HomeMy WebLinkAboutCHERRY AVE., 2650
BIIEMElt'l'ON IIUILllIN(; IlEIIAJll'MEN1' /f})
1'lumbinglMechanlcallnspectioll Ueport . l~()~G
SCOIJe of work: ':7 N<..;r~_L-JJo-fLJ.~rrY2-::-~ Penult Ntunbcr: 6;2,- D7/0'
Address: cRb e;-o Cirt ~yZ.'f:. nv-c- OWller: e u.sJ.j I M I }Jt!"~(/11-
COlltrnctor:-1~sT WecrJt:.t<.. Hc~ tb,l)hoIlC:--3kD- 6r;~-lJtf? .
(;AS 1)lll1NG
U~~~~~~( (101'.~~?~1J..E!!.~'--~~~) '--. }~~l':~L~i_~i!.~~~:'l''p.Orl
12" m.~~'~I.l!~~~~fi~~l.~~!~.1 tmJ~~gr.?!!~._ -- _~?a_~~~I'-~_al'l,,:,_'_~I.!-<:'~_l!.,--,--~.':gro.u-'-I~~ or wi-,-~ih 6.':...<!.f ca~~
Grolllul.joim IIl1iom I'rohihilct! ill certain location, flll,hill~' 1101 a"(J~t! ill cOllccak,1 arc;u
COMMENTS:
GA.') PIPING APPROVED:________________
FURNACE
..
~_a-'-I.!:'!.a~_'_lrer).!l~!i_~~i~J~~_I.~.i!.e --- _~_t!.~!!.~.c.~!_!!!_'PII_~.r.( ..
Ck.ualllx (0 coml>",lihk, _~~,__I_~i!!I:i.: ckar_a-'-~.-!.<!_c.olllb"'1 i I> k:.
-----~_._------ --
Vc!~~i2:i!!.!L & '.':'1'1>0((1 ~llncctiOl-'!l Vent termill:l.tioll
- --------- -------- -
Combustioll air ._Q.I.~.J_'_'.1<J'0}_'_~r._.!..!!~'!~r se...rar~!..<:.!1lLes_~, JCll uire,l
Gas shut-off withill 3' .~i.~.( c~al(X~!l.~.r:...i!_I..&~~e
----.------
DUels: siu: & supporu'imulated when ITquirOlI Jklllfll air
COMMENTS:
fURNACE APPROVED:
MISC. APPLIANCES
M~...l!.'_r!..<:~!1!~r~1'~9.D~ioJls ~_'.!-..~!~<<:. ---_. ---~-- }!~~.t.i_(I!.1.!..a.~~~.!."Jl'r.'2'"_~___
Ck-:luIICC to C(lmhuslibks __~,::_"!.I.~ '__lg~5~c!.r_~.'~'=_.~(!_':'~~~~..-'!.~i_'! ks
. --~~---_._--------------_._,-_._-------- -~'--- .
V CI.'~ ~!.!:~J_I~~~.P1'(I[(1 ~JIIK~C~~!~S Venl tcrmi IIa tioll
---- ---------~------- -
Com/'U5liOll air _<;':.!~_'.'-~'.19.'.: I~I~__!:_~.'.HUOC sc.r:.r:..a.~_ nUd ~~lIircJ
--------
G:.t!l shut-off withill 3' _:~.()o(1 '.tov~_& fj~~.Jl-'-a~.:..l'!.t2~ h__~[(h
--
W()()(l ,toves: EPA a.pl'.rvved _ _~....a.!'!':'I}II: n.~':.!r.~.,__,__~IT
WOO..l,loves & ~.!:.~.?_~: li~t filli.!.$ doors Gas ,hut-off within 3'
----
COMMENTS:
MISC. APPUANCES APPROVED:
Mallllfael-"re~IICa..fj~~~I~~'__J ,ite }~~!.~'!.'.'.!..~~~'..!.!.!1l'.l'..or t
Ckaralloe (0 cornhuSliLIes V(;.J!..~i~lg: ~_UI_loe to~mhllstib~
vellt ,izilllL~..!'.Tl'oru' co'~led.io.~1!l Velll lermin.atioll
. ~_._-._-_.__. -----
, Combustioll air C!!i'..!!.'~ lit~~td/or_~l'.~.n.(e nllc.l U J-c'luifOll
-
, G:.t!l 1I1111(-off within 3' I%!_t~~a.!.c:.~~n' ~l~!!:...i_,__lj;a_r:.a.lic
. G.~te valve Oil co.I!!....~~ S~lr.r'x._ Relief v31ve tlraillc...lto outside
. --.-. -~.~. --.-..- -- ----~ ------
-x:J Cop.Er_~~~aJ,i ~L~_'!...r.oct!O'" U n_~J.1!.?.!.'Y'a tcr II il~
Seismic strap
WATER DEATER
COMMENTS:
WA11!RHEATl!R AI'PIlOVF.D,fA-/Jtt ~
ALL \fORK UNDI~l TIllS IJI~n~ll'I' i\.I-.-llOVEI)
11/21/2002 a7:34
4~:58149515
FAS-;- ~'J!.:;TEF: HEATEF:
P?V:3E 02/04
~
,
BREMERTON PERMXT CENTER
2136 4th Street. Bnmert:.onp I>JA 98337
Phone; (360) 47(3-5275 FAX: (360) 478'~S2;1e
BUILDING PERMIT
~er@it No: 02-0?lS
status: ISSUED
Appli~d: 11/19/2002
Issued: 11/1~/2002
~xpi!es; 05/18/2003
Job Addrl 2650 CHERRY AVE
Lc,cc3. tiM ~
~HceL No:
ApPlic~nt: FAST ~ATER HEAT5R COMPANY 425-91~-312~
12'01 132ND AVE NEK!RKLAND ~A 90034
Owner: CUSH MINERVA 3'O~.9~-0187
2'~O CHERRV AVE BRENERTON WA 90310
:untra~tor: FAST WATER H~PTER COMPANY 4~s~814-312Lic 0: FASTWHC052DF txp: 02-16-2003
12&01 132NO AVE NE KIRKLAND, WA 'B03~
Subcootr:
Je5C: INSTAll i ELECTR!C WATER H~AiER
~***~******~~~*~~**~~#.**~**~**~t***~**~***~~*~~*~~~~~%~~~~~*-***~~**~*~**'~~~***~**~****~~****~
Vall.l.:l'ti'..'n * Permit Fee$: 27.00 Total calodated Fee; 27.00
.00 :r phil Check FeEls: AddiUonal Fee::;: .00
>>: Dthll;r F-ees: ,00 i~1tal Petlflii; ree: 27,00
~.~x~~~~X%*~**.~~**I***~*I*~******~~**~.~*~~~*.**z.~.*.~~z..*.%~***.**~~.*~*******.**.****.~*
11Er.~PIIIIC~/P..u-elNc; "'Iy.r\.mEg-.- P'...!3B.'W::!lt~r Halat..er,.......,.... ~ I
~**~****JI**~***~~*~*~Z*~*~.~*X.~*.~~*.~~~~***~~~*~~~**..~~~*.**~*~*~z*~~.z**w*.~~~aK~**~~~~~
rhi~ l'>l!'fM\t sl-d\ll t,'I~COh'\@ wll a-nd void if I::he t:Jo.\U,;hT'IW or \IlO~'1< 1Wt.hor:i.J:4>d by 'l:hi.1$ pl!l'mit is ym ~ ....~thi1'l
~80 0"-19 f-~06\\ i.1w dot.. r,f lI/I.\C;h permi'\:. or H \hi~ ~:Ur..I).\'1\\1 or wo,.k !llJthC)n:::CId ~ S'Ucl') 1'>1'!r'll',it. i. \llW1G!='~md4>d or
a..~rY.Xlned l'J.t. 1/l:W ti.~ ah~r th;: ~l'k, ~~ ~~ for a P'i!rilXi of 1.@lQ da~.
\JOTICf.. ~ It 1.13 d... rt1lPornilib:Uity of too p&rmit holr:le'r. not t~ CitY .~ BI"~ll'!'l'rtOT'l or l:>lJildina O'!'fic~a:l. to ~
\~\? it thmt l"tlqrlir'ld ir~erl:.~cme ar~~. T~ C.;tt'll\it ncl~" mum. 1"lOt:l.\,y tl"e er..ilcnng OfHcial, \o;hen l"QaW f'oy
if1;.'llpeat:1oYlS, F~il.ur~ t)'~ th4! l>lVi~'l.t l'101dl!r t!'j :-ot~"" tl'18! ~u1ldl~ otf:l.c::ial of r~QU1 rtod H~..ct.iol'1otl r/\iW re-e\.\H~
in t.ri'l! ~pl8.lill!! ':If the i,AJbYk ...mi J $lUGh 'ti- t.hat t~ ,,>!'r1'll~ t Melder can 9ut:>stantia,tt' to th. bulldirl!i1 official
thl.>.t thlr a~aleQ wpd, ~....l!"~'4 01' ('!~c:le ~:o:Ie r",~1~f;'l1'lf:'l"I'I;,~. Any ~lit.io." t.'ttI5'ti.1'I9 , or fl.naJ1ciI901 blJye:l!!n !i\Jhl\IH
b<<' r.-;.r\'1& .;H,l"~'\:.l~' be' er,. "",,.mH. Iwld.,.,.. F#Hu,.-... "" ~rrt:!...'l:'" c..,.o.. r<<''1Ui "'I.!'m~nte I..i U .l.'I"!demr1Hr t.hI1 c;;i. tr'
,,~:\nst ll,ny ~~ ;l.H ,.~QIWibili.t:Y or H~t;:;iJ.i'i;;)' ~~~tfl(l ",itl1 tl'l4\ =mtl'UctiO'/'l.
I \l~"'~>' cGr'\::d'Y +.h<&t r Mve "f~.d ~m (tX3Jlt:l.f)(X') t.h1<; tHel"!1'li t !and kl"O-l tho! s~~ to ~ In.11' and co,."l'I!>CL An
;'~'Q'v"is'icms Q1' laiJ~ I/lf1d e>rr;)l~nr..fl iP"e>'l'1:iY'19 thir;; t,YPI'! :;f wor~ wiU ~ eompHl\JO wit~ wh&t\1leY !l""..,iH<<II'\&l'@).n
~;r' ilO't. The liIy",ntiro of a PI!r'ri1-lt do/!'H l'1O't r.>n'0lJml!! -pD ~'l.v~ 3.l.lt.l,oyi't)' tCl \1:1o~a'i:~ or ca.nc.~l thl! P?'ovlt!:ioTaE of'
,,:lY C-Ul@l' i9tiilt.'I( or ~OClil.l ll.lw I.,.~~it.'^ 1"'19 (;:OT1$tructitm t;)\'" V1f! Pl\'r''''orma~ of =rn;rtY\JCtH:m.
3il!lM~t_U,.e~__-L....~L~~~-----~ t:m~) ...L i.:ztf'~:.____-
.,
I ;:;"..~if" t.h.lt.i, ! lM1 .,:>'.~\pt from t.M.> 1'."I'.i"'''''''~~'"' of .c,M ~1:.al"~ ~-"1"'i:;Y8.C1:"Y'S Yil'9:i~'l:l'..Hol'l law, Llrodo;o~'
~;<E:ctiun '3, Chap-c.~y 12C;, lQJ\1>Jl3 01' '9;;.7,
z~~rgtu1~.~
~~%~**~~~*~~~~~~~~~#~~**t
permi~ center-,.Apptoved y; ---'
-='~f;:'
11/21/2BB2 07:34 ~258149516
FAST l'.IA TEP HEATER
PAGE 03/04
PAGE 02
"
^
.11/20/2~~2 15:21 3604795278
COMMLt4ITY DEVELOPMEN
BR~MERTON PERMIT C~NTER
286 4t.h 5~reet.. eremetrtort, UA 98337
phone: (360) 478-5275 FAX; (360) 478-5278
Bul1din9 Per~it NO~ 02-0715
status: Issue:D
Issued: 11/19/2002
Expires: OS/18/200~
Job Address: 2650 CHERRY AVE
Location:
ASSl Aoct No:
~ E QUI RED
1 N S PEe T ION S
Item: 01550 PLUM8!NG
Dept ~ 8\..,OG
oivision:
~*********~**.~****-********~**************~***.***********~~*.*******~.*********
TE51ING= Must be Yeco~ni%ed by the wa~hi"gton A~sociation of BuildinQ officiale
SPECINSP: Must be resistered with the Stat$ of WA
SLDG: city of Sremerton Building Department 478-5275
PLANNING~ city of Sremerton Planning Department 478-5275
PUBWORKS: City of Breroerton utilities Department 476-5318
F1RED city of 6remerton Fire Marshal's office 47e-5360
ENG; city of Bremerton Engine~ri"9 Department 47e-5270
rIE~ALTH= 8rellTlei'"tQi'llKltss,p Hea;,th Depart.ment 4?'e-!523S
5T OF WA: state of WA Dept. of lab9f & X~dust,ies 47e-4921
*********~*******************~****~*********~**"***~******~***~******~*~*~******~*
Permit HOlder~ d. ~
'31~natun~ ~ _, -_ . u.1fAM-:
Dete:~ /~/.7;j():z-.
-----
1,.,,,~I".' ,I ,.............. .
,",,,-_.. -..,-.,,, . .-.....,.....-. ---- .
,-, ......,...-" ,...-----..",'.-". ",,_..
. ..__ _" ,.~,_'_''''~ "I'
11/~1!2U~2 81:34
4:!'::r814':1!:Jlb
F t;~:i j I,~I.\ Il.h: Hr_A II:.~:
rA(:it. Y.:JLlit14
;,
\
~
==~:=~m=~==a~=;~=~.~~=~~==K.==~==.~.~~==~~~~~~~.~~=-~=-=~==~.========~.~~.=~=
BREMERTON PERMIT CENlER
PERM1T CONDITIONS
Page;
~
...
permit No: 02-0715
==c==~~~~~~~==~=:=~~~~~~=~=~=~=~==~~~=~~~~~===~~==~~~~~~~~=~~~~=p~=.;~~~=~=;~~
Applied: 11/19/2002
Apprc'ved: 11/19/~OO~
!$su*d: 11/~9/2002
Job Address; 2650 CHERRY AVE
ASS'l Acct No:
Locatiof1:
Applicant: FAST WATER HEATER COMPANY
Ow~eY: CUSrl t1!NERVA
CvntTactcr~ FAST WATER HEATER COMPANY
D\\'!5Ciiptic~n:
INSTALL 1 ELECTRIC WATER HEATER
C(.~ndi tions:
1. PRIOR TO PERFORMING ANY RENOVA1ION OR OEMOLlTION WO~K.
PUGET SOUND CLEAN AIR AGENCY (CLEAN AIR AGENCY) AND
WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES (L~r)
REOULATIONS REOUIRE AN ASBESTOS SU~VEY BE PERrOP.MED iQ
DETERMINE WHEiHER THERE ARE ASBESTOS-CONTAINING MATERIALS
IN THE WORK AREA OR 5TRUCiURE. THe: ASClESTOS 51JRVEY MUST BE
CONDUCTEDSY A~ EPA CERTIFIED CAMERA) BUILDING INSPECTOR
(EXCEPT RENOVA""ION OF OWNER-OCCUP![D SINGLE FAt-11i.. Y
RESIDENCES) ,
FOR MORE INFORMATION, PLEASE CONTACT CLEAN AIR AGENCY
THROUGH tHEIR I,JEB SI"7"E AT W'"W .;::lscle8ilair .019 OR BY PHONE AT
800-552-3565 OR Z06-6B9-4058. THE L&I WEB SITE CAN BE
FOUND AT www.ln1.Wa.90V/WishS/P-tS/3sbestos/asbestos.htm.
Permit Holder'5
Sig1iat-.:re_ }()
;1UI&
..------------.---. .,
I"
Dat~./Jj-~2--.
~
a*<<..~****.*.W.***W***~.**....*.***==**.*******~~***M*~***.****~
RECEIPT
*~****~.~*.*~***.**~.****.**~*.*.*...*.**..***.*~~*~*..~**.*~***
RlCEIPf Number: 02001045 Amount: 27.00 11/21/02 13=01
Pdymenl M~thod: CHECK Notation: FAST WATfR CHECK Init: PC
.,~.. .. ,.~...~ ...._.. _.".... ...~ _. _.._ ~...... _.......... ~_............ .v.......... ...,....... ~~ __..... _..., .....' ........-- -- -~..'".. _.~.-..... -.. - .......-.-.. ... -.....-.... - --.-..
Permit No: 02-0715 Type: M/P-EZ
Site Address: 2650 CHERRY AVE
MECH/PlBG - OVER COU
Total Fees: 2,1'.00
This PaYm~nt 21.00 Tota~ ALL Pmts: l7.00
Balance: .00
~...**~**.****..~.t.****....**...*.*..*..****.******~**~**.*.*.*
Account Code Description Amount
l0-322.1003 (2213) PLUMBING PERMIT FEES 21.00
- -~..~~ .' .~- .~.~ , ... ,< ...........-. .. .'.- -_.,- ~ -- ...- -"._...~............. ........,----- ...~~ "'.... ....-......"'........ ........-,.....,.... ,-....
0'"2 -07/~
IDI;~
D::i:.::i:~::::~!1r,1~:~:i!li;I~~:;;:::!::::!::ii:;II_fi.J.;1:;:::::;;ri!:1:::~t;.\~!;:;:t;:i:!:::!::;:::[~:::~::::!::;::::~~j!:;~i:!~11i:;;lili:::;::;:::i:IIIIIIII:::!:!i1!:::!::::::j~::::;;i:&:::::i~j:iili::::;::i:::;::::::1
Type of Fuel:
X Electric
Gas
Oil
Propane
Occupancy:
Residential
Commercial
781133
Site Address: 2650 CHERRY AVE
Owner' CUSH MINERVA
~rmtr"('tnr,FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE
KIRKLAND, W A 98034
p~~~:, (425)814-9516
4 3124
Contractor's License Number/ Exoiration Date:
FASTWHC052DF 02/16/2003
Address:' 2650 CHERRY AVE
BREMERTON, W A 98310
I Phone: (360)692-0187
NO. TYPE OF EQUIPMENT NO. TYPE OF EOUIPMENT
RANGE WATER C.LOS,ET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
GAS FURNACE btu: LA V A TOR YCbath sink)
CONVERSION BURNER btu: SHOWER
UNIT HEATER btu: KlTC.HEN SINK
BOILER btu: DISHWASHER
GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btu: CLOTHES WASHER
AC UNIT btu: 1 WATER HEATER
HEAT PUMP btu: URINAL
REHEAT BOX btu: DRINKING FOUNT AlN
AIR HANDLING UNIT btu: FLOOR SINK OR DRAIN
EXHAUST FANS SLOP SINK
RANGE HOOD (residential) WATER PIPING & ALTERATION
RANGE HOOD (commercial) GREASE TRAP/ INTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LA WN SPRINKLER SYSTEM
DUCT AL TERA TION SWIMMING POOL
TANKS tvoe: BLDG SEWER: (r l mobileA l moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
(0).11 ~p~~.]'\WI'fn\:
If1l NOV 19 2002 ~
BHEMERTON
BUILDING DEPARTMENT
MECHANICAL FEES:
PLUMBING FEES:
CITY SURCHARGE:
TOTAL FEES:
....~~4~...~~d~~~~
$27.00
DATE: 11/18/2002
MSN Maps & Directions - Map Print
Page 1 of 1
. . Maps & Directions
2650 Cherry Ave, Bremerton, WA 98310
:4tt. : ~~'JJfIl~ Microsoft'
:rt1= M appoint" Tt(h nologV
Your riqht to use maps and routes generated on the MSN service is subiect at all times to the MSN Terms of Use.
Data credits,~pyriqht. and disclaimer.
http://mappoint.msn.com/PrintMap.aspx?MPMtd=M&ID=27CiJ.&L=USA&C=47.58561L...11113/2002
BUILDING fJERMIT
~~
2209
AI
v
City of Bremerton, Washington
Phone: (206) 478-5281 /0 J 5l2.
OWNER'S VALUE
BLDG, DEPT, VALUE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
PLAN CHECK FEE
go ()(JtJ - $ /;2f E, 7':; '5J-3' $
SITE ADDRESS I LOCATION ;}'6.fO C,6e,t.,;t.y
OWNER'S NAME/IIO ::.Mh/V.JIJ>~ AD~RESS .?7o/ //ArBe/
CONTRACTOR 6J"" 70)</ ~ e e........ STATE CONTRACTOR'S L1C.#
ADDRESS J] CJ Y E Yt7 7.;f
$
~7-
7'16 tf $
~ ;2$/ ~/
Pr
PHONE
Ai RESIDENCE
PLANNING I ZONING
o BUSINESS
o OTHER
~ NEW
o REPAIR
o REMODEL
PHONE L7'77 / ? ;2 r;;
.. (.
o ADDITION 0 DEMOLISH
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR: )tie tv
,
/7t~/L eX
:?;:
-
16
(/ /.7(- d. L () CA':.-r-/ LI7 .2'><::'--
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.
INSPECTIONS REQUIRED: Foundation ~ Framing Cil--- Plumbing [J].-/" Electrical [JJ........ Wallboard [Z)........- FINAL ~
FOR INSPECTORS USE ONLY:
REINSPECTlON:
NOT
TYPE OF INSPECTION DATE TIME PPROVED' APPROVED
-
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
--
/
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE 0 CU~G ~U1
OWNER'S SIGNATURE BY 7/y~,:> ~ 'J
BUILDING DEPT? ~~____
A D \U) m Ii r A', T m N. :
'. K ff' M ~'" Fl \\.;. , . ~ - i
,..' 8D~ooo_CITY OF BREI.RTO~'i? BUlLDlNG.PAR1-~ENT
-='~..-:.~o;~~.~.:~..). ,GfR~\1T FEE S.~...) PLAN CHECr. S...~.. .' :..(yf.?.ff..~)
ADORESS/LOCAT lOll Of .JOB..~:.... .9!~.-f!?..~?/i e.~.R'";:;. .,":" ~. .~...........;.. ?.?.J. :~qq. -:.'~9.~:-: /?P. ~~. .'... . ..
APPl.ICATI.ON ISSUED F~R: .. ~:~-?::~.: '. ,:P<:<~~ .I~~:.....:....,...... '."" :,;' ... ..,. .. .. . ...., , . . . . . .. . . . . . . . . ...
2i 'l--t ~o-= 2 607''-7..q7.#~ '
,..
PLAIH-lING ZornNG.............' FJRE_ZONE.,....:.. ...., OCCUPANCy...,.. ~..... ,; TYP'E .OF Cor,STRUCTION..... '___"-' ."..~...--
0"1;[1<.' ': .'.. ,: /?~.C>.rs.. .Q'. . .J~.1f 1:. ~ ~ I........ ... . . CONTRACTOR..... C?~!:!? t:;.,.:.... h .?:.~......... .
'. " .'...3 t? ". e:. L- . -. --- . . (rT' .' , ---, .---
A~DRESS.... _ ..., ,', ..';t....p~y..n........ ADDRESS.~}P.tj...t..1.4........-~......................
PHOIIE.'-.., ~:. 7. .:J .-: . 96. 93... ..d\~~~~~'l~.~........ PHorlE ~.7<j.--./~~ .~.' STATE 1I C. I..... ~ . .. .. . .. . ~... .. ... .
.. ;, ;G"~,""~"U ,"~T .. . , . .~~. . . 9! I~Dm ..7..~ .J. ~c c. 7.',/. . """,-::~ . . .;r. &. . . . . . .
ACCEPTANCE OF APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.:
PLANNING CCHMENTS/REVI EWE.. ... .6?t'/7 Y
"fJ~/~~~'?m,~
>=' --- '
ENGINEERING COHMf.NTS/~.EVIEWEDBY~ ':..' :._:,:' ~ 7f 8: ~ l' . . '
~"'~') "'-'" t.u. ,()U.it,'" "" J ~ OM I\{ ;" kMW'tl. a~t. . l r. fJ
}iA::':'1I'l-~:;~t{~~u~,~~~t~~(tliJ ~:~fu,}c;tf., t~u'
SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING, SIDEWAL~:SANITARY &cSTORM SEWER.
1.;....
r FIRE DEPT. CO~;.MENTSI REV I EWED By..........
;f/l;1:7J
Z>N
//~~~~
f 7J ~ t1
......TRAFFIC DEPT'. COM.'1~.NT-S/RE:VIEWED By..........
'- .
~ -.
PLUMBING REVIEI.'ED By....... ~~ Ovv'-6 )V\Cc.\....-
..,
,
>-;;,'ATER DLPT.
....
SEPARAIE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL WORK.
r
ELE~TR]CAL REVIEWED BY.........~
SEPARATE PEiH'IlT REQUIRED FOR ELECTRICAL WORK. '\
r
6UILDI~; REVIEWED BY.
.. 7'~n. L.d<-
...~~.. ! VI'-"
:~ C~//C Q::' ~~.c:~c: C~O~ as' '?z/e';:e......>
..... J
r. - /. . ~~ J---'
. CCIIT!.pl i-il.n 0 t T ..'
>c.../~~ .... . ~m~~.~7.9.. _
e
.
INS P E C T ION S
~~
Inspections Required For Stated Construction
BUILDING DEPARTMENT
la-FOUNDATION
'~'ua r- lk 15EM1
IB"'F RAM ING
~LECTRICAL
c
)fJ PLUMBING
'J3 MECHANICAL
o INSULATION.
~ SHEET ROCK OR COVER
lB: FINAL
ENGINEERING DEPARTMENT
~FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
QlFINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK
Oi[CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES
~ PIPE INSTALLATION PRIOR TO COvERING
FIRE DEPARTMENT
o LIFE SAFETY 0 FIRE CODE
[j FIRE EXTINGUISHING SYSTEM [] SPRINKLING SYSTEM
[JREMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN
FLAMMABLE MATERIALS
Allow 24 hour prior notice for all inspections. Emergencies will
be handled as soon as possible. If required inspections are not
called for and made by the necessary City Departments, a Stop Work
Order will be posted until necessary inspection is completed. Any
materials hindering the inspection will be removed so an adequate
inspection can be performed.
All completed structures will have a Certificate of Occupancy BEFORE
the structure is occupied. If a structure is occupied without a
Certificate of Occupancy, the City will have the water utilities
removed and order the structure vacated until compliance is achieved.
I have read and understand all the above that pertain to the
Cons truction at ..". ~ .YO r"h e-,/A~ y ,
(address) r
SIGNATURE l~~
DATE .:Ja ? r-' /7 j?
,
TITLE
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PER M ITS
/
Indicate below what. requirements, permits are required for this project.
PLANNING DEPARTMENT
. 0 SHORELINE
D VARIANCE
D:ENVIRONMENTAL' IMPACT
o ENVIRONMENTAL IMPACT'
)(.1\-
o RE ZONE
o SHORT PLAT
o
o
SPECIAL USE PERMIT
CHANGE OF SITE PLAN
ASSESSMENT
STATEMENT
BUILDING DEPARTMENT
I1rBUILDING
~CHANICAL
o HOUSE MOVING
J@
o
~
GRADING
ELECTRICAL
o DEMOLITION
o SIGN
PLUMBING
ENGIREERING DEPARTMENT
~SIDEWALK CONSTRUCTION 0 STORM SEWERS . X DRIVEWAY
~CURB & ~UTTER CONST. ~ SANITARY SEWER CONSTRUCTION
o STORM .DETENTION REQUIRED
.~INSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK
HEALTH DEPARTMENT
o SEPTIC TANK
o FOOD SERVICE
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