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BLACK WALNUT LN., 3213
.""~ "'-. ".~ ,,""i,'.:,",,"",' . -::.. ,.,-,~-'~-' '<'", ';-~~' '7'-" :J' /,' r" " " .""r'"1"'j~ - ;':' .'1'1 .'~',..,';:, "~~'>" ", .' -;~~'-~~;~'~"7~'"'"-;~--:'T.'""'-0".'~7G'T,'';'-:"';','.';';c;''-:-;~' -."'2'-,,---,----"""'--:-- ~, ,\( '-.>' IE:U:~EMERTON PERMIT CENT'ER 2864t.h Str,eet.. Bremerton, I4A 98337 Phone: (36()) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT LN Permit No: Status: Applied: Issued: Expires: 01""0206 ISSUED 04/24/2001 04/24/2001 10/21/2001 ~ ~""" ~ I ! t [ [. I I, f I Job Addr: 3213 NE BLACK WALNUT location: Paroel NQ: 0224013-'114,..2002 Applicant: JANKOWSKI CONST. INC 373-7343 109 NEMCWILLIAMS CT BREMERTON~ WA. 98311 Ov.mer:MORRIS. ' JOANNE 3201 BLACK WALNUT LN NE BREMERTON LIlA 98310 Contractor: JANKOllJSKICONST. ING 373-7343 Lie if: JANKOC1l41JN Exp: 01/22/2002 109NE 'MCWILLI(~MS CT BREMERTON. WA. 98311 Desc: IJEMOU:TION Of 800 son RESIDENCE, ** ***)1<)1( ** "')I( '" *;\()/( ** * *' *il(lK >>: *)I()\( **)1( * )(<;lI(i\( *** ** * **)1(:<< l!O!OIOjl:*)j( ll()~** l!(J!(*)l(* *)I()I(:(< *lK*)I( ** *)/:; ** JI(* * *** *)I()I(:<<)j(* * *)l(* >>::1< * ** Valuation * Permit Fees~ 24.00 Total Calculated Fee: 28.50 .00 * Plan Check Fees: Additional fees: .00 )I( Other Fees~ 4.50 Total Permit Fee: 28.50 **.*~***)I<*******~*.*.**.*.*******.****)I(********..******>>:************************************* Thilii\ p~rmit$hal1become nuUand void ifihe 'building or work authodzed by this pe\1nH is not. COlllfl'lenced within l80 daY$ from the date of $Uch'f,)~rmit. ct' ifthi$ buHdi:ng or wOI"k il\uthodzed by such permit is suspended ot" abardoned at iJmy 'timeafley tnllt wor'k is COlJ1foonced for a peYiod of 1.80 da.>'s. N6nCE w, Itiis t.here$ponsibilH.y of the P&l'/rtit holde\", not the City of Bremerton or' Building Official to eee t6it that. y\?qUiXed :I'tIspectiOI1$S are made. lhe p~nl'lit holde-\' mUst notify the Building Official ~.Jhen Yl!Iady tOY in$(:iectioM. Flrd lllt'Ef 'of the peymit: holdl/H' .to' notify the Buildiniil Official of yaqui red inspection$ may Y'e$Ult. int.hest(',lpPl!\Oll!ofthe t<-i(JYk until suchtiroo that the peYlllit holdey can $l.ibstantiate to the buildino official that the corlc&4,lEfd work meets; oyexceeds code '(i!;ql.lirernenta. Any demolition. te!!rtin~h ot" financial burden ehall l:::!'I!i'bQrne dt'r'ectJY by the p~Yfnitholder.FailLlye tO$Ubstantioate code requhemen'tswill indemnif>' the C:l:ty agairiet any and all ni!$ponsibi 1i t;y oYlil!\bil ity connected wi ththe construction. . .. ! he'febyceH:,HY"~t1at I have Yeii:\d anl;f' examined thh !><ltrIllH and know the $aIIle to be tr-ue ;and cO'freet. All provisions of la"":$!and or-dinarices 9ov""nting thi$ type C)'f work will be comPlied with whethey specified her-ein m'r t.Tho/sy;ariti'l^'l@of ~,permit; d04<'$ not. pyesumeto give awt.hoyity to violat.e or cancel the pyovhdm1$ 01' any 0 ler- late or ~al law '9U inlOl co't'w cHon 01" the peyfoymance of constyucHon, oate:_;:i!:::.,~~:::._t?L____. J: certify that mptfn~m the requi yernent$ elf the etate cont'ra.ctot"$ n~9i$tration law, ul"lder :3~ctio\1 3t ChapteY 1.26. laws of 1%7. Signat:'LlYE!': _.....--.'_._M______'_M..._...:..-__._._~~_....;, Date = , ,__,________._ >t<**)\(*)lc:i::~;:tDIOl<)I()IOI()!O;()!(*)I(:j:;)'OiOIOIOk** I / A .) A' . ').# Permit Center--Approved BY'_~ __ o.t,'~-f- r""' i I [ ! ~ I, t a~EMER'TON 'PERMI"- CENTER I"""" 286 4th Streett Bremertons WA 98337 ..,if Phone: (:360) 478-5275 FAX: (360)478-5278 Job AddY"ess: 3213 NE BLACK WALNUT LN Location: ~9ssrAcct' No ~ 0224013-114""'2002 Building Pe..rmit. No: Status: I sf;sued: Expi roes: 01-0206 ISSUED 04/24/2001 10/21/ZQ01 f' '~, l~ ""',' ,-(, I R E QUI RED INS PEe T ION S li' Item: 02700 FINAL--8LOG Dept: SLOG Divisiori: ***************************::1<;***************************************************** TE$TING~ . Must be reco9nizedby the~Jashi ngton Association of But Idi ng Officials SPECINSP: Must be registered with the State of WA SLOG: City of Bremerton Building Department 478-5275 PLANNING: City of 8remerton Plann~ng Department 478-5275 PU8WORKS: City ()f 8remeY"ton Uti 1 ities Department. 478--5318 FIRE: City of Bremer'ton Fire,i'Marshal's Office 478-5380 ENS: City of Bremerto" Engi~eering Department 478-5270 HEALTH: 8r:emerton/Ki teap Heal th Department 478--5235 ST OF WA: State of WA Dept. of Labor & Industries 478-4921 ****************************************************************************** -fl ... .. . Parmi t Hol~r' .r /- /~ Signature'..i.: .,;:?' ~--=----_. Date: ~ ? ':I --v;L-"~ I I ii' , -i~';, '~'_"f.,)li,., ':" ~; :., I!', ,";'\~ "';"f" ' I t f I- ~ t I ""fl" " -~.,,.,,,,:.' -- A;l,',--\~ < 4'('I~~1~~'il'~~4t,~'~i:~!~1',\\\, ,._ ,~.\,p' :~. \ 1'-": "n.-H'" j', "~ ~ .:' If,~~~ff~;~i~u~r:fi~'ti~,':''': , ' ':, <:~( "','i':'" i' '; -'-'-"'~-._~"..,...,....,-,,_..__.,--.--~ ",,-.:;. ;.', Page: 1 f~. " ';':; ( , =;~p, fi: ~~,:::r:: ,~::;::: 'Z:.~ ~ ~~~~ci"~ = ~:::::.: = =;: ~:t;:i',(;:';:= m.r.:r.::=: ~ ~ =:=::;;;:. :z;.:'~ ~-"Z. -::::. :tc:::~;=: ':/t:.'~:'JZ: ='-:, =: = -::i.:= ~:=: Z:::(:;z =: ;:;::-;: ::z-=;r:::::;::= =;:::::.-::t::.=-:z:.=:.::; ~;::: r;::, = " . BREMER TON p,ERMIT CENTER PERMIT CONDITIONS Permit No: 01~0206 , , Job Address: 3213 NE BLACK WALNUT LN ?'1S$'( (-1cct NO=0224013--114-2002 Location: Applied: 04/24/2001 Approved: 04/24/2001 Issued: 94/24/2001 Applicant: JANKO!ASi'(I CONST. INC Owner: MORRIS, JOAr-.INE Contractor: JANKOWSKI CONST. INC 'Description: DEl"IOLITION OF 800 sa FT RESIDENCE Conditions: 1. ONCE DEMOLITION WORK HAS BEGUN, IT MUST BE COMPLETED AND READY 'FOR INSPECTION WITHIN 60 DAYS. 2. ALL PORTIONS OF THE FOUNDATION SHALL BE REMOVED AND f)!SPOSED OF,~TAN {iPPROVED LEGAL DUMP SITe: fiNO THE SITE GRADED TO MATCH EXISTlf\lG CONTOURS" FILL IN EXCESS OF 49 CUBIC YAROS REQUIRES SEPARATE GRADING PERMIT.. 3. CONTACT PUCET SOUND AIR POLLUTION CONTRt1L\AGENC'Y' AT 1,w'800-552~3565 FOR ASBESTOS REMOVAL INFORMATION. ASBESTOS MUST 8E REMOVED 8EFORE DEI'-10LITION COMMENCES" Da,te /.j'-.tZ 9-p'r __,,""_~'~N"'_"'''''.-M''''V'':::;''''/~'''' __< __ __'----1.. ,-,..._."~".l':';~'~:':";_;'~'::'::....... ~,~~ .....'_.......;;___~__~,~.. i_ '<'j.;IJ-";,,""',<;'r\:k\);i 0' ' ~ I". , '" __'.--'0 '~>jf~f?ij~~.{~I~~tj~fl~"f!\\l~ !t~r~~~~~~~/l'~ ********.*,**'*** IPT' *** :**: ***:** *)\':**:;t' *' ;i,** '* ** ** **;t*,!C:j( *** *:**w,*~w*** * !::~ l~fnOU.nt ~ . e.,() Otl,/24/01 ()~~:~ NQt(,~ti('d,,;. ~rANI<O\;J~3Kr Cl< J:nit~ ',h,J _~~W~~~~~'___'__~~~'_~_____~__'_~ _~_.~_~_~_________~W~,__"W~__._'o..~w,_~..__,__~.___, ~ l r, OJ T>"'FH~ ~ DEt10 DEMOLITION PERf"':! T ~~l'''' 114~" 2. 00 ;2: ~~f.i :3~<: 1:3 ~'1.t:. E.lt..,f;~(~K v'J'f~\L,'~41Ji'r~' t~-t),~ Total F(~'li(;!;~~,t "S() Thi('j PaY1Ni~int,.sO . T<:jtal l)LLPmts ~ 28. fj~da nCJ!\!ff ~ ,,().() Oil * *:'~,******;:ICj;~** ****:;'101';.*** ** *,*,*,*:II::*:/{ *** *:** *** l,f,: *:ic.j( ** **** *;It:**,* ** ** *** '* nt' D~~~;$(>rh'tion Ai'll<:runt 16<3;;~;:" (1t.~) Dl:::NQL"rrrON F'ER~Hr FE:ES 24..()() . :1,3 ((};;?;:j.(;:1 ) STp1'fE OF f,Jt:::~ SURCl"lAliGE 4.50 ," ''''I'' .'-~ ..",-, ""-r' ,-,'.., ,..." ""~I"""",'")-",, '1_ ,,,,,0,, ~". ...,..'.,...,..,...'.' ,""-,,, ,'''''" ^',~" ,.,." '~",J> ''','' "",,v ......' ,~," '''',""' ,,,,,. ""~ ".'" ...", ,_........, '""", ,,'," ,..,~ ."....' '0.... .,-"" ',.'W' ""'" "'/,' "",~ ''-'',' "'.... "_' oW" .,~" ,~".-, _"., '."", ."~. ~r.~'''''''''' "'_" _. ,._\0,. "',_ ".... ,.,M '';'M .,,~.' ..,'" '".. l . "'1 I ,,'J . '\j 1 1 I . ~1 .1 J . I I i j I I I I I 1 \~ . . ::F-3 co*-1 APPLICANT: DOWNER ~CONTRACTOR DAUTHORIZED AGENT Site Address:..3C' loS ,(3/eze.t. It.J, In If f ~ n ~ Tax Account Number:022?L.o/ - 3 -II~ -2C7~ Owner: ...../oe?nne- A1;.r~/~5' Address: ~9 z p / L3 /4-~k P7'a./n ",;I- t ~ H e Contractor: Jet!! fBU),5l~/i ~/75f;.Hd,/i~d Address: /1/17 A/E.~ ~/~t2;;n ~ L!r Contractor License#: J ;}-lVk tJ(! / /.if / .J 4/ Expiration Date: ) - Z 2- - 0 c- Check the type of application for below: o SF RESIDENTIAL NEW D COMMERCIAL NEW D DUPLEX D COMMERCIAL REMODEL D MANUFACTURED HOME D COMMERCIAL ADDITION D RESIDENTIAL REMODEL D COMMERICAL REPAIR D RESIDENTIAL ADDITION D MULTI-FAMILY D RESIDENTIAL REPAIR D TENANT IMPROVEMENT (~~, 4P~,(! # I!f ~ o GARAGE /Jtq( 8/1<4< 1 <DOl ~ D ACCESSORY BL'f1ito(~~rO/ll I!f D SIGN ' Rr4f(Nr' )lfDEMO D GRADING (Cubic yards: ) D OTHER: Contact Person: a~n ~ Contact Phone#: '/3- '):3 Y Scope of Work Proposed: a 1'1 d _ t'e-rtl-d<.- ~r/?/V'/J . r~",~<=- ~..r/.:>hr,? 'A J ~'/ ~/" ~/y t?/d hp~Lse;jdct/h// . / / /YJ k' h A /;; 4t7 /' -? /'?/"l r- /' Square Footage: Dwelling: 8'~ Garage: Decks: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES NO A Energy: $50.00 State: $ 4.50 d00b ~ 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 applicant 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. DATE: ~_/L./-t7/ APPLICANT'S SIGNATURE: , . VICINITY MAP 1J ;\ .D 0) ~(Q;[gU\Vl~r\ J1l APR 24 2001 J .. ~~tu''''1_ BREMERTON BUILDING DEPARTMENT 'UuLtJ~~ ~) ~.eI 10-- --1 , f Y ':J2-/3 -- ~- ,- I ~'-, r -"- - - ~.J I J '3 Z.l) I h3/~ 1 .~ 17'P~ /p~~. Apr 25 01 08_: 13~_~Cit::l,~.!:..~~~to~ 3604785398 p. 1 . . BREMBRTON MUNICIPAL UTILITIES 3027 Olympue Drive Breroerton, Washintton 98310-4799 478-5318 enliMr..ftTON Cfl'VTREASURIl' 0611') M~R ~ \)2y~ I 4894 Work Order No. .\lWLln.-!UmV1;OB AQB~ANK YOU w Reoeipt No. o!> :;00</7&'-'5- l;relller-ton, WA. _~~~. .1~o! . .~ Tap No. " The undersigned ..p rope x:ty' owner hereby applies for Ser'lioe Address: ~/:) e>t':.AC~ W',"'H:.J-,11J7" ~\e:. Legal Desoription: _, Plat Utility'servioe at: Block Lot Kitsll.p Count,. SERVICE REQUIRBMgNT: [] Water [~astewater [] Stormwater SERVICEARBA: [] Marine Drive Water (] Sewer District U I) ~y [] North Perry Water {} Tracy ton Water [~County [] Port of Bremerton [J SERVICE CHARGES: Connecticn/lnepeo~iq~: Water: Domestio...............Siii:e , Fire............ 'hj,'d .Size-- . Wa.atewater ....,; ..,,~~r+. . .~. .. ~ ~ . ,777:-: $ Storm Water......,............".. "'... oS 1l.\J!U . ..- , ----------- tio:;... -- _-=f;t.-*1 Front_,Footage Fee: Water .............,................ it .. .. .. . .. .. . ~ .. .. .. . .. .. .. . . Wa.atewater ...... 0 . .. . . . . . . 0 0 . . . . . . . 0 . 0 . .. Storm Water ..... t ~ ... . .. ~ .. .. .. .. .. . .. .. . ~ '. .. .. .. .. . .. .. .. .. General~oility Fee: Water ..0....# of units Wa.tewater .. # of '.lni ts Storm Water of of units (j $--- . (it $ . (j $-- . System Dev~lQRment Water Wastewater Starlll We-tel:' Charge!!: . ..--- . Temporary Serviae . Road Permit (] City [f-County-7.$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee .........0....... 0 . 0 , . 0 " o. . . . 0 .. Deposit . Other . TOTAL. . . 0 . 0 0 . . . . . . . . . . . . (a::;/~ ----------------,-----------~--------------------------------------------*-- 1. Utili'ty charges are the reeponaibility to t.he owner regardless of whether the pl"operty is oooupied by the Ol-ll1er o.r tenant 0 Unpaid charge shall become 8. lien on the property $ervioed. By this agreement, the undersigned owner acknowledges that the owner' assumes the riek Rnd the City disclaimerespol'lsibility ,for all elailltS for damage or injury to person or proper.ty resul til1g from the following: a. Installation., msintenanceand opet'ation of all plumbing, or appl ianeee connected to the water lIIeter or wl>ste',,"ater (Building permit inspections are 'limited, in scope and d.o ~uarantee plumbing design or ,workmanship.) Changes in pt"essure, flower teD'.porary shut-off' ef services d\\e to system maintenance, emergency or non-payment 01' ohari/es. fix'ture8 main. 'not 2. b. ..i Name <.),4,:.\~Si'i <:Pfo..i:>7! lAIC; ~hone Number (" Billing Addreu 10)1 AIL- M ,:wll (...1/Jr.,AS c 7'"' , Oi ty 8.!?e:,,,,,, tf:e 1'''''''' ' . ,State u,-'" Owner's Signature~L..:.~ '.' ..,::;_ Date, Alfent's SignattAre ~~~/~.-..'~'~~ .Date '.","' ','-"".;' /'. /.,.,. ,. '". . "", ACC.,eJ1~ on bl(half of ~Eliplerton Municipal,Uti:lit.i~8: ':::~, ' By: _~.::_L~&iW<-, .....~tJ...6u~.",' , Date .,3-.z~ ,$ "'rl- ':&. "// _ ZIP '783 (l , 19 " 19, :" . 49'~ It.4svu:7V J I: up~? .1, ..: 4-2S-01 I t:>~~. Original &0 Yellow Copies: Utilities Aocount1ni Pink Copy: Utilitiesilngineerini Goldenrod Copy:: C~s.toli'ler Job Addr: Location: Parcel No: BREMER TON PERMIT CENTE~ 286 4t,h Street:" Bremerton" WA 98337 Phone: (360) 478-5275 FAX: (360) 478--5278 BUILDING PERMIT 3213 NE BLACK WALNUT IN Pemit No = status: Applied: Issued: Expires~ 01-0143 ISSUED 03/26/2001 04/24/2001 10/21/2001 0224013-114-2002 I Applicant: JANKOWSKI CONST. INC 373-7343 109 NE MCWILLIAMS CT BREMERTON. WA. 98311 Owner: MORRIS, JOANNE 3201 BLACK WALNUT LN NE BREMERTON WA 98310 Contractor: JANKOWSKI CONST. TNC 373-7343 Lic #: JANKOCI141JN Exp: 01/22/2002 109 NE MCWILLIAMS C1 BREMERTON. WA. 98311 I I, Subcontr= Oesc= NEW SINGLE FAMILY RESIDENCE WiATTACHED GAR & OECK ********.*.*********************.********************************************************.*** Valua,Uon ;1<: Permit Fees: 1,216.'90 Total Calculated Fee: 1,920.'98 100,368.24 * Plan Check Fees: 649.58 Additional Fees: .00 * Other fees: 54.50 Total Permit Fee: 1.920.98 ***x******~*********.************************************************************************ Fn~ct1t-'\NICAtjPUJl".I'.Hl\JG FIXTURES'"'' ME:CH-f\<ange"....""."".""""""",,: 1 MECH'''W<:>cd/Plt~lli;,>t Stove".."".. ~ 1 rECH~-Hea't; PUfOP 0'"" 3 hp......"...." = 1 MECH'-Exhaltst. Fan$..>>.,..,....,"'..~,....:: 3 ~1ECH-R(J.n9e- Hot1d (y(3-$).. ~ .. fl ~ .. :< .. :: 1 HECH-Clothe$ On,l(!<Y""....,...".: 1 PtBGw~~ater' Clo:E'e.L."".....""..::3 PLBErBat.htub"...".."".."."..".." = 1 PLPJ.:r,"L:ava'l;oYy.""..... ""."........., ~ 2 PLBG-Shower""...."..".."""".."...: PLBG-Kit.chen ::link.".."" ".''''''''''" 1 PtB(H)i$hwa$hel~" . . " " . .. " " . - " , . = 1. PLB1.3'''Laundn' Tray""""""."."",,:;? Pl.BG'"'ClottJt;l$ ~Ja'0fwr".""""".".. = 1 PLBCH.Ja'tl1\"( !-1>eater',..".".." "" ". = 1, Pl,BG-PlCt,,,e Bibb$"""""""""..""" ~ 2 All 11 11 II ~ I tl '11 II IJ 1 r 1l I i ,,,,,\,~i~:"" r r l I I I j ***************.***************************************************************************** '1'111$ per'mlt: sh:dl become null and void :i:I' the buildin<i.l ,:)'( work authoYiz:.id by this peYmit is not commenced within IS0 d<a>'$ rn.:Jm the dat.e of $lJ,ch pennit. oy if: this b;Jilding or "It;yk au'i:horized by such permit i$i sus'Pended 01" iRbarl(joned at any' tifl'liil 'flfter' the .JOYK is COO1I1't<:h1f'.::ed fc)'( .". plwiod of 180 day",. Nonce ,- It i'$ th~ YNi>pOrY>:3ibility' .01' the penoit holden', n.:;.t the City of Brlt'merton oy BuildirlS1 Official to see 1-:0 it that reCjlJ:ini~d inspe(~tlon$ a:nl! made" The permit holc!-ey must notify-the Buildins) Offici",1 .,Jr.<mready fur :i:risp&ction,,~. Failu~'e of .the peymit. holder' to noti fl' the Building O1'1'ic1$,1 of n~qui n1~d inspections may '(fj,'$ult in the stoppa$I'l1' of the work until 9uch time that the p.emlit holdey can substantiate to the building official that the conce.d.!d W<:)1k meets or exceec.\$ code yequiremerr!:.s. lmy d~~rnoliticm, te$t.jn~~, Or financial buYden $11,.11 be' b()Y'iliil' di\'ecUy by the p.mni'l: hoh::kw. Fai.lure tC:J subst.antiate cod'J n1lqui'(l~ment$ will ind$1l\ni'fy the City ~<l\S]ldn$t any "me! (!I,ll n1i'sponsibHity (:lr li.,bili.ty connt'!cted ',J:ith the CC)fIs1::ruction. .Ii><<" I cert.H:)' 1 f1\1ll 'JlX ~ct.iQn 3. ths.Pte'r 1;;:6, thE' yequi Y\5:l1lWrrl:$ of the srl:.<;lh< cxmtnactcl'('S r~gi$tY'aticm law, l,mdiil\~ 1%7" Sif,ilY'l?,t'J ye: _"W,^_,'^_",,,~,".~_,_,,,',,_~__w,','_'_~..,.../.-,...w,_,__..._.~_"'"'."_"._"_'__'.' ~u*~~n~::i(nu:n:u:<<n*Ullf.lf.n I J. I '\ Perml t ~,(~nt er,--Approved By = ,1jUL".,L"".__..,._",,,_ Oat e: .\,' -'" Date ~._,^,_._.__"w'_'''__'_,_____.w_ww..,..w,._,._,~_".,. ...,- _.^'-4".':~'''1f;L4: ,~- (), '.... ' ~.\il> BREMERTON PERMIT CEN'T"ER 286 4th Street", Bremer-ton", 14A ...9$33;( Phone: {360 )478-.5275 FAX: (360 je 478::"52.78 I" BU~lding Permit No: i status: << Issued: Expires: 1." '''> j :;l ,.Job Address : 3213 NE ,BLACK l,.,1{-'1LNUT LN Loco.tion: As::rr Acct No: 022401:::l'-114~2002 r" 01-0143 ISSUED " ,r, ',. ,I., 04/;24/200':1,' 1 10/21/2001 . R EQU IRE: D INS P E C T ION S Item t, '01100 FOUNDATION,"FOOTINGS It>em: 01200 FOLJNDA.TIOI'''~lAIALLS Item: 01400 MECHANICAL Item: 01500 PLUMBING GFWUNDI,.JORK Item: 01600 PLUMBING ROUGH-IN Item: 01700 FRAMING .rtem: 01800 INSULATION Item: 01900 SHEETROCK NAILING Item: 02300 SEWER LATERAL Item: 02700 FINAL~-BLDG Division: Division: Division: Division: D i vi s ion: Division: Division: Division: Division: Division: Dept: Dept: Dept: Dept.:: Dept: Dept: Dept: Dept: Dept: Dept: BLDG BLDG BLDG BLDG BLDG BLDG BLDG BLDG PUB\,.jORI<S BLDG *'* * '* * >K** * '*'*** * ** *'** ** '* *** ** '* * * ** * ** * * '* * **** '* '* '* ** '* * * * * * ** * * * *'* *** '*:>1< '* * '* * ** '** * * **~:** ',- TESTING: Must be recognized by the Washington Association of Building Officials SPECINSP: Must be registered with the State of WA 6T OF WA: state of WAOept.of Labor and Industries 478-4921 HEALTH: Bremerton/l<itsap Health District 478-5235 I I I r--~----__,___n,- .n.......- '. ( '".' .,'~' ~ ..... ,"'("'- I "\i \; r. ~I" n.' '\1' ':;-.' \!'~':\t'~'(~~ ".'(1 ';1~~ ~ j ====,~~=~,~====~==~~~=~~=,=======-========~~'===~=========,~====~==~==========:==== ~' , ~l' Page: 1 Permit No:~01-0143 BREMERTON PERMIT CENTER PERMIT CONDITIONS 1" "'.' ,. , ,l' "';,' =,~=,=~=~=~==============================~=======~==~============~=,=='===========, Job A~dTess: 3213 NE BLACK WALNUT LN ASST Acct No: 0224013-114-2002 Location: Applied: 03/26/2001. Approved: 04/24/2061 Issued: 04/24/2001 '<~~"i' I ' -, .- "" ::1 ,I Applicant: Q,wnej: Conti ab..~~r : Oeser iption': NEW SINGLE JANKOWSKI CONST. INC MOr~RrS, JOANNE JANKOWSKI CONST. TNC I. FAMIL Y RESIDENCE W/t1TT{~CHED GAR & DECK ON PLANS. , '1 '!~ SHALL 8E PAID //-.2 t.f -t?/ Da t e _2__.._.__.._,__._.._.,_,__ - ..,,:..:...;.',;..., ' ....:.:'.. :"'-,'..:...0_,-..-" . , -*********************** .,.,;;, I ~ f I I I I I I I ! t l ! ! I" I t ! I J , I 1 , <1 \1 'I e.1 :,:::',; 1 . 1 . . 9~!t 1 . 1.40 f'MnCl'U nt r . E~UJ:l~DING PEr~:MIT LO! MECHANICf~L PL, UI"IIPJ 1. NC, $'1' OF '1'''',- ,o:~.,,, ~"'~ "\w ",.. ,~- ~"" ,..,,,. '''''.' ~'.'''' ",.,.. "\~ ..._ '1"'" "",,' .,),,, ,';" ~ .....1_ -""" l i 1 I I I I j I ~ . 1 xi I " :fi , , 'I l ','1- ;') ! . " . .,,:',:. ' ":,;;'Xti'i":<"~~';" ' "1 :1. - '~,~,; 1'-~'" ;" -:: ~~i"_:~~:,~::::i:;i~~:~:~~~;t::,'~~ib~\~~,,><,:;,:1\:~~'::~~:l~'il'~' \" j , ! :,:;':,'(,;,:, '::~",:~J~:)';~~': ,-, ~. "" ."~",, " ':i",,;~~:';::~~i;~'1~::-;'~":'~~~' , :.. ;~~~~~~~\i;;~, '" k';:L;.,,,<"..'-i'.J.'i~';"".', ").~, "~'-,---,'~~" ','..".:~.."~;,:i" ,,',"-- ~, .- ~-"~' "{"',""","," ~---'~ ^" CITY OF BREMER TON · 239 4th Street · Bremerton, WA 98337 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Apr 18, 2001 JANKOWSKI CONST. INC 109 NE MCWILLIAMS CT BREMERTON, WA. 98311 SUBJECT: Application No: 01-0143 Site Address: 3213 NE BLACK WALNUT LN Your building permit for the above site address is ready to issuea The balance due is $ 1,271.40. Permit Center office hours are from 8:00 a.m. to 5:00 p.m., Monday through Friday. Please contact me at (360) 478-5275 if you have any questions. Sincerely, IWaJuY- ' Uuilding and Development Specialist f-, (~ -'J -- r 40 J;.M ~., I /- {- 3 . Celebrating 50 Years of Freedom · Job Addr: 3213 NE BLACK WALNUT Location: Parcel No: 0224013-114-2002 BREMERTON PERMIT CENTER 286 4th street" Bremerton" f4A 98337 Pho ne: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT LN Permit No: Status: Applied: Issued: Expires: 01-0143 PENDING 03/26/2001 Applicant: JANKOWSKI CONST. INC 313-7343 109 NE MCWILLIAMS CT 8REMERTON, WA. 98311 Owner: MORRIS, JOANNE 3201 8LACK WALNUT LN NE 8REMERTON WA 98310 Contractor: JANKOWSKI CONST. INC 373-7343 lie #: JANKOCI141JN Exp: 01/22/2002 109 NE MCWILLIAMS CT 8REMERTON, WA. 98311 Subcontr: Desc: NEW SINGLE FAMILY RESIDENCE W/ATTACHED GAR & DECK ~~%***%*********%****%**%*********%*********************************************************** Valuation * Permit Fees: 1,216.90 Total Calculated Fee: 1,920.98 100,368.24 * Plan Check Fees: 649.58 Additional Fees: .00 * Other Fees: 54.50 Total Permit Fee: 1,920.98 ***~*****%*********************************************************************************** MECHANICAL/PLUMBING FIXTURESmm r1ECH-Range.""....""."."."..".,: 1 MECH-Wood/Pellet Stove."."...: 1 MECH-Hea,t Pump 0- 3 hp"..."..; 1 MECH'"Exhaust Fans......."....: 3 i"1ECH-Range Hood (yes)."......: 1 riECH--Clothes Oyyey...........: 1 PLBG-Watey Closet............: 3 PLBG-Bathtub.................: 1 PLBG-Lavatoyy" . . . " " " . . " . . " . " . : 2 PLBG--Sho\-,Ier'. . . " " . . . . . . . " , " " . . : 1 PLBG-Ki tchen Sink."..........: 1 PU3G-OishvJashey" " " , " . " " " " " " " " ~ 1 PLBG--Laundn' Tya}'."."""""",.,,: 2 PLBG-Clothes ~JasheY"""""""",,,,: 1 ~-Wat.c HeaWym.m.....' 1 PLBG_ .i_........m...' ? ~....t~m~.;.~;;.Q.L.. ,".r3......k:~ This pennit shall become null and \;'oid if the building wo'rk authoYized b}' this peymit 180 days from the date of such peymit, 01" if this building oyk authoyized by such peymit abandoned at any time aftey the woyk is commenced foy a peyiod of NOTICE - It is ther'esponsibility of the permit holdey, not the City of B\'emeyton 01" Building Official to se\\;' to it th",t yeqUil'ed inspections an; made.. The penllit holdey must notify the Building Official l-Jhen yead)i for' inspections. Failuye of the peymit holdey to notify the Building Official of yequiyed inspections may yesult ii1 the stoppage of the l,Joyk until such time that the pennit holdey can substantiate to the building official that. the conctealed \-!oyk meets 01" exceeds code yequirements. Any demolition, testing, 01'" fins,ncial buyden shall b\\;' bOT'ne diyectly by the permit holdel'" Failu're to substantiate code yequiyements will indemnify the City agai ns'c any and all 'yesponsibi li t)1 01" 1 iabi li ty connected wi t.h the const nJc'cion" I heyeby ceytify that I have yead and examined this peymit and know the same to be tyue and coyyect.. All pyovisions of laws and.oydinances goveyning this type of WOy'k will be complied with whether specified heyein or noL The gyanti ng of a peymi t does) not p yesume to give autho'rity to violat.e 01" cancel the p yovisions of an}' othel' state 01" local law 'regulating constyuction 01" the PfYI"foymance of construction.. Signatuye: __"~__,_,_____..__"'____^_,___.___'_'_,____. Oate:w,____________._.___ I ceytify that I am exempt fyom the r'equirements of the state contnJ.ctor's yegistyatioll law, under Section 3, Chaptey 126,; laws of 1967. SignatUYe;_.,~. '_~. ______'..._~.--' ,_, __"'_' .___,_ oa~t;. ._m."_'__~"__ ~,~,"'W,"WWWWWW',"WW~"",'""',~'WW~"!'WWWW 0 l .'(1 ,'1'>/1:\ n~ ~ If', If'.,.yo,....... .......I'('.,<f, .....0'1\....... If', ft', ", ff', 1ft. Ii"''''''' '1\ /j"'1T'<,Il'..'l' / '0 PermIt Center--Appro'v'ed 8y: N.., __. Date: ~ '__ \J (~3 ~O~ 1 i~ sr-: 3 APPLICANT: DOWNER DCONTRACTOR DAUTHORIZED AGENT Site Address: a Tax Account Number: 0 22tj..t:J/ -3 -II -2>610<: Address: azp/ 13/~1 a/4/U L.e-n-<..- Owner: vo.eH/I<'- /l/!prrl-s Contractor: .7id b If.,PtS},' t:46h-H"'.;(; d .Tn If. Address: /t?? A/E ~,M'lt~S' C1-r- Contractor License#: nlJlktNtlli/1 ~ # Expiration Date: J-J-z--PL / Contact Person: 611ft' litnh W.:Jik./ Contact Phone#: 373-73 f3 rHA~ ~6D~1~ J D GARAGE BREMERTON BUILDING DEPARTMENT D ACCESSORY BLDG D SIGN D DEMO D GRADING (Cubic yards: D OTHER: ) Check the type of application for below: m{SF RESIDENTIAL NEW 0 COMMERCIAL NEW o DUPLEX D COMMERCIAL REMODEL D MANUFACTURED HOME D COMMERCIAL ADDITION o RESIDENTIAL REMODEL 0 COMMERICAL REPAIR o RESIDENTIAL ADDITION 0 MULTI-FAMILY o RESIDENTIAL REPAIR 0 TENANT IMPROVEMENT Scope of Work Proposed: .&Iklll tV n de -T" .:f' eL;1 4C r ez;"..k 17 fief<..? A/1H1~ ~r-<L.b 14C~e .be I'H " ;;. 1';:, /J ~:"",;f pic! ,,,~ ./ ~/"n q v r <t!'-fl1 pvJ Square Footage: Dwelling: / 'J t? g Garage: -t,I p V Decks: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES /y;Z- NO )( 1f10~30r!,-01ct:5{r} . :;:~ ~5~.~g /C;~l A li ~ r h,""h' . " '.1 'th" 180 d r 11 ' th d f li . Vnh ll~ 'rIbb ~lim/f4dff}fd PI rh pp catIons lor w lC no permlt lS lssueu Wl ill ays 10 owmg e ate 0 app catIon s a expue y ltaiiob, an pans 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 applicant shall be extended more than once. In order to renew action on an applicationi1fteJ;~~piratio'n, the applicant shall resubmit plans and pay a new plan review fee. APPLICANT'SSIGNATU~ DATE: g -I t.f -t.1 / (.4 '~."~~ ~ ''': ~ "" ~ ~ ~-n;.T-~'~-;; '.~ _,~",?"~,r:;":""""",, ~""'7"7 ~ ,,,.. , ~~, ".....,..,..............~j~~.-v-I"..-::-""'"7.>--:-:t;r,n=~;;;---.,.,,'''''i'"..,.<.'''- --. --,~~--'-~,<-~;;""i'.",;'" 'r~";'-'''?'''''""'''''' I ~.' ~ . I, I; f1ddl~ ~ LooatiQll ~ ,Par:(,llIJ1NfH 022..4013'.1~4''''2QO,2''.,. .~eM~A~ON PEAMXTCENTEA , . 286 4t.hStr6'et "Br-emer.tcn '" i4A 98337 , 'pfwi,>>.: (36,0) 47S-5275 FhX: (,'360) 478--5278 . .' , . ". ," SUIlOIN6PERMI1' 321;3 Nt ~.L~CK ~~U~It}rlfJ ,; Perm,it No: statws~ APplied: ISt$ued~ Expi.n$ = 01 '-0143 PENU!NG' 03/26/2001 ~ i 1 1 ,~ JANi(OWSKI CONS! .IN'C~l7:3-.7343 lO~ , NE t1Cl>>!tLI~I1S C1BREMEc$rr'ON.WA. ,9n:Ul (1)W'n~n :at);RR~S",~' JOANN€ et.:A'CK l4\ALNlH' LN Nt:f3RE:MEtffQ:til.WA 98:$10 . 'JANi<:fJIJ1lSM;l CON$T,. INC j;()l9~~E M:Cl.lf!tLIAM$ ~173~/'343 BR€MER'I' ON , W<A.,a,311 l.l~ ~:i, JANKO'CH4L1N f.xP~ 01.12'2/200;2 ""$:ubeo,n,t'r'~ .',- , De$t: ' 1U\\t',. 5!NOL,Ef,{~I1:t.l.V'~E$IDENC€ iAlffrTAGHfO GAf{ OECK , . ~ilI:ll! li~*li(***~llt**l<<l<<* ilt**)j(*~'*lItltt*lItllt~lIt lit *nill;lIt**~lllf()l!;)lI;*lI! :<<***l!:%lIllt1:<<lltllt :t:'~lI\**)!(lI!: Ulllllt:lliU * )j\lk**lIt*:!i'~JUtlf(* * *lUtlkl!:ll!.lf(1Il I.J:all:l.at.iotl 'il/( j)./fltliflt fee$: 1..2.16.'0' Total Calculatedf'ee': "ilQQ.3Gfl.i.:<i ;'Phtt Ch~ckFl2l1l'$~" ~4~.S8 Additii:ui41 Fees~ . , . '.l.II' Otherfeee: ,54.50 Total Pe'r~lt; ree: *llt**1lt*i!i*lflllJt(:**lt*lItif1*l!f**lf(~tn* *:<<j(!f/:lIt$lf(llt.lI\****:~)jelll,ltlll* 1Il1ll** *lll*,)IOIt**~;tIl**llt*;tl u*ui)\(**lIl~}x* 1'Er.;l~1~ll",,~.UHl:l~ Pl~$:- Me: ' IF'* " ~O,rt.,~~t, illl._ 0" a~. n... ,;.'\l 1 'trlt!iCH:'c.l~h$$lJOt';i'\I!f~... ~ . " . . .~ '.~ 1. . . :p~;St;I,~t.~tt~'r)r:..:.,\\,.){ .;: :jJ' -.,~ "" ~" _:./ot,,, II ~i, ~"~ ;'. :; , .~L.~~i$~~r.. . ,',.,< ~Sf!l~1;1li!lf~,~t" .'~..'.~ .."," .. n . .. .' ,t- \Lt/ :'B-~, If(**llIllll**lIt*lt:*;JI{*,lIl.~*1Jl;*)l!l!(~**l!(llt if.'.itll!t lit 11'11$ 1l>~;rM1:t~~:U ~ mn~}'1I:1VG1;idj,f' . t.l' ''t~ ~f'~.tM'''.'h~Qf,$UChp~,(lilil:;.Ql' if. .....fldt:mdottt .~nt UtM; llIf'l;~:Y ..i'.hfJI ~l'k " , ( '" 1M' .6'r~r~r,~ildiris"Of'nCi~1 '1::0 ."~ Y il'IU$t1"lOHfy Uw au:ndi.l'l~i ill,~\"\'r~:i)~ for t1'1((! filUi.ldifllil1 Off'il..-:::\;ll\l of Y1!.><:jUi'r'Idldl:j,t)j'l/'ll mtl>Y t"elllUlt. tll,hotperll:l1t OO:t~YCi1l,l'1 ~t$;n,\:it.l\tllt 1:tlitn. buildi\"Qof'l'idl'l\'l. . ., ' l'~"ll;J;i y'ltfi\f.ii\'lt,$I..M;Y ~lI\l.:)llI:iO'li.tl>>$ti n;a.QY' fi \'taT\(;::l,1lI1 oot'clIm~I1a\U t~ ji\"rmit .Wia;i1\;1,rl\} to~t;ll\l#,iotttl';: OQ.~ Y~,<I..rir~m~rl'!;'$ _till i\~lt'lif>,,~,tw,;;e:;it)# l"@lllliio\1$'lbiHty o\"HlItbHit,y ~rll1l!ii::;t~ .with the'Cl:ll1i'iitb'Ljt;t:ion~ I .M~~l<' t;hllltI ~~~''I'~~m ~x~.i\'If>i!'*"*(t>li,~fP"l"MH; llIr'ldk\'!JCM th~ ~to ~tn,l!o alll'J 6o,n'lW;t. A~.l ~j<QVi$!li(.~ 'i:1rl!loogrd1tlarll;)~ ~~rn;biltl '(:,h1$ t,.YPllfof ..~Vk '~JiU ':;~ .~ii~ with, wl~thfW .~fi~ h'1f.Yft:l.c11 d\'l"l(;l\." T~ ~'$ll1t,1~ ..~ .p</ll~mHQci"$ :rp:iJ.f, jH'~ tA:19:l:~ al.!J't:'\1i:)l"ity to \lit)llil~ 0'1' caf~Jt~mpl"O<iil\'Jie;.Y$ ..()!f' . ~rl>,i:)t~ . ~~~1 l~w . ., ~'I'I$tYuct:lO\H/Y tJ'\e pt!'yf('Jrllll$;!l!.:l$'tif' C(ll'1'lri::i"U(""Uo~" . '. the Iilitllttfllc(:IfTl:;r.iiI!;tt'Cfiy'lii>rfl:gll1iltril\tiOtl 1~~ l,:t~r l$l~'li:ti:r~I1':";,:: ;;..,.~_"...:.-".~ . Jl(ll!l.;<<.ilt$;#:**Jt;.jjt*,*,*j{('lI:!lI.ltl'~*,II*il!'~,*,lI1 jw~rmH, tel:Jter1t,";..M>lpr~Vf1!d "("~'~. ,,' " .;...,....,~-....-..-'.'.. '. ~.,"".i'............ ..~..... #...'..-.......-. ......~~~--.'::"...,...:--~------ . 'Date:, ., '.. 't ~ .. . . ^ ...."'-""., - ~~......,~, , .. ' ~;';J "of _.i,~",-'L c,.-> !_,';';."-'-J_~:r:._>,";.J.:Ii!,.~,.:..~;~,.:~~ ( t I..."..'. ;t: t I I [ ~. MERTON Pe::~MXT CENT~ljt;~~: ~O D2~O:1~ 1 4tb~St.re~t,,, Br~~rt.Of1".f4A 983;37".'.'. L'L .. u. ," ::J t 47$-Si;;t:n, l:::flJO. .( ;360 J 4;"8"'5278\ BREMERTON BUILDiNG PERMIT.... BUflDINGDEPARTMENi IJlAtNlyr LN Per"mil: N{) ~ 01-014:3 us ~ PENIJl:NG {4Ppl1l!l;d~ h~SI.H:Jd ; ,~ r'les: WflLNiJT J,N Hr~Et1t'R ION ~~A ! Ii II , , i C,:tnt ,:r JAN1(lJCH4 LJN E:xp" ()1/t.:2120fJ~? ,. "', 'f '~,' t r L I I I I ! i~Et~ Rf$H\E:NCE: W/~\nf~(:'HcO (l.A'j;~ a, *' *lfjlt:ti**~~llt *Ut*>>:>I; ~ m::K< l!I: ** l<<* ~ 1i!\ :r.';iJ: *::<<): :l!;;~;I( JlI, *~*'* lIll<<)l( ~ if,;t( '*:tllt 1lI'it)!; lIt)l( )!i(~;llt*~;j( lK.ljt; *' lK ** * ~ll*:~)till! lit>>: * Jl!:*:I(:'i( Jl(ll';;( l!\:.)fI, *':<<'1\ lIl'ili)lf ilim.>>; * ,,#110 Tot C;!lculat~d )t 1,.98 * Plan Additional Fees: .00 '.~ Ot 54.50 lot Pendt 1~ 920, \~f;l * ill':1( *)\', ;\I,;!;* * :W;;/,!;' )11111 jjt 1K1l! *"m;:~ ill, :~iI\'* lit 111:;<< lit Ilill':)j( jj(*iIi;ltl\ It\ lj;)l!; * >>till... it ,":>j()tilt l'+( *:4( lfl'll\:fIOlt :<<!It,ifi; s<< lit >>:* lIt)/!,')II:)(/ 11(:<< * lItil!***~)!: :4:** )lOll *'lK~*:t; l<<'lKiiOl!* ll\ ll\;<<:.it j.,If~Ci~!Cf..L,l'PtU'iliJlIN1,~ Ft)rfl~;~~'-~ f'iEa+'R'.ll'f~>ll!". " '. , ".... . , . . " " . . " " ~ 1 ~1f';:CI+';~"ldIPt\>H~t $'l;.Ov~. ~.. ".. . ,j 1- i~~::t+-I'W""t. '>\lmP {}", ,~ l'll'~.. U,", ",. ~~, t'ECI1"(xh$;11i1t11, Faw~.."" H.,,,... 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Un<::WY ~l" (.:.r~~r 121l>,! l~J$\'f t,9t>] " EC E I VED~,; MAR3 0,2001 CITY OF BREf,^ERTON ENGINEERS nil! e~' CITY OF BREMERTON ENGINEERING DIVISION PERMIT APPLICATION DCD#: 01-0143 DATE: 3/30101 COMPLETE BY: 04/13/01 LOCATION OF JOB: ,~3213 NE Black Walnut Lane PROPOSED ACTION: New Single Family Residence w/attached Garage and Deck APPLICANT/OWNER: Jankowski Const Inc 1 Joanne Morris FOR THE PURPOSE OF: PERMIT 1. Utilities/Easements (Lynn) . ~ t f-)S PBX!..- 77 Dfo..J tGEQu I ~ I<E Hook- if- R:>~ AN Y NgrV InitialslDate:;:::jj if / Z/t!:>1 2. Traffic ?/ZIV,t'l17t!:r /ZOAD Nb '};>J;!,I!/G"VVAY ?Ei<.tY(I-r' Req i[) InitialslDate: 3. Floodplain, Area .._ A/tfl r In 'I1v~ f2ICfJo/ fal ~ I '~/I I J1.. ~e_ I ~ ~5 ~K, DeYWJ/:SJ.-:?;, €lG<Jh1l.it!!1:t':'/jjt(j -1-12M} ~ \rt_dcd.doc c~~ ~O~VI~~~EER LAST (PAUL) I /. , r~:!!; !e~ desC/rtf:rl7~ sA&w.~ ~. ;2eJ1 /j/LfYe&$ Efr~ L?M~' t11~~ /;fte Ea>f'.~tde; ?/~ sl&Pw~ EM~-..T U14f1 a;I- 1A-'f2/Y- :5Pv..:th.-/~~-e" 1..: "".1 .-..-------~~....,.->,.,.---"~~-~--"".~', -._" ~<'-- -', Job Addr= 3213 Location: Pi:lrcel No: 0224013-114-2002 .. BREMERTONPERMIT CENTER "',. 286 4th Street" Bremerton, WA 98337 Phone;; (360) 478-5275 . FAX: (3'60) 478--5278 BUILDING PERMIT NE BLACK WALNUT LN Permit No: status: Applied: Issued: Expires: 01-.0143 PENDING 03/26/2001 Applicant: JANKOWSKI CONST. INC 373-7343 109 NE MCWILLIAMS CT BREMERTON. WA. 98311 Owner: l'lORRIS ,JOANNE 3201 BLACK WALNUT LN NE BREMERTON Wf~ 98310 CClfItracton JANKOWSKI CONST. INt 373-7343 Lie if: JANKOCIl41JN Exp: 01/22/2002 109 r.IE MCWILLIAMS CT BREMER TON , WA. 983H 5ubcontr= .S~'9nat(,iYe~,--.:-;~___,_,_~_~_.____~...__.____~__ Date:_~~___ SigY'1latuy:e.~",-~_._ )101< )1(*)1()1( l((;I(,>K>*iIi:)I(* )j()j(:i( )!()!{*'IOK:i< ** **, Perllli t Csnter'--'APproved By'. .. 'D1!\te:_~~,._________._ Oat e,: ~?L_~.-~~!__ I' cli,WHfy that .1 $,Ill exemptfyoffl the y@'qu' under . seotiOr\3. Chapte~' 126. lal>-J$ of 1967. r v~~ g~ o z . 0\ -0 +3 CITY OF BREMERTON Residential Building Permit Checklist Applicant: cJ~b~~ ~4~,,(,~<;;L{E'7 L4L Building Permit#: Date: ?- / ~ - 0/ v/~. Completed Application v < Scope of Work ., ~. Vicinity Map .... X Site Plan (dimensioned) . ~ ~Site Plan Review Questionnaire ~ . Foundation Plan C/ .. Floor Plan Y" ~ Framing Plan ~ ~ W all ~racing Shown On Plans ./ ,~ ElevatIOns v )'_j..Energy Code Information _I StreetJUtility Permits Required? v -'~ Paved Parking Indicated (2-off street) ...,... K. Contractor's Labor & Industry Card on File vA-I Route to Health Department (septic) ;;;s.u.u~ LJ Sepa Required? YES NO Why 3(A~ Op'-l0 ofP!~ D)~(grgOW~ ::\ ru MAR 2 6 2001::; BREMERTON BUILDING DEPARTMENT I I Special ConditionslPermits? Comments: C:\My Documents\Residential Checklist. doc Last printed 02/26/99 11 :03 AM ~. .- "'~,/~ \ \ Type9t~uel: Occupancy:.. Residential .( Cotfunercial SiteAddress:S?;G'B/~/~h~,L~/J.~ .' Ownet:.-,r' . ';'/1 '. . .' Coo.,', tractoC"--r-. ./.n~_".'." /,' /?,v#. _..' ~.."..M.. I....... / I~. .~. ./>.' . ~tfV^nrl^L..' ff/Rrr~ . ':::../LIt. t:~~~, ~'71: ,.~t71Q ..,.e-;r... Address; . . . Address; . ~CCJI ~~i/V~,l"~f 1~/1~ /pf' #1!r~~iJ~ t!r Phone;. '.3??~J2-2-f . Phone '~?7~ji~9Y~//3;?J}-73f"3 · ContractOr's License Nu1l1ber/Expitation Date: -;JA-N'kPC!/IIt/v# l~lZ-:P2 No. 'tYPE OF EQUIPMENT .' ,:...::j TYPE OF FIX.Tt.JRE . (. RANGE '.3 : WATEltCLOSET I "~'~W~~~,>"~h(::-:I'BATHn1B"'. .' G.....AS.......... FU...........&N.. A.CE.... D...tu: ..... ..... '. '. ' .' . ." .6, '. . . ........ '.-:n. ;2....... . . LA.', V. ATO............R.YO>. ath.sinlt) CONVERSION BURNER. b1U: . . 'L] SHOWER . UNIT HEATER btu:' ./ KITOiEN SINK . BOII.Eltbtu: I DISHWASHER . GAs PIPING. :1..-. LAUNDRY TRAY . EVAPO:ttATtONCOOlERs btu: I cwnmswASfIER f ACuNlT. htu: I WATER HEATER / HEATl'UMPbtu:3~~j $(",WV iJ.tu,' URINAL RElmATBOXbtu: ' . DRINKING FOUNTAIN A1RIlANDLlNG uNIT.btu: FLOOR SINK OR DIWN ..3 EXHAust FANS SLOP SINK I RANGE HOOD,~1l!SilJe,QiiIJ.) WATER PIPiNG & ALlERAnON . RANGE H()()P(~PJri"l) GREASE TRAP/INTERCEPTOR .". . CLOnms ORYEIl'~ HO$BIBBS , '- ~ INCINERAToR LAwN SllRINl<LEIt SYSTEM DUer ALTEM110N . S\VIMMINGPOOL . TANKS type:' , BLDG. SEWER: ('DlOhiIe/moved house) 1ffiFRlGE.R4110~ uNtf .. .f-' RooF DlWNS Onffiit: . 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