HomeMy WebLinkAboutCOTTMAN AVE., 1615
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PROTECT/T:HIS CARD FROM THE'WEATHEIf
.' B~ilding~' PlundJing . 'Meehan tilt.... Fire AblrmlSprima~r
DURING INSPECTION~THE BUILDINg rERI\UT &ApPROVED PLANS SHALL B1Jj^'oN Sf,fE
Pewit # !!J! Q 2- 0. 0:3. . [p@@:1f @[ffl;@~~
'ForbiS x~cti,onsfC~ll (36Q) 473.. 5870 ApprQved~" Date" '~Notes
lIst,
. · . FOUNDATION
no. N():I.' POUR CONCRETE'
>',:nOR,TO APPROVAL
lZhd
., PLUMBING
iWEc;HANicAL
GAS PIPE
3rd
\. FRAMING
.1 Ill~t & 211d ar~ qpproved
j! " .
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;-;y,ti
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above
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approved
Prior to
fin~d
;PUBUC
WfJRKS
FIRE ,.",
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" 'Art::'
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Erosion COlltrollriPlace
. y Foundation Fo""tjiillg
Foundation wiil~
Plumbtng. .Ground Work
In Slab Mechanical
Footing InsUlation
.n::'U;:!:t' ~;;r ~ - ;;~~ ~i > 3 ~~.;~
Support I Test'1iWeter set.(;) . " "'':'" . '.::tOtO ~."
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Hold down cojiil~cti01l8
Shear Pam!!11ailillg .'
L&l Electrical Approved
Ventilation requirements
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ALL FINAL INSPECTIONS COMPEETED
Occu aile A rOVaf(Singfe Fa.mily Residence Only)
DO NOT OCCUpy BUILDING WITHOU~::BUlLDIN(rDEPARTMENr:APPROVAL
PROTECT THIS CAlID,FROM THE lVEATHER :', "
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CITY OF
BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING DIVISION
345 - 6th Street, Suite 600
Bremerton, Washington
(360) 473-5275
INSPECTION REPORT
PERMIT #: 15]& S; r {)() '3 Lf{: ADDRESS: i &z l ~ (!, A-~
6tJ/<<>oY' "fv 4:bh:c.. 5~CLC-e IVl rh~ev ~",-Jl~<9~
v1 e-e,J, -S ~ C) b <2- $' e cut.d d: \ ",-quJ a--e~
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16{-
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Date: fIl P
4 :7 ~ 6 z '60 1 +- 11
Phone: 7 ~l ~~
. INS~CTOR.
FILE
'"" -, J. j~":,.
Department of Community Development
345 - 6th 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: Ron Burley Canst. Inc
ADDRESS: 1106 Shorewood Dr. .
CITY: Brernerton, \ftJ/i.98312 STATE: ZIP
TELEPHONE: Work: ~~k'~J ~t. VD- ,y 4"Lf Homel ~!}:
",~____.,....______,",>-;::::r
PROJECT INFORMATION:
1. Tax Account Number:
2. Site Address: 'T (3 {)
GENERAL SITE INFORMATION:
3. Please check sewer service provided:
w/City ofBremerton
tJ Septic (contact Kitsap County Health for letter of
acceptability)
4. Is the site characterized as:
Forest or Vegetation
X.., Cleared
Developed
5. Please check which soil types apply
at the building site:
a Crystalline bedrock
o ~imentary and foliated rock
~andy gravel and/or gravel
o Sand, silty sand, clayey sand, silty gravel and
clayey gravel
o Clay, sandy clay, silty clay, clayey silt,
Residential Site Plan
lof3
Revision: June 2004
~
SHORELINE
6. Are any areas being developed on the site
within 200 feet of the shoreline?
7. If the answer to the above is yes, did you
attach a Shoreline Permit Submittal Checklist
(WAC 173-27 -180)?
YES @
("........~
YES ~)
CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 21.22)
8. Please give the overall slope of the parcel:
_r.;' % (see diagram below
explaining slope calculation)
9. Please give the slope at the building site:
r-:---
} %
10. Please give the steepest slope within 50 feet
of the site, include adjacent parcels:
{V %
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
HorizontallOO feet = .2 X 100 = 20% slope
Horizontal
Distance = 100 feet
11. Are there any known wetlands or wetland
buffer areas on the site?
YES
12. If the answer to the above is yes, please describe:
13. Is there any standing or running water on the
surface of the site at ANY time during the
year?
YES
..--\
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~
14. If the answer to the above is yes, please describe:
Residential Site Plan
20f3
Revision: June 2004
RESIDENTIAL DEVELOPMENT WORKSHEET
1. What is the zoning designation:
,S' ;:.:: _~
2. What is the area (square footage) of the lot?
3. Please provide the following information. Zoning development requirements are found in Section
21.02.130, Figure 130 (Lot Requirements) of the Bremerton Municipal Code (BMC). Off-street
parking requirements are found in BMC Section 21.02.670. When adding to or replacing an
existing structure, this information should reflect the entire site after work is completed.
. ",,'," '." .' "N-~C;';i:f:i ""'N~G .', ;".,"'''' ......S D' ..,".', .'JTAW
."';" 'DESCRIPTIO '.",..," .~~ll~.~~~':; //iPROPO . E',;::;"i; 'c~~i1E#.
.' :' ,'> ; >/?,. i.""; ";:~:;,~;:c~,;~ :~'f1:. ',i~;;':9jt1!;r~";j,'~,;)~iR~;
FRONT YARD SETBACK '?- ~)
REAR yARD SETBACK* * .-
f ,~
SIDE YARD SETBACK .- I
,';)
SIDE YARD SETBACK <--'
MAXIMUM HEIGHT .~ y-
LOT COVERAGE * '" *
NUMBER OF OFF-STREET -Z-.
PARKING SPACES
* To be completed by staff.
**Use this as the second front yard setback for corner lots and through lots.
"'''''''Lot Coverage is defined as that portion of a lot covered by the roof areas of ALL structures, but
not including driveways, walkways, patios and low open decks. A low open deck is defined as
rising 30 inches or less above the finished grade.
The applicant herby certifies that all of the above statements and the information contained in any
other transmittals made herewith are true, and the applicant acknowledges that any action taken by
the City ofBremerton 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.
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Applicant Signature
~ I '"C-,) 'l;}'
Date
Residential Site Plan 3 of 3
Revision: June 2004
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Washington State Energy Code: 2001 Second Edition, Prescriptive Worksheet
Zone 1
Effective 1/1/03
c
Con'dltioned RooT Ateal I -7 ~ ~
Glazing
Area
Feer
Vertical Glazing
Overhead Glazing
Door
602.7.2 Exception, Area X 3
Glazing Area Total I"...
rz..i.?
!il.t << ,
I iP !i-::' ~
Area
Weighted
B
Glazing To Floor Area Ratiol I
Glazing Area T 01811 Conditioned Roor Area
602.7.2 Exception Ratial'! '
602.t.2GlazlngAreaToIaIlCond~r Area, noltoexceed 1%
TABLE 6-1
PRESCRIPTIVE REQUIREMENTSo,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
SeIfIct
One
Option
Glazing Glazing U-Factor Wal!':! Wall- Walt-
Door" Vaulted Int4 ext4 Slab!! on
Option Araa1O: U-Factor Ceiling:! Celling3 Above Below Below Roor5 Grade
% of floor Vertical OVerhead11 Grade Grade Grade
12% 0.35 0.~8 0.20 R-38 R-30 R-15 R-lS R-I0 R-30 R.10
I 15% 0.40 0.58 0.20 R-38 R.30 R-21 R-21 R-}o R-30 R-IO
fiI 25% 0.40 0.58 0.20 R-38 / R-30 / R-211 R-IS R-IO R-30 / R-I0
Group R-t U=O.031 U=0.034 U=0.060 U=O.029
Occupancy
Only
lV. Unlimited 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-IO
I Group R-3
Occupancy
Only
~. Unlimited 0.35 0.58 0.20 R-38 I R-30 / R-21 / R-15 R.10 R.30 / R-lO
Group R-t U=O.031 U=0.034 U=o.o60 U=O.029
Occupancy
Only
~
D
D
D
See code text for footnote references
Copyright 2002 WSUCEEP 02-143
Copied by permission from Washington State University Cooperative Extension Energy Program.
(see copyright restrictions) 12/2312002 1 of 3
Washington State Energy Code: 2001 Second Edition, Prescriptive Worksheet
Zone 'I
Effective 1/1/03
Overhead Glazing
Plan Component
Glazing
\0 OescriDtion Ref. U
U
Section 602.1.2 Exception
Plan Component
~ Deocnption
\Mdth Height
at. Feet Inch Feet Inch
f ls,-~!i
, Sum of Area and UA
Area Yyeighted U = UAlArea
Wdth Height
tM8 I
Sum of Area and Area X3 I
Area
A
I,;,<'ll-!
Area
UA
=UXA
fJ.Jea
X3
Copyright 2002 WSUCEEP 02-143
Copied by permission from Washington State University Cooperative Extension Energy Program.
(see C6pyright restrictions) 12f23/2002 3 of 3
Washington State Energy Code: 2001 Second Edition, Prescriptive Worksheet
Zone 1
Effective 1/1/03
Exterior Doors
Plan
10
Ref
Door Percent. \Mdth Height Glazing Door
I
U GI d Qt FInch F et Inch Ar A
Door
UA
escriDton aze eet e $a rea
U A =UXA
One Exempt Door If 24 Sauare Feet or Less. 1 IL:~
Component
o ti
Sum of Area and UA (do not !nclude exempt door) I
Area Weighted U = UAlArea
Vertical Glazing (Windows, Doors using Exception 602.6 #1)
Plan Component Glazing
10 Description Ref. U
U
Wdth Height
Qt. Feet Inch Feet Inch
,"
~ 1..1 t{
t 1- t..
I ~ ~-
I (c 1-
'1 L... u
Sum of Area and UA
Area Weighted U :: UAJArea
Glazing
Area
UA
....
-~
~ Q
i 'z,
~o
it..,.
'"1:. Lj.
11ii.,r
Copyright 2002 WSUCEEP 02-143
Copied by permission from Washington State University Cooperative Extension Energy Program.
(see copyright restrictions) 12/2312002 2 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
'B"hr>n~,; "
'UlJ\J'" :,:""
~>.-.- Hj'
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
BB05 00348 Building Permit 1/2211 $1,128.15 $1,128.15 $0.00
BB05 00348 Mechanical Fixture Fee 1/2215 $144.00 $144.00 $0.00
BB05 00348 State Surcharge 1/0236 $4.50 $4.50 $0.00
BB05 00348 Plumbing Fixture Fee 1/2213 $111.00 $111.00 $0.00
BB05 00348 State Energy Code 1/4580 $50.00 $50.00 $0.00
Total: $1,437.65
B000004726
OS/27/2005 Plan Review Fee
$733.30
BB05 00348
Total:
$ 1,437.65
$1,437.65
CHECK
1087
Page 1 of 1
\:~
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB05 00348
DATE ISSUED: 09/13/2005
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
4546-010-009-0102
RON BURLEY CONST INC
RON BURLEY CONST INC
RON BURLEY CONST INC
SUBMITTED:
05/27/2005
VALUATION:
$123,814.73
$733.30 4580
$1,128.15 2211
$144.00 2215
$4.50 0236
$111.00 2213
$50.00 4580
$2,170.95
Plan Review Fee
Building Permit
Mechanical Fixture Fee
State Surcharge
Plumbing Fixture Fee
State Energy Code
TOTAL FEES:
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SF-3
(360) 340-1564
(360) 340-1564
(360) 340-1564
0-
SITE ADDRESS:
ADDRESS:
1615 COTTMAN AVE, LOT 9
1106 SHOREWOOD DR, BREMERTON, WA 98312
1106 SHOREWOOD DR, BREMERTON, WA 98312
1106 SHOREWOOD DR, BREMERTON, WA 98312
STATUS: ISSUED
APPROVED: 09/12/2005
03/12/2006
Residential Bu i1ding Per
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
Building Code Edition: IBC: 2003
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Square Footage:
Dwellings - Type V Wood Frame
Private ~arages - Wood Frame
1,736 SOFT
445 SOFT
(360) 473.5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or
abandoned at any time after the work is commenced for a period of 180 days. It is the responsibiiity of the permit holder to see that the required inspections are made. Failure to obtain
required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code
requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all
responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of
any State or iocal iaw regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the
State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building
and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
CONDITIONS
City of Bremerton's ppr 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.
DCD: Driveways and parking areas must be paved.
DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site
and be available for inspection.
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) Panels between 2 foot 8
in & 4 feet shall have tie down devices in accordance with the 2003 IRC
2. Smoke Alarms-Shall b~ interconnected 110-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., range hood 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.
PRINTED NAME:
I have read, and agree to abide by
SIGNATURE OF OWNER OR
AGENT:
1. (DCD-13)
2. (DCD-14)
3. (DCD-20)
mit including all conditions of zoning, building codes, and State and Federal laws.
D
J,." 'C
~~
Page 1 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 8805 00348
DATE ISSUED: 09/13/2005
345 - 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 4546-010-009-0102 ZONING: SF-3 SITE ADDRESS: 1615 COTTMAN AVE, LOT 9
APPLICANT NAME: RON BURLEY CONST INC PHONE: (360) 340-1564 ADDRESS: 1106 SHOREWOOD DR, BREMERTON, WA 98312
OWNER NAME: RON BURLEY CONST INC PHONE: (360) 340-1564 ADDRESS: 1106 SHOREWOOD DR, BREMERTON, WA 98312
CONTRACTOR: RON BURLEY CONST INC PHONE: (360) 340-1564 ADDRESS: 1106 SHOREWOOD DR, BREMERTON, WA 98312
LENDER NAME: PHONE: 0- ADDRESS:
SUBMITTED: OS/27/2005 APPROVED: 09/12/2005 EXPIRATION: 03/12/2006 STATUS: ISSUED
4. (ENGR-1002)
5. (ENGR-1005)
6. (ENGR-2002)
7. (ENGR-2008)
8. (ENGR-3001)
9. (ENGR-3011)
10. (ENGR-4001)
11. (ENGR-5001)
12. (ENGR-5001)
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
2003 International Codes:
International Building Code
International Residential Code
International Existing Building Code
International Fire Code
International Mechanical Code
Uniform Plumbing Code
International Fuel Gas Code
1998 WA State Barrier Free Code
2001 WA State Energy Code
2000 WA State Ventilation Code
Check For All Washington State Amendments.
Check For Notes On Plan
ENGR: Engineered Site Plan is required.
ENGR: Right-of-Way Permit required prior to issuance of a building or grading permit.
ENGR: Engineered Temporary Erosion & Sedimentation Control Plan is required. TESC
Plan shall be according to BMC 15.04.042 for Large Minimum Development requirements.
ENGR: SEPA is required for overall project.
ENGR: Frontage Improvements are required per City Ordinance 11.12.110.
ENGR: Install new curb, gutter, sidewalk, storm drainage, and pavement improvements.
ENGR: Stormwater quantity and quality mitigation is required for the addition of 5000 SF of
impervious surface or land disturbing activities on 1 acre or more per BMC 15.04.042
ENGR: Water main extension is required.
ENGR: Sewer main extension is required.
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Page 2 of 3
..
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER BB05 00348
DATE ISSUED: 09/13/2005
345. 6th Street, Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
4546-010-009-0102
RON BURLEY CONST INC
RON BURLEY CONST INC
RON BURLEY CONST INC
ZONING: SF-3 SITE ADDRESS: 1615 COTTMAN AVE, LOT 9
PHONE: (360) 340-1564 ADDRESS: 1106 SHOREWOOD DR, BREMERTON, WA 98312
PHONE: (360) 340-1564 ADDRESS: 1106 SHOREWOOD DR, BREMERTON, WA 98312
PHONE: (360) 340-1564 ADDRESS: 1106 SHOREWOOD DR, BREMERTON, WA 98312
PHONE: 0- ADDRESS:
APPROVED: 09/12/2005 EXPIRATION: 03/12/2006 STATUS: ISSUED
SUBMITTED:
OS/27/2005
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Foundation Footings
Foundation Walls
Mechanical
Plumbing Groundwork
Plumbing Rough-In
Framing
Insulation
Sheetrock Nailing
Driveway
Sewer Lateral
Final Inspection - Building
Driveway approach
Right-ot-way Other
Qty
2
4
1
1
2
3
I
Descriotion
R-Tub and/or Shower Unit
R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R-Dish Washer
R-Clothes Washing Machine
R-Hose Bibs
R-Water Closet and/or Urinal
FIXTURE LIST
Qty
1
4
1
1
1
3
1
Descriptior
R-Fireplace-Gas, or Gas Log Insert
R-Gaspipe System LPG/NATL/OIL
R-Clothes Dryer with Exhaust
R-Gas Water Heater Vent & Combustion Air
R-Natural Gas Furnace +/- Ducting
R-Bath Fan and/or Exhaust Fan
R-Range Hood
Page 3 of 3
FIl
~~'?3 00 ?J4-~
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PERM!'l' CENTER
Building Permit Application
Dept. of Community Development * 345 - 6th Street Suite 600 * Bremerton * W A * 98337-1873
360 473-5275 * Fax (360 473-5278
Site Address:
rn-NEW SINGLE-FAMILY RESIDENCE
D NEW DUPLEX
D NEW MANUFACTURED HOME
o RESIDENTIAL REMODEL
o RESIDENTIAL ADDITION
o RESIDENTIAL REPAIR
o NEW COMMERCIAL
o COMMERCIAL REMODEL
o COMMERCIAL ADDITION
o COMMERCIAL REPAIR
D NEW MULTI-FAMILY
D TENANT IMPROVEMENT
o NEW GARAGE/CAR PORT
D NEW ACCESSORY BUILDING
o NEW SIGN
D STRUCTURE DEMOLITION _"
o GRADING (Cubic Yards:
o OTHER:
f) (r\
f\.aJL 0)
DcD
5 - d~ 0- oS
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Scope of work proposed:
(~O&.---'l $",(i'evt._T
S -
(-. (c
YESD NO ~
"
Square Footage: Dwelling: i I -~ L.
Garage: 44 ~r;:-
Valuation
Plan Review Fee
PermIt Fee
Surcharge
4'SD
1, . I'S
Decks:
Total Fees
~ ,7DQs
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.
f?;8D5 663~~
PERMIT CENTER
Dept. of Community Development * 345 - 6th Street. Suite 600 * Bremerton * W A * 98337-1873
Propane.
- . /' }' ,
"':_/- -" ..
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
'I RANGE .--- --..... .~ WATER CLOSET
) WOOD/PELLET STOV~GAS FIREPj"ACjY' J BATHTUB
c GAS FURNACE btu: ~ OU "''l-) 3 LAVATORY (BATH SINK)
CONVERSION BURNER btu: J SHOWER
UNIT HEATER btu: i KITCHEN SINK
BOILER btu: I DISHWASHER
~ GAS PIPING LAUNDRY TRAY
EVAPORATION COOLERS btu: I CLOTHES WASHER
AlC UNIT btu: I WATER HEATER /.~., /?#'.~
HEAT PUMP btu: URINAL
REHEAT BOX but: DRINKING FOUNTAIN
~~ EXHAUST FANS FLOOR SINK OR DRAIN
1 RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAPIINTERCEPTOR
I CLOTHERS DRYER "l... HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT AL TERA TION SWIMMING POOL
TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME)
REFRIGERATION UNIT c:: ROOF DRAINS
OTHER: OTHER:
OTHER: OTHER:
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
~)'"
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
345 - 6th Street, Suite 600, Bremerton, WA 98337-1873
(360) 473-5275 Fax: (360) 473-5278
Receipt Number:
i9B~e .
BB05 00348
Plan Review Fee
1/4580
$733.30
Total:
$733.30
$733.30
$0.00
Total:
$ 733.30
$733.30
CHECK
1044
Page 1 of 1
---J -- -- ----- -~~
Department of Community Development
345 - 6th Street, Suite 600
Bremerton, WA 98337-1873
'1 c
" ~~
~
Phone: (360) 473-5275
Fax: 360 473-5278
RESIDENTIAL BUILDING PERMIT CHECKLIST
Applicant
..-""
K '0 L.) ~v 0 1.. ~e\
L-o u !-n. ..:..r j....) c...
s- / '7.- 0 /~~
Building Permit #:
Date:
All plans to be fully dimensioned or drawn to scale.
o Completed Application
o Scope of Work
o Vicinity Map
o Site Plan
o Site Plan Review Questionnaire
o Foundation Plan
o Floor Plan
o Framing Plan
o \Vall Bracing
o Elevations
o Energy Code Information
o StreetJUtility Permits Required
o Paved Parking Indicated (2-otT street)
o Contractor's License # and Expiration Date (Unless OwnerlBuildei)
o Route to Health Department (If there is a septic tank & drainfield.)
o SEP A Required?
DYes
(E' No Why
o Special ConditionslPermits?
Comments:
'..
,. ~ ..
1m" ('-"""""Y" " /,,/ \L4(O;ftf rDfl"'q ooo'? I un' 1.
~~~ J I ~()fr ~ #-- u\~~,~~O'~ \,3~:E:B~R BB0500348
_______~____--:t21:k-DLQ--=--DL> 'y- Ll12D3 tV A /_0 AfA j; ~Q.c~__L_____"-l_____________n
\ ~ I I'
ASSESSOR NUMBER:, ~.,o~ "~Q "'lie:::: ZONING: SF-3 I SITE ADDRESS: ,q~,~~:rrMA':YAVE, LOT 9 ,,/
APPLICANT NAME:\ RON BURLEY gONS1\{NC PHONE: (360) 340-1564 ADDRESS: 11 06~0REWOODDR, BREMERTON, WA 98312
OWNER NAME: RON BURL~Yt:ONST INC PHONE=../C36;;-)'3:rn~64 ADDRESS: 11.9.6'SHOREWOOD DR, BREMERTON, WA 98312
CONTRACTOR: 'RON'Bt:JRlEY CONST IN~ !"HONE: (360) 340-1564 ADDRESS: __/'1'106 SHOREWOOD DR, BREMERTON, WA 98312
"--~.~,.~.,'" ,............,~ -----~....
LENDER NAME: PHONE: ()- ADDRESS:
SUBMITTED: OS/27/2005
VALUATION: $123,814.73
Plan Review Fee $733.30 4580
Building Permit $1,128.15 2211
Mechanical Fixture Fee $144.00 2215
State Surcharge $4.50 0236
Plumbing Fixture Fee $111.00 2213
State Energy Code $50.00 4580
APPROVED:
EXPIRATION:
11/23/2005
STATUS: PENDING
Residential Building Permit w/ Mechanical/Plumbing
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
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TOTAL FEES: $2,170.95
t'
Square Footage: Dwellings - Type V Wood Frame
_ , ... .., __ .-_--. "'_ ___.l2i;'at~Q~@~es - Wood Frame
1,736 SQn
445 SQFT
\;lqlos ~ ~tJ- : I
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t~ flD1\ ~<'~ ~r-~/I ~K . /
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I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
DATE: _
CONDITIONS
1. (OCD-01)
OCD: 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).
OCD: For more information, please contact Clean Air Agency through their web site at
www.c1eanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be
found at www.lnLwa_gov/p-ts/asbestos/asbestos.htm.
2. (DCD-02)
1
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