HomeMy WebLinkAbout2589A
BUILDING ~ERMIT
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2589
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V
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
~ tJO-- $ //( "b'S s/??' E p;2~ 2- .Y /J &0
SITE ADDRESS/LOCATION ka/ c tf?'", ~.~..:y .# 396'-'/ -00;<' -O()/~ CJo 00
OWNER'S NAMEk7'~./J#"~~tld" A/~DDRESS 5~6,,-,.?e- PHONE
CONTRACTOR L'Dk/ ,/~eJ /~.((" /.7 ~......'" ~~.s;; STATE CONTRACTOR'S L1C. #
ADDRESS PHONE
o RESIDENCE ~ BUSINESS 0 OTHER 0 NEW 0 REPAIR J? REMODEL 0 ADDITION
o DEMOLISH
PLANNING / ZONING
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR: /1V/~"".......- /5'-~-;J"'; <..~./ oe
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 0
Framing Jf1
Plumbing ~
Electrical ~
Wallboard qr
FINA~
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME <\PPROVED' APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY (
BUILDING DEPT.
Autt0iledAg~
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. .:~PPLIC-ATION j
CITY OF BRE~TQN _:~ ._' BUILDING .PARTMENT
C~$'.'~"k;J-~? .'=. .J, (.PERMIT FEr s./1X P:..) (PLAN CHEn s//J5.(.~a..}. . ~(i((~r~'.... =
. , ')G &/ C /. '. <;'" . --:- ,....;,j 7; ,'. .
AOOR~~-'_LO_CATIOt~ OF .JO~..:~~.... ,... UJ_' '71217""' =-,:~..r.'.'/~"."" __. r. ~ .i. ..:.................. .. .. ..... ........ . . ... . ..
'APPL'IC~,!)_~~.~SI!ED. F?R~::J.U,?~/.:'~-1(~.~4'~~.~;(,.../.'~~.;.,.~<",/<~~/.rek~~~/~......'" ..'
PROPE'RTY TAX .ACCT' NO '29L? 'Ot!J:2... C/O/" t!:9C!.d q ..... '
. . . ... . . . ,.4 ~ .Ifi::!. . . . . . . . . . . . . . ... . . .. .,.. .. . . .'. . '. . . .. ~ . . -. . . . . .
PLANNI NG 10IH NG:. :'.". . :. . ::'. > F I RJ; ZONE:;:~'-:,:: ::....:': . "~-- OCCUP~NcY:." ~',_.-:;':-: ::::.!~ TY'P'~ 'Of' cor~sTRu'cIioN:.~.; ;~'f~::';'.~-,__::-'::'- ,,!' .'
::-.~!"ri~~.':~',::.:..~:...::,.,. ::.:..:............. .-. ....:.. ....:.... ~ :-lc,'NTR~~2~~:.~~,;a~~;~~~~.:i~fK~~~'-.....
ADDRESS:".. .~."...... ~........ .~..................... .'L.. .. ........ ........ .. .............. .. ............ ....
. -. ._- -." ._- ---... '-,1 -. --"
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...:ADDRES.S.,....... .......:.. i...... :..:..:'.::...::........ ...;..: ....:. .!.'.....
. ......
'. SIGNATURE_.o,~L1.CA
PHO;~E. . . .. .:. . .. .. . 'j ~ s.!~!~..!-.!~~~~ ....:.:..:...:.:;.... .... .
....... .. .DA~E.?.t:..~g q.. '~REC~I'V:ED_B~ 7~. .. . :. :'.
ISSUANCE OF BLDG. PERMIT~
.~~
APP'D
. BY
,
, I
PL!'NN~NG..C~':I~NT~/~EVIEWED BY
ENGINEERING
I
\'~~;~;2'7:~t'\!~ ~t~~: v'
.APP'D
BY
fff-TT:T';'
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. -. --.-- .-- -.' '"'!
SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY . STORM SEWER.
.'\.
'FIRE DEPT. COMMENTS/REVIEWED.BY:...... .f.':' ~ .~ ,~~c~'c.lu,d--.af
_CL':- ,).. 0 )7'~ . .u _hi- , &1 C1~,,~ 0-cJ!Ji,..:;::rt
. . .--
c~.
'APP'D
'" BY .
)M
'.TRAFFI C OEPT. COM."I!,.NT'S /R~V I EW"ED.. il.Y .. '.: . : . ~ ....j
PLUMBING REVIEWED By..'.......
APP'D
BY
\
WATER DEPT.
SEPARATE PERM ITS REQU I RED FOR PLUMB ING AND MEeHAN leAL IWRK.
ELECTRICAL REVIEWED BY....~....;
APP'D
BY
SEPARATE PERIiIT REQUIRED FOR ELECTRICAL WORK.
\
~~ ~ /?~ /J/tP I$..s'
3' /7 t'D
. ;.------..
APP'D
BUILDIN~ REVIEWED' BY..
. I
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~
CC~PH:O<' :Q'''~'' .. .. . . . . . .. . . J (
DA T!: . . . :" . . . . . . . ' . . .
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P E R M I T S
----- - - - -
Indicate below what requirements, permits are required for this project'.
PLANNING DEPARTMENT
o SHORELINE >. 0 RE ZONE.
o VARIANCE . 0 SHORT PLAT
[JENVIRONMENTAL IMPACT ASSESSMENT
DENVIRONMENTAL IMPACT STATEMENT
o
o
SPECIAL USE PERMIT
CHANGE OF SITE PLAN
1/./7
BUILDING DEPARTMENT
l4lBUILDI~G
~MECHANICAL
o HOUSE MOVING
~
o
~
GRADING
o DEMOLITION
o SIGN
ELECTRICAL
PLUMBING
ENGIREERING DEPARTMENT
o SIDEWALK CONSTRUCTION 0 STORM SEWERS 0 DRIVEWAY
o CURB &. GUTTER CONST. D' SANITARY SEWER CONSTRUCTION
o STORM DETENTION REQUIRED
[]INSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK
HEALTH DEPARTMENT
o SEPTIC TANK
. 0 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
W F~ING
ENGINEERING DEPARTMENT
[] FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
[] FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
[] CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES
Jet ELECTRICAL
~ PLUMBING'
,~ MECHANICAL','
: 0 ,INSULATION
'~~ SHEET ROCK OR COVER
~ ' FINAL
o PIPE INSTALLATION PRIOR TO COVERING
FIRE DEPARTMENT
J2!l. LIFE SAFETY JP FIRE CODE
[j FIRE EXTINGUISHING SYSTEM [] SPRINKLING SYSTEM
,DREMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN
FLAMMABLE MATERIALS
Allow 24 hour prior notice for all inspections. Emergencies will
be handled as soon as possible. If required inspections are not
called for and made by the necessary City Departments, a Stop Work
Order will be posted until necessary inspection is completed. Any
materials hindering the inspection will be removed so an adequate
inspection can be performed.
All completed structures will have a Certificate of Occupancy BEFORE
the structure is occupied. If a structure is occupied without a
Certificate of Occupancy, the City will have the water utilities
removed and order the structure vacated until compliance is achieved.
I have read and underst~nd all the above that pertain to the
Construction at &-t., 0/ CA'e/'-.....b.- ,-,,)Lbr";/6- /0
(address) ~
SIGNATURE
DATE
TITLE
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