HomeMy WebLinkAboutCARR BLVD., 1359
~.,'
~~ PERMIT CEN'lER
, 286 4th Street, Brewerton, f1Jl 98337
c...- . '~ Pbone: (360) 478-5275 FllX: (360) 478-5278
BUILDING PERMIT
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Job Addr:, 1359 CARR BLVD
Location:
Parcel No: 3719002-019-0100
Permit No: 03-0098
Status: ISSUED
Applied: 03/04/2003
Issued: 04/0,1/2003
Expires: 09/28/2003
Applicant: LINDQUIST HJALMAR A 373-7782
1359 CARR BLVD BREMERTON WA 98312
Owner: LINDQUIST HJALMAR A 373-7782
1359 CARR BLVD BREMERTON WA 98312
Contractor: SELF
Lic #: SELF Exp:
Subcontr:
Desc: FINISH INSIDE EXISTING STRUCTURE FOR BEDRM & UTILITY ROOM IN RES
*********************************************************************************************
Valuation
2,600.00
* Permit Fees:
* Plan Check Fees:
* Other Fees:
148.65
54.11
4.50
Total Calculated Fee:
Additional Fees:
Total Permit Fee:
207.26
.00
207.26
*********************************************************************************************
MECHANICAL/PLUMBING FIXTURES--
PLBG-Clothes Washer..........: 1
MECH-Exhaust Fans.... ........: 1
PLBG-Water Heater............: 1
MECH-Clothes Dryer...........: 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 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 specified herein
or not. The g'anting of a permit does not presume to give authority to violate or cancel the provisions of
any other stat or local law regulating construction or the performance of construction.
/
Date: ~ ~ / -.?' ?,
the requirements of the state contractor's registration law, under
1967.
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BREIiER"fOl'if PERKIT CENTER
286 4th street, Bremerton, e1l 98337
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Phcm..ft.: ..{,J,90J 478-5275
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FAX: (360) 478-5278
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Job Address: 1359 CARR BLVD
Location:
Assr Acct No: 3719002-019-0100
Building Permit No: 03-0098
Status: ISSUED
Issued: 04/01/2003
Expires: 09/28/2003
R E QUI RED
INS P E C T ION S
Item: 01~0 MECHANICAL
Item: 016QO PLUMBING ROUGH-IN
Item: 017QO FRAMING
Item: 01800 INSULATION
Item: 01900 SHEETROCK NAILING
Item: 02700 FINAL--BLDG
Dept: BLDG
Dept: BLDG
Dept: BLDG
Dept: BLDG
Dept: BLDG
Dept: BLDG
Division:
Division:
Division:
Division:
Division:
Division:
*********************************************************************************
TESTING:
SPECINSP:
ST OF WA:
HEALTH:
Must be recognized by the Washington Association of Building Officials
Must be registered with the State of WA
State of WA Dept. of Labor and Industries 478-4921
Bremerton/Kitsap Health District 478-5235
.~
ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE
PERMIT C~~R, (360) 478-5275.
********** ~*** ~****************************************************************
Permi t HOldet'
Signature: \ Date:.L,.c - f - 0 .3
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Permit'No: 03-0098'~~'
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==============================================================================
BREMER TON PERMIT CENTER
PERMIT CONDITIONS
'..
Page:
1
Job Address: 1359 CARR BLVD
Assr Acct No: 3719002-019-0100
Location:
Applied: 03/04/2003
Approved: 04/01/2003
Issued: 04/01/2003
Applicant: LINDQUIST HJALMAR A
Owner: LINDQUIST HJALMAR A
Contractor: SELF
Description:'
FINISH INSIDE EXISTING STRUCTURE FOR BEDRM
& UTILITY ROOM IN RES
Conditions:
1.
APPROVED PLANS, SITE PLAN AND PERMIT MUST BE ON SITE AND
AVAILABLE FOR INSPECTION.
2. SMOKE DETECTORS REQUIRED IN ALL SLEEPING AREAS, ADJACENT
HALLWAYS AND FLOOR LEVELS.
3. WINDOWS IN SLEEPING AREAS MUST MEET EMERGENCY EGRESS
REQUIREMENTS.
4. 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
CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR
(EXCEPT RENOVATION OF OWNER-OCCUPIED SINGLE FAMILY
RESIDENCES) .
,.f"~!V
FOR MORE INFORMATION, PLEASE CONTACT CLEAN AIR AGENCY
THROUGH THEIR WEB SITE AT www.pscleanair.org OR BY PHONE AT
800-552-3565 OR 206-689-4058. THE L&I WEB SITE CAN BE
FOUND AT www.1ni.wa.gov/wisha/p-ts/asbestos/asbestos.htm.
5. #1) THIS ADDITION AS AN EXISTING STRUCTURE WILL BE
SUBJECTED TO AN ON SITE INSPECTION PRIOR TO PLAN APPROVAL.
#2)PROVIDE ANY PROOF OF STEEL PLACEMENT IN FOUNDATION
DURING CONSTRUCTION LIKE PHOTOS AND OR RECEIPTS.
Ider's
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PERMIT CENTER
Department of Community Development ::. 286 4th Street ::. Bremerton ::. WA ::. 98337
(360) 478-5275 * Fax (360) 478-5278
Building Permit Application
APPLICANT: ~ OWNER
o CONTRACTOR
o AUTHORIZED AGENT
Site Address I.J _f>" 9 ('A R. I? I.J L.. V' 0
.o~~
Contact Phone #:
)
( 6})
~- ; . .
----- "
u-:-;: L II
,_I.
8~IJ;BTOl\i
NEW GARAG~Rf~l\f . 'I'A~iMtN.t
NEW ACCESSD~'V et G
NEW SIGN
STRUCTURE DEMOLITION
GRADING (Cubic yards: _ )
OTHER
~~
MAR 0 l 70f ~ II J
. , "
Check the type of application for below:
o NEW SINGLE-FAMILY RESIDENCE 0 NEW COMMERCIAL
o NEW DUPLEX 0 COMMERCIAL REMODEL
o NEW MANUFACTURED HOME 0 COMMERCIAL ADDITION
o RESIDENTIAL REMODE~ 0 COMMERCIAL REPAIR
[2g RESIDENTIAL ADDITION 0 NEW MULTI-FAMILY
..lZ] RESIDENTIAL REPAIR I 0 TENANT IMPROVEMENT
o
o
D
D
o
o
YES D NO ~
/S THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Scope of Work Proposed: Fill/IsH I /'/& 1 NS/tJl.::-
c."'>-5" JIYS'-'t.AT/IYG 1./(S"If.}c'
LVh/~l\fCr FOIr W4T[j? I-IFA7Efi \/I/As-f/FI< FO~
Square Footage: Dwelling: 33 b
Garage:
Decks: .J 91:,.
Valuation Total Fees
d0 0 o.~b "5 I ~, 00. ,dbj ~:
AP~rff~~ no permit~; issued within 180 days following the date of ap~ication 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.aays::Qr1.:.:r~g!Jest by
the applicant showing the circumstances beyond the control of the applicant have prevented action from tieing-taken. No
applicant shall Qe 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.
k: A ~ . .' .......,.., DATE' .1\ - j ft --- Cl 3
APPLICANT'S SIGNATURE:,. -t~~~~M"t';:r*~,"1 . "" .
~
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, V"e0 i& \ (.,5 '-
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Kitsap County
Health District
()~.. OOGf'i
. Scott W. Lindquist, MD, MPH, Director
"'. H.~ .' '. '. .... ..... .-':'~FT:;;::'{f~;':':~r:~'~.;~}~'f\~ 109 Austin Drive
:..1111dln-g. . Clear ~''+<)e;:g;;.d~i'~<i Bremerton, WA 98312
., . ..... . '. '. - ..' .-.,;<....,.,....... (360)337 5285
i.:,~;;,;,;::~.'bN-SiTESEWAOE~ISPOS~L/:~~~:~I.i!~~~ FAX (360)337~5291
192148
FEB 2 4 2003
Prior to issuance of a Building Permit, a determination of whether the existing sewage disposal system and water supply meets code
andlor setback requirements is necessary. A copy will be forwarded to the jurisdictional Community Development or Planning Dept.
, .~,
**THE ATTACHED SITE PLAN REOUIREMENTS MUST BE COMPLETED AND SUBMITTED ALONG WITH THIS
BUILDING CLEARANCE APPLICA TION. FAILURE TO COMPLETE mE APPLICATION OR TO COMPLY WIm
THE SITE PLAN REOUlREMENTS MA Y RESULT IN PROCESSING DELAYS OR APPLICA nON DENIAL. Please
contact the Health District at (360) 337-5285 if yOU have any Questions.
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;SE,W1tGE.DiS:P\~lSi%~~iim0~ATioN . (Print CltilitlY:;()t-;tvtKb~tI~~:~:';~,,1g~~;~~:~t~~e~:></:>' .
Name of Current Owner H,7,A L rvl A- R -+ /Va A ~ Y I- 1='" ~ /... i f'/ () en u, '> T Phone4i'~b" t l' 7..J _ '7 7 f' ~
Property Address /.3 S 9' C~ /? R 8 I- \I f), !~R EM E. N r~/''cityrzip Code '9 f-. ~ 1..;2. . .2.,...2. o.'S
Mailing Address _..r A,/VI If"
Previous Property Address if Changed
Original Property Owner ..J"O,S E lJ H- WClO..( A I? D Builder ll.rA / NA/? Lj./lfOQ~~siYear House Built I 'f 7 0
.o,l( .
Tax Account # -.? 1/9 - 0 0..2.. 1\' C-II 00 Short Plat # Lot
Existing # of Bedrooms ~ Additional # of bedrooms proposed~ Total # of bedrooms after project completion 2-
EXPLAIN YOUR PROPOSAL (BE SPEClFIC-e.g.), Replacing a mobile home, building an addition, adding bedroom, garage, etc.
New Plumbing Proposed ~ Yes 0 No PIN ;'rk 'A' Go 1-- A' ;', T/~vC'~ ..r T/~(..JI'c. r-(~-r-< .:I/V<;/f.jF
I....n)~ .......... ~ ? ') ,- I.. ;:: c. ' \I'llll~r' , .r If 5"-' /.. "
,F.L. 0(.)/;1 D(n 'A/Ai.l... ttl:'JV1~lJRcJ 113~....'J... Add....,..(. / 10 Ar/~7'-:11
WATER INFORMATION: Water supply is: [Rl Existing
PUBLIC: Name of System t. i rY OF BR Ii,vl /fl<(f oJ!
I
PRIVATE: 0 Drilled Well 0 Dug Well 0 Spring 0
SIGNATURE OF APPLICANT IfJ.:a..e..,-. ~"'- ,~-:'7-:"-'1
PRINT NAME f-lr A L MAR ).. / PI f) t;J I,J IS,'
o Proposed /11 C- rE K N ~ M /] i:. I~
ID# ..<..3/..2 gJ 0/
Other
--
FOR HEALTH DISTRICT USE ONLY. SEW AGE DI~POSAL SECTION L1{J (01h IE f!JY~~"l
The proposal IS ~ Approved D Demed , W
The existing sew a e disposal system has been approved for a ~edroom home.
/<' Proposed plan has no increase of sewage flow.
COMMENTS:
~ --~ ~ ?/;;!6P :5
Environmental Health Specialist Date ,
DATE -;2 -.J.. '-/. - 0 .3
13 ~ . \ ? ' - ,-"
PHONE. ...f) i ~ 7.,j - / 7 _:'!''' .,-1.._
r /- ,dl ,~A,.'-
FOR HEALTH DISTRICT USE ONLY - WATER SUPPLY SECTION
The proposal 0 Conforms 0 Does Not Conform to current standards for water supply. ~.. NA
COMMENTS:
~~
=- ~
7//0/03
Date I
Environmental Health Specialist
\\Bkchd 11 \EH\Co\lUl1on\On-site\Application forms\BCNEW2. DOC
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KITSAP COUNTY DEPARTMENT OF
COMMUNITY DEVELOPMENT
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BREMERTON-KITSAP COUNTY
HEALTH DISTRICT
I11-4SHI"GTO"
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Site Plan Requirements Checklist
All site plans shall be c1earty and accurately drawn to scale
on paper no larger than 11" x 17" and must indicate all of the
following information. For each item below, mark either
"Shown" .or "N/A" as appropriate for your project.
This checklist, completed and signed, must be included on all
site plans. Any site plan without this checklist will be rejected
and retumed to the aoolicant for correction. . .
Shown N/A Parcel ~'""\ \ t ()
Number-:':"" . C, - JO.:;,) - \C\ -/""\00
A . General Property Infonnation: .
I2SI Property lines and dimensions
~ Elevations of property and the direction of
natural drainaae
0 Slopes that exceed 15%, including any cut
banks cireater than 4' in heiaht
00 North arrow and site plan scale
0 0 Marine waters, lakes and ponds and their
associated hiah water lines .
0 0 Streams, creeks & wetlands and their
associated bUffer areas
B Existing Property Improvements:
~ 0 Location of all existing structures, including
the locations of existing structures on
I .. adjacent waterfront orooerties
0 0 Location of all existing wells and their well
radii, including those wells on adjacent
properties within 100' of orooertv lines
Location of all existing drainfields, including
ill 0 the 10' "No Build Zone" as well as the
locations of existing drainfields on adjacent
orooerties within 100' of any well
0 0 Location of existing drainage facilities, .
includina all sub-surface infiltration systems
D D Location of all existing and abutting
roadways, driveways, easements, buffers
and reauired ooen soaces
C Proposed Property Improvements:
[KI 0 Location and dimensions of all proposed
structures or building envelopes in relation
to orooertv lines, other structures, etc.
D 0 Location of all proposed wells, including
their 100' well radii and all water lines
~ 0 Location of all proposed septic tanks, pump
tanks, pre-treatment units, and drainfields,
includina the 10' "no build" zone
D D Location and dimensions of all proposed
drainaae and infiltration systems
I2SI 0 Location, dimensions, surfacing materials,
and clearing limits of all proposed parking
areas, driveways, sidewalks, & road aoor's.
IZr 0 Location of all water, sewer and utility lines
Residential Site Plan Exam~
JOIles IlJl NE
fialohed floor
devatioa+2'
mrb~'
Oat
'~ft
II' No BaIW Zoae
PrImary J!idd
XXXSqft
X it wide
Y it Ioog
IoU..
12
DNl.In FIeld
Etevo.tlonsl -:l.o
100 A
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AI
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. Wldle)
Radius
IIoIILoc
13
193.5'
27S.A'
\
IIoIILoc
115
Reser.1'e
J!idd
XXX Sq it
X it wide
Y 1\ 'nllg
Drainfield X
from Back
l'ropc:rty LiDc
Wc6aad
.. Deliafatedhy"
Smftfl Wc6aad
SpecIaIlIU
~
4
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Joe and Jane Q Public
Let7 oCPlat oCKitup
Tax ID 12J.4-000-007-2000
LEGEND
Slope> 15%
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KITSAP COUNTY DEPARTMENT OF
COMMUNITY DEVELOPMENT
BREMERTON-KITSAP COUNTY
HEALTH DISTRICT
Site Plan Requirements Checklist
All site plans shall be clearly and accurately drawn to scale
on paper no larger than 11- x 1r and must indicate all of the
following information. For each item below, mark either
"Shown- or MN/A- as appropriate for your project.
This checklist. completed and signed. must be included on all
site plans. Any site plan without this checklist will be rejected
and returned to the a lieant for correction.
Shown N/A ~~~r
A
o
o
o
o
o
o
B
General Property Information:
o
Property lines and dimensions
Elevations of property and the direction of
natural draina e
Slopes that exceed 15%, including any cut
banks reater than 4' in hei ht
North arrow and site plan scale
Marine waters, lakes and ponds and their
associated hi h water lines
Streams, creeks & wetlands and their
associated buffer areas
Existing Property Improvements:
Location of all existing structures, including
o the locations of existing structures on
ad"acent waterfront ro erties
Location of all existing wells and their well
o radii. including those wells on adjacent
ro erties within 100' of ro rt lines
Location of all existing drainfields, including
o the 10' "No Build Zone" as well as the
locations of existing drainfields on adjacent
ro erties within 100' of an well
o ~~~~i~n ~~leSx~~~:a~~n~~~~t~~~j:s~tems
Location of all existing and abutting
o roadways. driveways. easements. buffers
and r uired 0 s aces
Proposed Property Improvements:
Location and dimensions of all proposed
o structures or building envelopes in relation
to ro e lines. other structures. etc.
o ~oe~~~~.o;':li ~~~:da~~;~~~~:~ng
Location of all proposed septic tanks. pump
o tanks. pre-treatment units. and drainfields.
includin the 10' Mno build- zone
o ~~a~~o~ :~~ f:~~~~~~ O~t:~~roposed
Location, dimensions, surfacing materials,
o and clearing limits of all proposed parking
areas. drivewa . sidewalks. & road a r's.
Location of all water, sewer and utility lines
o
o
o
o
o
o
C
o
o
o
o
o
SITE PLAN REQUIREMENTS
For:
Kitsap County
Health District
KCHO Building Site Applications (BSA), Building Clearances (BC) and
KC OCD Residential Building Permit Applications
All site plans shall be clearly and accurately drawn to scale on paper a minimum of 8 Y:z''x11': and a maximum of 11 "x17". The scale
shall be a minimum of 1"=30' for parcels of less than one acre and 1"=50' for parcels between 1 and 2Y2 acres. For parcels that
exceed 2Y2 acres, or for parcels of irregular shape, site plan overviews at scales of up to 1"=100' are permitted provided an inset plan
of the structure(s) and on-site sewage system (OSS) are included at a 1"=30' - 1"=50' scale. A separate Vicinity Map, clearly showing
a detailed route to the site including the nearest intersections and landmarks, must accompany all site plans. All site plans shall
clearly indicate all of the following information:
A. General Property Information:
1. Property Lines: Indicate the locations and dimensions of all property lines.
2. Reference Elevations: Indicate the relative elevation of all property corners, wells, drainfields, drainage systems
and building floors. Use an established reference point, plumbing stub-out or' first floor level as a reference
elevation point.
3. Steep Slopes & Cut Banks: Indicate the locations and grades for all slopes greater than 15%, as well as all cut
banks that exceed 4' in height.
4. North Arrow: Indicate the property's orientation.
5. Surface Waters: Indicate all surface water bodies, including all marine waters, lakes and ponds, along with their
associated shorelines, ordinary high-water lines, and their required setbacks.
6. Streams, Creeks & Wetlands: Indicate all surface water features such as streams, creeks, and wetlands,
including their associated buffer areas and required setbacks.
B. ExistinQ Property Improvements:
7. Structures and/or Building Envelopes: Indicate the location and dimensions of all existing structures and their
required setbacks from property lines and other structures. an waterfront properties, Include the locations of all
structures onadjacent properties.
8. Wells & 100' Well Radii: Indicate the location of all existing wells and their respective 100' well radii. Include all
wells or ass components on adjacent properties within the 100' well radii.
9. On-Site Sewage System (aSS) Components: Indicate the location of all existing ass components, including
septic tanks, pump tanks, pre-treatment units, primary drainfields and reserve drainfields. Indicate the direction
and degree of slopes of all primary and reserve drainfield areas, and identify the 10-foot "no-build" zones
surrounding them.
10. Storm/Surfacewater Drainage Systems: Indicate the location and dimensions of all existing infiltration systems,
stormwater ponds, drainage ditches and below grade pipes.
11. Roads, Driveways, Parking Areas and Sidewalks: Indicate the location of all abutting roads, and the location
and dimensions of all existing driveways, parking areas and sidewalks.
12. Easements, Buffers and Open Spaces: Indicate the location and dimensions of all easements, buffers and open
spaces in relation to property lines, structures and ass components.
C. Ptoposed Property Improvements:
13. Structures and/or Building Envelopes: Indicate the location, dimensions, and all clearing limits of all proposed
structures and/or building envelopes in relation to property lines, other structures, wells, and ass components.
Include all required setbacks from property lines and other structures.
14. Wells & 100' Well Radii: Indicate the location of all proposed wells and their respective 100' well radii. Include all
primary and reserve drainfield areas on adjacent properties within the 1 00' well radius.
15. On-Site Sewage System (aSS) Components: Indicate the location and dimensions of all proposed ass
components, including septic tanks, pump tanks, pre-treatment units, primary drainfields and reserve drainfields.
Indicate the direction and degree of slopes of the primary and reserve drainfield areas, and identify the 10-foot
"no-build" zones surrounding them.
16. Storm/Surfacewater Drainage Systems: Indicate the location and dimensions of all proposed infiltration
systems, stormwater ponds, drainage ditches and below grade pipes.
17. Roads, Driveways, Parking Areas and Sidewalks: Indicate the location, dimensions, surfacing materials, and
clearing limits of all proposed roads, driveways, parking areas and sidewalks.
18. Water and Utility Lines: Indicate the location of all proposed water lines, sewer lines, and utility lines.
If you have any questions regarding these Site Plan Requirements, please contact the Kitsap County Department of
Community Development, at (360) 337-7181, or the Health District at (360) 337-5285. Failure to clearly identify all
required information will cause processing delays and/or result in returned applications.
G:\Dcd\Data\Forms\MasterForms\Permit\Site Plan Requirements\9-10-02
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'RECEIP! '\~lllb~t': l)."OO(;:!;:t;;;> AlIlount: 15:3 .15 04/01/0.3 12: 59
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~~_______~_~~~_~____________~__~__~_M_~~___~~.~__~_~___~_____~~_
E'ennit'NO: 03-009$ Tn~>: SUlCi
Parcel Ho: 37190Q2-019-0100
site Addr$ffi~: 1~59 CARR ELVD
SLOG ii'SP~'1!.T W/t1E'CHlp
'rotal Fees:
207.26
20'7.26
Thl.13 Payment
153.1:)
'rota,! ALl. PrAts:
Balance:
t....:.
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***1.l #o'ti('.;l.. 'fi. Pi*,**~A'~'* *'fni('.k~ '{t* *'k,*~.;'*\lt~'lI(W,}1(*1t:*!~W *'i'f-*..,l~** *~~:il'**1>'p,'**'if*~~*.it:*\<t*W~ if
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41. 40
24.00
4.50
16-322,1001 (2211)
16-322.1005 (2215j
16-322.1003 (2213)
643.~37.13 (023el
BUILDING PE~~IT FEES
!1ECH,,1>';"iO;CJ.t,J:., PEJ,1MII FE!:::;
PLUi'iBnrG PERMIT E'EES
ST~Tl? OF' ifill. SURCH..1U'{OE
_.___~__W~W~___.________.M_____~____~~__~__~~__~_~______~_~_~~__
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RE(CIPT Number: 03000160 Amount: 54.11 03/04/03 09=35
PaY'lllont I'lot.hod: CK f'!otation:: LJNDOUr~:;;'1 Cl< 1nit.: \/H
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'TotAl F0~S: 207_26
lhL'~,; F'i:'n/ment :;,It..:i"l r..)tJd (-ILL F>mt8': 5"1.11-
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r:\(TOU.n'l.: C
L6-345.83uO (~S80)
[) r>i! ~'>.:"( i j::) t i c~ f'l
8UILDING Pl.AN CHLC~ FE~S
{)mount
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PERMIT CENTER
LuJ
Department of Comnmnity Development ::- 286 4th Street ::. Bremer-ton ::- W A ::-
(360) 478-5275 ::- Fax (360) 478-5278
PLUMBING
98337
D Electric
D Residential
[OJ
D Gas
D Commercial
MECHANICAL
Type of Fuel:
Occupancy:
Site Address:
D Oil
D Propane
CONTRACTOR: OWNER:
Address: . Address:
City, State, Zip: City, State, Zip:
License # & Exp. Date: Phone #: ( )
Contact Phone #: ( )
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
RANGE WATER CLOSET
r-o _
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB I"" lEfCQ; Ie D \V,7 ~ ~
,...
GAS FURNACE btu LAVATORY (BArf- ~ \!K)l\A' '"
CONVERSION BURNER: btu SHOWER riA" U 4 LUU3 .J
UNIT HEATER btu KITCHEN SINK BREMEATON
BOILER btu I DISHWASHER t11111 IlIftlS uEPARTMENT
GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btu / CLOTHES WAS~ER
AC UNIT btu / WATER HEATER O(JO.
--- .
HEAT PUMP btu URINAL
REHEAT BOX btu: DRINKING FOUNTAIN
I EXHAUST FANS FLOOR SINK OR DRAIN
RANGE HOOD (RESIDENTIAL) ~ WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAP/I NTERCEPTOR
I CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
'TANK TYPE: BLDG. SEWER: (MOBIUMOVED HOME)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
Applicant's Signature
Date
7
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Prescriptive Approach - Simple Form
For the Washington State Energy Code (2001 Edition)
, Climate Zone 1
Lot:
Permit #:
Building Department Use Only
03- () 0 q K
Site Information
Address:
t 3:7 q Lfi...IfV /sl l) cf
Notes:
City:
State:
Zip:
Contact:
Phone:
Phone 2:
Fax:
(Un ImIte azmg ptlOn nv
Glazing Glazing U-Factor Door" Wall Wall Wall Slab"
Option Area J 0 U- Ceiling2 Vaulted Above Int4 E:<J:4 Floo~ On
% of Floor Vertical Overhead II factor Ceiling3 Grade Below Below Grade
Grade Grade
III Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-W R-30 R-W
Occupancy
On Iv
Table 6-1
PRESCRIPUVE REQUlRE.l\1ENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE WNE 1
r d GI . O' 0 1 )
See the code text for footnote references
This project complies with the following:
../ The project is a single family residence or duplex.
../ The project is wood frame OR all of the insulation is interior or exterior of the framing.
../ All building components meet the requirements listed in Table 6-1, Option III.
../ The project will meet all other provisions of the WSEC a~d VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
Copyright 2002. WSUCEEP02-056
Copied by permission from the Washington State University Cooperative Extension Energy Program
Prescriptive - Simple Form - Climate Z~i e ~ (g ~ [) ,~ .[g", - ~,
I\~ M: CAR' rl L1 2' OO~. J
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5/31/2002
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PERMIT CENTER
RESIDENTIAL SITE PLAN REVIEW QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this determination, please supply the following
information with a scaled and dimensioned site Ian.
Applicant:
Description of Proposal: F //1/ /5 f-/
ROoM$
l' ,j- T-~
S)(l5Tt fiG- JT u RE
ed): / ;3..r'f C A I~ ajj LV,!),
..37/ - () c;J..- D/ ;;>- 0..2.. D 9
l?V//\'/Del1f
p.~ )- :'>
#N,.5/Cf:
A L J'Vl /-1 R A. L / /'rj .I:!J .
Street Address (or street name if no address has been assi
Tax Account Number:3719-ooJ..-o/9-t!)f 0 0
Critical Area Questionnaire:
11 Is there any standing or nmning water on the surface of the site at A.J.~ time
I . during the year? If YES, please describe conditions:
I U 1'1 D I? R /'T 0 US 15: 'j) f.,I /R 1'#0/ G P t- fl i 0 OS 0 F /-/ E./.J.. V V !? A j N
I \MI-!Er'1 PONDS .FoRM /
A.I--F\-'/ OAY-.r A,FTFI? ON P/TcPcP.Ty JOUTf( OF L/^iE, ./)/S;A/:>/'EA./~5
! 2.
i
I
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I2J YES
D NO
Are there wet areas on the site? If YES, please describe:
. ,
O;y 0 VE' ~""F I. 0 VV F /~ e /"'1 A J 0 I IV f N c;.
I:> ;::;. e I;) FI'?, T Y 1..1 /'y' 1:::-
[2g YES 0 NO
P8cJfPA7'7 ..so wr// 0/'::-
I.,
I .J.
I
/4.
I
Is the site characterized as:
D Forest
D Cleared
~
Developed
Please give the overall slope of the parcel _ % and the slope at the building site ~ %.
5. Is the property within 200 feet of a shoreline?
D YES [Z' NO
D YES [8J NO
6. Will the proposed structure be aesthetically or functionally disruptive to
surrounding properties, the neighborhood or the community?
See diagram explaining the slope calculation on the back.
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of
Bremerton based in whole or in part on this application may be reversed if it develops that any such
statement or other information contained herein is false.
;( ~
sib~;~~f~~C~ ~~-~d~j~-_L_:,l
,~-/0-o3
Date
[6) ~ (g; [g IJ W ~ in,
!Ill MAR 0 4 2IJ03 ~
BREMERTOl\!
lBmlOlNG DEPARTMENT
#
Scope of work:
Address: 1 3::=>
Owner:
Contractor:
Or\CIVICn.1 VI\! DUILUII'Jl;j Ut:~At( I Mt:N I
Insp,ec~on Report
etpiry "permit Number: 03
DOCZ 8'
Phone:
Phone:
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)
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 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 outside Range hood
Dryer exhaust vent All v,ent 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 Fire blocking wall to ceiling, furred walls every 10'
Fire blOCking: stairs, soffrts, 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
Artic access Attic ventilation
WClII & 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:
OW & water piping under test DWV: proper grade
DWV: proper sizing DWV: proper drainage frttings where required
DWV & water piping proper support DWV: 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" a.c. framing
Proper fastening: screws -16" o.c. vert. Plane ('112") 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. hOliz. plane (5/8") 24" o.c. framing
Proper fastening screws - 16" o.c. vent. Plane (5/8") Screws - 12" o.c. vert. Plane (5/8") 24" o.c. framing
Area & occupancy separation walls Draftstops where required
Usable space under stairs (5/8" required) Waterboard where required (not on ceiling)
Corridors
SHEETROCK
COMMENTS:
SHEETROCK APPROVED:
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 weatherlight
Wood siding to earth separation (6") Building address posted
Randon monitor when required
FINAL
COMMENTS:
r-U...l A I .A r-\r"l.n~\ Ir-r""'\..
PERMIT CENTER
Department of Community Development ::. 286 4th Street ::. Bremerton ::- W A::' 98337
(360) 478-5275 ::. Fax (360) 478-5278
RESIDENTIAL BUILDING PERMIT CHECKLIST
Applicant
Building Pel111it #:
Date:
All plans to be fully dimensioned or drawn to scale.
~leted Application
~opeofWork
vf2J ~.icinity Map
~Plan
~~Plan Review Questionnaire
~/"EJ ~oundation Plan
~loor Plan
~i<raming Plan
D Wall Bracing
~ ations
- Energy Code InfOl1llation
\ D StreetlUtility Pennits Required
D ~ed Parking Indicated (2-off street) .
\...A:~r ~ontractor's License # and Expiration Date (Unless Owner/Builder~
~ ~oute to Health Department (If there is a septic tank & drainfield.)
D SEP A Required?
DYes
o No Why
D Special Conditions/Pemlits?
C0111mentsD~baW &l'i ~Y\~tiL(sfv j-(~
~:;-h~ "-tf{2/L~1V ~,p
!MA(f
Li fLd lhU (:s t-
37 3 7Y6
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has ~
ok ~
He
O-~f
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D-ef+ ·
B REM E R TON
B U I L DIN G
D E PAR T MEN T
D E MOL I T ION
PER M I T
A P P LIe A T ION
---------------------------------------------------------------------
---------------------------------------------------------------------
Application Date
Issue Date
Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Archit.ect's Name
[ ] Building
[ ] Mechanical
[ ] Plumbing
08/12/1993
08/12/1993
Application Numb~r 93AP06813
Permit Number 14802
Project Group
1359 CARR BJ.ND
LINDQUIST
1359 CARR BLVD
BREMER TON
(206) 373-7782
First HJALMAR
MI
State WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ ]
[ ]
[ ]
Sign
Burning
Land Clear
[ ] Paving
[ ] Underground
[X] Demolition'
Work will be completed by owner.
Demolition permit to remove 408 square feet from existi
residence.
-------------------------------------------e-~----:------------
U
~\O
..
Nature of Work:
Sewer Cap Permit Number
Issue Date
SEPA Review
Demolition Footage
Council Di.strict
Census Track
status Code
408
----------------------------7----------------------------------------
/ ~
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f '
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'9
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:R U I ). n I N G
* This fA Not A Permit ~
D F: i.:> A .R T .l'1 f': Nfl'
Auq l..,. 1 <..j q'~
PFl' t"mi t. Ff"etJ Am')}lrd- P,';\.1, d p l on (;he~k f;<'efO>B Amount P.,:i,'
!,
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$
l.;'.':'>4
other. F'eei'J
\...... ?oni ng !<'e{'-:~;
$
.- - ...~ -, ". - ,- ~- ..... ,-, -. .- -. - .- -- .... - ....... -... ..- ....
. ... _. -~.. ..... -. ..... ... ., ., -. _._. ,_. ...... .... ... _oM" . . ....
)/.::>4
-,Rec'ei \led {1'rom;
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... .- "1' - ~- '..... P-" .". '_ ..... __ _ __.. ,...,..._........ ... ....... _ ",
....-.-,.- ....---......-....-......,..,. .....-.,.......,..~
$ ,00
6;'<44S. O~100
<?en P;lymenf'
01-: he r. Fe~:~s
F:nt;>rgy C.hllrge
!')~'atF'.' sir:
,; 4 's- ~) .~? ,'\ ',\
Tot.a 1 F<::!'(-;s
Amount Paid
l?d Ol~ PaYJil~nt $
$
s
.no
.Ofl
- - - .....~ - ... .., .- -
* ~....~ '" - ..
$
$
12.24
l:L /4
.00
R:1larw~ Due
- ....... -. - .". - ".- - .-
. ", .-.".. ""-
.00
BIUIMIIRTON BUILDING DEPARTMIINT
Inspeedon Report
Scope of won: DEMOLITION
Address: . CARR BLVD, 1359
Owner: LINDQUIST
Contrador: N .A.
Pennlt NDlDber: 14802
Phone: 377-7782
Phone:
COMMENTS:
FOUNDATION
liable)
FOOTINGS APPROVED:
WALlS APPROVED:
'}
COMMENTS:
FIIAIIING
line
10'
APPROVED:
BNERGYCODECOMP~CE
COMMENTS:
UNDER FLOOR/FOUNDATION INSUlATION APPROVED:
WAll. INSUlATION APPROVED:
CEILING INSUlATION APPROVED:
IIECIlANICAL
hearth.
ound-coated
COMMENTS:
GAS PIPING APPROVED: ___FURNACE APPROVED:
OTHERAPPUANCES APPROVED:________
.>
COMMENTS:
PLUMBING GROUNDWORKAPPROVED:_________PLUMBING ROUGH-IN APPROVED
SHEETROCK
COMMENTS:
SHEETROCK APPROVED:
PINAL
COMMENTS:
FINAL APPROVED:
BUILDING"ERMIT
e
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO.
SITE ADDRESS/LOCATION
1359 Carr Blvd.
CONTRACTOR
ADDRESS
Owner
Same as above
OWNER'S ADDRESS 1359 Carr Blvd. PHONE 373-7782 ffi
Z
STATE CONTRACTOR'S L1C. # :I:
PHONE 0
OWNER'S NAME Hj almar Lindquis t
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE /<;e~-/k -- cr~ ~ 'J BY
(SEE AND READ NOTICE ~N REVERSE SIDE)
Authorized Agent
~ RESIDENCE 0 BUSINESS 0 OTHER
o NEW ex REPAIR
o REMODEL 0 ADDITION
o DEMOLISH
o SIGNS
PLAN N I NG/ZON I NG
# STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
Rp-roof port:ion of hOll~P
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 0 Framing 0 Plumbing 0 Mechanical 0 Wallboard 0 FINAL 0
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
COMMENTS:
>-
I-
--
(,)
STATE SURCHARGE $ 1.50 (All)
ENERGY CHARGE $10.00/15.00
VALUATION
$ 1 890.00
BUILDING INSPECTION DIVISION -
PLAN CHECK FEE
$
RECEIPT NO.
PERMIT FEE
$ 45.00
BUILDING OFFICIAL~
Bremerton, WA 98310
Permit No. I
7548
COPIES TO: WHITE - BUilDING, YEllOW - ASSESSOR, PINK - OWNER
BUILDING
~RMIT
APPLI~TION
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT N02 / - 00 J.. - 0/9.- % d
SITE ADDRESS/LOCATION C.rJR R ~.t.<J /3/?i:/\1,t!--R/CvY. U/A
OWNER'S NAME/7..rALfi1AJ? L //V-09u/.l"?" OWNER'S ADDRESSI-3~'9 CAfi'/( .8.1...j/~
CONTRACTOR
ADDRESS
STATE CONTRACTOR'S lIC. #
PHON~ 5/3 -/ /o.l... ffi
Z
==
o
PHONE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY
Authorized Agent
~SIDENCE 0 BUSINESS 0 OTHER 0 NEW
PLANNING/ZONING
o REMODEL 0 ADDITION 0 DEMOLISH
D SIGNS
# STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR: /f p /?oo"c
-
A. /'?>/<Y'T/c?./v or~ r/ous[
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.
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: iLl ~CS;:> o~ ~C'Y'l-P .::::
, '\
>-
....
--
(.)
BUILDING OFFICIAL:
I VALUATION
$0 ~
PLAN CHECK FEE
$
RECEIPT NO. PERMIT ~ RECEIPT NO.
$ Y--/' -
Bremerton, WA 98310+ 5O.s'S,
I
DATE
BUILDING INSPECTION DIVISION - 817 PACIFIC,
, ':""':-""'-"!'-'--t:f:""~~~":'-;'; ""&',;'~"; r;l\""7:.:!I"~~:-:-rr<~"'"" '~}.'i.:'t f)i ~~
.
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F ee $.........................m..........um.......u................... ReCel pt No. '.,.. .....m.....um........u..........u.........u....
J ~-' T~
.
Nt]
41317
BUILDING PERM IT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
Owner's Value I Bldg. Dept. Value I DESCRIPTION:
$;< O(J') 0 Lot Block Additions
Address ion Job .l~.~r.__~.~".__mm..__...__.h..m______.__.__m__m. Date __.1.:__b.m":..2__q______.m
Building ____..__.mm. x ____m.m.h__ and h____.______m stories m.__.__.__h__.__m__ basement. Lot .__m__m__.h X .m____h__.m
Front Yard ____.'__.____mhmm Rear Yard m__.mm__mmh__ Side Yard ____.__m__uh____.m Garage .m__m.mu.u__.__.m.u
Occupancy.. ........ .....-... ." -_.. _../.1. -_._ -...._ ... '" ... ....._..._ __..__. ..__._........ __. .00. .___...... .... Zone, .n..__. .__. ........ .___ .__. .00..__..__...
h~rT~~
Owner: __ --000---- 00.00 __m'__ m .....0000. __ __. __ m.~. .mm.mm __m m.. l\ddress 00 00__ ____00. 000000____.00 __.00__ u.m.u__ Phone __. _u____u__m
Contractor mmuuu.uuu.umu.m.m.mmm.__..m__m__u__u__. Address hm__m__u___m__mu__...hu__.mu Phone .um.mmu__
~~~5~.:~'~~m-.~m~~-m~u.u__umu__u.u.m.uh__.mu__um.____.m.m.m.mhu____
c7!;t ~ ~~ ~ ~~ ~ ~ ~ ~ ~~ ~~; ~;. ~ ~:i.d ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~
. v # .
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
''''',: , - '
..,INS_P.ECTION,-Re:inforcin9steel~,ust be inspected afterplF'cing and beforecoveril'!g.FOR~S'shaH be'inspected
andapp~~ve~cbefC)r~pourjn9.AII plumbing, wiring and the,hameo,f all.'buildings mustb,~;in.spected'and approved
befor~~c~v:ering.W:oodpreservativeto be used on all wood .ag,airist ma~onry. Ventilate fo~nd~'tion.and"attic. Sepa-
rate permitsrequ'i~e'd-f~r'ph'mbing, wiring and heating. Seeb'ty EI'!.g!\ne'er'f~efore working on~~,treetsor sidewalks.
,1
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."
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. .
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DEC UiRAT I Oil OF SEPiiRATE BUILDIilG LOT
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The undersigned, being the record ovmer of real property in ~itsap
County, Washington, described as follows:
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LEGAL DESCRIPTIOn: (Total Original Site)
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.( E'~ l' HJALMAR LINDQUIST
1359 CARR BLVD
BREMERToN WA. 98310
BRENTWooD PARK 19
'2' S 75' OF N ISO'
'3' S 51.22' 19
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