HomeMy WebLinkAboutCORBET DR., 1330
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1)1 fRIN(; INsPECTIONS 'fUE IfllIUllNG PEWVUT & APPROVED PLANS SHALL BE ON SJTE
Permit # !! !! Q 2. -DO ~ ~@~11 @[It] ~~11~
lTor Inspections C~aH (360) 473- 5870
Approved Date
Notes
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Under-floor
Walls I i!c.fi- It.-,q-,,
Ceiling '1U244- . 10 - 'f -G,
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DO NOT POt! l~
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PRIOR T.)\ PI"Hrv i\ L
Erosion Control In Place
Foundation Footing
Foundation Walls
Plumbing Ground Work
In Slab Mechanical
Footing Insulation
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Under Floor Framing
Shear & Hold Down Connections
L&I Electrical Approved
Ventilation Requirements
Framin
ALL OF THE
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PUBLIC
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Driveway Approach 473-5270
Sewer COil Ilectioll ../73,5270
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CITY OF
BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING DIVISION
345 - 6th Street, Suite 600
Bremerton, Washington
(360) 473-5275
INSPECTION REPORT
PERMIT#:~""BDS--6t)799 ADDRESS: 1~'~D ~o-f~
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CITY OF
BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING DWISION
345 - 6th Street, Suite 600
Bremerton, Washington
(360) 473-5275
INSPECTION REPORT
PERMIT#: 13f,OS-- 0cr199 ADDRESS: I~?>o C!-prki-'Dr.
8 hee-t- 4 lh1 P r thN; ~~:0 sluu, wall o-vt.
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Phone:
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DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING DIVISION
CITY OF
BREMERTON
Bremerton, Washington
(360) 473-5275
INSPECTION REPORT
PERMIT #: 158 05 - (!;) 0719
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ADDRESS: ,.~~ (Eew'b~+ 'Dr
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Phone:
INSPECTOR
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lbeeU1l ifOIUlU1ldl: THE VIOLATION OF THIS STOP WORK ORDER
SHALL CONSTITUTE A MISDEMEANOR, PUNISHABLE BY Ir1PRISONMENT IN
JAIL FOR A MAXIMUM TERM FIXED BY THE COURT OF NOT MORE THAN NINETY
--.190 LDAYS._QR_BL1LEINE_IN-1\N-l\MOTJNr-F-.];'XR":Q-~Y-,]f-IE_GGT:JR!I'_GF_Nffi!
MORE TliAN ONE THOUSAND DOLLARS ($1,000.00), OR BY BOTH SUCH IMPRISONMENT
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PUBLIC WORKS & UTILITIES
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Rodney Forsberg
6188 Seabeck Holly Road
Sea beck, VVA 98380
Subject:
1330 Corbet Drive - Correction Notification
Dear Mr. Forsberg:
Grading at the captioned property has resulted in insufficient cover (less than 5-feet) over the
City's existing sanitary sewer main. Further, the retaining wall installed on your property has
jeopardized the main, and is not in compliance with City Standards. Correction of this non-
complying work is required. Specifically, the main passing under the wall must be encased in a
steel casing that extends a minimum of 5-feet beyond the face of the wall, and the main with
substandard cover must be replaced with 8-inch PVC C900 pipe. It appears that the main to be
replaced begins at the man hole located near the north east corner of this property, and ends at
the area that was graded for the driveway into the garage (about +/- 40-feet in length).
A sewer inspection permit will be required for this work. The application must include an
engineered design sealed by a Professional Engineer and a site plan showing the limits of all
proposed work. Contact Lynn Fowler at (360) 473-5265 to coordinate this work.
If you have any questions regarding this issue, please contact me at (360) 473-5288.
Sincerely,
.4'/~~
Michael C. Mecham, P.E.
City Engineer
mm/aw
CC: Jesse and Dulcenea Rogers
Lynn Fowler, Engineering Technician IV
Janet Lunceford, Bldg & Dev Specialist
Larry Craze, Building Inspector
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ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
VALUATION:
Plan Review Fee
Building Permit
Mechanical Fixture Fee
State ~urcharge
Plumbing Fixture Fee
State Energy Code
.~
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB0500799
DATE ISSUED: 01/10/2006
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
FORSBERG GENERAL CONTRACTC PHONE:
3787-000-011-0208
FORSBERG RODNEY A & TANIA
FORSBERG RODNEY A & TANIA
11/18/2005
$163,150.08
$878.90 4580
$1,352.15 2211
$73.80 2215
$4.50 0236
$132.00 2213
$50.00 4580
$2,491.35
TOTAL FEES:
~. 'J7/A1fOf
ZONING:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1330 CORBET DR
13585 NW DRAGONFLY DR, SEABECK, WA 98380
13585 NW DRAGONFLY DR, SEABECK, WA 98380
6188 SEABECK HOLLY RD 98380
SF-3
(360) 830-5313
(360) 830-5313
(360) 830-5313
STATUS:
ISSUED
EXPIRATION:
07109/2006
Residential Building Permit wi Mechanical;Plumbing
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE & DECK
Building Code Edition: IBC: 2003
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Square Footage:
120 SOFT
2,277 SOFT
576 SOFT
Decks - Wood Frame
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
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 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 hoider 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
I 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 law regulating construction or the performance of t e construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the I
I State Contracto~s Registration Law under Section 3, Chapter 126, ws 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. s cti prior to p mit expiration and obtain a certificate of occupancy prior to use or occupancy.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
uding all conditions of zoning, building codes, and State and Federal laws.
DATE:
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance WithJ:jity
regulations does not necessarily ensure compliance with federal or state laws.
1. (DCDc01) 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.lni.wa.gov/p-ts/asbestos/asbestos.htm.
2. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a , '
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
Page 1 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 880500799
DATE ISSUED: 01/10/2006
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3787-000-011-0208
FORSBERG RODNEY A & TANIA
FORSBERG RODNEY A & TANIA
FORSBERG GENERAL CONTRACT(
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1330 COR8ET DR
13585 NW DRAGONFLY DR, SEABECK, WA 98380
13585 NW DRAGONFLY DR, SEABECK, WA 98380
6188 SEABECK HOLLY RD 98380
SF-3
(360) 830-5313
(360) 830-5313
(360) 830-5313
0-
SUBMITTED:
APPROVED: 01109/2006 EXPIRATION:
STATUS: ISSUED
11/18/2005
07/09/2006
3. (DCD-13)
4. (DCD-14)
5. (DCD-22)
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data. The building official is
also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the City of Bremerton.
DCD: Driveways and parking areas must be paved. Parking not allowed within the setbacks.
DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site
and be available for inspection.
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
6. (ENGR-1008)
ENGR: Address is required. Apply for an address at the City Engineering Office. 3027
Olympus Dr. Bremerton, 98310
Must comply with Short Plat conditions of approval.
All utility fees and assessment shall be paid prior to final occupancy approval
7. (Project-Specific)
8. (UTILlTY-02)
'"
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.
Foundation Footings
Foundation Walls
Mechanical
Plumbing Groundwork
Plumbing Rough-In
Framing
Insulation
Sheetrock Nailing
Driveway
Sewer Lateral
Final Inspection - Building
Driveway approach
Right-of-way Other
Qty
3
FIXTURE LIST
Qty
4
Descriptior
R-Bath Fan and/or Exhaust Fan
Description
R-Tub and/or Shower Unit
Page 2 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 8805 00799
DATE ISSUED: 01/10/2006
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3787-000-011-0208
FORSBERG RODNEY A & TANIA
FORSBERG RODNEY A & TANIA
FORSBERG GENERAL CONTRACT(
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SUBMITTED:
SF-3
(360) 830-5313
(360) 830-5313
(360) 830-5313
0-
11/18/2005
APPROVED: 01109/2006
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1330 CORBET DR
13585 NW DRAGONFLY DR, SEABECK, WA 98380
13585 NW DRAGONFLY DR, SEABECK, WA 98380
6188 SEABECK HOllY RD 98380
EXPIRATION:
STATUS: ISSUED
07/09/2006
4
1
1
1
3
3
. R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R-Water Heater
R-Dish Washer
R-Clothes Washing Machine
R-Hose Bibs
R-Water Closet and/or Urinal
R-Cook Stove with Exhaust
R-Clothes Dryer with Exhaust
Page 3 of 3
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12/87/2085 16:33 3&e~73-5age
BREMERTONENGINEERIG
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number: BDDOOOQ~27
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
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Origini'll Fee
~untD;:
$1,352.15
$73.80
$4.50
$132.00
$50.00
Total:
8805 00799
8805 00799
8805 00799
8805 00799
8805 00799
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8uilding Permit
Mechanical Fixture Fee
State Surcharge
Plumbing Fixture Fee
State Energy Code
$1,352.15
$73.80
$4.50
$132.00
$50.00
$1,612.45
$0.00
$0.00
$0.00
$0.00
$0.00
Pi!Bi:9US~~fHistory ,
" ,:-'" '/ ,'j
'''=1:ee Description' ..
.',.~
" ',-v ~
. ntO.llnt,.said~ ...
. ":"R':ec10eV~iH .....
;~eci!1p~;# . ,.. .'. ./
. .Permit.#
8000005470 11/18/2005
CREDIT CARD
Plan Review Fee
8805 00799
$878.90
Total:
$ 1,612.45
$1,612.45
Page 1 of 1
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V/ONITY1V1AP
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CITY OF
BREMERTON
oorn@rnow@rflflB,pj {J\ (~c; 0 c~7(j~
NOV 1 8 2005 j.f]J 1_.-/ \------" .-!J. . L/f-f
R~MERTON-DEPI OF
M~ UNITY DEVELOPMENT
Department of Community Development
345 Sixth 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:
NAME:_, ~
ADDRESS: . S15: .) DAfFl \f ~, ... .
CITY: s~~ee STATE: WA- ZIP q'83~O
TELEPHONE: Work: 3Gi'J - 2.7 ( - q<lo~ Homel Cell: 3Cc0'-'"53C- 53l3..
PROJECT INFORMATION:
1. Tax Account Number: ?787 (tX) 6/1 OW?!
2. Site Address:
GENERAL SITE INFORMATION:
3. Please check sewage
provided:
servIce rt.. City of Bremerton Sewer
o Septic (contact Kitsap County Health for letter of
acceptability)
4. Is the site characterized as:
x
Forest or Vegetation
Cleared
Developed
SHORELINE:
5. Are any areas being developed on the site
within 200 feet of the shoreline?
YES eJ
6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist
(WAC 173-27-180)
Residential Questionnaire
1 of 3
Revision: October 2005
CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 20.14):
7. Please give the overall slope of the parcel:
1.0
% (see diagram below
explaining slope calculation)
8. Please give the slope at the building site: ZL....) %
.-
-. L.y /
')-.. I). DC} ("'1
" (C;;'--(l) feet
\j'
9. Please give the steepest slope within 50 feet of
'7 (1/17 0/0
the site, include adjacent parcels: ~ '-'- /(
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
10. Are there any known wetlands or wetland
buffer areas on the site?
YES
@
11. If the answer to the above is yes, please describe:
12. Is there any standing or running water on the
surface of the site at ANY time during the
year?
/.::::"\
YES ~)
13. If the answer to the above is yes, please describe:
RESIDENTIAL DEVELOPMENT WORKSHEET
1. What is the zoning designation:
2. What is the area (square footage) of the lot?
.''0
S'8 ') .
3. What is the amount of grading proposed (in cubic yards), not including foundation area?
,""f
Fill amount 1- C
Cut amount~.,.- [(J
Total grading
J"'" ':)"'l
')-' ,
- .. ~"
Residential Questionnaire
20f3
Revision: October 2005
-/
Will the grading material be imported or exported?
YES
G)
If yes, please identify where the material is being deposited or imported from:
NOTE: Grading over 100 cubic yard requires an Environmental Review (SEPA). Please submit
an Environmental Checklist with your permit application.
4. Please provide the following information. Zoning development requirements are found in
Bremerton Municipal Code (BMC) Title 20. Two off-street parking spaces are required for each
residential unit. When adding to or replacing an existing structure, this information should reflect
the entire site after work is completed.
DESCRIPTION .
ZONING . PROPOSED
REQUIREMENT.
FRONT YARD SETBACK
REAR YARD SETBACK *
SIDE YARD SETBACK
SIDE YARD SETBACK
MAXIMUM HEIGHT
LOT COVERAGE**
NUMBER OF OFF-STREET
PARKING SPACES
*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 ot er information contained herein is false.
~7 [6<
Dat I
Residential Questionnaire
30f3
Revision: October 2005
D
D
D
~
CJ
;"1'
W:Shington State Energy Code: 2001 Second Edition~~~~oe~ 7'11
Zone 1
Effective 1/1/03
Cohditioh,ed Floor Area I '2-277
Glazing
Area
Feee
Verrtical Glazing
OverheadGlazil7lg
Daar
60f,7,2 :Exc~ptian, Area X 3
Glazing Area Tatal ,
Area
Weighted,
r U-FagO'1
Glazing,l.o Floor Jl\rea Ratio I , I
, Glaiing Are~ Total I Conditioned Floor Area
602,7,,'2 Exception Ratial I
602,7,2 Glazing:Area T otal,/ConditionedFloor Area; 'nol'loexceed'1 %
TABLE 6-1
PRESCRIPTIVE REQBIREMENTSD,1 FOR GROUP ROCCUPANCY
CtlMATE ZONE1
Select
One
Option
Glazing Glazing U-Factor Wall12 Walle Wall.
Door9 Vaulted int4 ext4 .slab6 on
Option Area 10: U-Factor Ceilingt Ceilihg3' Above Floor5 Grade
% of floor Grade Below Below
Vertical Overhead11 Grade Grade
I. 12% 0,35 0,58 0,20 R-38 ' , R-30 Rcl5 ' R"15 R-IO R-30 R-IO
,:
"
><
II 15% OAO 0,58 0,20 R-38 R-30 R-2l R-ll R-IO " R-30 , R-IO
III 25% 040 0,58 0.20 . R-38 I R-30 I R-n I , R-1'5 R-lO R-301 R-IO
Group R-l U=O,031 U=0:034 U=O,060 U=0:029
Occupancy
Only
IV. Unlimited OAO 0:58 0,20 R"38 Rc30 R-21 R-21 R-lO R-30 R-IO
Group R-3 ~ ~ ,----/ ~ ~ ~'
Occupancy <<~ ~ ------- ~
Only ~.J
V. Unlimited 0.35 0,58 0,20 R-38/' R-30 I R-211 R-15 R-lO R~301 R-IO
Group R-I U=O,031 U=0034, U=O,060 ;U=O,029
Occupancy
Only
See code text for footnote references
Capyright 2002 WSUCEEP 02-143
Capied by permissian fram Washingtan State University Caaperative Extensian Energy Pragram,
(see capyright restrictians)
12/23/2002 1 .of 3
-oJ
Washington State Energy Code: 2001 Second Edition, Prescriptive Worksheet
Zone 1
Effective 1/1/03
Exterior li)oors
Plan
10
01;/1
I> 66$
.Ref:
One Exempt Door, If 24 Square Feet or l.,ess.
Door
,U
U
Width, bleig~t Glazing Door
Feet ,~~Ch Peet ,Inch ~rea" Area
A
Door
LJ,~
=;UXA
Sl:lm of Area andUA (do not include exempt door) I,
Area Weigl:1ted U = lJA/Area
Vertical Glazing (Windows, Doors using Exceptipn 602~6 #1)
Plan Component Glazing
10 Description Ref. U
U
LA If
iI If
Sum of Area ,and UA
Area Weighted U = UA/Area
I Il
Glazing
Area LJA
A =(jXA
-
-,
"
"
"
I
Copyright 2002 WSUCEEP 02-143
Copied by permission from Washington State University Cooperative Extension Energy Program.
(see copyright restrictions) 12/23/2002 2 of 3
Washington State Energy Code: 2001 Second Edition, Prescriptive Worksheet
Zone 1
Effective 1/1/03
Overhead Glazing
Plan Component
10 0 . r
Glazing
R f U
. escrjpl10n "e.
A/ILL U
I
Section 602.7.2 Exception
Plan Component
B Desedp!;o"
Width Height
Ot Feet Inch Feet Inch
Area
A
UA
=UXA
f
Width Height
ffiEE. I
Sum of Area and Are'a X3 ,",I
Area
Area
X3
I
I
Copyright 2002 WSUCEEP 02-143
Copied by permission from Washington State University Cooperative Extension Energy Program.
(see copyright restrictions) 12/23/2002 3 of 3
Sum of Area andUA
Area WeightedU =l:.IAlArea
CITY OF BREMERTON '., ,
DEPARTMENT OF COMMUNITY DEVELOPMENT
FilE
PERMIT NUMBER BB05 00799
DATE ISSUED:
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3787-000-011-0208 ZONING: SF-3
APPLICANT NAME: FORSBERG RODNEY A & TANIA PHONE: (360) 830-5313
OWNER NAME: FORSBERG RODNEY A & TANIA PHONE: (360) 830-5313
CONTRACTOR: FORSBERG GENERAL CONTRACTC PHONE: (360) 830-5313
LENDER NAME: PHONE: 0-
SITE ADDRESS: .....c;9RBCH E'JR:
ADDRESS: 13585 NW DRAGONFLY DR, SEABECK, WA 98380
ADDRESS:
ADDRESS:
ADDRESS:
13585 NW DRAGONFLY DR, SEABECK, WA 98380
6188 SEABECK HOLLY RD 98380
SUBMITTED: 11/18/2005
VALUATION: $163,150.08
Plan Review Fee $878.90 4580
Building Permit $1,352.15 2211
Mechanical Fixture Fee $73.80 2215
State Surcharge $4.50 0236
Plumbing Fixture Fee $132.00 2213
State Energy Code $50.00 4580
TOTAL FEES: $2,491.35
APPROVED:
EXPIRATION:
05/17/2006
STATUS: PENDING
Residential Building Permit w/ Mechanical/Plumbing
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE & DECK
Building Code Edition: IBC: 2003
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
(Front) (Side) (Rear) (Other)
P-t LE,
61-Db?
LlA
LAE-
Square Footage:
Decks - Wood Frame
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
120 SOFT
2,277 SOFT
576 SOFT
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 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.
I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
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.
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.lni.wa.gov/p-ts/asbestos/asbestos.htm.
DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
2. (DCD-02)
Page 1 of 2
" 1
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 8805 00799
DATE ISSUED:
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (~60) 478-5278
lD1\,
0t;, ',,,'U, .
'V ~ ~\S ~ /<&~\X
o \ {Y ,\ {J fJ \} \:.. s,,'~ ,....g.,
~ ~<
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3787-000-011-0208
FORSBERG RODNEY A & TANIA
FORSBERG RODNEY A & TANIA
FORSBERG GENERAL CONTRACT<
SUBMITTED: 11/18/2005
VALUATION: $163,150,08
Plan Review Fee $878,90 4580
Building Permit $1,352,15 2211
Mechanical Fixture Fee $7HO 2215
State'Surcharge $4.50 0236
Plumbing Fixture Fee $132.00 2213
State Energy Code $50.00 4580
,TOTAL FEES:
Inspection Requests
DCD: Building Inspections
. L&I: Department of Labor and Industries
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
-G0RBEn 011
13585 NW DRAGONFLY DR, SEABECK, WA 98380
13585 NW DRAGONFLY DR, SEABECK, WA 98380
"
6188 SEABEC~ HOllY RD 98380
SF-3
(360) 830-5313
(360) 830-5313
(360) 830-5313
0-
APPROVED:
EXPIRATION:
STATUS: PENDING
05/17/2006
Residential Building Permit wi Mechanical/Plumbing
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE & DECK
Building Code Edition: IBC: 2003
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method: (
Number of Bedrooms: ,
'(U
c.:
/
L......--
Decks - Wood Frame
Dwellings - Type V Wood r me
Private Garages - Wood Frame
120 SOFT
2,277 SOFT
576 SOFT
(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 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 meels 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 liabiiity 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 locai 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.
I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
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.
DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
. ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
1. (DCD-01)
2. (DCD-02)
Page 1 of 2
.m.~.
m:;
8/!J() 5 O_D'l tl Cb1
0011- 7 ~ ::::> r sr I
CENTER .
PERMIT
CITY OF
BREMERTON
Building Permit Application
Dept. of Community Development * 345 - 6th Street, Suite 600* Bremelion * WA * 98337-1873
(360) 473-5275 * Fax (360) 473-5278
IAppHc~rit: . gJ... Owner' ......[2I.c.ontract()r 'D Authorized Age!l( .
(i 0 r b e-~fI- Dr-
Site Address:
I
2b
'336 53\'3
00 [) DI/ O;)o.!(
What is the application for? (Please check one)
I$l NEW SINGLE-FAMILY RESIDENCE
o NEW DUPLEX
o NEW MANUFACTURED HOME
o RESIDENTIAL REMODEL
o RESIDENTIAL ADDITION
o RESIDENTIAL REPAIR
o NEW COMMERCIAL
o COMMERCIAL REMODEL
o COMMERCIAL ADDITION
o COMMERCIAL REPAIR
o NEW MULTI-FAMILY
o TENANT IMPROVEMENT
o NEW GARAGE/CAR PORT
o NEW ACCESSORY BUILDING BREMEHTON-Or:p- r
rOM' ~.. L ,JF
o NEW SIGN '-' MUNJTY DEVELOFJ!\1E:,\JT
D STRUCTURE DEMOLITION
D GRADING (Cubic Yards:
D OTHER:
m1m@mowmf[j\
NOV 1 8 2005 ~
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
YES 0 NO rsf
Scope of work proposed:
vJ I 4- lTA-'T ( If(1)
(()M~TtG{r(,T
Gi1f~6
N"fiW
Sr W6l(~ h4Vl1 \L Y
f!.S5 i D&/lX6
Square Footage:
Dwelling:2Z77
Decks: -120
<C'7 qn. 'j ~c. ':\ l S
" ....) JO'I-
Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data
submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time
for action by the applicant for a periOd not exceeding 180 days on request by the applicant, showing the circumstances beyond the control of the
applicant have prevented action from being taken. No applicant shall be extended more than once. In order to renew action on an application
after expiration, the a pI' hall _submit plans and pay a new plan review fee.
Valuation
Plan Review Fee
I fa 3 IS')
I
/
Garage: S1fo
Permit Fee
Surcharge
4?'C
oDO
Total Fees
~s
I~,;
oitjtt;/()C
66 os OD'1r~ ~@@@OW~ill
PERMIT CENTER NOV 18 2005 ''1
BREMERTON-DI:::PT OF
COMMUNITY DEVELOPMENT
m'
~.
CITY OF
BREMERTON
De-pt. of Community Development * 345 - 6th Street, Suite 600 * Bremerton * W A * 98337-1873
<,.0:; '::fr,,:;:.d'f;~~~~!:~f;~'ii,i'~:~~~D~;:Ii~~~a:~r~~[~-.::;
Type of Fuel:
Gas
_1~jiqii1;f!ng~~
Electric
Occupanc :
Residential
D Commercial
Oil
Propane
Site Address:
NO.
t
~
l/
I
I
TYPE OF EQUIPMENT
NO.
'3
'''''1-
'3
,
f
I
I
I
RANGE
WOOD/PELLET STOVE/GAS FIREPLACE
GAS FURNACE btu:
CONVERSION BURNER btu:
UNIT HEATER btu:
BOILER btu:
GAS PIPING
EVAPORATION COOLERS btu:
AlC UNIT btu:
HEAT PUMP btu:
REHEAT BOX but:
EXHAUST FANS
RANGE HOOD (RESIDENTIAL)
RANGE HOOD (COMMERCIAL)
CLOTHERS DRYER
INCINERATOR
DUCT ALTERATION
TANK TYPE:
REFRIGERATION UNIT
OTHER:
OTHER:
-3
,'5"
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
TYPE OF FIXTURE
WATER CLOSET
BATHTUB
LAVATORY (BATH SINK)
SHOWER r--. I";:::J 1":\ ~ 1"'1 l"\ n r-::::I
KITCHEN SINK 0 ~ ~ L5 U I!J IS
DISHWASHER n
LAUNDRY TRAY NUV 1 ~ lUU~
CLOTHES WASHER "_
WATER HEATER [;1 IMMIJl\ijTY ~1;~~r.:~~'D~
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
WATER PIPING & ALTERATION
GREASE TRAPIINTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWER: (MOBILE/MOVED HOME)
ROOF DRAINS
OTHER:
OTHER:
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F
ENT
Illig-he-
Date {
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 8805 00799
DATE ISSUED:
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3787-000-011-0208
FORSBERG RODNEY A & TANIA
FORSBERG RODNEY A & TANIA
SUBMITTED: 11/18/2005
VALUATION: $163,150.08
Plan Review Fee $878.90 4580
Building Permit $1,352.15 2211
Mechanical Fixture Fee $73.80 2215
State Surcharge $4.50 0236
Plumbing Fixture Fee $132.00 2213
State Energy Code $50.00 4580
TOTAL FEES: $2,491.35
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
'!I 0
ZONING:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
CORBETT DR
13585 NW DRAGONFLY DR, SEABECK, WA 98380
13585 NW DRAGONFLY DR, SEABECK, WA 98380
6188 SEABECK HOllY RD 98380
SF-3
(360) 830-5313
(360) 830-5313
(360) 830-5313
0-
APPROVED:
EXPIRATION:
05/17/2006
STATUS: PENDING
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE & DECK
Building Code Edition: IBC: 2003
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Oth r)
Sanitation Method:
Number of Bedrooms:
DATE:
120 SQFT
2,277 SQFT
576 SQFT
(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 iaws 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.
FORSBERG GENERAL CONTRACT< PHONE:
PHONE:
Residential Building Permit w/ Mechanical/Plumbing
Square Footage:
Decks - Wood Frame
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
I have read, and agree to abide by the conditions of this permit including all conditions of ~oning, building codes, and State and Federal laws.
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.
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.lni.wa.gov/p-ts/asbestos/asbestos.htm.
DtD: Validity of permit. The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on
fJGU.,/L! ~~'DL[)":<2 ~;tro~tJ/~~
aK"P21 J&;::..7M.It!::_-> Of (,1 L---
1. (DCD-01)
I~
(DCD-02)
/-t/-CJo
Page 1 of 2
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
Bl5bOQlil~~~O
,''-',,_tL,
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
:f, ~ c
iRermit #
91
BB05 00799
Plan Review Fee
1/4580
$878.90
Total:
$878.90
$878.90
$0.00
tReceipt #
I~yment
'Method ,,'
)~~("~ L~::'~F~ ;:~::~,>,
CHECK
Total:
$ 878.90
$878.90
5632
Page 1 of 1