HomeMy WebLinkAboutCAMBRIAN AVE. N., 1140
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B REM E R TON
B U I L DIN G
D E PAR T MEN T
PER M I T
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-------------------------------------~-----------~._---------------~--
Application Date
Issue Date
Assessor Acct #
Site Location
Owner - Last Name
- street
- City
- Phone
TenantOs Name
Agent's Name
Architect's Name
[ ] Building
[X] Mechanical
[ ] Plumbing
08/30/1993
08/30/1993
Application Number 93AP06866
Permit Number 14849
Project Group
1140 N. CAMBRIAN
TIMMERMAN
1140 N. CAM.BRIAN
BREMER TON
(206)
First KAREN
MI
state WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ ] Sign
[ ] Burning
[ ] Land Clear
[ ] Paving
[ ] Underground
[ ] Demolition
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Building Contractor:
Work will be completed by owner.
Nature of Work:
Mechanical permit for gas piping, boiler
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council District Census Tract
Construction Sq Feet Inspections
Type Required
Residence [X] Zoning Foundation [ ]
Business [ ] Type Framing [ ]
Other [ ] Insulation [ ]
New [ J . \ Plumbing [ ]
Repair [ ] Status Mechanical [X]
Remodel [ J Code Wallboard [ J
Addition [ ] Final [X]
I
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I
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-------------------------------------------------------.--------------
R7~J Ji'ct)' ,::Q Approved By: ,l f.1;" ,',- '.
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~===============================================~=~====~=====J=t~
B REM E R TON
B U I L DIN G
D E PAR T MEN T
M E C H A W~IC A L
PER M I T
A P P LIe A T ION
----~-------------------------------------~--------------------------
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Contractor
street
City
Phone
Representative
state License #
city License #
Application Number 93AP06866
ALTENBURG PLUMBING
1462 B DAWN ROAD NE
BREMER TON
(206) 479-4664 state WA Zip 98310
ALTENI*223JS
Expiration Date 02/20/1994
Expiration Date
stoves
Fire Place Inserts
Furnaces
Burners
Heaters
1 Boi.lers
4 Gas Outlets
Coolers
Air Conditioning Units
Heat Pumps
R~-Heat Boxes
Air Handling Units
Fans
Range Hoods
Dryers
Incinerators
Alterations
Tanks
Refrigeration Units
Other Items
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BREMERTON BUILDING DEPARTMENT
PlwnbinglMechanicallnspection Report
Scope of work: GAS PIPING
Address: N. CAMBRIAN, 1140
Contractor: ALTENBURG
Penult Nwnber: 14849
Owner:JIM!YTP.RMAN
Phone: 479-4664
GA..<<t PIPING
Under ~t (l~.!oe 15 m.i~,-ut~) Pcopet' :li:Liug_~~oet
12" l/lillil/lu.1II hd~~_~,,~_!":.~!~~~~~~,~_ --- _ CO~f.cAJ/~.f1~L~J~!1 ,u..k!'U_~_~~~!_~.!!~~ 6" of ClII_~
GcoulJ.I-;oiJJt ulliom pcohibifed in n-nain 1000tiorn 8u~hj"~:I not .Jlowed in couc.eakd arcali
COMMENl'S:_______________________________.______________________ ___.__u______.________________________
GAS PII)ING APPROVED:
FURNACE
-_.- _~ ~_"'.!.1!.a~~~:! ~l>eci_l_~~!i~..,!!.~!!..!~~~___.__ ~1!<>.'.1.!..~_~!.!~1'E'!!_.____________.
CkaC/mu: lo UJlllbullI,ihklll ~~~fillg:~~..!!.~ 1_0 (;.Ol/lhullIlihk.
-- _._---------- --
.Y.~~~ Nh.i,.,.1:L~.~.l.oel/ Qmnc~! iOllH Ve:nt le:nuin<lli...1
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ColllbullIuon aie ~J.illl'-~: li'~e aud! oc lIc:JJacalc Hua alll ec:q uieed
----- Gillll IlIll1lt-olf wid,in :r X~~!_~~~~.CtI..~!!~'}._~'!_~'_'J5~~~!;~._____.___.__
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DUCl:l: siLe: & ~uPIJOruiJJllIulalcd wllc-n "-"tuirc:d lU:twn 'lie
COMMENTS:
FURNACE APPROVED:___.__________________
MISC. APPUANCE8
--- _~allUf~<:.tucee':I slJC:cifiQli~~~~~_~c:.__ Locatioll, ila:esS, sUPPOcl
CkarauQ: 10 Q)mbUllltibk."llI V4:nling: deOlcaUa: 10 <:.omhUlllfil,ln
Ve:nt sil.ing & s~Pl)OeuCOllncai'?!!~____ Vellt leemillatioll
CombulIuolI air Chilllucy: lincc aud/or lIc:panlc HUCll aa rc:quiec:4
Gas shut-oil'within 3' Wood 1lI1ove & tieeplaca: pCOpel' bc:arth
Wood !ltova: EPA approvc:d Gaa ~: aafc:ty 1IllUt-off
Wood 1lI1OVQl & fiee:llLu:a: fig!'l fillil~!i .loon Gu shul-off wid,ill 3'
COMMENTS=--
MISC. APPUANCES APPROVED:_____
WATER BEATER
Mauufactwee's llpecific.atiOJIllI 011 silc Lo<:atiOll, aC(X:llls. IlIUppOcl
Ckaean~ to <X>lnbwtiblc:s Vellting: ~!_a_'_'_~ 10 Q)mb~!.:~!}h~
-
VC:lIl Si:Ul~ & 8uppOrUCOlUM:CUOIIlll Vent lermination
Combustion air CIUnmey: liner and/or !llCpaeate flues as required
Gali shut-oLT within 3' Pilol c:.kvatcd off floor ill ~;u<tgc:
Gate: valve: 011 cold W1lcr llUIJPIy Relief valve deaiulxllo Ollllli.lc
roo "'Yr.' 10 galvanized connc:a:ions UniOl11ll 011 walcC pilJC:lll
Seismic strap
-
COMMENTS:
WATER HEATER APPROVED:
~1~,q1
ALL WORK UNDER THIS PERMIT APPllOVED:
,
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B R.E MER TON
B U I L DIN G
D E PAR T MEN T
PER M I T
====================================~================================
Application Date 09/03/1991
Issue Date 09/03/1991
Assessor Acct#:
Site Location 1140 N. C~~BRIAN
bwner - Last Name TIMMERMAN
- st reet 1140 N. CAMB~IAN_~._,.__.
- Ci ty BREMERTON'" ~~',.,..---~ ..... ~'::..gtate WA Zip 98310
Phone (20J5l;;;' ~ - . <.::>.
Tenant's Name <:/' /", "Phone(206)
Agent's Name /;/ /<)~ f'>' Phone(206)
Archi tec.!- 's Name/ <. ';(/) . '," .: ^.. ',",
r. . 1,.. ~/)'. '_, \" <. . .'. '>'~1. //.! / ~r
t ] BUJ.I dlng // /( ). (,h.\.adl.ng....."~.=...~.,.~.&,,..L 8J.gu'.( / / ( L~] Paving
[X] Mechanic~d/ :' {'J \lM6v~~..B\li 1 ding [r'BuEnin~ ~,,,> I \~. Underground
[ } Plumbing/ \f'}'Mo,blle Home [] Laria~Cl~a'r /,/[\ }\Demolition
_ _ _ _ _ _ _ _ _ -:;~ _ ~.~,~ _ _ ~='-;i:!.: _ _ _ _ _ _ _ _/;:"-_;;..,_ _ _._ _ _ _ __ ~':::';;" _v,:::.' \ () )
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Bui 1 ding /~on1;ract:orl '",' \
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Work wi l,ai J:;>.lE1s.omp1feted by owner-:'- '1\
Application Number 91AP04040
Permit Number 12416
Project Group
First KAREN
MI
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Na t ure O!~ WQili.'i, :
Woodst)ove./~,' I)sta]'~lation .
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construction'~.~
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"Zoning
. - -- ':-__ff,y.pe
Inspections
Required
[X)
[ ]
[ ]
[ ]
[ ]
[ ]
Addition [] Final [X]
- - - - - - - - - .j - - - - - - -..~ - -/0'- - -7 - - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - - - - - - - - - - - -
. ').,L--< /' I l . / .
R~cel:'~_eu; By: :.:., ' \ ?: Approved By:' .". j' / 'j
l~ /1 ~.}':l1 J / -.-/ ".l'/,n /.' 'jl'Y /) /) ;' CA/.;) 01
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1/ / /
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Residence
Business
Other
New
Repair
Remodel
'''''''-:':'~~:,~
status
Code
Foundation
Framing
Insulation
Plumbing
Mechanical
Wallboard
[ ]
[ ]
[ ]
[ ]
[X]
( ]
B R E M E R T 0 N B U I L D I N G D E P A R T M E N T
M E C H A N 1 C A L P E R M I. T A P P L I C A '1' I 0 \N I.
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, ================================================================,=====
Application Number 91AP04040
Work will be completed by owner.
1 stoves
Fir e P 1 ace=~.:rn.:s~;;rt;::'-'''::':_-=:::::::
Fur:Q,a~s'/' . <:>"
B u.tne'r s
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/Heaters
/ ,/ // /'~ ",,-
/'/ Boi\l e:rs\
// ,gas. \OU:t lets
/ ,Ie. 'oQ'l\er!s ...~;"" "'./...."".,"'''''.......""......\\.......
~, ,::~~z"
// \itir/coJ~d'ftioning Uni ts "\'<:.,
1/ irea t ..,;Pumps /./........ '''\...
// Re-Heat Boxes / \ '''''''-
l/ Aii' Handl ing tini.ts/ '\
f / F II \ ' ; II -j \ \\
/./ .ana ",! I : : / .
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jlncinerators .,
~lterations II
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!.T an s i \ . P
\ _efrigeration U~it~ I
\\ ~\ther It~1nS : I /'\.'
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INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
1241f1
PERMIT NUMBER
ADDRESS
OWNER
CONTRACTOR
1140 N. CAMBRIAN
KAREN TIMMERMAN
SELF
PHONE
PHONE
~1Ia
"-'&~''ZlI"~n.uhi
- ~ ~_"'lil'I
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOIL BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS
11. FOUNDATION VENTS
12. CRAWL ACCESS
COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
~
.oil -..-"
-J..t:u Jr._~.l:
_.i1lI_aomr -~_~ ~..::!.4. ~.
....
..
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF & CEILING LINES
FURRED OUT AREAS
FIREPLACE AT CEILINGS.
HOLES PLUGGED TOP & BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED FIRE EXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER & JOIST SPAN
27. ROOFING. FLASHING. SHEATHING
28. SIDING
1.WIRING APPROVED
2.FOUNDATION VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TR. MAT. NEXT TO CONC.
8. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAN
11. NOTCHING & DRILLING
12. STAIRS
WIDTH
RISE & RUN
WINDERS
LANDINGS
HEADROOM
13. ATTIC VENTILATION {upper & lower}
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AIR
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
18. SMOKE DETECTOR
19. SHEETROCK BACKING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTION
APPROVED BY:
--_. lliam.
r.R.II
.b..... ---""~...d.
.b!'.llI:I -______
2B INSULA liON
COMMENTS:
1. PROPER R-VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. 'B' VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT SUPPORT & JOINTS
l0.GAS PIPING TEST
1 1. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
-
_ ~... _n~.-~--~
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
IP
UNDERGROUND APPROVED
BY:
~ -".:I '..6- __......ftJO_. - f .1I211-
3
WALLBOARD
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4. 518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
,
\.
HVAC APPROVED BY:
GAS PIPING APPROVED BY:
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH. EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
G B _~~~-,...........-- '~~.:IlCl.lt...d."''''','_''''''
-
-
6. PROPER FITTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
ROUGH-IN APPROVED
BY:
- -- - ~~....~~- . - 1oat1lP'"
4,1 ---u___
6. FIRE SEPARATION IN GARAGE
7 . ATTIC ACCESS
8. DRAFT STOP IN ATTIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
....
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4
FINAL
1. HANDRAILS
2. GUASQBAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS
5. DISHWASHER AIRGAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. FIRE DAMPERS INSTALLED
8. PENETRATIONS IN FIRE WALLS
9. HOT WATER TANK PRL
tiLQUISlOEJ3BADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPLACE HEARTH
14. SAFETY GLAZING
15. INSULATION
WINDOWS MEET ENERGY CODE
UNDERFLOOR & A TriCE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
FINAL PLMB, APPR, (COmm,))...~ COMMENT~~ /,.
FINAL MEeH, APPR'kcQI+\ffi1 . yt;:..-e ~/K., ~ 't/f/}
FINAL BUILDING APPR.
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- B ILDIN P MIT : NQ 9257
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City of Bremerton, Washington 98310'. . .
Phone: (206) 478-5281
. .
Assessor's Tax Account No.: 3774-012-027-0002
Site Address: 1140 N. Cambrian Avenue Phone No.: 377-7405
Owner's Name: Alex and Karen T.immerman Address: same
Applicant: . [!] Owner o Architect 0 Contrador o Tenant
Architect Firm: Representative:
Address: Phone:
Contractor: Self Representative:
Address: Phone:
Contractor's License No.: Exp. Date:
[j] Residence 0 Business o Other: 0 New .0 Repair Qg Remodel/Addn
0 Demolish 0 Duplex o Multi-Family (No. units ) o Sign o Parking Lot
0 Grading (cu. yds ) o Bldg. Move
Nature of Work Proposed: Add dining room and enlarge attic to convert to bedroom
.. ..
,
Sq. Ft.:
Utilities: o Water o Waste o Sewer 0 Septic o New o Existing o Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $ 62.65 $ 3.50
81.00 [Xl
$6800 State ~
-- Receipt No.: 79310 Receipt No.: 79310 Energy $10/$15 0
Date: 11/4/88 Date: 11/4/88
Zone Designation: Occupancy Classification (UBC): No. Stories:
Minimum Req. Setbacks: Front: Side: Rear: Height: Heat Source:
Comments/Conditions of Approval:
Water--If new addition is over side sewer cleanout~ new clean out to be installed outside
of foundation. Sewer inspection permit needed.
Fire--Provide 110v A.C. smoke detector in corridor adjacent to bedrooms.
Bldg--Approved as revised.
Richard R. MutIlli1a. Building Official
INSPECTIONS REQUIRED: Foundation ~ Framing [!j Plumbing 0 Mechanical 0 Wallboard [ij FINAL [ij
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
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. SEE AND READ NOTICE ON REVERSE.
"'-'>i.gnature Hand delivered Date 11/18/88
.......... ~
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G
ER
~ /; ,,, Whit,-""",,, v'''""-m,, P'ok--"",,"o,, GOld,""",-""'Id'09
Stat. Code I 5
r/
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City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessm's Tax Account No" .~~ - 9 (d - Q;ri- - ()06 :;) Phone No.: ~n-7t.j()0
Site Address: 1140 /1.1. m b r vA If) 4 \ ~ 13 rp y1).
Owner's Name: 54/.PJX i !(rl'if'Y) //;/YlJ/17.ermaJ/').,ddress: IIL/{} 7L! ('tJmhr)~~ .ri5r~M1.
. ( .
Applicant: IXJ Owner D Architect D Contractor D Tenant
Architect Firm: Representative:
Address: Phone:
Contractor: 6e./+ Representative:
Address: Phone:
Contractor's License No.: Exp. Date:
~ Res;dence D Business o Other: o New o Repair [:tl RemodellAddn
Demolish D Duplex D Multi-Family (No. units ) o Sign o Parking Lot
o Grading (cu. yds ) 0 Bldg. Move d!J1(1 al/;~
Nature of Wo,' Proposed' /J;dd 0/ IYLI ;.,~ YIJ () vy/ .Jl /I\./t1 r3/2 -M (PO/! Uer t-
.to .bor1room-
Sq. Ft.:
Utilities: o Water o Waste D Sewer o Septic o New o Existing D Storm
I
Valuation of Materials/labor: Plan Review Fee: I Permit Fee: Surcharges:
(UBC Sec. 304(b)) .5 d. ~S- I gl- State $3. 50 ~
10f6 D $ I $ 66
I Rec~;Pt No.' 7'13// I Receipt No.: r;q316
Energy $101$15 0
Date: /) / Lj ! fI.. I II / Lj / f'f
I I Date:
.
Zone Designation: Occupancy Classification (USC): No. Stories:
Setbacks: Front: Side: Rear: Heigpt: Heat Source:
7
Comments/Conditions ot Approval: FILt .p/ ~ IT W
I understand that applications for which no pe=mit is issued within 180 days following:::ate
of application shall expire by limitation, plans and/or other data submitted may be !:"etur:-:e'i
to applicant or destroyed by the Building Official. (Sec. 304 (d) UBC) . I certify that the
infor.-mation on this application furnished by me is true and correct and that the applicable
requirements of the City of 8remerton ~ill be met.
~ Signature Date ~
BUILDING
PERMIT
APPLICATION
Copies to: While-owner: Yellow-file: ?ink.Assessor: GOldenrOd-BuIlding
Stat Code :
.'
"B
BLDB
G
PERMST
FILe eopy
APPLICATI
CITY OF BREMERTON
Nov : 7 l~t)o
Phone: (206)J114fM~t2a11IL1TIES
City of Bremerton,. Washington 98310
Ass.sso", Tax Account No.; .~L( - 0 (d - o~'] - LJO(J ;;;,
Site Address: II LJ 0 f\J ' YYl\h r ~ ~'l 4 i !t:.. 15 rp y71.
'A . 'I\: .~ ~ '
Owner's Name: /..fJj'(' E. I O.-'-t'VI / /yYlYne J'7}Cl YAddress: II!!:J
.
Phone No.; 3 T7 - 7- i/ U :S
/fJ. ('{}mhr)~'~ ~rrP/-7).
, Aoplicant:
,;
IZl Owner
o
Architect
o
Contractor
o
"7"en.
,.'.ddress:
Representative:
Architect Firm:
C..:lntractor:
r'<
\J..l)
'\ \~'j \....
,,\ .... - \
, ~~\'0~ ~~\~~
~(,~ ~i\.\\.
\O\'V \)\..' '
\>
Phone:
Representative:
ACdress:
Phone:
Exc. Date:
C..:lntractor's License No.:
00
I
U
o
Flesider.ce
o Business
o Duplex
o Other:
o Multi-Family (No. units
) 0 Bldg. Move
cl!Y1 f'
o
New
o Repair
o Sign
(tj Remooel/.<\c
o Parking ~
Demolish
Grading (cu. yds
/1'
a Yf/
[Po /l 0 p/' f-
Nature at Work. Proposed: " ~
boJ rC;OrfL
..1...0
I '
Sq. Fl.:
Utilities:
o Water
o Waste
o Sewer
n Septic
o New
o Existing
01'
StcI
Valuation at Materials/labor.
(USe Sec. 304{b)]
r:;/
l &?o 0
Plan Review Fee:
Permit Fee:
Surcharges:
s 5;;).- 0 5'
Rec~jPt No.: r;q3Jf)
Date: !).1 <-! / l/r
r. ,
S ){ /.
I""\^
'-",J
( .
State $3. 50 I~
. Energy S101$15 n
Receipt No.; 713) 0
Date: II / i..f / fi
, Zone Oes';n."on;
.
,
Occupancy Classification (USC):
No. Stories:
S-etbacl<S: i=ront:
Side:
Rear.
Height:
Heat Source:
CcmmenlSJC.:Jnditions ot Approval: L \ ,^ ~c:-i/ ( _ U _}A;;"
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- ,.l!1Ce_"'__:1d _.'1a_ a:-9--_a'-_....ns ..~r ....0"-_:1 ..0 ,:--e=::tl._ _'" -.;>sued ""__..~:1 ...00 days _01_0....._..<:: ::.",'
of a;9lica~ion sha:~ ~xpire ~y limi:a~ion, ?la~s and/or ot~er data suCmit~ed ~ay ~e =e:~=:
:0 3,;:pL,c.a..nt or desc=oyed ~y :l1e 3uildi::,c;::f::.::ial. (Sec. 304(dlUBC). r certif'l tjac ::-.e
i:1=c~a:icn on ~~is ap91ica:ion :u=:1ished ~y ~e is t=ue and correct a:1d that ~~e a~oli=~:
~cr,,; ~o""e"'-s of ......e ,-" -./":): 3""o!Ile~-"n .....;" i '-e :ne'"
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~\ S;gnature
l )'es ~o: 'Nnlle.,JWner: 'fetlcw.;i1e: .:linK.Assessor: (jotoenroc.aullclng
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Dale
Stat. Cooe
j
CAMBRt4/V A VElVi
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BUILDING
PERMIT
APPLICATION
T
City of Bremerton" Washington 98310
Assessor's Tax Account No.: ,-~L( ~ <;) (d - Odf - ()oc) ~
Site Address: /! w 0 (\j l c yyd) r VI vl 4 i )t:.'S .,p yI).
Owner's Name: 4/~)'{ i !tl.tr-t'Vi//yn ynerma ~ddress: /ILI(}
( .
Phone: (206) 478-5281
Phone No.: 3~ - -::;L/O~
-7L/ fcJmhno'l/J rz:;5Tt"'b?1.
Applicant:
IZJ Owner
o Architect
D Contractor
o
Tenar
Architect i=irm:
Representative:
Address:
Phone:
Contractor:
Address:
Representative:
Phone:
Contractor's License No.:
Exp. Date:
IfO Residence
o Demolish
o Grading (cu. yds
Nature at Work Proposed:
'TO bod room -
o Business
o Duplex
o Other:
o Multi-Family (No. units
o
o
New
o Repair
o Sign
[J Remodel/Add
o Parking Lc
(f'O/1 U e./'f-
Sq. Fl.:
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
o Existing
o Storn
Valuation at Materials/Labor:
[UBe See. 304(b))
10f60
Plan Review Fee:
Permit Fee:
Surcharges:
s 5 do 0.S-
Rec~iPt No.: 7q3J6
/ '-II VY
Date: J} . I 0
.
s gr 60
Receipt No.: 71.3) (J
Date: II / i-.f I It
State $3.50 tgr'
Energy $101$15 0
Zone Designation:
Setbacks: Front:
Occupancy Classification (UgC):
Side:
Rear.
Height:
No. Stories:
Heat Source:
CcmmentslConditions at Approval:
,. ROtlld€. Ov,fLc:..
u..t::C. I~~S-~.
+0 be&roolN\ S .
r-=- I t:(;..
0M 0 Kc DETE:'C,(i)'f{ (N
-See.. . A ~CA 1)(
II ~ L{ -fy
1-A -;J:r
w~-\-t... rOVI..s,o(\lS 0
Co rr \ a 0 r o...J..' a.e~
A~Q.o("d.qV\~'E::'
Y\
I understand that applications for ~hich no ?e=nit is issued ~~tn~n 180 days followi~g ~a~
of a?plication shall expire ~y limitation, ?lans and/or other data submitted may ~e =e~~r~'
to applicant or destroyed ~y the 3uilding Of:icial. (Sec. 304(dlUBCl. I certify that ~~e
infocmation on this application :urnished ~y ~e is true and correct and that the applica=~
reauire.ments of the Cit'f:::l: 3remerton .....ill ~e :nec.
:----.. - .
~''''-SlgnattJre
... ;i '0' 'Nh".-owner. Ye'~w-IiI."'n'-""""or. Go,.en""'-""''''n,
1"0'
Date
Slal, Coae
c,,{ ~- ~., ~
BUILDING
PERMIT
APPLICATION
T
City of Bremerton,. Washington 98310
Assesso", Tax Accoun' No.' ~L/ - 0 (d - O~7- - 000 :;;,
Site Address: II u 0 tr.J. ' vn,b r ~ VI 4 \ )C 'S'tf> y7l.
Owner's Name: 54! ~,/X.' E' Ko. r f VII! yY7 Yn.erJ/l7Cl "'Address: _ / /L/J
, .
Phone: (206) 478-5281
Phone No.: ~-r7 - 7- i/ O~
if;' (' CJ m b nOI/?rz:;jr,., /..-?1.
Applicant:
IX] Owner
o Architect
o Contractor
o 7'enar
Architect Firm:
Representative:
Phone:
Address:
Contractor:
6e.-! 'T
Representative:
Address:
Phone:
Contractor's License No.:
Exp. Date:
~ Residence
o Demolish
o Grading (cu. yds
Nature of Work. Proposed:
.tv bOr? room-
o Business
o Duplex
o Other: 0 New
o Multi-Family (No. units
o
o Repair
o Sign
~ Remodel/Addl
o Parl<ing Lc
~u')1 U t=' /' f-
Sq. A.:
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
o Existing
o Slom
Valuation of Materials/labor:
[UBC Sec. 304(b))
? 0?6 0
Plan Review Fee:
Permit Fee:
Surcharges:
s 5;;). ~ 5"
Rec~iPt No.: 76f3Jt;
) '-I ! Vy
Date: !) , j f)
,
s gr 00
Receipt No.: rp...3) (J ..
Date: / I / '-/ / f i
State $3.50 [g['
Energy S101$15 0
Zone Designation: :5'F- ~
Setbacks: Front:
No. Stories:
60-f-L Heat Source:
Comments/Conditions of Approval:
I understand that applications for ~hich no ?e~~ is issued within 180 days following ia~;
of application shall expire ~y limi~ation, plans and/or other data submit~ed may be =e~~=~;
co a9plicant or destroyed ~y ~he 3uilding Of:icial. (Sec. 304(dlUBCl. r certify that :~e
info~ation on ~his application :urnished ~y ~e is true and correct and ~~at the a9plica=:;
requiremencs of the Cicy of 3remerton ~ill be ~e~.
Signature Date
COptes [0: While-owner: Yellow-file: ~ink.Assessor: GOldenrOd-aullding
Stat. COde
,
BUILDING
PERMIT
APPLICATION
~
City of Bremerton" Washington 98310
Assessor's Tax Account No.: ~~L( ~ 91 d - Od7- - 000 ~
Site Address: ! I t.J () /tJ. LL?m,b rVl v1 4, )Cprp y71.
Owner's Name: 74/~)'(' i Ka.rf'V1//yn Yne~ma ~ddress: //!/rJ
/ I
Phone: (206) 478-5281
Phone No.: ~r - 7' L/ ()~
7U. (amhno~) 'gr,.,~:r7,
Applicant:
~ Owner
o Mchitect
o Contractor
n '7"enan
Architect Firm:
Representative:
Phone:
Address:
Contractor:
6eJ+
Representative:
Address:
Phone:
Contractor's License No.:
Exp. Date:
I;xJ Residence 0 Business 0 Other: 0 New
o Demolish 0 Duplex 0 Multi-Family (No. units )
o Grading (cu. yds ) 0 Bldg. Move
Nature o' Work Pmposed: kJd d I VL I ~ ~ YrJ 0. YJ1 and J ,d", r (J ~
.tv bOr1 room-
o Repair
o Sign
.~ Remodel/Addr
o Park:ing La
a;fj ~ ;L(1
~O/l ue/.f-
Sq. Fl.:
Utilities: o Water o Waste o Sewer o Septic o New o Existing o Storm
Valuation of MaterialsJlabor: I Plan Review Fee: Permit Fee: I Surcharges:
[UBC Sec104(b)) ! S 5;;). 0) S gr 00 State $3. 50 ~.
\ 0?6 0 i Rec~iPt No.: 7q3JtJ Receipt No.: 71...3) 0
Energy S101S15 0
) L/ / f/f II / '-I / f'i
- I Date: ! I , Date:
,
Zone Designation: ",<) F - .3
Occupancy Classification (UBC):
No. Stories:
Setbacl<S: Front::20 Side:
CommentsJconditio/y Approval: 6 Lb b
4() /1/;':;1 f;/ II II;?;~;J?
. </ I
q-
/ I
Rear.
t-f
fJr
I q- Height: ~ ~O
;/}: r-'/~ ~. 4
'I"\' ~~.'~ / """_6.,",,. ":;.4-..I.<{
. ... ,-. -~--L-.:.__....,... 1
v r="';:: .; 1_ '7 ~ ~r':"I'
./. _I'" J Ot.;
Heat Source:
r understand ~hat applications for ~hich no ~e~t is issued within 180 days following ia~2
of application shall expire by limi~ation, ?lans and/or other data submitted ~ay be ~e~~~~e
to applicant or destroyed by the 3uilding Official. (Sec. i304(dlUBCl. I certify that ~~e
info~ation on this application furnished by ~e is true a~d correct and that the ap~lic.~:e
requirements of ~~e City of 3remerton ~ill be ~ec.
\.... Signature
Date
COPies to: While-owner: 'fellow-file: ::link.Assessor: GotcenrOd-aullcing
Stat. COOf!
~
(.
.,
CITY OF BREMERTON BUILDING DEPARTMENT
PERMIT APPLICATION
DATE:
11-7-
,1988
TO BE COMPLETED BY
11-10-
,198 8
Alex/Karen Timmerman
OWNER
self
CONTRACTOR
1140 North Cambrian
LOCATION OF .JOB
For
remodel
ENGINEERING COMMENTS/REVIEWED B~ ~f
/\/0 COM}.t~
oo~@~OW~[])
NOV 1. 0 1988
BREMERTON
r3UILDING DEPARTMENT
BUILDING
PERMIT
APPLICATION
r
!&t'
,I
City of Bremerton" Washington 98310
Assesso~s 7"a;c Acc~unl NO.:, ~4 - 9 (;;J - Odf- - (JOQ ;;)
Site Address: 1/ L:. C) /U \.......-.i;'VYl.}, r 1(";' /1 4 i .1C..B (,:J yil.
'J-I . J:-' ~ '. '/)
Owner's Name: , . ,..:J.}'( E 'l{l.rf'Vl I /ynynerf/77a YAddress: jl!!,.
,
Phone: (206) 478-5281
Phone ,'10.: 317- ~ i./ (:. ~
,A/ ('{}/nhr)~~? ~r"''''7C,
Applicant:
[2J Owner
o Arcnitect
o Contractor
n -_
ArchItect Firm:
Representative:
Phone:
Address:
Contractor:
:5eJ,
Representative:
Phone:
Address:
Contractor's License No.:
Exo. Date:
IAl Residence
o Demolish
o Grading (cu. yds
Nature of 'Nork Proposed: /, ,
+0 DOf'1rCOm-
o Business
o Duplex
o Other: 0 New
o Multi.Family (No. units
o
o Repair
o Sign
kt1 RemOdei;:'
o ParKir.s
-M
t'O /l U c-/: f-
Sq. R.:
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
o Existing
0_
Valuation of Materials/Labor:
[USe See. 304{b))
?Cc?60
Plan Review Fee:
Permit Fee:
Surcharges:
s ,5~_ ~')
Rec~jPt No.: 1q3)1)
, ) '-II :/v
Date: I I , I 0
,
s gr 60
Receipt No.: '71-3) 0
Date: / I / i.f I f i
State $3. 50 ~
Energy S10/$15 0
Zone Designation:
SetbackS: Front:
Occupancy Classification (UBC):
NO. Stories:
Side:
Rear.
Height:
Heat Source:
Comments. Conditions at Approval: t:-- f\) b
I 1-- L( -k'f
I unders~and ~ha~ applicacions for ~hi=h ~o ?e~~ ~s issued w~~n~~ laO days follow~~c _
of a?plicacion shall :xpire ~y limi:ation, ?lans and/or other data sW:m.itted may ~e re:'..:_
to a;::plicanc or descroyed ~y ~'1e 3uildi~g Cffi::ial. (Sec. 304 (dHJBC) . : certify that ::_..
~~fo~ation on ~'1is application :~r~ished jy ~e ~s t~~e and correct and ~'1at the aocli=~~
requirements of ~'1e City 0: 3r;mer~on will =e ~et.
"'" Signature
~ '0' Wh"e-cwnec ve"ow-me'>;n'-"""""c Go,oe"oo-.""o,n,
Date
Stat. Coca
CITY OF BREMERTON - BUILDING DEPARTMENT
478.5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
9Z)7
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:
'FIr <- bli &- /C
W4/ / a f- j"0iJ.f ~:~ 1eJ'St:!C--hD.-.
d-
qf
.s~\'r - Wetll /~k" Jec-1z~
, .
tt1e +0 e~Sv~ k.. c4 ~ ~j'2e~
/
You are hereby notified that no more work shall be covered upon these premi es until the above viola-
tions are corrected. When corrections have been made, call for re-inspecti
Do Not Remove This Tag DATE 1-'~6~1o
J
ill DEI'AJ<.'I'MEN'I' OJ! COMMUNITY 1JliVELUI'MJ~N'J' W
(;"II'Uh4Y III th.~ (JI.'1,t1JJ;l'.'. wlIllhHfh! uJ the }"'Xt" ,';olwd Nuv"J .';lti!J,lflu,l
B U I L DIN G
D E PAR T MEN T
December 4, 1991
Al ~xand~r 'l'immermdn
1140 N. Cumbrian
nrem~rton, WA 98312
RE: Buildin~ Penllit 119257
Dear Mr. 'rimmerman:
It has. com~ to our attention that your building permit #9257,
located at 1140 N. Cambrian, expired on 10/6/90 without an approved
final inspection.
Pursuant to Section 303(d) of the Uniform nuilding Code, a permit
shall b~com~ null and void i r work i:::; not COllllllenced wi thin 180 days
from the date of issul:, 01- it wOl:k authorized by the purmit i.s
abandon~d for 180 days after issuance.
Please contact our office at 478-5275 within
your intentions for this project, or to
insp~ction. '
2 weeks to discuss
schedule a final
Sincerely,
~~~~
Permit Technician . .
cc:
t: i I tl
A,.
~~~~}
y--~~ ~.
-=-'
. .
2tl6 HH STREET II 13REMERTON, W/\ 91\310 11II (206) 478-5275
II. i'l...u UI'J"P'""II~ i:nlfw'f'"
~
5/9~
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
-
4-fi:.7-~
9z.-s 7
PERMIT NUMBER
ADDRESS
OWNER
CONTRACTOR
II" (:) N. C~Io,:,c...__
-
(i "1.,,,,, .e... ~ 4-~
PHONE 377- 7'105
PHONE
Set C.
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH &. DEPTH
6. SOIL BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS
11. FOUNDATION VENTS
12. CRAWL ACCESS
. COMMENTS:
FOUNDATION INSPECTION
APPROVED BY: F~ -r.rJ. 4- l(hol8'~ t) L
1.WIRING APPROVED
2.FOUNDA TION VENTS
3. SHIELD UNDER POSTS
4. POSITNE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TR. MAT. NEXT TO CONC.
8. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAN
11. NOTCHING & DRILLING
12. STAIRS
WIDTH
RISE & RUN
WINDERS
LANDINGS
HEADROOM
13. ATTIC VENTILATION (upper & lower)
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AIR
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
18. SMOKE DETECTOR
19. SHEETROCK BACKING COMMENTS:
UNDER STAIRS <'?>P ~
ABOVE GARAGE DOOR HANGERS ~
~ /.. fo"'9~
FRAMING INSPECTION ~~ ~/Zf,~ 7 1/
APPROVED BY: ~v
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF & CEILING LINES
FURRED OUT AREAS
AREPLACE AT CEILINGS
HOLES PLUGGED TOP & BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED AREEXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER &. JOIST SPAN
27. ROOANG. FLASHING. SHEATHING
28. SIDING
2B INSULA liON
COMMENTS:
1. PROPER R-VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPE~,y.,e
APPROVED BY: ~~
s;, ZS~ ~
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. '81 VENT SIZING
5. '8' VENT CLEARANCE
6. '8' VENT SUPPORT
7. COM8USTION AIR
8. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
HVAC APPROVED BY: .
GAS PIPING APPROVED BY:
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
p
6. PROPER FITTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
UNDERGROUND APPROVED
BY:
ROUGH-IN APPROVED
BY:
3
WALLBOARD
6. RRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN ATTIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
1. LID OVER SIDES
2. NAILING
3. W/R ATTU8 OR SHOWER
4.518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
~R-/K f"- t,.. ft)
WALLBOARD APPROVED BY:
FINAL
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROORNG IN SHOWERS
5. DISHV/ASHER AIR GAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. FIRE DAMPERS INSTALLED
8. PENETRATIONS IN FIRE WALLS
FINAL PLMB. APPR. (comm.)
FINAL MECH. APPR. (comm.
FINAL BUILDING APPR.
4
9. HOT WATER TANK PRL
10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPLACE HEARTH
14. SAFETY GLAZING
15.INSULATlON
WINDOWS MEET ENERGY CODE
UNDERFLOOR & A TTICE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
COMMENTS:
BUILDING PERMIT
.. "
City of Bremerton, Washington 98310
Mechanical
Phone: (206) 478-5281
Assessor's Tax Account No.:
1140 N. Cambrian
Site Address:
Phone No.:
Owner's Name:
Alexander/Karen Timmerman
Address:
same
Applicant:
[XI Owner
o Architect
o Contractor
o Tenant
Architect Firm:
Representative:
Phone:
Address:
Contractor:
Self
Representative:
Phone:
Exp. Date:
Address:
Contractor's License No.:
[i] Residence 0 Business
0 Demolish 0 Duplex
0 Grading (cu. yds
o Other: ~ New
o Multi-Family (No. units
o Bldg. Move
Install boiler and heating system
o Repair
o Sign
o Remodel/Addn
o Parking Lot
Nature of Work Proposed:
Sq. Ft.:
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
o Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)}
Plan Review Fee:
Permit Fee:
Surcharges:
$
$ 24 . 00
Receipt No.:
Date:
. 79237
ReceIpt No.:
Date: 1 0 / 18 / 88
State $1.50 0
Energy $10/$15 0
Side:
Rear:
Height:
No. Stories:
Heat Source:
Zone Designation:
Minimum Req. Setbacks: Front:
Occupancy Classification (UBC):
Ct;Tt37i~q O~PP{t':~ WI\ '<r- I,~.s
-+h ~. ~ f€J-rl-\ ;-l I ~ -&-c .
~~
~
fa
Richard R. Mumma, Building Official
INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Mechanical Q9 Wallboard 0 FINAL [::J
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All Drovlslons of laws an~Ordin 'nces governing thiS type of work WI be complied with wnet"er !08Clfied hetetn or nOl. The granting ot a permit ooes noI presume to give authority to viOlate or cancel ::"l@
provIsIOns 01 a O\I1e , lOCal law regulal onSl Cllon In. oertormance 01 constRlCllOn. SCE AND READ NOTICe ON REVERSE.
Signature .' Date /j-J;?- f?~
Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code '
...
.~ PERMIT
APPLICA TION
CITY OF BREMERTON BUILDiNG DEPARTMENT
PHONE: 478-5281
MAIL ADDRESS
Class of work: D D ADDITION ~ALTERATION
.~ MECHANICAL
No.
lYpe of Equipment
STOVES Gas_ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up flow_ Down flow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP _)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER 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 CMF _ BTU_
FANS ExhausL-.. Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Coolin9- ExhausL-..
TANKS Oil~ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
COMMENTS
Fee
Lf. 0 ()
PERMIT $ /5. 01}
TOTAL FEE $ C} <.J. 0 (\
FINAL APPROVAL
RECEIPT NO.
PHONE
PHONE
LICENSE NO.
D REPAIR
D PLUMBING
No.
lYpe of Fixture or Item
Fee
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
TOTAL $
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS SUS-
PENDED 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 COMPLED 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
(DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
(7[J~3 7
(DATE)
PERMIT
(White-ORIGINAL. Yellow-INSPECTOR. Pink-APPLICANT)
Cit..y'" oJ BrenlertoIl,
239 FOURTH STREET
BREMERTON, WASHINGTON 98310
(206) 478 - 5252
..~....
MAYOR GENE LOBE
B U I L DIN G
D E P A. R T 11 ~ N T
April 18, l'?f.i9
.:;1 (:Jea n.d e r: Ir ini:!!1erl"tiarl
1140 N. Cambrian.
B:-:~ ~2rne -:c tOIl " .\'Ji\
98310
RE: Building Permit #9127
Dear Mr. TirnmermRn:
It has comt:: to our. a ttenti'bn tha t your bui Iding permit #9127,
located at 1140 N. Cambrian, is due to expire on 5/18/89.
Pursuant to Section 303(d) of theUniforrn Building Code, a permit
shall become null ~nd void if work is not commenced within 180 days
:from the date of issue t or if Hark authorized by the permit is
abandoned for 180 days after issuance.
Please contact our office at 478-5281
your intentions for this project,
irlSI)ectic)D.
~"i thin
or to
2 ~veeks to
schedule
discuss
a final
Sincerely,
. JO---lJ~v-"Qy~.
~/!/1 ~zi5~la~d R. ~ If,11!mr;la ()
~C~i~dlng OE_lc~al .
Rl<H: j 1
cc: file
Gateway to the Olympics and Home of the Pllget Sound Naval Shipyard
ora-ILI-~9
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· ~ -r;. ()
INSPECTION REI:>RD CARD tit
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS / / '10 N t!am!Jet~
1Lj~8
PERMIT NUMBER
OWNER a&f 'Tlm~em~rU
CONTRACTOR' /,,{)ttfl(~)
PHONE
PHONE
/111-71/0.9
ftJa/YlL
.
1 FOUNDATION
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY:
COMMENTS:
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ~PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
H. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
e e.
M MECHANICAL CORR O.K. CORR O.K.
1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE --
2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE --
3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION --
4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING -- FURNACE APPROVED BY:
9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY:
10. DUCT SUPPORT --
11. DUCT JOINTS -- GAS PIPING APPROVED BY:
12. GAS PIPING TEST -- WOOD STOVE APPROVED BY:
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT -- OTHER:
15. OTHER --
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS --
8. VENTING --
9. CLEANOUTS --
10. PROPER GRADE --
11. HOT WATER TANK P R. VALVE --
12. OTHER --
UNDERGROUND APPROVED BY:
ROUGH-IN APPROVED BY:
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZINGI
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
NOTES: ~v77~
PLANNING:
BUILDING -'ERMIT
e
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO.
SITE ADDRESS/LOCATION 1140 N. Cambrian
OWNER'S NAME Alex Tinmennan
OWNER'S ADDRESS Same as above
PHONE 377-7405
II:
1&1
Z
.
o
CONTRACTOR Self
ADDRESS
STATE CONTRACTOR'S L1C. #
PHONE
OWNER'S SIGNATURE
Authorized Agent
(SEE AND READ NOTICE 0
, "'"
~ RESIDENCE D BUSINESS D OTHER D NEW D REPAIR D REMODEL ~ ADDITION D DEMOLISH
D SIGNS
PLANNING/ZONING # STORIES OCCUPANCY
THIS PERMIT ISSUED FOR:
New Fence
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 FINAL rn
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
COMMENTS:
Approved by Planning/Clare
SnrC'nRre;e. $1. ')0
BUILDING OFFICIAL:
VALUATION PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ 400.00 $ $ 15.00 '1 t;'<J77 7/31/86
BUILDING INSPECTION DIVISION - Bremerton, WA 98310
"'" . I...J
>-
...
-
U
Permit No. I
7438
COPIES TO: WHITE - BUilDING, YEllOW - ASSESSOR, PINK - OWNER
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INSPECTION RECIRO CARD
CITY OF BREMERTON. BUILDING DEPARTMENT
ADDRESS & DIRECTIONS 1140 N. C AMB R I AN
BREMERTON, WA
e
2879
PERMIT NUMBER
ALEX & KA~EN TIMMERMAN
OWNER
CONTRACTOR
SELF.
COMMENTS:
1 FOUNDATION
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY:
PHONE
PHONE
377-7405
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ~PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS _ _
21. WINDOWS __
A-SAFETY GLAZING _ _
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
e
M MECHANICAL
1. FURNACE SIZING
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. 'B'- VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT CLEARANCE
10. DUCT SUPPORT
11. DUCT JOINTS
12. GAS PIPING TEST
13. GAS PIPING SIZING
14. GAS PIPING SUPPORT
15. OTHER
e
CORR O.K.
CORR O.K.
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
FURNACE APPROVED BY:
HEAT PUMP APPROVED BY:
GAS PIPING APPROVED BY: /~d ~-
WOOD STOVE APPROVED BY: 4a-(/, '1-(6 .r(0i'Z"
OTHER:
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
3
WALLBOARD
CORR O.K.
,COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
-
PERMIT
e
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
JOB ADDRESS
1140 N. CAMBRIAN
BREMERTON, WA
OWNER MAIL ADDRESS
ALEX & KAREN TIMMERMAN SAME
ZIP
98310
PHONE
377-7405
CONTRACTOR
SELF
MAIL ADDRESS
PHONE
LICENSE NO.
Class of work: B NEW
D ADDITION
D ALTERATION
D REPAIR
X ~ 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 Itam Fee
STOVES Gas_ Oil_ Wood--1L 4 50 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_ HP_ 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_ AL TERA TION
AIR HANDLING UNIT CFM_ BTU_ POST & BEAM
FANS Exhaus~ 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_ Exhaus~ IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
TANKS Cil_ 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
10 00 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 $ 14 50 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.
(SEE OTHER SIDE)
RECEIPT NO.
12-10-85
(DA TEJ
FINAL APPROVAL
PERMIT NO.
N~
h-
(DA TEJ
2879
(White.ORIGI NAl, Yellow-I NSPECTOR, Pink.APPlICANT)
CITY OF BREI\I1ERTON BUILDING DEPARTMENT
A_ PHONE: 478-5281 A
JOB .l.DDRES$ . ..
--IL <-; () ~ ' f4/)0'\ j~.)
O~VNER. ~A1ACDRESS
~~,~ ~~~
CON~ MA'lAOOmS
Class 'Jf .vork: at NEW 0 ADDITION 0 ALERATION
ZIP
,'377- 7V05~
PHONE
PHONE
LICENSE NO.
o REPAIR
CHIMNEY \:'-Jo Fe'.! information only} INSPECTION: Groundwork Gas Test
Masonar{ Lines \.:nlined Wasted Vents Water
Facory \1Ig 7ype '3 Type L Htg. Ruffin Chimney
LOCJ{lcn: In:ernal Outside Wall Stove or Insert Refrig.
No. Type of Equipment Fee No. Type of Fixture or Item Fee
STOVES Gas_ 011_ WOOd+ .cd SC) WATER CLOSET (TOILET)
FIREPLACE INSERT BATHTUB !
FURNACE Gas (Nat._ LPG. _I Oil_ LAVATORY (WASH BASIN) !
'Nood 3dd on _ Other_ Electric_ SHOWER I
aTi.) KITCHEN SINK & DIS? I
Type: Up f1ow_ Down flow_ DISHWASHER I
HOflzontal_ Wall_ LAUNDRY TRAY I
CONVERSION 3URNER: Gas_(Nat._ LP_) CLOTHES WASHER
Under 100.aOO_ Over 100.000_ WATER HEATER
OiL- URINAL I
UNIT HEATERS 8TU_ Gas_ Elec._ DRINKING FOUNTAIN
BOILER Gas_ Oil_ Elecuic_ FLOOR - SINK OR DRAIN I
Other_ HP_ SLOP SINK
GAS SYSTEM ;-"1 ax. 5 outlet Total_ WATER PIPING & TREATING EQUIP. i
EVAPORATION COOLERS Roof_ Wall_ \"IASTE INTERCEPTER (Grease) I
B;U~ VACUUM BREAKERS & BACK FLOW DEVICE I
AC UNIT Electric_ Gas Elec. Combo U\WN SPRINKLER SYSTEM i
BTU_ SWIMMING POOL - Private Public
H EA T ?U M P Sinsle PJckage_ SpliL...., GROUNDWORK I
Add on_ GTU Ton_ SUMP
MIXING OR REHEAT BOX CFM_ BTU_ AL TERA TION
AIR HANDLING UNIT CFM_ ~TU_ POST & BEAM I
I
FANS Exhaus~ Supply_ Bath_ I
RANGE HOOD Residential_ Comm._ PERMIT $
CLOTHES :JRYER Res._ Co~m_ TOTAL S i
Incinerator NOTICE
ALiERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC710N AL
H eJ ting/Coolins-- ExhauSL- IZED is NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR "',
TA,\I~S Oil_ GdS_ Propane wlOK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME
fro,,", ~ire Dept._ Gallons_ WORK IS COMMENCED.
RURIGERATION UNIT I HEREBY CERTiFY THAT I HAVE READ AND EXAMINED THIS APPLiCAT:C
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LA'!,
/u ()-() ORDINANCES GOVERNING THIS T'tPE OF WORK WILL BE COMPliED 'NI-;-,
PERMIT S THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N(
TOT AL FEE S i-rJ .~-() SU,',1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV:Slcr,S:
T' ~ ........../ ~ :: ~
[I] MECHANICAL
o PLUMBING
a.HER $,ATE OR LOCAL LAW REGULATING CONSTRUCTION OR =
rl1ANCS OF CONSTRUCTION.
SIGNA TURE OF CONTRAC-:-OR OR AUTHORIZED AGENT
INAL APPROVAL
SIG,,':" TURE OF OWNER IIF OWNER BUILDl"p'
(SE= OTHER SIDE)
RECEI PT 0JO.
PERMIT NC.
ty'1t,"".OR IG I NA L, Yelle'.',,' I NSP ESTO R. Pink.APPLlCANT)
.....