HomeMy WebLinkAboutCAMBRIAN AVE. N., 337
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BREMERTON PERMXT CENTER
286 4th Streetu Bremertong ~A 98337
Phone: (360) 478-5275 FAX: (360) 478-52.78
BUIL.DING PERMIT
Job Addr: 337 5 CAMBRIAN AVE
L.oc:a t ion:
Parcel No~ 3732014-016-0002
Applicant: WM DIa<SON co
3315 SPINE 51 TACOMA WA 98409
4?2"N4489
Permit No: 99-0609
Status: ISSUED 71(
Applied: 10/13/1999
Issued: 10/13/1999
Expires: 04/10/2000
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4/112000 [( - II - aD
Owner: STATE OF WASHINGTON DOT
Contractor: WM DICKSON CO
~3~315 5 PIN[~: ST' TACOMA WI!) 9f3409
47,!.--4489
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I: WMDICCMI0BJ7 Exp:
DeBC: DEMOLITION OF A 4500 SQ F1 BLOB (EVANS BLDG)
*****************************************1~***************************************************
Valuation * Permit Fees: 135.00 Total Calculated Fee: 139.50
.00 * Plan Ch~ck Fees: Additional Fees: .00
* Dther Fees: 4.50 Total PE),f'm:i.t Fee: 139.50
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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 building 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'inspectl.ons are made. The permit holder must notify the Building Official when ready for
inspections. Failure of t~e permit holder to notify the Building Official of required inspections may result
in the stoppage of the \lJork 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 t~e permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability connected with the construction.
r hereby certify that r have read and examined this permit and know the same to be true and correct. All
provisions ~f. s and ordinances governing this type of work will be complied with whether specified herein
or not. The a ting of a l~{}~tt does not presume to give authority to violate or cancel the provisions of
any other 8 't r local J.j'jU11t)ng construction or the performance of construction.
Si~naluV_L_~_______~__ft___________._________ Oale' __JJ;Lj.1_:_~~__________
I cart' IY t. t I am exempt from the requirements of the state contractor's registration law, under
Sectidh 3, Cha r 126, laws of 1967.
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99-0609 Type: DEMO
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387 S CAM8RIAN AV~
Tot a 1 F'f.o:!f.'H.l:: 1 :::1'/ ,::)0
l'otiJl tll..! Ports:: 1.:39.50
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APPLICANT: OO\VNEIZ libCONTR1\CTOR OOTI-II.:IZ___________.fA ~ r
-------____m _n____ ---- -- ____n____ ----------------- 9 I . 0779580':'--\--------- .
<lie .\ddress:337 ~Cambrian Ave "/';IX /\CC<.llllll NlIIIlIH.T___.____.::-:_______._______
BuildingPertnit ApI)licatio11
Cit of Drcmerton, WA 98337 Phone: 360 478-5275 Fax: 360 478-5278
. \-:-;~-ner: City of Bremerton
Address:
302T-olympus-Dr--------------.-----
nremertull Wa 98316-
- '-:'->Tllr,lct()r: WIn. Dickson Co.
, ',.ntr.loor License' 1-1-: WMDICC*108J7
:\-1 1-(' :-:s-:-J3rs---sou-thl)lne--Stree-r---.------h-.
, II es..
Tacoma WA984W'
-----------.--/---7---------------------
Lxpir:l1tOn O;lle: . 4 1 00 .__
Contact Person: llougLhotlGi
--.---606=5873-----.--------.
Contlct Phone#:
Check the type of application applieu for below:
D,~I'R 0 DUPLt.:X 0 l\[ULTI-r;/\i\IILY
o ,\[OBILL~ 0 /\CCESSOIZ \{ BLUe 0 IZL'~S I\DI)N
o KES H..El'v1 0 COrvlM ADDN 0 CCliVlM IU'~i\1
o R_EPi\llZ 0 SIGN ~ DI'',i\;IOUTION
o NE\\i COMM. 0 TE;:NANT I MPIZOVI::MI~:NT
o CIZ/\DINC(cubicyarJs: ) D()TIII'~IZ:
E~r~:;sWO'k "'\01) ~eronl iti nn
Square Footage:
Dwelling
4,500sf
G ~Irage:
[)ecb
Valuation
Plan Review Fce "Permit Fcc Surcha.~R~:~__
Energy: $~O.()()
State: $ ,I.SO
Total Fees
\ppliul1ons fur which no permit IS Issued within IHO days follO\VIl1g the date f,iI' ~lppltcal1()ll shall expire by
limitation, and plans and other data submitted for review may therc:i/'Ier be returned to the ~lpplical1t ur
Jestroyed by the building official. The building officialnuy extend the time for action by the appliunt 1'01',1
period not exceeding 180 days on request by the application showing that circumstal1ces beyond the COl1ITUI
'.Jf the applicant have prevented action from being taken. No appliclllUI1 slLll1 be cxtcndcd (Ilore dUll' lIICe.
In order to renew action on:Ul application after expiration, the appliClnt slull resubmit plans and pay ;llle\V
plan review fee.
APPLICANT'S SIGNATURE: #~ 6 ~DATE:_!)e/ /-s, 1?~'7
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BREMERTON MUNICIPAL UTILITIES
r3027 Oly~pus Drive
remerton, Washington 98310-4799
478-5318
GC -j-;. 1 i909
449~
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UTILITY SERVicE AG~~EffitNT
Work Order No.
,
Ta~~No.
. .'
Receipt :No'.
Bremerton, WA.
./ Ie /'
, 19
The undersigned prope ty owner hereby
Service Address: ) r::.. '25 CAN\.&2/4.A,J.
Legal Description:
Plat Block
appli~s for Utility service at:
..:, I- /'II!-~'- r:n.eol::~:<i"'t"e. sr
Lot
Kitsap COU:lty
------------------------------------------------------------------------
SERVICE REQUIREMENT: [] Water [>( Wastewater [] Stormwater
SERVICE AREA: [] Marine Drive W~ter [] Sewer District II
..'['<) City [] North Perry Water [] Tracy ton Water
[] County [] Port of Bremerton []
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SERVICE CHARGES:
Conn_ection/Ins~ction Fee:
Water: Domestic...............Size .
Fiz:1.............\-t...Size .
V <'"Flt/F/;(. e/1r ;,()/{ ^F~ ..
Wastewater /~...-'...~.;.....-... ....V./.i-i...
Storm Water ............................. $
BARSJ
/;"(-),00
~./ c:~ 1:/.1
Fron~_Footage Fee:
Water ................................... $
Wastewater .............................. $
Storm Water ............................. $
General Facil~ee:
Water .......# of units
Wastewater ..1 of units
Storm Water .f of units
(it $
Ii .
(it $
$
.
$
System Development Charges:
Water
Wastewater
Storm Water
.
.
$
Temporary Service $
Road Permit [] City [] County..,
Street Restoration [] Asphalt [] Concrete $
Tapping Fee ................................
Deposit .
Other $
TOT AL. . . . . . . . . . . . . . . . . . . /2. (j. O()
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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 sys tem main tenanc~tv _e~j~fe~?", prA~/?,,~/~PA~~;.~f : cJ ,.-~r._a(.~/~.;, ~ ~,_,',",~()
Name (u/fl, ole 1<_'cJ..tI (t!. Phone Numbe'r (~)~) <'..,,'./.-( --/~'Jv~;
Billing Address r. .:53/5 S<,), h/f./E .s T7U~r
. C~t~ ~"{'C(~/!i ~' . State k-,/
Signature _~ _-:. ..2 \---:',1 \D)lte I" "
Signature -_ - tf'> '_ ---l,q Jr, _~ate ( I.'
/
2.
b.
\,~wner' s
!,~gent' s
ZIP 7,')"<;--(:;</- 5'7'73
19
19
~~~ePted on behal=:*~~~~/M\micipal Utilitie;~te
Original & Yellow Copies: Utilities Accounting
Pink Copy: Utilities Engineering Goldenrod Copy:
1~1fP ~ #6""eeUW ~ S~ 10- 13 --9~
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Customer
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BUILDING:~ERMIT
'N~
4528
AI
City of Bremerton, Washington
Phone: (206) 478-5281
/
OWNER'S VALUE BLDG, DEPT, VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ 6600 (QQ) - $.36, 73 $ S-S;.&CJ 7/o~- 9--:7- g;;-
SITE ADDRESS I LOCATION3_';>:z c,~.
OWNER'S NAME ~.NYI... ~~~^-...ADDRESS
PHONE
CONTRACTOR
~
STATE CONTRACTOR'S L1C. #
ADDRESS
~ RESIDENCE
PLANNING I ZONING
PHONE
o BUSINESS
o OTHER
o NEW
o REPAIR
~ REMODEL
o ADDITION
o DEMOLISH
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
1~~~:r;:; ~6
o.----L/
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
FINAL 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
COMMENT .
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
IS. SUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYIN~
OWNER'S SIGNATURE BY Aaf . (J
/iz.'. J P Authorized Agent
BUILDING DEPT. .~) -'