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HomeMy WebLinkAboutSHORE DR, 607l -�`� 1 ... ' / a : ,.. r , s , .= i F. a � � �. .- - ..p % ,[Y �.x ,i s� a l� M u i ._.. i q `".� BUILDING PERMIT INSPECTION FILE CARD FILE COPY Building 'Plumbing SITE ADDRESS (0 7Ore.or. e R07EC DESCRIPTION fiddn. 7tD Res ❑ Mechanical ❑ Fire Alarm/Sprinlder ❑ Permit # - _ FILE COPY Date Notes 1st FOUNDATION DO NOT POUR CONCRETE PRIOR TO APPROVAL Erosion Control In Place Foundation Footing Foundation walls Plumbing Ground N'oi* In Slab Mechanical noting lnsulaton _ 2nd PLUMBING MECHANICAL GAS PIPE Rough In Duct l Vent Support l Test/Meter set 3 rd FRAMING If Isu & 2" `t are approved Hold down connections Shear Panel nailing L&I Electrical Approved Ventilation requirements Framing 4th INSULATION Under floor walls ceiling 5th SHEETROCK 6th All of the above FINAL Must be approved Prior toWo final BUILDING 473-5870 .rM " ALL FINAL INSPECTIONS COMPLETF,D ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: SUBMITTED: VALUATION: 3913-025-009-0008 HETH CLARDON L HETH CLARDON L SELF 10/11/2004 $25,000.00 Building Permit $391.25 2211 Plan Review Fee $254.31 4580 State Surcharge $4.50 0236 TOTAL FEES: $650.06 PERMIT NUMBER BB04.. 01382 DATE ISSUED: 02/22/2005_._: ZONING: SF-3 SITE ADDRESS: 607 SHORE DRIVE PHONE: (360) 377.4035 ADDRESS: 1112 18TH ST, BREMERTON, WA 98337 PHONE: (360)377-4035 ADDRESS: 111218TH ST, BREMERTON, WA 98337 PHONE: ADDRESS: PHONE: 0- ADDRESS: APPIt��m �04 EXPIRATION: 08/2112005 STATUS: ISSUED REMODEL OF AN EXISTING SFR Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: UBC:1997 (Front) {Side) (Rear) (Other) Square Footage: Bld Price from Applicant 1 TOTAL Inspection Requests Fire Inspections (380j 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 al any time after the work Is commenced for a period of 180 days. Obtaining lnspectlons al Intervals not exceeding 180 days Identifes 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 Slate 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 Slate Contractors 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 Mal 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 co///n��fditions of this permit/Jlncljud gall conditions of zoning, bulltling cotles, and State and Federal laws. SIGNATURE OF OWNER OR ��,Mn F%%. 4 / AGENT: W�rtiV IT d PRINTED NAME: - K77a 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. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency N "I (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). 1 2. (DCD-02) 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. 3. (DCD-03) DCD: Approved with revisions denoted on plans. 4. (DCD-06) DCD: Energy code compliance stickers shall remain on windows until framing inspection Is Q,(; approved by Building Department. 5. (DCD-07) DCD: No stormwater shall be allowed to drain onto adjacent private properties or the public right-of-way. Page i of 2 PERMIT NUMBER BB04 01382 DATE ISSUED: 02/22/2005 ASSESSOR NUMBER: 3913-025-009-0008 ZONING: SF-3 SITE ADDRESS: 607 SHORE DRIVE APPLICANT NAME: HETH CLARDON L PHONE: (360) 377.4035 ADDRESS: 1112 18TH ST, BREMERTON, WA 98337 OWNER NAME: HETH CLARDON L PHONE: (360) 377-4035 ADDRESS: 1112 18TH ST. BREMERTON, WA 98337 CONTRACTOR: SELF PHONE: ADDRESS: LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 10/11/2004 APPROVED: 11/10/2004 EXPIRATION: 08/21/2005 STATUS: ISSUED (n1ttf 6. (DCD-14) DCD: Approved Plans, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection. 7. (DCD-15) DCD: Smoke detectors required in all sleeping areas, adjacent hallways and floor levels. �q1�,�v�"r_ 8. (DCD-22) Building Plan Review: WT Code Compliance -All work in the City of Bremerton shall adhere to the following 2003 International Codes: International Bullding 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, Check For Notes On Plan 9. (ENGR-1006) ENGR: Floodplain Certification Required for renovation work located below the flood plaint' elevation. 10. (Project -Specific) LU: maintain shoreline view corridor. 11. (Project -Specific) LU: At no time shall any construction or grading material enter the water. 12, (UTILITY-02) All utility fees and assessment shall be paid prior to final occupancy approval MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 6:00am In order to be scheduled for same day. To request an Inspection, please call (360) 476.5275 and be sure to provide your permit number, name on permit, site address, contact phone number, and Inspection type. Manufactured Home Foundation Final Inspection -Zoning Framing Insulation Sheetrock Nailing Final Inspection - Building Page 2 of 2 POSTING MEMO Paid by Treasurer's Check No. Vendor No. The amount of 313.00 received as Building Permit fee is to be refunded to Clardon L. Heth 1227 W 6th Avenue Spokane WA 99204 as a result of the applicant selling the home and not pursuing the remodel as originally planned Date and number of original Treasurer's Receipt (if applicable) i" BDD0004310 Receipt No. FundlRevenue Account to be debited 16 - 322 - 1001 - � GI I r I/ PO PARING CLERK SUPERVISOR FINANCE DIRECTOR Rev. 1012I03 CITY OF BREMERTON Receipt Number: BDD0004310 DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360)473-5275 Fax: (360) 473-5278 Receipt Date: 02/22/2005 Cashier: PCONROY Payer/Payee Name: HETH CLARDON L Tran Original Fee Amount Fee Permit# Fee Description Code Amount Paid Balance 8.04 01382 State Surcharge 1/0236 $ 4,50 $ 4.50 $0.00 BB04 01382 Building Permit 1/2211 $ 391,25 $ 391.25 $0.00 Total: $ 395.75 Previous Payment History Receipt # Receipt Date Fee Description Amount Paid Permit # BDD0002248 10/11/2004 Plan Review Fee $254,31 BB04 01382 Payment Method Check - Number Payment Amount' C �� lh CHECK 6472 $ 395,75 lr�e/c t�� Total: $ 395,75 t_.� _ '(A'�j '(�< C�,'t -� � � L y .� .�`� � � 'C`� i'�� Page 1 of 1 1 leaI Wovt 9«c4t-� 61q aoq �7 %7 h�03 MC k 6®c) N74Za7 �n� 1 7 p �OYK qqa o�F 5 D9 r7 41 a `i � + D Clardon L. Heth 1112 1 , BremertooSt, n, WA. 98337 MAY .1. 9 2n05 (360)377-4035 COMMUNITY DEVELOpMEN T May 11, 2005 Department of Community Development Valerie Wolf 345 6th St., Suite 600 Bremerton, WA. 98337 Dear Valerie, 1 was issued a building permit for remodel of my home at 607 Shore Drive, Bremerton. I am selling my home and will not pursue initiation of any of the work. Per my phone discussion with you on May 9 2005, I am requesting refund of the amount for this permit that is applicable. Please forward the refund amount to 1112 18th St, Bremerton WA, 98337. Thank you for your help. Sincerely, L Clardon L. Heth 31 B CITY OF BREMERTON City of Bremerton ent of Community Development r # _ �286 4 Street 13t,1 1. remerton, WA 98337 I�LP;tlitlll)(i phone: (360) 473-5275� 111?��[J1hS(i�� 4}�itflflr[ i Fax: (360) 473-5278 ts•I Ex11MEPTION R) OUEST rROM SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT REQUIREMENTS AS PER STATE SHORELINE MANAGEMENT ACT Applicant: CL4Pn W Aiuo JLLMX l ar L11 Preparedby: L714 Title: I E620A2b Signature: � j;(-{�j/ Date: J(7�/_ 0+ The proposal by (applicant) �b 7 si�y✓'� brL, X�'fGk �t2'lt •U GIi9 `79S to ; %ftk 10 0�' 3 1%43 _ UL 5 To undertake the following development: Following property (please list legal description, i.e., section to the nearest quarter section): :L S ���- 7°IUgG/%N1� y within (name of water andlor Its associated wetlands is exempt from the requirement of a substantial development permit because the development ''ff 1•S �' �fl 417—' iJ ,lVi cl L��'f_- (�'i �%.. � % ^f�tt(l�� � �`t� (Identify exemptions as outlined in WAC 173-27-040) DEPARTMENT REFERENCE TO BE COMPLETED BY DEPARTMENT OF COMMUNITY DEVELOPMENT The proposed development is consistent or inconsistent with: CHECK ONE Consistent Inconsistent Policies of the Shoreline Management Act The Brun rton Shoreline Management Master Program (BSMMP) (Date) (Si ire o uthorized De ent of Com\\m''unity Development Representative) ame Title Assigned U.S. Corps of Engineer Public Notice Number. PERMIT CENTER ::- 94L dtli CtrnPt :� Rrrmrrtnn '�' WA ^- 478.5275 '�' Fax (360) 478-5278 SHORELINE PERMIT SUBMITTAL CHECKLIST Applicant: PArmit• ❑ Substantial Development File #: ❑ Conditional Use ❑ Variance Exemption ❑ Revision WAC 173-27-?I80: A complete application for a substantial development, conditional use, or variance permit shall ,..,��;., � :n:mnm tha fn/lnwina information: INFORMATION - NOTES APPLICATION FORM: - 1 Applicant's name, address, phone number. ' N /�u' �A- �7� - f Qom.-SNDP� U2 � _ R-EmOR-'roti..��✓h . 98'31 t7 3 D� - `� 2 Contact person's name, address, phone Number if other than applicant. 3 Property owner's name, address, phone number, if other than applicant. 4 Fair market value of the project. � ,j 00� 5 Location of property, including: address; section, township, range to nearest quarter or quarter section, or latitude/longitude to nearest minute. 6 Name of shoreline/wetlands which development C1�I3/tN ,Q�S/Dt.v%7A-C.. is ro osed to be within 200 feet. 7 General description of proposed project QssiD�.v;rn-t_ ��fo/nE /ST" /tNU zNv �GCo2 Including: proposed use/uses; activities ��pOr7aoN- CON��1� F�Gud��-%*�i✓� �f'�`""u`r necessa to accom lish ro'ect. rQoCFy��r i WitivCWs- 8 General description of property as it now exists S� S/� �'��'J including: physical characteristics; im rovemenis and structures. 9 General description of vicinity of proposed (,(.A!8A-nl ��s�Q�Nnn-L project including: identification of adjacent uses, structures and improvements; intensity of develo ment; h sical characteristics. � The applicant should be the owner of the property or the primary proponent of the project and not the representative of the owner or primary proponent. SHORELINE PERMIT SUBMITTAL CHECKLIST Page 1 of 2 SHORELINE PERMIT SUBMITTAL CHECKLIST 10 A B C SITE DEVELOPMENT PLAN: Boundary of parcels) of land upon which develo ment is ro osed. Ordinary high water mark (OHWM) of all water bodies located adjacent to or within boundary of ro'ect. Existing and proposed land contours.z SSE ��'� 5�E �CA%✓ S�ls G� D Delineation of all wetland areas that will be ��ON� altered or used as art of develo ment. E General indication of character of vegetation �ti r �rrSf Pc�N i�'-�- d �rlr found on site. F Dimensions and locations of all existing and SLR ��R-� proposed structures and improvements including: buildings; paved/graveled areas; roads; utilities; septic tanks and drainfields; material stockpiles or surcharge; stormwater mana ement facilities. G Where applicable: landscaping plan for project. yt/`/-j- H Where applicable: plans for development of areas on or off site as mitigation for impacts N/i� associated with proposed project which contain information consistent with these application re uirements. I Quantity, source and composition of any fill N/A material placed on site whether temporary or ermanent. J Quantity, composition and destination of any �I� excavated or dyed ed material. K Vicinity map showing relationship of property and proposed development or use to roads, utilities, existing developments and uses on adjacent ro ernes. L Where applicable: depiction of impacts to views from existin residential uses and ublic areas. M Variance applications —clearly indicate: where development could occur without approval of a variance; physical features and circumstances on property that provide a basis fro the request; location of adjacent structures and uses. � Location of OHWM may be an approximate location except: for any development where a determination of consistency with applicable regulations requires a precise location of the OHWM, the mark shall be located precisely and the biological and hydrological basis for the location as indicated on the plans shall be included In the development plan. Where the OHWM is neither adjacent to or within the boundary of the project, the plan shall indicate the distance and direction to the nearest ordinary high water mark of a shoreline. WAC 173-27-180 (g)(b). z Land contours shall be at intervals sufficient to accurately determine the existing character of the property and the extent of proposed change to the land that is necessary for the development. Areas within the boundary that will not be altered by the development my be indicated as such and contours approximated for the area. SHORELINE PERMIT SUBMITTAL CHECKLIST Page 2 of 2 "'-�6 zp f ( `� §I 3 � � ST f i� � x � � o..� i o„ r � � St ;;�E� �+ra.,ax • 't� '���L� r<�+ . .S. f sEtmui s, nm' x vE � Q((, �d � � rya �i� Gt��,p� .3'. o EEx ooc xs ENEfAI X .^L•' Qr� �_ � c"���&r� few •, � o� ��< iM- �En= � � �3 Y n�` '� �'s;�A5C DRF•MERTON � E � Y 3 / >�_ �<�e w,fw �won�srw 5Y'A,3 <a 304xs fANF:RE `_� ui Q /< � � � o< u xf � PUGET SOIIND� I �x��3p4 NAVAL SHIPYARD/ VAVY YARD CPIY -/ MfrcANI Pt RETSIL � m� ANNAPOLIS r e let / Aou FI u® ASr �s i °a � i50-m iwnxM asl yvCa+,e � � oncxnan a a � i 3 17 0 PORT ORCRArtn° i `ice i I N k 1 �i- r; rl `7 on slOrly aF $REMERTOIN Department of Community Development 286 Fourth Street, Bremerton, WA 98337 (360) 473-5275; Fax: (360) 473-5278 website: vvww.ci.bremerton.wa.us 111111111111111 01 • O 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: _ ADDRESS: CITIT: PROJECT INFORIVIATION: 2. Site Address: 19a a GENERAL SITE INFORMATION: 3. Please check sewer service provided: 4. Is the site characterized as: STATE.: Home/ Cell: C�) .>7 7 � 5 ,� City of Bremerton ❑ Septic,(contact Kitsap County Health for letter of acceptability) _ 5. Please check vrhich soil types apply at the building site: ❑ Forest.oi• Vegetation Cleared Developed Crystalline bedrock Sedimentary and foliated rock S S andy gravel and/or gravel and, silty sand, clayey sand, silty gravel and clayey gravel ❑ Clay, sandy clay, silty clay, clayey silt, Residential Site Plan Re�rision: June 2004 SHORELINE 6. Are any areas being developed on the site within 200 feet of the shoreline? 7. If the answer to the above is yes, did you attach a Shoreline Permit Submittal Checklist (WAC 1731111v27480)? YES NO YES NO CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 21.22) 8. Please give the overall slope of the parcel: 9. Please give the slope at the building site: 10. Please give the steepest slope within 50 feet of the site, include adjacent parcels. ,� % (see diagram below explaining slope calculation) Slope is calculated by dividing the vertical distance by the horizontal distance and Mien multiplying the result by 100. Example: Vertical 20 feet Horizontal 100 feet = 42 x 100 = 20% slope Ohl FY 7� pig Y eptical Distance20 feet Horizontal Distance = 100 feet 11. A•e there any known wetlands or wetland YES NO buffer areas on the site? 12. If the answer to the above is yes, please describe: 13. Is there any standing or running water on the surface of the site at 'ANY time during the YES NO . year? 14. If the answer, to the above is yes, please describe: ' Residential Site Plan 2'of 3 Revision: June 2004 SHGRE LINE 6. Are any areas being developed on the site within ')GO feet of the shoreline? 7. If the answer to the above is yes, did you attach a Shoreline Permit Submittal Checklist (WAC 173-27-180)? YES NO YES NO CRITICAL AREAS (Note: slopes over 25% may be regulated under BMC Chapter 21.22) 8. Please give the overall slope of the parcel: 9. Please give the slope at the building site 10. Please give the steepest slope within 50 feet of the site, include adjacent parcels. „j % (see diagram below exTlainmg slope calculation) Slope is calculated by dividing the vertical distance by the horizontal distance and then mz�ltiplying the result by 100. Example: Vertical Distance = 20 feet Vertical 20 feet :t = ,2 X 100 = 20% slope Florizontal Distance = 100 feet 11. Are there any known wetlands or wetland YES NO , buffer areas on the site? 12. If the answer to the above is yes, please describe: 13. Is there any standing or running water on the surface of the site at ANY time during the YES year? 14. If the answer to the above is yes, please describe: NOS Residential Site Flan 2 of 3 Revision: June 2004 RESIDENTIAL DEVELOPIVIENT WORKSHEE-1 1. What is the zoning designation: 5-E�- 2. What is the area (square footage) of the lot? j Z� Q 3. Please provide the following information. Zoning development requirements are found in Section 21.02.130, Figure 130 (Lot Requirements) of the Bremerton Municipal Code (BMC). Off-street parking requirements are found in BMC Section 21.02.670. When adding to or replacing an existing structure, this information should reflect the entire site after work is completed. DESCRIPTION ZONING PROPOSED ; 'RE,IQUlE4 MENT REVIEW* FRONT YARD SETBACK S' REAR YARD SETBACK** SIDE YARD SETBACK SIDE YARD SETBACK MAXIMUM HEIGHT LOT COVERAGE""� NUMBER OF OFF-STREET PARKING SPACES To be completed by staff. **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 applicant acknovsrled6 0 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. Appincant �ngnaiure Date Residential Site Plan 3 of 3 Revision: June 2004 p CITY 'D6 i7REMERT©N Site Address: 00 1 R 0 V 9 ac Building Permit Application � 9RFi _ Lt,tll .ItTPPi * R7'P.1Y1 P.Ttnll * V\TA e,_.� * r�x (36014.735278 CONTRACTOR: 5&1 OWNER: L f2I/V/V k•� Address: 07 5 /zE ram, Address: 607 S*45 De , City State, Zip: t it��'taN 60/7 ?63jrV City, State, Zip: jF 44 F970A) IVr T930 , License # & Exp. Date: Phone #: 6 77 Contact Name: 6 z4v 6 A) 14 Lr77�/ Authorized Agent Name: Contact Phone #: 3(2) 37T- *03S Address: Tax ID/Parcel M. 31 / 3�6 25.00' - G06 S' City, State, Zip: Phone #: What is the application for? (Please check one) NEW SINGLE-FAMILY RESIDENCE NEW DUPLEX NEW MANUFACTURED HOME RESIDENTIAL REMODEL 0 RESIDENTIAL ADDITION RESIDENTIAL REPAIR NEW COMMERCIAL [�j COMMERCIAL REMODEL COMMERCIAL ADDITION t C` COMMERCIAL REPAIR �i Q NEW MULTI -FAMILY FAMILY TENANT IMPROVEMENT [� NEW ACCESSORY BUILDING NEW SIGN STRUCTURE DEMOLITION GRADING (Cubic Yards: ) 0 OTHER: NEW GARAGE/CAR PORT IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? R cnne of work or000sed: Square Footage: Dwelling: Garage: Decks: Valuation Plan Review Fee Permit Fee Surc time harge Total Fees a, 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, 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 ®e Date City of Bremerton, Washington Phone: (206) 478-5281 OWNER�fSj VALUE $r�i�Cf� �- BLDG. DEPT. VALUE PLAN CHECK FEE $ �� P � R/ECEIPT NO. �! �� PERMIT FEE $ ���� RECEIPT NO. �� DATE CC.' Cc�' SITE ADDRESS I LOCATION OWNER'S NAME CONTRACTOR RESIDENCE PLANNING /ZONING ❑ BUSINESS ❑ OTHER THIS PERMIT ISSUED FOR: ADDRESS FIRE ZONE STATE CONTRACTOR'S LIC. ❑ NEW ❑ REPAIR ❑ REMODEL STORIES PHONE PHONE ADDITION OCCUPANCY ❑ DEMOLISH 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 the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation ❑ Framing � Plumbing ❑ Electrical ❑ Wallboard ❑ FINAL FOR INSPECTORS USE ONLY: NOT TYPE OF INSPECTION DATE TIME PPROVED�APPROVED FINAL INSPECTION APPROVED BY OWNER'S SIGNATURE REINSPECTION: BUILDING DEPT. COMMENT DATE TIME APPROVED Bulldfng Inspector JP ING � �DI e, , ,, Autho izedA brit �� ,'� �l� �'�,-1 APPLICATION CITY OF BREiriERTON BUILDING DEPARTMENT s VA UI AREC PERMIT FEE P AN CHECY. Sl ADDRESS/LOCATION OF JOB...":G-' � �..... ........................�............................ APPLICATION ISSUED FOR: ... ......•• �...................'................ � •I to PLANNING ZO}NING�{�, .'[�,,�. OW14ER. IRE ZONE OCCUPANCY......:..... TYPE OF CONSTRUCTION. At A �.:.''r. 0�.... 0 a ..... ............ 0 . CONTRACTOR ... 0 _0 a 0 0 a 0 0 a a_ a -0 ...... 0 . F / ADDRESS...............0 0 a 6 0 8 a 5 v 0 a 0 6 6 1 0 0 9 0 6 ft a 4 9 a 0 0 ADDRESS............. ............... PHONE.... - —.�^_�................................... ...... . .. PHONE 3, ;✓ f {.,>', S'fATE LIC. 14 i.Ao ../ .. ... .... 4 ry%A. ) ( SIGNATURE APPLICANT... _._ ... • DATE 'Aft- RECEIVED BY:, 9 •, ACCEPTANCE OF APPLICATION DOES NO�yT /INSURE ISSUANCE OF BLDG. PERMIT. APIIP' D PLANNING COMMENTS/REVIEWED BY.. .. vz �� � o ENGINEERING COMMENTS/REVIEWED BY....1�.`r.".�. APP'D, _ DY �1 d SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING, SIDEWALKS,SANITARY 6 STORM SEWER. FIRE DEPT. COMMENTS/REVIEWED BY.......... APP'D IIY .TRAFFIC DEPT. COMMENTS/REVIEWED BY.......... � APP'D . DY PLUMBING REVIEWED BY.......... � APP'D DY WATER DEPT. SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL IJORK. AP ELECTRICAL REVIEWED BY.......... BY IIY SEPARATE PERt1IT REQUIRED FOR ELECTRICAL NORK. I BUILDING REVIEWED BY..A�`- I/p`'' /i✓/f�� APDPYD A. 'Compliance Officcr . . 0 . .. 0 0 0 0 . . 0 . =DATE1q04..*A,a*&W"q,0sw P E R M I T S Indicate below what requirements, permits.Aare required for this project. PLANNING DEPARTMENT I.(� 0 ❑ SHORELINE ❑ REZONE ❑ SPECIAL USE PERMIT ❑ VARIANCE ❑ SHORT PLAT ❑ CHANGE OF SITE PLAN ❑ ENVIRONMENTAL IMPACT ASSESSMENT ❑ ENVIRONMENTAL IMPACT STATEMENT BUILDING DEPARTMENT BUILDING ❑ MECHANICAL ❑ HOUSE MOVING ENGIP�EERING DEPARTMENT ELECTRICAL ❑ DEMOLITION ❑ GRADING ❑ SIGN ❑ SIDEWALK CONSTRUCTION ❑ CURB & GUTTER CONST. ❑ ❑ STORM DETENTION REQUIRED PLUMBING STORM SEWERS ❑ DRIVEWAY SANITARY SEWER CONSTRUCTION "IINSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK HEALTH DEPARTMENT ❑ SEPTIC TANK ❑ FOOD SERVICE BUILDING I N S P E C T I -O N S Inspections Required For Stated Construction DEPARTMENT ❑ FOUNDATION ❑ POST & BEAM % FRAMING ENGINEERING DEPARTMENT ❑ ELECTRICAL ❑ INSULATION ❑ PLUMBING ❑ SHEET ROCK OR COVER ❑ MECHANICAL FINAL 1 ❑ FORM INSPECTION FOR CURB GUTTER AND/OR SIDEWALK ❑ FINAL INSPECTION FOR CURB GUTTER AND/OR SIDEWALK ❑ CONNECTION TO CITY STORM OR SANITARY SEWER MAIN LINES ❑ PIPE INSTALLATION PRIOR TO COVERING FIRE DEPARTMENT ❑ LIFE SAFETY ❑ FIRE CODE ❑ FIRE EXTINGUISHING SYSTEM ❑ SPRINKLING SYSTEM ❑ REMOVAL & INSTALLATION OF UNDERGROUND TANK THAT WILL CONTAIN FLAMMABLE MATERIALS Allow 24 hour prior notice for all inspections. Emergencies will be handled as soon as possible. If required inspections are not called for and made by the necessary City Departments, a Stop Work Order will be posted until necessary inspection is completed. Any materials hindering the inspection will be removed so an adequate inspection can be performed. All completed structures will have a Certificate of Occupancy BEFORE the structure is occupied. If a structure is occupied without a Certificate of Occupancy, the City will have the water utilities removed and order the structure vacated until compliance is achieved. I have read and understand all the above that pertain to the Construction at (address) SIGNATURE DATE TITLE ��' �. �" �- � g`� �_ W� �, �, �. s F �; � s v �a� P� a � ; �; �: w ,_ : \2� ? � 3� � /± :: z ,>> ,»Qxw� :y=: 2� \/§\K �� . BUILDING PERMI w of Bremerton, Washington Phone: U� ,, J PT,VALUE 7 r PERMIT FEE RECEIPT NO, f - x, SITE ADDRESS/ LOCATION F,0f4 .� OWNER'S NAME ADDRESS PHONE i CONTRACTOR CONTRACTOR'S LIC. # ADDRESS PHONE RESIDENCE ❑ BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR REMODEL ElADDITION ElDEMOLISH ❑ SIGNS PLANNING/ZONING STORIES OCCUPANCY THIS PERMIT ISSUED FOR: 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 the provisions of any other state or local law regulating construction or the performance of construction, INSPECTIONS REQUIRED: Foundation ❑ Framing Plumbing ❑ Electrical ❑ Wallboard Zko FINAL SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL, FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVEDFINAL INSPECTION APPROVED BY. COMMENT DATE TIME APPROVED .. " I • • • will OWNER'S SIGNATURE BY rnn,Tnerr.� BUILDING DEPT. r144 N Al no4ERM IT OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO, PERMIT FEE RECEIPT NO, DATE SITE ADDRESS/ LOCATION 60 B ADDRESS �5 4..... i., �`�/� f TE CONTRACTOR'S LIC. # ADDRESS PHONE RESIDENCE ❑ BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR REMODEL ❑ ADDITION ❑ DEMOLISH ❑ SIGNS -PLANNING /ZONING STORIES OCCUPANCY THIS PERMIT ISSUED FOR: 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 the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation ❑ Framing I� Plumbing ❑ Electrical ❑ Wallboard FINAL SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. PHONE NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVED FINAL COMMENT DATE TIME APPROVED INSPECTION APPROVED BY Bullding Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE BY Authorized BUILDING DEPT. x, 1 N CITY OF BHFMia ""UM '-BL ARMAN aAJ U1, �rRrYrn ett d �� ranl, �IiP� _.._ .... _ �._.� . cd SSiifltAtikl?MJ CY JCltl,.. ......... �) AY' IdPJC .#UJiJvt' a hiRF" ZCJJE o C C k PAfI(/ _ Y1FC OP C,'J4 YHUCT70J .. . .�, .. ..... a ..�. ,.-.... _-,. .�,�,�..m. ... / - /��iil �I� fir�w. .. r A C1 U�... .p ,...,3; � .» . ,, ' ,G') s,. r Z, f,.7 �S' f i u. 1 /) ✓ / / �f . %YC � < F. - i O1JC.... .... .-..,;.7;7 r,' f �,..,.... ..,...... ., tS1ATC �1C. ...o iZ I09 01 4t�`. 1 MJJ�,TIIi:[ Af't'l1CAMIP.i�. 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