HomeMy WebLinkAboutCHARLESTON AVE. S., 410
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Forlnsne(:tions c~n (360) 473-5870 .. Apprc;ved. Date' . " . .... .:..~()t~s:
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FOUNDATION
. DONOTPOUR
CONCRETE
PRIOR TO APPROVAL
....nd
2 ....
PLUMBING
MECHANICAL
GASPJPE
. . '
. "d"
," '3'.r.'
..,.... ". FRAMING
.v: '. . ..(IF 1ST & 2ND ARE APPROVED)
!l4tb, '.' mSULATION
" th...... .......... ..
':j/.5'SliEETR
'.' ':6t~ftINAL .... .
I
Erpslon:Cimtrol in Place"'
Foundation Footing (€h'ec;,k Setback~)'
FountlationWall~' I
Plumbing (;rollnd Work
. .
Mechanicaf GrdlWdW(jrk
'. Under Floor Fral1iiilg
Footing! nSlllatiOlil',
473~5927
473-.5270
473-5270
473-5870
FINAt BT]!LDING JII a/the ubo,'cmu\'! be (JI'Pruw:c!
()CCllpiliJ~:i;appro~(IUO"SFR 01:1)' , Commercial Stl'ucturesrelJ/lii'e il .\'qxlrclt<! Certif/catc 0/
()c;cupal1~j.. ..
. .' ~
DO NOT OCCUpy BUILDING WlTHOUTBUlLDING DEPARTJ\1ENT AP.PROVAL
PROTECT THIS CARD FRO.MTHE WEA THER
'Rev. August 20C/7
i'"
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER: BB07 00741
DATE ISSUED: 10/12/2007
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3790-008-021-0006
MARTINEZ SAUL
MARTINEZ SAUL
PENGUIN WINDOWS
ZONING: R10
PHONE:
PHONE:
PHONE: (425) 471-5519
PHONE: 0-
SITE ADDRESS:
ADDRESS:
410 S CHARLESTON AVE
410 CHARLESTON AVE S, BREMERTON, WA 98312
410 CHARLESTON AVE S, BREMERTON, WA 98312
12303 CYRUS WAY, MUKILTEO, WA 98275
Building Permit
Plan Review Fee
$8,115.00
$146.00 2211
$94.90 4580
$4.50 0236
$245.40
Building Permit. No Mec
04/09/2008
STATUS: ISSUED
SUBMITTED:
10/12/2007
APPROVED: 10/12/2007
VALUATION:
SFR REPAIR
State Surcharge
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
IBC: 2006
TOTAL FEES:
(Front) (Side) (Rear) (Other)
Square Footage: Bid Price from Applicant
1 TOTAL
Inspecti~n Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work IS suspended or abandoned
at any time after the work is commenced for a period of180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required
inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton 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 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 ofw<6rk will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of
any State or local law regulating con truction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State
Contractor's Registration Law unde Sect) n 3, Chapterp26, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant
occupancy permits are required to p fin ttspecti n prior to permit expiration and obtain a certificate of occupancy pri9r to use or occupancy.
SIGNATURE OF OWNE
AGENT:
PRINTED NAME:
0'1?-C)1-
C NDITIONS ;1
City of Bremerton's approval 0 his application pertains nly'to the City' egulatory 'urisdiction, and thus compliance with Citf r
regulations does not necessarily ensure compliance with f€det I or e laws. j&'
, , I
10. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency . f. ..,.
(Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations 'J
require an asbestos survey be performed to determine whether there are asbestos-
containing materials in the work area or structure. The asbestos survey must be
conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-
occupied single family residences).DCD: For more information, please contact Clean Air
Agency through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-
689-4058. The L&I web site can be found at www.lnLwa.gov/p-ts/asbestos/asbestos.htm.
10. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER: 8B0700741
DATE ISSUED: 10/12/2007
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 3790-008-021-0006
APPLICANT NAME: MARTINEZ SAUL
OWNER NAME: MARTINEZ SAUL
CONTRACTOR: PENGUIN WINDOWS
LENDER NAME:
ZONING: R10
PHONE:
PHONE:
PHONE: (425) 471-5519
PHONE: 0-
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
410 S CHARLESTON AVE
410 CHARLESTON AVE S, BREMERTON, WA 98312
410 CHARLESTON AVE S, BREMERTON, WA 98312
12303 CYRUS WAY, MUKILTEO, WA 98275
SUBMITTED:
10/12/2007
APPROVED: 10/12/2007
EXPI RATION: 04109/2008
STATUS: ISSUED
20. (DCD-14)
the correction of errors in the construction documents and other data. The building official
is also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the City of Bremerton.
DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on
site and be available for inspection.
Building Plan Review:
Code Compliance-All work in the City of Bremerton shall adhere to the current adopted
version of the following codes:
20. (DCD-22)
International Building Code
International Residential Code
International Existing Building Code
International Fire Code
International Mechanical Code
Uniform Plumbing Code
International Fuel Gas Code
WA State Barrier Free Code
WA State Energy Code
WA State Ventilation Code
Bremerton Municipal Code
Check For All Washington State Amendments.
Check For Notes On Plan
MINIMUM INSPECTIONS REQUIRED
To request an inspection, please call (360) 473.5870 and be sure to provide your permit number, name on permit, site address, contact
phone number, and inspection type.
Framing
Insulation
Sheetrock Nailing
Final Inspection - Building
Page 2 of 2
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'OCT 122007
I I
Bremerton Department of
CommunitY Devel: pment
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nPENGUIN
WINDOWS
WaW1gton Ud PENGlIW'1l31KJ' O..gonCca Uc, * 113558
12303 CYRUS WAV 2501 SE COlUMBIA WAY, 1100
MuKiLTEO. WA98275 W.NOWER. WA9B9Bl
425-743-068B FAX 425-74.\.0222 3110-883-5443 FAX260-BB3-5B34
1-8OQ.272.6420 I-BOO-844-0541
. 450DS2HO ST. CT, SW, PO BOX 00816
LAKEWOOD, WA9B49Q.9B18
25..581.1418 fAX25>-Ul.8633
1-800-820-2616
www.pengulnwindC1Ws.COm
UNIFRAME WINDOW CONTRACT
-i;-~ ~~ .r....
Sell 06. 2007
Tacoma. WA
~9~~t.i
'sA".Jl;cfl...J I R..
~ ,
DATE
BRANCH #
JOB #
REPRESENTATIve
GENERAL CONTRACTOR'S AGREEMENT
//Weihe owner(s) of the premis~ mentioned below, hersby authorize you as conlracklrlD furnish all necesmvy meterie/s,lebor end W<<kmenship to in-
stall. consfruclend piece lite improvemenl$ desc:ribed henlin ecc<<ding to the foIICMing specifICations, terms and conditions on premlses desc:ribod below.
E IKlt:D
Saul
f~~merton STATE Jl1P
410 S Chere/stAln Ave. W. WA 98312
CONSTRUCTION SITE IB~merton WA 198312
410 S CherelstAln Ave. W.
HOMe PHONl; lWORKPHONE(ll WORK PHONE (2) IS-MAll
360-710-3218
STYLE MODEL QUANTITY NOTES
DOUBLE HUNGS UNIFRAME 0
PICTURE WINDOWS UN1FRAME 1 1'PW
3 LITE SLIDING WINDOWS UN1FRAME C
2 LITE SLIDING WINDOWS UNIFRAME 11' SL
BAYS UNIFRAME 0
BOWS UNIFRAME 0
GARDEN WlNDOVVS UNIFRAME 0
CASEMENTS UNIFRAME 0
HOPPERS UNIFRAME 0
AWNINGS UNIFRAME: 0
SLIDING GLASS DOORS UNIFRAME 0
WELDED DEAD UTES UNIFRAME 0
FROSTED GLASS 0 YES III NO IF YES, SEE WORK SHEET
INTI:RNAL GRIDS 0 YES III NO IF YES, SEE WORK SHEET
TOTAL NUMBER OF NEW WINDOWS 2
WORK TO BE DONE:
IlII REMOVE ----L- WINDOWS AND ~OOORS IlII REMOve ALl JOB RELATED DEBRIS
IIil PREPARE OPENINGS IlII WASH NEW WINDOWS AND DOORS ONCE
III CUSTOM BUILD AND INSTALL THEASOve LISTED PRODUCTS IlII ALl VENTING WINDOWS TO INCLUDE SCREENS
III CAULK AND SEAL IN PLACE III JOB SIGN IN YARD
0 AODlnONAL CONSTRUCTION (SEE ADDENDUM)
NO ORAL AGREEMENTS ARE ACCEPTED. DO NOT SIGN CONTRACT IF BLANK.
PRICE $ 8,124.54 Additional Deposit $ III Manmacture:'s Umiled lWelime WlndowWemmly
ExC<lpt Caulldng
Tax Sales $ 694.71 Duo Dats III Panguin Pranise
Coda' 1801 Tax:
Total Due $ 8,823.25 Be/anca1D be Paid $ 5,823.25 o Manufaclurer's 41% Energy Savings Pledge
Cash on Completion
Deposit With Order $ 3,000.00 'Balance to be Finanoed $ 0.00
liQUIDATED DAMAGES CLAUSE: AfterYaJ hBvt signed IhI.Ag",,,,,,n1, end '"'YappDl>Ible righl of ClrI"lIaion ha. o>pired, Wl"U Ili_ your ",1lori2.lion for..r TOfusel. ell.... PENGUIN
WINDOWS 10 pan... Ih, ""'" as epecffi'" for Ihe pIl<e .. 5pl<llIed pursuenllo Iho lerm. 0' HI A!I"..menl, Ihan PE!lGUIN WINDOWS, .llb soIund a><lusiw opion, me, e,..11o daim lIfld
coII",1 ~doled dol11lgO' from you. The lIIl1lIJ1lofl1q~dala<l diimege..halI equal:l3% of Iho 1010' <lne, or ltl, ...110 PENGUIN WINDOWS ~ 10 Ihe dole of..Ih<i..~ 01 your eUlhorizalon,
whlchavor I. greale,. ThesellCllldol'd dlrnaga.... ag",ed 10 e' Olll.."'eble ......"..nl end IIlllclpallon of Iho ..Ill" damaiJ<l.ltl.,WiU b~ susllined b,PENGU]N WINDOWS in !he ...nllhal
)'ou wiltlcisw ,ror aulhoriz.U.. for, or refuse to ollow, PENGUIN WINDOWS 10 COIlIlliele !he ""'" a. specil1ed]n 1hI.!\(1..ment
PlEASE NOTE: ApplOVlllllld sil1';,g of IhlI acbl~ !inane, documenlo ","~Iy"'" pia" all.. '/01>"72 hourng,lof_elion h.. .~red. YQlJ' hne, doaJmOlllo ,arTY 81,]r .wn 72 hour right
of """,tallon. Howevar. your e!l"OOmonlWiltl PENGUIN WINDOWS ~.."" ils own 72 hQlJ1 righl<< ......1f.I1lon whkh ,omm..... on Ihe dol> 81al you ~Qf1Ili. ,oq..menl, _"'" or !he
imelhll! you sgned }'QlJIflflll"'" dOClJlll..1s. _elo"" III. poss!lJe ltl.1 YO" riQl11 of ",..isaion under 1t1l.!\(1..menl wIIlllqllr. balore yo.. rig,1 ofr.so/osIon <mder ltl.leim' ofy.urflnanclng
documents with your ~n""r,
OREGON LIEN LAW; Owner has '"<>lived, read and UIldarl400d tha inramation contained in tha 'Inrormation Notice to PUrchOOOfS~oul ConsInJ(lion Uens" and
'Smnmary; oltached to Ihis agreement as Exhi>ilsA end B, respectively, and acknowledges such reoalpt by signing hare:
X
(SIGNATURE REQUIRED FOR OREGON RESIDENTS)
This conlre,l oonstl/ulas Ih. p..lat 10101 egnlement. Thl. ,onlra,1 maybe emandlid or SlIwlemenled.nIy b, a wrillen """go lll1ler~gned by owner end OOnJr8,lor. AII.LIp!u. maleriill. proparty
01 PENGUIN WINDOWS. JJI conlr"'ls ....jecllo PENGU]N WINDOWS ......gor> opproval. Vou all''' ~' Iho gene~ co~ono on pago 2.
'ACCEPTED BY: PENGUIN VIlNCOWS REPRESENTATIVE ~[c6~';;'~ DATE: Sep 06. 2007
X DATE:
CUSTOMER'S SIGNATURe
Make aU chacla; payablalo PENGUIN WINDOWS.
P\',\)ro1_-"-R..02!lI1
Page 1 of 7
RECEIVED
OCT J 22007
Bremerton Department of
Community Development
~
--
-I
nPENGUIN
WINDOWS
WINDOW WORKSHEET-
JOB lOCATION 410 S Cbarelston Ave. W., Bremerton, WA, 98312
1. PI# - location Product I Color (Olft,iIn) I WIdth: --:.L: '1tolght I UI El<ler!orVlew
01* - FI-1/LR ::: ;-:~:~':' FGI1lat Lakes, Unl- IWltlte/Gldn Oak 82.000 I 72.000 I 1$4" Grid Pattern
Sid Features: 3""" window frame D
Opening Info: Cumlnt StyltLl Picture Window
Security Senson N/A
Gl.ss: Performance, LowI!. HIR-S, Double Pane
Strength, Tempered, Std
Decoration: - NONE -
Hardware: . NONE - Window OperatlDn
Installalfon: Trim, No Trlm IT]
Method, FJn'_ Wood Pocket W/Cap Colon White
Oponlng Mod: - NONE -
Spoclalty: - NONE-
Special Inslr. - NONE -
2. PI# - location Product I Color (Out,/ln) I Wldlll I Holght I UI El<ler!orVlew
02 - FI-1jLR 2 Panel S"d~!~ Great Lalcu, Unl- IWhltejGldn AU 58.000 I 72.000 I 130" Grld""lter.
F.... nn. - LS-RS
5ld Features: 3""" window ,,",me; lock (21oc1ls standard on windows _ 2$" I1lgl1); 1 _urtty vant limit lock;
l1eavv-duty extrud1KI alultllnum screen with libel'll lass mesh
Opening Info: Currsnt style: Picture Window
Security StInson N/A
Glass: Sash 1. Pwformance, LowI!. HiR J () 11l./flL.(_ ',-,r/W /
Sash 21 Performance, LoWE, HIP itJ 1ftll'I.t ~
Sash 1. Strength, Te""",red, Sid WIndow Operatfon
Sash 21 Strength, TempertlCl, Std EB
Decoration: - NONE -
Hardware: - NONE -
Installation: Trlm, No Trim
MelfIod, FInIess, Wood Pocket w/Cap Color: White
Opening Mod: - NONE.
SpecIalty: - NONE -
Special Instr: . NONE'
OWNER Martinez, Saul
DATE Sel! 06. 2007 REPRESENTA11VI_ SA#So4l ~.J ~
BRANCH#Tacoma,WA MREG# JOB#-' ~
<?3/'Z-/7Z!Z
'I
!
$9 !2X72Y2-
~
Hourly Labor. D_rtptlon, completely ....bulld bottom cornet under both wlndOW
In Hou"" 27.00
RECEIVED
OCT 12 {DO?
Bremerton Department of
Community Development
ACCEPTED BY:
PENGUIN \\1NDOWS MANAGER
x~*~
(l.-CU MER'S S1G~. _'-'
x
DATE: Sep 06, 2007
BY: QuinneY,~A1len
PWCFllJ_""'Spcci"~_~2R~_~!.!.~~~~.::~~~~"-S::.rr.~::VE
CUSTOMER'S S1GNA11JRE
DATE:
Pao~ ~ nf '7
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
~.,-",<,,~'"f';~
Receipt Number: iiI!iIlIll,;Qfl!=lR'11r:~'
tt'..'",~,,,,,,,,
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
BB07 00741 3790-008-021-0006 Building Perm it 1/2211 $146.00 $146.00 $0.00
880700741 3790,008-021-0006 Plan Review Fee 1/4580 $94.90 $94.90 $0.00
BB0700741 3790-008-021-0006 State Surcharge 1/0236 $4.50 $4.50 $0.00
Total: $245.40
Total
$ 245.40
$245.40
CREDIT CARD
N1A
genpmtrreceipts
Page 1 of 1
City of Bremerton
Tax & License Division
345 Sixth Street, Suite 600
Bremerton WA 98337-1873
(360) 473-5311 (360) 473-5298
Fax (360)473-5200
STATEWIDE INC
12303 CYRUS WAY
NnJKJLTEO, \VA 98275
Bl"SI'\ESS LICE\SE
License Number: 24153
Location: 12303 Cyrus Way
MUKIL TEO, WA 98275
License Type:
Business License
Expiration Date: 12/31/2007
Issue Date:
3/28/2007
This License must be posted in a conspicuous place at the business location. This business
license is not transferable or assignable
B8D7 0014-(
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~ !?IO
PERMIT CENTER
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C:ITY OF
BREMERTON
Building Permit Application
Dept. of Community Development * 345 - 6th Street, Suite 600 * Bremerton * W A * 98337-1873
(360) 473-5275 * Fax (360) 473-5278
~.,.......~,... ...."
, .t" ,'"
.. '.JUt A... ;;V;;
C ~ tAv-l-tf ,flirt All L ,
Site Address:
'1(0
<),
What is the application for? (Please check one)
~EW SINGLE-FAMILY RESIDENCE
D NEW DUPLEX
D NEW MANUFACTURED HOME
@RESIDENTIAL REMODEL
D RESIDENTIAL ADDITION
D RESIDENTIAL REPAIR
D NEW COMMERCIAL
D COMMERCIAL REMODEL
D COMMERCIAL ADDITION
It.. '. "Vi <.
(,
B r <..111\<-'('.....1\. tJ~_
q)'-~,~
D COMMERCIAL REPAIR
D NEW MULTI-FAMILY
D TENANT IMPROVEMENT
D NEW GARAGE/CAR PORT
D NEW ACCESSORY BUILDING
D NEW SIGN
D STRUCTURE DEMOLITION
D GRADING (Cubic Yards:
D OTHER:
RECEIVED
OCT 122007
Bremerton Department of
Community Development
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Scope of work proposed: 12.<... pI.{ i IJ c p( Y'" < f'" r+- 1) ~
tv 0 v-( I.J ....., 1''''')./1(,415;
YESD NO E:r
h."w-t. o..~ C~5"JP\.J(
Square Footage:
Dwelling:
Valuation
Plan Review Fee
q'U
f)/tl-J . '5
Garage:
Decks:
4'
Permit Fee
Surcharge
Total Fees
f~O
00
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and 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 prevent action from being taken. No applicant shall be extended more than once. In order to renew action on an application
after expiration, the a licant shall resubmit plan nd pay a new plan review fee.
I Cl - 0-- 01-
Date
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MARTINEZ S~UL
3790-00.8-021 ~0006 :, :
'-- " ~" < ! \
Copyright @ Kiisap.County20D7
Tax assessment, property, and
valuation questions:
Tax payment questions:
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Copyright @ 1995-2007 Kitsap County GIS. All rights reserved.
Priy;;g;:ypolj<;;y l)i$clC!imt2J C9mmt2lJts/t2rTlail
http://kcwppub3.co.kitsap.wa.us/ParceISearch/map.asp?Cmd=ZOOMOUT &AP AN=&PI... 10/12/2007
Kitsap County Assessor's Property Report
Page 1 of 1
Property Report
Tax Account No. Process No.
~ 790-008-021-0006 111458462
Property Class: 1111- Single family residence
l print thjs page d.]
Situs Address
11410 S CHARLESTON AVE
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Parcel Information
Tax Code Area:
Jurisdiction:
Sec-Twp-Rng:
Neighborhood:
10010
IBREMERTON
122 24N IE
17100541
I # of Buildings:
I Acres:
I Zoning:
I Account Status:
11
1.16
I City
IA - Active
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Taxpayer Information
Name:
Mailing
Address:
IMARTINEZ SAUL
1410 CHARLESTON AVE S
IBREMERTON IlwA
1198312
II
Tax De(sc
, ..
;Value Histo
Sales History
Relate~d ACCt:
III
G lQssary()fT~rms
Ell
http://kcwppub2.co.kitsap.wa.us/pls/ilisw/lis.online _lis _info ~kg.acct_info?p _in JP _ acct... 10/12/2007
'-
Applicant: GAS WORKS SALES AND SERVICE 377-6331
~~760 MARINE DRIVE BREMERTON g WA98~:l1.?
BREMER TON PERMIT CENTER
286 4th Streetg Bremerton, bJA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
5 BUILDING PERMIT
4-1 0 C~l Vlf2-Lt S TON PErrmit No:
410 S CHARLESTON AVE Status:
App 1 i ed :
I sSI.H:ld :
Expin?s:
'1B-,0504
ISSUED
0'1/02/1990
09 10~U 1.998
03/01.1 t 99("r
Job Addr:
Location:
Parcel N():
Owner: MARTINEZ~ SAUL 377-071.9
410 5 CHARLESTON BREMERTON WA 98312
Contractor: GAS WORKS SALES AND SERVICE 377-6331 Lic I: GASWOSS081K7 Exp: 5/18/1999
2760 MARINE DRIVE BREMERTONu WA 9831.2
Subcontr:
Deec: GAS FURNACEu GAS HWTg GAS PIPING
********************************~~****************************************~********************
Valuation * Permit FeBS: 41.70 Total Calculated Fee: 41.70
.00 * Plan Check Fees: .00 Additional Fees: .00
* Other Fees: .00 Total Permit Fee: 41.70
MM**************************.*******************M******M***M*********************************
MECHANICAL/PLUMBING FIXTURES-- MECH-Gas Furnace to lOOk btu.: 1 MECH-Gas Piping (outlets)....: 4
PLBG-Water Heater............: 1
***************~f************************************************~****************************
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 permitg 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.
NonCE - It is the responsibility of the permit holder u 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 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 local 1a ati nstruction or the performance of construction.
, oate:____.._~kL2..e:___~_____
I certify hat I am exempt from the requirements of the state contractorUs registration lawu under
Section 3 Chapter 126u laws of 1967.
Signatur :---------------------.--~-'tuJ--- ----------------- Date:_________. -----------------..----
,)HHHH~.IHHHHf~,~,****1Hf*1HHHdHH*'lA . C1 I CI \'/
Permit Cemterr"''''-Approved By:"".,,, " ".""''''''''''',,..,,''~' Date:,,,,,..,,,,,,,,,,,L:.,,.(2,,,,,:..,,...( 0
BREMER TON PERMXT CENTER
286 4th streetu Bremertonu WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
:Job Addn:~)f.%:~:: 4 10 S C,f-~ 1A.f2' ct 571J tJ
Locstionn 410 S CHARLESTON AVE
Afil~'SY' Acct No::
Building Permit No: 98-0504
St at l.H~:: I SSLJI::::D
Issued~ 09/02/1998
Expires: 03/01/1999
F~EI;~UIRED
INS P E C T ION S
Item: 01400 MECHANICAL
Item: 01550 PLUMBING
D(::lpt:: OL..DG
D(';1pt:: BL.DG
D:1. v:!. 8:1. on:
Di. v:l.s:l. on::
*************************~******************************************************~
TESTING: Must be recognized by the Washington Association of Building Official
SPECINSP: Must be registered with the State of WA
ST OF WAn State of WA Dept. of Labor and Industries 478-4921
!'''Il::::AL.'T'I'''1 :: By: t::lmf.:ly.t 01'1/1\:1. t f.H:iP Hf.~H:i I t h D:1. f.~t '(' :I. ct .4:7B.....5:i:~:::I;'.)
AL"L INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE
1~1=I~M'I'''I. ~I=N"I.I=I~ (~l(()) ~'l.Q-~?'l~
,.., "", t... '." .... " $I ~.. (;:> ,0:'1 (,',' .")~'" ....) If
************* .********************.. ******************************************~
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EC'!R.1..TION DAr=. 5" 4J' h9
CONTI.-i.CTCR PEO~"E;; 377-b" 53 j
t:N"a:jt@tttIi!iWft}fDrBEJDEEQt'IP.}ii;:::7\~:T:)ii::iiffM#fRf~ftFEF:~t:l%:ag:itr!{ii@{J}rr}:=::TIYP.E:{)Fffi?lIRES~:::J:!;)M:}itiMtr'w:p=/: 11
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MECH...I..:.'\iIC-u. F-=5:
PLUMBING F"=.ES:
TOT
APPUC-t.'iTS SIGN.-\~'1=
i '~..l...:...:..~ C:C5E~
I 3A.;: ~~TL'3
! U. VATORY
i5EOWE-:\
! :C7C"';3j SINK
I DrSr:-W'."\'S!-=3
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I C:" OT:::ES W'AS 1-:-=R
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I lK0ir.L
I DRlN:r<:rNG Nl"N ~...I...:_
i !'.!..OOR SINK OR DR.-V~
I SLOP SINK
i W.-i..l -?. P!.?!~ G & :\.1... ~ .::?...1..!. .ON
I GR..:.."-SE. T~.:\.?!!~ ~ .:...':\C2 1 OR
I HOSE BIBBS
, T .,....", --0 'r"'- -- -'- ,,,
~ w' ~ 'i ')1J~.:. 'i r\.l...:.:.. ~ r':::'l ':'~Y!
i S'~1:\iM1NG POOL
! BLDG. Sl:. ',l, .::.?. (mocii~ / moved no use)
I ROOF DR..-i.lNS
I Olr~R:
I PL!..iMBI~-
...--
t?~-9"r
BltEMElrrON BUILDING DEI>>A111'MEN'I'
PlwllbillglMechallical rllspection Report
Scope of work: Gas furnace/hot wtr/oioinq Penult Number: 98-0504
Address: 410 S. Charleston OWller: Saul Mi'lrtinp7. - 377-0719
Contractor: Gas Works Sales & Service Phone: 377-6331
-. .
GA...'t PIPING
Unde:r l.C::tt (10psi for 15 minu~~) Prop!'r2!_u,~~ support
12" m_i~i.'~~n 1x:1~~~1.~ whel.' uIIJcr~ouJ\(1 C~~_~~!wr~ when un,le:rgrowld or withih 6" of earth
GroUlIlI-joillt union~ I'rohibile:,1 in ceruin localions nllshin~s not a"o~J ill collccak,1 ueas
COMMENTS:____
GAS PIPING APPROVED: ~~ _~~
FURNACE
ManuIacturer's sl~fi.?ti~,..!!...?!., site L>atiO~', acoess.!!~pP..~r:.t
Cbranl.lC to colllbusrihk, Ve:~ltiIlK: ckarance to co,""u~ljhb
Vellt siu.']L & s~port/conneClions Vel\( termin:llion
Combustion air Chim'_~: liner and/or separate fl~ as required
Gas ,11I1t-off within 3' Pi.lot e:kval<xl off ~oor i!, garage:
--,---
Ducts: sh.e & support/insulated when required Return air
COMMENTS:
FURNACE A]>PROVED: ~./
p)-r
MISC. APPLIANCES
Ma-,~f~~ture:r's spe:cillClrions on ,ite: LoorJOlI, access, sU.r!'ort
Cbullce to combustibles Ve:II~i.~g: ~!aJlce to combustihles
V el\( sh~'.'~~.rl'ortl connections Ve:nt lermination
-~--
Combusrion air Chillluep li.'ler a,"Uoc separate nues as required
Gas shut-off witlun 3' WOO(l Slove & fire:placr:s: proper hearlh
Wood stOVell: EPA al'~ravc:d ~;as logs: sa_~~ut-Qff
Wood stoves & fireplaces: Light filling doors Gas shut-off wiUlin 3'
COMMENTS:
MISC. APPUANCES AJ>PROVED:
WATER DEATER
Manufacturer', specifications on site Location, aC0C3S, support
Clearance to combwLibles VeUli~: clearance to cornbU5tihles
Vent siunK & lIupport/connc:dions Vent te:rrnilucion
Combustion air C~rnner- tinct" aJwlJor lileparate flues u rcquhcd
Gas sllut-off witJlin 3' Pilot ckvalcd off noor i~an~e
9 ate valve on coM water su.r..ely Rc:lief valve Jrair\(X{ to outside
.-.--.-------
Cop~ 10 2alvaniud co'lltoaionl Unions on walCr pipes
Seismic strap
COMMENTS:
WATER HEATER APPROVED: ~~ '1-09"
ALL WORK UNDER TIllS P~MI'l' APPROVED: 4 rf1