HomeMy WebLinkAboutLANSING, 1268BItLMLIi'I'ON BUILDING DL'1'Alt'1'MEN'1'
Pltunbirtg/MecYtarttcal Inspection Report
Scope oFwork: Replace exist. gas furnace w/new Permit NwmbeC: 99-0055
Address: 1268 Lansing OWller: David Gray
ColltrRC[Or: A]-1 Seasons PllOile: 253-847-8999 -
GAS PIPING
Under test (lOpsi for 15 minutes)
Pr�rtr sizing Ai 9LLp�rt
12" lninimurn helo made when underground
C_oatul/wral'p«l when undcr�rowld or withih 6" of earth
Ground -joint unions Irohibited in ocrtain locatior►s
I)ushin �s not allowed in conceakd areas
COMMENTS:
GAS PIPING APPROVED:
3/���4s
PURNACE
M111IrCiCLLL[tr�9 � C�CIIIQUOn9 Orl 91LC
Location, acocss, auYPort
Ck_a_ranae to conlbustibks
Ventin �: clearance to combusribb
Yet1C 9121n�& sU) OCII COIlneal011�
Ytnt tettill llatlOn
Combustion air
Chimlle�: liner and/or separate flues as rc uir«I
Gas shut-0ff within 3'
Pilot ekvatecl ofr floor in gauge
Ducts: size & au )ordiruulated when rc uired
Return air
FURNACE APPROVFD: �'�'�/->/2G/�G%
MISC. APPLIANCES
Manufacturer's sl)cc�Gcations on site
Location, accc-ss, su�ort
Clearance to combustibles
Ventin�_cleararlon to combuetibks
Yen[ sizing be sur ort/conneuions
Vent tertninatlon
Combustion air
Chirnl liner arl<Uoc separate [lug as required
.
Gas shut-ofTwithin 3'
Wood stove &fire laces: ro hearth
Wood stweb: EPA a1l�ravecl
Gas Ica: safes shut-o[�
Wood stoves & Grc laces: cigllt fitting doors
Gas shut-off within 3'
COMMENTS:
MISC. APPLIANCES APPROVED:
WATER IIEATER
Manufacturer's s 'fictions on lice
Locattorl, access, 9LL Or[
Ckaranoc to combustibles
Peru sitin & au ort/conrlouiorn
Vetuil�: ckaranoe to combustibles
Yent termirlauon
Combustion air
Gas shut-o[I'witlrin 3'
Chin . litter and/or acpante ❑ues as uirod
Pilot ekvata!_oII� floor ir�a e
Gate valve on cold water sum%
Relief valve drairlod to outside
Co to aivanized coturoaion>r
Unions on water pipes
Seielnic atta
COMMENTS:
WATER HEATER APPROVED:
ALL WOI[K UNDER THIS PEIt1IiIT APP1tOVI1TD: 3 u s
Type of Fuel:
Occupancy:
Chvner:
/ /L)q��,'
Address: ► � ✓
Phone: (496U `t?
!� 4�v
Contractor:Al
Address: /Gc7 t .-' fie p 3r4`/ S vC104
1C104ee wood tn/A - �i ✓ ���
Phone
Contractor's License Number/Expiration Date:
No.
ME
TYPE OF EQUIPMENT
No.
TYPE OF FIXTURE
RANGE
WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE
BATHTUB
GAS FURNACE btu: �Lj�%i (i�G o iq u
LAVATORY (bath sink)
CONVERSION BURNER btu:
SHOWER
UNIT HEATER btu:
KITCHEN SINK
BOILER btu:
DISHWASHER
GAS PIPING
LAUNDRY TRAY
EVAPORATION COOLERS btu:
CLOTHES WASHER
AC UNIT btu:
WATER HEATER
HEAT PUMP btu:
URINAL
REHEAT BOX btu:
DRINKING FOUNTAIN
AIR HANDLING UNIT btu:
FLOOR SINK OR DRAIN
EXHAUST FANS
SLOP SINK
RANGE HOOD (residential)
WATER PIPING & ALTERATION
RANGE HOOD (commercial)
GREASE TRAP/INTERCEPTOR
CLOTHES DRYER
HOSE BIBBS
INCINERATOR
LAWN SPRINKLER SYSTEIVI
DUCT ALTERATION
SWIMMING POOL
TANKS type:
BLDG. SEWER: (mobile/moved house)
REFRIGERATION UNIT
ROOF DRAINS
OTHER:
OTHER:
CHANICAL FEES:
PLUMBING FEES:
CITY SURCHARGE:
TOTAL FEES:
APPLICANT'S SIGNA
TE:
BF EIt=M I C7h1 IPff=MM I I k Et=" I N=M
286 4th Street, Bremerton, WA 98337
Phonepa (360) 478-5,275 FAXEN (360) 478-5278
BUILDING PERMIT'
7ah Addr: 1268 1 FINSIN6 AVF Hermit; No
99-0055
t3wne�r ° t-;RAY , I:)AV i:17 :360••-37'7-�4:? 16
1 '6Fi I.ANr;.'[N(i AVF: B[d"MF*:(2f0N, WA 9831.2
I oritrantr.�r: AI..I.. SEASONS INC 253-84'7 89�yi.'ic On AI,I.SF:[*0;30a5 Fx{�: 12/17/99
P 60 . F30X 19 35 YF.I, M WA 98597
S
etl)cc7nt r :
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Vr�1.1.11t ic:ir7 x Pe�rmi.i; f'ee's: '30.6,-i I'r�tal. Cal•culaterrl F'ee" 30 r,6Li
00 x f� l an r. he:c; k F'e:es 0 .00 Additional Fees : . 00
C3ther F%E,es: .00 fatal Permit F'ee: 30A65
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MECHANTCAL/PLUMBING FIXTURES-- MECH-Gas Furnace to 100k btu.PR 1
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this permit shall become null and void if the building or work authorized by this permit is nat 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.
1 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 ranting of a permit does not presume to give authority to violate or cancel the provisions of
any other sta a or local la tins construction or the performance of construction.
.qignatu e: Date
I certify tha am exempt from the requirements of the state contractor's registration law, under
section 3, Ch ter 176, laws of 1967.
Signature:---_ --------------------- Date:
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3FRE:MER""T"" PIEIFRM I T CE:WrER
.296 4th Street, Bremerton, WA 99337
Phone: (360) 478•-5L75 FAX: (360) 478-5,278
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