HomeMy WebLinkAboutCONSTITUTION AVE. S., 411
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',( ,UILDING PERMIT
Cit~/of 6remertOrl, Washington 98310
Assessor's Tax Account No.: 3790-006-005-0000
Lots 10 and 11 Blk 6 n '.Uf1 S. Constitution
Site Address: . "f
Owner's Name: Jack C. ,Matson Address:
N2 9270
'Phone: (206) 478-5281
, ,
Phone No,: 479-4089
441S~Coristitution
Applicant: ,
[XI Owner
o Architect
D Contractor
o Tenant
Arc;hitect Firm:
Address:
"
Representative:
f'
Phone:
/
Contractor:' Matco Construction
i,.
Representative:
Phone: 479-4089
E D 7/5/89'
xp, ate:
Address: ,
441 S. Constitution Avencle,
Contmctor's license No.:
MATCOC'*278MP,
D Re'sidence
D Demolish
o Grading (cu. yds
Nature ,of Work Proposed:
o Business
[i] Duplex
o Other:
o Multi-Family (No, units
o Bldg. Move
[!} New
o Repair
o Sign,
o Remodel/Addn
o Parkin~ Lot
)
N"'1loT d11r'l ex;
.'~ ~J!I'''~;'>,.''''''
'Sq. Ft.:
Utilities: t, ,0 Water f't);; 0 Waste
D Sew~r
o Septic
D New
o Existing
-0" Storm
. J .-
Valuation of Materials/Labor:
lUBe Sec. 304(b)]
$56,456
Plan Review r=ee:
Bas ic /F3
$ 50.00
Permit Fee: '
Surcharges:
3.50
State ~~ [iJ
Energy( JlW~.s Ii]
15.00
77912
Receipt No.:
I
Date: 1/22/88
$ 446.00
Receipt No.: 11 Qf I
Date: J I /d../ 1ft
, ,
Zone Designation:
Minimum Reg. Setbacks: Front:
Occupancy Classification (UBe):
No. Stories:
Side:
Rear:
Height:
Heat Source:,
Comments/Conditions of Approval:
Fire--Doors from garage to living spaces shall be 20 minute rated w/ self
closing feature.
Water--Need sewer permit ,and application for water service.
Richard R. Mumma, Building Official
INSPECTIONS'REQUIRED: Foundation [i] Framing [i] Plumbing [iJ Mechanical IiJ Wallboard [i] . FINAL [i]
. ,
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL
All proviSions ?f laws and "ordinances governing this type of work will be complied with whether specified herem 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. SEE AND READ NOTICE ON REVERSE.
\ Signature/~J{/YJ :J?J.tZ~4:-
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'i;opies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
\ . ,
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Date 11/.,2r?/!-r
/ /.
Stat. Code I 2,
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""'\ .. BUILDING PERM'IT I NO -- - 9'339
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City of Bremerton, Washington 98310 ' Phone: (20'6) ,A78.L528~:,L-'-:r ':[ 't'~ "j. ,
, ;;;.-;:..,'1"'-',-:. ' 1
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Assessor's Tax Account No.: Plumbing
Site .Address: 409/411 S. Constitution Phone No.: 479-4089
Owner's Name: Jack Matson :.. ,~,' " ' Address; ,44.1 S. Constitution
----" ::';,,',\ ,. ..:.- ..'-' , 'd,~.
",",'''''" " ", 'I. ; ...../.
[!] Owner ' . D : Ar~Wi\ect ',' D D Tenant
Applicant: , Contractor
, ,
Architect Firm: ,,(jc:u,', Representative:
I
Address: Phone: '
,
, .\.
Contractor: The Comfort Co. ? Inc. Representative:
Address: Phone: ,-
I 2/1/89
Contra,ctor's License No.: BOMFOCI137BT Exp. Date:
00 D D Other: D New D Repair~' .' " D RemodelfAddn
Residence Business
D Demolish [!J Duplex D Multi-Family (No. units ) D Sign D Parking Lot
D Grading (cu, yds ) D' Bldg. Move <'
Nature' of Work Proposed,: Plumbing permit for 2 water closet'lS ? 2 bathtubsp 2 lavs? 2 kitchen
s:l.nksldispsElsls. 2 dishwashers. 2 clothes washers~ 2 water heaters
_,I'
Sq~ Ft.:
Utilities: D Water D Waste D Sewer D Septic D New D Existing D Storm
Valuation of MaterialsfLabor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $ $
102.00 State $1.50 D
\\ I Receipt No.: Receipt No.: ' 79487 Energy $10/$15 D
/ Date: Date: 1/9/89
/
Zone Designation: ,,\ / Occupancy Classification (UBC): No, Stories:
\\ i
Minim~m Re~. Setbacks:--front: W Side: Rear: Height: Heat Source:
/' \ l'
Comments/Condmons 6\vJ',
fwt""'_. \, /
"'__x
\ "
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Richard R. Mumma~ Building Official
INSPECTIONS REQUIRED: Foundation D Framing D Plumbing [!J Mechanical D Wallboard D FINAL Q9
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
, WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All provIsions of laws and ord'fances governing thiS type of work will be compiled With whether specified herem or not The grantmg of a permit does not presume to give authOrity to Violate or cancel the
;::~:tsuo;:nY o~ l::J.1aw ~~O~he performance of construcllOn SEE AND READ NOTICE ON REVERSE. Date / /9 / r:T ~
Ill..... IT . - / / .
1/
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Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building ,
,Stat. Code I
....
'......
PERMIT APPLICATION
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
e~A
"'"
-Y~/
-Y
PHONE
Class of work: l)a NEW
D MECHANICAL
MAil ADDRESS
D ADDITION D ALTERATION
PHONE LICENSE NO.
D REPAIR e.... () l-1 F 0 ~ T
CONTRACTOR
D PLUMBING
COMMENTS
No.
l\'pe ot Equipment
Fee
No.
l\'pe ot Fixture or Item
STOVES Gas_ Oi~ W~
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG.-> Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up f1ow_ Down f1ow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat_ LP _>
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_HP_
GAS SYSTEM Max. 5 outlet Tota~
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas EJec. Combo_
BTU_
HEAT PUMP Single Package_ Split.--
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS ExhausL- Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heatmg/CoOhn9-- ExhaU5L-
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
WATER CLOSET (lOILE1)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASrE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - PTivats_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
~
~
~
~
~
~
~
Fee
j;.) 01-
I~-(J{..
/.;). ilK
J,.;)_ 6/\
I~ _ ClI'1
I cJ_ 61\
J~-lSl"
PERMIT s 15 Go
TOTAL S / ()~- 0 f
! I
PERMIT' ~
TOTAL FEE st=::=j
I NOTICE
THIS PERMIT BECOMES NUll AND VOID IF 'NORK OR CONSTRUCTION AUTHORIZE
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SU
PEND ED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOF
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPlJCATION Al'i
I<NOW THE SAME TO BE TRUE AND CORRECT: All PROVISIONS OF LAWS Al'i
ORDINANCES GOVERNING THIS TYPE OF 'NORK Will BE SOMPlED WITH WHETHE
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESU~
TO GIVE AUTHORITY TO vlOlJiTE OR CANCEL THE PROVISIONS OF ANY OTHf
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE C
CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED N:3ENT
(OAr
FINAL APPROVAL
RECEIPT NO.
SIGNATURE OF CWNER (IF CWNER BUILDER)
7R'-i J1
(OAr
PERMIT
(Whrt&-ORIGINAL. Yellow-INSPECTOR, Pink-APPLICANT)
. -
.
CITY OFBREMERTON - BUILDING DEPARTMENT
. 478-5281 - 817 PACIFIC AVENUE,BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
9Z.7tP
9339- P
I have this day inspected this structure and these premises and have 'found the following violations
of City, County and/or State laws ning same:
411 4 t:rJ<:. 6/ '.b $ 0'
You are hereby notified that no more work shall be covered upon these premises until the above viola-
tions are corrected. When correcli~ns have been made, call for re-inspy~
Do Not Remove This Tag DATE l;z~..tl9 .
. .. r NSPECTOR FO BUILDI EPT.
a
CITY OF BREMERTON
POSTING MEMO FOR REFUNDS
The amount of
$102.00
received as plumbin~Lpermit fee
is to be refunded to:
Mateo Construction
441 S. Constitution
Bremerton. WA
98312
as a resuit of paid for plumbing permit. should have been issued free of charge
Date and number of original Treasurer's Receipt (if applicable)
i!79487, 1/9/89
Fund/Revenue Account to be debited
001-62-322.1003
~~
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V "" . "'" "1 '-
SUPERVISOR
DIRECTOR OF ADMINISTRATIVE SERVICES
Paid by Treasurer's Check #
Dated
CITY TREASURER
FORM N730 l3/P) COMPRINT, INC. (206) 373-9940
/
BUILDING
PERMIT
APPLICATION
City of Bremerton, Washington 98310
Assessor's Tax Account No.: (5 ?10-CJ06 '-OOS--'CltJOO
Site Address: ).o/'S /c1 1'-// .(5,);f- 6/1110.
Owner's Name: 'J4c,;f c. i MH730~
Phone: (206) 478-5281
CC?"</S7//K/f,1I<-{ Phone NO.:' ij7~- o/c;J3r
Address: . Ey'~/ $", GJA/....-j;'.;- k.-7; o.v- rclVE.
Applicant:
[ZJ Owner
D Architect
D Contract~r ." f D Tenant
.. '" '"
Representative:
Ph~:>ne:
Representative:
Phone: ~?9'- 7"t? 1r?
Exp. Date: 7 - s- ~ 3
[RJ New D Repaii-' D RemodellAddn
D Sign " D Parking Lot
Architect Firm:,
Address:
Contractor: M R72 C
Address: 9' ~/ $,
Ct!luST CCJ.
c,t? /VS Y; ;;. 7/n../
/?t?e,
Contractor's License No.:
H/l7'c:oc -* ;z 7;~MP
D Residence
D Demolish
D Grading (cu. yds
D Business D Other:
IX!' Duplex D Multi-Family (No. units
) D Bldg. Move
f(Etd f)~/E\L
CcJ y,,<, T:
Nature of Work Proposed:
Sq~Ft.:
Utilities:
[2{] Water
l.XJ Waste
!XI Sewer
D Septic
IZI New
D Existing
D Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
~Sb Lj~G
\
Plan Review Fee:
/!Jrl:5lc:... A -3
$ ---..:::9-
~O
Receipt No. 7-; CJ I;;;;;'
Date: /
Permit Fee:
Surcharges:
::,~ d
State ~ ~
Energy $10/~
$11 Ll(p. Q ()
Receipt No.:
Date:
Zone Designation: .1 ~/
, J.n /
Setbacks: Front: e!.Y.
Occupancy Classification (UBC): If - .3
Side: S / Rear:;; s- I Height:
/~
No. Stories: I
J
Comments/Conditions of Approval:
Heat Source:
c:.
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 or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of. the City of Bremerton will be met.
Signature Date' "
Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
. BUILDING
PERMIT
APPLICATION
r ... ,
. - .. ~_._~----_.- -~
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: (5 ?10-0t?6 -OOS-~C'c1()O
Site Address: .L () I~ /eJ "'f- / / /5.<;f- 6. s: c~ uS' 7i k ;; 0"-./ Phone No.: ij7~- L/t1:J7'
Owner's Name: J;;cjf Co, M.473o~ Address: ~9/S, {-/?A/:57/' /k..// oA/" r2VE.
Applicant: [8J Owner D Architect D Contractor D Tenant
"
Architect Firm:. Representative:
Address: Phone:
Contractor: MI17Co C ~.N" 57: CCJ. Representative:
Address: ~~/ S, c.tJJVs7/;;' 7/PN' /'1t/~, Phone: ~79'- 'YtJ1f1
Contractor's License No.: H/l7coC -* ?-?<6MP Exp. Date: ?-S--'ffS
o Residence o Business D Other: fR] New D Repair o RemodellAddn
o Demolish ~ Duplex o Multi-Family (No. units ) D Sign o Parking Lot
o Grading (cu. yds ) o Bldg. Move
Nature of Work Proposed: fiE tV De< ~ I E'-L CtJ ~~<; T:
/
..
Sq. Ft.:
Utilities: IXl Water !Xl Waste IZI Sewer D Septic IZI New D Existing D Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
rUBe Sec. 304(b)) /5,.q:s I Co. At- -3 $ ~~ cj
~~ Lj~~ $ ----- ~ State $1.;-
~O
\ Receipt No.:7"7 '1 / :;;2. Receipt No.: Energy $10/0'fJ
Date: / b;;; 19.7' Date:
Zone Designation: 1-/ Occupancy Classification (UBC): If-.J No. Stories: /
/ Sl ;25-1 I'll
Setbacks: Front: :{o Side: Rear: Height: Heat Source:
Comments/Conditions of Approval: ~ ?~ An I b,;;Lftl: (1 J- .e; 2~J~ 16=/ -
/7( "oJ<:;;?'/<,
~~2 ~ I f \~ \\ I I
~
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r 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 or destroyed by the Building Official. (Sec. 304(d)UBC) . r certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met. -
\... Signature Date ~
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
. '
~
\L ~ }..\")
. BUILDING
PERMIT
APPLICATION
..
City of Bremerton, Washington 98310
Assessor's Tax Account No.: (5 ?'1t7-0t?b -OoS-t'cJ{)()
.
Site Address:.L -:OS cJ """ 6 s: c<?
Owner's Name: ;;J;;f"":jf- C. I M-473"o/./
Phone: (206) 478-5281
Applicant:
IZJ Owner
Phone NO.:' ij7~- o/Cl/Jf?
C-/,
o Architect
o Contractor
o Tenant
Architect Firm:.
Represe~tat!ve:
Phone:
Address:
Contractor: M 11 72 t?
Address: "" ~ / .5,
Cd.N'57: t""c:J.
C-tJ/l/f7/ n //e7h/
1tJt?~,
Representative:
Phone: ~79'- 'YCl1>'
Exp. Date: 7 - s-- 'if!
Contractor's License No.:
H/l7(:::oc -* ;< 7'6' M P
o Residence
o Demolish
o Grading (cu. yds
o Business 0 Other:
~ Duplex 0 Multi-Family (No. units
) 0 Bldg. Move
f./E0 D~ I E\t
IKl New
o Repair
o Sign
o Remodel/Addn
o Parking Lot
Nature of Work Proposed:
O:J N:<\ T:
Utilities:
[Xl Water
[Xl Waste
IZI Sewer
o Septic
IZI New
Sq. Ft.:
o Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
fSSG '-I~~
\
Plan Review Fee:
/!J1"1~ I C-.....H- -3
$ -- ~
~O
Receipt No.7/ ~ / ;;;:2.
,
Date: I ~~
Permit Fee:
Surcharges:
~~d
State $1;; L:j
Energy $10/~
$
Receipt No.:
Date:
Zone Designation: 1- I
. 'I".., I
Setbacks: Front: ~
Occupancy Classification (UBC): If - :-3
Side: ~<;"" / Rear:.;J s- I Height:
/<J
No. Stories: /
I
Heat Source:
I understand that applications for which no permit is issue w1thin 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returne
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat: Code I
5
. BUILDING
PERMIT
APPLICATION
...
....
City of Bremerton, Washington 98310
Assessor's Tax Account No.: IS ?90-0t?b -OOS-(.1(J()O
.
Site Address: .LOIS /cJ "'1-// /,),lk- G, s: CcP.A/..57i/iChOlJ
Owner's Name: J4c/f-- c. j M/1173"o/./
Phone: (206) 478-5281
Address:
~~/s,
Phone NO.:' ij7~- ~tJ,'J9'
Lr?A/:57/ /K-770-V ~VE,
Applicant:
~ Owner
o Architect
o Contractor
o Tenant
Architect Firm:
Representative:
. '
Address:
Phone:
Contractor: M 11 7C t?
Address:, '/~/ / $,
Contractor's License No.:
C d...v' $7: C CJ .
G.tJlVfJ/ tir 7/t?~ 1'It/~,
H/l7'coC -* ? 7~M P
Representative:
Phone: ~?9'-' '7tJ;(?
Exp. Date: 7 - s- - 8' !
o Residence
o Demolish
o Grading (cu. yds
D Business D Other:
~ Duplex D Multi-Family (No. units
) D Bldg. Move
fiE lU .D'7~ .I E\t
IRl New
D RePair.
o Sign
D Remodel/Addn
D Parking Lot
Nature of Work Proposed:
Ct:J N'~<; T:
.}-,
Sq. 'Ft.:
Utilities:
!Xl Water
[Xl Waste ~ Sewer D Septic !XI New
Plan Review Fee: Permit Fee:
I5A:5/c- A4- -3 $
$ ..-- ~
~O
Receipt No.:// ~ /;;;2. Receipt No.:
Date: Date:
o Existing
Surcharges:
~~d
State ~ L.J
Energy $10/~
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b))
f5~b '-f:::~
\
Zone Designation: 1- / Occupancy Classification (UBC): If - .3
Setbacks: Front: . :(0 / Side: ~t) I Rear:;; s- I Height:
Comments/Conditions of Approval:...-c:::
No. Stories: /
J q I
_ fl... Heat Source:
,7Y D ~~-z..~
/" 2s--rJ>-
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies 10: While-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Slat. Code I
CI'I"l OF BREMERItN BUIIDIm DEPA.tm$m'
~IT AN'LI~..Tlrn
DATE
1-22-
ro BE <XMPLETED BY
1988
Jack C. Matson
G~
Mateo Canst.
CDNI'RACIOR
Lots 10-11 Blk. 6 Constitution
'. :u:x:.n_TION OF JOB
For new duplexes
ENGINE.ERIm CCMMENTS/ REV I EWED. BY cEf
I)Nc~.o
1-27-
198 8
70 .rHO^"
;Plfi'ol""cre7:?
~,IIpot/~A<y ..re -e~ '-~44-<--
2.);/~ ~
J1...-e? ~~7
{iDt.;'b./ ,;C4/L cc~~cd..L~
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Br1CMCRTON
BUILDING DEPARTMENT
~
BUILDING
PERMIT
APPLICATION
...... .. '"
,
-, - -
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: (? ?'10-0t?b -OO,s--C'c7tJO .
,
Site Address: ).. tJ /~ /cJ y:... / / /t).<,f- ~, s: C.:? #5 7i k ;; 0fJ Phone No.: ij7~- ~~:J9'
Owner's Name: J4c/f- C. Mh' 730/./ Address: ~ 9'/ s, r-/J~" 7/- TL 77 0;&./ r:JVE
[8J Owner D Architect . , D Contract~r '. D Tenant
Applicant:
"
Architect Firm: Representative:
.. .......
Address: Phone:
--^"
Contractor: /'-114 7CC1 C.t?Y 5T ~CJ. Representative:
Address: 7'~1 .s. C.~N'f7/;;' 7/e?A/ 1'1b'e;, Phone: ~79'- ~CJ,5{?
Contractor's License No.: H,I;7coC ..( ;Z 7?M P Exp. Date: 7-S--8'!
D Resideri~e D Business D Other: [XJ New D Repair' D RemodellAddn
o Demolish ~ Duplex D Multi-Family (No. units ) D Sign o Parking Lo:
o Grading (cu. yds ) D Bldg. Move -
Nature of Work Proposed: f./E tV D"7~ ,/ E'rt ~N/..sT
-
, ,.
. Sq~ 'R.:
Utilities: !Xl Water [Xl Waste IZl Sewer o Septic !Zl New o Existing o Storr.'
_..
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[U SC Sec. 304(b)] J!;1'1~ J c...""'" -3 ~B
fSSG '-f~G. $ -- ~ $
~O State
\ Receipt No.:7"/ ~ I d. Receipt No.: Energy $1~
Date: I~hs< Date:
f
Zone Designation: 1-/ Occupancy Classification (USC): 1f-3 No. Stories: /
I -<)/ ;)5-1 /~ I
Setbacks: Front: :10 Side: Rear: Height: Heat Source:
Comments/Conditions of Approval: - , ...,--... Ehrf ! J C)~ Jf( rr
7J
- 7
I understand that applications for which no permit is issued within 180 days following dat-e
of application shall expire by limitation, plans and/or other data submitted may be returne.
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
-
\... Signature Date
Cooies to: Whlte.owner: Yellow-file; Pink.Assessor: Goldenrod-Building
r----
Stat. Code i
BUILDING
PERMIT
APPLICATION
r ...
-,- .., .-----.-..--,
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: 15 ?<JO-Ot?b -(')o.s-~tJ(){)(J .
.
Site Address: ).. (7 /~ /cJ "f-// /5~;f- G, 0: C(?..</57i k ;; OA-I Phone No.: ij7~- O/~:J 9'
Owner's Name: J:4 c/f-- Ci MhlZo,A/ Address: ~9/S, Co~')7/' /k.-// oA/" ,/7VE.
Applicant: [8J Owner D Architect D Contract~r D Tenant
,',
Architect Firm:. Representative:
..,.... .
Address: Phone:
Contractor: M/472o C dA/ 57: t""cJ. Representative:
Address: ~~/ $. c,tJ N".) 7/ /i 7/ t?.J</ 1'1?'~, Phone: ~79'- 7"tJ~?
H/l7coC -* ;Z ?~ M P ?-S--~! -
Contractor's License No.: Exp. Date:
D Residence D Business D Other: [RJ New ' D Repair. D Remodel/Addn
D Demolish ~ Duplex D Multi-Family (No. units ) D Sign D Parking Lot
D Grading (cu. yds ) D Bldg. Move -
Nature of Work Proposed: f.I E f.L} Dc< ~ I E\t Ct:J N<<\ h
/
,.
Sq. Ft.:
Utilities: !Xl Water IXI Waste !Xl Sewer D Septic IZI New D Existing D Storm
Valuation of Materials/Labor: . Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)) , 151'l~ J Co...H -3 $ ~~d
;iSG $ -- ~
'-f :;:G::, ~O State -$+.56-
, Receipt No.:77 ~ / ;;;:2. Receipt No.: Energy $10/~
Date: Ib;;>.h5'<' Date:
Zone Designation: if-I Occupancy Classification (UBC): ;r-.3 No. Stories: /
/ ~<)I J) .).1 Iff I
Setbacks: Front: :(0 Side: Rear: Height: Heat Source:
Comments/Conditions of APproval:~ ( 2)~V'" JvJ.~.~J..sct<ti' I ~/<g~:
il rJ.!tJIJ/t.:;//!) ,// cr;~'''j!i/jv'l' I //'r" :..:..J~~ll!r'f L:UJ1Hr<:l/.tal" JJJ k:' A. &If
/', '1// t Lff' / I[
~t' .J.. I . )l'JJ i '
S:"" /fl,'" r ' I J 0(1 r
FJ. I t/io._ ~.~ ~. _'- j:Ji/:;')'l/111L / f ~
. 1. ( j' /-' J~j ~ > ,-':.1 , {t;'yj. l,
,} , f / ,__< '_ ~ v1f;Z' ,,/:,/ (' ,. '; , Ii j e:'<.(1
,Ii ,))j j }t;' rt ! 11-1 /"- ~, '( /P ; JI
. b"1
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 or destroyed by the Building Official. (Sec. 304(d)UBC) . I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
-
\.... Signature Date .....
Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
BUILDING
PERMIT
APPLICATION
...
...
City of Bremerton, Washington 98310
Assessor's Tax Account No.: (:S ?<10-0t?6 -OOS-~tltl{)()
.
Site Address: ,L 0 IS / C7 "f- / / /;,j k- G, s: C<P #5 7i /~ ;:; O^-/
Owner's Name: JPtCk- C-, Mh'73o/./
Phone: (206) 478-5281
Address:
~9/S,
Phone No.:' ?/7'- o/tl,'J'?
(/'~S" 7) /k... 77 0..<../ ~C./E .
Applicant:
~ Owner
o Architect
o Contract~r o Tenant
Representative:
Phone:
Representative:
Phone: ~?9'- '7CJ1ffl
Exp. Date: ? - s- '8' !
IRl New o Repair. o Remodel/Addn
o Sign. o Parking Lot
Architect Firm:
Address:
Contractor: M I't 72 t:?
Address: 7" ~/ / .s,
Contractor's. License No.:
C dA/ 57: C-.cJ .
C,eJ)l/,f7/ /;. //<P.J<./ /'1t/~ ,
H/9?coC -* ;<?~ M P
o Residence
o Demolish
o Grading (cu. yds
o Business 0 Other:
o Duplex 0 Multi-Family (No. units
) 0 Bldg. Move
f./E lU DC</ ,/ E'-L
CcJA/..'\T:
Nature of Work Proposed:
Sq.Ft.:
Utilities:
IXI Water
!Xl Waste
IX! Sewer
o Septic
IZI New
D Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b))
~~ '-f~G
\
Plan Review Fee:
15;<:J:5 I c.. A'f- :3
$ -- ~
~O
Receipt No. 7/ cr / ;;;2.
Date: I ~
Permit Fee:
Surcharges:
3~d
State $1.;; LJ
Energy $10/~
$
Receipt No.:
Date:
Zone Designation: If - /
Setbacks: Front:
Occupancy Classification (UBC): If - :5
/ I
Side: S- Rear: ;; ,S-
Height:
No. Stories: /
/ <7 I
_ (L Heat Source:
Comments/Conditions of Approval:
:;'0 I
~ ?(":) \ \ ~~
I / ;J-?j~ :
/ (
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 or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Slat. Code I
;:
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ENERGY APPLICATION
HOUSE TYPE (rambler, 2-story, etc.) )?f/P1/5JE/P
~ / _ /0i-1/'
ADDRESS: . / ,"-49 A,( k 6 See P/ )f( .76: 7/ ,,;./
BUILDER:M Ii TCei Cc)/vs7: C'o.
HOMEOWNER: ~_G k _ C' M H 73 C ~/
FLOOR AREA: 1st //{5-6
WALL INSUL. If - ::} 'Y'
FLOOR INSUL. Ii - / <1
2nd
AREA
/ L/~1-"
/h~G
,"REA
SLAB
CEILING
VAULTED
INS UL.
INSUL. IY - :3 '?
AREA
AREA
AREA
ROOF & WALL OPENING DETAIL
/0 s-c
I NSUL.
WINDOWS* (Group Same Size Windows On One Line)1
BRAND MODEL U-VALUE HOW MANY? SIZE. AREA (SQ. FT. )
(Number of Windows x Sq. Ft. )
/,j,0o/ J. t 0 'i)"(J ,tto -
fwhi. .-- ,4 P 0
/ r (;\. ~ '-j 2 tb"l:6 "l '1t:/ . .
I. I .
r f 2 LjC!';{ .]' f- ."'"1 r' .-
,'" b -/ r;< 6
/ ./.
. f /-- (" -/ tj L.t: " i) C 67
/ J' .
a I 0' (
n l (0
,v
.
**TOTAL WINDOW AREA
r~ .
.;;.30
(A)
SEE OTHER SIDE.....
CITY OF BREMERTON
'SKYLIGHTS (LESS THAN 60% SLOPE)
BRAND MODEL U-VALUE HOW MANY? SIZE AREA (SQ. FT.)
(Number of Windows x S
x X 2 =
X 2 =
X 2 =
**TOTAL SKYLIGHT AREA
- *TOTAl GLAZING (ADD (A)+(~))2
DOORS (FROM HEATED SPACE TO UNHEATED SPACE)
/(/ //1
'1 ;; -/ d
d'- ./ 0
( B)
(C)
BRAND MODEL U-VALUE HOW MANY? SIZE - AREA (SQ. FT. )
(Number of Windows x Sq. Ft. )
~- -~ 7';2
<7il tl j 6' yl' 17./ r /,"'- . ').s- ~ ,3'/,-
**TOTAl DOOR AREA
~;;2
VAPOR BARRIER
....-- I i -
/..., , c-/.::-//
_ '/ / /J /~ __ _
TYPE OF HEAT E LIE> /hoT?C.-':'!i) ;:?I'/'?
SIZE (BTU)
-, .~.~. .. ."
YOU CANNOT CHANGE THE TYPE, SIZE OR BRAND OF WINDOWS OR HEATING SYSTEM AFTER .
APPROVAL WITHOUT RESUBMITTING TO THE DEPARTMENT FOR APPROVAL OF THE
MODIFICATIONS.
INSULATION INSPECTION REQUIRED.
AN INSULATION IN$PECTION IS ~m~! REQUIRE~ :\FTER FRAMING, PRIOR TO $!-!EET gOCK.
OWNER/AGE/IT: ()bJ ~;;-~
/ /
j
1 Includes sliding glass doors.
2 Glazing area shall not exceed 21% of the total heated floor area.
SEE OTHER SIDE .....
EA : B II
(
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-----. -.-------------
INSPECTION RECORD CARD
CITY OF BREMERTON BUIillING DEPARTMENT
ADDRESS ~h 1 S. Constitution
OWNER Jack C. Matson
CONTRACTOR MCi.tco Construction
93' 3 9... 1-:::>
9270
PERMIT NUMBER
PHONE
PHONE
479-4089
479-4089
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH s.. 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
. COMM~~..: ~
FOUNDATION INSPE:CTION ~ ILl//,- ~
APPROVED BY: ~/2-"'/7/~ ~ 7~
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 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. ROOANG. 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 VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
18. SMOKE DETECTOR
19. SHEETROCK BACKING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTIOtiA
APPROVED BY: ~ 1- Zo-~
~
2B INSULA liON
COMMENTS:
1. PROPER R~VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY: ~ I"'" l.. 7.;d"9 ~
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. '81 VENT SIZING
5. 'B' VENT CLEARANCE
6. 'BI 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:
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
p
6. PROPER RTTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
~
/_z..7/r?
?t:.-
/--
ROUGH-IN APPROVE~ ~ ~
BY: ~
UNDERGROUND APPROVED
BY:
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 TU8 OR SHOWER
4.518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY: d 5?-
z.-Z-9'f
4
FINAL
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS
5. DISrM'ASHER 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 GRADE
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.)C~ COMMENTS:
FINAL MECH. APPR. (COmm/1J/t! ~.~
FINAL BUILDING APPR. 5t 1l r0
.. V