HomeMy WebLinkAboutELIZABETH AVE., 1531 a t;
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. B R E M E R T 0 N B U I L D I N G D E P A R T�"1 E PI T
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Application Date 12/13/1995 Application Number 95AP091.74 '
Issue Date 12/13J1995 Permit l�umber 16771
Assessor Acat � Project Group
Site Location 1531 EI,YZABETH AVENUE ,
Owner - Last 1Vame RASZLER First SCOTT MI
- - Street P.O. BOX 2434
� - City � BAINBRIDGE ISLAND 5tate WA Zip 98110
- Phone (206) 842-6104
Tenant"s Name . � Phone(206) °
Agent's lYame Phone(206) -
Architect's Naane
[ ] suilding [ ] Grading [ ] si�n � [ ] Pavinq
[X] Mechanical [] Move Building [ a Burning [].Underground
[ ] Plumbing [ ] �Robile Hame [ ] Land Cl.ear [ ] Demolition
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Building Contractor:
Work wil'1 be compl�ted by owner.
P1a�ure of Work: .
Mechanical �ermit.for gas furnace, piping.
� „���
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Cauncil Di�strict Census Tract
Construction..�- Sq Fe�t Inspections .
Typ� �,�_, Required
��;.
Residence [X] Zoning y �.:� Foundation [ �
. �" Business j ] Type ,a ° Framing [� ]
other [ ] ��� 4. Insulation [ ; ]
New [ ] � • Plumbing [ ]
� Repair [ ] St�,t�s;, ' �' �� Mechanical [X]
Remadel � ] Coi3,e���� ;� Wallboard [ ]
Addition [ ] Final [X]
� ` .�,v
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Received By : ��� G. �PProved By : � ��
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B�Z E M E R T O N B U I L D. Y N G D E P A. R T T E N T
T�! E C H A�i I C A L P E R M I. T A P P L I C A T T O N
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Application R1um}aer 95AP09174
Contractor � RAY'S HVAC
Street 1215 IVY�RD
City BREMERTON
Phone (206) 377-5005 State WA Zi.p 98310
Representative
State License # RAYSHI*130D7 Expiration Date 02/41/1996 �
City License #� Expiratinn Date
Stoves �
Fire Place Inserts � X
1 Furnaces
Canversion Burners '
Unit Heater
Boilers �� ,
1 Gas System: Max 5 Outlets
Evaporation Coolers
Air Conditioning Units
Heat Pumps
• Mixing or Re-Heat Box Y
Air Handling Units�
Fans
Range Hoods
Clothes Dryers
Inca.n�rators
Duct Alterations
Tanks
Refrigeration Units
Other Items
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APPLICANT � OWNER � CONTRACTOR n OTHER:
i f�.�
COMMENTS:
SITE ADDRESS: f� 3 I ��,� 2G.� P� �U �
OWNER �C'.� � �Ot S z/ 2/Z ADDRESS: �' U' �� x�D J y
CONTRACTOR: ICG�U�S �7' U� ��N L ADDRESS: �� IS �U�-1 ��il
CONTRACTOR LICENSE # I21� �S I"� 1' I�� I EXPIRA.TTON DATE: t'� � /�o
OWNER PHONE � � � � — �O � D � CONTRACTOR PHONE � 3 7 7 ` J��� -�
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RANGE WATER CLOSET
WOODlPELLET STOVE BATHTUB
� GAS FURNACE bru's: LAVATORY
CONVERSION BURNER bru's.� SHOWER
UNIT HEATER bru's: HITCHEN SINK
BOIL.ER bru's: DISHWASHER
G�S PIPING UUNDRY TRAY
EVi�PORATION COOLERS bru's: CLOTHES WASHER
AC UNIT bru'r: WATER HEATER
HEAT PUMP bru's: so„s: URINAL
REHEAT BOX bru's: DRINHING FOUNTAIN
AIR HriI�iDLING UNIT btrc's: FLOOR SINK OR DRAIN
E.�-iAUST FANS SLOP SINK
RANGE HOOD (residenuat) WATER PIPIING & ALTERATION
R.��iGE HOOD (commercial) GREASE TRAP/INTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTE�vI
DUCT ALTERATION SWIMMING POOL
Tr1NKS e: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER OTHER:
MECHANICr1L PER'4IIT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50)
MECHANICAL. FEES: a�• S 0
PLUMBING FEES:
CITY FEES: 5.00
TOTAL . 5 —
APPLICANT'S SIGNATURE: DATE: � Io -s
• ` �������1 � �E,fi�����F �frr����1�1��I
�� Brsnrertrta N�asktin�o�e 9831U Phon� (�t163 .f?&527� �� (�06� 4T�S27�
- 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 pemut is
suspended or abandoned at any time after the work is commenced for a period of 180 days.
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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 financial
burden shall be bome directly by the permit holder. Failure to substantiate code requirements will indemnify
the City against any and all responsibility or liabiliry 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 authoriry to violate or cancel the provisions of any
other state or local law regulating construction or the performauce of construction.
r � �
/� S
Signa e Dat
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 Date Permit Number
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. P�rn�i t�"ees Arn+��ry t P�a.� �� an ��t�v.k �'e�� A�io��at F�:i�
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t�v�z P��rm�z2� $ � , OC3
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� BREMERTON BUILDING DEP�IRTMENT
. � � • Plumb�ng/Mechanlcal Inspection Report
Scope of work Gas furnace, piping Perm�t Number: 16771
Address 1531 Elizabeth Ave Owner Scott Rasz� er
. COIItI'ACTOI': Owner Phone 206/842-6104
GAS PIPING
Undu oesc (lOpsi for 15 nunuas) Pro aiti & su
12" minimum belaw nde whrn un round Coatedlwra when un row�d or within 6" of euth
Ground-joint unions rohibited in acrtain locations Busltin not allovwed in concealed ac+ea�
COMMENTS•
GAS PIPING APPROVED:_
' F�RNACB
Manufacxurer's s 'fiatia� on site IAC'3[IOR� 1COCS9� 9LL ort
Ckaranae to combuscibks � Vrnd : ckaranoe to combustibks
Vcnt sizin & su ort/connections Vent termination
Combusuon air Chim . Gner and/or se arate flues as uired
Gas shut-ot�wichin 3' Pilot ekvated oE� tloor in e
Duccs: aiu & su rt/insulated when wrod Return ur
coMMFavTS:
FURNACE Al'PROVED:
MI3C. APPLIANCBS
M1IILL�1dLL[t[ 9 9 'fications on yite I..00'1U0I1� 1CCCS9� 9U O[[
Clearauice to combustibles Venun : ckaranoe to combuatibks
Vent sizi & su ordcoru�eationy Vent termination '
Combusrion air Chim . linec and/oc se arate flues a9 uired
Gas ahut-of�within 3' Wood stave & 6r la«s: ro hcarth
�00� 9CQVC9:' a [WCd G39 � : 9 9�LLL[-O�
Wood atwes & fire lacea: ti ht fitd doors Gas ahut-of�'within 3'
COMMENTS:
MISC. APPLIANCES APPROVED:
WATBR HBATB�t
Manufactur�r's s 'fications on site Locarion, acass, su orc
Ckaranae to oombusribks Vend : ckuanoe to combustible9
Vent sizi & au ort/aa�u�octionr Vrnc termimrion
Combusdon air Chi . Gner and/or arace 8ue9 as uired
Gas shut-ot�'within 3' Pilot ekvatod oE�'tloor in e
Gate va}ve on cold vrater su ReGe valve dninod to outside
Co to alvanizod coiu�occions Unions on vriter i
Seiamic atra
COMMENTS:
WATER HEATER APPROVED:
ALL WORK UNDII� THIS PFItMiT APP1tOVED: �'��-
/ 3�g�,
BU I LDI N r� , N° 1524 A
G ERMIT
City of Bremerton, Washington
Phone: (206) 478•5281
OWNER'S VALUE BLDG. DEPT. VA�UE PLAN CHECK FEE iiECE1PT NO. PERMIT FEE RECEIPT NO. DATE
$ . t� 'r $ '— — $ �'— � / I� ��'7�l
SITE ADDRESS I LOCATION I S�J � � L d�Z�A�l��1I"� /T/4X� 35�� "D�3 "'��� "C�� �
OWNER'S NAME �MA�IA �• ��Q�LKSOI�I ADDRESS PHONE
CONTRACTOR � STATE CONTRACTOR'S LIC. #
ADDRESS PHONE
RESIDENCE ❑ BUSINESS ❑ NEW REPAIR ❑ REMODEL ❑ ADDITION
PLANNINGIZONING FIRE ZONE STORIES OCCUPANCY �
THIS PERMIT ISSUED FOR: ���q (L -� ��� � �� (�pQ �
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 Plumbing ❑ Electrical ❑ Wallboard ❑ FINAL �
INSPECTION:
FOR INSPECTORS USE ONLY: REINSPECTION:
TYPE OF INSPECTION DATE TIME PPROVED APPROVED COMMENT DATE TIME APPROVED
FINAL INSPECTION APPROVED BY
Bullding Inspector
ISSUAN CUPANCY CERTIFICATE REGIUIRED BEFORE OCCUPYING BUILDING
�"
OWNER'S SIG BY
Auth Age
BUILDING DEPT.
. C