HomeMy WebLinkAboutBB07 00050a CITY OF BREM ERTON Receipt Number: I b-Q7Q2
DEPARTMENT OF COMMUNITY DEV ELOPM ENT
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 FaX: (360) 473-5278
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345 -6th Street, Suite 600 Bremerton, WA 98337-1873
Phone:
Permit No
Additional Comments;
(360) 473-5275
Add�o�
Fax: (360) 473-5278
F+OR INSPECTIONS; CALL 473-587d
.FIN L INSPECTIONIAPPRO AL TO SET METER: �`��'i
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CITY OF BREMERTON
PERMIT NUMBER: BB07 00050
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
APPLICANT NAME: DANA'S HEATING PHONE: (360) 876-7670
OWNER NAME: GIDNEY CHONG S PHONE:
CONTRACTOR: DANA'S HEATING PHONE: (360) 876-7670
LENDER NAME: PHONE:
SUBMITTED: 01/29/2007 APV OVZ6& Z912007
VALUATION:
Mechanical Fixture Fee
TOTAL FEES:
$38.30 2215
$38.30
SITE ADDRESS: 104 N CALLOW AVE
ADDRESS: P.O. BOX 607, PORT ORCHARD, WA 98366
ADDRESS: 5310 EAST E, TACOMA, WA 98404
ADDRESS: P.O. BOX 607, BURLEY, WA 98322
ADDRESS:
EXPIRATION: 07/28/2007 STATUS: 4A`PPR9�fC�
apical/Plumbing -Over the Counter
REPLACE A GAS FURNACE LIKE FOR LIKE
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) 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. Vv
10. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data. The building official
is also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the City of Bremerton.
10. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency
(Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations
require an asbestos survey be performed to determine whether there are asbestos -
containing materials in the work area or structure. The asbestos survey must be
conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -
Page 1 of 2
CITY OF BREMERTON
PERMIT NUMBER: 131307 00050
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: DANA'S HEATING PHONE: (360) 876-7670 ADDRESS: P.O. BOX 607, PORT ORCHARD, WA 98366
OWNER NAME: GIDNEY CHONG S PHONE: ADDRESS: 5310 EAST E, TACOMA, WA 98404
CONTRACTOR: DANA'S HEATING PHONE: (360) 876-7670 ADDRESS: P.O. BOX 607, BURLEY, WA 98322
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 01/29/2007 APPROVED: 01/29/2007 EXPIRATION: 07/28/2007 STATUS: APPROVED
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.
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.
Mechanical
Final Inspection - Building
FIXTURE LIST
QtV Descriation Qt1 Descriptior
1 Natural Gas Furnace +/- Ducting
Page 2 of 2
CITY OF BREM ERTON
DEPARTM ENT OF COM MUNITY DEVELOPMENT
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
Receipt Number:
genpmtrreceipts Page 1 of 1
W- •lC�7'i
CONTRACTQR: � � �c�
OWNER:
v i � �}
Address: - _ 0 tx;x 0Q-1 ;
Address: t 0
City, State, Zip*vim_ 2910
City, State, Zig�r-{v
License # & Exp. Date:b :� g _
Phone #: Q4
Contact Phone #: 60 - .fib Q
Tax ID/Parcel #:
tq 1;6 fj:I
NU. TYPE OF EQUIPMENT
NO.
TYPE OF FIXTURE
RANGE
WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE
BATHTUB
GAS FURNACE btu:
LAVATORY (BATH SINK)
CONVERSION BURNER btu:
SHOWER
UNIT HEATER btu:
KITCHEN SINK
BOILER btu:
DISHWASHER
GAS PIPING
LAUNDRY TRAY
EVAPORATION COOLERS ,btu:
CLOTHES WASHER
A/C UNIT btu:
WATER HEATER
HEAT PUMP btu:
URINAL
REHEAT BOX but:
DRINKING FOUNTAIN
EXHAUST FANS
FLOOR SINK OR DRAIN
RANGE HOOD (RESIDENTIAL)
WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL)
GREASE TRAP/INTERCEPTOR
CLOTHERS DRYER
HOSE BIBBS
INCINERATOR
LAWN SPRINKLER SYSTEM
DUCT ALTERATION
SWIMMING POOL
TANK TYPE:
BLDG. SEWER: (MOBILE/MOVED HOME)
REFRIGERATION UNIT
ROOF DRAINS
OTHER:
OTHER:
OTHER:
OTHER:
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
�n
Applicant's Signature
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