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HomeMy WebLinkAboutBLOOMINGTON AVE., 120 \, BllEMERrrON BUILDING DEI.AIll'MEN1' PlwnbinglMechalllcallnspection Report 1.- Scope of work: GAs furnace/piping/hwt Address: 120 Bloomington COlltractor:Quality Service & AC Penult Number: 99-0072 Owner: Fabio, Arnio Phone: 613-5614 ,', 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 ----- _ 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 --- 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 -.--.--.--------- Unions on water pipes COMMENTS: ,.. .#.. ~ // 7.-.J/"J. .rc. WATER HEATER APPROVED: ~ I ~ 0- t--.... l I " 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 i I t f i Cohtractor: QUALITYHTG & Ale 613-5614 8174 HICKORY ST NE BREMERTON WA 98311 I [ I I r f t 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 ********************************************************************************************* 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 ********************************************************************************************* MF.:CHr;tHCAL/PUJM8ING FIXTURES-" MECH-Gas Furnace to lOOk btu,: 1 MECH-Gas Piping (out lets)" ,,: 2 PLB6-Water Heater...~..,....,: 1 *************...***1*****************************************************..****************** 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. ~~~; ~'::~;;......*..*"..*_...*.__.~___'_'_ ,_' ...,,,.,,___'_____'_,.._,,.__",, Dat e: __,."___".._.,___,,.._.__"__'____'____'_'~_'-'_,- D",""m'I'1' ("""'f)"" .'""'"",,.., OJ")I''lr C')V.'('l' l':'}y ~ ' [')"'t ",," r,_ {[_4 Q , r ....,~_! ,-.' ,..to<, (,\;..1 I""f," <> ., "~.'., _.;r I"""","""",...",,,...,.,,.,.,,,;...,,,,,,,,,,,,,,,,,,,,,..., ',(.A .\~.~" ,..,e:::....,,,..,.:.......,,.P,,.~_...~-;,,~,,.\.,,...,.,"""',,..,..,,. .~_.._-.............!~,,~c'~,y~,'~-,~~,'~,;~.,:~~~-':~"-.o...-...,.'_.:'~._,~:-======i'"~,_~;'_~.,__,_','-_-,_,I:....,..,_!: .,",'<'" "r ..',.,' ',., 'I ,,,^ ~ ''',;,''.'C-F I J ::r OL) r~fCj dr' f:') E> €- :: '[)::rea t: . :1. 0 n :: 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 .. J 1 'I I 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 1 1 Item: 01400 MECHANICAL Item: 01550 PLUMBING DE~pt:: BI.."DG DI:'llpt:: F3L,OGi Div1.s:l.on: D i v i ~\,:1. on:: I ********************************************************************************* 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" ,... ,..... :::. .~. ~ . ,.} 1:::.. :::, j',\ IJ ":: (;;'" ";'1', ~::~ "m ;) ..:::. ~) II ;If: ';i: )(, ~ ')l: 'Ii: *,)1::)( :)(. * i)( ,)(;,)t,)t ,)t ,)t 'x,:;\: ,)(-,X: ,}(,?I: ,)(" "X~,~ '~)" . ";.:,)(,, "'~ ,,)(.~..)(,,~.)(.... I.:)tll,'1' m.'\ I.. 1'/''') 'I '''Ie,.y''~ '. I "",,/ "",. 1 \,,~ ,. \. '", 1" 1;".. ,,'1 ~_ ' S:l.';;matl.,l't"EJ::""", ...... ~,...., :~"'" ...... ..,.."..,,,,,,,.........,,,,,,..,,,,..' MUST BESCHEDUlEO THROUGH THE ,************************************ 1")':"\'-'1." t!2~...z ~'&t: ...C,", l,'.._ll ~ 7 .." ,""'" .,.",..:",........,""..." "...",,,..',..,..,,.....,........., ",,,..,,, "" .. , 'J ... ..n.............. ................. . ........,......... ................-. ...,..........Cl.'..'..'...,.'...'.' ..y..,.,.!.'P#~~(i:...m..@.:.g..:. ..}.nn....1 D... ..........'....,.':.....u,........:...:.~ca~J-J&tw.... 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/~,? ~ \,.,~ ~ , \ 1l.r 1 ' '" l' " r-3U~LD-~\IG ,~HV1 T City of Bremerton, Was~ington Phone: (206i;478~5281 ' ASSESSOR'S ACCOUNT NO,' 3778-003-014-0101 e "' SITE ADDRESS/LOCATION 120 BLOCMrnGION OWNER'S NAME JOHNMct.AIN . OWNER'S ADDRES$ SAME AS ABOVE PHONE II: IU Z ~ CONTRACTOR TINNERS"INC. ADDRESS PORT. ORCHARD STATECONTRACTQR'S LIC. # . PHONE 876-9235 - - . ..- - . . - . ISSUANCE OF OCCUPANCY CERTIFICATE REQUIREO:BEFOREOCCUPYING ~~LOING r OWNER'S SIGNATURE .' '. BY ...:",f< , \JSEE AND READ NOTICE ON REVERS': SIDE) . j r rn RESIDENCE D BUSINESS D OTHER 0 NEW. lXI REPAIR 0 REMODEL 0 ADDITION . ,'v " 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: >- ... - (.) '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' 1.../ 'COPIES TO:WHITE - BUILDING, YELLOW - ASSESSOR; PINK ':":'OWNER