HomeMy WebLinkAboutDORA AVE., 642 CITY OF BREMERTON PERMIT NUMBER B B04 00 821 �
; � DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 02/27/2004 �
�
,' a 286 Pourth St. Bremerton, WA 98337
(360)478-5275 Fax:(360)478-5278
ASSESSOR NUMBER: 3783-007-037-0009 ZONING: SF-3 SITE ADDRESS: 642 DORA AVE
APPLICANT NAME: PHILLIPS PAUL F PHONE: ADDRESS: 856 KITSAP LAKE RD
OWNER NAME: PHILLIPS PAUL F PHONE: ADDRESS: 856 KITSAP LAKE RD
CONTRACTOR: SELF PHONE: ADDRESS:
LENDER NAME: PHONE: (} ADDRESS:
SUBMITTED: 01/29/2004 APPROV�'_'� EXPIRATION: 08/25/2004
..n..�.�._..._b .._. r,,.W a.� e�_.�,,..�.,_� _ �,.
VALUATION: $12,000.00 Bulldi'ng Permit No Mechanical%Plumbing m � T µ M Y T., T �� ^ ��
Building Permit $209.25 2211 INSTALLING NEW SIDING TO HOUSE & GARAGE NEW VINYL WINDOWS NEW
Plan Review Fee $136.01 45so FRONT DOOR & 2 NEW FRENCH DOORS
State Surcharge $a.so ozas Building Code Edition: UBC: 1997
TOTAL FEES: �� m�$349,7g Occupancy Group
--°_�°-� - ' Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Square Footage: Bid Price from Applicant ' 1 TOTAL
Inspection Requests Fire Inspections (360) 473-5380
DCD: Building Inspectlons (360) 473-5870 H/D: Bremerton, Kitsap County Health District (360) 337-5285
L81: Department of Labor and Industries (360) 415-4000 PW: Department of Public Works (360) 473-5270
This permit shali become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or'rf this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
� been suspended. 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 rype of work
will be complied with whether specified herein or not. The granting of a permit does not presume to gfve authority to violate or cancel provisions of any State or local loaw 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 Contractors 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 finai inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. �
1 have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR '
AGENT:
PRINTED NAME: DA �
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.
1. Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and x �
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 singie family
residences).
2. For more information, please contact Clean Air Agency through their web site at www.cieanair.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. �
3. Locate all buried utilities prior to digging. The property owner shall bear all costs for damage, repairs or necessary
relocation of underground utilities due to his activities. �`�'�'
4. Building Plan Review:
Code Compliance-All work in the City of Bremerton shall adhere to the following codes:
1997 Uniform Building Code
1997 Uniform Fire Code
2000 Uniform Plumbing Code
1997 Uniform Mechanical Code
Page 1 of 2
'i
� CITY OF BREMERTON PERMIT NUMBER SB04 00821 �'
' DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 02%27/2004 µ��[
.' 0 286 Fourth St. Bremerton, WA 98337
(360)478-5275 Fax:(360)478-5278
ASSESSOR NUMBER: 3783-007-037-0009 ZONING: SF-3 SITE ADDRESS: 642 DORA AVE
APPLICANT NAME: PHILLIPS PAUL F PHONE: ADDRESS: 856 KITSAP LAKE RD
OWNER NAME: PHILLIPS PAUL F PHONE: ADDRESS: 856 KITSAP LAKE RD
CONTRACTOR: SELF PHONE: ADDRESS:
IENDER NAME: PHONE: O ADDRESS: -
SUBMITTED: 01/29/2004 APPROVED: 02/26/2004 EXPIRATION: 08/25/2004
2001 WA State Energy Code
2000 WA State Ventilation Code '
1998 WA State Barrier Free Code
CHECK FOR NOTES ON APPROVED PLANS. �
5. Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection.
Through or lag bolt deck ledger to building. (1/2? bolts staggered @ 32? on center)
Pier pad shall be 25% embedded in a
concrete pad 24 x 24 x 6 inches 12" below undisturbed soil.
At least one window in every bedroom must meet egress per chapter 10 of the 97 UBC.
Any window or door openings that are not existing may require an on site evaluation of the lateral restraint system
(wall bracing).
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be recetved by 8:OOam 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.
Foundation Footings .
Foundation Walls
Framing
Insulation
Sheetrock Nailing
Final Inspection - Building
Page 2 of 2
��
� CITY OF BREMERTON
Receipt Number: BDD0001360 ' �
u DEPARTMENT OF COMMUNITY DEVELOPMENT �----�--•---•---- --•—=
� 286 Fourth St. Bremerton, WA 98337
� (360)473-5275 Fax:(360)473-5278
Receipt Date: 02/27/2004 Cashier: PCONROY Payer/Payee Name: PHILLIPS PAUL F
Tran Originai Fee Amount Fee
Permit # Fee Description Code Amount Paid Balanc
6B04 00821 Building Permit 7/2211 $ 209.25 $ 209.25 $0.00
6604 00821 State Surcharge 1/0236 $ 4.50 $ 4.50 $0.00
Total: $ 213.75
Previous Payment History
Receipt # Receipt Date Fee Description Amount Paid Permit #
BDD0001234 01/29/2004 Plan Review Fee $136.01 B604 00821
Payment Check Payment
Method Number. Amount
CREDIT CARD $ 213.75
Total: $ 213.75
Page 1 of 1
i,
�
DEPARTMENT OF COMMLTNITY DEVELOPMENT
:;:
BUILDING DIVISION
� . .' � Bremerton, Washington
(360) 473-5275
� INSPECTION REI'ORT
P�RMIT #: ADDRESS: � b`�Z '��
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Date: �� G hone: � �i� �
INSPECTOR
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� UILDING PER141I7' s�TE DD�ss
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llll S/'EC�/0101 :::
PROJECT DESCRIPTION
FiL� CARD �sf��15����� .
.. .,
FILE COPY
Building ❑ Plumbing ❑ Mec � ��r�Alaran/Sprinkler ❑
Per�n�t # �BO � � FILE COPY
A roved Date Notes
Erosion Control in Place
S Foundation Footing � �
FOUNDATION Foundation walls
DO NOT POUR CONCRETE Plumbiizg Grou�zd Work
PRIOR TO APPROVAL hz Slab MeclZanical
��ooting Insulation '
2 nd PL UMBING Rough bz
MECHANICAL Duct / Vent
GAS PIPE Support / Test /Meter set
Hold down connections
Shear Panel nailing
�'R�4MING L&I Electrical Approved
If I S ` & 2 are approved Ventilation requirements
Framin
Under-floor
walls
I�SULATION ceiling
SHEETROCK
All of the BUILDING 473-5870 7/
above y�A �A1VCE �?�-5927
FINAL Must be rease Tra , Back ow, Meters
approved Driveway 473-5270
Prior to WORKS Sewer -
final F.I _ /5385
ALL FINAL INS'P�CTIONS COMPLETED Y l�
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' °{"`�� -- BREN�ERTO�
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� �UILAiNG D�PA�tMEt�T �
I artme=rt of Co DeS�elo ment �'-'86 4� 5treet �� Bremerton '�jl 95337
(360) �78-5Z75 =� F2x (360� �}7�-5275
�u�ld�� �'erz�t Appl�c�.�io�a �
APPLICANT: �OWNER ❑ CONTRACTOR ❑ AUTHORIZED AGENT
Site Address �y Tax Account Number: `��
CO hiTRACTO R:
OWNER Name:�p_`i,�`� �Z`'�� S
Address: Address:��J�9 � �-.
Ci-�y S �jP Gity, State, Zip �
Phone �: (
Phone #: ( �0� �"� '
License t Explr. Date: Authori=ed Agant P.ddress:
Contact Name: � City, State, iip
Contact Phone � ( ) Phone �: ( �
� ri�eck the tvpe of applicafion �r below: -
� NEW SINGLE-FAMILY RESIDENCE � hlE1N CDMMERCIAL � NEW G.aP.AGE/C.�.P POP�i
� NEW DUPLEK � COMMERCIAL P.EIvIODEL � NEW ACCESSOP•Y BLDG
� NEW MANUFACTURED HOME � COMtviERCIA� ADDITION � NEW 51GN
'� RESIDENTIAL REMODEL � COMMEF2�i:4L REPAJR � STRUCTUR.E DEMOLfTION
� RESIDENTIAL ADDfi"ION. � NEUV hIIULTI-FAMILY .� GRADING (Cubie yards: )
� RESIDENTIAL REPAIR � T�NAhIT I(VIPROVEMENT � OTHEP.
15 rHlS PROPERTY WI i HIN 200 FFET Or A S.yDP.FLINF? �S D l�� � �
' � 5cope of Work ProPosed: '-S.C��O_.�,�`�`O.xC�����11i1�t g�t�.� r�s '�c� tiC`c�\i�e. G�'�m� �`� �
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Square Footage: �Dweiling: Garage:. ���--c��... Decks: �L4� �_
Valuation � Plan Review Fee Permit Fee
Surchar e Tota1 Fees
� �a 000�c� [ �` . ot � p�. 2� � �f-s� 3�!`�. 7
Applicaiion fior which no permit is issued vdithin 180 days fiollowing ihe date of appli�ation shall er.pire by limitation, and
plans and o �ata subrni:ted Tor revie+n� may th?rea,"�.er be returned t� the applicant or destroy�d by thz building ofncial.
Tne buil�ing official may er.t�nd ihe time ior action by the applicant for a period noi e; ceeding 1?0 �ays on request by
t�he applican'r showing utie eircumstanc2s bey�nd ihe control oi ih� appiicant have preverfied action from b°ing taF:en. IJo
applicant snali b� extended ;nore than once. In or,�sr to r�nev✓ acvon on an app!'rcation afier sxpiratian, the applicant
sha►I ra;ubmi't pla�s and pay s new ptan revi°w fse.
�,i�PLfC� 51Gtti„TUP.E: �_ �. Rta, D,�:TE: a
;--
�
CITY OF BREMERTON
+� DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: BDD0001234 T �
i _�..__ .
L_----- - -
286 Fourth St. Bremerton, WA 98337
� (360)473-5275 Fax:(360)473-5278 ,
Receipt Date: 01/29/2004 Cashie�: PCONROY Payer/Payee Name: PHILLIPS PAUL F
Tran Original Fee Amount Fee
Permit # Fee Description Code Amount Paid Balanc
BB04 00821 Plan Review Fee 1/4580 $ 136.01 $ 136.01 $0.00
Total: $ 136.01
Previous Payment History
Receipt # Receipt Date Fee Description Amount Paid Permit #
Payment Check Payment
Method Number Amount
CHECK 2335 $136.01
Total: $136.01
Page 1 of 1
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Denartment of Comrnunit5� Develo�ment'� ?S6 4� Street =� Bremerton =� V�'�A =� 95337
(360) 475-5?75 '� Fa� (360) 475-�278
l�ESI�ENTIAL S�T� PLAN RE`�'��4� ��TL�S'�'fONNA�R1�
Permit applications are reviewed by our staffto ma.lce a preliminary determination of the presence or
absence of unique areas on the property. To help us malce this deternunation, please supply the following
information with a scaled and dimensioned site lan.
A �u���o�:.��� �o..�v���h��.t.t �
Description ofProposalk�'� �o�Sq��� ���► � ��C �c�L.,
Street Address (�r sireet name if no address has been assi�ed): �9v► C , �
Ta�. Account Number: �3 $ � �� Q'�"'� �j _
Critical Area Quesfionnaire: . .
j, Is there any stand.i� or n,nn;Tg water on the surface of the si're at �1NY time � yEg �NO
dutmg the year? If YES, please descn�be condirions: .
�. Are there wet azeas on the site? IfYES, please descnbe: � yEg �NO
3, Is the site characterized as: � Forest ❑ Cleared �. Developed
�. Please give the overall slope of the parcel ,�% and the slope at the building site �%.
5. � Ls the property withi.n 200 feet of a shoreline? • � yEg �NO
(. Will the proposed structure be aesthetically or funcrionally disnrptive to � y,Eg � NO
surrounding properaes, the neighborhood or the oommunity? �
See dia� explaining the slope calculation on the back
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made hereu�ith are true, and the applicant acl�ov��ledges that any action taken by the City of
Bremerton based in ��hole or in part on this application may be reversed if it develops that any such
statement or other information contained h�rein is false. �
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Si��tur of �pplicant Date
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The Home Depot # 4716
10991 SIL'VERDALE WAY NW, SILVERDALE, WA 98383
(360) 307-9200
Wed Jan 28 11:15:01 2004
The materials for this project will cost $1253.91,
PAUL PHILLIPS
DECK #1
154186
3D View
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Peer pad shall be 50% embedded in a
concrete pad 24 x 24 x 6 inches
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Through or lag bolt deck ledger to
building. (1/2" bolts staggered @ 32"
on center) �
The Home D`epot # 4716
10991 SIEVERDALE WAY NW, SILVERDALE, WA 98383
(360) 307-9200
Wed Jan 28 11:15:01 2004
The materials for this project will cost $1253.91
PAUL PHILLIPS
DECK #1
154186
Deck Layout "
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The Home.Depot # 4716 �
10991 SILVERDALE WAY NW, SILVERDALE, WA 98383
(360) 307-9200
Wed Jan 28 11:15:01 2004
The materials for this project will cost $1253.91
PAUL PNILLIPS
DECK #1 � � .
154186
Post Layout for Deck 1
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The Home Depot # 4716
1U991 SILVERDALE WAY NW, SI�VERDALE, WA 98383
(360) 307-9200
Wed Jan 28 11:15:01� 2004
The materials for this project will cost $1253.91
PAUL PHILLIPS .
DECK #1 �
154186
Deck Dimensions for Deck 1
���`����� `� � �����t�`� ��i:'��'� �X.$ '� ��.�. W I�„
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De k 1
7' 16'
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7oist Spacing = 16 in. o.c.
3aluster Spacing = 3 3/4"
Coe Spacing = 3 3/4"
2ailing Height = 36"
The Home Depot # 4716
10991 SILVERDALE WAY NW, SILVERDALE, WA 98383
(360) 307-9200
Wed Jan 28 11:15:24 2004
PAUL PHILLIPS
DECK #1
154186
Construction Speciflcations
deck 1:
Construction Method = Beam Flush With Joist
Footing Type = Pier
Live Load = 60
Dead Load = 10
Decking Spacing = 0 1 /8"
Joist Spacing = 16"
Beam Spacing = 120"
Post Spacing = 62 5/32"
Decking = 2X6 Outdoor Wood Hem-Fir No. 2
Beams = 2X8 .40 Treated LP22 Hem-Fir No. 2
Joists = 2X8 .40 Treated LP22 Hem-Fir No. 2
Posts = 4X4 .40 Treated LP22 Hem-Fir No. 2
Deck Height = 42"
Diagonal Bracing = No
Deck Skirt = No
Joist Overhang = 0"
Beam Overhang = 0"
Decking Deflection Factor = 360
Joist Deflection Factor = 360
Beam Deflection Factor = 360
Pref Decking Size =
Pref Joist Size = NONE ,
Pref Beam Size = NONE
Pref Post Size = NONE
Stair 1:
Step Width = 36"
Step Height = 42"
Step Rise = 5 13/16"
Step Run = 11"
Stringers = 2X12 :40 Treated LP22 Hem-Fir No. 2
Risers = 5/4X6 Treated Southem Pine Standard
Treads = 2X6 - Western Cedars No. 2
Railing 3:
Railing Height = 36"
Baluster Spacing = 3 3/4" �
Toe Space = 3 3/4° _
Railing 4:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Railing 2:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4" �
Railing 1:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4" •
Railing 5:
Railing Height = 36" �
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Railing 6:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
The Home Depot # 4716 �
10991 SILVERDALE WAY NW, SILVERDALE, WA 98383
(360) 307-9200
1 /28/2004
PAUL PHILLIPS
DECK #1
154186
Materials for Deck:
Qty UOM SKU Use Description
94 EA 294931 Baluster 2X2-4 OUTDOOR WOOD CT.40 CCA
1 EA � 294654 Beam 2X8-16 CT .40 CCA
22 EA 295156 Decking 2X6-16 OUTDOOR WOOD CT.40
8 EA 295111 V Top Rail 2X6-8 OUTDOOR WOOD CT.40
8 EA 295111 H Top Rail 2X6-8 OUTDOOR WOOD CT.40
1' EA 294654 Joist 2X8-16 CT .40 CCA
13 EA 294797 Joist 2X8-10 CT .40 CCA
1 EA 294654 Ledger 2X8-16 CT .40 CCA
1 EA 294881 Post 4X4-12 CT .40 CCA
1 EA 294864 Post 4X4-10 CT .40 CCA
7 EA 320744 Railing Post 4X4-8 CT .40 LP22
1 EA 294752 Stair Stringer 2X12-8 CT .40 CCA .
1 EA 294783 Stair Stringer 2X12-16 CT .40 CCA
4 EA 338538 Tread � 2X6-10FT. GREEN STK CEDAR S4S
1 EA 731979 Tread 2X6-8FT. GREEN STK CEDAR S4S
8 EA 294962 V Bottom Rail 2X4-8 OUTDOOR WOOD CT.40
8 EA 294962 V Top Rail 2X4-8 OUTDOOR WOOD CT.40
26 EA 864870 2x8 Joist Hanger 21NX81N JOIST HANGER - 18 GA
1 EA 735068 BalusterScrewTan 5# TAN 2 1/2 IN DECKMATE DECK SCREW
8 EA 544208 Beam Bolt 4x4 CARRIAGE BOLT-GALV. 1/2 X 8
8 EA 538892 Beam Nut HEX NUT GALV 1/2
8 EA 538981 Beam Washer FLAT CUT WASHER GALV 1/2
4 EA 340721 Concrete Deck Block DEK-BLOCK 4
2 EA 734968 Deck Screws 3in Tan 5# TAN 3 IN DECKMATE DECK SCREW
2 EA 158206 Flashing 101NX10FT ROLL VALLEY GAIVANIZED
2 PK 462810 Hanger Nails 2x8 1-1/21N 10D JOIST HANGER NAIL
1 EA 192708 Joist Framing Nails 16D 3 1/2" 5L6 HOT GALV COMMON
13 EA 538981 Lag Bolt Washer FLAT CUT WASHER GALV 1/2
13 EA 928607 Ledger-Bolt LAG SCREW GALV 1/2 X 6
28 EA 544208 Rail Post-Bolt CARRIAGE BOLT-GALV. 1/2 X 8
28 EA 538892 Rail Post-Nut HEX NUT GALV 1/2
28 EA 538981 Rail Post-Washer FLAT CUT WASHER GALV 1/2
1 EA 735068 Step Screw Tan 5# TAN 2 1/2 IN DECKMATE DECK SCREW
The total cost of in stock materials is $1253.91 plus tax.
This estimate was created on 1/28/2004 and is valid for 3 business days. '
Parameters from UBC.cod parameter file.
Parameters used for Deck 1: 60 psf live load.
WARNING:
THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL
CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE
FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS
DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING
INSPECTOR.
THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBIIITY FOR THE CORRECT USE OF THIS PROGRAM.
ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE
REASONABLE AND ACCURATE.
CONSUMER INFORMATION SHEET
THIS WOOD HAS BEEN PRESERVED BY PRESSURE TREATMENT WITH AN EPA-REGISTERED
PESTICIDE CONTAINING CHROMATED COPPER ARSENATE (CCA) TO PROTECT IT FROM
TERMITE ATTACK AND DECAY. WOOD TREATED WITH CCA SHOULD BE USED ONLY WHERE
SUCH PROTECTION IS IMPORTANT. -`'�
CCA PENETRATES DEEPLY INTO AND REMAINS IN THE PRESSURE-TREATED WOOD FOR A
LONG TIME. EXPOSURE TO CCA MAY PRESENT CERTAIN HAZARDS. THEREFORE, THE
FOLLOWING PRECAUTIONS SHOULD BE TAKEN BOTH WHEN HANDLING THE TREATED WOOD
AND IN DETERMINING WHERE TO USE OR DISPOSE OF THE TREATED WOOD.
USE SITE PRECAUTION FOR CCA PRESSURE-TREATED WOOD
* WOOD PRESSURE-TREATED WITH CCA PRESERVATIVES MAY BE USED INSIDE
RESIDENCES AS LONG AS ALL SAWDUST AND CONSTRUCTION DEBRIS ARE CLEANED UP
AND DISPOSED OF AFTER CONSTRUCTION.
* DO NOT USE TREATED WOOD UNDER CIRCUMSTANCES WHERE THE PRESERVATIVE MAY
BECOME A COMPONENT OF FOOD OR ANIMAL FEED. EXAMPLES OF SUCH SITES WOULD BE
STRUCTURES OR CONTAINERS FOR STORING SILAGE OR FOOD.
* DO NOT USE TREATED WOOD FOR CUTTING-BOARDS OR COUNTERTOPS.
* ONLY TREATED WOOD THAT IS VISIBLY CLEAN AND FREE OF SURFACE RESIDUE
SHOULD BE USED FOR PATIOS, DECKS AND WALKWAYS.
* DO NOT USE TREATED WOOD FOR CONSTRUCTION OF THOSE PORTIONS OF BEEHIVES
WHICH MAY COME INTO CONTACT WITH THE HONEY.
* TREATED WOOD SHOULD NOT BE USED WHERE IT MAY COME INTO DIRECT OR INDIRECT
CONTACT WITH PUBLIC DRINKING WATER, EXCEPT FOR USES INVOLVING INCIDENTAL
CONTACT SUCH AS DOCKS AND BRIDGES.
HANDLING PRECAUTIONS FOR CCA PRESSURE-TREATED WOOD
* DISPOSE OF TREATED WOOD BY ORDINARY TRASH COLLECTION OR BURIAL. TREATED
WOOD SHOULD NOT BE BURNED IN OPEN FIRES OR IN STOVES, FIREPLACES OR
RESIDENTIAL BOILERS BECAUSE TOXIC CHEMICALS MAY BE PRODUCED AS PART OF THE
SMOKE AND ASHES. TREATED WOOD FROM COMMERCIAL OR INDUSTRIAL USE (E.G.,
CONSTRUCTION SITES) MAY BE BURNED ONLY IN COMMERCIAL OR INDUSTRIAL
� INCINERATORS OR BOILERS IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS.
* AVOID FREQUENT OR PROLONGED INHALATION OF SAWDUST FROM TREATED WOOD.
WHEN SAWING AND MACHINING TREATED WOOD WEAR A DUST MASK. WHENEVER .
POSSIBLE, THESE OPERATIONS SHOULD BE PERFORMED OUTDOORS TO AVOID INDOOR
ACCUMULATIONS OF AIRBORNE SAWDUST FROM TREATED WOOD.
* WHEN POWER-SAWING AND MACHINING, WEAR GOGGLES TO PROTECT EYES FROM FLYING
PARTICLES.* AFTER WORKING WITH THE WOOD, AND BEFORE EATING, DRINKING, AND
THE USE OF TOBACCO PRODUCTS, WASH EXPOSED AREAS THOROUGHLY.
* IF PRESERVATIVES OR SAWDUST ACCUMULATES ON CLOTHES, LAUNDER BEFORE REUSE.
WASH WORK CLOTHES SEPARATELY FROM OTHER HOUSEHOLD CLOTHING.
* TREATED WOOD SHOULD BE DRY BEFORE HANDLING.
ADDITIONAL INFORMATION IS AVAILABLE AT WWW.EPA.GOV.
EPA APPROVED
,
BU I LDI N�- ERM IT -� 2325 q
G .
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VAIUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ �� $ $� � �>�} �J-/—��"
S ITE ADDRESS I LOCATION � SL �L .�f•� ' �
OWNER'S NAME �c'...lC��'�lv ���, ADDRESS PHONE
CONTRACTOR � l,.(��'�✓ STATE CONTRACTOR'S UC. #
ADDRESS � PHONE
RESIDENCE ❑ BUSINESS ❑ OTHER ❑ NEW REPAIR ❑ REMODEL ❑ ADDITION ❑ DEMOLISH
PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: Z/JZ..�--C�-=•��� --�'-- �� � -C�-� �i�-�` Q--�
(.G _�•-- C'� `�/�✓ / L� �—z�..��2�� ""_"---
[�C�//�.�c/�-G� vC/�'�� ���i �'c►�/��--� � 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 ❑ Framing ❑ Plumbing ❑ Electrical ❑ Wallboard ❑ FINAL
FOR INSPECTORS USE ONLY: REINSPECTION: �
NOT
TYPE OF INSPECTION DATE TIME PPROVED' APPROVED COMMENT DATE TIME APPROVED ;
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE�e���/`°� � � Gli��2i�iuii� BY
Autho�ized Age
BUILDING DE� .-����-�'�� --Zi