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Home My WebLink AboutCALLOW AVE. N., 900 FROM : HANSON SIGNS FAX NO. : 350 513 9515 Ma~. 03 2007 09:47AM Pi FACSIMILE HANSON SIGN COM.PANY, INe Mailing Address: PO Box 928 0 Silverdale 0 W A 0 98383 Street Addfess: 9438 Willamette Meridian Rd NW 0 Sllverdale 0 W A 0 98383 : Voi~ePhone (360) 613-9550 Fax (360) 613-9515 i ' Date: 5.~D7: To: rclt o..P ~ Phon~- 5-Z~-' I Number of pages (in'cluding this cover sheet): {>M, ~ -t;D ~:,>\iwLb \)lL~S ""'- ~ .. ~\\c\L~ . ~~ e ~ fM. ClOD NC-Atl0"\.0 A-Uec wtZ. WfWa. ~t)+ ~lrt. t'C S~ ~ &t9tJ l~~+AA~4H_~ w..\-t\ NYU....\- ~L 6-7. Ot - ---rhRSl'7~~ ~ %lS ~t+n. MfL ABau+- ~ ~f\Q... tPl~SC. ~ ~~ ~ ~.lft).FiA) . w~~ u~ U t;iL ~,J t <<iH-fLD ~L +'h +1.-L l t:J ~ ~tr-vP, IS\- ,g Y su~ l ~ +, Attn: ~\- Fax # 47S- 52./ e, p~ #5 I I @Db owco7el rtJo #O~ ~- ~go6 OD779 f'dO A/OK-t//. ern%cJ--. ~~ ~i" I If this fax has ,reached you in error, please ca1l (360) 613.9550. Thank You! ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: SUBMITTED: VALUATION: Building Permit Plan Review Fee State Surcharge TOTAL FEES: . CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER 880600781 DATE ISSUED: 11/17/2006 345 . 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 3735-023-001-0106 ZONING: DCC SITE ADDRESS: 900 N CALLOW AVE HANSON SIGN CO. PHONE: ADDRESS: SAFEWAY INC 1467 PHONE: ADDRESS: 1371 OAKLAND BLVD SUITE 200, WALNUT CREEK, CA 9E HANSON SIGN CO INC PHONE: (360) 613-9550 ADDRESS: PO BOX 928, SIL VERDALE, WA 98383 PHONE: ADDRESS: 10/17/2006 05/16/2007 STATUS: $7,300.00 $153.25 2211 $99.61 4580 $4.50 0236 $257.36 Sign Permit REMOVE EXISTING PYLON SIGN AND REPLACE Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant 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 ISSUED 1 TOTAL (360) 473-5380 (360) 337-5285 (360) 473-5270 This permit shall become null and void if the described and 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 day's. 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 thi" 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 p f al inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. I have read, and agree to abide by t SIGNATURE OF OWNER OR AGENT: PRINTED NAME: 1~c0 DATE: CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with Cit regulations does not necessarily ensure compliance with federal or state laws. 1. (DCD-14) 2. (DCD-22) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection. Building Plan Review: Code Compliance-All work in the City of Bremerton shall adhere to the following 2003 International Codes: International Building Code International Residential Code International Existing Building Code International Fire Code International Mechanical Code Uniform Plumbing Code International Fuel Gas Code 1998 WA State Barrier Free Code 2001 WA State Energy Code 2000 WA State Ventilation Code Page 1 of 2 . CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER BB0600781 DATE ISSUED: 11/17/2006 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3735-023-001-0106 ZONING: DCC SITE ADDRESS: 900 N CALLOW AVE APPLICANT NAME: HANSON SIGN CO. PHONE: ADDRESS: OWNER NAME: SAFEWAY INC 1467 PHONE: ADDRESS: 1371 OAKLAND BLVD SUITE 200, WALNUT CREEK, CA 9< CONTRACTOR: HANSON SIGN CO INC PHONE: (360) 613-9550 ADDRESS: PO BOX 928, SILVERDALE, WA 98383 LENDER NAME: PHONE: ADDRESS: SUBMITTED: 10/17/2006 APPROVED: 11/08/2006 EXPIRATION: 05/16/2007 STATUS: ISSUED Check For All Washington State Amendments. 3. (Project-Specific) 4. (Project-Specific) Monument signs shall not block visibility per BMC 20.52.070. The base of the monument sign shall have a landscaped island at the base of the sign equal to or greater than the sign area, per BMC 20.52.090(e). 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. Foundation Footings Landscaping Final Inspection - Building Page 2 of 2 , -~ .) ( 36" rI 8" 2" 3'-6" 8'-0" 2" 4" SIDE ELEVATION 3/8" = 1'.0" fNl1a~ 30" 2J l 2" II 1 7' -0" 16'-0" II SAFEWAY - -- I ~ - - - - - - -- FRONT ELEVATION 3/8" = 1'.0" NEW DOUBLE FACE ILLUMINATED MONUMENT SIGN FABRICATED ALUMINUM TOP CAP PAINT TO MATCH ALUMINUM CABINET PAINT TO MATCH FLUORESCENT ILLUMINATION AS REQUIRED WHITE POLYCARBONATE BACKGROUND LOGO TO BE RED AND WHITE LETTERS TO BE BLACK 2" REVEALS PAINT TO MATCH SPLIT FACE CMU BASE TO MATCH ALL COLORS TO BE DETERMINED NOTE: ALL SURFACES SMOOTH AND SEMIGLOSS fD)~@rnD\V~[Q) u-u 0 I OCT 1 7 2006 BREMERTOI'J-Dl~i)-I :__-'f" COMMUNITY DEVELOPMEi\1i . .. . ~~~j~ ~~~a ~~ i ~ ~ ~~ W ~ u.. w <:( ~ V1 ~ TITLE: MONUMENT SIGN Date: 9 9 06 Approved Signage Consulting Permits / Variances Design Purchasing Project Management C.S. Sign Corporation PO Box 50727 Bellevue, WA 98015 Voice: (206) 949-7050 Fax: (425)861-9594 h,',:,;~, I ',' , ! l l ~ ''') '" ,\ ' II f\\<TJ\\:)\lM ~J.J~ S I G-N G f11~+~d\lMQ.J\i)~+~\C.' t)';(~ ~\~-ti~ e. c D~CRiU"E B" SE, "?,r"~ '.. I' \0 PIPE... f-- I , I ~; -~ . . ."'. ~....l-H I 0' (-~T .) I II" -, II -U ,f 2.. " c... X t\(D S ~LfZ... IR~ S'&N~ '( " v'?- X. \ ('2. S~+ ~H s 4. E-A " 'D::> P ~ ei:>t\cNl -~ I I '(BRJ\C1C\---~-7' I ~ \3.~d~) I I I =-___1- _ , . -~~- ~~ 4 \h' c:.K CE m8.tJ r 'Pf\D -'- ~DfL BRJ(_~ ~ __.f~ ~~-------- I I I . 1 _~j ~__::.::_'_c___ , ~--:~~'oo_--:--~~-::----~==...o;----_.-~ ~'-- --- - --='~ , -- I---;-~' 1(_ - ,tJ I I . \. I \ K~IJS ' B<\~TIN& (c)/~ I 8:.h,40 p\P\2.. " iZST, CONCRld-Fi.. ') I FoO-t\~ ~ ~')(S'X(o'l i 'DEa: ~ /1 , ~ Cu- "^L:. / I i ,Yj),ILVj '_ ---------/ ~ r-, - ~~------'~------- =- \S+\ 0q featl ~9 -- ~ esT, @ ~'x6')(t..o'Ciav~ r) /1 - / -,.~ 'IC15 / ------" ~/.'\..._-------,/' -- "-.------~ ---...., ::- .-- j.":;1 v ~':,\ >",. .\", , \' . ~ ' .,.",., C.S.,Sign C~po~ation ,PO;aox,59~.2r:~~.~',~,,,,,,, ' Bellevue;',WA" 98015'" V:oioe':';(206)'94~7050 .'~ ;;,..".' ';~1t" Fa~:>(~~~')~~~~f~..t9~~': "" ,., :.;,' ", ,'" :~~ , _ J'.'f:':,~ .____.___._~_~~__...._.~_,.......:_____,~~~~,,~,.,>.~_;_,~--...,.._~_..._._o-._,."",;,.,..."""_"=...,~">""""C.,.",.,"""'_i~_""""',"""'''';...:J.'''..,~~~J~V".;~.;~ii", i. .....,. .'- I ~~ I tt ... 411. _I'~ ~ HlttC-- ... ... NORlH MONlOOMERY AVE. ... RESlDOOAL . N SITE PLAN 1U=60'.O" ="'" . ;'1":"" "'1':' .,.,:.....,:..;'i':'\I-::':." '.1;.", , ~ . . , '" ~,~ 'j!. . .:!<~{~~~ : ~:,.0~~ ~.~~ 'f'1:'I'LEi SITE PLAN Date: 9 9 06 o Signage Consulting Permits I Varianoes Design Purohasing Projeot Management I...... ' , " 3GN"G~ rn~ Th~ .so~ ib~ L..'ltLl '\3F[ 0LuSh4J ~ .s ~ D ~ ~ 'f1vq { t\-:3 f.luL ~ pflt}). ERMIT CENTER 1313Gb 00 '7~J beL t Js, r 7 " ., SlG~ G t'f\~,. 5\ct~ Building Permit Application De 1. of . ; , 45 - 6th Street Suite 600 * Bremerton * W A * 98337-1873 73-5275 * Fax (360) 473-5278 ~::"" ~.'~';~~L" M ~.: . .. . ., \ . . _. , .;" !J""I";fh"'I"'. . .' I 'l ,. .. ,'. ' ~~~::.J.,<":..::;.;.~:'.\i _ _' '\ .J . Site Address: ~L\)J:\" What is the aDDlication for? (Please check one) o NEW SINGLE-FAMILY RESIDENCE o NEW DUPLEX o NEW MANUFACTURED HOME o RESIDENTIAL REMODEL o RESIDENTIAL ADDITION o RESIDENTIAL REPAIR o NEW COMMERCIAL o COMMERCIAL REMODEL o COMMERCIAL ADDITION o COMMERCIAL REPAIR o NEW MULTI-FAMILY o TENANT IMPROVEMENT o NEW GARAGE/CAR PORT o NEW ACCESSORY BUILDING [ZfNEW SIGN b STRUCTURE DEMOLITION o GRADING (Cubic Yards: ) o OTHER: ________________ IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YESD NO ~ Scope of work proposed: ~\J ~ ~-h...." 100 rJ> flj~ ~ 19'" ~~~ - ---~~ ~~ AS Square Footage: Dwelling: Garage: Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees 99; t/ 1S-3 ' zS" isu ~7t:5 h . \ \ 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 retumed 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 applican ave prevented clion from being taken, No applicant shall be extended more than once. In order to renew action on an application after e ,ira 'on, the appli nt shall resubmit plans and pay a new plan review fee. .JD-/l-Q(P Date 8GN"GU rn~ Th+i. 2ou~ ta~ ~(l\ '&l ~u~ ~ ,s18 to ~ &., +M{' M ~ ~ PfA~. ~ Site Address -, PO C 1I111J1AJ AIIL Project Descnptmon YJfc"';#f /AUIJ1& &~ Building II Plumbing D Mechanical D Alarm/Sprinkler D DURING INSPECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE Permit # .!! .!! Q ~ - -/)0. J J 5l For Inspections Call (360) 473- 5870 BUILDING PERMIT INSPECTION CARD ~+~ .~-~ I. . I iT) I~ In- . c~ .!? /:" ); f \. "I'TJ.;c9f, . ~~;-:ddmirON ; ,,~:,.....::. -.-; -,: .... -. ....'.<.--:-.., PROTECT THIS CARD FROM THE WEATHER ~@@u @~ @Du~ 1st Erosion Control In Place FOUNDATION DO NOT POUR CONCRETE Foundation Footing (Check Setbacks) PRIOR TO APPRO V AL Foundation Walls Plumbing Ground Work In Slab Mechanical Footing Insulation 2nd PLUMBING Rough In MECHANICAL Duct / Vent GAS PIPE Support / Test / Meter set 3rd Under Floor Framing FRAMING If 1 sf & 2 nd are approved Shear & Hold Down Connections L&I Electrical Approved ~ Ventilation Requirements Framing th Under-floor 4 INSULATION Walls Ceiling th ~ 5 SHEETROCK ~ ~L ~~NG 473-5870 ~ All of the above must be FINAL ELECTRICAL Dept. of Labor & Industry 415-4000 ~ approved ~ prior to final WATER MAINTENANCE 473-5927 Grease Trap, Back Flow, Water Meters '-4) PUBLIC Driveway Approach 473-5270 WORKS Sewer Connection 473-5270 FIRE 473-5384/5385 ~,LL FINAL INSPECTIONS COMPLETED Occupancy Approval (Single 473-5870 Family Residence Only) Approved Date Notes ~ DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL PROTECT THIS CARD FROM THE WEATHER FROM : HANSON SIGNS FAX NO. : 350 513 9515 Ma~. 03 2007 09:47AM P1 FACSIMILE HANSON SIGN CO:MPANY, INe Mailing Address. PO Box 928 0 Silverdale 0 W A 0 98383 Street Address: 9438 Willamette Meridian Rd NW (> Silverdale 0 W A 0 98383 Voiye Phone (360) 613-9550 Fax (360) 6) 3-9515 Date: 5.~o7 To: rd:i oJ ~ Phonj;~ S2.~, Number of pages (including this cover sheet): . ~ I ~ -\-D CW\;:;,~c..~ 'i)1L~ ~ ~ ~ . ~\\c\LJ.~~ fl..~ e ~r~ nY\ QDo NC-Atl~ A-Uer- I \ W TZ. w fUl.fi.. ~E> + ~li( m '5~ ~ &'9 ~ l,:)~k.L 'A4-t L"'- W~, NfU..+- ~L 6-7.0/ - lhR: -Sl'1~ r~ ~ %l~ slk &Rfi. ABat)+- -k> ~f\t2... tPt~Sc.. ~ '+-i-L~ ~ ~tvu.fU) . tN~_ Ul- U 8iL +t,.) t <;; Hfw L.,), +h Y\...t..\ ~ <;. .wv..+, 6\-. ~ Y S L>,.JIC. 1st. Attn: ~~ Fax # 4'73- 52/ ~ p~ itS &BDb ow co7e I ~g06 CjtJo PO~ ~_ OD779 :(00 NOleft;'. ~l.J---< k~- ~" ~' If this fax has reached you in error, please call (360) 613-9550. Thank YOUI . ~.~ CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER BB06 00779 DATE ISSUED: 11/17/2006 345 ' 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER:, APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 3735-023-001-0106 HANSON SIGNS SAFEWAY INC 1467 HANSON SIGN CO INC SUBMITTED: 10/17/2006 VALUATION: $10,850.00 Building Permit Plan Review Fee $195.25 2211 $126.91 4580 $4 50 0236 $326.66 State Surcharge TOTAL FEES: Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries ZONING: DCC SITE ADDRESS: PHONE: ADDRESS: PHONE: ADDRESS: PHONE: (360) 613-9550 ADDRESS: PHONE: ADDRESS: AP 11/0 06 EXPIRATION: 900 N CALLOW AVE 1371 OAKLAND BLVD SUITE 200, WALNUT CREEK, CA 9f PO BOX 928, SILVERDALE, WA 98383 05/16/2007 STATUS: ISSUED 1 TOTAL (360) 473-5380 (360) 337-5285 (360) 473-5270 This permit shall become null and void if the described and 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 i and tenant occupancy permits are requir d to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. Sign Permit REMOVE ALL FASCIA SIGNS & REPLACE Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant (360) 473-5870 (360) 415-4000 Fire Inspections HID: Bremerton, Kitsap County Health District PW: Department of Public Works I have read, and agree to SIGNATURE OF OWNER AGENT: of this permit including all conditions of zoning, building codes, and State and Federal laws. PRINTED NAME: .I !-17-Db DATE: CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with regulations does not necessarily ensure compliance with federal or state laws. DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection. Building Plan Review: Code Compliance-All work in the City of Bremerton shall adhere to the following 2003 International Codes: International Building Code International Residential Code International Existing Building Code International Fire Code International Mechanical Code Uniform Plumbing Code International Fuel Gas Code 1998 WA State Barrier Free Code 2001 WA State Energy Code 2000 WA State Ventilation Code 1. (DCD-14) 2. (DCD-22) Page 1 of 2 .,t clTY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER BB06 00779 DATE ISSUED: 11/17/2006 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3735-023-001-0106 ZONING: DCC SITE ADDRESS: 900 N CALLOW AVE APPLICANT NAME: HANSON SIGNS PHONE: ADDRESS: OWNER NAME: SAFEWAY INC 1467 PHONE: ADDRESS: 1371 OAKLAND BLVD SUITE 200, WALNUT CREEK, CONTRACTOR: HANSON SIGN CO INC PHONE: (360) 613-9550 ADDRESS: PO BOX 928, SILVERDALE, WA 98383 LENDER NAME: PHONE: ADDRESS: SUBMITTED: 10/17/2006 APPROVED: 11/08/2006 EXPIRATION: 05/16/2007 STATUS: ISSUED Check For All Washington State Amendments. All signage must meet the requirements of BMC 20.52. 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. 3. (Project-Specific) Final Inspection - Building Page 2 of 2 . ,):.' C)P~~I~~I&;~~~~. 15 0 0./ ''''''' '""{~Cj.i~{;: i o CO LA.! ll~,' 0';>'':.1' b ,;1>1 ' c c.... "">','1 " ," , .. J I , ",',1 'DlSJ 7 ,( '~I I ! i J.' ~l\dl~':;~t~~i'S' A,~,C.J)t E,F ~ "', . '~ 11'1" .~I ;:-:. " . , 0 \:: . " , PERMIT CENTER c-~~-; ~ ~-- --~ ~~~ (Jf'~J Building Permit Application Site Address: '~" CftJ:LN I ~\.\trt.U ,AUf. tAYtr What is the aDDlicatlon for? (Please check one) , 0 NEW SINGLE-FAMILY RESIDENCE IOMMERCIAL REPAIR o NEW DUPLEX c. 00 @ @ ~ U W ~ EW MUL TI.FAMIL Y o NEW MANUFACTURED H \ ENANT IMPROVEMENT o RESIDENTIAL REMODEL OCT 11 2006 NEW GARAGE/CAR PORT o RESIDENTIAL ADDITION 0 NEW ACCESSORY BUILDING O BREMERTON-DEPT. o~ . RESIDENTIAL REPAIR COMMUNITY DEVELOPM .,,' NEW SIGN ,0 NEW COMMERCIAL , STRUCTURE DEMOLITION o COMMERCIAL REMODEL 0 GRADING (Cubic Yards: o COMMERCIAL ADDITION 0 OTHER: IS THIS PROPERTY WlrHIN 200 FEET OF A SHORELINE? YESD NO 0 , · Scope of work proposed: ~~ M\ &l\'d~ mru,..)ffl.o S\.~S ~ ~\,~ -_ Pres ~f(Q &=. ~ Square Footage: DwelHng: Garage: Decks: " ,;;- , . Valuation ' Plan Review Fee ' Permit Fee SurCharge Total Fees ;;.',1/ ! c;J, :1-s 'lo-O J jt; ~ :6 , Application for which no perm IUs Issued within 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be retumed 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 prevent action from being taken, No appllcal)t shall be extended more than once. In order to renew action on an application ' a,ft ex ration, the ap lleant shall resubmltplans and pay a "$\V plan review fee. to-lt-ob '~''"'/' -;': .. Date ':\.':f.;,:\!. . :,,~ lr -l :~;~ / i -------------; ----------~ ~~~ t!~ p~ rm.:;l r ..rJ -~m ~ i~ fj :v ~ CA (~ VI 08/07/2003 13;10 08/0S/2083 12:~1 15099274585 1613473'5278 PRO SIGN l:lKt.1"t.1'\ I WI 'I "'''''U -" ~ b. PAGE 02 ~~J- ~~ d' /<9 '" \f\ t) ) ~ / Y V 'Jf' \ Q vJJ ., BREMER TON PE~MXT CENTER 286 4th Street. 8~"erton. WA 96337 Phone: (360) 47e-5275 FAX: (360) 478-5278 eUIt...DING PERMIT J-:)b Addr: 900 III CALLOW AVE Permit No: 03-00% Location; SAFElIlAV staLis: ISSIJED Paroel No: APplied: 03/04/2003 I$suecl: OB/06/2003 Applicant; PRO SIGN nle 509.~n7-3925 E;~pi n!$: 02l0~/~OO4 10021 E KNOX SPOKANE iliA 9~206 OWf'ler: SAF'(IIIAY 900 NORTH CALLOW BREMER TON WA '8312 contraetor: PRO SIGN INC 10021 E KNOX SPOKANE WA 9920~ 509-927~3~2Lic ,: PROSrI*110BT Exp: 03/09/2003 $ubcont r.: 0.$0: INSTALL 1 1"6" X 6" FT ILLUMINATEO WALL S!GN FOR W~STERN UNION OFFICE INSIOE SAFEWAV STOPE *~**.********~*************~.*****~*.*.*~******.**~*.*.**..***<<.***~***~****~~~~*****.***~*~~ valuation - ~trmit Fees~ 28.5D Total Calculit~d F$~; 4S.Z8 d28.00 * Plan Check Fees: 15.2B Ad1itiQnai Fee.s: .00 . Ot~er Fees: 4.50 Total PermIt Fe~; 43.28 ...*****"****~***********..*****.*****f~~~~**f.*.*****~***.~%*t********~tx*****_*****~~~t***~~ "1'118 peoY"la -hIall ~1:l/lIe lYJll ~l-.d void l' ~t'M!.> blJi 1.:H.1'1liI or 1oI:l~'k .uthol'"1.%~ bl' ':h:\(!l J:l~Ymit b l'!Ot ~ed t.lil:hi." 180 ~)'. f1"Ol11 tl'Ml da~e of such pend!:. ='1" 1f thilll I:\iilding O~' I,,".:"'k 3Vt.MYiz:ed by l!IJ.ctl r>lfr<\11t. is ...wl(lp~ J:>" ~TldQMd -II.'\: .",.. "llf. ~ft.~. thfl WOylr 1s ca.v.....-.:I foy Ill. I"ll'dod of 11llO ~)'8I. IlOTIa!' - ~~ hI tlW Y_ol"tlU.b1].~i:)'. of t,.,. permit ml~T'. !'ll:1t 1:"'" City of 8.~~y1;.o" Qr at.IildilT,l Ofhr.1al to _ tCj h thttt 1".qJ.l~"1!'d 1t191'l~t~~ ~nt mot\c>>. Thlt r:>",,.,nit f-te\lder rrlU$t ,,~H>, the &.dldi~ O1'Hd"'l wh@"l .r'eadY 1'-:>~ l.fl1l:I:leetiol'JO. FailIJ.YC! of the P~1"/Il1t holder to nCli:! 'f'y tn. I!lo..lUC'Jll"1lB Oi'hei:a1 of rp-~J red i~ioN rm;y yf1(!ll~1t. In t~ ,topllaGe of the I.l<;Irlc untU wet'! U-. Vtl!lt. t~ pe.,.Mjt htllOtir can Ili't~l::l!!1:arrl:ill.f:.. t.o t'w toJi.ldiT'l'l;l off 1e-is1 :hat tl'1e COI"ICftl.-d 1~"1c. _till or 1Ir~ oode l'"e~irt'mtP"tlil. Al'l'1 d8mt:1liti.on. tE'$t1rs. or fiNll'lC:itll bu"Cio;r-l ~rl;!;l' :. t:o~ dirC!etb' by the p!'>'lnit ~l~t. f"ailOJT'oll to t1U~~nt1a.t.", ~ ,-'!?,;"d I"_rtt.9 wjl ~ i~H~' ~\~ CH~.' oQlIli.-..t ll'I"Y ~ aU Y9'ePone~bi1ib' <;IT lt3bili....,.. ~hd with t.~ <='I!!Itl"\,\(O:1oion. : ,.,.,..by CIP,..tjf>, 1;hat I ~I/. read lll"lCl !'xamiT1ed t.his PfltYfIIU lilnd kTft:lW t~ t'lJltne tlJ ~ h'lI4!' IInd ~l",,~t. M I 'r'OV-a..1one ei' 1_ arld CYd11"1S.l"r,;fIt(!II :iIOW'~1na th13 t)"fJ. of WOy~ ",Ul !:It> c~Ued ~'il;.h wheti1<tr "'Pecif':ier:J MRr~i.n 'Y net. Thlt lllr_nti.,.,. 0- 11\ P,"YIIh. ~ ~ P'r'ftW'/l'I ~e 9iv~ aut..I'lOYHy to vlolat. C''' c;lln~('l '1:.M4t ;>Yr.,,";\.'i,O'I"~ or .." ,",0." -:Z ,...., 1.w --m """'t '"'''~ 0' tho ,.rl"..~. of =- """'~. .,_...,.,l{ ~ ~ "..,,)0 <1/bjQJ_ eerti-l'y t;l'lII.t I QM .x_t. i'YQlII 1:1'w ,-equirerllltTTt._ 01' 't'" .tn~~ eont.rge;;;o""~ I"lffiI18tr..l:.i"l'1 ~~_. ll~~ .-c.."Uon 3, Cl'Wlt.r 126. lllW!!l of 1'11e7. ~1ma1;I.(Y~~ ~t.:_ .~~x~****.****.**~*~**.*** ~ ermit Center--AFproved BY:~_ D~te: . tfJro3 08/07/2003 13:10 15099274685 08/~~/2e03 l2:11 36~4735278 PRO SIGN i:l~I;.M1:J'< I Uf'l lJl.lI . . F.~GE_. 03 .... BREM~R.ON PERMIT CENTER 286 4th S~reet, 8r...rton~ U~ 96337 phoMt: (360) 47e-~27S FAX: (360) 478...5278 Job Addrsss: 900 ~ CA_LOW AVE Location: $A~EWAY Assr Acct No: Building PeT~it No: 03-0~9b StaUi9: rSSUED I~su9d: oe/o6/2003 Expire$: 02/08/2004 REO U I ~ E 0 r. N S ~ E C T ION S ~tem; 02700 FrNAL--9LDG Dept~ SLOG oivie:ioli: ~.**********.*~***~************************.**************.*************~~***~*** TEST!NG: MU$t be recogniz$d by the W$shln9to~ ~ss~ciation of Bu~:ding o~~ici~18 5P~CINSP: Must be re~ister$d with the state of WA ~T OF WA: statQ of W~ D$pt. of Labor and I~du$tr1$$ 478-4921 ~EALTH: 8rem&rt~~/Kitgap H~$lth District 47e-5235 ~LL ~NSPECTIONS PERFORM~C BY t~E CITY OF BR~MERTa~ ~UST e~ S(HEDUL~D ~HROUGH TH~ ~ERMIT CENTE~p (360) 47S-S275" .*~~*yx***~*.~~*~**~****************~***.*******$****~*************~~*~;~~***~*~*** ~~'fm::'t Holder'8 /J ~ A - YYh. . ~ 5ienatuTe;~ ~'-~-~d-----''''-- ORte :A~LfJq2._.--. 08/07/2003 13:10 15099274685 0C/e&!2003 12:11 36e4735278 PRO SIGN l:l~c.I\II:.KIUN JJL,V .. PAGE 04 . . .....- -. BREMERTON PER~IT CENTER PERMIT CONDITIONS C~===~~~==~~~~~~~~~~...E~~._~=~3~~~====~~~~Er~~R.=~_~B...B~~~_*=~=~~~~==~==B- Permit No: 03-0096 .=_~~==~~~=~;e~~~;~~~.*~~~~..~=~.~.=:~-.~=~~..=-~-~*=~=~=..~~=._s~~~_~~~z~~~~- Page: :L Jc::b Addrees: 900 N CALLOW AVE A$s.... ~Gct No: locatic'n: SAF!E:wAY A~p1ioant : PRO $IGN INC OWnel" : SAFE WAY Contractor: PRO SIGN INC Description: INSTALL 1 1'6" X 6" FT ILLUMINATED WALL SIGN FOR W~STERN UNION OFFICE rNSIOE SAFEWAY STORE Condi t.i ons: 1. ~AND USE CONDITIONS OF AP~ROVAL: (A) ILLUHINATION PE~ 8MC ~1,02"330(K)(2)(IV) p~rmit. I-loj.dl!r~s Signature )0 ~ (jt~~ Applied: 03/04/2003 Approved: 08/06/2003 IS$u.d; C8/~6/2003 Dat~ ?-lth ~__ Ii PROPOSED S/F IllUMINATED WAll'SIG . '. . ,1.' -6" -6' -0" ,", ,,-.,.- - ~ YELLOW PMS 109 I 1 6'.0" 55 Ibs. Two(2) F72T12/D/HO Fluorescent lamps, One (1) Alanson 372 AT ballast, 120 volts, pulling 2 amps @ 250 watts per sign. 'ALL CA61NET EDGES, 1 W'RETAINERS ARE TO BE PAINTED GLOSS BLACK ALUM, E'XTRUmm (lION CA!;tNH f!,:>TE'NcR(J (A(jREO'O) :>TANDAfW -+ :>E'AMl"iO:> YULO rOLYCAR~ONATF. FLAtrACE' Wrrlj OI'AI'lUE' !;LACK VINYL. !;ACKOR('JUND H,('J, fLU('JRU>C"NT .or lAM"" H'1nl('JR OliOCONN"CT eWI1CH TRAN(Jl'eJRwn" I MlL"':>1 SCALE: W'= l' T('Jl~OV 101~OI' @UlllQ EXISTING PROPOSED SHOWN ocat ; 900 N CALLOW, BREMERTON, WA Squa.... Fl, 9' FI_mol 1467 ""'wing '* 03.01-14.151 Ofown by; RM Western Grocery Stores I .1 ..., ! lJ Site # Address City State GROC-1467 900 N CALLOW BREMERTON WA 98312 Coast 2 Coast Surveys -Site#: GROC-1467 Elevation-Cabinet & Letter Sets Western Grocery Stores Project Mgr: Dann Goldber SAFEWAY Surveyor: '900 N CALLOW MC Shm Computer: I, ~REMERTON WA 98312 Reviewer: Corporate , 211' 6" . ,~i~-----------------------------------------------------t--------------------------~ + : + I 35'+ 25' ... 24' .. ... El Safeway Logo 6' x 6' fi!)~ ,"1 J " e E3 e ~? 'L~~~;;V Food & Drug 2' x 22' ~ LI I. :t l, t-J E2 Safeway 4' x 31' 4" L(ff X [!31Y'1?) t(~ E4 Open 24 Hours l' 8" x 18' '). n(l c? .1.-0 .., q ~ !J..J 7-" I (j\\.Cj\I(~/ \..~:~ .4" 900 N CALLOW ,-. BREMERTON, WA 98312 Western Grocery Stores Cabinet & Letter Sets Project Mgr: Dann Goldber Surveyor: Computer: Reviewer: Me Sign . Vestibulel 48" x 44" - . si'te#:_m - 4 SAFEWAY " 900 N CALLOW . ~BREMERTON, WA 98312 Me Sien Project Mgr: Surveyor: Computer: Reviewer: Western Grocery Stores SAFEWAY -gOO N CALLOW . BREMERTON, WA 98312 Me Sign Project Mgr: Surveyor: Computer: Reviewer: Site#: - 4 Western Grocery Stores .sirelt: Western Grocery Stores SAFEWAY · 900 N CALLOW eBREMERTON, WA 98312 Me Sign Project Mgr: Surveyor: Computer: Reviewer: Scope of work: Address: Owne'r: Contractor: n~=3 - oODt ~ " " , Inspection card/approved plans on site Setbacks Footings: required steel placement Walls: required steel placement Footings: required width & depth . Walls: required size Bearing soil (soils analysis if applicable) Special inspector (when applicable) FOUNDATION COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 x 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts & washers in place Mudsill: treated material Floor joists: size & span Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outside Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements. Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fire blocking wall to ceiling, furred walls every 10' Fire blOCking: stairs, soffrts, lowered ceilings Fire blocking: tubs/showers Fire blOCking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheet rock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation WCjIl & roof Sheathing Shear nailing Building dried in FRAMING COMMENTS: APPROVED: Insulation: proper R valve Insulation: proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space ENERGY CODE COMPLIANCE COMMENTS: UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: Appliance location and access, proper support Appliance clearance to combustibles Venting: clearance to combustibles Venting: size & support Vent termination Combustion air Ducts: size & support Gas pipe under test Gas pipe size & support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Wood stoves EPA certified Wood stoves & fireplaces: Tight-fitting doors Wood stoves & fireplaces: proper health Manufacturer's specs on site Chimney liner: when required" Chimney: separate flues when required MECHANICAL COMMENTS: GAS PIPING APPROVED: OTHER APPLIANCES APPROVED: FURNACE APPROVED: \ I / I DWV & water piping under test DWV: proper grade OWV: proper sizing OWV: proper drainage frttings where required DWV & water piping proper support OWV: required c1eanouts Vent termination All ftXtures vented properly Water supply: proper sizing Shut-off valves on all fixtures Water heater: gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: seismic strap R-10 pad under water heater when required Water-piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required PLUMBING COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED: Proper fastening nails - 7" O.C. horiz. Plane" Nails 8" o.c. vertical plane Proper fastening screws 12" o.C. horiz. Plane (1/2") Screws - 12" o.C. horiz. plane (1/2'') 24" D.C. framing Proper fastening: screws -16" o.c. vert. Plane (1/2") Screws - 12" o.c. vert. plane (1/2") 24" o.c. framing Proper fastening screws - 12" D.C. horiz. plan (5/8") Screws - 12" D.C. hofiz. plane (5/8") 24" D.C. framing Proper fastening screws - 16" o.c. vent. Plane (5/8") Screws - 12" D.C. vert. Plane (5/8") 24" o.C. framing Area & occupancy separation walls Oraftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors SHEETROCK COMMENTS: SHEETROCK APPROVED: Energy code requirements met, exhaust fans Plumbing & mechanical Garage/dwelling door self closing solid core Smoke detectors where required Handrails & guardrails, as required Fire ratings maintained Exit signs when required Emergency lighting when required Occupant load posted when applicable 8uilding weatherlight Wood siding to earth separation (6") Building address posted Randon monitor when required FINAL COMMENTS: :-1...1 A. A C'"').~nr'\.\ Ir-r-"\.. BREMERTON BUILDING DEPARTMENT Inspection Report. . S'Cope of work: Firesprinker system for Safe~!ay . P,ermit Number: 98-0752 Address: 900 N Callow Owner: Safe~'laY Phone: Contractor: Archer Construciton Phone: 253-872-7222 , Inspection card/approved plans on site Setbacks Footings: required steel placement Walls: required steel placement Footings: required width & depth Walls: requjr~d size Bearing soil (soils analysis if applicable) Special inspector (when applicable) FOUNDATION COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: Electrical approved ~ Plumbing & mechanical ~pproved '1"1 ( Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts & washers in place Mudslll: treated material Floor joists: size & span Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outisde Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fireblocking: wall to ceiling, furred walls every 10' Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheetrock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in FRAMING . COMMENTS: APPROVED: Insulation: proper R value Insulation:' proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space ENERGY CODE COMPLIANCE COMMENTS: .._-------~-_._.-.~- UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: MECHANICAL Appliance location and access, proper support Appliance clearance to combustibles Venting: clearance to combustibles Venting: size & support Vent termination Combustion air Ducts: size & support , Gas pipe under test Gas pipe: size & support Gas pipe: underground min. 12", below grade Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Woodstoves: EPA certified Woodstoves& fireplaces: Tight-fitting doors Wood stoves & fireplaces: proper hearth Manufacturer's'specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING DWV & water piping under test DWV: proper grade DWV: proper sizing DWV: proper drainage fittings where required DWV & water piping: proper support DWV: required cleanouts Vent termination All fixtures vented properly Water supply: proper sizing Shut-off valves on all fixtures Water heater: gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: siesmic strap R-10 pad under water heater when required Water-piping insulated as required Grease trapslinterceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED SHEETROCK Proper fastening: nails-7" o.c. horiz. plane nails 8" 'o.c. vertical plane Proper fastening: screws~12" o.c. horiz. plane (1/2") screws-12" o.c. horiz. plane (1/2") 24" o.C. framing Proper fastening: screws-16" o.c. vert. plane (1/2") screws-12" o.c. vert. plane (1/2") - 24" o.c. framing Proper fastening screws-12" o.C. horiz. plane (5/8") screws-12" o.c. horiz. plane (5/8") - 24" o.c. framing Proper fastening: screws- 16" o.c. vert. plane (5/8") screws-12" o.c. vert. plane (5/8") - 24" o.c. framing Area & occupancy separation walls Draftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors COMMENTS: SHEETROCK APPROVED: FINAL Energy code requirements met, exhaust fans Plumbing & mechanical Garageldwelling door self closing solid core Smoke detectors where required Handrails & guardrails, as required Fire ratings maintained Exit signs when required Emergency lighting when required Occupant load posted when applicable Building weathertight Wood siding to earth separation (6" Building Address posted Radon monitor when required COMMENTS: ~INAL~PPROVE~~~ ~kft {0hy4R . . ( lY(t~ '.'..'1 " BREMERTON PERMXT CENTER 286 4th Street~ Bremerton~ WA 98337 . PhDne~ (360) 478-5275 FAX~ (360) 478-5278 BUIl.DING PERMIT Job Addr: 900 N CALLOW AVE Location: 900 N CALLOW AVE Parcel No:. Applicant: ARCHER CONSTRUCTION INC. 253-872-7222 7t})5~i S ;~06TH ST KENT>> WA 980~1~~ Permit No: 98-0752 status: ISSUED Applied: 12/11/1998 Issued: 12/17/1998 Expires: 06/15/1999 Owner: . SAH::WA Y Contractor: ARCHER CONSTRUCTION INC. 25S-872-722Lic I: ARCHEI*219DR Exp: 04-01-1999 7855 S 206TH S1 KENT, WA 98032 Subc:ontr: Dsec: FIRE SPRINKLER SYSTEM FOR SAFE WAY ********************************************************************************************* Valuation * Permit Fees: 25.30 Total Calculated Fee: 46.25 900.00 * Plan Check Fees: 16.45 Additional Fees: .00 * Other Fees: 4.50 Total Permit Fee: 46.25 ********************************************************************************************* This permit shall become null and void if the building or work authorized by this permit is not commenced within 180 days from the date of such permit, or if this.tuilding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see to it that required inspections are made. The permit holder must notify the Building Official when ready for inspections. Failure of the permit holder to notify the Building Official of required fnspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne 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 cert'ify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. i}J. ^ / .;;=.. . r/j . ,- /;, -,. /- 8' :i::::;~:~-~~:':~:::~~;~::~~~:-~~~:::~~:-:;-~;:-:~:~e c:::~::~::~:':'.-:~;:'~~:~-~:::-:~~:~- Section 3, Chapter 126. laws of 1967. S i gnat ure: ..------.-________..______._______._________J.:.._________ Date: *************************** Permit Cent or --Approved 8Y' .~l..,. '" I"...) t 7/.oll r ['.)",~ "'" C \ . (.}, t, ~# 15 .....,...",'.....-." ,..,l..."". .."".....", ""..".......6.")"~...."/l"..".;~/......:;;;" ...".."'.....:: ;;:,) :.I.li!C1 .-6t/I...._/ \.... ......."..".."...",."..........".."" ......."..,,,.....,,. .......? ...~).".....""."...........".. .......".......'.... .....,,,.,,,,..,,"",,...X...... .......".."." ,,'\ '}"I( f':' '1' c' / /7~"),,,? "'7 ,,<::l.A" ".';. .1,~ . .::. ...- .- '..:' J- ")'[011 'I TWJ-'''j I I . 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(0ge) :xt/:::I SLZS-BLfF (096) :eucu.fd LeeS6 t1/'1 $UO+.J9!lJ8.J.8 $ ::j.BcU:J.S 4+fF 98G ~3iN30 ~X~~3d NaL~3W3~a ;\ _'~"""M_"'M"""'_"'_"""_N"M'_'~"""'""'"""'_~"U"'M~'~N_""""M"'MM"'MW'~~~M_'MM_""N_~''IM"~~'IW"M".__n~'""'~'WMml.__.":,m"~""~"""'M"'hmft'N~~"MIW".",.~"."~,~_."n_~I"~W">>",n~__.'~rn"m" _,.,_,..,...",.."'......O.,..".._._"_.'_M....._._.._.MK.M__.'..'.""'_M...~M...~'n"~..~~"n.'~.._'NN".M.M.,..,.,N."~.,M..,M~__.._.'""""_M,N~MM~.""'._.M""mMn.>>M.~~"'M"~~.'U'Mu."'."m_"NU\k~Mm~.'_""'_~.,m'"~~U BREMERTON PERMIT CENTER PERMIT CONDITIONS Permit No: 98-0752 Pa!;;lf-:'l:: 1 M"'M_""'M'M"""""'_'_'M~"""'N".."""'"'",""'~"M"m"'_'M_'__"~'MM'U""~"_~""_'.M_~"M."_''M'M__"MM'~"_"M'_H~"__"__'_"N""M"'NN__..~n~.'M""'M_""M"_M_"~~_'M_M_H_"__"_"_"M""MM'H"'M'.H'MH..._.. ::~,.... ::::~ ::~,.: ... ::;; ...:- :::::. ;;:...:~:... .... - - ... -.... - ..... - ....... ... -..-..... ... .... - - ... ....:r~~ ::: .;..1: ~.;.; ~.;::: {.-1f.:;EH' Acct No:: App'rnv'e,'d" 1 ~U 16/ 199B Location: 900 N CALLOW AVE .isbu;~; 12/17/1998 Applicant: ARCHER CONSTRUCTION 1NC" OwnC:::l,':: SAF:'El>JAY ContrBctor: ARCHER CONSTRUCTION INC. [)(:'lSCY' :1. pt J. on :: FIRE SPRINKLER SYSTEM FOR SAFEWAY Cond:i. t :1. ems :: 1. CROSS CONNECTION CONTROL Received for review 12/11/98 All fire sprinkler connections to be made downstream of the existing double check detector assembly on the existing f"iy'(:~l ins" ~;:~" F' :i. r ~::l A. Sprinklers :i.nstalled to NFPA 13 standards followed by inspection For inspection call 478-5380" 3" C R 0 S S CON N E C T ION CON T R 0 L NOTE: ALL APPROVED BACKFLOW ASSEMBLIES MUST BE ON THE CURRENT WASHINGTON STATE DEPARTMENT OF HEALTH APPROVED ASSEMBLY l,IST AND MUST BE TESTED AT THE TIME OF INSTALL- ATION~ WHENEVER MOVED OR SERVICED~ AND ANNUALLY. TESTS MUST BE PERFORMED BY A CERTIFIED WASHINGTON STATE BACKFLOW ASSEMBLY TESTER. TEST REPORTS MUST BE SENT TO BREMERTON PUBLIC WORKS AND UTILITIES~ ATTN: CROSS CONNECTION CONTROLy 100 OYSTER BAY AVENUE~ BREMERTONp WA 98312. ~ 2''- p (::.\ Y' m 'I 'l" 1"'1 (') T'cl ::. . ~ f:' ?". ...---- / ". ;,. I." , .. .. '.' ~......-" ~:>:I. Qn;:3.t un.;:.) ,", '. . ........ ....... ............ ...... .... .............. .... ... ....... ......~....... d'''''' ..., ...... .... ........ ....... .............. ... ....... ... .... ... .... ( J -? 1/7Loa, D-:it' e.' -=-- I ('. 'f . .. I. ,...................L,.....,...,... ...,.....,....... '. ..". ,~.~ ., - Jl l '. ~~:~:::::::~ !~~I~~~l~~~~::~:~::;~~' .:.:::,:::-:-::::-:<r:-_.... ..' -'-..__..-.-.-.-.-.-.-.-....-.-.-.-.-.-.-._..-,-.-.-.-.-.....-.'.-...-...._...'.'..._..._......._.......'....._...-.............'.'..-....-._..._.'.........._._...._.:-. _:_=_:.:_:-:::.;_:-:::_::_:_:_::-:_:-:_:::_:-:_:-:::::::.:::_:-:::_:_:_::_:_:_:_:_::_:':':':-:-:':_:_:,>:_:-:-:-:-:-:_:_:_:-:_:.:-:::.::::-:.:_:-:_:_:_:::::::::::::::::::_:::::::::::::::::::::::::::::::::":-:.. .....................~$(i.~ili$~~....nr~_q~.."W~.......?$~~h ..;......ghgl"1~....(~~()):. ~7$h?~%?~1;~.(:3(j())~h$h5278, ~... .;.1. .-" . APPLICANT: D OWNER ~ CONTRACfOR D OTHER: SITE ADDRESS: tftJtJlc.a. flow ~5n:Jn;C;n WI4ASSESSOR PARCEL #: OWNER: 5~l;V'~ ADDRESS: 10V/'lL:~fk7W ~ }?.rz=m,:-";'TO,h CONTRACfOR:llrc.f,~r ~r1;rr""c:71on ADDRESS: 7J'sS- 5: ,2tJ6'-,( re~ w4 CONTRACfOR LICENSE # Jr? ell fI*c?2J'1'P1( EXPIRATION DATE: CONTACfPERSON: (ic..k (/rYI34I'Y7J. CONTACfPHONE# $3 '8-::ftJ. "7;1(;7<... 0a-U(~ o SFR 0 DUPLEX o SIGN 0 DEMO o NEW D REPAIR D SEWER o MULTI-FAMILY D BUSINESS D OTHER: o MOVE BLDG. D MOBILE D GRADING(yds): E& REMODEL D ADDITION D OTHER: D SEPTIC INTENDED USE: NATURE OF WORK PROPOSED: Fe 'rr/ ~r1'il/((cr- f; T.. SQUARE FOOTAGE: Dwelling: Decks: or epartment se n rv ... .......VA..ttJATION PLAN .REVIEW..FEE......... .........PERMIT. FEE . . ......$URCHARCES......... ......TOTAl..FffiS... :/:'::::=\>': :",: ::- :'-'- '-::' _.-:- --. $ $ $ ENERGY: $50. 00 $ r tJO. 0 0 STATE: $4. 50 U 0 I Applications for which no permit is issued within ~ 80 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 that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. I hereby certify that the above information is correct to the best of my knowledge. APPUCANTS SIGNATURE: ~ d r DATE: 1;l111/1 ~ I ". bpapp.dot revid 4/23/97 BUlLDING: .ns.S281 Cityof BremertoIt DEPART;'\IE~T OF CONSTRUCTION ..-LVD LA..,:~'D USE /" ", ..'1; ',' ;/ (( I? $' ,"~ PLANNING: .f78.oS:!?: """~ v~/,'/ I:;'; I qs> /;,ff ~ ~ G~o,!' '//; 1 ,,' ,0 f " ,f) "IOn . . 1/ '''/t',,., v v,/. t<T,~~~ 0.., A ~'r;i'>' <il.,/", ~ Glrs Building Department ~qU~ST FOR OCCUPANCY APPROVAL TO: Building Business License Traffic ~l)gine.eJ"ing-7 r"ire H"e,al tn Dept, Water/Wastewater~f Planning Please review this request for Jgfr~va~9~~ occupy the following structure and return to cnis department by Y. rhank you. Permit Technician: Janet Lunceford . Date~ 6/19/91 * . * . * * * * . . . * . * * . * * * . * . * . . * . * * * * * * . * . * * * * * . * ~ Name of Building CHARLESTON AUTO WASH Name of Tenant same (if applicable) Owner of Building Randy Duboil:l ::- ~ature of Construction ~lllow } (if applicable) Address 900 N. Callow Contractor Scl f 11.791 5/10/91 VN 1900 Permit II Pennit Date Type of Construction Square feet Use Car Wash Type of Occupancy B2 Occupant Load N/^ _" * * . * * * * * . * . * . * . * . * * . * * * * * * * * * * * * * * * * * * * * . . * , Comments: Approved IDisapproved l:7 By: Date: 7 - L7- 't I 817 P...CTFlC ."VE:"olCE .. BR.E~ER'roN. WASHINGTON 98310 .~ ?ff$ (. . .... ".q ." . t\1 V~'. .' ,', _" " .' ,.t.% , ~ . .5"'" -'ifieaIe ~ to CHARLESTON AUTO WASH . . . :;x ~ "'Ioudedal 900 N. Callow f!lJ~, 6)f~ 'I, ~tluddw~~k~uUthdw~o/'tk.f!lJ~ '.~o/d.e ~o/fjJ~<u'heWn~ ~ ~ TYPE TYPE OCCUPANCY . .' '!J) (j,. CONSTRUCTlON OCCUPANCY LOAO' COMMON USE. ,.> ~ . . VN B2 N I A. . Self-Service Car Wash .. .- .'.': I' , , 9JJate: . . ' July 24, 1991 ' "" ~ . .~ ?).. ~ f!lJ~ '(fJ. ,This certificate must be posted and permaflently ~aintained in a conspicuous place." '. ,." Permit No. 11791 & ~)-ls. Lic. , ' ' ",~....,-..-...,-,,~, .~;(...'~ ......... . -. - . ,,[- ...... ....'_~.. ~ ._ .J.... ~.'l.r ....""~ _ ~--,,\ ..' . ,~.'-.~" .' ....,-...'. ,,',. ) , .,.,'....- .'- . .' .' . >, .,,'" BUlLDING: 478-5281 TO: ~ilding00 Business License Traffic Cityof BremertOIt DEPART:\-IENT OF CONSTRUCfION A.~'lD LA.... ~T> USE PLANNING: 478-527: Building Depa~tment REQUEST FOR OCCUPANCY APPROVAL Iocv\ ~gineering ~e-( ~re .~+o H-- ~er/Wastewater 171L/ -n:nning ~ .'1- H"ealtn. Dept, Please review this request for J8p.r03a\9~~ occupy the following structure and return to this department by y, 1;hank you. Permit Technician: Janet Lunceford Date: 6/19/91 * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * Type of Occupancy ----,.: Occupant Load N/A _" * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * , Name of Building Name of Tenant (if applicable) Owner of Building Nature of Construction (if applicable) Address Contractor Permit 11 Pennit Date Type of Construction Square feet Use Comments: CHARLESTON AUTO WASH same Randy Dubois 900 N. Callow 900 N. Callow Self 11791 5/10/91 VN 1900 Car Wash B2 Approved L:7 /D1sapproved l:7 By: Date: 817 P.6,CTFIC ..WENVE . BREMERTON. WASHINGTON 98310 BUILDING: 478-5281 TO: @u:rrding) Business License Traffic Cityof BremertOIt DEPART:\-IENT OF CONSTRUCTION A...'1D L..-L"'TI USE PLANNING: 478-527: Building Department REQUEST FOR OCCUPANCY APPROVAL Engineering lo~ire lfe.altn. Dept, Water/Yastewater Planning Please review this request forJEfroJa\9~~occuPY the following structure and return to this department by Y, . Thank you. Permit Technician: Janet Lunceford Date: 6/19/91 * * * * * * * * * * * * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * , Type of Occupancy B2 Occupant Load N/A _' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * , . Name of Building Name of Tenant (if applicable) Owner of Building ~ature of Construction (if applicable) Address Contractor Permit II Permit Date Type of Construction Square feet Use Comments: CHARLESTON AUTO WASH same Randy Dubois 900 N. Callow 900 N. Callow Self 11791 5/10/91 VN 1900 Car Wash Approved .~ /Disapproved L:1 By: Date :.1-1'1"" '91 817 P."CTFTC ."VENt.'E . BR.E~ERrON. WASHINGTON 98310 \'- i BUILDING: .f78-~281 TO: Building Business License Traffic Cityof BremertOIt DEPA.RT:\!E~T OF CONSTRUCTION ..-L'lD L..-L'VD USE 9 \. ~d CJ PLANNING: .r78-~:!7: Building Department REQUEST FOR OCCUPANCY APPROVAL Engineering r~ire H"eal tn Dept. Water/Wastewater ~gJ Please review this request for j8froJa~9~~ occupy the following structure and return to this departme~t by y, Thank you. Permit Technician: Janet Lunceford Date: 6/19/91 * * * * * * * * * ** * * * * . . * * * . * * . * * * * * * . * * * * * * * * * * * * ~ Type of Occupancy H2 Occupant Load N/A _~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * . , Name of Building Name of Tenant (if applicable) Owner of Building Nature of Construction (if applicable) Address Contractor Permit II Petinit Date Type of Construction Square feet Use Comments: CHARLESTON AUTO WASH same Randy Dubois 900 N. Cullow 900 N. Callow Self 11791 5/10/91 VN 1900 Car Wash Date: 817 P...CJFlC AVENt.:E ;, BR.E:vfERTON. WASHINGTON 98310 a. The ,alternative landscaping will be equal to or better than that required by this chapter; b. The alternative landscaping will accomplish the intent of this chapter. Sect ion 6: lPERE.ORMAN.CE_ASSURANCE-DE~TCE) / "'-' A. Landscaping may not always be completely in place at the time a Certificate of Occupancy (CO) is sought from the City. If the Planning Department determines that any required landscaping has not been completed, the Planning Department may require that a performance assurance device be provided pr ior to the issuance of a CO. The purpose of such a requirement is to insure that a landscape plan is carried out if approval of the plan by the City is required by this chapter. A bond shall be in the amount of Ibne._fiiff[dlidl illi.e n t.y--f~iY~J]1~-)-pe'r-ce'nt-of-t-n_e _e.s.tima.ted-cO-s.t-r-equi.red_tID CJ5iIiglet~th_e_ap_p.r.ov_ed=-lands,cap.ing-acco.~d-i-ng---':to--planl, to guarantee not only its installation, but also the replacement of any plants that die within two (2) years of the posting of the bond. If a performance assurance' device is provided, landscaping shall be installed within six (6) months of the date of issuance of a co. If the approved landscape plan is not carried out, the City shall use the performance assurance device to complete the landscaping. B. A performance assurance device will be released two (2) years after it is posted if the landscaping vegetation is in a hea}thy growing condition. '- ------- VIII - 7 BUILDING: .f7'8-S281 Cityof BremertOIt ~L \ ' DEPART~rE~T OF CONSTRUCTION f~' '\\\J \S !NG: .m-S!7: . _'" \ ,(" Ij. A.ND LA...'-T> USE ~t.) . \ J '..? :\ \ \.'? \Cj<:j S\~~ ~ \\ Building Department REQUEST FOR OCCUPANCY APPROVAL .;\t~'\ \.,. <d \~."""\ t$ Of ..,'...' TO: Building Business License Traffic Engineering cr"rreJ lfe.alth. Dept, Water/Wastewater Planning Please review this request for j8fr~va\9~~ occupy the following structure and return to this department by Y t 1;hank you. Pennit Technician: Janet Lunceford Date: 6/19/91 * * * * * * * * * * * * * * * * * * ~ * * * * * * * * * * * * * * * * * * * * * * * * ~ Name of BuildingCl-W~LESTON AUTO WASH Name of Tenant same (if applicable) Owner of Building Randy Dubois Nature of Construction 900 N. C~llow (if applicable) Address Contractor 900 N. Callow . . Self 11791 5/10/91 VN 1900 Car Wash HZ N/A -" * * * * * * * * * * .. It Permit II Permit Date Type of Construction Square feet Use Type of Occupancy Occupant Load * It * * * * * * * * * * * * * * * * * * * * * * It * * * * * * ) Comments: At/sl /)fOJ/I.L)C ..S""7OA'Z- r/rrlNG ro~ /~Y~MAlr- A-T 9.f:f tY eft t.. ~ 0 uJ ' Approved ~ /Disapproved L:7 By: Date: 6 -:;A.o,-,! ( 817 P.A.CTFlC .....VENt..'E . BR.EMERTON. WASHINGTON 98310 BUlLDrNG: 47'S-52S1 Cityof BremertoIt DEPA.RT~IE~T OF CONSTRUCTION ..-L'lD LA...'-"D USE ,I PLANNING: 47'S-5!7: TO: Building Business License Traffic Engineering }O~ire H"ealtn Dept, CITY OF BREMERTON JUN 2 0 1991 MUNICIPAL UTILITIES (wa_t e ~lWas.tewat.er:::7 Planning Building Department REQUEST FOR OCCUPANCY APPROVAL Please review this request for j8froJa\9~~ occupy the fOllowing structure and return to this department by Y t . thank you. Permit Technician: Janet Lunceford Da t e : 6/ 19/91 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ Name of Building Name of Tenant (if applicable) Owner of Building Nature of Construction (if applicable) Address Contractor Permit II Permit Date Type of Construction Square feet Use CHARLESTON AUTO WASH same Randy Dubois 900 N. Callow 900 N. Callow Self 11791 5/10/91 VN 1900 . "", c' \\ \ " "''- ~., t, \.1 \c::., \ \ ~_... - ~ '(" lj. -,.J - \,;.-I \ D.! \ S '-~J ~:::J \.\ U SJ'(~ f). b YJ<J1 . J\~n\r''':\ ._ , \..:,~\..\i'~;op'o:\~fI\:'\'l' . <,\.\\r. '\)l:.{ . BIj\\.-i...... 'Car Wash Type of Occupancy B2 Occupant Load N/A _' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * , Cotmiients: APproved!f- IDisapproved t::J / 817 P...CJFlC ..l"YENL'E . BR..E:'vfERTON. WASf-II1'.lGTON 98310 BR EM E R TON B U I L DIN G D E PAR T MEN T PER M I T --------------------------------------------------------------------- ----------------------------------------------------------------~---- Application Date 07/18/1991 Issue Date 07/18/1991 Assessor Acct :fi: Site Location 900 N. CALLOW Owner - Last Name DUBOIS - street 900 N. CALLOti____- _________ Ci ty BREMERTO.N /::-~:-- =='=s:t:~te WA Zip 98310 - Phone (20 6.)/<:::>-:~ --~:~~'" Tenant's Name /'~// !", '1?~nne(206) / ,,/ /"\ < I :~, Agen~'s Name /~/ ///~;" //1 ~/~hon~_~206) Arch1 teet' s Nam~~:/ \ j/, ,!jl , ,/) / /"_ '\~:-" [ ] Bui 1 di~g // /E:l<Gt~ding/.""'''''c:'',-c-=-I'o"..1~'''Si9n,?/ / /','" 1" J Paving [ ] Mecha~J. c~{/ (L" 1i1"!bve,,,,BUl.l d1ng [] BU{,,~1ni, (<~'y> [, \;}\Under\,?r~und [X] PlumbJ.n~/~/ \'[_=~l/M"rle Home, [] Land'~le.a~>//-J\]\~emo11t1on II l\ ;I /-----..,'" '\;~ \/\, \.J '; \\ - - - - - - - - - -~/ L~~~~-: - - j;if - - - - - - - - - - r (.:~\ -'r - - - - - - - - - '4q\ -<~7-..I- - _I\,,\ - - - - - - - - Buil ding C'cmt,ractJor {I "J \\ \ \ Work Wil/lbtr~~:ofitpl'~ed by owne~~;~~-: '\ '\\ I '" , '{ I ! , Nature ~f! Wg.t~:q ;,' I ':\11 PI urnb1$,g pftum1 t I~ or 1 awn sprinkl ~r, water heater, ~ ' ! bi bs. \ \ ('./ ''', \ " II' I, Ii \ l \, \.,'" ",/} \\ l .!/ \\ \::~-~// ~\ I l \\ ~~~-- ~\ J l , \ ' \ " \\ ~ # \ \ \\ ;;~ \\ ~ f \ '" /\ \\ /' /', \ \ i / ~~, '/J ''\ ",,- -. \ / 1/) "'" // / -..:, '. - - - - - - - - -. ~ - - \~:~\~ - 4~;,- ~::=') - - ~~~"'~::- - - '- - - - - - - - - ~:;7>,;:i/':'- - -;::"-~~~~~~'- Counc1l Dl\~t n.\c-t""'."'o,A~-~\~~~":l_s~~--..T,l"act ( C\ ',', v "'-,' \ _,,-J J ,,~ ~.: ,/ Construction '\;:~~ '-'7 r~~l ~_e~:I;. Type ",,>..., '.-1 i: ! \ \1 : "'~~-""""" .' :~'-f ! )1 ,1' :1' ',-, '" il "....., '-....,'^ ' , "- .~<'~~:::~,.~::~~!~~-~~~~J Application Number 91AP03766 Permit Number 12188 Project Group First RANDY MI J Residence Business Other New Repair Remodel Addition [ ] [X] [ ] [ ] [ 1 [ ] [ ] '7 "-"--~.i Inspections Required status Code Foundation Framing Insulation Plumbing Mechanical Wallboard Final [ ] [ ] [ ] [X] [ ] [ ] [X] ::::: :::=:::= tJ=,Ol2b:==== = === = =:::::::: =:::==~===[]J L[l9.!. V ~ V' ' B REM E R T O-N B U I L DIN G D E PAR T MEN T .. P L U M ,8 IN G PER M I TAP P L I.~~A T I 0 ~ \ ::::::::::::::::::::::::::::::: ::'';;::::::::; dh::::: ~::;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::=::::::::;;::;; ~'~ ~i:'=::::::::i }b'~ ~ ~:: ~ ~l:: Application Number 91AP03766 Work will be completed by owner. Si e,r T r a y~~p""'X5=--=X'_."""",,,_ ,.ta,s'lfe r s ' _5"",,,.,,,,,,,, ,//' "'4 He~ters ~~~ U 1F .~ i;~ r1nG\;is ,=,.,>, '5 i;i;,~:1j~;, Dr i p!k i n 9 Fount iiris':,\ '\ ;~12~~~r:~'~~~;1 D r Ii ns . ' :~;) r~"1 ),) \ Slfop S1nks ';: t\ \/ '\, r F t "'" '~ i~ ~: ~ c:; i ~ ~~jf'I~;~"~l :=~'~,J~~'l \ 2 Vacuum Breaker I 1 1 Lawn Sprinkler ~'1 I t'i re Sprinkl er !' \ , ~ri vate P;<-?ol s 11 l :t~i ~ ~ r ~ ~\ Po 0 f S ii'"., "",;."",.;""::,:".",_",;";,,!d,,,.;',<,~,,,'.,:,i,',',',.,',.,I,:,:,',) / , ., \~,;;; ::" -:;;: ':>'_~~;^~'\~~"Tj _,_w_ ,\ '-, ~ - 5;' GrQunawor.K::;/ <';:,;'t.,': ,r S um' s"':<;;:~ . ,. ' ,I," te tions , / ney,,-,Machines \] ;~vate"'Hq,"t. Tubs e# ' i :or i v a t~'-'Ho,t",T,Ybs",.:";"'P Pu,);); I H,ot Tubs he:t'i O"€~;t:Onf3 "0 r" -",c ~">..,, , ----------~---------- ---------------------- -----------~------- --------~---------- B REM E R TON B U I L DIN G D E PAR T MEN T D E MOL I T ION PER M I T A P P L I CAT ION -----~-----------------------------------------------~--------------- --------------------------------------------------------------------- Application Date Issue Date Assessor Acct #: Site Location Owner - Last Name - Street - City - Phone Tenant's Name Agent's Name Architect's Name [ ] Building [ ] Mechanical [ ] PI umbing . 04/18/1991 04/18/1991 Application Number 91AP03252 Permit Number 11791 Project Group 900 N. CALLOW DUBOIS 900 N. CALLOW BREMER TON ( 206) First RANDY MI State WA Zip 98310 Phone(206) Phone(206 ) [ ] Grading [ ] Move Building [ J Mobile Home [ ] Sign [ ] Burning [ ] Land Clear [ ] Paving [ J Underground [X] Demol i tion Work will be completed by owner. Nature of Work: Demolition permit for 1080 squar. foot former service station. -----~----,----------------------------------------------------------- Sewer Cap Permit Number Issue Date SEPA Review Demolition Footage Couricil District Census Track status Code 1777 04/16/1991 1080 13 ~--~------------~~------------_._----------~--------~------------------ ~;;;~~~~ =~; ~ = = = = ~= = (l f:~= = = = = = = ,-:!,::~~:;:. (= = = = = = = ==rJ L =V: L 1.0:[ ~ I BREMERTON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton, Washington 98310-4799 (206) 478-5318 1777 ~TILITY SBRVICB AGR~B~NT Work Order No. Tap No. Receipt No. Bremer.ton, WA. , 19 )" . ';'\ ',,'- The undersigned property owner her~by Service Address: C;C'O /1) /:'~)LL.o'J'1 /,:)., D , "" '. '" i'i'P"" '~'""':',.., : \~'p~ "'......' ~ .-- - Legal Descr1pt1on: Plat Block applies for Utility service at: '.,:.. 'Y M'-::~:' ",':' ,"; .....i' i "';,r.J Lot Kitsap County ------------------------------------------------------------------------ SERVICE REQUIREMENT: [] Water [W<Wastewater [] Stormwater SERVICE AREA: [] Marine Drive Water [] Sewer District #1 UJ/~ity [] North Perry Water [] Tracy ton Water [] County [ ]' Port of Bremerton [ ] SERVICE CHARGES: Connection/Inspection Fee: . Water: Domestic...............Si e $ Fire ............ .~\. . . . . S . ze $ Was tewa ter .....;-.; \;:.J.1.) ~::::./~:. . ~:.' 1.:).1;"). ........ $ BARS-l :'~:; ::.:~' L.:' ~J / .., I ..-..; ,", I I . ...., I t.. :~~. - .:.; t . ~ ~- trf (t ), ;' , I l " ,,' .., '._~. " t Storm Water .................. Front Foota~e Fee: Water .... '~':"'_~' . . . . . . ....0. . ,'0 " . .. ...... ,'", . .'i~,'t;' . $ Wastewater. a.............. ............"..$ Storm Water .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $: General Facility Water ......., Wastewater .., Storm Water ., Fee: of units of units of units (8.... $ (i :"$ (8 $ $ $ $ IjHl:Ml:H I UI\( CI fV TREASURER PA~,D $ $ AeR::I6 1991 $ TTRAT\IK---y-QtJ- ~stem Development Water Wastewater Storm Water Char~es: Temporary Service $ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee .............. Cl . . . . . . . . . . . . ._ . . . $ Deposit $ Other $ - ~ .~, ..;.;.-''l''''"..,~-.''''''':1'''' ,,,,,,,1'~\' ..;'::'>'~iIi'~ ,;;':1.;....,),-$ -j.-;'" ,-h,.,: _ . ::.~ ':: ~,,'~t'~" ,~ ..~'_v~:~ TOTAL '$ ""') .- CHi ./ . " . . . . . . . . . . . . . . . . _w_ :'--'1 ~ '/ ------------------------___________________________-L______________________ 1. Utility charges are the responsibility to the owner regardless of whether the property is occupied by the owner or tenant. Unpaid charge shall become a lien on the property serviced. 2. By this agreement, the undersigned owner acknowledges that the owner assumes the risk and the City disclaims responsibility for all claims for damage or injury to person or property resulting from the following: a. Installation, maintenance and operation of all plumbing, fixtures or appliances connected to the water meter or w~stewater main. (Building permit inspections are limited in scope and do not guarantee plumbing design or workmanship.) b. Changes in pressure, flow or temporary shut-off of services due to system maintenance, emergency or non-payment of charges. :' ~~ -s '2._.~ ,.; , ~- ',,~ _ _-.;..;::';:~._'~<)L;t:~~:f~:-r:f~; _4-~___ Name j;;;:'.A)I) D'\I -p (.L. i? (I J <:, Billing Address I /Ic' -:?()() C i t y t+...c~ Owner's Signature" '. Agent's Signature' t!~., :: ~4"1 ,(\ \...1 ,,~/ 1.-,' , Accep.hed on beh,}f of B~emerton Municipal Utilities: By: !/:<:';(i>;/' ~~>',':'._<,;:C;.(-... ."";,,,...,~,,_ Date origtnil \8/ YelloJ",'bopi'ds: Utili ties Accounting Pink Copy: Utilities Engineering Goldenrod Copy: . Phon,e' NU,m,ber C:'tD) .I r;~r:1 .- )' , {/ L.{':: A Ie.::. (I .J:) I.~~_~-:: 1<' t<,' T) /U U . r~.\ \..1 I' "':-' V' () State i-vA. 0" ~?,. r.'~'~; -".' , Date Date Ii - / ( ". (i J . Z I PC,,<-' ".l ',/l , ,., "') I ' , , 19 , 19_ . " " .' , 19 _ Customer ~~~ 41lBlq I ~ B REM E R TON B U I L DIN G D E PAR T MEN T PER M I T --------------------------------------------------------------------- --------------------------------------------------------------------- Appl,ication Date Issue Date Assessor Acct # Site Location Owner - Last Name - street - City - Phone Tenant's Name Agent's Name Architect's Name [X] Building [ ] Mechanical [ ] Plumbing Building Contractor: 04/09/1991 05/10/1991 Application Number 91AP03210 Permit Number 11872 Project Group 900 N. CALLOW DUBOIS" 16300 CLEAR CREEK POULSBO (206) 697-6995 First RANDY MI ROAD NW State WA Zip 98370 Phone(206) Phone(206) [ ] Grading [ ] Move Building [ ] Mobile Home [ ] Sign [ ] Burning [ ] Land Clear [ ] Paving [ ] Underground [ ] Demolition Work will be completed by owner. '~ Nature of Work: 4-bay self service car wash Building Valuation $44000.00 Council District Census Tract Cons t ru'ct ion Sq Feet Inspections Type Required Residence [ ] Zoning Foundation [X] Business [X] " " Type Framing [X] Other [ ] Insulation [ ] New [X] Plumbing [X] Repair [ ] Status Mechanical [x] Remodel [ ] Code Wallboard [ ] Addition [ ] 10 Final [X] ----------------~---------------------------------------------------- ::::: ::: =::: = = ~~ ~ = = = = = = = = = :::::::: =:: 4 = ~ = =~= I=L (l; = ~ j .'" .; B RE MER T ON B .0, I L DIN G D E P A R T M E N T \ , "".. \ \. \ "'V~~ P E R M I "T < , ~ \ '" I \ CON D I T ION S 0 F ------------_._----------------------------------------------.--------- --------------------------------------------------------------------- Application Number 91AP03210 Permit Number 11872 Water--Developer shall contact the Utility for application for water service, sewer connection and inspection permit and pay all assessed fees prior to construction. Atmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers. All plumbing, inside and out, shall conform to City of Bremerton and Washington state cross connection control standards. Development is subject to AWWA regulations, APWA spec- ifications,DOE regulations, DOH regulations, Bremerton Municip~l Code, and utility Standards. Contractor to verify location and depth of existing utilities. Contact Underground Utility Locates (1-800-424-5555) 48 hours prior to start of const- ruction. I' The oil/water separator is approJved for meter size of 1 inch or smaller. Planning--the attached site plan has been reviewed and found to meet the requirements of the Zoning - . =============~==================================~======'==~=========== "T66T 'LT X~W ~q paulE~qo lEAo~ddE pu~ pal~lwqnsa~ 'paloa~~oo aq Iteqs UEId ao~u~e~p w~0~S--ou~~aau~ou3 .weaq puoq~pu~ ~~lt lno~5qoEa 20~ pa2~nba2 uOl~oedsuI .saloD q~lA paAo~ddy--ouJPtlna .uol~oas~a~UJ ~ea~~s Qlu1N. aq~ o~ ~l lWpco.ld aso to s~ 1 Ol anp A1~luo. aou-e.:quau ue SE pauols ~I2Eato aq Ol sl s~-e~aAl~p AOIte~ OMl aq~ ~o ~sowu2aq~nos aq~ 'ldaa 6ul~aaulou~ All~aql ~o uO~~OEJSJl'!2S PUE 5p~epue~s SWl1W1U1W aq~ o+.pa~aaul.6ua SluawaA02dwl a.6-eu1e2P qll~ peAed-a2 aq ItJA ta02ed a21lua aq~ 'saa~l 821nba2 ~OU Itl~ lnq pade05pueI aq ol 51 u-ea~y uaa~D . lSJX:!I6l pa~euDlsap ~. Sl lEql lot aql JO apls1sea aql oUOtE ea~E ap1M lOO~ OT aq~ .saa~~ aql JO uOJlettelsuJ PUE sad~l pa~~a~a2d aql lnoqE palInsuoo aq PInoqs 1uawl~Edaa s~2ed aq~ "q~ulN ouote 2nO} pue aoelu02; MOIte~ aql ouole pa~Jnba~ a~E saa~l aAl~ 'uEtd aql uo pa2 ul palou se palueId 20 pa2alsnIo aq ~Ewa5aq~ .a5Elu02~ laa2lS ~o laa~ SZ qoea 20~ aa2l auo ~O ale2 e le pa21nna2 a2E saa2l ~aa2lS .aouEulp20 ZL~TT 2aqwnN llw~ad OTZ~OdVT6 2aqwnN uOlleoT~ddy -----------------------------------~---------------------~----------- ~-------------------------------------------------------------------- , ~ I W H :a: d ~ 0 S N 0 I ~ I a N 0 ~ BU,ILDING D f PAR T MEN T B HE 'M E R' TON PERMIT A P P L I CAT ION =======:===================================================~========= ' Applicati.on Date Issue Date Assessor Acct 4f Site Location Owner - Last Name - Street - City - Phone Tenant's Name Aqent's Name Architect's Name/ '::# [X] Building 'r' [J Mechanical' [ ] Plumb t nq~;; 04/09/1991 Application'Number 91AP03210 Pey'm :i. t Number Project Group 37.35" -a..:J~-O~/- (J o a:!:::. 900 N. CALLOW DUBOIS 16300 CLEAR CREEK - POULS130 .: ," -' ", ( :;?Cl6 )-697-:-6995 -" ", , . ., I -Ft rst F<ANDY RQAD NW ~tat~ WA ' Zi.p 98370 MI Phone( 206 ) Phone( ;:~06 ) ~ .''''~; ':...' [~.J' Grad i nt} \,,[ ].Move "Bu i :I. el i ng \[.J" Mob i 1 e Home - [ J s i !;IT) "': [ ] Burn i ng [ ] Land C.leaf [:J Paving [ ], Unde,g,ound " -'. [ ] Demol it ion .j'~ ' . ,t~ , ' ._---------~----~~----~-----------~--------------------~--~------------ /;~,:.. ::":"I:''''~''''_X~,({ Bui leli ng Qontractor.: <.,.. . " Wor k wi 11) be' 'comp 1 et eel by owner~M'" (~: i Nature of Wo,k :;" ; -. 4-bay 1 f.,;,,s,ervi?e cal wash ~{' , /,\,' "j, 'c:'..;,.,",;,:;,'" . \"~'O' ,')~. Bui Idinq Valu'at icm-,,-";;;;_' . q~..;,c:,., ""-.",$44000 .00 Counci 1 Dist' , . . . . . --------------~,.....-------""""!--------~"""':"~.-----_..-----~_.._~~-_._~,-------------- .. . -', -". Construction Type Census Trac:t/ '.',:<~~-',i,' "51..1 FI:~et "J I nspec:t :i.ons I:<equi red ii'~~~' _::;: [ ] "Zoning-' Founelat ion [X] [X] Type Fr am i ng [X] [ J.' Insulation I: ] [X] Plumbing [X] [ ] status Mechanical [X] [: J Code Wallboard 1:]' [ ] 10, Fi na 1 [X] . . ~~~:~~~~~~~e;~~~~Tw~~;:?r~~~rzf~~~~~~~~~~~~ . . r1- O...Je-f) vJ-\...~ ~~ D-rL D ,. (\ ~ ,'!F L'_u ~ u..:J~ ~r e..CL..t.~ ql/'b..>_J..;. Lur~ C>f- fbO~ !M..~. j,~~e..c--l ~, V '. Residence Business Other New r~epa i I F~emoele 1 ,Addit ion FILE COMMENTS " SITE ADDRESS: APP. NO. q} A Po 3~ I D OWNER: PERMIT NO. NUMBER OF PLAN SETS VALUATION: f '-It-[ I () 6 0 FEES PAID: PLAN CK v BLDG. SRCHG. PLBG. MECH. OTHER ROUTING: DATE DATE APP. WI NOT SET # SENT RETURNED APP. COMMENTS APP. REVIEWER BUILDING G' PLANNING ~ ENGINEERING g Lfj r~1q f +/ /~lq I L.J I r5Jq } V" ~ 4))~J !1lifL\ Lf/2>o} q ( J 6( (pIC; I ~\ tJ-)/~/q 1/ ~ '-/IJ~1ql WATER Er FIRE ~ TRAFFIC ~ HEALTH DEPT. 0 / DATE COMMENTS hI) 0, I lfJ'l.rJfq 0~A- "-. .; 000 'uoT~~as~a~uT ~aa~~s q~uTN aq~ o~ l~TillTxo~d asoT~ s~T o~ anp ulTUO a~ue~~uau ue se pau6Ts lT~eaT~ aq o~ sT SleMaAT~p MOTTeJ OM~ aq~ JO ~soillu~aq~nos aqili 'S '~daa 6uT~aauT6u3 l~TJ aq~ JO uOT~~eJsT~es pue sp~epue~s illnillTuTill aq~ O~ pa~aauT6ua S~UaillaAO~dillT a6euTe~p q~TM paAed-a~ aq TTTM Ta~~ed a~T~ua aq~ Isea~e pade~spueT aq~ JO uOT~da~xa aq~ q~TM 'v 'saa~~ a~Tnba~ ~ou TTTM ~nq pade~spueT aq o~ sT uea~v uaa~~ '~sTX3u pa~eu6Tsap sT~eq~ ~oT aq~ JO apTs ~sea aq~ 6uoTe ea~e aPTM '~J aT aqili '( 'saa~~ aq~ JO uOT~eTTe~suT pue sadl~ pa~~aJa~d aq~ ~noqe pa~Tnsuo~ aq PTnoqs ~uaill~~edaa s~~ed aqili 'q~uTN 6uOTe ~noJ pue a6e~uo~J MOTTeJ aq~ 6uoTe pa~Tnba~ a~e saa~~ aATd 'ueTd aq~ uo pa~ uT pa~ou se pa~ueTd ~o pa~a~snT~ aq leill asaqili 'a6e~uo~J ~aa~~s JO '~J SZ q~ea ~oJ aa~~ auo JO a~e~ e ~e pa~Tnba~ a~e saa~~ ~aa~~s 'Z 'sTeT~a~eill asoq~ ~noqe uOT~eill~oJuT ~TJT~ads a~Oill apTAo~d o~ pa~~n~~suT seM pue sTeT~a~eill ~eTTillTs ~o ~aAO~ puno~6 Isqn~qs MOT apnT~uT o~ spua~uT ~ue~TTdde aqili 'pa~e~~snTTT se Isa6e~uo~J ~aa~~s q~oq 6uOTe dT~~S pade~spueT apTM '~J S V 'T :a~e ueTd sTq~ JO sa~n~eaJ la~ aqili 'a~ueuTP~O 6UTUOZ aq~ JO s~uailla~Tnba~ aq~ ~aaill O~ punoJ seM pue paMaTAa~ uaaq seq ueTd a~TS paq~e~~e aqili ----------------------------------------------------------------- AOTTEJ , q~6 ~E qSEM JEJ ~'~6W -- M~IAHH NV~d ~iliIS :iliJ3rgnS 6uTuueTd Iq6noH UO~ :WO~d uOTsTATa 6uTPTTng :Oili T66T 19Z TT~dV :3iliVa ---w-n-a-N-v-H-O-W-~-W--- ,~ Inter-Office Communication Date April 13, 1991 City of Bremerton :::~d~~t~Pt~o1ice ~_ Attached building request - 900 blk N. Callow To From Subject In review, I feel the South driveway is to close to 9th St. The blue prints are not to scale, but it appears that the driveway return vlould be only about 10-12' from the traveled portion of 9th. The amount of traffic on Callow in concert \'Jith the stop requirement for those on 9th would therefore increase the collsion exposure rate. I would recommend the. contractor and/or owner contact Engineering to facilitate a more favorable location for the driveway, or eliminate it completely leaving only the single ,: . driveway on the North end and mak~ it of appropriate width to handle ingress and egress traffic. Please reply on reverse ffijlli@muvUi@ f.~Pi{ 1 5 1991 BREMERTON BUILDING DEPARTMENT ,:;~ r . \'\. H n E: t'l c r) 'T 0 N, ,,\ I.... 1,\ 'S P I.... r' 11 t.. ", j {~Pr:' 1 i cat i Oil Dat e I E,nu.(:.~ Dat e (:1'3::...:;CSGOY' i'"1CCt :fj: ~~; :i. t e !...ocat ion Owner -Last Name -.- ~::;t '( eet "- c:i.ty ,.... Ph()ne 'l>::mant, ' s'N~Jlni::; (')<:;lent ~,,~ N;:lme AY,:::hitc:ct "i::~ Name Lx] Bu.:i.:I d i. n9 I:: ::I 1"1f::cha.nicaI I:: ::I Plumbi 1'19 p U J L D I N G C P P T r'l E: i\J T" I.; -. {, I ''1'' A P P L_ J ,.-. (I T I 0 ,. 1'-1 l... ,\; ().4/1()t.i',/ 1 (?~) 1. Application Number 91AP03210 pf:)"m :1. t Numbc:r P,'c,:if::,:ct (~Y'oup 900 N" C:trU..Oh! [j I..JD 0 I ~:;: 16300 CLEAR CREEK POLIL.SBO I::':i. n;t; f<(:lNiJ'{ [,'n RO(\D ;J!A.' St~te WA LIP 98370 ( ~;;:~ (J C;t) (:::. 1,/~? u.. is. .:~\) ~~) 1::)hL""i"":": ':::-('1t'" ) . r ,. II:..,,,\. ..,.....,.... r,\hone( 206 ) [ ] Oradinq L J !"love !3u :1.1 di nq [ :] nub:1..1. E'; Home [: :1 ~::; i. 91'1 [ :1 BUYTl:i. i1\J [: ::I I...,and C 1. ear r 1 Pa\Fi. f'1~J ! I UrideY'(,:',I..'(O,u.nd :. ~ r: J Demo 1. :l t ion E3u 11 d:i. r:(~; Cont '( ac:t 0,' :: .'tr Work will be completed by owner. (,. ) N.~t\)'~'f:" .'f'''f IJc.y"k~ ..5~~~~yJeeii' ~ervice car wash ~'- YLSf\5S, 'S'S& AlT~CH G~ ~~ ~p.,:: 4000 .. 00 Building valuation .__._.~__......"_._._...__..,__.___.__._.__.....~._...~_~___......__.,__.____.__..._.~...__._.___~__.._...._'M_'_"_M"'_.__"_"'__~"""_'_'____'_'____~""""........ Council District Census Tract Const r uct :i, on TYPE:: F<c~s:i. c1cnce nu.f:~:i '(18,,:,8 CJtt";(':::i Net\\ r~e:pa i'( FE~mocle 1 f~iddJ t ion r::.;c; !=-eet I nSpi,,)c't :l one \0 lli @ ~ Q~I~t~td llli F.,,"Hld" c ,...r, 'Ir; Sr \ p'-") 1 51~~:I. nq ..i\.. f"H \ \ " r 'r' '"".,~ I ) .:' ." ... .: (") 'f', r,,' '.J . .1. ,...,....,.c....t..t.. . nEMERt01f~):: ng L<:.: B 1\ "'Ie, .....J-....!\'I f""1},i~'", J D(l \t-IG rlEPAKhlll:.w..r"'C>" r' '" BU',LD 1'. U,' '.", , It..)("..,. "'j'! l''''-x .., .. " ..,c.'.,... L J 'i ['X .'" F' :I. tia J. .' ..I r "i I.. .1 C...] [. "I . ..I f><J L J, [,' 'I .., 1'_' "I ... ZCJfI:i.nq' '" 'Type r::;tatds Code 10 ::::: ::::: :::" ,,:: ::c: ::::: :::~ :0:: ~::: ::::: :::: ::::: :::: ::::: :::: :c:: ::::: :::: ::::. :::: ::::: ::::: ::::: :;:: "': ':::: :::: ::-~: ::::: :::c ::.:: :::: ::::: ::::: ::::: ::::: ::::: ::::: :c:: 2:::: ;:::: Q' ::::: ::: :::. ::::: ::0: ::::: :::: ::::: :::. :h:::::: ::::: 'C:: :::: .;::: :C, ,:::: c':: ::::: ::::: ::::: ::::: :.::: "" , (' Cl +--C; ~ Y- - / ~ _ a T I ~l.L, tJ'rw a.---d ..J-o -J J ---r6 ~ -f r CL.-rt- .,,, J ~ \l ~ { ~ ~, .~ l ~ ~ ~ ~ ~ \~ "'- rr. (..., '~ ~ ~ "" ~ ~ f"" ~ ~" ~ ~ ~). t ~ ~ \l \l) ~ ~ cJ\ ~ ^- .J \j \0 ~ ~ \j CITY OF BREMERTON BUILDING DEPARTMENT PERMIT APPLICATION DATE: 4-10- , 199 1 TO BE COMPLETED BY 4-15- ,199 1 Randy Dubois OWNER owner CONTRACTOR 900 No. Callow LOCATION OF JOB ENGINEERING COMMENTS/REVIEWED BY~ /f? f1 @ ~,;', 'ler ~ ' ~ '- j ,LS (j fY ~ S:J@j',' !1t.' ,05 ~ '. 'JI~') , , .. , ] '1 I '-!. 10Et/' 1'-"0 BlJ!LD/~G7[M[RT()N D{:p. - ' '- fj!i7MF1~'T r-/7Y:I Cl"Vc..n.:. S-z.7d 0 .)',tC-. FOR 4-bay self-service car wash (!)7dE 0;:::- /J COHf)(..cTeO / H Pe'l'( VI' I/J /lCt?v/ /tfSl? , P ~?-rt:r- T S-c..IA.,~-6 ,~~/!-.: "p~;T)~AJ ~ )/ C?:7? Tl) s H-dJ,..J ven I f7tm7?A./ we' Go N'T' ntA--' / ~ I )If el:J t J'!OI'2(;<~ dt / E/":J {; (/ ~ v-it-d - oJ tJ 'J7/7J7- Or /) /lIUJOI-mz:6 C4M /$ E.' /1..t~6 , W~1v7 ~~ItM /1")-~ r'I'/JWL 77/7~7 ,1 BHE 'MER'T Q'N . BU.ILDING D F PAR T MEN T ;,P' E R M I T A P P L I C' A T ION =======~======================================================~====== 'Application Date 04/09/1991 Issue Date. Assessor Acct . ~f Site Lbcation 900 N. CALLOW Owner - Last Name bUBOIS - st reet 16::100 CL.EAR ~RE_EK - cityPOULSBO Phone (206.J,i697-69,9S ":';:""'N Tenant '8 Nl.imt-~ 'J." "r 1 " Agent · s Name )g,i" ,,~l". ;': ,~. ,', ~"~ Arch i t ect · s Name/ \5,"" [X] Bu:i I ding ,,),i.''',: [<.J ' (~~ ad i ng, ,.." r. J Mechanical' ~[]Move,Bui ldi ng [ ] Plumb i nQ/ 'l:;'}' " Mob:i I e Home Application 'Number 91AP03210 Pe'\"m i t Number' Project Group .F i r st RANDY ,R~)AD NW _ Stat ~ WA' Zip 98::00 MI , '1, ~ Phone( 2(6) Phone( 206 ) ..:.':l:' r '" ' Sign'." r. ] Burning, [ ] Land Clear' i} ["J Pavinq [ ], Undeq;JY'ound., [ ] 'Demo 1. i t ion o 7-, . ----------;.-~.~:,=~.~,~'~.--:---'""""---------------.------------------:--~--_...... --------- - '",. /' /., ~ "".' Bui ldi ng Gont;ract or ,: " :>./. / \,; ,., u "., ~ , . Wor k wi II;;; be':cbmp 1 (h ed by owner .', ',,'"-, \ Nature of; WOfk::j ,,4-bay sa I ~;~. >"' ice car wash ~f;~ \ ,,";; )y--'~ '1~,;~, '. \ :3; ~,., 'i:, " ',,\ \~~~~~ i;;;:~<' i' S. '\ ,~. . , . /, ,'.t... ;,,;~,l Building Va 1 ~(a,li or\;}{~!:,:;:\';' -"";'",~44000 . 00 . " --------------~01-----.7f0,~---------..,.,..,-'1~-~-----..----~~---~~--~.---...---------- Cou nc i 1 0 i sf: Y;,ict;;i;</;i~ "(~;_~~. ' ,:,',:.t ","",if " ~.!( ,.~ ./:,,0.. i; \ Construction Type ~i, Inspections I~equ ired -",t." "'C;,.. " , 10 Foundation Framing Insulation Plumbin!;J Mechanical Wallboard Final [X] [X] . [ ] [X] [X] [ ] [X] Res i dence [] Business [X] ot her [ ] New [X] f<epai r [ ] f~emode 1 [ '] .Addit ion [] '-~;CZoning-^ Type Status Code .' . --------------------------------------------------.------------------- .., ------------------------------------------------------------------------ -E~ 4-q-Gtl B U' I L DIN G o ~ PAR T M E 'N T BR,E'M E'R'T O"N ,P E R M I T A P P L I CAT ION ----------------------------------------------------------------------- . ------------------------------------------------------------.--------- APplication Date I SSUf~ Oat e Assessor Acct ~f Site Location Owner - Last Name - Street - City Phone Tenant's Name Agent's Name Architect's Name~ [X] Bu i :I. ding, [] Mechanical" [ ] P:I. umb i rl!;Jl' ,~:) 04/09/1991 Application Number 91AP03210 Pe)'''mit Number' Project Group 900 N. CALL.OW DUBOIS ,F'i rst' F<ANDY 16300 CLEAR CREEK~ROAQ NW POULS130 i.")"'" State WA ' Zip 98370 ( 206. };'697-6<(95 Phone( ;W6 ) Pho'ne( ::::~06 ) MI ['~l G'( ad i ng ...... .' .-' ' ~L JMov~,Building 1~"1 MQb 11 e Home r"l.Siqn' [~] l3'u~ninq" [ J Land Clear [,.:] Pav i WJ [ ]., Underground . I:: ] Demol :i. t ion " Building tontractor; ~~ \ t . ,<- !:~~~:.-'~ -><- '. ", } Wor k wi 1 g; bercomp 1 ~t ed by owner~. :..' :~ . .; -,', ", .----------!?-::.:::;:7:f;-:-- - -,"" -- --- -- ---- -- "'7"-- --,....- -- - - --.- -- -- - -.-,.... ""'--7- - -:.- .----- --- "-!"" Nature of': Work:;:! " 4-bay lice car wash \ ~." " -} Bu i 1 ding Va 1 J~'~ i OQ";k~i,j $44000.00 Council Distri -''!'<'' " ;uP ______________~_':""""____-:-__.:---------~--r~.."!"-----..--------~-.....--~.-------------- .' ' Construction Type I I I I l I I J 'I I j'l Residence Business Ot her New F~epa i r Remodel ,Addit ion [ ] [X] [ ] . [X] I: ] [ ] [ ] Census Tract,;, ....,.. Inspections I=<equ:i reel [X] [X] I: ] [X] [X] I: ] [X] ", ,.." " = ========= =::== ====== == ::::::::= ========= == == ==:::::::: ====::: ==::::::: ==::::====:::: ;:::== ==.: :::=:::= =.==::: = " ,sq: Fi?et ;~ > ~':~~ L.:~~ c....::._., "':" ~ F::'ounelat ion Framing Insul..-it'ion PLumb i n~J Mechanical Wallboard Final , Zoninq' Type Sta.tus Code 10 ~lolt Lj-- /5"- q I Dale ,iI1A'( '2 J' /qq ( To fA-Nt..." I-I)Alt'r~ From r;,~(56, Bcstu.,rloFF Inter-Office Communication .., '. .~j.1""'/ .' . C. t f B t '-I' -,.~i!J)t ~"} 1 Y 0 remer on .'~:-' ." .,'";.":7.7,7 .~~' "-::.:'~ . ~ ~. - - :?::/-/':,~..... . - - .,T"/" ,....1 ~'. .'" . . ...... :-..'!!::., : .. ".... ...... . . Subject REQUEST FOR REVIEW Site 1\ddress: 1tb if C/rLL.OW Building Appl. # q I APo 321 0 Owner: h).j'j)y :p'V~n1<: Contractor: o ijZ] No identifiable problems noted. Developer shall contact the Utility for 1\pplication for Water Service and pay all assessed fees prior to construction. kK] Developer shall contact the Utility for 1\pp.lication for Sewer Connection and Sewer Inspection Permit and pay all assessed fees prior to construction. D Developer shall contact the Utility for 1\pplication for Storm Sewer Inspection and pay all assessed fees prior to construction. ~ ~ 1\tmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers. 1\11 plumbing, inside and out, shall conform to city of Bremerton and Washington Stale Cross Connection Cont~ol Standards. D Owner shall contact the Utility Billing Office (478-5316) prior to demolition for payment of fees for water meter removal for existing service. If service is to remain, contact must be made for possible recoding of billing account type. D Prior to demolition of existing structures, sewer laterals shall be capped. 1\ppropriate sewer cap permits and inspections shall be obtained by the Contractor. ~ Development is subject to 1\WW1\ Regulations, 1\PW1\ Specifications, DOE Regulations, om! Regulations, Bremerton Municipal Code, and Utility Standards. 00 Contractor to verify location and depth of existing utilities. Contact Underground Utility Locates (1-800-424-5555) forty-eight (48) hours prior to start of construction. o athe" -26z C7-:'0-~~ s:?e..-~fir /;' 7I'r"'~~ --Ik IM"'-~J- .::J)' ~ e... 0'-(2 .t / nO L 0-;- S fr;V? E?/II' e.c- ~ APPROVED{})~-<p '#J ~ DATE, i/b//9l Dale ~(/'3 (> / elf I I ::J4-JiYl L()A/.c.&Fo~j) inler-Ollice Communication . ~. . . . ,.~- ~.:..~)i ~'(~ City of Bremerton I-'-""-'"'~. ....,~:- ~//~:~~..... . ........... :-..~.,. ~ ~ ,"H " .. . . To From GrIl6.'~ &;~H-O p-;:- Su bjecl REQUEST FOR REVIEW Site Address: q 6(') /1/ f Ji.LL-1'> W . i,) U.;Rl'lI5' . l3uilding Appl. # q fA 'P03Z,/O Owner: RkiJDY Contractor: o No identifiable problems noted. o Developer shall contact the Utility for Application for Water Service and pay all assessed fees prior to construction. o Developer shall contact the Utility for Application for Sewer Connection and Sewer Inspection Permit and pay all assessed fees prior to construction. o Developer shall contact the Utility for Application for Storm Sewer Inspection and pay all assessed fees prior to construction. [J Atmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers. [J All plumbing, inside and out, shall conform to city of I3remerton and Washington State Cross Connection Control Standards. o Owner shall contact the Utility Billing Office (478-5316) prior to demolition for payment of fees for water meter removal for existing service. If service is to remain, contact must be made for possible recoding of billing account type. [] Prior to demolition of existing structures, sewer laterals shall be capped. Appropriate sewer cap permits and inspections shall be obtained by the Contractor. [J Development is subject to AWWA Regulations, APWA Specifications, DOE Regulations, DOlI Regulations, I3remerton Municipal Code, and Utility Standards. o Contractor to verify location and depth of existing utilities. Contact Underground Utility Locates (1-800-424-5555) forty-eight (48) hours prior to start of construction. !Xl Other: ''--1<..e J.f~i. 6 lJe #€cb CA-t.c.V?-IrT!DJ.l.5 C>J/ $1?IAI61 ()F" 7"HE (Sf'- / ~ ?;€,PC!2-4'/CJ2- ~ W ~ /UC; IJ, f?.-e ; oM I Ai 4~o tJo-I p l-rl-/- 4z;- ~ Re-rcnJ-TI~1J '1' ~~ ~ \" ~ \ ~vt O-.f prov fA._ ( 4-110 1 q I APPROVED: DATE: B ~E 'M ER' TON BUILDIl\lG MY OF BRfMERTON APR 1 u l::;jl D F P A F< 'TMMN'~I~~ -\-JTfUTIES .,p F R M I T A P P L I CAT ION .._---_._-~----------------------_.._--_._-_._----_._-----.--.-----------------------..--.---- ---.-.--.-.-----.------------.-------------------------.------.--------------.---------.-- Application Date Issue Date Assessoy' Acct :11' ~;ite L..ocat ion Owner - Last Name .- St reet ..... City ..... Phone Tenant.s Name Aqent.s Name A'rch i t ect · S Name [X] Bu i 1 d :i. flU [ ] Mechanical [ ] Plumb :i. nq 04/09/1991 Application'Number 91AP03210 Permit Number Project G,oup 900 N. CAL..L.OW DU130IS 16300 CLEAR CREEK POUL.SBO ( ")() f.) I. 07-- f. 09" 'r.c "c... c> C) 7" C)C 7 ....J First RANDY MI ROAD NW State WA' Zip 98370 Phone( ~:~06 ) 1::)1-.. ( ""C')I. ) Ilone .::. c> r "I GY' ad i nq r 1 Move Buildinq r "I Mobile Home [ ] ~:; i qn L ..I Burninq r '] L..and Clear r '] Pa vi nq [ ] UndeY' q, 01.1 nd r -I Demo 1 :i. t ion -----.----.-.---------..--.-----.--.-----..----.-.--------------_._--_._------_._--~._._------ l3uildinu Cont,actor: Wo,k will be completed by owne,. Natuy'e of WOY' k: 4-bay self se,vice ca, wash Buildinq Valuation $44000.00 ______________._________.________.__._______M__._._______.________.______~----,--------_--_--- Council District Census ''1'', act Const,uetion Type Sq Feet Inspections F<equ :i. ,ed 10 Foundation [X] F', am i. nq Lx] Insul.at ion [ ] Plumbi nq [X] Meehan i ca 1 [X] . Wa 11 boa Y' d [] F i na 1 [X] Res]. dence r '] BUSIness [X] Ot hf:~r L ] New [X] I:~epa i , r .., I~emode:l. [] Acldit ion r"l Zoninq Type ~~;t at us Code W~==='='='=4:==2r~=q=\==='='=========="'========================= ~ 1/4' AIR DROP 100 PSI. 4 CFM l' COLD WATER LINE 115Y. 15A. 1~ DUPLEX OUTLET CONTROL WIRING FOR ACCESSORY UNITS r CONTROL WIRING OUT TO BAYS 230V. 60A. 3~ 4 X 4 JUNCTION BOX 3/8' HIGH PRESSURE HOSE OUT TO BAYS f 4 BAY POWER WASH IV MAIN ELECTRICAL PANEL l' HOT WATER 55 GAL. SOAP 55. GAL. WAX TANK ,.1" WATERLINE MIN. 30.GPM AT RUUO WATER HEATER R86-400 "' @E FLOOR__~ DRAINS _._~ PRESSURE FEED FOAM TIRE AND ENGINE CLEANER ". . . , , . ; . . ~. . d' CONTROL WIRING FROM PW IV BENCH "., . ... "j .'AIR COMPRESSOR 12 CFH AT 100 PSI NOTES: FOAM BRUSH UNIT PRESOAK UNIT 230Y. 15A. 3~ 4 X 4 JUNCTION BOX "--- FOAM WAX UNIT 1/4" AIR DROP MIN. 75 PSI 8 CFM 230V. 15A,. 3~ DUPLEX ,OUTLET 3/S' I.D. POLYTUBE OUT TO o o o GJ ~ THIS PRINT IS FOR RECOMMENDED EQUIPMENT PLACEMENT-oNL~~ NOT FOR CONSTRUCTION. ;' .,..' ,. FOR ALL INTERCONNECTING WIRING. PLUMBING. AND MECHANICAL DETAILS. REFER TO RYKO INSTALLATION MANUALS. ALL INTERCONNECTING WIRING AND PLUMBING BY OTHERS~" ROUTE 2" SCH 10 PVC PIPE FROM EQUIPMENT ROOM TO E~CH SAY FOR HOSES FROM THE POWERWASH IV. FOAMING BRUSH. TIRE CLEAN:UNIT AND~ PRE-SOAK UNIT (ALL HOSES SUPPLIED BY OTHERSl. ALL CONSTRUCTION TO MEET APPLICABLE CODES. 12' 4' HAMILTON DUAL BILL CHANGER 115V. 15A. 1~ DUPLEX OUTLET o > a. < W r- < o >- m z o H r- a. H a: U (/l W o o u 'W a: r- -1 r- u :J o o a: a. (J) C Q) 0 o CD ..... ..... C . wen - W +'OQ) 1-' ~ I- c.co <l:C"l I <l: ~O:;::lOa;:;' u 0 4- ,0 0 ..,.. .....+'C..... o ~ Q)+,+, ..... a.O:J W II Z (J) Q) 0 ...J" ::r(!)a .......c <l:~ <l:a> ......o+' .....:J..... u..... a: > a.. <( (J) :a Ul 0 <l: 0 <( en "- :c U :::l L (f) W o <( ill -f (f) 03 0 CD -f a: 0 -f H l.L. 0 0 OJ l[) OJ I-Z ....., L <( ::J ZO .01 @) 3 0 WI- 0> 0 La: z(f) 0 H >- o...W (!) ~ en 0 HL ::r w Z ::JW 0 >- :L <( oa: '> H a: a: a: W OJ W t!) a: Cft- \ 2 ~ BU,ILDING D r PAR T MEN T 8 HE 'M ER"T ON ',P E R M I T A P P L I CAT ION .,. =======~=============================================================. Application Date Issue Date Assessor Acct ~f Site Location Owner - Last Name - Street - City - Phone Tenant's Name Agent's Name Architect's Name/ [X] 8u i 1 ding .! [ ] Mechanical [ ] Plumb i ng . " 04/09/1991 Application Number 91AP03210 Per'm it Number Project Group 900 N. CALLOW DUBOIS 16300 CLEAR CREEK POULSBO ( 20c, ).697~6995 First RANDyMI ROAD NW State W~' Zip 98370 ,i ~ :. Phone( 206) Phone( 206 ) [.] Grading ~[ ]Move~Building "[ ] Mobile Home .[ ] SiSJn [ ] Burninq [ ] Land Clear [. ] Pav i ng [ ] UnderSlround' [ ] Demo lit ion " ._---------~-----~----~----------------------------------~------------ Building Contractor; War k wi 11;, be: 'comp 1 et ed by owner. I Nature of War k:;';' , 4-bay sel,t;8~rvice car wash ,",' ,':,J . . . '. ~ ;;'" \i. ."-~,..~;y' -:j." \.:, Bu i 1 ding Va 1 u"qF. i OT):....~ I,.' >". . " $44000.00 --------------~r-------~----------~~~---------~----~---~------------- Counci I Disfrict,,<;, Census Tract ", "'.:' Canst r uct. ion Type Residence Business Other New Repair Hemodel ,Addit ion -',.'-:\ '., ~~. Inspections Hequired .Sq, Feet. .......:; '..'" ""'" Foundation Framing Insulation Plumb i. nr.,) Mechanical 'Wallboard Final [Xl' [X] I: ] [X] [X] [ J [X] [ ] [X] [ ] [X] [ ] [ "J [ ] Zoning Type Status Code 10 ,." .-:;". ===================================================================== Pl~ '"' \ 'j Y - I ~- - q( ~---JI;~el-- I t_d2-b ~. ~ ~6' ~ '" ~ 0,.00 141-/ .9fh ~ o. I\l ..... 0"68 WYE 9/~. 0..81 WYE , . 0+8'5 LAT 3.5cjo. ~ Cb .' /+/f.5 W'YE 5J.50f0. ~?5 WYE I /"<../G. r '" 5qp. I'" 42 LA, i,./. r "- .'" LfYE .9.8 /~. (1:6J5 vv . I. /0/81.5 WYE lafd? . . WYE 9.5cp. 2.j./2 2-124.S WYE 2+55 Mil. M.II. WW 2+35 2f4J 2+63.5 WYE I L "- I ''0 : '+12 3+-21 'yVYE INLET )+22 INLET :::t 2''75 WYE , ..1+ f. LAT 5.5dp. J-f31 . ~ I .~ ~ :: WYE 3+6/ to WYE 4+04-.~WYE 9.50/= i.!.. . ,9 S'H 01 ~: I I' ~'.fl:.i 0\, II 4+69 WYE /CJ'r. 5-1-0/,8 tAT. vtYE IO~, 5+2/ ~ , 5f-885 WYE , 5 '"91:5 L AT. f tlp~ 5+132,5 ~ ~ ~ WYE /t7~. t;:) ~ ~ ~ " ~ (:) ~~~ ~ ~ 6-166 tY~. ;s: ~!i1 ~ " \)I . 0, //:1,6 J-freel- R/N 185.2-1- FL. 173.28 ~ . "" ~ o. '" A .- FES 20 i\.ofjerrs~E COI'1 F'R AI< CI.ltID 5049 Jackson& ORIGINAL Associates/Inc. 31tH iilll~II/,,,o.. Suitc '.100 Seaillp., w~~h"'glon g81~1 (20Cil 2e~.~21() F' . 1/6 'REAL ESTATE PUACHASF AND SALE AGREEMENT (WHit Earne~1 MOMy PlolIlsion) THI8 OotHRACT CONTAnl..S fHET!:RMS OF SALE or THE PRO PEATY. AE:AD (:~HEFULLY BEFORE SIGNIHO. neCr;IVED FROM. ,..:~WN ." RANPY ~l:ftJI.Nn R~lN Dt1WILtiUS~ WIFE HE~EltI~~ lEA c"UtD "PuRCt1"~rft.. . Wi.shlnglon, 1.5 FEB. ,1&.21_ .. ~ .--Y~,!E ~QUSANp_ oo1.1ARS AN]".) NO 1qO----.-----~---~~----..-------- [10LLAAS(L~?OO.O~ In IhQ 'c.rmol ehQt;k lor it ...?J.q~.~ !J..~.... ....._.__..... Ca~nlnr 'i--11...f~______._, Nolo 101 $ __" / ^ ,duo,' _li.I_.L ,___, r~ld Do' d",liv':Il:LlIO ugelll 3S oarnp.~.1 mOIll?Y io p~rl paymonl ollhc 'purchll~$ Ullll': followlno tlo!lGcllbed lo~1 B8131$11l KITSAP C I ,.'j' -I' . __........._.__.. .......... . .:>"n t, y' p, II nu 10/1, tT1I1! /l,alll/Hi :M!elo.ho~Oby aulr,(jri~c AgOhl 10 iMed UVl:I. 1I1Ull slOIl.alUles 1M CIJuecl IQgsl doecripllQn 01 lhe ~L1uvll'dB~IQnllllh1 proparlV il unolvalll>t.lle al.Io"II~ vr'~IUIl'/lg. r:lln.r:O(/eCllh~,lag~1 d(l~cllp\lon lI(ovl.ou~ly ~llltJltJq II etlone.oll9. flIlneOmpIQlil.~ . JfR # 21 # 22 # 2) # 2h BWCK 2) CHARLESTON THIRO ADDI'.L'WN CoNVEYED DY VOWME S52/9~8 J!lCCEPl' THAT PORTION OF J.JYr #23 & .wT #24 LYING NORTH OF CONCHEJ.' WALL. BmlNING AT.-THF. N.W. CORNER W If}.[p THEN SOUTH 89*51 FT. 26 EAST 2.'10 PT. TO 'POB THl!N SOlYl'H !~2*'2.5FT 57 EASr 16.26 I''r,THEll NORTH 89*47 )0 EAS'r 66 FT. '.L'HEN SOUTH 41l{40Pr 33 EAST )0.,56 FL' ~, TO EAST LINE OF Wi! # 23 reRMS OF S^Lt;;: I. Tne 101&1 fllllr.h~$1l f.ltlce is _ ~'.rt ~ THOUSAND OOLLARS AND NO 100----------~--":"-....-"" DOLLARS. 1$_2.5:I()OO,.~_.._l. payM'llo il~ fOllowa: 1 I I \ ' PUIC"il~t/ Ao,p.er. To f'.y: ALL CASH AT ClDSING ( SEE ADTlENDTJr1f '# 1 ATrACHED ) fr;.~-'. .III/IUx lIilnsmlllal memo 76711.......... ,r n '-l tl C'c",ne\ .- oJ. .--"- Rot.ed 3- e!~\}p..A<; ~(H,.~tOYl i~ PIli'"'' t.. ~'"t. ~ 7.-1 b .":' Z.-Y '2---' F.. , 2~~ 'i:i.f7~ ......-.... .':"'"~ ~-:. foe-I'II I" 'l'6~\'" ~ 0)) cu' ..--- 1~~-H"j-77 2. Tille of ecllcl i~ \" be free 01 ~1I~UlI\llIUI1Ce5, or clelects. A.r.Aflt: THOSE ACCEPrABLE TO PURCHA.-<::ER Jlighlt. Ic~ol"cd ill 'edolal ~)~IO;:III~ UI ~iille'/JeeCJ., hllllc1I1)O~ 01 use lesl/ictions DerjO/wl 10 1M <Jj~lricl, .111\1 tJuilulng or 1001110 iGgulallons Or plOVISlon~ ijhall nOl IH: dOCfOtld t,,<;;umbra"'l;;t1~ IJlU"IOI;15. EnCuIl\LJlaOr.A~ 10 be disctl~l()ad by ~cllc' may LJe pllid oul ,,' 1IU1~ha~t1 monAy ,,' Llilll!ol r.ln~in(J. . ~. Sellcl aglee~ 10 lurni$h omJ lli:llivll/ IQ ofllr.n 01 "'.1051/19 .A.(lOnl i6 soo/\:A$ procurable, or II conlin~i:II~jt~ pre contained 'lIl1eln, A!I 'flcn as P/OOu13bla ~"er roroo'lal ot conlin(lLlncit1~. d ~IUIIUilrU 101m PlllI~h"'ser's pOliCy 01 lille ill~l,jl~nCc 0< lopOll preli....'il'OIfY Iht:r~IO. ana Selllll A'AMrizes AgQIIllo apply 10/ ~ul;h Ijtlll il)~'''l:\nce. Th/,1lill~ puli\;!.' to tJ~ ISSIIM $11;;11 00013111 1'\0 excoptjon~ Olhe, 11,,,n In;)~.: p/(uio:lo<:l 11:11 ill S3io stanc1atrt II)rm plus e"e"(lIb,ancee 01 "(;Iccl~ "oler;J in pll'CQI"ptt 2 .abovt:. If Iille IS 1\Cl/ Inslllible ~$ ~eove r-Iovidoa ~~d CQMot bel ml:\de ~u tosuraOle within .~.)I"l.. .dil's I.-:"'Hlale of title f~porl, CilIM&1 money ~h,,1I n~ 1l:/UIlUl!U anc1 nllliO"I.' 01 pUICtl~$Q IB,mioaIO(l: Provid- ed It,al PUl~lliS~lI' may walv& Olll!!CI!i RMI AI~d 10 pUIC/)JSQ. In Il1e a.,blll of dclilLJIl by OUYCl, Sillle, ~1i~11 \I~vu Itle i<'i<r.i1I)/\ to 'elalo 1M o~roe61 monoy u liquld..lliIl.l <.JdllldU~', 0' to Instilul!! till I 10 N,loI.;e any righl$ Sel1el hae.lo Ihe cVQnllhll1 citMr trill fluytll, Sallp.r, III AQ9n1, 6halllll. slill,llC ~uillO OlllQICC Ilny (iytll~ Ill:ICUnUlI'. the succeSSful J1illly ~h~1I be enlillod 10 coull co;/; and a IOIO~onlll:Jle iIlIUII"::~" I..a. the AORllr sh~1I MH be le.pon;iblc lor d..II.~r1 ollitlE;. . (at If Ir", !\gruOI('~1l1 i. 101 COll"(;'(ilncc of Ih Ii II.:, lillo ~II"II btl \;UnYlIve~ Oy WJ.A'RJ'l'9BY .. W~""nly deed fle~ 01 cnoumll.relll;c~ U/ Ul!leCI!I Il.r.epl \I1o.e 1\0100 in Para91:,p'):1, ' . . (bl II1hi3 Aglb~me.ll i~ 101 ~Illt: UII ''''<11 eSlilf. ~f)lIlrMI, Sellol llnd p.llchuel >lerCO 10 e~4culc II lealll~11l11l cUlIlraCllcr Ina balanee ollM pUICh3~C pricc on n"lIl [~tato CVIII'd\;1 FU/l1I A-1964, ,~ copy oj which 1$ hs'eby 1I11achad hCIOIO, (,1 ~ucrl olh"lI ''''/111 d:! i~ illlilchea herelo, IhQ Willa 01 which fHO hOfeby InCOIIII)I~lljlllltllllin lly refer8nce, Sal(l contracl Ghall provide Ihallillil bil convorod by 81.lu(Ory W..".nl)' Do~<I. leI II said plope'ly Is :;ubjocI IO'Df) B~i~ling contracl. mOfloaOfl, IJl;!lld of Hual 0/ otMr encumbHlnce which Soller 1110 eontlnud to P'Y. !lQllar UIl,g,O 10 pay nid conlri.lcl. III\,IIIU~'~, U~9U ", I/U.' M Olnar ellcul,)br~I\CQ ill ..C:co,dQncQ wilh itQ lorml, ",nd I,lPIlII ~1I1.ull, PUI' e/13f.e' ~hall h."e In~ rl9hllo make ~I\Y p~vmo"l" no,o"lOr)' 10 fQIIIClvll ~lltduh,!l/lO a"y p.Yr'r1$oIS 60 mlldl ,hill be appll.d IQ Ihq p.Y' m9ll1 ne~II.""no (IUB on Iho COnllilcl b,I'ilQQ/' SullclI ilod PU'ehA~or hOloln, 4. "t il.n~ lor Ihe cI.I"(lII\ V~~I,lunI5, InsuranCB, inte,eSI, mOllo.oe re~OI'1051 waler llIIcI olhar ullllli&~ con~lltu'il\tj 1111115 allall OIJ p'Olalea aG QI clQlo of clClsino, ~. P:.lr\:tll>~tl, snail nfll)l'Il.i'led 10 po~~c~siol) Or) (/;,10 01 cl03lng. (Conlinyed o"I/\lveISe sllle and Ily lhl~ IO'~tlHlC9 mlldo a pad 1101001.. d, . . , _ _ _ _ _ __ __';.'_ _ _ ___ _____ _ ________ _ __ _____ ____ _ ____,__ _ _ __._ _ _ __ _ _ _ - - ---- - -.- - -- - -..-:.';;"'; - -:: 7..":.."1" - ~.- -.- - --.- - - -,~- :'-' : ~.. . . .... EB 20 '91 16: 17 Pf/l,JE cor., PR RI( (r'lIlD 504'3 ,:-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '.. ,- - -'7-:-' . ~"'" ';r . ,.' . .,. .. . ~.'. . .". .z..... .' '. .J"... .' . ~, I ../: I.. .th. _._._~;.;.~.:.~..:.,:.~ ~) ..' ! :.f--~~~-~$. ..~. I .~ . ;. " .."".. . P.5/6 ORIGINAL q:::;: : :, I JIll;;;; I;;;; i;;;:: i;;;; ; i;; "',11 I;;;;;;::::; :::;; :; ::: :;;;;; ; ; ; ;; W f ATS/''::Z:JJIJ LF.nAr. DF.sr:rHPTION FOR 3'735-023-021 0003 02115/',)1 t. .....d" . , . , . , , , . . . . . , . , I I , , I' , , . , , I "" , I . . , . , , . , '!../~!"'..~r-r",-.,..,.,....,.., , . , , , . , , , , , , , , I I , I , CHJ\V-U:STON ..1RD ADDN 1 LOT 21 TO 24 BL~ 23 CNVVD BY VUL 5S~/~q8 EKe PTN OF LOT 23 & 2 24 LY N OF ~nNC WALL D^F, OAT NW COR LOT 21 TH S89*Sl'26E 3 2.70fT TO [\OB TH S12"~~'5'1f. J.6.25FT TH NAQ"47'30E GGFT TIJ 4 S41*4R'33E 3D. 56FT TO E LN OF LOT 23 & EHD OF DESC ,~~ q..<J ..., ." r....'. _.' JI lO~')<" '" I ~ , - . I . '. ,I '~_.._. ~: , - (O()I'~A "-"' oJ I ! 1'\' I ' ... )1 . ',',J , ~...-~ i-~.>oI , -.... -.:.....-. ..-- --::-;::.- '0 ~'fl":"L'#"J) ..."1 ~.,,- \,..: -.-'...:0.... I ....."., I .)... I ..,..1 <9-'3[ ! ! . 8---j ,a~1 I _,_. - 9TH. '-.'-:'.. - ~ -1,.F:.... '. ", 0''; - . 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I lIS 19~J1 Bu BREMERTOJlJ !WING DEPARTMENT (~ BREMER TON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton, Washington 98310-4799 (206) 478-5318 1820 YTILITY SHRYlQB AGR~Jl~~T Work Order No. Tap No. Receipt No. Bremerton, WA. ?3/f1 , 19_ The undersigned Service Address: Legal Description: Plat property owner hereby applies for Utility service at: Block Lot Kitsap County ------------------------------------------------------------------------ SERVICE REQUIREMENT: [] Water [] Wastewater [] Stormwater SERVICE AREA: [] Marine Drive Water [] Sewer District #1 [] City [] North Perry Water [] Tracy ton Water [] County [] Port of Bremerton [] --------------------------------------------------------------------------- SERVICE CHARGES: Connection/Inspection Fee: Water: Domestic...............Size Fire .................. S i z e BARS-i $ $ Wastewater ............................. $ S to rm Wa t e r ............................. $ Front Footage Fee: Wa tar ................................... $ Was tewa ter .............................. $ S to rm W a te r ............................. $ General Facili~ee: Water .......# of units Wastewater ..1 of units Storm Water .f of units (Ii $ (j $ (Ii $ $ $ $ System Development Charges: Water Wastewater Storm Water $ $ $ Temporary Service $ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee ................................ $ Deposit $ Other 5i-or? Ao{1,o"1V $ TOTAL. . . . . . . . . . . . . . . . . . S /~k' . r.,t{- 4-0 J - :2 Y t . /660 --------------------------------------------------------------------------- 1. Utility charges are the responsibility to the owner regardless of whether the property is occupied by the owner or tenant. Unpaid charge sha11 become a lien on the property serviced. 2. By this agreement, the undersigned owner acknowledges that the owner assumes the risk and the City disclaims responsibility for all claims for damage or injury to person or property resulting from the following: a. Installation, maintenance and operation of all plumbing, fixtures or appliances conneoted to the water meter or wastewater main. (Building permit inspections are limited in scope and do not guarantee plumbing design or workmanship.) b. Changes in pressure, flow or temporary shut-off of services due to system maintenance, emergency or non-payment of charges. Name Phone Number ) Billing State Owner's Signature Date \.o-~~ Agent's Signature Date of Bremerton Municipal Utilities: { Da te (p I c::J- f , 19 '1.1 Original & Yellow Copies: Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Customer INSPECTION RECORD CARD CITY OF BREMERTON BUIlDING DEPARTMENT /I ~1J, 11791 PERMIT NUMBER i ADDRESS OWNER CONTRACTOR 900 N. CAlLOW .' RANDY DUBOIS SELF PHONE PHONE 1 FOUNDATION . COMMENTS: 7. CHECK FOR FILL 8. REQUIRED STEEL IN PLACE 9. CHECK FIREPLACE FOOTING 10. ANCOR BOLTS 11. FOUNDATION VENTS 12. CRAWL ACCESS ~~;!j~ <;;"It'>-/~, ~ ~A s:' /; 711r / 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING WIDTH & DEPTH 6. SOIL BEARING O.K. FOUNDATION INSPECTION APPROVED BY: L(' ~~~ ~/~ . f '-" 2A FRAMING 20. FIREBLOCKING STAIRS DROP CEILINGS TUBS OR SHOWERS ROOF & CEILING LINES FURRED OUT AREAS FIREPLACE AT CEILINGS HOLES PLUGGED TOP & BOTTOM LID IN VOIDS 21. WINDOWS MEETS ENERGY CODE CLASS SAFETY GLAZING REQUIRED ARE EXITS WINDOW SILL HEIGHT 22. CEILING HEIGHTS 23. SWAY BRACING 24. TRUSSES PROPERLY INSTALLED STAMPED PROPERLY BRACED 25. ATTIC ACCESS 26. RAFTER & JOIST SPAN 27. ROOFING, FLASHING, SHEATHING 28. SIDING 1.WIRING APPROVED 2.FOUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITIVE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. BEAM SUPPORT 7. TA. MAT. NEXT TO CONC. 8. WASHERS ON ANCHOR BOLTS 9. BEAMS PROPER SIZE 10. FLOOR JOIST SPAN 11. NOTCHING & DRILLING 12. STAIRS WIDTH RISE & RUN WINDERS LANDINGS HEADROOM 13. ATTIC VENTILATION (upper & lower) 14. CHIMNEY STRAPS SECURED 15. FIREPLACE COMBUSTION AIR 16. FANS VENTED TO OUTSIDE 17. WATER CLOSET CLEARANCE 18. SMOKE DETECTOR 19. SHEETROCK BACKING UNDER STAIRS ABOVE GARAGE DOOR HANGERS COMMENTS: FRAMING INSPECTI~~. 7 //1. t\ APPROVED BY: (" fljf'i 2B INSULA liON COMMENTS: 1. PROPER R-VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTION APPROVED BY: MECHANICAL 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. 18' VENT SIZING 5. '8' VENT CLEARANCE 6. IBI VENT SUPPORT 7. COMBUSTION AIR 8. DUCT SIZING 9. DUCT SUPPORT & JOINTS 10.GAS PIPING TEST 11. GAS PIPE SIZING 12. GAS PIPE SUPPORT COMMENTS: M HVAC APPROVED BY: GAS PIPING APPROVED BY: ~/>4- 7./t.Q L WDST 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT WDST APPROVED BY: ~~ PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. OW SIZING 5. PROPER SUPPORT COMMENTS: p 6. PROPER FnTINGS 7. REQUIRED CLEAN OUTS B. PROPER GRADE 9. HWT PRES. RELIEF VALVE & UNE 10. SEISMIC STRAP UNDERGROUND APPROVED BY: 3 ROUGH-IN APPROVED BY: """""'<l WALLBOARD 6. RRE SEPARATION IN GARAGE 7. ATTIC ACCESS 8. DRAFT STOP IN ATTIC 9. PROPER CONST. OF FIRE WALLS 10. DROP CEILING & LIGHTING 1. LID OVER SIDES 2. NAILING 3. W/R AT TUB OR SHOWER 4.518 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: FINAL 1. HANDRAILS 2. GUARDRAILS HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROORNG IN SHOWERS 5. DISHWASHER AIRGAP . 6. FIRE DOORS LABLED AS REQUIRED SELF CLOSING 7. RRE DAMPERS INSTALLED 8. PENETRATIONS IN RRE WALLS FINAL PLMB. APPR. (comm.) FINAL MEeH. APPRo (comm.) FINAL BUILDING APPR. 4 I'QR 9. HOT WATER TANK PAL . 10. OUTSIDE GRADE. 11. SOIL TO SIDING CLEARANCE 12. SMOKE DETECTORS 13. FIREPLACE HEARTH 14. SAFETY GLAZING 15. INSULATION WINDOWS MEET ENERGY CODE UNDERFLOOR & AlTICE INSUL. WATER PIPE & HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED COMMENTS: '.. SI[ PA. d () - q \ c~ ty oj Bremerto11. 239 FOURTH STREET BREMERTON, WASHINGTON 98310 (206) 478.5252 MAYOR LOUIS MENTOR ENVIRONMENTAL CHECKLIST I c,' '. ,- ..,'; i:.\te\y,erton :# __"d u~ ..."....b llo,.l\ ")I 'O~ '-' ::-\j..I'" \:)\>7.fil,"H . . . r\,i'j'~:;l (,.:?) .,na1 ~.\l I\. ;..!' \'O~ SEPA RULES PURPOSE OF CHECKLIST: The State Environmental Policy Act (SEPA), Chapter 43.21C RCW. requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse. impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. INSTRUCTIONS FOR APPLICANTS: This environmental checklist asks you to describe some basic information about your.proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal .are significant, requiring preparation of anEIS. Answer the questions briefly, with the most precise information known. or give the best description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer or if a question does not apply to your proposal. write "do not )now" or "does not apply". Complete answers to the questions now may avoid unnecessary delays later. Some questions ask zoning. shoreline, and questions if you can. agencies can assist you. about governmental regulations, such as landmark designations. Answer these If you have problems, the governmental r,ro1f''''(fV tn tho nlvmnics (fnd Home of the Plwet Sound Naval Shipyard . <. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or it~ environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to. determining if there may be significant adverse impact. USE OF CHECKLIST FOR NONPROJECT'PROPOSAL: Complete this checklist' for nonproject p~oposals, even though questions may be answered "does not apply." In addition, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (Part D). For nonproject actions, the the words "project", "applicant" read as "p roposa I ", "proposer, respectively. - A. BACKGROUND references in the checklist to and "property or site" should be and "affected geographic area," 1 . Name 0 f pro p 0 sed pro j e c t, i f a p p I i cab Ie: -Cf-//fRLGSTON ;4vro 2. Name of applicant: G<//f.6H R/!;.tO 'f, u: i /?o8.N v<-,/3o/5 7 3. Address and phone number of applicant and contact person: /b3oo CL-t:.-# e-L!b-/Z/t ,eO, ill.v-( /l:;c/L..JDO vc/r1r 4. Date checklist prepared: i-J-/ '8 - q I 2 5. Agency requesting checklist: CI Tr r" Or t3 fG ;r; IE R [t?J-t 6. Proposed timing or schedule appl icable): (including phasing, if Corn p Lt: T I,') J/ p(9Tb ~-I-ttl 7. Do1you have any plans for future additions, expansion, or further activity related to or contiected with this proposal? If yes, explain. lc:.JP t.S5 !lor /l~~Cr 8. List any environmental information you know about that has been prepared, or will be prepar~d, directly related to this proposal. 5'6 e j;:)A-Tfi fHiZ675 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. P OES pC T /ff?/" L 'r 10. List any government approvals or permits that will be needed for your proposal. if known. Po5E- )-Co7 IJol::.j /f;9,PLr 3 11. 12. Give brief. complete description of your proposal. including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description. ) (2G (nt/LA:; /-fE~ Lf /3/9r OL-O /3&1 L /./ /tA/b /ft/ (/ 6c.'fF 1 e:~C(; [3(/ I LO Vv /t J 1"'1 CArL Location of the proposal. Give sufficient information for a person to understand the precise location of your pro p 0 sed pro j e ct. i n c Iud i n gas t r e eta d d res s. i f an y . and sect i on. townsh i p. and range. if known. I f a proposal would occur over a range of area. provide the range or boundaries of the site(s). Provide a legal description. site plan. vicinity map. and topographic map. if reasonably available. While you should submit any plans required by the agency. you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. 90(/ iJ ~G /Y1Gff 1-0 H . (,.;4//'7 983/0 j/ C-/f{;L-OV-- 3 7 3 5 '- 0 d 3 - 0 ~ I .- (J roo :3 4 B. ENVIRONMENTAL ELEMENTS EVALUATION FOR AGENCY USE ONLY TO BE COMPLETED BY APPLICANT 0;' ( / 1. EARTH a. General description of the site (circle one): Flat, rolling. hilly, steep slopes, mountainous. other :5LfGI-IT SifJJ'F. :-;% b. What is the steepest slope on the site (approximate percent slope)? ::.J% c. What general types of soils are found on the site (for example. clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. /" ,;')..L. /JAr ,=-/ . ~,S Pi-/I9-t... r tJi.A?ill. .::/ /ff{1-/ 'r G fC/f'/C L-- . I d. Are there surface indications or history of unstable soils in the immediate vicinity? If so. describe. n 0<.':5 ,?:-/c:;/ &;P,t?L Y . e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. fll? /1,oP/t?~4<-- F /L..L ~/LL---/3c . - /7// fJei..:J oR 4tFr??d/(S="P f.. CouI'd erosion occur as a result of clearing. construction, or use? If s~. generally describe. J() n {:'.J - J.-/' 0 r A/';9Lr 5 g. About what percent of the site will be covered with impervious surfaces after project construction {for example, asphalt or buildings? &">~ h. Proposed measures to reduce or control erosion, or other impacts to the earth, if. any: 2. AIR a. What types of emissions to the air would resul t from the proposal {i,. e.. dust, automobile. odors. industrial wood smoke} during construction and when the project is completed? If any, generally desc~ibe and give approximate quantities if known. {JOEl, /-iOr /1-~~Lf b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. DOt;;:;-5 HoT qPPJLr c. Proposed measures to reduce or control emissions or other impacts t oa i r , if any: /1/70h/n ~ /.lft~f::-,{ A-I-bO -tJ~ --- . . 6{(.~1V /3~LI 6 3. \lATER a. Surface: 1 ) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wet- lands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. DOE'> We> r /I~~L-f- . 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described water? ,If yes, please describe and attach available plans. kj 01'::: { I-rrCJT ,,<;l f?;:/( ~ . 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. fJoe.5 . utll f ' ,4j?;:J t~ r- 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known, L:-t//2.RbI-/ lOR C>c/s;;"/f'!-/G <rI2.J(-D~ 1-/"9-1 f?JF.Jo D c.,v.A-rb~ '? Il..A5t( 5 ,@NTO ,c:;ro~ D/?f"'JilV 7 5) Does the proposal lie within a IOO-year floodplain? If so, note location on. the site plan. I:JO~,j ).4::;>7 ~~L T 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. . On~s .HoT pf?tJL'r' b. Ground: I ) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for examp 1 e: Domest i c sewage; i ndust ria 1 , containing the. following chemicals...; agricultural; etc.). Describe the general size of the system. the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. DOb.5 ./.-/0"7 a~#I.~ 8 c. Water Runoff (including stormwater): 1) Describe the source of runoff (including stormwater) and method of collection and disposal. if any (including quantities, if known). Where will this water flow? Will this water flow'into other waters? If so, describe. R l/,U(J jZ-r TIJ G.o /0 (!)/!cc-;/v 13 <-'::-L-T ,4-Hr.J rM9/V ro ~ :;ol2rn l,jR./f (;l.r ~ 2) Could waste materials enter ground or surface waters? If so, generally describe. }Qo C;:S . "f-;' 0 ;;- I"9P,PLr d. Proposed measures to redu6e or control surface, ground, and runoff water impacts, if any: A- f...{ 1/ b Je~-(.;- f.I . 1".--/.::6 T -136W fJ,r!.rJ Pe/!!./'r ~ H . 50<-' T" Lt .qp~ 4. PLANTS a. Check or circle types of vegetation found on the site: 9 b. What kind and amount of vegetation will be removed or altered? Doe:> woT Af?fLr- c. List threatened or endangered species known to be on or near the site. j;/{){-=-$ ~./oT A-PtpL-9- d. Proposed landscaping, use of native plants, or other measures to preserve or enhance v e get a t io non the sit e, i fan y : ./-{ /f- T/ ~ ~vt:;p( (5 Le&.u.5 C;f+PuM', I'r~O 6Je.fr~5 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk. heron, eagle. songbirds. other: mammals: deer. bear. elk, beaver. other: '- fish: bass, salmon. trout, herring, shellfish, other: .b. List any threatened or endangered species known to be on or near the site. POt:j ;(-/&,- r;2r'~?- f- 10 c. Is the site part of a migration route? If so, explain. fJ(J8 H'cP r 1"9~;9 (., r d. Proposed measures to preserve or enhance wi 1 d 1 i fe, if any: 6. ENERGY AND NATURAL RESOURCES a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. fi L(~ reI ~/r( Poi l-IGIt T/Hb A-HO /7?() Tc?l? j I IJ/j rCA.eAL 0)4:;;J 10 H'e/9T t-r/?fC;;e. ( b. Wo~ld your project affect the potential of solar energy by adjacent properties? so, generally describe. DO e:.. ~ r~P r use If /9-P~'" Y . c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Lv' /lrT61L R.-~6 T~/L.lo(lS 10 ~ F PL,.-C-.e: f..A..,--4n~~' v~- Pi/if /N6 ~,<J.~ //V/.} ~ 6'..1 I IV G 1 1 7. ENVIRONMENTAL HEALTH a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion. spill. or ~azardous waste. that could occur as a result of this proposal? If so. describe. OOf~1 /-po T (9;?f?L ~ 1 ) Desc~ibe special emergency services that might be required. (JOES /../.<77 ~~~{ 2) Proposed measures to'reduce or control env i ronmenta I hea I th hazards. if any: t?Ot;.!' ;..C.P r /9/'I'L ~ b. Noise 1 ) What types of noise exist in the area which may affect your project (for example: traffic. equipment operation, other)? tD O~-: s /1/f/ D f-- J-{tOl 2) What types and levels of noise would be created by or associated with the project on a ~hort-term or a long-term basis (for example: traffic. construction. operation, other)? Indicate what hours noise would come from the site. r-RA {fie.- H'OISe- r-R4ft7 C/1-,e. ~ tH6 fl",tLC;P' G5t?tN6 O&~ /H'@ t?t::A:ft" ~e5 ~~ cf2./I? .7"'0 1/ t?./1? < . 12 3) Proposed measures to reduce or control noise impacts, if any? ;t') 0 c:::J ,u.t:J 7 /lj?f? L 7' 8. LAND AND SHORELINE USE a. What is the current use of the site and adjacent properties? /Jf1P/J72-f /J1. ~-ur, S I i:./I P!?P <~ TotR~ . ,c4tz tU r-; L~ T , / b. Has the site been used for agriculture? If so, describe. // 1JE:c5 .}./OI ~.f?P L-1 c. Describe any structures on the site. to LO ,{ ctevl (, ,,;-' <r47r-.oI',r d. Will any structures be demolished? If so, what? nLD r1c.~VI{' t=C s1'?9T/,ot"-/ e. What is th~ current zoning classificati'onof the site? f. What is the current comprehensive plan designation of the site? 13 g. If applicable. what is the current shoreline master program designation of the site? Eb E'; k.o 7 t9~,RL-f . h. Has any part of the site been classified as an "environmentally sensitive" area? If so. specify. e () C;;~ . ~(? t- r k~7 . i . Approximately how many people would reside or work in the completed project? I DR ;J.- j. Approximately how many people would the completed project displace? }J o~f No;r ~;9L- $-' k. Proposed measures to avoid or reduce, dis- .placement impacts. if any? 1/) OE:5 /-/.:?T ~~(.~F 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans. if any: /8 ()~5 kor. r:;- /,#Lf . 14 9. HOUSING a. Approximately how many units would be provided. if any? Indicate whether high, middle. or low-income housing. ,OC:?t;~ HoT ~~f?L ~ b. Approximately how many units, if any. would be eliminated. Indicated whether high. middle, or low-income housing. _ p.o,~-.5> l./oT /9tf?~L.f c. Proposed measures to reduce or control housing impacts. if any: . . DDt~~}...IOT ~Cy 10. AESTHETICS a. What is the tallest height of any proposed structure{s). not including antennas; what is the principal exterior building material{s) proposed? J~ R I Lf.- a~/) I /C& Je-r . . - - l b. What views in the immediate vicinity would be altered or obstructed? iOoe;;~ ho T &/,o?-:c " ....... c. Proposed measures to reduce or control aest'het i c impacts. if any: e<= ,/J"?O c...-- AL r;) i~o L-O 8 L/ i L-Of~..c 15 11. LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? r '-0 Rr;-j t;7Vr 13'9Y L/0l-frl/'Vc- b. Could light or glare from the finished project be a safety hazard or interfere with view? - DOe=~ ~Q7 I9P~G y- , - c. What existing off-site sources of light or glare may affect your proposal? I':) ("JI:=:- ~ ,ue;? 8/~L-f d. Proposed measures to reduce or control light and glare impacts, if any: IDoE5 ;./G:l7 /l~//( f- 12. RECREATION a. What designated and informal recreatibnal opportunities are in the immediate vicinity? DOl'::;: S Ho?7 rT/'P'l Y b. Would the proposed project displace any existing recreational uses? If so, descripe. /JObJ , H.a( ~//Lf 16 c. Proposed measures to reduce or control impacts on recreation. including recreation' opportunities to be provided by the project or applicant. if any: /0.nr.c-< Ho-:;J T t9-~f?t., $<' I - 13. HISTORIC AND CULTURAL PRESERVATION a. Are there ~ny places or objects listed on, or proposed for, national, state. or local preservation registers known to be on or next to the site? If so, generally describe. 1:X;C.5 HOT /f ,P'f91 ~ b. Generally describe any landmarks or evidence o f his tori c. ar c h a e 0 log i c a 1. s c i en t i fie. 0 r cultural importance known to be on or next tot he sit e .~} fuOe-!; /'-to7 ~j9(~r c. Proposed measures to reduce or control impacts, if any: f):!:)(~.5 f-t' or f7f?t?L r 14. TRANSPORTATION a. Identify public streets and highways serving the site. and describe proposed access to the existing street system. Shown on site plans. if any. ' '2.. cYt'5 TIUG (") w c..,;gL'-tO~ ANf..? / t=-\c / S n~6!? C> J.I" ~ r/:J 'S,T.. b. Is site currently served by public transit? If not. what is the approximate distance to the nearest trans i t stop? l../'J _ t. I C,2 17 c. How many parking spaces project have? How many el iminate? , 1'2 /JK-/O would the completed would the project /Yo,#~ d. Will the proposal require any new roads or streets. or improvements to existing roads or streets. not including driveways? If so, generally describe (indicate whether public or private). p:o~j uo7 "q,pjl( ~ e. Will the project use (or occur in the i mm e d i ate v i c i nit y 0 f) wa t e r, r a i 1. 0 r air transportation? If so, generally describe. D oC:1 ,/-/.?J/ 8rP'~ L Y f. How many ve'hicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. . ~;o /0 ? 5 - rJ /?rr;; TO ~ /?./?'J g. Proposed measures to reduce or control transportation impacts, if any: JO,Oc. > )-./,0 7 /9P'~~ ~ 15. PUBLIC SERVICES a. Would the project result in an increased need for public services (for example: fire pro~ection, police protection, health care, schools. other)? If so, generally describe. . eOl~5 ~tt? T /Y-"o/ltJr , b. Proposed measures to reduce impacts on public services, /<')oe-.J f-?Ot /?-;R/Lt or control direct if any. 18 b. Proposed measures to reduce or control direct impacts on public services. if any. /UnES !-t:'o / I"9-.PIP t. ~ 16. UTILITIES a. ' 17. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on>them to make its decision. Signature: {b-fJ9lJ2_ // Date Submitted: 19 \ ~ ~r: HOOD CHEMICAL COR~ORATION 4444 N. W. Ye"on Ave. Portland, OR 97210 f' r () due t N d III e C.AMPO) Hili-SOAK Emergency Telephone 503-227-3505 Prepare y Kathleen Woods - 6/88 Chemical Family /Formula Drv Alkaline Deterqent Mixture Proorietarv Hazardous Mixtures: ~ V) Sodium Hvdroxide Percent: 8 :::J V) C> w Cl 0::: Sodium Carbonate Percent: 40 0::: :::J e::( I- NX Percent: e::( >-< :I:~ Percent: Boiling Point % Volatiles -1 N/l'I by Volume ()~ c:r:: Solubility 1 n pH ( as is) Ue::( Water Aooreciable N III >-< l- V) e::( Specific Gravity pH (1% solution) > Cl :I: (H ?O= 1 ) N Il'I 12.0 Cl.. Odor and Appearance: Tan qranular - bland odor UZ'.OrlO DOt:' - 1\1 I Z'. Flash Poi n t: z: NONE C> >-< Extinguishing Point: V) C> NONE -1 Special Fi re Fighting Procedures and Unusual Fire and Explosion Hazards: Cl.. x e::( WI- Any extinguishing media acceptable e::( Cl Cl z: e::( W 0::: >-< l..L.. Th re s ho 1 d L i mi t Value: Not Established Effects of Over Exposure: May cause eye or skin burns or irritation e::( Emergency and First Ai d Procedur"es: l- e::( For contact with skin or eyes, flush thoroughly with plenty of Cl water for at least 15 minutes. For get prompt medical eye s, Cl attention. For ingestion, give plenty of water. Give one 0::: e::( ounce vinegar in equal volume of water. Do not induce vomiting. N Call physician. e::( a :I: :I: I- -1 e::( PRIMARY ROUTES OF ENTRY: INGESTION W :I: d b MATERlAL SAFETY DATA r . .f e::( l- e::( o >- I- :> I- U e::( W ~ Stabilit S tab 1 e xx U n s tab 1 e Incompatabi 1 i ty: Products: to Avoid: NONE Hazardous Polymerlzatlon May Occur Will Not Occur Steps to be Taken in Case Material is Released or Spilled: Sweep up and return to container :,.,: e::( W (/) -...lW ~ a:: ::::; o Cl W -...lU Waste Disposal Method: -...l0 ;;: ~ According to local ordinances (/) :z: ~o -l 0........ e::( ........ I- ........I-e::( uu:E: ww~ 0..1-0 (/) 0 l.J.... ~ :z: 0.. ........ (/) :z: o ........ I- ::> e::( u W ~ 0.. -...l e::( ........ u W 0.. (/) Respiration Protection: Local Exhaust Mechanical Protective Gloves: Rubber or neo rene Eye Protection: Go les if dust is a roblem Other Protective Equipment: not needed in normal use. ossible. Precautions to be Taken in Handling and Storage: Store in closed container in dry area. Wash thoroughly after handling. KEEP OUT OF REACH OF CHILDREN. Other Precautions: NONE Contains no known or suspected carcinogens . ./ 1','1. r.I.JV.... "'nc."lll"r\~ I"vr,r V(\f"\ I LV,1 4444 N.W. Yeon Aile. Portland. OR 97210 r I V W "'I.. l. .cui"c;: C~ WH1:...""SL WASH Emergency Telephone 503-227-3505 MATERIAL SAFETY DATA Woods - II-aS V') :;, V') o U,J 00:; 0:: :;, ex; I- NX <- :J::::a; ...J c( <..loa: -I- V') < >- 0 :r Q,. .z: o - r,I') o ...l ~ xc( IN I- <C QO z: <C U,J e:::: - ..... < I- 'I( o = CI: <:: N < = = ~ -oJ < U,J = Percent: Percent: Percent: Percent: - mild odor V Tee rocedures and azards: Extinguishing media - C02, water, foam,. dry chemical I I unknown to eyes, skin and mucous membranes. Emergency an For skin and eye contact, flush area thoroughly with water for at least lS minutes. Get prompt medical. attention. If swallowed, do not induce vomiting. Give large quantities of milk or water and see a physician immediately. PRIMARY ROUTES OF ENTRY: INGESTION ::w: <: u.J v-, -l \.-.l 0: O:~ 00 u.J ...J (".) -10 - 0::: a. 0.. v-, z: :::0 ...J 0 - <-t- -t-o:( UU:E: L.I.J I.U a:: Q.,t-O VI 0 u... a::z: Q., - . VI z: o - .- ::::l < U 1.U ex Q., -J < U u.J a.. en (.~'j-!i tt. .t;.. {;;i tt(). Ie ) o Stab, Stable XX Unstable Incompatabi ty: Acids Hazardous Decomposition ro ucts: NONE Cond tions to void: xx Avoid contact with acids. Steps to ase Matena Sweep up spill and return to container. with water. Flush are thoroughly Waste Method: According to local ordin~nces. Protection: use. ... quipment: torage: Keep container closed. Store in a cool, dry area. Avoid breathing dust. Wash thoroughly after handling. KEEP OUT OF REACH: OF CHILDREN. recAutlons: CONTAINS NO KNOWN OR SUSPECTED CARCINOGENS. ~l. HOOD CHEMICAL CORPORATIUN '4~44 N.W. Yeon Ave. Portland, OR 97210 , , '.. t t'rOQuct Name CT-'J.'1P'...u V.t;Jil c.:...J:; WA:::itJ Emergency Telephone SAFETY DATA Prepared b Kathleen hemlcal Fam1 y Alkaline Deter ent Mixture azardous Mlxtures: ~ Sodium Carbonate ::l Vl o L/J Cl c:: a:: ;:J ~I- NX .:::;...... ::t::E: ...J < u< ...... .... ~< =-0 ..... - 0... z: o - Vl o ...J Q.. ><< W .... et co z: -=:: UJ a:: - u.. et I- et: o Q 0:: -=:: !"'oJ oer:: :::. ::t: ..... -J < l.I.J ::t: Boiling Point i ty i n A reciable ravity pH N A ppearance: ranular owder - erfumed odor o in t: VAPOR POlnt: ting Proce Fire and Explosion Hazar s: Extinguishing media - C02' dry chemical, foam, water Threshold Limit Va ue: Not Established 503-227.3505 Percent: Percent: Percent: Percent: 1 Emergency and First d Procedures: For contact with skin or eyesj flush thoroughly with water for at least 15 minutes. ,If irritation persists ,get medical attention. If swallowed, do not induce vomiting. Give large amounts of milk or water and get prompt medical attention. PRIMARY ROUTES OF ENTRY: INGESTIOM ~,. , , or:: .... oCt; 0 >- ..... - > ~ u ct I.IJ 0:: ~ oCt; l.U V'l ~ l.U IX 0:: :::> 00 l.U ~u -J 0 - 0:: 0.. c.. V) z ::0 ~o- o::c-~ -....0:::: uu::e: l.U w e::: 0.......0 V'l 0 lJ,.. IX 2:: c.. - V'l Z o ...... ~ :::> ct: u l.U 0:: 0.. -J <C - on Occur Unstable i ty: Decompos ucts: Avoid contact with acids. eased or SPl ed: Sweep up spill and return to container. Flush area with water. Waste Disposal Metho : According to local ordinances. Respiration Protection: Precautions to be a en In Hand lng and Storage: Keep container closed and store in a dry place. Wash thoroughly after handling. KEEP OUT OF REACH OF CHILDREN. ther Precautions: NONE U l.U 0.. Contains no known or suspected carcinogens V'l .. MATERIAL SAFETY DATA SHEET MT. HOOD CHEMICAL CORPORATION ,: JlJ. BOOD CHOOCAL COiPOllATIOlf 4444 I.W. Yeon Avenue Portland, Oregon 97210 BBerqency Phone: 503-227-3505 H/A = NOT APPLICABLE HA " NOT AVAILABLE PRODUC'l' NAME: CAMPCO LIQUID VEHICLE WASH PREPARED BY: K. Woods DATE: Hay 7, 1990 CHEMICAL FAMILY: Synthetic Detergent Mixture F01OO1LA: Proprietary None % HIA EXPOSURE LIMITS, ppm: ACGIB TLV OSHA-PEL HAZ}JIlOOS INGREDIENTS (CAS I): MIA HIA CARCINOGENIC INGREDIENTS: contains no known or suspected carcinogens. PHYSICAL PROPERTIES: Boiling Point: About 2000F Solubility in Water: lOOt Specific Gravity - Liquid (HaO = 1): 1.03-1.04 Odor and Appearance: Clear blue liquid~ mild odor t Volatiles: NA t Volatile Organic Content (VOC): 0 Vapor Pressure: . H/A Vapor Density (Air ~ 1): NIA fIRE AND EXPLOSION DATA: Flash Point: None Extinguishing Redia: Water, OO~, foam, dry cbeJical Special Firefiqhting Procedures: None Flammability Li~its: HIA Unusual Hazards: None HEALTH EFFECTS: Effects of overexposure: contains concentrated detergents. May cause temporary sinor eye irritation. Prolonged skin contact DaY cause minor irritation or dryness in some sensitive individuals. Ingestion ~ay cause nausea and diarrhea. Chronic effects of overexposure: None Jalown or expected. Medical conditions that lay be aggravated by exposure: Hone known or expected. Primary routes of entry; Ingestion, skin contact ~ . . PRODUCT HAXg: CAHPCO LIQUID VEHICLE WASH PAGE 2 EMERGENCY AND FIRST AID PROCEDURES: Eye Contact: Flush thoroughly with plenty of water for several minutes. If irritation persists, see a physician. Skin Contact: Flush thoroughly froB skin with water. Inqestion: Drink plenty of water and call a physician iJlediately. Inhalation of mist or vapor: KIA REACTIVITY DATA: stability: stable Incolpatibility: None Hazardous Decomposition Products: None Conditions to Avoid: Kone Hazardous polymerization: Will not occur SPILL OR LEAKAGE PROCEDURES: steps to be taken if material is released or spilled: Flush to sewer with plenty of water, lOp up, or absorb on an absorbent. Scrub floor well to remove residue to prevent slipperiness. Waste disposalethod: According to local, state, or federal ordinances. SPECIAL PROTECTION INFORMATION: Ventilation: NA Respiration Protection: Hone required Eye Protection: None required Protective Gloves: None required Other Protective Equiplent: None required SPECIAL PRECAUTIONS: Precautions to be taken in handling and storage: store in closed container in a dry place. .Wasb thoroughlY after handling. KEEP OUT OF REACJI OF CJlILDBEN. Other precautions: Hone HAZW> RATING: Health: Fire: Reactivity: Specific Hazard: o o o ll/A o = Hiniaal 1 = Slight 2 iil Koderate 3 l< Serious 4 : Severe " ... - ::11.. HOOD CHEMICAL CORPORATION ~444 N.W. Yeon Ave. 'Portland, OR 97210 Product Name CAMPCO WAX Emergency Telephone 503-227-3505 MATERIAL SAFETY DATA Prepared by Kathleen Woods - 12-85 Chemical Family /Formula . SOlvent/Detergent Solution Proprietary Hazardous Mixtures: , V") Petroleum Distillates Percent: 12.8 r :::I V") , o w.J I Cl a:: 2-Butoxyethanol Percent: 1.9 , a:: :::I I' e::( l- N >< iPercent: : e::( ....... ; ::C:E: I Percent: Boiling Point . O' Volatiles Iii, I 212 degrees F. by Volume N/A I ....J , et:: Solubility in pH ( as is) w et:: Water 100% 7.0 ....... l- V") et:: Specific Gravity pH ( 1 % solution) >- Cl ::c (H?O=l) .975 7.0 a... Odor and Appearance: Green liquid - bland odor .VAPOR PRESSURE : Unknown Flash Poi n t: .. - :z 165 degrees F. , TeC 0 ! ....... Extinguishing Point: V") I 0 N/A ....J Special Fi re Fighting Procedures and Unusual Fi re and Explosion Hazards: a... ><et:: : w.J l- i e::( Extinguishing media - water, CO2, foam, dry chemical I I Cl Cl :z e::( w.J , ~ I ....... I j L.L. : Threshold Limit Value: 2600 ppm based on 2-Butoxvethanol I Effects of Over Exposure: Nausea, dizziness, weakness. May cause eye irritation. May be harmful or fatal if swallowed. , -c::z:: Emergency and Firs t Aid Procedures: I- et:: I Cl For skin or eye contact, flush thoroughly with water for at I Cl least 15 minutes. For eyes, get prompt medical attention. If a:: swallowed, dirnk large amounts of water and get immediate : et:: N medical attention. et:: I ::c ::c I I- ....J PRIMA.RY ROUTES OF ENTRY: Ingestion. et:: w.J ::c i . - . - ,-"---,-_. -------.--------- --- . .------- h___,_ - n__ -----------~.-- --d- - -- ~) a-ljme r i"i a -t-To 1)-- ------ --- --. Stabi] i ~ Hazar OUS c:::( S tab 1 e r xx Un s tab 1 e r-, - Ma y 0 c cur I' Wi 11 Not Occur rx-x I ~ In com pat a b i 1 i ty : c:::( 0 None >- Hazardous Decomposition Products: ~ None ! - I > Conditions to Avoid: - ~ I u c:::( w None a:: Steps to be Taken 1 n Case Material i s Released or Spilled: .:0.::: Small spill - flush to sewer with water. c:::( w Vl -..! u..J Large spill - absorb on clays and sweep up. a:: a:: :::J 00 W -..!u Waste Disposal Method: ..-J 0 ...... a:: CL CL According to local ordinances. V) I I I i Respiration Protection: None z Ventilation ILocal Exhaust xx :-::0 ..-J 0 - Mechanical c:::(......~ Protective Gloves: -~c:::( UUL None wwa:: CL ~ 0 Eye Protection: V) 0 lJ... a:: z Goggles CL ...... Other Protective Equipment: None Precautions to be Taken in Handling -a n d Storage: Combustible liquid. Keep away from sparks and open flame. Keep container closed. Wash thoroughly after handling. Avoid breathing vapors. i U) KEEP OUT OF REACH OF CHILDREN. z 0 ...... ~ :::J , c:::( Other Precautions: u w a:: CL ..-J Contains no known or suspected carcinogens. c:::( - u .W CL V) I BUILDING ~ERMIT . N2 5131 AI City of Bremerton, Washington Phone: (206) 478-5281 v/ $ (D#//ovJ RECEIPT NO. DATE OWNER'S VALUE (5C 00- 7. $ SITE ADDRESS I LOCATION f CJ 0 /11 0 . OWNER'S NAMEI?~y ('~4P-rt5'v ADDRESS CONTRACTOR @ c....J ~ fc::""'" BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. $ -rB - PHONE- 3?? -:2) J>- STATE CONTRACTOR'S L1C. # ADDRESS PHONE II RESIDENCE ..Q( BUSINESS o OTHER 0 NEW o REPAIR o REMODEL o ADDITION 0 DEMOLISH o SIGNS OCCUPANCY PLANNING I ZONING STORI ES <l.. J-. 0 P",.. J . , IIV~ (Do dc'> ~&"'))t!6" THIS PERMIT ISSUED FOR: All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINA~ SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: DATE NOT TYPE OF INSPECTION TIME APPROVED APPROVED COMMENT DATE . TIME APPROVED FINAL INSPECTION APPROVED BY OWNER'S SIGNATURE Building Inspector CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING BUILDING DEPT. BY ~ ',,, .' ~ '- I .L BUILDING ,'ERMI1: t~ 827 AI City of Bremerton, Washington Phone: (206) 478-5281 v - $ - - OWNER'S VALUE $ 'tI () d c;.. BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. RECEIPT NO. DATE c2-1 S--7!J' SITE ADDRESS I LOCATION OWNER'S NAME'~b <)l<ttj 1 e S CONTRACTOR ~ 0 ADDRESS 9tJd ADDRESS PHONE STATE CONTRACTOR'S L1C. # D RESIDENCE ~USINESS D NEW D REPAIR PHONE D REMODEL D ADDITION PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR \.--.. 'K'b~=:-._,\ c:;t,v, ;1 p~ ~('lct'4)tA \ ~~~~ 7:t:.G-',c.-k- A-~iJ6l>- All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation D INSPECTION: Framing D Plumbing D Electrical D Wallboard D FINAL~ FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME ..PPROVEO APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY OWNER'S SIGNA Building Inspector UPYING BUILDING BUILDING DEPT. ,...- ~ ).. ~, . ----~ . 8 (D ---/ ~ SZt2C2._~a&tJ -. --l ... :J