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ALNUS WAY, 226
FILE BUILDING PERMIT 226 ALNUS WAY INSPECTION NEW SFR W/ATTACHED GARAGE & DECK CARD Building ;Q Plumbing V[ Mechanical V Alarm/Sprinkler ❑ This Placard must be posted on or near building and the Permit & "Approved" plans must be at the sit Permit # BB09 00371 POST ON SITE Call the following Agency Telephone Numbers for inspections: - Property lines shall be properly identified and marked before Building Department Inspections Call: (360) 473-5870 foundation footing inspection. Setbacks are measured to the finished wall structure. WATER -Public Works -Water: (360) 473-5927 - Reinspection fee maybe assessed if inspection has been PW - Public Works - Engineering: (360) 473-5270 requested when not readyor corrections are not completed. , HEALTH - Kitsap Co. Health District: (360) 337-5285 - Permit, approved plans, engineering, and inspection card shall Fire - Fire Department: (360) 473-5394 be on site during construction or Reinspection Fee may be L&I - Dept. of Labor and Industry: (360) 415-4000 assessed. Inspection Approved Date Notes Foundation Footings, Property lines shall be properly identified a`1 'q F, f S Insulation -Slab U14 104-9 Occupancy approval for SFR only - Commercial Foundation Walls/ Hold downs -- J Underfloor Framing Inspection/Anchor Bolts & Washers/Hold Downs Mechanical Rough -In Plumbing Groundwork Plumbing Rough -In Gas Piping Pressure Test `L Shear Wall Panels/Braced Wall Panels L&I - Electrical Cover Inspection Before Framing (State of Washington) Framing Inspection Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed)C� n ,� j0-�- Ins ulation -Wall Sheetrock Nailing "" to Paved Driveway& parking areas Insulation - Ceiling (Z -9 - Insulation -Underfloor e"EG S h L&I - Electrical Final Inspection MA /1-21-1 PW - Final Inspection - Utilities Final Inspection - Building PW- Driveway approach final FINAL BUILDING (360) 473-5870 All of the above must be approved. Occupancy approval for SFR only - Commercial structures require a separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENTAPPROVAL PROTECT THIS CARD FROM THE WEATHER Ge , �,.�, Yk 0 i4, 9 v DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 345 — 6th Street, Suite 600 Bremerton, Washington (360) 473-5275 INSPECTION REPORT PERMIT #: D l- D ouADDRESS: A a 6 M4165 Y-C,i t/ 4 �Uw e�x4ee 1-0.4, Ativ `t ec4'ina cd 5 U S� 6(�O_r_ Date: � f Z-��� Phone: 473-5W 6 INSPECTOR �" A RECEIVED -- -' City of Bremerton JUN 2 2 Zoog comm' Comm�MIT CENTER unity Dev Dept of Community Development*345 - 6t' Street Suite 600*Bremerton*WA*98337-1873 I a Mechanical jE' Plumbing . Type of Fuel: KElectric ❑ Gas . - M Oil Propane, Occupancy: WResidential ❑ Commercial Site Address: iFILE CONTRACTOR: [&, IA; OWNER: -I- a,Y, , e, Address: Po Rax Sb 2 Address: City, State, Zi Qo,6, G k go City, State, Zi License #: Phone # ( ) Contact Phone #: ( 560 -710-271 Z Tax ID/Parcel #:Iq 5712 oo 1 ooS o o o 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 AND/OR EXHAUST FAN BACKFLOW DEVICE <=2" CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE > 2" `1 CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER I CLOTHES DRYER W/ EXHAUST CLOTHES WASHER COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN COMM. FU-RNACE>100,000 BTUS DISHWASHER COMPRESSORS DRAIN PIPE/VENT PIPE ALTERATION COOK STOVE W/ EXHAUST DRINKING FOUNTAIN DUCT CHAINGE W/O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACEMEAT PUMP FLOOR SINK/INDIRECT WASTE EVAPORATIVE COOLER GREASE INTERCEPTOR FIREPLACE -GAS OR GAS LOG INSERT HOSE BIBBS FIREPLACE -WOOD, OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR GAS WATER HEATER & VENT LAWN SPRINKLER W/ BACKFLOW DEV. 1 GAS PIPING ROOF DRAIN _ –NATURAL MISCELLA.AIEOUS T ECHANIC:AL GAS FURNACE/DUCTING SHAMPOO SNK Wi BACKFLOW DEVICE IlkSINK (LAV, KITCHEN, MOP OR BAR PROPANE FURNACEMUCTING SUMP PUMP _ 1 _+OTHER. L_ PROPANE TANK <2000 GALLONS) LNtIT HEATER OTHER: —�— TUB AND/OR SHOWER UNIT WATER CLOSET ANtiWOR URNAL OTHER __' OTHER: I MECHANICAL FEES: !— -- PLUMBING FEES: � I ------TOT_AL. FEES;-------------- Apl,li+catti°sSign attire -____...__-__-___.___-.______-__---__---- Date CITY OF BREMERTON POLE ENGINEERING DIVISION PLAN APPLICATION REVIEW COVER SHEET PERMIT No. & 07-C3) 7 DATE PLACED IN ROUTE: LOCATION OF JOB: PROPOSED ACTION: APPLICANT/OWNER: NOTE: PLEASE COMMENT IN PALADIN AND CONTACT APPLI 1. LIS Entry Utilities/Legals/Easements 2. • Water Service Requirements: 117.410 6/9 f o? 1062-74- • 0629¢ • Sewer Service Requirements: feorf e • Expanded Use / GFC to be paid ( Y / N ) • Stormwater Requirements: New IA > 5000s(Y N ) • Expanded Use / GFC to be paid ( Y / N ) :ANT IF YOU HAVE ISSUES. C5-1 Comments IAFG OFA1-0 Initials/Date Entry Made: LIS Entry / Right -of -Way ( Y/ • Curb & Gutter Req'd ( Y /W • Sidewalk Req'd ( Y /0 • Street Lighting Plan Req'd ( Y • Driveway, Permit Req'd ON) W&J • Pavement Restoration Req'd ( Yo • Channelization Plan Req'd ( Y / N ) 3. LIS Entry / Floodplain Area • Floodplain: Out /In Zone • Floodplain Certificate: Y/N • Street Repaved in Last 5 years: Y/N • Street to be paved this Year: Y/N • Address Assigned: Y/N • Apply for Address: Y/N Panl1 P&12&4,&4 0 Comments g We 9 ODO 73 Initials/Date:Gj//� Y/N Comments Initials/Date: Gj 6L26LO9 9 routing dcd.doc ROUTE TO CIVIL ENGINEER LAST (PAUL) -- , tom' fit ® E7 . ii 1/) 1.., 1 (360) 473-5275 * Fax (360) 473-5278 Site Address: 2-2ic, A i ti,_v5 y3 o.�y CONTRACTOR: g (�;,, (�,,,� d OWNER: Address: p0 &OK 2 Address: City, State, Zi k $0 City, State, Zip: License # & Exp. Date: RAfNc sx- 1204 L Phone #: Contact Name: ©Ad fes, ,,.Qj_s Authorized Agent Name: Contact Phone #: le p -7) 0 - 2 Address: Tax ID/Parcel #: 12 oo 1 065 660C,City, State, Zip: Phone #: What is the application for? (Please check one) &NEW SINGLE-FAMILY RESIDENCE 0 NEW DUPLEX 0 NEW MANUFACTURED HOME 0 RESIDENTIAL REMODEL 0 RESIDENTIAL ADDITION 0 RESIDENTIAL REPAIR Q NEW COMMERCIAL Q COMMERCIAL REMODEL Q COMMERCIAL ADDITION 0 COMMERCIAL REPAIR 0 NEW MULTI -FAMILY n__4 0 TENANT IMPROVEMENT S-40 1) 0 NEW GARAGE/CAR PORT � A r '' Q NEW ACCESSORY BUILDING Q NEW SIGN Q STRUCTURE DEMOLITION Q GRADING (Cubic Yards: Q OTHER: IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES [-I NO PK Scope of work proposed: eo..,54yiAa hcrv` o,�'- She - square rootage: Dwelling: / 251-11- Garage: yj I Decks: I t 4 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 atter expiration applican shall resubmit plans and pay a new plan review fee Applicant's Signature R a 6� Date 1 I � tK MAP COUN� v� ' SCOTT W. LINDQUIST, MD, MPH, DIRECTOR TY EALTH 345 6th STREET, SUITE 300 I S T R I C T BREMERTION, WA 98337-1866 (360) 337-5235 HEALTH OFFICER DECISION Memo Number: 203909 Property ID#: 38868 Application Type: BSA- ReDesign Expiration Date: 08/20/2012 SITE INFORMATION Site Address - Street, City, Zip Code: Assessor Tax Account Number: 226 Alnus, Bremerton, WA 98380 145120010050006 APPLICANT INFORMATION Name: Phone Number. E -Mail: Todd Daniels 1360-710-2792 Applicant Mailing Address - Street, City, State, Zip Code: Po Box 562, Seabeck, WA 98380 CONTRACTOR OF RECORD Company: Phone Number: INDIGO DESIGN & MAINTENANCE SPECIALISTS 1(360) 779-5233 HEALTH OFFICER DECISION FOR ONSITE SEWAGE SYSTEM Approved See Conditions Below Name of Inspector: JODIE HOLDCROFT Date: 107/24/2009 Maximize drainfield size as much as possible. HEALTH OFFICER DECISION FOR WATER SYSTEM Approved Name of Inspector: Date: (See Conditions Below) I MELINA KNOOP 107/27/2009 iaaaadoiaA3a AMnM 00 joluampmba soot o s -inr C-1 F I L E �mau Revised Thursday, July 30, 2009 1:16:11 PM Page 1 of 1 KITSAP COUNTY SCOTT W. LINDQUIST, MD, MPH, DIRECTOR HEALTH 345 6TH STREET, SUITE 300 D I S T R I C T BREMERTON, WA 98337-1866 (360) 337-5235 tsWilding Site Application (BSA) Residential For Onsite Sewage System and Water Supply Part 11: General Information Official se Only Su D ❑X Single Family ❑ Standard X❑ Alternative ❑ Multi Family ❑ Standard ❑ Alternative Fee: 0 Primary Residence ❑ Accessory Dwelling Unit hIACCUMT ❑ Guest House ACCEPTED ❑ Other: For �Sewage-and Water ONLY ❑ Non -Habitable Structures with Plumbing (describe below): EMeemo, A. CSUILUING 51TE INFORMATION VX (, V Building Site Address - Street, City, Zip Code: Total Proposed Bedrooms: Total Proposed Sewage Flow (Gallons): 226 ALNUS WAY, BREMERTON, WA 98310 3 360 Assessor Tax Account No.: TLoto.: Short Plat No.: Property Size (SgFt): 4512-001-005-0006 11, 761 +/- o. vrrr�mr-rLH.rAN 1 IIVr'UKIVIA I IUN Vame: ❑ Current Property Owner - OR - ❑ X Applicant Phone # PP E -Mail: TODD DANIELS/ RAIN COUNTRY BUILDING 360-710-2792 Inner/Applicant Mailing Address - Street, City, State, Zip Code: PO BOX 562, SEABECK, WA 98380 ft ...... . v. nrrL-!%#M I IUIY r T rC QUIVIIVIAKY (Check all fields that apply) Use/System Type Application Type: Type of Structures: System ID: I 0820OR ❑X Single Family ❑ Standard X❑ Alternative ❑ Multi Family ❑ Standard ❑ Alternative ❑ New Q Re -Design ❑ Modification/Expansion ❑ Repair ❑ Repair/Replacement ❑ Other (Describe Below) 0 Primary Residence ❑ Accessory Dwelling Unit hIACCUMT ❑ Guest House ACCEPTED ❑ Other: For �Sewage-and Water ONLY ❑ Non -Habitable Structures with Plumbing (describe below): ❑x Existing ❑ Waiver(s) Proposed Connecdonl(ParcelwithWell): Water Connection2(ParcelconnectedtoWell). Health regulations for onsite sewage systems (Ordinance 2008-01) and water supply (Ordinance 1999-6). U. VVA I tK 5UIJIJLY DETAIL (Atfnnh to/.for e—u.W11 , : -4 -.:s ❑ Proposed O Public System Name: CITY OF BREMERTON System ID: I 0820OR knowledge; (2) the application represents my Intended use of this property; and (3) any related building that I apply for be ❑ Private Assessor Tax Account Numbers for Properties Served by Well —water ❑x Existing ❑Individual ❑2Party Connecdonl(ParcelwithWell): Water Connection2(ParcelconnectedtoWell). �. V��1\L.1�. Arr"LIIrMIY. UR mt'f M, "ME I , a.\I/zftl O A!'Yll.1/l\1111 L-I1/�C.1•r.IT. �. �� vr�r. vvr�r[t=arvrvuCivtric (For Incomplete Applications Returned to Designer/Engineer) Returned to Application Designer Date: Re -submittal Date: i 6. I certify that (1) the information contained in this application is true and accurate to the best of my Designer/Engineer Stamp knowledge; (2) the application represents my Intended use of this property; and (3) any related building that I apply for be permits will consistent with the plans and specifications contained In this application. 1 acknowledge and understand that I, along with my contractors, are responsible for adhering to the conditions of approval of this application, and are responsible for conforming to Kitsap County Board of Health regulations for onsite sewage systems (Ordinance 2008-01) and water supply (Ordinance 1999-6). 1 acknowledge and understand that the design, location, and construction of my onsite sewage system and/or well is/are critical and of a sensitive nature, and I agree to protect these areas required by the regulations. �N p W %s '• I understand that once this application is submitted and/or approved, any changes to, or variations from, iT the information or conditions related to this plan may require a revised application submittal and/or could result in the revocation, denial, or suspension of this application or a related building permit and that this application will fully expire within 3 (three) years and 30 (thirty) days from the original date of application 5100132 p�' ERIC KNOPF submittal.. LIC ' 980M I N I understand that I have the right to appeal the Health Officer's decision concerning this application pursuant to the regulations, and that approval of this application EXPIR S ` does not guarantee that a building permit will be issued. I ' iC Designer/Engineer Contact Pho Number. 06/09/2009 360-779-5233 Signature: ❑Owner ❑Applicant Q Agent Date Designer/Engineer E -Mail Address: ERICK@TSCNET.COM �. �� vr�r. vvr�r[t=arvrvuCivtric (For Incomplete Applications Returned to Designer/Engineer) Returned to Application Designer Date: Re -submittal Date: i 6. KITSAP COUNTY HEALTH DISTRICT SCOTT W. LINDQUIST, MD, MPH, DIRECTOR 345 6TH STREET, SUITE 300 BREMERTON, WA 98337-1866 (360) 337-5235 Onsite Sewage System Specification Sheet Tax ID: 4512-001-005-0006 For Residential Systems Owner/Applicant: TODD DANIELS/ RAIN COUNT19 A. SOIL EVALUATION PROFILES Soil Evaluation Date: 05-21-2009 Soil Log Numbers Must Correlate With Site Plan - Indicate Total Excavated Depth, Soll Types, Water Table Level & Depth of Restrictive Layer Soil Log #1 Soil Log #2 Soil Log #3 Soil Log #4 - Downslope Side Measurements - - Downslope Side Measurements - - Downslope Side Measurements - - Downslope Side Measurements - SOIL TYPE: 4 0"-25" SOIL TYPE: 4 0"-28" SOIL TYPEA 0"-42" 0-10" DARK BROWN SANDY 0-10" DARK BROWN SANDY 0-12" DARK BROWN SANDY LOAM. LOAM. LOAM. E. Additional Cover Required 10-25" LIGHT BROWN TO TAN 10-28" LIGHT BROWN TO TAN 12-42" LIGHT BROWN TO TAN precenr SANDY LOAM. SOME COBBLES SANDY LOAM. SOME COBBLES SANDY LOAM. SOME COBBLES & AND GRAVEL AND GRAVEL. GRAVEL. V S114 G B. Maximum Trench Depth: 8 4- SvjL S O V L l f Minimum Linear �SG � l Dispersal B. Maximum Trench depth - Downslope Side Measurements Feet or Dimensions: o 61,5�j',vc•4 L SOIL TYPE: 5 25'-49" SOIL TYPE: 5 28"-58" SOIL TYPE: 5 42"-57" S &'PA -,KA �"i _ Component Native soil � � Infiltrative Surface el.v SL .3 25-49" LIGHT BROWN TO TAN 28"-58" LIGHT BROWN TO TAN 42-57" LIGHT BROWN TO TAN J VERY FINE SANDY LOAM. VERY FINE SANDY LOAM. VERY FINE SANDY LOAM. NO D. Trench Width: RESTRICTION AT BOTTOM. RESTRICTION AT BOTTOM. RESTRICTION. B. DAILY FLOW - TANKAGE - TREATMENT Design Flow Tankage Advanced Treatment Total Proposed Sewage Flow/Day: 360 Gallons Type Size (gaq QTY O Aerobic Treatment unit ❑ Sand Filter (includes bottomless) ❑ Other: ModelJSize (Optional): FAST UNIT ❑ Septic Tank X Trash Tank 1200 1 ❑ — 0 Pump Tank 1100 1 Minimum Treatment Level Proposed Treatment Level: B Manufacturer (Op onal): C. DISPERSAL COMPONENT CONSTRUCTION Dispersal Component Sizing A. SlopeIn9e Trench Construction Profile Hydraulic Loading Rate of Dispersal Area: 4� E. Additional Cover Required 16 inches A. Percent Slope In Primary: 10-16 precenr Minimum Dispersal S© Area (Sq. Ft.) In Primary: D. Trench Width 36 Inches B. Maximum Trench Depth: 8 Inches Minimum Linear �SG � l Dispersal B. Maximum Trench depth - Downslope Side Measurements Feet or Dimensions: / 8 Inches _ Component Native soil � � Infiltrative Surface C. Vertical Separation: 12 Inches Distribution ❑ Gravity Distribution C. Vertical D. Trench Width: 36 inches ❑X Pressure Distribution Separation 12 Inches ❑ Drip Irrigation E. Additional Cover Required: 16 Inches ❑ Other: Restrictive Layer OR Seasonal Water Table E. SITE WATER MITIGATION ❑ Curtain Drain Designated ❑ Storm Water Control Designated ,-I in 1-19 NAME: TODD DANIELS/ RAIN COUNTRY BUILDING ADDRESS: 226 ALNUS WAY, BREMERTON, WA 98310 TAX #: 4512-001-005-0006 +2n, 7PICAL FLOW SPLITTER ACCEPTE ater ONLY For $ewage VON"' ' J 0 +20'-± Az:-, GRAPHIC SCALE 0 10 20 40 80 ( IN FEET ) 1 inch = 20 ft BAR GRAPH ABOVE IS 5" IN LENGTH ADJUST SCALE ACCORDINGLY //U SEMAcKS Frorrt: 2e` (�a�\ Side: Rear: � The setback is measured from the Property Bne to t e finished exterior war. Front: The 9etbe° Iir leve :, eci oc:m the ProP� �' I 0 t7 3100131 .r.. ...Eric Kno f LLC ........... 4D . 4� D SIGNER EXPIRIES 10/14/09 CONSTRUCTION NOTES 1. AVOID INSTALLING ANY LATERAL THROUGH OLD GROWTH STUMPS OR OTHER LARGE TREES. IF TREES ARE MARKED ON THE SITE PLAN, DO NOT USE THEM AS BENCHMARKS. INSTALLER IS RESPONSIBLE TO AVOID INSTALLING DRAINFIELD LATERALS THROUGH LARGE TREES OR LARGE STUMPS. STUMPS MAY BE CUT OR GROUND DOWN BELOW FINAL GRADE FOR AESTHETIC CONSIDERATIONS. SECOND GROWTH STUMPS THAT ARE PARTIALLY DECAYED OR ROTTEN, HAVING BEEN LEFT IN THE GROUND FOR A NUMBER OF YEARS, MAY BE REMOVED AT THE INSTALLER'S DISCRE770N. CALL THE DESIGNER IF THERE IS A CONCERN ABOUT DAMAGING THE DRAINFIELD AREA. 2. ALL POTABLE WATER LINES MUST BE AT LEAST TEN FEET AWAY FROM SEP77C COMPONENTS OR BE SLEEVED IN ACCORDANCE WITH ALL APPLICABLE REGULAVONS. 3. WASTE STRENGTHS NOT TO EXCEED NORMAL STRENGTHS FOR RESIDEN77AL APPLICATIONS NORMAL RESIDEN77AL SEWAGE WASTE S7RENGTHS ARE AS FOLLOWS, CBOD5=125 mg/L; TSS=80 mg/L; AND OIL & GREASE=20 mg/L, OR MEET THE EFFLUENT QUALITY CRITERIA OF THEIR RESPEC77VE TREATMENT LEVEL REQUIRED FOR THEIR SITE. 4. ACTUAL FLOWS SHOULD NOT EXCEED 609. OF MAXIMUM DESIGN FLOW ON A REGULAR BASIS 5. LOCA71ON OF SEP77C TANK OR PUMP TANK MAY CHANGE DEPENDING UPON AESTHE77C CONSIDERATIONS, DECKS, ENTRANCES, ETC., AND SUBJECT TO ALL HEALTH DIS7RICT REGULATIONS 6. DO NOT ENCROACH UPON OR DISTURB DRAINFIELD AREAS DURING CONSTRUCTION PHASE. 7. DO NOT MAKE ANY CUTS, FOR DRIVEWAY OR OTHERWISE, WITHIN 50' DOWNSLOPE OF DRAINFIELD. 8. LAYOUT OF LATERALS MAY VARY SOMEWHAT DURING CONS77?UC77ON PHASE. THE LENG7H MAY CHANGE, THE NUMBER OF LATERALS MAY CHANGE, THE ANGLE OF LATERALS MAY CHANGE WHEN THE LOT IS CLEARED AND FINAL TOPOGRAPHICAL FEATURES ARE EXPOSED. 9. ALL NEW IRRIGATION LINES MUST HAVE DOUBLE CHECK BACKFLOW PREVENTORS. 10. ALL RISERED UDS MUST REMAIN AT SURFACE AT FINAL GRADE. 11. DO NOT USE SOIL LOGS AS A BENCHMARK— SOIL LOGS SIMPLY DEFINE SOIL PROFILES. 12. ALL 07HER CONSTRUCTION N07ES ARE A BINDING PART OF THIS DESIGN AND SHOULD BE READ CAREFULLY. 13. ALL KNOWN WELLS THAT IMPACT THE SUBJECT PROPERTY ARE SHOWN TO THE BEST OF OUR KNOWLEDGE AND THE KNOWLEDGE OF THE SUBJECT PROPERTY OWNER. 14. AN IMPERVIOUS SURFACE RUN—OFF INFILTRATION PIT MAY BE REQUIRED. IF SO, THIS WILL NEED TO BE DESIGNED SEPARA TEL Y. 15. A NEW DESIGN MAY BE REQUIRED IF HOUSE F007PRINT AND DRAINFIELD F007PRINT ARE NOT COMPATIBLE, IF VERTICAL SEPARATION CANNOT BE MAINTAINED, OR IF SOILS IN DRAINFIELD AREA ARE DISTURBED OR ENCROACHED UPON. SEPTIC SYSTEM DESIGN FOR: =INDIGO W®ZP� . DESIGN IN'- ie6A_E: TAX NO_ 45 72-001-005-0006POULSBO, P.O. BOX 163 WASHINGTON 98370 auT 3 � 360-779-5233, 360-779-3528 FAX ��m ='V5epartment of Community Development 345 Sixth Street, Suite 600 Bremerton, WA 98337 JUN 2'2 2009 (360) 473-5275; Fax: (360) 473-5278 website: www.ci.bremerton.wa.us Of 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: R-0.; ADDRESS: IPO 2 CITY: eo.h.�.c.1� STATE: wl� ZIP 98380 TELEPHONE: Work: 3(001 -2-79 Home/ Cell:,) S� PROJECT INFORMATION: 1. Tax Account Number: L151 -L oo 1 005 000 2. Site Address: 226 A-lh,As may .4,, WA, TS310 GENERAL SITE INFORMATION: 3. Please check sewage service❑ ity of Bremerton Sewer provided: Septic (contact Kitsap County Health for letter of acceptability) 4. Is the site characterized as: SHORELINE: Forest or Vegetation Cleared Developed 5. Are any areas being developed on the site within 200 feet of the shoreline? Yes o 6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist (WAC 173-27-180) Residential Questionnaire 1 of 4 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: ,tw" Vertical Distance = 20 feet Vertical 20 feet Horizontal 100 feet =.2 X 100 = 201/6 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. 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 1.0 -feet over a horizontal distance of 33 to 66 -feet). Steep: grades of greater than 30% present on site (a vertical rise of 10 -feet over a horizontal distance of less than 33 -feet). Other (please describe): .71 b. Does the site or properties within 200 feet of the site contain areas of year-round standing water? Yes / No 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 / No 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? Residentiaf Questionnaire 2 of 4 Revision: March 2006 i W A f d. Is there an apparent wetland present on the site or on properties within 200 feet of the site? Yes / No. 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 / No 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 / Urban Landscaped (lawn, shrubs etc) / and or Other (please describe) g. Please describe the soil type on the site (clay, sand, gravel, peat, etc). h. Do you ever see wildlife on or within 200 feet of your property? Yes / 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? i. Are you aware of an aquifer recharge area on or within 200 feet of the site? Yes / No (See maps on file with the Department of Community Development) RESIDENTIAL DEVELOPMENT WORKSHEET: 1. What is the zoning designation: -& F ?— 2. What is the area (square footage) of the lot? 111 SO 3. What is the amount of grading proposed (in cubic yards), not including foundation area? Residential Questionnaire 3 of 4 Revision: March 2006 y Fill amount Cut amount Will the grading material be imported or exported? Total grading Yes/49) 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. 01 .4PROPOS •D :R^'� `�� V �i�iJlra! �,'a �1if- _74 ! "t- ,iv., is . FRONT YARD SETBACK Zo �, 22 - S REAR YARD SETBACK* 10' _ 0 SIDE YARD SETBACK /o'_ SIDE YARD SETBACK 10'-0" 7,61-1 o MAXIMUM HEIGHT LOT COVERAGE** ZZ63 S �• NUMBER OF OFF-STREET 3 PARKING SPACES *Use this as the second front yard setback for corner lots and through lots. **Lot Cover$e is defined as that portion of a lot covered by the roof areas of ALL structures, but not including driveways, walkways, patios and low open decks. A low open deck is defined as rising 30 inches or less above the finished grade. The applicant herby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of Bremerton based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. Applicant Signature Date Residential Questionnaire 4 of 4 Revision: March 2006 CITY OF BREMERTON PERMIT NUMBER: BB09 00371 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 08/04/2009 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax, (360) 473-5278 ASSESSOR NUMBER: 4512-001-005-0006 ZONING: R10 SITE ADDRESS: 226 ALNUS WAY APPLICANT NAME: RAIN COUNTRY BUILDING INC PHONE- (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 OWNER NAME: RAIN COUNTRY BUILDING INC PHONE- (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 CONTRACTOR: RAIN COUNTRY BUILDING PHONE: (360) 710-2792 ADDRESS: P.O. BOX 562, SEABECK, WA 98380 LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 06/22/2009 APPROVED: 07/30/2009 EXPIRATION: 01/31/2010 STATUS: ISSUED VALUATION: $279,00000 Residential Building Permit w/ Mechanical/Plumbing Plan Review Fee $1,482.00 4580 NEW SFR W/ATTACHED GARAGE & DECK Building Permit $2,28000 2211 Building Code Edition: IRC: 2006 Mechanical Fixture Fee $113.70 2215 Occupancy Group: R-3 State Surcharge $4.50 0236 Type of Construction: Type V, Unprotected Plumbing Fixture Fee $154.00 2213 Flood Zone: State Energy Code $50.00 4580 Setbacks: 20' (garage) (Front) 15' (Side) 5' (Rear) (Other) TOTAL FEES: $4,084.20 Sanitation Method: Private Septic System Number of Bedrooms: 3 / L Square Footage: Bid Price from Applicant TOTAL Inspection Requests FIRE: Fire Inspections (360) 473-5394 DCD- Building Inspections (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 415-4000 PW&U: Public Works - Engineering (360) 473-5270 This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. I have read, and agree to abide by the con ' 'ons f%tt per including all conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: e^' PRINTED NAME: DATE: 0 cl- 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-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. 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 - Page 1 of 4 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 4512-001-005-0006 APPLICANT NAME: RAIN COUNTRY BUILDING INC OWNER NAME: RAIN COUNTRY BUILDING INC CONTRACTOR- RAIN COUNTRY BUILDING LENDER NAME: PERMIT NUMBER: BB09 00371 DATE ISSUED: 08/04/2009 ZONING: R10 SITE ADDRESS: 226 ALNUS WAY PHONE. (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 PHONE: (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 PHONE: (360) 710-2792 ADDRESS: P.O. BOX 562, SEABECK, WA 98380 PHONE: 0- ADDRESS - SUBMITTED: 06/22/2009 APPROVED: 07/30/2009 EXPIRATION: 01/31/2010 STATUS: ISSUED 16. (DCD-060) Property lines shall be properly marked. Setbacks are measured to the fnished wall of the structure. 17. (DCD-19) Engineered Wood Floor Trusses & Truss Roof Systems shall have a site specific engineered design (Framing Plan) available at time of Under Floor and/or Framing Inspection. 18. (DCD-38) Shear Wall Inspection: Due to the complexity of the shear wall nailing patterns and hold- down requirements contained within the engineered lateral design, a separate shear wall inspection is required for this project. This inspection should be requested and performed prior to the installation of exterior wall coverings, prior to the framing inspection, such that all shear -wall nailing patterns may be observed, and the installation of all required hold- down devices and required straps, etc. are in place in accordance with the engineer's Page 2 of 4 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.ini.wa.gov/p-ts/asbestos/asbestos.htm. 10. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be on-site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted. 11. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection. 12. (DCD-32) Changes to Plans. Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. 13. (DCD-52) DCD: Gas Piping: Fuel or gas piping shall be inspected after the installation of fuel/gas piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel/gas piping system shall not be used until the final inspection has been performed and approved by a Building Inspector. 14. (DCD-56) Combustion Air: In buildings of unusually tight construction, or within a garage, all fuel - burning appliances, other than cooking appliances and domestic clothes dryers, shall obtain combustion air from outside in accordance with the International Mechanical Code, International Fuel Gas Code and/or the International Residential Code. 15. (DCD-04) DCD: Plan Review Requirements: The attached plan review checklist and identified corrections, along with the Energy Compliance Worksheet (when applicable) are part of the approved plans and must remain attached thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. All proposed changes to "APPROVED" building plans that effect compliance with the City of Bremerton Building and Fire Code as adopted and amended in BMC Title 17 and Title 18, or any other City of Bremerton ordinance or regulation, must be reviewed and approved by the Department of Community Development prior to construction. Failure to comply and/or removal of attached documents will result in failure of required building inspections. 16. (DCD-060) Property lines shall be properly marked. Setbacks are measured to the fnished wall of the structure. 17. (DCD-19) Engineered Wood Floor Trusses & Truss Roof Systems shall have a site specific engineered design (Framing Plan) available at time of Under Floor and/or Framing Inspection. 18. (DCD-38) Shear Wall Inspection: Due to the complexity of the shear wall nailing patterns and hold- down requirements contained within the engineered lateral design, a separate shear wall inspection is required for this project. This inspection should be requested and performed prior to the installation of exterior wall coverings, prior to the framing inspection, such that all shear -wall nailing patterns may be observed, and the installation of all required hold- down devices and required straps, etc. are in place in accordance with the engineer's Page 2 of 4 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 4512-001-005-0006 APPLICANT NAME: RAIN COUNTRY BUILDING INC OWNER NAME. RAIN COUNTRY BUILDING INC CONTRACTOR: RAIN COUNTRY BUILDING LENDER NAME: PERMIT NUMBER: BB09 00371 DATE ISSUED: . 08/04/2009 ZONING: R10 SITE ADDRESS: 226 ALNUS WAY PHONE: (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 PHONE: (360)710-2792 ADDRESS: PHONE: (360)710-2792 ADDRESS: PHONE: 0- ADDRESS: PO BOX 562, SEABECK, WA 98380 P O. BOX 562, SEABECK, WA 98380 SUBMITTED: 06/22/2009 APPROVED: 07/30/2009 EXPIRATION: 01/31/2010 STATUS- ISSUED lateral design. 19. (DCD-41) Unfinished basement: 1. The space is to be unfinished and unheated. 2. Separate permits will be required to finish the space. 3. The walls may not be insulated or sheet rocked. 4. R-30 insulation shall be installed between the heated space above and the unfinished basement. R-10 insulation rigid insulation may be installed under the slab (in anticipation of finishing the space). 5. A tight -fitting and weather-stripped door is to be installed between the basement and the heated space. 6. The unfinished basement shall contain an interconnected smoke alarm in accordance with IRC Section R313.1. 7. A means of egress (either window or door) must be provided from the unfinished basement area per IRC R310 or R311. Unfinished bonus room: 1. The space is to be unfinished and unheated. 2. Separate permits will be required to finish the space. 3. The walls may not be insulated or sheet rocked and framing cavities shall not be concealed. Exception: Required braced walls or shear walls. 4. Any walls common to the unfinished bonus room and a heated portion of the building must be insulated on the warm side of the wall with R-21 insulation. 5. A tight -fitting and weather-stripped exterior door assembly is to be installed between the bonus room and any heated space. 6. The unfinished bonus room shall contain an interconnected smoke alarm in accordance with IRC Section R313.1. 7. An egress window must be installed which meets the requirements of IRC 310.1. 20. (DCD-43) Under -floor Inspection: After the foundation is complete, and the floor system is framed, but prior to the installation of the sub -floor or floor sheathing, (exposed floor framing) the under- floor area must be inspected, including all floor framing, anchor bolts, hold-downs and under -floor posts and positive connection devices. 21. (OTHER) Development must comply with BMC 20.60. and the Health District approval. 22. (LU9) All driveways and areas used for loading, parking, and maneuvering motorized vehicles shall have a paved surface. Two off-street parking spaces are required for every residential unit pursuant to BMC 20.48. 50. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity. Page 3 of 4 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 PERMIT NUMBER: BB09 00371 DATE ISSUED: 08/04/2009 ASSESSOR NUMBER: 4512-001-005-0006 ZONING: R10 SITE ADDRESS- 226 ALNUS WAY APPLICANT NAME: RAIN COUNTRY BUILDING INC PHONE. (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 OWNER NAME: RAIN COUNTRY BUILDING INC PHONE: (360) 710-2792 ADDRESS: PO BOX 562, SEABECK, WA 98380 CONTRACTOR: RAIN COUNTRY BUILDING PHONE: (360) 710-2792 ADDRESS: P.O. BOX 562, SEABECK, WA 98380 LENDER NAME: PHONE: 0- ADDRESS: 3 SUBMITTED: 06/22/2009 APPROVED: 07/30/2009 EXPIRATION: 01/31/2010 STATUS: ISSUED 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. Foundation Footings, Property lines shall be properly identified Insulation - Slab Foundation Walls / Hold downs Underfloor Framing Inspection/Anchor Bolts & Washers/Hold Downs Mechanical Rough -In Plumbing Groundwork Plumbing Rough -In Gas Piping Pressure Test Shear Wall Panels/Braced Wall Panels L&I - Electrical Cover Inspection Before Framing (State of Washington) Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) Insulation - Wall Sheetrock Nailing Paved Driveway & parking areas Insulation - Ceiling Insulation - Underfloor L&I - Electrical Final Inspection PW - Final Inspection - Utilities Final Inspection - Building PW - Driveway approach final FIXTURE LIST Qty Description Qty Description 1 R -Clothes Washing Machine 1 R -Clothes Dryer with Exhaust 3 R -Tub and/or Shower Unit 1 R-Gaspipe System LPG/NATL/OIL 1 R -Building Sewer 1 - R -Fireplace -Gas, or Gas Log Insert 2 R -Hose Bibs 1 R -Cook Stove with Exhaust 6 R -Sink (Lavatory, Kitchen, Mop or Bar Sink) 1 R -Range Hood 3 R -Water Closet and/or Urinal 5 R -Bath Fan and/or Exhaust Fan 1 R -Dish Washer 1 R -Water Heater Page 4 of 4