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DEPARTMENT OF COMMUNITY DEVELOPMENT
Planner Jim Svensson
jsvensson@ci.bremerton.wa.us
October 255 2002
Darren E. Straley
Dealin Inc.
351 Broad Street North
Seatle, Wa 98109
12E: Proposed "Cruise Night" at A&W
Dear Mr. Straley:
I have reviewed your letter of October 14, 2002 and the site plan you submitted regarding your proposal to
institute "Cruise Night." at the restaurant, convenience store, and fuel sales facility located at the north east
corner of the intersection of Bunvell Street and Montgomery Avenue. The site plan you provided indicates
approximately 30 parking spaces and a "future building" pad that are available for parking and display of
vehicles at such an event.
We are supportive of your wish to develop such an event as being subordinate to the A&W restaurant, and I
am personally familiar with the Port Orchard A &Wand its Cruise Niglrt events.
You have indicated that you will keep us informed as to the evolution of the event and its frequency, and
such information will be appreciated. Our primary concern would pertain to the availability of parking and
access to the store and fuel sales should the event evolve to the extent of the one at the Port Orchard A &
W.
If you should have any questions, feel free to contact me.
ply,
%P-^
Svensson
ipment Manager
CC: Janet Lwiceford
Dealin Inc.
October 14, 2002
35wi broad 3t. worth
Seattle, WA 98109
Bremerton Department of Community Development
Mr. ,lim_Svensson, Development Manager
The purpose of this letter is simply to inform. the Bremerton Department of Community Development
that D�alin Inc., .operator of the Seventy Six gas station and A&W restaurant at the intersection of
Burwell and Montgomery, is considering some type of "cruise night' to generate sales activity for the
76 and A&W restaurant. Such event would have no outside vendors and is simply to promote the
business and services offered at the Burwell St. 76 and Bremerton A&W. We currently have
approximately 39 parking stalls on site, Site parking is more than adequate to support any increased
sales we may incur during said "cruise night'.
Currently there has been no definitive date set, or has it been determined if this be a reoccurring
promotion. I will keep the -city informed if and when we -intend to proceed with this idea.
If you have any questions please feel free to contact rrae.
Thank you,
Director
206.728.1938
OCT 202
2002 lit
BREMERTON
BUILDINGDEPARTMENT
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CITY OF,
BREMERTON
L'AI
Department of Community Deve%pment
This certificate issued to the requirements of Section 110 of the International Building Code, as
adopted by the Bremerton Municipal Code, certifies that at the time of issuance this structure
complied with the requirements of the code for the occupancy and division of occupancy and the use
for which the occupancy is classified. Issuance of a Certificate of Occupancy shall not be construed
as an approval of a violation of the provisions of any building code or of the other ordinances of the
City of Bremerton.
SITE ADDRESS: 2550 Bi1RWELL ST
iUi ,4
KENT, WA 98031
OccupantConstruction Classification.
Permit Nttmbef : BB17 00527
Business License Number: 32627
;i
Date: 09/29/2017
Andrea L.:;Spencer;` Cots�'inunity Development Director
Special Conditions:
City of Bremerton
Department of Community Development
PERMIT NUMBER:
DATE ISSUED
:: �i[ID�i►�rl
08/30/2017
345 - 6th Street, Ste, 600, Bremerton WA 98337 SITE ADDRESS: 2550 BURWELL ST
(360)473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT: ACEITUNO, LLC
OWNER: MONTGOMERY & BURWELL LLC
CONTRACTOR: ❑
LENDER:
SUBMITTED: 07/03/2017
VALUATION:
State Surcharge
Building Permit
Plan Review Fee
Technology Fee
Certificate of Occupancy
$5,200.00
$4.50
$124,00
$80.60
$6.20
$73.00
TOTAL FEES : $288.30
ZONING: GC
Phone
206-861-2008
APPROVED: 07/12/2017
Address
10605 SE 240TH ST
KENT, WA 98031
3810 56TH AVE SW
SEATTLE, WA 98116
EXPIRATION: 02/26/2018
Commercial Building Permit w/ Mechanical/Plumbing
Access Code
4RB2L-GNEX3
IJ3W0-YZH9I
STATUS: ISSUED
ACEITUNO'S - ADD A WALK IN COOLER AND OCCUPANCY
ACEITUNO'S - ADD A WALK IN COOLER AND OCCUPANCY
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
IBC: 2015
fB
SEWER
Inspection Requests: F[RE; Fire Inspections (360) 473-5386
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 any time 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 to pass final inspection
prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read, and agree to abide by the conditions of this pfPmit incpding all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR AGENT: [��"r(/�' / !
CONDITIONS
Printed by :Wood, Tracey on: 08/30/2017 Ol :55 PM
Page 1 of 3
City of Bremerton
Department of Community Development
345 - 6th Street, Ste, 600, Bremerton WA 98337
(360)473-5275 Fax:(360)473-5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT:
OWNER:
CONTRACTOR:
LENDER:
ACEITUNO, LLC
MONTGOMERY &BURWELL LLC
rn
SUBMITTED: 07/03/2017
ZONING: GC
Phone
206-861-2008
APPROVED: 07/12/2017
PERMIT NUMBER:
DATE ISSUED:
Address
10605 SE 240TH ST
KENT, WA 98031
3810 56TH AVE SW
SEATTLE, WA 98116
EXPIRATION: 02/26/2018
BB17 00527
08/30/2017
SITE ADDRESS: 2550 BURWELL ST
Access Code
4RB2L-GNEX3
IJ3W0-YZH9I
STATUS: ISSUED
By applying for this permit, the applicant has granted to the City of Bremerton the right to enter the above -described location at reasonable
times to inspect the proposed, in -progress or completed work performed under this permit to ensure compliance with the permit conditions and
other applicable laws and regulations. Should such entry be refused, all authorizations and approvals contained in this permit shall be
immediately suspended and any work performed under the permit shall immediately cease until authorized in writing by the City of Bremerton.
Work performed in violation of this condition shall be considered to have been performed without the approval of the City of Bremerton. The
City of Bremerton's approval of this 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.
1. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of
Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or
failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a
year has passed with no activity. The permit expires 180 days past the date of inactivity.
Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be
uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical
rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing.
2. (DCD-01) ASBESTOS AND LEAD -BASED PAINT:
ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound 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 -occupied single family residences).For more information, please
contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 20&343-8800. The
L&I web site can be found at www.Ini.wa.gov/TradesLicensing/LicensingReq/Asbestos/default.asp.
LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on
a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training
provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For
further information please contact: The Department of Commerce website at: www.conrrnerce.wa.gov/lead, or call: (360)
586-LEAD (5323).
CONTRACTOR: A contractor's registration issued by Washington State Dept. of Labor & Industries is required for anyone
who contracts or submits bids for construction work, including new construction, alterations, repairs, or anyone who consults
or superintends, improves, demolishes, develops residential property for sale, or "flips" houses. Contact L & I at (360)415-
4000 for information.
3. (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. 5W7
4. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be
on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called
for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -
inspection fee will be charged and must be collected by the Department of Community Development prior to any further
inspections being performed or approvals granted.
5. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection.
Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the
change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections.
6. (DCD-08) Plumbing work shall be performed by a Level 01 Journeyman Plumber licensed in the state of Washington.
Residential plumbing work maybe performed by a Level 01 or :Level 02 Journeyman Plumber licensed in the state of
Washington. Single family residential plumbing work may be performed by the owner.
Printed by :Wood, Tracey on: 08/30/2017 01:55 PM
Pagc 2 of 3
City of Bremerton
Department of Community Development
PERMIT NUMBER
DATE ISSUED:
BB17 00527
08/30/2017
345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2550 BURWELL ST
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT: ACEITUNO, LLC
OWNER: MONTGOMERY & BURWELL LLC
CONTRACTOR: ❑
LENDER:
SUBMITTED: 07/03/2017
7. (DCD-10)
8. (DCD-58)
9. (DCD-51)
10. (DCD-91)
1I. (LU29)
12. (Custom)
13. (Custom)
ZONING: GC
Phone
206-861-2008
APPROVED: 07/12/2017
Address
10605 SE 240TH ST
ICENT, WA 98031
3810 56TH AVE SW
SEATTLE, WA 98116
EXPIRATION: 02/26/2018
Access Cade
4RB2L-GNEX3
IJ3W0-YZH9I
STATUS: ISSUED
A separate electrical permit issued through Labor &Industries (L&I) is required for any new, modified, repair, replacement,
service, maintenance, or temporary installations. Electrical work is inspected by L&I prior to cover and the framing
inspection. Contact L&I at 360-415-4000 or www.Ini.wa.gov, (RCW 19.28)
To satisfy public records retention requirements and public disclosure requests, a set of as -built plans in electronic format
shall be submitted to the Building Dept. before the final building inspection is scheduled. The format may be in .pdf
(preferred), .jpg, or .tif electronic files and submitted on CD, flash drive or other acceptable method as determined by the
information technology specialist. As -built plans include the civil drawings, site plan, floor plans, construction and structural
drawings, and facility systems.
Certificate of Occupancy: A Certificate of Occupancy must be issued for the building prior to use and occupancy. Please call
(360) 473-5870 to schedule the required final building inspection after the final Development Engineering, Public Works,
Planning Department, Health District and L&I Electrical inspections have been performed and approved. OCCUPANCY —
Certificate of Occupancy inspections by Building and Fire Departments after the occupancy is stocked and stored and before
opening to the public may be requested by email at Michael.Six@ci.bremerton.wa.us or (360)473-5870.
Call before you dig: Calling 811, two business days before you begin digging, will alert utilities to come out and mark
THEIR buried lines from the street to your house For FREE!
No sign shall be placed, erected, or displayed without first obtaining a sign permit unless exempted under BMC 20.52.040.
Sign size and placement regulations can be found in BMC 20.52.
Off -premise signage is prohibited.
Must comply with Title 20 of the Bremerton Municipal Code and development regulations of the District Center Core zone
(BMC 20.70).
FIRE:
Install fire sprinkler head in the cooler if the building is equipped with a fire sprinkler system.
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.
Inspection Description
MECHANICAL Mechanical Rough -In
ELECTRICAL COVER L&I - Electrical Cover Inspection Before Framing (State of Washington)
ELECTRICAL FINAL L&I - Electrical Final Inspection
HVAC SHUTDOWN HVAC Shutdown tested with Fire Alarm System
FIRE - FINAL FIRE - Final Inspection
WATER - CROSS CONNEC WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigation)
HEALTH - FOOD HEALTH - Health District Food Prep License Inspection
FINAL - BUILDING Final Inspection - Building
C OF O Certificate of Occupancy Issued by Community Development
Printed by :1Vood, Tracey on: 08/30/2017 01:55 PM
Page 3 of 3
BUILDING PERMIT
INSPECTION CARD
PROTECT THIS CARD FROM THE WEATHER
Building ❑ Plumbing Lj
2550 BURWELL ST
ACEITUNO'S = ADD A WALK IN
COOLER AND OCCUPANCY
CITY OF
BREMERTON
Mechanical ❑ Alarm/Sprinkler Lj
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site.
Permit # BB17 00527
Call the following Agency Telephone Numbers for
inspections:
Building Department Inspections: (360) 473=5870
Water - Public Works: (360) 473=5927
PW - Public Works - Engineerina: (36 ) 473-5270
Kitsap Public Health: (360) 337-5235
Fire - Fire Department: (360) 473=5385
L&I - Dept of Labor and Industry• (360) 415=4000
- Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
Reinspection fee may be assessed if inspection has been
requested when not ready or corrections are not completed.
Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee may be
assessed.
Inspection
APP
DATE
Notes
Mechanical Rough -In
!SA
C_ Z
L&I - Electrical Cover Inspection Before Framing (State
of Washington)
L&I - Electrical Final Inspection
FIRE - Final Inspection
a�
WATER -Potable Water Backflow Prevention (domestic,
fire sprinklers, irrigation)
HEALTH - Health District Food Prep License Inspection
M m
Cr. c�cj
Final Inspection -Building
6o—
Certificate of Occupancy Issued by Community
Development
F
C q
J
FINAL BUILDING (360) 473-5870
All of the above must be approved. Approved Final Inspection grants occcrpancy for single farnily residence only.
Commercial structures require separate Certificate of Occupancy.
DO NOT OCCUPY BUILDING W111HUU'1' 13U1LllilV li >ur;raKrtviEiv >< arrxvvAl,
Page 1 of 1
C I T Y O F
BREMERTON
r
PERMIT C
COMMERI
Building Permit Application
(3G0) 4,73-5278
www.ci.bremerton.wa
I:1
of B
To apply for a property address,
contact Public Works at
(360) 473-5270
CONTRACTOR
BUSINESS OWNER
Name: c�t� �� �
Name: S� �` � (Ace
l�✓/1
Bremerton Business License:
Authorized Agent Name:
Contact Name:
Address:
Contact Phone #: (
Ci ,State, Zi
Email address:
Phone #:
Tax IDlParcel #:
Email address:
Sewer Se tic
What is the application for? (Please check)
�
New Construction
Alteration � Addition
0
NEW COMMERCIAL
COMMERCIAL REMODEUADDITION
COMMERCIAL REPAIR
NEW MULTI -FAMILY
OTHER:
DEMOLITION Interior Exterior*" Foundation
�
�
�
0
0
Wall""`
TENANT IMPROVEMENT WITH WORK
OCCUPANCYW(TW-EFFPddGE��F USE
NEW SIGN
GRADING (Cubic Yards: )
REROOF
Roof /Section"`
Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior fo demolition permit issuance.
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES � NO
Scope of work proposed/Type of Business: �� � C � (�o n Y c � �( �-`=� k�5 Ci;
Square Footage: Building:
Construction Type:
Valuation
Plan Review Fee
Permit Fee
Surchar a
Tech Fee
Total Fees
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data
submitted 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 the circumstances beyond the control of the
applicant have prevented action from being taken. No applicant 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 grant the City of Bremerton the right to enter the above -described location at reasonable times to inspect the proposed, in
progress or completed work under the permit for w_ hich I am applying to ensure compliance with the permit conditions and other
applicable laws and regulations. '
Applicant's Signature �� Date � S - � �
Name
Rev. March 2017
Bremer ton Fire Depar tmen t
Fire Marshal's Office
Construction Assistance BUlletin
Operations checklist
Project Address:
Primary Contact: Email:
Below is a checklist of activities which this occupancy will be performing during
day to day operations, not during construction. Please check all that apply.
Also, please provide a copy (in both PDF and DWF/DWG format) of ALL
drawings and specifications for this proiect.
Please check all that apply:
Aviation
Battery Back
Card swipe system
Compressed Gases
u
Cooking
Corrosives
Cryogenics
Emergency
Generator
Fireworks
Flammable
Flammable/Combustible
Forklifts
Material
Liquids
Gates
Hot -work
Lame Ovens
LPG
Lumberlwood
Motor vehicle
Painting/powder coating
Racks (12' or more in
products
repair
height)
Refrigeration
Storage >6'
Tire Storage
Dust products will be
System
high
produced
Place a check next to any item that will be addedlremoved or otherwise modified DURING
CONSTRUCTION Nov
Electrical
Plumbin
Fire Alarm
Fire S rinkler
Hood S stem
Walls
HVAC
StormlSe tic
Building Access
Site changes
Windows
Stairs
Elevator
Doors
Building spraidiv
I ALL NEW CONSTRUCTION
Items not
mentioned:
PERMIT CENTER j;;
COMMERCIAL MECHANICAL / &MIJ
�t. of Community Development *345 — 6th St
Suite 600*Bremerton*WA*98337-1873ot7
Type of Fuel: ❑ Electric ❑ Gas ❑ Oil ❑ Propane te`nerto
DCb
Site Address:
CONTRACTOR: Ste. ice,CC, -t ,,
OWNER: � Ck AQ tort „ -�_✓ ,
Address: qVoTv 5'r j
Address: ioc. o5e A V o T c :�- u
City, State, Zip:
; z1T Uj A . 9ero 3 i
City, State, Zip: ,.,,-� u0A, c 3
License #:
Phone # (/'�o (, ) g 6 /- 26*c)r
Contact Phone #: (
Tax ID/Parcel #: Zu 006 - 2oo G
Bremerton Business License:
QTY
TYPE OF EQUIPMENT
QTY
TYPE OF EQUIPMENT
AIR HANDLING UNIT 10K -
BACKFLOW DEVICE < = 2"
AIR HANDLING UNIT 10K +
BACKFLOW DEVICE > 2"
BOILER<= 100K/3HP
BUILDING SEWER
BOILER > 1.75M/50HP
CLOTHES WASHER
BOILER > 100K < = 500K
DISHWASHER
BOILER > 1 M < = 1.75M
DRAIN PIPE CHANGE
BOILER > 500K < = 1 M
DRINKING FOUNTAIN
BROILER
EYEWASH
CLASS 1 HOOD
FLOOR DRAIN
CLASS 2 HOOD
FLOOR SINK
CLOTHES DRYER
HOSE BIBB
COMPRESSORS
INTERCEPTOR GREASE
COOKING APPLIANCE
INTERCEPTOR INDUSTRIAL SAND/OIL
DEEP FRYER
LAWN SPRINKLER W/ BACKFLOW DEV
DUCT CHANGE
PLUMBING EQUIPMENT
ELECTRIC FURNACE / HEAT PUMP
ROOF DRAIN
EVAP COOLER
SHAMPOO SINK W/ BACKFLOW DEVICE
FAN / BATH OR EXHAUST
SINK (LAV, KITCHEN, MOP OR BAR
FIREPLACE GAS
SUMP PUMP
FIREPLACE WOOD
TUB AND/OR SHOWER UNIT
FURNACE < 100K BTU
VACUUM BREAKER 1-5
FURNACE > 100K BTU
VACUUM BREAKER > 5
GASPIPE SYSTEM
WATER CLOSET AND/OR URINAL
GRIDDLE
WATER HEATER ELECTRIC
LP TANK
WATER PIPE CHANGE
MECH EQUIPMENT
OVEN
iU k
k v, CNL) I z T LY 1Z
PIZZA OVEN
cc %V)
RANGE TOP
ROTISSERIE OVEN
UNIT HEAT
WATER HEATER GAS
WOK
WOOD CHARBROILER
BID PRICE: O U r
I hereby grant the City of Bremerton the right to enter the above -described location at reasonable times to inspect the ptoposed, in progress, or completed
work under the permit for which I am applying to ensure compliance with the permit conditions and other applicable laws and regulations.
Applicant's Signature
Print Name
Date
REV. March 2017
KITSAP PUBLIC
HEALTH DISTRICT
May 10, 2017
Sabino Aceituno
Aceituno's Mexican Food
10605 SE 2401h Street
#470
Kent, WA 98031
RE: PLAN APPROVAL FOR ACEITUNO'S MEXICAN FOOD
Dear Mr. Aceituno:
34S 6th Street, Suite 300
Bremerton,WA 98337
360-728-2235
The Kitsap Public Health District, Food and Living Environment Program, has reviewed the submitted
plans and the results of a site visit conducted May 9`h, 2017 with respect to Aceito's Mexican Food, to
be located at 2550 Burwell Street in Bremerton, Washington. In accordance with the Rules and
Regulations of the Washington State Retail Food Code (WAC 246-215), and Kitsap Public Board Health
Ordinance 20144, the plans are approved, with the following stipulations:
1. Provide an updated floor plan showing the location of all storage, equipment and sinks in the
Brick House —714 restaurant and lounge.
2. As discussed at the plan review site visit, you wished to add a dedicated in the dish washing
area. Handwashing sinks are for handwashing only. The sink must be large enough to wash both
hands simultaneously without touching the sides or bottom of the sink. Additionally, a high
angle or goose neck style faucet is strongly recommended to help facilitate contamination -free
handwashing. If handwash sinks are equipped with splash guards, then the minimum sink width
should be 18 inches.
3. Dedicated hand wash sinks must be located to provide physical accessibility and visual line-of-
sightwith adjacent food or drink preparation and service areas. The front edge of the sink
should be even with the front of surrounding equipment or tables to maintain easy access and
to prevent the hand wash sinks from becoming buried between larger equipment or deeper
racks, tables or carts.
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4. Soap and paper towel dispensers must be mounted at the handwash sink stations in a manner
that does not allow contamination of adjacent food or food contact surfaces when reaching for
the soap or single -use towels. Directly above the handwash sinks is the recommended location
for these dispensers.
5. SPlash guards of sufficient depth and height must be provided around any handwash sink where
contamination of adjacent food or food contact surfaces from handwashing activities can occur.
6. All cold holding and display units for storage of potentially hazardous foods must maintain food
at <41°F.
7. A!I backsplashes of fixed equipment must be sealed to the walls.
8. Seal all wall and ceiling penetrations. Repair all broken or torn walls. For sanitation purposes, all
surfaces must be repaired to provide smooth, durable, non -porous and easily cleanable
surfaces. You mentioned using FRP (Fiberglass Reinforced Plastic) in the kitchen areas where
there is exposed drywall. This would be a good idea.
9. Flooring and coving must be repaired to provide smooth, durable, non -porous and easily
cleanable surfaces.
10. Provide base coving, where missing, at the floor -to -wall junctures in the bar area,
kitchen/warewashing areas, and wait -station areas. It must be tight to the wall and to the floor
to facilitate wet cleaning and to prevent entrance of water, pests and accumulation of food
soils. 6-inch minimum height is recommended.
This establishment's plans are approved as a TYPE "RO" (restaurant 0-25 seats) food service. Aceitino's
Mexican Food will be issued license number BR1351. Prior to opening for food service or food
preparation, the food establishment annual permit fee of $525.00 must be paid. The permit is valid from
July 15t to June 30tn annually. The permit fee may be pro -rated if it is paid between January 1:1 and June
30tn
Once the permit fee has been paid, you may then schedule apre-operational inspection of the facility.
Please contact this office at least five business days in advance of the intended opening, to arrange for
the pre -operational inspection. At the time of the inspection, all construction work must be completed,
and all food service equipment must be installed and operating.
Thank you for your cooperation. If I can be of any further assistance, please do not hesitate to contact
me at (360) 728-2312 or by a -mail at niels.nicolaisen@kitsappublichealth.or�.
Respectfully,
Niels Nicolaisen
Senior Environmental Health Specialist
Food and Living Environment Program
kitsappublichealth.org
•
KITSAP PUBLIC
HEALTH DISTRICT
THIS REPORT MUST BE POSTED IN THE ESTABLISHMENT WITHIN 48
FOOD ESTABLISHMENT INSPECTION
s
R E IT Ar,1 rf
/ �} 1
NAME OF ESTABLISHMENT: ACEITUNO'S MEXICAN FOOD- BREMERTON
LOCATION: 2550 BURWELL STREET, BREMERTON
MEAL OBSERVED: O PURPOSE OF INSPECTION: PRE -OP ESTABLISHMENT TYPE: RES WRRremerton
DATE
09/28/2017
TIME IN
9:10AM
ELAPSED TIME
20 min
TOTAL POINTS
0
RED POINTS
0
REPEAT RED
FINAL SCORE
100
High Risk Factors are improper practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury.
IN = in compliance OUT = not in compliance N/O = not observed N/A = not applicable CDI = corrected duringinspection R = repeat violation PTS = point value
# Compliance Status CDI R PTS
# Compliance Status CDI R PTS
a ti-:$`o - -
16 N/O Proper cooling procedures
1
N/O
PIC certified by accredited program, or compliance with Code,
or correct answers
I
5
17
N/O
Proper hot holding temperatures (5 pts. if 130°F to 134°F)
r
j
25
2
Employee
N/O
N/O
Food Worker Cards current for all food workers; new food
workers trained
Health
Proper ill worker and conditional employee practices; no ill
workers present; proper reporting of illness
r-
i
�
I
5
25
18
N/O
Proper cooking time and temperature; proper use of non -
continuous cooking
1-
25
3
19
N/O
No room temperature storage; proper use of time as a
control procedures available control rocedures available
i
25
i'
=
'
Hands washed as required
r
25
20
N/O
Proper reheating procedures for hot holding
F
r
15
4
N/O
21
IN
Proper cold holding temperatures (5 pis if 42°F to 45°F)
r
10
5
N/O
Proper methods used to prevent bare hand contact with
ready -to -eat foods
C-
�
25
22
N/O
Accurate thermometer provided and used to evaluate
temperature of Potentially Hazardous Foods
(
_
1
5
6
N/O
Adequate handwashing facilities
10
1
All,
Approved
• • ' = ' • '
Food obtained from approved source 15
23
N/O
Proper Consumer Advisory posted for raw or undercooked
foods
5
7
i It ''raa.�rli
is{1sz�-
8
N/O
Water supply, ice from approved source
(^
(
15
24
N/O
Pasteurized foods used as required; prohibited foods not
offered
I
10
9
N/O
Proper washing of fruits and vegetables
-
10
:.
3il-t�lt,'il
25
N/O
Toxic substances properly identified, stored, used
r
110
10
N/O
Food in good condition, safe and unadulterated; approved
additives
F
I
10
79
', -
Compliance with risk control laps, variance, Ian of
withrisk
P P P
operation, valid permit, approved procedures for non- (-
continuous cooking
(
10
11
N/O
Proper disposition of returned, previously served, unsafe, or
contaminated food
r
r
10
26
N/O
12
N/O
Proper shellstock ID; wild mushroom ID; parasite destruction
P P
procedures for fish
F.
F_
5
27 N/O Variance obtained for specialized processing methods (e.g. r r 10
Reduced Oxygen Packaging)
0
' '
of pathogens, chemicals, and physical objects into foods.
_Illr.
• llllry
13
N/O
Food contact surfaces and utensils used for raw meat
thoroughly cleaned and sanitized; no cross contamination
I I
15
14
N/O
Raw meats below or away from ready -to -eat food; species
separated
5
15 N/O Proper handling of pooled eggs j 5
BLUE m •FACTORS
Low risk factors are preventive measures to control the addition
# Compliance Status CDI R PTS # Compliance Status CDI R PTS
Food
Food received at proper temperature
j _
(
5
IN Food and nonfood surfaces properly used and constructed;
cleanable
_
[-
F
5
28
N/O
40
29
N/O
Adequate equipment for temperature control
('
(
5
41
IN
Warewashing facilities properly installed, maintained, used;
test strips available and used
(--
5
30
F
N/O
d Identification
Proper thawing methods used
Food properly labeled
Contamination
Insects, rodents, animals not present; entrance controlled
j
L
r
r
3
5
5
42
N/O
Food -contact surfaces maintained, cleaned, sanitized
r
r
5
43
N/O
Nonfood -contact surfaces maintained and clean
g properly sized, installed, and maintained; proper
devices, indirect drains, no cross -connections
(-
Ii
I-
3
5
Protectionfrom
32
N/O
, wastewater properly disposed
r .
rT
5
33
N/O
Potential food contamination prevented during delivery,
preparation, storage, display
5
cilities properly constructed, supplied, cleaned
F
F
3
34
N/O
Wiping cloths properly used, stored; proper sanitizer
r-
c
5
g
e, refuse properly disposed; facilities maintained
7al
3
35
N/O
Employee cleanliness and hygiene
(-ating,
3
l facilities properly installed, maintained, cleaned;j
sary persons excluded from establishmentper
tasting, drinking, or tobacco use
Use of Utensils
utensils properly stored
C
r
r^
3
te ventilation, lighting; designated areas used,n-use
of permit; mobile establishment name easily visible
• .
2
0
38
N/O
Utensils, equipment, linens properly stored, used, handled
F.
r,
3
39
N/O
Single -use and single -service articles properly stored, used
3
Person in Charge: Esiqulo cruz
Signature: �—
Date: 09/28/2017
Regulatory Authority: Niels Nicolaisen
Signature: y�✓� vA- —
Follow-up Needed? NO
Report emailed to: Rogeraz9@msn.com
General Comments: PRE-OPERATONAL INSPECTION ONLY
KITSAP PUBLIC
HEALTH DISTRICT
FOOD ESTABLISHMENT INSPECTION REPORT
NAME OF ESTABLISHMENT: EstName
LOCATION: Location
MEALOBSERVED: L PURPOSE OF INSPECTION: Purpose
ESTABLISHMENT TYPE: EstType
DATE
InspDate
TIME IN
Timeln
ELAPSED TIME
ElapsedTime min
TOTAL POINTS
TotaiPoints
RED POINTS
RedPoints
REPEAT RED
RepeatRed
FINAL SCORE
FinalScore
► :e iruu ►ill
This facility is approved to open and o
and subject to the following conditions:
regu
1. Continue to add additional cooing underneath 3-compartment and food prep sinks where is is missing along lower wall after
thoroughly cleaning the area underneath the 3-compartment and prep sinks.
2. Add a barrier between the 3-compartment sink and the food prep sink
3. Food Worker Cards within 2 weeks of hire
VIOLATION COMMENTS
F1iC
ViolationComments
number in front of the comment co
practices or procedures identified as
with the violations) on
NOTES (the number in front of the comment corresponds with the violations) on
contributing
1
or injury.
City of Bremerton
Fire Department
PERMIT NUMBER:
17:rYtNf.Y.Yi��1�
911 Park Avenue, Bremerton WA 98337
(360) 473-5380 Fax: (360) 473-5461
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT: ACEITUNO, LLC
ZONING: CITY
Phone Address
206-861-2008 10605 SE 240TH ST
KENT, WA 98031
BF17 00005
OS/Ol/2017
SITE ADDRESS: 2550 BURWELL ST
OWNER: MONTGOMERY &BURWELL LLC 3810 56TH AVE SW
SEATTLE, WA 98116
CONTRACTOR: FRANKS FIRE PROTECTION, LLC 253-638-3245 15405 SE 310TH ST
KENT, WA 98042
LENDER:
SUBMITTED: 01/26/2017 APPROVED: 04/06/2017 EXPIRATION: 10/28/2017
VALUATION: $1,600.00
Plan Check $44.20
BID PRICE2 $68.00
Technology Fee $3.40
TOTAL FEES: $115.60
Inspection Requests:
Fire Suppression System
ACEITUNO, LLC -FIRE SUPPRESSION SYSTEM
ACEITUNO, LLC -FIRE SUPPRESSION SYSTEM
Fire Inspections (360) 473-5386
Access Code
4RB2L-GNEX3
IJ3W0-YZH9I
C4WSK-D3EBJ
STATUS: ISSUED
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. 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.
SIGNATURE OF OWNER OR AGENT:
PRINTED NAME: r ��— (�:�
CONDITIONS
By applying for this permit, the applicant has granted to the City of Bremerton the right to enter the above -described location at reasonable
times to inspect the proposed, in -progress or completed work performed under this permit to ensure compliance with the permit conditions and
other applicable laws and regulations. Should such entry be refused, all authorizations and approvals contained in this permit shall be
immediately suspended and any work performed under the permit shall immediately cease until authorized in writing by the City of Bremerton.
Work performed in violation of this condition shall be considered to have been performed without the approval of the City of Bremerton. The
City of Bremerton's approval of this 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.
Printed by :Wood, Tracey on: OS/01/2017 01:19 PM
Page 1 of 2
7. (DCD-85 HOOD)
l0. (DCD-02)
10. (DCD-47)
10. (DCD-01)
1l. (DCD-50)
l2. (DCD-14)
13. (DCD-32)
City of Bremerton
Fire Department
911 Park Avenue, Bremerton WA 98337
(360) 473-5380 Fax: (360) 473-5461
PERMIT NUMBER: BF17 00005
DATE ISSUED: OS/Ol/2017
SITE ADDRESS: 2550 BURWELL ST
A Type I hood and duct ventilation system is required to be installed where commercial cooking equipment produces grease
or smoke.
A hood and duct fire suppression system is required to protect the Class I hood and duct and cooking equipment.
A light test shall be performed on the duct by passing a 100 watt bulb through the duct to verify liquid -tight welds and
brazing per IMC.
Type II hoods shall be installed above dishwashers and appliances that produce heat or moisture and do not produce grease or
smoke as a result of the cooking process. See IMC 507.2.2 for exceptions.
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.
DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be
on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called
for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -
inspection fee will be charged and must be collected by the Department of Community Development prior to any further
inspections being performed or approvals granted.
ASBESTOS AND LEAD -BASED PAINT:
ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound 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 areasor structure. The asbestos survey must be conducted by and EPA -certified
(AHERA) building inspector (except renovation or owner -occupied single farnily residences).For more information, please
contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 206-3434800. The
L&I web site can be found at wtvw.ini.wa.gov/TradesLicensing/LicensingReq/Asbestos/default.asp.
LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on
a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training
provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For
further information please contact: The Department of Commerce website at: www.commerce.wa.gov/lead, or call: (360)
586-LEAD (5323).
CONTRACTOR: A contractor's registration issued by Washington State Dept. of Labor & Industries is required for anyone
who contracts or submits bids for construction work, including new construction, alterations, repairs, or anyone who consults
or superintends, improves, demolishes, develops residential property for sale, or "flips" houses. Contact L & I at (360)415- _
4000 for information.
Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of
Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or i
failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a
year has passed with no activity. The permit expires 180 days past the date of inactivity.
Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be
uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical
rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing. TMO
DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection.
Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the
change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections.
Changes to Plans. Any changes to plans shall be approved before construction is performed. Architect or engineer of record
shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan
review and inspections.
MINIMUM INSPECTIONS REQUIRED
To request an inspection, please call (360) 473-5386 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.
Inspection Description
FIRE -SUPPRESSION FIRE -Fire Suppression Acceptance Test
FIRE - FINAL FIRE - Final Inspection
Printed by :Wood, Tracey on: OS/Ot/2017 OL•19 PM
Page 2 of 2
B UILDING PERMIT
1 NSPECTION CARD
PROTECT THIS CARD FROM THE WEATHER
Building Lj Plumbing
2550 BURWELL ST
ACEITUNO, LLC = FIRE
SUPPRESSION SYSTEM
Mechanical ❑ Alarm/Sprinkler ❑
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site.
Permit # BF17 00005
Call the followina Aaencv Telephone Numbers for
inspections:
Building Department Inspections: (360) 473-5870
Water - Public Works: (360) 473-5927
PW - Public Works - Engineering: (360) 473=5270
Kitsap Public Health: (360) 337-5235
Fire - Fire Department: (360) 473=5385
L&I - Dept. of Labor and Industry: (360) 4154000
- Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
- Reinspection fee may be assessed if inspection has been
requested when not ready or corrections are not completed.
- Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee may be
assessed.
Inspection
APP
DATE
Notes
FIRE - Fire Suppression Acceptance Test
a jo
FIRE - Final Inspection
e . I I
FINAL BUILDING (360) 473-5870
All of the above mzzst be approved. Approved Final Inspectiozz grazzts occupancy for sizzgle family residence only.
Commercial structures require separate Certificate of Occupancy.
DO NOT OCCUPY BUILDING WITHOUT BUILDING DEYAK'1'MLN'1' AYYKUVAL
Page 1 of I
CITY OF
BREMERTON
���
1 � _
� �
Department of Connnunih� Development * 34,5 - 6t1� Street Suite 600 ' 13renierton «rA 98337-1873 '
(3G0) 473 :5275 * I'ax (3G0) 473-5278 * www.ci.bt•einerton.�-va.us�it�i of RramArtnn 11r
Applicant: [� Owner n Contractor n Authorized Agent
Business Name:
Site Address:
!''C�� i�U h 0
�cj�O�w
rr' tnI t.�
I o apply
for a property
atltlress, contact Nublfc Works at (360) 473-5270
CONTRACTOR
BUSINESS OWNER
Name: o, v>,
�� 2c.. � �
Name: _ f" t .. 1, � � �r� I
Address: � p /� �n S�"
Address: /Cbo� S� Z � Ttti S�`- �
City, State, Zip: � � �'� �jZ
Cit ,State, Zip: - q a 3 /
License # & Exp. Date:
Phone #: �ZD � �5.6 / -Lod �
Bremerton Business License:
Authorized A ent Name:
Contact Name:
Address:
Contact Phone #: (
Cit ,State, Zip:
Email address:
Phone #:
Tax ID/Parcel #:
Email address:
Sewer
Septic
What is the application for?
(Please check
New Construction
Alteration
Addition
0 NEW COMMERCIAL
TENANT IMPROVEMENT WITH WORK
�
COMMERCIAL REMODEL
COMMERCIAL ADDITION
COMMERCIAL REPAIR
0 NEW MULTI -FAMILY
OTHER:
OCCUPANCY WITH CHANGE OF USE
NEW SIGN
GRADING (Cubic Yards:
REROOF
DEMOLITION Interior Exterior** Foundation Wall** Roof /Section**
** Separate demolition permit and fees required.
Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior fo demolition permit issuance.
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES 0 No �
Scope of work proposed/Type of Business:
Square Footage: Building:
Construction Type:
Plan Review Fee
Permit Fee
Surchar a
Tech Fee
Total Fees
%VaJluation
�' �''O
Application for which no permit is issued within 180 days following the date of
application shall expire by limitation, and plans and other data
submitted 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
the circumstances beyond the control of the
applicant have prev ted action from being taken. No
applicant shall be extended
more than once.
In order to renew action on an application
after expiratioq a applicant shall resubmit plans and
pay a new plan review
fee.
Atli anf's Signature
Print Name
— � G, ''
Date
,o
Rev. June 2016
Bremerton .Fire Department
Fire Marshal's Office
Construction Assistance Bulletin
Operations checklist
Project Address:
Primary Contact: Email:
Below is a checklist of activities which this occupancy will be pertorming during
day to day operations, not during construction. Please check all that apply.
Also, please provide a copy (in both PDF and DWF/DWG format) of ALL
drawings and specifications for this proiect.
Please check ali that apply:
Aviation
Battery Back
Card swipe system
Compressed Gases
u
Cooking
Corrosives
Cryogenics
Emergency
Generator
Fireworks
Flammable
Flammable/Combustible
Forklifts
Material
Liquids
Gates
Hot•work
Large Ovens
LPG
Lumberlwood
Motor vehicle
Painting/powder coating
Racks (12' or more in
products
repair
height)
Refrigeration
Storage >67
Tire Storage
Dust products will be
Sys tem
high
produced
Place a check next to any item that will be addedlremoved or otherwise modified DURING
CONSTRUCTION ONLY...
Electrical
Plumbin
Fire Alarm
Fire S rinkler
Hood S stem
Walls
HVAC
StorIII PE tic
Building Access
Site changes
Windows
Stairs
Elevator
Doors
Building security
ALL NEW CONSTRUCTION
items not
mentioned:
7
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Citv of Bremerton
Department of Community Development
PERMIT NUMBER:
DATE ISSUED:
16 6 �IIGIc�:
06/06/201 /
345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2550 BURWELL ST
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT: ACEITUNO, LLC
OWNER: MONTGOMERY & BURWELL LLC
CONTRACTOR: ❑
LENDER$
ZONING: GC
Phone
206-861-2008
SUBMITTED: OS/05/2017 APPROVED: 06/06/2017
VALUATION: �4,600.00 Sign Permit
Address
10605 SE 240TH ST
KENT, WA 98031
3810 56TH AVE SW
SEATTLE, WA 98116
EXPIRATION: 12/03/2017
ACEITUNO'S MEXICAN FOOD - 2 WALL SIGNS
ACEITUNO'S MEXICAN FOOD - 2 WALL SIGNS
Plan Review Fee $73.45
Technology Fee $5.65 Building Code Edition:
State Surcharge $4.50 Occupancy Group:
Building Permit $113,00 Type of Construction:
Flood Zone$
TOTAL FEES : $196.60 Setbacks: ////: (F/L/RT/R/O)
Sanitation Method:
Number of Bedrooms:
Access Code
4RB2L-GNEX3
IJ3W0-YZH9I
STATUS: ISSUED
Inspection Requests:
FIRE: Fire Inspections
(360)
473-5386
DCD: Building Inspections:
(360) 473-5870 HEALTH: Kitsap County Health District
(360)
337=5285
L&I: Department of Labor and Industries
(360) 4154000 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 any time 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 to pass final inspection
prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read, and agree to abide by the conditions of this p '>?cluding all conditions of zoning, building codes, and State and Federal taws.
SIGNATURE OF OWNER OR AGENT:
�—
CONDITIONS
Printed by :wood, Tracey on: 06/06/2017 11:22 AM
Page 1 of 2
[Lai
City of Bremerton
Department of Community Development
PERMIT NUMBER: 131317 00338
DATE ISSUED: 06/06/2017
345 -
(360)
6th Street, Ste.
473-5275 Fax:
600,
(360)
Bremerton WA 98337 SITE ADDRESS: 2550 BURWELL ST
473-5278
ASSESSOR NUMBER: 142401-3-066 2006 ZONING: GC
Name Phone Address Access Code
APPLICANT: ACEITUNO, LLC 2064614008 10605 SE 240TH ST 411132L-GNEX3
KENT, WA 98031
OWNER: MONTGOMERY & BURWELL LLC 3810 56TH AVE SW IJ3W0-YZH91
SEATTLE, WA 98116
CONTRACTOR: ❑
LENDER:
SUBMITTED: 05/05/2017 APPROVED: 06/06/2017 EXPIRATION: 12/03/2017 STATUS: ISSUED
By applying for this permit, the applicant has granted to the City of Bremerton the right to enter the above -described location at reasonable
times to inspect the proposed, in -progress or completed work performed under this permit to ensure compliance with the permit conditions and
other applicable laws and regulations. Should such entry be refused, all authorizations and approvals contained in this permit shall be
immediately suspended and any work performed under the permit shall immediately cease until authorized in writing by the City of Bremerton.
Work performed in violation of this condition shall be considered to have been performed without the approval of the City of Bremerton. The
City of Bremerton's approval of this 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.
1. (DCD-92) 3202.3.1 Awnings, canopies, marquees and signs. Awnings, canopies, marquees and signs shall be constructed so as to
support applicable loads as specified in Chapter 16. Awnings, canopies, marquees and signs with less than 15 feet (4572 mm)
clearance above the sidewalk shall not extend into or occupy more than two-thirds the width of the sidewalk measured from
the building. Stanchions or columns that support awnings, canopies, marquees and signs shall be located not less than 2 feet
(610 mm) in from the curb line.
2. (DCD47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be
on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called
for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re.
inspection fee will be charged and must be collected by the Department of Community Development prior to any further
inspections being performed or approvals granted. �)
3. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of
Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or
failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a
year has passed with no activity. The permit expires 180 days past the date of inactivity.
Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be
uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical
rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing.
4. (LU12) Signs must comply with BMC 20.52. A separate permit is required for any additional signs.
5. (LU25) Signs may be illuminated directly, indirectly, or internally, provided the lighting is directed away from other land uses, and
away from on -coming traffic.
6. (DCD-91) Call before you dig: Calling 811, two business days before you begin digging, will alert utilities to come out and mark
THEIR buried lines from the street to your house For FREE!
7. (Custom) Must comply with Title 20 of the Bremerton Municipal Code and development regulations of the District Center Core zone
(BMC 20.70).
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.
Inspection Description
ELECTRICAL FINAL L&I -Electrical Final Inspection
FINAL - BUILDING Final Inspection - Building
Printed by :Wood, Tracey on: 06/06/2017 11:22 AM Page 2 of 2
B UILDING PERMIT
INSPECTION CARD
PROTECT THIS CARD FROM THE WEATHER
Building LJ Plumbing Lj
25W BURWELL ST
ACEITUNO'S MEXICAN FOOD -
2 WALL SIGNS
CITY F
BREMERTONO
Mechanical Lj Alarm/Sprinkler Lj
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site.
Permit it BB17 00338
Call the following Aaency Telephone Numbers for
inspections:
Building Department Inspections: (360) 473=5870
Water - Public Works: (360) 473-5927
PW - Public Works - Engineering: (360) 473=5270
Kitsap Public Health: (360) 337=5235
Fire - Fire Department: (360) 473-5385
L&I - Dept of Labor and Industry; (360) 415=4000
- Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
Reinspection fee may be assessed if inspection has been
requested when not ready or corrections are not completed.
Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee may be
assessed.
Inspection
APP
DATE
Notes
L&I - Electrical Final Inspection
Final Inspection -Building—/
FINAL BUILDING (360) 473-5870
All of the above must be approved. Approved Final Inspection grants occupancy for single family residence only.
Commercial structures require separate Certificate of Occupancy.
DO NOT OCCUPY BU1Ll)11VG Wl"lliulll nulLlilivG Lr,raniiviriA I rirrn" VtiL
Page 1 of 1
CITY OF
BREMERTON
PERMIT CENT ^y��
a
COMMERCIAL M.4Y 0 5 2017
Building Permit Application
apt '` 34,5 - (itlr Street, Suite (i00 ` t3rc;merton WA )�I2i���=l��'��S�OD, ���
(360) 473 ,5275 * I'as (360) 673 :5278 * a�wtv.ci.brenierto�i.�aa.us
Applicant: Owner � Contractor 0 Authorized Agent
Business Name: �(c e r 'f✓
Site Address: 2 �� 6 ✓r w ell ST aeo ff u1,1 9 .z l 2
To apply for a property address,
contact Public Works at (360) 473-527U
CONTRACTOR
BUSINESS OWNER
Address:
Address: o o s 2 0 yti ST � �
City, State, Zip:
Cit ,State, Zip: --r w.�. 03 /
Bremerton Business License:
Authorized Agent Name:
Contact Name:
Address:
Contact Phone #:
Cit ,State, Zip:
Email address:
Phone #:
Tax ID/Parcel #:
Email address:
Sewer Septic
What is the ap lication for? Please check
New Construction Alteration Addition
NEW COMMERCIAL
� TENANT IMPROVEMENT WITH WORK
COMMERCIAL REMODEL
0 OCCUPANCY WITH CHANGE OF USE
0 COMMERCIAL ADDITION
� NEW SIGN
COMMERCIAL REPAIR
� GRADING (Cubic Yards: )
n NEW MULTI -FAMILY
� REROOF
OTHER:
DEMOLITION Interior Exterior** Foundation Wall'`* Roof /Section"
** Separate demolition permit and fees required.
Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior to demolition permit issuance.
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES � No �
�e of work
of Business:
Square Footage: Building:
Construction Type:
Valuation
Plan Review Fee
Permit Fee
Surchar a
Tech Fee
Total Fees
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and otner data
submitted 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 the circumstances beyond the control of the
applicant have prev d actia� from being taken. No applicant shall be extended more than once. In order to renew action on an application
after exoi�ation,,t applicant shlall resubmit plans and pay a new plan review fee.
Appfrafffs Signat/u�/re
Print Name
Date
Rev. June 2016
Bremerton Fire Department
Fire ,Marshal's Office
Construction Assistance BUlle#in
Operations checklist
Project Address:
Primary Contact: Email:
Below is a checklist of activities which this occupancy will be performing during
day to day operations, not during construction. Please check all that apply.
Also, please provide a copy (in both PDF and DWF/DWG format) of ALL
drawings and specifications for this proiect.
Please check ali that apply:
Aviation
Battery Back
Card swipe system
Compressed Gases
U
Cooking
Corrosives
Cryogenics
Emergency
Generator
Fireworks
Flammable
Flammable/Combustible
Forklifts
Material
Liquids
Gates
Hot -work
I Large Ovens
LPG
Lumberlwood
Motor vehicle
Painting/powder coating
Racks (12' or more in
roducts
repair
hei ht
Refrigeration
Storage >6'
Tire Storage
Dust products will be
System
high
produced
Place a check next to any item that will be addedlremoved or otherwise modified DURING
CONSTRUCTION ONLY...
Electrical
Plumbin
Fire Alarm
Fire S rinkler
Hood S stem
Walls
HVAC
StormlSe tic
Building Access
Site changes
Windows
Stairs
Elevator
Doors
Building security
ALL NEW CONSTRUCTION
Items not
mentioned:
Project name: ACEITUNO'S
Site Address: 2550 Burwell St. Bremerton, WA. 98312
Scoop of work:
#1 To erect new 39.56 SQF (Total size) Channel letter/ trim box sign
To be illuminated with LED and mounted on a raceway.
electrical work will be perform under a separate permit from L&I.
Sign manufactured: Lit Sign Manufacturing (425)277-5432
Sign Installer: Sabino Aceituno (Owner) (206) 861-2008
Electrical installer
MERLIN NW (253) 312-9790
Electrical Installer License #MERLIN*8600R
G d ad
dalidity of permit. The issuance or granting of a per^- .
shall not be construed to be a permit for, or an approval
of, any violation of the provisions of the International
Codes or any other ordinance of the City of Bremerton,
Permits presuming to give authority to violate or cancel
the provisions of the International Codes and
ordinances of the City of Bremerton shad not be valid.
(IBC 105 & IRC 105.4)
CHANGES MUST BE APPROVED
PRIOR TI I 1�p7�.rCR15i l�Nr, WORK
MUST COMPLY WITH ALL
WASHINGTON STATE CODES
City of Bremerton
Dept, of Community Development
JUN 0 6 20V
Reviewed for Code Compliance
By: ^W`
MAY t 5 2017
City of E3remerton, DCD
Project name: ACEITUNO'S MEXICAN FOOD
Address: 2550 Burwell St. Bremerton, WA 98312
Parcel # 142401-3-066-2006
Sign Info:
Sign Type: BUSINESS FRONT
Proposal: ERECT
Install Type: FLATWISE
Location: FRONT OF THE BUILDING
109 5inches -
PROPOSAL:
Little Guy Logo: 35" X 28"
Aceituno's logo: 35" X 90"
Mexican food: 14.251, X 109.51,
Total sign SQF: 39.56
Total store front SQF: 452
35"
14.25"
Project name: ACEITUNO'S MEXICAN FOOD
Address: 2550 Burwell St, Bremerton, WA 98312
Parcel # 142401-3-066-2006
Sign Info:
Sign Type: BUSINESS FRONT
Proposal: ERECT
Install Type: FLATWISE
Location: SOUTH OF THE BUILDING
18'
PROPOSAL:
Little Guy Logo: 29" X 22"
Aceituno's logo: 29" X 72"
Mexican food: 12" X 95.5"
Total sign SQF: 26.91
Total store front SQF: 360
I i Fes-
— i�JO" inc.
zs �,_nr ,_..,/•-„� II}�s'�,��'�-�'..�'i�b.i,j�!};],z_;�es
nne�
1 y
ches
PROJECT NAME: ACEITUNO'S MEXICAN FOOD
ADDRESS: 2550 Burwell St. Bremerton, WA. 98312
PARCEL # 142401-3-066-2006
Sign Info: Sign type: BUSINESS FRONT
Proposal: ERECT
Install Type: FLATWISE Location: FRONT OF THE BUILDING
57" alwnnum sleeve
painted to mate .-.-"
WOW
MOUNTING DiTA1L -BRICK WALL
t
�
6ndr
K' tMeaded stainless
wed9tanchor
• - --- -Precast concrete wall
Water tight ual sll
mtenor &Mend wall
peneoatiom
10 -1/2x4 Sleeve anchors
37-Metal screws #12x112x1l4
5" Aluminum Returns
LED ,lamination —
Pass Though Glanm
Pours s�nnly
Easy Install Raceway
P Trm Cap
Standard Faee LR
lID Illuminatad w/ Raceway
Mowr
nYq TriT
2- ilFt long Metal
raceway
PROJECT NAME: Atom TUNO'S MEXICAN FOOD
ADDRESS: 2550 Burwell St. Bremerton, WA. 98312
PARCEL # 142401-3-066-2006
Sign Info: Sign type: BUSINESS FRONT Proposal:
ERECT
Install Type: FLATWISE Location: FRONT OF THE
BUILDING
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Y
37-Metal screws #12xl/2x3/4
2- 11 FI long Afetal rarx'trey
MATERIALS
5/16"
5/16"
114"
1-7/16'
3/8"
7/16"
8 flub
3/8"
3/8"
5116"
1-1/2"
7116"
W"
15 fVlb
112"
112"
31W
2-1/4"
9116"
9/16"
25 fWb
5/8"
5/8"
1/2"
2-3/4"
11/16"
3/4"
50 ftllb
3/4"
3/4"
518"
3.3/8"
13116"
1506"
90 fUlb
6•A1ari.m
MaRun Bark
1M'Ia15c Fain
Pm rNMO GrvmM . e
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FRONT VIEW
FRONT VI EW
Ak[1Ytrrm aadc � � �
1fB• MyLc Face 1 . I
Pass Throughnrnel
and Caulked Sea LED 1 m ur . I ( '
LED &vruraUan � \V/
Drain Hole •
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Standard Face Lit -
LED Illun1111ated 1v/ Raceway
FRONT VIEW
rrneprer
CITY OF
BREMERTON
City of Bremerton
Department of Community Development
PERMIT NUMBER: BB17 00062
DATE ISSUED: OS/O1/2017
345 -
6th Street, Ste.
600,
Bremerton WA 98337 SITE ADDRESS: 2550 BURWELL ST
(360)473-5275
Fax:
(360)
473-5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT: ACEITUNO, LLC
OWNER: MONTGOMERY & BURWELL LLC
CONTRACTOR: INTERSTATE ELECTRIC CO
LENDER:
SUBMITTED: Ol/26/2017
ZONING: GC
Phone
206-861-2008
253-217-5876
APPROVED; 03/07/2017
Address
10605 SE 240TH ST
KENT, WA 98031
3810 56TH AVE SW
SEATTLE, WA 98116
1217 4TH AVE N
I{ENT, WA 98032
EXPIRATION: 10/28/2017
VALUATION: $12,000.00 Mechanical Only for Commercial Projects
ACEITUNO LLC -TYPE 1 HOOD SYSTEM
ACEITUNO LLC -TYPE 1 HOOD SYSTEM
MechanicaUPlumbingCommercial- $179.00
Bid Price Building Code Edition:
Plan Review Fee $116.35 Occupancy Group:
Technology Fee $8.95 Type of Construction.
TOTAL FEES: $304.30 Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
Access Code
4RB2L-GNEX3
IJ3W0-YZH9I
6BL00-U7HVY
STATUS: ISSUED
Inspection Requests: FIRE: Fire Inspections (360) 473-5386
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 any time 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 to pass final inspection
prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read, and agree to abide by the conditions of this Permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR AGENT:
CONDITIONS
Printed by :Wood, Tracey on: OS/Ol/2017 01:17 PM
Page 1 of 3
1%]
CITY Of
BREMERTON
City of Bremerton
Department of Community Development
345 -
6th Street, Ste.
600,
Bremerton WA 98337
(360)
473-5275 Fax:
(360)
473=5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT:
OWNER:
ACEITUNO, LLC
MONTGOMERY &BURWELL LLC
CONTRACTOR: INTERSTATE ELECTRIC CO
LENDER:
SUBMITTED; O1/26/2017
ZONING: GC
Phone
206-861-2008
253-217-5876
APPROVED: 03/07/2017
PERMIT NUMBER:
DATE ISSUED:
Address
10605 SE 240TH ST
KENT, WA 98031
3810 56TH AVE SW
SEATTLE, WA 98116
1217 4TH AVE N
KENT, WA 98032
EXPIRATION: 10/2 S/2017
BB17 00062
OS/O1/201 /
SITE ADDRESS: 2550 BURWELL ST
Access Code
4RB2L-GNEX3
IJ3W0-YZH9I
6BL00-U7HVY
STATUS: ISSUED
By applying for this permit, the applicant has granted to the City of Bremerton the right to enter the above -described location at reasonable
times to inspect the proposed, in -progress or completed work performed under this permit to ensure compliance with the permit conditions and
other applicable laws and regulations. Should such entry be refused, all authorizations and approvals contained in this permit shall be
immediately suspended and any work performed under the permit shall immediately cease until authorized in writing by the City of Bremerton.
Work performed in violation of this condition shall be considered to have been performed without the approval of the City of Bremerton. The
City of Bremerton's approval of this 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.
1. (DCD-01) ASBESTOS AND LEAD -BASED PAINT:
ASBESTOS: Prior to perfonning any renovation or demolition work, Puget Sound Clean Air Agency and Washington
Department of Labor and bndustries (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 -occupied single family residences).For more information, please
contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 206-3434800. The
L&I web site can be found at www.ini.wa.gov/TradesLicensing/LicensingReq/Asbestos/defatilt.asp.
LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on
a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training
provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For
further information please contact: The Department of Commerce website at: www.conimerce.wa.gov/lead, or call: (360)
586-LEAD (5323).
CONTRACTOR: A contractor's registration issued by Washington State Dept. of Labor & Industries is required for anyone
who contracts or submits bids for construction work, including new construction, alterations, repairs, or anyone who consults
or superintends, improves, demolishes, develops residential property for sale, or "flips" houses. Contact L & I at (360)415-
4000 for information.
2. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of `CA
Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or
failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a
year has passed with no activity. The permit expires 180 days past the date of inactivity.
Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be
uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical
rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing.
3. (DCD47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be
on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called
for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -
inspection fee will be charged and mast be collected by the Department of Community Development prior to any further
inspections being performed or approvals granted.
4. (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.
5. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection.
Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the
change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. `
6. (DCD-08) Plumbing work shall be performed by a Level 01 Journeyman Plumber licensed in the state of Washington.
Residential plumbing work maybe performed by a Level 01 or :Level 02 Journeyman Plumber licensed in the state of
Washington. Single family residential plumbing work may be performed by the owner.
Printed by :Wood, Tracey on: OS/01/2017 01:17 PM
Page 2 of 3
L191
CITY OF
BREMERTON
City of Bremerton
Department of Community Development
345 -
6tlr Street, Ste.
600,
Bremerton WA 98337
(360)
473-5275 Fax:
(360)
473-5278
PERMIT NUMBER:
DATE ISSUED:
BB17 00062
OS/O1/2017
SITE ADDRESS: 2550 BURWELL ST
ASSESSOR NUMBER: 142401-3466-2006 ZONING: GC
Name Phone
Address Access Code
APPLICANT:
ACEITUNO, LLC 206-861-2008
10605 SE 240TH ST 411132L-GNEX3
KENT, WA 98031
OWNER:
MONTGOMERY & BURWELL LLC
3810 56TH AVE SW IJ3W0-YZH9I
SEATTLE, WA 98116
CONTRACTOR:
INTERSTATE ELECTRIC CO 253-217-5876
1217 4TH AVE N 6BL00-U7HVY
KENT, WA 98032
LENDER:
SUBMITTED:
01/26/2017 APPROVED: 03/07/2017
EXPIRATION: 10/28/2017 STATUS: ISSUED
7. (DCD-10)
A separate electrical permit issued through Labor & Industries
(L&I) is required for any new, modified, repair, replacement,
service, maintenance, or temporary installations. Electrical work is inspected by L&I prior to cover and the framing
inspection. Contact L&I at 3604154000 or www.lni.wa,gov.
(RCW 19.28)
8. (DCD-85 HOOD) A Type I hood and duct ventilation system is required to be installed where commercial cooking equipment produces grease
or smoke.
A hood and duct fire suppression system is required to protect
the Class I hood and duct and cooking equipment.
A light test shall be performed on the duct by passing a 100 watt bulb through the duct to verify liquid -tight welds and
brazing per IMC.
Type II hoods shall be installed above dishwashers and appliances that produce heat or moisture and do not produce grease or
smoke as a result of the cooking process. See IMC 507.2.2 for
exceptions.
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.
Inspection Description
MECHANICAL Mechanical Rough -In
FRAMING Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed)
ELECTRICAL FINAL L&I - Electrical Final Inspection
HOOD/DUCT LIGHT TEST Grease duct leakage test - Light test of duct with 100 watt light
HOOD/DUCT VENTILATIO Class I or Class II Hood and Duct Ventilation System
FINAL - BUILDING Final Inspection - Building
Printed by :Wood, Tracey on: OS/Ol/2017 01:17 PM
Page 3 of 3
BUILDING PERMIT
INSPECTION CARD
PROTECT THIS CARD FROM THE WEATHER
Building ❑ Plumbing ❑
25OU BURWELL ST
ACEITUNO LLC - TYPE 1 HOOD
SYSTEM
BI
CITY OF
BREMERTON
Mechanical ❑ Alarm/Sprinkler ❑
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site.
Permit # BB17 00062
Call the following Agency Telephone Numbers for
inspections:
Buildina Department Inspections:
Water -Public Works:
PW - Public Works - Engineering;
Kitsap Public Health:
Fire - Fire Department:
L&I - Dept. of Labor and Industry:
-Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
Reinspection fee may be assessed if inspection has been
requested when not ready or corrections are not completed.
Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee may be
assessed.
Inspection
APP
DATE
Notes
Mechanical Rough -In
cl, d 61 - �1
Framing Inspection (Mechanical & Plumb Rough -In,
Elect Cover Completed)
�] -
L&I - Electrical Final Inspection
Grease duct leakage test - Light test of duct with 100
watt light
q
Class I or Class II Hood and Duct Ventilation System 1
_a
Final Inspection - Building
C, of
FINAL BUILDING (360) 473-5870
All of the above must be approved. Approved Final LTspectio�a grants occupancy for single family residence only.
Commercial structures require separate Certificate of Occupancy.
DO NOT OCCUPY BUILDING WITHOUT BUILDING llEYAR'I'M1:N'I' APPROVAL
Page l of 1
PERMIT CENT
Ki COMMERCIAL MECHANIC I lqpj
_BAN 2 6 2017
Dept. of Community Development*345 - 6th Street, Suite 600*Bremerton*WA*98337-1873
Type of Fuel: ❑ Electric ❑ Gas ❑ Oil ❑ Propane
Site Address: ,j _
ga i
CONTRACTOR:
of s-ta11 e6m,^5 t�OWNER:
Kee I -I %Jv.0 LeC .
Address: J 9L !
n A vt
Address: i c (o0
5 '
City, State, Zip:
p . 9 rO
Cit , State, Zi :
—OUA. '
License #: ATcr l
i $.} 3
Phone # or✓ t(bl
- Zoo Y
Contact Phone #: av b 3 2 6
Tax ID/Parcel #: / I
Z y01-o66F-UK4 6
Bremerton Business
License.
QTY
TYPE OF EQUIPMENT
QTY
TYPE OF EQUIPMENT
AIR HANDLING UNIT 10K -
BACKFLOW DEVICE < = 2"
AIR HANDLING UNIT 10K +
BACKFLOW DEVICE > 2"
BOILER< = 100K/3HP
BUILDING SEWER
BOILER > 1.75M/50HP
CLOTHES WASHER
BOILER > 100K < = 500K
DISHWASHER
BOILER > 1 M < = 1.75M
DRAIN PIPE CHANGE
BOILER > 500K < = 1 M '
DRINKING FOUNTAIN
BROILER
EYEWASH
CLASS 1 HOOD
FLOOR DRAIN
CLASS 2 HOOD
FLOOR SINK
CLOTHES DRYER
HOSE BIBB
COMPRESSORS
INTERCEPTOR GREASE
COOKING APPLIANCE
INTERCEPTOR INDUSTRIAL SAND/OIL
DEEP FRYER
LAWN SPRINKLER W/ BACKFLOW DEV
DUCT CHANGE
PLUMBING EQUIPMENT
ELECTRIC FURNACE / HEAT PUMP
ROOF DRAIN
EVAP COOLER
SHAMPOO SINK W/ BACKFLOW DEVICE
FAN / BATH OR EXHAUST
SINK (LAV, KITCHEN, MOP OR BAR
FIREPLACE GAS
SUMP PUMP
FIREPLACE WOOD
TUB AND/OR SHOWER UNIT
FURNACE < 100K BTU
VACUUM BREAKER 1-5
FURNACE > 100K BTU
VACUUM BREAKER > 5
GASPIPE SYSTEM
WATER CLOSET AND/OR URINAL
GRIDDLE
WATER HEATER ELECTRIC
LP TANK
WATER PIPE CHANGE
MECH EQUIPMENT
OVEN
PIZZA OVEN
RANGE TOP
ROTISSERIE OVEN
UNIT HEAT
WATER HEATER GAS
WOK
WOOD CHARBROILER
BID PRICE
Appliesit's Sign
Date REV. JUNE 2016
EXHAUST HOOD BOTTOM VIEW LOOKING UP
SCALE: NTS
INTERSTATE HOOD COMPANY -FILTER CANOPY EXHAUST HOOD -TYPE 1
MK MODEL TYPE LENGTH WIDTH DEPTH CFM COLLAR SIZE MATERIAL WEIGHT NOTES
EH-1 EH-10C Baffle Filter - 10'4" 3'-9" 12" - 24" 1800 70" x 28" 404 UL 710 280#
Exhaust Only Stainless Steel
►en
EXHAUST HOOD END VIEW
SCALE: NTS
U (4) HANGING BRACKETS
O EXHAUST COLLAR, SEE O OR O
O 3'
REAR SPACER (CLEARANCE REQUIRED TO MEET NFPA-96 IF NEEDED)
��^® WASHABLE GALVANIZED BAFFLE FILTERS OR Ol
INCANDESCENT LIGHTS SEE( OR V
6 GREASE RECEPTACLE
7 EXHAUST HOOD ENCLOSURE - 18 CAUGE STAINLESS STEEL
OPTIONAL FEATURES
Ol WASHABLE STAINLESS STEEL BAFFLE FILTERS
OZ WIRE GUARDS FOR INCANDESCENT LIGHTS
OFLUORESCENT LIGHTS
OEXHAUST COLLAR WITH FIRE DAMPER
OEXHAUST COLLAR WITH BALANCING DAMPER
OJUNCTION BOX WITH PRE -WIRING FOR LIGHTS
7 STAINLESS STEEL ENCLOSURE PANELS BETWEEN HOOD AND CEILING
WITH SAME FINISH AS HOOD
8 DOWN DISCHARGE SUPPLY PLENUM
OFRONT DISCHARGE SUPPLY PLENUM
10 ETL LISTED END OF THE DAY DAMPER
NOTES
1. HOOD CONSTRUCTION: EXPOSED HOOD SURFACES ARE TYPE 430
STAINLESS STEEL (OPTIONAL 304) WITH BRUSHED �4 FINISH. NON
EXPOSED HOOD SURFACES ARE STAINLESS STEEL WITH A #28 FINISH.
ALL VISIBLE WELDED JOINTS ARE POLISHED TO MATCH THE ORIGINAL
FINISH. MEETING NFPA 96 REQUIREMENTS,
2. A 3" STAINLESS STEEL SPACER IS REQUIRED FOR HOODS THAT ARE
INSTALLED AND ARE IN CONTACT WITH SEMI —COMBUSTIBLE MATERIALS
PER NFPA 96,
3. LISTED NSF, ETL AND C UL uS
City of Bremerton
Dept. of Community Development
FEB 0 8 2016
e Compli
Reviewed for Codartoe
✓�IiGiiy cf permit. The issuance or grznting of a permit
shall not be construed to be a permit for, pptovul
uf. any violation of the provisions of the International
Codes or any other ordinance of the City of Bremerton.
Permits presuming to give authority to violate or cancel
the provisions of the International Codes and
ordinances of the City of Bremerton shall not be valid.
(IBC 105 & IRC 105.4)
CHANGES MUS ; 3E gPpROVED
PRIOR TO PERFORMING WORK
N;IJST COM^LY WITH
ALL WASHINGTOtJ
STATE CODES
C�{y o{Bremerton, DCD
1
NFJRIN6>� CNOLINN INC
Interstate Group, Inc.
Interstate Fire, Inc..
Interstate Industries, Inc.
Interstate Heating
and Cooling, Inc.
1217 4lh Ave N.
Kent, WA 98032
206-679-3268
vnnv. i nlerstatei n d u stries. com
ACEITUNO'S
MEXICAN FOOD
2550 Burwell St.
Bremerton, WA
980312
RESTAURANT
EXHAUST
HOOD
DESIGN
DRAWN: 01/07/2017 MS
REVISED - MS
SHEET
IN I I:KS°TATE INUUSi KItS INCUKNURATLwD
GENERAL CONTRACTORS-HOODS=HVAC—REFRIGERATION=GAS—HEATING—COOLING
WWW.INTERSTATEINDUSTRIESINLoa COM
HOOD & PERFORMANCE BALANCE REPORT
Project Name: ACeltUno'S.Mexican Food
Project Number: 516-2017-9-20
Date Of Balance: 9-20-17
Mechanical Engineer: INTERSTATE INDUSTRIES INC
General Contractor: Owner performed services
Schedule of systems
1.1- 10 Foot Hood
2.1- Essik Make up air
3.1- Dayton Exhaust fan
INSPECTORS COPY
1
1
1 COMMERCIAL---RESIDENTIAL-=mLICENSED-==BONDED---INSURED=--206=387-2364
ZE096 VM `3uaN"N *OAV 4417 14Z1
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3
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(wijZ i��
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NF
LmLL
�oY
W U m o
Z LL V h
INTERSTATE lNDt1STRIFS INCORPORATED
INTERSTATE HOOD COMPANY
Equipment location
Area Served
Equipment Manufacture
COMPANY
Model Number Hood 1
Serial Number
Total CFM Capabilities Hood 1
Factory set design Hood 1
Inlet pressure Hood 1
Static Pressure
Fan RPM
Internal Over loads
Actual fan set RPM
Voltage
Motor Frame
Total number inlets
Total number out lets
Economizer set
Input air temp
Output air temp
Notes:
Hood
1
Hood lights
Both hoods
Both hoods
with appliances on
with out appliances
In Kitchen
Kitchen Area
INTERSTATE HOOD
4510-120SS
481066719980
2500
2500
.10
.05
16 55
1
16 55
110
NIA
1
1
none
400 degrees
70 degrees
Balance to design, Filters should be cleaned every month for 1st year,
registers are to design. Clean hood filters by running through
Dishwasher or degreaser outside with spray hose.
COMMERCIAL---RESIDENTIAL---LICENSED---BONDED---INSURED---206-387-2364
INTERSTATE INDUSTRIES INCORPORATED
Equipment Location
Area Served
Equipment Manufacturer
Model Number
Serial Number
Voltage
Motor size
Motor Model number
Register type
Ductwork type
CFM Maximum
CFM Minimum
Design CFM
CFM Dump
Static Pressure
Register 1
Register 2
Register 3
Register 4
Register 5
Register 6
MAKE UP AIR UNIT
(job specific)
14"
N/A
N/A
N/A
N/A
NA
On Roof
Kitchen Area
Essik
ZYAZ
N/A
110/1/60
hp
11D446
Ceiling
Hard pipe
28)0
1225
1200
300
.0005
1200CFM
COMMERCIAL---RESIDENTIAL---LICENSED---BONDED---INSURED---206-387-2364
INTERSTATE INDUSTRIES INCORPORATED
Equipment Location
Area Served
Equipment Manufacture
Model Number
Voltage
Motor size
Motor model number
Motor HP
Ductwork type
Maximum CFM
Design CFM
Static Pressure
Positive exhaust
Total loss
EXHAUST FAN
Hood 1
Hood 1
(Set as a negative)
On Roof
Kitchen area
Dayton
7AX106
110/60/1
1225RPM
1158871hp
welded
2500cfm
2200cfm
.075
3
-.002
COMMERCIAL---RESIDENTIAL---LICENSED---BONDED---INSURED---206-387-2364
INTERSTATE INDUSTRIES INCORPORATED
This system has a negative loss design set at .002, this varies on the opening and
Closing of doors, system was set when all doors were shut and restroom fans were
Off, HVAC unit was off.
EQUIPMENT USED FOR TESTING
1. Air test unit model number
2. Voltage amp meter
3. Temperature gauges
Technician: Terry Fletcher
TESTO 410-1 velocity meter
ETEKCITY UT201-LCD VAO-M
UEI Temp sense gun
COMMERCIAL---RESIDENTIAL---LICENSED---BONDED---INSURED---206-387-2364
CITY OF
BREMERTON
City of Bremerton
Department of Community Development
PERMIT NUMBER: BB15 00701
DATE ISSUED: 1AIUIIL015
345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2550 BURWELL ST
(360) 473-5275 Fax: (360) 473=5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT: INSIGNIA SIGN INC
OWNER: MONTGOMERY & BURWELL LLC
CONTRACTOR: INSIGNIA SIGN INC
LENDER:
SUBMITTED: 10/19/2015
ZONING: DCC
Phone
425-917-2109
425-917-2109
APPROVED: 11/03/2015
VALUATION: $2,000.00 Sign Permit
Address
PO BOX 2849
RENTON, WA 98056
3810 56TH AVE SW
SEATTLE, WA 98116
PO BOX 2849
RENTON, WA 98056
EXPIRATION: OS/29/2016
SIGN -REFACE POLE SIGN
SIGN -REFACE POLE SIGN
Access Code
ZIJQO-ZEER7
IJ3W0-YZH9I
ZIJQO-ZEER7
STATUS: ISSUED
Plan Review Fee $46.15
State Surcharge $4.50
Building Code Edition:
Building Permit $71.00 Occupancy Group:
Type of Construction:
TOTAL FEES: S12L65 Flood Zone: �(\
Setbacks: ////: (F/L/RT/R/O)
6�
Sanitation Method: . rn
Number of Bedrooms:
Inspection Requests:
DCD:
Building Inspections:
(360)
473-5870
L&I:
Department of Labor and Industries
(360)
415-4000
FIRE: Fire Inspections (360) 473-5386
HEALTH: Kitsap County Health District (360) 337-5285
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 any time 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 to pass final inspection
prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
have read, and agree to abide by the conditions of this permit)ncluding -conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR AGENT:
CONDITIONS
City of Bremerton's approval of this 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.
Printed by: Traorales on: 12/01/2015 02:24 PM
Page I of 2
City of Bremerton
Department of Community Development
345 -
6th Street, Ste.
6001
Bremerton WA 98337
(360)
473-5275 Fax:
(360)
473-5278
PERMIT NUMBER:
DATE ISSUED:
BB15 00701
12/Ol/2015
SITE ADDRESS: 2550 BURWELL ST
ASSESSOR NUMBER: 142401-3-066-2006 ZONING: DCC
Name Phone Address Access Code
APPLICANT: INSIGNIA SIGN INC 425417-2109 PO BOX 2849 ZIJQO-ZEER7
RENTON, WA 98056
OWNER: MONTGOMERY & BURWELL LLC 3810 56TH AVE SW IJ3W0-YZH9I
SEATTLE, WA 98116
CONTRACTOR: INSIGNIA SIGN INC 425-917-2109 PO BOX 2849 ZIJQO-ZEER7
RENTON, WA 98056
LENDER:
SUBMITTED: 10/19/2015 APPROVED: 11/03/2015 EXPIRATION: 05/29/2016 STATUS: ISSUED
1. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be
on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called
for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re.
inspection fee will be charged and must be collected by the Department of Community Development prior to any further
inspections being performed or approvals granted.
2. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of
Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or
failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a
year has passed with no activity. The permit expires 180 days past the date of inactivity.
Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be
uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical
rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing.
3. (LU 12) Signs must comply with BMC 20.52. A separate permit is required for any additional signs.
4. (LU 19) Freestanding signs shall not block visibility pursuant to BMC 20.52.070. The base of the sign shall have a landscaped island
equal to or greater than the area of the sign pursuant to BMC 20.52.090(e). Landscaping needs to be installed prior to Final
inspection of sign permit.
****Please note that your Certificate of Occupancy and Business License may not be issued until sign permit obtains Final
inspection.
5. (LU25) Signs may be illuminated directly, indirectly, or internally, provided the lighting is directed away from other land uses, and
away from on -coming traffic.
6. (DCD-91) Call before you dig: Calling 811, two business days before you begin digging, will alert utilities to come out and mark
THEIR buried lines from the street to your house For FREE!
7. (Custom) Must comply with Title 20 of the Bremerton Municipal Code and development regulations of the District Center Core zone
(BMC 20.70).
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.
Inspection
FINAL -BUILDING
Description
Final Inspection -Building
Printed by : Tmorales on: l2/01/2015 0224 PM
Page 2 of 2
i
PROTECT THIS CARD FROM THE WEATHER
Building Lj Plumbing Lj
2550 BURWELL ST
SIGN - REFACE POLE SIGN
V AV
3 t &!A
Mechanical ❑ Alarm/Sprinkler Lj
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site.
Permit # 131310 00101
Call the followina Aaencv Telephone Numbers for inspections:
Building Department Inspections:
(360) 473-5870
Water -Public Works:
(360) 473-5927
PW - Public Works - Engineering
(360) 473-5270
Kitsap Public Health:
(360) 337-5235
Fire - Fire Department:
(360) 473=5385
L&I - Dept. of Labor and Industry
(360) 4154000
- Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
Reinspection fee may be assessed if inspection has been
requested when not ready or corrections are not completed.
- Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee may be
assessed.
Inspection
APP
DATE
Notes
Final Inspection -Building
_ -
FINAL BUILDING (360) 473-5870
All of the above must be approved. Approved Final Inspection grants occupancy for single family residence only.
Commercial structures require separate Certificate of Occupancy.
DO NOT OCCUPY BUILDING WITHOUT BUILDING UEYAK'I'MLN'I' APPROVAL
Page l of l
6 00Zo l
CITY OF
BREMERTON
Department of Corr
Applicant:❑
Business Name:
Site Address:
f ERMff CENTER
COMMERCIAL
Building Permit Application
* 345 - 6th
*
473-5275 *Fax (360) 473-5278 * www.ci.bremerton.wa.us "
Owner ❑ Contractor n Authorized
76 Gas Station (Site #803122)
2550 Burwell Street
To apply for a property address, contact Public Works at (360) 473-5270
OCT 1 g 2jt45
-IV/J
of;�rerrr�.
ent X
n� DCD
CONTRACTOR:
OWNER:
Address: PO Box 2849
Address: 3810 - 56th Ave SW
City, State, Zip: Renton, WA 98056
City, State, Zip: Seattle, WA 98116
License # & Exp. Date: INSIGSI062 Z
Phone #: 425 917-2109
Contact Name: Cindy Thomson
Authorized Agent Name: Cindy Thomson
Contact Phone #: 425 917-2109
Address: PO Box 2849
Email address: cthonlson(a)insic niasi n.com
City, State, Zip: Renton, WA 98056
Tax ID/Parcel #: 142401-3-066-2006
Phone #: ( 425) 917-2109
❑ Sewer ❑ Septic Email address: cthomson@insignicisicjil.com
What is the application for? (Please check) ❑
New Construction ❑X Alteration ❑Addition
❑ NEW COMMERCIAL ❑TENANT IMPROVEMENT WITH WORK
❑ COMMERCIAL REMODEL ❑ TENANT IMPROVEMENT WITHOUT WORK
❑ COMMERCIAL ADDITION ❑X NEW SIGN
❑ COMMERCIAL REPAIR ❑ GRADING (Cubic Yards: )
❑ NEW MULTI -FAMILY ❑ REROOF
❑DEMOLITION Interior Exterior" Foundation Wall" Roof / Section*"
** Separate demolition permit and fees required.
Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior to demolition permit issuance.
❑OTHER:
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES ❑ NO ❑X
Scope of work proposed: Remove Pole Sign Faces &Install new 76 Image Faces
Square Footage: Building:
Construction Type: Sign Work
Valuation
Plan Review Fee
Permit Fee
Surcharge
Total Fees
$ 2, 000.00
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and pla
submitted 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 the circumstances beyond the control of the
applicant have prevented action from being taken. No applicant shall be extended more than once. In order to renew action on an application
after expiratiop, the,applicant shall resubmit plans and pay a new plan review fee.
Sig
10/15/2015
Date
Rev. July 2008
F
T
Ifm i ,' FIN I
62' x 80'
FOOD MART
BUILDING
Validity of permit. The issuance or granting of a permit
shall not be construed to be a permit, for, or an approval
of, any viciation of the provisions of te International
Codes or any other ordinance of the City of Bremerton,
Fzrmits presuming to give authority to violate or cancel
the provisions of the International Codes and
(IBC 105 & I
CHANGES MUST BE APPROVED
PRIOR TO PERFORMING WORK
6
/IIIi\
v
Scale: 1 OF = 40'
MUST COMPLY WITH
AI_L WASHINGTON
STATE CODES
*N1 -MID Pole Sign:
e�
*Remove existing Sign Faces.
*Install new 76 Wave Image Faces.
*Paint existing Poles Silver.
*See Specifications on Page 2.
*E1, E2 & E3: existing 76 Logo
Canopy Signs Permitted under
#BB15-00388.
*E4 & ES: existing Orange
Canopy Accent lighting Permitted
under ##BB15-00388.
*E6: existing Orange LED Accent
Down -Lighting Permitted under
#BB15-00388.
*E 7: existing Reflective Vinyl
Stripe Permitted under #BB15-
00388.
- City of Bremerton � 9, �` �i�l�'
NOV - 2 2015 OCT 19
Reviewed for omoiance
i
�_. City of Bremerton, DCD
G3(315G��al
PHYSICAL ADDRESS:
325 Burnett Ave North
Renton, WA 98057
MAILING ADDRESS:
PO BOX 2849
Renton, WA 98056
OFFICE: (425) 917-2109
FAX: (425) 917-2109
GC LICENSE: INSIGS1062QZ
ELEC LICENSE: INSIGS1055JS
CUSTOMER:
LSI
ACnmJ).iny W.Ihd �
Sign. Resource
TDl \'TTTY GROUP
PAGE: 1
PROJECT ADDRESS:
76 Site #803122
2550 Burwell Street
Bremerton, WA 98312
DATE: 10/15/15
CONTACT: Cindy Thomson
cthomson@insigniasign.
com
3-0
PARCEL: #142401-66-2006
JOB: #15-6650
ZONE: DCC
Inc.
This is an original design and drawing created for
the exclusive use of the customer. Until transfer by
sale, all rights are reserved and it is only to be used
by customer in connection with this project. It is not
to be reproduced in any manner without the
express written approval of Insignia Sign, Inc.
Construction or permitting conditions may cause a
change in dimensions or specifications.
Due to the printing process, colors may vary.
z hill F L ll I I
loll
rr�•r�z
*Sign N1 -MID Pole Sign:
*Remove Sign Faces from existing Cabinets.
IF IF
*Install new Faces in existing Cabinets.
*Paint existing Poles Silver.
*Existing Sign Square Feet = 1040785M
*New Sign Square Feet = 104.7856
*Existing Sign Height = 22'.
*New Sign Height = 22'11
*No Change to Existing Sign Setback.
PMS 287C
C SILVER PAINT TO MATCH ACM BRIGHT SILVER BSX
DAY/NIGHT PERFORATED VINYL
104.785 SQ.FT.
PROPOSED:
104J85 A.FT.
83 5/8"
TRIM
40 5/8"
TRIM
72 5/8"TRIM
�asses
896696140466
edoessesses
6644606604
�60686*
3/8= 1lAeFAFOA
R�//JIJId�%Ag
PHYSICAL ADDRESS:
325 Burnett Ave North
Renton, WA 98057
MAILING ADDRESS:
PO BOX 2849
Renton, WA 98056
OFFICE: (425) 917-2109
FAX: (425) 917-2109
GC LICENSE: INSIGSI062QZ
ELEC LICENSE: INSIGSI055JS
CUSTOMER:
LSI Ad
- aCnmyny wrrha S
�S�gnResou.rce
ITY GROUP
B' DIM liIdEG LED PAGE: 2
meoowsrzE 1o3/4°x241N'
LED Y.0.10' %13 i/8°
PROJECT ADDRESS:
IW'fDYOW1D?%23 S/8'X 24114'
76 Site #803122
' 18 N IRE k,Ulil-SE6lEU
WINDOW SIZE 103/4'%21114'
tEDv.D.ID'z23 ro°
161/4"TRIM Diesel
WINDOW SDE 10 7/4' %141/4'
LFDV.0.101x235/8'
1
161/4"TRIM
161/4"TRIM
161/4"TRIM
Burwell
landing
2550 Burwell Street
Bremerton, VVA 98312
DATE: 10/15/15
CONTACT: Cindy Thomson
cthomson@insigniasign.com
PARCEL: #142401-3-066-2006
JOB: #15-6650
ZONE: DCC
Inc.
This is an original design and drawing created for
the exclusive use of the customer. Until transfer by
sale, all rights are reserved and it is only to be used
by customer in connection with this project. It is not
to be reproduced in any manner without the
express written approval of Insignia Sign, Inc.
Construction or permitting conditions may cause a
change in dimensions or specifications.
Due fo the printing process, colors may vary.
Margret Mount
From:
Sent:
To:
Cc:
Cindy Thomson <cthomson@insigniasign.com>
Tuesday, February 02, 2016 8:23 AM
Margret Mountjoy
Jason Holm'
Subject: RE: Receipt - B615 007012550 Burwell
Hi Margret,
The new contractor for this permit will be:
Phoenix Sign Company, Inc
16 Horizon Lane
Aberdeen, WA 98520
License # PHOENSC923TG - expiration date is 2/7/2018
LU
FEB C 2 2016
City of Bremerton, DCD
Insignia Sign will not be doing the work on this permit and Phoenix Sign will be the new contractor for the job.
Please transfer this permit into Phoenix Signs name.
Thank you,
Cindy Thomson
Senior Accounts Manager
rS'I�
Mailing: PO Box 2849 Renton, WA 980.56
Physical: 325 Burnett Ave N Renton, WA 98057
Phone: 425.917.2109 / Fax: 425.917.0153
tivtivtiv.insigniasign.com 1ybVtiy.fctcebook.c0177ln1s7 aIasi 7n0n
From: Margret Mountjoy [mailto:Margret.MountLyCc�ci.bremerton.wa.us]
Sent: Monday, February 1, 2016 10:52 AM
To: 'Cindy Thomson'
Subject: RE: Receipt - BB15 00701 2550 Burwell
Good morning Cindy,
Once you know who the new contractor will be, we'll need a letter from Insignia Signs stating that you will not be doing
the work on this permit and "whoever is chosen" will be the new contractor for the job. Their names needs to be stated
in the letter or email.
Please let me know if you have any further questions.
RespectftcClti�,
`Margret NIozcritjo�
City of Bl�e�rz.erton.
23WO( ing Develoymen.t Syecia.lst.
1
00- 473-5211
From: Cindy Thomson [mailto:cthomsU"CW@ nsi nq iasign.com]
Sent: Saturday, January 30, 2016 2:52 PM
To: Kelli Lambert
Cc: Margret Mountjoy
Subject: RE: Receipt - BB15 00701 2550 Burwell
Hello Kelli,
Another contractor will be doing the pole sign reface at this location. I do not know who yet, but wanted to let
you know that they have our authorization to transfer this permit to them. Please let me know if they do not
contact you in next week or two to get it transferred or if you have any questions. Under no circumstances is
any other contractor to do this work under our license.
7:'llanlc you,
Cindy Thomson
Senior Accounts Manager
Sr!Vvw
t � tr'€-frrra�iirr,,r
Mailing: PO Box 2849 Renton, WA 98056
Physical: 32.5 Burnett Ave N Renton, WA 98057
Phone: 425.917.2109 / Fax: 425.917.0153
wiviv. insigniasi�n cony // iviviv. facebook comlinsioiasignine
From: Kelli Lambert [mailto:Kelli.Lambert@ci.bremerton.wa.us]
Sent: Monday, October 19, 2015 3:17 PM
To: 'Cindy Thomson'
Cc: Margret Mountjoy
Subject: Receipt - BB15 00701 2550 Burwell
Cindy,
I have attached the receipt for the plan review fee for BB15 00701—Sign Reface at 76 Station, 2550 Burwell.
We will contact you when the permit is ready to issue.
Thank you,
Planner
Phone: 360.473.5245
Kelli.Lambei*t@ci.bi4enierton.wa.us
City of Bremerton
Department of Community Development
345 6th Street, Suite 600
Bremerton, WA 98337
C ity of Bremerton
Department of Community Development
345 -
6th Street, Ste.
600,
Bremerton WA 98337
(360)473-5275
Fax:(360)473-5278
ASSESSOR NUMBER: 142401-3-066-2006
Name
APPLICANT
OWNER:
CONTRACTOR:
LENDER:
INSIGNIA SIGN INC
MONTGOMERY &BURWELL LLC
INSIGNIA SIGN INC
SUBMITTED: 06/04/2015
VALUATION:
Plan Review Fee
Building Permit
State Surcharge
TOTAL FEES:
$5,675.00
$73.45
$113,00
$4.50
$190095
ZONING: DC
Phone
425-917-2109
425-917-2109
APPROVED: 06/17/2015
PERMIT NUMBER$
DATE ISSUED:
Address
PO BOX 2849
RENTON, WA98056
3810 SGTH AVE SW
SEATTLE, WA98116
PO BOX 2849
RENTON, WA98056
06/24/2015
SITE ADDRESS: 2550 BURWELL OIL
EXPIRATION: 12/21/2015
Access Code
ZIJQO-ZEER7
IJ3W0-YZH9I
ZIJQO-ZEER7
STATUS: ISSUED
Sign Permit
76 GAS STATION - REPLACE 3 CANOPY LOGO SIGNS & ADD LED LIGHTING
ON CANOPY FACIA
76 GAS STATION -REPLACE 3 CANOPY LOGO SIGNS &ADD LED LIGHTING
ON CANOPY FACIA
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
r
Inspection Requests: FIRE: Fire Inspections (360) 473-5386
DCD: Building Inspections: (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285
L&I: Department of Labor and Industries (360) 4154000 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 any time 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 substantiate 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 to
pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
SIGNATURE OF OWNER OR AGENT: - ,� � i '
PRINTED NAME: 74rT �� �'�(L'(5��j DATE:
CONDITIONS
City of Bremerton's approval of this application pertains only to the cif y's too gulatory jurisdiction and thus compliance with City regulations
does not necessarily ensure compliance with federal or state laws.
Printed by: Mountjoy, Margreton: 06/24/2015 12:57 PM Page I of 2
City of Bremerton
Department of Community Development
345 -
6th Street, Ste,
600,
Bremerton WA 98337
(360)
473-5275 Fax:
(360)
473-5278
PERMIT NUMBER:
DATE ISSUED:
11ixl:1:
06/24/2015
SITE ADDRESS: 2550 BURWELL ST
1. (DCD47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be
on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called
for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -
inspection fee will be charged and must be collected by the Department of Community Development prior to any further
inspections being performed or approvals granted.
2. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of
Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or
failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a
year has passed with no activity. The permit expires 180 days past the date of inactivity.
Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be
uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical
rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing.
3. (LU 12) Signs must comply with BMC 20.52. A separate permit is required for any additional signs.
4. (LU19) Freestanding signs shall not block visibility pursuant to BMC 20.52.070. The base of the sign shall have a landscaped island
equal to or greater than the area of the sign pursuant to BMC 20.52.090(e). Landscaping needs to be installed prior to Final
inspection of sign permit.
****Please note that your Certificate of Occupancy and Business License may not be issued until sign permit obtains Final
inspection.
5. (LU25) Signs may be illuminated directly, indirectly, or internally, provided the lighting is directed away from other land uses, and
away from on -coming traffic.
6. (DCD-91) Call before you dig:, Calling 811, two business days before you begin digging, will alert utilities to come out and mark
THEIR buried lines from the street to your house For FREE!
7. (Custom) Must comply with Title 20 of the Bremerton Municipal Code and development regulations of the District Center Core zone
(BMC 20,70),
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.
Inspection Description
ELECTRICAL FINAL L&I -Electrical Final Inspection
FINAL - BUILDING Final Inspection- Building
Qty Fixture Type
FIXTURE LIST
Qty Fixture Type
Printed by : Mountjoy, Margreton: 06/24/2015 12:57 PM Pagc 2 of 2
BUILDING' PERMIT
INSPECTION CARD
Building
Plumbing Lj
2550 BURWELL ST
76 GAS STATION - REPLACE 3
CANOPY LOGO SIGNS & ADD
LED LIGHTING ON CANOPY
FACIA
6
Mechanical Lj Alarm/Sprinkler Lj
This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site.
Permit # BB15 00388
Call the following Agency Telephone Numbers for inspections:
Building Department Inspections: (360) 473-5870
Water - Public Works: (360) 473=5927
PW - Public Works - Engineering: (360) 473-5270
Kitsap Public Health: (360) 337=5235
Fire - Fire Department: (360) 473=5386
L&I - Dept. of Labor and Industry: (360) 4154000
- Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
Reinspection fee may be assessed if inspection has been
requested when not ready or corrections are not completed.
Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee may be
assessed.
Inspection
APP
DATE
Notes
L&I -Electrical Final Inspection L)�5-
Final Inspection - Building
°� - ( S
FINAL BUILDING (360) 473-5870
All of the above must be approved. Approved Final Inspection grants occupancy for single family residence only.
Commercial structures require separate Certificate of Occupancy.
DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL
Page I of 1
i
CITY OF
BREMERTON
Business Name:
Site Address:
JUN 0 2 2U13
Owner
CENTER
MMERCIAL
uilding Permit Application
473-5278 ' www.ci.brernerton.wa.us
Contractor
76 Gas Station (Site #803122)
2550 Burwell Street
Authorized
To apply for a property address, contact Public Works at (360) 473-5270
CONTRACTOR:
OWNER:
Address: PO Box 2849
Address: 3810 - 56th Ave SW
City, State, Zip: Renton, WA 98056
City, State, Zip: Seattle, WA 98116
License # & Exp. Date: INSIGSI062 Z
Phone #: 425 917-2109
Contact Name: Cindy Thomson
Authorized Agent Name: Cindy Thomson
Contact Phone #: 425 917-2109
Address: PO Box 2849
Email address: cthomson a)insi niasi n.com
City, State, Zip: Renton, WA 98056
Tax ID/Parcel #: 142401-3-066-2006
Phone #: ( 425) 917-2109
qn.com
II Sewer II Septic 1 Email address: ahomson@insigniasic
What is the application for? (Please check) =New Construction =Alteration=Addition
IINEW COMMERCIAL IT TENANT IMPROVEMENT WITH WORK
IICOMMERCIAL REMODEL = TENANT IMPROVEMENT WITHOUT WORK
=COMMERCIAL ADDITION M NEW SIGN
=COMMERCIAL REPAIR = GRADING (Cubic Yards: )
=NEW MULTI -FAMILY II REROOF
IIt)EMOLITION _ Interior _ Exterior** _ Foundation Wall" _ Roof / Section*".
** Separate demolition permit and fees required.
Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior to demolition permit issuance.
=OTHER:
IS THIS PROPERTY WITHIN 200 FEET OF SHORELINE? YES7= NO IIX
Scope of work proposed: Replace 3 existing Canopy Logo 76 Signs with new Signs;
Add LED illuminated Accent Lighting on Canopy Facia
Square Footage: Building: 4448
Construction Type: Sign Work
Valuation Plan Review Fee
Permit Fee
Surcharge
Total Fees
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and pla
submitted 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 the circumstances beyond the control of the
applicant have prevented action from being taken. No applicant 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.
Applicant's Signatu
5/31/2 015
Rev. July 2008
Vrlldlty of permit, The I®aU®FlQa 0t gFanting of a permit
shall not be conatrued IQ be $ permit for, or an approval
iTz 1A 11 F41
JtdN U 2 2015
.4
F{F,
�1
:T SITE PLAN
Permits presuming to give authority to violate or cancer
the provisions of the International Codes and
ordinances gf the City of Bremerton shall not be valid. i llll�l�.
pBC 105 & IRC 105A)
Scale: 1 " = 40'
PRIOR TO PERFORMING WORK
MUST COMPLY WITH
ALL WASHINGTON
STATE CODES
*SCOPE OF W�
r, L
Remove &Discard
existing 33" Oasis Logo Canopy Signs
& Disconnection from electrical
circuits; Install new illuminated 33"
Logo Canopy Signs on new Silver
ACM Canopy Facia per Specs on
Pages 2 & 3. Wire to existing
electrical circuits.
*N4 & N5: Install new 45' long
illuminated Orange Sails (aluminum
extruded cabinet with LED backlit
orange flexible faces) on new Silver
ACM Canopy Facia (2 per side) per
Specs on Page 2.
*N 5: Install new Aluminum Orange
Hood with Orange LED Accent Down -
Lighting on new Silver ACM Canopy
Facia per Specs on Page 3.
*N F: Pre -Applied Orange Reflective
Vinyl Stripe.
*E1: Existing Pole Sign to be
Permitted & Replaced by other
Contractor.
*Note: See Page 4 for Mounting
Details & Cross Sections.
Dept. of Community Development
JUN 11 2015
Reviewed for
S/GN//q
r Sign Re"Imagiarg
PHYSICAL ADDRESS:
325 Burnett Ave North
Renton, WA 98057
MAILING ADDRESS:
PO BOX 2849
Renton, WA 98056
OFFICE: (425) 917=2109
FAX: (425) 917-2109
GC LICENSE: INSIGSI062QZ
ELEC LICENSE: INSIGS1055JS
CUSTOMER:
LSI Adapt, Inc.
n Company witha jewrt-rliie.
SignResource
ID1 NTITY GROUP
PAGE: 1
PROJECT ADDRESS:
76 Site #803122
2550 Burwell Street
Bremerton, WA 98312
DATE: 05/1 /15
CONTACT: Cindy Thomson
cthomson@insigniasign.com
PARCEL: #142401-3-066-2006
JOB: #15-6650
ZONE: DCC
This is an original design and drawing created for
the exclusive use of the customer. Until transfer by
sale, all rights are reserved and it is only to be used
by customer in connection with this project. It is not
to be reproduced in any manner without the
express written approval of Insignia Sign, Inc.
Construction or permitting conditions may cause a
change in dimensions or specifications.
Due to the printing process, colors may vary.
13
615 00388
E
Ft4abfl rc
116)JI'L 0
J' I !j
CA j
PROPOSED CANOPY -SOUTH ELEVATION
rM New 45' New 40" '
x 96
New 45' New 40" x 96' Silver New 33" LED
PROPOSED CANOPY - NORTH ELEVATION ®LED Sailsjjjje4
*SCOPE OF WORK Sovth &North Canopy �'>levations
* Remove &Discard existing 40" Oasis ACM canopy fascia; Install new 40" Silver ACM canopy fascia.
* Remove &Discard existing 33" canopy Signs; Install new 33" LED illuminated canopy signs (N1 & N3) on South &
North elevations via # 10 Tek Screws (min 4 per sign) per mounting details on Page 4. Total Sign Square Footage =
6.20 each.
* Install new 45' LED illuminated Sails (N4 & N5) via # 12x7/8" Tek Screws on South & North canopy elevations per
mounting details on Page 5 - 2 Sails per side.
* Wire new 76 Signs & Sails to existing electrical circuits.
* Remove & Discard existing non-illuminted Pump Valances; Install new LED illuminated Pump Valances.
* Remove & Discard existing Pump Numbers mounted on canopy columns; Paint existing canopy columns 76 Silver
Metallic; Install new Pump Numbers (Silver with Orange numbers) on existing canopy columns.
* Paint Pump Island curbing 76 Gunmetal Gray Metallic; Paint Pump Island Bollards 76 Orange.
Scale: 1/8" = L
Canopy Logos (3) — Typ.
SQ FT = 6.20
P Re-/fijg/nrg
PHYSICAL ADDRESS:
325 Burnett Ave North
Renton, WA 98057
MAILING ADDRESS:
PO BOX 2849
Renton, WA 98056
OFFICE: (425) 917-2109
FAX: (425) 917-2109
GC LICENSE: INSIGSI062QZ
ELEC LICENSE: INSIGS1055JS
«JSTOMER0
�I
LSI Adapt, Inc.
AC ampany wirh a S .naL— I:.tu..
Sign,Resource
IDI NTITY GROUI'
PAGE: 2
PROJECT ADDRESS:
76
Site #803122
2550 Burwell Street
Bremerton, WA 98312
DATE: 05/1 /15
CONTACT: Cindy Thomson
cthomson@insigniasign.com
PARCEL: #142401-3-066-2006
JOB: #15-6650
ZONE: DCC
Constructio
chang
This is an original design and drawing created for
the exclusive use of the customer. Until transfer by
sale, all rights are reserved and if is only to be used
by customer in connection with this project. It is not
to be reproduced in any manner without the
express written approval of Insignia Sign, Inc.
n or permitting conditions may cause a
e in dimensions or specifications.
Due to the printing process, colors may vary.
I in MM9 I A W a 'L w4l I �W Md 1 4' w 1w f-7L7 wTJ I k AL 'wJ MIN ANIC' I—LI I Fl" J
PROPOSED CANOPY
Canopy Logos (3) — Typ.
SQ FT = 6.20
- WEST ELEVATION
Scale: 3/10 = 1'
New 5" x 59' Orange
West &East Canopy Elevations
NTS
PROPOSED CANOPY -EAST ELEVATION
®New 5" a
Reflectiv
New 40"" x 59" Silver
ACM Canopy
* Remove &Discard existing 40" Oasis ACM canopy fascia; Install
new 40" x 96' Silver ACM canopy fascia.
* Remove & Discard existing 33 canopy Sign; Install new 33" LED
illuminated canopy signs (N2) on West elevation via # 10 Tek Screws
(min 4 per sign) per mounting details on Page 4. Total Sign Square
Footage = 6.20 each.
* Install new 5" x 59' Aluminum Orange Hood with Orange LED
Accent Down Lighting via # 10 Tek Screws on West canopy elevation
(N6) per mounting details on Page 4.
* New 5" x 59' pre -applied Orange Reflective Vinyl Stripe.
* Wire new 76 Sign & LED Down -Lighting to existing electrical
circuits.
* Remove & Discard existing non-illuminted Pump Valances; Install
new LED illuminated Pump Valances.
* Remove & Discard existing Pump Numbers mounted on canopy
columns; Paint existing canopy columns 76 Silver Metallic; Install
new Pump Numbers (Silver with Orange numbers) on existing canop
columns.
* Paint Pump Island curbing 76 Gunmetal Gray Metallic; Paint Pump
Island Bollards 76 Orange.
It
S/ACM//q
sigilr , so k M/fiaginrg
PHYSICAL ADDRESS:
325 Burnett Ave North
Renton, WA 98057
MAILING ADDRESS:
PO BOX 2849
Renton, WA 98056
OFFICE: (425) 917-2109
FAX: (425) 917-2109
GC LICENSE: INSIGSI062QZ
ELEC LICENSE: INSIGS1055JS
CUSTOMER:
LSI Adapt, Inc.
ACompanywilha 5%~it-yjie.,
SZg'iZReSo u rce
IDE�TIT1' GIIODI'
PAGE: 3
PROJECT ADDRESS:
76 Site #803122
2550 Burwell Street
Bremerton, WA 98312
DATE: 05/1/15
CONTACT: Cindy Thomson
cthomson@insigniasign.com
PARCEL: #142401-3-066-2006
JOB: #15-6650
ZONE: DCC
This is an original design and drawing created for
the exclusive use of the customer. Until transfer by
sale, all rights are reserved and if is only to be used
by customer in connection with this project. It is not
to be reproduced in any manner without the
express written approval of Insignia Sign, Inc.
Construction or permitting conditions may cause a
change in dimensions or specifications.
Due to the printing process, colors may vary.
RE=1MAGE PROJECT CANOPY SIGNS
j �-j PHYSICAL ADDRESS:
325 Burnett Ave North
76 CANOPY LOGO SIGN
` ��. Renton, WA 98057
MOUNTING & SIDE DETAILS ACM FASCIA MAILING ADDRESS:
PO BOX 2849
TOP COVER Renton, WA 98056
�12" .050ALUMINUMPAINTED SILVER J G.00" �— OFFICE: (425) 917-2109
�F = r--------_---`---- FAX: (425) 917-2109
BACK PANEL.090 ALUMINUM
PAINT oRAraGE/WHIrE GC LICENSE: INSIGS1062CIZ
LED ARMETAL ELEC LICENSE: INSIGS105515
TRANSFORMER Box FLEXIBLE FACE
T
TR
ORANGE PIGMENTED \ #1pX7& Bottom
■
(T p CUSTOMER.
(Min every 24')
#10 @ 1 X'X3' TECH SCREWS
(4 MIN. PER 76 CANOPY SIGNI G . I'
P512-60 POWER t+- - GUSSET.090 ALUMINUM
SUPPLY _ --= PAPIT WHITE AS REQUIRED
ALUMINUM FXfRUSIONS j J
FACE RETAINER
�4 LED 6500k IVHLIE
I
BOTTONICOVER f�
.050 ALUMINUM
PAINTED ORANGE OR SILVER
r".'..";. LSI Adapt, Inc.
ACompany with a
�I ORANGE SAIL CROSS SECTION Si Resource
SEALTITE CONDUIT TYP. I D I N T ITY GROUP
( �BETW. JUNCTION BOXES
I h TO POWER SUPPLY BOX
PAGE: 4
--- ---_ zx4 JurNcnDN eoxes *PLEASE NOTE*
AT REAR EA LETTER #8X'. K-LATHE SCREW PAINTED #8X2 K-LATHE SCREW
-- - ---- ORANGE IS SOLELY FOR THE PAINTED ORANGEIt PROJECT ADDRESS.
UUWNLIGHT ASSEMBLY- THESE 5000" EMBE .333"
U.C.)DMENT
{j
SCREWS ARE IN ADDITION TO
MBE-76 Site #803122
THE 810 SCREWS FOR THE SILVER 3.500 1.500" FLANGL OVLR ACM
YN�SEALTITE CONDUIT SEALTITE CONDUIT TO ACM FASCIA 2550 Burwell Street
PROVIDED BY INSTALLER ADJACENT LETTER �rsX1X1" ALUMINUM ANGLE
I ALL ELEC. CONNECTIONS S
°L1DXa (l3 SCU W—(RECC'MMENDRD 0.011 U.C) Bremerton, WA 98312
O EMBEDMENT-.181" EMBEDMENT-.126"
_________ L____________oJ
--""--- 5,000" DATE: 05/1 /15
— — ___' LED REFLECTOR STRIP
SECTION VIEW Ob3ALUMINUM
ORANGE DUWNLIGHT HOOD
.090 ALUMINUM L ORANGE LED
POWDER COAT ORANGE AGIUGHT 516NRAYZ CONTACT: Cindy Thomson
.66W/MODULE
#8X3 K-LATHE SCREW (2.40U.C.) cthomson@insigniasign.com
PAINTED ORANGE
(23.5°-`.) EMBEDMENT - .153" PARCEL: #142401-3-066-2006
JOB: #15-6650
ZONE: DCC
SIGN TO BE U,L. LISTED ALL ELECTRICAL COMPONENTS TO BE U.L. LISTED,
AND SHALL MEET N.E.C. STANDARDS APPROVED AND MARKED PER N.E.C. 6004.
ALL TO BE ELECTRICALLY GROUNDED PER NEC. 250. This is an original design and drawing created for
LED powered by Remote 60w 120v Power Supply OUndemiters ALL POWERSUPPLIES TOBENISEDPER U.1.48,28.2.1 the exclusive use of the customer. Until transfer by
Laboratories Inc.GROUNDING AND BONDING PER N.E.C. 250-90,-92,-94,-96.
Each Power Supply runs 40' total SIGN TO MEET N.E.C. ANDU.1.4B 3MM (UR4MM) SILVER ACM - sale, all rights are reserved and it is only to be used
ELECTRIC SIGN STANDARDS FOR ELECTRICAL SIGNS. by customer in connection with this project. It is not
GROUNDING & BONDING
wsaawESANorauLcoraea�aNTosXrNer: AS PER N.E.C. 250-90& NEC 600.7 - CANOPY STRUCTURE to be reproduced in any manner without the
-- - VARIES - ASSUME 16 GA STEEL express written approval of Insignia Sign, Inc.
Construction or permitting conditions may cause a
change in dimensions or specifications.
ORANGE ALUMINUM HOOD CROSS SECTION Due to the printing process, colors may vary.
= - aZan & ASSOCIATES, INC.
GEOT CHNICAL ENGINEERING • ENVIRONMENTAL ENGINEF��,�..G
CONSTRUCTION TESTING & INSPECTION irR1'l',r''?�
October 26, 1999 KA Project No.: 066-99187
Mr. Darren Straley
DEALIN, INC.
351 Broad Street North
Seattle, WA 98109
RE: Speciallnspections
Straley's Burwell PB Station
Bremerton, Washington
Dear Mr. Straley:
In accordance with your request and authorization, our firm performed special inspection for the
above -referenced project. The inspection was performed by our inspector on 10/08/99, A copy
of our inspector's field report is attached.
To the best of our knowledge and unless otherwise noted, the structural activities summarized
oIn our attached daily field report were in accordance with the approved project plans and
specifications, and the 1994 Uniform Building Code. A guarantee that the contractor has
necessarily constructed the structure in full accord with the plans and specifications is neither
intended nor implied.
If you have any questions or if we can be of further assistance, please do not hesitate to
contact our office.
Respectfully submitted,
KRAZA��N'' &ASSOCIATES, INC.
XX
Jeffrey M. Bowers
Construction Services Manager
Poulsbo Division
J M B\DA\trg
Enclosure
cc: CITY OF BREMERTON D.C.D. — Mr. Scott Erickson
Dean Alexander
Principal Engineer
RPE No. 30508
With Ten Offices Serving The Western United States
383 NW Equestrian Drive • Poulsbo, Washington 98370 • (360) 598-2126 •Fax: (360) 598-2127
1�.1� J i-Y
azan & Associates
GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DATE:
PROJECT N: Q" _ 99 7
PROJECT:
n cm DSA File/Appl. No.
OSHPD No.
Permit No.
CONTRACTOR: JUCC AW14
I.O.R.: STEP/VE�U J2A1►[QS
PRESENT AT SITE:
LOCATION: B1 �72?DN t COPIES TO:
KRAZAN PROJECT MANAGER: JPkB WEATHER: LT RMiv TEMP:
I� STRUCTURAL STEEL
FIEL / SHOP WELDING
Items) inspected: E/
Location:
V.T. ❑ MATERIAL ID ❑ U.T. ❑ M.T. ❑ P.T.
W�er�qu�alification/certification verified for:
Position: FLAT VERTICAL HORIZONTAL OVERHEAD � Filler Metal:
Process:
R> Weld Type
Weld Size:
Codes:
❑ NOTES
FCAW GMAW
SAW El Other:
C.P. ,� P.P. PLUG El Other:
5/16" 3/e" ❑ Other:
AWS QL�-frj ISC - TITLE 21 TITLE 24 UBC AS❑ DISCREPANCIES IQb % COMPLETE
To the best of my knowledge, the abov WAS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements.
Superintendent/Representative:
Technician:
4231 Foster Ave.
Bakersfield, CA 93308
(805) 633-ZZ00
25418 74th Ave. S
Kent, WA 98032
(253) 854-1330
215 West Dakota Avenue
Clovis, CA 9361 Z
(209) 348-2200
FILE COPY
550 Parrott St. #1
San Jose, CA 951 12
(408) 271-2200
123 Commerce Circle
Sacramento, CA 95815
(916) 564-2200
�.�..
r
��Fi\L ���:�,��n
& ASSOCIATES, INC.
GEOTECHNICAL ENGINEERING ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING & INSPECTION
October 25, 1999
Mr. John Vodopich
KITSAP COUNTY BUILDING DEPARTMENT
614 Division Street
Port Orchard, WA 98366
RE: Final Letter Regarding Special Testing � Inspection
Straley's Burwell BP
Bremerton, WA
Dear Mr. Vodopich:
Project No. 066-99187
Permit No.: 980470
In accordance with our client's request and authorization, we have performed special testing
and inspection services for the above referenced project. The special inspections for this
project were:
Structural Masonry Inspection
Structural Steel Inspection
To the best of our knowledge, all work and noted deficiencies have been tested and/or
inspected and have been found to be in accordance with the approved plans and specifications,
and Chapter 17 of the 1994 Uniform Building Code.
If you have any questions or if we can be of further assistance, please do not hesitate to
contact our office at (253) 854-1330.
Respectfully submitted,
KRAZAN � ASSOCIATES, INC.
,..
rs
Construction Services Manager
Poulsbo Division
JMB\DA1trg
cc DEAL�N, INc. — Mr. Darren Straley
"�►•. �� ,
Dean Alexander
Principal Engineer
R.P.E. #30508
e -
1¢5/z 5
10; iiC- � �ec.�ii n
With Ten Offices Serving The Western United States
383 NW Equestrian Drive •Poulsbo, Washington 98370 • (360) 598-2126 •Fax: (360) 598-2126
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J U N 15 1999
?F_6 407 Street:, Hremertrin, WA 9FnII
BU T i..I)'1: NCa PFRM I IT
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4ECHANICAI/PL.UMBING FIXTURES-- MECN-Gas Piping (outlets)..,.: 1 M' -AC Unit 4-15 hp..t !
i Lot
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Phis permit shall become null and void if the building or work authorize this. ers not r,(:mm�!�c.c:(a witi(in
180 days from tliEadate of such permit, or if this building or work authorized by isuc permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days,
NOTICE - It i.c the responsibility of the permit holder, not the City of Bremerton or f3ui")ding 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 concealed work meets or exceeds code requirements, Any demolition, testing, or financial burden shall
kce borne, directly by the prarmit holder. Failure to substantiate code requirements will indemnify the City
agairI 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 r_•amplied with whether specified herein
or not. Tic 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 construct inn.
Signatures__.__.._._---__r_....._._._._._._,-_..._._.._.�..._.._,_•.__-_w__._..._.__..._.,.___.. Oate:_.r_...__,-_�_..____._..a___..___.____..�_,�
I certify that I am exempt from the requirements of th(' Utatr: contractor's registrainn law, under
Section 3, lot irE�, laws of 191.�7
KIP) ..
:raE�:, Ftdrlr a
I.c��:r�t: i, r)n
(�tirr.:i:l Nr1."
BF�Et'1E%ZTC]1`�•i F�'ERM T T C�Ei`+�TE:F�
28d 4th Street, 8remertc�n, WR 5'833.'
ohane: �' 3dU) 4?8-5�.i5 F'Ah'r { 3d4) 478-5�;'8
SU I LD I NG Pi=RM T T
S'I'htAl.,.,C"Y ";:� 13U1�WfL,I., E3P Ct1NVl-�:N.T.I::N(::f:: al"URf::
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:ip4p F3 SiT1�2EE�'�I� NW �i 1.1. AlJF3U1rN , WA Stipp 1
t]wruyr � S`C'I�At�.EY , f�F(�N
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:�p�.a I� S � r�c�� •I� Nw #111 nt�1�tI�N , wra 9£spp �.
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„f)p � 1al,en Check ('PE?S� l.��9 Ar.9diticanal I��eer,� ,pr)
� Ot;he:r ��rF�s:; .pp •fot,r�l. Permit; C���E�' 6�'.;'4
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MECHANICAL./PLUMBING FIXTURES---- MECN-Gas Piping (outl�.i�:-"'• MECH-AC Unit �t--iS hp.........: 1
.. � i
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This permit :hall become null and void if the b lding ar work a+ltfiorized by this permit is not commenced within
iBo days from the date of such permit, ar if this ilding off: -Mork authorized by such permit is suspended or
abandoned at any time after the work is commenced for•���iod of 180 days.
NOTICE •- It is the responsibility of the permit holder, not the City of Bremerton or building Official tip See
to it +hat required inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holder to notify the 9uilding Official of required inspectiorf� may rasiilt
in the stoppage of the work until such time that the permit holder can substantiate to t1�e building cffic:ial
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 i:it>�
against any and all responsibility or liability connected with the construct inn.
I hereby certify tFiat i have read and examined this permit and know the same r,o be true and corr�ci,. 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 nut presume to give authority to ululate or cancel the provisions of
any other state ur local law regulating construction or the performance of construction.
Signature __,____ Oate.
I certify that I am exempt from the requirements of the state contractor's registration law, under
Section 3, Chapter 1�6, laws of 1967.
Signature:�------------------------..----_-,___
Fermi t %:�E:nter-W-Aplarrw�ci E3Yc._., , ........
______________ Date___-..____
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t. 'To: 1.:7 .<;�- 3o 1311:11.7 I'Wj PI N CI II s'[:'K I "C(.:.
t
CITY OF BREMERTON 239 4th Street Bremerton,98337
C = TY
DEPARTMENT O F
NORTH MECHANICAL SERVICES
3040 B STREET NW #11
AUBURN, WA
SUBJECT: Application No:
Site Address:
Your building permit for
due is $ 45.55.
Jun 22, 1999
99-0300
2550 BURWELL ST
STRALEY'S BURWELL BP CONVENIENCE STORE
the above site address is ready to issue.
Permit Center office hours are from 8:00 a.m. to 5:00 p.m.,
through Friday. Please contact me at (360) 478-5275 if you
questions.
Sincerely,
XJJ
/ le,
V
Building and Development Specialist
Monday
have any
The
balance
* Equal Opportunity Employer �
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286 4th Street, ,Bremerton,
Phoneme (360) 478-5,275 FAX
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0MIEMIERTON F'IEF;tM I T C::lFNTlER
�.\ 286 4th Street, Bremerton, NA 9833.7
Rhone = (360) 478-5275 FAX* (360) 478-5278
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[} ... ,'., .:. "nMECHANICALi ,:' ....!XI
Type of Fuel:
Occupancy:
Electric
Residen cial
Site Address! s..S.s-O B~w el \ S J.
'.. ""P:LUMBlNG..
Oil
Owner-
.Contractor:
Contractor's License Number/Expiration Date.
:fo E")4 A c ,;;2 54Cf 1<.T -I
53 (000 -77;;27
TYPE OF FIX'TIJRE
OTHER 'W4. ' l~JZ-.
- '1\~c::\. ?('Q'~5~ "B^C~ f\o W' ~P'\
f lc-J 04-~Qbp~C'5
-r Ih..j . - 334:-0 ()
DATE: ~ .r ~ ,...~4:1
..s Tn>..\ e
Address~5v . ~v.-f".tJ e.1 S-r
Address: 1
131
,
Phone
No.
TYPE OF EQUIPMENT
Rfu,\)GE
WOOD/PELLET STOVE/GAS FIREPLACE
GAS FURNACE btu:
CONVERSION BURNER btu:
UNIT HEATER btu:
BOILER btu:
GAS PIPING
EVAPORATION COOLERS btu:
AC UNIT btu:
HEAT PUMP btu:
REHEAT BOX btu:
AIR HANDLING UNIT btu:
&'=HAUST FANS
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RANGE HOOD (residential)
RANGE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
~;",,- .
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DUCT ALTERATION
TANKS type:
REFRIGERATION UNIT
OTHER
:MECHANICAL FEES:
PLU11BING FEES:
CITY SURCHARGE:
TOTAL FEES:
LAVATORY (bath sink)
SHOWER
KITCHEN SINK
DISHWASHER
L'\UNDRY TRAY
Ct01HES WAStIER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
WATER PIPING & 1ftfifI::RA1>10N-.
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWllvfMING POOL
BLDG. SEWER (mobile/moved house)
ROOF DRAINS
f
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APPLICANT'S SIGNATURE: ~. ~
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BREMERTON PERMIT CENTER
286 4th Street~ Bremertong UA 98337
Phone: (360 )478-5275 FAx.':: (360) 478-:-5278
BUILDING PERMIT
Job Addr= 2550 BURWELL ST
LOCi~t ion:
Parcel Nn:
Applicant~ HANSON SIGN CO INC 613-9550
PO BOX 928 SILVERDALE WA 98383
Permit No: 99-0584
St at us: ISSUED
Applied: 10/08/1999
Issued: 10/15/1999
Expires: 04/12/2000
OWner: STRALEY'S BP
. C6ntractor: HANSON SIGN CO INC 613-9550 Lie f: HANSOI*221JI Exp: ~5/08/2000
PO BOX 928 SILVERDALE WA 98383
Subcontr:
De,S(;: POLE MOUNT' SIGN FOR BP,$Tf)TIClN (BP ID & PRICE POD)
. .
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***,********.***~,***~,x,*** **,***j(,~,** ***''1l:******~,****,)E******** ***** ************'******************'*'* .
Valuation * Permit Fees: 122.75 Total Calculated Fee: 207.04
7~500..00 )I; Plan Check Fees: 79.79 Additional Fees: ..00
.~., . . * . Other Fees: 4.50 Total Permit Fee: 207..04
f,)!f*~*************,~ ***,~********* ;l(,*******.~,******,**,*,******* **.*******,* **************** **,'***,*******
, .
::Thts permit shall become null and void if the building or work authorized by this permit 1s 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 th.e work is commenced for a period of 18.0 days.
, . ,- .
NOTIC~:- It istherespqnsibility of the permit holder, not the City of Bremerton or Building Official to see
. to it that requi red inspections are made, . The permit holder must not ify the Building Official when ready for
!nspectibns.. F,aJlure ,of the permit holder to notify the Building Official of required inspecti.ons may result
in'thestoppage,.ofthe work until stlchtinie that the permit holder can substantiate to the building official
thattheconceah~d work :meets or exceeds code requirements. Any demolition, testing, or financial burden shall
be bornedir.ectJibythe permit holder. Fafl'ure to substantiate code requirements will indemnify the City .
against. any ana alfresponsibilityor liability connected with the construction.
. ... . .
,.
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I hereby certify that I have read and examined this permit and kno~J the same to be true and correct. All
provisions of la~d ordinances governing this type of work will be complied with whether specified herein
or not. The ~n~g of a permit does not presume to give authority to violate or cancel the provisions of
:~:n:t ar : ___~________________:::~:::~~::_::_~::_per:::::7mS=f2____
I certit'y th ~~m exempt from the requirements of the state contractor's registratiDn law, under
Section 3, Chap ~126, laws of 1967.
S i gnat ure: ______,_.._~_______________________________________ Oat e: _______________ ________________
*************************** ~ /.)-
Perm it. Cent er-....Apprc,lVed By: ~ ._...,""""'""'~
Date: -,"",~,,-l"Q-.=",.i,.5 ,- 9-1
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, B~EMERTON . PERM J:,'"'f' ; CENTER
. 286 '4th Street"Bremertcm~ f,JA' 98337
,. . phone': (360,) 478-5275' 'FAX: (360) 478-5278..
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.10/1~~/1999
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D~!pt ~ BI,,,DG
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, **M*MM~N*MM~~M~M*MHMH*MM*****MM*****MM*MM***MMM**MM*****HKM*M*M*M***MHMM*********
. T:r:::S'rING~.'Mur'ft "be:). ,(w;co!;;lnJ,zff.~d by the Wa~~hJ.nrJtCln AS$OCJ.t!it:l.on c)f Bu:i.ld.:Ln~j' Of"f:l.ci.r.11~il
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,::) ::"., ,L ,;~' " us \, J f'_ Y e'. \;;11 ,',' ,(;','. Y I~,. (, W ,I, ,I 1 \, to .;:~ a, f.~ u '
ST OF' WA ~ "St i'~t e of WA I).E:)pt. of Labor i:lnd I ndu~Tl; r ten 4'7B"'"4~';>~;:~ 1
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AL,I".. :r N~::;PE:~CT !()NS PI::::r<F'or~ME:1:) BY THE C I 'rY OF' nF<EMEfHON MUST BE SCHf:])UI...ED THROUGH THE
1:;)'r,~"I::lM '" "I" ("":;:'N'il"I::'I~'1'. .( ~~ \ () ). A.'7" c~..." I;;' ";"7' 1:;'
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BREMERTON I'''ERM :1::1: CENTER fj--~
.286 4t:h stre.et II Bremer. ton ~ f4A 9B;J3.? (
Ptu::m(;,~: (360) 478.,.,5275' FAX:: (360) 478-.5:27H ~
BUILDING PERMIT
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,Job Addrr ~:\5!")O 8UI;;tWELL Sf
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Applic;~nt: HANSON ~UGN CO XNC 61~1'"9550
PO 80X 92t1 S 1 L Vf::f{fJALE ~JA 9),3388
P€n lid I: No ~ 99'~OStl4
statw~: P[NotNG
App 1 :i (ld: ! ()/0811 9it'9.,.. .
laslJed:
t:xptrel,~
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Owner ~ 3TfUILEY' S BP
:onlrt1cto't: HANSON SH1N CO INC t>18'.95!iO L j G :If: HANSOJ~?~'J JIB:)(fH 05/0eV;:;OOO
PO BO:X: ~?28 s r L VEI~t)ALE t~~1 91'33133
Subc(Jilt'f ~, ..' ..."
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\.~,;;,",: C' '{ r::NAr:11:: FO~' <'''"fDi\1 t::'v 'c', r;,r) C"T'A'f 1 {'IN /., (:: ',-;~.~./\ )
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...*,..;;;L*;.&.......!QL~*.........;~,~......~*.i~...(........, ..~~:" .~....*..........
Valuation * Permit Fees: 122.75 Total Calcu ,'~ ~ee: ~07.04
7,500.00 * Plan Check f168~ 79.79 A0ditjona) Fees: .00
W Other Feesl 4.~orntal Permit Fe~: 207,04
~****~*********~**********~***************~**~*~**~************~******~**********************
,~
'hit1 permit shall become null a.nd void if the building or worK authori1ed by this permit 18 not commenced within
80 daYS from the date of ~uch permit, or if this bUilding or work authorired'by such permit is suspended or
tbil.ndorled v.t any time after the work is cOIliIllenced for .'i peril)lj of ISO daY6. .
"
IOTICE - It Is the Y'esPOr!sibi lity"'Of the permit holder. not the City of Bretl\crton or Building Official to see
:0 it that required inepectinY1tt are\made. The permit holder must notify the Builcling Official when ready for
nepections. Failuns of the permit holder to notify the Building Offlcial of required inspections may result
,n the stapi=l3f:je of the work untH wcn tilM! that the permIt holder tan substantiate to the building official
hat the concealed work meets or excoocl$ code reql.l!rementr;, Any demol1tion. ttlstins. or financial burden 'ahal1
~ borne directly by the pnrmit holder. F'ailure t(1 substantiate code requiramenU .'fill indemnify the Cit,'
IfJainst any and ~1l respoMibility or liability cQf1n~terl with the construction,
hereb~' (:ert Ify that 1 have reed and examined this p~rmit and k!ltJW thA S,if!m to be tru~ and correct. All
Irovisi{)flS of I,ll;!!); I;:ml~ ordinances govern! ng this type of ~)ork ,wiB be complie.d with whether sped fled hnndn "..
If not. Thegrar,ting of a permit does not presume tt) give authority to vlolnte or cancel the provisions of f:?1.~
Iny other statt~ .or ltJocal law regulating l'.:;oMtruc:tion or the performance of construct ton. DONE.
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T . ' .: 'h1tCA i77 ';' . ,., b~
I gnatu'I'$, _,~_,.__~.._" ,_ ._"._""..~ ..,~,..___.,_":t:..,~.J;.,i..~,~,J_.,,.,;,"'__,_ Oa,,,e. ,..____.,,_..___,_____.._________ ~.,'-~- Steve
()ertHy that 1 a.m ltxempt frtl\l1 the requir(;1lOOnt~1 of the state e:ontractor's n:1gistrat ion 1atol, under .
;ection 8, Chaptfll" 126, laws of 1967. '. ,,( . R ! C e _' 'V E 0
; i ~l'll!re.url:): 1 __...,..,_.._..______w..,____-:_ ".__,~___,~"'___>>_,~_.__,~"""_..<,.~ Pat e \ __~,.."...._........". "'"""""''''-'''='''_..'''-_.....~..t)e T 1 1 1999
~*tBHHf*.)!m,ll;***)HHH<t1l!*~******* 0lY Of BREMffiTON ENt1INEtRS
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. .. 2864t h sf reet g Bremert.on g: !..}A ,'9833.7
',' , p'non,e:. '( 36'0)478:);5275. : . ,FAX:;.(36()) '478~5278 ,
BU I LD I NGPERMTT . <:,' ;"
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LC;Ci~t :i.on:: .
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. Per m it" No: 99:-0~)8~,'
'St at us: PEND I NG
App 1. i..eel:: 1. 9/08/ 1999
" I 8sued::
LxpireE;:'
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App~icant: HANSON SIGN ~O'INC . c ,
> PO BOX 9;:':~n ~:;I l,mVf::FWACE . wA 9F33B3
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Own'ef .:STI~AL.EX~ S 8P
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;on~rsctor: HANSON'SIGN CO INC~
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s,i~;"ont r : P 0 811~' ,9;28, 51 CVEI<DALE WA , 983~3 (,.., , '\' " ""
'est:: ,'AG;FDRGrRAC/i?( SIMION 1]-;~~[,C " Ul ~ , " ...
'1I:'j(; 11: ,)\; ,)\; 'lI: ~ ,x ,)(; ,)\; 11: 'j\::;(:~, 11::)\: ~ 11: 11: 1I:.J(:;I; 11: 1I:.J( L,l ~ ,J( 11: ,)(;.x,~ * '?i::'" )1.' ,~*,'" 'J( 100(011., )f *,~** * )(,** *.)I:~' ~,iI:,* ')f 'If.)\; * 11' 1(' :i:;(, ~ 11' 11: *~' 11' 1(' *.)f **.)f 11'~:~' )(, *
. l)~duat 1oy). *... Perm:!. t Fees: 1 .' 122.ni TotiH Calculated Fee:: 20'7.04
.' : '7 ~t:i()O ,(lO '-. 'x: Pla.nChed h:~es:: '. -'79",79 " Addit )oM1 Fee1:.r: ,,'O(j
c . . ,'if '6ther Fees::. 4,5(),~' TotaiPermit Fc::!;!: ~~()7,,()4'
~. x * X .)Hf)( 'X:)( 1i.' X)( 1(' X ')f:>f* )(.x i * )4:.)(; 'X:)( 1(.)( x x ,jI" .)I.~' * ,x *)( ,x * ')f 1(' ,x ')f 'x: X ,x..x)>(. .x,)( .x.* 'X:'x ,x * ')f 'X:'X ** * :1:.)1:)( * * * *.)\; .)f,)f.)f 1(. ')f .If)\; )(. ')f *.** **)( ')f ,)(;)( X ')f)( X *
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hIs ~)er'ri1Jt shall become nUll and vdieJ:lf the buildIng of work authorized by this permit is not commenced within
80 days frOm the'dateofsnt:h permif;,or if this,building or work autho'rized bisuch permit is 'suspended or,
bandoned at 'any' time after 'the work is commenced:for a period of 180 days.', .' , .,' -
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61 3,,"'9550
Lic~: 'HANSOlx2ilit Exp: 05/08/2000
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OTICt'-'It is, the responsibility of the permit holder, nqt the City of Bremerton'orBuilding Official to see
o it that required inspections are made. The permit holpermust notify'the Building Official wheriready for
nspectfons. 'Failyre of the p8zmit,'hol<der to notify the Building Official of requi.redinspections may resu~lt. '
tl thestoPP9ge of. the. wQrk unt i 1 such time 'that th~ permit holder can su.bstant iate to the bui lding official
hat thecol1ceilled work 'meets or exceeds code requirements. Arl7' demolition, testing, br financial bur: den shall
e borne directly by the permit holder' ,fAilure to substantiatf.);code requli"e~en~swin indemnify th~) City '., .
gainst. any and an responsibility orliCloility,cdntlectedwith the construction. " '. .'
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hereby certify thafI have read and examined this'peimitand know the sameto'be'trueand correct. All
rovisions of l.aws atld o(clinanC8s gov~rnil1g this type of work will be compLie'd with whether specified herein
r not~ The granting of~a ~~rmit doei~not pre~ume t~.give authdrity to violate;of tancel the provisions of
ny.'ot'her state or'i~cal :1 awregulat Jngt'onstY'Uet ion or the performance of construct ion. . .
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certify that I 'am"e"xempt fr~lm' t;he requirements of the state co"ntrac:tor's' registr:ation law, under
Betion 3, Chapter 12.6" laws "lif 1967. " '.:' ," ,
ignaturr~: . . ~,: :i'," '. ", ,. .' .... .... Di:1tp,;==,...;~==,"==,~=======,,=======u~===
. ' ,_"",_,:"""""",_~,",::"""",__~"",:",,,,,,~,,,,,,,,,"=___,,,,,,,,,,-,,,,,,,,,,,_,:,:,,,,,~....,'t.ll.r.:<=_r.";::"':.~41":lUIU1==.:lI;";.' .:1;;''''''''
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.BREMERTON pE~MITcENTER
. >" " '2S6 4th'Street _ Bremer-ton" f..JA 98337 .
. ~ .' 'Phone :(.360) 478-5275 FAX: (- 360)' 478-5278
":. ..... .... .'. au I tD i. NG PER.M IT'
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APPl;h~;~~t~..',-HANstJN' S I'ON. co: I'NC 613-9550
'. . :.:, )PO,:BOX928 SlLVERDALt: .WA (18:~83
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Permit No: 99-0584
Status: PENDING
'Appl i eel : 10/08/1999
Issued:
Exr>l res:
: :~ ;Owner: STl~ALEY' S BP
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:(.1rit r ~ctd:r: ~'IANS.ON SIGN CO I NC .
PO BOX 9~;8 SILVERDALE WA9.8383
Subcontr-;, ' /'
lese: ~~~r . :~~E FOR S1RAlEY'~'" ~ STATION n (1. (o(~y~
~-~ (D t( )J-; - L I 1
'MM**MH** ~*************** .************~***.***.
Val~a~ion * PermttFaes= 122.75
7,'500.00' * Plan, Ghecktees: 79.79 , ." .~
'. . . MOther:' Fees= 4.50 Tot .[ Permit Fe,' ~-.04
,*tll:*.**~*.*,~******.*****,)I;*******~***,***.*******,*************,**,**** ****,)I;~*tp" ~ *'fJ[~*j~;~*Jj)
his permltahall become null and void If the building or work authortzed b this permit is ~ed Jld(~ --
8QdaY$"from t...he date of such permit , or if this buildin~ or work authori edby st/xh~p(" ' f.luspendeq cir.//I"~V....,
bandoned.~~.ant time af~e~ the work iscommenced for a period of 180 days -1V ~, 8Y1:l~~'~
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OTICE i:'"','ffis'.the re8ponsibilitY'o(the permit holder ,. not the City of Bre erton f1ing Official to see . .
o 'hJMt;r;eqIXired inspecti-orisafe'.made, The permit holder must notify the uildi 9 Official when ready for: . ..'
nepeeffofls:;:, FaHLIre of the permit holder to'notify the Building Official of r, ' red inspections may re I ~
n:;t~~~~f~~~~~~ol:t~e'work ~ntil,sucry~nmet~a~the permIt holder .cansubstant' te -,' 1..: idal.' .'
hat.r~cpnseal~~,:w.or;~.m~~t?:t!r,~xceed$co~e requi rements " . }nydemol i~ion~ ,~'est ins pQr, financia!bUrd7n~/
e.. b.. or.....n!::.......~.,i..r.e.,.p...t.:..JY;....~...r......t.....h.,.e.......~. T::/I'i......}.t. .Ji?hJ.er ;'.:.Fal~U. rs.. ..to. .S.lJbstant18te. cod~ requ~re.ment. s. WPllnde.m~2' fy. .the.' . t.y.. . :. .'. .
gainst';any ,andaH responsibl.lity Qr/" Habihty connected with the construction;.'" . . .,., .
r.~.~;:. :.~~'.n.';~~;.lfd;~i~~~. i~,.~:~~~...~.e;~f~~~!~hi~. p~e~~l ~~~d wlr~\~~. rre~OW~~.ht~~~:t ~~ ~~~"l ~;,:_~b~ .G
tTlot.' Th? QrantlngOr ,~permit does not, presum~ t9 giv~ autho.rity tovioIat.eor Qan(~l . pr2!S~~ .,..,..
O\:9th:er,$!~a:~:~r.l'CiG~Llaw'Ir:~~~~ati.~9..~on8tYUc~;ort or ~he pe~Jormance ofconstructio. '\(0 \>' .
l,r "',' ,:~ '.,''', <, - . ": of' - ""', ,,' ,.' :;' - , . ;'<:", :,' " .. .~. '. , ,"
19nature, ' "'. . . . ,;,.,' ....... '.,,'.' " Date. f' <- .'
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" ~~: :'C_~f' -, '. ~ '1 , . ' '., ,'~ ~ "" " 0 ". ~ ..' , _ -, ., . ,
cert! fyt~at,.::'r. am~exemPt. f. rom' the.r.equ. irements;o,t the~.t 'ate,.contractor's registr don law, U:IJ' '. l.
Bet,ion.3, Cha~~er :126:laW9: ~f;, ~~67; : .'" ". ....,: :, . ;, \\: . . '. ..'. .
igna"ure' . ~'.,\ . '. '...... . .' ' .' .' .' Date'..., ..'.. \J \\D .'
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613--9:;)50
Lie I: HANSOIM221JI Exp: 05/0812000
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BREMER TON PERMIT' CENTER
286 4th Street.6 Bremerton. ~A 9833.7
phone: (.360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
,Job Addr: 2fY50 BUFCWELL 5T
Location:
Parc€'ll No:
App 1 i crmt: HANSON SIGN CO I NC 6 t 3,,9550
PO fmX I:ne S n.9r'RDAI.F WA 98:~18:3
Pf~r OJ it No: 99"~0584
Status~ P[NDING
Applied: JO/08/1999
t9suad~
Expi, rea:
OWnf9r': STHA!.EY ~s r3P
.'
:cmtracton HANSON SIGN CO INC 6''"., ';'.1:)0 I Je HANSOH~2;'~lJJ F.x~~: 0:Y081:WOO
PO BOX 928 S (l.VEHDAI.E WA 98383 ~
Subcontr: /
lese: Sl~AGE FOR S1'RALEY'S BP STAn ~. ,1 (~'~
':::~ v:Q.q iO-/~ ' ) L l ( U ~-
*~*****************~*****J********,~**~ ,********** *******************'*'~*****************
Valuation * Permit Fees: 12~.15 Total C lculated Fee: 207.04
7,500,00 ~ Plan Check Fees:, 79,,79 Ad Hioni:i) Fees: ,00
* Other rees; 4.5(' (:' ), Permit Fee~ 2t17.04
his permit shall become null and void if the building or work th. tz by tArfJlilt is not commenced wUtr1n
BO days from the date of such permit, or if this building or work a horized b~permit is ,suspended or '
bandoned at any time after the work is commenced for a period of 180 days. , ' E... .. 4
arret - It is the responsibility of the permit holder, not the City of 8remer~Altr.B~i~n9 Official to,see
o it that required inspections are made, The permit holder muet notify the Building Official when ready for
nspectiol'la. Failure of the permit holder to notify the Building Official of required inspections may result
n the stoppage of the work until such time that the permit holder can substanl 'Fj to the" fficial
hat the concealed work meets or exceeds code requirements. Any dernoliti J testing, or fitlancial bur e shall
e borne directly1:Jy the permit holder. Failure to substantiate code r qulre~will }r}dem,nrtif,.'k t.he City
b1aiMt any and all responsibility or liability connected with the c structi'?J)}-y1ye,d1':.--'(",-"
hereby certify that I have read and examined this permit and kno I the same to b~ tfue~~~. j'~~i1
revisions of laws and ordinances governing this type of work wil be complied with whe~r~~~f;eg het,ei
r not. The granting of a permit does not presume to give authorr ' ' to violate ,or &tncl.!ll~<provl..slOnso
~ ' , ,
ny other state or local law regulating constructlon or the performa I of construction.
i gnature: ___~~______".____,_____~__'"'________________..____".__ Date: ____..__ ._____..._______________~
certify that I am exempt from the requirements of the state contractor's regIs ration law, U 'er
ecticm 3, Chapter 126. laws of 1967,
~.
I
1 gnature: '""I--........-----..-________._"''''''__...____..._.._:-,)..."_..__~.,;~~'<OII_."...._,,._ Date: --"""~~"..._=!l.;:<t1I'll1l.~>n__~__Dkl_~IIltt=_l\l'i~
**************************
en"m it Cf,mt er ~~Appl" OVEl(j By:
Date:
""
- .
'<':"':;.:;':":~.;:ro~~iI;i1J:;:rnl;'m:;~lWr~ft:e:%~:~:'7<::.~':~~<;~~t*':::r::;~llisr.i.ii;i!II&;:jll.:";:,~::.&t.~~.1"::'i~~T:f,;..:;.l.u
........ .,...~~attb~? ~t~j~.. ~ ~ . ~'''l~~!J}1JB:fJG :~~IJlf~. ~i~_;...~..._....
.. ;i;.i.;~i.J:!I\I!I!'li!f..IIEP , ;<"',:fir~i'~111,~~III~,I:l:~!.:I.~IQ~~illlll~~~~:
'\.';....1<:.... '..... "
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APPLICANT: 0 OWNER 0 CONTRAcrOR ,0 OTHER~
qQ -05 '?;4-
SITE ADDRESS: 8EfD i2:u{&.j~lt ~
O\YfNER.""tFNJ <)~~{
TAX ACCOUNT NO,
ADDRESS: .
C:ONTRACfOR: Hanson Siqn Co:, Inc.
ADDRESS:
P.O. Box 928 Silverdale,' WA 98383
CONTRACfOR UCENSE # HANSOI*22lJl
EXPIRATION DATE: 12-17-97
CONTACf PHONE # 360-61 >955_~~______
co~\nACf flERSON' Randy Hanson
D SFR 0 DUPLEX D MULTI-FAMILY 0 BUSINESS D OTHER:
.0SIGN 0 DEMO 0 MOVEBLDG, DMOBlLE' D GRADING(yds):.
D NEW 0 REPAIR D REMODEL
D ADDITION D OTHER:_.___~~__
"TU RL Of WORK rROrOSED,J}:JS1A\ \ ~~~_ BP ID/ \.14cF-. 3'ft--
SQGARE FOOTAGE: Dwelling:
Garage:
Decks:
?tn V~ 'U<M t)4
. VALUATION :.' PLAN REYIEWFffi< .< .....:PER.Mlt~EB< .':... >.5URCHARGES ....... ..... TOTAL FEES
. . .
s '13X>~ $ 1q t7 $ ENERGY: $50,00 $
< STATE: $4,50 .
Applications for which no permit is issued within 180. days following the date of application. shaD expire by
limitation, and plans and other data submitted for review may thereafter be returned to the applicant or
destroyed by the building official. The building6fficialmay extend the time for action by the applicant for a
. period not exceeding 1,80. days on request by the applicant showiI}g that circumstances beyond .the control ofthe
applicant have prevented action from being taken. No application shall be extended more than once, I n order to
renew action on an appliCatio~ after expiration the applicant shall resubmit plans and paya new plan review fee.
. . .
APPLICANT'S SIGNATURE:
DATE:" :\O.-l~ '
t*M**MM****M*M***KN***M~~*MM**M**H*H*********M**HM**~W**M*X~***M
RFtEIPT
~M~**M"**N*M*M***KM**M***M**KMMM*M*K**MWM*KXN**M****X*HM******MM
f<ECE I PT Number u 9l~000959 Amount u '79" '79 1. O/08/\~9 11 ~ ~35
Pi,~ymE~nt M~)'thQd~ Cl.IE:CK Noi;attoftr. HAW50N 2(~'54~? {rd,t: liB
Pel"m it No ~ 9':?,,05B4 Type~: ~:; JJ~N
Site Addrc9s~ 2550 BURWELL 8T
~:; I GN r)EHM r T
Thb:~~ Pi:'iYment.
79 " ?'?
Tot a J F f~i'f:)S~ :
"1"01: rct 1 (..lLL Pmt *"~ ;;
Ba 1 ~mCE~ r.
20'1,,04
~''I~''t ''"\'IQ
/ ,1' 0/' / ,t
J ~~ 7 .. ~i~ .~:~)
~"**M~M***M*MM*M***M**M***XM******#*********H*W*M*M~**M**M******
AcCtlunt CCldt"l Oeser' j pt; ion f\mnunt
16-345.8800 (4580) 8UIlDING PLAN CHECK FEES 79.79
*~~*~~*~x~**x*******~*)~~*******x~~*****x*~*****~******~**~**~***
f<ECLlfyr
MM******H*~~*~MX**M****H***M*M*****M**WM************M***********
REeF:I. PT NtJmbffY" ~ 9900097':3 Amount:: 1 '~)'} ,,?::) .1 0/15/99 :I j ~ ::33
Payment M~thodtl CK Not~tion= HANSON SIGN CO lnit= VW
. ~, ~'" ."" ",.." '''',. f.. "....,..-, ." "'" "m ,~.. ,...' ..~. ....,. ....... ",., ,,,.' ,,, ,.", ,,~. ...., ,.". ._ ,."", '-' ."" ."" "'." .". ~,,, w.o, ,_" ...,. Or.' .... "',' ,_,. ,> ,. f.... "''', ., ".... h'-" ..... ".,.. "". ."" "0,, ",,, Jt~, '''<'' "'<-.<" ";" ,." '.t> ,~, ",.., ..... "'... ",_ ...',
Pt;fy'nd.t No:: 99''''05lJ4 lype~ E:;.rUN
S:l t e:~ Addn.)~H~ ~ ;i:S!:,O BUHWFl, L S'T'
~; ! GI'l PEHt'l1: r
'Iotal Feeg= ?07..04
T"his P,':1y'mti:Jn't t27,,25 Total 1~L.1.. Pmt~3~ ~W7..04
Half,mce~ ,,00
**~**~**~#******~***~****x*****~*********~~**~~******~**********
Account Code Description Amount
16-322.1001 (2211) BUILDING PERMIT FEES 122.75
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Scope of work:
Address:
Owner:
Contractor:
BREMERTON BUILDING DEPARTMENT
Inspection Report
Permit Number: q C; -D 5 34
Phone:
Phone:
Co/~3-- 9sS ()
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)
FOUNDATION
COMMENTS:
FOOTINGS APPROVED:
WALLS APPROV~D:
Electrical approved Plumbing & mechanical 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
Mudsill: 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 direclly 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 Fireblocking: 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
FRAMING
COMMENTS:
APPROVED:
- 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
ENERGY CODE COMPLIANCE
COMMENTS:
UNDER FLOOR/FOUNDA TION INSULATION APPROVED:_
WALL INSULATION APPROVED:
CEILING INSULATION APPROVED:
,'"^\:
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--.--------.
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IN ' '
OCT 2 0 1999 - .
~:=!Krazarl& ASS 0 C I ATE S ,
GEOTECHNICAL ENGINEERING. ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING & INSPECTION BREMERTON
BUILDING DEPARTMENT
October 7, 1999
KA Project No.: 066-99187
Mr. Darren Straley
DEALlN, INC.
351 Broad Street North
Seattle, WA 98109
RE: Special Inspections
Straley's Burwell PB Station
Bremerton, Washington
Dear Mr. Straley:
In accordance with your request and authorization, our firm performed special inspections for
the above-referenced project. The inspections were performed by our inspectors on 8/23/99 -
9/22/99. Copies of our inspector's field reports are attached.
To the best of our knowledge and unless otherwise noted, the structural activities summarized
on our attached daily field reports were in accordance with the approved project plans and
specifications, and the 1994 Uniform Building Code. A guarantee that the contractor has
necessarily constructed the structure in full accord with the plans and specifications is neither
intended nor implied. '
If you have any questions or if we can be of further assistance, please do not hesitate to
contact our office.
Respectfully submitted,
KRAZAN & ASSOCIATES, INC.
911~
)2>~Q,.. ~a-cls-
Jeffrey M. Bowers
Construction Services Manager
Poulsbo Division
Dean Alexander
Principal Engineer
RPE No. 30508
JMB\DA\trg
Enclosure
CC: CITY OF BREMERTON D.C.D. - Mr. Scott Erickson
With Ten Offices Serving The Western United States
383 NW Equestrian Drive. Poulsbo, Washington 98370. (360) 598-2126. Fax: (360) 598-2127
~Krazan & Associates, Inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DSA File/Appl. No.
OSHPD No.
Permit No.
DATE:
PROJECT #:
PROJECT:
LOCATION:
KRAZAN PROJECT MANAGER:
CONTRACTOR:
I.O.R.:
PRESENT AT SITE:
COPIES. TO:
WEATHER: C~
/;-ft;~'*~
TEMP: ? ~
o p S l T e /J m- R ellsLesT TO 013 J-t/LU e_ b-ttou:;:r fJLA-c-P tuC.P AJ '( f rJ n:.:p(
J:tr...cTo, CM",-t.lJtbt{ AA..L\) ~.eLF€ ,<;~JdCL ~ wlf#t~
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?~ f}l-/1.N~ r IfF ,;(IA~ ~O<-lc)A-7-~).
p,I1S r FouA? F-ee'{ of 774.-#. 8-t!'t..-F ~/J{ c.e.. q,tH? (}.JAs-iit: AAll:;) Ct+A...tJGe
~AC/-n,vR. Pf \..A~r~5 .?v~ A-t...>c ~u..ree~. ~ c-uprr~.....cJ' ~ oS!
P(LM;I.etL. rl3Il.nK~ MArL::r [)U~ ~ 'TtJ /~ (~ut'tOs"';TiC P~>~;.uu AND
~/Lc ~ 7?:J k R~ -~c.ULY~t..br~')~ ALA- AtP>T~a.- wl\~ ~~
1-(.. F 1/; 8 ~ JL. co N S' GJu...'bA.-re:tl _ '
"
/vo.,..~ :
~6u;::{
'~ur- fJc7u.n {).e~~ l5AJe d-rL
Ti2......{t:.{"'- A-.~I u ( .AJ6-- ~ ~ _
S-,c..< IN
()u €I """'0
~
To the best of my knowledge. the ab~AS NOT performed in accordance with the approved plans. specifications. and regulatory requiremen,ts~
S'..'Oland.OtlA.'....Olativ. T',#;l .
~Y/fv~~ ,,(170' " ,
4231 Foster Ave.
Bakersfield. CA 93308
(805) 633-2200
25418 74th Ave. S
Kent, WA 98032
(253) 854-1330
215 West Dakota Avenue
Clovis, Ca 93672
(559) 348-2200
550 Parrott St. #7
San Jose, CA 95772
(408) 277-2200
723 Commerce Circle
Sacramento, CA 95875
(976) 564-2200
FILE COPY
~Krazan & Associates, Inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
OQ1605
DSA FilelAppl. No.
OSHPD No.
qr.. () Ff TO
Permit No.
DATE: . c2 +- .kG C;<f
PROJECT#: 6 (; 9'i/? +
P~ECT, ~ ~
LOCATION: ~-,J
KRAZAN PROJECT MANAGER: '8
CONTRACTOR:
I.O.R.:
PRESENT AT SITE:
COPIES TO:
WEATHER: C~
.b t:~
TEMP: :;z- 2-(.j
ON ,'I(~ ~ 1?~(Jl~ To ,NS~cr- 5'{7t4~ ,.MAS{)^i~,
Gf,..Q::.L{ f~C:~ ~ Gaoo- r ~IVP TO (14 z..""P #- Len of Act'
~WAtLS (] t: '~ (S"eLt:==" SeR. v'fc-e (' M- v )~ J.! A '"Vi) n.k? ,Pdt:;.r t... cFl
'<St=:- nk- 71l.4sX <'rl<>J7mN<?Jk PAJC~SuJU<. 6rza<Lr CoAJ~o'-c;!I A(
~~~~;; ~JM~~ ~~
-' .- - L~';_ e~~-._::, - ~ _ ~~S
4237 Fa er Ave.
Bakersfield, CA 93308
(805) 633-2200
To the best of my knowledge, the abov~WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements.
S"'riOle"""O"R.".. ota~ .. Tg d
<f7-tj:J.s
275 West Dakota Avenue
Clovis, Ca 93672
(559) 348-2200
478 74th Ave. S
Kent, WA 98032
(253) 854-7330
550 Parrott St. #7
San Jose, CA 951 72'
(408) 277-2200
123 Commerce Circle
Sacramento, CA 95815
(916) 564-2?00
FilE COPY
6Krazarl & Associates, Inc.
vUI\lvHt:. I t:.
REPORT NO.: 2882
GEOTECHNICAL ENGINEERING . ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DA;r"E: " ;2 =t- /lUG 99
PROJECT #: t?h 99/9'7-
PROJECT: ~
LOCATION:' ~ t.N A-
KRAZAN PROJECT MANAGER: (j
CONTRACTOR: ~L-
PERMIT NO.: 98 - ~~
INSPECTOR: .,3 I ~.s
JURISDICTION: ~€.A:(zI,J
.
WEATHER: ('....-LeA(L' TEMP: 7-7- c
Field Data
Supplier! ~~ fh C-L
Concrete D MortarD
Prisms D Grouted D
Site Mix D
Plant No. I '-( I
Flex Beams D
Other D
I
Grout ~
Ungrouted D
Conc. Air
Temp. Temp. Unit
Time Truck # Ticket # % Air Slump (F) (F) Wt.
~I c) II ~O' /I s':?C~11 II B'-/(j I[H]~I
Placement Area
Footings D
Slab/Deck D
Walls I ^-...I
SlabD
Columns D Grade Beams D
PilingsD OtherD
Grids
?-N \:) Llf>r })-(.. (.. FocML- GIV 1\t,L.$ oJF S@/...F & ~vc
Ct1{twAs,.L (~'-( Fi 7'l2A-Sfi ('ON"MlN~
'@N~Uf/..A...
Remarks
fLit-CaD (//A G'l..ot..J::r fJt( M~ It-P IIIB~,L
K ~Te...e?L 1M fJ'-AAJS
Inspector
(;CQfPs
Reviewed By I
Reported Batch Data
Cement Type I~.a::. I
Design = Actual ~
Mix No.1 Ib~q161
cem.lbs.1 ' /I bit) I
F. Ash Ibs.1 II I
C. agg. Ibs.1 II I
C. agg. IbS.21 II I
C. agg.lbs. 3~1 I
Sand IbS.C=:=J
waterll
Admixture I II I
Otherl IL:::~
Air En!. (oz/cwt.) I II =1-. l.- 6.J
Water Added on Job I J..jO I
(gals.)
Items Inspected,
I ><..1 Conforming
D Non-Conforming'
Laboratory Data Design Strength I ;J-t52W I Date Specimens Rec'd. I I
Cyl. Test Field WI. Max. Compo Tested Break
Code 101 Cure IU Dim. Area Lbs. Load ILDDU Test Method
01 ASTM C39Q
100 01 II 1000
ASTM C1231 D
10 01 II 1000 Otherl I
10 01 1/ 1000
Compressive D
100 I '101 II 1000
100DI II 101 II 1000 Flexural D
Rema,," I I Test Results
D Conforming
D Non-Conforming
Results Reviewed By I Date Reviewed I I
Codes for Break Types: 1'. Cone /Xl 2. Cone & Split f/\I 3. Cone & Shear I ^ I 4. Shear 1/ I 5. Columnar (Split) []IJ
'~Krazan & Associates, Inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DSA FileJAppl. No.
OSHPD No.
Permit No. f}~1(ji(/ 9<;1 - 05tJ d-
0016'iJ
DATE: '?r3/-Cjj
PROJECT#: f)~ ~ - 91/i 'i
PROJECT: 5rIMYuyS 1lW2~~ gp
LOCATION: .5,9t) UwNT'tP6>Ut41- Y
KRAZAN PROJECT MANAGER: --:115
CONTRACTOR:
/.O.R.:
PRESENT AT SITE:
COPIES TO:
WEATHER:
::;; It- ;-J filL-
;:; .5E6'-Y WHo S6$ ~ 15~
I
;/Atc/t.,f
CUJu f) f/
TEMP: S-r 0
111( SF/It[ ,hJ/Z 5jJ~u/r(" 1A15~,6'?i7p',.v ;;;:;' /?E/I'V,hf;~ui) /J1/P~cJJ1~Y
1.J1J~S Ar 7'#c SEL~.>~tfJ/IC~ C/'I~ WA-..J# r/JCIC-Irf/ 4r
-r1fL: .BttRuJISLL gp O~t..E:K ~ RE/t1/~~c/#~ src;!" L b//'f5
Dgc5M(/~/) 70 .8~ /A/ /~?~~ .ffAt' .5~ucTa/ZAL Non::> H#!J /
~ /U' t/%/lficAC-- ,5 /5;;" N o_C ctt/Cev RPC S'
J @ 1t1z.tJ~ L ,&. M tiS' /< fiEs- /9-T ~ 6v-i>s,
~ YA~05 rP~ r/z&j) ;I/&{, ~,~5Itcl< ;:;tEn bMWt:t.- (jj/&Ju,r;-
f/J?I X IV", ~ 5'/1 ~() I w~f ,.t>~j) viA- ;Pump 70 r ALe
WITLL.5 rJr S~Lr 56Rt!r;' eRR. tV/Ts#} 1.3 fA ~ /3~ CCJtLtC5~r,
/
ALL 6/lcJ~i/i1) ('~.u...s' ~/t(.5t1Llb/J-rj.;:.-f) I?Y /#.cc#Al-Al/c~ L//d/2A-77JQ,
To the best of my knowledge, the abov
Superintendent/Representative:
/ WAS NOT performed in accordance with the approved ans, specifications, and regulatory requirements.
Technician:
4231 Foster Ave.
Bakersfield, CA 93308
(805) 633-2200
25418 74th Ave. S
Kent, WA 98032
(253) 854-1330
215 West Dakota Avenue.
Clovis, Ca 93612
(559) 348-2200
550 Parrott St. #1
San Jose, CA 9 112
(408) 271-2200
123 Commerce Circle
Sacramento,CA 95815
(916) 564-2200
FILE COpy
~Krazan & Associates, inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
.rl r) 1 F r.:. 9
\", u;),
DSA File/Appl. No.
OSHPD No.
PermilNo. Or'!, eJ..8B
DATE: . 7- 3- 1.f
PROJECT #: ot56r Cfr I B7
PROJECT:.ft~A-l-e~ e. P
LOCATION: (btR c.J11 A/ tAJl1
KRAZAN PROJECT MANAGER: ~ tJ
CONTRACTOR: 7]J>GIM-/(
I.O.R.:
PRESENT AT SITE:
COPIES TO:
WEATHER: 5c-rJ./J..; (I
I
TEMP: ~" '
~ y ,
&/( .,gr-JE 1-~ I)~ fo /Jt()~I(R Ch1" UjAr. ~.1t;)rt({~j.j ~ %1,&
S15<~P ~/J$)I ~r;,AS. t..~--t 3' J- Lj( Lt:J..b (;/Z-9u-h=--t? ~1A:p e /;11
Dg::u:FP1if t::.F./Jfl wt!i6 - 11:/1 &/1ferw.5+IZF--~1"F-dZ~f-~OIW
PU#J i f5Jhfz... for?b:C)~/Be-.J ClsU ..f- If/I Uclb Diu,_ ~ _
L-lifT ~~"l7 fhJc~EJ./t kJlf- f/h:r f~c:tr II-J! Alp13l1t-r -A M&p7'
U ~G. (p oEr ,./- Ifffl?o tr.1::.o (}d2.fiM:t::P{,).
! o~ d- .7riZr.fd:c{!l-I:t/ r5fuj~ :r:./.f5frJ;"~.k5 5-h:./1 PWMJ4
To the best of my knowledge, the above'@ WAS NOT performed in accordance with the ~pproved plans, specifications, and regulatory requirements.
Superintendent/Representative: Technician'
4231 Foster Ave.
Bakersfield, CA 93308
(805) 633-2200
25418 74th Ave. S
Kent, WA 98032 '
(253) 854-1330
215 West Dakota A n e
Clovis, Ca 93612
(559) 348-2200
550 Parrott St. #1
San Jose, CA 95112
(408) 271-2200
123 Commerce Circle .
Sacramento, CA 95815
(916) 564-2200,
FILE COPY
-- ~ ~ - ~-.!.- ,:~"'"_.
~Krazan & Associates, Inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTioN
DSA File/Appl. No.
OSHPD No.
Permit No.
DATE: :;a :sepT /997
PROJECT #: ~ - 99/117,
PROJECT: jY;t:)l1el R11J BP
LOCATlON:;<SID 8t1R.1J 1'Q.L ST - &2eNeJemn dnrl
.
KRAZAN PROJECT MANAGER: ~ T]...{J?,
CONTRACTOR: '- TTJE II/IlL. ~7:"
LO.R.: '~~) RAnI" <;
PRESENT AT SITE:
COPIES TO:
WEATHER: ~LJ~
TEMP:
ARRlven (?JJ .~ J'TE" :m Po<riJ/2.IVJ . ~T;2aL:'TtIRAL- '~*i' ~/ /A J<~tl7J6'A. .J
tJF Rt:Ir5F ~/AJ/r' JCt7n rJ,IE .:56ZF-S&RI/E ~ I..VJfJc.jf ~l1J~JN{;,. 1A:J.Sj>e?J~
uJ~ JIJ Nt'''1U'J<4JOM (..LJ171r AAP~-O p~ ~D .sPel'./Fl69f7IJA.;f;.
,) VeIl/FleD lnMt') ceo:n,cI/"AnbAJ .lJr 7JIE tl)ez/)eP W/It') p~ ~ I'~ _
~') YlSuRU 'I IAJ.sP~rE/) LtJeUJIN/.,... tJr ~ ~/P~ 70 EMA1'!D5 PCll ~ I5tJ~-:J .
I
WBLDs ~ N.~Pr>>ALE.
3} JJJ5P~Tl5D I!LJLi/J.J/' t'JF 1!LJrJF, ~s m I!!6A?I1 ~LJP.:5.. &JL-qAJ~ W1:J.~
~'T>11HlLE PER n&71}/i- # J,sws-:>. ) EXCEPT ,4,<; p07ED BGZ.i)li).
'-I) NON -CoAiFORlYJAAlf'rf: ,
A) BOTH (!. ~}(Il,;;t CJJAA/.)./ezs UJMTeD CJ;}.)il::.7l..UAJE' At" ~71CI'; e7JD BAY
WE1l1r .1&uJo m HA~ ~^,LV .:L BoLr'IAJS7Jq/~D Are~bA.).p J
'i>>lrJf APPRm ~ oJ=" -rJlf:' CHAJJ~L Be;tJ.~AX- OJ..] '7"I-Ie r/1P_
.R) .3AO WASJ.J RAY' ~~.,.. rJF EJJD /JF BtJl/"01A.1~ - CEv1lmAJJ() 5t:Ju.T>> ~ J
I~~ evD:' MIAlJ}.iUIA eDtrE DJ~T14-n~ "r a:J/.r j.J{Ja;:s c-X"~~ED Pi:E72.
IflSC '/!:bED.. "T1Ie St!Y.nJl Rb>>M .IM-s AP,p~oX" 14" ~ 6LY..E OF ~ T7.J
e1VD '~F ~ ~
t!.bMJAEnr JAI- AI SnJ.l- srn. tACr1.q?K<"
LS7'/air.ru/lAL- ~AJ6/A.)~~Ul D~po.sJTJ{JAJ
~~ iI~ ^"'nFIED t:JF T1Ie.5t!" JTe'}I#fS.
/2e(;)ulllED F7J1l. R6PA12....
4231 Foster Ave.
Bakersfield, CA 93308
(805) 633-2200
To the best of my knowledge, the above WAS I ~~NO~erfOrmed in accordance with the approved plans, specifications, and regulatory requirements. ,
S"peri,'."".,UR.p'OS"latlv., .T$ ~ , .
275 West Dakota Avenue
Clovis, Ca 93612
(559) 348-2200
25418 74th Ave. S
Kent, WA 98032
(253) 854-7330
550 Parrott St. #7
San Jose, CA 957 72
(408) 277-2200
723 Commerce Circle
Sacramento, CA 95815
(916) 564-2200
I
I
JI
FilE COPY
J
,~ ,(
I
, ,
BREMERT,ON PERM IT'CENTER
286 4th Street* BremertDn~ WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Applicant: NORTH MECHANICAL SERVICES 253-735-1007
8040 B, STREET NW III AU8URN~ WA 98001
Permit No:
Status:
APplied:
Issued:
E:xp1res:
99-0300
ISSUED
06/14/1999
06/22/1999
12/1 9/1 1?99
Job Addr ,~' 2550 BURWELL 51" "
Locat ton: ,STRALEY'S BURWELL Ell' CONVE:N I (NeE STORE
Parcel 'NCl~ " .
Owner: STRALEY, DEAN'
C(jntractor;:NORTH MECHANICAL SERVICES ~;53"-735"'lOOLic ~; NORTHMS1~~3RZ Exp: Ol-'20-'~;OOO
, 3040 .8 STREET NW tH 1 AUBURN, WA 98001
, ,'Subcont r :
"
Deee;: ADD ONE Ale: UNIT AND GAS PIPING FOR THE BP CONVENIENCE STORE UNDER PERMP' 98-0478
" c
-.:,
. . '
**************************~****************************************************************** '
Valuati~n * Permit fees: 45.55 Total Calculated Fee: 62.94
,,00, * plan Check Fees: 17,:39 AddItional Fees~ ,00
* Other Fees: ,00 Total Permit Fee: . 62,94
*********************************************************************************************
MECHANICAlIPUIM8ING FIXTWRE$-- ' t1ECH-Gas Piping (out lets), ...:) MECH-AC Unit 4-15 hp.... i. ...: 1
************~'********************************************************************************
This per.mitshiill become, null and void if the building or work authorized by this permit is not commenced within
180 days from the date of such permit. or if this building or work authorized by such permit is suspended or
abandoned' at anytime after the work is commenced for a period of,180 days, '
, '
NOTICE - It is tne'responsibility of the p,ermit holder, not the City of Bremerton'or Building Official to see'
to it that required inspections are made. The permit holder must notify the Building Official when ready for ,."
inspections, FaHure"of the. permit holder to notify the Building Official of required inepections may result'
irdhe stoppage of the worK until such time that the permit holder can substantiate to the building official.
that the concealed'work meets or exceeds'coda requirements, Any demolitio~1 testing, or financial'burden ahall
be borhe directly by the permit holder. Failure to substantiate code requirement$ will indemnify the City
against any and .a11 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 wi 11 be cornpl.ied with whether speci fied 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 aw regulating construction or the performance of construction.
fJignatur~=~=;==' _ ~==,d=~~==n==== '03t,:=6'A=U';?~u==========
I certif~~ am exempt from the requirements of the statecontractor'sregistr.ation law. under
Section 3, Chapter 126, laws of 1967. "
Si~;matura:____~____.;_____~__.,..___ _.. _ ,_
*~************************
t\ PermH Cen'tF.lr""'''''Approved BY~.~""".:::-. ..
Date: . '. '
--------------- 7 _ -----------------------.--------
Date: ..J.fL:"2,~--~~. 9 ~
,,-,? ' "...i '. '
~'
-
BREMERTONPERM:r T ." CENTER
286 4th Street, Bremerton, ~ 98337
Phone: (~60) 478'-:;'275 F~X: (360). 47,EJ....S278
:Job . AddY'\:(~r.iB ~ ~'2~:i~::)O BUf~WE:l..L, ST.
locstic~~ 5TRALEY~S BURWELL BP CONVENIENCE STORE
AEHH' Acct' Nb ~
. Bui Id:tn!~l
Pf;:)'(' m i t No ~
i 5tatlH~:
1 !i.H~~ w;H::1 n
E)(pire*i:~~
99"'''O:::lOO
J :;:;SUED
06/;;:~~'U 1. (;~99
12/19/J.999
~(E(JU:rRFD
.It (::'!.ffi: 02701 FINAL.. "'""".F I f~F:.
Item: 01400 MfCHANICAl
1: N S P E: C T I .'0 N !:;..
Dept: F I f~E.
Di.lf::it..~ BL..DG
oJ. v :i. f~i on ~
. D:I v :1, IE). on ~
******MM*MM****************M***MMMMM**********MM***MM*~***M*M***M**M***MH****M*M*
TE~TING: Must be recognized by the Washington Association of Building Officials
SPECINSPi Must be r~gistBred with the State of WA
SiT OF WA ::, St at f!:l of WA D!i!pt.' of L"sbor (J.nd. I ndust Y':l r:lB 4n:~"'''4921
HEALTH: . Bremsrton/Kitsap Health District 478-5235
ALL INSPEOTIONS PERFORMED BY THE CITY OF BREMERTON MUST 8E SCHEDULED THROUGH THE
1~F.~I~.1I"I" 0f0~Pl-I=R' (~~O). 47'o-~?'7'~.
,'''' '\1, t,~ .",1"1 ',...., \,:H:~ ~~~. ...,)A., ....) II
* * 1( ** x. .^,~. .;ltX'i* * '* * *.x.~ ** .~-x..~.)I::j(;.)f *.)I;.)Ii -X. *. 1(- * .)(..)1; * .)(. 1(:.* 1(:.)Ii.)I;.)I;.)Ii:1(. ,)(. .x. 1(:.)t * .~'l(.:)1(:.)Ii.jl: *.)l: )(. .x. -x. -)Ii * '* 'l(-')(' 1(:)(.)Ii * -X. )(. x..)(.* *.* M 1(:.)Ii 1( *.)Ii
................ .......c:2.d--7...:........
. ,/ ~
Dat e ~ ,,,,,_,,.~b /.;!"?tL..z7.....""..,, ...,..."
7....."" ./
P~'i"m:lt Ho')Zl.d(~;:' ~$'
S :l. Gl:r\ i:1 t U'f' e. ~." ."" "" , , "'" ,,,"
. . ,
. '
.f..,.,
-.,
"~~~'
~~KrazaI1 & ASSOCIATES, INC.
GEOTECHNICAL ENGINEERING. ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING & INSPECTION
October 25, 1999
rID ~ ~ lEU \~ ~ lID
\J\\ OCT 2 9 1999 Project No. 066-99187
BREMERTON
BU\L8J~G DEPARTMENT
A ~Cl2ll1f:::LJ
Ocr
I(trs,4p 2 7 1999
COMMu. COUNry
Wiry Dt DCPr
VELoPMto,:
, Permit No.: 980470 .,.
Mr. John Vodopich
KITSAP COUNTY BUILDING DEPARTMENT
614 Division Street
Port Orchard, WA 98366
RE: Final Letter Regarding Special Testing & Inspection
Straley's Burwell BP
Bremerton, WA
Dear Mr. Vodopich:
In accordance with our client's request and authorization, we have performed special testing
and inspection services for the above referenced project. The special inspections for this
proje(:t w'er~: ' " '
. Structural Masonry Inspection"
. Structural Steel Inspection
To the best of our knowledge, all work and noted deficiencies have been tested and/or
inspected and have been found to be in accordance with the approved plans and specifications,
and Chapter 17 of the 1994 Uniform Building Code.
If you have any questions or if we can be of further assistance, please do not hesitate to
contact our office at (253) 854-1330.
Respectfully submitted, ,
KRAZAN & ASSOCIATES, INC.
~f0'~
Je~y t. Bowers
Construc,tipn Services Manager
Poulsbo Division
I '
~R.q...~a.-oL:-
Dean Alexander
Principal Engineer
RP.E. #30508
JMB\DA\trg
cc DEALlN, INC. - Mr. Darren Straley
With Ten Offices Servin2 The Western United States
383 NW Equestrian Drive. Poulsbo, Washington 98370. (360) 598-2126. Fax: (360) 598-2126
.~KrazaI1& ASSOCIATES, INC.
GEOTECHNICAL ENGINEERING. ENVIRONMENTAL ENGINEERING,
CONSTRUCTION TESTING & INSPECTION
September 22, 1999
KA Project No.: 066-99187
Mr. Darren Straley
DEALlN~ INC.
351 Broad Street North
Seattle, WA 98109
RE: Compression Strength Test Results
Straleys Burwell BP
Bremerton, Washington
Dear Mr. Straley:
Enclosed are copies of the compressive strength test results regarding the above referenced project. If
you have any questions or if we can be of further assistance, please do not hesitate to contact our
office.
Respectfully submitted,
~N & ASSOCIATES, INC.
~
effrey M. Bowers
Construction Services Manager
Poulsbo Division
Enclosures
JMBI trg
CC: CITY OF BREMERTON DCD - Mr. Scott Erickson
FRED HILL MATERIALS - Mr. Robert McDonald
With Ten Offices Serving The Western United States
383 NW Equestrian Drive. Poulsbo, WA. 98370. (360}598-2126. Fax: (360) 598-2127
~razan & Associates, Inc.
25418 74th Avenue South, Kent, WA 98032, (253) 854-1330
. Project No. 066;-99187
Weather overcast
Cyl. Code p647
Jurisdiction Bremerton
Pour Date
7-21-99
Report No.
001139
Permit No. 98-0470
Engineer Pacific Engineering Technologies
Architect
Project STRALEYS BREMERTON B.P.
Location 1308 MONTGOMERY
Client DEALlN INC.
Contractor JOE HALL
Site Mix
I Reported Batch Data
Cement Type I
Field Data
Supplier FRED HILL
Plant No. 4
Concrete
Mortar
Grout X
, Design
Actual X
Flex Beams
Prisms Grouted
Mix N.o.
Cern. 16s.
565A40
615
Ungrouted
Other
Time Truck # Ticket #
1 :05 6351095
Conc. Air
Temp. Temp. Unit
(F) (F) Wt.
68 62 N/A
C. agg. Ibs.
C. agg. Ibs. 2
C. agg. Ibs. 3
Sand Ibs.
1876
22 GAL
I
F. Ash Ibs.
I
% Air Slump
N/A 7
1212
Water
Placement Area
Admixture
Footings
SlablDeck
Walls X
Slab
70Z
Columns
Grade Beams
Other
Pilings
Other
Air Ent. (ozlcwt)
Grids B.P. station, 8 II cmu walls 18th to 24th courses.
Re-steel as per details 9 - 11 on BS-1
Water Added on Job
(gals.)
40
Remarks Angle ledger bolts in place & grouted solid and '
vibrated.
Items Inspected
,x Conforming
Inspector Penn Seely
Reviewed By
Non-Conforming
Laboratory Data
Cyl.
Code
p647-1
p647-2
p64 7-3
p64 7-4
p64 7-5
p64 7-6
p647-7
p64 7-8
Remarks
Test
Date
7/28/99
8/18/99
8/18/99
Design Strength 2000
Wt. Max. Compo
Lbs. Load Str. (psi)
36610 2,280
47910 3,070
52560 3,240
Tested Break Test Method
Set# By Type
1 km 1 ASTM C39
1 km 1 C-1231 X
1 km 1 Other
Compressive X
Flexural
Date Specimens Rec'd. 7-23-99
Field
Cure Age Dim.
7 4x8
28" "
28 " "
Area
16.07
16.07
15.6
~
Test Results
X Conforming
Non-Conforming
Results Reviewed By
Date Reviewed
3. Cone & Shear [jJ
~
2. Cone & Spl' [6]
4. Shear [21 5. Columnar (Spl') ill]
Codes for Break Types:
1. Cone
. Krazan & Associates, Inc.
25418 74th Avenue South, Kent, WA 98032, (253) 854-1330
Project No. 066.-99187 Cyl. Code
p655
7 -28-99
Report No.
2879
Pour Date
Weather 6vercast
Jurisdiction Bremerton
Permit No. 98-0470
Engineer Pacific Engineering Technologies
Architect
Project STRALEYS BREMERTON B.P.
Location 1308 MONTGOMERY
Client DEALlN INC.
Contractor JOE HALL
: Field Data Site Mix
Supplier FRED HILL Plant No. 4
Concrete Mortar Grout X Flex Beams
Prisms Grouted Ungrouted Other
Cone. Air
Temp. Temp. Unit
Time Truck # Ticket # %Air Slump (F) (F) Wt.
10:00 208 51522 N/A fluid 75 70 N/A
Reported Batch Data
Cement Type I
Design
Actual X
Mix No.
565A40
611
Cem.lbs.
F. Ash Ibs.
C. agg. Ibs.
C. agg. Ibs. 2
C. agg. Ibs. 3
Sand Ibs.
1198
Water
1802
23.3 GAL
i Placement Area
Footings
Slab/Deck
Admixture
Walls X
Grade Beams
Columns
Other
Slab
Pilings
Other
Air Ent. (ozlcwt)
70Z
Grids 1 st 4' lift of tunnel car wash, 8 "cmu walls, and pilaster
at drive thru window. Re-steel as per details.
Water Added on Job
(gals.)
40
Remarks all resteel in place & grouted solid and vibrated.
Items Inspected
X Conforming
Inspector t.r. gelinau
Reviewed By
Non-Conforming
Laboratory Data
Cyl.
Code
p655-1
p655-2
p655-3
p655-4
p655-5
p655-6
p655-7
p655-8
Remarks
Test
Date
8/4/99
8/25/99
8/25/99
Design Strength 2000
Wt. Max. Compo
Lbs. Load Str. (psi)
44360 2,770
45000 2,940
55960 3,520
Tested Break Test Method
Set # By Type
1 km 2 ASTM C39
1 km 1 C-1231 X
1 km 1 Other
,
Compressive X
Flexural
Date SpeCimens Rec'd. 7-23-99
Field
Cure Age Dim..
.7 4~8
28" "
28 " "
Area
16.0
12.29
15.88
Test Results
X Conforming
Non-Conformlng
j11 ~/
, ,
1. Cone \
Results Reviewed By
Date Reviewed
2. Cone & Spl. [] 3. Cone & Shear 0 4. Shear 0 5. Columnar (Sp!') [[]
Codes for Break Types:
Krazan & Associates, Inc.
25418 74th Avenue South, Kent, WA 98032, (253) 854-1330
. Project No. 066;-99187
Weather overcast
Cyl. Code p674
Jurisdiction Bremerton
Pour Date
8-4-99
001035
Report No. ,
Project STRALEYS BREMERTON B.P.
Location 1308 MONTGOMERY
Client DEALlN INC.
Permit No. 98-0470
Engineer Pacific Engineering Technologies
Architect
Contractor JOE HALL
I Fi:~p:::
I Concrete
I
I
i Prisms
I
I
I Time
I
I
I
!
Site Mix X
Reported Batch Data
CementType I-II
Plant No,
Mortar X
Design
Actual X
Grout
Flex Beams
Grouted
Ungrouted
Other
Mix No.
TYPE S
94
Truck # Ticket #
% Air Slump
Conc. Air
Temp. Temp. Unit
(F) (F) Wt.
Cern. Ibs.
F. Ash Ibs.
C. agg. Ibs.
C. agg. Ibs. 2
C. agg. Ibs. 3 '
Sand Ibs. 27 SHVLS
Water 6 GAL.
Admixture TYPE S 47 LBS
Placement Area
Inspector t.r. gelinau
Footings
Slab/Deck
Walls X
Slab
Air Ent. (ozlcwt)
Grade Beams
Columns
Other
Other
Pilings
Grids, 4th 4' lift of tunnel car wash, 8 "cmu walls, ON 5.5,
L.25 TO K/ ON 8 LINE, L.25 TO K
Water Added on Job
(gals.)
Remarks all resteel in place & cells grouted solid and vibrated.
Items I nspected
X Conforming
Reviewed By
Date Specimens Rec'd. 8-16-99
Non-Confonning
Test
Date
8/11/99
9/1/99
9/1/99
Field
Cure Age, Dim.
7 2X4
28" "
28 " "
Design Strength 1800 '
Wt. Max. Compo
Lbs. Load Str. (psi)
,8200 2,610
7840 2,490
9050 2,880
Tested Break Test Method
Set# By Type
1 km 2 ASTM C39
1 km 1 C-1231 X
1 km 1 Other
Compressive X
Flexural
Laboratory Data
Cyl.
Code
p674-1
p674-2
p674-3
p674-4
p674-5
p674-6
p674-7
p674-8
Remarks
Area
3.14
3.14
3.14
~ /
1.Cone ~
Test Results
X Conforming
Non-Conforming
Date Reviewed
2. Cone & SPlllA] 3. Cone & Shear ~~I 4. Shear [:] 5. Columnar (Spll) IT]
Results Reviewed By
Codes for Break Types:
Krazan & Associates, Inc.
25418 74th Avenue South, Kent, WA 98032, (253) 854-1330
Project No. 06~-99187 Cyl. Code p674 Pour Date
Weather sunny Jurisdiction Bremerton
8-4-99
Report No.
001034
Permit No. 98-0470
Project STRALEYS BREMERTON B.P.
Location 1308 MONTGOMERY
Client DEALlN INC.
Engineer Pacific Engineering Technologies
Architect
Co'ntractor JOE HALL
Field Data Site Mix
Supplier FRED HILL Plant No. 4
Concrete Mortar Grout X Flex Beams
Prisms Grouted Ungrouted ' other
Conc. Air
Temp. Temp. Unit
Time Truck # Ticket # %Air Slump (F) (F) Wt.
10:10 221 51907 N/A fluid 61 65 N/A
Reported Batch Data
Cement Type I
Design
Actual X
Mix No.
565A40
611
Cem.lbs.
F. Ash Ibs.
C. agg. Ibs.
C. agg. Ibs. 2
C. agg. Ibs. 3
1198
Sand Ibs.
1802
23.3 GAL
Water
I
Ii Placement Area
Footings
I Slab/Deck
I
I
i
I
Admixture
Walls X
Slab
Columns
Grade Beams
Other
Pilings
Other
70Z
Air Enl (ozlcwt)
Grids 2nd 4' lift of tunnel car wash, 8 "cmu walls, and
pilaster at drive thru window. Re-steel as per details.
Water Added on Job
(gals.)
25
Remarks all resteel in place & grouted solid and vibrated.
Items Inspected
X Conforming
Inspector 't.r. gelinau
Reviewed By jmb'
Non-Conforming
Laboratory Data
Cyl.
Code
p674-1
p674-2
p674-3
p674-4
p674-5
p674-6
p674-7
p674-8
Remarks
Test Field
Date Cure Age Dim.
8/11/99 7 8 x 8
9/1/99 28""
9/1/99 28""
Design Strength 2000
Wt. Max. Compo
Lbs. Load Str. (psi)
158400 2,250
182540 2,710
184240 3,390
Tested Break Test Method
Set # By Type
1 km 2 ASTM C39
1 km 1 C-1231 X
1 km 1 Other
Compressive XI
Flexural
Date Specimens Rec'd. 8-6-99
Area
70.48
67.45
54.40
jmb
1. Cone ~<J
I '
Test Results
X Confonning
Non-Confonning
Results Reviewed By
Codes for Break Types:
Date Reviewed
2. Cone & spin [lJ 3. Cone & Shear 0 4. Shear 0 5. Columnar (Spin) rn
--- . ----
.,..
'" I ~
- II ~ rID ~.,' @\rr ij ~\q W.:'J ~hfJ'1 "
~~ I~ azatl & ASS 0 C I ATE S, IN l:I\\ Ib \!!J !b u '" b IW
OCT 2 0 ~H99
GEOTECHNICAL ENGINEERING. ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING & INSPECTION BREMERTON
BUILDING DEPARTMENT
October 7, 1999
KA Project No.: 066-99187
Mr. Darren Straley
DEALlN, INC.
351 Broad Street North
Seattle, WA 98109
RE: Special Inspections
Straley's Burwell PB Station
Bremerton, Washington
Dear Mr. Straley:
In accordance with your request and authorization, our firm performed special inspections for
the above-referenced project. The inspections were performed by our inspectors on 8/23/99 _
9/22/99. Copies of our inspector's field reports are attached.
To the best of our knowledge and unless otherwise noted, the structural activities summarized
on our attached daily field reports were in accordance with the approved project plans and
specifications, and the 1994 Uniform Building Code. A guarantee that the contractor has
necessarily constructed the structure in full accord with the plans and specifications is neither
intended nor implied.
If you have any questions or if we can be of further assistance, please do not hesitate to
contact our office.
Respectfully submitted,
KRAZAN & ASSOCIATES, INC.
911~
)0-ea.- ~~
Jeffrey M. Bowers
Construction Services Manager
Poulsbo Division
Dean Alexander
Principal Engineer
RPE No. 30508
I
JMB\DA\trg
Enclosure
CC: CITY OF BREMERTON D.C.D. - Mr. Scott Erickson
'\
'" With Ten Offices Serving The Western United States
383 NW Equestrian Drive. Poulsbo, Washington 98370. (360) 598-2126. Fax: (360) 598-2127
"
'I
'.~Krazan & Associate,s, Inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
,
,
DATE: .$/....31-77
PROJECT#: f) ~ ~ ... 911 g '7
PROJECT: ~rlMytLy'S IlUl2~?~ If' P
LOCATION: :5' &1) UuJNf'~eU1M1- V
KRAZAN PROJECT MANAGER: ~5
CONTRACTOR:
I.O.R.:
PRESENT AT SITE:
COPIES TO:
WEATHER:
0016,"J
DSA FilelAppl. No.
OSHPD No.
Permit No. gMlJ+:'-ter;p'/ 9?l- 0 ~ ;;L
:5n tt:- ;f N..L-
f? SE6'-Y tlJMo S6$ UJ /yiU'
I
;JAtc/t.,f. CU/ZA f) Y'
TEMP: 5r {)
WA-..f# r-1-c.1 C-I rf-" A-r
.
5'" YA~O.5 tP~ hc&j) ;I/~{, ~,)5I'tcl< ;:;t19 bM~,- G;&;?i-0
m/ X ;Vc:1, ~ S-A f/o 1 ~~f "tJU9c::EiJ viA- ;PUff1,p 70 ALe
WfT-US Ar 5~t.r S6Rt!r; cA-R. W/1-s#} 1.3 f-A ~ /.J7~ CCJU/C5~.r,
ALL G/41J~i6:-1) ('~us UAfft1LI/:;>.4-rti....o I.1Y /l/c:c#,4A1/~ L//d/2.4T7J,(/,
To the best of my knowledge. the abov
Superintendent/Representative:
/ WAS NOT performed in accordance with the approved ans, specifications, and regulatory requirements.
Technician:
4231 Foster Ave.
Bakersfield, CA 93308
(805) 633-2200
25418 74th Ave. S
Kent, WA 98032
(253) 854-7330
275 West Dakota Avenue.
Clovis, Ca 93672
(559) 348-2200
FILE COPY
550 Parrott St. #7
San Jose, CA 9 772
(408) 277-2200
723 Commerce Circle
Sacramento, CA 95875
(976) 564-2200
.~Krazan & Associates, Inc.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
r \ ,.\ 1 F r.:: 9, '
u " .u~
DSA File/Appl. No.
OSHPD No.
Permit No. orf'e>d-BB
DATE: · 7~ 3- ~f
PROJECT#: ()~~qf /B?
PROJECLg~A-L-~~ ~. P
LOCATION: aR c.J11 11/ j;V f)
KRAZAN PROJECT MANAGER: ~ t3
CONTRACTOR: 7Jl>G:-IM-/(
I.O.R.:
PRESENT AT SITE:
COPIES TO:
WEATHER: .5c-rJ./J./' (/
I
TEMP: ~c;)
&# ~-IE 1-#P oM€. fo ftt f)~R. R ~", Uj 19-11 ~.uff({r.l&i:rtBjj ~ >EI r
S15<lJr:fZ-f.:' ~J/J$II kG:AS. t.1tk7' 3' J- Lj( Lt:::J.b (;I4PDt~ ~ttp e /;-11
~~' +-"E/J P W'J9-16 ' If/I. &ht~r1Z)5 + .fZr;- .>1Ed --7:P rP.~ .t2r ~6(?. hko$,(J
PU~J" I 6Jhf2... f~$~/Ue-J ClSUJ'';- J)-il UPs, {}:co3~ ~ y
~ ~~"'l-! fhJc~E:.JJt kJte.. f!h:t f~r IJ-Ir AlpE-J/?p ~ M&p-r
(,{ ~ G- &:> OD ,f- If' fJ?o 1r.1E.LJ {} d2../Ml:i::p{,) .
! 0 (L d- , 7rAr.tJ-.c{ 11-4/ , 5Iu/ - 1':././5fa:-~.J,/5 5-h:-1/. Pw i/.;?U ~
To the best of my knowledge, the above'@ WAS NOT performed in accordance with the ~pproved plans. specifications, and regulatory requirements.
Superintendent/Representative: Technician'
4231 Foster Ave.
Bakersfield, CA 93308
(805) 633-2200
25418 74th Ave. S
Kent, WA 98032
(2S3) 854-7330
275 West Dakota A n e
Clovis, Ca 93672
(559) 348-2200
550 Parrott St. #7
San Jose, CA 9S 112
(408) 277-2200
723 Commerce Circle '
Sacramento, CA 95815
(916) 564-2200,
FILE COPY
J,'~Krazan & Associates, IriC.
GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DSA FileJAppl. No.
OSHPD No.
Permit No.
DATE: ~ :Z?r /~
PROJECT#: ~ - 99/117
PROJEC1: l?/leJl1e2 m1J BP
LOCATION: GZ5.ID 8IJPh~~ ST -,8Q8-feJemndu4
.
KRAZAN PROJECT MANAGER: ... TMJ3
CONTRACTOR: -.JOE IIlIa ~T
I.O.R.: ~~) ~rJ<;
PRESENT AT SITE:
COPIES TO:
WEATHER: .5t.IAJvy
TEMP:
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2,} VlSltRU 't IAJ.5P~rE/) LUeJ:J/AJ/,.... tJr BI9J1t1 ~/P6 7D EM~5 p& ~ I~J~-::2
I -
wez..ns ~ N~P'T'J9AIF.
3) JJJ5P~Tl5D &:JLT/J.)/, CJF RL1r:JF R~.5 m ~ ~LIP~.. 8tJL7IA.J~ am~
~-PT1HU..E PETl- J'JG71/IL # /SWS-:>' ) E)(rEPr A5) P()7E1) BEUJt.,{).
L.J.) NON ~COAfFOR.MAAJr~:
A) BorJ.l C!.... G,Yr/, 2. CHAN.J./ezs LDMTen c.EJJ71::.71..LJA:JE At" ~7JCJ/ e/JD BA'y
I.VeTlE nxwo Tn HAVE t:JAJI.V .::L Bou- /.us7A/~D Are~bA:>.p J
WITH: APP~ ~ OF ~ CHdAJMI;7. ~AU;::' ~('~;:
-'V ,3AO W/lSJ.J RAY' elbr rJF EAJD I'JF kJtll:~__ - _7Z!:J:} AJ.J_ _"TN ~A J
I~~ I!'VD = MJAJJJ.iulIf eDtrE DJ.5TJ4-n~ ar P;u r JkJLE...S cXr.J..:;n)ED P612
AJ.5C. '~ED. THe 9\frrJ; ~M JMs APf>~oX' ~"~ €lY..E CJF ~ 7'D
eJVD~F~~
~bMJAJ:iOr1A'- AJi3'n1L
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D~po.sITJaAJ Re6)UIIlED nil.... REPA/2_
4231 Foster Ave.
~akersfield, CA 93308
(805) 633-2200
To th~ best of my knowled~e, the above WAS / e~NoT)erfOrmed in accor~ance with the approved plans. specifications, and regulatory requirements.
SUPOOnleOdeOUA.p'."OIa".' .T~ ~ , . .
215 West Dakota Avenue
Clovis, Ca 93612
(559) 348-2200
25418 74th Ave. S
Kent, WA 98032
(253) 854-1330
550 Parrott St. #1
San Jose, CA 95112 '
(408) 271-2200
123 Commerce Circle r
Sacramento, CA 95815 ,I
(916) 564-2200 I
I
FILE COpy
C;,- ! 7 e'(5 .
IR? IE ({; lED [W IE Id--
SEP 1 0 1996 fJ)
BREMEATON
PERMIT CENTEWLOINGDF.PARTMENT
288 Fourth Street, BreDlerton WA 98337
Phone: (380)478-5275 Fax: (380)478-5278
.." ~,-<.._-" ~ ,,. ~
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~fU~:S
PRE-SUBMITTAL CONFERENCE WITH APPLICANTS
· WHEN: Tuesdays and Thursdays by appointment; between 9:15 and 10:00 a.m.
. WHY: To discuss general regulatory issues which will be present in the project.
To clarify format and specifications of submittals.
. WHERE: 286 Fourth Street, City of Bremerton Permit Center
· How TO P ARTICIPA TE: Request appointment (complete form on back)
Submit the fol!owing information 3 days prior to meeting:
Vicinity map ,
Conceptual Site Plan
Adjacent land uses and transportation routes
Current use of ~he site
Proposed use i~f the site
Proposed or actual parcel and structure sizes
*NOTE:
All information for project proposal must not be detailed--it must be conceptual in order to
allow for design to conform to regulatory needs.
**NOTE:
If information calmot be provided 3 days in advance. 2 meetings may be required i'n order for
informed comments to be made.
. WHA T YOU GET:
General comments regarding regulatory needs
Specific comments regarding submittal requirements
_A
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DATE: 9/9/96
'PRE-SUBMITTAL CONFERENCE REQUEST
Bremerton Fuel R.W.Thorpe & Associates,Inc.
Applicant- Representative ifapplicable
13606 NE 20th, Ste. 309 705 2nd Ave., Ste. 910
\
Mailing Address Mailing Address
Bellevue, WA 98005 Seattle, WA 98104
City, State, Zip City, State, Zip Contact:
Stephen Speidel
(206) 624-6239
Phone No. w/area code Phone No. w/area code
Project Name:
Burwell Street
Proposed Use:
Service Station
Convenience Store with Quick-Serve Restaurant
Car Wash (Tunnel & Wand) and Express Lube
Address/Location of property:
Northeast corner of Burwell Street and Montgomery Ave.
308 N. Montgomery Ave., Bremerton, WA 98312
City official(s) you have worked with on this proposal if any: Randy Witt, City Engineer;
Mark S. Souza, P.E., Sr. Engineer; Derek Skanes,Engr. Tech. III; and Marlene Nance.
You WILL BE NOTIFIED OF YOUR CONFERENCE DATE AND TIME WlTIllN ONE wEEK OF YOUR REQUEST
'.
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Project Name:
Project Number.
Location:
Jurisdiction:
Date:
Proposed Use:
Section:
Parcel Number:
Parcel Size:
Legal Lot Status:
Comprehensive Plan:
N eighborhoodl
Sub Area Plan:
Zoning Code:
Permitted Uses:
Sensitive Areas:
Maximum Height
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GENERAL LAND USE CHECKLIST
Burwell Street
RWT / A #560495
North East corner of Burwell Street and Montgomery A venue
City of Bremerton, W A
April 3, 1996
Service Station
Restaurant
Retail (Co-Development)
Car W as~
SE 15-24-1
142401-3-064-2008
2.56 acres
Yes - Per Kitsap County Assessor's Office (llegal building lot
made up of 2 parcels - see legal description)
GB - General Business
N/A
GB - General Business
Fast Food with drive-up requirements. S~t.
Gas Station
Car Wash
Convenience Market with gas sales requirements. Specia1-use
p '. pIa' in.)
N/A
60'
'.
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. .
...
Building Setback
from Right of Way:
Building Setback from
Adjacent Property:
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20'
0'
, 15' due toCBR Zone at east only.
Pump Island and Setback None
from Right of Way:
Canopy Cover Setback
from Right of Way:
Maximum Building
Coverage on Lot:
Landscape Buffers at
Property Lines:
Easements:
Parking Requirements:
Storm 'Drainage
Requirements: '
Signage:
Traffic Volumes:
Proximity to Traffic Signals
Existing:
Proposed:
Curb Cut or Access
Limitations:
Future Right of Way
Requirements:
Sewer District:
Water District:
Utility Restrictions:
None~Zur '\
100%
10' at residential property or fence 5' high with 5' wide landscape;
1 tree per 25' of street frontage;
OpeJ:l space 15% of total gross area.
Yes - To City of Bremerton for Sidewalk (see legal description)
Fast Food with drive thm - 1/50 s.f. (min. 5 spaces)
Market Retail- 1/200 (min. 6 spaces)
Storm Water Ordinance 15.04, grass-lined swales, storage on site
(tanks), ne'Y storm water pipes are proposed this summer to be
installed in Montgomery St. (36" diameter).
- max. size: 100 s.f. (2 s.f./ 1 s.f. of bldg. facade width)
- landscape island required for freestanding signs (1 s.f sign/l s.f.
,landscape)
- setbacks: 10' from road; 25' from adjacent properties
Callow Ave. (SR 304): :i: 14,000 ADT.
Yes
Possible timing adjustments (additional at Rainier would require a
warrant analysis)
May allow 2 RT in RT out. all on Burwell St., and 2 fulls at
Montgomery. New curb/ gutter/sidewalk at Montgomery, with
storm project.
None required for highway improvements, but site could give up ,
R.O.W. for a right turn slip poCket off Burwell.
City: 18" at Montgomery
18" at Burwell
City: 12" at Burwell, 1: 96 psi
12" at Montgomery, :i:96 psi
None at this time.
Puget Power & tight
Cascade Natural Gas
AT&T
TCI
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Scott Rapp~eye, City of Bremerton Fire Dept.
None at this time.
LaI}d Title Company of Kitsap County (E-I03931-3)
None required of site at this time.
None known at this time.
As suggested due to old school (asbestos suspected)
Building Permit
ays.
:f: 6 weeks.
None known. '
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6TH ST
1 ST ST
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BURWELL STREET SITE
BREMERTON WA
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1ST ST '
Puget Sound Naval Shipyard
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Vicinity Map \JV
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PUBLIC WORKS AND UTILITIES
100 Oyster Bay Avenue N. · Bremerton, WA 983U · (360) 478-5920 . FAX (360) 478-5360
MEMOR~DUM
DATE:
~eptember 16,1996
TO:
FROM:
****************************************
To Whom It May Concern,
Initial review ofthe conceptual.site plans as submitted will require the following:
* All potable water connecti~ns to landscape irrigation systems to be protected by an
approved double check valve'assembly or assemblies.
* All potable water connections to car wash equipment, whether drive thru, or self service
,spray wands, to be protected by an approved reduced pressure backflow assembly or
assemblies.
* Potable water connection to self service water fill equipment to be protected by an approved
reduced pressure backflow assembly or assemblies.
* All automotive maintenance equipment connected topomble water to be protected by an
approved air gap or an approved reduced pressure backflow assembly or assemblies.
* All exterior and interior hose bibs or hose bib style threaded fIXtures to be protected by
atmospheric vacuum breakers.
* All mop sinks, slop sinks, utility sinks and lor laundry trays to be protected by atmospheric
vacuum breakers.
* All trap primers connected to potable water to be connected by an -approved air gap or an
approved reduced pressurebackflow assembly or assemblies.
· Celebrating 50 Years of Freedom .
~
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Burwell Project
Pre- Submittal Review
Page 2.
* Recirculating hot water systems connected to potable water if utilized; must be protected by
an approved reduced pressure backflow assembly or assemblies.
* Carbonated beverage ~ispensers utilizing C02, to be protected by an approved reduced
pressure backflow assembly or assemblies.
* Ice machines, frozen yogurt, and/or ice cream dispensers, connected to potable water, to be
protected by an approved air gap and/or an approved reduced pressure backflow assembly
or assemblies.
* Steamers connected to potable water to be protected by an approved air gap or an
approved reduced pressure backflow assembly or assemblies.
, ,
* Fire sprinkler systems .connected to potable water, if applicable, to be protected by an
approved double detector check valve assembly or assemblies.
* Future expansion ofthis facilty may require additional backOow assemblies to be added and
will be subject to approval at such time.
* This facility will require inspection' before occupancy.
This project may be protected by the correct, installation of an approved reduced pressure
backflow assembly on the Diain service line to the entire facility or to the individual businesses.
This will provide a "premise isolation", and meet minimum requirements by protecting the
public distribution system, however, it should be noted that premise isolation does not protect
users within the facility should a backflow occur.
For additional information, please call Pat Jacobsen at 478-5927.
NOTE! All approved backOow assemblies must be on the current Washington State, Department of
Health Approved Assembly List and must be tested at the time of installation, whenever, moved or
serviced, and annually. Tests must be perfonned by a certified Washington State BackOow Assembly
Tester. Test reports must be sent to Bremerton Public Works & Utilities, Attn: Cross Connection
Control, 100 Oyster Bay Ave., Bremerton, WA 98312.
pc: Bremerton Pennit Center
, BREMERTON BUILDING DEPARTMENT
Inspection Report
10/, 02~
98-0470
'e ~l;.ork: New convience store/gas station Permit Number:
.lss: 2550 Burwell St
Ji r: Straley, Dean
Cod ractor: Joe Hall Construction
Phone:
Phone:
Inspection card/approved plans on site Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
,-, Special inspector (when applicable)
Hearing soil (soils analysis if applicable)
FOUNDA liON
COMMENTS:
FOOTINGS APPROVED:
WALLS APPROVED:
Electrical approved Plumbing & mechanical 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 ,-
Mudsill: treated material Floor joists: size & spen
Beams/girders size & span Notching & drilling: joists & beams, studs
Smoke detectors: all required locations n_
Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroorn--
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 Fireblocking: 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 --, n__
FRAMING
COMMENTS:
r
APPROVED: ~~
r ( I :s]cr4
~. Insulation: proper R value - Insulation: proper fastening
Insulation: vapor barrier Bottom plates caulked to floors --.--.-
--~.
Penetrations caulked as required Electrical boxes gasketed or caulked ----
i--_ -
6 mil black poly in crawl space ----~
ENERGY CODE COMPLIANCE
COMMENTS:
,-oo+-
i .'\ ~ U t~6r-. M fife
PI leJ/9j
I
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_~ __h__
_,_u_j
UNDER FLOOR/FOUNDATION INSULATION APPROVED:
WALL INSULATION APPROVED: ttI~ ~t~~'o/ CEILING INSULATION APPROVED:
MECHANICAL
Appliance location and access, proper support
Venting clearance to combustibles
Vent termination
Ducts: size & support
Gas pipe size & support
Gas pipe within 6" or underground-coated
Gas logs: safety shut-off
Wood stoves EPA certified
Woodstoves & fireplaces: proper hearth
Chimney liner: when required
Appliance clearance to combustibles
Venting' size & support
Combustion air
Gas pipe under test
Gas pipe: underground min. 12" below grade
Gas shutoff within 3' of appliance
Gas logs: damper permanently open
Wood stoves & fireplaces: Tight-fitting doors
Manufacturer's specs on site
Chimney: separate flues when required
COMMENTS:
GAS PIPING APPROVED:
FURNACE APPROVED:
OTHER APPLIANCES APPROVED:
PLUMBING
DWY & water piping under test DWV: proper grade
DWV: proper sizing DWV: proper drainage fittings where required
DWV & water piping: proper support DWV: required c1eanouts
Vent termination All fixtures vented properly
Water supply proper sizing Shut-off valves on all fixtures
Water heater: gate valve on cold water supply Vacuum breakers: where required
. ,
Water heater relief valve drain to outside Water heater: siesmic strap
R-10 pad under water heater when required Water-piping insulated as required
Grease traps/interceptors where required Proper indirect wastes where required
COMMENTS:
~ 6;2 ~
PLUMBING GROUNDWORK APPROVED: ~ ,. Zs 'f/7 PLUMBING ROUGH-IN APPROVED {~U 11
, j ., I Y /'q}
SHEETROCK
Proper fastening: nails-7" o.c. horlz. plane 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
Proper fastening screws-16" o.c. vert. plane (1/2") screws-12" o.c. vert. plane (1/2") - 24" o.c. framing
Proper fastening screws-12" o.c. horiz. plane (5/8") screws-12" o,c. horiz. plane (5/8") - 24" o.c. framing --
Proper fastening: screvvs- 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
COMMENTS:
SHEETROCK APPROVED:
FINAL
Energy code requirements met, exhaust fans 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
COMMENTS:
;Lrt.1-f-
~u-4,
1~/~/7'7
FINAL APPROVED:
.. . .' '\P;fit
/
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BREMERTON PERMI~ CENTER
, 286 4th street, 8remerton~ Wit 98337
. Phone: (360) 478-5275. . FAX: j( 360) 478-.5278
BUILDING PERMIT / .
'. Job' Addr : ' 255.0' BURWELL 5T
. t.o.cation: 255.0, 8URWELL STREET
Parc;el . No: 1424.0 13-.064-2.0.08 '
Applicant ~'BEETl-tE, CARYl., 425"'98.0-4.066
.4.o15'2815T PL NE REDMOND~ WA 98.053
,Owner: S'TRALEY OEAN/DARREN
351 BROAD 51' NORTH SEATTl.E: WA 981.09
,Contractor: JOE HALlCONSTRUCnON 1~.25:3~'922'-6Lic if: JOEHAC*259RT Exp: .o3""(H-2000
1317:S4TH AVE F FIFE, WA 98424
Permit No: 98-.047.0
~'" Statps: ISSUED
Applied: .08/14/1998
Isaued: 04/~~9/1999
Expires: lQ/26/1999
5ubcont r ~
"
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DelSC: NEW CONVIENCE STORE WITH IN STORE A&W
. .
*********************************************************************************************
Valuat1ol'\ .' * Permit Fees: 4 ,.083 .75 Total Calculated Fee: 7,.0.09.24 <<.;..
1,000,000.00 * Pla~ Check Faes: 2,643.71 Additional Fess= 42:72
. '. ... . .~ . *. Other Fees: 281.78 Total Permit. Fee: 7..051.96
~(************** ************************* *************~,********************** **** * **'lI:********* .
MECHANICAL/PUJMBING FIXTURES~- MECH-Unit Heater........"...: 3 MECH-Gas Piping (outlets)....: 5
MECH-ACUnit.O,... 3 hp.........: 3 MECH-Heat Pump 0- 3 hp.......: 3 MECH-Exhaust Fans....;.......: 4
MECH-Range Hor (res),..,.....: 1 MECH- Tan,s 1,001-3,000 gal. '. : 3 ", . .
* *~.~****:**J************~****************:l<.** ******** ************,****************************** .
rhis permit spall become null and void if the bui Iding or work authorized by this permit is n~t commenced within, .
180 days froml.thedateof such permit, or if this building or work authorized by such permit IS suspended or ..
abandoned at fny time after the work is commenced for a period of 180 days. .
NOTICE - "It i~ the responsibil ity of the permit holder, not the City of Bremerton or Building Official to ~ee
to it that rebU~rl3d inspections are made.' the permit holder must notify the Building Official when ready for
. i.nspectfons, r'Failure of the perrrrft holder.to TlQtify the Building Official of required inspections may result.
in the sto.ppage o.f .the work until such time that t~e permit holder can substantiate to. the building official.
,that the concealed work.meets 0.'1' exceedslcode requirements. Any demolition, testing, 0.'1' financial burden shall
be borne direCtly by the permit holder. Failure to substantiate code requirements will indemnify the City
. '1 . . '. ". ..
against any and all responsibility dr liapility connected with the construction. . ,,'. .
. . , . I . . .
r 'hereby cert~fY that I have read and examined this permit and know the same to. be true and correct. All
provisions, of I; laws and ordinances governing this type of work will be complied with whether specified herein
or not. The grantin9 of a permit does not presume to. give authority to violate or oancel the provisions of
:;:,:::::,::.~'_:~_:::la~ng~::::tr::::::_::.:::.per::::~::~~~~:~___________
'1 qortify i~l am ~,empt from he requirements of'the etete contractor'e regietratlon lew, ijnder
Sect iOh 3. Ch~pter 126. laws of 1967. 'j
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Perm it Cent sr .,~~,ApprbvEld By: "'~,.".".,~."__.,..~,..."'"" Oat e: .~,~~~L:.,2:L,:~.~,:1
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. ,BREMERTON ,pI,ERM 1: T.' CENTER
, 286 4th Street"'Bremerton,, I#t 98337
Phone: (360) 478-5275 FAX: (36'0) 478-5278
01100
01200
O~~900
(11400
01700
01800
'02;~100 .
()J. 900
02500
()2~ 1!:;()
{) ~;l7():?
02704
02701
()~l700
. ;?550 13UI~WI~il"L $T
"'It" ~.(') F.,)! Jt~)WE"t l ~.'l.e)I".t:""I"
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1424013-064-2008
t J.(
Bu 11 d t nSl
Per" m i t No:
Sti:itu~~:
Jasueld~
J6:xpi.r€~aa
9f.l,..,,0470
ISSUED
04/~~9/1 99lr
1 O/:::l(~1 t 999
f~E(;;)U!RED
INSPECT ION S
1;:;'OUNDAT I ClN,-.r';;'ClOT I NCiS;
FOUNDATION~WAlLS
CONCRETE STRENGTH
MECHANICAL
FRAMING
INSUL,ATI0N
PUBLIC RIGHT-OF-WAY
S},IEETRClCK NAIL,ING
L.ANOSCAP I NO
CROSS CClNNEC"1" I ON CONTROL,
FINAL--PUBWORKS~
F I NAL"..m.... ZON 1 NG
F :rNI~L '~'~"F :r RE
F I NAL,""'''''BL.OG
Dep'l';:
D~?pt :
Dt~pt ~
Dept~
I:n:lpt ~
Deptr.
Dept~
DE!pt ~
D~71pt u
. DE'Jpt :
. Dt~~pt :
Dt~pt :
Dept:
Deipt~
BlOG Divlsion~
rn_DG Division:
TESTING Dlvision~
BLOG Division:~
BLDG Division:
BLOG Division~
PUEHNOf~KS D i.v i ~~ :l on r.
BLOG Divislon~
PLANNING Division=
CRossec Division:
PUBWORKS Oivis1on~
PLANNING Divieicn~
FIRE Divi~ionl
8L.DG D i v i t';l :i, on:
" ,
**M**M*******~****M**M***************M*********MM***********~*M*****************~
TESTING: Must be recognized by the Washington Association of Building Officials
SPECINSP= Must be registered wlt~ the State of WA
ST OF WA; . st at e o:F WA Oept. of L.abor and 1 ndu$$t '(' iti:ls 478'.'4921
,1'1EALTH:: Bremf..;ly.t;on/Kitsap H€:lalth Oistl":l,ct 47B".'::~:2:3:l
ALL. INSPECTION!::> PEF{FORMEO BY THEe I 1'Y OF FmEMERTON MUS',!" BE SCHEDUL..ED 'fHROUGH T'HI~:
f)f.rl~MI1" (~GN"I"Cf~ (O~o) 4~8-~?'7~ .
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Pr:ly'm 1. t ,1",101 d,;<~l";" ,Lff ( (I ',- ,~...d- . ',' " '. , ,. " P//7vl 41':; l' .' . '
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, "PERMIT CONDITIONS
Permit No~ 98-Q47Q "Page: 1
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Job AddY'(:O:ls({,~ ~:550 8URWI~L.L ST
AssrAcct No: 1424013-064-2008
Lotation: 2550 BURWELL STREET
Applied: 08/14/1998
Approved: 08/23/1999
IeBued~"04t29/1999
i
Appl it~.ant: BEETHE ~ C:ARYL
Owner: STRALEY DEAN/DARREN
Contractor = JOE HALL. CONSTRUCTION
DescTi~tlon~ . ' _
NEW GONVIENCE STORE WIT~ IN STORE A&W
,Cond i t j,c)m~ ~.
1.Flr~E
A~) Secor~ exit Tequired for second floor, if oce load ~B 10
,or moY' e " _
~. ) Provide fire sp~inkle~ plans.
C. Pro01de monitored fire alarm BYstem~ with plans. . To
"NF"'I")A '7" 2" & 8' M(" "f' '4 'i I '"
".',' ". " ,. eSI'; . requ, ree.." ~~
.I? ~ r PY' 9vt de ~no x Bi) x UFC (,IiT'ld BMC 1. H , ~
f. )Proyid~ ~ storz and 2 hydrant markers,.
y.) Rang~hood suppression system required to NFPA 9~ this.
,is requ:i.n:ld to be int.€fl"fact:ls wHh the) alarm ~1YBtem and ht':Wf.':l
[automat :l.c power' shut off" -
..0. ) El.X't i ngu 1. t{h~~rs to' UF'C 10""1 ,
H.) Hydrants Eolhall be insti:"ll pr:l.or to any combw::~tibl(~
t';(m~'rt;nH:~t ion above'l the 1'~oundat ion. UFC
L) Gas t,ank and pump tnsti:*lat :I. on to UF'C 79&80 test
je~Jlred., '.
).) 12 1n address numbers required to eMc 18
~.)MSD~ folder ,and tr81ni.n; tequired. UFC 79-80
,(.J Sj,!i:ln abov(-C;) front dc)()r thi~t !:~aY$"Thh:~ dm1r to rema:ln
, " .urtloc h~(:j duy' i. n!;;lbu i 8rHi:H~8 houy's" UF'(j UI3C
,M~) Emergency fighting and exit l:l.;hting to use and UFC
2r,CROSS CONNECTION CONTROL- received for review 9/29/98
{1 )DomestiD service to this facility to provid~ protect Inn
'by installation of an approved reduced pressure backflow
.f.18Semb lyw:1. t h no 'connelct i cms a1 lowed upst n:,)am of the
ass~mbly. ' " , '
(2)F1rellne to provide protection by instailatlon of ari'
appY'ov~~d double d'l(;~ck dt~t(~K~tC}'f' assembly" DClI..tble check
detector bypass meter to ba'Senausbrand remote ECR~ read
cubic feet in 100's and t)ave touch re:lad pad im::;ta.11€~d as to
, provide access to meter r~aderBat all times.
" c( ~~ )!y' Y' :t t;liiit :/, em ~jyst elm to r)'1" ov j, d~~ PY' ot t;~ct :1. or'} by i nst ed 1 at :1. on
"of an approved double check valve assembly Dr assemblies at
each cohnectlobn to potable water.
B. CR 0 S S,C 0 N N EC T1 ON CONTROL
N('I"I"'"'' All AI;)I::>f:)OVel"" 'I:;) A ("K'f.:H I '()W A(':C"f.:"Mr~1 1'1'"'(." MIIC::'''I'' r.'H"; ON "r'lll:"'
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CURRFNT WASHINGTON STATE DEPARTMENT OF HEALtH APPROVED
ASSEMBLY lIST AND MUST BE TESTED AT THE TIME OF INSTAlL-
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,Pe'rm J.tNo ~ 9B":"04:iO
BI~EMEF~TONPEHM rr CE:NTFf<
PFHMIT CONDITIONS
P'aSle~
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AT 1 ON ~ WHENEVEHMOVED Ol~ Sl~J~V I CEO p AND ANNUAL.I...: Yo 'TESTS.
: MUST BE: PEf~F'OFmE~D BY ACER"rI F t ED WASH! Nr:i'fON 'ST ATE BACI\Fl:.OW
.ASSEMFJL Y , "I"ESTEJ~. TI::::ST I~EPmrrS Mu~tr BE SI~:.NT TO BHEM[]~'i"ON
'r')lJ[:lt' J",c W" Ol::'} "(:- AN'I") u"r J'I' I "I" I 1"'(" A"I""'f"N. ('f:)()"'" C'O' NNE'(....r..r ('\N '('-(')"':TF~(')'1
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',100.. '(,)Y~:;TEi:r~f.3A Y AVENUE p 131~FMER'(ClN p WA 9sa l~? .
4: lAND USE '
, ,~L.L..OWABLE, NO I Sf:::: l..E:VE1"S. PEr~ BMC' 6.82" " Pf(Opr:~'RTY, TREATED' AS '
nH-;THlct ~:~ USE. " ' ,""r\:,
,"'5. '1. SUBMIT PL"UMBINC~ DRAWINGS ~ DIAGRAMS il r~ISER INFO P'OR
REVIEW:, AND 'APPHOVAL., 'PRIOR TO ANY' r~I~~r~UEST j:::'OR INSPECTION"
',. . ,.' - .
'"' 'w' A't'j-(") ,-".. r:>"," 'V F J"I::';j'" WE..'L I.)[~RC:;' 'C'H. AL I "!:H.. lJ("[-h
..c:;." 1'1 ' . r~~ ~/t-:'"f,.L" ..r.::,,.J .~" ~ C~ ...,) ..~. .. .", 1;;)1:::-' ~h)r.~..L,1 II
~'L ;, PL,ANS "1"0 I~FMAJ: N' ON STT'e: :i NCL"UIJ ING STRUCTt..H~AL.
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',6" ,1;. 'SPtYHS 113 1 I n(ipect i. on 'l"e1qu ired if CC)flCf€1t e !!'$t '(f.H'lot h IS,
:.griatert~a~ ~~500p.8.i" " . . ,", .
:'LMai3on-r y sr,la 11 b€~. i nst all ed to a 11. n~qu J. ,'emer-It *:;~ (,) f thel
U.A3~Cu'The,'e are not, E~pec:1. f f. c . spec:l. ff,cati cmsl :Lf.~t;e<jdb,nth~,
f.:;heH::lt aD" fherefore D UOG 9overfm~"
>~8 i'~ Upstalrs clccupaht load 11mltf.:ld to' If~SI:3 than 1.0 perl"
. 'discussionwith bean Strale~" Modificati6n~ tc~lans sh~11
,bf.~ slfbm :1. tted ~ Y' ev.i E~wed lime:! appr ov(:~d p,':I. or' , t () f'(li~m i ng
insp~ction. , . , ,
4. "Prl'.':l."'c::om~t r\Jet:l.on mElt~t i nf':J re~qui red PI' i. ()f ' to foot in9
Jnspr-~ct i<::ins.' , .
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. A" RIGHT-.OF'-WAY PErmrTHEf.;)UIHED F:OR . AU". WOf~I\ IN "rHE: R'''Cl''''W" ,0
, ,i:3" ':UT:l:L.!TY PFRMJT"REGJUIRED r':'''OR WATER MAIN, CONSTHI.JCTION u" "
:(:., .. Lll" I" 'f.1'Y r;'",f.~'C:''' & ,A" 'S'-t'I~::r.:-~~;Mf.:'N'T'S MUc:::"r 1~)r.::' . r:>>:l- J'I") F:>R'Y (')R "1"("1 I"J()()li"('Jo
."~ II '; ..... "', r I;:" "",.) "" .,) 'm":>~ ... "".,,,,) r.:)l:::, r r"t.. .. ,.to" , J.. 1, r"\ i': 1/
'c). AMONfT()l~:rNGPROGHAM MUST BE:~ IMPLEMf.i:NTED IN ACCOf~DAN(;E
W] TH THE. LET"rFF< FROM STm~MWATER MAN?,GE::MFNTDATED
ClCT08EH 29 1 1 99B . , . ' .' , '
E. OWNER-MUST PROVIDE AN O&M MANUAl.... PR:rC:H~ TO .'FINIt)L,
'AC('r.~'fJl.~N('~t';' ()I.::' "1"1...11::' C~C)MI:)CI<:".I:' . I:~' r I 'l"l~rR VA.. I Il "r
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F'" DRIVEWAY CONSTRUCTION SHOULD m!: ~;CI:'I[DUL,ED IMMEDIATELY "
TO ~'RI'CI) PAV:;;/,' BURWELL, . . .. L / ~ .~. '.
~1:'~~; u~'~]:~':~.LfZ6. .~L.._..,... .._-__.......... ...... . ..... Da t e.::f:?;JL!/:'. ...
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Job Addr: ~550 ~URWELL ST
Locatibn:
Pi~rcelN('):
BREMERTON PERMIT CENTER
286 4th Street~ Bremerton~ UA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
APp 1 i Carlt ~ Jl1E,HALL CONSTRUCT ION
, .1317 54TH AVE E FIFE~ WA 98424
1 "'253'""922-6815
Permj ,\;,' No =
Strjtus ~
Applied~
I €~€Hled :
Expj, res:
-A~J
99,""()2H!~: ~- .
ISSUED . .
06/08/19'9
06/2~-:l/ 1. 9?Q
OWfler': smJ~L.EY p OEAN ,
.351 BROAD 51 N SEATTLt WA 98109
1 ~ ~~o - 4-1 q - '11'1- G.
1/ '1. ') ~., f, b Co - I' 'J- 7
1":"2~j3~922-'61.. i c #: .JOEHAC*-~:~59RT Exp ~ O~:.l"'.O 1-~~OOO
Cont r act: or:JOF.:~ HAL.L. CONS:rl~UCn ON;
1317 54TH AVE: E FIFEp WA 98424
", Subcontr: ",.
l),AVe
f f2-6~,
1-)~ - ~ O~.:.. 777-? '
. Desc= P!J3G PERMIT FOR STRALEY ws BURWELL 8P STOl~E A & W RESTAURANT INSXHL
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Valuation,'* \ , permit Fees: S:34.00 " Total ca,lc;ulated Fee~' 53~LlO
iOO !, , ~. ,Plan CheeR F~es:204.10 Additional Fees:.OO
,", "'*, . Other Feef.l~ . 1.00 , Total PerrtdtFee~ 538.10 ,
**~.***.~*'**.)f** *******'**~'*****':-:**'~*'********************':-:*******,)t***')BH~**************** ********.)'( ,
MECHANICAL/PLUMBING FIXTURES,..- ' PLBtH4ater Closet.. ".,..... ,,: 2 PLBG~'Uvatory...... ....,,; ".': 6 .
PLSG-Shower: .. " ,.. , .... . ,,,.: 1 PlBG-Ki t chen S1 nk, .. . .... . " ;: '4:, PLBS-Wilter. Heater..... ;'. .. ... : 2
. P~BG";'FloorSiT)kiDrain~"."..: 14, PlB6-S1opSink.........,......}.l, PLBG:"Grease Trap/Interceptor.: 1
PLB(i-Hose Bibbs, .. ....; .......l 2, PLBG-Building Sewer..........: 1 PLBG-RoOf Dra.ins, ..... ;.." ..: 2
PLBG-Miac P11lmbingFixtures:,: 5
. ,
*********,**1(,******.~*** **,*****.~***** ** *****.)f*********%*~,*.~*~*****.)t* *************'*********'ll:****
This permit shall become,r\ull and void if the building or work authorized by this permit is not commenced within
180 days from the date cif such permit, or. if this, building or work authorized by such permit is suspended or '
abandoned at any tifue after the work is commenced for a period of 180 days.
NOTICE -It is the responsibi 11 ty of t'he permit holder, not the City Df Bremerton orBui 1 di ng Official to see "
to it thatreC?uired 1nspect~ons are made. The permit holder must nott fy the Building Official when ready ror
inspections. Failure of the permit holder to notify the Building Qfficialof required inepectiol'i8 may nsult.
irithestoppage of the work until such time that the permit holder can substantiate to the building official'
that.the concealed work meets or exceede code '(equirem~nts. 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 aDd all responsibility or HabUity connected with the construction.
I hereby cerdfy that I have read and examined this permit and know. the same to be true and correct. All
provisions of 'laws and ordinances governing tMs 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 provislonsof
any other state-Xll:', local law regulating construct ion or the performancp, of construct ion,
!!;ftot, . "~___..__ _ _...~,.........."'C...... O.t@, ...~.=:;t..2.___......_..
I certifytha lam exempt from fherequirernentfi of the state contractor's registration law, under
Section 3,Chapter 126, laws of 1967. "
S i gnat ure 1__________ _~____________,..--~-_~'"--_-_--~----:------.., Date: __ ____~__~______..:_~____________
******** ~,*****.~************
Perm it Cent er':"':-f'lpf:)'roved By ~ D'at e: ..,_.._".",_""_.~,....~.,",:."..~:."c_ ' '
~__-..-...._ ""'-""-."'--.."'--'---~_,~........:....:____~_._..~_. ,_~.. ..~ ~.._~_~........ ,1'
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BREMERTON PERM:I T' <CENTER:
, 286 4th street. Bremer-ton. WA ,9833,7
Phone: (360) '478-5275 FAX:: (360 )4.78-5278
I
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Building permit No:
Statu(:~~
! f.~f.i;'ued ~
Exp:l. rt;~~:~ =
, /Je..J
99'.'~)vM3 .
I S4l)J ED
06/~;:~:::lI1999
Job Addreesl 2550 BURWEllST
, . L.oci'it :1. Qn:
A~'iisr Acct. No =
.J'
REO U IRE DIN 5 PEe T ION S
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~ J. NA,;;" ' F.. u~~c~~:~. ,I ./~,~.:,~t:' ~:)t:Jf:~P,i\.,,'-1.:~:' ~).,:t~::'n "
I L.UMIJ J. NG ROUbl1 IN, ,L)(J~lt ~ LX.l..,(3 U.l v i bl. "In"
PL..l..li1B :r. NG . Dept ~ Bl.JJG D:t \.):l. t:d on ~
CfWSS CONNE:::CT J ON COMTHClL. . m~~pt ~ cr~osscc D :!. v :1. f.:~:l on ::
. V~ e f{?-.6~
, ~:~: ~ ~ *,~ *,~i.)l; .x..~ *: :~* *."~* ~~,~.~~,.)i: ,)I;.~ ~'~**.'X *.~ * ~ ,)( ')i: ~ ~ .)(..)/::~ ~.~.~ *.~.~ :.')( .~. ~ ~,~.~~.:~ 1(. )f: .~. .~,)i: .~*~..)! .)1;)(. ,)l;*~ ''1.)(, ~.~~' *,~.~:.
,1E,~T'[NG" _. Mu,"~t be, n:'.c;ogrdzf..~d by the Wd8hirl9tun A,,;>SULld,tHm uf Bt.;1~.~t~1 &r-tldH(P,:;>
:;;PEC J. NSP:: . MWJt be Y'f,;ll;;d st f.'::'red w:tt h 't; hE) :;')'t; at e 6f WA ""
ST OF' WA~, Stat e of tlJA Dept. of Laboy' and :r ndust Y' :le~s
!-.IEAL.'T'H: "::''"'-,:Br erne)'!" t on/K], t Hap l-Ie:li:'l.l t h D:I Ht r :1. ct
I t f~m ::
J t em ~.
Itt:~m r.
O;~6QO
O~2'70;~:
01'600
o 1 ~::)so
02150.
It f.:'1m ~,
It elm:
478'''..4921
'. 47f3..",52::35
.~ ; ~
ICjL.I.... 1: NSPf:;;CTI ON~~, PEf~Fm~MED BY THE t:: I 'rY OF BF(r::M~~:r:rrON MUS"r BE SCHEDUL.I::::O TI"H~CJUGH THE
Q~f~M'I'l. ('~Ni'f~R (~l~()) ,4'7'O-~?7~ .~.
r t:.. '< " ..1';1:". \. ~ \" l;;,~ . (';';> \J~,'-I.~,,) .t. ""____
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PERMIT CONDITIONS J ~
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Applied: 06/08/1999
ApP'foved: 06/23/1999
Issued: 06/23/1999
Applicant: ~OE HAll CONSTRUCTION
, OwneY' ~ :STf~t.iLEY ~,DE'~AN
Cont: r act 0'1" ': '~rOE HAL..L, CONSTr~t.JC'r:r. ON
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PLBG ,PERMIT FOR STRAlEY~S BURWELL BP STORE
A & W HESrAURANT INSIDE?
, P flV e:: f f2.-6~
Cone!:!. t j,on~1 :
1. CROSS CONNE:C"r: I ON CONTROL.
.( 1 )Domestic service to pY'ovide protection,by ihstallation
of an approved reduced pressure backflow as~embly at the
,po:l. nt 0 f ant'!" Y tot he bl.l U, (H no v...d t h no cmmect 1, OT'H~ all owed
upstream of the assembly. '
X2) Fireline to pr6vide protection by instal,lationof an
approved double check detector assembly. Double check
detectoY'bypass meter to be Sensus brand FCR touch
read~ ~ead cubic f1 in 100'sand have touch,p~d inetal1ed.
;:~8 to r:rl"ovide aCC€H..':.iS to m(,::rU:lr' Y'sadf;JY'S /i:'it all. t im€%:,)" ,
(3) 'Ir'd,qa'tion aYf.ltem [';,;), prov{(,jf.:l(frh:l'tf.ft::ttEl'n by ;/.rlstallation.
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iE1t'ich'conne'lction to potabl(~ .(A/at(::lY'" . ':. '"
2~ C R 0 S S. C 0 N~ E C T 10 N"' CON T R D L
NOTE : AtL,APPfWVED BACKFL,OW A~:;SEMBL,1 ES MUST f:3E ON THE
, PURRE~tWASHINGTON STATE D~PARTMENT OP H!AL,TH APPROVED
:A::~!:~FMBLY I',~J s~'r,,,..0ND ,M~!::~T, r~E ~,.'~::f;~:S'!:'f.:::I::~ ryr A 'r~:lr.::: ''I'' tME: OF :r N~:~~~:',~:;:r'i"t) ,
A I .I. QN",'" ~HF.:,NE. V,:::,I~ MOVE::.!.l OH .~lF.::RV 1. U:~.I).~ :",NO ANNUAL.L.Y" 1 kr.1.;'~"1. ! 4
t1l..JS'r "BffPEF~F'ORMEn BY A CERT IF 1 EO WASH] Nr.~'rOi'il STA"I"E B-AC/<FLOW
ASSEMBLy'(f::::SrtH" TEST HFPORfS MUS'fBE A:iE:r4rriJ' BHEMI::r~TClN '
F)UF3L. J: C Wm~KS AND UT I L I ''I'' I E:!:~ ~ A"rT~,~' .;r.:;fWS:!~; 'CONNF.~'CTl ON c~r, f\rnh:n" v
3. 00 OYSTER BAY" AV~~::NUE ~ BI~EME::I~"r6N,/ WA . 90:31. ~:::" \ \
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4. pREMERTON--KITSAP ~bUNTY HEALTH DISTRICT ,
~,' "1"Hl::' 1:;)1 A, N':' 1'"j,A, Vr.:' 1:'H':;'I:::'N f;:~i::'V 'r.l::'Wr.:'I") A" Nj") AI:;)I:)I~~I"lVI::"",) 'A, ('''(':(''}OJ') 'I' N(,- "'''f') "1""1"./.1.,',':,,'
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f<ULES AND RE(~UI,"'A"I"ION!~;OF THE:: STA''!''E BnAf~D OF 1"'IF:'~L.ll"ll r:'ClI~ FOOD
;jEJ~V ICE:: (WA~: ,~~46 Q 1 ~::i) AND THE Bf~Er1EHT'ON 1\ I'tSAP CClI.JNT'Y
Hr::~ALTH ClRDIN(.~NCE 19?~~'~"l6 SUn,JEe"!" 'r:OTHE FOI,J,OW1NG
CONDlr1:0NS~
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TYPE FOOD SEJ~V t CE t::STABL. I Sj,..IMENT FOR 'r'HF~ BP. I F' TI"'Ir~ A & W IS
en T N (:I T n r~ 1;' II N r') r.;:' R' Ii:' r.;' f,,') A, I:';t F"; "I" F.~:' (') W N ';:'1::) C 1..'1'1', I:;) "'''l ,I A, N "r'l"II,;:' 1::1 [:J ~ "I. "f :1':::' t, I A.
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L3HEMErrrON PEHM:r. T CF::t\ITER
PERMrTCONDITIO~S
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REQU1REO. ANY CHANGES TO THE ESTABLISHMENT MENU MUST FIRST
BE APPROV8l BY THE BREMERTON KlrSAP COUNTY HEALTH DI5TRICT~
B) :PRIOR TOOPENJNG F'OH FUOD SERV:U'::r::'. em ~:'OClD. PHEPAfMTION A
Pf~E'''''OPEI~ATIONAL INSPECrI01-J, OF 'T'HE: FACIL,ITY Ml..JST OCCUH" AT
1'",1 J (~ T 1 MF All F(:J1 ''t PMFNT Ml Vi"'" FW OF)F'Rf.T T~(", I~' 1 'Ii. ':1 "f},1FRf'1m:1,F~' rR~"
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I" L"ACL:.I.J I,N f::.ALH !~Ll"' R I bl::.RA I .l. ON UN IT" [" ".r:::A, t? CAL, ;", T ~ltl:::. 1\,). l:::~ "I'
COLN'!"Y HEAL.'!"rf DISTRICT ,AT (:::160 )47B""Sf'?8!::~. ~f',,..L,,lb~'(5 wptft'UNt:~
DAYS IN ADVANCE OF THE INTENDED OPENING ~o ARRANGE FOR THE
Pf<E'-'ClPEI~A"r:l: DNA!..., J NSPECT I ON" r F' YOU H{WE ANY FUR"I"1-4Ef<!
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BREM~RTaN PERMIT CENTER
286 4th Streetg Bre.merton, UA 98337
Phone: (.360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr: ~~550 BURWELL Sf
Location~
Parcel NOl
Applicant: JOE HALL CONSTRUCTION
1317 54TH AVE E FIFE~WA 98424
1 '~=~5:3-'922~'6815
pe~r . l: ~ N(~: <~9.-0~8f~
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) , .d: 06/08/1999
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Expires: ~I
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" Owner: STRALEY ~' DEAN
a~l BROAD ST N SEATTLE WA 98109
Contractor: JOE H,.)Ll CONSTRUCTION'
, 1317 54TH AVE E FIFE ~ l~A 98424
Sl1bcontr~'
1-253-922-6Lic #t
Dese: PL8G PERMIT FOR THE BP CONVENIENCE STORE WITH THE,A & W RESTALmANT INSIDE.
*******~*********************************************************~***~***********************
Valuat i,on * Permit F~ee$~) 33~ .00. Total- Carcal'jatedfee~ 1 5~18" 1.0
,,00 * Plan Check r-ees: ( ,204,,10 .. Additional /.'e6(\I:" :i\ ,,00
, ' * "" at her: ,Fees: . .DO Total p:ermh: Fel;;l: 5~i8 .10
*****~*********.********.**M*~**********************~*******~MM***M**************************
, ,~ " . .. . 1 . , . , " -,..
MECHANICALlP.lUMBING FIXTURES"":,',;;,' ',' :PLBG-Water Closet'..".....;... c 2 PLBG-Lavatory"......,,,.......: 6
PLBG.,Shower.;........;.......: (:1 PLBG-Ki tchen Sink..".... .. ~-----4--~ PI.BG-Water Heater..." '""...: 2
PLBG-Hoar Sink/Drain......:..: h . PL8G-Slop Sink....... ......,,: 1 'PL~G-Grease Trap/Interceptor.: 1
PLBG-Hose Bibbs............,..: 2 PlBG-Building Sewer...........: 1 PLBtl\Roof Drains".."........: 2
l~~{LF~~~tx~"...: 5 6 ...C ~ ~E--
*'~**,W,)f***')/i'**')l;*,***J~H~****~'***')!! **,~,~,~ ~ **1<,*, ",. **')(,'X * '~'l*:X'* ********')f*,*********'********j('*** 1(******
This permit shall bE1come ,null and void if the buflding otvmf~P.or:4:red--ty this permit' is not commenced within
180 days from the date of Slich permit, or if this building or work authoriz,ed by such permit i-s~spericled'or ">t,
abandoned at, any tilne after the work is commenced for a period of 180 days. ( ".' .! .,..:'~~/
. ". '.J ~ . ,t;../:':{.~ ~, ,"{l'
NOTICE - It is the responslbility of the permit holder, not the City of Bremerton or Bui1ding"bfficia'l':tose~:r.~',
to it that required inspet:tions 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 concealed work meets or exceeds cooa requirements. Any demolition, testing, *br 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 nave read and examined this permit and know the same to be true and correct. All
provisJofls of laws and ordinances governing this type of work will be complied with whether specified herein
or not. The granting ofa permit does not presume to g~ve aut,hority to violate or cancel the provisions of
any other state or local law regulating construction or the performance of construction,
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I certify that 1 am exempt from the requ'irementa of the state contractor"s registraticmlaw, under
Section,3~ Chapter 126, laws of 1967, ' ,
;~g::~~:~*~~;***;***-*"***-;****n~~---~---'-~'-- ~ e: --~--;,'~~~~---~-;:-:------_."---~ w'.' -t \.;. ~o~\'1 \,~ .'
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PERMIT CENTER
286 Fourth Street, Bremerton WA 98337
Phone: (360)478-5275 Fax: (360)478-5278
Building Department
! Soils, com action
, Concrete Stren
; Welding
: Other:
~Von-Residential Ener. Code*
I Slab / undertloor insulation
I \v'all insulation
! Ceiling/roof insulation
! _-\ir le:1ka e
I Glazing
I Ll htin Bud et
.\Cechanical Ventin Systems
m-.-\C
.\Cotor Efficien
Other:
· Inspections to be performed by WSEC Certified Special Inspectors recognized by \'C-\BO
and 'registered with State Labor and Industries.
I REQ~D ; mSPECTION TYPE
: Foundation Footin
i Foundation wails
i Electrical
: "'Cechanical
! P!umbin Groundwork
; Plumbiri Rou h-In
I Fr:unm
: Insulation
! ,Sheetrock/ nailin
. Other:
i Final
Special Inspections
: REQ~D . I~lSPECTION TYPE
Fire Depanment
REQ~D fJVSPECTION TYPE
Fire Sprinklers ,
Fire .-\hrm System
Other
Final I
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REQ~D
I IlVSPECTION TYPE
Erosion Control
I Public right-of W-JV
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Cross Connection
Other:
Final
PIannin
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DATE . llNSPECTOR jlNSPECTION ICOMMENTS/CORRECTIONS
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Project Name
Project Location
Contractor
Weather
Earthwork Equipment Observed
DFR Given to (or left at)
Reviewed by
Project No.
bC> - 1"''''1 -0 "Z.
Date "7 )0e '/Gr-t1
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Time Departed
Travel Time
Mileage
DFR No.
Date Reviewed
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,...
NOTE: Observations, pass/fail evaluations. and/or recommendations
(if applicable) provided herein have not been reviewed by an
engineer and, thefefore, should be considered preliminary and
subject to change.
Page_of_
F-7A (9193)
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F-7A (9193)
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Daily Field Report (DFR)
fL~
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Mileage
~C#( ~FR No.
1/1/1# ;:;''''J
Time Arrived e- J f6
.., ! s.
Time Departed ,,;;7
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Date
Project Name
Project Location
Contractor
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NOTE: Observations, pass/fail evaluations, and/or recommendations
(if applicable) provided herein have not been reviewed by an
engineer and, thefefore, should be considered preliminary and
subject to change,
Page_of_
F-7A (9193)
'-
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2.- - - - ~ ~ , V.\ - Test No.
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Daily Field Report (DFR) ;f;
Date .:;: Ja
Time Arrived e ~ 'f ()
1 ;'f~
,
~ Cc (g() _ /101/- (;1-z.
PrOject No.
Contractor
Technician
Time Departed
Weather
eo-
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g~(
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Travel Time
DFR Given to (or left at)
Reviewed by
Mileage
DFR No.
Date Reviewed
Observations/Remarks:
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NOTE: Observations, pass/fail evaluations, and/or recommendations
(if applicable) provided herein have not been reviewed by an
engineer and, therefore, should be considered preliminary and
subject to change.
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JUN 17 '98
08:48 AM
; ,
'1
;/'
CONTRACTOR LICENSE #
1Y\;;' .
CONTAcrPERSON,tDX~\ ~~~
CONTACT PIf~NE' !t2: -2t~~'P
o SFR 0 DUPLEX 0 MUl TI.FAMIL V ~ BUSINESS 0 OTHER:
o SIGN 0 DEMO 0 MOVE BLDG. 0 MOBILE 0 GRADING(ydt):
J8J NEW 0 REPAIR 0 REMODEL 0 ADDITION 0 OTHER:
o SEWER 0 SEPTIC
. INTINDEDUS~~\fm~~ J1illtlej Sa;
NATUREOFM?a*ROPO~' C -- _ -= .. ~~~~f'R:"", 'i> =
\mp~...rrsA-rp<~tJsmLL. J PL\A.fI\BlNG j rl!~l~.
~ -6..;.E?C7fYZ.-(CJkL SUI a,e:o '., ' rA r!u'UJ(.tsA- 1 :d
.. ~ 5tP1 -r- it ~ Ztf?;..J.lE-
SQUARE. FOOTAGE: " 'l(19~. . .' . '. 2- I ' ,
~ IV / C..... For 6'et~r,;s~~1y j....
&
Pl.ANREVlEW,FE.E.'.' :' ': · 'llERMll' FEE, .< ,...: ..', C ' '. TOTAL FEES ,. . ....,
"'VALUATION: "" : i,SURCHAR ES""., '''':':':''', ,.." ',,-
$1) OOOJ 000. ct? $ S i -BNERl. I. ~ S
2/5'30.74- .~ STATE!
elTI'. j5.-oe
...-.-...
Applications
limitation. a
destroyed by
period Ilot 0
applicantba..
renew action
Post-it" Fax Note
7671
the date of appli~tion shall expire by
eafter be returned to me applicant or
e time for action by the applicant for a
circumstances beyond the control of the
te extended more than once. In order to
nit plans and pay a new plan review fee.
Phono 1/
Fa'l:/;l S - ra...3
-rnslD~ ?fto-tf1g~ 5'2.75
I hn-ebj certify that the above infonnation is correct to the best of my knowledge.
APPLICANT'S SIGNAn:REjJ~~~ j
Iopopp,d." tcWod 4nJ/97
DATE:
~
fj
JUN 17 '9B
0B:4B AM
BREiTON
o,e.D.
360 47B5262
e
Page
2
"
.. . . .
.. ....." ""..., .
""PERMTTAPPLICATION...." '.......""...,'
City of Bremerton, Washington 98337 . .'Ph~nc:(360) 478-5275 FAX: (360) .478~5218
(2)
MECHANICAL [2J , PLUMBING,
~/-OOZ.3>
APPLICANT: 0 OWNER 0 CONTRACTOR ~ OTHER;..n.,O(\ev-~~
COMMEN1'S:
SITEADDRESS:~~ N mOY\~~ ~ ,
OWNER. t:e.olh'\ \flG ADnRfS$~E>YVc~J .~.. ~).
. , e., q~ lOq
CONTRACTOR,)Jo+- (..lwcurdec:! AODRESS,
CONTRACTOR LICENSE #
EXPlRAT'ON DATE:
OWNER PHONE #____________,.__..
CONTRACTOR PHONE #__"_,.,.,,,,.
NQ.", .. ,1YPE OF EQUIPMENT ..."". ,,,,,.... "fEE.. NO.' '.... ..,."TYPEOFfIXTtJRE '. '.'..:'.""'" FEE-
... " .. ,............... ... ...........'....,.
RAN CE. WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
GAS FlJRNACE btu 'J: lAVATORY
CONVERSION BURNER bill '$: SHOWER
....3' UNIT HEATER bUt '$: 7 Z, 000 KITCHEN SJNK
BOILER bllt s: DISHWASHER
S GAS PIPING LAUNDRY TRAY
EVAPORATJON COOLERS bllt s: CLOTHES WASHER
~~ AC UNIT bllt,: 67.000 WATER HfA TER
~" HEAT PUMP bfl# s: 7&-1 CDO IOnS: lJRINAl
-.-
REHEAT BOX btft 's: DRINKING fOUNTAiN
AIR HANDLING UNIT b'll's: FLOOR SINK OR DRAIN
.....--- .......__.________.H~ -,,.----, ,--
EXHAUST FANS Sl.OP SINK
RANGE HOOD (retidcnrial) WATER PJPJINC ~ AlTERATlON
,t RANGE HOOD lconlfuercial) GRF.ASE TRAP/INTERCEPTOR
CLOTHES DRYER HOSE BIBDS
'INCINERAl'OR -.................-,-.-.... "......... --- ,-
l.AWN SPRINKlER SYSTEM
DUL! Ai TERATION SWIMMING POOL
.~ TANKS type: 1"n .'=. r; u.A'u../~ BLDG, SEWFR (mohilr; I moved howr)
REFRIGERATION UNIT .. ROOF DRAINS
OTHER: OTHER:
MECHANICAL PERMIT FEE --
$16.50 PLUMBING PERMIT FEE (15.00 Of 4.50)
APPLICANTS SIGNATURE:
MECHANICAL FEES:
PLUMBING FEES:
CITY SURCHARCf,:._., .._.
TOTAL fEES:
Q~~
DATE:
rnlOrr do. reviocJ 412,>'/9]
/
,;.,~, :~,!:" ~ ',' 11.
.,
/
,
e " , ,," ID Ar;\ K: n ~n relmj~' .'. "
'1l)' "CITYOFBRE,MERTO ~~tE'I!~U d !,~ Hit '. '"
.BUILDINGDEPARTME } ,.~jj
. -' , r~n t\!) n ') ~(!C:;l
, , ' ,,;.1.. \ ,v u ,:,,)v , (98-070)
PERMIl' APPLICATION' BHEf',,1ERTON',
September 11, 1998 TO BE COMPL~~b\jEy~P.~rsJVtm.ber 25, 1998
DATE:
98-0470
DEAN STR,ALEYCARYLBEETHE
OWNER ,CONTRACTOR
308 N MONTGOMERY AVE.' '
LQc:::ATIONOFJOB , , ,,' "
FOR: COMMERCIAL BLDG: NEW CONVENIENCE STORE W /IN-STORE A& W,
ENGINEERING COMMENTS REVIEWED BY /v/L ',',
, APPROVED )l ~- 2 -~ i
DENIED' r 10 (P-1~.'
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36il 478~262
Page 4,
VICINITY I\1IAP
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308 N Montgomery A venue, Bremerton, WA 98312
Zoom Out .. elf ~ -If ... ~ elf .. . )0 Zoom In
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-...-.-......._-~---_..._-~- ---
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t'r;tl~ e" (I~;~itOns In thase ,:'l;:ns a n."_ speclfIC?;'~ilS S~?rJ not p.T~ .f! (l;'1~
%ildlfl~Uf1loJlal t,,~ 1)1' r;;):IG:';;::'i; ,;] IC,:,':, r"::''C:.'''1ng nnJ~cr:2 .C'. ccllMS
o Uitst P::1:ns f1t; tnrn ~;!'nht( i;~t; r;~:;:,e~: (1 L:J ;Y."c;::ct U;l;.!c;,. j)'l: it
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17 . 98
08 :,50 AM
BREMERTDN D.e.D.
360 04-785262
PClge
6
..- '\
"'I
Commercial Site Plan Review
Application & CheckJist
Jo":
V "
SPR#,
Fee: $
Building Permit#: _.
S6:pq~ - OOL.. ~ .
,ufiPlease' provide S copies of AP.plicatjon/CheckJist Jlnd site plan III U
, Requirement
Zoning Ordinance Chapter 21,02 930 Site Plan Review requires a Site Plan Review Jor
a1lland use and development proposals involving new developrnent 'or expansion of
existing s.tructures 'or other eXterior improvements which wilI change the physical
characteristics of the site
Instru,ct;mU' .
Pleas'ecomplete the folIowing application according to the requirements of the zoning
district in which your project is .located, and as it ~'ppeats on the Site Plan, The
application !llust besomPlete before any processing c'an occur. .
c\permits\site app
] 0/10/97
f/
JUN 17 '98
il8:51 AH
8REHERTON D,C.D.
36il4785~62
Pag"
,
,
,
) ~
1. Lot De~lelop",e,;t Requirements
"Re ~ired .,
,FrOlJt Yard Setback 1 .
20 '
Rt'ar Yard Sl!thm:k ,.'\
0
Sld~ Yard Sethack " 20' WI-th
I
Heighl 60 \
Allowable Den.'lIly (\/0-
L^~'ellil1g (Jni/~ n/0-
lOICoverllge \ coOZo ' .
Landscape Plan. 'T5t>
fro o.ed, .', "
~.S(aff An sis ",
\ \
. '. \
"
Ie
20'
1(0'
;.. :1'
201 w\th tot
\cu0Sut, .',
2St
2. Parking ,.' ~
Number of existing spaces___...;.:::. ,
,.' }larking Lot Type (circle applicable) Lot "A"
LOt "B~I
Lot ~'C"
. "
Parkin .Calculation Table
'B~~:::.:~;::IJr~~~y. ,
0Ven\en<..E:.J' 4J6-'Z. tp "
~~~ ~.
~~hl'6(JJY, ~i50 \ $
J~~' \)848.lt1 t/300,'
, Fu.:n{,~ 'Ust~ 2.IS~l{l. J 11?q "
. Total Spaces Required: ~'_." ~ 2..: ' '(from parking calculation).
To.tal Spaces Provided:_--__ _~q'-",__(exlsting + required)
Barrier Free Provided: _0. _ 2-
MO,torcycle & Bicycle Provided, 9> '.' ,
#- 3. p,.nposed Signage: (state numb;", all types -I signs, and ,;,esin 'Q.t:>&:3 ~-S)
FreeStanding:' Not '.:f.D,~C~~ of . ~ye11\elVm.~td~~d,neJ .'., .
nlliiding Nerth eJX.r:ee.d~.rl g{em<<~_GL-U de,1~I1SS
c-\pcrynits\site.app -,
10/09/97 1f: A Si~ C~~ ~Ll/ ~ _~c0kd '-10
'pY~) 'c~jLd '2)tJ-bYn't-r vtqUrvee;J S l<jK
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JUH 17 '98
08:51 AM
8 REM E R TO H O. C :' 0 .
360 4785262
Poge .' 8
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4. Proposed Landscaping: (dimensions of area.v"itrip~ & square footage)
, \ / ~ ~ 5\ I -A C"\ \
Front. \Kl;[\e.s. ~\D J J_ ,.
. Rear: _\Jo.n~S \0\.-: 24'
, , Sides, Vr)/v0C-o lO I::. 35 I,
,..
Island (s) under tree-standing signs
V\//1 "
._.~~.-:--...
Parking Lot Interior Areas{IO sq ft, per space):__~,'c:JGO S.-t=, +/--=--..
5. Open Space (required for projects of one Qae Or more). Pfea.\e include plan for .
/'ea:;onahle care and maintenance of open space area,5:
AmountRequired (acres & percentage):_,.._-,--..'flj.tL.___.._____
Total Amount Proposed,___
. Active:
Passive:
Criteria /o/' Site Plan Review:
Please include any necessary information on the site plan that illustrates
compliance with all applicable land use and development requirements and guidelines.
Bremerton Zoning .ordinance Chapter 21.02 930 Site Plan Review includes the
criterion for site plan:review. T~e Director of ComrriunityDeveJopment shall approve a
Site Plan if the Site Plan complies with all applicable land use anpaevelopment '
requirements and guidelines, ' ". .
Applicant~State/nent
1 hereby certify that the statements contained herein are correct. 1 understand that
conditions of approval may be required toadequatcly protect the zone and neighborhood
within which the subject use/structure is located, and I agree to abide by those conditions.
I understand that the decision on. ~his application may be appealed and possibly
overturned. 1 also understand that an approved Site Plan is subject 10 Planning
Cominission and City Council review and cO,uld be terminated for violation of terms or
limitations
I understand that APPROVAL of this Site Plan may be appealed and possibly
overturned by the Planning Conunission or City Council.
. I have read, und~rstand> and agree with all of the above statements
~'
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APphc~k~uJ2u' ,
c:\permits\site app 0
10/10/97
-~iJgZ
Date ' .
Lighting Summary LTG-SUM
~~
'0 1~,~~ State Nol..-id....... EnelgyCocle ~ Fon'ns
-'..~qject Info
"
"\
,.-c
[J Alteration
Sec:ondEdilion.June 1995
Date
Compliance Option
[J Prescriptive i( Ughtingpower Allowance, 0 Systems Analysis
(See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans,)
, [J No changes are being made to the lighting --
, Alteration Exceptions ,
(chec~ appropriate box) [J Less than 60% of the fixtures are new, and installed lighting wattage is not' being increased
Area in If
2..00
z--
--e-- '
..,G-
1'2.00
- From Table 15-1 (over) - document aU exceptions taken from footnotes Total Allowed Watts l fd
(May not exceed Total Allowed Watts for Interior)
Number of
Fixtures
Maximum Allowed Li
Location
(floor/room no.)
Occupancy Description
Pro
Fixture Description
':3'u:>
ICtzt.\.
Location
Covefed Parking
Open paii<ing
Outdoor Areas
Bldg. (by facade)
Bldg. (by perim)
, Note: for building exterior, choose either the ta
Allowed Watts '
Description per If or per If
02 w/If
0.2wlff
02 w/If
0,25 w/If
7.5Wllf
d rea or the perimeter method, but not both)
Allowed x Area
DO '2..
~o
2(.:,2.
Watts!
Fixture
''='J 224
Area in If
(or If for perimeter)
Allowed Watts
xlf (or x If)
(May not exceed Total Allowed Watts for Exterior)
Number of
Fixtures
Total PrOposed Watts may not exceed Total Allowed Watts for Exterior
~=rr- ?aL w.$.e,.c-.
10\;2..,\ *~
Page 17
Watts!
Fixtu're
'",
Watts
Proposed
Total Proposed Watts
Sec:ond Edition - June 1995
. '*> '1994 Washirigton slate Nonresidential'Energy Code Compliance Forms ,
Project Address I Date
Use this form if you are claiming any ceiling height adjustments fOf your Lighting Powef AllowanceS for interior lighting. The Occupancy
Description should agfee with the "Use" listed on Code Table 15-1, Identify the appropriate Ceiling Height Limit (9 feet, 12 feet or 20 feet)
on which the adjustment is based, The Adjusted LPA is calculated ffom this number and from the Allowed Watts per square foot. Carry
tl'1e Adjusted LPA to the corresponding "Allo~ed Watts per ~ location on LTG-SUM,
Ad'
d U htin ' P
All
(Int
)
Juste g l~ ower owances enor
Location Allowed Ceiling Height Ceiling Height limit Adjusted LP A
(floor/room no,) Occupancy Description Watts per 'If .. fOf this room for this exception.. Watts per ftZ
c..o..n~ If'~'lt b . 1.5 \'1 ~ \,~to
'-oJ ,
. .'
,
. --:--
.
.. '
,
. ..
, '
.. From Table 15-1 based on exceptions Iist~ in footnotes
Qc\.c WCI,:-:JV::s. O)/~ BX6\r'f\p-t peA'
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Page 21
li~~ting - General Requirements
. 1513IJgtiting Contro~ ' .
1513. H.ocal 'cOntrol and Accessibility: Each space, enclosed by walls
or ceiling41eight partitions, shaD be provided with lighting controls located '
within that space, The lighting controls, v.1lelher one or more, shall be
capable of turning off an fights v.ill1in the space, The controls shaD be
readily"accessible, at the pOint of entry/exit, to personnel occupying or
using the space. ' .
Exceptions: The following lighting. controls may be centralized in
remote locations:
1. Ughting controls for spaces which mist be used as a whole.
2. Automatic controls.
3. Controls requiring trained operators,
4, Controls for safety hazards and security,
1513.2 Area Controls: The maximlm lighting power that may be
controlled from a single switch Of autpmatic control shall not exc~ that
which is provided by a twenty ampere circuit loaded to not more than
eighty percent, A master control may be installed provided the individual
switches retain their capability to function independently, Circuit bfeakers
may not be used as the sOle means of s-Mtching,
Exceptions:
1. IndUstrial or manufacturing process areas, as may be required
for production.
2. Areas less than fIVe percent of the building footprint for
footprints over 100,000 tf.
1513.3 Daylight Zone Control: All dayiighted zones, as defined in .
Chapter 12, both under overtlead glazing and adjacent to vertical glazing,
shall be provided with indMdUal controls, or daylight- or occupant-sensing
automatic controls, which control the lights independent of general area
lighting.
1513.4 Display, Exhibition, and Specialty Lighting Controls: All
display, exhibition, or speciaJty lighting shall be controlled independently of
general area lighting, '
1513.5 Automatic Shut-off Controls, Exterior: Exterior lighting ,not
intended for 24-hour 9ontinuous use shall be automaticaDy switched by
timer, pliotoceB, or a combination of timer and photocell. AUtomatic time
switches shall also have program back-up capabBities, which prevent the
loss of program and time settings for at least 10 hours, if pcr.wr is .
interrupted,' .
1513.6 Automatic Shut-Off Controls, Interior. office buildings greater
than 25,000 If and all school classrocmS Shall be equipped v.ill1 separate
automatic controls to shut off the fighting during unoccupied hours.
Automatic controls may be an occupancy sensor, time switch, or other
device capable of automatically shutting off lighting,
, Exceptions:
1. Areas that rrust be continuously iHuminated, or illurrinated in a
manner'requiring manual Operation of the lighting,
2. . Emergency lighting systems.
3. Switchihg for industri31 or manufacturing process facilities as
may be required for prcx:luction,
1513.6.1 Oceupancy Sensors: Occupancy sensOrs shall be capable of
aut6matiCaIIy turning off all the lights in an area, no more than 30 rrinutes
, after the area has been vacated.
1513.6.2 Automatic Time Switches: Automatic time switches shall have
a minimUm 7 day clock and be capable of being set for 7 different day
types per week and incorporate an automatic holiday "shut-ofl" feature,
which turns off all loads for at least 24 hours and then resUmes normally
scheduled operali6ns, Automatic times-Mtches shall also haVe program
back-up capabilities, which prevent the loss of program. and time settings
for at least 10 hours, if power is interrupted,
Automatic time switches shall incorporate an over-ride switching device
which: . ,
a, is feadily accessible;
b. is located so that a person using the devicecaJ) see the fights
or the areaS controlled by the switch, or so that the
area being pluminated is annunciated;
c, is manually operated; ,
d, allows the lighting to remain on fOf no more than two hoUrs
when an over-ride is initiateg; and
e, controls an area not exceeding 5,lXXl If or 5percent of
footprint for footprints over 100,000 tf. whichever is
greater,
Page 20
.,.' _m~~--.r.l""I'.~'~1.ft"'(~~:1tr:, ,... ,"' I.' ll..~
11184 WlooA..jJ4It ~ 110...---<1 .... 'er..w COlle ~ Fonna ' s-.o e.-.. '.lune '1818
l='rcjea Adc:reSS ;Ncf-m Mo tJ([GOM-FY6Y 'B~EM F-Y(T/'I~ '. ea. O/l~ I orP,
. ' '3:t)
. .
. The ~ informatIOn Is necsssary, tel d'\ed( a building perrmt application 10f compliance 'wi1n trle ouicing 8lMJIoperequitements' in lt1e
WastllngtDn Sta18 Ncrlresidentlal Energy Q:lde.
~ Cocle L..ocalIon I BuildIng Depattment
(drde) SedIon Component Intonnat1on Required en Plans Notes
GENERAL REQUIREMENTS ($e(;tjons 1301~1314) . ,
1:301 Iscppe UnconOltioned spaces loenuned on Clans If allowed
1302 I Spaca neat type
:r- 1>0 (lS.a. I f:lectr1C rBSlSW1C9
:r- 1>0 ( IS.~. 10000er lnqlcate on plans tnat electnc reslstatlce neat IS ncx allowed
( ye~ 1>0 4..&. 13102 I ::)emH'leateCl, spaces I ~l-heated soacas loennfied on plans It a.Uowed (!..iC I
1311 insulatIOn
( ye~1>O lS.a. 1311;1 lnsul. ndlCate denSltles anO ClearanCes ~-3
q::~; 1>0 A.... 13112 Root/cedlng ItISlJt. lnOlcate R-value on root secnons lor attics ana omer roots; /3-3,
Indicate clearances for attic insulation; -.!d.V -I
Indicate baffles jf eave vents inStatleO; /1.,<.);2-
v, Indicate face stacling of faced batlS 7'g'~l . )
( ~'- La. 1:111.3 I walllnsulatlOO InOlCate A~value on wall secnons; B-3
Indicate face stapling of faced bans; lete/
Indic:ate above grade exterior insulation is protected;
Indicate toosa-fill core insulatlon for masonry walls as necess; -!. Ij) ,z.
Indicate heat capadty of masonry walls /tr-U) ,
,if masonry option is used or if credit taken in ENVSTC; ,
:re.. --e 1311.4 IAoor , Ilnaicate A-value on ftoor sections;
Indicate substaI1tiaJ contact with surface;
Indicate supports not more than 240 o.e.;
indicate that insulatlon does not bled<
airflow tt1rough foundation vents
:r- DO -~; 1311.5 ". : Indicate A-value en waJl sedOr! or tounaatioi1 091aI;
Indicate slab in5!Jlatlon extends down vertlcaIIy 24- from top;
Indicate abOve grade exterior insulatlon is ~ otected
:rea --~ 1311.6 HaO_.. .... Indicate A-value on waJl sec:lon or tounOatioo oetai;
Indicate slab insulatlon extends doWn 'Vertlcatty 36' fToni the tcp;
Indicate above grade exterior lnsulallon Is proteded; ~
IndICate insuJatlon also under entire slab ~, req'd. by QfIIdat
(~- lS.a. 1312 . I Glazing and doors ,provide calaJlatlon ot glaZIng area (indUCing Vertical 6JJ\j - .
and overhead) as percent of gross wall area .. ~; 1~1/I
(. e;Dil lS.a. 1312.1 . U-tact0r3 ndicate glaZIng and coer U-tactors on glaZIng ana doa' 5-3
schedule (provide area-weighteO calcuta!lonS as necessary); /6'-0)
Indicate if values are NFRC or default. it valUes are default
tt1en specify frame type, glazing laYers. ~ low-e
coatings. gas fillings
:r- -b 1312.2 ISMGG& ::)(.; I Indicate glaZIng solar heat gam coemoent or snaong
coettlaent on glazing scheOule (provida,aroa "eighted
calculations as necessary)
1:313 I MOIStIJre control
C yea';;- A.... ' 1313.l Vapor re1aI'd8r3 IlnOlCata vapor retart:1ers on warm SIde \2;._U~
yea -~~ 1:313:2 vap.ret. IlnCllcata vapor retar'Oer on root section;
Indicate vao. relaid. with sealeO seams tor non-wood str1JC.
yea . _ (.1S.a; 1313.3 Wall vapor retattler vapor tetan:ler on Wall secoon
:r- oo {1S.a. 1313.4 flOOr vapcJr l'8tlItd8r 'InolCate vapor retarder on Tloor section
yea _ (1r.a. 1313.5 Crawl space vap. rat. nCllCate SlX md blad< polyethylene ovenaopeo lZ on ground
1314 iW 16a1<Qg8
( yeaj- lS.a. 1314.1 Bldg. enveI. ~ Ildlcate sealing, caulking, gasKenng, and weatt:JerStrtPP 12 - (e'
(' yea ) 00 D.&. 1314.2 . seUlg nOlcate weatrlerstilpplng 'p. -(r.
.{ :roe- ./ DO 11.... 1314.3 . as ductS Indicate seallOg, caulking and gasKetlng Vl-I It /_ "7_
PflESCRIPTlVElCOMPONENT PERFORMANCE (Sections 1320-23 or 1330-34) -;
~ ~DO I t::nVetope sum. FoIT11 I Complete<J and anadled.
Provide comp:ment perlormance worl<sheet if necessary :--
Provide ENVSTD screen 1 outPut it necessary
If I no" Is CIrcled for an uestion rovide ex lanation:
1994 Washington State NonresIdential Energy Code Compliance Fann
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820 MillOf Avenue North - Suite 200 0 S~tt1e..WaShi_ 98109-4420
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Contents:
1300 Dexter"Ave. North - Suite 100 0 . Seattle. Washington 98109
Tel: (206)682-1500 0 Fax: [206L682-2623 ,
Nationwide: (800) 621.7300 '
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BREMERTON PER~IT CENTER
.286 4th street ll' Bremerto1J, WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr,:' 30.8 N MONTGOMERY AVE
Location: 308 N MONTGOMERY AVE.
Parcel No: 1424013-064-'2008
Permit No: 98~0470
status: PENDING
API' 11 ad: 08/1.4/1998
Issued:
Expi res: '
Applicant: SEETHE, CARYL 425~B80-4066
4015 28151' PL NE REDMOND p WA 980~)3
Owner: STRALEY DEAN/DARREN
351 BROAD 5T NORTH SEATTLE WA 98109
l/l~
Desc.: NEW CONVIENCE STORE WITHIN STORE: A&W
Subcontr ,:
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Ccmtractor:
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*******~*****************************************~*********** *****************************
V~luatlon * ~8rmit Fees: 4>>063.95 Total 81(~lated Fee: 6,976.57
1,000,000,00* Plan Check Fees: 2,680.84 d" 'tional Fees:, 42,7:~
" , ,* Other Fees:, 281.78 Tltal ermit Fee~ 7,019,29
************************************************************* *******************************
MECHANICALlP~UMB.ING .FIXTURES.- MECH-Uni tHeater... ... . .. .. ..: 3 MECH-Gaa Piping (out lets)....: 5
MEcH-AC Unit 0- 3 hp.........: 3 MECH-Heat Pump 0- 3 hp.......: . 3 MECH-Range Hood (res)........; 1
t1ECft-Tankal,OOl,.3~OOO gal...: 3
, ~~~#.*~#***~x*~***~~**-#******x****************************************************************
rhis, permit shall 'become null and void if the building or work authorized by this permit is not commenced within
iao days from the date of such permit, or if this building or work authorizedbY8uch permit is suspended or;
abandoned at any time after the work is commenced for a period of 180 days.
r '
NonCE -, It is the responsibility of the permit holder, not thecity of Bremerton 'or Bullding Official to see
to it that,requi red inspect ions are made. The permit holder must not i fy the Building Official when ready for
ilispections. Failure of the permit holder to notify the Building Official of required inspections may result
in the stoppage of tne work"untilsuch time that the permit holder can substantiate to the building offIcial,
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 ahdall responsibility or liability connected with the construction.
I hereby certify that I have read and e.xamined this permit and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work wi 11, 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.
Sil'lnature: " " , ' , Date: , " _
i :ertifY :~::~~-::-:::::~-~~::-~~-~:::~~:::~~:-:;~:-:~::econtra:~:;::~::i:i~~~f,i~~:::-:~::;-
Section 3~ Chapter 126, laws of 1967.'
S i gnat u,re: ..________.__,~______,~___________:..,_,~________________ Oat e: ______.,_:...____________________.._
~:~~~'~*~:~;:;~~~~~;~~:~*~:~.~,-,~"...".,.Li.~~_.,._'"' Date: _':_J.:.,~_~=.:1._.~"",.,_
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Planning
Landscape Architecture
Environmental
Economics
BURWELt~, STREET SITE
BREMERTON, "WA
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BREMERTON PERMIT CENTER
'286' 4th Street, BremBr'ton;l"MA' 98337
Phone: (360) 478-5275 FAX:' (360) 478-52.78
BUILDING PERM!T \
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Job ~dd~: 2550 BURWELL 51
Location:,
Parcel. Nc):'
~ppHC1'int : HANSON SIGN CO INC 613~9550
PD BOX' c9~~8 S 1 L VERDALE WA 9B383
PermH No: 99",0613 -
Status: ISS.;UED
Applied: 10/15/1999
Issued: 10/22/1999
Expi res: 04/19/~~OOO
, . , Owner ~,,' SJRf~LEYj S 'BURWELL BP
Desb="1NSTAL,L.4. EXTERIOR WALL MOUNT SIGNS FOR 'A ,& W RESTAURANT
'** ****:M: ***,x**'***1<'**** *,x'~***** *,~********* ***************'If************* ************************
, Valuatlon,'*, ", Perm:i.t':Fees: 145,-"~5 Total Calculated Fee: . 244.00
9~200 .00 . * Pla'n Check Fees: 94.35 Addit iOllal Fees: "00
, . ", '.*, 'Other Fees: ' 4.50 , TotfiJ PermIt Fee:, 244.00
**************~*~********~************~******************************************************
This permit-shait .become null and void i.f the building or work authorized by this permit is not commenced within
H30 days from the date of such permitJor if this building or work authoiized by such permit is suspended or
abandoned ,at anytime after t,he work is commenced for a period of 180 days.
. . . , .
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NOTICE.,. it 1s the responsibil ity of the permi t holder, not the City of Bremerton or Building Official to see
to it that required l-f1spectione are made. The permit holder must notify the Buflding ,Official when ready for
inspections.- Failure of the permit holder to notify the Building Official of required inspecticnsmay result
in theatoppageof" the \lJOrk until such, time that the permit holder can. substantiate to the building officia-l
that the,concealed work m~ets.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 th~ City ,\
against any,and ap responsibility or liability connected ,with the construction.
. '
I he~-ebicertify,that r have r.ead ande~amined this permit and know the same to be true and correct. All
,provisions of laws an>>'ordinaric78 governing this type of work will he cofu~lied with whether specified herein'
or -not. ,The gra i ff of a permlt' does not presume to give authority to vlolate or cancel the provisions of
an~ oth,e state, ',1 law r ulat~ft9''>col1struction or the performance-OfCoT1struc~. ~ '
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S1 gnat u ' ''':_ _ .....___..:.._..:.....,_________.;._;-_____._________________ , Dat e: _(.Q:-~______ ____~~_______,__
$ igna t u r e: _____~...;.__,.:..;:"'....---'u-~----~-~~--~"'-..:~---------------- Dat e : __... ..________.;__________________
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,BRE,MERTON 'i=?'E:RM IT'- ,'Ct=-NTER
2864th Street.. Bremerton. WA 98337
PhDTJe:( 360)'478-5275 'FAX: (360) 478-5278
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Statufs:: IS~;l.~
I8Bued~ 10/22/1999
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TE:E:lTrJ1;lG:~:>':Mut~rl';bE')'(f.:1c::oGntzed .by the Wa~~}h:i.n9ton A~s!~()c1.at:l.on of Bu:i.Jd:l.n9 Clf'f::I,cJ,;:ds
c'I':ir::' ("" 'r N' i::'I"~--f. '. M\l'" 't', "~') "~I,; : Y' ,.\'>'("' ~ .':;t "',IV' ':>I"j w'l 'l" I., 't' t" ti:,\ S't..,. .(".,..> (") ,r:: WA, ,
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ALL' T NSPE,C"!, I ON~~~ P!::::r~F~OHMFD BY 'I"H[ CITY OF BRFMERl'ClN MUST BE ~:;CHr::DULEI) 'T't"H:(OUGI'''I' Tf"'lI:~<:'
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, CITY OF BREMERTON · 239 4th Street · Bremerton, WA 98337
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Oct 20, 1999
HANSON SIGN CO INC
PO BOX 928
SILVERDALE WA
98383
SUBJECT: Application No: 99-0613
Site Address: 2550 BURWELL ST
4 wall mount signs for A & W Restaurant.
Ybur building permit for the above site address is ready to issue. The balance
due is $ 149.65.
Permit Center office hours ~re from B:OO a.m. to 5:00 p.m., Monday
through triday. Please contact me at (360) 478-5275 if you have any
questions. ~
Sincerely,
Valarie
r)Ja/&iL ,
Building and Development Specialist
* Equal Opportunity Employer *
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BREM~~TON P~RMI~ CE~T~~
, " 286 '4th Stieet '1' Bremerton; WA-,98337'
. 'Phoi1f:i~ (:360) 478-5275 ' . FAX: (360) ,478-5278 '
, "BUILDn~G: PERMIT "':, ",'
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Job Addr~ '2550 BURWELL ~T
'I._~ocat Loh;
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~parcel 'No:
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, ApplTCi;1nt';:Hr0N'~~6N~3}Gi-( (~:n .INC " ' '
.,PO flUXnB ~:;:U,,,VE:FWALE :WA9S;:lB_::L
6L::3-9550
Permit No: ,99-0613
Status: PENDING
ApplJ.f~d: ,1CJ/15/1999
IBsued~
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Owner: SrRALEY~S 8UR~E~L BP
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Cbf\'~ ractoy':: I'JANSON,_ SI GN ,c(r tNC
PO, ,i3DX 928 S:r L, VERDAL:E WA 98:3133
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'6:1j"'95S0" t:i. C~ ~t::' l..k~NSOJ *;:~2~ D I Exp:: 05/0B/2000
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, Desc;:,' JN~;TALL, lk~-i':XT:i::j:nClr~ l~ALL MClUNT"SIGNS FOR A & W 'f~ES'rAUI3ANT ",
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V. "I "of," ,.',:,';;' .. "p', , .' ,~, '-'., "",,', .', '14~~' l~' " or'''' 't:" 'I "(""] " I" "" ::, "I, '"'' '" "" ' '-'4" A ()(') ,.,
a..uddOY1.".,' 'I< : E,:1'm,ll, -(:,b,;,>!". "" ',J" ",) . tLd" "p.,(,(~ dU,.L -e,~:." . t. "d',' '
, 9 ~ ~':~OO ,,00' ,;..: PJEH1 Chec k ,Fi~E';S ::~ . , 94" 85', AdcU tJ. ona 1 Fees: . "riD
,v" (J't""\!"r '::"""H'" . 4' ~'() ""I"'c-)"I""'l p,,,,,v'mJ"I" F"<:.'<:,'" ,'-,'4,;', ('JC)
~ ' '. ", ,,:7'.' ",.1 ..... ,', ,....,.\,';..\,';'>.u,' to .J, . ,,_ _ ' ',' , I.~,J., . ...... I " l.:..~,. ",. . ,_ t:;, 1,_.".', . .
,)i; *,~ ~~ *.)t *.x ,)( ?t1(' 'K )(, *)( 1\' 1/: * k)( * ~'X * -)f)( * .j(* 'x ,j(.~ * 11: ,)( * 1/: *' 1i:* ,j(. * -II' ,)( 'ii')(' 1;, *x 1/:)( ,j( *,.j( *)( *' ,)( * ,'I, ,x.* 1!:)(')("X. .)(1('** 11: KX. * '* ,)(::x *' 'x * * * K K * ~ 1\' .)(,.j( *' *,~ * , .
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Trd$permit 'shiiil.[)etome nuHand vbl.r.{ if;:U~e buildirig;or ~ork autborized:Gy.this:permit is not c:omme~lced withil~
f80 da~8 from the date of such "permit, or 'if this building or wcirk authorized by such permit is suspended or
abandoned'at any time after the vJQrk is commenced for .a,p~riod,of.180'da-ys.' " '
I'>~'. '.., ""-, ' '4,,~. ',.", ,.', .,," :',.," . ~,_ _ ,,', '~;',' . ~,.",,'l-,,~.,. ,- .
NOTICE:" ~t"is the,resPol1sipiLity of the permit'holder,'not the cityof;-,S,remerton or Building Offidal to see
:to;-:it"t..hat requiredinspec,tions. are made" The permit holcjer must notify the Bui'lding Official when ready fOY",
. i,nspec:Uons'." Fafluy,e> of the permit. holder to notify the Buili:JinqOffidgl of required inspections 'may result
in fhestoppr;ge of the worku:ntil such timt'.!"that the permit holder can sllbstantiate to the btd.ldingoffiyial ,
t,hat theconce'aled weir k. meetsbrexce~ds Gode :requi raments" Any demol it ion, testl ng, or f i nand a 1 burden. shall
,be- bornf.i eli ~ect Ii by the PE)rmlt holdE)L'~ai lure to substant iate code requirements will indemnify the' City,.
against aOY'imd all r.esponsibilityor liability connected-with the COllstrur:;t!rlri,' - " . ,',
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,;I,'herebY ceY'tify'fhat I have read andexamiried this per~it and.kno~ th~"wimeto be true and correct. All"', .
prcwi Sl:ons, ,.of. laws 'and ordi nances governi ng t his t Ipe of,wor kwi 11 be, camp lied -:wi t h whet h~lr SPe9if i eel herei'n '.
. or not. . ThEl,iJrEmting of a, pe~mit dO,es not presume to giv'e authority to:violate or cancel the provisions of' ;'~
ariY other state or' lpcal ,law regulating construction ,or the performanceiJf construction.
, S ignatur~ :,,_" ,,~."",_:_~~,~':_'~, ,_:._ :....:..._,_,_:"":_..;,~:,:.:~_,~~..:.L'..: ..~" _~ "_,,,..,,~,' Oatt:':y_....:~~;,,_~. ..~.;_~,; ~ N;..M ..~" ". _:,,:__'"" .
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.I cert i fy that I'a~ exemp(frm)1 ,the reqLli n::m~nt;8 of t h~:$tate C:JlitiflGtUY'.'lS,(t:l(Jisrrflt1:Jn 111w, ulldsr
Sect fi:m 3', Chapt €ir 19~; laws' of ,1967.' :":' - J' ' ,
S i flliatu"re: :..__________,___'-____,:.. -'_~.____~:..___:______,_,~___:____o:._L..__ " Dat t):
____~n~N.....~N____ __""'_________. _______
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Perm It Center"'''''~App'('()vedBy:: '_m..:"',~_._._,,"_,.",_"
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" BREMe:'RTON ,R~~'1\I -r.:",,'~CE:NTER
" "286 4th Street j' B:r:eme.rton" , f,JA 98337 '
,', ,'" Phone: { 3(0) 478-5275, FAX: (360) 478-5278
.' t , : I '-~', aUIl:..DING PERMIT
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Job 'Add,,:;(..2550 BURWELL ST
L.Ol'::;:{tt on~ I .: ' , . ,
, ParcelN9:, ' '
APpltcant: HANSON SIGN co INC
Pb,BOX 928 SllVERDALE WA}988S3
Own~r! SJRAL~Y~S eUR~ELL BP
-'.
Permit No: 99-0613
status: PENDING
APplied: 10/1.5/1999
Issued:
EXPl.res:
,-
613-9S50
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Cont.ractor = HANSON SIGN CO INC 613-9550 Lie::ln HANSO:O~221.JI Exp: 05/08/2000
, , ,PO BOX ~1;;'~8 SILVEHDALE WA 983831.
",. SUpPGlntr :.:
,D.esc: INS1:ALL'ir 'EXTERIO~ WALL MOUNT SIGNS FOR ,A 8: W RESTAURANT
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: ~,*~~****'**'*******,~***** ****** ***************** * ****~,*~,**************,~*************1('****'K****
, , Valtlat iotl "* ",Perm-i t Fees:1.4ti ,15-' Total Calculated Fee: 244,00
t ,', , . : 9 ;2ElO.OO',:.* .,ptan,'theckFf~es~ ' 94.35 , ,AddH 101"181 Fees: ',00
" ,'::>l, '>~;,/ ..., ~*,:\;( >O'ther'feles: , ' , '. , '4.;;0, ", ',;Total Permit Fee: 244.00
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'Thl$,per1nLt$ha'H.becd~e nufr;andvo.fd;irthebuilding or work authorhed pyttris permit is not commenced within
:1ao ctaya"from:t~ ,diate.of suchpe:rmit ~'o{ If this bui,lding or work authorized by such ,permit is suspended or,
'::aband6ned'at'aflY'Hmeaft~i theworkia commenced for a period of 180 days. " , ,"
,'~ :';<,"~~ >~~'" ,:.. .; ." .., . " . '-',': ,'~ " ,'.
NOTICE ~lt lathe rssponsibil it! of'the':petmtt holder, not t.heCity ofBr . ,rto t r Iding O.f~iaJto see
tOJl t~~t ''(equir~d: inspect iol'\~ are "made. The permit holder mlJet no~~., 'th I:, n9 ~fici 1 · h6~ ready for ,'.
inspectlOTlS.-, FaIlure of,the permit holder' to notify the Building 0 of require p, t ns may r~eult
'.in.the8toppag~or theworkOntilsuchtime that the permit holder ca Isubstanti t t I builCling offici l' "
;~~h~f.,.,..th"eli,~,Dlice,aledWQrk'1l1eets'()r exceedS,co.~ereqUirements. Any dernol! in, .19, or fin~n~i 1 urde ~I.L, "
'be,bornedJ.rectly by the permit h(}lder~' Fallure to substantiate code . r snts wi~l inde 1 he eit "
against .any..and'all responsibUity or'liability connected with the co tructi, d.' . ' .
'I' her.eb~ 'certifY that' I have read and examined this permIt a~d k~OW C.~rl '0 be true and correlt. A1tffl . ,
provisions ,of laws and ordinances governing ,tf1is type of work will b;~ie with !'Jhether ~i i~~ ~ 1, ~'
or not_, The grantIng of a permit does not pfesume to give,authority to-violat or ca.1cel the~ it\im(s-of ,
any 2~~er s~ate ,or 10caL,law regulating"construction or the performance of construction, ~
Sigr.at~r~:~____~_~_~_~___~_~__:___~_~____~~_________________ Date:_______~~-------~~----~-------- ~ . _ .
. I certify th,~ti:amex~inPt from the reqUirem~T1ts of the state contractor's registration law, und~r _. \, ,..j(}j' i,'
Section 3, Chapter 126,laws'of 1967,. ',' .,..,. , . ~.
Signature: ' . ;_', '/! ..', . , Date:," ,
. ' -------~--.~-:-....._---:'-------~....~--'---:....._--:,..-------------- ----_....__..._--,.._..._-_...__......._-~---- '
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BREMERTON P~RMIT. CENTER
286 4th Street~ 8remerton~ WA 98337
Phone: (360) 4,78'-5275 FAX: (360) 478--5278
BUILDING PERMIT
JQb Adrin ?550 BUI~WFU ST
Locat i on ~ ~'
P2tiCie] No:
App licant: HANSON SIGN CD I Nt 61 ~3''"95S0
[;)0 BOX 928 srI. VF:RDALE WA 98:388
Permjt No: 99-0613
status: PENfHNG
Applied: 10/15/1999
Issued:
Expin'!lB~
Owner ~ Sn~ALFY' S BURWELL 8P
Contractor: HANSON SIGN CO JNC 61:3--(t~iSO Lie #~ HANSOI*2~"lJI Exp: 0~)/08/2000
PO 130X 9~:~8 StLVERDALE WA '?B3Ba
Sllbcontr:
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Osee:;: INSTALL 4 FX1FRJOR WALL MOUNT SIGNS FOR A & W RESTAURANT
*****~********,* ********,,************************X*************** .**.* . . '****1**~*****~"****
, Val~atjcn * . p~'rmj..t\.e~~: 145.1; Total calcl~~A ~d~S: ~;/ ti-\ 244.00
. 9,,;.00.00 ~ Plan Check '"8(,,S: 94.~o .Addi.tlOna~:, ~f"fp~ -It ? .00
t, )( Ot her h:.'lt1s. 4 ".10 lot a 1 PE)'r , . J:eD ,..44.00
;J<.....................................................................4fL ..................
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days from the dat~ of such permit, or if this building or work authorized by such permit is suspended or
abandoned at any time after the work 1s 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 concealed,work meets or exceeds code re~jirements. Any demolition, testing, or financial burden shall
be borne directly by the permit hiHder. Failure to substantiate code requirements will indemnify the City
against any and all responsibtlitj' 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 law8 and ordinanoes governing ,this type of work will be complied with whether specified herein
or not. The granting of a.permit does not pteaume to giye authority to violate or cancel the provisions of
any other state or localllaw regulating construction, or the performance of construction.
Si gnat ur e: ______________,~___ ________________......_______...______ Oat e c ___________..._____k~____.~_____
I certify that I am exempt from the requirements of the state contractor's registration law, under
Section 3, Chapter 126, laws of 1967.
Si gnatul"e; ______________.~_______________________~____.______ Date: ____"'______________.;.________.___
************************~*#
Permi t Cemtflr-'.'Approved By: ,e...
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PERJ\tlIT CENTER
286 Fourth Street" Bremerton 'VA '98337
Phone: (360)47~5,275 .Fax: (360)47~5278
, ,
Building Department
Fire Depanment
: REQ~D :' E'iSPI;CTION TYPE
Fr)undation Footln
~ F()unpatloh walls
i ElectrIcll'
; \rechaI1lcil
~ Plumbln Groundwork
, P\umbm Rou h-In
I Fr:L!'111ng
Insulatlon
: Sheetrock/ nailin
Other:
Final
REQ~D I INSPECTION TYPE
FireSprinkleri
" . Fire_-\latm Svstem
'. Other
Final
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SpeCial Inspections
,PubUc ~ orks
I REQ~D,' L.'v-SPECTIONTYPE
i IJ.VSPECTI01V TYPE
.1 ErOSIon Con.trol
. i Public nght-()f \X;';lV
I Se:.ver L;tenl "
I Irrigcitlon svstems. "
! Cr~ss Connection
, Other:
Final
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; S()ds, compaction
I Concrete Strength
. \x-eJding
. - .
: Other:
"Von-ResidendaJ Ener Code*
: Slab/Wldertloor insulation
I \X;'a1linsulation
: Ceiling,! roof insubtion
: :\1r leab e
! Gbzmg
, Ll htin Bud et
, \Iech3l1iCJl Ventin System:;
'I HV_-\C
I '\[oto.r Et-ficienc
Other: '
. Inspections to be performed byWSECCertified Special Inspectors recognized by \'L\BO
md registered \vith State Labor and Industries. '
PIannin
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BREMERTON BUILDING DEPARTMENT
A-.f.~ f. \ ~ 1111. In~pection Report
lJ-.I (}.../U(' S I ~ .
Permit Number: 9 q ,- ()(o ( 3
Scope of work:
Address:
Owner:
Contractor:
Phone:
Phone: to (?,- 955 n
Inspection card/approved plans on site Setbacks
Footings' required steel placement Walls: required steel placement
Footings required width & depth Walls: required size
_.
Hearing soil (soils analysis if applicable) Special inspector (when applicable)
FOUNDATION
COMMENTS:
FOOTINGS APPROVED:
WALLS APPROVED:
Electrical approved Plumbing & mechanical 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
Mudsill' treated material Floor joists: size & spen
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 dilectly 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 Fireblocking: wall to ceiling, furred walls every 10'
Fire blocking; stairs, soffits, lowered ceilings J 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
FRAMING
COMMENTS:
APPROVED:
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
ENERGY CODE COMPLIANCE
COMMENTS:
UNDER FLOOR/FOUNDATION INSULATION APPROVED:
WALL INSULATION APPROVED:
CEILING INSULATION APPROVED:
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APPLICANT: DOWNER ~ONTRACTOR DOTHER
Site Address:
Tax Account Number:
Contractor:
-I'
Contractor License #:~
, Expiration Date:
Check the type of application applied for below: t
o SFR 0 DUPLEX '. 0 MDLTI-FAMIL D ~ ~ re ~ ~Q ft JfmD
o MOBILE ' 0 ACCESSORY BLDG 0 RES ADDN ' 'W
o RES REM 0 COMM ADDN 0 COMM REM' nCT 1 ;) 1999 .
o REPAIR~SIGN 0 DEMOLITION.
o NEW CO!vfM:. (DTENANT IMPROVE1ffiNT BREMERTON
BUILDING DepARTMENT
o GRADING (cubic yards: ) 0 OTHER l..
Nature of Work Proposed: 1N~lA-H ~ruDfL WAd (ly\Cx.J-0\
A-cf,<J) l Dl f\<S -WQ. P\~
) II.J 5,' ~ . \ e Sf',
j, :au' v-e ~ 1JVLu. 5/'~ OJ) 11-+ 0 5: '~
Garage:
Square Footage:
Dwelling
) .5 5' ~' ~ ..-J {;...J. S I "~
'~ ..4+ WSI'p': ~ a ~r:J5;tyr.
Decks
Applications for which no pe 't is issued within 180 days following the date of application shall expire by
limitation, and plans and other data submitted 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 application 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 applica 'on after piration, the applicant shall resubmit plans and pay a new
plan review fee. '
. ................ ...... ........ .n.. .... ....... .. .. .. . .. .... ...... ......
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State: $ 4.50
:'::Y~\i~#q~
APPLICANT'S SIGNATURE:
E: (0-1477
NM~~*********M*****N*X******XM*MM**M~H*~***~##******H***********
HECEJPT
**~~(*~**M***,*~**~**~~**~**~~***********M*#**~~*~******~**~****~~
FlEet' I PT Number ~ 99()()0994 AmCll__tnt ~ C;~4 ,,~:l!~) 10/1 S/99 11 ~ :'36
P,:iyrMmt M~~thod~ CI< Notat: i,QYlf. HI:'\NBON SIGN CO In:i.t ~ 1.)1..)
H'" ..." "_",.. ..", "'., '"'' "'" "", ",,_ )'0,,' ..'" "''''...., ,\1'-, ~'I' ",....', I.., .,.,. ."".",,..<rl;' t ....'.1"'\ ,k"....."" ,. 'h" ,,-", "" ''''_'.''' ".H "'''' ...., ...., ..,,,, . '<n, ..." "'.. _.'" _" ,,>>..,.,.,.. ,....... ...... '. ,,,,,..... .,,,....... "'-. ."" ,"'" '~'. ,,'.. ,,.... "'+< J'r!"',-.
Pe'('mit No~ 99,--06U3 lypt?~ SIGN ~:HGN PFHMrr
SHe (~rldr<i';),f:J~H ;?;5~~n BUHWELL Sf
Total Fees= 244.00
This fj;:~yment 94.;~~5 Totii'-l f~U" Prnt~~~ 94.35
Balance: 149.65
*~~*****~~*~******~*~*******~~~~*****~********~~*******~**~*~#*~
~1)cc;Clunt; Cndr:~ fh:.)(;\lcr:l pt :1. on Amount
16."~14~i,,8aO()(t:\.t5BO) mHLDINGi PI_.fiN CHECK FFJ:;S f14.~"':l:~:)
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RLCEJPT Number: 99001022 Amount: ]49.65 IO/??/?? 10t47
Payment M~thod: CK Notation: HANSON StGN CO tnit: VW
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Permit No= 99-0618 Type: SIGN
Site Address: 2550 HURWElL 51
S I ON f.J;:::HI'1 IT
Total rase: 244.00
nth:,:~ Pa/rn~:)nt 14(r ,,6~l T~)ti:d ALJ. Pmtf.~~ ~:;,o\1,4 .00
n~ 1 "HICf,:l ~ .. 00
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AcctH,mt Code DeHCi i pt; :l. on (.HllC>WI'I,:
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648-287.J8 (0236) STATE OF WA SURtHARGF 4.50
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l~r;:C.~ElPT .Numt:H'j'f'~, 9900 1 O~~~::'::--Ar'nount :: , 149" 6:':"1 ,fO/?2/99 1 0 ~ 47
· p;iymerrt;Mt~tt:fOd::'Cf\ ,'" . Noti~t;:Lqr'h::HANSr..iNSJ:GN CO In:tt: VW
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. P€!ly'mi t'NCi~"'(9(>"';"06f ~;;l type: SIGN 51 GN PEHM J. T
, 'S:! te~Addf'e!!~*~l:. ;~~:it;;0 EH~J:RW~:.:L.L 8T
.. ", ',.. ,.,. "'/' , 'rot 81 Fee.-)!!3: ~'?44" 00
. -rh {~.~ )jaYI1].~:-lnt . - ~ 49" 65 'rot a:l. AL.L.. ~:)mt s ~ ~;~44 ,,00
"'I , ., Balf.iT1ce: ,,00
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Acc6unt Dade Description 'Amount
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BRE:MERTDN
286 4th Stre
:) . Phone: (360) 478
/~Ob Addr~Fl~~WELL' ST aUI
I .
Location: STRALEY'S BURWELL BP
arcel No: . . ~/
~~<"
CENTER
~ Bremerton? WA 98337
275 FAX: (360) 478-5278
DING PERMIT
..ON UNLIMITED INC.
1745 GIG HARBOR WA 98335
;~53'"-;265-60 15
Perm it No ~
status:
Applt ed ~
I (,sued:
, Expires:
99-0526
PENI)ING
09/22/1999
Owner: STRALEY~ DEAN & DARREN
851 BROAD ST N SEATTLE WA 98109
Contractor: REFR[GERATION UNLIMITED INC.
PO BOX 1745 GIG HARBOR WA 98335
Subcontr: J ~
Ue:lSc: UNE WAL K'-"!N r-f~E.l~.ZI:.:R & ONE WAU'\--IN U.)(JUm.I'~ ~ L
******~***~~*****************~*.*~~~*~*************,.** **~******,~~~**********~*********:~*~**
ValuatIon * PermJt Fees. 42.3 rota] C_Iculated Fee. J7.~8
.00 * Plan Check Fees: l!S.;'~8 ~dditional. Fees: .00
* Other Fees: .00 lotal Permit Fee: 57,,58
************************************************************!**~*****************************
MECHANICAL/PLUMBING FIXTURES-- . MECH-Refrig Unit to lOOk btu: 2 I . ,
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*********~;******I************ ********************************************
This permit shall become null and void if the ilding or work authorized by this permit is not commenced within
180 days from the date of such permit, or if this 'lding 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 concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall
be borne di rect ly by the permit holder. Failure to substant iate code requirements wi 11 indemni fy the Ci ty
against any and all responsibility or liability tonnected 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 CClntractor's registration law, under
Section, 3, Chapter 126, laws of 1967. .
S i gnatur e: __________________________________,__________~_____
***************************
Perm i t Cent er~-Appr oved By ~ ."_.__'""_._._.._~.."._.,.___._. Dat e:
Date:
i
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. / BRE~~~r~~",>:>~=:~":;,;~, U;E~~;;:;/FR
I Phr.ne: (:360) 478"/:.'-:75 FAX:: (.<160) 478-'5??'8
,I d-~ 50 , BUTi."lNG Pl::RM,!:T ,
,l.1ob Addr: '?S+f 8UHWFU Sl ..// Ptl'l'mlt No: 99'''057-:6
;'U:x;a1; ion: SlRALFY 'S 13Ur~WFLL. 13P~/ StatW3: PENDING
1?r''1rceJ No:: ~ AppJ j ~d: 09/:')/'/, 999
i, ,.---~/ r. SHIH-:;d:
~~pltciJnt: r~r::Fr~tGf::;Bf.\-r-':1JNUNI"JMnFO INC" ?!':iJ'-?6S"601.S Fxp'lres:
'-.. ~. .-H{J)( 174!'i f.i J G 1'1Af~ROR 14A ~'B~ja5
---
Owner: ~:;rRi'LF:Y, OFAN It [)ARI~r::N Q
~15 J BROAD ~;T N St:'ATll E WA Y81 09 , C 4
mtract;or,~ l~r.:niIGr::RArl:()N UNUMITEIJ INC, ;;:S:~';:'\~);)--60tUc tt: ,..R/.;FRnJw,FKSti'~Xi: ;;,--:n-99
PO FlOX 1745 G,1 G HARBOR WI 98a3!,j vi' - '\ ,'. ',- L>
Subcontr:
!!Ie: ONF' WAU(-.1 N Ff<FF.'7f'R & ONF WAf j(.,. J N COOu. R ~ "./ \
................I...............................~..~...............................
va J uat j on )( Perm 1. t Fee~,i ~ 4? "3c7--/ Tot a I CEil ell 1 i:fG eel F€lf.! ~ .57, sa
,00 * Plan Cheek Fees: t~,,?8 Arlditional Feea: .00
~,'"....''' , * Other F€;€l~., ,00 '(Clti:'d Permit Fee: . 57,.'58
~,:* 1(,*******,;.;:****,~~**~,~ ***X,)t K ,~**,)(, ~')(**~'****-*~"y',** )(,* X:~~ **1* )HO~1(')HO~ lOOt; :iH(-:l(':\HHH(: * **~ )OO~ ** x * )0(: ~ ,~* ****
HANICAU'PLUMBING FjXTlJRES-- ~H-Refrig Urdt to lOOk btu: 2
F \.K /Bi . (l ~i .o.~
q -.J~ J}Cl I / ~ \\0\'
..... .k;..... .... .,.."".~. x. "xx. ...,lI,'..... ...... ......., < . "......x.. ~...... .x........
permit shall become null and vdid it' the blli IdintJ or work authorized 'ermit is no commenced within
dRYS from the date 'Jf such permi , or if thisJ:iuilding or work alJtnori 'd iJ ,C " , suspended or
doned at My time after the work is commenc .1' for a p3riod of 180 days,
~E - It is the responsibil ity of the permit holder, not tho eft>, of Bremcrton or 8uilding Official to see
; that required inspections are made. The permit holder must notHy the Building Dfhcial when ready for
~ctions. Failure of the permit holder to not.ity the Building Official of required in.,>pectJons may result
119 stoppage of the work until such time t;'lat the permit holder can substantiate to the buildIng ofj'icial
the concealed work meetH or exceeds code requiremr:nts. !'iny demolition, testing, or financial burden shalT
Irne directly by the permit holder. Failure to substantiate code requirements will indemnify the CJty
1St an}' and all responHibiJity or lii'lbil:tty connected ~Jith the construction.
'1
eby certify that I have read and examined this permit and know the Mme to be true iJnd correct. All
sions of laws and ordinances governing this tYPE of work will be complied with whett~r specified herein
t, The granting of a permit does not presume to give alJthorit)' tc violate or cancel the provisions Clf
ther st:ate or laCEd IaN regulating construction or the performcmce of conBtrLlction.
_.....__...._--_..-..~--- ...---.........---."...- -.. --.....
,
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~un!l:.. -"-,~"'-- - .~-~,~_________ .__.,___"'~_ .'_______..___ _____ Dab:! ~ _"" , ___ __.." ___.., .___..~_ __._,.____
;ify that I am exempt from the requirements of tho state contractor's registration lawj und~r
m 3, Chi'lpter 126, law~ of 1967,
ure: ':
"~__... J",__._.........._...-. ...'..._____._____ ...._,_.___ _....._"..~___. ._________....
~*~~~**~x*****~***~****
t Cerrt$lr..."Approvelc! Ryi.
Dat!.::
Dnte:
I,", .
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.-.~::"~r';~~"' "", .',
"..."'10'-, .
R'IE eEl \1 ED"
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/, "~ '.;' } . BREME,RTONPERM :I T,',. CENTEA:,,'.,
ff ' "," '286 4th Street/. Bremertonv ',bJA ,", 98337 ,
j " .,'. Phone: ( 36'0) 47875275 FA>::' (360): 478-5278 '
'l'c?55 D' " ",.' , 'J3l.:JILDlNG, PERMIT, '
';Jotl Adpr.<~~ BlJRWEIJM ~~T ~~r"
, toeat ton:, STRALEY ~~:.CBP
P8.,r6el No:' " ,~..<:/
- "'\~-,-~""'''''---. ',' '. " '.
,AF!plfcant: 'HEFRIGERA,TWN UNL'rMHEfJ INC, '253-'26S-'60l5.
PO .SOX ,1745 tH G HARBOR WA 98335
SEP2 3 1999
, .
",-
CITY OF BREMERTON
DEPT, OF P1I3L1C WORKS
AND '!JUJTIE5
:100 OYSTl!8 BAY 'AVE
PermIt NCl'~
Status:
, Appned;
" Issued::
Expi feR:'
99".0526,'
PENDING .
,09/22/l.999
.' /)~{)
( " , j(( 'V-
contrac:tt3~: REF~IGERATION UNLIMITED LNC, 253-265~-.6.,~ "'f.,.,j..C,tf ._:,:II(',R"r- E;:f"-RI~J.Ol1,i).s ~p =, It?''-31-,,99
. :PO BOX 1745 'GIG HARBOR WA 98335 - /\ f
'-SlJbconfr: '
,-
Desc= ONE WAl:K:':'IN FRE.f.~R,&bNE WALK"'IN COOLER
,lit " " . < < ''''''''. . 1 t~ /...
(~; ~. ~ " ,,' . ' - "', . . ' . ., . ,".
~~)(,* *****;)f*****************,~******************************~*********************,~*~**********'"
,:t""~vEflllaiion '* ' . Permit F'f:)f:~s= ,'" . "42~30 ,Total Calculated Fee: ," ,57,SH.
:,~;<," .00 * .Plan CheQ,k FeeH:~: 15.28 ' Additional Fees~ , ' ,00
'i':"' ,* ;" Other Fees: ;00 ' a, Perm't Fee:, 57~58 ,
~**~***************~,)f**,*********,****************,********** ,*****)f*'lf****~~**********1<'********
0, ~'~ "":--:7::""_q'tj/.'.,, ,;' ;,/ " '~.., .', ","'v ~",,':
: ~(...- \ '- / " .., f '-
~******** ****'~OH~**** ***************~*****J***************~~*'***~Of**************'~**' --~ ,:~',
fhi-s-perm.tt,shall become null and void i.f the buIlding r wotkauthorized,by~permitis not commenced.withi:n '
180 days from the date of such permit ,or if this ,bull 'Or work aut eo by such permf.t is suspended. or; , "
ibandonecl at 'any tJmeafter the work iacommenced for a' pen' 0 days. ' ,. . "
'. ,
", . ~
owne(is:1RALfiY 1-DEAN & DARREN ' , '
, ./351~ J3ROAD ST N SEATTLE WA 98109
,/
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~OTICE::' It is the responsibility of the permit holderg not the City of Bremerton ,of: BuUding Officia.(to see
;~cdt that requlred inspections are made. The perm~t' holder must notify the BuUdingOfficlal ~hen ready for
lnspection13~ F'ailure, of the 'permit holder tp notify the Building Official of required, Inspections maY result; : :
In t.hestoppage. of the 'work until such time that the permit holder cansubstantiate,tQlthe building ofHcial, , ,
:hat the concealed work meeits or exce~s c.octe ,requiiSmentlif"Any demolition, teSt~ng,or JinanCiqI burden:snall;
ie. bo.trfe di.rect ly bY thepermi t holder. Fed lure toaubst4nti.ate r;ode requlrements'wi 11 i ndemnifi' the Ci t~;. : ,
l~lIHnstany and ,all responsibility'dr liability. connected wHo theconstructi6n.' .', - '.,' .:
\':;:,j'
\ 'I"
':1,'
:he,rebycertify tha,t I have read and examined thfs.'pfr~it alld',know the_same to' be true and cortect. ~{i
lrovisions of laws and ordinances governing this t,YPEl,of wprk'ldll be complied :with whether' specified. herein
lrnot. The;granfing, cif a permJt does not presl:lmefo'give, al;lthOrity to violate or .cancel the provisions of
IllY ,other state or local law .regUlating construction or, the performance of construction. ,.,",' " .
'. ';.\-" ,: ".
iignature~ " , ~', ....,' .' . . ' , , ". ,'. ' , " 'D~ta:
" , , . -j"...---- >W """'-~~~..~-""'_..._~..---....._-,.,.....~~""'----~......,,...-....,-----"-:-.,. ----7'----....---.-r~,----""'--------'I'"
1 I . . ,'. '
: ,bert i fythat. lam exempt from the requirements ,of ..the st,ate contractor.8 re91~t'rat'on law'f under
:ectdon 3, Chapter 126g laws of 1967.,.
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:~:~~:~~~~';*.lf;"'*.**.....-c'711l--."~--_--:_-' . Date: --':-----~:"~-----------,. .
ler-mi t centE!r';"-Approved8Y,~ _Ya{l_~:.., Date~,_'_;,7:?2;J~L'~:'"~"7~:~,:(X.
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t<~CF :r PT
M******H*M*******H*************~MM*M***M*****K*******~**M*~*M"M*
HECE: JPT NUn'tbey: 9'rOOOB67 Amount ~ 1 ~i) .2H 09/22199 l;?: ~~O
Payment Methodl CK Notationt REFR1SrRATIUN Init= VW
." lJ<' "... .\H' ....' ,,,' ,,,'. " ,_ .'d, ,'..... ".... ..._ 'pJ' '~", '/I'" "". ",~ "", :.." ,,,.., ," I ....., "... ,,~, ,"" _ '~l" ..... "" ",.. ,,~~ -,.."," '.... '''" .,'" I"", "....' ," "'" >.J' . "./ .,,,_ '\" '" ,~), ,,' ...., '-.". ~.n ..,,' ,~ . ...n. ",., . '.~" ". . ..,<< "'" _,." <-< ",,_ _,. ...' "'"
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'5 0.'" I::' r ~ \,,<
:,.",;,... 8UHWL'::L!, ST
S"l"f~AL.EY ~ S t3UF<t.;lELL 13P
Total rees= 5J,,~a
tt:,t a J !~'1L.L Pmt ~~ ~ 1:5 ,,:',7:H
Balance: 4?SO
**MM*****X*MM*MM*MM***M***M*~WMM*M~**MMKW~~*M*MX*XMM~M*M*MM**~**
Account Code Description Amt~nt
1. 6'34~5 "F::;IOO (45BO" BU 1: LO J 1'4G !:::'L,AN CHECK F; 1.::FS l!) ,,:W
Permi.t No~
S:1. t ~:'l Addr E.?8l7.: :
Locatton~
I'1F:OI/PLBG PEH~1 1:''1''
Thi t" Pi";'/mel'lt
1 ~:) ., ;;::t~
'-""';"- ..... ,,, . "'Ie< tl"O ""., n." ,'.'. ".., .\-.... ....... ....' ."~ "'," '" '.._ ",.." '" ' 0' ,,_' u, ", ,Ol" ...'~ .",. ",~ I'''' .,... '"'' ,.." ,,,,' n><j "'" .,....' ,...." ,.... .\ ,,,-, _.... ,.". ......, ~ _' ,,,,. ,," ,~" h, ,. "." ",.",......., " ~ ",,, ",' "-_ r." '.,' ...,. ,....' .11" ",'" ,,"
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" . .., '.., . '.PERMlx :APPEICA'I'IO-N" .. :.;: "';::::"::}:::;,:,x::::<::::::,:::::::::::::>::::::.::",:,':.:":,:::,:."-:::,:,,.:,,
i,i.'~~~I~'f;':w~i7\l'h6&k~178-~~~'.1l;4'~t~i~~W
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-
"MECHANICAL'
0..',.
PLUMBING.
, .1
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Type of Fuel:
Occupancy:
Electric
Residen rial
Site Address:
2550
Owner: t
Phone:
"
C:;f7 0 c;
m a/L-IL
ate:
d-
No. TYPE OF EQUiPMENT No. 1YPE OF FIXTURE
.
Rru'\J GE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPU\CE BATHTUB
GAS FURNACE btu: LAVATOl ~ ~ n;1I \V1'1>
CONVERSION BURNER btu: SHO~'ER ~ L!::r ~ C:I U V \::I
uNIT HEATER bnl: KrICHEi' I 1K ~ F=' P 9. 2 lQ9~
BO ILER btu: DISHWASHER
GAS PIPING LAeNDRY TRAYBREMERTON
EVAPORATION COOLERS btu: CLOTHES I.I~<
AC UNIT btu: WATER HEATER
HEAT PUMP btu: URI:\iAL
REHEAT BOX btu: DRINkT'.lr ...... -
/,
AlR HANDLING UNIT btu: f--L..- . . IT ' ~
~~99JL.Sill~ '-'.~ ~
EXHAUST FANS SLOP SINK
RANGE HOOD (residential) WATER PIPING & ALTERATION
RANGE HOOD (co=ercial) GREASE TRAP /IN'fERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSl&vI
DeCT ALTERA,TION SWLvG\IING POOL
TANKS type: / BLDG, SE\V'ER: (mobile/moved house)
~ REFRIGERATION UNIT .IJ.< '-:r'CiI ~_F A/r Co 6 L-r- R RooF DRAINS
OlliER: / OTHER:
MECHANICAL FEES:
PLUlvlliING F S:
CITY SUR GE:
TOTAL
!
/ :5 d-J>; /~1 Jc
,
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APPLICANT'S SIGNATURE: '
DATE:
7~2.~qt '~
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'75/
MONTGOMERY AVE.
280,66
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LC "PP <lRW
''5"60495 dale 8/96
Rev: 9/4/96
R.W. Thorpe & Associates, Inc. Seattle/Anchorage/Denver
910 Hoge Building 705 2nd Avenue Seallle, WA 98104 (206) 624-6239/Fax 625--0930
Planning
Landscape Architecture
EnVIronmental
Economics
BURWELL STREET SITE
BREMERTON, WA
Conceptual Site Plan
~'l .
BREMERTDN PERMIT CENTER
286 4th Streetg BremeJton~ WA 98337
Phone: (360) 478-5275 FAX: (36"0) 478-5278
BUILDING PERMIT
Job Addr: 2550 BURWELL ST
Location: STRALEY'S BURWELL BP CONVENIENCE STORE
Parcel No:
Permit No: 99-0300
StatuG: PENDING
Applied: b6/14/1999
Issued:
L~XPl res:
A~plicant: NORTH MECHANICAL SERVICES 253-735-1007
3040 B STREET NW #11 AUBURN, WA 98001
Owner: STRALEY, DEAN
ContractuI': NORTH MECHANICAL SERVICES 253-735-100Lit #: NORTHMS133RZ Exp: 01-~0-2000
3040 B STREET NW #11 AUBURN, WA 98001
Subcontr:
Dese: ADD ONE Ale UNIT AND GAS PIPING FOR THE BP CONVENIENCE STORE UNDER PERMIT 98-0478
**********************************************************************~**********************
Valuation 1(. j:'erm(l: F~:H:':~B: 4S.55
,00 * Plan Cht::ick Fel-:ls:: 17,,:39
* Other Fees:, ,,00
***********************************************~********.
MECHANI.CAL/PLUMBING FIXTURES-'~ MECH-.Gas Pi pi ng (outlets)...
r\LG
f.o- \tt-q~
Total Cal~ulated Fee: 62.94
Add it i ona 1 Fl:!en: ' ,,00
-: Total Permit Fe,S: 62,94
***********************************
1 MECH-AC .Uni t 4- p", "' .. .. .: 1
***************************************,: **x**********~**********x*******x*******************
This permit shall become null and void if the building or work authorized by this pe'rmit .is not .c.omrilenced within'
180 days from the date of such permit, or if this building .or work ciutharized by such permit is Busp~nded .or
abandoned at ,any time aft er the wor k is commenced far a pc~ri ad of 180 days.
NOTICE - It is the responsibility .of the permit holder, n.ot the City .of Bre~erton br Building Official to s~e
ta it that requi.red inspectiana are made. The permit halder must natify the Building Official when ready for
inspectians. Failure .of the permit holder to natify the Building Official of required inspections may result
in the stappage .of the wark until such tfm~ that ,the permit halder can_substantiate to the building official
that the concealed wark meets or exceeds code requir~m~nts. Anyd~molitibn, testing, or financial burden ~hall
be barne directly by the permit halder. Failure to iub8tantiat~'cade requirements will indemnify the City
against any and all responsibility or liability cannected with the constructian. '
I hereby certify that I have read and examined this per~ltand knaw the same ta be true and corrept. Ail,
pravis.ions of laws and. .ordinances gaverning this type 6f wark will be camplied with whether specified herein
.or nat. The granting of a permit daes natpresume ta give autharity ta violate or cancel the provisions .of
any other state or local law regul~ting canstructio~ .or the perfarm~nce of construction. '
Signa t ur-e: .....-.!__.,,_____.,,_.__.~....___..m'''.__...__..:,____:..._______..._.""_.___.._ Dat e: __.._ ".______.__..__.__.~____.~_____.~_
I certify that I am exempt fram the requin:iments of the'state contractor's registration law, under
Section S, Chapter 126, laws .of 1967. '
Signa t u r e: __...____..__....___-'___...._.._..__"___..._.....___ ___._______,.;,_,.._
.)(*.x.~ .)t.~.){.~.*.)O,..~ *.* 1* j(. .)\;)( * **~\ .'** II'*X*
Perm :1. t Cent er-""'-Approved fiJy: ..".""..".,..""""".m......_...."m....:..._. De. t e =
Date:
..,','............;:.../}:.:IE~tEI.BBIJl~ml.<:JfI{...:;;\\
:C;~fj~jh;ii!:t;:.i'~&a~~:jdil~~~o..j47$;$~~:.~_~:;IQ~~i~*
w
..M-ECHANICAL.....' '0
, .....,.'P:LUM1JlNG .... . '....,..,.. ,..... I
Owner.
Contractor.
Type of Fuel:
Occupancy:
Electric
Residential
Gas Oil
Commercial
Site Address:
;;sso
50fU,Ub// S7/fb3-!-
Phone:
Address: ,J090 g s7i:cc---r
/lui>veAl VU
Phone )"dS3~ sc.. (}O
Contractor's License Number/Expiration Date:
/1/01, iff/I
&001
Address:
;VO.R-7#$5/s3Rz I-dO i)oco
No. 1YPE OF EQUIPMENT No. ,,' 1YPE OF FIXTURE
RANGE W A1ER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BAmB
..
GAS FURNACE btu: LAVATORY (bath sink)
CONVERSION BURNER btu: SHOWER
UNIT HEA 1ER btu: KITCHEN SINK r:
-
BOILER btu: DISHWASHER .. It ' I~ I~, I~ UWl ~
7 GAS PIPIN G LAli'NDRY TRAY " ',.-:;' VL rt ..
EVAPORATION COOLERS btu: CLom WASHER JUN 1 4 lQQ~
AC uNIT btu: WA1ERHEA1ER
-
HEAT PUMP btu: URINAL ~III. ~~:\l.,;"V/c:RrON '
R1-iliEA T BOX btu: DRINKING FOUNTAIN '" ...., r\/\ TME NT
/ AIR HANDLING UNIT btu: ~ ,,-?OO FLOOR SINK OR DRAIN
&"lliAUST FANS SLOP Sli'lK
RANGE HOOD (residential) WATER PIPING & AL1ERAnON
,
RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
CL01HES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEJv[
DUCT ALTERATION SWIM1'vITNG POOL
TANKS type: BLDG, SEWER (mobile/moved house)
REFRIGERATION UNIT ROOF DRAINS
OTI-ffiR OTI-ffiR
{DJ
.MECHANICAL FEES:
PLUMBING FEES:
CITY SURCHARGE:
TOTAL FEES:
APPUCANT'S SIGNATU~.d ~p
DA TFr6" -/ <;i:fJ'
,..., \ It. T 1"'1.
, \ ~ K 1 . 1.t l' "
~
t
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'Jl,
********f*****MH*************MM******K**************************
r RECE1PT
******************* lHHl>:l( lI'*~* ***************** )';#** **1oIiM **** ********
HEel: J Pl NU!\'loen 99000548 Atflount ~ 4~). 5S 06/27/9<1 11: 20
Payment Met h(;d: CHECK Not at ion: NORTH MECH 339 t t n.i t ~ TYO
.ojo"'" _'''','',,' _I.....,", .'. 'I-.. ,.t<,l~'''' ""'...........' ,.~, "........""'.""'.~.__,. ~'-<""l-. """"".....""._.._..,..OO-,"...",..oj, "'""""'......._,,\~'1\"1"...,....~ "l-."''' ..... ~"""~"""-"'_'_f">n""",, ....., ,,,,..-I.. n.:-,....,'''.''''-. <II .-1.",,_
(r9~'Oaoo T)'pa t M/P
:?-550 BURWELL ST
STHALF::Y'5 BURWEll, I3P CmNFN!ENCE STORlS
lbtal Fees: 67.94
45.55 TC:ltal ALL Pmt$~ 62.94
8alance~ .00
*M***MNM~M~.*********M********M.**M*****M***M***N**M*******1****
ACO()lmt Code fJ(~acr j pt j on Amount
1 L >:11")", 1I'Qt.' (')')t'1:) MC["IJ^Nlf'AI I\Cf,'M.lr Ft:'f"c 411:' ~'5
0"""... I"lh'\~;\ 1:.,1 ..J t...~j,...) , f.~ '~ltl ...-t t.., t""l~'~ "( C :~..,,) ....i '" .,l,,,
P~rmH No~
~;j t e (,Iddr ess :
LocatJ.on:
f1ECli/PU3G PERM i T
fhin Pliymtmt
.0.'''''"",, .....j"", ...",_ 1_'- '....' ....., ...., "'" r-l. ,~. ""'" y/~,<;", ..-"......l~' ,,~. _ _,.,-,,, 1'<"" ,,'" _,"'\.. '. ,~"...... 0/>1' ....-..... i!~O>.""''''' ....,.."'-" '0.'.......-' L Ji.",...~, ~"'I' '. . "....' ..."...,. ......'.. ~."."',...... .~.."", "'h.l!<<' ',k..... ".,
C)lA...oc~. ;;Z,";tF':i I
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,/
BREMERTON PERMIT CENTER
286 4th Street, Bremertonjt WA' 98337
Phone: (360) 478-5275 FAX: ,( 360) 478-5278
BUILDING PERMIT
Job Addr: '~~550 BURWELL Sf
LOCi'it ion~ Sn~ALEY'S f3UHWELL BP
Parcel No: "
Permit No:
r5taturn
APpl ied:
Issued:
Exptres:
99",,0470
ISSUED
09/01/1999
09/20/1999
03/18/2000
Applicant: R& T HOOD & DUCr SERVICES INC 7;~6-(l940
6100 12TH AVE S SFATTLE WA 98108,-270
Ot-mer: STRALEY J OEAN & DARREN
351 BROAD ST N SEATTLE WA 98109
Desc~, FIRE SUPPRESS, SYSTEM FOR HOOD FOR A & W RESTAURANT (HPOD UNDER 98-'0470 J
, ' ,-~--, . . c
********ji\*~,************* ~,************ **** *~,******* *********************~,*** ************\lHt**** '
: /Yfilwattt:lfl '~,'"",~~fml1; ~tl@~: ~L05' TCltal calculated,Fe:: 55.73
~,l;,-OOO"OO .* Plan Check Fees. .::.0,18 Additicmal F~~(,,;. .00
'V:",;;i'~:":P , ,,~*. Other Fees: , 4.50 "Total Permit Fee: 55.73
***************~*****************************************************************************
1ECHANlCAL/Pll~BrNG:.FIXTURES-~
,.) ,
*****************************************~***************************************************
this. permit shall become null and void if the buildUng or work authorized by this permit is not commenced within
laO days from the, date ,of such permit, or if this lifunding or work authorized by such permit is suspended or
~6andoned afany time after the work iscornmenced/)iOr a periodof 180 days. . ~
~OTICE -It is the responsibility of the permit ~holder J not the City of Bremerton, or Buildibg Official to see
;0 it that required inspections are made. The permit holder must notify the Buildi~ng OffiCial when ready for
lnspettions. Failure of the permit holder to not'ify the Building Official of required inspections may result
in the stop,page of the work until such time that the permit holder can substantiate to the building official
;hat the concealed work meets or exceeds. code requirements. Any demolitionl testing, or financial burden shall
)eOOrne directly by the permit ho~der. Failure to substantiate code requirements will indemnify the City
igainst any and all. responsibility or liability connected with the construction.
[hereby certify that I have read and examined this permit and know the same to be true and correct. All
'rovisions of laws and ordinances governing this type of work will be complied with whether specified herein
lr not. The granting of a permit does not presume to give authority to violate or cancel the provisions of
.J\y ot her ~e., o~ local 1 aw rer I at! ~st r~et i on or t he per forma nee of const ruet Ion. /
Slgnatur.. ~..a.i_:._-1;rL<_____t_L_..... Date. ~",..-2.-:.;:"_.2Q__=_ "7 '7
: certify that I am exempt from the requirements of the state contractor's registration, law, under
;ection 3, Chapter 126, laws of 1967. '
i~g:~~:~*.~;.*.;,;;;.,,;';;.-;';*;.*-"Ij"'-\"'_""""" Oat e' ........---.{5..--'----.....-
1__~r__mH Centf:lI":',-APproved Byl?1~_,~.:..,.,~.. D~,te:~.,,~..,",.o,_q_.::::.d: ,. - 9 9'
,CITY O:F BREMERTON · 239 4th Street · Hremerton, WA98337
CITY
DEP~TMENT'OF
OF BREMERTON
COMMUN,ITY DEVELOPMENT
Sep 16, 1999
R & T.HOOD & DUCT SERVICES INC
6100 12TH AVE S
SEATTLE'WA
98108-270
SUB~ECT: ,Appl'ication No: 99-0470 ,
Site Address: 2550 BURWELL S1
Your btiiJding permit for the above site address is ready tn issue. The balance
due is$ 35.55. '
. ,
Permit Center officihou~s are from 8:00 a.m. to S:OO p.m., Monday
through Friday., . Please contact me at (360) 478-5275 if you have any
questions. '
's i ncere ly,
l~~ ...
~ilding a~~ Developmeht'Specialist
* EqualOpportunityEmployer *
,.'
GfC1-- 0 ~I 0
Pyro-Chem
Kitchen Knight
peL - 240/350/550 Restaurant
Kitchen Fire Suppression System
Sheet --L of L
Contract No.:
Customer Name: 8U;e.!'VcLL
Address: 25"SO 8u~t4Is.L.
8/!Em~72)A/ vv'1/.
'SP
-Sf.
4'
Nozzle Coverage Summary Sheet
Plenum Hazard Area Nozzle Flow Coverage Area Number Number
Points Per Nozzle of of
Nozzles Flow
Length, WIdth Width Length P.olnts
Duct/Precipitator Hazard Area Nozzle Flow Coverage Area Number Number
Points Per Nozzle of of'
I,
NozZles Flow
Length Width Diameter Length Perimeter Diameter Points
/lnl tlnl IIn' , IIn' 'IIn' ' /lnl
- ,
,. NI ..n1' , 1 17 .50' N/~
Rectannu1er Nt .n? 2 25 75.S NlJ
Rectannulaf t-JL-fY-I 3 33 100 . NIl
.
RectanClulef . 2 it NL.D1 2 .34 84 Nlfl
ul..r ? y Nt _m A AA 1M NIl
,
r.irCIII..r MI.nt \ 1 " Nlfl 50 18
r.lrcul..r . NI.n? ? N/J 711 a; 24 t
r.lrcu1er NL-D3 3 NI~ 100 31-75 ~- l
"Irculer , 2 x NL-01 2 NIl 84 26.75
lrelll..r i? Y NI -n3 6 NlJ 150 47,75
:t-.iI_IIR na; t-J/l t\lJJ t-J/A
,
-
Total Flow Points Cylinders Auxilliary Equipment Other Appliances'
No. Type Flow' Type Size
"n1nt. /I"'
1 PCL.240 8
1 PCL-350 13
1 lor-I _"..Il '0 ,
Customer Name: 13vlZuJet..L l3 P
Address: 2.!:>-S-O 8v1<.W8-..J- -5 i
'B~~I#61~.:mJJ vf/A.
Sheet -2.:.. of-.-2.
Contract No.:
Telephone: L--J _ -
Pyro-Chem
Kitchen Knight
PCl ..240/350/550 Resta,urant
Kitchen Fire Suppression System
Nozzle Coverage Summary Sheet
..'
Appliance Hazard Area Nozzle Flow Coverage Area Number Number
Points Per Nozzle of of
Nozzles Flow
Length Width Width Length Mln Height Max. Heigh Points
II.. t' 11..1 11..1 11..1 11..1 /lnl
.V..I 18 1R
b....n F~I F"""". Drt"; Pan INl-F2 2 18 9)5 30 42
nv.....~ed - - . - er. Vat .,., .,.,
Oversized 'neen Fat Frver - DrtnPen f?\ tJl -F2 4 22 575 30 42
'C'n_. II D\. VAt 1A 1R
. "'-.-- II .;. _ nrIn P"n . ItJl J<I ? ., 18 97!> 18 '8
Oversized Deen FOIl Frve~ 11 P\ . Vat ,., .,.,
I "'n..~ ,,- ~. ._. I...... ,_ 4 .,., 11;7" 1A 28
R..nne I"" "'...,.. 1.25 12 30 At) SO
Ranne , ItJl.RI-f' ., '8 '8 '''t? "-"
Renn.. . I NW PfoYlml1v ItJl -"'1 1 1? 28 15 30
, hrtddle '. .: NL...R ' '4 50
. 1 30 30
~r1..l..lr.._" IIII.n' 2 AA' 'V1 in Ai
:)...4...... M1~ 1 .,,, ?" 24 SO
:;vnlh..Hc Roc r ~-F2' ., ?S ?-: 30 flO
\/..h..-.III r.r.._ "A" r.h..rbfnll... ~JLA 1 '?n ' ?4 is 3~
I Inrlnht Broiler Nt -UR 0.5 30 34 . ' 1 3
~h~'n Rroller _ cr""e T no, '-II .Ill'll 05 "" 'Y 1 3
r.haln Brnl"'f. nn..n, TOD NI.A . 1 3' 34 10 ."
IltInn Skillet I Br&lslnn Pan 1M -F2 2 18 27.75 30 36 ,
TlI"__ I ~ 11 P\ 110.11 J<I ? ., 1A ?77" 1R .,R
Appliance Hazard Area Nozzle Flow Coverage Area Number Number
Points Per Nozzle of of
Nozzles Flow
Dfametel Depth Diameter Depth M'" Height "'ax. Heigh Points
.
11..1 tI..t IIn\' " /In\ '!h\ IInl
Wok . itJl.R 1 . A,"', ..A71:: 7"'" '40 sO
$'N~er "3 or :$
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BREMERTDN'PERMIT CENTER
286 4th Street~ Bremerton~ WA < 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr:
Loca.tion:
Parcel No::
2550 BL,JRWE~I_.L. S"f', .
STRALEY'S BURWEll BP
Permit No:
status:
App 1 J ed ::
ISGued:
Expires:
99,-,0470
PENDING
09/01/1999
Applicant: R & r'HODD & DUCT SERVICES INC 726~0940
(>10() 121'1-'1 AVE 5 SEATTLE, WA ,9B10tl<t70
Owner: STRALEY, DEAN & DARREN
351 BROAD 5T N SEATTLE WA 98109
Contractor: R & T HOOD & DUCT SERVICES INC 726-0940 lic I; RTHOOD*088Ql Exp: 12-01-99
6100 12TH AVE S SEATTLE WA 98108--2702
,~:)ubcont r :
Desc: FIRE SUPPRESS SYSTEM FOR HOOD FOR A & W RESTAlJRANT (HOOD UNDER 98-0470)
**#******************************************************************************************
Valuation * Permit Fees: 31.05 T8taf Calculated Fee: 55.73
1,000.00 *Pla.n Check Feesf 20.18 Additional Fees: .00
* Other Fees: 4.50 Total ~ermit Fee: 55.73 -
*********************************************************************************************
. , , '
MECHANICAL/PLUMBING FIXTURES--
.~lL(
L1 ~ \ -q q -
*********************************************************************************************
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. '
\R[
~~/
NOTICE - It is the respons(bility of the permit h01der, not the City of Bremsrton or Building Official to Bee
to it that required inspections ar~ 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 0ntil such time that the permit holder can substantiate to the building official
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 andali responsibility' or liability ccinnect~d 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 grantinfl 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,
S i gnat ure: __~.,_..._.,,,"_,_ __,. ___...___,_ __,~_,__ _____ .__:-_._______.,._,._,._ Oat e: ___,_____________ __________~,____ -
, .
I certify that 1 am' exempt from the requirements of the.state contractor's fegistratton law, under
Section 3, Chapter 126, laws of 1967. '
Signature: ___,..,_______...,_____.. _,____,__'____..~________..;._ __ _,__._ _____,__
*************************** '
Permit Center--Approved By:
Date:
Date:
~ " " ,
,','.T'l
~"
- y ; I~:':'
, '
~~~ [HW ~ ID)
. ", /?'i~",'; "",?: SEP.1 0 i99~j ,
. . BAEMERTON PERM IT. CENTER
286 4th Street y Bremer ton, f4A 98337 BRf;:MERTON .
. Phone: (360) 478-.'5275 FAX:: (360) 478-.-.5278 BUILD!NG DEPARTMENT
BUILDING PERMIT'
Permit No: 99-,,,0470
status: F)ENDfNG
App]ied~ 09/01/j999
Tasued:
E:'xpi n~s:
,*' ,~..~~'
,...:;>t'.~'j,
1/'
'\f'
-'f
Job Addr ~ ~~550 mIRV-JELL ST
Lcrcat ion~ STRAL.EY lS BURWELL 13P
Parcel No:
App li cant: H& T HOOD & DUCT SFRV r crs (NC 7?6'.O,9-40
6100 1 ?TH A~)f:S SFAHtE WA 9810B-'7?O
~)wm~r ,: STRALEY, DEAN & DARREN
351 BROAD SiT N StATILE WA 96109
Ctmtfacton R & T HOOD&- DUCT SEHVtCfS INC 7~(6~Ol~40 Lic 11': (.i(I'l-lm10*OHHGlL Exp: t:.2;,,'01.~99
6100 12TH AVE 5 Sf ATTLF WA 98 1 08'-~)70?
Subcf:lntr: '
, ~ '"
,4
De$c;: Fr~F SUPPF~ESS SYSTfi:M FClRH)QD~OR A &- W RE nAlHMNT (HOODUNPER 98"'0470,) ,
I '
~,**~~ * )(*******O)HHUf~**~,*,)f******* ***.)t-* ****~. .************ ***********************.If*.** ***.~ lo*>f ***
~";'VaJLtatt(ln : * Pt~rm1t Fee9~ 31.05 lotaiC(j,lctl]atr:~d Fef:l~ 55.13
:,~,l,O()O.oq )I: Plan Check Fees~____./-------?{LJ8 Add'l.tiorial Fees:' ' .00
,'.' ~ '.' "_.,.~ at l\€lf F~; 4 . st.'}",,' T at a 1 Pe'nn it f:I:l€H, "'~)S ,,73 .
. **~*~*,~** **1f****************''** ,***********i(,.*~,l(******,. .* )f*t(.****** *****:'('*~'*If:** ~Ht***,~*.)li ********
flEet-lANICAUPUlMBI.NGFIXTlIRES-- ' _ " CO e.LR.L:J .,.-0..
" "; :.;gS ~~ '"~
\JlLE- . \. C V 'Q ~
'~~::.1.::.:J.~** **...**...*......*.*..*......'*.....~.....*.**...*.....................
-thi sperm it shall become
;" !l:'
.", ,1 .'.'"
",',
NO:TICt ~, Itie.the responsibD it)' of the permit holder, not the ci
loi t lhatrequi red inepecti'6M ire made. Thepermlt holderl/lUst
_ inspections.' Fa.ilure,of the. permit holder to notify the Building
'in the stoppage of the wotk,unHIsuch tilile that the permit holder
.that the concealed wOrk meets, 0'1' exceeds code requirements. . Any
be borne directlY by the permit holder. Failure to substantiate
,against any and all respoJ'lsibHity, or liability connected with th
r nereby-eertify that lhave rea,d and examined this permit and k
p~ovisioris of -laws andordirnmces gO\1erningthia typEiof work will
or not. The grant il'i\1 of aperlllit does not preeume to give author!
any other atateorlocal lawreQulat1ng constructional" the perfo
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1 certify thatl ameKempt from the reRUlremeots of the state contractor 'sregtstrationla\,'l, under
,Section 3-, ChaPt~\' 12b,hlWS of 1967, .',., ' , .,' ',"',' , ' ;'
Signature: ' , ' ' , ' " '..-RJ"..' ". 0 tB15" 0' .' ," ",. ,.' ,0 r, :, '..,
:,'." ,_.._..,_.,.._~.,'_, _,~_'....,_. ,...,...,~~"_, _~_,_.,'~.. -..'/ --. ..-____.__,'..__"""-" ".3 '.., ."'.__,~, '."',.'Gfl(!;J. , ." ".,.....,.._..,~, --....EJ., '..__,"~" '." ,e,
*****Jt*l(.*~****.***)H(:***~**,* - ~ " " ... n~/:? Ci' tj:;"7 /i' . ' . ~', ,..., .
Parmitee;nt(:'jf""-;AtJPr:oVt~df3;y;".,; H..,.,.,...2~?:r:-Oiit~~.."LJ._d,: (., ',.,,,;~.~.,,, ,'" .<;~' q ~c:t..
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Perm i t No ~ 99~FAfW .f)
status,: PENDING
Applied: 09/01/1999
Issued':
E.xpj.res:
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B~EHE~TONPERMXT.CENTER
286 4th St reet g Breme.ttong. liJA " 98337
Phone: (360) 478-5275 ' FAX: ( :.960) 478-5278
BUILDING PERMIT '
,.
" Job' Addr: 2550 BURWELL ST
lcbationl STRALEY'S BURWELL 8P
'PaY:c~J; No:
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Applicant: R & T HOOD /It DllCT SEI~V!CES INC 726--0940
6100 12TH AV~ S SEATTLE WA 98108-270
, '
Own~r: STRALEY, DEAN & DARREN .
3sf 8ROAO STN SEATTLE 'WA ,98109
.-'....
Contra:ctor~ ,R& or HOOD & DUCT SERVICES INC 726--0940 Lie ~'~ RTHOOmW88QL. Exp~ 12"'.01-99
6100. 12TH AVE 5 SEATTL.E WA, 98108--2702'
5ubcpnt.r:, ' ,
.osae: F J Rt: ,SUF>PREFiS SYSTEM FOR HOOD FOR A & W RESTAURANT (HOOD UNDER 98-.(470)
i, *,*~**~,,)f**~*** *'ll:************ ************** ~,***********************.)(:******** ****************** ,
,':Valuat ion, * 'Permi t Fees~, :.ll .OS, Total Calculated Fee: 55. 7:~
:".1 ,OOO.OQ * Plan Check F~e8~ 20.1B Additional r:~ees: .00
",.,,' "';"" * ,other Fees:, , 4.50" TotHl Permit Fee:,' 55.73
*~,,)(* ******'~******'~***, **************************lH~**1(,****)(,********)(,*****~~~*******~;
~EC~~ICALlPLUMBING FIXTURES..;- ',", " " /// ',' '.;,' \ '
/~,)(,*****,~ ******,~*********,****************** *************1 ,**.*****.)(:******~*.)f,)f***. *',**.)f********~~
This permit shall, become nuHand'void if t~ building or, wo\,'k authori dby this permit..'. -commenced within'
180 daysh:om the date of such,permlt, or if 'thisbuildiuS or work author . sacn~permit is suspended or
abandoTled at any ti.me after the work is commenced for a period of 180 days.
/
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Cct-iMLNITY DE'oJELOF1'iEI'1 ~/ 1 PAGE 01
LGU --R-t\ . ~lG ~\ ,r'J - '7
~~ UILDING PERMIT APPLICATION
~ ~~, ty of Bremetton, Wouhin on 98310 Phone: (206) 478-5275 F~ (206) 478-,5278
1G~;;~'~cf}< A~L~O\N~ . ~.o~NE: ~ CON:..cr~~O'1 FJ. ~;Ii"; " ,,~ q ~~ fP /,
.~? ~-;3P .lJ}~{t- r\ .... ~\)-J ~ CLUJ1 CWU ji5 W l fA.J-1<ULI/ - t. -- 0 <-r ~ .
~>>.~ ,> o;l?~~RESS: ?55D 8utzWcLL Si T, ACCOUNT NO, -_ ~ j
~~ c."S-"(,
~R;H ' ADDRESS: (~55D I!:Nifu,Jr:;LL ST ~
~ 'W
~)'T't-\CTOR; rL"I H90d Ql'td hAd-- ADDRESSJ.LIOO r>rHAv-~ ~ ~6,4uLt:, 't'j;tJJ1
IONTMCTOR LlCE~SE" (iJ' DOll,.. ~LNObbi<C8'gQ.LE.XP1RATION DATE: 1;1 -I ~ 'lcr
CONTACT rERSON!~ .Y.~Offi)' CONTACT PHONE IIf;;JQLt ') 7 d& -{)910
----d. aUf
08/25/19~9 213:34
35214785278
=
o SFR 0 DUtJLE.X
o SIGN D DL\10
lS!l- NEW D REF A.lIt
o M UL TI.FAM ILY m-BUSINESS 0 OTHER:_
D MOVE BLDG. D MOBILE 0 GRADINC(yd,;,
o REMODEL 0 ADDITiON 0 o1"H.ER:
'..;ATtREOFWORK PROPOSED, ~S\ALL ~f2.e
1M bE IZ. f (i M"'" h Ul A L }6., (H~.AI
I
SuPfR-eSS lQfJ
1-1006
SYST6A1-
SQL' ARE FOOT ^G~ Dwelling:
Garage:
Deciu,_^
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9n--..... ~ ".. .
VALVA110N flAN REVIEW FEE. PIB.M IT PEE ' - SURCHAllGES I, ' TOTAL fEES
5 1000, P (J S S E.NERGY: SSO.Of) $
STr\TE: $4.50
lIJ
--
Appl ications for which no permit is issued within 180 da)'li followioS th_e date of applkation shall exp,ir,e by
limitatioD, and plans and other diitl submitted for review may thereaner be returned to the ilPpliant Qr
destroyed by the building official. The building offidaJ may extend the time for actiou by the applicant for a
period not c:xccediQg ISO days on-request by the applicant showing that circumstances beyond the control of the
applicant have prevcnted Il..:tion from being taken. No application shall be extended more than once- Ie order to
n:m;w action uo an appliution after expinltion. the ..pplicant 5hall re$ubmil plaus and pay a nt,.'W plan rcvil--w fcc,
AI'I'L1CANT'SSICNATUR'" ;(~~ P.#'{~OATE; ~ -,;) '1- <[ '7
Ml6Ial C=-1lIIIi ~
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**"*****M***M*M***********N*~*H******~******M~**K****K*~***M****
RECEIPT
***~********~**~*~**~***************~*~**~~******~**************
Rt:CE'1Pl Numben 9900{)78~3 Amount: 70,18 07'/Oj/9~7' 12:51'
l::ayment Met;hIJd~ CK Nntat t()n~ R ?t r HOOf) lntt: \!t~
Perm it No ~ ?9',0470 Type: 8LDG 8Lj)O P[~:r\(M n W/~lECH/P
Locat:ion~ STRALEY IS nlJRWEJ.L 8P (A & W RrSTAUHAN1 iNSWf
rotal Fees: 55.73
This PaYrIIE'mt 20,1 a 'Total ALL Pints: ~~O. j 11
Ha 1 ance ~ 3:-'; . :)5
1': jol' **** **** ***1(,********* lHf***X.* lot. j.f*.w:')f;('****** ******.***,)(,)( ** ***'1**** *
-Account Codt:: D{lsr;:'(' j pt: i on Amount
\6'<H~Ln:300 (-4SHO) nU1U)\NG PLAN GHEGI<: FEES 20,18
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I[~~)"{",;, 'GEOTECHNIC'~L'ENGIN~R~N~'~ ~~:~tE~~'~';~I~[~I:G~ ~J~9~.ID)
,,' :t "~:'>'~!~:~~> ':':~\-:';{~,}:':;:i;:'.,. ""t/':',C,OJ'lST~UCTIQN TESTING & Il'S;~~.:E.-,~,~>,.~,~.'~,~,'.,g,},,,~:,)~y,~'.,:,,,,,~ '
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';j"'~::',-::1' ,:". '''-t'l ,ugust'- 0;:;1 99.-'" f"'>>ei':'"J.< ,A.." :',.p.,J"oJe,. ct, ,.No. ,::, 066,-9918,7. ,,',
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~'/: ~<:)>,.I~<,.,~3?1:,Br;9~d Street Nqrth'::,
~,.r:;",;f'.'i".~"'.:, ':~~"'$eattle~'Wht981 09"":;" "
, ,> '~~t,:,.;,\~~v.;\;:'<f~~:'I(-.~i,' ~\'t<:lil:l'\' ....\ l' ~"y.t';;",:t" ,', f;' .."{~ .,'. ~ '" -" -?::~~ " ....(", ' ,:"
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~,,,.~{f~~y:,,::t:';'.!'RE. ':}fSpeciallnspections' ,
k~'f~'j;:/t' ';~'.\~;,:,',-\'~~~~~~-i;~~~r~~~;S" "", -:'.-1;"," '-"~ l~'" . '.
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~'f:r')'):."~4.i ;Y'~~,.e~,r;~ ,L tr~.ey. 0' ,'^ ,...., ' , ; ", '
~~~'i~~~~~~};;:;I~ ',_~'~#~d~~~;'Wit~ ;Y9.~r r~qu~st and authoriz~tion, our firm..,periort]1~~' sp~ci~1 ~inspections for
~~~;:',;;'\~:'J:~;: ;:~.t,he"~t)ov~re!~ren9E!O' p~oject. The ,inspections were perform_~d ~>Y;9~r i~~Re9t~rs-on 7/08/99 -
~!;:;;~~:;~~.-;}~;.~~~~~~,~I~~.\q~P!e~ o~ ~~r.,I~SP~ctOr's field reports are attached. . , \1:: ,:-: "::"",, ,
~'~~!i /?:~}~ l;<~~11'J,.J' Ii;/~'.~"'~ ~)<,~.>r,'-~_'~' 'r 1--' '~~z II" I '~'1< _~. r"'~'J\" .'1"....:...
'c' ,.::~.<~~~~}'-,: :~::;~)J.Q,Jhe:.b~st, 9f our k.QP'Nledge and unless ?therwise noted, .ttJ~st~~~ur~ka.ct.iVi~i~~, summarized..
~1it;;ti- ~2~'~<:;:;r'~~::9.Q~jq~~};~~~~Q~~d.d~I,IYfi,eld -repo~s were In .accordan~ vy'thJh~~pp~oy'~c,t pr~J~ct plans and
~7~ ' ,;r.;;~vf:;:;"i~pecl,ti~t,qr;l~sf'and::\tbe'~1994, Um,form'Buildlng Code. . Agyarant~~~~~h~ti;the!~C9ntrac:t9r' has
r,~:~;\r\9;:>';~~;;i:F~~ece~~i3.rily:ppnst~u~~~Jtl~,,;~tructure in full accord with th~ !~},~n~:~r~, ~~~C!fi9~~~~ns is,?either
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~~''':'~.:~\~(;;~'::;'~: If you~h~ve 'any qu~stion~ - or if we can be of further assista[lce\;;":p-Iea~e dq flqt hesitate to
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!I.;~j(~\';':'l~i,'~' ,:..~.~t<~~ &'ASSOGIATES,:IN,c. ~"<~; t',",<"'+ ,-,':">,'/ .
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Zc.,f::;, ~',:; ~>: cc: CITY OF BREMERTON O,C,O, - Mr, Scott Erickson
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Scope of work:
Address: --
COil tractor:
BIIEMEIll'ON BUILDING DEIlAlll'MEN1'
PhunbinglMechalllcallnspection Ileport
Penult Ntunber:q
Owner:
Phone: ;b 3 .- "7 ~ ----I (
~ u K.L<:J
GAS PIPING
Under tell (lOp,i for 15 Olillu~~) Prop!'~i_:r..ing &. ,upport
. 12 ~ minimum hclow gr:ule when und~oun(l C?~~~!wr~ when undergrowld or wit_
~___ _a____
GroulIlt-joilU ulliom I'rohibile(l in ceruinlOCltiom nushin~s not allow.=d in conce:lk(l :ll'C:I,
IUh 6" of ~"L I
COMMENTS:__
/
GAS PIPING APPROVED:__~!!!I-~
1)~1t1
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FURNACE
Manufacturer's ,~fiations on site Loation, ac0e3S, ,u.pr.~r:.t "
Ckaranoe to combustihk, Ve~'ting: ck2unoc to combuslihb ,
VelU ,iu.,~ &. ,upporuconnection.9 Vel\( termination
Combunion air Chim'_~: liner and/or separate 1111C3 as reqllJired
Gas shut-offwithin 3' Pi.lot ckv:u<xl off ~oo~~n garage "
Ducts: she &. !Upporuinsul:Hed when required Return air
COMMENTS:
FURNACE APPROVED:
Ma_nu~':lurer's specifications on site Loa':ion, accc:ss, 9uHort "
Cle:uance (0 combu9tibb Ven':i_~g: dearanoe to colOhustihb I
Vent 9h~I.lg &. supporuconnection9 Vent termination !
Comhu9tion air Chimney: liner alkUor separate flues a9 required
Gas shut-off within 3' Woo.l9tove &. firepl2ccs: propel" hearth.
Wood 9taves: EPA a.r1'.roved Ga, log9: n.~~ut-off "
Wood. StOYetI &. fireplaces: tight fittin~ doon Gu stlUt-off within 3' , "
"
MISC. APPLIANCES
COMMENTS:
MISC. APPUANCES APPROVED:
Manufacturer's specifiatiolU 011 ,ite Location, ac0e39, 9Upport
Clearalloe to combustibles Venti!$: dearanoe to combw:ubles
Vent sizinll: &. luppor:uconnectiolU Vent termination i
Combustion air CWnmey: liner and/or eeparate (lues urequired
Gas sllUt-off witllin 3 i Pilot elevated off floor in garage
Gate valve on coM water IUP..e.1y Relief valve drained to 0llt9hle "
_.__._~~
Copper to lI:alvaniz.ed co~mectiolll UniOll!l on water pipes I
Seismic .trap
WATER BEATER
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COMMENTS:
WATERH.F.ATER APPROVED:
ALL WORK UNDER TIllS PERIDT APPROVED:
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