HomeMy WebLinkAboutCHESTNUT ST., 1056
FOR INSPECTIONS
CALL 473.5870
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER: 8807 00267
DATE ISSUED: 04/18/2007
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 3967-008-012-0004
APPLICANT NAME: QUALITY HEATING & AIR COND
OWNER NAME: BISSELL WADE A
CONTRACTOR: QUALITY HEATING & NC LLC
LENDER NAME:
SUBMITTED:
04/18/2007
VALUATION:
Mechanical Fixture Fee
$68.95 2215
TOTAL FEES:
$68.95
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING: R10
PHONE: (360) 613-5614
PHONE:
PHONE: (360) 613-5614
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1056 CHESTNUT ST
9960 SILVERDALE WAY SUITE #14, SILVERDALE, WA 98:
14779 NW GOLD FINCH LN, SEABECK, WA 98380
9960 SILVERDALE WAY STE 14, SILVERDALE, WA 98383
EXPIRATION: 10/15/2007
STATUS: ISSUED
NEW GAS WATER HEATER NEW GAS FURNACE 2 GAS PIPE STUBS
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kltsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the 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 afterthe work is commenced for a period of 180 days. It is 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 until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code
requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all
responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of
any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State
Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant
occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
SIGNATURE OF OWNER OR
AGENT:
I have read, and agree to abide by the. conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
PRINTED NAME:
,td~ 4- 4~(
&,VA-IJE" A- B/SJ'€LL
DATE:
i..iJi fJ J 0,
.
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
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-
occupied single family residences).DCD: For more information, please contact Clean Air
Agency through their web site at www.c1eanair.org or by phone at 800-552-3565 or 206-
689-4058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm.
DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
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
10. (DCD-01)
10. (DCD-02)
tJf,.
.&LL
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER: B807 00267
DATE ISSUED: 04/18/2007
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
CONTRACTOR:
LENDER NAME:
QUALITY HEATING & NC LLC
ZONING: R10
PHONE: (360) 613-5614
PHONE:
PHONE: (360) 613-5614
PHONE:
SITE ADDRESS: 1056 CHESTNUT ST
ADDRESS: 9960 SILVERDALE WAY SUITE #14, SILVERDALE, WA 98:
ADDRESS: 14779 NW GOLD FINCH LN, SEABECK, WA 98380
ADDRESS: 9960 SILVERDALE WAY STE 14, SILVERDALE, WA 98383
ADDRESS:
ASSESSOR NUMBER: 3967-008-012-0004
APPLICANT NAME: QUALITY HEATING & AIR COND
OWNER NAME: BISSELL WADE A
SUBMITTED:
04/18/2007
APPROVED: 04/18/2007
EXPIRATION: 10/15/2007
STATUS: ISSUED
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.
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
Final Inspection - Building
Qtv
Descriotion
FIXTURE LIST
Qtv
Descriptior
1 Gas Water Heater Vent & Combustion Air
1 Natural Gas Furnace +1- Ducting
2 Gaspipe System LPG/NATUOIL
Page 2 of 2
" [g @ [g II W [g f{jI
APR 1 8 2001 L!:!)
:8(3;07 002-67
~f\)
'1) \.S\
Z-
REMERTON-LlMf,RMIT CENTER
MUNITY DEvaOPMENT
Dept. of Community Development*345 - 6th Street, Suite 600*Bremerton*W A *98337 -1873
Site Address: \t>S'i Chtstv1lAt Sf, , ~~~t'\. WA-. Q1;IO
NO. '. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
AIR HANDLING UNIT > 1 O,OOOCFM ATMOSPHERIC VACUUM BRKR 1-5
AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUM BRKR >5
BATH FAN AND/OR EXHAUST FAN BACKFLOW DEVICE <=2"
CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE> 2"
CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER
CLOTHES DRYER W/ EXHAUST CLOTHES WASHER
COMMERCIAL FURNACEIDUCT COMMERCiAL FLOOR DRAIN
COMM. FURNACE> 1 00,000 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
EV APORA TIVE COOLER GREASE INTERCEPTOR
FIREPLACE-GAS OR GAS LOG INSERT HOSE BIBBS
FIREPLACE-WOOD, OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR
L GAS WATER HEATER & VENT -'" LAWN SPRINKLER W/ BACKFLOW DEV.
2- GAS PIPING ~ ROOF DRAIN
MISCELLANEOUS MECHANICAL SHAMPOO SINK W/ BACKFLOW DEVICE
, NATURAL GAS FURNACEIDUCTING SINK (LA V, KITCHEN, MOP OR BAR)
PROPANE FURNACEIDUCTING ~ SUMP PUMP
PROPANE TANK (<2000 GALLONS) TUB AND/OR SHOWER UNIT
, UNIT HEATER WATER CLOSET AND/OR URINAL
OTHER: OTHER
OTHER: OTHER:
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
?tU.4k2~
Applicant's Signature
If j/J:> /0 r
Date '
Rev. 10/06
CITY OF BREM ERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number: .co=6iE~63_~1I
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
$68.95
Total:
Total
$ 68.95
$68.95
CREDIT CARD
genpmtrreceipts
Page 1 of 1
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Kitsap County Assessor's Property Report
Page 1 of 1
Property Report
Tax Account No. Process No.
~967-008-012-0004 111491331
Property Class: 1121- Duplex
Situs Address
111054 CHESTNUT ST
Parcel Information
I # of Buildings:
I Acres:
I Zoning:
I Account Status:
Tax Code Area:
Jurisdiction:
Sec- Twp-Rng:
N~ighbQ.rhQod :
10010
IBREMERTON
112 24N IE
17100542
11
1.3
I City
IA - Active
Taxpayer Information
Name:
Mailing
Address:
IGOLD FINCH INVESTMENTS THREE LLC
114779 NW GOLD FINCH LN
ISEABECK IIw A
1198380
II
http://kcwppub2.co.kitsap.wa.us/pls/ilisw/lis.online _lis _info ~kg.acct_info?p _in JP _ acct_... 4/18/2007
D E PART MEN T
===============~===================.========~=============~===========
Application Date 09/09/1991
Issue Date 09/09/1991
ASsessor Acct t r
Si te Location ,1056 -Q1::lESTNoUT
Owner - Last, Name>,A:l:iBER':P:::'
.---..st'fee~;~'~~~ "'i~o'56 CHESTNUT
- C i t y"" BREMER !,~~1iii~ii::':lil:::'~~;~;;iii:J;:i:i'Li';:i';;':,1i1i';~5::I:'~;;;",
- Phone (206 :::iL':'"
Tenant's Name
Agent's Name
Architect's
[ ) Building
[X] Mechanj,
[ ] pi
Application Number 91AP04068
Permit Number 12439
Project Group
First ALAN
M1
Work wil
Zip 98310
":';;;:~'p~ne ( 2 0 6 )
',<',' (206)
Paving
Underground
lition
;'
5
~~
ij::;:\ ,':
'~".J.' ,/
l.;~~~
"'. -.. - -- - - - - ...... - - - - - - - ~^%- - - - --.~
,~'" ,.,
<;'
'. ~~~~n&! M~" ,~'LEic t
Inspections
Required
[X] Foundation [ ]
[ ] Framing []
[ ] Insulation [ ]
[ ] Plumbing []
( J status Mechanical [X]
[ ] Code Wallboard []
===,,== ~-=- ":,,,~~.:.:_._~-= _-=}====;;,,::=====;"-- =r-;;;;=, =1;1'= ~=
Res.idence
Business
Other
New
Repair
Remodel
. :.',~' "'-t
B REM E R TON
B-..,1J I L DIN, '9
. .'~.tW{ i
D E PAR T MEN T
M .B;~"G',."H~,~ ,~.,rI 9.,~<!-j, ;~:;:~::t E'R l-! I TAP P '~,.?'C A .,Tt 1 q tl ~ I
:::::::::::: ='2:\7= = ~'b'~ ~='~ =b':: =(=,:;=.='=:;;~:: ~ ;~= = = =:::: =:::::::::::::::: =::::: = = ~ == =:::: =::: = '=~'::::::: ~.~ ~'=::
'," \." ,f
APptrcation Number 91AP04068
"'~'" "
Cont.ractor
street
. city
Phone
Representative
state License #
City License #
WILKINS DISTRIBUTING CO.INC
P.O. BOX 147
BREMER-TON
(206)
98310
H"
ifm
;Fl~5:::e 'Inserts
.. a G,e>lS
Burnli'rs
He(!.ters
.. Bq.1l ers,
1. ~,as outlets
Coolers
;Air Conditi
.:~Hea t Pumps
. ijRe-Heat Boxes.-
~Air Handling Un'
';Fans ,"
Range Ho'~
O.ryers 't":
In.cinera .
p."lt.,erations
ank:'$ ;;~
ft:L'q.eration
Fer tt.ems
>,o~~,
,,^>~~~^,
" .
" .
: . ""~.
t" ",-
..
",'
CITY OF BREMERTON - BUILDING DEPARTMENT
478-5275 - 286 FOURTH STREET, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
/2--'137'
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:
.-.----
r (/ rl'1--<<e M c./5 f be- S,;...Jr p(H'kJ b'-7 ~ r(.. -\:e.... 5r:.. b
w~cfh. /
OY" S U ;; pe,.... ~ J,. ~ Ie 7 (uv,...d c/~a--~
I
01<- .f-b S..e. + ~ ~ ~
<
r e~V1 ) p ec h~
/
r I ~ .
W I 1"t.... ( ""
~ 47 s-----
/
You are hereby notified that no more work shall be covered upon these premises until the above
violations are corrected. When corrections have been m? ~I for ~
Do Not Remove This Tag DATE 9;/eJ fl
INSPECTOR FOR BUILDING DEPT.
~DF
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
12439
PERMIT NUMBER
ADDRESS 1056 Cheetnet
OWNER Alan Albert
CONTRACTOR Certified Reating and Cooling
PHONE
PHONE
----'"
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:
-
- ....
-
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, 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 & 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:
-
-.....--
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
4.181 VENT SIZING
5.181 VENT CLEARANCE
6. 181 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
-'
..-
'-- -------
P PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
UNDERGROUND APPROVED
BY:
~
..>>6..,_1"'.....-.......".-
3
WALLBOARD
1. LID OVER SIDES
2. NAILING
3. W/R AT TU8 OR SHOWER
4. 518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
~
HVAC APPROVED BY:
GAS PIPING APPROVED BY:
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
~ C!d-~~
o//.:P/9/ ~
-----.- ..-.--.- .- '
6. PROPER FITTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWf PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
ROUGH-IN APPROVED
BY:
--- -
6. FIRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN ATIIC
9. PROPEA CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
..
-
-
4
FINAL
1. HANDRAILS
2. GUARDRAlbQ_____
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS
5. DISHWASHER AIAGAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. FIRE DAMPERS INSTALLED,
8. PENETRATIONS IN FIRE WALLS
..-
9. HOT WATER TANK PRL
______.___lO...D.UISlDE.GRADE-
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPu\CE HEARTH
14. SAFETY GLAZING
15. INSULATION
WINDOWS MEET ENERGY CODE
UNDERFLOOR & A TTICE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
FINAL PLMB, APPR. (comm.) ~/ft ,99MMENTS:
FINAL MECH, APPR. ksomm.} 7(/tl
FINAL BUILDING APPR.
BUILDING_ERMIT
!~~
3779
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE
$ ~CJ ~t)
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
OAT
OWNER'S NAME
CONTRACTOR ~
ADDRESS
STATE CONTRACTOR'S L1C. #
RESIDENCE
o BUSINESS 0 OTHER
o NEW
REPAIR
o REMODEL
PHONE
o ADDITION
o DEMOLISH
PLANNING I ZONING
FIRE ZONE STORIES OCCUPANCY
~-&~~~~) ~
THIS PERMIT ISSUED FOR:
~ C!.,
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation 0
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
APPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
.
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPA
OWNER'S SIGNATURE BY
~ ~zed~_
BUILDING DEPT. ~~
BUILDING ~ERMIT
fN~
2489
AI/
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG, DEPT, VALUE
$ ~() ~
PLAN CHECK FEE
RECEIPT NO,
PERMIT FEE
$/'1.50
RECEIPT NO, DATE
OWNER'S NAME
$o9SS I-J-
o
PHONE
CONTRACTOR
STATE CONTRACTOR'S L1C. #
ADDRESS
PHONE
RESIDENCE
o BUSINESS
o OTHER
o NEW
o REPAIR
o REMODEL
ADDITION
o DEMOLISH
PLANNING I ZONING
FIRE ZONE
STORIES
, OCCUPANCY
THIS PERMIT ISSUED FOR:
~ <~AV- L :":'L___~
r /
~ (~)~
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction,
INSPECTIONS REQUIRED: Foundation
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
FOR INSPECTORS USE ONLY:
REINSPECTION:
APPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE . ~ ~ ':;7-~
BUILDING DEPT.
~M'
BUILDING ~ERMIT
~N~
2275
AI vi
City of Bremerton, Washington
Phone: (206) 478-5281
SITE ADDRESS I LOCATION / tJ,f";;; C6ff!-< 7;A,/~ r
OWNER'S NAMEALLe,-J/ #~ ~r7 ADDRESS
CONTRACTOR ~/1 #t!J~5 STATE CONTRACTOR'S L1C. #
ADDRESS
~ RESIDENCE 0 BUSINESS
PLANNING I ZONING
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
$
6t::'-
$
o OTHER 0 NEW
FIRE ZONE
RECEIPT NO.
PERMIT FEE
RECEIPT NO. DATE
~
yo 7 /7/;7C'J.
. Jr61-{JCJg-O/A -Of? 0 Y
$;:'& .~
PHONE
PHONE
KREPAIR
o REMODEL
o ADDITION 0 DEMOLISH
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR: "~L /......~ /. /- --<_ _ -
~~~ i' ';-""r-L--h L~C r~
INSPECTIONS REQUIRED: Foundation ~.
Framing 0
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
Plumbing 0
Electrical 0
Wallboard 0
FINAL~
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
.
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE Ift/x/fj ,1 r21l/~ _ __ BY
'-' Authorized Agent
('"'
BUILDING DEPT. C-764 ~__
,/' --- ~.
...
\r~ B~U I L DIN G ~ E R M IT
.N~
1727
AI
City of Bremerton, Washington
Phone: (206) 478-5281
(
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
'11/6 ~
$
SITE ADDRESS I LOCATION 10 s~
OWNER'S NAME~ ~
CONTRACTOR ~
ADDRESS
$6"; tJ CJ
.a:t /fA.;!
ADDRESS
PHONE
STATE CONTRACTOR'S L1C. #
WRESIDENCE
o BUSINESS
o NEW
o REPAIR
PHONE
o REMODEL
I?t"ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY
THISPERMITIC~ ~.
c:h- ~
. .
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation 0
INSPECTION:
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
FINAL ~
FOR INSPECTORS USE ONLY:
REI NSPECTION:
PPROVED NOT
TYPE OF INSPECTION DATE TIME APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE ~.rtt :t' ~_.-/. BY
~~~
BUILDING DEPT. _ r
'-/
-<h
~ \)
· ( CITY OF BR~~eLlC1JM~~EPARTMENT
ADDRESS/LOCA T I O:~
APPLICATION ISSUED
OWNER....
OCCUPANCy............ TYPE OF CONSTRUCTION................
CONTR.ACTDR.............~....~...............
PLANNING
AODR E S S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. " ADDR E S S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . '" . . . . .
'H'.'........... ../;}.};;p.q!.i[..'l ~l'" . . "HON'
,,,NAl"", mU<AN~'~Pfr..." 'm...;y';ijl.7~"
STATE lIC. I...........~......
RECEIVED ~..~... ...
A
CCEPTANCE OF APPL I CA T) ON DOE~ NOT INSURE ISSUANCE OF B LDG . PERMIT.
'UNN'N;;;;;;;~:i7%2~ ~fl~A':fr .
ENGINEERING COMMENTS/REVIEWED By..........
SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAV ItlG, SIDEWALKS,SANITARY t STORM SEWER.
FIR.E DEPT. CO~~ENTS/REVIEWED By..........
.TRAFFIC DEPT. COHHENT~/REVIEWED 6Y..........
r PLUMBING REVIEWED By..........
SEPARATE PERMITS REQUIRED FOR PLUM81NG AND MEC~ANICAL WORK.
ELECTRICAL REVIEWED By..........
SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK.
BUILDINl; R.EVIEWED ;%~ /PC.c4/-- C~r~r::::
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INS P E C T ION S
>,
Inspections Required For Stated. Construction
BUILDING DEPARTMENT
o FOUNDATION
o POS.T & BEAM
[il FRAMING
D. ELECTRICAL.
o PLUMBING
. 0 MECHANICAL
o INSULATION
o SHEET ROCK OR COVER
o FINAL
ENGINEERING DEPARTMENT
DFORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
o FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
[] CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES
[]'PIPE INSTALLATION PRIOR TO COVERING
FIRE DEI> ARTME,NT
o LIFE SAFETY 0 FIRE CODE
CJ FIRE EXTINGUISHING SYSTEM D SPRINKLING SYSTEM
[JREMOVAL & INSTALLATION O~ UNDERGROUND TANK THAT WILL CONTAIN
FLAMMABLE MATERIALS
Allow 24 hour prior notice for all inspections. EmergenGies will
be handled as soon as possible. If required inspections are not
called for and made by the necessary City Departments, a Stop Work
Order will be posted until necessary inspection is completed. Any
mater~als hindering the inspection will be removed so an adequate
inspection can be performed.
All completed structures will have a Certificate of Occupancy ~EFORE
.the .structure is occupied... If a structure is occupied wi thout. a
Certificate o.fOccupancy ,the City will have the water utilities
removed and order the structure vacated until compliance is achieved.
I have read and understand all the above that pertain to the
Construction at
(address)
SIGNATURE
DATE
TITLE
"\,, 10
N/ a.)
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.P E R M ITS
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Indicate below what requirements, p~rmits are required for this project.
PLANNING DEPARTMENT
. o SHORELINE
DVARIANCE
,'D:E~VIRONMENTAL~ IMPACT
[]ENVIRONMENTAL IMPACT
BpILDING DEPARTMENT
DnUILDING
DMECHANICAL
:D.HOUSE MOVING
1!~c{'
o REZONE
o SHORT PLAT.'
ASSESSMENT
STATEMENT
o ELECTRICAL
o GRADING
o . PLUMBING
o
o
SPECIAL USE PERMIT
CHANGE OF SI~EPLAN
o DEMOLITION
o SIGN
ENGINEERING DEPARTMENT
DSIDEWALK CONSTRUCTION 0 STORM SEWERS 0 DRIVEWAY
o CURB & GUTTER CONST. 0 SANITARY SEWER CONSTRUCTION
[]STORM.DETENTIO~ REQUIRED
[]INSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK
HEALTHDE~ARTMENT
O'SEPTIC TANK
.:..~_...-...~.. --'.'y,.
D' FOOD SERVICE
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