HomeMy WebLinkAbout1977-04-13 3222 BIRCH AVE - Permits
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City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VAL.UE
$ / IJ 0 '!.!!.-
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PL.AN CHECK FEE
RECEIPT NO.
OWNER'S NAME
CONTRACTOR
ADDRESS'
o RESIDENCE
o BUSINESS
o NEW
PLANNING I ZONING
RECEIPT NO.
~ D6/1
DATE
'1-/3 -77
PERMIT FEE
S-qQ
$ -
PHONE J'7'J,31'3<r"
STATE CONTRACTOR'S LIC. #
o REPAIR
PHONE
o REMODEL
o ADDITION
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
^/~
FIRE ZONE
~~ <2-~~
.
INSPECTIONS REQUIRED: Foundation 0
INSPECTION:
Framing 0
All provlalonll of lawli and ordlnanoes 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 oanoel the provlalons of any other state or looa/law regulating construction or.the performance of construction,
FINAL 0
Plumbing 0
Electrical 0
Wallboard 0
FOR INSPECTORS US!; ONLY:
F1EINSPECTION:
,. " -,.- .., " " ~F NOT
TYPE 01" INSPECTION DATE TIME PPROVED ~PPROVED
"
,-
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
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Building Inap.alar
ISSUANClfOF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE a~~ j () ~ BY
<??~Z'd Ag.nl
BUILDING DEPS~~ ~~
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BU'~D NG .=~V1T
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3504
A
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
PLAN CHECK FEE
RECEIPT NO.
BLDG. DEPT, VALUE
$ J1JIJ"rt> --- $ 60" 13
SITE ;DDRESSI LOCATION .3"..2..:z 2. ~
J..~
CONTRACTOR ~ -"'"_
OWNER'S NAME
ADDRESS
RECEIPT NO,
DATE
$ 9';< ,j"o SS3~J 0-$"- ?/
._00:3- CJ 13,- eJo
PERMIT FEE
PHONE
STATE CONTRACTOR'S L1C, #
ADDRESS
)IQ RESIDENCE
\
o BUSINESS
o OTHER
o NEW
PLANNING I ZONING
FIRE ZONE
PHONE
o REPAIR ~ REMODEL ~ ADDITION
o DEMOLISH
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
(?~~r ~~ 0-<1 /*'~ ..~~
O-A f'l"- 1 ~ --f1 C8c.L
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation ~ Framing ~ Plumbing ~ Electrical~' Wallboard ~ FINAL ~.
.~A.~ ~. ALf A~'. ~
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FOR INSPECTORS USE ONLY:
REINSPECTlON:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
/
Building Inspector
OWNER'S SIGNATURE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED
"
ING
BUILDING DEPT.
_' CITY OF BREM~~ ll'C1J~~;tIARTMENT \~
~.i.~J~;;;. .......J (.PERMIT FEE S.!:?':.~~....)ClAN CH(C~ $.6~~.1+1.....) C :~~~~.~~....) r
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AOORE5S/LOCATIOt4 Of ,lOB.. '~;i'" .,....... t... ..(7.. ../t.. .~...... ...... ..j.......... .0............. .'....... ......
APPL1C~'nON ISSUED fOR: :~::...~..~....~.Qc~~"'~5'$~:;~'':-f.\.~o.,:'' .'.........
PROPERTY TAX A CC'I. NO.................................. _ ;.3. '.' . . . . . . . . . . . . . . . . . . . . .
~LANNlI'C. ZON1~NG............, FIRE.IONE............ OCCUPANCY......:.......~ TYP'E OF COI.STRUCTION...................
!OWNER. ~ .:'f:;......... .. ... .,:................................ " CONTRACTOR... .~4j..t1:,-;-:~... :.............. .......... '
, .' --5.~ :;J.'Z /'f2' . > .~..p <0 ~ 1,'9. ~
A.O.DRESS......:>~...........~.,....', ..~..........\..................... 'ADD"ESS ~</D- -.- Ct . ."... '
" ............... ........~......................
, .
HONE. . . . . .~ . . .. .. . '
..... ................ ........ PH?NE......;........ STATE LIe. I....~.~....~....~.........
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DATE...'?':...........%. REeEIVEOBY. ..... .......
ACCEPTANCE OF APPLICATJ.0N DOES NOT INSURE ISSUANCE OF' BLDG. PERMIT.'
iPLANNJNG COHMENTS/REYJEWED BY.~.. , . .~"Mr$/ .' " .
Pfi/~~';>Z/~~r.~~'
~;t: .4'~~(.J i?'litlt;r' ,p..a'''~!,4' ,
f:NGlNEERI~(;' ~~.~NTt~:JiENdJljW:~' ;~'M~"" 10 k. lb..cl,c,-^,,\eU C>lOv iit/iJv Il\'lv>t\ Dvi"
15, (~ \. . '
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T APP 'D ,
BY
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SEPARATE PERMIT REQUIRED 'OR WORK IN RIGHT,OF-WAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY & STORM SEWER.
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V:U;:O"
BY
FIRE DE~T. COMMENTS/REYIEwED By..........
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;JRf..fFlC DEPT. COMME!'ITS/REVI EIiED By..........
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, "\i'APP' D "It.
BY
PLUMBING REVIEWED BY.. 'H...PI ~~, ~ Mec~, ;11us be ,~$'~~. CDc1eS' or. CI..1., y p/kS "..,. ,~
\r~+Ota-h@"M.e ~ed f5'1 ;ViUv ~ S4Yl.lefl~ Mllf~ IDe o~< ~ U&7"11l, lVft~ cde>__ .4.. '
-r''Iiet! f ~At--e'-t"'€.C((;/\~ Me~, lPerW\;.} ~J \hJ'f>~0t-l~. ~
WATER DEPT.
SEPARATE PERMITS REQUIRED fOR PLUMBING AND MECHANICAL WORK.
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-,./---..
ELECTRICAL REYIEWED By...... .'... , . ' (J
/I. f. .~ ..' Jl_,,-, 7~ "?-7tl<h/--C{
j'P/tiY~ ~.fJ<-- ,
SEPARATE PERMIT REQUIRED fOR ELECTRICAL WORK.
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APT"!) ;
BY
8UILDING REVIEWED BT.......;:~ I
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. Compliance 9CltccT
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,DATE...... ..........
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Indicate below what requirements, permits are required for this project.
PLANNING DEPARTMENT
/Y. )}- .
o SHORELINE
o VARIANCE
o RE ZONE
o SHORT PLAT
[] SPECIAL USE PER~IT
o CHANGE OF SITE PLAN
o ENVIRONMENTAL IMPACT ASSESSi.lENT
[JENVIRONMENTAL IMPACT STATEMENT
BUILDING DEPARTMENT
o BUILDING
DMECHANICAL
DHOUSE MOVING'
0 ELECTRICAL 0 DEMOLITION
0 GRADING. 0 SIGN
0 PLUMBING
ENGIKEERING DEPARTMENT
OSIDEWALK CONSTRUCTION 0 STORH SEWERS 0 DRIVEWAY
o CURB & GUTTER CONST. q S_;;NI':'ARY SEWER CONSTRUCTION
\. _. t ."',
[]STORM.DETENTION REQUIRED
o INSURANCEAGREEr.~ENT FOR RIGHT-OF-WAY ~';oRK
H~ALTH DEPAR~MEN~
o SEPTIC' TANK
o FOOD SERVICE
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INS P E C T ION S
Inspections Required For Stated'Construction
BUILDING DEPARTMENT
o FOUNDATION '
o POST & BEAM
o FRAMING
o ~LECTRICAL
.
.0 PLUMBING
[j MECHANICAL
o INSULATION
o SHEET ROCK OR COVER
o F'INAL
~NGINEERING DEPARTMENT
o FORM .INSPECTIONFOR CURB, GUTTER AND/OR, SIDEWALK
, ,
[] FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
[] C~NNECTION TO CITY STORM' OR SANITARY SEWER NATN'LINES
o PIPE INSTALLA,]~ION PRIOR TO COVERING
FIRE DEPARTMENT
o IJIFE SAFETY o FiRE CODE
fJ FIRE EXTINGUISHING SYSTEM 0 SPR.INKLING SYS'rm1
o REMOVAL & INSTALLATION OF UNDERGROUND TANK T'HAT .WILL CONTAIN
FLAMMABLE I~TERIALS
Allow 24 hour prior notice for all inspections .&:lkergencies will
be ,handled as soon as possible. If required ins~ctions are not
called for and made by the necessary Ci ty DepartMnts, a Stop Work
Order \vill be posted until necessary inspectioniis:, comple'ted. Any
materials hindering the inspection will be removei' so an adequate
inspection can be performed.
All completed structures will have a Certificate'[lf: Occupancy BEFORE
the structure is occupied. ,- If a structure' is oGnlpied without a
Certificate of Occupancy, the City will have the ;tater utili ties
removed and order the structure vacated until conp,Iiti.ance is achieved.
I have read and understand all the above that pe1..tiain to the
Construction at
(address)
SIGNA'l'jJRE
Il~TE
TITLE
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