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", , , , '..,) ~ , ...)...,.(;.i...........p'.;. .;....,.. ,. ..... '. i.i'.....> ' ;." " .., I '-"'t"~.~- it,}"ii," :' 'i>-. "I'," , /- .,., "~,,,o:'~';.~'.,.,; . ':(.... d,r:l-;":'h!:'''\,\;ft'!. . ~;'~~~'" ''-':-/,;;/'''-''1' CITY OF BREMERTON - BUILDING DEPARTMENT 478.5275 - 28,6 FOURTH STREET, BREMERTON, WA 98337 INSPECTION REPORT PERMIT NO. 77-oft6 I have this day inspected this structure and these premises and have found the following violations of City, County and/or State laws governing same: iI,;~DV""J 1/1- s I It rrf-- a 1/4 ~ ~ 1I..Ie- ~D~~11 0" ..r .... /pt Sr< t.-h'^-- ~cl I _____ io(/~~-h~ ,.- , ", - r'- CL.-- 'Y rfTT/-( 1 . You are hereby notified that no more work shall be covered upon these premises until the above violations are corrected,,' When corrections have been, ma~ call for re-Inspectlo>/ Do Not Remove This Tag DATE I 't'lt/'11 -y-r- , INSPECTOR FOR BUILDING DEPT, ii' ' IK,~ ,. /", '. " .,,>' .,'", "II 1"" .,~, ,,~ ,,,., !' ~ ' - , . ' , , "I,"tlf""'.\-\l#'f..",:~r;"i\-,~~"':if'-:. '~71iI'\7,t~,:)f'!ii1.?!~JI;"':":'~~' : BREMERTDN ~ERM~~ CENTER 286 4th street, 8remerton,. bJA 98337 Phone:: (360) 478-5275 FAX:: (360) 478--5278 \ BUILDING PERMIT, .Job Addr: 1.1t.)2 BERTHA AVE Loc~tion: 1162 BERTHA,AVE Pay'cel No:t!:)i:M012""'091'~'~~006 Perm j, 1; No: 97.',0586 Stii~tuS: PEND1Nr:~ App 1 1. t:ld: 09/09/1 r-i9'7 Issued: Expires: Appl i ci~nt;: HOYT, I<E 1'rH . .'...., '.', :377"'"767~~ 1162 NW BEr~THA AVE' 8REMEf~TnNWA 9f:.l:3H) Ow.Mr:: H()YT, KEITH 377,.1673 1162 NW BERTHA AVE BREMEf~TONWA 9~3310 LJc :if: SELF Exp: 1') :H"" . A[')r)J."f 1'.0' N, "1"';l'L\I;~f.,~' .( M' A, C''',f' E':'f~ Bt::.'.I"'RM & BA"I"',..IR,M'..... .'"v"~';\ e'n F:'T") I~ 6~~C:.. Ii "J,. J, ,; \" n. ~,,"',) .10) -,,, '\ ; t:,,, J ,r -- ~:)~:),~;" ';;:H:t;I *~.**.***~..)t****~.***;)(,***;)(,***.********.*****.*.)(:.***')1:***')1:')1:****** ***.****.***.***;)(.*,***,Wj('*.**.ii:;)(.**1l';)('**'******'* Valui~tton * F'>€fl"ll'dt Feel';' 261,,75 Total Cedculated Fee: 41~~~El~~ lHj()i:~7,,60 * .Plein Gh~~r..:k F(~e~~: 1.41 ,,57 ,_,~AddH;i.cmi:il Fees: ,00 * ot hti:l,(, F files: 9 "S(~/:'-'--'--;- T otaT-'p~r m i t. F€le: 41 ~~ . B2 " .,' _ _ _,' ' " ' " . _ , - ,,,r" ,',,'" . _,,''-: -'',. .~***\l(.******* *,l(<****,l(<******;)(.**\l(,***,******,~***,,*,*~,***J*'******;)(.***********,**,*,~****'*~'*;)("*********')(:*'Ii'* MECHANICAL/PLUMBING FIXTURES--MECH-ExhaustFans. "..",..-u: 1 PLBG-Water C'~oset '" "... '" n.: 1 PLBG-Bathtub. . ...". . ,.".." . . .: 1 PLBG-Lavatory. ..,. ..." .i,....: 1 \ }hispermitehall become flU 11 and void if the building or~izesLby_t-hts permit tenot commenced within 180 days from the date of such permit, or if this building or workaufhorizedbysuch permit is suspended or abandoned at any tfmeafter the work is commenced for a period of 180 days. NOTICf.~ It'isthe responsibility of the permit holder, not the City of Bremerton or Building Official to see toit~thatrequiredinspections are made. The permit holder mu.st notify ,the Building Official when ready for" in~pecHons. Failure of the permit holder to notify the~uil't'ling Official of required inspectionsm~Y;:r,~$uJ~( lflth@, it@f;lf'U~g~(JfthliJwgfk untO lJueh Hm~thlit tM p~l'lIlitholder cansubl3tantiate to the building Of.f'j}p;f"al,., , Jhattheconcealed wQrkmeets or exceeds code requi rements.Anydemolit ion , testing, or financial,burd~ri!~f/.ll be borne directly by the permit holder. Failure to substantiate code requirements will indernnihthe CitY'" again*tlinyand,allre!!lponeibility or liabUity COl'ifj~ct~d with the.cOfllrltructicm. ' I hereby certify that r have read and examined,thispsnit and know the same to be true and correc.t. All provlslons of laws and orCllnances govermng trilS typeot WonWll! be compl1ea wlth Whether spec1t1ed herein or not~, Thegrantin90f a p~rmit does not presume to 9ivEr'authority to violate or cancel the provisions ' of limy other illtat.t!i or looal law regulating construction or the performance of construction. tj rlilgi~tftlUt}f1 lllW, Uf1d~f Dat@I~====;~=;==~;.;~=~====~=;======= . " I H!ftH)-HllJ! f 8f1l @~@fflfJt ff@/tl too fE!€lt1iH~!llljjfltf!l tlftMiil '.Sect ion'3, Chapter 126, law$ of 1967. " .,. ' Slgnat ur e :_.....;':":........__....;........._...__............_~,_,..________..._---...--_...--...-.;..- :' oate:..________.._..:__..________________. ******.**********~,**~.****,*,** " , , '. ~----- ~)erm:~t ,'cebt,(~r~:,,:mAPpr ov(;u::l Ell' .:."..,.,....,. .........";~;,~:.... ..--,,,, ....., ~t;,El 1.....:..:.."t...;,J~~,!,;.::..,1m1""..."" :"'.. .... __-_,__~_~_,..c...:_-'.._~.."G..e,,-',_~, . -_"-'=-,.cl...J,._~.......~~~' =_ '\.." ".'"-""" -'~'. ,'''--'-''.' .',,-. . ~ ~-~- ~ 'u".='~' . -" -' " '" "';,..._~',., ......" ',.., , -.,\ .~,\' ..., ' , , '-tj , BREM~RTON PERMX+CENTER 2864t.h st reet $ Bremer-ton,. WA 98337 Pnone::(360) 478~5275 FAX:: (360) 478-5278 BUILDING PERMIT Job Addr: 1162 BERTH~ AVE Location: 1162 BERTHA AVE PaTcel No: 1524012-091-2006 Permit No: 97-0586 Status:: ISSUED Applied: 09/09/1.997 Issued: 12/11/1997 , Expires: 06/09/1998 Appl j,PI:lnt ~ HOYT, KErT'H 3n"'"767~3 1162 NW BERTHA AVE BREMERTON WA 98310 Owner: fKlYT, KEI1~ , ' :3j7~7673 116~~ NW BEfrf'HA AVE 13REMERT'ON WA 9BmO Contrr:ictor: Cfwssr~6f~hs'CONSTI~uc"rrON '::.177'"'767~, L..:l.c;\l:= CFWSSCl('O:::IO:J3 I:::xp= 04/15/98 1162 NW BERTHA AVE 8r~EMERroN WA 9831 ~i~ ~~ubcont r :: De:lBC :: APO I fI ON TO RES (MASTEf~ ElEDRM & BA l}'!RM ....~~l~~,:~, SO FT) , **~******~*~.)(*****.****.)(.l(.1(.*,**l(.**,**,*******,***,*****'lHt*,,*l('x,*x,**********'********,*,*********,**,*:****** Valuati,cm * Permit F8E1S= 261..,75 Total Calculci'te~d Ff.:lF,J: 412,B2 1.8~()~?7 .60* PlanCheGkFe~es: '141.5'7 Ac:!dit tonal F;'€~ef:l: ,,00 , O~ ~' 1"' 9 j;;' (" 'f' ~ J P , ',I F" 4 1 ,., (1'") * , , .1;118r f'''f.~e~~: "","1,1 (fi,a, 8rm3': "€:le= ."'~,,,((. *************k~*************************************************M**************************** MECHANICAVPLUMBING FIXTURES-- MECH-~xhaust Fans". ... .. . ...: r PLBG-Water Closet. ON .... . ....; 1 PLBG-Bath'tub. . .. . .. .. . . . .... .: PLBG-Lavatory. . . . . . . " . . . . . . ,: 1 ~ . . - . ;. ;,., '" ************,)i************,.lt***'***'W'**'iHf******,..*~'*****'~*'~**'~'lf,)I;**.**,ti).)t,)li**************,)t**,)t**.'x'x*** ;:};"T,hiapermit.shaU becomenullanq voia If the building or work authori~ed by this p~rlllit is not commenced within },?)j<X~e days from the dateofauchpermit ,or if this building or work authorized by such permit is suspended ,or :k'j abarldoned at any time after the work is commenced for a period of 180 days. ' - , ' . , . NOTICE - It lathe responsibil ity of the permit holder, not the City of Bremerton or Building Officialto see to itthat required inspect.lons are made. The permit holder must not! fy the Building Official when ready for inspections. Failure of the permit holder to notify the Buildins Official of required, inspections may result in the stoppage of theworkuntH such time that the permit holder can substantiate to the building official, that theconce~ledworkmeets or exceeds code requirements,. Any demolition, testing, or financial burden shall be borne dIrectly by th~ permit holder. Failure to substantiate code requirements willindemni fy the City against any and all responsibility or liability connected with the construction" t heri!lbyc~rti fy that I have read and examined this permit and know theSrllllEl to be true and carr-ect. All provisions of laws lil)dord.immces9overning this type of work wl1.1 be complied with whether spedfiedherein or noL The 9unti,ngOfa permit dops not, pr,e,f3ume to 9tv,eauthOritY to violate or canc~l the provisions of Einy othe~rsta~~otJ.o.c.a.llaw regulat/ing tY'l.lction or the performance of construction. '(;:' r atr,:' ,.,' ".,,', , ' ' , ,Date: " .- / r i;jlg \ U e ,_ __",~,,_,.,___, _ _.._ . __,_.._.,______,__... _L~_.._L___'i_?_________.,,____ ~ 'I ' certif that I am exempt from thl.1 requ'irements of the state contractor's registration law, under action'g, Chapter126, laws of 1967; , ' Ii /,' i gna t Ui e: .~_:........___..________,..__,____L!1. _.'___'_'_'.';'__"'_~_____ " ". '" ". .~,,~***~,***~,,******* ' ' j , '" Oa t e: ____...____________..;_..__________... f~ ///_,qj ; "~:''?a... .. ....,J>~;, \'" , \.\,! .. "\ ,/ ~REM~RTQN~~~~MX~CENTER ;;?B6 4th. Street, Bremer'tcin, "j..JA 98:337 Phone:: (360) 478-{5275 FAX: (360) .478"';5278 Jc~ Address: 1162 8ERTHA AVE Location: 1162 BERTHA AVE A~iHiff' AGct No:: 1. S240 1 ~::~"'''O~r 1. "",~:~oot,~ Building Permi~ No~j7~b5B6 !::ita t us ~ :r. SSU1::::D Issued: 12/11/1997 I::::xp i '('t~f!~ ~ Oti/O'r/19"1E:~ f~ 1:::: (;~U I F~ E D J N S P Et T ION S I Item ::01. LOO F'CHJNDA r J ON."..FOCrr I NG~:; I 'l~f;:!m: Ol~?OO FCH..lNDf,) T ION"'''WAL.I....S It (f~m:: 01400 Mr::CFI,AN I CAL" Ite..:!m: 016J)() PL..I:JMBJ N(~ fWUGI,+",;:I: N, Item~ 01700 FRAMING ,It t:~m::Ol HOO INSULAr :tON ,,' ',I', 'I',";,,'..\,m [; (')' 1. '~l()() cl'"Ir.::'I::,:'''(',::,!'')!N' NA',;, 'I'l '1' N' ',(':.' \ " ., 7, ,~, ,.;l, !:,,,..,, , "'," .,,(\ ,'..... " .:1. I tff.,mr. ()2:~'700 F INAL...."....f::n,..DG Df.~pt: BL..OG Df.i:lpt:: E3LDGi [)(:!.~pt:: BL.n(~ D€~pt: BI...,m~ t)f..~pt ,:: BL"DC;i Df.:'lpt: BL[)Gi De)pt f. BL..DG Df.:lpt:: BL,tHEj '0 :1. v :1. €~ :1, eln ~ [):/. v :/, s:l.cm ~ I),:i. v :1, !:$ :1. on: D:l.vJ~i.~1.on:: ''') '1"V oj ....1 " ." :'c' , .r, h ,,:un " D :i.V:l. ~!~:L on:: I)J v :I.~? t'OT'l,:: 0;' v J ~:d.f,) n t , .x- *,x:'~ o~.:)(- ''#: 'x-* .)(-,)(-.)(-.x- *?j(: *.X- 1(..)(.** ***~, K'X-K')(';)('** ';It** '* ** **:)ii .)ii.,#: ,x- *.x-.x- * ,x- .)(, ')("X-* ')H~ * 'X- 'X-'X- ,X-'X-1(' .)(-** .)(..)(0 ,)i(\* .)(..;It * * **.x; ~..*.X: ,x. * "r','~:'c:~T'l;NI':"~ 'Ml'~:;'l" I"l~:'\ ""~;'\("'n("lv'i'I"'t~"'''I' ,")>' '{"'t'le J.,.1".~'l.'I'iv'l(.'lt'''nT'\ A~:.~.,(')C'.I'i,.t. .,' ("IT'' ('J.t:: B'I'I 'td'l TV'l Of'fl,! (""i'''l;~' fl<<l.~" _ ,l\ ,.A_f ',,~!J,,1, ,'_'_'" f ,'......." ,.:;.} ..1'(..< .~", ," _,, ", ~C,1;,....;t-, ..,t, "t: I,', ,'i..'~,~ ",,,,.J,r.,,, ~.' ,!' , ..} "~'O\",'" .,' .;: _" _': ,d.,(;~..~..'J SPECINSP: Must be re9istered with t,h,eState of WA S'T' cW:> WA:: Sti:i.t(:~'lOf WA [h;'))i::rt'iOf' l....i:ibt::;r and ':I: nd,l.H:$t Y':1. f;~!~1 , HEALtH: 8remerton/KitsapHealth District 4"lH.....4.'r21. ' 4. 7f!J,....S;::~~;IS [')' \~ ,'1" C:''' ., /, Z" ~" I I _,,0,' , " t,}, 0' Ii",. Ii ,,_, ".,. ..'" " _, '!_," .n" ,,", "",, ",,, '" , .:,,(, ,,, .,~" '"'' "W ."" ."" ..,,, '"" ,_,~, ..", <. ,'i,?"":lilo.~'l>,.~ ..~" '\1 ''- '.: .' .. " ~ - ie.-::.:.'-\. ~' ,.C. ~ ," ~ _r" _ '. ~ ,,-,--,-,~i....o.r - - . j-<;';, ~ ,,;' .,.-"-."....... . " - ,.' . ,_~ -.' 1'. -~"", ". ,-.:- ~,~,~"--'--"'":........"."--"."-"---",L._~:~_'". '; h'''''' ... I'.""~~""""",,,,'\ " !M;""~.. ' f . .' , . ,,-, -' ' - - ,- . -' ", ," ==~===~=,~==l~==:==~====~==~=~=~m:~===:===~===========:=~:::==:==~==~====:~============= p(~~~Y"m:Lt Nel:: 9'7""'O!::;!~r:1 Br~E::MEHTON Pt::::!:~f'1:r. T GENTER PF:::f~MI"r CONDITIONS Pi!iH~(1 Ii 1 ,:J'(::ib Addn~$.\~$.!1 ~ lltl:;:~r:3E:J~TI"'IAAVI:!:: A~::H:~~Y"ACGt Nt):: :152401 ~::~'''''O'11. ""'~::~O()6 location: 1162 SERTHA AVE Applied~ 09/09/1997 APp'i"r.:)v~'7)d ::1 ~Ull/t997 Issued: 12/11/1997 f Appl:l.cant:: HOY'f, KETTH , OWnff.~Y':: HnYT,~ KEI"FI"'I" . Cont Y' act err ~ Cf~(JSSHOAI)S CONSTRUC"r:r. ON RE!::S (MAS"n::]~ ' BE::DF<M &BATI'''IF~M ..... ~::la~r.~ ~::;(;~ ".oJ , l("'I"IT')I"j'j"'''.', ;':IT')<:'''.' \.., ," "" f.J _,. \." _ , ~~"" 1_' 1" ;B. lJJ,." L"P I, N G :APP,RnVEI)W I "rHf~~::V:1: S IONS, DENOTEJ)ON PL.,ANS.. - '.<;; , ",<,~, '- ,- :', -, '. . .-. ,-' . - , ' ' SHOKE QETECTORS\REQUIRED IN All SLEEPING AREAS~ ADJACENT f"',"J.,'j 'j' 'WA'y(." ANr.'.) I""L ("J('ll':) I 1""VI""1 t'" ' '; "f',i'~,;~'~_ "'''. _ ~'~ '," ,. ..;~ .' t"J,' ., ,: _ "'; ": \.~ ,,,,'~, . ."" ::,:" , :~:., ._i.. ..::> _ ~l' . tAl ;r,N~iJPWS J: N !::iI."J:::EP I NG AI:~E::AS' MUS'rMI::;:E::Tr::::MEJ~GH::::NCY E:JiRI::::!::;S F~ [1((:Jl.JtRl:::. ME N T S ' . i.:1'{;' 1, , 0;:'1t' P' ! z ,~ J/ -,..,":>, "t. ,~ ......., ,Uu ..,,,',,,,, .>.,,; .".. ','''' '~"",,:~:,~,:':.:7-.: ,-,;" on" ...., ,,," r I i l c:.~;~~~/~1', I ! ~, I r I t ! t: I I I ;~~&~i~,~iA;J~'~;~\~AiM~~r;.~'.'-"-'^ ?~W;jtt~r.~~t;4~~~~~;:.~':'-;;===ooo<""'-'==< "'~ ''1l BREMERTON ~PERM~T CENTER 286 4th Street" Bremerton" WA 98337 Phone: (360) 478....5275 FAX: (360) 478-5278 BUILDING PERMIT App]Jcant: HOYT KErrH ~377'''''767:J 1. 162 BERrHA AVE BREMERT'ClN ~ WA 9~1:31;';~ PermIt No: 9f.3'." 048 1 Statw:~: 1SSUEUt]..fIR,W App 1 i eel : 0'7124/1 99B l-lJ.. -00 Issued: 07J24/199B Expires: 01/20/1999 Job Addr: 1162 BERTHA AVE Location: 1162 NW BERTHA AVE Parcel No: 1524012-091-2006 Owner: HOYT KEITH 377-7673 lI6;';~ f3ER'TllA AVE BREMEIHON ~ WA 9B:::ll~,? Contractor: SELF L.ic :lj:: SELF Exp:: Subccmt r :: Del:.lC: r~EVISJON TO 1r7"'''0~)B6 (ADD DOOR AND BAY WINDOW) ********************************************************************************************* Valuation * Pf~rm:l.t FeelS: 16..50 Total Calculated Fee: , 31.73 500..00 * Plan Check F€l(::l~H 10,7~3 AddItional Fi=lf.1l'!.I: ,00 * Other Fees: 4.50 Total Permit Fee: 31.73 ********************************************************************************************* This permit shall become null and void if the buildirlg or work authorized by this permit is not commenced within 180 days from the date of such permit, or if this building or work authorized by such permit is suspended or, abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the respon~libility of the permit holder~ not the City of 8remerton or Building Official to see to it that required inspections are made. The permit holder must notify the Building Official when ready for inspections. FaUure of the permit holder to notify the Building Official of required inspections ,may result in the stoppage of the work until. such time that the permit holder can substantiate to the building official , that the 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 c:onstruction, " I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws andordinanc:es 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 1 col law r~ lat j ng c"," ruct Ion or t he per for..nee of construct Ion. Slgnature'?l_ L- _' _ _____~-_-- oate'______11W/.3,L---- I certify that I am exempt from the requirements of the state contractor's registration law,under Section 3~,~~ Pte~ ' laws of 1967. S1gnature:~_._. ___ . __,. ___ oate:_____'J/'2_lf.I-85l-____.___ *************************** Permit cent.f--Approved IlY'_,,_~ Dat.:".._"._..~Y{1 r r~~':-=-'-""--------'-"-'-~-'_C~'-'~;'~~l"I~!(\'I,!\"l,;\tll""":"", "'g;p1~''''I;~I,";.'~;- -',,~---, I I ,I l i ifl"-f:.,,_~, :~ !ill · j'" , BREMERTON ,'PERMXT CENTER 286 4th street, Bremerton, bJA 98337 Phone: (360) 478-5275 FAX:1 (360) 478-5278 1 I I 8 ! Job Address: 1162 8ER1~A AVE Lecation: 1162 NW BERTHA AVE Assr Acet No~ 1524012-091-20Q6 Building Permit No~ 98-0431 St at us ~ :t: ~::iSUI::::D Issued: 07/24/1998 Expires: 01/20/1999 F~, !:::: (;) U 1 1:< ED INS P EC T ION S Item~ 01700 FRAMING Item~ 02700 FINAL--BLDG De:lpt:: EH...DG D(~:lpt:: BL.,Dl:.:i D:I.V:i.f.\~:I.Dn~ D :1. v i ~::l:1. Cln:: ******************************************************************************** TESTING: Must be recognized by the Washingtcm Association of Building Official SPECINSP~ Must be registered with the state of WA 5T OF WA: State of WA Dept. of Labor and Industries HE!::AL.TH r. BY'f.'~mf!:)rt on/K:i. t !:~ap, l...lea I t h 'D:I. !::~t r' :i, ct 478.....49~,:~ :1. 4'7 B ..... !::i =;:~ :::1 !::i i '8 THEJ ALL, I N5PEC"r IONS PE::f<FCH<MED BY TI'..IE CITY OF' Bf<Ef"lE::RfON MUS'f BE SCHE:DULJ:::D "rHf~OUGI"1 1~1=1~'M'I'''!'' ~1=N"I"I=f~' (~~(')') '4.'7'a_=?'7"~ ."."' '. ~.., .... "" "\ $\I \,;} (;;> . (,",') ~,,~ Au, ...) II ******************************************************************************** ~f~~~~ u~~ ~ ~'~,~~Cl2SLJL2-..m. [lat", ..'112):1.19.8.... I t I I I I t t I I I I r t I I I t f L "",,':",,< . ";':;;' ^~~~~.~",~,~,~~.._.~~~-~~'~'~ . .....",.,:.....,::.:.::::::'BUJmING...'PERMllnllI!2Dm~ION'.',':"",'.. . ...~~~~~~~~f;~:b.;zwi~83~Q .3.PIi~'k~~~5;75,.;;Al:~~i,~ii~~78 I . APPLICANT: DOWNER D cONTRAcrOR D OTHER: SITE ADDRESS: \ \If'L. (\UJ B~~,,- OWNER:-1llith t-my+ CONTRAcrOR: f)t\\)t 0 \-)~ CONTRAcrOR LICENSE tlCxLv.55 c."* a 3t)J3 CONTACf PERSON: 5,^u,V\nor"l \<..e...A-Ch.t. COUNTY ASSESSOR PARCEL II: ADDRESS:j)O '&v eta t 54~ ADDRESS:J\lP'Z.. ()W R~+4.~ (A.ue.- EXPIRATION DATE: CONTACf PHONE tI ~1l-- [(,[3 00 SFR 0 DUPLEX o SIGN D DEMO o NEW D REPAIR o MULTI-FAMILY D BUSINESS 0 OTHE~: o MOVE BLDG. D MOBILE 0 GRADING(yds): o REMODEL 00 ADDITION 0 OTHER: j ,i~i :~9i';//~ i. ;;;(" , EJ W{ ,,",:,:' , :,: 'i,;' 1'._,:';~ INTENDED USE: B'C..o ~ ~A~ ZONING CLASSIFICATION: COUNCIL DlSTRICf: NATURE OF WORK PROPOSED: ~~ B~r)1<-obVV\ ~(~Cv~ a..on-i+icSY\... SQUARE FOOTAGE: Dwelling: ~ '3 2- Garage: Decks: ,:. ....,'",',.,.',:,r:.", :'.:..-:";:...:.:......';..; ",,:,:,,':' ..,,'."." "".' ..': '. ,::~~.~:,:~:~partr:z~~t U~~....~.~:~;..::..::.. ,.. .,',:.:.:'..."':.. ".,:,,:::,:;:,,::,".. ....'.,:.'....'...."".', .:,'",:' .:,,:.', , , :::O::},'",.,', ....d:,v " U:A':':'"fO,N..",.,.. ....,~f."A.,X,. TH~"J'tt:'W~,FEE .,........'.' P:ERMlffi.t:'"Cl:!'.......... ......SU' .u.""',U'..:;R.".~e......f.,..'..,.,."CT;!'f:"I.~,..'f;..',.~"Cnc, ........... ....,:.;..:.::::::::.." . ,,~:A;' -".".,,:...:.,.:::::::::::-:.:.;.;. :.:.::;::::;C-::~l;~:::~:.,.:t~:.~;:.:'. ',. .0:::.:::, :.::.::.:--.':,.;'.:'.:..' , . .:...:{:"~.u;:.:::::.;.:::.;:;.;::::;. ::-:.:_:::.:.::::;.:-_.....:,..,.~~~... ~:::::;:;::.:;;:::;:; :;:::::::.:_:.::;:;:::;::::.t:':y:.~~~,'F~~::o::_:.::-:.:...;.;. $ (7 W ,$ " 11 /57 $ 'E,NL~' 550.0" $4: c>a- , , '"I n STATE: $4.50 /dllf,o (!/ 5- Applications for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. I hereby certify that the above information is correct to the best of my knowledge. APPLICANT'S SIGNATURE: ~ ~ DATE:3 -q --ql-~ ". ... ...... . ",-p . ...." .. ,--. , .... .... . .'.... .. - '" ...... . . .......... - , ......... ..... .,. . ................... .. : .':::.;:J:::;::::.:;:jjj,':,:"':::',:.,::j::::!.L.'jj:j::j.,::.,:]jlqD:,1\:!Arr~::.::Aj:jj'tj,:T;j:::It7ft:'A:::Ert-r'€)";..:.'.~tj.,.j:.:':j:.::j:::j::::j:.!..:::.j:;:...':!:::' :~:::;::;~:::::;::::::;:::::.:::::.:.:::::::::::;:::.:::::::::;:;::FiE.:.N.1VH'j:I:~::~~r.i1,L.2JEI;U~d:I]~I ::" l:N~~:::::::::::::::;'::::::::;::::::::::::::::::::';:;,.'::::'.-:; . :::::::;::;:;:;::.::::;::::;:;:::;;;;: ::::::;;:.:::::-::::;::::::-::::,...:::,.., ,.., ...:;......:;.;........ ...'...-.:;;:....::.. .:::..".::.....".:., .::.h' .:. ..:.....:: ....:.,' '.. ::....:.::.::::::;:::.::::;::::::::;::::::::::::;:::;::::::::'::.:...:::,"; · .!;::::CitY:6fBi~Iri~itijri~,-w~gtciri:i:'9.8337'.i....jj~h~ri~f::(3'60}':4782527s!!..'!FkE:(3,60}.!47sL5278.". ....,..:...'...'ME. '.'. C' .. 'BANI" " : ': ", " 'C,'j\'" '.LHH::::::.L " 'I . ::.:".::: :;':.;;". . : .- . '- . . -::.: :.': ":;.:;:::;::;::::::.; "', ." , " 'HHHH ", H...'... . .. - . - . . . .. . "" -, .,.. .. ....... . . ......" .... . - . , . . . . . . . . '" .. .".. ,"H"PL" ~", 'tBIN' ,', "G" ;",',,' : . . .". ... - . . . .. ... ... . .. ..' ... ... d.. . . . _ _. ... _"H . ... . .-, .. ,. APPLICANT: 0 OWNER D CONTRACTOR [] OTHER: 0 V:>~SOl5'n ql-OS~ COMMENTS: SITE ADDRESS: ~tl11" t'lv-J 6~ ,OWNER:_kIlA~~, ~ ,', ADDRESS:JC BO"f,qDl84tQ ,PA\m01-\.e CPr CONTRACTOR:J)A-Vl'v;)\---\-Dy t- ADDRESS: ltLe '2.... ~ A ~-f'la.. ~ CONTRACTORLICENSE#E' C/<..OSS ~036f3EXPIRATION DATE: OWNER PHONE # CONTRACTOR PHONE # '3(( - {lo t3 .NQ;::Jj:::.n.::::::.:..j::~E:'01FEQ:tJIl'fMENtli1'n:.n.::.jj:n::::: U:ltEE::,: ::NQ:::" ,:::j!j::::::;:;::::::..~W;Opj:F~~!:.:m{.:!:mH::' '::"FEE':: .,,-..... ".,." ?1.:..__.:.':;:.~:~n ';1~.~~.:.;. ',: : ":t/ RANGE WATER CLOSET -, - WOOD/PELLET STOVFJGAS FIREPlACE J BATHTUB - GAS FURNACE brus: .1 LAVATORY - CONVERSION BURNER !nus: I SHOWER - UNIT HEATER btus: KITCHEN SINK -- BOILER bitt 1: DISHWASHER - PIPING GAS LAUNDRY TRAY -~ EVAPORATION COOLERS btu's: CLOTHES WASHER - AC UNIT btu's: WATER HEATER - HEAT PUMP btu's: tons: URINAL - REHEAT BOX bttlS: DRINKING Fq~~ r;:::l n P"fl ~::l '~~ - FLOORSINK ~~b,...'i I'I:::: fi (I:'\J Ie AlR HANDLING UNIT btrl S: :i -==c EXHAUST FANS SLOP SINK ~ f\)\ ~ ~ RANGE HOOD (residential) WATER PIPIING & AJ.-:uE~i.jI~7 ,~ - RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR - CLOTHES DRYER HOSE BIBBS "',~[1; '",\;','1 - " INCINERATOR LAWN SPRINKI.lm!, " '"," " """('<!;>l\ - ~....LI! - DUCT ALTERATION SWIMMING POOL -, ",",,;, , ~ TANKS type: BLDG. SEWER (mobile / moved house) - REFRIGERATION UNIT ROOF DRAINS - OTHER: OTHER: , - , , MECHANICAL PERMIT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50) I. APPLICANT'S SIGNATURE: MECHANiCAl FEES, ~ . q. 5 PLUMBING FEES: ' CJ. ','. ,50 CITY SURCHARGE: TOTAL FEES: ~A~~~ 'DATE: q,~~q -Of+- pmapp.dot revised 4123/97 t l ! ' t ~' t f, [, BREMERTON PERMIT CENT R .286 4th st rest 11 Bremert(~m 11 /tJA 98::137 Phone: (360) 4.78-5275 FAX:: (360) 4,78~5278 BUT.LOING PERMIT Job ACildr:: \j16~:\f:1ERT'HAAVE' L,OCH t 1. on ::'--\;-~ . Parcel No: 1524012-091-2CX)6 ' P€'n" m :1, t No: status:: ApplIed: Il:;I!?lUed: E:: x p i 'fe~~ :: 96",,,0753 ISSUE]) 11/:::~611996 1 J.I~:>'6/1. 996 ()~;)I;:~S/ 199'7 Applicant: HOYT KEITH 377 7673 11 t)2 nEFrrHA AVE: BI:~I::::fvlEr~'r;()N~, WA 9B~:II::;-' Contractor: L- j, C itf:: Exp:: Clwnen --\::::- Subcont 'r': Dssc: FREE STANDING FIREPLACE 1**111111*11****.*****.***********.**************1**********************1**********1********* Val uat lOT'll(, Perm'!. t F!:;!e!:~: ;?:'L6!,:)T'otal Cr:d,cl.dated F('~e:: 28..65 ,,00 'x Plan Check I::l:.";l('::l;;:: ,,00 Add:i.tionall:::'BBi:.H ,,00 * Other Faas: 5.00 Total Permit Fee: 28.65 .11.**.****1**1*****1*.***.*..*****..**********.**.****************..**.*.*...***.****..**..* t1ECHANICAL/PLUMBING FIXTlniES~'- MECH-Wood/Pellet Stove, ",,,,: 1 j "I .~ *.'M')<: .)(,~ II **.jt ')('11; * * **'X."X'M.)t 1Hi:'** ,X'X.'j( *.. .x.x.)( .)(.x * I*'X'X 'lHi: ,x ,Ii; *.l(.*.l(, 'l(..if'X'M .l(. 11: .j(..)f ,x.x 'x 'j(")!: * '*71' .*,')O'H~..*.j( ,x.*.l( *'X':Ii' ;l(... *.~ M'X *.l(.x.l( *.x 1/.,,);; This permit shall become Dullemd void if the buildIng or work authorized by this permit ienot commenced within 180 days from the date Of$llCh permIt, or if this building or work authorized b}'~ such permit lSsusP(;mded or abandoned at any time after the work is commenced for a period of 180 days, NOTICE.., It i~l therC1sponsibility of the permit holdc,r, not the City of Bremerton or Building Official to see to it that requJr€ld l. nspectl. OM are m{~de, The perml.tholder ffiW3t notify the 8ui1din~~ ,Official when ready for inspections. Failure of th~~perml.t holder to notify the Building Official of required inspect: ions may result in t:he stoppage of thewotk until such tl.me that the permit holder car: substantiate to thebuildl.ng official that the concealed work meets or exceeds code requirements. Any demolition, testing, or fJ.nancialburden shall be borne di reet lyby the permit holder" Failure to SUb!3tantlate code requl. rements wi llj,ndemniJy the CIty against any and {~Jl responsIbility or liability connected with thf1 construction, I hereby certify that I have read and €lxamined this permit and know the same to be true and correct:" All provisions of laws and ordinances governing this type of worK will be: compliedwl.thwhethElr specified herein or not,. The granting elf a permit does not preSUm€l to gIve authority to vl,olatE:l or clImel::l th€l provisions of i:ll'lY other state err lm;al law regulating consti"uctionor the performance of constructil:m" SignaturWt=~c_-jJ__~_______c_____ Dat.:_j.jL~z_~___________ I certify that I am exempt from the requirementF.l,of the state contractor's registration levJ, under Section 3" Chapter 1~l6, laws ()f .1%7. ~ S i ~mat ure: ._~i":..:;:...,_"_.__.";....."_..",_.~.",,,...~,,_.._..,._,,,,_.-__._...__.._....___.......,.,__.....".."..,,_.,. Do. t e ~ _~,_._.." "__'__ ~_. .._ ______,___.__.__...~_._ _ ,..".11:3 ~ *)(,1(. '~ol\' 'It,.jOf .If.*,lI:~,~,1!:Klfll,\II::lf.j(, 'it,ll, (l(,~L-.._~-,,-_ ;~._.,~--'.~~_,_,~_~,~~,_,~_:....:;.__c,,'--,L~''---..~~ ~,~-'--. ___~... '."0>,', . ." _-'-_'C:---'''':'''''::'--'.:_C__.'CL___ t !;~" ! ~ ~ ~ f ! r BREr"'1ERTON 286\ 4th Street I' Phone:; (~160) 478-5,2.75 CENTER g MIA 98337 FAv.o '~>'O) Ar8' ~~.78 ^ l .,'":'6, ,,+.1 -.;1..:, , j J 1 j 1 'j ,J cl b rf::j d d r ~~~j'~ fT it>~}I:}I::::j:~rl"'1 r} AI,) [:: lon :: NCj::l!::;;':.~40J. ~:'::"'091 ""<::~006 Du :1. 1. cli, nq P(~')r rn:1. t No:: !::> t tf" 't' l.l t.~:~ :: I *:.j~:jue:~d 1: [:: x p :1, )" e) ~:j :: 96",,,0753 ISSUE:D 1 J /;?6/19(16 05/~:::t::i/19S)7 ,j ),! ,j J I >j I:~, E:: (;~ \...1 I l:~ E D INS P F C T ION 5 Dept: i3I",DD Df:)f::lt':: BL,DG I)e,.)pt:: CI:~ClSSCC r.l(,:~~p'i.;:: BL.DG DJ v t f;~! :I.cln:: I")' .' , " 1 V:I. *:':~:I. on :: [) :l. v:l. s :1. on ~ Di \):1. s :ton:: , ,'. "", " , , ' , ' , '"*""""""""""""""""""""""""*""""""""""*""*"****"*"*"*"***************************~ TESTING: Must be re(~gniled by the Washington Association of 8uilding Official , (" I"" '":'1''' T N ''''j'') " M' 1 (., 0/" I" ", Y' ", "I "I (" .'" ('" Y' ('" ("I W "I' 'I" 1"1 'I" "\ ", r" ,'" ", '1" ('" (") ,[:: W ^ ' ..:> ,,' .:" ,,' .1. ,,::i"" , .. ,:,> , \., ..) t.;'. f:,'. t: ., ;,~" (" 'ii. ~:.", , ,. ,,' I 1 (.,'" .::; t. t:. ,',;', ..1"'J or WA: State of WA Dept" of labor and In~JstrieB 478-492] HEALTH: Bremerton/Kitsap He~lth District 478-5235 , ii ~ ! r".,'", t" ! t ~ r (,~ I I '1" N ~:' I:) I:::' C. "I" '1" '\"') N (::' 1::>,1:::' I:') r::.' !"l I:;) M' I.::' !" i::,l '(. "I" 1,,,1 I:::' ('" 'I' '"1" V rOO) 1:::' 'I:') 1:;'1:':' M i::"I:;" ..,,' ('" N M (, '(::; "I" '::> F::' <::"('" '1"'11:::'1") l J I I:::' I'" "I" 1,;.11:') (") I, j (',:'1,) "1"1",11:::' rl';:::::I::;M:I::'I"''''('''~:::N''."'''I''I::,'''::; "'),' '''l,~.(:')I)'''\,'7;:';'' ...;::"7...." .... "'.. II ',,1 ")'\",,1 ....' ~I ,.I ,I.J..., /..)".., ..J.........,,,........, ",...... j ,..,]', " I:::, ''\ I" ", c. :::.1:'\ ~ \ ,:: c; . ,1., iT"" ,::l ,::, ,::l.., -X ,)(: ''X .x' ,)( .)(: .)Ii ,X. .)Ii 1(. ,X, ,)(: ,)(, .)( ,)(, 'l'I: ,:;I: .x ,X.. ,)( ,)(: '~"X ,X 'l'I: ,X. ,X, ,i(' 'X' ,)( ,X. 'X' 'X' ,)(: .)(: 'X' .)(: 'X 'X ')l( .)l( :/(. ')l: .)l( 'X' .'J1: * ')l( :;(; ,X, .)( ,)( 'l'I: ';';:'1(- .)(. .x' 'l'I: 'X .X,'X ~~ ,X,X',)(,1\' 'X' ''!4: :X .)( 'If: ''X ,j(. 'X, .)1, *-X ,)(, 'X"X"X' I::~,"'::.'.",'m".l',t.., 1''',1('')'1','''1(::,'''' ~(:,~' '~,' "," , /,/t,~/, ' ~,,'l ., ~ ." "t, ..'I. \,,':0, '" -' <1' ~ Siqriature: , ' '.. ,.,...,'. ';........." .~,..... ""'..' .",,,,,"..' .'.,....,' "",.. ,...... 'co .."...... "CO .,.. ,.. Dat e;:):: ."",/II4:~7'.~"., t ~ ..;.: , .~ c > ""'" ~~':i~ ;'~:~~'''''<~;e;.~" - -~",~, -'''''''~~i\,<,;~' -, -.'---:;,-,' ",:,,j,-"-1'r~~" " CITY OF BREMERTON - BUILDING DEPARTMENT 478-5275 - 286 FOURTH STREET, BREMERTON, WA 98337 INSPECTION REPORT PERMIT NO. q ,{p - 6 '7 s ~ I have this day inspected this structure and these premises and have found ~he following violations of City, County and/or State laws gover . g same: N I:i (.\ ~<:... ~S~ ~'. ~t f~ { I \ 0... t:: ~' ~'~ You are hereby notified that no more work shall be covered upon these premises until .he above violations are corrected. When corrections have been made, call for re-inspection. Do Not Remove This Tag DATE c+ liD INS BREMERTON BUILDING DEPARTMENT Inspection Report I r: Scope of work: Address: Owner: Contractor: Free standing firpelae 1162 Bertha Ave Keith Hoyt Self Permit Number: 96-0753 Phone: 377-7673 Phone: 377-7673 Inspection card/approved plans on site Footings: required steel placement Footings: required width & depth Bearing soil (soils analysis if applicable) FOUNDATION Setbacks Walls: required steel placement Walls: required size Special inspector (when applicable) , COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts & washers in place Mudsill: treated material Floor joists: size & span Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outisde Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows: safety glazed where required Ceiling heights . Stairs: headroom clearance Stairs: rise & run; proper width Fireblocking: wall to ceiling, furred walls every 10' Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheetrock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in FRAMING COMMENTS: APPROVED: Insulation: proper R value Insulation: proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space ENERGY CODE COMPLIANCE COMMENTS: UNDER FLOOR/FOUNDA TION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: 1 MECHANICAL Appliance location and access, proper support Appliance clearance to combustibles Venting: clearance to combustibles Venting: size & support Vent termination Combustion air Ducts: size & support Gas pipe under test Gas pipe: size & support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Woodstoves: EPA certified Wood stoves & fireplaces: Tight-fitting doors Wood stoves & fireplaces: proper hearth Manufacturer's specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: No Q...~ ~ -S. y \ 1115 1 , ~] GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING DWV & water piping under test DWV: proper grade DWV: proper sizing DWV: proper drainage fittings where required DWV & water piping: proper support DWV: required cleanouts Vent termination All fixtures vented properly Water supply: proper sizing Shut-off valves on all fixtures Water heater: gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: siesmic strap R-10 pad under water heater when required Water-piping insulated as required Grease trapslinterceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED SHEETROCK Proper fastening: nails-7" o.c. horiz, plane Proper fastening: screws-12" o.c. horiz. plane (1/2") Proper fastening: screws-16" o.c. vert. plane (1/2") Proper fastening screws-12" o.c. horiz. plane (5/8") Proper fastening: screws- 16" o.c. vert. plane (5/8") Area & occupancy separation walls Usable space under stairs (5/8" required) Corridors nails 8" o.c. vertical plane screws-12" o.c, horiz, plane (1/2") 24" o.c. framing screws-12" o.c. vert. plane (1/2") - 24" o.c, framing screws-12" o.c. horiz. plane (5/8") - 24" o.c. framing screws-12" o.c. vert, plane (5/8") - 24" o.c. framing Draftstops where required Waterboard where required (not on ceiling) COMMENTS: SHEETROCK APPROVED: FINAL Energy code requirements met, exhaust fans Garageldwelling door self closing solid core Handrails & guardrails, as required Exit signs wnen required Occupant load posted when applicable Wood siding to earth separation (6" Radon monitor when required Plumbing & mechanical Smoke detectors where required Fire ratings maintained Emergency lighting when required Building weathertight Building Address posted COMMENTS: FINAL APPROVED: ~/~ iflr1 { j5B~i~~:~~~,02~:~A; 'T' :1~0;j~~0,j:0~0~,;;~,!~ ..'.. ............,.. ........,..-,..... ......r;::EJlalJ;II;.I:.'," ..:t.t:.E::..I[::::JEtI~E[ , . .vi"... .........., ....... ...... ..... .....,.. :1ti;t;ii:i;!;jiiji;~,!)i:!B~i'i::i;ii[il,:;i~:iiiB;i:):!,!::):~;:;:i::;::~;:~;!:!:i::iZ:;:[:[i;:::,,:,::,(4i;,':};::::::E~t:,:;,,:,:::::.:;:;,::~~:::':;t:"9':,':8::": ~'l':'iO:::;;:~::.:i:;;::p';:""E;i;i:;:::,:,:::::;~:~:::}2:;':"-Q;::::6:,:":{:;:"~~',;;':::5' ::.7..,.:;,:.,'..i.... E" '~:~~;::~~,:)'Q?::::6i:::)i::::::?lC8:,::,:\.:5,<2i;-6'8'::':r;:::::...:' :::':':::?f:\:::..lt.y:'Cl:IL IenJ.erton,:.:::'.W:lSl.Wlgton::,'" :1;,:;,/:{t..' ilone:::,.\: -/7; I. c~ ....... [).:;.:....l''\"''~:. (..t. '.:"=:1 - !', '.',.. :J;;:'::::;:::::i::i;;t:!ji:~ri:::::!::Ji:~:;~:!r:i:?t.lEtjB:.:\1~:I€AL:::i:;:::;::,:::::::::;::;;I=!\:;::::::f;::U:;::'ii:it!;:::;i::;.:-:t:::/i~:::.;::?;:;"::::::}::::::;:;:;:PLIJMBING:.:'::::::::"':,':i:')::::-: ..,',:.,: { i\PPUC.~"\iT: D CONTRACTOR % - ()IfSJ. COMME:.~TS: S!TEADDRESS://C.2 t$42-J7M /Iv. ,~ ' 1m f)ld.lJr;J~ OWNER, J(e:J nI .L), /../r,y T ADDRESS,//L 2 ;#E;l-I7/;f ,4J; ".J ~ CO NTRAcr 0 R.: ADDRESS: CONTRAcrOR LlCEJ.'\fSE;; O'WNER PHONE;; ~b 6 - 3.77- 7" 7 J E<PIRA.TION OAp. CONTRACTOR PHONE;; , ::NO#~~~~ln!W~j~f;~tj{{a:riiEE!~iXB;E\QufP.MENijl!MMig:;:i}i:::@Wt::EEE1:t~:W!)l()~:::::{fj;:l;:::ilgm;WI;I91tEE()EifE"illb"'FiE&t:l;:&~:iil#t:::tt:;:::F.EJ::. I RA..~G.E , I I WATER CLOSET I J I / ! WOOD/pJ:'T T FT STOVE I I I SA TdTh""'B I I GAS FU1t.~ACE btu I: I I , U.. VATORY , I CONVERSION Bt)1L'iER r , I I I SHOWE...~ I at::l :t." ! I i tiN 1T HE-A TE...'<. bru';: I I ! KIT CRE.:.'i SIN .'< I I BOILER bru s: , I I DISh"""WASP...ER I i GAS PiPING I j I LUJNDRY TRAY I ! , 1 EVAPORA,TION COOLERS . I I I I CLOTHES W.-\SHER i." ar:us: .. I AC UNIT bru ~.: I , I WATER P..EA TER I ',' I P...EAT PUMP bt:tJ." tQ1tS: I I I {JRIN..-I.l. I \ I REHEAT BOX bru ~.: , I ! DRINKING FOUNTAlN I , AIR H~DUNG u"N1T mlS: I , I FLOOR SINK OR DRAIN I I EXP...A.UST F.A.NS i I I SLOP SINK ! I RAl"lGE HOOD (residenci;l) I I ! WATER PIPIING & AL1ERA,TION I I RAl"lGE HOOD (commerc:;l) i '1 I GREASE TRAPlINTERCEPTOR I , I CLOTHES DRYER , I I HOSE BIBBS I I INCINERATOR I I I L\ W""N SPRiNKlER SYSTEM I I DUCT ALTERATION I, I ISW1MMING POOL I I I T Ai"lKS t"/1)~: I I I BLDG. SEWER (mobile / moved house) I I RErtuGERATION "U""NIT I , I ROOF DRAINS I TOTHER; I I I OTHER: I I MECHANICAl. P;ER.\1IT p-.... I 515.00 I I PLUMBING PERZvfIT FEE 05.00 or 4.50) I .!:..':. , .-\PPUcAJ.~T'S SIGNATURE: MECHANICAL F".t.ES: PLUMBING F1=....ES: ~+ DATE: H/~bAh . '/ H:*(i('******JiI;';IIHHB1;*****~i**~*.~i(; ~*****.)i: ***j;;,:* *****'i*')q**.~.~* 1i:*********X:*1H'~ 'Iy IPT Number ~ f16,OOl ()7H f:lTlimmt ~ M(~t: hod: Notat J.em ~ HOYTtH P(~'fm i 1; N() ~ Pl:l rCil/:J 1 No : sttfIJr NIP Thtf:!! Pi$ym~~f'lt Total ~~ I t~l.l, j:)yfi t lc\v : Bet J (1 fief; (\ ~~CGoury\: i ~,on 1 ::1) MV:CHr'iNI iif.\(" flif) pr'mllll IT ,Job f!'lddY ~ ~:l t (~Wl ~ J Ni,:/: I'1VF t CiUlt; ~ AVEHRH1FRION ~ lJI~ O"'Wt(:~Y' : orr" $ub(')(mt)" ~ r:)'fI1NiHNfi F! f:'f::lU11 T ,00 ft'ifH:ltl nt s ~, .,~, } L 'It '~