HomeMy WebLinkAboutCAMBRIAN AVE. N., 1308
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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
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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
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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]
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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
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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
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------------~------------------------~-----------------------------~-
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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
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Expiration Date 12/22/1995
Expi1':iation Date
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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~~~,
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---------------------------------------------------------------------
----~----~-~~-------------------~------------------------------------
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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
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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.
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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)
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$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
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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
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$
$
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44.00
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'~~\ DEPARTMENT OF LABOR AND INDUSTRiES
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!rl , T~~~ ~.ER!.IF1E5 THAT THE PERSCN NAMED HE.REON IS REGISTERED AS PROVIDE.D 6Y LAW AS A
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:~' . , ,.. . Fle3ISTAATlOIHIUM6ei'1 '. '. . " <x?\RA1llH Mill'" ~-'ii~1
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DEPARTMENT of LABOR AND lNCUSTR1ES
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THIS CSRTIF!ES THAT 7HE PERSON NAMED HE.'=iEC;J, IS FlEGISrE:1EO AS ?RCVIDE:: BY L..:;,W ..l,SA
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STATE 01= WASHINGTON
STATE. OF WASHINGTON
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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
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: :' /] NOTARY '9(\\'" u'l -:
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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:
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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) \-
\
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[ ] 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
"."~ -
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============~~===
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
-------------------------~-----------------------------~-------------
--~-----------~------------~----------~------------------------------
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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
---------~---------_._-------------~----------------------------------
--------------------------------------------------~------------------
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APPLICANT: DOWNER lZJ cONTRAcrOR 0 OTHER:
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COMMENTS:
,
SITEADDRESS: (30 ~ Jl/. r!tum~~~
OWNER< ~ efS
CONTRAcrOR;-' or1L'\}~t ~k \1~....~"''''
ADDRESS:
11~
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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
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i~l\ 7HIS Cc::lTiF1ES I!-iAT THE ?SRSCN NA.MED HEREON IS REGISTERED 11.S POOVIOED SY l..).,W AS A
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DEPARTMENT OF LASOR AND INDUSTRIES
THIS CERTIF'ES THAT iHE PERSON NAMED HE.qEC,"! IS REGISTgRED AS ?RCVIDE:J SY L.,;W AS ,.\
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STATE OF WASHINGTON
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.,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)
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:; :' 0 NOTARY 1'(':'1", {Jl -:.
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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
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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
/
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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__