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HomeMy WebLinkAboutBAER BLVD., 119 G-I & 121 (\~ - ;. .\ ' " "::-":~',: ,''.j. .'" ;.;' \', ',.'.),. , '/.\:.' '.:' ." r-:BUILDING PERMIT ";City of Bremerton, Washington'98310 Assessor's Tax Account No.: 162401-4-065-2007 N(}90'2'7' h Phone: (206) 478-5281 Site Address: 119G Baer Blvd. Bremerton Housing Authority Phone No.: Address: 110 Russell Rd. 479-3694 OWner's Name: Applicant: DOwner D Architect , GiJ Contractor D Tenant Architect Firm: Representative: , Phone: Address: Contractor: DGD Construction Co. 1441 Dwight St., Pt. DGDCOC*166KN Orchard, WA 98366 Representative: Phone: 895-1024 5/15/89 Exp, Date: Address: Contractor's License No.: ~ Residence D Business o Other: D Demolish D Duplex D Multi-Family (No. units D Grading (cu. yds D Bldg. Move Nature of Work Proposed: Fire damage repair, all interior, strip to stud wall , install 5/8" lid and ~" side walL D New [!] Repair o Sign D RemodellAddn D Parking Lot \t Sq, Ft.: Utilities: D Water D . Waste D Sewer D Septic D'New [1g Existing DStorm Valuation of MaterialslLabor: [UBCSec. 304(b)] Plan Review Fee: Permit Fee: Surcharges: $P $ 54. 00 State $1.14 GJ Energy $10/$15 D Zone Designation: Rl Receipt No.: Receipt No.~ '7 Date: Date:.'.. <J I~ <7' Occupancy Classification (UBC): R3 $2,700 " Minimum Req. Setbacks: Front: CommentslConditions of Approval: Side: Rear: Height: No. Stories: Heat Source: Richard R. Mumma, Bldg. Official ,co INSPECTIONS REQUIRED: Foundation D Framing!iJ Plumbing MechanicalD Wallboard [i] FINAL Ii] OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL. All provisions of 'Iaws and ordinances governing this t e 01 work w'lI com Ihid with whetherspecilied herein or not. The granting of a permit dQes not presume to give authority to violate or cancel the provisio'ns 01 any other state or local law regular uc Ion or the perlor ce 01 construction, SEE 'AND READ NOTle!, ON REVERSE. /::~ Date c;-..... S~B8 Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building Stat. COde .1 4 ..J I ,- " It f ;") '7 ') . '... QAB fiLE No' I /1( Y.'1""~1 'R~NCH ,_-. l --, ',' /. .. 'OATE I, .., Z ,. I' ',~ ,,' ," /, ;, / ~., I ' ( ) OFFICE TELEPHONE NO, ," ,-..,., -~ ~-' "rh"" LJ }f\ CV,I o. BUILDING CONTENTS $ $ lSTlMAUO AEPl.ACUIENT COST ESlII'''UO "E"'-"CEMENT COST $ $ lESS DEPRECIATION lESS DEPRECIATION $ ACTUAL C~SH VALUE $ ACTUAL CASH VAWE TYPE OF BUilDING ~ - ;')Jr.' I.. BUllDII~iGMiASURE"'ENTS , .' I. .., " ~', } .. DESCRIPTION CHECK ~ I APPLICABLE ITEM I LA,BOR LABOR HOURS RATE AGE ITEM COST TOTAL LABOR MATERIALS DEPRECIATION ACTUAL CASH VALUE TOTAL /t.' V"'" V' V .......... V' v ........ V V V TOTAL $ (CONTINUE ON f'C>RM 448) _. COST TO REPAIR OR REPLACE , "", $ $ $ $ , ' LES!hOEPRECIATION ACTUAL CAS'" VALUE OF lOSS , OMPLfiTEI\ON ADJUSTMENT ONLY) lESS.DEDUCTIBLE OR CO-INSURANCE PENALTY TOTAL s , APPRAISALS ONLY-AGREED TO BY (SUBJECT TO POLICY CONDITIONS) PREPARED BY' ! ""..,..";~"'.:l'~'~'~""___""~_"~~'_'w^,l"..~'"~o<ilIt":_....~........~....~~~,,...,~",. ".'--~\:._,,~...t.~'l'.,~;:;_..-.,_.....~.._~i4tQ..,~,j!,,\, ...:I<.....~.,',\..,...:.i...,~., . .;., ,'..'n,..,......'.'-.. ,. '", _..._."". "'~. .,_N..ii~~',~..--..,'...~...;.<,""""__"'_.".". "" . ,-"..--',".........,._...i_,~""_M".~"';". ,,,-".- :-':: ,~. , '. ".-......\ PAGE NO, . GAB FilE NO, , , , , ,"K ts;;NER DESCRIPTION CHECK APPLICABLE 'TE~ 1 ~ lABOR L-J HOURS [::J AGE " _.} ~ . ci....J~ --..sb&u~" -I \ , ~ v' ''Q) .. If'rrtC- ':'<;\J ~~ '0". ALL .;)Or:(,i' v (~ .';. I Q't ,,,-tr t\.W\H'\tl- (lm\b\et~ J · ;2 I t(.l~ I ') e. fYV\ \l1~~ ' ,f ro... ~()\ .c::?r. '. (Nn,\ \ S "<ttt\\, n~/'7.d'I\" ..! t}'~,cV ~It,. ~... J bo fl ... iT ~+ oJ - F "' 7n IP - t?"d ~~J. \r\subi,oY\ nu,~ \ - 160 '!>.. front - ,1 ?'f') it.. end Ke() . \I\n~r.L'S'C\'n'-\ ~ , .~4C>; -~i\cy'~ - ;73A'" - ~nct .K.er)\ it \ ~', to Sf, r... -a4 n E'C _ WJnt so{l',;--ALL- , ".J, - ~b J"T - roor r , , " , , ,', , .. , V" "'" v/ ...... v v t/ v' V y' V v ,/ v v v v OATE lABOR "'ATE 'TE~ COST /"'--'" Q . OF (I TOTAL lABOR DEPRECIATION ACTUAL CASH VALUE i I ~ATERIAlS TOTAL , ,/ ~.' /.A' ~~/ v l. ';I'Y-f:r ,\,^""..,",.--........."_..-._~"".."-, t " to It TOTAL $ I .... Ke{)\' \J~ V\dOW(O'-o'\'"'l'\\(,-\~ (to =IF" )-1tlXl1 v , 5'~ ~1 u 1iJ/ ~< ~~t'<; ... ~unl. Pb't~,I\ ''lot - tJ6 ~:J mtV\ ' C \<t:t (\"PCH ( h · 'R:~'"'l\..k,-;t. \'fl~ - \C)\J\J\ ('d V.r",t l .... COST TO REPAIR OR REPLACE lES$.DI:PRECI" liON . , ACTUAL CASH VAlUE OF lOSS lTO IlE CO~PlETED ON ADJUST~ENT ONl YI lESS-DEDUCTIBLE OR C().tNSUAANCE PENAL TV $ $ S $ TOTAL $ APPRAISALS ONLY-AGREED TO BY (SUBJECT TO POLICY CONDITIONSI PREPARED BY' "'~' ~ :.i,,~ FORM ,4148 (!~.!'~.;,i,\.....,,...""~__,_,,,.~""',~~_........'._"f.~,,:;':."'~_,~,,..~,llItl....;,.~~.."'.~" --i;,,~......~........;,.....~.:-..,,;'^....~"_,~ ',,__~, ~~ "' ,>. -::'->>;"^-- , _ <,..' - ~ , ". bWNEA /~ GA8 FILE NO. DA~E - =3 _ PAGE NO. - '.... 0' C, .0 . -rHT~ r:.>,i)r:-~H LIVIN~ Keen./) 140)( l f"T- x 8 .. . _ 3b)(4.fI:>~o(B"'lL'1)~,rlv'" ~--.c\=-i\', )~.:d~r L ~p) (.)(\too,' \\s}rf't t n:t '~.if( v' ~. E"1Ci'.'~,\ \n4"n-\,,\~1 ..) l./' d I.t.bll t:, ). . ;;? KeD\. i\>t '11)') 51t,[;~JC(""tr'<:\ * - ;- \.~('J . (jce.. Ce,' \ ~~ ' -t. \e ~ ~,. .., ?POl . Le\ \\,,~ ~,\A7\ '? \' , (Q,'\ t V'\ C\ ..-, . i e ~)(;- una V " bJ se ~ \c\G\ \/ " w\Vy'ov.)~ ./C'O'tt\t>'e-t~ ' ,/, \ '":;J 7 o:x4 &) ~ ...,,/ \ ~~:;~) II )(.4;)TJ ' V ~O . "'+'0 r~ '^-.), ~\('^\)..}s - :>6 m e v- I< P.17 . tr, W\ W t (1(7 " t^' \ ~ ~ t) W ~ L~ ") .; .., , '7lJ140' ~ ' ') I, t. I.J C' 1 "0 ~.,~) . ,,' <eri . (u,'o\" ~t.)<.\ ~ - 7-0-/3(,1 fj) , ,. '.<'~~ \IJ'V'~ow sh"dp5 7')J~o~;>1 kH '\ . e7c-r. (\oot"- { ,\ (..~ ' I ~ " ~Y\ r"1("..\ \ _ l <; ~~ 7 ' 'StDtv...., c\c'(.) f' - {' rt~"'W'\IO , (''1 f " . '<(1) . ((Jt){' -1T \W\ I' 'u.~b r~h~~hJd ., (@1.. 15 I IS c:I\t\J '"'; ~+ I ?P."\ .' ,( 'I i. Ie ~~-Jcor'nC\ . h'ft>\. '0'.... tru"'CU-\ fur t.Jn( ~erv 'O~l) N' . V . . '~1 "A 8/'..,. 7" . , ~"l. Wa\\ '4et'\;- FQ,t\-T y.Ja \\ s DESCRIPTION CHECK APPlfCABLE ITEM ~5 AGe lA80R HOURS LA80R RATE TOTAL MAT, ERIALS LA80R OEPRECIAT'ON ACTUAL CASH VALUE TOTAL 'TEM COST , ,/ /'l'J ~r/ //r t/- V' ..,...... v , , ........ ......- - V ~' , \."" v , TOTAL $ COST. TO REPAIR OR REPlACE ~ ,'. -...., . $ $ $ lESS-DEPRECIATION f ActUAL CASH VALUE OF LOSS , (TO BE COMPLETED ON ADJUSTMEftT ONLVI LESS.DEOUCTIBLE OR C~INSURANCE PENAllY l TOTAL $ \PPRAISALS ONL V-AGREEO TO 8Y ISUBJECT TO POLICY CONDITIONS' PREPARED BV, ~M.48".771 '. ' , ' ',_ ',' " " " . ."~ .,......"""...~>..~-,.._'..-~_........,..."'__,~......j,~'I!I.lJ'w',~.,."...~,.",_.."..~~~_.__,',~""~.~~.:..:,"'-,'-I.~...'.,.,__,""'.,~.,.,""..i.,,,...r......".Wi..,.,".......~~,...,'_ ~,....,",..~..~,','..;,<- _..'l....~_"\..."..~~..,.;.,,,,,. ""';0"",,,..,,_,.,. .~.. .~.;,. ~. ,-- ,~ GAB FILE NO OWNER DATE DESCRIPTION CHECK APPLICABLE ITEM ~ r----1 LABOR L--...J HOURS c:::J AOE LABOR RATE ITEM COST I\.e\:'\\)\(,i\ (f\ 'Mba~.~ "\-\,, ..., h ~J"r-di),,~J' c\Wf' "'\t\W\ rfi,'~,+ ' C~hO V- 4 ,pP-(\V\'S";~f.Jll(~' etJe\{)-.::Ure. I ..... t\ .1'chp t"\ 8....){ Cl )( 8 I i i .~ ": .a liro. 'L ~ 170'1 w/r ;, * .~::< &T. \},.k1\ m<:u'c:ft\O('\ l~ \l.blhl " Le. - hil... +,)ThNJ -ken _' ((;l.o', n e-r-s, -Uwe t5 Q lJl.- " " _l~1'e.~ire> I~ L.'~. fOf\'\e.r~c\ . " . R~.) "51Y\ \.1 -( ,b\ '7/7 1'.11 ;oU(eT ~ (wr ~r'lOD f,.,JJ OOcl::sn'cJsT\- , _(07 t-' ..' ke... L ~:,.. T t - ~ li \)o\Je. at ~npt5 _cl ,t i<~.' birr50 oSh - d'1.lof.o ... l~l). WI p ~~O,.r- ,\7e "Ylc\ ....a~e) t?er\\.. ~{)t' qa~ ror-'\teJovtn"" . f t. ~)\J f " e r. "Sht. \JOdot "" (rosltv" f wi ~:;-, ot\f'~ ,~~~'()" · ~I)\. r~~l"\P(Q1l)r Itteezer " , ;>8' ~ db -fl.... Z a ~S"-e \Jl'tlor (~lf\I" f<'{){) W\'f' (\(.\AJ'a(~'i"\ \e+c ' 'a 'Ci)';> b ')( 40. -~i b '''\.J V'!\ ' 1V>n\ -:'..;~n-r w\. 'to..)' V\C' O\t-l4:':;t -( ~l "lit, w\ "AJ If D. D .- , " ~ V' v V V v v V' \/'" ,"-- PAOE NO. ~ OF C\ TOTAL MATERIALS LABOR DEPRECIATION ACTUAL CASH VALUE TOTAL " , v v V V / //1 /J'/ / }'J " /" v" v ~ v- V v' , v V ......... v v ~ , , , , " :, " " " TOTAL $ COSt il'0 REPAIR OR REPLACE ~~ 4\.0: ~, LESS-DEPRECIATION. , ACTUAL CASH VALUE OF LOSS (TO 8E COMPLETED ON ADJUSTMENT ONL YI LESS-DEDUCTIBLE OR CO-INSURANCE PENALTY $ $ S $ .- TOTAL $ t , "PRAtSALS ONL y,...AGREED TO BY lSUIUECT TO POLICY CONDITlONSl PREPARED BY' l~.\:!,M ;448 (:7~!,_~)"'~......,.,~,,,..:,...~;.;,.~l'. ',. .'~~~"-~'_'''''!"~'''.'',*,,,~,_,'::i_,. ,,,-,,,_.,,,O'jI(OI.oJi""'~';-3c;",,', ',,,", ,''''''."''.'i .~.:' ,_....<.~ , , ... I..~"""'.. DATE 1 t::J LABOR LABOR HOURS RATE CJ AOE ITEM COST ~ \....-' "."",/ .// ./ '\/, ....... V "" \..- V"" V" " ,~\ OAB FILE NO. DESCRIPTION ~~)(4U~ B c,()~ " 10 '.., ..'" OWNER 5 OF (''f ,,,.-.., _ PAGE "0. - TOTAL LABOR DEPRECIATION ACTUAL CASH VALUE TOTAL MATERIALS v- v V / '-'"' ~/' .J' ......... V" .J:::::.. -i : .........:- TOTAL S i COST TO REPAIR OR REPLACE ..":"'-- . . i " . ">::. '.,~ $ ~ lESS-DEPRECIATION r $ ACTUAL CASH VALUE OF lOSS ITO BE COMPLETED ON ADJUSTMENT ONLYI $ lESS-DEDUCTlBLl:OR CO-INSURANCE PENAL TV , TOTAL $ APPRAISAL~ ONlY-AOREED TO BY (SUBJECT TO POLICY CONDtTlONSI PREPARED 8Y: FORM ..8 (7-771 , , " ..' " ,'" ' , ,',..,,'.. ,', ," ' , ""\'...'<_"',...,..,___-....._~...,..~..-.........--.,~.,...,.---;.,.....'~.~""'"--,.,~..~~,..~."...."'-"...."~~";""'..__'O_O.;_""....,..__~~~ '.;.' 1''-~'''>''-il'''''''; ,......'~.,',~,.,.....,.....~~.,"",''''''-,..,~-..."..'''''....-'''''' ,.......,....,..,,",-'"~'".,. ~ " OWNER " DATE _ PAGE NO. - (0 c~ /-., , " . OA8 FilE NO. OF DESCRIPTION CHECK APPLICABLE ITEM , " LABOR ~ c:J HOURS ~ [=:J AGE lABOR RATE ITEM COST TOTAL LABOR DEPRECIATION ACTUAL CASH VALUE MATERIALS TOTAL , ".14"lLCtY.J+ C'f'\~,e+ ~b~ ~fa1CB i I -1(po\ L 'If, 1'> DV\ W r ~ n. 1 .at{, (" {if (,c.s", · " -\T" '^"" " 4 p ,~"'- 7'-" \4lT (, rlf- "u/,)k -h, we t. cJn'f ht:<;. rn -r f' .e",?\,\p '\)0" 4 ? \ " rlt)()r -.~~4 "" (",7 i/4vt pI (3) t~t:h"\ \ t) , ~t e. - f V'\ ( , tr. h....... ,f<-9h' (~ " +i , f' {~I(")(..w, V'et _ "r \'Yl ~f".J ''''''^ \ c\ n ' .,I \.fi, '" + ~AJ ~C J r:' r r\(,\r I ~l"' t VV1 c,', P v-e<; ~ LI" , *- ......... v- V V V V V V I~ , " \.- ~v q "'" v- / / If 1 J.~I /J~ IV I tt , , {AI LwA' ~ o1{ ,:; 0 '0( 8 -:- - " 'k~PrlL L ~P,~ wi" tt t' ( p, ,~P-t:'. ~..; furt' 1\ --hj-, ~ 'ni\ -;tr,()~... (~, h h~\ " " or, _ (~. \ . ~\ l ~ ' J f. ", 10.'0 . ~'cl'\ ", " \-'\~ I..,.Q ~\ 14 C\ " R \ ~ (' t:~ -C'~(.) ~ " ('..,1' ~ \ tf -r"h1\f ,'_~, 1?u ~~ Wtl\\ ~ J J \\ yY\\A."\ ~ I .J " " " \..- 1.- _I r;:;:; ~ , ~~ -~ " , '""" V" V" ./ \,../' V TOTAL S ... , S $ S S ~ LESS-DEPRECIATrON COST,TO REPAIR OR REPLACE , ACTUAL CASH VALUE OF lOSS (TO 8E COMPLETEO ON ADJUSTMENT ONl VI U:&S-DEDUCTIBlE OR CO-INSURANCE PENAlTV , TOTAL $ APPRAISALS ONlV-AGREED TO 8Y ISUBJECT TO POLICY CONDITIONS' PREPARED BY, ''';,iIw'~;;:~OA''' ^.~J~~f~~~'''I"'''~ ,,-.,':~t.~~~~._........;,~ ;~.:~ .1' 11 r..._"...._..~....:'~~.,;.>........;'_...'\'l;-.~,....,...,..........~~..;,w,.....,,' ...liI\"<A>~.....,~.",...,.."......".~io\tihJ~~;::-:'~~~,i'.."._, :....,,_ ,,,;~~.,..,,,,,,.....~~,~,...",........MQof".""~ ,.....~4 ,'I~J....::'J.""""ff"'~I''''_'"":''i.~,,,,~.,Jj ,~ OWNER DATE DESCRIPTION GAB FILE NO. CHECK . CJ APPLICABLE ITEM c:J dQ-.c4~ --.8 LA,BOR HOURS AGE v V""'.. *V V/ V V V 50 at, [5 .)( X. *" v v ......- V v " V' -:7 7 ./' / v ~ ~ v L h " " " , \' LABOR RATE ITEM COST ~.... t.- ,,-. 7 _ PAGE NO. - 'tOTAL LABOR DEPRECIATION ACTUAL CASH VALUE MATERIALS r OF TOTAL f I TOTAL '. , ACTUAL CASH VALUE OF lOSS ITO 8E COMPLETED ON ADJUSTMENT ONL VI' lESS-DEDUCTIBLE OR CO-INSURANCE PENAL TV t TOTAL $ $ . $ $ $ APPRAISALS ONlV-AGREED TO BY (SUBJECT TO POLICY CONDITIONSI PREPARED BY FORM "'8(7-77) , . _"H...'_""l..I'."~~.... .., -, ...... 'T'~~"'''''''''W'''';'''__''''''''''~'''''''''''.~''''''' _'10>-.'_'" 'n..(,;,_,~..",...\i...., '_' ,.'. .'.,_l>...'l;,.....~.~.-..."_".,'....'_^_,,, ,-.~~-~ ~...."c~~~,~.............~',.""_._..._._':.....,.._ ^___n""";"l.' .""....... ":'.' ," --" /-.., OF ..' bA8 FILE NO. TOTAL DESCRIPTION 16 " It Re~\_ OWNER DATE LABOR ~ AGE LA80R RATE ITEM COST TOTAL LA80R DEPRECIATION ACTUAL CASH VALUE ,~ PAGE NO. - g (" MATERIALS V"" - ........ ~ V 'V' ~--- V V ~ V ~ v V V"""'" V =1- t ~ V 1,/'"'" \OV \r1"'f' --1L ~ -'" ...... ./ V L V TOTAL $ COST. TO REPAIR OR REPLACE loESS-DEPRECIATION ..~. , ACTUAL CASH VALUE OF LOSS (TO BE COMPLETED ON ADJUSTMENT ONLY) LESS-DEDUCTIBLE OR CO-INSURANCE PENALTY TOTAL $ $ S $ $ , APPRAISALS ONL V-AGREED TO BY (SUBJECT TO POLICY CONDITIONSI l.~;;,.;~~~.:~~,(~:~~~.,~,_.'"~,,,~,~. --,~.. PREPARED BY ,~" ',,-.,;j,i..'th:':""'\""""'~'N~'~--.';'-"":" -"--.>\i"":"'''''~''::' "'~';""~;"~ol ,;.;, :_;iI!"-'" 11' ~ ' _''''_'''''.'_;''~ ,- ......T,;".'"'' ,--"".............,,--,---..;..,.,;...~.,-,;..;;...~ OWNER DATE l CJ LABOR LABOR HOURS RATE CJ AOE ITEM COST V V - V~ -5j V" ""'"' .- < ~ ....... . f ! f' '.........,. " ',' " GAB FILE NO DESCRIPTION CHECK APPLICABLE ITEM ~ j~' ~ . " l~, e - - _" ,,: --:- \DC:> -7;.; , " t. ~ Br.sC. Elecf,lraJ ~2j:1%~ Jfi/::':l-j 'j~::r~i .. PAOE NO. ~ *" ~ ~ TOTAL LA80R DEPRECIATION ACTUAL CASH VALUE MATERIALS (l. Of' TOTAL TOTAL $ -...., i:r~ ~ COS"Il TO REPAIR OR RePLACe- nSS.OEPRECIATION , r ACTUAL CASH. VAlUE OF LOSS !TO Be COMPLETED ON ADJUSTMENT ONL YI t.ESS-DEDUCTIBLE OR CO-INSURANCE PENAL TV , TOTAL $ $ $ $ $ APPRAISALS ONLY-AGREED TO BY ISU8JECT TO POLICY CONDITlONSI PREPARED BY' t~.."..;..f9f!~ .48l1-1!J.................~,., . :~~..~~...~~,.............,,;.~,:;..'" ,':, , ,-:....".l';-,'~.,,'~"" '" ,,__..',..,'~~~;...,~;.."-\.i,,_,'"',.._"...,_........ ,-..".....,-"~.;.,_..,~.. ^~," -,-....".........;.,~~~...;,.,~,lo.l:;o.,",..,'"..~_,.......-., "-..,-",;.',:""1,"...,,..... "., ,;;,:,:',;" i r BUILDING PERMIT APPLICATION ... "' City of Bremerton, V'{ashi~ton 98310 Assessor's Tax Account NO.:! h??t01. "T' Ow ' ;;<"c::::f'J7 Site Address: ! I <1 6 l3/TfE7Z- 13 1- VO, Owner's Name: 8t12E/VI E~IDAJ t+Dv....~{ rJG Address: Phone: (206) 478-5281 Phone No.: J.j7'1- 3(;; 11 //17 hUSSELL l2f), !?/lEA1F r.-U4 ( Applicant: DOwner o Architect ~contractor D Tenant Architect Firm: ./PiA Representative: Phone: /IA- Address: Contractor: DG I"') Address: '/1/ ^-J / Contractor's License No.: cortJ ST: CO- D t.AJ1G; 61 r St. b6J) cae *1(" b {< tJ Representative: CJ t-U/I,./~ Phone: 89 S-- IO?- if E D t .~ -/C)-Be; , xp. a e: ,.-L ___+ D Residence 0 Business 0 Other: o Demolish D Duplex 0 Multi-Family (No. units - 0 Grading (cu. yds ) D Bldg. Move Nature of Work Proposed: F litE 0/1-..+1-4& E /2~-- P~/ V. "A\ \ I \ ~y- \ ~\(" .s-= 1/ STall::) '/D S jUO WCJ/2.-?1 ---4-N /./ ,r/f/;; /,~L-L ~.L I 0 If / -iz- s/?/e- W/9L(,- I 'PEI'2. /Jrt:.A-C#-EO Sc..~/:7E CJF c:-<./ol"Lt<_ ( _~ooo Sq. Ft.: __ D New ~epair o Sign o Remodel/Addn D Parking Lot ~. Utilities: D Water o Waste o Sewer o Septic D New o Existing o Storm Plan Review Fee: Permit Fee: Surcharges, '\zJ eO. $ )Z5 $ ::::p State $3.50 Receipt No.: Receipt No.: Energy $10/$15 0 Date: Date: Valuation of Materials/Labor: [UBC Sec. 304(b)] ~ d700 Zone Designation: Setbacks: Front: Occupancy Classification (UBC): Comments/Conditions of Approval: No. Stories: Heat Source: Side: Rear: Height: ......, ~... R'-P"/" I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returned to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the - information on this application furnished by me is true and correct and that the applicable requirements of. the City of Bremerton will be met. '\!ignature Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Date J Stat. Code I INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT ADDRESS & DIRECTIONS 119G Baer Blvd. 9027 PERMIT NUMBER OWNER Bremerton Housing Authority CONTRACTOR DGD Const. PHONE PHONE 895- 1024 1 FOUNDATION CORR O.K. 1. PERMIT ON SITE -- 2. CHECK PLANS TO PERMIT -- 3. CHECK SETBACKS -- 4. PROPERTY STAKES -- 5. FOOTING SIZE CORRECT -- 6. WALL SIZE CORRECT -- 7. CHECK FOR FILL -- 8. REQUIRED STEEL IN PLACE -- 9. CHECK FIREPLACE FOOTING -- 10. ANCHOR BOLTS -- 11. FOUNDATION PLATE -- 12. FOUNDATION VENTS -- 13. CRAWL SPACE ACCESS -- FOUNDATION INSPECTION APPROVED BY: COMMENTS: 2 FRAMING COMMENTS: CORR O.K. 1. WIRING APPROVED -- 2. FOUNDATION VENTS -- 3. SHIELD -UNDER POSTS -- 4. POSITIVE CONNECTIONS -- 5. SOIL TO WOOD CLEARANCE -- 6. POST CLEARANCE - 2" -- 7. BEAM SUPPORT -- 8. TR. MAT. NEXT TO CONC. -- 9. WASHERS ON ANCHOR BOLTS -- 10. BEAMS PROPER SIZE -- 11. FLOOR JOISTS $PAN -- 12. NOTCHING & DRILLING -- A-FLOOR JOISTS -- B-STUDS -- 13. STAIRS -- A-WIDTH -- B-RISE & RUN -- C-WINDERS -- D-LANDINGS -- E-HEADROOM -- 14. ATTIC VENTILATION -- 15. CHIMNEY STRAPS SECURED -- 16. FIREPLACE COMBUSTION AIR -- 17. FANS VENTED OUTSIDE --- 18. A-BATHROOMS -- B-LAUNDRY ROOMS -- C-KITCHEN -- 18. WATER CLOSET CLEARANCE -- 19. SMOKE DETECTOR -- FRAMING INSPECTION APPROVED BY: CORR O.K. 20. FIREBLOCKING _ _ A-STAIRS _ _ B-DROP CEILINGS _ _ C-TUBS OR SHOWERS _ _ D-ROOF & CEILING LINES _ _ E-FURRED OUT AREAS _ _ F-FIREPLACE AT CEI,L1NG _ _ G-ELECTRICAL HOLES PLUGGED_ _ H-PLUMBING HOLES PLUGGED__ I-LID IN VOIDS _ _ 21. WINDOWS A-SAFETY GLAZING B-VENTILATION C-REQUIRED FIRE EXITS D-WINDOW SILL HEIGHT 22. CEILING HEIGHTS A-BASEMENT B-MAIN FLOOR C-UPPER FLOOR 23. SWAY BRACING 24. TRUSSES A-PROPERLY INSTALLED B-STAMPED 25. ATTIC ACCESS 26. CEILING JOIST SPANS 27. RAFTER SPANS 28. ROOF SHEATHING 29. ROOFING APPLICATION 30. SIDING 31. CLOTHES CHUTE 32. SHEETROCK BACKING A-UNDER STAIRS B-ABOVE GARAGE DOOR HANGERS M MECHANICAL CORR O.K. CORR O.K. 1. FURNACE SIZING -- i. WOOD STOVE CLEARANCE -- 2. FURNACE LOCATION 2. CHIMNEY CLEARANCE . , -- -- 3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION -- 4. "B' VENT SIZING -- 4. CHIMNEY HEIGHT -- 5. "B' VENT CLEARANCE -- 6. "B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- FURNACE APPROVED BY: 9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY: 10. DUCT SUPPORT -- 11. DUCT JOINTS -- GAS PIPING APPROVED BY: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- OTHER: 15. OTHER -- P PLUMBING CORR O.K. 1. UNDER TEST -- 2, GATE VALVE -- 3, WATER PIPE SIZING -- 4. DRAIN PIPE SIZING -- 5. VENT PIPE SIZING -- 6. PROPER SUPPORT -- 7. PROPER FITTINGS -- UNDERGROUND APPROVED BY: 8. VENTING -- 9. CLEANOUTS -- ROUGH-IN APPROVED BY: 10. PROPER GRADE -- 11. HOT WATER TANK P. R. VALVE -- 12. OTHER -- 3 WALLBOARD CORR O.K. COMMENTS: ~, ~5~ erG- ~1: lo~/3""'8Zb 1. LID OVER SIDES _ _ 2. NAILING _ _ 3. WIR AT TUB OR SHOWER _ _ 4. 5/8 UNDER STAIRS _ _ 5. FURNACE ENCLOSURE _ _ 6. FIRE SEPARATION GARAGE _ _ 7. ATTIC ACCESS _ _ 8. DROP CEILING & LIGHTING _ _ 9. BACKING AS NOTED ON FRAMING_ _ :;.K, {t DC /'l (5 f v'1I1 '+ WALLBOARD INSPECTION APPROVED BY: 4 FINAL CORR O,K. CORR O.K. 1. HANDRAILS -- 9. OUTSIDE GARAGE -- 2. GUARDRAILS -- 10. CLOTHES CHUTE -- A-HEIGHT -- 11. SEWERlHEALTH DEPT. -- B-INTERMEDIATE -- 12. COMMERCIAL BUILDING -- 3. EXHAUST FANS -- A-MECHANICAL APPROVED -- A-KITCHEN VENTING -- B-PLUMBING APPROVED -- B-BATHROOMS -- 13. SMOKE DETECTORS -- C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH -- D-DRYER -- is. SAFETY GLAZINGl 4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED -- 5. DISHWASHER 16. INSULATION CERTIFICATE -- PROPERLY INSTALLED -- 17. FREE-STANDING 6. FIRE DOORS -- FIREPLACE APPROVED -- A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED -- B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED -- 7. ATTIC ACCESS -- 8. HOT WATER TANK -- FINAL INSPECTION APPROVED BY: NOTES: e}f? PLANNING: ( / (q / id r-3U _D:\IG'=~VLT , , e 3e;r1..3 -~;l? ""'" City of Bre>merton, Washington Phone: (206) 478-5281 ASSESSOR'S AC'eOUNT NO.' 162401-4-065-2007 SITE ADDRESSlLOCATION OWNER'S 'NAME BHA 119-G, H, I & 121 RARRRlvd , O'NNER'S ADDRESS 110 Rll!=:!=:E>ll Ri! PHONE 479- ifl94 ~ III Z . o - -~ , - - , ." ", -.' "" - '. CONTRACTOR', Dow/So1hpre;'ConRt". ,", ,STATE CONTRACTOR'S L1C.'# ADDRESS '4018 134t'h Ave. N, R Rf>1lp~Tl;p ,,9800, ISSUANCE OF OCCUPANCY CER:rIFICATE REQUIRED BEFORE OCCUPYIN G OWNER'S SIGNAtURE "-(SEE AND READ"NOTICE ON REVERSE SIDE) BY nowsor. T lR? DR PHONE RR5-fl007 Authorized Agent J r KXRESIDENCE 0 BlJSINESSDoTHER 0 NEW [XJREPAIR " · D,HEMODEL DADDITION '"""\ o DEMOLISH o SIGNS PLANNING/ZONING # STORIES dCCU~ANCY THIS PERMIT ISSUED FOR: Residing , us;i..ng,yinyl'sieling, instaJ"ling storm windows, paint~n~ gabl~ vents, and foundation w9-11s. All provisions of laws and ordinanees governing this type of work will be complied with whether speeifiedhereln or not. The granting of a permit does ,not presume to give alJthority to violate or'eaneelthe provisions of any other state or loeal 'law regulating eonstructionqr the performanee of eonstruction. , INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing ,0 Mechanical 0 Wallboard 0 FINAL XX OWNEROR BUIL,DERSHALL CALL FORALLHEQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL. COMMENTS: >- ~ - U STATE SURCHARGE $ 1.50 (All) ENERGY CHARGE $10.00 /15.00 BUILDING OFFICIAL: ' VALUATION PLAN CHECK FEE $ 5,568.00 $ 0 BUILDING INSPECTION' DIVISION, .,.- "- COPIES TO: WHITE -: BUilDING, YEllOW - ASSESSOR, PINK',--: OWNER 7736 1--' INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT ADDRESS & DIRECTIONS--1lEJ G.' H):C cr I d.-t 773(0 t3twe trllJ Cf~BER ~5;fx)lbQe-c- ( OWNER CONTRACTOR COMMENTS: 1 FOUNDATION CORR O.K. 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING SIZE CORRECT 6. WALL SIZE CORRECT 7. CHECK FOR FILL 8. REQUIRED STEEL IN PLACE 9. CHECK FIREPLACE FOOTING 10. ANCHOR BOLTS 11. FOUNDATION PLATE 12. FOUNDATION VENTS 13. CRAWL SPACE ACCESS FOUNDATION INSPECTION APPROVED BY: PHONE PHONE 2 FRAMING COMMENTS: CORR O.K. 1. WIRING APPROVED -- 2, FOUNDATION VENTS -- 3. SHIELD UNDER POSTS -- 4. POSITIVE CONNECTIONS -- 5. SOIL TO WOOD CLEARANCE -- 6. POST CLEARANCE - 2" -- 7. BEAM SUPPORT -- 8. TR. MAT. NEXT TO CONC. -- 9. WASHERS ON ANCHOR BOLTS -- 10. BEAMS PROPER SIZE -- 11. FLOOR JOISTS ~PAN -- 12. NOTCHING & DRILLING -- A-FLOOR JOISTS -- B-STUDS -- 13. STAI RS -- A-WIDTH -- B-RISE & RUN -- C-WINDERS -- D-LANDINGS -- E-HEADROOM -- 14. ATTIC VENTILATION -- 15. CHIMNEY STRAPS SECURED -- 16. FIREPLACE COMBUSTION AIR -- 17. FANS VENTED OUTSIDE --- 18. A-BATHROOMS -- B-LAUNDRY ROOMS -- C-KITCHEN -- 18. WATER CLOSET CLEARANCE -- 19. SMOKE DETECTOR -- FRAMING INSPECTION APPROVED BY: CORR O.K, 20. FIREBLOCKING _ _ A-STAIRS _ _ B-DROP CEILINGS _ _ C-TUBS OR SHOWERS _ _ D-ROOF & CEILING LINES _ _ E-FURRED OUT AREAS _ _ F-FIREPLACE AT CEILING _ _ G-ELECTRICAL HOLES PLUGGED_ _ H-PLUMBING HOLES PLUGGED_ _ I-LID IN VOIDS 21. WINDOWS A-SAFETY GLAZING B-VENTILATION C-REQUIRED FIRE EXITS D-WINDOW SILL HEIGHT 22. CEILING HEIGHTS A-BASEMENT B-MAIN FLOOR C-UPPER FLOOR 23. SWAY BRACING 24. TRUSSES A-PROPERLY INSTALLED B-STAMPED 25. ATTIC ACCESS 26. CEILING JOIST SPANS 27. RAFTER SPANS 28. ROOF SHEATHING 29. ROOFING APPLICATION 30. SIDING 31. CLOTHES CHUTE 32. SHEETROCK BACKING A-UNDER STAIRS B-ABOVE GARAGE DOOR HANGERS M MECHANICAL CORR O.K. CORR O.K. 1. FURNACE SIZING -- i. WOOD STOVE CLEARANCE -- 2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE -- 3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION -- 4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT -- 5. 'B' VENT CLEARANCE -- 6. 'B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- FURNACE APPROVED BY: 9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY: 10. DUCT SUPPORT -- 11. DUCT JOINTS -- GAS PIPING APPROVED BY: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- OTHER: 15. OTHER -- P PLUMBING CORR O.K. 1. UNDER TEST -- 2. GATE VALVE -- 3. WATER PIPE SIZING -- 4. DRAIN PIPE SIZING -- 5. VENT PIPE SIZING -- 6. PROPER SUPPORT -- 7. PROPER FITTINGS -- UNDERGROUND APPROVED BY: 8. VENTING -- 9. CLEANOUTS -- ROUGH-IN APPROVED BY: 10. PROPER GRADE -- 11. HOT WATER TANK P. R. VALVE -- 12. OTHER -- 3 WALLBOARD CORR O.K. COMMENTS: 1. LID OVER SIDES _ _ 2. NAILING _ _ 3. W/R AT TUB OR SHOWER _ _ 4. 5/8 UNDER STAIRS _ _ 5. FURNACE ENCLOSURE _ _ 6. FIRE SEPARATION GARAGE _ _ 7. ATTIC ACCESS _ _ 8. DROP CEILING & LIGHTING __ 9. BACKING AS NOTED ON FRAMING_ _ WALLBOARD INSPECTION APPROVED BY: 4 FINAL CORR O.K. CORR O.K. 1. HANDRAILS -- 9. OUTSIDE GARAGE -- 2. GUARDRAILS -- 10. CLOTHES CHUTE -- A-HEIGHT -- 11. SEWER/HEALTH DEPT. -- B-INTERMEDIATE -- 12. COMMERCIAL BUILDING -- 3. EXHAUST FANS -- A-MECHANICAL APPROVED -- A-KITCHEN VENTING -- B-PLUMBING APPROVED -- B-BATHROOMS -- 13. SMOKE DETECTORS -- C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH -- D-DRYER -- 15. SAFETY GLAZING/ 4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED -- 5. DISHWASHER 16. INSULATION CERTIFICATE -- PROPERLY INSTALLED -- 17. FREE-STANDING 6, FIRE DOORS -- FIREPLACE APPROVED -- A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED -- B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED -- 7. ATTIC ACCESS -- 8. HOT WATER TANK -- FINAL INSPECTION APPROVED BY: NOTES: PLANNING: ..'"'.{.....,,_w,_'~ _,~_~~~c_ .~'{'*"""_,'.,_~_..,'.-"<- ~/ '. ~'''}/~Jr.,. ~.>:~ .~~~-~.~.._.,-~ . ~~~':\~'#,':.: ,', ~_.:~..:l,:.~ N!5'9S4,A,'""",\:", ,: ,M.- "^ ~"^- . ~ ~ _.~.~"'~ 'y:4,.- 3',',',,:,'.,'U' !,' il'" ')'~'\J:""G~:""" .; ,I' ' co' .' ~ ~.,. - ., -, :: ! ',. !ie i.'.' :}' .\! \ ~_': _,~..,',."i,~r~'.".~,,; \4',1,':" T",,',','.' J _~' ',_',',i - ""i:!' __' '\ ~_ ~1 '_ ':i~';! i , ! 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J ' .J . --- t " 'F, 'I :il.J~ 'l' !1,~~,'01!')1E',("'iI"rli:o,,,f!i,I';. iIM:i,D;j"O::;iUIE' 10 'B~ 'V:, if i_';I,~,J!'i\I.- l,i'~~'~,r;L'-:'V'li !....;:~ r"i i~,'r"",rin-,.'J:.:i..-..:_~ \.:::'.! I3qlldiaf} Iti&pBe.tllf --. . ,- - --" ~.- - . ---. -..-.. ,-- -.~, ,1$$UAiNCIE :OifOrCCiUl'ANCYClIlIATlfliCAtiE iRSQU!I!Rlllf) 'BiElp,Oee 'OeCit:)ipYlNG8UI:LiQ:li,N!G .,'~ i$'r <)WiN:Fi!Iiir'$ :~il~iNArI,JJ~iE ,IB \:JilL'ID'I!NiG D '!Pl. ~' '" // I ,,/ 1\ ,,/ ",// --'--~~~r'-~^'~'" ~-- -.-- ---.,,- ---.,.--'--",-'-..---,- -- -- -,- -- B~ - ~D_ 'JG ..~~. .~. v1 5984 A - 'Q City of Bremerton, Washington Phone: (206) 478-5281 162401-4-065~2007 Reinspection Fee 22.00 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO, DATE $ 1211.77 $ $ 22.00 73322 10/26/84 SITE ADDRESS I LOCATION 119 G,H, I , and 121 Saer Blvd. OWNER'S NAME BHA ADDRESS 110 Russe II Road PHONE479-3694 CONTRACTOR FryerKnowles Inc. ADDRESS 205 S . Dawson St. STATE CONTRACTOR'S L1C.# CC01 FRYERK*370NO Seattle, WA PHONE 767-7710 o RESIDENCE D BUSINESS o OTHER 0 NEW o REPAIR o REMODEL o ADDITION 0 DEMOLISH o FENCE 0 SIGNS OCCUPANCY PLANNING I ZONING STORIES THIS PERMIT ISSUED FOR: New doors for residence TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY 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 canc'el the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Eleetrieal 0 Wallboard 0 fiNAL 0 SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVED I COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE ,.":r BY AJ ~ C:;,I,O? , /';;;h't::ed Agent BUILDING DEPT,