HomeMy WebLinkAboutKITSAP WAY, 4304-
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N? 400,52 � ������g» ����--'---'—_----- Receiptmv
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BUILDING PERMIT
CITY OF BREMERTON ^ BUILDING DEPARTMENT
F. E. IRISH, Building Inspector ESsex 3-1411, Ext. 36
Ownef's Value Bldg. Dept. Value DESCRIPTION:
Front Yard ------------------------ Rear Yard '-'--_
Thi" permit is issued for:
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--------------Add,css ---------------------- Phone ----------------
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All work to conform to all applicable building ordinances and amendments. Please mote the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION -- Reinforcing mtmmU must be inspected after placing and before covering. FORMS shall be inspected
and approved bmKwmo pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved
before covmning. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
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Ovvner`aSignature ------- Rn-=' .
BoU�i`u Tooncctnr -'-'--/� -' �-�-(
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Hot Permit
ENGINEERING DEFT. Approved Approved Correction Required Initialy/�
Sanitary Drainage ✓
Storm Drainage
Gas Mains
Underground Utilities
Sidewalk
Driveway
Date Received -- - ----�- ��---G�matents--•
Date Approved
TRAFFIC DEPT. Initial.
Date Received Approved
Date Approved— : _� ,__...__.-_.._. ___.-__..__ _._.._ ...� Not approved
Comments Correction - -- '
PLU1,1BING DEPT. Initial
Date Received Approved
Date Approved - _..-_._ ..... ._. _.. -Not. ap pro�yed.
Comments
ELEGTRIGAL--DEPT-: ..... _.._............._. _....._..._... - __.._ _.......... _... _ .._.... _ . _. _.. _--.Tnitia•1- .... _..._
Date -.Reeeived..._.. ° Approved
Date Approved Not Approved
Comments -
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BUILDING PL.t+NS
ROUTING SLIP
Pdame.�a
,
Type of Construction my
RE1TODEL
Address �i 3'r,
•v ,r
ADDITION
ALTERATION
Phone
Building Department
Approval
Date Received
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Date Permit Issued
PLANNING DEPT.
Initial
Date Received
.7
Approved
Date Approvel
t,
Not approved
Comments
Correction
Hot Permit
ENGINEERING DEFT. Approved Approved Correction Required Initialy/�
Sanitary Drainage ✓
Storm Drainage
Gas Mains
Underground Utilities
Sidewalk
Driveway
Date Received -- - ----�- ��---G�matents--•
Date Approved
TRAFFIC DEPT. Initial.
Date Received Approved
Date Approved— : _� ,__...__.-_.._. ___.-__..__ _._.._ ...� Not approved
Comments Correction - -- '
PLU1,1BING DEPT. Initial
Date Received Approved
Date Approved - _..-_._ ..... ._. _.. -Not. ap pro�yed.
Comments
ELEGTRIGAL--DEPT-: ..... _.._............._. _....._..._... - __.._ _.......... _... _ .._.... _ . _. _.. _--.Tnitia•1- .... _..._
Date -.Reeeived..._.. ° Approved
Date Approved Not Approved
Comments -
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ip., ,_:,ation for-arc�ance -of the ra,.-ldin;,. sto to be
- -'� -^�.rned with an individual sewage dis,-osal s`rstom, This •:-,plication
a' ��^r'_:1,•0 ia.h rules and regulations p,omulgatcd under
.%-L 'cap County Resolution No.,52. This a,:,)li cation m1-st be accepted and
signed by a health department sanitarian prior to issuance of a building
permit by the County Assessor. The necessary sewage uisposal permit and
plumbing permit will not be issued until the building
permit i purchased*
Iner I = Property adai4-ss
Address .,r,w�� • . a ,A
Sec- 4-11,p -_s an6 � .� ►�.; . �
Euilder Sub,Div,
Lot, B1ocl- Tract y�r ��., r . , ,t..
If `11�i es an ou�.ds �c L3 attach
pleaer' attach
Sewage Disposal - - , Designer
l ' ,
dress Lot size(Sq,Ft,or dimensions; t'
How Zor, '? -fes— /,J,.✓
TYP"o o= building:Single family resid, ulti-family resid.Commercial�-
Other (name) ,
Ko,7�adrooms 1.throomsasement rPlumbir.
gin basemerti • -.
S'q•il log #1
Soil log #2 �; :� rw. � c.•
Perc test hole No.l �•, i minutes i,er inch--%
Perc test hole No;21 r -+ minutes -.er inch
f
Perc test hole No.3
minutes .--e:.- inch
Date test conducted
Elevation of water table if encountered (distance from gro'nd surface),
Place drawing on reverse of this application or L:,e separate sheets. Plus' be -in
triplicate) Section'*7, ftiem 1-C amended rules and regulations authorized by Kitsap
County Resolution No.52 must be fully complied with on the drawing or this
application cannot be accepted.
The above soil log tests and percolation tests were performed „bylme or an
employee of NY company and were conducted as recormended by the Bremerton-Kitsap
County Health Department and in accordance Vrrith the method outlined in the Manual
of Septic Tank Practice,USPHS Publication No,526 - hereby certify that the above
information is correct and that I will comply with all applicable and
state regulations.
De ,
18
Date received
Action
S-.nitarian
Sanitation. Division
Bremerton-latsap County Health Dept.
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