HomeMy WebLinkAboutMEADE AVE, 901 R B E M R R T 0N B U I A D I N 0 1 P A T MR I,'
M 411 1 I I W0 1, ") N 1 X R M T A P P L C A T T N
Application Do e 10/23/ 1995 Application Number 95AP09028
Tosue Date 10/ 23/1995 Permit Number
Assessor AcK 3735-020- 019-0003 Project Group
Site Location 901 MEADF,
Ownpr - Last Namp HORNING, First SPENCER E4.1
- Street 901 MEAO,1�1
city HRFMERTOIV� State WA Zip 98312
Phone ( 206)
Tenant ' s Nam&,�, Phone( 206)
AgPDWS Name Phane( 206)
Arrhitect ' s Knmrza
Building Grading S i g I'A Psuing
Mechanical Move Ruitdinq Burning Undergrounr:l
Plumbing mobile Home hand Clear [XJ Demalitior'),
-- --- -- -- ------
Contractor R & B VANDSCAPE DESION
Street 8045 MILITARY RD N FNn
city RREMERTON
Phone ( 206) 692 -2871 Skate NA Zip 9831 ()
Representative
State bid ense BBLANW271OF Expiration Date 05/05/ L996
City Unense Expiration Date
Nature of Wnrk ,
Demolition of 000 nA . singJe faWy revidenne .,
- -- - - -- - - - --- - - --- -- ---- - ---- --- - - - -- - --- - --- ----- ---- - --- ----
Sewer Cap Permit Nunher 33? )
Issue Dat (,,,, 08/09/ OW:)
SEPA Revie,,q
Demnlition Footagr-,,, 1200
Councit Dimtricl,,
Census TraW,,,,,
Status
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BUILD -NG`:P CAT!"
pity of3remerton; "�Xahingtan 9$3 (} Phane: �OG} 48- 275! Ft # } 78- 278
APPLICANT: OWNER CONTRACTOR OTHER:
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SITEADDRESS: �ej TAX ACCOUNT NO. .� ; �
OWNER.
ADDRESS:
CONTRACTOR: a, p' ., a ;e�,e ,., �_,. ADDRESS:
CONTRACTOR LICENSE# b'
EXPIRATION DATE:
CONTACT PERSON: CONTACT PHONE#
SFR ® DUPLEX ® MULTI-FAMILY BUSINESS ® OTHER:
SIGN ) DEMO MOVE BLDG. MOBILE GRADING(yds):
NEW ® REPAIR ® REMODEL ® ADDITION OTHER:
NATURE OF WORK PROPOSED: :,)14 0
SQUARE FOOTAGE: Dwelling: .- "Y Al e� Garage: Decks:
I
�a�c 7.�e�d�antace.�t 'la/ae d
VALUt1TION i PLA CREVIEW.FEI1 :. ... ;;PERMIT 1 URCHAR:GES "TOZA FPS;:
$ $ $ ENERGY: $50.00 $
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" , Ill
2
DATE: e
«:
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NOTICE OF PERMIT REGULAT10"NS
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
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suspended or abandoned at any time after the work is commenced for a period of 180 days.
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2a: raffie, bare crr� Ynside cood ca�sirucYto� �nclading plumlg
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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 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.
r
ignature Date
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
-- _' - - BRIM EF301�1%TREASURER
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CITYPAID
n GrFiiH
-";,T LIUEAELP If
t+tiTi-t�HL UTILITIE 64-' FI't�c!dT 4799 AUG 91995
LITY SERVICE AGREEMENT
h' f, it1 F Ota
ti i F INSPECTI`a }` .Co Tap No. Receipt HAW, `t 04-
Bremerton, WA:;.
TUTRL DUE ^- F`-.0u
FtECElU=D Fr:ON. y owner hereby applies for Utility service at:
H`R16 KR_
HECK/t,10N Y UF.[ S.Lr,
T=rL TEtaCc6:ED Pock Lot Kitsap County
—.O+c -------------- --------------------------
ti l76c DUE ---_----__ —_— eT [] Wastewater [] Stormwater .
0.00
eve Water [] Sewer District *1
_"-'------==_-== ry Water [] Tracyton Water
[] County II VorL ui oremerton []
--------------------------------------------------
SERVICE CHARGES:
i
Connectian/Inspection_Fee: BARS
Water: Domestic. . . . . . . . . . . . . . .Size $
Fire . . . . . . . . . . . . . . .. . .Size $
Wastewater . . . . . . . . . $
Storm Water . . . . . . . . .$
Front Footage Fee:
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Wastewater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Storm Water . . . . . . . . . .$
General Facility Fee:
Water . . . . . . .* of units e $ $
Wastewater . .# of units 8 $ $
Storm Water of units @ $ $
i
System Development Charges: d
Water $
Wastewater $
Storm Water $
Temporary Service $ _
Road Permit [] City [] County . .$
Street Restoration [] Asphalt [] Concrete $
Tapping Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Deposit $
Other ; G ' 1% $
TOTAL. . . . . . . . . . . . . . . . . .$
------------------------------------------------ -------------------------
1. Utility charges are -the responsibility to the owner regardless of
whether the property is occupied by the owner or tenant. Unpaid
charge shall become a lien on the property serviced.
2. By this agreement, ,the.undersigned owner;acknowledges that the owner
assumes the risk and the City;disclaims responsibility .for. all.claims
for damage or injury to person or property resulting from the
following: --
a. Installation, maintenance and operation of all plumbings-fixtures
or appliances;'eonnected to the water meter.ar wastewater main.
(Building permit inspections are limited in scope and do -not
guarantee plumbing design or workmanship. )
b. Changes in pressure, flow or temporary shut-off of services-due
to system maintenance, emergency or non-payment of charges
Name }—r - F��ll r r Phone Number ( ) e'/-Z-
Billing Andress FfQS A 1i1 i,
City i r'A -71 c�tr ? State 4!I14 zIP
Owner's Signature Date , 19
Agent's Signature Date , 19_
Accepted on behalf of, Bremerton Municipal Utilities:
By: �__ �'_.., ; Date iti.; , 19 `
Original & Yellow Copies: Utilities Accounting
Pink Copy: Utilities Engineering Goldenrod Copy: Customer
From PRIGGEP'S B '. B LANDSCAPE PHOHE No. `t_th r-398 Fa}_', 1'9'- _ -7,GAM F_rl
a.aY8lti=T�lLfA+ ���,a.: .15� lh\` {; 'fStia.=-,•
DEPARTMENT OF LABOR AND INDU$TRIE$
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THIS CSFiTIFIES'THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDE gY LAW A$A
�• A. Vbrl {{:�f''` .f1J1=+"'„`�5 5f5 ��1 "j il! ir'rQQQ+;'. 7
2A r 1( STATE OF WA NIN TON
F r 1 . ' 1RYt RD ,N
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0M071TK,,EQA$PNA0 D BYYAA�W+AG A'pd
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B#?EME#�TAN WA 98it7
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SIGNATUnE
I8sU5o By DEPARTM OF' DR AND INQU5TRIE5
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BREMERTON BUILDING DEPARTMENT
Inspection Report.
Addrem: _ 901 Meade
Owmer:-_-,gp-e_ncer HOrnLn „ :206 692-2871 v
N BµW& B Landscape Desi n -
FOWMATION
_ Udauar Ua m e aid U ud aroaru�md _ .. Sab2c ks
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VR musat farm insu6tmd,un munm» gtm Whok gmmmm fash aammmsi&-air intakcs cack b oo nm
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^ smeWumdmhm Umm
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APPROVED:
ENERGY CODE COMPLUNCE
llmmmdmada m value Tnmm� m mmam
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ddua6 b4A m» 6um x! _
WALL "U"U N Y»U"�64� Ild6kr __� _.�µ�,IlUU IN UUA°U[UOUMU�eI��°]&U�ID�EiL�a__
MECHANICAL
d hance WE aaani Asa rrcny»er$ax A liam dmmice to raaxxgbaaadb6
egd rraex rm bagaaablea _ Nosed sn � -
- vem re °aaard xn - C bastion air
PDaaas.size&s kor¢ _ _ ----.— _-_ C as gatl an rear �_--
dd e:nx d rxgdxx°P2
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4:"as d :-idda G"axe mad- d- _ Gas slaaaaalf vak6nn Y asf a Idaxga�
-off an Iva*
oodstoves- l? feed - umes &fimplacs.Td r-fg!! dos
' r fx r rig @ gatlact a on site
- lalxgaa Idxxav: - au .__.._ Cwlad arase
CI SPalla'PNGAP R0VEDs__...,___._,__,---------_____________FLJRNACEAPPR0VEDe-_�_._-_�_-__ -_
C7"P"P4ERAPpPL CLSPmP"PRO - D:--__.____._-__._.-- _ _.-_.._._......_-_-_..._._.,__ .--_-..--__ ---
PLUMBING
-_ 1CD terzip!_
.._PD .proper sloe PD fgrra as
PD n d ear sa D ad ka
_ Vent nadon tl �fir a n tly
aaer sa me sanng
Skut-cffvalves on all fixmm ---
amrac beauc&aLr]T!!Tonter sag Vacsnxgxlrn bra n gd
Wava hearcr relaefvalve drain to outside Wam .s" rrgde stm
--- E-!O ad n water ffi mar aadeed a a s I as era.
r era alaggrer rears: sal ]Caren P
-----
PLUMBING GPPCDP D' P PaPa]PROVED:..___._-__.----.-._...-_.-._._-_PLUMBING ROUGH-IN APaP RO D,-..___---_.--_______
SHEUROCK
Paean r l naraaad :xmadtls-? aPo„r larnrda, Po - °"o.c_ cal
Illy") "o.Q
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FINAL
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)CePNlI:P APF'Pia PD;_-._-_____-�
Nq 3464 Al
BUILDING -IERMIT
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE � BLDG..DEPT.VALUE $ PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
Z,/,A
SITE ADDRESS/LOCATION
OWNER'S NAME 1, ADDRESS PHONE
CONTRACTOR STATE CONTRACTOR'S LIC.#
ADDRESS PHONE
P� RESIDENCE ❑ BUSINESS ❑ OTHER ❑ NEW 1:1 REPAIR El REMODEL ADDITION El DEMOLISH
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 any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation ❑ Framing Plumbing ❑ Electrical 1:1 Wallboard El FINAL IV
FOR INSPECTORS USE ONLY: REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED COMMENT DATE TIME APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE CC UPYING BUIL G
OWNER'S SIGNATURE BY,,
�,qp izedAgelnl'nor
BUILDING DEPT. "ve
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