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Fee Due $ i'M� 1 3 1 (License Type BREMERTON • �' BUILDING DEPARTMENT Firm Name: // �/l e C�/V QTY e /U1 7 -7,-j ATL D ,��� ' Owner Name: .-� Address: -"r /1 / �- Home Address: - le-4/6-'..4( < < •#'61./7 City/State: Jelle'711l /-6/1,. 2 Cods:?;:f-::V6-) City/State: '' /i." 1/ems/ Zip Code: t Tax Returns To Be Mailed To: c'5-T' , "1" !'e://?/ ,0 .92Date Business Started in City: ? / 7 - - Bus.Phone: ! /� � 3 Home Phone: �c7` • Nature of Business: /f/ / ' -`` �� (Designate whether Retail,Wholesale, Manufacturing,Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner,. Partnership E Corporation ❑ WA State Tax No.: ' 77-7,.4 Corporate Headquarters Phone: Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No❑ No.of Employees Business Square Footage: If tenant, property owner's name: Office In this tenant space currently vacant? Yes❑ No❑ If no,explain Retail Will you be shari^C thin tenant space with another business? Yes❑ No❑ If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No ❑ Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS xj.. ,3v<;,_; A ' (If Corporation, An Officer Must Com tete This Section) r PERSONAL DATA: Birthdate: 9//1 Soc. Sec. No.: Driver's Lic. No.: tom= Verified Addresses for Past 5 Years: _ d- % Emergency Contact:(Name/Phone)1. / x} , zie, ,7,717—/' �� ,j p. ' /417.x/6-f; /'7- �?G i //t7U / The undersigned herruy certifies that the information provided on this application is true and correct,to the best of his/her knowledge under penalty of perjury under the laws of the State of Washingon: ic / Print Full Name: `goe-/ /47) I Title: -`72 �` Signature: �/l/ %2- /{&"' -5C' -. DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: //— C- 9 5- * * r * * * * * to * * * * * * * * * * * * * * * * * * * * * r * * * * * * r r * * * * * * * * * * * * is * * * * * OFFICE USE ONLY: BUSLIC Remarks: fr TARETAIL BUS ID# TBWHLSLE LANA USE-Er TCSERVCE TZPENLTY PROP ID# WHITE—TAX& LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING 7 /91-g 2165 OFFICE USE ONLY ICE USE 0 L Receipt# Initials CITY OF BREME t .• N ( / TAX & LICENSE DIVI Fee Due Initials 239 Fourth Street Is d: $30 Bus.Lic.Application Fee Bremerton, WA 98337 J;-A N 1. 7 3995 (PRORATED) (360)478.5311 (Make Checks Payable to City Treasurer) BUSINESS LICENSE A R I A S E (or General Regulatory License Application - Lic. Fee Due $ J (License Type Arm Name: C11,�1��14reA 't eei �/ ► Owner Name: Address: 42�s I`" U�- 6�� ��� � � � Home Address: City/State: !�//. � �• Zip Code: 9,357 Cit /State: _Zip Code: Tax Returns To Be Mailed To: Date Business Started in City: Bus.Phone: Home Phone: Nature of Business: (Designate whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner ❑ Partnership ❑ Corporation ❑ WA State Tax No.: Corporate Headquarters Phone: Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No El No.of Employees Business Square Footage: If tenant,property owner's name: Office Is this tenant space currently vacant? Yes❑ No El If no,explain Retail Will you be sharing this tenant space with another business? Yes❑ No El If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No ❑ Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer Must Complete This Section) PERSONAL DATA: Birthdate: Soc. Sec. No.: Driver's Lic. No.: Verified Addresses for Past 5 Years: Emergency Contact:(Name/Phone) 1. 2. The undersigned hereb edifies that the information provided on this application is true and correct,to the best of his/her knowled! der penif pelpr under the laws of the State of Wash' n: Print Full Name: Z/7/2 e—C6 Title: /� Signature: _ - _ DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: /7-•L� OFFICE USE ONLY: BUSLIC Remarks: TARETAIL BUS ID# TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX& LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING 2165 1�Y r 1-9 OFFICE USE ONLY /1 . USE ONLY Receipt# G d _(, '�`� Initials CITY OF BREMERTONWUG 0 21996 Lic.# / TAX& LICENSE DIVISION / Fee Due . )0 Initials ,Zi 239 Fourth Street , Issued: Bremerton, WA 98337 \A L $30 Bus.Lic.Application Fee (360) 478 5311 (PRORATED) r �(n /�//� Jj: II (Make Checks Payable to City Treasurer) , !e BUSINESS LICENSE APPL C ATIOI (or General Regulatory License Application - Lic. Fee Due $ }': c, (License Type ) �UlL NGDE�R Firm Name: Owner Name: /V" Address: , - Home Address: ,�! •/ City/State: Zip Code: S - City/State: ) i F. i. ' Zip Code: Tax Returns To Be Mailed To: 1 Date Business Started in City: Bus.Phone: Home Phone: Nature of Business: (Designate whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner ❑ Partnership O Corporation ❑ WA State Tax No.: Corporate Headquarters Phone:_ Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No❑ No.of Employees Business Square Footage: If tenant, property owner's name: Office Is this tenant space currently vacant? Yes❑ No❑ If no,explain Retail Will you be sharing this tenant space with another business? Yes❑ No❑ If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No ❑ Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer M fete This Section) 9 , i. ,_ ,1/ . .(.) PERSONAL DATA: Birthdate: Soc.Sec. No.: Driver's Lic. No.: Verified❑ Addresses for Past 5 Years: Emergency Contact:(Name/Phone)1. 2. The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowledge under penalty of perjury under the laws of the State of Washingon: Print Full Name: Title: Signature: DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: OFFICE USE ONLY: ,,�� �� r BUSLIC Remarks: b����it t�Qlt�I C )tPe TARETAIL BUS ID# TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING t Lq61— M? / ?t-- 1/1,1/(7' 2165 OFFICE USE ONLYOFFICE USE ONLY Receipt#O _g, '� Initials CITY OF BREMERTON. :, Lic.# TAX& LICENSE DIVISION Fee Due /0(1.50 Initials /� 239 Fourth Street 'l' Bremerton, WA 98337 ,AUG 02 190 (� C $30 Bus. (360)478-5311 Lic.Application Fee J ti (PRORATED) �tlll111 E I'd, (Make Checks Payable to City Treasurer) BUSINESS LICENSE APPLICATI NAUG ;co '� (or General Regulatory License Application Lic. Fee Due $ ) ,,o (License Type ) RREMERT $UILDINS pEpAq MEN �i;_ - i T Firm Name: , .) F ., - Owner Name: �-0,f t1j, Address: >M3 f'JrKiP/c_ ;DU`/ Home Address:r�/=>(J /))/)(I0�.) f %i City/State: / C i (( Zip Code: Cl City/State: 1 i' Zip Code: 6 /�- Tax Returns To Be Mailed To: Cr,; ;e= %i S ►(- 11 4) Date Business Started in City: VD-9' 9(3, Bus.Phone: .3ec) 4/-yO3Dc' Home Phone: 4/ -O#/S Nature of Business: S� (/ } :.Ji T - ( (Designate whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner ❑ Partnership 1K1 Corporation ❑ WA State Tax No.: Corporate Headquarters Phone: Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes Cl No❑ No.of Employees Business Square Footage: If tenant, property owner's name: k'r✓ Office Is this tenant space currently vacant? Yes❑ No❑ If no,explain r NC I>. 1.7 11} , Retail i Will you be sharing this tenant space with another business? Yes❑ No❑ If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No ❑ Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes LI No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS t (If Corporation, An Officer Must Complete This Section) �] PERSONAL DATA: Birthdate: /1 - '^=r( Soc. Sec. No.: Driver's Lic. No.: ':rYe)fi h 4-f- (*x Verified El Addresses for Past 5 Years: 17'-I C'" / / ?,/ fr,; j •'` ---- Emergency Contact:(Name/Phone)1. '..- 1-/-11)),.!2. ,\) - i,/,- i 2- The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowlerill nder penalty of perjury under the laws of the State of Washingon: ' Print Full Name: Title: Signature: :. DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: 1 OFFICE USE ONLY: BUSLIC Remarks: O'' ! -e.-&—c-- cf"-Y0/ TARETAIL BUS ID# Gi TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING L ..PLt--ojo es.: 7 :11_, _ q.--/5--_,94, n E , tf, . .:7 r OFFICE OSE ONLY h 6 '• FICE USE ONLYgO a_G a&cif Initials CITY OF BREMERTC��^ 19..6 Lic.# TAX& LICENSE DROWN, Initials 239 Fourth Streje ' „ • Bremerton, WA 9833 1_i( ,E' ' V L 1 �� ' bra.tic.Aav� (360) 478.5311 V 7 F �Cnecfa�to City Treasurer) MakeBUSINESS LICENSE APPLICATIO i �u� � � �:�, (or General Regulatory License Application - Lic. Fee Due $ BA (License Type ) BRE RTON BUILD ' DEPARTMENT Arm Name: fP 2 Js&iU.7 7-2---S1 Owner Name: P i /! lie e Z Address; . d j-° AW/0 Home Address:: , •D� /.G L City/State: Je,flt,rd.. Zip Code: City/State: i //9-ALi, CA Zip Code:,/7�j� Tax Returns To Be Mailed To: l � /S6 4J1/ (Zc p,76a1 Date Business Started in City: / / 9� Bus. Phone: At Home Phone: M �"y � Nature of Business: �9fr�1 4),,0,7ri 'eA'a/C e- whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner((( ZDesignate nership ❑ Corporation ❑ WA State Tax No.: G-7 0 Corporate Headquarters Phone: 7 7447.6:19i0 Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No 17No.of Employees / Business Square Footage: If tenant,property owner's name: Office le Is this tenant space currently vacant? Yes/No❑ If no,explain / Retail Will you be sharing this tenant space with another business? Yes❑ No If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No IC� Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer M Com lete This Section) /� PERSONAL DATA: Birthdate: - L Soc.S . No.: +/,/ 1a Driver'cLic. NNoo.:( 4197 Verifie AddressesforPast5Years: / ' . e �e C`J 9/7d_ Cp Emergency Contact:(Name/Phone) 1. z�' ,y, c�P 'dAz - 2. �..3� T - i.retz5, The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowledg: . .er penalty of perjury under the laws of the State of Was 'n n: Print Full Name: .I4 / * . Tdle: dzz,,t)e,‹ Signature. .. 16.= 1 r DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: 'f OFFICE USE ONLY:`- L l i BUSLIC Remarks: 4 , / sof- _ 9 T. TARETAIL BUS ID# TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING ,'a .F� 2165 1. , _01 OFFICE USE ONLY00,2 . V OF USE ONLY Receipt#I,,) ' 4:i u S7 Initials CITY OF BREM ERTONA;-it 0 9 0/� TAX& LICENSE DIVISIOf�j 79 95 Fee Due t/ Initials 239 Fourth Street ' "t ,Q Issued: $30 Bus.Lic.Application Fee Bremerton, WA 98337 ‘jtl�� Ea (PRORATED) (360) 478-5311 EN* E e E U v (Make Checks Payable to City Treasurer) BUSINESS LICENSE APPLICATION (or General Regulatory License Application - Lic. Fee Due $ ) NOV 1 3 1995 (License Type - - BREMERTON UILDING DEPARTMENT Firm Name: �Ye.:( /!f s�7fr - '' t' e- Owner Name: V 7X e =, "'-- Address: tc ?/77/Q- Home Address:, . �r 2 eed-1`f City/State: i/e cede; 21-0, Zi Code:913,' City/State: /"rr `' "L}?' Zip Code:2 Tax Returns To Be Mailed To: - a://,?`fL. Date Business Started in City: ' Bus...Phone: ",f`'2 �"""Home Phone: �� 7 Nature of Business: //2"'1 (Designate whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner ❑ Partnership E Corporation ❑ WA State Tax No.: t "i'1 . / 7 66 Corporate Headquarters Phone: Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No❑ No.of Employees Business Square Footage: If tenant,property owner's name: A Office I Is this tenant space currently vacant? Yes❑ No❑ If no,explain Retail ), i Will you be sharing this tenant space with another business? Yes No❑ If yes,who? Kitchen i Do you operate this business out of your home? Yes ❑ No Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS _ rt_ t`= (If Corporation, An Officer Must Com tete This Section) ��' , PERSONAL DATA: Birthdate: • '.. Soc. Sec. No.: .4.7.„ Driver's Lic. No.: : .a-s e, O)/6 - t Verified Addresses for Past 5 Years: 6::9e- - ,�s---, : = . ' " t9// Emergency Contact:(Name/Phone)1. /9/?j " ,,X:7--./.7"' I' "" 7/79--,77) >'/./2. /0,./67--4,,e.,. f/04.-/k, ://79—.7.6-7,1 The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowledge under penalty of perjury under the laws of the State of Washingon: _ Print Full Name: r -,- ,- 9 J Vi Title: ./ Signature: (--,,,,,,::„,„(e7.,.. ..5.c..-..., DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: '/- 9- 9 OFFICE USE ONLY: / BUSLIC Remarks: J � /7/06 TARETAIL BUS ID# L, ' /C ��(� TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING 7 /')/tg eletiA7e- 2165 OFFICE USE ONLY ICE USE 0 L Receipt# Initials CITY OF BREME ( /2� TAX& LICENSE DTVI Fee Due Initials 239 Fourth Street Is d: $30 Bus. Lic.Application Fee Bremerton, WA 98337 J A N 17 1996 (PRORATED) (360)478.5311 (Make Checks Payable to City Treasurer) BUSINESS LICENSE A .LI AiiI S E (or General Regulatory License Application - Lic. Fee Due $ /01 it (License Type ) Arm Name: OZ10I4 a 4 eS hiffC � Owner Name: Address: �De. /p��/ 1e , Home Address: City/State: /!2e//. - Zip Code:__% / - " City/State: Zip Code: Tax Returns To Be Mailed To: Date Business Started in City: Bus. Phone: Home Phone: Nature of Business: (Designate whether Retail,Wholesale, Manufacturing,Service,etc.,and specify Product or Service provided) Type of Ownership: Sole Owner ❑ Partnership ❑ Corporation ❑ WA State Tax No.: Corporate Headquarters Phone: Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No E No.of Employees Business Square Footage: If tenant,property owner's name: Office Is this tenant space currently vacant? Yes❑ No❑ If no,explain Retail Will you be sharing this tenant space with another business? Yes❑ No❑ If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No E Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No E PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer Must Complete This Section) PERSONAL DATA: Birthdate: Soc. Sec. No.: Driver's Lic. No.: Verified❑ Addresses for Past 5 Years: Emergency Contact:(Name/Phone) 1. 2. The undersigned hereb edifies that the information provided on this application is true and correct,to the best of his/her knowled Or der pen j i f peir under the laws of the State of Wash' Print Full Name: Tale: Signature: - --/�—/0 4 DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: /— * s7 * tr * sr r * * xYxY * tr z7tr * * * xY -1"-zxttY £r sr t7sk rtr * z7 � trts �7 OFFICE USE ONLY: BUSLIC Remarks: TARETAIL BUS ID# TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICEREEN—BUILDING 2165 b-61(-P ECEI � �'OFFICE USE ONLYJ ! FFICE USE NLY Receipt# )/' / 7-2 gf Initials `f '~' CITY OF BRE TQ* 0 4 7996 IC.# 77) TAX & LICENSE DIVISION Fee Due T (7.)0 Initials 239 Fourth Street Issued: $30 Bus.Lic.Application Fee Bremerton, WA 987 CL 1S (PRORATED) (360)478-5311' 'v (Make Checks Payable to City Treasurer) BUSINESS LICENSE APPLICATION (or General Regulatory License Application - Lic. Fee Due $ ) . (License Type ) Arm Name: .C1-0/1)c.. CG-AJ17PU ilJ ri Se c Owner Name: P LA/ LS-Tirtl Address: = 0 I - P- _r' �r','c Jove 7 0? Home Address: ;: ,�‘ e a X „ , e1._./"‹ g City/State: ' `' -. a)p" Jip Code: ' '3 a 7 City/State: C,i( tio A9 67;7:7 if,,-- Zip Code: g' to 17.E t) Tax Returns To Be Mailed To: 'Z.,. /%C/f-..c 4 ` _ 7 Date Business Started in Ci Ty: J1 < f'`' ' Bus.Phone: (�t � " - 9 � Home Phone:_ ±_, 7.57V-- -2/j ` Nature of Business: 1---)ry., e r „- / ce....,/ (Designate whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provide.. Type of Ownership: Sole Owner f,1 Partnership ❑ Corporation CI WA State Tax No.: Corporate Headquarters Phone: -=_ _. 776, 6 Contractor License No.: „A Kitsap Co.Assessor's Tax Accnt. No.: h4.'", (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: Will there be remodeling/altering of an existing building for your business? Yes❑ No No.of Employees i Business Square Footage: If tenant,property owner's name: t, Office Is this tenant space currently vacant? Yes❑ No❑ If no,explain :- ( 1 II'=';r a' , Retail Will you be sharing this tenant space with another business? Yes❑ No ta., If yes,who? jf' ` - ' Kitchen Do you operate this business out of your home? Yes ❑ No ❑ /7a/2. Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No LI PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer Must Complete This Section) /6 0 , PERSONAL DATA: Birthdate: `?.-15*-c//- Soc.Sec. No.: Driver's Lic. No.:, Verified LIAddresses for Past 5 Years: l3c:e/ ia P r (1,` 7 -17 , i- Emergency Contact:(Name/Phone)1. 2. The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowledge under penalty of perjury under the laws of the State of Washingon: Print Full Name: Title: Signature: ?- DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: 2 * * * * * trt`rtx * tr rtr * * trz r * zr r * trtr * * tr * * r * tr r * * * r * trY`r * tr * tr * r z r * r r rtr * * * OFFICE USWNLY: BUSLIC Remarks: G TARETAIL BUS ID# TBWHLSLE TCSERVCE I' TZPENLTY PROP ID# WHITE-TAX&LICENSE CANARY-PLANNING PINK-FIRE GOLDENROD-POLICE GREEN-BUILDING 2165- // % Ip Of6 1� OFFICE USE ONLY OFFICE USE ONLY Receipt# Initials CITY OF BREMEFP) N l V Lic.# TAX& LICENSE DIVISION Fee Due 3 5, 7.) . ) Initials 239 Fourth Street NOV 0 4Issue} $30 Bus.Lic.Application Fee Bremerton, WA 98337 ' ib (PRORATED) (360)478-5311 (Make Checks Payable to City Treasurer) BUSINESS LICENSE AIiiitittliSE (or General Regulatory License Application - Lic. Fee Due $ ) m (License Type ) Firm Name:-.CTO N 4.. q Air f if 136 S e° S Owner Name: de I .er/ .cTn rte c_ Address: 2 Z Tac 1 c1 l'4 ue r_r 7-117 Home Address: 7. Ci 1Fi r x ?Q -5-'7-/'‹ S City/State: ,"' ,21 c"rr -1 0 A/ LV,6''t ).p Code: q6S 3 3 City/State: ,,� ,/t Irterkil ' -f i 2- Zip Code: e to/ 3 r` Tax Returns To Be Mailed To: OZ.. H c;('c 4 f- - ; 7 / Date Business Started in City: f I - il`/ 77 6 Bus.Phone' -0' - Home Phone: S: D� 757/" -2/cq Nature of Business: 5 p^v-et' / 12 ce re / - if /17(-74(-7, 6__.. (Designate whether Retail,Wholesale, Manufacturing, Service,etc.,and specify Product or Service provide Type of Ownership: Sole Owner U4.. Partnership IIICorporation 111WA State Tax No.: 'A' le/ �6*c- G'. A I / Corporate Headquarters Phone: 'bo -V/ - 4,, •- Contractor License No.: Kitsap Co.Assessor's Tax Accnt. No.: (business premise) _ s- 'I► , // B Names/Addresses/Phone of Partners or Officers of the Corporation: ,)'—',,/ .•/, 44,1 / 14 _ ", c/;,�1 /II -4-e'.., 4-,: e Will there be remodeling/altering of an existing building for your business? Yes❑ No❑ No.of Employees Business Square Footage: If tenant,property owner's name: . -\€ -. - Office a <-. , i Is this tenant space currently vacant? Yes El No CI If no,explain t Retail Will you be sharing this tenant space with another business? Yes❑ No C6. If yes,who? ?� :- '_ Kitchen Do you operate this business out of your home? Yes ❑ No ❑ !�?!� Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer Must Complete This Section) g-/ Q PERSONAL DATA: Birthdate: i- 15-111‘.7 Soc.Sec.No.: Driver's Lic. No.: , Verified V Addresses for Past 5 Years: le 64, 40 X /U 5 7 ,k- Z!.(//it Ina d C4. /7 ' 7_. ii' V O Emergency Contact:(Name/Phone)1. 2. The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowledge under penalty of perjury under the laws of the State of Washingon: Print Full Name: ' t 79,,,ii g To n✓E" Title: 'Jtr1 it/ P, // '<';- c -‘--„,.._ Signature: DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: 9 6 OFFICE USE ONLYAL. BUSLIC Remarks: titi/� TARETAIL BUS ID# C'® TBWHLSLE TCSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING - 4,/g...,91 OFFICE USE ONLY . „ OFFICE USE ONLY Receipt# Initials CITY OF BREMERTQVC E 1 E Lic.# TAX & LICENSE DIVISIN Fee Due Initials 239 Fourth Street= Issued: $30 Bus.Lic.Application Fee Bremerton, WA 98337 DSC 0 3 1997 (PRORATED) (360)478-5311 (Make Checks Payable to City Treasurer) Lam'`B U S I N ESS LICENSE ENSE A� A F S E 00 (or General Regulatory ryLicense Application Lic. Fee Due $ ) O..'" ' ' (License Type ) Firm Name: d G2 s j,••/ j 1 ° I/ i ' .TU Owner Name: GUQ 'f,IL WA14ey Address: al402 _ r-, ,fir / Home Address: 7/7 Pf/P,i a -1//c-b2 ' ,La City/State:. LI ' /"1 IV ip Code: 90.310 City/State: omefelv�'Y" /.ii;I Zip Code: qc?:(ef Tax Retums To Be Mailed To: /0/D/ 4/if c /Id S/ j/a,v fit)11 t /,u4 gt4t,6/L Date Business Started in City: 4/cal ' / 7 Bus. Phone: ' 7,-7- 6---6,,,E2:)" Home Phone: 3M _6: -- d'--94-- Nature of Business: -11 LG"-.e /4/e- _ 4 d (Designate whether Retail,Wholesale, Manufacturing,Service,etc.,and specify Product or Service provided) . Type of Ownership: Sole Owner ❑ Partnership ❑ Corporation"( WA State Tax No.: ./ i C:) / 6 '7 Corporate Headquarters Phone: 'rhe — BQvt-7' Contractor License No.: rf Kitsap Co.Assessor's Tax Accnt. No.: (business premise) Names/Addresses/Phone of Partners or Officers of the Corporation: (3— k ci%ai ci ul 1 hon / 4/f,._. t yJ 9. , % � 3d � �� !1 � 4Phr� �/.� a ?lam �ot.�r��-t,�.i� �dg��i„� / ,,.,, 2/ 7(`'1?F}r� ..` ;Or -- // /7 r r r,. '/ ,-i Will there be remodeling/altering of an existing building for your business? Yes❑ No , No.of Employees / Business Square Footage: If tenant,property owner's name: //)7I '_ V ) ",,,iir p e...1 e Office Is this tenant space currently vacant? Yes y No❑ If no,explain Retail Will you be sharing this tenant space with another business? Yes❑ No❑ If yes,who? Kitchen Do you operate this business out of your home? Yes ❑ No ❑ Dining If yes, will any person be employed at the home other than a resident? Yes ❑ No ❑ Storage If home occupation, I have read and agree to abide by the Home Occupation Regulations of Bremerton Zoning Ordinance Ch. IV, Sec. 9. Yes ❑ No ❑ PERSONAL DATA: REQUIRED OF ALL APPLICANTS (If Corporation, An Officer Must Complete This Section) a� PERSONAL DATA: Birthdate: -,7r�If Soc. Sec. No.: Driver's Lic. No.!"f 9//74/. 7/7C 17 Verified Addresses for Past 5 Years: /7 r 6 4,-,,t., v int f/i ,..,/i�E b 4/i , 4 L,,-y el-- Lt/4 '?%6/ Emergency Contact:(Name/Phone)1. eeicc./re,yd, /fCZ h7b/.1 2. -,�7t-'O ; j'.q01/ {- 6. c71j -49,5"_ „ 7j-.©4f z>? / - 83‘7 The undersigned hereby certifies that the information provided on this application is true and correct,to the best of his/her knowledge under penalty of perjury under the laws of the State of Washingon: / Print Full Name: /$ 77`-t/ .C,, 147 4,/-7 r, Title: ' /^-r/ y,.,i /�,r i)/7,-, Signature: /�../.4 la X...e . DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED Date: _ t%7 * * * * * * * * * 5 * * * * * * * * 7 * * * * * * * * * * * * * * * * * * * * ( * * til * * *f* * * L * r * YC * * ,',.- OFFICE 'OFFICE USE ONLY: BUSLIC Remarks: TARETAIL BUS ID# \ kPJ ✓ ii: • TBWHLSLE 0 . T CSERVCE TZPENLTY PROP ID# WHITE—TAX&LICENSE CANARY—PLANNING PINK—FIRE GOLDENROD—POLICE GREEN—BUILDING - BUILDING PERMIT 202 PACIFIC AV INSPECTION ART ANDERSON & ASSOCIATES NEW VINYL (PVC) ROOF CARD 4tell :7" BREMERTON Building Plumbing Ei Mechanical ❑ Alarm/Sprinkler 0 This Placard must be posted on or near building and the Permit& "Approved" plans must be at the sits Permit # BB 10 00313 POST ON SITE Call the following Agency Telephone Numbers for inspections: -Property lines shall be properly identified and marked before BuildingDepartment Inspections Call: foundation footing inspection.Setbacks are measured to the P P (360)473-5870 finished wall structure. WATER-Public Works-Water: (360)473-5927 -Reinspection fee maybe assessed if inspection has been PW-Public Works-Engineering: (360)473-5270 requested when not ready or corrections are not completed. HEALTH-Kitsap Co.Health District: (360)337-5285 -Permit,approved plans,engineering,and inspection card shall Fire-Fire Department: (360)473-5394 be on site during construction or Reinspection Fee maybe L&1-Dept.of Labor and Industry: (360)415-4000 assessed. Inspection Approved Date Notes Final Inspection-Building U-I-w FINAL BUILDING (360)473-5870 All of the above must be approved. 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 N '4' CITY OF BREMERTON PERMIT NUMBER: BB10 00313 E DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 06/15/2010 L � � 345-6th Street, Bremerton,WA 98337 (360)473-5275 Fax: (360)473-5278 ASSESSOR NUMBER: 3718-008-001-0009 ZONING: SITE ADDRESS: 202 PACIFIC AVE APPLICANT NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 OWNER NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 CONTRACTOR: HANLEY CONSTRUCTION PHONE: (360)876-0870 ADDRESS: PO BOX 865,PORT ORCHARD,WA 98366 LENDER NAME: PHONE: 0- ADDRESS: , SUBMITTED: 06/15/2010 APPROVED: 06/15/20 .XP -ATION: 12/12/2010 STATUS: ISSUED VALUATION: $23,790.00 Commercial Building Per' echanical/Plumbing Building Permit $311.00 2211 ART ANDERSON& ' • IATES-NEW VINYL(PVC)ROOF State Surcharge $4.50 0236 Building Code Edition: IBC:2006 TOTAL FEES: $315.50 Occupancy Group: Type of Construction: Flood Zone: Setbacks: (Front) (Side) (Rear) (Other) Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant TOTAL 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 and authorized by this permit has not commenced within 180 days from the date of issuance,or if the work is suspended or abandoned at any time 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 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 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 I 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 abi by co s of this permit n I4ding all conditions of zoning,building codes,and State an Federal law SIGNATURE OF OWNER A, AGENT: PRINTED NAME: , % + 0 ` `-r DATE: 1 1 b CONDITIONS City of Bremerton's pproval 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 VIES— permit Epermit 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 PERMIT NUMBER: BB10 00313 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 06/15/2010 t ► r 345-6th Street, Bremerton,WA 98337 i- REMERTON (360)473-5275 Fax: (360)473-5278 ASSESSOR NUMBER: 3718-008-001-0009 ZONING: SITE ADDRESS: 202 PACIFIC AVE APPLICANT NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 OWNER NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 CONTRACTOR: HANLEY CONSTRUCTION PHONE: (360)876-0870 ADDRESS: PO BOX 865,PORT ORCHARD,WA 98366 LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 06/15/2010 APPROVED: 06/15/2010 EXPIRATION: 12/12/2010 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.lni.wa.gov/p-ts/asbestos/asbestos.htm. 10. (DCD-47) DCD: Reinspection Fee:All approved plans,the printed building permit,and the permit 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 C 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. 15. (DCD-22) Code Compliance-All work in the City of Bremerton shall adhere to the current adopted version of the following codes: International Building Code International Residential Code International Fire Code International Mechanical Code Uniform Plumbing Code International Fuel Gas Code WA State Barrier Free Code WA State Energy Code WA State Ventilation Code Bremerton Municipal Code Check For All Washington State Amendments. All Construction:All construction must meet or exceed the requirements of the City of Bremerton Building&Fire Codes,including the 2006 International Building Code as adopted and amended by the city of Bremerton and the State of Washington.Occupancy is limited to the approved and permitted classification.Any non-approved change of use or occupancy could result in permit revocation and/or Code Enforcement action. 16. (OTHER) The contractor is required to obtain a Right-of-Way permit prior to starting the re-roof of the building. Mike Westby will issue a right-of way permit. 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. Final Inspection-Building Page 2 of 2 66/ 0 D6-) 3( .3 • io City o IVEof r onPERMIT CENTER 0--0# 4 JUN 15 2010 2 --Q ,) CITY OF COMMERCIAL BREMERTON Department of Building Permit Application Community Development Department of Community Development* 345 -6th Street, Suite 600 * Bremerton, WA 98337-1873 (360)473-5275 * Fax(3 ))473-5278 * www.ci.bremerton.wa.us .: .• .. '1{' :• ilii}iiiiiiiiii?iiiii' ::::.i::..•...:...:..:.....:..ii::.:iiiiii:v:vi:vii'•i» •: '• .. `• i:•: •}•.........iii:.:::::•i::O:•iiiiii}iii}iiiiiiiJiiiiiii Business Name: 9\W S `-t f-SSE)C1 f \ E.-`--- Site Address: Ql CA-c----1C--I L_ To apply for a property address,contact Public Works at(360)473-5270 CONTRACTOR: OWNER: 11Z_rT 15) f_4-e.a--' Address: iTANiI - ( � UCNS C Address: Al2f2 )2_ P - t t City, State, Zip: O 6-12,0-r"f .P City, State, Zip: 0-11AL(Z}li (L3-;/(7 License#& Exp. Date: -#s t--4-x----Z- 10-`1- ' Phone#: (" Ci() ) LOCI 16, O C) Contact Name: E>(-\UC=1-1- '-4-3 Authorized Agent Name: Contact Phone#: (3 C) Y 9 C"-)g (7 6 .Address: Email address: .1 II", C O 6`" City State, Zip: Tax ID/Parcel #: Phone#: ( ) n Sewer Septic Email address: ti#ii.i'ia.... .d. .....1iiita.lt>...>..viiiii<:otio1y»>::::::;:::>::<::<:::>::::> ..giNdil`!�'-,* ' a1ii#3.:. aa......('1. Iiiiiiaike NEW COMMERCIAL n TENANT IMPROVEMENT WITH WORK COMMERCIAL REMODEL TENANT IMPROVEMENT WITHOUT WORK COMMERCIAL ADDITION NEW SIGN COMMERCIAL REPAIR GRADING(Cubic Yards: ) NEW MULTI-FAMILY 'REROOF DEMOLITION Interior Exterior** Foundation Wall** Roof/Section** **Separate demolition permit and fees required. Contact Public Works for sewer cap permit(473-5270). Sewer must be capped prior to demolition permit issuance. n OTHER: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES NOt1 Scope of work proposed: i ( qL__- ri,Ez UC Square Footage: Building: Construction Type: Pi Valuation 4pp Plan Review Fee Permit Fee Surcharge Total Fees C-- '-) 7) lication 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 the circumstances beyond the control of the applicant have prevented action from being t en. No applicant shall be exte 1Tt ie than once. In order to ren w action n an application after expiratio a plic hall resubm pl s and pay a new pl eview fee. \.. t'`n' Applicant igna Jure Date Rev.July 2008 LAE :pauolluaw lou swell NOI10n2:11SNO0 M3N lTd Awns 6u!lop8 saooa aolana13 mels sMopUM se6ueyo an ssaooy 6ulpl n OF das/waolS OVAH slleM welsds POOH Jampds aald waely eJ!d 6ulgwnld leoplOal3 •••AINO NOI10f1211SNO0 ONI21f10 paljlpow asp /Llano JO panowaaipeppe eq p!M ley;We;!Aue o;;xeu moayo a aoeld paonpad IAN walscs aq u!M slonpoad lsna e6eaols aall ,g<a6eaols uolleaa6ula� (ly6lay aledaa slonpoad ul aaow JO Z sloe { 6ulleoo aapMod/6wluled aplyan aolOW pooM/aagwnl Odl (*ono e6ael )IiOM-lOH seise spinbll leualeW sllll)laod algllsngwooialgewweld algewweld 4JOMaald aoleaauaa AOua6aaw3 s3lua6oia0 sanlsoJJOO 6ul)Oo3 do sese0 pessaadwo0 welsh adIMs pae0 >oeg Aaalle8 uogelny :Aidde ley; Ila >pego aseald oe!aid sly;aoj suo!leoII!oads pue sbulnnaap ��bi�o (;euaao� SMO/d MO pue dad y;oq ul) Adoo e epinoad aseald `osl ' •�(idde leyl Iia �{oayo aseald •uollona;SUOO 6upnp ;ou `suolle�edo I�ap of I�ep 6uunp 6uiw oiled eq IIIM Aouedn000 sly; yolgM sa!;IA!loe�o ;sllioayo e Si mope :Hew :pawo3 Aar?uaud :SSWppy}oa1oad Tsip{oayo suoi)reaadp ul1alin9 aouelsissy uNOn4suo3 90T.T70 s i regs.zsy4 82Td q ueurq.zedea e2t,3 uogaeure.zg sn•ens•uopauza.Jq•T3xIs•IaetiollAT :Immo .zo `98£c-£L17 (09£) •Ieuszew°11d `x!S aI!IA 13e11103 aseald `leads still uo suoi sanO Erltrte BUILDING PERMIT 202 PACIFIC AVE INSPECTION HEAT PUMPS -` CARD Building Plumbing ❑ Mechanical 0 Alarm/Sprinkler 0 This Placard must be posted on or near building and the Permit & "Approved" plans must be at the sit, Permit # BB10 00464 POST ON SITE Call the following Agency Telephone Numbers for inspections: -Property lines shall be properly identified and marked before Building Department Inspections Call: (360)473-5870 foundation footing inspection.Setbacks are measured to the finished wall structure. WATER-Public Works-Water: (360)473-5927 -Reinspection fee maybe assessed if inspection has been PW-Public Works-Engineering: (360)473-5270 requested when not readyor corrections are not corn pleted. HEALTH-Kitsap Co.Health District: (360)337-5285 -Permit,approved plans,engineering,and inspection card shall Fire-Fire Department: (360)473-5394 be on site during construction or Reinspection Fee maybe L&I-Dept.of Labor and Industry: (360)415-4000 assessed. InspectionA pr,oed Date Notes Mechanical Rough-In Final Inspection-Building £%v/`E /61.01.11 FINAL BUILDING (360) 473-5870 All of the above must be approved. Y�� L j r0 -Z 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 RECEIVED City of Bremerton C,-2D B `O 66(,C. Li AUG24 2010 Department of 1`eatn�t�t�rity development PERMIT CENTER Dept. of Community Development*345 —6th Street, Suite 600*Bremerton*WA*98337-1873 JR Mechanical ❑ Plumbing Type of Fuel: I l Electric O Gas O Oil O Propane Occupancy: El Residential fl Commercial Site Address: Z o Z QAQ f 1 C A li f CONTRACTOR:S�lhvGnC�t'it�\ q �.Gro\\056_. OWNER: r,, A.oat '56�1 Address: ct5 o w� -�t .0s t3 t.►d,U •l Address: 30442 Mu,NA e. be . City, State, Zip: -aC-SMC' n ��A - C 3 ID City, State, Zip: ' (`Cmec--t();1, Wc., C(5 3i a- License#:St.,( A-c.c.-1C3 Phone# ( a4)21-79 - 5(fob Contact Phone #: (34c. ) -7,23 Tax ID/Parcel #: 3 ,% -60, -Qe t--6 GO f NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE 4 AIR HANDLING UNIT>10,000CFM ATMOSPHERIC VACUUM BRKR 1-5 4 AIR HANDLING UNIT<10,000 CFM ATMOSPHERIC VACUUM BRKR>5 BATH FAN AND/OR EXHAUST FAN BACKFLOW DEVICE<=2" CLASS 1 HOOD&DUCT SYSTEM BACKFLOW DEVICE>2" CLASS 2 HOOD&DUCT SYSTEM BUILDING SEWER CLOTHES DRYER W/EXHAUST CLOTHES WASHER COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN COMM.FURNACE>100,000 BTUS DISHWASHER COMPRESSORS DRAIN PIPE/VENT PIPE ALTERATION COOK STOVE W/EXHAUST DRINKING FOUNTAIN DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACE/HEAT PUMP FLOOR SINK/INDIRECT WASTE EVAPORATIVE COOLER GREASE INTERCEPTOR FIREPLACE-GAS OR GAS LOG INSERT HOSE BIBBS FIREPLACE-WOOD,OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR GAS WATER HEATER&VENT LAWN SPRINKLER W/BACKFLOW DEV, GAS PIPING ROOF DRAIN MISCELLANEOUS MECHANICAL SHAMPOO SINK W/BACKFLOW DEVICE NATURAL GAS FURNACE/DUCTING _SINK(LAV,KITCHEN,MOP OR BAR) PROPANE FURNACE/DUCTING SUMP PUMP PROPANE TANK(<2000 GALLONS) TUB AND/OR SHOWER UNIT UNIT HEATER WATER CLOSET AND/OR URINAL OTHER: OTHER OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: kraCi , Applicant's'Signature Date CITY OF BREMERTON PERMIT NUMBER: BB10 00464 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 08/24/2010 345-6th Street, Bremerton,WA 98337 (360) 473-5275 Fax: (360)473-5278 ASSESSOR NUMBER: 3718-008-001-0009 ZONING: DC SITE ADDRESS: 202 PACIFIC AVE APPLICANT NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 OWNER NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 CONTRACTOR: SULLIVAN HEATING&COOLING INI PHONE: (360)405-0723 ADDRESS: 950 West Hills Blvd.,Bremerton,WA 98312 LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 08/24/2010 APPROVED: 08/24/2010 EXPIRATION: 02/20/2011 STATUS: ISSUED VALUATION: $23,790.00 Mechanical/Plumbing-Over the Counter Plan Review Fee $47.00 16-4580 HEAT PUMPS Mechanical Fixture Fee $82.70 2215 Building Code Edition: IBC:2006 TOTAL FEES: $129.70 Occupancy Group: Type of Construction: Flood Zone: Setbacks: (Front) (Side) (Rear) (Other) Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant TOTAL 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 any time 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 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 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 I 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 conditio o/ is p' ' including all conditions of zoning,building codes,and State and Federal laws. SIGNATURE OF OWNER OR AGENT: !�'"� NIL PRINTED NAME: baaI T. 5t4 n DATE: ©6 z-4 i 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 l - CITY OF BREMERTON PERMIT NUMBER: BB10 00464 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 08/24/2010 BREMERTON duty345-6th Street,Bremerton,WA 98337 (360)473-5275 Fax: (360)473-5278 ASSESSOR NUMBER: 3718-008-001-0009 ZONING: DC SITE ADDRESS: 202 PACIFIC AVE APPLICANT NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 OWNER NAME: ANDERSON ERIC L&SANDRA E PHONE: (360)373-4736 ADDRESS: 3046 MARINE DR,BREMERTON,WA 98312 CONTRACTOR: SULLIVAN HEATING&COOLING IN( PHONE: (360)405-0723 ADDRESS: 950 West Hills Blvd.,Bremerton,WA 98312 LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 08/24/2010 APPROVED: 08/24/2010 EXPIRATION: 02/20/2011 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.lni.wa.gov/p-ts/asbestos/asbestos.htm. 10. (DCD-47) DCD: Reinspection Fee:All approved plans,the printed building permit,and the permit SC 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 C__ 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. 11. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit,and Conditions shall remain on site r and be available for inspection. 12. (DCD-32) Changes to Plans.Any changes to plans shall be approved before construction is performed.Architect or engineer of record shall approve the change before submitting a revision.A revision is subject to a revision fee and additional fees for plan review and inspections. 13. (DCD-35) Duct Smoke Detectors.Air distribution systems shall be equipped with smoke detectors tZtaJ listed and labeled for installation in air distribution systems as required by Section 606, IMC. Upon activation,the smoke detectors shall shut down all operational capabilities of the air distribution system in accordance with the listing and labeling of appliances used in the system.The smoke detectors shall be supervised by the fire alarm system. 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. Mechanical Rough-In Final Inspection-Building FIXTURE LIST Qtv Description Qtv Description 4 Air-Handling Unit< 10,000 CFM Page 2 of 2 „, i3 ! CITY OF BREM ERTON DEPARTM ENT OF COMM UNITY DEVELOPMENT Receipt Number: BCD l (�t'� • 'tiff tit 345-6th Street,Suite 600, Bremerton,WA 98337-1873 .- (360)473-5275 Fax:(360)473-5278 fr ) !�: a 9 2011) '''',N ��. ¢� IVa . ” BB10 00464 3718-008-001-0009 Plan Review Fee 1/16-4580 $47.00 $47.00 $0.00 BB10 00464 3718-008-001-0009 Mechanical Fixture Fee 1/2215 $82.70 $82.70 $0.00 Total: $129.70 t. M ; :, CV tber ...�� CHECK 2109 $129.70 Total $129.70 genpmtrreceipts Page 1 of 1 CITY OF BREMERTON PERMIT NUMBER BB03 00761 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 12/17/2003 .c yet; 286 Fourth St.Bremerton,WA 98337 (360)478-5275 Fax:(360)478-5278 ASSESSOR NUMBER: 3718-008-001-0009 ZONING: BC SITE ADDRESS: 202 PACIFIC AVE APPLICANT NAME: ANDERSON ERIC L&SANDRA E PHONE: ADDRESS: 3046 MARINE DR OWNER NAME: ANDERSON ERIC L&SANDRA E PHONE: ADDRESS: 3046 MARINE DR CONTRACTOR: JAMES H ROBINSON CO INC PHONE: (360)377-0066\ ADDRESS: 4904 KITSAP WAY LENDER NAME: PHONE: 1 ADDRESS: SUBMITTED: 12/17/2003 APPROVED: EXPIRATION: 06/14/2004 VALUATION: $5,000.00 Commercial Building rmit wl State Surcharge $4.50 0236 NEW SUSPENDED CEILING&WALL SECTION IN ART ANDERSON Building Permit $111.25 2211 ASSOCIATES OFFICE Plan Review Fee $72.31 4580 Building Code Edition: TOTAL FEES: $188.06 Occupancy Group: "'' Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant 1 TOTAL Inspection Requests Fire Inspections (360)473-5380 DCD:Building Inspections (360)473-5870 H/D:Bremerton,Kitsap County Health District (360)337-5285 L&I:Department of Labor and Industries (360)415-4000 PW:Department of Public Works (360)473-5270 This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance,or if this building or work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not been suspended. 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 provisions of any State or local loaw regulating construction or the performance of the construction. If listing the owner as general contractor,I certify that I 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 If t. • dityns of this •-r.• t i. dThg all conditions of zoning,building codes,and State and Federal laws. SIGNATURE OF OWNER OR AGENT: PRINTED NAME: AN. .4 _ DATE: // 4(:)_.) CONDITIONS V City of Bremerton's approval o 'is application pertains only to the City's regulato jurisdiction,and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. 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-occupied single family residences). 2. 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.lni.wa.gov/p-ts/asbestos/asbestos.htm. MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection,please call(360)478-5275 and be sure to provide your permit number,name on permit,site address,contact phone number,and inspection type. Final Inspection-Building f)-1,1 r1 ' ' GGG///'�" rl ✓y ,����� Page 1 of 2 i CITY OF BREMERTON PERMIT NUMBER BB03 00761 , i3 • -B t.i sZNDEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 12/17/2003 ori 286 Fourth St.Bremerton,WA 98337 (360)478-5275 Fax:(360)478-5278 ASSESSOR NUMBER: 3718-008-001-0009 ZONING: BC SITE ADDRESS: 202 PACIFIC AVE APPLICANT NAME: ANDERSON ERIC L&SANDRA E PHONE: ADDRESS: 3046 MARINE DR OWNER NAME: ANDERSON ERIC L&SANDRA E PHONE: ADDRESS: 3046 MARINE DR CONTRACTOR: JAMES H ROBINSON CO INC PHONE: (360)377-0066 ADDRESS: 4904 KITSAP WAY LENDER NAME: PHONE: ADDRESS: SUBMITTED: 12/17/2003 APPROVED: EXPIRATION: 06/14/2004 Page 2 of 2 CITY OFTON Receipt Number: BDD0001118 DEPARTMENTENT OFOF COMMUNITY DEVELOPMENT i= 286 Fourth St.Bremerton,WA 98337 ,m ' (360)473-5275 Fax (360)473-5278 Receipt Date: 12/17/2003 Cashier:VWOLF Payer/Payee Name: ANDERSON ERIC L&SANDRA E Tran Original Fee Amount Fee Permit# Fee Description Code Amount Paid Balance. BB03 00761 State Surcharge 1/0236 $4.50 $4.50 $0.00 BB03 00761 Building Permit 1/2211 $ 111.25 $ 111.25 $0.00 BB03 00761 Plan Review Fee 1/4580 $72.31 $72.31 $0.00 Total: $ 188.06 Previous Payment History Receipt# Receipt Date Fee Description Amount Paid Permit# Payment Check Payment Method Number Amount CREDIT CARD $188.06 Total: $ 188.06 Page 1 of 1 -..,..,' ,' -..., , ' ..0 w� -4, a ` PERMIT CENTER Department of Community Development 286 4th Street*Bremerton :: WA' 98337 (360) 478-5275 Fax(360) 478-5278 Building Permit Application APPLICANT: A OWNER ❑ CONTRACTOR ❑ AUTHORIZED AGENT Site Address 202.. --).Ac-<-c f J Tax Account Number: 3 / ? 0 o 00 I Doo j CONTRACTOR: OWNER Address: rete___ � .PJ Address: P-...2,r-)s a:J City, State, Zip4,,.T�27a,1 City, State, Zip Phone #: ( )L 7'1' 3-6 d J License # & Expir. Date: Authorized Agent Address: Contact Name: City, State, Zip ❑ C « V Contact Phone #: ( ) Phone #: ( ) ;:., 200 Check the type of application for below: F FME TfN NEW SINGLE-FAMILY RESIDENCE NEW COMMERCIAL ❑ NEW GARApipi, d$I I TME 3 NEW DUPLEX COMMERCIAL REMODEL ❑ NEW ACCESSORY BLDG I I NEW MANUFACTURED HOME COMMERCIAL ADDITION ❑ NEW SIGN — RESIDENTIAL REMODEL n COMMERCIAL REPAIR STRUCTURE DEMOLITION RESIDENTIAL ADDITION n NEW MULTI-FAMILY ❑ GRADING (Cubic yards: ) ❑ RESIDENTIAL REPAIR K TENANT IMPROVEMENT n OTHER IS THIS PROPERTY WITHIN 200 FEET OFA SHORELINE? YES Lf NO I I Scope of Work Proposed: 11:)12-a+.1' C-ei,c.._...w ( S;v•aLC ,-,AI-i.c- c.Lc7,o Square Footage: Dwelling: Garage: Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees — Lc000 73 ) j/ / �5 zs 0 tiVc.,<-i) 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 review may thereafter be returned to the applicant or destroyed by the building officia�, The building official may extend the time for action by the applicant for a period not exceeding 180 days on request byti 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 applicant shall resubmit plans and pay a new plan r ie fe APPLICANT'S SIGNATURE: _ DATE: ViCThiTY MAP • t. • RECEAVE, F\ c E c .`? 2003 Pi OiiEMERTON BUILDING DEPARTMENT Rci\e, \ • 441.6.2. \\Jib AdE BUILDING PERMIT SIT ADD SS l aoa c ! is /ix INSPECTION I r ., CARD 544 tOta " 6/k CITY OF �/ BREMERTON PROTECT THIS CARD FROM THE WEATHER f LUZ,SeehI k Building Plumbing .❑ Mechanical ❑ Fire Alarm/Sprinkler ❑ DURING SPECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE Permit # BB03 - 164 ( P© fl11� 0o For Inspections Call (360) 473- 5870 Approved Date Notes Erosion Control In Place 1St Foundation Footing FOUNDATION Foundation walls DO NOT POUR CONCRETE Plumbing Ground Work PRIOR TO APPROVAL In Slab Mechanical Footing Insulation 2nd PLUMBING Rough In MECHANICAL Duct/Vent GAS PIPE Support/Test/Meter set 3rd Hold down connections Shear Panel nailing FRAMING L&I Electrical Approved If 1st & 2"d are approved Ventilation requirements Framing 4th Under-floor walls INSULATION ceiling 5th SHEETROCK th All of the BUILDING 473-5870 above WATER MAINTENAN FINAL Must be Grease Trap,Back./low, ers 473-5927 approved PUBLIC Driveway 473-5270 Prior to WO Sewer 473-5270 final FIR 473-5384/5385 I ALL FINAL INSPECTIONS COMPLETED c,\ 7 - f, j p,,...4,--,0-:::, DO NOT OCCUPY BUILDING WITHOUT BUILDI G hIEPA TMENT APPROVAL OCCUPANCY VIOLATION IS A MISDEMEANOR-STION 305(d) PROTECT THIS CARD FROM THE WEATHER ,fl IV 0 N 0 (W m oiE gNw Q .'''.4 W C w � N 1 ''''T > � M U 111111111EJ ' 0 a �, \ 1: >v 0 \ %t'''/g4, CP.. c_ ta..J � ..;.2..p....1° 4#n \ 41.11 IIIwit, i ( ) III. 1 ' ;n iU o W 0 Z / e W .yw IIW _ ___ . Mau z U_ INIIII III,. 1 111 _ III 1 I III a■1:■: BREMERTCDN PERMIT CENTER 286 4th Street , Bremerton, WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT :lob Addr: 202 PACIFIC AVF Permit No: 98-0323 Location: 202 PACIFIC AVE Status: ISSUED Parcel No: 3718008-001-0009 Applied: 06/04/1998 Issued: 06/16/1998 Applicant : ANDERSON, ERIC 360._479.-5600 Expires: 12/13/1998 148 FIRST STREET BREMF RTON, WA 98337 Owner: REESE. WILLIAM F. & RUTH 2000 F.NFI A T BEACH BREMF:RTON, WA 98310 Contractor: Lic #: Exp: Subcont r: Desi:;: TENANT IMPROVEMENT '•••' OFFICE REMODE'L.. **•x'******X******.xx******"****'**II.,x,x,x,****** '***"***'K"x'**N'* '****"K'***•k•**•***'************'x**"X**X*IF'IE'X'X'R Valuation Permit, Fees: 251 .35 Total Calculated Fee: 547.15 20,000.00 * Plan Check Fees: 152.66 Additional Fees: .00 Other Fees: 143.14 Total Permit Fee: 547.15 SEX'*x'.x•'x• ..x'.x••*********•X*•x•'x'•****•**•***x'*•*•X*• '***aux•* •****'*•x*'•X*•*•*x•x•x'**x'**'x'•x••x•**•x'x'***•x'*****•***'•*'x'•x*x•x****x MECHANICAL/PLUMBING FIXTURES-- MECH-Duct Alteration • 1 **x'x'•x******X•3t*x•**XXX'fit,***X•'• x.x,X"*x' '%'*'X***X'*x'.*' *" •X*,x•,Xx•,xX,.X*•,x'*•x'*.x•****,X:X•,x*,x,.x.,X•*x**X******X'**•x'•x•****** 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 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. 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 oc.. , law ! • 'i construction or the performance of construction. Signature: / Date: _ �J 8 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: _ __,_ _-__ Date: Permit Center--Approved Fay: _., .. D t;ea:. .... _... . .. _/47 , .q '' " - • - - t . . OIREEMEEWTOP4 Rmi 1 "irP41rEEFR 286 4th Street, Bremerton, NA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 Building Permit No 98-0323. . Job Address: 202 PACIFIC AVE Status: ISSUED Location: 202 PACIFIC AVE • Issued: 06/16/1998 Assr Acct No 3718008-001-0009 Expires: 12/13/1998 REUUIRED INS• RECTIONS It em 01400 MECHANICAL Dept BLDG Division: Item: 01700 FRAMING Deptt BLDG Division: Item t 01900 SHEETROCK NAILING Dept : BLDG Divisiont Item: 02700 FINAL—BLDG Dept : BLDG Divisiont )00000(X)00000000000000000(X***)000(4)0XXX X)000000000000000(,)0004.**X30000000(XXXX****** TESTING: Must b recognized by the Washington Association of Building Official SPECINSPt Must be regLstered with the State of WA ST OF WA State of WA Dept . of Labor and industries 478-4921 HEALTH 1 Bremerton/Kitsap Health District 478-5235 ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST 8E: SCHEDULED THROUGH T PERMJT CENTER , ( 360 ) 478-5275 . XX*300000000000(*)000(*****************XXXXX*******)000000000000*X**300000(XX)0000(' ' Permit Holder 'se / ‘ I ri/ .,, 45' Dte: _.....,.. . . . .... . . . . • I . . BREMERTON PERMIT CENTER PERMIT CONDITIONS Permit No 98-0323 Pagea . 1 -sy.7—.T.----! ---"------7.----T----T-----:":*-- r-lv--1 -7.1=Tn===============—:1—::- • ------,,,,,--- • Job Address: 202 PACIFIC AVE Appliedg 06/04/1998 Assr Acct Nog 3718008-001-0009 Approved 06/16/1998 Location202 PACIFIC AVE • Issued g 06/16/1998 Applicant : ANDERSON , ERIC Owner REESE WILLIAM F . & RUTH Contractor : Descriptiong TENANT IMPROVEMENT - OFFICE REMODEL Conditions: 1 . F: 1: RE . a Provide 6 inch address numbers . BMC 18 b . Provide at least 2 2a 201::3c fire extinguishers to be moun ted near the exits and in clear view and reach . UFC std . 10-1 c . Provide fire alarm certification and test records. UFC d . Provide one et or and blue reflector . BMC 18 e . Exit lighting and signs required . UFC 12 , UBC 10 / • - Permit Holderjir • r 61 . Signature__ _,/7 DateL45; „ , , . .. ..... . .. . . , .. , . . .. ........ ............_. . . . . , . • ''.'; '•�1.".b '"•• -.r -, ''; -....42....,-...,-..„. .-,...4,,,,",, .�1 , .,„,• t - 1 ,, ', y 4, -, 'k 'av t aa�/k "FF i �w V i �,, a .; V • , •t,e4' * V,a S . '.44 H• �~ V'�•• . , 4 1. •n .1 V ••: ,i*Na iA �� :`, r S. i r r • 4�'� r• 0 rM 4 . : • .h r ;_qtr ^,1, . h 1, el �it . .> �, n— I rIV, ti:. Y "1=. r1U t: Y ~,� r {i, -.G F .� �' y r,�iS 1'i °` '!?..• _,ttoj,h.. , ,;,M v.tt,i • ,,m,,7 .,q. , , ,,,, ,,•• t,ti,V. . ., t,"AS7,?,'4ti,1at.".,J. XX.... ....a.G. 'A'014 •, . ••,V: I,l`. ,V,7.t./t43.t1,C.7,16 •t.tl,..? • ,.. I: -,)1.1*K.'-c:...::::i.:1:.411- ...• ..t,c,...,. 17., (..),- — - — ke, Certificate ..._ ..,.• ..:,..i...,...4 za `` ::'"' O of _ '•':cad `2 M •! J'tt" is,Alliq••■ , Fs all Ir D = a•aau•\ ;. w ....:. .... /Jim" Crtipailtp r - . 11- epartnment of (omntuttttp fit etletopnteut ! • V I I (Ya [ C!r2GM cv �F[ �LLCZ { rite 0� SEtI O/ Q� K ... •• e - - . COID _ -444�lm Ea , Cdd 4A��4 O'tlernettact !/[,�tgiee ai �'Ode, C��tX11 N 1 t v ii • elfa. at Z a Mite al 414/4a-ace, aid rise dune W 2 i 14 coot i aftea ex, :.„,,:.:,:-.1,..)A ;moi. ••:• » -►�.••, rl- I �, i'$ •� _ 'iE'c alatioad �i COszcLet diva mt atde. < 1,�`� ill A�t- .li ISSUED TO: M ART ANDERSON AND ASSOCIATES 4 :J: - SITE ADDRESS: 202 PA CIFI C A VE '4,....� 1 ref, I IC.I4".....•� ,y Type of Occupancy Occupant •fit, , :-� ••: C.: Construction Classification Load Common Use - �^i""ry - Bio D VN R Q() ()FFIC F 0 °''�•. 7 Permit Number: 98-0323 Date: 07/1 7/1998 ` F-'" '; ci 4 6.• 1!..'Agt ,- ::::' .41,:fh.- •S,I,„ I • ( D t' JUDI/JOHN ON,C JB.O. BUILDING OFFICIAL �, 1 �� Special Conditions: ✓r \ / :4. `;. 6. - THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE : _,� p ``. i11$C 'I• I •• A .. J �, 'A•A • .:-AII 'ftAA -At. .:.:'A"• ':':-.....,.1:'...1, ....,`..� '4' .. 44 M ,C4 44 44 ...;' a4 A A 'aAO.$,..'Y1`..1 .; • ti�� '.I \ T T i . 1 dT •li 'fsr . •� . •,i �;•�• :........,..!;:..,44.0., . / • , ��;���, , � _• ....,... l,. • .0 ���� ....\\ !!' / .h1lj1illijii' , �:.�::•'./'o �11•:1 hi •; •����:� ''iPIl � i. r•• ��• II�� , � •�..�;.• J�••oij1:�t�y�w •.•.r•'. • '. :/'iI,1 ,`•; •i•..�,i! a ri.,: `�� .-14;40. , / LIlei4.1.n :d"r,." \\0?.:1.y .4t4.0.'"'"' 5$ � 4' - ,p4` • d'd" i1 ,.l taji,. (":;-.o:.1I 11,44." 1• �•4. - p//114.J/o•h.or S ,, }tii •. .. tst. � .s, •_• . -%. -- .iiti• "6�+J0%. „ 11. /-rl♦ \►�„:\to .+ ''Sti/rli@ �o . �1 ••rr s .� itt.�— _ • t„, :,'. ,? ... ”, �R0. • �-,..�..'S_. � 4�_� .�� A �� ks,�.• 41.1•.. ., � R� .�. • . , i . F ,. E3 IR r-01 kr,R 7'QIN! ini la pi 1 -r lc NI-1- IR 286 4th Street , Bremerton, 1.41A 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 202 PACIFIC AVE Per No: 98-0323 Location: 2.02 PACIFIC AVE St at u::.: : PENDING Parcel No: 3718008-001-0009 Applied: 06/04/1998 Issued: ^pplicant : ANDERSON, ERIC 360-479-5600 Expires: 148 FIRST STREET BREMERTON, WA 98337 Owner: REESE WILLIAM F• & RUTH 2000 ENETA I BEACH BREMERTON, WA 98310 :..s.ontractor: Lb o it: Exp.: Suboontr: Deso ' Tj/e/ 12r;.10:FICE REMC . ..A. 1p , xxxxxx-x),;(4 ,- A. , . •xx• - •-•- • xxxxxxxy ,x•,,,xxxxxx - Axxxxxx.xtxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Valua- :.on x Permit -ees: 251 .35 Tc ;al Ca 1 cu 1 at id F'ee: 408.51 '0,(;)0C.).00 x Plan Cheo Fees: ' 152.66 Additional Fees: .C.) x Other Fees: 4.50 Total Permit Fee: 408.51 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxXX " MECHANICAL/PLUMBING FIXTURES-- MECH-Duct Alteration.........: 1 ' - xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx*xx 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 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. 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 my other state or local law regulating construction or the performance of construction. 'tify that I am exempt from the requirements of the state contractor's registration law, under )n 3, Chapter 126, laws of 1967. Date: xxxxxxxxxxxxxxxxxxxx e ri t C r.--A p p rovEci fly:: Data 0,1 BFTOI1 RFf1IT- EL IN E 286 4th Street , Bremerton, WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 202 PACIFIC AVE Permit No: 98-0323 Location: 202 PACIFIC AVE Status: PENDING Parcel No: 3718008-001-0009 Applied: 06/04/1998 Issued: Applicant t ANDERSON, ERIC 360-479-5600 Expires: 148 FIRST STREET BREMERTON, WA 98337 Owner: REESE WILLIAM F. & RUTH 2000 ENETA I BEACH BREMERTON, WA 98310 Contractor: Lic #: Exp: Subcontr: Desct .TEN NT IMPR' o'f.MENT - Ot 4,4C ****' "4.*** ,fi:**** , Z4*****d:******************************* • Valua.: 'on * Pqmi c 5 T al Calculated Fee: 408.51 20,000.00 3 -plan Chet.;,;,, 152.66 f Additional Fees: .00 * Other L.:. : 4.50 Total Permit Fee: 7 408.51 ********************************************************************************************* MECHANICAL/PLUMBING FIXTURES-- MECH-Duct Alteration * 1 • **********************************************************************”********************- 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 *mit 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 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. 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. 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: Date: 'Iprmit Center—Approved By4, Date: lg . _ IIIIIMNI=NNIMEMIIIMMEINIMMIP I I .., .,.• I , ... Eit IR F: --11-IC1 IN IR F:-.FR ri Inr- C=7.• --1-F.:IR 286 4th Street , aremerton, WA 98337 Phone: (360) 478-5275 FAX: ( 360) 478-5278 BUILDING PERMIT :Job Addr : 20? PACIFIC AVE Per mit No: 98-0323 Location: 202 PACIFIC AVE Status: PEND1NO Parcel No: 37)8008-001-0009 Applied: 06/04/1998 issued: Applicant : ANDERSON, ERIC 360-479-5600 Expires: 148 FIRSI STREET BREMERTON, WA 98337 Owner: REESE WILLIAM F. & RUTH 2000 FNFTA 1 REACH BRFMFRION, WA 9831 0 Contractor: Lic 0: Exp: Stihcont T NT T MPRC) .11F Ni - WI'I CE RI"7/1 ,.. r Lk( U Fetal***_* 4 . 447..... 3c,..wloa.; _, )00007 a • ,*****x**4*****xx****x**4*******x* .,/ hiatit.fn x )ermit/kees: 253 .35 Jotal Calculated Fee: 408..51 ,) -- 000.00 ' Plan Checy Fees: 152.66 Additional Fees: .0C' * Other Fees: 4 .50 Total Permit Fee: 408:51 x*.*xl000crooexx*x********************x*-xxx,x*.xxx*x.xxx•xxx-x* **-**4*.x**********xx****.xxxm00000000** MECHANICAL/PLUMBING FIXTURES-- MECH-Duct Alteration.........: 1 io(**********x***x***.)(*xxxxx.)oocxxx**** ****xxx****x**xl(******xx******xxx)(***)(****x***.. is permit shall become null and void if the building or work authorized by this permit IF not commenced within days from the date of such permit, or if this building or work authorized by such permit is suspended or Indoned at any time after the work is commenced for a period of 180 days. ) i IrICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to set it that required inspections are made. The permit holder must notify the Building Official when ready for spections. Failure of the permit holder to notify the Building Official of required inspections may result Ithe stoppage of the work until such time that the permit holder can substantiate to the building official at the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City oinst any and all responsibility or liability connected with the construction. jhereby certify that I have read and examined this permit and know the same to be tl=ue and correct. All Jovisions of laws and ordinances governing this type of work will be complied with whether specified hereir. not. The granting of a permit does not presume to give authority to violate or cancel the provisions of y other state or local law regulating construction or the performance of construction. i Ignature: Date: ; - I certify that I am exempt from the requirements of the state contractor's registration law, under iiction 3, Chapter 126, laws of 1967. r i Date: hoc000jt***)i-xx *xx* rmi t Center' Approved By:, . , . .,-,„ ,. Date:, _ . . CTFY OF BREMERTON BUILDING DEPARTMENT (98-050) • PERMIT APPLICATION DATE: June 8, 1998 TO BE COMPLETED BY: June 20, 1998 98-0323 WILLIAM REESE ERIC ANDERSON OWNER CONTRACTOR 202 PACIFIC AVE LOCATION OF JOB FOR: :- - • ENGINEERING COMMENTS REVIEWED BY A/L APPROVED k (o-A--1,9 DENIED -1449 y u r 473 4}tREV 6vo C OA' Exp2,44ifit'. rn*IR 11 PERMIT fi tI N 15 me SUUt+ • c-- 7Q . . ,, F3 IR IF pi IF7 F?11-IID NI 1=,ET R pi I TIIT CT;FT:r-4-11"FE IR 2H6 4th St r ee t , HrPmer t On, NA 91333? Phone: (360) 478-5;775 FAX: (360) 47F1-5278 13111 LD T.NG' PERMIT Job Addr: 702 PACIFIC. AVE Permit No: 98-0373 Location: 202 PACIFIC AV F Status; P1 NI) Parcel No: 3218008-001-0009 Applied: 06/04/1998 Issued: Applicant ; ANDFRSON, FRIG 360-4/9-5600 Fxpiresz 148 FIRSI STREVI moll' RION, WA 9833? Owner; RFLSK WILIAM F . & ROM 2000 FM:TAT REACH PRFMTMON, WA 98310 Contractor: [lc 0; Fxp; Suhcontr: Desc; 11- NAN1 IMPROVMM ' WHIT RIMODFI U Valuation * Permit f 'A . 5 Iota) Calculated Fee: 408 20,000.00 * Plan Check Fees: 152 .66 Additional Foes: * Other Fees: 4 .50 Iota) Permit. Fee: 408.5 ********************************************************************************************* MECHANICAL/PLUMBING FIXTURES-- MECH-Duct Alteration.........; 1 ***XXX400000(***X****XX**XXXXX***XXX****XXXXX*X*XXX****40000000000(0t****)000000(100000(**K****4 This permit shall become null and void if the building or work authorized by this permit is not commenced withi. 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 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. 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 tue 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. I $19nature: . ,.$4 _ , , ,_ 1 certify that I am exempt from the requirements of the state contractor's registration law, under Section 3, Chapter 176, laws of 1967, Signature . Pate: I _- ***00q900000j00i***;101TX)0(** -ii PS Permit Center -Approved RY' Date; CMJ n[�� t W. ` 7 Phos ( ti6)4 ? # 278< REQUIRED INSPECTIONS 1 Q`17r . 1SFECTIOI ` E =:Cicipi'AC ...... Erosion Control City Public Works—Engineering Foundation footings City Building Department Foundation walls City Building Department Electrical State of Washington Mechanical City Building Department Plumbing groundwork&rough-in City Building Department Framing City Building Department Insulation City Building Department Sheetrock nailing City Building Department Fire Sprinklers City Fire Department Fire Alarm Systems City Fire Department Public right-of-way construction City Public Works—Engineering Sewer lateral City Public Works—Utilities Irrigation systems City Public Works—Utilities Landscaping i City Planning Department Other: Final I City Building Department SPECIAL INSPECTIONS REQ`I . L 3PEC'I'iE) TYF . -eOI\FT €,i Soils_ Compaction Independent Testing Agency* Concrete Strength Independent Testing Agency* Welding Independent Testing Agency* Other: State of Washington Nonresidential Energy Code Compliance Slab/underfloor insulation WSEC Certified Special Inspector** Wall insulation WSEC Certified Special Inspector** Ceiling/roof insulation WSEC Certified Special Inspector** Air leakage WSEC Certified Special Inspector** Glazing WSEC Certified Special Inspector** Lighting Budget WSEC Certified Special Inspector** Mechanical Venting Systems WSEC Certified Special Inspector** HVAC WSEC Certified Special Inspector** Motor Efficiency WSEC Certified Special Inspector** Other: *.1'1ust be recognized by the Washington Association of Building Officials *'.Aust be registered with the State of W-1 City of Bremerton Buildine/Planning Depts. 478-5275 State of WA Dept. of Labor&Industries 478-4921 City of Bremerton Fire Marshal's Office 478-5380 Bremerton/Kitsap Health Department 478-5235 City of Bremerton Public Works Dept. Engineering 478-5270 Utilities 478-5318 Permit holder's sigiature: Permit#, Date: 1.ZZ9-ZZ9 (9021' t, 0 IN1 1O3I'Ogld '8 dVI11 31IS ',VW A1IINIOIA ; , b0L86 VM 3-111d3S 133tj1S NOldVIN 99 ' Y 9099-6L17 XVd 0099 6LV (09C) NOIDNIHSVM `NO183V4388 = \'} m L8886 dM "NOlti3W3ti8 133tj1S 1Stil3 8til ' < s 1 �► s O o s s �► JNI®ll(�a Nd01 'z�: Z� t� Z i V 113V NI/iV S OOdIl1A10 po a W y.n { t `' o '- usi ens O u w (7•i \''i1/4".' eke W , Ct H �' w O ` «�..�r�; z — - r . u (� .. . -- Oo_ 0 OZ w U • o ° vi O i-, a 0 - - �_. a1= o0 o0z 0 _1 z --, z zz O 4 m 0 0 0 =, 0 < ww w w > , . .... . • • .. : u,) I il .Z cn o (n u)11.1 U (f)1.0 = F LO co 1� co I Z ,. Z Q Q Q Q W W d W - Cc Z r� I 4 ....4 I zKuml z o \\ `= cV a. U 11‘c, fi) , w z '" Usi A. LLI ( LL-O g a_ L I0 z I I . I � U OZ O Occ cc cc � ;: ® Op O Od �I - - F I 1 I I U w0 .. '3AV GIHI3dd �Q COr Q Q a Q O w 0_ Q C O >-. 1 w c �. z o oz �� w(�� dQ �pw • p (, Ddz(n�wZ . e U -,Z w D� U"0O Z— O 1--1 t- w s. 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'''... zW OZ �-O ?.,,.. \ H <v v — I--Di , Oi . ) 11f1L 2 _ O z z ,, v F- _ 1., z w X10 / (S) W0 IZQI X - --( V ILIL : ° W X ) o I 0 ii-64 I ll l ` V/ L La H z 1,,z 1. 1 . 1, W, , , i I I N y;.i Iw = ^ I I iI _ V I III 1{j ,L11- / . _ � A 0 € _ `' ` l O £ w_ I y.___� .....n,...,nw _»::w:w n,w;...wi,.,:.:: .w wwr.,,,. .., _ 1 II kilig Ill �1 [� -- - - x W / PZ —1 Z� © E—M I--QY 0 0I� . ._...__ cn III ln In I— ui1 1 W 00 _ W In X i _ zo s 1 �/ �\ j I z = v�- .(f( . ®O I t Z O 1 II <Z vol .CZ�y Ili(:).- -i I—zq 00 zI z ,. . . , -0, BUILDING PERMIT APPLICATION 286 4th Street Bremerton,WA 98337 Phone: (360) 478-5275 FAX (360) 478-5278 APPLICANT: ❑X OWNER [] CONTRACTOR El OTHER: 9(f--(262 3 SITE ADDRESS: 202 Pacific Avenue ASSESSOR PARCEL#. 3718-008-001-0009 OWNER: Eric Anderson ADDRESS: 148 First Street CONTRACTOR: The Robinsen Company ADDRESS: 4904 Ki tsar Way, Rremerton - CONTRACTOR LICENSE# JAMESHR378N7 EXPIRATION DATE: SeptPmher 1 9, 1 99fl CONTACT PERSON: Eric Anderson CONTACT PHONE# 360 479-5600 El SFR EI DUPLEX El MULTI-FAMILY ® BUSINESS 0 OTHER: El SIGN El DEMO 0 MOVE BLDG. El MOBILE D GRADING(yds): 0 NEW D REPAIR El REMODEL El ADDITION 0 OTHER: T. I . • 0 SEWER El SEPTIC INTENDED USE: Professional Office NATURE OF WORK PROPOSED: Tenant improvements - SF of Improvements 2,981 @ 1st Floor 4,416 @ 2nd Floor, Total = 7,397 SF, SQUARE FOOTAGE: Dwelling: Garage: Decks: For Department Use Only 1 )--ss-. i C...,;) PERMIT APPLICATION City of Bremerton, Washington 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 J I MECHANICAL PLUMBING APPLICANT: ii OWNER ❑ CONTRACTOR Ell OTHER: COMMENTS: SITE ADDRESS: 202 Pacific Avenue, Bremerton, WA 98337 OWNER: Eric Anderson ADDRESS: 148 First Street, Bremrton, WA CONTRACTOR: The Robinsen Company ADDRESS: 4904 Ki trap Way, Bremerton, WA CONTRACTOR LICENSE# JAMFSHR37RN7 EXPIRATION DATE: September 19, 1998 OWNER PHONE# 360 479-5600 CONTRACTOR PHONE# NO. t TYPE OF EQUIPMENT FEE ' NO;...1 TYPE OF FIXTURE FEE ' RANGE WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB GAS FURNACE btu's: LAVATORY 40 CONVERSION BURNER btu's: SHOWER UNIT HEATER btu's: KITCHEN SINK BOILER btu's: — DISHWASHER GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS btu's: CLOTHES WASHER AC UNIT btu's: WATER HEATER HEAT PUMP btu's: tons: URINAL REHEAT BOX btu's: DRINKING FOUNTAIN AIR HANDLING UNIT btu's: FLOOR SINK OR DRAIN EXHAUST FANS SLOP SINK RANGE HOOD (residential) WATER PIPIING &ALTERATION RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS , INCINERATOR LAWN SPRINKLER SYSTEM X DUCT ALTERATION SFF SBT% II-1, SWIMMING POOL TANKS type: BLDG. SEWER (mobile I moved house) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: MECHANICAL PERMIT FEE $16.50 PLUMBING PERMIT FEE (15.00 or 4.50) MECHANICAL FEES: PLUMBING FEES: CITY SURCHARGE: • . TOT ;FEES- ,-- / '' APPLICANT'S SIGNATURE: DATE: ' ! q pmapp.dot revised 4/23/97 0) �� OF� Bhp • G _iireti• CITY OF BREMERTON Commercial Building Permit Checklist Applicant: A A- l ev" Building Permit#: Date: ic.•i, / e ix Cover Sheet (w/occupancy&type of const) X Site Plan (dimensioned) X Scope of Work X Zoning District Indicated I X I Completed Application x Contractor Verification Bid or Floor Area Breakdown NA Landscaping X: Floor Plan A Parking Plan X Framing Plan (cross-section) NA SEPA Checklist (if applicable) X Elevations •A_ Site Plan Review Questionnaire NA Foundation Plan X Vicinity Map X Barrier Free Compliance A Special Land Use Conditions Or Permits • X Architectural/Engineered Drawings A Sign Permit Applicable NA Street&Utility Permits required A Plumbing Plan X Mechanical Plan A Cross Connection NA NREC Stamp/Compliance A Fire Department Info Lighting _Alarm System -- Mechanical Sprinkler System � = Envelope SNA Erosion Control Plan NA_ Storm Drainage Plan iNA WSVIAQ Compliance NA Health Department Approval Comments: 1 ( / , • CITY OF BREMFRION lircr. wr )04.)00000(*)00,:**3000(30000000(0)0(-000(******* **40“000004-xxxx-xx-******* RFCFIPY Number : 98000625 Amount : 148 .01 O /01/9C 15?, 40 Payment Method: CHECK Notation: Af A DEP 22106 'nit : I M Permit No: 98-0323 type: RI 1)E. 1 DI DG PFPMT1 W/MECH/P Parcel No $/18008-001-0009 Site Address: 202 PAC ii AVE Location: 202 PACIFIC AVC Ot 1 1 f.'!Wf3 408 ,.51 fhis Paymont 148 .,01 fotal ALL Pmts.: 148 „01 Halance: 260 ,.!:10 x,x,r000000000000000000cxx-xiotxxx-x-xx,,*wr0004ocx-xx000t.44(xxx-x. Aocount Code DescriPtion Amount 16-345300 ( 4580 ) DOILDIN PLAN GHFCK IIJ 148 „01 • cIlY 01 HREMIRION RUMP' 40000000000000(***X*X***X****XX*XX**0****X0***X-00000004******W4*X PECIIPI Number : 98000669 Amount: 399,14 06/16/98 09 Payment Method: CK/CH Notation: API AND 2:1.49 Ini t 1YM Permit No 98 -0323 type: nwo HMO WRMII W/MFGH/P Parcel No: 3/18008-001 -0009 '3ite Address: 202 pAcirIc AVF I ocation: 20? PACIFIC AVI total Fees: 54/.15 rhis Payment 399.14 lotal All Prota: l47 15 Balance: .00 )00000000000006****104*000044000(*****0000000***XX****XXX.00000004.X Account Code Description Amount: 16 322.1001 (2211 ) WADING Pt Rut II1S 221./0 16- 345.8300 ( 4580 ) MIMING PI AN CHICK 111 !.,-; 4 .65 16 -322.1005 ( 2215) Mt CHANICAL Pt RMI 1 23,65 401 - 388,1000( 9710 ) STOR/ ADAPHRS 128,1,4 42 ,344.9006 ( 4476) HYDRANT PM 1,C1016 10 ,00 643 23/.13 (0236 ) SlAIF 01 WA SURCHARG1 4 .50 BETTER BUSINESS FORMS (360)698-2484 I 4077 BREMERTON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton , Washington 98310-4799 478-5318 6F1:19F-0 5, UTILITY SERVICE AGREEMENT Work Order No . Tap No. Receipt No . Bremerton, WA. , 19__ The undersigned roperty owner hereby ap.lies for Utility service at: Service Address : 1 Legal Description: *,-j l s--C (--o n° ' 1,} hO A cVSLA(L&v XtQ - JU Plat Bloc'lc Lot Kitsap County J __ SERVICE REQUIREMENT: [ ] Water '"" 7� [ ] Wastewater [ ] Stormwater SERVICE AREA: [ ] Marine Drive Water [ ] Sewer District #1 [ ] City [ ] North Perry Water [ ] Tracyton Water [ ] County [ ] Port of Bremerton [ ] SERVICE CHARGES : Connection/Inspection Fee: BARS # Water: Domestic Size $ Fire Size $ Wastewater $ Storm Water $ Front Footage Fee: Water $ Wastewater $ Storm Water $ General Facility Fee : Water * of units Q $ $ Wastewater . . # of units $ $ Storm Water . $ of units Q $ $ System Development Charges : Water $ Wastewater $ Storm Water $ Temporary Service $ Road Permit [ ] City [ ] County . . $ Street Restoration [ 1 Asphalt [ ] Concrete $ Tapping Fee $ Deposit $ Other 'No - -fa $ 40) . mg. l boo 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 plumbing, fixtures or appliances connected to the water meter or 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 ,47 , / Z '6 ' Phone Number ( Ci ) '/7c,ZOG' Billing Address 7r:0? City rz. State �" ZIP 9e-__1:57 Owner' s Signature %/iO/ Date r ,✓ / , 19%6' Agent ' s Signature Date ct� rL , 1976' Accepted on behalf of Bremerton Municipal Utilities : By: Date , 19 Original & Yellow Copies : Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Co-' 1� BREMERTON C3UILDING DEPARTMENT Inspection Report Scope of work: Tenant improvement — office rem ormlt Number: 98-0323 Address: 202 Pacific Ave. Owner: William & Ruth Reese Phone: Contractor: Eric Anderson Phone: 479-5600 FOUNDATION Inspection card/approved plans on site Setbacks Footings: required steel placement Walls: required steel placement Footings: required width &depth Walls: required size Bearing soil (soils analysis if applicable) Special inspector(when applicable) COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: FRAMING Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts &washers in place Mudsill: treated material Floor joists: size & span Beams/girders: size& span Notching &drilling:joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outisde Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise& run; proper width Fireblocking: wall to ceiling, furred walls every 10' Fire blocking; stairs, soffits, lowered ceilings Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top& bottom plates Sheetrock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in COMMENTS: APPROVED: 0-X/4 -*i ENERGY CODE COMPLIANCE Insulation: proper R value Insulation: proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space COMMENTS: UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: I MECHANICAL Appliance location and access, proper support Appliance clearance to combustibles Venting: clearance to combustibles Venting: size&support Vent termination Combustion air Ducts: size & support Gas pipe under test Gas pipe: size& support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Woodstoves: EPA certified Woodstoves &fireplaces: Tight-fitting doors Woodstoves &fireplaces: proper hearth Manufacturer's specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: &° .1 y GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING DWV&water piping under test DWV: proper grade DWV: proper sizing DWV: proper drainage fittings where required DWV&water piping: proper support DWV: required cleanouts Vent termination All fixtures vented properly Water supply. proper sizing Shut-off valves on all fixtures Water heater: gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: siesmic strap R-10 pad under water heater when required Water-piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED SHEETROCK Proper fastening: nails-7" o.c. horiz. plane nails 8" o.c. vertical plane Proper fastening: screws-12" o.c. horiz. plane(1/2") screws-12" o.c. horiz. plane(1/2")24" o.c. framing Proper fastening: screws-16' o.c. vert. plane(1/2") screws-12" o.c. vert. plane(1/2")-24" o.c. framing Proper fastening screws-12" o.c. horiz. plane(5/8") screws-12" o.c. horiz. plane(5/8")-24" o.c. framing Proper fastening: screws- 16" o.c. vert. plane(5/8") screws-12" o.c. vert. plane(5/8")-24" o.c. framing Area & occupancy separation walls Draftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors COMMENTS: SHEETROCK APPROVED: �/'"1/ 7- 7- FINAL Energy code requirements met, exhaust fans Plumbing & mechanical Garage/dwelling 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 (6" Building Address posted Radon monitor when required COMMENTS: FINAL APPROVED: •0 /cC Jr r t 1.1 �,• `?• •• •: ,,,,....14.:.4-4‘s.,),\-T 1.1� r.� fi�: SQyl,.lt�} _ A 1 il. 4.�' w p;44,i '„ .Vf.L •', ;.. 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' . fj% Crtip alltp C< ick. 7.1T I /N..,.•••:.;:-„, - ;)` ertntencr of �Con�n�u �t ��= e�ero nen `. .• ...., ...:: �ltd % eatu� d Qat tel tl �eCtlts 11a� i p ,:p....sr..., i s dtd 71ee, eeteceed i s�A a tt at tire &wee 4 icapteedetaCeC Ze alaUcvulisee teiy %� ;,. 41 >x€9/1--eate°44 apt eo r4macte" az u4e. • +;,I • cs•=:,; : {r 4. \:'• `'•••' ISSUED TO: MOUNTAIN VIEW HEARING AID CENTER ' ••"•. )1i _ .� /' 202 PACIFIC AVE SUITE 200 = 1• t• `` P---...". :.?y�yyy' - SITE ADDRESS: -,=.�.r '< 1' - �. V. t Az:I ' ' � i 7 ''''!•� Type of Occupancy Occupant ,.•• Construction Classification Load Common Use :: ` VN M 17 RETAIL SALES = � �-j - BL98-0076 0/26/1998 ..; 2- Permit Number: Date: :• �I;, ���/�:: — JUDY OHNS N�C.re O. BUILDING OFFICIALzi 7,---;..!1"....,::;d Special Conditions: .. •�♦` j = ♦ •,•.p. lad %Z` THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE . 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SITE ADDRESS: „ • � 202 PACIFIC AVE SUITE 209 �� � xiti ow h=i '.1 •-n ,: Type of Occupancy Occupant Vi f - �'��� -�- Imo. Construction Classification Load Common Use •!••.;".--,-, . . -� VN B 6 OFFICE C04 ,s.1 Permit Number: BL98-0035 Date: 03/27/1998 _ '' Gf ;. _ / z 1 J I . JO 1 O , C.B.O. BUILDING OFFICIAL C' ' \%]{ .,: Special Conditions. : ?..,:r.. '• } 11:' .tet ,Z� THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE ) •_�• •I r 7 uFt tiAC;.1r rt,ia t AA i( AAAf ruu(,k f,.'. , uA $AAuuAhx I,i 9)�.AA A f G ki.i t'.0 uAi2Au•AA tflu4ut Ak i�'1CiAA+1 -..�� dam. T T T T T ,:di ' 7.-11;1-1-.."):4;R;45‘ir f S x Q , f��)i, 0 x Q :1 .w. i,V: b .!,,. ;,;. :i.,:.•,,,';'111' ..;.•. ,.:.• d.;..••.h. •!'..V .. • ' ,,;;l.4h. :; ,ht i y4 ;. ,,�54 idn�•.�.�� y / �ill N:, � / ' � 0 1. Ib ..1.t%••.:.';.4.!....4". � � / .1 .r A,',.t...'6,% .:0•".4 .�: 14 ,..,1'.... ;0;P:I '.��.,.,��. A • • . A'., I' . .. / 4111. 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'.aa. na ..,, �... ,a l , ✓ r.l _ ... ..t..,ii.:..41, _3 _ ... 1 t , „D„:41,_ ....,... L .._ ..:,..;......;_,:. ... .ri,..:::::::‘ ‘ ._... :,. ce} iI - i� 2 _____ - � . . , ; 0_,,, _ _ ... D ...a _ _ h ` � r _ __ _, . ... ...„ . ; ..., IlkH V.,ti , trupancp 7- ••'.0.•e:z.. .1. .. :=7, .•.. .„ Vii.,I - )1= tpartmtnt of (ommuuitp JJ= ebetopmeut j !..r...i..1,51.:-.:11„... ) .. ' _ /lied ee ti/uate iddued f.ertduaat t4 tie 7e aine�sre ei Seetcaa 10C 4 fire �: : � 2 u a sr 6441.44-9. code, ad adatzted fey fire b�te�scQritaa ?�ucseeitiae �. , c� t`tat at tie time o� G�tccaceee, flit¢ dts�uretune ulad e t e oalze aaee u ifs ei .f1"�`; =,:• ft;• 1 t`M ,••..i, ze9e'dat�osd V coadt�'eectloa en eae, :=:fig-7)--- .z v•= rte'- ISSUED TO: MAHONEY HEARING AID CENTERS, INC F SITE ADDRESS: 202 PACIFIC AVErae. �• ' . Type of Occupancy Occupantce. I."• �� Y\" .. Construction •• y Classification Load Common Use = VN M 17 RETAIL SALES .l .. it. N , . E / ••.,, r" " ! P B'�� ` . _„, JUDY JOHNSO a,0. BUILDING OFFICIAL r Special Conditions: i?' �•� :t, ,- •.,•.., THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTALNED IN A CONSPICUOUS PLACE !� � Ya i' A'A'AAAiif q 44A AAf a1 s-4.4'4'.4`. R' RA'!."Rk�{'A. \a Yt a • •4 ,....41„...,,,,,,,,...::13,4. ..v - ....: S t uAA +_..-_i A... AAA R ._AAAR to -.A -�... 15 T Cri::::.: T rte aanr� ;::'::i..7141111/1"r::::.::T:;..';':-:.- -' '7...' - $37.1-'T tl.:::;t.: - loir.::$ir•;.::: -' i!". - -1(.3:v'...- ,,irj/.4. .,moi �r '• r? y ti o4TE: .'i /. ,:tv,0�1 ,..!•• •;,40. rrr�.,:,ill •...,:2 , • :V."0 •� _ • r. 3f kyr,:• , •':,ir .K‘74 1110 • hi.., N :..moi,,,,,:' 10;111' -\r'y. !.%I:'j1♦roVilr `:A' 1 ,�:V."0'III. • +•� �'', . ',1A it ;.! "41 o:, ,'•-••.- --, •%r w:. r•J -'. ',�:r iWN�:�i 7'i�• ^I!0 I/,. \\\.♦Nr '.NP..I/./ '1r\!i \• v1/,/kir 1„1 S0.:4 - Iliat / 111 \� ./r 1,Ir11 \\: 1114r ! 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O D PP rwaa ■ 441% lc lc u I) a tt lc p ,-, ,-;,...-.a. •-A. , v Vii' ?a J � L A �J epartment of �ommuuit �= ebero rueut . s /I .ice,•A ' � f YL4{f [•E'ri��`� C %2� L."W ✓ 1 V/ 41V in'W _ r,r �.:, 1, , Z,h S�c�%��u y elide, 44 ada,�ited 4 the �ne�se �?�u�rici aP �ade. ) :t'' . flat at fire terve e44 e4treex tlsie ire toad us ers�rs wed ; s , ��_ e4 60114. �,,tctiok an uaex r• , ,l ••..•• G :,,,,-,...-„:---,• a-` 3� ISSUED TO: STONE ENTERPRISES i• = c r - SITE ADDRESS: 202 PACIFIC AVE ' -. �-�; � - Type of Occupancy Occupant = � •,,,I ••• T ' •••• I.a \ -,,t.til .... �� Construction Classification Load CommonGse ▪ ��- 1▪ 2' VN B 2 OFFICE c � • ' ,, ---.!4.1., Permit Number:BL96-0152 Date:1111411996 F ▪ :•. ,/ •1/ ; , ;�� -el• J 'P I JOHNS01', B ILDING OFFICIAL �� �� ;:i= ,' Special Conditions: r ;- it ..• ( • • ", - : L THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE : ��� .. wo . 1(iuLr Aar+Yi".Skly'A1k • x.T xuA'A A AAA. _AA AA .4. 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ESTIMATED TIME FRAME FOR COMPLIANCE: N/A ENFORCEMENT OFFICER Bonnie Krause (LEAD PERSON FROM YOUR DEPARTMENT WHO WILL BE WORKING WITH APPLICANT) PHONE: 478-5275 SIGNATURE: � - DATE: November 13, 1995 Upon receipt of this request,Tax&License Division will promptly send an initial letter of temporary denial to the applicant detailing the above code violations but will not be responsible for follow-up communication with applicant. If your department initiates a request for delay, it is your responsibility to work with the applicant until resolution. Please return the approved application to Tax & License as soon as the applicant has complied with code requirements. In the event there is no resolution of code problems within 30 days from this request, license issuance will be reconsidered by Tax & License provided there are no pending life safety issues. 'REQUEST FOR DELAY MUST BE RECEIVED WITHIN FIVE WORKING DAYS FROM APPLICATION DATE. Forward to Tax & License Division-5311 BREMERTON BUILDING DEPARTMENT PERMIT Application Date 11/09/1995 Application Number 95AP09078 Issue Date 11/28/1995 Permit Number 16732 Assessor Acct # 3718-008-001-0009 Project Group Site Location 202 PACIFIC Owner - Last Name REESE First WILLIAM & RUTH MI - Street 2000 ENETAI BEACH - City BREMERTON State WA Zip 98310 - Phone (360) 792-0245 Tenant 's Name Phone(206) - Agent ' s Name Phone(206) - Architect 's Name [X] Building [ ] Grading [ ] Sign [ ] Paving [ ] Mechanical [ ] Move Building [ ] Burning [ ] Underground [ ] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition Building Contractor : Work will be completed by owner Nature of Work: Remodel sinks ,partitions , counters . General TI work. SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL . Building Valuation $7500 . 00 Council District 4 Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [X] Other [ ) BC Insulation [ 1 New [ ] Plumbing [ ] Repair 1 3 Status Mechanical [ ] Remodel [X] Code Wallboard [X] Addition [ ] :,R Final [X] Received By:"y, / ^ Approved By: BREMERTON BUILDING DEPARTMENT C O N D I T I O N S OF PERMIT -, Application Number 95AP090/8 Permit Number 16732 BUILDING All improvements shall comply with Washington State Barrier Free Standards . Approved s revised. SEPARATE PERMITS REQUIRED FOR M CHANICAL AND PLUMBING. FIRE 1 . Premise identification required to UFC and BMC standards . . . 6 inch minimum. 2 . Fire extinguisher plan will be required with this project , to comply with UFC standards . . _ 3 . One storz adapter required. 4. Lighted exit sign on second exit required. 5 . Sign above front door stating "THIS DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS" 6 . 40BC extinguisher required in kitchen. WATER 1 . Grease trap to be 29 GPM/40 lb capacity. 2 . A right of way permit will be required to occupy the right of way for any reason including staging materials , closing the sidewalk, etc . 4, BREMERTON BUILDING DEPARTMENT RECEIPT # 089111 * This Is Not A Permit * Nov 28 , 1995 Permit Fees Amount Paid Plan Check Fees Amount Paid Building $ 99.00 $ 96 . 00 $ 64 . 35 $ 64 . 35 62-322 . 1001 Mechanical .00 .00 62-322 . 1005 Plumbing .00 $ .00 62-322 . 1003 $ 64 .35 $ 64 . 35 62-345 . 8300 Other Fees Storz Adapter $ 128 . 64 34-388 . 1000 Zoning Fees Gen Payment $ 9 . 50 Other Fees $ 128 . 64 City Sur-ChargeS 5 . 00 81-3220009 State SIC 4 . 50 643-237 . 13 Total Fees $ 301 . 49 Amount Paid $ 172 . 85 Prior Payment $ . 00 ========= Balance Due $ 128 . 64 $ 99 .00 $ 99 .00 Received From: On 11/09/1995 Ruth Reese 4693 For #95AP09078 BREMERTON BUILDING DEPARTMENT RECEIPT # 089182 * This Is Not A Permit * Nov 30 , 1995 Permit Fees Amount Paid Plan Check Fees Amount Paid Building $ 99.00 $ 64 . 35 62-322 . 1001 Mechanical . 00 .00 62-322 . 1005 Plumbing . 00 .00 62-322 . 1003 $ 64 . 35 . 00 62-345 . 8300 Other Fees Storz Adapter 128 . 64 34-388 , 1000 Zoning Fees Gen Payment $ 128 . 64 Other Fees $ 128 . 64 City Sur-Charge$ 5.00 81-322 . 1009 State S/C 4 . 50 643-237 . 13 ========= Total Fees $ 301 . 49 Amount Paid $ 128 . 64 Prior Payment $ 172 . 85 Balance Due $ . 00 $ 99 . 00 $ ' , 00 Received From: On 11/30/1995 Ruth Reese #4774 For #95AP09078 BREMERTON BUILDING DEPARTMENT City of Bremerton, Washington 98310 Phone: (206)478-5275 FAX.(206)478-5278 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. REQUIRED INSPECTIONS 1. Foundation, before placement of concrete_ 2. Frame,before covering inside walls and after all concealed construction, including plumbing, mechanical and elecal are:installedaxnd approved, 3 Ins lotion,bef re covering 4. Wallboard or lath before fi g S. l ' , of cr co pletion and before occupancy 6. o inspect n re tied for mai perm s; 7. Any wspectat, ed.net 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. Signature Date I certify that I am exempt fro i the requirements of the state contractor's registration law, under Sec. 3, Chap. 12e, , sof 1967. Signature Date Permit Number permit.d BREMERTON((*LII 1 )1.0 BUILDING DEPARTMENT PERMIT APPLICATION Application Date 11/09/1995 Application Number 95AP09078 Issue DatePermit Number Assessor Acct # .37/8-.04 8 - d® ' - © �/ Project Group Site Location 202 PACIFIC Owner - Last Name REESE First WILLIAM & RUTH MI - Street 2 =--PC FIC2000 1E hem -ck - City BREMERTON State WA Zip 98310 - Phone (360) 792-0245 Tenant 's Name Phone( 206) Agent ' s Name Phone(206) - Architect ' s Name [X] Building [ ] Grading [ ] Sign [ ] Paving [ ] Mechanical [ ] Move Building [ ] Burning [ ] Underground [ ] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition Building Contractor: Work will be completed by owner . Nature of Work: Remodel sinks ,partitions , counters . General TI work. J/44/77 tie: Building Valuation $7500 . 00 Council District 4 Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [X] Other [ ] BC Insulation [ ] New [ ] Plumbing b4.1 Repair [ ] Status Mechanical [ ] Remodel [X] Code Wallboard [X] Addition [ ] 12 Final [X] + y BUILDING PERMIT AIPPLICATION City of Bremerton, Washington 98310; Phone: (206)478-5275 FAX: (206)478-5278 APPLICANT: OWNER CONTRACTOR El OTHER: SITE ADDRESS: L/G1 7 � O TAX ACCOUNT NO. OWNER: /l//'%7���7/ e- '. ADDRESS: 2(2 -OJ4 CONTRACTOR: ADDRESS: CONTRACTOR LICENSE# EXPIRATION DATE: CONTACT PERSON: /I'�/e CONTACT PHONE# El SFR El DUPLEX D MULTI-FAMILY el BUSINESS El OTHER: 0 SIGN 0 DEMO MOVE BLDG. E3 MOBILE El GRADING(yds): El NEW REPAIR 21.RREMODEL El ADDITION El OTHER: NATURE OF WORK PROPOSED: P-4611.01-'11-- A-'e3C l4 0 f TO MC 4 v ILP iA lc- 4 A /cote A5 akLt/4-14:1c,Eicy /AA r7 0.1t 67Doe . 0,004- Et-ii-T1 Ac.4t 4 fro"M814 r_ Mop S1 /40 l9 Ea ) 0P-1.0 oz.'4C e4 - do &J 1' ' (gel ET, SQUARE FOOTAGE: Dwelling: Garage: Decks: gen Defseviegsteat lids Oalry VALUATION PLAN REVIEW FEE PERMIT FEE SURCHARGES F TOTAL FEES $ $ 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: DATE: BREMF1? TON BUILDING : RECEIPT # 08911) * This Is Not A Permit , DEPARTMENT Nov 09, 1995 Permit Fees Amount Paid Plan Check Fees Amount Paid Building $ 99 .00 $ 99. 00 $ 64 . 35 $ 64 , 35 62-322 . 1001 Mechanical $ . 00 $ . 00 62-322 . 1005 Plumbing $ .00 $ . 00 62-322 . 1003 $ 64 . 35 $ 64 . 35 62 -345 . 8300 Other Fees Storz Adapter $ .00 34-388 . 1000 Zoning Fees Gen Payment $ 9. 50 Other Fees $ .00 City Sur-Charge$ 5 , 00 81-322 . 1009 State S/C $ 4 . 50 643-237 , 13 Total Fees $ 172 . 85 Amount Paid $ 172 .85 Prior Payment $ . 00 Balance Due $ . 00 $ 99. 00 $ 99 . 00 Received From: On 11/09/1995 Ruth Reese 4693 For #95AP09078 (til:/-eir-# 7A7( &)4:) U a BREMERTON B U I L D I N G D E P A R T M E N T P E R M I T APPLICATION I Application Date 11/09/2995 1 Application Number 95AP09078 Issue Date Permit Number Assessor Acct # J7/g-l14 �' - 4O / - 0O /7 Project Group Site Location 202 PACIFIC Owner Last Name REESE First WILLIAM & RUTH MI - Street 24-2—PAG-1-F-1 C2.0co E gd -c4- - City BREMERTON State WA Zip 98310 - Phone ( 360 ) 792-0245 Tenant 's Name Phone(206) - Agent 's Name Phone( 206) - Architect ' s Name [X] Building [ ] Grading [ ] Sign [ ] Paving [ ] Mechanical [ ] Move Buildin [ ] Burning [ ] Underground [ ] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition a- I[ t n. .p rt ✓ C wl ei 'k- 'S/1 -/k 1 Building Contractor: S'( Work Will be completed by owner . ,{�ja�,- r i e <...„�r5 A-0LS 44- -:, � �S r o c-- r- I44- Nature of Work: 'T'�' m�,}, Remodel sinks ,partitians , counters . Ge,' eral� T (work. ) 1 ! 10,e 7 '�l J X; -ems/77g -- "")E4/ / 6 eo c E/e A/l/T/ c✓ ST`�,e g" • - — ik - Lu x vh . .., ^ .0.1r, . • J. _ lowMoir - ; 4 '- ✓_. , u c-1-1 r ,..., I k u w :14 v L-h CLL,C4 > Building Valuation $7500 . 00x 11-4a1..C./_! ►410 Council District 4 Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [X] Other [ ] BC Insulation [ ] New [ ] Plumbing JJ Repair [ ] Status Mechanical Remodel [x] Cdde Wallboard [X] Addition [ ] 12 Final [X] i Ate iV- /1 /, Li / • G�� OF_$R /ta239 4th St * Bremerton, WA 98337 BUILDING AND LAND USE PERMIT DEPARTMENT November 14, 1995 Willliam& Ruth Reese 2000 Enetai Beach Rd Bremerton, WA 98310 Re: Applications for remodel of 202 Pacific Ave The application dated November 9, 1995 is complete and ready to be reviewed. We estimate a decision will be made in two to three weeks by the Building Department. At this time the plumbing and mechanical portions needs to be applied for. Enclosed please find the application for this. Please return it to the Building Department as soon as possible. For further information or questions, please contact Bonnie Krause, Permit Technician at (360) 478-5275. / " , t.4.„ Ce- Donald L. Pratt, Director of Community Development DLP/bak cc: file CITY OF BREMERTON PERMIT CENTER Application Review Type of Application: Tenant improvement Applicant: Wm & Ruth Reese Site Location: 202 Pacific Ave Application # . 95ap09078 Submittal Date: 11/9/95 Committee Review Date: 11/1f/95 DEPARTMENT....;:. RQUTE CotPLET SIMPi E .Aer�ov aTMT -..CONfAtIWTS. Building N ON Y0 rt-J N1- c , se <- Zoning ON r N O N 1 (> -E �``ec a ccs • i� Y` N Environmental Y() Y N Y N Y N Engineering/Streets Y() Y N Y N Y N Engineering/Utilities ON lV N CY)N .Y Fire Y N ON Y N Y Other YN YN YN YN Additional Comments: . _ _ , qc— 1 /5/1- of .4, / , 7 J. BREMERTON BUILDING DEPARTMENT PERMIT APPLICATION Application Date 11/09/1995 Application Number 95AP09078 Issue Date O a q Permit Number Assessor Acct # J 71� " 4 42 " " / - / Project Group Site Location 202 PACIFIC Owner - Last Name REESE n��y� Fi rst WILLIAM & RUTH MI - Street 2 TR T-F I C LLCtJ ISIeJ&G, +b.r-s'-c - City BREMERTON State WA Zip 98310 - Phone ( 360 ) 792-0245 Tenant 's Name Phone(206) - Agent ' s Name Phone( 206) - Architect ' s Name [X] Building [ ] Grading ] Sign [ Mechanical [ � � Paving [ ] i ] Move Building [ ] Burning [ 3 Underground ] [ Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition Building Contractor : Work will be completed by owner. Nature of Work : Remodel sinks ,partitions , counters . General TI work. Building valuation $7500 . 00 Council District 4 Census Tract Construction Sq Feet Inspections Type Required I Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [X] Other L ] BC Insulation [ ] New [ ] Plumbing [)G] Repair [ ] Status Mechanical [ ] AdditionRemodel [X] �� Wallboard [X] [ ] 12 Final [X] ,, -Q‘,P)---) r-A06 sx, /,- , , .\,,\,k‘ ' \\,, - / ,4/J / /q • J BREMERTON BUILDING.. DEPARTMENT PERMIT ,- A R P L I- C A T 10 N Application Date 11/09/1995 Application Number 95A.P09078 Issue Date Permit Number Assessor Acct # // .{�d • e0 / , 0G Gq Project Group Site Location ✓ '.202 PACIFIC Owner -- Last Name REESE First WILLIAM & RUTH MI - Street .. . ., / r.. -- City BREMERTON State WA Zip 98 310 - Phone ( 360) 792-0245 Tenant 's Name Phone( 206) - Agent ' s Name Phone(206) - Architect ' s Name [X.1 Building [ J Grading j ] Sign [ ] Paving [ ] Mechanical [ I Move Buildin [ ] Burning [. I Underground [ ] Plumbing [ ] Mobile Home [ ) Land. Clear [ 1 Demolition Building Contractor : Work will be completed by owner . Nature of Work : Remodel sinks, partitions , counte,s . General TI work , fir xtinguish-r plan will b / Premise Identification required iq UFC required with his project, 0 3 .• t rs in P eom 1 with U C sfandaPdti, Hydrants require Storz ada accordance with BMC standards, and BMC standards, 6 inch minimQ n. ply Building Valuation $7(50 . 002615 -Q>C,'�S , i t —7 it `-t-- r tet•y -€ Council District 4 Ce sus Tract CDu nr---- Construction Sq Feet -, r ;;tions Type i Required Residence [ 1 Zoning Foundation [ j Business [X3 Type Framing [X:] Other. I ] BC Insulation [ _] New [ 1 Plumbing I Repair [ ] Status Mechanical [ J' Remodel [X1 Code Wallboard [X. Addition [ j 12 Final [.X} /C J rr ' c� Lva c)0r- -z 0 4 t4 'rec)k)A111 V L • CITY OF BREMERTO BUILDING DEPARTMENT EcEllicEn PERMIT APPLICATION NOV 1 G 1995 BREMERTON BUILDINGDEPA.PTMENT DATE : 11-14- , 199 5 TO BE COMPLETED BY 11-21- , 1gg5 William/Ruth Reese owner OWNER CONTRACTOR 202 Pacific LOCATION OF JOB FOR remodel to convert into a deli/grocery/antique store Of% ENGINEERING BY COMMENTS REVIEWED � I)6,251-s6 TeA-1 7e, &en-7/ ¢-o C /°4c/TzP / • /:X25 �=.. .1 e, C� 1 IP £—D —GO PE 2,11 r r- LV gG. ;Eat.)7%28 D `—'6 6 = /2 /4-/u ,45oti.r S f /kin / eris-,eolLsi CLoS/,c.vr, 777 ���FGc�ifz,EC �G • . , BREMERTON BUIL INC DEPARTMENT PERMT • Application Date 12/06/1995 Application Number 95AP09161 Issue Date 12/11/1995 Permit Number 16766 Assessor Acct # Project Group Site Location 202 PACIFIC Owner - Last Name REESE First RUTH MI - Street 202 PACIFIC - City BREMERTON State WA Zip 98310 - Phone (360) 373-4152 Tenant 's Name Phone(206) - Agent ' s Name Phone(206) - Architect 's Name [ ] Building [ ] Grading [ ] Sign [ ] Paving [ ] Mechanical [ ] Move Buildin. [ ] Burning [ ] Underground [X] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition Building Contractor: Work will be completed by owner , Nature of Work: Install 3 sinks ,water heater, & rloor drain& grease trap . Council District Ce sus Tract Construction Sq Feet Inspections Type Required Residence [ ] Zo ing Foundation [ Business [X] T pe Framing I J Other [ ] Insulation [ ] New [ ] • Plumbing [X] Repair [ ] St- tus Mechanical [ ] Remodel .[ I Cade Wallboard [ ] Addition [ ] Final [X] Received B : f� Approved By : BREMERTON BUILING DEPARTMENT PLUMBING PE R M IIT APPLICATION Application Number 95AP09161 Contractor EAGLE PLUMBING Street 801 HIGH AVE City BREMERTON Phone (206) State WA Zip 98310 Representative State License # EAGLEP*061J5 Expiration Date 04/25/1996 City License # Expiration Date Toilets Bathtubs Basins Showers 3 Kitchen Sinks Dishwashers Laundry Trays Clothes Washers 1 Water Heaters Urinals Drinking Fountains 1 Drains Slop Sinks Water Piping and Alterations 1 Interceptors Hose Bibb Lawn Sprinkler Private Pools Public Pools Building Sewer Gas Pipe Roof Drain Private Hot Tubs Public Hot Tubs Other Options BREMERTON BUILDING DEPARTMENT CONDITIONS OF PERMIT Application Number 95AP09161 Permit Number 16766 Water--Minimum 20 gpm/40 lb grease trap required. BREMERTON • BUILDING DEPARTMENT PERMIT APPLICATION Application Date 12/06/1995 Application Number 95AP09161 Issue Date Permit Number Assessor Acct # Project Group Site Location 202 PACIFIC Owner - Last Name REESE First RUTH MI - Street 202 PACIFIC - City BREMERTON State WA Zip 98310 - Phone (360) 373-4152 Tenant 's Name Phone(206) - Agent 's Name Phone(206) - Architect's Name [ ] Building [ ] Grading [ ] Sign [ ] Paving [ ] Mechanical [ ] Move Building [ ] Burning [ ] Underground [X] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition Building Contractor: Work will be completed by owner. Nature of Work: Install 3 sinks ,water heater, & floor drain& grease trap. Council District Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [ ] Other [ ] Insulation [ ] New [ ] Plumbing [X] Repair [ ] Status Mechanical [ ] Remodel [ ] Code Wallboard [ ] Addition [ ] Final [X] BREMERTON BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION Application Number 95AP09161 Contractor EAGLE PLUMBING Street 801 HIGH AVE City BREMERTON Phone (206) - State WA Zip 98310 Representative State License # EAGLEP*061J5 Expiration Date 04/25/1996 City License # Expiration Date Toilets Bathtubs Basins Showers 3 Kitchen Sinks Dishwashers Laundry Trays Clothes Washers 1 Water Heaters Urinals Drinking Fountains 1 Drains Slop Sinks Water Piping and Alterations 1 Interceptors Hose Bibb Lawn Sprinkler Private Pools Public Pools Building Sewer Gas Pipe Roof Drain Private Hot Tubs Public Hot Tubs Other Options ------------ BREMERTON BUTLeING DEPARTMENT RECEIPT # 089208 * This Is N.t. A Permit * Dec 06 . 1995 Permit Fees Amoint Paid Plan Check Fees Amount Paid Mechanical . 00 . 00 62-322 . 1005 Plumbing 58 . 50 53 . 50 28 . 26 23 . 2,9 62-322 . 1003 28 . 22 28 . 2S 62-345 . 8300 Other Fees Storz Adapter . 00 34-388 . 1000 Zoning Fees Gen Payment 9 . 50 Other Fees .00 City Our-Charge$ 5 .00 81-322 . 1009 State S/C 4 . 50 64.6-237 . 13 Total Fees 96 . 28 Amount Paid 96 . 28 Prior Payment $ . 00 Balance Due $ . 00 $ 58 . 50 53 . 50 Received F1-7,:m: On 12/06/1995 Ruth Reese 4801 For #95AP09161 cit 6 BFe eitarr,. ishiin i '; 83id: ti&i �2Q 4.:.5 5 5 ..hk?f 4 .8 527.8 tatosenviEcitANIcALgaismoNispigiontamumiN.G„:".!,:iiie,:ft.a:!:i•: :::':.:.•..:i.:,:,!.:- APPLICANT: g OWNER Q CONTRACTOR 0 OTHER: COMMENTS: SITE ADDRESS: �C ',.. 7l7-7C`_�4-:. ,(c( OWNER: / I>/// / ei/ [/M /eL- „,ADDRESS: ,(''16:7, /jai?r�''//11?2. CONTRACTOR: ,/ 44i►/ ADDRESS: ?� 14 ,�C:/C'-. i�/% r/ar/zCet- CONTRACTOR LICENSE# EXPIRATION DATE: 47 '. 5`7. OWNER PHONE _-5-;-7 '-- .-` CONTRACTOR PHONE# 7r - /�/ :NO;-..::: . . :i2,TYP C}E EQUIPMIl'€ :>.f1±, . : ... TYPE 1F .. : tf.:E 1 RANGE I I WATER CLOSET WOOD/PFI T FT STOVE 1 BATHTUB LGAS FURNACE bru s: ( LAVATORY CONVERSION BURNER bra's. SHOWER —1 UNIT HEATER btu's: 7 KITCHEN SINK BOILER bra's: 1 ' DISHWASHER GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS bru's: CLOTHES WASHER I AC UNIT btu's: WATER HEATER HEAT PUMP bra's: rens: 1 URINAL REHEAT BOX bra's: `DRINKING FOUNTAIN AIR HANDLING UNIT brrc''c: _FLOOR SINK OR DRAIN E`C-iAUST FANS SLOP SINK RANGE HOOD (residential) WATER PIPIING &ALTERATION RANGE HOOD (commercial) i GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANKS type: BLDG. SEWER (mobile/ moved house) , REFRIGERATION UNIT ROOF DRAINS OTHER OTHER: MECHANICAL PERMIT FFF $15.00 PLUMBING PERMIT FEE(15.00 or 4.50) MECHANICAL FEES: PLUMBING FEES: - CITY FRES: $5.00 TOTAL ±LES: APPLICANT'S SIGNATURE: DA I E: EAGLE_ R-1Z5 W -55 '.�w.�W Siu...:.Y K.. -_ .Ht W ... ..:...u�i'W -' ... W ........ .w'W 4.. ......... W ty-........: _, . '" Ff REGISTRATIONS AND LICENSES STATE OF WASHINGTON I. UNIFIED BUSINESS ID #: 601 541 088 ' - BUSINESS ID #: 001 LOCATION: 0001 ORGANIZATION TYPE SOLE PROPRIETORSHIP JEFF BLYMYER EAGLE PLUMBING 801 HIGH AVE BREMERTON WA 9831011 II TAX REGISTRATION INDUSTRIAL INSURANCE UNEMPLOYMENT INSURANCE k REGISTERED TRADE NAMES: EAGLE PLUMBING is li I I • The above entity has been issued the business registrations or licenses listed - Q�,�,,�. ` '' DEPARTMENT OF LICENSING,BUSINESS&PROFESSIONS DIVISION, i1" 1. � f -. P.O.BOX 9034 OLYMPIA,WA 98507-9034 (206)753-4401 irec Department of Licensing "- 0002388 ZB CITY OF BREMERTON PERMIT CENTER Application Review Type of Application: 49 T YP PP � �i 40tc,.( Applicant: Site Location: a l 11 Application # Submittal Date: Committee Review Date: DEPARTMENT .ROUTE CoMPL2Ts Snrrnt i� Aerap isn To. CONIM(�NTS A1c1yM�p�, > Building Y N Y N Y N Y N Zoning Y N Y N Y N Y N Environmental Y N Y N Y N Y N Engineering/Streets Y N Y N Y N Y N Engineering/Utilities Y N YN YN Y N Fire YN YN YN YN Other Y N Y N Y N Y N Additional Comments: BREMERTON BUIILDING DEPARTMENT PERMIT APPLICATION =41=====================4=====x=== == ==z ==z: Application Date 12/06/1995 Application Number 95AP09161 Issue Date Permit Number Assessor Acct # Project Group Site Location 202 PACIFIC Owner - Last Name REESE First RUTH MI , - Street 202 PACIFIC - City BREMERTON State WA Zip 98310 - Phone ( 360) 373- 4152 Tenant 's Name Phone( 206) - Agent ' s Name Phone(206) - Architect 's Name I I 1 Building [ 1 Grading I 1: 1 Sign [ 1 Paving 1 1 Mechanical [ 1 Move Buildin ( I Burning [ ] Underground [X ] Plumbing ( ) Mobile Home [ I Land Clear [ ] Demolition Building Contractor : I Work will be completed by owner . Nature of Work: Install 3 sinks ,water heate , 6 iloor drain& grease trap . Council District Census Tract Construction Sq Feet Inspections Type Required Residence [ 1 Zo ing Foundation [ 1 Business [XI T pe Framing [ 1 Other 1 1 Insulation [ 1 New [ 1 Plumbing [X] Repair [ 1 St tus Mechanical [ I Remodel [ I C de Wallboard [ 1 Addition [ I Final [xi rclOsN) i I AA litilMcM Piksk/4-0 /b. 6 ier-A5E 7-me gcgolezo -47-15 \ , BREMERTON BUIL . 1 NO DEPARTMENT PLUMBING PERMIT APPLICATION Application Numter 95AP09161 Contractor EAGLE PLUMBING Street 801 HIGH AVE City BREMERTON Phone (206) State WA Zip 98310 Reptesentative State License # EAGLEP*061J5 Expiration Date 04/25/1996 City License # Expiration Date Toilets Bathtubs Basins Showers 3 Kitchen Sinks Dishwashers Laundry Trays Clothes Washers 1 Water Heaters Urinals Drinking Folintai s 1 Drains Slop Sinks Water Piping and Alterations 1 Interceptors Hose Bibb Lawn Sprinkler Private Pools Public Pools Building Sewer Gas Pipe Roof Drain Private Hot Tubs Public Hot Tubs Other Options BREMERTON BUIL ING DEPARTMENT PERMIT APLICATION Application Date 12/06/1995 Application Number 95AP09161 Issue Date Permit Number Assessor Acct # Project Group Site Location 202 PACIFIC Owner - Last Name REESE First RUTH MI - Street 202 PACIFIC - City BREMERTON State WA Zip 98310 - Phone (360) 373-4152 Tenant 's Name Phone(206) - Agent ' s Name Phone(206) - Architect 's Name [ ] Building [ ] Grading '. [ ] Sign [ ] Paving [ ] Mechanical [ ] Move Buildin [ ] Burning [ ] Underground [X] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition Building Contractor: Work will be completed by owner . Nature of Work: Install 3 sinks ,water heater, & floor drain& grease trap . Council District Ce sus Tract Construction Sq Feet Inspections Type Required Residence [ ] Zo ing Foundation [ ] Business [X]. T pe Framing [ ] Other [ ] Insulation [ ] New [ ] Plumbing [X] Repair [ ] St tus Mechanical [ ] Remodel [ ] C de Wallboard [ ] Addition [ ] Final [X] BREMERTON BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION Application Number 95AP09161 Contractor EAGLE PLUMBING Street 801 HIGH AVE City BREMERTON Phone (206) State WA Zip 98310 Representative State License # EAGLEP*06135 Expiration Date 04/25/1996 City License # Expiration Date Toilets Bathtubs Basins Showers 3 Kitchen Sinks Dishwashers Laundry Trays Clothes Washers 1 Water Heaters Urinals Drinking Fountains 1 Drains Slop Sinks Water Piping and Alterations 1 Interceptors Hose Bibb Lawn Sprinkler Private Pools Public Pools Building Sewer Gas Pipe Roof Drain Private Hot Tubs Public Hot Tubs Other Options BREMERTON BUILDING DEPARTMENT 286-4th Street 478-5275 •••111•111REQUEST FOR OCCUPANCY APPROVAL, Building Engineering Water/Wastewater Business License Fire Marshal Planning Traffic (ATTN:Toin Pran) Health Department Other: Please review this request for approval to occupy the following structure and return to this department by ASAP . Thank-you. Permit Technician: VALARIF Date: 1/24/96 Building Owner: RUTH REESE Tenant: SECOND STREET ANTIQUES Nature of Construction: GENERAL TI WORK Address: 202 PACIFIC AVE. Contractor: RUTH REESE , Permit Number: 16766 C O) Type of Business / Use: DELI/RETAIL �\ki.�r, cs�"»�� � Type of Construction: VN ��1"t OF ���� Occupancy Classification (UBC): B Square Footage: Occupant Load: 86 Comments: srio6 csE APPROVED NOT APPRO BI [J BY: l mac' , __ fl t DATE: 2- ,10 BREMERTON BUILUINGPCPADTMENT AMF CITY OF BREMERTON BUILDING DEPARTMENT PERMIT APPLICATION DATE : 11-14- S 199 TO BE COMPLETED BY 11-21- 1995 William/Ruth Reese owner OWNER CONTRACTOR 202 Pacific • LOCATION OF JOB FOR remodel to convert into a deli/grocery/antique store ENGINEERING COMMENTS/REVIEWED BY 2) ,F�E,kf r+L (SSP/dais /2E6.vieE et-vv t�i�ESSUKL KF�u� ,¢ScEi l3LSv ,e-D -w t9E,e./'�-,c - w/Lc. gG- f2GO ^6 zxc[J/115f = ,e-EACo _.( McTr 2.1fr4Lf) --(_.4),C/-<,C; TIE 3/Ew,9z<c erG „ , BREMER TON-KITSAP Co UNTY HEALTH DISTRICT WILLA A. FISHER, MD.,MPH., DIRECTOR 109 Austin Drive Bremerton, Washington 98312 Environmental Health Division (360)478-5285 FAX 478-5298 DEC ice.; December 11, 1995 BREMER t OSI BUILDING DEpA9Ti, - rr Ms. Ruth Reese Old Bank Antiques 202 Pacific Ave. Bremerton,WA 98337 RE: PLAN REVIEW AND APPROVAL FOR Old Bank Antiques Dear Ms. Reese; The plans for Old Bank Antiques,to be located at 202 Pacific Ave. in Bremerton, have been reviewed and are approved by this department, subject to the following conditions: Food service equipment, including ice machines, food preparation sinks,non-evaporative condensers, etc. must be indirectly connected to the sewerage system. If mop sink is to have a hose attached to it, a vacuum breaker must be installed to prevent potential cross contamination. All surfaces in the food preparation and storage areas must be smooth, water impervious and grease-resistant to facilitate easy cleaning; Bare wood surfaces are not acceptable. Kitchen light fixtures must be shielded. Prior to opening to the public, a pre-operational inspection of the facility must occur. At this time all equipment must be operating with thermometers placed in each refrigerated unit. Please call this department 5 working days in advance of intended opening to arrange a pre-operational inspection. If you have any further questions please contact this office at(360) 478-5285. Sincerely, Michele Maddox Environmental Health Specialist Food and Living Environment Program cc: Bermerton Building Department A CITY OF BREMERTON — BUILDING DEPARTMENT 478-5275 - 286 FOURTH STREET, BREMERTON, WA 98337 INSPECTION REPORT PERMIT NO. /6 7‘ ' I have this day inspected this structure and these premises and have found the following violations of City,N'.6vi ounty and/or State laws governing same: le--v. � 0 s e /�i /'-e e C. 5�/�.fV e d--% 4-1 a t�v i'L2a k✓ / Z D / < 7; P rclte (- 6-...e k. f'.Js �4‘4,./C / ct ‹ ? 0C9ovC (9 g(0 12 S'<.-K. A,./c.--e 4" 14".,)s 74- 6e e d 44.74 6(./i4-- 4rc4A- - fcgeee 0 3 - 61,17, fi,.. A. a/ P,,, ve 9A/n4 ZCU t ['ZaDY..S�G...�c. 0Re{�Oilt (p ' . 3 (6.47.t , -Ploy / 5/%. k / S 4yk,i,„6 You are hereby notified that no more work shall be covered upon these premises until the above violations are corrected. When corrections have been made, call f r ref-inspection. Do Not Remove This Tag DATE ( 'l- 7,) et",I 1 4,`f ., 1 . /� 6/ e4 A.-)„.....„ '2 \l INSPECTOR�FORRR BUILDING DEPT. ww GV(Jr `7 / / �'.t�� - F F•T /Lt f ciL , i 1 BREMERTON BUILDING DEPARTMENT 286-4th Street 478-5275 QUEST FOR OCCUPANCY APPROVAL A Building -- - Engineering Water/Wastewater 1111 Business License Fire Marshal ~ Planning III Traffic (ATTN:Tow Pratt) Health Department Other: Please review this request for approval to occupy the following structure and return to this department by . Thank-you. Permit Technician: VALARIE Date: 1/24/96 Building Owner: RUTH REESE Tenant: SECOND STREET ANTIQUES Nature of Construction: GENERAL TI WORK Address: 202 PACIFIC AVE. Contractor: RUTH REESE Permit Number: 16766 Type of Business / Use: DELI/RETAIL Type of Construction: VN Occupancy Classification (UBC): B Square Footage: Occupant Load: 86 Comments: APP80VED NOT APPROVED 0 BY: DATE: l 2-5� r‘9 ROUTING SIIF F_T Project #r` 9:5.-/i/90 /6/ Date Received: Application Review date: / Pre-submittal meeting date: Date accepted as complete: Acte 1)aje Date review AEp'd Altp'd w/ Not Reviewer N/A distributed reslto►tse reslwnse colnnlents Approved for review extls.4ted. received 13nilding t I t-.) , l Land'Use f?ngincering Ulliti�s a - Piro I•lenitb I)cpt. 'Traffic i'uvll otllncllt (SLI'A) f.ong Range Planning School - • Neighborhood Date permit application is approved or denied: Date applicant is advised of approval by phone: by mail: Date applicant received permit: OTIIIsR PERMITS REQ'D? Appiicatitin Date 1)ate inview Aute Date YEN Dale distributed for ! response approved permit is review expected : : issued lI'1,UMBING Building Utilities - IMECIIAN ICAL Building Fire RANGE IIO D/SIIAIrI Building Fire I FIRE SPRINKLER Fire Utilities FIRE ALARM Fire SIGNAGE Building Land Use Engineering Water Fire Loc SHEET ADDRESS: APPLICATION NO. DATE COMMENTS 4111 .ek-62-1-k/a)/ iat2e-rt't_,a/ ci 1 • ROUTING,Sh EET Project # 9,5/9 P.e) c 7 S Date Received: i`/9/9 J Application Review date: ///y /9,5- Pre-sLibmittal meeting date: Date accepted as complete: Date Date Date review App'd ' , A pd w/ Not 1 12eviewcr N/A distributed respuuse response . comments Approved` for review expected received Building rid � 1 Land Use , / FAtginceriug Lllilities , / , / „ l, , _ Fire I-lt:altli Dept. 'Emilie 1>ttvuroilmc:nl (SETA) I.ong Range hlalllllllg School S • Neighborhood Date permit application is approved or denied: Date applicant is advised of approval by phone: ///2 _ by mail: Date applicant received permit: OTHER PERMITS REQ'D? Applict►titua Date Anti;review Dote • Y/N Date distrit,uted for response approved Date permit is review expected issued I . PLUMBING Building Utilities I MECHANICAL Building Fire RANGE 11001)/SIIAIrl' Building Fire r.---- ..-..--.—„ FIRE SPRINKLER Fire Utilities . FIRE'ALARM Fire SIGNAGE' Building Land Use Engineering Water Fire LOG'SHEET ADDRESS: APPLICATION No. DATE COMMENTS y ti/tv OCL-Lie-d i/i I - `�� _%!!1_ • -- -- - ----- -- ---------- 3324 BREMERTON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton , Washington 98310-4799 ( 206 ) 478-5318 UTILITY SERVICE AGREEMENT C� Work Order No . Tap No . Receipt No. lJ Bremerton, WA. A/6V z15 , 199 The undersigned property owner hereby applies for Utility service at : Service Address : 2©1-, ?i' qP/0_, Legal Description: Plat Block Lot Kitsap County SERVICE REQUIREMENT: [ ] Water [ ] Wastewater [ ] Stormwater SERVICE AREA: [ ] Marine Drive Water [ ] Sewer District #1 [ ] City [ ] North Perry Water [ ] Tracyton Water [ ] County [ ] Port of Bremerton [ ] SERVICE CHARGES : Connection/Inspection Fee : BARS__ Water: Domestic Size $ Fire Size $ Wastewater $ Storm Water $ Frort_Footage Fee : Water $ Wastewater $ Storm Water $ General Facility Fee : Water # of units Q $ $ Wastewater . . # of units Q $ $ Storm Water . # of units $ $ System Development Charges : Water _ $ Wastewater $ Storm Water $ Temporary Service $ Road Permit [ ] City [ ] County . . $ Street Restoration [ ] Asphalt [ ] Concrete $ Tapping Fee $ Deposit / Other ) 570 A'17_ 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 plumbing, fixtures or appliances connected to the water meter or 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 . APW Name si-IYaTA/" ge-5E Phone Number ( ) Billing Address Allre400 EA/E7-�g, -� City Arm ' AA ; rL State IP �) Owner' s Signature I / Date i9 Agent ' s Signature Date 19 Accest- . on behalf . Bremerton Municipal Utilities : By: � ! 1706, Date , 19 je- Original & Yellow C. .ies : Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Customer 7,..., _qp,or,o,y ,--3AirAercoroar- -47yr-comgyr-AN ,, ,,---. . CERTIFICATE OF OCCUPANCY ' CITY OF BREMERTON BUILDING DEPARTMENT gcli4 "d#4,4 iaaurd to KEY BANK OF WASHINGTON lrs locale-a/a! 202 Pacific Avenue gdxaryae/slan, 9fadu%ytylan :_.106.' (wedgies awl the aluuluiie may eye 0Ceaftiedeuzith/lre Iiuxaiai m If/hie ailali%n5 s F.A. rade aI the raly fl Wite/nehlan as <certein f twoideel r TYPE TYPE OCCUPANCY CONSTRUCTION OCCUPANCY LOAD COMMON USE VN B2 ;9., Bank j!5- male: 7 de's March 3, 1993Ar., , A ,2� `.2 `i ' �( „ a, David A. Nelson This certificate must be posted and permanently maintained in a conspicuous place. za , Zr Permit No. Bus.Lic. '�c�("/� 0 • . N? 35658 Fee $ Receipt No. BUILDING PERMIT CITY OF BREMERTON • BUILDING DEPARTMENT F. E. IRISH, Building Inspector • ESsex 3-1411, Ext. 36 Owner's Value I Bldg.Dept. Value DESCRIPTION: $ Lot Block Additions Address on Job Date 196---. Building x and stories basement. Itg.t./ x Front Yard Rear Yard Side Yard Garage Occupancy Zone Owner Address Phone Contractor Address Phone This permit is issued for: 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 shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. Owner's Signature By His Authorized Agent Building Inspector DF By • i N . 40795 Fee $ Receipt No. / 7 ' BUILDING PERM IT CITY OF BREMERTON • 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 Date Building x and stories basement. Lot x Front Yard Rear Yard Side Yard Garage Occupancy Zone Owner Address Phone Contractor Address Phone This permit is issued for: tc.,"--i., , ek. , ,.... t- ¢ ti. S 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 shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry.Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. Owner's Signature i&"?' By His Authorized Agent Building Inspector 410 • / N° 35703 Fee $ Receipt No. BUILDING PERMIT CITY OF BREMERTON • BUILDING DEPARTMENT F. E. IRISH, Building Inspector • ESsex 3-14U, Ext.36 Owner's Value Bldg.Dept. Value DESCRIPTION: $ Lot Block Additions Address on Job s{ ,.(-- Date Building x and stories basement, Lot x Front Yard Rear Yard Side Yard Garage Occupancy Zone Owner Address Phone Contractor Address Phone This permit is issued for: 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 shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. Owner's Signature By His Authorized Agent Building Inspector _; :.= OF By 1 • • N? 42705 Fee $ Receipt No. BUILDING PERMIT CITY OF BREMERTON • 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 Date Building x and stories basement. Lot x Front Yard Rear Yard Side Yard Garage Occupancy Zone Owner Address Phone Contractor Address Phone This permit is issued for: 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 shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry.Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. Owner's Signature By UREi HiHisAuthorized Agent OCCUPANCY PERMIT RE U BEFORE UCCUf tl Building U e Ins sector DF By sw 41111. 1 r) 46481 Fee $ Receipt No. " 7 BUILDING PERMIT CITY OF BREMERTON • 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 Date Building x and stories basement. Lot x Front Yard Rear Yard Side Yard Garage OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone Owner Address Phone Contractor Address Phone This permit is issued for: 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 shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry.Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating.See City Engineer before working on streets or sidewalks Owner's Signature By His Authorized Agent Building Inspector of By • 46521 Fee $ Receipt No. acia751 BUILDING PERMIT CITY OF BREMERTON • BUILDING DEPARTMENT F. E. IRISH,Building Inspector • ESsex 3-1411, Ext. 36 Owner's Value Bldg.Dept. Value DESCRIPTION: I Lot Block Additions Address on Job Date__A.41/.. ... Building x and stories basement. Lot x Front Yard Rear Yard Side Yard Garage OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone Owner ,-t6i Address /„.::6C Phone Contractor r<.."11 ,‘As Address/7C)'7- Phone ') — 4 This permit is issued for: , 174-4-4_e—yo I v 2SIEl, ,< 444, 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 shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry.Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating.See City Engineer before working on streets or sidewalks. Owner's Signature LA- By v His Authorized Agent Building Inspector 474 By BUILDING IbERMIT �1? 425 A „-- City Cit of Bremerton, Washington t Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT.VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ z,000 -- $ / 3 `= $ 33 -°'1"q 7-/5-77 SITE ADDRESS/LOCATION 2,0 Z PAGA F( C. OWNER'S NAMEOL/MPIC SA) 4 LOAAADDRESS PHONE CONTRACTOR DNS NA, DuiZq Ca : STATE CONTRACTOR'S LIC.# L O t4 M ”D * Z q P. ADDRESS I ZO MADRONA LAt,(e /J. F3a 1,4"R e.i DGro PHONE $ 'f 2-'"543 kf ❑ RESIDENCE V, BUSINESS ❑ NEW ❑ REPAIR A REMODEL ❑ ADDITION PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: -1.1ATE.Q R \ MO Lon() N1 FOSS12..e+aa D- u k 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: NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPY! c ' ILDING OWNER'S SIGNATURE BY 7' t- / hor' :.'Ag/ BUILDING DEPT. �� ,,/_� BUILDING •NO472 Q ERM IT City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT.VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $350, 000 --- $ 430 . 30 40826 $ 662 . 00 41024 8-12-77 SITE ADDRESS/LOCATION 202 PACIFIC AVE . OWNER'S NAME OLYMPIC SAV. & LOAN ADDRESS PHONE CONTRACTOR DON M. DRURY CO. STATE CONTRACTOR'S LIC.# ADDRESS 120 MADRONE LANE NO. , BAINBRIDGE, WA. 98110 PHONE 842-5644 ❑ RESIDENCE BUSINESS ❑ NEW ❑ REPAIR E REMODEL ❑ ADDITION PLANNING/ZONING C FIRE ZONE 1 STORIES 2 OCCUPANCY F2 THIS PERMIT ISSUED FOR: REMODEL PER APPROVED PLANS 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 `A Plumbing Q Electrical 11`1 Wallboard ` 1 FINAL g INSPECTION: FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME APPROVEli APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUP ° CY CERTIFICATE REQUIRED BEFORE OCCUP•'" G BUILDING 7 _ OWNER'S SIGNATURE b BY ` I - / A oriz d Ag t BUILDING DEPT. APPLICATI( FOR .� BUILDING PERMIT�l CITY BREMERTON BUILDING DEOTMEN A PHONE : 479-5281 // r 30 VALUE $3.sgrc Q.CP.Q. PERMIT FEE $ . 4;(60.'. . PLAN CHECK $ . .16 ' ECE I PT 47(. 2-(.1' OWNER . . aVyADDRESS PHONE /f QC-NM - OA - Z88Q�' CONTRACTOR . . . x n'/ ' ruoi 6' r STATE LIC. # ADDRESS PHONE ADDRESS/LOCATION OF JOB 4) � PLANNING ZONIN . . . . FRONT EAR SIDE OCCUPANCY . . . . .`... . . FIRE ZONE %TYPE OF CONSTRUCTION • APPLICATION ISSUE R : . . . ./10 . . . / %4 SIGNATURE APPLICANT '' 6c''�� . DATE .:?'.�i : ? RECEIVED BY d�.' .f. . . PLANNING COMMENTS/REVIEWED BY. r ff. . . . ENGINEERING COMMENTS/REVIEWED BY �C/ 1.- 6 � �' afr` ^ #01,6 FIRE DEPT. COMMENTS/REVIEWED BY.,., '``Lr'-' 6.- ci --L1 )1.e EL._ C4-a-t .9_126..Z t,/' e eek L.yl ,e/-1cP_‘ - / ° ( TRAFFIC DEPT. COMMENTS/REVIEWED BY la. BUILDING DEPT. COMMENTS : 12/45 a )1/1"L "N-.' 106-2, Cojs PLUMBING REVIEWED BY '` 4?,a ELECTRICAL REVIEWED BY . . . 1 4 Gd �� 75 � Off"' lice" 7 BUILDING REVIEWED BY.G7 . vd:: . r 40( C ts. t .111"< APPROVED BY COMMISSIONER OF PUBLIC WORKS DATE • • 1. 01" 4 35O su , 3 BUILDING * ERMIT fN2 4619 Al City of Bremerton, Washington l / Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $. j412 $/X� c5 .S ,7// 2 cj $ , i5'. c"'-c -7/ 6 2 /0— c'' C,_ SITE ADDRESS/LOCATION t716�� OWNER'S NAME kt. (, ©jtw,cs' ADDRESS PHONE CONTRACTOR k) z� yk ��" ,, � STATE CONTRACTOR'S LIC.1iADDRESS PHONE ❑ RESIDENCEL.BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR ,\REMODEL ❑ ADDITION ❑ DEMOLISH PLANNING/ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: 1 ^� <`I �a� f. -. 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 k Plumbing X Electrical Wallboard, FINAL,,,- SEPARATE INALSEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. 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 OC' PYING BUILDING OWNER'S SIGNATURE BY Authorized Agent `'ft--- BUILDING DEPT. c— _.. ,. N PPLACATIO K4, CITY OF BRE ' TON BUILDING •PARTMENT 2 VALUE // y/ /7� RECEIPT 5.3.6.. a ? ���) .PERMIT FEC �� 4'a .. EPLAN CHECK SL.'YG.a,4.&) C..7/./.:20. . ADDRESS/LOCATION OF JOB. ... ?.% l' / ,... . .. (' 4# APPLICATION ISSUED FOR: ' �.... .. �w._ PROPERTY TAX ACCT. NO l r J PLANNING ZONING FIRE ZONE OCCUPANCY TYPE OF CONSTRUCTION ::: .. .41e• • .3 --e'62-2.-- „ , ;1::)."?1....<,..l...I.,ee.._.....:(:,oLe.6. <SS • • ADDRESS � %-›-- 4`// mss)„ Q /7 (-�, /// PHONE - •• - PHONEY b 9'YATE LIC. 1� Z3 ` ��J.1.. SIGNATURE APPLICA O1. -. .. . . .1 <r44-'. /. .... ,-1 DATE ! D -/n - L RECEIVED L r'fiyy �"I� ACCEPTANCE OF APPL ATION DOES NOT INSURE ISSUANCE OF BLDG . PERMIT . cr—� PLANNING COMMENTS/REVIEWED BY.rG.(i!� r , "Zit 10,..)04/102e/e0.e•? . ---e•-..a,Ze4e.:#t /6,740 Alie..t4-/R4) OferA:0',10 'eAr---'' I ENGINEERING COMMENTS/REVIEWED BY... APP'U BY Ato p rz)6 lgitwo 01 cyrkj... - 40r.54::,--- , SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY E STORM SEWER. FIRE DEPT. COMMENTS/REVIEWED BY '''NrAP BY .TRAFFIC DEPT. COMMENTS/REVIEWED BY `+ App'D BY i" PLUMBING REVIEWED BY r . WATER DEPT. - tii SEPARAIE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL WORK. ELECTRICAL REVIEWED BY F`--..„\ [.. - SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK. { "...-......J BUILDING REVIEWED BY I , APP'D �� BY Compliance Officer (i /. DATE - • I r ui8u3 uopowaig to*9 2861 0 100 1311 /kt3 � jt O F I F , _,__ , „0..„2 E3RENIERTON P'ERNIT GEN TEFR 40. 286 4th Street, Bremerton , WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 202 PACIFIC AVE 1 Permit No: 02-0699 Location: ART ANDERSON ASSOCIATES Status: ISSUED Parcel No: 3718008-001-0009 Applied: 11/08/2002 Issued: 11/08/2002 Applicant : ANDERSON SANDIE & ERIC 479-5600 Expires: 05/07/2003 202 PACIFIC AVE BREMERTON WA 98337 Owner: ANDERSON SANDIE & ERIC 479-56+10 202 PACIFIC AVE BREMERTON WA 98337 Contractor: OLYMPIC SHEET METAL INC 253-85 '--699Lic #: OLYMPSM982B3 Exp: 01-23-04 6602 WHITMORE NW GIG HARBOR WA 98335 Subcontr: Desc: REPLACE METAL FLASHING AROUND ROOF EDGE WITH NEW SAWN-IN 2-PIECE METAL REGLETT FLASHING ************************************************** ****************************************** Valuation * Permit Fees: 125. '5 Total Calculated Fee: 129.75 5,500.00 * Plan Check Fees: . 00 Additional Fees: .00 * Other Fees: 4” 0 Total Permit Fee: 129.75 ***********• ***********************************x** *********: ************:*:****************** : This permit shall become null and void if the building or work -uthorized by this permit is not commenced within 180 days from the date of such permit, or if this building or w.rk authorized by such permit is suspended or abandoned at any time after the work is commenced for a period .f 180 days. :iTICE - It is the responsibility of the permit holder, not th- City of Bremerton or Building Official to see to it that required inspections are made. The permit holder -t notify the Building Official when ready for inspections. Failure of the permit holder to notify the Buildi - Official of required inspections may result in the stoppage of the work until such time that the permit holy-r can substantiate to the building official that the concealed work meets or exceeds code requirements. Al* 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 he 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 ill be complied with whether specified herein or not. The granting of a permit does not presume to give aut rity to violate or cancel the provision: of 'ny other stalk or local law regulating construction/ or the pe ormance of construction. 9ignature:_�. / • / "P.' 40I . wir eet sate: __ 1/// -,. 7 Z • I certify that I`am exempt from the requirements of the state ntractor's registration law, under Section 3, Chapter 126, laws of 1967. te: *******************k:******* t Permit Center--Approved By:___ _ ___, Date: E , _- 441-44 " E3 FZ EE NI EE FZ TC)r4 PERP1IT CENTER 286 4th Street, Breme ton, WA 98337 Phone: (360) 478--5275 AX: (360) 478-5278 Building Permit No: 02-0699 Job Address: 202 PACIFIC AVE Status: ISSUED Location: ART ANDERSON ASSOCIATES Issued: 11/08/2002 Assr Acct No: 3718008-001-0009 Expires: 05/07/2003 REQUIRED ISPECTIONS Item: 02700 FINAL--BLDG it Dept: BLDG Division: *: * :**************************** ****** *************************************** TESTING: Must be recognized by the Washington Association of Building Officials SPECINSP: Mustbe registered with the St to of WA ST OF WA: State of WA Dept . of" Labor and Industries 478-4921 HEALTH: Bremerton/Kitsap Health Distri•t 478-5235 ALL INSPECTION PERFORMED BY THE CITY OF "REMERTON MUST BE SCHEDULED THROUGH THE PERMIT CE�JTER ( 360 ) 478-5275 . .*********, ********************************************************************** Permit Holde 's / c Signature: _ , . +• / a..,.w ...4 . ". . . ; . _. ..... Date ... /. 7- !� ..1 ._.. i5'L- ^,N1 r k \ '- y l 1 - r . w =_= =_= _===_=_WBRMERTONP2MITCE"LATER _ ___=_ _== ===_==_=. d ___ PERMIT CONDITIONS Permit No: 02--0699 Page: 1 Job Address: 202 PACIFIC AVE Applied: 11/08/2002 Assr Acct No: 3718008-001~0009 Approved: 11/08/2002 Location: ART ANDERSON ASSOCIATES Issued: 11/08/2002 Applicant: ANDERSON SANDIE & ERIC \, Owner : ANDERSON SANDIE & ERIC Contractor : OLYMPIC SHEET METAL INC Description: REPLACE METAL FLASHING AROUND ROOF EDGE WI"T"H NEW SAWN-IN 2--PIECE METAL REGLETT FLASHING Conditions: 1 . PRIOR TO PERFORMING ANY RENOVATI N OR DEMOLITION WORK , PUGET SOUND CLEAN AIR AGENCY ( CL AN AIR AGENCY ) AND WASHINGTON DEPARTMENT OF LABOR A INDUSTRIES ( L&I ) REGULATIONS REQUIRE AN ASBESTOS 'URVEY BE PERFORMED TO DETERMINE WHETHER THERE ARE ASBE;TOS-CONTAINING MATERIALS IN THE WORK AREA OR STRUCTURE . THE ASBESTOS SURVEY MUST BE CONDUCTEDBY AN EPA CERTIFIED ( AHERA ) BUILDING INSPECTOR ( EXCEPT RENOVATION OF OWNER-OCCU•IED SINGLE FAMILY RESIDENCES ) . ..re - FOR MORE INFOf2P1ATION .. PLEASE CON ACT CLEAN AIR AGENCY THROUGH THEIP WEB SITE AT www .pscleanair .org OR BY PHONE AT 800--552--3E65 OR 206-639-4058 . T E L&I WEB SITE CAN BE FOUND AT'' www .lni .wagov/wisha/p-- s/asbestos/asbestos .htm . 2 . PLAN REVIEW: SUBJ "tT TO ON-SITE INSPECTION AP ROVAL Permit Hold€ r ,s l Signature_ i /G7 e L .w...; Date f /Tp 0.. -Q z- 4 ov o 8 2002 Ca*BflEMERTON C rt*%-,011,i BUILDING DEPARTMENT 1 PERMIT CENTER Department of Community Development,,_ 286 4th Street;: Bremerton WA 98337 (360) 478-5275 _Fax (360) 478-5278 Building Permit Application APPLICANT: Xi OWNER _ CONTRACTOR AUTHORIZED AGENT Site Address 2-02- Pac-Ifl C flue- Tax Account Number: Bre mr5/4-IL/dlr. eva c A-�k%t-ae,t5 ovi CONTRACTOR:L7/grnpiC s �//I ffa/ OWNER Address: 2,172, PQu t'GC. A-i&e.v1,� c' Address: /3 ?�/.(7 - Ake /U(jj City, State, Zip bre,ii2eph 9'8-337 City, State, Zip j I`FfJ►.'hcry r/' '1 '329 Phone #: (3%O ) t/7e - S- oO License # & Expir. Date: Authorized Agent Address: 3oq4, O1t-c4 IJh. Contact Name: J€%- -- 1City, State, Zip Orem - l c7 3(2_ Contact Phone#: (25 3 )�Sg- 33'910 Phone #: ( 36O ) Check the type of application for below: I I NEW SINGLE-FAMILY RESIDENCE NEW COMMERCIAL NEW GARAGE/CAR PORT NEW DUPLEX COMMERCIAL REMODEL I I NEW ACCESSORY BLDG NEW MANUFACTURED HOME COMMERCIAL ADDITION NEW SIGN RESIDENTIAL REMODEL 'g COMMERCIAL REPAIR STRUCTURE DEMOLITION I I RESIDENTIAL ADDITION NEW MULTI-FAMILY GRADING (Cubic yards: I I RESIDENTIAL REPAIR I I TENANT IMPROVEMENT f I OTHER IS THIS PROPERTY WITHIN 200 FEET OFA SHORELINE? YES U NO �( Scope of Work Proposed: lam' t'')/Q t_e, Thet-4,/ -vu yy� tv o1' edge, iv 1'1-ii .vI_ sawn - - eiec me- -Q /tag Car tehti Square Footage: Dwelling: Garage: Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees s-oaev ,a.5 f 39-7 r) Application for which no permit is issued within 180 days following the date of application shall expire by limitatio , and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building o icial. 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 applicant shall resubmit plans and pay a new plan review fee. APPLICANT'S SIGNATURE: Gam! ,deldS1917 DATE: //— (—O' Z Nov 08 02 11 : 06a 0lympio SM 12538576994 p. 4 i 1 Dor M k� Jam ' ' '� �- r A/20&-g .s-o/J il r\ i -( if �' f-)` ---' \)'''' , ,,, 0, \ 11 -xv ti1'G /(,, I) �� a'� K , 1 1C © GlLDk ' NOVNOVU � 2002 , .) ,L, 0.. -f'-`') BREMERTON V p BUILDING DEPARTMENT mmm***m***A*�*m * � ***m****mw**m**xxm**rvux, ,v»A*mpw*********m** RECEIPT *m** *uv****1:*w*1:****o*mmmxm****rne^*n*m****mv(*m* mxm**mmm4***m RECEIPT Number: 02001006 Amount : 1/08/02 13:25 Payment Method: CK Notation ANDERSON CK Init : VW --------------------------------------------'- ------------- Permit No: 02-0699 Type: RLO6ONLY BLDG P RMIT-NO MECH/ Puroel No: 3718008-O01-0009 Site Address: 202 PACIFIC AVE Location: ART ANDERSON HS'ACIATE5 Total Fees: 129'7S Thi-, Payment 129'75 Total ALL Pmts: 129'75 Balance; .00 m*xu1***1(*******g**wm*M3m*****W4**um**n******Xwm ********W**** Account Lode Description Amount 16-322'10O1 (2211) HUlLDING PERMIT FEES 125,25 643-237'l3 (0236) S\AT[ OF WA SURCHARGE 4-50 _ BREMERTON BUILDING DEPARTMENT Inspection Report Scope of work: ;� .,,,/1 , ,A �� e__,,.. ' Permit Number: a-. U( 9 9 Address: Oc pt (C cAiii.. �ridc2 �r S2#1 Owner: eJ' (/`� ,n C Gc:9�S r 1� Phone: Owne • Contract r: U� v� etc s11 Pe-' /(/( a IA( Phone: �-- J-errL '5 -355 FOUNDATION Inspection card/approved plans on site Setbacks Footings: required steel placement Walls: required steel placement Footings: required width & depth Walls: required size Bearing soil (soils analysis if applicable) Special inspector(when applicable) COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: FRAMING Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 x 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts &washers in place Mudsill:treated material Floor joists: size &span Beams/girders: size & span Notching &drilling:joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outside Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows; safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fire blocking wall to ceiling, furred walls every 10' Fire blocking: stairs, soffits, lowered ceilings Fire blocking:tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheet rock backing Wall bracing Rafters size/notching Trusses:specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in COMMENTS: APPROVED: ENERGY CODE COMPLIANCE Insulation: proper R valve Insulation: proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space COMMENTS: UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: • MECHANICAL Appliance location and access, proper support Appliance clearance to combustibles Venting: clearance to combustibles Venting: size &support Vent termination Combustion air Ducts: size &support Gas pipe under test Gas pipe size &support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Wood stoves EPA certified Wood stoves &fireplaces: Tight-fitting doors Wood stoves &fireplaces: proper health Manufacturer's specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING DWV&water piping under test DWV: proper grade DWV: proper sizing DWV: proper drainage fittings where required DWV &water piping proper support DWV: required cleanouts Vent termination All fixtures vented properly Water supply: proper sizing Shut-off valves on all fixtures Water heater gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: seismic strap R-10 pad under water heater when required Water-piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED: SHEETROCK Proper fastening nails- 7" o.c. horiz. Plane Nails 8" o.c.vertical plane Proper fastening screws 12" o.c. horiz. Plane (1/2") Screws- 12" o.c. horiz. plane (1/2') 24" o.c. framing Proper fastening: screws- 16" o.c.vert. Plane (112") Screws- 12" o.c. vert. plane (1/2") 24"o.c. framing Proper fastening screws- 12" o.c. horiz. plan (5/8") Screws- 12" o.c. horiz. plane (5/8") 24" o.c.framing Proper fastening screws- 16" o.c.vent. Plane (5/8") Screws- 12" o.c. vert. Plane (5/8") 24"o.c.framing Area &occupancy separation walls Draftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors COMMENTS: SHEETROCK APPROVED: FINAL Energy code requirements met, exhaust fans Plumbing &mechanical Garage/dwelling 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 weatherlight Wood siding to earth separation (6") Building address posted Randon monitor when required COMMENTS: f-ef,4—S/--i2ft,C-r f<„ C3 rru,A t A rtrtr'`-,irr�_ E�ric� L. Sandra E. ANI)) ERSON eandcrson@artandcrson.com r ,r icicrson@artandcrson.com. Thursday, October 20, 2011 Jeannie Vaughn, Building Development Specialist Department of Community Development City of Bremerton Dear Jeannie, Thank you for the explanation and recommendations on the issues concerning requirements for elevator service at 202 Pacific Avenue, otherwise known as the offices of Art Anderson Associates. As I shared we have made significant reductions in staff on our second floor, none of whom use or require any physical accommodations. With full services on our main floor including conference rooms and restrooms we have eliminated use or need for our two floor elevator. Unfortunately we continue to spend an average of three thousand dollars annually without benefit except perhaps to the elevator service company. As owners of the building and the sole firm occupying it we would greatly appreciate the city's occupancy permit without elevator service. As you would expect we will immediately renew service when greater use of the second floor is planned. Sincerely, Eric Anderson 360 , '71 0 . 2551 4. 3 6 0, 7 3 1 ,2 0 5 2 3046 ,Marine Drive, Bremerton, Washington 98312 Page 1 of 3 Jeannie Vaughn From: Eric L. Anderson [eanderson@artanderson.com] Sent: Wednesday, October 19, 2011 3:10 PM To: Jeannie Vaughn Subject: RE: Elevator Decommissioning - 202 Pacific It does look like a close call. The building is a 1914 construction on the historic register. We moved in in '97. I just need the relief for 12 months while the workforce is reduced. The elevator hasn't been used for passengers in a couple of months. From: Jeannie Vaughn [mailto:Jeannie.Vaughn@ci.bremerton.wa.us] Sent: Wednesday, October 19, 2011 2:57 PM To: Eric L. Anderson Subject: RE: Elevator Decommissioning - 202 Pacific Well, this is an interesting question. The later editions of the UBC required accessibility to the second floor when it exceeded 3,000 ft2. I don't know when Art Anderson Associates began business in the building. I searched for previous editions of the building code and could only find 1997 or 1947, and I don't believe either would be of help in this situation. ANSI A117.1-2003 says: 402.2 Components. Accessible routes shall consist of one or more of the following components: Walking surfaces with a slope not steeper than 1:20, doors and doorways, ramps, curb ramps excluding the flared sides, elevators, and platform lifts. All components of an accessible route shall comply with the applicable portions of this standard. The accessible route doesn't appear to include stairs. The 2009 IBC tells us an accessible route is required between floors (IBC 1004.3) and that section has certain exceptions for the accessible route, none of which appear to fit this particular circumstance. Accessible egress is required from the floor and may be accessible enclosed stairs (IBC 1007.3) It would appear the elevator is required unless you can show the elevator was not required at the time of occupancy. I'm sorry I'm not familiar with the building's history. I perused our building file here, but found very little information. I've researched all I can find thus far. Perhaps you have some information from the original permit. Jeannie Vaughn Building Development Specialist III Department of Community Development City of Bremerton 345 6th St., Suite 600 11/15/2011 Page 2 of 3 Bremerton, WA 98337 (360) 473-5212, desk (360) 473-5278, fax From: Eric L. Anderson [mailto:eanderson@artanderson.com] Sent: Tuesday, October 18, 2011 2:05 PM To: Jeannie Vaughn Subject: RE: Elevator Decommissioning - 202 Pacific It's actually 4000 ft per floor, about half of which is useable for personnel.The office is entirely for our private use and enjoys duplicate amenities on both floors. Thanks Eric From: Jeannie Vaughn [mailto:Jeannie.Vaughn@ci.bremerton.wa.us] Sent: Monday, October 10, 2011 9:21 AM To: Eric L. Anderson Subject: Elevator Decommissioning - 202 Pacific Good morning. Your request to shut down the use the use of the elevator at 202 Pacific Ave. was referred to me for investigation and determination. I'm sorry to say that I am not familiar with the building in question, and require more information regarding the layout. I have perused our building file for 202 Pacific, and have determined the main floor area is approximately 16,000 from a plan that was submitted for a suspended ceiling in 2003. It's possible we have a full-sized floor plan in archives, but you should be able to provide me with information about the floors served by the elevator. Would you be so kind as to provide me with information regarding the building layout, specifically the occupancy use and the total floor area on each floor? Typically, an elevator was required to be installed in a building when the useable floor area exceeded 3,000 ft2 in the Uniform Building Code, and a building is required to comply with the code under which it was constructed unless the building professional can show the building complies with the current edition of the code, in this case, the 2009 edition of the International Building Code. Feel free to call me discuss the existing situation and we can research the code to determine if the existing exiting system can comply with the accessible requirements. Jeannie Vaughn Building Development Specialist Ill Department of Community Development 11/15/2011 Page 3 of 3 City of Bremerton 345 6th St., Suite 600 Bremerton, WA 98337 (360) 473-5212,_desk (360) 473-5278, fax 11/15/2011 Department of Labor and Industries tte 6 OWNER REQUESTED Elevator Section PO Box 44480a. = RED TAG FORM Olympia WA 98504-4480 Phone:(360)902-6130 FAX(360)902-6132 www.Lni.wa.gov/TradesLicensing/Elevators D "Red tag"status fee.The annual fee for a conveyance in"Red tag"status is$27.20. D NOTE:You must provide the department with written approval from the building official,indicating that the conveyance is not required for building occupancy,when you apply to have the conveyance placed in voluntary red tag status. D Decommission inspection.The fee for performing a decommission inspection is$54.60. > WAC 296-96-01035 Are there inspection fees?Yes.You are required to renew your annual operating permit yearly. October 7,2011 Date Owner Information Owner Name Eric L Anderson Owner Address 202 Pacific Ave City State Zip Bremerton WA 98337 Phone Number Fax Number 3604795600 eanderson@artanderson.com Building Information Building Name Conveyance Number 202 Pacific 3168 Building Address 202 Pacific Ave City State Zip Brmerton WA 98337 L&I Internal Use Only CC to Elevator Inspector Faxed by Date F621-063-000 owner requested red tag form 07-2007 Page 1 of 1 Jeannie Vaughn From: Jeannie Vaughn Sent: Tuesday, November 15, 2011 4:30 PM To: 'Eric L. Anderson' Subject: RE: Elevator Decommissioning -202 Pacific Eric, I've discussed your request with the Building Official and she and I agree that with the accommodations that you have on the main floor that the elevator may be shut off for 12 months until such time as the economy has improved. Jeannie Vaughn Building Development Specialist III Department of Community Development City of Bremerton 345 6th St., Suite 600 Bremerton, WA 98337 (360) 473-5212, desk (360) 473-5278, fax From: Eric L. Anderson [mailto:eanderson@artanderson.com] Sent: Thursday, October 20, 2011 10:05 PM To: Jeannie Vaughn Subject: RE: Elevator Decommissioning - 202 Pacific Jeannie, Thanks for your understanding and personal attention on this. I've attached a letter as we discussed. If you can confirm our temporary exemption we'll apply with L&i. Regards, Eric 11/15/2011