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Home My WebLink AboutFORD AVE., 1323 , ra d � v� �� t � �E� IT Site Address r N 3a3 Fvrd /NSPECT �J Project Descriptio � caR� � � , �a d �a� PROTECT THIS CARD FROiN THE WEATHER � _ '_ • m � �e� � �. � Building ❑ Plumbing ❑ Mechanical ❑ Alarm/Sprinkler ❑ DURING INSPECTIONS THE BUILDI G PERM T& APPROVED PLANS SHALL BE ON SITE Permit # B B 0 7 — p oO��f o0[�1 �0�� For Inspections Call (360) 473- 5870 Approved Date Notes Erosion Control In PlaCe � DO N07' POUR CONCRETE Foundation Footing (Check Setbacks) PRIOR TO APPROVAL Foundation Walls Plumbing Ground Work In Slab Mechanical Footin Insulation 2 n d PLUMBING Rough In - MECHAN1CAl. Duct / Vent GAS PI/'E Support / Test / Meter set Under Floor Framing 3 I f � si & 2 �ta u�•e approved Shear & Hold Down Connections I,&I Electrical Approved Ventilation Requirements Framin �� Under floor 4 INSULATION walls Ceilin �� th BUILDING 473-5870 6 FINA1. 11 of the above must be r CTIZICAL ��pr �f►,�,i,�, &/�iduslry 00 approved prior to final WATER MAINTE 473-5927 Grease Trap, Baek Flow, ers Drivewa ach 473-5270 WORKS Sewer Connection 3-5270 IRE 473-538 . L,L FINAL INSPECTIONS COMPLF.TF.D Occupaiacy Approval (Single 473 -587� /�„i`� Famil Residence O�zl ) DO NOT OCCUPY 13UILDING WITHOU7' BiJILllING llrPARTMF,N1' PPROVAL PKOTGCT TH/S CAKU I'KOM 7HL N'L'ATHIiK � . �': , * � CITY OF BREMERTON PERMIT NUMBER: BB07 00476 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 07/11/2007 '� 345 - 6th Street, Bremerton, WA 98337 (360)473-5275 Fax (360)473-5278 ASSESSOR NUMBER 3787-000-010-1009 ZONING R10' SITE ADDRESS 1323 FORD AVE APPLICANT NAME. FOLEN JASON 8 SYDNEE L PHONE. ADDR S 7855 AMETHYST LP NW, SILVERDALE, WA 98383 OWNER NAME. FOLEN JASON & SYDNEE L PHONE, ADDRESS 7855 AMETHYST LP NW, SILVERDALE, WA 98383 CONTRACTOR JUSTICE CONSTRUCTION LLC PHONE. (360) 893-2928 ADDRESS 19507 190TH AVE E, ORTING, WA 98360 LENDER NAME PHONE D ESS SUBMITTED O6/27/2007 APPROVED 07/10/2007 E P TIO Ot107/2008 STATUS ISSUED VALUATION: Greding Permit Grading S37 00 2z1a GRADING FOR NEW SFR (80 CUBIC YDS) Plan Check Fee for Grading Permit $23 50 4580 Building Code Edition: State Surcharge $a eo o2ss Occupancy Group: TOTAL FEES: $65 00 Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: 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 Industnes (360) 415-4000 PW Department of Public Works (360) 473-5270 This permR shall become null and void if the descnbed and authonzed by this permit has not commenced withm 180 days from the date of issuance, or if the work is suspended or abandoned at any Ume after the work is commenced for a penod of 180 days It is the responsibddy of the permrt holder to see that the requued inspections are made Failure [o obtain required �nspecUOns may result in stoppage of the work unGl such Gme that the permrt holder can susbstantiate [o the Crty of Bremerton tha[ [he concealed work meets or exceeds code requ�rements Any demoh[ion, tesUng, or financial burden shall be borne directly by the permi[ holder Fadure to substanUa[e code requiremen[s wdl indemmfy [he City agamst any and all respons�bdrty or hab�lity connected wrth the cons[ruction I hereby cerGfy that I have read and examined this permrt and know [he same to be Vue and correc[ All provisions of laws and ordinances governmg this type of work wdl be complied wrth whether speafied herein or not The granting of a permrt does no[ presume to give authon[y to viola[e or cancel provisions of any State or Iocai law regulanng con cuon or the pefiormance of the consVUCUOn If lisung the owner as general convactor, I certify that I am exempt from the requirements of the State ConVactor's Regis[ration Law unde Se �on 3, Chap[er 126, Laws of 1967 All revisions to an approved plan require DCD rewew and approval pnor to performing work All bwlding and tenant occupancy permrts are reqwred to p s i al inspecuon pnor to permrt expiraUOn and obtam a certficate of occupancy pnor to use or occupancy I have read, and agree to abide t conditions of this permit including all conditions of zoning, buildmg codes a d State and Federal laws SIGNATURE OF OWN O AGENT: PRINTED NAME: DATE: ~ � � � CONDITIONS � City of Bremerton's approv I of this application pertain to the City's regu at ju isdiction, and thus compliance with City regulations does not necess rily ensure compliance with . � 10. (DCD-01) DCD: nor to performing any renovation o molition work, Puget S ency (Clean Air Agency) and Washington Departmen ndustries (L&I) regulations reqwre an asbestos survey be performe ermine er there are asbestos- containing materials in the w a or structure. The asbestos must be conducted by and ertified (AHERA) building inspector (except renov or owner- occupied amily residences).DCD: For more information, please contact C ir y 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 � 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 t authority to violate or cancel the provisions of the Washmgton State Bwlding 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 reqwnng Page 1 of 2 6 0.i • � � � � CITY OF BREMERTON PERMIT NUMBER BB07 00476 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 07/11/2007 '� 345 - 6th Street, Bremerton, WA 98337 (360)473-5275 Fax•(360)473-5278 ASSESSOR NUMBER. 3787-000-010-1009 ZONING• R10' SITE ADDRESS 1323 FORD AVE APPLICANT NAME FOLEN JASON 8 SYDNEE L PHONE ADDRESS 7855 AMETHYST LP NW, SILVERDALE, WA 98383 OWNER NAME. FOLEN JASON & SYDNEE L PHONE ADDRESS 7855 AMETHYST LP NW, SILVERDALE, WA 98383 CONTRACTOR• JUSTICE CONSTRUCTION LLC PHONE• (360) 893-2928 ADDRESS 19507 190TH AVE E, ORTING, WA 98360 LENDER NAME PHONE ADDRESS SUBMITTED O6/27/2007 APPROVED 07/10/2007 EXPIRATION 01/07/2008 STATUS ISSUED 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 ordmances of the City of Bremerton. 20. (OTHER) Grading may not exceed more then 80 cubic yards. `L�� 21. (DCD-17) DCD: Call 800-424-5555 for Underground Locates. 22. (ENGR-2001) ENGR: Temporary Erosion & Sedimentation Control shall be according to BMC 15.04.042 � � for Small Parcel Minimum requirements. 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. Erosion Control Final Inspection - Buildmg Page 2 of 2 �un 16:01 Fr�.8BU8qeT2p1 88U698�Z61 .1 � , T�63d P�OIY/OtY F-d42 �J�U"lM � `"� .�� sr� t�a r�ia : 5� ��aw��: �aar,� r��c c,'�'aso� � �YBnt£�? Fo[�t � , l323 �'a�tb A�vE. �� p� � -� ¢� � `�S�s Aa►E NW �r�,v,.1, klA �t83cZ Srlv�q�.L� ��/A 98353 Paac�4 �' 3�g�aor�,�rot oc� Cbnt�,c� .� 3(�- N�IO - ro83s �C' C � �, �� l�� f �' /� � �- 1�r,r.�� t.� �- � S 1P� �.�.� �! �� l� ,,� �,,�; �,�� . . � b � �� 6� � � �� (,,,,,'°'' � I 1 ". tp' � �� ,�.�_-„ � �'flro�0'�a�ap�O�t� �'° �U� 1 0 200� . � � . � �:� ry . . . , , , . ,�, .. — _ _ _ �--. _ �,.�.�.. . � 1 .� - � .,. �.� � . � ' _ a�- , � � ; �j •F� C .�' !m- / G c 'S� n � If} e ti � /.� „�. .�, . �.-.� ` !o F r O�FF 1� ec o r� "Noa4'� Cs — o f -�- -- -�– � _.. 4 . �. �, . , . p• i � � — '� — — — --�-^t . . • � . . � . • � �'��B sro. F►; ' ' � - - - - -� �ME 1 � j " I ` � � ' ' � ! W ; i , . � � 1 3�X 3q ( � 7' �� , "►1 � � � �c � f g i � i ! N i '�y � , � . � ; � �, P,a,v, � ; T IP.��. r �c+v,��„ _ `__�_� _`_ '..' - .. - —_ - -• ,_' ; � ' �4 T i oc I . '' JP t1� T o F►°�a/°�,� /{ s � o� �- i , F7' ' A� � �•• i . 1) / F /��., r , � c K •G F ti o �, �. p � j,,. � . � � � 3 FT �t �sN�e � �� x �� l� o� /P �l o�-t. 3 l� ` ! a t.,r, dr�c � a a< /�n.� ti f'�i 6..�. � . . � � � / �p �_G � .,c d�' �oa Q �v� Q.�c� E�C �°� � o �r *,' !T'a. •�� y ( t jY�+ f T'�'o„ �i C io• c L 'S i...�c..s i`d S i�e.,. 2 f'3 3/0 2 3�'/ "'� -.. '" ! _" . - f ` 1, / ` • ,____� v � � � - �� C�C��M� ,��07 �c,y7� _� �u� 2� Zoo�' IT CENTER � i� ;. .' � BFiEMERTON-DE?T. O �ildin Permit A lication ��St - oM!�u�� t �F�; �;�,F.�,,� ,, g PP � Dept. of Communitv Development * 345 - 6th Street, Suite 600 * Bremerton * WA * 98337-18'73 (360) 473-5275 * Fax (360) 473-5278 A licant: .0 Owner Contractor Authorized A ent Site Address: l ,� � � � �� .� �TV � CONTRACTOR: � OWNER: Address: q�(� � Address: �, Ci , State, Zi : ,� Ci , State, Zi : e License # & Ex . Date: �p. Phone #: � Contact Name: .e�.e,1 Authorized Agent Name: Contact Phone #: � Address: Tax ID/Parcel #: � g ��,�, _ p pq City, State, Zip: Phone #: What is the aqalication for? (Please check onel � NEW SINGLE-FAMILY RESIDENCE Q COMMERCIAL REPAIR � NEW DUPLEX � NEW MULTI-FAMILY Q NEW MANUFACTURED HOM� � TENANT IMPROVEMENT � RESIDENTIAL REMODEL � NEW GARAGE/CAR PORT Q RESIDENTIAL ADDITION � NEW ACCESSORY BUILDING Q RESIDENTIAL REPAIR Q NEW SIGN � NEW COMMERCIAL � STRUCTURE DEMOLITION Q COMMERCIAL REMODEL [�GRADING (Cubic Yards: � ) Q COMMERCIAL ADDITION Q OTHER� lS THIS PROPERTY WITH/N 200 FEET OF A SHOREL/NE? YES � NO � Scope of work proposed: Square Footage: Dwelling: 1�(�� Garage: �� Decks: zo Valuation Plan Review Fee Permit Fee Surcharge Total Fees 0� ° G/ ' � �j �O �f� � a�� Application for which no permit is issued within 180 days following the date of appliqtion shall expire by �imitation, and plans and other data submitted for review may thereafter be netumed to the applicant or destroyed by the building offiaal. The building official may extend the time for action by the appliqnt for a period not exceeding 180 days on request by the applicant, showing the ancumstances beyond the control of the applipM have prevented action from being taken. No applicaM shall be e�ctended mor+e than once. In orcler to r�enew action on an application after e�iration, the applicant shall resubmit plans and pay a new plan review fee. ��z��G� ' Appl nt's Signature Date � � \ � ., , , �� o e �n � B UILDING PERMI T Site Address INSPECT/ON 3a3 p� � A�e � CA RD P�oject De ' ion � ` PROTECT TN/S CARD FROM THE WEATHER Q� � S w. �� ° - `� Building Plumbing Mechanical Alarm/Sprinkler ❑ DURIN NSPECTIONS THE BUILD P MIT & APPROVED PLANS SHALL BE ON SITE Permit # B B 0 7 p o0� t� OO G`� �� For Inspections Call (360) 473- 5870 Approved Date Notes Erosion Controlln Place 1 St Foundation Footing (Check Setbacks) t D. L3• FO UNDA TION Foundation Walls ��..15 -1 DO NOT YOUR CONCRETE Plumbing Ground Work ' PRIOR 1'O APPROVAL Mechanical Ground Work Under F[oor Framing � �Zp.. Footin Insu[ation nd PLUMBING Rough In Exhaust Fans/Duct -Zc�— �� MECHANI CAL Heating �� -2y- GAS PIPE Support / Test / Meter set " Fire S rinkler Line Under Floor Framing 3 Cfl Shear & Hold Down Connections i -�jj� ,?,c�rn� !z. ./4 � �,p�/ FRAMING L&I Electrical Approved (IF 1`� & 2�" ARE AYPROVF,D) Roof/CrawlNentilation ��a0r Framin � 1- 2 � Under floor 4 INSULA TION wails CIs,,P� � �, �t�iw� Ceilin �° y `'`�� S th SHEETROCK (Fnc S��uiklc�ri��rr.�tbc appr��t��dp��nrtn.�/�ccn �✓� � 6 t�'1 FINAL ELECTRICAL Dept. of q15-4000 F / NAL [abor & Industry Greas ow, Wuter Mefero 473-5927 PUBLIC Dr�veway Appruach 473-5270 WORKS Sewer Connec•Iton 473-5270 DISTRLCT 337-5285 Se ' FINAL BUILDING au „� rn�� ,�,,,��,��,,,� �� ,,,,�«,��•�� 473-5870 ,� I ^�� Oe u�ptutr v upprorul fn� SFX nnh' - Coininerr �ul .u� uc hi�e.� ieyrw e«.�epru ute Ccrlrfr� are uJ �I � id„� Ot�c �qui�ic �� lJ` DU NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APYROVAL PROTECT TH/S CARD FROM THE WEATHER _ , . � CITY OF BREMERTON PERMIT NUMBER: 6607 00354 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 07/11/2007 345 - 6th Street, Bremerton, WA 98337 (360)473-5275 Fax (360)473-5278 ASSESSOR NUMBER• 3787-000-010-1009 ZONING R10' SITE ADDRESS 1323 FORD AVE APPLICANT NAME. FOLEN JASON PHONE (360) 440-6835 ADDRESS 7855 AMEThiYST LOOP tJW, SfLVERDALE, WA 98383 OWNER NAME. FOLEN JASON PHONE (360) 440-6835 ADDRESS 7855 AMETHYST LOOP NW, SILVERDALE, WA 98383 CONTRACTOR• HII.INE HOMES PHONE (253) 840-1722 AD RESS PO BOX 3375, BELFAIR, WA 98528 LENDER NAME• PHONE O AD RESS SUBMITTED• 05/16/2007 APPROVED. 07/10/ 00 E IRATION 01/07/2008 STATUS ISSUED VALUATION: $130,784 55 Residential Bwldi Permit w/ Mechanicai/Plumbing Plan Review Fee $758 78 458o NEW SFR WITH ATTACHED GARAGE & DECK Bwlding Permit $i ,167 35 22�� Building Code Edition: IBC: 2003 Mechanical Fixture Fee Sss ss zz�s Occupancy Group: State Surcharge Sa so o2ss Type of Construction: Plumbing Fixture Fee $111 00 2213 Flood Zone: State Energy Code Sso 0o asao Setbacks: (Front) (Side) (Rear) (Other) TOTAL FEES: $2,161 58 Sanitation Method: Number of Bedrooms: Square Footage. Decks - Wood Frame (Covered) 201 SQFT Dwellings - Type V Wood Frame 1,768 SQFT Pnvate Garages - Wood Frame 528 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 Industnes (360) 415-4000 PW Department of Public Works (360) 473-5270 This permrt shall become null and void if the descnbed and au[honzed by this permrt has not commenced withm 180 days from the date of issuance, or if the work is suspended or abandoned at any Gme after the work is commenced for a penod of 180 days It is the responsibdrty of [he permR holder to see that the reqwred mspecuons are made Failure to obtain required inspecUOns may result in stoppage of the work unGl such time that the permit holder can susbstantiate to the City of Bremerton tha[ the concealed work meets or exceeds code requirements. Any demo6GOn, tesUng, or financial burden shall be borne directly by the permit holder Fadure to substanuate code requ�rements wdf mdemnify the C�ty agamst any and all responsib�frty or 6abdrty connected wrth the consVUCGOn I hereby certify that I have read and examined this permi[ and know the same to be true and correc[ All provisions of laws and ordinances govermng this type of work wdl be comphed wrth whether specified herem or not The grantmg of a permrt does not presume to give au[honty to violate or cancel provisions of any State or local law regulatmg cons[rucGOn or the performance of [he consVUCtwn If hsting the owner as general contractor, I certify [hat I am exempt from the reqwrements of the State Contractor s Registration Law under ecUOn 3, Chapter 126, Laws of 1967 All revisions to an approved plan require DCD review and approval prior to performmg work All bwiding and tenant occupancy permits are reqwred to p ss final mspection pnor to permit expirauon and obtain a certificate of occupancy pnor to use occupancy I have read, and agree to abide th onditions of this permrt inctuding all conditions of zoning, building codes, an State and Federal laws SIGNATURE OF OWNER OR ; AGENT: PRIN7ED NAME: DATE. CONDITIONS City of Bremerton's ap roval of thi lication pertains only to the City's regulatory ju,isdiction, and thus compliance with Cit regulations does not n essarily ensure c ' ce with federal or state laws. � 10. (DCD-01) DCD: Prior to performing any renova demolition wg1�P get Sound Clean Air Agency (Clean Air Agency) and Washington Departme �or and Industnes (L&I) regulations _ require an asbestos survey be perfor determin ether there are asbestos- containing materials in the wor a or structure. The asb s survey must be conducted by and EP - ified (AHERA) building inspector (exc enovation or owner- occupied singl ily residences).DCD• For more information, please c ct Clean Air ' Agenc ugh their web site at www cleanair.org or by phone at 800-552-356 r 206- 058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm. � I 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 violat�on of any of the provisions of the Washington State Bwldmg 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 Buildmg code or other Page 1 of 3 � , . � CITY OF BREMERTON PERMIT NUMBER: BB07 00354 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED. 07/11/2007 345 - 6th Street, Bremerton, WA 98337 (360)473-5275 Fax (360)473-5278 ASSESSOR NUMBER 3787-000-010-1009 ZONING R10' SITE ADDRESS 1323 FORD AVE APPLICANT NAME. FOLEN JASON PHONE (360) 440-6835 ADDRESS 7855 AMETHYST LOOP NW, SILVERDALE, WA 98383 OWNER NAME. FOIEN JASON PHONE. (360) 440-6835 ADDRE55 7855 AMETHYST LOOP NW, SILVERDALE, WA 98383 CONTRACTOR HILINE HOMES PHONE (253) 840-1722 ADDRESS PO BOX 3375, BELFAIR, WA 98528 LENDER NAME• PHONE O- ADDRESS SUBMITTED 05/16/2007 APPROVED 07/10/2007 EXPIRATION 01/07/2008 STATUS ISSUED 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 buildmg o�cial from requiring the correction of errors m 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 20. (UTILITY-02) All utdity fees and assessment shall be paid pnor to final occupancy approval � 30. (ENGR-1005) ENGR: Right-of-Way Permit required prior to start of work in R/W and/or driveway approach. 40. (OTHER) Development must comply with BMC 20.60 41. (LU9) Driveways and parking areas must be paved. Required parking is not allowed within setback areas. Two off-street parking spaces are required for every residential unit pursuant to BMC 20 48. All driveways and areas used for loading, parking, and maneuvering motorized vehicles shall have a paved surface. 41. (DCD-17) DCD: Call 800-424-5555 for Underground Locates. � 50. (DCD-14) DCD: Approved Plans, Engmeenng, Site Plan, Permit, and Conditions, Shall remam on r$' site and be available for inspection. 55. (DCD-22) Building Plan Review: � Code Compliance-All work in the City of Bremerton shall adhere to the current adopted version of the following codes: International Building Code International Residential Code International Existing Building Code International Fire Code International Mechanical Code Uniform Plumbing Code International Fuel Gas Code WA State Barrier Free Code WA State Energy Code WA State Ventilation Code Bremerton Municipal Code Check For All Washington State Amendments. Check For Notes On Plan Page 2 of 3 , . � � CITY OF BREMERTON PERMIT NUMBER B607 00354 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 07/11/2007 345 - 6th Street, Bremer[on, WA 98337 (360)473-5275 Fax (360)473-5278 ASSESSOR NUMBER 3787-000-010-1009 ZONING R10' SITE ADDRE55 1323 FORD AVE APP�ICANT NAME FOLEN JASON PHONE (360) 440-6835 ADDRESS 7855 AMETHYST LOOP NW, SILVERDALE, WA 98383 OWNER NAME FOLEN JASON PHONE. (360) 440-6835 ADDRESS 7855 AMETHYST LOOP NW, SILVERDALE, WA 98383 CONTRACTOR HILINE HOMES PHONE (253) 840-1722 ADDRESS PO BOX 3375, BELFAIR, WA 98528 LENDER NAME PHONE �)- ADDRESS SUBMITTED OS/16/2007 APPROVED 07/10/2007 EXPIRATION 01/07/2008 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 Foundation Walls Mechanical Plumbing Groundwork Plumbing Rough-In Framing Insulation Sheetrock Nailing Driveway Sewer Lateral Final Inspection - Building FINAL - UTILITIES Driveway approach FIXTURE LIST Qtv Descrintion Qtv Descriptior 2 R-Tub and/or Shower Unit 2 R-Bath Fan and/or Exhaust Fan 4 R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 1 R-Range Hood 1 R-Water Heater 1 R-Cook Stove with Exhaust 1 R-Dish Washer 1 R-Clothes Dryer with Exhaust 1 R-Clothes Washing Machine 1 R-Hose Bibs 3 R-Water Closet and/or Urinal Page 3 of 3 . � � r�_ 7� � �� I _ if ,r �= L �Qd7 (��5� � �C��U � , �� a� � � D :� ��,� 1 � zoo� �IT CENTER b,s� 7 BREMERTON-Di.:P�i Or : • •� � MMUN►TY DEVE�oa Permit Application Dept. of Communi , Development * 345 - 6th Street, Suite 600 * Bremerton * WA * 98337-1873 (360) 473 * Fax (360 473 A licant:_ :�O_wner: _ Contractor - Authorized A ent_�..,� . Site Address I� a 3 �or d f��e.v� � CONTRACTOR: � t,� OWNER: �'�S� S c Address: �.p _�, S Address: �$SS oU �u Ci State, Zi : be�1 8 S e C' , State, Zi : 5� � � 3 License # 8� Ex . Date: � 13 lo og Phone #: a(e o o c� �35 Contact Name: S ah.� �,(,� Authorized Agent Name: Contact Phone #: � S' Address: Tax ID/Parcei #: 31$ �- oov - ol p-10 o City, State, Zip: Phone #: What is the application for? (Please check one) ' Q NEW SINGLE-FAMILY RESIDENCE Q COMMERCIAL REPAIR Q NEW DUPLEX Q NEW MULTI-FAMILY � NEW MANUFACTURED HOME � TENANT IMPROVEMENT � RESIDENTIAL REMODEL � NEW GARAGE/CAR PORT Q RESIDENTIAL ADDITION � NEW ACCESSORY BUILDING � RESIDENTIA� REPAIR � NEW SIGN � NEW COMMERCIAL � STRUCTURE DEMOLITION � COMMERCIAL REMODEL � GRADING (Cubic Yards: ) � COMMERCIAL ADDITION Q OTHER: IS THIS PROPERTY WITHIN 200 FEET OF A SHOREL/NE? YES� No 0 Scope of wo�ic proposed: h(�� (Ar�Sfruc, or� of ct. St �� cn� b<<-1 Yld{'Y1�2 . � YJ �2C�-r/`Or�✓v� � a•s hOl'�1n . Square Footage: Dwelling: �(�� Garage: �a8 Decks: a.o Valuation Plan Review Fee Pertnit Fee Surcharge Total Fees �3o7�y•SS �s�� 7� � f 67, 3s �•� � 16� � s Application for which no permit is issued within 180 days following the date of application shall e�ire by limitation, and plans and other data submitted for review may thereafter be retumed to the applicant or destroyed by the building official. The building offiaal may extend the Gme for acpon by the applicant for a penod not exceeding 180 days on request by the appliqnt, showing the circaimstances be�rond the comrol of the applicant have prevented adion from being taken. No appliqnt shall be entended more than once. In order to renew acGon on an application after expiration, the applicant shall resubmit plams and pay a new plan review fee. L.t�f �X/VI�C,[� f—iC�t.w ��( �� (� 7 Appli Ys Signature Date ��--� . . ��D c�3S � o ��[��C�C� � 7 Y D �'� _� ��Y 16 2007 ?JisT '7 � aaoo ot� BREME � � coMnnuN►�� CENTER � �------------ � Dept. of Communi Development*345 - 6 Street, Suite 600*Bremerton*WA*98337-1873 C� Mecha�ical []' Plumbing � Type of Fuel: L� Electric ❑ Gas ❑ Oil 0 Propane ' Occupancy: L� Residential ❑ Commercial � Site Address �3a3 � ord. f}��t.� CONTRACTOR: {-�-;ta OWNER: 3a.So�n Address: �. . 3o x 3 3 Address: �( � S S � Ci , State Zi : 6�t �� a� $� � Ci , State, Zi : St l �38 License #: �-{�. u. �� Phone # 3tR.� D-(� S Contact Phone #: 3cep 4�10- 3 S Tax ID/Parcel #: 3$-�o-o�o- ( vo NO. TYPE OF E UIPMENT NO. TYPE OF FIXTURE AIRHANDLING UNIT>10,000CFM ATMOSPHERIC VACULTM BRKR 1-5 AIR HANDLING UNIT <10 000 CFM ATMOSPHERIC VACWM BRKR >5 '� BATH FAN AND/OR EXHAUST FAN / BACKFLOW DEVICE <-2" CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE > 2" CLASS 2 HOOD & DUCT SYSTEM BUII.DING SEWER CLOTI�S DRYER W/ EXHAUST � CLOTf�S WASHER -��— COMNIERCIAL FURNACE/DUCT COMNIERCIAL FLOOR DRAIN COMM. FURNACE>1Q0,000 BTUS � DISHWASHER COMPRESSORS DRAIN PIPENENT PIPE ALTERATION COOK STOVE W/ EXHAUST DRINKING FOUNTAIN DUCT CHANGE R//O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACE/HEAT PUMP FLOOR SINK/IIJDIRECT 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. GAS PIPING ROOF DRAIN MISCELLANEOUS MECHANICAL SHAMPOO SINK W/ BACKFLOW DEVICE NATURAL GAS FURNACE/DUCTING y SINK AV, KITCHEN, MOP OR BAR -� PROPANE FURNACE/DUCTING SUMP PUMP PROPANE TANK <2000 GALLONS TUB AND/OR SHOWER UNTT --^ iJNIT HEATER WATER CLOSET AND/OR URINAL .�� OTHER: OTI-IER O'THER O'THER: Gc� � MECHANICAL FEES: J PLUMBING FEES: , D TOTAL FEES: �4�► �;�.� �� rs /�-� Applicant's Signature Date Rev. 10/06 r-- S��E �- �! �"'D R �� S .i E �1�1'�O R� f'�T �U ►.� ! � �1 �soN � Sy��t�E ��.1 � 3Z3 I vv20 A-vE. `_7 S�5 � w� E�I yS7 L� I�1 I�l �2� M�iv�..► ��/�I q$3 � Z S�LV�2 O� L�' wA q 8 3�3 °°�°� P�c� �.� 3 f3 - 7CXx� 10 ( C� • � ��;,� � � � ��' �a��,�� CaN�a-� , � 3� - yyv - �835 �� Y �� j � �t� � � �� 4 � � `�� Z�� ; q � , �u� � � � s�. , o �C�L�OC�IL� ��.N D /2 - MAY 16 2007 lVJ � � __ _ �� Plot IViap Drawn To A�eet BREMERTON-D�pT OF �Hilin� Homes Speci�ic�ttOns COMMUNIIY DEVELOP�v1ENT S��E ; i"_ �o` _ .Any ReWsions To Be AAad� By The Home Owner 75� • iiz -- -.�_. _ . ----�------- ---- � � --- _— __ _�. _.._. _.__---- — - ��o - � � ----- -- -- ------ -_.. � -- --- _...�_.__.__._..__ i oi ---- - - ---- - - - - ---- ioa --- - -- -------- - - --- --- --- ------- ---------- ios --- ----- - ----- -- . � RsSE ��r — - - - - - - - -- - -- - - --- - — - - -- - --- - _ . - . __ . - , - . . .. � _--. __ - - - � - � -- -- - � -- -- - - - _ i _ ._--_-- _—_ � 5l0� � � — — — — — — — — — — — — — ----I + ( � � / 7�$ 5� . 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I AfFIX YY SIOVAAlRE MIS.�_ DAY OF� 1pb8. °"� � t � � �� "hDnWA sts�- . yer�Ys ot pt /orM� h MCAG J.12�fJ0-09G � j�� T 2_ � C1Tf' OF BREMER7t7HV. WASHINGTON �r n'rTue F�r 4 7" — � SHORT SUBOIVISION NOBF06-�l0 STATE � WAST//N�ipV � . r+pw �wr are ma fsw�.k� srN awa sa os�wn.l cr .w�e oae i a� �wssx s ror �aamt aJt adevlr u� xI15w �SS , �.ra oa� +�o •ais�a noa.�.nr .�s ea. r�t «. me.r wu .r�.e ae � _ RODN Y BLAClCBURA! w w.. r wrs�W .r�+e.r apb.xn a nrrt onr v�xsro�r.ucr �wm ersa+e uE vv w[ anaowv �a ee n� rxnrvrav�els) x�. w �e ._ aexoaiem nv �►m rrw n�rov�cn r� urnuiv �wo ruaaa�nwc rNSmuwcrrr. � . �aao�coc�n nur mcr srorec »rt' s� �s nam � �we wcu+vn�rsr � SW. %4 NE. %4 �er ,mm arm: roe n+c us� ,vm �es nr�t� � vrr `""'"'"' SEG 15, 1tiYP. 24N., ``� �� a �'� 8C � RG. 1E., W.M. �faMl Mpr,wr vt�sttc !N .wD fnw Tm' . . a 10 .� A�A7F � H''ISNI�7G4, RESIDMC �JLb 3/W/dB B..tY. .T_L2M� ` �� MY L�OiWlSSIGW FXFlApS ( 0� �O[ ) 1 !N � �7 R � �oo�iaso9a►� 7 Y �q P�3 S' . '� i , � � u v � artment of Community Development � f�i `� 1 b 2�� Si x t h Street, Suite 600 Bremerton, WA 98337 (360) 473-5275; Fax: (360) 473-5278 . website: www.ci.bremerton.wa.us � . . E ERTON-DLi'i. OF � - NITY DEVELOPMENT 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: �'c�.so� �.u�d. S�a�,ne2. �o�ean ADDRESS: - (R55 /�.nn -�-4�. �f_ _nnc� NISJ CITY: Si1v.e,�c�aS,� STAT`E: Wp� ZIP �,�3�3 TELEPHONE: Work: C��OI z-Ic.LO-CQ�35 Home/Cell C��> yyv-��,35 PROJECT INFORMATION: 1. Tax Account Number: 3`t ��- o 0 0- G l0 - l U0�1 2. Site Address: _ I 3 a 3� ,4�� U GENERAL SITE INFORMATION: 3. Please check sewage service d City of Bremerton Sewer provided: ❑ Septic (contact Kitsap County Health for letter of acceptability) 4. Is the site characterized as: ' - Forest or Vegetation �/ Cleared Developed SHORELINE: 5. Are any areas being developed on the 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) ' Residential Questionnaire � 1 of 4 Revision: March 2006 � 'q . 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. E�cample: Vertical 20 feet Yertical Horizontall 100 feet =.2 X 100 = 20% slope Distance = 20 feet 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. ° o 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 I S% and less than 30% (a vertical rise of 10-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): b. Does the site or properties within 200 feet of the site contain areas of year-round standing water? Yes /�t If so what is the approximate Depth: c. Does the site or properties within 200 feet of the site contain azeas of seasonal standing water? Yes /� If so what is the appro�cimate Depth: What season(s) of the year is the standing water present? Winter / Spring / Summer / Fall How long is the standing water present7 Residential Questionnaire 2 of 4 Revision: March 2006 ' . . . �' . . d. Is there an apparent wetland present on the site or on properties within 200 feet of the site7 Yes / io If a wetland is present what is its appro�cimate 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 /� ' 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 aze primarily: Forested / Meadow / Shrubs / rban Landscaped (lawn, shrubs etc) / and or Uther (please describe) - CInQ. 6i�e ��s c�.ea �l �a Sl a..n�r4s Ce.��Q � e�.3�e_s.p c� �,n a,rc�.SS . g. Please describe the soil type on the site (clay, sand, gravel, peat, etc). ��u.�n . c�c�c�� _a�-ow¢.�u . - h. Do you ever see wildlife on or within 200 feet of your property? Yes / T�o (Examples of wildlife can include but are not Iimited 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 /�o (See maps on file with the Department of Community Development) RESIDENTIAL DEVELOPMENT WORKSHEET: 1. What is the zoning designation: __ /?-1 O 2. What is the area (square footage) of the lot? Cv, �. a s sc� �t . 3. What is the amount of gading proposed (in cubic yards), not including foundation area? Residential Questionnaire 3 of 4 Revision: Mazch 2006 . . . • • '�. , Fill amount� Cut amount 90 u �!s Total grading� �S Will the grading material be imported or exported? Ye / No If yes, please identify where the material is being deposited or imported from: ��y-enL �ro �.�.1 �I�a..�- ct I«� ( n y. r,( �' f I c� a-v�cw � o i�. . 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. �DESCRIPTION � - ZOIVING ' PROPOSE�'1. ; � � ' � . _ REQUIREMENT' . , - i, _ r , FRONT YARD SETBACK .�,o � �„S' REAR YARD SETBACK* � 5' �.0 �,(o� � � SIDE YARD SETBACK �� .� � 2 � SIDE YARD SETBACK �� -� � MAXIMUM HEIGHT 5 � a�' LOT COVERAGE** �p o� �� % - NUMBER OF OFF-STREET � � • PARKING SPACES *Use this as the second front yard setback for corner lots and through lots. **Lot Coverage is defined as that portion of a lot covered by the roof areas of ALL structures, but not including driveways, walkways, patios and low open decks. A low open deck is defined as rising 30 inches or less above the finished grade. The applicant herby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the appticant 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. , c�v�-e�.u.� �a.� � � a � Applic t Signature Date Residential Questionnaire 4 of 4 Revision: March 2006 t ;-: DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION • 345 — 6th Street, Suite 600 :� • • Bremerton, Washington (360) 473-5275 INSPECTION REPORT �� PERMIT #: _ ��'�-�'7:� CJ � ADDRESS: 1� Z 3 �� 13�. �, . acc. ��. �'� f-(,l i� � ��e_ O 5 � �� l.t._� �� ' S9 �ii^�c � � �x .�'e _ _ � �7��Z�� _ . Date: � � � � Phone: INSPECTOR , ' ' � , f �..�1 / f _ �-..� �Q,��II�.'�� ./� �� `C l� 23 �� AFTER RECORDING MAIL TO: ❑ r' (r `� �� r� D Jason B. Folen Sydnee L. Folen 7855 Amethyst Loop NW �AY 18 2007 Silverdale, WA 98383 BREMERTON-QLPT.OF � � COMMUNI�'`( DEVELOPMENT 2�0�05070278 PACIFIC NW TITLE Filed for Record at Request of; � of 2 Deed Rec Fee $ 33 00 Page 05/07l2�07 O1 �5 PM Pacific Northwest 1�tle Karen F1Ynn� Kitsap Co Ruditor Escrow Number: 31052814 �� Title Order Number 32107141 � Statutory Warranty Deed Grantors: Michael Ferrin and Elaine Ferrin Grantees: Jason B. Folen and Sydnee L. Folen ' Abbreviated Legal: Lot B, Bremerton SP BP06-00001, AFN 200605090167, Ptn Tract 10, Phinney 2'/: Acre Tracts Additional legal(s) on page: 2 Assessor's Taz Parcel Number(s)• 3787-000-010-1009 THE Grantors Michael Ferrin and Elaine Ferrin, husband and wife for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CON5IDERATION in hand paid, conveys and warrants to Jason B. Folen and Sydnee L. Folen, husband and wife the following described real estate, situated in the County of Kitsap, State of Washington � � AS SET FORTH IN EXHIBIT ��A" ATTACHED WffiCH BY THIS REFERENCE IS MADE A PART HEREOF. SUBJECT TO: AS SET FORTH IN EXHIBIT "A" ATTACHED WHICH BY THIS REFERENCE IS MADE A PART HEREOF. Dated April 26, 2007 . /' r C ♦ � Michael rrin E aine Ferrin , ' STATE OF Washington ' } COUNTY OF Kitsap } SS: I certify that I know or have satisfactory evidence that Michael Ferrin and Elaine Ferrin are the persons who appeared before me, and said persons acknowledged that they signed this instrument and acknowledge it to be their free and voluntary act for the uses and purposes mentioned in this instrument. Dated: �� U � �<,- � S� �' `\``\` Notary Public ' and for of�o _� � `G �1TNFR �� Residing at � `��....��,,,,�� ,` �/�� My appointment expires: 7 (!' - y�= ?� ES fl r ��' � // i i } : � P �� % i : p � u rn; z i a;� S� '' -�� KITSiiP COUNTY TRERSURER EXCISE 05/07/2007 % � P �� i ��y�''��,� �'�'.�� ` 2007EX03373 /� �„� ��pn��a•r`� �` �//� �TA?E� Total : $1'518.00 Clark's Inittal ___ _______ ,��1111\\�� - - - - - - - Page 1 of 2 LPB-10 . — , . � .� � ' EXHIBIT A Parcel I: � Lot B of City of Bremerton Short Plat No. BP06-00001 recorded under Auditor's File No. 200605090167, being a portion of Tract 10, Phinney 2'/z Acre Tracts, according to Plat recorded in Volume 5 of Plats, Pages 1, in Kitsap County, Washington. Parcel II: An easement for roadway as contained in instrument recorded under Auditor's File No. 390911. SUBJECT TO: Easement for electric transmission and distribution line, and the terms and conditions thereof, together with necessary appurtenances, as granted by instrument recorded on August 13, 1944, under Kitsap County Auditor's File No. 395665. To: Puget Sound Power and Light Company Covenants, conditions, restrictions and easements contained in short plat: Recorded: May 9, 2006 , Recording No.: 200605090167 Records of: Kitsap County Initials � r C�� _ � PACIFIC NW TITLE 200705070278 Deed Rec Fee $ 33 �0 05/�7/2��7 07 �5 PM Pa9e 2 of 2 Karen Flynn, Kitsap Co Rudttor I IIIIII� III'lllll II'I �IIIII IIII II'II�I IIIIII II') �I'I IIIII III�I III�I IIIII IIII II'I