HomeMy WebLinkAboutBB06 00186
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 880600186
DATE ISSUED:
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3967-002-001-0000
RICE FERGUS MILLER
BRIDGEVIEW INVESTORS
ZONING:
PHONE:
PHONE:
INST
(360) 377-8773
(360) 981-0019
(360) 692-5743
PROPERTY SERVICES GENERAL C PHONE:
PHONE: 0-
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
SUBMITTED: 03/31/2006
VALUATION: $180,000.00
Mechanical Fixture Fee $184.00 2215
Building Permit $1,441.75 2211
Plan Review Fee $937.14 4580
Plumbing Fixture Fee $111.00 2213
State Surcharge $4.50 0236
TOTAL FEES: $2,678.39
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
2601 CHERRY AVE
262 4TH ST, BREMERTON, WA 98337
2601 CHERRY AVE STE 300, BREMERTON, WA 98310
7990 LAZY SLANE NE, BREMERTON, WA 98311
APPROVED:
EXPIRATION:
09/27/2006
STATUS: PENDING
Commercial Building Permit wi MechanicallPlumbing
INTERIOR RENOVATION OF AN EXISTING 3,705 SQ FT MEDICAL BLDG FOR
HARRISON HOSPITAL HUMAN RESOURCE DEPT. (BRIDGEVIEW BLDG)
IBC: 2003 Ft L f
BLIj)(;}
L--LA
t:AL
F-( p-.. 6-
~C-
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
(Front) (Side) (Rear) (Other)
Square Footage:
Bid Price from Applicant
1 TOTAL
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(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.
1. (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.c1eanair.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.
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
2. (DCD-02)
Page 1 of 2
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PERMIT CENTER ~ g @ g 0 W ~ ill)
MAR 3 1 2006 ,
"""9
Building Permit Application
.i\PPU~3Qf:)f:
BREMERTON-DEPT. OF
COMMUNITY DEVELOPMENT
Dept. of Community Development * 345 - 6th Street, Suite 600 * Bremerton * W A * 98337-1873
(360) 473-5275 * Fax (360) 473-5278
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eVlev0 8f G,
Site Address:
What is the application for? (Please check one)
o NEW SINGLE-FAMILY RESIDENCE
o NEW DUPLEX
o NEW MANUFACTURED HOME
o RESIDENTIAL REMODEL
o RESIDENTIAL ADDITION
o RESIDENTIAL REPAIR
~ NEW COMMERCIAL
COMMERCIAL REMODEL
COMMERCIAL ADDITION
D COMMERCIAL REPAIR
D NEW MULTI-FAMILY
D TENANT IMPROVEMENT
D NEW GARAGE/CAR PORT
D NEW ACCESSORY BUILDING
D NEW SIGN
D STRUCTURE DEMOLITION
o GRADING (Cubic Yards:
D OTHER:
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
YESD NO ~
Scope of work proposed:
Mtro~ P.7VI L-bf. t-lt:f
, I\J ~12... ~O V1Jin mJ {J1::. AN etlS71 N.6r ~I 1"5 g:
Square Footage: Dwelling: -e- Garage: -B- Decks: t}-
Valuation Plan Review Fee Permit Fee Surcharge Total Fees
4b /150, UVl> ~ 13 4-4L '7S 4-~O 39
~CoI6~:"
Application for which no permit is issued within 180 d ys 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 (he applicant, showing the circumstances beyond the controi 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 expirat" e a Ii nt s . mit plans and pay a new plan review fee.
S/~710b .
Date
Appii
PERMIT CENTER
8600 0 0 ) ~ {p
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MAR 3 1 2006 ~
BREMERTON-DE:Pl OF
COMMUNITY DEVELOPMENT
Dept. of Community Development * 345 - 6th Street, Suite 600 * Bremertori. * WA * 98337-1873
I,................
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,.,', :"-:'~;' .;'; ..;",' '-"-'-"'<''"- ,'.:,:.'.....
,- .".{t~\_::~,;,~.:;~.)~~:h-'.'~^ - ,
Type of Fuel:
Electric
Gas
Oil
Propane
Residential
Commercial
Site Address:
1-lPO I c ~'( k1It I ~~f12=flfN
fAJA- Qcg-3/0
~ ODD 0
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
RANGE .z...- WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB
GAS FURNACE btu: q- LAVATORY (BATH SINK)
CONVERSION BURNER btu: SHOWER
UNIT HEATER btu: KITCHEN SINK
BOILER btu: DISHWASHER
GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btu: CLOTHES WASHER
AlC UNIT btu: WATER HEATER
1--- HEAT PUMP btu: 11..-/1 t1b ~T1A / # URINAL
REHEAT BOX but: DRINKING FOUNTAIN ~
~ EXHAUST FANS I FLOOR SINK OR DRAIN tWWPSlNt:-)
RANGE HOOD (RESIDENTIAL) ~ WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR
CLOTHERS DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
'h DUCT AL TERA TION SWIMMING POOL
TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME)
REFRIGERATION UNIT ROOF DRAINS
OTHER: I OTHER: IVG- Mk~ fcw WNIJ.)
OTHER: I OTHER: 17_;-~~ Ivvl w "~.al
. .
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
, 0 D
DO
1- 6~. CiJ~ Pfff (au eth.lN .)
d-IL !7~{)d-
ADDrJt;!!f-
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
345. 6th Street, Suite 600, Bremerton, WA 98337.1873
(360) 473.5275 Fax: (360) 473.5278
Total:
$ 937.14
$937.14
CHECK
17602
Page 1 of 1
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB0600186
DATE ISSUED: 04/14/2006
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
3967-002-001-0000
RICE FERGUS MILLER
BRIDGEVIEW INVESTORS
ZONING:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
2601 CHERRY AVE
262 4TH ST, BREMERTO~"W~
2601 CHERRY AVE-S~300, BREMERTON, WA 98310
/
7990 LAZY S L :NE NE, BREMERTON, WA 98311
INST
(360) 377-8773
(360) 981-0019
(360) 692-57 3
PROPERTY SERVICES GENERAL C PHONE:
SUBMITTED: 03/31/2006
VALUATION: $180,000.00
Mechanical Fixture Fee $184.00 2215
Building Permit $1,441.75 2211
Plan Review Fee $937.14 4580
Plumbing Fixture Fee $111.00 2213
State Surcharge $4.50 0236
TOTAL FEES: $2,678.39
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
PHONE: 0-
10/11/20
STATUS: ISSUED
APPROVED:
Commercial Building Permit wi MechanicallPlumbing
HARRISON HOSPITAL -INTERIOR RENOVATION OF AN EXISTINCT3,705 SQ
FT MEDICAL BLDG FOR HOSPITAL'S HUMAN RESOURCE DEPT.
(BRIDGEVIEW BLDG)
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
IBC: 2003
B
(Front) (Side) (Rear) (Other)
Public Sewer System
Square Footage:
Bid Price from Applicant
1 TOTAL
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the described and authorized by this permit has nol 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 stoppag~..ofJhe work unti'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, ortinancial 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 6r not. The granting of a permit does not presume to give authority to violate or cancel provisions of
any State or local law regulating c struction 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 L w 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 a e required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
J
e by 6e ~ndi i odes, and State and Federal laws.
SIGNATURE OF OWNER-
AGENT:
PRINTED NAME:
+_\kJO~
e.(~~
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regula ory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
1. (CROSS-01)
2. (DCD-01)
3, (DCD-02)
Cross Connection: A cross connection (source of potential contamination to domestic water
supply) inspection is required prior to issuance of a Certificate of Occupancy. Contact Earl
Varner at (360) 473-5927 to request an inspection.
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)'oCD: 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.lnLwa.gov/p-ts/asbestos/asbestos.htm.
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
Page 1 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 880600186
DATE ISSUED: 04/14/2006
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3967-002-001-0000
RICE FERGUS MILLER
BRIDGEVIEW INVESTORS
ZONING:
PHONE:
PHONE:
INST
(360) 377-8773
(360) 981-0019
(360) 692-5743
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
2601 CHERRY AVE
262 4TH ST, BREMERTON, WA 98337
2601 CHERRY AVE STE 300, BREMERTON, WA 98310
7990 LAZY SLANE NE, BREMERTON, WA 98311
PROPERTY SERVICES GENERAL C PHONE:
PHONE: 0-
SUBMITTED:
APPROVED: 04/13/2006
EXPIRATION:
STATUS: ISSUED
03/31/2006
10/11/2006
4. (DCD-14)
5. (DCD-22)
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.
DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site
and be available for inspection.
Building Plan Review:
Code Compliance-All work in the City of Bremerton shall adhere to the following
2003 International Codes:
International Building Code
International Residential Code
International Existing Building Code
International Fire Code
International Mechanical Code
Uniform Plumbing Code
International Fuel Gas Code
1998 WA State Barrier Free Code
2001 WA State Energy Code
2000 WA State Ventilation Code
Check For All Washington State Amendments.
Check For Notes On Plan
6. (Project-Specific)
Extend Fire Alarm System
Extend Sprinkler System
Exit Signs/Emergency Lighting
label Boiler/Mechanical/Alarm rooms
Fire Extinguishers
@
.$
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.
Mechanical
Plumbing Groundwork
Plumbing Rough-In
Framing
Insulation
Sheetrock Nailing
Final Inspection - Fire
Final Inspection - Cross Connection
Final Inspection - Public Works
Final Inspection - Building
Qty
8
2
3
FIXTURE LIST
Qty
2
8
2
Descriptior
C-Commercial Furnace & Ducting greater than 100
C-Ducting Change without New Furnace
C-Bath Fan and/or Exhaust Fan
Description
C-Water Pipe Repair and/or Alteration
C-Water Closet and/or Urinal
C-Sink (Lavatory, Kitchen, Mop, or Bar Sink)
Page 2 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
345 - 6th Street, Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
PERMIT NUMBER 880600186
DATE ISSUED: 04/14/2006
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
3967-002-001-0000 ZONING:
RICE FERGUS MILLER PHONE:
BRIDGEVIEW INVESTORS PHONE:
PROPERTY SERVICES GENERAL C PHONE:
PHONE:
INST
(360) 377-8773
(360) 981-0019
(360) 692-5743
0-
03/31/2006
APPROVED: 04/13/2006
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
EXPIRATION:
2601 CHERRY AVE
262 4TH ST, BREMERTON, WA 98337
2601 CHERRY AVE STE 300, BREMERTON, WA 98310
7990 LAZY SLANE NE, BREMERTON, WA 98311
10/11/2006
STATUS: ISSUED
Page 3 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
BB0600186 Mechanical Fixture Fee 1/2215 $184.00 $184.00 $0.00
BB0600186 Building Permit 1/2211 $1,441.75 $1,441.75 $0.00
BB06 00186 Plumbing Fixture Fee 1/2213 $111.00 $111.00 $0.00
BB0600186 State Surcharge 1/0236 $4.50 $4.50 $0.00
Total: $1,741.25
$937.14
BB0600186
Total:
$1,741.25
$1,741.25
CHECK
17685
Nofl'+lel -
. II ?4-1~ b
4~/3
Page 1 of 1