20-01074 Single Family Residence - New
POULSBO,  WA  98370
Parcel #: 122601-4-033-2004
Status: Permit has been issued to applicant.
Submitted: 3/9/2020
Approved: 5/22/2020
Issued: 5/27/2020
Expires: 8/10/2021
Required: 30
Complete: 15
Total Fees:
Additional fees may be required
Project: HEDSTROM - New Single Family Residence w/ Attached Garage

Public Notice
Description Begin Date End Date


License #: COVALHL894QD

Impact Fee Land Category: 210
Impact Fee Units: 1

Parcel(s) associated with your permit.
Parcel Owner Address
POULSBO,  WA 98370


Upload documents in PDF format on the following screen. The name of each file should simply identify what each submittal document is. Examples: “Floor Plans”, “Engineered Structural Plans”, "Engineered Civil Plans", “Site Plan”

Click the files link on the far right of the submittal item to upload. The files link will indicate how many documents have been uploaded.

Not uploading all required submittal documents will delay the processing of your permit.

Submittal Required Received Accepted
Approved Permit Documents and Plans: Print all files and keep onsite for inspections Yes 5/27/2020 5/27/2020
Information Request: Upload a letter response AND any revised, corrected, or additional documentation. No 5/14/2020 5/14/2020
Please Download and Review All Documents: This line contains your detailed information request and when applicable, permit documents with reviewer comments No 4/30/2020 4/30/2020
Upload Required Permit Documents as listed on your Required Permit Questionnaire at No 4/8/2020 4/10/2020

Approval Steps
Follow your application through the approval process.
Step Status Date
Permit Center Processing - Building Approved 4/13/2020
PW - Concurrency Test Review Approved 4/10/2020
Building Height Review Approval Step Not Required (Deleted) 3/31/2020
Health District Approval Processing for Building Permits Approved 3/31/2020
Environmental Review Approved 5/22/2020
Residential Zoning Review Approved 5/15/2020
Stormwater Review Approved 4/13/2020
Building Code Plan Review Approved 5/20/2020
Road Approach Research Approved 4/14/2020
Road Approach Approval Approved 4/29/2020
Addressing, Verification/Assignment Approved 4/13/2020
PW - ROW Review Approval Step Not Required (Deleted) 5/19/2020
Fire Marshal Review Approved 4/13/2020

Start Complete Applicant Response
4/10/2020 4/29/2020 5/14/2020
5/14/2020 5/22/2020

Fixture Quantity Per Unit Value
R-Fireplace-Gas, or Gas Log Insert 1 $0.00 $0.00
R-Clothes Dryer with Exhaust, Electric 1 $0.00 $0.00
R-Cook Stove with Exhaust, Electric 1 $0.00 $0.00
R-LP or Natural Gas Water Heater Vent & Combustion Air 1 $0.00 $0.00
R-Electric Furnace +/- Ducting 1 $0.00 $0.00
R-Propane fuel tank 500 gallons and under 1 $0.00 $0.00
R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 5 $0.00 $0.00
R-Tub and/or Shower Unit 3 $0.00 $0.00
R-Bath Fan and/or Exhaust Fan 6 $0.00 $0.00
R-Hose Bibs 3 $0.00 $0.00
R-Clothes Washing Machine 1 $0.00 $0.00
R-Water Closet and/or Urinal 3 $0.00 $0.00
R-Dish Washer 1 $0.00 $0.00
Heat Pump +/- Ducting 1 $0.00 $0.00
Water Heater with Heat Pump 1 $0.00 $0.00
Total: $0.00


Valuations and fees will be validated during the review process.

Valuation Quantity Rate Value
New finished space, no heat - Enter Square Footage 576.00 $72.74  / SQFT $41,898.24
New covered porch, carport, covered deck - Enter Square Footage 678.00 $24.25  / SQFT $16,441.50
New Residential Floor Space, Main (1st) Floor - Enter Square Footage 2301.00 $121.24  / SQFT $278,973.24
Total: $337,312.98


Fee totals below may not reflect all fees, including fees calculated by hourly rates.

Fee Amount
Road Impact Fee With CPI Modifier $694.72
Technology Fee $176.08
State Surcharge DCD $6.50
Permit Center Base Fee $90.00
School Impact Fee With CPI Modifier $1,369.17
First Half of Permit Residential Fee $2,934.62
Park Impact Fee With CPI Modifier $698.95
Blue Address sign Including Shipping $16.75
Second Half of Permit Residential Fee $2,934.62
Total : $8,921.41

Type Number Amount Issued Expires Completed


The inspections listed below are standard for all permits of this type and may not apply to your specific permit. Once your permit has been issued, all inspections listed are applicable to your permit. Note: Community Development Building Final Inspections (B-Final), Commercial CO Inspection Fire Marshal (FM-CO-Final) and the Final Field Inspections (DE-FFI) are not eligible for next day inspection requests. Please allow two business days when requesting a Final inspection.

Completed On
Pre-issuance inspection for Road Approach. 4/29/2020
Residential Temporary Silt & Erosion Control Inspection.*Note: This is not a standalone inspection, it will be done with all building inspections and will not be approved until final inspection. You will not need to request this inspection unless you're instructed to by your Inspector.
Residential Foundation, Footing Inspection 10/8/2020
Residential Footing, Deck or Porch inspection
Residential Framing, Deck or Porch inspection
Residential Foundation, Stem Wall Inspection 10/19/2020
Residential Underfloor framing (prior to sub-floor) 11/9/2020
Residential Exterior Shear Wall Nailing Inspection 12/2/2020
Residential Interior Shear Wall Nailing Inspection 1/21/2021
Residential Plumbing, Rough-In Inspection 1/21/2021
Residential Mechanical, Ventilation Rough-In Inspection 1/21/2021
Residential Mechanical, Interior Gas Piping Inspection 1/21/2021
Residential Mechanical, Furnace Rough-In 1/21/2021
Residential Mechanical, Heat Pump Rough-In Inspection
Residential Mechanical Fireplace Rough-In Inspection 1/21/2021
Residential Framing Inspection 1/21/2021
Residential Fire Rated Wall Assembly Inspection
Residential Mechanical, Household Appliance
Residential Insulation Inspection 1/28/2021
Residential Gypsum Wallboard Inspection 2/11/2021
Residential Mechanical, Propane or Liquid Fuel Tank & Piping Inspection
Residential Mechanical, Exterior Gas Piping Inspection
Road approach form inspection prior to pour
Road Approach - Final
Health District Final (Final Must Be Approved Prior To Scheduling Final Building Inspection)
Soil Management
Residential Final Building Inspection
Residential Certificate of Occupancy Approval Inspection
Deferred Impact Fees Must be paid in full before requesting final inspection. Please call 360-337-5777.
Clearing Limits - Environmental 2/11/2021

Structure Use Occupancy Type Square Footage
HEDSTROM - New Single Family Residence w/ Attached Garage Residential, one or two family dwelling / Residential accessory structure, private garage, carport, deck, shed 3555


The conditions listed below are standard for all permits of this type and may not apply to your specific permit. Once your permit is issued, all conditions listed are applicable to your permit.

Permit Expiration: Building permits expire 365 days after permit issuance, or 180 days after the last approved inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. Additional fees may be due to reactivate the permit.
ELECTRICAL WORK. If electrical work is proposed, a separate electrical permit is required. You can contact Labor and Industries (L&I) at to obtain an electrical permit. Electrical systems must be inspected by L&I prior to requesting a framing inspection and final approval granted prior to requesting a final building inspection from the Department of Community Development.
Reinspection Fee: All approved plans for this permit and the printed building permit with conditions are required to be on-site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, or if previously identified corrections have not been made, approval will not be granted. In addition, a re-inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted.
Final Inspection Required: All building permits shall have a final inspection performed and approved by the Kitsap County Department of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration will be documented in the legal property records on file with Kitsap County as being non-compliant with Kitsap County ordinances and building regulations and will be referred to Kitsap County Code Compliance for action.
Certificate of Occupancy Approval Inspection. No building or structure shall be used or occupied, until the final inspection and the occupancy approval inspection have been approved. Approval of the certificate of occupancy inspection shall not be construed as an approval of any violation of the provisions of this code or of other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid.
Residential Address: Numerals for residential building addresses shall be conspicuously displayed on a contrasting background and shall be a minimum of 4 inches in height with a minimum stroke of 1/2 inch. If the building is not clearly visible from a named way of travel, the numerical designation (address) shall also be displayed near the main entrance to the property as well as at the driveway entrance that leads to the building. Property addresses shall be posted prior to requesting any inspections. If property addresses are not posted upon inspection, inspection will not be approved and a re-inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted.
Erosion and sedimentation control devices shall be installed in accordance with best management practices. Provide silt fence(s) along contours. Provide appropriate gravel construction entrance mat. Protect all exposed soils.
All structures shall have roof gutters. All gutters, downspouts, and yard drains must be directed at a minimum to splash blocks, (or an infiltration system, if required). Drains shall have a minimum 2% grade away from the foundation. All drainage discharges shall be located so that there is no adverse impact to downstream or adjacent properties.
This permit shall comply with all Kitsap Public Health District regulations and conditions of approval.
No final inspection or occupancy approval will be granted until all impact fees are paid. This permit is subject to the payment of impact fees. Impact fees must be paid at time of permit issuance, or if deferred, must be paid prior to final inspection.
Construct per Section (AA) of the Exhibit. Grade approach to drain away from County Roadway to ditch line. Pave approach from existing road to edge of Right of Way/Property line or 13 feet, whichever is greater. Provide culvert pipe with minimum dimensions of 20 feet in length and 12 inches in diameter. All pipe shall be "Schedule A" strength.
This lot is considered an historic lot and may utilize Kitsap County Code (KCC) 17.420.060 footnote 42b. The lot may use that residential zoning classification that most closely corresponds to the dimension or dimensions of record.
Downspout dispersion allowed for this project.
Soil amendment is required for all native vegetation areas disturbed. Applicant shall amend soils for all lawn & landscaped areas with 91 cubic yards of compost amended soil per the approved soil management plan. Amended soils shall be inspected prior to scheduling for final building inspection. Receipts of any purchased top soil shall be made available at the time of inspection.
Required Minimum Zoning Setbacks- Minimum Front: 20' South Property Line; 10' No Access West Property line Minimum Side: 5' Minimum Side: 5' Minimum Rear: n/a
If any timber removed is taken off-site (to market, not for personal use) and is over 5,000 board feet, the income from your load tickets will need to be reported to the Department of Revenue DORDLFTPermits@DOR.WA.GOV. You will be required to verify this reporting to the inspector or show load tickets to verify the merchantable timber was under 5,000 board feet.
Prior to completion of this permit with the Department of Community Development, the Applicant shall satisfy all conditions of a Right-of-Way Permit through the Department of Public Works for any and all work performed in the county Right-of-Way associated with this project. Apart from the Site Development Activity Permit (SDAP), the Right of Way permit may require extra work to comply with current Washington State Department of Transportation or Kitsap County Road Standards. You may contact Kitsap County Public Works, Right-of-Way Division at (360) 337-5777 to obtain a Right-of-Way permit.

Required Permits
Type Requirement For Number Status
Right of Way Permit No