HomeMy WebLinkAboutCONSTITUTION AVE. N., 631
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NR
8381
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City of Bremerton,Washirigtoh98310
Assessor's.Tax Account No.: 3715-:-000-017':"'0100 Date of
Site Address: 631 N. Constitution Ave.
Phone: (206) 478-5281
Application: lQ/l/87
Phone No.: 377-7929
Owner's Name:
James and Jeannie Zimmer~ .
Address: same
Applicant: .
Contractor:
P.tritliif~ci Fi rm:
:[;] O~ner .
. D Architect
. 0 -Contractor
o Tenant
Self
Representative:
Phone:
Address:
Designer
/CffJrntrr .
Frank Knox Design
Address:
. 6818 Bentley Cr.NE,.Bremerton; WA
98310
Frank Knox
Representative:
. 692-8663
Phone:
. Contractor's License No.:
Exp. Date:
Q Residence
, 0 Demolish
D Grading (cu. yd~
Nature of Work Proposed:
o Business'
o Duplex.
o Other:'
o MUlti-FamilY (No. units
o Bldg. M~ve
,
of existing deck.
[J New
.)
. 0 Repair
.0 Sign
.IKJ RemodellAddn
.Dparking Lot
Repair
Sq. Ft.: 130
Utilities:
D Water
o Waste.
o Sewer
o Septic'
o New.
D Existing .
'0 Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
Plan Review Fee:
Permit Fee:
Surcharges:
..$910
Receipt No.: ' 77510
Date: 10/1/87
Receipt No.: 77 510,
Date: .10/1/87
. $3.50n
State ~N5'o/1XJ
Energy $10/$15.0 .
$ 16.25:
,$ 25.00.
Zone Designation: . Rl
Minimum Req.. Setbacks: _ Front:
9omments/Conditioils of Approval:
Occupancy Classification (UBC):
R3
No. Stories:
Heat Source:
.$ide:
Rear: .
Richard R.Mutnma, Bldg. Official
INSPECTIONSHEQUIHED: Foundation .IKJFramingrliJ PlumbingD Mechanical D Wallboard D ' FINAL ~
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,9rdinances governing this type of work will be.complled'with whether specified herein or not. The grantingoof a permit dbes riot presume to give authOrity to vioiate.or 'cancel the
provisions of any other state or locallaw,regulating construction or the performance of construction SEE AND READ NOTICE ON REVERSE. '. "/.(
I J A '<')-yJ /"7 0
Signature l /117.1f() /''/ / 0~:r:A:?;..r::/1A) J 1.//1/ Date 10/~3/87
/1 . /.OJ,' /t
Copies to: Whit~-owner; YeIlOW-fil~~pl~-Assessor: GOlde~rod-BuildingStat. Code
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[Rj&@&GW&fID
OCT 0 9 1987
SREMERTON
BUILDING DEPARTMENT
10-9- 198 7
CITY OF ~ BUILDIm DEPA.~
PEPMIT APPLI~.TICN
DATE
10"'-5-
1987
TO BE CCMPLETED BY
James/Jeannie Zimmers
()vi1NE~
self
CX>NI'RACIOR
631 North Constitution
r..cx::'P.TION OF JOB
For repair deck
:EN;:rNEERIN; CCMMENTS/REVIEWED'BY~
, ,C;. ~ ,.:...-,.,.. .,;~.
-.',~,
^'. ,"
A./ .. !:; (/"iA( bV J
=BUILDING "ERMIT
APPLI!ATION
,-
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessm's Tax Account No.: ~17 ~~ -a It, ~cO
Site Address: ~~) \, C\ -'0"'~: Jt!p;'Y\, A(/[~ Phone No.: 377 79';/7__
Owner's Name: ",-\A?J7C'7 cf JEn'..</ A// c Bm~5Address: G:s' I AI (' OAJ-S 7"174/ /'/0'</ ~~
Applicant: (2$1 Owner o Architect o Contractor o Ten2
Architect Firm: FM~/c:: KA/~ Le-.S 10)# Representative:
Address: Phone:
Contractor: ~ \.s;=- Representative:
Address: Phone:
Contractor's License No.: Exp. Date:
~ Residence 0 Business o Other: o New ~ Repair o Remodel/Ac:
o Demolish 0 Duplex o Multi-Family (No. units ) o Sign o Parking _.'
o Grading (cu. yds ) o Bldg. Move ~
Nature of Work Proposed: }?.e-~'9/,e OF C:::-K/S r/ ..</c:; ..Dee ,e
,
Sq. Ft.: I?-O'
L
~
Utilities: o Water o Waste o Sewer o Septic o New ~ Existing o S'r-'
,-.
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $/G~ cO ~~
/ $ ~~ -- State
j!>jlD Receipt No.: Receipt No.: Energy $10/$15 0
Date: Date:
Zone Designation: ---JC I Occupancy Classification (UBC): _~ No. Stories:
Setbacks: Front: Side: Rear: Height: Heat Source:
Comments/Conditions of Approval: ~ b~ !aJC;/~7;
I understand that applications for which no permit is issued within 180 days fOllowing da :::.
of application shall expire by limitation, plans and/or other data submitted may be retur:-.'~
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC) . I certify that the
information on this application fu;;'nished by me is true and correct and that the app lica2 =-
requirement~ot the~itY~reme~ will be met. Date C~if -; ~ -;
\... Signature { &$1' At /!:?7 ~ //
/y - ..-/ 'f
: W'~-owner: YeIlOW-f~-Assessor: Goldenrod-Building ..
Slat. Code r----.
~
Copies to
v
'-----
BUILDING
e
PERMIT
e
APPLICATION
r ~
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessoc's Ta, Account No.: ~71 S::<::::cD -0/7. C:C:O
Site Address: ~ I \, C) JIO"'~ :tl Jil ')'0. At/& Phone No.: 37779c29
Owner's Name: ~4mcS cf J~..</A//~GmI17eD'Address: c:;., ~ / Ai (' CJ/IJ-SiITC/ 7/0# #<5"
Applicant: [R( Owner D Architect D Contractor D Tenant
Architect Firm: F~,(//<: k#~ i25slC).A/ Representative:
Address: Phone:
Contractor: ~\~ Representative:
Address: Phone:
Contractor's License No.: Exp. Date:
IZf Residence D Business D Other: D New ~ Repair D Remode/lAddn
D Dem;lish D Duplex o Multi-Family (No. units ) D Sign D Parking Lot
D Grading (cu. yds ) D Bldg. Move ?f
Nature of Work Proposed: j?e:;P/1/.e Or c:.:.r- /.5 r/ '4 G' ~CC"~
,
Sq, Ft.: 1?1(:J'
L
Utilities: D Water o Waste o Sewer D Septic D New ~ Existing D Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $/G~ cO ~~
$ ~~--
~/IO State '$t:5t7
Receipt NO,~ () .-: D
Receipt No. 77"~ J() Energy $10/$15
/0/1/<6'/ Date: /e:-/;' /<l.7
Date:
I
Zone Designation: -----J< I Occupancy Classification (UBC): -R3 No. Stories:
Setbacks: Front: Side: Rear: Height: Heat Source:
Comments/Conditions of Approval: h'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
reqUirement~oL the~ity~ Bremer n will be met. DateOr/t 17
Signature t 0-#" /~ /!?? -'. ~
"" /1' ",,'
Copies to: w6'owner: YelloW-f~-Assessor: Goldenrod-Building Stat. Code I I
BUILDING 'ERMIT
APPutATION
City of Bremerton, Washington 98310 Phone: (206) 478-5281
/
Assessor's Tax Account No.: ~71::::> -~ -0/2- O~
Site Address: ~ 1 ,~. Ci -'~"'~ :t~ ltln'Y\, .Ave Phone No.: 37779d29
Owner's Name: ~;'J?cS .!/ J~-</A//,E81;~5Address: (:,.3) I AI (? ClA./--Si/7t:/ /'-/0# dV'C-
Applicant:
Owner
o Architect
o Contractor
o Tenant
Architect Firm:
F~-v/C' K,-(/~ ~slq#
Representative:
Phone:
Address:
Contractor:
~\~
Representative:
Phone:
Address:
Contractor's License No.:
jgf Residence
D Demolish
D Grading (cu. yds
o Business 0 Other:
o Duplex 0 Multi-Family (No. units
) 0 Bldg. Move
}?~"..o/1-/:e OF ~..K/:S r/QC
,
o New
Exp. Date:
~ Repair
o Sign
o Remodel/Addn
o Parking Lot
Nature of Work Proposed:
P~.e
~
Sq. Ft.:
/?f:::/
L
Utilities:
o Water
D Waste
D Sewer
D Septic
D New
~ Existing
D Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
tii10
Plan Review F~:
$/G~
Permit Fee:
00
$ ~~ --
Receipt No.:
Date:
Receipt No.:
Date:
Surcharges:
~W
State '$'t:5e' ~
Energy $101$15 D
Zone Designation: -$L---- Occupancy Classification (UBC): ~
Setbacks: Front: Side: Rear: Height:
No. Stories:
Heat Source:
Comments/Conditions of Approval:
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) . I certify that the
information on this application furnished by me is true and correct and that the applicable
requirement OL the~ity. Bremer n will be met. ~)
Signature /?7 Date (/ (' / -; 17
Stat. Code I
I~
BUILDING ~ERMIl
APPutATION
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: ~71 S-:C:::CS:::) -0/2- C")~
Site Address: ~ 1 N' C) --'~~~ :t~ Jtl(::')'Y\,At/{ff Phone No.: 37:; 79c29
Owner's Name: ~/?7C..s cI J~..</A//cOm~Address: 0.:? I AI ('OA./-S//74/ /"'/o"V ~c:5
Applicant:
Owner
o Architect
o Contractor
o Tenant
Architect Firm:
P~-<//c KA/~ .D5Stq",v
Representative:
Phone:
Address:
Contractor:
~\~
~ Residence
o Demolish
D Grading (cu. yds
o Business 0 Other:
o Duplex 0 Multi-Family (No. units
) 0 Bldg. Move
;2'e-",.o;9-/.e. OF e-:-</S r/ #'C;
,
o New
Representative:
Phone:
Exp. Date:
~ Repair
o Sign
o RemodellAddn
o Parking Lot
Address:
Contractor's License No.:
Nature of Work Proposed:
..DCX!' A!!::
~
Sq. Ft.:
/?J::)'
I
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
~ Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
(ill 0
Plan Review F~:
$/6~
Permit Fee:
00
$ ~~--
Receipt No.:
Date:
Receipt No.:
Date:
Surcharges:
~ \..../ '.
State '$t;5& ~
Energy $10/$15 0
Zone Designation: ~ Occupancy Classification (UBC): ~
Setbacks: Front: Side: Rear: Height:
No. Stories:
Heat Source:
Comments/Conditions of Approval:
.-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 returnee
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
requirement of the~ity. Bremer n will be met. /?}_J
Signature /:?? Date V ('.1 -; )> 7
Stat. Code I
Copies to: W i
BUILDING "ERMIT
APPutATION -
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: ?:1.,7/s:.~-o/2-r::;~
Site Address: C:-31 ~. C) --'~"'~ :t~ If,C'''!'Y\. -Ave Phone No.: 37779r:29
Owner's Name: __\A;-ncS cj J6??dA//EUI1J~5Address: G. ~ I A./ (?O-u'..s//Tt?' /'/0# ~c=:-
Owner
o Architect
o Contractor
o Tenant
Applicant:
Architect Firm:
F~-<//c: KA/~ ~S.(C:;d
Representative:
Phone:
Address:
Contractor:
~\~
Nature of Work Proposed:
o Business D Other:
o Duplex D Multi-Family (No. units
) D Bldg. Move
}?.e-"P/J/~ Or- ~...{"/:s r/QC;
,
D New
Representative:
Phone:
Exp. Date:
~ Repair
o Sign
D RemodellAddn
o Parking Lot
Address:
Contractor's License No.:
o Residence
o Demolish
o Grading (cu. yds
",Dee ,e:
~
Sq. Ft.:
/?f0'
L
Utilities:
o Water
o Waste
D Sewer
o Septic
o New
l2(t Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
;%(/0
Plan Review F~:
$/G~
Permit Fee:
00
$ ~:$' --
Receipt No.:
Date:
Receipt No.:
Date:
Surcharges:
~W-
State '$t:'5e' ~
Energy $101$15 0
Zone Designation: --JC I
Setbacks: Front:
Occupancy Classification (UBC): -R:S
Comments/Conditions of Approval: ~
Side: .
---
hr~
Rear:
Height:
No. Stories:
Heat Source:
toJdh..7;
I I
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 returnee
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
requirement OD the~ity Bremer n will be met. ~J
Signature /77 Date C/(V -; J> 7
Stat. Code I
INSPECTION RECORD CARD
CITY OF BREMERTON BUilDING DEPARTMENT
ADDRESS & DIRECTIONS
631 N. Constitution
PERMIT NUMBER
8381
OWNER
James & Jeannie Zimmers
CONTRACTOR
Self
PHONE
PHONE
377-7929
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 CaRR O.K. CaRR 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 CaRR 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
CaRR 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 CaRR O.K. CaRR 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-CLOSI NG -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY: ~ ~
NOTES:
IO/~;/n <7t-
PLANNING:
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-' BUILO'IN PE:RMJT I NO 8361
, I -
City of Bremerton, Washington:,98310 Phone: (206) 478-5281
Assessor's Tax Account No. : ~7J5-nno-n17-nlQn '7 D,ate of Application: 10/1/87
Site Address: h~l N r.onl'lt'iT11t"inn A'T~_ Phone No.: 377-7929
Owner's Name: James/JeannieZimmers Address: ' Same
Applicant: " W Owner ,0 Architect 0 Contractor '0 Tenant
Architect Firm: Representative:
Address: . , Phone:
Contractor: Sel.f Representative:
Address: Phone:
Contractor's License No.: Exp. Date:
GJ Residence 0 Business o Other: D New [iJ Repair D Remodel/Addn
0 Demolish 0 Duplex o Multi"Family (No. units J o Sign 0 Parking Lot
0 Grading (cu. yds ) o Bldg, Move
Nature of Work Proposed: Reroof' - 25 squares compo
Sq. Ft.: ,
Utilities: D Water' 0 Waste o Sewer D Septic o New ~, Existing 0 Storm
Valuation of Materials/Labor:' Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] -$ 0 $ $3.50[ij ,
63.00 State ~~/5P/ x"
$3~375 Energy $10/$15 0
Receipt No.: Receipt No.:
Date: Date:
Zone Designation: Rl Occupancy Classification (UBC): R3 , No. Stories:
Minimum Req. Setbacks: Front: Side: ' Rear: Height: Heat Source:
Comments/Conditions of Approval:
,
Richard R. Humma. Bdg. Official C-\ ,
INSPECTIONS REQUIRED: Foundation 0 Framing 0-- Plumbing 0 Mechanical 0 Wallboard 0 FINALGJ
OWNER OR BUILDER SHALL CALL478-5281FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO,CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHER~ 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 p.ermit does not presume to give authority to violate or cancel the
provisions of. any other ~tate or local law regulating construction or the performance,of construction, SEE AND READ NOTICE ON REVERSE,
, , ' 97/ ~,~ 5... /1 " ,
/ - ,/, I, 10/1/87
l Signature / \%1/.77U-" / __,)~J.-:n-I.b_>):.---- , Date ~
t' .. ( / v
Copies to: White-owner; Yellow-file;Pink-Assessor: Goldenrod-Building
Stat. Code I
I.
-T
I' "
.~ ~
BUILDING PERMIT
e
APPLICATION
, "'
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: :57/..)- - ooo~ 01' ?~O/OO
Site Address:(~ _~ / AJ ~,uJ-S r--/rC/?7bA./ Aye Phone No.: :57? /7;;?'9
Owner's Name: .JAr??6S ~/p/ /:?7~/2' 5 Address: ..s fl...n e~
Applicant: DOwner D Architect D Contractor D Tenant
Architect Firm: Representative:
Address: Phone:
Contractor: Representative:
Address: Phone:
Contractor's License No.: Exp. Date:
D Residence D Business D Other: D New ~ 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: K~ ~d'o? d1s~~ 39~4Re--S -- ~r
/
Sq. Ft.:
Utilities: D Water D Waste D Sewer D Septic D New ~ Existing D Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: "
Surcharges:
[UBC Sec. 304(b)] $j2) $G~~' 3:50
?J3~7~ State ~ 1tJ
./ D
Receipt No.: Receipt No.: Energy $10/$15
I
Date: Date:
Zone Designation: ' Occupancy Classification (UBC): No. Stories:
Setbacks: Front: Side: Rear: Height: Heat Source:
Comments/Conditions of Approval:
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
reqUireme~ OL th~y~ Bremert{p~tzl be met. DateUe/ / P? ~
Signature I /'7~ " f /_ _ ".---z.-..-
\..' A/'/ / /
Co ies to: "te-owner: YeIlOW-fiIe~nk-Assessor: Goldenrod-Buildin Stat. Code
p
9
eUILDING t>ERMIT
~~
155
Alc/
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
PERMIT FEE
'7/_ &-0
'-I bit 51- $~--
t/-v i~
631 ~,.hJ-v'+f~
3-Z.~
RECEIPT NO.
RECEIPT NO.
If 0 It 6-"2
DATE
$6'o{)O~ S, -oo~ $ le~
SITE ADDRESS I LOCATION /;, '6 I )/, ~ S
OWNER'S NAME a- Oy~ B~V\~ ADDRESS
PHONE ]?~ ~rI?b
CONTRACTOR
ADDRESS
o RESIDENCE
STATE CONTRACTOR'S L1C. #
o BUSINESS
o NEW
o REPAIR
PHONE
o REMODEL
ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY'
THIS PERMIT ISSUED FOR: Adcl~ CtS.~ 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.
INSPECTIONS REQUIRED: Foundation dt Framing illI' Plumbing ~' Electrical ~D1( wallboard,;it1 FINAL ~I'
/......... '/) 1/\ Jf' 1"",'::::'
INSPECTION: '{,
FOR INSPECTORS USE ONLY:
REINSPECTION:
"PPROVED NOT
TYPE OF INSPECTION DATE TIME APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
OWNER'S SIGNATURE
Building Inspector
ISSUANCE OF OC
TE REQUIRED BEFORE OCCUPYING BUilDING
BY
BUILDING DEPT.
.~ t!!ZzedAgent
A r' r' L J CA I 1 UN r U R. .
B U I L 0 I f-..JG P E Rt'll T
CITY O.REMER TON :: BU I LD I NG DEPA.1ENT
PHONE: 479-5281
ALUE $f..f~q..r... PERMIT FEE $J.r;./.~. PLAN CHECK $/'f'.c'P.Q.. RECEIPT...........
WNER .G.c.lPo4i. . 8.~,v.f.!~ 7.. ADDR E S s~ .3/. . 1<1. . C.I>f.(~T/:1.fJ. T(t),j PHONE. . . . . . . . . . . . . . .
ON T R ACT 0 R . . . .5 rJ:/H ~. . . . . . . . . . . . .'. . . . . . . . . . . . . .. S TAT ELI C. #.... '. . . . . . . . . . . .
f 1
DDRES S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. PHONE...............
DDRESS/LOCATION OF JOB. ~.J.I... fl. QPtfl5.7/. 7:<.!.7/.~I-!.............................
LANN I NG ZON I NG. . . . . . . . . . .. FRONT............ REAR............ S I DE. . . . . . . . . . . . . .
CCUPANCY............ FIRE ZONE............ TYPE OF CONSTRUCTION...... .,..........
PPLICATION ISSUED FOR: AllRI. 7:1. r>.~.. .Jf:-S... Fc.R.. .P~~~-$.................
. . . . . . . . . . . . . . . . . . . . . . .Il--.s. . . l>.Ii=-R . . v. Q. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . CD... ]"'2..5-7? /fJ ~
IGNATURE APPLICANT ~ ... ..~ . .. DATE .......h RECEIVED B~..
LANNING COMMENTS/REVIEWED By..........
~GINEERING COMMENTS/REVIEWED By....... ...
IRE DEPT. COMMENTS/REVIEWED By...... ....
~AFFIC DEPT. COMMENTS/REVIEWED BY... .......
J?f1 \ )\i\e"'... (f, he k 0V\..~ f)_..~ Co~. -
JI LDING DEPT. COMMENTS: bj ~d. . ~~.~ -ro -r-'
_UMBING REVIEWED By.... ......
_ECTRICAL REVItWED By.... ......
JILDING REVIEWED BY~.
.~~{J~~~~r~-
,Fl~ ~ .4f CPr 2], C , -
>PROVED BY COMMISSIONER OF PUBLIC WORKS
'.. ................................ ....
DA T E. . . . . . . . . . . . . . . . . . . .
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