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HomeMy WebLinkAboutCOOK LN., 1969 PROJECT DESCRIPTION 'f: IJ D gfr s:(fl Ji/b 1M f) 1rcf}ff'JH~ (It: t" fl. ' IlJ4.s flft57U6 FILE COPY .0f/Ph-Act/ Building D Plumbing ~Mechanical Fire Alarm/Sprinkler D BUILDING PERMIT INSPECTION FILE CARD SITE ADDRESS l?G1 (;OJ Kj,iJwrc-- C ITV OF BREMERTON Permit # BBOi- 00 L L 9L FILE COpy A.epfoved Date Notes Erosion Control In Place Foundation Footing Foundation walls Plumbing Ground Work In Slab Mechanical Footing Insulation 1 st FOUNDATION DO NOT POUR CONCRETE PRIOR TO APPROVAL 2nd PLUMBING MECHANICAL GAS PIPE Rough In / /'/1 Duct / Vent '7VJ:hIi' e, < '~~~t:ft: Support / Test / Meter se~ ~~ ../ J;? -- j/ ~Wn Hold down connections Shear Panel nailing L&I Electrical Approved Ventilation requirements Framing 3rd FRAMING If pt & 2/1d are approved 4th INSULATION Under-floor walls ~ ~ \J\ \} Q ~ ---Q ceiling 5th 6th FINAL SHEETROCK BUILDING WATER .ilfAINTENANCE All of the above Must be approved Prior to final PUBLIC WORKS FIRE 473-5870 473-5927 Driveway 473-5270 Sewer 473-5270 473-538 ALL FINAL INSPECTIONS COMPLETED PERMIT NUMBER DATE ISSUED: ~g~l.'!l'2'f~005 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 172401-4-006-2004 ZONING: SF-3 SITE ADDRESS: 1969 COOK LANE WAKEFIELD DOUGLAS H PHONE: ADDRESS: 1969 COOK LN, BREMERTON, WA 98312 WAKEFIELD DOUGLAS H PHONE: ADDRESS: 1969 COOK LN, BREMERTON, WA 98312 NORTHWEST FIREPLACE & GAS S' PHONE: (360) 373-4631 ADDRESS: 4207 WHEATON WAY/STE A 98312 ,PHONE: ADDRESS: 03/02/2005 APPROVED: 03/02/2005 EXPIRATION: 08/29/2005 STATUS: ISSUED SUBMITTED: Mechanical Fixture Fee $45.50 2215 :t:'~chanlcal/Plum.t~ Over th~.oter !Il NEW FREE STANDING PROPANE FIRE PLACE & 1 NEW GAS PIPE STUB Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: VALUATION: TOTAL FEES: :'i.i" $4~~ 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 building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. s of zoning, building codes, and State and Federal laws. PRINTED NAME: DATE: S-2-0S CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos- containing materials in the work area or structure. The asbestos survey must be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family residences). DCD: For more information, please contact Clean Air Agency through their web site at www.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. l>~/ 2. (DCD-02) 1-02 Page 1 of 2 .". PERMIT NUMBER DATE ISSUED: ~5 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 172401-4-006-2004 ZONING: SF-3 SITE ADDRESS: 1969 COOK LANE WAKEFIELD DOUGLAS H PHONE: ADDRESS: 1969 COOK LN, BREMERTON, WA 98312 WAKEFIELD DOUGLAS H PHONE: ADDRESS: 1969 COOK LN, BREMERTON, WA 98312 NORTHWEST FIREPLACE & GAS S' PHONE: (360) 373-4631 ADDRESS: 4207 WHEATON WAY/STE A 98312 PHONE: ADDRESS: SUBMITTED: 03/02/2005 APPROVED: 03/02/2005 EXPIRATION: 08/29/2005 STATUS: ISSUED MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. Mechanical Final Inspection - Building Qty Description FIXTURE LIST Qty 1 1 Descriptior Fireplace-Gas, or Gas Log Insert Gaspipe System LPG/NATLlOIL Page 2 of 2 BREMERTON-DEP1: OF OMMUNITY DEVELOPMENT Dept. of Community Development * 345 - 6th Street. Suite 600 * Bremerton * W A * 98337-1873 S'BCG DO I l '1 $-(::-3 'OlS'\ '1 , 'D~M~~_ha~n.ic~I': D~lUim~i'P:g" : Type of Fuel: Electric Gas Residential Commercial Site Address: I q, hd( G, Oil< Lo.. J1L , . '^ CONTRACTOR: NW F,'yt !-:J{ltll- oJ. C~S OWNER: < Dlfv\J lIAS Whkf~td(J{ Address: l /'to '''Pe:.l\ y I ~t, Address: lq6 t Coof.( 4hL- City, State, Zip: 'l;Y-e >>--t"f+", W;4- City, State, Zio: \: ~l-T;.;: ~1IA ~ 8'3/'Z- License # & Exp, Date: IV Of? ~ H j;:'r;Di/4k6 Phone #: ( 36 et) 'I1S-CJ1{ (J Contact Phone #: (~O ) ~ 13- 4b3/ Tax ID/Parcel #: I '7:2.. 'lO i .- 9- 0 D(, ,.2 fl)( (), Ja 1\e""'t"- 'T~ -v-,-.u~y- 05/" 7/ JZ.C0'5 NO. TYPE OF EQUIPMENT ~ / NO, TYPE OF FIXTURE RANGE 1'YIH'lcU,e- f'vt( 5~ IlLoo1 WATER CLOSET I WOOD/PELLET~1'O~/GAS FIREPLACE BATHTUB GAS FURNACE 1>li:f:' LAVATORY (BATH SINK) CONVERSION BURNER btu: SHOWER 1'""1 1 f5 ~ R n \In rc: - ""\ UNIT HEATER btu: KITCHEN SINK ::< J.:::::J~l:.S LJ lJ L.=:J 1\ ) BOILER btu: DISHWASHER .J,~' MlIR () ~ 'OOJ; ..../ f GAS PIPING LAUNDRY TRAY ---- EVAPORATION COOLERS btu: CLOTHES WASHER BREMERTON-DEPT OF AlC UNIT btu: WATER HEATERr:1 1ll.nll.nlll\JlTY LJEVELOPMEN T HEAT PUMP btu: URINAL REHEAT BOX but: DRINKING FOUNTAIN EXHAUST FANS FLOOR SINK OR DRAIN RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR CLOTHERS DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL ,. TANK TYPE: BLDG. SEWER: (MOBI~j,MOVED HOME) REFRIGERATION UNIT ROOF DRAINS r /)V OTHER: OTHER: //1YfJ /I ~ OTHER: OTHER: A --ry' / "1-:7 MECHANICAL FEES: I. )' V y PLUMBING FEES: TOTAL FEES: d"V tl/61 rv/... '2- Z~S ( Date Fm"'~ , I),: ~i>(M"1~'~:;','.j< "i'. '1~~W>~;lt;'t{r '~l':iOi'''''"'- -- ~~-' - '':': ~~ < Receip~Oate: BB0500119 ~~~~~;:::~~:,:;"" :;: ~{'~~c;:eipt II>, ,.. Paymenf > :::Method CHECK CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360) 473-5275 Fax: (360) 473-5278 Receipt Number: ~;'Q;:~_~~;" Mechanical Fixture Fee ..11:'" rig !iTal 13'.,..e,e ,,-. ....'.. .~.,i!Ill' > imo.nt :' : $ 45.50 $ 45.50 $ 45.50 $0.00 Total: .'1'" ~:' ;!~ <j~ ' >;t> €m~k >, mflmber ".: 8693 Total: Page 1 of 1 VICINITY MAP df- Wr :) W&@&OWl&R MAl< 0 G 2005 LQj CO~%~~1W~~-VDEEPT. OF LOPMENT '\ , i ,. /' / ( \<'\S~~ LYk,e.,/ ( // \O)~ q ~ ~ toOk ~ ~v/~ (/ f \<\ ,~sq, ~ L-c1-tLe ~(1-yk Rev. 5/04 Map Layout Kitsap County Parcel Search I ~~-f"" , l SA :',,: /",,,,, -', M~,~~~P;IPM' , cr '''~! er ,.",~fj , -a; ,: err Cl" I7.t f....y {' o ~'.",~ , ,cj: '~o o /' ~~~~....r- ,,# &-#,'"',, , , N' .- q~ 172401-4..006-2004, Go (ht Kitsa Goun DISCLAIMER: This map is intended for display purposes only and is not intended for any legal representations, [Click here to Print] Legend r Parcel1i L Rood Na mas 11 Military S ,f -:.3 '[H.s 'T I Page 1 of 1 http://kcwppub3.co .kitsap. wa. us/website/parcelsearch/presentation/ chameleon/PRINT .ASP?.. 3/2/2005 Kitsap County Assessor's Property Report Property Report Tax Account No. Process No. 1172401-4-006-2004 111154434 PI.QP-~tly_{]~ss: 1111- Single family residence " Parcel Information Tax Code Area: Jurisdiction: Sec- Twp-Rng: Neighborhood: Last Inspected: 10010 IBREMERTON 117 24N IE 171 00531 124-MAR-03 Situs Address 111970 COOK LN c << I # of Buildings: I Acres: I Z9nin~ I Account Status: I Page 1 of 1 -'.~ 11 1.34 ICity IA - Active Taxpayer Information Name: Mailing Address: ;;:-. "''''J;1'lIIIIIIIIIlli' Iw AKEFIELD DOUGLAS H 11969 COOKLN IBREMERTON IlwA 1198312 II http://kcwppub2.co.kitsap.wa.us/pls/ilisw/lis.online _lis_info -'pkg.acct_info?p _in _ rp _ acct_i... 3/2/2005 Map Layout Kitsap County Parcel Search DISCLAIMER: This map is intended for display purposes only and is not intended for any legal representations. [Click here to Print] Legend -Parce Is "Road Na mes Military Page 1 of 1 http://kcwppub3.co .kitsap. wa. us/website/parcelsearch/presentation/ chameleon/PRINT .ASP?.. 31212005 SREMERTON PERMIT CENTER , ) 2864th Street, Bremerton, WA 98337' 'L Phone': (360) 478-5275 FAX: (360 )478--5278 BUILDING PERMIT Applicant: WAKEFIELD, DOUGLAS A 360-638-2824 37753 HOOD CANAL OR NE HANSVILLE WA 98370 Permit No = Status: Applied: Issued: Expires: 00--0566 ISSUED 10/30/2000 H/29/2000- OS/28/2001 J Job Addr: 1969 COOK LN Location: KITSAP LAKE Parcel 'NO': 1724014-006-2004 Contractor: JOHNSON HOMES PO BOX 1074 SILVERDALE WA 98383 Owner: WAKEFIELD. DOUGLAS H 360-638~2a24 37753 HOOD CANAL OR NE BREMERTON WA 98383 360--697-531Lic #= JOHNSH*134QBExP~;,lQt";\,~9\-Ol '\"J"1.'71;'\""':';"i"'~~~;'" . 'c~"'. .~, . "'. .. Subcont r: Desc: NEW'SINGlE FAMILY RESIDENCE, GARAGE 8. nECK **~**********~**********************************.******************************************** Valuation * 'P'ermit Fees: 1.560.15 Total Calculated Fee: 2.464.43 ,1.55.471.02 * Plan Check Fees: 849.78 Additional Feesi: \.00\" * Other Fees: 54.50 Total pe,rmit Feei: 2,464.43 ' *** * JI( * ll()I( ****)1( * ***)!()I{)I(:>I: * %)Ii;l( lk)(()I(:>I: )j()l(* )((-** lKl!<*)I( *** **)/( * **)1(*)1( *)j()I(:<< *** **)j( *:<< *)1( JklK * ** **::<< n:)I()/( * * * **lk%)I(* ***It; u: * MEtHANICt;L/PLUMBING FIXTURE&-- MECH-Ral1ge'......"............ ~ 1 MECH-Wood/Pellet Stove...... ~.~ ,. ~f, MECH-HeliitPl.ul1P 0- 3 hp.."."". ~ 1 MECH-ExNust Fans"."'....."'.. = 4 MECH-'Range Hood (yes)........ = 1 . }. , , MECH-Cl'othes O~'Yen ... ....... = 1 PLBiS-wate.y Closet. ........... ~ '3 PLBG-Bathtub.............'. "~.:~', :.1 ,', ll>LeG'!"Lavatt6yy~. ~..."... 0.... . = 4 PLBG-Showeyo . 0 ""... 0" 0.... .. = '3 PLBG-Ki tchen Sink.. ""'. .. ~ O' .:= ;'1/ PL~G-bi$hwasheY. . . . . . . . . .. . . " = 1 PLeG-Laundn' T~'aY"..... 0 .. . . . : 1 Pl.BG-Clotoos Washey..........= l' , PLBG~teY HE,atey.."...".. _ . " ,,; , 1 PLBG--HO$e Bibbs..."" _ . " "' . . " . . = :3 .******************************************************************************************** This P9ymi't: shall be\-..oIiTe null alid void if the bUildins 01' Woyk authoYi:ced by this p~ilYmit is \'lOt cOl1'llll$nced within 180 dayS horn the datu of such permit. 01' if t.hi$ building 01' woyk aut.horized b>' $tJCh permit i$ $t.!:aperlCfed 01' . aba'rlClol'"ied at llmy time aftey the WOYk is comn~nced for a peYiod of 180 days. NOTICE .. It i$ the yesponsibUity of the peymit holdEn, ro't; the City of BY41'meyton 01' Buildin9 Official' t.o ~ to it that. Y9quin~d inspectiQr1s aye made. The P&Ylll1t holdeI' must notify the Building Official when yeady foy impectiom_ Failu~'e of the pennitholdeY to nOtify the Building Official of yequixed inspections may result. i\"l the stoppaSlll of the woYk until $!Jeh time that the PeYll1it holdei' can substantiat.e to the building official that the conceal<<l WOYK meets 01' exceeds code j-'equiyeme-\1l:s.Any demolitiol1. testing. or financial wYden shall be ooyne diYecUy by the PElymit holdey" Failuye to substantiate code yequirElo'lfmls \"ill i~if>, the CH>' againSt any and all re$f)onsibi!ity Oy liability connected with the comhuctlon. t heYf~by certify that I have yea(;! and examined this Pin'mit and know the same to be t::rut> and COYYE<::t. All Pyovi$ions of laws and oYdinances soveyning this typ~ of lAOrk will be complied with whethey spe-cified heYein' 01' The Qt'anting of a peymH do~s notpyesume to give authoYity to violate 01' cancel the pyovisioY1$ of any ot . y s te .'OY ',;1:. '",:,'.1'''' f~1an "< tho perlo"""",,, of conshueHan. ,,' " Sisnatl1ye: ~ JiV~__ )/V__ Date: JI-Zfj-H I cet-t,ity. that I am exempt fyOl'll the yequiVements of the :;,tate contracbJr's registration law, undey ~ SectiOn 3., Chaptey 126, laws of 1967. . ;t., . ::;:F~:~;:;~~~;;;::~~;~7lliJ -=::, .::U -))1~ () 0 BREMER TON PERMIT CENTER 286 4th Street, Bremerton, UA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 Job Address: 1969 COOK LN Location: KITSAP LAKE ~ssr Acct NO~ 1724014-006-2004 Building Permit No: 00-0566 Status: ISSUED r ssued :' 11/29/2000 Expires: OS/28/2001 R E QUI RED INS P E C T 1-0 N S Item: 01100 FOUNDATION-FOOTINGS Item: 01200 FOUNDATION-WALLS Item~ 01400 MECHANICAL Item: 01500 PLUMBING GROUNDWORK Item: 01600 PLUMBING ROUGH-IN Item: 01700 FRAMING -Item: 01800 INSULATION . Ite~: 01900 SHEETROCK NAILING Item: 02700 FINAL-".SLDG Dept :BLDG,. Dept: BLDG' Dept: BLDG Dept: BlDG Dept: BLDG Dept: BLDG Dept: BLDG Dept: BLDG Dept: BLDG Division: Division: Division: Division: Division: Division: Division: Division: Division: ,~******************************************************************************** TESTING: Mu~t be recognized by the Washington Association of Building Officials SPECINSP: MUst be registered I;Ji th the State of WA - .ST OF WA:State of WA Dept. of Labor and Industries 478-4921 HEALTH: Bremerton/Kitsap Health District 478-523!S ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE PERMIT C NTER, (360) 478-5275. ******** ****. ********************************~******************************** I / ~ 7-"'-H Date: -______2-.______.. ''''"'i' ~ 1 ; 1 F \ '-:p:f.:'" t , ~'")C , ' , ~ ~~':.::.. '::=::-..::: z:. '::/:..:::t ~ ~'~~::::.:::c:t;::r::: :::..,.~ =- xe:;:':t~ X:~' ~ ~~:=;:::::',::i.':: =::::: 1:1!:::::::::' 1:: ~;: == =: ~::It =::r:::::::::::z =t =::=::;:::::. =:=::c::: ~:::: ~ =. = ~::::= =::::=::::::::::::::: r.:;::r.:.!:=:t;; ~-=,:o;::: -=:: BREMERTON PERMIT CENTER PERMIT CONDITIONS ,Pelrrdt No: 00-0566 Page: 1 . "-=-=~f":=~ :=;%;'~'::::: ~:::;: ~ ::::: =;;:t~:::: = =::~'=:===:;t;: ~:::r.== t=:x:=:=r~ =-=:::e::::)'1Jt =:::~=::r: === ~:=:::::::::::: =-::;: == ::::t~:=: x.:~ == =~ =: ~=:t= ~z =~::::.:::t:::;t:::: 'Job Addre~$: ,1969 COOK LN ~s~r Acct No: 1724014-006-2004 'Location:f<ITSAP LAI<E Applied: 10/30/2000 Approved: 11/29/2000 Issued: 11/29/2000 Applicant: WAKEFIELD. DOUGLAS A Owner: WAKEFIELD. DOUGLAS H Contr actor:' JOHNSON HOMES Description: NEW SINGLE FAMILY RESIDENCE. GARAGE & DECK Conditions: 1. ENGINEERING DEPT. CONDITIONS/COMMENTS: A) Flood plain certificate required. (REC'D 11-15-00) B) Utility' service connectio~ fees and assessments must be paid. ,,,:'i,t, ....~~-- L vA ~(/ d r'$ '1]"" 0i. ;r/ ' , "C)\Q " Vl(" --~ --~--,." '. ' T'---~____'_M \ '/~il. Os. te ~ ~ ?-P-=-..t1::!.--:-o_, 'I, ,tho * ..t. * *. .~' 'I. ,.;. ,. 'l-)\ *- ,to ,. .4. * I, ,~. \'~' * ;iI<,)/' 'I': '" :l:. it ;;' '" ':' ;t, * '1. :~ )~ ,f: ~,)/(;I< ;1:1, .'1' 't':)f;l<: *- >t', ,\<.:ok ,r.' '" "f. :i( 'f, :1: .i< ,~( ~k .4"1<. :v. ~ ',+:;1' t! H ~:r!!" }'<e, l. t:. 1. r f ,*' 4: :'1, '* ';f * ,~, i. ~ ;.j: ~;; ;.. ',; 1~ ~. ~t,";t ,'I:;i:'. '\( * ,,{- .*, :j'" 1': ;J<: * ;l-;* .t: ;jC~ *;+: '.iI. *' '* :[ :1: : !o" ~, ',~ ,~:. ,;: :4 :{; Jf',,*, '* :'\' :1< li; ,t. ';oj. *~:;f ,t: t:;<< *' :t,: f;:E'U:n'r NUirlb0r; (j0001Ul';r ~\mOI,mt ~ 1 ,6J4 .b!::, ll/~:';;'/\),) 1',,),; ~y) r:';'i:ly(f:f:,nt r'1,:.>,j,hoc!:: \!l~;,t\ Nc'/tf'\t:ion:: t.-J{~KEFrELO VI":':>li lnit: Vt\i :~"{::(ffi1} !'!('.~. ()(J'''O:)~J() Type ~ BU)(., SI.OG ~ERM~'I W/MfrH/P r'. "r : : t .. ,,1. !'}'-, tI t, ? ::' 4 r) .1, il'.. ~')() (. ", i~: ()('~ ;.:1- ~:;~,j t .li3; (:Il.:,]cfy ~.'~~~,~,~~: i f:~i~,,\':'f C~()f):< LJ'-4 , ' . {. ~~t :.~ .~, . :U. r~;'f;F,l L i:)~(E l r:.:, t ~l J F (;) (~I~.; :; l? <~ l+ r,'") ~,~l. r' <4 .3 'rh.L':>~: F>ay'[Ti"2f\t L.61-<l.C,t;-,I<)t'.::Jl (.\L.L Plilt:?.:: 2,4~A,43 BaLenc~':,~ "i)() ~<<~~.~~,...~~~*I.~;.t~t~~*******~~**~'..~~**********~~*~~~***~*****~ f"~~ C (:~ c" l,~ i n 1:', (' '.) c~ ~,'~ .l {, ,. ,.;:)::'. ".1.001. J ~;,,, )4C" <::noo 1 (> ". ,'~ ~::' ",~ .. 1 (p',) 'j t. .,:,(::t 1 ) ( I., ~ti~'(),) '.. ,;(",? '1 i; 'i \ ;":':[:):1 ( (),,;!. Jf.'> I l)fc~S(; r ll:.)t, i ('~ n BUILDING PEPMIT fEES PlI1U:\\ NC PL;:,I'j CHECI\ F!:r:'~ MEC!-U:'\i\:ICf\L i;'CF~Ml'l FTC:" F'L.tJl"IBll\lCi PI;: F<MJ r r::'FE':., ::.")'lI:\TC:: or tJI~\ :)UG(CH{~}~:(jC i'HijO!J r It J, J(,';;- ,3::;. ~~'.l () h () ,) 1. f51 ,- 3 ;':'.',? .. 1 (:r() ~:'l J. C)f'} ,., ~3() 1 (:1- .':) " I;')() t:'~ I~} ~..; "~- .) :,' l I' I .3 II .0)0 t...."";'. . .r -L...."......1 A;PPLICANt: f8l0WNER OCONTRACTOR OAUTHORIZEP AGENT Site Address: Tax Account Number: 1/7Lfo l-l.{- 00.b-7n~~ Contractor: 1 <1'>~ .<,y-"'" \~O{V\, (>. <; p~f Contractor License#: J<J\l if S t,I~ I1lj Q ~ ~ Expiration Date: lO/v..!-,--, Contact Person: Contact Phone#: Check the type of application for below: IX) SF RESDIENTIAL NEW o DUPLEX o MANUFACTURED HOME' o RESIDENTIAL REMODEL o RESIDENTIAL ADDITION o RESIDENTIAL REPAIR o COMMERICAL NEW o COMMERICAL REMODEL o COMMERICAL ADDITION o COMMERICAL REP A.JR o MULl-FAMILY o TENANT IMPROVEMENT Scope of Work Proposed: ~<.t, n rti. p ..it S, I'.P[L f<:.t~'-'i e~5. !..Dr] n A )Ct>J o GARAGE o ACCESSORY BLDG .0 SIGN o DEMO o GRADING (Cubic yards: o OTHER: ) 2 B o.~ e....... "" vi t"h.'( \ ~~+ I . FI':'I~ , 6 S' 4 l> ~.fl.;""h Square Footage: Dwelling: a. (.11.1 '&'Z.5 $<- 'i S S-~O Garage: . IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? Decks: J5,1 YES 'I.. NO 3 .-\pplications for which no permit is issued within 180 days following the date of application shall expire by limitation, :md plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The official may extend the time for action by the applicant for a peri?d not exceeding .180 days on request by the application showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew action on an :::::~:i:::::~:::t ~b;t;d tJ;&f". DATE: (.1~.?O,,~tF1f . ...... ....... ... n' ........ .......... ...... .. .............. -00 ;ii~~_ft~liiJEtilli!:. :):cf ........ ........ D.. :..:.. .:.\MECl1:ANICAL. :..: . <tDd ..diPLUMBING.<. :.... . .. d. :1 Type of Fuel: Occupancy: Electric X Residen cial 1410 1910 ^ ~ k lAtJ-a. Gas Commercial Oil. Site Address: ~""f'l\.,c~.,{"'T6}V WA. "a-~ 1<... Owner: ;1 f ./1 6- tt..P 7- ' a ("-l /C/ ~ Address: d-.. _ /C' 1'.. A/l s77S3 (f-v-o-a a,^~ yY- nc S vl'llt WA q g 3'1 t? Phone: 3 G tJ-- 638'- ;J.!'.;J-J' Contractor: -6\-1 * Address: r.D. fl6<.. 1c>/ll ~llv~t'J.etJ\>- W4 9l'"{ ~'3 1~D- \'11-~~(l Contractor's License Number/Expiration Date: r6!-l\LS<< * 1~4 ~ B 10 /-30 17.~1 Phone No. TYPE OF EQUIPMENT No. TYPE OF FIXTURE , RANGE 3 W A1ER CLOSET l WOOD/PELLET STOVE/GAS FIREPLACE 1 BATIITUB GAS FURNACE btu: ~ LAVATORY (bath sink) ir ) re ffU re n no CONVERSION BURNER btu: 3 SHOWER rn TL: lt~7 n'1 U W ' UNIT REA 1ER btu: I KITCHEN SINK U u~ ,..( ,........,,~. Q n i~ll rl t il' I BOILER btu: DISHWASHER ""^. '.. , \.! n'.. .; J GAS PIPIN G I LAUNDRY TRAY r:;nr:Mi=RT()t.. EVAPORATION COOLERS btu: I CLOTIIES WASHER BUlW!NG DEPARTN AC UNIT btu: I WA1ER HEA1ER I HEAT PUMP btu: URINAL REHEAT BOX btu: DRINKING FOUNTAIN AIR HANDLING UNITbtu: 1 FLOOR SINK OR DRAIN ~, EXHAUST FANS SLOP SINK 1 RANGE HOOD (residential) I WA1ER PIPING & ALTERATION RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR 1 CLOTIIES DRYER 3 HOSE BIBBS INCINERATOR L\ WN SPRINKLER SYS'fIThf I DUCT ALTERATION SWI.MMING POOL TAt'\!KS type: I BLDG. SEWER (mobile/moved house) I REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: fEIDJ I ENT MECHANICAL FEES: PLUMBING FEES: CITY SURCHARGE: TOTi\L FEES: APPLTCANTSSIGNATURE~i;61. N~.4: (tJ~3(J'H r--\~~ ............ , \ '1. (" 1 . 1 J\ l' .~;' t. i('J. I~' -1 'r 'f': ;~'. \1, *":l :t r}..' ,;.; ~\r A,; 'f 1t:; -,f-.' * '~,.. " ~.. '4 k Ii' 1~ );. ~f " :~. '.~:' l' ~i:. * 1\ ii "1~.*.* :~. .i:. *:+.: ,~, ,.f' *,:tc 'f,:' ~~ * :t.:4. *" ~r -,;-,;k i'; '.)" ~,. * *.::) 1.-(L'CL j" ~"l i / *~**A*t*~~.~t..+~**~~~*~*t~4****~~*~***~***>>*~~*~******~K<<~~~~~* I':~~. 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'K;~ {tl ,'<)IJnt (.,.)\'.3s. [J1"::'>__,}' jr~t '~,\)n 1\ri1ctt),rd~, l :~~) - ~;/.~~, "f;':3()i. ;t..f""t~,~t):i f3tJ [t.,t)JJ.H:~~ Frt.(~~1''-J t,.J iC~t,;iJ~ ['FF'::,', f;l1\-;.". /r>~ ~::i cn'2J 3 0 ~ > -4 ~ B .... 1'\ ~r- ~~ . z. ..n\t\ coO "'" N ~ "'" 0'1't t.f) ""f\ fJ - 11"\ ::J:p r- r 0 m 7'J ITt ..A Vol ......... ..I::: .. ( Ij o ,I,. , 01 '\S7\Jd ,- '~ . , trT5fJ,P LAKE ~. I ,I I ! ! I r II r ~I [I t~ i I I l .i.- b~1 Ji .;J\ rr, ~ I) I"~ ~"~+~l "'3) r"7Jd --- "'''1 ~?V) . J\ 111 ~ rc N r ~ '" ~ .J: V'\ I ~ vv o . ~ .., ,- t W ....J .'~ "0\ ~f ~Q L 7't '\.J /1"/ ~ ::p. !O ;;;. ~ "' - -..J ~ \,;J if1 (j\ 'th If 1, 't"2 -I I [ I: . i I ~ , rf'. II ~ .C '% I~ 11- II -0 '0 II ~ RI II i -J.', 0 ~\.J ~ G IT, L~ ...s:. r.J rv -' ITl 4> VI IT)N ~ 0 ", z: .; ., IS") .. 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C-) """"'_It.... _....~ t~a:) [f1F~ o ~-=:::=.J ~'....) c.-::,~ i-':;:;::';;::; C-': -......:::::J '''--',1 (.iJ flfTI lS=9 c::::::J .i!.-t.'T' ,~. ~V' ~ Jk i1kl ~X:~^YY, __r':'''$'~ ~ ,,/1 ',,\ ~ tljl W Jf'~ L '~: I ~ r;:-;L ~\\ , 1'-- I I " " 'J \ I I \ ,""Ii'-I " :,," \U~~I'~~ ", ';'''\1.:; 7'019 0 K/TSAP ',' '~, ,~ ..~ 0" ".S "~". "nn.J 1m / "0' ", ,.. 631 X .. 1970B LAKE :,' l:. \ ,.' I BOX BOX 197"ZB '. 1972 - _ " BOX 1973 / / ------ ~ ~E. \.. \ It pAJ2-'.-:::.. 5,,0 ~~- R 0, a: u x: a: <l: a.. a: b w ...J - <l: a: I- w 4" x: <l: ...J a.. <l: U'l l- X 10 ." ;" i I I , I I I i o z w a: w U'l I I } I~ z........1 I ~I DRAWN BY;SJ/Al DATE:~ CHECKED BY; DATE:~ APPROVED BY;_OATE:_ 1"=200 I 8R'EMERTON MUNICIPAL UTllITIE~ 1217 , KITSAP LAKE .INT~ERC'E:PTORt~;' FROM 180' NORTH O~U~~.S~A~~O 2530' SO~TH .OF @r t r i -/"/?-": ';,'-'; ~,- ,/ .'/ ,?;/ - / :/ ,~: ~lLAKE ~ g (\.. uJ U ~ ., . ill :+; .~. ::tl ,.." 5+29 ,_0 iO.75 STA. 75 :t78 II ~o C.1.5END )/. ..J (\.. < \J\; .... :1'~ 10" c.t...: \'0 VV~ . ,~ V 20 , , . '\. ;ROSS -SECTION BOOK "'3E>>. 21 o sJ~~e:YC.IRC.LE . .- .~_....~. __A,_ _ _0<..._._ .<4..~'.._~/_.~~'_ __~.__,.......-l_.___._____~___._.._~_____ .~_.__. _._...__..._. ,_ __~.,. --",._~" VICINITY MAP ~I 0RTH ~ (0 ~ O.p ~ ......... '^ ~ -0 r-t ^ f:1 n ~ T" ~ ~ \. t t tlTSA P WIt'( fID[E@~~W~ . IN. y . (jr'T q (} /ll"l!i . .... \...'! ~,r ~ .;1..,,:,.) BREMERTON BUILDING DEPARTMENT p~'Gf ~O. I~lo A ccc,.k I . L. CA. ^' ..lL B'&N\.~\'"t~A;J lA./A CzO~l"2.... Db ~ 05&2 (p PERMIT -CENTER 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~" I ' ! Applicant~~ne: j , .J I /.) j fJ,;4 : .. J/(J~ (tV' 77< W VI. K-e11'~/tr i DescnptlOnof Proposal: 51/1.>1 La. FQ.O-: d '1 e"s: ! Street Address(or cross streets if no address has been assigned): i \9.';;0 ~ <:.001< L1t.N~ ~f.fM~Rr6N 'r.JA. C;~'3IZ Critical Area Questions: : 1. Is there any standing or running water on the surtace of the site at ANY time during the year') : If YES; please clescribe conditions: YES ! ., , -. Has any portion of the site been:identitied as a wetland0 If yes please describe: YES X NO )( NO j 3. Is the site characterized as: " Forest X Cleared Developed , .t Is the slope of the property: : 5. f.. Gentle Slope qi'o . Will the proposed structure be aesthetically qr functionally disruptive to surrounding properties the neighborhood, or the community') Ne? ' , . Flat Steep Slope Steep (15%+) 15 ft or more 3 ft or less '~D If' f~~ "J' ~41 fF IT['~l~l ~ -..' ,.,' u; _ t, .'''1 ~ r. \1Ul! l ~ ,.~ ri ~ U /1:i in ,< " .) ',"~",J", Flat (0% to 3%) I 00 It. BREMERTON BUILDING DEPARTMENT The applicant hereby certities 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 parton this application may be reversed if it develops that any such statement or other information contained erein is false. ' . f I tJ- s d-o-CJ Date Nov 03 OU lO:49a BREMERTON ENGR Fax II . ,-{ q~~ B!4' -~ ~~~~ .:€;::.~:;.2, ~.I PU~LIC_~VO_R~S ~~_ UTII~ITlE~________ E;-{Gl;.lEF.,Rr~:G DIVISION 10n O:ymJIJ'l Drive.' Bre,r,crwn Vcr;'" 93310-47<;9 . ,36C) ;l.78-~31 ~ . FAX (360) 478-;:;0! 8 ADDRESS FORM (360) 4'78-5270, FAX (J60) 478.5398 ;- APPLICANT INFORMATlON--- DATE: .././'::../ - ;ZOc/..?2 , . NAME: & (if: t1lL:z 1:t"_M" . - ADDRESS' _3 775:.J-L02dd&m../lJ/', A/G, FAX:-,--~-- . ' . CITY/STATEiZIP: -Li'a7?;,zi//j--~ / tt//t.-L.:?S -57 "f-(2_,_ I ~ITSAP COUNTY PROPERTY 1.0. N~. (FC~ L~T TO BE ~DDRE3SED); LLfX..kd-L / 7 J2,.4VJ ~~ - ;7L:~'4 I .KCHANGEADORESS ---, __~EW I'>.ODRESS PHONE -6.3 f - dZ-c? ~~__ ~.PlE.~SE DRA\;T""A-olAGRm OF ~(6LI-RPRipERT'YI~~NCL.UDING ADDRESSES OF NEIGH80RS_- DRAIN ~RlvEW~Y LO~AT10~~ AND ~ SHOW STI~EET NM/,E TI-\,o..T DRiVEYVAY ACCESSES. INCICATE WrllCH DHEC'TION IS NORTH. @, ALL 01=",:.0"",4 .~~7'vV~ I'oj.L,ct""'I.::!I-\ N.:.... f"r::X N' "'0 ') . \,,~' . '-" 0 FT ; sw4 5E. ~ ItJbS + -<--.0::;' . . " "-' @..." \J/ ~.., ,,;><...p /':; /?f74:.' 1\ Y' ~/ t 0; > fl IV . '. /0,. <. ,':.., )\', " . " . .'-rb~..... ' ~'t-/ .... . . '/" .' :::..~, I (/ 7 v ..;/,! ))/ , . /; "........ . _ is .c' ~"- ,~. ........ "" ~'''- ..- ~..~: . ..~ ";,ce, --r::;-.. "';... ." ""_ /~, " (f.t4.) c. . ~___ ,C (z/l!!:JA~,L;~(!j!:1 /'f2~.Lf1~&~~=_~~~_ ",_~l~"( J~):. C!'~LY. C<:) NOT "VelTE GEl...O// rH:~, 1._iN~. N,EW ADORESS:_./ ~l6 9 C'OCiJc /-t!:./1_~___~_._______,.~ '1 ZIP CODE.!'e.t.. /7;5 fll/; c.~ t APPROVE.D SY/ DATS: _.#dl1__,I LL;i//.U? ,. ,. Re. bed 12128199 * Equal Opportunity E:nplOYl'r "f ., Nov 28 00 lO:Ola Nov 16 00 Cl7:231" Cit~ oT Brem@rton CON SERVE ll'iC 3604785398 360-8']4-9032 10.2 p.2 ..., Nov IS 00 lO:J9a 3604785398 C:t~ or Brpm~rton "',15 FEOERA!..EMERGBCY MANAGEMENT AGENCY WATJONAl FlOOD INSURANCl::PRQGRAM ELEVATION CERTIf1CA,TE I<?-M,6 No, 3067-0077 LPirc:5 July 31, 2002 '1 J ImJlorIant R.ud tie InstrudionsOl'l ~aQes 1 .7, SECTIOOA' PROPERTY OWNER 1NFORMATJO<-. BULi>>lG""'lEf!'SNME Uo'V~LA':> Wt:tI4'Ef=1J~.L.O '1'Cii.iiiG~~~Ari;ri~S~~~IIo.)~RC(l~m~SOl(IolO ,--- -_.._3.'J..J.53-~_.~ k~______ ___.__ CIIY, STATIO ZP Cl)(lE ~'l'\~V' \\-<..., \J..li::\: ~,~______.___ .. PRi.J'ER1'I DE ~11.rJ(,..j!l~~.rro<l<S, TaoP<lo:alWrlW,I~OotoW>1.~) A 11 j , (t ..f-.n ...::LP-4J.:...-L '7 ')!1.JU::.!:i..::...1XX.2.::.~...!:I-~--~-c-t- ((Ok '4l1L-, K"TS:~..P!t!1_'--r-- _~.:~~~~~'~~~r,,~....~.~r-~.,~~) -----r-=v-.----.---- './I."n'D6l.Of>(JITla:(OPTIOI\!Al.: l-lCRIZQ.lfAlUllM< SOOIlCt: u GPS (l'~"",} . .. ~ij.'-II#',!l;I/Jf;lf .....) ~1927 ON.lJ>tll/lJ OliSGSlluodlA:!:p DOIw. Fer iI1im1'1i:&~Vle. .....'y~ ~~l;1MtEr ___~_ . SEC.1K:lftB,FLQ01)~ERATEMAPlFlRIIllIto'roRWirDj ra!.Nff'CC1~&~:R~.J;'-Tei:COOim~~-----'--'~-TlllSTA~------l [_~l-N of 'B~~~.!fl~__--&_S::t~ _______-L lA.;Aj 1B(1'~~~lIlSSI.lfFiX I 66.Milll'dll.0A1E ' -' ll1,FIRIJIPmEL --"(iiil."1'i05jZCN:[s:' lI98ASEFl.OODa."V/,TIO:~S~ i : _. /\lMlER A: e:"l:CTI~sm\fSED['';l.i'E I c 1 (ZYeAO'''1lt!lJ1!'oI~ . ~~Mj.l_Q2J _.1'\ I etp;--1L~''"t .. L- ~___.......~__u__.i~L. ~ B'0.~1t,e~<iIl1eU-FIood EJe:otali:ln(Elr-f.)d;Qo.-ba.sefQQd~ enllndin 99. . o FIS F'Iofl~ ~ FIRM 0 Ccm~ l:lelwn"ined 0 Oilier (I:lescrih;) Bl~!nd~II1~_ilIOr~UI!ll1forNBFE"OO. ~ I>GV01il29 0 ~Y!J 1~ OOrhet(Oeeottxi): ~l~W.lO!!1 r~lSlfn a Cc~.!'" ResCUtllS S}'sIem)C6RSj area (1"O~I!iVIlse?role:ted Area lo:>A? .Q.I':es VS,No ~ CIlle ____ SECTION C. BUl.Ot.l.G El.f.VA11ON DWORMA'l'ION !SUIl'IIEY REtllIIll.EO) c~&vati:n$ &'Il'llaseo Ct1: 8 ConsM:lI' Orawing$' [J 6uldirg ~"der CorWfMilm' 0 Fini!~,ed CamllruClion .p, !)e\o\' &'dlUl Ceilica:e MI be ll!qJfed W~i!" OO1S1Iudbn o!lJJe b~ is Cl)lIJ:lete. C2 !lWJ1'g ~mNlMr _ [Selectllle Wlil1!J diqammcstsin'1i'ar1O ~OOilir9 fori'o!-;tt1l1lGCl!I1flCa!ei~ i:Ieflgt'OIl1p1e:re. '>ae! paIJeil6alllJ 7. f ooda9;l:n ~'~~~bl.li~.provideJ\<eIct.<lf~~7 CJ E~Jli",s --l.one$A'-A30, AE, AH, A (>\irtlIlFEl liE. V\.i/30, v ('/,~h BfE!, AR.ARiA ARIA!:, AFiJM't\.'lCJ, AR'AH AAfAO GiXT'lli1!tll! ~m; CJa.i llelCro'iiltWfdinq \0 1l1ebuiillng Qagrll!nspeclOOin Ilema, S1B1e1lleaa:~m I..SI!C 1f1MjallJ(!ljsdllerenHt'~ltet'lUXl1tts<<i rormeefE i, ~na.\T.llI>'ell tl'ed:rn.miOlla:useci fQI~he6FE. Sl\cwlielC measu~ ...412l1J'l1 con~~ll'.lonalil:lii!lD1. Jsetl1l!sPin oroW1ooorl'leC:Yr,met'1$ Itre.lol ~Or,;Sel:lk:olG, a5~,lodllOJl1lellll'1E!lbilJRtlIlll\llllSOO. Oill..." CCfl>'etSlOIliC<Jtmtr:JlS Eu'r.m1f~l!rI;lilmilt lISed!!ltOcellllee!e'latill\rele;811:emadl1JSed~Olltlhe F'RIo1? ~ '(eo 0 ~ Q II 'rOll i:I bol1cI:" Ib:It (in~baSemenIOl fidllU/tt) ~ ~.(llll 7; ,) b)T1ll' linellh~erllooi !.l\_ _.fI(m} Jl w c)BoI!IIM<:t'O.<lesllni~Jf1aI&roc:t~ Inem!B tv <roes!x~1 ~. _.fl.(ll'il () (j)AAachedg-df'q(~Qhlab) fl'k:':)~m) :.J e; l~,telev;l\lO', rJ~ ^,'li'creqJip"ne11l // MC-r91te Oil"dng . {f...4 '__ 't(m} I:J ~ ,~t!ll:~~IIQ13d~:tAG) i1f. ~(ml o g)HijhtlSl aqatt';<<gade(HAGI !tii _ft~m) o nl N() \Ii penr"-anloper.lI.:JS !lllOOoli!'>'S) 'lIilt.,-!' 1 ft. alXl'o\1 !j(jjacfl"1!!J8\ieo NoNE. ~~~~~aOI~jlllImaIleI1t~~VeftSli?CJn~(sq.cm) NA .-u. IS 0 SECTION D-S\llMVOIl, ENGlJiEElt, OR ARC'lffECT CER11fK:ATION ~';~Tca1lOr is 10 be ~ne~ aIld .sealed cy a iijf!d S\l N&yor, 9fl9i"00f, (I aJ'chllec1 alJilrJliired tv IaN to \lei'!.,. ele~e1iC!l imorme!;on i ceM, thar tIle JIlI;M1III~'lj '" StcIIOfl$ A. B, itl<f C a1 /fli' DS/lJnrote ~rs my btSl elforls 10 ':nretp/et rJri) !talil avall~!IJe j.!!..!k'f$FlJi:I.I t~~lIIfe $laiementmaJ~umsnabletJIfil!tJ(lr 1i'n~!~~!,!~S. Cc.!!~, &tn.'(l__:~____,____,__ T:;~~6~:~~~------~~NME i:~~3S~::.__-~-. m~_~ .~ -it'~ ~--------c~~+..aJ~=srm--~~~~CCOE9tl", srJ/~!'~~__ llATcll_?P_OO. TE.~~_:.a.74-~1L_ m!AF;;;;-81~99-- RePLACES ALL PREI/IOUS EDITIONS- SEE. REVE~ fOR CONTINUATIDN Nov 28 00 lO:Ola Cit~ o~Hremerton Nov 16 00 07:2+p CON SERVE INC Hov 15 00 10:40. Cit~ 0; Bre~er~on 3604785398 360-874-9032 p.3 p.3 3634785398 p. : {; _ .___w .._...._ __ r.Il'Of{tAlff': !n hse spac:es, (op'f!le conell,1Ol1~ln9 illformalbn from SecI'iJn A. .. 1Mim;~IOlAOClRli~\tdI~"'l..~'S'IIl.~llqNo.I~P9.ROO1t'~t)l)~"NO. i _ .---,,- - --: T , Qry~~I4~__~~j.__'--'_~_: ~----:j!f/Z..- ------ .- SECTION o. SUN.!,~Eal, 011: A~HiTfCrc.wiF~.ATION,cnwr.lUOl Ccpy 00'J1,~ clt/li!. E~wCertOOi:e k:f III lXI/1'mtnlr~c'ai. (2~in!lUliIll()! !fJe1tk'.o1llpal" moI3!bWlf.I1;cmr.er 'C~M~~-~~. :'~.~ I' -------A--.q-E--.-""~--.--.--;~~-- ._-:- L u..=~T_:~~....-L~~~~OX--':'""--::.::..::\;---~----~Z.i?!::"'- ___;.n.::1__ -~_.~ ~"\\\ _!~~:-\ ~JSt~_.~~___ .~----~ ..C\~:r~-jL-~",,", J .~~___L~_~_~_~~~:.".~________~_~- .. _ . ~ OChoct here il llnad'rnO::lls _ SEC,'TION E . tlUlDJNGtl.E\lA110N INFORMATION iSI1IM"Y NOT REQUIRED) mil ZONE AO ANl>mJlEA (WffHOOT Hl fC\."2i:reAOiMh:ooA(willlot1B1'€) ~ lIemsE:1I/lrwgllE4. /f~ EleveI!c.~ wtf.l:,*i~~ lcI'U:~MSlJjIfXWt.l9'dorIlllllltvlfvt"~O'A4 ~LCM?.F, Sedio.?C."'.woo~., fl. &J1tlr.J~mtUnber _~"ieIl'UtlI;t,j'6i09 ilI1igammOlt si!!W10 the tlltf:r'glon.htMlSCM-<nie is tMJ~-SM pag&l 6:n17 W r,c-(jagr;l111 ar,QJr~y r~S1llf;tUIdilg, plC\'.de..stelGllo-li".obJ~I1.j ~ 7. . C! 111~ 10000(ft~e IlottCl1ltloct~ritllldill9:.ellll!l\l6!!l'>':Itl!:urelollt1eMtl'r'JIs.b(rn}!""Jl.'1lll~Qi' C beICw(d';ed\OIl8)I:'~ ~L;(Jj;m't~ E3 ~or13"j!:fng(Q,Ji;J:ro6.aYolill~lsffipal,;€ ~,\ !t'~~il~tloolt(eieI'€!F.d~OOr(t"P.<~1:I1 blMII1ebi.iiti~S~ _ ft.:m: _;r rOll)shcvelhe'nljhm<lti~ g~ '. E4. Frr'lJ:tie/.[)cWf- Ii ,"o1A){).j clepl1 ~umller'salaktJID. is !lr.Ulpcltne l10llcm !Iolnlev8Ie<J in 2tn1l'darce\\ilh ~heoomm',:liIYs t~1 'T""aa!!men! o:dnllfli:t? 0'(($ [JNQ [J1JWioNn. Thelol':alclbtlT'~~reillfOi1'Il<'iillf.in~I{nG. . S~CTlOfl F.I'ROFam' OWNER tOROI\~ER'S REPResENTATlVE) CCRl'lR:A~~ 1'11< !lIOII!f\10M'1l!1 or Ci'M'1efsil1JhorizElJ ~"'-e~';II;:O~ ~A. B. 0100 at\' ZcfflA(\\illoola.FEMA-iowIid o-wmmarol\' im.edllFE'~lloI\t!AO ~'JS; .~n ~ - . Y,"lo c...~,'('L CNhEJ~SAUlltRl,"CREPRES?/1'A'IM'SiWir"-----1J ..L. (j -l" \.vlt ')&:3" " -- ~_fuL___ ---_._____J.;cL:, _1"1'..~~~._ _ CIrY srm lPCOO( it- 'tl2.=_Q..Q..______1W.:-iLl::i - ,. u-.;, ,,__~ OAll: iEEl'I:oNE Rrrrn~>Cl'. ~~ J !'uil:'t.LlTilel' ~NAC~ .AA{:~ SK?~~ ::cr~i:urs ---- o Chedl here if 1I11at1unenls - _ SEC!IONG,.COWtIUNnYlNfORMA1lONIOPTIO:W.i _,,__._ TheIOOalatt.c~l! IlIhO IS NltMldtly liMI orordna'IC1tlC' adlM1iGleftn&oommull~'5 tOOdptaJi I'!IIlf1lIQI!lI'eN OIClitlBncetlill oomOl1te ~s~. 8, G (01' Ej, aoo G(f,L~'S Eievirol GertfICle CaTIjII!Nl ~lI! ~ (eII(sj;m .11,j/J )e!oot.. G1 0 ~ ~ ir,&rioo CW1lS1cIce.tfltfTl 001er doI;U1!'E!llla\l;ll1 \I'lalhasbeer!Si~ iI!'Jd~ by ~keslSt.(l';U1'/1l1Jl ~oojTEef, cr a~tiItd oWl.i~ il\l:hOO1tXl ~1 11m "'1\lclIii;J.vfpa:r~r, e~m.~ (lITdic:* M$CU'lll! MId dal8o/the devaicn dalainll'llCoo>-reoislllll3 ~~ G:2. 0 A C(l(l)JMT1~CC/Tflll!Il9:l~ EIor ebJildir.jfol:;t.edil ~ A (wilhoota FEMA-ssllld OI'~;SSJ~c;.E)\'Jr ZmeAO, W. CJ TI1eIdl:iwJ~i~ (1IlrnS '-i4.,".>3fi.puViOOdfDr='''Jrll'j loocp:ainlll<lflig.1fIEl'l:~. . f-~~.t~iiM9E"- __On_ -~- DA'TEPE'fw~~-----T G3' DAn celf!"iFiCi:rr~(~C~,-r.:I.Rmc"l'!S5u;<6-----' I I ' i 07 'f1i!r ~~~;~b:-(:rN~Cm;;-~ 0 $uOstanllai lmproI!ewt- ._u___________._____, G8~ev<lio<lti~~!b:Yrt'1dlJingo;_l!)oflteooikft~is. _ _t[ml l)",~' 139_ ElFE or ~~ ZOi~.l.O) t1ept>cI(~ aU~i> ~~rs lie is _' __It.(mJ DilIIJffi: ~iClA'_S~----_.----'---'-- T:llE----------...-----.~~-.--------. - - ~JNij;ijji€-.------------.-..- ---.-. ------.. TELEP'rlOOe -.----.-------------.--------. -~"'u~--------- H'_H r.;c~~_._m-- --~--_._--- ---.---- .----- ---------illI,Tt--.-...--.- ____._.______._u_ ----- ------:------------------------------ -----.-- --.---- ------.-- ------------. .T----------- _ ___ _________.--..bJged; hele ~ 3~....'1:":'l~_ FeM:A:Fo;;... 31-3 j. "1)(, 99 REPLACES ALL PRt"VIOUS ED:1,OI'iS ~ Nov 28 00 lO:02a C i t'.'::l 0 f"' B rem e r~ ton " N~v IS DC O?:23p CON SE,<VE TNe '3604785398 380-874-9032 p.4 p.l =@-=~ ,-', '0-, -" ,'-" 7""1\ ~. I. ~~~ ~"n.\" POBox ,1611 Port. Orchard. .-CONSTRUcnON S'l';N\'/CES .~ -TOPOGRAPrrrc' ,'.,fAPPING AA, k5~\ ,pPi!/Ov?Z:ttlh' -<-...,~ :'f:(:l ';:';-,A.Jl ~~> '~--<l\.~ ~": '.P"...- Sr t --- ?,,','- ,'-'---'1--' ,.~-~ ~~' , '1._ '.. t..lI"'", ~b \/..:-. __.C:.LC,J 1: r . '. , t" [" ,-,. t R' '("y I ~ ' r- \fA 98366 l.. ,.,.,I....i .:J....;"\ V (... . I".: v --t:NG1NEL'RINC DATA COLLC'C'PJON -LAND 8Ur,VETS AN.'] .c,'UBDH']SJONS c..{iC?il'.'q ~r- 11\\ ~~~ Tel ~360)874- ~~0:31 f'ax(~'16().1874 -,0032 TAA-i'iSMITT AL xx FAX _MAIL _E-MAJL ~fEn.EX DATE: 11.21.00 TO: !lla.mllen COMPANY: City of Bremerton, Engineering. FAX NO: 478--5393 FROM: 9ARY PROCTOR,. PROJECT:Wllkefidd Buildini! ne.rm!t SPECIAL INSTRUCTIONS: , ,Attached is the Completed .fEMA NFIP EJevalion Certificate required byttle City. The house, per the builders plans, will not be within a hazardous flood zone. but emirety witbin zone .C", at an elevation of 164.50 fect, which is 5.5 feet above the nearest Base Flood Elevatioo. Please call if you have questions. . Gary A Proctor RPLS #53980 .; TOTAL NUMBER OF PAGES, INCLUDING COVER PAGE: . 3 ' ~ PLiASE NO'rm US AS SOON AS f(jssmu IF YOU Do ~OT RECaIVE1HI" CORRECT NlTMBER OF I'AG E5. ~. ~ ,C~. a;~ l.. r~ If\.... .'.r~ ~ ~/ ." r,HJ \} 2 2, 200G t-,Tv or ::~~:f ;"'\cR10>J ~:-,,:( ;il'\-U'-:' io' ;,~:~3'J'~OOa 15: 55 30HHSfJt1 HOMES 1.-~i;O-E,g /-5311 , ~~'AGE 02 . BREM.ERTON BUILDING DEPARTMENT 1991 WSECColl1pJiance Worluheet-Non-Ekclric Al't)lICATlON NlfM6ER:..,... D0-~O$ I..J, DA'n:_.._J:!l~ft~_______~..__________. AP?UCA.NT:_~.~LF;:.,. ,1-/------- SITE ADDRESS: 1'91<:l.ft. ~..ClO\<..l.AN;; BfDoo..~ tcuJ [[SCO;~~hWo~'~r:! NEW -'IT AD~rI~N .1' :(2-=7 ai~D~T::="=n HEATING SYS'TEM! Ii f ,'-UJJ.~.__._.__-,-. BTl: RA'f1NC:. 15 \(1;) TOTAL HEATED SQ. Fr.____J.:e;[.q,,_.._..1.jlL___ TOTAL GL"tZJNG SQ. FT.__.-1U. bO COMPLIANCE OPTIONS :qtnoNS'r~tNC;:.. :GtA'l!N9 ..... DO~s; .<;~w~<>:; ..,......-/'1fj H:.OOR t;! "1\ttJf! . UYALUE . , . .' _~.'.. .....AJit~ :....,':,:; :;'~;" '.",': 1. i 10% ! 0.70 0.40 R.30 - .. I _ ~_~.:.......;_ 1-~~_O.65 __r---?AO . .~_ R.3~__ 3.* ,_.21% j 0.75 _____~.40 _I R-30 '- 4. ./ 21% . 0,65 0.40 " R-30 5. 21';.:;r-~ 0.60 0.40 R-.3o ~------ ----- ,--?.:.._.~ 25% _. 0.50 G.4o,._ _~.38 7, 30% 0.4' 0.40 R.30 VA'4:"4' CE.ftlN'<;; . : :WA~;b:;J1'lT w^~- '::Mt}!-l)S". .'U;f.QW'. . (iRADf: G'MlJlf R.15 R-t5 -'--- f--' R.15 R.15 R.19 R.19 R-19 R.19 R-l9 R.19 -.,-- - R.19 R-19 R-19 R-19 :j~k~;,;..JlL,OOll; .. ""..GRAQf:::,.' ... R,lO R-19 R-IO R.19 R-tO R.19 ---- - R-IO R-l~ - R.IO R.19 R-IO R.25 R-IO R-25 R-30 R;,30 R-30 R.30 R-30 R.30 R.3o -'rbi. "p.i"n l"'luil'C'f tll" BY A('; t(> have it ttigh ~-ffid"1\':Y raupc (AFUE /JoE O.8,~), ArI'L<~t rou.. p<<JV:id.. .d...."'Vn>_f~ti<>n. SlAB ON GWE, R.lO R.IO R-I () "-- R.IO R.IO R- L~__ R-IO To comply with the W'SEC: you ""lty choose ant of th~ above OPhQ'W. InJicllte which option is equal to or greater ma71- the percentage obtained by dividing your gla.zing j'quare ftot.rJge bj your total heated Iquare footage. FoJ/Qw the lilre tZCYou to determine the required insulation values of bu.ilding elementS fir that option. A heat ",$.I calculation mo.:v be submim:d in lieu ofchoosingQTU o/these optiom. but wiD he subject to review and approval by t:.be BuildFng Official . 1"1 ~..[/ ....---:.... .........~::,.. I . -'--'- WHOLE HOUSE VENTILATION Outdoor au shall be ,:'lllppHed to the conditioned space at the rate of 15 cfin for ea,h bedroom Ius 15 c&n for the remaiD.in' Iivin alea. Choose ont! o these 0 lions: WINDOWpottTS .WAttPOJ(T$ . M~r~PArJ\T)i~OtJCH~U({~:A~: (~~G#Ac~r~",:~d W1NDOW SCHEDULE ON ,FOLLOWING PAGE MUST BE COMPLETED 't.' lA/3~.'200D 1~:51 '"" 1--350--597-5311 JCH~SOH HOMES PAGE 0J BREMERTON BUiLDING DEPARTMENT WSEC Window Schedule ;,. BRAND:'MODELlIU~VALUlt . '.: ;:SI7...E."< .;:~~;n ' ':':":"::<"'.ROOM.LOCAl10N.' ..,;;: :.' "':.~__.:_ ~.~mE4'::___ ':'.:',' ....2:.: ::~~~~}... ... .... HH ..-... ... .. q.: ...... .. L~.JI"'(..'+ti . PIc.. i .Yro ..' I~x.l~ 1.2S](\2:~11 c;,.......:t ri'T',. -St~\(-.\.Va.y ~-~--tr )l~.".- t~y ~ --1 '5"~ ~o - ~~ 13~ ::,\k'" 1';''- . I<d" 1,..,,- '( " 0 C> ,r' . r .1. l'I' . (".~~t L .l.n. ~ ~ :. S b 1( 7. ':'; ';j 0; " r.o~ .,...""'. I' - . ~. L, ., -I. .'Ii. . i S ~ ., I. --j;.s n.~ S-$ r G<__TR~----- --~~- Pl~~ -.~1.1 (J3~5'b-ll~"1.' 9.~ rc;.~rg",. --~-- ~{ . .1:S:L;.j,r'_. ~_-=f~so__+ . ;ZS Di"I'-'-1 r:" '__~ f( p,....-.. .r.\~ I 2~)I. {-> . l... rn. CLc.1>_",,:t -.-----.....----...-....-- 1-----.:.:-- - I -.----- _.__.____ II SLf"b ..'il 'Sol-'l ~1'-,)(Z~~I..L1.. CCPGJ ~'""'. ~-----'---"-'-' '"-_.._---~..._-- --.-.-.---..-..-..- _.._--~-- ._-_.~._._--_._-~- L~.Js.J~~~i..( .<-tl SO b ~ l'1.~ 't' foy <l(~ f-----.:..----. -.,.-"........ -~t----- _"_ _ -- - - --}-. ~ --=---.--- .----~.~------.-J---------- -~ ----.--- ---+-- I I 1----.-.----'-..: ~ - ------ -~,~ I I I I l I I - '-----'- - -I 1-.' I t ~-"-r. - - ------+-----1-----r------------- I - --- t-- --- -- '-..--,---- -----.---- --- ~--_._... . TOTAL WINDOW 'SQUARE FOOTAGE:_,-_ .. ]~j S '8'" _..:. , . Brand and model/type .1l!Wtb~submjned on window schedule. Any chimges must be resubrnined toilie Building Dep..u"tmcnt. . ',."', ,... 'i",'" , , . . ,., ,,,' '~(";,: '.:.::-L-'''\,.~.,,;.' " . .. . , ~." ':(;:I~ .'It ....\ii,.~.~.."i'\:". \ ". ',/ -BREl'v1EF~TOKl'B'uitDfNG OERAR1~ME~f.>..r'.:,;,. ',<i. :".<,':'z:>;i"sc,'", ,::' /;.: .' .::" . ,,>~<'i:il{:;Y.''''' '. ,.. , . 0 '". ," , " . .', ..:~tr;::~j~;,:" "" }\ .. ,\~ ' , < ~~"> '.~t~ . 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