HomeMy WebLinkAboutCOTTMAN AVE., 1653
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BUILDING PEKA7fIT
INSPECTION
CARD
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BREMER TON
PROTECT THIS CARD FROM THE WEATHER
Building Plunibing r:i Mechanical 11 ire Alarm/Sprinkler 0
DURING INSPECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE
Permit # BB03 -DQ fa as ~@@u @~ @~lr~
For Inspections Call (360) 473- 5870 Approved Date Notes
1st
j FOUl\TJJATION
DO NOT POUR CONCRETE
PRIOR TO APPROVAL
~ 2nd
PLUMBING
MECHA~NICAL
GAS PIPE
3rd
~ FRAMING
~ If 1st & 2nd are approved
~ 4th
. INSULATION
~ sth
6th
~ FINAL
SHEETROCK
All of the
above
:Must be
approved
Prior to
fmal
PUBLIC
Tf70RKS
Erosion Control In Place
Foundation Footing
Foundation walls
Plumbing Ground Work
In Slab Mechanical
/~~2')-(L~
11-~
1-/3-6S
Footing Insulation
\.A
2EJ
4J-
II ~
.4/1__ .. II. _11
Rough In
Duct / Vent
Support / Test / Meter set I
-
w:/d
IJ
Hold down connections
Shear Panel nailing
L&I Electrical Approved
Ventilation requirements
Framin
Under-floor
walls
ceiling
~
lANCE
Driveway 473-5270
Sewer 473-5270
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ALL FINAL LlVSPECTIONS COA1PLETED
1f
DO NOT OCCupy BUILDING \\7fTHOUT BUILIDrnG DEPARJ,1ENT APPROVAL
OCCUPANCY VIOLATION IS A MISDEMEANOR - S~CTION 305(d)
PROTECT THIS C4RD FR01~1 THE WEA THER
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED: ~,~Ltqf~du~~
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 4546-010-002-0000
APPLICANT NAME: PROPERTY MAINTENANCE CONST
OWNER NAME: PROPERTY MAINTENANCE CONST
CONTRACTOR: PROPERTY MAINT CONST INC
LENDER NAME:
SUBMITTED: 10/28/2003
VALUATION: $110,475.78
State Energy Code $50.00 4580
State Surcharge $4.50 0236
Building Permit $1,055.35 2211
Plan Review Fee $685.98 4580
Mechanical Fixture Fee $154.65 2215
Plumbing Fixture Fee $97.00 2213
TOTAL FEES: ~~>f" iif~147 ,48
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
1653 COTTMAN AVE L::1: ~
3530 NE OLD BELFAIR HWY 50
3530 NE OLD BELFAIR HWY 50
502 HIGH STREET
SF-3
0-
APPROVED:
12/09/2003
EXPIRATION:
06/07/2004
~ffu~~~I~I1l:ltlnai'iig P2~l!twfMeehaWi!i7PI~~"ffingl' ..1T'd~..
CONSTRUCT 1 NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE
Building Code Edition: UBC: 1997
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
~ in I ing all conditions of zoning, building codes, and State and Federal laws.
DATE:
I L- - (CY- O''j>
Square Footage:
Decks - Wood Frame
Dwellin9s - Type V Wood Frame
Private Garages - Wood Frame
196 SOFT
1,547 SOFT
338 SOFT
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or localloaw regulating
construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law
under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are
required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME:
(360) 473-5870
(360) 415-4000
Fire Inspections
H/D: Bremerton, Kitsap County Health District
PW: Department of Public Works
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
1. Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and
Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to
determine whether there are asbestos-containing materials in the work area or structure. The asbestos survey must
be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family
residences).
2. For more information, please contact Clean Air Agency through their web site at www.c1eanair.org or by phone at
800-552-3565 or 206-689-4058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm.
3. Private Streets shall be developed to City Engineering Standards per City Ordinance 11.12.130
4. Temporary Erosion & Sedimentation Control shall be according to BMC 15.04.042 for Small Parcel Minimum
requirements.
5. 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
90
5::5
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Page 1 of 3
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286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
ASSESSOR NUMBER: 4546-010-002-0000 ZONING: SF-3 SITE ADDRESS: 1653 COTTMAN AVE
APPLICANT NAME: PROPERTY MAINTENANCE CONST PHONE: ADDRESS: 3530 NE OLD BELFAIR HWY 50
OWNER NAME: PROPERTY MAINTENANCE CONST PHONE: ADDRESS: 3530 NE OLD BELFAIR HWY 50
CONTRACTOR: PROPERTY MAINT CONST INC PHONE: ADDRESS: 502 HIGH STREET
LENDER NAME: PHONE: 0- ADDRESS:
SUBMITTED: 1 0/28/2003 APPROVED: 12/09/2003 EXPIRATION: 06/07/2004
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6. All utility fees and assessment shall be paid prior to final occupancy approval
7. Driveways and parking areas must be paved.
8. Driveway width is limited 10 to 20 feet in the front yard setback area.
9. Approved with attached checklist and/or notes on plans.
10. Energy code compliance stickers shall remain on windows until framing inspection is approved by Building
Department.
11. No stormwater shall be allowed to drain onto adjacent private properties or the public right-of-way.
12. Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection.
13. Call 800-424-5555 for Underground Locates.
14. 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., 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.
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
CHECK FOR NOTES ON APPROVED PLANS.
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
Page 2 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER ~~~Q~:;~iI120621.
DATE ISSUED: ~7il~_~
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 4546-010-002-0000 ZONING: SF-3 SITE ADDRESS: 1653 COTTMAN AVE
APPLICANT NAME: PROPERTY MAINTENANCE CONST PHONE: ADDRESS: 3530 NE OLD BELFAIR HWY 50
OWNER NAME: PROPERTY MAINTENANCE CONST PHONE: ADDRESS: 3530 NE OLD BELFAIR HWY 50
CONTRACTOR: PROPERTY MAINT CONST INC PHONE: ADDRESS: 502 HIGH STREET
LENDER NAME: PHONE: 0- ADDRESS:
SUBMITTED: 10/28/2003 APPROVED: 12/09/2003 EXPIRATION: 06/07/2004
Qty
2
2
1
1
3
2
Description
R-Water Closet and/or Urinal
R-Hose Bibs
R-Clothes Washing Machine
R-Dish Washer
R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R-Tub and/or Shower Unit
FIXTURE LIST
Qty
3
1
1
1
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
R-Gaspipe System LPG/NATL/OIL
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:
~Qi;li;llkI01
Wifl-f' ~--"'l~<
~k '" ,-, 3Jj~,~"
286 Fourth 51. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB03 00625 State Energy Code 1/4580 $ 50.00 $ 50.00 $0.00
BB03 00625 State Surcharge 1/0236 $ 4.50 $ 4.50 $0.00
BB03 00625 Building Permit 1/2211 $ 1,055.35 $ 1,055.35 $0.00
BB03 00625 Mechanical Fixture Fee 1/2215 $ 154.65 $ 154.65 $0.00
BB0300625 Plumbing Fixture Fee 1/2213 $ 97.00 $ 97.00 $0.00
Total: $ 1,361.50
B000000951
10/28/2003
Plan Review Fee
$685.98
BB0300625
.!itji;pll:n~'i~!rc;!'!~i0"
.i~ethod'?'"
CHECK
Total:
$ 1 ,361.50
$ 1 ,361.50
2323
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PERMIT CENTER
Department ofCommunit;y Development * 286 4th Street * Bremerton * WA * 98337
(360) 478-5275 * Fax (360) 478-5278
Residential Site Plan Review Questionnaire
Permit applications are 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: ~L ~OlJJ1
Description of Proposal: NEW ~ I tJ6 LF fA M /1/
Street Address (or cross streets ifno address hilS been assigned):
... 45*-OlO-
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?
If yes please describe:
NO
3. Is the site characterized as:
4. Is the slope of the property:
D Forest
D flat
~NO
Cleared D Develo ed
. gentle slope D steep slope
DYES
15 ft or filOre
Steep (15%+)
-I
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3 It or less
Flat (0% to 3%)
100 ft:.
The applicant hereby certifies that all of the above statements and the information contained in any
other ansmittals ade herewith are true, and the applicant acknowledges that any action taken by
the ty of Brem on based in whole or in part on this application may be reversed if it develops
that y such 8ta ment or other information cootaioed heth is Ae.
10 7,,7 wos
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Kitsap County Parcel Search Map
Kitsap County Parcel Search
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1=-~~'e?tA!.~~-~__.~__ .~. D~~:~ent
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Copyright Kitsap County
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. THIS fvlAP IS NOT A
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* imagery provided by Space
imaging 2001 _
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http://kcwppub3.co.kitsap . wa. us/web site/parcel search/presentation/ charnel eon/map. asp?C... 10/28/2003
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FIRE TRAI~ING
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CITY OF BREMERTON
. -DEPARTMENT OF PUBLIC WORKS & UTILITIES
ENGINEERING DIVISION
DATE OF REVISION: 3/25/02
All users are encouraged to report discrepancies!.. errors or omissions
to the City of Bremerton Engineering Division, ATTN Bob Elsen
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CITY OF BREMERTON. WASHINGTON
BREMERTON CITY TREASURER
PAID
DEPARTMENT OF PUBLIC WORKS
PERMIT
NOV 2
Fri Nov 21. 2003
Permit # 4618
Permit Fee:
$140.00
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,;2-, 4D
THANK YOU
APPLICANT: PROPERTY MAINTENANCE CONSTR. * Certificate Of Insurance Is On File
3'-'0
Owner: PROPERTY MAINTENANCE CONSTR. Address: 1653 COTTMAN AVE Ph: 551-2196
Work Addresses:
1637 COTTMAN AVE
c'-'~T65'3~CiiT:]MXN~iv{, "- Jf
1685 COTTMAN AVE
TYPE B PERMIT
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BREMERTON
BUILDING DEPARTMENT
A PERMIT IS HEREBY ISSUED for the performance of the following:
CONNECT ROAD APPROACH WITH EXISTING CITY STREET PAVEMENT.
This work requires blockage of a street or alley and may cut off access to
property for emergency vehicles
This permit is valid for 90 calendar days commencing with the date of this permit unless specifically called
out under limitations below. This permit must be posted on the job site in a location accessible to City
Employees. The Engineering Department must have 24 hours notice of the need for a required inspection. An
inspection must be made prior to any work commencing and after completion of the job. Phone 478,5270.
Limitations: SEE ATTACHED COMMENTS AND CONDITIONS. ALSO CONNECTION OF
WATER AND SEWER MAINS IN THE RIGHT,OF-WAY.
WORK SCHEDULE
Commence Work: 11/21/2003 1:00PM
Complete Work: 03/21/2004 4:00PM
INSPECTION RECORD
Date of Inspection:
Date of Approval:
Comment: CONTACT PERSON: STEVE JAHNKE, PAUL WARNER
11/;{(e'&--r/ftg;Ja7 .
CIssuel ' M. BABBITT)
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CITY OF BREMERTON ENGINEERING DEPARTMENT
RIGHT OF WAY PERMIT NO. 4(7/5
1. For underground locates call: 800-424-5555
2. Traffic Control shall be per Washington State M.D.T.C.D. and City of Bremerton Standards.
Notify CENCOM (616-5800), Kitsap Transit, Paratransit, Bremerton School District
(during school year), Mail and Package Delivery Services, and Waste Disposal Companies of
work schedule prior to start of work, if blocking driving lanes. When blocking sidewalks,
Sidewalk Closed signs shall be used at each end of the work area during construction and at
the nearest intersections. For street closures and major street construction, guide signs shall
be used to inform the public of dates of changing construction activity and facility access
conditions.
3. This Permit and a COpy of the Approved Plans shall be kept on the work site during
construction.
4. The Contractor's emergency contact person and phone number shall be on file with the City
and with CenCom. If efforts fail to contact the Contractor within a reasonable period of
time, based on the nature of the emergency, all work performed by the City shall be at the
Contractor's expense.
5. The Permittee and any ofthe Permittee's contractors are required to name the City of
Bremerton as additional insured for the work in the right-of-way on their insurance policies.
6. The Contractor shall notify the adjacent property owners and the City of Bremerton
Engineering Department three (3) workinl?: days prior to start of Work and the start of
Paving.
7. Erosion Control and Dust Control shall be used. The street shall be cleaned each evening
and at other times when causing a hazard.. Catch basins and ditches shall be protected from
dirt and debris per City of Bremerton Standards. No dirt or debris shall be left on an open
sidewalk. No dirt shall be left on grass or landscaping for such a length of time that it will
result in damaged or dead plants.
8. Any landscaping, pavement, sidewalk, sign, mail box, retaining wall, or other structure in the
RJW disturbed or damaged during construction shall be restored to its original or better
condition per City of Bremerton Standards.
9. Any Stop Sign in the work zone shall be protected from damage and if temporarily removed
shall be reinstalled immediately after the temporary traffic control has ended. Any other
street signs and traffic channelization removed or damaged shall be reinstalled in the same
locations at the Contractor's expense.
10. When installing underground utilities, the Contractor shall maintain a parallel distance of 5
feet away from other City owned underground utilities. Buried conduit and cable shall have
a minimum of 2 feet of cover over the top of pipe. In paved areas that 2 feet minimum is
measured from the bottom of pavement to the top of pipe.
11. All new street lighting plans shall be reviewed and material submittals approved by the City
prior to construction.
12. If there is a question about, or damage to a City owned utility call 360-478-5920 for
assistance during 7:30am to 4:00pm. After 4:00pm call 911 and request that the "Standby"
Utility Worker be contacted.
13. Received from the City of Bremerton:
Trench and Surface Restoration Standards
Curb & Gutter, Sidewalk, and Driveway Standards
Other: D I/l/l/ S-r d, -tt:J / ;Z ;L
Other: /
RECEIVED BY ~cg ?:-L
DATE:
i { - 2, - C ::.
City of Bremerton - PERMIT CENTER
Residential Plan Review Checklist
ALTERNATE BRACED WALL PANEL (ABWP) PER USC
SECTION 2326.11.4, ITEM 1 & 2: TWO STORY STRUCTURE DETAIL
/-----
\ =- =-=- -=- -=-
\
HEADER -'-
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2"X_STIJDS - NAIL SHEATHING
10 All STUDS &PLA1ES WISd.
COMM:ON OR GALV. BOX NAILS
@ 6" Ote@ ED::;-E:; &12" @ote
@ INTERMEDI.A.TE SUProRTS
AND BLOCKED AT All PL'1.'1i\i'OOD
ED::;-E; - TAB LE 23-1-0
3-112" X 12" ANCHOR BOLTS
VlITH 7" MIN 1l'llB EDMENT
AND PLACED @ PANEL ONE
FIFTII POINTS
2-NO.4
P...EINFORCEM:ENT
BAPS!vIlli GRADE
4O@ 3" Mm FROM
FCOTING B OTIDM
( 12" MIN LAPSPLICE)
32 INCH MIN - IF LESS
"RN(~ThT"RliRThTr. T<: 'P."RQTTffi"RD
OIlER 4 FT - AB'I.VP NOT REQ
2-2"X _ TOP PLATES NAIL
SHEATHING 10 EACH
PLATE 'iNITH 3d COMMON
OR GALV. BOX @.6"ONCENTER
____________.1_
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I I I I I I I
I II I I II
I I I I I II
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III I I II
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WAll ASSEMBLY MAX HEIGHT
10. IT TO lOP OFPLATE
MIN318" AP.A.PJ1..TED
PLYOOOD SHEATHING
ON BOTH SIDES OF WALL
(OUTS IDE & mSIDE)
AFPROVED STEEL HOLD DO'ihiNS
IN CONCRETE (lem LB MIN
UPLIFT CAPACm) INSTAllED
PER MANUFAC'IURED SPECS
2-2"X_PLATE (BOTIOMPLATE
PRESSURE TREATED) NAIL
SHEATHING 10 EACH PLATE
wrrn 3d COMIv!ON ORGALV.
BOX @J 6" ON CENTER
NO.4 MIN FOID<rDA TION BAR
(12" Mm UPSPLICE)
-----------------
CONTINUOUS :mOTING &
p...EmFORCEMDHBAR
The following Simpson connectors are
sufficient for these ABW Panel applIcations:
8" foundation wal1/2000psi concrete - holdown 5" min from end of wall. HD5A,
PHD2, PHD5A & HTT 16 W/5/8" SSTB 16
8" foundation wal1/2000psi concrete - holdown 1/2" min from end of wall.
STHD14 & STHD 14 RJ
11
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~803 Obfn,
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})LS 1- 8'
PERMIT CENTER
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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: 0 OWNER 0 CONTRACTOR ~ AUTHORIZED AGE T1-
SiteAddress tJO poSl6tJro Tax Account Number: 4t51i.,-O\O...-DDOQ
:tA
IJ1 t I Nc' .
Address: 01.. H 16 H
fD~ oecl-\~{lO W . q 34~
Phone #: Phone #: ( ,10 0 ) '5'51 - 1 b
Authorized Agent Address: ~ L. ~LL-i
Cit . State, Zip tz,16 U.~ AVf: SE.
Phone #r.\ (~S ) t.?5' -II 00
Check the type of application for beiow: ) . .,'
0' NEW SINGLE-FAMILY RESIDENCE 0 NEW CO MER I EJ----Ffiw GA EICAR PORT
o NEW DUPLEX 0 COMME~{ MQ~ LN A ESSORY SLDG
O NEW MANUFACTURED HOME 0 COMMERCIAL ADDI I N J ' IG - - ./
I t\
o RESIDENTIAL REMODEL 0 COMMERCIAL REPt ' CTURE DEMOLITION
o RESIDENTIAL ADDITION 0 NEW MUL TI-FAMIL '1 GRADING (Cubic yards: -)
o RES!DENTIAL REPAIR 0 TENANT IMPROVEIV\I' 0 OTHER
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES 0 . NO )l1
Scope of Work Proposed: ?jlN6lk FAMIL-1 ~e5IDaJCE KE3~ foN91l2.J&Th>N
Square Footage: Dwelling: '~41
Garage:
~3B
Decks: ~ to
Valuation Plan Review Fee Permit Fee
o 47j': 60/>-' c;~ #SS'.;JS' r.~:J r-.
_ O~, .
Application for which no permit is issued within 180 days foliowing the date of application shali 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 t e applicant for a period not exceeding 180 days on request by
the applicant showing the circumstances be nd the trol of the applicant have prevented action from being taken. No
applicant shall be extended more than on . In ord to renew action on an application after expiration, the applicant
shall resubm~ plans and pay a new plan view fee. I I
APPLICANT'S SIGNATURE: DATE: lof!/ /:!OJ'S
. ,
C~"N A\I'-C..
DATE ROUTED: October 29, 2003 U)
West Zircon Lane & West Barnes St
NO Address, New Single Family
Residence with attached garage.
PERMIT # BB03 00625
LV
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DATE RECEIVED
ccc
rol ~ (g ~ B :J[~ lrri
~U OCT ~ 8 2003 U
BREMERlON
BUll1J1NG DEPARTMENT
TRAFFIC
J
~ot~
6803 O'DCn'2~
S t:--3
])LS '1- ~
PERMIT CENTER
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Department of Community Development * 286 4th Street * Bremerton * W A * 98337
(360) 478-5275 * Fax (360) 478-5278
APPLICANT:
Site Address
Check the type of application for below:
~ NEW SINGLE-FAMILY RESIDENCE 0 NEW COMMERCIAL 0 NEW GARAGE/CAR PORT
o NEW DUPLEX. 0 COMMERCIAL REMODEL 0 NEW ACCESSORY SLDG
o NEW MANUFACTURED HOME 0 COMMERCIAL ADDITION 0 NEW SIGN
o RESIDENTIAL REMODEL 0 COMMERCIAL REPAIR 0 STRUCTURE DEMOLITION
o RESIOENTIAL ADDITION 0 NEW MULTI-FAMILY 0 GRADING (Cubic yards: -)
o RESIDENTIAL REPAIR 0 TENANT IMPROVEMENT 0 OTHER
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES 0 NO gl
Scope of Work Proposed: ~lNGlk FAMIL-1 ~ES IDWCE Nc~ ~oN~N
Square Footage: Dwelling: . \C541
Garage:
~3f?
Decks: ~ 10
Plan Review Fee Permit Fee
o 47J'. 6 o~-, C;c5 IS5.;JS' r.'::;-0 r-,
OLf'1' .
Application for which no permit is issued within 180 days foliowing 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 e applicant for a period not exceeding 180 days on request by
the applicant showing the circumstances be nd the trol of the applicant have prevented action from being taken. No
applicant shall be extended more than on . In ord to renew action on an application after expiration, the applicant
shall resubmit plans and pay a new plan view fee. 6 ~
APPLICANT'S SIGNATURE: DATE: lo.!' t!JJ/~
/
~ -{
(lbT "L)EB 03
PERMIT CENTER
()Ob2~
SL -3
"0 \5 'f- g"
Department of Community Development * 286 4th Street * Bremerton * W A * 98337
(360) 478-5275 * Fax (360) 478-5278
I gJ I MECHANICAL PLUMBING
Type of Fuel:
Occupancy:
Site Address:
D Propane
CONTRACTOR:
NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
-
CD RANGE - C2"J WATER CLOSET -iiY
t'C) WOOD/PELLET STOVE/GAS FIREPLACE - G;> BATHTUB
"'(1) GAS FURNACE btu ~ -"'2:) LAVATORY (BATH SINK) -
.--
CONVERSION BURNER: btu -- SHOWER
-
UNIT HEATER btu (() KITCHEN SINK
BOILER btu tL: DISHWASHER I
, .:>
(f) GAS PIPING ..h.. - LAUNDRY TRAY
/ EVAPORATION COOLERS btu aD CLOTHES WASHER
AC UNIT btu (1") WATER HEATER -=-
HEAT PUMP btu URINAL ,
REHEAT BOX btu: DRINKING FOUNTAIN
13) EXHAUST FANS _ FLOOR SINK OR DRAIN
CO RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION
RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR
(D CLOTHES DRYER ~ r(1/J HOSE BIBBS -- -
r
INCINERATOR LAWN SPRINKLER SYSTEM
DUCT AL TERA TION SWIMMING POOL
TANK TYPE: BLDG. SEWER: (MOBIL/MOVED HOME)
REFRIGERATION UNIT ROOF DRAINS
OTHER: ~ OTHER:
rv1ECHANICAL FEES: oJ IS'f,bS
PLUM ~NG FEES: It Ofl,llU
TOTM. FEES: II 1047/03
U1.--, k
Applicant's Signatur Date
I
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
Bbbo6069~,1
"""",.,I!;~
286 Fourth Sl. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
,;DIi~:::i:,' ;."'11,, .,.,".::,'" ';;~~'!I!~;:;
~j'i~~ay~e ~>;W~: l;R~RT~i~~IN,.ENA~GE;~~(j)~~
Total:
$ 685.98
$ 685.98
$0.00
880300625
CREDIT CARD
Total:
<...,."r
~
Page 1 of 1
C()HIVt"JJ AJ(.,
DATE ROUTED: October 29, 2003
West Zircon Lane & West Barnes St
NO Address, New Single Famify
Residence with attached garage.
PERMIT # BB03 00624
DE
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DATE RECEIVED ~
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TRAFFIC
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1m OCl 2 8 2003 ~
BREMERTON
ButtmNG DEPARTMENT
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lru I'WV 1 0 2003 ~
BREMERTON
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PUBLIC WORKS AND UTILITIES
ENGINEERING DIVISION
3027 Olympus Drive' Bremerton, WA 983 J 0-4799 . (360) 478-5318 : FAX (360) 478-5018
ADDRESS FORM
(360) 478-5270, FA.,-X (360) 478-5398
APPLICANT INFORMATION
DATE' 1//.1/!7 3
. I /
NAME: f> In c . /It C, ) Y!-eve .Jtl-LJf-Ke-
ADDRESS: 5iJ ~ /-Ii t~ ~'t~ Sa~-fe /1//1
CITY/STATElZIP: /bIt! {i/'C,jVl~i ii/II f'l.l,b--6
KITSAP COUNTY PROPERTY 1.0. NO. (FOR LOT TO BE ADDRESSED): 4546 .....C/ tJ...- tJl cJ;J- - () (JtJ D
1~}1EW A'pD.RESS . ~CHANGEADDRESS
.Jf. Cc 141 f~J1.<-. eXlsrl ~
PHONE: 360 -55' ) - 7/9,.6
FAX: g ~ () - 8' 74-~ t!?!l~
PLE.!..SE DRAW A DIAGRAM OF YOUR PROPERTY, INCLUDING ADDRESSES OF NEIGHBORS. DRAW DRIVEWAY LOCATION AND'
SHOW STREET. NAME THAT DRIVEWAY ACCESSES. INDICATE WHICH DiRECTION is NORTH.
5ce /il/t:ld<ecJ,'
~O~~~tl\V7~rrY\
! HOV 102003 .~
, .
\3REMERTON
DUlLOlNG DEPARTMENT
CIIY use: ONLY. DO NOT WRIIE BELOW IhlS LINE.
W/sh'1 .MEW ADDRESS: L653 r'tJ lima 11 !1Vt':/f~ -f'
ZIP CODE 1fffl&1' IJsf tJ-ffr~~ APPROVED BYl DATE:
fJ! /l / /1y;/t2/
Revised 12128/99
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