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HomeMy WebLinkAboutCHERRY AVE., 2712 ~, "'-, , '''"' '.. BREMER TON PERMIT CENTER 286 4th Street~ 8remerton~ WA 98337 (360) 478-5278 ~"V--p -I ~ I Phone: (360) 478-5275 FAX: , r"""\ . ~ BUILDING PERMIT Job A~dr = oil \ ().' cA.JJ.-e Locatlon= Parcel No: Applicant: QUALITY SERVICE GROUP INC 479-6679 0925 ERIE AVE SILVERDALE WA 98383 Permit No: Status: Applied: Issued: Expires: 01-0333 ISSUED 06/19/2001 06/19/2001 12/16/2001 Owner: HASEl<AMP. MARK 373-5453 2712 CHERRY AVE BREMERTON WA 98310 Contractor: QUALITY SERVICE GROUP INC 479-6679 8925 ERIE AVE SILVERDALE WA 98383 lie #= QUALISG99207 Exp: 03-19-2002 Subcontr: Desc: GAS FURNACE, GAS HOT WATER TANK, GAS PIPING ********************************************************************************************* Valuation * Permit Fees: 51.55 Total Calculated Fee: 51.55 .00 * Plan Check Fees: .00 Additional Fees: .00 * Other Fees: .00 Total Permit Fee: 51.55 ********************************************************************************************* MECHANICAL/PLUMBING FIXTURES-- MECH-Gas FuY'l'w.ce to lOOk btu.: 1 MECH"-G;as Piping (outlets)....: 2 PlBG-Wa,teY Heat.eY............: 1 **~*~*******%******************************************************************************** This' peymit shall become- null and void if the building oy woyk authoYiz:ed by this peymit is not commenced within 180 'dayS from the date of such permit. or if this building oy woyk authoYi:z:ed by such peymit is suspended oy abandoned at any time aftey the woyk is commenced foy a peYiod of 180 days. NarICE - It is the yesponsibility of the peymit holc~Y. not the City of Byemeyton oy Buildi~3 Official to see to H that r;i?quin~d inspections aye made. The pemnit holaln must notify the BUilding Official when yeady foy inspections. Failuye of the peymit holdey to notify the BUilding Official of yequiyed ins?ections may yesult in the stoppage of thewoyk until such time that the pannit holday can substantiate t.o the building oHicial t.hat t.he collCealed woyk meet.s 01" exceeds code n~quir'ement.$. An)" demolition. testing. Or' financial buyden shall be boyne dir'ectly by the pennit holdeY. FailIJY" to substantiate code n~quin:lments will indemnify the City Olga,inst any and all l"esponsibility 01" li.abilit.y connected with the COY1stYLICUon. 1: heYeb)' ceytify that. I have yeiad and examined this peymit and know the same to be tyue and conect. All p yovisions of 1 sand ol'di nancas govemi ng this type of woyk wi 11 be comp lied with whethey sped fled heyei n 0'1' not. he g'~ nUng of a pe'(rnit does not pyesume to give authoYity to violate 01' cancel the pyovisiorw of any othey at.. oy local law Yegulating constyuction 01" the peyfonnance of constyucHon. Date:_ /.. //tJla I. ~I .. Si9natUYe:-L~---' /'"' , ! ceyHfy t -t 1: , exempt, ft'om theyequiYemencs o'f the state cont'ractol"s yegistyation law. LindeI' Section 3. Chaptey 126. law$ of 1967. SigrlatUye:: f .. ..A-._____~ Date::--L )IOI()K>K~*)j(i~*)IOf(UnnUXOIOIOf(nU f) A "'l I -"""'" -. I Ct ' OJ Permlt Center--Approved BY:-IIb4:::f---- Oate:_,_,~__-1-...f- ',' \ \ fl: '\ .' .. \ i'" 1..- ..J;(:', ," .~~~. \{ 'd l, ') l.i, ~ ';;.. ~ ,'\ .. '\ r Job Address: dl \ ~ Location: Ass! Acct No: ";",-, ..,,-,/', fo'....-'. .~. .,.. . :" ~"'" BREMERTON PERMIT CENTER 286 4th Street~ Bremerton~ WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 ~.>j--t-) . I r"'-~~ ~ Building Permit. No: status: Issued: Expires: 01-0333 ISSUED 06/19/2001 12/16/2001 R E. QUI RED INS P E C T ION S Item: 01400:1.MSCHANICAL Item: 01550 ~tUM8ING Dept: BLDG Dept: BL.D.G Division: Division: ********************************************************************************* TESTING: Must be recognized by the Washington Association of 8uildi~g Officials SPECINSP: Must be registered with the State of WA S1 OF WA: State of WA Dept. of Labor and Industries 478-4921 HEALT~: Bremerton/KitsaP Health District 478-5235 ALL INSPECTIO PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE PERt"1IT CENTER (360) 478-5275. **********~* .*****************************************************************~* ~~;~;~u~~;~r~p~ ____ Date:-'-eidLcZL .'d .~..p" " " /~ .~I~(.D~~ b<Q.......'.MECllANlCA.lW:: .. :rD'PLUMBlNG::: .. . u ~ cr- ~ c 0r! f( -A:ve--, Nr'.vY"\c-~~ ~%\O Type of Fuel: Occupancy: Electric Residen rial Oil -' . Site Address:~ \ L C h" r'j Contractor: Q Address: 1O ~ l~ \5i ~/YYl Phone ~ 10 ('1 Contractor's License Number/Expiration Date: QlAAL-:CS6CJ'&1Z D Owner: . No. . TYPE OF EQUIPMENT No. TYPE OF FIXTURE RANGE WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE BATIlTUB In) @ ~ fC? n ~ II :-v GAS FURNACE btu: loO.aGO LAVATORY (bath sink) /;{ - '-=/ ~ u \ CONVERSION BURNER btu: ' SHOWER llU JU N 1 9 2a 11 UNIT HEATER btu: KITCHEN SINK O"'r-~ , BOILER btu: DISHWAS~ BUILDIN'G'VII:H fON neD, ,,__ V GAS PIPING I (\,f" v t 1I" ( 2- Ou-t \<As \ LAUNDRY TRAY ."IIIIWll NT EVAPORATION COOLERS btu: '- CLOTIlES WASHER AC UNIT btu: V WATER HEATER c::, n O'l /A 0 HEAT PUMP btu: URINAL 0 REHEAT BOX btu: DRINKING FOUNTAIN . AIR HANDLING UNIT btu: FLOOR SINK OR DRAIN E.."\ffiAUST FANS SLOP SINK RANGE HOOD (residential) WATER PIPING & ALTERATION RANGE HOOD (commen:ial) GREASE TRAP/INTERCEPTOR CLOrnES DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANKS type: BLDG. SEWER: (mobile/moved house) - REFRIGERATION UNIT ROOF DRAINS // \ OrnER: OrnER: /,1 .,....JVj ) (, ~v;j MECHANICAL FEES: PLUMBING FEES: CITY SURCHARGE: TOTAL FEES: ~@ APPUCANTS SIGNATURE,. ~ (/ . DATE: U II q / oL I . ,r.\" T" , \.... ~ 1 . 1 A l' /' ,(l: ct:. 'i:;j;:,'K*',~( '+.i?.i<: ~", Jj:';;': :j<** ,':<' ** :>1'.:>1< A, 4:;l.>!< ,.j<;.y. 'V *' *;'1': *~t :'~; *;>i:: ***:'1' :1,;;, * >l~:f.:. ,~,:)!: ~1:* *:4,.* :j, .*:t:)\, ** '~;;l-':+: ;1:** HCCEIPT **4**~*********~******~************~**2*~:*********************** r;;'~[CL IF> r bluJnL-Je:y: 010005,36 (.ml0U lit; f::->J. .5,';;. Ob/:1. 9/01 E;; :34 1~\"i'(m"'Hltl"1f,;d"hod:: 0<. N')L"lti.on: QlH\LITY -::;[PV CI< Init.: Vl,) F'o'f i(l i t 1'.le-;: 01-0333 rype~ M/P MECH/PLBG "f.()t~dJ. ~:-t::er.~;~ 51.55 Total ALL pmts: 8a l:-.l^(!(;f;:j: PEFli'l IT (;;1 '. ~':'5 L;, ,. ,~. t;. .:..) 1. .. ,",).,"~ l to').f s !~) i:E! >~'fn(~ n t .00 *~* ********~***********~************~*~********************* PIG(:::ount Cod'?:.1 16-322.1006 (221G) 11S" ,,1 ()() 3 (r.i.':~::." J: ,J ) " ipt .ic.n MECN~NICAL PERMIT FeES PLUMBING PERMIT FEES AmCH,1 nt 44.Sb 7.00 .........- ."~,,._., .... ,,' .".-" "..... "",. .'" M""~"'''''''''~'''' ". ."". ->"', ....' ","'~' .~... _'" ..," ....' .'. ....,." ..... """ ..'." ,y.' ~"'" r~' ....... "~"""~"_' .......,'~ .., ""." .._"..".. ........."....... "".....'" ",.. __ ...~(._, '",., ..~~ ,..,~........,.,_....... -.. __..~.. J1 Scope of work: Addrcss&-= Contractor: nn.EMI~ll'rON nUIIJDIN(; DEllAlI'I'MEN'r Plulllbing/Mechallical hlsl.ecHoll Ueport l)enuit NUIllberb Owner: I)bone: ~3~ ---- ~~~~~~( (l o1'.~~?~.}J.-!:'--.!.~~~M) _ _~~l'!.r_~_~i~'g~~'p'p~r:.( 1 2" ",.i-,-,ll!!..I~~_~~lir.~~l.~_~I!=,.I,---~'--'!~~lir.?~l!!.'~_.__ -------- _~?~_~~~1!~.!!1. r<:<.I_~I.!.c__'!_I!.~l.'.!~r.t;~_'_!!_I_'__~~ w~_hi hj-=--~.r C2 r d~ Groll1lll-joillf lIl1iom I'rohibiled in c.cruin loo.dom nllshill~S IIot :allowc,l ill cOllccak,1 :He:a, GAS PIPING COMMENTS: ------------~------_._---~---~-------------- GAS PIPING APPROVED: ~ ~ t- -;2{kJ j--- FURNACE ~!-!_I-'-l!~E_~~~S ~l~!'?_~.<!.'~~!_':.ite }~_t!.<!.'!!_~_~~.!!~'l'IJ_~r.. Ck:aralloc to collllJUstibk, Vc~~':.~$.: ck~,!!,,~ 10 comhustibb -------------- Vc!.!.~_i!:i_'.!.!L~..!_'_'l'l'.~~~"nccti~'.~________ Vent termi lI;1.tioll ---- ---.. --.--------- COlllbll~tjoll air _~J.'.~I...!.I..'9':J}!_~.~IIJJ o~~E~.!.c:..!1IU::s as rell u iw.l__ -------.--- ._- G:asshut--off withill 3' ..!~..i.I~t..~at e..L off_~(}{J!:_i_'_'Ji.:a_r!j;c .--.----.------- -- Ducts: si1e & ",,,,,ortlinsulated when rcquire..l lleturn air COMMENTS: jV6~ '>~7 CoA/t6ju,,D:2/v 4/~_t'fZj-J(,J/(Jl FURNACE Aj>PROVED: MISC. APPLIANCES M~...._'_'_f!_':~!:'rer~l'.cci~a_~ions o,!..~i~e -- _~_t..i~.!.'.!.! cc.es~~.~I.rl'_or( Ck"2r:anoc to com[,usti['~ VentinG: ckaulI<le 'to coml1ll8tih~ -------- -------- -----."-.--------------- Vellt ~_~~'..li~.!1.P.Por~~'mccti~!1S Vent termination -- ----~----~--_._-_.. Combustion air ~-'.~i!.~~,!9': I.i...~r all'Uoc ~.!..r_a_~nu~~s re..l',ired G:l!l 8hut-off within 3' _~....o'~_!!_'ov_c:_& fi~<J'-'-2~.:..J.l.':.~ hcartl, -- W~l stuv..~-=-EPA a.rl'.r~~__________._ .------. _~.~.,_I~:_~.a.~c..l)' ~I~~I!_=_~.IJ Woo<l stova & ~~.!..alX=S: t.iIJ.'..t fiui..!$~~_ Gas 8hut-off witl,in 3' -- ------------ COMMENTS: MISC. APPUANCES APPROVED: WATER DEATER -- ~_~..!.!.~l!__~.....rer~~!ia~~~~1 sit.e Locati~~~~~_,~!:'.rr.ort Ckaranoe to cornbustibks Vc-,--,-~i--,-'g: ~ra'_~oet..<:'~.!.~!>.!:'!Hib_~ -_.~----- V ellt siz.inlL~~.r.I~rtl col~)(:cti~~1S Vent termin..t.ion --~._------ Comhu8tion air C~in..-'~lill~_~td/or_~_~a..!.~~lIcs lIlI require..l G:l!l sllllt-off wilhin 3' Pilot elevated off floor i'Ij5ange I-gate ~!ve 011 col~l....~~_!I!'p"p.'r..... -- Ikii~f ;;'ve ,1;;iIlCXl;-~ll~i,le -- ._-- -----.-.---- ----------~-------- CoI'~.! to ~!~alli~L~~\JlIOCtiolll J!.r-,.~.!!..~'- wat~_i~ Seismic stur COMMENTS: WATER J-mATER APPROVED: ALL WORK UNDI~t TIllS IIF~~II1.' API'IIOVED: i) e . N? 35821 ~~-u::- '-".Ai // u Fee $......._.m_~~____.':..n___'_.;:-:;::____..._...m____m.____m.. Receipt No. _~'~(:':_~.!.:'.._m__mmm.__......mmmm. /' i {I \. ;- ~. B U II{D I N GP..,~ R M I T CITY OF BREMERTON BUILDIING DEPARTMENT F, E. IRISH, Builcling Inspector . ESsex 3-1411, Ext.36 // / O~:;S _~alue I Bldg. Dept. Value I DESCRIPTION: $ / (.'. CJ I Lot Block Additions Add b ,,, ') (7 /~, .' D ~~ 196 ~'_. ress on Jo _.t_ ,L .Z_!_"_ ::_c ___"_:::-:-:':-. ,-:::~ :-::L __.. - n_ _____ ___ - n - - n_ __ ____ _n_ - _._ n n __ ._. __ n n _. n__._ ate -n-\-.----0. ___ _ ___ __00 _ ___ __ _ ::!_ , 1/ . '-./" Building ______.__mm_ x oon_._m_m__ and ~:_______mm stories oo___m_______.________ basement. Lot __.m_____.___. x _m__m_n____ Front Yard _m__________...____m Rear Yard __moooo__m_m__m_ Side Yard ___m..______m_____n Garage ___m.__.________m_m__m_. g:c:~a_~~_~_a~i~:~~~{~~.~~(1~ ~~;.~; ~2~::::: :::: :::: ::: ::::: :::: ::::~: - Add ;~~~ --::: :::: :~:: :::: :::::: _ ~~~~ ___-_-___-_._-.-____.-____ __: -Ph~~~__ ________ ____ ____________ ______ ,.-) [ .. ) (!i j ,. j-' . dd Ph Con tractor n A,~JJ!.(!-l.J-.: __ __ .;~C} :-~'k_*;.-!_'_'!:>_=:'=_/.. :!::':~~t-d__ __. __ _ _ __. _ _ A ress _ __._ _ _ _. _ _ __ _ _._ _ _.. _ _ _ __ _ _ _ _ _ _. _ _ _ _ _ __ __. _ one_ _ _ m _m __ __ n This permit is issued for: /J -. - - - - -. - - - - - - - - -. - - - - -. - - ~~ ~~~?~,: -_- ~- ~-1~ ~~;~~~ - -~~ - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - - .0- - - - - - - - - - - - - - -. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ __ ~ ~ ~ ~ ~ ~ ~ ~~~ ~ __ ~ ~ ~ ~ __ ~ ~ __ __ ~ __ __ ~f __ ~ ~ __ __ __ __ __ __ __ ____ __ __ __ ~ ~ __ ~ ~ __ ~ ~ __ __ __ __ ~ ~__ __ __ __ ~ ~__ __ __ __.~ ~ ~ __ __ __ ~ ~ ~ ~ ~ __ ~ ~ ~ __ ~ ~ ~ ~ ~ ~ ~ __ ~ ~ ~ ~ __ ~ ~ ~ ~ ~ ~ __ ~ ~ __ ~ __ ~ ~ ~ __ __ ~ ~ __ ~ ~ __ ~ __ __ ~ __ __ ~ __ __ ~ __ ~ __ __ __ __ __ __ __ __ __ ~ __ __ __ __ __ __ __ __ __ __ __ __ ~ __. 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 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. -- -- -_.... -- ---.......... -- --.... --.. --.............. -- -- -- --- -- -- -- -- -- --_.. ---.... --.. -.. -- .....--...-.... ---.. ---.... ....... --..... -_... --- -- --............. -_.... --......... -- ---.... -... ---.... -- -- ---- -- -- -- -- --- --- ---- -- -- -- -- ------.. ....... -- -- -_.... -- -- -- -- --............. --.... --.... --........ --. -- ---- ----.. -- -- -- -- --..... --- --- -_...- --.... -- ---.... ....... --.... --.... --............ --.... -- -- ---............ --.... -- --- -- ---.. --.. ----- -- -- --.. ----- -- -- -- ------_..-.... -- ---.. ---.... --- -- -- -- -- ---- --_...... --.. -_..- -- ----.... --.... ---.. ..-- ---- -- -.. -----.. --.. .-_.. ---.. ---.... ................ --.. --..................... --.... -_............. -_............ -_.... --.. -- -- ----.. -- -- --.. --- -- -- -- -- -- --- -_...--- - - -- - -- -- -- --- ---- - - -- -- - - ---- - - - -- - - - - - -- --- - - -- - - --- - - -- -- - --- -- --- - - ---------------- - -- - -- - - -- - - -- -- -- - - - - - - -- -.. -- - - - - - - - - - - - -- --- - - -- - - - -- - ---- --- - -- - --- -- -- -- -- -- -.. ---- --- ..... - - - - -.. - - -.. - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.- - - - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -.. - - -.. - - - - - - - - - - - - -.... - - - - - - - - - -. - - - - - - -. - - -. t. - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - -.. - - - - - - - - - .. - - - - -.. - - -- - - = - - ,~: - - i 1- -,~ - - - - - - - - ~ - r - - - - - - - -.. - - - - - - - - - -.. - - - - - - - - - - -.. - - -.. - - - - - - - - - - - - -- - -... - - -- - - -- -- ---- -- -- --- - - -- -- --- -- -- --- - - - - -- -- - - -- -.. - - - - -- - - - - - - --.. - -- -.... - - - - - - - - --.. -- - - -- --.. - - - -.-:;- -:J~1-; -.. t.: - -:c-- -.. --.. - j; -.,;, -- - - - -. -),--" - -- - - - - - --- -- -- - - -- -- -- - - -... --- - --- - --.. -- ---- -." --- i I I I I ,'1/...., Own er' s Signa tu re _ _ ___ _ - _- - -. - _ uh_ _m .__ - - - - - __ - - n - - ___.. - - m 00 - - - - __ - - - BYJ _ _ _ /.! _ _.'.,~ _~ :.~_.. _ _ _!_ n _ _ n _ _ __ _ _ _ __ ___ _ _ n _ _.. _ n _ _. __ _ _ __ __.. n _00 _.__ __ '. ,\ ',' ~] His Authorized Agent B 'ld' I <";...~7 ~ A; . /,1 Ul lng nspecto r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _":~~, _ _~ _'"'-. _ _; _ :'_ _-t::f:~,_;-,_ _ _ _ _._ _ _ n_ _ _ _ _. ___ _ _ _. ___ _ _. _ _ _ __ __ __ __ _____ .... DF By .n___ n __ _ _ _00 ___ __ n n n_ ___ n n_1._r:.~2 _ _ _ 00 _ _._ _ n _ _ _ __ _ n __ __ _ _ __ _ _ n_ ___n__ n. ~