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Home My WebLink AboutCALLOW AVE. N., 629Certificate Of Occupancy Department of Community Development 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 far whichthe occupancy-sclassiffed.�-quance-of�Cectificateof Occupanr-ysha.U=t.be_canstrued--. - as an approval of a violation of the provisions of any building code or of the other ordinances of the City of Bremerton. ISSUED TO: THE COFFEE POT ARCADE SITE ADDRESS: 629 N CALLOW AVE OWNER: KRISTEN WATERS 629 N CALLOW AVE BREMERTON, WA 98312 FT Occupancy CodeS.prinkler ion Classification Occupant Load Common Use Edition R a d B 49 ARCADE W/ IBC: 2012 N FOOD SERVICE Permit Number: BB16 00112 Date: 08/18/2016 Business License Number: 31569 L ,16.E Jet{nraie Vaughn, Official Special Conditions: MAX OCCUPANT LOAD IS 49 PERSONS DUE TO ONE EXIT, APPROVED FOR FOOD SERVICE PER HEALTH DISTRICT APPROVAL DF TON City of Bremerton ' Department of Community Development 345 - 6th Street, Ste. 600, Bremerton WA 98337 (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 Name APPLICANT: WATERS, KRISTEN OWNER: PETERSON NEIL J FAMILY LLC CONTRACTOR: BREMCITY BUILDING, LLC LENDER: SUBMITTED: 02/16/2016 VALUATION: $16,000.00 Plan Review Fee $144.95 Building Permit $223.00 State Surcharge $4.50 Mechanical Fixture Fee $32.25 Certificate of Occupancy $56.00 Plumbing Fixture Fee $67.00 Technology Fee $16.11 Stop Work Fees $223.00 TOTAL FEES: $766.81 PERMIT NUMBER: BB16 00112 DATE ISSUED: 04/05/2016 SITE ADDRESS: 629 N CALLOW AVE ZONING: DCC Phone Address Access Code 360-621-2335 629 N CALLOW AVE GT087-OYG5K BREMERTON, WA 98312 2135 6TH ST STE 101 YF2ND-7E8QS BREMERTON, WA 98312-3957 360-649-3684 3711 BURWELL 1PJ03-FX909 BREMERTON, WA 98312 APPROVED: 03/18/2016 EXPIRATION: 10/02/2016 STATUS: ISSUED Commercial Building Permit w/ Mechanical/Plumbing THE COFFEE POT ARCADE - ADDING A WALL, PLUMBING FIXTURE & MOVE DOOR THE COFFEE POT ARCADE - ADDING A WALL, PLUMBING FIXTURE & MOVE DOOR Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: ////: (F/L/RT/R/O) 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: PRINTED NAME: t DATE: I �r CONDITIONS Printed by : Mountjoy, Margret on: 04/05/2016 03:02 PM Page I of 3 City of Bremerton PERMIT NUMBER: BB16 00112 ' Department of Community Development DATE ISSUED: 04/05/2016 Ii■n�llli•1. 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 629 N CALLOW AVE (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 ZONING: DCC Name Phone Address Access Code APPLICANT: WATERS, KRISTEN 360-621-2335 629 N CALLOW AVE GTO87-OYGSK BREMERTON, WA 98312 OWNER: PETERSON NEIL J FAMILY LLC 2135 6TH ST STE 101 YF2ND-7E8QS BREMERTON, WA 98312-3957 CONTRACTOR: BREMCITY BUILDING, LLC 360-649-3684 3711 BURWELL IPJ03-FX909 BREMERTON, WA 98312 LENDER: SUBMITTED: 02/16/2016 APPROVED: 03/18/2016 EXPIRATION: 10/02/2016 STATUS: ISSUED 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. (N\U I . (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. I V 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.pscteanair.org or by phone at 800-552-3565 or 206-343-8800. The L&I web site can be found at www.tni.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. 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. 4. DCD-47) ( DCD: Reins ection Fee: All approved plans, the printed building emit, and the permit inspection placard, are required to be P PP P P g P P P P q \u 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. inspection. �1 f 5. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for 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. 7. (DCD-10) A separate electrical permit issued through Labor & Industries (L&I) is required for any new, modified, repair, replacement, i " — 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) 8. (DCD-91) Call before you dig: Calling 811, two business days before you begin digging, will alert utilities to come out and mark n r ! r 1 V THEIR buried lines from the street to your house For FREE! Printed by: Mountjoy, Margret on: 04/05/2016 03:02 PM Page 2 of 3 � B� 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 PERMIT NUMBER: BB16 00112 DATE ISSUED: 04/05/2016 SITE ADDRESS: 629 N CALLOW AVE ASSESSOR NUMBER: 3734-011-001-0003 ZONING: DCC Name Phone Address Access Code APPLICANT: WATERS, KRISTEN 360-621-2335 629 N CALLOW AVE GT087-OYG5K BREMERTON, WA 98312 OWNER: PETERSON NEIL J FAMILY LLC 2135 6TH ST STE 101 YF2ND-7E8QS BREMERTON, WA 98312-3957 CONTRACTOR: BREMCITY BUILDING, LLC 360-649-3684 3711 BURWELL 1PJ03-FX909 BREMERTON, WA 98312 LENDER: SUBMITTED: 02/16/2016 APPROVED: 03/18/2016 EXPIRATION: 10/02/2016 STATUS: ISSUED n 9. (LU29) No sign shall be placed, erected, or displayed without first obtaining a sign permit unless exempted under BMC 20.52.040. I Sign size and placement regulations can be found in BMC 20.52. Off -premise signage is prohibited. 10. (Custom) Development must comply with DCC Zoning and Title 20 in the BMC. All development not shown on the approved plans r t- must be submitted for review and approval prior to construction. 11. (GREASE) An approved grease trap/interceptor is required at all facilities that may discharge fats, oils, and grease into the sanitary sewer system. Contact Dave Carter at (360) 473-5927 for grease trap/interceptor requirements. 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 PLUMBING GROUND Plumbing Groundwork PLUMBING - ROUGH Plumbing Rough -In ELECTRICAL COVER L&I - Electrical Cover Inspection Before Framing (State of Washington) FRAMING Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) SHEETROCK Sheetrock Nailing ELECTRICAL FINAL L&I - Electrical Final Inspection FIRE - FINAL FIRE - Final Inspection HEALTH HEALTH - Kitsap Co. Health Dist Inspection WATER -GREASE TRAP WATER - Grease Trap and/or Interceptor WATER - CROSS CONNEC WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigation) FINAL - BUILDING Final Inspection - Building Printed by: Mountjoy, Margret on: 04/05/2016 03:02 PM Page 3 of 3 BUILDING PERMIT INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building PlumbingE] 629 N CALLOW AVE THE COFFEE POT ARCADE - ADDING A WALL, PLUMBING FIXTURE & MOVE DOOR Mechanical L1 Alarm/Sprinkler 1-1 This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site. Permit # BB16 00112 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 Kitsan Public Health: (360) 337-5235 Fire - Fire Department: (360) 473-5385 L&I - Dept. of Labor and Industry (360) 415-4000 POST ON SITFO - 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 ARP DATE Notes Plumbing Groundwork Plumbing Rough -In i L&I - Electrical Cover Inspection Before Framing (State of Washington) J n Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) �I Sheetrock Nailing L&I - Electrical Final Inspection FIRE - Final Inspection 17�'j) (y) HEALTH - Kitsap Co. Health Dist Inspection _ _) SC WATER - Grease Trap and/or Interceptor 4+ I __m - WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigation) I IC g - Final Inspection - Building a -15-1 �y 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 1 of 1 E>16 16 C/C I la PERMIT CENTER COMMERCAL Building Permit Application Department of Comrnunreet Suite 600 * Bremerton NA'A 98337-1873 (360) 473-5275 * Fax (360) 473-5278 * ",mv.d.bremerton.itams r r ILI Owner ❑ Contractor 0 Authorized Anent Business Name: Site Address: ( To apply for a property address, CONTRACTOR: OWNER: Address: Address: City, State, Zip:Ci , State, Zip: C) License # & Exp. Date: Phone #: © I Contact Name: JAuthorized Agent Name: Contact Phone #: Address: Email address: City. State, Zip: Tax ID/Parcel #: Phone #: ❑ Sewer ❑ Septic Email address: What is the application for? (Please check) New Construction Alteration Addition 71NEW COMMERCIAL �TENANT IMPROVEMENT WITH WORK COMMERCIAL REMODEL ❑] TENANT IMPROVEMENT WITHOUT WORK ❑ COMMERCIAL ADDITION ❑ NEW SIGN 71 COMMERCIAL REPAIR ❑ GRADING (Cubic Yards: I ❑ 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 Ej Scope of work proposed: C Square Footage: Valuation r /1 ,Vl Building: l 40 d Construction Type' CD (c,, h Zcxin—) Plan Review Fee I Permit Fee I Surcharge I Total 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 or, request by the applicant, showing tine 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 fter x iration, the plicant skall resubmit plans and pay a new plan review fee. 01. 0�ppllcarnd's Signature Date Rev. July 2008 Questions on this sheet, please contact Ifflke Six, Fire Marshal. (360) 473-5386, or email: Michael.Six Ca7ci.bremerton.wa.us Bremerton Fire Department Fire Kareha1 ° a Office Construction Assistance Bulletin Operations checklist Project Address: 1 L--'-- Primary Contact: L nOrc�� i Below is a checklist of activities which this occupancy will be performing during day to day o erations, not during construction. Please check all that apply. Also, please provide a copy (in both PDF and DWF/DWG format) of ALL drawings ands ecifications for this proiect. Please check all that apply* Aviation Battery Back Card swipe system Compressed Gases u Cooking + Corr6sives Cryogenics Emergency Generator Material or more Dust products vuill be Place a check next to any item that will be addedlremoved or otherwise modified DURING CONSTRUCTION ONLY... j Site Items not mentioned: wee• ' � ' 4, ., �:� Questions on this sheet, please - - — - -- - - - - - - - contact Mike Six, F#e.Marshal. (360) 473-53M, or email: Michael.Six@qi.bremerton.wa.us bremerton.wa.us Bremerton .Fire Department .Fire Narshal ° a Office Construction Assistance Bulletin Operations checklist Project Address: Primary Contact; mail: 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 P F and DWF/DWG format) of ALL drawings and specifications for this' rolect. Please check all that apply: Aviation Battery Back Card swipe system Compressed Gases u Cooking Corrosives Cryogenics Emergency Generator Fireworks Flom Flammable/Combustible Forklifts Material .Liquids Gates Hot -work Lar a Ovens LPG Lumbar/wood Motor vehicle Painting/powder coating Racks (12' or more in products, re air hei ht Refrigeration Storage >6' Tire Storage Dust products will be System I high I �J produced Place a check next to any item that will be added/removed or otherwise modified DURING CONSTRUCTION ONLY... Electrical Plumbing -Fire Alarm Fire., . rinkier Hood System Walls HVAC Storm/Se tic Building Access Site changes Windows Stairs Elevator Doors Building security ALL NEW CONSTRUCTION Items not mentioned: PERMIT CENTER .q V Z- i - I jq�u - Uj;y DCD Dept. of Community Development*345 — 6i' Stree SuiteF600*Bremerton*WA*98337-1873 ❑ Mechanical ?—i Plumbing Type of Fuel: ❑ Electric "l Gas ❑ Oil ❑ Propane Occupancy: ❑ Residential Q Commercial Site Address: C IUC) CONTRACTOR: Address:' OWNER: Address: i lff�w 11 .� MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: cam's Sigtfa ure Date 16ft proposed floorplan AA)'-0 cabinet t �� trap ,� 7G �VAies pink , Sink 6,,ft` Unisex bathroom: deli case 13ft 12ft i-eC1r�i� W �S G� S" AIL e-f Validity of permit The Issuance or granting of a permit shall not be construed to be a permit for, or an approval cf, 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) MUST COMPLY WITH ALL WASHINGTON STATE CODES t! f; FFB KFSAP Pig -LiC; HEALTH DISTRICT closet for water heater was built using 7 ft standard construction techniques. The walls were built with 2x4's 16" on center 5 ft heater closet the walls are secured to the existing walls with lagbolts and secured to the floor with red head bolts the door from the main area to the , �r kitchen area was put into an space where a window previously / existed and has the standard /� , framing structure rrr { all of the sinks are connected to pre-existing plumbing fixtures 88 Fr the counter area was built with regular cabinets and the structure is not permanent PrCVMO Chapter 6� PC at PWmb ft Axhxeshat tyin NUN crowwntaminaom Of the dotnesttc water system, such a$ hose bibs, beverage dbPWw9n% dish sinks, shampoo sinks, dishwashers, eta city of'."nrwMyfnrr Dept. of Corn-n:.;r-_ t C r_., ^r°r eitit MAR i 1 2016 Reviewed f COMp(danco )ee vQ I �. 'HEALTH DISTRICT ,;. PUBLIC March 18, 2016 Kristen Waters Coffee Pot Arcade 629 North Callow Avenue Bremerton, Washington 98312 RE: PLAN REVIEW FOR COFFEEPOT ARCADE Dear Ms. Waters: 3f1_) 6th Stceete Suite 300 Brerm-,rton,W/N 98337 360 33 T-5235 44 MAR 1 3 2 116 �. ChY Of Bremerton, DC® The Kitsap Public Health District, Food and Living Environment Program, has reviewed the submitted plans with respect to Coffee Pot Arcade, located at 629 North Callow Avenue 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 2014-01, the following items need to be addressed: 1. Protective light shields must be installed in the front and back food preparation areas. 2. A barrier must be installed at the hand wash station in the back food preparation area. Soap, paper towels, and a hand washing sign (available at the Washington State Department of Health's website) must be available for use/posted at each hand wash sink. 3. A garbage can must be available for use in the bathroom. 4. All penetration in the walls must be filled and sealed. 5. Gaps in the doors must be sealed. Once these items have been addressed, you will need to contact this office at least five 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) 337-4701, or by email at Dayna.Katula@kitsappublichealth.org. Respectfully, g Dayna Katula Food Safety Inspector Food and Living Environment Program kits p Dblichealth.org Cc: file City of Bremerton Business Tax and License City of Bremerton Department of Community Development City of Bremerton Planning J:\Common\Plan Review Letters Food\Food\2016\Coffee Pot Arcade 1C i KITSAP PUBLI( II FEB 12 201F FOOD SERVICE ESTABLISHMENT PLAN REVIEW APPLICATION HEALTH DISTRICEbTr PuEBLIC HEALTH DiSTRIC 2015 °?2471 2. Food Safety Program 345 6"' Street, Suite #300, Bremerton WA 98337 (360) 337-5235 kitsappublichealth.org Please fill out, sign and submit this application with a set of plans and $164 Plan Review/Preoperational Inspection Fee to the Kitsap Public Health District at the above address. An additional $54 may be charged if this is a High Risk establishment. The establishment risk category (low or high) will be determined during the plan review process. Note: not all of the following criteria may be applicable to your type of establishment, and ADDITIONAL criteria maybe required. 1. Name of Establishment Z Parcel Tax ID Number Establishment Address(^,q' A) . t Q(1QU City Owner/ Contact PersonKKjSEf�en_P )a`�CE3 Phone b6d Mailing Address C? wa -- — City%61_YZ StateLj CZip Code E-Mail Address 2. Is the establishment located in Port Orchard city limits? Yes ❑ No [� If yes, please attach an approval letter from the City of Port Orchard, which indicates compliance with local ordinances. 3. Is the establishment located in unincorporated Kitsap County? Yes ❑ No If yes, have you received location approval for your establishment from the Kitsap County Department of Community Development? Yes ❑ No ❑ 4. Septic or Sewer? -Please check the situation that applies to your establishment. Establishment on septic. Obtain a Building Site Application or a Commercial Building Clearance letter from the Kitsap Public Health District On -site Sewage System Program (OSS) - (360) 337-5235. The OSS Program will forward an accepted copy to the Food Program for our records. f Establishment on sewer. A Water Availability for Sewered Properties form may be required. Please contact the Food Program — (360) 337-5235 to make this determination. If required, please submit a copy of this completed from, a Sewer Availability Letter from your Sewer District and a "binding" Water Availability Letter from your Public Water System. 5. Water Supply ID# Water Supply Name If unsure, call the Kitsap Public Health District Drinking Water Program to help determine this information- (360) 337-5235. 6. Han shing Hand wash sink available in the food preparation areas. Handwash sinks are only for washing hands. 7. Plumbing: Check items that are present. These must be indirectly plumbed to the sewer system. food preparation sink ❑ ice machine ❑ dipper well ❑ beverage ice sink ❑ salad bar ❑ other ❑ carbonated beverage dispensing machines have properly installed dual check valve or approved reduced pressure backflow assembly S. Food Preparation ❑ Designated sink(s) to wash, soak, rinse, drain, cool, thaw, or other food processes that require placement in a sink. 9. Warewashing (check the type that applies) t , [A A three -compartment sink for the manual washing of dishes. Sink i F 12 compartments are large enough to accommodate the largest dish/utensil ;;�� ❑ Commercial dishwasher with heat sanitizing cycle, or approved chemical KITSAP PUBLIC HElaLTH DISTRICT sanitizing rinse, and a three -compartment sink. 10. Mop Sink EMop sink available for disposing wastewater. 11. Toilet Facilities ❑Employee restroom available. [L] Toilet facilities available for patrons if seating is provided at the establishment. 12. Finish Schedule Walls, floors, ceilings, or any other surface in the food preparation area, are smooth non -absorbent and of durable construction as to be easily cleanable. I have noted the items that pertain to my proposed food establishment. I understand that any changes or omissions that are not noted prior to the pre -operational inspection may result in postponement of the food establishment permit. This application will expire ONE YEAR after submission date. Signature Date oir0 Owner/Person in charge (For Office Use Only) ❑new establishment ❑remodel ❑ownership change ❑change in menu Inspector's initials for approval Notes: K:\EH\Food\Applications And Forms\Logo In Word And Pub\FD_Planreviewapplication_10-2011(2).Docx purple = no changes blue = tenant owned equipment & fixtures pink = permanent upgrades gray = new floors thin lines = object outlines thick lines = permanent walls red lines = doors (new & existing) blue lines = windows {existing) : -7- FEB 122016f Jf KI i SAP PUi31JC HEALTH DISTRICT DEPARTMENT OF COMMUNITY DEVELOPMENT CITY OF BREMERTON PHONE 473-5875 �3�( no/!� STOPO"" WORD A®T ONCE Job Location �3-7,�q O 11 ---001 -- ©no 3 This structure has been inspected and the following VIOLATIONS of the City Laws and Ordinances have been found: C w �� e�'f +tu j The violation of this Stop Work Order shall constitute a misdemeanor, punishable by imprisonment in jail for a maximum term fixed by the court of not more than ninety (90) days, or by a fine in an amount fixed by the court of not more than one thousand dollars ($1,000.00), or by both such imprisonment and fine. (BMC 1.04.050) Inspector '�V�%r Date;?,``L-14 The property owner may submit a written request foi reconsideration of this notice, including the basis foi reconsideration, to the Director of Community Development. DO NOT REMOVE ftEMERT61#:THIS TAG 7— cx Vt G LQ-.,)T3 Q b im q C� Q Q b 0 b r IV Q Q Q .-i 'mq 0 q C] b b Q 0 o 0 0 0 0 0 0 m 0 C b b O G m km cn 0 V4 [ o ra t� 0 0 0 0 0 9 v "r Ln r 0 d 0 © © r4 b c� 0 0 0 0 0 0 9 o rn Q m 4 O Q 0 b p C7 O p C3 0 r4 �'ti1 ri r? b rl r-1 C] fl q b C3 b a ac? n n 0n *� � .� ra m m N fl G 0 0 0 C7 O a F G q q n0 In VA 11 r:co f2 G 0 0 0 CD f G 0 to ri O b a c1 © ¢ sr � b 0 O Q C] b O NN Food Establishment Inspection Report Fbk OFFICE USE -ONLY lift t EMAIL Tactati N4� ESTASU' SHMEN r TOIL RISK CATEGORY MEALS SERVED B L D COPURPOSEOF Lj jjhu,�;s InvesUgalloIri !-,1Twjy6i-w CoulplAull INSPE.CTION y M4 WEALS OBSERVED B L D C I DATE N fJ PIPSPO �IME 1ALP(NNTS RED POINTG -0 BANK !SOXPHONE 4�,Vtl� WU ................ ... ............ AUG 18.ems City Of Br&Mefton, DCD ... ....... . . ... .. ...... .............. .. .... ....... .... . ........... -Dat.e t 41 A�, Fo.ljr)wub Needed? Yes 60 Te . . ...... ....... - ......... ......... Certificate Of Occupancy Department of Community Development 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. ISSUED TO: THE COFFEE POT ARCADE SITE ADDRESS: 629 N CALLOW AVE OWNER: THE COFFEE POT ARCADE 629 N CALLOW AVE BREMERTON, WA 98312 Type of Occupancy Code Sprinkler Construction Class fication OcculwntLoad Common Use Edition Read V-B B 49 ARCADE IBC:2012 N Permit Number: BB17 00365 Business License Number: 32407 Jeanlfie Vaughn,. Building` Official Date: 05/17/2017 Special Conditions: MAX OCCUPANT LOAD IS 49 PERSONS DUE TO ONE EXIT. OCCUPANCY NOT APPROVED FOR FOOD SERVICE BUILDING PERMIT I►M,z1oki Is] Z991.11:I I] PR0TAECT TBIS CARD FROM THE WEATHER Building Plumbing 625 N CALLOW AVE THE COFFEE POT ARCADE - RE OPEN IN LESS THAN ONE YEAR Mechanical ❑ Alarm/Sprinkler This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site. Permit # BB17 00365 Call the following Aged Telephone Numbers for inspections: Building Department Inspections; (360) 473-5870 Water - Public Works: (360) 473-5927 PW - Public Works - Engineering 1360) 473-5270 Kitsap Public Health: (360) 337-5235 Fire - Fire Department: (360) 473-5385 L8d - Dept. of Labor and Industry: (360) 415-4000 POST ON 7TE - 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 Sa '— _) -� 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 I CITY OF BREMERTON BUSINESS LICENSE APPLICATION Tax & License Division * 345 Sixth Street, Suite 600 * Bremerton, WA * 98337-1873 * 360-iF1VE MAY 15'2017' Lice k �ieCE I ?� Fee Code-S., ��G�-k�--�.— TAXA #. ICENS Please complete all sections in order to ��a7d iielayc l;- ppro .ei) s !.CI your application. St.: i ; , Business in Bremerton: 11-19-2015 —1 — 17 WA State Tax/UBl Number: 603-562-420 F, ., s Name: Peterson Neil J Family LLC Tax Parcel ID Number: 3734-011-001-0003 1^ :ss (Check ONE) II7SoIe Proprietor Partnership Corporation ❑X LLC ElOther LEA• OF BUSINESS: The Coffee Pot, LLC (If a Sole proprietorship, please list your legal name, last name first and include any middle initial) T" `,R DBA: The Coffe Pot Arcade F- P!NFSS LOCATION: 629 N Callow Ave Bremerton WA 98312 ADDRESS CITY STATE ZIP Mc:''^ ;, :, as for LICENSE & RENEWAL 625 N Callow Ave Bremerton WA 98312 SAME AS ABOVE ADDRESS CITY STATE ZIP rv^,: for TAX FORMS: 625 N Callow Ave Bremerton WA 98312 �SAMEASABOVE ADDRESS CITY STATE ZIP SIfdESS PHONE: N / A CELL PHONE: 360-710-5450 FAX: N / A P, i Business Tax Forms are available on our website at hUp://www.ci.bremenon.wa.us E ; !If ,applicable): info@coffeepotarcade.com &. _`rootage Office: Retail: Other: Number of Employees 2 P, ,wL'Business Name: N / A V! � leling of an existing building for your business? Yes RONo b : ;s business out of your home? NO If yes, Number of employees other than resident: If pancy, I have read and agree to abide by the Home Occupation Regulations in the Bremerton Municipal Code 20.46.030. Signature -� S: Check all that apply and provide as much detail as possible below. (Retail Manufacturing Gambling Pother Parking iolesale Printing/Publishing Admissions _ Family Arcade —IService Utility )( Amusement nicipal product(s) or service(s) rendered: Arcade Machines Pin Ball Machines Pool Tahlp Dance Machine h, -;,.es or endorsements may be required depending on the business activity- see instructions regarding regulatory licenses. T US - Based on the gross receipts of Retail, Wholesale, or Service Classification as described, or as optional choice. ?NTHLY - Reserved for Utility and Parking Taxpayers ',RTERLY - Estimated Gross Receipts over $60,000 annually or Optional.(Gambling activities must report Quarterly) LIAL - Estimated Gross Receipts $60,000 or under annually or Optional. COMPLETE INFORMATION ON REVERSE SIDE NA, --TOR, PARTNERS, CORPORATE OFFICERS, AND RESIDENT AGENTS: NAML RESIDENCE ADDRESS CITY, STATE, ZIP TELEPHONE Ka 865 Retsil Rd E Port Orchard, WA 98366 206-427-8666 cell Kris 5163 Bethel d Sf. Port Orchard WA 9836Z 360-621-2335 cell ,�,;JURE IS REQUIRED IN ORDER TO PROCESS THE APPLICATION - LICENSE WILL NOT BE ISSUED UNTIL ALL FEES ARE PAID As :;reby certify to declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and c ation given is sLoect to verification with State of Washington, Department of Revenue. {,(�•� ! ``` f DATE May 012017 PL{ %iE Dawn Lovitt TITLE Bookkeeper - with Owner aperoval 1 %lay Not Onen For Business Prior To The Issuance Of A Bremerton City Business License. I' .�,;bility to follow up on any requirements for issuance of your Business License. If inspections need t =Pd to contact the appropriate department to schedule the inspection. Inappropriate delays due to result in denial of your application. License fees are non-refundable. {, s Iity to become familiar with business license regulations and to keep your license current after it h 3usinesses operating on expired licenses are in violation of City code and are subject to both cr: r, . analties. (See Bremerton Municipal Code 5.02) I' ility to inform the City of Bremerton of any changes to your business including but not limited to a a change in business type, a change in location, a sale of the business, or a closure of the t ge notification should be done in writing and signed by a responsible party. A form is availble c ttp://www.ci.bremerton.wa.us. I Iity to become familiar with tax rules and to file tax returns based on your filing status. A return r _ if no revenue has been generated for the reporting Period. Failure to do so will result in penalties. TI,: ;!ions on the back of the tax form which is also available on our website. Incorrect or incomplete r med to you and may subject you to late filing penalties. All returns must be signed and dated 'y. If you must file a return after the due date, include the appropriate penalty on the return. �-d on a quarterly and annual basis and are also available on our website. Failure to receive a t :rise you from filing returns or making proper payment. If you do not receive a tax return at the j, ,ease notify our office immediately and one will be sent to you. read the above responsibilities and understand that these responsibilities apply to all businesses urei , ILOOJAX-Ic— �� Date j� Ring rlJ/f cabinet filing cabinet ;�Cr gac.�VolieS y� decacs��, �►fiee�R- 1 ('k-b g 16ft 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 the provisions of the International proposed fioorplan Co -des or any other ordinance of the City of Bremerton, Permits presuming to gave authori to violate or cancel the provisions of the international odes and 13 ft ordinances of the City of Bremerton shall not be valid. (IBC 105 & IRC 105.4) CMUST UST 13E APPROVED PRIOR TO PERFORMING 1f`VC RJ( Unisex bathroom !MUST COMPLY WITH 12ft 6�LL WASHINGTON STATE CODE$ lu �\C" nC 18 ft FEL162016 ;l k «,R Kl I SA r, vLiC NLALTH Di'STRIGT closet for water heater was built using 7 ft standard construction techniques. The walls were built with 2x4's 16" on center 5 ft heater closet the walls are secured to the existing walls with lagbolts and secured to the floor with red head bolts the door from the main area to the kitchen area was put into an ry" 0 space where a window previously existed and has the standard r framing structure Fr all of the sinks are connected to Pre-existing plumbing fixtures the counter area was built with regular cabinets and the structure is not permanent as MWW CBU� St � In � s "nPW Dept. ofCftr MAk � 1 2016 y Margret Mountjoy From: Dayna Katula <dayna.katula@kitsappublichealth.org> Sent: Wednesday, May 17, 2017 11:29 AM To: Margret Mountjoy Subject: RE: The Coffee Arcade Attachments: 20170517112015.pdf Hi Margret, No, they haven't contacted me. In regards to your last question- I've attached their last inspection report, and I'd like to draw your attention to the second page (asterisked section under Notes); a follow-up inspection wasn't performed because the business closed. They actually did go ahead and open, but they weren't permitted properly. Additionally, even if they had the right license, they were operating outside of the agreed -upon terms. Hope this helps. Let me know if there's anything else you need. Dayna From: Margret Mountjoy [ma iIto: Margret.MountioYLDci.bremerton.wa.us] Sent: Wednesday, May 17, 2017 8:30 AM To: Dayna Katula <dayna.katula@kitsa�)r)ublichealth.orE;> Subject: The Coffee Arcade Good morning Dayna, Do you remember the Coffee Pot Arcade at 629 N Callow? They were going to open as a coffee shop/arcade and then decided to not open the coffee shop side of it. Well, they closed in October of 2016 and have now decided they want to open again. Well we are going through the motions of it being a "new" permit on the building side for inspections. Have they contacted you in regards to serving any food? Do you have anything from their last opening that states they didn't' follow through with their plans to open? Thanks Dayna! Respectfully, Nargret Nountjoy City of Bremerton BuiCding Development Specialist. 36o- 473-5211 Food Establishment Inspection Roark .. i -- _........,,, F6A- FFICE US.E.'OwNLY Peal h EMAIL C_._ ,........_ ...., - ADD�RESSORLOCATION� � NAME Of ESTABLI8HIvtENT �t7, ; H"Y ..,.� i... ... _ . ,tRUvhne ❑ Preoperational ❑ Reinspection ESTABLISHMENT TYPE " 3 RISK CATEGORY . MEALS SERVED A L D O PURPOSE OF ❑ illness Investigation ❑ Temporary ❑Complaint `th. INSPECTION MEALS OBSERVED B D C O ONE _{ Omer: _ — ... ELAPSED TIME TOTAL POINTS RED POINTS REPEAT RED i PH DATE I MIME IN i •rl-'2 � �'�`s '� ivy h � , � _ '�✓ Hrgtt Risk Factors. are Improper practices Circles Indicate compliance st iN = In Corrrplloitce OUT =Not In saattplianGe NiC1 Not Otrserired g # la d rtrilsatnca tas a n blii ft -' p1"s 1 r ouT PiC certified byratcredited program, or I compliance with. Code, or correct atdwers © ....., 5 Food VJorkar Carlo current for all food ❑ Ci 2 IN workers; new food workers. trained Proper ill worker and conditional 3' .OUT employee practices; no ill workers ❑ ❑ 25 prasanrtproper to,poron of Illnoso s. 711- -4 IN OUT Hands washed as required ❑ ❑ 25 5 1N OUT N/A Proper barriers used to prevent bare ttttnd ❑ ❑ 25 rit w 5 1N U With rowdy-to-aat foods rxsTta , Adequate handwashing facilities ❑� itus (IN, OUT, NiO, N/A) for eacn rrem. NiA = Not Applicable" .. CDI = C pi racked During Insprzrtiarl i1 " R4przat V"ailon GIN R. PT w # Gotrtrl,dnce5tataau ar d 1 16 ,IN OUT NIA {1 Proper cooling procedures 25 ' Proper hot holding temperatures 17 IN OUT NIA (5 pis if 130°F to 134°F) ❑ ; 25 (5? Q4, Proper cooking time and temperature; 25 18 IN OUT NIA proper use of nonconlinuous cooking l i No room temperature storage proper use of ❑ ❑ 26 19 f}LtT NIA Nlo time a control "4S 20 IN OUT NIA Proper:rel�eating prcr adores for hot holdingholding❑ 15 Proper cold priding tempefattsres 21 iN OUT NIA (5•pts'if 42 F to 46-F) 10 ❑ I 22 ��ttri NIA Accurate thermometer proYidod and tsart to rt.,ehrr;Vas as.mnravl7&,ria of sf4t=s- [15 •• 7 1 'OUT ' Food obtained from 4pproved source 8 )UT Watersupply, Ice from alsproved Source . 9 :tN OUT N/A of fruits and veeJ etablos "t- Food in good.condttEon, safe and 10 I OUT pnaf ultera4ed; a proved 40diKives .,, } 15 0C1 Ct ( 10 ❑ ❑ 10 11 N Ot.IT Proper disposition of returned, previously served, unsafe, or contaminated food ❑ ❑ � 10 12 .IN OU NIO Proper stiellstack ID, wild mushroom ID; araolta dk3structiost rooedures for fish ❑ " ❑ 5 Foodcortt#at surfaces and utensils.used 13 •ttJ OUT ll Nl0 for raw meat thoroughly cleaned and [3{ ❑ 15 sani¢zad no cross contaminatlon Raw meats beiraw or away trrarrt ready -to- 14 @OUT NiA N/O eat food_ species separated ❑ 5 ; 15 ;IN OUT NfO Proper handling of pooled eggs ❑ S ' . C91 R PTS 28 Food received at proper temperature is d 5 29 Adequate equipment for temperature control 30 °\f?rorrar tlttlWing methods used ❑ ❑ 3 Ej ' 0 i 5 32 Insects, rodents, animals not present; entrance controlled u u Potential food contamination prevented during delivery, ❑ ❑ 5 33 : 34 propsr`etion. stardga, display • .... _.. y'tlipino cloths pfopeMy u.Set# aitrrred proper sanitlzer - -- t a ... ❑ , 5 35 Empiovee _cleanliness and Oyglvi ne ❑, 3 36 Proper eating, tasting, drinking, or tobacco use C i ! 3 r in-useutonsi.N.prnPOYStored. ❑ ❑ 3 38 Utensils, equipment, linens properly stored, used, handled [ It .;;.2 , 3 39 Sir ka-uye and sins it-setvi e articles pLVVeriv stored, used L C1 '' 3 t Proper Consumer Advisory posted for raw or 23 IN OUT ® ❑ 5 undercooked foods Pasteurized foods used as required; prohibited ❑ a ©', 10 24 `IN OUT foods not offered ; 25 tlClt'P Toxic substances property Identified, stored, ❑ ' ❑ 10 used Cornpllance with risk control plant, "rianr a " 2S IOOLI i 1 plan at operation; valid permit, a0miOd ❑ Q 10 trroceures far noncoretlnu+tius ctxtktrr�} ..% Variance obtained for specialized procossistg ❑ } 10 27 IN methods e, .. ROP FAC e» omlr als arirt. siral:otx)+3cts'mty tc odw circled ofrifs fnrlic4o>Items nrrf in Winptssta+ ca. CDI - ._R PT13_ Food and nonfood surfaces properly used and constructed; ❑ ; ❑ € 5 40 0l atlnntalrr Warowash;ngf iitie tsropedy installed, maintained, used: test -. ❑ . ❑ 5 ' 41 ' strips available (,Arid used 42' Ftad mint# surfttcs tttaintainett olstr+nrt4i,sariiti2_.. . ❑ a' 43 Nonfood�contact strtfaGe4+malntalnad .`,Old t'�aIr31't: i :_ ❑ -..Q 3 (+isAltrbinfl prripedy sized, installed, and maintained; proper ❑ , ® 5 taati tiadw drtvi , indirect drains; no circss-connections 45 sewage, wastewater properly disposed ❑ " ❑ 5 - 48 Toilet faclidias properl�r coastrtar4i stsppllai, clearled _ ❑1 { 47 Ghrbage, r4k Se Pm'POrly disf d fae!tides nsaintalrilm. ❑ ❑ 3 {:Ll Physieai far litie ir�aperiy instntted, maintained, oteraned; ❑ 2 48 unnf"ssarypersons>"�rciuded kc�m est»i�iik I ads txsad 49 A(Je uate vitiritldlittrt, iightirtg; tieu'ic3natocf areas ❑ 2 ❑ 2 50 : PoStinci of Peril11L mablIe rastahlishmant dare eastly visiblo ❑. ..u—I hhranittinestotARtlsremmanls. Food Establishment Inspection Report P, '� FOR OFt`ICE USE ONLY ..... ..... . EMAIL "A Of! EST ABLISH MENT ADDRESS OR LOCATION . ...... . . .. MEALS SERVED B L D C 0.C"uRpbSE OF D Routine 0 Preoperational C Reinspection ESTABLISHMENT TYPE RISKCATEGORY U 111nes. MEALS 05. DATE TIME IN ELAPSED TIME TOTAL POINTS Ri'D POINTS REPEAT RED BLANK BOX PHONE DEPARTMENT OF COMMUNITY DEVELOPMENT CITY OF BREMERTON PHONE 473-5875 STOP WORK AT ONCE Job Location � 2 � _ [�„V�� This structure has been inspected and the following VIOLATIONS of the City Laws and Ordinances have been foun w ®' Y` L 4 at 4 "LG j `0C 4i 1, � �01- —u,i V G a L4r,-C-�- alp — The violation of this Stop Work Order shall constitute a misdemeanor, punishable by imprisonment in jail for a maximum term fixed by the court of not more than ninety (90) days, or by a fine in an amount fixed by the court of not more than one thousand dollars ($1,000.00), or by both such imprisonment and fine. (BMC 1.04.050) Inspector Date�y�b.� the property owner may submit a written request reconsideration of this notice, including the basis reconsideration, to the Director of Community Development. i DO NOT REMOVE THIS TAC-7 $REMEiR. �,� plw�6,�� 4,,, - a x � 8� 1,;,t 1-45 Certificate Occupancy Department of Community Development 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. ISSUED TO: THE COFFEE POT ARCADE SITE ADDRESS. 629 N CALLOW AVE OWNER: KRISTEN WATERS 629 N CALLOW AVE BREMERTON, WA 98312 Type of Occupancy Code Sprinkler Construction Classification Occupant Load Common Use Edition AMd -B A-3 45 ARCADE IBC:2012 N Permit Number: BB16 00008 Date: 02/23/2016 Business License Number: 31569 aughn, Building Special Conditions: Occupancy does not include food or drink service. THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE City of Bremerton PERMIT NUMBER: BB16 00008 Department of Community Development DATE ISSUED: 01/12/2016 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 629 N CALLOW AVE (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 Name APPLICANT: KRISTEN WATERS OWNER: PETERSON NEIL J FAMILY LLC CONTRACTOR: ❑ LENDER: ZONING: DCC Phone Address 360-621-2335 5301 CHICO BEACH DRIVE NW BREMERTON, WA 98312 2135 6TH ST STE 101 BREMERTON, WA 98312-3957 Access Code GT087-OYG5K YF2ND-7E8QS SUBMITTED: 01/06/2016 APPROVED: 01/08/2016 EXPIRATION: 07/10/2016 STATUS: ISSUED VALUATION: Commercial Building Permit w/ Mechanical/Plumbing COFFEE POT ARCADE - TI WITHOUT WORK COFFEE POT ARCADE - TI WITHOUT WORK Certificate of Occupancy $56.00 Building Code Edition: IBC: 2012 TOTAL FEES: $56.00 Occupancy Group: A-3 Type of Construction: V-B Flood Zone: Setbacks: ////: (F/L/RT/R/O) Sanitation Method: Number of Bedrooms: 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: \ V-, i 4 PRINTED NAME: CONDITIONS DATE: 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: 01/12/2016 03:45 PM Pagel of 3 City of Bremerton PERMIT NUMBER: BB16 00008 Department of Community Development 345 - 6th Street, Ste. 600, Bremerton WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 Name APPLICANT: KRISTEN WATERS OWNER: PETERSON NEIL J FAMILY LLC CONTRACTOR: ❑ LENDER: SUBMITTED: 01 /06/2016 ZONING: DCC Phone 360-621-2335 0 7 91Z11if 31.11=17►101roxilf"i Address DATE ISSUED: 01/12/2016 SITE ADDRESS: 629 N CALLOW AVE Access Code 5301 CHICO BEACH DRIVE NW GT087-OYG5K BREMERTON, WA 98312 2135 6TH ST STE 101 YF2ND-7E8QS BREMERTON, WA 98312-3957 EXPIRATION: 07/10/2016 STATUS: ISSUED 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 206-343-8800. 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.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. 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 £s� 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. 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. 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 8. (DCD-58) 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. Printed by : Wood, Tracey on: 01/12/2016 03:45 PM Page 2 of 3 City of Bremerton Department of Community Development PERMIT NUMBER: BB16 00008 DATE ISSUED: 01/12/2016 1 rr 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 629 N CALLOW AVE (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 ZONING: DCC Name Phone Address Access Code APPLICANT: KRISTEN WATERS 360-621-2335 5301 CHICO BEACH DRIVE NW GT087-OYG5K BREMERTON, WA 98312 OWNER: PETERSON NEIL J FAMILY LLC 2135 6TH ST STE 101 YF2ND-7E8QS BREMERTON, WA 98312-3957 CONTRACTOR: ❑ LENDER: SUBMITTED: 01/06/2016 APPROVED: 01/08/2016 EXPIRATION: 07/10/2016 STATUS: ISSUED 9. (DCD-51) 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. 10. (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! 11. (LU29) 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 located in BMC 20.52. 12. (Custom) FIRE: Install fire extinguishers. One in the front one in the back. 51b units 13. (Custom) Per BMC 20.70.080 parking for nonresidential uses requires one parking stall per employee and shall not exceed four parking stalls per thousand square feet. The square footage of the building has not been increased, and the owner has indicated that only one employee will be present at the location. Per BMC 20.48.020 (b) there has not been a significant increase in the required number of spaces. Onsite parking is satisfied. 14. (Custom) Any improvements requiring Health Department department approval must be approved by the Health Department prior to 1 approval. 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 FINAL - BUILDING Final Inspection - Building C OF O Certificate of Occupancy Issued by Community Development Printed by: Wood, Tracey on: 01/12/2016 03:45 PM Page 3 of 3 BUILDING PERMIT 629 N CALLOW AVE INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER BuildingL1 Plumbing L1 COFFEE POT ARCADE - TI WITHOUT WORK Mechanical Alarm/Sprinkler This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site. Permit # BB 16 00008 Call the following Agency Telephone Numbers for inspections: Building Department Inspections: (360) 473-5870 Water - Public Works: 3 473-5927 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: (3"j 415-4000 POST ON SITE - 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 �—(2—► Certificate of Occupancy Issued by Community Development 1)G 0-f'®,55 C. A`to-l& FINAL BUILDING (360) 473-5870 All of the above must be approved. Approve rsption 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 OCCUPANCY PERMIT Certificate of Occupancy All businesses within the city limits require a City of Bremerton Business License and a Certificate of Occupancy. An occupancy permit may be used to change the name of a business or change the ownership of an existing business. The occupancy permit may also be used for occupancy of an existing building or space when the business use is Group B business office or professional service (such as a beauty shop), or the business use is Group M retail sales store, and the business use is the same as the previous business use with no change in configuration of the space. Inspections are performed by the Building Department, Fire Department and Water Department before the Certificate of Occupancy is issued. A building permit is required for occupancy of a building or tenant space, alterations, additions, major repairs, interior demolition, any plumbing or mechanical work, installation of storage racks or other review. Any questions about whether an Occupancy Permit or Building Permit is appropriate may be answered by contacting the Department of Community Development at 360-473-5287, Monday through Thursday 8:00 — 5:00. Inspections When the occupancy permit is issued, you may start calling for your inspections from the Building Department, Water Department, and Fire Department. Be sure to,give your permit number, the address, and the date you want the inspection. The business must be available to inspect that day and we do not call to schedule a specific time. A reinspection fee may be assessed if the inspector is at the site and cannot gain access. Building Inspection 473-5870 Fire Inspection 473-5386 Water Department 473-5927 BEd U 5 2016 Occupancy PerMk� of Bremerton, DCD The occupancy permit application is submitted to the Department of Community Development (DCD) to identify the business, the type of business, and the property address. The permit application may be obtained in the DCD office or downloaded at www.ci.bremerton.wa.us. Provide at least two sets of plans with your permit submittal. Plans should be drawn to scale or provided with accurate dimensions, have each room labeled as to use, with locations of furnishings, doors, windows, sales racks, etc. Please answer the following questions and submit with the application. A No answer to any of the questions indicates a more formal plan review may be necessary. The permit application, floor plan, fee and answers to the questions must be submitted at the time of application. Yes No Was a Certificate of Occupancy issued by the city for the building or space previously? Name: Is the previous business that occupied the �( space the same type of business that is \ proposed? (Business office to business office, retail sales to retail sales Has the building/space been vacant for less than a ear? xWill the plumbing, mechanical, and gas systems remain the same? Will sinks, toilets, foot baths, exhaust fans, etc., be added or changed out? Is there or will there be any change to the structure, such as new walls, taking down walls, installing new door, installing storage racks, etc.? Is the business a minor hazard with little X or no combustible/flammable liquids, gases, or other hazardous materials? OCCUPANCY PERMITS REVISED 09/03/14 J shelves current floorplan t proposed floorplan N shelves desk unisex 0 t bathroom Unisex N bathroom water KEY: purple = no changes blue = tenant owned equipment & fixtures ❑ pink = permanent upgrades gray = new floors thin lines = object outlines thick lines = permanent walls red lines = doors (new & existing) ® blue lines = windows (existing) Yak City of LI-3rernefton, heater closet heater closet .`1y of permit. The issuance or granting of a permit iot be construed to be a permit for, or an approval In I? screen iv ( violation of the provisions of the International s or any other ordinance of the City of Bremerton. Per bits presuming to give authority to violate or cancel provisions of the International Codes and couch rd n--es of the City of Bremerton shall not be valid, 105 & IRC t 05.A) o pool Cs"GE$ MUST BE APPROVED table a R TO PERFORMING WORK N MUST COMPLY WITH v ALL WASHINGTON `o STATE CODES m E E w c w c City of 6remerton " E E Dept. of Community Development v� v� JAN082016 E a E Reviewed forCod�j_Compliance By: - S:I%, pac man chair sofa chair chair �e :chair lab chair sofa cafe chair table chair chair I chair chair trmihj window seating �/��''�' ran 2-V,316 DooD 16 ft shelves 1 current floorplan ,ft proposed floorplan El shelves 13 ft F-1 table & filing g �hdv,� r.bILet fling EF-1l 8ft cabinet FOW7, desk ft shelves—� 18 ft unisex bathroom Unisex shelves bathrom GFT waterWater heater ` Heater I atria7 h heater closet 5 ft heater closet pool table E a E 88 FT RN J.E E io E L air Fc —K W, Do C man caf6 whine table air man -chine Ae air So% -chair C chair air chair c man SGfa Cafe kchme- !!rtable _ j A V L O air chair loft OCCUPANCY "' 4 COMMERCIAL JAN 0 5 2016 Building Permit Application Department of Community Development * 345 - 6th Street. Suite 600 * Bremerton, N,A!%339!1�91 piton, DCD (360) 473-5275 * Fax (360) 473-5278 * www.ci.bremertonmams BUSINESS NAME: SITE ADDRESS: r(l{0f-,J OC CONTRACTOR: BUILDING OWNER: lC 0141 Address: Address: City, tate, Zip: City, State, Zip: License # & Exp. Date: Phone #: Contact Name: BUSINESS OWNER: Contact Phone #: { Address: %GS Email address: City, State, Zip-- bc-- - Tax ID/Parcel #: Phone #: ( 3d) q a-7 -i � Sewer 0 Septic jEmay address: ;h CaYV-� 0 NEW COMMERCIAL TENANT IMPROVEMENT WITH WORK 0 COMMERCIAL REMODEL M TENANT IMPROVEMENT WITHOUT WORK 0 COMMERCIAL ADDITION NEW SIGN Q COMMERCIAL REPAIR Q GRADING (Cubic Yards: NEW MULTI -FAMILY 0 REROOF Occupancy permit is applicable to change of name or owner, or occupancy of a business (office) or retail sales use with no change in use IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES 0 NO DESCRIBE TYPE OF BUSINESS: �� rc rJ P_ eAi I Square Footage: Building: �_ j q _L Construction Type: Valuation Plan Review Fee Permit Fee Surcharge Total Fees I _T1$56.00 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 apDlicant s ns [ems vmr uew Dian review fPe_ Applicant's Signa Print Name Date r% PLEASE FILL OUT BACK OF APPLICATION Rev.Sept 2014 Garrett Jackson From: Kathy Hartwell <kathyhartwell@hotmail.com> Sent: Friday, January 08, 2016 4:31 PM To: Garrett Jackson Subject: RE: Coffee Pot Arcade There will be just 1 employee on site at a time From: Garrett.Jackson@ci.bremerton.wa. To: kathyhartwellPhotmail.com Subject: RE: Coffee Pot Arcade Date: Fri, 8 Jan 2016 23:57:01 +0000 Kathy, In a separate email can you please confirm the number of employees that will be present onsite at one time? Not being able to confirm this will prevent the permit from being issued. Thank you. Garrett Jackson City Planner (360) 473 - 5289 345 6t" Street, Suite 600 Bremerton, WA 98337 From: Kathy Hartwell [mailto:kathyhartwe[l@hotmail.com] Sent: Friday, January 08, 2016 2:13 PM To: Jeannie Vaughn Cc: Margret Mountjoy; Garrett Jackson Subject: RE: Coffee Pot Arcade Hi Jeannie, there are not going to be any permanent changes at this time. After this permit is approved and we have opened the business for a little while to see how it performs strictly as an arcade without food or beverages we will decide if we want to apply at that future date for tenant improvements that may involve applying for construction permits. There definitely will not be any wall additions or removals and we do not plan to relocate the water heater or any other such fixture. Sorry about the confusion, we originally wanted to do all these things but realized we could not. Just to reiterate, no changes will occur. Thank you and please accept my apologies! -Kathy From: Jeannie.Vaughn@ci.bremerton.wa.us To: kathyhartwell@hotmail.com CC: Margret.Mountioy ci.bremerton.wa.us; Garrett.Jackson@ci.bremerton.wa.us Subject: RE: Coffee Pot Arcade Date: Fri, 8 Jan 2016 20:15:30 +0000 Good morning. I do have some questions about the plan that was submitted. A legend on the side of the plan appears to indicate some changes occurring to the space, For example, the legend indicates pink is for permanent upgrades and the thick lines are for permanent walls. The plan submitted is black and white, and the legend isn't specific as to any changes that have or will occur. Would you please clarify as to the scope of the permit? For example, a water heater is shown on the plan to the left, and not shown on the right. Is the water heater changing location? A new wall appears to extend from the wall extending from the restroom. Any changes in the configuration of a space requires a permit whether or not the walls are structural and a permit is required to move plumbing fixtures. If changes have or will occur in the space, please provide a scope of work and a floor plan outlining the changes. We can change the existing permit application to a tenant improvement permit. If you need further assistance, please feel free to contact us. Jeannie Vaughn Building Official Department of Community Development City of Bremerton 345 6th St., Suite 600 Bremerton, WA 98337 (360) 473-5212, desk (360) 473-5278, fax Jeannie.vaughn@ci.bremerton.wa.us From: Garrett Jackson Sent: Friday, January 8, 2016 11:38 AM To: kathvhartwell@hotmail.com Cc: Margret Mountjoy <Margret.Mountioy@ci.bremerton.wa.us>; Jeannie Vaughn <Jeannie.Vaughn@ci.bremerton.wa.us> Subject: Coffee Pot Arcade Mrs. Hartwell, I have spoken to Mrs. Waters and she indicated I should contact you for any permitting concerns related to your Coffee Pot Arcade permit. I am writing to remind you that you will need a sign permit to re -face the existing signs at the site. You can find the permit via the following link: http:l/www.bremertonwa.gov/`DocumentCenter/Home/View Z1719. You may use the image below to indicate your plans for signage, though please keep in mind all signs must be professionally lettered. If you wish to submit this permit online, please contact Margret Mountjoy (ccd). I have also cc'd our Building Official Jeannie Vaughn as I believe she also needs additional information from you. Also, Mrs. Waters indicated that there will be one employee present at a time to operate the arcade. Could you please send me an email to confirm this? The number of parking stalls required is based off the number of employees present at the site, and we need a written record from the applicant for our files. Please feel free to contact me with any questions you might have. Garrett Jackson City Planner (360) 473 - 5289 345 6th Street, Suite 600 Bremerton, WA 98337 w ril 3 City of Bremerton PERMIT NUMBER: BB16 00015 Department of Community Development DATE ISSUED: 01/12/2016 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 629 N CALLOW AVE (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 Name APPLICANT: KATHY HARTWELL OWNER: PETERSON NEIL J FAMILY LLC CONTRACTOR: ❑ LENDER: SUBMITTED: 01/08/2016 ZONING: DCC Phone 360-427-8666 APPROVED: 01/08/2016 Address 625 N CALLOW AVE BREMERTON, WA 98312 2135 6TH ST STE 101 BREMERTON, WA 98312-3957 EXPIRATION: 07/10/2016 VALUATION: $250.00 Sign Permit COFFEE POT ARCADE - REFACE SIGN COFFEE POT ARCADE - REFACE SIGN Technology Fee $1.30 Plan Review Fee $16.90 Building Code Edition: Building Permit $26.00 Occupancy Group: State Surcharge $4.50 Type of Construction: Flood Zone: TOTAL FEES: $48.70 Setbacks: ////: (F/L/RT/R/O) Sanitation Method: Number of Bedrooms: Inspection Requests: DCD: Building Inspections: (360) 473-5870 L&I: Department of Labor and Industries (360) 415-4000 Access Code 2UXP1-50TOR YF2ND-7E8QS STATUS: ISSUED 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. I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and state Jederal laws. SIGNATURE OF OWNER OR AGENT: Ste' PRINTED NAME: 1 �_.r• �� CL. p DATE: 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: Wood, Tracey on: 01/12/2016 03:52 PM Page 1 of 2 City of Bremerton PERMIT NUMBER: BB16 00015 Department of Community Development 345 - 6th Street, Ste. 600, Bremerton WA 98337. (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 Name APPLICANT: KATHY HARTWELL OWNER: PETERSON NEIL J FAMILY LLC CONTRACTOR: ❑ LENDER: DATE ISSUED: 01/12/2016 SITE ADDRESS: 629 N CALLOW AVE ZONING: DCC Phone Address 360427-8666 625 N CALLOW AVE BREMERTON, WA 98312 2135 6TH ST STE 101 BREMERTON, WA 98312-3957 Access Code 2UXPl-50TOR YF2ND-7E8QS SUBMITTED: 01/08/2016 APPROVED: 01/08/2016 EXPIRATION: 07/10/2016 STATUS: ISSUED 1. (DCD-47) 2. (DCD-50) 3. (LU12) 4. (LU25) 5. (DCD-91) 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. Final Inspection Required: All building pen -nits 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. Signs trust comply with BMC 20.52. A separate permit is required for any additional signs. Signs may be illuminated directly, indirectly, or internally, provided the lighting is directed away from other land uses, and away from on -coming traffic. 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! 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 - SIGN Description Final inspection for free-standing sign after landscaping complete Printed by: Wood, Tracey on: 01/12/2016 03:52 PM Page 2 of 2 B UILDING PERMIT INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building ❑ Plumbing ❑ 629 N CALLOW AVE COFFEE POT ARCADE - REFACE SIGN Mechanical ❑ Alarm/Sprinkler L1 This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site. Permit # BB 16 00015 Call the following Agency Telephone Numbers for imotctions. Bullding_DepAtment Inspections: (360) 473-U79. Water - Public Works: (360) 473-5927 PW - Public Works - Engineerina: (3601 473-5270 Kitsap Public Health: (360) 337-5235 Fire - Fire Department: (360) 473-5385 8&1 - Dept. of Labor and Industry: (3601415-4000 POST ON SITE - 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 for free-standing sign after avi landscaping complete I AM 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 1 of l PERMIT CENrI LII y� COMMERCIAL ' 6 2016 • Building Permit Application -fly of B"I.M, Department of Community Development * 345 - 6th Street Suite 600 * Bremerton WA 98337-189A �CD (360) 473-5275 * Fax (360) 473-5278 * www.ci.bremerton.wa.us App ' ❑ Owner Contractor LgAutboriwd Agent Business Name: (.0 V.Q12 A cc,, Site Address: 6 Z ( IU G, ((or To apply for a property address, contact Public Works at (360) 473-5270 CONTRACTOR: OWNER: K,,%3 re El AQAk Address: Address: City, State, Zip: City, State, Zip: License # & Exp. Date: Phone #: Contact Name: Authorized Agent Name: Contact Phone #: ) Address: ,) t 570 e-b• ; Email address: City, State, Zip: Q,44 ar-C �► �c -ti ri Tax ID/Parcel #: Phone #: (2-01 y Z j C 6 ❑ Sewer ❑ Septic Email address: 1-,-,aCELe4CCA CVP Cum What is the application for? (Please check) ❑ New Construction ® Alteration ❑ Addition 0 NEW COMMERCIAL 0 TENANT IMPROVEMENT WITH WORK 0 COMMERCIAL REMODEL ❑ TENANT IMPROVEMENT WITHOUT WORK ❑ COMMERCIAL ADDITION C50EW SIGN ❑ COMMERCIAL REPAIR ❑ GRADING (Cubic Yards: ) ❑ NEW MULTI -FAMILY ❑ REROOF 0 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. 0 OTHER: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES ❑ NO X Scope of work proposed: —S�,- ool 1, n Square Footage: Building: O `I Z Construction Type: Valuation Plan Review Fee Permit Fee Surcharge Total Fees V �U 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 a licant or destroyed by the building official. The building official may extend the time for action by the applicant for a peri;being ceeding 180 days on reque a applicant, showing the circumstances beyond the control of the applicant have prevented actio romaken. No applicant shall be extende ore than once. In order to renew action on an application after expiration, the applicants II repi sand a n plan r w fee. S" et✓t Applicant's Signature Date Rev. July 2008 4 •'+�Ff�� PP � � • i .+Iisil tW®t3Jrf J � ■ � kR Cerdficate Of Occupancy Department of Community Development 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. ISSUED TO: PENINSULA PAINT CENTERS SITE ADDRESS. 629 N CALLOW AVE OWNER: RAY & DIANE DONAHUE 629 N CALLOW AVE POULSBO, WA 98370 T e o Occupancy Code �rink[er Construction Classi zeation Occeant Load Common Use Edition Rey'd V-B M 33 PAINT SALES IBC: 2012 N Permit Number. BB15 00083 Date: 04/08/2015 Business License Number. 31116 1 �- Jea nie-' Vaughn, .Building Special Conditions: ausiness Name: Site Address: CENTER COMMERCIAL Building Permit Application To apply for a property address, contact Public Works at (360) 473-6270 begrP.ACTOR: OWNER: Add,-00, Address, 1---),0 13 o X 1 I a L Cif ,State, L�L §�Wte' zp 0 TS Lf,tA q, u License # & P66he #: .Contact N Authorized Agent Name. Conthone #: Address- I If I /V110a, 1 4 5r<il address: aty. State, zip0 "I S, Tax UPaucel Phone -1 -71— (&41 0 Sewer Septic Email a!ddtess:_ 1What is the, application ivir? 1please cRa707)' __Zj Now Construction NEW COMMERCIAL TENANT IMPROVEMENTWITH WORK COMMERCIAL REMODEL TENANT IMPROVEMENT WITHOUT WORK COMMERCIAL ADDITION � NEW SIGN F7COMMERCIAL REPAIR GRADING (Cubic Yards: NEW MULTI -FAMILY D REROOF DEMOLITION Interior Exterior" Foundation Wall" Roof 11 Section — Separate demolition pertnit and fees required. Contact Public Works for sewer cap Permit (M-5270). Seviter must be cappect prior to demolition permit issuarice, F7OTHER: IS THIS PROPERTY WITHIN 200 FEET OF,A SHORELINE? YESr_� NO "P- w Square Footage: Building: Construction Type: Valuation Plan Review Fee Permit Fee Surcharge Total Faso oo 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 tie returned to the applicant or destroyed by the building officiaL The building official may extend the time for action by the applicant for a peripd not exceeding ISO days on request by the applicant, showing the circurrislahces'boyond the control of the applicant have prevented action ftorn being taken. No applicant shall be extended more then once. In order to renew action on an application after expiration pplicant sh 11 plans arld pay a near plan review fee. 2- //10 //_r MQ ad., a -Date Row. July 2008 Bremerton Fire Department Fire Marshal's Office Construction Assistance Bulletin Operations checklist Project Address: a 9 C e- I s>-J ; 6 �.e ►,..c.v44 h, W A e 9�� 2 Primary Contact: K i t� Email: 12 R e b Y-C,b32, Q 9 Al C ©►ti. 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 ands ecifications for this proiect. Please check all that apply: Aviation Battery Back UP Card swipe system e ompressed Gases Cooking Corrosives Cryogenics Emergency Generator Fireworks Flammable 1 Flammable/Combustible Forklifts Material L' uids Gates Hot -work Large Ovens LPG Lumberlwood Motor vehicle Paintinglpowder coating Racks (12' or more in roducts repair height) Refrigeration Storage >6' Tire Storage Dust products will be SyAem high produced Place a check next to any item that will be addediremoved or otherwise modified DURING CONSTRUCTION ONLY... Electrical Plumbing Fire Alarm Fire Sprinkler Hood System Walls HVAC Storm/Septic Building Access Site changes windows . Stairs Elevator Doors Building&ICTION securit Items not mentioned:. Certificate of Occupancy All businesses within the city limits require a City of Bremerton Business License and a Certificate of Occupancy. An occupancy permit may be used to change the name of a business, change the ownership of an existing business, or occupy existing building or space when the business use is Group B business office or professional service (such as a beauty shop), or the business use is Group M retail sales store, and the business use is the same as the previous business use with no change in configuration of the space. Jnspections are performed by the Building Department, Fire Department and Water Department before the Certificate of Occupancy is issued. A building permit is required for occupancy of a building or tenant space, food preparation or service, alterations, additions, major repairs, interior demolition, installation of storage racks, storage or use of hazardous materials, or fabrication or assembly of products. The permit application, floor plan, and answers to the questions will be evaluated during the next scheduled staff meeting, usually the following Wednesday morning. You will be notified your permit is ready to issue or if staff needs more information or corrections. Inspections When the occupancy permit is issued, you may start calling for your inspections from the Building Department, Fire Department, and Water Depart- nient. Be sure to give your permit number, the address, and the date you want the inspection. The business must be available to inspect that day. A reinspection fee may be assessed if the inspector is at the site and cannot gain access. Building Inspection 473-5870 Fire Inspection 473-5394 Water Department 473-5927 Occupancy Permit The building permit application is submitted to the Department of Community Development (DCD) to identify the business, the type of business, and the property address. The permit application may be obtained in the DCD office or downloaded at www.ci.hr_emerton,wa.us Provide at least four sets of plans with your permit submittal. Before applying for'an Occupancy Pen -nit, answer the following questions:, Yes No Was a Certificate of Occupancy issued by the city for the building or space previously? Name: Ms. a Is the previous business that occupied the space the same type of business that is Proposed? (Business office to business office, retail sales to retail as the building/space been vacant for less than a year? Is the tenant space or building less than 4,000 square feet? Will the plumbing, mechanical, and gas I systems remain the same? Will sinks, toilets, foot baths, exhaust fans, etc., remain in the same location with no AaAnes? Will the space remain the same? (No change to the structure, such as new walls, taking down -walls, installing new door, installing store racks, etc, Is the business I a minor hazard I with little V" or no combustible/flammable liquids, gases, or other hazardous materials? If the property is served by onsite septic system, a Building Clearance or Exemp- tion is required from the Kitsap County Health District. (360)337-5285. lL'\/"5 \'_ 4,--l- 9 City of Bremerton Department of Community Development PERMIT NUMBER: BB15 00083 DATE ISSUED: 03/19/2015 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 629 N CALLOW AVE (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3734-011-001-0003 Name APPLICANT: RAY & DIANE DONAHUE OWNER: PETERSON NEIL J FAMILY LLC CONTRACTOR: ❑ LENDER: SUBMITTED: 02/12/2015 ZONING: DCC Phone Address Access Code 360-779-6995 PO BOX 1106 7FDZ8-36MY6 POULSBO, WA98370 2135 6TH ST STE .101 YF2ND-7E8QS BREMERTON, WA98312-3957 f1 APPROVED: 03/17/2015 EX ATION: 09/15/2015 STATUS: ISSUED VALUATION: Occupancy Permit (Bus' ess icense - No remodeling) PENINSULA PAI CE ERS - OCCUPANCY PERMIT PENINSULA PAINT CENTERS - OCCUPANCY PERMIT TI No Work (Business License) $56.00 Building Code Edition: TOTAL FEES: $56.00 Occupancy Group: Type of Construction: Flood Zone: Setbacks: ////: (F/L/RT/R/O) Sanitation Method: Number of Bedrooms: 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 ofthe 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 home 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 AG T: E?� PRINTED NAME: DATE: f \ V ! I ! r CONDITIONS f City of Bremerton's approval of this application pertains my to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. (CERT OCC) The Business License and Certificate of Occupancy must be posted in a conspicuous place at the business location. The Business License and Certificate of Occupancy are not transferable or assignable. Printed by: Wolf, Valarieon: 03/19/2015 01:10 PM Page 1 of 3 City of Bremerton Department of Community Development PERMIT NUMBER: BB15 00083 DATE ISSUED: 03/19/2015 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 629 N CALLOW AVE (360) 473-5275 Fax: (360) 473-5278 2. (DCD-48) DCD: Occupancy Permit Conditions: This permit is issued based on the assumption that a valid certificate of occupancy had previously been issued for this tenant space/building for the same occupancy classification and use as before, and no changes have occurred. Following issuance, if it is determined that there is not a valid certificate of occupancy, it will be necessary to obtain a commercial building permit to address all of the occupancy requirements prior to any use or occupancy of the building. General Provisions: *All doors shall have barrier free hardware (lever or panic) and shall be openable from the inside without the use of a key or any special knowledge or effort. Exception: Key -locking hardware may be used on the "Main Door" provided there is a sign, with minimum 1" letters, on or adjacent to the door stating: "THIS DOOR TO REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED." *When two exits are required, the exit signs are illuminated with backup power. *All means of egress (exits) must be illuminated at all times that the building is occupied, at an intensity of not less than I footcandle at the floor level. *Guardrails are required wherever there is a floor elevation difference greater than 30". Guardrails shall be a minimum of 42" high and shall reject the passage of a 4" sphere. *Handrails are required 34" to 38" above stair nosings and above all ramps on both sides. *All stock and storage shall remain at least 2 feet from the ceiling throughout the building and in no case higher than 12 feet. *All storage racks exceeding 5'-9" in height require separate permits. *All signs require separate permits. *An expansion tank is required on the hot water tank to dissipate thermal expansion. 3. (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 360-415-4000 or www.Ini.wa.gov. (RCW 19.28) 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-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be II// IBC/ 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. 6. (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. 7. (LU29) 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 regualtions can be located in BMC 20.52. 8. (CROSS-01) A cross -connection (source of potential contamination to domestic water supply) inspection is required prior to finale inspection. 9. (GREASE) An approved grease trap/interceptor is required at all facilities that may discharge fats, oils, and grease into the sanitary sewer system. Contact Dave Carter at (360) 473-5927 for grease trap/interceptor requirements. 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 FIRE - FINAL FIRE - Final Inspection WATER - CROSS CONNEC WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigation) FINAL - BUILDING Final Inspection - Building C OF O Certificate of Occupancy Issued by Community Development FIXTURE LIST Printed by: Wolf, Valarieon: 03/19/2015 01:10 PM Page 2 of 3 City of Bremerton Department of Community Development 345 - 6th Street, Ste. 600, Bremerton WA 98337 (360) 473-5275 Fax: (360) 473-5278 Qty Fixture Type PERMIT NUMBER: BB15 00083 DATE ISSUED: 03/19/2015 Qty Fixture Type SITE ADDRESS: 629 N CALLOW AVE Printed by: Wolf, Valarieon: 03/19/2015 01 10 PM Page 3 of 3 B UILDING PERMIT INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building ® PlumbingEl 629 N CALLOW AVE PENINSULA PAINT CENTERS - OCCUPANCY PERMIT Mechanical ❑ Alarm/Sprinkler ❑ This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site. Permit # BB15 00083 POST ON SITE Call the following Agency Telephone Numbers for inspections: - Property lines shall be properly identified and marked before Building Department Inspections: (360] 473-5870 foundation footing inspection. Setbacks are measured to the finished wall structure. Water - Public Works: (360) 473-5927 - Reinspection fee may be assessed if inspection has been PW - Public Works - Engineering (360) 473-5270 requested when not ready or corrections are not completed. Kitsap Public Health: (360) 337-5235 - Permit, approved plans, engineering, and inspection card shall Fire - Fire Department: (360) 473-5386 be on site during construction or Reinspection Fee may be L&I - Dept. of Labor and Industry: (309) 415-4000 assessed. Inspection APP DATE Notes FIRE - Final Inspection IX e WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigation) Final Inspection - Building 31 1 S' -a B,( F rr f Certificate of Occupancy Issued by Community Development - 6 Gt.'s ( t, , 3 1 11 (' FINAL BUILDING (360) 473-5870 411 of the above must be approved. Approved Final Inspection grants occupancy for single-family residence only. '2ommercial structures require separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL Page 1 of 1 2/12/2015 Print Parcel Search Map Kitsap County Parcel Search + Yi i i k w ° :...,3 .... s ",....... 9TM T - 1 S LU �µ 3 ... .. 3 ® }j i 6TH ST Ui -. 3 4-a.1-aa1-aan'3 DISCLAIMER: This map is intended for display purposes only and is not intended for any legal representations. [Click here to Print] Legend Road Ramos. http://kcwppub3.co.kitsap.wa.usIParcelSearchIPRINT.ASP?C M D=SNAPSH OT&APAN=W &PID= l438498&C LIC K.X=136&C LICK.Y=163&EXTENT=%260 1/1 Peninsula Paint Center Floor Plan 629 Callow Ave Bremerton, WA FEET 1112 13 14 15 16 17 18 19 110111112113114115 16 16 Feet Front of Building (629-N. Callow Ave) 36" Door FEET L r� 00 5x7 Furnace 8 0 Room Auto M Tinter 0 50 Wash Auto Room Tinter Tint Room Stop 4� Sink (U Ma M 0 F- F- Storage Racking 0 rt 0 8,xl2 Storage Room 30" Door 48" Door 16ft CERTIFICATE OF OCCUPANCY CITY OF BREMERTON BUILDING DEPARTMENT of cez� jPiusade sued LOVELL PAINT & WALLPAPER 629 N'. Callow n GJj. coed �l!•acttlae a�irsicuiie mad de ocan�iseafs�le foro•�iaior� ��ie �uilals%n� Bade utenner` uraet%ri caleal. TYPE TYPE OCCUPANCY w" CONSTRUCTION OCCUPANCY LOAD COMMON USE VN -- - B2 33 Retail - November 3, 1988 Richard • Mumma .- - This certificate must be posted and permanently maintained in. a conspicuous place. - Permit No. Bus. Lie . " CD N < 0 Z � � O = CD CL *0 C 3 c. CD 0 5 0 2 0 0 <o Q Co v Z 3 � C L n CD 0 t �CD C c 0 z y N .p 3 N N N c 7 I�s o C y < O O art' 0 S cr CD rt c Q • 7 O v ac O C. CD O 5 O rt = O 3 rt 0 C#3 pr c W m g LU �D n cD cn O rt y O z 0 9 O m W c F° v z G) v m E Z 0 z m 0 m m z O A t O N n ao �m $ 21 A 0 A Z I m z W C m C �r m Z O C) Zo a aa CA) o � m Z PERMIT 629 N. Callow SITE ADDRESS Peterson CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 373-6553 ASSESSOR'S ACCT. # OWNER MAIL ADDRESS ZIP PHONE Pat's R•ner Service, P.O. Box 559, Brem, 373-4341 PATSBS174Ns 8/27/87 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MECHANICAL COMMENTS No. Type of Equipment Fee STOVES Gas_ Oil_ Wood_ FIREPLACE INSERT FURNACE Gas (Nat -I LPG._) Oil_ Wood add on_ Other_ Electric_ BTU y010 , G01-y; Type: Up flow_ Down flow_ Horizontal_ Wall_ CONVERSION BURNER: Gas_ (Nat._ LP_) Under 100,000_ Over 100,000_ Oil_ UNIT HEATER BTU_ Gas_ Elec.— BOILER Gas_ Oil_ Electric_ Other_ HP_ GAS SYSTEM Max. 5 outlet Total EVAPORATION COOLERS Roof_ Wall_ BTU_ AC UNIT Electric Gas Elec. Combo BTU_ HEAT PUMP Single Package_ Split_ Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CMF_ BTU_ FANS Exhaust_ Supply_ Bath_ RANGE HOOD Residential_ Comm._ ROOF DRAINS CLOTHES DRYER Res._ Comm._ INCINERATOR ALTERATION TO DUCT SYSTEM Heating/Cooling— Exhaust_ TANKS Oil_ Gas_ Propane WOK from Fire Dept._ Gallons REFRIGERATION UNIT PERMIT $ TOTAL FEE $ !� , I,�n 15.00 11000 27.00 FINAL APPROVAL No. ❑ PLUMBING of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BLACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private_ Public_ GROUNDWORK SUMP ALTERATION KIDNEY MACHINE Fee PERMIT $ 10.00 TOTAL $ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS- PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPILED 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 OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) RECEIPT NO. �7L- --.- PERMIT N e? 3333 (White -ORIGINAL, Yellow -INSPECTOR, Pink -APPLICANT) PERMIT _ APPLICATION CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 SITE ADDRESS �J ASSESSOR'S ACCT. » MAIL ADDRESS CONTRACTOR Class of work: ❑ NEW ZIP PHONE MAIL ADDRESS PHONE LICENSE NO. ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MECHANICAL ❑PLUMBING COMMENTS No. Type of Equipment Fee No. Type of Fixture or Item Fee STOVES Gas_ Oil_ Wood_ WATER CLOSET (TOILET) FIREPLACE INSERT BATHTUB FURNACE Gas (Nat. LPG._) Oily Wood add on_ Other_ Electric_ i LAVATORY (WASH BASIN) SHOWER BTU KITCHEN SINK & DISPOSAL Type: Up flow Down flow_ DISHWASHER Horizontal_ Wall_ LAUNDRY TRAY CONVERSION BURNER: Gas_ (Nat._ LP_) CLOTHES WASHER Under 100,000_ Over 100,000_ WATER HEATER Oil_ URINAL UNIT HEATER BTU_ Gas_ Elec.— DRINKING FOUNTAIN BOILER Gas_ Oil_ Electric_ FLOOR - SINK OR DRAIN Other_ HP_ SLOP SINK — GAS SYSTEM Max. 5 outlet Total %. WATER PIPING & TREATING EQUIP. EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease) BTU_ VACUUM BREAKERS & BLACKFLOW DEVICE AC UNIT Electric_ Gas Elec. Combo_ LAWN SPRINKLER SYSTEM BTU_ SWIMMING POOL - Private_ Public_ HEAT PUMP Single Package_ Split_ GROUNDWORK Add on_ BTU Ton_ SUMP MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION AIR HANDLING UNIT CMF_ BTU_ KIDNEY MACHINE FANS Exhaust_ Supply_ Bath_ RANGE HOOD Residential_ Comm._ PERMIT $ ROOF DRAINS TOTAL $ CLOTHES DRYER Res— Comm._ NOTICE INCINERATOR THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED ALTERATION TO DUCT SYSTEM IS NOT -COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS- Heating/Cooling— Exhaust_ PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TANKS Oil_ Gas_ Propane w/OK I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND from Fire Dept._ Gallons KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND REFRIGERATION UNIT PERMIT $ ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED 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 _ �� TOTAL FEE STATE UR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FINAL APPROVAL SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) (DATE) RECEIPT NO. PERMIT (White -ORIGINAL, Yellow -INSPECTOR, Pink -APPLICANT) M41793, Fee $ ----------------------------------------------------------------------- Receipt No. BUILDING PERM IT CITY OF BREMERTON • BUILDING, DEPARTMENT F. E. IRISH, Building Inspector Essex 3-1411, Ext. 36 `Owner's Value I Bldg. Dept. $ Value I DESCRIPTION: l Lot Block Additions Address on Job------------------------------------'_"r- _:---------------------------------------------- Date ----- ----------------' ----------- Building ---------------- X--------------- and ---------------- stories ------------------_--- basement. Lot ---------------- X----------- Front Yard ------------------------ Rear Yard ------------------------ Side Yard ---.-------------------- Garage -- ----------------- --------- Occupancy----------------------------------------------------------------------------------------------------- Zone ------------------------------------------ Owner------------------------------------------------------------------------- Address ------------------- ------------------------ Phone ----------------- Contractor --------------------------------------------------------------- Address -------------------------------------------- Phone ----------------- This permit is issued for: ---------------- ------------------------------------------------------------------------------------------------ -•---------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa.- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. Owner's Signature--------------------------------------'��r.....� B -r-r/�-�°�'(/ His Authorized Agent Building Inspector --- �2_------------------------------------ DFBy----------.y-,------------------------------------------------------------------ 1 —rJ� -i w � .� } %�_ r i I � f 1� �]! � :� � n ryj : } SL��y � K� i�J i�� . �5 •1 � —e�i � � '�—� I I _ I I I I I I - I I ` I I I I I I � I I 1 I I II I CERTIFICATE OF OCCUPANCY CITY OF BREMERTON BUILDING DEPARTMENT & NAYER PAINT AND DECORATING 629 N. Callow __ X460t�k, c�'ea �ia-C ice 4GuicGvie mark �e �,ufi�a/ .�te��D%oia�� a��ie ��rcr�'a�'n� TYPE TYPE OCCUPANCY COMMON USE CONSTRUCTION OCCUPANCY LOAD — Retail VN B2 53 January 8, 1991 61 David A. Nelson This certificate must be posted and permanently maintained in a conspicuous place. Permit No. Bus. Lic . Q W a Z W �a w G DO . 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