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Home My WebLink AboutCALLOW AVE. N., 902 f ~ j~" .a .., \ ....' ",:/, ~\ ~ . I R E M. E R T 0 N B U I L D' Ii N G D E P A R T M E N T ~- . D E M 0 L I. T I 0 N P E R M I T A P P L I C A T I 0 N =========================================~=============='============= Application Date Issue Da.te Assessor Acct# s1 te Location Owner - Last Name -street - Ci.ty - Phone TenantVs Name Agent's Name Architect's Name ( ] Building [ ] Mechanical [ ] Plumbing 04/05/1994 04/05/1994 3735-023-021-0003 902 N CAL]~OW AVE SAFEWAY STORES PO BOX 90947 BELLEVUE (206) 537 - 5852 1\pplicationNumber 94AP07470 Permi t Number' 15344 Project Group First HI state W1\ Zip 98009-0947 JOEL SIMMONDS Phone(206) Phone(206)537-5852 [ ] Grading [ ] Move Building [ ] Mobile Home [ ] Sign [ ] Burning- [ ] Land Clear [ ] Paving [ ] Underground . [X] Demolition --------------~---~----~-----~----~---------------------~-------~---- Contt'actor Street City Phone Representative . State License # city License # Nature of Work: Demolish structure R.W. RHINE COOl 1124 E 112TH TACOMA . (206) 537-5852 EVA RHINERW346Cl INC \ \ state W1\ Zip 98445 ~xpiration Date 08/l3/1994 Expiration Date 1800 sq.ft ------,-----,--------~---------------------------~-----~--------------- Apprqved By: -------------- -------------- Sewer Cap Permit Number YES Issue Date 04/04/1994 SEPA Review Demolition Footage 1800 Council District 8 Census Track status Code 8 Q - -~------------------~------------------------- ------------------------------------------.--- ------------~--------------------------------- MAR 28 '94 04:04 PM !(); "J{)E"L- ...':)'O)L)/Vb,S . /~;2t:;t -5-8/~9SV~P ~. ..... .... .;,8UI.IDING;'RERM:I~fI1e.IIm.I1IUNj;:';c.. i.~~~~t~~~~~t';if~~J~I'R;%~~~Il~;11~~iJl([il;~1~~};t~j~~[~ifi!zJs*it~,;;;~ Page APPLICANT; 0 OWNER ~ CONTRACl'OR 0 DTHER: SITE ADDRESS: ClOd. IV G liD tV /lVe... OWNER: J'JUbD'5/dd'ew"-J ~+lrYe_~, Iu-(, CONTRACTOR: 'R. {p. k:tl ~ t\e: Jh G. CONTRACl'OR LICENSE # 'RHINE'15ItJ 3 'it c../ CONTACT PERSON: _.:r-IU,. ( S1m mint/is COUNTY ASSESSOR PARCEll: 373S-(J;l3-();(!-IJ083 ADDRESS:]?O ~~>f 9091? J3e//(ljut... I.J!/ 9f{)oC/-02f) ADllRESS: P~1 //;;tLsf I: T~d()md W/!- 4'~~Y-S- EXPIRATION DATE: .s - /3-9'1_ CONTACTI'HONE# PD''> 5"37- Sg5~ --:-: ~ : - ~- o SFR 0 DUPLEX o SIGN 0 DEMO o NEW 0 REPAIR D MlJLTI"FAMllY 0 BUSINESS 0 OTHE~:_ o MOVE BLDG. o REMODEL o MOBILE 0 GRADlNG(yd$): o ADDITION [] OTHER: INTENDED USE: ZONING Cl.ASSIFICATION: ':b ~1'Vt0 hs h S<fl'vc.'flr( ~ COUNCIL DlSTRICf:__ NA"URE OF WORK PROPOSED: SQUARE FOOTAC~: Dwelling:~./.. ~ SOO _, Gttagc::_.~ Decks: or ep~ men se mj' I,:, .. VAUJAt.QS/:::;;:: :::::~LANUVlEW,FBJ1.:::: :::t::;,:r:EkMtTFE..E/;:;:>:::, ;.'.;" :i:;SUf(G"JA~a~.l:::L \:}<TOl'AL:F.f S $ $ ENERGY: $50.00 $ STATE: $4. .so :.. ~ - R I) rl tv. 01 =-=-- ...: ::: ~ ~-= = :.. -~ Applications (or which n~ permit is issued within 180 days followi!1g the date of application shall expire by limitation> and plans and other data submitted for review may t.ftereafter be returned to the applicant or destro}'ed 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 shi:l be extended more than once. In order to renew action on an application after expiration, tbe applicant shall tCsl:,bmir plans and pay a new plan review fee, / herehy certify that the above ;,ifOrmatioll ;s correct to the best of my knowledge. APPUCANT1SSIGNATURE:Qtl.e.tI [) ~:~ DATE: .5-..30-"1 ~:: 2901 . ,~' aREMER.a'ON MUNICIPAL \JTILfTIES 3027 Olympus Drive Bremerton, Washington 98310-4799 (206) 478-5318 ~TILITY SERVICE AGR~E~NT Work Order No. Tap No. Receipt No. Q 3 -QC;:J60 Bremerton, WA. 4-5"- , 19..:?-4 The undersigned property owner hereby applies for Utility service at: Service Address: '/(.::; 2 C,,~ll tc.~/AI A (/L: Legal Description: Plat 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/In~~tion_Fe~: Water: Domestic.............. .Size BARS_I $ $ Wastewa ter ............................. $ Fire .................. S i z e Storm Water ............................. $ Front.._Foqt~~ Fee,: Wa ter ................................... $ Wastewater .............................. $ s t 0 rm Wa t e r .............................. $ g~n~ral Fagi:LtllJee: Water .......# of units Wastewater ..# of units Storm Water .f of units (Ii $ (i $ @ $ $ $ $ $ $ $ ~-9. :t~~'9 40, (70, df/ 7-).- / 4A~ / ~ if % ".t- (j~lJi ~ ~ 47,,& ~ .' .~~~ ~;4),- 4,:{;''1 ~ s- ' < . . - -- - ;" System Dey~lqpment Charges: Water Wastewater Storm Water Temporary Service $ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee .............. 0 . . . . . . . . . . . . .' . . . $ Deposit $ Other . ~ Il.//' <..:.. C.-:!,.? ;7rc:i/t 1// $ TOT AL. CI . . . . . . . . . . . . . . . . $ --------------------------------------------------------------------------~ ;: 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. 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 wastewater main. (Building permit inspections are limited in scope and do not guarantee plumbing design or workmanship.) Changes in pressure, flow or temporary shut-off of services due to system maintenance, emergency or non-payment of charges., b. 2 . Name Phone Number ) . 1'7 17- 5/5~Z Billing /-- -;{ City r;:::1 (/: ,/\." f,.) State /.-<14- ZIP Owner's Signature ~:v.....~ ~....~, Date , 19 Agent's Signature .' ~f} Date .y- .;- 19q I. , Accepted on behalf of Bremerton Municipal Utilities: ~..~ 1.---'" By: .~ -u,;;~((! i~ ,-~J/-;;/,( }c. Date 4-'> , 19 7~ Original & Yellow Copies: Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Customer B REM E R TON H rr I 1. f) J,N G J) E PAR II' ME: 1'5 T REC.F.:IPT #. 0871:31 * This Is Not A Permit * Apt OS i 1994 Per.mi t Fees Amount Paid pI an Ch8(~k F'ef~s Amou.nt Paid .... -. ~... - -.,. "". .... .... .... "- - ...... - ..,- .- .,...- --- ~,. --. .-.."" ..... - -- ....... . ...' -, ... ~. ... .. "" ~.... .~. ~ ....'... '", ..,........." - .... $ .00 62- j4~). 8')(J() $ .00 Demoli.tinn 62-<i:l.2.100J $ f,4.00 $ 54.00 ot hf,:>.r. F€-leH Zoning Fees Gen Payment 01:. her f"ees EneFUY Ghart10 St.at~ 'Ale I) l.U - :rn . :t.~i '1'01' a tFe€Js Amonnt Pt'd d $ Prior. Payment $ ~ 4.50 " $ .no $ 4.50 - --...- '.' .-- ,",' .-, ....- .. '..... --...... "" ~,. '-." $ 58 , ~~() !".B.50 ,no ~- ...... ,- -", - .~ -". ...... - ~ ",... "' .,.-."..... Ba 1 ant::e nut<' $ .00 ,- -, - - ..... .- ...... - -, - ... .- - ...... .... - - - .- .- -- - - . ....~ . .' ".'.. ,.- . . -,~. ... -.. ' .. - ..- -~ .... -. --". . . $ ~.4. 00 A '. 1)4.00 Rer:ei. ve>d Fr.om: R,W,Rhinl;~ Irw. # On 04/05/1994 F'or # 94AP07 470 .... ' REGISTERED AS PROVIDED BY LAW AS A: . :exmiKm DATE .<< ~~1 ^ ; HHINE; R'U INC 112~ :: 112 TH T~CO,"A \J~ ge445 SIGNATURE OJ Ii ~~~( ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES BREMBRTON BUIlDING DEPARTMENT . Inspection Report Scope of work: DEHOLITION Address: 9~ N. CALLOW AVE Owner: SAFEWAY Contractor: SELF Pennlt Number: 15344 Phone: Phone: COMMENTS: FOUNDATION liable) FOOTINGS APPROVED: WALLS APPROVED: COMMENTS: FRAMING line uiml 10' APPROVED: Insulation: r ENERGYCODECOMP~CE COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAll INSUlATION APPROVED: CEILING INSULATION APPROVED: MECIlANICAL hearth. Chi ound-c.oated COMMENTS: GAS PIPING APPROVED:__________FURNACEAPPROVED: OTHER APPLIANCES APPROVED: COMMENTS: PLUMBING GROUNDWORKAPPROVED:_______PLUMBING ROUGH-IN APPROVED SHEETROCK COMMENTS: SHEETROCK APPROVED: PINAL aired COMMENTS: FINAL APPROVED: