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Home My WebLink AboutCORBET DR., 1114 ( , Mechanical/Plumbing Inspection Card m... ~ PERMIT CENTER !:ITY ~F BREMERTON 286 Fourth Street, Bremerton, W A 98337 Phone: (360) 478-5275 Fax: (360) 478-5278 '. f) , I~~ Address: II/!L C'III. r bit. Permit No. ~Lf ^/~ QTY. EQUIPMENT APPROVED NOT APPR'D COMMENTS I Gas Piping (outlets) '/ Furnace , Hot Water Heater Wall Furnace Room Heater Gas Fireplace Gas Logs Gas Stove Gas Range Gas Clothes Dryer Wood Stove Pellet Stove I ~ Boiler* *cross-connection approval req'd by Public Works )I Propane Storage Tank* . *Loca#on must be approved by Fire Dept. ~ I Other: ~~ U, ~;~I(. ~ f Other: .. Additional Comments: fJO fr C.(5f'.S ~ //16161 C) r -...... ~ ~ ~ FINAL INSPECTION/APPROVAL TO SET METER: Building Inspector Date CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT t' PERMIT NUMBER DATE ISSUED: Q,l&'~;Qal1p4 286 Fourth SI. Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 3787 -000-014-0403 QUALITY MOELLER ROBIN A QUALITY HEATING & NC LLC ZONING: PHONE: PHONE: PHONE: ( )613-5614 SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: 1114 CORBET DR NW 9960 SILVERDALE WAY 14 1114 CORBET DR NW 9960 SILVERDALE WAY STE 14 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: GB SUBMITTED: 07/15/2004 APP EXPIRATION: 01/11/2005 Mechanical Fixture Fee $48.30 2215 $27.00 2213 ,,1ft $75~ ~~lIl,,,~aIIPlumbin@"vllr th~ C~:Jiter INSTALL 1 GAS FURNACE 1 GAS PIPE & 1 ELECTRIC WATER HEATER Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: VALUATION: Plumbing Fixture Fee TOTAL FEES: Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries (360) 473-5870 (360) 415-4000 Fire Inspections HID: 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 localloaw 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. PRINTED NAME: -r~/~-OL) I have read, and agree to abide by the SIGNATURE OF OWNER OR ,r AGENT: J-' r 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: 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). 2. DCD: For more information, please contact Clean Air Agency through their web site at www.c1eanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be found at www.lni.wa.gov/p- ts/asbestos/ asbestos. htm. f~ y:. /t?~ Page 1 of 2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT f PERMIT NUMBER DATE ISSUED: BB04 ~~~~~~~" 286 Fourth S1. Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 ASSESSOR NUMBER: 3787 -000-014-0403 ZONING: GB APPLICANT NAME: QUALITY PHONE: OWNER NAME: MOELLER ROBIN A PHONE: CONTRACTOR: QUALITY HEATING & AlC LLC PHONE: ( )613-5614 LENDER NAME: PHONE: SUBMITTED: 07/15/2004 APPROVED: 07/15/2004 SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: 1114 CORBET DR NW 9960 SILVERDALE WAY 14 1114CORBETDRNW 9960 SILVERDALE WAY STE 14 EXPIRATION: 01/11/2005 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 Plumbing Rough-In Final Inspection - Building Qty 1 Description Water Heater FIXTURE LIST Qty 1 1 Descriptior Gaspipe System LPG/NATL/OIL Natural Gas Furnace +/- Ducting Page 2 of 2 .......>.St~";;,,-'I!~Jii .m" "t;,~,ir,...,.,...,r""'~i"' -',:,'-'"1'" ,,,. fO)} ~ ~ ~ ~ W ~ JITm' lft1 JUL:1 C) 2004 l!:lj B Rl;l\'L EtlLUJt". ~ eWLDlN~l\1lIT CENTER . f)Fov OIICfS" G5 'VtS\ 1 c/~ Hzr1.L Depal1:ment of Community Development ::. 286 4th Street ::. Bremelton ::. VlA ::. 98337 (360) 478-5275 ::. Fax (360) 478-5278 [ JZ..-I 'MECFIANICAL. [O]:PIJUMBTNG Type of Fuel: Occupancy: Site Address: D Electric ~as D Oil ~ Residential 0 Commercial ! I /'( C-O~~~'t- 7)K\J~ o Propane CONTRACTOR: QU))t.i~ J4ea:tz,~tJl . OWNER: Kob;.N YYl C1e....-tte.r Address: <) q (e:, () S .' f..I;{'J,t;fa..~ ~" Address: II! 4 eta rW;/- . riv-),/'~J City, State, Zip: c;:; \ \ - -=~ - : #. wA 0- City, State, ZipBt, ~' i\I UJfl-, O/~ 3))...,. V'YlE .. l) , j \/,(-1.111 .' . . ,/ . .. e't~39'2 Phone #: ( ) lIcense # & EXRiP.rte: t J fTA ~"1~' ~l I (L.A .. Contact Phone #: (~, 13 5''-,lllt ~-.:L-t-I/)~ m.JL..Ct.,er ,,~:;J;;~ ~7!t;- 000-014--0 NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE RANGE WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB t-:>< GAS FURNACE btu ':;;1i" LAVATORY (BATH SINK) CONVERSION BURNER: btu SHOWER UNIT HEATER btu KITCHEN SINK BOILER btu DISHWASHER 7 GAS PIPING ~ LAUNDRY TRAY EVAPORATION COOLERS btu CLOTHES WASHER AC UNIT btu --,x. WAT5R HEATER ...-....-- HEAT PUMP btu URI NAL REHEAT BOX btu: DRINKING FOUNTAIN EXHAUST FANS FLOOR SINK OR DRAIN RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR CLOTHES DRYER' HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM . DUCT ALTERATION SWIMMING POOL TANK TYPE: BLDG. SEWER: (MOBIUMOVED HOME) REFRIGERATION UNIT ROOF DRAINS OTHER: - OTHER: '1-0..3 '-}O#' 15,- of Date "1. CITY OF BREMERTON IDEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER DATE ISSUED: 286 Fourth St. Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 3787-000-014-0403 MOELLER ROBIN A MOELLER ROBIN A SELF SUBMITTED: 08/04/2004 VALUATION: $3,000.00 $54.11 4580 $83.25 2211 $30.75 2215 $4.50 0236 $41.00 2213 $50.00 4580 Plan Review Fee Building Permit Mechanical Fixture Fee State Surcharge Plumbing Fixture Fee State Energy Code TOTAL FEES: Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries ZONING: GB SITE ADDRESS: PHONE: ADDRESS: PHONE: ADDRESS: PHONE: (360)710-5081 ADDRESS: PHONE: O- J ADDRESS: APPROVED: 08/24/2004 EXPIRATION: 1114 CORBET DR NW 1114 CORBET DR NW 1114 CORBET DR NW 02/20/2005 Resid~1!!1tI1ng P~Il!i[t;wl Meeh,lieaI/P,!fh~!rl9 REPAIR OF A SINGLE FAMILY RESIDENCE Building Code Edition: UBC: 1997 Occupancy Group: Type of Construction: Flood Zone: Setbacks: (Front) (Side) (Rear) (Other) Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant 1 TOTAL (360) 473-5870 (360) 415-4000 Fire Inspections HID: 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 localloaw 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 Contracto~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. . I have read, and agree to abide b SIGNATURE OF OWNER OR AGENT: PRINTED NAME: 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: 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). 2. DCD: For more information, please contact Clean Air Agency through their web site at www.c1eanair.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. 3. ;{Arv1 LU: 1 L A single-family dwelling located anywhere in the City, or a duplex located within any residential zoning district shall be permitted to repair or reconstruct following substantial destruction, provided such structure was a legal nonconforming structure and use, and provided that the new replacement construction is in conformance with all site development requirements of the zoning district in which the property is located with the exception of lot size, width or depth. Page 1 of 2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER DATE ISSUED: 286 Fourth St. Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 ASSESSOR NUMBER: 3787-000-014-0403 ZONING: GB SITE ADDRESS: APPLICANT NAME: MOELLER ROBIN A PHONE: ADDRESS: OWNER NAME: MOELLER ROBIN A PHONE: ADDRESS: CONTRACTOR: SELF PHONE: (360)710-5081 ADDRESS: LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 08/04/2004 APPROVED: 08/24/2004 EXPIRATION: 1114 CORBET DR NW 1114CORBETDRNW 1114 CORBET DR NW 02/20/2005 i. A single-family dwelling located anywhere in the City, or a duplex located within any residential zoning district shall be permitted to repair or reconstruct following substantial destruction, provided such structure was a legal nonconforming structure and use, and provided that the new replacement construction is in conformance with all site development requirements of the zoning district in which the property is located with the exception of lot size, width or depth. 4. Building Plan Review: Code Compliance-All work in the City of Bremerton shall adhere to the following 2003 International Codes: International Building Code International Residential Code 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 /!ft1 \ ! 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 yourpermit number, name on permit, site address, contact phone number, and inspection type. Mechanical Plumbing Rough-In Framing Insulation Sheetrock Nailing Final Inspection - Building Qty 1 1 1 Description R-Water Closet and/or Urinal R-Sink (Lavatory, Kitchen, Mop or Bar Sink) R-Tub and/or Shower Unit FIXTURE LIST Qty 1 Descriptior R-Bath Fan and/or Exhaust Fan Page 2 of 2 m... ~ PERMIT CENTER Department of Community Development * 286 - 4th Street * Bremerton * VV A * 98337 (360) 4,73-5275 * Fax (360) 473-5278 Type of.Fuel: \ Occupancy: Oil Commercial.... Proparie . Site Address: 13/?i?PJe<<:rO;J I {Ai t} q t' 3 I L. , CONTRACTOR: Address: Cit , State, Zip: License # & Ex . Date: Contact Phone #: NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE RANGE I WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE I BATHTUB ~ GAS FURNACE btu: I LAVATORY (BATH SINK) ~ CONVERSION BURNER btu: SHOWER UNIT HEATER btu: KITCHEN SINK BOILER btu: DISHWASHER GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS btu: CLOTHES WASHER AlC UNIT btu: WATER HEATER HEAT PUMP btu: URINAL REHEAT BOX but: ~ DRINKING FOUNTAIN 1- EXHAUST FANS. .,'Um FLOOR SINK OR DRAIN RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION RANGE HOOD (COMMERCIAL) GREASE TRAPIINTERCEPTOR CLOTHERS DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: /i;&t()'J/ dL App Icant's Signature . ?/3 Iv'f Date ' lJmVll;l\td309NI0l1f1fuERMIT CE' NTER N01U3W3H8 ~ ' 1 DrlJI x. t\ c.n; fLn I "" ,'v...... (c Building Pcmut Application De )artmel~t 01 ~A]1~lD~e'10 m~L * 286 - LLth Street * Bremerton * W A * 98337 (360) 473-5275 * Fax (360) 473-5278 "~hM cc cj, C' 'cc'~:O 'cC. co.:n.'+!a1tcft'oc.. r':;. "0 "'A'U"" .,r:.o"'nz' ';:a...\&t;:;;,.'c~n"tc.,'" ':~vVD.efc:~;~,j;;;:;; '.... "".U," ....,., .13,. LU., ...,;.(~v'. ."." "-', L-&.. t" 1 ' qi:'\;' f~~~ \ ':1 :_~':'J . "--.,, -"-I .::: '-'~ "::.', "J;" --, A.pplicant: ' Site Address: ./11l( What is the application for? (Please check one) D NEW SINGLE-FAMILY RESIDENCE D NEW DUPLEX D NEW MANUFACTURED HOME D RESIDENTIAL REMODEL D RESIDENTIAL ADDITION ~ESIDENTIAL REPAIR D NEW COMMERCIAL D COMMERCIAL REMODEL D COMMERCIAL ADDITION 'B B OlJ 012.'52- G;'.fS D l~ 1 7 o COMMERCIAL REPAIR o NEW MULTI-FAMILY o TENANT IMPROVEMENT o NEW GARAGE/CAR PORT o NEW ACCESSORY BUILDING o NEW SIGN o STRUCTURE DEMOLITION o GRADING (Cubic Yards: o OTHER: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YESO NO ~ Scope of work proposed: R'E1'/f.'(l.. i1dJ" /p ~TJJ(U)VM WA-u-/FLClJtc../wf ~fJw - RffvtoJp pLJ)oa..j sl.t~A()I){e'll?flI10ve- 4'T)JEl~Vf-JWf- Wl}u (J::>V~;~6-,K / ,irP~e ~-CvSifv\'J>lu ~eoJt1~41t!J /rhE rJ-8~ 8~ <ct-: PLt--~,ft')fNfZ /2e-(7U\-~ w,',.JODaAJ, ...:t;N~.l L S7Y'Z,cuv6G/i. Square Footage: Dwelling: ~ Garage: Decks: ::::::s Valuation Plan Review Fee Permit Fee Surcharge Total Fees .? "Pl>, ~ 0' 5'!;, I / !:1 r 2S- d's" Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant, showing the circumstances beyond the control of the applicant have prevented action from being taken. No applicant shall be extended more than once. In order to renew action on an application after expirati the applicant shall resubmit plans and pay a new plan review fee, tdL 8'/3 /7:1{ Date " CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: ipDOU(1,'"98S 286 Fourth Sl. Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 Plan Review Fee 1/4580 .".,:'1' Orig!.lit131 F,b Afn!."~untl. : '.' ...,.. $ 54.11 Total: ',,!!!,. I Raid J\l;Ijp, CHECK Total: $ 54.11 $ 54.11 6965 Page 1 of 1 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: ~ffiiS~~'S;; ;ill ~~t, ""M4ill 286 Fourth St. Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 BB04 01232 BB0401232 BB04 01232 BB04 01232 BB04 01232 Building Permit Mechanical Fixture Fee State Surcharge Plumbing Fixture Fee State Energy Code 1/2211 1/2215 1/0236 1/2213 1/4580 ali . mV>>hW $ 83.25 $ 30.75 $4.50 $ 41.00 $ 50.00 Total: $0.00 $0.00 $0.00 $0.00 $0.00 B000001985 08/04/2004 Plan Review Fee $54.11 BB04 01232 Total: ~. $ 209.50 $ 209.50 6975 Page 1 of 1 ,~ r.:> p tr) ~.""'. ...... \ \. '" . . . . . . LtI .... ...::::: .c. ~ ....~. ".'f1 . b l>' ~ - - ~tt '.:b:J"; 171 . r-.. .' R." :- ~.. ...- "lq~. " . . . ~l'~' . =~ J::&t, .' .' '. , f{.~.f, ;003 . (J) ~"'.' '. .~ 01' '-J. z.,.. ...... .. -1. \ ~l A.,..;... 1 ~ "~." ,'. . . ()) L/ 0 .. 0> Al' I. .' - r.... . f"J ~;t). .' , C\ ~ eN ) ('y; G [I tt" f:i>. ~.. "~\, r' ,~. . 1\ .,' . I. "'; f: I ..' '')-_ '. .t....... " '-". .' ,. '.- '" '. . '. ..... bE . . ..'ii \\-'9'1"~I i7f~ . ..... i . 1 -,"':;__ '., . S'~ · ..... ~ ,,2, '..- . 1Jr....;.., t:.. ".'. . '. ~ "~i91 . . ';' .'" .~ ., . II "'1-, 9' '. . ' ~, , ',,- :. '. 'e.'~: '7'\' '. " "'" f. .. ". . ~ .~ t. ~. , - ..... ,:::- - - . -C. ,. " ..... \ D ... .... - ........ .... .... z. ,- - .0 ~ r~rj1 . ~0~ r~~ .1 i : ,~,=.;J 'Ft~~ . :.:~" ". - ,~_! . '- ",' ~i -i' . , , , . '.' 11-,O].-.rJ . '" f t " 'I I , '."~,': 1/)-1 ill - . .' ".\'L..,'~; ~ " S--.;lt; ; : t.....' : " "~:' .... .', T .. ..... \\,). , .'. .J..... I\O~ ,.," " L ,..~........, ". '. '" '".', "".. II~:-,;S...,,:;..., ""'. :'~~/'I.. I' :.. .' . t . ". [t , ....'~ ~ I'." !..1 ~~.:. . '. ~~. ...~X..j~6.........~1if{. ~~..~. '. ~g '.'1 ., .Y.~.. '. " . , '''7', ....( '. ' ~. l~ 8Ifi~.- &1 L ;0'\ ' .i.....QJ. . . ):p- ,r. (/).... . ~~. '.:1). ..j; ,,~' E( ':J l): ~ '-if d;t3v B' ".' -< ~:aJ5~r=. C_ D C ~ (t v c:Z: D t"'1 ~'~.,.~ ~ ~:1" ~)~i E (\\ tI ~7' _&0 D t- f' G ~ (tit o ,. 0 r:. 3((. 0 \1 1f-1. !:o' C c-P w ~ ~ ., z~ \II :q~ ~, - . ! . . .': t.'...../...;'1.. ',' ,-/,1 C' "'. . . '. . ,,_.. "-7........_"""",;,..:,.;",, , . '. . .... .......~...~~'~>. :.' . . . '" .'.. -'- . '-.... . . . . . . -,', . ~- \ .' :. ........ .,:', ""'" .yy."'....:.'.. c..::,'......... '. . :.. ":'. '. ", '....'... . . . . ". ... . . .. - "~ ...... . ~.~~ '"";l'.\J..~, . . " ,\.1',' .'.."<' -I. .' ,,'r..'.. . , "-'C..- "\", ~.. "'. . l " -, , ":"~.""..'.; . , ,- ';, ~," - . - " - , >, -' , , , "' ':\.:... . . .. 'c9 ."f8 r ~ '.~ ,'" (t' ... ,,'. ' '['0..' ".0':'11 ." 11,f;;) I . ,', , " J?- . : J ."1":).' '_ '. I f 3 [)J 1 p . t/.). 01. . .~ 1 ~ G:11 fMJ 1 ~ '-"', <1::'" @ ~ 9ro {""t ~ Z:J:J Ci) I'T1 (..." ffiii1 ~ oS;' ,-,~, m I:T1 , 1 ;jg2:i t:::::I '\ ::lJ! a ~ Cfg g~ C::~ ~ => -~~ C> rTII fiii1 . I ;z: '\ - -i - ~ rs~:J ....z ......4. .' '0. . t' '.. ,"Cq :' - .......,l. .. "j/) IIO-/~ \ , ,- ", I~ ...... ... '"! .jI }ulitE -" j-J.oU5G 6UiLJ J'rJ t<;;32..- r D &r7-+~ elt-7rI two Ilt d- j(cfl "t (e Prescriptive Approach - Simple Form For the Washington State Energy Code (2001 Edition) Climate Zone 1 t?EP 11//L j' So g,Uk:cAJ D..N Ly l'O /Urr- w,ltJ OCJt..AJ ,.,J Gt..>O/2OoIV Site Information Building Department Use Only permit#:$~~~ 0163 Lot: Address: ///'1 t.J)I(BzrJ \)~. City: €>aEYn~.:TOjJ State: ~A- Zip: ~!3jZ. Notes: Contact: ---12o~I"N wI( Phone: CO-L-- Phone 2: A-. moacelt- 3~ 0 -{p 93 - 'J&iff' LJ . 1~o - /3'f- 5"3g, Fax: . , Door" I I I Wall I Wap I _ I Slab4 I Glazing Glazing U-Factor Wall Option Area 10 U- Ceiling" Vaulted. Above . Int4 Ext ...1 Floor On % of Floor Vertical Overhead1l factor Ceiling3 Grade Below Below Grade Grade Grade III Unlimited Group R- 3 OAO 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-lO Occupancy Onlv Table6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) See the code text for footnote references This project complies with the following: ,,/ ,,/ ,,/ ,,/ )lotJe OF- T*t' ~u.$~ - e::Jf-Cl:Pr 71tC The project is a single family residence or duplex. It--:-f/hRS VO,Le... ..qg- C{ f ]') e.;J . Uf) The project is wood frame OR all of the insulation is interior or exterior of the framing. G) ~ ~ All building components meet the requirements listed in Table 6-1, Option III. ~eTt> ~ttJt.:::r I f\J 1'1') The project will meet all other provisions of the WSEC and VIAQ. The project will take adv\=Intage of the following exceptions to the prescriptive option: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. LocatiOn of the door(s) taking this exception Copyright 2002. WSUCEEP02-056 Copied by pennission from the Washington State University Cooperative Extension Energy Program Prescriptive - Simple Fonn :- Climate Zone 1 5/31/2002. -\' '" ':.' ,C I'T Y 0 F BREMERTDN Department of Community Development 286 Fourth Street, Bremerton, W A 98337 (360) 473-5275; Fax: (360) 473-5278 website: www.ci.bremerton.wa.us RESIDENTIAL SITE PLAN QUESTIONNAIRE The answers to tbis 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: NAME: tR . me ADDRESS: Iii 1./ eo'" &n- CITY: AIlt!J'J'KnrfJN TELEPHONE: Work: @"") "tit -,"Y'~ PROJECT INFORMATION: ~tJ,- . ~~,,')....>~l.A- wM{ -^' G; f'OliuBO ..J1r-C?r:?7V STATE: AlA- ZIP tf'F3/ ^ Homel Cell: (3'0) lf3'1-5' 3~ , 1. Tax Account Number: 2. Site Address: II J 't' eOf<~fC1" bR. . !3lltm@'l::rv,J/ WA- 'i 13 J z. GENERAL SITE INFORMATION: 3. Please check sewer service provided: ~ ofBremerton D Septic (contact Kitsap County Health for letter of acceptability) 4. Is the site characterized as: Forest or Vegetation Cleared V Developed 5. Please check wbich soil types apply at the building site: D Crystalline bedrock ~ Sedimentary and foliated rock ? D Sandy gravel andlor gravel o Sand, silty sand, clayey sand, silty gravel and clayey gravel D Clay, sandy clay, silty clay, clayey silt, Residential Site Plan 10f3 Revision: June 2004 ,:/ .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 ;VA- CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 21.22) 10. Please give the steepest slope within 50 feet ofthe site, include adjacent parcels: , % (see diagram below explaining slope calculation) 8. Please give the overall slope ofthe parcel: 9. Please give the slope at the building site: % jJA- lStti L..T i,.o I q 3}- % Slope is calculated by dividing the vertical distance by the horizontal distance and then multiplying the result by j 00. 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. Ifthe 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 8 14. Ifthe answer to the above is yes, please describe: Residential Site Plan 20f3 Revision: June 2004 .~ "J, .' '1~ .:.,. .. RESIDENTIAL DEVELOPMENT WORKSHEET 1. What is the zoning designation: U 111 fJ?fdnl!.l~L. 11!e5 ("oet-lT1 ~ItL . , 2. What is the area (square footage) of the lot? ..27 lJe(<~ .~/- 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 in BMC Section 21.02.670. When adding to or replacing an existing structure, this information should reflect the entire site after work is completed. DESCRIPTION: . ZONING. . "REQUJ:REMENT , ; S::r:AFF":: , i .REVIEW* FRONT YARD SETBACK REAR YARD SETBACK** SIDE YARD SETBACK SIDE YARD SETBACK MAXIMUM HEIGHT LOT COVERAGE*** NUMBER OF OFF-STREET PARKING SPACES * To be completed by staff **Use this as the second front yard setback for comer 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 l<?w open deck is defmed 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. i2<-tM/dL Applicant Signature f/~/o'l Date Residential Site Plan 30f3 Revision: June 2004 \ l 4sc~ri:dsnr. · . c> ller . ~( lA). lor re.palrlEII r 5 .,.. .un Building PIUll1bing ire Alarlu/SprinlJer 0 DURING INSPECTJONS THE UILDING l)ERMIT & ArI)ROVED rLANS SHALL In: ON SITf~ B[IILD]lVG PER~1IT INSPECTION ,.... ",:-;c f~ ,', _.~, CARD ", I" .',.... I' "~ '-.'j ';_. t.._\l-::=~~ Perlllit # BB04 -QL~3-a For Inspections Call (360) 473- 5870 ~@@1f @U~ (;~mU~ . Approved Date No1es , Erosion Control In Place 1 st Foundation Footing FOUNDATION Foundation walls DO NOT POUR CONCRETE Plumbing Ground TFork PRIOR TO APPROVAL 1n Slab 111 echanical . - Footing Insulation '. (2nd PLUlvfBING I Rough In c:fJ ~/-;t;~ jJIECHANI CAL Duct / Vent ~) ~/~ - I GAS PIPE Support / Test /1I1eter set frd Hold down connections , , Shear Panel nailing FRAMI]\lG L&I Electrical Approved If pt & 2nd are approved Ventilation requirements ..\ , FraminR If// fJ/ Zt:I7i:/- r' , J 4th Under-floor ~ walls c INSULATION ceiling .... -th ~~ 6th lATAL SHEETROCK 473-5384/5385 \ I ALL FhVAL L'VSPECTIOATS COAfPLETED 1 / All of the above :Must be approved Prior to fi D al 473-5870 473-5927 473-5270 I , DO :KOT occtpy BUILDISG ,YITROcT BUILDING D'EPARTl\IE~T A.PPRU\'\L PROTECT THIS CARD FRO.M THE FVEATHER