HomeMy WebLinkAboutCALLOW AVE. N., 641
PE-te*I\SON N.,'
Mechanical/Plumbing Inspection Card
m PERMIT CENTER
.. 286 Fourth Street, Bremerton, 'VA 98337
.' .. · Phone: (360) 478-5275 Fax: (360) 478-5278
1580"'- O/c:3~dress: ~lfl ~ C'lfl/cw
Permit No.
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iii'Q'UM;'... .....,.........'..EQUIPMENT............,., :?"irnPll 'OVED ':...N0.T:APPR?D, ~
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J Gas Piping (outlets) -11 f2l
Furnace V
Hot Water Heater
Wall Furnace
Room Heater
Gas Fireplace
Gas LoO"s
~
Gas Stove
Gas Range
Gas Clothes Dryer
Wood Stove
Pellet Stove
Boiler* *cross-connection approval req 'd by Public Works t\\
Propane Storage Tank* *Location must be approved by Fire Dept. 0
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Other:
.
Other:
DQ
Additional Comments:
R~EtVr' GA-~ ~4w9 ~'K '773;ek~
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FL!\C4L LVSPECTIOIVIAPPROVAL TO SET A1ETER:
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Date
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PERMIT NUMBER ~~:~_~'iJ
DATE ISSUED: ~1l/29q4r-i'-1
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3734-011-001-0003 ZONING: CD SITE ADDRESS: 641 NORTH CALLOW AVE
PETERSON NEIL J FAMILY LLC PHONE: ADDRESS:
PETERSON NEIL J FAMILY LLC PHONE: ADDRESS:
MARK AIR IINC PHONE: (360) 874-2239 ADDRESS: 534 TAYLOR ST, PORT ORCHARD, WA 98366
ADDRESS:
12/30/2004 A EXPIRATION: 06/28/2005 STATUS: ISSUED
SUBMITTED:
VALUATION:
Mechanical Fixture Fee
$33.50 2215
REPLACE PIPE FROM GAS METER INTO THE BUILDING
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
TOTAL FEES:
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. 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.
rmit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
//Ph,fL <C//.t'4/tp.u.e'e/~
DATE:
~1J4r
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.
1. (DCD-01)
DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency
(Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations
require an asbestos survey be performed to determine whether there are asbestos-
containing materials in the work area or structure. The asbestos survey must be conducted
by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied
single family residences).
DCD: For more information, please contact Clean Air Agency through their web site at
www.cleanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be
found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm.
~
2. (DCD-02)
~
Page 1 of 2
''"
PERMIT NUMBER
DATE ISSUED:
ASSESSOR NUMBER: 3734-011-001-0003 ZONING: CD SITE ADDRESS: 641 NORTH CALLOW AVE
APPLICANT NAME: PETERSON NEIL J FAMILY LLC PHONE: ADDRESS:
OWNER NAME: PETERSON NEIL J FAMILY LLC PHONE: ADDRESS:
CONTRACTOR: MARK AIR IINC PHONE: (360) 874-2239 ADDRESS: 534 TAYLOR ST, PORT ORCHARD, WA 98366
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 12/30/2004 APPROVED: 12/30/2004 EXPIRATION: 06/28/2005 STATUS: ISSUED
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Mechanical
Plumbing Groundwork
Final Inspection - Building
Qty
Description
FIXTURE LIST
Qty
1
Descriptior
Gaspipe System LPG/NATL/OIL
Page 2 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
Receipt Number:
80000025970
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Mechanical Fixture Fee
1/2215
$ 33.50
Total:
$ 33.50
$ 33.50
$0.00
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Total:
$ 33.50
$ 33.50
CREDIT CARD
Page 1 of 1
;c I'TY xn: '
BREMERTON
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U.I \fU DEe 30 2oor~~1IT CENTER
BREMER10N
,~lt[l\NG DEPARTMEfrr
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Site Address:
r;q/;1/fA!~0 Ave-
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
GAS FURNACE btu: LA V A TORY (BATH SINK)
CONVERSION BURNER btu: SHOWER
UNIT HEATER btu: KITCHEN SINK
BOILER btu: DISHWASHER
I GAS PIPING ~v1A ~~II. -h:v aml;a..t.c<l.-- LAUNDRY TRAY
EVAPORATION COOLERS btu: .. CLOTHES WASHER
AlC UNIT btu: WATER HEATER
HEAT PUMP btu: URINAL
REHEAT BOX but: DRINKING FOUNTAIN
EXHAUST FANS FLOOR SINK OR DRAIN
RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAPIINTERCEPTOR
CLOTHERS DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
OTHER: OTHER:
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
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Applicant's Signature
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Date t
Map Layout
Kitsap County Parcel Search
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DISCLAIMER: This map is intended for display purposes only and is not intended for
any legal representations.
[Click here to Print]
Page 1 of 1
Legend
Parcels
Road Names
Military
Cb
b,s, 1
http://kcwppub3.co.kitsap.wa.us/website/parcelsearchlpresentation/chameleonIPRINT .AS... 12/30/2004
Kitsap County Assessor's Property Report
Page 1 of 1
Property Report
Tax Account No. Process No.
~734-011-001-0003 111438498
ProRerty Class: 1590- Other retail trade
Situs Address
11645 N CALLOW AVE
Parcel Information
Tax Code Area:
Jurisdiction:
Sec-Twp-Rng:
~hborhood:
Last Inspected:
10010
IBREMERTON
115 24N 1E
18100503
121-FEB-03
1# of Buildings:
I Acres:
I Zonin&
I Account Status:
I
14
1.64
ICity
IA - Active
Taxpayer Information
Name:
Mailing
Address:
IPETERSON NEIL J FAMILY LLC
II
http://kcwppub2.co.kitsap.wa.us/plslilisw/lis.online _lis_info --pkg.acct_info?p _in JP _ acct... 12/30/2004
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~ :~ '~fi. .'. '. . .
\~,~ ""'CERTIFICATE OF OCCUPANCY '.. '.
- ~.
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.' . ~ .' CO~.;':U'h'ON OCC'G::NCY bC~~NCY
.~ '. . VN B2 20
- @ate:
:. f7~ ~. ~ to KING IMPORTS
'~ot .' 641 N. Callow f!lj~,.O)fa<J~
.~ /Iud the ~ "laJI.k oa:,ufUul mith the ~o/ the f!lj~
.~ of the ~ of f!lj~ ~ Iwudn ~
COMMON USE
Retail
/A~': /J
May 1, 1991- . (/'c/ A/~ .
. f!lj .. @/j!kud L'~d'~.. Nelson
. ':0. .. . This ce~ificate must be .posted and permane~t1y maintained in a conspicuous place.
Permit No.
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Fee $..n........5....~...n....===.mmm.m.~.n..mm...n. Receipt No. nmm/_J..k..4nn"_nmnnnmm.
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BUILDING PERMIT
CITY OF BREMERTON BUILDilNG DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
Owner's Value I Bldg. Dept. Value I DESCRIPTION:
$ --1< vi. ':.:-.-1 Lot Block Additions /
Address on Job _._._.L-_:5!.l.mm!ZJLm_m__C;-:-/_t'!:._c:.__h____m_m__m_mmm_m Date __00/1_=-:-.:000./:1.__.000____1967'7
Building _000__000_000___ x _000__000__000__ and ____.000.000_000 stories _000____000__000__000000 basement. Lot ____.____._:000_ x _______nm____
Front Yard __mmmmmm.m Rear Yard __000000000___000.._000_ Side Yard _u___._____h___mm_ Gatage /__mm____._mu__m__hn
Occupancy __ _ _. _ _ __ _!! _ _ _ __ _ _ __ _ _ __ - - - - - - - - - - __ - - - - - - __ _ - _ _ _ - __ _ - ___ ____ - _. - - __ - __ - ___ __ __ _._ - ____ ___ - - u __ u __ n __ - Zone - - V - __n - ___ nO. - ___. - - - - __ - - ___ n__
Owner ____________nJ_tJ<t..{.!'..___ ..I:(_.(_~4../h_~:~~,/___._ Add ress _______ _h_u___hn.___h___.____________ __ Phone_____nn____n_
Con tractor _____Ala'3:J'.,-?.~:'____._._;h;.:r:0_!________s.,~m_n Address_ ___n__n_ _n_ _n_ _n__ _______ __________00__ Phone_____. m_______
. - . . vi" ~. .
This permit is issued for: ~-(~-.,_:..v-r
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - -- - - - -' 7' - -;.- - - - - - -. - -. - --.. - - - - - - - - - - - - -'- - - - - - - - -.. - - - - - - - - - -.. - - - - - - - - - - - - -- - - - - - - --. - - - - - - - - - - - -. -- - - - - - - - - - - - - - - - - - - - - - - - - - --
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.
. _ _ __ _ _ __ __ ___ _ _ _ _ _ _ _ _ _ _ _ _ ___ __ _ _ _ _._ _ _ _ _ _ _ _ _ _ _ __ _ _ __ __ ____ ____ __ __ ___ ____ _ __ _ _ ___ _ ____ .._ _ _ _ _ _ _ _ __ _ __ __ __ _ _ _ _ _ _ .1__ _ __ _ _ _ __ ___ _ _ _ _ _ _ __ _ _ __ _ _ __ ____ _____ _____ ___ ____ ____ __________
Own e r' s Signa tu re _ n _ _ __ __ _. _1_ _ _ _. _ _ _ _ _ _._ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ __ __ _ _ _u _ _ By _ _ _ _ _ _ _ u _ _ __ _ _ _ _, _ _ _ _.. _ _ 00 00 _ __ _ _ ut.. u _ _ u_ _ n _ __ _ _ _ _ _ _ _ __ _ _ _ _ _ _n _ _ n _ __
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B uil ding Inspec to r 00 _ _._ u 00 __ _j/:~ _ _ _ 00 _ _, 00' _&:<:-"-~ __ 00 _ __._ _ _. _ u n u _ _ _ _ _ _ _ _ _ _ _ _ _ n _ _ _ ____
~ OF By ._u_u__.____n__n_..___n_______n________________n________________u_h __ _ _ ___ _ _ _ _ _.
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HANSO'N SIGN COA1PANV
P. O. Box C - Wycoff Sta.
, Brernerton, Washington 98310