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Home My WebLink About2003-10-07 1231 CAMPBELL WAY - Permits ,. BREMERfQ~ PERMIT CENTER 286 4thSt.r.eet" Bremerton" WA 98337 Phone:: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 1231 CAMPBELL WAY Location: Parcel No: 3976028-001-0004 Applicant: JENSEN MATT 710-3390 1231 CAMPBELL WAY BREMERTON WA 98310 Permit No: 03-0245 '3~, at LlS: I{5~3!Ii::D Applied: 05/09/2003 Issued~ 10/07/?Q03 Expires:; .1.2/7!}./t;20(J~3 Owner: JENSEN MATT 710-3390 1231 CAMPBELL WAY BREMERTON WA 98310 Contractor: SELF Lie t1: :;:EL.F fxp:. Subcontr: Oesc: ADO A 11 X 22 FOOT RV CARPORT TO GARAGE ***************~***************************************************************************** Valuation * Permit Fees: 69.25 Total Calculated Fee: 118.76 2,000.00 ~(Plan Check Fees: 45.0] f-ld',"lit.ional Ff?':-'S" ..00 W Other Fee::,: 4.50 Total Pt'rmit Fet~~ U.8,7f., ***************************y~**************~************.************w~****~*~**w**********w* "his penl1it shall become null and void if th'iZ' buildil"l8 01" ,,,,;)r k sl.rthoYized by this pe1"mi t is not CC'(n1TlCi1C.S.d I,~i thi n 180 days fl"c1fl' the date of such pen"i t, 0)'" if this building 01" \.Jo\'k aut.horized by $lJch peYl"ilt. is: '.\;u,,:pen,::f;.q 01" abandoned at any tim.s aftel' the \,jOl'k is comroonced few $. Pt'y'iod of 180 d;,vs. NOTICE - It is the responsibility of the pemlit holdel"J not the City of E'.yern!?(ton 01" ?u.ild:i'ns: offici3J tc :~s"" to it that n"qui yed inspl'.."Ctions are wade. The permit holde,' must roUfy thr~ Building Offidal \"hen i"'.?z!<d'/ foY inspectiol1$. Failul"e of the penl1i t h<:,ld1~y to notify the E\lJildiY/9 Off lei",!. of Y(i':jUi Y6.d in,O;p,-,(:,ti';I'1.'" me\>, 1'6"0'; 1, L in the stoppage of the woYk unti 1. ,;;uch tim,,,, t.h8.t, the pel'mi t holday can substanti3te be t.h' blJi Idi ncc1 ,)'t' f\.':i.: '. that the concealed v,lOyk meets OY eXCii:,ed$ ,::od6' '(e.quin,.ments.. Any de'fill';)llti"", te'2tino, 0'( rinEI.nc:i&.1 burcbn sh."-U be bOYrle di.'recl:.ly by the P0rmi t hold..,y" Fai.luYI9 to subst":mhate coc:le yeql.li n::ffl>.'?nts ,~i 11 iT;ci\?ITHlify the Cib" a.sainst any and 8.11 n:'~.pon$ibili.t)i 01' liability connected wHh the cot'r.$t.ruct,icm. I heYeby cel'ti fy that I have ye;?d and examined {:his pE'nnit and ~TlO\.>J the $8,rr:~ to b2 t nJ.~ -:l.ne' cc:)yn,,'~;:' All pyovi,,,iorls of la\~$ and o\'dinanc€'$ sr::tVeY\"\ing thi." t>.::.~, r:xf ,.-jQj'k \.Jl.11 b~', Cl'm~'li.e'0 I.....; '!. I., ,,}"""~;"(;'>\' C."'::":~ fif;'C' ~;.: ,',""', Of" no-tO! The grarrtin(1 of a p.yymit C'cree. '110t t:'Y~'$urr)r.:;' to ;;ltve "S,fJ1.:YOjorit)" to '..,.'io)r~:te ".::-:r cZY'ic-?1 th~ 1"11"'\:'1./:'31. --1'3 ,,'>'. al1)' c,.l:.hey st3.te 01' local ]"",/ '(-c'9ulating cQn,"tr'Uctiol"\ or the p'i'yfo'(mance of cQl"1~'tn.l':'tic'r: Sigrr,,'\tl.(\'e: ...._ 03j:,1,: ..._____..._.__..__".'_.0""__._...__...''., I cl?Y"I:.ify that I am /f>;,<ernpt fl'cJO'i the Y'equireme'nt!~ of thff stD.te c.ont'(:~,,:'tclr "'2' 'r>(!'s~i$tY'<'.'l:i'Jn i.,Ji..;, u';,d:,y S1lcti.cm 3, Cr,;apt.,:,y 126, 13\\>J"':>d_9~S~.. ,a_tu,.,~~---= ___ ""t.,~~j~~__ *******~~*~*~************** !-~ I Permit Center--Approved B"~_ Date,__lD -+-f-B . ...~-....,,~---.,.-..~---_..-.-~ -, - 'Y~- ._~..-~~... - -"~""'_ '__~''-.'''''''''''''__ , , , , , '. , ~ . \~".;., ~\'.BREMElRTON PERMIT CENTER 286 4th Streets Bremertons WA 98337 Phone: (360) 478-5275 PAX: (360) 478-5278 Job Address: 1231 CAMPBELL WAY Location: Assr Acct No: 3976028-001-0004 Building Permit No: O~-0245 St.atu.::;: TSSI.'-:["; J:S~3U(~CJ: L('/,/()7/2f:I("?, r)'pires: 12/21/2003 REO U IRE 0 INS PEe T ION S Item: 01100 FOUNDATION-FOOTINGS 06/24/2003 LARRY Action: APPR AOPROVEO Item: 01700 FRAMING Item: 01900 SHEETROCK NAILING Item: 02700 FINAL--8LDG Dept: 8LDG D.i.vis.L,-'n: 1 i n',.:::~ ~ r.c) ': (J":~i [>iv'i.31 '1'1, [>iV1';io1', : Oi\/isi()n~ Der>t: 2L.DG Dept: SLDG Dept: ElLDG ******************************************************************************~** TESTING: Must be re60gnized by the Washington Association of Ruilding Officia12 SPECINSP: Must be registered with the State of WA ST OF WA: State of WA Dept. of Labor and Industries 478-4921 HEALTH: Bremerton/Kitsap Health District 478-5235 ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON ~UST BE SCHEDULED THR01JGH THE PERMIT CENTER, (360) 478-5275. ********************************************************************************* i~~~~~u~~~~~ ~_______ Dat (7c' /~ 17 1t?.7 y__.y'_l/.~ _______.___.__,__ I I I I I I I . ;. 1 1.'4\ ~ a =::::: ======~:::;.;:;=!.;::= == ::::::=:=.:::::=;.:.:::::::= =-=:::::. =:::=.:::. =::~::=. =-:=:-..:=:.:::::::::. :;;:===~=:= =;:;;::::;: =-::;:::: =:=;:::.:c:: ~::=::::.=:. 't'.::.::.:. :=;::;:.::::.: ::".:: :~:::.r ::.':"~::.. ~ .::: ,:":, -:.;::;:;: ~z:;::.:::::;:.::::::: BREMFRTON PERMIT CENTER PERMIT CONDITION$ Permit No: 03-0245 P:3.'JG :~ 1 =============================================================:====:~========== Job Address: 1231 CAMPBELL WAY ASST Acct No: 3976028-001-0004 Loci3.tion: f.> f)~) 1 :i. .-~:~ (~ l'~l f:=:) / l~> '~- ,/ ~'(~!' :", '7. Appr(~\;t~d: 1'),/1)7,/2003 Issued" 10/07/2003 Applicant: JENSEN MATT Owner: JENSEN MATT Contractoi:: SELF Description: ADD A 11 X 22 FOOT RV CARPORT TO GARAGE Conditions: 1. PRIOR TO PERFORt'1ING (-INY PEI'~OW-1TIm\j 0R DE~/IOLITIO~1 ijr)F,f(, 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 CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR (EXCEPT RENOVATION OF OWNER-OCCUPIED SINGLE FAMILY RESIDENC:ES) " FOR MORE INFORMATION, PLEASE CONTACT CLEAN AIR AGENCY THROUGH THEIR WEB SITE AT www.pscleanair"ol'g OR BY PHONE AT 800-552-3565 OR 206-689-4058. THE L&I WEB SITE CAN BE FOUND AT www.lni.wa.gov/wisha/p-ts/asbestos/asbestos.htm. 2. ENGINEERING DFPT= A) BUILDING SITE IS APPROX. 50 FEET ABOVE THE TIDELANDS. FLOOD PLAIN CERTIFICATE IS NOT RE(.JUIRE~D. Pp,UL kiANC'LING, ENGINEERING DEPT. 360-473-2351 ~~~~;~u~~~~_______ D8tfC-4.7jp~--. i. 'l~.t." ",;r ~"" , . . .:. :.,;~ ~1,' ~ ;~ ~: ., .1, ~ :~i:.A':t1r: ~..-: " ,.:, ~} *,.~ :'". .r', : . ~i ,_ 3;')'. ( . ' "I'~ ''1 1- ";:.~, ,J .1' If J..' ~:: j, /(,.j ,J. :;.;) i;' .:.'.... .'... : ,. )', .j. ',+: 'Y" :i, ,-;" " ~ -.~' 'I.. .,' r.}[~C;.~'Tp': l'I_IfI;:)!:. ~ ('\~;',">,"_l :>.1 '; ~l..,I..t~!,r,i !<1.l";i~r, l f ;."1. '(0::"'-1:: " :.):" (".: ;.;....', I ; .;, , . ~ I; ':'.- !;; !)~..;~r;: ~ t ,\,C "", o""p " \ ~., , I .- ',' ,i r~ ~-. ;', T"..--t.t ::'1 Ci .. ::'l'~ J ".;(;. '.~:"}.; ," \!:.. r", .. {in: -v t: ,..., ,~\ . :".: 'i,:: ~~':jd;' ,:~S~~., ~.?:':i '~-.?~~'!;'. ,:' r:: I.,I!':~'! - f.:,. F' ..'. 'nn s p"/1f1en L .. ~ ...\ . .. "";" t~', ':" !~;J, ",J .' ,) 1.. ' ::: ,~;' '~i' :/ >>.: '..t: X'~: ";')...:~ ~~ ':}: k' 'If .~{ ,)l/ "Ill,,: );~ 4, ~ t" ~ ".t ;!, ,:; .:, .~.t< \' f , ~ ,.. " ;.\ . .'. '" ;f'.,. : ~. f~(~':Ol!n'. Co(~e 16-322.1001 (2211) 6!:l3-237~12 (023~ fj~~:5:": t :: :)~'. "~'}!~; 8l;If ~llr,JG ~:-'".P!<'iT'T F~~t": ':'T,~..'\<"~: n/: ill4. ':-l.\r'rl.~ ':':.~'];' , 'k , , . - r ,. ~\; ..... ( .. ~.} ~". i' ,I" (',' ..., . ". .~' 1 .. ., . :j ," :1"'1_' " PERMIT CENTER Department of Community Development ::. 286 4th Street ::. Bremerton :, WA:' 98337 (360) 478-5275 ::. Fax (360) 478-5278 EXCEPTION REQUEST FROM SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT REQUIREMENTS AS PER STATE SHORELINE MANAGEMENT ACT App1i=t ~!1~~ W~ .~ ~ . 1~~/O Prepared by: /7 Title: Signature: /;1~ I~ Date: /& / The Pl.ooV osal by (applicant) tA44 II K ?- ~ ,ft (V ~l'~ To undertake the following development: '\ \ Following property (please list legal description, i.e., section to the nearest quarter section): I t..-? \ (luvr.ploe ~l W ~ 11f:) ~ I 0 within (name of water area) and! or Its associated wetlands is exempt from the requirement of a substantial development permit because the deVel~t eXi . Vltc WAC l1'3- 2-1--- D4oeJ) (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 d(\ T Inconsistent Policies of the Shoreline Management Act The Bremerton Shoreline Management Master Program (BSMMP) thorized Department of Community Development Representative) :[J5v AAG~ Title 1 r .' .., .! , ~ f <'1,:, , ~. i r, I.>;" "r.' BREMERTON:PERMXT CENTER 286 4th Street~ Bremertong WA 98337 Phone: (360) 478-5278,,.-""i FAX; (360) 478-5278 BUItJ)ING Pj::RMIT k ' , ff '. -':t." ;>\', :,.,. , ~~'t Job Addr= 1231 CAMPBELL WAY Loea Hon: Parcel No: 3976028-001-0004 ",.r' j 710-3~O-,"" 98310 Permit No: Status: Applied: Issued: Expires: 03--0245 PENDING 05/09/2003 APplicant: JENSEN MATT 1231 CAMPBELL WAY BREMERTON WA Owner: JENSEN MATT 710-3390 1231 CAMPBELL WAY BREMERTON WA 98310 Contractor: SELF Lie fl:: SELF Exp: Subcontr: Oesc= ADO A 11 X 22 FOOT RV CARPORT TO GARAGE 1********..1.***********.******.*****.**.********.*.***********1******..********************* Valuation . Permit Fees: 69.25 Total Calculated Fee: 118.76 2,000.00 * Plan Check Fees: 45.01 Additional Fees: .00 >>: Other Fees: 4.50 T tal Per~ Fee: 118.76 . **** **::IC:j()fC!(;+:)!:: 1* )IOICiolo!OI( *** **** * >>: *Jl(** **:.r. )1(** )loU:***)J:~)!nt: ;n)l(~': *":;r.)j( >l()I()!( >l(* **t)'O:Y***)l()I( )I(***>>:**~)j(*****)f( , .' 7/ Thi$ peymit shall become null and void if. ~:'I' ~uil(an~ r.y ~.~,y~ - thoyiz:e<' t{V(Hli$ peymit is not commenced within 180 days fyom the date of SUCh. PrJ; t n 1i this i:d. \1g 0 woyk a~"izt?~t.y s~lch peymit is suspended oy -- .. any "me 'f~'n'f' i. comme,::""d 'OY a p."oo of '"'t7a:., NOrICE - It is the Yesponl'li'~}\ty f tKi Qe 'n'. C holdey. not the City of Byemeyton OY Building OHicial to see .' '~o it..~h~:t, yequi red inspections laP' The permit holdey must notify the Building Official when yeacr/ foy;' .imipec't.ions. Failun~ of t.he peymi-c holdey to notify the Building Official of yequi'r'ed inspections ma}' yesul;t int:~' sb::JPpage of the woyk until sLlch time that the permit holdeY can substantiate to the building official "~ha{t~concealed wOI'k meets or exceeds code yequiyements. Any' demolition. testing. oy financial buyden shall be bOYne diYectly by the permit holdel'. FailLlyti to sub$tantiate code yequirements will indemnify the City ~qainst any and all yesponsibility oy liability connected with r.he constyuction. .,j~'r I h~rebY caytify that I have yead and examined this peymit and know the same to be tyue and coryect. All pyov:l<idon$ of law$ and ordinance$ govemill9 this type of "Joyk will be complied with ".hethey specified hel'ein or not. The 9yanting of a pel'mit does not presume to give authodty to violate oy cancel the pyovision$ of any othel' state Oy local la.w yeguls.ting conshucti"l1 or- the peyformance of construction. Signatul'e: Oate:___ I ceYtify that I am exempt fyom the yequiyements of the state contya.ctoy'S regishation law. undey Section 3. Chapter 126. laws of 1967. Signa.ture: Date: ***~*********************** Permit Center-~Approved 8y:__________ Date:_~_____ lUG WTF mAlT :rENSE:N f 2.3 1 C't::\ yl/\ P b 1!1~, Il ~iJ a~:J B y-e, vv"! <:1. y+'~~' w A. ~ 9 3 I 0 Sft 0 A. IE /-) tJe 20 IV (f"i) i J/)1fXi E I.) ,,'c/ s l!"' 5't::!~1/f!: Vz. ".::;. 10' '$tf~ f/<rtv! (e)(\st,v\j) ,PER)?? JTi$, () 3-0/72 t ,0 3-02LfS I I I I , ~J/ :!;;' , -~ ...J '3')/' -P:;-,' ~. ctl 0/, " ,~ fl I I I I I / / I I / J 1/ j /1 'l ~. ,; '-b. ,'It, ""! ~i t. "'\i..... ~J '/' ::s 'S.,t '~,,' 4.J ~ ~~~ t:;\:.,\ I \1~ ~ ' r I / \/.,. , :-\,,) 'if /.. 'I ?x1~t/flJt.~ ~etM g~", f~ c t\J e~. '7' ~ ~ ~~ '" ~ ~ -.'\ ..\ ~ tI ~~) ~' ~. \ \I 7 ()! (,4,) ~ "it!:(i F JQ.,o N T' () jJ foyt VI) t.\S h. \ r~ 1'1:,,-1 N~ 'r 0 W$ '1\ / . ~4'" ~ Im~~~aW~IDn-) ln1 MAY 09 003 10 BREMERT N OUfI.OING DEPA TMENT rt,,~J ;l ", y.. 3. ~ I (,. ':1'( tL, ~ fl, h' \lSiAcZ ~('PttJe ,\ \ '\1, . Ii -;::11 t I}i ~ \J d: /'. -r'I/',Jc,;, -.j \.:>' ','. E 1'.J,.-,}'V)\'l'1.5 J)e..r~ \\ ~ VJt'-- ~ -' - .- --.. "- " y et, ~r f~( l'l~pfrl':V-- \H Q '.(f' ~ l~ FJ!,.JstJNj '11..oIl'~ Di;iyJ 1~h,t:tJA~fi:m'. 1 <;?'to 5 F \If) fi'+O .:;F dt'l<'N PAT)O." l i , <;;.-..... 2..0 _..'~'>" of- , . _..,..,~. J - "~. =- ! - ..c_ U. 1') ~.. II" ( .1-1";'" ." ,f,'- .,.' If /'t A/JJ ~ f ~_rV f' ..;, <.". .; f " .J~.., t I ~i),\>d ~~t~ I ~, t)' tJ v It; II!' ,,0" I.. ~O,~~ ~t- I .-....--.. . - - -.-..--.-----=:.;: I ) ~. c>/C' \ · v {-., I ""E',;. ,;. L II v . "''f f~' t:,.. (9 " P, " \ ~r r fZ v ~ r ":> ~ \j S 0., <0 --.. ^ p., t1(J".!,.;l ~ L,.,t tH1 , .__...___..__~,,_.__> I,..:at> --.---.---.-----.--.-.-,-"c-.--..'-...-- ---t-.f'._-I- \. \0 ~, \\ " " I, "'. \ \ " '\ J, \fl~ 'r, ' '\ qJ 2- J I , i lA \J rl '~:- 1 ,~ ! \" i \ i i -'.- i~ I I I II' ~. ~): '",q ~~;" '1, I ~P;"'r .... (\J ~ f" l, ~'l r- :~ '\\' ,,~ ~(. , .~- i:, "" ~j . I l;V ~ S' '\' "',' \\J ........ \J ~... \'{~ ',~ ~ lli!fl CY) !2 ~ c::> LU ~ c::> z: ~ N ca: = 1i: ct OnO C':l LULU ~ 0 :2;0 LU c.!J t?l\'\ >- a:~ ~ <{ c:::lO MlJ. L: C~.) \ \ ~ ) V\ .!I: \J \ ~:\~'i {l;~ :E;. ~ W~\ \ '~\1\ S' V '~~\qh? Y\ : ~Yz" .~ 10J FRON T VIEW mATT J"IEN.<;eN /2.3) CllnJfB€LL t. BR.~m[;";(II)N K Em c Oe:Le I) G /I I!.. 11 td! ._-~~~~'+~ p~~mlr OF WAY 0-0V\\Y\~S\\~~<!- vY\\~~V~e . ..,.,e"y oJ-'> ,~~ ~~~~\qJ")( ~e-q., .,')._ . .,,, ?' (J ~ ~g ~(l '" L? ~ Ijz.. ~ J;L p\+(...~\ ~ P;t-..k '- ;f ~. 151000 SiV PVClpttMe. tHve.:.t Ve.""1~ l' i , ~~\)se, I kJl I i.t ~ .2' -* . yf\INb f R.f\ (\\ 0 tl , CPJ VB-'? ,.. - --.. " ---....--~ .....--...--:--:- . ~ - 10'- v ~ -..... ~ ~ ~ ~ - 20' $ lA I -t:.-' .~~.--_--w 6 ---..-)j;.. ~ -~ DIY- e 1:-1" V-L\I.d' e. "" ~ (;LV s+ ------.- 1/ J .---- .. --~r ,-- , Asphttlt KfJof S~\N5\@.j' \ 'OveN '/a,'\ t>SB Co...v'P oyT R.o of "So -fr~",,^,\eeJ w\,Yh dO\J b\-e,,J i ~ ,,~ 0 j,.) ~ c.~-,\'\.+~.s Cct,vpgyf ~\)e \~ SVffov;'eJ t\.,d~.t'l(~)-.tt\I~.B'l,.lH' @e~v.I\S~iJVI'(S} 4-""tt-'/ posh:- ()~I Ad-iv,:;tA\'\ce. p,f.;vb\oe,I<'$ eYV\~,@kUI..e.J ,.,"'"ou;4 .'N+O 141/)i. U 1/ J!( Il\l~e.tt-f ~o\'\c...v~1e :Bet\.Vt\. Sphc:..ed uJ\i'\A- ,+\\,It.1.~\)lt.3a\\ '~\)e.1( 1'~,,~ Vi'\\JJ.\e posT ~"\+l",J t., .~-e. 't~fr gfi1tA.~ meTAJ 'V-AC..e.$ IJsed ~ e,'r'lY\tl'I.'.,t~~f01't ruf;--fJ b-e.A.W'\. ~ ,ge~W\."to PCistS. 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I I i I ; ;:;~ lv ~ -~ f). ;:> (j (;' ::s \n fb 1 > (,f) ,H ';::7'" m < H m [ ~ z (f> E ~ ~ ~ o -4.J ....".. N-v t) ffl "Z F .~ -5 ~ ;> ~ K -1 .. V) .::J- ~ """ fb '""'- ... ~ n. ~ ~ " ~ 1flJ. \\ 4,~ #. . ~ W \ ~ .\\J ~\ '-. ~ a II I '2. 1/2- =- I 0 of~ R E' ~ 'fi.. \j 'I. ~w III 117f" T~;t;" s e~/t} /2-11 C A-l?1f ~el/ tPA!:1 E. /!; Y': (t Jf)? e/yfo tJ '1 ~ 31 0 s ~o..~eJ ()...1'fe,,.. ho--s. ~..}~~,,{ ~\\ 1'.."'.... () S B fo.., ~f-> She!>,,, . g-I'L p,te..h 2:. Y~'...I 2.. f I T'--\+ --:;;:....-=.;---.----.::..-:;';;.::---~.-.. -7~~;;-.;..,..~.-:-'._~.~='-'- _ .~...r"",~~r.o:::.;c.,~,__"....._,_,__, ':. ~,__ '. ",; .c _~,_,,~~___, __...",..~"o""';.:__,' - . . "'6. \+0 v S e t\~.~.~...?:~n..t~ . ..................I.j1..-'~ll]I--,j::rl~fl f-~-'--~' p""" "to fl. U:1:J" 1--'---+-+' ' "'~ -' -' ,j" . ' '! f+--' I .f --- i "e.. /2. / " ---' I 'I- ~ I .)1... ....2.. .. .' 0< e ( ;l~lL _: i--;-+~ ~ =Tj J" $y,e",-~ _ _~_ _ -- ---- ~ ::- ,- L! Ll T ! 5 .t~" - ------~ I ; , '^j il- .-------- )0' ---- - - -- - ,. -- -_/--- -- _ _- -----~. (1,1\ - _.~"- - ,1 ( _. .1'- .' -- . ~,.); o/ta " ($41 tt~ ~ .' c.,:).". l\. vI. '.' _~ ov,t!t~ w~'..) J \ ..4' .' T t?<ltlltp 'to} lQ C.OV\ ~ oJ..' . .....V-e;IC, ( ~). f'la\\.)t' . .?'. .' ,.l.t ,.H. I. ' . , . .. "r~ "- Pia'rtS eA:'\' t. ,J' .'#\\0 ~(JJ.;S I:: \ .~.. , ~')l-~Sl~')~ f\ .. C r\ \" '" ) .t.. '\- .j };"I }1 ~(.\.. . \ .--...........--'-- II' \ ;.. -4. , , tf\~\6 \\ ~-(ft .......-.,.~_--o"_"._~,__,_~~__..,__,.._~--.._,..,~._'",~~~",...''''~~..."~.,.~~.~=_",......._~ . . pyO ~~ Y t#'t\e .. . ., ,,, ,. '. . ';;':.~:-':.':::::'.':"'''':'.::: ::. :"',' .- ;' l.~11.t!!&~~~(f~r~;~~~~~~~~;J~#~!rt~ji~:i,~ . .,.".".,~......._.__._..____,_.._...._,.~__~w_,.........~."........_,._.~..w.,,,......._.._."'.,~-w.._.~~___~.._.-,-._.__,.._' ~~(g~uw~m\ \ru t1AP~r~CENTER BREMERTON BUllOlNG OEPARTMENT Department of Community Development ::- 286 4th Street ::. Bremerton ::- 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 Ian. Applicant: A ff ~J/I S' e.fr( Description of Proposal: A)c(J J7ev,) 1/ ()L.ZZi ~V Ce::VV OY+ fo side df Street Address (or street name if no address has been assigned): ! 2- 5 I c.c:>t)~ - ~ e /1 Tax Account Number: 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: D YES NO 2. Are there wet areas on the site? If YES, please describe: D YES ~NO 3. Is the site characterized as: o Forest D Cleared Jzr Developed 4. Please give the overall slope of the parcel.3:% and the slope at the building site 3 %. 6. Will the proposed structure be aesthetically or functionally disruptive to surrounding properties, the neighborhood or the community? [g1 YES DYES D NO lli(NO 5. Is the property within 200 feet of a shoreline? 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 acknowledges that any action taken by the City of Bremertonbased 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!d7/L~/ / //:e~ Signature of Applicant 3/~/c3 Date VICINITY MAP L- t:::: -&' g Lv IJ ~ .~ ~ c::" ~~ """'?""" Vlv~ 'tJjl'(/? ./,/ -/ ----// \:'. '/ '-- i ~ >::. ~, -- ~ '" \1\ I . ~ II ~' ...... ! ~ I, ; ~ I' i '" \i ti J i ! I I I i r I ! i I , I , i I I -~kdi5 I /' ~ ' ~i ~, ~ ~~ ~~ --... BREMERTON PERMIT CeNTER 286 4th Street~ Bremerton$ WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Job Addr: 1231 CAMPBELL WAY Location :: Parcel No: 3976028-001-0004 Permit No: 03-0245 Status: PENDING Applied: 05/09/2003 Issued: E)<pires: Applicant: JENSEN MATT 710-3390 1231 CAMPBELL WAY BREMER TON WA 98310 Owner: JENSEN MATT 710-3390 1231 CAMPBELL WAY 8REMERTON WA 98310 Contractor: SELF Lic :it: SELF Exp: Subcontr: Desc: ADO A 11 X 22 FOOT RV CARPORT TO GARAGE **~****************************************************************************************** Valuation 2,000.00 * Permit Fees: * Plan Check Fees: * Other Fees: 69.25 45.01 4.50 Total Calculated Fee: Addit ional Fees: Total Permit Fee: 118.76 .00 118.76 ********************************************************************************************* This peymit shall become null and void if the buil.ding OY' ~Joyk authoyized b)' this peymit is not commenced within 180 days fyorn the date of such peymit, oy if this building oy woyk authoYized by such peymit is suspended oy abandoned at any time aftey the woyk is comrmO'llced foy a peYiod of 180 days. NOTICE - It is the yesponsibility of the peyrnit holdey, not the City of Byemeyton oy Building Official to see to it that yequi yed inspections aye made. The pey'mi t holdey must notify the Building Official when yead)' foy inspections. Failuye of the peymit holdey to notify the Building Official of yequi 'red inspections may yesul t in the stoppage of the woyk until such time that the peymit holdey can substantiate to the building official that the concealed ,-Joyk meets oy exceeds code yequi yements. Any demolition, testing, oy financial buyden shall be boyne di yec'dy by the pey'mit holdey. FaUu ye to substantiate code yequi yements wi 11 indemnify the City 8,g:idnst an)' and all yesponsibUi ty oy liability connected with the constyuction. I heyeby ceyti fy thaJc. I have yead and examined this peYroi t and kno',' the same to be t yue and coYYect. All p yovisions of la",'s and oy'di nances goveyni ng this type of v,'OY k wi 11 be comp 1 ied ,,,,i th whethey specified heyei n oy not. The gyanti ng of a peymi t does not p Y'esume to give authoYi ty to violate oy cancel the p yovisions of any c.they state oy local 1 a",' '(egu,lating constnlction oy the pe'(fonllance of constyuction. Signatuye: Date: I ceytify th8,t I 2,01 exempt fyom the '(equi yements of the state contyactoy"S yegistY8,tion law, undey Section 3, Chaptey 126, laws of 1967. SignatuYe: Date: *************************** L Date: D3--02-'1~ S'M L{ 1l~ T I BREMERTON lBUILDINGD~IT CENTER fO)~~~DW~In\~ U11 MAY 092003 ~ Department of Community Development ':- 286 4th Street ,:- Bremerton ':- W A':' 98337 (360) 478-5275 ,:- Fax (360) 478-5278 Building Permit Application APPLICANT: OWNER 0 CONTRACTOR 0 AUTHORIZED AGENT Site Address 23/ Ca m k// tAla Tax Account Number: CONTRACTOR: Address: o tv AJ E!2-- Contact Phone #: ( ) OWNER Address: Cit , State, Zip Phone #: Authorized Agent Address: /O~3316 City, State, Zip Phone #: ( A ) Check the type of application for below: D NEW SINGLE-FAMILY RESIDENCE D NEW COMMERCIAL D NEW DUPLEX D COMMERCIAL REMODEL D NEW MANUFACTURED HOME D COMMERCIAL ADDITION D RESIDENTIAL REMODEL D COMMERCIAL REPAIR D RESIDENTIAL ADDITION D NEW MULTI-FAMILY D RESIDENTIAL REPAIR D TENANT IMPROVEMENT 5 D D D D D IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES ~ Scope of Work Proposed: Add ~ ;;/X Z2.-f /( V {!.a.rpcn,--t exu'-h~ J~~5e.- . NEW GARAGE/CAR PORT NEW ACCESSORY BLDG NEW SIGN STRUCTURE DEMOLITION GRADING (Cubic yards: _) OTHER NO D -to -d e- Square Footage: Dwelling: (\ \ \ C~f~ ~rBgV: :2 Lj-Z J;f Decks: Valuation Plan Review.".J=e-e.... Le.er-mi(Fee Surcharge Total Fees ~r:J{) () .!1:- Lf~,DtJ \) 61.-2.( if. s- D Ilg.7 b Application for which no permit is issueAwithin 180 days following the date of application shall expire by limitation, and plans and other data submitted for review'lTIay thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time f0r action by the applicant for a period not exceeding 180 days on request by the applicant showing the circumstances be'y.end 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 .esubmit plaos and pay a new plan .eview fee. , ? /l APPLICANT'S SIGNATURE: /~.dd /YI~ DATE: S-f/t>J . . .,. " .- '" ,- , ". . -... .. "--".';:-", -_,:,":.",:,."",~"." ~~. ~:-:-_,o:-:-:.-,.":"_-;-:;~."_+~,~~,y.~~..:~.",.._~,;.,~~~.~_~,~..~,,.;;~;.:.~,~,..._~~-~,,",~:;;;,:;;:~)~:..:,":~.~' .- rl......li~J. .1;[ i,..L."-2~_.._hi ki\~@ ~ D W_~rCL h MAY Of~~T CENTER BREMERTON MOtNGOEPARTMENT :,~1~t~~~~~~!~~~~~~~~~~~bB!1t~~~~~n.'1 Department of Community Development ::- 286 4th Street ::. Bremerton ::- 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 Ian. Applicant: ff ~ J/? j' e.J/( Description of Proposal: A,) JY J?et/v 1/ {>l- ZZI 11.. V c~/ crv+ -h side of Street Address (or street name if no address has been assigned): /25 i t!.c:>t )-11 .~ e /1 Tax Account Number: ~e 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 NO . 2. Are there wet areas on the site? If YES, please describe: DYES ANO 3. Is the site characterized as: o Forest o Cleared Jz1 Developed 4. Please give the overall slope of the parcel ~% and the slope at the building site 3 %. 6. Will the proposed structure be aesthetically or functionally disruptive to surrounding properties, the neighborhood or the community? jg1 YES DYES o NO [5(NO 5. Is the property within 200 feet of a shoreline? 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 acknowledges 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. ;z /it ~ ?// .~. 1/ /e~~ SIgnature of Applicant . . s;/r/05 Date VICINITY MAP ~~. L-v ~ .~ ~ ~ ~;s? r<0........ VI-v,1 ~ yJ I r~ J .......... __,,___.r '"'. '( \:.. i ~ ~ ~ ~I 0:\ ' I ~ Ii ~. 1(;;' : , ~\! It 1 , i I I I i I ! ; 1 ~'Of-t~d~5 i -. , I . I~! t~ ~~ '". -.. . -~._-- "' ._._.~_ r' ___._ ,~._~ r .__ ___-.,- ~__~..._, ~_---,. __ .~, ,~---- n.___'..____, -.----~---.-. 'I (, ' '-J t, {" j),)llJ\; . : ."~ l ',I:J:H t i'J.~ I T. j lil'~:I i I 11; ;r~ ! t i.1: "t r I I. .!. "' .~, ,:.- r. 1 t,:;" . ~~ l' ~ ,)::~ll''':'f f}~] ~: :.y i .r ;- ~~~ f:;v. -.} *' .:t'" ~.}. i: :- "~. ::~' :~.: ...}. .~ ;{.' .t' ';: "~. ~ V .f ~." 1 "}- t', 4' {.. ":~ f" .~: { :.~, 'f '-\ J.' V:t. r;i. '.y :~,. T (,' i~' :, .;....PJ1cI T'II.) I rr~'.,'l , :,;,,""' . ~ 'I f~ :" I I I ()' '''''' .::/ f: r i ,',\I!{l 1 r,ltld~!UI IL?T 1~!'{(")(i "J 1)(; J.-:" t)(.,~:(.,... ::j.JI~! ':', ;/. I ..\ (I~ ;" ) ,'II-h" }" ~ . t,. 'If. ) : ~ , '\!' } .": '. ': ~ .~ -) ',. ~ : !llll\'l " , Ii), ,,'Ill. ' ':,1 <, [( I i ,;,~.~.;j I, f ,t '\-' ~.' ,J: r '''', ::~. \ ,:' .,1 "t.';',~).f.(.. ,:<+: '1/111,",'1 ,:L'.;I-I (Iii' 1'li,.J,'I,:rl ('1\', IH l'II.,j\>I~I\l'I(J Jd' :!lln (".( " t~>.i ~~:(I/~.;t(.l,/~_;() ','\.)" I.t~:r ~~: :; ;t: )~. :.:-c' / :-1::0/. .:: :,~. ,{- ...~ ..:" *, :} '-f, :i .{. ~ ~ * ",:, 1\1' ),-,1,1 lJ ': 'I" 1 I'.'!, ( '1,1 '.1 I' i:.J"".) ~ tl '-1(.'1I.:.' to) -1 t~r,.)tli' ,'. 'or, ,;. ';/' ~f 1- . " i , !..-.. J T " . (, ',/ .~ _{. ..r. t' .:' _,~- t i, >:, ~~ :+ '4. ,x ; ,~' ;). ';' .;,,:1 ;., , ~. ,~, l " 1 -l. ' !'; l .' , : ,?~ -J.! .',' .~ \ ,ll "j )'F:.! :< :'.: ~):)t.. .~. ;t. ;r: )",~ ::!-.- ;r: ,,: '4-.: .i. ~; 'f.: ..~. :; J{: t- t' '1:, ,.~ '>i.' ~t:--;' .f" \. 'h :?' j" ;~ ,~' .i~ ) .} .; :t, 'I.; o,,;"'!,; ) ~ p<{tll: il~ '.- 'y: .-+. :~. pI'. 'll'''' '~'f" ~ 'J ( I I .I<j .:r .~ '~ 'i' .j ~' 'J ,~ .I., : BREMERTON PERMIT CENTER 286 4th St.reet ~ Bremer ton " WA 98337 Phone: (;"'l60'> 478-5275 FAXf (360) 478-5278 BUliLDING PERMIT Job Addr: 1231 CAMPBELL WAY Locat i(<n(~ Parcel No: 3976028-001-0004 Applicant: JENSEN MATT 710-3390 1231 CAMPBELL WAY BREMERTON WA 98310 Permit No: 03-0245 Status: PENDING Applied: 05/09/2003 IssuEld= Expires: Owner: JENSEN MATT 710-3390 1231 CAMPBELL WAY BREMER TON WA 98310 Contractor: SELF Lie I: SELF Exp: Subcontr: Deac: ADD A 11 X 22 FOOT RV CARPORT TO GARAGE 1 i I ****=*******.*******...***********************.*******1***... .';~**~"***I'************.***** IJaluation * Permit Fees: 69.25 Tot:01 V'~.cu1.ated ~Fe-e':j/7 ~e..H8"76 "'\ 2,,000.00 )t( Plan Check Fees: 45.01 ,:a,ditional F", .VtL()V~ / .00 '--" ~~ Other Fees: 4.50 /f-. TO'~~1c:enn5O,6'~ce: 118.76 )',( ~.*:r-:<< W.JUO{( li:~K ~I()l( *w. >y';j( * xox )j(;<<),'( :U, lJ()j()l::{( * *)/()l::)j(;<<)j( :>l::ll< X( XClOIOIOi(.l!<)j()I( ;>!o.'o:o:<: >:< ~ *& *'* Jl(:<< >>: ~ r{(~' ;'!tfr'V>lt *- r~;<<' (:j( >:<: '* )lO,I()((:<< >>: *)\(:>I: w.:<< >>: )hi,,, pe-YfflH eru-:\1J 1.~"C.Ofne null ~'\l"ld void if the building Cttr~~:&2thor-~z(~ Q~&thi' '(wmYI: ~ {not (;;Clf1llllenr~ Wit"f)-5 1&'0 r.k:W':i\ hom the date of such PWr'llllt. I,n it' this ~dieJ or woyk ,'lJ.' h('r-[;~ c suclllh.er-mit 18 $l,l$;p~n~.::.1(\ '''''''''nro .. m" hm< aft., tho ...,,, k is """"'''''''iTI'!, · pmod ',f ~ "f'i If'" 9. -1J I '''TiCE .. It i" tho ,,,,,,o,~ibility of the pm~t""" ,.:eJ." ,,/iJJnn 0' . lid"'" "cial to .., :.l;C., .d' that Y~'qLdt'i!d ill$pect.iO'rls (in"" mad~.::/,"rh~ per~' 1 . not:i'I, to. < ".oJ.,' ','rl9 CHi ..'al when ~..'''''''>>'' f fooyy" 111".p\'ctIQn$. F:1.i.1uy<? of thfil p~~'(mit l~ld;{ to notftrl' '.." m~ ciaJ. of Y€ quir",Ki lllSP€:cti01'SA'9'!I~ 1n thl':' s"toppa\Je of the \-JC'~ k u\:~.~~ time ~ ~ U~ p'm' i hjldtl.Y~:ii\n S'1..l )$t.<n~ .at<r b) I~~~~;Vsr official \'ha:t tlv.:> con.;ealed v,lOyk ll1eets,e;:; ~.^CB-ed1:1:"ldf' ~:j!H '.'",.... l~O~J"y ck~fno1itl(.; "I t;{>,sting. Cl( -t:.;'1a.roJ..'l.1 burde-n. ,';lhall t;t.:':!lxw,w.- di fed 1'/ br 'hJ: j:~l'CP" hol~rlG w Iht'01:J-, 'iiJ.Jb$/f)r.~~jate/.r::.~ !'"f.'qui'( 'l~~il1 i, ~efnllify the eii>' s~j:i.:: :trn~t an'" and a.ll r ~l'!:'WO 'I'~i bi 11. t':"l ~ 'SMahi 1 i r conooctF6 "JD'~ t'rf' ~(ms+ Ll t on"\ LJ 1 rl'wgj;w c..\,'Yflf;.' th1!(t r hi~ve 'fl?lild <!1nd ~ir~. I '!V~~.ev~' P1t.:l /know t g :',;(11 ' "1:0 be tYW;;l and COl'y,:>ct. All Pl"NL"lQ,,$ of 1;1\1.)",' and 01 din;;l.nc<:s 9<JVeynin.;J 1:' ,J!S t;:v'" of l,'o..k ;.Jill be <..'Omp lied wi t.h wh€'t.h~'( specif ied honJin ')'( :1t'l'( Th@ ,,,..nnt.ir,g <:11' a p~,'nnlt does rlOt [, ~.iUm,U.:C) ,.i.ve author-ity 1:0 violate OY cancel thl? pyovisions of WI}' oU'"w. \\i1b.1\t(t c.r loc,,\! law n'tgula:t.ln9 COnii;t.YllCt.iOl"\ OY t,he peyfi.)'('m8.\'1CB ('Jf con'<i tXl.lct ion.. i 911;Cl);'.l I'C; = ".. ___.__._.,__.._..___._.._______.___,_-._._.___._....__... Oat.",: ____. __....._.__.....___......._.._.____.._....._ ~ J r c~l'ti fy t.hat I am e-xernpt f'n;mlHw n!;qui '(~.ment$ of the ",,,t.at.e contn'l.cb::JY "$ r~i'$t'(ation 13M, Llnd~y \ ';i.natu'<'_~._._____...________ Il ",chon 3. Ch,pt.., 126. ,.", of 1%7. \ **'~**~~*~~*****~~*~%~~***** \ -~-". ,..' . VJermi t cenu:r"'-iiPPT,9.tlBC! e',,' ~__ ~{L.& \tf)~ ~, \ ,w, \ ~\D'\ ~. \ '-.".-- Oat..,,: __...__..._......._......~.__...... _....__............_.. Date: Llt ( /c5 .v'l -- fij)(g~~OW~Jru Ull PftAVft aNTER -'6RWlrbN BUlWINGDEPARTMENT ....~';.~n~.w_ .___.-:._;_'.:';~:;;;";';;:':.:"__;;';'i;':';:.~':=,";--:-::".:.;o.;~"...:...:..;.,,_.;..:..;_....;..,;;.'--'--'._..;.;,;...~.;:..;:.;,~:.:..;.:.; Department of Community Development ,:- 286 4th Street ,:- Bremerton ':- 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 Ian. Applicant: . ff J"& Y1 S" eJ/( Description of Proposal: A) cP )Jet/v I/')L. 2Zi p( V Ca-./ crvf fo side tlf Street Address (or street name if no address has been assigned): /23 i. L:c:?L >>I Ia e /! Tax Account Number: Ce... 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: D YES NO 2. Are there wet areas on the site? If YES, please describe: D YES P(NO 3. Is the site characterized as: D Forest o Cleared Jz1 Developed 4. Please give the overall slope of the parcel ~% and the slope at the building site 3 %. 6. Will the proposed structure be aesthetically or functionally disruptive to surrounding properties, the neighborhood or the community? IE1 YES DYES D NO ~NO 5. Is the property within 200 feet of a shoreline? 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 acknowledges 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. $dL,/ / ~ Slgnature of Applicant ~/~/C3 Date WT'P- mA7T ::r-ENSE:N /2.3l CttY'l\pbf~,!~ \)Jli'kj By'e vv~ e y'h~n'\ W t\ '99310 S t-I 0 ~E l-l I'J.C; . ZONe"!) 11').1 n(i EO tiS l!' 1-''' 10' S"~ &'l./ i'!;,: l2..;f:. . . , $ ttt! f I~ VI (e)(. \st~ V\j ') .P€/<,)71 J T:tI 03-0/72 t '0 3-ozifS , UWif~ ~ /Cr~<; '" ~ 1ft F f!.-v , r ~ ~ Q 3 ~ ~ ~ ~ ~ -- ~ ~ ~ ~ ~ \ P't;; f\-~:t'l ~ _~~ ~~~~~.___.,",.._.._____ _" ...' -----.----:r;--' ..__.) ~-._,,-.-,.,...".._- I :?:. (;> , . . '" -t- /'--''f;'-'-----'''-' - \~'''" ,:\ 'I:J) i~ t .":;j~ V '\ f ~ ':~ 1 " ;~/~. . ....;~ \"" (1" .~~ ., ~\J. \: ::Xis~''':' ~..J I \&' f)M'f\ c.e\Je~ fi: P t: ~ 1>: .J. .-pl}'/ ~l ~f ~l :/ ~! I I 1 .J ,I I I f / I I I / J I / J I . I / I 1/ I If i I I I I r ,- I / \ C1 'l2' ,,) \t,,~i sP 7 C? I tfl.N'4 ':rt;,:r~Fp<(J N 7- ON ;Joyt W~'lSh'lr~ 1bN Nt:JJvYD w..r v- , , 'f\ / . fij) & [; (g WI & rru IfI1 MAY 09 2883 if); BREMER ON BUrL DING OcR TMcNT \ ! :::). .' r- l:'J .:;>. ::> I (;1 fl.' fl,YO'J.,h,'\\Sflle lI"il,..fe .~ Cl , ",-"" .. .J ,\':; ( d " \" . , 'iI '1 I \ \ \ ' \/ .:J ] ~I Q...I I I .- - - ........." ~ .u 1'1 .~": , '" 1~ l \\ I i 1>..' i~ I I I'~ I ~,) '""q .,.. "~r'l 1-1/;;."1. v,s '. IE I'"~ln\'fi~ f),e.-rIA \\ ~ VJe'-- - - '( ,~ ~r (:;l l'ltlll~:'" t'Q'<fI Jt (:--- I PATI~/ I <- n'~.. :-^- 2-0 -..-," I {' tJ&1 I '1'.. ;J \ I . '. '. !,... , .,., . 6-' '" rJ~. ..'~.." 6Ai~ t bV -~.'.' '.. I p...\/~' i ! I ~ oArO'f L~. II t I .f.. C "(\:f..tf.' I " :t ,,'(\ c.....i I -.Jfll <<J<'C-< '" . ,\11 \ .Jt., ,. ~O\~ .Vl t~ I.'~ ~ t/ \)~ t' fl' ~ 0 ,,,v' y'",r FJ5.J.stJPj f+o II'~ D/i;y'l~ht:{JA9:Wlm'. l' <({GtO 5 F \If) <t '1' 0 S f':: d & L..I '" - - - - ~:i\" -, ~1:"~ ,; ~. ,,", ' '4J ~. " Un". /,1' ,,'iJ"""'" . l'" ~\.",- V' i &i,/y.c' ~ , t'-~, ~ ~k) \) .~~ ~, ~. t v \;i ~, ~-~ ''''., , ~! " ""- \J ~.... \',1 .~ ~~ ~J VICINITY MAP ,/J~ o ~/ ..------" ../ "". . ~ ~ A ~ L- t::: 7.Jil /J Lv IJ fD)~~[gD\Yl[g IIll MAY 09 2003 D BREMERTON BUfLOING DEPARTMENT " ~-,? ~<("'" ~ ~\ I I ~I !~ I i( ~ I \1j \i It I I i I i I I I I I i I 1 ~ .~ ~ ~':7t-~d~5 i I I~i Jf- ..~ BRFMERTON PERMIT CENTER 21:36 4th St rest.. .8rel1Jt":'rton" WA 98337 Phoi'u::'; (-360) 4.7B-5275 . FAX: C360) 478-5278 8UrUn.NG PERM.!r' J\)b /'lth:lr: L~::n Ci.\lW8ELL iAlnY Local).!)!) .. PJfcel Nn~ 3QI6028-001-0004 Permit No: 03-0245 StdtuS: PENDING Applied: 05/09/2003 Issued: ExpLres: Appli~ant: JENSEN MATf 71o-3j9a J1j1 fi'll'1PE\FLL tM~Y BRHIHn ON ~~A ~J8310 awner~ JENSEN MAfT 1 ZJl C(;I'iPBf L L ?). 0--3:::90 WAY BRlHER10N WA 98310 LOllt.;. ~tcto;': ~:;f.LF Lie It: SELF Exp: :,ubGoni r;, n~sc': I~!Jn n J J .:< /? F 00 f PV r'~PPORT 10 G(:\R(;(1E **I~**~**~**..~<<*$*..***~**~****~.~**.*.*~********.*.*.**********x*******.*********.**~****.* ViduatJ.',)n \\ Pl'!rmit Fees: 69.?5 Total CalcuJ.ated Fee: 118..76 2.000.00 * Plan Check Fees: 45.01 Additional Fees: .00 * Other lees: 4.50 rotal Permit Fee; 118.76 .**....#~**..**.**.*.~****M***.**t********..************.**.******..**I***I*~.C~**.**I*.**..* stIch ptH'illit i.~\ ","..l:".{)f!'\",,;j;;;(J 0\' IW)U.CE .. H 1'.(1 IJ'i? ""7:oo1I0ibillb" 01 t/',,2 p'')l'irlH: hold;H', not tfw C.H.)' ,)f I:1refl'lCyLQr\ 0)' Building Offl<::n.2\l b:> 'ii'Gii: b~, it 1::h,'d:.y""ltl:il'''.A:J lt1:;:;P(>("f.Jorl8 ;,In.' !;U,lck.1. rh~~ p<!~,'m'i: h:,lldel' ll~.ii..t n.r.;;t:ifY th~. f1J.tlldi.rlt~ Offic.i..Rl whtm r"t.mdYf'O\' in~jt,";ct:km.). F;.\l:au,}ij~riJit. h>.:;ld:Jl' to n:.tl.1 ' t' ll~ ~Uildi"'1 i:Jfftd.al (')f r'~(.!1.n'(ed lrl'::,per..'ti');:'10' m<.\~ ~'e,~".!lt HI t:h<1 ~.,knH""J"-!' p" .,:.-:: ~..~~ 'l':l,mQ -that i ,H . {i).Ht hc~S'~~J~'l1tl~l'l;.O to th::v btuldlflr,l offlClld IJv);' thf.: C')\'.:'-!~\li.>d wJwk Ol')(-its ur ();>ic!S;;;du codt;- Y~i'Qljil'.,'me\'lb,L "~n>, dj~n101it:.iIJn" t-ar.;d::ir1!cih 01' 'i'il1Cl.l1<:ia) bI.lrdei'\ "lhi\.ll fiB ht:n'n',' d.ined'l:' 1,1}' n'". ponili:l::. r1CtJ..10r. l'ii\,Junt t.o ':-.l!b'";t",TlU.<1d:.~ c,.odt' requil'0J1l0YI'!:!E, will inci&fl1:'dfy llw ell)' ~\9,d.rnt :.;vt\~;~~)i;~G~":ibUtSl~.iabil:i,t~" ,.~,:.wm'~;ed ~~i~i ~(~I':'~;'~i~lOn" _ . CCl. . . i h,,'\'fll.Y C"'ll.!',' Ur<o<t '( 1)(/\>,,,3 l"'lad "fld ",xt;ll)'lir~.lt:l$l tennit ,~nd 1<:1~oI tnf! e)ar~ tr.,: l&!true, ~ld c,onli!i.!.- AU ~"'\;I\/l:"iOl'I'~ i')f l:;Jj.)s and ,.ndin:,\ncQo'S GJ1~M"'r'j'd.\Y~ thh, L),'p~J >:)'/ \.,.<))'k '.-.It'll /;If,.' (;"i(~,th1c1 \.ri.1:.h \~h-~l:.1)~1' :apeci..h&d hl~n)i.n 01' liCIt. W~l!!~~~i" p~'l'rrd~)::J1;ct ?tJJ'f.'I0'-' (~je:&'rii71'Pt(lt1-reJd;'l:"': O{ S'~'l'lC':~)()J3'F'r~'ViS1.(\l1"i '~l'r !1,.i)I (rlch':'r Gb:\i"! >:w 10'::,,11 [CiH n}!J1J J.,3\t;1 n.;! c,:,n-,t;rUC1:.v;/Cl ,....,. 1:1),,' p(H'fo'(0)$.Il>.')1':> o. (~O\t'i:;l'XIK;t ton. ~ljSin,d'(jro~r.QV.(.Il..Ii~[}_..__......"_.... _......;.".. .._.. ........... .......... ........._..._... O"d:e-:.. .... ........ ._...._.."............_..__.._... ......_ r l.o>!\"l:i f;i that I ~,,!ll 0x(>fI\pl 1- rom the nsqui Y~m\".nt;'ll r:>l" :-",,<:ti')JI5~al"'''''' of \ :li~rttc:\1'u~"-(lt:' ......-..,.. . "" 'W .. ....._,~_,.,...,.........~ _............."''''..... ..~_.~_.~.......~ tho.1 r.;t:',;t~ cont.xa,;;t:C)!'SI l'e>3h,t.n~tjon l<l\~, under 5/tt.{' 03 l)<J.-t."'C _ ....".. ___.__..... ,,___.__"'_ ......_.... ..... '...,..' . ~***~*~.*....***'****.***~* Permit. Cenlf>t.....!)pproved 13}"=.... '" (- dt..- \tP-> S\Dq Dab::>: B J / (J L_l/' . ~ _ ...~_____ _...0.....-...0....-.__ ~. ~..-..- " ",........... ~_~...J.tI6-,_~,_-B-....~__ .. [0) lt~~NTER \ru MAY 0 9 2003 \YJ BREMERTO~ BUllOINGDEPAMMOO Department of Community Development ':- 286 4th Street ':- Bremerton ::- 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 Ian. Applicant: . ff ~J/? j' e.j/{ Description of Proposal: AJ J7 llt?vJ II ()I... 2.2.; ~ V c~~ C1yf -h side df Street Address (or street name if no address has been assigned): /2"5 I t!.c:>t m ~ e /1 I Tax Account Number: 'e Critical Area Questionnaire: l. Is there any standing or running water on the surface ofthe site at ANY time DYES P(NO during the year? If YES, please describe conditions: 2. Are there wet areas on the site? If YES, please describe: DYES "'-'NO 3. Is the site characterized as: D Forest D Cleared Jzj Developed 4. Please give the overall slope of the parcel.3::.% and the slope at the building site ~ %. 5. Is the property within 200 feet of a shoreline? jg1. YES D NO 6. Will the proposed structure be aesthetically or functionally disruptive to DYES [D(NO 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 acknowledges 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. ~ /~tf7/L~/ / /~~~~ SIgnature of Applicant . 5-;f/~3 Date Site Development Figures Percent Slope Calculation Slope is calculated by dividing the vertical distance by the horizontal distance, then multiplying the result by 100. Example: Vertical Distance of 20 feet Horizontal Distance of 100 feet = .2 x 100 = 20% slope %12:''' 60~~ \ '" fi..../.\ V n" 30%~.. . \ o p I '-/' 15% l/ (1\\ --\, /0::' I -, " I >";,,1 \ Y '\, . ------, . 0 P ! 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I f / I I / J I / f I / I ,i t V ~.",X'I'.$tif'U,~\. Rt.$IJ, VJ - .J 1) Bt\f'I '(\ t, o.,J (;.1, ~. ~ I r I / \C,. :-\,J if 7 ()! l-t) to '1'er~ F JQ. iJ ,,/,''- 0;.1 f>Oyt wC\.s" 'Ir~ lb fJ NtVr"nJ W,S 'f\ / . o &@&O(if& \ I1AY 09 2003 /P) ; BREMERTON BUILDING DEPARTMENr , ' => t:' OJ j) ~. ,:),.;:J ((;' l),fO., . fl', ' h\ \\s,je ~ '( At~~ e I \ I \! , , .. '/ '11 '2. J '~~! ~ Q ~ I ! .,' , f 11')(,;'''l e 'I..,n. '. '~, ...~,) V'\\'Y1,5 '~ :e~;,..\ \ ~ -.. - F i!,. ),.$1; "'~ I<J;c, v c~, D~y 1 I ~ h.t · 8,. !:if;lrrr" <;?'to 5 F V{) ~tto SF: d&t",.", - V. 11/, r- .. // ,rJl..",.,:> r:t ' I .,. p i,."v'j/..c) ~ f.,..." (;~,.. \I I A~)I) l- -r f' ",Il \ 'f" ;Z ('J.) - - - - '~,' I ""e'(S ,,' f';' t''':'' ." "I 'w (C) - - -....... " ,- " "lr,! \J Ni, ""'" ~", 1~ I \.\ \1..: i~ I II '~.:., ~1 '-.J;i '( t:\, ~4'. ;~( j) .e.- tJ t; Ilflft't\Y-- \H Q '-(1' J; L~ 11 ~ ~j ,,\ ~,I ~ ..... <$ P't ;; f,ci,,:A ~ l,,,l /.It!, -'V;'-"'---"--"'''-'-~C'"''''''''-''-'- I :;.. & ;\ PA'TIO \\ ~~ t ~o'\) .vjt~ ~,~ x Lt \\, ,1' A\ V~t; \1" ~ ()~'Vf' y..."1" (') ~ [7 ::, ~ ~ ~ --.. >... <::l \ v- .. . \\~j I' d '\ \ "- ,\ '\ ~\ ~'\'. ,-i '\ ~..;;.~' 'j Q"~ .. 1 ~_,,' '''tJ ~, ~ \ I I I I ( ~ ~ ~"') '\1,',; -~ ~, t QJ '\'\ :). ,- '1~~ ' c,\l "- " V ~.... J :( \'.i ~ \J Address: BREMERTON BUILDING DEPARTMENT Inspection Report Scope of work: fflsD 1 1 )<. 22-- Rt5\ 'R\J c.,,'<'. ~~'P-J;:mit Number: ~b- C-~~~~L'- W'AJ Owner: jJ} . eN-S Contractor: . <;:€ d F- . O~ - O'2-'f'S' Phone: Phone: 7/0 -':""" 33?'O 110 .-"'..>390 Inspection card/approved plans on site Setbacks Footings: required steel placement Walls: required steel placement Footings: required width & depth Walls: required size Bearing soil (soils analysis if applicable) Special inspector (when applicable) I FOUNDATION COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 x 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams . FoUndation vents Posts properly supported Anchor bolts: nuts & washers in place Mudsill: treated material Floor joists: size & span Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outside Range hood Dryer exhaust vent . All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fire blocking wall to ceiling, furred walls every 10' Fire blocking: stairs, soffits, lowered ceilings Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheet rock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in FRAMING COMMENTS: APPROVED: Insulation: proper R valve Insulation: proper fastening Insulation: vapor barrier BoUom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space ENERGY CODE COMPLIANCE COMMENTS: UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: 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 Chimney: separate flues when required MECHANICAL COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: OWV & water piping under test OWV: proper grade OWV: proper sizing OWV: proper drainage fittings where required DWV & water piping proper support OWV: required c1eanouts Vent termination All fixtures vented properly Water supply: proper sizing Shut-off valves on all fixtures . Water heater: gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: seismic strap R-10 pad under water heater when required Water-piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required PLUMBING COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED: Proper fastening nails - 7" o.C. horiz. Plane Nails 8" o.c. vertical plane Proper fastening screws '12" o.C. horiz. Plane (1/2") Screws - 12" o.C. horiz. plane (1/2") 24" o.c. framing Proper fastening: screws - 16" o.c. vert. Plane (1/2") Screws - 12" o.c. vert. plane (1/2") 24" o.c. framing Proper fastening screws - 12" o.c, horiz. plan (5/8") Screws - 12" o.C. hofiz. plane (5/8'') 24" o.c. framing Proper fastening screws - 16" o.c. vent. Plane (5/8") Screws - 12" o.c. vert. Plane (5/8") 24" o.C. framing Area & occupancy separation walls Oraftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors SHEETROCK 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") Randon monitor when required Plumbing & mechanical Smoke detectors where required Fire ratings maintained Emergency lighting when required Building weatherlight Building address posted COMMENTS: ""Ud ^ I ^ nnnr"" Ir-n. 0"3-- ()( 7 ~~ Phone: Phone: Inspection card/approved plans on site Setbacks Footings: required steel placement Walls: required steel placement Footings: required width & depth Walls: required size Bearing soil (soils analysis if applicable) Special inspector (when applicable) FOUNDATION COMMENTS: FOOTINGS APPROVED: WALLS APPROVED: Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 x 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supportecj Anchor bolts:. nuts & washers in place Mudsill: treated material Floor joists: size & span . Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outside Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements. Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fire blOCking wall to ceiling. furred walls every 10' Fire blOCking: stairs, soffrts, lowered ceilings Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheet rock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wqll & roof sheathing Shear nailing Building dried in COMMENTS: AIQ (fJcCee:; 4 e-J /ZZ Ir)~ A ~ 1/"/ ./ J FRAMING -:1 Cr~r r ~7~~O~ IDrc {{J/t1/~ t<1/vo APPROVED: Insulation: proper R valve Insulation: proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space ENERGY CODE COMPLIANCE COMMENTS: UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: 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 Chimney: separate flues when required MECHANICAL COMMENTS: 0V-f{ Gf Iv~~() 'f'~Lb rL I C- FURNACE APPROVED: ~ cM-tf/;? GAS PIPING APPROVED: OTHER APPLIANCES APPROVED: DWV & water piping under test DWV: proper grade OWV: proper sizing OWV: proper drainage fittings where required DWV & water piping proper support DWV: required cleanouts Vent termination All fIXtures vented properly Water supply: proper sizing Shut-off valves on all fixtures Water heater. gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: seismic strap R-10 pad under water heater when required Water-piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required (~" 'vV ~ /ZZ /03 , COMMENTS: I ~ PLUMBING PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED: Proper fastening nails - 7" O.C. hariz. Plane. Nails 8" a.c. vertical plane Proper fastening screws 12" o.C. horiz. Plane (1/2") Screws - 12" o.C. horiz. plane (1/2'') 24" o.c. framing Proper fastening: screws _16" a.c. vert. Plane (1/2") Screws - 12" O.C. vert. plane (1/2") 24" a.c. framing Proper fastening screws - 12" o.c. horiz. plan (5/8") Screws - 12" a.c. horiz. plane (5/8'') 24" a.c. framing Proper fastening screws - 16" o.c. vent. Plane (5/8") Screws - 12" o.c. vert. Plane (5/8") 24" o.c. framing Area & occupancy separation walls Oraftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors SHEETROCK 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") Randon monitor when required Plumbing & mechanical Smoke detectors where required Fire ratings maintained Emergency lighting when required Building weatherlight Building address posted COMMENTS: /1U. " rl....l A 1 A t"'"I.~n"""\ Ir-r-.... PERMIT CENTER . 286 Fourth Street Bremerton, W A 98337 (360) 478-5275 l.I14LL -.4 Z<-/4 INSPECTION REPORT r~t C'TY Of Plllor AND OPPORTUNITY II ~ II PERMIT#: D~-OI7Z ADDRESS: 1'Z%1 f'(~~ (f) ~ffi O~~c. ~ !;t4ePAG& t4NO C1A~ f:6er, SMtM/ tJlI. W~l4/ t#VPC) Do-rJe ~N(b~J ~~rf?e4e-Ks,. 16 ~)y?lf(:lfV1 L;r we- ntV;'C !3tztS.17CpC"" ::trIb~~ ~~ ~ oN ~ ~ Schedule a reinspection when the above items ar corrected. Call 360-478-5275 by s:007,;;ext day inspection. Date: c../ Z 5 (0 Time: t- m ffi g z~ N a r:c. = 1-0:: nnn ~ ffiw ~ 0 ::2:0 LLl C!l @ cx:z 0illJ ~ r.J:l ~ e.." \ \ V\ j '\ V\~ \i \ il:\c: U') ;,\~' ~ .<3 S ~ v...J IA.. \ \ '~ V\ ~ IJ , e\.:\'To >'\ .1:. pt", ... \.1 15)600 Bil) PVCl~AMe. D~y~~t Veld- ..1 ~.2' ~-------:------_.- II' -..,----~-----.-.-,.?> ' --,--..-------.---,-- -20' J Asphalt Kf;Qf $h\N~I~.f \ov~ '/:;1..1\ ~.sts Co..Y'P ovt. 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