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Home My WebLink AboutFITZ DR., 4429 .. ' �.��,1��'.� �� SITE ADDRESS ,��..��T�.� = - ;� :`-�.` ' . -�_ _ � � �.,� �! t � � r { ,, .{ ; � + af �� P JECT D S ION �� r � � ^ � � • '�µ : } ��':��` j j N ��.�:��a�y�, �� e� �� _.��,�_�� w '.�a� _ �.�. ��:��,:,3, • .�.3 �, � ��•� , -- �_ .� Building Plumbing 1Vlechanical Fire Alarm/Sprinkler ❑ I)ItKINt I�ISF'F.(°['f()N5'1'tfl: l�iJ[I,�tN(� PH:ltR�i[7' & APYROVL;D F'1_.ANS SFiALL RF. ON SITI+', �� # B B o s- p0�� 0� �� '��' ��pe�ti�n� C�al� (3�0) 4�'3� 5�7�� Approved Date Notes Erosioiz Control lii Place � Forifadatio�a Footing b 2� - 4. � l�'C��11�'��<_�'�'�'�'�t�' � �� r� � �� Fou�adatio�a Walls (�j (o Z� (� ( '� � �1 � ' �� I+;"� � 0�1 Plumbing Gror�nd Work �� ' In Slab Mechafiical � Footrng Insulation ��.� 1'�`.�Itt;�lfl �4�Q�; Rough In t 1 Z ,� � Z S" I 5� � !t�f1�'t:'��. # ��'l(_'�6 �. Duct / Ve�tt t 1 �2 °f-� _ �' �--� .S �'�/'x.' Support / Test / Meter set t � _ � � p g� � Uitder Floor Frajning 2d- Q.�tce ---� �� Shear & Holcl Dow�a Co�znections - 1 p�- �� ,.�'��t� l�'��;��;i � � . �, ,,,� L&I Electrical Approved �.- � 3-� 1 J 1 `� �� . ,' - f,�a�t:� t��,��''� °`c�tl Verttilatio�t Reqciireiraents � Z- 12 � � � Frairai�t /z-1 Z 1 GheGG� h��°t �w"2 s ,n � � � � ,;,� t U�tder floor . . ■� � • I�lb�GJ '�/l Z� l � Ceiling 2-2(- L ' . �� S'�-�I!;,�,' :� CI`�'G ! 2 -2 l ;6 `� � . � � BUILDING 47.3_,SR7(� �� '"1l�� , h'lNAL F,LF,C%'ll/�,',�L r��l,r. ��/�r,�,h,,, K �,,,�,,.��n,� �fl�-�00 0 Al,l., ()1� "1"1i1+_". . _ � AI;dD�%i+; iti`ll�S7' GreaseTra ,BackFlo�v,WnterMeters � I31J APF'ItUV`�;f� pUBLIC Drrveway Anpr•oc�c{: 47,i-5?7� I'ixlt>It `1't� WORKS ,,� Sewer Co�uaectio�r =173-SZ70 ,�u1rJ l��r,vn�. >>v�rr:c,�r�n�vs cn�»�r.r��d,�� _ �7.3-5�7 . t��crr�,;�xrc;t' ,�t��js,•�,s�c�/ (.Si�a�Ir� /'�r►�ri(ti k'�c>.,�i�dF°�r�•� s�irlv� 1 '� li�f �U`f' �)('('l!9"r` 3Ct'.1i.1)Il�it; ti4'�'6"il{il� 1� �i11i1 i�lf�J(� 9�� i':� 'i'f1�!(�'N'�` :1I'i �!)�v'iil. � 7 �:�_/ l(il l. t�l�/_� �' 175�: Yi�� 111',14 �. :� , ;:; DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DNISION : • 345 — 6th Street, Suite 600 :� � • Bremerton, Washington (360) 473-5275 r . INSPECTION REPORT PERMIT #: � D � ° C� 6`7 � ADDRESS: '�� Z- �� Cv GV b` 1/�� - � , S P.G✓L '�` � � �r � � �. I�o G`dL � � � �_o l�� -�. �, no �� c�-,� �. �-� � � � � 1 . Q O �, � � Date: C`��" Phone: ��3`� z`� ��- I SPECTOR � � :� ;�; DEPARTMENT OF COMMUNITY DEVELOPMENT � � BUII.DING DNISION • 345 — 6th Street, Suite 600 :� � • Bremerton, Washington � � (360) 473-5275 INSPECTION REPORT PERMIT #: ��d s Oa 6 � �Z ADDRESS: � 4 �� `F" f�Z � �` � ��-�� r,�-�, � s ��-�� 'D�-�- �� .� �� IG�� , o -� 2 �� . o`� � o � � � � �/ , �` � �- �e�� 5 �d r � _ ,�.._ r G�u � u. � �3 �v f � �t,�,v� I��i I^Cc� Cc.�1J I ra.� " � u, � r cc.i � u,S - �.t�� '' t � � � �� S �� a iC 5� .` � r� e �-t.� s^-�� K-� � �� !' �t crt!' � i _ rt , ; � . 4 p. d �- : . )', I l, • `,� . . �' J : 7 � ,. F�,Z�3 r � 3.-� �� . : Date: � Phone. INSPE OR }`IDYIW�'.ai�r�.�,� � V � CITY OF BREMERTON � � PERMIT NUMBER 6605 00679 � � j� DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 01/19/2006 �� ':�` 345 - 6th Street, Bremerton, WA 98337 �'� `�;.��"��h,�� (360)478-5275 Fax:(360)478-5278 ASSESSOR NUMBER: 3792-000-017-0502 ZONING: SF-2 SITE ADDRESS: 4429 FITZ DRIVE APPLICANT NAME: LE RICKY TU PHONE: ADDRESS: 627 N CALLOW AVE, BREMERTON, WA 98312 OWNER NAME: LE RICKY TU PHONE: ADDRESS: 627 N CALLOW AVE, BREMERTON, WA 98312 CONTRACTOR: STANBROOKE CUSTOM HOMES PHONE: (253) 841-3900 ADDRESS: 201 VALLEY AVE NW, PUYALLUP, WA 98371 LENDER NAME: PHONE: O- ADDRESS: SUBMITTED: 10/O6/2005 �p�f� / 2005 EXPIRATION: 07/18/2006 STATUS: ISSUED VALUATION: $205,312.75 Residential Building Permit w/ Mechanical/Plumbing Plan Review Fee $1,o3t.78 4580 NEW SFR WITH ATTACHED GARAGE AND A COVERED PORCH Building Permit $� ,587.35 2211 Building Code Edition: IBC: 2003 Mechanical Fixture Fee $�s�.so zz�s Occupancy Group: State Surcharge $a.so 0236 Type of Construction: Plumbing Fixture Fee $139 00 2213 Flood Zone: State Energy Code Sso.00 asso Setbacks: (Front) (Side) (Rear) (Other) TOTAL FEES: $2,944 53 Sanitation Method: Number of Bedrooms: Square Footage: Decks - Wood Frame (Covered) 307 SQFT Dwellings - Type V Wood Frame 2,803 SQFT Private Garages - Wood Frame 758 SQFT Inspection Requests Fire Inspections (360) 473-5380 DCD: Building Inspections (360) 473-5870 H/D: Bremerton, Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 475-4000 PW: Department of Public Works (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 finanaal burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemndy 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. Ail revisions to an approved plan require DCD review and approval prior to performing work. All bwiding 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 conditions of this ernrt includin �conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: PRINTEDNAME: L-� �— F�L�� - DATE: �� I o� 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. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be perFormed to determine whether there are asbestos- containing materials in the work area or structure. The asbestos survey must be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family residences).DCD: For more information, please contact Clean Air Agency through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm. , 2. (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 Page 1 of 3 � � s �� CITY OF BREMERTON PERMIT NUMBER B605 00679 � � DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 01/19/2006 �'� 345 - 6th Street, Bremerton, WA 98337 � .• ?�� (360)478-5275 Fax:(360)478-5278 ASSESSOR NUMBER: 3792-000-017-0502 ZONING: SF-2 SITE ADDRESS: 4429 FITZ DRIVE APPLICANT NAME: lE RICKY TU PHONE: ADDRESS: 627 N CALLOW AVE, BREMERTON, WA 98312 OWNER NAME: LE RICKY TU PHONE: ADDRESS: 627 N CALLOW AVE, BREMERTON, WA 98312 CONTRACTOR: STANBROOKE CUSTOM HOMES PHONE: (253) 841-3900 ADDRESS: 201 VALLEY AVE NW, PUYALLUP, WA 98371 LENDER NAME: PHONE: O- ADDRESS: SUBMITTED: 10/06/2005 APPROVED: 12/19/2005 EXPIRATION: 07/18/2006 STATUS: ISSUED construction documents and other data shall not prevent the buiiding 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. , 3. (DCD-03) DCD: Approved with revisions denoted on plans. � 4. (DCD-13) DCD: Driveways and parking areas must be paved. 5. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site � and be available for inspection. 6. (DCD-16) DCD: Windows in sleeping areas must meet emergency egress requirements. 7. (DCD-19) Engineered Wood Floor & Roof Systems Shall have a Site Specific Engineered Design (Framing Plan) available at time of Framing Inspection, if BCIs or TJIs are used for the floor joist have layout available at the time of under floor inspection. 8. (DCD-22) Building Plan Review: � Code Compliance-All work in the City of Bremerton shail adhere to the foliowing 2003 International Codes: International Building Code International Residential Code International Existing Building Code Intemational Fire Code International Mechanical Code Uniform Plumbing Code International Fuei Gas Code 1998 WA State Barrier Free Code 2001 WA State Energy Code 2000 WA State Ventilation Code Check For Ail Washington State Amendments. Check For Notes On Plan 9. (ENGR-1008) ENGR: Address is required. There is no 1400 Biock on Fitz Dr. Apply for an address. � 12/19/05 MARYELLEN ASSIGNED 4429 FITZ DR. VW ^_ 10. (Project-Specific) Must comply with Health District conditions of approval. Limited drainfield/critical area. � MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by B:OOam 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-of-way Other Page 2 of 3 y � �, � CITY OF BREMERTON PERMIT NUMBER BB05 00679 � 6;s� � DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 01/19/2006 ; ,, p �' 345 • 6th Street, Bremerton, WA 98337 (360)478-5275 Fax:(360)478-5278 ASSESSOR NUMBER: 3792-000-017-0502' ZONING: SF-2 SITE ADDRESS: 4429 FITZ DRIVE APPLICANT NAME: lE RICKY TU PHONE: ADDRESS: 627 N CALLOW AVE, BREMERTON, WA 98312 OWNER NAME: LE RICKY TU PHONE: ADDRESS: 627 N CALLOW AVE, BREMERTON, WA 98312 CONTRACTOR: STANBROOKE CUSTOM HOMES PHONE: (253) 841-3900 ADDRESS: 201 VALLEY AVE NW, PUYALLUP, WA 98371 LENDER NAME: PHONE: O- ADDRESS: SUBMITTED: 10/O6/2005 APPROVED: 12/19/2005 EXPIRATION: 07/18/2006 STATUS: ISSUED FIXTURE LIST QtY Description Qty Descriptior 3 R-Tub and/or Shower Unit 1 R-Propane fuel tank under 2000 gallons 6 R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 1 R-Electric Furnace or Heat Pump +/- Ducting 1 R-Water Heater 4 R-Bath Fan and/or Exhaust Fan 1 R-Dish Washer 1 R-Range Hood 1 R-Clothes Washing Machine 1 R-Cook Stove with Exhaust 2 R-Hose Bibs 1 R-Fireplace-Gas, or Gas Log Insert 3 R-Water Closet and/or Urinal 1 R-Gaspipe System LPG/NATL/OIL 1 R-Clothes Dryer with Exhaust Page 3 of 3 � /U/,y�!.//l/� /�//G! !/.G? �� . . � � -�- \� - i ' ...� � � , � , �� .�y} �! �./5 ------ - -.. .. _ 5 �� ._ � � � Z r� � �� zo� � � � �� 3 J� 3.5 I +�/� N � /�� f � t ��<v��u , i ; sr-��G ; ( T�� , -- — ��--q,� �-;----- ► � _ _-�-- - - �,� �r � 0 � � � � t i 'i ;- � � � � � � n � � , � � �; � �g �--� � ��,.f��'t'��, i � , � �� vl j v� �, �� ..: � �� J� � � � ��,, � � � c { � Z � � � �-, � N � y � � � � C � � Q �oo� s "[' � �a � 5 � I L I � � �' o ( � ��dd �� '�e Noi�'�� 20' p (o D' a_�._ � , � ____� � _�.r.�.. M..__._.._.��.._.____-- ----- -- - .- - d 2 � (�J � � �, „�.,. -.---� . // � � � .; „ .� � ,� '�E... �, �� ,� � � _ ,.. �� [} !__. �:: ` I_. '-' `�`I �L..^ � t � � �� 20�� ,--;; -.,. _ : ��;= c� 31=it�r1C� ��. ;' 1.- �\ ;��iv�%'i'f_ � �. � :�..}��.�t_ti�, , f N � c_� �� OD� 1Cl75.�s°' �CX��' t. � ; � F �� : s�..� ��,�.�;_�:�� , � � � , JUN 30 2005 15�38 FR TO 912538413901 P.01i02 . 1uy � 1 Vu . .�;:..._: aq . • wTgpp CouNTM � $COTT W. l�ND0U18T, MD, MPN, DIH�CTOR �,�a�:�r� � �5 e,h 5,��, g�,�a �� BkFMERTON. WA 883��•�aee S T R 1 �" �ann� ��i-szes • �"� DU1LXaiNC SITE ApP ICATlU1V � NCW= �xarntv _ xgnFai�N ALTERATtUN _ b�ccApPli�d_ �• ...- N�meofPrupe�iyflwner FtIC1�Ylo � Ptrtlll�f0epaicU�Cl!ik ` r�0 -- M■�� Addrwd fi�� N . Cellow Avanua, Idromerton, WA 90312 rhune u: 9a0-3688 5hort 1'tara _,�_„ . lusinitation Addro�� (RneO Name�Asri�+w�6wMSi 8►em9 on . . Proporty �iu ( bq. Fc) 17,9s9 .._ Aa�c9�oro Aoeount No. 3782-0Oo-D17-U002 , ,„ PceliwinM�y Plnt Appliooeion deta (terveeting only) _,_ a. r„„ �.,�, Acrew� ,�,�1 _ 9ub�ivieion _.. Waccr Su 1 F' � P= �"�"� Y � Public xupply neme RDCk Pdnt Weter �itil 12 1DH p�052E. ...,__ Pr r ._ P_ Pubtl�,mao�.n 1 oonn�dee - TypcofbuildinR SF _�sriMPtr.nMedirPJiNS71 �O•��MOI.PP�YII.YYhMUL'IYIIIMILtCOMM�WMM�I�ALR•i00DYRABI1CwruNiiM1'9NSTITKIDNM. Tropoaed Number of Bedrooms 9 Hoo the �ot been "pecked• be�u��7 N(YM) When? , _ FOR RE:UF:SlGI� ApTLYCATInN9 ONL'Y What h�a boen chenged9 .,, .. _. SUIL 1.OG PROFI'LE9: Priot rocoid depN, ooil rype, monling, iutric4va leya8, eoo. - PR11V1AA1F i�R1fA (meeeuro�mou �re mele d downelep� ei0e of ooil lo '(`ltB,NCH PIt4F11 (down�lop� mee�uremr.nal --- — '�,� 1 ' : SL-�a Deptb In inehcs Soil Typ�l.b) 3 s�ai rrp�c� 3 VIT�/ .n. ..��.JAee��onwi �� U" ' �� ! �V� • ZO �� MaxunumTrencb nep�h 0•9' l9RT a'��' �m (p0�7W Ol��illC) Nfl'iCe) e•ee GroVelly Lo6�ry Mud �Si� � 6en� n 1o01n E!�0'WelaenE �� Soll Bartier I a� � a pipr � O p O I o p o o e ��S��e Under Pip�� I EtE3ER'VF. A $e o 0 0 0 �r. L �� • 3d •�_ Vortteal Seporonon Soil7'ype(1-G) 3 I ,; •'� v I �„ -• ��. � , -r— h W �dth . .. .. ... _.—_,: + � lemarkrlin�h'uetion�: I 0-2' Laam ;�\�. �� slte la epDroMime�to• 2• 60"+ Gravolly Luamy I Med Sand �� In�t911A� may reloceto lank. � K9ep s1uDOUt hlph tu NII►nlnete nead for pump; il gravlty • � cannot bu atlalnad, sdd 1000 pal 13MK and plJrttp sou�►i u( _ _ � � p houstl.' *13�SAI�I@ /.s 9�LSt►IC�'13L�..1�._ DL'814N�D SYSTB114� • . A, 'fype ot ayRtem: BTANDAILD ✓, YKBSSUAB AI.TF�RNATIVE (Bveeby 6ond Illtw, meunee. �e.) .,, 8. Se��: Tanla(�) 1.1�6 _,qsi. C. YunT requical7Yee ,_No ✓, R Pump Teok (gyla ) , " .: ��11. 9cws8aZ�h+�• EM�d �4�o•s�ie.aison�) :. 860' ' �eUday .L�. App�icaA�m Rnn (1.00 (�RvR. of 6Lt � ,.�L9 GPL�/c�. fl ) F. Droint�eld jU/Y �. fU.9' 16D,U Lipeal ib for a�'ft �reneb' G CunHin n��i�: RLQUI1lED _.,, MIn111►umtleprh A Inal� iuW rcetricAvc layer NOT RflQU1RE1� ✓ �. DcNU•� to cap ofmoximum �veur �aple_59.0 1. �6 �lopc in DF a►ea 3, • J, Infil�� iun bed roqwrcd't Y'ec •- ��o _,_ D�SIGNY�Ro Nemc(printeo) ��d�ark ��slAn 8 Devolopment Co lignmuro�� ,,. - �...r one OSI10lZOU6 cen7,ea��wvltsn�� ^�_ ' ruonotl 6e7-7�82 _ ON 61TE �1Ce[GN NuIJ; Reeton -�► , ay ��•--- (e�� -- � . Rr►c�e `hold°• Rou.vu_... A y -- -•..— Litapproved Reo�oa� „ �Y .---••-- t ��1 � . Approvrd: �_� '�� 0� Catm�wna;. �a ' P.dU �I H� P.tpicaliu�l Da�e 1� �.. 7 '�1.�1VNf 10�1� .'l1 i f._ 7 E � � J 1 � 7 - � � � • _..... APPEA6 Aq'M�""�ii��I��rnar a v�o��.�.w4�wwwANF..euFw�M� a�u�MalptitHtN�OS�R�1�lrCHDOra4�nwli}�o oK[MO�M��i�n.vrT 1��keAd11kh4Cnn+monu.inwua�Appleall ie �m�lpee.11?92004.paf . � � • O � ��0�� ... ..,.. . . � �� , . p o � :� OCT 0 6 1005 `�, • BREMERTpN-�EPT. OF „ �� COMMUNITY DEVELOPMENT �� ` \1 �� ;� `� � � � �� G -� �`� � .�� °`� � � � � 6 ��' :.�C�C�� - � IT CENTER S� - 2- �` (��T o � �aa� t�`si� -' '� • ��'�' �� -��' � ��=�'�uilding Permit Arrlication OMMt�N . �r uw :� �l.QPME r Dept. of Community Development * 345 - 6th Street, Suite 600 * Bremerton * WA * 98337-1873 (360) 473-5275 * Fax (360) 473-5278 - ;x , � , fi:�;,�i::.�;�:s:�:�N,;� ri.:�, �a _r� - ° - �,- - Applicaiit: :£:.� <�; �Owner �':Conf'ractor� � � �;,,,,E(� � ��:=-��° ';;'�;¢°, � ;_.`� t =�� Site Address: X, � � . ,� -� CONTRACTOR: �, OWNER: Address: 2 01 N� Address: �v �,.� w-R u�. . Ci , State, Zi : w ��- Cit , State, Zi : �� License #& Ex . Date: N q�Q s " o phone #: 3— Contact Name: L; Z Authorized Agent Name: Contact Phone #: .?j�p x Io3 Address: Tax ID/Parcel #: ��2,.00c�_p Z, City, State, Zip: � o�7-C~'�(-03 Phone#: ° What is the application for? (Please check one) �� NEW SINGLE-FAMILY RESIDENC� Q COMMERCtA� REPAIR NEW DUPLEX Q NEW MULTI-FAMILY � N�W MANUFACTURED HOME Q TENANT IMPROVEMENT Q RESIDENTIAL REMODEL Q NEW GARAGE/CAR PORT Q RESIDENTIAL ADDITION Q NEW ACCESSORY BUILDING Q RESIDENTIAL REPAIR Q NEW SIGN Q NEW COMMERCIAL Q STRUCTURE DEMOLITION � COMMERCIAL REMODEL Q GRADING (Cubic Yards: ) Q COMMERCIAL ADDITION Q OTHER: IS TH/S PROPERTY WlTHIN 200 FEET OF A SHORELINE? YES� NO 0 Scope of work proposed: ��. � � O N ST{Z c,,�C'Ti o� ��r (� �� c 11��s. ��A�►L�2 Q �S ��Jc_� Ct�J��.p o I Square Footage: Dwelling: Z�C�'S Garage: �� -Beeks: 30-� � I Valuation Plan Review Fee Permit Fee Surcharge Total Fees ��"3ia��s 1,03� �� /,s87� 3s' s �� 9�ys.3 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 retumed to the applicant or destroyed by the building o�cial. 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. Iu �Co �b.5 ApplicanYs Signature Date , gi.�� g��S �� - � U � �'-Z �: PE�IT CENTER DosT�- : • •�. Dept of Community Development * 345 - 6th Street Suite 600 * Bremerton * WA * 98337-1873 0 Mechanicat : _: . � Q" Plumbing .- � - � � � � � Type of Fuel: Electric Gas Oil Propane Occu anc : Residential Commercial SiteAdd�ess: �y x ��- �� • ,�� cv��^� CONTRACTOR: o �.. OWNER: Address: Za � J� . cv� Address: Z Cit , State, Zi : � � 3� � Cit , State, Zi : � Z. License #& Ex . Date:s-r- .�c� 3 io-��-�oc. Phone #: 3� 0 3�- — �I-- Contact Phone #: � 3 -3q �x Tax ID/Parcel #: -000 -O 1�--050� NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE RANGE ��" � WATER CLOSET —�� \ WOOD/PELLET STOVE AS FIREPLACE 'L BATHTUB ��' GAS FURNACE btu: 'J�' LAVATORY (BATH SINK) � CONVERSION BURNER btu: SHOWER �.— ... UNIT HEATER btu: � KITCHEN SINK �--- � BOILER btu: ) DISHWASHER ..�.— t GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS btu: � CLOTHES WASHER b�+— A/C UNIT btu: � WATER HEATER ..—__. ` HEATPUMP btu: �-{gQpp URINAL REHEAT BOX but: DRINKING FOUNTAIN EXHAUST FANS �.i FLOOR SINK OR DRAIN � RANGE HOOD (RESIDENTIAL) �� WATER PIPING & ALTERATION RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR \ CLOTHERS DRYER /� HOSE BIBBS �---- INCINERATOR � LAWN SPRINKLER SYSTEM DUCT ALTERATION _�` SWIMMING POOL TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME) ' REFRIGERATION UNIT ROOF DRAINS OTHER: Rp �,�,) OTHER: OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: �v�(�(r�5 Applicant's Signature Date ��' JUN 30 2005 15�39 FR TO 91253B413901 P.92i02 M . / � , �� , , � � v ~ � �/ � � 1� � I �/ � I .'` `~ K � w �cJk �) � � � � `� tjli � , , ►. I � � w . � �'J ` � : � . lU � , � � � h � Z � 5 . q � � � a � �. � �. �_. � A , r� . I � � . ...u.�, ,��, , � �� o' iv�a � Su � � y, ' � �.P� � ° �` q�„ '�,C� Q►R � P�o FbSBD ,� (a� 1 �-- sa . 38� � f�ous� � � � sruf3�+�4- , : � � � � ' � � � ICL� FF'=�r � j� DR � ��C � .. --� , � � , .� . . V � � ►NI�IL A'f1a � � � � M AR,�i �o' � _ � � +� , UF N�� v � ��+3 a �� , o � ., , '.'�.�" o��'�� c; I U 6 2005 ---,—_� _� � MA/?I /� ��I BREMERTvtv��'-T. OF .--- -- �,I� . N�TY UE�'.'cLUPMEN��" � __. ,. �.� ... , , � iws i� ^ � � uMar��vev. s� NI �ARI L� l� -., _. .�. �rr�a�o w��m+a�Nrna F � T� �R ,. i + ��w +� ;. ;�e a� � �% i_. r.� , 8'eEME'R7br�l s- -� l, j -- .,:._ . _ � ,... MAY � r 20�� 9a - 0 0 0_o,�-c�o� • � � �..._.� . ; `:` � . � ..... � .::r._ — _ K �� .. ._._ ... ..........__. � t�°,��•-2; ** TOTA AGE.O ** . �. � . � ' PLEASE COMPLETE AND RETURN THIS FORM TO: BKCHD, Environmental Health Divisi D �� O�17 � ' � 109 Austin Dr. `�� D Bremerton, WA 98312 (J� j 0 6 20�5 � � BREMERTON-KITSAP COUNTY HEALTH Dk��t�1n D� �J�Ei_OPNiENT NOTICE: SMALL/CRITICAL LOT - DO NOT MOVE OR ENCROACH UPON Notice to property owner: Due to limited drainfeld area(s) or other site constraints, the following conditions must be met for this lot: . � , , 1. Placement of a fence or other physical barrier must be installed around the drainf eld areas. The primary and reserve drainfield area is accurately scaled on the approved Building Site Application (BSA) and is attached to the Building Permit packet. '= � 2. Foundation, driveway, etc., construction must maintain a minimum of (10) foot distance from the drainfeld��areas. ` , 3. Do not remove, �11 or store soil pn drain�eld areas. . •. . 4. Do not park or drive on drainfield areas. � � 5. Do not place service lines inslde the drainCeld area. This means water, telephone, cable t.v., gas lines, sprinkler system, gutter drainage, downspouts, etc... '� , 6. The designer must be contacted' at the�time of foundation inspection to perform a"pre- construction inspect�on". The designer* witl: � � A. Confirm that the drainfield area has been protected and not encroached upon and that item #1 above has been followed. � B. Discuss the importance of protecting these azeas with the general contractor and/or the owner. ' � � C. Document this visit and submit a report to BKCHD. Tlus report is required prior to the-issuance of a 5ewage Disposal Permit. The completed report will be attached to - the Septic installation permit. • � Failure to comply with these conditions may be cause to rescind the Building Site Application and issue a Stop Work Order. ' * If the Designer is not available or if you have any questions regarding this policy, please contact the Bremerton-Kitsap County Health District On-Site Sewage Program at 337�5285. L.� � �~��b1�� Print name o roperty owner ' Date . � X ✓ .� �9� �BOO ^ Dl 7 — �� n � Si atur y er** Tax Account # . , ** I certify I have read the above notice and instructions. � . .. � Wi � ua • . ' '�v.r Bkchdl lleh/common/onsitelapplication froms/scl modified ' ' �-� KI1sAP COUNTY HEALTH DIS'IRiCT K!"I'SAP CO(INTy DEPARTMENT OF OOMMUNTTY D 1V(EN[' cor�cu�xErrr xEViEw ° � � � � �I � � Fo� � . D BUIDLING STI'E APPLICATIONS AND BUII.DING PERMIT APPLICATIONS: C r � 6 200 FACTS, CONDTTIONS, AND NOTICE OF APPLICATION COMM NElY DE D LOPMENT Whal is "Concurrent Re�view"? Conc,-urrent review is a process by which a property owner (or their contractor) can submit a Building Pem�it Application (BP) to the Kitsap County Deparbment of Conununity Development (DCD) wit6in a day of submitting a Building Site Application (BSA) or Building Clearance (BG� to the Kitsap Count�, Health District (Health District). Historically, state law has required that properly owners obtain water and sewage approval via an approved BSA rior to accepting a BP. A'hat does Concurrent Review mean /'ar vour aroiectl Concurrent review allows your project proposal to be reviewed for water, sewage, and building approval simuttaneousiv instead of "in series" (i.e., one after the other). . Concurrent Review meaus that you w�71 obtain youc building permit faster ti�aa in the past, provided that your project proposat mcets atl local codes, and alt information is correctiy submitterl, Are tJrere aav risks to be aware ofi/'vou subniit vour nroiect for Concurrent 1�eview? Yes. By submitting your � � pro�ect for ooncurcent review, it means that you, your state certified on-site sewage designer, and your con�a must be syncLroni7,ed on the details of your project at the time of BSA or BC and BP submittaL Differences in site plans between your BP and BSA or BC, or changes to site plaos after approval has been gianted, will invalidatc one, or both, of your applicatioas and require you to pay addi6onal review fees and go through the entire review process again. The property owner is uttimately respons bie for the status of their project with respect to their BSA or BC and BP. Please be aware tliat while yonr BP will be reviewed and processed, the gp w� �� issued until the BSA or BC is apptdved, and t�e site plan is verified. How do I anvly for Concurrenl Review? 1. Make sure your BSA or BC and BP site plans are in the fomiat described in the cunent universal "Site Plan Requirernents" and contain the compteted checklist. 2. Make sure your BSA or BC and BP site plans are identical or match-up with each other prior to submittal. 3. Read and sign this form. 4. Have your certified on-site sewage designer submit your BSA or BC and this signed form ta the Health Dish The Health District will complete ifiis form and stamp it "ACCEPTED", and return a copy to your designer. 5. Enclose tius form and a copy of your site plan as submitted with your BSA or BC with your BP when you submit it to DCD. For Pronerty Owner's Si�nature• I hereby acknowledge the cohditions contained above, • accept responsibility for easuriag that the site conditions portrayed on my Bui/ding Sife Application and Building Permit Application are accurate and match-up with each ofher, and request th y project receive Concurrent Review ' .'S�--qZ-000-ot�-•�Sa2 lU 5�b5 operty Owner Signature Tax Parcel Number Date For Health District Use Only BSA or BC Subauttal Date: BSA or BC Memo Number: Healii� Dish Staff• (�h ' 9rzcrzooz ' � , � S KITSAP C4UNTY SCOTT W. LINDQUIST, MD, MPH, DIRECTOR . H EALTH 345 6"' Street, Suite 300 Bremerton, WA 98337-1886 D 1 S T R 1 C T (360) 337-5285 • FAX (360) 337-5291 � WATER AVAILABILITY LETTER : This form must be completed by the water purveyor, operations manager or water commissioner. , For each commitment for a water hook-up, please complete the section below. Verbal approval over the phone and completion by any other person other than the authorized personnel for the water ; supply will not be accepted. In lieu of this form, the water purveyor may use their own form as long " as the following items are included: a property address, number of connections requested, number of �� connections served or committed, water system name and identification number. ; The Public Water System City of Bremerton, p�� I j�-, n LStJ U� ' State ID No. 08200R, is capable of supplying, and will supply water to �` � O D 6 200� , (property owner) Ricky Le for one BREMERTUN-p�P f U �. at Marine Drive Bremerton #3792-000-017-0502. COMMUNITY DEVELOPMEN7� , (Assessors account number or property address) }, • The above Public Water Supply is appro ed by the Washington State Department of Health or the � Kitsap County Health District for connections and currently serves 15,000 connections. ; Connection to the system must be completed within two years or this Availability Letter is void. Purveyor's Name (please print : ' of Brernerton � Signature a Title: Engineering Tech. IV - Mailing Address: 3027 Olympus Drive Phone: 360 473-5265 Bremerton, WA 98310 ` .,,,� Date: �C9 - G.i —� 85 �, �' . `� �� f.:.� This form is for the official use only of the Kitsap County Health District. ��'. ,:.�, � - Bkchdll/eh/common/dnnkmg water/dwform/water ava�labdity Ietter-3-03 �d+,� � � ' ! � � SCOTT W. LINDQUIST, MD, MPH, DIRECTOR . KITSAP COUNTY 345 6 STREET, SUITE 300 H EALTH BREMERTON, WA 98337 D 1 5 T R 1 C T ' (360) 337-5235 � � �` � d NOTICE OF PENDING BUILDING SITE APPLICATION (BSA) June 03, 2005 ° L�C��C1�� . Ricky Le D 627 N. Callow Avenue OCT O Bremerton, WA 98312 � 6 ?OO5 BREMERTON-DEPT. OF RE: TaxID: 37920000170502 Location: Marine Drive Memo#: 403634 COMMUNITY DEVELOPMENT T 7l: ..1.. _ T . LCUl 1\lll�y LC7. The Health District has conducted a review and/or field inspection of your BUILDING SITE APPLICATION (BSA) with respect to Bremerton-Kitsap County Board of Health Ordinance No.1996-8, Rules and Regulations Governing On-Site Sewage Systems, and has determined that the following informaHon is needed to support the on-site sewage system (OSS) portion of your BSA: 1. Pending small critical lot letter. The OSS portion of your BSA has received a PRELIMINARY review; however, please be aware that further review and processinQ of your BSA cannot be completed until these items are submitted to �our assigned Health District Ins ep ctor. If this information is not received within 30 days of this notice, your application may be returned to you as INCOMPLETE, or DENIED for noncompliance with the rules and regulations. A copy of this notice is also being sent to your septic designer. If you have questions please feel free to contact me at (360) 337-5278 or crawfk@health.co.kitsap.wa.us Thank u r yo r co eration. � � �� Ker e Cra ford E iromm �tal Health Specialist � n-Site Program cc. A ARDVARK DESIGN & DEVELOPMENT bkchdttleh/wmmoNwinwordttemplate/onsite/bsapendingnoticedot 12/02 ,: a Department of Community Development '`' 345 Sixth Street, Suite 600 Bremerton, WA 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: �� ADDRESS: __ �o Z �- �� . ��o .� �l-� • CITY: �--j �� ,��_-�.� STATE: �,J� ZIP �$?� L 2, TELEPHONE: Work: '��Q - 3-�- 3 -�, �°� Home/ Cell: PROJECT INFORMATION: 1. Tax Account Number: 3�-� Z— C�p �� n 1'�. -- D p 2, 2. Site Address: 1�l xXX ��r�__ ��, Ib 2�Y��-'rD r� l GENERAL SITE INFORMATION: � 3. Please check sewage service ❑ City of Bremerton Sewer provided: �Septic (contact Kitsap County Health for letter of acceptability) 4. Is the site characterized as: Forest or Vegetation X Cleared Developed SHORELINE: � � , � 5. Are any areas being develope �ori ftlie site within 200 feet of the shoreline? YES � 6. If the answer to #5 is yes, please fill out a Shoreline Permit Submittal Checklist. (WAC 173-27-180) r _ : `,.' `�' : ` ,; � `�" ; Residential Questionnaire 1 of 3 Revision: October 2005