HomeMy WebLinkAboutLAFAYETTE AVE N, 303A
BUILDING PERMIT
INSPECTION
CARD
Building 1:1 Plumbing []
303 N LAFAYETTE AVE
TANK DECOMMISSION
Mechanical' ❑ Alarm/Sprinkler 11
This Placard must be posted on or near building and the Permit & "Approved" plans must be at the sit
Permit # BF 11 00083 F 0 V WA M U IE
Call the following Aqencv Telephone Numbers for inspections
Building Department Inspections Call:
(360) 473-5870
WATER- Public Works -Water:
(360) 473-5927
PW - Public Works - Engineering:
(360) 473-5270
HEALTH - Kitsap Co. Health District:
(360) 337-5285
Fire - Fire Department:
(360) 473-5394
L&I - Dept. of Labor and Industry:
(360) 415-4000
- Property lines shall be properly identified and marked before
foundation footing inspection. Setbacks are measured to the
finished wall structure.
- Reinspection fee maybe assessed if inspection has been
requested when not readyor corrections are not completed.
- Permit, approved plans, engineering, and inspection card shall
be on site during construction or Reinspection Fee maybe
assessed.
Inspection Approved Date Notes
Final Inspection - Building
Logy -
FINAL BUILDING (360) 473-5870
All of the above must be approved. A
Occupancy approval for SFR only - Commercial
structures require a separate Certificate of Occupancy.
DO NOT OCCUPY BUILDING'WITHOUT BUILDING DEPARTMENTAPPROVAL
PROTECT THIS CARD FROM THE WEATHER
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
PERMIT NUMBER: BF11 00083
DATE ISSUED: 10/06/2011
ASSESSOR NUMBER:
3733-001-019-0005
ZONING:
R10
SITE ADDRESS: -303 N LAFAYETTE AVE
APPLICANT NAME:
ARENDS CAROL L
PHONE:
(360) 377-7559
ADDRESS:
303 N LAFAYETTE AVE, BREMERTON, WA 98312
OWNER NAME:
ARENDS CAROL L
PHONE:
(360) 377-7559
ADDRESS:
303 N LAFAYETTE AVE, BREMERTON, WA 98312
CONTRACTOR:
PENINSULA TANK SERVICES
PHONE:
(360) 271-7158
ADDRESS:
P.O. BOX 2596, SILVERDALE, WA 98383
LENDER NAME:
PHONE:
o-
k\ADDRElSS:
SUBMITTED: 10/06/2011 APPROVED: 10/06/2011` I NX)D\IRATION: 04/03/2012 STATUS: ISSUED
VALUATION: Tank Removal
TANK REMOVAL FEE $56.00 2211 TANK DECOMMISSIO
TOTAL FEES: $56.00 Building Code Edition: IBC 2009
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Inspection Requests FIRE: Fire Inspections (360) 473-5394
DCD: Building Inspections (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285
L&I: Department of Labor and Industries (360) 415-4000 PW&U: Public Works Engineering (360) 473-5270
This permit shall become null and void if the described work authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned
at anytime after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required
inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton 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 the City against any and all
responsibility or liability connected with the construction. I hereby certify that l 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 local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that l 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.
I have read, and agree to abide by t diti s of s e including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT: -
PRINTED NAME:JA DATE:
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
10. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data. The building official
is also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the -City of Bremerton.
10. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency
(Clean Air Agency) and Washington Department of Labor and Industries (L&I) 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 -
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
PERMIT NUMBER: BF11 00083
DATE ISSUED: 10/06/2011
ASSESSOR NUMBER:
3733-001-019-0005
ZONING:
R10
SITE ADDRESS:
303 N LAFAYETTE AVE
APPLICANT NAME:
ARENDS CAROL L
PHONE:
(360) 377-7559
ADDRESS:
303 N LAFAYETTE AVE, BREMERTON, WA 98312
OWNER NAME:
ARENDS CAROL L
PHONE:
(360) 377-7559
ADDRESS:
303 N LAFAYETTE AVE, BREMERTON, WA 98312
CONTRACTOR:
PENINSULA TANK SERVICES
PHONE:
(360) 271-7158
ADDRESS:
P.O. BOX 2596, SILVERDALE, WA 98383
LENDER NAME:
PHONE:
0-
ADDRESS:
SUBMITTED: 10/06/2011 APPROVED: 10/06/2011 EXPIRATION: 04/03/2012 STATUS: ISSUED
occupied single family residences). DCD: 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&I web site can be found at www.Ini.wa.gov/p-ts/asbestos/asbestos.htm.
10. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit /t4_
inspection placard, are required to be on-site for inspection purposes, and work to be
inspected shall be complete and ready for inspection. If an inspection is called for and
plans are not available on site, or the work is not ready for inspection, approval will not be
granted. In addition, a re -inspection fee will be charged and must be collected by the
Department of Community Development prior to any further inspections being performed or
approvals granted.
10. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and
approved by the City of Bremerton Department of Community Development prior to permit
expiration. The failure to request a final inspection or failure to obtain final approval prior to
expiration may require a reactivation fee, or a new permit application if more than a year
has passed with no activity.
MINIMUM INSPECTIONS REQUIRED
To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact
phone number, and inspection type. To register for on-line inspection access, visit the City's website at www.ci.bremerton.wa.us.
Final Inspection - Building
Page 2 of 2
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"EC" PERMITCENTER
city of Bremerton C.� I,r✓
OCT 06 2011 Building Permit Application
Det of Cominuni DCMP"rtm6nt o 6th Street Suite 600 * Bremerton X WA * 98337-1873
�. �
(360) 47.3-5275 * Fax (360) 473-5278
Site Address:
CONTRACTOR:
j Trn Sj `(
OWNER: (`a Qv\0kc.
Address:?_5q(0Address:
'3o ,e et -t Ave
Ci!y, State, Zi :S, e.(
�Q, 13$�)
City, State, Zip: Cewv(_im UA 9%3jZ
License # & Exp. Date:
Phori6 #: (,O
Contact Name:,c,,A
Authorized Agent Name:
Contact Phone #:
Address:
Tax ID/Parcel #:
00 - 0 OS lCity,
State, Zip:
Phone #:
What is the application for? (Please check one)
❑ NEW SINGLE-FAMILY RESIDENCE
❑ NEW DUPLEX
❑ NEW MANUFACTURED HOME
F ] RESIDENTIAL REMODEL
❑ RESIDENTIAL ADDITION
❑ RESIDENTIAL REPAIR
❑ NEW COMMERCIAL
❑ COMMERCIAL REMODEL
❑ COMMERCIAL ADDITION
❑ COMMERCIAL REPAIR
❑ NEW MULTI -FAMILY
❑ TENANT IMPROVEMENT
❑ NEW GARAGE/CAR PORT
❑ NEW ACCESSORY BUILDING
❑ NEW SIGN
❑ STRUCTURE DEMOLITION
❑ GRADING (Cubic Yards: )
® OTHER: _Q(2&VV1VV,',5�0V\
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES ❑ NO
Square Footage: Dwelling: Garage: Decks:
Valuation Plan Review Fee Permit Fee Surcharge 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 revhMl 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 on an application
after expiration, the applicarq shall submit plans and pay a new plan review fee.
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Servicclrm. HEATING AN6 AIR-c6ND1170NING -TANK DECOMMISSIONING
Underground Storage Tank Decommissioning
Proposal: 6060E IVED
City of Bremerton
Job Address: Carol Arends OCT ®6 2011
303 North Lafayette Ave
Bremerton, WA 98312 Department of
.. Community Development
Site Analysis: 07/18/11
The 300 -gallon underground oil tank is located on the northeast corner of
the house. Tank contains 220 gallons of oil and no water. There are no signs of
ground contamination in surrounding area. Tank is to be pumped, stabilized, and
filled with concrete slurry. The fill and vent pipe will be removed below grade
level.
Work performed: 08/09/11
The tank was pumped and all material removed for proper disposal. The
tank was then stabilized, and filled with concrete "slurry. Fill and vent pipe were
removed below grade level. The fuel line have been capped:
Conclusions
Tank was decommissioned as proposed. Area should not be a future
hazard. All work was performed per current regulations as required by WAC 51-
34-6106 and fire code 7902.1.7 pertaining to abandonment of home heating oil
tanks. Property owner should retain a copy. of this report for future reference.
Michael Hayes
Peninsula Tank Services, Inc.
P.O..Box 2596../'Silverdale, .WA 98383 (360) 613.-5866 .::Contractor Lic.# PEN1NTS644KZ
0
N,
0
Proposal Submitted To:
Carol Arends
303 N Lafayette Ave
Bremerton, WA 98312
Phone: 360 377 7559
e-mail:
4 r I
Proposal 6060
Tax Act: 3733-001-019-0005
Project Address:
same
Estimator: Dan Hayes
We hereby propose to provide the materials and expertise for the decommissioning of a 300 -gallon
underground fuel oil storage tank, to pump out contents, open, stabilize and fill with concrete slurry. The fill
and vent pipes will be removed at or below grade level and the fuel lines will be removed or capped off as
needed. PTS will provide documentation stating the tank has been properly decommissioned.
Location: R side of driveway, Total: 80", Fill: 43", Dia: 37", Contents: 26.5" = 220 gal of oil, no water
Decommission & City Filing: $750.00, Tax: $64.50, Total. $814.50
Note to Tech:
All material is guaranteed to be as specified, the above work is to be performed in accordance with this
proposal and completed in a competent professional manner, with payment due upon completion.
Date: 07/18/11
Respectfully submitted: Dan G. Hayes (owner, PTS)
Per:
ptsrandy@gmaii.com
Any alteration or deviation from the above specifications (360) 613 5866
involving extra costs will be executed only with written Fax: (360) 692 0491
order and may result in additional fees. All agreements
are contingent upon strikes, accidents or delays beyond
our control.
Note: This proposal may be withdrawn
if not accepted within 30 days.
"Contractor's License # PENINTSO44KZ `
The above prices, specification, and conditions are satisfactory and hereby accepted. Peninsula Tank
Services, Inc. is authorized to complete this contract as specified. Payments will be made as outlined above
Signature:
REC'EIVE'D
City of Brelmerto8
OCT 06 2011
CoMMpnitYD elopment
a