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Home My WebLink AboutALMIRA DR., 3258 i.r:.Il ,,\ +:"'-' . . .., ~? MechallIcal/Plumbing Inspection Card m... rs PERMIT CENTER CITY OF BREMERTON 345 -6th Street, Suite 600 Bremerton, W A 98337-1873 Phone: (360) 473-5275 Fax: (360) 473-5278 permitNoB.BCfl 004~D Address: I J)r. . ArfJ pj~ - . - - QTY. EQUIPMENT . APPROVEIr' ....NOT APPR'D COMMENTS Gas Piping (outlets) Fu rnace Hot Water Heater Wall Furnace Room Heater Gas Fireplace Gas Logs Gas Stove Gas Range Gas Clothes Dryer Wood Stove Pellet Stove / ~:J1 '. ~ *cross-c4'-'!!/if3n 'WtqV;i r;!.J 'd by Public Works . dr1 tJ'L1Yl J"'~ . Propane Stdtage Tank* *Location must be approved by Fire Dept. Other: Other: Additional Comments: ~v (p/ii It)? / 'I FOR INSPECTIONS: C.A:hf, 473 5878 q-7359d-7 FINAL INSPECTION/APPRO VAL TO SET AfETER: Building Inspector Date ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: SUBMITTED: VALUATION: Irrigation System TOTAL FEES: ~~ ' I. ~i1 . [.11 :: CITY OF BREMERTON €.l';EiL';1;l ~~~,.~ DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER: BB07 00420 DATE ISSUED: 06/11/2007 345 - 6th Street. Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 3926-000-007 -0008 GREEN SAMUEL A GREEN SAMUEL A SELF S TE ADDRESS: 3258 ALMIRA AD RESS: 3258 ALMIRA DR, BREMERTON, WA 98310 3258 ALMIRA DR, BREMERTON, WA 98310 ZONING: Rl0 PHONE: (360) 373-8054 PHONE: (360) 373-8054 PHONE: PHONE: 12108/2007 STATUS: ISSUED 06/11/2007 APPROVED: Irrigation Systems $27.00 2213 INSTALL LAWN IRRIGATION SYSTEM FOR SFR $27.00 Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries (360) 473-5870 (360) 415-4000 Fire Inspections HID: 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 afterthe work is commenced for a period of180 days. It is the responsibility of the permit holderto 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 regulati g 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 La 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 requir d to pa final inspection prior to permit expiration and obtain a certifica f occupancy prior to use or occupancy. I have read, and agree to ab SIGNATURE OF OWNER OR AGENT: PRINTED NAME: City of Bremerton's appr regulations does not neces 'urisdiction, and thus compliance with City 10. (P) 10. (DCD-01) Cross Connection: All approved assemblies must be on the current Washington State Department of Health approved assembly list and must be tested at the time of installation, whenever moved or serviced, and annually. Tests must be performed by a certified Washington State backflow assembly tester. Test reports must be sent to Bremerton Public Works and Utilities, attention Cross-Connection Control, 100 Oyster Bay Ave. Bremerton, WA 98312. 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. / 1f)fl / Kl Page 1 of 2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER: BB07 00420 DATE ISSUED: 06/11/2007 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3926-000-007-0008 APPLICANT NAME: GREEN SAMUEL A OWNER NAME: GREEN SAMUEL A CONTRACTOR: SELF LENDER NAME: ZONING: R10 PHONE: (360) 373-8054 PHONE: (360) 373-8054 PHONE: PHONE: SITE ADDRESS: 3258 ALMIRA CT ADDRESS: 3258 ALMIRA DR, BREMERTON, WA 98310 ADDRESS: 3258 ALMIRA DR,BREMERTON, WA 98310 ADDRESS: ADDRESS: SUBMITTED: 06/11/2007 APPROVED: 06/1112007 EXPIRATION: 12108/2007 STATUS: ISSUED 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 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. FOR INFORMATION AND TO SCHEDULE AN INSPECTION PLEASE CALL EARL VARNER, CITY OF BREMERTON PUBLIC WORKS DEPT. AT 360-473-5927. MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. 10. (DCD-02) 20. (OTHER) Final Inspection - Cross Connection " Page 2 of 2 'm~. E"Il rs Dept. of Communi tv Development*345 - 6th Street, Suite 600*Bremerton*W A *98337-1873 ..' Type-ofFueJ: Occupancy: . . . .' 0 ; Mecbanical....... . '..0 ....Plumbing... . ',0 Electric"OGas:' '. .OOi.f....OPropane.... . .. [] Resideritial 0 Commercial I Site Address: CONTRACTOR: Address: City, State, Zi : I License #: Contact Phone #: ( 1 Phone # (3'0) 3 I Tax ill/Parcel #: NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE I AIR HANDLING UNIT> 1O,OOOCFM ATMOSPHERIC VACUUMl'BRJ(R._l-S. AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUNJ:jijE.[IL5s(r.:;-f'SJ' I! BATH FAN AND/OR EXHAUST F Ai\J" BACKFLOW DEVICE <=2'j ....... . '-/ l..:::::J u CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE> 2"U L 111M of of CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER "'\,In J. J. CLOTHES DRYER W/ EXHAUST CLOTHES WASHER ~~~. n~~ . 1 COMl\1ERCIAL FURN ACEIDUCT COMMERCIAL FLOOR DR. ' ) ~ . uti ~'~;' . CO!\'-1M. FlJRNACE> 100,000 BTUS DISHWASHER . , . , COMPRESSORS I DRAIN PIPE/VENT PIPE AL TERA. nON I COOK STOVE W/ EXHAUST DRINKING FOUNTAIN i DUCT CHA..~GE W/O NEW FURNACE FLOOR DRAIN I , ELECTRIC FURi'IACE/HEA T PUMP FLOOR SINKIINDlRECT WASTE , i I EV APORA TIVE COOLER GREASE INTERCEPTOR I I FIREPLACE-GAS OR GAS LOG INSERT HOSE BIBBS FIREPLACE-WOOD, OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR [ I GAS WATER HEATER & VENT )( LAWN SPRll'.TKLER WI BACKFLOW DE\/. I I GAS PIPING ROOF DRAll'~ I WgfQI 2007 ~ Jf::YT OF ELOPMENT I + MISCELLA."lEOUS MECHM1CAL ~=~ ~ I L I ~- i on-IER: L___-L..QIHER: ! 1 - 1 ~ - 1 NAnJRAL GAS FURNACE/DUCTING SINK (LA V, KITCHEN, MOP OR BAR) I PROP AN"E FURN ACEIDUCTING SUMP PUNIP I I PROPA.."'.I"E Ti\NK (<2000 GALLONS) TUB AND/OR SHOWER UNIT ---l I UNIT HEATER WATER CLOSET Ai"'D!OR TJRINAL I ~ SHAMPOO SINK W/BACKFLOW DFVICE -I gi:~: I i -I J ~=~'J_ECHANICAL FEES: I -~-J i_____.~~U~I!JINGL~E~: +---,----sL-1-r=----=-----1 l______._____ TOTAL FEES: i .________! .___"~~d~d~~-..----_.-.> Applicant's Signature ~ m4- ! I 3 / B~ _~.U__=_B.Jj6rL__.___ Date Parcel Locators Applications Parcel Search Hazard Locators Voter Information Page 1 of 1 614, Division Street, Port Orchard, WA 91 Voice: 360.337.3918 KITSAP COUNTY PARCEL SEARCH I I GIS Home Contact Us Location Directions Parking Comments ..nS-:\: , ~'({it<v "a,~~, L'I ,ir\ ~~ I " '. ....~.~:z J hl;{ ,', I """mm,,""""";: i, !It,1 <( 1 I , ~) SYL'lJ/!iN.WAy .~ '"I Maps & Data Map Library Download Data Section Downloads Data Change Request Resources What is GIS? Quick Facts Site Map Related Links I; 33;~I?L ~ ;~' .~ 0) t:I: i " . , J<' v~,' ",,,1 i [=' '-_~ ,L" r' '~, ", :;:.~'"'' I;. ~. . ,"-, ,t\~~~==} / ,{ , ) ::J~'~"'" ., i,l ,I e 31STST ir--r. GREEN SAMUEL A't.J 3926.000~007.0008'L~r; . ,', , - ~ ',- ,) , ~ C(1pyrighh~ KitsapCounty20Q6 Zoom to an area: -- Select AI . W~ Search by Tax Account A full or partial tax account number may t Search by Address Do NOT enter Street Direction (E,W,N,S) Blvd., etc.). A list of potential matches wiH Search by Taxpayer Enter last name first or a partial name. - - - Show 2005 \ Shm Sh< Last Updated: May 24, 2007 Copyright @ 1995-2007 Kitsap County GIS. All rights reserved. Privacy Policy Disclaimer Comments/email http://kcwppub3.co.kitsap.wa.us/ParcelSearchlmap.asp?Cmd=ZOOMOUT &AP AN=&PID... 611112007 CITY OF BREM ERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: ~;A~lllll!Q5~ 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360) 473-5275 Fax: (360) 473-5278 Total $ 27.00 $27.00 CHECK 1139 genpmtrreceipts Page 1 of 1 .' \~'''--',.-' PERMIT . CITYOF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 JOB ADDRESS Qi') ~~ t:.., "t.,,)..') Almira Dr. OWNER MAIL ADDRESS Sam Green MAIL ADDRESS #:@f!o* Ii. CONTRACTOR Doxol Class of work: D NEW o ALTERATION o ADDITION Gk MECHANICAL ZIP PHONE PHONE LICENSE NO. D REPAIR D PLUMBING CHIMNEY (No fee information only) Masonary Lines Unlined Factory Mfg Type B Type L Location: Internal Outside Wall No. Type of Equipment Fee STOVES Gas_ Oil_ WooL- FIREPLACE INSERT FURNACE Gas (Nat._ LPG. _) Oil~ Wood add on _ Other_ Electric_ BTU Type: Up flow_ Down flow_ .f;ioriz??~~I_ Wall_ e,;o:N~~f,I'SION BURNER: Gas_(Nat._ LP_) '6~ctef1'06,000_ Over 100,000_ Oil> . UNIT HEATERS BTU_ Gas_ Elec._ BOILER Gas_ Oil_ Electric_ Other~ H P_ GAS SYSTEM Max. 5 outlet Total--1- EvApORATION COOLERS Roof_ Wall_ BTU_ AC UNIT Electric_ Gas Elec. Combo BTU_ HEAT PUMP Single Package_ SpliL- Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AlfI HANDLING UNIT CFM_ BTU_ FANS Exhaus~' Supply_ Bath_ RANGE HOOD Residential_ Comm._ CLOTHES DRYER Res._ Comm._ ---5. ~ Incinerator ALTERATION TO DUCT SYSTEM ~ Heating/Cooling_ Exhaus~ TANKS Oil~ Gas_ Pro~ane wlOK from Fire Dept._ Galions_ REFRIGERATION UNIT PERMIT $ TOTAL FEE $ 5 50 -- li-- 00-- \ INSPECTION: Groundwork Wasted Vents Htg. Ruffin Stove or Insert Gas Test Water Chimney Refrig. Type of Fixture or Item No. Fee WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private Public GROUNDWORK SUMP ALTERATION POST & BEAM ~.' ..IL,~ . . .' 'I^-<'~~\ ~ '2. V" (f"l' v " i::)Cf,."". ;--1" PERMIT$__ TOTAL $ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOTCOMME~CED WITHIN 120 DAYS, OR IF CONSTRUCTION ORWORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE- THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THEPERFOR- MANCE OF CONSTRUCTION. FINAL APPROVAL OF CONT~~T~~pRA10RIZED AGENT . . _.-> 1 _J..e:.A._"""/ OF OWNER (IF OWNER BUILDER) (DA TE) {'/;- . () "'~'?'a--. (DATE) 2:351 (SEE OTHER SIDE) RECEI PT NO. (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) PERMIT NO. 73026 N? r", , j,,, :,,.,.s>.~. i, '.' ,.. ~';:~':"r:' .~;,_,._:;,. 'll;:,.J;.. .,',', "!!;lK 'J.' ~~ -"-'~------:::-;-7'--:-T'_7---'----~~::~,~-::---;,),,-~~,-~- - .r 'PERMIT . CITY OF BREMI;HTON .BUILDIi\JG DEPARTMENT PHONE: 478-5281 JOB ADDRESS OWNER MAIL ADDRESS 98310 ZIP 3258 l-\1:cn.Lra san1 (~~>oe:f~11 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Doxo1 Class of work: J[] NEW o ADDITION o ALTERATION o REPAIR D MECHANICAL [] PLUMBING INSPECTION: Groundwork Wasted Vents Htg. Ruffin Stove or Insert Gas Test CHIMNEY (No fee information only) Masonary Lines Unlined Factory Mfg Type B Type L Location: Internal Outside Wall Water Chimney Refrig. Type of Fixture or Item No. Type of Equipment STOVES Gas_ Oil_ Wood_ FIREPLACE INSERT FURNACE Gas (Nat._ LPG.~) Oil_ Wood add on _ Other_ Electric_ BTU Type: Up flow_ Down flow_ Horizontal_ Wal'- CONVERSION BURNER: Gas_(Nat._ LP_) Under 100,000_ Over 100,000_ Oil_ UNIT HEATERS BTU_ Gas_ Elec._ BOILER Gas_ Oil_ Electric_ Other_ H P_ GAS SYSTEM Max. 5 outlet Total_ EVAPORATION COOLERS Roof_ Wali_ BTU_ AC UNIT Electric_ Gas Elec. Combo BTU_ HEAT PUMP Single Package_ SpliL- Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CFM_ BTU_ FANS ExhausL- Supply_ Bath_ RANGE HOOD Residential_ Comm._ CLOTHES DRYER Res._ Comm._ Incinerator Fee No. Fee WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private Public GROUNDWORK (1/!;V SUMP wP I~ ALTERATION . POST & BEAM ~ I -~ ,!"~t' ., 12 50 ~ f) -(0 '-j :0-..... 8 4~ ~: ~- . > --- PERMIT$__ TOTAL $ ----1L~ , PERMIT $ TOTAL FEE $ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRl,lCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTJFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIi'JG THIS TYPE OF WO'RK WILL BE COMPLIED WITH WHE- THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR- MANCE OF CONSTRUCTION. ALTERATION TO DUCT SYSTEM Heating/Cooling_ ExhausL- TANKS Oil_ Gas_ Propane w/OK from Fire Dept.~ GallolJs_ REFRIGERATION UNIT RECEI PT NO. SIGNA Tlj"RE OF CONTRACTOR'~R AUTfJOfflZED AGENT ~~ . ,/ J /. If..' ..... ." , - !' , -.' I. .;/':"r. ? ;::;::~. .~ . ~ >b~,~ -<. ft.' i, /1.- . '---r~~;Y r.;/ SIGNATUREDF OWNER (IrfV~/"vILDER) }illL:rO PERMIT NO.> ~ M (DA TE) , :/" '.' Cu' ,cS --,/f' 6 '--(1 /" FINAL APPROVAL (SEE OTHER SIDE) (DATE) 235~1 (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) . PERMIT e CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-.5281 JOB ADDRESS 3258 Almira 98310 373,...8054 OWNER MAl L ADDRESS ZIP PHONE Sam Green CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Doxol Class ofwork::xJ NEW o ADDITION o ALTERATION o REPAIR o MEC,HANICAl [] PLUMBING INSPECTION: .Groundwork Wasted Vents Htg. Ruffin Stove .or Insert Gas Test CHIMNEY (No fee information only) Masonary Lines Unlined Factory Mfg TypeB Type L Location: Internal' Outside Wall Water Chimney Refrig. . No. . Type of Equipment STOVES Gas~ Oil~ Wood_ FIREPLACE INSERT FURNACE Gas (Nat._ LPG. _) Oil_ Wood add on ~ Other_ Electric_ BTU Type: Up flow~ Down flow_ Horizontal~ Wall_ CONVERSION BURNER: Gas_(Nat._ LP_) Under 100,000_ Over 100,000_ Oil_ UNIT HEATERS-BTU_ Gas_ Elec._ BOILER Gas~ Oil_ Electric_ Other_ HP_ GAS SYSTEM Max. 5 outlet Total_ EVAPORATION, COOLERS Roof_ Wali_ BTU~ AC UNIT Electric_ Gas Elec. Combo BTU_ HEAT PUMP Single Package_ SpliL- Add on_ BTUTon_ MiXiNG OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CFM_ BTU_ .FANS ExhausL- Supply_Bath_ RANGE HOOD Residential_ Comm._ CLOTHES DRYER Hes._ Comm._ Incinerator ALTERATION TO DUCT SYSTEM Heating/Coolin9---:- ExhausL-, TANKS Oil_ Gas_ Propane w/OK from Fire Dept._ Gallons~ REFRIGERATION UNIT F-.e No. Type of Fixture or Item Fee WATER CLOSET (TOILET) -- BATHTUB -- LAVATORY (WASH. BASIN) -- SHOWER -- KITCHEN SINK & DISP. -- DISHWASHER -- LAUNDRY TRAY -- . CLOTHES WASHER -- WATER HEATER -- URINAL -- DRINKING FOUNTAIN -- FLOOR - SINK OR DRAIN -- SLOP SINK -- WATER PIPING & TREATING EQUIP. -- WASTE INTERCEPTER (Grease) -- VACUUM BREAKERS 8: BACKFLOW DEVICE -- LAWN SPRINKLER SYSTEM -- SWIMMING POOL - Private Public ~~ GROUNDWORK ~- SUMP -- ALTERATION -- POST & BEAM -- PERMIT$__ TOTAL.$.~.~ PERMIT $ TOTAL FEE $ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION ORWORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANYTIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WIU BE COMPLIED WITH WHE- THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR- MANCE OF CONSTRUCTION. (SEE OTHERSIDE) RECEIPT NO, SIGNATURE OF OWNER (IF /~) ,,-" ,:/' \,..f _,..j /1 2357 FINAL APPROVAL (White-ORIGINAL, yellow-JNSPECTOR, Pink-APPLICANT) f . PERMIT e CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478"5281 JOB ADDRESS 3258 Almira Dr. OWNER MAIL ADDRESS Sam Green MAIL ADDRESS ZIP PHONE #@f'/o*' A CONTRACTQR Doxol PHONE LICENSE NO. Class of work: .0 NEW o ADDITION o ALTERATION o REPAIR Gk MECHANICAL D PLUMBING CHIMNEY (No fee information only) Masonary Lines Unlined Factory Mfg Type B Type L Location: Internal Outside Wall INSPECTION: Groundwork Wasted Vents Htg. Ruffin Stove or Insert Gas Test No. Type of Equipment STOVES Gas_ Oil--,--- Wood_ FIREPLACE INSERT FURNACE Gas (Nat._ LPG. _) Oil_ Wood add on _ Other_ Electric_ BTU Type: '., Up flow_ Down flow_ Horizontal~ Wali_ CONVERSION BURNER: Gas~(Nat._ LP_) Under 100,000_ Over 100,000_ OiL- UNIT HEATERS BTU_ Gas_ Elec._ BOILER Gas_ Oil_ Electric_ Other_, .HP_ GAS SVSTEM Max. 5 outlet Total-1- EVAPORATION COOLERS Roof_ Wali_ BTU_ AC UNIT Electric_ Gas Elec. Combo BTU_ HEAT PUMP Single Package_ SpliL- Add on_ BTU Ton_ MIXING OR REHEAr BOX CFM_ BTU_ AIR HANDLING UNIT CFM_ BTU_ FANS Exhaus~ Supply_ Bath_ RANGE HOOD Residential_ Comm.~ CLOTHES DRYER Res._ Comm._ Incinerator ALTERATION TO DUCT SYSTEM Hea.ting/Cooling~ ExhausL-- TANKS Oil_. Gas~ Propane w/OK from Fire Dept._ Galions_. REFRIGERATION UNIT Fee No. . 'Water Chimney Refrig. Type of Fixture or Item Fee -..:...5 51l.....- WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMIN,G POOL - Private Public GROUNDWORK SUMP ALTERATION POST & BEAM .PERMIT $--..:.-_ TOTAL$~~ PERMIT $ TOTAL FEE $ 5 50 -- ~ -GD--. . NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOTCOMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION ORWORK IS SUSPENDED ORABANDONED FORA PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT J HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE- THER SPECIFIED HEREIN OR NOT. THE GRANTING at:: A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR- MANCE OF CONSTRUCTION. FINAL APPROVAL GJ SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 73026 PERMIT NO. ~ (SEE OtHER SIDE) RECEI PT NO. (White-ORIG,INAL, Yellow-INSPECTOR, Pink-APPLICANT)