HomeMy WebLinkAboutCOGEAN AVE., 911
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BREHERTOR PERKI'f CEIIftR
286 4tb Street, Bre89rtaa, Iiil 98337
Pbone: (360) 478-5275 FAX: (360) 478-5218
BUtLDIRG PERHI'f
Applicant: GATES HA'i' AND PAULA
Permit No: 03-0185
Status: ISSUED
Applied: 04/16/20~3
Issued: 04/16/2003
Expires: 10/13/2003
Job Addr: 911 COGEAN AVE
Locati~:
'Parcel No:
Ownet; GATES 14M' AND PAULA
911 COOEAN 98331
479-6883
(;ontnctor:
Lie #: Exp:
Subcop,tr:
Desen REPLACe WINDOW )WI) STAIRS
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Valuation
450.00
~ Permit Fees:
* Plan Check Fees:
* Other Fees:
23.50
.00
4.50
Total Calculated Fee:
Additional Fees:
Total Permit Fee:
28.00
.00
28.00
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MECHANICAL/PLUMBING FIXTURES--
*********************************************************************************************
'This per_it shall beeo~ null and void if the building or work authorized, by this permit is not commenced within
1&0 days fro,m, the date of such petmi t, or if this buildins or work authorized by such permit is suspended or
8Qandoned at any time after the work is commenced for a period of 180 days.
NOTICE - !t is the responsibility of the permit holder, not the City of Bremerton or Building OffiCial to see
to it that requ;ixed inspections are made. The permit holder must notify the Building Official when ready for
,inspection.. Fa,ilure of the pennit holder to notify the BUilding Official of required inspections may result
in the stoppa~e of the work until such time that the permit holder can substantiate to the building official
thatthecottcealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall
be borne directly by the permit bolder. Failure to substantiate code requirements will indemnify the City
against :a~J ~nd all responsibility or liability connected with the construction.
I herebt certify that r have read and exaTllined 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 heIein
or not. The grant1,n'lof a permit does not presume to give authority to violate or cancel the provisions of
any other state or local law r89ulating construction or the perfoI'mance of construction.
Signature:
Date:
.~! certify that 1 am exempt from the requirements of the state contractor's registration law, under
t'~ Section 3, Chapter 126. laws of 1967.
Signature:
*************
Lj- It - 0 ?:,
Penn t Centern Approved By :
Date:
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PERMIT CENTER
Department of Community Development ::. 286 4th Street :f- Bremerton ::. W A:f- 98337
(360) 478-5275 ::. Fax (360) 478-5278
Building Permit Application
APPLICANT:
o CONTRACTOR
o AUTHORIZED AGENT
Site Address
Tax Account Number:
,I'!"
CONTRACTOR:
Address:
City, State, Zip
Phone #: (
License #
Contact Name:
Contact Phone #:
)
Address:
City, State, Zip
Phone #:
Expir. Date:
Authorized Agent Address:
)
City, State, Zip
Phone #: (
)
Check the type of application for below:
D
D
D
D
D RESIDENTIAL ADDITION D NEW MULTI-FAMilY D GRADING (Cubic yards: - )
D RESIDENTIAL REPAIR D TENANT IMPROVEMENT D OTHER
IS THIS PROPERTY WIT~/N 200 FEET OF A SHORELINE? YE~O 0
Scope of Work Proposed: J? €.p/I:U--' S"J ~fO ~s. <::L ~l W Do W ~
NEW SINGLE-FAMilY RESIDENCE
NEW DUPLEX
NEW MANUFACTURED HOME
RESIDENTIAL REMODEL
D
D
D
D
NEW COMMERCIAL
COMMERCIAL REMODEL
COMMERCIAL ADDITION
COMMERCIAL REPAIR
D
D
D
D
NEW GARAGE/CAR PORT
NEW ACCESSORY SlDG
NEW SIGN
STRUCTURE DEMOLITION
Square Footage: DWelling:-=i
Garage: ~\
Decks:
Valuation
oot:.
0c>
Plan Review Fee
Permit Fee
Surchar e
Total Fees
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 prevented action from being taken. No
applicant shall be extended more than once. In order to renew action 0 application after expiration, the applicant
shall resubmit plans and pay a new plan review fee. Je
APPLICANT'S SIGNATURE:
ATE:
~ ~
PERl\1IT CENTER
'-l-'] g - 521 0
; g!,i;,~~~115~~t}~~~~{t11:i~t:;;'r~l~t?lr,::~~~J;:~:;J~:i,~.:t~~~~I:~~t;l~~:i1~;lli~i!-!i}1{~Jit~-~~~:,~ ;,!
Department of Community Development ::- 286 4th Street ,:- Bremerton ::- WA ::- 98337
(360) 478-5275 ::- Fax (360) 478-5278
RESIDENTIAL SITE PLAN RE\'IE\V QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this detemlination, please supply the following
information with a scaled and dimensioned site Ian.
Applicant:
Description of Proposal:-
7
Street Address (or street name if no address has been assigned):
Tax Account Number:
Critical A..rea Questionnaire:
1. Is there any standing or nmning water on the surface of the site at At-,TY time DYES &1 NO
during the year? If YES, please describe conditions:
'I }\ue there wet areas on the site? If YES, please describe: DYES ~NO
_.
., Is the site characterized as: D Forest 0 Cleared ~ Developed
.J.
4. Please give the"'overall slope of the parcel ~% and the slope at the building site ~ %.
5. Is the property ,vithin 200 feet of a shoreline? D \'ES ~NO
{,'\{"'.-
6. Will the proposed structure be aesthetically or functiona1l'/ dis'ruptive to DYES J:Sa' NO
surrounding properties, the neighborhood or the community?
See diagram explaining the slope calculation on the back.
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant aclmowledges that any action taken by the City of
Brernerton based in whole or in part on this application may be reversed if it develops that any such
statement or other information contained herein is false.
~~/
Signamre of Appl . .
3 - ;2.C-{j 3
Date
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REC~;IPT
*.~..**~........**...*.*w....*..*..*..**....w.....*..*..**.E~...
REC!l:t€"'X' l-i4li\'!tblllt': (I;,!U(j0316 A'iOO'.rn~;:
ta:t!hl>1l'l"l'l: M~thocl: CK Nl;\tnil:\n: $1'1tS
2$.QO 04/16/03 14:46
!1.lit: :aD
f'E1X1Il:H: No: 03'.01lJ5 'ZY:t'1$': BLl')(j:..~Z f)l.I:I{jIlIfECH/!?IcOO~CiIlER
$it~ Addre$~; 911 CC~AN ~V~
Total J!".1t~: 2~, 00
'i',.):tal M,l, l?lllh~ ~ ;CD. 00
ilJ$.1 "m<:.... : . 00
**...**..***.*.x.w~....~*..,.....**.....**..........*.......*...
J>,'i}c,;'l;1,;,,,j; Geid-<\1 D'')fiH:i.ipti.~n. Miount
16~~2?.lOOl (2211/ BurLolmo F!RM!T i~gs 2~c50
t'i4j.;;:::l7.:t3 (0236) ~~:rArE OJ!' VA SlmClfARGE 4.50
r.h;l.lll Pl:l:'f11l<\llit
28,01.;1
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BREMERTON PERMIT CE.NTER
286 4th St.reet" 8remerton~ lJ.4 98,3,37
Phone: (360) 478-5275 FAX:: (360) 478-5278
BUILDING PERMIT
Job Addr: 911 COGEAN AVE
Location:
Parcel No:
Permit No: 02-0149
S;tatu;3~ I::):::UFD
?ippHed: 04/()3/200;~:
I$;:~ued: 04/'03;/2002
Applicant: GATES MATT & PAULA 479-6833
911 COGEAN AVEBREMERTON WA 98312
Expires: 09/30/2002
!
Owner: GATES MATT & PAUL.A 479-6833
93,1 COGEAN AVEBREMERTON WA 98312
Contract6r: KITSAP LUMBER & HARDWARE INC 479-4414
450 NIHIOi~AL AVE BRE!'1ERTOr.j ll)i~ 9g31~:
Lie ji= I<TTStiJLH09306 Exl' :0J.-OJ,,;:004
Sl'bcontr:
Oesc: G~S FIREPLACE INSERT. GAS PIPING
********************~*************************r***********************.~********~************
Valuation * Permit Fees: 40.40 Tot~l Calculated Fee: 40.40
.O~ * Plan Check Fpes: _00 ~dditional Fees: .00
* Other Fees: .CO Total Permit Fee: 40.40
*****************************************%1****************************~*~*******************
l1f:r.;:HANICALI?LUI'13INGi FIXTURES-- MECH-l.locd/P",llet ~,toven.....: I. t"'ECH-(~$ PipinG! (1,~IU;;.l""b~)u,..~ 1
. . .
********************************************-********************~***********************.***
This p~YmHtshall bE'cC~l1e null and void if the b..! Udins '::>t' .("lod, alJi:hm i1:00 by thi$ p*ynl1 t i$ not. commenced l;-Ji thi11
180 d:ii\Y$fy(~ 'ct),? d",t,e' of such p';cymit" O~. if 'chis buildili'B or wo,'k autt)~')dxed by $weh pennii: i$ $llspenckd Ot'
abandoned at ",ani time il.fter t.!~fe 1,lOrk is cOlI1filenced for a p",Yi...::.d of t80 days.
"
NOTICE .. It. i,$ th~ Yf:$f-'OflSib:ility of 'Lh,,, Pi?YI'f:.i.t h(J.(:J,~y" t'K?f:. th",~ Ci I:>, c)f E\~'0m,;,d::on eN B<JUrlin9 Of'fid,sl 'Ct.,;; $~h'"
tQ j:l that t'0qJ.Ji'('i!'d in$poactir.ms ''1,<'(, i!l",-dw. Th;;. p('..ywit ho1,;i(,"( must rK?tif;' .the f!,'J.:lldi;'1fi Offi(;:\~d. ,.hen nl!:i'\d>' for
in$p-et::tj,OY1:!i" I Fa:LJuyE!' of t.h;s. p-tnTrdt ;"lc<1.de! to f'K)tify tt"'r~ P,',lild,i.n~;; Offi,cl;::;":.l of yequ.iv"ed i.ns.;.IE'ctjons may '(€'t!iiult'
in thi? ''!'toppa~ of t.he 1".10')'(\:: untU such t:\.i11~ t.h,o!.t, thi)! p""l'mi~; hold;?l' can ,~,1,lh",t.~i1ti$.tlZ' t.o toh.?;; bl.d Idj.Y1g offi.ei~il
.t::h:at- I~"th'? C:()Y1ce$,l~~d l~l)'(k rrr-E'et$:; I'Y C~:XJ:::$of."d$ CQI:fs- i"'a~qlt:i i",(,:!'fK.)nb~-$ ',-:'ny (J'~'fnf')l i.t:ic)'n~ te$t.irlg~ oy -f il1anc3.;3,l bl,rrch"?r1 i,;;hJ;;d 1
be b,\'ne d.inrctiY by thee pennH: holdeL Failun'& to ,.c,>l)l;:r,,,tanUo:t:f:' co.;jf!' r~cluin;'ment", v,El in:!@Olnli'Y t.he. City
$,~:laim:t. zmy ;,md Cl.ll ,ii."0Po\1:'3ibLl i.i:\" ()\," liabi, U l:i" o::;,,;;nn",ctod \.,):[ th t.hE.' ccn;il:nJctl,t:<n.
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:c he'dE'bY eel' i fl" tha, I hiJ,ve l'~d.d and eY-/':J\1:in€"j thi$ r,'eymi t and kry;rv..! th" """,me. to be t'r'u>& and C(1n',~ct" (~ll
pyovisie'1l:r-. of hilW$ . nd o:n'dirti,ilf'.ce$ \iiov<i&'r'ni11<:;j thi:'!, tYJ;,e ,)f 1,,)0\"1<; 1,.Jill b,,, c:(;.'ffiPlied wit.h t\lh,tthrjY $pecHied hwn~ili
O~. not" Th@ \71'<', .(,::;9 0 J1 permit dQe$ n61: P'('€."'iAlrn,~ to ~i\N;i m.itho'rit). to:. "diolate Ql' (:,;11:('1(:;:(,'1 t1-1$ pnNhd.l::tnso of
Oy 1(:1 J~:;7U);"l(i:~~Z,~~ty) L-,!:.j,:~n o\' Uri" pe,rr:,.(mi.l!f1cLe of C::'::YI~~i::iOOl'h '\ .'
(;~~'-/ L-~\5.7~ . !>ate: . ~)' a--,
cr--~-'........"--'-"--~-'~'- '''-'''- -.-..".--...- ... -- ,-,,-----=-'-..-.------~,---
~ c;,~:'ti:f~iI hat :r am ~)'efl~t from t,~)'l& r""qulYemerrclS (1\' th'iJ' state c,mt.raci;f;)'('S (e:.aLtltrat1orl la,,,I, tlncky'
:.:oed,lOTI t; Ch:i'\pta 1Z6" Jaws of B6l..
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;:;:~~~~:::~~:;:~:;:~:~~:~*~~~ ._._~L!l.J...._...___.__ Date :".,_.4:.:.3._::.."Q ~
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BREMERTON PERMIT CENTER
2864t.h Street." BremeTt.on" WA 98337
Phone: (360) 4,7$-5275 FAX; (360) 478-,5278
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Permit No: 02-6149
Status: 1:S~>UED
Issued: 04/03/2002
Expires: 09/30/2002
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Job Addr €J3S :
L()C,0t.i on;
i-'1ssr Acct No:
9LL CC)(?:EN,! tNE
REC)UIF<ED
1 N 5 PEe T ION S
"<,,'. "'.
Item: 01400 MECHANICAL
o,'~pt ~ 8LDG
Divit'SI.on:
***********#~****************************************~***************************
TESTING: Must be recognized by the Washington Association of 80ilding Officials
SPECINSP: tv'lust be regie:;;ter'ed with the state of ~JA Vi
ST OF WA: State of WA Dept. of Labor and Industries. 478-4921
HEALTH: 8remert6n/Kitsap Health District 478-5235
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ALL Ild';: Pr:::CT I Ie pt,;,c"r=~)DMe:f) 8v ~"HE C'T 'fY OF RC,f!:: ~,i,;:nTO"1 ML1C T Elt: ""('Lj""DLll ':;:r) TI-lR'OI j'::'I~' rtHbf
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PERtHT CENTEF, ('3, :j) ').78'-5275, . L '1/
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Cermit i~o: 0~-014?
Typ~;, t'~'t./~;'
!"fE i~':~l /PL B(, \~~~~.. ;.," tt I .~'
Site A,jdr~$S~ q'i~ (0r;~A~4 ~!V~
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~ECHANICAL PERMIT ~EES
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Type of Fuel:
Occupancy:
B Electric 3ar<0
~dential Commercial
I=:J Oil
o Propane
Site Address:
Contractor:
Address:
Y\tlh~l t;tVU
Phone
Contractor's License Number/Expiration Date:
No. TYPE OF EQUIPMENT No. TYPE OF FIXTURE
R.\J.'\l G E WATER CLOSET
''I-' WOOD/PELLET STOVE/GAS. ~P~CJJ- BATIITL'B
GAS FURNACE bru: - LAVATORY (bath sink)
I
CONVERSION BUR..l\iER bru: SHOWER
UNIT HEATER bru: KITCHEN SINK
BOILER bru: DISHWASHER
J GAS PIPING I LAL'NDRY TMY
r EVAPORATION COOLEiRS1bru=.- ."~\ r:;.~ n Ufl .. T CLOTIIES WASHER
11""\ ,/ ~ I,>. I''''
AC UNIT bru: jI.J J ~, c::.:! U \:J r ,--' ,1"\ \ WATER HEATER
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: HEAT PlJMP bru: 1111 APR 0 :i ( !~ lJRINAL
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I REI-IE.\T BOX bru: IU! DRL'\lKL'\lG FOUNT\il'\l I
i"lil')rnll!""'n""'- ~
AIR HANDLING UNIT bru: .......'m..111 UI~ ! FLOOR SINK OR DRAIN
BUll OINt. nr::Pll~'rj~nt::h1v
E,.....J.L:\CST FANS . . , ... . "" SLOP SI.0;K
RANGE HOOD (residential) WATER PIPING & ALTERATION
R.\J.'\lGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
CLOTHES DRYER HOSE BIBBS
I INCL"iERA TOR LAWN SPRINKLER SYSTE\1
DUCT ALTERATION SWLVL.\fING POOL
~. ........-.-
TAt'lKS type: BLDG. SEWER: (mobile~3l-ov-elfhouse) ~.---
:---'
REFRIGERATION UNIT ROOF DR.\INS ,//
OTIIER: OTIIER: // ,!YU~
.MECHfu~Ic..A.L FEES: //
PLUNffiING FEES: I
CITY SlJRGIARGE:
TOT~ ES:
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APPLICANT'S SIGNAT '
DATE:
VICINITY MAP
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BREMERTON
BUILDING DEPARTMENT
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,.., CITY Of PRIDE AND OPPORTUN/JY
CITY Of
BREMERTON
; ";:PERMIT CENT~R
'.,'" ,', 286 Fourth Street
Bremerton, WA" 98337
(360) 478-5275
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INSPECTION REPORT,
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PERMIT #: 02~ VI4Q
ADDRESS: q (I ' Ca:~4IV ~
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Schedule a reinspection when the above items are cor cted. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date: 10-7-03 Time:
. nllEMER'rON]~GilJ)ING llEltAlrrMEN'r
PlulubinglMecltanicallnspection Report
Scope Ofwork:C Clo i~~ I (,,r; ~~ Pennlt Nnmber: 011 --0 fCr
Address: '1ll ( O~d.'Y\ lcr:.l2J ij,):;/-t- p~", h(J7:0/J~
Contractor: J:>( diU I A A YIA~-VJ Pbone: 4/0, -441. 4- -. 4: iq- Ui
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GAS I)IPING
U nde.r te:'lt (lOpsi for 15 millu~es)
12. mini ilium hdo~r..~~~ wl!~~1 und~ollll(l
Grol\l;(I-joillt ullion~ lrohibilc(l in ceruin locuion,
Prol~~_~!.~ support
C?~~c0!wrarE.l_~I!.~~!~~oulI(1 or withih 6" of earlh
nushin 's not allo\W:d in conceak(l area,
COMMENTs:___/J.It2-_11 <<fi.'> ~
GASPIPINGAPPR~VI!D' ~_~~j.OrI FJ;03
t! V~';URNACE
Manufacturer's s~r'?ti.<?f~_~1 she ~.!iOl-'~~0~l'r.<?~t
Ckaranoc to combustihk, Vc~~~.$= dcarallce 10 combUSlib\c,
Vent si7.~]L & ,upport/collflectioIlS Vent tenninalion
Combustion air C"}m~~: liner and/or separate llu.es as required
Gas sllllt-off within 3' Pi.~t e1cvatetl off ~oor ~J_I garage
-----
Ducts: she & support/insulated when requiretl Return air
COMMENTS:
FURNACE APPROVED:
M.:a!.~_~_~urer', 'I'ccifiations on site ~t..~~~cces'.!...!~lj>l'ort
Cbrance to combustibles Vellt!.!.'!;: ~!allce to combuuibles
Vent shing & support/connections Vem termination
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C<>mbustion air Chimnc:r- 1~lCr all(Uor separate llu<:s as required
Gas ahut-off witlun 3' Wooel stove & fireplao:s: propu be:arth.
Wood stOVell: EPA 21'l.~ G~: sa.r~~~~t-iJff
Wood. StOVell & fireplaces: ti~t fining doofl Gas shut-off witllin 3'
MISC. APPLIANCES
COMMENTS:
MISC. APPUANCES APPROVED:
Manufacturer's specifications on site locatio~, acocss. support
Clearance to combustibles V(;nti~: cleaunce to combustibles
Vellt sizinR & support/connections Vent terminacion
Combustion air - .
C~nmey: liner and/or ~_rate llues u rer~red
Gas ,llUt-iJff within 3' Pilot elevated off floor i~ange
9ate valve o~.1tl water Sllp.,f1y Relief valve drained to.outsi(le '.
- --_.__._------~---
CoI)pet' to g:alvaniud co~moction. Uniona on water pip<:$
Seiamic str2p
WATER DEATER
COMMENTS:
WATER HEATER APPROVED:
:i (J3
ALL WORK UNDEll TIllS PERMI'll APPllO
,
.. .
B REM E R TON
. BUt L D IN. G
D E PAR T MEN T
PER M I T
=======~================;========,==================~=================
Applioation Date02/12j1993
Iss"e Date. 02/12/1993
Assessor Acct #'
Site Location . 911 COGEAN
Owner - Last Name PARSONS
- street 911 COGEAN
- City BREMERTON
~ Phone (206)
Tenant's Name
Agent's Name
Ar<:hitect's Name
[X] Building
[ ] Mechanical
[ J Plumbing
Application Number 93AP06287
Permit Number 14381
Project Group
First WILLIAM
MI S
state WA Zip 98310
Phone(206)
Phone(206)
[ J Grading
[ ] Move Building
[ ] Mobile Home
[ ] Sign
[ ] Burning
[ ] Land Cl ea,r
[ ] Paving
[ ] Underground
[ ] Demolition '
Building Contractor:
Contractor
,st reet
CJ.ty
Phone
Representative
'State License #
City License #
BREMERTON ROOFING
BREMER TON
(206)
BREMERI206P4
state WA Zip 98310
Expiration Date 10/23/1993
Expiration Dat.e
Nature of Work:
24 s~uares composition
Building Valuation
$4800.00
Council District 4 Census Tract
Cons t ruc.ti. op Sq Feet Inspections
Type \ Required
Residence [X] Zoning Foundation [ ]
Business [ } Type Framing [ ]
Other. [ ] Insulation [ ]
New [ .] Plumbi.ng [ 1
Repair [X] status Mecha,n.i ca 1 [ ]
Remodel [ ] Code. Wallboard [ ]
Addi ti on [ ] 5 Final [X]
-----------------------------------------------------~-------------~~-
-_.-0-(
'==========='=============================~=======:====================
Recei ved By: ~'/:it?" ~ /:J Approved By:
'.. --z,,~~}1--/ 4, ~.n-~
c). / / j-//Y ~
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B REM E R ~ 0 N
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D ~ PAR T " EN'
1,j:t:CEH)IJl# OH~~598
* ~hls fA Not A Pelmit *
Bid) d:Ln.g
6"'3?~:~ ,1001
j:;rt0rm:i t F'(,,'2'l't
$ 7 '2 . no
Arnmmt P?liN P);;1n Chli"ck ?'€'p'~~ lunC:Hlnt fir,) d
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f'(Olh l~'.. 1993
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$ ~ 00
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state sIr;
64.3<-'37.13
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Amount Paid
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BRBMBRTON BUIlDING DBPARTMBNT
Inspection Report
Scope of won: 24 sauares composition
Adclrea: q, ,r.ngp:m
CltvIle., William Parsons
Contractor: Bremerton Roofing
COMMENTS:
Pennlt NUDlber: 14381
Phone:
Phone:
FOUNDATION
FOOTINGS APPROVED:
WALlS APPROVED:
COMMENTS:
F'RAMING
dearmce to earth.
line
uitd,..nbl
uired
10'
APPROVED:
Insulation: r
ENIRGYCODICOMP~CI
COMMENTS:
UNDER FLOOR/FOUNDATION INSUlATION APPROVED:
WAll INSULATION APPROVED:
CEILING INSUlATION APPROVED:
MECHANICAL
.-<:oated
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beanh
COMMENTS:
GAS PIPING APPROVED:
OTHERAPPUANCFS APPROVED:
___FURNACEAPPROVED:_________
COMMENTS:
\
PLUMBING GROUNDWORKAPPROVED:_______PLUMBING ROUGH-IN APPROVED
SBEBTROCK
COMMENTS:
SHEETROCK APPROVED:
PINAL
aired
ted
COMMENTS:
FINAL APPROVED:
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ApplicaticM Numbe~90AP02840
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NE]..~::;UN c'S 1..IE:;,Y1 I NG
1723 PENNSYLVANIA
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CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
ASSESSOR'S ACCT. !I
lip
PHONE
IJELStJ
L-Z
Class of work: D NEW
MAIL ADDRESS
D ALTERATION
UCENSE NO.
o REPAIR
ag MECHANICAL
o PLUMBING
COMMENTS
No.
Type of Equipment
Fee
No.
Type of Fixture or Item
Fee
STOVES Gas_ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG._) Oil_
Wood add on_ Other_ Electric_
BTU &:>0,00 {)
Type: Up f1ow_ Down f1ow_
Horizon~ Wall_
CONVERSION BURNER: Gas_ (Nat._ LP ---l
Under100~OO_Over100~OO_
Oil_
UNIT HEATER BTU_ Gas_ EJec._
BOILER Gas_ Oil_ Electric_
Other_HP_ I ~
GAS SYSTEM Max. 5 outlet Total~
EVAPORATION COOLERS Roof_ Wall_
BTU_
AC UNIT Electric_ Gas Elec. Combo_
BTU_
HEAT PUMP Single Package_ SpilL-
Add 0"- BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF _ BTU_
FANS ExhausL- Supply_ Bath_
RANGE HOOD ResidentiaJ_ Comm._
ROOF DRAINS
CLOTHES DRYER nes._ Comm._
INCINERATOR
ALTERATION TO DUCT SYSTEM
Heating/Coolin9- ExhausL-
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._ Gallons
WATER CLOSET (lDILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISPOSAL
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR DRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BLACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Public_
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
I
TOTAL S ,
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS SUS-
PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
REFRIGERATION UNIT
I
PERMIT $ L
TOTAL FEE $ [
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AN:
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLED WITH WH8'H::"
SPEGIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR GANCEL THE PROVISIONS OF ANY :JTHE;:;
STAT: OR LOCAL LAW REGULATING CONSTRUCTION OR THE P:RFORMANCE OF
C -RUCTION.
~.
I DA7": ,
FINAL APPROVAL
SIGNATURE OF OWNER (IF OWNER BUILDER)
/DAiE:
RECEIPT NO.
CWhit~RIGINAL Yellow-INSPECTOR. Pink-APPLlCANTI
PERMIT
Sep ,27, 2002 4:06PM SILVERDALE EMERGENCY
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Sep .:7. 2G02 4:04PM
SILJERDALE EMERGENCY
~j 0 . '~ 2 J 9
"
'-'
I .
. ._.-.~.t'r
1800 NW MYHRE RD. SILVERD~LE.
PHONE: 360.331.8975
FAX COVER SHEET
TO: L/J lev-iu
FAX (,(PO) tf~7'1- S-d-12
PO-~L~ b~ks
FROM:
E~R~~e~u~rA~~
DATE:
~i;;. 7 !P ~
I
d-
PHONE:
PA.GES:
RE: }~:JU, /drh 7 J)c~VIYJl+
I t
cyJ,e:.f7.5/DI)
cc:
IMPO~TANT MESSAGE: '1"hl$ fax transmission Is InIEtI'\d.eQ for the sole use of the Itldividual and entity to whom It is <lddressed
and may contain Information that Is privileged, lwnfidentlal, and exempt frQrll disclot;u~ under applicable law. ,f you are not Inlanded
rocit)jent, you are hereby notified that ary disllemination, distribution or duplicatic:m of this transmission by anyone other than the
intended addressee, or their desIgnated agent, is $trietly prohibited. If you haYQ rtH.lelved this fax in error, p!r;;tSQ notify Harrison
Silverdal91nlmedialety bY talajll1ol1e and return tltll original fax transmission to us by first claS5 m~i1l)t the address shown. Thank YOll
MESSAGE:
IF THERE ARE ANY PROBLEMS REGARDING THIS TRANSMISSION, PLEASE CALL THE SENDER AT 360.337.8975
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING. DEPARTMENT
11518
PERMIT NUMBER
ADDRESS
OWNER
CONTRACTOR
911 COGEAN
BE'ITY PARSONS
PHONE
PHONE
Nelsons Heating
-
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
11. FOUNDATION VENTS
12. CRAWL ACCESS
. COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
-
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS 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
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER & JOIST SPAN
27. ROOFING, FLASHING, SHEATHING
28. SIDING
1. WIRING APPROVED
2.FOUNDA TION VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TR. MAT. NEXT TO CONC.
8. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAN
11. NOTCHING & DRILLING
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
18. SMOKE DETECTOR
19. SHEETROCK BACKING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTION
APPROVED BY:
'"--
2B INSULA liON
COMMENTS:
1. PROPER R-VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
~
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. '81 VENT SIZING
5. IBI VENT CLEARANCE
6. 'BI VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
HVAC APPROVED BY: A;/ K .
GAS PIPING APPROVED BY: t - t.( r q J
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
P PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
6. PROPER FITTINGS.
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
UNDERGROUND APPROVED
BY:
3
ROUGH-IN APPROVED
BY:
-w--
WALLBOARD
6. FIRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN A TrIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
1. LID OVER SIDES
2. NAILING I
3. W/A AT TUB OR SHOWER
4.5/8 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
4
FINAL
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS
5. DISHWASHER AIRGAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. FIRE DAMPERS INSTALLED
8. PENETRATIONS IN FIRE WALLS
9. HOTWATEA TANK PRL
10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
'3. FIREPLACE HEARTH
14. SAFETY GLAZING
15. INSULATION
WINDOWS MEET ENERGY CODE
UNDERFLOOA & ATTICE INSUL.
WATER PIPE & HE-A.T DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
FINAL PLMB. APPR. (comm.) COMMENTS:
FINAL MEeH, APPR. (eoll1rT1.) ~f-(k ,- Llwll( /
FINAL BUILDING APPR.