HomeMy WebLinkAboutBLOOMINGTON AVE., 114
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BREMERTON PERMIT C
286 4th street, Bremertcm,. WA 98337
\~ Phone: (360) 478~S:2.?5 "FAX;; (360) 4.78"-52,78
,,\,.:./ BUil.DING PERMIT
Job A0dT~A4 BLOOMINGTON AVE Permit No=
Location. Status:
Parcel No: Applied:
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MCKENZIE~ J.e. 692-1641
B770 1I""!,,,fiHFE f~1:l BHEt1ER'rDN t~A 9f:3::l10
99 ""0'7 O:::l .
1"C""'''lr''T) ~I/
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11/113/1999
11.11B/1999
Cl5/16i:?O()O
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Valuat:lon .X:.' Pelrm:it Ff.)t3H:: 40"tlO "Iota:! CalclJlated ,Fef:':i {"t{)40"BO !
,,00 M Plan Check Fees: .00 Additional Fees: .00 'l~
* Other Fees: .00 Total Permit Fee: 40.80!
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ME:CHANICALlPl,UM81NG FIXTURES.,- MECH'~Ral'1ge, , . , , ,. . , .." " , '" . .,,: 1 ~1ECH"'Wm)d/Pellet Stove"..,...: 1
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OIAlner:: l,ct<F:NZIE ~ J .,C" 69;;:"..1.641
8770 ILLAHEE RD BREMERTON WA 98310
Cant '(' l'iCt or ::
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Deec: GAS FURNACE. GAS RANGEl GAS PIPING
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This permit shall become null and void if the building or work authorl.:l:ed by this permit is not cOl'i'lmenc~:d within
1.80 days from the date of such permit, or if this building or t.llcrk allthodlf~d by sllch permit is suspended or
abandoned at any time aFter the work Is commenced for a period of 180 days"
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l I hereby cert i fy t hat I have read and examJ. ned t hhi perrni t and know the Si:'l,me to bi:: true and Gorrec;L i~ll
I provisionil of lawsp and ordinances governing this type of t~ork will be complied ~Jith l~hethef specified herein
I or not. The gr~ay,t:ln(~ of 11 permit dOSS, not p,-resllme to give authclrity to vIolate or cancel the proviBJ.cms of
I' ,,'. ~nv {.j'r '\0"\ l3l;t '.\!.e 0',' I :)C'" 1 Ol "hi Y"~O'll '.'1' ~ r,g Cr;'(1o.t'(ll"'+'l' C'f' ('J''' ,I.. he Q""'fo'rm""""1'> o'f I"'DTl~J.t~, '11'"'t l' I~r'
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I I certify ttiat I am exempt from the requirements of the state cr.mtraGto'f'S registration lat~~ under
' S"' "'c'. l' ('Y'''' (' '1 "p'l- ~'r 1 "'6 j !,'W'" 'f' 1967
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NonCE - It is the responsibility of the permit holder, not the Cay of 8n~merton or Building Official. hi see
to J.t; thclt required inspections are made. The permit holder must notify the Building Official when ready for
inspect;l,On€L Failure or the permit holder to notify the Building Official of required insp!~ct:lDns may result
In the; stoppag(-; of the vJOrk until. such timf.! that thE) permit holder can substantiate to the buiJ.dif1\1 official
that t he concealed wor k meets Of exceeds code requi rement 8, {1m' demol it ion. test i ng, or f i nancia 1 burden shall
be borne directly by the pmmit holder, Failure to substantiate code Hlqllin~ments will ind~lrr.nif}" the City
d9ainst any and all responsibility or liabilIty connected with the cC!Tlstruct:lon,
Datel_________________________.._____
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BREMER TON PERMIT CENTER
286 4th Street!fl Bremertr.m, ~A 98337
Phone: (:360) 4.78-52.75 FAX: (360) 478-5278
~::~ 1. 4 DL.OOM I Nf-rrON (.:)'.)E:
Building Permit No:
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PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
360-478-5275
INSPECTION REPORT
. PERMIT #:
t7fq/ c701
ADDRESS:
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frtth'-r 6e /pt > ~/!ec1 .' NI- ~~ j./
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1'1 ~ j?C~. vet-yes. +- iuD +- ,r <-~
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Schedule a reinspection when the above items are corrected. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date:....ll.. 1" 4~ Time: 1. r,uf ~
INSPECTOR
Scope of WQr ·
Address:
Contra
BllEMEll'rON BUILDING DEI.Alll'MEN'r
PlwnbillglMechanlcallnspectlon Ueport
l)enDit NumberRq - D7 03
oWller:-%,&ML~Q .
Phone: qQ-. - \.
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G~~ PIPING
Under I.C9t (lOpsi ~!-12~E.nu~es)
12" m}nimurtl hclo'!Ji!.~~~ whe'.) und~oull(l
GrolllUl-joint unions l'rohibicc(l in cerfain locations
P~~i_zing & support
C~~_~~!wr~1 when undergrowld or withih 6" of cartI.
nushings not allo~d in conceak(l areas
COMMENTS:
GAS PIPING APPROVED:
FURNACE
~aJlufa~urer's.!~r'?ti~'~!L~i.!c
CbranQC to combustihks
Vent sizi!.!lL & s!'pport/conneaions
Combustion air
Gas sllllt-off within 3'
---.---
Ducts: !Ih~ & support/insulated wilen required
_~.!iOI_l, a~.!!~':l'r.~~t
_V~~~~lg: c.karance to combulIlihb
Vent termination
------
_ Claim~~: liner and/or separate flues as required
-.!i.lot ekvat(:(1 off ~oor ~1.Aarage
Return air
COMMENTS:
FURNACE APPROVED:
MISC. APPLIANCES
Ma.nu~<.:turc:.r's sl'eciliCltions Oil site
Cbrance to combustibles
Vellt shi_~lg & supl'ort/conncaions
ComhuSlion air
Gas ahut-off wit/un 3'
Wood staves: EPA al'~roved
Wood stOVCll & fireplaces: tight filling doors
~.t.i~.!.'.!.!~~!:'1'1'ort
Vell'~~~E~!~.nce to cornbllSlihks
Vent terlllill~uioll
----
Chimney: 1~lCr al((VOl separate flues as required
W ()()(I stove & fireplaces: propel" he2tth
gas log.,: sa_~~~~t-off
Gas shut-off wil.l1in 3'
COMMENTS:
MISC. APPUANCF.S APPROVED:
WA.TER HEATER
Manufacturer', spedficac.iom on site
Clearana: to combwc.ibles
Vent sizing & lIuHort/connea:iom
Combustion air
Gas Sllllt-off witJlin 3'
Gate valve on co~(1 WOtt.ei supJ.>.1y
Coppec to galvaniz.ed co~lOOCtioOl
SeillOic atup
}..ocac.i~n, access, support
Vellli~: dearanoe to combustibles
. Vent termination
---~-
Chimney: line.. and/or ~rate flues u required
_Pilot ~at~ff floor i~~e
Relief valve drained to outsi(le
_._~_.__._._--
Uniona on water pipes
COMMENTS:
WATER HEATER APPROVED:
ALL WORK UNDER TIllS PEltItDT APPllOVED:
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6381 A
City of Bremerton, Washington
Phone: (206) 478-5281 4t 3 7 7~ .. (JtJ3 ~t)13 - 0003
OWNER'S VALUE SLOG, DEPT, VALUE PLAN CHECK FEE
$ 2412.24 $
RECEIPT NO.
PERMIT FEE
DATE
RECEIPT NO,
73 cr:;. 8'
4/29/85
$ 38.50
SITE ADDRESS I LOCATION 114 BLOOM I NGTON
OWNER'SNAME MICHAEL D. AUGUSTYNADDREss6305 REST PLACE N.E.
PHONE 479-3855
CONTRACTOR SELF
STATE CONTRACTOR'S L1C. #
ADDRESS
PHONE
!Xl RESIDENCE 0 BUSINESS
o OTHER 0 NEW
o REMODEL
PLANNING I ZONING
IX] REPAIR
o ADDITION 0 DEMOLISH
o FENCE 0 SIGNS
OCCUPANCY
STORIES
THIS PERMIT ISSUED FOR:
REPLACING WINDOWS (UPGRADE) AND ADDING SIDING
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY
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 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
FI NAL I NSPECTION APPROVED BY
OWNER'S SIGNATURE
Plumbing 0
Electrical 0
Wallboard 0
FINAL 0
REINSPECTION:
I
COMMENT DATE TIME APPROVED
,
Building Inspector
BY
BUILDING DEPT,
Authorized Agent
3J _~_ _\JG
:>=~V1~T
APPLICA TION
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City of Bremer.ton, Washington
Phone: (206) 478-5281
r;~
OWNER'S VALiJE
SLDG, DEPT, VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO,
DATE
$/;).6(P.(}O :1-'1 /~.oo $ 30', S--~ $ ,J.J:o~
SITE ADDRESS/LOCATION fly ~~
OWNER'S NAME mike. ff-u.6t.JSr<(AJ ADDRESS (p!:;oS- ~~ ;Jy~
PHONE
CONTRACTOR ~
ADDRESS
STATE CONTRACTOR'S L1C. #
~ RESIDENCE n BUSINESS
U OTHER
o NEW X REPAIR
o REMODEL
PHONE
n ADDITION 0 DEMOLISH
o FENCE 0 SIGNS
OCCUPANCY
PLANNING / ZONING
STORIES
THIS P~OR' . 'I- .
"-Z~-rA~~
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crteI ~
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY
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 0 Plumbing 0 Electrical 0 Wallboard 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FINAL l..-
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME A.PPAOVED APPROVED
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DATE
TIME
I APccOV'
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FINAL INSPECTION APPROVED BY
SUI/ding Inscecror
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY
AuthoflZlld Agllnt
BUILDING DEPT.
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City of Bremer.ton, Washington
Pllone: (206) 478-5281
OWNER'S VAL.UE 3LDG DEPT VALUE
RECEIPT NO.
PERMIT FEE
RECEIPT ,'10.
DATE
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OWNER'S, NAME
CONTRACTOR
STATE CONTRACTOR'S L1C, #
ADDRESS
%BESIDENCE 'i BUSINESS
PLANNING I ZONING
U OTHER 0 NEW
~
L REPAIR
PHONE
STORIES
I ADDITION 0 DEMOLISH
[J FENCE 0 SIGNS
OCCUPANCY
THIS PERMIT ISSUED FOR: .
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TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY
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 perlormance of construction.
INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINAL r
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT , I I
TYPE OF INSPECTION DATE TIME io\PPROVED APPROVED COMMENT DATE TIME I APooOV:
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FINAL INSPECTION APPROVED BY
BUIlding Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE BY
AuthOrtZed Age"t
BUILDING DEPT.
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lASTS. DE
4119 WHEATONWAY
..,BREMERTON;.WA98~lO
" 373-1466' .'
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ClJSUf 15'
TERMSLNET 20TH
P.O.#:c
RESL#:
.JOBI:
EXP. DATE: 51 3/35
DEL. DATE:
OOCif;35290
DATE:4/25/SS. TIME: 3:11,
ClERK:S3
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SLSPR:5a>K~!fSe ,'. f'
TAX ,'~OOrwJfSALES TAX
ORDRiH
EST. it' 3.5290
H ESTIMATE ** **E&lH1ATE**ESTIMATE ** ESTIMATE **
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;rt;{A~;
'JON- TAXABLE
:.lIBlDY Al
1, Uti. tiS
O~OO
'1,118.85
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r AX' AMOUNT 87.27
rrrrAl.:A.foJOUNT 1,206,12
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X ',RECEIVED;:;tBy;g~;I:
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