HomeMy WebLinkAboutBLOOMINGTON AVE., 1701
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BR MERTON PER 1t"'1 :I CENTER I
286 4thStreetg Bremertong WA 98337
Phone:: (360) 478--5275 FAX:: (360) 478-5.278 I
BUILDING PERMIT j
~ J dL, {lid"" ";::~~,() I CI j[\:nny .t\,uf~:> t Permit No: 96-0097
( . .1 I 'n' ) ''':1'''' t." ( "~"t" " ''''' Str:l.tU8:: ISSUED I
LOCatlon: 17tl 8lUUM1Nb,ON I ~ , 1
P'!ivTe'l No: ~J Applied: 02/05/1996 i
I""" .' . e. f/V\ ~ Issued: 02/05/1996
I~jppl :i.cant: L,YBI::::C!\ I'1F1H"rIN d - ~ ~ to !/1A..J Expiresl 08/03/1996
) '1'01 HL,DOM I N~rrON 01'JE m~EMEI~'rON 1"IA (1m:l! ;:::
Owner: LYBECK MARTIN ,
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170 1 BLOO~1 J NGTON A~)E BliEMEfHON W~I 9B:::l12 ?,
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'Jaluation * Per m:i. t F f~(":!f~ ~ ;:~9 ,,/0 Total Calculated FSII , ,'tl
"on J;i PI.n Chick FI.I~ A~jitionll Feesl ,,()O
* Dt her F'eea: :5,,00 Total Permit Fee: :::14. " '7 (} :i
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MECHANICAL/PLUMBING FIXTURES-." MECH-Gas Furnace to lOOk btu,: 1 MECH-Gas Piping (out lets)." .: 1/
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Thiep€J'nllit ~{hall become null and void if the building err work authorized by this permit is not commenced \~ithjfi
:"rg~4tje*Ys from the date of such permit, or if this building or work authorized by slJch permit is suspended or ..
. abandoned at' any time after the !vork is commenct:1d for a period of 180 days.
NOTICE - It is the reapomdbility of the permit holder, not the City of Bremerton or Building OfficIal to see
to it that required inspections are made. The pelrmit holder must notify the BuUding Official when ready for,
! i ilElpect i one " Failure of the permit holder to notify the Building Official of required inspections may result
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I in the stoppage of the wyrk until such time that the permit holder t1ansubstanUata to the building official
I' that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall
I. be borne eli reet 1y by the permi t holder. Failure to subst.antiate code raqui r~ments wi 11 i ndemnlfy t he City ;
r,' against any and all responsibility or liability connected with the constructl0n. .' . I
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I herebycertHy that r haV€i read and examined this permit and know the same to be true and CiJrrect. All 1
~rclVj,f~il..mtJof ll'lw~j and ofdimmc:e~90'Jel"i,il'l9 .thi!'J type of wCl'rk will b~ c!:,lmp1t~d ~Jith lflhl!ltneT' %5peeifi!!id h~f~ifl I
or rJDt. Th~grantin~ of Iii permit doe~ m~t prel'lW1'lEJ to give authority to. vlo111h Of caf1c~l th~ prolJi~ion!\i of I
any other etate or local law regulating construction or the performance of c:onstruction. i',\
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, Sf gnature' _~'. _ \ L_______________-----------_---- Date' -J;-lsL'j..-~-----------
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BREMERTON PERMIT ~ENTER I
t PERMIT CONDITIONS
Pi'::)')'" 1Il:l. t No:: 96",,,009")' PI:'iGl*;~:: . .1.
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:J clb flddr e')f!.~f.(~ :: ~:;~60 1 CI"iFJ~r~Y {-WE: App:l. :I. eel :: O~?/OS/ 1996 I
f A~:~(;~j" (,cet No:: f~PP'f'ovf.~,)d :: O~::~/O!:;)/l (;;>96 I
!: L,,(lei:';,t :1. on:: 1701 BLOOMINGTON AVE I f!.lH.Ued :: O~?/05/ 1996 I
I tlppl :l.cant:: LYEH;::Cl< MARrIN I
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V' CITY OF BRE~ xrON- BUILDING DEPARTMENT
-, 478-~- ~URTH STREET, BREMERTON, WA 98310
. ft1f(-
ASSESSMENT OF A
~\/ REINSPECTION' FEE
\/' HAS BEEN MADE ON THIS BUilDING FOR THE FOllOWING REASON(S):
o Work not complete and ready for inspection.
t' o Corrections from previous inspection have not been made.
o Building inspection card not properly posted.
~ Failure to provide access. '
o Deviation' from. approved plans.
o Approved plans not onjob site (commercial projects).
No further inspections will be performed until the required fees have been paid.
Permit NO.-6lt., () tJ71, ~
1~1,~ f{" FEE$ 3~. -
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DATE INSP CTOR FOR BUILDING DEPT,
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, CITY OF BRE'MERTON-BUILDING DEPARTMENT "g( ~
4,78-5275 _:1286 FOURTH STREET, BREMERTON, WA.98337 170 ( 0_"""
INSPECTI'ON REPORT 'PERMITNO,', ;7(, -Oc:>?7
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I have this day inspected this structure and these premises and have found the following violations
of City, County and/or State laws governing same: .
Q 6tft; . :P;p;~ji -....s-f-kold /0 ps,
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ei ; .... -Ie,,; + <<~ :!'P't't: Vi';U$ 17 ,...e ~~:-.r~ J ~
C0 r(tJl/~!~ ~:/... t ~.. <-10-0.1 r-1 "'-.1 Y(. ....v.,........d 0"",,
~v ~c-IvY"t..':rs .<;,,~, <S;. e~ ~~.
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S S. -: ~et""'ire(.-'''o-. ~f 6< f>e.,.\ pnov
You are hereby notified that no more work shall be covered upon these premises until the above
violations are corrected. ,When corrections have been made, call for re-inspection.
Do Not Remove' This Tag DATE'~ ~"'-1(;, ~
'J "1 ~, . INSPECTOR FOR BUILDING DEPT,
Tb ,~I ~c;<<l.PLn~ .. "f - Ii
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. CITY OF BREMERTON - BUILDING DEPARTMENT ' ~
" 478-5275 -111286 FOURTH STREET, BREMERTON, WA 98337 ""'.,.,, ' ,', "
I:NS:PEC:TIO:N::RI.PORT '.,' , . 'PERMITN~.;C(I,t;o~r1. "
" ',haVe'thi~'daYinSpe~ted this str,u!t~reand.these:premises and havefoon:~ the following vi~lations
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. of City, County' and/or$tafe ,laws .go'{erning Same:
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Do Not RemQ.veThiils, Tag, DATE
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APPLICANT: l ~ER D CONTRACTOR D OTHER:
COMMENTS:
SITEADDRESS, --;;,C:/ / /=;Vo/)o;V
OWNER: ,41!t4-, rJ L c ~. ADDRESS:
CONTRACTOR: ADDRESS:
CONTRACTOR LICENSE # EXPIRATION DATE:
OWNER PHONE # (; P8 6(fY6 CONTRACTOR PHONE #
RANGE WATER CLOSET
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WOOD/PELLET STOVE BATHTUB
V GAS FURNACE btu's: LAVATORY
CONVERSION BURNER btu's: SHOWER
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UNIT HEATER btll's: KITCHEN SINK
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BOILER btu's: DISHWASHER
V GAS PIPING Vt/ LAUNDRY TRAY
EVAPORATION COOLERS btll's: CLOTHES WASHER
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AC UNIT btll's: WATER HEATER
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HEAT PUMP btll's: tons: URINAL
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REHEAT BOX btu's: DRINKING FOUNTAIN
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AIR HANDLING UNIT btll 5: FLOOR SINK OR DRAIN
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EXHAUST FANS SLOP SINK
- WATER PIPIING & ALTERATION
RANGE HOOD (residential)
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RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
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CLOTHES DRYER HOSE BIBBS
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INCINERATOR LAWN SPRINKLER SYSTEM
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DUCT ALTERATION SWIMMING POOL
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- TANKS type: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
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OTHER: OTHER:
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MECHANICAL PERMIT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50)
[;MEClflANlCAL FEES:
. PLu~jn~G FEES:
1:A, FEES,
. }' . i DATE: J.
APPUCANT'S SIGNATURE:~j.ztLL
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c 1 '1 Y OF rmft'IFRTON JPT I
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Th'l, ~3 Paymf:H"It; at!.. rota! fiLl.. 'l')mtf~z .~ )'10 I
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i .~ BREMERTON BIDLDING DEPARTMENT
I " Plumbing/Mechanical Insoection ReDort
Scope of work: Gas furnace with piping 7( e?^ 7f-ec- f7~ P-e- )-0097
(lI1cJ,f 6e
Address: Fl f"'lf"'l17rj n']ton, 170J
Contractor: ref" J. r "'-0 v ~
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GAS -f-o "C; (. ~ jv It:;j
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Underlat (10psi for 15 minutes) -
. Df {Ayeclirv--.
12" minimum below grade wben underground h 6" of earth
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Ground-joint unions proh.ihi.ted in certain locations
COMMENTS: DN A - n'D +es+ 7~/fb f?
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GAS PIPING APPROVED: 7-1& r9(p ((
FURNACE
Manufacturer's specifieations on site Location. acass, support
Cleuana: to combustibles Venting: dc:arana: to combustibles
Vent sh.int:t &; support! conneaions Vent termination
Combustion air Chimney: liner and/or sepU'ate flues as required
Gas sb.ut-off within 3' Pilot elevated off floor ~ garage
Ducts: size &; support/insulated when required Return air
COMMENTS:_O f\J 1'1 - ~-eLs -R, <: (' J~" r tl. vu: e s lY\ ~pa/_e
V \l;\a ce re..Q' ct. ,
FURNACE APPROVED:
MISC. APPLIANCES
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doon
COMMENTS:
MISC. APPLIANCES APPROVED:
WATER BEATER
Manufact:tuer's s 'Realions on site Location,acass,su ort
Clearana: to combustibles Venti : dearana: to combustibles
Vent sid &:su ortl connections Vent termination
Combustion air Chi ,liner and/or wred
Gas shut-off within 3' Pilot elevated. off floor in e
Garc valve on cold water su Relief valve drained to outside
"Co to alvaoiud connections Unions on water i
Seismi(; Stra
COMMENTS:
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WATER HEATER APPROVED:
ALL WORK UNDER THIS PERMIT APPROVED:
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