HomeMy WebLinkAboutBRENTWOOD DR., 1112
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BREM'E:~:RTON PERMIT CENTER
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286 4th Street" Bremer ton " WA 98337 .
Phone: ( 360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job (iddr: 1112 BRENT WOOD DR Permi t No: 03-0005
Location: LOT C St.atus: ISSUED
I Parcel No: 1624011-126-2006 Applied: 01/03/2003
I Issued: 03/06/2003
I Applicant :: KI\lH HOP1ES INC 360--981-3043 Expires: 09/02/2003
I 8176 NW LAWS TAD PL SILVERDALE WA 98383
I O~'mer : KIWI HOliES INC 360"981-3043
I
I 8176 NW LAWSTAD PL SILVERDALE WA 98383
I Contractor: KIWI HOMES TNC 360-981-304Llc #: KIWIHI*988RC Exp: 12-03"2004
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I 8176 NW LAWSTAD PL SILVERDALE WA 98383
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Oesc: NEW SINGLE FAMILY RESIDENCE Wl,iAH:PICHt:"O' GARr.GE
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Valuation * P€~rmi t. Fees: 1,018,,00 Total Calculated Fee: 1,604,,69 I
75,000,,00 * Plan Check Fees: 532,,19 Addit lonal Fees: ,,00 I
* Other Fees: 54,,50 Total Permit Fee: 1,604,,69
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M,~CH()d1J1 (liL '/PL UMB 1 NG FIXTlJRES""- NECH-Rang€'. "" """" , ." . " " " " " ,. ,," ~ 1. MECI+-Eias Fu rnace to 100 k btu,. ~ 1
Mf:O+Gf.\;~ Piping (outleh'!;)""",,~ 2 MECH--Exhaust Fans""""""",."",,,,:: 3 MECH-Rar~e Hood (re$).""""",,,,~ 1.
i'1ECHvo'Cloth-li'$ Dryer,.""",.",.".",. ~ 1. PL8C;i-Water Closet"""""""""""" ~ .~ PLBEi-Batht.ub"",.""" .""""".."",,: 2
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PLBG'''Lavah?r)''""""""" ". ~""""" ,,~ 3 PL.BG--I<itchen Sink..""..",."""",.: 1 PLBG-Dishwa$her""""""."""""",,~ 1.
PLBG-cicd:.hes t.Jasher"""""",. ~ " .:: 1 PL.BG""~~ater Heater"""",."""""",,: 1 PLB(~-'Hose Bibbs..""""""""".,.,,: 2 "
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This pI$'rmit ",'haJl become null and void if trn:' l::>uilding 0)' work a.uthorLzed b).. t.his pennit is not .commenced within
180 day'", from the date of such permit, 0"( if this l'1Uildin;J or \olod: autho'dzed by such pe'/'"mi t is suspended Or'
abandonc'd at any time after' the woY:k is c(1l11menced for a period ul' 180 doWs.
NOTICE - It.. h'3 the f'iffsponsibi li -C7' of' the pe1'mit holder, not the Cit), of By'emerton o'r'Buildi liS! Off idal to see
tel it that requi red ins:lpec'u.on,,> aye made,,, The. permit holder mU$t notify the BUilding Official t"hen 1'eady fc)r
inspections" Failu.Ye of the pe1'mi"l: hold~w to notify the Building Official of 1'equired in$pections ma.)' l'e$ult
in the stc.l(:'page of Hie !'-Iork until such time that t:he per'mit holdey can substantiate to the building official
that the concealed (,lo.1'k m~~ets 0'( e~'<.ceeds code requirements" Any demolition" testing, or- finaneia.l bur-den shall
LIe bor-ne di rectI)' b)' the permit holder" hui1un? to t~ubstantiate c:ode r'equiYements will indemnify the City
ana,ins\: 1my (j,nd all responsibility or li<sbility connected (,lith the constyuction.
1: her-eby eerti fy thai~ 1: have n;,ad and examined \:hh) per-mit and know the same to be t r'ue and con'ecL All ~
provisions of Im,)$ and ordinance"" govfHTling thi$ type of ~Jo:rk will be complied ~.!it.h \olhethe1' specifi€'d herein
or not.. The. 9:ranti 1'18 of a pei'mi t does ncd: p rElSlJl11e to gi ve authoYi ty to violate Or' canee 1 the provisions of I
any clt.here st~,te 0)' local la!'-) :regulating c<:::mst.ru.ction OY' the pe-rforffia.nce of consh'uction.
SignstuY.'~~'J~______. 1 "2:i '::5 ... G - 03-
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1 eed;;ify th,w\:; 1 am exernp1;; frOI1'1 th~~ y'e-quir'e-rnents o'f tI'W st.9.te C("\1t:ra(~to'('S :registration fa"./, under
Section 3., Ch~\pt<i'r J.26, l:Z\ws of 1967.
"'i' 9r"+un,' Date"
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Job {~ddre~&'",,;.p.;1.2. . ":-;: ISSUED
L 1: "'.....'.~'ii~ e' 03/06/2003
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I R E G1U I RE D INS P E C T ION S,
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I Item: 01100 FOUNDATION-FOOTINGS .:""f Dept:::: 8LDG Division:
Item: 01200 FOUNDATION-WALLS Dept: BLDG Division:
Item~ 01400 MECHANICAL Dept: BLDG Division:
Item: 01600 PLUJYIBING ROUGH"..IN Dept: 8LDG Division: ":)r
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Item: 01700 FRAMING D8pt~ 8L.DG Division:
Item' 01800 INSULATION "I Dept: SLDG Division:
I Itom: 01900 SHEEmOCK t>jAIYINd r ~ Dept: SLOG Division:
It.ern: 02250 DFnVEW{W ; 1t1~ ./,/ Dept: PU8WORKS Division:
I It8m' 02300 SEWER LAT~~' I' p;? Dept: PUBWORKS Division:
Ii Item: 02700 FIN{iL'--Bl" ( i, \'.. .~ Dept: 8LDG Division:
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TESTING: IYJust be '(8cogn eel by the l.Jashington Association of 8ui ldi ng Off ic'is*$s,
SPECINSP: Must be registered with the State of WA
S T OF W{1: State of WA Dept" of Laboy'and Industr ies 478-4921
HEAL. TH : Bremerton/Kitsap Health District 478~5235
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ALL INSPECTIONS PEF~FOR~1EDBY THE CITY OF 8REMERTON il'1UST 8E SCHEDUU::D THHOUGH
PERMIT CENTER; (360) 478-5275.
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PERMIT CONDITIONS
Permit No: 03-'OOOP.. ' _ ') /' ,," age: 1.
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Job BRt::t\JT;.j ~ If: j , ...... . {)1r::~, fed: 01./03/2003
I (;)8Sr ('1ce 11 --126--2006 (}::"\ Ap'pro'v'ed: 03/06/2003 'I
I Loc';,Stion: LOT C Issued: 03/06/200:-3 I
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I {)fJplicant: I<HH HGr1ES INC 1
I Owner: KIWI HOMES INC I
I Contractor: KHH HOME~'3n.JC_' I
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I Description: I
I NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE I
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1. UILDING-....r~lPPRO VE.:Dlj,l /1/"f!<&VI, i:tON2~D )l TED ON PLANS" I
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2. APPR.OVED PLANS l~lk.'JJ.t.....T.€:\....IFl.'~AN t1US '.'."'.,_ AIN ON SITE .AND. I
AVAILABE F::OR INsiYt1CrtfON~)\~", " "'1
:3" PFUOR TO PERFOf~MING {'1NY RENOVA' . OR DEMOLITION WORK, I
PUGET SOUND CLEANvAIR AGENCY (CLEAN AIR AGENCY) AND
WASHINGTON DEPARTMENT OF LABO~ AND iNDUSTRIES ~L&I)
REGULATIONS REQUIRE AN ASBESTOS SURVEY BE PERFORMED TO
DETERt"iINE l..jHETHER THERE ARE ASBESTOS-,CONTAINING MATERIALS
IN THE WORK AREA OR STRUCTURE. THE ASBESTOS SURVEY MUST BE
CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR
(E~CEPT RENOVATION OF OWNER-OCCUPIED SINGLE FAMILY
RESIDENCES) .
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FOR MORE INFORMATION, PLEASE CONTACT CLEAN AIR AGENCY
.JHROUGH THEIR WEB SITE AT www"pscleanair"org OR BY PHONE AT
800-5~:;2-"3565 Of~ 206'-689--4058. Tf1E L&I WEB SITE C(.il\l BE
FOUND AT www"lni.wa.go'v'/wisha/p-ts/asbestos/asbestos.htm.
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BREMERTON PERM I T CENTER
286 4th Street" Bremerton" WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUILDING PERMIT
Job Addr: 1112 BRENTWOOO DR Permit No: 03-0005
Location: LOT C status: PENDING
Parcel No: 1624011-126-2006 Applied: 01/03/2003
Issued:
Applicant: KIWI HOMES INC 360-981-3043 Expires:
8176 NW LAWSTAD PL SILVERDALE WA 98383
Owner: KIWI HOMES INC 360-981-3043
8176 NW LAWSTAD PL SILVEROALE WA 98383
Contractor: KIWI HOMES INC 360-981-304Lic #: KIWIHI*988RC Exp: 12-03-2004
8176 NW LAWSTAD PL SILVERDALE WA 98383
Subcontr:
Desc: NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
*********************************************************************************************
Valuation * Permit Fees: 1,018,,00 Total Calculated Fee: 1,604.69
75,000.00 * Plan Check Fees: 532.19 Additional Fees: .00
* Other Fees: 54.50 Total Permit Fee: 1,604.69
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MECHANICAL/PLUMBING FIXTURES-- MECH-Range. .. " " . . . " . " . . . " . " . " : 1 MECH-Gas Fuynace to lOOk btu.: 1
MECH-Gas Piping (outlets)..",,: 2 MECH-Exhaust Fans."."....."",,: 3 MECH-Range Hood (yes)..".....: 1
MECH-Clothes Dyyey.."..""."".: 1 PLBG-Watey Closet"..."."...".: 2 PLBG-Bathtub."......."..""".,,: 2
PLBG-Lavatoyy".......""."."",,: 3 PLBG-Kitchen Sink"..."".."...: 1 PLBG-Dishwashey..""..."".....: 1
PLBG-Clothes Washey"""...""",,: 1 PLBG-Watey Heatey"""...".""..: 1 PLBG-Hose Bibbs""."..".."""",,: 2
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This peymit shall become null and void if the building oy woyk authoyized by this peymit is not commenced within
180 days fyom the date of such peymit, oy if this building oy woyk authoyized by such peymit is suspended oy
abandoned at any time aftey the woyk is commenced foy a peYiod of 180 days. -----------------,,--,--_., - ----
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NOTICE - It is the yesponsibility of the peymit holdey, not the Cfly of BYe~
to it that yequiyed inspections aye made" The peymit holdey must notif h~ ~ inspections. Failuc. of tho pecmit holdec to notify tho Building f ic I 0 ;J
in the stoppage of the woyk until such time that the peymit ho de st ,
that tho concealed woc' meet. oc a<eeeds cOde c.qoiCemenl$~~ molition.' c:
be boyne diyectly by the peymit holdey" Failuye to subs:ant a code yequit J I
&gains< any and all casponsibility oc liabil~ty connecta' w h the conet""1' ; ~ () ~ .
I hacaby cactify that I have cead am a-2 ~ pacmit and kn~ the =mol 0'7 a.. .
pcovi.iono of 1_ am ocdino"""" ov.c . . "his typa of wock will ba =moli ~ ~ 55, I:
oc not. Tho g~nti", of a PO'" at "..""'" to give ""thocity to viol ~ I" We;
any athac state oc loco 1 law c. u a . .tcuction oc tha peefoc""",,, of c f A d-.+ 5
Signatuye: _ Date: [,
I ceytify that I am exempt fyom the the state contyactoy's 1
Section 3, Chaptey 126, laws of 1967. -
Signatut'e:_,,___, Date: _
*************************** Date:-k~
Permit Center--Approved By:
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30b t~ddr: 1 U., P~'ifN'rWOOn DRwi'l'{' f'" ,,' ';Peorlll"it No" 01-0r;f1"\Il:, I
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LOCi:! t ion ~ LO r r: t 'il II f II ,),,;",.:;t at Lt <',: P'FNonm
Pi.H'c~d. No:: .. .'" .: _, : 1"< ~"~1" -( ~ ,.J- ii' ,!J,. l~' ,'." ,~. ,.;' ~~" '-'I." t" :"1 ,;" 'I ~ f" I
16t.;4(J 1.1"1.;(:~"'t:iJ06 Applled" '01/ (};;" / ,'~OO3 I
hsued: I
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(:lppl.ic3,nt :: KIIIH H()ME~;; TNC 360"9~H~3043 ExpIres: I
I ~H?6 MW Lt~~j5lpIO Pt S.HJ)ERDALE WA ~-48383 J
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Oll/nl~r ~ Knu. HOl1E S HK :.%0--<)81 ""30,Q',3 I
I 8176 NW LAWST~D Pl STLVERDALE WA 98383 I
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I Contractor~ KIWI HOMES INt 360-9Bl-304Lic ,: KIWIHI-98BRC Exp: 1;::-O.2:~'~WO<~ I
I 8176 NW LAWSTAD Pl SILVEROAlE WA 98383 ( I
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Valuation )~ Permit F.:t;:l;;: .1" (H8~OO Total CdC:I.llat~~d F,[:.'€!: 1.604.1;\9
75.000,,00 >>: Plan Check fees: S32 .19 {~ddlt ional F ee:~::: ,,00
* Ot h~~r Fees;; 54.50 'rotal Permit Fee: 1.604"69
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11f~:CH"ltNICF',I,,/F'LUf'ft;J.IN!:', F IXTl"!R€:::.>"'",, 1'1l:~:C',H"'Ri'/.r~f{"""""".,, ",.""""." "..1 \. MEf.:H"'i'iaw.< 1~IJn1act't tC} lOOk bt:u. ~ l
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Thi.€i. t>er'!wH $h$.11 t)[~;';)!'ll\\" nu.n ;1md void if' t:Nl buUdil1(~ .(lY W1::iYk .~.uthclY'iT.~d b>,l;.hj~, ~~r'lllH:, .i'li'i \'lot. c .~d wit.;hin
lJ~~;) ,~\i\}I::j\ J''((,lll1 t;,f1ii! .;:k;~t.a; of ",;u.;';h P>i1H'Ili:U:;.. or if thiw t:\ui1din"l ("JY ',""tn"l<; aUI:h(.:l\"iz+l'd by $'.J.l:: " ,. (~ l'il\~~;of,!ndm;l 01'
,,,bc'\l1\tk,rllt'd trt <lln:" tiltill' ,1l.ft,€,~' H<<,~ 1...>:)'1"1< i$ C:t;;'ll.!Il'I&flCad 'for ill period tlf llllO daY3.
" t\~)nC(': ." H: i$ l';h>iJ;' Y~~!lPon!libi:U.ty of the p'oi'Y'lllil; l'\(:Jlde-r. no1~ tl'l(!> City of 11.l">S'flwrt.O\'l (,'1" E.ll..lilc:Ul"l{;! O'ffici~l to ~
i,I') it I:.hli!l: l'~I':llli r'i~d il~"l>l!!ct:ic'\llll ;!\1'<€! ll~d<\ll.. TI'w! p;;;nn:U:, hol~l' I'IlUflrl:: 11(;,tH'y t~ Buildir'Gi offici$,l \.;r"".n naad)i for
i 'Il~iP~".:/t 'i.C.IWl .. FaU'JYIIl' (,'f' the, p~r/'tllit hQld-.n' 1':..) notil' >' t.Nl r'$;~ildir'l!<) ()fficistJ. ofl'equin~d inl!lj:.,g,ctiOY'l$ 'ftay nl'$I.11t
in 'the- ~~'tOlJpa",M>Of' the ,.lOr'\( (,mti! ~ilj(,';r'l tirlM!' that tlw pf'tr"mH holde," (~a\n 1,"'~arrl:i1ll\t~ to t;~ buLl.dirll!.1 r,:d'fj,(';),;;\.1
t.hatt.h'li' ('Orn:::tie;,~.lII.d \'.I()Y!c Il~etf~o~' ""'>(c~<l&"hs 1::Qc\I~ 'r"la.,:\Ui r.~t~'" Am' d@looHtJI::>\"'" t(~$t;irt\'l" or f lrla,nci:a1. bU,l"c'l<rm lI';halI
i;,.~ btW'tloll r;l).,'~jcU}' hi' UI'1e' p~'nnH holdlll'r.. Fl~Huy,", 'kr.: "''''ANtlilnti,;d:e ,~~oo(\' '(l'}"irxi YI&rr\('\',b.. will H1Ckt@1J.'f>' the tHy
~1\!,*"irl'filt:. !tlrw f;i\n:::I "..11. Y*,(;C'orl$ib:Ui.r.~' (W liability e~()I1Tl~..';Jt,\~(j \iJH~hU)* Cc.'I\'1"~'1cY'.lct:ion.
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P1"ovh~i~)"11.iil (~..f l~\"'\l\lilr"~::J (~y<:hYIl;\l"IC!1"(!' \~o\/f${'rd " ;,' ,~!l tl' .~ <:,i',; . ", c....JfflPli@d ""ith whmt.:.hilt V' $P<Iil'c:l:fi>Eid hl'i'l"4i!'in
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~'J<\IiCH(Jn ::S, CI'l1'APt:\1>', 1;'6, lm.'I'll t!f' 1%'7, n. ~AN 22 2003 '
""'!'-r,,'lhn"I'" "'illrhi'l .J
,.':' ,-tt - ~. .': \1:- .. ....,_.,.,.;-~""~~._~:h,.'''~''~''.''..'mt'......_~,......,....~'M...^~''......"''~...,',.\.,'w,...,",...,.._.,-tC';......,-,~"."'.."."..".." .'M'''-''f\'~'''.''''''"''''~.,~.M'....''''..'.'''''''., '" ,~,,,,,h ~~, ' ;,.",' ~....,"'''"'...-;".....'''''.'''"'u~""''''....",'~~.......,.'''''>..'-''''.''''''Oi.''',..,,,,.'''.,.~,.,...,_.""""..,...",,_.~ "Mr.,,"""""''>''
~:UU:1PlOIOI:iU\~;1IPj(!l(*;j(*~oU;lt;n>t~;u I) .l lj BREMERTON "
P e: r 111 5. tee n t t~ r "" "N {;i pp r () V I:; de}, ~~.tt.~"'"""":f~"""""" tla t e : t".......1'f':.."'....- .,""..".....,"'''''''_' BUILDING DEPARTM9JT ..'
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I
BREMERTON PERMIT CENTER I
286 4th Street " Bremertort'i '. bJA 98337;
Phone: (360) 478-5275 FAX: (360) 478-52781
BUILDING PERMIT
Job Addr: 1112 BRENTWOOO OR Permit No: 03-0005 I
Location: lOT C Status: PENDING I
Parcel No: 1624011-126-2006 Applied: Ol/03/2003j
Issued: I
Applicant: KItH HOMES INe 360,'"981.-8043 Expires: .
8176 NW U4WST AD PL SrL VERDALE WA 98383
Owner: KIWI HOMES .INe 360-981-3043
8176 NW lAWSTAO PL SILVEROALE WA 98383
Contractor: KIWI HOMES INe 360-981.304Lic ,: KIWIHI*988RC Exp: 12-03-2004
8176 NW LAWSTAD PL SILVERDALE WA 98383
Subcontr: ~
Osse: NEW SINGLE F ~~MIL Y RESIDENCE WIATT ACHED GARAGE
)I()j( *)1( *)1( * **)1'; ** * ** ***** *)I()/( '" *)1';)1( * :/()IOII *)1( ** *** * *ll<lI< * )lOt()(<)I(:<< **'101: * lK l/( * * *)\( *)1( '" lIOK*)I()I()I(*;\( *::1( It: It: ** *)1( * ** ** ),'()I:*)I( *)1( * * **
Valuation * permit Fees: 1,,018.00 Total Calculated Fee: 1,604.69
7.5,,000.00 .* Plan Check Fees: 532.19 Additional Fees: .00
- . * Other Fees: 54.50 Total Permit Fee: 1.604.69 ~
, ..
*******.*************************************************************************************
MECHANICAl/PLUMBING. FlXi\.lRES- MECJ"H~ange..................... = 1 MECH-Gas FUr'rlace to lOOk btu. = 1
M1:"':CH-Ga.$ Pipi~ (out.let.$).....~ <: MECH-Exhaust Fans............::3 MECH-Range Hood (YE-S).~......: 1.
MECH-ClotneiS> [)yyey............... ~ 1 PL BG-I,.Y,atey Clo,..et.......... >,.A,....lf.~2-'.--.'...."7PlBG-Bathtub. . .. . .. . . . . ~~ ,. , , . .. : 2
PLBG."Lavatoyy.. ,. .,..,..,.......::3 PLBG-Kitchen Sink...... ::". ............ ~ .1 . .' BG-OiShw.a~he. y........ '.'...... ~ 1 I
PLBG'-Clol:he$ t>/asheY...........,,: 1 PLBG-Water Heater.. ........,..: 1 Pl :I,-Hose Blbb$....".....".... 2
...El~kk:.....:.~:.0.~....... . ,.....J.m-.:r.i.......1A.~.............
This pE'tfmit shall become rnll and void if the buildi oy l,;Joyk authoYized l?~>thf$ peymi t is not commenced within
180 daYS fyOll1 the date of such peymit.. 0'( if this bu.ildi .. .-attt:1'ii5"'"i1Zect by such pEmllH:. is $uepenc:led er
r;.... <iii1doned at anytime sHer the woyk is commel"1Ced feY apedod crf 180 c!aY:ili..
. NOTICl:: .. It is the t~on$ibility 0.1' .the peymi.t holdeY.. not the. City.of Byemerton Of' Building Official to. gee
. to. it that required inspections aYE! made. The permit holder' must neti f,y the Building Official when yeady fo.y
i.Y1$Pect.io'M;, Faih~ye of the pef'mit holder to. nOtify the Buildine Official 0.1' f'equini'd in$pectio'M; may result
in the atbppaseof the work U11til such tiroo- that the peymi tholder can $I.lootantiate to. the building official
that the co.nceal.ed woYk meets o.y exceec!$ code yequiYefl1e'fr\:.s. Any demoHti.Clli. te$ti~. 0.1' financial burden shall
be oot'ne dif'ectly by the peymit holdeY. F:sdluYEi.! to. $I.lbstantiate code YeqlJit'ements l,Jill indemni"fy the City
against any and all yesponeibility o.y liability co.nnected with the constructio.n.
1 hereby ceYtl fy that :r have r'ead and examined this peYlllit and know the same to be tyue and corni!ct. All
pyov:Lsio.\1$ of laW$ and oYdina:l1c&!$ goveYni~ 'chi$! type c.lf wol'k will be complied with whethey $peci"fied he'rein
oy not. The snmtil"iGJ of a p~Ymi t does not py~sume to giv~ autoori ty to violate or cancel the p1'ovisio'M; of
limy othey state 01' loc.<al law t'egulati~ comlltt'u.cUon 0'( t.he peyfoYlI1a~ of construction.
SignatuYe~................~.. __..~_..__,_~_____..___, Oate;__ ~
I certify 'l:hat I am @XIl!Il\pt fyClO1 the Y<l3<qui"r'etOOnts 0.1' the; state t;ontyactor's YegilStt':1I,tiO\1 law, undey
Section 3, Chapter 126, la~ of 1967.
Signature:.__~_______,___.___ OatO!1:.._,~, . _______~.
m**%*m*~~*%****************~Rft.~~_ ,
Permit Cent.er--Approved BY:~I~ Date:-.Jj12.t.7-Cr::!3
. ~~di: 0 D D5
~ 1SF-'3
PERMIT CENTER
Department of Community Development ::- 286 4th Street :~ Bremerton :~ WA:~ 98337
(360) 478-5275 :~ Fax (360) 478-5278
Building Permit Application
APPLICANT: 9l.0WNER III CONTRACTOR o AUTHORIZED AGENT
Site Address Tax Account Number: 1C,:J..J-l,J) I-I flIP ~ '2bIJ6
CONTRACTOR: '^'t-u/ I/-()~ ~ OWNER Name: '5~-
Address: f6ni:J N w lcu...; '>~ pI- Address:
City, State, Zip S;'fiJ~l/~i.e/ wYJ- 9 <'6~~3. City, State, Zip /
Phone #: ,. {,o h I~ s'S7- ~3- Phone #: ( )
License #l p , Expir. Date:n..-':!r'<lj, Authorized Agent Address:
Contact Name: ? -ej.,u W~t;rJ..l t(./~ City, State, 41P
Contact Phone #: ( '1> &0 ) €-> f ''3-... "5 ~"3 Phone #: ( )
Check the type of application for belo~~1 ~ ? 01-' 7 .
~ NEW SINGLE-FAMILY RESIDENCE D NEW COMMERCIAL D NEW GARAGE/CAR PORT
D NEW DUPLEX D COMMERCIAL REMODEL D NEW ACCESSORY SLDG
D NEW MANUFACTURED HOME DCOMMERCIAL ADDITION D NEW SIGN
D RESIDENTIAL REMODEL D COMMERCIAL REPAIR D STRUCTURE DEMOLITION
D RESIDENTIAL ADDITION D NEW MUL TI-FAMIL Y D GRADING (Cubic yards: _)
D RESIDENTIAL REPAIR D TENANT IMPROVEMENT D OTHER
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES D NOm
Scope of Work Proposed: ~.rJ NttU S.P. R.
Square Footage: Dwelling: '')..J..t5 - Garage: Nu) Decks:
Valuation Plan Review Fee Permit Fee Surcharge Total Fees
'l5l'l> 0 .i'; & 5 to if I ~,75 ~ 4-,5"'0 ,{ ~ 4(P~
13, qo4:.'o{~(k.W~ 3~,/1 EJL-t 5c.1fJO . ,0 ~
Application 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 returned to the applicant or destroyed by the building official.
The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by
the applicant showing the circumstances beyond the control of the applicant have prevented action from being taken. No
applicant shall be extended more than once. In order to renew action on an application after expiration, the applicant
shall resubmit plans and pay a new plan review fee.
APPLICANT'S SIGNATURE: -,A? p,1)~ DATE: l;t-)/-O~
.
-------
------------
" 03-0005
PERMIT CENTER
Department of Community Development ,~ 286 4th Street ,:. Bremerton ':. WA~' 98337
(360) 478-5275 ':. Fax (360) 478-5278
I I&l I MECHANICAL I:BJ PLl)"MBING I
Type of Fuel: 0 Electric 0 Gas 0 Oil ~ Propane
Occupancy: 0 Residential 0 Commercial I -+- (' .
Site Address: I ( I A ~,...e7V+-Wv ~d 1Jd.M'.;-!- L-1.--1
CONTRACTORJ.< II- 1: OWNER: s
'-1.,; i 1:H'l1~~ ~ I -A.-L. ~
Address: ~ Ai i& j _.' rp, J Address:
176 ,~ W '1W 6~{ J-
City, Stat~ ZiP: I J . q 2 City, State, Zip:
If v-vtl. elL t-J Il- ~ 'b ~ "'-
License # & Exp. Date:j.(.:r::.u:cUj;~9c6"Jl'- h/1/DIt Phone #: ( )
Contact Phone #: ~lb) t../3 ~ 5'S?. ~
II
NO. TYPE OF EQUIPMENT : NO. TYPE OF FIXTURE
~ RANGE I Q. WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE ~ BATHTUB
I GAS FURNACE btu ~ClM.p ~ LAVATORY (BATH SINK)
CONVERSION BURNE : btu "i SHOWER
UNIT HEATER btu I KITCHEN SINK
BOILER btu L-L DISHWASHER
)I'd, GASPIPING "~~ i LAUNDRY TRAY
EVAPORATION COO .ERS btu , CLOTHES WASHER
AC UNIT btu k WATER HEATER
HEAT PUMP btu ~ URINAL
REHEAT BOX btu: ,DRINKING FOUNTAIN
3 EXHAUST FANS FLOOR SINK OR DRAIN
I RANGE HOOD (RESIDENTIAL) " WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR
~ CLOTHES DRYER '- HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
TANK TYPE: ~ BLDG. SEWER: (MOBIUMOVED HOME)
REFRIGERATION UNIT L- ROOF DRAINS
t OTHER: :;0 j.' 4f2 ,OIU! ~ I OTHER:
MECHANICAL FEES:
PLUMBING FEES:
TOTA.L FEES: ~,
~ A) 11-- .. 1/- 01..-
Applicant' Signature Date
" , ,
~'
~1I3
CITY OF Pt:TBLIC WORKS AND UTILITIES ENGI:-rEERING DrYISION
BREMERTON 3027 Olympus Drive. Bremerron, WA 98310-4799 . (~60) 478-5318 . FAX (360) 478-5018
ADDRESS FORM (360) 478-5270, FAX (360) 478-5398
APPLICANT INFORMATION ANEW ADDRESS ___CHANGE ADDRESS
DATE: /-Yj>~/O 7-
NAME: ;t; tv; 'J-hHlef / /Pf8 ' PHONE:..? 6'.tJ -15/3- 55,;??
, /
ADDRESS: ;l17/' A/JU '/'/7 JU s-lad /,t-, FAX: .36 tJ - tf7/3'~ 55 2::5
CITY1STATEIZIP: 5/)t/JPrclal-e U/ j)- CJ9"s g>' y (J.G
KITSAP COUNTY PROPERTY 1.0. NO, (FOR LOT TO BE ADDRESSED): / t?.. 1...; 0 / {- '_ '2 c)o b
PL=.:l.,S=: DRAW ADIAGRAM OF YOUR PROPERTY, INCLUDING ADDRESSES OF NEiGHBORS. DRAW DRIVEWAY LOCATION AND
SHOW STREET NAME THAT DRIVEWAY ,A,CCESSES, INDICATE WHICH DIRECTiON IS NORTH.
5e<e ~<e.cL /11a~,
.
CITY USe: ONLY. 00 NOT WRITE SC:LOW I::IS LiNE.
/J /' t3/tTt/U tJJtJ d ,
NEW ADDRESS: ///~ LJ/'/I/.p
ZIP CODE%Y #JTt1Mc!e APPROVED BYI DATE: ~ LJ I /c?-J3'vy'c:J ::z...
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RECEIPT I
I **************************************************************** I
i
I RECEIPT Numt,~r ~ 0300001 () f1filOU fit : .19 01/03/03 14:58 1
, Pa)/riH~nt Met,h()d:, Cl< Notati,on: K!l"'! HMS INC Ct< rnit~ Vl,.1 I
, I
____,___.____~_._____w___~.__________w~..____.___ww_____.~_._~_.____________ I
I Permit. No: 03'-QOO5 Type: SLDG 8LDG PERMIl W/l'1ECHiP I
I
I Pan:;:~",l No:, 1624011-126-2006 I
I S~ite ~~ddn.?)$$: 1112 8RENTWOOD DR I
I Loce~tiofl :, LOT C I
T <0 tc:t 1 . 1. . t,04 .69 1
"
This P~o{ment .19 Total ALL pmts: 5212" 19
Bal!!HlcEl: 1 ,,072.50
****************************************************************
ACC(;H,~ nt ipt.ion Amou nt.
I 1" 3tr a-on '4~-1) BIJ1UYtNG PLAN CHECK FEES .19
. b"..,. <. ..J ,. ~1i,~ \,,' ..Jl:lt'
.",. ~",- '"'''' "'..' '."... ""~, "'i",' ........ .",-, "~." ""~' ...... t_____~_____.____,~_.________~~w_____________~~.______-~---
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"' ' -- Tab:le 5-1 HYDROLOGIC SOIL GROUP OF THE SOILS OF KIT SAP COUNTY*
,,~ -
PU~
' ,!~,
~t HYDROLOGIC 6 la.~ ~ HYDROLOGIC
~" 1)tIfJ GROUp. 1'it.r ~~
taJ'GROup. "S SOIL GROUP
Alderwood C. C t!... JZ C. Mukilteo t;:> /pIt> ell? 96 c/~
Beaches V ..... v~e Neilton A A A K A
Belfast ~ C c.. 'B Norma B/l) elT) c:.-/ D f;Rf C.lt>
Bellingham C 'PIe. 1/ Ie=. . c./T? Pits V - - V~le -
Cathcart C ~ g @ 15 PoulsboC C C D ""t/
Dystric Xerorthents V _ Variable _ Ragnar A 'E:> 2> ., fr
Grove A C C ~ A Schneider B B 8 .B" B
Harstine C C. C C. Semiahmoo II p p @&> c:./D
Indianola A - AX A Shalcar V 7? P ;CID c./p
Kapowsin C. ~/P ~D$ 1/ Shelton C C- C e" c.
Kilchis C c -p Sinclairc. C C C C
Kitsap C G c.. sY C Tacoma 'D 1/ J;) 1Y 1/ i
McKenna C elo Urban Variable
HYDROLOGIC SOIL GROUP CLASSIFICATIONS
A. (Low runoff potential). Soils having high infiltration rates, even when thoroughly wetted, and consisting chiefly of deep, well.
to-excessively drained sands or gravels. These soils have a high rate of water transmission.
B. (Moderately low runoff potential). Soils having moderate infiltration rates when thoroughly wetted, and consisting chiefl)
of moderately fine to moderately coarse textures. These soils have a moderate rate of water transmission.
C. (Moderately high runoff potential). Soils having slow infiltration rates when thoroughly wetted, and consisting chiefly of soil!
with a layer that impedes downward movement of water, or soils with moderately fine to fine textures. These soils have a low ratt
of water transmission.
D. (High runoff potential). Soils having very slow infiltration rates when thoroughly wetted and consisting chiefly of clay soil~
with a high swelling potential, soils with a pennanent high water table, soils with a hardpan or clay layer at or near the surface, ane
shallow soils over nearly impervious material. These soils have a very slow rate of water transmission.
Note: Two Hydrologic soil groups such as CID indicates the DrainedlUndrained situation.
. From SCS, TR-55, Second Edition, June 1986, Exhibit A-I.
W "79~ .-
c /'-7<:::- D
S---S /.~' ?
I cr.:; "
REV 10/21/96 5-14
, I ..'::j,
Table 5-5 INDIVIDUAL DOWNSPOUT INFILTRATION SIZING CHART
(SQUARE FEET OF TRENCH BOTTOM)
COARSE - MEDIUM SAND (5 MIN/IN)
GRAVEL ROOF AREA
. I
DEPTH 3000 SF 4000 SF 5000 SF
-
l' 247 330 412
-
1.5' 203 271 339
2' 175 233 291
2.5' 154 206 257
-
3' 139 185 231
FINE - LOAMY SAND (15 MIN/IN)
GRAVEL ROOF AREA
DEPTH 3000 SF 4000 SF 5000 SF
l' 416 554 692
1.5' 323 431 539
2' 268 357 446
2.5' 230 306 383
31 202 269 336
SANDY LOAM, LOAM (30 MIN/IN)
GRAVEL ROOF AREA
DEPTH 3000 SF 4000 SF 5000 SF .
I' 535 713 891
1.5' 403 538 672
2' 327 436 544
2.5' 276 368 460
.3' 2410 320 129-
I'. ,.-..--
"'Roof areas less ,than 3000 sf shall be designed for 3000 sf unless
otherwise approved by the Director.
REV 10/21/96 5~53
I
p. ,t'.. ,
3. All trenches shall be a minimum of 5 feet from any property line, 10 feet from any
structure, 30 feet downslope or lOb feet upslope from any septic drainfield, 15 feet
downslope or 50 feet upslope from any septic tank, 10 feet downslope or 30 feet upslope
of any curtain drain, 50 feet from private wells and 100 feet from public wells. Greater
setbacks may be required by the Bremerton Kitsap County Health District (BKCHD) or
the Director.
4. All trenches shall be a minimum of 50 feet from any slope steeper than 45%. This
distance may be reduced based on a geotechnical engineering report. (
5. There is no minimum spacing between trench center lines and no maximum trench width.
However, flow distribution lines shall be installed at a maximum spacing of 10 feet or
less between pipes.
6. Trench length shall not exceed J 00 feet from the inlet sump.
7. A minimum of one, soil log shall be obtained for each proposed individual downspout
infiltration system. The soil log shall extend a minimum of 18" below the bottom of the
trench, describe the USDA textural class of the soil horizon through the depth of the log,
and note any evidence of high groundwater level, such as mottling.
8. Trench bottoms shall be a minimum of 12 inches above seasonal high ground water or
relatively impervious layer.
9. Geotextile filter fabric shall be placed on top of the drain rock prior to backfilling.
10. A catch basin inlet sump (See Figure 5-25) shall be located upstream of the trench, which
provides a minimum of24" of depth below the invert of the outlet pipe. The outlet tee
shall be designed so as to be submerged at all times, and a screening material shall be
installed on the pipe outlet.
11. An overflow device is required for all downspout infiltration systems. Examples are
given in Figure 5-26. In situations where the elevation difference between the bottom
of the downspouts and the top of the infiltration bed is less than 3 feet, the overflow
device may be as simple as an elbow on the downspout pipe. Where elevation
differences exceed 3 feet, the overflow must be placed at the observation well or catch
basin near the bed itself. Alternatively, the overflow device may be deleted if the washed
gravel is extended to the ground surface, allowing runoff to flow out the top in the event
of overflow.
12. An observation well (see Figure 5-24) is recommended, but not required. The
observation well allows the homeowner to monitor the performance of the facility.
13. Following completion of construction of a downspout infiltration system, an "as-built"
drawing of the infiltration system shall be submitted to Kitsap County.
REV 10/21/96 5-54
Figure 5-23 TYPE 2 CATCH BASIN SUMP - INFILTRATION TRENCH
STORY DRAIN
.......... -
NOTES: Infiltration Trench
t, umL PAl1$: ~ IlESlS'rNfr
cw'VANIUD/1'flE 'MIS 10 H.Wt
ASPIW.l 1RrA1WEN1' t
2. FRMlE A: UDDfJt DR stEPS onm SO:
A. CUANClUI' GATt IS VISA8l.E PROM TOP plY ... .T
8. aJW8-GOWN SPACE IS C&.tNt OF laSER .J.Jt.l,
A: e&.rMClUT GATE
~. IF MErAI.. ouru:r PIPE CONNECIs 10 CEYENr CCNCRE'IE
PIPE: 0U1\.ET ,PA: 10 HAVE SUClOTH 0.0. EQ&W. 10
CONCJU:Tt f'ft Ln. u:ss 1/~
/ sauD ROUND LOCKING UO
Jo4ARKED -O~
4 ~ .
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~ .~ lIr _ .
.~ ...... '.It . '.: 'f
. ...' . II' . .
.: . .i'C:'~ N
l/:l-
-,s,-
.. c%
TEE _ ....: :i
b STCRlI....... : ."., Pe_d Pipe
---- I.E.- ----
":~:' T ,"~'"
. .......
.; ...::: _ : .- - COUPUNG
.: 1-1 "
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ELEVATION
Infiltration Catch Basin
Type II - 48-
NTS
I
REV 10/21/96 5-50
1.-.-- "a. I.-
3. A Type 2 catch basin with sump (see Figure 5-23) shall be located on the upstream end
of the trench, which provides a minimum of 36-inches of depth below the invert of the
outlet pipe. A FROP- T device shall be provided on the outlet to the trench as shown on
the detail. Additional Type 2 catch basins shall be placed along the trench to provide
cleanout access such that all portions of the trench are within 150 feet of a catch basin.
4. An observation well (see Figure 5-24) shall be installed adjacent to the infiltration trench
and within 25-feet of the facility for the purpose of monitoring ground water conditions.
The observation well should consist of perforated PVC pipe, 6- inches in diameter,
backfilled with the same clean gravel material used in the infiltration trench. It should
be located in the center of the structure and be constructed flush with the ground
elevation of the trench. The top of the well should be capped to discourage vandalism
and tampering.
5. The aggregate material for the infiltration trench shall consist of a washed aggregate free
of fines with a maximum diameter of 1-1I2-inches and a minimum diameter of 3/4-
inches.
6. A geotextile material shall be placed over the top of the trench to prevent backfill
material from contaminating the washed rock.
5.3.6 INDMDUAL DOWNSPOUT INFILTRATION SYSTEMS
Individual downspout infiltration systems are trench infiltration systems designed to receive
only stormwater from roof downspout drains. They shall be designed so as not to receive
surface water from paved areas. Also, a single individual downspout infiltration system can
only serve a maximum of 5000 square feet of roof area.
The following standardized design criteria is intended to guide the homeowner in providing
an acceptable design for an individual downspout infiltration system. Deviation in design
or construction from the standardized design criteria detailed below may require design by
a qualified engineer. This will be left to the discretion of the Director.
-
1. Individual downspout infiltration systems will not normally require design by a civil
engineer provided that: 1) the proposed site development does not result in a net increase
in impervious surfaces of more than 5,000 square feet; 2) the system is sized according
to the sizing chart shown in Table 5-5; and 3) the system is constructed according to the
standard design shown in Figure 5-25.
2. Prior to approval of an individual downspout infiltration system, a site plan shall be
submitted showing the location of the proposed infiltration system together with adjacent
'building structures, wells, septic drainfields and tanks, curtain drains, and property lines.
REV 10/21/96 5-49
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PERMIT CENTER
FUJJ3
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Department of Community Development ::- 286 4th Street ::- Bremerton ::. WA ::- 98337
(360) 478-5275 ::- Fax (360) 478-5278
RESIDENTIAL SITE PLAN REVIEW QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this determination, please supply the following
information with a scaled and dimensioned site plan.
Applicant:
Description of Proposal: es
Street Address (or street name if no address has been assigned):
Tax Account Number:
Critical Area Questionnaire:
1. Is there any standing or running water on the surface of the site at ANY time DYES l\CJ NO
during the year? If YES, please describe conditions:
2. Are there wet areas on the site? If YES, please describe: DYES ~NO
3. Is the site characterized as: D Forest ~ Cleared D Developed
4. Please give the overall slope of the parcel K% and the slope at the building site .s: %.
5. Is the property within 200 feet of a shoreline? DYES G'NO
6. Will the proposed structure be aesthetically or functionally disruptive to DYES [Kl'NO
surrounding properties, the neighborhood or the community?
See diagram explaining the slope calculation on the back.
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applIcant aclmowledges that any action taken by the City of
Bremerton based in whole or in part on this application may be reversed if it develops that any such
statement or other information contained herein is false.
~AJ~ 1- :?7~ --' 03
Signa~re of Applicant Date
Site Development Figures
PercentSlope Calculation
Slope is calculated by dividing the vertical distance
. by the horizontal distance, then multiplying the result
:1 by 100, Example:
Vertical Distance of 20 feet
80%/~\. Horizontal Distance of 100 feet = .2 x 100 = 20% slope
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Residential Site Plan Review Questionnaire Page 2
. ' . ~
Prescriptive Approach - Simple Form P1J1J!
For the Washington State Energy Code (2001 Edition)
Climate Zone 1
I
Site Information Building Department Use Only
C- ~'-~. I . ~y"ic1 Permit#: 0 :3 - [) 005
Lot: ,n 1lI__ 1ji.'eil
Address: Ill?.. Ibl\e.k,vvl 'fJ I' i J~_ Notes:
City: ~~~Ci"-
State: ~ Zip: q CJ'b /1
Contact: ?,~ L )e,s tit 't Ae.
Phone: 360 t;1~ .- 5'5:t~
Phone2:~6o ttS/_ '3iJH~
Fax: 360 6'3- SSA3
Table 6-1 Lt-C!-
PRESCRIPTNE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE WNE 1
(Unlimited Glazing Option Only)
. Glazing Door" Wall Wall Wall Slab~
Glazing U-Factor
Option Area I 0 U- Ceiling2 Vaulted Above Int4 4 Floo~ On
Bel:
% of Floor Vertical Overhead II factor Ceiling3 Grade Below Below Grade
Grade Grade
=
III Unlimited
Group R-3 0040 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-1O
Occupancy
Onlv
See the code text for footnote references
This project complies with the following:
./ The project is a single family residence or duplex.
./ The project is wood frame OR all of the insulation is interior or exterior of the framing,
./ All building components meet the requirements listed in Table 6-1, Option III.
./ The project will meet all other provisions of the WSEC and VIAQ.
The ,o~ect will take advantage of the following exceptions to the prescriptive option:
02.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
o 602,6 Exception 2, Doors with a U-factor of OAO allowed without calculations, Option 1/1 only.
Location of the door(s) taking this exception
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Cooperative Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1 5/31/2002
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,~~fi'rON MUNICIPAL UTILITIES " ,., j "\. j
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j027 Olympus Drive DEe 3 0 ~Uu(.
Bremerton, Washington 98310-4799
478-5318 UTILITY SERVICE AGRBE~N~ THAN~{ yaU
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Work Order No. Tap No. 'ReceIpt No. i '. :::> ,- '.-';*7-" I ,..)'t
Breme~eon, WA. ,J19__
The undersigned propertr pwner hev.teby applie~ for Utility l;!er~ice at:
Service Address: 1109 f' Ifl){ ~ I !12~ t}f":ct;j,,1Tl.l),;:;;OD ~) e.l'...h;;
Legal Description: Ht2'! L \-' . 'f ,__~ 1 .., ~_" .,< _ (;,----- I/:-.::?: '-!- [j i ~,_.. ) ._~ I :Z,C)--'''' .&::1) [}-7 It, 2 ~/L I-I -'12/
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Plat Block Lob Ai 8, C, Kitssp County Ie-
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SERVICE REQUIREMENT: [>( Water [:?j;' Wastewater "ot:.')
[ ] Stormwater <;;
.~ ...... ., {
SERVICE AREA: [ ] Marine Drive Water [ ] Sewer District 11
[>(" Ci ty [ ] North Perry Water [ ] Tracy ton Water
[ ] County ( ] Port of Bremerton [ ]
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ater: omest1c........... '\..!.J-,.Slze ---;1" . ,,<,,,"l,,,.I~".,...'.J '/ .L.;
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Storm Water ..."..".........."...."....""" ...$
Front Foot~Fee,; , .? I ~'; I "5 "/2>--'" . x''' t~ 22rl,1()
----- -(t) ID_ e \ .u.. ""( )($J 6(/';)....;.' q IrJ ~"3 ()
,Water ...... ._~~~~_ \A.,.A' . . . .__~.' . . If. =.... "i' ~. .::~ . . '_ . .Il}() $
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Storm Water ."..."...""..........."..... .$
gen~ral Facili_'tY-Fee: .-" , " ,'_ ,( Lt;;-l ~~ ~CiC.) "7-r" ,
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Wastewater it f 't '-;> @ $ '''-'','''' v> $ I,~~, \ :=') ,c' c) /'1 {.> 't'
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~stem Development Charges: (;1 '1 ({...7 ()
Water f=; (j::~, f-::':, t.' \ '" ['-1e,6..p.j-r $ '3 ---H1 ~C
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Inspection Report
~~ope~~worj<: 1eW SF~" PermilNumber: O~ - O~[)S
~~::s: ~S; tjiY>l.~4' 00/./)1. Phone: (00 81. - ~
Contractor: - . D w~ , Phone:
FOUNDA liON
Inspection card/approved plans on site I , Setbacks
Footings: required steel placement Walls: required steel placement
Footings: required width & depth Walls: required size
Bearing soil (soils analysis if applicable) Special inspector (when applicable)
COMMENTS:
FOOTINGS APPROVED: WALLS APPROVED:
FRAMING
\ Electrical approved I I Plumbing & mechanical approved
Crawl space access (min. 18 x 24) Floor joists and beams/proper clearance to earth
Positive connections posts & beams Foundation vents
Posts properly supported Anchor bolts; nuts & washers in place
Mudsi\l: treated material Floor joists: size & span
Beams/girders: size & span Notching & drilling: joists & beams, studs
Smoke detectors: Clllr.equired locations Exhaust fans: where required
Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom
':,fans terminating directly outside Range hood
',Wryer exhaust vent All vent terminations: windows & property line
.' F;ir~place combustion air Windows: meets egress requirements-
WinlClows: proper U valve Windows: safety glazed where required
Ceiling heights Stairs: headroom clearance
Stairs: rise & run; proper width Fire blocking wall to ceiling, furred walls evel)l1 0'
Fire blocking: stairs, soffits, lowered ceilings Fire blocking: tubs/showers
:Fire blocking: lids in void spi'lces, shafts Fire blocking: stuff holes top & bottom plates
;, $h,i:1et rock backing Wall bracing
Rafters size/notching Trusses: specs, bracing
Attic access Attic ventilation
Wall & roof sheathing Shear nailing
Building dried in
\ COMMENTS:
I
APPROVED:- -0.3
ENERGY CODE COMPLIANCE
, Insulation: proper R valve Insulation: proper fastening
Insulation: vapor baTTier Bottom plates caulked to floors
Penetrations caulked as required Electrical boxes gasketed or caulked
6 mil black poly in crawl space
COMMENTS:
WALL INSULATION APPROVED: CEILING INSULATION APPROVED:
-----
MECHANICAL
Appliance location and access, proper support Appliance clearance to combustibles ' .
.
Venting: clearance to combustibles Venting: size & support
Vent termination Combustion air
Ducts: size & support Gas pipe under test
Gas pipe size & support Gas pipe: underground min. 12" belaw grade
Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance
Gas logs: safety shut.off Gas logs: damper pennanently open
Wood stoves EPA certified Wood stoves & fireplaces: Tight-fitting doors
Wood stoves & fireplaces: proper health Manufacturer's specs on site
Chimney liner: when required Chimney: separate flues when required
COMMENTS: (9
GAS PIPING APPROVED: FURNACE APPROVED:
OTHER APPLIANCES APPROVED:
PLUMBING
OWV & water piping under test OWV: proper grade
OWV: proper sizing OWV: proper drainage fIttings where required
OWV & water piping proper support OWV: required cleanouts
Vent termination All fIXtures vented properly
Water supply: proper sizing Shut-off valves on all fixtures
Water heater. gate valve on cold water supply Vacuum breakers: where required
Water heater relief valve drain to outside Water heater: seismic strap
R-10 pad under water heater when required Water-piping insulated as required
Grease traps/interceptors: where required Proper indirect wastes: where required
COMMENTS:
PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPRO
SHEETROCK
Proper fastening nails - 7" O.C. hartz. Plane Nails 8" a.c. vertical plane
Proper fastening screws 12" a.c. horiz. Plane (1/2") Screws - 12" a.c. horiz. plane (1/2'~ 24" a.c. framing
Proper fastening: screws - 16" D.C. vert. Plane (1/2") Screws - 12" D.C. vert. plane (1/2") 24" D.C. framing
Proper fastening screws - 12" o.c. horiz. plan (5/8") Screws - 12" O.c. hortz. plane (5/8') 24" D.C. framing
Proper fastening screws - 16" o.c. vent Plane (5/8") Screws -12" o.c. vert. Plane (5/8") 24" o.c. framing
Area & occupancy separation walls Oraftstops where required
Usable space under stairs (5/8" required) Waterboard where required (not on ceiling)
Corridors
COMMENTS:
SHEETROCK APPROVED:
,4"
,";;
If'
Energy code requirements met, exhaust fans {/ Plumbing & mechanical
Garage/dwelling door self closing solid core Smoke detectors where required
Handrails & guardrails, as required Fire ratings maintained
Exit signs when required Emergency lighting when required
Occupant load posted when applicable 8uilding weatherlight
Wood siding to earth separation (6") Building address po ted
Randon monitor when required
COMMENTS:
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