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HomeMy WebLinkAboutCAMBRIAN AVE. N., 1308 .' " J' . 't' . ~':.' V";>'''tr - 'Jr"~"'-'" ,/~ I. I ~,,' lJ'. :~t . ~ ;.:r B REM E R TON D E PAR T MEN T B U I L DIN G PER M I T --------------------------------~---------------------~-------------- ---------------------~-----------~--------~-~--~--------------------- Application Date Issue Date Assessor Acct #" Site Location Owne~~~ILast Name - street .:-' Ci ty - Ph'one Tenant's Name Agent--'s Name Architect.'s Name r. ] Building [X] Mechanical " """....,'~.,,[:X~.1"mnb:i,pg 07/25/1995 07/25/1995 Application Number 95AP08792 Permit Number 16445 Project Group 1308 N CAMBRIAN AVE MYERS 1308 N CAMBRIAN AVE BREMER TON (206) First PAM MI state WA Zip 98310 Phone(206) ':;i Phone(206) ''0; ,w .:.~ [ ] Sign [ ] Paving [ ] Burning [ ] Underground [ ] Land Clear [ ] Demolition :~' ,l' [ ] Grading [ ] Move Building [ ] Mobile Home t;"'>:'-.....'" . ..~ ~>~-,~~~~,~ - -: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ - _ ..... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _... __ _ _ Bui 1 di,,:p.g Contractor: Work will be completed by owner. Natur.e of Work: 'G~~<','furnacet piping and water heater. F'f-f/~c-d vft h~{5~ ~', ,-P' '. Council District Construction Type }' Census Tract Sq Feet Inspections , Required Residence [X] Zoning Foundation [ ] Business [] Type Framing [] Other [) Insul ation [ ] New ,[ ] Plumbing [X] Repair '[] status Mechanical [X] . Remodel [], /'"f ,. ode Wallboard [] Addition [J; ~ / //? Final . [X] ::::~ ::~ ~:~ ~ ~::;r.J[;jJZ :::::::: ~ :~- :-,-: ~ - ~-~-- ~~~ ___n_n_....z_ r-"( 7~---.-----u-----------o.~------ ( \ ; .._~ ~'-''''''''''" .~; -' B R E M E R T 0 N B ,U I L D I N G D E P A R T M E N 'r M E C H A N I C A L P E R M I T A P P I. I C A T I 0 N '-'~''''''\. ,~, "l."'~. ~.< {'''''''' '\ ====================================================r~=============== Application Number 95AP08792 Contractor street City Phone Representative state License # City License -# NORTHWEST WATER HEATER INC. 5869 S. WERNER ROAD SUITE 101 BREMER TON (206) 373-4144 BOB JOHNSON NORTHWH103R2 state WA Zip 98312 Expiration Date 12/22/1995 Expiration Date , '\;' ',"~;':" stoves,. Fire Place Inserts 1 Furnaces Conversion Burners Unit Heater Boilers 4 Gas System: Max 5 Outlets Evaporation Coolers Air Conditioning Units Heat Pumps Mixing or Re-Heat Box Air Handling Units Fans Range Hoods Clot.hes Dryers Incinerators Duct Alterations Tanks Refrigeration Units Other Items ~;)-k'., ~. .~ . ',"'." ------------~------------------------~-----------------------------~- -------------------------------~------~---------------~-~----~------- " , ,;t i~ fl: .', " . ,:;:-. .. t. f " ~ B REM E R TON B U I L DIN G D E PAR T MEN T PLUMB I N G PER M I TAP P L I CAT ION --------_._---~------------------------------------~------------------ -----~--~--._~-------------------------------------------------------- Application Number 95AP08792 Contractor Stre"et City Phone Representative state License :It City License # NORTHWEST WATER HEATER INC. 5869 S. WERNER ROAD SUITE 101 BREMER TON (206) 373-4144 BOB JOHNSON NORTHWHI03R2 state WA Zip 98312 . >; :,''';.j; Expiration Date 12/22/1995 Expi1':iation Date " .~'.,~l; .1-.;:,:~;::I""'~'~-I_'" .'I'~'I':.. ~-' ~ ;'!"'~~' . I :;:.~... "I. "1'"'.~~~iJ'.~'~~".' Toilets Bathtubs Basins Showers Kitchen Sinks Dishwashers Laundry Trays Clothes Washers 1 Water Heaters Urinals . Drinking Fountains Drains Slop Sinks Water Piping and Alterations Interceptors Hose Bibb Lawn Sprinkler Private Pools Public Pools Building Sewer Gas Pipe Roof Drain Private Hot Tubs Public Hot Tubs Other Options No .~'~\O'l't~~~, j~'t'>. --------------------------------------------------------------------- ----~----~-~~-------------------~------------------------------------ ~' . NOTICE OF PERMIT REGUlATIONS 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 the required inspections are made. The permit holder must notify the Building Official when ready for the 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 fmancial 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 laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does no e to give authority to violate or cancel the provisions of any other state or I egulatin co cti e performance of construction. V:::+r~/7J Signature ~ ( I' I certify that I am exempt from the requirements of the state contractor's regbtration law, under Sec. 3, Chap. 126, laws of 1967. Signature Date ~ Permit Number pcrmiLdac ...........................'u.mua.tleelUil0.t1rj'IOIlH)i..........u....... /' /t=I:i~Jf]:M1ii~i.}..el.1lJIt1B~Ji- n...i?........iii..f APPLICANT: .0 OWNER D CONTRACfOR 0 OTHER: COMMENTS: SITEADDRESS:\~oK IJ (!lIm8RIAN A J OWNER: J:Afil /flye/2) ADDRESS: J30S:> AJ bI/J?MIAtJ AI f)I!e;fl)q~3/).. CONTRACfOR:dw )d{rk~/k~~ ADDRESS:~Roo 7/I€)eAJD/~C:; ,~E:A9slq1 CONTRACfOR LICENSE #.Ak~1IiftJ.!/I()r;::()- EXPIRATION DATE: OWNER PHONE # ~11-7g~ I CONTRACfORPHONE# ~R;). ,. c/ -ton N(X .....i.}...m:YBE{DJEEQ.t1IPNroom+ .. . 'UFEE;NOL.:.r..'....mEQJt..F;I:XGI13RE:):::I.E.EE. I RAl'\l GE WOOD/PELLET STOVE GAS FURNACE bttt s: t /J ('J IYI CONVERSION BURNER brn s: UNIT HEATER brn s: BOILER brn s: GAS PIPING EVAPORATION COOLERS btus: AC UNIT brn s: HEAT PUMP bttts: t07lS: REHEAT BOX brn s: AIR HANDLING UNIT btrts: E.XHAUST FAl'..J"S RAl'\lGE HOOD (residential) RANGE HOOD (commercial) CLOTHES DRYER INCINERATOR DUCf ALTERATION TANKS type: REFRIGERATION UNIT OTHER: MECHANICAL PERt\1IT FEE I WATER CLOSET BATHTUB LAVATORY SHOWER KITCHEN SINK DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER IOl-VN\A ) - URINAL DRINKING FOUNTAIN FLOOR SINK OR DRAIN SLOP SINK WATER PIPIlNG & ALTERATION GREASE TRAP/INTERCEPTOR HOSE BIBBS LAWN SPRINKLER SYSTEM SWIMMING POOL BLDG. SEWER (mobile / moved house) ROOF DRAINS OTHER: PLUMBING PERMIT FEE (15.00 or 4.50) rl. r\ U ~, I \ ~ '-I , $15.00 MECHANICAL FEES: PLUMBING FEES: TOTAL APPLICANT'S SIGNATURE: DATE, +:/~Cir C/ ./ B REM E R TON RECIUPT :It 088728 BUIl.OING * Thiele Not A Permit * D E PAR T MEN T JuJ 25, 1995 _.~-~-,....._-~....~......."...-- _~""_"""_''''''''''''''''~_~_~''''__'''.''~_''''____ ~..- __ " + __ ....._r ____..~ ,~,______.~..._,~,......._~ __'___~._.. .~.~"'_ __~~_.~..'~ _.._...__,..~_...........-__.",,__...,~~ _.",........."'____~...~,_.".. .,............_.. '.._'..__............ Mechanical 67'-32? .1005 Plumbing 62-:322.1003 Perm:i t f"ees $ 27.00 $ ] 2 . 00 storz Adapter 34-388.1000 other. Fees $ .00 Zoning Fees Amount Paid $ 27.00 $ 12.00 $ 39.00 -~------~-------------- ~--~-------~.~----~~--~- 39.00 Rebei \Ted {<'rom: wnp Jnc #11693 $ Plan Check Fee8 Amount Paid ~===~===========~=~===~ $ .00 62-34f>.8300 Gen Payment $ other. Fees $ City Sur-Gharge$ 81-322.1009 State sic 643-237.13 Tot cd Fees Amount Paid Prior. Payment $ Balance Due On 07/25/ 199!1 J!'or #95AP0879? $ .00 5.00 .00 5.00 .---.....---..........-- ~,_...."..........._._--..,.;. $ $ 44.00 44.00 .00 -'....-~,....-._-- ~.'" ",I __..... _~... ""'" ..... ..... $ .00 j H~l-23=-'95 liON ~ ~'2: 1 ~ l\H;j 'l~rll L...\ ~I!...o.l ~ -" ,;-;;:::~~.-::;;' .,: "iA=~ :.~.-..:.-'. :;,;.:.:;-~~= ~""':o:" ,-- bj' '" -=-:'~~~"-' ;1' ---- ~j: . Hi ~j i;;'\ I~. I~j\ .~ E\3C co NTR :~!\ ,;:,;~~~Nv.~aeM . .' . \ ;XP~H OAT<. ~, ~Co-l ;.,'.~ ~~TiiwI1099JZiOI+ /'G9/Q .-' .~i\. N-OR~,~,S'ST: ~"TER HEA,T*ER 1 NC. .:'" 2 2600 i;~O.RN;;'l'~c ...v~ \.J '~1\ s:: ~rr L~. wA 981.99 ;~\ F~~5..Q~"";OO {:.:l;:l :(JL.. : i ~-"'.Ai. -,,'.?':.::..:-.:~'~."::: ,::::~ ':.::~.:.; ,3~'::::" ;~~::_.~~\~ _' _ T~"~'=' .:~..::.:::.~,~~~~ (~F,"T ',',',...:..:'=::- "-~"_":-:'~~ .:.;.;.~c~. "-' ~ ,~'-~ ~.-:;,....;c:: .. :.,~~,~;..;~~~-':: '~~\ DEPARTMENT OF LABOR AND INDUSTRiES \[~. !rl , T~~~ ~.ER!.IF1E5 THAT THE PERSCN NAMED HE.REON IS REGISTERED AS PROVIDE.D 6Y LAW AS A ~. . . . ~--:: ~'. ,_.':::.. .,:.. '.. .-. ~ ''',.~'. ~:~,-.: :.,'. ;, ::' ,.,,>(;.':;:~ '~7:i !~~~'\' .......,.. .,.' ,... '" : .... '. :.' ..."...._,.. .... '. .. .""'!~":'.;."';I"'l \' . ~:....1"":~..';"; ::':'; ;:" *~61f: {:<: .~':"',' ;::":I~~::f}i :~' . , ,.. . Fle3ISTAATlOIHIUM6ei'1 '. '. . " <x?\RA1llH Mill'" ~-'ii~1 i~l,u>;';;"'~ ()j'i Til ~,j&Q;.~ R>71'i!!?iJ'i?,U! i1i1\ . ::, " ~Fr;:-e.i" -l' 'if.' O.,)"T~' l:2'"tZ'.2:1Q ~~;.:;:l !~: wd R T~Jji~T: ':ri'~ ril'} ~b;;'i~ii!~~',J~1 ,~l 2~.oO THORND 'U-~ A. 'IE. .... . " :~). S;:,4,fiL::: 'jA. 98199 ,;~t i~\ \,~;.;.~'j ,"'. .~. DEPARTMENT of LABOR AND lNCUSTR1ES .: THIS CSRTIF!ES THAT 7HE PERSON NAMED HE.'=iEC;J, IS FlEGISrE:1EO AS ?RCVIDE:: BY L..:;,W ..l,SA C" '" rv. -COt ;- I STATE 01= WASHINGTON STATE. OF WASHINGTON I'62S.os:l..coo i3.~: .~. .0.. '<:": ~:':..:....: ~~ L' ~ ~:::~ ' ~:; ~ .=.:..~ ~~7-~.~~'~i" :":",..:..:~::::.~.':!!.:~ ~ k" l~~ ~..- ~l:':: State of Washington county of King orcae't' COpy of the or- iqin-al S. eema~feC~mb~r 2?, 1994,. J/ / ,ll ~1Lii:1. 11lTY~U0 ature of notary) I' cer:t1fy that this is a tcue document as presented to me ,n,I~HH(R '......',~, ~t fi, .... -Ur- .'1. 1"' I~ ':' ~~ .....,... .")'n ~; .. ,\".' C '. '-~,# .. ()-I ,,' x~S\ N E:.\:'" .... ~ ~: / ~.~ ,Q~'''. ~ : :' /] NOTARY '9(\\'" u'l -: ... . (Jl. . : -*- ~ : ::'1.. ,,~: -:. (j: '.0 PUSLIC a,: ~ .. .., .A " ~ ....0):' 0 ~ \:t~>"~~.~~.:'~:/0~./ . ", OJ:" 'A/ASy...\~ ....... ". V'i \.... .. -".. 11! ':I ,,\ nda M. Thomas inted name of notacy) Nota~Y Public in and for: the State of Washinqton (title) My appointment expires 11-17-9i. BREMERTON BmLDING DEPARTMENT Plumbing/Mechanical Inspection Report Scope of work: Gas Furnace :piping w/h Address: 1308 N Cambrian Avenue Contractor: Owner Penult Number: 16445 Owner: Myers, Pam Phone: GAS PIPING U n~~ fat (1 Op'~i t~r 15.-!~ai.~~~~e<i) _ _I> rol>er ~iE!.I!L~-.!.llPl'_?r...t 12" minimum below g~dc wJlcnllud3!.ound COalcd1wr~1 when undcrgroll!!~ or wit!Mr 6" of car~ Ground-joint union8 vrohibired in ceru.in locatioruJ BU8hin~8 not allowed in concealed areaJl COMMENTS: GAS PIPING APPROVED: FURNACE M!"u..~a~.!.-!l~ficatioruJ on 8ite Location. acces8. sUl'!'.ort Clearance to combustibles Ve'.l_~~: dc:arance to combllstibles Vent siung & support/co.nnc:aions Vcnt termination Combu8tion air Chimney: li.ner and/or separate f.:lues ~ired -~-_._-- Gas slmt-off within 3' . Pilot elevated off Ooor in.-G.~~e Ducts: she & support/insulated when required lU:turn air COMMENTS: FURNACE APPROVED: MISC. APPLIANCES Manufacturer's specifi<:arions onlli~e Loca~~!l. access. supp.ort Clearance to combustibles Venting: dc:arance to com~usr:.i.bles Vent shiI.l!L. & sUPErtl connections Vent terrninarion Combustion air Chi~ncr and/or separate Oues as required Gas shut-off within 3' Wood stove & fireplaces: p~ hearth Wood stov~; EPA ap~ Gas logs: sa!~hut-Qff Wood stoves & firep~ces: tight fitting doors Gas shut-Qff within 3' COMMENTS: MISC. APPliANCES APPROVED: Manufacture~_~catioruJ on site: ~tion. access. support Clearance to combusribles Venri~: dc:arance to combustibles Vc:nt siung & supportlco~oruJ Vent termination Combustion air Chimney: liner and/or 8Cpatate Oues as reauired Gas shut-QIT within 3' Pilot elevated off floor inJ2..~e Gar;.e vaive o.l! co}~ water s~ly lU:lief valve drained to outside Copper to galvanized connc:ctions Unions on water pipes Seismic strap WATER BEATER COMMENTS: WATER HEATER APPROVED: ALL WORK UNDER THIS PERMIT APPROVED: ,. \........t I, 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 Archit.ect's Name [ ] Building [X] Mechanical [X] Plumbing 07/20/1995 07/20/1995 Application Number 95AP08778 Permit Number 16427 Project Group 1308 N CAMBRIAN MYERS 1308 N CA!".iBRIAN BREMERTON (206) ~' First HI state WA Zip 98310 Phone(206) \ - \ Phone(206) \- \ \, [ ] Grading [ ] Sign [ ] Paving [ ] M.ove Building [ ] Burning [ ] Underground [ ] Mobile Home I: ] Land Clear [ ) Dl"Jmol i tion Building Contractor: ' Work will be completed by owner. Nature of Work: Gas furnace, water heater and piping. Duct work. '" ,. Counr;:~i 1 District Census Tract Construction Type Sq Feet Inspections Required Residence [X] Zoning Foundation ( ] Business [] Type Framing [1 Other [ ] Insulation [ ] New [ ] Plumbing (X] Repair [] status Mechanical [X] Remodel [] Code Wallboard [] ; ;~;~~~~~ ~;~ / OJ z:;;;;; - - - - ;':~;;~~;d - - - ~ - - - - - :~~~ ~ - - - - - - ~ ~ ~ -- ======~================-=======~================~._-- ~ 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 CAT ION "."~ - \ ~.. , = ~"~===::: :d:.::i:~;:.a ~= == == ====::: =::=::: ==== =~:= ============~~=== Application Number 95AP08'778 Contractor street City Phone Representative state License # City License :It NORTHWEST WATER HEATER INC. 5869 S. WERNER ROAD SUITE 101 BREMERTON (206) 373-4144 BOB JOHNSON NORTHWH103R2 State vlA Zip 98312 Expiration Date 12/22/1995 Expiration Date Stoves Fire Place Inserts 1 Furnaces Conversion Burners Unit Heat.er Boilers 2 Gas System: Max 5 Outlets Evaporation Coolers Air Conditioning Units Heat Pumps Mixing or Re-Heat Box Air Handling Units Fa.ns Range Hoods clothes Dryers Incinerators 4 Duct Alterations Tanks Refrigeration Units other Items -------------------------~-----------------------------~------------- --~-----------~------------~----------~------------------------------ , \ . " . . B REM E R TON P L U M BIN G B U I L DIN G D E PAR T MEN T PER M I TAP P LIe A T ION -----~_._-~----------------------------------------------~----~------- -----------------------------------------------------~--~----~~-----~ Contractor street City Phone Representative state License # Ci ty l.icense :It Application Number 95AP08778 NORTHWEST WATER HEATER INC. 5869 S. WERNER ROAD SUITE 101 BREMERTON (206) 373-4144 BOB JOHNSON NORTHWHI03R2 State WA Zip 98312 Expiration Date 12/22/1995 Expiration Date Toilets Bathtubs Basins Showers Kitchen Sinks Dishwashers Laundry Trays Clot.hes Washers 1 Water Heaters Urinals Drinking Fountains Drains Slop Sinks Water Piping and Alterations Interceptors Hose Bibb Lawn Sprinkler Private Pools publi.c Pools Building Sewer Gas Pipe Roof Drain Private Hot Tubs Public Hot Tubs Other Opti.ons ---------~---------_._-------------~---------------------------------- --------------------------------------------------~------------------ ;' I;, ' .?;.~ ' . ! . . ... .........;i;n..!i!i;.i.i..:;.;..J!__:..!!!!~l!l!l1liJ.jIIjb...;ii....:::...........::':...iLH. iiI D......H ;...!atlE~ICJlU1:..j;::.::::i.:..:.':i..!::I.:..ii:i!:O:.)im.itI:i.:.::.::,.:.::!!:m:i:'!:!:'I:!.!':{:J!:EIHMBING::.:)':ii:'::) .... __..L...... - . . . . . . . . . . . . ..........-.... . ..........- ...... I n. ............. :: APPLICANT: DOWNER lZJ cONTRAcrOR 0 OTHER: v COMMENTS: , SITEADDRESS: (30 ~ Jl/. r!tum~~~ OWNER< ~ efS CONTRAcrOR;-' or1L'\}~t ~k \1~....~"'''' ADDRESS: 11~ ~ ADDRESS: CONTRAcrOR LICENSE if EXPIRATION DATE: OWNER PHONE if CONTRAcrOR PHONE -: ::.NO.:::: f;riftftiriif:rWYPE;i0EiEtZmEMEN1;:::::::fmJftfffn:M':iEEE~i:Ifi{NQVitf:tfiI:Ii;i;,::::IEEYllEB0E}E1XJBJRE:i:;::rtMf@filii:itrai:EEf: RAl~GE WATER CLOSET WOOD/PELLET STOVE BATHTUB I GAS FURNACE btu's: LAVATORY I CONVERSION B lJRJ.'iER btu's: SHOWER UNIT HEATER btu's: KlTCHEN SINK BOlLER bru's: DISHWASHER J GAS PIPING - LAUNDRY TRAY EVAPORATION COOLERS btu's: CLOTHES WASHER AC UNIT btu's: 1 WATER HEATER HEAT PUMP !nu's: tons: URINAL REHEAT BOX btu's: DRINKlNG FOUNTAIN AIR HA.'iDLING UNIT btu's: FLOOR SINK OR DRAIN E..""CHA. UST FANS SLOP SINK RANGE HOOD (res i den cial) WATER PIFlING &ALTERATlON RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS INCINERATOR LAWN SPRlNKliR SYSTLYf , DUcr ALTERATION SWIMMING POOL TANKS typt!: BLDG. SEWER (mobile / moved house) REFRIGERATION UNIT ROOF DRAINS OTHER; OTHER: MECHANICAL PERMIT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50) APPLICANT'S SIGNATURE: DATE: 7-2.0~4S jAH-'23-'jb .." ~ nUN ~~,l~ ;1Y':TL. .~-:-...~~ '1' ~j . ; ~l ,!11 \~l.' ,f:1: l~j\ .~ ~\;;C CO....~ G-,r-'- 'L ,~l~--- . N i :'i. Jr'; '''c. "': .... 'a! ' ,~~T1Ol Nl.J~eE? I~~\ ,,;':. ..': I~ )~ .' '., \ I, ~\ :: _C 0- ~ , ", \' ~'~ ~ T rl 'ai Ii 0 99 J Z 1 0 4 l e 9/9:{ . ~ . I i ~\. NOR l1t....2 ST. 'J ~ rER n ~,.l" TE R 1 NC~'> ~ 2;5 C 0 7';- u.R H:' 'l'~ C ,l," ~ I", ~I '~il s:; ~ TT L:. ,:j, ,~\ "'. F~;:5.;J-":l..;oo(:,'J;:i :-:}I_.. ,.....~ . , ,,;-:-, ..' ~. .. ,~- ..",,=----...:-r ~--- ~~z-C. ::::::,,":,,~-~--...:~,,...:-.~. .~'~~~~-'~:~-;~~_:--~:-.;[::'~~ ""::,:~:::'_:.~~~~' .~ i~,,;,',~~~.7.:"-~:~:~C:~:I_~~"':'" '~":':":':~-;<~~~~~ '~~: . qi \~,j i~l\ 7HIS Cc::lTiF1ES I!-iAT THE ?SRSCN NA.MED HEREON IS REGISTERED 11.S POOVIOED SY l..).,W AS A if. L-,-ij;~,~2;"~:-; L;7i i;',,,';~ --::'~-.;;\~t;.~ :~j\ . ,'" "€CISiAAnJN N\)M6S . . 'I ;XF1R;I,-f(llj 0-.\1<' ,. "",::;':"1 \~~\' ". ' '"'...., ,-" .' I. 1'<7': !~ .J"O-'l\;'1-';;':';,':ri ~T :i~: ft.1J':l;.S RZ)lliIZU1,5~' ,(~\ \~j\ . .: .:;~:: . ~Fr2'tjEV~' 0;1; 1::,,~~'?~~~<~9'-~,~l :h.~H:ltf~~~'~~f" ~~::~U::~:;9'9\{'-i~1 (::~ "J -~ ~ . . ., - ~ t",,", ",.,=_~('!j2e;J!:f.;:J!':.?;!;&, -;-= ~.-. "~~~ ,. :.:.:: ~.......~~-_. =-~~U;;". ..~ 0...:-: -'" ~ ~ :';'..:;;,-.. --' '--' DEPARTMENT OF LASOR AND INDUSTRIES THIS CERTIF'ES THAT iHE PERSON NAMED HE.qEC,"! IS REGISTgRED AS ?RCVIDE:J SY L.,;W AS ,.\ ~, . (. " .~. . co' ,,;o'iAA'N)H QAL';" \. ~.: '. I STATE OF WASHINGTON 'wA .,98.L99 DEPARTMENT OF lASOR AND lNCUSiRtES STATE OF WASHiNGTON state of Washington CQunty of King l' cectifY tt'.at thiS 1S a tcue and }or'i:'ScXCC. F;Y . of the 0::- i?inal." document as p~esented to me y ~lenda s~ema~December 2? 1994~ / /' J/ J ,iJLi .;/ 1ZlTYfU0 (s lrat'J.re of notar;y) Yo~dnda M. Thomas (~inted name of notary) "'l.~llHH(~ ,,"'~' 1\ V .,.. #', .,,'" ~'Q"" ,I;, 11..;, #" ~..~ ~""'I""Ufo....\' 0 ,.i',..~ :: L)'" ....I,SSICN ~'" 1-,' .... ~ ~: / ~.~ ,Q/.I~. 7 ~ :; :' 0 NOTARY 1'(':'1", {Jl -:. : ; Q Ul ~ :' 1llI :...., -,*- : :: '? ([: ".'0 PU8L1C ~.: ~ : ,. .,.).. . ) OJ II ..... .. ':j 'r' "'~ '" ,,' 0': '" ..>-. ',.~-1.s"'''' -\~,." " .... ~, ."'-" '. "" " 0" '.' ,- 0 ......... ~ ..... d". . po WASy..\ \\.... "c"_]H':II~\\ Notat'Y Public ihandfoC' the State of HaS~l1inoton (title) My appointment expires 11-17-3i. " . NOTICE OF PERMIT REGUlATIONS 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 the required inspections are made. The permit holder must notify the Building Official when ready for the 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 fmancial 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 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~lorflaw reg\i'lating construction or the performance of construction. . --I- ~L ~ ' 7-2.c)-'l~ Signature Date I certify that I am exempt from the requirements of the state contractor's regbtration law, under Sec. 3, Chap. 126, laws of 1967. Signature Date Permit Number pcnaiLdac " B REM E R TON :B U I r. )) :r N G RECEIPT 1# 0887LI. * This fs Not A Permit * D R PAR T H ~ N T Mecha.nical 62-322.1005 Plnmhing 62-'322.100:{ Pe I~mi t:. Fe~s $ 53.01) $ l?OO st on~ Adapt ar 34-388.1000 Ot.her Fee:'3 $ .00 7,oni ng F'ees Amount.. Paid $ ~3.00 $ :I ~) . nl) $ 65.00 -------~--------------- -~----~.__._.-,-----~_._---- h5.00 R.e~ei. vedFrom: NW Water Heater #7S3J $ ;1u I. /.0. 199~) Plan Check Fees Amount Paid c .;> --------------------.--- ,.~ ~ ~ -- .., .~ ~~~ .~. ....- - ~ .,... _. "'- .... .- ....., - .."" ..- .,,,. '-' ,,- ..., .00 .00 6?-34[:,.8300 Gen Payment $ Otl1er F~~s $ City Sur-ChargeS 81.-3?2.J.009 state sic 643-2:'37.13 'rot a J 1,leefl $ Amount. Pa.id $ Pri or Payment $ Balance Due On 07/')0/1995 Par #95APOB778 $ s.oo .Of) .5.00 ,~" ...... - .- - ..,.. - - - ... ...... .-. -~ ....~ ...... - ...... "'''' 70.00 70.00 .00 .-....'~...-....... -.--- -, .... ,- -- -. '... ...... ...'" ...-~ $ .00 BREl\fERTON BmLDING DEPARTMENT . PlumbinglMechanicallnspection Report Scope of work:GAs FURNACE W/H PIPING Address: 1308 N. CAMBRIAN Contractor: OWNRR Pennlt Nwnber: 16427 Owner: MYERS Phone: GAS PIPING U ndcr rest <..lil..e.!0'or 15 _~~IIUles) Pro~r siE_~ & sUff?rt -- lr minimum helow gr~~e w~len unJ.crground CoatMlwrappc:d when underground or wir~ir 6" of carth Groulld-;oint ulliom prolaibited in certain locations Buslun~s nOl allowed in conceakA areas COMMENTS: l/~/A r t- GASPIPINGAPPROVED:_ ~/X- FURNACE M~~~~rcr..Y_~~t;_~.~~1S 011 sile ~.Eon, a~~~l'.C?!..t Clearance to combuslibb Venring: clc:arance lo combustiblc:s . .- Vent siulIg & s.1!l'Ertlconnecrions Vent termination Combustion air Chimner- Ii_ner an_41or separale flues as required --------- Gas shut-offwidun 3' Pilot elevated off floo.0!1 ga~e ----- Ducts: si1.C & support/insulated when required Return air COMMENTS: FURNACE APPROVED: ~/~ 7/~i/f6 MISC. APPUANCES Ma!!.~~.cturer's SI,ecifiQlions O!I si.le Loca.c!?!I, ae<:ess, suppon Clearance to combustibles Venting: clc:arance lO combusribles Vent sh~ng & s~port/connections Vent termination Combustion air Chimney: liner and/oc separa.le flues as required Gas shut-off within 3' Wood Slave & fi~aces: proper hearlh Wood stoves: EP~2-.Pp~ Gasl~:s~ttyshut-off Wood SlOVes & firep~ces: tiAht fitting doors Gas sllUt-off within 3' COMMENTS: MISC. APPliANCES APPROVED: WATER BEATER Manufacturer's specifications on site Locati~n, access, suppon Clearance to combustiblc:s Vc:nti~: clc:arance lO combustibles Vent siung & support/connections Vent termination -----_.- Combustion air Chimney: liner andJOI' sep~rate flues as required Gas shut-off within 3' Pilot elevated off floor in g~e Gate v~lve ~n ~I~ water sUffly Relief valve dra.i ned to outside Copper to galvanized connocrio~ UniOI18 on water pipes Seismic strap ALL WORK UNDER THIS PERMIT APPROVED: ~~/ "?, 21/ f )-- COMMENTS: WATER HEATER APPROVED: ujI~ ~/1- I Ii 5/ e e N.., 44576 / o ' Fee $__..u'_U___U6'Uh~_:-h_UhUU"_hUhUU'U'h"'_""__"" Receipt No. u__..,jfl.,f:;_-:"~__~=,_,_u________u",_,,u__,,__, / / BUILDING PERMIT BUILDING DEPARTMENT CITY OF BREMERTON F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 Owner's Value I Bldg. Dept. Value' DESCRlfrION: 00 $ S-9,s- ~ Lot Block Additions Address on Job /.$:.~.,f.__..~~.:__~:!::_~.~_::,:,.,)_._.___.........__._.__...._...m..__.._... Date __..2..:-::_/.~.::_.7-~_.....__.__.__u Building __....m__.__u x ____.___u_____. and u__uu__mm stories _mu_____.__.~m..m basement. Lot .m____m__m x m__m..__m_ Front Yard .m__m__u_______.m Rear Yard ___.____.mm____.m_ Side Yard _____m.___________.___ Garage mmmm____U.___..._____ OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone __________.____m..__m._m.__m___m OwnerC~. _~ _:1d_-:-t/R"",!'.-!0. ..__ ___ __..... __ __ _.. __ _ _ _. __ _ _ _ __ u Address __ ._.. _.u __ __. _. .u. __ __.. __... __ __... u. __ Phone m __. ___ _.. __.__ Contrai~or _.C>:1PP..._,qb;.Z'Lu_9!-:.~~...~~,-<': h }... .._ Address _u_._______________u__.._._.._____..__.__. Phone ...__.___..._.___ This permit is issued for: . /7" A-- -4-~./ . _n_ _.. - - - _. __.__ - _;u __. __ __ _.__.__ _..u ___ u. u _.__ .__ u __ _ _.,.. __.... _ u_. _ u__ _u UU u _. __.. _ _u. __.. __. _ ___. __ __ __.. ___. _... u' ___.. __.... _ _ __ u __ _ u' __ __.. __ u _ u_ u_ __ --..._--._-------.---.--_.--..._-------------------------------------------------------.....--- -------------------------------------------------------------------------------------,--- All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate fo.undation and attic. Sepa- rate permits required for plumbing, wiring a,nd heating. See City Engineer before working on streets or sidewalks. Own er' s Signa tu reo _..... __.... _..... __.. __.. __........... __. n..... _......... . By n.. _ _. __ _ _... _.. _. _... _ __.........._.. __.. __ _ _.. __ n" _.......... _.... __. _.. His Authorized Agent Building Inspector ..... _ ~~:._. ~ _c..~-:-:~."./!...__ _.. .... .._ .._. _..__ ._... _....... .....u._____ ~~ OF By .__.____.n.u~~~___n..__n.n__.________n_.n____u____nun__...n____.u__