HomeMy WebLinkAboutCOTTAGE LN., 612
BUILDING PERMIT
INSPECTION
FILE CARD
SITE ADDRESS
PROJECT DESCRIPTION
CITY OF
BREMERTON
FILE COPY
Building DPlumbing D Mechanical D Fire Alarm/Sprinkler D
Permit # BB04 - 00 e r:L 7-
FILE COpy
Aeproved Date Notes
1 st
FOUNDATION
DO NOT POUR CONCRETE
PRIOR TO APPROVAL
2nd PLUMBING
MECHANICAL
/vii t~5T --;.q.tlEfW GAS PIPE
Erosion Control In Place
Foundation Footing
Foundation walls
Plumbing Ground Work
In Slab Mechanical
Footing Insulation
Rough In .
Duct / Vent '-.
Support / Test / Meter set
3rd Hold down connections
Shear Panel nailing
FRAMING L&I Electrical Approved
If pt & 2nd are approved Ventilation requirements /) ,I
..J./j // J '7J~
Framing (/\///1// "
4th Under-floor ~
walls ~7 11 tiTI&-
INSULATION ceiling ~
sth
6th
FINAL
SHEETROCK
All of the
above
Must be
approved
Prior to
fin al
BUILDING
WATER MAINTENANCE
PUBLIC
WORKS
FIRE
ALL FINAL INSPECTIONS COMPLETED
l
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB0"4~ (j~897
~, ~!~,
DATE ISSUED: ~9f~4'1W
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 5462-000-006-0004
APPLICANT NAME: CAPSTONE HOMES
OWNER NAME: CAPSTONE HOMES
CONTRACTOR: CAPSTONE HOMES
LENDER NAME:
SUBMITTED: 02/27/2004
VALUATION: $129,835.29
Plan Review Fee $755.14 4580
Building Permit $1,161.75 2211
Mechanical Fixture Fee $151.90 2215
State Surcharge $4.50 0236
Plumbing Fixture Fee $125.00 2213
State Energy Code $50.00 4580
TOTAL FEES: ~(i0'K E2,24~iil
4#1<'
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING: MF SITE ADDRESS: 612 COTTAGE LANE, L T 6 TRICOM
PHONE: (425)432-3122 ADDRESS: P.O. BOX 139
PHONE: (425)432-3122 ADDRESS: PO BOX 139 ST
PHONE: (425)432-3122 ADDRESS: PO BOX 139
PHONE: 0- ADDRESS:
APPROVED: 04/06/200 EXPIRATION: 10106/2004
~laBntial Elu!!~Qitperm!,~'chan~PI#i~''r\
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
UBC: 1997
1,860 SQFT
357 SQFT
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or localloaw regulating
construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contracto~s Registration Law
under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are
required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read, and agree to ab
PRINTED NAME:
(Front) (Side) (Rear) (Other)
Square Footage:
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
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.
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
'es, and State and Federal laws.
4-Cf. 04-
1. Driveways and parking areas must be paved.
2. LU: Landscaping shall be installed or bonded for prior to finalizing permit. See BB04-00900 for landscaping plan.
3. All utility fees and assessment shall be paid prior to final occupancy approval
4. Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection.
5. Building Plan Review:
1. Braced Wall Panels-Provide engineering on braced wall panels under 2'8"(engineering will not be required if an
approved Simpson wall panel or equal is used)
2. Smoke Alarms-Shall be interconnected 11 O-volt battery backup, one in each bedroom, adjacent hall, and on
every floor
3. C.F.M. Fan Rating-Bath and laundry 50 C.F.M., rangehood 100 C.F.M.,whole house fan (2 bed 50-75)(3 bed
80-120)(4 bed 100-150)(5 bed 150-180)
4. Foundation Footings-1 st floor foundation shall be 12" below undisturbed soil, 2nd floor foundations shall be 18"
below undisturbed soil, the ground under the floor may be excavated to the top of the footing and no lower.
I
\
Page 1 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
~
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 5462-000-006-0004 ZONING: MF SITE ADDRESS: 612 COTTAGE LANE, L T 6 TRICOM
APPLICANT NAME: CAPSTONE HOMES PHONE: (425)432-3122 ADDRESS: P.O. BOX 139
OWNER NAME: CAPSTONE HOMES PHONE: (425)432-3122 ADDRESS: PO BOX 139 ST
CONTRACTOR: CAPSTONE HOMES -PHONE: (425)432-3122 ADDRESS: PO BOX 139
LENDER NAME: PHONE: 0- ADDRESS:
SUBMITTED: 02/27/2004 APPROVED: 04/06/2004 EXPIRATION: 10/06/2004
5. Insulation Requirments (over 12% glazing)-Walls R-21, Ceiling R-38, Vaulted ceiling R-30 (2x12 const. 2" air
space above insulation for ventilation), Floor R30, Concrete Floor R-10 perimeter.
6. Egress Windows-are required in basements in dwelling units and every sleeping room below the 4th floor. Egress
rescue windows shall have a minimum net clear opening of 5.7 sq ft, a minimum of 24"clear height, and a minimum
of 22" clear width.
7. Code Compliance-All work in the City of Bremerton shall adhere to the following codes:
1997 Uniform Building Code
1997 Uniform Fire Code
2000 Uniform Plumbing Code
1997 Uniform Mechanical Code
2001 WA State Energy Code
2000 WA State Ventilation Code
As of July 1 2004 the codes will be as follows:
2003lnternationalCodes:
International Building Code
International Residential Code
International Existing Building Code
International Fire Code
International Mechanical Code
International Plumbing Code
International Fuel Gas Code
1998 WA State Barrier Free Code
2001 WA State Energy Code
2000 WA State Ventilation Code
CHECK FOR NOTES ON APPROVED PLANS.
MINIMUM INSPECTIONS REQUIRED
.------
:to
5
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 Rough-In
Framing
Insulation
Sheetrock Nailing
Driveway
Sewer Lateral
Final Inspection - Building
Driveway approach
Floodplain Certificate Final
Right-of-way Other
Qty
3
2
1
1
Description
R-Water Closet and/or Urinal
R-Hose Bibs
R-Clothes Washing Machine
R-Dish Washer
FIXTURE LIST
Qty
4
1
1
1 .
Descriptior
R-Bath Fan and/or Exhaust Fan
R-Natural Gas Furnace +/- Ducting
R-Gas Water Heater Vent & Combustion Air
R-Clothes Dryer with Exhaust
Page 2 of 3
,.,.
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER [~;0~:0:~j~\7~:;]
DA TE ISSUED; [~~<~@~~Y~d:;;~~
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 5462-000-006_0004 ZONING: MF SITE ADDRESS: 612 COTTAGE LANE. LT6 TR/COM
APPLICANT NAME: CAPSTONE HOMES PHONE: (425)432-3122 ADDRESS: P.O. BOX 139
OWNER NAME: CAPSTONE HOMES PHONE: (425)432-3122 ADDRESS: PO BOX 139 ST
CONTRACTOR: CAPSTONE HOMES PHONE: (425)432-3122 ADDRESS: PO BOX 139
LENDER NAME: PHONE: ()- ADDRESS:
SUBMITTED: 02/27/2004 APPROVED: 04/06/2004 EXPIRATION: 10/06/2004
5
3
R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R- Tub and/or Shower Unit
3
1
1
1
R-Gaspipe System LPG/NA TLlOIL
R-Fireplace-Gas, or Gas Log Insert
R-Cook Stove with Exhaust
R-Range Hood
Page 3 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
BD00001515
286 Fourth St. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB04 00897 Building Permit 1/2211 $1,161.75 $1,161.75 $0.00
BB04 00897 Mechanical Fixture Fee 1/2215 $151.90 $ 151.90 $0,00
BB04 00897 State Surcharge 1/0236 $ 4.50 $ 4.50 $0.00
BB04 00897 Plumbing Fixture Fee 1/2213 $ 125.00 $ 125.00 $0.00
BB04 00897 State Energy Code 1/4580 $ 50.00 $ 50.00 $0.00
Total: $ 1,493.15
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~ceipt # ;11' tl '
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'\, ~ moun ,tal
-=" ,"%i€ ~
BOOOO01363 02/27/2004 Plan Review Fee $755.14 BB04 00897
CHECK
9802
Total:
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Page 1 of 1
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Department of Community Development * 286 4th Street * Bremerton * W A * 98337
. (360) 478-5275 * Fax (360) 478-5278
Building Permit Application
APPLICANT: ~ OWNER ~ CONTRACTOR D AUTHORIZED AGENT
Site Address
612 Cottage Lane
Tax Account Number:
5462-000-006-0004
CONTRACTOR: Capstone Homes, Inc OWNER Name: Capstone Homes, Inc
Address: PO Box 139 Address: PO Box 139
City, State, Zip Maple Valley, WA 98038 City, State, Zip' Maple Valley, WA 98038
Phone #: ( 425) 432-3122 Phone #: ( 425) 432-3122
License # Expir. Date: Authorized Agent Address:
CAPSTHI178C4 01/01/05
Contact Name: Gary Niehus City, State., Zip
Contact Phone #: ( 425) 432-3122 Phone #: ( )
Check the type of application for below:
cgj NEW SINGLE-FAMILY RESIDENCE 0 NEW COMMERCIAL
o NEW DUPLEX 0 COMMERCIAL REMODEL
o NEW MANUFACTURED HOME 0 COMMERCIAL ADDITION
o RESIDENTIAL REMODEL 0 COMMERCIAL REPAIR
o RESIDENTIAL ADDITION 0 NEW MULTI-FAMILY
o RESIDENTIAL REPAIR 0 TENANT IMPROVEMENT
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Scope of Work Proposed: Construct new SFR
o NEW GARAGE/CAR PORT
o NEW ACCESSORY SLOG
o NEW SIGN
o STRUCTURE DEMOLITION
o GRADING (Cubic yards: _ )
o OTHER
YES 0 NO cgj
Square Footage:. Dwelling: ,1860
Garage: 357
Decks: 0
Valuation Plan Review F:~e Permit Fee Surcharge Total Fees
l';z" . r;35' --r~ 5. it.{ / 110 1-"7S lE. S- 0 a" 1}{<?' Z-~
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 shalLbe extended more than once. In order to renew action on an application after expiration, the applicant
S77n~~~Wf~ . 3/1(01
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- ,- PENtUI.T.f:ENTER
t\U\U)\tiaBE?~~ .
Department ofConunJnity Development * 286 41h Street * Bremerton * WA * 98337
. (360) 478-5275 * Fax (360) 478-5278
LaJ MECJIANiCAL .' ,~ . . ..... PLUMBING"- - ." : I
Type of Fuel:
Occupancy: .
Site Address:
U Electric kSJ Gas 0 Oil
~ Residential 0 Commercial
Grz C0~E- L-AAJE
o Propane
wrfo
CONTRACTOR: ~.UE. MoM.B>, \ fVC- OWNER: SAME.
Address: tb fuj 13~ Address:
City, State, Zip: AMfLf; JA1-Lc~ rAJA. Q8038 City, State, Zip:
License # & Expiration Date:. 'CA:VJSmT \ 7'6C'\- I \/(/05
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
i RANGE ...-' 3 WA~ER CLOSET --
\ WOOD/PELLET STOVE/GAS FIREPLACE-, 2 BATHTUB --
J GAS FURNACE btu ~ 4 LAVATORY (BATH SINK) --
CONVERSION BURNER: btu \ SHOWER -
UNIT HEATER btu r KITCHEN SINK_
BOILER btu I DISHWASHER .-
.3 GAS PIPING . ~ LAUNDRY TRAY
EVAPORATION COOLERS btu \ CLOTHES WASHER ..--
AC UNIT btu I WATER HEATER "-
HEAT PUMP btu URI NAL
REHEAT BOX btu: " DRINKING FOUNTAIN
4- EXHAUST FANS ~ FLOOR SINK OR DRAIN
I RANGE HOOD (RESIDENTIAL) 0/ WATER PIPING & ALTERATION . I
-
RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR
( CLOTHES DRYER ~ 2- HOSE BIBBS --
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT ALTERATION SWIMMING POOL
TANK TYPE: BLDG. SEWER: (MOBIUMOVED HOME)
REFRIGERATION UNIT ~ ROOF DRAINS
OTHER: I., ? OTHER:
~/I lot
Date I I
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f DATE ROUTED: February 27, 2004
612 Cottage Lane, construction of a
new SFR with attached garage.
PERMIT # BB04 00897
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DATE RECEIVED
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TRAFFIC
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BREMERTON .
BUltOlNG DEP.4RTMENr
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
BDDqall3
286 Fourth St. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
ayer/'I!Q~ Na~': ~EN.R 'to
i"'i_,'!i'i' ,,&; "'\ill;:,
8804 00897
Plan Review Fee
1/4580
Total:
$ 755.14
$ 755.14
$0.00
~..'
8i,
e,l:lcelpt'll.'
Total:
$ 755.14
$ 755.14
CHECK
9777
Page 1 of 1
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IOU1LDING DEPAmM;('il PERMIT CENTER
Department of Community Development * 286 4th Street * Bremerton * W A * 98337
(360) 478-5275 * Fax (360) 478-5278
Building Permit Application
APPLICANT: [gJ OWNER [gJ CONTRACTOR 0 AUTHORIZED AGENT
Site Address
Tax Account Number:
5462-000-006-0004
612 Cottage Lane
CONTRACTOR: Capstone Homes, Ine I /, r OWNER Name: Capstone Homes, rne
Address: PO Box 139 ((\ AI / Address: PO Box 139
( '-I, \)- I----
City, State, Zip Maple Valley, WJ\ 980)8 City, State, Zip Maple Valley, WA 98038
"-' e ./
Phone #: ( 425) 432-3122 .... Phone #.: /',.. ( 425) 432-3122
License # Expir. Dater( I YhO~d Agent Address:
CAPSTH 1178C4 01/01/05 ' ~ j\-J
\~ J \ -
Contact Name: Gary Niehus Jtity, State, Zip
Contact Phone #: ( 425) 432-3122 \~\J Phone #: ( )
Check the type of application for below:
~ NEW SINGLE-FAMILY RESIDENCE
o NEW DUPLEX
o NEW MANUFACTURED HOME
o RESIDENTIAL REMODEL
D RESIDENTIAL ADDITION
o RESIDENTIAL REPAIR
D NEW COMMERCIAL
D COMMERCIAL REMODEL
o COMMERCIAL ADDITION
D COMMERCIAL REPAIR
D NEW MULTI-FAMILY
D TENANT IMPROVEMENT
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
o NEW GARAGE/CAR PORT
o NEW ACCESSORY SLDG
D NEW SIGN
o STRUCTURE DEMOLITION
o GRADING (Cubic yards: _ )
D OTHER
YES D NO [SJ
Scope of Work Proposed: Construct new SFR
Square Footage: Dwelling: 1860
Garage: 357
Decks: 0
Valuation Plan Review Fee Permit Fee Surcharge Total Fees
{:;z 1- f?,i5' '( 5 5". I t..J / jhf.7) I.!.~o ~, Zl.{'6-r2-,
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
s~~;lJ:;;;;w~fee 3/1(01
DATE ROUTED: February 27,2004
612 Cottage Lane, construction of a
new SFR with attached garage.
PERMIT # BB04 00897 tX
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PO BOX 139
MAPLE VALLEY. WA 9803
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, .. _ ^ r a.. E'lj!nC 5T \.U ' "'" <I( r~@ NE SELL PARI( DR I ~ 0...... ~ I 1 \ Y.
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d:I 0:1:1 l.l..l - 10.. 8..AvE - I I
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~ ~ "'-..'-___. : ~' II....'" ~ NA 1Ai. ~ ffi \,l.l ~ ~VIEW 0 NEI HAYTON ST.:t- I OR ' I
'" W/''' ~ c.,,,^-~ "i,,,, RESI1R'VE J;"E"~ST .MlDDLE'" ,~: : ,'<
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> '" ~_______ >~~"' _ ... ~ - I' VIEW ~" ,"" ~ -y
I ~ '" '" ~~ -.::1", 18th "'lBtt>:ST ~ -,14 ,13 'Jf.,p' '" E HIGHLANDS ASCA DE' L : _~RAIL '-I: : / <<'
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TIK VILLAGE CONDOS
20'xll0' Sewer Esm't per A.F. #989824.
S 89'43'22" E
50.00 '
200.00'
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0) I 4.744. sq.ft. ~ 0) 4.744. sq.ft. ~ 0) 'f . sq. . 5.460. sq.ft. '<:/:
'-' 1 ~ I 2
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1 10.0' Roadway I' 15 ".1 i, , R d I
. &: Utility Esm't . . :J. ~ 20 x20 oa way I,
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~ 50.00' 50.00' 32.35'
~ ' ' . ' '20';::1 . - . -=1--
'-' a. . N 89'4322 W 132.35 CJ 5000'
!:1:; ~ ~ COTTAGE LANE (Private street) TRA,CT ,t::... -l I'" ,.... "'i.
C) Cj 2,808. sq.ft. N 89t4322 W t'
~. ~ ~ N 89'43' "w 133.01' ~
~! 50.00' 50.00' 33.01' C'<' ~1- . -A' :
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I ' .. I 1 Esm't I I ,- . 20 x20 Roadway
! I &: Utility Esm't I ~
i,~o4J ~lt.J " [6681 :" i 1~1~1 LJ' @161",1
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'-'" 0) 0) t VJ I v
0) " 4.500. sq. ft. ~ I 4,500. sq.ft. ~ 4.382. eq.f. p 2 5.202. sq. ft.
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PERMIT u.N(TE~ 2(JOi~ t~)
.'+: I3HEIVJ!:HiOIV.
. . . . . -. BMto 061 SUilOlNGDEPARTMENi
Department of Commm.ity DeveloP~2!,. 286 4" Street · B,lerton · WA' 98337
(360) 478-5275 * Fax (360) 478-5278
Residential Site Plan Review Questionnaire
Permit applications arc reviewed by our staff to make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this determination, please supply the
following information with a scaled and dimensioned site plan.
Applicant Name: ~7\r::::>~E- t\1OM-€<7, rNG-
Description of Proposal: CO~ rveu.) SF-rZ
Street Address (or cross streets if no address has been assigned):
COl2 Co T17\Q t- ( AJ0t
Critical Area Questions:
1. Is there any standing or running water on the surface of the site at ANY time during the year? If
YES, please describe conditions:
DYES
2. Has any portion of the site been identified as a wetland?
I f yes please describe:
NO
3. Is the site characterized as:
4. Is the slope of the property:
DYES l25l NO
D Cleared
gentle slope
: i.
: i
.', !
: I
: I
!
, ,
I'
=~~~====r"--'
"-e ,.-.,
::::J f~ or lees
J l'1..t (0'>6 to 3~) l
100f-t.
The applicant hereby certifies that all of the above statements and the information contained in any
other transmittals made herewith arc true, and the applicant acknowledges that any action taken by
the City 0 remerton b ed in whole or in part on this application may be reversed if it develops
that an ch state r oth ifiiformation contained herein is false.
· .. '7/;/01
Date l f
T'I- 0
m
I'," t'.
'\',:' i.f,
,
1;
Department of Community Development
Current Planner, Robert .I. Grumbach, AICP
rgrumbach@cLbremerton.wa.us
March 5, 2004
Capstone Homes Inc.
ATTN: Gary Niehus
P.O. Box 139
Maple Valley, WA 98038
RE: LANDS,GAPING PLANS FOR TRIGOM SUBDIVISION
(BUILDING PERMIT NO. BB04-00897, 00898, 00899 & 00900)
Dear Mr. Niehus,
You should be aware that landscaping plans are required before the Department of Community
Development can approve building permits in the Tricom Subdivision. This was a condition of
plat approval and can be found recorded on sheet 2 of the final plat. Specifically, the plat says:
"Property owner(s) shall provide a landscape plan for review and approval by the
director of community development prior to the issuance of a building permit.
This landscape plan shall include landscaping, which includes shrubs or trees, or
a, combination of shrubs and trees, which will provide a visual separation
between the multi-family uses on the surrounding properties and the single-family
uses of properties within this subdivision. The landscaping plan shall be drawn
to scale and shall indicate existing property lines, fences and other structures.
The proposed planting should be identified by common name, caliper and size
and provision that all trees, shrubs and other landscaping shall be maintained in
a healthy growing condition and the planting area shall be maintained reasonably
free of weeds and trash. All subsequent property owners of lots in this
subdivision will be bound by the terms of the landscaping plan."
In order for us to comply with the conditions of the plat, building permits cannot be issued until
landscaping plans that meet the above terms are received and approved. At this time, your
building permits are on hold pending your submittal of landscaping plans for each permit. Please
note that landscaping plans are required for us to issue the permits, but the installation or bonding
for landscaping can be done prior to finalizing each permit.
If you have any questions, please feel free to call me at (360) 473-5379 or email at
rgrumbach@cLbremerton.wa.us. Thank you.
Sincerely,
~9~
Robert J. Grumbach, AICP
Current Planner
I~~_'!J/I'
r"-
f2, r~80;
Apr-6-04 9:27AMj
Page 2/2
,
Sent By: CAPSTONE HOMES, INC.;
...anM AP,.HoUIt'D
CMD NO. ;:1 nisI"
SETTLEMENT STATEMENT
~_ . TVI'Ii OP WAN
1.-n."II^ 2. O-;;;:,~~i'H:CONV. ,..i'it;;;
~. 0 VA S. n C::"N\r. INS.
~VMnE:'..:=r~~~ NIIMBER: ..'.=
... t.!(JR'tGAGlii IHSUFlMJcl! CASE NUMBEIl,
U. S. DI:I'AIlTMENT OF HOUSlMG Ait.b URIlAN DEVELoPMENT
Co NOTE: 1M ftJiJrll1. ftJrnJshed to #tYt~u II st4ltment of "11m/ HltI,mtnl costs. Am(7IJnl$ paid 10,(1(/ by rIM :J;;W,mr/2t INIlInllH"
sflol\fl'. Jtlln15 fI1tlfkld "(p.o.c.)" wtrt JJtiJrJ outsJd, tht closing; tflll)' 111" shown hut faf Informational purpuSr5 and an: /101
Inc.ludlld In Ih, loID/S. .
O. NAME OF IOIIROWl!R: I!. "'~Il Of SELLllR' F. NAM~ OF LEN[lER:
C"lllfl:Olle Homes, Inc.
Edwud E. Wolfe, ~t -!Ii
EX~llllt:l.ve House, Tnc.
~ :'.
l.ou 5t 6, 1 and 8, t~:l:eolll:
Plat
U. alTTL&MEN" ApENn
Executive Escrow
I. SETTLEMENT DAli', .
Go rn.......n I , [OCjiJ'ltiN:
: PLACE ()F 1:ETn.IlME;.I....
7.'ill Guenwooo AV~8\IB North
: Seattle, \IIiulhlnatoll 98103 ............__
SII..../lRY D~ ilO'AIIOwtil'B T~ANlI"tttIlN 1<. SUMMARY OF SEL.LER'S TRANSAC1'IC'N
3/5/04
J.
nn
400. GROSS At,1Ql.ilft bUll TO SE LLE.R'
401. contt~l~n~l~
402. ,P~riDnal pr~rty
403.
404.
4OS. .....
. ......
...
'.,
100... G"OIS ~u.rr (JUI! FROM 'ORAoWERr
101, Contt.tt illBS DrI~ .'
102. Peno..-l pmJJlIrty :
1 01. Settlement~ to IxIrrowBr II/rf~ 141)1)}
t04. .
105.
;-.00 . hnn,..,OO.
"--10.18
. ,.....
A~gm~'J~~~paWWH~m~~
108. CitvJI_ tlllll. to
107. CountY tlllll$ to
108. Aaessrnlntc to
100.
110-
'11.
112.
120. GRDSS AMOUNT DUt. FROM 1I0flROMR
. .
200. AMouNTS PAlO IV. OR IN BEHALFOf' BOIlROWER:
2D1_ D.po5it or aarnest mot'l':V :
202_ Prin~b)ll amoont o"fMWjj;~nl"
203.. t:xltitl;;i~nt~~ ..!aktn subjlCt tu -. I ..
~....-
205.
~.
207.
2OIl.
~.
AdJu$ttmrfrs fOr Itltn15 unpllld bY $Il1tr
210. Citv/tO\lllfl tlfllef to
21" County bJUlI to
212. Aliill_tI io
213.
214.
21S.
216-
217.
""2i"ir~-
219.
220. "tOTAL PAID !IY/POR IlCllflOWlll
300. cMl~ AT~MI1Nr FROM/TO IIbRIl~R
3Ot. Gr"$> .mount dUB 'tom Ix>n-oW'lr (fInd 120)
302. less .mllUnU plIld bylfor ~r~;' (11M 220)
303. (:ASt! cO FROMI. 10 rOI aORRomiR
Ad/IJ,lltIdnlS for iftmS Plffd b)' selltr lIt fJdllanCd __~_.... .. .__
406. Citvltown l.~es to
401. Cwnty taxes ~'-=~,...- ."_ .:.~:====
.. 408. Amssmenti .!D .. .__ _.....--'-
~" ~...-_....,.. .,... -....--
..~_...!~,. ...,..-.,.---." -.....-
411... ....__'--'-,.----
~12. v, ~ -
68../L)(I.18 420. GROSS A.MOUNT DUE TO SELLER ,.__ ~2~
500. REDUCtlONlIN AMOUNT DUE TO sElLER'
~.. ..~ ' ,..----...,...r----~~~.-
Nnn.. 6~1.~. E~ee" d&p'2slt (su ;nw'!(//ons}___. ..,._-,.."...
,__ .,~2. Stttl~nlll1t cltIfF!J!!!IIIUlIr {linJ: ~..." 16.4~~.!1.!
_._,. _~~l!lIt(Jlll'1lslla~!l!..!ublllCl..~~,_...__~_..-
_ 504. F'lVo1!offl,slrnOl!l/BlIe!Qan ,..___' 146443.8.
_.,_ ....~5. f'1~O" of m;ond !,!Clrlgtgel~,!_ ..__ _. .~..._
..!?DtI. bprcs6 11al1,..._._.. ..__.,. ....21..li
liD? .....__._. -........
500.
509.
".'
','.:.
.:';:.:
.".'
tlclJf/Stm~lltJ for i/el7lS unpaid by SI!/ln-
510. Citll/toWII taxes 10
2!k;!;.ll J!" CDlll\ly IaXlli ~ -~:""2004
512. AsstmTIln1i to
5~--' ..n
.,....__~t'4. -.... "-_.--==-~..,--
516. _v
:~~ii~: .,. ._':~:'---'==' -~..==~,:.
618. .'
.~~......,........ .'~ .... -..,,-
520. TOTAL AitltnitlON AJlOUNT oUE $I!LlEfl 163, 189, 3~
---~...
,---- -....--.
.._-~,,~
._---~
168 430.1
600. cAS~1 AT"" I 'l"LiMIiI'lT l'O/FROM SELLER
801. Gron amount t;!UIIO itller {line 420}
fl(I2. L~$ reductio"':' IUlmount dUI filne. (/In~ 5i:Q)
603. eASJlIli! TallO FROMISfll.n
l68. 000. O(
.~62.; 189. 31
4,810.68
t R('ITle )
]66,430.1.
. :
l(l!!!.ad It. io1f~ . ..~._~._-
\11~ A. MileR ..._,.~~'~
,Jerry H. Glr1lUl8 ... . ._-"
B~._.~rb:ltll ~,__,,-""--"'~"-
E6t:ste of DDUh O. l1entOE'
BYI,_~.__ .."._....---..-.........-
Paulette. Mentor
..,,~.~ I ,~'''~-.'
.. '.': .:.,:~::~:~....