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'" ~ / j" ,I \ 'j '\ 1, , i 1.-"","",."",,, "...""-="....... ..", ~ ' I ,'/ ( , ,",'~,"."L,,, ,"M''''II',,,, 'W"n."""~"">,."""",,,,W'!"\! ,'!i , // ','::"':'~l":",,,,.", ,,,.,,,,.,,,,,..,,, 'I " "......".11 ~' ,1 Fit /{ ~ """"""""""\: i .",.,"_,.,."'......_",,,.....),,\1 I'I [:""''''~I''':''' ,:i',rro'","',",;I"",,,",'J'''''','''''.XI'''''''''''WI':i',rl''I'''''''i'1"""',,,,,,,,,,,,,,"',"',,,,,"',,,,,,",,,,,:,,:1,,",,,,,,,,,,,,,.,,,,,,,"'m,,,,,,~,,,,,,",.~',,,,,:,:.,,~"":n'm""""i"""""'"'''''' "" i)tUPV lH:j,U.W~{;: w; nHJil[ rUt [)'~ g:, rd'.p/+, '''['Iii l ~." !~..:: ~: jt.j'N{ '( ':r 't!-I t\' {' )~ N j) /' I n.ti; n'r: ,1 Tn J B CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DWISION 345 - 6th Street, Suite 600 Bremerton, Washington (360) 473-5275 INSPECTION REPORT i'- ~.bkJ '1) 7V'~ .' <'S ADDRESS: 'l3.r-cJ e ~/l:JeY-' ~lLV~' ~ J), PERMIT #:B'B () 7 ~ t;tJS-f> ) , '/<.oey.J2 ~+-~ [~~u--L- ~ 'Bf~~ .,B{(!)ek5 (JI;V'i~ I SPECTOR Date:il- / 3 ~I t!?3 J') Z '66 Phone: Parcel Locators Applications Parcel Search Hazard Locators Voter Information Page 1 of 1 Information Service 614, Division Street, Port Orchard, WA 91 Voice: 360.337.4435 I KITSAP COUNTY PARCEL SEARCH Zoom to an area: -- Select AI Maps & Data Map Library Download Data Section Downloads Data Change Request Resources What is GIS? Quick Facts Site Map Related Links i",^, , is,.,.," i "'i\..,.&'}> f', " i i 0::' C:k i l='wt UJ:;1tf:. lcnc f; <:t:r::.'~,._, :8 ,~i I GIS Home Contact Us Location Directions Parking Comments .......~.!~. .;~ ROGERS DONALo.E~~~ci~ 3787-000:009-0004 . f r~il=' , v' ' ,,~, _ "A' , ~ Copyright @ KitsapC:6untY~iST",i Tax assessment and valuation questions: Tax payment questions: Building and zoning questions: Application support: j 360.337.7160 360.337.7135 36Qc~_~U1M 360.337.4435 I I 1 . W~ Search by Tax Account A full or partial tax account number may t Search by Address Do NOT enter Street Direction (E,W,N,S) Blvd., etc.). A list of potential matches wi!' ~ -< I i Search by Taxpayer Enter last name first or a partial name. - - - Show 2005 \ ShO\ Sh( Last Updated: May 24, 2007 Copyright @ 1995-2007 Kitsap County GIS. All rights reserved. f'rjyac;yE'9]ic;y Qis_clalm.eI CQmm~ntsLem;:liJ R IO~ bl.S T 7 http://kcwppub3.co.kitsap. wa. us/ParcelSearch/map.asp?CMD=INIT &PID= 1456805 8/6/2007 .. CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER: BB0700581 DATE ISSUED: 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 3787-000-009-0004 ROGERS DONALD E ROGERS DONALD E SELF 1350 CORBET DR 1350 CORBET DR, BREMERTON, WA 98312 1350 CORBET DR. BREMERTON, WA 98312 ZONING: R10* PHONE: (360) 478-0410 PHONE: (360)478-0410 PHONE: PHONE: SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: SUBMITTED: 08/06/2007 VALUATION: $487.00 Plan Review Fee $15.60 4580 Building Permit $24.00 2211 Mechanical Fixture Fee $51 .40 2215 State Surcharge $4.50 0236 Plumbing Fixture Fee $48.00 2213 TOTAL FEES: $143.50 EXPIRATION: 02/02/2008 STATUS: ..^onnQ\/I;;:Q /ss,,~ esidential Building Permit w/ Mechanical/Plumbing FINISH INTERIOR OF GARAGE AND INSTALL A UTILITY SINK TOILET WASHER & DRYER & WATER HEATER Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries Fire Inspections HID: Bremerton, Kitsap County Health District PW: Department of Public Works (360) 473-5870 (360) 415-4060 1 TOTAL (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 afterthe work is commenced for a period of 180 days. It is the responsibility of the permit holderto 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 priorto 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 condit~iO of this permit including all conditions of zoning, building codes, and State and Federal laws, SIGNATURE OF OWNER OR 9~' ~ ~~ ~ 7 Oa PRINTED NAME: fl 6- t? C; DATE: r -- '1..-. - ( 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. 10. (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. 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 construction documents and other data shall not prevent the building official from requiring 10. (DCD-02) 22Lt ~tA Page 1 of 2 -.. CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER: 880700581 DATE ISSUED: 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 CONTRACTOR: LENDER NAME: SELF ZONING: R10* PHONE: (360) 478-0410 PHONE: (360)478-0410 PHONE: PHONE: SITE ADDRESS: 1350 CORBET DR ADDRESS: 1350 CORBET DR, BREMERTON, WA 98312 ADDRESS: 1350 CORBET DR. BREMERTON, WA 98312 ADDRESS: ADDRESS: ASSESSOR NUMBER: 3787-000-009-0004 APPLICANT NAME: ROGERS DONALD E OWNER NAME: ROGERS DONALD E SUBMITTED: 08/06/2007 APPROVED: 09/28/2007 EXPI RATION: 02/02/2008 STATUS: APPROVED 20. (DCD-22) 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. Development must comply with BMC 20.60 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 current adopted version of the following codes: 20. (OTHER) 20. (DCD-14) International Building Code International Residential Code International Existing Building Code International Fire Code International Mechanical Code Uniform Plumbing Code International Fuel Gas Code WA State Barrier Free Code WA State Energy Code WA State Ventilation Code Bremerton Municipal Code Check For All Washington State Amendments. Check For Notes On Plan MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473.5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. Mechanical Plumbing Groundwork Plumbing Rough-In Framing Insulation Sheetrock Nailing Final Inspection - Building Qtv 1 1 1 1 Descriotion R-Sink (Lavatory, Kitchen, Mop or Bar Sink) R-Water Heater R-Clothes Washing Machine R-Water Closet and/or Urinal FIXTURE LIST Qtv Descriotior R-Bath Fan and/or Exhaust Fan R-Clothes Dryer with Exhaust R-Gaspipe System LPG/NATL/OIL Page 2 of 2 r--- . -----~----. ! ASSESSOR NUMBER 3787-000-009-0004 I APPLICANT NAME: ROGERS DONALD E i OWNER N/"-ME' ROGERS DONALD E i I CONTRAC I OR: I LENDER NAME: I SUBMITTED I I VALUATION I Plan Review Fee Building Permit I i Mechanical Fixture Fee ; I ! State Surch arge I Plumbing Fixture Fee I I TOTAL FEES: I I I I l~jbJ01 i Inspection Requests I t Fire Inspections (360) 473-5380 ! DCD: BUI[ding InspGctions (360) 473-5870 HID: Bremerton, Kitsap County Health District (360) 337-5285 I L&I: Department of Labor '~~dlndustries (360) 415-4000 PW: Department of Public Works (360) 473-5270 ! This permit Sh2[[ 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 I i at any time after lhe work is commenced for a period of180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required I 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 I 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 wiillthe construction. I hereby certify that I hove read and examined this permit and know the same to be true and correct. All provisions of laws and I 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 I any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor,l 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 I occupancy permits are required to po 5S final inspection prior to permit explfation and obtain a certificate of occupancy prior to use or occupancy. . i II have read, a~d agree to abide bj the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws. II SIGNATURE OF OWNER OR AGENT: i I PRINTED NAME: I l' I I [ I I I I I I I I to. CITY OF BREMERTON D'EPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER: BB0700581 DATE ISSUED: r~. >f: },.-- 345 - 6th Street, Bremerton, WA 98337 (360) .173-5275 Fax: (360) 473-5278 ZONlrJG' R10" SITE ADDRESS: ADDRESS: 1350 CORBET DR 1350 CORBET DR, BREMERTON, WA 98312 1350 CORBET DR, BREMERTON, WA 98312 PHONE: PHONE: ADDRESS: SELF ADDRESS: PHONE: PHONE: ADDRESS: 08/06/2007 APPROVED: EXPIRATION: 02/02/2008 STATUS: PENDING ~"'~:."-~' .awe- $487.00 Residential Building Permit w/ Mechanical/Plumbing $1560 4580 $24.00 2211 FINISH INTERIOR OF GARAGE AND INSTALL A UTILITY SINK TOILET WASHER & DRYER & WATER HEATER ~ $51.40 2215 $4.50 0236 Building Code Edition: Occupancy Group: Type of Construction: Fiood Zone: ~ ;'\. t ~~ Q) G~ tScb G $4800 2213 $143.50 Setbacks: . Sanitation Method: Number of Bedrooms: Squme Footage: Bid Price from Applicant 1 TOTAL DATE: -,.--~'~._;:-~:,;.:;}. I:,..;..-:t....{-... CONDITIONS City of Bremerton's appro'lal 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. 10. (DCD-01) 10. (DCJ-02) DCD: Prior to performing any renovation or demolition work, puget Sound Clean Air Agency (Clean Air Agency) and Washington Department oJ 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 call 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 Bremcrton shall not be valid. The issuance of a permit based on construction documents and ot! Icr data shall not prevent the building official from requiring ----~-----_. ~-_.------- Page 1 of 2 ..... 1..11 BLb .b 'BBo7 oos,f; 1=\ 10'* D \$T 1 REceIVED AUG 06. r;r,7 PERMIT CENTER CITY OF BREMERTON Bremerton Department of Community Development " d" P , A I' " . Bud lUg ermlt pp IcatlOD Dept. of Cornrn1.mity Development * 345 - 6th Street. Suite 600 * Bremerton * W A * 98337-1873 (360) 473-5275 * Fax (360) 473-5278 :;~r:~::::~]iJ.jAlnt%%l:: ll1~:I.AtW:mlt@U~W J:.lJtmtt.i.tlt@t1KI:~m:\it1 twijib]ir!ii!UNr:::~1:t1li1:~\1tmlltHili~~]N:I@\:::::~: Site Address: I 3 f" () C. 61f 8fT JJ 12 $1:Efi tt:4. r ~ ~ 12.. CONTRACTOR: Address: Cit , State, Zi : License # & Ex . Date: Contact Name: Contact Phone #: Tax IO/Parcel #: 'J 7 What is the application for? (Please check one} o NEW SINGLE-FAMILY RESIDENCE o NEW DUPLEX ~ NEW MANUFACTURED HOME RESIDENTIAL REMODEL RESIDENTIAL ADDITION o RESIDENTIAL REPAIR D NEW COMMERCIAL D COMMERCIAL REMODEL D COMMERCIAL ADDITION OWNER: Address: Cit , State, Zi Phone #: L.\ 7 Authorized Agent Name: Address: City, State, Zip: Phone #: 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: Y.ES D NO CZt rN..fp..rl~ Ie f? ~ (;~ ~ J-N lJ / JJ 'flTIr L1- WA5Y.~P 8:. "b~y€.1<, "'701 ' . / Garage: ...:J,...:J.... IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? Scope of work proposed: FuJ /5 H -'lJ-r-'L..rry gjN~J 'I 01 ~-r; Square Footage: Dwelling: Valuation riJ.u'y 7 ! u / Plan Review Fee /5. hO Decks: Permit Fee Surcharge Total Fees ~ f.,J. j) 0 '-t .SO D 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 alter eXpiration. the applicant shall resubmit plans and pay a new plan review fee ~ 1)( ~ App icant's Signat~ j.tJ6f~S-r 5; ~ 7 Date ".'. c'.,,' , ,. .....m......-......... .:' - , :;: : ' . . .' . . . . ",',- .." .," ,-. ;','r> PERMIT CENTER Dept. of Communi tv Development*345 - 6th Street, Suite 600*Bremerton*WA*98337-1873 I . , : ',' ",\." ,':. '.O,'.MeCllanicid' ". "OPhllllbing ...... ......T....:......~.....'...C..:..'..'.U..p.. nslJ... ......F....n...:.....u...c...'.e.y......l..........:............ .............t:J~l~~P.:....~~..........:.:bQil.: Op~opari~; . .'. '-^' . ~~ '.. ':.. ~:~~~9~n~~ :OP?mmercuil..' SiteAddress:-1350 &'..€8~;rl)JZ.. B~fp7JN W.i (1"83/;;2- e NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE \ I AIR HANDLING UNIT >10,00OCFM ATMOSPHERIC VACUUM BRKR 1-5 AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUM BRKR >5 , . BATH FAN ANDIOR EXHAUST FAN BACKFLOW DEVICE <=2" CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE> 2" CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER t CLOTHES DRYER WI EXHAUST , CLOTHES WASHER COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN COMM. FURNACE> 100,000 BTUS DISHWASHER COMPRESSORS DRAIN PIPE/VENT PIPE ALTERATION COOK STOVE WI EXHAUST DRINKING FOUNTAIN DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACE/HEAT PUMP FLOOR SINK/INDIRECT WASTE EVAPORATIVE COOLER GREASE INTERCEPTOR FIREPLACE-GAS OR GAS LOG INSERT HOSE BffiBS FIREPLACE-WOOD, OR WOODSTOVE INDUSTRIAL SANDIOIL INTERCEPTOR j GAS WATER HEATER & VENT LAWN SPRINKLER WI BACKFLOW DEV. GAS PIPING ROOF DRAIN MISCELLANEOUS MECHANICAL SHAMPOO SINK WI BACKELOW DEVICE =- NATURAL GAS FURNACE/DUCTING , SINK (LA V, KITCHEN,\MOPJoR BAR) PROP ANE FURNACE/DUCTING SUMP PUMP PROPANE TANK (<2000 GALLONS) TUB ANDIOR SHOWER UNIT , UNIT HEATER , WATER CLOSET ANDIOR URINAL OTHER: OTHERPN JJ~A1ANJ1 wt9r;:;}f f/c~ OTHER: OTHER: 'T61 MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: AUGUST 6, ~o7 Date Pri~tParcel Search Map Page 1 of1 Kitsap County Parcel Search ._....._no. - ~_... ....h .}- r\~~~~~~~L...~..._LJ__L_,.,_._J i i \ \ I j.---_::', \ ,: L ._:..~ '" n_~_".~---"__~~r"~~_<_-__t }___ ~ _J '.. ~ ! - "-'''' ~~~~[=j [~~~[!,;,'~,').. i ! I I I'., ?irs., \.- _.,,-~--"'-'-~'-,._--~~: l~-----._--,_.+"-----) { ;'~r-:--<>~"_ " ,r~ I r-"~---... I I , r '., lii I I! I : '..,~.. r------..---..---f:;1 ' '._..J..___L_J_.___ : lw I r!Q, " ; 'sq;L . f L___.._._,_. _ i 'l!~-~~-_.. . !"--r--'---""J -1 -----,.-,-~.-,_I k__, I I ' i Ii --~r= - -----( ~==}ll.==-J!-'~ ~f J-.._-~--- -- --T,-,".--.L_~~__~ y_. .l"~., _,_J ~'-_._--- ,-~- -~--~=J I j / ;:'~ i FL-t-"-r-!i [] GERSDO~LD'E~-l----'-F=-~-i~, i .~ ,3t87~OOO"009..0004'-""-"-! I', ' i--[ l- 1m Co riht@Kitsa -Count .2t,'itll$'jJ L.__-J I DISG&AIM~R T~is map is intended ror display purposes only ana is ngt intended ror 'any legal representations., Legend Pitt:els Road'Names. j~Gf9ater PUllet ;l'*sound -Hydro . Military [Click here to Print] http://kcwppub3.co.kitsap.wa.uslParceISearchlPRINT.-ASP'CM'D=I...8/S/2007 11"'1'"'''''' ~;)~; ".'~ ,;:-' _ '_l[<:;<:<~~..~' _ 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 i~ ~-- ----- 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:_DoNAl .t> ~ ROG"EfP, ADDRESS: 1'360 G.?2-6~J "'be. CITY: 'B~J!.. JCJ/V STATE: IN.,,. TELEPHONE: Work: ~ E SJ II () Homel Cell: PROJECT INFORMATION: 1. Tax Account Number: J 7'7- ()OO-CJO'( ~t!)&J~'1 2. Site Address: 13~-() C bl?BFT OR. BR&A1, W'A., r~J)~ 3~I~ :J!-~ ~ J () lJ-rn Bbo ooe, - :J..ry'73 (leJA GENERAL SITE INFORMATION: 3. Please check sewage provided: servIce .... City of Bremerton Sewer o Septic (contact Kitsap County Health for letter of acceptability) , 4. Is the site characterized as: Forest or Vegetation Cleared Developed )( . SHORELINE: 5. Are any areas being developed on the site within 200 feet of the shoreline? Yes,(9) 6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist (WAC 173-27-180) Residential Questionnaire lof4 Revision: March 2006 CRITICAL AREA CHECKLIST: Fill in the blank or circle the answer(s) that apply directly to the ~ite and areas that are within 200 feet of the site. I a. 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 Check all that apply to the site and areas within 200 feet of the site. Flat: less than 5-feet elevation change over entire site.' L Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet over a horizontal distance of33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance ofless than 33-feet). Other (please describe): b. Does the site or properties within 200 feet of the site contain areas of year-round standing water? Yes /<ff) If so what is the approximate Depth: c. Does the site or properties within 200 feet of the site contain areas of seasonal standing water? Yes/~ If so what is the approximate Depth: What season(s) of the year is the standing water present? Winter / Spring / Summer / Fall How long is the standing water present? Residential Questionnaire 20f4 Revision: March 2006 d. Is there an apparent wetland present on the site or on properties within 200 feet of the site? Yes / e If a wetland is present what is its approximate depth and size? e. Does the Site or properties within 200 feet of the site contain a creek or an area where water flows across the ground surface? Yes @ Does it flow year-round or seasonally? If it is seasonal, what season(s) of the year is it present? .Winter / Spring / Summer / Fall f. The site or properties within 200 feet of the site are primarily: Forested / Meadow / Shrubs /~ ~lawn, shrubs etc) / and or Other (please describe) g. Please describe the soil type on the sit@~md, gravel, peat, etc). h. Do you ever see wildlife on or within 200 feet of your property? @/No (Examples of wildlife can include but are not limited to: Squirrels, Raccoons, fish, deer, opossums, fox, heron, eagles, songbirds etc.) If you do see wildlife on or near your property, what species and how often? f(ftC~t/N~ } fI)N~~/I(Jl5 I ? QIJII{/(/~L~ , 1. Are you aware of an aquifer recharge area on or within 200 feet of the site? Yes /@ (Se_e maps on file with the Department of Community Development) RESIDENTIAL DEVELOPMENT WORKSHEET: 1. What is the zoning designation: t. 0 Woe rY $ 1 T yf<. E 5'1 /) t H I' .IJ. L (fi. - 10) 2. What is the area (square footage) of the lot? '-. 'L ,~CJ 3. What is the amount of grading proposed (in cubic yards), not including foundation area? ff Residential Questionnaire 3 of 4 Revision: March 2006 " Fill amount Cut amount Total grading Will the grading material be imported or exported? Yes @ 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. FRONT YARD SETBACK REAR YARD SETBACK* SIDE YARD SETBACK SIDE YARD SETBACK MAXIMUM HEIGHT LOT COVERAGE** NUMBER OF OFF-STREET PARKING SPACES -- , S- Jr 6tJ~ q' 1-1 1t>'Z *U se this as the second front yard setback for comer lots and through lots. **Lot Coverage is defined as tl,1at portion of a lot covered py the roof areas of ALL structures, but not including driveways, walkways, patios and low open decks. A low open deck is defined as rising 30 inches or less above the finished grade. The applicant herby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of Bremerton based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. ~L~~ App Icant Signature 1., ~-o7 Date Residential Questionnaire 40f4 Revision: March 2006 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT - 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 3787 -000-009-0004 ROGERS DONALD E ROGERS DONALD E SELF ZONING. R10' PHONE: PHONE: PHONE: PHONE: SUBMITTED: 08/06/2007 VALUATION: $487.00 Plan Review Fee $15.60 4580 Building Permit $24.00 2211 Mechanical Fixture Fee $51 .40 2215 State Surcharge $4.50 0236 Plumbing Fixture Fee $48.00 2213 TOTAL FEES: $143.50 APPROVED: Residential Building Permit w/ Mechanical/Plumbing PERMIT NUMBER: 880700581 DATE ISSUED: SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: 1350 CORBET DR 1350 CORBET DR, BREMERTON, WA 98312 1350 CORBET DR, BREMERTON, WA 98312 EXPIRATION: 02/02/2008 STATUS: PENDING FINISH INTERIOR OF GARAGE AND INSTALL A UTILITY SINK TOILET WASHER & DRYER & WATER HEATER Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: ~~ F{~<K ~~ ~ ~\~ € G- b'b ~~.~ Square Footage: Bid Price from Applicant 1 TOTAL 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 sh<111 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 01 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 Ihave read and examined this permit and know the same to be true and ""..n~'''^ 'I provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The i!"anti~g.of a.o"rm;t.rl~~. .--. ...-- 7 3te or cancel provisions of any State or local law regulating construction or the performance of the constructlor t ./ \? /0 \ " [e requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisid 0" g work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration ani ~ l7 . ; \ ' I have read, and agree to abide by the conditions of this permit including all 2:\ ~ SIGNATURE OF OWNER OR AGENT: r- \ / Cel City of Bremerton's approval of this application pertains only\ regulations does not necessarily ensure compliance with fed~ 10. (DCD-01) DCD: Prior to performing any renov] (Clean Air Agency) and Washington i require an asbestos survey be perforl containing materials in the work area \ conducted by and EPA-certified (AHE, occupied single family residences).DC Agency through their web site at WWW\ 689-4058: .The L&I web site can be fOI _ __ ._._ _ _--- _ DCD: Validity of permit-. The Issuance \~__. .., ~, <"t""" IIl1csnall 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 construction documents and other data shall not prevent the building official from requiring PRINTED NAME: 10. (DCD-02) VA ~Y\ 1/5 5i!v'i6 ~ 1\/\ ~j U nce with City Page 1 of2 RECEIVED PERMIT CENTER ,'pED7 DOSe; KlO-* L ll\ p \STl AUG 062007 Br8merton Depaa1mMtol Cc:lmnlmllr~ Building Permit Application Dept. ofCommonity Development * 345 - 6th Street. Suite 600 * Bremerton * WA * 98337-1873 (360) 473-5275 * Fax (360) 473-5278 :~t::::::;::]J~<<nl~]j~tlt BKI.l.if]~M11:%1:fW~: .:::t.R(alttll~{~~ttm~*1::~~}1: .:f.lijtfi.i~mll~~::lttt;t@mM:mm::iii:::Iffi::mm::::I Site Address: 13 t;OC.61f8~T CONTRACTOR: Address: Cit , State, Zi : license # & Ex' . Date: Contact Name: Contact Phone #: Tax IO/Parcel #: -- ? What is the application for? (Please check one) D NEW SINGLE-FAMILY RESIDENCE D NEW DUPLEX ~ NEW MANUFACTURED HOME RESIDENTIAL REMODEL RESIDENTIAL ADDITION D RESIDENTIAL REPAIR D NEW COMMERCIAL D COMMERCIAL REMODEL D COMMERCIAL ADDITION tJl2 ;S{'E.fl ~. 1-73/2- OWNER: Address: Cit . State, Zi Phone #: l4 7 Authorized Agent Name: Address: City, State, Zip: Phone #: o COMMERCIAL REPAIR o NEW MULTI-FAMILY D TENANT IMPROVEMENT D NEW GARAGE/CAR PORT D NEW ACCESSORY BUILDING D NEW SIGN D STRUCTURE DEMOLITION D GRADING (Cubic Yards: D OTHER: Y.ES 0 NO C& rN~.rl('),e 0': ~~ ~ J-NlJ IN ST7f'J J_ WA-5!J.~1< a. "bfLy€i<, IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? Scope of work proposed: FuJISH -' l.h-'Lrry Sjt-J~J 'I 01 ~-r; Square Footage: Dwelling: I Garage: ..s5lL Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees f/f. LJ ~ 7 IS j.l) rJ4.00 'l2D 1'13-0-0 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 applicant shall resubmit plans and pay a new plan review fee iJl.'~~ App Icant signature jtJ6t~s-r 5; d.(i) 7 Date m..x.';."'.........:.'....: ;":." I' i.,.: . - - . . . , . ", . \ '" :;: ;,' . -."""""-''--,' ,"-':':) '. PERMIT CENTER Dept. of Community Development*345 - 6th Street, Suite 600*Bremerton*WA*98337-1873 I .'1; . ; · .....,./ p, ., ,1We~';nical , .'i [J;:',]J~~I1l~iri.f;{::' .' . . ' , , , . . . . I' . .1 ,TfJ;t~::;,~~~lS'~~i~~j~?qil'" SiteAddress:_1350 ~.€8~::rl)Jt B'Ui.MfKflJN /,VA- t:l83/;;L e NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE AIR HANDLING UNIT >10,000CFM ATMOSPHERIC VACUUM BRKR 1-5 AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUM BRKR >5 , ' BATH FAN ANDIOREXHAUST FAN BACKFLOW DEVICE <=2" CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE> 2" CLASS 2 HOOD & DUCT SYSTEM. BUILDING SEWER f CLOTHES DRYER WI EXHAUST , CLOTHES WASHER COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN COMM. FURNACE> 100,000 BTUS DISHW ASHER COMPRESSORS DRAIN PIPE/VENT PIPE ALTERATION COOK STOVE WI EXHAUST DRINKING FOUNTAIN DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACE/HEAT PUMP FLOOR SINK/INDIRECT WASTE EVAPORATIVE COOLER GREASE INTERCEPTOR FIREPLACE-GAS OR GAS LOG INSERT HOSE BffiBS FIREPLACE-WOOD, OR WOOD STOVE INDUSTRIAL SANDIOIL INTERCEPTOR I GAS WATER HEATER & VENT LAWN SPRINKLER WI BACKFLOW DEV. GAS PIPING ROOF DRAIN MISCELLANEOUS MECHANICAL SHAMPOO SINK WI B1\CKfLOW DEVICE g NATURAL GAS FURNACE/DUCTING . SINK (LA V, KITCHEN,\MQP)()R BAR) ~ PROP ANE FURNACE/DUCTING SUMP PUMP PROPANE TANK (<2000 GALLONS) TUB AND/OR SHOWER UNIT , UNIT HEATER 1 WATER CLOSET ANDIOR URINAL OTHER: OTHER~ N YJE-/11/f JvlJ yY~r~1t H EIf1l5. r; OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: AUGUST 61 JrJo7 Date Print Parcel Search Map Page 1 of1 J ~ \' ,- - .. Kitsap_:CO_U11tyP-arcetSearch , ; i . - . -.- ...-..-.----~-- "'----.-J j i\ j ,i '; I ,~-'"-\,. , i ~t ----------------.--.--4' i '. -;::L::j t-~I~-J~}~ 1 II 1'i'<''l1f,s-ji '-~-_.---..-----lL..:-:-..:.---==.-------< l '-r..j,~.. .......' 0;;+ i I I : i'-~. T--'~--~---..'-'--j" . 1 J..-'"......~L._,,_1.~__L___,_~~~ I 1 j )' i - r . I. I ' , \.._____..1__,,_ _.J..J..J___J.___.l '\ Legend r-I Pateels !-.~~~.. -'. Road Names .~ Greater fluget ,"" SOl.Uld :f\ydro Military i " , .--~--,.,,----._-~."^J " ,- j DISGbAIMfiR: This map is intended for display purpQses Qnly and is not intended fur , any Jegal.repres~ntations,. [Click here to Print] http://kcwppub3.co.kitsap.wa.uslParceISearch/PRINT .ASP?CMD=\I...8/5/20'07 ., " ~,:.) lIT I'B ! .~ I . i i I I CITY Of ~~MERTON Department of Community Development 345 Sixth Street, Suite 600 Bremerton, W A 98337 (360) 473-5275; Fax: (360) 473-5278 web site: 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:---DONAl.t:> F - QOG"E'~ ADDRESS: 1'360 c,,2..6~J 1)f2. CITY: ~~J!.. JON STATE: Wit TELEPHONE:Work: ?~8 Q'{\{) Home/Cell: , 3~I~ :j1_~ ~ J () lJ-rn Bbo 60'1 - ;;"'773 <leU PROJECT INFORMATION: 1. Tax Account Number: ) Ie 7- ()OO-oo'( -Ot)t)t.--/ 2. Site Address: ,3,& C b1?8FT 01<. BRG#I, IijA.r~J)'" GENERAL SITE INFORMATION: 3. Please check sewage servIce provided: )!( City of Brernerton Sewer a Septic (contact Kitsap County Health for letter of acceptability) / 4. Is the site characterized as: Forest or Vegetation Cleared Developed )( SHORELINE: 5. Are any areas being developed on the site within 200 feet of the shoreline? Yes,@9) / 6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist (WAC 173-27-180) Residential Questionnaire 10f4 Revision: March 2006 , " / ! CRITICAL AREA CHECKLIST: Fill in the blank or circle the answer(s) that apply directly to the site and areas that are within 200 feet of the site. . a. 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 Check all that apply to the site and areas within 200 feet of the site. / Flat: less than 5-feet elevation change over entire site. L Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet over a horizontal distance of33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance ofless than 33-feet). Other (please describe): b. Does the site or properties within 200 feet of the site contain areas of year-round standing water? Yes /~ - , If so what is the approximate Depth: / c. Does the site or properties within 200 feet of the site contain areas of seasonal standing water? yes@ If so what is the approximate Depth: What season(s) of the year is the standing water present? Winter / Spring / Summer / Fall How long is the standing water present? Residential Questionnaire 20f4 Revision: March 2006 d. Is there an apparent wetland present on the site or on properties within 200 feet of the site? Yes/@ If a wedand is present what is its approximate depth and size? e. Does the Site or properties within 200 feet of the site contain a creek or an area where water flows across the ground surface? Yes @ Does it flow year-round or seasonally? If it is seasonal, what season(s) of the year is it present? Winter / Spring / Summer / Fall / f. The site or properties within 200 feet of the site are primarily: Forested / Meadow / Shrubs ~ ~lawn, shrubs etc) / and or Other (please describe) g. Please describe the soil type on the sit@~md, gravel, peat, etc). h. Do you ever see wildlife on or within 200 feet of your property? @/No (Examples of wildlife can include but are not limited to: Squirrels, Raccoons, fish, deer, I' opossums, fox, heron, eagles, songbirds etc.) If you do see wildlife on or near your property, what species and how often? f(fJ-C~PN~ " f~N6~/RJl5 I ?~/JII{~/~L~ , 1. Are you aware of an aquifer recharge area on or within 200 feet of the site? Yes Ie (Se.e maps on file with the Department of Community Development) RESIDENTIAL DEVELOPMENT WORKSHEET: 1. What is the zoning designation: /.. 0 W De 1'151 TY~ E J/IJ6HtIAL (R-IO) 2. What is the area (square footage) of the lot? ~ ~ , /)&1 , 59 C<.Cx (. ~ -:- ') ~1i:JO 3. What is the amount of grading proposed (in cubic yards), not including foundation area? 0 Residential Questionnaire 3 of 4 Revision: March 2006 . . '.' ~ ~_' Total grading / Fill amount Cut amount Will the grading material be imported or exported? Yes @ If yes, please identify where the material is being deposited or imported from: NOTE: Grading over 100 cubic yard requires an Environmental Review (SEP A). 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. FRONT YARD SETBACK REAR YARD SETBACK* SIDE YARD SETBACK SIDE YARD SETBACK MAXIMUM HEIGHT LOT COVERAGE** NUMBER OF OFF-STREET PARKING SPACES -- , S- Jr 6t?~ // *U se this as the second front yard setback for comer lots and through lots. **Lot Coverage is defin~d as that portion of a lot covered by the roof areas of ALL~tructures, but not including driveways, walkways, patios and low open decks. A low open deck is defined as rising 30 inches or less above the finished grade. The applicant herby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of Bremerton based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. ~L~~ App Icant SIgnature 1-' 3-07 Date Residential Questionnaire 40f4 Revision: March 2006 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT ~"~~t1" In'l"" 345 - 5th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 " ASSESSOR NUMBER: 3787-000-009-0004 APPLICANT NAME: ROGEi\S DONALD E OWNER NAME: ROGE,CZS DONALD E CONTRACTOR: SELF LENDER N,""ME: SUBMITTED: 08/06/2007 ~I_~I;~,,;;';~"^ VALUATION: $487.00 $1560 4580 $24.00 2211 $51 .40 2215 $4.50 0236 $48.00 2213 $143.50 P.lan Review Fee Building Permit Mechanical Fixture Fee State Surcharge Plumbing Fixture Fee TOTAL FEES: Inspection Requests DCD: Bulclmg InspGctions L&I: Depdrtment of Labor c.ncllnclustries PERMIT NUMBER: 880700581 DATE ISSUED: ZONING: Rl0' PHONE: PHONE: PHONE: PHONE: SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: 1350 CORBET DR 1350 CORBET DR, BREMERTON, WA 98312 1350 CORBET DR. BREMERTON, WA 98312 APPROVED: EXPIRATION: 02/02/2008 STATUS: PENDING ~- Residential Building Permit wi Mechanical/Plumbing FINISH INTERIOR OF GARAGE AND INSTALL A UTILITY SINK TOILET WASHER & DRYER & WATER HEATER Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: ( rll &- ~ f'> \;;; n t;;Cb f..-., '-'- Square Footage: Bid Price from Applicant 1 TOTAL (360) 473-5870 (360) 415-'1000 Fire Inspections HID: Bremerton, Kitsap County Health District PW: Department of Public Works (360) 473-5380 (360) 337-5285 (360) 473-5270 This permit sho!1 become null and VO," 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 melY result in stoppage or 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. ,\ny demolition, testinlj, 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 Ihave read and examined this permit and know the same to be true and correct. All provisions of laws and II ordinances governing this type of work will be complied with whether specified herem or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulatlnlj construction or the performance of the construction. If listing the owner as general contractor,l 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 p" ss final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. SIGNATURE OF OWNER OR AGENT: ' I have read, and agree to abide b; the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws, _1X.';}.~~ PRINTED NAME: ~.::.~;~ DATE: CONDITIONS City of Bremerton's appro'/al 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. 10. (OCD-01) OCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Wash:ngton 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. 10. (DC'J-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 Bremcrton shall not be valid. The issuance of a permit based on construction documents and o:her data shall not prevent the building official from requiring ---------- -,~_.~~"----------------_._-- -- - -~------~- Page 1 of 2 '."'1'" , " " '-...~ . . .... ".' CITY OF BREMERTON RECEIVED AUG 067007 PERMIT CENTER ViL-'~ Bremerton Department of g L, 1:> Conunun/ty Development " d" P "A I" " . Bull lUg ermlt pp IcatlOD L4 Be07 B03gt R. l ~ ths'r 1 Dept. ofCommtmity Development * 345 - 6th Street. Suite 600 * Bremerton * WA * 98337-1873 (360) 473-5275 * Fax (360) 473-5278 :Af::::::'~]i~..hl;11l.t\!lt~ 11ltj[g.i.t~iH%t[[:~tIKIlli.fdNtfitm;1&~[*mm[~~M1.lI11tli.9r.m*~~:::::iij:t~i1~iti~[&~~:**~mm;~[itI:~~[~i[~:~ijg~[~:~;~:: ~{'E.fl tt(4. r -7"$ I L Site Address: 13 t;tJ c61f8fT JJI2 CONTRACTOR: Address: Cit , State, Zi : license # & Ex . Date: Contact Name: Contact Phone #: Tax IO/Parcel #: OWNER: Address: Cit , State, Zi Phone #: l..\ 7 Authorized Agent Name: Address: City, StCite, Zip: Phone #: > . What is the application for? (Please check one) o NEW SINGLE-FAMILY RESIDENCE o NEW DUPLEX ~ NEW MANUFACTURED HOME RESIDENTIAL REMODEL RESIDENTIAL ADDITION D RESIDENTIAL REPAIR D NEW COMMERCIAL o COMMERCIAL REMODEL o COMMERCIAL ADDITION D COMMERCIAL REPAIR D NEW MULTI-FAMILY D TENANT IMPROVEMENT D NEW GARAGE/CAR PORT D NEW ACCESSORY BUILDING D NEW SIGN D STRUCTURE DEMOLITION D GRADING (Cubic Yards: D OTHER: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? Y.ES 0 NO CZ1. rNfp..rl~~ n~ (;~~ J-NlJ IN~J-IrU- WA-Sy.~1< It. 'b.R-yd, Scope of work proposed: f"u..//5H -' (Ill Lfry Sf "-J ~ J 'I D I ~-r; Square Footage: Dwelling: / Garage: .33..L Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees t/J. / J '0 7 15, ~o :1- LJ, lJO l)5T) 1'-/3-0-0 ~-!6 / 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 nol 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 aiter expiration, the applicant shall resubmit plans and pay a new plan review fee ~~..~ App kant's Signatu~ jfJGI~SJ 5; ~ 7 Date .. ., "',', r' .m'..........'.. . . '~j ,'0., c PERMIT CENTER Dept. of Community Development*345 - 6th Street Suite 600 *Bremerton* W A *98337-1873 \.. D:Mech~liiCaJ ...... ..' '[JPJUDlbiJig >, Tvnt'! of Fuel'...,.'.,',',. O.~',:E,"".',l.e.'.ctrt.':,"..'';'.~,..',','.::,'..E.'''.', :Gas,.,..,.."."....,.'.'..,."..,..,.,'." '. D..'" 0.', 11 ',..{~~,;~c:u'..,., ~::.n.:..:.-c.."..y,,:,",..:_..: '" ". '" V\i y~~ '~~siaeIltiilr []~o~ercia.l :'. '.. Site Address: l~bO Co'€e~;r1)~ B~t:I07J~ W.A- q831;;:L e NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE AIR HANDLING UNIT > 1 O,OOOCFM ATMOSPHERIC VACUUM BRKR 1-5 AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUM BRKR >5 t ' BATH FAN AND/OR EXHAUST F Aii,..---- BACKFLOW DEVICE <-2" CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE> 2" CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER . CLOTHES DRYER W/ EXHAUST -- , CLOTHES WASHER ~ COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN COMM, FURNACE>100,000 BTUS DISHWASHER COMPRESSORS DRAIN PIPE/VENT PIPE ALTERATION COOK STOVE W/ EXHAUST DRINKING FOUNTAIN DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACE/HEAT PUMP FLOOR SINKIINDIRECT WASTE EVAPORATIVE COOLER GREASE INTERCEPTOR FIREPLACE-GAS OR GAS LOG INSERT HOSE BIDBS FIREPLACE-WOOD, OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR , GAS WATER HEATER & VENT ../ LAWN SPRINKLER W/BACKFLOWDEY. GAS PIPING ROOF DRAIN Ml~CELLANEOUS MECHANICAL SHAMPOO SINK W/ BACKELOW DEVICE ~ R NATURAL GAS FURNACE/DUCTING . SINK (LA V, KITCHEN,\MD_PlOR BAR) ~ - PROPANE FURNACE/DUCTING SUMP PUMP PROPANE TANK (<2000 GALLGN&) TUB AND/OR SHOWER UNIT -- , UNIT HEATER ~ , 1 WATER CLOSET AND/OR URINAL ~ OTHER: OTHERc9 N f};; A1 /1....? I'A/ L1 leI' I-IE~ OTHER: OTHER: T6/2 MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: Al1~usr bJ ;)fJ07 Date Print Parcel Search Map Page 1 of-1 KitsapCountyParcelSear:c:h I' . .. co, i' r I' ~ I j '~-~' -'-~-.-,l I I 1 } ---..,---'.J 1\ '.,-\._-.l__..~-_J__-,._L_J_.__J I.. \... --------1 f~i'> " ~~[~~~1 F,-j~~~~r":::>'N~ ..-.....----'..1' ,f::.~,-::-.._' - . .....---.-1 J : "-. . i "~ ' 'Q:;f ! , I I '-'..... r-:--- --. m_'--f~," 1._,..: __....L_..l..___' ! !w , f' ...,. ,/ , J______,_____(g~,_..,-.--...---,.-- --"-l"-"'-ll~~~~'==--==~~.d Iii Ii 1 I ----,- -----...r ! i--"::.'::'..l='::'-~'i-:-l. ._-~=_~=~\i ~3~r-~-~~!1~J OGERSDONALD-E--"~J-"---T._-L_~~ r ,~ .. :f787:'OOI);.01)9..000.4-"-'-1 r----r--iF I 'jR " . . ".j I I Co ri ht@ Kitsa 'Count'.2t~1FJiisi_f i.___.__" Legend r-'''l Parcels l-~_. . Rolld Names ;~ Greater Pupt .. ''1''''''''' i Soood ti:'idro' 1----' Military L_-, DI$CI-AIMIiR; This map is intended fgr display pUFpg$(fS gnly and is not intendtfci fur any/ega/-representations. [Click here to Print] ,http://kcwppub3.co.kitsap.wa.us/ParceISearch/PRINT .ASP?CMD=I... 8/5/2007 . , lIi~I~""t~ <,> ... ',"-. " n * ..~~~ . ."~'.'."..' 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:_DOAlAl1:> F ROGoEfC, ADDRESS: I '360 c,,2.f:a~7"" "'he. CITY: E~Jt JDN STATE: Wit TELEPHONE: Work: ~g 9'11{) Home/Cell: , 3~I~ :;1-~ ~ J () lJ-f)1 ~~ 60G- :;..~-r73 Qel1 PROJECT INFORMATION: 1. Tax Account Number: J ?e7-000-(!)O,?-O~t')"1 2. Site Address: ,3,& C tJI?Bt:"T 01<. BR&A1, #/.14.. 'l~JJ~ GENERAL SITE INFORMATION: 3. Please check sewage provided: servIce li" City of Bremerton Sewer o Septic (contact Kitsap County Health for letter of acceptability) 4. Is the site characterized as: Forest or Vegetation Cleared Developed ;< SHORELINE: 5. Are any areas being developed on the site within 200 feet of the shoreline? Yes@ 6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist (WAC 173-27-180) Residential Questionnaire lof4 Revision: March 2006 CRITICAL AREA CHECKLIST: Fill in the blank or circle the answer(s) that apply directly to the site and areas that are within 200 feet of the site. ' a. 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 Check all that apply to the site and areas within 200 feet of the site, Flat: less than 5-feet elevation change over entire site,' L Rolling: slopes on site generally less than 15% (a vertical rise of lO-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of lO-feet over a horizontal distance of33 to 66-feet), Steep: grades of greater than 30% present on site (a vertical rise of lO-feet over a horizontal distance ofless than 33-feet). Other (please describe): b. Does the site or properties within 200 feet of the site contain areas of year-round standing water? Yes /~ If so what is the approximate Depth: c. Does the site or properties within 200 feet of the site contain areas of seasonal standing water? Yese If so what is the approximate Depth: What season(s) of the year is the standing water present? Winter / Spring / Summer / Fall How long is the standing water present? Residential Questionnaire 20f4 Revision: March 2006 d. Is there an apparent wetland present on the site or on properties within 200 feet of the site? Yes / e If a wetland is present what is its approximate depth and size? e. Does the Site or properties within 200 feet of the site contain a creek or an area where water flows across the ground surface? Y es ~ Does it flow year-round or seasonally? Ifit is seasonal, what season(s) of the year is it present? "Winter / Spring / Summer / Fall f. The site or properties within 200 feet of the site are primarily: Forested / Meadow / Shrubs /~ ~lawn, shrubs etc) / and or Other (please describe) g. Please describe the soil type on the sit@and, gravel, peat, etc). . ~, h. Do you ever see wildlife on or within 200 feet of your property? @/No (Examples of wildlife can include but are not limited to: Squirrels, Raccoons, fish, deer, opossums, fox, heron, eagles, songbirds etc.) If you do see wildlife on or near your property, what species and how often? f(fJ-Ct-&~N1 } f~N6~/I(Jl5 I ? ~/JII( I(I~ L~ , 1. Are you aware of an aquifer recharge area on or within 200 feet of the site? Yes 18 (Se_e maps on file with the Department of Community Development) RESIDENTIAL DEVELOPMENT WORKSHEET: 1. What is the zoning designation: /.. 0 Woe tY 51 T YR E 1/ /) 6- H 11.4 '- CR - 10) 2. What is the area (square footage) of the lot? ~ 'L ,~CJ 3. What is the amount of grading proposed (in cubic yards), not including foundation area? .ef Residential Questionnaire 3 of 4 Revision: March 2006 Fill amount Cut amount Total grading Will the grading material be imported or exported? Yes & 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. Z011,irtg 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 a'n existing structure, this information should reflect the entire site after work is completed. FRONT YARD SETBACK REAR YARD SETBACK* SIDE YARD SETBACK SIDE YARD SETBACK MAXIMUM HEIGHT LOT COVERAGE** NUMBER OF OFF-STREET PARKING SPACES ,- S"" Jr 6t?~ " "l 1,/ If)~ *Use this as the second front yard setback for corner lots and through lots. **Lot Coverage is defined a~ fi.?at portion of a lot covered py the roof areas of ALL stqlctures, but not including driveways, walkways, patios and low open decks. A low open deck is defined as rising 30 inches or less above the finished grade. The applicant herby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of Bremerton based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. ~ L ~Mk App lcant SignatureV' 1" 3- C> 7 Date Residential Questionnaire 40f4 Revision: March 2006 Kitsap County Assessor's Property Report Property Report Tax Account No. Process No. ~787-000-009-0004 111456805 Property Class: 1111- Single family residence ~ ~T ~ T T 0;%.~' 't"",'.7:: ':-;;;...n... wm.-w$W,~;'!LN:~, Parcel Information Tax Code Area: Jurisdiction: Sec-Twp-Rng: 1'J~ighborhQQd: 10010 IBREMERTON 115 24N IE 171 00541 1trm r -==_~~:":,;.'::"""'" ...:::,~-;-'", Taxpayer Information Situs Address 111350 CORBET DR :i~,0}' ~~1'!~,-';:""'~ 1# of Buildings: I Acres: I Zoning: I Account Status: $>>ffi"",, Page 1 of 1 11 1.59 ICity IA - Active .~":M<x~1 Name: Mailing Address: IROGERS DONALD E 11350 CORBET DR IBREMERTON IlwA 1198312 II http://kcwppub2.co.kitsap.wa.us/pls/ilisw/lis.online _lis _info ~kg.acct_info?p _in _ rp _ acct_i... 8/6/2007 CITY OF BREM ERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: ~iil -, ..,,"'........-. 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360) 473-5275 Fax: (360) 473-5278 1/4580 _, """', '" ,._m:.", '<>Che'ck ".," "pr'o~~,,'ii ' '., <;Num ber,: J '.:......_,.:,,"",..:.::::z.~~: Total $ 15.60 $15.60 CASH genpmtrreceipts Page 1 of 1 CITY OF BREM ERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: _" 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360) 473-5275 Fax: (360) 473-5278 BB07 00581 3787 -000-009-0004 Building Perm it 1/2211 $24.00 $24.00 $0.00 BB07 00581 3787 -000-009-0004 Mechanical Fixture Fee 1/2215 $51.40 $51.40 $0.00 BB07 00581 3787-000-009-0004 Plum bing Fixture Fee 1/2213 $48.00 $48.00 $0.00 BB07 00581 3787-000-009-0004 State Surcharge 1/0236 $4.50 $4.50 $0.00 Total: $127.90 CHECK 9763 Total BCD-07-00763 08/06/2007 Plan Review Fee $15.60 BB07 00581 3787 -000-009-0004 9//7./ rtJ7 /;z.. 7\ 90 ,f) W-- ~ .J genpmtrreceipts Page 1 of 1 BUILDING ~RMIT I- 3211 AI ~ ~/ ,/ /' " City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $5/':5} ~ ~. .55777 $ st~S() S90~ 7 //- b-gd -> $ J 6, ? .3 SITE ADDRESS I LOCATION / :5 ..) -0 OWNER'S NAME (;v,~, ~7.r./ CONTRACTOR ~td7IJ--- ADDRESS PHONE ADDRESS STATE CONTRACTOR'S L1C. # (J.;; ;oJ PLANNING I ZONING FIRE ZONE PHONE o REPAIR 0 REMODEL .,,~ ADDITION 0 DEMOLISH STORIES OCCUPANCY RESIDENCE 0 BUSINESS o OTHER 0 NEW THIS PERMIT ISSUED FOR: C~ ~A7- ~-i.~L a--:1 ~ ,~)"~-o ~ Aac~-t ..c-t!!7~ 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 the provisions of any other state or local iaw regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation FramingA Plumbing 0 Electrical 0 Wallboard 0 FINAL~ SEPER.^..'r~; PE?}~;l'S ~il..RE R!f~UIRE]:: !!'m~ ?r..1!~r'B::r'~0- JO ~J~ECE~n:~\n',:.:'.c:'r.. 1!.!'~D 'BL~f'TRIf}~1 FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVED I COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQU RED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE /, ~ct~ $l~'~~' BY , .~ ~ Authorized Agent BUILDING DEPT. ~ FEl--3-1.\ e F~RM BtJlLDING CONTRACT e Contract No. - 1 THIS CONTRACT mude lhis~_day of Or_.:t-~-, 19SQ By and Betwean ___~-.G__A!~~J?JI1!"'3 of _~.5: 0 C. 0 (' b.eJt~~- Telophone No. _~:}.) ~.i I:' (Address) herein referred 10 as "Buyer" and WESTERN FARMERS ASSOCIATION. 201 Elliott Avenue West, Seattle, Washington 98119, herein referred to a, "WFA," under the following terms and conditions: 1. ~. In accordance with the terms ,lnd conditions of this contract WFA agre~ to supply and Buyer aqrees to purchase all of the supplies and rnaterluls necessary to construct the farm buildrng strucrure generally described as ,__-!.~:.!O~.. .-------.- Wo f' ~C.t'",: ~'';l\ and more pnrtlcularly shown on the drawings and specifications fJroposerl by WFA and approved bV Buyer, which drawings and specifications and any changes or additions made thereto with tl1e Buyer's approval are incorporated herein by tllis referenco. 2. DESIGN. The dOSlgn of the building(s) to be constructed hereunder, With accompanymg drawin~ls and specifications, has beef! ~pecificaliv chosen and approved by Buyer. WFA DISCLAIrv'IS ANY WARRANTIES OF FITNESS OR SUITABILITY FOR PARTICULAR PURPOSES OF THE BUYER. 3. AGENCY. Buyer hereby appolflts WFA as Buyer's Agent to procure that labor necessary to comtruct the building described above, in accordance With the terms of the "Contractor A~Feement for Construction of Building," a copy of which is attached and incorporated herein by this reference. WFA shall neither be responsible nor liable to BUYf)r or any third partY for loss, damage, or injury of any kind whatsoever due to the acts or omissions, includ, 1119 poor workmanship, of the Labor Co"tr~ct()r. Any claims by Buyer or third parties for H1e aforementioned causes shall be presented directly to the Labor COil tractor. . " t:;. ~ JI': ....,,1~1~\ o!"~~" t. '."\.\ i '6& 4. E.!:iK~. The Buyer hereby promises and agrees to pay WFA $ _-..2._+ut--A..___, plus $lb'1LJ>L.:}as SiMs tax for a total of $~ . This prtce shall incluue the full cost of labor. equipment nnd materials, unless ilmcnded as in Pari1waplt 6 ~nd Par~waph 7 hen'in, Till) ~boVG prien shall be paid lIMh'r the folloWlflll terms: ..--------.-- ~~'-~~..,CU~.i.5-..,_.--.--.-.---..----- . () i~ --1~_tH-~~-\~~~A--~.Cl~4-~D-------.-.----.-----.-,-.---- 5. LEGAL DESCF!lPTION. The building(sl to bc constructed in accordance with (his ;;:greemenl will Iw located upon 1he following described rual pmperty: Ilnclude complete legal description. Use attachments if necessary.) ______..._____._.._._._ ---~. ._ , '~'. "", .... i J. ct ~ I A I ii ~. l.I t r (;'. <is --1.Uk \ >' Q.LL-_h.:2.L-_..l_._~ t:A.. _. vV I ?~ eb ", , '\..... n \< .1 , l" " ' , i ~ \/~ At'rQ "r .. 6. CONSTRUCTION. The construction contracted for hurein shall not includu grading, clearing, filling or compacting which shall be completed by Buyer prior to the commencement of construction. Buyer shall be responsible for any damage or loss becnuse of inadequate site preparation. If, in the opinion of WFA, adverse digging conditions are encountered that make necessary the use of spedal equiprnent, such ilS " backhoe, jackhnmmer, explo- Sives or hand dIgging to assist or replace the normal power auger, this additional expense will be the Buyer's responsibi!it',' and sldl be added to thu price St1t font1 herein. 7. AMENDMENT OF PLANS. Where the 'luantities, pertormance, or dnlil/nry puriod cOl1tra<::ted lor arc c11Dn!led or amended at the request of the Buyer, the Buyer shall be liable for any additional costs or expenses cnllsed by such change or amendment. S PEF1MITS AND LICENSES Buyer shall be solely responsible lor acquiring uny licenscs, building pormits or otl1('r dOC'.lfl1unts r()q.;imd prior to commencelW"lnt of construction. 9. ~!..ABI LlTY AND DAMAGES. WFA shall not be liable to Buyer for any costs, expenses or damages except as to the express warranties and agree- rnents contained ~lcn~in, Buyer 8Qrecs to pJV to V'JFA ony costs incurred by reason 01 nny deliJY in construction cnusod by Buyr~r's (let'; or nen!ect. Buyflf further agrees to pay to WFA any costs or expense,; incurred in the col",ction of fhe balance due includin(J a rr,osonahle attorney's fee and court costs Illcur rt~(l by re~lst)n of consultation or suit. '10. I?RAWINGS ANO PLANS. Ali drawings, specifications, plans and copies thereof arc the property 01 WFA and dlali I", (jelivermj to WFA upon request. 11. WARRANTY. WFA warrants the materials furnished against defects for a period of one (1) year from tiw dal(~ of completion of construction Tim warranty is limited to replacement of anv material found to be defective. BUYEn WAIVES ANY CLAIM AGAINST WFA FOR INCIDENTAL OFl CONSEQUENTIAL DAMi\GES RESU L TING FROM ANY CAUSE WHATSOEVER. THEFlE ARE NO OTHH1 WARflANTI ES OF MERCHANT- , ABI L1TY OR FITNESS, EXPRESS, IMPLIED, OR STATUTORY EXCEPT AS PROVIDED HEREIN AND SUCH WARF1ANTI ES ARE SPECIFICALLY DISCLAIMED. 12. COMPLETION QERTIFICATE. Upon completion of construction Buyer shall deliver to the Labor Contractor a c8rtificat8 CI/idellciny proper corn. pletloll. 13. COMPLETE TERMS. This contract constitutes the entire understanding of the parties. There are no other understandin(ls, co!lilter<l1 or otherwise. Anv . amendments or changes hereto must be In writing and signed by both parties before they shall be effective. THIS CONTRACT WI LL NOT BE BINDING UPON WFA UNTIL IT IS ACCEPTED AT THE WFA GENERAL. OFFICE IN SEATTLE. NOTICE TO BUYER DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF ANY SPACES INTENDED FOR THE AGREED TEf'1MS (EXCEPT AS TO UNAVAILABLE .INFORMATION) ARE BLANK. YOU ARE ENTITLED TO A COpy OF THiS CONTRACT AT THE TIME YOU SIGN IT. YOU .MiW CANCEL THIS CONTRACT AND FrETURN ANY GOODS RECEIVED IF IT IS SOLlCITEDtN PEF1SClN AND YOU SIGN IT AT A PLACE OTHER THAN THE SELLER'S BUSINESS ADDRESS SHOWN ON THE CONTRACT BY SENDiNG NOTICE OF SUCH Cll,NCELUnlON BY CERTIF-iED MAIL RETURN RECEIPT REQUESTED TO THE SELLER AT HIS ADDRESS SHOWN ON THE CONTRACT WHICH NOTICE SHALL BE POSrED NOT LATER THAN THE NEXT BUSIl--JESS DAY 'FOLLOWING YOUR SIGNING THIS CONTRACT. !'ROVlbrw, THAT AT THE TIIVIE OF SEND. ING NOTICE OF CANCELLATION YOU HAVE NOT RECEIVED AND ACCEPTED A SUBSTANTIAL PART OF THE GOODS OR SERVICES WHICH SELLER IS REQUIRED TO FUnNISH UNDER THIS CONTRACT. EXECUTED ON THE DArE I\BOVE INDICATED. BUYER HEREBY ACKNOWLEDGES RECEIPT OF l\. COPY HEnEOF, f'ruposed by WESTEn I SSOCIATION -=Z.~,.~A-- Buyer _ /ll'~ ',lli ,. b! . ..i. .. / 1'../ .'. ,I'" L ' / .......'} . I"""" t l J' ." , . ~- l"~'~--"----~"-- . .. e . ~,~ - ':t-_! INS P E C T ION S Inspections Required For Stated Construction BUILDING DEPARTMENT ~OUNDATION. o POST & BEAM pt'.:rRAMING ENGINEERING DEPARTMENT o ELECTRICAL o PLUMBING o MECHANICAL o INSULATION o SHEET ROCK OR COVER fSY,FINAL /'\ .~"'- /:' . o FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK' o FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK o CONN~CTION TO CITY STORM OR SANITARY SEWER MAIN LINES o PIPE INSTALLATIC)N PRIOR TO COVERING ,~,-, '~; . FIRE DEPARTMENT o LIFE SAFETY 0 FIRE CODE o FIRE EXTINGUISHING SYSTEM 0 SPRINKLING SYSTEM o REMOVAL & INSTALLATION OF UNDERGROUND TANK THAT- WILL CONTAIN FLAMMABLE MATERIALS Allow 24 hour prior notice for all inspections. Emergencies will be handled as soon as possible. If required inspections are not called for and made by the necessary City Departments, a Stop Work Order will be posted until necessary inspection is completed. Any materials hindering the inspection will be removed so an adequate inspection can be performed. All completed structures wil.l have a Certificate of- Occupancy BEFORE the structure is occupied. If a structure is occupied without a Certificate of Occupancy, the City will have the water utilities removed and order the structure vacated untilcompliance'is achieved. I have read and understand ~l the above Construction at /3 .';;-0 (hl!zr- ()r<- , (address) SIGNATURE jf. ~, q~.L! TITLE tha t "JllelI'tain to the DATE /1 It /.f() , i i / / / ,,~:i .~' ~:" :7" t.' ~"'" . .~ CITY OF BBEM~i~tIC1I~~~DElfinMENT':1 , ~~~:?~7........) ,.PERMIT HE $.f;,'-.~:Q....CCHECK S.-l({~.)~....) "CSJ9~~?.) ...OOR~~-'tOCA T I OU OF .JOB..: I.f. .$:<:? . U ',' ... ~ ~ : . . . .11 ~ ... . . .. . . . . . . . . . . . . . .~. . . .... . . . . . '. , . , . . . . . . . . . . . . . . . , , ..... , ,. ,t "'PPL1C~T10N ISsuED FOR: . .:C::rn.~e:r~-{t.~-'~"'~" ~:.. e.. ~ ..;-2fi.7. E.......... . . . .. . . .', .. , , .. .." J PROPERTY TAX ACCT. ~lO...................... -. . . . . . . . . . . -;:.. . . . . . . . . . . . . . . . . . . . . . . . . . 'LANNING ZOIHNG............,. F.lRE. ZONE....-.....:.,. OCCUPANCy......: .'~,. :,.i Typ'E OF CONSTRUCTIllli:.... ....' .,.....,.' ) '. .' J-.'A ) ,~, a/1~J. J. I "7!-- Q" )W/.f:~... .t-<:"'. .,. ..... .-;~#:...,.. ..:... . ........... . . CONTRACTOR. V"/.-;.~~o:--;-.,;r.-~~4"" ......... ,DDREss~..l3.59..... ~..'_ '~.' :AJ~.. ....... ......... ~"DRES;~.;3.q/..~4-:Q1.~'~~~~,:.....~.....' ;J, -'. "? 2 2. ~d':/:< "/ 7 d . . '~~NE:..~_~_~~.~. ~;tiJ&;'Y('."q"')~~~;/!'"'' ~. PH4~';-""'" .51GNA1URE, APPLICANT.:!". .,. ___ U"'," ~""". .... if.;-.... .. ,DATE"'"7 'fI!'~~~ . ., ., ~CCEPTANCE OF APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.: / t7. ~.I': d--i> ..p'~~~~~~J7 STATE LIC. .~~.~~.....~~...~.......,. RECEIVED By.I.~.-:.3o.:-.f'Q." i q\(i 4-- '1/ 'C-if. ENGINEERING COMMENTS/REVIEWED BY......~..J ~d ~ Nc dv, tt~io,,,.s . , "'. - APP'D' BY L? ko 'LANNING COHMENTS/~EVIEWED BY.. ;APP'D I DY SEPARATE PERMIT REQUIRED FOR WOR~ IN RIGHT-OF-WAY, EXCAVATION. PAVING, SIDEWAL~S,SANITARY , STORM SEWER, .... D''T. '......""EVIEWED ".)M . M ~~ ..0. t ;P,I':P~' D I. 23 .TRAFFIC DEPT. CO~~E~TS/REVIEWEO By.......... , APP'D""'I BY , .. PLUMBING REVIEWED By.......;.. i - ----- 1 \ ~SEPARAIE PERMITS ,-- . WATER DEPT. REQUIRED FOR PLUMBING AND MECHANICAL WOR~. , ..... ELECTRICAL REVIEWED By........... APP'D DY I .. .. \ /'\ SEPARA TE PERliIT REQUIRED FOR ELECTRICAL WORK. I ...... .....~/~. . ..... BUILD1Nl; REViEWED BY. ~~' I APT"!) ny ~- ~ /U~~.t;; t. R-I fA~ i~-:;' 4;iv~ #~ y- ~:z:t1 Mp . - :~~~::::".<~ :~'~:~<'. .. ., . . ." ., .. ) ( OATE...... .......... 1 :.-> e I ! tJ ~ -I ~: (l; I f-j i !.!.II "' C[) ., G::i ~ d ~ 01 ~ I ~ e ~Y:LL~L I S G. A~E. L l3.5_o.L.DR8 ET })R/V €. ~e H I hi N e Y~_A~CR_E._T&.A-'--LS__._BL._II,.,D DJ1_ L Of _ 9 NY~ W Y2, ---~1 J q J t f _HO_U5 E._ I:"' I , J "()----4>r! I ,- ~I 3b / ;23/ __ _ ___~__ I -. -r----- 15/ r I ~5t II i ~ ~ tB c51 I i i I i I r I I r-/b ~ =-J--- 3 + ~ P< '/J .1 V j I ).9 n ____J n . e Z){6 UTlL. BLOGJ<IN& @HAI< (/!JUTT PI!AK PURL/NoS END TV GND) 0'ii6::-1-< 'If"'" ! l+i-z.+ [....CO'-.l1<'-~.E9' " p-t-.rr ~ 2X6 UTlL. PURLlN CLEATS 2Xl, PU~~~~Z600.C. I ,,0 $-30 d.NAILS @ E,A.. RAFTER CONNE.CT/ON t: TRUSS I . t \'p~nwT"$ ~ . C) '1 0- . o -\ ..... ...... Z4:"0. OUT TO OUT OF TRUSS l~ : ''c:> 4- 0 DEt'H MAY O fi1\ 'I Ii . I VARY IN: 6ROUND SECTI N ~ 2-Z){'JtIZ'.-A'l' SLOPE: .sOIL. CONDo SCALE : k. c /,..0. TftT c.uiA7'S Cs-~ ~ 2)(6 UT/L. .BJ.OCKING /3rWN PURL/NoS @ END WALL,S """METAL OVE..R~A#JG ..,0 /-ZX.6 TRT .sXIRTBD l U I d p()/Z-. uu +lq'Pur<. , idPVe....--+ lO\pul<:.. I ui--,u-I- ,uu1 I I ,,()~ l!lJ ... ':~~ :: '0 '" .Ia,. }:) () () .~ .~ .1 ... :3 ... ;rt/ ~ II r-. i. (. ~ _ rr I ! 'fI . I .' fO'i-IO -'7.I\..lbLE 'SI..loE.' ~ -II .. '" ' ,j tooJ<./-..k i ,c.>N't. E.. ! I 'm ~~ 1"I~ .,,~"nflNlJ ~(' ~5 Ii I: i 14'1-*" I II V}S !:fJ:fi-~ I i I ~ .~ '2.~__~~~K~_____ of 1~"..1. oH I ~ I j 'f~o'll?N.JlJ : .. ue,~ ' - I 'I ~ -;.~~' , "t"" ~ t7a:l2.~..----, ~ . ~ ~ .-jt- , ' '~'-,.u t"c,q""3:~:~'="~~~::~:'::c~'" ? ~ \\/" i--. 2. .....INYl- ~ I \NWLATlC>N K'~ 01\1 1.-'< .------, I ,~ END ELEVA71.0N .5O\I..E: fc /~o \,V~~t: GENERAL~TES: \) \",e... " :/ 1. ROOF & SIDES, CO~STHL ~ ,OI&5NmD4" 1I 4" TRIM; h)'h,e RIDGE 'CAP: \.\1 \.. \e . 2. ALL POLES. CLEATS & SKIRTBOARDS t'77"1 Ve,c:..PRESSURE TREATED 3. ALL LUMBER: #2 8. BETTER UNLESS OTHERWISE SPECIFIED 4. MEMBER TO BE RESPONSIBLE FOR BUILDING PERMIT, LEVEL BLDG. SITE & FINISH GRADE. 5. SEE DIAGRAMS FOR CONSTRUCTION DETAILS. 6. BUILDER TO VERIFY DIM!:NSION @ BUILDING SITE. 7. .MEMBER SHALL BE RESPONSIBLE . fOR THE COST OF ANY MODIFICATIONS TO THESE PL ANS AND/OR SPECIF I. CATIONS INCLUDING ENGINEERING EXPENSE REQUIRED TO MEET BLDG. OR OTHER CODE REQUIREMENTS. ! IN t..."", _ L,. .~T;'~. /. NOTCH DETAI!.. 8 SCALe.:.b ":=.':"0" "2 PURLIN DIAGRAM WESTERN F ARMERS ASSOCIATION ~ . ~ .t.~~ 1ft!! 7.yt.-- -- ~u ~.:~_!l~~ T~T P:-:~-~-&(~<{ H~