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HomeMy WebLinkAboutCHARLESTON AVE. S., 325 327 ." B R EM E R TON B U I L DIN G D E PAR T MEN T PER M I T --------------------------------------------------------------------- --------------------------------------------------~------------------ Application Date 09/11/1991 Issue Date 09/11/1991 Assessor Acct # Site Location 325/327 S. CHARLESTON Owner - Last Name BECKMAN First WALTER - street 13121 OLYMPlC.-'lI-EW-:R01\D - Ci ty SILVERDAl.iE,,:-:-"'~-.,.". ..,q""'state WA Zip 98383 - Phone ( 2 9/6):>6'92 ;2,7'7~ ' "'<:~::~i~ Tenant's Name //// \1, i ;', Pnone(206) / // /'"'\ \ \ j 1 -.., Agent's Name // ,/'>;, '" ) i / , //"Phone(206) , / '\ ,,' > ' J /i /;, \\ "- Architect s Nam,e/ \.>' ,- ! :' /,', ^ '" .. // ~ \ , ,VI // ' / . \" . [X] Bu~ldlng // /CJ',G,~,ad~n~ .,','''''~''''''~q.''~.+'''.L''''Slgn/J / "'<> r,,\,) Pavlng [ ] Mechanic~;/ (l ~ )MOV~~B'uilding [] BU^l",nin9" ',"v' ['3\ Underground [ ] Plumbin~/ "'1':=]/M9bI1e Horne [ ] Lan(h~lea.~//~;,:~\)\~emolition - - - - - - -- - -,~;( - - ___~/.~ _ _ _ _ _ _ __{~;~~:'-~,__ _ _ __ __ ~~\,~ _':,)_:~J. ~~,_ _ _ _ __ ___ " /", /f {, \ ,1! '4;, \// \ \ . . /'/ i;f \\., '1 , \ j \~~ \ \ BU1.1dJ.ng l(tontractorf~J' ,,/ '\ \\ / / / L,..,,,, / . ,\ \~ \ \ Contractolr LJ...,~-j f THE ROOF DC>C'1I()R! I_"'~'..J \~ \ Street/I' U 3273 CHICO WAY iNW, '~, \ Ci ty i 1 ! BREMERTON i; \\! Phone i \ /, i"" ~ (206) 377-2124' state WA Zip 98:'610r-.,, 1'1 Repres~\nt{a:tiv~ i~' i..... :n,J::~i~ ",'}' i i state ~lc\~ns~/ 41= \ROOFD**14'lLC Expi)?a:t\ion Datej'07!20(-l992 Ci tYLi\Cens~e #' \, i "" EX~:Lrat,!i0n Dat~l"'<.,i 1/ \ ' " "- ~ '" 'J ,! ,I '" '" \~':, ' 0 .' ,~,,~ /\ "" / \ ';~.: '';-'':~''~ / ~ / f Nature of 'W\ork: \\''-'' / ;./' 1/ Reroof 10\\squar~~ composition..... // 1/ // , " / ," ~;' ,/' '" } \~\ (,,~,.:;:/'-\ \'''''" ,;p~;f/ /11 "'<:,:,\,. '-- _//' "-~~. ~-:/ ; / " '" <::M.~~:l\~~.;...;.,;;::-_.:;'::-_=;:=_:;;._:=:':;;-::<,,-f-,:.:::J' /,,~(, I // Application Number 91AP04080 Permit Number 12449 Project Groupi MI \, " <';""'~" ", /'/ "<:2~,.., r" r / / ~~ ~ i l \ ~//~-;.// ""~';:-'-,'.~~-""". .~___Ji ; n_ _ " ~ ,- . .,' '.' . '" " /<~:;;:// ~~~ ~ ~~~~-~: ~~: :~~~ -- - - - -~'~~~=;:~~~~.~=~g~:.:;;'~'~~ ~ - - - - - - -'-~'.~ - - -- -- - - -- - - -- Council District 9 Census T~act Construction Type Sq Feet Inspections Required [X] [ ] [ ] [ ] [X] [ ] Addition [] 5 Final [X] - - - - - - - - - -;; 7J t 7F - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - u - - - -- ::::~:::=:~~~::::::::o::~=:=ih===~=i}}=l:l~ Residence Business Other New Repair Remodel Zoning Type Foundation Framing Insulation Plumbing Mechanical Wallboard [ ] [ ] [ ] [ ] [ ] [ ] status Code . ' BUILDING PERMIT APPLICATION Assessor's Tax ACCOUnjo.: Site Address: ~12,);~z. 7 f1 }/ Owner's Name: LivIA cTU2- City of Bremerton, Washington 98310 S. ~UA-'Gl~S ffitV ..,..1 l 6 BtE<~H;:JrpJ' Phone: (206) 478-5281 , Phone No.: (Q C;Z- Z 77/ ( 31') J OL' 'il/lf'f'" U, ~/'LU"Jt'lel.;lA-(...-i Addres~:' L--( 'YI;........ Uj.... r, Applicant: . 18l' Owner o Architect o Contractor o Tenant Architect Firm: NA- Representative: Phone: Address: "., Contractor: . 0\- Address: e~ 6 r 8 X CX:13~ 88g , R-~~;\utJ W-Il- Representative7'Et? r<.. y (j~RJ! Phone: '37 7 -2 [7-1 Exp. Date: Contractor's License No.: o Residence o Demolish o Grading (cu. yds o Business 0 Other: o DUPlex' lZ[ Multi-Family (No. units ) , ,0 Bldg. Move R.E' ROOF o New 2-) o Repair' o Sign o RemodelfAddn o Parking Lot Nature of Work Proposed: Sq.Ft.: Utilities: o Water o Waste o Sewer o Septic o New Plan Review Fee: Permit Fee: $ $ Receipt No.: Receipt No.: Date: Date: o Existing o Storm Valuation of Materials/Labor: [UBC Sec. 304(b)] Surcharges: State $4 ;500 Zone Designation: . ,,/: ' Setbacks: Front: Occupancy Classification (UBC): No. Stories: Side: Rear: Height: 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 returned to applicant . destroyed by the Building Official. (Sec. 304 (d) DBe). I certify that the irtformat' 0 h'~ application furnished by me is true and correct and that the applicable requir 6d e' -f.. e rton will be met. Signatur ;' -4 Date Copies to: White-owner; Yellow-file; ~ssessor: Goldenrod-Building Stat. Code 1--1 INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT 1?44g PERMIT NUMBER ADDRESS OWNER CONTRACTOR 325/327 S. CHARLESTON WALTER BECKMAN THE ROOF DOCTOR PHONE PHONE - __......"ti ~.~~- ------ ~~ I2llIl!l!!;I L -- 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 BOLTS 11 . FOUNDATION VENTS 12. CRAWL ACCESS COMMENTS: FOUNDATION INSPECTION APPROVED BY: 1illimtal;1l----i ---__ ~_I.....oI,11 -' -~~!J -<ltlLl>.J!l.... .1f1lL_ - ---- 2A FRAMING 20. FIREBLOCKING STAIRS DROP CEILINGS TUBS OR SHOWERS ROOF & CEILING LINES FURRED OUT AREAS FIREPLACE AT CEILINGS HOLES PLUGGED TOP & BOTTOM LID IN VOIDS 21. WINDOWS MEETS ENERGY CODE CLASS SAFETY GLAZING REQUIRED FIRE 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, 'SHEA THING 28. SIDING 1. WIRING APPROVED 2.FOUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITIVE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. BEAM SUPPORT 7. TR. MAT. NEXT TO CONC. 8. WASHERS ON ANCHOR BOLTS 9. BEAMS PROPER SIZE 10. FLOOR JOIST SPAN 11. NOTCHING & DRILLING 12. STAIRS WIDTH RISE & RUN WINDERS LANDINGS HEADROOM 13. ATTIC VENTILATION (upper & lower) 14. CHIMNEY STRAPS SECURED 15. FIREPLACE COMBUSTION AIR 16. FANS VE~TED TO OUTSIDE 17. WATER CLOSET CLEARANCE 18. SMOKE DETECTOR 19. SHEETROCK BACKING UNDER STAIRS ABOVE GARAGE DOOR HANGERS COMMENTS: FRAMING INSPECTION APPROVED BY: "'"'-"'-"I'l~I!l.~ ~"ilID ..... JI<:ll .:t:...---- --- .- 2B INSULA liON COMMENTS: 1. PROPER R-VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTION APPROVED BY: MECHANICAL 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. IBI VENT SIZING 5. IBI VE"NT CLEARANCE 6. IBI'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 HVAC APPROVED BY: GAS PIPING APPROVED BY: WDST 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT WDST APPROVED BY: --'- _ ~~r' _ ~~~~","d-. _ _.~.....~Ift... _ -.........:to.. ~_.. PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. DWV SIZING 5. PROPER SUPPORT COMMENTS: UNDERGROUND APPROVED BY: p 6. PROPER FITTINGS 7. REQUIRED CLEANOUTS 8. PROPER GRADE 9. HWT PRES. RELIEF VALVE & LINE 10. SEISMIC STRAP ROUGH-IN APPROVED BY: ~__ -y y.~ ~ J-"! ...._."... ~._.- --....- ..... ...... "-- Ii _ - "".-L"'-h:o,o/;,,'~ """.d~P.lIlIII.~ 3 WALLBOARD 6. FIRE SEPARATION IN GARAGE 7 . ATTIC ACCESS 8. DRAFT STOP IN ATTIC 9. PROPER CONST. OF FIRE WALLS 10. DROP CEILING & LIGHTING 1. LID OVER SIDES 2. NAILING 3. W/R AT TUB OR SHOWER 4. 518 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: ~....~~...o:2i-~ 4 ~.dI.J:.ll..".....-,..~' ~~.,.,........ -', -- J"""~Mt_ .4I.Jll:! 11- ....k_d:;;dl ... ~.._~ FINAL 1. HANDRAILS 2. GUARDR8IL~___ HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROOFING IN SHOWERS 5. DISHWASHER AIRGAP 6. FIRE DOORS LABLED AS REQUIRED SELF CLOSING 7. FIRE DAMPERS INSTALLED 8. PENETRATIONS IN FIRE WALLS 9. HOT WATER TANK PRL 10. OUTSIDE GBADE 11. SOIL TO SIDING CLEARANCE 12. SMOKE DETECTORS 13. FIREPLACE HEARTH 14. SAFETY GLAZING 15. INSULATION WINDOWS MEET ENERGY CODE UNDERFLOOR & ATTICE INSUL. WATER PIPE & HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED FINAL PLMB. APPR. (comm.) COMMENTS: FINAL MEeH, APPR, (comm.) FINAL BUILDING APPR. rfJ--lj I YVteI\ ~ / LJ ftt ~ Nt! 40086 It ."--f" e d v'-J C'C ~ 1)0 ~___ - 33--;)--- . I /'l./-.5 3 Fee $________n.'....___nn___n_..___.....____.___..nn__________._....... Receipt No. ..__________._..n......n____._______hm_m______nn_ II U . - BUILDING PERMIT CITY OF BREMERTON BUILD'ING DEPARTMENT "'- Owner's Value I Bldg. Dept. Value I DESCRIPTION: /J...... ~ "") - I c;:.// /0/.1 ;1 ~- $ , J 0 00 0 /: Lot I>..r 0 Block / l/ Additions L,/TlM4b!../)-7\...., Address on Job ~~~~,;(.2.d..~~~_...h._m.n.mu_muuhm...u. Date _.~::..(.~mm..u__196.~ Building ..mh..m.h. X m_h_mmn_ and ..____mmhn stories _.____m.n_.m_n.n. basement. Lot hm...nmm X hn.m.m.n. Front Yard n_..m.n_n.mnm_ Rear Yard m...mn._m.mm. Side Yard hn.n..____m.nmu Garage _.____....m..m.nm__..__.. g:~~~d~ :ze.~::: ~jt:~ ~~: :::::::: :::: ::: ::::::::: :::: ::::::'A d d ~~~~-. ::::: ::::::::: :::::::. ~~~~ ~.'.'.'~.-.'.'.'_'_'.'_'."'p h~~~~~~~ ~ ~~~~~~~~ ~~~ Contractor . _. n.. _. _ _ n. _.... _... n......... _. _.. ...... n n... __.. n ___..... _. Ad dress .. _. h" n.._ _. _ n.. n.. __. n... n ...... _._. Phon e. _. __.... _. n __. This permit is issued for: F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 " :: :-~:::~: ~i~::~ ~1~::::::: ~t~: ~ ~:~: :t:?::~ ::::: :::::: :'::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::. All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. i ~ Own er' s Signa tu re X-::.i. :.'. ~:.: :~:?f :~.~~(;~:. ,.:-fe~_.. __... _... __ U 0. _..... By... n..... _......... _... h n....h.. _. __. _. n. _ _. _ _ n.. __:. ___. __ _ _ ___ _ ..... . . , .) C ,His Alltho;ized Agent BUll dmg Inspector ... n.. __.. n. _ _. _ c... _' C?: n _..'-. )_d. .f:.. _.~. .,.( n. _ .._ n _........ _. n.. _.. nn.. ," -- - ~ ~ OF By ..u__u__.__...uU....Uh...UU..h.uu___.__.h.n._..nn__u.__... _ _ n _ _ n_ _.. ___ ..........~-.f _ -. e --~ A pplica tion-ior-accept.ance-"of_ the- ..he1.'"'().iJ::ld=:0{:'J.'-:Cb-Exr;.b;1jl,clir.,g...-..:::.-:..te--to be c1.8Y,:loped with an individual sewage dispCh:':3l ''.is (":m,, ~'b.s ,-~.::)lica tion -j,~ ;'-",.1e .; n .,"',,"""".'1.::>""....0 T.,~"'" rules and regul at~ n"',,:, 1"""',>",.,.11' r"a.J..~,-' 'J'~''''pr _~.'.J ....J-.. . ~ ~.... q;........j.JJ.. t....c<t'L.i.v .~..4. .....;I..L _ _.../1....' ,t.-.,. ......\;.l.l"...-6 V'-''-l.. l...l....U...,. Kitsap County Resolution No.52. This application must be accepted and signed by a health departmrmt sani taria'1 p:rior to i;::;su,1.~CO d a building permit by the County Asses.3or. The necessary S8i-Tage disposal permit and plumbing permit will not be issued until the bujl cii.ng permit is purchase<i., .' ~H~~~~H HHHH~ ?~-~HHH~~r ~H~ ~~H}.,}-)~~~~HH~--)~~~-H..,r~;-' ,:...; H~-:' ~~H~~H~-)r;H~-~Hi--~(~Hf-;H~'~)H~-~<....;(-, H(.-~~-)~-;H~~-~~-~ .:~H~~~~;(~~~~~~. -~~- -:H~~~-~(-)r)~-;~'~:-;'HH::* Owner, J-., f1 We e /(S Address 3 15 YC{ I) Ii 'c... Builder S ,q Il L e Property. addre[,i3 501/ T/l 12 /741/e s jz, J\ S m R - ec _~_lwp_"..,.,<,__ a.ngc _.._.~__h.q Sub.Div" Lot'llIt?Blockl!L.Tra~t.C!J.1fJ!e 5 t?:t 1'1 If Retes and HoL.:YlCl.S Qesc:t'lptlon please Sewage Dispos~ S;"stomDesigner . B ri B 1- "- h cis C';t ~e <f- D~ ,): 1'1'/1. .. " , ' . Address J I) /. c, T'. R /. Lot Slze. (Sq ,.Ft<;or dlmenslcns, bOX/I 0 ~ i.. I . v/ 0 r.l"': How Zono'.1? R e:~, Address attach Soil log #1 5 iu t1 cl Y Soil log #2 II Type of building:Single family reside 1-lul ti-family resid.L Comm.81'cial Other (name) VlJ ~/e'..~ -- . - - No.Bedrooms )/ ' a throoms-fL-Basementx:' . Plumbing in basem3nt_"~_,_,,. /-0<4'1-1 8'" S""YJd 11 10 (J .5 4'i rid t/ I If Perc test hole No.1 i 1 3 {l u/}'/'>;t:1 minutes per inch Perc test hole No.2 minutes ':)er inch Perc test hole No.3 minutes ',)er inch ..:2';:< . /9 r: 'l / ' Eleva tion of water table if encountered (dis tanc( from ground surface) ;1/0 17 e..- Place drawing on reverse of this application or B38 SGparate sheetso a~ust be in triplicate) Section 7 Item l-G amended rules and regulations authorized by Kitsap County Resolution No.52 must be fully complied,.Tith on the drawing or this application cannot be accepted. ~H;.?~-~HHH~~HH~~H~~Hr-j(-~~-;Hr~HH:---;HHH~~~~~~~HHHHHHHH~~H~~~~ ~~-.~HHHHHf--~~-;~~~ -: HH,:"')~?H~;H~.;H~-~H~w;~.-;~-)~--;r-~HH,"-;~-;H;--jH~~~-H~~~HH~~~...,Ht-~~-h~;h,**.,. Date test conducted The above soil log tests and percola tion tests iJP-re performod by me or an employee of my company and were conducted as recommended by the Bremerton-Kitsap County Heal th Department and in accordance va th the method outlined in the Hanual of Septic Tank Practice,USPHS Publication Noo526 I hereby certify that the above informa tion is correct and that I vrill comply with all applicable 1::'.:::11 and state regul ations. '''-. *,,~HHHHP^'''HHH'* ,'HWWC"" - 1--.____ ~ " Da te re. . .. .. .._.,'"" .. ^ .. D.'?-?' , , "A ceprod ~1Ii\l. pr.-_'HHH"""_^N'. eSlgner . -"'~ ~ ,&' "'-' ." " . .....' .nH'''HH",HHH,*,'H'-'HHH'~^''''':::-::''-'H;::'''HHH''''''WW. ^... \ 1\ 1~\i'J~~~HH(--:H} Action ~\ ._u_ u,____ ~~ S2.ni tarian Sanitation Di'r18ion Bremerton,..Ki tsap Count:r Health DeptG '''-',. fit BremertO?"l...Kitsap County He.::J.th Department '" e Sixth and Marion Sts., Bremerton, Wash. Tel: Essex 7-3911, Extension 24 or 25. .. -I:j !~PLICATION FOR BUILDING SITE APPROVAL (Submit in triplicate to Healtp Dept.) ,. > OWNER__._._~.____ BUILDEf. -:1l. 111 tE?~'.ir5-- SEWAGE DI9J?OpJib ~'WT~Y.p~IGNER Return a~ep~d/appiibatlon to LOGation ~qpf?J~y) street, or rural address_ Legal Description 'fIP ADDRESS ADDRESS --SotJfJ, C /'t1r/~sf{-;)"'I Address Address ~i :1..' l',' /'/ ~).., /'fi...> I:::." Name tif Plat Zone Type of ~~~:ptpG6rrftr~rt;1~~"- Single O~familY residence__ _Mult~~1Y/~lg._ No. of brJrtf..a'on1s_l: vf:dseMDtvZ__Ground level_._Bete31~tfIDd level No. of bathl"ooms___]lumbing in basement___... . , followingXneed not be completed: . If building is tJv tp ffJfected to put,lic sewer ~ the Soil log hol~o.. r.. 1 X Soil log hole No.. 2. x Percolation test hole No. 1. Average time of fall per j.l1ch in bottom of 6" of hole_ Percolation test hole N91 2. Percolation test hole r~. 3. Elevation of water tabl~ if encountered (Dist~ce from ground surface.) Place drawing on rever~3~ of thi application or use separate sheets. (Must be in triplicate.) Section I em 1 aJ'} ~endefo/ ~u:r be fully complied with on the drawing or this applic 0 no~b€~ccipt~d. The above soil log tests and percolat~on tests were performed by me ~r ad(~~ee of my company. Date Designer's Signature DO NOT WRITE BELOW THIS LINE - - - - - - - - - - k?l1 cY+r0 APPLICATION RETURNED DENIED ACCEPTED__DATE Sanitarian's Signature .s 0 c At'{ r les io tI1 I .( , 0' > -+ Il ~---------;;~+ni'--}- l--r .. ..-- -. I . I ~/O+l I ('( l f ~ . I - gi + . /)1 I ~ <:'c' ar I It ~. : '<> I ", Po r f' I ./! \1 . . .... ~ ,.12 , t II ... . < -:"'.,""",-, ~~~' " . L~ -. - . .......,;;;1.:.0:6" _',' ..... "',,-"_1. "..., .t--::;_~_ -- ____.~~4t..~.4.;i ,""<l"__ 1I..d., I // ~' ',," e7 i Bt2..$pI't'e,.,r Ij"r- ~ ~ ~ floor I 0 ,~ a' +'5'p ~ ~ 'I t.ell~. 0 ~\ ~ .... lo,..".L \~ ?O~II I~ ~ ~ \9 r - .-. ~' ~ 00 --; , I . ~. ~ ,,-,-' ....; I ,~., I .... -' ,I " ... . -"- \ I _8'1 Lor Prr.3 I': , . L__ -10' -I?-' !~H --f~_:?~~:~;'1~1o ...... I,~_ --"'--~~~~''<;~~-.o!(~~., ~\" _ . . .... ' e I "-...,;:" '" () - I (,' t"-... , ... T/te../,r; e... ' 5 T~I" PowV/! '" .. n........l. . . ~~:~~_.~-;~..... . 8//(1'I40f5 pu r / eX' Fo r L, fI, Wee k.s " E 5 , .3-'l/b'1-5 9<1.-10 3/p/Qql'ta 1- .,- ...~ ..... - ~. 1/' .j . ..,.' 'f - . ..c..' ...,,~.-,-' . .. . '.. '.' 'C -q....... --.... .--17--;/0.€ .. .... .,q. ".fYie' /. . . '.. '. .' . . .. _._--...,--.--.,......._.~"'~; ..,,,.,~. '. -,----~-_.,.. ..:?~~._,.~.,..---.-.--"'---....,.._. ..~ . . . ;fl~' r;i;...."""'"~~ ",.,. '10"" n .:&;} - e BUILDING PLANS ROUTING SLIP --;P ~'''1-- " N c7\' L{ /i -a..rU5-o lame Type of Construction NEW ~~ REMODEL . ADDITION AL'l'EEATI~ Address 32 5 ~ ~l.'l So u.. +tA c.. ~ a or \ e s.\o\l\ Phone 5' -1...5-- t q Date Received I Building Dept. Approval Ie J! Date Permit Issued ..!:---I ~ - t y- . TRAFFIC ~~ DEPT. Initial ~ Date Received S -I (~ ... Lo q Date Approved ..!5 -/ '- - ~, v Approved Not approved Comments Correcti on ~~GINE~RING DEPT. Approved Not Approved Correction Permit Required Ini t. ~-. Sanita~ Drainage Storm Drainage Gas Hains Underground Utilities Sidevlalk Driveway ~pf-: c.. c, Iley N/A N/A- ~o'-e... O\"'\" Date Heceived Date k'yproved s- llo-~q ...:;:>-' \.9- ~C; Comments ELECT1UCAL DEPT. Ini tial,,_ Date Received Date Arrpoved Approved Not Approved Comments..., ,j)f /'vO y_~ r~~k Correction PLuNBING DEFT. Date Received Date Approved Comments Ini tial A~Jproved Not approved Correction --f; -r-.P A _'1:: /J ')~ r~ I;Y-l '-'O'-~