HomeMy WebLinkAboutAUTO CENTER WAY, 4910Certificate
Of
Occupancy
Department of Community Devefopment
This certificate issued pursuant to the requirements of Section 109 of the Vn form
Building Code, as adopted by the Bremerton Municipal Code, certifies that at the time
Of issuance this structure was in compliance unth City regulations for construction or
use.
ISSUED TO: SIPCO SURFACE PROTECTION INC.
SITEADDRESS. 4910 AUTO CENTER WAY # 111A
F
of Occupancy Occupant
ction Classification Load Common Use
B 4 OFFICE
Permit Num . BL 4561 Date: 02/25/2005
C ristopher Hugo, Dilector
Special Conditions:
THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE
OF
Z
CITY OF BREMERTON • 239 4th Street • Bremerton, WA 98337
C = w O F BREMERTON
DEPARTMENT OF COMMUM = TY DEVELOPMENT
Feb 08, 2001
SEARLE ST ESTATES
SUBJECT: Application No: 01-0053
Site Address: 4910 AUTO CENTER WAY
MADRONA INN APTS. REPLACE DECK ON "A" BALCONY
Your building permit for the above site address is ready to issue.. The balance.
due is $ 43.25.
Permit Center office hours are from 8:00 a.m. to 5:00 p.m., Monday
through Friday. Please contact me at (360) 478-5275 if you have any
questions.
Sincerely,
Valarie
r
uil ing and Development Specialist
* Equal Opportunity Employer *
c1U-)I or
�}o Center- W6�
�,FARLE STREET ESTATES, INC.
;OHA INN MOTEL OR MADRONA ESTATES Of
4910 Auto Center. Wo
Bremerton, WA '9831
&tconc
p.3 o� 3
yi
r
v L •U s
n
a
LI
f/--, �- -
xr,rp�
fide view '
- V ,
•�''�,
r
286 4th Street, Bremerton, 14.4 9833'
Phone: ( 360 ) 47875275 FAX: ( 360 ) 478-5278
BUILDING _PERMIT
Jab Addr: 4910 AUTO CENTER WA's' Permit. No: 01-0053
Location: MAD RONA INN MOTEL & APTS. ( "A" SIDE BALCONY) Status: PENDING
Parcel No:'1624014-060-2008 Applied: 02/02/2001
Issued:
Applicant: SEARLE ST ESTATE`, Expires:
Owner: SEARLE ST ESTATES
Contractor: � � � Lic #: Exp:
Subcontr:
Desc: REMOVE OLD DECK & REPLACE WITH NEW DECK (88 SCJ FT)
Valuation Permit Fees: 3€3.75 Total Calculated Fee: 68.44
1400.00 Plan Check Fees: 25»19 Additional Fees: .00
Other Fees: 4.50 Total Permit Fee: 63,44
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 suspended 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 sage
to it that r quired invoctions are made. The permit holder must notify the wilding official when ready for
inspections. f=ailure of the permit holder to notify the Building Official, of required in peotiorf may Y@cult
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 stall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability 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 authority to violate or cancel the provisions of
any other state or local law regulating construction or the performance of construction,
Signature%
Gate -
I certify that I am exempt from the requirements of the state contractor's registration law, under
Section 3, Chapter 126, laws of 1967.
Signature: _ ____... bate:
Permit Center --Approved _ i ate: (,
...—._ .
j,,�7 7737, 7777777W,7
JQkEEF1EK1qrqv4 FF -
37
< e ew�..
yq 478-5275'
a^ y: 6
33
q $8
SUILDTNG PERMIT.,
_ { �;�)Paq �y� » {{�y'��##�}pa 1�,` CEIT��f R{ PAS � ( f� y p�} Permi�;�aa ;���i.�p�{;Oee 5�t3
i.+. Flat i'ga4ni" ODR 1 Y 3µ, & APTS., ( " ' ��I�7��. �"'{�<^.e`�r:B.MY) Itatutzka�r$4� IN5. r l No; Q4 1-060— �a��34 12/02/2001
-10vued:
r
p n EAQ f y ESTATS
WATT
.t �:�Yp(��y,�}�y'y'�;^,pyq�fi
�Mti:���mi 4, Fees; :. 38.I. , . Iota�L ..�; CG+4l4`.;�.�n �'A od:A > � !?S.44
Other Fees, 41.50 2, dotal Permit eIv 8M
f'# i$ a :rrnI t a 11'' null and,vaid .if the i it in ' gar' work authOrSed by this, Pei v.tis not staos ed *rithin
ivy pQ N!he Ohio of, owuh permit, or if this ai Wine Or work o4thorSod by iia p rmly i; suopordew or
rr d rr
after tho Wdurk Q hommenoed toy vpoKod of iW d&Yrs
l it.o i tto,
`r 'o" 0411tt of, Wait holdoy. not the City of Bromay on ars_ # iidir" Official to �
004000006,We nad& T4 P&MIt folclor t r t; notify the Sui lejio Official Utah X004Y for
iUs i0ne. : t oslur p6rmi. holde to notify the Ovildira Off wial r ivw itopiottons MAY .Ytr4
Z�wj I het.r - * tho irk until soh tt.ia � 'at iyo permit, holder con We to the b6i Win cf`firi.ga
Qat lf! or e, leod..code raeg41rOMOM ,, AnY A001 tWino, 0. ixir rclax bu&en shah s
bo' wi ��` otn eri6:
4p&i t.. Ari �d all � r�si ility ter•...°.taaaias,lity Bonn cle Whir o* Onstructi,o"a s
I We e road are womineo this permit one krawwa the some to be true c-orr oot . tri i
lows and ordinancoo Qovvydnp this typo of"work Vill be Ci.ied with Whether spacsficud_ rein
r M,t i6e, oantlyoof a pe=at coos not pr.`e ume to sve anthorine to Violate orcanoeri. ,ho'Pr✓+aYs;%r_tir
4xv Sney. ptow or 1 i i A� remoulatir'tg raoYratat'er~tpthe PoKor nS of 'onotr u6ti,
,
" sr :i. twit, AM exempkArpm So ,jewremer'so of tbo. tato Con r oi:dr"S rewistration law. rater
lows of 196M.-4 iM6tvr Sanr
1vit n'
APPLICANT: ❑OWNER ❑CONTRACTOR AUTHORIZED AGENT
Site Address: /O
.1-7%�6W) lE7Z7f�) Al ikb4 - C' 9, 31 Z .
Tax Account Number:
Owner: M961ZOOA 7A -9,&3,f AfV-S
Address:
Contractor:
Address:
Contractor License#:
Expiration Date:
Contact Person: 7e -n /WG s4 )2
Contact Phone#:
Check the type of application for below:
❑ SF RESIDENTIAL NEW ❑ COMMERCIAL NEW
❑ DUPLEX ❑ COMMERCIAL REMODEL
❑ MANUFACTURED HOME ❑ COMMERCIAL ADDITION
❑ RESIDENTIAL REMODEL
❑ RESIDENTIAL ADDITION
❑ RESIDENTIAL REPAIR
❑ COMMERICAL REPAIR
® u r EB 0 2 2001
BREMERTpN
❑ GARAGE
BUILDING DEPARTMENT
❑ ACCESSORY BLDG
❑ SIGN
❑ DEMO
❑ MULTI -FAMILY ❑ GRADING (Cubic yards: )
❑ TENANT IMPROVEMENT ❑ OTHER:
ScopQO/✓
e A -'g
6/�5,
if
Square Footage: Dwelling: Garage. F c�s:
�G
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Applications for which no permit is
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
that 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 on an application after expiration, the applicant shall resubmit plans and pay a new plan
review fee.
P ICANT'S SIGNATURE: `- DATE:
RFICEIRT
RECEIPT Number: 01000090 Amoun& 25.19 02/02/01 11:15
Payment Method: CASH Notations TIM MCCART Y CASH Initz VW
------------------------------------------------------------------
Permit No: 01-0053 Typez BLDGGNLY BLDG PERMIT-NO MECM/
Parcel Not 1624014-060-200�,-,'�
Site Address: 4910 AUTO CENTER WAY
Low. atiow MAC RONA INN MOTEL t APTS. (W SIDE BALCONY)
Total Fees: 6844
This Pay%nt 2509 Total ALL Pmts: 25.1''?
Balance,, 4305
Account Code Description Amount,
(4580) BUILDING PLAN CHECK FEE,,,,'., mO
----------------------------------------------------------------
�e
1
RECEIPT
RECEIPT Number:
01000106 Amount; 4305
02/08/01 13:23
Payment method:
CASH Notation: TIN MCCARTY
Init: JM
----------------------------------------------------------------
Permit Not
0 1-0053 TYPO; BLOGONLY-BLOG
PERMIT -NO MECH,,,
Parcel No:
1624014-060-2008
Site Address:
4910 AUTO CENTER WAY
Locationg
HADRUNA INN MOTEL & APIS. ("A"
SIDE BALCONY)
Total Fees:
This Payment
43.25 Total ALL Pmts:-!
Balancw
.00
Account Cade
Description
Amount,
16-SK.1001 (2.
,£ . SUILOING PERMIT FEES
38.75
642037.13 (02
------- _1 ------------------
36) STATE OF WA SURCHARGE
4,50
--------
Owner. SEARLE ST ESTATES
Contractor: SELF L%c #, SELF Exp:
Subcont r
. Desc. REMOVE. OLD DECK & REPLACE WITH NEW DECK (€ 8 SCS FT)
'ht h(%K � :d: �`r', •33(1V W.7K ;K ?K }f::k�:K:�° � �t 7ti Y�' �'. `�+ #� W. Yf.:'r`.)K Kt +`�.' � h,` 7n•>X }K>X:#: Y�, ;$ iK �. k�"�1C:K:d: `X� :K?K 19.' )K SIC XC?'n �.' i�: %K :�i.` A; `AS iK W.:BC #?k 3K :�' )Y:K:K?f�`?K.YC?K %IC � %k k: )k $t %K 3'�C `k. W. %K Sk ,�'+,`{' kf X4 W.?K NC:�'+:f:
valuation x Permit Fees: 28^75 Total Calculated Fee.68H44
1,000.00 Plan Check Fees: 25^19 Add itional"Fees, .00
Other Fees: 4.50 Total. Permit Fee. 68.44
��:�:�;;x���c�..�:���>r�:���;x����;�:�:�€.�;�:��x�:����:.�c��:�;��:��:��c����:����;��xc������xc;+:;�:����:��r��;��c:r:��������.��:•;��„�cm•��c��
This Permit shall boceime 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 suspended 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 Gremertori or Building Official to see
to it that required inspections 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 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. fny.demolition, testing, or financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability connected with the construction.
:I hereby Certify that. 1 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 the previsions of
any other state or local law regulating construction or the performance of construction.
signature:
Cate:
1 certif`. that I am exempt from the requirementc,) of "the state contractor's registration law, under
Section 3, Chapt
3icnaturM _ _ Cn 8 ^ 0
9 c
Permit tenter -A"PT31 h Ey..1, ._ Date=
286 4th Street, Bremerton,. 144
98337
Phone: (3 0) 478--5275 FAX ( 360)
478-52,,78
BUILDING PERMIT
ob Addr:
4910 AUTO CENTER WAY
Permit No"
01--0053
Location:
MADRONA. INN HOTEL & APTS.. ("A" SIDE BALCONY)
Status:
ISSUED
Parcel No,
1624014--060-2008
Applied:
02/02/2001
Issued:
02/03/2001
Applicant.:
SEARLE ST ESTATE.`
Expires=
08/0712001
Owner. SEARLE ST ESTATES
Contractor: SELF L%c #, SELF Exp:
Subcont r
. Desc. REMOVE. OLD DECK & REPLACE WITH NEW DECK (€ 8 SCS FT)
'ht h(%K � :d: �`r', •33(1V W.7K ;K ?K }f::k�:K:�° � �t 7ti Y�' �'. `�+ #� W. Yf.:'r`.)K Kt +`�.' � h,` 7n•>X }K>X:#: Y�, ;$ iK �. k�"�1C:K:d: `X� :K?K 19.' )K SIC XC?'n �.' i�: %K :�i.` A; `AS iK W.:BC #?k 3K :�' )Y:K:K?f�`?K.YC?K %IC � %k k: )k $t %K 3'�C `k. W. %K Sk ,�'+,`{' kf X4 W.?K NC:�'+:f:
valuation x Permit Fees: 28^75 Total Calculated Fee.68H44
1,000.00 Plan Check Fees: 25^19 Add itional"Fees, .00
Other Fees: 4.50 Total. Permit Fee. 68.44
��:�:�;;x���c�..�:���>r�:���;x����;�:�:�€.�;�:��x�:����:.�c��:�;��:��:��c����:����;��xc������xc;+:;�:����:��r��;��c:r:��������.��:•;��„�cm•��c��
This Permit shall boceime 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 suspended 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 Gremertori or Building Official to see
to it that required inspections 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 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. fny.demolition, testing, or financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability connected with the construction.
:I hereby Certify that. 1 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 the previsions of
any other state or local law regulating construction or the performance of construction.
signature:
Cate:
1 certif`. that I am exempt from the requirementc,) of "the state contractor's registration law, under
Section 3, Chapt
3icnaturM _ _ Cn 8 ^ 0
9 c
Permit tenter -A"PT31 h Ey..1, ._ Date=
E3 F:Z FEMEEFZZ. r C� F=0 e: rC M X -r FE -r F—::'F:Z
286 4th Street, Bremerton, 144 98337
Phone : (360) 478-5275 FAX: (360) 478 5278
Building Permit No: 01-0053
Job Addre0.AUTQ CENTER WAY
Status'. ISSUED
Location-", MADRONA INN MOTEL & APTS. ("A" SIDE BALCONY) Issued:02/08/2001:
A ss r A6c�t No' E x F) i r e s, 0810712,001
P..: Q U I R E D I N S P E C T 1 0 N S
item' 02700 FI,NAL---BLDG Dept., BLDG Division:
TESTING. Must be recognized by the Washington Association,of Building officials
SP, Must lie with the State of WA
ST OF' W State of WA Dept. of Labor and industries 4-78-4921
HEALTH Breii,iertoO/Kitsap Health District 478-5235
ALL INSPECTIONS PERFORMED BY THE .CITY" OF BREMERTON MUST BE SCHEDULED THROUGH THE.
PERMIT CENTER, (360) 478-5275.
Permit Holder'S
Date
REM RTON PERMIT CENTER ..
PERMIT CONDITION
.., ..,M ,...._ ....A....n...,,.,� M...,..,...M .<. .��....;..,,.� -�:_._,._4..,,4.x...,,M............._.......,_.. Mme..... .... .........:r.:�-......_.,.,...,.,...,._,..,..... ,
'Job; Addre. 4910 AUTO CENTER WAY
APPlied. 02/02/2001
A'proved: 02/08/2001
1 -060-2008
�kati n MADRONA INN MOTEL & APTS. ("A" SIDE BALCONY) Issued' 02/08/2001
TES
'Contractor,, SELF
Description: ,
REMOVE OLD DECK REPLACE ACE WI TH. N W DECK (88 SCS FT)
1. BUIt,_D NG..--APPPOV `D W1 REVISIONS DENOTED ON PLANS.
Permit Hold r`'
i
1 ;
Job Adr.ir ° 491 t) AUTO ("ENTER ;R WAY permit No:- 7 0687
Locat i, on a MAl';RONA INN APARTMG:'..N' I.3 Status" C SSLILT;)
ar'r;e , N�:i m l 6k24G�1, 4.w,U�aC).,•; 0,0 ASE �.I t �r� � 10/�•.',C3/ 15'9 ?
E S ued m 10/23/1997
ApEaI (.:;ayitN :V RN'S ROOFING 876,5161 04/2.1/1998
22,46 SIDNEY: A'Jt.: p)t)R..E. ()RC F1ARD , WA 90 366
Owner KGJSC 1E L,. , i l Lt,
216 AR"E EMOS M ) SS0L,JL A , MON'TANA 598013-:1512
Contr=actor: YERN'S ROOFING8t6 :.a 1. �1, E.,•ic it» VE RNSR t)L�E.1G�t� �;xE�� 1A'/s�1/a�
2246 �,; l' DNF:Y AVF PORT ORC HARE,) , . WA 9W366 .
caLk�:�L.oit't r
1)esc y . I NSTALL Ni, --,W MF...TF1t:,.' ROOF f..'Nta'
a 1.us ti t Ess rmiit Fees w 1.48.50 'Total. Calr,�;k'lated E•� ,; 158.00
1„ 1000.0 � Plan ("heck Fees'. 100 Add r I.ona1 Fees wit)
Other Fees. 9 5 1C)ta1. Permit Fee1.1t)0
`�••���•°�3f�t���Fa�3��;�(##F3F��k�k��t•���-�����•kF��#�•;�•�•�•3k3�34�Dk•��k3���l�i£�k��F��r�3��k�•�4����•�l���f•3k•�•���••�#••��iD�3F•�k�3����3�
This permit shall become null afnd void if the hurl
ding or work authorized by this permit is not co'menced within
190 days'fro the date of such permit-, or if this building or work authorized by such permit, is suspended or
:ebandoned:at any .time after the work is comment d,for a period of i8o days
NOTICE - it is the responsibility of the permit holder,'not the City of Bremerton or Building Official to see,
to It that 'required inspections are made. The permit holder must notify the Building official when ready for
Inspections.,: Failure of t,he.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 borne directly by the permit holder. Failure to substantiate code requirements will indemnify' he City
against any and all responsibility or liability connected with the construction.
I hereby certify 1ha,t 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 compliers with whether specified herein
or not. The granting of a permit does not presume to aive authority to violate or cancel the provisions of
any other stats or local law regulatin construe I the performance of construction
Signature ----: Dates
I cert,iy t at 'l am exempt from the requirements of:th►e state,contractor'a registration law,, under
Sect ion"B, chapter 126, lawn of 1967»
Signature --®------ -----_- Date: -__----,_-, __T®
s
PermIt Cerite:y--Approved '13y. Dates t� ,r --�. �•
y� h gtr et Bremerton,
M 99337
. - IE FE
,�. er` ^� � F 8 � 4 D �Lr Sn ,g, ,1 GlJdG d 5r V 9 1 �` , �?
Phone: 360) 78--5275 FAX: 478--5278
1`f,aka A- dclyc;, sc: ' 491.0 AL)1"t::T t,.,f...:N f`l,;:f� WAY `'.S i ��i t:�F3 t `,',t LEE)
I c ac,: a, T. f c',) Ti MAI,)RC)NA E; NN
Via.:: sy Ac.,,c,,: Y, Not t 1. e,-)24('.)1.4' 04,C) �,;�Cit38 f:;: x F � ! `r ram " t3�4 � �.'.1.11,'�s���
f E t i.:f I f L' D !: N t > 1 C) N
m s, C)2 � 00 f ' ,!, NAL. ' L3L {.:1 t,a f.Jc:,xf,.a 1. ` !; �{,,, f„it � ! � .!, `� a, a f,
' ,� �t •� •�•' �{• 3t �: � • •• • °k{ D£ • 34•?E• •3t• Dt; �',� •�# •fit •�• � .,fig„,. •�q • •ai •fit 3� �t� �4 �•,� •3{° �,;�,.�, • .�., ,}�,.� .#{ .�1:3t •}f 3� Dt • ��• kt �° � 3E �{ �€ 3�• 3€ ?t °� 3� �4 3� �%�3� 3�;
f f'; k i N Mt.a4, . `E ai'n Y c'c a ,fr1 i 7, aci .E:;a 1 i° e W{a�.4h � t i� f t, c art {�,,�,c ac.; :f. xa't i. t::sr't i;:a i” 1„3La;1, ;I c,.i ,i t') Cil C,i (.i::.t.
N$.,,I;a Mt,at`i E7,;; Y#h�3�::�'4;r:.:y'tE t�J,'r:htr' ',(;:C c,:a`l`' Wt1
t.,IC” Wry 3, ;.:> i. �.a'C; c, t:),r WA 1")eg::r � �a �' f,.,.r7aE a�a�r �Arac.:i I rich l��, t Y. ,t es ��7 41'� 21,
1 f l.::: f....,.F+1;t 4,3 m c h r"l'. r,:a r'a / Eti :i; `C'; ;: to {. � I f c ra �.'k; h'a i ;� K 1, r' :f. c,:.,C: 478-
Al 1;
,/# 3 f f,,,:f.;,. 1 N;;.,f af..,.t,, f 1; t• P f:;`s { f,;l° 4 t1C M ,k,.1 1111 Y f,,, Il' Y 01: f„3fRl:EMr,:"R f C)N
t.,fiac�`C; t„tY ' ,,. „• . E) at f „ ,� , „
CITY OF BREMERTON
RKIT I PT
RECEIPT Numberg 97001029 AMOUnUl
Payment Method, CK
. Notation: VERNS ROOFING CK
------------ -----------
Init: VW
7 ......
------------------------------------
Permit Not 97-0687
7
Typei BLDSONLY BLDG Pfs'�RMTJ'--,Nf)
Mt:'`,C'H/
Locationg MADRONA INN APARTMENTS,;
Total Feew,
158.00
This Payment
158.00 Total ALL Pmtsz
15 00()
Ralance:
.00
Account Code
Deco r I pt i on
Anumint
16-022.1001 (2211)
f':AJI[J):fN(5
148.50
643-237.18 (0236)
STATE OF WA SURCHARGIL�,'
V50
St -S22.1009 (2219)
---------------------------------------------
PERMIT SURCHARU,'
5.00
/� '((''�� QQ Page No. of Pag e
xs
atIN
G
,1
2246 Sidney Avenue,
✓'
PORT ORCHARD Vl K 98366'
1
Lic. #VERNS088CQ
(360)'876-5161
l
�r
I
file 4'
PROPOSAL SUED TO
PHONE '
DATE
%-7-
STREET,;,
JOB NAME.,', ,
1&1
CITY, STATE and ZIP CODE
JOB LOCATION
101,
ARCHITECT
DATE OF PLANS
J'
JOB PHONE
PYOjJbSij : hereby to furnish material and labor — complete in accordance with specifications below, for the sum
.br
dollars
($ ) ,'
Payment to be made as follows:. r
M
k •aft
- y
k
All material is guarohtoed td ttt as specified Ail Work to be compieted :Ina W anhke Y '` 4"
taftard �Sractloes Any aiteratitri or deviation from specificati(ns be Authonied��
manner according Ed,.,..
Signature
IoW invoiving extra oostd Will executed only upon written `orders Alia Will be 6ean �?
extra charge over ah8 aisoVe the estimate. All agreements, contirfgent`Upon strikestsacci *, `^^`
dents .or delays lie 2ihd our control: OViner`.to oar fire, tornado and other necessa Note: This proposal. may"be
ry "withdrawn
insurahce. OuF Workers ar@ fuii coVeto by Workman's Compensitiod Insurance. "} by US if not accepted w hm tlays
We hereby Submit specifications and estimates for:q
a
._ !S
i���t•4�� -
1�
_III
VfRNSK
APPLICANT: F� OWNER F-1 CONTRACTOR P OTHER:
SITE ADDRESS: °U
OWNER:/ �,/ S !moi z✓/
CONTRACTOR: '6' 'I
CONTRACTOR LICENSE #
CONTACT PERSON: &'V&
ASSESSOR PARCEL #:
ADDRESS:.;?/(. q Af7'e '*-t o5 A17 -7L--
ADDRESS:
7--ADDRESS:
EXPIRATION DATE:
CONTACT PHONE # 2e ` S^IC,
SFR
DUPLEX
MULTI -FAMILY BUSINESS
OTHER.:
°+ t 1 �
$
$
$
ENERGY: $50.00
$
SIGN
❑ DEMO
MOVE BLDG. MOBILE
GRADING(yds):
s, <ei
NEW
REPAIR
REMODEL ADDITION
OTHER:
`
M SEWER
❑ SEPTIC
INTENDED USE:
NATURE OF WORK PROPOSED:
SQUARE FOOTAGE: Dwelling: Garage:
For Department Use 0 l
VALtITION
PLANItEVl4.FI E..;
PERT Fes:
SC1;RGES
$
$
$
ENERGY: $50.00
$
STATE: $4:50
CITY: $5.00
Applications 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 that circumstances beyond the control of the
applicant have prevented action from being taken. No application shall be extended more than once. In order to
renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.
I hereby certify that the above information is coir t to the best of my knowledge.
APPLICANT'S SIGNATURE: DATE:
bpapp.dot revised 4/23/97
BREMERTON BUILDING :DEPARTMENT
Ins;pection.Report
FOU DATION
COMMENTS:.
FOOTINGS APPROVED --'—ALL �tilS APPROVED:
Gtr a t�t��Rrr*
COMMENTS;
APPR O'VED,:.
ENERGY CODE COMPLIANCE
In5lJlatlnn' nrnnPr factaninn
tansula;tiow vapor ,barrier I3ottdm dales caulked to Moot
Penetrations caulked as- qu-iredElectrical boxes Basketed or d
COMMENTS:
UNDER FLOOR./FOUNDATION INSULATION, APPROVED:
WALL INSULATION APPROVED:' CEILING INSULATION APPROVED.
Inspection card/a;pproved.p.lans on site.
Setbacks
Poolings: required steel placement
Waits: required steel placement
Footings: requited width & depth • �
-Wails: required size -
i
Bearing snit ( snits anal ss it applicable)
Y PP )
Special inspector (when applicable)
COMMENTS:.
FOOTINGS APPROVED --'—ALL �tilS APPROVED:
Gtr a t�t��Rrr*
COMMENTS;
APPR O'VED,:.
ENERGY CODE COMPLIANCE
In5lJlatlnn' nrnnPr factaninn
tansula;tiow vapor ,barrier I3ottdm dales caulked to Moot
Penetrations caulked as- qu-iredElectrical boxes Basketed or d
COMMENTS:
UNDER FLOOR./FOUNDATION INSULATION, APPROVED:
WALL INSULATION APPROVED:' CEILING INSULATION APPROVED.
MECHANICAL
COMMENTS:
GAS PIPING APPROVED: FURNACE APPROVED: `
OTHER APPLIANCES APPROVED:
PLUMBING
Appliance location and access, proper support
DWV: proper grade
Appliance clearance to ,eam;bustibles _
DWV: proper sizing
Venting: clearance to combustibles
Venting.: size & support
DWV: required cleanouts
Vent termination
Vent termination
Combustion air
Ducts: size & support
Shut-off valves on all. fixture,
Gas pipe under test
Water heater. gate valve on cold water supply
Gas pipe: size A support
Gas pipe: underground min. 12" below grade
Water 'beater: siesmic strap
Gas pipe: within 6" or underground -coated
R40 pad under water heater when required
Gas shutoff within 3' of appliance
'Gas logs: safety shut-off
" Proper indirect wastes: where required
Gas togs: damper permanently open
Woodstoves: EPA certified
Woodstoves & ii apiaces: Tightfitting doors
Woodstoves & firepla.ces proper headh.
Manufacturer's specs on. site
Chimney liner: when required
Chimney: separate flues when required
COMMENTS:
GAS PIPING APPROVED: FURNACE APPROVED: `
OTHER APPLIANCES APPROVED:
PLUMBING
COMMENTS: _.
PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH -IN APPROVED
SHEETRQCK
�DWV & water piping under test
DWV: proper grade
nails 8" o.c. vertical plane
DWV: proper sizing
DWV: proper drainage Pittings where required
DWV & water piping, proper support
DWV: required cleanouts
Proper fastening. screws46" o.c. vert. plane (1/2")
Vent termination
,.All fixtures vented properly .
Water supply: proper sizing,
Shut-off valves on all. fixture,
screws -1'2"' o,c. ltodz. plane (51w) - 24" o.c. ha.ming
Water heater. gate valve on cold water supply
Vacuum breakers: where required.
Water heater relief valve drain to outside
Water 'beater: siesmic strap
Area & occupancy separation wefts
R40 pad under water heater when required
Water -piping insulated as required
Grease traps/rnterceptors: where required
" Proper indirect wastes: where required
COMMENTS: _.
PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH -IN APPROVED
SHEETRQCK
COMMENTS:
s.HEETROCK APPROVED:
FWAL
Proper`fastening: nails -7" o.c, horiz. plane
nails 8" o.c. vertical plane
'Proper fastening: screws -12" o.c. hotiz. plane (1/2")
screws -12" o.c. horz. plane j1i2") 24" o.c. framing
Proper fastening. screws46" o.c. vert. plane (1/2")
screws -12" o.c. Vert. plane (112") - 24" o.c. framing
Prosper fastening screws -12" o.c. lroriz, ptarie (5/8")
screws -1'2"' o,c. ltodz. plane (51w) - 24" o.c. ha.ming
Proper fastening: sorevA- 16" o.c_ vert. plane (5/8")
screws-12"-o.c. vert. pls4ne (5/8") - 24" o.c. framing
Area & occupancy separation wefts
Draftstops where required
Usable space under stairs (5/8" required)
Waterboard where required {nett on ceiling)
Corridors -
COMMENTS:
s.HEETROCK APPROVED:
FWAL
COMMENTS: _
.e.4,
FINAL "APPROVED: A; / C/`L_
Energy code requirements met, exhaust fans
Plumbing & mechanical
GarageMwetling door self closing solid. core
Smoke -detectors where required
Handrails & guardrails, as required
Fire ratings maintained
Exit signs when required
Emergency lighting when required
Occupant load posted when applicable
Building weathertight
Wood siding to earth separation (15"
Building Address posted
Radon tmonitorwhen required
-
COMMENTS: _
.e.4,
FINAL "APPROVED: A; / C/`L_
BUILDING"" PERMIT i6vi-TUCATION
its of Bremerton, Washington
Phone: (206) 478-5281 -41
OWNER'S VALUE r6!-CiG. DEFTV;CLUF PLAN CHECK FEF—T---TeElpi NO. PERMIT FEE i RECEIPT NO. DATE
$
$
SITE ADDRESS/ LOCATION
OWNER'S NAME ESS 56)
CONTRACTOR STATE CONTRACTOR'S LIC. if
ADDRESS--,—.7�
-1 REMC-DEL TJ ADDIrION El DEMOLISH
RESIDENCE El BUSINESS ❑ OTHER E-1 N E W _tel AIR
D SIGNS
PLPLANNING/ ZONING STORIES OCCUPANCY
THIS PERMITISSUFD FOR:
A:il provisions of laws and ordinances governing this type of work will be complied with whether specified herein or riot. The granting of a permit does not presume
to give au41prity,to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation E—J' Framing 0 PlurrIbing ❑ Electrical El Wallboard 1. FINAL
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
TYPE OF INSPECTION
DATE
TIME AP
FINAL �-NSPECTION APPROVI
ISSUANCE OF OCCUPANCY CERTfF-IC-A
Om4R'S SIGNATURE
so
REINSPECTION:
BUILDING DEPT.
M
H -11M
AuthartzedAgent
DATE I TIME I APPROVE
B-
UILDING
City of Bremerton, Washington
Phone: (206) 478=5281 ASSESSOR'S ACCOUNT NO.
SITE ADDRESS; LCCATION W/O 1107-0
OWNER'S OWNER'S ADDRESS 41ft eA,,10 c.�.t/ 2/�%,PHONE�/fi�
CONTRACTCR ��®�, Qv�g� STATE CCNTRACTOR'S LIC.
ADDRESS �Ie> /ww wT�ip Ge,%j��' PHONE --
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDIN
OWNER'S SIGNATURE BY
Authorized agent
(SEE AND READ NOTICE ON REVERSE SIDE)
RESIDENCE _ BUSINESS OTHER NEIN L; REPAIR _ REMODEL ❑ ADDITION t7-_. DE�ICL: :I-
❑ SIGNS
PLANNINGiZONING 4 STORIES OCCUPANCY
THIS PERMIT ISSUED FOR:
/3
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 ^c
presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of constructicn.
INSPECTIONS REQUIRED: Foundation ❑ Framing ❑ Plumbing ❑ Electrical ❑ Wallboard ❑ FINAL `,
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING `vVCRt6
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
COMMENTS:
BUILDING OFFIC
� 7( LU ,(w 1 �N C�FEE RECEIPT NO. I s PERMIT j 1—F
RECEIPT! /q I� DATE
BUILDING INSPECTION DIVISION —
CCPIES TO: WHITE — SUILCING. YELLOW — ASSESSOR, PINK — OWNER
Bremerton, WA 98310
Permit No. I I-
-/1/0 fory cew*,t 144Y
ti
irop4n( I Ae,4
Li(OR
W'�Iuqnlmil
City of Bremerton, Washington
Phone: (206) 478-'55281 ASSESSOR'S ACCOUNT NO.—
SITE ADDRESS/LOCATION 4910 AUTO CENTER WAY
OWNER'S NAME SEARLE STREET ESTATES OWNER'S ADDRESS 4910 AUTO CENTER WAY. PHONE479-1300 cc
W
CONTRACTOR GEORGE UADESTATE CONTRACTOR'S LIC # Z
ADDRESS 4910 AUTO CENTER WAY PHONE 479-1300
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING. BUILDING
OWNER'S SIGNATURE BY
Authorized Agent.
(SEE AND READ NOTICE ON REVERSE•SIDE)
❑ RESIDENCE C3 BUSINESS ❑ OTHER ❑ NEW IN REPAIR ❑ REMODEL ❑ ADDITION ❑ DEMOLISH
❑ SIGNS
PLANNING/ZONING # STORIES . OCCUPANCY
THIS PERMIT ISSUED FOR:
REPAIR EXISTING DECK (PORTION OF)
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)P
OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED MPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK.
SEPARATE PERMITS ARE REQUIRED -(WHERE APPLICAB�UMBING, MECHANICAL AND ELECTRICAL.
COMMENTS: G ,
AM=TAY� /nAtrrD K DE Pu
BUILDING OFFICIAL: DAVID K. DELPH/Ig
VALUATION PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ 150,00 $ 6.50. '414141 40.00 L�— H-95
BUILDING INSPECTION DIVISION — Bremerton, WA 98310
Permit No. 6 711
COPIES TO: WHITE — BUILDING, YELLOW — ASSESSOR, PINK — OWNER
City of Bremerton, Washington
Phone: (206) 478-5281
ER'S VALUE.J BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO.
0 CP -
l�° 2131 Al
PERMIT FEE RECEIPT NO. DATE
$ - $ $ l `��
� 9--? 3 r 0-/- 7
SITE ADDRESS/ LOCATION
OWNER'S NAME A&P&W.4 IW ADDRESS PHONE
CONTRACTOR STATE CONTRACTOR'S LIC. #
ADDRESS' PHONE
❑ RESIDENCE BUSINESS ❑ NEW ❑ REPAIR ❑ REMODEL ADDITION
PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY
THIS PERMIT ISSUED FOR:
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 any9ther state or local law regulating construction or the performance of struction.
INSPECTIONS REQUIRED: Foundation Framing ❑ Plumbing ❑ Electrical Wallboard ❑ FINAL
INSPECTION:
FOR INSPECTORS USE ONLY:
TYPE OF INSPECTION
FINAL INSPECTION APPROVED BY
REINSPECTION:
Building Inspector
ISSUANCE OF OCCUPMCY CERTIFICATE. REQUIRED BEFORE OCCUPYING BUILDING
ed Agent
BUILDING DEPT.
1
2 3 4
5
6,' l 8 '9 10 11 12 13 14 15 16 17 18 19 20 1 22 23 2.4 25.26 27 28
29 30 31
o
•
-
-
2
-
8
—
9
-
-
10
— —
G r"'•
12
13
-
-
14
-
15
16
-
-
17
-
-
18
19
—
-
-
20-
1
21
-
-
22
-
I
1
23
B
24
—
—
—
-
25
-
-
-
-
26
,
f
27
—
28
29
.000
30
-
-
31
�
32
33
—
ol
—
-
34
—-
35
36
I
I
37
-
38
-
f
39
�Y
40
41Date
Type'of Occupancy Occupant
Construction Classifacation Load Common Use
VN B 4 OFFICE
APPLICANT: OWNER � CONTRACTOR 0 OTHER: AGENT FOR OWNER
SITE ADDRESS: 4910 AUTO CE NTE R WAY TAX ACCOUNT NO. 162401-4-060-2008
OWNER: SEARLE STREET ESTATES
CONTRACTOR: Owner will be contractor
CONTRACTOR LICENSE #_-
ADDRESS: 4910 Auto Center Way
Bremerton, Wa. 98312
ADDRESS: N/A
EXPIRATION DATE: N/A
CONTACT PERSON: Tim McCarty CONTACT PHONE # 479-1300
SFR
F-1 DUPLEX
0 MULTI -FAMILY r-1 BUSINESS
F1 OTHER:
SIGN
F] DEMO
MOVE BLDG. r-1 MOBILE
[_� GRADING(yds):
NEW
r-1 REPAIR
REMODEL [:] ADDITION
r-1 OTHER:
NATUREOFWORK PROPOSED: Repair/replacement of existing exterior halcnn
Work will be carried out in stages. Application is fdrrfitst stage - repair of
dangerous areas and evaluation of further repairs.
SQUARE FOOTAGE: Dwelling. 39,632 Sq -ft. Garage: - Decks: 6,335 --,q-ft- ATprox.
amu VeA"em" re Vae old*
ALUATI�N><
PLANEYI E FEE ::
PERIF�IIE IrtE1:;URCHriE
TOTI FEE>
$ 20,000
��
[
� I fl
STATE: $4.50
$
Applications 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 that circumstances beyond the control of the
applicant have prevented action from being taken. No application shall be extended more than once. In order to
renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.
APPLICANT'S SIGNATURE � . DATE: W '
David Grellier, President, Atelier Northwest, Inc.
B UILDING PERMIT
INSPECTION
CARD
'PROTECT THIS CARD FROM -THE WEATHER
iT�DRESS
LIT&CT DESCRIPTION�olOiN t?
Building 4% Plumbing ❑ Mechanical ❑ Fire Alarm/Sprinkler ❑
DURING INSPECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE
Permit _# BB04 - 00
For Inspections Call (360) 473- 5870 Approved Date Notes
Erosion Control In Place
St Foundation Footing,
L
FOUNDATION Foundation walls
DO NOT POUR CONCRETE Plumbing Ground Work
PRIOR TO APPROVAL In Slab Mechanical
Footim, Insulation
2 nd - PL UMBING Rough In
MECHANICAL Duct / Ve,at
'00-0, . GAS PIPE Support; Test /Meter set
FRAMIAW
If 1 std 2nd are approved
SVLA TION
TROCK
r All of the
above
AL Must be
approved
Prior to
'final
Hold down connections
Shear.Panel nailing
L&I Electrical Approved
(ventilation requirements
Under -floor
walls
�Nl 0 �
BUILDING 473-5870 t3
WATER MAIN. TEVANCE 473-5927
Grease Tru , Back ow, Meters
PZ%BLIC Driveway .473-5270 O
WORKS Sewer 473-5270
.FIRE 473.-5384153 (�
.ALL, FINAL INSPECTIONS COMPLETED 'C
DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL
OCCUPANCY VIOLATION IS A MISDEMEANOR - S:ECTION 305(4)
PROTECT THIS CARD FROM THE WEATHER
r
RECEIVED DEPARTMENT OF COMMUNITY DEVELOPMENT
City of Breznerton 345 SIXTH STREET, Suite 600 BREMERTON, WA 98337-1873
COMPLAINT FORM
DgR=ent of
Community Development
Date Received: Complaint Number: O 62)
Location of Violation: d 47id ax Acct. #:
Owner's.Name:
Owner's Address: City, State, Zi
NATURE. OF VIOLATION
'11i / _si �► il. �' v'�_' Gig L1I/
1-4
'�V"rf{3j U�
10 anon can a seen
City Street or Alley
"Complainant's Pfoperty{must give written
permission to enter property to inspect; sign
below)
Complainant's Signature
Confidentiality of complainant information cannot be guaranteed.
Complainant's Name:
Street Address:
Notes:
Phone #:
ACTION TAKEN
To Be Completed By City
D
City of Bremerton
JUN 0 2010
Department of
Community Development
rs � e -f 2---'®
k5-> -7�5
A/A/>
/6F
lfi9i✓�Qfilzs/C�i✓
�ai�J4 A���s
- �dc/�s Pym c7
JL
'0101�� A�