HomeMy WebLinkAboutCAMBRIAN AVE. S., 216
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BREMERTON PERMIT CENTER
286 4th Streetg Bremertong WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr: 216 S CAMBRIAN AVE
Location:
Parcel No: 3732010-006-0002
Applicant: VANSHUR JAMES
VEHRS LOIS M P.O. BOX 1985 SILVERDALE WA 98383
Permit No: 01-0189
status: ISSUED
Applied: 04/16/2001
Issued: 04/16/2001
Expires: 10/13/2001
Owner: VANSHUR JMES
VEHRS LOIS M P.O. BOX 1985 SILVERDALE WA 98383
Contractor: SELF
Lie #: SELF Exp:
Subcontr:
Dese: WINDOWS. DOORS. SIDING ON RESIDENCE
********************************************p*************..*.***********.*.****************.
Valuation * Permit Fees: 97.25 Total Calculated Fee: 101.75
3,500.00 * Plan Check Fees: .00 Additional Fees: .00
* Other Fees: 4.50 Total Permit Fee: 101.75
******************************...************************************~*******************.***
rhis permit shall become null and void if the building 0'( 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 al1Y time aft.er the work is commenced foy a period of 180 days.
NOTICE ,- It is the YG!$ponsibili ty of the permit holcleY. not the City of BrG!merton or Building Official to see
to it. that n~ql.Ji red inspections are made. The peymi t holder must noH fy t.he Bui lding Official when ready for
inspections. Failure of the permit holdey to notify the Building Official of yaqui red inspections may result
in the stoppage of the 'Nork until such t,ime that the permit holder can substaT)tiate to the building official
that the concealed work meets or el(ceeds code Yeql.Jir'ements. Any demolition. testing, or financial burden shall
be bor'ne di rectly by the parmi t holder. Failure to substantiate code requiYements wi 11 indemni h' the Ci t),
agair~t any and all ra$pon~,ibility or liability connected w"th the cOY1$truction.
r hereby ceYtify that I have r'ead ~amined this p' mit 3\~o~'" the same to be true and corn~ct.. All
provis'ons of laws iiln(j ordi.nance~:~~:~ing this t.y of/~rk will be complied with whether specified herein
or nclt. The 91' nting of a;/l1al'1t7~es not pn?surnl't.o 9,tVe... authority to violate or~ncel t.he provisions of
a.ny other -, t 01' loca;/1)lw ,>~~p..t.;.'Wion orl/O", ..rio"",""" of "'Lion/
Signature: '- ;{~::~. ~:: =- Date: s6. /~ ~ rZ'L
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I certify th t ~m:!; r~t h'orr(the r.e~1rements of 1~te co-.;{ractor's regi$t~ation law, under
Section 3, charAe;;r"'; ~./ai; '967./1 ~z
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Signature=,_ ~ ___...' -______~D:a!.::!:._______._____
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Permit Center--Approved By:-1!1AJ- Date:~ 0 (
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BREMERTON PERMIT CENTER
286 4th Street~ Bremertont WA 98337
Phone: (360) 478-5275 FAX:: (360) 478-5278
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Job Address: 216 S CAMBRIAN AVE
location:
Assr Acct No: 3732010-006-0002
(Building
Permit No:
Stat,us:
Issued:
Expires:
01-0189
ISSUED
04/16/2001
10/13/2001
R E QUI RED
INS P E C T ION S
Item: 02700 FINAL--BlDG
Dept: BLDG
Division:
*********************************************************************************
TESTING: Must be recognized by the W~shington Association of Building Officiali
SPECINSP: Must be registered with the State of WA
ST OF WA: State of WA Dept. of labor and Industries 478-4921
HEALTH: Bremerton/Kitsap Health District 478-5235
All I~S~ECTIONS,lERFORMED Eft_THE CITY OF ~MERTON MUST BE SCHEDULED THRO~GH THE,
PERMIT CENTER, 1{36~O) 478'- ~65. . "/~
*********: ****. **2****'** ******2** ~*'*****~*******************************
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8REMERTON PERMIT CENTER
PERMIT CONDITIONS
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Pe,mit No: 01-0189
Page:
1
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Job Address: 216 S CAMBRIAN AVE
Ass~ Actt No: 3732010-006-0002
Location:
Applied: 04/16/2001
Approved: 04/16/2001
Issued: 04/16/2001
Applicant: VANSHUR JAMES
Owner: VANSHUR JAMES
Cant,acto,: SEL.F
Desc,iption:
, WINDOIAS, DOORS. SIDING ON RESIDENCE
Conditions:
1. SMOKE DETECTORS REQUIRED IN ALL SLEEPING AREAS, ADJACENT
HALLWAYS AND FLOOR LEVEL. ~
2, WINDO IN SLEEPING ~ MUST MEET EMERGENCY EGRESS
/
ECUI EMENTS. /
Date
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Pe'rmit Holo "'s
Signature__
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APPLICANT: DOWNER DCONTRACTOR
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Owner:
,
Site Address:
Tax Account Number:
Address:
Contractor:
.
Address:
Contact Person:
Contractor License#:
Expiration Date:
Check the type of application for below:
D SF RESIDENTIAL NEW D COMMERCIAL NEW
D DUPLEX D COMMERCIAL REMODEL
D MANUFACTURED HOME D COMMERCIAL ADDITION
D RESIDENTIAL REMODEL D COMMERICAL REPAIR
D RESIDENTIAL ADDITION D MULTI-FAMILY
D RESIDENTIAL REPAIR D TENANT IMPROVEMENT
D GARAGE
D ACCESSORY BLDG
D SIGN
D DEMO
D GRADING (Cubic yards:
D OTHER:
&UfJ,f&
1 6 2001 : ~
8UILO~~EMERToN I!!J
DEPARTMENT
(
)
Scope of Work Proposed:
Square Footage:
Dwelling:
Garage:
Decks:
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
YES
NO
.;.~]2Yalila#oi!~~;;.l~ .~~lanReY:iN'.
S'OeJ
1$
~-gy.;....$~(,H10-"""""
State: $ 4.50
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 sho'.ving
that circumstances beyond the control of the applicant ve prevented action from being taken. No applicant shall be extended
more than once. ion after expiration, the applicant shall resubmit plans nd pay a new plan
DATE:
review fee.
APPLICANT'S SIGNATU
~
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RECEIPT 'Number: 01000300 Amount: 101.75 04/16/01 15:34
P~l>'IIH~nt Met hod: CK !\~ot a Hon ~ \U~NSHUF! C!< Ini t: vw
[;:'(H mi t NI.:! ~
Parc:e!l No~
SJ t8 Adclr6\~;S;;
01-0189 lype: BlOGONLY SLOG PERMIT-NO MEeHl
3732010-006-0002
216 S CAMBRIAN AVE
Total fees:
'To t Sol {iLL Pmt s:
B.:\lance:
10L?:}
10L 75
lOL?5
T hi:,] PaVftt8nt
.00
~'.l******.*X~*.****.**~~*.**...********.****.******...***..**_.
ACC0unt Code DescriPtion Amount
J6-32~.1001 (2211) BUILDING PERMIT FEES 97.25
643-237.13 (0236) STATE OF WA SURCHARGE ~.50
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BREMERTON BUILDING DEPARTMENT
.. , Inspection Report
~~~~:s~~frt<!ct/o:~~~~ ;dt ~ Permit Number: OL
Owner: .. Phone:
Contractor: .OuJftJ/L Phone: 4-71
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FOUNDATION
Inspection card/approved plans on site Setbacks
Footings required steel placement 1-- Walls: required steel placement
Footings required width & depth Walls: required size
-------- -------..- --
8earing 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/properclearance to earth
Positive connections posts & beams Foundation vents
---- - --
Posts properly supported Anchor bolts: nuts & washers in place
---
Mudsill treated material Floor joists: size & span
Beams/girders size & span ---
Notching & drilling joists & beams, studs
--- - --.
Smoke detectors: all required locations Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom
Fans terminating directly outisde Range hood
.- --
Dryer exhaust vent All vent terminations: windows & property line
---- -_.________............_.....0....-________ ------"- -------------.- ----.----
Firep.lace combustion air Windows: meets egress requirements
.- - -
Windows: proper U valve Windows: safety glazed where required
Ceiling heigh'ts -
Stairs: headlOom 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, s,hafls Fire blocking: stuff holes top & bottom plates
Sheetrock backing Wall bracing
--- ~afters size/notching Trusses: specs, bracing .-
,
, Attic access Attic ventilation
Wall S, roof sheathing ----
Shear nailing
----- Building dried in
COMMENTS:
APPROVED:
ENERGY CODE COMPLIANCE
Insulation: proper R value Insulation: proper fastening
,- Insulation: vapor barrier ., Boltom plates caulked to floors
--
-----. Penetrations caulked as required . __~ect~~~?oxes g.':l_~ket~~.9r cal~lked
~----,-- ~---,_..-._---_..
fi mil black poly in crawl space --
COMMENTS: .
UNDER FLOOR/FOUNDATION INSULATION APPROVED:
WALL INSULATION APPROVED:
CEILING INSULATION APPROVED:
MLC1IJ\tJICAL
Appliance location and access, proper SUPPOlt Appliance clear ance to combustibles .'
-- _______________.__________0_________.. _ 2.__-.-:;"*-.-1.-_------:..-~__
Vellting clearance to combustibles Venting size & support
--- Vent T8rminati~~------------'- ----- -,
Combustion air
---- -------.-.-- --. .-- Gas pipe under test
Duels size & support
-- ~.... . , Gas pipe: underground min 12." below grade
Gas pipe size & support
--- _._-----~--- -----------..-- --- Gas shutoff within 3' of appliance
Gas pipe within 6" or underground-coated
---- -- -
Gas logs' safety shut-off Gas logs damper permanently open
----- --------------------------_._------~._---------- ..------- W'oodstoves-&:fii-eplaces: Tighi::fiiting doorS-------
Woodstov8s EPA certified
----- -
Wood stoves & fireplaces proper health Manufacturer's specs on site
-- ~- .
Chimney liner: when required Chimney: separate nues when required
COMMENTS:
GAS-PIPING APPROVED:
_,__FURNACE APPROVED:
OTHER APPLIANCES APPROVED:
DWV & water piping under test DWV: proper grade
----- -- ---. ._~---------
DWV: pr'oper sizing DWV: proper drainage fittings where required
--- ----------------.---------- ---- -----
DWV & water piping: proper support DWV: required dea'nouts
- ----,---- 'Ver;Tte-rniina-fJon--------------------' ------ -,~--
All fixtures ventee! properly
-- ----
Water supply proper sizing Shut-bff valves on all fixtures
--- ---- --- -
Water l1eatei: gat€: valve on cold water supply Vacuum breakers: where required
-----. ----------+----------------~---_._------ ...-- ------------~----------
Water heater relief valve drain to outside Water heater: siesmic strap
-- --- ------. ----- Water-piping insulated as required ---
R-10 pad under water healer when required
-- ---- --
Greasetraps/intercept6rs where required Proper indirect wastes where required
PLUMBING
COMMENTS:
PLUMBING GROUNDWOR,K APPROVED:
Proper fastening: nails-?" o.c. horiz plane nails 8" o.c vertical plane
----- ---------~-------- ---
Proper fa6tening screws.12" o.c. horiz. plane (1/2") screws-12" o.c. horiz plane (1/2") 24" O.c. fr a III i n g
- ."---- ---"-
Proper fastening screws-16" oc. vert. plane (1/2") screws-12" o.C. vert. plane (112") - 24" 9C framing
-~_._- --------------.----------.----+---.--- --. ---- .horiz.' plane (5/8") - 24" o.c. framir;g'---
Proper fastening screws-12" o. c. horiz. plane (518") scr:ews-12" o.c
-- -- --._------ .---- ---
Proper fastening: screvvs-16" o.c. vert. plane (518") screws-12" 0 c vert. plane (5/8") - 24" o.c. framing
,-- Draftstops where required'
Area & occupancy separation walls
--.-- ------
Usable space under slairs (5/8" required) ~aterboard where required (not on ceiling)
'--'- -- --'--
Corridors
. COMMENTS:
SHEETROCK APPROVED:
Energy code requirements met, exhaust fans Plumbing & mechanical
----------- -- ~- ----------
Garageldwelling door self ~Iosing solid core, Smoke'detecto'rs where required
"-------------- --- --
Handrails & guardrails, as required' Fire ratings maintained
-~ Exit SignS-When requ~---- .- ------- ___'0
Emergency lighting when required
Occupant /[Jad posted when applicable Building weathertight
-- ---,-_.
Wood siding to earthseparatiofl (6" Building Address posted
---- ---~-_._------~ ---- '---
Rauon monitor when !equired
FINAL
COMMENTS:
FINAL APPROVED:
BUILDING ~ERMrf
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3296
AI
City of Bremerton, Washington
Phone: (206).478-5281
OWNER'S VALUE
$/~{,S2
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO. DATE
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$ {;o../J
~/6 5'
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- 6 06 <...;
OWNER'S NAM
SITE ADDRESS I LOCATION
,/
ADDRESS
PHONE
CONTRACTOR
STATE CONTRACTOR'S L1C. #
I~~~_C:-
o OTHER 0 NEW 0 REPAIR [}( REMODEL
FIRE ZONE STORIES
PHONE 3'7 3.~ g/;r~--
o ADDITION 0 DEMOLISH
ADDRESS
~ RESIDENCE 0 BUSINESS
PLANNING I ZONING
OCCUPANCY
THIS PERMIT ISSUED FOR:
;e,=~<>-< ~ ~ V ~--"'-
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: Foundati~ Framing~ Plumbing~ Electrical~ Wallboard ~ FINAL
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FOR INSPECTORS USE ONLY:
REINSPECTlON:
NOT
TYPE OF INSPECTION DATE TIME PPROVED' APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
BUILDING DEPT.
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ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE, O~rUPYING B ILDIV#
OWNER'S SIGNATURE BY. Ij/ ~ . ~.
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LANNING lOP NC;.............. F.lRE_ZONE............. OCCUPANCY......::. .'. .',: TYP'E OF CO:~STRUC7lQ!:!: .'-:.. ......... ...... I
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;Wl.;rn... ~. .............. ~~. . ., . ~ . . .. .. . . .. . .' CONTRACTOR. .<1. tf. .?!?? ~ . .. , ... . . .. :. . ')j " ~.' ':;;'.":L"'~ .
DORESS~~/~'~""":';"~~""'"'''~''' 'ADDRESS ~~.~ /.tI?~:-~
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~CCEPTANCE OF APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.'
'LANNING
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eNGINEERING CQI'\J'\EHTS/REVIEWEO By...........
SEP;'R.ATE PERMIT REQUIRED FOR WORK IN RIGHT-Or-WAY, EXCAVATION, PAvtrlG. SIDEI1ALKS,SANITARY t S'CORH SEWElL
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FIRE DEPT. CC~~ENTS/REVIEWED By..........
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XRAFflC DE?T. CO~~E~TS/KEVIEWED By..........
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.. WAHR D(P~--~EPARArE PERMITS REQUl~ED FOR PLUMBING AND ~CHANI~Al HORK. --
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ELECTRICAL REYIEWED By..........
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BREMERTON/KITSie:OUNTY HOUSING R'EHABILITATION PtJ1AM
REPAIR SPECIFICATIONS AND LIST OF WORK TO BE BID
PROJECT:
Housing Rehabilitation Program
HOMEOWNER: James & Bertha Vanshur
JOB NO.: 0103
ADDRESS:
216 S Cambrian
PROJECT.BLOCK: Charleston/ PARCEL:
City
PHONE: 377-4072 DATE: 10/28/80
CITY:
Bremerton, WA 98310
NOTE
1. All materials and permits required for this job shall be provided by the awarded
con tl~ac tor.
2. Permits shall be posted prior to work start. Bring all permits with final approval
signature before final inspection.
3. All ,,,ork shall be performed in accordance wi th the "Con trac tor's Manual" by the
Department of Housing and Urban Development. In any conflict of "Contractor's Manual"
with specifications of this document; specifications of this document shall prevail.
4. Contractor shall furnish a performance bond and payment bond for full amount of the
contract, and liability insurance in accordance with the contra~t requirements;
5" Contractor must fill in every item amount and sign ev.ery sheet.
GENERAL REQUIREMENTS
Special instructions to property owners and contractors are as follows:
1. The homeowner will not make any other agreements with the contractor in any form.
2. Any changes in the work shall be made only through an Addendum or Change Order
approved by the Housing Inspector and Housing Director and signed by the owner and
the contractor.
3. The premises shall be kept clean arid orderly every day during the. course of the work. ..
4. All debris resulting from work shall be removed weekly and upon completion of work.
5. It is mandatory that no lead-based paint be used.
6. Homeowner will/will not be relocated~:for days while bathroom and kitchen are
being rehabilitated.
7. The work is to be completed within 60 calendar days.
Rehab Inspector
Owner
Contr'actor
Owner
Date:
--*-..~ -- - -,-~..~-,--._.... -' -
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JOB BPECIFICATIONS
Vanshur/Charleston/City
1. Upgrade Electrical System as follows:
Install a new 200 amp 220 volt service breaker panel box with sufficient circuits for
future use. Balance out existing circuits to eliminate any over loads a~d separate
those circuits servicing appliance outlets. Repair or replace mounting boards as.: '.:
necessary.
Upgrade all branch circuits as necessary, inclusive of, but not limited to, anchoring a1]
loose wiring in attic and crawl space areas. Provide junction boxes with covers in
assesable locations when repairing or adding open electrical splices throughout dwelling.
Replace any and all deteriorated or bare wires throughout dwelling.
The following items are specific to this job:
Relcoate 220 vtircuit and 110 circuit for washer and dryer to kitchen per plan.
Relocate stove 220 v circuit to sink location.
Provide circuit for garbage disposal and switch.
. Provide any required wiring changes for Jen Air Range.
Provide any circuit changes for refridgerator. .
Provide circuit for dishwasher. .-:.# ;.~ 3/'1?5,f'E j)~TEC7tJ ~
Upgrade all ki tchen circui ts. 'J(/ P.
Provide light and switch for rear door. . 1\ o~~~.Jl. .~ /}./ 0
Increase outlets in bedroom to current code. I
Provide light with pull cord in front closet.
Provide and install vented bath fan and switch for bath.
Provide and install four foot double tube flourescent light fixture in kitchen per plan.
2. Upgrade Plumbing as follows:
Replumb existing cast iron sink to be located per attached plan.
Replace faucets with new single handle, washerless faucet with spray for kitchen sink.
Plumb for dishwasher. Install owner ';s roll-away. .
Provide and install garbage disposal.
Relocate basement laundry facilities to kitchen qrea per plan. Provide hot and cold
water faucets, laundry type waste with proper venting.
Plumb in owner's sink in existing laundry.
3. Upgrade Kitchen as follows:
Relocate rear door per plan.
Remove existing panelling and ceiling treatment.
Reframe kitchen area per attached plan.
Provide electrical per spec 1
Provide plumbing per spec 2
Insulate any exposed walls to R-11.
Sheetrock kitchen and dinette complete. Stock, nail, tape, double flush, and texture
with "orange peel".
Install cabinets per attached plan.
Install plastic laminate countertops per owners selection, complete with 3/4" particle
board base.and full backsplash.
Install 3/8" particle board sub-floor throughout kitchen and dinette.
Provide and install new.floor covering per owner's selection. $15.00/yard, installed.
Prepare and paint kitchen and dinette;:with semi-gloss latex enamel. Color to be standarc
mix of owner's selection.'
Install appliances, to include dishwasher, garbage disposal, JenAir Range,: washer.i'&,dry~r
Vent JenAir Range and dryer per manufacturers specifications.
Trim out kitchen and dinette complete, inclusive of casing and baseboard.
Rehab Specialist
Uwner
Contractor
Owner
5.
6.
4.
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JOB SPECIFICATIONS
Vanshur/Charleston/City
oors:
Relocate rear door 18" in to room. Provide new door and jamb as necessary. Door to be
~ light panel. Install all necessary hardware. Weatherstrip same.
PronGe and install new front door and jamb complete with all new hardware. Weatherstrir
same.
Provide and install new knob and dead bolt locks all keyed same for front door and rear.
door.
Gutters:
Provide and install new continuous aluminum gutters and downspouts. Replace any, ':'.
seriously deteriorated facia. Drop downspouts to within 6" from ground and install
splash blocks. " I/. -H--. ~. . ~ 0 ~ /J ..--/~ -;-..
\..,A-" c..~ ftA!;1 QL,~ tJ'--. /:.- /-~:.,4"'1 '
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Weatherization:
Weatherize dwelling as follows: Caulk
not limited to doors, windows, service
all exterior doors and windows.
and seal all exterior openings, inclusive of but
openings, foundation line, etc. Weatherstrip
7.
8.
Roofing:
Fra~e over existing flat roof at rear of.dwelling to acheive a 3/12 minimum slope and
roof over with 20-year asphalt composition or fiberglass shingles. All work to conform
to current V.B.C. code. f<~_ iJ2....v-.:Q ~~ ~ ~J;L/ /lOlff~-J'!
---./' .---
Front Closet Addition:
Prepare dwelling for closet by front door
Provide footing and~foundation for closet
with 1 ft. minimum x 6" cony_::~b wall or
footing. Lv .tZ1-- ;ee...~"'o_V~-1"~-~'
Frame addition per attached plan allowing for access in cr~wl space area.
Tie'into.roof:in an appropriate manner.
Insulate exposed walls.
Reside and paint to match existing dwelling.
Sheetrock inside of closet.
Provide and install hollow core door and jamb per plan, inclusive of all hardware.
per plan.
and existing alcove. Footing to be 6" x 12"
2 rOHS of concrete block on 6" x 12" concrete
, '..-.-
W/tJ.~:'J
9.
Provide $500.00 allowance for JenAir Range -- Owner to make up difference in price.
Rehab Specialist
Owner
Contractor
Owner
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e
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35670
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Fee $m;.m..mm..m.nnn......mm...___.m.mm.mm.mn.. ReceIpt No. ..nmn.n....___.mnnmnnmn.._...'m'....n..
BUILDING PERMIT
CITY OF BREMERTON BUILDIING DEPARTMENT
F. E. IRISH, Bui/cling Inspector . ESsex 3-1411, Ext. 36
,oj': i
Owner's Value I Bldg. Dept. Value I DESCRIPTION:
I o,'l..C::'
$ /$00. ,.. /"1 Lot Block Additions ,
I r l~) ~. \ '/6. '<I
Address on Job .!~IJL'~_"~_:n~=~:~~_~nnnu_ _n_.__un_unm______h_Uh__U_ Datb>__:o.:::.!.fhn__n__196_---
Building _mu__nn_m x um__m______ and __._hn__mm stories _h___h_m._______nh basement. Lot _m._~_mmu x nhm_~m____
Front Yard h.__mh__m_m___._ Rear Yard n__mmh_m________ Side Yard __n_n_h__m___.___u Garage m___._hm___mmn~m__n
Occu pan,cy . - - - - - - - - - - - - '" - - -c1-- - - n - _.L - - -- - - - _. '" - h - --,J_._ _ _ _. _ _ __ _ _ __ _ _ _. _ _ __ _' _ _ u.. __ _ _._ __ __. _ _ __ _. _ _ _ _ __..._ _ _ Zone. _ _. _ _ _ __ _ _ _. _ _ _ _ _ _ _ _ _ _ __ _ _ __ _. __. _ __ __ ___
Owne7~~~:':?::~ - s_.:l!. _,_-'J.a.,c!~4_);~_ .._ ___ __ n n n u _ Add ress _. _ _ __ _ _ __ _. h _ _ h __ _ _ ___.. _ _ _ __ _ _ _ __ _ _ __ _ _. P hone__ _ __ _ ___m'_ _ u
Con tr'actor _ _ _ _ _. _ __ _ _ __ __ u_.. _ _._ _ _ _ __ _ _ __ _ _n _ _ u. U h _ __ __ __ __ u __ u_ _ __ _ _. Add ress __ _ _ u __ _ _ _ _ _ _ _ _ __ '" '" _. _ __ _ _ _ _ _ _ _ _ _. _ u _. __ _. Phone_. _ u _ _ u u u u_
~~=~~~~:~:i:ssE;~:?:l~"~:'::::~~:~~,~::~~:'::::~~:~:~
/
-- -- - - - ------ --.- - - - - - - --- - -_. - - - -- -- - -- -- --- - ---- - - ---- -- - -- -- -- -. - - -- - - - - -- -- - -- --. - - .'. - - - - - - - - - - - - - --- - - -- - -.- - - -- - - - -- -.- - - - - - - -- - - -- - - - - -. - - - - - - - - - - --- -- - --- -- --. - - - --- - -.'
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 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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