HomeMy WebLinkAbout1ST ST, 5208 City of Bremerton
345-6th Street, Ste. 600
Bremerton, WA 98337
(360)473-5275
CASE# C15 0129
Complaint Type: WEEDS Date Submitted: 04/16/2015
Complaint Status: OPEN Date Closed:
Violator Information Location
Name: Street: 5208 1 ST ST
Address: City: BREMERTON St: WA Zip: 98312
Location:
Home: Work:
Intersection:
Nature Of Complaint
BRANCHES BLOCKING SIGHT DISTANCE AT INTERSECTION
Complaint Actions
Action Action Date Due Date Action Note
SITE 04/15/2015 SITE INSPECTION
INSPECTION
Linked File:
4/14/2015 Parcel Search
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2 Tax Accounts found.
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.._ Parcels I _.._, _I ,,i. _,..
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Tax Parcel Labels Light ` / Lt �`•,Taxpayer: DAWSON A C PROPERTIES LLC —
""Tax Parcel Labels Dark. ��� ` -/f J I Site Address: 5204 IST ST BREMERTON WA
Streams i _ —_
`" �" Mail Address 5210 1ST 5T BREMERTON WA
F 98312
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Military Area / ! ^
md` - ,., �/� ( Account Status: Active _
/// �� t Taxpayer: DAWSON A C PROPERTIE
City Area S LLC
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Site Address: 5208 1ST ST BREMERTON WA
Reservation Area � � " � '' .e "�, �',�, ��, ,- 98312 ,
-. Urban Growth Area `. i' Mail Address: 5210 1ST ST BREMERTON WA �
....._.
- Contours 98312
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AUGHNAY JOHN PNILLIP&
Taxpayer DAWSON ANITA C
-F
TRUSTEES
Account No 162401-+-067-2001
._, - � Account ID 2114544
Manage Layers - -- - ', `'`� 5210 1ST ST BREMERTON
Site Address
-- WA 98312 ---
Layer List Legend 5210 FIRST ST BREM ERTON
Mail Address WA 98312
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Submitted by: a,ooa <nian Completed by: Review By
Submitted to:
ct,istorner fzesqxonse Service SIT;
Pt,lUk W01-11(s & (JIMUOSS
Service Slip Number .l 0300
or Order Number
Date Requested 001 3P S division SMI MaMn=,.,
CALLERINFO
Name Iry Statdirtedk;er Dispatched too S=M)t
Address
Phone Number
Emergency Non-Emergency Billable
AND DE �FXHL.S
Location Mr (Amter Way Intersecting Route st SO a
-i ls�� �tt
Details "m a d1paNAT w1h Map hansk and one of oui, i Un/els east bound S E
and north i bumd oko AM CenWr Way and the ovogmM ks aeawg a hwad=s
ANAM due to We MakHty to see On corrung Vraffic,, My di i\aers atie li�%a In Uou[)�c
on comAg UM due her Imm hanWng bmntbes ahng AWY CextenWay between IstSked
,Luvvdi S (o!L iaraaiv Te pa,c P;We MAM qabai an the vwst Ode or uw and
Work Description/ theluees (,j,Hhe qrNMy at Te NW MemuUm; of AM CenLer Way and I st StreeL SorkV
Resolution to aod(e
Responsibility
Work Completed
by Division
Department of Community Development
345 6th Street, Suite 600
Bremerton, WA 98337-1873
Telephone: 360-473-5213
Fax: 360-473-5278
Janet Lunceford@ci.bremerton.wa.us
Janet Lunceford, Code Enforcement
April 16, 2015
Dawson A C Properties LLC
5210— 1st Street
Bremerton, WA 98312
re: 5204— I st Street, File#C15 0129
My office recently received a complaint alleging that branches from a large tree on your
property located at 5204- 1st Street are too low and block sight distance for Kitsap Transit bus
drivers attempting to turn onto Auto Center Way from 1" Street.
Please take the appropriate steps to remove the low hanging branches in this location by April
30, 2015. If you have any questions,please contact me at(360)473-5213.
anet K. Luncefor
Code Enforcement Offf'c'cer
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CAME TO SEE YOU
I S�daCJED WANTS To SEEYOU
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Site Address
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INSPECTION
CARD Pr Mod Des a to
Oj k
V Fa mi's ly
Building ® Plumbing o ahanical o larm/Sprinkler
1)I IItlt dt_� IC�.SI�h,G_„( aG�N ➢ 1#��� BUILDING, 141,RMI A1'4'140VED 11LA S SH/k LI, H1, ON SITE
E
Permit B B 0 6 ® ipo3v gm avlo
For hispections C' Ill (360) 473- 87 Apptoved Date Notes
psi Erosion Control In Place
P NM 114 WI t C 0N4 N,',"0 i, Foundation Footing (Check Setbacks)
N'BtNN r0, 1,0 Al"NmI I Vk I Foundation Walls
Plumbing Ground Work
In Slab Mechanical
Footing Insulation
lul 1' /, 1I(("�'Ar Rough In
1ii'.( ist iNh ld; Duct/Vent
6",l 1,1 Ph Support/Test/Meter set
I (� Under Floor Framing
a 1414 Shear& Hold Down Connections
L&I Electrical Approved
Ventilation Requirements
Framing
Under floor
�)f)N Walls
Ceiling s5k
BUILDING
All oa BNta at'wva must N ,
RI( fit LyeyV
all
Karim to final WATER NIAINT ti d 5927
Grease Trap,Back Flow,Water -440
PU DYl oaCyd 4
S Sewer Conne t73,>?70
M3 1,TAv,A1, INSPECTIONS(`O[Y/PLE11,D(fir,calpwtcy Approval(Single 47 w577
l'ainily Residence Only)
IM NOT Q CCI111V 1011N,9)NNG WI I IIOU 1 110,iIf DING MAIA RTNIEN I A94'°RONA i
CITY OF BREMERTON PERMIT NUMBER BB06 00591
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 09/27/2006
345-6th Street,Bremerton,WA 98337
rb,%^ ipi
(360)473-5275 Fax:(360)473-5278
ASSESSOR NUMBER: 162401-4-002-2009 ZONING: FC SITE ADDRESS: 5208 1ST ST
APPLICANT NAME: TIM RYAN CONSTRUCTION PHONE: ADDRESS: 19307 ATH AVE STE A,POULSBO,WA 98370
OWNER NAME: DAWSON ANITA CAROLE PHONE: ADDRESS: 5210 1ST ST,BREMERTON,WA 98312
i
CONTRACTOR: TIM RYAN CONST INC PHONE: ( )779-7667 ADDRESS: PO BOX 2048,POUSLBO,WA 98370
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 08/11/2006 APPROVED: 09/27/2006 IR k ION: 03/26/2007 STATUS: ISSUED
VALUATION: Demolition Permit
Demolition Fee $77.40 2218 DEMOLITION OF SINGLE FAMLY RESIDENCE
State Surcharge $4.50 0236 Building Code Edition:
TOTAL FEES: $81.90 Occupancy Group:
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 Industries (360)415.4000 PW:Department of Public Works (360)473.5270
This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance,or if the work is suspended or
abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain
required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code
requirements. Any demolition,testing,or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all
responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of
any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor,I certify that I am exempt from the requirements of the
State Contractor's Registration low 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 re required to,pass find inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
I have read,and agree to abi a co di on of t i permitincl di,pg'all conditions of zoning,building codes, nd State and Federal laws.
a
SIGNATURE OF OWNER OR
AGENT:
PRINTED NAME: �,n ,�L, d., ti �a .L w.,m �..G DATE: z
CONDITIONS
it
City of Bremerton's appr Val 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.
I
1. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency 1
(Clean Air Agency)and Washington Department of Labor and Industries(L&I)regulations
require an asbestos survey be performed to determine whether there are asbestos-
containing materials in the work area or structure. The asbestos survey must be conducted
by and EPA-certified (AHERA)building inspector(except renovation or owner-occupied'
single family residences).DCD: For more information, please contact Clean Air Agency
through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689-4058.
The L&I web site can be found at www.Ini.wa.gov/p-ts/asbestos/asbestos.htm.
2. (DCD-02) DCD:Validity of permit.The issuance or granting of a permit shall not be construed to be a
permit for, or an approval of, any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid.The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data.The building official is
Page 1 of 2
CITY OF BREMERTON PERMIT NUMBER BB06 00591
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 09/27/2006
ag 345-6th Street,Bremerton,WA 98337
1,.r„,„ .,✓fF74
(360)473-5275 Fax:(360)473-5278
ASSESSOR NUMBER: 162401-4-002-2009 ZONING: FC SITE ADDRESS: 5208 1ST ST
APPLICANT NAME: TIM RYAN CONSTRUCTION PHONE: ADDRESS: 19307 ATH AVE STE A,POULSBO,WA 98370
OWNER NAME: DAWSON ANITA CAROLE PHONE: ADDRESS: 5210 1ST ST,BREMERTON,WA 98312
CONTRACTOR: TIM RYAN CONST INC PHONE: ( )779-7667 ADDRESS: PO BOX 2048,POUSLBO,WA 98370
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 08/11/2006 APPROVED: 09/27/2006 EXPIRATION: 03/26/2007 STATUS: ISSUED
also authorized to prevent occupancy or use of a structure where in violation of the
Washington State Building code or of any other ordinances of the City of Bremerton.
3. (Project-Specific) Provide asbestos abatement and maintain phone on site to call 911
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
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Page 2 of 2
RMIT CENTER b('S-re
AUG 1 2006
BREMERMN-DI'_P"1'. OF Building Permit Application
COMMUN11'Y DEVELDPMEW
Dept. of Community Development * 345 - 6th Street, Suite 600 * Bremerton * WA 98337-1873
(360)473-5275 * Fax(360)473-5278
jApplicant: 0 Owner tRI Contractor CKAuthorized Agent
Site Address: &vm-cl A/z . (44,*L).;)
CONTRACTOR: OWNER:
Address: 19.16- Address: fz10 12r,
City, State, Zip: 2SU(_ City, State, Zi ig
License# & Exp. Date: -rlmg 5or-ra63 KA Vo-; Phone#: (3 6 0 ) 3!yp- ;?915
Contact Name: rEvo-4 R4 Authorized Agent Name: Ajv?d XY44'/
Contact Phone#: (:3 C b ) '77 7--2 66 7 E;*-,11fl Address:
Tax ID/Parcel #: City, State, Zip: CGS
0 / -
Phone#: 3
What is the application for? (Please check one)
F__]NEW SINGLE-FAMILY RESIDENCE r_-]COMMERCIAL REPAIR
0 NEW DUPLEX F ]NEW MULTI-FAMILY
F__]NEW MANUFACTURED HOME TENANT IMPROVEMENT
RESIDENTIAL REMODEL F-]NEW GARAGE/CAR PORT
RESIDENTIAL ADDITION NEW ACCESSORY BUILDING
RESIDENTIAL REPAIR F ]NEW SIGN
F__]NEW COMMERCIAL STRUCTURE DEMOLITION
COMMERCIAL REMODEL F_�GRADING(Cubic Yards,
COMMERCIAL ADDITION OTHER: 'C)�aoA a 0 V)
IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES F__] NO
C)
Scope of work proposed: v tcy
6 0 gAZEQ &&ILI
1A I, C4*11i'/1411141 C1WV/ZCW'
Square Footage: Dwelling: Garage: Decks:
Valuation TPIan Review Fee T—Permit Fee I surcharge Total Fees
1 1 -7-7 -4,16 1 1/.0
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 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 review fee.
City of Bremerton
Department of Community Development
DETERMINATION OF NONSIGNIFICANCE
PROPOSAL: Site development improvements to include demolishing of two structures
(a house and a church) on a 1.9 acre site and grading of approximately
500 cubic yards with imported soil to infill existing basements.
APPLICANT: Carole Dawson, 5210 1 st Street, Bremerton WA 98312
LOCATION: 5204 1" Street, Bremerton, WA.
FILE NUMBER: BP06-00147
The lead agency for this proposal has determined that it does not have a probable significant
adverse impact on the environment. An environmental impact statement (EIS) is not required
under RCW 43.21 C.030(2)(c). This decision was made after review of a completed
environmental checklist and other information on file with the lead agency. This information is
available to the public on request.
This DNS is issued after using the option DNS process in WAC 197-11-355. There is no further
comment period on the DNS.
RESPONSIBLE OFFICIAL: Christopher R. Hugo, Director
Department of Community Development
City of Bremerton
345 6ch Street, Suite 600
Bremerton, WA 98337
STAFF CONTACT: Nicole Ward, (360) 473-5279
DATE OF ISSUE: Sept. 7, 2006
APPEAL DEADLINE: Sept. 21, 2006
Chrfsto er R. Hugo, Re onsible Official
i�
NOTE: Pursuant to RCW 43.21 C.075 and City of Bremerton environmental regulations (BMC
Chapter 20.14.300), decisions of the Responsible Official may be appealed. Appeals must be
filed with the appropriate fees at the Department of Community Development located at the
Bremerton Permit Center, 345 Sixth Street, Suite 600, Bremerton, 98337. Appeals must be filed
by the date indicated above as "Appeal Deadline." If you appeal, you should be prepared to
make specific factual objections.
NOTE: The issuance of this DNS does not constitute project approval. The applicant must
comply with all other applicable requirements of the City of Bremerton and the State of
Washington.
FILE
Demol 16fl, on R1
� „
.. r
ERMIT
Site Address
INSPECTION 15ao+ is +
i
Project
I)e rA C) ( ( s
°"
CARD
Building ® Plumbing 0 Mechanical El AlarnVSprinkler
DURING INSI1E C TIDNS "I'll ' BIJII_,DING' 11 Ml"'I' AI'llf?.OVIAI) PLANS SIIAI,1., g.�1i, (.)N SITE
"I,l" Inspections (360) 473- 5870 Approved Date Notes
S� Erosion Control In Place
1))d i,,d1 h� 114)1_ k ('1.',1` p 1 1,;1 P Foundation Footing(Check Setbacks)
111kht)14 I0 'm�h°)�lI,�at', 1, Foundation Walls
Plumbing Ground Work
In Slab Mechanical
Footing Insulation
,k 114 V11"i1d'tJiNG Roughin
,111"I `1i i"'N'4) .�I Duct/Vent
,6,-1 ON,i N, Support/Pest/Meter set
,. Ivd Under Floor Framing
I( X, 2 m,c fwpraao,a,d Shear& Hold Down Connections
L&I Electrical Approved
Ventilation Requirements
Framing
( ) Underfloor
l"`w'aia !) 0N Walls
Ceiling
BUILDING V1.,,5870
App of,fbe Aahaaav,w aam,4 be
_ �Ip
u4h➢pa.4"4�'Vi :�
pi deem,taa final 5927
Crease Trap,Back Flow Water
PU „ -�° " Drive ch 11 6,5 2 70
Sewer Connec hhi�,Li
All I�INA1, 1'l�.hl�Iw,'I'"X'imis'I'4'1(4 pPIs'rED Occupa�nc� ��1og��ovctX(Single ��r„� :� �(�
W)NO CDCt''I1Pil ]WI ,DIM, WFIJC)1A IShJtLI)INC H,"VAit'p;"r EN'6 A.PPROVAI,
1'tamOT t 7',,,71115 dARD 1 0,_W I1J .,W "A..fddLR
CITY OF BREMERTON PERMIT NUMBER BB06 00592
l DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 09/27/2006
��(� fir ' 345-6th Street,Bremerton,WA 98337
r r
� (360)473-5276 Fax:(360)473-5278
ASSESSOR NUMBER: 162401-4-002-2009 ZONING: FC SITE ADDRESS: 5208 1ST ST
APPLICANT NAME: DAWSON ANITA CAROLE PHONE: ADDRESS: 5210 1ST ST,BREMERTON,WA 98312
OWNER NAME: DAWSON ANITA CAROLE PHONE: ADDRESS: 5210 1 ST ST,BREMERTON,WA 98312
CONTRACTOR: TIM RYAN CONSTRUCTION INC PHONE: (360)779-7667 ADDRESS: 19307 8TH AVE NE SUITE A,Poulsbo,WA 98370
LENDER NAME: PHONE: DpRES�.S:
SUBMITTED: 08/11/2006 APPROVED: 09/27/2006 ° E`'t tRATION: 03/26/2007 STATUS: ISSUED j
d i
I
VALUATION: Demolition Permit
Demolition Fee $166,50 2218 DEMOLITION OF CHURCH
State Surcharge $4.50 0236 Building Code Edition:
TOTAL FEES: $1 11 71.00 Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks:
Sanitation Method: i
Number of Bedrooms:
I II
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
I
This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance,or if the work is suspended or
abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain
required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code
requirements. Any demolition,testing,or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all
responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of j
any State or local law regulating con truction 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, nder 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 r quired to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy.
...ro I
I have read,and agree to
AGENT: b co/Pi/s bf this r rt mclucling all conditions of zoning,building c 'des,and State and Federal laws.
SIGNATURE OF OWNER OR,,
„
PRINTED NAME: ,��� �r� f DATEr
CONDITIONS
City of Bremerton's approve kWof this application pertains only to the City's regulato jurisdiction,and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
1. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency o, -
(Clean Air Agency)and Washington Department of Labor and Industries(L&I)regulations
require an asbestos survey be performed to determine whether there are asbestos-
containing materials in the work area or structure. The asbestos survey must be conducted
by and EPA-certified(AHERA)building inspector(except renovation or owner-occupied-
single family residences).DCD: For more information, please contact Clean Air Agency
through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689-4058.
The L&I web site can be found at www.Ini.wa.gov/p-ts/asbestos/asbestos.htm. d
2. (DCD-02) DCD:Validity of permit.The issuance or granting of a permit shall not be construed to be a al °
permit for, or an approval of,any violation of any of the provisions of the Washington State
Building code or of any other ordinance of the City of Bremerton. Permits presuming to give
authority to violate or cancel the provisions of the Washington State Building code or other
ordinances of the City of Bremerton shall not be valid.The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring
the correction of errors in the construction documents and other data.The building official is
Page 1 of 2
ti
CITY OF BREMERTON PERMIT NUMBER BB06 00592
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 09/27/2006
345-6th Street,Bremerton,WA 98337
(360)473.5275 Fax:(360)473-5278
ASSESSOR NUMBER: 162401-4-002-2009 ZONING: FC SITE ADDRESS: 5208 1ST ST
APPLICANT NAME: DAWSON ANITA CAROLE PHONE: ADDRESS: 5210 1ST ST,BREMERTON,WA 98312
OWNER NAME: DAWSON ANITA CAROLE PHONE: ADDRESS: 5210 1ST ST,BREMERTON,WA 98312
CONTRACTOR: TIM RYAN CONSTRUCTION INC PHONE: (360)779-7667 ADDRESS: 19307 8TH AVE NE SUITE A,Pouisbo,WA 98370
LENDER NAME: PHONE: ADDRESS:
SUBMITTED: 08/11/2006 APPROVED: 09/27/2006 EXPIRATION: 03/26/2007 STATUS: ISSUED
also authorized to prevent occupancy or use of a structure where in violation of the �Ax
Washington State Building code or of any other ordinances of the City of Bremerton.
3. (Project-Specific) FIRE: Provide asbestos abatement and maintain phone on site to call 911
4. (Project-Specific) Must comply with DNS
#BP06 00147
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.
I
Final Inspection-Building
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Page 2 of 2
L
CENTERErr
'+ • Building Permit Application
R NCIERTEwaN I`:)(. 114:')��;:
Dept. of Commu i y &2�kE*I°S4I MI"ifirStreet, Suite 600 * Bremerton * WA * 98337-1873
(360)473-5275 *Fax(360)473-5278
A lies . 0 Owner Contractor h&,LAuthorized Agent ,
Site Address: -7 CON �
T T :° EAa
Address: Y 7 Address: fL/0 t
Ct , State, ZI v4,s 7 City, State, Zip: k4. fr, M
License#& Exp. Date. o 6 g Phone .
Contact acne: ek' moj 12 nd Authorized Agent Name:
Contact Phone#: 6 '- ,f Address: r
Tax ID/Parcel#: / o609 200 9 City, State, Zip: LOO C1 5
/
Phone#: 6G�-72 , /o
What is the a�.��
Iication fcr.�� r� Tease check®ne �" ..
NEW DUPLEX NEW MULTI-FAMILY
NEWSINGLE-FAMILY
� �
NEW MANUFACTURED HOME TENANT IMPROVEMENT
Q RESIDENTIAL REMODEL NEW GARAGE/CAR PORT
RESIDENTIAL ADDITION NEW ACCESSORY BUILDING G
0 RESIDENTIAL REPAIR ❑NEW SIGN ., .w„ (W; )
NEW COMMERCIAL STRUCTURE DEMOLITION "-
Q COMMERCIAL REMODEL GRADING(Cubic Yards o
❑COMMERCIAL ADDITION OTHER: 1� '(r! � � NW
IS THIS TY WITHIN 200 FEET OF A SHORELINE? YESD N0 F__1
Scope of work proposed: ^°44V / V lC.011 ° a
c
Square Footage: Dwelling: Garage: Decks:
Valuation Plan Review Fee Pe it Fee= Surcharge Total Fees
�,S_ ]--7/ 7/�
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 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 review fee.
A
Applican s Signat a Date
City of Bremerton
Department of Community Development
DETERMINATION OF NONSIGNIFICANCE
PROPOSAL: Site development improvements to include demolishing of two structures
(a house and a church) on a 1.9 acre site and grading of approximately
500 cubic yards with imported soil to infill existing basements.
APPLICANT: Carole Dawson, 5210 1st Street, Bremerton WA 98312
LOCATION: 5204 1st Street, Bremerton, WA.
FILE NUMBER: BP06-00147
The lead agency for this proposal has determined that it does not have a probable significant
adverse impact on the environment. An environmental impact statement (EIS) is not required
under RCW 43.21 C.030(2)(c). This decision was made after review of a completed
environmental checklist and other information on file with the lead agency. This information is
available to the public on request.
This DNS is issued after using the option DNS process in WAC 197-11-355. There is no further
comment period on the DNS.
RESPONSIBLE OFFICIAL: Christopher R. Hugo, Director
Department of Community Development
City of Bremerton
345 6tn Street, Suite 600
Bremerton, WA 98337
STAFF CONTACT: Nicole Ward, (360) 473-5279
DATE OF ISSUE: Sept. 7, 2006
APPEAL DEADLINE: Sept. 21, 2006
Chr'Sto er R. Hugo, Responsible Official
NOTE: Pursuant to RCW 43.21 C.075 and City of Bremerton environmental regulations (BMC
Chapter 20.14.300), decisions of the Responsible Official may be appealed. Appeals must be
filed with the appropriate fees at the Department of Community Development located at the
Bremerton Permit Center, 345 Sixth Street, Suite 600, Bremerton, 98337. Appeals must be filed
by the date indicated above as "Appeal Deadline." If you appeal, you should be prepared to
make specific factual objections.
NOTE: The issuance of this DNS does not constitute project approval. The applicant must
comply with all other applicable requirements of the City of Bremerton and the State of
Washington.
Fee $....- ------------ ------ ------- Receipt No...... — ------ -------
BUILDING PERM IT
CITY OF BREMERTON ° BUILDING DEPART T
F. E. IRISH,Building Inspector ESsex 3-1411, Ext. 36
Owner's Value Bldg.Dept. Value DESCRIPTION:
$ I Lot Block Additions
Address on Job --- ----- -------------- -------------------------------------------------------- Date ------- ----- --- ----------------
Building ---------------- x ---------------- and ---------------- stories ------------------------ basement. hot ---------------- X ----------------
Front Yard ------------------------ Rear Yard ------------------------ Side Yard ------------------------ Garage ------------------------------
Occupaney. -- - -------- -------- -------- ------ -------- -------`-------------------------------- Zone ------------------------------------------
Owner = -- ----------------- =---------=-------- --------- Address Phone
Contractor --------------------------------------------------------------------- Address ------------ ------------- ----------------- Phone -----------------
This permit is issued for:
---------------------------------------------------------------------------------------------------- ------------------------------------------------------------- -------------
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All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE. AND POST THIS SECTION ON JOB
INSPECTION — Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspects
and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved
before covering. Wood preservative to be used on all wood against masonry.Ventilate foundation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
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--------------- --------------------------------------- ----------------------------------------------- ------------------- ---------- ------------ -------------- -------------
-------------------------------------------------------------------- ------------------------------------------------------------------------------ ----------
Owner's Signature------- --------= -------=------- - --------`-- BY - ------== -----
------ -------------------------------------------
His Authorized Agent
Building Inspecto�r7 ----------- --- --- '--=-- ------ -----------------------------
m,. OF By ____________________________________________
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