HomeMy WebLinkAboutKITSAP WAY, 4930B R E M E R T O INT B U I L D I N G
D E P A R T M E N T
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Application Date
I ssue Date
Assessor Acct #
Site Location
Owner - Last Name
Street
City
Phone
Tenant's Name
Agent's Name
Architect's Name
[ ] Building
[ ] .Mechanical
[X] Plumbing
04/08/1991
05/01/1991
4930 KITSAP WAY
LEE
4930 KITSAP WAY
BREMERTON
(206} -
Application Number 91APC.3201
Permit Number 11329
Project Group
First SUNG MI
State WA Zip 98310
Phone(206} -
Pnone�206} -
[ ] Grading [ ] Sign [ ; Paving
[ ] Move Building [ ] Burning [ ] Underground
[ ] Mobile Home [ ] Land Clear [ ] Demolition
Building Contractor:
Work will be completed by owner.
Nature of Work:
Plumbing permit
Council District Cen-sus Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation [ ]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ;
New [ ] Plumbing [Xj
Repair [ ] Status Mechanical [
Remodel [ ] Code Wallboard [ j
Addition [ ] Final [X]
Received By: �`�/� .� Approved By:
B R E M E R T O N
D E P A R T M E N T
P L U M 1,,B I N G_ P E R M- 1 _� A P P L I C. A T. x' N
B U I L D I N G
Application Number 91AP03201
Contractor MR: -CONTRACTOR
Street 24309 54TH-AVENUE W.
City MOUNTLAKE TERR$
Phone (206) 774,E �S-t.ate WA Zip 98043
Representative
State License # MR ON**101KZ Ex pi\ ZrDate 05/09/1991
City License # / Expiration Date
.Toilets
Bathtubs
Basins
Showers
2 Kitchen Sinks
Dishwashers
Laundry Trays
Clothes Washers
Water Heaters
Urinals
Drinking Fountains.
Drains
Slop Sinks
Water Piping
1 Interceptors
Vacuum Brenker
Lawn Sprinkler
Fire Sprinkler
Private Pools
Semi -Private Pools
Public Pools
Groundwork
Sumps
Alterations
Kidney Machines
Private Hot Tubs
Semi -Private Hot Tubs
Public Hot Tubs
Other Options
B R E M E R T 0 N B U I L D I N G D E P A R T M E N T
i
C O N D I T I O N S O F P E R M I T
Application Number 91AP03201
Permit Number 11829
------------------------------------------------------------------------
Building--approved as revised.
Water --approved with. minimum 1500 gal grease trap
located outside the building.
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Owner _ J.:.ast Name: F`Vt t=i.x`sta St_JNCi M:F
�:t t r c..e t: 49 30 K *1..I..c6>Al::) WAY
t , a.'t; y t.3t t..::f"III...F F'tVV3N State WA ZIP 983140
Phc)n ( 2(6)6 j
'JmE:TVIaTV) t, '�a Name:: Pi"'1e;.)7ie( 206 J
I's Name
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City L...:i. c:erlse :11: E., x p is r at i. nn ITa e e
Bat hot tabs
Basins
Showers
? Kitr.. ien Si.r*lks
Di.shwaSt'ter'S
Laundry Trays
Clot ies Washers
Waster Heaters
l.lrJ.Tot a1.s
Drinking F'ol.arrtai.ns
3 Drains
1. Slop Sinks
Water Piping
1. :I: noterr.;c�pt ors
Vac,l. um 13reaker
I ... awn Spr :ink :I. Epir
Fire Sprinkler
Private Pools
Semi. -..Private Pools
Fit. L 1:i. c. Poc:):I. s
Groundwor k
Sumps
Al.te_:rat :i.oTo] s
Kidney Mach.i. nes
fir i vat e Hot "f'ut:ls
Semi. --Nr :i. vast e Hot Tt.ab�s
Public Mot Tubs
Other Opt 10Tots
CITY OF BREMERTCW
APR - v 1991
� �di;IPAL UTILITIES
WO�
Inter -Office Communication
Date 9� bI City of Bremerton '
Prom 6 QeCn 9FP-G ii 0-rE
Subject REQUEST FOR REVIEW
Site Address: a.gjo &IZ ALWN
Owner: rjU LWTJ GGF
No identifiable problems noted.
Building Appl. ik 9iaLfL23 QI
Contractor:
Developer shall contact the Utility for Application for Water Service and pay all assessed
fees prior to construction.
Developer shall contact the Utility for Application for Sewer Connection and Sewer
Inspection Permit and pay all assessed fees prior to construction.
Developer shall contact the Utility for Application for Storm Sewer Inspection and pay
all assessed fees prior to construction.
Atmospheric vacuwn breakers to be installed on all faucets, hose bibs, and flusliometers.
All plumbing, inside and out, shall conform to City of Bremerton and Washington State
Cross Connection Control Standards.
Owner s}�all contact the Utility Billing Office (978-5316) prior to demolition for payment
of fees for water meter removal for existing service. If service is to remain, contact
must be made for possible recoding of billing account type.
Prior to demolition of existing structures, sewer laterals shall be capped. Appropriate
sewer cap permits and inspections shall be obtained by the Contractor.
Development is subject to AWWA Regulations, APWA Specifications, DOE Regulations,
DOII Regulations,. Bremerton Municipal Code, and Utility Standards.
Contractor to verify location and depth of existing utilities. Contact Underground
Utility Locates (1-800-424-5555) forty-eight (48) hours prior to start of construction.
OtherI�C �st�F -t�R-P Do � �l�__ A��i t�D✓�p��h-
1
APPROVED: DATE:
o
o
'
'
o
PERMIT APP�.ICATION
L' CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281 __
� T .3 `� �� / � S ct���cal
SITE ADDRESS ASSESSOR S ACCT N
OWNER MAIL ADDRESS ZIP PHONE
��1�, Ltd
CONTRACTOR L CC3/�% � c / O �, MAILADDRES�����/����� ,TeY�ciC'E� WA N�� LICENSE NO.
��
Class of work: � NEW ❑ADDITION ❑ALTERATION ❑REPAIR 17�� icf�i �� ivJ�C'�iy �O/�
❑ MECHANICAL PLUMBING
COMMENTS
No Type of Equipment Fee No Type of Fixture or Item Fee
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_ Ovor 100,000_
Oil_
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_.
AC UNIT Electric_ Gas Elec. Combo_
BTU_.
HEAT PUMP Single Package_ Split_
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF_ BTU_
FANS Exhaust_ Supply_ Bath_
RANGE HOOD Residential_ Comm. —
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhaust_
TANKS Oil_ Gas_ Propane w/OK
from Fire Dept,_ Gallons
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
WATER CLOSET (TOILET)
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 EOUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL -Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
NOTICE
�3
i
1
PERMIT $
TOTAL $
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS
PENDED 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 ANO
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANC
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHEF
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
SIGNATURE OF CONTRACTOR OA AUTHORIZED AGENT
(DATE
FINAL APPROVAL
SIGNATURE OF OWNER (IF OWNER BUILDER)
RECEIPT NO. PERMIT
(While -ORIGINAL, Yellow -INSPECTOR, Pink -APPLICANT)
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` N DEPARTMENT OF COMMUNITY DEVELOPMENT
Cntewny to the Olympics and Horne of the Puget Sound Naval Shipyard
B U I L ll I N C D L•' N A Il '1' M L N '1'
Decc�ufber 5, 1'���1
Keith Smith
4930 Kitsap Way
Bremerton, WA 98312
RL:: Building 1'aru�i t jI 10 704
Dear Mr. Smith:
It has come to our attention that your building pern►it ��10704,
located at 4930 Kitsap Way, expired on 8/21/90,
Pursuant to Section 303(d) of the Uniform Building Code, a permit
shall become null and void it work is not commenced within 180 days
from the date of issue, or if work authorized by the permit is
abandoned for 180 days after issuance.
Please contact our office at d178-5275 within 2 ]cs to discuss
your intention" for this project, or to "chedule a final
inspection. Failure to do :jo will result in legal action for
violation of the Uniform -Building Code.
Sincerely,
Janet Lunceford
Permit Technician
cc: file
286 4TH STREET � I3REMEKTON, WA98310 (206) 478-5275
An EquN! Oppafunily Employer
B R E M E R T 0 N B U I L. D I N G D E P A R T M E N T
J
P E R M I T A P P L I C A T I O N
Application Date 02/08/1990 Application Number 90AP01566
Issue Date Permit Number
Assessor Acct # Project Group
Site Location 4930 KITSAP WAY
Owner - Last Name SMITH First KEITH MI
- Street 4930 KITSAP-WAY
-- City BREME TC I State WA Zip 98310
Phone (206 373-0426
Tenantvs Name Phone( 206 ) -
Agent 's Name Phone(206) -
Architect's Name
] Building [ ] Grading [X] Sign [ ] Paving
[ ] Mechanical [ ] Move Building [ ] Burning [ ] Underground
] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition
Building Contractor:
Work willbe completed by owner.
Nature of Works
2 plywood painted signs to be attached to the building.
Sign Valuation �2QO.OU
Council District 8 Census Tract 807
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation [ ]
Business [X] Type Framing [ ]
Other [ ] Insulation
[
New [ ] Plumbing
[ ]
Repair C ] Status Mechanical [ ]
Remodel [:] Code Wallboard [ ]
Addition [ ] 26 Final [X]
R M 1=.:: R I (::1 N f:3 1.1 :I: I.... I:a :I: N (::; L) f: I oo n I "I" rl I:?: N I
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f.)wne'�r I__�a>t N�ame� SM?'Tt•.I
Ce
nt r' � e If 4930 K 1 I SAID WAY
C::i. t y BRI::::MF:7R I"ON
••••• Phone ( ..'.C)6 37 3�• C74 6
Terial"I : I s Name
Ftc3e rF ' Name.
)rc iftects
9> Name;
F.3u11.d1.ni:l L: ::I GToacli.level g
:l Me.c han1.(::.%a1. (: :] Movc 13ui1r.1i.rig
I.. J I:D:Lumbi.nu L: 1 Mot:)1.11calf Home
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Work w 1.:1.:1. k:Ic� c:omK:� :l e:'t e:3rl rIy cawne'r .
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L. .1 1I Lot Y*n1.Yet (4
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C J L.lFill cle:3Fare s: Tooureal cl
De3mo :l :l't; :i 01"1
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:l, r):Lywc::Ic:Ic:I v)c1:i.IIt;ecl s :1.<:arl;> tcI l:)e at:'i';t:ic_;tic;:c:1 k.o t;IIc::! ID1.A:1.1c.1:LTls;t.
Coean� 1.1. D 1. < t Tom cat 8 Census 1"r ac,t 807
C;r_'Ins'L ruc::t :L or)
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t�tE��ti; :i. r.1e:3r'Ir,Ez (a ::Icaunciat :L on
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CITY OF BREMERTON BUILDING DEPARTMENT
2-13- 0
DATE: 199
Keith Smith
OWNER
4930 Kitsap Way
LOCATION OF JOB
FOR 2 signs
ENGINEERING COMMENTS/REVIEWED BY
APPLICATION
2-16- 0
TO BE COMPLETED BY , 199
owner
CONTRACTOR
/N
��o�pr�N
ARr,
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ati:!l.�
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B R E M E R T O N B U I L D I N G D E P A R T M E N T
P E R M I T A P P L I C A T I O N
Application Date 02/08/197V Application Number 90AP01566
Issue Date Permit Number
Assessor Acct # Project Group
Site Location 4930 KITSAP WAY
Owner - Last Name SMITH First KEITH MI
Street 4930 KITSAP WAY
City BREMERTON State_WA Zip 98310
- Phone (206) 373-0426
Tenant's Name Phone(206 ) -
Agent 's Name Phone( 206 ) -
Architect's Name
C ] Building [ ] Grading [X] Sign [ ] Paving
[ ] Mechanical [ ] Move Building [ ] Burning [ ] Underground
] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition
Building Contractor.
Work will be completed by owner.
Nature of Work:
2 plywood painted signs to be attached to the building.
Sign Valuation. $200.00
Council District 8 Census Tract 807
Construction
Sq Feet `
Type
Inspections
Required
Residence [ ] Zoning Foundation [ ]
Business [X] Type Framing [ ]
Ot her [ ] Insulation
[
New [ ] Plumbing
[ ]
Repair [ ] Status Mechanical [ ]
Remodel [:] Code Wallboard [ ]
Addition [ ] 26 Final CX]
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41 Date
S
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BUILDING DEPARTMENT
�� ��h} y;,a�� ��d � YAK' S DELL
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TYPE � TYPE OCCUPANCY
CONSTRUCTION OCCUPANCY LOAD
VN B2 69
male:
June 28, 1991
COMMON USE
Grocery/Deli
�� ��? David A. Nelson
This certi#icate must be posted and permanently maintained in a conspicuous place.
Permit No, 11814
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City'of BremertorL
BUILDING: 478.3281
DEPARTMENT OF CONSTRUCTION
A.ND L:LVD USE
Building Department
RFQUEST FOR OCCUPANCY APPROVAL
PLANNING: 478-3`'7:
CIYY taiF- HRFEERTON
MI1NlCIF5A1_ U1'IL.ITIE�S
T0: Building Engineering Water/Wastewater
Business License Fire Planning
Traffic Health Dept.
Please review this requeot for a�`�+tov�q.l t((��gccupy tha following structure and
return to this department by Thank you.
Permit Technician: Janet Lunceford Date: 6/11/91
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit !/
Permit
Date
Yak's Deli
same
Sung Lee
'Caniint remud�l to cre,ite Uali/i�r0Ct3
self
11814
4/'l4/91
Type of ConstructionyN
4
Square feet 2
88
Use Grocery/Deli
Type of Occupancy B2 i
Occupant Load 69
Comments•
Approved
/Disapproved Q
CITY OF
�uN ti � 1991
MUNICIPAL UltllfiIca
817 P.�C1F�C .aVENC,'c BREVlER70N. WASHINGTON 98110
FILE COMMENTS
SITE ADDRESS:
OWNER.
NUMBER OF PLAN SETS
FEES PAID:
DATE COMMENTS
PLAN CK. BLDG.
PLBG. MECH.
APP. NO.
PERMIT NO.
VALUATION:
SRCHG.
OTHER
3iqrj
FILE COMMENTS
SITE ADDRESS:
'° OWNER:
NUMBER OF PLAN SETS
FEES PAID: PLAN CK.
PLBG.
BLDG.
�-'� MECH.
APP. NO. � � '�� ,�' ��' )
PERMIT NO.
VALUATION:
SRCHG.
OTHER
_, e�n�rc ne-rG APP. W/ NOT
ROUTING: SET # SENT RETURNED APP COMMENTS APP.
s BUILDING
'" PLANNING
ENGINEERING
WATER
FIRE
TRAFFIC
HEALTH DEPT.
(DATE �COM MENTS
I
,I i
REVIEWER
FILE COMMENTS
SITE ADDRESS:
OWNER:
NUMBER OF PLAN SETS
FEES PAID:
ROUTING:
BUILDING
PLANNING
ENGINEERING �v
WATER
FIRE
TRAFFIC
HEALTH DEPT.
PLAN CK. ✓ BLDG.
PLBG.
MECH.
APP. NO. (' , 1 od,3, T�,s
PERMIT NO.
VALUATION: 6 O
✓ SRCHG.
OTHER
DATE DATE APP. W/ NOT
SET # SENT RETURNED APP. COMMENTS APP.
REVIEWER
QATE
COMMENTS
I
.�
_ �.�, �,
NO T1r' CE
This permit shall become null and void if the building or work authorized by this
permit is not commence'�l within 180 days from the date of this permit , or if the
building or work authorized by this permit is suspended or abandoned at any time
after the work is commenced for a period of 184 days.
�;_
Applications for which no permit is issued within 1$0 days following the date of
application shall expire by limitation.
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 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.
signature
�� �i���
Date Permit Number
I certify that I am exempt from the requirements of the state contractor's
registration law, under -Sec. 3, Chapter 126, laws of 1967, RCW 18.27.090.
Signature Date
INSPECT.="�C7NS
1.� Foundation, before placement of concrete.
Permit Number
2. Frame, before covering .inside of walls, and after all concealed construction,
including plumbing, mechanical, and electrical are installed and approved.
3. Insulation, before covering. .
4. Wallboard or lath before finishing.
5. Final, after completion.and before occupancy.
6. Any other inspection required for special permits.
7. Any inspection deemed necessary by the building official.
NOTICE= -It is the responsibility of the permit holder, not the City of Bremerton or
Building Official to see to it that the required inspections are made. The permit
holder must notify the Building Official when ready for inspection. Failure of the
permit holder to notify the Building Official of required inspections may result in
stoppage of the work until such time that the permit holder can substantiate to the
Building Official that 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.
permit.jl
-a- u NO
This permit shall become null and void if the building or work authorized by this
permit is not::commenced within 180 days from the date of this permit, or if the
building or work authorized by this permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days.
Applications for which no permit is issued within 180 days following the date of
application shall expire by limitation.
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 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.
_ L
gignature Date Permit Number
I certify that I am exempt from the requirements of the state contractor's
registration law, under Sec. 3, Chapter 126, laws of 1967, RCW 18.27.090.
Signature
Date
SNSPECTS�7N.�
1. Foundation, before placement of concrete.
Permit Number
2. Frame, befare covering inside of walls, and after all concealed construction,
including plumbing, mechanical, and electrical are installed and approved.
3. Insulation, before covering.
4. Wallboard or lath before finishing.
5. Final, after completion and before occupancy.
6. Any other inspection required for special permits.
7. Any inspection deemed necessary by the building official.
NOTICE --It is the responsibility of the permit holder, not the City of Bremerton or
Building Official to see to it that the required inspections are made. The permit
holder must notify the Building Official when ready for inspection. Failure of thc:
permit holder to notify the Building Official of required inspections may result in
stoppage of the work until such time that the permit holder can substantiate to the
Building Official that 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.
permit.jl
I
'7
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:I: SSUe-. Date
Assessor Acoct it,
t, :k t: e t...c:)c.:;*Li. c.:)n
t:)wroter I._.tast Name:
- >tr'e:el:
cloty
_ Phone
Tenant°s Name
Aclent y s Name
III
Arc;hltec:-t:'s Name:
[.: ) Bui.:l.di, rtc3
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FDerm i. t^= Number
I::)r•o.)elac;t lar'ot.1p
9:30 K 3: "C'�AP WAY
I....I::I:. I- 1,r:�t: SUNG M.I.
930 10*14ISAP WAY
13RC"Mk:R661"ON St at e WA Z i. t::) 983110
( 206) -o-
F)hone( 206) --
Phc)rter( 2 t: 6) —
[::I Gradi.ng C ::f Si gri I :] Paving
:1 Move 131.1 i.: cal l n(4 l: :1 Burn i, ng I:: :1 Underground
and
C. I Mob i. l e Home i:: I Land Clear [: I Demo I il is i. on
1::3t.A:i.:Lci:i.rr<_t t::ontrac:aor�
Wc:�r k w :i.:l.:l. kae camp :k e-t �:d �Y rawr7er ..
Natt.�re c-�F Work:
Mec;hanIcal t_jermoi.t t:o instaa.I kJ.t:c..tIc:'.rl tI.�c.1„
r..:on:at r taot ion
Type
12r-..:s i. cienc:.e
F3t.aS:I.r'le'.Sra Gx:l
)t her G :1
New [: ::I
FRePa i. r l.:1
f�e::mode:l. [x:l
Addi.•t ion C :l
;iq f- er�-L I nst:7e�c;1; :ions
I�eyytai.red
-Iran i. r1c1 I� ot.andai: i on (. 1
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I nSU 1 at :l. on
umbi.ncl
St at us Mec:.han J. c:a 1. I_x:l
code Wallboard [: ::I
F= i r7a 1 Cx:J
1:3 I V.." rl E: N ..I.. U N is l.1 3: 1_11 I::) :1. N G 1::) 1:- F) A ,I:R 'I h1 �-: N ..1..
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Weir k w J 1. -1 #:7 {.. c)m1=> i1 e t. (F:(::i 14.)y {::)wT)er ..
t- i..l r T'i c. c {.) s
la3urT'i{'Y' s
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t_.oc).1.'er >
A :i1 r t... �..) r i{::i .I1 t, J. c) rol:i. r 1 q t..l r i .i. t<-43
FIC"'lat Pumps
F,
i TIS
i.: Rams-' Floocl.ci
i.rit, 1.'rieY,at.{..)Y" st
..t'an ks
C3 R F_. M L R '1» CJ N C3 l J :I: t... D I N G [:) I: r:) A I D '1" M f:: N "f
p E R M :I: C A P p I._. 1 t::: A "I" IC'3 N
down owedde bosm, Med,oft Owned Swes ~1 O'b" IOVI wooden Vowed steel Vessel ow'st 0,40, ,,wM 100,4P "U's "now ow, Vowed ow., 0 do
AF�1=� 1. i cat i can C���1: ra
:1: SSue Date
A SF:a Gr Acct it
S i It e Lc)c K i. ran
[owner - [.east Name
Cai.ty
_» F)hanFA
Tenant "s Name
Actent I s Name
Arc:.h1tert'Name
[: J Bui 1cli.r'lg
I.X_I Mechan i. ca 1.
[:.I pILimb irig
Uri, / 0 4 / 1 9 91 (wool I') t:1)1:i. c:; 4:1 is it (I:) rl N LA I I I ::1
i.
IDdroodVejecit Group
::30 K:["1"SA[D WAY
F=:i.rst SLING M:I:
q.9::10 K:I: *'rSAF7 WAY
1:3FRF :MER"FON State WA Z i. [:, `?i:3
( 206
Phone( 206 -
l: :I car ac:l :i. dredcj C .:I C% :i. can C: :1 fa v i rlr:l
C: ::I Move B u 1.1 r..i:i. Tel (..I C: :J f::3urn i, Tel<do
:j h .J LJTeld Tod rcaiaTwo d
I.: ::I Mob i.1 e Home f.. :I [...aTeld Cf I ear Demo I i t i can
[3uildinrl C,ontrac;tar.
War k w i 11 [gip camp 1 et eci 1:1y awner .
Nature caf Wark=-
riechanicall perm:i.t to it I I CV1ta1:[ k:itctlr n haac:i.
N M�NC:aunc i 1 D i. �� t r i c:t (d:enC1uie� 'C I ar,, l;
C.On, t r uct ion cc t 1=: eeIt 1 Tel ::spec;t :[ ons
ype, Fleclu i To (:'cl
Res i dence [ .] rl :i. n�� 1= al.anr.:laj: i an
Z(7
Rusi.rle�ss LX.1 Cype Frc:�m:i.rlc:1 [: ::I
c)t fler L 1 1 ns�u 1 at :1. nn C :1
New l: ::I p:[c�mk:li.To) �:;l [. ::I
Repa i Two St at us MF�(4: hail :i. c;a 1. I»X"I
Remade L.X:I COC)cle Wa:l1.haard
Add lost i. on C :X;1
$4 "wood spends ,,F1 M,01 Goded, ,,Vb beft, '"', 60.4do sm"M aws sed.0 M.,,, owns Vowed, Vowed sense M.M., 01,00 dwob seded, own, owded, Poor owns "I'M 'em" ve" 04,so owns, need wooden on GeV 0.004 d,VV 60,60 On", owned "bob bods, "one "now spood, ""0 op" news sod" P60.0 1,909 6004V down, 114s, @I," doodso ses" nodded, V,
44.6 ddsM1 44,pb *,000 O&M, down, Voodoo edn"D owed Vowed" .V* down "Int went" Sod" ",,b down., sees two needs 0,ed, do,, ft,"' `*106 sweet down wev" seem P60"I towns Vowed" 0"" do"I 1,wo, hod" 111+6 see" wo, Lot- %
f_-3 R E= M E R "F O N B C.1 :C t_. I:) N (:� C:) E::: I=) A fz "I" M Iam
: IN "I'
PERMIT A N7 I 1... 1 (::: A 'I" :I: O N
I ameba dw** Games label ameba 44"0", 64"'0 ",,, seems same, .mpv 1"', mamma ~I seems 0."', 0"', seems laqw, V,,I* seems ko,emb ems", &G,mb Dab"
AF)F:) I i cat i ran 1�(.A
Issue Date
Assessor Acct it,
at t e Lac;A i. c)n �[�::3U K J:'1"SAFE WAY
Owner - Lest Name I_F N
(it feet 4930 K fe r.:;AID WAY
-- C, i t y k:3F7k ME.Real"ON
Tenant's Name
Agent 's Name
Architect's Name
] BUi.lding C vol Grad 1,rlc:3
I,X:e.
I Mcr�hanica1. I:: :.1 Mrave 41:3111i.1.r..li.ng
l: J Plumbing, �. Molai:le Home
F3(.ai 1di.ng Cant ract or
War k w i .1.1 be comp :l et ed by (awn(ar .
I,)1.:i. cr:� l: i. (:)n NLAIIIIjr6r 1.
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F�hOrle( 206 ) -
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f.: I Land Clear
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Mcchanicia l F)e:rmit tc, instCIA :l
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it �pal F
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us 1 ness [.X.] sales F= r' am i rlcl
[7t her L J 1 nsu 1 at la n
New C P1III M :�i.n(3
Repair �. I St amt. Us Mer.;han J. c::a 1. I_X:I
Remacie I EX I ChodF:w Was l beard
Additi(an L :l f0 ina1. 1"X:J1,m,, 4,00wo seems llbbp qaw,'I "a", seems samemp "I"IF "04, Obabo I"', .mah ",p, p,mb "seem seems Ow",* paws "I'm "we"m seems &b,, ~I "", '44me'l "0", seems, mamma abeam bases O."k mammas ,404 bases ,mos am,ap samem, IPP's me,pa, 41me base, 04,1 seems 0,em; ",*# os daw, seems 0*"* sameI, ,,p,
1
d 3 -r�q � llr-2c9
cam. r-Q_
Swanlund Heating
& Fabricating, Inc.
April 4, 1991
Fir^o j ect : Yak' s De 1 i / .,
Address: yq 327 ���z SAP w'�
Hremer^ton, Wa. 9831�
S�_�b.ject: kitchen Hood
Exha�_�st System
�;
x,
t� �. _
r�
:xa rw i
r.�;
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i
P.O. Box 579 • 23175 State Highway 3 North • Poulsbo, WA 98370 • (206) 697-2450 •Seattle Toll Free 621-8806
B R E M E R T O N
B U I L D I N G
D E P A R T M E N T
Application Date 03/04J1991
Issue Date 04/24/1991
Assessor Acct #
Site Location 4930 KITSAP WAY
Owner - Last Name LEE
Street 4930 KITSAP WAY
City BREMERTON
Phone (206) -
Tenant's Name
Agent's Name
Architect's Name
[X].Building [ ] Grading
[X] Mechanical [ ] Move Building
[X] Plumbing [ ] Mobile Home
Building Contractor:
Work will be completed by owner.
Application Number 91AP03043
Permit Number 11814
Project Group
First SUNG MI
State WA Zip 98310
Phone(206) -
Phone(206) -
[ ] Sign [ ] Paving
[ ] Burning [ ] Underground
[ ] Land Clear [ ] Demolition
Nature of Work:
Interior tenant remodel to create restaurant.
Building Valuation $20000.00
Council District 9 Census Tract
Construction
Type
Sq Feet
Inspections
Required.
Residence [ ] Zoning Foundation [ ]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ]
New [ ] Plumbing [X]
Repair [ ] Status Mechanical [X]
Remodel [X] Code Wallboard [X]
Addition [ ] 12 Final [X]
Received BY:__— fT� Approved By:
B R E M E R T O N
M E C H A N I C A L
B U I L D I N G
P E R M I T
D E P A R T M E N T
A P P L I C A T I O N
Application Number 91AP03043
Work will be completed by owner.
1 Stoves
Fire Place Inserts
Furnaces
Burners
Heaters
Boilers
Gas Outlets
Coolers
Air Conditioning Units
Heat Pumps
Re -Heat Boxes
Air Handling Units
Fans
1 Range Hoods
Dryers
Incinerators
Alterations
Tanks
Refrigeration Units
Other Items
J
B R E M E a T O N
P L U M B I N G
B U I L D I N G
D E P A R T M E N T
A P P L I C A T I O Pt
Application Number 91AP03043
Work will be completed by owner.
Toilets
Bathtubs
Basins
Showers
Kitchen Sinks
nishwashers
Laundry Trays
Clothes Washers
Water Heaters
urinals
Drinking Fountains
Drains
Slop Sinks
Water Piping
Interceptors
Vacuum Breaker
Lawn Sprinkler
Fire Sprinkler
Private Pools
Semi -Private Pools
Public Pools
Groundwork
Sumps
Alterations
Kidney Machines
Private Hot Tubs
Semi -Private Hot Tubs
Public Hot Tubs
Other Options
B R E M E R 'r O N B U I L D I N G D E P A R T M E N T
C 0 N D I T I O N S O F P E R M I T
Application Number 91AP03043
Permit Number 11814,
Water --Developer shall contact Utility for application
for sewer inspection permit and pay alI assessed fees
prior to construction. Atmospheric vacuum breakers
to be installed on all faucets, hose bibs, and flush-
ometers. All plumbing, inside anu out, shall conform
to City of Bremerton and Washington State cross -connection
control �-tandards. Contractor shall install grease
trap approved by Utility.
Fire --Must provide plans. for full fire detection
alarm systzm. Pro�Tide storz fitting for nearest
hydrant not presently equipped.
Building --approved as revised.
BUILDING: 418-5281
Cit�/'of Bremerton,
DEP.�RT�IE�IT OF CONSTRUCTION
• .AND L.��"D USE
Building Department
REQUEST FOR OCCUPANCY APPROVAL
T0: wilding �j-i�
"business License O�'�
Traffic
�.`ngineering C ��` '
ire 0�'C.� -�
''Tea l t fi Dep t � V'"'�--�'
PLANNING: d78-527:
Water/Wastewater
-Planning �,�
Please review this request for J p eov2�1 ��94ccupy the following structure and
return to this department by Thank you.
Permit Technician: Janet Lunceford Date: 6/11/91
Name of Building Yalc's Deli
Name of Tenant same
(if applicable)
Owner of Building Sung Lee
Nature of Construction Tenant .remodel to create Deli/Grocery
(if applicable) --
Address 4930 Kitsap Way
Contractor Self
Permit l� 11814
Permit Date 4/24/91 �.
Type of Construction vN
Square feet 248g
Use Grocery/Deli •
Type of Occupancy B2
----
Occupant Load 69
7E 7� 7t * * * * * * * * * 7E 7E '7E * * * * * * * * * * * * * * * * *' * * * * * * * * * * * 3
Comments•
Approved Q /Disapproved Q By; Date:
817 P.4CIFTC AVENUc BRL'VIER70IY, WASF{WGT�ON 98310
City'of BremertorL
BUILDING: 478-5281
T0: Building
Business License
Traffic
DEP.IRTMENT OF CONSTRUCTION
kND L..ND USE
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
Eire
NealtTi Dept.
PLANNING: 478-5?7_
Water/Wastewater
Planning
Please review this request for a�p eog21 r1�94ccupy the following structure and
return to this department by Thank you.
Permit Technician: Janet Lunceford Date: 6/11/91
4P Jr 46 Jo
Name of Building Yak's Deli
Name of Tenant same
(if applicable)
Owner or Building Sung Lee
Nature of Construction Tenant remodel to create Deli/Grocery
(if applicable)
Address 4930 Kitsap Way
Contractor Self
Permit # 11814
Permit Date 4/24/91
Type of Construction VN
Square feet 2488
Use Grocery/Deli
Type of Occupancy B2
Occupant Load 69
Comments*
Approved
/Disapproved Q By:
817 P.gC1FiC .�,VENC; c BREtitER'TON, WASHINGTON 98�I0
Cit3/°of DremertorL
BUILDING: 478-328I
T00 Building
Business License
Traffic
DEP.1RTvIEvT OF CON I RUC I MIN
AND LA2%D USE
Building Department
RF�UEST FOR OCCUPAIJCY APPROVAL
Engineering
Fire
I�ealtfi Dept.
0
PLAMMNG: 478-SZ1:
Water/Wastewater
Planning
Please review this request for June 2approve5.], i�94
ccupy the following structure and
return to this department by , Thank you,
Permit Technician: Janet Luncef.ord Date: 6/11/91
Name of Building Yak's Deli
Name of Tenant same
(if applicable)
Owner of Building Sung Lee
Mature of Construction Tenant.remodel to create Deli/Grocery
(if applicable)
Address 4930 ICitsap Way
Contractor Self
Permit # 11814
Permit Date 4/24/91
Type of Construction VN
Square feet 248g
Use Grocery/Deli
Type of Occupancy B2
Occupant Load 69
Comments.•
Approved �' /Disapproved Q By:
817 P.4CiFiC .�.VENL'c BRS�tERTON. WASHINGi'ON 98210
Cit3/'of BremertorL
BUILDING: 478-S281
T0: Building
Business License
Traffic
DEP.ILRTMENT OF CONSTRUCTION
A=ND L.AAD USE
Building Department
RF UEST FOR OCCUPANCY APPROVAL
Engineering
Fire
Healtfi Dept.
PLANNING: 4 /1$ 03Tl.
Water/Wastewater
Planning
Please review this request for ap prov�.l, ccupy the following structure and
return to this department by June 25, 1991 Thank you.
Janet Luncef.ord
Permit Technician, Date: 6/11/91
Name of Building Yak's Deli
Name of Tenant same
(if applicable)
Owner of Building Sung Lee
Nature of Construction `1'enant,remodel to create Deli/Grocery
(if applicable)
Address 4930 Kitsap Way
Contractor Self
Permit # 11814
Permit Date 4/24/91IcA
Type of Construction VN
Square feet 2488
Use Grocery/Deli 3�,ai . �� It d CiJ
Type of Occupancy l32 0 - 7t
Occupant Load 69
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments
Approved
817 P.4CTF1C AVENUc BR�v1ERTON, WASHINGTON 98310
City'*of BremertorL
BUILDING: 478-S281
T0: Building
Business License
Traffic
DEP.LR.TMENT OF UUN TRUMOIN
• AND L.LND USE
Building Department
RFSUEST FOR OCCUPANCY APPROVAL
Engineering
re
I-TealtTi Dept.
a
PLANNING: 478-5Tl_
Water/Wastewater
Planning
Please review this request for approve.]. ccupy the following structure and
return to this department by June 23, 1991 Thank you.
Permit Technician* Janet Lunceford Date* 6/11/91
Name of Building Yak's Deli
Name of Tenant same
(if applicable)
Owner of Building Sung Lee
Nature of Construction Tenant.remodel to create Deli/Grocery
(if applicable)
Address 4930 Kitsap Way
Contractor
Permit 1l
Permit Date
Self
11814
4/24/91 • "
Type of Construction _ytv ,t
Square feet 2488
Use Grocery/Deli rl ,r ;. ,^,.,.�'"I
Type of Occupancy B2
Occupant Load 69
Comments:
Approved � /Disapproved Q By:
Date:
817 P.gCIFIC AVENUc BR��IEKIUN, WASHING'PON 98�10
BUILDING: 64100J281
T0: Building
Business License
Traffic
City4of BremertorL
f�
DEP:LRTvtENT OF CONSTRUCTION PLANNING: 478-5ue:
AND LA1ND USE
LIN
Building Department 199,
Q9EST FOR OCCUPANCY APPROVAL r n� rE )Cpr,,gjrjeVf;S
Engineering Water/Wastewater
Fire Planning
Health Dept,
Please review this request for a��rov l 194ccupy the following structure and
return to this department by ins 25, Thank Y ou&
Permit Technician• Janet Lunceford Date: 6/11/91
Name of Building YF1kaN llc11
Name of Tenant same
(if applicable)
Owner of Building Sung Lee
Nature of Construction 'Tenant remodel. to create Deli/Grocery
(if applicable)
Address 4930 Kitsap Way
Contractor 5i,11
Mill
Permit /l I
14
Permit Date 4/24/91 _
Type of Construction VN
Square feet 2488
Use Grocery/Uel.i
Type of Occupancy 112
Occupant Load 69
Comments,•
approved [��/Disapproved Q By
817 P.�CTF1C �VENI.'c BR��1ER7"ON, W,�SNINGTON 98310
City"I Bremertoq
BUILDING:478-S281*
Op
II
���
T0: Building
Business License
Traffic
DEP.�RTMENT OF CONSTRUCTION
• AND L:i,-D USE
Building Department
RE UEST FOR OCCUPANCY APPROVAL
Engineering
Fire
He,a1tR Dept.
PLANNING: 478-5Z74
Water/Wastewater
Planning
Please review this request for a�� rove]. t�94ccupy the following structure and
return to this department by ne 2�, 1
Thank you.
Permit Technician* Janet Lunceford
Date: 6/11/91
Name of Building Yak's Deli
Name of Tenant same
(if applicable)
Owner of Building Sung Lee
Nature of Construction Tenant remodel to create Deli/Grocery
(if applicable)
Address 4930 Kitsap Way
Contractor Self
Permit # 11814
Permit Date 4/24/91
Type of Construction VN
Square feet 2488
Use Grocery/Deli
Type of Occupancy B2
Occupant Load 69
Comments*
Approved /Disapproved Q gy; � ���� �� i�ij�,
r 1`
y$I7 , � BRL'ytER7'ON, WASHING'iiON 983I0
�aKso del'
5d l� a,L. �
uS�
l A Jf.te't
�L F ' o a. �
�o�
It
3Rr::.Mrr�'rr1N eau I L-.l:) :r. NG DI., pAFR"i ME N_I
F� r R M I 01" A 11 F) L_. I C: A tilde I 13 N
App 1 i cat i can Drat e. 0 3/04/ 1991 A3ata .L 1 ct3t i can Number 91 APOd'o"3C)4 3
Itsu(,:a Datee, 1")e>rm:Lt Number
Ae3eaea �;C)r AC:c:t 31 (io a (� j — Z—I t5 (lo �C1(!� I::)rc.)JeAc:t (arn(11a
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C:)wnr;arq ..•_ L...r.ast Niimc:: L..[:i:f::: 1."I. nst M a
-- `:"Ot r eae t 4•930 K I dall'SAF) WAY
oappmC: i. t; y 1:3N�1":Mh F�'1"ON `.:�t t:�t ea WA 1 i. p ��'C3:d31. C)
Ideal P c:)ne:: (2i06 w3a 0 S (do d
Tenant "c Name. Ph anfa( 06) --
AsJeant 's N�.me. P hc:)n(&:!( 206 )
Arr f)i.toec.:t 's N�amea
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X I Mc-!c:t•)t:din:i.c:$zoi I:: :1 Mce)vea 1:3cA:i.:1.d:1.nc) I:: ::i 1:13c.arr•)ir)s::J I:: .1 l.1nr..e,r lgaide0c.aToll
ad
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Lau i :I. Ci i. ncJ C:r.:)nt r,ac:t C)r
Wc:)r k w i.:l. l l::)ea .camp 1 e✓�L: e:ir..i kay nwne:r ,
N �:� t t.Ar N c:) •F W crrk=
interior rex!nant remodel to create, re:.;uaur�ant..
L3 Lot i �. eJ i, n t7$) V c"A 4A Cl t: i C:1 n -HX)
"do "too ed toppop load lom" dead, Added "do, I'm, Idodd* oil" liddial 009,, "1" od ",ame a4vid seemed immp allied plead wood ad was ae,,% deal" dead, added time plate ease, I,... 0.... laid 0*0*6 ideal wide 6.4,4 ilmhao do ..... aide am*" oft.0 we" b'**b',Ad6 ld otoods #a4d* "add ed" delta "t,, added aide ',W6 ..... "46, "aide .... .. 6,4 'dead "as, 41 Godkok
(:r.)unr..::L 1. District C:e rw,)us -fY eact
C::ran4.;at r Lot r.;t i. c:)n i ar•)c3
_I..Y1ac�. LAC-:quirc:c:l
F1".1
f.: ::Itn(-:el [: I 7C)r) i r')cl F'cIII ncpat :. can
ad, J. rE38 I:.X.L y3=)e 1r ram i. To) i"
f.. ..I
C)•t hear f.: ::I :1: n:3u:l r:1 t i C)died) f.: ::I
Ne:w l: a LIME::) i. re)t-J Cx:a
I:: .:I %DtfiAto,us Meacl)aTal:i.c::�:*i:1 I::X.I
fze:mc')CAP 1 I X,I C::C)(.:lr-..! wa I l k.)carircl I::X..I
)dcl i. t i cm I:: :I 12 1::: i. na 1. C:XapI
BREMERTON=KITSAP COUNTY HEALTH DISTRICT
WILLA A. FISHER, M.D., M.P.H., DIRECTOR
109 Austin Drive
Bremerton, Washington 98312
Environmental Health Division
(206) 478-5235
March 11, 1991
Yaks Deli
Mr. Sung Lee
3424 Fremont Ave
Seattle, WA 98103
Re: PLAN REVIE'v� FDR YAKS DELI
Dear Mr. Lee,
FAX 478-5298
qqi?
.t 3 �q9r
BDILDING pEPI04
ARrME1Vr
The plans for Yaks Deli, located at 4930 Kitsap Way , Bremerton,
Washington, have been reviewed and approved. All food contact
equipment, including the overflow drain on the water heater, must be
indirectly drained to the sewer.
Any exposed wood surface in food preparation or food storage areas
must be sealed in order to provide a cleanable surface.
A pre -operational inspection must be performed by this office upon
completion of construction and prior to opening. Please contact me
at 478-5285 to arrange for an inspection time. Feel free to call me
at any time if you have questions.
Sincerely,
Penny Weiss, R-.S.
Food Program Supervisor
Division of Environmental Health
cc: City of Bremerton Building Department
CITY OF BREMERT
0116
a1U
N 1:: R 'r (::) N B t_t T L_. ra��1 RNA c 1Q91 c:} r:: P n I� r M t: � 1 1991
F) 1:: R M I I A P PH R19 1: c7 N
BUILDING DEPAR E�T RJIUNICIPAL UTILITO
""I Sao, 000 "Is, boom *pope o-o "so* ooll ageop op't 1,—W also 1'*-4. a Do,, I'll, ago, oo&oo, o", ago. 0. ... .... * wow bass, #oDo ago, poo poo go" oo, 0,61P oow Vegas ogo, mog, eggs, 000 opop boo soaps oo& a,go, "map pope ago, *oo
�lpp 11. cat i. on [)ate 0::3/04/ 1. 7 1. (�t]t=� ].:i. :i. on Nt.amtac�r1.
Issue Date F)er'm i t Number
Ass
fy;,c:�r (tc,e t Fero jE:r.;'l: t:arotat
::):late I._oca t :i (:)n 49 30 K .T. T'SAP WAY
Owner - 1'._a st Name 1_..l-:f:: f!i. Yost: !::>llN(3 M I
- Street 4930 K:F.'T"Ia; A P WAY
- C:: i't: y BfR M1::o1:Z"1•'(:)N `State WA 11. p 98310
1-E:nant y: Name Phone:( 206 --
Agent 's Name Phone( 206 } _
Arc::h:i.terrl: y�� Name
I..X..I BLot :i.1 di r')c;) [: :I tsar ac:i i. nc3 [: ::) i c:)n i:: "I Fav :i. nc:3
[;x:1 Mccahan:i.c:aJ. [: :l Movc: I:3t�i.Idi.nc3 I: ::I 1:3t.ArTell rig [; .] t..3nde�rctroLot n(A
[:x:a F) :i t.Imka i. r'1Cj [::I Mc:�k� i. a. c� Home [: :.I 1_.ancl C :i ear' [: :.I Demo l 1.'l: 10 Tel
Wcark w:i.l.l k:�e r..:c:�mplf.ter..i by ownF�r .
111toer1c:fr tT,";;rIU*XII remocie1.r..:r'eate rc�c�tat.ar�:�nt
4� 6 0 6G
E3u1J.dinc1 va uat 1.C)II ti)
f.;r_�t1nc.: i :I. f_71. swt r' :i. c't Census Tract
t;c7nst r t.Ac;t i. can
_I..ytae
Sq Feet
r1E':�peC:t :i. rarlc�
Re�at.aireci
F�c•::s i c.:1r-:nr;eF'otanciat :i. on C:
l�t.a::•.� 1. ne��s I::x:1 ..I..ype I'= ram i. ncl [: :1
Crt hf:r G :a :C risu l at :i. on (: M1
NfoP?w I:: :.I ID 1. umb 1, T1s 3 f_X
iatu Mechan:.cai [[:xX:Ic. r
temo(ie ]Xr�rc Wal''IboarfI FEE I
r�dd i t i c:)r7 C: :I ,
41", "o, **,as **ago "So So" *eggs beo, I'll, &oil "a" so" *ao, 464" mob obbs pass, doo hato Iowa *pop games o,op, aso, "a" oo, me" games oa" owes oos pass, oo, so'* go" age*@ "a" ",a go" oo* " se' Goes oso moo" " go 06406 VIEWS So,o also so** "III *.pro so" woo go" "Jo *Do, "I" o", "of adow "1" *0100 11"
attached for comments
Nl i-:. F IT' €::1 N 13 l.! :F L... C:) a: N €a F:) 1:: !=) A i"w' '1 t !
(1 I €.::: I...I A N is € : A I... I::� I:::: FR m :C -F � I::� - r a l.... a C; - A ..L. :I: 0 N
AI:��� I .i. c;�a1::i. �:)r) N�.�mk::ac: r `� 1. r F�(:);:3t)4
I,J(Iar k w:i :1.:1. by c:at ney „
r 1. SI : c) vk�';a
E �. r c:: P :i. ac. e :I ray (4,�Y It; s
i 0u.rnac es
z H t:,: a It F Y, S
F�3 (..) 1..1. e Y- S
Gas ("Kitlets
AIr €;ofdlci I It 34onIrlcj Ur).i.t.;z
F Ic_:a t i'€.ImIDS
i;e._.0FIc::at; 1.3z.. xeS
A l r
I cans
R%3r' cle F..IC7c..)t..IE:
Dryers
i. Cic..°i. nerd I> or ..
Tan ks
F� e IF v 1 11 t_I T& a i; :i c) n Un Iii, t:
C71. E ley:F t: e m S
r. ti rt t::: r� H ..l- r.:J r. t..J 11.... 1::) 1: N c: 1::) r: A t r i`1 �::� ..1..
1a I__ t..J 11 B :1. N G to 1 ". R 'M :t *It' A P to I.... C (4) ..1.. 1. C.l N
A1A)p 1 1 c:;a t:.1. t.Jrl t''dumi.:l{.',Y 31. t'1I.:a�.1;:�C��i 3
tt1r k< iA:i1 11. be c.ar..Jmr).1 c t:ed by c::Ji;,ine „
I c::J :L'1. t't 1:3
c:3a t h OL, l.aVa.::
1..)l.s[Ai WasheY f::s
t...aLAT'ldry ..I..Y'ay%y,`�
1. Water I-1eat.eywe:s
t..JY':L&na1.s
1)y4Inking F:c.)unt aJ,T)S
1. !.71.op S1.T'1ks
W a tt: e Y'
1. It n t f4,�i c.e1: t o r
Vacuum Breaker
F'1,Te ::�1::)r':i.rlkJ.e.Y'
I)r1.vat:e Pools
toll _tml. Er;lvt: 171:ac:Jl.cs
Public Pools
GY'CJt.Inclwc:JY' k
A 1. t c)Y a t::i, C:aT'lS,
Kidney Machines
Pr i. vat: e H�::a't: I t.zt a's
yrdSim . -ra
Date
To
From
Inter -Office Communication
City of Bremerton "
Janet Lunceford, Building
Terrie Kirchner, Utilities
REQUEST FOR REVIEW
Site Address: 4930 Kitsap Way
Owner: Mr. Sunq Lee
QNo identifiable problems noted.
Building App1. # 91AP03043
Contractor: Owner
Developer shall contact the Utility for Application for Water Service and pay all assessed
fees prior to construction.
X� Developer shall contact the Utility for Application for �;}q�gX Sewer
Inspection Permit and pay all assessed fees prior to construction.
Developer shall contact the Utility for Application for Storm Sewer Inspection and pay
all assessed fees prior to construction.
X� Atmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers.
All plumbing, inside and out, shall conform to City of Bremerton and Washington State
Cross Connection Control Standards.
Owner shall contact the Utility Billing Office (478-5316) prior to demolition for payment
of fees for water meter removal for existing service. If service is to remain, contact
must be made for possible recoding of billing account type.
Prior to demolition of existing structures, sewer laterals shall be capped. Appropriate
sewer cap permits and inspections shall be obtained by the Contractor.
Xy Development is subject to AWWA Regulations, APWA Specifications, DOE Regulations,
DOH Regulations,, Bremerton Municipal Code, and Utility Standards.
Contractor to verify location and depth of existing utilities. Contact Underground
Utility Locates (1-800-424-5555) forty-eight (48) hours prior to start of construction.
X� Other: Contractor to install approved grease interceptor
APPi�OVED
DATE:
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CITY OF BREMERTON BUILDING DEPARTMENT
PERMIT APPLICATION
3-6- 199 1 TO BE COMPLETED BY 3-11- l99 1
Sung Lee
OWNER
4930 Kitsap Way
LOCATION OF JOB
FOR tenant remodel to create restaurant
ENGINEERING COMMENTS/REVIEWED BY
owner
CONTRACTOR
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E3 REMERTON BUILDING D 1:": � A FZ 'T M L: N "f
F� E R M I 41" A P P L_ I (::1 I I C) N
� order m4fdo modep mowl on, order 0,,w, solov Notes once* dome, 4,40% ""s "'So dome Nodded SPHIS wer,p Order
f�[ap l 1 cseett t r..)n C7t l FM1.
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09) i. It e� L.o c: a t i. (:a Tel 4 9:.�30 KIT I'M Fl F� W (� Y
Owner - I.._t:�:: t Name. L..[=:[:_
- �:>t To Faet 49;30 K I -1- ;()P WAY
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-- Phcarle ( 26C 6 3a- p S (so O
Teriant Is Nam(
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err..hi.tect I Name_'.
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Nature of Work"Is
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peft WIM 4,04, elders let" &do" rd"m IN steel *Oar redeem word Odom" LPIP& 404MA No 90444 o"N", ,m 44404 "red sees Moore ,wM1 4`11, Its" *old* 004" Odom" Not let's o"Op error order doe's words Needs sees *.or* I red = dome, "IM '",PF wer" "a" o4mm'.0 '.1-1 does, O'em ,111M It 644de motors ON dome "more or,"
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CITY OF BREMERTON —BUILDING DEPARTMENT
478=5275 - 286 FOURTH STREET, BREMERTON, WA 98310
INSPECTION REPORT PERMIT NO.
1 have this day inspected this structure and these premises and have found the following violations
of City, County and/or State laws governing same.
A U 4 G a �� // a e S �✓° `" c [�G tt-cam
You are hereby notified that no more work shall be covered upon these pcgmises until the above
violations are corrected. When corrections have been made, call for re -ins .motion
Do Not Remove This Tag DATE ( _ �-
INSPECTOR FOR BUILDING DEPT.
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CERTIFICATE OF OCCUPANCY
CITY OF BREMERTON BUILDING DEPARTMENT
THE SIGNPATNTER
�, °�%�iia ce2G ��r,'cate usaccpd � �
�aCa�.a� a� L A'� (1 u i t c ^ �Ta3r c%�2�ayu�'dn� i�'ad�ii�tt�Nt
r
.fiat �Gl a d� �� �e acGc+�ued uai��i -Clie fit�� a��C1 a �u���.+:n�
TYPE �- TYPE OCCUPANCY
-0ONSTRUCTION OCCUPANCY -LOAD COMMON USE
VN B2 13 _ Retail
date: �� _ ..
. ...
- February 9, 1990
�' � G/ Richard R. umma
This certificate must be posted and permanently maintained in a � conspicuous place.
Permit No.Bus . Lic .
�.� �`_ ---- �. �- � _ ,,,
.� �.
g
I
N° 44166
Fee................................................
Receipt No......-
c?•��l �M-t erg= BUILDING PERMIT
U,,s JeeZ & CITY OF BREMERTON • BUILDING DEPARTMENT /
F. E. IRISH, Building Inspector Essex 3-1411, Ext. 36
Owner's Value Bldg. Dept. Value j DESCRIPTION:
S � � Lot Block Additions _
Address on Job Date 1
Building X and stories basement. Lot X
Front Yard Rear Yard Side Yard Garage
OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone __________________________________________
Owner Address --- Phone
Contractor ��'-----kJ Address Phone
This permit is issued for.
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION —Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected
and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved
before covering. 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.
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
--------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------
Owner's Signature BY
His Authorized Agentqn
........
Building Inspector .... ____....... ___________________
-------------....... ------------
------------
----------------------------------------------------
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❑ ❑ REMODEL
BUSINESS NEW J� REPAIR
PHONE
FIRE ZONE STORIES OCCUPANCY
ADDITION
BUILDING PERMIT
City of Bremerton, Washington
Phone: (206) 478-5281
[RECEIPT NO.
< / f ,7 y
DATE
9'�'9 0� /J 1
OWNER'S VALUE
t 60
BLDG. DEPT, VALUE
_�
PLAN CHECK FEE
$ '
RECEIPT NO.
PERMIT FEE
$ o G
SITE ADDRESS /LOCATION `
OWNER'S NAME
ADDRESS
w
CONTRACTOR STATE CONTRACTOR'S LIC. #
ADDRESS PHONE
❑ RESIDENCE
PLANNING /ZONING
PERMIT ISSUED FOR:
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 El Plumbing ❑ Electrical ❑ Wallboards FINAL
INSPECTION:
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED� APPROVED
COMMENT DATE TIME APPROVED. F9
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFIyATE REQUIRED)0EFORE OCCUPYING BUILDING
OWNER'S SIGNATURE � BY
Authorized Agent
BUILDING DEPT.
BUILDING HERMIT �° 3475 q
City of Bremerton, Washington
Phone: (206) 478.5281
DATE
OWNER'S VALUE
BLDG. DEPT. VALUE
PLANCHECKFEE
RECEIPT NO,
PERMIT FEE
RECEIPT NO,
SITE ADDRESS / LOCATION
r1\A/I.IC��C AIAAA
I"�/1A1T1'] Al�T/1�
ADDRESS
STATE Cl7NTRAC:T('1R'R I IC #
❑ RESIDENCE t1s1 BUSINESS ❑ OTHER ❑ NEW ;�I REPAIR ❑ REMODEL ❑ ADDITION ❑ DEMOLISH
PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: _ r
�.
—C
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
c� iT 1' �' " '' I±' n i _ i O f ^' i �, \ i �.� Pr_i' A
321 ,,I' ,P�i,.-L l .i1RL RIE1 T1Ei.;I��1�i�;r�, T:1it 1?I\L7'LRIIttr 11,G lEu:�_G,�L it J L+Z _;L:l _.fC�.I,
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
FINAL INSPECTION APPROVED BY
ISSUANCE OF OCCU
n�n�nf�o�e efenfeT
COMMENT DATE TIME APPROVED
Building Inspector
BEFORE OCCUPYING BUILDING
nuuivi[ccu nyclli
.'49 9 7 S A
City of Bremerton, Washington
Phone: (206) 478=5281
OWNER'S VALUE
$ 15� 000.
BLDG. DEPT, VALUE
•----
PLAN CHECK FEE
$ 46 o 80
RECEIPT NO,
45583
PERMIT FEE
$ 72 e 00
RECEIPT NO.
45583
DATE
1 4. 2478
SITE ADDRESS / LOCATION 47.)0 Kitsa]
OWNER'S NAME Jerry Vefrere ADDRESS PHONE
CONTRACTOR Same STATE CONTRACTOR'S LIC. #
PHONE
❑ RESIDENCE BUSINESS ❑ NEW ❑ REPAIR ❑ REMODEL 0 ADDITION
PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: Construct additional storage area 20 X 30 as per drawings
and all local codes
Electrical permit, to be on seperate permit
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 FI Framing Ek Plumbing ❑ Electrical 15d Wallboard I FINAL 12
INSPECTION:
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME PPROVEd APPROVED
COMMENT DATE TIME APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE
Authorized Agent
BUILDING wERMIT
City of Bremerton, Washington
Phone: (206) 478-5281
N° 3901 A
OWNER'S VALUE
LV
$�S
BLDG. DEPT. VALUE
PLAN CHECK FEE
$
RECEIPT NO.
PERMIT FEE
$,
RECEIPT NO.
DATE
�D ''/� a =2%
SITE ADDRESS I LOCATION
OWNER'S NAMEf
CONTRACTOR
STATE r:(1NTRA(':Tr1R'S I IP: H
❑ RESIDENCE � BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR ❑ REMODEL � ADDITION ❑ DEMOLISH
'6Lv
PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY
T LJIC DC D�AIT ICCI ICrI Cl1D•
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
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
FINAL INSPECTION APPROVED BY
REINSPECTION:
COMMENT DATE TIME APPROVED
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY
BUILDING DEPT.
Authorized Agent
ol11LDING rERMIT
City of Bremerton, Washington
Phone% (206) 478-5281
OWNER'S VALUE
$ y� s�
BLDG, DEPT, VALUE
o
PLAN CHECK FEE
�i.0 3
RECEIPT N0.
�.V3
PERMIT FEE
$ 1;7
RECEIPT NO.
�s� y
DATE
4AZ ��"s
SITE ADDRESS / LOCATION T % �� ,�G�g�„ bJ 02*C4
❑ RESIDENCE
BUSINESS
❑ OTHER
CTATF R(1NTRART(1R'C I IR #
❑ REPAIR
Je� REMODEL ,� ADDITION
PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY
❑ DEMOLISH
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.
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL,
INSPECTIONS REQUIRED: Foundation � Framing ❑ Plumbing A Electrical X Wallboard ❑
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED�APPROVED
FINAL INSPECTION APPROVED BY
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE
CIWNFR'R CIrN�TI1RF
FINAL
COMMENT DATE TIME APPROVED
i nor■■��arc�■iysr
APPLICATION
CITY OF BREW ,'ON BUILDING T
AL
PERMIT FEE 5..!?.! ,� v°(PLAN CHEC S 0w ® :.,
ADDRESS/LOCATION OF JOB.00....,�,lv(G .�................ ...............................
APPLICATION ISSUED FOR: ....... 0 600000 eve:.... a 0 a a 0 a 0 0 a ................
PROPERTY TAX ACCT,
_PLANNING ZONING............, FIRE_ ZONE..........
OW14ER.. W41..�aa!y,�;%,
ADDRESS .../. .0a 0 0a00
PHONE. ' .,,...
SIGNATURE_APPLICANT* ,.
OCCUPANCY............ TYPE OOF�FjjCONSTRUCTION..
memo
..... CONTRACTOR..o./,a:[. ,
�... .............. .. ADDRESS��.CI�.%000000 ..A..oAwvrV4 0 moves ......•.....
/' ' " 0 "Ono ••••-•.•• PHONE60,6000:00,064400. STATE LIC. /... ,,,,,
DATE. 400004mmo Aft .../ . RECEIVED BY ....... a . ...... a .
ACCEPTANCE OF APPLICATION
PLANNING COMMENTS/REVIEWED BY..........
DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.
;ENGINEERING COMMENTS/AEVIEWEO BY.....,,,,,
rra bfic, peal i w 04 a G614 Y1 y c�V
SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT—OF—WAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY E STORM SEWER.
FIRE DEFT. COMMENTS/REVIEWED BY..........
.TRAFFIC DEPT. COMMENTS/REVIEWED BY..........
PLUMBING REYIEWED BY..........
WATER DCPT.
EPARAIE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL 9tQR1,'.
IF
;LECTRICAL
SEPARATE PERIIIT REQUIRED FOR ELECTRfCAL WORK.
IUIIDING REVIEWED BY..........
:cmpliance Officcr
.... ... .. .. .. .. .... .. 0ATE.. V...........
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DESCRIPTION
Street Vacation for (_indseyj(�iatil�aig
Cat. �. t,orner o�r- t:.� asap ray aria ar�ore.��ooa ur.
1-(rat portion of Gover��rrnent t_ot 4, Section %6, 4iownship 24 Nort�r, Range 2 East,
l�l.Ni., �(}Eir1g nort(1 of State Highway No. 21, described as follows:
Conrr�erlcing at the Southwest Corner of said Government Lot 4; thence
S 33o5.S'45" east along the south line of said Government Lot 4, a
distance of 65I.35 feet; tE:enc� �d'2o28'03°` east 605.03 feet to ccr�ter
of said Government Lot 4; thence continuing (�y 20�3'03" <ast 23.20 feet;
thence Northeasterly to the north marcdin of State hlighway Flo. 22, at
the intersection of the t��est ling of tract conveyed to Lorine Liner by
deed recorded under Audi tore ° s Fi 1 e No. 3Er3224, thence (�3 33°2�' 23" east
I25 feet; thence N 05°12'00" t�°est 260.97 feet; thence S 28°15'SO" rx;est
237.43 feet to the north margin of Ki tsap l4lay and the true po (r;t o-i
beginrlincd, thence northra�esterly along said rrrargin 132,41- feet, more
or• loss to the intersection with the east margin or Shorer�aood Drive;
t(�ence S 35012°22" east 13.45 feet; thence easterly, par^al�(el to the
north margin of Ki tsap tray to a point S 23°25' S0" west of the true
point of beginning; thence N 23°15'S0" east 20 feet, more or~ less
to the true point of beginning.
Si t Mate i i1 Ki tsap County, l�tashi rrgton.
the City of Bremerton hereby reserves an easeraren'c for utilities over and under
that portion of the r gilt-of-r^aay as vacated i n 'che above descri pt�i are. The
City of Brerrrerton reserves the r^fight to enter E�ipon said pr-o�.erty to allor�r
the Public Utility Companies to enter upon said property for the purpose of
constructing or repairing utilities as may be required.
Total R/t�l Vacated 2205 Sq. Ft.
Less R/t}t Deeded to City
For Shorewood Drive 900 Sq. Ft.
2205
_- 900 _
�sOS Sa Ft. at �7.76 = �236G.30
,
r—
N° 2 714 /q
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
BLDG. DEPT, VALUE
PLAN CHECK FEE
RECEIPT N0,
PERMIT FEE
RECEIPT NO.
DATE
SITE ADDRESS I LOCATION
OWNER'S NAME
C(�NTRACT(�R
0
ESS
STATE CONTRACTOR'S LIC. #
PHONE
ADDRESS PHONE
❑ RESIDENCE C BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR .oIN REMODEL ❑ ADDITION ❑ DEMOLISH
PLANNING/ZONING FIRE ZONE STORIES �i OCCUPANCY
THIS PERMIT ISSUED FOR:
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 ❑ FINALA
FOR INSPECTORS USE ONLY: REINSPECTION:
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 UILDING
OWNER'S SIGNATURE Bll
Agent
BUILDING DEPT.
CITY
I 1
V n J\
APPLICATION
OF BRL JERTON BUILDING,. DEPARTMENT
RECEIPT
S/r� .PERMIT FEC S. PLAN CHECY. S.
ADDRESS/LOCATION OF JOB. .
.� :../��..�G.I .11
awl 4 ..... ..d./. ..............................
APPLICA TION ISSUED FOR: ... :.��5.:�:ex
:...✓••":: L.�✓J.G::..........................
PROPERTY TAX ACCT. NO . ..............................:::........................
min
PLANNING 2014ING.11pFIRE ZONE......._...• �O+CCUPANCYgeo ••'' TYPE OF CONSTRUCTION.
oo
MEN
OWNER.L ,.;! ....,:• `ti ....).. �. l e_ • "C �/ • I�Ii i`7 JONTRACTOR. _ 0........ _
ADDRESS. C7.: �.00I00000a !�b a a'.. 00 0 00t:% ........ _.•.•. .. ADDRESS.•._._.•• ....... ................
��
PHONE.... __.0. ` .. ....650�4
_..• ••• PHO14E_....•- _•.. STATE LIC. followed— - ........
�— �i` r h- ��DATE....RECEIVEDBYS1GNAjUREAPPLICANT-••• ••
} ACCEPTANCE OF'APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.
PLANNING COMMENTS/REVIEWED BY...__..... AP BY
ENGINEERING COMMENTS/REYIEWED BY.....
SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING, SIDE4JALKS,SANITARY C STORM SEWER.
FIRE DEPT. COMMENTS/REVIEWED BY..........
TRAFFIC DEPT. C0.'1MENT5/REVIEWED BY......._..
PLUMBING REVIEWED BY..........
WATER DCPT.
SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL IJORK.
ELECTRICAL REVIEWED BY..........
BUILDING REVIEWED BY
SEPARATE PERI4IT REQUIRED FOR ELECTRICAL WORK.
i
Compliance OLtfccr
DATE.. ...........
F
�E�Es
Vp
ah�
City of Bremerton, Washington
Phone: (206) 478=5281
OWNER'S VALUE
BLDG, DEPT. VALUE
PLANCHECKFEE
RECEIPT NO.
PERMIT FEE
QQ
RECEIPT NO.
DATE
SITE ADDRESS / LOCATION
OWNER'S NAME.0
RESIDENCE ❑ BUSINESS
ESS
❑ OTHER ❑ NEW
PHONE
EMODEL ❑ ADDITION ❑ DEMOLISH
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.
INSP IONS REQUW$: Foundation Frames ,� .Plumbing Electrical _ Wallboards FINAL
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVEDAPPROVED
FINAL INSPECTION APPROVED BY
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE
COMMENT DATE TIME APPROVED
P PPLICATION
CITY OF BREME,n fON BUILDING DL ARTMENT
- ! _ •�• / �� RECEIPT _�
VALU S'
PLAN
S• �Or%d ,,��llGG��'' ,PERMIT FEE S. CHECK •�
ADDRESS/LOCATION OF JOB..• so
.t.,• •r... ......................................
... ..
APPLICATION ISSUED FOR: •. .. / :•�' •• •• • " ••
el
PROPERTY TAX ACCT. NO.see...................•.•......_•:s..•...90000soems ......,
PLANNING ZONING•....•.....
FIRE ZONE04000400PO&O OCCUPANCY,. _-TYP
CONSTRUCTION. •••••••
�LL:'�.��r.�:`:..
ADDRESS-...l.� _ ... ..�tY.. .. ADDRESS. .���w...... /.........
PHONE .....................»... 0 0 8 _ • .. a *see _ • _ .. PHONE.3.� d7d STATE LIC. losses •..._.....,
'� -
Owl
RECEIVED BYDATE•_�G-.r .Ga SIGNATURE. APPLICANT ... _ -__ -•••
ACCEPTANCE OF APPLICATION DOES NOTIgNSURE ISSUANCE OF BLDG. PERMIT.
PLANNING COMMENTS/REVIEWED BY.��l...000 ifjQ/p v
ENGINEERING COMMENTS/REVIEW))ED BT..��.4=:.. �� /G `•'
SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT —OF —NAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY C STORM SEWER.
FIRE DEPT_ COMMENTS/REVIEWED BY.
2 �X �-�� 1100
S'.Li C- '� • L'c�f i
.TRAFFIC DEPT. CO?1.`1E_NTS/REVIEWED BY..
PLUHBING REYIEWED BY..........
WATER DLPT.
tt�1
i
SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL WORK.
ELECTRICAL
SEPARATE PERtiIT REQUIRED FOR ELECTRICAL WORK. I
BUILDING REVIEWED B " -
d`1ooss,40
.Compliance Officer
_.. _ ... ... ... .. .. .. ..... .. DATE.. ...........
Indicate below what requirements, permits are required for this project.
PLANNING DEPARTMENT
❑ SHORELINE
7�
❑ REZONE
❑ VARIANCE ❑ SHORT PLAT
❑ ENVIRONMENTAL IMPACT ASSESSMENT
❑ ENVIRONMENTAL IMPACT STATEMENT
BUILDING DEPARTMENT
-UILDING
,MECHANICAL
❑ HOUSE MOVING
ENGIr:EERING DEPARTMENT
❑ SIDEWALK CONSTRUCTION ❑
❑ CURB & GUTTER CONST,
❑ SPECIAL USE PERMIT
❑ CHANGE OF SITE PLAN
ELECTRICAL ❑ DEMOLITION
GRADING ❑ SIGN
PLUMBING
STORM SEWERS ❑ DRIVEWAY
SANITARY SEWER CONSTRUCTION
❑ STORM DETENTION REQUIRED
❑ INSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK
HEALTH DEPARTMENT
❑ SEPTIC TANK
I IN S P E C T I O N S
Inspections Required For Stated Construction
BUILDING DEPARTMENT
❑ FOUNDATION ❑ ELECTRICAL ❑ INSULATION
❑ POST & BEAM ❑ PLUMBING ❑ SHEET ROCK OR COVER
❑ FRAMING ❑ MECHANICAL ❑ FINAL
ENGINEERING DEPARTMENT
❑ FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
❑ FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
❑ CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES
❑ PIPE INSTALLATION PRIOR TO COVERING
FIRE DEPARTMENT
❑ LIFE SAFETY
❑ FIRE CODE
❑ FIRE EXTINGUISHING SYSTEM ❑ SPRINKLING SYSTEM
❑ REMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN
FLAMMABLE MATERIALS
Allow 24hour prior notice for all inspections. Emergencies will
be handled as soon as possible. If required inspections are not
called for and made by the necessary City Departments, a Stop Work
Order will be posted until necessary inspection is completed. Any
materials hindering the inspection will be removed so an adequate
inspection can be performed.
All completed structures will have a Certificate of Occupancy BEFORE
the structure is occupied. If a structure is occupied without a
Certificate of Occupancy, the City will have the water utilities
removed and order the structure vacated until compliance is achieved.
I have read and understand
Construction at ,
(address
SIGNATURE
TITLE
11_the above that pertain to the
DATE
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