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B REM E R TON BUIL,DING D E PAR T MEN T
PE:RMIT A P P L I CAT ION
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Application Date 11 I:?f:,/ 1990 . Application Number 90AP02768
Issue Date Pey'm i t Numbf"~Y'
Assf'~ssor Acct :11: py.oject Group
Site L..oc::ation B46 BUF~WE:L.,L..
Owner - Last Name MASONIC LODGE I:::.i rst MI
m_ st '("eet B4f:, BURWEL.L.
..... City BRE:MEI~l'ON state WA Zip 98310
..", Phone ( 206 ) .,..' ~"1 ~.- ~H::m~:;~( ~;ot:) ) :~~
l'enant · s NamE~
Aqent · ~3 Ni:lme L,EF<OY WI L.L IIC)MS I. hunc.( ,:,,06 )
Ay'chitect's Name r .'1 ' 80q { r ,., '
Lx] Buildinq L ] Gracl:i.n9 " ," Slqn " " PavInq
r "I MechanIcal r -I Move Buildin9 L J Buy.n:i. nu r "I Undey'q'f'ound
r .'1 Plumbinq r "I Mobile Home I" '.1 L,anel C.I. eay. r '.1 Demolition
______"______._M____________N.__.____."..__________n__..__.________.,.________._____.__________
Builclinq Contractor: !
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Work will be completed by owner. I
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Natlln:.~ of Work: I
5 foot retaininq wa,ll 'for pa.'rkinq l~ I
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Buildinq Valuation ~1)20()0 .00 I
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CITY OF BREMERTON BUILDING DEPARTMENTb . ~v ~
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PERMIT APPLICATION "';~1i...
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DATE: 11-26-, 1990 TO BE COMPLETED BY , 1990
Masonic Lodge owner
OWNER
846 Burwell
LOCATION OF J'OB
5 ft. retaining wall for parking lot
FOR
ENGINEERING COMMENTS/REVIEWED BY ~~
lp-f ;) H"w WI J., L W"'TC~ F"~ tJM el!!fi1NJ:'J ~ QC'< t.-v1'1l..'(.,. E E'
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8 REM E R TON . B U :I LDII'lf3 o E PAR 1 MEN T
pt;:Rf1rr P'i }) t~) .J... Ir"t~TION
[ '~ ~ },on t t::.~t 11 1990 i> Application Number 90AP02768
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Site Location H46 rjl.lI:;U,JE L L
() t.;,J fl f~ r ..... Name Ie LODGE F:i,YBt 1"1 I
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Application Date 11/26/1990c ~ Application NumbeT 90AP02768 1
.Issue Date .. Permit Number I
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.' . I nter-Office Communication
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Date November 30, 1990 Cityof Bremertott
::::~::;~: i~::::.~~~ it :~i~~:~;~~~:: :.~ ;l~ ~~ ~ 9
u Ject
5 foot retaining wall and parking lot
Obtain from the Utilities Dept., 3027 Olympus Drive:
l. Storm sewer inspection permit
Developer shall obtain a permit to work in the right-of-way
from the City Engineering Dept. and provide the Utility with
a construction plan, approved and signed by the City Engineer-
ing Dept. This shall be presented to the Utility at the
time of obtaining the Storm sewer inspection permit.
~~@~]W~I
DEe .- n 1990
Please reply on reverse BR'-' , . ."'j'1\1
BUP I" ,_ ,~,R liViENT
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C I T Y OF BREMERTON
.
. DEPARTMENT OF COMMUNITY DEVELOPMENT.
Gateway to the Olympics and Home of the Puget Sound Naval Shipyard
America's Most Liveable City
B U I L DIN G D E PAR T MEN T
December 6, 1990
M. W. Prince Hall
c/o Leroy Williams
3729 "E" Street
Bremerton, WA 98310
RE: 846 Burwell
Mr. Williams:
During the routing process for the proposed parking lot on the
property at 846 Burwell, the following comments were made by the
Planning Department:
It appears that this project will require a grading
permit as the site will be filled. If more than 100
cubic yards of fill is required, then SEPA compliance is
also required. The environmental checklist should
address the source, composition and method of compaction
of the fill.
The parking lot will require a 5 foot landscaped setback
along Burwell with 1 tree per 25 feet (2 trees) . A
landscape plan is required and can be included as part of
the Site Plan.
Minimum stall depth is 17 feet 11 inches for stalls at a
90 degree angle. Minimum aisle width is 22 feet 6
inches.
A fence or wall is required along side property lines if
a 5 foot landscaped setback is not provided.
The Building and Engineering departments also require grading
information and permits.
286 4TH STREET . BREMERTON,,WA 98310 . (206) 478-5275
An EqIUll Opportunity Emp/oy<r
'"' ...
I have enclosed a SEPA checklist form for your convenience. Please
be advised that the checklist generally takes several weeks to
process, and requires a $50.00 fee at the time of submittal. No
permits may be issued for the parking lot until the checklist has
been approved.
If you have any questions regarding this matter, you may contact me
at 478-5275.
Sincerely,
Ja ~~
Janet Lunceford
Permit Technician
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B REM E R TON B U I L. DIN G o E PAR T MEN T
PE::HMIT A P P L. I CAT ION
________________________._________._._.____M_______.._-.--------------.----------
____._____.._.MM______________________~______.__________________._.__..__M____.'_____
APplication Date 11/~26/1990 . Application Number 90AP02768
Issue Date Pe'!" m i t Numbf':l'!"
Assessor Acct :11: py'oject GY'OUP
Site Location 846 BURWELL
Owner - Last Name MASONIC LODGE Fi y'st MI
n'" St '!"eet 846 BUF~WELL.,
,,"n City BREMERTON state WA lip 98~:llO
.'"" Phone ( 206) --
Tenant's Name PI"' ( ""OC: ) .....
n lone ":. )
A\Jent ' s Name I..,EROY" WILL lAMS Phone( 206 ) -,
Architect's Name
[X::I Bu i 1 d i no [,,::I Gy'ad i nq ::I Sion [ ::I pavino
[ ::I Mechan:i.ca,l [ ::I Move BUildinq [ ::I Buy'n:i,nq [ ::I UndeY'9Y'Ol.lnd
r ::I Plumbinq L::I /"lob i'l e 1"'lome [ ::I Land C 1 e;:3.Y' [: ::I Demo 1 it :i. on
._------------------------------,._._~---~-----------'------------.--------.---
Bu i ], d i no c:;ont,' act or :
WOY' k wi 1 be <comp 1 (::~t ed by owney'..
I
Natun:~ of Work: I
5 foot retaininq wall for parkinq lot \
,
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Buildinq Valuation l
~1)2000 .00 I
---._--_._~---------~--------------------_._-_._--------..----------------------- I
Council District Cen!:3U8 Tract I
'C()n~~t Y' uct ion SCl Fel,et; Inspections ,
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Inter-Office Communication
Date 1 -{O -~o Cityof Bremerto11.
To ~~ I (S'..,;lcl.'--j V~
From ~.......M. . Pf.J1t5
Subject Pasl...", <-e '8 '16 l5urwc.1
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Please reply on reverse
{\cx{x-
Date: November 30, 1990
To: Building>Division
From: Planning Division
Subj: 846 Burwell retaining wall
-----------------------------------------------------------------
-----------------------------------------------------------------
It appears that thisproject'will require a grading permit as the
site will be filled . If more th;an.100 eu. Yds. of fill is required
,than, ..., SEPA compliance is also required. The environmental
checklist 'should address the source , composition, and method of
'compaction of the fill.
The parking lot will require a 5 Ft. landscaped' setbac, k along
, . ',. ' ,
Burwell with 1 tree per 25 Ft. A landscape plan is required.
Minimum stall depth is 17Ft,. '"7 11in. Isle wi~th maybe 22Ft. - Gin.
A fence' or wall is required alongside propertylihes if a 5Ft.
setback i~ not provided. '
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3729 "E" Street
Brem~rton, WA. 98312
December 10, 1990
Janet Lunceford /jJ iff@ifflll'f
Permit Technician
Building Department Dtc J. It/!}
City of Bremerton
286 4th Street . 1990 v
Bremerton, WA. 98310 IJQ" Bhr-t-.
ZO' -'-<'i'!/:!","
~ ;"._ ':~r'f()jV
Dear MlsLunceford; -', ~.:~ql?l'Afftr.'J;
We have completed the SEPA envlronmental checkllst for YOUr
review. We have not changed the s'ite'plan submitted to
the Building Department. The plan call for a 17 feet stall~
parallel parking, with a 24' ai,sle width. Our discus'siem
wi th Mr. Pratt, Engineer, and Clty' of Bremerton requirements
review for a class "Bn parking lot thes-ize of 44' X 110'
disclosed that a setback was not required nor a fence or
wall.
I have contacted the Engineer of Art Anders'on Associates
to provide additional Site Plan information (landscape
grading and other information required).
We have contracted with Olympic Construction Company to
provide demolition, land fill, and landscape. The Con-
struction Company will provide standard fill materiful of
95% and will acquire all necessary permits from the Engin-
eering and Building Departments (electrical, sewer cap,
water, gas etc.)
If you have any questions, please feel free to contact me
at work ion Seattle (684-10332 from 8:00A.M. to 5:00P.M.
Thank you very much for your cooperation.
Sincerely,
~ ' ~
'ey~~
cc: James Levy, Eng.
John Symington, Olympic Cont.
I'u, ~u
. . DEPARTMENT OF COMMUNITY DEVELOPMENT.
Gateway to the Olympics and Home of the Puget Sound Naval Shipyard
America's Most Liveable City
B V I L DIN G D E PAR T MEN T
December 6, 1990
M. W. Prince Hall
c/o Leroy Williams
3729 "E" Street
Bremerton, WA 98310
RE: 846 Burwell
Mr. Williams:
During the routing process for the proposed parking lot on the
property at 846 Burwell, the following comments were made by the
Planning Department:
It appears that this project will require a grading
permi t as the site will be filled. If more 't,han 100
cubic yards of fill is required, then SEPA comptiance is
also required. The environmental checklist should
address the source, composition and method of compaction
of the fill.
The parking lot will require a 5 foot landscape~ setback
along Burwell with 1 tree per 25. feet (2 trees l. A
landscape plan is required and can be included as part of
the Site Plan.
Minimum stall depth is 17 feet 11 inches for stalls at a
90 degree angle. Minimum aisle width is 22 feet 6
inches.
A fence or wall is required along side property lines if
a 5 foot landscaped setback is not provided.
The Building and Engineering departments also require grading
informa~ion and permits.
I W
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I 286 4TH STREET . BREMERTON, WA 98310 . (206) 478-5275
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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 additional information that will
help describe your proposal or its environmental effects. The
agency to which you submit this checklist may ask you to explain
your answers or provide additional information reasonably related
to determining if there may be siBnificant adverse impact.
USE OF CHECKLIST FOR NONPROJECT PROPOSAL:
Complete this check'list for nonproject proposals. even
though questions may be answered "does not apply." In addition,
complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (Part D).
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, ira p p I i cab Ie:
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2. Name of applicant:
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!;bJ-t~. an,tphone number of appl icant and contact person:
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4. Date checklist prepared:
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5. Agency requesting CheCkli~
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6. Proposed timing or schedule (including phasing, if
appl icable) :
145 SeraA!' .&5 ?tJ>?U!5'~'
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7. Do you have any plans for future additions, expansion, or
further activity related to or connected with this proposal?
If yes, explain.
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8. List any environmental information you know about that has
been prepared, or will be prepared, directly related to this
proposal. i , A A _ i
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9. Do you know whether applications are pending for
gqvernmental approvals of other proposals directly affecting
the property covered by your proposal? If yes, explain.
PO/
10. List any government approvals or permits that will be needed
for your proposal, if known. D~lM.o\~t\CII\ ~\.t - c,'ft of B('CV\\.<.~
eN 6 ~y: 6fJwVl.Gr)
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11. Give brief, complete description of your proposal,
including the proposed uses and the size of the project
and- Ed te. There are several questions later in 'this
checklist that ask you to describe certain aspects of
your proposal. You do not need to repeat those answers
on this page. (Lead agencies may modify this form to
include additional specific information on project
description.>
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12. Location of the proposal. Give sufficient information
for a person to understand the precise location of your
proposed project, including a street address, if any,
and section, townshi~, and range, if known. If a
proposal would occur6ver a range of area, provide the
range or boundaries of the site(s~. Provide a legal
,.
description. site plan, vicinity map, and topographic
map, if reasonably available. Wh i Ie you should submit
any plans required by the agency, you are not required
to duplicate maps or detailed plans submitted with any
permit applications related to this checklist.
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4
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.
B. ENVIRONMENTAL ELEMENTS EVALUATION FOR
AGENCY USE ONLY.
TO BE COMPLETED BY APPLICANT
1. EARTH
a. General description of the site (circle one):
Flat, rolling, hilly, steep slopes,
mountai~ ~ .
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b. What is the steepest slope on the ,site
(approximate percent slope)?
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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 note
~ime farmland. '" '", ' .
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d. Are there surface indications or history of
,,- unstable soils in the immediate vicinitYr?
If so, describe. AJ/
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e. Desc r i be the purpose, type and approx imate /'tJ6 {;c.J. yd.S. (>{.
quant i ties ofanyf ill i ng'~or grad i~ proposed... J) ~
Indicate sourc~ of fi 11. t:"l>.Si-G.,- g"'f'tcJ(.l~(tJJ ~11 /('l);ttf fort-Ck.
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f. Could erosion occur as a result of clearing. e~ ~~lJt1~/~i~
construction, or use? If so, generally ~r(~fI
descri be. / ·
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could era:le
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.
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I g. About what percent of the site will be covered
i
I with impervious surfaces after project
construction (for example, asphalt or buildings?
:;'<U o;C- r~~~ 10%
h. Proposed measures to reduce or control erosion,
or other impacts to the earth, if any: (A$fhAII I I~o/'J
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2. AIR
a. What types of emissions to the air 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. U rivfr, (;/I,
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b. Are there any off-site sources of emissions cll.l(11/<l~,'''J to/Vie
or odor that may affect your proposal? If
/. so, generally descr iJj' t
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c. Proposed measures to reduce or control
emi ss ions or other~acts to ai r, if any:
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6
.
3. \lATER
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
prov i de names. If appropr i ate, state
what stream or river it flows into.
/ X)DAJ61
2) Wi 11 the project require any work over,
in, or adjacent to (within 200 feet) the
described water? If yes, please describe
and attach available plans.
AiD J
3) Estimate the amount of fill arid 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.
AJOIUr:-- r
4) Will the proposal require surface water
withdrawals or diversions? Give general
description, purpose, and approximate
quantities if known.
..vi?
.
7
5) Does the proposal lie within a lOO-year
floodplain? If so, note location on
the site plan.
,AV 0
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6) Does the ~roposal involve, any discharges
of waste materials to surface waters?
If so, describe the type of waste and
anticipated volume of discharge.
-AID l
b. Ground:
1) Will ground water be withdrawn, or wi 11
water be discharged to ground water?
Give general description, purpose, and
approximate quantities if known.
NlJ~
.
2) Describe waste material that will be
discharged into the ground from septic
tanks or other sources, if any (for
example: Domestic sewage; industrial, ~
containing the following chemicals...;
agricultural; etc. ) . Describe the
general size of the system, the number
of such systems, the number of houses
to be served (if applicable), or the
number of animals or humans the
system(s) are expected to serve.
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8
c. Water Runoff (including stormwater):
1) Describe the source of runoff (including S~rr'\ WQ,.,k ~v~~:.\.r
stormwater) and method of collection '
and disposal, if any (including quantities, "V\~~lI\ W~a .{'/o~
if known). Where will this water flow? ~ B t
Wi 11 th i s water flow into other waters? ,-=>rWe..~ ' S1:' c..V'\ ~
I f so, desc r i be. ' tt,^-<.V\ \1\-\-0 c. '+y ~ S~ r~
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2) Could waste materials enter ground or
surface waters? If so, generally
describe.
AJb Yes - C\U1bM.\1HEe +\u~~.s
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d. Proposed measures to reduce or control surface,
ground, and runoff water impacts, if any:
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4. PLANTS
a. Check or circle types of vegetation found
on the site: r
deciduous tree: alder, maple, aspen,
other
____ evergreen tree: fir, cedar, pine,
other
---- shrubs
____ grass
____ pasture
____ crop or grain
____ wet soil plants: cattail, buttercup,
bulrush, skunk cabbage,
other
____ other types of vegetation
A/ZJA/~-
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9
.
.
b. What kind and amount of vegetation will be
removed or altered?
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c. List threatened or endangered ~pecies known
to be on or near the site.
k d l'1f2~'"
.
d. Proposed landscaping, use of native plants,
or other measures to preserve or enhance
vegetation on the site, if any:
AI (') t'\ J ,e;:- \ 0 ~-h \o....J ~ c..Ctt eJ...
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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, songbirds, t
other:
mammal s: deer, ~r, elk, beaver,
other: /tf IJ /11 C
fish: bass, salmon, trout,herring,
shellfish, other: /'VI) jAJe=-.
b. List any threatened or endangered species
known to be on or near the site.
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.
.
c. Is the site part of a migration route? If
so~ explain.
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d. Proposed measures to preserve or enhance
wildlife, if any:
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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.
!UD/I) E
b. Would your project affect the potential use
,. of solar energy by adjacent properties? t If
so, generally describe.
A/O
.
c. What kinds of, energy conservation features
are included in the plans of this proposal?
List other proposed measures to reduce or
control energy impacts, if any:
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11
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.
7. ENVIRONMENTAL HEALTH
a. Are there any environmental health hazards,
including exposure to toxic chemicals, risk
of fire and explosion, sp ill. or hazardous
waste, that could occur as a result of this
proposal? If so, describe.
,,-.-Alb
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1) Describe special emergency services
that might be required.
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2) Proposed measures to reduce or control
environmental health hazards, if any:
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b. Noise
1) What types of noise exist in the area
which may affect your project (for
,- example: traffic, equipment operation, t
other)?
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2) What types and levels of noise would be
created by or associated with the project
on a short-term or a long-term basis
(for example: traffic, construction,
operation, other)? Indicate what hours
noise would co~rom the site.
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.
3) Proposed measures to reduce or control
noise impacts, if any?
~ff~
8. LAND AND SHORELINE USE
a. What is the current use of the site and
adjacent properties?
~~~Jr;~
b. Has the site been used for agriculture? If
so, describe.
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c. Describe any structures on the site.
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d. Will any structures be demolished? If ~o,
whatycE3
e. What is the current zoning classification of
the site?
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f. What is the current co\mprehensive plan
designation ~he sit~?
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13
.
.
g. If applicable, what is the current shoreline
master program designation of the site?
AI lJ"AJ 'F"
h. Has any part of the site beenclassifi~d as
an "environmentally sensitive" area? If so,
specify.
Nt)
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i. Approximately how many people would reside
or work in the completed project?
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j. Approximately how many people would the
completed project displace?
/V~ /II ~, ---
,
k. Proposed measures to avoid or reduce dis-
placement impacts, if any? t
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1. Proposed measures to ensure the proposal is
compatible with existing and projected land
uses and plans, if any:
~X~~q.~H~
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14
.
9. HOUSING
a. Approximately how many units would be
provided, if any? Indicate whether high,
middle, or low-income housing.
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b. Approximately how many units, if any, would
beelimi nated. Indicated whether high,
middle, or low-income housing.
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c. Proposed measures to reduce or control
housing impacts, if any:
, ND1\)E
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?
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b. What views in the immediate vicinity would
be altered or obstructed?
--.-" pi to l\! S-
c. Proposed measures to reduce or control
aesthetic impacts, if any:
,. I
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15
.
.
II. LIGHT AND GLARE
a. What type of light or glare will the proposal
produce? What time of day would it mainly
occur?
A/-2f57J ~ -
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b. Could light or glare from the finished project
be a safety hazard or interfere with view?
A8
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c. What existing off-site sources of light or
glare may affect your proposal?
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d. Proposed measures to reduce or control light
and glare impacts, if any:
;U~ ~f!OIf?L:ffJ}
1'2. RECREATION t
a. What designated and informal recreational
opportunities are in the immediate vicinity?
Af~ tY'~
b. Would the proposed project displace any
existing recreational uses? If so, describe.
AJeJ
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16
.
"
c. Proposed measures to reduce or control
impacts on recreation, including recreation
opportunities to be provided by the project
or applicant, if any:
AM 71 r~
. '
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.
^'1/"S Y\ /~
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b. Generally describe any landmarks or evidence
of historic, archaeological, scientific, or
cultural importance known to be on or next
to the site.
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c. Proposed measures to reduce or control
impacts, if any:
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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.
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b. Is site currently serTed by public transit?
If not, what is the apprqximate distance to
the nearest transit stop? ~
1f~
17
.
.
, .
.
c. How many parking spaces would the completed
project have? How many would t~e project
e I i m i n at e?
/o/~nN~
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d. Will the proposal require any new roads or
streets, or improvements to existing roads
or streets, not including driveways? If so,
generally describe (indicate whether public
or private).
N ?\N~;
e. Will the project use (or occur in the
immediate vicinity of) water, rail, or air
transportation? If so, generally describe.
7t/t'
f. How many vehicular trips per day would be
generated by the completed project? If known,
indicate when peak volumes would occur.
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g. Proposed measures to reduce or control
transportation impacts, if any:
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15. PUBLIC SERVICES
a. Would the project result in an increased need
for public services (for example: fire
protection, police protection, health care,
schools, other)? If so, generally describe.
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b. Propbsed measures to reduce or control direct
impacts on public services, if any.
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b. Proposed measures to reduce or control direct
impacts on public services, if any.
/In/l{k: ,,,/,{471:// /fLil)
16. UTILITIES
a.
17. SIGNATURE
The above answers are true and complete to the best
of my knowledge, I understand that the lead agency
is relying on them to m e its decision.
)
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Signature:
Date Submitted:~~~ /~ . /"~7'
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No. l 0-' 1 t ,-', AFFIDAVIT OF PUBLICATION :]1 ~ @ rn I w rn T
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DETERMINATION OF NONSIGNIFICANCE-M.W. rT J '" - F 'IAI I -oor; ;Nr I - r -T .. F Lr '''Og'gl,r "'i'1"~
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STATE OF WASHINGTON BREMERTON
C::OUi";JTY OF 1< I T:::;{.iF' ~.~ !=.;
BUILDING DEPARTMENT
J D0.' n n'r' L.i:tmbi:~ r' t " bE' i nSI fir.~,;t dl.ll'o", oe,th, dErPo=.i.::'I~.:' i:tnd Th;,;tt h0.'
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c Jo Pii:l. 1 c 10.'r'k o i: t hl7! l"'r':i.nti:.'ros and publ j.sher'~:. 0'1: THE :::;UI'.J . that ~o;i:l 3. d n ';E.' tLl 5 P,;:.j, I"i~ r' h.:;1.~.
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., ishE'd in th0.' En~~l i~;h 1 i30n~~ua,Sl<..~' cont 3. nUi::tl10",0 ~i~; '::i d.lil'o,.. news p;::l.pe r' in Br'<2.'ml7.' ro ton,
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tr'ibuti::.'d to :io t ~,; sub s C 1'" i b,ii.'j'" ~.; duroinE~ all of !:,;ai d Fe ro i 0 d . That thi:~ i:ul1 i:lmount of
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Nota,r"'( Publ ic in ii:l.nd for' t h<:."'.' :::;t.::1. tf:! (< i: Wi::l. s h i n Sl t (< n , rOE!$idin9 i n Brof.~ffli:~ r' ton.
NOT ICE ()FO
DETERi"o, I wrr:r ON
OF NONSIGNIFICANCE
D~,-, s c r' i ~"'t ion oi: f'roOF'OSicio,;: DE.'fflO 1 i!:., h . 0' ., , 1 r' Ii'! ~.; i. -,.
on',,::! s 1 n9 v-;.o-"'I"i:l,ffll 0',0'
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ProoponE.'nt: t1.~.J. Pr':ionc<2.' Hi:3.11 Gr';'ln d Lo dSl<? of [,.,18.S h i n!:~ton .::tnd
.Jur'isdiction.
L.ocii:l.tion o i: f'rooPosi3.1., inc'ludin~:l ~:. 1.7 roe<..=.. t i:3. d d r'\~' s!::. " if a,n'o(: ::::4,~:,
Burowe 11 ~::;t r.,;:'8 t n
L.~~'ii:l.d ASlenc'o,,-: Cit'o( 01: BI'"'E'merton [lepii:l.l'"'tment o i: Co mmu 1"1 i 1.7 'o( [l,:=,-
'Ie 1 opmi:~nt.
ThE' 1 E''::id ~1.9<2.'nc'...' i: 0 ro this prooPosi::tl has de t<=.' rom :io nl;~ d th;:~,t it
'do\?:- not h a, V~.~ i:l. pr'obeob 1 ~,~ !~i9nii:ici:":tnt i3. d v f:! r. $. ~=:.I ifflPi:":j,Ct on thf:~
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aft<?ro ro E' v i <:.' III 0'1: a complete E'nvironmental ch';7,'ckl i!:,;t '::1,1"1 d othero
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i~; i:'.l.vai l;:l.blE' to th<:!.' I:~ublic on r'e""lIJe st.
Th i !E. [INS i !Eo isslJed un de j'" :1.97-1 :1.--,34(1(2) ~ t h<E.' 1 i~ad o'3091::.onc'...0
l.IJ i 11 not i:":j,ct on this pro 0 po ~;,~i 1 'I:or' 1.~i d,:~,''t"'s fr-orn thl7! di:'>.t<2.'
bf.~ 1 Olil. Comml?nt!s must bE! submi ttl::~d b'y': ,Ji:":1.n 1.1 i::)o ro 0.( 4, 1. '::)'::) 1. .
R!:.I:.\ PO n ~\. j. b'l ~=: Oi:i:ici,:;I.l : DONPd__D L. PRATT"
~:'(1 sit ion /T it 1 e: Di ro~'?o:::toro of COITIITIun i too... De\le 1 (IPffl\7!nt, Phoni:~
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[If.iTE: : Dec~::;ITIb\~.'r' 20". :1.990.
You rn.3. --( <:l.ppea, 1 t h i ~.; d<E.'ter'm:i. n;;I.17 i on to: B~emerton Planning
Commission/City Council.
You should b","'; pr'E.'par.<;.;.d to mi::l,ke !:.; I:~i~ C i '1= i c f'3_ctu;:l.1 ob-j<;,;'ction~.;.
Contact Jack Allingham to r-yf..::l.d or. .:3.5k .::I.bout th<,~! PI"' 0 C'.,~ d u r'i~ s
for SEPA appeals.
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,CitJrof Bremertort
.
~39 FOURTH STREET
BREMERTON, WASHINGTON 98310
(206) 4i8-5~S2
DETERMINATION OF NONSIGNIFICANCE
Description of proposal Demolish one single-family residence; construct
five-foot":'high, 1l0-foot~long retaining wall; import 600 cubic yards of fill;
construct accessory parking lot for 12 vehicles.
P 0 , t M.W. Prince, Hall Grand Lodge of Washington and Jurisdiction
r ponen
. Location of proposal, including street address, ~f any:
\ 846 Burwell Street
Lead agency City of Bremerton Department of Community Development
I
The lead agency for this proposal has determined that it does
not have a probable significant adverse impact on the
,environment. An environmental impact statement (EIS),is not
required under RCW 43.2lC.030(2) (c). This decision was made
after review of a completed environmental checklist and other
info~mation on file with the lead agency. This information is
available to the public on request.
[J There is no comment periOd for this DNS.
0,
m This DNS is issued under 197-11-340(2); the lead agency will
not act o~ this proposal for 15 days from the date below.
Comments must be. submitted by January 4. 1991.. .
Responsible official DONALD L. PRATT
.. Posi tion/ti tIe Director of Community Development Phone (206) 478-5275
Address 286 - 4th Street, Bremerton, WA 98310
Date ~c2tJ'(Q9() Signature ~
/
~Y~u may appeal this determination to (name):
Bremercon ~lanning Commission/City Council
I
: You should be prepared to make specific factual objections.
Contact .Ta('~ Allingham to read or ask about the procedures
for SEPA appeals.
c=JThere is no agency appeal.
Gateway to the Olympics and Home of the PIIget Sound .val'al Shipyard
--, -,-..--~,-._---- .---,. ---4- -- - - -, .a;- -----s;:- ------ , ----------. -----.--~'------- -.:;J ~ - J---r----~-----------,._- -------.-,-,-,~.--. .,~-.~
respectively.
A. BACKGROUND
1. Name of proposed project, if applicable:
New offices for the Department of Social and Health Services
2. Name of applicant:
Masini Sanford Gabrielse & Schoenfeldt Architects
3. Address and phone number of applicant and contact person:
Jim Gabrielse
510 South Capitol Way
Olympia, Washington 98501
943-6774
.4. Date checklist prepared:
December 1990
5. Agency requesting checklist:
City of Bremerton
6. propc;>sed timing or schedule (including phasing, if
appllcable):
Construction/remodel: Mid January through June 1, 1991
Occupancy: July 1, 1991
7. Do you have any plans for future additions, expansion, or
further activity related to or connected with this proposal?
If yes, explain.
---- -------
.
, .
"
No, not at this time.
8. List and environmental information you know about that has
been prepared, or will be pr~pared, directly related to this
proposal.
None, to our knowledge.
9. Do you know whether applications are pending for governmental
approvals of other proposals directly affecting the property
covered by your proposal? I:: yes, explain.
Not to our knowledge.
10. List any government approval::; or permits that will be needed
for your proposal, if known.
City of Bremerton Building PI~rmit.
11. Give brief, complete descrip":.ion of your proposal, 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 proposal. You do not need to
repeat those answers on this page. (Lead agencies may modify
this form to include addi 1:ional specific information on
project description) .
This proposal is for the remodeling of an existing 30,160 sq.
ft. bus barn to office space that will house the Department of
Social and Health Services. Also included in this proposal is
the converting of a graveled area that is approximately 24,500
sq. ft. to asphalt paved parking.
12. Location of the proposal. Give sufficient information for a
person to understand the precise location of your proposed
project, including a street address, if any, and section,
township, and range, if known. If a proposal would occur over
a range of area, provide the range or boundaries of the
site(s) . Provide a legal description, site plan, vicinity
map, and topographic map, if reasonably available. While you
should submit any plans required by the agency, you are not
required to duplicate maps or detailed plans submitted with
any permit applications related to this checklist.
4710 Kean Street
Bremerton, Washington
Reference attached legal description and vicinity map.
-
.
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LEGAL DESCRIPTION
That part of the Northwest quarter of the Southeast quarter of the
Northeast quarter, in section 21, Township 24 North, Range 1 East
N. W., in Kitsap County, Washington, described as follows using
bearings of the Washington Plane Co-ordinate System:
Beginning at the East quarter section corner of said section 21;
thence along the East-West center-of-section line of said Section
N 88051'5411 W 1330.00 ft. to the Southwest corner of the Southeast
quarter of the Northeast quarter of said section 21; thence N
1058 ' 0511 E 666. 19 ft. to the Southwest corner of said Northwest
quarter of the Southeast quarter of the Northeast quarter; thence
along the South line of said Northwest quarter of the Southeast
quarter of the Northeast quarter S 88052'02"E 166.24 ft. to the
Southeast corner of the West half of the West half of said
Northwest quarter of the Southeast quarter of the Northeast
quarter; thence along the east line of said West half of the West
" half, N 1058'02" E 30.00 ft, to the northerly margin of Werner Road
being the true point of beginning; thence along said northerly
margin running parallel with the South line of said Northwest
quarter of the Southeast quarter of the Northeast quarter, S
88052'02" E 348.72 ft. to a point 150 ft. West of the East line of
said Northwest quarter of the Southeast quarter of the Northeast
quarter; thence along a line parallel with East line, N 1057'5211 E
150.00 ft.; thence S 88052'02" E 150.00 ft. to the East line of
said Northwest quarter of the Southeast quarter of the Northeast
quarter; thence along said East line, Nl057'52" E 336.22 ft. to a
point 150 it. South of the Northeast corner of said Northwest
quarter of the Southeast quarter of the Northeast quarter; thence
along a line parallel with the North line of said Northwest quarter
of the Southeast quarter of the Northeast quarter N 88052' 11" W
332.46 ft. to the West line of the East half of said Northwest
quarter of the Southeast quarter of the Northeast quarter; thence
along said West line, S 1057'59" W 183.11 ft. to the Northeast
corner of the Southwest quarter of said Northwest quarter of the
Southeast quarter of the Northeast quarter; thence along the North
line of the Southwest quarter of said Northwest quarter of the
Southeast quarter of the NE quarter N 88052' 10" W 166 . 24ft. to the
Northwest corner of the east half,of the Southwest quarter of said
Northwest quarter of the Southeast quarter of the Northeast
quarter; thence continuing along the North line of the Southwest
quarter of said Southwest quarter of the Southeast quarter of the
Northeast quarter, N 88052'10" W 81.46 ft. to the easterly margin
of Union Ave.; thence along said easterly margin S 13007'51" E
312.70 ft. to the true point of beginning.
legal. des
. .
B. ENVIRONMENTAL ELEMENTS EVALUATION FOR
AGENCY USE ONLY
TO BE COMPLETED BY APPLICANT
1. EARTH
a. General description of the site (circle one) : flat,
rOlling, hilly, steep, slopes, mountains, other:
b. What is the steepest slope on the site (approximate
percent slope)?
The steepest slopes on this developed site are between
2 - 4%.
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 note any prime farmland.
Alderwood series - very qravelly, sandy loam
d. Are there surface indications or history of unstable
soils in the immediate vicinity? If so, describe.
There is no indication of unstable soil in the area.
e. Describe the purpose, type, and approximate quantities
of any filling or grading proposed. Indicate source of
fill.
The parkinq lot will qenerally be a self balancinq
area with necessary ground preparation prior to
asphaltinq. ApproximatelY 75 cubic yards of crushed
surfacinq top course will be imported for use as
prelevelinq. No other fillinq or qradinq is proposed.
f. Could erosion occur as a result of Clearing,
construction, or use? If so, generally describe.
No, it is not anticipated that erosion will occur on
the site.
g. About what percent of the site will be covered with
impervious surfaces after project construction (for
example, asphalt, or buildings)?
Approximately 2-1/2 acres is currently covered with
impervious surfaces. Additional impervious areas will
not be created.
,
.
EVALUATION FOR
AGENCY USE ONLY
h. Proposed measures to reduce or control erosion, or
other impacts to the earth, if any:
None are proposed. It is anticipated that the
conveyance system and 'Pond area proposed in
coni unction with the paved parkinq will decrease the
likelihood of erosion.
2 . AIR
a. What types of emissions to the air 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.
Durinq the parking lot construction, exhaust emissions
from equipment may be intense, however, factory
installed mufflers' and spark arresters that are most
likelY installed on the equipment would help in
controllinq emissions. The intensity may be severe at
times, but of short duration and should not have any
lonq term adverse im~acts on the environment.
b. Are there any off-site sources of emissions or odor
that may affect your proposal? If so, generally
describe.
The site is located on the corner of Kean Street and
Werner Road which is a potential source of vehicular
emissions. We do not anticipate that these
emissions will have an adverse impact on our
proposal.
c. Proposed measures to reduce or control emissions or
other impacts to air, if any:
Equipment used in the on-site work will be equipped
with approved exhaust systems. No other emission
control measures are proposed.
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, wetlands)? If yes, describe type
and provide names. If appropriate, state what
stream or river it flows into.
There are no water bodies in the immediate
, .
EVALUATION FOR
AGENCY USE ONLY
vicinity of the proposed proiect. However. the
Puaet Sound is north and south of the site.
Kitsap Lake is to the Northeast.
2. Will the project require any work over, in, or
adjacent to (within 200 feet) the described
waters? If yes, please describe and attach
available plans for this work.
No work within 200 feet of the water will not
be required.
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 and/or disposal site.
Does not apply.
4. Will the proposal require surface water
withdrawals or diversions? Give general
description, purpose, and approximate
quantities if known.
Does not apply.
5. Does the proposal lie within a 100-year
floodplain? If so, note location on the site
plan.
No. not to our knowledae.
6. Does the proposal involve any discharges of
waste material to surface waters? If so,
describe the type of waste and anticipated
volume of discharge.
The proposal does not reauire any discharae of
waste materials to surface waters.
b. Ground:
1. will ground water be withdrawn, or will water be
discharged to ground water? Give general
description, purpose, and approximate quantities if
known.
This proposal does not reauire withdrawal from. or
discharae to. any qroundwater.
2. Describe waste material that will be discharged into
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EVALUATION FOR
AGENCY USE ONLY
the ground from septic tanks or other sources, if
any (for example: Domestic sewage; industrial,
containing the following chemicals . . . ;
agricultural; etc. ). Describe the general size of
the system, the number of such systems, the number
of houses to be served (if applicable), or the
number of animals or humans the system(s) is/are
expected to serve.
Does not apply.
c. Water Runoff (including storm water):
1. Describe the source of runoff (including storm
water) and method of collection and disposal, if any
( include quantities, if known). Where will this
water flow? will this water flow into other waters?
If so, describe.
A natural pondinq area lies to the north of the
site. The runoff will be conveyed to a control
structure. throuqh oversized pipe and discharqed to
the existinq pondinq area where the storm water
infiltrates.
2. Could waste materials enter ground or surface
waters? If so, generally describe.
It is not anticipated that waste materials will
enter the qround or surface waters.
d. Proposed measures to reduce or control surface, ground,
and runoff water impacts, if any:
Water impacts will be controlled by implementinq
qenerallY accepted measures for proper disposal of
surface water runoff.
4. PLANTS
a. Check or circle type of vegetation found on the
site:
~ deciduous tree: alder, maple, aspen,
other Madrona
~ evergreen tree: fir, cedar, pine,
other
_ shrubs
_ grass
_ pasture
_ crop or grain
.
EVALUATION FOR
AGENCY USE ONLY
___ wet soil plants: cattail, buttercup, bulrush,
skunk cabbage, other
___ water plants: water lily, eelgrass, milfoil,
other
~ other types of vegetation: Berries
b. What kind and amount of vegetation will be removed
or altered?
The removal of existinq veqetation is not
anticipated.
c. List threatened or endangered species known to be on
or near the site.
None are known to exist on or near the site.
d. Proposed landscaping, use of native plants, or other
measures to preserve or enhance vegetation on the
site, if any:
A licensed landscape architect is preparinq a
landscapinq plan that will enhance the existinq
veqetation as well as t>rovide additional
landscapinq. The urouosed ulan will be created
using the criteria outlined in the city of Bremerton
zoninq ordinance.
s. 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, songbirds.
other:
mammals: deer, bear, elk, beaver,
other:
fish: bass, salmon, trout, herring, shellfish,
other:
b. List any threatened or endangered species known to
be on or near the site.
None are known to exist on or near the site.
c. Is the site part of a migration route? If so,
explain.
.
.
EVALUATION FOR
AGENCY USE ONLY
No. not to our knowledqe.
d. Proposed measures to preserve or enhance wildlife.
if any:
None are pro~osed. However. it is anticipated that
the enhancement to the existing veqetation will
~rovide additional cover and foliaqe for wildlife.
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.
Electricitv will be used to meet the heatinq and
enerqv needs commonly associated with offices.
b. Would your project affect the potential use of solar
energy by adjacent properties? If so, generally
describe.
This proDosal does not include anv new structures
that would affect the ~otential use of solar enerqy.
c. What kinds of energy conservation features are
included in the plans of this proposal? List other
proposed measures to reduce or control energy
impacts, if any:
None are proposed.
7. ENVIRONMENTAL HEALTH
a. Are there any environmental health hazards,
including exposure to toxic chemicals, risk of fire
and explosion, spill, or hazardous waste, that could
occur asa result of this proposal? If so, describe.
No. not to our knowledqe.
1. Describe special emergency services that might
be required.
The need for special emerqencv services is not
anticipated.
2. Proposed measures to reduce or control
.
.
EVALUATION FOR
AGENCY USE ONLY
environmental health hazards, if any:
None are proposed.
b. Noise
1. What types of noise exist in the area which may
affect your project (for example: traffic,
equipment operation, other)?
None are known to exist.
2. What types and levels of noise would be created
by or associated with the project on a
short-term or long-term basis (for example:
traffic, construction operation or other)?
Indicate what hours noise would come from the
site.
Noise levels will increase a result of on-site
construction activities. Noise levels in the
realm of 80 to 82 DbA can be anticipated as a
result of on-site construction equipment.
Noise levels of 60 to 70 DbA durinq the short
term basis will be common. Peaks from 78 to 82
DbA can be anticipated. However. these would
be short term levels and should not have an
adverse impact on the overall environment. It
can be anticipated that these noise levels
.would occur between the hours of 7:00 a.m. and
7:00 p.m.. Monday through Friday.
3. Proposed measure to reduce or control noise
impacts, If any:
The increase in noise will be of short
duration. durinq the ~arking lot construction
and buildinq remodel onlY. There should be no
lonq term impacts.
8. LAND AND SHORELINE USE
a. What is the current use of the site and adjacent
properties?
The site has an existing 30.160 sq. ft. building.
This is used as a bus garage and maintenance
facility. To the north is a commercially industrial
area: south is a car dealership: east is a mini
.
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EVALUATION FOR
AGENCY USE ONLY
storaqe facility: and west is a moving/storage
facility and some residential.
b. Has the site been used for agriculture? If so,
describe.
No. not to our knowledqe.
c. Describe any structures on the site.
A 30.160 sa. ft. building constructed of larae
bricks.
d. will any structures be demolished? If so, what?
No.
e. What is the current zoning classification of the
site?
IG - General Industry
f. What is the current comprehensive plan designation
of the site?
Industrial/Business Park.
g. If applicable, what is the current shoreline master
program designation of the site?
Does not applY.
h. Has any part of the site been classified as an
"environmentally sensitive" area? If so, specify.
No.
i. Approximately how many people would reside or work
in the completed project?
ApproximatelY 140 -people will work at the completed
site.
j . Approximately how many people would the completed
project displace?
The present users of the facility will be movinq to
another location. therefore. it is not anticipated
that this pro;ect will displace any people.
.
. .
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EVALUATION FOR
AGENCY USE ONLY
k. Proposed measures to avoid or reduce displacement
impacts, if any:
None are proposed.
1. Proposed measures to ensure the proposal is
compatible with existing and projected land uses and
plans, if any:
The proposed proj ect is substantiall V compatible
with existing uses and complies with uses approved
for the area in the citv of Bremerton zoning
ordinance.
9 . HOUS ING
a. Approximately how many units would be provided, If
any? Indicate whether high, middle, or low-income
housing.
Does not apply.
b. Approximately how many uni ts, if any, would be
eliminated? Indicate whether high, middle, or
low-income housing.
.Does not applv.
c. Proposed measures to reduce or control housing
impacts, if any:
Does not applv.
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?
The tallest structure is existing and will remain
approximately 17 feet. The buildinq exterior will
not change from the existinq brick.
b. What views in the immediate vicinity would be
altered or obstructed?
No views will be altered or obstructed.
c. Proposed measures to reduce or control aesthetic
impacts, if any:
.
.
, .
.
EVALUATION FOR
AGENCY USE ONLY
None are proposed.
11. LIGHT AND GLARE
a. What type of light or glare will the proposal
produce? What time of day would it mainly occur?
It is not anticipated that liqht or qlare will
result from this proposed proiect.
b. Could light or glare from the finished project be a
safety hazard, or interfere with view?
No. It is not anticipated that a safetv hazard will
be created or interference with views will result.
c. What existing off-site sources of light or glare may
affect your proposal?
None are known to exist.
d. Proposed measures to reduce or control light and
glare impacts, if any:
None are proposed.
12. RECREATION
a. What designated and informal recreational
opportunities are in the immediate vicinity?
None exist in the immediate vicinity.
b. Would the proposed project displace any existing
recreational uses? If so, describe.
No.
c. Proposed measures to reduce or control impacts on
recreation, including recreation opportunities to be
provided by the project or applicant, if any:
None are proposed.
13. HISTORIC AND CULTURAL PRESERVATION
a. Are there any places or objects listed on, proposed
for, or eligible for listing in national, state, or
local preservation registers known to be on or next
to the site? If so, generally describe.
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.
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EVALUATION FOR
AGENCY USE ONLY
None are known to exist.
b. Generally describe any landmarks or evidence of
historic, archaeological, scientific, or cultural
importance known to be on or next to the site.
None are known to exist.
c. Proposed measures to reduce or control impacts, if
any:
None are proposed.
14. TRANSPORTATION
a. Identify public streets and highways serving the
site, and describe proposed access to the existing
street system. Show on site plans, if any:
The site is qenerally served bv Hiqhwav 3 which is
1/8 mile to the east. Maior arterials are Werner
Road and Kean Street. The existinq access is via
Kean Street. There are no plans to chanqe the
access.
b. Is site currently served by public transit? If not,
what is the approximate distance to the nearest
transit stop?
Yes. however. service is limited to commuter hours
onlv and the destination is the shipyard. Reqular
service is provided at the corner of Loxie Eaqans
Boulevard and Auto Center Wav which is approximately
1/4 mile east of the site.
c. How many parking spaces would the completed project
have? How many would the project eliminate?
The completed project will have 168 parking spaces.
None will be eliminated.
d. will the proposal require any new roads or streets,
or improvements to existing roads or streets, not
including driveways? If so, generally describe
(indicate whether public or private).
None will be required.
e. will the project use (or occur in the immediate
vicinity of) water, rail, or air transportation? If
.
.. ~
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EVALUATION FOR
AGENCY USE ONLY
so, generally describe.
No, not to our knowledqe.
f. How many vehicular trips per day would be generated
by the completed project? If known, indicate when
peak volumes would occur.
It is anticipated that peak traffic volumes would
occur between 7:30-8:30 a.m. and 4:30-5:30 p.m. It
is estimated that this facility will qenerate
approximately 610 vehicle trips per dav, per ITE,
Land Use 710, General Office Buildinq. Daily
traffic volume will increase durinq the first ten
workinq days of each month as DSHS clients visit the
office.
g. Proposed measures to reduce or control
transportation impacts, if any:
None are proposed.
15. PUBLIC SERVICES
a. Would the project result in an increased need for
public services (for example: fire protection,
police protection, health care, schools, other)? If
so, generally describe.
It is not anticipated that this proiect will
increase the need for special services.
b. Proposed measures to reduce or control direct
impacts on public services, if any:
None are proposed.
16. UTILITIES
a. Circle utilities currently available at the site:
Electricity, natural qas, water, refuse service,
tele~hone, sanitary sewer, septic system, other.
r
"
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EVALUATION FOR
AGENCY USE ONLY
17. SIGNATURE
The above answers are true and complete to the best of my
knowledge. I understand that the lead agency is relying on
them to make its decision.
Date: Dee, /~ /1?"
Date: ~ .. /.,., /eJ90
....
(Seal)
9035610.ECL
rjl\t.IVILf\ I UN ell Y I kI:A~UI<ER
PA~~~r)
-,n
DEe 1 2 1990 1 fOD
BREMERTON MUNICIPAL UTILITIES
3027 Olympus Drive ~ THAI\JKYOU
Bremerton, Washington 98310-4799
(206) 478-5318
~ILITY SERVICE ~GR..~JL'1.BNT
Work Order No. Tap No. Receipt, N'o ..0-/,;2 "":/5'
.. Bremerton, WAf /,>~.. /~I .,", 19.::0
The undersigned property owner hereby applies for Utility service at:
Service Address: ~'('ll /r/f /l(/~; /l
,r , .. l
Legal Description:
Plat Block Lot Kitsap County
-------------,-----------------------------------------------------------
SERVICE REQUIREMENT: [] Water ,.t?<J'" Wastewater [ ] Stormwater
SERVICE AREA: [] Marine Drive Water [] Sewer District #1
,11 Ci ty [] North Perry Water [] Tracy ton Water
[]eounty [] Port of Bremerton [ ]
---------------------------------~-----------------------------------------
SERVICE CHARGES:
Connection/Inspection Fe~: BARS #.
Water: Domestic...............Size $
Fire . . . . . . . . . . . . . . '. . . . ,S i z e $
Wastewater . . . . . . . . . . . . . . ... . . . . . . . . . . . . . $
Storm Water . . . ~ . .~. . . . . . . . . . . . . . . . . . . . . . . $
Front Footage Fee:
Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Wastewater . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . $
Storm Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
General Facility Fee:
Water ......., of units ___ ~ $ $
Wastewater .., of units ___ ~ $ $
Storm Water .# of, units ___ (j $ $
System DeveloDment Ch~r~es;
........ ~S.\~~~--Op""Wate-r " ' . $
Wastewater $
Storm Water $
Temporary Service $ -
Road Permit [] City [] County ..$
Street Restoration [] Asphalt [] Concrete $
Tapping Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Deposit ',"-;:1:::1 r//)/ ('.... $
Other " ~ (,.I $ ,";:? -r / ,0 [)
, ,..,....i ~~ ~" /,.t-.', () -,~l i.) j- ~,<f ': . / '~. ',.;~""'" /..) /
'POT AL. . . . . . . . . . .. . . . . . . $ , ,
------------~--------------------------------------------------------------
1 . Utility charges are the responsibility to the owner regardless lof
whether the property is occupied by the owper or tenant. Unpaid
cltarge shall.,become a lien on the pr()perty serviced.
2. By this agre~ment, the undersigned owner acknowleUges that the owner
a~sumes the risk and the City disclaims responsibility for all claims
for damage or injury to person or property resulting from the
following:
a. Installation, maintenance and operation of all plumbing, fixtures
or appliances connected to the water meter 6r wastewater main.
(Building permit inspections are limited in scope and do not
guarantee plumbing design or workmanship.)
b. Changes in pressure, flow or temporary shut-off of services due
to system maintenance, emergency or non-payment of charges.
Name Phone Number (/::,,11,:) ...,i -;i,c! "":,(, q>
Billing :).'..../ /-/,}) . ZIP ,//.);7
City . i ~I i/"~:'~" / l- /;: ,t..:' l..,r,! ) I r II ' , . '1 State ,I ")
:' _ ',.f : 'I -,/! ".',,' :',/ ;lor,
/ ' { ,.."'
Owner's Signature Date 19
Agent's Signature C /'/://"/" },/"'i: /''i'' :,'/ Date { , -
.'., /' , 19~
_ l v' Y.' ' .i"'/';"'"
Ac~epted on behalf "o~l 'ie,ertton Municipal" Utili ties: I :"-- /' 19
By. j, I ,,//j Date , -'-
/ / " J
Original & Yellow Copies: Utilities Accounting
Pink Copy: Utilities :Engineering Goldenrod Copy: Customer
S8Vee ,C;"'-F; A~U6D l2{l~{C?{J 4a&4fr
" '. '
r
INSPECTION RECORD CARD //610
CITY OF BREldERTON BUILDING DEPARTMENT 11509
PERMIT NUMBER
ADDRESS
OWNER
CONTRACTOR OLYMPIC CONSTRUcrION l/7f- 5ft; f CJ
... FOUNDATION
~
1. PERMIT ON SITE 7. CHECK FOR FILL
2. CHECK PLANS TO PERMIT 8. REQUIRED STEEL IN PLACE
3. CHECK SETBACKS 9. CHECK FIREPLACE FOOTING
4. PROPERTY STAKES 10. ANCOR BOLTS
5. FOOTING WIDTH & DEPTH 11. FOUNDATION VENTS
6. SOIL BEARING O.K. 12. CRAWL ACCESS
, COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
2A FRAMING 20. FIREBLOCKING
STAIRS
1.WIRING APPROVED DROP CEILINGS
2.FOUNDA TION VENTS TUBS OR SHOWERS
3. SHIELD UNDER POSTS ROOF & CEILING LINES
4. POSITIVE CONNECTIONS FURRED OUT AREAS
5. SOIL TO WOOD CLEARANCE RREPLACE AT CEILINGS
6. BEAM SUPPORT HOLES PLUGGED TOP & BOTTOM
7. TA. MAT. NEXT TO CONC. LID IN VOIDS
8. WASHERS ON ANCHOR BOLTS 21. WINDOWS
9. BEAMS PROPER SIZE MEETS ENERGY CODE CLASS
10. FLOOR JOIST SPAN SAFETY GLAZING
11. NOTCHING & DRILLING REQUIRED RRE EXITS
12. STAIRS WINDOW SILL HEIGHT
WIDTH 22. CEILING HEIGHTS
RISE & RUN 23. SWAY BRACING
WINDERS 24. TRUSSES
LANDINGS PROPERLY INSTALLED
HEADROOM STAMPED
13. ATTIC VENTILATION {upper & lower} PROPERLY BRACED
14. CHIMNEY STRAPS SECURED 25. ATTIC ACCESS
15. FIREPLACE COMBUSTION AIR 26. RAFTER & JOIST SPAN
16. FANS VENTED TO OUTSIDE 27. ROOFING, FLASHING, SHEATHING
17. WATER CLOSET CLEARANCE 28. SIDING
18. SMOKE DETECTOR
19. SHEETROCK BACKING COMMENTS:
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
FRAMING INSPECTION
APPROVED BY:
23 INSULA liON COMMENTS:
1. PROPER RRVALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
~~ MECHANICAL HVAC APPROVED BY:
1. PERMIT ISSUED
2. FURNACE LOCATION GAS PIPING APPROVED BY:
3. FURNACE CLEARANCE WDST
4. '81 VENT SIZING
5. '81 VENT CLEARANCE 1. WOOD STOVE CLEARANCE
6. IB' VENT SUPPORT 2. CHIMNEY CLEARANCE
7. COMBUSTION AIR 3. HEARTH EXTENSION
8. DUCT SIZING 4. CHIMNEY HEIGHT
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST WDST APPROVED BY:
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
-:J PLUMBING
. ~ 1. PERMIT ISSUED 6. PROPER ATTINGS
2. UNDER TEST 7. REQUIRED CLEANOUTS
3. WATER PIPE SIZING B. PROPER GRADE
4. DWV SIZING 9. HWT PRES. RELIEF VALVE & UNE
5. PROPER SUPPORT 10. SEISMIC STRAP
COMMENTS:
UNDERGROUND APPROVED ROUGH~IN APPROVED
BY: BY:
3 WALLBOARD 6. FIRE SEPARATION iN GARAGE
1. LID OVER SIDES 7. ATTiC ACCESS
2. NAILING I 8. DRAFT STOP IN ATTIC
3. W/R AT TUB OR SHOWER 9. PROPER CONST. OF FIRE WALLS
4.5/8 UNDER STAIRS 10. DROP CEILING & LIGHTING
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
. FINAL
L.
- 1. HANDRAILS 9. HOT WATER TANK PRL
2. GUARDRAILS 10. OUTSIDE GRADE
HEIGHT . 11. SOIL TO SIDING CLEARANCE
INTERMEDIATE 12. SMOKE DETECTORS
3. EXHAUST FANS 13. FIREPLACE HEARTH
4. WATERPROOFING IN SHOWERS 14. SAFETY GLAZING
5. DISHWASHER AIRGAP 15. INSULATION
6. FIRE DOORS WINDOWS MEET ENERGY CODe
LAB LED AS REQUIRED UNDERFLOOR & ATTICE INSUL.
SELF CLOSING WATER PIPE & HEAT DUCTS
7. FIRE DAMPERS INSTALLED 16. WOODSTOVE APPROVED
8. PENETRATIONS IN FIRE WALLS 17. WINDOWS & DOORS CAULKED
FINAL PLMB. APPR. (comm.) COMMENTS:
FINAL MEeH. APPR. (comm.)
FINAL BUILDING APPR.