HomeMy WebLinkAboutCONSTITUTION AVE. N., 618
Permit No.
PERMIT CENTER
.
>EQUIPl\1'E~T,;:,' .::
Gas Piping (outlets)
Furnace
"co. MME, NTS:,
. .
Hot Water Heater
Wall Furnace
Room Heater
Gas Fireplace
Gas Logs .
Gas Stove
Gas Range
Gas Clothes Dryer
\Vood Stove
Pellet Stove
Boiler*
*cross-connection approval req'd by Public Works
Propane Storage Tank*
Other:
Other:
*Location must be approved by Fire DepL
6'
.
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Additional Comments:
FOR INSPECTIO~S: CALL 473-5870
FINAL I:"SPECTIOiV/APPROr:4L TO SET AfETER:
Building Inspector
> Date
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
VALUATION:
Mechanical Fixture Fee
TOTAL FEES:
FilE
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER B806 00359
DATE ISSUED: OS/22/2006
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
3715-000-014-0400
LAFERNEY MONA
LAFERNEY MONA
TO BE SELECTED
ZONING: R10
PHONE: (360) 308-0425
PHONE: (360) 308-0425
PHONE: ~
:::::~ED~ \ )
11/18/2006
STATUS: ISSUED
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
618 N CONSTITUTION AVE
POBOX 4313, BREMERTON, WA 98312
POBOX 4313, BREMERTON, WA 98312
EXPIRATION:
OS/22/2006
Mechanical/Plumbing Permit
$33.50 2215
GAS PIPING ONLY
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
$33.50
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
Fire Inspections
H/D: Bremerton, Kitsap 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 after the 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 a~e 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:
PRINTED NAME:
!] ..-- J.-.d-.- -O-C
'---.
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 necessayy ensure compliance with federal or state laws.
1. (DCD-01) . ~D: 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.cleanair.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
the correction of errors in the construction documents and other data. The building official is
2. (DCD-02)
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 8806 00359
DATE ISSUED: OS/22/2006
345 - 6th Street, Bremerton. WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 3715-000-014-0400 ZONING: R10 SITE ADDRESS: 618 N CONSTITUTION AVE
APPLICANT NAME: LAFERNEY MONA PHONE: (360) 308-0425 ADDRESS: POBOX 4313, BREMERTON, WA 98312
OWNER NAME: LAFERNEY MONA PHONE: (360) 308-0425 ADDRESS: POBOX 4313, BREMERTON, WA 98312
CONTRACTOR: TO BE SELECTED PHONE: ADDRESS:
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: OS/22/2006 APPROVED: EXPIRATION: 11/18/2006 STATUS: ISSUED
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
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Mechanical
Plumbing Groundwork
Plumbing Rough-In
Final Inspection - Building
Qty
Description
FIXTURE LIST
Qty
1
Descriptior
Gaspipe System LPG/NATL/OIL
Page 2 of 2
m...
rs
#6o~ Do359
C/!/i:-- 7
(Z/D
PERMIT CENTER
Dept. of Communi tv Development * 345 - 6th Street, Suite 600 * Bremerton * WA * 98337-1873
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D~e~l.1anical:' -
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Type of Fuel:
Electric
Gas
Oil
Propane
Residential
Commercial
Site Address:
f)tAL t.M{;,: .C. V5()y.. 29'30, mtl~~d tW. 9B.!lA
NO;n TYPEOF EQUIPMENT NO. TYPE OF FIXTURE
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
GAS FURNACE btu: LAVATORY (BATH SINK)
CONVERSION BURNER btu: SHOWER
UNIT HEATER btu: KITCHEN SINK ~ .-, ~
BOILER btu: DISHWASHER IJ LS l~ /2: Ii \/7 r~
I GAS PIPING LAUNDRY TRAY n U L:J
EVAPORATION COOLERS btu: CLOTHES WASHER MAY ? 9 ?Om;
AlC UNIT btu: WATER HEATER
HEAT PUMP btu: URINAL - .... .1 OJ\jJj;;j-' , ) ,
r ,_ c" _.. ,
REHEAT BOX but: DRINKING FOUNTAIN l....o"l__ 'of t. ~-\.-J[~1 Y
EXHAUST FANS FLOOR SINK OR DRAIN
RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAPIINTERCEPTOR
CLOTHERS DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT AL TERA TION " SWIMMING POOL
TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
OTHER: OTHER:
'D
[Q)
,.
t~ I vi
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
3 3_S ~
J 44-~
X~1~
t~BJ1I'fJCrJ:tll~ _f;l!BJ11;Ji12M_'l!'l~ ~L~'~'L'fJ'iJ;jl~
BUILDING PERMIT I ' SITE ADDRESS
INSPECTIO~ IoltN.tCttshTri1i~
r-;' ~ PROJ~~{n:':trION
I (LE- CARD Ne.cuM41uifadu'"
Building lumbing D Mechanical D Fire Alarm/Sprinkler D,
DURING NSPECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE
Permit # !! !! Q ~ -U 071 {p [P@~1I @~ ~~lIrn
For Inspections Call (360) 473- 5870 Approved Date Notes
Erosion Control In Place
st Foundation Footing
r 1 FOUNDATION
DO NOT POUR Foundation Walls
C()NCRETE Plumbing Ground Work
PRIOR TO APPROV A L In Slab Mechanical
Footing Insulation
2nd PLUiH1UNG Rough In
ill ECllii NICA L Duct / Vent
C.4S P1PE Support / Test / Meter set
rei Under Floor Framing
3 FRIlAl1NG Shear & Hold Down Connections
r ~l ,ad L&I Electrical Approved
( I & 2 are approl'ed Ventilation Requirements
Framing
5th
SHEETROCK
4th
[lVSULAT10IV
Under-floor
Walls
Ceiling
~
~
G'
th BUIWING 473-5870
6 FIN/1L FINAL ELECTRICAL Dept. oflAhor& Industry 415-4000
~LLOFTHE TIT ~ rr>T.' n .. -
~~ '. . , -
ABOVE MUST ,
~ BE APPROVED PUBLIC -~
PRIOR TO WORKS Sewer Connection .473-5270
FINAL
- , " , .-, !'"
. .~ . " ,
Al.L PINAL INSPECTIONS COMPLETED p'l' i- ft7 (j
q. /.. ~")L' / ,
Occupancy Approval (Single Family Residence Only)
DO NOT OCCUpy BUILDlNG WITHOUT BUILDING DEPARTMENT APPROVAL
PROTECT THiS CARD FROM THB WEATHER
3715-000-014-
0400
NEW MANUFACTURED
HOME (26'8" X 56',
SILVERCREST
DISCOVERY)
618 N CONSTITUTION A V E
genpmtrinspecthist
n n*~ " I' ,
':;~*"~1t "
Robinson, Otis
RebOld, Jane
Hogenson, Curtis
Robinson, Otis
Robinson, Otis
Inspection History
Application # 8805 00716
FOUNDA TIO
N- MFH
DRIVEWA Y
FW&U-
SEWER
LA TERA L
FINAL -
BUILDING
SITE
- je,
J?1~ 5 :
~i~~fj$cti ;,
Manufactured Home
Foundation
Paved Driveway & parking
areas
FW - Sewer Lateral
Final Inspection - Building
Site Inspection
FOUNDA TIO Foundation Walls / Hold
N - WALL dow ns
~il&~I'I; t
~It~f~~,~ .
'" ;; "",1
0.. _.
11/30/2005 AP
05/05/2006 AP
07/06/2006 AP
11/30/2005 AP
12/12/2005
Page 1
Report run on July 15,20092:19 PM
TI
AP
,I
t
1
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB0500716
DATE ISSUED: 11/18/2005
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3715-000-014-0400
LAFERNEY MONA
LAFERNEY MONA
WASHINGTON HOME CENTER INC
ZONING:
PHONE:
PHONE: '
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
618 N CONSTITUTION AVE
POBOX 4313, BREMERTON, WA 98312
POBOX 4313, BREMERTON, WA 98312
POBOX 176, CHEHALlS, WA 98532
SF-3
(360) 308-0425
(360) 308-0429-.,
(800) 490-9424
VALUATION:
05/17/2006
STATUS: ISSUED
NEW MANUFACTURED HOME (26'8" X 56', SILVERCREST DISCOVERY)
Building Code Edition: IBC: 2003
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
PHONE: 0-
DRESS:
SUBMITTED:
10/24/2005
APPROVED:
PIRATION:
Manufactured Home - Double-Wide
State Surcharge
Building Sewer Fee
$150,00 2217
$4,50 0236
$35,00 2213
TOTAL FEES:
$189,50
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5870
(360) 415-4000
(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 after the 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.
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.
ditions of zoning, building COd~, and State and Federal laws.
SIGNATURE OF OWNER 0
AGENT:
PRINTED NAME:
OAT.
1. (DCD-01)
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.lnLwa.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
prdinances 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
the correction of errors in the construction documents and other data. The building official is
2. (DCD-02)
62-~
't!!-
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 880500716
DATE ISSUED: 11/18/2005
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSDR NUMBER:
APPLICANT NAME:
DWNER NAME:
CDNTRACTDR:
LENDER NAME:
3715-000-014-0400
LAFERNEY MDNA
LAFERNEY MaNA
WASHINGTaN HaME CENTER INC
ZDNING:
PHDNE:
PHONE:
PHDNE:
PHDNE:
SF-3
(360) 308-0425
(360) 308-0425
(800) 490-9424
0-
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
618 N caNSTITUTlaN AVE
po. Bax 4313, BREMERTaN, WA 98312
po. Bax 4313, BREMERTaN, WA 98312
po. Bax 176, CHEHALlS, WA 98532
SUBMITTED:
10/24/2005
APPRDVED: 11/17/2005
EXPIRATIDN:
05/17/2006
STATUS: ISSUED
also. authorized to. prevent occupancy Dr use of a structure where in violation of the
WashingtDn State Building code or Df any other ordinances of the City of Bremerton.
Floor elevation of manufactured home must be a maximum o.f 12" above finished grade.
Approved as an Accessory Dwelling Unit per BMC 21.02.070.
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
3. (FLOOR LEVEL)
4. (Project-Specific)
rfl \
~ Cb
(
Manufactured Home Foundation
Mechanical
Plumbing Groundwork
Driveway
Sewer Lateral
Final Inspection - Building
Page 2 of 2
m
" . 8605 OOllto
F" 'If ~~ ~niL 7
11 r.1ll ~ l./Y.n- ,-
Iioo""PERMIT ~Tiif-3
CITY OF
BREMERTON
Building Permit Application
.,....,;,i,'llll"IIII'I""~IIII,lill,lll~~I!'II,'II'!lI:,I', D '. ri~""i""'~"
~ lCa:~t., .,:':!: :!!!I!!:II!I:,ii,i'I,PYJl'y,e,r
Site Address:
What is the application for? (Please check one)
D NEW SINGLE-FAMILY RESIDENCE
_ D NEW DUPLEX
IS{] NEW MANUFACTURED HOME
CJ RESIDENTIAL REMODEL
D RESIDENTIAL ADDITION
D RESIDENTIAL REPAIR
D NEW COMMERCIAL
D COMMERCIAL REMODEL
D COM'MERCIAL ADDITION
D COMMERCIAL REPAIR
D NEW MULTI-FAMILY ~::';'':::;-'''''";',r''''''~
D TENANT IMPROVEMENT
D NEW GARAGE/CAR PORT fDJ@; @ ~ u w rn: 15',
D NEW ACCESSORY BUILDING In) L:V
D NEW SIGN Ul; I 2 4 2005 '
D STRUCTURE DEMOLITION
, BR,EMERTON-uL.:f-'T: OF
D GRADING (Cubic Yards: ---~GMMUNITY DEVELOPMENT
D OTHER: ___________________
f1<u~
0lPO) ~DB -04z6
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YESD
~PJJ0 manU fat)-u (pd
fl~~
NO~
home,
Scope of work proposed:
O{f) bifo "
Square Footage:
Garage:
Decks:
Valuation
Permit Fee
Surcharge
Total Fees
5 S ?/Q
S 00
0,
?;'O
S'v
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data
submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time
for action by the applicant for a period not exceeding 180 days on request by the applicant, showing the circumstances beyond the control of the
applicant have prevented action from being taken, No applicant shall be extended more than once, In order to renew action on an application
;~~' 'P~;2""~;t ~'"' '"' p',' "OW p''" ,,,;,w too
~ - -,4 ~~
~pli 'ht' ignature
/1) // t1 /?; 5-
Date I
I
11/18/2005 09:32 3504735278
~QO~
III
BREMERTON DCD
I-- ~~d s-' O~ct I
fBb 0 EJ () D 1 / 10
Department of Community Development
345 - 6th Street. Suite 600 Bremcrtoo, W A 98337
(360) 473-5275; Fax; (360) 473-5278
websitc: www.cLbremerton.w8.us
PAGE 01
RESIDENTIAL SITE PLAN QUESTIONNAIRE
The answers to this questionnaire assist the staff in reviewing one or two-unit residential building
permit Please complete the form and subm1t 11 along with the building permit. Providing complete
information will help ensure the timely processing of your permit.
APPLICANT INFORMATION:
NAME: }ttO,t/,4 LtLF;;-;VCJ.
ADDRE:g~.o. ~ dEW
CITY: /!J1G7, -z; A./
TELEPHONE: Work: d~o- ~6;l..- 98/31) Home/~: - 08 0
;::-J4i(e/S @-) 3& 0 - ~:u - 888/
,q-/..Ul;:: It /1iE
/)/U,(/elL
PROJECT INFORMATION:
1. Tax Account Number:
~7/5 -OOD -tJ/4-o4DO
"w. &),(.I.sr~ /u.-://;; A/ ~/lle-~.d i>>A,
I I
fg~/ ;(
2. Site Address: (, /8
GENERAL SITE INFORMATION:
3. Please check sewer service provided: )il City of Bremerton
o Septic (contact Kitsap County Health for letter of
acceptabi lity)
4. Is the site characterized as:
Forest or Vegetation
Cleared
X Developed
5. Please check which soil types apply
at the building site:
o Crystalline bedrock
~I:J S irnentary and foliated rock
Sandy gravel and/or gravel
[,J and, silty sand, clayey sand, silty gravel and
clayey gravel
Q Clay, sandy clay, silty clay, clayey silt,
Residential Site Plan
1 00
Revision: June 2004
11/18/2005 09:32
3504735278
BREMERTON DCD
PAGE 02
SHORELINE
6. Are any areas being developed on the site
within 200 feet of the shoreline?
YES @
7. If the answer to the above is yes, did you
attach a Shoreline Pennit Submittal Checklist
(WAC 173-27-180)7
YES NO
CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 2 t .22)
8. Please give the overall slope of the parcel:
o % (see diagram below
explaining slope calculation)
9. Please give the slope at the building site:
o %
10. Please give the steepest slope within 50 feet
of the site, include adjacent parcels:
/L1. A- %
Slope is calculated by dividing the vertical distance by the horizontal distance and then multip~ying the
result by J 00. Example:
Vertical
Distance = 20 feet
Vertical 20 feet
Horizontal 100 feet;a .2 X 100 = 20% slope
..
Horizontal
Distance = 100 feet
11. Are there any known wetlands or wetland
buffer areas on the site?
YES
@
12. If the answer to the above is yes, please describe:
13. Is there any standing qr running water on the
surface of the site at ANY tim.e during the
year?
YES
@
14. If the anSwer to the above is yes, please describe:
Residential Site Plan
2 on
Revision: June 2004
11/18/2005 09:32
3504735278
BREMERTDN DCD
PAGE 03
RESIDENTIAL DEVELOPMENT WORKSH.E.ET
]. What is the zoning designation: S F" :3
2. What is the area (square footage) of the lot?
3. Please provide the following information. Zoning development requirements a~ found in Section
21.02.130, Figure 130 (Lot Requirements) of the Bremerton Municipal Code (BMC). Off-street
parking requirements are found in BMC Section 21.02.670. When adding to or replacing an
existing strlJcture, this information should reflect the entire site after work is completed.
DESCRIPTION ZONING , P;ROP<)SED' , .' STAFF , ,
i REQUIREMENT, ' REVlEW*
FRONT YARD SETBACK
REAR YARD SETBACK..
SIDE YARD SETBACK
SIDE YARD SETBACK
MAXIMUM HEIGHT
LOT COVERAGE"''''*
NUMBER OF OFF-STREET
PARKING SPACES
... To be completed by staff.
"'*Use this as the second front yard setback for comer lots and through lots.
.........Lot Coverage is defined as that portion of a lot covered by the roof areas of A LL structures, but
not including driveways, walkways, patios and low open decks. A low open deck is defined as
rising 30 inches or less above the finished grade.
The applicant herby certifies that all of the above statements and the information contained in any
other transmittals made herewith are true, and the applicant acknowledges that any action taken by
the City'of Bremerton based in whoie or in part 011 this application may be reversed if it develops
that any such statellJent or other infouu.ation contained herein is false.
f~
//-/t3-LJ5-
Date
Residential Site Plan
30f3
Rev.i.sion: June 2004
, "
" filE
Customer:
Prujtf
, ~i'O: ~ OUA.L W Q( nof) i VI C(
@ 8"31'6 -J
t {Ii yv\ V oJ a (Ie deliver
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
chain link fence
x
x
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N
~ x
x
1
x
x
x
x
x
x
x J
x
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gate!
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OCT 2 4 2005 L!:V
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BREMERTON-DL:PT r,lC-
COMMUNI'TV ,""-'\ n-, ,,:-'
I. I"" LIe: 'J t::...U;..Ji\1ENT
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B P E:: M C' H 'l ,...... /,::.) 1':{ U T I D I N (J D E: r' (.::1 F< T i1 i::: N "1"'
u L ,I. L., ..
D E~ [vJ 0 L. r 1 0 H r. r- "'''\ t'1 T T (:; F' p .L, I C A r -,- n N
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~=:=~:~:=::::~===::=:::::==::~===:=:=~:~.:~:~~=~~:~:=:==~=~~==~::=~~=~~~::~=~;~=::~~=:=~=~~j=~:::::~~~::~=:::==~;~=:
App} :ica.t icm OiJte
I~:~i:~ue ni~te
('IE;f3E;;:~GO,(, ::-'cet :l~
S i t() L..Deat:i. on
Owney .-. t..,aat N~me
"... ~:; t ~(E;.f~ t
..... C:i,t/
-" Phone
Ter)i:Hyt; ? ~?, Name
I\qflnt "t~ Name":
f'>IY'ch:i.f'; ect "s' N;:ime
[: "I EU:l 1 d i 1\9
[ J :'1echan i ca
L "I Plumb:I1"19
()~;:;./ 1.5/1. ?'?O
C! ~.;:: /' 1 ::l/? 1. 9 (:1\ ()
Applicatton Number 90AP01606
Permit Number 10700
Project Gr'oup
Demoli.t
3715-000-014-0103
618 N. CONSTITUTION
L.I;~F' E::F<N Y
.POX
(11
Z:i.p 9Hdl2
Pa,~/:l. nq
qroiJnd
:I. :i. t j on
lAiC)'!" kIll :i 11
I,.,ja'tu'((') o.r
(~IF'PY-O')(-:,)d By:
~INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
10700
PERMIT NUMBER
ADDRESS
OWNER
CONTRACTOR
618 N. CONSTITUTION
PAUL L8FERNY
SELF
PHONE
PHONE
1 FOUNDATION
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
a. 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.FOUNDATlON VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TR. MAT. NEXT TO CONC.
a. 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 INSPECTION
APPROVED BY:
2B INSULATION
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
4.18' VENT SIZING
5. 'BI VENT CLEARANCE
6. '81 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 CLE,l\RANCE
2. CHIMN~Y CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
'fl" r .i.->
WDST APPROVED BY:
p
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT ...
COMMENTS:
UNDERGROUND APPROVED
BY:
6. PROPER FflTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
ROUGH-IN APPROVED
BY:
3
WALLBOARD
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4. 518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
6. FIRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN ATTIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
FINAL
1. HANDRAILS
2. GUARDRAILS
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
FINAL PLMB. APPR. (comm.)
FINAL MEeH. APPR. (comm.)
FINAL BUILDING APPR.
4
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
COMMENTS:
~..' -. "'''-''''.1~'r -'"'." .,:, f I
~ \ '-\' ()/~'" 'I.;' .~i. ".......'''f V' 't"'"Tr ..r . ,I"~ )".,-.
to.
,"
\
\
- BUILDING PERMIT ~N2 8482
, ,-
-
City of Bremerton, Washington 98310 Phone: (206) 478-5281 :
Assessor's Tax Account No.: Nechanical
Site Address: 618 Constitution N. Phone No.: 3;77'"lhl i-
Owner's Name: Paul LaFerney Address: 'same
, Applicant: , D Owner 0 Architect ,[ij Contractor D Tenant
,
Architect Firm: Representative:
Address: Phone:
Contractor: Pat's Burner Service Representative:
Address: ' P.O. Box 522, Bremerton Phone: 373-43l~1
Contractor's License, No.: PATSPS*174NS Exp. Date: 8/27/88
Q Residence D Business D Other: D New D Repair D RemodellAddn
D Demolish D Duplex D Multi-Family (No. units ) D Sign D Parking Lot,
D, Grading (cu. yds ) D Bldg. Move
Nature of Work Proposed: Hehcanj,ca1 permit to install 80~OOO BTU'furnace, gas, 2 gas systems
,
.
Sq. Ft.:
Utilities: D Water o Waste D Sewer D Septic D New D Existing o Storm
,
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] , $ $ 27.00
, State $1.50 D
}1echanica1 Receipt No.: Receipt No7""7?18 Energy $10/$15 D
Date: Date: 12/21/87
,
Zone Designation: Occupancy Classification (UBC): No. Stories:
Minimum Req. Setbacks: Front: Side: Rear: Height: . Heat Source:
Comments/Conditions of Approval:
, .
:
C_\
Foundation D Framing D ~' Wallboard D FINAL 0
INSPECTIONS REQUIRED: Plumbing D Mechanical. ~ OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WpRK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All provIsions' of laws and ordinances governing this type of work will be compiled 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. SEE AND READ NOTICE ON REVERSE,
, ,,'1 17 "- ,;' ',.,
/ JJ d .- I "-:-"'j ,~/-._.. .,,' ' . 12/21/87
l Signature / 0'/1.,.1 . P /2" //1' A ....-c:l__.'" ~.- . ". Date
, l../ - ( ;'/ rl/~,;/ v - - ,-. .. , , ~
, Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I i.i
.
PERMIT
.u' '_"_'_'._'. [
A PP LI C A-TIoHe
:-
-. __n..CiTy'OFBREMERTON BUilDING DEPARTMENT
PHONE: 478-5281
.....~.-:'~--.: -;-----~-~
MAlL ADDRESS':
Class of work: D NEW D ADDITlON D ALTERATION
D MECHANICAL
No.
1\ipe of equipment
STOVES Gas_ Oil_ W~
FIREPLACE INSERT
FURNACE Gas (Nat.X LPG.--> Oil_
Wood add on_ ath'~r_ Electric_
BTU ~~
Type: Up flow_ Down f1ow_
Horizonta'- Wall_
CONVERSION BURNER: Gas_ (Nat._ LP-->
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ EI8C.-
BOILER Gas- Oil_ Electric_
Other_HP_
GAS SYSTEM Max. 5 outlet T~
EVAPORATION COOLERS Roof_ Wal'-
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ Split--
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDlINc:i UNIT CMF _ BTU_
FANS Exhau~ Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Coolin9-- Exhau~
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
COMMENTS
Fee
,.-...~
"7 :.--
. -
:.::, -~-/
PERMIT $ i I <~
TOTAL FEE It l-J - / ~
FINAL APPROVAL
RECEIPT NO.
LICENSE NO.
o REPAIR
D PLUMBING
No.
l'fpe of Rxtunt or Item
WATER CLOSET (lOILET)
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.
WASTEINTERCEPTER(Gm~)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL .:.. Private~ Public-
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
Fee
PERMIT $
TOTAL $
NOTICE
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUcnON AUTHOR
IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS
PENDED OR ABANDONED FOR A PERIOO OF 120 DAYS AT ANY TIME AFTER Vi
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATlON
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHE"
SPECIFIED HEREIN OR NOT: THE GRANTING OF A PERMIT DOES NOT PRES
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY cr
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCI
c~u~~
SIGNATURE OF ONTRACTOR OR AUTHOFJIZED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER)
PERMIT
IWh;tAJ'lJ:lIr.,....., V..II..-_INSPECTOR. Pink-APPLlCANTI
?::P
Ci ty of Bremerto11.
239 FOURTH STREET
BREMERTON, WASHINGTON 98310
(206) 478.5252
B U I L DIN G D E PAR T MEN TMA YOR GENE LOBE
May 16, 1988
Paul LaFerney
613 N. Consti~ution Avenue
Bremerton, WA 93310
RE: Building Permit #8482
Dear Mr. LaFerney;
It has come to our attention that your permit #8482, located at
613 N. Constitution, is due to expire on June 21, 1988.
Pursuant to Section 303(d) of the Uniform Building Code, a permit
shall become null and void if work is not commenced within 180
days from date of issue.
Please contact this office at your earliest convenience to
discuss your intentions for this project.
~relY~, \ C1
(' - __~ .~~. j,\)(~v",~~
Carol L. JOhnsonJ
Permit Technicia
CJ/cj
cc: Pat's Burner Service
P.o. Box 522
Bremerton, WA 98310
Gateway to the Olympics and Home of the Puget Sound Naval Shipyard
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS 618 N. Constutution
~
Paul LaFerney
OWNER
CONTRACTOR Pat's Burner Service
PHONE
PHONE
373-4341
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
1. FURNACE SIZING
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. 'B' VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT CLEARANCE
10. DUCT SUPPORT
11. DUCT JOINTS
12. GAS PIPING TEST
13. GAS PIPING SIZING
14. GAS PIPING SUPPORT
15. OTHER
/~ Wnt' A
P PLUMBING rt~", ~Ne:: O~"'~
1. UNDER TEST _ _
2. GATE VALVE _ _ (/
3. WATER PIPE SIZING - - tJ
4. DRAIN PIPE SIZING
5. VENT PIPE SIZING
6. PROPER SUPPORT
7. PROPER FITTINGS
8. VENTING
9. CLEANOUTS
10. PROPER GRADE
11. HOT WATER TANK P. R. VALVE _ _
12. OTHER
CORR O.K.
CORR O. K.
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
FURNACE APPROVED BY: tf?;1I /2 'or) I .d{
HEAT PUMP APPROVED BY: rJA#~
GAS PIPING APPROVED BY: /1:f:.~/-d?
WOOD STOVE APPROVED BY: /
OTHER:
ROUGH-IN APPROVED BY:
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 ~ERMIT
~N!
2759
AI
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S ~E BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$Is' C(D 5--..2 8-~
$~6 .~ .--.. ,- S/ -.5-;6" c
$
SITE ADDRESS I LOCATION bIt? AJ {?--. L-/.. ?r-_
OWNER'S NAME~L~_I -'.a
CONTRACTOR \ ~
f~,
ADDRESS
PHONE
STATE CONTRACTOR'S L1C. #
ADDRESS
"-RESIDENCE 0 BUSINESS
PLANNING I ZONING
~"'OTHER 0 NEW
FIRE ZONE
o REPAIR
o REMODEL
PHONE
o ADDITION 0 DEMOLISH
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR5::..4~;-::DI;:;r: ~~Ir~ ~
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
FOR INSPECTORS USE ONLY:
REINSPECTlON:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE"
BY
BUILDING DEPT.
~r:::.~
~\
t>
e
e
N-? 37674
~~. . 4~q~.'
Fee $5~:m.__.__..__.__.__..... .....__.............mm__..m__....... ReceIpt No. .<'.............._____.............__.__mm..'..__......
BUILDING PERMIT
CITY OF BREMERTON BUILD'ING. DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
Value I DESCRIPTlON\.
I Lot ' . Block
Add 'J' 'b.. tf,,7L-I41:.., /J~~~'J '.L' .\ " . ""'. ' ,', .,;<{;,;,~~..">~,;,\';;j:l~i~!;'.".19'6 /.
ress, on 0 -;..,~...___.._~......LL~......f..~!.\.f:!:~..~~,..,_:.~....__..._.......___,....................................... ..................._... ate,..~_~.....":.....;...::.._":';........:"..-.'I!;~~-.:..,..-.. ,...~"
Buildin'g... .;:u~.~ ..~2;;~:.,~:r.~>~'.~.:..:'. and,. .,:.::.... .:..,: ~t~ries~:..:;.:... ,..;..:. ~::. ::e~.en ~;~. Lbt i . .'~~:;:;.:~;;:t:~.l;'~:\:,;il~~~'~c:t;:~~. ';:' .'
Front Y ard :..Cn.n;~.::...,'"....;. Rear Yard Side Yard ".....mn............ Garage ,.,:.cc..;.;.m..C......m....'
E~!f~:~_~.~.,~.L;..~.:)~..:-".?-s.~~~:E:.~;".;:.~.~::.=:..:;~O;~i~~t{~i~~~~t~i~~i;:.;:..
ThIs, permIt is Issued f9r:;,:: ~;,"> " ",-,::.,J':;, ':',
, ' " c " _,~ II
$
,-53~'
l~ldg.Dept.
Owner's Value.'
,0;.
::;::::;;:;;;::~;:::::.::::::::;;f~~E:;:::::;::::;::::;:;::::::;:::::;;:::,1":::;,::::,:':;'::::{:~:::::;;.;:.:;.:';;:;'~:::;!i::'~':;~:,;~:,;::::::;.:
All workt~ conform "to all applicable buildi~g ordiftaT!:~es and arri.e.ndme,ntS~Pl~ci~e noteithe following ."
special instructions and requirements. '" , ., .... ,! 'I,:',,:!':' .: .. ..
, . ~ ~-; . " ' , \ [0' , '. " " '.", < ~ '! . T : . :\ "1" ",
,DETACH HERE .AND POST THIS ,SECTION ON JOB.:
. I " "I
,. '.' ,'~" 1 ," . "::~;' ", :" :',' . .<:;1-
I'NSPECTION __ Reinforcing steel ~ust, be inspected after placing and before coveri,ng. FORMS. shall be inspected
and approved before pouring. All .plumbing; wiring and the .frame of all b~ildings must be ~nspecteda'~dappro,ved
before covering. Wood preservativ~tQbe used on all wood against.masonry. Veritilate::fo~ndationand .attic. Sepa-
rate permits required for plumbing; wiring and heating. See City Engineer. before 'wo~king,onstreets or. sidewalks.
" ,''.'., ,I,,", ',\",,", ';, "',' "
:::::::::::: ::::: ::::::::::::::::::::::::::::::::: :.:::::: ~::::::::::::::::: ::'~::::::::::::: :':::; I:,:".:,,;::'::::: '.: ":: :::: .:: :\:. ::::: ::::'::7d ~:'!;'J:':;~;=9:if;::~: :::::,
(:: f " ,;~' \, :: '~c;';?~, " ;;~~.',' ';
,;.::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :~::::: :.::: ~::::::::::~::::: :::~::::~ ~~: ~:.:.:::~ ~i~~: ::':~ :,~,~~~ :~: ::~: s~~~.x::i~ :::: ::::::::::
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