HomeMy WebLinkAboutCALLOW AVE. N., 1310
e PERMIT e
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
JOB ADDRESS
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OWNER C '
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CONTRACTOR "
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Class of work: 0 NEW
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. ,~L ADDRESS
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jJ /7 MAl L ADDRESS
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o ADDITION
ZIP
PHONE
?oy~~
PHONE
LICENSE NO.
o ALTERATION
o REPAIR
D MECHANICAL D PLUMBING
CHIMNEY (No fee information only) INSPECTION: Groundwork Gas Test
Masonary Lines Unlined Wasted Vents Water
Factory Mfg Type B Type L Htg. Ruffin Chimney
Location: Internal Outside Wall Stove or Insert Refrig.
No. Type of Equipment Fee No. Type of Fixture or Item Fee
STOVES Gas_ Oil_ WOOd~ 4 ...=,(J WATER CLOSET (TOILET)
FIREPLACE INSERT BATHTUB
FURNACE Gas (Nat._ LPG. _) Oil_ LAVATORY (WASH BASIN)
Wood add on _ Other_ Electric_ SHOWER
BTU KITCHEN SINK & DISP.
Type: Up flow_ Down flow_ DISHWASHER
Horizontal_ Wall_ LAUNDRY TRAY
CONVERSION BURNER: Gas_(Nat._ LP_) CLOTHES WASHER
Under 100.000_ Over 100.000_ WATER HEATER
Oil_ URINAL
UNIT HEATERS BTU_ Gas_ Elec._ DRINKING FOUNTAIN
BOILER Gas_ Oil_ Electric_ FLOOR - SINK OR DRAIN
Other_ H P_ SLOP SINK
GAS SYSTEM Max. 5 outlet Total_ WATER PIPING & TREATING EQUIP.
EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease)
BTU_ VACUUM BREAKERS & BACKFLOW DEVICE
AC UNIT Electric_ Gas Elec. Combo LAWN SPRINKLER SYSTEM
BTU_ SWIMMING POOL - Private Public
HEAT PUMP Single Package_ SpliL GROUNDWORK
Add on_ BTU Ton_ SUMP
MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION
AIR HANDLING UNIT CFM_ BTU_ POST & BEAM
FANS ExhaUSL- Supply_ Bath_
RANGE HOOD Residential_ Comm._ PERMIT $
CLOTHES DRYER Res._ Comm._ TOTAL $
Incinerator NOTICE
ALTERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
Heating/Cooling_ ExhaUSL- IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
TANKS Oil_ Gas_ Propane wlOK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
from Fire Dept._ Gallons_ WORK is COMMENCED.
REFRIGERATION UNIT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
S ~O ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
PERMIT $ THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE-
TOTAL FEE $ Jo OI'J SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHER STATE OR LOCAL LAW REGULATiNG CONSTRUCTION OR THE PERFOR
MANCE OF CONSTRUCTION.
FINAL APPROVAL
(SEE OTHER SIDE)
RECEIPT NO,
, ~
SIGNATURE OF OWNER (IF OWNER BUILDER)
729J~- PERMIT NO. ~?
232D
(White-ORIGINAL, Yellow. I NSPECTOR. Pink-APPLICANT)
!
,. PERMIT ..
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
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JOB ADDRESS
J :3 /6 t /1.1
OWNER C"fJ 17 \.(
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CONTRACTOR- ~ -
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I/~~.A!
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Class of work: 0 NEW
~~
c; ~:RESS
I/1MAILADDRESS
~
~ /
o ADDITION
p~
o ALTERATION
D MECHANICAL
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal Outside Wall
ZIP
PHONE
.r
'#
PHONE
LICENSE NO.
o REPAIR
D PLUMBING
INSPECTION: Gro.undwork
Wasted Vents
Htg. Ruffin
Stove or Insert
Water
Chimney
Refrig.
No.
Type of Equipment
STOVES Gas_ Oil_ Wood~
,....
FIREPLACE INSERT
FURNACE Ga;- (Nat._ LPG. _) Oil_
Wood add on _ Other_ Electric_
Fee
lJ ..:So
BTU
Type: Up flow_ Down flow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_(Nat._ LP_)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATERS BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo
BTU_
HEAT PUMP Single Package_ SpliL
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CFM_ BTU_
FANS ExhausL- Supply_ Bath_
RANGE HOOD Residential_ Comm._
CLOTHES DRYER Res._ Comm._
Incinerator
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ ExhausL-
TANKS Oil_ Gas_ Propane w/OK
from Fire Dept._ Gallons_
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
5 .;;-rJ
Jo on
FINAL APPROVAL
(SEE OTHER SIDE)
RECEI PT NO.
(White.ORIGINAL, Yellow. I NSPECTOR, Pink.APPLlCANT)
Gas Test
No.
Type of Fixture or Item
Fee
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR. SINK OR DRAIN
SLOP SINK r
WATER PIPING & TREATING E'QL:JIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BACKFLOW DEVICE
LAWN SPRINKLER SYSTEM '.
"
SWIMMING POOL - Private Public
GROUNDWORK
SUMP
ALTERATION
POST & BEAM
; ../1 ,l)--.; ,
'11'- . l
J' ,"J r:JI/\!-
f . V i
I
PERMIT $
TOTAL $
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR.
IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE.
THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE.
SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR.
MANCE OF CONSTRUCTION.
SIGNA TURE OF CONTRACTOR ORlJAUTHORIZED AGENT (DATE)
~~./.4,u-".'/1J . (~ 7-9-cf,Y
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
729/.,:;- PERMIT NO. N~ 2~2(fD
. '''I
.
.
.;
N~
46141
Fee $___hm_'h__..m.mdQ"'~~~h____.nmmnn__nm Receipt No. _...nm3n~n3n'?:.7m__m__h..mm. //
BUILDING PERMIT ,~
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building InspeCtor . ESsex 3-1411, Ext. 36
Owner's Value I Bldg. Dept.
Value DESCRIPTION:
$~dOU ~ ~~ ~~m
Address on Job _______m .____/ f/cL______dh_:m __G_I!.!?_t:d ____________ ________________ ._____ Date ______~ _-:'.-2(,.:. _Z~u_______oo__
Building ______00_____00_ x _____.________u and ________00______ stories ______________________00 basement. Lot ___________u___ x ________________
Front Yard __,_____________________ Rear Yard ________________00______ Side Yard 0000______________00____ Garage ______________________________
OCCUPANCYt;~MIT RES?UIRED BEFORE OCC.~:PYING BUILDING Zone ______00_______________.__________________
Owner -oo-----':-__oo___-'e______::-Ch_~...,::__!€_6i__JN~I1~ddress _________oo________m______________________ Phone _____00_00_______
Contractor _______________________ __~Z..4.:'~~_ _________ ____ _ ._________ Address _______________0000_______________ __________ Phone ___oo__________n
This permit is issued for: /7J 7 // / ,:f' /' ~ h. I/'/
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::::::~~::I:::::::~2?~~~:::::~::~:::::::~;~~::::::::~i4:j~i~~;::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
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 befo-re covering. FORMS shan 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.
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Owner's Signature____________________________________________________________0 By _..~_,.,:t!__,~A;,~~:!:c_~:___________________~
, v His AUlhorized Agenl
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