HomeMy WebLinkAboutLAFAYETTE AVE N, 2624f)8 (D +- oioo7
PERMIT
0 L 0 (_-7
CENTER
De attrnent of CommuWty Development :; 286 411, Street" Bremerton WA 98337
(360) 478-5275 Fax (360) 478-5278 C
D
Building Permit Application APR 2 0 2004
APPLICANT: OWNER ❑ CONTRACTOR ❑ AUTHORIZED AGENT BREMERTON
RaIfe nsmA
Site Address ao-y' Al,
Tax Account Number:/P/o,17(f/ -/,
CONTRACTOR:
OWNER Address: jf/ft) jj9'C1,r3,S,9,n1
Address:
City, State, ZipA, 14 ota- � 0�
State, Zip
Phone #: (.3 ) 231 �- 2
-City,
License # & Expir. Date:
Authorized Agent Address:
Contact Name:
City, State, Zip
Contact Phone #: ( )
Phone #:
Check the tvpe of application for below:
NEW COMMERCIAL
NEW SINGLE-FAMILY RESIDENCE
❑
COMMERCIAL REMODEL
NEW DUPLEX
❑
❑
NEW MANUFACTURED HOME
❑
❑
RESIDENTIAL REMODEL
❑
❑
RESIDENTIAL ADDITION
❑
❑
RESIDENTIAL REPAIR
❑
NEW COMMERCIAL
❑
NEW GARAGE/CAR PORT
COMMERCIAL REMODEL
❑
NEW ACCESSORY BLDG
COMMERCIAL ADDITION
❑
NEW SIGN
COMMERCIAL REPAIR
❑
STRUCTURE DEMOLITION
NEW MULTI -FAMILY
❑
GRADING {Cubic yards: )
TENANTIMPROVEMENT ❑ OTHER
IS THIS PROPERTY WITHIN 200 FEET O -FA SHORELINE? YES ❑ NO
Scope of Work Proposed:
Decks: ,/'O
Square Footage: Dwelling: �S190 Garage:
Application for which no permit is iss elwithin 180 days following the date of application shall expire by limitation, Add
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. 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 re view iP
APPLICANT'S SIGNATURE: _ , DATE:
KP�o10 00;
-9 R V
2 2004P� IT CENTER
0
MERTON
DEPARTMENT
Department of ConunuWty Development,* 286 4th Sti-eet Bremerton ;: WA 98337
(360) 478-5275 1 Fax (360) 478-5278
Address: Address: #V �2g-)
City, State, Zip: City, State, Zip13,e t,?TbV �'63M
License # & Exp. Date: Phone #: � _ T .1
Contact Phone #: ( )
NO.
TYPE OF EQUIPMENT
NO.
TYPE OF FIXTURE
RANGE //'
WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE.,,,
BATHTUB
GAS FURNACE btu
LAVATORY (BATH SINK)
CONVERSION BURNER: btu
SHOWER
UNIT HEATER btu
KITCHEN SINK
BOILER btu
DISHWASHER
GAS PIPING
LAUNDRY TRAY
EVAPORATION COOLERS btu
CLOTHES WASHER
AC UNIT btu
WATER HEATER _S
HEAT PUMP btu
URINAL
REHEAT BOX btu:
DRINKING FOUNTAIN
EXHAUST FANS
FLOOR SINK OR DRAIN
RANGE HOOD (RESIDENTIAL)
WATER PIPING & ALTERATION .
RANGE HOOD (COMMERCIAL)
GREASE TRAP/INTERCEPTOR
CLOTHES DRYER
Z
HOSE BIBBS
INCINERATOR
LAWN SPRINKLER SYSTEM
DUCT ALTERATION
SWIMMING POOL
TANK TYPE:
BLDG. SEWER: (MOBIL/MOVED HOME)
REFRIGERATION UNIT
ROOF DRAINS
OTHER:
OTHER:
�`ad- 041
Date
G PERM -IT
INSPECTION
SITE ADD SS
N
q�TROJEC iCSPTION
Building Plumbing $Mechanical 9 Fire Alar m/Sprinld- er ❑
DURING INSPECTIONS THE BUILDING PER'N'IIT & APPROVED PLANS SHALL BE ON SITE
DO
Permit # BB04 - pno�v OGS
.Q
For Inspections Call (360) 473- 5870 Approved ]Date Notes
St
FOUNDATION
DO NOT POUR CONCRETE
PRIOR TO APPROVAL
Erosion Control In Place
Foundation Footing
Foundation walls
Plumbing Ground ff"ork
In Slab Mechanical
Footing Insulation.
7//A
rid PLUMBING
MECHANICAL
GAS PIPE
Rough il
Duct/ Vent
Support / Test / Meter set
rd
FRAMING
If Is' & 2nd are approved
Hold down connections
Shear Panel nailing
L&I Electrical Approved
Ventilation. requirenzents
Franzing
.
th
4
INS ULA TION
Under floor
walls
ceilin
5�h SIIEETROCK
IS-'
th All of the
above
FINAL Must be
approved_
Prior to
final
BUILDING 473-5870
CD
b� C146
I o
MATER MAINTENANCE 473-5927
Grease Tra ,.Back flow, Aleters
PUBLIC
WORKS
Driveway 473-5270
Sewer 473-5270
FIRE 473-538415385
OMPLETED
ALL FINAL INSPECTIONS COMPLETED-
DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL
OCCUPANCY VIOLATION IS A NIISDEMEANOR - SECTION 305(d)
PROTECT THIS CARD FROM THE WEATHER
F CITY OF BREMERTON PERMIT NUMBER BBOR4 Q1007F
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 06/09/2004
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 102401-1-048-2007 ZONING: SF -3 SITE ADDRESS: 2624 N LAFAYETTE AVE
APPLICANT NAME: JACOBSON BRIAN V PHONE: ADDRESS: PO BOX 2274
OWNER NAME: JACOBSON BRIAN V PHONE: ADDRESS: PO BOX 2274
CONTRACTOR: B J BUILDERS PHONE: (360)373-0775 ADDRESS: PO BOX 2274
LENDER NAME: PHONE: ()- ADDRESS:
SUBMITTED:' 04/20/2004 APPROVED: 06/08/2004 EXPIRATION: 12/06/2004
VALUATION:. $107,797.60 Residential"' Building Permtt w/Mechanical/Pfurnbmg
R'.' . 4...,
Plan Review Fee $675.06 4580 NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE & DECK
Building Permit $1,038.55 2211 Building Code Edition: UBC: 1997
Mechanical Fixture Fee $151.25 2215 Occupancy Group:
State Surcharge $4.50 0236 Type of Construction:
Plumbing Fixture Fee $118.00 2213 Flood Zone:
State Energy Code $50.00 4580 Setbacks: (Front) (Side) (Rear) (Other)
TOTAL FEES: $2;Q373�6 Sanitation Method:
Number of Bedrooms:
Square Footage: Decks - Wood Frame 360 SOFT
Dwellings - Type V Wood Frame 1,500 SQFT
Private Garages - Open Carports 440 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) 415-4000 PW: Department of Public Works (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 local loaw regulating
construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law
under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are
required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read, and agree to abide by the conditio oft ' it including all conditions of zoning, building codes, and State and Federal laws.
SIGNATURE OF OWNER OR 101
AGENT:
PRINTED NAME: i�OB'j0� DATE:
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. Building Plan Review: 03
1. Braced Wall Panels -Provide engineering on braced wall panels under 2'8"(engineering will not be required if an
approved Simpson wall panel or equal is used) Panels between 2 foot 8 in & 4 feet shall have tie down devices in
accordance with chapter 23 section 2320.11.4 of the 97 Uniform Building Code
2. Smoke Alarms -Shall be interconnected 110 -volt battery backup, one in each bedroom, adjacent hall, and on
every floor
3. C.F.M. Fan Rating -Bath and laundry 50 C.F.M., range hood 100 C.F.M.,whole house fan (2 bed 50-75)(3 bed
80-120)(4 bed 100-150)(5 bed 150-180)
4. Foundation Footings -1st floor foundation shall be 12" below undisturbed soil, 2nd floor foundations shall be 18"
below undisturbed soil, the ground under the floor may be excavated to the top of the footing and no lower.
5. Insulation Requirments (over 12% glazing) -Walls R-21, Ceiling R-38, Vaulted ceiling R-30 (2x12 const. 2" air
space above insulation for ventilation), Floor R30, Concrete Floor R-10 perimeter.
6. Egress Windows -are required in basements in dwelling units and every sleeping room below the 4th floor. Egress
Page 1 of 3
CITY OF BREMERTON PERMIT NUMBER B04 0WO,Gi7A
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 06/09/2004
286 Fourth St. Bremerton, WA 98337
(360)478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
102401-1-048-2007
ZONING: SF -3
SITE ADDRESS:
2624 N LAFAYETTE AVE
APPLICANT NAME:
JACOBSON BRIAN V
PHONE:
ADDRESS:
PO BOX 2274
OWNER NAME:
JACOBSON BRIAN V
PHONE:
ADDRESS:
PO BOX 2274
CONTRACTOR:
B J BUILDERS
PHONE: (360)373-0775
ADDRESS:
PO BOX 2274
LENDER NAME:
PHONE: ()-
ADDRESS:
International Residential Code
SUBMITTED: 04/20/2004 APPROVED: 06/08/2004 EXPIRATION: 12/06/2004
rescue windows shall have a minimum net clear opening of 5.7 sq ft, a minimum of 24"clear height, and a minimum
of 22" clear width.
7. Code Compliance -All work in the City of Bremerton shall adhere to the following codes:
1997 Uniform Building Code
1997 Uniform Fire Code
2000 Uniform Plumbing Code
1997 Uniform Mechanical Code
2001 WA State Energy Code
2000 WA State Ventilation Code
As of July 1 2004 the codes will be as follows:
2003 International Codes:
International Building Code
International Residential Code
International Existing Building Code
International Fire Code
International Mechanical Code
Uniform Plumbing Code
International Fuel Gas Code
1998 WA State Barrier Free Code
2001 WA State Energy Code
2000 WA State Ventilation Code
Check For All Washington State Amendments
2. DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for
inspection.
3. DCD: Driveways and parking areas must be paved.
A 7
4. LU1: Must comply with the conclusions and recommendations set forth in the Krazan Geotechnical Report dated
00—
'00—
June
June 18, 2003.
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.
Foundation Footings
Foundation Walls
Mechanical
Plumbing Groundwork
Plumbing Rough -In
Framing
Insulation
Sheetrock Nailing
Driveway
Sewer Lateral
Final Inspection - Building
Driveway approach
Floodplain Certificate Final
Right-of-way Other
Page 2 of 3
CITY OF BREMERTON PERMIT NUMBER BB04
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 06/09/2004,
286 Fourth St. Bremerton, WA 98337
(360)478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 102401-1-048-2007
APPLICANT NAME: JACOBSON BRIAN V
OWNER NAME: JACOBSON BRIAN V
CONTRACTOR: B J BUILDERS
LENDER NAME:
SUBMITTED: 04/20/2004
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
APPROVED:
SF -3
(360)373-0775
0-
06/08/2004
SITE ADDRESS: 2624 N LAFAYETTE AVE
ADDRESS: PO BOX 2274
ADDRESS: PO BOX 2274
ADDRESS: PO BOX 2274
ADDRESS:
EXPIRATION: 12/06/2004
FIXTURE LIST
Qty Description
Qty
Descriptior
3 R -Water Closet and/or Urinal
4
R -Bath Fan and/or Exhaust Fan
2 R -Hose Bibs
1
R -Natural Gas Furnace +/- Ducting
1 R -Clothes Washing Machine
1
R -Gas Water Heater Vent & Combustion Air
1 R -Dish Washer
1
R -Clothes Dryer with Exhaust
5 R -Sink (Lavatory, Kitchen, Mop or Bar Sink)
4
R-Gaspipe System LPG/NATL/OIL
2 R -Tub and/or Shower Unit
1
R -Fireplace -Gas, or Gas Log Insert
1
R -Range Hood
Page 3 of 3