HomeMy WebLinkAboutCAMBRIAN AVE. N., 1703
BltEMEllrrON BUILDING DEI~AR1'MEN1'
PiwnbinglMechanicallnspection Ueport
.
Scope of work: Gas furnace and piping
Address: 1703 N Cambrian Ave
Contractor: Gas \vorks Sales and Service
Penult Number: gR-07hR
Owner: Mike Stengle
Phone: 377-6331
GAS PIPING
Under lOlt (lOI>,i for 15 minu~~) Proper siring & supJ.>E.rt
12" mini mum Itclo~ade when und~oun(1 C()a~eJJwu(lpal when Ilndergrowld or wilhih 6" of earth
...--- -._-~- nushin~s not allo\YCd in conce:ak(l areas
Grou/I(l-joillt ullion.~ I'rohibilc(1 in ceruin location,
COMMENTS:_
GAS PIPING APPROVED:_ ~~
Iz~e3~rY
FURNACE
Manufacturer's slx:cifiCllions Oil ,ite: Location, awess, ,ul'p"ort
Ckaran(,JC to COlllbUlJlihk, Ve~llin~: dc:arancc to colObuslihb
Vent siz.i.,.![. & supportJ connections Vent termination
Combustion air Claim,-aq: liner allMor separate: fillOl as required
Gas shut-off wilhin 3' Pilot e:kvatC(1 off ~oor in garage:
.-.---
Ducts: sh.e & supportlinsulated wlll:n required Return air
COMMENTS:
FURNACE APPROVED:
~-e----- 1'Z..2~-7V
MISC. APPLIllNCES
Ma_nl1~'.:lurer's specillcations on site Local.ion, ac.a::ss, sUHot(
Cbrance 10 combustibb VClIli!.lg: dcauncc 10 combustihles
Vent si1.i_~'g & sU'p'poul connections Yen( tcrrninatioJl
Combllslion air Chimnc:v: liner aJl(Uoc separate: flues as required
Gas shut-off witllin 3' Woocl stove: & (jreplaocs: propu heart"
Wood :UOVCll: EPA a"p'p"rovc:d Gas log.,: s<I;fcty shut-off
Wood. stov~ & (jrcpLaocs: tigllt lining doors Gas slaut-off within 3'
COMMENTS:
MISC. APPUANCES APPROVED:
WATER BEATER
Manufacturer's specillcations on site Location, awess, support
Ckarallcc to combwubks Vau~: dearanoc: to combustibles
Valt siring & 8u1'P.ortlconnca.ions Venttcrlllination
Combustion air Ch.imney: liner and/or lIICpante fiu~ a11l'C>quir~
Gas 1I11ut-olT within 3' Pilot ekvated ()ff floor i~an~e
Gale: valve: on coM water sUP..f.1y Relief valve drained to olltside
4________
Copper to Kalvalli~ co!,ncaiona Unions on warcr pi~
Seismic atrap
COMMr~..:"'HS:
\,','
WATER HEATER APPROVED:
,
,
'1
I
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ALL WORK UNDEll TIllS PERMl1.' APPI10VIID:
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PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
360-478-5275
II
INSPECTION REPORT
II
PERMIT #: Cf'r- ?77? r
ADDRESS: /70 '5 I) &--6~/~
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Schedule a reinspection when the above items are corrected. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date:~r 1, ~ <{ Time: p/O
~
INSPECTOR
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BREMERTON PERMIT ,CENTER
286 4th street~ Bremertong ~A 98337
Phone: (360) 478-5275 FAX:: (360) 478,-5278
BUILDING PERMIT ;"
'...;.r""
JUP Addr:~ 1 'ICl~3 N CAi113f~ I AN AVE
L.ocat i. on ~
Parcel. No:
f-ipp 1 :i. ca nt: GAS l-llORKS SALJ:::S AND SEIW I CE ~377 '~6331
276Cl MARINE DRIVE BREMERTON~ WA 98312
,,/'
PermIt No:
Status:
Applied:
I88ued~
Expires:
9B-{)768
ISSUED
12/17/199B
l;U 1. 71 l 9(rB
06/15/1.999
/
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Owner: STENGLE MIKE 479-6184
17Cl3 N. CAMBRIAN BREMERTON WA 98312
Contractor: GAS WORKS SALES AND SERVICE 377-6331 Lie D: GASWOSS08lK7 Exp: 5/18/1999
2760 MARINE DRIVE BREMERTON. WA 98312
Sl.lbcnntr:
Oese: GAS FURNACE. PIPING
*********************************************************************************************
Valuation * Permit Fees: 29.70 Total Calculated Fee: 29.70
.00 * Plan Check Fees: Additional Fees: ,00
* Other Fees: .00 Total Permit Fee: 29.70
*********************************************************************************************
MECHANICAL/PLUMBING FIXTURES-- MECH-Gas Furnace to lOOk btu.: 1 MECH-Gas Piping (outlets)....: 1
*********************************************************************************************
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 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 constrtlction.
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 pe it does not presume to give authority to violate or cancel the provisions of
:::,:::::,~ ~:::~__ e ulo ~____:::~~::~:::_:~_~::_per:::::::~:~~~:~~{'~_______
I cert i fy that I am exempt from the requirements of the state contractor's registrat ion law, under
Section 3, Chapter 126. laws of 1967.
Signature: ____________________...;_____________...___.____________ Dat e: _______________________________
'~~~*'~~'*~'~')~"~~~~:'~"**'~**~~*~*~1' " . .. . q Y .~
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BREMERTON PERMXT:CENTER
286 4th Straetg 8remertonu WA 98337
Phone:: (360) 478-5275 FAX:: (360) 478-5278
Job Addre8a~ 1703 N CAMBRIAN AVE
L.ocnt: j, on::
Building Permit No: 98-0768
~::;t at us; I SSUI::::D
Issued; 12/17/1998
Expires: 06/15/1999
A*:~lE~Y' A(:(~t Nc)::
,:~ E: (;:) U Ii f~ E D
INS P E C T ION S
Item; 01400 MECHANICAL
D(::)pt = BL.DG
D :1. v :1. !?~ ion =
*********************************************************************************
TESTING: Must be fecognized by the Washington Association of Building Officials
SPECINSP= Must be registered with the State of WA
BLDG: City of Bremerton Building Department 478-5275
PLANNING; City of Bremerton Planning Department 478-5275
PUBWORKS: City of Bremerton Utilities Department 478-5318
FIRE: City of Bremerton Fire Marahalus Office 478-5380
ENG: City of Bremerton Engineering Department' 478-5270
!..IE:Al..'TI..':: Brf.':.)mc'::ly.t on/t\:1. t; Bap 1"'lea.l t h Depay.t; ment 4'7El.....5=;:~::)!::l
ST OF WA: State of WA Dept. of Labor & Industries 478-4921
*******************************,,*************************************************
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Pey'm :1. t He):I. dey' · Ei
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'Type ofFu~l:
':,' Q~Cupancy:_,
;~ ";f. .
,f
HEAT PUMP btu:
REHEAT BOX btu:
AIR HANDUNG UNIT btu:
EXHAUST FANS "'~:>"::
RANGE HOOD (residential)
RA.L'JGE HOOD (commercial)
CLOlHES DRYER,.;
INCINERATOR
DUCT ALTERATION
TANKS type:
REFRIGERATION UNIT
OTHER:, i-
CLOlHES WASHER
,WATER HEATER
, '; ,URINAL -,;
DRINKING FOUNTAIN
:'.';':::'"
SWIM,.\UNG POOL
BLDG. SEWER: (mobile?moved house)
ROOF DRAINS
OTHER:
MECHA.~ICAL FEES:
PLUMBING FEES:
. OTY SURo-IARGE:
, TOTAL FEES:
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APPUCANT'S SIGNATURE.
DATE:
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PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
1703 N. Cambrian
SITE ADDRESS
St. Vincent de Paul, 1117 N. Callow, Bremerton, WA
OWNER
MAIL ADDRESS
D REPAIR
Self
CONTRACTOR
Class of work: D NEW
MAIL ADDRESS
D ADDITION D ALTERATION
GJ MECHANICAL
ASSESSOR'S ACCl # 0
983110 479-7fl17
ZIP
PHONE
PHONE
LICENSE NO.
D PLUMBING
COMMENTS
No.
Type of Equipment
STOVES Gas_ Oil_ Wood~
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up flow_ Down flow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP_)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ Split_
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS Exhaus~ Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res.----,-- Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhaust_
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
15.00
/tej.Ob'
21. 50
Fee
6.50
PERMIT $
TOTAL FEE $
t:: )(yO [ ~~()
5/1&/ft
FINAL APPROVAL
RECEIPT NO.
No.
Fee
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
TOTAL $
10.00
NOTICE
THIS PER,MIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPliCATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLED 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.
,~vr'~" xl Y!:;;~? 11/16/87
SIGNATURE OF CONTRACTOR' OR AUTHORIZED AGENT (DATE)
U '
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
77700
N9
3491
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPliCANT)
PERMIT
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APPLICA TI
oknuJ
MAil ADDRESS
"------u.CITY-OF" BREMERTON BUIl])IN-G DEPARTMENT
PHONE: 478-5281
1;03 N, ~bv,~n
SITE ADDRES~ ) '. \
~ ~'\InU2n1
OWNER ~sf
N
- .-:o.-~--:--.-:---:-~"-''::7;'~''--"'-_:'~
ASSESSOR'S ACCT. #
ZIP
PHONE
Class of work: D NEW
MAil ADDRESS
D ADDITION D ALTERATION
CONTRACTOR
'iZJ MECHANICAL
COMMENTS
No.
lYpe of Equipment
STOVES Gas_ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up flow_ Down f1ow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP _)
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ Oil_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ SpliL-
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS ExhauSL- Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ ExhausL-
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
- .
Fee
Ih.6;C")
PERMIT $ 1::s. I.. :A
TOTAL FEE $
FINAL APPROVAL
RECEIPT NO.
PHONE
LICENSE NO.
D REPAIR
D PLUMBING
No.
_ lYpe of Axture or Item
Fee
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
TOTAL $
NOTICE
THIS PERMIT BECOMES NUll AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME 10 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
10 GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHOf'lIZED AGENT
(DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
777~
PERMIT
(While-ORIGINAL, Yellow-INSPEClOR, Pink-APPLICANT)
'.
Ci t..Y~ of BremertoIt
239 FOURTH STREET
BREMERTON, WASHINGTON 98310
(206) 478 - 5252
MA YOR GENE LOBE
B U I L DIN G
D E PAR T MEN T
October 17, 1988
St. Vincent dePaul
1117 N. Callow
Bremerton, WA 98310
RE: Building Permit #3497
To Whom it May Concern:
It has come to our attention that your permit #3497, located at
1703 N. Cambrian, expired on May 16, 1988.
Pursuant to Section 303(d) of the Uniform Building Code, a permit
shall become null and void if work is not commenced within 180
days from the date of issue, or if work authorized by the permit
is abandoned-for 180 days after issuance.
Please contact this office at your earliest convenience to
discuss your intentions for this project.
Sincerely,
. ~~v~~~
J~~~hard R. Mumma {I.
o Building Official
RRM:jl
Gateway to the Olympics and Home of the Puget Sound Naval Shipyard
,M
CITY OF BREMERTON - BUILDING DEPARTMENT
I
478-5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
3~7?
I have this day inspected this structure and these premises and have found the following violations
of City, County and/or State laws governing same:
s-/v,,€
..
P 117 ~J
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e ~V\e.c..- -I; th-... '5b
ht/~-f-
b,~
'So G retJe.qJ
.r, e- .,t"e- ... r (~ ,'.- ;/41 v - err ~ t: ~e::,('c..~cr;)
You are hereby notified that no more work shall be covered upon these premises until the abo e viola-
tions are corrected. When corrections have been made, call for re-inspecti
Do Not Remove This Tag DATE 1.lr-~f
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
'0
ADDRESS & DIRECTIONS
1703 N. Cambrian
3497
PERMIT NUMBER
. OWNER
St. Vincent dePaul
CONTRACTOR
Self
PHONE
PHONE
479-7017
COMMENTS:
1 FOUNDATION
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY:
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ?PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN ,--
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O. K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
M MECHANICAL CORR O.K.
1. FURNACE SIZING --
2. FURNACE LOCATION --
3. FURNACE CLEARANCE --
4. 'B' VENT SIZING --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING --
9. DUCT CLEARANCE --
10. DUCT SUPPORT --
11. DUCT JOINTS --
12. GAS PIPING TEST --
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT --
15. OTHER --
CORR O.K.
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
FURNACE APPROVED BY:
HEAT PUMP APPROVED BY:
GAS PIPING APPROVED BY: ,J 14, ~
WOOD STOVE APPROVED BY: ~
OTHER: t..-".t!J1J ~tf:.-
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. WIR AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE __
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
". .:.. .-.,.\>....,........-'"-'..,,,.... ~.;._- .....,'
Cityof BremertoIl,
239 FOURTH STREET
BREMERTON, WASHINGTON 98310
(206) 478 - 5252
MAYOR GENE LOBE
B U I L DIN G
D E PAR T MEN T
February 8, 1989
St. Vincent de Paul
1117 N. Callow
Bremerton, WA 98310
RE: 1703 N. Cambrian
To Whcm it May Concern:
It has come to our attention that your building permit #3497,
located at 1703 N. Cambrian, expired on 5/16/88, without an
approved final inspection. This project was inspected on 1/19/88,
but was not approved by our building inspector, who left a
corrections list at the site. To date, you have not called for
another inspection, and the permit has expired.
Section 202 of the Uniform Building Code defines this condition as
an_o~~u~ancy-Y~_L~tio~, and allows the Building Official to vacate
inal inspection approval.
p
959 962 818
RECEIPT FOR CERTIFIED MAIL ~llow you 7 days from receipt of this letter
NO INSURANCE COVERAGE PROVIDEO ~t 478-5281 to schedule a final inspection.
NOT FOR INTERNATIONAL MAIL I 1 t' th t . f th b . ld . t . 1
________(SeeRe~er~___--.:~__~n____~_~ac~__~on_ 0 e u~ ~ng un ~
.SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3
and 4. ." "
. ; Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this
card from being returned to you. The return receiot fee will orovide vou the name of the oerson
delivered to and the date of deliverv. For additional fees the following services ere available. Consult
postmaster for fees end check box~es) for additional service(s) requested.
1. 0 Show to whom delivered, date, and addressee's address. 2. 0 Restricted Delivery
t (Extra chtfrge) t t (Extra charge) t
3. Article Addressed to: 4. Article Number
p 959 962 818
98310
o Insured
o COD
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St. Vincent de
1117 N. Callow
Bremerton, WA
Paul
5. Signature - Addressee
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:d Naval Shipyard
* U.S.G.P.O. 1987.178.268
DOMESTIC RETURN RECEIPT
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS . 1703 N. Cambrian
1164
PERMIT NUMBER
OWNER St. Vincent de Paul's PHONE 377-0512
CONTRACTOR Self PHONE
1 FOUNDATION
CORR O.K.
1. PERMIT ON SITE --
2. CHECK PLANS TO PERMIT --
3. CHECK SETBACKS --
4. PROPERTY STAKES --
5. FOOTING SIZE CORRECT --
6. WALL SIZE CORRECT --
7. CHECK FOR FILL --
8. REQUIRED STEEL IN PLACE --
9. CHECK FIREPLACE FOOTING --
10. ANCHOR BOLTS --
11. FOUNDATION PLATE --
12. FOUNDATION VENTS --
13. CRAWL SPACE ACCESS --
FOUNDATION INSPECTION APPROVED
BY:
COMMENTS:
2 fRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS $PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _._
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
M MECHANICAL CORR O.K.
1. FURNACE SIZING --
2. FURNACE LOCATION --
3. FURNACE CLEARANCE --
4. 'B' VENT SIZING --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING --
9. DUCT CLEARANCE --
10. DUCT SUPPORT --
11. DUCT JOINTS --
12. GAS PIPING TEST --
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT --
15. OTHER --
CORR O.K.
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
FURNACE APPROVED BY:
HEAT PUMP APPROVED BY:
GAS PIPING APPROVED BY:
WOOD STOVE APPROVED BY:
OTHER:
--
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
10. PROPER GRADE --
11. HOT WATER TANK P R. VALVE --
12. OTHER --
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. WIR AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWERIHEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZINGI
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SElF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
. -\-..." " "~'.
w' .~ .~. ".." - _.~
.,
Ie PERMIT;.
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
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1703 150. Cambiian
SITE ADDRESS
St. Vincent de Paul's
ASSESSOR'S ACCT_ #
377-0512
OWNER
MAIL ADDRESS
PHONE
Self
ZIP
CONTRACTOR
Class of work: D NEW
MAIL ADDRESS
~ ADDITION D ALTERATION
PHONE
LICENSE NO.
D REPAIR
GJ MECHANICAL
D PLUMBING
No.
Type of Equipment
1 STOVES Gas_ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up flow_ Down flow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP_)
Under 100,000_ Over 100,000_
Oil~
UNIT HEATER BTU_ Gas_ Elec._
BOILER Gas_ 011_ Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Total_
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ Spli~
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS Exhaust_ Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heatlng/Cooling_ Exhaus~
TANKS 011_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
FINAL APPROVAL
COMMENTS
Fee
6.50
15.00
J~O~Q0/
21. 50
RECEIPT NO.
No.
Fee
Type of Fixture or Item
WATER CLOSET (TOIL~.T)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
TOTAL $
10.00
NOTICE
THIS PER,MIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS sus-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED 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~L LAW REGULATIN,S;/'CONS]:. RUCTION OR THE PERFORMANCE OF
CONSTRUCTION// .r
~k1/~.;~/?/~
SIGNATURE OF CONTRACTOR OR AUTHOf)IZED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
/s90/
, ,
N~
PERMIT:
3364
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
MW A PLIG
CITY OF BREMERTON BU!LDING DEPARTMENT
PHONE: 478-5281
. ..
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ShE ADOF1ESS ,-. v
571~~~.-ik ~ t./ ".YuF
OWNER ' , : MAil ADDRESS
&rl r ~-&-/;.'p~J)/L PAVl'_,
CONTRACTOR ~ / MAil ADDRESS
Class of work: 0 NEW M ADDITION 0 ALTERATION
I
[2J MECHANICAL
No, Type of Equipment I Fee i No. Type of Fixture or Item Fee
, STOVES Gas_ Oil_ WOOd~ '6.,'50j WATER CLOSET (TOILET)
f
FIREPLACE INSERT I- BATHTUB
FURNACE Gas (Nat._ LPG._) Oil_ LAVATORY (WASH BASIN) l
Wood add on_ Other_ Electric_ i SHOWER i
I
BTU I KITCHEN SINK & DISPOSAL
I
Type: Up flow_ Down flow_ i DISHWASHER
Horizontal_ Wall_ I LAUNDRY TRAY
1
CONVERSION BURNER: Gas_ (Nat._ LP_) I CLOTHES WASHER
Under 100,000_ Over 100,000_ i WATER HEATER
-f'
Oil_ j URINAL
UNIT HEATER BTU_ Gas_ Elec._ i DRINKING FOUNTAIN
BOILER Gas_ Oil_ Electric_ ! FLOOR - SINK OR DRAIN
Other_ HP_ I SLOP SINK
GAS SYSTEM Max. 5 outlet Total_ 1 WATER PIPING & TREATING EQUIP.
EVAPORATION COOLERS Roof_ Wall_ I WASTE INTERCEPTER (Grease)
i
BTU_ ! VACUUM BREAKERS & BLACKFLOW DEVICE
AC UNIT Electric_ Gas Elec. Combo_ I LAWN SPRINKLER SYSTEM
I
BTU~ . SWIMMING POOL - Private_ Public_
HEAT PUMP Single Package_ Spli1- i GROUNDWORK
I
I
Aod on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS ExhauS1- Supply_ Bath_
RANGE HOOD Residential_ Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhaust_
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
REFRIGERATION UNIT
COMMENTS
~'-j.
. .
i
i
I i
I I
t=j
I I
~ I
PERM'T$b<~-l
TOTAL FEE $ Y. - !
FINAL APPROVAL _
I
ASSESSOR'S ACCT. #
Cj:?'3/2..
ZIP
~79-7c?/7
37 7 -Or...S~/2-
PHONE
PHONE
LICENSE NO.
i:O REPAIR
I'
L
D PLUMBING
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
TOTAL $
NOTICE
THIS PERMIT BECOMES NUll AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME m BE TRUE AND CORRECT. All PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
m GIVE AUTHORITY m VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR lOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
(DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
PEt1MIT
~\
RECEIPT NO._.
(White-ORIGINAL. Yellow-INS;"ECTOR. Pink-APPLICANT)
"0
.
e
:..
~ N<}.
35686
Fee $mm__:'......__m___:_______m__.__.____._____.m____._____m... Receipt No. .,~::,.:_:::.?L~:____..mmm__m____h.m.m...
CITY OF BREMERTON
BUILDING PERMIT
BUILDHIiIG DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext.36
Owner's Value I Bldg. Dept. Value I DESCRIPTION:
$ " "I Lot Block Additions
A~dr~ss on Job..~ :.:: .::~,-~:. .,:,~~~ !.-'.. .:.~,.,...z :L. __::.:,.. .... m:. __.__. __. __.. m __._. .m. __ __.. m" __ Date \m..... __": .;/.L~'~, n .196.:f:~
Buddmg ._..n__.__m.. x __...n.n.m__ and m.__mn..__. stones mnn.mm__.nm.. basement. Lot mnn...mm x m.m..m'n,
Front Yard m.m.....n____n__n Rear Yard m..mm..m.m.m Side Yard .__....mnm.n...... Gar\~/.---mmm..m.mm..
g:c:e~~~ ~~:~ ~ ~ ~ ~~ ~ ~ ~ ~ ~!~ ~;~ ~~ ~~;?~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . Add ;~~ ~ n ~ ~ ~ ~ ~ ~ ~ ~ ~:~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~. ~~~ ~.' ~ ~ ~~ ~~ .'~ .... ~ ~ ~ np h ~~ ~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Con tra~tor n..... ..~ .~~:.'..~ ~:.~:.. n.:~: __, .~,; .:':__ __. n.__ n n. ...m....... Address ... n.... n............ n........... __... n' Phone. n n..m... n.
This permit is issued for:
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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
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Il~S,PECTION - 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 foundation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
. " /. .
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-- ---- ----- --- ---- --- -- - - -- -- -- -- - --- - - - - - - --.. - --- - -- - - ----.... - -.. - - - - - - ---- --.. -- -- - - ..-- - -- - -.. - -.. --.. ...... - - -- - -........ - -.. - -- - - - - - -.... -.. - - -.. -- - - - -- - -- --..-..- - -- -.. -...... -- - ---- ---- ---- --- --..
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Owner' s Signature ... __... __ _..... n.. __............. __........ n... __........ By.. ........ _ n..........n.. __... n _.... n...__.._... n. __. ...... n .:. __ __ __.
,~ His A/J~horized Agent
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Buil ding Inspecto r ....... n.....",:.. ~.::. n.::;;.:...~ .'. :.:. .:;" __._ ..... __ m..... __... __. __.. n.. m...
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