Loading...
HomeMy WebLinkAbout96 0569 ~~ 1.............................. .. . B.:BEMER..: .:' :- ... ...... ;....; ;.N.;;:....B.. ..IJII.J).:; ::: ::IN.:::G.;; "'.U.:EP..UTM;: :;; .. . .. :EN.;. .'y... .; -:." ::. ':, <;:: :::' ::- :. :::-< :::-:: :::." :: : >",' "::::,:: :: - :- -:- ::- -: -: ':- ::> . .'" .- , '. "', - -' - ",", --- .. - -. . . . . - -' . ", "':', '". :-:-:- :.' -': - :-." :......" :. - ". -' .. .:-' ..28B...:.I'tllsaeet..;;.. ........;:.....>i:478-5ZZ5.. II REQUEST FOR O~Cl!JJANCY APPROVAL ~ B.uiIffing;~ Englneeringr.i) ........ xx Businessticense...; :...:......i xx.Fire Marsha.l :...;.;:;;> .;.;. .......;. ....cf#fflfH(~-rr~;10~P1-att}........:...../ .....F:I@tb..I5@~Ilt;.......;...;....... Please review this request for approval to occupy the following st depanment by ASAP Thank-you. ..; Water/W astewater Planning ..;..;.......... ........ . -. . .., ... _ .n.., .. .... ... - .. .." ....0 . ;er:cx:r: return to this Permit Technician: Valarie Date: 9/24/96 Building Owner: John Arthur Tenant: WendyJ. Sailor Nature of Construction: Tenant ImDrovement Address: 1231 Campbell Way Co nuactor: GCR Plumbing & Heating -~ I I~ Permit Number: 96-0569 Type of Busrness / Use: Restaurant Type of Construction: VN Occupancy Classification (UBC): 6 Square Footage: Occupant Load: ul Comlnents: o ...'BREMEIl.'ION...BUIIJ)ING..DEPARTMENT .... -.". .. ... .. .-.. ... ,"--. .. ....,. .. . . 288....iII.street 478-5275. ..~QU~~!f9R O(;~,!Jl1lNCY APPROVAL ~!~~,ri.ii:~~i;;..b1~~~ii7 S.I ;1~2~F:cr Please review this request for approval to occupy the following structure and return to this department by ASAP . Thank-you. Permit Technician: Valarie Date: 9/24/96 Building Owner: John Arthur Tenant: Wendy.J. Sailor Nature of Construction: Tenant ImDrovement Address: 1231 Campbell Way Contractor: GCR Plumbing & Heating Permit Number: 96-0569 Type of Business / Use: Restaurant Type of Construction: VN Occupancy Classification (UBC): B Square Footage: Occupant Load: 27 Comments: ~BQY~!! DNQlillII2BI 0 BY: .~ /k-c~S ()1/L - !/i-cJ 0; - d- 7 , DATE: (...,..................,....... .B~1DN.....IIJJIIJ)ING'....DEPAR'I'MENT I ,286~tltStreet 478~5Z75 ....... REQUEST FOR OCCUPANCY APPROVAL EliiitE~i~~1\;'iiiiEli~~~i~;~,,1 ;r~::.~:~ta Please review this request for approval to occupy the following structure and return to this depanment by ASAP Thank-you. Permit Technician: Valarie Date: 9/24/96 Building Owner: John Arthur Tenant: WendyJ. Sailor Nature of Construction: Tenant ImDrovement Address: 1231 Campbell Way Contractor: GCR Plumbing & Heating Permit Number: 96-0569 Type of Business I Use: Restaurant Type of Construction: VN Occupancy Classification (UBC): B Square Footage: Occupant Load: 27 COlD ID ents: ~R!lY~*:! D~g"'~QnYJ1Q 0 BY: DATE: (....; a~~1Vi!l1JllDINGJJEPARTMENT......' ,. ............H288;....f..S1reetd..... .... . .. .................478..5275 I ll!9'!~~.1.'':l!R OC~,!F'1lNCY APPROVAL f3~~t11~~;i~I~;i;i:ii:;I:1r~i~~ .S-rl ;r~:3~ewatcr Please review this request for approval to occupy the following structure and return to this department by ASAP . Thank-you. Permit Technician: Valarie Date: 9/24/96 Building Owner: John Arthur Tenant: Wendy J. Sailor Nature of Construction: Tenant Improvement Address: 1231 Campbell Way Contractor: GCR Plumbing & Heating Permit Number: 96-0569 Type of Business I Use: Restaurant Type of Construction: VN Occupancy Classification (UBC): B Square Footage: Occupant Load: 27 . COln1ll1ents: ~jij!~!! D!!g'l:gg.@~g 0 BY: DATE: I..:.:.........:........ i....... B~~NBUll.DINGDEP.A.RTMENT ......1 ,286~tII.Street .... ... ..478-5275 I ll!9,!~~T Fl!R OC~l!P1JNCY APPROVAL ~!i1~~~iLl;:,:I~~~i~~:..S I ;r~~~Jt"cr. Please review this request for approval to occupy the following structure and return to this depanment by ASAP Thank-you. Permit Technician: Valarie Date: 9/24/96 Building Owner: John Arthur Tenant: WendyJ. Sailor Nature of Construction: Tenant Imorovement Address: 1231 Campbell Way Contractor: OCR Plumbing & Heating Permit Number: 96-0569 Type of Business / Use: Restaurant Type of Construction: VN Occupancy Classification (UBC): B Sq uare F 00 rage: Occupant Load: 27 Comments: ~aQY~~ D~Ql'Mt.U9Y~R 0 BY: DATE: , II.... _, BREMERTDN PERMXT CENTER 286 4th Street? Bremerton? ~A 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 1231 CAMPBELL WAY. Location: GREEN HOUSE DELI Parcel No: Permit No: 96-0569 Status: PENDING Applied: 09/06/1996 Issued: Expires: Applicant: ARTHUR JOHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 Owner: ARTHUR JOHN 479-4203 1231 CAMPBELL WAY.BREMERTON WA 98310 Contractor: allL-c:'J c.~<< LI-(y; a ~~q..~ C;/ Subeontr:: 7 ... t _~I / \0 Lic :ll::: Exp: Oese: PLUMBING PERMIT FOR PROPOSED DELI ********************************************************************************************* Valuation * Permit Fees: 48.00 Total Calculated Fee: 74.45 .00 * Plan Check Fees: 21.45 Additional Fees: .00 * Other Fees: 5.00 Total Permit Fee: 74.45 ********************************************************************************************* ********************************************************************************************* 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 6f the permit holder, not the City of Bremerton or Building Official to Bee 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 daBS not presume to give authority to violate or cancel the provisions of any other state or lecal law regulating construction or the performance of construction. Signature:__________________________________________________ Date: 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: ."-,)0; * .)(.)o;.)t.)o; *~~;.;*~:':;.;**;,;*-:-)o;~;.x:;-*-;-----------.------------------- --------------------------.---.---- .~. ...' _ ,! .1" i"\ '''' ...: ,I., "'. ,..' ^ l". ."....' ..'~, ; .". ."j l"~. . !\ I'" ". .1" "'. /I ~:. ...~ { J Jf! :~ ?>> ;f J oh (~t:,ldY~: l.o(~a t; i. or~;~ .,\ >- , Pare€': 1 Nd": '~ iI' I App. lcant : i I BREMERTON PERMIT CENTER ~~f.M4t h st ree.l' y Rn.~mf:~rt:(jn. f.JA 9f.~:3:'~.7 Phone:: (::J6o,) 478'-S.;~.1~'j'5 FAX:: (:.160) 47fJ-.I.;.~:).7[:J BUILDING PERMIT J?31 CAMPRfl1 WAY nl~!'~:FN 1.IOUSE l)l'~:l. f Permit No: 96-0S69 Sti!lt;Ul:~: PI.:ND [NO r')pp:l :1 eel: 09/0(:,/1996 [l:mued: 1':)(Pi.r<:i~;: AI~ rHUR .JOHN 419"'I1.;,~():i 1 nlJ CAl'lpnF I! I~A Y nHFMFI~l ON WA 90310 U'>JneY': AfHHUI,,; JOHN -P9.4?CKl 1 ?:l 1 C(~MPHI' I I I,UW I;ll~l' ~lnnON (.)(1 9B::n () , \ 11pnt r act or ~ i, (; lt: !<>;:p ': Subcont: 'j :: llf:fiC ~ PI UMH J NG PI f~t1 J'I F 01< Ph~OPOSI' 'I) Dr: I l ~, ................~....,' **~M.*******M**X*MMK*M****************M*M***M*************************M*M***M*M***~****M*M**X 1,1(11 Ilat} on * PEl'1"'ffi.1 t F et:~s: 4f,1.00', ot n J Ca Jell] at: €Jd f ee:: '! ,1 .4~1 ,00 )( Pli:m Chr;;ck Ff:l('~fl: :~~l.4:~i f~ddlt'lonf11. 1:('H~l:i~ .00 ,If other f'ecg: ~,.oo 'lot.a] Perm'lt ref'l: /4.4!.i *************%**x*x**********'~**~~****~**~*******~***~**~*~**********~**~*x*****~x~*****~*~x* ~1f.CH!\N!CAlIPLUM8ING FIXTURES-- PLBG-Floor Sink/Drain.....,.,: 1 PLBG-Grease Trapllnterceptor.: 1 , PU3G''''8u i 1 d i no S€H-Iler...;......: 'LA ( C / \ ~'-(O -- 0;6 \ '~X***********~**~**M*****~***~****~*~*~~****~***~*************~*~*~**~***~*x****~***x*~x*%~~* ;ThJ.H perm~t shall become .!lull and .....oid i f ~he buildi~g ~r work authorIzed. by this permit is not commenced within \ :lBO dayg t"((jffi the date of Buch permit, or If this bUlldwg 0'( ~lork aut:ho\"lZed by such permit is suspended or i :abi~ndtJn€)d at any time after the work is commenced for a period of 180 days. I " . I ' ;NOTiICE - It is the responsibility of the permit holder, not the CH}' of Bremerton or Building Officiill to see :to \it that required inspections are made. The permit holder ffilmt notify the Building Official \Ilhen ready for . : instlections. Failure of the permit holder to notify the auildin9 Official of requirelj inspections may result :,11'1 the stoppage of the work until such time that the permit holder can substantiate to the building official that th(~ concealed work meets or exceeds c()de requirements, Any demolition, testing, or financial burden shall ,be borne directly by the permit holder.. Failurt'J to substantiate! codt: reqllirf:menta ~dll indemnify th!'l City !a9i31il1st any and all responsibilitY' or liabil1ty connected with the com;truction. . I :1 r\/;weby certify that I have read iilnd examined this pe!rmlt ;md krIm~ the same to be true and conect. All 'provhdons i.lf l~vls ~md ordinances \joverning this type of work will br1. cor~plled \flith vJhl1ther specifIed hen~in or not. The granting oj' il permit does not presume to give authodty to violate: or cancel the provisicms of f.lny other f)tE!t;C Of local levl reljulating COMCflJcttofl or the perfo'fmi'lncr~ of' comltl'Uc:tion, S i 91'1i)ture: __.._.__~ ___..._~.~ '__"_""_""'____" ..._.,___...__ __________..._-'__, Oate: I ct~rtify that I am exempt from the requl,rementa of the state contractor's registration lll~j, under !~Elcti.()n 3, Chi3pte~r 126, lm~13 of 196'7. 5i gl1ilt'urc: ..........__.. ______..__.___.._ .._.. .._....."..._.. ................... __...._...._....__ X )OHOHHH( h )f~lI:.. 'lI::1I **'lOHHH~:,**.. .i{.~~,** 4 /' ~ I'f"'(mj., {""hlt"'( '. Ann'(n\HIlt! I'lv: r/,.....e./ /~ I1I.d'(.'1 Date: L..-/ fl- /2- 7~ \ ..~ :~ ;! ~ ;~ i4 .~1 ..~ .~ I .~ .~ <i ;1 ********************************************************************************************* I' r Valuation * Permit Fees: 48.00 Total Calculated Fee: 74.45 .00 * Plan Check Fees: 21.45 Additional Fees: .00 ~ * Other Fees: 5.00 Total Permit Fee: 74.45 *'1.'~'***~Hf~'if**** *'*1HHHf*10f**1f,****.~~..*********j('**~'*****~'~'~Hf'li'1f'){"*')(' .~.***. ,;' 'J{.. . **~')!;*~HH~ )(.*~.* 'k')~*')t****.~Jf ~CH~~I~AL~Pl.UM8~NG FIXTURES-~ PLBG-Floor Sink/Drain.......... PL~i plInterceptor.: 1 :~8G BUlldlng Sewer........... ~~ ~ , ~O~~A' ..................*........**........*.........**......*.........'*\ 71 ;)_/ (003 \.. This permit shall become null and void if the buUding or work authorized by this PI 180 days from the date of such permit, or if this building or work authorized by Bud ~ abandoned at any time after the work is commenced for a period of 180 days. \ ~ f \ _ NbTICE - It is the responsibility of the permit holder, not the City of Brsmerton or .~ to €lee t/o it thtlt requIred inspectIons are made. The permit holder must notify the Building-Official when ready for fnspections. Failure of the permit holder to notih' the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder c:an substantiate to the building official that the conc:ealt~d work meets or exceeds code requirements. Any demolition, testing, Of financial burden shall ~e borne directly by the permit holder. Failure to substantiate code requirements i~ill indemnif!, the City ~gainst any and all responsibility or liability connected with the construction, 1 il hereby certify that I have read and tlxamined this permit and know the same to be true and c.orrect. All ~)rovision8 of laws and ordinances governing this type of work wi 11 be complied with whether specified herein lor not: The granting 9fa permit do~s not presume to give authority to violate or c~ncel the provisions of i81W ot:ti(~r state or ~9BJ. law regulatlTig construction. or the performance of construction, . ~!gnoture~~q_cS~_______ Date' ______2.1t..f.LX.6:.________ ~ certif!that I am exempt fr..om tht:: requirements of the state contractor's regj.stration lawi under ~ection 3J Chapter 126, laws of 1967. , BREMERTON PERMIT CENTER 286 4th Street (I Bremerton., WA 982/::'1.7 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT !,:rob A~ldn 12al CAMPBELL, ~JAY ~OCatlon: GREEN HOUSE DELI Pare!::)} No: Permit NCl~ Status~ App] :led:: I ggI.H:KI: ExpIrE~B:: 96"~05tl!t I S:::;UF::D 09 /O~l/l. (;196) 09/1B/1996 Oa/17/1.997 ~ppltcant: ARTHUR JOHN 479-4203 1281 CAMPBELL WAY BREMERTON WA 98310 Owner: ARTb~R JOHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 Dontractor: G C R PLUMBING & HEATING !~ ~J70S SHADOW GLEN r.~L.VD SIL.Vr:'::F<DAL.E WA 98383 Ltc 4f:: GCRPLJHH60PR Exp: 10/16/96 t Subcont Y' : Dese:: PLUMBING PERMIT FOR PROPOSED DELI ~~;:~~:~;;.-.iiii.;**.;;ii*;.....I...:JZi------------------ Date: ----7l-=---??.J---------- Perm:l t Cr::mter..'-~ApprClYed By: ~:''''"..~....".........,,,... Date:: .....,,,.,.,,,..,,q..,..=_.....,"_,,_.,..~_ _'/t:J ~. ; .','.'_m"~~~""",~,,,,~,~,,~"_,,_~'~'~'n,.,,~I,~"_~u~.,uw_~UW"."..'m.u~.tl"_~tl,__~,'~_'~'~lnu~"",,,~~,"""~"'~"!""__"U"~~~,~_u,un"'~"'Nt~I""~~_,..".....~.~.,.,._'W.,""'_'m.'_.U~'n'...'.'.~"n"'u.>> _t.t,.~.nM'_'""'N"""u"~n,~.H"'M..,~...~,.M"""~_",n_,",.~n~h~"""'""'~"""_"'_'W,..,...~N"",.nN'_...n,_~,.nW"'~'~'~"~~'n~'_"~'_""""~__"""""'"'~'nd_""",_","._...~'r',"","~",','_"'~"nN"~"'""""I".",'..n"'<~~"U.~ BREMERTON PERMIT CENTER PERMIT CONDITIONS Permit No: 96-0569 Pa!;j(;l:: 1 i =:~:=~~~:~:====:~~~::::=~:======:===:===::~==:==::=:=::==:~~::==:::~=:~=:~:~::=::~~~=~~:=~;~:~~:::~:~::=~:=:~=::=:::~=~::::::::~:==:~~:~==~=::::~ Job Address: 1281 CAMPBELL WAY Aser Acct No: Location: GREEN HOUSE DELI Applied: 09/06/1996 Approved: 09/18/1996 Issued: 09/18/1996 Applicant: ARTHUR JOHN Owner: ARTHUR JOHN Contractor: G C R PLUMBING & HEATING description: PLUMBING PERMIT FOR PROPOSED DELI . (.., .". ' ..J,'I 'I" " .. '<:'~" .1 ..r.!..lnu.. ,.I. un...> " 1. C R 0 S S CON N E C T ION CON T R 0 L A. All slop sinks. mop sinks, and or/utility style sinks to be protected by atmospheric vacuum breakers. 8. All exterior and/or interior hose bibs or hose bib style fixtures to be protected by atmospheric vacuum breakers. C. 'Ice machines, carbonated beverage dispensers, frozen voqurt and ice cream machineB~ if added at a future date, / ~. I will require additional backflow assemblies. d. This facility will require inspection before occupancy. for additional information call Pat Jacobsen at 478-5927. For inspection call 478-5275. 2. eRa sse 0 N NEe T ION CON T R 0 L NOTE: ALL APPROVED BACKFLOW ASSEMBLIES MUST BE ON THE CURRENT WASHINGTON STATE DEPARTMENT OF HEALTH APPROVED ASSEMBLY LIST AND MUST BE TESTED AT THE TIME OF INSTALL- ATION. WHENEVER MOVED OR SERVICED. AND ANNUALLY.. TESTS MUST BE PERFORMED BY A CERTIFIED WASHINGTON STATE BACKFLOW ASSEMBLY TESTER. TEST REPORTS MUST BE SENT TO BREMERTON PUBLIC WORKS AND UTILITIES~ ATTN= CROSS CONNECTION CONTROL. 100 OYSTER BAY AVENUE. BREMERTON, WA 98312. 3. PREMISE IDENTIFICATION REQUIRED TO UFC AND BMC STANDARDS. 6 I I'J C I...! M I N I MUI'1 " 1, I:~' T I::> I:::' I:::' X "I" .., hj (:.., j '1' i::' 1..1 I:::'!::> L:) I A.. N W '1' 1 I I::i I::' I::> I:::' n I J .,. r,:H::'I") ~ I ". "1"',,,1 "'''1.,,1 'r (::' I::> I:" Cl 'J I:::' ,'" "I" /tI'1 ,. ._. I'" .." "" ,I, $'" ..:It.. .. ...) ,.... '\ f "" ,. I-v. "" ..J m, "".11':\".1 !'\[,., ., \' J. I..L ~,,) -( ,.~, ",.',-, l~ PLAN MUST COMPLY WITH UFC STANDARDS" 5" FIRE PROTECTION SYSTEMS MUST COMPLY WITH UFC. NFPA. UBC AND . UMC S'r(.lND;'~if~DS.. {l"FIF<E: 4. VENT HOOD REQUIRED TO UNIFORM BUILDING CODE. 7. B U I L DIN G A. OCCUPANT LOAD - 27. VN. B. RESTAURANT. 8" KIT SAP C 0 U N T Y H E A L T H D 1ST R leT THE PLANS FOR THE GREEN HOUSE. TO BE LOCATED AT 1231 CAMPBELL WAY~ BREMERTON HAVE BEE REVlr~ED AND ARE APPROVED SUJBECT TO THE RULES AND REGULATIONS O~ WASHINGTON STATE ( W^('" '''j A,t -~ 1 I::') ^Nr'\ 'l..'lj.... '..'I:'!....Mf""l':l"j..("IN ;.' .,' "".(".....!..) !"'C"'ll~"T'Y III""/>' "1"11 j"'I..' ,::,<'H:~""',~, J....) 1"1 l..I "":::.:;", :::. ~::.l"...' "'''r\.I. I '::>f"/" ..i ,,1..1'1, .., .:::.1..11.... ''', ORDINANCE 1992-16. 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 REFRIGERATION UNIT" PLEASE CONTACT ED NORTH PRIOR TO OPENING TO SCHEDULE A PRE-OPERATIONAL INSPECTION. FOR FURTHERS QUESTIONS OR TO SCHEDULE INSPECTION CALL ED NORTH AT 478-5285. " " , r i 1 i j ,iI ,~' \ ~ , .,' :;b~~u~~~"""4'~ . () ,\s~ - '( . 7'\'~.... "." r".. "7'.' ..,..... ..,.. ".,..", ",.".., .... D" t e."f. .:..l":::..<tk,,..... BREMERTON PERMIT CENTER 286 4th Street, 8remertonfj iJA 98337 Phone;: (2/60) 4.78-.5275 FAX;: (360) 478-:5278 it, ~ , <~ ,'~ 'f, , ::rob AddY'eE>8:: 1 ~::~::;:! 1. CI<111pnt::L,L, WAY Location: GREEN HOUSE DELI Ass)'" Ace'\': No: Building Permit No: 96-0569 St at l.H(~:: I SSUE::D Issued: 09/18/1996 E:xp'l. r e~;:: 0:::1/17/ 1997 ',~ .. HE:l;;IU I !:~E:D INS P E C T ION 5 Item: 02175 HEALTH DISTRICT I'tem: 03.400 ME:C~'1ANICAl,.. Item: 01550 PLUMBING Item: 02150 CROSS CONNECTION CONTROL I t em:: O~~:?OO F' I NAt., Dept:: I"IEAI.."T'I",! Dept:: BL,DEl Df.:'Jpt:: BLDEi Df.~'lpt: CF~OS~::;CC De;lpt ~ fH",DG D:l. \i:L ff3:1. on: D:l. v:i.~:>:l em:: D:I. v:!. 'i::, :1, on :: D:i,'J:i.8Jon= {~' OJ v'i. 1:;,:1, on:: )/~ i *************)(:*******************************************************************1 "I" I:::' <;:j' "I" 'I' N (',:: :; M t' 'c' 'l" f") (:~, Y' ("",,"" (") "~,'I 'r" 'I ". ,;:" ("1 I,,,) 'I ,'" .', (:,. W ". ",', L" 'I Y'l ",'I 'I" ('" T') {,~ ,..' <~. (") ,'" 'I ,,'. 'I" 'I' t') T') ("I ,t,'.. I::~" "I 'I ('j' 'I ") '''I f") 'I',',' 'I,',' 'I' ('" ,\ .,. " f:<' "..~,. ,..i!'I 1."'~..1- ~ ,"" ,,9 t ."....,.... ':.~" I.. ,(.'~'''''' 1.. t/l!..~ t"''tt,''11 I ,. I ~,;1 ., ~"I l'''I~,,''\'''j... t"I., (.;J, ~~ t. ",", .. I "'~."l,.",,, ",' '::: \0, ,. "I.!. {,,i\., \'~i -SPECINSP= Must be registered with the State of WA i 8lDG= City of Bremerton Building Department 478-5275 PLANNING: City of Bremerton Planning Department 478-5275 P0BWORKS= City of Bremerton utilities Department 478-5818 F tHE::: C:I. t y o'f Bi"((':lmsrt on F :1, rf.:) Mar"E,hl:'i:l ~ ~~ Cl'F'f:! (If!')/-''.-4.'18'''''!::;3BO 1:::'1\1(.',' :: ('" -I 'I" y (") f I::)Y' ''''m'':''Y' 'I,' C'lT') 1:::'Y'lf"j'I' r'll;!""""" ,,' 'r')I") 1")(.'''1:'1 '''1''\'' m(::,,'r')"" AI, :7~'''cl,:' '";'\"'() ".,', ""~ ..I,t, ". .'. ..) ~.." ,>.~ ~~., '''':;~ ,. "~\",, ~ '. .:: .. ~". . (..1. ../" ,,' ,~ 't,'Sl "1.l..).f"..1 . H[ AI...,''I''I'''I:: l::31'(;:~m(:')rt on/t\:i t; !::lap l"!e;:~], t h D<:::pay't m(::lp,t'" 4?8,:::"b:Sl;:,i !~;'T' OF' Wf.1:: Sti:3.te of WA i')r0pt" or: I..,abc)'f' & In(i1,.l~;qt:'18 4-/~H"'''4?J::l )i: ~ ,)>t. ,x,,~ ,x' :x' ,x ,x' ,x' *,~ ,j>(, ,x,;~ ~ 11: ;0(- '~'~ ,x ,x' ,x * 1(, * '* ,j(- ,x' 'x: ,x-x * ,x * ,x ,x' ,x.x ,x '~~-~'><t: ,x 'If-'* :l<f:;K'X ,x ,11:,x ~.~~ '/fk ,x ,)(, ,x 1>t' ,x )(, ,x ,x * ,x ,x 1(' 1( ,x' '1~ ,x ,;I: ~~~~~f~/r~'9Scuk~"~at:.~,_.'l~.I.!t :fk_. .....J...\'. 1. ), ~ BREMERTON PERMIT CENTER 286 4th Street, Bremerton, lJA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 1231 CAMPBELL WAY Location: GREEN HUUSE DELI Parcel No: Permit No: 96-0569 ~;t at us: PEND [NlJ Applied: 09/06/1996 .lssued: [xpires: Applicant: ARTHUR JUHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 Owner: ARTHUR JOHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 Cnnt r a.ct or ;: I...lcii:: ::xp: ~;ubc(mt r : Desc: PLUMBING PERMIT FOR PROPOSED DELI ********************************************************************************************* Valuation II: Permit Fees: 48.00 Total Calculated Fee: 74.45 .00 * Plan Check Fees: 21.45 Additional Fees: .00 * Other Fees: 5.00 Total Permit Fee: 74.45 ********************************************************************************************* ~~~:~~~~~:u~~~~~ PLBG-Fioor Sink/Drain........: !~G-~~ "e or.: 9 -- \ 0 -- 9 0 ()eL / cad '2- 7 V N 13> f2 e s hv~G.."'- ~ )1:)( )(.xx )~x )OOC)(.XX,X )(.)01: )(. *.x.)f .)i;)i; .)(.*)(..* .)O~ *,*,x,x,x .)(..* *;';)1: )(.)f.)f.)f .)(..Ii:'X'X.Ii:.*.1i: )();:. .)(.)(. )01:. ". .. ". .. .. . .. . .. ...., .,i\..~.k)(..,~:i':kli ')I:'i<;.", 1\..l:',('kX 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 ceriod of 180 days. NOTICE - It is the responsibility tif the permit holder, not the City of 8remerton or 9uilding 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 reauired 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 or a permit does not presume to give authority to violate or cancel the provisions of any other ~tat8 or loca~ law regulating construction or the performanc:e of ccnstructioni Signature:____~_____________________________________________ Date: 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: BREM~RTON PERMEu CENTER -:?f.M 4th Street" O'{'emertcm~ t#~ 9833.1 Phone~ (860) 47(.]-5:;"./5 fAX ~ (;.MO) ,1$7f1' 5278 AU X 1..0 'f. NG Pr..::Rt1 I T perml t No: 96"-O~)69 ~:;t at us: PEND 1: Nn APplied: 09/06/1996 If.l8uEKI:: I:::xpi, res: ~J('Jb AddY' ~ 1281 CAMrJBFt. J Wp,y I.neat ton: GIiEFN HDUSE DI::.\" I Pa,(cE-~J No: Appl tcant ~ ARflll.lH JD\-IN 4'l9'-,1~~O:3 1 ;>aJ CAMPnFl1 WAY HHFMFf<TON WA 9n~ll 0 Dwnt:!r: At<n.IUR JOI"IN 1l9..Ij.?O:3 l?ZH CAMPHFU \,.,IAY BREMFHTClN WA 98~il 0 , (~ntr' ;3.c:t or ~ Ur: it: I:'XP: subcontr= Desc:: PI UI'1Fl J NEi PH~~1 IT nm PRClPO~;F[) DF'1. J **~*~~~**"~****~**M*H***********M~**********~~********~*****~****~~****~*********~******~**** Valu~tion ~ Permit fees: 48.00 TotAl Calculated FAR: 14.45 . ClO .l* Plan Chec k r~'f.H.iS ~ ~~ 1. ,,:1 ~:) Add 'i. tl onrd I;(:j(:;~:::: .00 'l( Other FelElt:P ~),()O lntfd I)t::rmit: FE:€): 7~.,A!') *~~~****~"**~*~*~~M~~~**~*****~**M*"~~****M*~"***~**~~~~~*~~**~**~***~*M~*~*****~******X***** t1ECW1NICAUPLUMBING FlXTURES~' Pl8G-Floor Sink/Drain.."",.: PLBG-Grcaae Tranl1nterce;ptor ,: , PLBG.J.BuildiH9 Sewer....."...: I p 3" fire. rro~e' 'iO.~ ~~d2m; mu~t comply o remiS.~~~;ZI,'I, :c.,tfon required to UfC -?/ WIth UrC. N;f'.. U3'-, and 3MC '.F ( (:) ~ and BM.... li'l(.n",ards, 6 inch minimu:n, standards. ?lolI review requi:'ecl. I \. L --9 P;" exll'9u;shec pl., will b, '/). ~...d;, -\\eel> ~,-tn uBL . Q, I 0 ~ q G rcquk,d ~lth Ih's p"'i,d. 10 S) "', i26 -Suff'''''''' e~ ~ ~ "J I comply With UFC slandar<1s. a:cl--J ~t0:S 01<..Jl.U1.'€- (~~s.-tc:::, u . ....."..........................................".....,'"....\F~\!'.T,.~~.~~~~.~ . This permit shall become null and void if the building or ,"ork authorized b, ,m. p~rml?"i. h6t ~nceo wfthln . 180 days from the date of such permit I or if this building or work authorized by 8uch parmit is suspended or abandoned at any time af'i;er the work is commenced for a poriod 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 tima that the permit holder can $ubstantiatp. to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or fl,nanci;;\l burden shall be borne directly by the permtt holder, Failure to substantiate cod" rcquln~menl,H l,ljill indomnify th~ City against any and all responsibility or liability connected with the construction, . '1 her~:lby cerU fy that 1 have rClad and exomined t.hhJ permit and ImO\~ tho ~affiC to be ~YU~} nnd tx!'('\"P,t;t, All provi::Jions of J.t=lWF.l and ordinal1i;l;O gOV(3)'niIW.l thi.f.l typo 01/ work ('Jill be complied ~lith ~lhetlmr oped Oed heroin Dr not, The g'(anti.n~1 of tl permit. does Tlot pn~s\Jme to give tl.uthodty tn violate nr Gancel the provisions of any other fjtat.e or lncBl liJl~ n;glllatini) Cf;lt\:1truct'lo!'l 01' the lJ\?\'f!)rmilnC~ ot con6trlJction. Signature: _.,._ .__~,_c~-_."---.--~.>- _.._______________..,__~...__"H.____ Date: ______,_____.__ ... ._..._<..._-."<._..~._c,, 1 certify that 1 am exempt frOh1 the requirements of the stato contractor's registri'ltlon law, undor Ser.tion 3, Chaptm 126p la(~s of 1967. C:'lrmilltlln~: ..._._.___.._____._ ______. ..'~"~-"'-" ~'/J"__'_J"_--:-_:d&d.atG: ::'7~~"hj ----...-..-...---.---..-'---- ~;1' BREMERTON PERMIT CENTER 286 4th Street;$ Bremer-tong f4A 98337 Phone: (360) 4;'8-5275 FAX:: (360) 478-5;;'178 au I LD I NG PERi"lI T Job Addr: 1231 CAMPBELL WAY lodation: GREEN HOUSE DELI '\ ParCEd No: . '\ App fj, cant: ARTHur~ JOHN 479'.*4~20:3 1;>.~1l CAMPBELL WAY m~EME:]HON WA 98::110 Permit No: 96-0569 StatuB: PI::NDING Applied: 09/06/1996 I Elf.lUed : Exptres: ;Owner: ARTHUR JOHN ,479-4203 1 :W 1 CAMPBELL WAY BREMER"'fcON WA 98~31 (J l t :; !)ontiractor: . , L.ic it: Exp: <:;l'b"''''T.\t" Y' : "'i'~"" . ',,~'~J I I , ~ Dese: PLUMBING PERMIT FOR PROPOSED DELI l f **~~****************************M************************************************************ \.}aluation ~. PE:rmH [-7(0es: 4ELOO Total Calculated FeE!: '74.45 .00 * Plan Check Fees: 21.45 Additional FaBS: .00 * Other Fees: 5.00 Total Permit Fee: 74.45 '****W%%************************************************************************************** MECHANICALlPLUM8IN6,f.lXTlJRES-- PLBG-Floor Sink/Oral n, " .....: 1 PLBG-Grease Trap/Interceptor.: 1 ''''''''PtBG:=SSu i 1 ding. Se\lJer . . . '~::.. . . . . : 1 2() ;J J JJ6 9 ;;- l 0 -16 I j \ i i ! I I .I i f ! *******************************************************************************************~* I This permit shan become null and void if the building or work authorized by this permit is not commenced within : i : 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 8uilding 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 an)' and all responsibility or liability connected with the construction. ''<, I hereby certify that 1 have read and examined this permit and knol~ the same to be trui. .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. S i gnat ur e: _.._____"___._____.___________________________________ Da t e: _____________.;._______________"__ I certify that I am exempt from the requirements of the state contractor's registration law, under Section 3, Chapter 126, laws of 1967. .~ i gnat ur e: __.~_~:(:?.cC~L~J,-~~----.-:i..-:7l.~.--;:-:t..b--- Oat e: ________________________________ ************~~******~~* r'_.___.!~. r~..,_L...._ .__.....____.._._1 M"R Ft,....t...... .. p ~age 1 BREMERTON PERMIT CENTER ~ . ~~~' 286 4th Street, Bremerton, I4A 98337 P ./J . ~Wr/)/)} Phone: (360) 478-5275 FAX: (' 360) 478-52.78 111Y~ ~~:, W 8UILDING PERMIT c cr~DIMF7J..itfS ~ " .~ Job Addr: l:<{J CAMPBE!.L WAY , er~l~ ~pfi~)t)? l..ocation: Gl~E[N I-I[)USI-: i)1.::U ~,t~lT.us. .~lNll f;,'3,l'"ce.l. No; AppI ip,u: ()'i/~~rn6 1 Sl::lUt311: I~XP i H!13: SEP BS '98 ..... 11:58 AM. BREMER TON D.e.D. 38B 4785282 9- )I-q~ ~ Applicant: AHIHUR JOHN 479-4203 12a 1 CAMPBFU WA Y BF~EMEllrON WA 9(l~H 0 Owner: Ali IliUR JOHN 479-4;~O~l 12~)] CAMP~ll~I.'[' WAY [l:"~r2MERlON WI'i 9B:3 j 0 Cr;ntrilctClY' : L.:lr:: f~~ :'::xp: ~JubC';ont r ; Del;,C: pI.Ur-:nTNG iii-:m::':' ::.n:~ 'JI:WPOSFD I")[!. r . ~ I . ,,' ..' ,. . '_" \ _ i'(, . I :of 'Jo;*l(')I;)(~.~ l(.)(. )00(. l()(. -l(. Xl( * 1f')I; )(l(l( XX )( )( )( .~x )()( l<*~H~ X)f;X' iii )f.)t .)(, )(l( * )( )(0)(.)(:1( ~ 10(.1{..)I; )(K X*X .~l( * * *~ 1(.;,\')(' ;l(.'~ .x' ~ * ')\\)!I * !l:)!I'X*>t)(-'/I: lOHO( *;:, * If ~~J;\ .' .' ;..<Ja'Luat.i c:n1,:::"", ,.~. i . ;', 'i;'i;ir!~:1: r::~~f~~~ :;", \~.'~ .:::;" > '~;:;:'~61\)S::<.~:.."..h::)~;.ll,~a :\CL.lT~i~:,~,~~\;:I~~~~i.:>\"';"" 7 4 .4[:) (I.; .."'.00. ;:.*.pl,qn,.(;:)I".c..k Ff.,L..:."",..~ ':. .:,;;,l.,'f,\J.,: ~."." ~ddl.t,tl?nrl\'r'f:.fM"\' .00 . i'Ie".: D,,: '. .':." ." >;;\~: tli'.\ ' ')t. .' ~.,Ot:,rIE:r ,,'Fi'lF.!S :,;::""'\ '<5:00 ," Tot a 1 Perm it ~'!~~'l: 74" 45 ~ ",.. '. ,,1_,.. I' . "_ ' . . . . X,i\':~*.')("lE * *.)0(. *:~~. ~.*.*',)oi ~ ,j(: *.)f)(. )( ~.)o(. )+X)(:~. x.)\' *l\I * ~.)f)(. \l(.)fX..x * .)o(..*~.*.~ .)f)+)(: * )(..* ')f )OH~)HH~ l(~* *'If * **.X *)(. * *** * .)(-.~ * *:1(.)(. .l** )(,)(. ** * ..*.X *)(. * ( j.';~ '1l.' I" , " ',L _ '. _., ,. ." ~ 1_ ~l ;~:_~..;"f. __ ;,"1: ,~,~ .i :",' ,', _"', _ \,. ;', .,' "\:,~''', \ :i1ECHANI CAL/PLUMSING F IXTURES~~\, "\: PL8G..:SJ oQl::~S"frik/Dr'a in.;' ;';. ;; ;'::'...,1.' " 'iPLBGfGrease"'rrap/I riterceRtbr ':1' 1 <;'iR~8~-,BW1,~1'd i,~~; sew.~r:; ;~L. ;~: .rj':, .:: c i , .... ," .' '.; " ". '.; ", ,.c. ".t:,i .'...' ',:',. ',;. ,'J":'.,:" .,' - ,tJ,; ,i , F-\ Effi L T H q -lO'- 14, *X**X**M*MXX*M***MN*IMM*MXMM***~*M*)('H*M********I . -~ l This permi t shaH become nu.l1 and void if the bl.d idtng or WI .. 18C days from the d~t~ ot S~Ch per~it, or if this building ~r'work authotlzed by such permit Is suspenGed or aCrlndonE!rj at any time I,fter the work' is commenced Tor a period of leo days. NOTICE - It is the r~s~cnsibi!:ty o~ ~he permit holc:er, not ~he C~ty of 8remerton or :3uildir.g Official :0 see to it that req~ir~d jn8pectl~ns are made. The permit holder must notify the Building Official when ready for inspectiDns. 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 buildin; official that the concealed work meets or exceeds code requirements. Any demolitionl testing, or financial bi.lfd~nshall be Dorne directly by the pen 'in it, ho.lder. Failure to substanti~tecoderequirerne~t~,~Ul:';:jtioenin.ify)'t'h~..G\t/;<, 'U'" ag~i,nst"~iany:; arldall resporstbi 1 it i or 1i abil,:i tcconnected,'wit!h' ~ b~" ~o.r;t~tr:yction;',:. 'h ,; ': :,.~;;::::;;.~,;';:.' ',~ "', "',C( .'U' \";: \; ;', ',.:,:.:\~;, . ';:;"~L ..';. "~":.'"~"""""'{t<,.".'i.',,,.~,,.\,,:,'l""'*:~'*:+\(:');li;;1~j{,.4:~,""'f""""" ,I ..':': \i.;.[. ".. .~" I 'her'eby.:cerU'fY:Hlat I;Hav6 readand,examined"this permit and7'know the same to'be.true'.:arlalcod~c'f. All. ".,~: Pl'~lvi 81 one of l;;iws and aid1 nqnce~l goye'ir;'i nglhis type of WOf k:'WO f 'be compli~d !'I't t.:h~hethe( speci'f"ied h~r~jnc'~:":'~" ,'",:. or not. The granrIno of 'a permit ,does, r:ot ,preSLlme to give aut'nofrty,to violate'o't;cancelA:H'e. prov'isi'r5l'1s" of " iiny ot hL1r.,:~t ate or l~C;tll!il\>; r1'lci:d'i,tl:r9'C:"r,iit ruc;tkil'1 :ort ~le"'~er'fotma'rice of COi!struct 1 on. . Signature:___~______________:______.__________~~____________ Date:______________________________~ 1 certify that I am exempt from the requirements of the state contractor's registration law, under Section 3, Chapter 126. laws of 1967. BREMERTON-KITSAP COUNTY HEALTH DISTRICT WILLA A~ FISHER, MD., AIPH, DIRECTOR 109 Austin Drive Bremerton, Washington 98312 Environmental Health Division (360) 478-5285 FAX 478-2091 September 3, 1996 GREEN HOUSE 1231 CAMPBELL WAY BREMERTON, WA 98310 ATTN.: WENDY SAILOR Re: PLAN REVIEW AND APPRO V AL FOR THE "GREEN HOUSE" Dear Wendy: The plans for the Green House, to be located at 1231 Campbell WayBremerton, W A have been reviewed and are approved subject to the Rules and Regulations of Washington State (WAC 246-215) and the Bremerton- Kitsap County Health Ordinance 1992-16. 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 refrigeration unit. Please contact me at least 5 working days prior to opening to schedule a pre-operational inspection. If you have any further questions please contact this office at (360) 478-5285. JJIY'~ Ed North Environmental Health Specialist Food and Living Environment Program food3Ic:lwinwordlpre-oplgmhouse.doc oorn @rn nwrnIID ~SEP 16 1996 BREMERTON BUlLDINU D~PARTMENT BREMERTDN PERMIT CENTER 286 4th street, Bremerton, 'WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 1231 CAMPBELL WAY L,ucatl un: Lj!~!~[N HUlJ~3[ UE!_ [ Parcel No: ::unt r ;'jet: ()r: 1.... .~ C 'ii: '; L:: x t:; : Permit No: 96-0569 ~:;tar,u>:~: Pl::NU iNrj Applj.ed: ()9;'O(l/],9')() L3~3UP.C : [fJ~!1~ ~ ff rt@ B Iggr; elJllDINbE/lIJERTON .. DEPARTMENT App Ii, cant: (~I~THUf~ JOHN 479-4:20:3 1231 CAMPBELL WAY BREMERTON WA 98310 Uwner: ARTHUR JOHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 ~::;utJcont l' :: Df:~t:;C ~ P!,~UMf~~ T NG PF:!::~M T T FU::~ Pr.~CJPU~::;FD D[L T ***xx************************************************************************************xx** ~);:'i J ua. t :;, on oft: p(,~Y' m 1. t ::~. ee~3 :: 40,,00 -~Q'tJ:i. (::a],(::L1J,atec:j F~ee: '/4" ;'.1.5 .00 * Plan Check Fees: 21.45 Additional FSBS; .00 * Other Fees: 5.00 Total Permit Fee: 74.45 ~*******************************~************************************************************ i1E:CHfjN I CfjL/PLUMS I NG F I XTURES--. PL8G-F 1 oor 5i n k/Dr 0 in. . . . . . . . : 1 PLBG-Grease ir op/ I nt er cept or . : PL2G-8ui..ding Sewer.......,..: 'If< ~ F(==' lC q-lQ/lb ~o ,\,R-o 13 L-~,", >i; ~\i, 'I> 4 f lo~ 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 acz.lildoi;[::d at any time aft er t he ~\J'or k~. is commenced for a per.1 od of 180 days. NOTICE - l't is the responsibility bf the permit helder, not ~he City of Bremerton or 8uilding Official to see to it that required inspections are made. The permit holder must notify the Building Official when ready fOT inspections. Failure of the permit holder to notify the Building Official of recuired 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 iequirements. 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 cerrect. All previsions of laws and ordinances governing this type of work will be complied with whether speCified here n or nat. The granting of a permit does not presume to give authority to violate or cancel the orovisions 0 any ct ~tat8 or local law raglllating construction or th8 performarlce of canstrllction~ Signature: Date: 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: - --..--.. " BREMERTON PERMIT CENTER 286 4th Street, Bremerton, tJA 98337 Phone: (360) 478-5275 FAX: (360) 478-52.78 BUILDING PERMIT Job Addr: 1231 CAMPBELL WAY Location: GREEN HUUSE DELI Parcel No: Permit No: 96-0569 Status: PENDlNG Applied: 09/06/1996 Issued: Expires: Applicant: ARTHUR JUHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 Owner: ARTHUR JOHN 479-4203 1231 CAMPBELL WAY BREMERTON WA 98310 Contractor: L. i c i;: ': L::X;:i ~ ~-)ubcont r : Desc: PLUMBING PERMIT FOR PROPOSED DELI ********************************************************xx******x*x************************** Valuation * Permit Fees: 48.00 Total Calclllated Fee: 74.45 .00 x Plan Check Fees: 21.45 Additional Fees: .00 * Other Fees: 5.00 Total Permit Fee: 74.45 ~********x***********************************~**********xx*********************************** MECHANICAL/PLUMBING FIXTURES-- PL8G-Floor Sink/Drain........; 1 PLBG-Grease Trap/Interceptor.: 1 PL8G-Building Sewer..........: L-.C- ~ q~lu -qfo ~/) *********************************************************************************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 wor~ is commenced for a period of 180 days. NOTICE - It is the res~onsibility of the permit holder, not the City of 8remerton or 9ullding Official to see to it that required ins~ections 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 certiff 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 or any other ~tate or lQca~ law regulating construction or the performance of corlstrlJction. Signature: Date: r certify that I am exempt from the requirements of the state contractor's registration law, under Section 3, Chapter 126, laws of 1967. ~~g;=~~::.~**-;***~i;**~;;**~;****--~-~-~8-C:c _ Da t e: --q-T~-i7Ct-7--?:'-';~---M~.. C v- ~oV"\o\l~ \') \.-~ PUBLIC WORKS AND UTILITIES 100 Oyster Bay Avenue N. · Bremerton, WA 98312 . (360) 478-5920 . FAX (360) 478-5360 MEMORSANDUM DATE: September 13, 1996 TO: Valarie Linder, Building Development Specialist \)}- FROM: Pat Jacobsen, Cross Connection Control Specialist SUBJECT: Plan Review - Green House Deli - Permit # 96-0569 **************************************** Valarie, Initial review of the plans as submitted will require the following: * All slop sinks, mop sinks, and lor utility style sinks to be protected by atmospheric vacuum breakers * All exterior andlor interior hose bibs or hose bib style fixtures to be protected by atmospheric vacuum breakers . * Ice machines, carbonated beverage dispensers, frozen yogurt and ice cream machines, if added at a future date, will require additional backflow assemblies. * This facility will require inspection before occupancy. For additional information or to schedule inspection, please call Pat Jacobsen at 478-5927. NOTE! All approved backflow assemblies must be on the current Washington State Department of Health Approved Assembly List and must be tested at the time of installation, whenever moved or serviced, and annually. Tests must be performed by a certified Washington State Backflow Assembly Tester. Test reports must be sent to Bremerton Public Works & Utilities, Attn: Cross Connection Control, 100 Oyster Bay Ave., Bremerton, WA 98312. · Celebrating 50 Years of Freedom . " .. II l' j: . I' 9-/~- ~ J1-r;'=:fflu-wuvt --r11~ a~'lL' II'! ' V IL' " ' , . l;.:, vi ~ ~ ~</, A/V . (!,U-~ 't .~ h.'f~~ ~ i~~ ~ li~ ,.' . II . Ii , l' n L " I:, I:; I',: , l!1 r! ,I FILE QG;'05foj i . " I' I' 1: ., , .. ~",f. q. S~,' . /,;(31 ()a!1~8f~, , l:>BA J!j~ I!~ &&. '7'1~- /~o3 !' " ~ j J ;1 . ~: .i '-, ,. I, [ I 1'\ I': " , ~. : i. I" I., I l r /.: ITJ lli @ rn 0 \VI rn [ID 'SEP 1 8 1996 BREMERTON BUILDING DEPARTMENT I. .. , I " , . -.... --r-- ~-f---r---~--:--''- i' . _: __ -:-_._ ~:.__-:.____._ J ---- h ~ ~~ VJ ~ E;;~ ~ ~ ~ "- ~ }=\~ ~ \ ~ ~ ~ ~ . -- ..... .-.--. .C) _J ~ S) 4 co c::: r- 0',-- ;ZCO .... c;:; ~ 0:5: l'T1l'T1 "'iJ~ ':t::>o ~ -~2 co (,0 ~ :s: '.)"") , ~ __. . r::-='I -I ..Uu,-\... ,- -"'- .--,-.-- G=J-- . U)' . m m~ o c::::::J . .-'._-~- " ..' .' ... ;,-.-..---".. U\ o ~ (b -;.. \J: C)J -- n _....f p, ~ =- \...::) ~ t:0 ...--.. , .-............. cs~ ~, ~ ~ (J ~~ ~, l/\ k ~' I~ ~ ~ )- ---~-----~-- --- , ; __..______P....__ ----....- ~ 1 ---i----"'....-'~~-...--r_--;.-.-.~~- ...--- i \1 . ~ ~ ~ ~Gd~-:0\J\-D (A~~ ~S ---<. (> is ~ Cj P. i'> r- G ;;:. 1::'. [\l i\ ~ ))". ~ ~ IJ\ ~;t ~ P L' <-----Z: ;S '.:':- r\I (;1 (; 1] ~ \ P ~-n.", p;: "5~ ~"i I/l ~ t') Q ~ -1' I ~ D OJ: ~ ~ ;s- i>~. 50S- UI ~ "iU I ~ (0 (/) Go ..t.. , -- z- G~-> ~ ~ _) ~ ..t:.. ~, vI ;> >< ~ ~ ~, ,,^ X (?7" 'p '5 ':~~) -~/ iJ' lU, ll) ..!, x ~ o 0"7 X .....y ~ ,.- ~ ~ ~ L (-^ -, .,., ,.. ./Z --<)~ o a~ -- p~ -- ~- ~ OJ ~ -c:: c:A:::.J _ _ _ r=, [Ji:i1] :-::I\Al .1.\ \ \ \ ~ ~ u ff1 '. (52J .,.....~E~~~~~,..-ui~-..~. ...._~; ! ' ; ,-- --- ~, 'fitiiJ-- ,.-E=~J- --- , ~ ~ i I ; r , .. 1 j -I j ~ 1,'\ '. ~j l>J --- \. ~ ~--)o ~(:Ir~- \.1 ~s::> ~ J:),.j-. ,/ \~ :::::: ~ -. (- \,0 I ~ .... Co:5 \\) 9=> I/) ~ ~\ ~ . ,.+) '" -') ~~ 'S;:-- ~~ n ~ ~ " ~ \jl C) r\) v,~ \\ , ~ + t, \D. -"i -r + ' \""5 () ~ fr !:- t, -( ~ rb "). ~ ") i-? :::-,' \) ~ K _. ' ;::: ~, --I12- t '- +- ~ - ~ ') L-}. >:: (iJ --l'.l. ::) '" I' --.l ~. F ~ ~ ~ r ~ rf'F- ~ ?= ~ > f[ +- '>=. P \ Of-'0V\ "\. T'~ T ~ UJOD.p \~ ~? t ;-- .'\). (\) ~ -D (I J 1-- ~ ;:::;--0 o ") -\ .., ,r. ~ ~ - r./) -' :. :5 II l' J::. (fl t? --t) -- " +-~ ~ 1- I' \ ~~. . 'P'I,\, ...... 0 0r:J~ (Cl II 1\:.if-~ ~~ :; \) -j ") f) ~ 1"-_ -, lr. (jJ fJ ~ -.' ~. ~ $ ~ ..... '" ~ - If\ r "' -(r tt- ~ ~ Cj c::: - r- o :z~ ~.rrJ "OS '~~ ~~, """::l_ '~9 co -;.c:; ',0 3;;:;.) ~ -..J (: > -.\ S8J r:::::::-7 lJlJ1j (S2) G1iiJ c:::::J ~ [iij;J .~'?J CI'> rr, ""0 a ~ ~ C) ~ G\ '" !.or) ?! I I -J::. Ci () "\ [- z Z. \> " V 'I TI - ~ " D o 1"- '1 1'1 o (l "'\ ... c5 .&-.> -i -... <: .~ -.J - Z- c 1\1 Jf- 01"- ;: ~'t L ...::: ~L .. if: ....--.... ~. oj .i.J f:) ~ 00 'l ..... p ~ ip Ii Ii .../- P. <" --' 'E Tj --0 t I) <'""i' ". \f- ~ ....;: \J ~ f.)~ \:) --, ~ :') 'v~ ... LSJ3 cP ~ - .'... ~ ;<\h"h ".S \J f' If'- "'- 'U \.-V "- ~,~ ~."-' ~~~ ("" ~ t~ ~~ ~( ~ ~ ~ ( ~ ~ -~ LL ; i. . ,,' ~--- ---., -,---~---._- -.---.-----~~-- -~------I~- - - - ~ -____ _ .~___._R~ _._ _ ~__ ____ ._ . __ _ ~._ __ , , (? C' "3 S ~~ ..\ t (J v~~'... -6 ? ~~ \)', 7. 17 "j( \ ( 0.... ~ 9.> )..) "\ \jJ ~ -;;- ~ G D c -~} ~ t r ;L t \s"' ~ 0 _'"", f\\ .' - s:::> ."')~, ""i _ , \ ~ -::. k'~ ~.;s ~ (II ~ ~ ~ I\) ~ ~. t~ ~ ~ ('\ _.~ ~ F F ~ x,;s ~~iS'~ l' ~ t-~~:::- C:) -' 0 ~ Vl c.::s r--<..;-' ;' <'""' 'i"\'Ls:. i' " eN . ..J v ' 0l -;~ , (j) f- - -:> E'\1\l {O;~eZ Ti.-<.b ". :> ~ z o "'}. +- ~ ~--- ,p , .--.. . . --......;-- '-:? -0) c: - b CI') - t:o fT1' <::0 c;-; T'"l "'"Q. 'O.~ :::> . ;r--r,:l:;' c."'> ~-i .:b -0 __ ::::;:'z (0.. ~ ':) ;M;7l - :ac: n -... (;,j ?<~ \'-. :s: ~ ~ 9J V\ :':'~,,\ , ) o o~ '2,0 ?- ~ '\I) o ~ +- ::: ( r. ,.. r" - 2EJ fJii11 CS2) fNi1 c::::::J ~ [iliiJ '~=3 / __. _ i ' · ,L~3W1Htldjd flNr01ln8 : :N(WnW3~8' ;' 9b6L .[j 0 d3S @IDttlDID@IDOO , : . ' , . .. r' ~- I ~ ~ . , I --"'-j -.. ; 1 ' i . ,I, '[ 0'1/ -" e~ {. ,h(Y7 /tiJqJtU-fJ -v--f7~ S 0r11/~~ (~'Cf f' \MOQcJ ~lll() 11 ( 1 rJ )-1 \ 1\t 'Ot oo}\V\ w b .. ~ 0-1 ~t;.~ I I I I r5,;, (.: I t.G\) ~"\ VJ r() - lIAO-tS 0). , ~9)9+C; - ~;r/tP}j ~ ~\)L1 /5.'(:/7 Jb Ib ~,'Od+ j...., ...J /' --)11 -j ,t .. .,."i!i., . ~-.J ,b , ' , I . ! i , . I j : ,./t I J --..-.J .. , , i i .! ... J 'I I I '-f----r I ! . . f ~. ! L:-. ~ o 5 ~ -----t:. C--J ,-C) -..j ~ - '-1\0;- 9J~ \ --- ...... ~id f ~ ~ ~ I\) ..... $ ~ ;E 1--- ~ - ~ o vV so w ---. r'") ~.c-. ~ ~ ~ ~ -....... -.... ~ r ~ ....J ... -.....i t:l:) c:: i= o :20:1 ~;g o~ m''''' ~::t :, :::;:. -; -, :::;:,0 -;2 s: 1'T"1 ~ - ~ -::: P- m VI ....., ~ 0).' l'Tle \:) o 2EJ fiLif . CS2J CNlJ ~ c:::::::I. (Q co ~ .)") .~ Cfti1l ..{~~J_' ---:15 ~ -;:--. :J-.D ~ ~ ~ ~ I.) ." -.... .::::. ! ~ -4, i\J r T .~- ...,/ --"1-.-- .. -:-. ~- -"-~ ~--- _..._~-_.;-;:--- -, .. '=~c:"-.. . :':~==~ ~PY:5f~'7.. .... ,< 1-'" ,; ,~.=::-..__..--.;:- - ~, ~ ~. ~ \\' --..:::. ~ f~ 9-> V-J '-- ...J ~ . O<l ..... ~ );> (JJ \.J1 '~ - ~' ~ ~~."" ~~ ~ . ~.,,,, ~~ ~. Pl' ~ ~ (-..... 9 ( \ '\0 ~o ,.r:) '") l". 1- ~ ;;:- -< .,-/ ;; IV C E ,/. ;..L. l'> r- ~ oq .--. - Q \.~ .F.-~ I~ E \Jl N. -'1 ~. rt -.......J \ ~ ~\ R.) I , ~ () LA! ~ "-I f) '. ../ ::: {I ~ ~ (\) ~ 1'. i ~ . ! ! i . i. ! i - I ! I -r--- . ,----- ~ ~ ~) '" l C'\.~~. ~ ~ f~ ~ ~ lu ............ ~ ~ \ ~ .\::Y l\) ~ ~' ~ ~ ~ ~ , """ ~'~ ~ -+- ~ ~~ ~ ? ,S: ~~';f ~. .>j" "'" ;:;;j.1/I Q}J' .:J >; . d"f w ~2EJ i= o C/)' G1ii] 2tJ:l f'T"J- ~ ~ .,,",n (52) "",'~ 0 r:::::::-1 ~ =:; . ,_-::, U U U ~ 0 r--- -t c: (0. -- s: CO ". '- r-:;:::1 M 'J')' ~ =z:.. -.. .. - [Jijij ,~' 01 U',_ 9s V\/ -::J G o "') . ,/:-., ? GJ .~ : " -.(()' ;s., ~f\) 6~ p ~ "'\ .. t "'" Ccu.~+er <-Yv~ J ~. / 'I) '-'\ ~)U\ - :::, .~ '~., f. "'r"" - .'1) ,. Ii t " ..-............ T- O ~ ~ "."),,' t;~. W t', ::, ~. " ~ :: i I i .. :.--j , ( _ . :n. ....:--1 , ------: I ' ," ---'-... . :~.: . " .----!-- : I :-,.-,.-.../ i ( ~" ~\~ ~ . --- V!J-> ~^~ .~ ~-~ ~~ ~ '~ ~---- /\J ---- c{)~ ~ ~ 0f "' I I "D J'I '" 'CO ~ (j) c:l 'OJ f'T1 :z,~ -0 c: 'rr1 ~ '$ .;::g~ ..;, -::J:::', _~ - -:::> 0 UJ ;o::z '..0 ~n ::s: :r:n Z --I A. ~ 'x~ ~~ Clt...~'-~ ~ '-',> ~ r:::J:!J (j1Ji] [J1:FJ (e-?J ~ ><::> f' ;,- oJ r rv: . \ N t-' -'". ~ -$ A '7 ~ O~--r ~ ~,..L- J CscJ CiUil ::::=:J ~ ~ .. V) -......... ; . '-^:l (\ ...... ;::.. I' c:. ~ ~ ~ ~ '" t:\ ."., I'> -\- ~1, ,,~ c, -z a "'\ "\ '5' 51. ~ ~ ------ 1 ..,"::;. , 1 -_/' tI ~ i> ~- i l ,', I '.' I ! /' (\ .......: - ! . , ! . l rl/5-~ , .-., . , / 1-' ICC~ '0 ....-...--.....).-...-.-. , r~c1tJ L / !-/5 \~) c:( S 1Z v "\/\ -e v\ t--.-- ....-........ e~f3() vJ 2 E3JtJt/! .,' . OO~ @ ~ OW ~iID: . ' , 'SEP 0,(; 1996 : r . , . I; . BREMU/ION :..;. BUILD/Nfl Df,PflnTMtm , . i I 13/5> ~ -~ ; 'm i , . i , ,< :/J 3 / OHlfhcrlwc<y / It! TZ/ C/1/ /rZ- L.- , . . .....!j!i'ii<)n;fiF'I1RMH.!-~Ee.lf)l.lTIONiH/iH....................................................... ...CitY6f.Bi-~fhciigri;~~ffih~dri983io ..;pii6h~~(:206S47825275... PF~X:.(:206Jn478i5:278np? DiWf!W!!i~I(;Al.fYitiFI!O;.!i! i/U;X..;g.YPLIJMBING/i ................. ....../ APPLICfu"IT: 0 OWNER 0 CONTRACTOR 00 OTHER: ~lI1kv. (1 (/7 - 0 S (0 q COMMENTS: SITE ADDRESS: /:).31 &m(oheJ I vJ6.(Y OWNER: Jc9~'\V\ A,,-+hulr CONTRACTOR: Q\l1al( L'p R ('el-t I CONTRACTOR LICENSE it G c.. K VL (-I- I b 6 ?e. OWNER PHONE;; Lf79- 0:;0.:s s ADDRESS: I~~S- (Va VV1 f be}! u) t{ t/ ( ADDRESS: EXPIRATION DATE: 10 I 9.0 AJ /:J 11' "Zo Id I --- (.J (i N()....l........ ...P.xyp .... . .... . . ............. ....... i . ....f )})n!< It. ....E0.FEQJ:JIPME.~I ................. .....FEE........r...NO........ .......\.................................ITJ5pE.nE..F~"TURE................... .FEE ..j ... ... ....... ........... ~::: :~~::::~:{:~~:: {:~ {\i: .. ... . .. ..... ... -.... . . . . . ...... . ::;> -<" - ::;::::: .:::::.:-:.:. ".' -:",;;::::: ":;:;:;:;:;:::::::::;:::::;:::::;:;:::::;:::;:;:> -::: .::' ":> "::: ."..- -::;:. "-:' ';-, :::. ;-,: -' "'::;:::::::::;:;:::; ."_."- >....... ........... .", '.. '.'- ..... ,..............,.-....... ........ '-'_'_'."___ ......... d___. _ _... '.. ..... I RAi'l GE I I WATER CLOSET I WOOD/PELLET STOVE I , BATHTUB I I GAS FURNACE btu ~.: i I I LAVATORY I I CONVERSION BURNER ' , I I SHO'WER I orll J: I UNIT HE;\, TER btu's: I I I I KITCHEN SINK TY-i .0/.0 S 11/1j,. I I I BOIlER btu's: I i DISHWASHER r'-::'{ !';:::l f~ i~. n \\IV rr:! .~ GAS PIPING j i I L\UNDRYTRAY I~..t lr; LllJ ~ U \J l5 I I I EVAPORATION COOLERS . , I CLOTHES WASHER II U I ... bru j.: I AC UNIT bru's: j , I WATER HE-\. TER '(\En " 1616~ :.:. HE-\. T PUMP btrt 's: tons: I , I URINAL ......... IF" I REHEAT BOX btu"-: I I DRlNKING FOUNTAIN BRE1:JitfUOIIJ AlR HA1'iD UN G U!\ilT btu's: I ! FLOOR SINK OR DRAINBUJtOm~~ f)EPM~JM~N I EXHA UST E-\1'fS . , SLOP SINK I I RAi'i GE HOOD (residential) I I I WATER PIPIING & ALTERATION I I R.\J.'f GE HOOD (commercial) I I / GREA.SE TRAP/INTERCEPTOR " I CLOTHES DRYER HOSE BIBBS I INCINERATOR I I L\ WN SPRINKLER SYSTEM I DUCT ALTERATION I I SWIMMING POOL i T At"'iKS type: I I BLDG. SEWER (mobile / moved housJpl2. i-1 REFRIGERATION UNIT I ROOF DRAINS I OTHER: OTHER: I MECHANICAL PERMIT FEE $15.00 PLUMBING PERi\HT FEE 05.00 or 4.50) I CONTRACTORPHONE"' MECHA.NICAL FEES: PLUMBING FEES: APPUCANT'S SIGNATU~;;; 1'. S~+5 DATE: 9ft /v~ I ( XH***************X***X~*~*****XX**H****~**~~**K*********M******* C I I Y OF !\t<!: Mll{i flt.J fa (;1 :I! 11 K*********KX**~*****H**K***K*******K********HX***************XX* wel :I P'I l\hlmbclY:; 'j(,OOOHJ 0 (lfflount:: /.1, "/j!) Ofl/06/i},,{, 1,(., ;:O!,l Il[), vm(:nyl; f"lr~t hod '; u'~ t..Jo I: at Ion:; ~:;('IIIUi~'ti: 1. H~i? I: nit:; ~)(,.J Pf'~nni, t Nn:: 96 {)~:;r.,9 I'YPC:'J ~ ~1/P I oCHt:l on, Oh:l" F I\l 110\ 1::;1 !H I J f11-'Cll/PI .n('~ PI j~11 r I' 'lutMJ 18ee= /4.AS I'hlH Pa)/ment /1.4~;) l'ntl;d f'\Jl,I, Pmt.n~: )',,1,1(,;) Hi".:I <:iYlCe = ,,00 ****************XX***********KK************K**~***************** flcco\ln'l'; Codr-: j)f;~::';c; (' 'I pt :1 on ,')mOI m'\'. lJl,<:~Ij.~:;.WJOO ('i!;iHO) nUll.!) [h!Ci PI..r:'JN CIH:CI\ FiJ:'~:; ;"1..4.'i :1 (,,, a;',,'? .. :1 nO::l (~,,;> 1 :J ) f'l ur'1!l J NCi PI, fdvll'j I, r 1 ~::; 01 f~ , 00 H 1 u >3;'0::;:' , 100'1 (?~~': I, <)1 ) PI::PM T r ~:;LtHCI1(1F<CiI ': ~:) "00 ~ .; CITY OF BREMERTON PERMIT CENTER Application Rev~ie\v- Type of Application j? I b 1. { , ApplicanL~ h. "-.. ~ tAr- fo v ~'('O oSe: C- De [, ().., Site Location \ d- ~ \ r Q W1 P /n~ i I (). ~ Application # I l. . ~ 0 5 (" 9 Submittal Date q - l" - <1 (p Committee Review Date ..0 ~ I 0 .- '1 b i..:,.:~~~t2'P7'g:':J ~61E l:i~:~~LE~li.<;.:~~gi Building Y N Y N Y N Zoning / :<Al'PROVEIY,!i ........,CO'MMENTS... ... : :'.'A-i:MTG(' y;:,:.,: . Y N .~ .~~::;:OV'.. djVYj~~\(j .\b'N.ft-'-~. : n-. . . ,~ '. ''',,: - '.;., ,". Environmental -ltStACl (. EngineeringlS treets "',,;.. ':".:-:. ":--...:-" YN YN Y N" EngineeringlUtilities I Fire I YN Y N I I Y N.. . Y N YN YN . ,.~ YN YN ~0 YN I YN N YN Other ~-~- \"- T VC-~~FIC Y N. Additional Comments: ~ f~u - ~tdd4r. . !)ii! JJ!iww- ~ Ok 11# .5du;J/ebu IP~ :s- t <//Ph I . DATE: PRE-SUBMITTAL CONFERENCE REQUEST WevvtJ ~. SA! L{)~ AP0JQ4.jl('.{ COv1 -+ C o.-P-e- Representative {lapplicable II}.. Wi1Shl V13 {:OV] A 1/0 Mailing Address t... Mailing Address J3 Q VVl..e I{ i:-o In W 4-. c;g:3:5 7 City, State, Zip f City, State, Zip C3~O) 79OL-/toca Phone No. w/area code Phone No. w/area code Project Name: vJCl{fr+~611 /- (byL'e-- Proposed Use: (!11e:- Address/Location of property: I ~ =3 / (Pantf)b~11 Wal/ I I City official(s) you have worked with on this proposal if any: You WILL BE NOTIFIED OF YOUR CONFERENCE DATE AND TIME WITHIN ONE WEEK OF YOUR REQUEST PERMIT CENTER 286 Fourth Street, BreDlerton WA 98337 Phone: (360)478-5275 Fax: (360)478-5278 PRE-SUBMITTAL CONFERENCE WITH APPLICANTS · WHEN: Tuesdays and Thursdays by appointment; between 9: 15 and 10:00 a.m. · WHY: To discuss general regulatory issues which will be present in the project. To clarify format and specifications of submittals. · WHERE: 286 Fourth Street, City of Bremerton Permit Center · How TO P ARTICIPA TE: Request appointment (complete form on back) Submit the following information 3 days prior to meeting: Vicinity map Conceptual Site Plan Adjacent land uses and transportation routes Current use of the site Proposed use of the site Proposed or actual parcel and structure sizes *NOTE: All information for project proposal must not be detailed--it must be conceptual in order to allow for design to conform to regulatory needs. **NOTE: If information cannot be provided 3 days in advance, 2 meetings may be required in order for informed comments to be made. . WHAT YOU GET: General comments regarding regulatory needs Specific comments regarding submittal requirements DATE: ~- b$h I , PRE-SUBMITTAL CONFERENCE REQUEST Wev\ctJ ~. S A.I L()f!..- A~pIi~an~) ~ t , f7\ Representative ifapplicable \jJQ-t. v~ ffi v1 'T '- u-F-e- j/).. W4ShlV1J{:oVl AI!~ Mailing Address '- Mailing Address -PQVY1.er+OI(1 W A- ;g3~7 CIty, State, Zip f City, State, Zip C3~O) 7C;C2-/~03 Phone No. w/area code Phone No. w/area code Project Name: Wtrt.Pr-r~6i11- (1vC€...-- Proposed Use: (!q Ie::- AddressILocation of property: I d, :3 J [P4/1ff)b.e11 Wat/ I / City officiaI( s) you have worked with on this proposal if any: You WILL BE NOTIFIED OF YOUR CONFERENCE DATE AND TIME WITIllN ONE WEEK OF YOUR REQUEST - \P ~ ,1 11 o () 1-- X:~ \\ " ~ -, ~ .s:> \ ~ ~ ~ ~ ~ \N " \'~ ~ ~ w \N o T', 0'(1\. \r.{c ~ ~ <;Jrl ~ ~. .- L. ~ V' - . 6' ...,..r ~ ~ ~ ~o \I' f'\ ~ ~ ~ S' ~ -\:)0 ~t: (l Ji' ~ -. r ~ It''z. _ '$'r" s"C"'\ lq~ 't '\",'i.~'f ~.. ~ ~ ~ , . , 'J /):'J"} ''''C'' - ;,' (( .J1'l1/ ,,_........ - ~- -- -- -~ - -.~ -_~rt- ~_~_ -Oc VVI~ v.;.8 - VU /: ~~=-~~-~~ I' OJ I 'e I f\ oj \ . X k-I -=f j o 'bt X x .~ x .. -:~ ""I ..... -0 ~ '\ <:>. :>" x BIIEMEIl'f()N BUILDING DEI:tAlIl'MEN'I' flluuJbing/MechanlcnJ Inspection Ueport Scope of wo."k: P1urnbinq pennitfor proposed de1iPenllit NUlllber: 96-0569 Address: CAMPBELL WAY. 1231 Owner: ARTHUR, JOHN" (~olltl"actor: G r R Pll1mhing ;:me'! Hpi'lting Phone: 47Q-4?0l U ndcr ~!J.1J:1jl_~~().~I.?___I.lll_~~~~) --- -+---- }~~l~r__~.i!.i"g_&~':J'l'_Qr( 12" "!_~!.i_I~I_~I!.IJ!.<:!_,!~~~~I_e_'.:"_I!~_~~~,:~g~~IJ!!_,1 _ _C;:?~_~<:~IL~T!.rl~~'-~.!.<:".'..!_~~0~g_ro~_'2~oT wi~lIih 6" or ear~~ GrolllHl-joint IIllioll~ pTohibited in ccruin IOGllion, UII,l.ing, 1101 :tllo~d in conccak,l ue:u GA.'i 1)llllNG COMMEN].S:___________________________________________________________ --------.------------------- GAS PIPING APPROYED:___________________ r tvJ_~..I_I~r.~~.....Urcr) ..!l~<:i_~'_<::'_~i?.'EJ~_~'!_i_~c: L~.i~_~'-'--~~~!...:'~rJl'?~( I Cku:llwc 10 colllbtl.'ltibk, ~<:_~,_~i!.$_: ckuallcc to colllbu.'ltibk:. ---------------- Vcnl s~~}!]L & ~...':J'l)OTt/COII~lCcdo~1.'l VCIl( teTmina.lion Cmllbll~doll :lir CJ_I.~;;;~jr;~~:~or s~.!_;J.te fluC.'l ~3 rccpJircxl ------------ G:l.~ ShUl-Qff within 3' _ Pi.~_'_~~atexl....?!L~()()':....i!!J2.:mgc ---P-.------ DuclS: Si7'c & sUl'l'octlinsul:JlC(1 wh(~1I rcC)uirex{ RctllTll :lir 11URNACE COMMENTS: fURNACE APPROVED: -~~ \~ --- ~..:'!-'-'-'_~~~tccr..i!.r_~cillo_~ioll.'l on site -- __'0~_~0!!.!.!~-.ccs_2!_~I.rr.OC t Clc:aullcc to comhustihles Y,:~~~!!_g: ~~_r..:'.'_~a; ~o ~~~'2.~lNtihb _._----~------ ---- V cll_'_~i!:i_'!~....:'~_rl'()T~~~cC(iol,~ VCIll_ tCTlniJutioll ------.-- Combustion :tic C~,il_!!.~: 1~1_~c all<Uoc scj,uarc fluC.'l :13 cc<pliTCd Gu sInH-off within}' W()O(lstovc & fi~T!.a..~.:.r!...~'euth ----.--- Woo<{ ,1<TVcs: I}})A ~l'l~r<TVc<..1 1--- _g_:'!Jog~: ~a.~~~...t-01T \Vood 9WV~ & fiTcl'l~(X:8: li~t fill~loors G~s slml-off within 3' .--- MISC. MJlIJLlANCES COMMENTS:____ MISC.AI)PLIANCES APPROVED: M_anuf!ct\l(e~!r.:cill ("-:r:.~i o~~_' .'Ii Ie Locati()'-'!...~~!~~Tr..oCl - Ckaranoe to comhustibles Ve_~~i.:'b:.. ck:au~~~nhust~"k:. Vellt sizi~ & 81lJ'l,ortlconllOCtioll.'l Vent termination . --- -.----- --~.._--~--- ---- CombuSlion air CI~ill_~'S: lil~~_K1/o,- ~~carc nue.'! u r<:quirc<l Ga.'! s!lut-offwil.hin3' Pilol~~_~tc4~.!!_~~c j.!.'Ji~.":Re -.---- Gate valve Oil co.l~~cr 9ul'1'.ly Relief v~lve clrainocllO olltside . .___'_'__~A__.__________ Co..l'E_~~~r,i~~~'::.~...i~.'.!. U ,,_i o~~~wat':':.r..i~, &i~lJlic .tup WATER BEATER COMMENTS: ;f /11, J;)~ . jlJ1' j\ ~? o ;.u d 7' WATER HEATER APPROVED: ALL \'fOllK UN DEll THIS 1)I~l~D'I' lUJlPI10VED: r/) r/- "\ f----\ i:~ , , ,."..\ "',. .~ :.'~~:. B REM E R TON PER M I T B U I L DIN G D E PAR T MEN T -------~-~-------------------------------~--------------------------- ----~----------------------------------~-------~--------------------- Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - street - City - Phone Tenant.s Name Agent's Name Architect's Name (X] Building [ ] Mechanical [ ] Plumbing 06/23/1995 08/16/1995 3976-028-001-0004 1231 CAMPBELL WAY ARTHUR/WESLEY 1231 CAMPBELL WAY BREMERTON (206) K.C. CLARK [ ] Grading [ ] Move Building [ ] Mobile Home Application Number 95AP08717 Permi.t Number 16498 Project Group First DRB MI state WA Zip 98310 Phone(206) Phone(206)479-5598 [ ] [ ] [ ] [ ] Paving [ ] Underground [ ] Demolition Sign Burning Land Clear -------------------------~---------------------------~--------------- Building Contractor: &-1 Contractor street City Phone Represent.ative State License # City License # BEST BET BUILDERS 1815 ROCKY POINT RD BREMERTON (206) 478--6824 ERNIE BES'fBBl1840H Nature of Work: Replace access stairs to beach. State WA E-r-fi"rtyj ~ /b / /7 ff'~?-/J~ Zip 98312 Expiration Date 09/28/1995 Expiration Date APPROVED PLANS AND SITE PLAN MUST REMAIN ON SITE AND AVAII,ABLE FOR INSPEC'rIONS, Building Valuation $5000.00 Council District ___~________________________________8~________________---------------- , " Construction Type Census Tract 5 Sq Feet. Inspections Required Residence [ ] Zoning - Foundation [X] Business [X] Type Framing . [ ] Other [] Insulation [ ] New [ ] Plumbing [] Repair [X] Status Mechanical [ ] Remodel [] Code Wallboard ( ] /Addition [ ] 32 Final [X] - - - - - -. - - - - - - - -f~ - - -. - - - - - - - -- - - - - - - - - - - - - - - - ,-.- - - - - - - - - - - - - - - - - - - - - - - - -- \).. ~::~~=~ =~~===~=========::::::::=~~-~. ",..- ~ :t, ~ \ r ./' ':. ',.) ~ t ~. 'Ii' ~ ~~ ~.; - -._; ~..~'.':' (. ~ ~. \.. ", B REM E R~~ 0 N B U I L DIN G D E PAR T MEN T CON D I T ION S o F PER M I T -------------------_._-~------~--~------------------------------------ -~---------~----~---------------------------------------------------- Application Number 95AP08717 Permit Number 16498 ENG I NEER I NG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HCITY TO PROVIDE SIDE DITCH DRAINAGE FOR CAMPBELL ~ Approved when note on sheet and site plan stating WAY HERE" has been removed. WATER I . . . . " . . .. . . . . . . . . . . . . .. City has pressure sewer main along beach. Call Underground Locates at 1-800-424-5555 before excavating. BUILDING. . . . . .. . . ... ~ ... . . . . . . .. . ... . " . . . . . . . " . . .. II . Approved with revisions NO OCCUPANCY OF HOUSE WITHOUT REPAIR TO EROSION WILL BE ALLOWED. ---------------------------------------------------------~_._-------~- ------------------------------.----------------------------~---------- .,1 .....-.~i . ~) / 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 jf 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 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 fmancial 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. Y--. Signature Date I certify that I am exempt from the requirements of the state contractor's regi~tration law, under Sec. 3, Chap. 126, laws of 1967. ~~/ 10f/t/;Y ~ ~, Signature Date Permit Number pcmit.doc ~) ~.. t. \ (:_.:J.. "1 B REM E R TON B U I L DIN G D E PAR T MEN T P .E R M I T A P P L I CAT ION -----------------------,---------------------------------------------- --------------------------------------------------------------------- Application Date 06/23/1995 Issue Date Assessor Acct # . Site Location Owner. - Last Name - street - City - Phone. Tenant's Name Agent's Name Architect's Name [X] Building [ ] Grading [ ] Sign [ ] [ ] Mechanical [] Move Building [] Burning [ ] [ ] Plumbing [ ] Mobile Home [] Land Clear [] -------------------------------------------------------------~---- Building Contractor: a~jJ Work will be completed by owner. ~ 3976-028-001-0004 1231 CAMPBELL WAY ARTHUR/WESLEY 1231 CAMPBELL WAY BREMERTON (206) Application Number 95AP08717 Permit Number Project Group First DRS MI State WA;i~ 98310 K.C. CLARK Phone(206) phone(206)479-5598 Paving Underground Demolition Nature of Work: Replace accesSstairs to beach, taken away by slide. APPROVED PLANS AND SITE PLAN MUST REMAIN ON SITE AND AVAILABLE FOR INSPECTIONS. Building Valuation $5000.00 --------------------------2:----------------------------------------- Council District , Census Tract Construction Sq Feet Type Inspections Required Residence [[X]] Zoning Foundation [.x] Business Type Framing [] Other [] Insulation [ ] New [ ] Plumbing [] Repair [X] Status 1 Mechanical [ ] Remodel [] Code _Ii Wallboard [ ] Addi ti~n [] ~\t'f' Final [x] -------------------------------------~------------------------------ --------------------------------------------------------------------- V~ ~R~~ , ~~, I ,,~. '\ ~ _',,2 -'fi .". .,''1,\." .,.,r', "..~'i. .~:\J.j.'l ~',,1 . ,..... Ii" -..., ~~;JiJp'. .,,>c-l~.~ , t \ " \ \: r~! -~ BI~}~.MF:R'1'ON; RECEIPT # 088628 BUT L n :r N G .0 ~ PAR T MEN T .....,,~"_...._.....-?";': ,. * This Is Not A Permit * ,luh 2.3, 1.995 Bu:i ), d:i og 62-'32? .1001 Hechanical 67.-322.1005 Pl umb:i ng 62-322.100~ PIi'!r.mit Fees $ 7?OO $ ,00 $ .00 sto:rz Adapter 34-3813.1000 other J.i'ees $ .00 7.on:ing }.'ees Amount Pai.d $ 'n.oo .t. ..... ....('P';-t:}~: ~ :::: ~ ":; ~ ::- -=: :: :::: ;::: ::; -:: --:: :'; :::: :-: ~~::: '':: 4: ~~ : .~:~ $ I \!'J.... .' ~' Recei ved Ft'nrp :.I:/~,/ ;\" 'i~ /"')I\'uROr., S \l ~' ;I ,~Y.:.rl.t'\_ ",' 'If J.. -,,-.--.. ~''''-----'-''-''''''~ ~v~:~4(~.,. ~.. -~.-~ .., .,. ~ ...' 77.00 PROFESSIONAL 'l?77 $ 7?OO , , .'''..... ~ '" \ \ '\., \\ \\ \\ ,""" / :J ~ ,\ \ \ \\ '0" \>~~ \,.; Plan Check Fees Amount Paid $ 46.80 $ 46.80 $ .00 $ .00 -~~---~~-~-------~---~."-'- _y_4__.____._._.___~M______.___ ::; 46.BO 62-34.5. 8~~OO $ 46.80 ~ " ,.,. G~n PaymE>nt: $, 9.50 OJ: hl:':i~ FPf:"B $ . OQ , C:i t y Sur-Ch.Hge$ y~" 00 RI. -'~ '?Il . 100.9 (lG",:'--H./ ) Fit-ate sic $ )V4.5. / 643....;.>:n. l~~~..-::" :::;:--'::;:, - - -,/ i I 'J'ot <'1 J 'I"/:'!/?'E " ~ ..".30 Amoun t l?a'h $' 1'218.:iO Prior Payment $ .00 ---.---.-.----. .. n., _. -.' ~ _~ _. ...~ ....., HR]ance Due $ .00 On (Hi / ~: J /1 9 I..) 5 For 4J9!)}\POA717 \ \ ..~ '( It ,-- ,'/ JJL) ) -" //J __ ''''-' ./) '" '~--".. (~ \ .' ) .~~. \ ~}.j (--) I / t' -e ( / '-_/ .:~L-'-.~31- APPUCANT: 0 OWNER D CONTRAcrOR lK] OTHER; ENbJNEa SITEADDRESS: J.:l,-~/ ~ANpgaj WA- Y OWNER: be A~U'L 1'0(( w,=-<;uj . cONTRAcrOR: BE'. 2> T-- A eT .6LDt<_5 CONTRAcrOR LICENSE I f<,e.s, ~8 / /'64-6H COUNTI ASSESSOR PARCEL I:. ?:/17/a"t/ ~~ -'tJoJ- "tJO"/ ADDRESS: ADDRESS: EXPIRATION DATE: CONTAcr PERSON: CONTAcr PHONE IJ o SFR 0 DUPLEX D SIGN D DEMO o NEW D REPAIR o MULTI-FAMILY D BUSINESS 0 OTH~~: D MOVE BLDG. DMOBILE 0 GRADINC(yds): O. REMODEL D .ADDITION 0 OTHE~ ZONING Cl..ASSIFICATION: OLnLIJ ~/~ COUNCIL DISfRlcr: ,7,0 J;.udz. SQUARE FOOTAGE: Dwelling: Gange: Deck.s: For De artment Use Onl :ttt:ttMAttJATI.()ht~:::tWrr tt::-etA~tREtIf;WtFEET::: :~r@;t}\:PER.~ttt:~m:tIIr .Jl@:H:$Q.1t~GFSrrr\\ t~:::t@:}tr:Q:'f:An:F.E.E.S:trtt@: S ___ $ $ ENERGY: $50.00 $ ODD STATE: $4.50 .00 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 retumedto 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 controlo~J~e applicant have prevented action from being taken. No application shall be extended more man once. In order to repew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. . I hereby certify th: ;;;;t:. o;"'ation is COTTect to the best of my knowledge. APPLlCANT'SSIGNATURE:~ ~ d&{1~j DATh (~hr-'f/95 - PLEASE DETACH AND SIGN CERTIFICATE BEFORE PLACING IN BILLFOLD F625-052-000 (3-921 ......, )} \ : .' ~ {if J,,,,,.. _,'=,"~-...... ( 3 R E ~ E R TON E_,[J;LDING D E. PAR T ,rvl E: ~f ~:; D E R J':1' I '!' Ape L 1 CAT ION ---_._------~~-----------------_._------_._-------------.------'..-.,.----'------.- .___,___..___________.________________.__..___~_.__M___________._,_____._._._.._.__._._~_~_.___ Api? 1 i ~ati:tm'~B~' 06/23/1995 Assessor Acct # Si U~ Locat i en Owner - Last Name - street - City - ?11one Tenant's Narr.e AgeJ1 'f: '.s Name A~rc.hi teet's rlarne Ex] Building 1 ] _t~eGhani ca 1 [ ]?lumbing 3976-028-001-0004 1231 C&~?BELL WAY ARTHUR/WESLEY 1231 CAMPBELL WAY BREMERTON (206) Application NumbAf 95AP08717 Permi t Numbe~~ Pro j e c t G r" i) tt P IS's'u.e Dat.~~ '?ir::~t DR.S H ~ state WA Zip 98310 K _ C. CLl',RK 'Phorl~; (206) Phone(206)479-5598 [ J Gradi!J9' ( ] Move Building f. J Mobile Home ] Sign J Burning Land cl r,:-;3.:' [ J pav:Lnq [ 1 tJ!1d e r >;f ;: o "Lin d, [ Demoliti.o)) ~_ ._. _ _ _ _A ,~ '_ _., ~ ~_ _ _, ._ __ _~ _ _ _.. _ _ __ ._ _ _0. ..... __ _ _ __ _ _ _ ,_ __ _ ._ ._ _ ~H' __ _ ._ __ _ _ -_ _ '.... .~.- .... _.. ~, .- - .- ~, - - -~ .- ~- -, -~ ,.. - .-. ..- Building Contractor: Work wiJ,! be completed by owner. ff a. t lLr e 0 :E V{ 0 :r k : Replace acces stairs to beach} taken aw'ay by slide. S APPROVED PLANS A.ND ST'fE PLAN MUST REM1\IN ON SITE AND AVAILABLE FOR INSPECTIONS. Building Valuation $5000.00 --------_.-.------~----------------------_._--_._---~._._---,--_._------,_._.~._- c 0 ~1.n c i 1 fJ i s t. r i c t 3 Census Tr-act Construct.ion Type Sq Feet I'n.spec.tioY1S Requi t'~'?d II Final r -? 1 pA4 L .J [ J [ :1 L ] [ ] l- X 1 , . J other New Repair Remodel Addition status Code F01Jll.da t.i. on Framing Insulation Plumbing Mechanical Wallboar:d Resid~nce Business r " L J [X] [ J [ ] r "tl 1 l ",. J [ ] f. J Zoning Type - - - - ,-, - - - - - - - - - = ~- - -. - - - - - -, - - - - - - -. - - - - .- - - - ..- - - - - - - - - - ~ .- - .- - - ., - - - -, - - -. - - - - - - -- - - - - - ~ --;; - - - - w_ m - - - Af f~[ -1V~ - -- s -g~~f; PLEASE DETACH AND SIGN CERTIFICATE BEFORE PLACING IN BILLFOLD F625-052-000 (3-92) IV " " ".-,->"-,, <: B R E' M E H 'f 0 N B U J ), D J N G n F'; p ,A R 'I' M :F: N '1' -, f P F. R M' I If A P P r. I (; A 'f 1 0 N ===========r==~=======:~=====;~======~======~====~=~========r======~~ App 1 i ca t. i on,"'Dabe Issue Date' 1\::H18S501:' Acct # Site Location Owner - Last Nama - street - City -- Phone Tenant's Name Agent '101 Name Archi.tect's Name nn Buil ding [ ] Mechan.i.cal [ :1 PJumbing 06/23/1995 Appl.icat.ion Number 9!5AP08717 Permit Number Pn) ieot Gr.oup 3976-028-001-0004 :I? 31 CAMPRF.l.[, WAY AR'T.'fIUR/W F.SI. EY :1731 CAMPBELL WAY BREMER'l'ON (?(6) Fi.~st ORB NT state W1\ Zip 98310 K , G. el."ARK Phone(20fi) Phone(?06)479-5598 [ :I Grad:i ng [ 1 Move Building [ ] Mobile Home r J Sign r :I Paving I: 'I Run:d.ng [ :I Undergronn,d f ] l.and (~J e a. r [ ] Demol i't:i on I Building Contractor: Work will be completed by owner. Nature of Wo,.:k: Replace acces stairs to beach, taken away by slide. S APPROVED PLANS AND S f'rE Pf"l\.N MUST REMAIN ON S J'l'g AND AVAIhARLE FOR INSPECTIONS. v Building Valuation $5000.00 Council District ~1 Census Tr.act. Construction 'ryp~~ Sq Feet Inspections R~gui:r.ed Residence r 1 Zoning Foundation fXl . I.' v '} 'r~I'rl""'" Ft""1111',ng, _' 1 Rus1.ness A, .j)'~; ...., Other r] Insulation [ ] New [ ] J? l umb'l. og I: 'I Repair [X] status Mechanical [ ] Remade I, [] Code Wa 11 board [ :1 Addj tion 1:] 1.1 Ji'j nsJ /' f.X] _ ___ ... ____,._ ___ __.. _ _ _...,_ _ ____..,,_,_., ..._ ..._ _...... _,,_ _.." -''''_'' __'.... __ ...__ ,.. ,_I-,(~JI1}_,._.. .. _ .. -' - -" - ,.. ,., ... .., - ... " -. '- ,- - .. - - ...- ,,-.- -, - ,- ." ". .. --- .. .. .... ,. .. ... -. -- '''' ..- -- ~ ..' .., -. ,- .. - -. )~jcPt ';f- . , ,.. ~-I $ -' ." , \t / ~~t- /le(8 ~ // 5: ~ {!./ rj )S ~ \~~ f-e 5fJ'117/Jt, -::rt}?/ tH;brf ;J!/~ ~'d I~ J1/DkK ~ '<pll1j 0~ ..t."")_\..v_ ( }3 R (;"' iV1 E R 'T' (\ N B_, (J .i L D 1 1'1 :''''1 D E P A ::\ T M E N ~Il .W --...:; : m A p 7 r' ..... N !? E .R M.' T t;; L. A 1. 0 ... ~ ,~ l ----"-----_.=~------------------,------------------------------.-...-.---..----.- ____.___._____.._________________.______.______~__.___--------------__._..0______--.-... , ' . . ''''''''''-''i:f'iP'''' , A,pp.~ 1 ~a.t.lon Oa l,. e Issue D2 t,? Assessor Acct # Site Location Owner - Last Name - street - City - ?1"lOtle Ten.E':nt. ' ~3 Name Ag8T1 t: 1 s I\12d7H? J.1_t"chi teet. II s "Narne [X] Building : 1 Hech.3.nic~al [ J Plumbin9 ~ Building Contractor: 06/23/1995 Applicatj.on Ntlinber 95AP0871:7 Permit. Number Project Gr.-oup 3976-028-001-0004 1231 C~~PBELL WAY ARTHUR/WESLEY 1231 CAMPBELL WAY BREMERTON (206) Fi.r::.~t DRS Hf state WA Zip 98310 R,C. CLARK Phone(206) Phone(206)479-5598 [ J Grading [ ] Move Building [ ] Mobile Home [ J Pav:ln0 [ j tJnder;~r01J.nci, r Demo} i ti (;'D Sign Burning Land Cle<3.r Work wiJ,! be completed by owner~ I\f a t 1~ .r e 0 :E y:; :) r k : Replace acces stairs to beach, talten away by slid~_ :s APPROVED PLANS AND SITE PLAN MUST REMA IN ON S 1']'8 AND AVAILABLE FOR INSPECTIONS. Building Valuation C~ 0 :J.TI c i 1. fJ i s t. r i c t Construct.ion Type ResideJJ.ce Bt.1S 1 ness other rfeT..Joi Repai :t' f?~emode 1 Addition $5000.00 3 Census Tra,:::t Sq: Feet In.spectic,n/3 Required r .. L J [X] r J '- [ ] r"J L ~,- [ J [ ] rXJ ,.. . L .J Zoning Type FOllnda t i on Framing Insulat.ion [ ] Plumbing Mechanical Wallboard Fi TIed r , j ~. .i status Code [ J r 1 ~ .J r Xl " .I 11 ---------------------------.-----------.------------------~------------- ._------------------------.-._---~-_._----------_.y---------------------------- ~'J'\\~~ C.lrY /115 p~ Sc::~~ MAN 441DrJ4 t3t:1t:)/. VIta... u;;J.tJa.~(.)rJ.~ ~ ~ 1- 8CeJ ...4'24- - ~~s-~ 66iCb{; ~A-7i~ U~ ~ ~-27.-7S " ~-......~>"---- ,( B R E M E R T 0 N , "':fL U I L D I N G D E P A R T M E N T P E R ~:II T" A P P L I C A T I 0 N ===========:=============~=======.=========================~~========= ~'~J-;> -~w~ .Ii. App 1 ic,.a,t;1<(:}l'~ 6aCt"e Issue Date Assessor Acct # Site Location Owner - Last Name - street - city - Phone Tenant's Name Agent's Name Architect's Name [X] Building [ ] Mechanical [ ] Plumbing 06/23/1995 3976-028-001-0004 1231 CAMPBELL WAY ARTHUR/WESLEY 1231 CAMPBELL WAY BREMERTON (206) Ie C. CLARK [ ] Grading [ ] Move Building [ J Mobile Home Building Contractor: Work will be completed by owner. Applicati.on Number. 95AP08717 Permit Number Project Group First DRS HI state WA Zip 98310 Phone(206) Phone(206)479-5598 [ ) [ ] [ ] Sign Burning Land Clear [ ] Paving [ ] Under.ground [ J Demolition I . Nature of Work: Replace acces stairs to beach, taken away by slide. S APPROVED PLANS AND SITE PLAN MUST REMAIN ON SITE AND AVAILABLE FOR INSPECTIONS. Building Valuation $5000.00 Council District 3 Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation fXj Business [X] 'l~ype Framing Other [ ] Insulation [ ] New [ ] Plumbi.ng [ ] Repair [X] status Mechanical [ ) Remodel [ ] Code Wallboard [ ] Addition [ ] 11 Final [X] ========~=================================~~====~=================== / r- CV/~ ~ (rf\"J j) //~ ~\'} ~ &- 7-~-7)"- ',. ~ ....._t_ -......- CITY OF BREMERTON PERMIT CENTER Application Review. TypeofAPplication:~~---d, k.eA.. Applicant: ~/ttJ~ Site Location: /,;?3 / ~ LUj-- Application # fs /l~ ~ i 7/ 7 Submittal Date: I.t; /028/9 5 Committee Review Date: 6/.:2 7/ Y' S . Y ~~Lk:1:E. Zoning Y4!:> Environmental Engineering/Streets EngineeringlUtilities c:...a. .. \. ., Fire YN YN Other YN YN Additional Comments: lj .(' ~c..) s-e- u/o .. (.,..- h - 'e..'("o ~ /1:) "'-' . -, :.;.a. _"- I', :' :(>I.T:,)':' - 0 F ;..;8' R'E,.M"E"R T-Q';N. ~ Gateway to the Olympics and Home of the Puget Sound Ntroal Shipyard BREMERTON BUILDING DEPARTMENT June 27, 1995 Consolidated Engineering Attn: K. C. Clark PO Box 2321 Bremerton, W A 98312 Re: Applications for stairway located at 1231 Campbell Way (John Arthur) The application dated June 23, 1995 is complete and ready to be reviewed. We estimate a decision will be made in one to two weeks by the Building Department, but the Planning Department is requiring a SEP A checklist and soils report for this project. (Call Jack Allingham for any questions with this - 478-5275) Also, the Engineering Department requires that the statement "CITY TO PROVIDE SIDE DITCH DRAINAGE FOR CAMPBELL WAY HERE" be removed from the plans (If just crossed off, must be initialed by Rolla Boughon.) For further information or questions, please contact Bonnie Krause at (360) 478-5275. )kn~ Donald L. Pratt, Director of Co~ty Development DLPlbak 239 4TH STREET . BREMERTON. WA 98310 " 11? ~ Bo '~ ". {. '''......... - B R E M F~ R T 0 N B U I L D I N G D E P A R T M E N 'I' P E R M.,'r T A P I? L I C A T r 0 N 06/23/1995 ~======~=============~========~=============~=====~=~~=~=====;~~=~==~ Application DClt.e Issue Date Assessor Acct # Site Location Owner. - Last Name - street - City - Phone Tenant's Name Agent's Name Ar.chitect's Name [.:In Bui 1 di ng [ J Mechanical [ ] Plumbing 3976-028-001-0004 123] CAMPBEl,J. WAY ARTHUR/WESLEY ] 231 CAMPBF.L,J.. WAY BREMERTON (206) R.C. CLARK [ J Grading [ ] Move Building ( ] Mobile Home Applic&tion Number 95Al?08717 Per.mit Number. Project Group First DRB MI state WA Zip 98310 ::>hone(206) Phone(206)479-5598 [ J [ ] [ ] Sign Burning Land Clear [ :I Paving [ ] Underground [ ] Demolition Building Contractor: --~-----------------------------------_.._----------~---_._------~-_.--- Work will be completed by owner. Natur.e of nork: Replace scces stairs to baach, taken away by slide. S APP"ROVED PLANS AND. SITE PLAN MUST REMAIN ON sr'rr~ AND AVAILABLE FOR INSPECTIONS. ;/ Building Valuation $5000.00 ------~-----------------_._--------------~--------~._--~---------------~- Council District 3 Construction Type Sq: F'est Census Tract Residence Business Ot.h.er New Repair Remodel Addi ti on r ) [X] [ ] [ ] [X] [ ] [ ] Zoning Tvp~ yo status COdA Inspections Requir.ed ]} p'oundati on Framing Innulation Plumbing Mechanical Wallboard Fined P!j [ ] [ ] [ ] I: ] [X] =============~===~=='~==========~====~=~=~~~===~F=======~========~==~= (}L~ \qS' ~ y-- ~ t))Yr \g1 . }Q\ ,JUL -OE, 9:i 1C1: 45 FF~[lr'l: LRr'18c, [IFF I'-E ':'; '?F'L" ::>[-1~' -, ''="~'-i ,~, . ~.-I )Yr' -...... -' -' I L... -' -' I I :"",..:. 'f -' - ' ''', ' \. i..,; CONSOLIDATED , ,. to Tel: 47::::527E: F'R'3E : Cll N iNEE ING " ,'\:;>:~}}L ',,: :~':~, ,/ . .J"~~:':\'"-2..'J~ ,/"") - CIVIL - STRUCTURAL - SOilS - PLANNIN(~' Juc ., RY: Applicatl~ns for / ~. n _~OVq-- - cL ~~ J~--- cr- ~~~, ~~~~ \.. -l( UV ~ ~c.- ~ ~\-~, . ,~~ ~ . ',2C'~iv8d your let , ~o..J-- _ ~ ~Ul-' ~ng that thl:' J~\2.r.Ht;m€nt requi\ I~ ~..t- ~ soils report: f(};- ,I -........r....:.- . ;.L~.. This proj ec,~. ~o.. construction but tt;e rep12ce'7_~' ; 1'.n~~ fadlit:y. Ther-e1or-e: because this proj('!ct is not new ,', . ::, 5E1'A ch~cklisL and soils report should not be reqv.i~~I5.. Bremertoo Building Atcn: Don ~rarc 239 I.\ch Sct"t?@t Brernerton, WA 9831C .. . L Mr. Prat. t: ,'c'y q -:-l'T- -, '0nce.rns about t~is pr'oJecc, please cc~;t$.c(,:', T:): ' . ~ jc.l.~'.~ t.'lgLl Lev&J t< (3 6E)0j~~V --------- ~ fJ ht\vV\ ~-\- ~ ~ E f>rr ~k~.}.J<..\~~t-~ S,,;15 ;"/'o (~ /5 r'rr1 ):.., I ,...1 '1:. I JUI-Y 6", 7:. r __._"_' _72....~. ~ci::~~.G., I:' Ci (3(":;< ??/) -I 0 p,c\,'(-:,,\rY"jPI-ror-' V/ f:;.. :::-.;::~ 1 ''\ Ii f")Of,' _. _! <+_~ ~_ ._ "...... _.. ~ I ___ _ t I ,.,.... '- ... ..... v . d~fJ- ;;:01 AI/5 P f!-ItJ~. 7P O/CEIAt3I.....7$?) _ --"" , ~ C) rr" ;.c;"M to( 7Jt / T .c.l/ lj.,f{ ;0 ~ : _L tJ ')"6 u fLS .., 'l UwV4 ~~P1RES ~ -Z-I '7?~ I ~(.\" 1\\'3\'1)'NG ~ VS.A-llL6 . '. -z-9f4 Ilv,Gfr/ B'/ ~ ~l~ /;I - .~""()-,,::.5qB \ll c.'':'''.:x. C2Ci~) 377-75.56 4t~"GONSOLlDATED ENGINEERING I:::::::::::::": ...... ... . '::" - CIVIL - STRUCTURAL - SOILS - PLANNING - June 30, 1995 nuJ@t~"Wrg@ JUt 03 1995 BREMERTON BUILDING DEPARTMf.~n Bremerton Building Department Attn: Don Pratt 239 4th Street Bremerton, WA 98310 RE: Applications fort stairway located at 1231 Campbell Way (John Arthur) Dear Mr. Pratt: We received your letter dated, June 27, 1995, stating tha~ the Planning Department requires a SEPA checklist and soils report for this project. This project is not new construction but the replacement of an existing facility. Therefore, because this project is not new construction, a SEPA checklist and soils report should not be required. Any further questions or concerns about this project, please contact us. Sincerely, /f) ~M/[~ ./JcAtLLE Diana Graff zr)~ Consolidated Engineering ~~~ WOJVJL c ~. #f(UJf-e '5bf/'t ~ \c0.'> ~ ~~ I.Ur? / o ~ 1fVf' .~..~ r Aq~ ~\ VDi0-~~ ", C-lt~t j((,.-J7 T r i- P.O. Box 2321 · Bremerton, WA 98310. (206) 479-5598. FAX (206) 377-7556 CONSOUDATED ENGINEERING P.O. Box 2321 BREMERTON. WASHiNGTON 98311 (360),479,5598 J08'~)?-3} "'~::~~:~,:{~0',~jl':'Z.:::=l.i::"_=__J.,J&,\/ .~~ '"t;? cd r"A/ C(/,~( .,",~; I r I ) SHEET NO. (.1+____ Of' --L--i. . - -'_,c_- . Cr,LCULATED BY eLl-A DAT~/ 4;, 9 (- CHECKED BY __, DATE ~7/:/L: . . . .: . . ..-.".-.-.'.-...........-.....-. ..---.,.............:........... . .' . .' . . . '. ........_.._. .__....c............_........ ......_.__.................. . '. 5'7CN/9#~~I2.... ,., ....n..... ..... ......~~,ti~#' ...'.......~.:L3+?I(. . +"1.;)" . . .' .............~........'......;....'..j~..........Aji5...~...... 2.x/z 1/ .S741'V6~a';1~'MS-:~7. .... ... 2,~.b' @ ..... ,1I~VC/f' : ::. , ,:0" T .r\%, . . .:_ ~._=-;~c/tz.;.<)'.6:~..~ ,e/t ) .-M.. ........ ..r.~.........!;i nn {.' .... 6...........;.... (Il/: .: : <t ~ . 8n . . n... . . . ...n;.. .'. "?: ..' . .' -- ~'j". , ., ()".t.. .liJo;p:,:-/5,'7S].~~j~ lA' .. i -8 T. - ! ~.-'lE . . . :'" : '. . . : :: ': , ;: ::::: . ' :, ':;::' ~:2-;-I~~J:;t~ ~ . -'!-...... .!; . 7 02~.I>L: > II Zf?c' {)5 8:.. ,L /1/&. Li) Ltf-J}I:)L_-:;!/C;J/V, ,J (r~. j.JbllJ7'b .g~jA2L.L. \. f-j. G ' / . r \ k'~ d.L3~j J,./ -f-- (iy~)' =23~ I (, / -1- . ;;.- )=?~.~ ~ .' (,-, .::.1?/J be;) ,::~ (Ive:)'>:}-~?-6~i0 ' ::';;:,:; /.'-'.'".".,,"': '" -) c; (' /,1 r f=- ~ _ .-- ,~".;'''- t., I ~ ( .,>'~/ , ,(' '-' -::;;::> - /, \~r- ,:j .:, C): .::~ ,);:.../ r- ---;:>-1 :::: -2 ; I~. ~_I. ("1',,-:- p:i' ! '-.' ,j(,'/'C) I. r .,~, 1".' I ":" l ~~J- /~ E)(PIRESyil-9~ w- .... ... ....m . ...... . ,.......... ...........~~..... ...;.-.--.2 j!1 ::::Ul~}'-=_/4a;;;./ J.:Z.s-'....~::3/ 5:::'7 8 8 J; -..' 1'101 'f, . A>\. <?i{iv"~ f I? ,.:, . ., "::::. ._~- ~:-, ~ I~' ~.:.:-.~::::...:.!..,,_ ..._ \, h --. , '- ~--' ~ 3.?2q:Y.5 ~. lej.cJ ~ ,,~~. Lot,,""; ) 2.;:> f -""'. ) 2. r--', , . I; ...-; -)/,":". '-~- /1__.; .)~If):" ..."" 1,,, 'j ,i.r ~. o/{l ./ ~/ FU" " ~r;0[','X; ':,:..:.-, :~~.;:,~ 2,,~;,:;: ,,:~ 1 /.~X"":\ C:!';~ii!J,~~ ~~r, . ~-",'(" l",~:'_, :.; :i~ ':. ':( ;';,; i-'.;-);: :;":. -:',::: . .;;ifj-~:2:l';:3tG .;,'"" . -." ..:., ~.' ,'\ ...:i".,".....,:...: .': : ,~ ,," -c(i' -3305~3306 . . . . j991;lJ,NIFQRM,.BUIL.:DING: CODE " ,~J.._,"'.. . ..1 _,: ,\ /, ;Ji" \ " ':" ,..:,:',':", '.!~; ,..'. .." " ' * . 33Q~{g)AI].da)J~o~h\ngs:ir!!o.t~~19b,bY ~all contiguous<<-iththecomdbr,shall be mprot~ct~d ~S;r~~lii~i:I,,?~:;S~~~i~n:.:~3p5.:,(h): ';,.,:::z,,' :':',(\". ' ,: ':,:' ;, '>~;.. 0'.,. , m "';' '.EXCEPTIONS:', 'L'lnoffic~:buildings Classed asa O'roupB, Divisibri'20ccu- ~ ,L' pancy;separatioi'is need not beprbvidedfrOrh a street floor lobby, provided the entire ~ street floor is protected with 'an automatic sprinkler system, ' 'c. ' : 2, EI~vfl,t9FS?~i:~u,ir~d tpffi,.eet the sha(tenclosure,r~quirements of Section 1706, 3, When additional doors.~e provided in accordanc'e with Section 5106, Elevator lobbies shall comply with Section 5106. ~{-: ' . ..." . . ,..; ~ .;. - ~,,-,., .' - '., . '. " , )nf~lly, s,p.r.\nk,_"J,_~, r,e.<;I;?Jfj~,~, ,.P, 1,I,,i~4iIlgs,! cOI!\4l?f.s ma,yl.ead through enclosed eleva- i tor 16blJiesif iill a~eas ~fili.~.buildinghflve access to at \east one required e,xit Y'ith- i~~I1~~f!-c~,"fl~i!~~~!~E!)~:',~;S - h' ':' ,~~;'330,o; ~(~)Q~Q~~~."~~y'.erY ;~t~i.J.:WliY ha~ing (\Yo ormore,ri ser,sservi,ng any builgil1.g Qr'P9rtiop'tlfeIYQ[!!.h,all.~onfo.rm to therequirementspfthis section:When a,is~~sirl,as.~~x~~!Y [O?I!I,sF.\lyest,eps., they sh~!lconfox:m with theprovisions in Sec- t';~t;rt~~ii~r.'t~~fJ#?~:;~;i;'~;~r~i~'":~::;"mp'f:," 3i' . ",(b) .'WJ(lth';tTh~im.1ii!JllUllf stlimyay ,wldtQ'i;!1~lI be, determ!ned, as specified '10 ~ . ',.>~''''':''1',,:'''' ..."....... -r~~->'4......'l-~.. (,r'''-'_~'''''-J'. ,,,,,,,->-,\,...,' _~-r'.l:;' .'." ...;_.....'''''~...... ",")."-'" .!. . ~ 'SeCtidn :3303. (b );'but~~!iJiJl@'bfO{qess'tljah;:#:!Il.~l1es,:~j(cepHis speCified herein. ~ ,~"".'" ,.c,.,";", ~__,"""~_'r"'_";-~';""~-..~-.'3::"_"'_"/:-.'~""-' ":'"-~;~'"-r'-'" ,,,.-~ ;..':.~",!". '.. '- '. ! Stain.v~yss,e,~ii1~.~:~~~p:~~load'of_49~f[le~s:s~allilOtbe'leSs than 36 inches in I w~dt~.:;",./b;':; ;>i'~,~if:\;A1i}i:\'j,(;,~::,~,i..t~;: ,.;l,~(~;'l':: l;:/ ",,' "', ':'CHindr~ils'ma:yprHreii'i~t((the re'qJi1edwidtha: disiiin~e of'31/iinchesfrom each sicte'ofa'stainva:y: S'inng'er-san<!'othe?projectioris such as trim and similar decora- tive, fe~ture,~,IJ1~y proj~:ctil1to'th~ required width 11h inches on each side, (c) Rise an'dRun. The ri~e of,e,v.ery step in a stairway shall not be less than 4 inches orgreat~F than 7)nc.h~s,Except,a.s perm!n"d in Subsections (d) and (f), the run shall not be' iess than Ii inches' as 'meas'ured horizo'ntally between the vertical planes ofthe furthermost'projection of adjacent treads, Except as pennitled in Sub- sections (d), (e)'and (f), the largest tread run within any flight of stairs shall not ex- ceed the smalle~t b); !r.()re than 3/8 inch, The greatest riser height within any flight of stairs shall not exceed ~he ' lIest b 'l11oJy:!h~J /i,in:(.:r::;:;b~;'~",,~,' ,.,' , " ",~~,_,,,,_,,y~~~i~~1'~~*,~~~'" . , 'an "me "ffilmffium'run."~'" .. "...."',!; ': ...b...-..,t.",""-:"~;.,:\~'!.":;:r..:)~'-" ~.r 2, \Vhere the bottom or top riser adjoins a sloping public way, walk or drive.way having an established grade and serving as a landing, the bottom or top riser mav be rcduced along the slope to less than 4 inches in height with the variation' in height of the bottom or top riser not to exceed 3 inches in every 3 feet of stairway width, (d) Winding Stairways. In Group R, Division 3 Occupancies and in private stairways in Group R. Division I Occupancies, winders may be used if the required width of run is provided at a point not more than 12 inches from the side of the stair- way where the treads are narrower, but in no case shall any width of run be less than 6 inches at any point. ( ~.,. 638 /~ CONSOLIDATED ENGINEERING I:;;::::::,::: .: "..... . ..........,..". .. .....,......... ".V' ..:;,.::;:;:::'." .'", :::::~<;;tWi; - CIVil - STRUCTURAL - SOilS - PLANNING - July 19, 1995 {lli"- '~'>',: t. ,- ;", ;.. 'Qt"h'1 , .', .:. t 10- , t {a F" 1 ~ " n ' · ... I ') '{' I ,.: \, l~ It Un i ~ '-~ _""J t. - b " '~JG ' -: ~ ~- ) i)~~I"~:i'.Z~~-~Tt; f~ ." . ~U\Li;:;:~ DEPMUMtN'i TO: City of Bremerton; Building Dept.; Community Development Division RE: Ceo-technical Evaluation of Beach Stairs Replacement for Property at 1231 Campbell Way; Bremerton, WA Dear Sirs: The stairways replacement provides access to the beach from the top rear lawn of the subject property (see enclosed plan). The original stairway was destroyed in a recent rain storm from a torrent of run-off water. The replacement of this stairway poses little risk to the stability of the high bank above Port Washington Narrows. A review of the Washington Department of Ecology Coastal Zone Atlas shows the lot to be primarily in a Stable Area for stability from landslide hazards. The slope to be traversed by the stairway is listed as Unstable. Unstable slopes are considered unstable because of geology, ground water, slope and/or erosional factors. There are no recent slides shown in the immediate vicinity of this site. The slope of the bank at the stairway site was measured by an optical SMART LEVEL and found to be about 1 3/4 horizontal to 1 vertical. Normally, original slopes of 1 1/2 to 1 or less are considered stable. An intimate evaluation of the designed location of the stairway replacement showed the soil to be a granular type of glacial till, generally. A lense of cemented clayey-silt about 18 inches thick was found about halfway up the slope (samples were taken). There was some water noted seeping out above this strata. The high bank is covered with low vegetation consisting primarily of blackberry vines with the exception of the denuded stairway replacement site. Photographs were taken for our file and record. Short pilings are designed for the stair landings in four locations and the replacement stairway is designed to terminate on an existing concrete landing (steps) near the beach. The rear lawn has been filled and will be graded to an average of two feet in height to drain away from the stairs location. f'~ f!'lS.ll , ~ ~r~ ~1Sl,,;6 P.O. Box 2321 Ii Bremerton, WA 98310. (206) 479-5598. FAX (206) 377-7556 City of Bremerton; Building Dept.; Community Development Division Page 2 July 19, 1995 Drainage from the paved parking lot in front of the house will be collected in a catch basin and carried downslope in a closed conduit to discharge into an energy dissipator. In my professional opinion, the construction of the proposed stairway replacement should impose no appreciable hazard to the stability of the high bank along Port Washington Narrows. Yours truly, ~. Rolla B. Bougha Geo-technical Engineer. Encl- Stairway Site Plan, Rev'd : '1S[""":,," ',- '- " -' ;:;, ;1' ~ "" : ,. 0' 0,1' ..- " . I J - IZ31. CAJ1./-#8ELL L..../AY- , 7:;1 I . ,;,., .,.... , , ,,"". I,' ~.,;.",i: -{... 'f. tz l>ENl.I15E::D .. i Af::~ ~. ! r==-O /;> AA j p.:;..., :y ~e I i 57A/e-~/.4Y , ....s /7t!t \ l ( I I I j ( ~ ~~'!t",!i 5J TE' -PLf~t~ ~ I ", . , ,~ - ';SL,/'b.e A~ \. ... / I I I ~ I I . I i\l PERMIT CENTER 288 Fourth Stteet, BreDlenon WA 98337 Phone: (360)478-5275 Fax: (360)478-5278 ~ Acceptable Handrail Details min. 1'..:.' .. MIN. · "L :<:: -:i NOTE: c: OTHER SHAPES MAY BE ACCEPTASL: IF THEY PROVlaE AN . EOU1VAU:NT GRIPPING SeRV1CE. NOT ACCEPTA8 LE 6'8" MINIMUM HEADROOM HANDRAIL MINIMUM RUN 4" MIN. RISE i.. 8" MAXIMUM RISE OCCUPANT LOAD LESS THAN 10 (Private Stairway) 6'8" MINIMUM HEADROOM HANDRAIL OCCUPANT LOAD OF 10 OR MORE STAIRWAYS I .',' ~ (:"':. Cityof BrClllcrtoft :!J<) FOURTIISTREET ll,RE\1 ElnaN, WASHINGTON <)!U 10 (206) ~78 . 525:! ~ .~ ENVIRONMENTAL CHECKLIST !lJ .J. () -0 Cl~it P //:;2 ..- SEPA RULES PURPOSE OF CHECKLIST: The State Environmental Policy Act (SEPA), Chapter 43.21C RCW. requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal. if it can be done) and to help the agency decide whether an EIS is required. INSTRUCTIONS FOR APPLICANTS: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are .significant,requiring preparation of an EIS. Answer the questions briefly. with the most precise information known. or givo the b05t description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer or if ~ question does not apply to your proposal. write "do not know" or "does not apply". Complete answers to the questions now may avoid unnecessary delays later. Some questions ask zoning. shoreline, and questions if you can. agencies can assist you. about governmental regulations. such as landmark designations. Answer these If you have problems, the governmental Gateway /U lite Olympics and Home of lhe PI/gel SOllnd Naval Shipyard The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any addit~onal information that. will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain you ran s w e r s 0 r p I' 0 v ide C1 d d i t ion ,d i r,f 0 I~ mat ion r CH1EJ 0 lHi b 1 Y rei C1 t e d to detel'l1linin~ if there may be significant adverstl impact. USE OF CHECKLIST FOR NONPROJECT PROPOSAL: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." In addition, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (Part Dl. ~ ,. For nonproject actions, the references in the checklist to the words "project", "applicant" and "property or site" should be read as "proposal", "proposer," and "affected geographic area," respectively. A.. BACKGROUND 1. Name of proposed project, if applicable: 2. Name of applicant: Narrows Prof~ssional Group III 3. Address and phone number of app~icant and contact person: John Arthur 1231 Campbell Bremerton, WA 360-479-4203 Way 98310 4. Date checklist prepared: 7/19/1995 2 5. Agency requesting checklist:. City of Bremerton 6. Pr~posed timing appl icable): or schedule (including phasing, if HaDe to construct prior to wet season 7. Do you further If yes, ~ have any ~lans for future additions. expansion. or activity related to or connected with this proposal? explain. No 8. List any environmental information you know about that has been prepared. or will be prepared, directly related to this pro?osal. NOTlc 9. Do you .know whether applications are pending for 8o~ernmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No:.." 10. Lis: any government approvals or permits that will be needed fo, your proposal. if known. 3 1 1 .' G i ve b r i e f . c c'm pie t e des c rip t ion 0 f you r pro p 0 sa 1 , including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your propoual. You do not need to repetit those answers on this page. (Lead agencies may modify thiti form to include additional specific information on project description. ) Slope stabilizatio~ by proper drainage, natural vegetation and retaining wall construction, asphalt pavement and stairs to beach 0.6 acres f' 12. Location of the ?roposal. Give sufficient information for a person to understand the precise location of your proposed project. including a street address. if any. and soction, to'.inship. and range. if known. If a proposal would occur over a range of tirea, provide the range or boundar:es of the site(s). Provide a legal description. site plan, vicinity map. and topographic map, if reasonab1y available. ~hile you should submit any plans required by the agency. you are not required to duplicate map~ or detailed plans submitted with any permit applications related to this checklist. 1231 Campbell Hay; 3remerton, WA Section 12, TownshiQ 24, Range IE Lots 1,2,3,29,30,3~ and Blk28 TGW TDLDS FRTG Lot~ 1,2,3 BLK 28 4 B. ENVIRONMENTAL ELEMENTS TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 1. EARTH a. Gene-ral description of~hp !':ite (circle one): Flat . rolling, hi 11 Y .c~~~_!?..::;__~0'pe_0 mountainous~ other ..- . b. Whai- _ is the steepest slope on the site (approximate percent slope)? .57% . ~ c. What general types of soils are found on the site (for example. clay. sand. gravel. peat, muck)? If you know the classification of agricultural soils, specify them and bote any prime farmland. Granular topsoil and glacial till d. Are there surface indications or history of unstable soils in the immediate vicihity- If so, describe. No. History of unstable soils in immediate viciI.~t:y e. Describe the purpose, type and approxima:a qu~ntities of any filling or grading pro:osed. =n=icate source of fill. T,f'vplinE of rear yard property - 50 c.y.+ f. Co~ld erosion occur as a result of clear~n8, construction, or use? If so, generally describe. Not likely 5 g. About what percent of the site will be covered with impervious surfaces after project construction (for 6](amplo, aspha.lt .or buildinBu? No change- roughly 40% h. Proposed measures to reduce or control erosion, o rot her imp act s to the ear t h, i f any: Energy dissipator for rain water run-off 2. AIR a. <- What types of emissions to'the ai~ would result from the proposal (i..e., dust, automobile. odors. industrial wood smoke) during construction and when the project is completed? If any. generally describe and give approximate quantities if known. ~ None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. None c. Proposed measures to reduce or control emissions or other impacts to air. if any: 6 3. WATER a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes. ponds, wet- lands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. Port Washington Narrows ~ 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described water? If yes, please describe and attach available plans. Retaining wall; asphalt pavement and stairs to beach 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. None 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and app:oximate quantities if known. No 7 5) Doe~ the proposal lie within a lOO-year floodplain? If so, note location on the site plan. No 6) iDoes the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and ~nticipated volume of discharge. No b .CT-ound : ~ 1) ~ill ground water be withdrawn, or will ~ater be discharged to ground water? Give general description, purpose, and ~pproximate quantities if known. ~To 2) Describe waste material that will be discharged into the ground from septic "tanks or other sources, if any (for examp 1 e: Domest i c sewage; i ndust ria 1 , containing the following chemicals...; ~gricultural; etc.). Describe the Esneral s'ize of the system. the number of such systems, the number of houses to be served (if applicable), or the ~umber of animals or humans the system(s) are expected to serve. \ione 8 c. W~ter Runoff (incl~ding stormwater): 1) Describe the sourc;: of runoff (including stormwater) and me~hod of collection and disposal. if a'-fry (including quantities. if .known). Where ",ill this water flow? Will this water fl~w into other waters? If so. descl'ibe. Stormwater to bedirec~ed downslope into an energy dissipator and thence to Port Washington Narrows 2) Could waste materials enter ground or surface waters? If so. generally describe. No ~ d. Proposed measures::o reduce or control surface, ground. and I'unoff 'water impacts, if any: As in (1) above 4. PL'ANTS a. Check or circle ty?es of vegetation found on the site: deciduous tr-:'-:': other alder. maple. aspen. _ evergl'een tr,=~-:,: fir, cedar. plne. other 4fhr u b"'b ==(E.ras?> pasture _ crop or gralT _ wet soil pla,:s: cattail, bllttercup. bulrush. skunk ca::age, other _ <:Qt her t 'i P e s_-.-:~~~~_~_~~ Blackberry vines 9 b. \/hat kind and amount of vegetation win be removed or altered? None c. List t h rea tened or endangered spec i es known to be on or near the site. None d. Proposed landscaping, use of native plants, or other measures to preserve or enhaEce vegetation on the site, if any: Leave natural vegetation as much as possible 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle,~' other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, 'trout, herring, shellfish, other: b. List any threatened or endangered spec:es known to be on or near the site. None 10 r,: c. Is the site part of a migration route? If so, explain. No d. Proposed measures to preserve or enhance wildlife, if any: None f': 6. ENERGY AND NATURAL RESOURCES a. What kinds of energy {electric, natural gas, oil, wood stove, solar} will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. None b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No c. What kinds of energy conservation features are included in the plans of thi~ proposal? List other proposed measures to reduce or con t r ole n erg y i m pa c t s, i fan y : 1 1 7. ENVIRONMENTAL HEALTH a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous wastei that cduld occur as a result of this proposal? If so, describe. No 1) Describe special emergency services that might be required. None !'; 2) Proposed measures to reduce or control environmental health hazards. if any: None ,. b . N o'i s e 1) What types of noise exist in the area which may ~our project (for example: ~af~i<:J equipment operation, other)? Slight 2) What types and levels of nOlse would be created by or associated with the project on a short-term~ong-term basis (for example: dJ:aJfi0 construction. operation, other)? Indicate what hQurs noise would come from the site. Verv minor 12 3) Proposed measures to reduce or control no i se i mpac t s. if any? 8. LAND AND SHORELINE USE a. ~hat is the current use of the site and adjacent properties? Commercial b. Has th3 site b~en used for a8riculture? so, describe. No If c. Dascrlb~ uny structures on the site. A building d. ~ill any structures be demolished? '....hat? No. If so, e. ~hat is the current zonin8 classification of the site? Commercial f. What is the curr~nt comprehensive plan desi8nation of the site? Commercial 13 g. If applicable. w~at is the current shoreline master program designation of the site? Unknown h. Has any part of the site been classified as an "environm~ntally sensitive" area? If so, specify. No i. Approximately how many people would reside or work in the completed project? Four j. Approximately how many people would the completed project displace? None k. Proposed measure5 to avoid or reduce dis- placement impacts, if any? 1. Proposed measure5 to ensure the proposal is compatible with e~istin8 and projected land uses and plans. : ( any: Slope stabilization ~nd leaving of natural plants 14 9. HOUSING a. Approximately how many units would be provided. if any? Indicate whether high, middle. or low-income housing. N.A. b. Approximately how many units, if ani, would be eliminated. Indicated whether h~gh. middle, or low-income housing. N.A. c. Proposed measures to reduce or control housing impacts, if any: N.A. 10. AESTHETICS a. What is the tallest height of any proposed structure{s). not including antennas; what is the principal exterior building material{s) proposed? N.A. b. What views in the immediate vicinit; would be altered or obstructed? None c. Proposed measures to reduce or control aesthetic impacts, if any: N.A. 15 1", 11. LIGHT AND GLARE a. \.lhat type produce? occur? None of light or glare will the proposal \.lhat time of ~ay would it mainly b. Could light or glare from the finished project be a safety hazard or interfere with view? No c. What existing off-site sources of light or glare may affect your proposal? None fii d. Proposed measures to reduce 0 r cont ro 1 1"1 gh t and glare impacts. if any: N.A. 12. RECREATION a. \.lhat designated and informal recreational opportunities are in the immediate vicinity? N.A. b. \.lould the proposed project displace any existing recreational uses? If so, describe. N.A. 16 c. Proposed measures to reduce or control impacts on recreation. including recreation opportunities to be provided by the project or applicant. if any: N.A. 13. HISTORIC AND CULTURAL PRESERVATION a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No ~ b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: 14. TRANSPORTATION a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Shown on site plans, if any. Off Wheaton Way on Campbell Wc' b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Yes 17 1':. c. How \1ltlny pdl-kin/:) sptlces would the compltJted project hdVtl? How Illdny would thtl projtlct eliminate? Roughly eight to ten d: . Will thtl propotitll require any neW rOdJu or streets, or improvements to existing roads or streets, not including driveways? If so. generally describe (.indicate whether public or private). No e. Will the project use (or occur in the immediate vicinityof) water. rail, or air transportation? If so, generally describe. No 1 . How many vehicular trips per day would De generated by the completed project? If known, indicate when peak volumes would occur. Same as present e', . Proposed measures to reduce or control transportation impacts. if any: Nonp PUBL I C SEIW ICES Would the project result 1n an increased ..--- for public services (for example: fire protection. police protection, health care schools, other)? If so, generally descrite. No Proposed measures to reduce or control direct impacts on public services, if any. N.A. 18 b. Proposed measures to reduce or control direct impacts on publ ~c serv ices, if any. None 16. UTILITIES a. ~ .. 17. SIGNATURE The above answe~s are true and complete t~ the best of my knowledge, I understand that the l~ad agency is relying on them to make its decision, Date Submjtted: Jul 191995 . ~.?;.: 19 [8tPtRES .5 --XI -9'6J D. SUPPLEMENTAL SHEET FOR NON PROJECT ACTIONS {Do not use this sheet for project actions} Because these questions are may be helpful to read them the list of the el~~ents of very general. it in conjunction with the environment. F. ~ ; When answering these questions, be aware of the the extent the proposal. or the types of activities likely to result from the proposal. would affect the i~em at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly end in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air. production. s:orage, or release of toxic or hazardous substances; or prod~ction of noise? Won't Proposed meas~res to avoid or ~educe such Increases are: 2 . How w 0 u 1 d the pro p 0 s a 1 bel i !: ,:. i Y to a f fee t p 1 ant s . ani m =. ~ s. f ish 0 r mar,~. e 1 i f e ? Won't 20 Proposed measures to protect or conserve plants. animals. fish or marine life are: N.A. 3. How would the proposal be likely to deplete energy or natural resources? N.A. R ~ Proposed measures to protect or conserve energy and natural resources are: N.A. : 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protect:on; such as parks. wilderness. wild and sce~ic rivers. threatened or endangered species habitat, historic or cultural sites, wet~~nds. floodplains, or prime farmlands' N.A. Proposed measures to protect s~:h resources or to avoid or reduce impacts c~e: N.A. 21 ~ 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible .with existingplans7 None Proposed measures to avoid or reduce shoreline and land use impacts are: N.A. R 6. How would the proposal be likely to lncrease demands on transportation or public serVlces and utilities? No Proposed measures to reduce or respond to such demand(s) are: N.A. 7. Identify, if p05sible, whether the proposal may conflict with local, state or federal laws or requirements for the protection of the environme~~ No 22 \ ...'~. /lOUTING SIIHET ,--J ...-- P.,joject JJ f~hr'tJ87/7 Dale Received:__ fRfg.3/'lb Application Review dale: ~/J7 Irs- Pre-slIhmiltal meeling date: Date accepted as comp'ete:--.!EJJ-7 N/A :(II~~'~t~!;j/1 .';)b~itl~~;ji'i" ,t;lt:JM:~t'V; ;Ail,)'if <~,!:f;~~,:~' H~r~:~vi~ qR~~l~lvci ::~ "or review". ...IlKllll(leIL: >r~l:clvlllj ...... ... ... Bllildillg V lQl~\ -. f.ilnd IJ;I<: ~~V~ &!~1 . FlIgilleerillg ,/ 't lJIililies .: ...( ..If .. · ............~W .....Jda vi ;;..:i.i.:i:'.... ::l~t~l .~ .: . .... .. sr__ ...~/L. ore 1Yl~ '::": :.......:....... ....', ....ms Fire IkuHh Deili:' .. . :,':: .. . .. ..:/; ....H...: ):::::::i":':/: .. ...."................. ,............ '... . . .... 1:'->: . .;..:........ .. .::.."::.: .: ..::::c... ::... c. .;;. . .... ....... .... Trame Envr..niiill'dli : (SIWA) . .... I.ong nilllgc I'lullllillg School:;; .. ." .... .... ........... ..........' ..... .. '" I.. ;; NcigllllOrllOOd : Dale permit application is approved or denied: Date applicant is advised of approval hy Phone:_1li1_____.___.__ hy mail:____________ Dale applicant received permit :____ _...._---_._--~---------~ OTI/EIl PElllll/l:\l REQ'f)'! V/N r .~.. c BlIIIJln~ Utilities " ;.. : .. .. .:". ;; nlliltllll~ Flrc .. Blllltlill~ Flrc ~Jiilli~i1lhilt" ... j)lll~ . ..1)1I1c i~,;I~\y I)jit.:. ..... iliHri!!'!fi;!1 fil!' I....... ri;~'IO!!~P 'd . :d rc\'luw . I. :.. UIIO/;tCt! . ...... .. . d.... ...... "c " .. .. ..' . rt.t1MlHNG. . Pule . "PIlI'lIve.. nilt~ r~l'!lIl1l~ JUIlOII r ;; .. .. ;.:' .... .:::'.::"T"':~l~(jl.ANrcAt... ... ...d:;: ...... .... . . ..... I .... : .L.dHi\ N(J~ IW()o/SII A 1fT ... c r . Irj ilESI)iuNi(I.Elt . . Fire Iltilities I . ';;.' c Fire .c . .:><": .?m~^.,t\ HI\'I ........ d.: -.. I dq .' ..:: .............. ... nlliltlill~ LlIntllJsc Enginccring Willer :~; j~~i; j;:i:;: ~;~;:~; ~lGN^ q t .... '.:.:= ,": Firc ~ \ \ <6' - --.--. -' AnnRESS: " " __ :-~~i I I I,VG SIIEET ApPLICATION No. DATE COl\1MENTS ~ ;rz-;; l~ /'7 ) -LZ:tL u 6-- /.h27€~ BRllMERTON BUILDING DEPARTMENT Inspection Report Scope of work: Repair Slide Area Addnss: 123i Campbell Way, Bremerton, WA Cl1IIItt~Richard Wesley Contracto~ Rolla Boughan COMMENTS: -h> b.e. rel'1I---~ S",6 -. >fh d . - J I t'iIA,. .) ~..e ( n en-. I ~ WAllS APPROVED: FOOTINGS APPROVED: Pttnnlt N1IDlH~ ( I &//1 ~ --- SUvUv6 ~~ Pbontt: Pbontt: 479-5598 FOUNDATION 01;.. ~ ('7~ y-l$ 4~J , /11';$1 k fS.- 7- ?!>'" pnN ~ I COMMENTS: FRAMING line uhd.......t8 uin!d 10' APPROVED: ENERGY CODE COMPLIANCE COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAlL INSUlATION APPROVED: CEILING INSULATION APPROVED: MECHANICAL hearth. ound-coated COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: uUed COMMENTS: PLUMBING GROUNDWORKAPPROVED:______PLUMBING ROUGH-IN APPROVED SBBE'I'IlOCI[ uired) COMMENTS: SHEETROCK APPROVED: PINAL uired COMMENTS: FINAL APPROVED: * 1t?"3WJ ~ ~ . /f)~~~/, . I. '."'" . "..- B REM E R TON B U I L DIN G D E PAR T MEN T PER M I T =============================="======================================= Application Date 02/04/1994 ,Application Number 94AP07320 Issue Date 02/04/1994 Permit Number 15235 Assessor Acct # Project. Group Site Location ,1231 CAl<1.PBEL L WAY Owner - Last Name OLYMPIC AMBULANCE First MI - Street 1231 CAMPBEI..L WAY - City BREMERTON state WA Zip 98310 - Phone (206) Tenant's Name phone(206) Agent's Name Phone(206) Architect's Name [ ] Bui,l ding ( ] Grading [ ] Sign [ ] Paving [X] Mechanical [ ] Move Building [ ] Burning [ ] Underground [ ] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition -----------------~----------------------------_._--------------------- Building Contractor: Work will be completed by owner. Nature of Work: Gas furnace and piping. Council District Census Tract . Construction Type Sq Feet Inspections Required [ ] [ ] [ ] [ ] [X] [ ] Addition [] Final [X] -----~-------~------------~---~~-----~------~---- -.---~---~--~~-~--- . ::::: :::~::: j ~~~ ~ ~~;j = = = == = :::::::: =::: JNZ = = = = = = = = == = =" Residence Business Other New Repair Remodel [X] [ ] [ ] [ J [ ] [ ] Zoning Type Foundation' Framing. Insulation Plumbing Mechanical Wa 11 board Status Code