HomeMy WebLinkAbout1997-05-09 245 BRUENN AVE - Permits
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BREMER'TON PE:RM I ~r C:EN"rER
,'286 4th leet~ ereme,tDn~ WA 98337
Phone:: (:SMO) Ff~"X:: (360) 4.78-5;'2,78
BUILDING PERMIT
Job 01ddr ~ ~::~45 f:3f<UENN AVE Permit No~ 97-0277 1
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Location: WESTERN WASHINGTON BEVERAGE status: ISSUED j
!t Parcel No: 1624013-103-2009 Applied: 05/06/1997 j
Issued: 05/09/1997 1
Applicant: TIM MCGRAW CONSTRUCTION Expires: 11/05/1997
P.O. BOX 68S SIlVERDALE WA 98383 I
OWT'H';Y': ~~C:ST'E::RN \AIASl'''1 I NarON BC:VCRACiE
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245 BRUENN AVE BREMER TON WA 98312
i Lic II TIMMCCM122MLExp: 06/0f/1997 1
l Contractor: TIM MCGRAW CONSTRUCTION
! P .0 I' BOX bBn S J LVERDAI."E: WA 9B:::18:::1 :1
Subcont r ::
[lese: f<EP(-) J f</REPI "ACE STClF<M"DAMAGF!'1) 'rF~USSE:S ON WAI:<EI",IOUGE: I
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" Va] turt; :1 on * Permit Feen~ :::l40 ,,'70 Total Calc~lated Fee~ '71:::1,,50
! d!::i ~ 000 " 00 'l!: Plan Check Fees~ 2~::~6 "M Additional FeBS: ,.00
'l+ Other Fees: 1::10" 14 'rot a 1 P0~rmj t Fee:: ?l:::l ,;t:;O
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This permit shall bl~cClme null and void if the building or work authorized by thi€.! p(~rmit is not commemc:e,d within
180 days from the date! clf such permit, or j,f this building or work authorized bY(~llchpeirmit i,8 t~uspended or
abandoned at any time an er t he work is commenced for a Pi~ri od of l80 days.
NonCE '. It is theresponsi.bil ity of the permit holder, not the CHy of 13remertcm or Bui lding Official to see
to it thrit required inspections ate made. The permit holdeJY' must notify the Building Offic:ial when ready for
inspections. FailurE! of the permit holder to notHy the Building Official of required inspectionS! may result
in theJ stoppage of the work until such Urne. that the permit hold!:)t can substantiate to the building official
that the concealed work met:lts or c'Jxceeds code requIrements. Any demolitIon, tefltin(J, or financial burden shall
be borne directly by the permit holder. Failure to substantiat(~ code requirements will indemnify the City
i:l~1ainE!t any and all re~1p()nsibility or liability conm!Jcted with the constructIon.
I hereby certify that r have read and examined this permit and knciW the same to be true and correct. All
provisions of laws and ordinances governin9 this tyP€~ of work will bE) complied with \~hether sped fled hE:rein
or not. The granting of'a permit does not presume to. give authority tr) violate or cancel the prcwisic)l1s of
:~:r:!: :::"~~:;:~:~:::~:~:::_::::::~:::::_::_:::_ per ::: :::::_::_::::::~::.::::_________
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I certH t I I am exempt from the') requirements of the stc:it€! ccmtnlctor'S reg,!stration law, under
Sectior3, Chapter 126, lawE! of 1967"
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Perm:! t Cf.mtel'''"''''Approved By::" " . '" ".'".''''''' Date1: 6...- 9. -- '!t J
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8REMERTdN PERMIT CENfER
PERMI1 CONDITIONS
. Perm:t '1'; No:: 9'7"'0;.:':'77 Pa\Je:: 1
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, Deecript:ton=
, REPAIR/REPLACE STORM-DAMAGED TRUSSES ON WAREHOUSE
Condt t,.:I. oni:'~::
1.. F' I I:~ E:
A.. FIRE ALARMS SYSTEM PLANS ARE NEEDED.
8. KNOX BOX REQUIRED" APPLY AT FIRE DEPT..
C.. E:Xr J NGU I Si"IFJ'::S PE:]~ tJFC:::;'T(-~lNDAI:~D"
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! ) BRE_ME_RTON RM c:: NTER
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, 286. 4th Street 1/ C:J'J"'emertcm, t-.lA 98937
". Pt1one:; (360) 4,78-5275 Fkv,': (360) 478-5::;;)78
Building Permit No: 97-0277
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Location: WESTERN WASHINGTON BEVERAGE Issued: 05/09/1997
r.l~<<mY' Acct No:: 16~:~40 1. :::l'"'' 1. O:J''';;:~()09 E: x r:,\:!. r 1::18 :: 11/05/.1.997
f~ E: (:J U J F<. I:::: D INS PEe Jl 0 N 5
~ I t f:~m:: 0:t70:l. I:::'I NAI..""''''''I:::' I !:~I::: DC'lpt;:: F' I F<F:: Div:L1~,ion::
I Item: 01700 FRAMING D(~:)pt:: nL,O['~ Di v:l.f.:IJon ::
~ Item: 02700 FINAL--BLDG :::)(.~~ p t:: 1::31.", D G D :1, \;1 :1, f.il1. on ::
t M"MHMNW"""""""H"""H""""""""""""*""*"""""""""""""""""""HH"""""""""""""H""""""""""
"IT::Sr I NCl :i Must be recognized by the Washington Association of Building Official
r SPEC I N~;;;P Ii Must be registered with the State ofWA
! S"f' OF' t...lA:: State of WA Dept" of labor and Industries 4 7 H "';',4(f :;:~ .1.
j,,,1 E: fe, L" ''I'' (,,,I I: Bremerton/Kltsap Health piatr1ct 4 7!3""'52 :::l5
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BREMERTON BUILDING DEPARTMENT
Inspection Report
Scope of work: Rpr/rE:place stonn damaged trusses Permit Number: 97-0277
Address: 245 Bruenn Avenue
Owner: Western Washington Beverage Phone:
Contractor: Tim McGraw Construction Phone: 698-0191
FOUNDATION
Inspection card/approved plans on site Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
Bearing soil (soils analysis if applicable) Special inspector (when applicable)
COMMENTS:
,
FOOTINGS APPROVED: WALLS APPROVED:
FRAMING
, Plumbing & mechanical approved .
Electrical approved
Crawl space access (min, 18 X 24) Floor Joists and beams/proper clearance to earth
Positive connections posts & beams Foundation vents
Posts properly supported Anchor bolts: nuts & washers in place
Mudslll: treated material Floor joists: size & span
Beams/girders: size & span Notching & drilling: joists & beams, studs
Smoke detectors: all required locations Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom
Fans terminating directly outisde Range hood
Dryer exhaust vent All vent terminations: windows & property line
Fireplace combustion air Windows: meets egress requirements
Windows: proper U valve Windows: safety glazed where required
Ceiling heights Stairs: headroom clearance
Stairs: rise & run; proper width Flreblocklng: wall to ceiling, furred walls every 10'
Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers
Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates
Sheetrock backing Wall bracing
Rafters size/notching Trusses: specs, bracing
Attic access Attic ventilation
Wall & roof sheathing Shear nailing
Building dried in
COMMENTS: to{) {Ll CA.n. S di\ s:\~ --0~ p.- \ -f~ Y1 l'-t ~ q 7
APPROVED:
ENERGY CODE COMPLIANCE
Insulation: proper R value Insulation: proper fastening
Insulation: vapor barrier Bottom plates caulked to floors
Penetrations caulked as required Electrical boxes gasketed or caulked
6 mil black poly in crawl space
COMMENTS:
UNDER FLOOR/FOUNDA TION INSULATION APPROVED:
WALL INSULATION APPROVED: CEILING INSULATION APPROVED:
- - --
MECHANICAL
Appliance location and access, proper support Appliance clearance to combustibles
Venting: clearance to combustibles Venting: size & support
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Vent termination Combustion air
Ducts: size & support Gas pipe under test
Gas pipe: size & support Gas pipe: underground min. 12" below grade
Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance
Gas logs: safety shut-off Gas logs: damper permanently open
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Woodstoves: EPA certified Woodstoves & fireplaces: Tight-fitling doors
Woodsloves & fireplaces: proper hearth Manufacturer's specs on site
Chimney liner: when required Chimney: separate flues when required
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COMMENTS: I
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GAS PIPING APPROVED: FURNACE APPROVED: I
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OTHER APPLIANCES APPROVED:
PLUMBING
, . DWV & water piping under test DWV: proper grade
DWV: proper sizing DWV: proper drainage fittings where required
DWV & water piping:. proper support DWV: required cleanouts
Vent termination All fixtures vented properly
Waler supply: proper sizing Shut-off valves on all fixtures
Water heater: gate valve on cold water supply Vacuum breakers: where required
Waler heater relief valve drain to outside Water heater: siesmic strap
R-10 pad under water healer when required Water-piping insulated as required
Grease traps/interceptors: where required Proper indirect wastes: where required
COMMENTS:
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I PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED
SHEETROCK
Proper fastening: nails-]" o.c, horiz. plane I . nails 8" o.c. vertical plane
Proper fastening: screws~12. o.c. horiz. plane (1/2") screws-12" O.c. horiz. plane (1/2") 24" o.c. framing
I Proper fastening: screws-16" o.c. vert. plane (1/2") screws-12" o.c. vert. plane (112") - 24" o.c. framing
I Proper fastening screws-12" o.c. horiz. plane (5/8") screws-12" o.c. horiz. plane (5/8") - 24" o.c. framing
I Proper fastening: screws- 16" o.c. vert. plane (5/8") screws-12" o.c. vert. plane (5/8") - 24" o.c. framing
Area & occupancy separation walls Draftstops where required
Usable space under stairs (5/8" required) Waterboard where required (not on ceiling)
Corridors
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I COMMENTS:
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SHEETROCK APPROVED:
FINAL
Energy code requirements met, exhaust fans I I Plumbing & mechanical
Garage/dwelling door self closing solid core Smoke detectors where required
Handrails & guardrails, as required Fire ratings maintained
Exit signs when required Emergency lighting when required
Occupant load posted when applicable Building weathertight
Wood siding to earth separation (6" Building Address posted
Radon monitor when required
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COMMENTS:
.' 0/6{q7
FINAL APPROVED: Pr4~/
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BRE~~RTciN PE~MITCENT~R
';2864:thStreet," Bremerton, bJA98337
Phone::, (;q60) 4:78~5275 . FAX,: (360) 478:';'5278
BUILDING" PERMIT
Job,Add'C:~:~45"E3r~UENN AVE , Permtt No: 97-0277
L"ocat i dn: WESTERNWASI':'I I Nt:rrON 131::::VERACiE Status:PF:NDING'
ParC:t~l:No :l.6NC)l::l-,l03':'''iW09 ' , A l' j' O~'/(){ / 1 997
pp' H:':lC: ,.J,:) "
I f.SSLJ ed :
App 1 :lcant:, '{1M, MCGRAW CONSTRUCl' ION Expires:
P'~(J; BOX 688 SIL,VERDALFWA 98S183
I n" ''':'', WP~TFRNWA<:'HINr'TONI3I:::'VFI~AGF I
I ,wn!~r., '"''),''' ",) ~. ,'"'''' '''' ,m
':;:~4S ,Hf(UENN AVE EJRFMERfON WAf;;1B~:ll:? I
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"\ -, ',;-.. .. ' '... ,~. " . ,~ '(""'" ,..":,,, ~, Lie 1= TIMMCC*122ML Exp:06/0l./1997
,Coni: r act crr: '1.1. M MLt~H~W.CUN.:?n~I..j(" HUN ' ,
I P ('), Bm(t f]8' I": I L v~mf~nAI f'''WA i18~~r('l
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'Subcontr:: ',,',
Desc ~ RE:PAI R/REPLACE STORM""-DAMAEiED Tf~USSE:S ON, WAREHoUSE:
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Valuation * ~~e!rmit,;Ff:le~~: ";, ~:11:i.9:.) 'Totr:l.l Calculated FEH::J: 525;,H7
:~19 J,boo.oo *P IlH'I,Ch€H::: k Fei.~s: ':;~(Jq.42 ' 'Add:i, t iont.iI F ee$~, , ' . ~ C)()
I , *Othey'j:::'ees: , ,9.~)() ,,',!,'otalpermi.t Fef~: S25"B7
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This perinit'shall ,becQmenull andyoid, if,tqebuilding.6rwor~authorhedbY tbts permit is not commencedwitht'n
180 days from the dateofsuchp'ermH, 01; If JhisbuiJdinger'workavthorizedby such permit is susperid~dor
abandoned at ,any time afterthew,ork'is commenced for a perioaof180days';, '
NOTICE ;- I~ i$ theresponsibilIt,y efthe; permit hdlder,not'the, CitYofBremertonor Building Official toaee
to it that,reql,llredinspectionsaremade.'The permit holder emustnotify thr; Building Offidal when ready for;
inspections.. Failure of thepenilitholder,Jo notify the Building Official of required inspections may result
in the stoppage of the workuntilsuchtime,that the permit holder can substantiate. tot,he building official
that the conceill~d,workmeets or exceedSCt1de requhements,"AnydemoHtion,'testing;or financiaL burden shall
be borne directly bythe'pe:rmit..ho]der; Failure t6 substantiate code requirements wnrindemnify the City ,
against anyarid'aHc'responslbility.or liability connect.ed with' the construction, , ' " . , , "
. ' .' .
I; . fhereby certi fy .that.I' haye'readand E!xamined thispermi t' and know the same, tabe true and correct. All
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provisionso,f law$ and ordinances governingthis~ype" of woXk..will be complied witt! whether specified herein,
or not. The ,granting ofaperinit.dpes'T1ot presume to give authority ta violate or. cancel the provisions of ...
any other state or Idcal law regulating construct icm Or the 'perf6nilanceofconstruct fan. .
S (gna t ur e =. _:.._,~,__~,,,,:-..,__,;__,__,,,____..._,_"_"",.:."___".,;;;_,,,,______"..,..___~_".,.._
I cert ify that ram exempt fnJm thereqJirlements oft he. state;coritraRtor"s. reQistrati;Jn law, under. '. I
Sectjon3, Chapter 126, laws of 1967. " . , .,
Signature: Dat~:
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t B RE W"1 E:,,, R '"1- (::) N If-?ERM I C::ENTE:R
4th street'JilFJY"emerton~ f.<JA 98~~37
Phone:: (360) FAi'(' ~ ("'16')) 4 ~f:.' C:'-'-'8
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BU I LD I N(~ PERM J. T
! Job Addr~ 245 BRUENN AVE Permjt No: 97-0277
[; L.ocat :i. on:: IAE:SfEI'(N t,..JASH J: NGTClN n[:I)r:J(f:lf~F:: :::;tatw:~:: PENDING
Parcel No: 1624018-103-2009 Applied: 05/06/1997
~ lSf.iUed::
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l App], i. CE~ nt :r I M MCGI'(AW CONSrl:{UCT I ON F:xp:i.rf:Js:
P .0, BO.X 6BB S I L.I)j:]<DALI:;;: 1,~A 9B::lB~~l
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Owner: WESTERN WASHINGTON BEVERAGE
245 BRl~NN AVE BREMERTON WA 98312
Contractor: TIM MCGRAW CONS1'RUCTtON 1,,1.c ft.:: TIMMCC'*l;::~~:i.I'1L F:xp:: Or.:,/Ol/tii97
': p ,,0. i::jOX 6BB SJLVr:HDAL F WA 9B:::lB:::l
Subcontl':
Desc: j;<EJlA I IVI~EPL.ACE STCH<r1"~Dt-l~1f~GL[) 'rl:;:US~:;E:S ON t~IARE}IOU!:;E
i 1\:
I *******************************x*****x*****x******~~******************************************
ValuatJon ,j(, Pi':'ll"m:i.t F'€";€"ln:: ~;ll ~;~ " 9 ~::) Total Calc~]ated Fee: 5;:~5 "HI'
'1,1) '(' 00 * l,'lan Check I::e~:~s ~ ;:'~(Y:l, Add:!. t :i.cma:l. I::ef.:)~:i:: ,,00 \
"'<.,,,- .., '~d( ,v 0 lO, . .
,'35,000 * Ot her F ef'lS ~ (1,,50 Total Permit Fee: b2:::) " Bl
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I This pf:1rmit shall become null and void if' the building or work authorized by this permit j,s not commencE:d wl.thin
180 days from the date of ({uch permit, or if this building or work authcrrized by slJch p\'Jrmit is $uspemded crr
abandoned at any time aft er the wClr k i El commenced ftJr a peri od of 180 days.
NOTICE. - It is the responsl,bilit)' of the permit holder, not the City of 8remerton or Bui.lding Official to selS
to it that required inspections are made, The permit holder must notify the 8uilding Official when ready for
inspections, FaHure of the permit holder t(J notify the Builclin9 Official of required inspections may result
in the stoppage of the work until such time! that the permit holdl~r can Bubstantiatl'J to the building official
t hat the cllrtcealed work meets or exceeds code~ requ i re!mt~nts, Any demolition, testing, or f:lnanc:ii'~l bul'dem shall
t be bClrne directly by the permit holder, Failure to substantiate code requirements will indemnify the City
against any and all respcmsl.bility or Iiabilit)/ ccmm':!cted \llith the cOMtructi.on.
t ! hereby certify that r have read and examir1t:Jd thiEi permit and know the same to be true and correct. All
t provisions of laws and ordimlT1l:es governing this type,/of work wUl be compUedwith whethElr specIfied herein
I or not, The granting of a permit does. not presume to give i1Uthor:i,ty to violate or cancel thl~ provi8:l0l'lf.~ of
any other state or local law regulating Gcmst\'uction ell' the performimcl~ of cCl11structl,on"
l Signa t u'(' e : ___..;._,_".~"__"__,.""__"'~,__,__'""__..",.,.,_.._,_'.,.,_.."...".__,__.._,.,_...___,_,." [lat e: __.'._'___" ______,_ '" ......._ _ .'_ ___".___
I certify that r am exempt from thel requirements of the 13tate ccmtractCJr's registration law, Und~IY I
Section 3, Chapter 126u laws of 1967.
''.'
Signa t u r €I : _,__....____..".,._...,_~".._,_,..,"",.._..,_,_,_,.._...,_,__.__ ,._,___"._.._,. '.'___"__ Oate:________________________________
***************************
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BREMERTON PERMIT CENTER
286 4th Street, Bremerton, UA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr: 245 BRUENN AVE Permit No: 97-0277
Location: WESTERN WASHINGTON BEVERAGE Status: PENDING
Parcel No: 1624013-103-2009 Applied: 05/06/1997
issued:
Applicant: TIM MCGRAW CONSTRUCTION Expires:
P.O. BOX 688 SILVERDALE WA 98383
Owner: WESTERN WASHINGTON BEVERAGE
245 BRUENN AVE BREMERTON WA 98312
Contractor: TIM MCGRAW CONSTRUCTION Lie #: TIMMCC*122ML Exp: 06/01/1997
P.O. BOX 6BBSILVERDALE WA 98383
Subeontr: ~
Dese: REPAIR/REPLACE STORM-DAMAGED TRUSSES ON WAREHOUSE ~:t:. ,r ~
*******************************************************************' * **. * *****~*~****
~aluaticm * Permit Fees: 312.95 Total Ca~c~lr. . :t; r4f 5..::.:::>.87
~O.OOO.uu * Plan Check Fees: 203.42 Addltl Fees: .00
.3::>5) 600* Other Fees: 9.50 Total R mit Fee: 525.87
****************************************************************** *************************
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 such permit. 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 responsibility of the permit holder. not the City of Bremerton or Building Official to see
to it that required inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holder to notify the Building Official of required inspections may result
in the stoppage of the work until such time that the permit holder can substantiate to the building official
that the conceal~d 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 the provisions of
any other state or local law regulating construction or the performance of construction.
Signature:__________________________________________________ Date:_______________________________
I certify that I am exempt from the requirements of the state,contractor's registration law, under
Section 3, Chapter 126. laws of 1967.
Signature:_________________________~-------------------_____ Date: -------------------------------
***************************
Permit Center--Appro ---...............
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r . P.O. BOX. 6BB ,-),1 L \;EJdJALF, w?\ iJB,~Ha
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r ...!) .0. aox e,8:H SIIVERllAtJ:,': WA ,9l3:~~'tla
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,~fS,>> 000.00 *, P l.lm ct1(o~t, k f t'!lt'~~~, ".0.3 ,41~ , Add i t itm~ lfH~.., . .,00
, ,*' 0'1: h~H' F ef.~a ~ lr . 50 l C)t eH Pf~rlrd. t f~ f::~(H 5;;~~i.13'1
~ 'l('***i*~'************ *************,~~************.)!i:i('*'***'l!i****'~**' *****!l(,*******.~**il(,*****i******,*-****
this perm:ttshallbecome null and :void if theblJilding or work' authorh:ed by this. pSY'fIlitis not commenced within
180 days from the dat~Gf sl.I<sh penflit, ot if tMsbuHditlg or workauthorill!ld by such permit 1'a su~en.d$d or '.
abi.'Atldomdatany time after the work is cO!lllllenced fora period of 100 days. '~
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t40TlCE - It is the reepor!f,dbi l:i tr (if the permit holder, not the C!tyof BY'l!II!lertOri or ElUilding Offl.clal. to iOO . ,.:!
to it that required inspeotlol1'S ar(jllllacle. The permithoJdey /IlUst nOtifYJheauHdlil~ Official when Y'eady for ':
iilsPGlctioJi'j~s. F'aJlureof the p!rm.tt holder to notify U\if aullding Official of required inePectionsmay resttlt .,
.in the $~oppa\1.leof the work until slJch time that the perl\1it haldin' .can substantiate t1j t:he bufldin9'official
t,nat the concealed' work meets or exceeds Gode rei:!uiY'€lmants. Any demolition, testing,. or financial burden shall
be oo.rne dl'(~ctly by the permit holder. Faflurf!l ttt substantiate code reC'.luirementswiH tndemrdfy the City
t\lgainst anY and all re$~lOnslbi11tyorliabi1ity connected with the C;f.1l'!$tructior:t,
, .' ' .
I hereby cl'llrti fr that I have readarn:! examth,dtMll permit and ~oow theI1lS111l!l to .00 true incl correct. An
'prcwis!Of}!~ of laW$! and ordinances Qovemln9 this type of .work will be complied VJitnwhettier specified herein
OT'; not. TtJegri.illdng Illf a permit doesnofpn:fsumeto give' authority to: violate or cancel the pn)Vi~ion$ of
any' other {\tat.el:Jrlobal la~ regtdaHJ19 construc~ion orthe'PIIJrformanoe of COMtflJct.ion. .
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. I 't.~rt1fy 'thlllt lam exell:lPt hom the 'requireml!mtsof the atatecontnlotor'Sl registration law, \.md~r 'J
SacHem a$ 'Chapter 126. laws of 1'1S7. '. . 'J
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I RFCFIPl Numl::l{~'(': ')70()0.e:j.(,"IS limc)unt: " ()~:i/(j(t/9'/ 09: t 7
Paym~''l.nt /"If~t hod ~ Mr!~rf EH Not i'lt i em ~ MCf::iRAW MASTFI~ ;f nit: ~ \,JW I
r -,."",~, .,,, '_",'d'" ,...-,,,,,,,,,,~,,".~, .. ,." ,-,,, ,~, ,.,,-~,. " ~,,' >!'" ''''.' ",,. ","'''''' ,,,.. .\,,~<<.. '-''1 "'_'. ,~,' ",' 1-<.,
f P(fl"fl'd t No ~ f, BU)t~ONl Y BLOtl PE~m rr'.NO ~1rCH/ I
Parcel N9~ 16~~~401:l'''wa",,~~(JO(Jl I
I 'i:f,'l .' f1f{UENN AVF' I
l.,ocal~ i Oil ~ t~E!;TfEHN WA~3111Nl3 rON I
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BETTER BUSINESS FORMS (360) 696-2464
-
3593
BREMERTON MUNICIPAL UTILITIES
3027 Olympus Drive
Bremerton, Washington 98310-4799
478-5318
~TILITY SBRVICB AG~~B~NT
Work Order No. Tap No. Receipt No.Q7 Oo04-Co 5
Bremerton, WAf , 19 -
The undersigned
Service Address: 245 Bruenn Ave.
Legal Description'
Plat Block
------------------------------------------------------------------------
SERVICE REQUIRBMENT: [] Water [] Wastewater [] Stormwater
SERVICE AREA: [] Marine Drive Water [] Sewer District 11
[ ] City [] North Perry Water [] Tracy ton Water
[ ] County [] Port of Bremerton [ ]
------------~--------------------------------------------------------------
SERVICB CHARGES:
Connection/Inspection Fee: BARS #
Water: Domestic...............Size $
Fire . . . . . . . . . . . . . . . . . . Size .
Wastewater .... .... ...... ...... ...... ... .
Storm Water ............................ .,
Front Footage Fee:
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Wastewater . . . . . . . . . . . . . o. . . . . . . . . . . . . . . . . $
Storm Water ............................ .$
General Facility Fee:
Water ......., of units _ (It. .
Wastewater . ., of uni ts _ (It . .
Storm Water ., of units _ (It. $
System Development Charges:
Water .
Wastewater .
Storm Water .
Temporary Se~vice .
Road Permit [] City [] County ..$
Street Restoration [] Asphalt [] Concrete $
Tapping Fee .............................. .-
Deposit 1 storz adapter .
Other XttY . 128.64 401.388.1000
TOTAL. . . . . . . . . . . . . . . . . . .
---------------------------------------------------------------------------
1. Utility charges are the responsibility to the owner regardless of
whether the property is occupied by the owner or tenant. Unpaid
charge shall become a lien on the property serviced.
2. By this agreement, the undersigned owner acknowledges that the owner.
assumes the risk and the City disclaims responsibility for all claims I
for damage or injury to person or property resulting from the
following:
a. Installation, maintenance and operation of all plumbing, fixtures
or appliances connected to the water meter or wastewater main.
(Building permit inspections are limited in scope and do not
guarantee plumbing design or workmanship.)
b. Changes in pressure, flow or temporary shut-off of services due
to system maintenance, emergency or non-payment of charges.
Name westernwashlngton Beverage Phone Number ( )
Billing Address Z4J Bruenn Ave. ,I
remerton State WA ZIP 98312
Owner's Date , 19
-
Agent's Date , 19 -
of Bremerton Municipal Utilities: ~-9 19C?;
Date ,
Or! Yellow Copies: Utilities Accounting
Pink Utilities Engineering Goldenrod Copy: Customer
...
.'-
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.. d"'h' .........u....... .. __. .. . . . P' . . .u. ...... .. . .. . '. ... ....... . ...... ..... . .. .. .. ... ... .. . .... ....... ....
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...............-... ........ .-.".. .... ... ... .... . . . ... .... ... .. . - . ....- .... .... ......... .
. ...........-..... .........-.......... ..... - ......... ..... ... .. ..................... ............_-... ........ ... .......-..... .. .... ... ..... ....... -. .. ... .-. ...... -- .... - ....... ...... ..... .. ..... ....... ..................
:: '286 4th Stted:wBremennn,' \VA 98331f:.J?~~~~..(3.~Oy4i78~5275.F~(36(i)4:Z8b5278../
APPLICANT: DOWNER rsg CONTRACfOR D OTHER: q 7 - O::Z7 7
SITE ADDRESS: 2- 'I> t}/f,..,,....,...., ASSESSOR PARCEL #:
OWNER: tv"'J7.,,,... /.vI\. !Ji?vg ADDRESS: 1- '-IS IJllvl"-'- /J1f"".... 4--
CONTRACfOR: /rr-; /{:(;,cI'3.... eQ...... ADDRESS: pc IJo'/# tJrJ- S,lvl'l'cI,/L
CONTRACfOR LICENSE # Tr,..,,.., C C /2 'Z 1'7 L EXPIRATION DATE: 6- /- '7 7
CONTACfPERSON: Tlf/ I7S(;IW1- CONTACf PHONE # ](0 C'tJ' o/')/
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D SFR D DUPLEX D MULTI-FAMILY D BUSINESS 0 OTHER:
I D SIGN D DEMO D MOVE BLDG. D MOBILE 0 GRADIN'fll'r~ ill)
I D NEW r>a REPAIR D REMODEL D ADDmON 0 OTHEIC U\1 t<1M 0 G 1~'17
I D SEWER 0 SEPTIC '-:\P.CClTQM
i BRtM&nl 11
: INTENDED USE: BmlD\NG OEPA.RTMENl
!
I NATURE OF WORK PROPOSED: ;e~j7IfU"" { fl4//r7C' J7l>Ilr-, /)1'I,...,,,~t:! TIt~t5~j ,-
1..3",,11- lc,,, I< r (.:>", -
SQUARE FOOTAGE: Decks:
::.:NAtUAnoN ..'SURCHARGESH: .. '.:..mTALFFF.S.: n
$ ~ D 00 I ") 0/5 ~~,r ~::.;-:- $5 ~5 d' .~I/ I
I d- I CITY: $5.00 1../
Applications for which n ea within 180 days following the date of application shall expi e by
limitation, and plans and other a itted for review may thereafter be returned to the applicant or
destroyed by the building official. The building official may extend the time for action by the applicant for a
period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the
applicant have prevented action from being taken. No application shall be extended more than once. In order to
renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.
I hereby certify that the above in rmation is correct to the best of my knowledge.
APPLICANT'S SIGNATU DATE:
bpapp.dot revised 4123197
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I BUILDl:W6i Pf:tRMJ:T
Job Addr f, ~:~45 HRUFNN AVF, Permit No: 97-0777
i l,ot;i)tl, em: !.,IF:STEPN \AlASH INn TON !,:)I::;VFHr)GF: St: i':\ t tHS ; P1f::ND I NO I
r Pay t:f.~::I No:: 16;:\4()) ::~'" J O:::I"'?OO~I\ APplied: 05/061199/
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I OIAlT1m": t~E~:S n~HN W~ISH T NGfON I jEVE:f~Am:, 1
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t ~>'45 FlHUFNN AVE !,:~HFMfRf ON \.I'(~ 9H:':31;)
I ConI; r IJC t or' I: T! t1 Mctil~{)~1 CONSTRUCT lON Ltc 1. ~ rrMMCt>lf: I. ;~~:~m, 1':XP ~ O.VO 1./ 1 ';H}/
t P ,0, BOX 6BFl S 11. VF HnAtF !4A 9t!::m::J
Subeontr~
De$e~ f<FI';JAJH/f~f])t ACr S'rOf~t'l"{)f.INtIGFn TnUSSF!;.; ON Wt'1RFlIOUSF
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v!~11 (tat :1 em .)4) p~:l'(mj t F t'li:m ~( :)J ~,~, 9S 'I' 01: a 1 C!~d en 'I !~Ih~d Ft)f) ~ ~):?::l Jfl'
::~o ~ 000 .00 M: P 1. ,ll'l check f:~:)(':ln ~ ;,~o:~, fHkl i 1; I, om~ 1. F' et,.f~ ~ ,,00
,~ Ot Iwrr Fm:;l;~: 9,!)O .'1 ot fll f:>or ml t F(lt;; ~ ,flfl
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Thie permit shall beCClI'II~1 null and void if the building or work aut.horized by this pl~'(mit is not commel1c:\~d within
HiO daYti from the date ofl !at/en permit f 0''1' if t;hi~ bull.ding 0,' work author'heel by such permit is \illSpt!tj(lEld or
abimdoned at any time after the !.<It)'tK is COlllllll2mced for a pedm:! of l},)O days,
NonCE ~ It it~ the responel.bUity of thl:l permit holder, n~)t the City of Bn:~l&ertoil tn' Building Official t.o 6fee
to it that yaqui red in~pect ions are 1Th.,,*de" n\f~ permit holdler must: notify' the Building offid{\l IIlhen ready for
i r!SPec t i Ol1l3 . Failure of the permit holder to notify the Building Offichll of required insp€lcti(mr; fIIay i"fi!f~Ult
in the ~toppe~w~ of tttt~ work until !:!:uch til'fle that th(; ~,\ennit holder can substantiate tl'l too bui1din~l oHicial
that the r.;(lncf~aled wf.rrk meeh (J'( exceeds tiode H~q(,dremeflts" Arw df.~lllCllitt.on, testing, or finMGlal burdf.m shall
be borm~ 'di'r(::l~::tly by the permit holder. Fllilun~ to substant tate code Y'f;ltlUi remrmt(-lwl.ll indemni the City
iil,gaJ.i\lst any l.'Hld aU resprm!sibility or liabIlity connected t~ith the constY'uctl.ofl.
r hereby certHy ttlt~t I have read emd examiMclthia permit and know th~~ Sflme to be trW.'l and conect, All
provlsinM of l.al~$ and ordinances s;overning this type of work will be complied with whether specifi~.:d hErrf)ln
OY' not" The grantin9 of a perlllit does l'\1)t preaU1ll6 to \Jh)(~ authority tel violett; f:lf ctmcel the Pfovi$lons of
(my other ~~ti!lte m l()cal IaN 'H~gtllatin9 construction or th~l pe'f"fClY'miill'lCe of con~~tfuctl.t~m.
S i qna t u reI .~~." .: ".,~""'..~,~,..,~".,,~.,, """"'''~''"",""'' '-' ."", .,,~. ,. ,......... ".".".,~..".~,,,..... ,"'" ,_.. _,~".,,"' Oat (,~ ~ ,'>fl,(_><>j,o,~".."",.~. ""'"",~""Q",""""_'IIl'''I'''i,,,~,,,,,,'''''.rJ:oI~_''''' e."_............."...,"",..,....
I el!:lrtHJI that 1 81m axe~it h'fJm i:he requlrl!ll'!\f.JI'lUJ of thE'} atiolt;e CClntrlil(;terr'e n~gj,r,~ttlltl.Qfl Im~, under
Sl~ct icm ::l, Chapter 126. laws elf 19t,/"
Dirt e: ".',."", ~..,_~".'."".,.....".,~__..".,~,._.._.".,..,~,~_..._".
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