HomeMy WebLinkAboutARSENAL WAY, 3420
() ~ 1 7 2003
\3REMERTON
. Ltl\NG DEPARTMENT
(5'B 0:3 oD697
.~ I N A-C-
~~-~
1)\.S;_7
PERl\lIT CENTER
Department of Commumty Development :;- 286 4th Street:c Bremerton :C\;J?A:c 98337
(360) 478-5275 :c Fax (360) 478-5278
Building Permit Application
APPLICANT: 0 OWNER 0 CONTRACTOR 0 AUTHORIZED AGENT
Site AddressSL/?- 6 f)fl.$t&.;v14
OWNER Name: r<1~1'W'..:.B fl~-tz.
Address: 3 t./:) 0 fi I'-SIZ tv'" L W?1-'-1
I
. City, State, Zip f5~M;2~i Wj1- 7' l\37D
,
Phone #: (360) ~~}- ~fj'/.,t./
Authorized Agent Address:
CONTRACTOR: ~Et.~
Address:
City, state, 7ip
Phone #: ( )
License # Expir. Date:
Contact Name:
Contact Phone #:
)
City, State, Zip
Phone #: (
)
Check the type of application for below:
o t'-lEW SINGLE-FAMILY RESIDENCE 0 NEW COMMERCIAL
o NEW DUPLEX 0 COMMERCIAL REMODEL
o NEW MANUFACTURED HOME 0 COMMERCIAL ADDITION
o RESIDENTIAL REMODEL 0 COMMERCIAL REPAJR
o RESIDENTIAL ADDITION 0 NEW MULTI-FAMILY
o RESIDENTIAL REPAIR 0 TENANT IMPROVEMENT
~
j~
o
o
o
NEW GARAGE/CAR PORT
NEW ACCESSORY SLOG
NEW SIGN
STRUCTURE DEMOLITION
GRADING (Cubic yards: _)
OTHER
IS THIS PROPERTrWITHIN 200 FEET OF A SHORELINE? YES 0 NO'S
/'? ""'-" CJ /'
Scope of Work Proposed: <..>" 0 IV ~ 'tIP-v <:.. t r 0 2:-
.~ S ( oj. ~O I
(; ~if!..I+fr., fL
Square Footage: Dwelling: Garage: " ~bOO Decks:
Valuation I Plan Review Fee Permit Fee Surcharge Total Fees
'11,II./O.t>O '/05:'] ) ~:zs:~~ " 'IsD It ()33 '~.b
Application for which no permit is issued within 1 SO days following the date of applicCition shall expire by limitation, and
plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building officiaL
The building official may extend the time for action by 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. l'-lo
applicant shall be mdended more than once. In order to renew action on an applicaticfn"afterexpiration, the applicant
shall resubmit plans and pay a new plan review fee. , . /I
APPLICANT'S SIGNATURE: M. ?dktP~-jJ..;J~ f.,1!-- DATE: It:/i'(t~
{2 t e-h ;f1!-6. f FII-r tfIZ
.. -
-:-:~,r-:<"r1z -I .:~~:1~
h='-..' I,', M ,. ""
;:.::},I III' 11 ! ':~-~'1
tr--.J, I .~<~,: .....:-._
-::1 . ~ . :..'._~::':; _:~
fJ3D3 otL'17
'..,fi.'._".fi....~...:~H.._.~.H"_~.,.._'_fi.__..H .__,~
.' .,- ,., .".... "--"""."--"
O)[g~~~W~l\
ru HOVPEm1L~ CENTER
BREMERTDN
BUILDING DEPARTMENT
: '.... ,".. .m........... .......... ....,... .,
f ~tl~~~;~~liZ:~w~J:;~11~Jrllfa.,1.:
........~,....""'_._-..,;._..___.b.,.;."...._.....;;~.:;;"~...OO:,;;.;,;i,...;.<;-....;...,~..-.;.,.;.;-"..._...:..;.,;..;;..,..;.~...;;.:.:-;4~.i;;.'
Department of Community Development ::. 286 4th Street ::. Brernerton :, WA ::. 98337
(360) 478-5275 ::. Fax (360) 478-5278
RESIDENTIAL SITE PLAN REVIEW QUESTIONNAIRE
Pennit applications are reviewed by our staff to make a preliminary determination ofthe presence or
absence of unique areas on the property. To help us make this detennination, please supply the following
information with a scaled and dimensioned site plan.
Applicant: /) ~.. I?
1< 1 L f/i4t,Q. .p V F 11- pop.
Description of Proposal: r'
Cc.11-fl-ft- 6, 6-
Street Address (or street name if no address has been assigned): 31 ~.v
Tax Account Number: ~;) iJL} 0 I - t-(;J i:3 ~ ,') b6i..j
,
f7(2.$iEi-t,,)J<}L. "(,1;9 -./
. ,
Critical Area Questionnaire:
1. Is there any standing or running water on the surface of the site at ANY time
during the year? If YES, please describe conditions:
DYES
12$ NO
2. Are there wet areas on the site? If YES, please describe:
DYES
lZNO
3. Is the site characterized as:
D Forest
D Cleared
g] Developed
4. Please give the overall slope of the parcel ~% and the slope at the building site ~%.
5. Is the property within 200 feet of a shoreline?
DYES
DYES
~NO
~NO
6. Will the proposed structure be aesthetically or functionally disruptive to"
surrounding properties, the neighborhood or the community?
See diagram explaining the slope calculation on the back.
The applicant hereby certifies that all ofthe above statements and the information contained in any other
transmittals made herewith are true, and the applicant aclmowledges 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.
:l
vJ;u...ca<~ ~
Signature of A~dic t
~L ~~C-lt+~6
r J!Z/1-tf:.,A i to>), '1~'l /6.:;>
.. ,
Date
- ..
Site Development Figures
.
:1
Percent Slope Calculation
Slope is calculated by dividing the vertical distance
by the horizontal distance, then multiplying the result
by 100, Example:
80%/~\,
'-... Cl :J
~
60~00 1"1 "
, -~., '"
0':1..........
. ',-
'--
Vertical Distance of 20 feet
Horizontal Distance of 100 feet == .2 x 100 = 20% slope
...... "\
I ,,' ~
V''''\
30%1:. \.
..0 ?
~
[~ /'. ---..
150/0 ../"\\
~\
o So
1
Qr:0\,
" '"
o P
I
I
~,
',,-
........, '....
~~
~
~
Residential Site Plan Review Questionnaire
Page 2
..
360_-178-53:;;1<.>
l~ 01 03 02.: 43P
~, .~ ;/
.--.-
A:
\
\
\
~. \
En~ineerin~ DiviSion
\.O'?
~
,..,- --- - - - - - -.- \ '
\ l!:o:> ,\(;>
~' \ .
\'$ ~0~ t'~ ~\'..p'..l<- ',&,
I \. 5'-tC/'~e. \
\.1.---- --------..
.. "J- ""." ..
i
-~\
...~
~
~ .
, .
_ .. '" ..9
( . '"1-
~. I ~t
~~. .
f t..'
1::;;1- .
" :.z:;,~
~e:.
~
U\
~
,,~' .' ..' "..", ,""'"
-K~ ...~p...-l
~ '. -z.o ",\'.<1::>"
..~~",~-$t"5' ....
._~\~ 'WA" "\~~\;...
~~L.~
(fl,..
. ....
J ~ (j\
.
t3
i{\
-
. .
--
l
i
)i
.\
~'
J
.
,.- pl-
;' ~~ .
. _________ . "'?J,: \
.;.:.-.--_ . ________ ..~w~<'CC'\iCC" ..- .
\O\~~~~'W~c~
~\N HOl l? 2663 &
B?;tN\ER10~
I ,...{ el'tlfl~ J.llUltOlNGOEPAIiTMENT
y r d'fA'V r:d.l IJrI Y5. .
1utute \\o}p-es
5620 l{its~:P W s.~. '
~.,,'[ll.e.ton, \fI Pc ~~3i2 -----' .
3130_479.4()OD " --
"-A.L' \L- L?'~ .b~
.......,....~V"- (,~ Go? ~
-
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number: _
. 286 Fourth St. Bremerton. WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB03 00697
BB03 00697
State Surcharge
Building Permit
1/0236
1/2211
$4.50
$ 623.55
Total:
$4.50
$ 623.55
$ 628.05
$0.00
$0.00
B000001017
11/17/2003
Plan Review Fee
$405.31
B803 00697
Total:
$ 628.05
$ 628.05
CHECK
1688
Page 1 of 1
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
.
286 Fourth 81. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
Receipt Number:
Total:
$ 405.31
$ 405.31
$0.00
8803 00697
Plan Review Fee
1/4580
$ 405.31
Total:
$ 405.31
$ 405.31
CHECK
3286
Page 1 of 1
SITE ADDRESS
O~~~I
.pO\e ~~e, I
D Mechanical D Fire Alarm/Sprinkler D
BUILDING PERMIT
INSPECTI
FILE CARD
B
CITY OF
BREMERTON
FILE COpy
Building
Pluinbing
Permit # BB03 -QQ fa:l J
FILE COpy
Ae,proved Date Notes
Erosion Control In Place
1 st Foundation Footing (D 1./~O4
FOUNDATION Foundation walls
DO NOT POUR CONCRETE Plumbing Ground Work
PRIOR TO APPROVAL In Slab Mechanical
Footing Insulation
2nd PLUMBING Rough In
MECHANICAL Duct / Vent
GAS PIPE Support / Test / Meter set
3rd Hold down connections
Shear Panel nailing
J FRAMING L&I Electrical Approved
If pt & 2nd are approved Ventilation requirements(
Framing 7 ?3...J..b'"'0
4th Under-floor
walls
INSULATION ceiling
5th SHEETROCK
6th All of the BUILDING 473-587il' L 03-~e(J1f
above
FINAL Must be 473-5927 .(:JVh!<- -7
l approved . PUBLIC
Prior to WORKS
final FIRE
ALL FINAL INSPECTIONS COMPLETED
" iJlf
<";"
,./
)~~
/!fltL()IA/(,../S f/N/Sh'e.e7(~~'6
/..4 a..'( a":Y? 6=0 'i I
~/, iJ)
.rv Ilr( 10
t b-r
. ,
FJN.,4I.../'f,o UN+lt..... /.::J.c I VJli,.w/J 7 '.5 ~~)
..
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
io
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 222401-1-013-2004 ZONING: SF-3 SITE ADDRESS: 3420 ARSENAL WAY
APPLICANT NAME: PFAFF FRANK M JR PHONE: ADDRESS: 216 S MARION AVE
OWNER NAME: PFAFF FRANK M JR PHONE: ADDRESS: 216 S MARION AVE
CONTRACTOR: B & L SERVICES PHONE: ADDRESS: 5673 BETHEL RD SE 14 A
LENDER NAME: PHONE: 0-
SUBMITTED: 06/13/2003 APPROVED: 02/02/2004
VALUATION:
Manufactured Home - Double-Wide
State Surcharge
Building Sewer Fee
$150.00 2217
$4.50 0236
$35.00 2213
INSTALL NEW DOUBLE W
Building Code Edition:
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method:
Number of Bedrooms:
3
TOTAL FEES:
(Front) (Side) (Rear) (Other)
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
Fire Inspections
HID: Bremerton, Kitsap County Health District
PW: Department of Public Works
(360) 473-5870
(360) 415-4000
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or
work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not
been suspended. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or localloaw regulating
construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law
under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DeD 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 abi
SIGNATURE OF OWNER OR
AGENT:
. ions of zoning, building codes, and State and Federal laws.
PRINTED NAME:
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. Floor elevation of manufactured home must be a maximum of 12" above finished grade.
2. 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).
3. For more information, please contact Clean Air Agency through their web site at www.c1eanair.org or by phone at
800-552-3565 or 206-689-4058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm.
4. Driveways and parking areas must be paved.
5. Obtain Right-of-Way Permit prior to issuance of Building Permit for all work in or adjacent to the public right-of-
way. All work within the Public Right-of-Way shall be constructed according too City of Bremerton Standards.
8-6-03 RIGHT-OF-WAY PERMIT # 4543 ISSUED.
ALSO PUBLIC PROPERTY WORK PERMIT PERFORMANCE SECURITY CASH BOND SUBMITTED &
ACCEPTED BY PUBLIC WORKS & UTILITIES, OL YMPUS DR.
~
~
~
Page 1 of 2
..
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 222401-1-013-2004 ZONING: SF-3
APPLICANT NAME: PFAFF FRANK M JR PHONE:
OWNER NAME: PFAFF FRANK M JR PHONE:
CONTRACTOR: B & L SERVICES PHONE:
LENDER NAME: PHONE: 0-
SUBMITTED: 06/13/2003 APPROVED:
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
3420 ARSENAL WAY
216 S MARION AVE
216 S MARION AVE
5673 BETHEL RD SE 14 A
EXPIRATION:
02/02/2004
6. Utility fees and assessments shall be paid prior to final occupancy approval.
7. Approved Seismic Zone 3 Tie Downs Required
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.
Manufactured Home Foundation
Plumbing Groundwork
Driveway
Final Inspection - Building
Public Right-of-Way
Page 2 of 2
APPLICANT:
3B 03 10005 {
c. {J t:t
O)jgcgjgnwjg~ SF 3
~JUN 09 ZOO3P:~T CENTER .
BREMERTON b .r~1 (f - 0,3
Department of Community Devd~~~W"et " Bremerton "W A" 98337 (-2.. ~ I. /.
(360) 478-5275" Fax (360) 478-5278 ~' It..:;
:Building Permit Application .lA..~~1
~90NT~~ ~!l~5I1omWh~~
' Tax Ac Number:
DOWNER
Site Address
CONTRACTOR: /3.t 1-
Address:Shi7'3 ~nlli-l. pus. s..e. tJt'-/-R
City, State, zipR>flrQl?~II~, IVtlII. '1S31:,7
r
Phone#: ('360) S-;)..:l-~
, . License #I3LS'/P1i:. -011,/11I Expir. Date:
Contact Name: [3/11 K5pLlEIL
Contact Phone #: (36.0) ~71-r"" V
I
Check the type of application for below: )
. /
o NEW SINGLE-Ee:':'11L Y RESIDENCED"'-.NEW COMMERCIAL
.:J NEW DUPLEX D COMMERCIAL REMODEL
~ NEW MANUFACTURED HOME 0 COMMERCIAL ADDITION
o RESIDENTIAL REMODEL 0 COMMERCIAL REPAIR
o RESIDENTIAL ADDITION 0 NEW MULTI-FAMILY
o RESIDENTJAL REPAIR 0 TENANT IMPROVEMENT
OWNER Name:Rlclt;4~6 PFf!rF'
Address: )...1' ~. /11nf2..I;~>
City, State, Zip I3I<P1Y1l2F!-(t)}V, ttJ;a-
Phone #: (";;36; cJ OJ 1 - 6. ~
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE?
,/\)fl O.
N ~~~~~m,
STRUCTURE D~rY/OLl~ 0 J~'
GRADING (C"","yaCd~. f)JI. / 7
o OTHER
YES 0 NO ~
Authorized Agent Address:
City, State, Zip
Phone #: (
Scope of Work Proposed: I NSrjfJ t.. L II/te W
/) f/.jM.-R -
I
...
~ov~L€ 1l/,&fZ: ')71t!JB ;"'1.. 1Z
Square Footage: Dwelling: 137?f
Garage:
Decks:
Total Fees. 6. 4., .
I FCf'O ~
Application for which no permit is issued within 1BD days following the date of application shall expire by limitation, and
plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official.
The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by
the applicant showing the circumstances beyond the control oHhe applicant have prevented action from being taken, l'-lo
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. ) I . I
APEIICI\NTS SIGNATURE: t(/~) ~ DATE: 6!q! 0:3
Valuation
Plan Review Fee
Permit Fee
. Surcharge
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
286 Fourth 81. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB03 00051 State Surcharge 1/0236 $ 4.50 $4.50 $0.00
BB03 00051 Building Sewer Fee 1/2213 $ 35.00 $ 35.00 $0.00
BB03 00051 Manufactured Home - Double-Wid 1/2217 $ 150.00 $ 150.00 $0.00
Total: $ 189.50
Total:
$ 189.50
$ 189.50
CHECK
3187
Page 1 of 1
~Bo3
tJ6651
0)....0 ~ (g \g ~liqIT CENTER
111 JUN 09 2003 J
BREMERTON
Department of Community Development9UJWt$1D~\W'J~rgremerton ::. WA ::. 98337
(360) 478-5275 ::. Fax (360) 478-5278
RESIDENTIAL SITE PLAN REVIEW QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this determination, please supply the following
information with a scaled and dimensioned site plan.
Applicant: f2. '\.<::~ll ~~r~ PF p 1P,r
Description of Proposal: 1v1i \J m ~ B. 1 '\., l€ I....f-eJ'YVt u;:. -3 4clO
Street Address (or street name if no address has been assigned): fl (i tv i9- L W ...
Tax Account Number: ,grd d4.01 0 {'3 ;) 0 04-
Critical Area Questionnaire:
1. Is there any standing or running water on the surface of the site at ANY time
during the year? If YES, please describe conditions:
o YES Il2t NO
2. iue there wet areas on the site? If YES, please describe:
o YES rJt. NO
3. Is the site characterized as:
o Forest
o Cleared
gj Developed
4. Please give the overall slope of the parcelS % and the slope at the building site3+ %.
5. Is the property witbinlOO feet ofa shoreline?
DYES ~NO
DYES gLNO
6. Will the proposed structure be aesthetically or functionally disruptive to
surrounding properties, the neighborhood or the community?
See diagram explaining the slope calculation on the back.
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant aclmowledges that any action taken by the City of
Bremerton based in whole or in part Oil tills application may be reversed if it develops that any such
statement or other infonnation contained herein is false.
tJ~~V4L
Signature of Appli~. t
,;, /03
Date
Site Development Figures
Percent Slope Calculation
Slope is calculated by dividing the vertical distcInce
- by the horizontal distcmce, then multiplying the result
by 100. Example:
D/~\
80%,. ,
......... 0 :::1
~
60%/[Y6~~"
-.......o:,,~~
.....
~""
~,
[}~\, .~ ~
30%~". . .\. ~ . "-
0;:::1 ~"',,-
I . ~ ~ ~
~ " ~.~
15% V'~\'\ . ""'-...........~ ~,......~
o F ~"'~..~ ~..~
. ~~
~
.
Vertical Distance of 20 feet
.Horizontal Distance of 100 feet = .2 x 100 = 20% slope
r.-~. "..\
V"",'',
. "
.----~
' 0 P
I
Residential Site Plan Review Questionnaire
Page 2
r/olE CITY Of PRIDE AND OPPO/lTUNITY
<:; I T '( Of'
BREMERTON
PERMIT CENTER
286 Fourth Street
Bremerton, W A 98337
(360) 478-5275
INSPECTION REPORT
PERMIT#: 15G:;3-&tJOs/ ADDRESS: Ze./tD ;4e~1I/4t1
(]) ~ ~ c. ~~ 1Jw4 ii'e;wl JloWftr
(j) )/~t::> ~Ne..~C ~ oil- all ~
Ca,.e{;>
Schedule a reinspection when the above items are c rrected. Call 360-478-5275
by 5:00 p.m. for next day inspection.
Date: I z--t~c:Ji} Time:
,
BREMERTON CITY TREASURER
PAID
~
~
CITY OF BREMERTON. WASHINGTON
AUG - 5 2003
DEPARTMENT OF PUBLIC WORKS
PERMIT
THANK YOU
/ft!c--t#
,;;L~ 4-- 7)
t) .;l. -1-;z.
Tue Aug 05, 2003 Permit # 4543 Permit Fee: ~ $140.00
PeJ^fO/'~,cCe.- Pf}'" I; lt7dd7()
APPLICANT: B & L SERVICES * Certificate Of Insurance Is On File
Owner: RICHARD PFAFF Address:_~673 BETHEL RD SE #14-A Ph: 895-4226
1bl'10rchtKl. q r5b 7
Work Addresses:
3420 ARSENAL WAY
TYPE B PERMIT
A PERMIT IS HEREBY ISSUED for the performance of the following:
DRIVEWAY I1):JP;r?Olfcl-/
PERFORMANCE DEPOSIT = $1.000.00
This permit is valid for 90 calendar days commencing with the date of this permit unless specifically called
out under limitations below. This permit must be posted on the job site in a location accessible to City
Employees. The Engineering Department must have 24 hours notice of the need for a required inspection. An
inspection must be made prior to any work commencing and after completion of the job. Phone 478-5270.
Limitations: SEE ATTACHED COMMENTS AND CONDITIONS. USE TRAFFIC CONTROL,
DUST CONTROL, EROSION CONTROL.
WORK SCHEDULE
Commence Work: 08/05/2003 11:30AM Complete Work: 12/05/2003 4:00PM
INSPECTION RECORD
Date of Inspection: Date of Approval:
Comment: CONTACT PERSON: BItHEPLER
~~~*-
. Issuer: - M. BABBITT)
"
/ /15f:red1 Ch-L.S' i' -1-7 ?-.>g 3' 7
5{/.69~e
P/W
/11'> / -e.Jdns' I}; r .R / W In Il.,cl-r! r PU!JC17L.s .
j,
I
CITY OF BREMERTON ENGINEERING DEPARTMENT
RlGHTOF WAY PERMIT NO. 1-5-1-3
1. For underground locates call: 800-424-5555
2. Traffic Control shall be per Washington State M.D.T.C.D. and City ofBremerton Standards.
Notify CENCOM (616-5800), Kitsap Transit, Paratransit, Bremerton School District
(during school year), Mail and Package Delivery Services, and Waste Disposal Companies of
work schedule prior to start of work, ifblocldng driVing lanes. When blocking sidewalks,
Sidewalk Closed signs shall be used at each end of the work area during construction and at
the nearest intersections. For street closures and major street construction, guide signs shall
be used to inform the public of dates of changing construction activity and facility access
conditions.
3. This Permit and a copy ofthe Approved Plans shall be kept on the work site durine
construction.
4. The Contractor's emergency contact person and phone number shall be on file with the City
and with CenCom. If efforts fail to contact the Contractor within a reasonable period of
time, based on the nature of the emergency, all work performed by the City shall be at the
Contractor's expense.
5. The Permittee and any of the Permittee's contractors are required to name the City of
Bremerton as additional insured for the work in the right-of-way on their insurance policies.
6. The Contractor shall notify the adjacent property owners and the City ofBremerton
Engineering Department three (3) worldn!! days prior to start of Work and the start of
Pavine.
7. Erosion Control and Dust Control shall be used. The street shall be cleaned each evening
and at other times when causing a hazard.. Catch basins and ditches shall be protected from
dirt and debris per City of Bremerton Standards. No dirt or debris shall be left on an open
sidewalk. No dirt shall be left on grass or landscaping for such a length of time that it will
result in damaged or dead plants.
8~ Any landscaping, pavement, sidewalk, sign, mail box, retaining wall, or other structure in the
RJW disturbed or damaged during construction shall be restored to its original or better
condition per City of Bremerton Standards.
9. Any Stop Sign in the work zone shall be protected from damage and if temporarily removed
shall be reinstalled immediately after the temporary traffic control has ended. Any other
street signs and traffic channelization removed or damaged shall be reinstalled in the same
locations at the Contractor's expense.
10. When installing underground utilities, the Contractor shall maintain a parallel distance of 5
feet away from other City owned underground utilities. Buried conduit and cable shall have
a minimum of 2 feet of cover over the top of pipe. In paved areas that 2 feet minimum is
measured from the bottom of pavement to the top of pipe.
11. All new street lighting plans shall be reviewed and material submittals approved by the City
prior to construction.
12. If there is a question about, or damage to a City owned utility call 360-478-5920 for
assistance during 7:30am to 4:00pm. After 4:00pm ca1l9l1 and request that the "Standby"
Utility Worker be contacted.
13. Received from the City of Bremerton:
Trench and Surface Restoration Standards
Curb & Gutter, Sidewalk, and Driveway Standards
Other: tJr/ve way 5f-df,. u/&, C:t/'./;.$ Guff---er
Oili~ :~~'~/
RECENED BY: vJ~" }
DATE:
5'/5' /tJ -3
I /
- -
. -.. - . - -. - ... - .
_.~ _.___________ ..._.______.__.___._u._____._. __ _~___.__.._______.____ _ .___
.;
PUBLIC PROPERTY WORK PERMIT
PERFORMANCE SECURITY CASH DEPOSIT
PERMIT#: +543.
DATE POSTED: 7/5/tJJ
/ '
I
RE: Owner/Developer/Contractor: n It L 5' erl// t2... ~
SOl, 738e#CB-l ~di 5'E :It 14-/1- /iP~tJn::hrrd48'J6?
Project Address:
34.2-0 /fr~eJ4d I !dJay
KNOW ALL PERSONS BY THESE PRESENTS:
1. , ("Depositor"), has applied to
the City of Bremerton ("City" , for a right-of-way use permit ("Permit") to
/11 7m / / d)1; V ~ UJ&;-V 4IIf/ff/'/Jcu-J-
City-owned real property at 34;;70 .4rsJI'?ML'I/J J1/a;y
("Work") on
? The approval granted by the City and the provisions of the Bremerton Municipal Code
require that a surety bond or other fmancial security be furnished by Depositor to the City
conditioned upon completion of all Work to be performed under the above- referenced permit within
a specified time (which includes restoration of the site and correction of defects in workmanship,
materials, or installation) as set out below. Depositor has agreed to meet this requirement by
depositing cash or other acceptable solvent sureties with the City as set out below.
3. The City acknowledges receipt from Depositor in the amount of
(JJ1e hftYtffdlLd dollars ($ l;J?./?LJ" ?JZJ ), which shall be held by the
City in an interest-bearing account, for the purpose of guaranteeing that the Work shall be completed
according to the Permit. The City accepts this deposit according to the following terms and
conditions:
a. Depositor shall, at its sole cost and expense, carefully correct any damage or defects in
workmanship, materials, or installation to the City-owned real property on which the Wark is to take
place, and any City-owned facility thereon, and leave the same in as good condition as it was before
the commencement of the Work. Depositor shall complete the Work contemplated in the peytnit and
restore the City-owned real property and facilities not later than tfl5 si-a?? 1'/1 ;JI'?'/HL/;I- . If
the work is not performed within these time limits, the City shall have the right, {,ithout recourse
to legal action, to declare the deposit forfeited and to complete the Work itself.
PERFORMANCE DEPOSIT
PAGE 1 of3
- --- . ,--- - .
__._ .u___~_____. .,_.__~__ __ __._____, _"~.,._._ _
,
b. Upon forfeiture, Depositor shall lose all right to the deposit, and the deposit shall become
the property of the City. Forfeiture shall be in addition to all other rights and remedies the City may
have available.
c. The City's right to complete the Work or to correct any defect shall not be construed to
obligate the City in any way to do so, and Depositor shall remain obligated to perform or pay to have
performed all conditions of the Permit unless and until expressly released by the City.
. d. As part of the Work, Depositor shall fully compensate all its employees, contractors,
subcontractors, material men, and anyone else who could claim a lien as a result ofthe Work The
City is under no obligation to accept the Work as fully perfonned and to release this deposit until
the City receives assurance it deems adequate that all such compensation has been made or there is
no such compensation to be made.
e. This deposit shall remain in full force and effect until the obligations secured by it have
been fully performed and until the deposit is released in writing by the City at the request of
Depositor.
f. If any legal action, including but not limited to the filing of a lawsuit, must be taken to
collect on or to enforce the provisions of this deposit, the prevailing party shall be entitled to collect
its costs and reasonable attorney fees. Any costs and fees shall be recoverable by the prevailing party
not only from the proceeds of this deposit but also over and above the amount of the deposit, in
addition to recovery on the deposit, as a part of any recovery in any judicial proceeding,
DATED THIS 5-}-"'-. day of Jltlfl1-F f- , 20oyJ.3
DEPOSITOR CITY OF BREMERTON
C{~!J/~~
W. EUGENE SAMPLEY, Director
of Public Works & Utilities
II
II
II
PERFORMANCE DEPOSIT
PAGE2of3
,,__,',::'::._' _::: ::"-,=(j/'8tfJJJ::.~:. ':.'C.--.::." ':;:::"-,."-'_':'cc:C: ::,.. ._,.,.. .,.....,,"-' =::c:'c:.::-:::::.:.c:,-"c:.:::",."=::=::=c:..=:',==,:...' ..- '. ..======:'::C::::::::...::::::"c::':C:::=:
.,
STATE OF WASHINGTON )
) S8.
COUNTY OF KITSAP )
On this day personally appeared before me tU/c!L/A,vJ .:j. 06~?E/2... to me
known to be the individual (depositor) described in and who executed the within and foregoing
instrument, and acknowledged that HE signed the same as ;-1/..5 free and voluntary act
and deed, for the uses and purposes therein mentioned.
GNEN under my hand and official seal this 5i!A'
, 200$.3
~
PERFORMANCE DEPOSIT
PAGE 3 of3
.... ....--. .-'6/-810Hce.:=:~-.'--'-"=:.:::::=.::."C::c':::'::':c.'-c.::".':: - -.--
t)f)()5
D u (:) 51
PERJ\1IT CENTER
. .
i !:i
:...:..-..;......_.~~...__._-_.;..~;;'--.:..;::.:;.;;,:;';:..,;.~...:;:;;.;.~..;,:.;..;.....;..;.:..;.......-,.;.;...........~_._~;~..~
De artment of Communi Develo ment ::- 286 4th Street ,:- Bremerton ::- WA ::- 98337
(360) 478-5275 '~Fax (360) 478-5278
RESIDENTIAL SITE PLAN REVIE'V QUESTIONNAIRE
Permit applications are reviewed by om staffto make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this determination, please supply the following
information with a scaled and dimensioned site Ian.
Applicant: f2. 'l2"i114~'~
Description of Proposal:
Street Address (or street name ifno address has been assigned): flP-E'fZ.iVIJ- t.. fA) '-
T~'( Account Number: .,~'d d4 0 0 ( . ,) 0 0
1. Is there any standing or running water on the surface of the site at ANY time o '{ES ~NO
during the year? If YES, please describe conditions:
'1 Are there wet areas on the site? If YES, please describe: DYES ~NO
-.
.
3. Is the site characterized as: o Forest 0 Cleared ~ Developed
4. Please give the overall slope of the parce1.s" % and the slope at the building site3+- %.
5. Is the property within 200 feet of a shoreline? DYES 'gNO
6. Will the proposed structure be aesthetically or functionally disruptive to DYES gNO
surrounding properties, the neighborhood or the community?
Critical ~l\reaQuestionnaire:
See diagi-am .explaining the slope calculation on the back.
The applicant hereby certifies that all of the above statements and the information conta:ined in any other
transmittals made herewith are true, and the applicant aclmow1edges 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.
btJ Jl~ IJI!I-=
Signature of Applit'B t
,;'/03
Date
'.
.
'ut"ure
. .~,..............
Qrnes
-----------.....-..-. ... -.:.. .
I -..-.
, '-.
52'.0'
II RETREAT
j>
;11 9'~-r ..:8'-6-
bl~
MASTER
BEDROOM
12'-6" x tZ-r.
~,- ~
.- ....- ....-....
LIBERTY
DINING
f"_~J(rJ'~ra-
THIRD
BEDROOM
11'.o"x7.4~ .
~
LMNG
ROOM
17."xI3"1"
-"""-
SECOND
BEDROOM
, 'J.S"~ /l:J..3~
--......L..
DOUBLE WIDE
1378 SF
28x52
ANNIVERSARY
SERIAL #09L34634XU
QG285663
o
BASE PRICE: j43,456.6o
40 GAL. HOT WATER TANK
OPTIONS SHOWN:
RAISE WINDOWS 5"
OVERHEAD UTILTY CABINET
TILE BACKSPLASH AT BATH
.' PORCELAIN BATH SINKS
DI..X. RANGE
OPTIONAL BATIt .
CENTER SHELVES
TILE BACKSPLASH AT KITCHEN
ACRYLIC KITCHEN SINK
PLUMB AND WIRE FOR DISHWASHER
CABINET CROWN MOLDING
TA.PE AND TEXTURE LIVING, BEDROOMS LET THERE BE. LIGHT PRG.
TAPE AND TEXTURE KIT. BATHS
. RECESSED ANGLE ENTRY
SUNBURST FRONT DOOR
#6 1/2"CARPET PAD
9-LITE REAR ODOR
. .
6-PANEL EXTERIOR DOORS 2 EA.
PRICE AS SHOWN: $49,850.00
,,-... . ...... .........-. -..-.. .".,.'.'.-..' .........--..."........-. 2--1-'03
~~r~~:![! ;~~~:Jli:lliF~~~;~~I~.~~.~~_._------------_......._......-.....-....-
"l~'4 79-4663."
~~:--":i;.: '"":;~;::i::::: ::? ;;",:=;;;: :~
'BR.E.~E.RiDN DC\.!
r00/'2.!2103 10~3S
. '
1~
'm1r
( 3-
, . .
\\;'
\ \ ..
<~~
h, ...--.\\..
\-\\
t
'1.-
\J
)?:
<'
o
1-'
~
~Y':
\\ ~
",....
6,.
3Q0473S'2.18
~
mc;t~
~,%~er
~~o~
i\ ~~~te.
~ . d \'. ~-~i.~
\1 .~ ~~,""~~ t,t.$7~% .
\\;>- .",\'&-"' '" '. .l....... \\ .--, 9_:_;';JL~~"-~--"/
. \.-.-..--~.......-- .,-' . - .. \. . " .
\ '. " ,\ .
~ .\;\
.~;,..
"J>. _ tJ ",Yo vo-""c ~,"""'O> \
1'W'-~~' '\ Ii< ,,,-I'-, f ",::;\ \,.I1d? .
\
\'
,
\\
...t::!
,.~
~t.
c.::t
t::I
o 0\
, . l-c
(' .' v,.
~~~t' ~ t\ ~ ~t ~ Q\,o;.
? ~ . ~~ ,~~ t.-.. ~ 0 0
~~\~~t.~ ~~'. -
'}\\,O ~:;\\5 ~ 'f a ,
~~}l ~~~ i~"
t~Vt~ hI
J' (,(\.,-\ ~A~
6 110 t ..
~ ~ .t1~~
~ /
lli
~..
j ;r:::.1
f
~J\
!\ \A
4' ~ ~ c;t.
i .. 'f
'J:.. >
o ~~ t==t
~, \J'.
ro (\\
1", ..
'1.1 :} c;\ vd
m .."
'P ~
t \j .~r'
~ -
i\ .
~t
t:::\
t::1
~
.p
..
~
\
\
-:~
. .,
,...\ '~
~
r'~ ~..
j't--
~\ ("
_/~ \ ,
~
\.
.j. --
. Y: ~
"" Ct.
:1 ~
~ Q"
~
~ \~ CS:.
~i 0"
z:,.
~-
.....
:;{ ~.
l 0"
,\2
t
c
I '
\ .
, '
,
\ ill
'r.::l
\ :
3. ~
\ ()
~
. '
\ .
\
.p;.'
'.\ . 1\ ';. -~
_ \ -"'I; '. .._-~ 0
, \' ~\' 'A::~ v... ~
~ -0 '? ,~C ..\ ...."
t:1'
-----
.. ......~~.D\\ ';
(.. \
,
\ \
,
~~..--_...._....-_....-
,
~
~.
C.. ~
~ '\
,~ \j\)
f[
f>~
~r
I
!
.;
;
I
I
~
.af
." m,_.._._..
;;.;;., ,
i
.:l i
. I' I
,I i .----1. I
i ! i i
i ! I !
M I
.Hm ..t --~il=)~r
01:-
J51:' \ .
u_u ~'.
; _._,~ '\\
;...- .
~:a
6~-
\"' ..:
i ~~:,:
I .
! i
. <L.....-, ; .
""... .'.. ......:.....
~ "__R"".~"", . . I"
. \.: ,~,...... ... ......
___ I~..I'
r~~ \'
~.
~.
f
1~
-i~
: '
J
~~~-~
~ '
I'
i
!
j
!
I
i
j
i
~:.'f.
I
I'
1,1
Ii
--c-J'
.~ .~..'......
.. -
";_ n_._'__ __,__
,
\ "!
! '
'for N~~ . -
Ct ~!. c.__. I
I i .......-. .-. -.-..
\2..;
j i.
...L..Wl.
11 iJ
~ I
( , 1
. f 1
, '
~..
. ~.---
-;;;
II
1J
o
.....-
-c-:~
j \
-
-~
, lrtJ~
.'l ~.
~
.f
~
~~
~B
~
!l
.,
II
t:d il
I'"l ;1
('0". .....i
01 ,...J'
. C\J S ~ ,:::1
~ CO ~ ""'I
o ~ 0 ~ii
~ 0 pq ~;\
..... t:11-" ""'.1
--.. ~ C"I- ".. "
.. . . \_...._._. <:p <:"'! . rJJ Ii
._. ... ~..._.- H:::>- -<:;.~ """',
,"____ '!::" I-,.,;. "00 """! "
. ~..~
. C'.;:l.. e.o .~ Sir
. "". ",I .;
Vo'.... ('t'j"
~ <<: mil
l-' 'I
~ !.l
i
1\
I,
iI
,!!
'I
I'
,
J i-
f.;,!
ii
II
II
It
II
II
1\
II
'1\
I'
il
il
:1
Ii
,I
!I
II
II
, ....-.
~!!
d\
'. 'r \
ni
U1
~\Jf(: ii
11"
'Ii.
U. i
.. I
,~ '
.-7]
~~:
. ;]
.TI1.':'
: :i
~ i '
i ; l ~
Q:D
:1
l
It
II
i\
II
(-1 .
I
II
!,
II
:1
II
"
'I
I,'!
I
il
"
il
h
'I
'1
I
(!
5620 KitS:A W;l312 ~ _--'
Brem3e6rOt~4n7' 9-4663 _d ":L'c~s:5Hn~C~~Hn-
-,,!-- I
--.-'
,
I
,
I
I
I
--\m mu~;~--r ---- ~ - '~~
< i- ~:@, I
\ j : '
, i 17-",:,. ___._._ . . .
. .. .-----------:~~'(d.gfl~- .--~ '. - .
- ~-~.~JEt&\L6Ek-r=~:~;~~~~--;c~i;~=~~~~et~~Kt~j--
:.~~~~~--~
I
~.,
/.:."::.-.-..--.
'"'St..~.
1" -=- \q; .e:::.'"
~_.._,-~
\'" =\~. _0"
~
It;,
~
--. .
~.
{)
-' r-- .---"- - - e... - -
-- ~. ~. ~
.~\. .U
;'~
\.\0
~(<
LO'?
-..-.. --*', - . --.... .........,.
. ~ \.d
~w ~ .~
..l $ F-rr~ \ZE.. ~ "b...l\ 1...l=:>\....I(". ~ 1
L- _ _ --;-"&:;>- - - - - - -1
.; , .
, <
I' . ·
dJ
~
.. ()'
~
~ ... ~
\' ,'- L
". I ~:
;;;:~
;I-
I
1/~ p
.J
~,
.
~ . }If----
-.>- ~
.Q~"
~~
/
.
J~
~
.t;L . ~'--J
ij\-<f:--I S' i ~
t\
m:i}i
'~
~/I{ J
'J ll~
.
I
.) ~
~
(l'
.
rJ
({\
-
tl.
;'-
. .
.~
.
"ZO ::::=.\'~"
"
>:-
.1.
~
~'
I l
.
"
~-
~.~.
---~
,
;,~ .
.
?c.1'
Uddd.. A~~k...W~~...:...::._~n.~-:.t.....::....:......
,
~ ;
, '
Future Ho:rnes
5620 Kitsap Way
Bremerton, WA 98:312
360~4 79-4663-
------------. ,
-~------
'tJV;....~v- t?,~, 6~
(p_ 503 tf1-6I
<t;~o.!J.,
~;ti-~';; /P_rff!~ ~2!5
:;ifj-!l~fq, 12 ~: ,48 '9
...:~
~l:
f\! j ~
...~ ). ~
It;. :
t .
~! :
j.
jt;
\ .
1"-
"
l ~..;
i ~}
~l:
;~r. .I
:' ) I : !t.o{';1!
~.: I
~,. I
tl f" . ^ " 1 P. .
-"r ~,..~ .>-. S 89000'55" E
Ifl.: 'i"r7.4U.. ~ - .
I; \ .' ~8~t!:("O.55nE . :-....... IDS. 00'
1!5:(~Y -..---- 68:0'0T -~?;;jj64 'IN i{)44'36"E to.OO'
~ II
_: I
\:\1 l,
t; \
~I ~
:J ~"
. . 'il
. .
d I
: I :c I -' F!flce ......
. lCf>O f7lls1lftq .----"-~.'I\ 1"" t.
....;.J.V 68. 0 · ,--~ ..... -
I . It. N89cOO'5S"W \ l~
, ~'>' 1_00' ~ ly '!" 1I!i
I '..:f . . . \ 10 ~
'.,;, . 1\ ~
~ f~
1 -_. ---t .'j . ~
\ " .. J.. . . ~~~. ;.,
11. "'~~'.. \~~lia.; _
.. .,L'.~ \!4'..
i \. 'K.:a '".. ::MI .~. . '.. ,~ .... ..... :'.'
!~. . .... . .. . . 1. P. .... f' . .~'f>
". \.- . .. \. "..,,~ . _.~.1. . .
. .,,\ - . .- .-"',. ...?:".~':t,.. '. ___ ~ ,.0-
j ",' ~ ~'".'" '"~ ...- '. . _tJ"
i~.~":-::;"~fMM;=" '. ...... ..
t (!.l
d
"'l
l;')
..
~ :
1:
! :
i.:
.:
j'
1:
I.
fir, ~ 1'..1'} "?E-1~7 I: 2.-""-
. i?" :-' '.J ,,~. L~ ~ . :".- ",,." ....;
[" ~,548 /42.240
CriTiC. Mo/:. w.
.Bross Cr;p
(FOimd)
~
Lv
p
J
1
I<ti
.~
. '\t.
~l'
~
..~
'- '.;~.:.
.....1
...:)
..~~
!.
"r', _
___--I.-....---.. --
, "
'0__._. . . t. ARSENAL WAY
"__~ ~ :.~'-::- ._ --~._,.-- -_ ':" "--r______
:~{{.~ ~b;^~:"~:LQ-;:,~i!!/-..~ ,~:'
. : :'o::'~,\. f~: /
. .:', \Q .~
. V'\ ~jty
l~ it,:
,1/
}\,)
l\
~
I
f1'l
.,
'I~"
"'1:-.;;;"
;:,"_r.;.
~
~.
:r.,;,;;.
f"."'~.-
~~
~g.a
~
V'q
!.?
r I).. r d?r~ .
::>Vb"')~... (
f,(i'oP~-('~
SF-?) ?cr^~.
/, .
11}
j'.
~
;.
Q
1'\
:);.
f, !'" y'~'~H~" w., 881.22":t(1 Nit!
!M'nC"e' I'JI(;'44'!i5"[~ 10.00;,
tMrtce tl8l''''"l5? W, 36_0i_'
fl1enci.? tij- !Oq'1:;35"r~~ 8i.OCJ,~}
af. d~sc,fbed .;.:1 :4.F 7'(9953; ~.
S~if!~f7l';t;(:r fc liJ!] C;'//'!' -or Er[tr.'
P.,o--cperlY descr/hea !:Oflsisf3
,: c::~cr ...'?ur~Sf(..\.r: tlJr l? V. Fredf.'c
BecJt'ings' iJJid Co()rdinlJ1".;fS c;
T' "
:"!$
,( .
Survey . fer
LEGEND
Monuments found
Corners set-
Corners not set
Scale:
1/1 _
l ..
so'
t .'.-
. ,;,,:~r'/~?~;~\.
:. J~ I:. .).:.:
-t it. "::-
..
"f.'~:~.:..
.::....,-::"".;lP'
.
..
BREMERTON BUILDING DEPARTMENT ~
Inspection Report . WOO 6 q 7
.. PermilNumber: my '1 d/)o 5J
Scope of work:
Address:
Owner:
Contractor:
Phone:
Phone:
,
/
FOUNDA liON
Inspection card/approved plans on site
Footings: required steel placement
Footings: required width & depth
Bearing soil (soils analysis if applicable)
Setbacks
Walls: required.steel placement
Walls: required size
Special inspector (when applicable)
COMMENTS:
FOOTINGS APPROVED:
WALLS APPROVED:
FRAMING
, Electrical approved
Crawl space access (min. 18 x 24)
Positive connections posts & beams
Posts properly supported
Mudsill: treated material
Beams/girders: size & span
Smoke detectors: all required locations
Exhaust fans insulated: unconditioned space
Fans terminating directly outside
Dryer exhaust vent
Fireplace combustion air
Windows: proper U valve
Ceiling heights
Stairs: rise & run; proper width
Fire blocking: stairs, soffits, lowered ceilings
Fire blocking: lids in void spaces, shafts.
Sheet rock backing
Rafters sile/notching
Attic access
Wall & roof sheathing
Building dried in
Plumbing & mechanical approved
Floor joists and beams/proper clearance to earth
Foundation vents
Anchor bolts: nuts & washers in place
Floor joists: size & span
Notching & drilling: joists & beams, studs
Exhaust fans: where required
Whole house fan, outside air intakes each bedroom
Range hood
All vent tenninations: windows & property line
Windows: meets egress requirements
Windows: safety glazed where required
Stairs: headroom clearance
Fire blocking wall to ceiling, furred walls every 10'
Fire blocking: tubs/showers
Fire blocking: stuff holes top & bottom plates
Wall bracing
Trusses:. specs, bracing
Attic ventilation
Shear nailing
COMMENTS:
APPROVED:
Insulation: proper R valve
Insulation: vapor barrier
Penetrations caulked as required
6 mil black poly in crawl space
ENERGY CODE COMPLIANCE
Insulation: proper fastening
Bottom plates caulked to floors
Electrical boxes gasketed or caulked
COMMENTS:
UNDER FLOOR/FOUNDA TION INSULATION APPROVED:
WALL INSULATION APPROVED:
CEILING INSULATION APPROVED:
A
J ..
MECHANICAL
Appliance location and access, proper support Appliance clearance to combustibles
Venting: clearance to combustibles Venting: size & support
Vent termination Combustion air
Ducts: size & support Gas pipe under test
Gas pipe size & support Gas pipe: underground min. 12" below grade
Gas pipe: within 6" or underground-coated Gas shutoff within 3' of appliance
Gas logs: safety shut-off Gas logs: damper permanently open
Wood stoves EPA certified Wood stoves & fireplaces: Tight-fitting doors
Wood stoves & fireplaces: proper health Manufacturer's specs on site
Chimney liner: when required I Chimney: separate flues when required
COMMENTS:
GAS PIPING APPROVED:
OTHER APPLIANCES APPROVED:
FURNACE APPROVED:
PLUMBING
OW & Water piping under test
OWV: proper sizing
OWV & water piping proper support
Vent termination
Water supply: proper sizing
Watet heater: gate valve on cold water supply
Water heater relief valve drain to outside
R-10 pad under water heater when required
I Grease traps/interceptors: where required
OW: proper grade
OWV: proper drainage fittings where required
OW: required cleanouts
All fixtures vented properly
Shut-off valves on all fIXtures
Vacuum breakers: where required
Water heater: seismic strap
Water-piping insulated as required
r Proper indirect wastes: where required
COMMENTS:
PLUMBING ROUGH-IN APPROVED:
PLUMBING GROUNDWORK APPROVED:
SHEETROCK
Proper fastening nails - 7" o.c. horiz. Plane
Proper fastening screws 12" o.C. horiz. Plane (1/2'1
Proper fastening: screws -16" o.c. vert. Plane (1/2")
Proper fastening screws - 12" o.c. horiz. plan (5/8")
Proper fastening screws - 16" o.c. vent. Plane (5/8")
Area & occupancy separation walls
Usable space under stairs (5/8" required)
Corridors
Nails 8" o.c. vertical plane
Screws -12" o.C. horiz. plane (1/2'~ 24" o.c. framing
Screws - 12" o.c. vert, plane (1/2") 24" o.c, framing
Screws - 12" o.C. horiz. plane (5/8'~ 24" o.c. framing
Screws - 12" o.c. vert. Plane (5/8") 24" o.c. framing
Oraftstops where required
Waterboard where required (not on ceiling)
COMMENTS:
SHEETROCK APPROVED:
\. FINAL
Energy code requirements met, exhaust fans
Garage/dwelling door self closing solid core
Handrails & guardrails, as required
Exit signs when required
Occupant load posted when applicable
Wood siding to earth separation (6")
Rendon monitor when required
COMMENTS: (~V\I'! S(5~R~fV~2.:J
Plumbing & mechanical
Smoke detectors where required
Fire ratings maintained
Emergency lighting when required
Building weatherlight
Building address posted
.U.I ^ I ^ nnnr"\\ n-r"'\.