HomeMy WebLinkAboutBERTHA AVE., 619
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City of Bremerton, Washington 98310
Assessor's Tax Account No.: 3783-006-012-0000 .
BUILDING PERMIT
8995
k
Phone: (206) 478-5281'
Site Address:
619 Bertha Avenue
Dean D. Erickson
. Phone No:: 377-0648
[iI. Owner
Address:
same.
Owner's Name:
Applicant:
D Contractor
D : Tenant
Architect Finn:
Representative:
Phone:
Address:
Contractor:
Self
Representative:
Phone:
Address:
Contractor's. License No.:
Exp. Date:
)
Install,
D Other: D New
D Multi-Family{No. units
D Bldg. Move
new roof ~ 9 squares cb~PQsition
[i] Repair
DSign
. D RerTlodellMdn
D Parking Lot
~ Residence
D Demolish
D Grading (cu. yds
Nature of. Work Proposed:
D Business
D Duplex
Utilities:
Sq. Ft.:
D Waste
D Sewer .
D Septic
D New
GJ Existing
D Storm
Valuation of. Materials/Labor:
[UBG Sec. 304(b)]
Plan Review Fee:
Permit Fee:
Surcharges:
$ 0
Receipt No.:
Date:
$ 31.00
. . '.' 78977
Receipt No.:
8/29/88
Date:
State $1.50 D
Energy$10/$15 D
$1,21D5
Zone Designation:
MinimumHeq.Setbacks: Front:
Rl
Occupancy Classif.ication (UBC):
R3
No. Stories:
Side:
Rear:
. Height:
Heat Source:
Comments/Conditions of. Approval:
Richard R. Mumma, Bldg. Official
...........~.......
INSPECTIONS REQUIRED: Foundation D Framing 0 . Plumping D Mechanical 0 Wallboard 0 FINAL ~
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK-SEPARATE PERMITS ARE REQUIRED (WHERE APPLlCABI"E) FOR PLUMBING AND MECHANICAL.
All provisions of .Iawsandordinances governing this type of work wilrbe complied with whether specified herein, or not. The.granting of a permit does not presume to give authority to violate or cancel the
. pr~visions of any oth:/~::-O~locallaW~;ing2'l:ruction o~the performance of construction. SEE AND READ NOTICE ON REVERSE.
\!Ignature c\...,,'-.~\ ~V !. L-c . ."..... . .'. . . .... . Date a/291M 1
Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code I 4 I
r
r-BUILDING PERMIT APPLICATION w '\
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: ~ ~ ~ ~6, -C)) ~.(?~~
Site Address: fP I Cj gP r-fho.. Ac,.-e... Phone No.: 37 7-CJb Lf'%
Owner's Name: 017/111 'D. J;;" Y",'ck50V1. Address: If; /1 8L'" rj-h Q (t-ve....
Applicant:
Owner
D Architect
D Contractor
D Tenant
Architect Firm:
11/ / /I-
Representative:
Phone:
Address:
Contractor:
IVIA
I
Representative:
Phone:
Address:
- Contractor's License No.:
Exp. Date:
5?i Residence
D Demolish
D Grading (cu. yds
D Business
D Duplex
)
I Yl S+a 1/
D Other: ISZl New
D Multi-Family (No. units
D Bldg. Move
W,-1 t:J2Q~- ~IG=':"
D Repair
D Sign
D RemodellAddn
D Parking Lot
= Nature of. Work Proposed:
Sq. Ft.: 9'00
Utilities:
D Water
D Waste
D Sewer
D Septic
D New
D Existing
D Storm
Valuation of. Materials/Labor:
- lUBe Sec. 304(b)]
J 1;;<;::;
Plan Review Fee:
Receipt No.:
Date:
Permit Fee:
c5:)
$3)-
Receipt No.:"7'?5i77
Date: '6/::?H J'6~
{ I
Surcharges: . \
State $3.50 Cs2
Energy $10/$15 D
$;0'
- Zone Designation:
~\
Occupancy Classif.ication (UBC):
R-3
No. Stories:
Setbacks: Front:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
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
~:,:~~~,:emU~ d'f? ~f Bremerton will he met. Date ?-z 1-89 )
Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code I I
I
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS
619 Bertha Avenue
RQq')
PERMIT NUMBER
OWNER
Dean D. Erickson
CONTRACTOR
Self
PHONE
PHONE
377-0648
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:
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 SPAN --
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 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 -- 1. 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: ~
Ref~
PLANNING: / (>'- " ,.. ({9
f~
INSPECTION RE~RD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRE~&DIRECTIONS ~~,. ~/tf
e
<8,;:(</
PERMIT NUMBER
OWNER ~*- D~
CONTRACTOR
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
, ;77-tJ~ vi
-
COMMENTS:
~ ,s erk-
. /f:11tr/87 -:;; t:...
~I?~
Iblz..e,/n ~
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 --
~-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: D.N.l\~ 1I/13/B7
/lA ~ .
~
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
t7L ,1j2y!i7
~
.,----
e e
M MECHANICAL CORR O.K. CORR O.K.
1. FURNACE SIZING -- 1. 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:
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APPROVED~" '"
CITY OF, BRE,p,~J,',E,3~' fiN
~F."''l-?
BUILDIIG lit./' j"
jOOE','i9 '27
~~
:-tBUIL[)IN~PERM1T
City of Brem~rton,Washington9a3Jq
~~.sessor'sTax Account No.: 3783-006-012-0000 Da.teof
:\~t{)
Site Address:
619 Bertha Ave.
Dean
N2S3'24 'h
Phone: (206) 478~528.1
App l:i.cation:~,.8'l3l 187
Phone No.: 377-0648
Owner's, Name:
Applicant:
D Tenant
Address:
Phone:
, Contractor:
Self
Representative:
Phone: '.
Address:
Contractor's Licens.eNo::
[i] Residence
D Demolish
D Gradiog(cu. yds
D BU$iness D Other;
D Duplex D Multi-Family, (No. units
) D Bldg. Move
Demolish existing
)
GJ HemodellAddil
D Parking Lot
Nature of. Work Proposed:
308
Utilities:
Dsewer
'0 Septic
Permit Fee:
[;:] Existing
Surcharges:
D'Storm
Plan Review Fee:
$ 46.80
$4;312
Receipt No.: 77398
8/3t/87
, ]d"","c
Rec~ipt No.7 C:5 r
. Date: 9/3/87
Eriergy $10/$15
Zone Designation:
R1
Minimum Heq. Setbacks: Front:
Comments/Conditions of Approval:
Side:
1iJater runoff from garage shall not ,run off onto neighboring property. Eng. Dept. 9/3/87 .
, ,
. -, ,
-t2~-~~Y~-\1<"\\-~~CfJY'l1..... ............... .............. ......... ...... ........ ...
INSPECTIONSHEnl'IHED:, "FOUndationl[] . Framing[!l ,Plumbing DMecha~icalD , Wallboard 0 .,," FINAL GI
: OWNER OR eUj~ SHALL CAll 47!l-5281 FOHAlL REOUIREDINSPEC)'IONS AND RECEI)iE APPROVALPRIOR 10 CONTINUING
WORK. SEPARATE PERMITSAREREQUIHED (WHEREAPPLlCAI3LE)FORPLUMBING AND MECHANICAL.
All provisions 'of laws a,nd ordinances go~erning this type of work will becomplied,wlth whether specified herein or not. The ,granting of a permit does not presume to giVe authority to violate Or cancel the
. PSr~viSions of anY;j-i1',~ ;:a:;g7g con7Jn or th;;i7;r7~eOf131$tr::;'~,:EANDREADNOTICEON REVERSE. . .
\...:Ignature ,'. ://:-'!:~l~;P!/L&I' '., "", (;.""/ ".,'". ",. L///{_.;IL,zY71/ , " .', ", '.... '.' ".'.' .'.'.,,' .,' , ".', Date 9/3/87 J
Copies to: White~ow~tr;YeIlOW-file; Pink,Assessor:'Golde~rod-Building Stat. Code I 5 I
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;--BUILDING
City of Bremerton, Washington 98310
Assessor's Tax Account No.: 37 K'3- OO~ ' Old - 0000
Site Address: ~/q 8eri-no. Aue'l ~(f(fJfr-}of11 wA
Owner's Name: ~ Dee! f) (J . 6r /c r sari
I
'ERMIT
APPLlctTlON
'\
Address:
Phone: (206) 478-5281
qK3Ja Phone NO.:~06Jj 377-010 c;t
Same".
_ Applicant:
~wner"
D Architect
D Contractor
- D Tenant
Architect Firm:
5el{
Representative:
Phone:
Address:
Contractor:
2P)f
Representative:
Phone:
_ Address:
Contractor's License No.:
Exp. Date:
- ~esidence
Gf Demolish
D Grading (cu, yds
- Nature of. Work Proposed:
! 1Y-a:A
D Business
D Duplex
)
De /YI oJi5A
o Other: G-rAr-aJ-t
D Multi-Family (No. units
D Bldg. Move I
f X(s=J-"n; cay {JorT
D New
D Repair
D Sign
~emodel/Addn
D Parking Lot
CV1d
!JUl' Jd
f3aYt1!Jt,
Sq. Ft.:'~3"
Utilities:
D Water
D Waste
~ewer
D Septic
D New
~sting
D Storm
Valuation of. Materials/Labor:
[UBC Sec. 304(b)]
Zone Designation:
~J
Plan Review Fee:
<Jr "60
$ 11:::::>-
Receipt NO'::;f7391
Date: 9:?l t~.7
Permit Fee:
$ 7:;) ~
~ 3J::Z
Receipt No.:
Date:
Surcharges:
~O
State ;;;, blf
Energy $10/$15 D
I
Occupancy Classif.ication (UBC):
/11
No. Stories:
J
Setbacks: Front:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval: L~,-Q_ f):J
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
requirement of the ity Bre rton 'II be met.
Signature
Date
?
Copies to: White-owner; Yellow-file: Pink-Assessor: Goldenrod-Building
Stat. Code :
1 . _ _ ' CITY OF BREMERTON
"(-BUILDING PERMIT APPLlCATIONsEP -1 be.
City of Bremerton, Washington 98310 Phone: (206) ~f.fPaBOT'lIT'ES
Assessor's Tax Account No.: 37 K3- oOtO 'Old ~ 0000
I Site Address: CD I q 8e(f.~()' Aue " (3rfrl1rr-ton I wA
I Owner's Name: ~ Dea f) (') . '6n'C r SO"
Address:
qt3Ja Phone No,(~OfIL) 377-0IP ~
Same.,
Applicant:
c:rowner
- D Architect
D Contractor
D Tenar
Architect Firm:
5elr
Representative:
Phone:
Address:
Contractor:
Representative:
Phone:
Address:
.. Contractor's License No.:
Exp. Date:
I'.~ ~esidence
Gf Demolish
;; D Grading (cu. yds
~
~
o Business
o Duplex
Nature of. Work Proposed:
11Y-a :J.,
.
)
De /J1 o!t5A
BOther:.' G-a;C4J-t
D Multi-Family (No. units
D Bldg. Move j
f X (S1iI/Q (lay (Jor
d
o New
o Repair
D Sign
~emodellAdd
D Parking Lc
Cl/Id
hu i Jd
fjarCl3t "
I
Sq. Ft.: '~"6
Utilities:
o Water
D Waste
ffiewer
D Septic
o New
BE:;sting
o Storr
Valuation of. Materials/Labor:
C lUBe Sec. 304(b)]
- Zone Designation:
~J
Plan Review Fee:
<.lr- "60
$ rb-
Receipt N07'73 9t
Date: ~~, 1<67
Permit Fee:
$ 7;;;;' ~
15'i 3J ~
Receipt No.:
Date:
Surcharges:
~O
State ~ []f
Energy $10/$15 D
I
Occupancy Classif.ication (UBC):
/'1 J
No. Stories:
J
Setbacks: Front:
Side:
Rear:
Height:
Heat Source:
I Comments/Conditions of APproval:-0 (~4.,,+<z..r / 1'~'.2)f(- 9 -1'~7,
,-<;e~wer /~~rd I IL1t"eC<-rpd I J~ -frtiK-T- tJT AtJl/fe LJer
lA/oJ. -t +- t j t. . -L....,
{/f/N7e1/' )'Ji-~I~r 1101 /)1, a/'It/t!~v _~e(::.]It)A,
,/I/~ 1;:;l?.11--f;f/~J:,I'€ Ir?rt'j;/e.lM-~ ,/"l..~te~, #115
/'tP-C-CJ'! cis..
I
I understand that applications for which no permit is issued within 180 days following dat
of application shall expire by limitation, plans and/or other data submitted may be return
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 applicabl
requirement of the ity Bre r~on '11 be met.
Signature Date
Copies to: White-owner: Yellow-file: Pink. Assessor: Goldenrod-Building
Stat. Code
;:'BUILDING 'ERMIT
e
APPLICATION
City of Bremerton, Washington 98310
Assessor's Tax Account No.: 37 g3- OOb 'Old - 0000
- Site Address: CD I q 8e(i-},~ Aue " erf!f1fr.}nYl. wA
,
Own~r's Name: ~ DeCHI C\. 6n'c YSOf\ Address:
I
Phone: (206) 478-5281
qt3kJ Phone NO.:~06t) 377-010 c.jJ
SaJY1~
Applicant:
BOwner
- 0 Architect
o Contractor
- 0 Tenan
Architect Firm:
5elJ
Representative:
Phone:
Address:
Contractor:
2Plf
Representative:
Phone:
Address:
Contractor's License No.:
Exp. Date:
- ~esidence
- Gf Demolish
D Grading (cu. yds
Nature of. Work Proposed:
! 1-Y-a:;)
D Business
D Duplex
)
De /YI o),5A
o Ot'her:' G-att.tJ P-
D Multi-Family (No. units
D Bldg. Move ,
f X(s=J-t'I1~ cay (JOlT
<1
D New
o Repair
D Sign
QRemodel/Addr
D Parking Lo
Ct/Id
lJu i Jd
[jrAYt13t,
Sq, Ft.: ,~i
Utilities:
D Water
D Waste
~ewer
D Septic
D New
BE:sting
o Storrr
Valuation of. Materials/Labor:
[UBC Sec. 304{b)]
_ Zone Designation:
~J
Plan Review Fee:
<.L- <=60
$ Ib-
Receipt N0773n
Date: 9:? 1<67
Permit Fee:
$ 7;;) ~
$'-/, 3)~
Receipt No.:
Date:
Surcharges:
~O
State ;;; l2f
Energy $10/$15 0
Setbacks: Front:
Occupancy Classif.ication (UBC):
Side:
.M}
No. Stories:
J
Comments/Conditions of Approval:
~ e..;~
,~
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
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify
information on this application furnished by me is true and correct and that the
requirement of the ity Bre r~on 'II be met.
Signature Date
be returne
that the
applicable
/
Copies to: White-owner: Yellow-file: Pink-Assessor: Goldenrod-Building
Stat. Code ;
r
BUILDING
'ERMIT
e
APPLICATION
~
"
r
City of Bremerton, Washington 98310
- Assessor's Tax Account No.: 37 g3- oab 'Old - 0000
Site Address: ~ I q Be(t-A~ AUf" 6rf/f!fr-}nn I wll
.
- Owner's Name: ~ Dea f) t'J . 6".,-c r 50() Address:
I
Phone: (206) 478-5281
qt3Ja Phone No,:f~06< ') 377-010 cjf
sqh1~
Applicant:
c:rc;wner
- 0 Architect
o Contractor
. 0 Tenant
Architect Firm:
5elJ
Representative:
Phone:
Address:
Contractor:
Representative:
Phone:
Address:
Contractor's License No.:
Exp. Date:
~~esidence
- Gf Demolish
o Grading (cu. yds
= Nature of. Work Proposed:
o Business
o Duplex
)
De III oJiYi
BOther:' G1A;rAJ-t
o Multi-Family (No, units
o Bldg. Move I
of X (S1-t'/1/1 (lay /JOlT
d
o New
o Repair
D Sign
~emodellAddn
o Parking Lot
CVld
lJu i Jd
gaYC/3t,
11y..a~
Sq. Ft.:~.~i
- Utilities:
D Water
D Waste
ffiewer
D Septic
o New
~s~ing 0 Storm
I
i
Surcharges:
, ""0
~ .
State ~ []j
Energy ~10/$15 0
Zone Designation:
~J
Permit Fee:
$ 7;;< ~
= Valuation of Materials/Labor:
[UBC Sec. 304(b)]
7'i; 31:;Z
Date:
Receipt No.:
Date:
Occupancy Classif.ication (UBC):
/1/
No. Stories:
J
Setbacks: Front:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of. Approval:
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
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify
information on this application furnished by me is true and correct and that the
requirement of the ity Bre r~on '11 be met.
Signature
be returned'
that the
applicable
Date
?
Copies to: White-owner: Yellow-file: Pink-Assessor: Goldenrod-Building
Slat. Code
r
BUILDING 'ERMIT
e
APPLICATION
l
I
City of Bremerton, Washington 98310
Assessor's Tax Account No.: 37 8'3- OO~ 'Old - 0000
Site Address: ~ I q 8e(-I-~(), Aue " 8(f(fJfr-tnn I WI1
.
Owner's Name: ~ De(A f) ~. 6r/c YSOrl Address:
I
Phone: (206) 478-5281
qt3Ja Phone NO.:~O~) 377-010 eff
SClJY1~
Applicant:
c:rc;wner
- 0 Architect
o Contractor
- 0 Tenant
Architect Firm:
5el
Representative:
Phone:
Address:
Contractor:
Representative:
Phone:
Address:
- Contractor's License No.:
Exp. Date:
~esidence
8 Demolish
o Grading (cu. yds
Nature of. Work Proposed:
i1Y-{?<d-
D Business
o Duplex
)
De IY1 oh5A
o Other:' G1;Ar-aJ P.-
D Multi-Family (No. units
o Bldg. Move I
f X (S=t/It/l cay fJorT
d
o New
o Repair
o Sign
~emOdellAddn
D Parking Lot
CUld
hu i Jd
fJa;CI!Jr' .
Sq. Ft.: ,~i
Utilities:
o Water
D Waste
~ewer
o Septic
o New
~sting
o Storm
- Zone Designation:
~J
Permit Fee:
$ 7;;) ~
- Valuation of. Materials/Labor:
[UBC Sec. 304(b)]
Date:
Receipt No.:
Date:
Surcharges:
~O
State ;; l2f
Energy $10/$15 D
1'-1 31i:Z
Occupancy Classif.ication (UBC):
/1J
No. Stories:
J
Setbacks: Front:
Comments/Conditions of Approval: ,,/~ r:::? I
V.. L. "
Side:
Rear:
Height:
Heat Source:
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
requirement of the ity Bre r~on '11 be met.
Signature
Date
?
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Slat. Code
~----,--,-"-
, <
e
e
00 ~ @ ~ a w ~@
$fP 04 1987
BREMERTON
BUILDING DEPARTMENt
CITY' OF BREME:R:!nl BUILDIN3 DEPA.~
~IT APPLIO<.TION
DATE 9-2-87
198
'ID BE, ca.1PLETED BY 9-4-87
198
Dean Erickson
~1NER
self
mNTRACIDR
619 Bertha Ave.
~cTION OF JOB
For Garaqe
EN;INEERJJ-;T; CCMMENTS/REVIEWED BY JES
S/Z)~ If2vAlQ~ '~
.
C5N /~A!C= .r ~.
77J
4"6
Cc;o~A/eo