - 12" o.c, horiz. plan (5/8") Screws - 12" o.C. horiz. plane (5/8'') 24" o.c. framing
Proper fastening screws - 16" o.c. vent. Plane (5/8") Screws - 12" o.c. vert. Plane (SIa") 24" o.c. framing
Area & occupancy separation walls Oraftstops where required
Usable space under stairs (5/8" required) Waterboard where required (not on ceiling)
Corridors
SHEETROCK
COMMENTS:
SHEETROCK APPROVED:
FINAL
Energy code requirements met, exhaust fans
Garage/dwelling door self closing solid core
Handrails & guardrails, as required
Exit signs when required
Occupant load posted when applicable
Wood siding to earth separation (6")
Randon monitOr when required
Plumbing & mechanical
Smoke detectors where required
Fire ratings maintained
Emergency lighting when required
Building weatherlight
Building address posted
COMMENTS:
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BREMERTON PERMIT CENTER
286 4th Street~ Bremerton? WA 98337
Phone:: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
App 11. ea nt: F;' I EL.DS MAHY
2177 I..AKFHUI~ST nF< ElRE~lERrON t~A 9133 j ;::'
Perm:1 t No:
~;t i:lt us:
Applied:
.r SE>llec! :
e" ,
c.xplren:
9f."0145
I' ~~SUI:::O
0~J/l.j/19(:;/
o:::v ;.:~ 0 11 ':n l
09/~:;~4/19'17
Job Addr: 939 N CALLOW AVF
L.ocat i. on: K'( "rSAP OFF' I CE SUPPL.Y (FORM[:RI."Y BI~EM AlJ'rO PAH'rS)
Parcel No: 3735027-00j-0009
Owner: FIFLDS MARY
2177 L,AKEHURST DR BREMERTON WA 90312
Contractor: A A CClNS"rl~UCTION B7tm"~3Cl5B L.ic ~t-: AACClN.)(.*t:36Nr~ I:::xp:: :~/1.3/9B
5542 SF LAKE VALLEY PORT ORCHARD WA 98366
Subcontr:
Dese: REPAIR FLOOR SYSTEM ANO PART OF ROOF
*********************************************************************************************
Valuation * Permit Feee: 168.30 Total Calculated Fee: 415.84
1.4,(JClO..OO .* Plan ChE~c:k Fr::lBe: 1.Cl9..4Cl Additi.onal Ff~('~El: 10..00
* Other Fees: 188.14 Total Permit Fee: 425.84
********************************************************************************************~
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days 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 is commenced for a period of180 days.
NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or BuildiTlSl Official to see
to it that required inspections are made, The permit holder must notify the Building Official \iJhen 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 the building official
that the concealed work meets 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 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, 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 ot her ~ 1 Dca 1 1 aw regu I at i ng const r uct i on or t he per for mance of const ruct ion.
:1 ::::~~:: t~a~-~-:=-~;::=:::~~:-:~-~~:-:~:~e c::::::~:;~:-;::~:~;:~;:~~::~-:~::;-
Section 3~ Chapter 126, laws of 1967.
S i gnat ure: ~,_____,_".__,_______,____.,________,.____________,._____'.
Date:
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~)f.M .ith St'('f~et 1 fJr'f.'!merrton'i1 itJ.A 9f.~:"~;:?;t
Phone;: (.~60) 4.;;'8-5P75 '~'AX ~ (;'16(}) 4}Ff.l~~5:::!.?8
BUILDING PERMIT
J oh I'ddr: rt~l<r N CAI t. OW AVf:
Local; :1. on ~ 10 rS(.lP or:,;; reF SUPPL.Y (FOf~MEI~!.Y I.H~FM At.ll'O Pt"IIHS)
PHrce) No: ~r(~l!:m??"'OOl''''O()O(t
Permit No: 9~014S
Sti:JtuS: PFNOING
AppJjed: 08/JJ/199J
Issued:
I.:xpi.ren~
App l kanl;: FT.l;lDS MAf~Y
?Pi' IAI,FHURS'I rm FlI~FMFlrroN t~A 9mn?
Ot.<mer :
F I F::I.DS MAr~Y
? 1 '/'/ I AKf: HUf{ST I )I~ f1m: MI- ~1'9N WA 9H312
11 <{ fI C0-7/~~- \brJL12/1.fJ. r'
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1.1.e 1f1 Fxp:
Cont VilGi. or =
~;ubcnnt '(' ~
DEmc ~ l<I.VA If< r I DOH SY~nI'M AND Pf'\IH OF HOOr
****~*************~**************************************~**********~*~**********************
VaJllHt:ion * P(!Y'm:lt I-'t.:~f.-:$j~ J6tl,:W 'loUd (;;dr.:llJl1ted 1"E:le~ ?H'/,?O
l1,(,)()().OO * Plan Cht~r:k Fef::ls~ 109.40 Additional Fer:m~,()O
~ Other j"ef:r:; 9,~';O 'Iotal Permit Fel'::: ?HJ,('O .r
M*~K~**~.**M****M*****M*******M***MMM******M****M***********M****M*****M*****M**M**M***M***~~~~\
This permit ~hall become null and void if the building or work authorized by this permit is not commenced within
180 daYB from the date of such pE!rm),t I or if this bllilding CIY work authorized by such permit ~a 8uspendedor
ahandoned at any time after the work is commenced for a period of 180 days,;
~~
NOTICE ... It is the responsibil ity of the permit holder I not the City of Bremerton or Building Official to see
to it that re. quin~d iMPactions are made, The PI!. rmit hOlC.ler.~'niUf3t hot. ify thf,>.'"SUUding OffiCi.al when rea.dY for
inspections. Failure of the permit holder to OQ-ttfy the Bu'h;Jjng Offi cia l' \1f. required insl?ec.ti,9+ls may result
in the stoppage l)f the work until such time that,.t:~e~t'!.it, o.la.er can s~bsi)antiate.to the,buil?ing offIcial
that the c?ncealed work meets,or exceeds CO~le~'qU4xeme'nt8:".,,,.AnY demol}.tw~,..testino~ or,flnan?lal burden shall
be borne dIrectly by the perml't holdl;r.'!... Fallttr~\tQBubstantlate coderequ).rementa wIll mdemmfy the City
against ~~I1!:-f~9 all YrsPQDlkibi.[!ty or~,ta~'11'1;rconnected with fhe 'coTlstructit1Tl. . .
\ \ i \ \ ,.\ d
I he~~~y \~e..rt. i fy that' r .t~y."e \e~~ ?n~ ex~mi neq,. t;tli,s <pe~~.i t . ~~~t&~pow t ~~. _~~m~to ?.fit ~~~~ .~,r3,rt:~op~~~ 'cAU c'\
pr..ovHnoA~~of (laws-and orilmanyM govetnling mi'. type- of\r~drkWf}:I:~be-eomP1-1~(}VJlth'woo{;hi:ir speclfHKl '1mrew \
'\ ~r\nov'. Tfle--9ranting .of a permit does not presume to give authority to violate dv,.-t1ancel the Novisions of
any €ifherf\ state or ~ocaL law. ,:regul~ting const\ct)iClD r:sthe performanceoC~onstr'u'cfJQrl,\--:~ \!" '\ ~,c: . .
.'---' \ \. .~ \:-" i ''\ I' J ---:rJ \ ... '-' "'" . . "", . \ ". \''<\' ,'-, .'. i..-\;"',, '- "'. ,) "_
_j \1" ,; \'".' \ ~___'-' '_. \. '" \.., \ '. '.
'S-n~nat).1re :': :...__. ....__._..___....__. ..... .~... _._.~__._...."......... _.__..,.__ .__.._ "__"' Date l__,_..."",___~",______~_~..__~.~___,,-__
, . \ ( - I, J. ."' ~ \. (./ " . - ",. -.\ ""
h _/ l\..j: I ~ \ r ,j \. \...) "_0. _' ~j . "_J \::, <'
r certif'flt-fiilJ I tam ex(~mpt from the requirements of t e 8tatu contractor 'v y'egiRtration law~ l..met!:!r
Section 3, Chapter 126, laws of 1967. \ -
'~ig t -1;:." .X- .\. ( I'.' \ \ ..~ '\ \ -~ \, 2 \, D tia~t;;~\ }'-~_\ C' '\""-\ ".j \ ~ 0 t--\.~\ ~)~ .l...::...,
:t' _ nq ure. ~..___._..__.t____._._ "__<C. .".'_."..._~_..>_..____.,..~., .._ __."'.~__...." ___~_.~_~...._~_...._ ___~:'_~__'__'_",,'_=
l~ . l '~. '\ c:-; \~I ','-:\._;,~ .( 1m \ " ,-. ...:\ '>"c":_" \.\ -",' \~.,\ ''\~' (-- _' _. ,,-'-f"
-~(~~~~*i(~{'~1H~')('1~lHHHaH(*'li:1HH{lH{lHf ", \ \ ,--, "~ __. ". ~"','. -_,,:>., "'_ ..... \
~flrmi t:~.I-ce\;';t.""di1r'PHJy*_rJyrl.",.~RcQ ",,'not" . 3. ! . /3/ ? --. SCALy
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Appliance location and access, proper support Appliance clearance to combustibles r
_._-- --- Venting: ~ize & support .1
Venting: clearance to combustibles
-- -
Vent termination Combustion air
- - ...
Ducts: size & support Gas pipe under test
---"-< Gas pipe: underground min 12" below grade
Gas pipe: size & support
Gas pipe within 6" or underground-coated Gas shutoff within 3' of appliance
-
Gas logs: safety shut-off Gas logs: damper permanently open
Woodstoves: EPA certified Wood stoves & fireplaces: Tight-fitting doors
Woodstoves & fireplaces: proper hearth Manufacturer's specs on site
. --
Chimney liner: when required Chimney: separate flues when required
MECHANICAL
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: requiredcleanouts
.. Vent termination All fixtures vented properly
Water supply: proper sizing Shut-off valves on all fixtures
Water heater: gate valve on cold water supply Vacuum breakers: where required
Water heater relief valve drain to outside Water heater: siesmic strap
R-10 pad under water heater when required Water-piping insulated as required
Grease traps/interceptors: where required Proper indirect wastes: where required
COMMENTS:
PLUMBING GROUNDWORK APPROVED:
Proper fastening: nails-?" o.c. horiz. plane nails 8" o.c. vertical plane
Proper fastening: screws-12" o.c. horiz. plane (1/2") screws-12" o.c. horiz. plane (1/2") 24" o.c. framing
Proper fastening screws-16" oc. vert. plane (1/2") screws-12" o.c. vert. plane (1/2") - 24" o.C. framing
Proper fastening screws-12" o.c. horiz. plane (5/8") . screws-12" oc. horiz. plane (5/8") - 24" o.c. frarriing
Proper fastening scre'vVS- 16" ac. vert. plane (5/8") screws-12" o.c. vert. plane (5/8") - 24" o.c. framing
Area & occupancy separation walls Draflstops 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
Handrails & guardrails, as required Fire ratings maintained
-
Exit signs when required Emergency lighting when required
Occupant load posted when applicable Building weathertight
Wood siding to ealth separation (6" Building Address posted
Radon monitor when required --
COMMENTS: .f1'DbY GJA,{7 ~/"d 67 Gv~ (X-):''/./ g< 97
See ~ /Uf~. q" iY,-fl . ~
FINALAPPROVED:_'~' ~- ~ ~ l~fi/t;7
~ ", I
BREMERTON BUILDING DEPARTMENT
Inspection Report
Scope of work:
Address:
Owner:
Contractor:
Repair floor system
939 N. Callow Ave.
Mary Fields
AA Construction
& part of ro~rmit Number:
97-0145
Phone:
Phone: 871-3058
FOUNDATION
Inspection card/approved plans on site Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
Bearing soil (soils analysis if applicable) Special inspector (when applicable)
COMMENTS:
FOOTINGS APPROVED:
WALLS APPROVED:
FRAMING
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
Mudslll: treated material Floor joists: size & span
Beams/girders: size & span Notching & drilling: joists & beams, studs
Smoke detectors: all required locations Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom
Fans terminating directly outisde Range hood
Dryer exhaust vent All vent terminations: windows & property line
Fireplace combustion air Windows: meets egress requirements
Windows: proper U valve Windows: safety glazed where required
Ceiling heights Stairs: headroom clearance
- -
Stairs: rise & run; proper width Fireblocking: wall to ceiling, furred walls every 10'
Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers
Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates
Sheetrock backing Wall bracing
Rafters size/notching Trusses: specs, bracing
Attic access Attic ventilation
Wall & roof sheathing Shear nailing
Building dried in
COMMENTS:
APPROVED:
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:
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BUILDING DEPARTMENT
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CITY OF BREMERTON - BUILDING DEPARTMENT
478-5275 - 286 FOURTH STREET, BREMERTON, WA 98337 9 ~ f 1JG... H Af
INSPECTION REPORT PERMIT NO. 71..()1f/$-
I have this day inspected this structure and these premises and have found the following violations
of City, County and/or State laws governing same:
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You are hereby notified that no more work shall be covered upon these premises until the above
violations are corrected. When corrections have been made, call for re-inspection.
Do Not Remove This Tag DATE ~'t'Al INSPECTO~/~.
/~
BREMERTON PERMIT CENTER
286 4th Street, Bremerton, ~A 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr: 939 N CALLOW AVE
Location: KITSAP OFFICE SUPPLY (FORMERLY BREM AUTO PARTS)
Parcel No: 3735022-001-0009
Permit No: 97-0145
Status: PENDING
Applied: 03/11/1997
Issued:
Expires:
Applicant: FIELDS MARY
2177 LAKEH~~ST DR BREMERTON WA 98312
Owner:
F' I El...DS MARY
2177 LAKEHURST DR BREMER TON WA 98312
!/<?II ~~J:
Lic ~t-: Exp:
Contractor:
Subcontr:
Desc: REPAIR FLOOR SYSTEM AND PART OF ROOF
*********************************************************************************************
Valuation * Permit Fees: 168.30 Total Calculated Fee: 287.20
14,000.00 * Plan Check Fees: 109.40 Additional Fees: .00
* Other Fees: 9.50 Total Permit Fee: 287~20
*********************************************************************************************
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days 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 is commenced for a period of 180 days. .
NOTICE .. It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see
to it that required inspections are made. The permit holder must notify the Building Official 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 the building official
that the 'concealed work meets 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 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. All
provisions of laws and ordinances governing this type of work will be complied with whether specifiea 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.
S i gnat ure: _________________.__________________________._______
Date:
I certify that I am exempt from the requirements of the state contractor's registration law, under
Section 3, Chapter 126, laws of 1967.
Signature:__________________________________________________
Date:
***************************
permi t Center'.'--A')proved Bye -::j;:'.. Dat€,~: --;;:-..;J- r/
r=;~ 'riCq 7' ys----------F- ~-a:- --- ;\
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Phone:: (::,tl:<O) .1.?8~'5.;;J:".'J "'f~.x:: (:MO) .4 /B"'SP~rn
HU l' LO 't Nf::i Pf'.f~M l' r
,Job r~ddr ~ ~i':;rt N (;1\11 mJ (),\)!.
I.i)Cat;i.Dn~ l<nSr"lp U!'(''"ITF SUPPlY U'"OHMFlfl.'{ Ili<ni i\uru PAln~;)
P,l'f'(,;(,} N(\:: ~j/W,()??'O()l'''OOOf1
Owner' ~
FI r;;1 .D~; M(1t~y
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(~;sGued ~
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Ill? HHr/'1F I{I ON I>JA 9fW 1 ?
Ill.~ HHn'1nn ON "'.lA 9mn?
ContracbJl" ~
U elf ~ 1')(1):
~;Ilhcont r :
lJesc.: !<Fl'{)m 1'1 DOlt ~;Y~n H'1 AND f.l(,Mr at HOOI.
**.M*******MM***.***M.M**..*M******M*************~*K*****M~#~*******M*K*HHM*~**MM*t*KM***M**M
l)fdtlt-rUm\'~ I)(~rrrdt I e{)!'~: 16tl.:l() 'loti'll Ci'llGIJ..latml f Cf~~ ?H/,?O
1.1. ,000.,00 ')d. p l. an Cht~G k i 'n('ls: j ()'l . 40 Add i t; 1 onill r:(~m, ~ .00
,)( (It. hey f-eCfi: <; , ~:l() '1 oted l~'fi'(' In H r €~f: ~ ?Bi' , ?O
M.M"**KNX*.*~**~M*****M**M****Kk****K*~*~**MM***~M**N***M*M******M*MK****M~*M***~*****M*"****
This permit ~ihall beGorne null &nd void 'If the building or \JJork authorized by thij) permit is not commenct1ld ~Jithin
1.80 daY(1 from the date ()f nlJch permit I or if this building ()Y t~o'(k autho'dzed by ~Jl..lch permit is aU$pt~nded or
abandoned l:ft any t Imel. aft!;\" the work is eommenced for a period of 180 days.
NOlICE - rt if.J the nmt1ol'l81bility of the permit hoJd(lr ~ not the City of EJremerton (W Building Official to see
to it that l"f~l:luired Inspections an,.! made, The permit holder mut4 notify the Building Official when read}' for
inepectinns. Failure of the permit holder to notify the Sui Iding Official of required inspections m,.lY result
in the stoppage ()f' the work until such time that the permit hnlder can substant iate to the building oHkii'il
that the concealed I\lork meets 0'( exceeds code requirements. {my demolition. testing, or finrmcial burd~n shall
be borne d1rectly by Ull':1 permit hClldi:lY'. Failure to substantiate code requirements ~jill indemnif-y the City
i:'191.11rmt t)n~' and all 'rtlsponsibility or liability connected \~lth the~ construction.
I hereby certi fy that [ hLwe read ,~nd examined this p(~rlTlit and know the same to be true and correcL All
',- provisions of Jall/s cmcl ordinances governing thilil type of \lJork wi II be (;omplie.:d with l~hcther specififid henJin
or (jot. Th~ grant ing of & permit does not presume to fjiv!3 authority tl) vIoltite or cancel the provisions of
iHiY other state or local Im>J regulating constn.lcticm or the performance 01 construction.
Si ~;mature: ., _...~ .......... .....,_.._.. "......".. ......,..."._.~.._......_ ..... __., _ ___..."..... ._.~..".'".._... Dat e: ....__..__....__....._. ~.._ .... ..... ... __._ __..
t certify th::lt 1 am exempt from the requirementti of the state conty'a~tor'!j regitltration law, und~'(
Sec:tion :11 Chc'lpter 126, lal'l8 of 1967.
S 1 o HCfCun;1 ; .w~~#_...""..." ....'__.~.. ..~w.., .._ ~__ ~.._ ~." ,.._ ,..,....__,_.., w..,~ "_" ~~ '. ~_~.~..._
Date:
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PfHrrd t: Cf:n1 er. . tiPPY oved By:,
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~
BREMERTON PERMIT CENTER
286 4th Street, Bremerton, WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr: 939 N CALLOW AVE
Location: KITSAP OFFICE SUPPLY (FORMERLY 8REM AUTO PARTS)
Parcel No: 3735022-001-0009
Permit No: 97-0145
Status: PENDING
Applied: 03/11/1997
Issued:
Expires:
Applicant: FIELDS MARY
2177 LAKEHURST DR BREMERTON WA 98312
Owner: FIELDS MARY
2177 LAKEHURST DR BREMERTON WA 98312
./
;rI-
~6 "-
Oeee: REPAIR FLOOR SYSTEM AND PART DF RDOF 6 W ~2 ~
**.***..**....*..**...*..**...***..*****.*.*.*..*.*.*.****..**..F;.O'~~*~~~..', .~.::
Valuation ,* Permit Fees: 16~.30 Total ca::,' ed~fr ;;,'7.20
14,000.00 * Plan Check Fees. ,101.40, Ad 1 nal Feeb, /VI11LJY . ,00
* Ot her Fees: 9,50 Tot a I Perm itll/~6~: ;r u r :~B7, 20
**,*******************",**,,**,,****,****.**"***********************.****irtk********'*7!7r,*
This permit shall become null and void if the building or work authorized by this permit is not ~ed~thin 1
180 days 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 is commenced for a period of 180 days" ~~~~~ ~~~ ~
NOTICE - It is the responsibility of the permit holder, not the City of Bremer~or~u~l~n~Off~~1 to see
to it that required inspections are made. The permit holder must notify the Building Official 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 the building official
that the concealed work meets or-exceeds code requirements. Any demolition, testing, financial burden s 11
be borne directly by the permit holder. Failure to substantiate code requirements wi indemnify the Cit
against any and all responsibility or liability connected with the construction. '
I hereby certify that I have read and examined this permit and know the same to be tr e a a corr~~A~ II'~ ;i7
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 provi~
any other state or local law regulating construction or the performance of construction. ~
Signature:__________________________________________________ Date:_______________________________
Subcontr:
Contractor:
Lie #: Exp:
I certify that I am exempt from the requirements of the state contractor's registration law, under
Section 3, Chapter 126, laws of 1967,
Signature:__________________________________________________
Date:
***************************
~~rLEr--APproo~----~ Date:Ur-L----.. ~
3 - , ~3 -q 7, ~
.
BREMERTON PERMIT CENTER
286 4th Street geremerton~ 14/% 98:337
Phone: (360) 478-5275 FAX: (360) 478-5.2.78
BUILDING PERMIT
Job Addr: 939 N CALLOW AVF
L"ClcatIon: t\ITSAP OFFICE SUPPL.Y (Fm~ME]~!"Y [l1~EM AUTO PArrrS)
Pa r ce 1 No:: ~:l7~I~:m??-()O I ""OOO'r
Applicant: FIELDS MARY
2177 LAKEHURST DR BREMERTON WA 983]2
Permit No: 97-0145
Status~ PENDING
Applied: 03/11/]997
Issued:
Exp1.res~
Owner: FIELDS MARY
21 n LAKEHl.mST Dr~ BRE:MErHON WA 98~l12
Contractor ::
1.".1.c 11:: Exp:
Subc::ontr:
DElse:: REPA J f~ FI"ocm SYSTFM AND PAFn OF rWOF
*********************************************************************************************
Valuation .* Permit Fees: ]6B,,:::IO Total CaJc:uJatm:1 FE')e:: ~:~n7,.~W
14~OOO"rn) * Plan Check Fees: 109.40 Add1.tIonal Fees~ ,,00
* Other Fees: 9,,50 Total Perm1.t Fee: 287,,20
****************************************************************************************1*****
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days from the date of such permit, or if this building or work authorized by sllch permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see
to it that required inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holder to notify the Building Offi.cial of required inspections may result
in the stoppage of the work until such time that the permit holder can substantiate to the building official
that the concealed work meets 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
agai.nst any and all responsibility or liability connected wi.th the construction.
/
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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.
S i gnat ure: _________________._____________.____._________....______
Date:
I cert i fy that I am exempt from the requirements of the state contractor 's registrat ion la~J, under
Section 3, Chapter 126, laws of 1967.
S i gnat ur e: _____.______._______________.________________________ Dat e: ____________._._._________________
***************************
PE:rm:i t Cent er,..".'ApprClV€:ld l3y: ..".. ........ .."..
~~~<?q7 B
Date:.... ....?=J?.~.!".~,..."...
ulc
~
HBtJlUJlNfi PERIUIT.APPUCATION
City of Bremerton, Washington 98310 Phone: (206) 478-5275 FAX; (206) 478-5278
OWNER: m",y \/
/
n ~ Lp:5
Q7-0J4:S '
~ 7 35 ~ 0;) ~ -WI - O{)()1
TAX ACCOUNT NO. c ~ 00 - YJO - 7cJ C
;;:'/7 7 ~,...I.... N".....i7
APPLICAl'\lT: D OWNER ~ CONTRACfOR D OTHER:
srTE ADDRESS: 93 7 /J
~
c p... / / (J i..V
ADDRESS: .
,~. ~.
...., , .'
-,'
CONTRACfOR: ./7;-.A' C.,/>~t:4'- j;:#/,
CONTRACfOR UCENSE # 1719 co 17 ~l'- / J ~ 1/1 tf
ADDRESS: s-'J-",,/2. J E .k.-)c... 1/...../;;, y
,
EXPrRA TION DATE: 7 /;.z / /9 7
, ,
C
CONTACf PHONE # & 7/ - J 0 j-'8
o MULTI-FAMILY D BUSINESS D OTHER:
6 "11
LW
MAll 11 1997 1
BREMERTON*
BUILDING DEPARTMENT
D SIGN 0 DEMO D MOVE BLDG.
D NEW [2{1 REPAIR 0 RLYfODEL
D MOBILE D GRADING(yds):
D ADDITION D OTHER:
,.' 4" ~v'R
NATURE OF WORK PROPOSED: Gc) v (...V' .{4 "vV' w //"4 ~ "r:?;I., liD-I
-, -
e:?../I ,f ~ 7;/c.. ~ L.r 6 . /-^ .;0 '" 7';/<.. J r;;)o r...
.j' ~ ~ c:. ."..a A ' r 0"'"
, ,
SQUARE FOOTAGE: Dwelling: yrtJO
Garage:
Decks:
9~ t)~ Uu t)c4
...>...... ...........PiANREVIEW>EEE(.. .>.)PERMIT..FEE..)... <i }.SURCHARGES>< ...... .............> TOTAL..FEES......................
$ $ ,( ~ .S 0 ENERGY: $50.00 $~ V. ~
~ 0 STATE: $4.50 c::f-()
( ~ 00 0
. Applications for which no permit is issued within 180 days following the date of application shall expire by
limitation, and plans and other data submitted for review may thereafter be returned to the applicant or
destroyed by the building official. The building official may extend the time for action by the applicant for a
period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the
applicant have prevented action from being taken. No application shall be extended more than once. In order to
renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.
APPLICANTS SIGNATURE: ;&;.4 4'J~
DATE: Y //0/77
'" "
*****M~*M*****K********~*********M*********X*****K~K**~*~******~
C:I 'I y en nw: r11Fn ON I<:Hpr:1 fit i:)d t o~v 1 :l /9'7 O? ~ ?t:, I(t r;~, 'II i'l
************M*************~M**************M*****M**M******>**KKK
Hi C! .:t P" Nl!mh(~r( ~ i;;!,/OOO?? 1 (',ffinlH'lt: 10'1 , ,40 O::,l/:l:l I'll OS'::? !~\
Piwment r~l(~thnd~ 1:1\ Notation': t!?~ A CON~:;1' [nll;~ \)\;.1
9?' (') I ,'j:; IYpt?: UIDCiONI Y HLDb 1)[ J~t-l r l'1'JU t1! :CII/
:J/~JbO?~" 00:i ' 0009
')39 N C(1!,1 ,{)\;..I N,II,:
!\n~,;('iP tit: ":lei, ~aH\PI Y (f CH;:~'1f'I'<1 Y nm ~1 ,"'ILn CI r)tlln ~:;
j' n I; d l. h:.( w :: ~,,'~fl /..~o
felt;l.:! flr f IJmt":!:: Jn9.,~O
I ~{ll a 11CFI :: 1./ / ,un
*~**~**X***M*****M***K******~K*M*******~*~K*XW*X~***~M*~x**#*~~*
,"\ccount em!!:) l)F)1:';cr! pt; :i on Arnot mY
1(,::\,1!:LH::mO (,t:'lHO) nUl:l,IHNn Plfll'~ Clll:t':~\:, !'!:fir; 10';!,,"10
"(')Y'1Ii 1. t No:
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10'': ,,40
BETTER BUSINESS FORMS (360) 698-2464
3581
BREMERTON MUNICIPAL UTILITIES
3027 Olympus Drive
Bremerton, Washington 98310-4799
478-5318
Bremerton,
Receipt NO:{q7 0 oOd.,fi8
WA. , 19_ -
YTILITY SBRVICB AGij~E~NT
Work Order No.
Tap No.
The undersigned property owner hereby applies for Utility service at:
Service Address: 9:S~ AI ~C-O~ A-~c, ~~LOO-1;...J-~ 97-0'4~
Legal Description: ~5- a- of.. D()Cj YI'5 #1,( P/1;<,/-.s
Plat Block ~ot Kitsap County
SERVICE REQUIREMENT: -[] Water [] Wastewater [] Stormwater
SERVICE AREA: [] Marine Drive Water[] Sewer District #1 jVO~ C~~
[] City [.] North Perry Water [] Tracy ton Water k/"rs/1~ orAlESul'fLY
[] County [] Port of Bremerton []
SERVICE CHARGES:
Connection/Inspection Fee:
Water: Domestic...............Size $
Fire ..................Size S
Was tewa ter ............................. $;
S to rm Wa t e r ............................. $
BARS #
Front Footage Fee:
Wa ter ................................... S
Was tewa ter .............................. $
Storm Water ............................. *'
General Facility Fee:
Water ......., of units
Wastewater ..1 of units
Storm Water ., of units
(It $
tt $
(It $
$
$
$
System Development Charges:
Water
Wastewater
Storm Water
$
$
$
Temporary Service $
Road Permit [] City [] County ..$
Street Restoration [] Asphalt [] Concrete $
Ta pp i Dg Fee ............................'... *
Deposit $
Other I STn~2- ,4/J/fr'TF~ $ (d-..'X ~ h 1-
TOTAL. . . . . . . . . . . . . . . . . . $
4(J/.. 3 ~lt 1000
1. Utility charges are the responsibility to the owner regardless of
whether the property is occupied by the owner or tenant. Unpaid
charge shall become a lien on the property serviced.
2. By this agreement, the undersigned owner acknowledges that the owner
assumes the risk and the City disclaims responsibility for all claims
fo~ damage or injury to person or property resulting from the
following:
a. Installation, maintenance and operation of all plumbing, fixtures
or appliances connected to the water meter or wastewater main.
(Building permit inspections are limited in scope and do not
guarantee plumbing design or workmanship.)
b. Changes in pressure, flow or temporary shut-off of services due
to system maintenance, emergency or non-payment of charges.
Owner's
Agent's
Phone Number )
State/,(j/J ZIP
, 19
, 19
Date
Date
Utilities:
Date , 19
Accounting
Goldenrod Copy: Customer
**MM~M*M**MXM~**~*M*****~****H*****M***K******K*M****K*K********
c.: 'j 'j Y or nl<l I"'lFRT ON nl' r:r:t lYI
***M**~*~**MMK**KM*****H******K***K***~****M**************~*****
1;.~t,'Cflll'! NI,lIilbeff'r. ~1'1000?9B rHnUllnt:~ ::lj(-,,/14 O:,l/~:,\n/VJ .l!;';r.O!:\
P;:~ymen'l; HI")'!; hod ~ tl< Not a I; 'i on ~ (.~ ~~ f.'l ClJNH l' " I: n I. t l: VW
<il!O 1 ,1!j l'ype ~ H;l J)nUNI ,Y FiIJ)F:! PI~lm r 1'..f',!{J f"lI J~l-V
::I'/:::I~)O??"OO 1, 00(')</
\;);J~:y hi CAt ,I .o!,,} f'l')L
I( J 'f ~:';('1() or I' ) cr ~:;UPPl '( (F OI<I"U W Y IHH f"'1 r'ilJl n 11(II'fr~'1
rot f~:I. I :(:~(7in ~ 4?!,j ,04
iot.a) {1;!! Pmt<:j:: 4~)!",n4
13a 1 i'j, nc:(~ '.; ,,00
******~****K**K*K*X***MX********K*M**MK****M*****M*****~**~H***H
f'1CGotmt Code Dm:>cY :1 pt :i on l~mO\1nt
1. (:, <J~:~?" l. 00 1 (~'.~? 1. 1. ) nu r I J) l:!'-lld PFj~!vl I: t' I:'IJ,:L; l6B ,,:JO
11.0 1 ::lHn" j OOO( ?'/, 0 ) S', Ol~l tll)f'll"'l r F?~) 1 ::'f; . ':Ill.
4'.:'~ <J'1.t!.,,?OO'!, HYIJHANt' 1~!J':IJ:Crn!~::; 10,on
~,1j ;},?:::I>.' , 1 ~l (O;',I:;lh) ~; I {'I'll. Of (..JPl :;;I.H~CIII"IHGr .tl ,~)O
n 1 <3?~? . 1009 (?? 1,9 ) PI -:1m l'l ~:;UHCllt)I~Cif', ~\" 00
Per m 1. t No::
Pi'~-r(:~~:1 No:;
Sit: e Addr (~ti:~!; ~
I 0(;11,1. :1 on::
" h:l t: Pi{YIli~:nt
~J 1 6 . ,1,tj
'''-,
C][TY OF lBREMERTON 0 239 4th Street . Bremerton, WA 98337
BREMERTON PERMIT CENTER
Mar 20, 1997
FIELDS MARY
2177 LAKEHURST DR
BREMER TON WA
98312
SUBJECT: Application No: 97-0145
Site Address: 939 N CALLOW AVE
We have received your application and find we do not have the information
required to process it promptly. Please provide the following
information as soon as possible.
1. SHOW THE BEARING POINTS (FOOTINGS) FOR SUPPORT.
Your application will be routed to other city departments for review.
During this process, additional information may be requested. If further
information is required, the complete application must be resubmitted
with the updated information. You will be notified by this department
when the approval or disapproval decision has been made.
If you have any questions regarding this matter, please call me at
(360) 478-5275.
Sincerely,..
() oJJa/LA..P
Valarie Wolf
Building and Development Specialist
o Celebrating 50 Years of Freedom .
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CITY"OF BREMERTON BUILDING DEPARTME~I, '. i "
iT/W. ~ ~<<>' KrTSAP OFFICE FURNI'IllRE '.' ." ,~.
.Iocatedat 939 Callow Ave N . ~~ ~~. "':~'
~tIud/k~~be~UJid,,/k~of/k ~ "'. "
. ~~: :~~~:~~~ CO:MONUSE ,.'t"~;':~!}'
VN B2 167 Retail .'. . .'. ~...,
...~....
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<JiJate:
[jJ~.
September 13, 1994
. 'fXj~ (11fida1 David A. Nelson
This certificate must be posted and permanently maintained in a conspicuous place.
Permit No.
Business License
.~ ~ ~ ~. .' ..~ ~~.. .~M
. fi - ", ", '"" Xl~
~..'.."~< '>.CI;~F~~J!EI~~TE.~Q~ . ~u~~~ ~~~R~~Nr. ........ ~
~. ""., ".' ..'.'.. . ~
fi" $':'" ~'-edl<> UNIl'ED~U~l;E~S MACHINES OF KITSAP COUNTY' ~ .
'.' ~" " Ioca.tedal 939'N. Callow. ", ,,;.'. f!1J~J ~~ '. ~.
_~,,11'A~A.1haI/k, ~. k, ~ with. llle ~ ;'-fJllle f!1J~u'/~',.,.,. , '
. .~~r=- ~ "" . . "'r. ~'?r . ~
", .~ 01 llle ~TYo/'pE.,f!1J~ ,~, ~ ~ " ':.':' ". ~
TYPE.', OCCUPANCY." .
, '. CONSTRUCTION OCCUPANCY LOAD '.' COMMON USE. . '.' ' ~
B2 83,...; .." . Retail, .'.: ::." ~
u. '_-~"~."..".'~.'.'"'''' <dL."'./7'-'''' .... /1 . <" ." ..... -',:' .........:. . .
.......'...:~,//~....~.
. .f!1J~ @!fidaI David A. Nelson : ;'. "!) "
.', This certificate must be. posted and permanently maintained in a conspicuous Place.::;, ~
,; Permit No. Bus. Lie. . , ';' ;';.'. . ~
~ ~~ ,~~ ~~~~
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.- .....::..:.-. _...",",. :'f>"';:' .:..~~~_i _:1.'.:::.. ..... ._ . ~
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-'.., ,'-',,:,: -
BUILDING ~ERMIT
. N~
5235
/
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J
City of Bremerton, Washington
Phone: (206) 478-5281
BLDG. DEPT. VALUE
RECEIPT NO.
RECEIPT NO.
DATE
OWNER'S VALUE
PLAN CHECK FEE
PERMIT FEE
$ 020 e.
C#-~~
$
./'1/'
,
$
SITE ADDRESS I LOCATION 9'; 7
OWNER'S NAMVIt hC/d~
CONTRACTORh-/b /~~~?
ADDRESS
ADDRESS
PHONE
STATE CONTRACTOR'S L1C. #
PHONE
D RESIDENCE
~ BUSINESS
D OTHER
D NEW
~
REPAIR
D REMODEL
D ADDITION D DEMOLISH
D SIGNS
OCCUPANCY
PLANNING I ZONING
STORI ES
THIS PERMIT ISSUED FOR: )}Q..../~/~ hP/h'9 ~ c~ /1.DL)"c=
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation D
Framing D
Plumbing D
Electrical D
Wallboard D
FINA~
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE 0
OWNER'S SIGNATURE
""'/"f
BUILDING ~ERMIT
~~
449
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
$ .:(, ''3C> 0 - vo e)tJ 11/ 7-~7-77
- $ - $ ~1--
SITE ADDRESS I LOCATION '1 .3 ~ No. "- eA- L L 0 tA..)
OWNER'S NAME 06' L/I1AR y. ;:/ttLiJs ADDRESS
PHONE
CONTRACTOR
SAME:
STATE CONTRACTOR'S L1C. #
ADDRESS
D RESIDENCE
,l}(BUSINESS
D NEW
D REPAIR
PHONE
D REMODEL
D ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY'
THIS PERMIT ISSUED FOR:
~f'M 1
I t'\ c..-t:i:lSe ,)~c:'''\..+ Joor
~/J.-11t. €,"~ls'71'UA i'RAfLiN~
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation
INSPECTION:
Framing D
Plumbing D
Electrical D
Wallboard D
FINAL ~
1='1~~
\,Qsp,
{9~ 1'LA-T'"ffl~J..A 'VIL6 oJ "5.L.4/7
Gt; y-.II
FOR INSPECTORS USE ONLY:
REINSPECTION:
..PPROVEo' NOT
TYPE OF INSPECTION DATE TIME APPROVED
,
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIF, ICj}E R
OWNER'S SIGNATURE . {/,
FORE OCCUPYING BUILDING
BY .
BUILDING DEPT.
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CITY OF BREMERTON
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Fee $.....................1-;I)J!......................................... Receipt No. ....,2..~Y..-9.7................................. .'.
/
BUILDING PERMIT
BUILDING DEPARTMENT
e
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
Owner's Value I Bldg. Dept. Value I DESCRIPTION:
$ ;:, () tJ I I Lot Block Additions
Address on Job --oc2,$,.9.....~fZ.: ...~.l"(~.........____........ ............................... Date /L::/.~1-::--::.?~...............n____
Building ""'''''00'''__ x __00.00..00.__.. and "00"0000"'''' stories ....__00.....00.....00__ basement. Lot ____00__....00__ x ..........__....
Front Yard .00..00__...__00..00.... Rear Yard ___............__....... Side Yard 00______......00..00__.. Garage ............__........__.00...
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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. All plumbing, wiring and the frame of all buildings must be inspected and approved
before covering. Wood preservative to be used on all wood against masonry. Ventilate fo.undation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
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Fee $h"~.":'"''''''''''''''h''''''''''''h''''''''''''''''''''''''''''' Receipt No. ........................................0...............;..
BUILDING PERMIT .
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector .. ESsex 3-1411, Ext. 36
Owner's ~ I Bldg. Dept. Value' DESCRIPTION:
$ flJiJ;::'-- - LOJ:? A Block Additions
Address on Job -~~fl!{:I/lffiY~mhm__..~.__.___.___._munhn.n..n.__..nu Date _._,/(2n:::./L:.'r~u
Building h_____.n.m._ X u_._.nmhm and h_.Uu.u..m stories _.nU______._u_m.m basement. Lot m_.m.n__u. X hn.m__u___.
Front Yard h_.u_m__u__hm.u Rear Yard U_.hrU__._mh__m Side Yard ._Unh__._.___.u___u Garage ______u__n.h.U._hnmU.
,A ""'I ~d..' 177. /l
OCCUPANC~ER~}l. REQU'I~~BEEeRE OCCU.PYING BUILDING ~Lofle ___m.____u~-(;------mu.--nu--
Owner --u..d..<'?@':'.._.:///~.:~s:2....._.._._._u_u. Address 2:112_..ufi:4f2uh~-1..d1~Pl{d'~_u..____
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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. All plumbing, wiring and the frame of all buildings must be inspected and approved
before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
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Fee $......m..m.m.9.m...-:::::.................................m. Receipt No. ......:2.f?g..~.~...........m.m..:...m..
BUILDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
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Owner's Value I Bldg. Dept.
$ 1,/ S7J d
Value DESCRIPTION:
Lot
Block
Additions
Address on Job .ff.:1.?. ..~.:..&d:4.,~-f::':~,___..__.......h...__... .... ....u...h.................. Da te ..t.-?..-:.~~. .:-.2..:f.....__.__..moo....
Building ....h.......oo, X ""'''''..m.. and ____00_.00.._... stories _...00"__"_'__"'_"00 basement. Lot m__mh..m. X __oo...__mm.
Front Yard _"__"mmoo.__...... Rear Yard oo..h...moo..h..oooo Side Yard __.._m...._...m...oo Garage m.m.m.m.h.__mm___
OCCUPANCY PERMIT REQUIRED BEFORE OCCU.PYING BUILDING Zone ___........m...__.____mm.m_m_...
Owner ,.:::-'!~.f.;P,?t.t.~--!--....:.>"m4-:'-/..~-4/.............. .... .__... Address moo__m__oo.._...oo.._..._............... Phone _________ .__h._.
Contractor !~-~.",;g,h~:M-'~-:~.';.'\____...(~~{/;-::?)..._. Address oo__._.___.___.._...___._...........h.._... Phone _..___h__.__oo__
This permit is issued for: ("
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All work to conform to all applicable building ordinances and amendments: 0Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION - Reinforcing steel must be inspectecl after placing and before covering. FORMS shall be inspected
and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved
before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa-
rate permits required for plumbing, wiring a,nd heating. See City Engineer before working on streets or sidewalks.
- -- -- - - --- _a_ _ _ _ _ a _ __ _ _ _ _ __ ___ a. _. _ ___ _ _ _ _ _ __ _. _ __ _ __ _ _ _. _ _ __ _ _ _... _ a_ _ _ __._ ___ _ ___ _a_ __ _ _ __.. _ _ _ a_ _ _ _ _ _ _ ___ _ _. __ __ _ _ __ _ _ __ _ _ _ _ _ ___ __ _ _. _.._ _ ___ __ __ ____ __ __ _ _ a_ __ __ _ __.._ ___ _...._...__
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