HomeMy WebLinkAboutCLARE AVE., 2833
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B~~N:>~'TC&:HTER.
286 4th Street." Bremerton~ WA .98337 ^
Phone: (360) 478-5275 PAX: (360) 478-5278
BUILDING PERMIT
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Job Addr: ~833 CLARE AVE
Location::
arcel No:
Permit No~
Status:
Applied:
Is~:
Expires:
00.-0300 .
ISSUED.
06/21/2000
06/21/2000
12/1812000
pplicant: SWANLUND HEATING & FABRICATING
PO BOX 579 POULSBO, WA. 98370
G-11Jner: S(~TTER, SCOTT 479-.2455
2833 CLARE AVE BREMER TON WA 98310
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D (o-J-3-o
ntractor: SWANLUNO HEATING & FABRICATING
PO BOX 579 POULSBO, WA. 98370
Lie t: SWANLHFI100Z Exp: 3/3/2001
Subcont r::
sc: GAS FURNACE, GAS HOT WATER TANK. GAS PIPING
*************~*************~***************************************************************
Valuation * Permit Fees: 61.55 Total Calculated Fee: 61.55
,,00 )f( Plan Check Fees~ .00 Additional Fees: .00
* Other Fees: .00 Total Permit Fee~ 61.55
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::HANlCAL/PLUMBIN6 FD(TURES~- 1'iECl-I-Ga:\:; Fumace to lOOk btu. = 1 MECH-Gas Piping (ouUwts).. N. = 2
3G-WahlY HeateY....... N .. .. . " . : 1
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is peYmit ""hall become null and vOld if t.he building OY wfwk autho\'ized by this peY011t, is not commenced within
) daY$ hom the date of su.ch pennit. OY If this building 0\' woYk authodx:ed by $Ut~h pel\'mit is $LllSPended oy
mooned a:I:, any time a.fter the WOYK i$ commfm:,-ed foy a peY'iod of 180 days"
rICE: - It i$ the yesPoY1sibili h' of the permit hOldey, not the City of P',Y'E-merton or Building Official t.o see
it that '(equi.yed lr\spections are made. The p@ymit holdey must Iiotify th~ Building Official when 'n~ady for'
$pecUo\'1s" Failux(!! of the peymit holder to notif>' the BuildiY1~~ Official of nilqu.1red in$pecUons ma~' r'0$UU
t.he stotipage of: the woYk until such time that the penni t holdey can $ubstanti;~rl:,e t.o t:.he bl.lilding official
at the ccmcealecJ ~JOy'k meets CIY exceeds code reql.liyements. Any demolition, ter:ot:l.ng, oy financial t)Uyd~n shall
boyr\e"di Yer;tly by the peym1t holdey. Fa,iluY\rt t.o 9ubst.antiate code yequi rement..$ ,~ill indemnify' t.he City
~in9t any w.nd ;:(11 Yt.'$ponsibilH:.>' 01' liability connectlJld "lith the (;:Ol1$tYllction.
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1eyeby ceYti fy that I have '(11!a,d r~nd (l,{ami ned this panfil t and know the same to be tlU'" and coyrect" All
)visioris of laws a.nd oYdinanc '" !;K1vemirs thi' tYPE> of woYk will be .r;omplied wHh whethe'( sPlOCi fied' he:yei\1
Mot. 5he 9yarrt.ine >:if a pe-' lit ( era not Pr' ~ me to give a,uthoYity to violate 0\' cancel the Pyovisioll$ of
, clthey- ~ltate QY local yegu t.ing cor . uetion or. the pey'fonnancEl of COl1~trucUon.
matuy~,=~__.__ . . ,____,_____._. Date=.~J~~_.
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;,!wti fv th~t I am ex...mpi: from the yequi yements of l:he st$.t(1, contractoy's yegish",tion law, undey
:Uon 3~ Chaptel' 126. la~~$ of 1967"
, .
In1J.tUY~~,__....;....___,_____,__._____..____.".,,______ Oate~_,_______,______.______.,
U***)j(;ln;;)!()fo/(lIOIOIO!OI,')j()j()f()I(**lfOIOK / /
rmi t C1nt er --Approved By' !f::2:l1ro~.. t e , _l€IY..!Lop-,
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BREMERTON PERMIT CENTER
286 4th Street~ Bremerton~ WA 98337
Phone: (360) 478-5275 FAX: (360) 478,-5278
Job Address: 2833 CLARE AVE
Location:
5S,' Acct No:
Building Permit No: 00-0300
Status: ISSUED
Issued: 06/21/2000
.fi-xpi res: 12/18/2000
R E QUI RED
INS PEe T ION S
Item: 01400 MECHANICAL
Item: 01550 PLUMBING
Dept: BLDG
Dept: SLOG
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~STING: Must be recognized by the Washington Association of Building Officials
::;lECIN.SP: Must be '(egistel-ed with the State of WA
r OF WA: State of WA Dept. of Labor and Industries 478-4921
~ALTH: Bremerton/Kitsap Health District 478-5235
?1,.rnJ t Hol?f'l'8
Lgnature: .~,___,___.
::-)8r~EMERTON MUST BE SCHEDULE[) THROUGH THE
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6C:60 OO/TZ/90 SS"t9 :lunowv S2S00000 :J8QwnN ldI3J3cl
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iciij6fBj.~tri~ri:~ri;washih~o~_..983i {}. ..)....Ph6rie;-{2ri6}418S527:s:....FAXi(206)478~5278..-- -:. ---
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APPLICANT: DOWNER 00 cONTRAO'OR 0 OTHER:
COMMENTS:
SITE ADDRESS: ..16;"; c.l.Ae€. A~ (3eEM..
OWNER: stoTT :SJ\Tfe.2...
CONTRAcrOR: $WANWO[) tfERlJt>&
CONTRAcrOR LICENSE # $W.AJ\)WfUbOZ--
.. 11-11... 2l/~~
ADDRESS: ZB33 c.LAeE AVE- f.}ts.\..
ADDRESS: r.o.50K ,&17 '61L-VE.f2J.)AL-e.
EXPIRATION DATE: 3l~ lo I
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t:,q~- qq11
CONTRAcrOR PHONE #
OWNER PHONE #
NO?
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...PEE:
RAt"I GE
WOOD/PELLET STOVE
, GAS FURNACE b-t1t's: fA. tJOO
CONVERSION BURNER bttt's:
UNIT HEATER bt1t 's:
BOILER bt1t's:
GAS PIPING
EVAPORATION COOLERS btu's:
AC UNIT bttt's:
HEAT PUMP bttt's: tom:
REHEAT BOX btu's:
AlR HA."JDLING UNIT btrt's:
LXHAUST FANS
RANGE HOOD (residential)
. RANGE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
DUcr ALTERATION
TANKS type:
REFRIGERATION UNIT
OTHER:
MECHANICAL PERMIT FEE
WATER CLOSET
BATHTUB
LAVATORY
SHOWER
KITCHEN SINK rn 1 Ie; ff~ I~ II" 'J It; r '
DISHWASHER i'\ n~_ II-N H";' II ~. ,,;..., ,
LAUNDRY TRAY LI .;, . _, 'I ,,,; ',~
CLOTHES WASHER dUll/ (; " ...\ l"
J WATER HEATER
URINAL L.li \~IYil-l \ I q)N
DRINKING FOUNTAINBUlIJ]Nb ........", ""......
FLOOR SINK OR DRAIN
SLOP SINK
WATER PIPIING & ALTERATION
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWER (mobile / moved house)
ROOF DRAINS
OTHER:f"'~
$15.00 PLUMBING PERMIT FEE (15.00 or 4.50)
MECHANICAL FEES: G, c- (-
PLUMBING FEES:. ( "J.i1I..
"W~1 F}ES:-u--- · 8',
/!It{4aItH1 DATE: b/~ 100
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APPLICANT'S SIGNATURE:
- ~7
Scope of
Address:
Contractor:
BIIEMEIt'I'Ol" IIUILDING DEl)AII1'MEN'1'
Plwnbing/Mechanicallnspection Ileport ' ~
I)ennlt Number: ()o -Wo ()
Owner:
1ll1ollc:
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U ndc:r lei! (I OJ'.~.U<!~IJ..!.I!lI.l..~~es) Prol~r_~iE!.'lL..& sUPJ'Orl
12" m}~!'~!!~l~~r:~~I.~ whe'.1 unJcrgr.~~lIul C?~_~c:~!wr_arE!_~~~~,IergroUJul or wilhih 6" of card.
Grolllul-joinl uniom I'rohihice,I in ccruin locuion, nllshillf;S nol allo~J in conccakll uea,
GAS PIPING
COMMENTS:__
GAS PIPING APPROVED:
FURNACE
~!I'uia~urer..!.!l~f~~.~,~~-,!.!_ice ~_~~~!!-a.~!.!..'!.lrl).<!.r.t
Ckuanoc to comhu,cihk, V~~~~!'Ii: dc:auncc lO comhuscihb
------
Velll ,hi.l.$.. & '!!l'l'orllconocaion, Veil[ lcrmin",lion
Comhllscion air Claim'.w.:Y.: li!K:r anJ/or scpualc flucs a, required
---~-~--
Ga, ,hul--<>ff wid,in 3' Pi.lot ekvat(:>(1 off ~oor i!.'.Auage
-------
Ducts: ,he & support/insulated when required Return air
COMMENTS:
FURNACE APPROVED:
:;qJp
,
1~5-~
M~!~.f~<.:~~r's sl'.Co~o~ions ~.!.~~~e -- _!!~~.._~~.!-acc.cs~_!:'.rJ'ort
Ck-:luncc to combllscihles Vc:.~I}.~lll:......~!!!~OC 10 co.!.~.lHlSlihks
~------------_.
Vel-'.r...s._~i_I.IL~~Jll)(lr~_,:!!IIIK'~~..?!~~ Vent lerminarion
-,._-------
Comhuslion air _ _~!~lIIncy: li.ner aJl(Uor scpua-,e nUC3 as rC<:luircd
Gas shut-ofT within 3' W()()41 '_love & fi~~aces: pr~carlh
Wood stOVCll: EPA al'~rovcd Gas logs: U.!CIY sllllt-ofT
Wood. Slova & lirc:pbOOl: tight lining .loon Gas shut--<>fT within 3'
MISC. APPLIANCES
COMMENTS:
MISC. APPUANCES APPROVED:
Manufacturer's SI)(;ci.liGl~~_'~~I_' sile Locatio",!-~~_s~':'Jlr.ort
Ckuanoc to wmhu'lihks Ve.I~~i!.'j;: ~!~I_lCe to~mhustihks
- .
Vent shi&-.!lL~.!.'.'.fl'orll col~li~~1S Vent termination
._--------
Combustion air Ct.lim!~~~/or ~.rale fluCll U required
-
Gas sllllt-off wilhin 3' Pil<!.~~at~~fT n~0.!.~u~e
Gate valve on coM ~~r sUJlJ.l.1y Relief valve JrairlC(110 outside
. --.-- -~---------
Copper 10 galvalliuJ CO~UIo0Cliolll UI!ion..!..~1U water pipes
Seismic stup
WATER DEATER
COMMENTS:
WATnRHEATER APPROVE
!
~M..(!)6
~ty)
ALL WORK UNDI<<t TIllS .tERltII'l' API.IlOVEI
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
Z. 8' >:$ ~,.e. ~e.
ADDRESS & DIRECTIONS
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PERMIT NUMBER
OWNER
CONTRACTOR
f.t/, '/ b"lIl "j
PHONE
PHONE
COMMENTS:
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 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 --
FRAMING INSPECTION APPROVED
BY:
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
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 -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P R. VALVE --
12. OTHER --
3
WALLBOARD
COMMENTS:
CORR O.K.
1. LID OVER SIDES _ _
2. NAILING _ _
3. WIR 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:
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. SEWERIHEALTH DEPT. --
-- 12. COMMERCIAL BUILDING --
-- A-MECHANICAL APPROVED --
-- B-PLUMBING APPROVED --
-- 13. SMOKE DETECTORS --
-- 14. FIREPLACE HEARTH --
-- 15. SAFETY GLAZINGI
-- DOUBLE GLAZED --
16. INSULATION CERTIFICATE --
-- 17. FREE-STANDING
-- FIREPLACE APPROVED --
-- 18. WINDOWS & DOORS CAULKED --
-- WEATHER-STRIPPED --
--
FINAL INSPECTION APPROVED
BY:
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NOTES:
~
PLANNING:
BUILDING~ERMIT
e
City of Bremerton, Washington
Phone:' (206) 478-5281 ASSESSOR'S ACCOUNT NO. 3965-000-143-0005
SITE ADDRESS/LOCATION
2833 Clare Ave
OWNER'S NAME Donald P. Hilliard
OWNER'S ADDRESS self!.
PHONE 377-6913
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CONTRACTOR self
ADDRESS
STATE CONTRACTOR'S L1C. #
PHONE
ISSUANCE OF OCCUPANCY CERTIFICATE RE
OWNER'S SIGNATURE ~--0~ d...-
RE OCCUPYING BUILDING
BY
Authorized Agent
(SEE AND READ NOTICE ON REVERSE SIDE)
[iI RESIDENCE
D BUSINESS
D OTHER IKJ NEW D REPAIR
D REMODEL 0 ADDITION
D DEMOLISH
D SIGNS
PLANNING/ZONING
# STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
new garage, 576 sf
INSPECTIONS REQUIRED: Foundation~raming [XJ Plumbing D Mechanical D Wallboard IKJ FINAL KJ
OWNER OR BUILDER SHALL CAL~Y U1RED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRP>ptvp PPLlCABLE) FOR PLUMBING AND MECHANICAL.
COMMENTS:
All provisions of laws and ordinances governing thi e work will be complied with whether specified herein or not. The grantiRg of a permit does not
presume to give authority to violate or cancel e . ns of any other state or local law regulating construction or the performance of construction.
>-
...
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U
STATE SURCHARGE $ 1.50 (All)
ENERGY CHARGE $10.00/15.00
*
BUILDING OFFICIAL:
VAWATION
$ 7,488.00
BUILDING INSPECTION DIVISION ~
PLAN CHECK FEE
$ 64.35
RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
76008 $ 99.00 ~0.:2~ 9/2/86
Bremerton, WA 98310
Permit No. I
7549
COPIES TO: WHITE - BUilDING, YEllOW - ASSESSOR, PINK - OWNER
, "
S'U I L 0 I N G
PERM I T
APPLICATION
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO.
4~ - /=C:O)
SITE ADDRESS/LOCATION
.-----
OWNER'S N~ME l-~NA-\ \)
CONTRACTOR ~'1j~
ADDRESS
2-8'33 CLARE /t-Uc
? f-t llirtK'D OWNER'S ADDRESS
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=-9)'3 CL..I'\-i2..E A-~ PHONE3TT-'-CzI3
STATE CONTRACTOR'S L1C. #
PHONE
ISSUANCE OF OCCUPANCY CERTIFICATE R~QUJ!j7D BEFORE OCCUPYING BUILDING
~ /"Y7 /( (~/ , r::;;
OWNER'S SIGNATURE...----f-~~~ !"-_~- '0 BY
Authorized Agent
~ RESIDENCE o BUSINESS ~ OTHER o NEW o REPAIR o REMODEL o ADDITION o DEMOLISH
&, ~(...~ o SIGNS
PLANNING/ZONING # STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: ,,-SjCo cScp ( ~.2lK a2~)
....
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.
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS A~REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
COMMENTS'1(; f -"~S~~O<C'Hj 'o/~F(',.
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BUILDING OFFICIAL:
$
VALUATION
7 <?00
PLAN CHECK FEE
$ 64.-~
RECEIPT NO, PERMIT FEE
7~$9
Bremerton, WA 98310 /::d-
RECEIPT NO.
2- ~~~ o*,
BUILDING INSPECTION DIVISION - 81 7 PAC I FIe,
I~
PERM IT
APPLICATION
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO.
- 4~ - ~=;:-:U;
SITE ADDRESS/LOCATION
'--..
OWNER'S NAME 1- bNA-l'U
CONTRACTOR ~j~
ADDRESS
2 g 33 CLARe- /f-Uc
? H~ lliM-/ctJ OWNER'S ADDRESS
312 C /1-1 E:fZ /cf>1
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PHONE
29 ~3 CLMLE A-J6- PHONE311- (,.'7, I 3
STATE CONTRACTOR'S L1C. #
ISSUANCE OF OCCUPANCY CERTIFICATE,,~?~p ~RE OCCUPYING BUILDING
OWNER'S SIGNATURE ~~ .{_~-~ . BY
Authorized Agent
~ RESIDENCE o BUSINESS ~OTHER o NEW o REPAIR o REMODEL o ADDITION o DEMOLISH
~ tT1~'- G: o SIGNS
PLANNING/ZONING # STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: GIG ~cp ( ~4 K 024 )
--
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.
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
COMMENTS:;::~Ir.~. ~ ~,Jft-~~
4J/~'~, 8 ',' ;;t?~ .
RECEIVED
,'UG 2 ;~ 1986
I , ~ ;-:::-\ ,'"?
~6;jLS
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l 0.7 :7 0"-
U \~_, i:'!';.
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BREMERlON ~IH\:-, 1H:l"L
....;;;.1_ :::_,:. '_',}
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... V I __,-,:,', '-' -...
BUILDING OFFICIAL:
$
VALUATION
7 ~,oo
PLAN CHECK FEE
$~4~
RECEIPT NO. PERMIT FEE
7~~ $9
Bremerton, WA 98310 /::d.-
RECEIPT NO.
f ~!s: ~
BUILDING INSPECTION DIVISION - 81 7 PAC I FIe,
.~BtJ I LD I NG
PERMIT, APPLICATION
SITE ADDRESS/LOCATION
OWNER'S NAME "l),d'JII-I'D
CONTRACTOR ~\\:(
ADDRESS
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO.
Z g:5 3 C LArc E If-uc olZE (/;1 ElZf75>1 w /J ,
r ~
'P H~ll',,+f('a OWNER'SADDRESS Z933 CLM2..E A-LE- PHONE5tT-t;'1/3
ISSUANCE OF OCCUPANCY CERTIFICATE REQU
. OWNER'S SIGNATURE ~c;P' d
PHONE
~
1&1
Z
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o
STATE CONTRACTOR'S L1C. #
BY
Authorized Agent
~ RESIDENCE o BUSINESS ~OTHER o NEW o REPAIR o REMODEL o ADDITION o DEMOLISH
r;;;, fhUl-(.". ~ o SIGNS
PLANNING/ZONING # STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: \.5; C:, cScp ( ~4 K 024 )
......
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.
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
COMMENTS:----r-~ ~ D~ ~/;:;;,~/?tr.;..:
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8:JiL~If'!C: ~~~:~~:~:~~:~.r
BUILDING OFFICIAL:
VALUATION
$ 7 ~.OO
BUILDING INSPECTION DIVISION -
PLAN CHECK FEE
$ C~-Y-
817 PACIFIC,
RECEIPT NO. PERMIT FEE
~ $9 cP
RECEIPT NO.
(1 DATE D1'
If -~~ -&b
BUILDING
PERM I T
APPLICATION
~
City of Bremerton, Washington ~_./'
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. -SC;b ~ -(::J~') -143 -(=r:r;.
SITE ADDRESS/LOCATION 2 g 3 3 C LA r< c ;fU c 2/Z C J1-16 72 ruJ1 w:4 '
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OWNER'SNAME~N~ll) P f-tllilt,ztJ OWNER'SADDRESS .?9T3 CLI'\-ILE A-~ PHONE31'T-"~/3
---- , ,-----
CONTRACTOR ~ \ ''\ STATE CONTRACTOR'S L1C. #
ADDRESS PHONE
ISSUANCE OF OCCUPANCY CERTIFICATE/~/E(~ ~RE OCCUPYING BUILDING
OWNER'S SIGNATURE ~~~/~~-- ' BY
Authorized Agent
I)i( RESIDENCE o BUSINESS ~OTHER o NEW o REPAIR o REMODEL o ADDITION o DEMOLISH
~~l% o SIGNS
PLANNING/ZONING # STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: GIro cSQ ( c:24 X- 024 )
I --
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.
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
COMMENTS:~(:::) ?If'..rw'\'n~ ~~w;..".'
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BUILDING OFFICIAL:
VALUATION
$ 7 ~.00
PLAN CHECK FEE
$6q~
817 PACIFIC,
RECEIPT NO. PERMIT FEE
7~$9
RECEIPT NO.
DATE C1
f -d--~ -Ok:
BUILDING INSPECTION DIVISION -
1-
"
CITY OF BREl1ERICN BUIIDIm DEPA.~
PE'PMIT APPLICATION
DATE
8-28- 198 6
TO BE CCMPLEI'ED BY
9-2-198 6
Donald P. Hilliard
ori1NE~
self
mNTRACl'OR
2833 Clare Avenue
~,TION OF JOB
For Garage
ENG:rNEERIm CCMMENTS/REVIEWED BY .JiS
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