HomeMy WebLinkAboutAPPLE ST., 237
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PERMIT NUMBER
DATE ISSUED:
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3964-000-115-0000
FITZGERALD JOHN & VIOLETTE
FITZGERALD JOHN & VIOLETTE
GR WILSON & ASSOC
SUBMITTED:
04/23/2004
VALUATION:
Demolition Fee
$53.91 2218
$4.50 0236
State Su rch arge
TOTAL FEES:
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
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DR
237 APPLE ST
331 NE MCWILLIAMS CT
331 NE MCWILLIAMS CT
SIGNATURE OF OWNER
AGENT:
t~!. t..'lmit"includin~, a(1 &nditions of zoning, building codes, and State and Federal laws.
,). 10. .
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(360}275-3852
APPROVED:
EXPIRATION:
11/03/2004
DEMOLISH A DUPLEX & GARAGE
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
(360) 473-5870
(360) 415-4000
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of iaws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or localloaw regulating
construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law
under Section 3, Chapte 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 insp' tion prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
PRINTED NAME:
7 ;;uJ(j ''1/
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulato
regulations does not necessarily ensure compliance with federal or state laws.
jurisdiction, and thus compliance with City ~""("
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1. 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).
2. 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.lnLwa.gov/p-
ts/asbestos/asbestos. htm.
3. ANY WORK TO BE DONE IN THE RIGHT-OF-WAY, SHALL REQUIRE A RIGHT-OF-WAY PERMIT.
Page 1 of 2
y'
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
lII~.Illv"""""'''iiI''.''
DATE ISSUED: 1..i:.I1l1Imifi'JK.a"ffr..
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3964-000-115-0000 ZONING: DR
APPLICANT NAME: FITZGERALD JOHN & VIOLETTE PHONE:
OWNER NAME: FITZGERALD JOHN & VIOLETTE PHONE:
CONTRACTOR: GR WILSON & ASSOC PHONE: (360}275-3852
LENDER NAME: PHONE:
SUBMITTED: 04/23/2004 APPROVED:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
237 APPLE ST
331 NE MCWILLIAMS CT
331 NE MCWILLIAMS CT
EXPIRATION:
11/03/2004
MINIMUM INSPECTIONS REQUIRED
Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be
sure to provide your permit number, name on permit, site address, contact phone number, and inspection type.
Final Inspection - Building
Page 2 of 2
'"
g"gbY 01 OJ ?
Dr<-
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PERMIT CENTER
Department of Community Development * 286 4th Street * Bremerton * W A * 98337
(360) 478-5275 * Fax (360) 478-5278
Building Permit Application
APPLICANT: ~ OWNER D CONTRACTOR D AUTHORIZED AGENT
Site Address 235/237 Apple Street I Tax Account Number: 3964-000-115-0000
OWNER Name: John & Violette Fitzgerald
Address: 331 NE McWilliams Ct
City, State, Zip Bremerton, W A, 98311
Phone #: (360) 377-9670
Authorized Agent Address:
City, State,Zip
Phone #: (
CONTRACTOR:
Address:
City, State, Zip
Phone #: (
License #
Contact Name:
Contact Phone #:
)
I Expir. Date:
(
)
Check the type of application for below:
o NEW SINGLE-FAMILY RESIDENCE 0 NEW COMMERCIAL
o NEW DUPLEX 0 COMMERCIAL REMODEL
o NEW MANUFACTURED HOME 0 COMMERCIAL ADDITION
o RESIDENTIAL REMODEL 0 COMMERCIAL REPAIR
o RESIDENTIAL ADDITION 0 NEW MULTI-FAMILY
o RESIDENTIAL REPAIR 0 TENANT IMPROVEMENT
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
Scope of Work Proposed: Demolish Duplex
)
o NEW GARAGE/CAR PORT
o NEW ACCESSORY SLOG
o NEW SIGN
I2SI ST~UCTURE DEMOLITION
o GRADING (Cubic yards: _ )
o OTHER
YES 0 NO I2SI
Square Footage:
/7
Valuation
Dwelling: 1,557
X 103::;:
Plan Review Fee
Garage:
240 Decks:
Surcharge
y ~O
Total Fees
:58
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 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 der to re action on an application after expiration, the applicant
shall resubmit plans and pay a new Plar:ie, e .
APPLICANT'S SIGNATURE: DATE: ~ c:2J:,~
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Engineering Division
360-478-5398
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,\ 3027 Olympus Drive' B,o::nerton, ViA 98310-4799 . (360) .~.. FAX (360) -'!,7-8-'SB-Hc'C ----__00
J~D,ORESS fOR.M
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(36()) 47f)-52'7C, FA,:X (:~QIJ) ,~1$-5398
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APPLICANT INFORMATiON
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SHGW STREET NA,ME 7Hi\T DRIVEWAY ACCESSES. INDICATE WHiCH DIRECTION is NORTH.
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In1 MAY 0 7 2004 ~
" BREMERTON "
BUILDING DEPARTMENT
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BREMERTON MUNICIPAL UTILITIES
. 3027'Olympus Drive
Bremerton, Wa 98310-4799
'(360}473-5270,UTILITYSERVlCE AGREEMENT
bEMERTON CITY TREASURER
D8S4A1D
APH262004 '
Work OrderNo.
ReceiptNo.t.?'1::J3-QL.'O';;; I q,;)j
T~ pNo.
. THANKYOU
c;)
SERVICE REQUIREMENTS: '
SERVICE AREA:
PLAN ATTACHED:
SERVICE CHARGES:
Connecti on/InspectionF ee:
Water Domestic..;..;...... 0" Size $
Irrigation ...... ..,.. ..Size '~ $,
W t t /'J .n~cU? ,'ACULJ)"f.,/..c' ,."\ $
as ewa er... . .~,.......... .. . . . .. ... . . ... C,;'. ~'F' '?"'f .""". ','J
Stormwater....................... ............ .......~ $
..[ lWater
. I~Y City
[ ]
, AMOUNT
214-, ,qQ
98'd()
Front Footage Fee:
Water................................. ....................... o. $
Watewater.... '" ........ .,.......; ..... ...... ......... ""'.''''' $
Stormwater......... ..... .................... ,.... ........... $
@I~'~
M;D~
BREMER10N
BU'lUJ\NG UE?ART~E~T
General Facility Fee:
Water..........# of Units _ @$
Wastewater... # of Units ---"- @ $
Stormwater..# of Units _@'$
$
$
$
System Development Charges: '
Water... ................;... ...';';;..;. .;;;; ';;'.. ;:.. ;.;.; ;;;. ..;;;$.
Watewater.;.. ........ ....,.... ...... ..,.......... ......." ;..... $.
Stormwater.,. . . . . ... .. .. .. . . :. .. . . . . .. .. .. ...e;...... . .;; .... '.$.
5>
[] Asphalt[,,) Concrete $
[ ] Yes [ ]No
County Road Permit:
Pavement Restoration Charge
Refund
Tapping Fee:.... ..
. I
;
~ ~ -. . .... . . . .. .. .. . .-. . . .. . .. . . . . .. .. .. . . .. .. .. . . . . . . . .. . . . .. . ...
, ,
"Other: . . . . . . . . . .. .. . . . .. . . . . . .. .'~ .. .. .. . .. ... . . . . . .. .. . . .. . .. .. .. .. . .. . . .. .. $ ,
TOTAL:. ........................... ....... u....... .,.... u"~ ..~.~.. '$ ,...;:2.;.l4.f.~O, '
1. Utilitycharges,.are the}ysJlonsibility of the ownerregardless of whether the property is oSS:I.lpied by the
owner or tenant. Unpaid charge shalLbecome a lien on the property serviced; . ,,',,' , .
2. By this agreement, 'the undersigned owneiacknowledges.. that the owner assume's'ihe iisK'lnidtlie City
disclaims responsibility foralLc1aimsfordamageorinjurytopersonor property;, ,
Name:'
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cJ.City: aftYVJ~ '. State:
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Date:
Date:
1/, - ~&. - 0 l.../
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Completed By:
Date:
Original & Hard Copies;' Accou.nting, Pink Copy: Engin:eering,.BlueCopy:Water, YellowCopy Customer
IN:!Ji?eCf{m .J ,MfI~VCP s/671tJ2f D~'~~
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B[TILDL\TG PER1'JfIT
~_ INI'SPECT/ON
~io IfI~RD
it
PROTECT THIS CARD FROM THE WEATHER ."BI
Building 0 Plulnbing F re AlarIll/Sprinkler D
DURING INSJ>ECTI0NS THE BUILDING rEH.MIT & APPROVED PLANS SHALL 1;[ ON snE
Perll1it # ~ See tiJt::,ocJe
p@g)u (Q) J{ \~0 _ U ~
For Inspections Call (360) 473- 5870
Approved Date
Notes
FO Ul\TJJA TIOl\T
DO NOT POUR CONCr..ETE
PRIOR TO APPROVAL
Erosion Control In Place
Foundation Footing
Foundation walls l
Plumbing Ground Work
111 Slab 1I1echanical
't .I?~c. f
1st
Footing Insulation
2nd
PLU1I1BIATG
MECHANICAL
GAS PIPE
Rough 111
Duct / Vent
Support / Test /1I1eter set
3rd
FRAMI1VG
If 1st & 2nd are approved
Hold down connections
. Shear Panel nailing
L&1 Electrical Approved
Ventilation requirements
Praminf!
4th
Under-jloor
walls
IATSULATION
ceiling
sth
6th
FI^~4L
SHEETROCK
All of the
above
:Must be
approved
Pdor to
final
473-5870
473-5927
Driveway 473-5270
Sewer 473-5270
473-5384/5385
ALL FLl\~4L L\iSPECTIO-,-lVSCOkfPLETED
DO 2\OT OCCUpy RUILDING \VITHOUT BDlLD]}\'G DEPA.RTME.NT )~YPRO\-AL
OCCD"PANCY VIOLATION IS A l'vilSDEIvIL4...c'r\OR - SECTION 305(d)
PROTECT THIS C4R1J FROM THE FEA THER