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BEACH DR., 5222
v I I' ~1 N't} .~.:~ . e wf~: 37328 ~' ~ ~..., f'jl t __ R (. '!5 ~/ Fee $........ ................./...:.._..............._................... Receipt No. ...m.._......._.......::.........._....___....._.m.._' F. E. IRISH, Building Inspector . ESsex 3-1411, Ext, 36 BUILDING PERMIT CITY OF BREMERTON BUILDrn~G DEPARTMENT Owner's Value Bldg. Dep~. Value DESCRIPTION: $ I, o-,-() Lot Block Additions Address on Job -5~;L';;?_2.u..l:~a._(J.,IL./.._L'),..!._4u__.______m..um.___m_mm___.u___uu__m Date m_m__m_u,Z~__k_6__m196.c; . Building m.u__m_____ x ..__.um___._. and u.m___.__u._ stories __mm_n.U__________ basement. Lot _m.m.n_____ x _mm.mum Front Yard UnUmn__m_.m___ Rear Yard m____m__m_mUO__ Side Yard _nn_mn.m___mh_ Garage __m_'m_.m..m__mmuu Occupancy .._ __ ______ ___.. _. ._._ ___ __ 00_ _ ___ _______ __ __. _._ __ ___._.______ 00_ __. _._ ________.____._________ __ __.___ ___ Zone __ ___ __ __ __ 00_ ___ __ ___ ____ __.._ _.. ________ Owner -.---l?.aA-.e-ulP_..lk!._f_4,~J_mmu_m_mmum_ Address u_muumumumu_m_m__.mmu Phone__..u__mu__. Contractor . __ __0000_ _00 U'u .._00.__ _00 __ ___ ___ ._____00_00. _ 0000_ 00 00 _ 00_00 _ 00 Add ress _ _ _ 0000 _ __ _00 00 _00 .____ ___ __00_ __ 00 _00_0000 _ Phone__ .._. _.00 00 _. 00 This permit is issued for: -.. -..- -.......................... --..........-.......... --.. ___...._ __ _................... _.................................. _.......... _............ __ __._........ -.................. _...... _........ __ _...... _........................ __.. _.................... _................ __........ _........ _00........ __...... ~~~~~~~:~~~~~~~~=:~t~~~:~~~~~~:~=~:=~:::~=:~~:~:::~~~::~~::~~:::::~~:~:~:~:~~~~:~~:~~:~:~~~~~:~~~~~~~~~~~~~~~:~, 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 befo.re 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 befo,re working on sheets o,r sidewalks. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~ ~ ~~: ~ ~ ~: ~ :~:: ~: ~l."2;;;":d.;': ~ ~ :~~~:;~::.t~: :;:::~::::::::: ~::::: ~ ~:::::: ~ ~: ~::::: ~::::::::: ~:~:::~::~:: ~:: ~: ~~: ~:~: ~ :~: ::~: ~ :~~::~: ~ ~~: ~: ~:::::::::::~::::::::::~:=~~:::::::?f~~~::~:~.~t~::~:::::::::~::~:~~~::~~~~~:~::~:~:~:::::::::::::~:::::::::::::::~:::~:~::::::::::::::::::::: ~.................... --...............................................-............................ _oo...... __.................... _............... _oo............ _........ ,........................................................._.......... _oo................_.................... _oo......_............ __............ __.............._..__ ........................................................_............................................. __.... 00_.................................... _..........................."'..................... __.................................................................. _oo_............ _oo......_............ _............... __............ __..__ ...................... -_..............................oo............................................ __.... _oo..................... __.................... __.............. ....................... _oo.............................._............ __............ _oo.............................._............ _....... _oo................... ~._...... .. -...... -.. -.. -.. -.. -.. -...... - - -.. - ..---.. -.. -.. -.. -.. - -...... -...... - -.. -.. - -.. -.. -.. - -.. -.. -.. -...... -.. -.. - -..- _.... - - - --.. -.. -...... -.. .. -.. -........ - - -.... - - - -.. -.. -..- -.... -.... --.. - - - - - -- -.. - - - - - - - - - - - - -- - -.. -.. - - -- - -- - - -- - - -- -- - - - -- --.. ----....- -..--____ __________.._____ .....__.._____._ ____ ....__ ___ __ ______ _____ ____.._..__.._ __ ..____ _ _ _ _ __ __.._ _ _ M_...._.._.._.._ _.. ....__ __ ...._ __..__ ___ _ __ _____.._______ ..__.._....__.._.. _..____.._.._....____.._ --..-..- ---- ----- --- -------------..-..- ------ -- --- --- -.. --.... -...... ..------ --.. -- -..- ---..- ---..---.... ........ --.. -- -- --..-....-- ---- ..--.. -.. -- --- ----..-..- ....." ..---- ---- ---------.... ----------------..- ....-_.. - -.. -.... - - - -.. -- -.... - -....... - -- -. _.. - -- -......-.. -...... - -.... - -.. - - - -.. -.... - -.. - - - --.. -...... - -.. - - --.. - - - -.. -- -.. - -.. - - - - - - - -....-............ -.. - -.. - -.. -.. - -.. -.. -...... -.... -....- -...... - - -- - -.... - - -.. -.. -- - - -...... -- -.. - - - - --.. -.... -..- .. - - - _......- - - - -.... -.. - - - -.. - --.. -................ -.. - -.. - -.......... --.. -...... -.. - - -.... - -...... -...... -.. - -.. -.. - - -.. - - -- -.. - .... - -.......... - - -...... -- -.. -.. -.... - - -.... - -.. -...... - - - -......... - - -.... - - - - - - - - - - - _.. - - -.. -- - -..... - - -- - -.... - -..-.....- -.... - _.. - - - - - - - - - - -......... - -.... -...... - - - - -.. - -......... - -.... - - -.. - - - - - - -.. - -....... - -.........- - - -- - - -- - -.. - -.. - - - - - -.. - - - -.. -.. - - -.. - -.. - -.. -..... -.... -.. - - - - - -.. - -.. -.. -.. -.. - _......- - - --......- -...... - --.. -.. --.. - -.... -.. - -.. ....- -........- .... - -.. - - - - - - - - - -.. -.... - - - - - - - -.. - - - - -........ -.. -.... -.... - - -- -.. - -.... -.. -.. -.... - -.... -........ - - - -....- _......... -.... - - - -.. -.. - - -.. -...... -.. -...... - - - - - - - - -..- _. -.... 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J I {' ; 12 . wner s Ignature -.(.-'".~L!.n,,li.m"':u<{L.>..,.~"d,..r-.,,.~4.:-.u- By un---n_____muu____..._____uu.__u_.___muu__._unu._m__._.n . /f c His Authorized Agent I Building Inspector nmnm-unmcz..~__~-d.df,,~__--.--.....m-m-___.---n.-.m.-n-mn ... DF By ..__u.___.________...__..__...___d):;?::).__._.__._.. ._.. ____00 u_u 00.. __.00 _..__ , "~,I ..... . ... ~ ',.;- ~ - -,- ...;-,'" If e. ~. t..,,:..., - ,..-- N. .....-... ,--<.'~,~ --- , Sc,k/e. ..' II _ ~ '-;-f)~' / _ 0, \ .' 'i'of" - I I v ,,--,-0. "'. .~ - .J. ,.....~~:" ':',.' . :,.,,,, I..", .,..-. '5';.' '-.'. "f'" ...:...."."...." ',' ^ . -, , - -~--~ - ',.' ., '" ' ---- , . -( -~::'-'~~:~~~__ i~, .,..-........---,--.. ._-- .' ." .-.-.,. -'. . - - ..'........ iA q.~ ' 1 ......,.-.., ,-.:.:.l:).i'" .... .'. ~ Dlt~vE. ...~.,....-.~..-. f P"'----'- ',. -'~ "L;_,~ . .:3 II' <( '1 /'."'.:' . ----'.- ':~:::;.;....:::::::;'c " , ..j'"'q , . . ;;:r j "t. 'rfJ I' .1 .~ . //' t.; :_/;>e~~il f)Jf'-J;.J'JE. -'so 'E-;~V; . ifJ'-.. <" -~. -'~- ' . ~....-_...~' ..- . OWNER "liT {{A -1J.~J{L .,;;' ;'y' A " . . '"", Sixth and Marion Sts., Bremertorrr Wash. Tel: Essex 7-4461, Extension 29 ... APPLICATION FOR BUILDING SITE APPRO (Submit.in tripl~bate to Health De -fit', Bremerton-Kitsap County HIPth Depart.ment , \ " SEWAGE DISPQS4L SYSTEM DESrG-. , Return accept'ed applicationio ADDRESS .".31 .F .ADDRESS",;'C~~~ , " \ .", '"" . ik'A J '(JUl~.:~ddress ~IJJI),~~~~ ,~ ...':., -Address' II.' .... ..' \ t.\ , If BUILDER Location of property, street, or ,rural address Legal Description .:;:>-:2- 'Y2.-- _ '\ '" IIJA~~ ## f f "'c"',, Name of Plat Zone' , Type of building: Commercial " S.in~le or f residence~l\ti-familYdWlg/l\ No. of bedrooms.1);.- Basemen: _ Ground level Below gro~nqle'VeI' '; I ~ \ } . l No. of bathroomsL-Plumbing ip basement_'(, \ ,',\ ,c, , " , i I "". ''-, '. ' ':, ' 'f. i } : If,bUildin. g is to be ..c..Pi'. .....e...~.g.....t...'li. d..'., t'b.....'~.U~.,bDl~..~i..~. s.e.wl?~., ,.t...pef?,l.~, . on ~.'~..' d..........~.....Olt...~b.1.... cb....mpl:t~~L.L., ",lk...~ So~l log hole No. 1. I . r "~'$~;' ".,4'~,fi' 1 . ~ ,1f'~---rA~ ,~, . Soil log hole No 2 \,/" '.~ ' . .' : ' " , ',>) i · · '~r\'-'" I."::.,. ~~ '\ - \ 1 Percolation test hole NO.,l., A~citage\ti~e of fall per in~h irl'b9rtom of\'6": of holelAJ' Percolation test hole No~ 2. ' ~.., ".'.w t....' Percolation test hole No. 3. 7 "- ; . _ _ . " ...} .'.' -:': ~; '~.--..., ..._.,_,_..,.....,....,'~..:'..,.'\. _ .~. :"_ " _: q ,_, I ,',', ':'::~,\ ,_ J Elevation of water table, if encountered (Distapce-from groundfs'lirface.) r~' ~~, '. ,i .' ',' ~,. "\ . _', 'L,'" .,~ 1 '\C,\ ,; ".(~~ .' \ Place drawing on reverse of this application 'or::,1+'se ;'separate l,sbJeets. '" (~st'oe in :'\ \,; . triplicate.) Section 7, Item l-C as amended,mU.~tbefullycomp~ied with on the drawing or this application cannotte accepted. .'. . . \..' .; Ii; " · "',_;.,~,\tj". ............;~f:{ The above soil log tests and percc.iIation;t~sts were.performed~~t,,,~uc1tj::~Il\'\@~l~. "'r~:n" 'er\!Ml'}'~ I ",' '~ Date7/4~.IIJ~:' . \' --:...". . ", Designer's -' \ .' 1f . " . ;ftd.., pl"openy "DnOt be'_~':~, '" :....~"t_. inttala a.. it "Jll _..nf....~ ; '", ' . ,', ~ T, ' A':........ of 1,.1:'0. pas..ge (! .~:!!1'i.;pf~ . Dat~.~ub~:tted ..' / --- 2-- ;;'-:-, a:b'"" " Actiotl..:t.aken: Returne.d... . ,::. '.\'1.(,.\ ,D(:fmetL.';'"\ . ~-' .... ....j ,. \ \ .~'. \t ,"'" fl . Accepted v: "c' j'" ". ..:..'......... ' Date resubmitted Action taken: Returned Denied Accepted ;J/L84d :iPP4<<,*-- Sanitarian's signature '~ 'j ... . . '~"'~ " , " . ~~~$~ ,..'........'......"....... . . "\. , , 401', \" ~~.l::>" i.';';.'; .',., -'.', .:t;j, ~'- ,.'..t '~.,,.......~ _ M "-... t' 'e' cI '.. Bremert6n"$itsaP Cou.nty Health Department . Sixth and Marion Sts., Br'Elmertciri, Tel f Essex 7 -4461, Extensioh 29 "'1, 1>~ ~ ,.,-\ ~jl ~ ,'L~~ ,~- ,.< >:", r8lJfJ ., , Wash\ '4 t~K~~~T~~Nt;~~I~~~~~I~~ ~;~~t~P~~~. >~ ' .::::"l"~.~~.~. ~. " SEWAGE DISPOSAL SYSTEM DESI Return accepted application' Location of property; streetj Legal Description ~v if oi" fural address ,'It ' 1/ . ~,i- I " ii. ""e;" 'Q.~.,,> ""'-.( ,o..t4" '\ ' 'I ."\Cr \~ j;t 'r~.. H I . '''~" - '11 "'. . / :-_ ',~ ";;;':;~ ---. .'k :,~' " ,t;( ~\ Type of building: commer~i;U.. · :s,~e or f'~ residence '. ." . ~f."'.Bm1.;,~".].:..~.~.;dWlg,.6...(:~ g~: ~~ ~=~::s~~=~nn;.,:~:~~vel~~~ow gro~;1?;Z".~ll If., bUi.ldll1.'. g is to be c.....~n.n.e1V.i~l ~;~.i'...'.' :,1.4..c"....,.se1ier....".~~'.~,.,:i?i.'.I0W.:~'<>e;edr.:'~lJ..l . .'. cPmple ~. 'A.."--_ SO~l. log hole No. 1. ~.I'. f '. ' '. ,,~j,rll.,~~... '. .'...f1..... ",..." \rt;..>. "~ ~:;:i '~.'~. . ";'. '. l{...:..~?t j~~ rr-- S01], log hole No. 2.(;;;~i"'\ L ,,; " 0~~rh," (:: ." ,. ~ ~ ~:~~~i:~~~~ ~::~ ~~i: ~~7~: ;.~1~i~~~\~~e of faU pe~~~~ il{t~}~am of;6'10f h~t,$'" Percolation test hole N~~ 3', . " .' '. ~" ..... ~. ..... ;""{;~~',' I.. . ";,iI Elevation of water taj)~", if encojint~r~d' 'lfis;ifce!t,rOni' gi'6ufl8'I";"'r;ce.) ~.., ~t, Pl~ce. drawing on :ever/~e of this apPlicatiin \~~1 ~~~~~eparate ;~,~e~ts ~"\. (Mus~~~in ~,~~~;):.:;>'\\: \." tr1p11cate.) Sect:Lon ;,7, Item 1-0 as amende9'~~~:.pefUl!ly,c~~,1ed m::th o~t'he " '. drawing or this appl:Vcationcannot ..Q3 acce~ted. , ',' tl '1\~ }t " ': ':. ,". __:__,~. j:,~~._ . ")t,,<<.,~ The above soil .log 1iests and pe~6'otiitfon,t4:sts " . , ';; -:.'_ - ;) '!1 -6f1"!""'"l!f>~lI.fJ/!(flr. I ~ .~ I,;, ~.: nate 'IJ- ~~j.,j ~", t fb1Ign(;,"f::";igriat~=~~ t?~ / \} <<"j~""',,, ~~ ,;~. t ~'p ~ .. ' 'Xl1. . prbpez",v .:nn,tt be lewe:red ~'~~I""" ;~~~t" ti_. ~l~'b.'ibR ot;~.l~l). pal.age ill tbis a.... it "~lbe ..rviced, , ,'" :: n ~'. '~-- ~~, ' B "J< L.ll, ,~ ft. V IC . . . '. j! wd:'tr.~~..~~, '~'hbr' ";.,;",:,, ,,~~~^!.';.,J.,':'~i~E~. ~. . ' . CarlWe , ,... . . . '. ~~~t~~~ttte~~R;~t~Q~>L=..~t ,;DE;~1\ ~ Date resubmitted Action taken: Returned Name of Plat Zone' <:12~1td~~';,~~~"I~..,~:1~::", "'''''AAj;pe~g'''''',..,..~,.y,...",.,m,_.....~'' ." '* Denied Accepted .. ~~~t':~