HomeMy WebLinkAboutCAMBRIAN AVE. N., 1122
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BREMERTON PERMIT CENTER
286 4th Streetv Bremertonv ~A 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Applicant: NIELSEN~ELLA 373 4183
1122 N. CAMBRIAN BREMFRTON, WA 98312
Permit No: 97-0119
Sti~tUB: I~:;SUE[)
Applied: 02/26/1997
J 8Bl1ed:: 0?/26/1997
Expires: 08/25/1997
Job Addr: II?? N CAMBRIAN AVF
1.,Clcat t em:: 112;~ N" CAMI'Jr~ I AN AVF::
Parcel No:
Owner: NIEl,SEN ELLA
1122 N CAMBRIAN BREMFRTON~ WA 98312
Contractor: GAS CONNECTION
1809 SHOREWOOD OR 8RFMFRTON~ WA 98812
lic I: GASCO**082P6 Exp: 10/12/1997
Subccmtr:
Defile: GA~; F I m:;'PLACF AND GAS L. I Nt:
***M**M**************************************************************************************
Valuation ,~ PE'lrmit Fees; 26..95 "I'otal Calculi~ted Ff:le: ~~1.9!::i
.00 * Plan Check Fees: .00 Additional FeSfil: .00
* Other Fees: 5.00 Total Permit Fee: 31.95
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MECHAN I CAL/PLUMB I NG F r XTURES-.. MECH-Wood/Pe 11 et St ove . .. .. .. : 1 MECH-Gas Pip i ng (out 1 at s ) . .. . : 1
************************************}t********************************************************
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 clays 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 or 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 inspections 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 certify that I have read and examined this permit and know the same to be true and correct. All
provisions of la~Js 9 d ordinances governing this type of work will be complied with whether specified herein
or not. The graT}t"ln' of a permi/t-,~oes ot presume to give authority to violate or cancel the provisions of
:::n::~sta~~~t ~/:":::::::~:~2::C:::2Per::;:::::_::_:::::::::~::~___________
I certify that '1--r""' exempt from the r qui rements of the state contractor's registrat ion lavJ, under
Section ,Chapter 126, laws of 1967.
5 i gnat ur e: _____,_________________________.._______,________..___
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# 3774-012-023-0006
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DOWNER [ZrCoNTRAcroR 0 OTHER:
COMME1~TS:
SITE ADDRESS: 1122 N. Cambrian
OWNER: Ella B Nielsen
ADDRESS:
same
CONTRAcrOR: Gas Connection
ADDRESS: 1809 Shorewood Dr.
CONTRAcrOR LICENSE # GASCO**082P6
OWNER PHONE;; 373-4183
E<PlRATION DATE: 10/11/97
CONTRAcrOR PHONE;; 479-0105
75{(X?tf:?'!i';:iJiWifWIJ1YPE/OESEQt].]PME1'{Wi;:::If?!:::#:iIIIH;:::Pl1E\Jf!:::%I:Q%:f::ff::!J:!::;;:::#fJlgmE$FtFIXrr;]Jl~E:::,i//JIft::)!::t::.::.EEEf
RAt"lGE WATER CLOSET
I WOOD/PEllET STOVEI,(GAS FIREPLACE)l ;/ BATHTUB
GAS FURNACE hru's: LAVATORY
I CONVERSION BUR1~ER hru's: SHOWER
UNIT HE-\. TER hru's: KITCHE.N SINK
BOlLER hru's: I DISHWASHER
GAS PIPING //" 1AUNDRY TRAY
EVAPORATION COOLERS hru's: CLOTHES WASHER
AC UNIT hru 's: WATER HEATER
HEAT PUMP bru's: t07lS: URINAL
REHE-\. T BOX bru's: DRINKING FOUNTAIN I
AiR HA."J"DLING UN1T hru's: FLOOR SINK OR DRAiN
EXHAUST FANS SLOP SINK .
RANGE HOOD (residential) WATER PlPIING & AL TERA TION
RAt"JGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR Lo\ WN SPRINKlER SYSTEM
DUer ALTERATION SWIMMING POOL
TANKS typ/!: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
MECHANICAL PEfu\1IT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50) I
APPLICANT'S SIGNATURE:
DATE:
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BREMERTON BmLDING DEPARTMENT
Plumbing/Mechanical Inspection Report
Scope of work:
Address:
Contractor:
Gas fireplace/qas line
1122 N. Cambrian
Penult Number: 97-0119
Owner: Ella Nielsen 373-4183
Phone: 479-0105
"'j,
Gas Conection
GAS PIPING
Under test (10 si for 15 minutes)
12" minimum below r,ule when und round.
Ground-joint un.ions rollibired in certain locations
COMMENTS:
GAS PIPING APPROVED:
Manufacturu's specifications on site Location, access, support '.
Cbrance to combustihles Ventill~: clearance to comhulltibks
Vent sjun~ &: support/connections Vent termination
Combustion air Chimney: liner and/or separate fl~ as required
Gas shut-off within 3' Pilot elevated ofT floor in ~:U'~e
Ducts: size &: supportlinsulated when required Return air
FURNACE
COMMENTS:
FURNACE APPROVED:
Manufacturer's specifications on site . . Location, access, support
Clearance to combustibles Ventin~: dearance to combustibles
Vent siun~ &: supportlconnections Vent termination
Combustion air . Chimney: liner and/or separate fluC$ as reQuired
Gas shut-off within 3' Wood stove &: firepuoes: proper hearth
Wood stoves: EPA approvc:d Gas IORS: safety shut-off
Wood ItOVes &: firepla()C:8: URht finine: doors Gas sllut-olT witlUn 3' .
MISC. APPLIANCES
COMMENTS:
MISe. APPUANCES APPROVED:
WATER HEATER
Manufacturer's s 'fications on site
Cbran~ to combustibles
Vent .i:r.i & Sit ort/(I()I1OCCtjons
CombitBtion air ., .
Gas shut-off within 3'
Ga~valve on cold walei' su
to :alv:miud corinectiolU
Seismic 8m
Location, acoess, su ort
Venti : dearan~ to combustibles
Vent termination
Chi ,liner and/or
Pilot elevated off floor in e .
Relief valve drained. to outside
Unions on water i
uired
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COMMENTS:
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WATER HEATER APPROVED:
ALL WORK UNDER THIS PERMIT APPROVED:
'"
B REM E R TON
BUlr~DING
D E PAR T MEN T
PER M I T
=======================~~=============================:'===============
Application Date
Issue Date
Assessor Acct #
si te l,ocation
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Architect9s Name
(X] Building
[ ] Mechanical
[ ] Plumbing
09/17/1992
09/17/1992
Application Number 92AP05803
Permit Number 13922
Project Group
1122 .N. CAMBRIAN
NELSEN
1122 N. CAMBRIAN
BREMER TON
(206) 373-4183
First ELLA MI
state WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
( ] Move Building
[ ] Mobile Home
[ ] Sign
[ ] Burning
[ J Land Clear
[ ] Paving
[ ] Underground
r ] Demolition
---------------------------~---------------_._------------------------
Building Contractor:
Work will he completed by owner.
Nature of Work:
16 squares composition
Building Valuation
$2160.00
----------------~----------------------------------------------------
Council District 6 Census Trac.t
Construction Sq Feet Inspections
tr ype Required
Residence (X] Zoning Foundation [ ]
Business [ ] Type Framing [ J
Other [ ] Insulation [ ]
New [ J Plumbing [ J
Repair [X] Status Mechanical [ ]
Remodel [ ] Code Wallboard [ ]
Addition [ ) 5 Fi.nal [X]
--------------------------------------------.-------------------------
1L.'. lived, .~) ~.. .~.\.. .. f'. Approved By: . A'.. /J.l
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* ~hiA Js Not A Petmit *
~ep 17 ( 19'n
Bu'i Idj.ng
fl2'<~2?1001
Permi t. P'~en.
$ 54.00
othi'll' I:"f>efi
7,on,in~1 fI'ees
l\mOl.mt: l'nid
$ :;/1. 00
$
54.00
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-~ -- -. -- ..... -- . ..... ... -. .- ."".... '"' ..,...."... ...... ...... _.. ~,. - '-
1)4.00
Recei ved Eo'rom:
Riehar-d JhJvin
$
PIBU Check Feen Amount Paid
==~~==~~==~~~====~:=~:=
$ .00 $ .00
6~).- 34~. rBO('l
(.:N) :Payment
othen~ F'ees
li;n~rg:v (~hi'.l)~9~
state Sic
(, 4 3 .' " 3 7 . 'I 3
't'ot;'ll Peps $
Amount Paid $
Prior. Payment. :;;
$ 4.50
~. .00
..'
$ 4,'10
..,.. . -..... ,.. .... ..... ".. ...- .....
~.. ,..... ...~ ~>. .... "'. .- ....:. -.
SfJ.SO
58.50
.00
."': ~ ;-:.~:::;,r ::: -:..:-.:;:..'"':.
fln 1 an(~e Du~
$
.00
()n 09/17/1992
l"nl :It 92AP058<);i
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"",
BREMER1'ON BUIWING DEPAlI'l'MEN'.'
Inspection Report
Scope of work: Reroof
Address: 1122 N. CAMBRIAN
Owner: ELLA NELSEN
Contractor: SELF
Penult Nwnber:
llq??
Photic:
Phone:
I ~~~II~I ~rd'-~l'r..ruV~~.I~_~~.i.le
I:UUI.ill~N: K:<luircd Nlccl.p!a~1IK:1I1
~:Ol)lillg!:-~.1uirctl w~~I_...I~ &. _'.!9~~!I.
Ikilrill~ Noil (NoiIN aUillyai. if 1l1'1.liOlble:)
FOUNDATION
&I.baoo
_W~llN: KXlui.!;fNlcx:!.r.lilWlUcut
WOllIN: rC:C..l!.lirw N~U:
Special im'lJC><;cur (wllell al'l.llOlble:)
CO M M i1.N.I.S:....__.___.___..._________...___.___ ..__._.._._.._....._......__.. .... _.................__.... _..... __.___ __.............. __.___._..___..____._.__._.._____
_.._...__..-4_._~__.._.'_._______._______.._____......_....._________ "'_.'."_ _......~.- .... _._.. -- ..- ...-.....-.,.-.. .-"..' . .' ~- .-.-.......- .--..--.-.-'--.-":'-.-----....--...~.-...._-.--.----..----..- ---
I'OUl'INGS AppROVlm:________.____________________ WAlLS AI').ROVED:__________________________
FRAMING
Elc:ari~1 a.1>fruved J>~ulllbillg & mechanical approved
C!awllll'aw aCWlllll (lIIill. 18 x 24) Floor jOiNls aud beanudpcoper dcacanw 10 card.
POlliciv<:.~I~acaiull.II.11!.!!~~~~I~~____.. ___'.'. _ ..__.,. Foullthu iUII V(:IIIN
-----_. _._-_..'-_.....__._._.~....._---_..._----
.-- J~~~~UIHl..ly 1I~I)OClcd ~!.~~lO" Iwlt..: 11111. &. ~...IICl~~.!:a~ .
MudNiII: lcealW Illillcrial P100r jOiNlN: siu.& .1)~1
1.k.IlIlN/girdcn: liiu: &. llpa_u Nocdliug & drilling: juiNla & beallllll, .lud.
S_I.......?~ de~ors: ~uired locations EiliUlllt fans: wbae n:quired
ExllllUNI fanlll insuLa.ecd: ulloondilioncd lIIpa~ Whole: 110uac fau, ouclllitlc air illtalia cad. bedroom
-- Faulllcrn...~lalillg dirc:\:lly oUlaidc: ~Ilgc: 1.000
D.r)"'r C'.1I~IIJjl veul All vcuc c"rlll~lliIlioUII: willduw. & p~"ly li'.1e
---- }5~.r!.~.~.I.lbu.cl...a..!~____ ~iud!!!"...!'.~~~l. ~~L~~.UICI.U.
-...---- ~~~~.u~!=_r.~~)l>e:r 11 nlu.c -..---.......-. -- ..--....-- _Wh~.~~!:....~.!!:.~y...s!~~.~.!~"' r!.~l'!..l!..~~___ ___...________
~i1illg Ildglahl Scain: IlCatICl...1II dc:arlluw
------ ---.-.....-..----..- --..--
Slain: riac & run; proE widcla )iin:bloc.:kiIlK: W..&II10 cc:ilillK, furral w..&ll. every 10'
Fire bl~n~: nain, soHi.., lowered ~iliUKS Fire blocking: lubN/showc:nJ
Fire bloclciu.&:..lids ill v?id NpawN'.II!I!l.~CS Fi!C' blockiug: .tuff hob tOI' & bottom plal.c:!J
----- ~l.C.'1ClC(~ badUlIg . ---- ~II bracill~
--- _~~J:~~~_.II!.~~~~~~.~~.~~I5___._...__________ -- .J.!:.!.~..:..~l~L~!....cillg___
AlIk a~. Auk vC:lIlilallOIl
._~~!.~~_~jii;;aci~i...$ --- -.---..
--- SI\U.r IIiI_iliIlK
BuildillR ,Irial ill
CX)~~~S~_________________________________________________
AI'PROyI!.D:______________________________
11Isulatioll: proper R value: 11IlOUblioll: 1.WPC:1' fUU:llillg
In"uJ~ri~~l.ot' barri_ ~~tOfll plar... ""ULu...d to 800n
PC:lIelraUOw cau1kc:d illl n:qulr~ Elc:a.ck.al buX-Q ga1Jlt.c:U:d or cauJkc:d
6 mil hLu:.k poly ill uawllipaw
ENERGYCODECOMP~CE
COM MlI.N 1'S:_____
UNDER FWOIUIUUNDA TION INSUU\.TION APPROYED:____________
WALL INSULATION APPROVED:___
CElUNG INSULATION APPROVED:
MECHANICAL
r llearth
~I)I)lian(;C dear.nice: to ro;nbuNtibb
Velltin : lIIi7.C & su ort
Combustion air
Gas i wlder t(:ljt
Gas Ji : underground min. 12" below grade
Gas shutoff within 3' of a fiance
Gas logs: damper permanell!5~n
WooJ_lJtOV(:lj & fireplaa:s: Tight-fiu..ing doors
Manufacturer's s lCOj 011 site
Chinu uate flues when mred
COMMENTS:
GAS PIPING APPROVED:
FURNACE APPROVED:
OTHERAPPUANCES APPROVED:
PLUMBING
DWV: co r rade
D'YV: proper drainage fittings whae required
DWV: r uired deanouts
AU fIXtures vented co Jer
Shut-off valves on aU fwwcs
VactlWll breaktrs: where uired
Water heater: siesmk stra
Water- i i insulated as uired
Pro indirect wastes: where r uired
COMMENTS:
PLUMBING GROUNDWORK APPROVED:
PLUMBING ROUGH-IN APPROVED
SBImTROCIC
nail8-8" O.c. vertical lane
screws-12" O.c. horiz. plane(1I2") 24" O.c. framh
screws-12" O.c. vert. lane(1I2")-24" o__c. framin
saews-12" O.c. horiz. lane(5/8")-24" O.c. framiu
screws-12" O.c. horiz. 1ane(5/8")-24" O.c. framin
Drafc.sto s where uired
Waterhoard wltere r uired (not on reili
COMMENTS:
SHEETROCK APPROVED:
FINAL
uired
COMMENTS:
FINALAPPROVED:_
~~;:.;;
7/zi/9~