HomeMy WebLinkAboutCHELSEA LANE, 408
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B R It' M'\~ R T 0 N B U I L D I N G D E P A' R T 111 E N T
)
. I.
P E R M I T.
---------------------------------.------------------------------------
-------------------------~-----------------------~-------------------
Application Date
. Issue Date
Assessor Acct #"
Si te Lo,cation
Owner - Last Name
- street
- City
- Phone
Tenant's Name
Agent's Name
. Architect's Nam~
[X] Building
[ ] Mechanical
. [ ] PI umbing
06/17/1994
06/21/1994
3995-000-007-00--
408 CHELSEA LANE
BELLA'
408 CHELSEA LANE
BREMERTON
(206)
Application Number 94AP07706
Permit Number 15536
Project Group
First JOSEPH
MI
state WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[.] Move Building
[ ] Mobile Home
[ ]
[ ]
( ]
Sign
Burning
Land Clear
. [ ] Paving
[ .] Underground
( ] Demolition
-----~------------------------------------------_._-------------------
. .
Building'Contradtor:
Contractor
'street
City
Phone
Representati ve .
State License #
City License #"
STEAMWAY STEAM CARPET CARE
4847 NE LINCOLN ROAD
POULSBO
. (206) 698-2324 State WAZip 98370
STEAMSC087Pl
Expiration Date 09/17/1994'
Expiration Date
Nature. of Work:
.Tear out and replace garage exterior ~al1 framing,
insulation, drywall.
APPROVED PLANS AND SITE PLAN MUST REMAIN ON SITE AND
AVAILABLE FOR'. INSPECTIONS.
Building Valuation
\
----,-~-------------.~~--~--_._----------,--------~----------~---'--,~-----
$11837.00'
. ; Council District. 1 Censtf~ "Tract
'f.
Construction Sq Feet Inspections
Type Required
Residence [X] /'r Z/t,ping. ..{. Foundation ( ]
Business [] t.;) /.;;J.J 't/{p e Fr,aming [X]
Other. [ ] u::;'" /. I . (X]
( .,1:nsmation
New [ ] Plumbing [ ]
Repair '. [X] . , status Mechanical 1 ]
Remodel [ ] Code viall board [X]
. Addition [.,] 5 Final ~X]
. .
---------------------------------------------------------------------
Received BY:'A'~ ~z.-"APproved B.. .... . '. . .' .
======~=~==~===~==============~=============-=~========---=====
\
.~
B REM E R TON
B U I L. D I .N G
D E PAR T MEN T
c 0 ~ D I T ION S
o F
PER M I T
=========-~===~===============~===================.==~========='========
Application Number 94AP07706.
Permit Numb~r 15536
-----------------------------------------.-------------------~~-------
BUILDING. .. . .ALL walls and ceiling in: gar.age shall be
5/8" type "X" shOeetrock 0
====~=======~=,=========~==.==================~==============~======~=~
o
B R F. MER TON
BUIl.D'll'lG
D E PAR ~ M g ~ T
REClup'r ~ (\87393
* Tbis Is Not A Permit *
JUll 21, 1994
Building
62- :,22.1001
Permit Fees Amount Paid Plan Chec!i:fi'ees Amount Paid
$ 135.00 $ 135.00 $ 81.15
---~---------~-----~---
-,~.._--------_.__.---~~.-
$ 87.75 $ .00
62<145.8300
other Fees
Zoning !<'ecs
Gen Payment $ 4.50
Other Fees $ .00
Energy Charge
State SIC $ 4.50
.43-231.13 :========
Tota! Fees $ 221.7.5
J\lllount Paid $ 139.50
Pri.or Payment $ 87.75
__'ll'______
""-.....~_......._-
Balance Due $ .00
=~=~===~~=:=~==~~=~~==~
-......~.. .
$ B~.O!)
$ 135.00
Rece1.ved li'rom: On 06/21/1994
_._~_1iO?k-~.~~9~Ol:06
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 [mancial
burden shall be borne directly by the permit holder. Failure to substantiate code requirements will inde~
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 law regulating construction or the performance of construction.
)j2~._f C?fr~
1 ature
t-;<)~ / f'f(
Date
I certify that I am exempt from the requirements of the state contractor's registration law, under Sec. 3,
Chap. 126, laws of 1967.
Signature
.lo/:))}qq
Date
1P /55?J"
Permit Number
pamiLlIoc
B REM E R TON
B U I L D I ~ G
D E PAR T MEN T
PER M I T
A P P L I CAT ION
=====================================================================
Application Date
Issue Date
'Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Building
[ J Mechanical
[ J Plumbing
06/17/1994
:3 9 9 :J'-oa:J -007... CJCJ - ,-
408 CHELSEA LANE
BELLA
408 C~-1ELSEA LANE
BREMERTON
(206)
Application Number 94AP07706
Permit Number
Project Group
First JOSEPH
MI
State WA
Zip 98310
Phone(206)
Phone(206)
[ ] Gradi.ng
[ ] Move Building
[ J Mob: 1 e }{ome
[ ] Sign
[ ] Burning
~ J Land Clear
[ J
r 1
L J
[ ]
Paving
Underground
Demolition
Building Contractor:
---------------------------------------------------------------------
Contractor
street
City
~~1one
Representative
State License ft
City License #
STEAMWAY STEAM CARPET CARE
4847 NE LINCOLN ROAD
POULSBO
(206) 698-2324 Stats WA Zip 98370
STEAMSCC37::?1
Expirati.on Dats 09/17/1994
Expiratiori Date
Nature of Work:
Tear out and replace garage extsrior wall framing,
insulation, drywal:
Building Valuation
$11837.00
Council District
--------------------------------------------------------'---~---------
Census Tract
Construction
Type
,
.J,.
Sq Feet
Inspections
Required
Residence [X~ Zoning Foundation [ ]
Business [] Type Framing [X]
Other [] Insulation [X]
New [ ] Plumbing []
Repair [X] Status Mechanical [ J
. /l ~ i~~odel [] Code Wallboard [X]
~dition [] 5 Final [Xj
===~=============================================================
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v
, .~
..;..
B REM E R TON
B ,', U I L D I^.. N, G
D E PAR T MEN T
PER M I T
K P P L I CAT ION
======~=======.========================'=========~========~============
Application D~te
Issue Date'
Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent f s Name,
Architect's Name
[X] Building
[ ] Mechanical
[ ] PI umbing
'06/17/1994
Application Number 94AP07706
Permit Number
Project Group
408 CHELSEA LANE
BELLA
408 CHELSEA LANE
BREMERTON
(206)
First JOSEPH
MI
State WA Zip' 98310
./.~-l'!,\,
. Phone(206)
Phone(206)
[ ] Grading
,[ ] Move Building
[ ] Mobile Home
[ ] Sign
[, ] Burning
( ] Land Cl ear
[ ] Paving,
[ ] Underground
[ ] Demolition
-------------------------------,---~------------------------~---------
,Building Contractor:
Contractor
Street
City
Phone
Representa.ti ve
state License #
city License #
STE~~WAY STEAM CARPET CARE
4847 NE LINCOLN ROAD
POULSBO.
(206) 698-2324 State WA Zip 98370
STEAMSC087P1
Expiration Date 09/17/1994
Expiration Date
Nature of Work:
Tear out and replace garage exterior wall framing,
. insulation, .drywall
Building Valuation
.'""
$11837.00
---------------------------------------------------------------~-----
1
Census Tract
Council District
Construction
Type
Sq Fe'et
Inspections
Required
[X] Zoning Found~tion [ ]
[ ] Type Framing .[X]
[ ] Insulation [X]
[ ] Plumbing []
[X] Status Mechanical [ ]
[ ] Code Wallboard [X]
[ ] 5 Final [X]
~.:j)=?r=:,.-----'--. _____-:!:_______It.1L__~c.::_JL~__j~~_9W_~.~_:_S:.~. i~~~.,...--- ~ I
/ ~-------teTi;.-(1 C{ij---- ~\l--~---i;.78:'u~~~-~\,(,/-~;~~~l;\ \C1-) :
Residence
Business
Other
New
Repair
Remodel
Addition
'.,
11~
.''';'4
.,
\~
x.
B REM E R TON
B'U I L DIN G
RECEIPT :# 087386
* This Is Not A Permit *
D E PAR T MEN T
Building
62-322.1001
Permit. Fees Amount Paid
$ 1.35.00
other Fees
Zoning Fees
==========~=====~:~====
$ 135.00
$
.00
Recei \fed :[<'rom;
st€>amway steam '':;arpet #4021
Jun 17, 1994
Plan Check Fees Amount Paid
$ 87.75 $ 87.75
-----------------------
--~---~--------------~-
$ 87. 75
62"345.8300
Gen PaymE.~n.t
Othel~ Fees
Energy Charge
state S/C
643-237.13
Total Fees $
Amount Paid $
Prior Payment $
Balance Due
On 06/17/1994
For #94AP07706
$
87.7S
$
.00
$
4.50
-.--.....--.-.--
--,-------~
227.25
87.75
.00
-----.----
.....----.....--.....
$ 139.50
PClge
..
J U tj 14. '84
11: 00 i\ i~
.:..\.:.:::::.T.\::.....:: ..:..... ..I..:....j..}j~:I.... .J\-r:i71:.:::.j~tEhD(i~;I....:::~:::('Ii;,'.q.~..;;.j~:;~~~1:.....it1f. :::....;,;..:::..}:::.::;.;:::;.}:;;.
jj"f~~ij~\t!i{~~~~~f'~I.liIllfliil~Blm.~~I~~~I~i~~j:
1"' \ \ ~ ,;.'t ':-'l') ~ " ". 1 \" '''1:Ci':j'Z H:'~ ..,.. l, I~~ . ;"i' "'~.f'" :; Pt t1~1l "~J t ...q~; ......lili;~~~t>r~.!Pt~..P.{f'..."'!P' j,.,..."lj< _'1/,(1., ; $
APPLICANT; 0 OWNER IZ1 CONTRACfOR 0 OTHER:
SITE ADDRESS: r 08 C/I-lLS'k/1 L/II. COUNTY ASSESSOR PARCEL #:
OWNER: ;)6Js~ P/-! B~LL/1 ADDRESS: I/o~ C~L~il1 LN, -..c.~#J-TON
CONTRACTOR: ~~//V~, S"~ c:.~ ADDRESS; ~Jr7 A< If .L//V[()LIV~. - f&WLSBo
CONTRACfOR LICENSE II STE/J.(Y1SC t) g7 PI EXPIRATION O:TE: G1} P7j9.t1
CONnCl' PERSON, L I97tfi. --7'- hI~j( CONTACf PHONtt 6"7 g - :J. "3:'l. '1/779- 9/71
"
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...
~
~ 4
.....~ .
-
1&1 SFR 0 DUPLEX
o SIGN 0 DEMO
E:J NEVV ~ REPAIR
o MULTI-FAMILY DlnlSINESS 0 OTHER: ,
o MOVE BLDG. 0 MOBILE 0 GRADING(yds):
o REMODEL 0 ADDITION 0 OTHER:
fNTENDED USE:?/IV,:Ll ~iL-Y ~S. _ZONING CLASSIFICATION: COUNCIL DISTRICT:
NATURE. OF WORK PROPOSED: ~ tPVT /hff~ ~~fJCl ~~.L ~Xl'l--!-II) ~ W./Jzt.r;z~/F!~ _,
-S/t:J- J .DVSVtfff?"NJ /.)(lyW,1z~ /f-NA ;1.,90 /f;711' k~.c-;7ZIGtPZ ~ VICL
_. ..___r...- .. .4__
SQUARE FOOTAGE: DWclling:_~~_..._ Caragc:_ '-1':. )( 8:tJE Dc::du:
rv 1.1 h Lr
..
W'
or epartment se Illy
......':vALUATIPN:: ':::;-PLAl'i.':REVIE'X(.fEf::<.::: ::::;:Y:::)V:ER,Mttttt:':;'?H': "L:'>$Uaci:1A.JtC~$) ,...:,....; ,'tOTAl/fEf.$::.::
.',,,. " :::~~!.::'.
$ $ $ ENERCY, $50.00 $
STATE: $4.50
F. D
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Applications for which no permit is issued within 180 days following the dale 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 on1dal may enend the time for action by tlle applicant for a
period not o:ceeding 180 days on request by the applicant showing tll3t dn:umstances beyond the rontrol of the
applicant have prevent~d action from being taken. No application shall be extended more than once. In o['dtt to
renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.
. I hereby certify that tbe above information is correct to tlJC best of my knowledge.
APPLICANT'S SIGNATURE;
DA TF.:,
...
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. FJl.E COMMENTS
~ .
srn: AI>I>IU:SS: VD2 AP". NO. fr/J"P~ ? ;Jt:Jb
OWNI':R: ~ A.d?1.- NO. PLANS
CONSTlH ICTION TYPE: SV.I-T.: ()('(". 1.0,\.1)
V ALl/ATlON: !'LAN ('K. IILI>(;. SRCII<;.
FI':ES I' AlD: 1'1. 11<;. MI-:nL OTlIJo:R
1),\'1'1': DAn: . ,\1'1'. WI NOT
ROI rrIN<;: SET # SENT RI'TIII{NED AI'I'. COMMENTS APt>. HEVIEW":R
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-
I'LANNING D
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ENGINI':ERJN(; D .
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TRAFFIC D ,
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r DETACH T0 DISPLAV CERTIFICATE-.
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DEPARTMENT OF LABOR AND INDUSTRIES
.. . THIS CEFrhFIES-THATTHEPERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
STATE OF WASHINGTON
~"
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1,',1
F625.052-000 (3-92) :[1
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Water & Fire Restoration Specialists
Steamway ~tea~. Carp e,t. Gare
P.O. Box 1082 · Poulsbo, WA 98370
POULSBO BAINBRIDGE SILVERDALE
719.~111. 842-0861 698-2324
Fed. ID No. 91-1116973
- Estimate'-
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)wner :rtJ~P/l + 49~~/.I779 B~~/I Phone (H) 79.2 - Pi! t ~. Ins. Agent
,ddress '16>8 C/ftL~frl LIV. "PhoAe (W) 220-.s7,,~/.ljl>1" i/1S9Ins. Agent Phone
::;ily ~Bt.~N, WIf. Zip ~g3/0 Pollcy/l
"enter Phone ' Claim /I
ins. C~. . ~kZS ~m'.l'~;V't' Adjuster V!rvcL $/17/7/1'
.. ... - --
Phone /-?aJ...9t~-9S.1-s.'
-. .
........
'.
Description:
A~ea & work to be performed
Quanti~y E8~t P & 0
. ,
Extensio:
~ - elM.. ~.fJI't/1~~ ~).e X ~Of: X /0 c.t /I
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BIUIMBRTON BUILDING DBPARTMBNT
Inspection Report
Scope of won:
Address: .
OWner:
Contractor:
Penult Number:
f5'5:3Co
Fire repair garage
408 Chelsea Lane
Joseph Bella
Steamway Steam Carpet Care
Phone:
Phone:
COMMENTS:
FOUNDATION
FOOTINGS APPROVED:
WALlS APPROVED:
COMMENTS:
Hne
10'
APPROVED: ~_
b V~P \\ ~,
momGYCODECOMP~CE
COMMENTS:
UNDER FlDORlFOUNDATION INSUlATION APPROVED: ,
WAU INSULATION APPROVED'~~CEILING INSULATION APPROVED~ \, ~t
MECHANICAL
art
.~ .
I1earili
Chi
COMMENTS:
GAS PIPING APPROVED:
FURNACE APPROVED:
OTHER APPLIANCES APPROVED:
aired
COMMENTS:
PLUMBING GROUNDWORKAPPROVED:_______PLUMBING ROUGH-IN APPROVED____
SBDTROCK
COMMENTS:
~~/~
~~/?;
,
/.../z; -9Y
>-!:..
SHEETROCK APPROVED:
uired
uired
COMMENTS:
~
7 --- ~z..-c:> - #!f ~/
FINAL APPROVED:
B F< r M r [) 'f 0 N n U I L D I N (i D r" p r=i 1::<: T M E t'-l T
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p r H f'1 I 'r
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Appl :i.cati.on Da.tf.':
I SEue Dat f"~
(~lO;Eedsoi (~cct :il:
Site toea.tion
Ownei - Last Name
..... ::;;t Y'f!et
..... City
..... f.,'hone
'fehant 9S Na.me
{O,qent · ~3 Na.mE:~
Architect.sName
[X] . Guildi nq
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"n. 1 '", "d l,.~ '" ....d.
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02:/1. 1..)/1 9";'0
02/:?El/l '1'10
Application Number 90AP01608
Peimit Numbei 10716
Py'oj!i:;ct: O'(OllP
DAVID CONSTRUCTION
11489 NE BRIAN LANE
PCHJI....:::;E3U
( r:.() ~ 'i <, Qr),,:.. n I:; .~. '7'
... .t':..~. f..) , . e.. ,..<.... \.'}"'" '...'
First MI
Dr,l) I Dr:;:...~.200F<P
ate WA Zip 98370
~~n5000 .. 00
CensI.J~3l, act
801
40B CHELSEA LANE
D('IV ;r D CUN::;;"rF<i..JCT I ON.
11489 BRIAN LANE,
'PClUL3F:30
( :?06.)
f..')horH::-~( 206 )
Phonf..:( ;?Of;, )
[: JGradinq
[: ] t'lo'..,/e' OLli ld:i.nu
L J t1ob:i If: j-"lome
. [ J. S ion
L ..I nurT: i nq
r " Land C.l i!.':~i'~'r
I:: ] Pav:l nq
r"l I 1
L .. tJnc Cr9y'ounc
r . ~r D(::~mo 1 :i. t; :i. on
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Bu:11 d J nri Cont '(act.: 0'1"::.
Cont Y' act or
St n:~et
C" . I
,,: l't;Y
Phone
f<epY'esent a..ti \/e
::;;tateL:i.Cf.:;nsE~ ft
..... t I' , II
L:I '; Y ....1 ct:'~nse ::
t'.latu'n~l of l..JCi'( k::
Ne\A.l :::;" F' .. F~ "
Building Valuation
Council Dist,:l.ct
Com:~t \"I.Jet :i. on
'T'ype
Hesl. ch::mce
Bus :i. ness
Dt: hf.:~,
New
r~(-::pa :i. '(
Pemodel
(KId :i. t ion
State ~A Zip 98370
Expiiatton Date ]1/22/1990
E><piy'atton Da.te'
Sq F' eet
1400
[:x]
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Zoning
"f'ype
~::;F'''''l
St a.t us
Code
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F<eqt,\ t y'eel
F'ou.ndati. ()n
F'y'aminq
Insulati.on
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klallboa.Y'd
Final
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8 R [ M [ R TON B U I L DIN G D [ PAR T M [ N T
5
M E C H A N J C A L PER M I T A P P l r CAT ION
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Cont)" act or'
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F?e:p,"eserlt at :i. \ie
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City L..:l.cense W
Application Number 90AP0160B
ECONOMY SHEETMETAl AND HTG
BREMERTON
(0(J'L)
,~..,.L'
State WA Zip 98310
ECOI'..fO~::;I"'i 1 ?5HT
Expiration Date 12/28/1990
Expiration Date
Stoves
Fire Place Inserts
1 Furnaces
Burners
Heaters
Boilers
2 Gas Outlets
Coolers
Air Conditioning Units
Heat Pumps
He-Heat Boxes
Air Handling Units
2 Fans
Range Hoods
Dryers
Incinerators
Alterations
lanks
Refrigeration Units
Other Items
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8 REM E R TON B U I L DIN G D E PAR T MEN T
PI U M BIN G PER M I T A P P L I CAT ION
Application Number 90AP01608
Contractor
Street
City
Phone
Representative
State License #
City License #
COL.I.., I N~::; PL,U["IE3 I NG
BREMER TON
(206) - state WA Zip 98310
crn~LIPC202QF Fxpfration Date 11/04/1990
9275 Expiration Date
a ToilE~ts
1 Bathtubs
3 1;3as ins
1. ~::;hOI...JeY' s
1. f< :i, t che'!', :::; :i, n ks
1 Disj-"JI.Aja~3hf-:r's
La,u.nd'ry 'rr' ays
1 Clothes Washers
1. iAater' Hc~a,ter~~
l..Jy 1. na.ls
orinking Fountains
Dr'a i ns
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f;u mr:' ~:';!
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l<idney lvlachin€~s
P'(:!vate Hot: Tubf!.;
Semi-Private Hot Tubs
Pub 1. ie f"'iot 'ru.bs
Clt hey' Opt i ems
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Application Numher 90AP01608
Permit Number 10716
Engineering--Driveway pefmit required from the
Engineering Department prior t~ construction.
No storm runoff shall be allowed to drain onto,
adjacent PY" ivate p'f"opert: ies 0"( publ:i.c r ight:---'of",
way..
Pla,nninq...."."'D'civeWfly to be pavi')d and not to exceed
20 feet ih width..
Water--Need application for water serVIce and sewer
:i,nspect :i,on' pf~r'mlt" (11 J pJu.mbin9 E:~hr3.11 conform .to
C:lty o'r E3'(f:;;me'J'ton ia'i'\d t..Jash:lnqtDrl
ate Cross-connection
control stand~rds.. All hosebtbs shall have built-in
va,cu.um 'b'rea kt:'l'f"S"
'" ,'/
. . .',',....
,~
CITY OF BREMERTON BUILDING DEPARTMENT
PERMIT APPLICATION
2-21- 199 0
TO BE COMPLETED BY
2-26-
, 1990
DATE:
David Canst.
OWNER
same
CONTRACTOR
FOR
new SFR
00& @ fH W~[ID
FE! 2, 11300
8/tEMERTON
BUILDING DEPAQTMfNT
408 Chelsea Lane
LOCATION OF JOB
ENGINEERING COMMENTS/REVIEWED BY ~S
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Inter-Office Communication
Date February 21, 1990 Cityof Bremertott
To Janet Lunceford, Building Dept.
From Maryellen Babbitt, Utility Dept.
Subject Lot 3, Plat of Chelsea
Building Appl. H90AP01608
Need: Application for Water Service (Estimate Attached)
Sewer Inspection Permit
All plumbing shall conform to City of Bremerton and Washington
State Cross-connection cont~j~~a~ds. All hosebibs shall
have built-in vacuum breake~~
. ~~j1O
Please reply on reverse
B REM F R r n N
n I..) J
CITY OF BREMERTON
D T N Cj :') r' p i~:i p 'I 1'1 FIll
.. '"
fES ') 1 1990
...,
r'j P P 1.... I tl T T U N
MUNICIPAL UTILITIES
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Application Date 02/16/19QO
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Application Number 90AP01608
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DAVID CONSTRUCTION
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POUL..~::;no
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First MI
State WA Zip 98370
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C i t y . L. i cenee 11:
0("1') I D CUNSrRUCT J ON
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Expiration Date 11/22/1990
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COlLIPC202QF Expiration Date 11/04/1990
9275 Expiration Date
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SITE ADDRESS
DAVID CONSTRUCTION CO.
ASSESSOR'S ACCT. #
11489 N.E. BRIAN LANE POULSBO, WA. 98370
692-8567
OWNER
DAVID CONSTRUCTION CO.
MAIL ADDRESS
ZIP
PHONE
CONTRACTOR
Class of work: [X] NEW
MAIL ADDRESS
o ADDITION 0 ALTERATION
PHONE
LICENSE NO.
o REPAIR
D MECHANICAL
J
D PLUMBING
COMMENTS
No. Type of Equipment Fee No. Type of Fixture or Item Fee
-
STOVES Gas__ Oil_ Wood_ WATER CLOSET (TOILET) 3
FIREPLACE INSERT >--- BATHTUB 1
FURNACE Gas (Nat.lL LPG._) Oil__ LAVATORY (WASH BASIN) 3
Wood add on_ Other_ Electric_ SHOWER 1
BTU KITCHEN SINK & DISPOSAL 1
Type: Up f1ow_ Down f1ow-X DISHWASHER 1
Horizontal-X Wall_ LAUNDRY TRAY
CONVERSION BURNER: Gas_ (Nat.lL LP _) CLOTHES WASHER 1
Under 100,000_ Over 100,000~ WATER HEATER 1
Oil_ f-._-- URINAL
UNIT HEATER BTU_ Gas_ Elec._ DRINKING FOUNTAIN
BOILER Gas_ Oil_ Electric_ >----- FLOOR - SINK OR DRAIN
Other_ HP_ 1--- SLOP SINK
GAS SYSTEM Max. 5 outlet Total_ --- WATER PIPING & TREATING EQUIP.
EVAPORATION COOLERS Roof_ WaIl__ WASTE INTERCEPTER (Grease)
BTU_ I VACUUM BREAKERS & BLACKFLOW DEVICE
AC UNIT Electric_ Gas Elec. Combo_. LAWN SPRINKLER SYSTEM
BTU_ SWIMMING POOL - Private_ Public_
HEAT PUMP Single Package_ SpilL- GROUNDWORK
Add on_ BTU Ton__ SUMP
MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION
AIR HANDLING UNIT CMF _ BTU KIDNEY MACHINE
FANS EXhaus~ Supply_ Bath Z-
RANGE HOOD Residential----l- Comm._ PERMIT $
ROOF DRAINS TOTAL S
CLOTHES DRYER Res.-+- Comm._ NOTICE
INCINERATOR THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
ALTERATION TO DUCT SYSTEM IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS sus-
Heating/Cooling_ ExhausL- PEND ED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
TANKS Oil_ Gas_ Propane w/OK I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
from Fire Dept._ Gallons KNOW THE SAME 10 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
REFRIGERATION UNIT ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
PERMIT $ 10 GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
TOTAL FEE $ STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
(DATE)
FINAL APPROVAL
; fjt>
(DATE) I
RECEIPT NO.
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
PERMIT
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,~ City of Bremerton, Washington 98310
~
i A.ssessor's Tax Account No::
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Phone: p~:~e6~o478-5281 I
N.E. BRIAN LANE POULSBO. wl.
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[J Contractor D Tenant f1
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Site Address: LOT 3 CHELSEA (E.29th ST. & RICKEY ROAD)
Owner's Name: DAVID CONSTRUCTION CO. Address: 11489
~ Applicant:
!L_._
KJ Owner
D Architect
~
~1 ..\rchitect Firm: NORTHWEST HOME DESI GN
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~ .\dc:ress: 10901 BRIDGEPORT WAY TACOME, \!VA.
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i=ieprasern:at:ve: hI ANNF:
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~ Comments/Conditions of Approval:
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1. I understand that applicatior,s for which no permit is iss;..:ed -'litj~:;." 180 days following date",
W of application shall expire by li~itation, plans and/or other data subm3.ttea may be returnedi
~ to applicant or destroyed by the Building Official. (Sec. 304 (0) UU:) .' I certify that the I
if information on this appliFa...~ion fu.cn~d by me is ~rue and:::or.:r-ec:': a~l.d t...'1a.';: the applicable
d requirement~f the Pfty '0ZBremertbh''1n be met.c ~
~~nat~re _,!~::) et ~ /d~: .__ _ ,"" ,~,~&<"-,, ~aie 1--:<.::.:. 'ft'J -4J)i
PflOne:
ri Contractor:DAVID CONSTRUCTION CO.
~
~ A:jdress: 11489 N .E. BRIAN LANE POULSBO,
t~~
DAVIDC*200RP
WA. 98370
r~ieor.:sentative: DALE
_ r'hone?92-8 567
Exp. Date: 11/22/90
i1 Contractor's License No.:
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[i] Residence
D Demolish
D Grading (CL.. yds
o Business
D Duplex
D Other:
o Multi-Family (No. units
o Bldg. Move
CONSTRUCT A NEW RESIDENCE
[i]
New
D Repair
o Sign
o Remodel/Addn
o Parking Lot
Nature of Work ;:>roposed:
TO
'Sq. "FL:
? 'Jtilities:
tt
~ Water
o Waste
t;J Sewer
o Se;,)tic
t;J l"ew
U E){isting
'" Valuation of Materials/Labor:
:]
:\ (UBC Sec. 304(b)]
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Plan :~eview Fee:
Permit Fee:
Surcharges:
~
~6cvO
$
s
Receipt No.:__
Receipt No.:
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'''';..:2..e y_"i.. ' -1
Energy $10/$15 D
Date:
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Zone Designation:
Occupancy Classification (U8C):
f',<o. St0;ies:
\j
Se~backs: Front:
Side:
Rear:
:,eight:
Heat Sourco:
Sopies to: White-owner: Yellow-file; Pink.Assessor: Goldenrod-BUilding
Stat. Code I
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N Old 3 W ] d 8
ENERGY APPLICATION -
HOUSE TYPE (rambler, 2-story, etc.)
:J- 6+D (;) Y
ADDRESS: ~f)t '-~ C/-IEL.sEJ/
BUILDER: ]jAUltl (l1)~~~,
HOMEOWNER: ~D_8JLlh~ (l 1\ n\.<; f. . Co .
FLOOR AREA: 1st >?Dfn ~ ~f.
INSUL.--p- I ~
INSUL. K- I g
2nd
WALL
/\REA
AREA
FLOOR
SLAB
CEILING
VAULTED
INS UL .
INSUL._R - 30
INSUL. R- 80
AREA
AREA
6r+1TEN
AREA
ROOF & WALL OPENING DETAIL
WINDOWS* (Group Same Size Windows On One Line)l
BRAND MODEL U-VALUE HOW MANY? SIZE
.;2,
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()
I O!?6 'if il
lonl ~ Jf,
p'
6d/ '-~ 0#
/9/ wJ [f,
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Ft. )
**TOTAL WINDOW AREA {":;)oC. DI (A)
1110
SEE OTHER SIDE.....
{;.
CITY OF BREMERTON
SKYLIGHTS (LESS THAN 60% SLOPE)
BRAND MODEL U-VALUE HOW MANY? SIZE AREA (SQ. FT.)
(Number of Windows x Sq. Ft. )
X X 2 =
X X 2 =
X X 2 =
**TOTAL SKYLIGHT AREA
*TOTAL GLAZING (ADD (A)+(~))2
DOORS (FROM HEATED SPACE TO UNHEATED SPACE)
( B)
tCj
BRAND MODEL U-VALUE HOW MANY? SIZE AREA (SQ. FT.)
( Number of Windows x Sq. Ft. )
I C;~/O v.."
I d-P"
**TOTAL DOOR AREA
VAPOR BARRIER
TYPE OF HEAT .f!fJf/(,pJ.l/ c;PC: SIZE (BTU) 4/)68
YOU CANNOT CHANGE THE TYPE, SIZE OR BRAND OF WINDOWS OR HEATING SYSTEM AFTER
APPROVAL WITHOUT RESUBMITTING TO THE DEPARTMENT FOR APPROVAL OF THE
MODIF ICA TIONS.
INSULATION INSPECTION REQUIRED.
,:
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AM HIe". !\TI TOMCjJICOLrT. HUJ Te. MO',' . OLnl!TOp-1\..- LT~D r:-,-RAMT.L~"IG,
11 .....-'u~. .L 11 ,........Lv...L......... ""'''<V.L'~'.J j' ,_" "..
OWNER/AGENT: - ~,.p Cj) 6./V~
DOTno Tn CULLT onrv
11,~""i, Iv ........l...Lt ."\"/\.#1'.
j'~ 4"..
1 Includes sliding glass doors.
2 Glazing area shall not exceed 21% of the total heated floor area.
EA : B II
SEE OTHER SIDE .....
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INSPECTION RECORD CARD
CITY OF BREMER TON BUILDING DEPARTMENT
ADDRESS
, .OWNER
CONTRACTOR
408 CHELSEA LANE
DAVID CONSTRUCTION
SELF
10716
PERMIT NUMBER
PHONE
PHONE
692-8567
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOil BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS
, , . FOUNDATION VENTS
12. CRAWL ACCESS
~ cd---!~
7- Ie,- 70
, COMMENTS:
FOUNDATION INS';,~~N
APPROVED BY: ' ~ 7-/?"9~
u
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
ruBS OR SHOWERS
, ROOF & CEILING LINES
FURRED OUT AREAS
FIREPLACE AT CEILINGS
HOLES PLUGGED TOP & BOTTOM
LID IN VOIDS
21. WINDOWS ,
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED FIRE EXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPEALYINSTAlLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER & JOIST SPAN
27. ROOFING. FLASHING. SHEATHING
28. SIDING
1. WIRING APPROVED
2.FOUNDATION VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TR. MAT. NEXT TO CONC.
a. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAtI:.
11. NOTCHING & DRILLW-JG
12. STAIRS '
WIDTH
RISE & RUN
WINDERS
LANDINGS
HEADROOM
13. ATTIC VENTILATION (upper & lower)
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AIR
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
1a. SMOKE DETECTOFl '
19. SHEETROCK BACI{ING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTIO~ I/', A ' {"( ;2, 1t:>
APPROVED BY: 0 ~.f-7 v (l'
2BINSULATION
-...
COMMENTS:
1. PROPER R~VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTI% .
APPROVED BY: 1)j<
l/h~/f.eJ
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'BI VENT SIZING
5. 'BI VENT CLEARANCE
6. 'BI VENT SUPPORT
7. COMBUSTION AIR
B. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
HVAC APPROVED BY: l
GAS PIPING APPROVED 8Y/6k.,(~~
~ .
WDST ; "
1. WOOD. STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVEDBY:
D.N.A. vJ~ ~ ~ ~
~ ea.-.~i' /lU.tl.. ~"
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PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
p
6. PROPER FfITINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
ROUGH-IN APPROVED -I
BY: ~~ /0//.51 7()
UNDERGROUND APPROVED
BY:
3
~
WALLBOARD
6. ARE SEPARATION IN GARAGE
7. A mc ACC9,SS
8. DRAFT STOP IN A mc
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4.518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
oJ/~ /2--{p- 70
WALLBOARD APPROVED BY:
FINAL
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOANG IN SHOWERS
5. DISHWASHER AIRGAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. RRE DAMPERS INSTALLED
8. PENETRATlONS IN FIRE WALLS
FINAL PLMB. APPR. (comm.)
FINAL MECH, APPR. (comm.
FINAL BUILDING APPR.
4
---
9. HOT WATER TANK PRL
10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPLACE HEARTH '
14. SAFETY GLAZING
15. INSULA TlON
WINDOWS MEET ENERGY CODE
UNDERFLOOR & ATTICE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
COMMENTS:. 1.----./
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