HomeMy WebLinkAboutBERTHA AVE., 630
BUILDING PERMIT
MVECTION
CARD
SITJaADDnSS
"3 0 ~eM-ht\...
CITY OF
BREMERTON
PROTECT THIS CARD FROM THE WEATHER
Building \4 Plumbing Fire Alarm/Sprinkler D
DURING INSPECTIONS THE BUILDING PERMIT & APPROVED PLANS SHALL BE ON SITE
Permit # BB04 - 00 E"faL P@~IJ @l ~:IJ~
For Inspections Call (360) 473- 5870 Approved Date Notes
Erosion Control In Place
1 st Foundation Footing
FOUNDATION Foundation walls
.
DO NOT POUR CONCRETE Plumbing Ground Work
PRIOR TO APPROVAL
\ 2nd
PLUMBING
MECHANICAL
GAS PIPE
Rough In
Duct / Vent
Support / Test / Meter set
Hold down connections
Shear Panel nailing
L&I Electrical Approved
Ventilation requirements
Framin
3rd
.~
FRAMING
If pt & 2nd are approved
~ 4th
~ 5th
6th
\ FINAL
INSULATION
#lJftb .
SHEETROCK
All of the
above
Must be
approved
Prior to
final
BUILDING
WATER MAINTENANCE
PUBLIC
WORKS
FIRE
In Slab Mechanical
Footing Insulation
4-f-f:7tt
Under-floor
walls
Driveway 473-5270
Sewer 473-5270
473-5384/5385
ALL FINAL INSPECTIONS COMPLETED
DO NOT OCCUpy BUILDING WITHOUT BUILDING
OCCUPANCYVIOLATIONISAMISDEMEAN R- CTION305(d)
PROTECT THIS CARD FROM THE WEATHER
Scope of Work for 630 Bertha Avenue.
Main Floor Bath Remodel
Install exhaust fan
Replace existing window with glass block
Replace toilet
Tile bath/shower walls
Tile floor
DK""
Kitchen Remodel
Remove existing cabinets
Install new Counters and cabinets.
Standard Electric Oven/Stove
Refrigerator
Dish Washer
Tile Floor
l....l,re".
~ . ..
il
Basement Bath Remodel
I nstall exhaust fan
Remove existing shower
Install bath tub/shower
Level floor / Tile
Replace toilet
Remove existing sink
Install new sink in new cabinet
Finish walls, tape/texture
Basement unfinished area
Frame closet for furnace
Sheet rock, tape/texture
Remodel Basement multiuse room
Remove existing tongue and grove wood.
Dry wall, tape/texture
Daylight Basement
630 Berlha Ave
8
8
Unfinished
------T
Bath2 zi
ro
(\
Multipurpose2
6
Multipurpose 1
/
y
Main Floor
630 Berlha Ave
Kitchen
Entry
Living Room
~>
~
Laundry
-- ---=,
-
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Bath 1
J8M04S/qnl
M..9€X7..09
:~
:-------
Bedroom 1
Second Floor
630 Berlha Ave.
Bedroom 2
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PERl\1IT CENTER
"j"
!....~~~~~~r~dF~!;~~~~~~~~~PE~~~~~~~~~aiH;I~lP;~~~~lH!~51;,
Depa:rtment of Corrunun:ity Development :c 286 4th Street ::. Bremelton ::- \Xl A::' 98337
(360) 478-5275 ::- Fax (360) 478-5278
RESIDENTIAL SITE PLAN RE'VIE\V QUESTIONNAIRE
Permit applications are reviewed by OUT staff to make a preliminary determination of the presence OT
absence of unique areas on the property. To help us malet nils dettnnination, please supply the following
information with a scaled .and dimensioned site plan.
Applicant:
gE.~IE
?e-Te::---<;2sc,u
C I-Irl? \5
WA(2.. IH EN
Description of Proposal: \2cS\OcNT tAL- \2.EMoDE..L-
Street Address (OT street name ifno address has been assigned): b3 0 1S6-~\t-\A A0r;
Tax Account Number:
3783- ooS-'- 030-0000
,Critical A.rea Questionnaire:
1. Is there any stancling or running water on the surface of the site at .i'>NY time
during the year? If TIS, please describe conditions:
D"i'ES
[gJ NO
2. .Aue there wet areas on the site? If"i'ES, please describe:.
DYES
o NO
'"1
.J.
Is the site characterized as:
o Forest
o Cleared
IX] 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
o lTES
~ NO
rn 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 acknowledges that any action taken by the City of
Bremerton based in whole or in part on tbis application may be reversed if it dnre10ps that any such
statement or other information contained herem is false.
.~~
Slgnarnre of ApplIcant
'--
g FEf3 o~
Date
r_ _
13 B 0 L.{ oo8'~ l
m~~~Q~~] 'S,+-3
@ FEB 11 200~:dJ D \51- !o
BREMER10l'i
SUn.qN~ CENTE,R
DEpartmc::nt of Communi:ty Dc::vdoPIDEut :f -:>86 4th Street :f Brc::mc::rton :f \1?A:f 98337
(360) 478-5275 :,' Fax (360) 478-5278
Building Permit Application
APPLICANT: g] OWt\!ER 0 'CONTRACTOR 0 AUTHOPJZED AGEI'-JT
Site Address b30 ~e:.~'H-\A
Tax Account l\lumber: 318'j -oc>S":o'SO - 0000
Ph ~ne #: ( )
License # I Expir. Date:
Contact Name:
Contact Phone #: ( )
'BE.~IV\ E... f>EIE~cN
OWNER Name: r\,-\fI<:., l.-VA'e-,\-\8N
Address: qe~.sv-::> C\e\l e'^5~r LV\.
City, state, Zip Vo(-\ D(c~o..."d ).,0A q8~()t
,
Phone #: ( 3f:D ) 6~S-877 C\
Authorized Agent Address: ",fA
City, State, Zip
Phone #: ( )
CONTRACTOR: O{)JUt/-(-
Address:
City, state, 7ip
Check the tVDe of aDPlication for below:
D NEW SINGLE-FAM1LY PESIDENCE D NEW COMMERCIAL
o NEW DUPLEX D COMMERCIAL REMODEL
D I--JEW MANUFACTURED HOME D COMMERCIAL ADDITION
5Zl RESIDENTIAL REMODEL 0 COMMERCIAL REPAIR
o RESIDENTIAL ADDITiON 0 NEW MULTI-FAMILY
o RESIDENTIAL REPAIR 0 TENANT IMPROVEMENT
IS THIS PROPERTrWITHIN 200 FEET OF A SHORELINE?
o
o
o
o
,0
o
YES 0
NEW GARAGE/CAR PORT
NEW ACCESSORY SLOG
NEW SIGN
STRUCTURE DEMOLITION
GP..ADlr..JG (Cubic yards: _)
OTHER
NO lXJ
Scope of Work Proposed:
~o>"-'\) r-i",~sl
e-';'l'-'\..oOEL
t,) ~ F (-....J I S t-l
\(:.qCH E.~. g,A\ ~ \ " '6-AI \-\ '2- .
- . I '
t:Al"-'\rLY
,
'PO~\ loA.J of @,A..s c: t'-1 E:N\
Square Footage: .Dwelling:
(\&-
Garage: r\A
Decks: f\A
Valuation
~ \0,000
Permit Fee
Total Fees
'Lliff ,8b
,A,pplication 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 ths applicant have prevented action from being taken. l>Jo
applicant shall be ax1ended more than once. In order to_ renew action on an application after expiration, the applicant
shall resubmit plans and pay a new PJ~~aetifd: or' _
,1!.pPLlCl',NT'S SIGt~ATURE: "-. ~,- Ol\TE: 8 reg oL\
. . -- ----.J .
..................
\~~'1::~~;~~:~~,.~~;:;::.~:; 1- . ~ ;;::N''''~_~ _;~' ~~:-=::- - ~ ~'=: ~ 1~ "',.,-- 1'; ~~
h. '.
,.
..r
g
<,or
"
PERl\1IT CENTER
: I: :.~}~~1~~}&m~!~~m';'~riJ~~\~~~~f..t~~mimt~mt?;~~fW~j~tSi~~Yl~i~ID.~~; '.
.:-.:::=:::;--.~':':'i-"~---'--::-"'~-:--~':':";'::--:'-".~~.:*.~;',;.::-::-,~~~::-.-;I!:;';.~~~.~.~,~~~......._.:d
Department of Comnmni1)1 Development :c 286 4th Street ::. Bremerton ;:- \J?A '.C 98337
(360) 478-5275 ;:- Fax (360) 478-5278
I2J MECHANICAL IHI PLUMBING
Type of Fuel:
Occupancy:
Site Address:
o Electric
~ Residential
0'SD
o (/J /lJe(L
o Gas
o Commercial
" e: ~{2-tr-'\ ~~ o,..J
OWNER
IRJ Oil
o Propane
CONTRACTOR:
'&-~~\ € ~e:~~.s.o,.0 Lf-/(2rS, WA-t71fc..-,..j
Address:
q'3~ Sc.N cleveY15e.,....--L,I\
City, State, Zip: Po" -\-- 0 (e-L..&:o.rd/ (...Uk- Qcal6"'
Phone #: (3bd B'\S' - 8779
Address:
City, State, Zip:
License # & Exp. Date:
Contact Phone #:
NO. TYPE OF EQUIPMENT
I RANGE -
WOOD/PELLET STOVE/GAS FJREPLACE
GAS FURNACE btu
CONVERSION BURNER: btu
UNIT HEATER btu
BOILER btu
GAS PIPlNG
EVAPOP-ATJON COOLERS btu
AC UNIT btu
HEAT PUMP btu
REHEAT BOX btu:
EXHAUST FANS
RANGE HOOD (RESIDENTIAL) ------~
P.ANGE HOOD (COIv1MERCIAl)
CLOTHES DRYER
INCINERATOR
DUCT ALTERATION
TANK TYPE:
NO,
TYPE OF FIXTURE
rz... WATER CLOSET -
2- SA THTUS
2- LAVATORY (BATH SINK) ____
SHOWER
KITCHEN SINK
DISHWASHER
LAUNDRY TRAY
! CLOTHES WASHER
WATER HEATER
URJNAL
DRINKING FOUNTAIN
FLOOR SINK OR OPAIN
WATER PIPING & ALTERA I ION
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRlt-JKlER SYSTEM
SWlIv1MING POOL
BLDG. SEWER: (/vlOBIUIv10VED HOME)
ROOF DRAINS
OTHER:
.2.
I'
REFRIGEP-ATIOI~ U/',JIT
OTHER:
Iv1ECH)\.t~ICAl FEES: I t;t(. ~g
PLUlvlBING FEES: I 7~'
TOT,ll.L FEES: _I Q,[
. C~
Applicant's Sjgnatu
6 t= Eb 0 4
Date
--
I
,(f'
DArE ROUTED: February 12, 2004
630 BERTHA AVE. REMODEL OF A
SINGLE FAMILY RESIDENCE,
KITCHEN, BATH, & BASEMENT.
PERMIT # BB04 00861
(~DG ~ d) plx
. )~(lJ~ Ifj
I
l
LU
UE
F
DATE RECEIVED
ccc
t[j)~@~BW~Jru
Jl1 FEB 11 200+ . If);
BAEMERTON
BWL01NGDEPARTMENr
TRAFFIC
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
286 Fourth 81. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
Receipt Number:
-
BB04 00861
Plan Review Fee
114580
$117.81
Total:
$117.81
$117.81
$0.00
Total:
$117.81
$ 117.81
Page 1 of 1
CITY OF BREMERTON
it DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3783-005-030-0000
BERNIE PETERSON
DEPT OF HOUSING & URBAN DEV
SELF
SUBMITTED:
02/11/2004
VALUATION:
$10,000,00
$117,81 4580
$181.25 2211
$59.30 2215
$4,50 0236
$76,00 2213
$50,00 4580
Plan Review Fee
Building Permit
Mechanical Fixture Fee
State Surcharge
Plumbing Fixture Fee
State Energy Code
TOTAL FEES:
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
'\ ADDRESS:
\ ADDRESS:
. ~ ADDRESS:
'^-.JEXPIRATION:
09/08/2004
SF-3
(360)895-8779
630 BERTHA AVE
938 SW CLEVENGER LANE
1600 SACRAMENTO INN WAY SUITE 22
Fire Inspections
H/D: Bremerton, Kitsap County Health District
PW: Department of Public Works
ncluding all conditions of zoning, building codes, and State and Federal laws.
DATE:
0.4
0-
APPROVED:
03/08/2004
1 TOTAL
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
(360) 473-5870
(360) 415-4000
INTERIOR REMODEL OF A SINGLE FAMILY RESIDENCE
Building Code Edition: UBe: 1997
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Square Footage:
Bid Price from Applicant
(360) 473-5380
(360) 337-5285
(360) 473-5270
This permit shall become null and void if the buiiding 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 Contracto~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,
PRINTED NAME:
I have read, and agree to abide
SIGNATURE OF OWNER OR
AGENT:
CONDITIONS
City of Bremerton's approval of this application pertains only to the City's regulatory. risdiction, and thus compliance with City
regulations does not necessarily ensure compliance with federal or state laws.
1, 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 sUNey be performed to
determine whether there are asbestos-containing materials in the work area or structure, The asbestos sUNey must
be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family
residences),
2. 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.lnLwa.gov/p-ts/asbestos/asbestos.htm.
3. Building Plan Review:
1. Smoke Alarms-Shall be interconnected 11 O-volt battery backup, one in each bedroom, adjacent hall, and on
every floor
2, 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) - .---
3, Insulation Requirments (over 12% glazing)-Walls R-21 , Ceiling R-38, Vaulted ceiling
4. Egress Windows-are required in basements in dwelling units and every sleeping room below the 4th floor. Egress
rescue windows shall have a minimum net clear opening of 5,7 sq ft, a minimum of 24"c1ear height, and a minimum
C)
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(~
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~
Page 1 of 2
CITY OF BREMERTON
oil DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
DATE ISSUED:
,.
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3783-005-030-0000 ZONING: SF-3
APPLICANT NAME: BERNIE PETERSON PHONE: (360)895-8779
OWNER NAME: DEPT OF HOUSING & URBAN DEV PHONE:
CONTRACTOR: SELF PHONE:
LENDER NAME: PHONE: 0-
SUBMITTED: 02/11/2004 APPROVED: 03/08/2004
SITE ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
ADDRESS:
630 BERTHA AVE
938 SW CLEVENGER LANE
1600 SACRAMENTO INN WAY SUITE 22
EXPIRATION:
09/08/2004
of 22" clear width.
5. 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
International Plumbing Code
International Fuel Gas Code
1998 WA State Barrier Free Code
2001 WA State Energy Code
2000 WA State Ventilation Code
CHECK FOR NOTES ON APPROVED PLANS,
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,
Mechanical
Plumbing Rough-In
Framing
Insulation
Sheetrock Nailing
Final Inspection - Building
Qty
2
1
3
2
Descriotion
R-Water Closet and/or Urinal
R-Dish Washer
R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R-Tub and/or Shower Unit
FIXTURE LIST
Qty
2
1
1
Descriptior
R-Bath Fan and/or Exhaust Fan
R-Cook Stove with Exhaust
R-Range Hood
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
286 Fourth Sl. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
BB04 00861 Building Permit 1/2211 $181.25 $181.25 $0.00
BB04 00861 Mechanical Fixture Fee 1/2215 $ 59.30 $ 59.30 $0.00
BB04 00861 State Surcharge 1/0236 $4.50 $4.50 $0.00
BB04 00861 Plumbing Fixture Fee 1/2213 $ 76.00 $ 76.00 $0.00
BB04 00861 State Energy Code 1/4580 $ 50.00 $ 50.00 $0.00
Total: $ 371.05
B000001290
02/11/2004
Plan Review Fee
$117.81
BB04 00861
Total:
$ 371.05
$ 371.05
CREDIT CARD
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