HomeMy WebLinkAboutADELE AVE., 633
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BREMERTON PERMIT CENTER
286 4thStr~et* Bremer ton * UA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
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Job Addr: 633 ADELE AVE
Location: UNIT B OF A OUPLEX
Parcel No: 3783005-006-0000
Applicant: PETERSON, OENNIS M 275-0596
860 E TRAILS ENO DR BELFAIRWA 98528
Permit No:
Status:
Applied:
Issued:
Expires:
00-0477
ISSUED
09/29/2000
10/02/2000
03/31/2001
Contractor: SELF
lie #= SELF Exp:
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.Owner~ PETERSON. DENNIS M 275-0596
860 E TRAILS END DRBELFAIR WA 98528
Subcont r:
Oese: FIRE OAHAGEREPAIR TO RES. (DRYWALL, PLBG, MECH)
,
*****..*****s**.............*************.**************...**.*...**._*...**...******..**.**.
Valuation * Permit Fees: 152.00 Total Calculated fee: 210.61
2,500.00 * Plan Check Fees: 54.11 Additional fees: .00
Ji * Other Fees: 4.50 Total Permit Fee: 210.61
*******************.*********************)1(*****************************************llOk********
MECHAN!CAl.(PLlJMBING FlXTURE5-- MECH-Ex~ust Fans..........." = 1 PLBG-6atht.ub.. ............ . .. : 1
PlBG-l.ava:l;Onl."" " ~......."". .,a 1 PLBG1':;itchen Sink,..",....... ~ 1 PLBG-Floor Sink/Orain..".."..: 1
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This permit shall become null and void if t.he buildil"l9 or wor k authod:ted by this permit is not COfl1fnencedwithi n
1$0 days f rom the datlll! of such permi t. or if this buildil19 0'1" work authorized by $Uch pe\'mit hI suspended or
abandol"Nro at any time aftey the work is COITlIll&ooed for a period of 1$0 days.
NOTICE - It il9 the responsibilit)' of the pli!'rmit holder, not the City of Bremerton or Buildins Official to $H
to it that yequired in$Pections are made. The permit holder Il)Ust notify the Buildihg Official when ready for
inspections. Failure of the permit holder to roUfy the SUildins Official of required inspections may yesult
in the stoppage of the work until such ti/ll& that the peYmit holder can substantiate to the buildinsofficial
that the concealed work /Il&et.s O\" e><c~ code requirements. Any demolition, testing, OY financial buyden shall
be boY\1e di yectly by the permit. holdeY" FailuYeta wbstantiate c.ode r-equil"e/ll&ntt\l wi 11 indemnify the City
asai1"\\9tany and all r6'$Po1"\\9ibility or liability connec::ted \41th t.he constructiOn.
I her~y c;eytifyt;hat. I have yead am eXaIlliMd thi-s p&ymi.t. and know the :MIlle to be tyue and correct. All
proviSions of lawe and ordinances gOvernins this type of work will be complied with whether specified heyein
01" not. The-'ii!;;:;iitil;:l of a permit does not pye$Ull'Ie to $live authoYity.lib violate or cancel the proviSions of
any at ate. - _~~LX-t::el'l$lt.-l".l,l!;V~OY the peYfOY~''lCi 0 7~l!' ~
. , _ Date. \' , I --
I c&Ytif'y that I am exempt from the requirements of the state cont\"actc.w's registyation law, u'f"ldey
~tion 3, Chapter 126, laws of 1967.
Si!;,mature I
lIt:~()IOk~*****)j(U**)f.*U*****.)f.** U. \ '~-5
Permlt Center--Approved By ~ _ ~
Pate:
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BREMERTON PERMIT CENTER
286 4th Street~ Bre~fton~ UA 98337
Phone: (360) 478-527'5 FAX: (360) 478-5278
Job Address: 633 ADELE AVE.
Location: UNIT 8 OF A .DUPLEX
Assr Aeet No: 3783005-006-00QO
Building petmit No: 00-0477
Status: ISSUED
Issued: 10/02/2000
Expires: 03/31/2001
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REQ.UIRED
r N S P ~ C T ION S
Item: 01400 MECHANICAL
Item: 01600 PLUMBING ROUGH-IN
Item: 01900 SHEETROCK,NAILING
Item: 02700 FINAL ---SLDG
Del=>t:SLDG
Dept.: SLOG
Dept: SLDG
Dept: SLDG
Division:
Division:
Division:
Division:
- .
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TESTING: Must be recognized by the Washington A$So.ciatlono.f suilding Officials
SPECINSP: Must be registe:redwith the State o.f ~JA
ST OF WAc State of WA Dept. ~fLabo.T and Industr~.s 478-4921
HEALTH: Sremerton/Ki ;tt:>sp' Health Dist r let 478"'-5235
ALL INSPECTIONS PERFORMED8YTH~ CITY OF SREMERTON MUST BE SCHEDULED THROUGH THE
. PEI~MIT CENT.Eff;--l:~~O) 47e";S275. . . .' ..... ..' .
**********1'-'*** * * ***~** ******* 'l.$:;'*****"J********** **********************************
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, . . int,ed,,:tO;102/00'1:1 :46 HECEIPT
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Type: SLDG
,". O()OO
6:33 AOE:t,E ~'WE:
UNIT B OF A DUPLEX
Total Feese 210.61
Total ALL Pmts: 210.61
Balence: .00
* *** ** *** *** * ***:>K **.** **** * * ** ***** **>f~****)j': ** ** ** ** *"****** * * *- ** * *
Account Code D~scription Amount
,,1001 ( 11) 8UH.:'.OING. Pf:f~MIT FEES 83.25
.16". .100'$ (22:U;,) ME(:HMUC{~L PEI::j(MIT FEt~:~s 3Q.75
16-322.1 (13) PLUMBING PERMIT FEES 38.00
64.:3 ,,1:1 ( ) STP,TE QF \.1('1 SUF~CI'!{:II~GE 4.50
F'ernnl t Nc.:
P2HCl'!d !'-"jo:
Sitfiil r:\ddY'€';$'1~;i
LOC.!;1tll..)n:
SLDG PERMIT W/HECH/P
Thi$ !:'.'a:>.tmf3Jnt
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HE:CEIPT
****************************************************************
IPT N~HJ'tb{;~j: ()()(iOOH<JO Amou nt r. 54, 11 09/~~';FJ/()O 09: 40
Pi71YHl$\'i't. 1'1ethod:: CK N()t~tion p<wt~r$()n ck I nl t: VJ.<J
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OQ'~04 7:7 'tYf':\f~: BLDG
3783005-006-0000
j;\()ELE AVE
UNIT B OF A DUPLEX
Total Feesl 210.61
Total ALL Pmts= 54.11
Ba18nc$~ 1 .50
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(~CGOutlt. Codl!:'i Oeser lpti<')fl Amount
16-345.8300 (4580) BUILDING PLAN CHECK FEES 54.11
p~J),.rnit No~.
Parc$l Nc):
I t~ JI\ddr<:;,!$s:
L OC;;;! t i {) n :
BLDG PEI;;MJT W/M€:CH/P
Thi$ F"Bt}{ment
(.,4 .11
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-.01-77
APPLICANT: DOWNER DCONTRACTOR DAUTHORIZED AGENT
tAM ,"f- H- g-
;:)--ve -c . Tax Account Number: 3 ? ~ e; os 00<6
Site Address: &J ~ Ii c{.~ (~
Owner: 7?E,r..5)0 t c::::, t-\..
~aC)
Contractor: ~S.e . I ,t;;-
M.,l5rc ~6IJAddr~rr~ -nq~'.f;./ //J
. Address:
Contractor License#:
Expiration Date:
Contact Phone#: f>( 75-: CJ~ 9 k
L;?7C;--'722?r w~P-p(
Contact Person:
Check the type of application for below:
D SF RESDIENTIAL NEW D COMMERICAL NEW
!BnUPLEX D COMMERICAL REMODEL
DMANUFACTURED HOME D COMMERICALADDITION
D RESIDENTIAL REMODEL D COMMERICAL REPAIR
D RESIDENTIAL ADDITION D MULl-FAMILY
D RESIDENTIAL REPAIR D TENANT IMPROVEMENT
Scope of Work Proposed: ~ <br-P3CC- /I re.L#. Vvy
~ . ~~ . ;:;\v-~ 1;.) VIA" ~f- ~
DGARAGE
D ACCESSORY BLDG
D SIGN
D DEMO
D GRADING (Cubic yards:
D OTHER:,
)
(~~LL
/!- >.. }:z
AJee~~j
Square Footage:
Garage:
Dwelling:
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Decks:
YES
NO
Applications for which no permit is issued within 180 days following the date of application shall expire by limitation, md plans and other data
submitted for review may thereafter be returned to the applicant or destroyed by the building official. The official may extend the time for
action by the applicant for a period not exceeding 180 days on request by the application showing that circumstances beyond the q>ntrol of the
applicant have prevented action f being ken. No application shall be extended more than once. In order to renew action on an
application after expiration, the plicant shall res bmit pl~s and pay a ne
\
DATE:~I ~c;/z~
~~~... If.l ) ,nA. (j 1R- ;j" t{;/ J.
(5/ r flY @\ 0" /v'-"
APPLICANT'S SIGNATURE:
\.--
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. I Co-Dirt 7
[]::>::::::::::::::::::::::~_~::::::::::::nn:::::::O:::H;nI:::::t:::l:::l:::::::lf#~.;::::::::::::::::::n::::d
=1 Oil
Type of Fuel: /
Occupancy:
o Propane
Electric Gas
Residential Commercial
Site Address: (, g 3 /1-rLe (e~ /! ( J C
Owner: 'PG.sAJ r s R>I e R-sov,.....JI : Contractor:
Address: ~ E 7M/C.S"&s.'.~ .. Address: d.
'.'~ D"^ Be(,fC'..Pf'v. 6.Sq, IQl'>5.2;r /~
. Phone: t9- ? t;-~$9'C i I Phone
j Contr.lctor's License Number/Expir;ltion Date'
: No.
TYPE OF EQUIPMENT
No.
TYPE OF FIXTURE
z
EXHAUST FANS
RANGE HOOD (residential)
RANGE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
DUCT AL lERArtON
TANKS type:
REFRIGERATION UNIT
OTHER:
WAlER CLOSET
L BATIITUB
~ LAVATORY (bath sink)
SHOWER
7- KITCHEN SINK
DISHWASHER
LAUNDRY TRAY
CLO'1HES WASHER.
WAlER HEAlER
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
-L- WAlER PIPING & ALlERATIONdr 4 (11 f;nAJu SA er
. GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
~J-\VI rE ~.
;..- . .' .; .
; - - .. ,
- -. - .
, , ..
..'~[.p it 9 ilJl!O;':;';
RANGE
WOOD/PELLET STOVE/GAS FIREPLACE
GAS FURNACE btu:
CONVERSION BURNER btu:
UNIT HEAlER btu:
BOILER btu:
GAS PIPING
EVAPORATION COOLERS btu:
AC UNIT btu:
HEAT PUMP btu:
REHEAT BOX btu:
AIR HANDLING UNIT btu:
BREMERTO ~
BUILDING DEPART ~ENT
SWUvfMING POOL
BLDG. SEWER: (mobile/moved house)
ROOF DRAINS
OTHER:
APPLICANT'S SIGNATU
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Fee $.................. .:..":':.............................................. Receipt No. .....S.o..d2,L.r.:t..___........................
44299
~~"'.0 .~~,,# olO1J3-tJ/- ;',5-33 B U I L DIN G
rJl.",..,,{ ~43/ cud # c;? 'J.;{ - .:l ...i I CITY OF BREMERTON
PERMIT
BUILDING DEPARTMENT
~/
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext.36
Owner's Value . Bldg. Dept,
Value DESCRIPTION:
$ .
Lot
Block
Additions
Address on Job __ ____ __~_:;r.3._ __ _ __ j::2..t'kd:~q:,.,_____ d..&.--c.e'_._____._._____ ________ __ ___.___ ____ ____ _ ____. Date __d._".:_.I.f. :::J!.-::~:__~___ -___ ------
Building ._____________.. x _.______________ and __._..___.______ stories ___________m_____.___. basement. Lot .________.______ x ________________
Front Yard __..____________________ Rear Yard ________________________ Side Yard _______.,__________.___. Garage _________~____________________
OC.CUPANCY PERMIT REQUIRED BEFORE OCCUP'YING BUILDING Zone _____.._____________.----..------------.--.
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Owner \o_?:.. _}{;~,-_b. :______ _______.___ _ __._ .____ ___ __ _ _. ___ ______ ____._ ___ ______ Address ___.__________ _._ _____ _ ___ _m _.___ ____ ____ _ Phone ____._ _._ ________
. ./ .pi' /7 . ,..,. .i
Contractor __.,...~__V.__xf"_ ..L./.<'~~i:et_~;!~,_!_,-f;_'_~_::_ _ _ __ _ _ ____ __ Address _mm._ __ ___ _._ __.______ "__ __._____ __ ____ _ Phone __ __m __ m_____
This permit is issued for:
_ ___.d-&:2;;a,-:~..!:c.~~f::/ __. ._.k.:;;t.____._~.:. ~_.b!A___ ..____di_-!3-_ __<<~.Y..: _ _. _____ __._ _ ______ _ _ _..__._____ ___________ __ _._____ --___ _..______
'" r ~-
_ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _. _. _ _ _.. _ __ _ _ _ _ _ _ _ _ _ _ _ _ _.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 shaU be inspected
and appro'ved before pouri'ng. All plumbing, wiring and the fra,me of all buildings must be iinspected and aipproved
before covering. Wood preservative to be used on al~1 wood against masonry. Ventilate fo.undation and attic. Sepa-
ra,te pe,rmits requ'ired for plumbi,ng, wiri,ng a,nd heating. See City Engineer before wo,rking on streets or sidewa,lks.
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::: :~>~:::::::::::::::::::::::::: ;'~=t:::::::: ::::::::::::::
,/ ./ 1 I [
/"" // . (~_ /,'7
- - - - - - - - - - - - - - - - - - - -- - - -. - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - -- - - ~ - - - -- - -..- -.... - -....- - - --.. - - ... .............................. -~.:;." ~.. -..... --.. - - -.. - - - -f- ~ - - - - - - - :.~'\\ - -j- - - ~ --,;~l::";r - -- ,':'''-j. -1--
//f/:.~ 'I/,: "/, ./, \
Owner's Signature___________._____________________._____________________n____ By b:/~,C~---ti2!.!.--L0.::'.-:C:-,~/-j,---'-'-.J:;;:;:~f:.~
tf/ His Authorized Agent
Building Inspector --'--:AA~.~d-"~-Lt..m----m--------mm.mmmm.@
. By __ _ _ __ __ _ _ /Lh.__ __ __ __. __ u__.._ _ _ ___ __.._ ___ _ _ _. ____ _ _ ______ ..--- ___ -_____._ ~
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+---------------------------~--------------------------------------------------+
I ATS/T0250 CURRENT SUMMARY FOR 3783-005-006-0000 #1454198 07/20/95 I
+_____________________________________________________-------------------______1
I I Tax Yr Land Bldg, etc. Total I
I DEVIN & STRALEY 0624432 I 1995 13310 91970 105280 I
I ~~K~~XS;~~~~ MTG ~_:::~----~-----:::I~l~us __::::~~~____:~~~~~~_I
I TAMPA FL 336222128\633 A ADELE AVE 0 I
~-~-----------------------------~----:----------------_________________________1
IStat/Lc: T/00I0 'OYSTER BAY ADDN (MORE DESCRIPTION ON FILE) I
ILand use: 12101 ILOTS 6 AND 7, BLOCK E, OYSTER BAY ADDITION TO PORT ORCHARD I
Acres: .14 NAVY YARD, ACCORDING TO PLAT RECORDED IN VOLUME 2 OF PLATS,
!Map #: RI53-105M!PAGE 63, IN KITSAP COUNTY, WASHINGTON; TOGETHER WITH AN I
+______________________________________________________________________________1
I Date Price Tp Ic Excise no I Id Date Comments: I
1 0888 61500 W FS 8804835 I MGOl 950203 ANNUAL UPDATING I
I 0979 138000 R NC 7907069 I MGOl 940610 ANNUAL UPDATING II
I 0779 8500 W 7905514 I MGOl 930326 ANNUAL UPDATING I
I 0776 8500 R 7603739 I MGOl 920316 ANNUAL UPDATING I
I I RS16 901127 REVAL ,
+------------------------------------------------------------------------------+
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