HomeMy WebLinkAboutCAMBRIAN AVE. N., 1524
;4
~. --
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
1\.gent f s Name
Architect's Name
[ ] Building
[ ] Mechanical
[X] Plumbing
04/03/1995
04/03/1995
Application Number 95AP08551
Permit Number 16237
pr.oject Group
1524 N CAMBRIAN
WASHINGTON
1524 N CAMBRIAN
BREMER TON
(206)
Fir.st DAVIn
MI
state WA Zip 98310
Phone(206)
Phone(206)
( ] Grading
[ ] Move Building
[ ] Mobile Home
[ ]
[ ]
[ ]
Sign
Burning
Land Clear
[ ] Paving
( ] Underground
[ ] Demolition
Building Contractor:
Work will be completed by owner.
Nature of Work:
Gas water heater.
Council District
Census Tract
Construction
rrype
Sq Feet
Inspections
Required
Residence [X] Zoning Foundation [ J
Business [] Type Framing []
Other [] Insulation [ ]
New [ ] Plumbing [X]
Repair [] status Mechanical [ J
Remodel [) Code Wallboard [ ]
Addition [] Final [X]
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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 L I CAT ION
----------------------------~----------------------------------------.
------------~--------~------~-,-~---------------~-~---I______--~~------
< ,
Application Number 95AP08551
Contractor
street
City
Phone
Representat.ive
state I.icense #
City License #
RAY'S HVAC
1215 IVY RD
BREMERTON
(206) 377-5005
RAYSHI*130D7
state WA Zip 98310
Expiration Date 02/01/1996
Expiration Date
Toilets
Bathtubs
Basins
Showers
Kitchen Sinks
Dishwashers
I.aundry 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
=====================================================================
,.,
&I
("
~-.
B REM E R TON
RECF:I P'P it 088408
Plumb:ing
6 :t. -<12:~ . ], n () 'j
stp:r.z Adt~pt E'1~
34-<HH3 , 1000
Bales of Maps/Pubs
.16-341..5000
Copi et-1
16"'341.6000
Rein~'l?ect ion
62-342.4006
Shore Vi.ne
16-345.8JO?
SEPt\.
16-345.B103
Mi.sc
street Vacatirm
16--345.81013
H {J 1 1. n I N G
* This TB Not A Permit *
D E PAR T MEN T
I?erm:itfi'ees
~;; ?2.!':iO
ot.her Fees
~? ~ 0 ()
$ ,()O
$
.00
Amount Paid
$ :)2,50
$
?'2,50
-~----~-_._--,-----------
.....~... '",...........". __ ...,..._ -_.~ ~..'" ..... ~N, ,... _........4 __......_ ....._
'}'),50
$
ReceivE"d F,-am:
Rays HVAC (1524 N. Cambrian)
$
.00
Zoning F'ee.s
$ .00
$ .00
$ 5.00
$ .00
Apr 03, 1995
Plan Check Fees Amount Paid
~----~_._._----------~---~
..... .... -- """' ...... .-. ...~ -- ""'. '- """ .~.' ....... ..~ ..... ". -- "".. ...,~ _. ,.... ......-
$ .00
j)?-:~4~., 8300
Gen Pnyment
Oth€"J' Jilees
Energ~1' Charge
St.ate SIC
643-237.1:}
~rot a) pp.e~
AmQunt Paid
Prj or 'PnYTn€"nt $
Ba J ancfJ' DUE'
On 0 4/ 0 3/1 9 9 ~.
F01~ #9Sl\POB551
$
.00
$
5.00
$
5.(10
--------.......-..
.._.._-~----+......-
$
27,50
27.50
.00
$
_........M_~..'_.._.--_
."'...~..~ _'~ '.,...... _...... r.....~
$
.00
..
-
, ..
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
[ J Building
[X] Mechanical
r. ] Plumbing
03/16/1995
03/16/1995
Application Number 95AP08507
Permit Number 16206
Project Group
1524 N CAM.BRIAN
WASHINGTON
1524 N CAMBRIAN
BREMERTON
(206) 377,-1032
First DAVID
MI
state WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ J
[ ]
[ J
Sign
Burning
Land Clear.
[ ] Paving
[ ] Underground
[ ] Demolition
Nature of Work:
. Gas furnace, piping.
-- - -- - - - - - -- -. - -- - --- - - -- -- - - - --- --- - - -- -- - - - - -- -.!.. - - -- - -'-~..i4- - - - - .--
Building Contractor: ~dAV ~~
~ e!(,
fI)~.ad ----t6 cu10L
wti:hu ~
Work will be completed by owner.
-----------------------------------------------------~-----------~---
Council District
Census Tract
Construction
Type
Sq Feet
Inspections
Required
Residence [X] Zoning Foundation [ ]
Bu(siness [] \. Type Framing []
Other [] Insulation [ ]
New [ ] PI umbing []
Repair [] Status Mechanical [X]
Remodel [] Code Wallboard [ ]
Addition [] Final [X]
::::::::~::~:i~~~~~~~~~~~~~::::::::~::~~~~~:?6~~L9~
1 I
./
:;i;;;~~~";.i};~~."f' .':', )~t,~ Ai'l: I.". (l.\~i,... ..
\
> "
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 LIe A T ION
-~------~----------~-----------~------~------------------------------
--------~----~----------------~---_.__._--------------~----~~---~------
Application Number 95AP08507
Contractor
street
City
Phone
Representative
state License f.
City License #
RAY'S HVAC
1215 IVY RD
BREMERTON
(206) 377-5005
state WA Zip 98310
RAYSHI*130D7
Expiration Date 02/01/1996
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
'ranks
Refrigeration Units
Other Items
----~--------------~----------------~------------------------------~,-
--------------------------~----------~-------,-~--~------~-~-------~--
\
~,l1A')ll~Rl!!J1J!rJ!~~~~~!~~i:~;lll
NOTICE OF PERMIT REGUlATIONS
This pe....mit sball re:ame null and void if the building or work authorized by this permit is not comme:J.ced
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 peric.d of 180 days.
NOTICE _ It is the responsibility of the pe...1I1it holde, not the City of Breme:1on or Building Official to see
to it that the required inspe::rioas are made. The permit holder must notify the Building Official when ready
for the inspecnons. Failure of the pe.--mit holder to notify the Building Official of required inspections may
result iJ;r the szoppage of the work until sl.lch time that the permit holder can subsIantiate to the building
omc:aJ. that the concealed work mee~ or exceeds code requirementS. Any demolition, testing, or finandal
burden sb.a1l be borne directly by the pe:mit holder. Failure to subS"...anriate code requirements will indemnify
the City aga.i.nst any and all responsibiliry 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 loc.allaw regulating construction or the performance of construction.
QiJ;b ~~ /~~/?5 ~
Signature I? te I
I certify that I am exempt from the requirements of the state contractor's registration law, under See. 3,
Chap. 126, laws of 1967.
Signarure
Date
Permit Number
pcnooi<.:lac
~
.i
R R E HER TON
RECIUPT '# ()883~)1
Mechanical
6;>'--3/2.1005
:R U r J. D 1 N (f
* Thi.s Is Not A Permit *
D R PAR T MEN T
Permi t Fe'~8
$ ':>7,00
Ot.her Fees
~()ning Faefl
Amount Paid
$ ~)7 .00
$
'27.00
~~'_'_'__.M_____~_'_'_~'______
...., ...~, _ ",," ..., ,_. ;0.. __.... ..~ ".,......... _"'- ......... ... _ >Wo ~ ......"..-..
?7.00
Received F.'rom~
Rays HVAG .1t:l96S5
$
~~a r. 1.6 f 'I. 99!')
Plan Ch~c~ Fees Amount Paid
-~--_._-----------------
......... -.-.-.........- ,,"-... """ - '- '"".' _._~.~~.- - ,,-..........'
$ .00
62-.i45. ~noo
Gen Payrnf"nt
Ot.her. Ff'el:~
I~:ner.gy Charge>
state SIC
643--;:>37.13
'i'otal Fees
Amount Paid
Pr.'i or' Payment
Halanr.e OUt':;
On 03/16!199!')
J"O.r 4t95APOB~07
:~
.00
$ .00
-..........-....~_.....-~..
.... ..", ~.. .- .- - - - ....
$ :n .00
$ 27.00
:;; .00
.-.....~...--"......_,--
...... .- .." ..- -.~ -- ~..... ... ~...
$
.00
\~ {D1
.........."..................... ....... !!ll:.i.i..i.i:iiil!li...ll:l...i:i.....!l.l....._..._...ll.!!i!!.......:.........................................................
...........;;.a.
[X] GAS PIPING
APPLICANT: DOWNER [2J CONTRACfOR D OTHER:
COMMENTS:
1524 North Cambrian - Bremerton
SITE ADDRESS:
OWNER: David Washington
CONTRACfOR: Ray IsH. V. A. C. Inc.
CONTRACTOR LICENSE # RAYS HI*130D7
ADDRESS: 1524 North Cambri an - Breme,rton
ADDRESS: 1215 Ivy Road - Bremerton
EXPIRATION DATE:
377-1032
CONTRACTOR PHONE # 377-5005
OWNER PHONE #
........'. r1:. .:....:.:.. :...............:.........:.:.:.........:.:....:.........:.....:.....:................:......:.:..:.....:.....:.......:.:..~...............:....:..............:...............o.............:.:....A......:..:...........n............:.:.....:...E......".......A.................i..........:..........IT...........:.P.:.............."............I........:..nx...........................j.....:.'::r...........................:.:....:....:............:....:......::.......:..:......:.....:....:..:......... ..... ....:...........u...........nn....................:..:....:......:.. ......X.....l.....c.t.........:........... ............. .:.:.:.::.:::.::.....:~E....hiii'iTvmtfRE........:. .:.:...:.:.:.:.:................... ..........non......
:tC'tu.>J::.lrc:vro ::'Q:Y.L :LVU::.;1.>fJ; EJll:; t~.v. ...:.III...+~;a;.y~{f'~~y....::{..,I;.I::iA.
x
RANGE
WOOD/PELLET STOVE
GAS FURNACE btu s:
CONVERSION BURNER btus:
UNIT HEATER btu s:
BOILER btus:
GAS PIPING
EVAPORATION COOLERS btus:
AC UNIT btu s:
HEAT PUMP btus: tons:
REHEAT BOX btu s:
AIR HANDLING UNIT bttls:
EXHAUST FANS
RANGE HOOD (residential)
RANGE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
DUCf ALTERATION
TANKS typ~:
REFRIGERATION UNIT
OTHER:
MECHANICAL PERMIT FEE
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 TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWER (mobile / moved house)
ROOF DRAINS
OTHER:
PLUMBING PERMIT FEE 05.00 or 4.50)
x
$15.00
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
DATE:
APPLICANT'S SIGNATURE:
.
BREMERTON- BIDLDING DEPARTMENT
Plumbing/Mechanical Inspection Report
10d.J7
Scope of work: gas furnace/piping
Address: 1524 N Cambrian
Contractor: Ray 's HVAC
Pennlt Number:
Owner: David Washington
Phone: 377-1032
16206
GAS PIPING
Under test (tOpsi t?.05 mi_~ll1tes) ProE..~izing & support
12ft minimu_~ Ix:!ow g~~~':Vlacn I1nd~ound Coatc:d/wrappc:J whcn I1ndergrowld or within 6ft of earth
-- - .a.i.",
Groulld-;oillt unions vrollibirc:d in certain locations Bl1shinKS not allo~ in concealed areas
COMMENTS:
GAS PIPING APPROVED:
FURNACE
~_~~a~~~~~~~_~~OIl' Oil site Locatioll. access. su~
Clearance to combustibles Venting: clearance to combustibles
------
Vent ,izin~ & s~l'ort/connea:ions Vent termination
Combustion air Chimney: liner and/or lIeparate flues as required
Gall sllUt-ofT within 3' Pilot elevated ofT fl_oor in ~~e
~-~--
Ducts: she & support/insulated whcn required ~turn air
COMMENTS:
FURNACE APPROVED:
MISC. APPLIANCES
M!nu~aurc:~cificarions on site Location, access. support
Clearance to combustibles Venting: clearance to combustibles
----
Vent siz.il!~ support/conncaions Vent termination
Combustion air Chi~ liner and/oc lIeparat..e flues all ~red
Gall shut-oJf within 3' WOQ(I stove & firepJaas: proper heanll
------.-
Wood stoves: EPA al'provc:d G~, logs: safety shut-ofT
Wood stoves & ~replaas: tight fitting dool'lJ Gas shut-off within 3'
COMMENTS:
MISC. APPliANCES APPROVED:
M_anufacturer's specifications on site Location. a<XleSS, support
Clearance to combustibles Ventil~~ance to combustibles
Vel_It sizing & ~!!fP.ort/co~o.~ Vent termination
Combustion air Cbi~ liner and/or 8Cparate flues alii required
Gall shut-off within 3' Pilot elevated off floor in g~e
Gatev~eo~~~dwaU%supp~ ~lief valve drained to outside
Copper to galvanized COnnocciOIUl UniolUl on warcr ~pes
Seismic strap
WATER BEATER
COMMENTS:
WATER HEATER APPROVED:
ALL WORK UNDER THIS PERMIT APPROVED: