HomeMy WebLinkAboutCARR BLVD., 1539
I
\
BREMERTON PERMIT CENTER
286 4th Streetv Bremertonv UA 98337
Phone: (360) 478-5275 FAX:; (360) 478-5278
BUILDING PERMIT
Job A~jr: 1539 CARR BLVD
Location: 1539 CARR BLVD
Parcal No: 37J9002~011-0207
Permit No~ 96-0048
Status: ISSUED
Applied: 01/17/1996
Issued: 01/29/1996
Expires: 07/27/t996
Applicant: MENTOf~ LOUIS 692-~t 90:3
S070'-ELOORADO 8L,VD F~REMEFrrClN WA 98~n?
Owner: MENTOR LOUIS
Contractor: MENTOR LOUIS 692-1904 lic I: lOUISOM0558D Exp: 1/4/96
5070 E:I...I)(H:~ADO BL,VD liREMERTON WA cr8:31 i~
Subcontr:
Osec: NEW SINGLE FAMILY RESIDENCE W/ATTA~~Fn GARAGE
*****M***************************************************************************************
ValuAtion * Permit Fees: 858.25 Total Calculated Fee: 1 ~3Z1,78
98,568,00 * Plan Check Fees: 454.03 Additional Fees: .00
* Other Fees: 59.50 Total Permit Fee: 10371.78
**'**~HB,O("~~HBO~**~'~'*** ~HH~*~'**')H~***'~*'~****'~******)('****'l****~.**,~*,l(.1(..~******,~******~.**~(,~* .~*.)(,*.~*****.**
MECHANICAL/PCUMBING FIXTURES-- MECH-Range"""....,..,..".: 1 MECH'-Exhaust Fans,.,.........: 4
MECH-Range Hood (res)"....,,: 1 MECH-Clothes Dryer,."..,.,.,: 1 PLBG-Water Closet..."....,.,: 3
PLBG-Bathtub,..".."""..,,: 2 PLBG-Lavatory,."""""",,: 3 PLBG-Shower,.",.",....".,.: 1
PLBG-Kitchen Sink,.."..,,;,,: 1 PLBG-Oishwasher.",."..,.".: 1 PLBG-Clothes Washer,..""..,: 1
~ PLBG-Water Hea~er"~"D'D'~O': 1 PLBG-Hose Bibbs.,Q""".,.,,: 3
.'.
p
*******************************************************...**NN****.N*M.*******...****.*******
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 cO~lPliecrwith-whe~her specified herein
~~yn~:h~'~;!~~c~i 'a~.~:~ ~~~~gn~~n~;~~~~~o~Oo;!~~e'~~~~~;~~n~~ ~}O~~~:t~~c~l~~~l the provisions of
Signat" .---~~-~l.;.L___ - _ ____________________ Date:_____(_::_~_~_::_~_~________
I c@ytiry t~h~t ! am eX@MPtfrom the r~quirements of th~ stat~ contractoy'm r~g1~tYat1Dn law, under
Sect ion 3, Chap er 126, laws of 1967, ~
Signature:______~~~~_:~-~-4~_-_____--_---___- Date:____~::_~_~__==:?__~________
*************************** ,
P~~'('mj t Cemtf.l'('~'''''Approve)d By:: '''.....+'''''''"'''''''....," Date): . "..,.I......(....."..:1..U../-,ijto
. )
\ '
. ,,," '. " ~.~.
. .. "'!i::" '
..
BREMERTON PERMIT CENTER
286 4th Streetu Bremertonu WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
;'
Job (.H::ldn(H,:m I: 1 !;:) :::19 CARI:~ BL, VI)
Location: 1539 CARR BLVD
Assr Acct No: 3719002-011-0207
8uilding Permit No: 96-0048
Status: ISSUED
Issued: 01/29/199(
Expires: 07/27/1991
F<E(;~U I F~ED
INS P E C T ION S
Item: 01100 FOUNDATION-FOOTINGS
Item: 01200 FOUNDATION-WALLS
Item: 01400 MECHANICAL
Item: 01500 PLUMBING GROUNDWORK
Item: 01600 PLUMBING ROUGH-IN
Item: 01700 FRAMING
Item: 01800 INSULATION
Item: 01900 SHEETROCK NAILING
Item: 02700 FINAL
Capt: BLDG
Dept: BLDG
Oeptl BLDG
Oept= BLOG
Daptl BLOG
Oeptl BLOG
Dapt: BLOG
Oept: BLOG
Deptl BLOG
Div:l.s:i.on ::
D :1, v :i. *7.~ ion ::
D:l.vis:i.on ::
t') , I I
, :l.v:,e:,on::
U :1, v t s:1. on =
I") , I '
" :I. v:, f.\~:I. on:
I,,' , I
..l:l.V:t.!::~:,on ::
D :1. v :1, ~~ :1, on ::
"')' ,f ,
I.. :l.VJ,f.':l,j,on::
.~
**~*******************************************************************************
TESTING: Must be reco(.=lnized by the Washin~lton Association of BIJildinCI Officials
.. .. . 'It
SPECINSP: Must be registered with the State of WA
EH,.08:: C:1. t y of 8r'(':;)m~~~Y't on Bu :1.1 d :i. n~;;l De'lpi:'H.t m~:;mt 4n~""'~:;27!;S
PLANNING: City of Bremerton Planning Department 478-5275
PUBWORKS= City of Bremerton Utilities Department 478-5318
FIRE~ City of Bremerton Fire Marshal~s Office 478-5880
ENG~ City of Bremerton Engineering Department 478-5270
HEALTH~ Bremerton/Kltsap Health Department 478-5235
ST OF WA= State of WA Dept. of Labor & Industries 478-4921
.x. .~. .)~. .x..)(o.~ .)* ,x, ,If .)(. .f(. .x' 'F(' .x..j(: ')(L')(. .x. ,t{..x. .)(. * .)(. .F(. *.K .j(: ,x .x.){ 1(..x 1(. ,x.x .x .x..x * .~ .x '* .)(. .)(..x 1(.j(: .x.)(. .)1;.)(. ,x ,)(..~ .x. .)I;.x .x. .)(. .)(. ,x * 'j(: ,x, ,F(. 'X' .)(. * ;x..)(. .F(..~ ,)( ,F(..)(o 'j(..x 1(. 'x. .)~
P(,:ey'm:l.t Holdf~;r' ~s \" ~. , .'
c'II"ln"it'llY'(I.','. VV I")"""E,.I" - '> (}-'7
-..) .. ::: (. .. ",' . .,... ...., ','" ..'.. ..... ,,'.. ..... .".. ,'... ..... " . ".. ."" ..., "... ..... ..... .... ........ . .. .w . ... ...., "... . '" ,.." . .., ..... ..'" "," ... ,.... ..... ,..., ..... ..... ..." .'" ..... " t.. t. .., " ".... ,/...,.... ...... '.. .... "''' ,.' "... ..... ..." "". ..... '.". ..". ..... "... ..,.. ,.... .....
\
n
::::: ::::; ::::: ::::: ::::; ::~: ::::: ::::: ::::: ::::: ::::: ::::: ::::: ::::: ::::: :::;: :::: ::::: ::::: ::::. ;;::: ~::: ;;,:: :::;: ::::: ::::: ::::: ::::: ::;:: :;:;; ::::: ;:;:; :;::: ::::: ::::: ::::: ::::: ::::: ::::: ::::;,,:: :::: ::::: ::::: ;:::; ::::: ::::: ::::: ::::: :~::: ::::: ::::: ::::: :::~ ::::: ::::: ::::: :::~ :;:;: ::::: ::::: :::;: :::: ::::: ::::: ::::: ::::: :::: ::::: ::::: ::::: ::::: :::;: :::: ::::: ::;;; :::::
BF<E:ME::r~rClN PI::::I:~t1 I ''I'' CE::NTE:f~
I') 1:::'1,:> M 'I' "I" I'"~ ("1 N'.I!') ]' "I" '1' (") "J <.:"
r ...."\, ., ..t u' 4" ".. I" ...,)
Permit No~ 96-0048
Pi:~ge ~
1
.m'~I"'"'''''''''''~'''"'''''''''''''''''''~''''''''''~'''''''~,~..,.,w.._..~_.~IM..,....,~"..,..."..,~,.."~"~,,,,,,,,,.......~m..'~"'_,_..~_".."...d._.~~__..w~....",........'_~.,."_~.".w._,~~~"q.""N'.~""'N~~'~'u_~'Nd'_""',~,'d,,~.,~
.M".....M'N_.U~N'N'd"~"NN.~..'N"N"'."'..,..."',..'..n'.N_._,.'.'._.n.'.._._....~.uN.M'.'..U.,~"u'~d'UN.~,..'u"'N..".~.~,.'I.""'N..'mN.yU._',...,u,.._u,.W~N.n._..'N'_'n_'._.".'~"~Nu.~._.u~n_.~'."'.N.,'~~n.u"M.'.'....m'.UM..'N'~_"_,...~
Job Address: 1589 CARR BLVD
Assr Acct No: 8719002-011-0207
a Locationl 1589 CARR BLVD
Applied~ 01/17/1996
Approved: 01/29/1996
Issued: 01/29/1996
APP 1 :1. Cii'lnt:: MI::::N'TClI:~ L.OU ]~S'.
Owner: MENTOR LOUIS
Contractor~ MENTOR LOUIS
Description:
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
Cond:1. t :1. ems ::
1. A. THE ACCESS ROAD MUST BE COMPLETED PRIOR TO FINAL
I NSpt::::C::-r I ON .
B. A RIGHT-OF-WAY PERMIT IS REQUIRED FOR THE DRIVEWAY
ACCI::::SS ROAD"
C. A GRAVEL MAT ENTRANCE SHALL BE PROVIDED DURING CON-
STRUCTION. ANY MUD OR DEBRIS TRACKED ONTO THE ROAD
SHALL BE REMOVED BY THE OWNER. SEE THE ATTACHED
EROSION CONTROL PLAN.
~ 2. BUILDING HEIGHT LIMITED TO 80 FEET.
,. J) l' ~
1::~(';'lY'm:l,t 1"'loldf~~Y' UFl l ' -,. /'- 3. u -7 ~
Slgnature . Date
.""......".."".....,'".""".."'''~..."'"."..,,'''''~.,,,,......,,,..""",,,.....,,,,,,,,,,...,,,,,,................,,...,,.,,,,..,,,.,,,.....,,,,,,,,,,""...""." "",."....'".......,.. "'..',,,,,..,
'4-
'.f
CITY OF BREMERTON - BUILDING DEPARTMENT
478-5275 - 286 FOURTH STREET, BREMERTON, WA 98337
I)-;S ~ ~4f' l~'{.l
INSPECTION REPORT
PERMIT NO.
t( 6tJrJ~
C \
~
q~/b
BREMERTON PERMIT CENTER
286 4th street. a,eme,ton, bJA 98337
Phone; (360) 47[-l-52.75 FAX: (360) 478-5278
BUILDING PERMIT
J cb f~ddr; J ::; :~9 Clilm Fll. 'JD
I...oca t ion; 1. :;::1'1 CI~r~H fl! .t.,in
Parcel No: 3719002-011-0207
App] i.cant ~ MF:NTUj~ L.UUIS C:;~~~9~
;lO?O fJ .r)m~MlC) Eli 1,.J1J Hf~EMr:'RroN WA 98::l12 .
Permit No: 96-0048
Statu[,: PENDING
Applied: '01/17/1996
Issued:
Expires:
Dwne'(: MI:.:NTDi~ L.DU T.:3
Cont-{Elct;)r: r1f:}iTGP LOt.JI~; 6r1;:'~1904 Lie:lt: LOUn;OM05~:i8D Exp: 1/4/%
5070 !;:u:)OI~riI)O :~1l..Vi) i3RFM[!HON WA (i8:~ 12
:~iubcDr~t r ~.
I
Der",.~7 NEW ;::TNGi F F',-':\~m Yr~FSIDEN(T W/ATTACHFD (;ARAGF
***MK**X********M**X*************************************************************************
~)aJuatiDi)
~*
Pf~r;nj t: Fees:
8~)H " :?!.l
Total Calculated Fee:
1 ,~:;'71 ,,?B
'?8,:':;(,!3.00 .)f PIan ctv';ck r!7!(~f~: 4::i4.0:~ . Additional Fee:::;: .00
* Other Feesi 59.50 Total Permit Fee: 1.371.7&
*~**"********~*****x*xXX****K*************************************************XM*****~*~x****
MECHr~N! C{;L/PLUM8 HJG F i XTURfS-H. MECH-Range , . . . . . . , . . . . . . . . . . . : MECH-Ex haust Fan:3.,:.....,...: 4
MECH~Rar.ge ,Hood (res)...."..: MECH-Clothe13 Dryer...........: PL8G-Water Closet............: 3
PL8G-8at htub.. .. .. .. . .. .. .. .. : 2 PLBG-Lavatory.. .. . .. .........: . 3 PLBG-Shower.... .. . ; .. .. . .. . ..: 1
OL.SG-Kir. chen 5 ink. .. . . .. . .. .. :PL8G-Dish\~a8hm' , . ,; . .. .. .. . .. :' 1 PL8G-':l at hes Washer..........:
PL8G-Water Heater............: PLBG-Hose Bibbs..............: 3
M**MM****M**********************************MM***********M********~*******************r******
This permit shall become null and void if the building or work authorized by thie 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 tG see
tc it that required inspections are made. The permit holder must notify the Building Official when ready for
\ns;:;~ctior::3_. F:lilun; of thc~ permit holder to. notify the Building Official of required inspections may result
in the stoppage of the \~ork 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 i'Jhall
be borne directly bi the permit holder. Failure to substantiate code requirements will indemnify th.; city ... ,"
against any andall.responsib.ility or Jiabilityconnected wit_~~"'tl~r,9.on~truc~J9~~.'i~~r.Y\\;;';'tt .. i::,,!~~~~:i
; .:.. ',".Jr:, i): ~hat I have read and examined this perini t ,~~:~~ knoi.J ~~::; ::~;'::~ ~.') h~ ':-rur; And ':::0,....:'':'' _ i,~ 1
prov1s10Mhof laW8iana ordinanc~2 governing this type of work willtbetcomplt'ed with whetherhspecified hereln
or not; T.e grant . of a perml!. ooes not presume to glve autnor! y 0 VIO ate or cancel t e prov1810ns or
:}flY "jthgf ~fiJt~ i)f :~JEi1! !tiW f~@' Ifttlfl€l Ggfjf5tfU~JJ~fl @f t5h@ ~@ff@fffl.lfjg@ 5f ggf1~trYgH(lfl: .
Date:~___==___=___===____=__==_=====
1<
Sl~rjaturB~ .
~. ~; ~=~===~=~=~~_~__a=___~__=_g__
; ~&ftl~fj(jt 1 g~ $.x~jrn~;t tffiffi ~h~ r~WJF~Ii\@hH3 Ql' ~f12 gteh~ I:H~ff€ff18hlf IS' fe~isHiH i@R iar4\ ~fjfJ~~f
Sect1~n 3! Chagtor 126, laws of 19&7.
. S j, <:;rtti t ;jr~; ~~,____................. _,_""'~......._-....,.;........ _____ ...__....____________,_.....__._~_____
Date:
~~~*~~~~~~~~!~\~~*y~~~*x~y.~*~
!')F.:f~::l .~. ~:_:(';nt ::=.;1 ," (~r~prCitjr.;~d H~.." ~
natFl~_..
/
83, 2 C]
pi(. t> ? 1;;. n-\ '-} I.:-..! )J\~___..__.._.__--
-r-------------- --- ..
3D (
-~~I-<
-L
A
..J
...(J
....
'"
~
.......
,
{J)
pJ
--- 13' '-'---
>-~ /0'
.N""
'f K '& PO.S"O D R E$ I ~ EN c. E.
..c;:
--~- \
~~I
I
i
)
,/'
/
"
.., ,..; -
.-.'- ~- <-..-/ J' -
[
....
t
"'1
i :
\ \
\.)
L6+-C
/
l
/
~iI'''
.J ().
~
t:l-.
"'I
)0.
so
ff ~
~~
~ @ ~/ ~().
~~ ~
~b;J ~
~ ~ '" ~
~~ V ~~
~ # ~VU
~~
BLA-C Kt0P DR\Uli
r
It- S ;) E .>5 0 ~ I S A- Ceo u.. t\.ri- IV D : 3 '7 I Cl- () 02- - 0 II - () L U )
,"'I""
~.,
.-" -p-''--'''-'''.
. ,.~..
/
;
I
!
\
\
\
"-
_._.~_.
..........
c::::,
2 D'
S-HAR1?-D
R'oADWI\'( t-D
CA R R [SLUf).
)
\
I
i
\ I
\ ~ f
ICJ I
\~ I
\ . .
\ I
\ I
\ i
\ !
I i
\;
\ I
I ,I
, .
I
I
I
i
!
BREMERTON PERMIT CENTER
286 4th Streetv Bremertonv ~A 98337
Phone~ (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Applicant: MENTOR lOUIS 692-1903
~l0'70 FLJ)C)f<ADCl ElL VD l:ml::::MF:JrrON l~A 9H:::l 1 t.:~
Permit No: 96-0048
Status: PENDING
Applied: 01/1'7/1996
Issued:
LXPlres:
Job Addr: 1539 CARR BLVD
location: 1539 CARR BLVD
Parcel No: 3'719002-011-0207
Owner: MENTOR LOUIS
Cont r act or:: MEN"i"CH< LOU I 5 692""'190z.
~C)'7'(') 1=1 11(.)I~A,r)(') ~ll VI") l:ll~I=MI=I~.I"("lN WA. CCl~l? l
.J . ...."..".. '\ .... ~ "" " ",...,. _.'\ " 7(,,\,,) ..:", -
I' I
..1 c:: :11:::
LOUISOM0558D Exp: 1/4/96
Subcontr:
[lese:: NEW SINGI..E F'AMII.,Y F~ESIDENCF W/A"I"TACHED (:jAI~AGE
*******************~******************************************)*******************************
V~luation * Permit Fees: 858.25 Total Calculated Fee: 1~371.78
98~568.00 * Plan Check Fees: 454.03 Additional Fees: .00
* Other Fees: ,59.50 Total Perm~t Fee: 1~371.78
*********************************************************************************************
MECHANICAL/PLUMBING FIXTURES-- MECH-Range...................: 1 MECH-Exhaust Fans............: 4
MECH-Range Hood (res)........: 1 MECH-Clothes Dryer...........~ 1 PLBG-Watar Closet............: 3
PLBG-Bathtub.................: 2 PLBG-Lavatory................:. 3 PLBG-Shower..................: 1
PL8G~(itchen Sink............: 1 PLBG-Dishwasher..............: 1 PLBG-Clothes Washer..........: 1
PLB~-Water Heater............: 1 PLBG...m.Hol.7se BibbE' ......"......: 3
/~ ' ~
.~.........~~.................................................***..**..******.......***.*.
This permit shall becom~ 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 far a period of 180 days.
NOTICE - It is the responsibility of the permit holder, not the City of 8remerton or Building Official to see
to it that required inspections are made. The permit holder must notify the Building Officia.! 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, tsstingi 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
provi!3ion~L of lawF.l,and cf)rdinanc(~s governing this type of work ~~ill be com!;llied with whet het't" \ specifier.! herein
or not, 1(18 grantl~.~ 0 a permlt Elcles not presume to glve autMnty to ViOlate or cancel (IS proV1Slons or
......., ,-,. .,'."~, ..~~,_, '1 ~_".....,.' ~...." ",.. ':t" .... ~........ .... ".,..~, ',r' .."~ - -v- M", . .r:E.v. ......,"., e,'. .,..,.,..,.,.-v' ,....'.1.......
gny gth~r etl5i Bf <ogal la~ r@~YIBtln~ p~nRtT~btlBn Br tn@ ~@rluTmaH9@ gf ~gnstrUbt19fl,
~ i ~mfl t ur C~ 1(7=====~,=::-:=:======~====.~,=>=======,== (lilt e ~ ===============================
-r "11'. "h--t- I -. ,.'" t ,c - 'r.L, .. l"~ ,-'" , -. "fr '.... ~t.... ~ '"---.i:'f~E.tr~!''' v-r';8t..,..~;r"1 'I-Ll ",.,A10.,.
e;~fb I Y b flb gli) g)ip,ffltl. ffiJ,m ,:ns f~~IH rsffimrito q hi;;' ;:>,;<>tti t":'r1t ::l' .r-i.'" 'Q r\':l"'l "Y::ltll~r '''''IM\ Hh"~',"'r
_ . 'I' .. ~. '~'"'. ..'. v ,,>.:,_ . ..-.H.... ....,.'.. ."........... ", '.' '-'Vn.l'~ .....I:).J ..~..... .....1 .....' .....';1,;.'.1111 ~",l..... J.nl'~ ......11,_...,
;::<"."t'iP'f " C"'h' .t."'\I' l'~1. 1"1' f 1"1.7
,,;)ui~, ,) I ,;1,. ". ap" 9 I ,'~~I. ,aW~1 a '1~I.
S i gni:l t ur € : ""_______,________"___._______________________________
***************************
Pf::rm:l.t Cente::'(''''''''"ApProv~::d l3y::,u. ".,"._, ,.."". "".. rli:rtf~:::
Di:!te:
BREMERTON P~RMTT CCNT~R
286 4th Street, 8remerton, WA 98337
/':";'7one: (:.?!.~()) 4,?8-~Cj.2.?5 r::i-';)(:: (.:?r.~()) 4.78-5.2.~7[1
8UI~_OING PERMIT
Job Addr: 1539 CARR Rl.UD
i...Dcat!. on ~ 1 ::iJ'ji C(1!~f~ HL.\)[)
DRrmit No: 96-0048
:::;t [:'i':: u~,:: PE:f~D J NG
!'):':1 r Cf:~ I Nc).~ :J'7.1 i)CO:?.. 0.1. .! "'hO :~',iG /
A,~pl~jed. OJ/17J1.1()~!
r ~3E';I.lC:,~d ~
App 1. 'i. ca nt:: MFN'T'~J!'~
j()'?O r.:'!
i) 9;'.....1 'Ie:)
I:::: x ~::i 'i. r ('~~ ~::; ~
: ~5l \) f)
;/Ji~ 9f~~J j :'?
[)wner: MI:::Nrcm I .UU r :;;
Cont ract or:~ r1r:::N"I'Ul:~ j UU J ::)
6 c; :~',_~",,, J. 904
.:;::'; '~l':' 1 UU:l:3UMO;j:::iHU Fxp;: ,1./Ji./96
~':~07() r:::i_"U[Jr~~DU ~':~: ,;vIC Ul'<r::Mr:::!,<"i'[:JN l,jl~ 9f3:':;.l:?
::;u:Jcont'(' :
n f~~ ~:~ c ~ N;-:-' lA,; ~:';:r N C; i r::' r::' (~M }!. Y r< F' ~::; J Dr:' i'J C ~:':. l~ / /\ 'r ,'~.. {0 c: .j 1>: D c'~ ,~~ r< (\ C: r"
X*X**KXXX*X*X~*X**XXXX**X***X*******XXX*X*X**XXX*XXXX***XXXXX**XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
I) a J II ::'i'1,': 'i. (;1'1 -x' ::)f:';";- in :; T ].. f';~:':'~ s :: " ? :::; 'I' .'" l. : 1 } I:'~ t1. .1 C;\ 1 J at: ' , r::,lr:.'.\ ~: ~_ ~,:J '7:1 .. '.?~J
9F~}S(~F~,.OO )( p'~,;..,.T'~ C ;< 4S~1".O::) tt'i.una'! r::'F'~C:':~~~:: ,nc
* (::]'t~leY' r:E~e8:' ~i9~~jO ';"(::)'ta] ~)f~rm t F'ce:' 1 ~37J, ,,/8
**xxxxxxxxxxxxxxxxxxxxx**xxx***XXXXKxxxxxxxxxxxxxxxx*x**XXXX*X*XXXXXXXXXXXXXXXXXXXXXXXXXXXXX*
r"iECHANICAL/PLUM8:r:~G FIX:UF~ES'~-'" MECH.~'R8.nq(~ ~ . ~ " ~" . ~" . "" 4 d ~ 4..,; ;4EC;+"Exhaust FCins ~ ~ . . ~ . . " . " . ~ ~ ~t
t'I!~CH,"r.ftij n9(~!
( (.:~'~~:~ ) . "" ~', ~ ;! ~
,",t-.
l"ii,
:':'1"
CF~t.~;t A ~ " ~ .~ ~ " ~ , ~ ~ ;; "
'~j
PL8G-8athtub. .............. ...: ~
PL.8C;..~..avatm"y . . . . . . . , . ' , . , . . , : ...~
Pl8G-Dishwas~ler~,.",".".".,:
P~"[H~'~'ShQwe'( " . . " ~ . . . . . . :, " . . ., .. . ~
PL8G-Kitch~n Sirlk........~...:
PL8G'-Clcthes Washer..........:
9L8G-Wate~ Heater.... ...."~ d.:
Pt.,8E".'Ho~\e Bibbs. _'"'' ~..,' ~. . ., .: -':)
fX~X**X*XX*XXXX~*********XXf*XX*X******K****~X**X****X**XKXXX*KX***~***XX*X***XXX****X*~XXXXX
T~lis permit s~lali tl8comc nu~l J~d V(lid if t buildirlg or' work JLlt
:80 clays fr:Jm t c~~te of such permit, or if this bllilding or
abarltoned at Jny time after 't~le work :8 comme~ced fer a per ISO c!aYs~
~; ril f;
t .~, S~ ilDt
~.: ,; .~, :..\.: ~'\
1'1,1. ,.;, 11
jy such permit is Sllspended or
i-,~nT T C[~ ',~ ~n .~. t;: 4,: he.; r 8~~PO;!S :;, ::;.i ,~ ;,'~ Y iJ r t hfi~ pcr m:~ t t':(i 1 d~lr nor
}(;ns~ Failu'((':!;
t PF~rt1~t;: hcJd(:~'( to nni:,ify the 8l1tJ.dJne;!
8~~m~rt(Jn or 8~~11(jirg
~~Cla.i. to ~3t-;e
to it t~'nt yeQLlir2d i~SP2(:t~OnG ~Y'(~ macle.
t ~1~~: ali i, '1. d i, nq
;, C l a ;..J~'\nn
. ~') t h~;:: st cppaqc:
".
,
\;ji)rk unt::tI
requ:refl inspectii)nn mQ~ r~:sljl~
t 1. mr~~ 'r: tlat t tIe
t hulder can
apt'l.ate t:n hn ht;i l.Cit~i~;:; ()~'f'!,!~;>~t~ j
tnat 1:~18 t:onl:caled wl:lrk m88t~; (:Ir GX~:ecds C:Od2 ~f:qtlir~:mcnts.
.~ f.: j. (~n i' ;.:;~:;'t: ~. ;"1!:; ~ :--)'( :" l niJf;[.: 1 ~'1
;. '.
be borne directly by the permit ~lolder.
:equirem2nts ~i'l indern~tfy ~~e City
:.i~;a j, n~;t
, 1, II
~ny nnc all responS1D
1: t/ (;'( ; '!
... ,~ >'" cc;nn;~:ct ;;:d
. "'h -;...
;:.:c)n~:;t '!' ~.jC t
. \ 'i , ~
.--'i
,.~,
~~(~~'ft 1
j-;
; qm
\" .:i "'.: .~
:! i', l"; ;~."'f
~: 1 ;j~i[1;,'.~;'::~ ___....__""_'._~......._ Drrta~
~ K)()i;){YX .)I.\(. XX)-(x xx.C{.)(.)\..)(.~'x'x~;xx-x~~ - ~ - ~.. n_._. ~u . - - c. - - - - -"..- -- ., - -'--75 (O-v'~-~- -Tr~ S'CC!: (' <;
ii":,;,,,!, r..\' U7; . '. i)'ll:(:;:h.c- CJ... t (D-v...Jo--6~ SF~I ~
~ 1/200 -!-o ;S)v--e w/c.-4Kfr'jf..
~
/ A.)
qlv
CITY OF BREMERTON BUILDING DEPARTMENT
?ERMIT APPLICATION
filE
DATE: January 22
I 1996
TO BE COMPI.ETED BY February 1.
, 1996
LOUIS MENTOR
Ot-mER
SAME
CONTRACTOR
1539 CARR BLVD
LOCATION OF JOB
NEW SFR
FOR
ENGINEERING COMMENTS/REVIEWED BY
APPROVED
DENIED
Ale
f) 77fE AzGs,~ ~Av lJ?u~T ~6 C?Yn~lE!FD ~are.. /b F(~
fA1S~(jJ .
t) II tUCH( -{)F-UJAry . /e>e.n;IT I~ /2c7:Jul!tEb Fl:J~ ~ O;Ul/~
ALLH!5 .eow.
"h} A- ':. &&kt./fL ~T ~Gr=, ~~G (SE Vt26v(~ UtiAMb
. G~ r]YWcrz aLl. AN"f' m u tJ CJJ1. tJ 6iSrU S' {Y1.A-Gt~ 6A.f(b 7l/b
~,AvJ S.l.4kLL6t; v2BvtITIJ~ By. f!F L)(.L)U~. S~
TrTEA-~c tTh:1O Rt65/~ I ~ P~.
(~ J/a, 0Vl -5 f'OA1 t-;;1j j
1/1/
" ') 0/. <) 1- t? U1
I
! "'cl5-9&
,
if( 'J
U!:tII:::;}.:t:.::::tt':':I:=~€lI:E:II':::iI:::!.IiI!!i:i:!I;:i;i:r:I(gj:;'::ii:::::::::!rIIii':.!.;!:;.i;:r.i;:::}!:!::::;;;:EPJiIIMBING':!:!::;i:!::!W:'::;.:i:':'f/t?=:=::':;;:i:"
APPUC<\.i'iT: ~ OWNER 0 CONTRACTOR 0 OTHER;
SITE AD DRESS: / s- .3> CJ C It- ()... 1l
OWNER: LtJc...<..-l '( /VI E.Alf-d (L
\J.e-J I),
~@~OWIiIID
JAN t 7 1996
BREMERTOr
BUILDING DEPARTMENT
ADDR.ESS:S1> ,) D 12: L \:) ~M p C\ [3.r....UD ()
ADDRESS: t> 12 G:..tA-t..~tL n I'\J ) ifF1 J L
,
COMMENTS:
CONTRACTOR:
CONTRACTOR LICENSE if L 0 uT.s D 14 () 5 Sl)d/EXP IRATI ON DATE: / - 1- - 9h
OWNER PHONE if 6q 2 - If () 3 CONTRACTOR PHONE ;;
::!,&Og:~~::f::f:t:::Jf::::ItJ]YBE:0E?EQ.@I.I?MENIiMII:tf:::;::i:::if:::::liJ:fEEE}t~~\JNQr::i::::I::::::::::::=;I::@l:::::WiTIYP:E:%}EkFIXTJJRE::i'=fftiIl:f@i:::WI=EEEf:
/ I RANGE .. 3 WATER CLOSET
I WOOD/PEllET STOVE 2 BATHTUB
I GAS FURl"lACE bru's: 3 LAVATORY
I CONVERSION BURNER bru's: I SHOWER
UNIT HEATER bru's: i IGTCFffi.'1 SINK
BOILER bru's: I I DISHWA5H.E.~
GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS bru's: / CLOTHES WASHER I
AC UNIT btu's: I WATER HEATER
HEAT PUMP lrt-..1 s: t071.S: URINAL
REHE.-\. T BOX btus: DRlNIGNG FOUNTAIN I
AIR HA.,,"J"DLING UNiT bm s: FLOOR SINK OR DRAIN
4- EXHAUST FAL"-,TS SLOP SINK
I RANGE HOOD (residential) WATER PIFIING & AlTERATION
RAi"fGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
I CLOTHES DRYER :3 HOSE BIBBS I
INCINERATOR LAWN SPRlNKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
TANKS typl!:: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
MECHANICAL PEfu\1IT FEE $15.00 PLUMBING PERMIT feE 05.00 or 4.50)
MECHANICAL FEES:
PLUMBING FEES:
. CITY FEES: $5.00
TOTAL FEES:
APPLICANT'S SIGNATURE:
DATE:
!
IF::'<< R f~ li'1l g;:,;;;;!Fa' "11' elf IN ~~';ll if:~~ ~q M 11' '''i' If"';;: If~- ~Jl" iJ'- F' ft-.il'
;:~f:J6 ,1 t h ~~t ~'f;>e t:? UY'erneY''';; (:'iF). l~lr) W~;:t:~:l
I"~"." (".J"') A-U" ~.""l'.n.' I"""v~ 1,0"") "P') /,,"."'1
"I' tOrlf:~" ..,y~/. "I' ~ .;.,~-.t.<'., "" T1V\" (,'.i~'fJ ,fj"r1." ....l....~ f:.
f-HfU rHN(~ PFHi'HT
Oloh I'\d(ln j :.i:t:i CflHH HI vn
UK () t i. \)fl ~ 1 !:i:l9 C('IHH iiI. vn
PH Y Cf;] No: 8/ 1900:('. 011" (J:l()j
p~:~ rrd t: No ~ 96 O(l4H
':,t: i1 t Uf) ~ PI-}40 r NO
Arpji~dl 01/11/1996
! r.';f.:!I.J.C1d ~
rX!')j r~.H'; j
tmp I 'I Ci'm\~: MFN ft'll~ U.J\H S r'/;::"'- t l:l(j',j
~lO'IO II nUWlDO III uf) Hf~H'1HU ON !,..J{\ 9Wl.l?
nl,\m\~Y': MI"NrOI< L\IUt:)
Corll' r ,'i01. or: ~1rNI 01< I r IUl S ~i~/:.l, 1 fyO""
:;;() /0 r;:t.nOl.Nif')U 1-31..\)1) 1~F1-:MFH tUN t,J{, 9!t,j l. ?
I .i.;; Ur. I OUH;m'10:,~\lm fxp~ 1/l\/9f.,
f,;llhcnnt r :
nu,;.('~ f NHJ ~}J NUl I' I-'lq~1} I Y l~l' Ei mrNCI. lJ/hr"l M;f,lf I) GAP(~I'il
*~**XN**~W~M*****#M*i*KMl*M~*MMMMMMM*k*K~.*M*.**MKM*M**~**~***K****K***~~~**W**M~M**M**Y~**M*
\ht'lwri'ion .1(0 t'f1flTIlt f'em,n fl~lH..i~1 'I('did Cii]cli.!at.f:d rt:'in~ l,:{,I.'/fl
9B , "i6B "00 'l1' PI iHl C hec k F (:ll~!;n A.S4 . en {'dd'it; i. (In;:d t- fK~!~ : "00
14I 0'1; her f t:es f ~>9 . !,(j 10'1 H.l I :'er ml t t f~e ~ 1 ,:;f,l:l , /n
M~X~~*X**~~*KK*M*XKM*MHKM****KM~**M*H*M~~~*MM*~~~ft*h*MK~*M***~***M**N~*_MKKM***M~YKM~~~U*~~~~
l'lECHANlli1L1PU)l1BlNG FIXitlRf;S'"* MECI1-R,tli!;lC... . ..".... ..... H: 1 f1ECH-hxt'k1Ut,t Fans.........".: 4
~1F.CH"f?l!n~l(> H~1(lij (r!';w)".... n : MECH~C 1 'It h!;:~l Dr y~y .. . .. .. n .. ; 1 PLtll:H'Ji~t or C 1@I:lt .. .. , .. .. " . 1 :J
PLBG-,Bt1thtuh...".,..........;:z PLOO..Lavatory.,.,.,...........: 3 P1.8G~ShcM(:r H' H..".......,,;
PLBG-l<itchei1l Sin/(............: PLBG,.Oishl.ji.18hef...,,....,......: 1 PLBG-Clothem WaHner........,,:
PL6G'Watc~'( HCa.t~~r,........",..: PLBG-Ho:::;e Bibb~:,.."...".,.,: 3
.~~~X<<~MN<<~k*~M#M~RMX~N~X*M****M***.*MkM!M~**MM*ri*M~***xM**~~*M*X~*~**~*WM*~MI*NI~X~.W~~~_**K
Thhl p(~(mit dltell become null arid vi~d.d 11' thtj buildin!;! or NOiK authorized by this permit i9 not commi;1nc:od within
l.SO day!;; from t ht: data of l:,m::n permit I or if thlH buildf nO Oi" ~'lork aut. hod H,:d by !;luch perml t IH suspended or
abandoned IJt any time aftf.;f thE: warl, it) cDmmencf:d for a pfn lad of IS0 dl'1Yt;,
NOirCt " It In tho i'(c'tsPofwibi J.11'~' tif the pt'1'('mii: holdor. not thE: CHyul I:h'fJfI1fWtOfi (I'( eulldinn OHicial 1:0 "f)f;
t.n it theft n1fjuired inap.f1ction~'l are mr.de, The permit holdeI' fIIU~{t notih' the Building mfidtll \1hf~fl r13i)d; j'()f
!nq.l(}ctlOllli, Failu(f) lit' the permit tttJld~l' to notify the Bulldjn~J OHkii:lJ. of required lnnpt;ctio!'ls mat H"lSIJjt
hI the stOPPf:.iOt~ of t,ht~ ~inl'k lint n $uc:h Hille that the Pi':t1lllt h(,)ldl:;lY' eM (,ubi.ii';r:mt ii.lte to 1:hl.J buifdtt'lq offtctal
HIilt, thi:: (;oTiceirlE,d I.~mk illf'?Ct.8 or !.:\ceeds cooe Yflquin~m()ntl; < fIn;; dfJllltlJ Hiol't. k,"tJl1\h or flnEH'1\,:il:ll burd~.m ,~hi'lll f
be bom; dhF.:rXty tw the f18rwH holder'. Failure to substantiate code reqUimllifmt:ti will indemnity th(l eit)'
rl9ain~lt an;.' .,:md HII h,mpomdbil it)' or liabil ity l~onnected ~jith the mlMtruc;tioil,
I hemb}' eel'tHy thtlt l have rcad zmd (~xilmirmd this permit I:l!iO know tilt; i3i:lme t(> b~ t.o.H.1 and r:onect, t'lll
prnv1idonlil~ i.lf IElwM,flnd nrdinarlC?tfi 90Il. nrnlnq thh; t:ypf1 ot I>Jork 14i n bl) cnmt)qr,rl ldth Whf.)ther ~,fieciflod hen!i,n
Of not. Tile (Jrant m:: (:It a porrol dfJf'.m not preflPm(~ W V Vf] autflOflT:r tel 'J\D~afe or i;:anci51 tlie: P'f't:1Vl,8lCm:-J or
ilfli IJlihti'l' 6toto or I ull !ij~! i'f!filuloHI'l@ r,S!!FL~fUt'tlnl'l fj( 'thfi f,1efrmmilt1t:til ~lr I?tlll~)tHleHfiiL
.11"%11 Ul r" ~------ rl~~tn: ._,.c.-,._.._...~.-......,_........._.... '_'._. _...... ~". _._. ._~.._....,.. __" ,....'..
~,,/~. ...~i '" ''''.""'''c,..'''''''',."'".c,''''''''',,.'''~:::'''~~,_'",.~",,.._~''''':'''''''''''' to<.. _ ~..."_ ._ __.-___ _.._....__..__._ ...
1 Gun ih' Htiif I om ,oMJimJt j'fOffi th!;'l 'l'l"tluirtt>fll~l.l'lti'~ fJf th\9 @tf.lt~ ~;tmfh}tih~f.tl f@1i!stf~U~lh ifl\h ~mB~f
~~i;;(!tllJ" ~j Chtlpt("ql' 12(;)1 tI~I\)lJ of l'ibr,
,; i ql'liiltuft:\Z ,~,,,,,"'."< ".,,~_ ,"~',. ~ ..,_... ~ ~_~=_...~~..'_ ___ ._~ ..,. '_."'~~'~ .,=~." ~...... Dat (~: ___ ._"~..H'_,''''. ...__ ~_____.".._........._..
~**~~*#K*K**HK.*K~H~M~.*~~*
PO'fl1lH. CI':n'l.clY' 'i~N,\'()vf:ld Hr~, ,.". Dir\.tH
~~f~~~~~~~~1f*#X~~~*~~*~~~****~~*~*~*~~**~~~~~~!~f**~1~~}~~*;~~~{*X*~**~
I': I! Y 1)1' Ut~l f'lFH! ON Hcrl' I'P i
:~ ~'~ jf -K'~~'~.~'~ ~(,~~ >I-i( ~.~ ')'~-h ':(~~~ )i,Ko'~ )(,~~~,f. *.~ ~,.~ ,x.x ,>t*,~,*}f.~ ;;(;'H){~. .~{ ~~. '~'~">1.+t'J~,.>t,';('~.l~-.X' X~f~f'ft')\'.ri ~~.~..~~
i~l!'.i- fj.> j Nu.mhr::Y': W,OOOO<;';) :')ffiill,lnt '; lV,; ,/:.. 01'/::\t)/'Hl 1 (,";, I
P;:j)'I1K:rd net hod ~ n< Nntfl\ :1 on:' ~lH'n ul;: {lJ 4'){. 1 Iii t ~ :11
tJfnmH Nn: Ih', 0040 !ff.l(l:: III DG
Pa fcn j !\In:; J II. 900~'O 1 I O:':(}/
:;i 1 p ^dd'[~'n";~ hJ9 f;()I,'1~ HI tIll
l,ne;,l, i nil" j :,):'1'/ C~'I!'(P lil,LIP
HII)!i H 1{~Wl 1.~/r'!1I,I1/I)
lhl "? I \a.~'m~~\n!'
Bt',/... .;1;:;
I ut ,.d t H,:'~ "
in I' iJ! t;l ,I \inl 1':, ~
I <M ,I i1nc:p ~
1 !.::U'l . -'H
1 'j:~/l ~/n
,on
~:~~~~~*~'~~~*x~~~~*~.~~*xx~~**;.~~~~rW*HY~X~~~~~~~~~~~~~X~*~~~X~*K~~*
t,l"'t',qnt t:t",rlc
l, '> ",l~"? . Hli) 1 (',j,' 11 )
1,:, '3:-'.;.', J OO~:! (?~' J :,\ )
Ii',... '("~, l,OO;i (j::~l :~l)
;;, '1':1' ?:f/ , 1 :,1 ( (J',\::k. )
H lJ)',,', 1 noli' (?:\ I Ii 'J
P"'(Cf j rd: :i (ITt
nUll,DJNLi li:~li:l'11 r ll'l::;
~n C11(\NIC{',! PII\NrI ! l'l ;,
PI I II' 1 l-i U'ICi PlioilH I l'I':I,-::
::; I f\ r f. 01 1,\1(\ ~;lll:CH!IH(j1
Jl!l~~H! ;,UflU 1.",I~I~1
i)m(,~ Ii It
/:?G I ~"\O
1 '"J -H-
I,) / .. t .,1
W?,I.'iO
,1 r{)
;"ou
~,.
\
~'
I
ROUTING SHEET
...
Project # 9f)-004R
Date Received: 1/17/96
Application Review date: 1/18/96
Pre-submittal meeting date:
Date accepted as complete:
...... ....Ilat((........ .l)::it~ ....... J)ll(c;re"ib\' ..AJln'd"'I.. ... Not............
. ...-..... - ..._-.-......... ... . ----------.-.......... ..
N/A .....diStrihutcd.. . ...... rcsplll1sc.... ......r~sponse... COlllments ApPl"o\-'cd .....
....... ......._--.- .-..-.
... . (o!"rcVic,';' cX(lc~tCtJ ...... ... r&citcdT ..
.--. .. ::.:""z'
Building tl ~)cV1 / s ~
b /
"-'
Lalit! lid" . ... ...... ...... .. I......... ./ . ..
I.... .. .................. .. I.... \/... ..... . . .. . ... '. ....
... .... .... I.. ..
.... .... .. ... ... .. ... . .
I ':nginccring / /'
r ,,: "". ............U,.....JJr. ~~ =
.. .....
'. . ... .. ...
Firc
JIPnlth .~".... --------------- .. ..
2 ......~
Trame
j ~Ii vi rOlllheiii ...... ....
(SEPAl ill
Long Range
Planning
SCllO()IS......... ......JJ ..... ............
... I...... ...... .. I..... ...... ...
.....
....::... I..... .....
Neighborhood I
Date permit application is approved or denied:
Date applicant is advised of approval by phone:
by mail:
Date applicant received permit:
OTHER PERlJ;JITS
~
REQ'D? ..' .... ...<Jjaic'" ..... ~l\t~tcYi~'V.I>H. ...UDatC..... .
Y/N ~~stribu tedJor .. ... ...... response. ...... oved pc I"m it is .
......revicW...... . .. >CXllcctCd=====P issued
. .....
..
Building
Utilities
. .20 m
Building
Fire
I
Building
Fire
I ....
.. ... .....
Fire
Utilities
. ...... ill.......J. .............
Fire ~
...... ~
Building
Land Use
Engineering
Water
Fire
CITY OF BREMERTON
ADMINISTRATIVE POLICY
Disclosing Records and Documents
The City of Bremerton is required by the Washington State Public Disclosure Act RCW 42.17 to allow
the general public to inspect and/or copy certain documents during normal business hours Monday
through Friday. A fee for providing copies may be charged.
In general, most of the information processed and retained by the City, such as ordinances,
resolutions, contracts, studies, reports, policies and procedures, and correspondence fall in the category of
"public" information and thus must be disclosed' under the law. Certain information is exempt from
disclosure (RCW 42.17.310), including but not limited to: .
1. Personal information in files maintained for employees, appointees; volunteers, or elected
officials and such other personal information which would constitute an invasion of privacy,
including, but not limited to, residential addresses and telephone numbers, employment
applications, and employment tests. ' . ,
2. Preliminary drafts, notes, recommendations and departmental memoranda in which opinions
are expressed or policies formulated or recommended in connection with any Department
action, except when publicly cited.
3. Contents of any real estate appraisals made for or by the Department relative to the
acquisition or sale of property by the Department are exempt until three years after the date
of the appraisal or until sale is abandoned or property sold..
4. Valuable designs, drawings, research data, etc., obtained within five years of the request for
disclosure, when disclosing would provide private gain and public loss.
5. Records relevant to a controversy to which the Department is a party but which records
would not be available to another party under the rules of pretrial discovery for causes
pending in the superior courts.
6. Lists of individuals (e.g:,' customer lists) requested for commercial purposes.
7. Proprietary design information provided by equipment suppliers or consultants.
a. Financial or commercial information supplied by businesses or individuals in application for
economic development loans or program services.
9. The residential addresses and phone numbers of utility customers.
10. Taxpayer assessment and/or collection information except as necessary for civil or criminal
judicial or administrative proceedings.
Questions about the State Public Disclosure Law shall be referred to the Legal Department for final
determination. The Public Disclosure Law requires that requests for access to records be responded
to within five days.
Photocopies aWl x 14" or less
11" X 17"
$0.25 first page
$0.10 each additional page
$0.40 first page
$0.20 each additional page
$4.00 each page
$1.00/page
~
Over 17" to 24"
Microfilm Reader/Printer prints
Blueprints - aerial photos,
drawings, maps
Copies of audio cassette tapes
Copies of computer disks
Copies of video tapes
Bound copies of documents
Certification of documents
$3.00/page
$5.00/tape
$5.00/disk
At cost per tape
At cost per book
$1.00/page
CITY OF BREMERTON
239 Fourth Street
Bremerton, WA 98337
REQUEST FOR PUBLIC RECORDS
DATE: 01 J-~/l ~
NAME <?F R. EQUESTOR: 'Skf' _ ~
ADDRESS: _I s ::, ~ ~ _ (1JJ--L B(lfiVv\, (UV)
PHONE: ~ '11 ~ i ~ [)
Please list rec9rds requested. I clude ~s much detail as possible, specific dates, and names.
I
I?3JC
I CERTIFY THAT THE INFORMATION OBTAINED THROUGH THIS REQUEST WILL NOT BE USED FOR
COMMERCIAL PURPOSES. I UNDERSTAND THE CHARGES AS LISTED ON THE REVERSE SIDE OF
:~~~:~URR: OF REQUESTOR: ~~_A v-nO~
Date provided: Mail Pick up
Charge:
For Department Use Only
Disposition: Granted [ Denied [ by:
Date
Legal office: Granted [ ] Denied [
(If requested by Department Head)
by:
~
Date
Comments:
Rev 9/95
BRIIMBRTON BUILDING DBPARTMBNT
Inspecdon Report
Scope of won: New single family res.
Address: Carr Blvd., 1539
Owner: Mentor . Louis
Contractor: Owner
garage
wi att Pennlt Number: 96-0048
Pllone: nQ?-lQOl
Pllone:
FOUNDATION
COMMENTS:
~GSAPPROVED: ~
/ "
3/J1,/%
WALlSAPPROVED:~~_
COMMENTS:
line
aired
10'
APPROVED:
ENERGYCODECOMP~CE
Insulation: r
COMMENTS:
UNDER FLOOR/FOUNDATION INSUlATION ~ROVED~
WAILINSUlATIONAPPROVED:_~ % 5/1 GINSULATIONAPPROVED:
I
MECHANICAL
I1eartb.
ouncl-wated
COMMENTS:
GAS PIPING APPROVED:__________FURNACEAPPROVED:
OTHER APPLIANCES APPROVED: .
aired
COMMENTS:
PLUMBING GROUNDWORKAPPROVED'~' PLUMBING ROUGH-IN APPROVED~
f
'fIzt/v.
8BBBTROCJ[
aired)
COMMENTS:
SHEETROCK APPROVED:
I
6?i
E
aired
COMMENTS:
FINAL APPROVED:
fJL!~
'l11/??