HomeMy WebLinkAboutCOGEAN AVE., 908
INSPECTION REC.O CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS 908 COGEAN STRF.F.T
BREMERTON, WA
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6978
PERMIT NUMBER
/'-'
I '
OWNER JOE ROUSSE
CONTRACTOR BRIGGS CONSTRlTCTION
PHONE
PHONE
R71-1R39
FOUNDATION
1
CORR O. K.
COMMENTS: p(~ri f6<;'TS L<.YJ2~(( 0(==
t> r<.y fZl> T fB~ D u.! 4: '
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 nw.'1. 'J..-~o'-fS
BY:
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNEGTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TA. 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
e e
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
CORR O. K.
COMMENTS:
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:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
8 DATE I OTNNER
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BUILDING ~RMIT
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City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. 132401-3-090-2007
SITE ADDRESS/LOCATION 908 COGEAN STREET, BREMERTON, WA
OWNER'S NAME JOE ROUSSE OWNER'S ADDRESS SAME
PHONE
II:
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CONTRAGroR BRIGGS CONSTRUCTION
ADDRESS BOX 144 PORT ORCHARD, WA
STATE CONTRAGroR'S L1C. #B R - I G - G C - 2 4 2 D A
PHONE 871-1839
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUilDING
OWNER'S SIGNATURE b BY
(SEE AND READ NOTICE ON REVERS
Authorized Agent
[]: RESIDENCE
D BUSINESS D OTHER
D NEW IKl REPAIR.. D REMODEL D ADDITION
D DEMOLISH
D SIGNS
PLANNING/ZONING
# STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
RE-POST UNDER HOUSE
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 D Framing D Plumbing D Electrical D Wallboard D FINAL D
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:
OKAY FOR ISSUE/GEORGE YEAGER
>
...
-
()
SURCHARGE $1.50
BUILDING OFFICIAL:
DAVID K. DELPH/dab
VALUATION
$ 1,900.00
BUILDING INSPECTION DIVISION -
RECEIPT NO.
74960
'DATE
12-05-85
Permit No. I
6978
COPIES TO: WHITE - BUilDING, YELLOW - ASSESSOR. PINK - OWNER
BU I L DIN G
P~MIT
APPLIC~ION
City of Bremerton, Washington
Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. J '7.2
SITE ADDRESS/LOCATION C; 0 !5 co C. ~/tk
OWNER'S NAME 'JOE- Rot) SSE OWNER'S ADDRESS 5.r1-#&.. PHONE
CONTRACTOR 0$111c[;5 ~: o/fj::; 7' STATE CONTRACTOR'S L1C. # BtIf -/c-c~ c -2-~z. pA
ADDRESS Bc:x / f.f' {?O/5 ;- 0/1 cI/,4..f? 7J PHONE s>/ /-/.:73 7'
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYI G BUILDING
OWNER'S SIGNATURE BY /b~~ /'
/ Authori:t'idAgent
IX:
W
Z
;:
o
~ RESIDENCE 0 BUSINESS 0 OTHER 0 NEW 0 REPAIR 0 REMODEL 0 ADDITION 0 DEMOLISH
o SIGNS
PLANNING/ZONING
# STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
Il e ~ ~(}rS- 7
,
U/1 d l"'r
/rcJ~I$~
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:
>-
....
-
CJ
S<~ J/-,-(j
BUILDING OFFICIAL:
VALUATIO~
$ \t;fOO.2..
BUILDING INSPECTION DIVISION -
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
$ (ty()
817 PACIFIC,
$
,,-
?
Bremerton, WA 98310
pf1~11;.)
1\\"!i4;'}J
"~",'JiJ
A;"\~1.
t~"~Qi;1
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ROIJSSE, ,JOE & CHEf,;YL
908 Cogean Ave
Bremerton, WA
. Pdge 1 of
!t..'~-'
September 5, 1985
FINAL WORK WRITE-UP
SUBCONTRACT
CRA~.JLS PAC E
1. Excavate sue!: that there is a minimum of 18/1 cleal'ance belo\!l floor
joists and 12" clearancE: be-lo\'J bea!!ls. Assure a minimum of 6"
cleara.nce bet\'Jf~t.'n it/ooel and earth at perimeter and tit c()lurnns~ or
replace \!Iood with pressure treated.
e
2. Replace an miscc'l hncous footing llIatol'ials found throughout
crawlspace (rocks, bricks, \!Icorl blocks, concrete blocks) with
pre-cast 1,2/1 x 1,::" x G/I concrete piers that hove po:~t basE:s.
P&I salTlE: pre-cast pi(~rs bolo"l columns that are pres~nt"ly tenn-inating
on ditto l\sslIrC' full bC'arillg of l~CVi (lnd existing piers on
uncii sturb(;d earth. "
3. Remove all fCY'il1 material left from foundo.t-ion pour. f\eplace all
stl'uctural iD(,lllbei's, beams, floor joists and per"illleter' heams thdt:
are deteriorated. N2W \!Iuad that is in contact with Goncrete or
closer tilo.n 6/1 to earLh Sh,l"ll be pressure tr'eatecl.
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BUILDING FJtRMIT
J~~
6359 AI
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE . RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ 200.00 $ 6.50 73873 $ 10.00 73873 4/12/85
SITE ADDRESS I LOCATION 908 COG EA N
OWNER'S NAME J OS EPH ROU SSE
ADDRESS 908 COGEAN
PHONE 479-0720
CONTRACTOR
SELF
STATE CONTRACTOR'S L1C. #
ADDRESS
~ RESIDENCE D BUSINESS
D OTHER D NEW
PLANNING I ZONING
PHONE
D REPAIR
D ADDITION D DEMOLISH
D FENCE D SIGNS
OCCUPANCY
D REMODEL
STORIES
THIS PERMIT ISSUED FOR:
PUT SIDING UP ON HIS HOUSE
TYPE M BUILDINGS NOT 10 BE USED FOR HUMAN OCCUPANCY
. .
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 D
Framing D
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
Plumbing D
Electrical D
Wallboard D
FI
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FOR INSPECTORS USE ONLY:
REI NSPECTION:
NOT
TYPE OF INSPECTION DArE TIME APPROVED APPROVED
.FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
.
Building Inspector
CERTIFICATE REQUIRED BEFORE OCCUPYING BUilDING
OWNER'S SIGNATURE
~
BY
. BUILDING DEPT.
Authorized Agent
INSPECTION RECcMD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS
908 COGEAN
.
6359
PERMIT NUMBER
OWNER JOSEPH ROUSSE
SE LF
CONTRACTOR
PHONE 479-0720
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 --
I
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
CORR O. K.
COMMENTS:
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:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
BUILDING FtRMlr
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6 ~15 9 .
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City of Bremerton,Washingtc)r!.
Phone: (206) 478-5281 J ~...~ Lf -9.1 '3 -:- 098-':< '00
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
PERMIT FEE i.;
RECEIPT NO.
DATE
$200.00
$ 6.50
908 COGfIAN
73873
$ 10.00
73873
4/12/85
SITE ADDRESS I LOCATION
OWNER'S NAME JOSEPH ROUSSE
ADDRESS 908 COGEAN
/i
PHONE 479-0720
CONTRACTOR
SELF
STATE CONTRACTOR'S L1C. #
ADDRESS
~ RESIDENCE 0 BUSINESS
PHONE
o OTHER 0 NEW
o REPAIR
o REMODEL
o ADDITION 0 DEMOLISH
o FENCE 0 SIGNS
OCCUPANCY
PLANNING I ZONING
STORIES
THIS PERMIT ISSUED FOR:
PUT SIDING UP ON HIS HOUSE
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY
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
FINAL 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REI NSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
,
.I
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
" ...... .......... '
(' "1 J -) '~, '
OWNER'S SIGNATURE\\/..'t..~e ~~, tf-!.\,".J-~<tk.:t..,\..,' BY
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C / Authorized Agent
\JILDING DEPT.
.~, ~ -: '"
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BUILDING ~ERMIT
AP~ICA TION ]
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. JEPT VALvE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ ~OrOO $ (,/50 $ /D, 0 0 L;- -- /..L-zf5
SITE ADDRESS I LOCATION C/o 8- )./}/\/
OWNER'S NAME :::SO~f-i
CONTRACTOR g~
ADDRESS
f.ouss~s
,
?&5~
PHONE
STATE CONTRACTOR'S L1C. #
PHONE
[J RESIDENCE
n NEW
[J REMODEL
-, BUSINESS
o OTHER
PLANNING I ZONING
C REPAIR
o DEMOLISH
o SIGNS
[J ADDITION
o FENCE
OCCUPANCY
STORIES
THIS PERMIT ISSUED FOR:
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY
INSPECTIONS REQUIRED: Foundation 0
Framing []
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 authonty 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 Ii
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
,II NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
I
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FINAL INSPECTION APPROVED BY
COMMENT I DATE TIME I APCPO..
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BUIlding Inspector
OWNER'S SIGNATURE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
BY
AuthoflzecJ Agent
BUILDING DEPT.
~
~~
3350
AI
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BUILDING PERMIT
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City of Bremerfon, Washington
Phone: (206) 478-5281
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO. DATE
Sv. b-5~ ~"-y,...J>/
$ ~ ---- $ II. 3'8
SITE ADDRESS/LOCATION 9~' ~ ~
OWNER'S NAMEar~j/ F ~ ADDRESS
CONTRACTOR ~_~
$ I h.50
PHONE
STATE CONTRACTOR'S L1C. #
ADDRESS
.P(RESIDENCE
PLANNING / ZONING
D BUSINESS
D OTHER
D NEW
D REPAIR
PHONE
D REMODEL ~. ADDITION
D DEMOLISH
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
~J ~/;-~~2::-.._~ /?~~ of A--e'4J ~,~- c~
~- ,D~'-A ';J
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.x Plumbing D Electrical)8( Wallboar FINAL~
}T'r,'(-:H.t'N~
FOR INSPECTORS USE ONLY:
REINSPECTION:
APPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
ISSUANCE OF OCCUPANCY
Building Inspector
OWNER'S SIGNATURE,
ATE REQUIRED BEFORE OCCUPYING BUILDING
~
BY
BUILDING DEPT.
.. .. . .. . APPb!CA TION. (
CITY OF BHEM.ON BUILDING DeARTMENT
~~i j~-~." ...... .J . . ,PERMlT FEE s.. ./7.: .~~i!.. ~ (PLAN CHLCK /I.<.$. ?:... ...) Coo. ~~~~~~~.. J
ADOR:..SS-'lOCAT.IOr~ OF .JOB..~....9(J... "':~":d~"L:..":"';P'-":"'"'''''''''''' ...................... ...
APPLICATION ISSUED FOR: ......~~.....~..rJ>r.~::J..~........................... ....
PROPEnTY TAX ACCT. NO................................. -;:. . . . . . . . . . . . . . . . . . . . . . . . . .
-
,!lANNING ZorHNG............ FJRE ZONE............ OCCUPANCY......:.~....,j TYP'E
OWNER....~.. .~......... .~............ . CONTRACTOR.. .
Q D ~ ..~~._..._....:'".....~...........
AOORESS;..,t-e'-.q:.... .: .... .... .., '
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PHONL..... :_._~.,_._.2;J .-.~~.f:J./. . .. ........ ~ ~ ~: ~ ~ ~.' ~ ~ ~ ~ ~'.'.'.'. STATE Ll C ,
PHcir~E. . . . . . ~'_' . . . . ',' . . .'0.. . . . . .. .. . . . ~.. . . . .. . .
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DATE....?.......... ..... RECEI~EO~~~~" . .,
CONSTRUCTION..... ..............'
S~GN~TURE ~~PLlCAN",,9~ 'A_--I.j(R.~......
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ACCEPTANCE OF APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.
PLANNING COHMENTS/~EVIEWE08Y.~.... <..J-3"l!!;1
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ENGINEERING COMMENTS/REVIEWED By.J\ "'~"'.~ /?/f'!
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DEPT. COMME~TS/RE.V E\oIED,BY..: ?-.:.;~>,.
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SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING,
/; STORM SEWER.
FIRE
APP'D
DY
~RAFfIC DEPT. CO~~E~T~/REVIEWED By..........
APP'D
BY
PLUMBING REVI EwED BY........-..
d1
WATER O[PT.
-r SEPARATE PERMITS REQUIREO FOR PLUMBING AND MECHANICAL WORK.
",,-
, APP'D
BY
~
ELECTRICAL REVIEWED By..........
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SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK. '
BUI LOIN:; REVI EWED BY . .' I. ,,'
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