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Home My WebLink AboutCAMBRIAN AVE. N., 1302 ~ > ",I . ; BREMERTON PERMIT CENTER 286 4th Street, Bremerton, WA 98337 Phone:. (360) 478-5275 FAX:. (360) 478-5278 BUILDING PERMIT ru\ '& Job Addr: 1302 N CAMBRIAN AVE Location: CORNER OF CAMBRIAN & 13TH ST Parcel No: 3774007-016-0005 Permit No: 03-0244 Status: ISSUED Applied: 05/09/2003 Issued: 05/09/2003 Expires: 11/05/2003 Applicant: PHILLIPS JEROME/LANA LEE 2811 - 13TH ST BREMERTON WA 98312 Owner: PHILLIPS JEROME/LANA lEE 2811 - 13TH 5T BREMERTON WA 98312 Contractor: SELF Lie :It: SELF Exp: Oese: DEMOLITION OF SINGLE FAMILY RESIDENCE (1024 SO FT) *1***.***1***..********..*.******.***.*********.*..****************.....*******.**.********.* Valuation * Permit Fees: 30.72 Total Calculated Fee: 35.22 .00 * Plan Check Fees: Additional Fees: .00 * Other Fees: 4.50 Total Permit Fee: 35.22 ************************~******************************************************************** Thi$ permit shall become null and void if the building oy work author'ized by this permit is not. commenced within 180 d&,ys fy0111 the date of such peymi't. or if this building or work authorized by such peymit is suspended oy abandoned a.t any time after the woyk is commenced for a period of 180 days. NOTICE - It is the responsibil i ty of the permit OOldey. not the City of Bremerton or Building Off icial to see to it that required inspections aye mack? The permit OOldey must notify the Building Official when ready foy inspections. Failure of the payroit holder to r~tify the P~ilding Official of requiyed inspections may yesult in the stoppage of the work until SlICh time that the paymit holder can substantiate to the building official that t.he concealed ',,jork meets or exceeds code requirements. Any demoli bon. testill9. 0'( fi,nancial burden shall be bonne directly by the peymit holder. Failure to substantiate code requirements will indemnify the city against any and all ,esponsibility or liability connected with the construction. I hereby certifY that. 1: have yead and examined this permit and know the same to be true and correct. All pyovisions of 1 ~ and ordinances 90veYning this type of work will be complied l,.Jith whether specified herein Ot' not. The,,' 9 f a Z~ does not pyeeume to give auH~Yity to violate Qt' C2lDCel the PYOV..i$iOns of any oth y ~ l::lC la.i\ .~8uliOX in9 construction or the peyfoymance of constyuction. Signatuye: "---- ~:cl - ----- Date:,-1:-'\~ q . LCD ~ . I .{ ceyt.ify th.ftJ . am ''e . mpt fyom the yequi nts of the state contrad::oy's registrat.ion law. under h t; law Of _ oate:__~~~.i 2oQ~ Date:~_1~J23 ~ Signature: ****l<<**** Permit C~ I ~i,:_JII :.,' ': "" Ijj~~ . 1)+,' ,r .~, \"i-;l ;.~ 4. ~4 .':~ , 1 BREMERTON PERMIT CENTER 286 4th Street.;' Br'eme'rtilR;14A 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 Job Address: 1302 N CAMBRIAN AVE Location: CORNER OF CAMBRIAN & 13TH ST Assr Acct No: 3774007-016-0005 Building Permit No: 03-0244 Status: ISSUED Issued: 05/09/2003 Expires: 11/05/2003 R E QUI RED INS P E C T ION S Item: 02700 FINAL--BLDG D.ept.: SLOG Division: ********************************************************************************* TESTING: Must be recognized 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 PU8WORKS: City of Bremerton Utilities Department 478-5318 FIRE: City of Bremerton Fire Marshal's Office 478-5380- ENG: City of Bremerton Engineering Department 478-5270 HEALTH: Bremerton/Kitsap Health Department 478-5235 ,. ST OF WA: State of WA Dept. of Labor & Industries 478-4921 **************~*~************************************************************* (' . I /~~-." Permit Hol\1er'l ,~ Signature:_ . / ---.. Da te : _rl~ q 7 Q.Q.3...~,_ . LJ '/ ~.. r)? .f \ \ .~ ~ \ \ , " .\ \. ;~~ . i . [~~." l~"i . , - ""'f::;""'.l'.\;P''':.'.,"~,~-' !!'~': "' ,.-, ". : ,.,,. " . r \ "'f~ ======~~===================================~================================ '" -- ,- PO BREMERTON- PERMT'fi!;;':CENTER . PERMIT CONDITIONS Permit No: 03-0244 Page: ~==:~~:===========~=:======~===~~==============~=====~~===============~======== 1 Job Address: 1302 N CAMBRIAN AVE Assr Acct No: 3774007-016-0005 Location: CORNER OF CAMBRIAN & 13TH ST Applied: 05/09/2003 Approved: 05/09/2003 Issued: 05/09/2003 Applicant: PHILLIPS JEROME/LANA LEE Owner: PHILLIPS JEROME/LANA LEE Contractor: SELF Description: DEMOLITION OF SINGLE FAMILY RESIDENCE (1024 SO FT) Conditions: 1. ONCE DEMOLITION WORK HAS BEGUN, IT MUST BE COMPLETED AND READY FOR INSPECTION WITHIN 60 DAYS. 2. ALL PORTIONS OF THE FOUNDATION SHALL BE REMOVED AND DISPOSED OF AT AN APPROVED LEGAL DUMP SITE AND THE SITE GRADED TO MATCH EXISTING CONTOURS. FILL IN EXCESS OF 49 CUBIC YARDS REQUIRES SEPARATE GRADING PERMIT. 3. PRIOR TO PERFORMING ANY RENOVATION OR DEMOLITION WORK, PUGET SOUND CLEAN AIR AGENCY (CLEAN AIR AGENCY) AND WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES (L&I) REGULATIONS REQUIRE AN ASBESTOS SURVEY BE PERFORMED TO DETERMINE WHETHER THERE ARE ":~SBESTOS-CONTAINING MATERIALS IN THE WORK AREA OR STRUCTURE. THE ASBESTOS SURVEY MUST BE CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR (EXCEPT RENOVATION OF OWNER-OCCUPIED SINGLE FAMILY RESIDENCES) . FOR MORE INFORMATION, PLEASE CONTACT CLEAN AIR AGENC~ THROUGH THEIR WEB SITE AT www.pscleanair.org OR BY PHONE AT 800-552-3565 OR 206-689-4058. THE L&I WEB SITE CAN BE FOUND AT www.lni.wa.gov/wisha/p-ts/asbestos/asbestos.htm. Date~~Q __~ /' ~~-Tr .-_ _. - -.... ..~~ .'n\, "\'" ~ \. ... I /' p; \ ~..l;'<.~. --1'11 ~ ."Ji.~ ,~ ~ "-J';,lf:,'l"'!' n1':--"'~"'_."" -,-. .~.~~<<.**'******~*~*~~..**~~*.~***.*z.**.***~.~....*~*...~*..*.* , .',' 'A;:~:~~j"; RE.U:IPl **~;~*~*~~*~,*~*s***w**t~**.***'****~****~**J~*~.*******.*****~. RECI'..lPf NundH!!':' 03000<~08 !~m()unt: 35.2? 05/()9/0::~ 12:21 f"a.Y!t;i~nt Ilethod: VI(~f) NotatIon: PIHLI..n)(~ VISA Init ~ VIAl 03-0244 lype: UlnO DEMOLITION PERMIT 3/7 4007--01.6 ~ OOO~', L302 N CAMBRIAN RVL CORNlR or CAMBRIAN & J31H Sf fot"l fee~::: 35,,:(2 :;5':'..?2 rot.aJ. M.L PlHts:E~.l(! Balance: .00 *.~~********.~*.**.M~********~**%**.~*.***~*****.**.**~~M*I#.*~* rWGOl1nt ijJdf' De;,~(;r iPt ion iimDunt 16-322.1008 (22lS) DEMOLITION PERMIT FEES 30.72 643-23/.13 (0236) SlnrE O~ WA SURCHARGl 4.50 P"lrflll t t'h): Pd;'Cfd No~ i~, 1 t I': liCJdn~s~::: LccaUun~ 1 hi:O; P..J'/m,,,nt " ., FitV~ 1 m (),' OrJ.4f C 0#: ~ ~ .j::} PERMIT CENTER Department of Community Development ':. 286 4th Street ':. Bremerton ,:. W A::. 98337 (360) 478-5275 ::. Fax (360) 478-5278 ,/ ~Building Permit Application CONTRACTOR: Address: o CONTRACTOR 0 AUTHORIZED AGENT Tax Account Number:~ 11 ~ APPLICANT: Cit , State, Zip Phone #: Contact Phone #: ( ) Cit , State, Zip Phone #: ( ) 2003 @ BAEMERTON D. NEW GAR~oom 6~RTMENT D NEW ACCESSORY SLOG D NEW SIGN [;j-STRUCTURE DEMOLITION D GRADING (Cubic yards: _ ) D OTHER YES D Check the type of application for below: o NEW SINGLE-FAMILY RESIDENCE D NEW COMMERCIAL o NEW DUPLEX D COMMERCIAL REMODEL o NEW MANUFACTURED HOME D COMMERCIAL ADDITION o RESIDENTIAL REMODEL D COMMERCIAL REPAIR o RESIDENTIAL ADDITION D NEW MULTI-FAMILY o RESIDENTIAL REPAIR D TENANT IMPROVEMENT IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? ~OL Square Footage: Dwelling:.pv-- \ \( . Garage: J~ Decks: 0~ Valuation Plan Review Fee Permit Fee Surcharge Application for which no permit is issued within 180 days following the date of application shall expire by limitation, an plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing the circumstances beyond the control of the applicant have prevented action from being taken. No applicant shall be extended mor ceo In order to renew action on an application after expiration, the applicant shall resubmit plans and pay new an r . w fee. .... APPLICANT'S SIGNA DATE: ~A 7>:C>3 ~ '/ VICINITY MAP . '. . 1 \ \ A ( I < ( ~ rJ ( l j ~ ( ( ( ~~ I ( , 4 I - t~K ~1te.J,. ~ " ( ( ( ( ( fr))~@~~\Yl~I~~ ( ~ tr\1 MAY 09 2003 ~ BREMERTON IBUltOiNG OEPARTMENT BREMERTON CITY TREASURER P A I D BREMER TON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton, Washington 98310-4799 478-5318 APR 2 9 20~ 5 0 UTILITY SERVICE AG~~H~NT THANK YOU Tap No. Rece1'pt No /j/i :7,-. Q){:;/ (/~f,! . ~__. ..._- __or Bremerton, WA. , 19 Work Order No. The undersigned Service Address: Legal Description: Plat property ownep he:~~bY ap,Pties for, ~i~ili ty service at: I .-4':t:.) ;;/.. !,~. [/" 6 \ , f"=)lc I /."- I'.J j.\ .~. t:.. Kitsap County Block Lot SERVICE REQUIREMENT: [] Water [] Wastewater [] Stormwater SERVICE AREA: [] Marine Drive Water [] Sewer District 11 [] City [] North Perry Water [] Tracy ton Water [] County [] Port of Bremerton [] SERVICE CHARGES: Connection/Ins~tion Fee: Water: Domestic...... ...... ...Size $ Fire .......~~....~......Size $ Wa.stewater ... ::~~':{,l)~'~~ . {:c.,-(~? . . . . . . . . .. $ Storm Water ............................. $ BARS-.-! L.td .00 C! Y:~() Front Footage Fee: Wa ter ................................... $ Wastewater .............................. $ Storm Water ............................. * Gen~ral FacilU~.~Jee: . Wate~ ......., of units Wastewater..' of units Storm Water .f of units ~ $ (j $ (i $ $ $ $ System Development Charges: Water Wastewater Storm Water $ $ $ Temporary Service $ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee .............. 0 . . . . . . . . . . . . . . . . $ Deposit $ Other $ TOT AL. G . . . . . . . . . . . . . . . . $ "f;1 ;00 1. Utility charges are the responsibility to the owner regardless of whether .the property is occupied by the owne~ or tenant. Unpaid charge shall become a lien on the property serviced. 2. By this agreement, the undersigned owner acknowledges that the owner assumes the risk and the City disclaims responsibility for all claims for damage or injury to person or property resulting from the following: a. Installation, maintenance and operation of all plumbing, fixtures or appliances connected to the water meter or wastewater main. (Building permit inspections are limited in scope and do not guarantee plumbing design or workmanship.) b. Changes in pressure, flow or temporary shut-off of services due to system maintenance, emergency or non-payment of charges. Name ,-.Jt:;ZtL'-1 Pf+ / LLI P.::s Billing Address' 'F__;:"J~<!/ 13'J,~ ....5TR..L.E! Owner's S igna t~r~(\;~~1:~~"~~~~_-.}L~'t_,12r ~!F) Agent's Signature-')'r- \\ ~ . ~ - Phone Number ( ) -1T/~><7 Date Date St t .. Ll.. ZIP ?J"(";"::? i;;:;::1.. a, e J/ )rl - !.... . ) # - 4/~ "'( /? C.C)-"", " 1 9 i J , 19 Accepted on hQ.h~lf of Bremerton Municipal Utilities: By :;.;;< -:i~S(_,)/'e/I-" Da te 71 ! /,-;L '-'7 ,~-=- Original & Yellow Copies: Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: ;_~") /! ..r, c.- './ u.:3 Customer D~ IN $Jeer eo ;, ,. lflg -- :? 3 dS f)f?fReJU'p 5-B-ob D~~' FORM #8 Wore;{ - ~(),-~-I11' lIDM' 0 [1[Q) 0 [fi]@ [Q) ~[P&[~rjj'~ ~[fi]<tP ~~ I e @Ou'tl @~ [ID~~~~~u@~ __~. (....::.... IPIHIOlNllE ~1$-521Gi ~ ::? '3llf~ bO (- () 1 'foe6()6~ ~T(Q)~ W(Q)IOC AT (Q)NCOC o!I@!bJ [b@(O;1IDQu@[ji} j '0{2 'd..., U (!JJ1Y1 J!;!c) (J N A Jf lihlus S~lrlUliC~lUIIrS ihlaJS Ibssll1l UIl1lSIPSiC~sdI aJll1ldl ~ihls ifo~~owuIl1lQJ V~OlAl~OU\!lS oif CU~lf laJws aJll1ldl Olrdlull1laJll1liCss ihlaJ"s Ibssll1l ifolUlll1ldl: -rllt: tcJo~K. I3fil/fr IJO)/~ A71*/S./lDO(QF/~~ ~~UIR~. /lLK/Vl'f7 5, j, (;)1-111&00 5 L/l~-5 ~/ J_ jfiJl!LJ , . VlOl\.n alll"S il1Js!t~lbil'lnllO~n~usOI ~lhal~ ~lhs allbovs clOll"ll"ec~nOllnls slhal~~ Ibis l11l1lalOls iBlEIFO~1E A~V IFlI.DlR'fIHl!E~ W(Q)~~ us OIlOlnls..' lFalU~l\.nIl"S ~lO Il"sslPlOlnlOl ~lO ~lhns OIl"OIsll" wu~lhulnl all's l11l1lall' Il"SSl\.n~~ UInl ~sg)aJ~ alC~UOInl. / 1W1ID~@O 3 - /7- 03 DUil$lP>@~~@[j" ~ i BUILDING ~ERMIT .N~ 2293 A1V City of Bremerton, Washington Phone: (206) 478-5281 fOe> $..7- eRA? 8/r;?",<./ ADDRESS . ~ ~ ~ OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE $ 't})- $ SITE ADDRESS! LOCATION /,yo rJl.... A/ OWNER'S NAME /7 /-kAl.5o~ CONTRACTOR ~ ~~ '-"" e. ADDRESS ~ RESIDENCE 0 BUSINESS PLANNING! ZONING o OTHER 0 NEW FIRE ZONE RECEIPT NO. PERMIT FEE RECEIPT NO. ~73bS DATE PHONE STATE CONTRACTOR'S L1C. # PHONE ~ REPAIR o REMODEL o ADDITION 0 DEMOLISH STORIES OCCUPANCY THIS PERMIT ISSUED FOR: ;1;.p tv /I/~r=:- ,. INSPECTIONS REQUIRED: Foundation 0 Framing 0 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 local law regulating construction or the performance of construction. Plumbing 0 Electrical 0 Wallboard 0 FINAL ~ FOR INSPECTORS USE ONLY: REINSPECTION: ~PPROVED' NOT TYPE OF INSPECTION DATE TIME APPROVED FINAL INSPECTION APPROVED BY COMMENT DATE TIME APPROVED '. Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'SSIGNATURE Q~ \).~~.BY 4~ BUILDING DE?~ _~_~________ . e N~ 42657 Pre $'I~mmmmm Rcr,;p' N,k/:L;L~7mm Ii UH..D I NG PI: RM IT CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 / own~/13ldg. Dept. Value I DESCRIPTION: $ ;::;- 'J I Lot Block Additions Address on Job ___~~~~_h~h__'~~~~__h_'___h__'n_'___'._. Date h_,4I."",,'!_!!.-:u?:,~~.._.m_mu..u Building m_h__'umu X hu'_._Umu_ and .00__00__00_00__ stories _ummuoommm_. basement. Lot ,mnu_.._hu X _h.mmm__. Front Yard m._.u.ummu___.. Rear Yard .m__m_m.m_u__.. Side Yard _m_m_m__mm_m Garage m__hm___m_m_m_h'__ Occupanc~/-----.----m~.-u-~'-"----'--,n------,--'--c.---.--00--------------_____ ZO~-n-----~--.i--.--C---.------n-oo..o.---o Owner m~'-l.-c~4-Lf4- _mn.m__m~-hm.-Ohu 00_ __ _ _.mm_' Addr~ss /_.312_2-:00 --7d.aJo..~4!J~l.i1one m.m ___ moo 00 Contractor ____;{-__ _ _ _0__ moo 00 _0_ u m 'mhu 00' 00 __ 00 _, 00 _00 _ _ _ _ _ __00 _0 ____ Address __ 0___ __0 ____ _m __ __ __ __m_ __ ____ _.m.m Phone _ u _m _muu 00 ~~~~__~~1::~~_~~_~~_~~~~_~~_~~__u:~~/u u~~L~m_m_ ____mu_m_mm umooum _mu.__mu_m..u.m_umu_m "! ......"""'" -' ./ - - , , ;'~ 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 shaU be inspected and approved before pouring. All plumbing, wirii19 and the frame of aU buildings must be inspe'cted;~~ndapj:)I';oved before covering. Wood preservative to be used on,all wood against masonry. Ventilate foundati()n a~4 a~~ic.Sepa,- rate permitsrequ'ired for plumbing, wiring and heating. See City Engineer before working onstreet!O)::ir'sidewalks. 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J:', ?~~igj.,,9.,.. .~. ;w~e-~\~:~.:~ r-o".,}-~"-~zt--(A-~~~~- By --- 0--- ---.----~~~ ---. mo~~~-=mn- -; -- ,m -00--00 ---- ____mmuumn UL!'l..i.{.'.I-,.jl~I,J ;;lr~ : 'i .i"...!,'.i!hli" d. '.' iJ " Hrs Au/bo.r/zed Agen/ Uw' __..~l . 0',-" '\".,..,," ~ ~ //)" ~ BEfORE OJL;J3 Building Inspec:yr ::::~~.::::::~:::~::::::::::::~~:~::::::::::::::::::::: ~DF __ V ;:~~,:'1;,;-~:,i.+k.-.' i_/ " --t: 7t,!1"j"-'