HomeMy WebLinkAbout2007-06-01 104 CALLOW AVE N - PermitsCITY OF BREMERTON
PERMIT NUMBER: BB07 00407
JEPARTFIfffil TUFGUMfffl• ��
98337
.• .0
ASSESSOR NUMBER: 3806-005-016-0001
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
VALUATION:
LAN ZHEN BIAO
06/01/2007
TI No Work (Business License) $47.00 2211
TOTAL FEES: $47.00
Inspection Requests
ZONING: DCC
SITE
ADDRESS:
104 N
CALLOW AVE
PHONE:
ADDRESS:
18841
90TH AVE, KENT, WA 98031
PHONE:
ADDRESS:
18841
90TH AVE, KENT, WA 98031
PHONE: ADDRESS:
PHONE: ADDRESS:
Improvement,Tenant .
T-I NO WORK LUCKY WOK BUS-LIC
Building Code Edition:
Occupancy Group.
Type of Construction.
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
Fire Inspections
STATUS: PENDING
�S U I4:>
(360) 473-5380
DCD: Building Inspections (360) 473-5870 HID: Bremerton, Kitsap County Health District (360) 337-5285
L&1: 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 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 abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
DATE:
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
10. (DCD-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 -
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-
6894058. The L&I web site can be found at www.Ini.wa.gov/p-ts/asbestos/asbestos.htm.
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
Page 1 of 2
111111��11iLw7M i'4R�ilA 1t07U1
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED:
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER: 3806-005-016-0001 ZONING: DCC SITE ADDRESS: 104 N CALLOW AVE
APPLICANT NAME: LAN ZHEN BIAO PHONE: ADDRESS: 18841 90TH AVE, KENT, WA 98031
OWNER NAME: LAN ZHEN BIAO PHONE. ADDRESS: 18841 90TH AVE, KENT, WA 98031
CONTRACTOR: PHONE: ADDRESS:
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 06/01/2007 APPROVED: EXPIRATION: 11/28/2007 STATUS: PENDING
VALUATION: Tenant Improvement, No Work (Business License)
TI No Work (Business License) $47.00 2211 T-I NO WORK LUCK WOK BUS-LIC
TOTAL FEES: $47.00 Building Code Edition:
Occupancy Group:
Type of Construction,
Flood Zone:
Setbacks.
Sanitation Method:
Number of Bedrooms:
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) 4154000 PW: Department of Public Works (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 abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME: DATE:
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
10. (DCD-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 -
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-
6894058. The L&I web site can be found at www.Ini.wa.gov/p-ts/asbestos/asbestos.htm.
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
Page 1 of 2
SENT BY: KCHD;
3603375291;
JUN-4-07 10:24AM;
PAGE 2/2
IaTSAP COUNTY HEALTH DISTRICT
34.5 6"Street, Suite 300
Bremerton, Washington 98337=1866
(360) 337-5285
�!►PPLIC:ATION FOR FOOD SERVICE, ESTABLIS,HiVICNT PERMIT
Nailte of E0t>sblishrnent4
thvner/Company Name:
Establishment Address: �U
�.�ck. k.
City: 15Y�; Y�{�k''ty ►'� . -- -- _
Mailing Address: (Same as above
�Q
�.11Q$*\.,
Owner Phone #:
Zip: \1j _Establishment Phone #: _3t3�•-��-5
;_ - _ _ Seating Capacity:
City: State; Zip
Water Supply ID #: _ Namr of Public Water Supply:
Sewer: Public Onsite if Onsiite, O&MContract is required
Change of Ownership: Yes , if Onsite Septic, then Bt;: is required Meals Served: B (L�� C' O
The undersigned as manager or owner, does herehy make application to operate a Food Establishment in compliance with
Chapter 246-215 WAC, the Rules and Regulations of the State Board of Health for Food Service and the Rules & Kitsap
County Board of Heaitli Ordinance 20054 Governing 'r'he Standards For Food Service,
APPLICANTS SIGNATURE. t� DATE: __ Z I
F..!�TAB1.1.rilftiM F.NT '1'YP>i:
#testaurant L 42221 1 1RO
Restaurant 126 = 75 seatsl 4f4R26
Restaurant 176. 100 seats 1176
Restaurant 1>100 seats R100
Restaurant with lounge 10 - 25 seats HO
Restaurant with lounge 126 - 75 seatsl () H26
Restaurant with lounge 176.100 seats H76
Restaurant with lounge 1>100 seatsl H100
T»vern With Food See R0 . R100
Tavern (No Food) :( ) T
Caterine with commissary () C
Catering
with restaurant iC
Mobile unit {' ) U
Baker H
Meat/Fish Market iM
Bed & Breakfast 18reakfArd nnl z
GrocerX(I •3 checkouts) () G _
Supermarket > 3 cheeks S
School (Central Kitchen) () U
School(Worming Kitchen ) P
Limited Menu tj
Seasonal
see •1'4m Event fee schedule] X
['lan Review & Pre,Op () PR
OFFICE
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IMNLtA��
PRQGCCSTn BY
"'Accounting: please close anv Priflf 11')'s
Yk:A1tL1' ESIs Oct. 1 � 1)�r. S1
$342 SI56.50
$370 $277.50
$429 _ _ $321.75
S484 S363.00
$429 $321.75
S456 S342.00
.� $514 $385.50
$627 S470.25
$
123 592*25
S1G7 S1Z5.25
$149 $111.75
$149 S111.75
$244 $1 R3d10
S183
$149
$110 $82.50
$286 S21050
$204 $153.00
S 134 $100,50
$
149 $111.?5
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S 185.00
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$214.50
S228400
$251400
$313450
$61.50
S83.50
04.50
$74.50 _
S122.00
$91.50
$74.50
S55.00
$143.00
$10Z.00
S67.utf
J� $74.50 �-
0
Prepaid $92.5
Ali��. 1 •Jose 3D
$ .50
592.
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121600
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Si 28.50
$156.T5
$30.75
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$45.75
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$27.50
S71.50
$51.00
$33.50
S37. Z5
SENT BY: KCHD;
3603375291;
JUN-4-07 10:24AM;
PAGE 1 l2
coutvrY
LTH
R 1 C T
I7ATp:
SCOT W, LINDWIST, MD, MPH, DI4ECTOR
i 345 6" STREET, SUITE 300
BREMERTON, WA 98337-1866
(360) 33705235
a.x Cover z3heei
FAx: � _ `� ` �� ~ ` ` T' FAx:
m ■ w
Number of pages including this page:
This message may contain in>formatio>n of .a confidential nature.
If you receive this fax in error, please notify us unrnodiately
and return the faxed material to us by mail
CQMMEN�S:
Kitsap County Assessor's Property Report
Page 1 of 1
Property Report
Tax Account No. Process No. Situs Address
142401-2-172-2009 1142835 � 1725 RAINIER AVE
Propert, Cy lass:
Parcel Information
Tax Code Area:
Jurisdiction:
Sec-Twp-Rng:
Neighborhood:_
�. �
14 24N lE
Taxpayer Information
# of Buildings: �0
Acres: .21
Zoning: City
Account Status: D -Deleted
Name: (SINALY NICIIOLAS P
Mailing
Address: 6800 NE WOOD BAY LN
POULSBO -----� WA.._.._..,....--.--,,,.__,,,.._,. 98370
http://kcwppub2.co.kitsap.wa.us/pls/ilisw/lis.online_lis_info�kg.acct_info?p_in rp_acct_i...
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V
PERMIT CENTER
B�EMER1 ON DcpT OF
FN
)tAMUt�1T�' Building Permit Application
Lept. or Community Development * 345 6th Street Suite 600 *Bremerton * WA
Site Address:
NEW SINGLE-FAMILY RESIDENCE
NEW DUPLEX
NEW MANUFACTURED HOME
U RESIDENTIAL REMODEL
RESIDENTIAL ADDITION
RESIDENTIAL REPAIR
NEW COMMERCIAL
COMMERCIAL REMODEL
COMMERCIAL ADDITION
Scope of work proposed:
Square Footage:
Valuation
Dwelling:
Plan Review Fee
360) 473-5278
COMMERCIAL REPAIR
NEW MULTI -FAMILY
TENANT IMPROVEMENT—i�ot�
U NEW GARAGE/CAR PORT
NEW ACCESSORY BUILDING
[� NEW SIGN
STRUCTURE DEMOLITION
0 GRADING (Cubic Yards:
0 OTHER:
Garage:
Permit Fee
Surcha
Decks:
8337-
Total Fees
Application for which no erm
P rt rs issued within 180 days following the dale 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 buildin offi
for action by the applicant for a period not exceeding 180 days on request by the applicant, showing the circumstanc
g c►al may extend the time applicant have prevented action from being taken No applicant shall be extended more than once. In order to renew a beyond the control of the
arter e;cp,ration, the applicant shall resubmit plans and pay a new plan review fee.
tron on an application
Applicartit's Sig- n-- ate,
Date
DEPARTMENT OF •MMUNITY DEVELOPMENT DATE
345 6th Street, Bremerton, WA 98337
.• .0
ASSESSOR NUMBER: 3806-005-016-0001
APPLICANT NAME
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
VALUATION:
LAN ZHEN BIAO
AN ZHEN BIAO
06/01 /2007
TI No Work {Business License) $47.00 2211
TOTAL FEES: $47.00
Inspection Requests
ZONING: DCC
PHONE:
PHONE:
PHONE:
PHONE:
APPROVED:
SITE
ADDRESS:
104 N
CALLOW AVE
ADDRESS:
18841
90TH AVE, KENT, WA 98031
ADDRESS:
18841
90TH AVE, KENT, WA 98031
ADDRESS:
ADDRESS:
EXPIRATION: 11/28/2007 STATUS: PENDING
Tenant Improvement, No Work (Business License)
T-I NO WORK LUCKY WOK BUS-LIC
Building Code Edition:
Occupancy Group.
Type of Construction.
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms.
Fire Inspections
(360) 473-5380
DCD: Building Inspections (360) 473-5870 H/D: BremertonKitsap 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 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 abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
CONDITIONS
DATE:
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-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency
(('.lean 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). 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-
6894058. The L&I web site can be found at www.ini.wa.gov/p-ts/asbestos/asbestos.htm.
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
Page 1 of 2
PERMIT CENTER
t
uil�in der
lt�a g mit Application
or Community D
Site Address: �
NTRACTOR:
Addre — gte
Cit State,
License & E Contact e:
Con t Phone #:
x ID/Parcel #: -� 9 t
* 345 - 6th
ite 600 * g
60) 473Aw j * Fax (360) 473-5278
d'UJ
Address: �„�
City, State, Zi :
Phone #: G
Authorized Aaei
Address:
Gity, State, Zip:
Phone #:
What is the a iication foenilr? Please check owe
CD NEW SINGLE-FAMILY RESIDENCE
NEW DUPLEX
C] NEW MANUFACTURED HOME
[� RESIDENTIAL REMODEL
Fj RESIDENTIAL ADDITION
RESIDENTIAL REPAIR
0 NEW COMMERCIAL
[� COMMERCIAL REMODEL
C� COMMERCIAL ADDITION
Scope of work proposed:
square Footage;
Valuation
Dwelling:
Phan Review eeF
Name:
8337-
[� COMMERCIAL REPAIR
[� NEW MULTI -FAMILY
TENANT IMPROVEMENT—f*.)pt.3
[� NEW GARAGE/CAR PORT
C] NEW ACCESSORY BUILDING
[� NEW SIGN
[� STRUCTURE DEMOLITION
[� GRADING (Cubic Yards:
0 OTHER:
Garage:
Permit Fee
Surch
Decks:
e I Tota 1 FWf
Application for which no permit is issued within 1 a0 days following the date of application shall expire b
submitted for review may thereafter be returned to the applicant or destroyed by the building official. The
for action by the applicant for e period not exceeding 180 days on request p Y limitation, , and plans and other data
building official may extend the time
3POcant have prevented action from being taken No applicant shall beextendedmore once. g In order to the stances beyond the control of the
renew action on an application
atter expiration. the applicant shall resubmit plans and pay a new plan review fee.
�r,p►icaY�t's Sig�atu
Date