HomeMy WebLinkAbout1987-09-28 632 CHARLESTON AVE N - Permits
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BUILDIN PERMIT " · NO 8352
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City of Bremerton, Washington 98310 'Phone: (206) 478-5281
Assessor's Tax Account No.: 3715-000~002-0008 Date of Application: 9/11/87
Site Address: 632 Charleston Ave. P~one No.:
Owner's Name: Paul Pazooki Address: 3057 Rocky Pt. Rd. , Bremerton 98310
Applicant: DOwner D Architect Ii] Contractor D Tenant
Architect Firm: Representative:
.
Address: Phone:
Contractor: . Kitsao-Trident Homes. Inc. Representative: Jim Ingalls
Address: P.O. Box 848, Pou1sbo, WA 98370 Phone: 692-2772
Contractor's License No.: KITSAI*2250A Exp. Date: 9/31/88
GJ Residence D Business D Other: [i] New D Repair D RemodellAddn
D Demolish GJ Duplex D Multi~Family (No. units . ) D Sign' D Parking Lot
D Grading (cu. yds ) D Bldg. Move
Nature of Work Proposed: New duo lex. .
Main - 1200
2md - 1200
Gar. - 420 2200
Sq. Ft.:
Utilities: GJ Water GJ Waste [i] Sewer D Septic [i] New D Existing D Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $ 281. 13 $ 432.50 $3.50
State Urlo' / ~
$53,880 Receipt No.: 77471 Receipt No7719;;:< Energy $10/$15 GJ
, 9/28/87
Date: q/ll/R7 Date:
Zone Designation: Rl Occupancy Classification (UBC): R3 No. Stories:
. .
Minimum Req. Setbacks: Front: 20' Side: 5' Rear: 26' Height: Heat Source:
Comments/Conditions of Approval:
Fire: Approved, see changes on blueprints.
Bldg. Approved, refer to Plan Review print-out
Eng. Must retain storm water on own property.
Water. Will need permit and hookup fees for sewer, service connection wor water, street
deposit for work in right-of-way.
Planning: 4 parking spaces shown on site plan, to be paved; 5,900 sq. ft. of lot area
per calculations Bum&Kt~ed. . . ~~.. 6_=<:\>-..-- \>~k::c.\-' C;~h7
. MecJanical D f f
INSPECTIONS REQUIRED: Foundation Q . Framing Q Plumbing GJ Wallboard ~ FINAL ~
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All provisions of laws and.;'rdinances governing,this type of \W:ork 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 regulati~g construction or the performance of construction. SEE AND READ NOTICE ON REVERSE.
~ ()~ \~ . . Date 9/28/87
\.. Signature (,-,~:~H,__\. ~ ~ ~~. . . . .' . ~
Copies to: White-owne0ell~:;file; Pink-~s~\sor: Goldenrod-Building
Stat. Code I ;,
INSPECTION REttbRD CARD e
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS ?3:l ~ ~
P
BLd?
PERMIT NUMBER
3</~L/
'1 :J5oZ
OWNER ~~ ~HONE
CONTRACTOR . .. ~ HONE
&f'';;-~77~
1 FOUNDATION
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY: ':;;;2:- o-k-
COMMENTS:
F~s~
- ~)"L7 ~
/6-1-87
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ~PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
ot
t/ ~ 11-5-~
FRA~N~PECTION APPROVED
BY: D. ,v. II .
S~ 111~/B7
1ft-
11"11"11
5€:
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ '_
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
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rd~_ 51-
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M MECHANICAL CORR O.K. CORR O.K.
1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE --
2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE --
3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION --
4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING -- FURNACE APPROVED BY:
9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY:
10. DUCT SUPPORT --
11. DUCT JOINTS -- GAS PIPING APPROVED BY:
12. GAS PIPING TEST -- WOOD STOVE APPROVED BY:
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT -- OTHER:
15. OTHER --
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS --
8. VENTING --
9. CLEANOUTS --
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
UNDERGROUND APPROVED BY:
ROUGH-IN APPROVED By:f/~ j/-f-cJ7
3
WALLBOARD
COMMENTS:
CORR O. K.
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE __
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY: ~ Z- . cJ1e-/4 y A 7
4
FINAL
1. HANDRAILS
2. GUARDRAILS
A-HEIGHT
B-INTERMEDIATE
3. EXHAUST FANS
A-KITCHEN VENTING
B-BATHROOMS
C-LAUNDRYROOMS
D-DRYER
4. TILE AT TUB OR SHOWER
5. DISHWASHER
PROPERLY INSTALLED
6. FIRE DOORS
A-SELF-CLOSING
B-SWEEP OR THRESHOLD
7. ATTIC ACCESS
8. HOT WATER TANK
CORR O.K.
CORR O.K.
9. OUTSIDE GARAGE
10. CLOTHES CHUTE
11. SEWER/HEALTH DEPT.
12. COMMERCIAL BUILDING
A-MECHANICAL APPROVED
B-PLUMBING APPROVED
13. SMOKE DETECTORS
14. FIREPLACE HEARTH
15. SAFETY GLAZING/
DOUBLE GLAZED
16. INSULATION CERTIFICATE
17. FREE-STANDING
FIREPLACE APPROVED
18. WINDOWS & DOORS CAULKED
WEATHER-STRIPPED
FINAL INSPECTION APPROVED
BY:
NOTES:
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PLANNING:
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CITY OF BREMERTON - BUILDING DEPARTMENT
418-5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
f53r7 -
I have this day inspected this structure and these premises and have found the following violations
of City, County and/or State laws governing same:
[{ j)~~ s::; 'Jt:/~1:- e~ez- ~c. t kdY;"-=4
.VI __~ 4.1~~ ~_ _I- /Pf_S::-~c.. ~ ct:" k~ <r
W44Jf - ['(2.." f4'~+ Yl)L-f:- i s aJ~.f..c-'
(!),o'(" g ~ ~~h-o,,::5f I> e- d. 'fed i.. 6e.f.. Ie (~ I J ~ 6;....
You are hereby notified that no more work shall be covered upon these pre
tions are corrected. When corrections have been made, call for re-inspect"
Do Not Remove This Tag DATE I" 1-- '1
.
II
- NOTICE -'-
This permit shall become nuH and void, if the building or work authorized by this permit
,is not commenced within 180 days froll1lhe date of such permit, or if this building or work
authol:ized by such permit is SUspcflded or abandoned at any tinic after the work is com-
menced fix a period of 180 days.
I hereby certify that I have read and examined this application and know the same w be
true and correct. AIl provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit docs 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.
I certify that I am exempt from the requirements of the state contractor's registration law,
under Sec. 3, Chap. 126, laws of 1967.
- INSPECTIONS
L Foundation, before placement of concrete.
2. Frame, belore covering inside walls and after all plumbing, mechanical, etc., are in-
stalled and approved,
3. Wallboard or lath before f1nishing.
4. l;inal, after completion and before occupancy
NOTlCE- It is the responsibility oftlle holder. not the City of Bremerton or Building
Official to see to it that the required inspections are made. The permit holder must nmify
the Building O!licial when ready for the inspections. Failure of the permit holder to notify
the Building O!licial that construction has commenced to a point that inspection is ap-
propriate. will relieve the City of Bremerton of any and all responsibility tor the manner
in which construction is performed.
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I. PERMIT ""'~".:
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
632 Charleston Ave.
SITE ADDRESS
3715-000-002-0008
ASSESSOR'S ACCT. #
OWNER
Paul Pazooki, 3057 Rocky Pt. Rd., Bremerton, WA 98310
MAIL ADDRESS ZIP
Star Plumbing, 9172 St. Hwy 104, Kingston, WA 98346 STARP**19101
PHONE
9/21/88
CONTRACTOR
MAIL ADDRESS
D ADDITION D ALTERATION
D REPAIR
Class of work: GJ NEW
PHONE
LICENSE NO.
D MECHANICAL
GJ PLUMBING"
COMMENTS
No.
Type of Equipment
Fee
STOVES Gas_ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
\
Wood add on_ Other_ Electric_
BTU \
Type: Up flow_ Down flow~
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP _)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ Spli~
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS Exhaus~ Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhaust_
TANKS Oil_ Gas_ Propane w/OK
from Fire Dept._ Gallons
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
10.00
FINAL APPROVAL
RECEIPT NO.
No.
Type of Fixture or Item
Fee
"
4 WATER CLOSET (TOILET)
2 BATHTUB
4 LAVATORY (WASH BASIN)
SHOWER
2 KITCHEN SINK & DISPOSAL
2 DISHWASHER
LAUNDRY TRAY
2 CLOTHES WASHER
2 WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
2 WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
No permit when taken in conjunc-PERMIT $
tion with permit #8352. TOTALS
NOTICE
10.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUpION. \\ rf\
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SIGNATURE OF CONTRACTCiR, OR AUTHORIZED AGENT
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SIGNATURE OF OWNERi(1F OWNER BUILDER)
9/28/87
(DATE)
(DATE)
-7-7~f c; ~
N~
3464
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
PERMIT
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COMMAND? 70
PRINT MODE OPTION (O=BEA,I=AZ)? 0
FIRST,LAST,ACCUR? 1,1,10000
P,DIS,Q,D,M,S? 2,64.264,1,1,19,20
P , D IS, Q , D , M , S? 3,88.40_502,1, 8'~ , 5'~ ,20
P,DIS,Q,D,M,S? 4,4.36,2,34,0,40
P,DIS,Q,D,M,S? 5,62.46,3,1,19,20
P,DIS,Q,D,M,S? 1,91.00,4,88,51,59
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UNADJUSTED TRAVERSE:
CLOSURE:
LAT: -0.006891 DEP: -0.000218
DIS: 0 .0068'~5 BEA: S 1 48 I 55.48" W
ERROR: 1 IN 4.5046E+04
AREA: 5925.551 SQ FT 0.13603 ACRES
PRINT UNADJUSTED TRAVERSE: O=NO, I=YES? 1
PT
COORDINATES
BEARING DISTANCE
1 1000.000 N
N 1/19/20.0 E 64 . 26l~
2 1064.247 N
N 89/59/20.0 E 88.502
3 1064.264 N
S 34/ 0/40.0 E ,~ .360
4 10'::.0 .650 N
S 1/19/20.0 W 62.460
c- 9'~8 .207 N
.-'
N 88/51/59.0 l~ '31 .000
1 1000.000 N
ADJUSTMENT: O=NONE, I=COMP, 2=TRAN, 3=L-SQR? 0
COMMAND? OFF
OFF AT 15:03
PROCESSING...
MIN. . .
KCB . . .
7 UNITS
8 PRIME
4 PRIME
o OFF-HR
o OFF-HR
1000.000 E
1001 .483 E
1 ()813 . '~85 E
10'32 .424 E
1090.982 E
1000.000 E
o DEM
o DEM
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City of Bremerton Planning and Building
817 Pacific Avenue
Bremerton Washington 98310
Plan correction based on
the 1985 Uniform Building Code
'roject
\.ddress:
Id. New Duplex
Lot B N. Charleston
Date: September 16, 1987
Contractor: Kitsap-Trident Homes
Architect: Cutler
Engineer:
Plans Examiner: Scott Erickson
.lccupancy: R3
~ype of Const: V-N
~~
SHEET
IDENTIFICATION
CORRECTION REQUIRED
.-------------------------------------..--------------------------------------
.-----------------------------------------------------------------------------
1 B5
Attic vents Provide attic ventilation that complies with section
3205.(c)
2 B3
Egress/Bedrooms This area requires an exterior opening for
emergency escape or rescue with cle~r
area/dimensions specified. -- Sec. 1204.
3 B3
Smoke Detectors A smoke detector is required in the ~ccess area
to all rooms used for sleeping purposes. -- Sec.
1210. (a)
4 1:13
Draftstops/between units Provide details (construction and
location) of draftstops in the attic. -- Sec.
2S16.(f)4.B
5
Energy application required.
6
Provide ventilation in bathrooms and utility areas
w/o windows openable to the outside.
7
Provide approved handrails on all stairs.
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BUILDING
'ERMIT
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APPLICATION
City of Bremerton, Washington 98310
Assessor's Tax Account No.: 37/5- OCO - 002- ClXJ6
Site Address: L:::>,- 13 !\.J DIZT\-\ 0-\ A R !-G:sTD~
Owner's Name: ~UL- ~"'Z.-OOI~
Phone: (206) 478-5281
A\JC;,
Phone No.:
Address:
3057 ~Q::;I..( '?~~V)i kU.
Applicant:
DOwner
o Architect
iXJ Contractor
o Tenant
Architect Firm:
Representative:
Phone:
Address:
Contractor: \.c:::'rT3 A-p-IR..JD ~T W&VV1t.::::s. \Y"\C-.
Address: t?lS), Y30"}. ~4K , POULS\So W'<+Sl..i
Contractor's License No.: l< II'SA \ "*" 2 'Z5 OA
Representative:.J I YV\ I V'\64lls
Phone: feR7-;;;"77;;""
Exp. Date: '1'- 3 )- 8 '6
o Residence
o Demolish
o Grading (cu. yds
Nature of Work Proposed:
1:1P-.1 ~J ~ J:;J~
r?(j~ / ;;1(}f:)
r\c?, 'C. - 95
o Business
~ Duplex
D Other:
D Multi-Family (No. units
D Bldg. Move
N ElJJ C&Y1S"TROC-T7<S:lfl.). DLJptc.'f-
---~)~ ~?~
Q '_.>--::5:.J
,
D New
o Repair
o Sign
o RemodellAddn
o Parking Lot
...--:::
~~~5S'0
Sq. Ft.:
2. 2<!JO +
Utilities:
ttJ Water
o Waste
Sewer
o Septic
tJ] New
o Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
;t ~3:'b%C)
I
Plan Review Fee:
Permit Fee:
$ Cf3? ~
$ ~/~
Receipt No.77Q;; 7
Date: 9-;;. ~7
Receipt No.:
Date:
Surcharges:
~--o
State ~ Q'
Energy $10~ b2]
Zone Designation: R \ Occupancy Classification (UBC): R--:::::'
Setbacks: Front: ~ I Side: _<:: / Rear: ;:;:7<;;; I Height:
Comments/Conditions of APproval~ h:r~ 'y. 1'7. c:t 7
,
No. Stories: ~
~
Heat Source: t::~
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
informatio on this ap~icat'on furnished by me is true and correct and that the applicable
requirement of the i~ZI of ~emerton will be met. ~
Signature '" , Date. . 'I( J )q'6 7
\." '-J\
Copies to: While-own~'>Ye.!l~-file: Pink-Assessor: Goldenrod-Building Slat. Code
.
Phone: (206) 478-5281
'I' Site Address: LPr- 6 I\J 01ZT1-\ C\4 ARL-G::'S;TDN
Owner's Name: ;::AUL- 0:l-Z-00IQ Address: 3057 ~CK"i?&UVli
A\JC;-,
Phone No.:
kbl.
Applicant:
DOwner
D Architect
It.J Contractor
"'-
D Tenant
Architect Firm:
Representative:
Phone:
Address:
Contractor: \~,..r:s,q.p---rR,JD~T \-t1)V\I'l~ \"'C.
Address: ?lS), Bo"}. ~4K .. -POULS~o WA-Sl..l
Contractor's License No.: I< liSA \ "*" 2 -z.s oA
Representative:.JIYV\ 1 VloqlLs
Phone: (eft7";;J.. 77 d-
Exp. Date: c;'-31- 815
D Residence
D Demolish
D Grading (cu. yds
Nature of Work Proposed:
J:j (:::..l "J - ! J r-::YJ '
I'~n~ 1;:2~
eVe \:.- 95
D Business
~ Duplex
)
NEu)
D Other:
D Multi-Family (No. units
D Bldg. Move
~VJSTR()GTI(\)rJ ) DOplc.'f.
~~.~
D New
D Repair
D Sign
D Remodel/Addn
D Parking lot
3:;1~
D '- >..--5:.-J
I
...--::.
~~~'XC)
Sq. Ft.:
:2 2 <DO 4='
Utilities:
1tJ Water
D Waste
Sewer
D Septic
tzl New
D Existing
D Storm
Valuation of Materials/labor:
[UBC Sec. 304(b)]
;t S::'~'6C>
I
Plan Review Fee:
Permit Fee:
$ Cf~ ~
$ ~/~
Receipt No.771;;i 7
Date: 9-;;' ~7
Receipt No.:
Date:
Surcharges:
~--o
State ~ Q'
Energy $104.!D bZl
Zone Designation: R. \
Setbacks: Front:
<:) I
R~
I
Height:
No. Stories: ~
~
Heat Source: ~~
Comments/Conditions of Approval:
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returnee
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
info~atio on this a~t\icat~.n furnish~d by me is true and correct and that the applicable
requ~rement of the \c~~Z\ of ltemerton w~ll be met.
Signature . \" ~ ( I , Date~. -\(, )q<6T
Copies to: White-own~r>Yel~.file; Pink.Assessor: Goldenrod-Building Slat. Code
.----.)
BUILDING
'ERMIT
APPLlC\TION
~
'''~ ,..
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: .3 7/5 - oeo - 00 Z - t:XXJ6
Site Address: ~ 13 I\.J Dr<:n-\ Q.\ ARL-G::STDN A\JE: , Phone No.:
Owner's Name: t=AUL- 0l~OOlq Address: ~57 ~U:::."? '?i9vVll' +<U,
Applicant:
DOwner
o Architect
Q{J Contractor
o Tenant
Architect Firm:
Representative:
Address:
Phone:
Contractor: \~'-1"'3 A.p - /R.I D ~T ~-t.\) \lVH=~ \Vle..
Address: ?lS), Bo'}. ~4K : ?OULS\So WA-Sl...l.
Contractor's License No.: k IISA \ *" 2"'2.S'OA
Representative:~1 YV\ I "'6qth
Phone: feR? -;;J.. 77d-....
Exp. Date: Cj'- 31- 8 '6
o Residence
o Demolish
o Grading (cu. yds
Nature of Work Proposed:
):jf::.:t ~} - JJr::()
1'9n~ /;?()C)
~,~- 95
o Business
~ Duplex
o Other:
D Multi-Family (No. units
D Bldg. Move
N ELJJ ~Y1S"J'R{)c...1I6) I\J ) DOp \ c...f.
--~I~ ~?~
1.::2. ,_ >---5.:. J
I
o New
o Repair
o Sign
o Remodel/Addn
o Parking Lot
.-.:::::
~ ~~ '6~
Sq. Ft.:
-Z 2<DO 4=>
Utilities:
1tJ Water
D Waste
Sewer
o Septic
bZI New
o Existing
o Storm
Valuation of Materials/Labor:
lUBe Sec. 304(b)]
~ ~3:b%()
I
Plan Review Fee:
Permit Fee:
$ Cf~ ~
$ ~I 0-
Receipt No.77~;} 7
Date: 9.;;. ~7
Receipt No.:
Date:
Surcharges:
~.;()
State ~ ELf
Energy $10~ bZJ
Zone Designation: R \
Setbacks: Front:
Occupancy Classification (UBC): R -::::,
;;):) I Side: _ <:; / Rear: db I Height:
No. Stories: ~
~
Heat Source: t::~
Comments/Conditions of Approval: ~ ~II ~'.e 0.14 'cr..,7:
r'.J
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
informatio on this ap icat'on furnished by me is true and correct and that the applicable
requirement of the \ity of emerton will be met.
Signature
Date~
Copies to: While-own~r>YE)I.~'file; Pink.Asse sor: Goldenrod-Building
SIal. Code
e
e
CITY OF ~ BUIIDm-; DEPA!ID-.1ENT
PERMIT APPLICATION
DATE
9-15-
198 7
'I'D BE; CCMPLEI'ED BY
9-18- 198 7
Paul Pazooki
CJri!NER
Kitsap Trident Homes
CONTRACI'OR
3057 Re€-~-P'e+nt-Re-a'd--
I.J:X:::lI_TION OF JOB
new duplex
NO, ~/~ror-i ;ft/t=.
For
ENGINEER.IN; Ca1MENTS/ REV I EWE D BY 91::::r-
M.. \A..~ 'l \r~\. V\ S Th V' \IV\.. ~ CL + rc..>I
~ ~'-" ~ YO~TY .
~
"'
BUILDING 'ERMIT APPLlCtTION~
City of Bremerton, Washington 98310 Phone: (206) ~tS-$2B1I987
Assessor's Tax Account No.: 3715- OC:O - 002- (X)()6 MUNIC'P,~l UTILITIES
Site Address: Lor 13 l\.J0\Z:1l-\ C\..tARLkt:STVN A\IC', Phone No.:
Owner's Name: :rAUL- \~"Z-OOlq Address: 3c>S7 t<b~\..? '?~Wli +:1l.
Applicant:
DOwner
D Architect
Q{J Contractor
D Tenant
Architect Firm:
Representative:
Phone:
Address:
Contractor: \~ ITS ,Q.p - ,.-;z, D ~I "415) VV\ ~ \"'C.
Address: t:\S) \ 8,0--;' ~41< . "Po ULSlSo W 4S,1..t
Contractor's License No.: f< I-rSA \ * 2 "2.50 A
Representative:,J I YV\ 1 V\64l Ls.
Phone: fcf?7-~77~
Exp. Date: q- 3 1- 81:5'
D Residence
D Demolish
D Grading (cu. yds
Nature of Work Proposed:
Jj. p..) "J ~ .I :;J r:::~)
>~n~ I ;?()C)
~c \:.. - <75
/
D Business
J2SJ Duplex
D Other:
D Multi-Family (No. units
D Bldg. Move
NEt.0 C&Y1ST'R{)C:Tl6:JhJ ) DOp\c'f-
"'':' "?:c;)~ ~? . ~
I;:;), ,_ :>-.:C J
I
D New
D Repair
D Sign
D Remodel/Addn
D Parking Lot
..--:::...
-::. ~ "6?50
Sq. Ft.:
-:2 2 ([)Q t:F
Utilities:
ttJ Water
D Waste
Sewer
D Septic
QJ New
D Existing
D Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b))
;b S~~)S"()
/
Plan Review Fee:
Permit Fee:
$ CfS;;<~
$ ~I 0-
Receipt No.77Q;J 7
Date: 9-;;' ~7
Receipt No.:
Date:
Surcharges:
:::,-0
State ~ 5i
Energy $10~ bZ]
Zone Designation:
Occupancy Classification (UBC): R -:::::::,
--:r-.... I _ / ~ I
Setbacks: Front: ~) Side: _ <::; Rear: ....-:?"h Height:
Comments/Conditions of Approval: ---K \rd,l4.t2r ("^ ~ 9, Fl. 9. 7 :.
, I' . . / _L' /J
) "t:!..@d ~ 1M / 1=,$ 7'JLJeJJ T~'P,~ 771
SPY'V/~ '(? [J/JJAM~Li/lJk . 7J/J'h~~:::tf>tfA 4 f" W~Ter.
5tree. j)~., 1LJ~ /+r2J I ~uArK //4 'J;'A:F~~.-IA/~Y.
, {/. p
K\
No. Stories: :::;;t....
/'.
Heat Source: ~~
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
informatio on this ap icat'on furnished by me is true and correct and that the applicable
requirement of the i y of emerton will be met.
Signature Date~
Copies 10: While-OWn;;r;'Yel~.file: Pink.Assessor: Goldenrod-Building
'---.J
Stat. Code
~
BUILDING
'ERMIT
APPLlC!YION
r ..,
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: 3715- 000 - 002- DDOe
Site Address: L::rr- 13 ~ ~\O1.1 ~~RL....~TDN A\lC. Phone No.:
Owner's Name: '?AUl.- 0:l oz..OO Ie..:, Address: 3057 i<P 0::; ~ I?GW'li ~.
Applicant: DOwner o Architect I)tJ Contractor o Tenant
Architect Firm: Representative:
Address: Phone:
Contractor: \t('n:SAp--l R.,ID~ ~11)VV\~ ''Y"\c. . Representative: ~ II'V\ I Y'\641ls
Address: t?lS) \ eO';. ~4K J -Po ULS150 J LJ A-S,l-l Phone: fcR7-~77~
Contractor's License No.: k I,SA\ *" Z-z..50A Exp. Date: '1'-31- 8'6'
o Residence 0 Business o Other: o New o Repair o Remodel/Addn
o Demolish ~ Duplex o Multi-Family (No. units ) o Sign o Parking Lot
o Grading (cu. yds ) o Bldg. Move
Nature of Work Proposed: NEuj C&V1S'J'R.t )~T1(\) rU , DOf'\c.i-
-tJ P.) ~) .- /:;J,~ " ~)~ Gr--? . ~ ~ ~9;0
;;<()~ - / ;:2rJeJ Q, \:. '^- -:CJ
I
~\:: .- 0') Sq. Ft.: 2Z(!)O 4:-
/
Utilities: 1tJ Water o Waste 'IS!J Sewer o Septic ''5ZJ New o Existing o Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] 2'8/0- Cfs;;;< ~ ::'0
-? 53~%C> $ $ ~ ELl
State
Receipt No.~7q;}7 Receipt No.: Energy $10~ I;z]
I
Date: 9.;;' "67 Date:
Zone Designation: K\ Occupancy Classification (UBC): ~-::::, No. Stories: :;;....
;:2) I _/ Rear: db I ~
Setbacks: Front: Side: -~ Height: Heat Source: ~~
Comments/Conditions of Approval: /, ~ ~.ts D\~""S ~ ~ CS:\T- <-
rte-
\
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC) . I certify that the
infarmati~~this a~~.cat.an furnished by me is true and carrect and that the applicable
requirement f the [i y o!~~;merton will be met. Date~ I
\... Signature I,. I~ \ 10 '\:!/\XJW IN.
\ " -- "\'\.-- ~
Copies to: White-owner: ~~-file; Pink-As~sor: Goldenrod-Building Stat. Code ! I
!
RML.,. .... APPLI~ A TION .
-'---' .... c'rrY ~REMERTON'--BUILDING DEP;fMENT ..-.-.-----.'--r'---'"-,--.'O"
PHONE: 478-5281
SITE ADDRESS
ASSESSOR'S ACCT. #
OWNER MAIL ADDRESS
4J0~-~..oc~r H'bYn~ I?~. i50x !?tf~ ;3JI..SI0
CONTRACTOR . MAIL ADDRESS (
Class of work: NEW 0 ADDITION, 0 ALTERATION 0 REPAIR
ZIP
PHONE
Uf7-~0 -
PHONE
LICENSE NO.
D MECHANICAL
D PLUMBING
COMMENTS
No.
lYpe of Equipment
STOVES Gas_ Oil_.Wood_
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up f1ow_ Down f1ow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP _)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ Spli~
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS Exhaus~ Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhau~
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
Fee
No.
lYpe of Fixture or Item
Fee
<I WATER CLOSET (TOILET)
'Z. BATHTUB
~ LAVATORY (WASH BASIN)
SHOWER
2 KITCHEN SINK & DISPOSAL
Z- DISHWASHER
LAUNDRY TRAY
2- CLOTHES WASHER
2- WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
Z- WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $ .
TOTAL S
NOTICE
PERMIT $
TOTAL FEE $
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPliCATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK Will BE COM PLED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHOF;1IZED AGENT
(DATE)
FINAL APPROVAL
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
RECEIPT NO.
(White-ORIGINAL. Yellow-INSPECTOR, Pink-APPliCANT)
PERMIT