HomeMy WebLinkAboutCOTTMAN AVE., 1622
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ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
VALUATION:
Mechanical Fixture Fee
TOTAL FEES:
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB630P;~'~:4~'jl':'
DATE ISSUED: 09j2?/20P,3}igc:("',C
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478.5278
4546-002-023-0002
WRIGHT ROGER l & MIDORI M
WRIGHT ROGER L &'MIDORI M
KITSAP LUMBER & HARDWARE IN
09/22/2003
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$45.50 2215
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Inspection Requests
DCD: Building Inspections
l&l: Department of Labor and Industries
This permit shall become null and void If the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I her€ '- ., "..... -.., .c.. -- .M....~"... nv~~;"nrl. thlo nprmit "nd know the s~l!1g to be true and correct. All provisions of laws and ordinances governing this type of work
will be complied with wr", b . . iJ ~ ~ to give authority to violate or cancel provisions of any State or localloaw regulating
construction or the perf, lO _ /'~ 0 D A ;ertify that I am exempt from the requirements of the State Contracto~s Registration Law
under Section 3, Chapt' . " iew and approval prior to performing work. All building and tenant occupancy permits are
reqUired to pass final in' \p " j, )rior to use or occupancy.
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I have read, and agre
SIGNATURE OF OWl
AGENT:
PRINTED NAME:
City of Bremerto
regulations doel
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SF-3
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1622 COTTMAN AVE
1622 COTTMAN AVE
1622 COTTMAN AVE
450 NATIONAL AVE S
(360)479.4414
APPROVED:
EXPIRATION:
03/20/2004
</-~Cf ~ ~.~~~;~<-'~: '; ~':::-;: '>~~~ " ;':}j< :~~;~(~:\~>; ~~~',
Mec~a,nit:all~l~m!:>in9.~;?rlj.;it
FREE-STANDING GAS FIREPLACE, GAS PIPING
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
@ hVV\
+'\ \ \ D'J Du A 1
OV\ ,M DVld,~
CQJLQ - '16\ l83 b-
(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
DATE:
NS ~
:ity's regulatory jurisdiction, and thus compliance with City
itate laws.
j Clean Air Agency (Clean Air Agency) and
/equire an asbestos survey be performed to
york area or structure, The asbestos survey must
:cept renovation or owner-occupied single family
1. Prior to pe
Washingtc
determine
be conduc
residence~
2. For more I __._ .__ ,ir web site at www.c1eanair.org or by phone at
800-552-3565 or 206-689=-40'58',-TneT&1 WeD slte-can De IUUII\:rOl www.lni.wa.gov/p-ts/asbestos/asbestos.htm.
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Mechanical
Page 1 of 2
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 'l2139,~ ;o;g~S:,4:;':{~"i;
DATE ISSUED: 09!2~7?903~:
286 Fourth S1. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
4546-002-023-0002
WRIGHT ROGER L & MIDORI M
WRIGHT ROGER L & MIDORI M
KITSAP LUMBER & HARDWARE IN
09/22/2003
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SF-3
(360)479-4414
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
EXPIRATION:
1622 COTTMAN AVE
1622 COTTMAN AVE
1622 COTTMAN AVE
450 NATIONAL AVE S
Qty
Description
03/20/2004
APPROVED:
FIXTURE LIST
Qty
Descriptior
Gaspipe System LPG/NATL/OIL
Fireplace-Gas, or Gas Log Insert
Page 2 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
BDD0000823';~!;
_\ r,), o. ~'-.- '.', ~~'l' i"<:' ::'
286 Fourth 51. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
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'Rec~i ptDat~: """~"'~""", 2""",~, I,'""~,.,.,, 0."0,.",),',,',.,\,,, e;'
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Pa~~rll:~'ayee Nfamei1V' W-RIGHT ROGER~:t.: & MIDORI-M.',:- -
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'.:~,~~~7J.:,;~I.~:;:~~"',i~~~:jJ::;
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8803 00554
Total:
$ 45.50
$ 45.50
$0.00
Mechanical Fixture Fee
1/2215
$ 45.50
,; ):~:::i.t,~f~';,j;;~i~;:;'? ' 'R'" "'". ,- 'Pc' t H' 'f' C<'
~R~J~jR~!ij:;:\;;~i~j&'~fu,::!if<i~~~~s~~ti'J!;;is~&:;: ..
~~,~~~B~i~{t{:C}~~~i'3~i~~~t~~.,~?:
CHECK 3386
"1{~i:c?);t~?!~~(<
$ 45.50
$ 45.50
Total:
Page 1 of 1
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
*,,,,s..~~*,~~" 'l(,>,"<>e
PERMIT NUMBER :B~p2~ltg005~J~:i\
DATE ISSUED'. 09/'2<2' /2003',;;;7'v?,,'1;
~ '.1" > ,~3M8.',:< ' ,
286 Fourth S1. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
.\
ASSESSOPt NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
4546-002-023-0002
WRIGHT ROGER L & MIDORI M
WRIGHT ROGER L & MIDORI M
KITSAP LUMBER & HARDWARE IN
SUBMITTED:
09/22/2003
VALUATION:
Mechanical Fixture Fee
$45.50 2215
,";~._, $45:50
TOTAL FEES:
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SF-3
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1622 COTTMAN AVE
1622 COTTMAN AVE
1622 COTTMAN AVE
450 NATIONAL AVE S
APPROVED:
~,
FREE-STANDING GAS FIREPLACE, GAS PIPING
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
I This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
heen suspended. 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 provisions of any State or localloaw regulating
construction 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
under Section 3, Chapter 126, 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 pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
?
PRINTED NAME:
including all conditions of zoning, building codes, and State and Federal laws.
CONDITIONS
City of Bremerton's ~ proval of this application pertains only to the City's regu,at7 jurisdiction, and thus compliance with City
regulations does nt necessarily ensure compliance with federal or state laws. .
1. Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and
Washington Department of labor and Industries (l&l) regulations 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 ).
2. 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&1 web site can be found at www.lnLwa.gov/p-ts/asbestos/asbestos.htm.
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. .
Mechanical
Page 1 of 2
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BBO.3', o~'~ilil
DATE ISSUED: 09/2?I~Rq~2~t
286 Fourth SI. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
4546-002-023-0002
WRIGHT ROGER L & MIDORI M
WRIGHT ROGER L & MIDORI M
KITSAP LUMBER & HARDWARE IN
09/22/2003
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
APPROVED:
SF-3
(360)479-4414
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
EXPIRATION:
1622 COTTMAN AVE
1622 COTTMAN AVE
1622 COTTMAN AVE
450 NATIONAL AVE S
Qty
Description
03/20/2004
FIXTURE LIST
Qty
1
1
Descriptior
Gaspipe System LPG/NA TLlOIL
Fireplace-Gas, or Gas Log Insert
Page 2 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
80'150000823:
~im~t:~:~f{~'~~,~i.~< ,<
286 Fourth Sl. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
7<1'.111~,. ,...~.,,:.,.; .
"'_~" ,j<',~~ii"
PayeJ'Z~!:!yee NarJ:Ie:
:.<~,:'?@:~~t/: 'I"" "f1I~:\,
8803 00554
CHECK
$ 45.50
$ 45.50
3386
Total:
:. 'J!lf
'gil1lal Fee"
ni:Uflt~!;::
.' .1.,,,,
$ 45.50
Total:
$ 45.50
$ 45.50
$0.00
Page 1 of 1
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PERl\1IT ER
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Department of Comn-mnity Development 'c 186 Ljili Street ::. Eremertol1 ;;- 'S'/A ::. 98337
(360) 478-5275 ;;- Fax (360) 478-5278
I 0 I MECHANICAL illJ PLUJv[BING
Type of Fuel:
Occupancy:
Site Address:
Electric
Residential
CONTRACTOR: ki
Address: 4.37/
City, State, ZiP:/J. _
License # & Exp. Date:
Contact Phone #:
NO. \ TYPE OF EQUIPMENT
I P-AhJ GE
I WOOD/PELLET SID
GAS FURNACE btu
CONVERSION BURNER:
UNII HEA I ER btu
BOILER btu
GAS PIPING
o Oil
~ Propane
NO. TYPE OF FlXTURE
AC UNIT btu
HEAT PUMP btu
REHEAT BOX btu:
EXHAUSTFANS
RANGE HOOD (RESIDEt-lTIAL)
PANGE HOOD (COMMERCIAL)
CLOTHES DRYER
lI~CINERATDR
DUCT AL TERP.IION
I TANK TYPE:
REFRIGEP-ATIOI~ UI~]T
o I HER:
/JIECHi'.t~ICAL FEES:
PLUIJiBII~G Ft:ES;
TOTi,L FEES:
--.~..
I WATER CLOSET
BAIHTUB
KITCHEN S
I DISHWASHER
LAUNDRY .I RAe "
CLOTHES WASHER
WAI ER HEATER
URINAL
DRINKING FOU/-JTA1N
FLOOR SINK OR DRA.IN
WATER PIPING &ALTERATJON
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWi--J SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWe:R: (MOBIUMOVE
I ROOF DPAII'-lS
OTH ER:
9-:<~- 6S
Date
VICINITY MAP
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SEP 2;; 2003 @
BREMERTON
BUILDING DEPARTMENf
llllEMEItTON BUILDING DEl:lAItTMENT
plwubinglMechalllcallllspectioll Ueport
Scope of work: ;(.;t. e-d----.,-- . Penult N;gb~1J 3?trzSSF-
Address: . . , . oWller:-t~4 , ~. ~ "6/11
conlractor:~S.?f L--U4Y\h<Li_ Phone:' , -7 .,', ;, rl3J;;,o-
GA..~ I)lllING '6 J
Under ~[(10p~~~21illU~e:3) Pro~~.!Lzjng & sUPl'ort
12" minimum hclo~a(l~ whe,., und~oufI(l COaLcJJWr:lllp<<1 when lInJcl1;row,d or withih 6" of earth
G rolll;d-joillt ulliom I'rohibile(l in certain 1000tiom nu;l;ill~' 1101 allowed in collGCabl :uea!
COMMENTS:
GAS PIPING APPROVED:
FOllNACE
M;u,ufacturcr's~liGltions 011 she Loo.lioll, aCCJe:3" su.pE-ort
Clearano:: to colllbustibk, Ve~ltiH~: clearallcc 10 combu,ciLb
Ven I , i zj !~IL~_:lU p ponJ col1nccti OilS Velll lermina.lion
ComlHl,uoll air Chiml!sy': liner alldJor separale flUt3 as required
G:L'l ,hul--off widlin 3' Pi}ol ekva.I<<1 off floor i_1l guage
--.---
Duct,: ,iu: & mpporuin.'lUlaled when required Rc:turn air
COMMENTS:
FURNACE APPROVED:
MISC. AlJIJLIANCE8
Ma.llufacturer'~ 'pecil1ations 011 ,he Loa~oll, acces,. ,ul'.I!ort
C!e:u:I.I\CC to coml)U,tib~ Velll!_'.l_~~r;ulce 10 combu,tih~
V ent shill~poru collnections Vent lermination
Combu,tioll air Chimne . liner al\(Uoc scp:uale flUC5 :LJ requ.itcd
G;J.!j ,hul-off wilkin 3 ' W(){}(lstuve & fi~laces: propel" he:mh
Wood. slaves: EPA Jj'f..rvvcd G:l! 101;1: n!ety !hut-Qff
Wood. 9tovOl & ftrepba:s: ught litting doors G;u shut--off within 3' .
COMMENTS:
MISC. AIJpUANCES APPROVED:
Manur:lcturer's sp<:cifiations on site L.oca.tion, "~Sl support
Clearance to combustibles V(;nti~: deaunce to cornbustibk3
Vent shinR & 8upporuconnections Vent termill4lUon
u,mbuffuoll :Lir ClLimner- \.intt :mJior 8epUale flues U roqu.irod
G:L'l shut--off withill3' Pilot ekvatcJ off floor in g;u-age
Gale valve on coM wa.reF mlT.ly Rdier valve ur:JneJ 10 olltsiue
CoPP<< to R"IV3l1iuJ u>rmectioJ\l Unions on water pi~
Sd8mic Bln.p
WATEII DEAI1EIl
,",.;
S fir (/~(-I-/ Ci;{
-r~ ~r-&oV-(
~
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COMMENTS:
WATER HEATER APPROVED:
ALL lVORli UNDEll THIS P'j)l~U'll A1).)ltoVED:
'"
'!
BREMERTON PERMT.T CENTER
286 4th Street, 8remerton~ ~A 98337
Phone: (360) 478-52.75 PAX: (360) 478-5278
BUILDING PERMIT
Job Addr': 16::?'2, COTTMAN AVE
L"Dca t :l em: ' 1. 1.>;;'12 COTTMAN AVE:
Parc~d Ne):
Permit No: 98-0511
Status:: ISSUED
Applied: 09/04/1998
Issued: 09/04/1998
Expires: 03/03/1999
" Appl lClfmt: WRIGHT I ROGEI~ 360'-:'~I7?'H11.1
1. 622 COTTMAN AVE 8REMEJ<TON I WA 98~) 12
"Owner:: WRIGHT. fWGEt~ a60-::r77"~Blll
1. 6~~~~ CrnTMAN AVE 8RFMEFfI"ON, WA 9f3~:112
Contractor: KITSAP LUMBER & HARDWARE INe 479-4414 Lie #: KITSALH09306 Exp: l/01/99 '
450 NAT WNAL AVE Bf~EMERTClN WA 98::11 2
Sl.lbcontr:
Der;ie: t~AS UNIT 1-1I:::ATER AND PIPING
*********************************************************************************************
ValuatIon * Permit F'(:~eB: ~~9.7() Toted Cii11cl.11ated Ff.:'l(:'~: ~:19,,70
,,00 * Plan Check Fees: ,00 Add:i.t ional Fee~B: ,,00
* Oth(~r Fees: ,,00. Total PermJ.t Fee: 29,,70
*********************************************************************************************
MECHANICAL/PLUMBING FIXTURES.,.. MECH-Uni t Heatelr..".........: 1 MECH-Gas Piping (out lets)" ..: 1
*********************************************************************************************
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 ~mspended 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 required ir~pections 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 inspection€l may result
in the atoppage 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 demoHtion, testing, or financial burden shall
be borne direct ly by the permit holder. Fai lure to substant iate code requirements will indemni fy the City
against any and all responsibility or liabi Uty 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
provisioTls of lawF.iand ordinances governing this type of work will be cOlllPlied with whether specified herein
or not. The 9 anting of a permit does not presume to give authority to violate brcancel the provisions of
any other stat or loeal law regulating construction or the performance of construction.
Signature: " . DateH."_"i::-_:(=L,~~~,__________
, ,
I certify that! am exempt from the requirements of the state cOTltractor's registration law, under
Section 3, Chapter 126, laws of 1967. . .'
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BREMERTON PERMIT CENTER
286 4th street" Bremertonl1 WA 98337
Phone: (360) 478--5275 FA,,),': (360) 4.78-5278
",
Job Address: 1622 COTTMAN AVE
Location: 1622 COTTMAN AVE
Building Permit No: 98-0511
St at u~\~:: I SSUE:D
Issued: 09/04/1998
Expires: 03/03/1999
A*:.~(~~Y" Ac~c;t Nc)::
H E (;~ U I I:~ E: D
INS P E C T ION S
Item: 01400 MECHANICAL
D€;!pt::: BL,DG
01 v :1, fl._:1. 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
HEALTH: Bremerton/KitsBP Health District 478-5285
ALL INSPECTIONS PERFORMED BY THE CITY OF BREMEHTON MUST BE SCHEDULED THROUGH l'HE
I~I=I~M.I'.I. ('I=N.I.I=I~ (?((')) ~'7.Q-=?'7-~
,'" "\ . , .~ .,.. .." "\ Ii '''~ c:) . 11"1 C..') ~.) k., ~,) I<
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. PERMIT APPLICATION....
FAX: (360) 478-5278
. --' ..
CityofBremerton;WasJUngton 98337 ,Phone: (360) 478.:.5275.
MECHANICAL
o
APPLICANT: 0' OWNER D CONTRACTOR D OTHER:
..PLUMBING
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COMMENTS:
CONTRACTOR: k, fSClA
,
tCl rr ;C1 A /l/
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/.
1- tI j/( / ~-Y'"
/1/; filft: II~Art7 /l/
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SITE ADDRESS: I h L :L
OWNER: ;f.(I'qer l-
,
ADDRESS: /~vf.J...
ADDRESS: i5'?'
i!o4t'U1 At/' / ,tln&~/~n
/
6 I/ClJ'1 a / /1;/ S
CONTRACTOR LICENSE #
OWNER PHONE # (3~cV 3? 7 -r/I/
EXPIRATION DATE:
CONTRACTOR PHONE # pll 'l-/f/f/ l'
NO. TYPE OF EQUIPMENT . . FEE NO. HTYPEOF FIXTURE .. .,': .'FEE
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
GAS FURNACE btus: LAVATORY
CONVERSION BURNER btus: SHOWER
I UNIT HEATER btus: KITCHEN SINK
BOILER btus: DISHWASHER
I GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btus: CLOTHES WASHER
AC UNIT btus: WATER HEATER
HEAT PUMP btus: tons: URINAL
REHEAT BOX bt'u s: DRINKING FOUNTAIN
AIR HANDLING UNIT btus: FLOOR SINK OR DRAIN
EXHAUST FANS SLOP SINK
RANGE HOOD (residential) WATER PIPIING & ALTERATION
RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
TANKS type: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
MECHANICAL PERMIT FEE $16.50 PLUMBING PERMIT FEE (15.00 or 4.50)
MECHANICAL FEES:
PLUMBING FEES:
CITY SURCHARGE:
. .. TOTAL FEES:
~PPLICANT'S SIGNATURE'~-
#'
DATE: 7:-- -i-51 Y
pmapp.dot revised 4/23/97
PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
360-478-5275
II
INSPECTION REPORT
II
PERMIT #: q 0 CJ <;:( I
ADDRESS: I ~z -z.- Gv-ff-~
'fJ 0 -r Hrir t? 7/~ct , 51vve- ~ ,-",f-
~~~ b rr;t/f2- ~P./+ i~ u reel
arf!/~/ -(i'\ 6~5~, Z- o/~;/d:-~ c:;
Uv.- be- (=--____4.) -10 ':;('1(~ c?,t'~
U/ ~ 60ft.... Q..v{ OlA.. ~~ ~___
be
6~
I
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Schedule a reinspection when the above items are corrected. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date:~ I it 'i ~ Time: (l '. t{
,
SIv
INSPECTOR
..
BllEMElrrON BUILDING DEIJAlll'MEN'r
PlwnbinglMechanical Inspection Report
Scope of work: Gas unit heater and piping
Address: 1622 Cottman Ave.
Contractor: Kitsap Lumber & Hardware
Penult Nwnber: 98-0511
Owner: Roqer Wright/377-8111
Pllo.te: 479-4414
. "
Unde:r le9[ (IOp,i for 15 minu~) J>rop!'~i_zing & ,uP.P~~
12" m}ni mum hc:lo~s:.~.~ wlael! und~oUllCl Co~~~I!wra.fE.1 when unde:rgrowld or widuh 6" of earth
Grouml-joint unions I'rolaibile:(l in certain locatiol" Bushings not allowed in conccak(larea,
GAS I)IPING
COMMENTS:______
GAS PIPING APPROVED:__~ _~ t....h,/
FURNACE
MaJ,uIacturer', ~fiClti!?n' o!.' ,ice: Loalio~l, aCce!ls!!~'pp"~r:.[
CkuanQC to combustihks Ve:~l!illg: dearance to comhu:itihb
-------
Ve:nt sizi!.$.. & support/connections Ve:nt termin...lion
Combustion air CJlim~~: liner and/or separate flu.c:s as required.
Gas slmt-offwithin 3' P~lot e:kvat(:(1 off ~oor ~l garage:
Ducts: ,he: & ,upJlortliruulated when required. Return air
COMMENTS:
FURNACE APPROVED:
M:&.nu~~urcr's sl'c:cillCltions on ,ite: L>ca~~~~c.cessJ s~Hott
Cleuancc to combustihb ~ Vc:nl}.~g: ~rance to combustihb
Ve:l1t Si1~~lg & su.pportlconncctions Ve:nt te:rminalion
Combuslion air Chimney: liner all<<Uoc separate: flues as required
Gas shut-ofT wittun 3' W()O(I ,tove & fireplaces: propel' hearth
Wood stova: EPA al'.f.roved. Gas logs: safety shut-ofT
Wood stOVOl &: fireplaces: tiglct fitting doon Gas slcut-off within 3'
MISC. APPLIANCES
COMMENTS:
MISC.~;;ES APPROVED:
Manufacturer's ~pecifiCltion' on site Location, aC()C:$s, sU.EI)Ort
ClearanQ: to combustibles Vellt~: dc:aranoe to combll5tihles .
Vent sizing & lupport/connections Vent termination
Combustion air ClUnmey: liner utdJor leparate flues u required
Gas sllut-off wit.llin 3' Pilot c:kvated off floor in g~e
Gate: valve on coM watei- sup.r.1y Relief valve drained to olltside
cOppea- to galvanized co~moction. -.--------
Unions on water pipes
Seismic strap
~~
WATER DEATER
7'.2z.,,9r'
COMMENTS:
WATER HEATER APPROVED:
/'
ALL WORK UNDEIt TIllS PERMI'l' APPltOVED:
tJc-'\ 11/Nt'4vec!
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