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CONSTITUTION AVE. S., 205
, SITE ADDRESS 05 ~sf,l fAf.'lr\ j j ;1 I , I ,I '1 ; i j 1 I BUILDING PERMlI' INSPECTION HLE CARD PROTECT THIS CARD FROM THE WEATHER '.. _ ~_,~,.._______,_~._,j Building Plumbing D Mechanical Fire Alarm/Sprinkler D DURING IN ECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE Permit # !! !! Q ~ - 0 D-l-1:3 ~@~lJ @~ ~~lJ~ For Inspections Call (360) 473- 5870 Approved Date Notes ~ 1 ~ : "1 ~\ } ~' t ',} { } l ] ~ ,{ ~, 'ii ; -_~':.; i ~ ~ I iL Erosion Control In Place Foundation Footing Foundation walls Plumbing Ground Work In Slab Mechanical Footing Insulation d "'. i l! ' . 1.- /~.- .' ,~, ? - it ~<J t_ .( :n;\ l :f) ~-'i}l~J ~~< f{J f~4'~~.:,1 J. I l" ,,'~ j~d~1 /'" ..,;~;;-:) ,I'li /i/UJ i'li~ F'ff I Rough In Duct / Vent Support / Test / Meter set ."-flr'fIt'">! H '; ',. J '-~ 'Ii;, V ,I ,'Ct'" '.j' ~.,,~ -fl. l! ll-, i )( ,'1 i r ,,1."'( J.... ) i'" I J t i'~ ~ ; if [' >: ~~ ;. Hold down connections Shear Panel nailing L&I Electrical Approved Ventilation requirements Framing 'i ih Under-floor ,!-_c\or t. (,i'V,)' (I!" \ n :'\/ walls ceiling ""l;i 11'11 i ',:> " 3' ~ '" '}" f' ( I '~J c) r!4.'. ,li, 1 , {, ,1 I.. \, g ~ ~ ~ (;. , '~- ,I' l.I $ ,~ ~ - , - < '{if ri"V;IJ. -... ' ,j ~ I'l... BUILDING -473~58 70 1 All of the above MlI.'i1 be approved Prior to final 473.592 i AU 'iJNilt IVS ECT/ONS COMPtt;1'ElJ Occupancy Apprm'al (Single family Resldefl((: Only) no NOT OCCUpy BlJIUHNt; WI nlo{J/ BlJIL[)(NG I>EP!\RT!\IENT .\PPROVAl t'-.i?!J(ECT..11:lLS,. ~L\ lJJ2..f1iVM HIE. WEIUJ1 ER .-/ .., " - (,) 7() >+/,J~;)(} , 'W, .~ '.. Jm'~',*-"": i ..1 ! ~ 'I ig}1~;~~:~i;~! CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER B80500113 DATE ISSUED: 07/14/2005 345. 6th Street, Bremerton, WA 98337 (360) 478.5275 Fax: (360) 478.5278 I---~.-------- I ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 222401-1-015-2002 PROVASNIK GREGORY PROVASNIK GREGORY SELF SUBMITTED: 02/28/2005 VALUATION: $1,000.00 Building Permit Plan Review Fee $38.75 2211 $25.19 4580 $4.50 0236 State Surch arge TOTAL FEES: $68.44 ZONING: SF-3 PHONE: PHONE: PHONE: PHONE: SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: 205 CONSTITUTION AVE 205 S CONSTITUTION, BREMERTON, WA 98312 205 S CONSTITUTION, BREMERTON, WA 98312 APPROVED: 07/14/2005 01110/2006 STATUS: ISSUED Building Permit. No Mechanical/Plumbing REPAIR OF EXISTING CARPORT Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Ap plicant 1 TOTAL [ Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries (360) 473.5870 (360) 415.4000 Fire Inspections H/D: Bremerton, Kitsap County Health District PW: Department of Public Works (360) 473.5380 (360) 337.5285 (360) 473.5270 This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local I aw regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Lawunder Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DeD review and approval prior to performing work. All building , and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. f zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: 1,/4-., os ~ PRINTED NAME: DATE: CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos- containing materials in the work area or structure. The asbestos survey must be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family residences). DCD: For more information, please contact Clean Air Agency through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be found at www.lnLwa.gov/p-ts/asbestos/asbestos.htm. Building Plan Review: Site Visit required for code compliance. Code Compliance-All work in the City of Bremerton shall adhere to the following 2003 International Codes: International Building Code International Residential Code 1. (DCD-01) 2. (DCD-02) 3. (DCD-22) Page 1 of 2 i' '. '. , I; ;m"'~J'~""'! " a :, ;, , < ~ '1 1 f ;qx(~~r qk~~~":l~~'>J~ l,:::e> 7';': .<~>1"..,,.; CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER 880500113 DATE ISSUED: 07/14/2005 345. 6th Street, Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 ASSESSOR NUMBER: 222401-1-015~2002 ZONING: SF.3 SITE ADDRESS: 205 CONSTITUTION AVE APPLICANT NAME: PROVASNIK GREGORY PHONE: ADDRESS: 205 S CONSTITUTION, BREMERTON, WA 98312 OWNER NAME: PROVASNIK GREGORY PHONE: ADDRESS: 205 S CONSTITUTION, BREMERTON, WA 98312 CONTRACTOR: SELF PHONE: ADDRESS: LENDER NAME: PHONE: ADDRESS: SUBMITTED: 02/28/2005 APPROVED: 07/14/2005 EXPIRATION: 01/10/2006 STATUS: ISSUED International Existing Building Code International Fire Code International Mechanical Code Uniform Plumbing Code International Fuel Gas Code 1998 WA State Barrier Free Code 2001 WA State Energy Code 2000 WA State Ventilation Code Check For All Washington State Amendments. Check For Notes On Plan , APPROVAL IS SUBJECT TO ON-SITE INSPECTION APPROVAL. THIS STRUCTURE IS NOT FOR COMMERCIAL USE. MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. 4. (OTHER) Manufactured Home Foundation Framing Final Inspection - Building ~~_________,___________.___J Page 2 of 2 " ) c' . \ ~'~ 0.;-\ 'OD f l3, BREMERTON-DEFT. OE . . . ., COMMUNITY DEVELOPMiBuilding Pernut ApplicatIOn s: .-C --:~ 'h~~7 Depcutment of Community Development * 286 - 4th Street * Bremerton * \tv A * 98337 (360) 473-5275 * Fax (360) 473-5278 1,\:ppti~t;t';lt;l:j~l"~~t~e!!l?~~~{~E~,~'~~~:i'D!~~olf~~t<iif&4~l ',;,~iiJf;O~\l~~t\iz~~~~#ita3ttf~'~~~~;'~~,~I~~!. zos ~, LeInS.!. -t-v-hOI'\ ~J~ CONTRACTOR: $' e, , Address: Cit , State, Zi : License # & Ex . Date: Contact Name: Contact Phone #: Tax IO/Parcel #: . Site Address: A-.J e- 8:S{'L What is the appl.ication for? (Please check one) D NEW SINGLE-FAMILY RESIDENCE 0 COMMERCIAL REPAIR D NEW DUPLEX 0 NEW MULTI-FAMILY D NEW MANUFACTURED HOME 0 TENANT IMPROVEMENT o RESIDENTIAL REMODEL 0 NEW GARAGE/CAR PORT D RESIDENTIAL ADDITION 0 NEW ACCESSORY BUILDING D RESIDENTIAL REPAIR 0 NEW SIGN D NEW COMMERCIAL 0 STRUCTURE DEMOLITION D COMMERCIAL REMODEL 0 GRADING (Cubic Yards: ) D COMMERCIAL ADDITION ~ OTHER: CA.rpo/,.f- ~ Ovlr IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YESD NO, 0 Scope of work proposed: (2..-ep~ \,.., ~ tl/Zk1 ~ +/ Y CCi, r pO /"+ Square Footage: Dwelling: Garage: 0<-[ 0. .5' Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees 1000 ::<~,11 38" .7)' 'it.. ~-O G 5. }l i.J 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 ior 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. . ~ l.1 ":;;::1""",, .-/ ~l;p rlf- U~'._,J-....-~~/ Applicant's Signature ,/ z ~Z Ei- OS;- Date :; .~ :--- .~ ~ . ~-:::-- /'," " , " . f: 'I" I -..1 : '~_1' __ . .- -l -~'_~::,,,,-~~, BBOS DO I\~ 5~-~ \)\5.\ { L ../ B ': CITY OF BREMERTON Department of Community Development 345 - 6th Street, Suite 600, Bremerton, W A 98337 (360) 473-5275; Fax: (360) 473-5278 website: www.ci.bremerton.wa.us RESIDENTIAL SITE PLAN QUESTIONNAIRE The answers to this questionnaire assist the staff in reviewing one or two-unit residential building permit. Please complete the form and submit it along with the building permit. Providing complete information will help ensure the timely processing of your permit. APPLICANT INFORMATION: /' n i NAME: (Qr ~ _ t-" ro ,~h~1. 'S- /\'1 ft- _ . ADD RES S: e,os S, Li<:-''''ls.h.\v +-1 or"\. Dr..J't..- CITY: Brl:Y'->.' -I'-Iv^ STATE@ _ ZIP TELEPHONE: Work: Horn Cell: (Lo,) PROJECT INFORMATION: q83/2- 310- -Z-C;g3 1. Tax Account Number: 2. Site Address: 'SCtvv\..(... C',.'S> Gtlo eVL... GENERAL SITE INFORMATION: 3. Please check sewer service provided: ~ity of Bremerton o Septic (contact Kitsap County Health for letter of acceptability) 4. Is the site characterized as: Forest or Vegetation Cleared )( Developed . - 5. Please check which soil types apply at the building site: o Crystalline bedrock ~Sedimentary and foliated rock o Sandy gravel and/or gravel o Sand, silty sand, clayey sand, silty gravel and clayey gravel o Clay, sandy clay, silty clay, clayey silt, Residential Site Plan lof3 Revision: June 2004 ~f(. "", . . f;' .1 SHORELINE 6. Are any areas being developed on the site within 200 feet of the shoreline? YES ~ 7. If the answer to the above is yes, did you attach a Shoreline Permit Submittal Checklist (WAC 173-27 -180)? YES NO CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 21.22) 8. Please give the overall slope of the parcel: ~. Z-~ % (see diagram below explaining slope calculation) 9. Please give the slope at the building site: G.2-.5". % 1 O. Please give the steepest slope within 50 feet of the site, include adjacent parcels: I 00 . % Slope is calculated by dividing the vertical distance by the horizontal distance and then multiplying the result by 100. Example: Vertical Distance = 20 feet Vertical 20 feet Horizontal 100 feet =.2 X 100 = 20% slope ... ~ Horizontal Distance = 100 feet 11. Are there any known wetlands or wetland buffer areas on the site? YES @ 12. If the answer to the above is yes, please describe: 13. Is there any standing or running water on the surface of the site at ANY time during the year? YES ~ 14. If the answer to the above is yes, please describe: Residential Site Plan 20f3 Revision: June 2004 C"\>, ." ", " ,~ RESIDENTIAL DEVELOPMENT WORKSHEET 1. What is the zoning designation: .5 .c - ~ 2. What is the area (square footage) of the lot? , 3 Oic...('<.? 3. Please provide the following information. Zoning development requirements are found in Section , 21.02.130, Figure 130 (Lot Requirements) of the Bremerton Municipal Code (BMC). Off-street parking requirements are found i,n BMC Section 21.02.670. When adding to or replacing an existing structure, this information should reflect the entire site after work is completed. D~$~rojcR~J~N~:; ,,'\, < '0" PROPOSED , ~$:. ,., "'9l <Y'ZONING t;" REQUIRK1\1iENls 16" FRONT YARD SETBACK REAR YARD SETBACK** SIDE YARD SETBACK SIDE YARD SETBACK MAXIMUM HEIGHT LOT COVERAGE*** NUMBER OF OFF-STREET PARKING SPACES ~3 , 'e:>;~ - \ ~ "3 30\ '101' 2 3' J 5"' "3 ~ 1J~ 8 * To be completed by staff. . **Use this as the second front yard setback for corner lots and through lots. ***Lot Coverage is defined as that portion of a lot covered by the roof areas of ALL structures, but not including driveways, walkways, patios and low open decks. A low open deck is defined as rising 30 inches or less above the finished grade. The applicant herby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges 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. (/ A!j~l~re / Date Z-Z/-O~ Residential Site Plan 30f3 Revision: June 2004 e . N~ 43809 pC? 1 ,- . d';J'7~7 Fee $....................................................................... ReceIpt No. .......m.n.h..t.....'....m........................." BUILDING PERMIT CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 , / Owner's Value I Bldg. Dept. $ 0 ,9 .v r:, I Value I DESCRIPTION: Lot Block Additions Address on Job .~~~u...n~~.''''."?.<d~~;...,.,.!...S.!m.m..........num.nu.u......u._ Date .....z.::.!':?.:.?.,:!.___....._____m. Building __....__um.n x m...u_u...._ and ..nmn__.m. stories ________nu..nmn__. basement. Lot _.00.00..__...__ x m__.__n__n.. Front Yard ..mn..mnu.m.... Rear Yard nn.m..u...m....._ Side Yard __u________..m.m__. Garage ______u____.nmm__.nu.. OCCUPANCY PERMIT REQ'UIRED BEFORE OCCU.PYING BUILDING Zone um__.munu...________.numu__.. Owner .. .-., ~~?:!=-,t"~~. __.. 00 .~. .9..<.~??:.~L __....... u __..00... __ __ Address . __ 00 n'''.m'''..m __... __. __ __.....00 n. Phone m'_'n"" 00.00 V~tZ- , lj. Con tractor .n~f- .u~ Lu~ :"~ &;...f!.. .L-<!:. .~~.<. ":.~...... _ _. _ _"00. _ 00 Address ... __ 00.00. _u 00 00 u" ___ __ 00 _"00" 00 __. u. Phone __ on..... __ u.__ This permi~ is c&sued' for: . - .-t" rf A.A~/_ " -,......... .7-.....................00........... -....................... -...........-... ................................-..............................._.............. 00..._... - - ~ -.... - -.......... -...... -............................................................-.................................... --...................... --....-...... .................................................................................. -.......... --............................ --.............................................. ........ -- --- -- -_...... -.. --........ -- --_.. --- -- --- --- -- -- -- ---- --- ----.... -- ----- --- -..-.... -_.... ---- .---- --.. -- ----- - --- - - - -- -- - -- --- --- - --- --- - - --- - - -- - - - -- ---- -- -- -- - ---- - --- - --- ----- --------- All work to >conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and appro,ved before pouring. All plumbing, wiri,ng and the frame of all buildings must be inspected and a,pproved before covering. Wood preservative to be used on aU wood against masonry. Ventilate fo,undation and attic. Sepa- rate permits requ'ired for plumbing, wiri!ng a,nd heating. See City Engineer before wo,rking on streets or sidewalks. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - -.. - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - _.. - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- -- - - - - -- - - - - - - -.. - - -. - - -- - - ....... ------------------------------------------------------------------------..------------------------------------------------------------------------------------------------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - "" - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - -.. - - -- - -- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - 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His Authorized Agent Building Inspector ~:___.~.c. >\..t,~dn "U __.__....._. ...""" __.. ___...u__.nm. .__..u.. By . __ __..... __ &..... u.._..n.. __ u__.. .__. __. __. uu U __'''''__' u__.u.. .__nu._ ~DF -/ ,. ~~~"~-,: . . NfJ 42468 ,;)d /fL. - . . '#4-".:ro c2 Fee $_____..__.___......___n____......_____..___......___....________...... ReceIpt No. ..n .n___....n..h.......n..'...h____.._..___.___...... BUILDING PERM IT CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 t// Owner's Value I Bldg. Dept. Value I DESCRIPTION: $ ..; 0 0 0 Lot Block Additions Address on Job _.,.;?t2.~..._~_dt]--,---0:~-:<["-!<.~~"~(~~I-------.---..--.-__________________ Date ___/.~_~~?:_,__?_.tR.,____.___.___._._ Building _._.___._______. x ________._______ and ____:~________._ stories _______._______________. basement. Lot _______________. x ____._______.___ Front Yard ___________.____________ Rear Yard ____._______________.___ Side Yard ______________..__..____ Garage ___.___._______.__..________._ Occupancy _ _ _ n _ _ n _ _ n _ _ _ n n _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ __ _ _ _. _ _ _ n _ _. _ _ _. _ _ ___ _ _. n _. _ _ _. _ _ _ _ n _ _ _ _. __ _ __ _. _ _ _" _ Zone .__ _. __ _ _ n _ _ _. _ _ __ _. __ _ _ __ n _. _ _ __ _ _ __ _ __ , /1' Owner .~'!?P."~-~~.:'l~-- _jfl__ -- - /..'<O-"!::&.!. - - - - - - n - - n -- - -.- - - - - - - - Address -- - - - - - - n - - n - - - - - - n - - - - - n - - n - _ __ - - -_ _ _ _ Phone - - - - __ _ _ _ _ n _ _ _ n Contractor _ _ _ __ _ _ _._ _ _ _ _ _ __ _" n ___ _ _ __ _ _ _. _ _ __ _.._ _ n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ n _ _ n Ad dress __. _ __ _ _. _ n' _ _ _ _ _._ _ _ _ __ _ _ _. _ _ _ _ _ _ _ _ _ _ __ _ _ _ Phone _ _ _ _._ _ _ _ _ _ _ _ _ _ n This permit is issued for: .. ~ ' / . ~ ) . .., ~ ;?;A .......44' } .A../~AL.."> / _ d1./L..,,--".V~,j I 1&.t'_4.-I'~;' '" A:-A ....#-0 ---"_.."; .- '.-.' .-'" .-- - -.- - -.-. -- -.-. - - - -- - - -- - - -" -:-.- - -- - -.- ~ -. -. --.. -- - - .-- -..- - -- - - -- - -.- - - -' - '.' - - - -. - - -- - - -""j"- - - - -- - - - - - -.- - - 'Ii"- --.- -'F' -- -. -- - -.- -.. - - .-- - -.- - -.- - -.... -. -- -' -.. All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECT'ION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and appro'ved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and a'pproved befolre covering. Wo,od p,reservative to be used on all wOlod aga,inst masonry. Ve,ntilate fo,undation and attic. Se'p,a.. rate permits required fo,r plumbing, wirilng a,nd he,ating. 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