HomeMy WebLinkAboutBLOOMINGTON AVE., 120
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BllEMERrrON BUILDING DEI.AIll'MEN1'
PlwnbinglMechalllcallnspection Report
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Scope of work: GAs furnace/piping/hwt
Address: 120 Bloomington
COlltractor:Quality Service & AC
Penult Number: 99-0072
Owner: Fabio, Arnio
Phone: 613-5614
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GAS PIPING
Under leSt (IOpsi for 15 minu~es)
12" m}nil~n below gr~l.e wllcl.) und~oun(l
Grollllll-joint unions I'wltibicc(l in certain locations
Proper sizing lie. sup~rt
~~_~ed/wraIlpe<1 when undergrowld or withih 6" of earth
nusllings not allo~d in conceak(l areas
COMMENTS:_____
GAS PIPING APPROVED:_~A
2- ~ ~ Z- ~ 91'
FURNACE
MaJl~cturer's~.P.~Wl.?ti2.I~.. site
Ckaran<.Je to combustihk,
Vent sizi!.!&.. lie support/connections
Combustion air
Gas sllUt-off within 3'
Ducts: she lie support/insulated wllcn required
Loadon, acoc:ss, supp'ort
_Ve~ltilJ.g: ckarancc to combustibb
Vent termination
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_ Ch}m~~: liner andlor separate flues as required
.-!.~~t elevated off floor i"al garagc
Rt:turn air
COMMENTS:
FURNACE APPROVED:
~/~
,--1'2--91
MISC. APPLIANCES
J!1..:a.nu~~urer's s()Ccincations on site
Clearance to combustibles
Vent shing lie sU'pport/connections
Combunion air
Gas sllut-off wirlun 3'
Wood stOVc:8: EPA a'p'p"roved
Wood .tOVc:8 lie fireplaoes: tigllt fiuing doors
Loa':.ion, access, sUHort
VCII':.i.!.lg: ~!an<.Je to combustibles
Vent termination
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Chimney: I~ncr alllVoc separate flues as teqlUred
Wooel stove lie fireplaa:s: proper hearth
Gas logs: sa..~~llt-off
Gas shut-off willlin 3'
COMMENTS:
MISC. APPUANCES APPROVED:
WATER BEATER
Manufacturer's specifications on site
Ckarance to combustibles
Vellt sizin lie su ort/connections
Combustion air
Gas sllUt-off willain 3'
Gate valve on coM watersu.p"p"1y
Co to alvalliud connection.
Seismic stra
Location, acoc:ss, su ort
Venti!!!;: clearan(lC to combustibles
Vent termination
Chimney: lillei' and/or lICparate flues u required
Pilot dcvated off floor ill garage
Rt:lief valve drained to outsi(le
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Unions on water pipes
COMMENTS:
,..
.#.. ~ // 7.-.J/"J. .rc.
WATER HEATER APPROVED: ~ I
~
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BREMERTON PERMIT CENTER
:286 4th street ~ Bremertonf1 MIA 98337
Phone:: (360) 478-5275 FAX: (360) 478--5278
BUILDING PERMIT
Job Addr: 120 BLOOMINGTON AVE
Location: 120 BLOOMINGTON AVE
Pa,y'ced No:
Permit No: 99-0072
St;:~tUH: ISSUED
Applied: 02/11/1999
IHsued: 02/11/1999
Expires: 08/10/1999
Applicant: QUALITY HTG & Ale 613-5614
8174 HICK(~Y S1 NE BREMER10N WA 98311
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i Cohtractor: QUALITYHTG & Ale 613-5614
8174 HICKORY ST NE BREMERTON WA 98311
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Owner: FASIOy AMID
1 ~M (.~F?VON BF?EMERT'ON y WA !r8~:lI2
::16 (}"" ~:l7 7 '"'' 4(1:34
Lie I: QUALIHA055RF Exp: 12/6/99
subcontr:
Osse: GAS F~~NACE/HWT/GAS PIPING
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Valuation * Permit Feeel 53.15 Total Calculated Fee: 53.15
.00 * Plan Check Feea: .00 Additicmal Feea: .00
* Other Feea: .00 Total Permit Fee: 53.15
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MF.:CHr;tHCAL/PUJM8ING FIXTURES-" MECH-Gas Furnace to lOOk btu,: 1 MECH-Gas Piping (out lets)" ,,: 2
PLB6-Water Heater...~..,....,: 1
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This permit shall become null and void if the building or work authorized by this permit is not commenced within
, 180 days from, the date of $uchpermit, 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 respcmsibi.li.tYClf the permit holder, not the City of Elremerton orBl.lUding Official to see
to i,t that required inspections are made. The permit holder must notify the Building Offici~l when ready for
inspections; Failure of the permit holder to notify the Building Official of re("~Jired inspectiorlsmay result
in the st oppage of the work until such time that the permit holder can substantiate to the bl.Hldingofficlal
that the cOl,cealedwork meets or exceeds code requirements. . Any demolition, test ing, or financial burden shall
be borne directlY by the permit holdc'!r.Fi1ilure to substantiate code requirements will indemnify the City
agaim3t any and all responsibility or liability connected with the construction,
r hereby cart ifythat I have read and examined this permit and knqw the sam,e to be true and correct. All
provisicH'ls of laws and ordinances go~ver ing this type of work will be complied with whether specified herein
, or not, Thegrantin\1 of ar 't fle' not pr ,6 to give authority to violate or cancel the p'rovisions of
ar!)' othm" state or local we, a, \1g "f ruction or the performance of construction.
SI9natur.,... ,_.._"_' ~...._......... o.tol..aT'{/f.,.!...........
I certify t at am exempt from the requirements of the state contractor's registration law, under
Sect ion 3, Chapter!. 26 I 1. avJS of 1967.
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AE,~E_'( Acet No::
120 BLOOMINGTON AVE
120 BLOOMINGTON AVE
Building Permit No:
!;:; t i:1 t t! *:~~ i~
J f:l ~~H.H~ld ::
E:: x p :1, Y' ~::l s .::
99""'00'72
I SSlJE::D
0:2/11./1.999
OB/1.0/1999
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BREME~RTDN P'l~:RM :r f;'" CENTER
2864th Street, 8remertons Wit 98337
Phone:: (7360) 4.78-52,75 FAX: (360) 478-5278
I:~ 1::' l:~ lJ J r~ E: D
INS P E C T ION S
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Item: 01400 MECHANICAL
Item: 01550 PLUMBING
DE~pt:: BI.."DG
DI:'llpt:: F3L,OGi
Div1.s:l.on:
D i v i ~\,:1. on::
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TESTING: Must be recognized by the Washlngtcm Association of Building Officials
SPECINSP= Must be registered with the state of WA
ST OF WA: State ,of WA Dept. of Labor and Industries 476-4921
iH:::At,.'fl"l :: Br ~:':)\iV:::i' t; cm/t<:I. t: ~~lap \"Iea:\' t: h D:!. Eft Y' i ct 47B"'~::i~;~~!:l5
ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON
p I''''I'~ M '1' "1" (.., ".., N ..," ,.... ry' ('''I L (')) A '7" ,", .'" ,", '7" ,...
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MUST BESCHEDUlEO THROUGH THE
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Type of Fuel:
Occupancy:
_I Oil
Electric
Residen tial
~:merCial
o Propane
~r.
~,h FA&. 't:P
Address:
16 (p 14 t./ -/-0 f./d t.-I s.-,
1),e~V""e-r +OG-,l' w,lC}
Phone=S77_ f/fst!
9 f3 :::rtz
!6J 00""" 1'.....~9 -/0-./ ST
contra~ /. I '/, /
tAd - ~y ~,/4;sJ,('1
Addres : 9t:. ~ 0 .~ (/ v~~k/<-
6a v~/ d.t4/~ LJ,14
Phone 613 -S'-t>/L/
Contractor's License Number/Expiration Date:
CJ:>u 14 \ ~ ~ 14 6P 5"'S- ,e t:..
/1-/o~/-?9
J? ,4, C,
l.U):JY
Site Address:
I "J.. 0
No.
TYPE OF EQUIPMENT
. No. :
TYPE OF FIXTURE
RANGE
WOOD/PELLET STOVE/GAS FIREPLACE
/' GAS FURNACE btu:
CONVERSION BURNER btu:
UNIT HEATER btu:
BOILER btu:
--r GAS PIPING
EVAPORATION COOLERS btu:
AC UNIT btu:
HEAT PUMP btu:
REHEAT BOX btu:
AIR HANDLING UNIT btu:
E,"\ffiAUST FANS
RANGE HOOD (residential)
RANGE HOOD (comm=:ial)
CL01HESDRYER
INCINERATOR
DUCT ALTERATION
TANKS type:
REFRIGERATION UNIT
OlHER:
WATER CLOSET
BA1HTUB
LAVATORY (bath sink)
SHOWER
KITCHEN SINK
DISHWASHER
LAUNDRY TRAY
CL01RES WASHER
/
~ WATERHEA'IER
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
WA'IER PIPING & ALTERATION
GREASE TRAP /IN1ERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG, SEWER (mobile/moved house)
ROOF DRAINS
OlHER
:NIECHANICAL FEES:
PLUMBING FEES:
CITY SURCHARGE:
TOTAL~
APPLICANT'SSIGNATUR~._ . _ _ -. DATRrj/~,?
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r-3U~LD-~\IG ,~HV1 T
City of Bremerton, Was~ington
Phone: (206i;478~5281 ' ASSESSOR'S ACCOUNT NO,' 3778-003-014-0101
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SITE ADDRESS/LOCATION 120 BLOCMrnGION
OWNER'S NAME JOHNMct.AIN . OWNER'S ADDRES$ SAME AS ABOVE
PHONE
II:
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CONTRACTOR TINNERS"INC.
ADDRESS PORT. ORCHARD
STATECONTRACTQR'S LIC. # .
PHONE 876-9235
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ISSUANCE OF OCCUPANCY CERTIFICATE REQUIREO:BEFOREOCCUPYING ~~LOING r
OWNER'S SIGNATURE .' '. BY ...:",f<
, \JSEE AND READ NOTICE ON REVERS': SIDE) .
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rn RESIDENCE D BUSINESS
D OTHER 0 NEW. lXI REPAIR 0 REMODEL 0 ADDITION
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o DEMOLISH
o SIGNS
PLANNING/ZONING
# STORIES
OCCUPANCY
THIS P~RMIT ISSUED FOR:
REROOF AT 15. SQUARES, 3 TAR.
All provisions of laws and ordinances governing this type of work will be complied with whetherAlpecified 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 o Plumbing 0 Electrical 0 Wallboard 0 FINAL gg
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK,
SEPARATE PERMITS ARE REQUIRED (WHERE APPLlCABLt::) FOR PLUMBIN<,3, MECHANICAL AND .ELECTRICAL.
COMMENTS:
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'SlJRCHARGE:$1.50
BUILDING OFFICIAL: DAVID K~ DlEPH/lg
VALUATION PLAN ,CHECK FEE
$ 2, 025. 00 $
BUILDING 'INSPECTION DIvisION -
\...
RECI;!PT NO.
PERMIT FEE
$ 38.50
RECEIPT NO.
--;L/ '-~0
DATE
8/21/85
Breme'rton, WA 98310
Permit No.
6731'
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'COPIES TO:WHITE - BUILDING, YELLOW - ASSESSOR; PINK ':":'OWNER