HomeMy WebLinkAboutCHARLESTON AVE. S., 320 •. a , , •� [�I, _��
" BUILDING PERMIT 320 S CHARLESTON AVE
'� I NS P E CT 1 O N FREE-STANDING GAS
FIREPLACE & GA IPING
CARD ,�
*�, b Y
Building � Plumbing � Mechanical �,, Alarm/Sprinkler �
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the sit
Permit # BB10 00102
Call the following AgenCy Telephone Numbers for inspections: - Propertylines shall be properlyidentified and marked before
Building Department Inspections Call: (360) 473-5870 foundation footing inspection. Setbacks are measured to the
finished wall structure.
WATER - Public Works - Water: (360) 473-5927 _ Reinspection fee maybe assessed if inspection has been
PW - PubliC Works - Engineering: (360) 473-5270 , requested when not readyor corrections are not completed.
HEALTH - Kitsap Co. Health District: (360) 337-5285 _ permit, approved plans, engineering, and inspection card shall
Fire - Fire Department: (360) 473-5394 be on site during construction or Reinspection Fee maybe
L8�1- Dept. of Labor and Industry: (360) 415�000 assessed.
Inspection A r ed Date Notes
Mechanical Rough-In '
Gas Piping Pressure Test � /Q�
FINAL BUILDING (360) 473-5870 �i
All of the above must be approved.
Occupancy approval for SFR only - Commercial ��
structures require a separate Certiftcate of Occupancy.
DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENTAPPROVAL
PROTECT THIS CARD FROM THE WEATHER
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I CityofBremerton ��� �
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Dept. of Communitv Develoument*345 — 6` Street, Suite 600*Bremerton*WA*98337-1873
- . - , - D �-�echanical� ❑ - P�um�ing - -- . �
- Ty,pe�of Euel., : D �lecti�c � . � �Gas � . . � � ❑'Oil�_ �- , . � . = �� Propane " - � . .
Occuparicy� . ��esidential �:�ommercial ' - � - ; � . : - _ ' - _ - . . - .
Site Address: ?� �� � , (,1nn r \ �5�r��v� ,� c �P .
CONTRACTOR: C � OWNER: , L �f�uti 5
Address: Address: 3ap 5, c,;r e.
Ci , State, Zi Ci , State, Zi : Q��- � �
License #: Phone # ( n 5
Contact Phone #: �(�v ' ' � Tax ID/Parcel #:
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
AIR HANDLING UNIT >10,000CFM ATMOSPHERIC VACUUM BRKR 1-5
AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACWM BRKR >5
BATH FAN AND/OR EXHAUST FAN BACKFLOW DEVICE <=2"
CLASS l HOOD & DUCT SYSTEM BACKFLOW DEVICE > 2"
CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER
CLOTHES DRYER W/ EXHAUST CLOTHES WASHER
COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN
COMM. FURNACF>100,000 BTUS DISHWASHER
COMPRESSORS DRAIN PIPENENT PIPE ALTERATION
COOK STOVE W/ EXHAUST DRINKING FOUNTAIN
DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN
ELECTRIC FURNACE/HEAT PUMP FLOOR SINK/INDIRECT WASTE
TIVE COOLER GREASE INTERCEPTOR
PLACE-GAS R GAS LOG INSERT HOSE BIBBS
FIREPLACE-WOOD, OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR
GAS WATER HEATER & VENT LAWN SPRINKLER W/ BACKFLOW DEV.
GAS PIPING ROOF DRAIN
MISCELLANEOUS MECHANICAL SHAMPOO SINK W/ BACKFLOW DEVICE
NATURAL GAS FURNACE/DUCTING SINK (LAV, KITCHEN, MOP OR BAR
PROPANE FURNACE/DUCTING SUMP PUMP
PROPANE TANK <2000 GALLONS TUB AND/OR SHOWER UNIT
UNIT HEATER WATER CLOSET AND/OR URINAL
OTHER: OTHER
OTHER: OTHER:
MECHANICAL FEES: 5 �
PLUMBING FEES:
TOTAL FEES: �
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Applicant's Signature Date
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CITY OF BREMERTON PERMIT NUMBER: B610 00102
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 02/23/2010
345 - 6th Street, Bremerton, WA 98337
` � (360)473-5275 Fax:(360)473-5278
ASSESSOR NUMBER: 3790-013-025-0002 ZONING: R10 SITE ADDRESS: 320 S CHARLESTON AVE
APPLICANT NAME: DAVIS WAYNE B& LES�IE A PHONE: (360) 373-0875 ADDRESS: PO BOX 4998, BREMERTON, WA 98312
OWNER NAME: DAVIS WAYNE B& LESLIE A PHONE: (360) 373-0875 ADDRESS: PO BOX 4998, BREMERTON, WA 98312
CONTRACTOR: CUSTOM HEARTH PHONE: (360) 373-1332 ADDRESS: 3301 WEST HWY 16, PORT ORCHARD, WA 98366
LENDER NAME: PHONE: ADD 55:
SUBMITTED: 02/23/2010 APPROVED:02/23/2 10 PIRATION: 08/22/2010 STATUS: ISSUED
VALUATION: Mechanical/Plumbing Pe it
Mechanical Fixture Fee $a5.5o 2215 FREE-STANDING G S IREPLACE & GAS PIPING
TOTAL FEES: $45.50 Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
Inspection Requests FIRE: Fire Inspections (360) 473-5394
DCD: Building Inspections (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285
L&I: Department of Labor and Industnes (360) 415-4000 PW&U: Public Works - Engineering (360) 473-5270
This permit shall become null and void if [he described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned
at any time aker the work is commenced for a period of 180 days. It �s the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required
inspections may result in stoppage of the work un[il such [ime that [he permit holder can susbstantiate to the City of Bremerton tha[ [he concealed work meets or exceeds code
requiremen[s. Any demolitlon, testing, or financial burden shall be borne direc[ly by the permit holder. Failure to substantiate code requirements will indemnify the City agains[ any and all
responsibility or liabilrty 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 granLng of a permit does not presume to give au[hority to violate or cancel provisions of
any State or local law regulaung construction or the pertormance of the construction. If listing [he owner as general conVactor, l certify that I am exempt from the requirements of the State
Con[ractor's RegisVation Law under Section 3, Chap[er 126, Laws of 1967. All revisions to an approved plan reqwre DCD review and approval prior to performing work. All building and tenan[
occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read, and agree to abi e by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWN O
AGENT: � �'b
PRINTED NAME: � � ` ., DATE: `
CONDITIONS �
City of Bremerton's approv I of this application pe ' s nly to the City's reg atory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with _ s.
10. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a ti� ,
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data. The building official
is also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the City of Bremerton.
10. (DCD-01) DCD: 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
conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-
Page 1 of 2
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CITY OF BREMERTON PERMIT NUMBER: BB10 00102
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 02/23/2010
345 - 6th Street, Bremerton, WA 98337
` � �• � (360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 3790-013-025-0002 ZONING: R10 SITE ADDRESS: 320 S CHARLESTON AVE
APPLICANT NAME: DAVIS WAYNE B 8 LESLIE A PHONE: (360) 373-0875 ADDRESS: PO BOX 4998, BREMERTON, WA 98372
OWNER NAME: DAVIS WAYNE B& LESLIE A PHONE: (360) 373-0875 ADDRESS: PO BOX 4998, BREMERTON, WA 98312
CONTRACTOR: CUSTOM HEARTH PHONE: (360) 373-1332 ADDRESS: 3301 WEST HWY 16, PORT ORCHARD, WA 98366
LENDER NAME: PHONE: ADDRE55:
SUBMITTED: 02/23/2010 APPROVED:02/23/2010 EXPIRATION: 08/22/2010 STATUS: ISSUED
occupied single family residences).DCD: For more information, please contact Clean Air
Agency through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-
689-4058. The L&I web site can be found at www.ini.wa.gov/p-ts/asbestos/asbestos.htm.
MINIMUM INSPECTIONS REQUIRED
To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact
phone number, and inspection type.
Mechanical Rough-In
Gas Piping Pressure Test
FIXTURE LIST
Qtv Descrintion Qtv Descriqtion
1 C-Firepiace, Gas
1 C-Gaspipe System LPG/NATUOIL
Page 2 of 2
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B REM E R TON
PER M I T
B U I L DIN G
D E PAR T MEN T
---------------------------------------------------------------------
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Application Date
Issue Date
Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
TenantYs Name
AgentYs Name
Architect's Bame
( ] Building
[X] Mechanical
(X] Plumbing
04/24/1991
04/24/1991
Application Number 91AP03268
Permit Number 11810
Project Group
320 S. CHARLESTON
DAVIS
320 S. CHARLESTON
BREMERTON
(206) 373-1911
First WAYNE
MI
State WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ ] Paving
[ ] Underground
[ ] Demolition
[ ]
[ ]
[ ]
Sign
Burning
Land Clear
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Building Contractor:
Work will be completed by owner.
Nature of Work:
Mechanical permit for furnace and plumbing-permit
for water heater.
Council District
Construction
Type
Census Tract
Sq Feet
Inspections
Required
Residence [X] Zoning Foundation [ ]
Business [] ~ Type Framing []
Other [] Insulation [ ]
New [ ] Plumbing [X]
Repai r [ ] Status ".Me-eh..ani ca 1 [X]
Remodel [] Code Wallooard []
Addition [] Final [X]
--------------------~------------------------------------------------
Received BY' n_==-;- _ ~___=====::::::::=::~= 1L'=='<d=tJ,=~U8= I
~ -~
-.,"','-."" -"
B REM E R TON
B U I L DIN G
D E PAR T MEN T
M E C'H A N I C A L
PER M I T
A P P LIe A T ION
== ===== = =-';= =,="=,=::,;=,,,,:.~':';:~:;:,~/=: =';;;; = = = = === = = = = = = = = = = = == = = = = = ==::='= d: = ~ = = = =\,==\:. \,
. \ .
APplic~tion NUmber 91AP03268
Contractor
street
City
Phone
Representative
State License :#
City License #:
ECONOMY SHEETMETAL
4020 ELLEN LANE
BREMERTON
(206) 692-8709
ERNEST GARCIA
ECONOSH101NM
AND HTG
state WA
Zip 98310
Expiration Date 08/01/1991
Expiration Date
stoves
Fire Place Inserts
Furnaces,
Burners
2 Heaters
Boilers
3 Gas Outlets
i' Coolers
Air Conditioning units
Heat Pumps
Re-Heat Boxes
Air Handling Units
Fans
Range Hoods
Dryers
Incinerators
Alterations
Tanks
Refrigeration Units
Other Items
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B REM E R TON
B U I L DIN G D E PART MEN T
.PLUMBING
PER M I TAP P L I CAT ION
---------------------------------------------------------------------
---------------------------------------------------------------------
Application Number 91AP03268
Contractor
street
city
Phone
Representative
state License #
city License it
ECONOMY SHEETMETAL
4020 ELLEN LANE
BREMERTON
(206) .692-8709
ERNEST GARCIA
ECONOSH101NM
AND HTG
state WA
Zip 98310
Expiration Date 08/01/1991
Expiration Date
Toilets
Bathtubs
Basins
Showers
Kitchen Sinks
Dishwashers
Laundry Trays
Clothes Washers
1 Water Heaters
Urinals
Drinking Fountains
Drains
Slop Sinks
Water Piping
Interceptors
~ Vacuum Breaker
Lawn Sprinkler
Fire Sprinkler
Private Pools
Semi-Private Pools
Public Pools
Groundwork
Sumps
Alterations'
Kidney Machines
Private Hot Tubs
Semi-Private Hot Tubs
Public Hot Tubs
Other Options
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. ,
II DEPARTMEN! OF COMMUNI1)' DF;VELOPMENT II
Gateway to tile Olympics and Home of tile Puget Sound Naval SlIipyard
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B UILDINGDEPAR TMENT
September 9, 1992
Wayne Davis
320 S. Charlcscon
Bremc:non, W A 98310
RE: Building Permic #11810
Dear Mr. Davis:
Ie has come co our accention thac your building permic #11810, locaced ac 320 S. Charlcscon,
, expired on 10/24/91 withouc an approved final inspection.,
Pursuanc [0 Scction 303(d) of the Uniform Building Code, a permic shall become null and void if
work is noC commenced within 180 days from me dace' of issue, or if work aumorized by me permic '
is abandoned for 180 days afccr issuance:.
Please conca.cc our office ac 478-5275 within 2 weeks co discuss your imentions for this projecc, or
co schedule a final inspection. Failure co do so will rc:sulc in legal action for violation of me
" Uniform Building Code. "
Sincercl~,
Janec Lunceford
Permic Technician
cc: filc
286 4TH STREET II BREMERTON, WA 98310 III (206) 478-5275
A. UjIUll Opporl".ity f.mp/oy<r
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CITY OF BREMERTON - BUILDIN.G DEPARTMENT
478.5275 - 286 FOURTH STREET, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
/I~/O
I have this day inspected this structure and these premises and have fc;>und the following'violations
. of City, County and/or State laws governing same: ./1 :;1(;;/ ~;' ..~.:i ,/
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You are hereby notified that no more work shall be covered upon these
violations are corrected. When corrections have been made, ca I for re-ins
Do Not Remove This Tag DATE II
the above
INSPECTOR FOR BUILDING DEPT.
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CITY OF BREMERTON - BUILDING DEPARTMENT
478.5275 - 286 FOURTH STREET, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO. / / g I 0
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:
, ~IC- Z-J+rz:fZ-
be-
7e/e { /~.; <- ;->0/$1-
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17: .~&:\,?' C" 1.5 ~
I' r!)f1/'! ~ V e../:" Src h';'"
rf/Vl
o~\Le-
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WI 1"'-(.-.
:s- 7<;'
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You are hereby notified that no more work shall be covered upon these
violations are corrected. When corrections have been made ca I for re-ins
.>
Do Not Remove This Tag DATE
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CITY OF BREMERTON - BUILDING DEPARTMENT
478-5275 - 286 FOURTH STREET, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
liP /C?
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:
tJ~~
-
You are hereby notified that no more work shall be covered upon these p
violations are corrected. When corrections have been mad~can for re-insp
Do Not Remove This Tag DATE 11 li/{A..- INSPECTOR FOR BUILDING DEPT.
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. 'INSPECTION RECORD CARD
CITY OF BRElJERTON BU1LDING DEPARTMENT
320 S. Charleston
11810
PERMIT NUMBER
i
ADDRESS
OWNER Wayne Davis
CONTRACTOR Economy Sheetmetal
PHONE
PHONE
373-1911
692-8709
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOIL BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR 80L TS
11. FOUNDATION VENTS
12. CRAWL ACCESS
. COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
. 2A
FRAMING
tJ
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF & CEILING LINES
FURRED OUT AREAS
FIREPLACE AT CEILINGS
HOLES PLUGGED TOP 8.. BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED ARE EXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER & JOIST SPAN
27. ROOFING, FLASHING, SHEATHING
28. SIDING
1.WIRING APPROVED
2.FOUNDATION VENTS
3. SHIELD UNDER POSTS
. 4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TA. MAT. NEXT TO CONC.
8. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAN
11. NOTCHING 8.. DRILLING
12. STAIRS
WIDTH
RISE & RUN
WINDERS
LANDINGS
HEADROOM .
13. ATTIC VENTILATION (upper & lower)
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AlA
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
, 8. SMOKE DETECTOR
, 9. SHEETROCK BACKING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTION
APPROVED BY:
2B INSULA liON
COMMENTS:
1. PROPER RRVALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
MECHANICAL
1. PERMIT ISSUED
2. FURNACE lOCATION
3. FURNACE CLEARANCE
4. 181 VENT SIZING
5. 181 VENT CLEARANCE
6. 18D VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
'"
HV AC APPROVED BY 1 He f zf /' 'f L.~~<! I~I
GAS PIPING APPROVED BY: ~! f ,~ . #
~ST ~!~~AJ
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
p
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
6. PROPER FflTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & UNE
10. SEISMIC STRAP
,
UNDERGROUND APPROVED
BY:
ROUGH-IN APPROVED
BY:
3
WALLBOARDr
6. FIRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN A TrIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
1. LID OVER SIDES
2. NAILING
3. W/R AT TU8 OR SHOWER
4.518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
FINAL
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS.
5. DISHWASHER AIRGAP
6. FIRE DOORS
LA8LED AS REQUIRED
SELF CLOSING
7. FIRE DAMPERS INSTALLED
8. PENETRATIONS IN RREWALLS
FINAL PLM8. APPR. (comm.)
FINAL MECH, APPR, (
FINAL BUiLDING APPR.
4
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9. HOT WATER TANK PRL
10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPI.ACE HEARTH
14. SAFETY GLAZING
15. INSULATION
WINDOWS MEET ENERGY CODE
UNDERFLOOR & A TriCE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
COMMENTS: """-.' . .
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Fee $.....................~.......=......................... ........... Receipt No. .... ......'k1...c..;;t..?:..!............................
BUILDING PERMIT
CITY OF BREMERTON . BUILDING DEPARTMENT
~/
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
Owner's Value I Bldg. Dept.
Value DESCRIPTION:
$ (f" Dc)
Lot
Block
Additions
Add J b .:;>.') [} /' --::.. (#/J . .c.::,Z . D ~--,,:1 1"- 74/
ress on 0 ....:.....i..!"....n.n_~~..... .C::.:...R..~~G.n~.r...~.... ............ ..n...... n.n.. ate ..__......n. .n..n. ..n ......n...n....
Building ...m..nn_... x ...__m...m.. and ""'m.m.... stories ..__..m...n...m.m basement. Lot "',"',"n"" x................
Front Yard ..m..m....n.....m Rear Yard m.......__.m........ Side Yard .n....m......n...m Garage .__..m.........n..mm...
OCCUPANCY PERMIT REQUIRED BEFORE OCCU.PYING BUILDING Zone ..m..m.....m...............m......
Owner .-'\d....-...'-:.*:!.df.:~--..::~-"'~~'.J.dC:... ..'.'.'.'2.. ....... Address ............................... ........m__ Phone -.. m..""."..
Con tractor _:;ta:..~-:&."'.::Z(L~~L_.. .~...&:'. .~7Q.&d...<~... Address ... _.....__..._._..__. .__......._ ..._.m_.. Phone __.m. _..n.....
This permit is issued for: /-
...._....._..i:...~~...__Lc..~......~~,;!.~.&~<:..~R.:'JU:-.~....-.---=-.....~:;(;.:'!~.7'~.......~L~.......6..~......-.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~L~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected
and approved before pouring. All plumbing, wiring a,nd the fra,me of all buildings must be inspected and approved
before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
-- ..-........--....- --...........n- .....-----.. ---- -..- -'>'7'''''''''--''' --....- -- ---.. --........ -- --- --.................... ---.... -- -- ....-- ..-.. --..- --- -- -. -- -..-..-...-...-..............-...............
Owner's Signature.
..... OF
Hi! Authorized Agent
B 'ld' I d. '"<;, ;/4 . ~
Ul mg nspector ...... .... .\...-="'..... .c:.. ..... ....~~...~~......m.... ..,. ..... ."m. ...m'''.
By _............ _.............. .&. _ n.. _. __...._ _. n _ n _ n _... __.. _"'" _. .._ n" __