HomeMy WebLinkAboutCAMBRIAN AVE. N., 1102, 1102 1/2
.,
,
B REM E R TON
B U I L DIN G
D E PAR T MEN T
PER M I T
--------------------~----~---------------~-----~-------------~-------
--~~.-----~---~-------~-----------~--------------~--------------------
Application Date
Issue Date
Assessor Acct #
Site Location
Owner - Last Name
- street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[ ] Building
[X] Mechanical
[ ] Plumbing
03/13/1995
03/13/1995
Application Number 95AP08492
Permit Number" 16197
Project. Group
1102 N CAMBRIAN
WAYNE
1102 N CAMBRIAN
BREMERTON
(206) 479-9790
First DANIEL
MI
state WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ J
( ]
[ ]
Sign
Burning
Land Clear
[ ] Paving
[ J Undergrpund
[ ] Demoliti.on
Building Contractor:
Work will be completed by owner.
Nature of Work:
Gas furnace, piping.
Council District
Census Tr.act
Construction
Type
Sq Feet
Inspections
Required
Residence [X] Zoning Foundation [ ]
Business [] Type Framing []
Other [] Insulation [ ]
New [ ] Plumbing []
Repair (] status Mechanical [X]
Remodel [] Code Wallboard [ ]
Addition [] Final [X]
-.. _ __..." _ __ _ _ _ _ __ _ _ _ _ __ _~_..... __ _ __ _ _ __on<> _ _ _ ___ _ _ -__ _ _ __ _ __ _ ____ _ _ _ _ _ _ ___.._ _~ _ __ ___............
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B REM E R TON
B U I L DIN G
D E PAR T MEN T
M E C H A. N I C A L
PER M I T
A P P L I'C.AT 1 0 N
---------------------------------------~-------------~---------------
----------_._------------------~---------~---------~-~--~---------~-~--
Application Number 95AP08492
Contractor
street
city
Phone
Represen.tat.ive
state License #
City License #
RON~S HVAC INC.
P.O. BOX 3491
SILVERDALE
(206) 830-4190
state WA Zip 98383
RONSHI*055CZ
Expiration Date 12/28/1995
Expiration Date
stoves
Fire Place Inserts
1 Furnaces
Conversion Burners
Unit Heater
Boilers
1 Gas System: Max 5 Outlets
Evaporation Coolers
Air Conditioning Units
Heat Pumps
Mixing or Re-Heat Box
Air Handling Units
Fans
Range Hoods
Clothes Dryers
Incinerators
Duct Alterations
Tanks
Refrigeration Units
other Items
--------------------------------~-------------------------------------
------_._------~--------------------------~---------------------------
RF;CF.JI?T #: OA8313
B REM E R TON
B U :r 1'. n 1 N G
Mechanical
6~~-32?, 1.005
R~cei v~d f"t"nm:
* This rs Nnt A pp~mit *
D R PAR T M R N T
lv!ar 11, 1.9915
Permt t Pef?~:l
$ /7.00
Or,her. ft'~en
Z elJ):i n gf"e€'~:
Amnunt' Paid
$ 77.00
~
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$
H0r1 ' r: HVAC [nc ,it 1 h6!1
Plan Check F~~~ Amount Pai,d
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APPLICANT: D OWNER ~ONTRACfOR 0 OTHER:
COMMENTS:
~L{ 'l.~'
SITEADDRESS:Jj O~ 'N CA1-\B1<\lr'tJ
I
OWNER: lAJ A ~N 'C- I f) A\J \ "t::-L-- ADDRESS:
CONTRACfOR:ID~S !iliAC NC
ADDRESS: /62S3 !)j/E CTK R D BKE-Il, W/-J 9831Z-
,
CONTRACfOR LICENSE #
OWNERPHONE# W 79-q 7 or 0
L
EXPIRATION DATE:
CONTRACTOR PHONE # 06 0 L1. \ 9 0
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RAi'I GE
WOOD/PELLET STOVE
. , GAS FURNACE btu s:
CONVERSION BURNER bttts:
UNIT HEATER btu s:
BOILER btu s:
-, GAS PIPING
EVAPORATION COOLERS btus:
AC UNIT btu s:
HEAT PUMP btu s: tUTU:
REHEA. T BOX btu s:
AIR HANDLING UNIT bttts:
E.'G-IAUST FANS
RAi"l'GE HOOD (residential)
RA1'\/GE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
DUCT ALTERATION
TANKS type:
REFRIGERATION UNIT
OTHER:
MECHANICAL PERMIT FEE
:.FEE ..:m€)1.d....:~$.ogE:I:XJThJRE:
WATER CLOSET
BATHTUB
lAVATORY
SHOWER
KITCHEN SINK
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAl
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
WATER PIPIING & AlTERATION
GREASE TRAPIINTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWER (mobile / moved house)
ROOF DRAINS
OTHER:
PLUMBING PERMIT FEE (15.00 or 4.50)
.....FEE...
. . . . ., - - .
:~{{ > ',' : "::}
.......... ". ......_-.-.. ...
$15.00
APPLICANT'S SIGNATURE:
MECHANICAL FEES:
PLUMBING FEES:
(5)~
DATE:
3/;3/?S
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>P:iOBOX..3491
SILVERDALE WA 98383
SIGNATUREDk OJ a7t2
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
BREMERTON BmLDING DEPARTMENT
Plumbing/Mechanical Inspection Report
Scope of work: qas fumace/Diping
Address: 1102 N Cambrian
Contractor: Ron 's HVAC
Pennlt Number: 16197
Owner: Daniel Wayne
Phone: 830-4190
.' ,
GAS PIPING
U n_du ~~lilj>,~~~~...._l.L~~~lUtes) ProE.-!iu~.!C support
1 r minimu.~_ bcl?w gr!:.~e when undc:rgro~ Coatc:dJwrappe<l when unde:rgrowld or within 6" of earth
...1"
Ground-joint unions l'rohibired in certain locarions 8ushin~ not allowed in concealed areas
COMMENTS:
GAS PIPING APPROVED:
FURNACE
Manu.f!:<!~~~_~~J~catiolls 011 site L>cation, a.ccess, s~H~~
Ckaran(lC to combustibles Ve:n~ dearan(lC to combusribles
-
Vent s~1:!!lg & su~rtlconnea:ions Vent termination
Combustion air Cl.Umney: liner and/or separate flues as~uired
Gas shut-off within 3' Pilot e:levated ofT floor i.n ga~e
----"---
Ducts: she: & support/insulated when required Return air
COMMENTS:
FURNACE APPROVED:
MISC. APPLIANCES
Ma_lJu~_':!.~er's_sl~cificarions on site Loca~i~!~~s, s~ort
Ckara.I(lC to combustibles Venting: dearan(lC ro combustibles
Vent siu_J.11L & s-'!.PErt/connections Vent termination
Combustion air Cllim~ liner ~cx separate flues as required
Gas sbut-off within 3' Wood stove & fire:placo: proper bearth
-_._----.-
Wood stOVCll: EPA al'.P_~ Gas 10J,'1I: saiety shut-ofT
Wood stOV(:lj & firel)laco: tiA.ht fitti.~rs Gas shut-ofTwithin 3'
--
COMMENTS:
MISC. APPUANCES APPROVED:
WATER BEATER
Manufacturer's speci..fications on site: Location, access, support
Clearan(lC to combustibles Venti~ dearan(lC to combustibles
Vent siu~ & supportlco~ons Vent termination
Combustion air Chimney: liner and/or separate flues all required
Gas shut-off within 3' Pilot elevated off floor in ga..ngc
Gate valve on co~~l water supply Relief valve drained to outside
Copper to galvanized connca:ions Unions on water pipes
Seismic strap
COMMENTS:
WATER HEATER APPROVED:
ALL WORK UNDER THIS PERMIT APPROVED:
SUI LDI NG '-ERM IT" '"
~!
3449
AI
-'
RECEIPT NO.
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
,--
3' (Ji)
$ 01
$
1/" z. h-
t _t2.oec.--/v
PERMIT FEE
c-"'C:)
$/0
.Al ~~4J~
il_/ <:J .-:i? /
---------
SITE ADDRESS I LOCATION
OWNER'S NAME /.... (.!-1.(~
ADDRESS
STATE CONTRACTOR'S L1C. #
CONTRACTOR
D NEW
RECEIPT NO.
S'.s- d-- S f.t'
.--
PHONE
ADDRESS
)2KRESIDENCE
PLANNING I ZONING
FIRE ZONE
PHONE
D REPAIR D REMODEL .~DDITION D DEMOLISH
STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: ~~&
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C'-z.,u.Yo-f' ,;~
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k~'~4"";ok ,t'!:.-& ~ ~ .-:/21.~p -g/...-..~,.--;
/ JV?Y/
INSPECTIONS REQUIRED: Foundation D
Framing D
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.
Plumbing D
Electrical D
FINAL J2I(
Wallboard D
SEPAltATE PERlVrITS A.R.E Ri~nIREn (~1I11ER.E APPJ.JICABLE) FOR PLUMBING, IvTECHANTCI\T. lIND ELF:C'T'RJCA.T.
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
.
Building Inspector
OWNER'S SIGNATURE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
BY
BUILDING DEPT.
fi/ J ' Authorized Agent
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SltAfK~v" KUt~~~~~ &""li.Gi'q~-"""~
't:STIMATfE' AND PROPOSAL
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. GATE FRAMEl' SPACING
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CONTOUR,- J .,; }' ("t,) ..:~/"DIAGONAL BRACES ,.0: i,}'i~' l'---f:"'h
I.EVEL O' ~.,. TOP RAIL 0 e -.~;-----,'--."~-."-'j.'
ROLLING 0 -" WOOD . - ;:I'!." 1. . I
HILLSIDE D-~- ..... -, j . ~ l
TERRACED 0 TYPE STYlE ~....' !j"i .{:' j
__ OF WOOD OF FENCE ;..,i..---~, I
INSTALL FENCE: --=.r-, ""'''''-4- f 1 . . I'-~""':--~ ~"
AIRl!NE o' .. "_., ,/
.~~~:~~;"TAL. 0 \ c~}~eNT BLOCK pJ-~-' - _/l't
CONTOUR 0, WIDTH COLOR - '--.----. ; ;",J. ,
UN' "A""" ,/ o. eM 0< '^' . 0:1. -:-...-ij. ~. - .;J :.- ."'. fJ
.!! CUSTOMER _ _ [3_ \ "- ..,,/ v.....
TAKE DOWN EXISTING /'" - .............. , ".
FENCE _YES 0__~101-.J_V GRillE '\ COLOR OF ' . ~-:-J :.. "[" .'
tlAUL AV'Ay'-EXIC,TING - BLOCK NO. GRillE llLOCK'~l ~:. ~.,'. /.'>' ../ "
"NO< "~20_NOLY' = JS ....' ,-- /,)'.:'." ,,:~_,--c~'
HAUL AWAY EXCAVATION;" COLOR OF PI[!ASTER GRilLE" .~...,
DIRT YES 0 NO OV' ~RS llLQCK NO. 103
CHAiN LINK \
-W'i'RE-~ DIAMeTER GATE GATE\flOLTS
.. GAUGE T~~ PATTERN NO. ONLY
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-----\..-- ".
DIAMETERl \ DIAMETER.
LI N E POST TO P RAl.!
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0.... SP!EC~flleA7ftONS -
OIAGRA.M
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CUSTOMER HEREBY ASSUMES FULL RESf'ONSI8IliTY fOR THE \OCATION'bj: THE liNE UPON
WHICH SAID fENCE MATERIALS ARE TO BE iNSTAlLED. AND AGREES TO BE RESPONSIBLE
FOR All ADDITIONAL tABOR AND lOR MATERiALS NECESSARY TO REMOVE OR RELOCATE
ANY PLUMBING, ELECTRICAL CABLES OR ANY OTHER UNDER GROU~I!,,'rNSTAllATION.
CUSTOMER AGRees TO DEFEND, HOLD HARMLE55 AND INDEMNIFY SEAns FROM AND
AGAINST ALL CLAIMS. LIABILITIES AND EXPENSES fOR INJURY. DEATH OR DAMAGE TO
PERSONS, PROPERTY DAMAGE. TRESPASS AND ALL OTHER DAMAGE OR 'I.OSS ARISING OUT
OF THE INSTAllATION OR LOCATiON Of SAID FENCE MATERIALS.
SEARS RESERVES THE RIGHT TO IAAKE ADDITI0NAL CHARGES TO THE CUSTOMER IN THE
EVENT UNUSUAL GROUND CONomONS SUCH AS ROCl< FORMATION IMPEDE THE INSTAL.
LATlON HEREIN [IESCRlflED. SUCH ADDIllONAL CHARGES SHALL BE BASED ON ACTUAl
ADDITIONAL LABOR REQUIRED TO COMPlt'i'E INSTALLATION UNDER THE CLRCUMSTANCES.
,::. it! H- f';, , " /: I ~1" -,'.' ';'. 1';1
;'c6.P..I!;~1QF '1ARRf,:~lTiES,'WHicH "f\~f\Y PERTAIN:.'1"o
THIS' Sf<LE. MI~Y,~J;l&;,;,N;:.~Ec;.Jr;:~.(~'t.A[)IY.;"JI ME- OUR
ING.THE SALES'PRESENTA'n9N::;;';;c;:~~: . .
1"~ ~::~.:~~~~.~1-;. ;t~..:. f~~:i~~~?"'&o. ,~~-:~~-
COlOR
srzr
NUMBER 0F
COURSES Hlti~ \
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COLOR & SIZE
OF BLOCK
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INSTRUCTIONS
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'-1'~6Vl~IO~?ARE S.T~:T~~ dtf'J 'hy~RsEr; ;
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SAtE
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By SEARS. ROEBUCK AND CO.
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~pP;ovcd-7;.d Accepted (Cust?merl -
S~Gt.lEO: O'IN STORE O.E,.'LSEWHERE
THiS MESSAGE APPLIES TO IN.HOME SALES ONLY.
-
YOU. THE BUYER, MAY CANCEl THIS TRI\HSACTION AT AllY
TIME PRIOR TO MIDNIGHT OF THE THIRO BUSINESS DAV AFTER
THE DATE Of THIS jf,,'JISACTION. SEE THE AlTACHED NOTICE
Of CAWCEllATIOH fOR1^ fOR AM [)(PLANATIOM OF THIS RIGHT.
.........-..,/
4774-106 7/19