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Home My WebLink AboutCALLOW AVE. N., 920 -------------------------------------------------~~._--~-------------- -------------.-------------------------------------------------------- Application Date Issue Date Assessor Acct # site Location Owner - Last Name - .st reet - Cit.y - Phone 'tenant's Name Agent's Name Architect's Name [ ] Building [ .] Me'chani ca 1 [ ] Plumbing Contractor street City Phone Representative state IJicense # City License # Nature of Work: Demolish structure 04/05/1994 ' 04/05/1994 3735-023~023-0001 920 N CALLOW.AVE SAFEWAY STORES PO BOX 90947 BELI..EVUE (206) 537-5852 JOEl. SIMMONDS ( ] Grading [ ] Move Building [ ] Mobile Home R.W. RHINE CO. I 1124 E 112TH TACOMA (206) 537-5852 EVA RHINERW346C1 4000 sq ft Applicat.ion Number 94AP07471 Permit Number 15345 Project Group First. HI State WA Zip 98009-0947 Phone(206) Phone(206)537-5852 [ ] [ ] [ ] Sign Burning Land Clear [ ] Paving [ ] Underground [X] Demolition INC State WAZip 98445 Expiration Date 08/13/1994 Expiration Date ------------------------------~------~------------------------------- S"ewer Cap permi t Number YES Issue Date 04/04/1994 SEPA Review Demolition Footage 4000 Council District 8 Census Track status Code 8 ::::::::-:~~---;z:;c;---~---------------h------------------------ ------------.----------------------'------------------------------------ ------~----~~---------~-----------------------------,--------~-------- Poge I MAR 28 '94 04:04 PM :().....~\~8Dir~~~~IjErmll~I.~1.i;ilNi~L;..> i~~!~I~~~~tj.>>t~~~ijl;~l'~,~llit;..'rfil~f~l;!r~q~~;~i'~f~~~i~<<~}l~.[f~i~i;i APPLICANT; 0 OWNER 0' CONTRACTOR 0 DTHER: SITE ADDRESS: 9..2t1 J1/ C4 /~t.V ilv~ OWNER, J'o ,fu /S;;; 1'<""-J .jf.-.,~j .z;; c. CONTRACTOR: f2.. W. R~\} Y\ e, J:h c, CONTRACl'OR LICENSE # 7?lfrt\JE~LJ3~0C/ CONTACT PERSON: -::::Ib{d .;5 ~ rn "'" 1m~ COUNTY ASSESSOR PARC~l #:.3 73S--t).;23 -O~3 -(bot ADDRESS: _I? 0 150 x 9()9~7. :6 ~lIeflue 011 '1ltJQl1'<It ADDRESS:/,9i/b;d~f.E 7dt~Ornk /)J1f 9f'lfS / EXPIRATION DATE: g-1.3~7'f CONTACfI'HONEI (;Jot) ::;-,37-.SJ?5-2- -~ - ~- o SFR 0 DUPLEX o SIGN ~ DEMO o NEW 0 REPAIR o MULTI.FAMILY 0 nl1SINESS 0 OTl'lE~:_ o MOVE BlOG. 0 MOBILE 0 GRADING(yd$): o REMODEL 0 ADDITION C] OTHER: INTENDED USE: ZONING CLASSIFICATION: j')(~_MO / ~ s L SY--rv '- ~ e..- COUNCIL DISTRlcr:_.~ N^ "URE OF WORK PROPOSED: SQUARE FOOTAGE: Dwc:lling:w 1:'060 Gatage:_.~ Decks: Qr eparlment st! nO' .............VA.,OAtJQN..\.;:,.:::: ../::~tAN.;tmVJl:W..fiEJi,L: .....'.'... .:'P:EkMttf.Ell.:::;:;::)\ ':;-:: /:::'SOftCfJARGft$J\:> :::':.:[:.:TOTA.tiEEES.:.. ..,. ...,.;.....: ..:,' S $ $; ENERGYl $ SO.OO $ 5T ATE: $4.50 - ~ ~ - V. Of - p; I) =-=-...: .:=- ~ - ~.::=- Applications for which n~ permit is issued within 180 days fullowi rJg the date of application shall expire by limitation, and plans an,d other data submitted for review may t.hereafter 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 sha:I be mended more than once. In order to renew action on an application after expiration; tbe applicant shall tesu!bmir plans and pay a new plan review fee. I hereby certify that the above itlftrmatioll is c01J'ect to the /Jest of my knowledge. APPLICANT'S SIGNATURE: Gr.&.~"':"'J _DATE, 3-.30 -1( - :~ ~ - 2902 BREMERTON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton, Washington 98310-4799 (206) 478-5318 ~TILITY SBRVICB AG~~B~NT Tap No. Receipt No. Q3-()92tiO Bremerton, WA. 4-5" . , 19~4 Work Order No. The undersigned property owner hereby applies for Utility service at: Service Address: 726 C ,At LC/A../ ~.:.1v/.. Legal Description: Plat Block Lot Kitsap County -----------------------------------~~--------------------------------- SERVICE REQUIREMENT: [] Water [~Wastewater [] Stormwater SERVI~ 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-1. $ $ Wastewater ............................. $ Fire .................. Size Storm Water ............................. $ Fron~L Foq.t.~~_Fee: Wa ter .................................... $ Was tewa ter .............................. $ Storm Water ............................ l! $ g~Jl~ral Facil~tL...Fee: Water .......* of units Wastewater ..* of units Storm Water ., of units (it $ (i $ (it $ $ $ $ .,........, -- ,-,,- ..::5 ~ <. ~ c::::- :.-- .c:-J <Sl ~~~ , ~-? ' itO~ / .fR~'" d ~ ~~ 0 ~1'~ ij'd- r~ " 'A -; !'~_ ~Jr ~V;f ~ :: ~~ c! - .;Ia.:t- ,/ System Development Charges: Water Wastewater Storm Water $ $ $ ~ ,) l Temporary Service $ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tappi ng Fee .............. 0 . . . . . . . . . . . . .' . . . $ Deposit $ Other .5.cWE..2.. CA// /[;';://011"( $ TOT AL. 0 . . . . . . . . . . . . . . . . $ 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 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. State I~/A ) <) 1 7- 5g~2 ZIp. 0S44-~ , 19 19~ Name e., u I. [:'1../( fir Billing Address //24 - 1/2 't.t. <Jf. E C i t Y (2\ Lr." IV' j;} Owner's Signature Agent's Signature (~)F-<fl. IJ. ~:. ..~J~ Phone Number Date Date 4'-:; Accepted on behalf of Bremerton Municipal Utilities: By: .f), c:'J....,- --S:J:c:c L"';;';"'" Da te ~-s;*" ,..-:.- 19 /4 Original & Yellow Copies: Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Customer ..... ., - ' B R 'I..; M li; H ~I' q. N R II [{Er::fi-:fP'j' tf 0811.~:! l. n T N q '/{ 'r!l'is L<> Nol' A P~r.-mi.t * n ~ P ^ H T M ~ N T Apt' OS, J'104 Pprmi i: }<'l"~::} _Amount P:rJ id PI;)n (~heck Fee:] Amount. Paid Demoli.tion h?-3??JOOl ::; 1:10.00 other F'el:-"'~J Znninq l?'ees $ 120.00 (.. .;> 1?0.o0 ----.--------.-..---------- _ . .... ~4 _ . _. . .~. _. __ _" " __ _ h . . _ . " . . $ :120.00 Received "''''rom: R,W,IUdn0 ToC' 1f ..... -.. ... ..... .... .- - .... .- ~. ~ - "'" ..... .- _. -.. ...... .- - ..... - ..... ~ -~. - -- . . - . .......~ .....- ~ - ...... ...,. ...~ ..... $ . on 62--'14?8300 ON) PaymE'l1t Ot.hl'''r Fp.en Energy Chnrg~ state fI/e 643 - :(':-n . J '-\ Total Feer, Amount Pa:id pri. or 1'a ymr-mt Balancl'" l)UA On 04!05/19Q4 fi'or !t94AP07<1'7:1 C' .;;> .00 $ 4.50 $ .00 $ 4.S0 ..... - -- . . .- .... - . . ...,. . ....- . -.- ...~.. ... $ 124.50 $ 1?<l.~O $ .00 -.-- -- ---- -... . -... -. . .. ~ .. ~ $ .00 . . REGISTERED AS PROVIDED BY LAW AS A: 'IHfIN;:~ R U J Ne 1124 :: 112TH TAC01A WA ge44S SK3NATURE OJ t). ~~~( ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES ~i~.{ c, BREMIIRTON BUILDING DIIPARTMIINT inspection Report Scope of won: Address: . OWner: Contractor: demolition 920 N. CALLOW AVE SAFEWAY SELF Pennlt Number: 15345 Phone: Phone: FOUNDATION COMMENTS: FOOTINGS APPROVED: WALlS APPROVED: FRAMING line uuemenbl aired 10' COMMENTS: APPROVED: ENBRGYCODBCOMP~CB COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAIL INSUlATION APPROVED: CEILING INSUlATION APPROVED: MECHANICAL Chi ouncl-coaud hearth. COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: uired COMMENTS: PLUMBING GROUNDWORKAPPROVED:________PLUMBING ROUGH-IN APPROVED SBBETIlOCK COMMENTS: SHEETROCK APPROVED: E E Buildi Buildi uired COMMENTS: FINAL APPROVED: j . .,. _e .. r _ ~~~~~~~~~~~~. ~ CERTIFICATE OF OCCUPANCY ~ f71u:o. ~ ~ to. .1 ~n ,~ R~rhpr Shop ~~ located at 920 North Callow Ave. f!lJ~J q)f~ ~~ ~ dud the ~ nuty be ~ udtIt tk~ o/tk f!lJ~ ~ ~ 0/ tIu r5ity 0/ f!lJ~n ~ Iwuun ~ ~~ TYPE TYPE OCCUPANCY CONSTRUCTION OCCUPANCY LOAD COMMON USE ~ VN B 2 16 ~~ fllJaIe: 3/27/87 ~ Permit No. na ~ ~~~~~~~~~~~~~~ f!lJ~ (f)~ Richard R. This certificate must be posted and permanently maintained in a conspicuous place. ,.. e ..-' e ~~~~~~~~~~~~. ~ CERTIFICATE OF OCCUPANCY ~ ~ f!71u4 ~ ~ to Sharon's Barber Shop . ~ i~ /o.ca.te.d at Q70 N Callow Avenue BId. A [ljJ~~ O)f~ ~~ ~ dud Ute ~ nuzy ~ ~ uHtIt tIu~ oIt1u [ljJ~ i ~ode 01 tIu ~U;r 01 [ljJ~ eM ~ ~ ~~ TYPE TYPE OCCUPANCY CONSTRUCTION OCCUPANCY LOAD COMMON USE ':f: V N B 2 16 Barber Shop ~ qj)ate: /iidt iJ-~ J f91';> *'~'" PlJaildiny ~ SJA This certificate must be posted and permanently maintained in a con icuous place. Permit No, na ~ ~~~~~~~~~~~~~~