HomeMy WebLinkAboutBROADWAY AVE., 806 FILE
r BUILDING PERMIT 806 BROADWAY AVE
INSPECTION INSTALLATION OF SPLIT
SYSTEM HEAT PUMP IN SFR
CARD
M
Building Plumbing Mechanical Alarm /Sprinkler
This Placard must be posted on or near building and the Permit & "Approved" plans must be at the sit
Permit # BB 10 00779 POST ON SITE
Call the following Agency Telephone Numbers for inspectio - Property lines shall be properly identified and marked before
Budding Department Inspections Call (360) 473 -5870 foundation footing inspection Setbacks are measured to the
WATER - Public Works - Water (360) 473 -5927 finished wall structure
- Remspection fee maybe assessed if inspection has been
PW - Public Works - Engineering (360) 473 -5270 requested when not readyor corrections are not completed
HEALTH - Kitsap Co Health District (360) 337 -5285 - Permit, approved plans, engineering, and inspection card shall
Fire - Fire Department (360) 473 -5394 be on site during construction or Remspection Fee may be
L&I - Dept of Labor and Industry (360) 415 -4000 assessed
Inspection Approved Date Notes
Mechanical Rough -In 2
L &I - Electrical Final Inspection
FINAL BUILDING (360) 473 -5870
All of the above must be approved
Occupancy approval for SFR only - Commercial
structures require a separate Certificate of Occupancy
DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENTAPPROVAL
PROTECT THIS CARD FROM THE WEATHER
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L WKEMD
My of Bremerton
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PERA41T CENTER DEC 2 12010
Dept. of Community Devel9pment *345 — 6 Street, Suite 600 *Bremerton *WA *98337 -187 rmn
Connunity Development
Mechanical 0 Plumbing
Type of Fuel: O Electric O Gas D Oil ❑ Propane
Occupancy: / 1tesidential ❑ Commercial
Site Address: Lo G root � wu.!
CONTRACTOR OWNER. 7w
Address: /J1 o j; k tc j A Sot Address. �s0 root wa.
Ci , State, Zi : E gj W t^ Ci , State, Zip W W 7 r33
License #: Phone # (3( S i r 6/
Contact Phone #: ZS 3 Z 7 3 , a s� Tax ID/Parcel #:
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
AIR HANDLING UNIT >10,000CFM ATMOSPHERIC VACUUM BRKR 1 -5
AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUM BRKR >S
BATH FAN AND /OR EXHAUST FAN BACKFLOW DEVICE < =2"
CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE > 2"
CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER
CLOTHES DRYER W/ EXHAUST CLOTHES WASHER
COMMERCIAL FURNACE(DUCT COMMERCIAL FLOOR DRAIN
COMM. FURNACD100,000 BTUS DISHWASHER
COMPRESSORS DRAIN PIPEIVENT PIPE ALTERATION
COOK STOVE W/ EXHAUST DRINKING FOUNTAIN
DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN
ELECTRIC FURNACWHEAT PUMP FLOOR S1NK/INDIRECT WASTE
EVAPORATIVE COOLER GREASE INTERCEPTOR
FIREPLACE -GAS OR GAS LOG INSERT HOSE BIBBS
FIREPLACE -WOOD, OR WOODSTOVE INDUSTRIAL SAND /OIL INTERCEPTOR
GAS WATER HEATER & VENT LAWN SPRINKLER W/ BACKFLOW DEV
GAS PIPING ROOF DRAIN
MISCELLANEOUS MECHANICAL SHAMPOO SINK W/ BACKFLOW DEVICE
NATURAL GAS FURNACE/DUCTING SINK (LAV, KITCHEN, MOP OR BAR
PROPANE FURNACE/DUCTING SUMP PUMP
PROPANE TANK <2000 GALLONS TUB AND /OR SHOWER UNIT
UNIT HEATER WATER CLOSET AND /OR URINAL
OTHER- OTHER
OTHER: OTHER
MECE"ICAL FEES: 3 3 b
PLUMBING FEES:
TOTAL FEES:
Applicant's Signature Date
I CITY OF BREMERTON PERMIT NUMBER BB10 00779
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED 12/21/2010
345 - 6th Street Bremerton WA 98337
(360) 473 -5275 Fax (360) 473 -5278
WSSESSOR NUMBER 3743 - 002 - 008 -0004 ZONING R10 SITE ADDRESS 806 BROADWAY AVE
APPLICANT NAME EASTON KATHRYN A PHONE (360) 551 0198 ADDRESS PO BOX 814 BREMERTON WA 98337
OWNER NAME EASTON KATHRYN A PHONE (360) 551 0198 ADD ESS PO BOX 814 BREMERTON WA 98337
CONTRACTOR LHF CONSTRUCTION PHONE (253) 273 -056 AD RESS 4905 N HIGHLAND ST TACOMA WA 98407
LENDER NAME PHONE DRESS
SUBMITTED 12/21/2010 APPROVED 12/21/20 PIRATION 06/19/2011 STATUS ISSUED
VALUATION Mechanical /Plumbing Per t
Mechanical Fixture Fee $3830 2215 INSTALLATION OF SP T S� TEM HEAT PUMP IN SFR
TOTAL FEES $3830 Building Code Edition
Occupancy Group
Type of Construction
Flood Zone
Setbacks
Sanitation Method
Number of Bedrooms
Inspection Requests FIRE Fire Inspections (360) 473 -5394
DCD Building Inspections (360) 473 -5870 HEALTH Kitsap County Health District (360) 337 -5285
L &I Department of Labor and Industries (360) 415 -4000 PW &U Public Works - Engineering (360) 473 -5270
This permit shall become null and void if the described work authorized by this permit has not commenced within 180 days from the date of issuance or if the work is suspended or abandoned
at anytime after the work is commenced for a period of 180 days It is the responsibility of the permit holder to see that the required inspections are made Failure to obtain required
inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code
requirements Any demolition testing or financial burden shall be borne directly by the permit holder Failure to substantiate code requirements will indemnify the City against any and all
responsibility or liability connected with the construction I hereby certify that I have read and examined this permit and know the same to be true and correct 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 provisions of
any State or local law regulating construction or the performance of the construction If listing the owner as general contractor I certify that I am exempt from the requirements of the State
Contractor s Registration Law under Section 3 Chapter 126 Laws of 1967 All revisions to an approved plan require DCD review and approval prior to performing work All building and tenant
occupancy permits are required t pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy
I have read, and agree to abid y e con ons of this permit including all conditions of zoning, building cod s, and State and Federal laws
SIGNATURE OF OWNER OR
AGENT
PRINTED NAME — �� L DATE C Z / a r 0
CONDITIONS
City of Bremerton's approval o hls application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws
10 (DCD -02) DCD Validity of permit The Issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid The Issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors In the construction documents and other data The building official
Is also authorized to prevent occupancy or use of a structure where In violation of the
Washington State Building code or of any other ordinances of the City of Bremerton
10 (DCD -01) DCD Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency
(Clean Air Agency) and Washington Department of Labor and Industries (L &I) regulations
require an asbestos survey be performed to determine whether there are asbestos -
containing materials In the work area or structure The asbestos survey must be
conducted by and EPA - certified (AHERA) building Inspector (except renovation or owner -
Page 1 of 2
CITY OF BREMERTON PERMIT NUMBER BB10 00779
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED 12/21/2010
345 - 6th Street Bremerton WA 98337
(360) 473 -5275 Fax (360) 473 -5278
1,
r4SSESSOR NUMBER 3743 -002 008 -0004 ZONING R10 SITE ADDRESS 806 BROADWAY AVE
APPLICANT NAME EASTON KATHRYN A PHONE (360) 551 -0198 ADDRESS PO BOX 814 BREMERTON WA 98337
OWNER NAME EASTON KATHRYN A PHONE (360) 551 -0198 ADDRESS PO BOX 814 BREMERTON WA 98337
CONTRACTOR LHF CONSTRUCTION PHONE (253) 273 0561 ADDRESS 4905 N HIGHLAND ST TACOMA WA 98407
LENDER NAME PHONE ADDRESS
SUBMITTED 12/21/2010 APPROVED 12/21/2010 EXPIRATION 06/19/2011 STATUS ISSUED
occupied single family residences) DCD For more Information, please contact Clean Air
Agency through their web site at www cleanair org or by phone at 800 - 552 -3565 or 206-
689 -4058 The L &I web site can be found at www Ini wa gov /p -ts /asbestos /asbestos htm
MINIMUM INSPECTIONS REQUIRED
To request an inspection, please call (360) 473 -5870 and be sure to provide your permit number, name on permit, site address, contact
phone number, and inspection type To register for on -line inspection access, visit the City's website at www ci bremerton wa us
Mechanical Rough -In
L &I - Electrical Final Inspection
FIXTURE LIST
Qty Description Qty Description
1 C- Electric Furnace /Heat Pump
Page 2 of 2
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3U~~ D NG 'E~M ~T ~~ 3312 A -~."
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City of Bremerton, Washington , /
/
Phone: (206) 478-5281 L
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$8600 ~ ------- f"'~ .- ~ 5 Y7;;'? $ tJ:~~cJ s-r?3-7 .2 ---.S--c?/
,-:> ..5
j> ;; 7" 0 .~ 0 ~ ~L ~ Od {f -= (Jot!'
OWNER'S NAME PHONE
CONTRACTOR STATE CONTRACTOR'S L1C. #
ADDRESS PHONE
~ RESIDENCE o BUSINESS o OTHER o NEW o REPAIR ~ REMODEL o ADDITION o DEMOLISH
PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: ;f~/ ~~ ~~~ a.- ~ ..~ ~~~
c;.~. . .::Y
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 regulati ng construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation A Framing Plumbing ~ Electrical ~ Wallboard ~ FINA~
SEPAc"'k4:TE PlSRNITS LttE REQUIRED (~ilHEF.E APPLICABL:E) }i'OR PLUl'iJ.Bnm. ],-'lECHl'JJICAL AND ELEC'TRICAL
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED COMMENT DATE TIME APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIF EQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE] BY
BUILDING DEPT. &~.
/'
__________n__
\}'.::. .';., a a
- -'~'
, INS PEe T ION S
------------
Inspections Required For Stated Construction
BUILDING DEPARTMENT
~OUNDATION ~ELECTRICAL ~ INSULATION
;jl{POST & .BEAM ~PLUMBING . ASHEET ROCK OR COVj'R
~r'R..l\MING ~CHANICAL~. FINAL
ENGINEERING DEPARTMENT
[] FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
[] FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
[] CONNECTION TO CITY STO&~ OR SANITARY SEWER r~qIN LINES
o PIPE INSTALLATION PRIOR TO COVERING
FIRE DEPARTMENT
o LIFE SAFETY 0 FIRE CODE
Cj FIRE EXTINGUISHING SYSTEM [] SPRINKLING SYSTEM
[JREMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN
FLAMMABLE M~TERIALS
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 s.tructure is occupied wi thouta-
Certificate of Occupancy, the City will have the water utilities
removed and order the structure vacated until compliance is achieved.
I have re;;.d and un stft.nd a 'the a!;Jove that pertain to the
Cons.truct.1.on at p . .<~7 . . .
~ address) ~
SIGNATURE~P~ DA'fE_ 2-ryci' J
TITLE . ~ .
,
"
~~. <~ . ' ..ARPLICATfON
~ CITY'OF BRErJfEftlroN ~. BUILDING ' -.
--;'iLU~~'( c,& ,- ) I/fL.. :3 C~ .(CUP, ~)
~..~ao'."':..;.:,.:d. . LPERH1T1'tC $,.....'.!.a.... K s....D~..~... .5..~2.:::?-A.. ...
'Dl)R~S-'LOCA.T10N Of' .J08.. ~ .89. fz..... .~~1fQ.W&....l'.~.... ........ , ~. ~................... ....,. .,.
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PROPERTY-TAX ACCT. NO. ..-$7;~:i:-.~. :~P? .-.~:T:....... ..;;:.. "'.... ....... .
. - . . . . . . . .:. . .. . ..
.- ~lAJ(6.-}P" ~/LY. ~ .. """"':.L?~.G" )
ILANNINGIOtHNc;............ FiRE IONE............ OCCUPANC'f;-.J.....'M'".... - TYPE OF CONSTRUCTlq~..r.-~n:..."'?.. ~ .
I
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,~r;E~..... ... .~_..,........~....Y('J.~a....... ~.......~....... .' CONTRACTOR...............,.......o...... .-, ,.
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.DRESS;......!2g.....~.iIf!.4...~IJ?fJ.....~I.L.t;~I.~.... ....ODRESS. . . -,.' .'. ...
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,.'CHA"''''PPLlC.... . ~.(f.~..... DAT!rI~-#!J?i '!C!I"'D BY~'"
~CCEPTANCE OF APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT..
'LANNI..NG COMl1. EN...T. .S;1R.. t'.'.II.'.'l:.liE.O 8~u .<:f~.. . ./.!Pl "'./..5"/.. .. .... . ... .. . . /...> . .'.-;4.~.-,..~. ..O?'/..../1. .. i. .I.. ~.'t ""A.T'P'f) "-
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. SI!PARATt PERMIT REQUIRED FOR WCRiC IN RIGHT-OF-WAY, EXCAVATION, PAVlfJG, SIDEWALKS.SANITARY , STORM SEWElL .
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~~fDEJlT. COMMENTS/REvIEwED &Y..... /...~~ ~~ If)~~.c:.~ ~ ~ c . ..^P~~D",,:
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"';,ATlR D(PT. - - . " ~
SEPARAtE PERMfTS REQUIRED FOR PLUM81NG AND MEC~ANICAL WORK. _ ~~
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I.LECTR 1 CAL REV! EWEO a1.......... API" n
or
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.. SEPARATE PERI4fT ~EQUIRED fOR :LECTRICAL WORK. i ~
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PERMITS
--. - - - - - -
Indicate below what requirements, permits are required for this project.
PLANNING DEPARTMENT
o SHORELINE o REZONE 0 SPECIAL USE PE&~IT
'JIttA/ zJ~ D
RlVARIANCE ~~~~ SHOR.'r PLAT CHANGE OF SITE PLAN
o ENVIRONMENTAL IMPACT }\SSESSMENT
o ET\'VIRONMENTAL IMPACT S'rATEMEN'I'
BUILDING DEPARTMENT
.-
~UILDING i5"ELECTRICAL 0 DEl\10LITION
D MECHANICAL ~ GRADING 0 SIGN
o HOUSE HOVING [1Y PLUMBING
ENGINEERING DEPARTMENT
[]SIDEWALK CONSTRUCTION 0 STOHM SEWERS 0 DRIVEWAY
[]CURB & GUTTER CONST. 0 SANITARY SE~"'ER CONSTRUCTION
o STORM DETENTION REQUIRED
o INSURANCE AGREEMENT FOR RIGHT-'OF-WAY WORK
HEALTH DEPARTMENT
-
o SEPTIC TANK 0 FOOD SERVICE
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