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ADELE AVE., 925
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'Fp2 �l.urn3l��lrl�(_�c�T, `"-" Wau SLGTIp/J5 TD $E ;mac=.►�iU�SE?� -- ��.tl.Mi3IN�-- AND �L�c_TRICA� R,E Mo VED "To pL%j LocA rlor.�0 I"�AF'ilrJ(� � Zxy CI(o�I GENTE2 SET SHc a: T i2.oc k = ��a I' 12.ATCtJ I NS U c„A�T► o N = R I I I�EW llc�2S �Ib SOLfD COlZC ��'1/ V Or IcoG C�tAr�i �2oL� cit'o (Z, EXAM Z 3 -E �d O' 3 s s� rjzico4 C / A4/�/s M16 o2 /Zr3 Lo CW rio,v Q+=�.4TE FIouREXEN"r 4-�IsHT =�XTJ�t 0---► P2ov�p8%w�at 1juP�ex �� LJ �` REL.oG.ATp SW�'rcH SupPLy 0--► {�72.o��DE OuTt.ET b'N FROM �$ --� PQov�nE C,EIt.ING' ijox Foli SU(2FACE IPJ AtjbftcENT ANC WAtu 13oyL - v 1 ®—� R�I.OGRTE EX�STin.�(s IaoT/cafe Su�P�y AND WASTEIVEOT �-��Di TiONHL it/oT�S �-LG�O r2ic,u � � live'4A ME5C(F AJ 13O)C J5 70 �� CfS7VTEJ�� l� �20A1 Ale4l2Et57� �cN/� tuAt-f . O �x Ex EX EXAiti l T ;Dora ft�tt�>l t r Ex i X 10•II �♦�_J 1=XRM 2 STC� eve Ex / 5y /,OC Tp A? 5 4 l oLll, r N6T r-R `, 1,14WL / Sp - Sox r-o2 Floolc-uP To �Q�it�}1C�T' 1�IMt'l�'R C..wl'+'c ® SI��CIRI OUrC�T /ST (p� Ho FbR }l�/kD��T ij}J!T Lr - INcaaUescEN-r LICsh4T (SLITZ�AGE. MOu"T�) �X — STf*1.iD/kRp �`�15TIl�Ir SiNtrc..E poL� SwlrcH L 3�Iz��i3 I�oD 'v%i, I)ocTo2.5 CG,oA.,ve G'��►Ce �r 4tJ. 4-rA F'JZ ter_, G�F1 h-i S To f2A �� 0 �QFH A7N;II.0 SST 0 i -o f�2oLLDyko O 0 �Xf�M 3 O O- N,4 tZTLolrAr� uN � �a O= f11ZM5TTLo�Jtr SU'��►C-�-D ��'IaSC�3 O- �M�R�T 3a f'3L-tl.� SP2u.C� CITY OF BREMERTON C1. 11:�• DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 11/30/2006 345 - 6th Street, Bremerton, WA 98337 (360)473.5275 Fax: (360) 473=5278 ASSESSOR NUMBER: 3783-002-009-0004 APPLICANT NAME: MAHAY LLC OWNER NAME: MAHAY LLC CONTRACTOR: EHT ENTERPRISES, INC LENDER NAME: SUBMITTED: 11 /08/2006 VALUATION: $59,155.00 ZONING: CC SITE ADDRESS: 925 ADELE AVE PHONE: ADDRESS: 3331 KITSAP WAY STE D, BREMERTON, WA 98312 PHONE: ADDRESS: 3331 KITSAP WAY STE D, BREMERTON, WA 98312 PHONE: (360) 377-7773 ADDRESS: 3690 G STREET, BREMERTON, WA 98312 PHONE: ADDRESS: PS ' ' E 9430/2006 EXPIRATION: 05/29/2007 STATUS: ISSUED Commercial Building Permit w/ Mechanical/Plumbing Mechanical Fixture Fee $146.80 2215 VETERANS ADMINISTRATION OUTPATIENT CLINIC -INTERIOR REMODEL Building Permit $713,75 2211 Building Code Edition: Plan Review Fee $463.94 4580 Occupancy Group: Plumbing Fixture Fee $48,00 2213 Type of Construction: State Surcharge $4,50 0236 Flood Zone: TOTAL FEES: $1,376.99 Setbacks: Sanitation Method: Number of Bedrooms: Square Footage: Bid Price from Applicant 1 TOTAL Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries (360) 473.5870 (360) 415=4000 Fire H/D: PW: Inspections Bremerton, Kitsap County Health District Department of Public Works (360) (360) (360) 473-5380 337-5285 473.5270 This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration 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. I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR nnFUT• 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. supply) inspection is required prior to issuance of a Certificate of Occupancy. Contact Earl Varner at (360) 473-5927 to request an inspection. 2. (DCD-01) DCD: 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 survey be performed to determine whether there are asbestos - containing materials in the work area or structure. The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences). DCD: For more information, please contact Clean Air Agency through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be found at www.ini.wa.gov/p-ts/asbestos/asbestos,htm, 3. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other 1. (CROSS-01) Cross Connection: Across connection (source of potential contamination to domestic water Page 1 of 2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 11/30/2006 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3783-002-009-0004 ZONING: CC SITE ADDRESS: 925 ADELE AVE APPLICANT NAME: MAHAY LLC PHONE: ADDRESS: 3331 KITSAP WAY STE D, BREMERTON, WA 98312 OWNER NAME: MAHAY LLC PHONE: ADDRESS: 3331 KITSAP WAY STE D, BREMERTON, WA 98312 CONTRACTOR: EHT ENTERPRISES, INC PHONE: (360) 377-7773 ADDRESS: 3690 G STREET, BREMERTON, WA 98312 LENDER NAME: PHONE: ADDRESS: SUBMITTED: 11/08l2006 APPROVED: 11/30/2006 EXPIRATION: 05/29l2007 STATUS: ISSUED ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. _ 4. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on sitei�_ and be available for inspection. 5. (DCD-22) Building Plan Review: Code Compliance -All work in the City of Bremerton shall adhere to the following 2003 International Codes: International Building 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 Bremerton Municipal Code Check For All Washington State Amendments. Check For Notes On Plan 6. (Project -Specific) Development must comply with BMC 20.62. Aj����gqq 7. (Project -Specific) Fire -Extend Fire Alarm system into all areas. Evaluate audibility/visibility of FA system to A satisfy code. Post zone map at annuc. panel if not already complete w/ updated zones as changed by remodel. Install outside H/S if not already complete. Provide plan to Fire Marshal's office for preventing false alarms during construction. 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 -Fire Final Inspection - Cross Connection Final Inspection - Building ' FIXTURE LIST Qty Description Qty Description 1 C-Water Closet and/or Urinal 9 C-Ducting Change without New Furnace Page 2 of 2 ------ —� _ lPii!!!Illc -� _ .. ---., - —I I . t' aA% ttt'�A �i * • . t�ti'., t �!•! t . t}A.l� t t t Ilp ti t���A `" S• .�� .. 5'Ri•. ,.th . .; �'::•lRti:;, ,::!""r Sf• .;g$"o••. •!; .:t;' +. .,'.,�1:•. .:ht {y;�;;• . :�t•;R., �'iiSgt.t!i. �._\\���SI �!i. 'tii��¢,.!�, u }`SStt''Sn,• 1r�r5 ;.ii. � 2=�"t�j •i`�iii! .a`�'��: •.?t�a a,.��;?%;I .i!tip • ;`\l ay?:!`? �'ti!��•.� .. rF,..: ;:�cc� . �.��,. .,�\4}p .•.��.;p�. .�l�j ia•: ••ti : •!. ,44 ..,:.�;... s}�O.n ;,� :;,} •.. ;.• .y, •,..n ; .:1>;i�..- ..•Y. .S - -iiii ' l _ V _ gym'., ,xm, i ni'r u� %• + v:: ; .V• , •b. , .b,v, . • . n.v,u. , .b, 5 ,�. •tav,r,vv, +tr• t,v.v,v5+ .. , , .v.v,u, .v ;v,v.u,v.va ;n..irt .uv- , . ,v,V..vt ,r•v...v.v.v,v • ..v,v.u.vt . ''< `• . to 4 c r t t rate .4 too IT iii7 tYt to lj to 4 44444 •"f;,tA.., to Yam. ■���■ to rir•. to _ : ufe� a to lk Occupant it •,•4`�U at- Otgartment of Communitp Deberopment A i } 'faEiI;�NYW'.'NVV�' ����^_� �V / VX NW I I4VaV ���P�C�+i� CK I�I�V'Y.•W W NIV WM VV ' l i V II� a� 4to •t ,• ,iii ..'.. �J����too Gi�E7ZLVhWt� N'.'KY C•K� N'W Yr/ra/ VX. �KWiW/ H"Kw �1G:fiiWW 4VW� U't• W+,i�fZaL ��^�.'.. �� WVW� :a � :R • VV rVV toll �7K at wee ��i1��•' 11•V'V W"•✓n/Y.•t.['1./i a.V�' •�� V ' ISSUED TO: THE DOCTORS CLINIC WEST tt pro to VEIt SITE ADDRESS: 925 ADELE AOr is PP ti Type of Occupant %Occupancy Construction Gassi ication Load Common Use .�' Lk VN B 53 DOCTOR'S OFFICE t!A ' 1 : I �4^ - Permit Number: BL96-0166 Date: I112211996 4 4. j` o ,. ` J JOHNSO OFFICIAL ,rING PFF Special Conditions.• K . .. ,,, % s ?�,,ii+:• "` THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE a :rf �� " '' � �' E �>. era, �'t , 7 , .'f ,�.�, t . � . . � . +p; .. , . . t ,n,A, +�' _ �°>n n n�a, , .u,�.�.. rA'a�n• 'a' �n� ' ,�; toy ,f `:V ��•IN.0 i .��,��;�. �l`1:::• ��::' ! " f i , :lu• 1l �i,:. 1!:Nl ♦�•: i Yir 1 _ .�.ii•:F t 1• _ _ _ `st ....,.. �ti. �iRt•. . _.r_._.t �r_..\t _�e..t• _ .-..r<.::.._... .._.... ...._.._.r�r.J'titt _..•i�ii... ...._..-..r r..k. ... ... r.. .. ..;�.• .... ..- .�_..a.� nuu �C eg 3EM UNITY D VEDY.16 WIT CENTER MUNITY DEVEL PAIC Building Permit Application Dept of Community Development * 345 - 6th Street Suite 600 *Bremerton " OVA * 98337-1873 (360) 473,;e5275 * Fax (360) 473-5278 Annlicant:` Site Address: r' ❑'Authorized Agent CONTRACTOR: ' r � OWNER: Address: 3j• Gp Address: City, State, Zip: 3j;ks City, State, Zi W 3 2 License # & Exp. Date: Phone #: ' — Contact Name: { Authorized Agent Name: Contact Phone #: - Address: c-1 Tax ID/Parcel #: City, State, Zip: ►_._ 1-� ► EIJ Z � 91 "J �' Phone #: oZrJ� " What is the application for? (Please check one) ❑ N EW SINGLE-FAMILY RESIDENCE ❑ NEW DUPLEX ❑ NEW MANUFACTURED HOME ❑ RESIDENTIAL REMODEL ❑ RESIDENTIAL ADDITION ❑ RESIDENTIAL REPAIR ❑ NEW COMMERCIAL ❑ COMMERCIAL REMODEL 0 COMMERCIAL ADDITION � L of COMMERCIAL REPAIR ❑ NEW MULTI-FAIVIILY ❑ TENANT IMPROVEMENT ❑ NEW GARAGE/CAR PORT ❑ NEW ACCESSORY BUILDING ❑ NEW SIGN ❑ STRUCTURE DEMOLITION ❑ GRADING (Cubic Yards: ❑ OTHER: IS THIS PROPERTY WITHIN 200 FEET OFA SHORELINE? YES❑ No � Scope of work proposed: Square Footage: Dwelling: Garage: Decks: Valuation Plan Review Fee Permit Fee Surcharge Total Fees ss"1 - y 1134 7 �5U I / 11 Application for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time foI 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. '1 � Date oL��dw[E NOV o 8 20PEP MIT CENTER BREMERTON-DEPT. OF COMMUNITY DEVELOPMENT Dept of Community Development * 345 - 6th Street Suite 600 *Bremerton * WA * 98337-1873 Site Address: CONTRACTOR: �-r .- OWNER: j lJ/M Address:' Q W st Address:h� W- City, State, Zip:! A q 312� City, tate, Zi : (. � MF A cw7rz ' License # & Exp. Dater p Phone #: S c Contact Phone #: 3 o 77 - 1113 jTax ID/Parcel #:3'7-06DL,oal- boa NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE RANGE ( WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB GAS FURNACE btu: LAVATORY (BATH SINK) CONVERSION BURNER btu: SHOWER UNIT HEATER btu: KITCHEN SINK BOILER btu: DISHWASHER GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS btu: CLOTHES WASHER A/C UNIT btu: WATER HEATER HEAT PUMP btu: URINAL REHEAT BOX but: DRINKING FOUNTAIN EXHAUST FANS FLOOR SINK OR DRAIN RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION RANGE HOOD (COMMERCIAL) GREASE TRAP/INTERCEPTOR CLOTHIERS DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANK TYPE: BLDG. SEWER: (MOBILE/MOVED HOME) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: OTHER: OTHER: MECHANICAL FEES: � PLUMBING FEES: TOTAL FEES. Date CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: BDp00,Q6856 345 - 6th Street, Suite 600, Bremerton, WA 98337-1873 (360)473-5275 Fax: (360) 473-5278 Page 1 of 1 File Notes 9/29/86: Tom Olson came into office to discuss application for permit to bring in mobile office and attach to Drs. Clinic West by ramp. Told him would require plans of ramp and certification that mobile approved by state for use as office. Fees based on valuation of construction of ramp, mobile office charges modular rate of $75.009 plumb- ing and mechanical not needed. and Fireck 1Departmentwith David eredfireon- al parking requirements if any flow of interior of mobile. \� ,ram 5� `rl `A'/o l �\)<Zry sue, . B UILDING PERMIT 925 ADELE AVE INSPECTION REROOF BLDG�J CARD t� Building ® Plumbing ❑ Mechanical Alarm/Sprinkler This Placard must be posted on or near building and the Permit & "Approved" plans must be at the sit, Permit # BB10 00028 Call the followmq Aaencv Telephone Numbers for msoections Budd ng Department Inspections Call (360) 473-5870 WATER - Public Works - Water (360) 473-5927 PW - Public Works - Engineering (360) 473-5270 HEALTH - Kitsap Co Health District (360) 337-5285 Fire - Fire Department (360) 473-5394 L&I - Dept of Labor and Industry (360) 415-4000 - Property lines shall be properly identified and marked before foundation footing inspection Setbacks are measured to the finished wall structure - Reinspection fee maybe assessed if inspection has been requested when not readyor corrections are not completed - Permit, approved plans, engineering, and inspection card shall be on site during construction or Reinspection Fee maybe assessed Inspection Approved Date Notes Final Inspection -Budding ( 2- 2 -1 /C) FINAL BUILDING (360) 473-5870 All of the above must be approved ft t Zib rD Occupancy approval for SFR only - Commercial structures require a separate Certificate of Occupancy DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENTAPPROVAL PROTECT THIS CARD FROM THE WEATHER 4 t- FjM,� I v RECEIVED PERMIT CENTER City of Bremerton JAN 14 2010 COMMERCIAL Building Permit Application —'I Department of Department oft"tent * 345 - 6th Street Suite 600 * Bremerton, WA 98337-1873 (360) 473-5275 * Fax (360) 473-5278 * www ci bremerton wa us Business Name Site Address To apply for a property address, contact Public Works at (360) 473-5270 CONTRACTOR Pb ( -4 S`i a.0 kao i OWNER a t1J i Address 13 6l h l'e, Address City,State Zi (,t re(I IAA qF%aCity,State Zip License # & Exp Date g0 903 907Phone # Contact Name 1' r , Authorized Agent Name. Contact Phone # g'(3 ` Address Email address Wl0- 6w i -(VM%; I, C o 1An City,State Zi Tax IDIParcel 3 pa oo pPhone # ( ) ❑ Sewer ❑ Septic Email address -07w6_6 [that is t appkiiWlii fF o (Plea 'o New i 44 wit 0t ditf t� ❑rCOMMERCIAL ❑ TENANT IMPROVEMENT WITH WORK OMMERCIAL REMODEL ❑ TENANT IMPROVEMENT WITHOUT WORK ❑ COMMERCIAL ADDITION ❑ NEW SIGN ❑ COMMERCIAL REPAIR ❑ 9�WDING (Cubic Yards ) ❑ NEW MULTI -FAMILY IEe"REROOF 0 DEMOLITION Interior Exterior" Foundation Wall" Roof / Section— ** Separate demolition permit and fees required Contact Public Works for sewer cap permit (473-5270) Sewer must be capped prior to demolition permit issuance 0 OTHER IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES ❑ NO 0� Scope of work proposed - f`a0-� 4,06'r-0 Square Footage: Building '� d 0 d Construction Type Valuation Plan Review Fee Permit Fee Surcharge Total Fees App cation for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data subm ed for review may thereafter be returned to the applicant or destroyed by the budding official The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant, showing the circumstances beyond the control of the applicant have prevented action from being taken No applicant shall be extended more than once In order to renew action on an application after ex ration, the applicant shall resubmit plans and pay a new plan review fee e/ /'d A15plicant's Signature Da Rev July 2008 CITY OF BREMERTON PERMIT NUMBER BB10 00028 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED 01/14/2010 345 - 6th Street Bremerton WA 98337 (360)473-5275 Fax (360)473-5278 ASSESSOR NUMBER 3783-002-009-0004 ZONING CC SITE ADDRESS 925ADELEAVE APPLICANT NAME MAHAY LLC PHONE ADDRESS 109 OLDING RD STE 200 BREMERTON, WA 98312 OWNER NAME MAHAY LLC PHONE ADDRESS 109 OLDING RD STE 200 BREMERTON WA 98312 CONTRACTOR PORT ORCHARD ROOFING PHONE (360) 649-7801 ADDRES 1359 WHITTIER AVE SW PORT ORCHARD WA 98366 LENDER NAME PHONEDR S SUBMITTED 01/14/2010 APPROVED 01/14/201 1 TION 07/13/2010 STATUS ISSUED VALUATION $14 000 00 Commercial Building Permit w/ M cha cal/Plumbing Budding Permit $201 00 2211 REROOF BLDG State Surcharge $450 0236 Building Code Edition TOTAL FEES $20550 Occupancy Group Type of Construction Flood Zone Setbacks Sanitation Method Number of Bedrooms Square Footage Bid Price from Applicant TOTAL Inspection Requests FIRE Fire Inspections (360) 473-5394 DCD Building Inspections (360) 473-5870 HEALTH Kitsap County Health District (360) 337-5285 L&I Department of Labor and Industries (360) 415-4000 PW&U Public Works - Engineering (360) 473-5270 This permit shall become null and void if the described and authorized by this permit has not commenced within 180 days from the date of issuance or if the work is suspended or abandoned at anytime after the work is commenced for a period of 180 days It is the responsibility of the permit holder to see that the required inspections are made Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements Any demolition testing or financial burden shall be borne directly by the permit holder Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction I hereby certify that I have read and examined this permit and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction If listing the owner as general contractor, I certify that I am exempt from the requirements of the State 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 budding 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 I have read, and agree to abide by a condi ns of this permit including all cor-}dkrons of din codes, and State and Federal laws SIGNATURE OF OWNER OR AGENT f PRINTED NAME i NA DATe CONDITIONS City of Bremerton's a proval o this application p ains only to the City's regulato jurisdiction, and thus compliance with City regulations does not necessaril ensure compliant with federal or state lajros 10 (DCD-02) DCD Validity of permit The l ante orgra�ng of a permit shall not be construed to be a permit for, or an approval of, any vlo atlon of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid The Issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors In the construction documents and other data The building official Is also authorized to prevent occupancy or use of a structure where In violation of the Washington State Building code or of any other ordinances of the City of Bremerton 10 (DCD-01) DCD 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 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 - Page 1 of 2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street Bremerton WA 98337 (360)473-5275 Fax (360)473-5278 PERMIT NUMBER BB10 00028 DATE ISSUED 01/14/2010 ASSESSOR NUMBER 3783-002-009-0004 ZONING CC SITE ADDRESS 925ADELEAVE APPLICANT NAME MAHAY LLC PHONE ADDRESS 109 OLDING RD STE 200 BREMERTON, WA 98312 OWNER NAME MAHAY LLC PHONE ADDRESS 109 OLDING RD STE 200 BREMERTON WA 98312 CONTRACTOR PORT ORCHARD ROOFING PHONE (360) 649-7801 ADDRESS 1359 WHITTIER AVE SW, PORT ORCHARD WA 98366 LENDER NAME PHONE ADDRESS SUBMITTED 01/14/2010 APPROVED 01/14/2010 EXPIRATION 07/13/2010 STATUS ISSUED occupied single family residences) DCD For more Information, please contact Clean Air Agency through their web site at www cleanair org or by phone at 800-552-3565 or 206- 689-4058 The L&I web site can be found at www Ini wa gov/p-ts/asbestos/asbestos htm 10 (DCD-47) DCD Reinspection Fee All approved plans, the printed building permit, and the permit inspection placard, 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, 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 10 (DCD-50) Final Inspection Required All building permits shall have a final inspection performed and approved by the City of Bremerton Department of Community Development prior to permit expiration The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type Final Inspection - Building Page 2 of 2 OF $RE-5� O z .::Ammo. -- Rosso ertificate -mepartment of Communitp �Debetoprnent 7�a a z4:i aate Awwaaat ra de � 4 ,Se&z%.v 109 4 de Z 974ode, as adcAted 4 r4 Fw-on�w Ni-oae 66de, a r&at at i!!e tuxe q cao�sasaace, da arue&W moa ui eaaclrezZwe elr# ISSUED TO: VETERANS AFFAIRS SITE ADDRESS: 925 ADELE AVE Type of Occupancy Occupant Construction Classification Load Common Use VN R 49 SERVICE Permit Number: BLOI-9181 Date- 10/1 �K� a Christop er ,Hugo, /rector Special Conditions: THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE 5 c 12 9" N i ICA 22 `a 7f - r O F 9 - • 12 � a n � IT u 4z © z » z \ � ) � � ( & ¥ I IsFaE:rw1EF;C- C>" F="EE:F;tMX-tr 286 4th Street, Bremerton, MA 98337 Phone: (360).478-5275 FAX: (360) 478-5278 BUIL.DItVC PERMIT Jab Addr: 925 ADELE AVE Permit No: 01-0497 Location. 0I.0 SITE OF THE DR'S CLINIC Status: ISSUED Parcel No. 3783002-009-0044 Applied: 09/11/2001 Issued: 09/20/2001 Applicant: NORTHWEST SECURITY SPECIALISTS 373-9507 Expires: 03/19/2002 1648 FRANKLIN AVE .BREMERTON, WA 98311 Owner. MAHAY LLC 3331 KITSAP WAY #D BREMERTON WA 98312 Contractor, NORTHWEST SECURITY SPECIALISTS 373-9507 Lic #: NORTHSSO55QM Exp: 11-14-2001 1648 FRANKLIN AVE BREMERTON, WA 98311 Desc: LOW VOLTAGE FIRE ALARM SYSTEM FOR THE OFFICE OF THE VETERANS ADMINISTRATION CBOC CENTER Valuation Permit Fees: 153.25 Total Calculated Fee: 257.36' 7,344.00. Plan Check Fees. 99.61 Additional Fees: .00 * Other Fees: 4.50 Total Permit Fee. 257.36 This permit shall become null and void if the building or work authorized by this permit is not commenced within 120 days from the date of such permit, or if this building or work authorized by such permit is suspended or - abandoned at any time after the work is commenced for a Period of 320 days. .. NOTICE - It istheresponsibility of the permit holder, not the City of Bremerton or Building Official to see to it that required inspections are made: The permit holder meet notify the Building Official when ready for inspections Failure of the permit holder to notify the Build'i'ng Official of rewired inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meet* or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City againstt any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law rp7 ata nstrurtion tffire performance of construction. Signature: ., ,......„„,„, oate;q-2,0-0) I certify t exempt from the requirements of the state contractor's registration law, under Section 3,. a 1226, laws of 1967. Date:_„_„_, Permit Center --Approved By.. Date:— w BI��TIERT01°*! �IE�C�1�"1'Z'S' C�N'f ER i 6 286 4th Street, Bremerton, WA 96337 jr' Phase: (360) 478-52.5 F ;,.,(360) 478-5278 Building Permit No: 01-0497 Job Address: 925 ADELE AVE Status: ISSUED Location= OLD SITE OF THE DR'S CLINIC Issued: 09/20/2001 Assr Acct No: 3783002•-009-0004 Expires: 03/19/2002 R E Q U I R E D I N S P E C T I O N S Item: 02700 FINAL --BLDG Dept: BLDG Division: TESTING: . Must be recognized by the Washington Association of Building Offi61',` ;;% SPECINSPa` 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 MUST BE SCHEDULED THROUGH THE"' x PERMIT CE", (360) 478--5275. Permit Hold is47-2-01 Signature: Date: %r f` f t. BREMERTON PERMIT CENTER PERMIT CONDITIONS Parmit No- 01-0497 Page* I Job Address: 925 ADELE AVE Applied. 09/11/2001 Assr Acct No: 3783002009-0004 Approved: 09/20/2001 Location: OLD SITE OF THE DR'S CLINIC Issued. 09/20/2001 Applicant NORTHWEST SECURITY SPECIALISTS Owner: MAHAY LLC Contractor: NORTHWEST SECURITY SPECIALISTS Description: LOW VOLTAGE FIRE ALARM SYSTEM FOR THE OFFICE OF THE VETERANS ADMINISTRATION C80C CENTER Conditions: 1. F I R E a) System shall meet NFPA 72, BMC 18 & ADA b) Test of this system is required when completed. c) Provide a key to the panel to be placed in the Knox box Permit Signatu Date MFZEMEF2-rC3" PEFtMiT CEN i"EF2 286 4th Street, Bremerton,'Wt? 98337=•' Phone. (364) 478-5275 r F,4X. (364) 478-5278 BUILDING PERMIT Job Addr: 925 ADELE AVE Permit No: 01-0497 Location: OLD SITE OF THE DR'S CLINIC Status: PENDING Parcel No: 3783002-009-0004 Applied: 09/11/2001 Issued: Applicant: NORTHWEST SECURITY SPECIALISTS 373-9507 Expires: 1648 FRANKLIN AVE BREMERTON, WA 98311 Owner: MAHAY LLC 3331 KITSAP WAY #D BREMERTON WA 98312 Contractor: NORTHWEST SECURITY SPECIALISTS 373-9507 Lic #: NORTHSS0559M Exp: 11-14-2001 1648 FRANKLIN AVE BREMERTON, WA 98311 Subcontr: Desc: LOW VOLTAGE FIRE ALARM SYSTEM FOR THE OFFICE OF THE VETERANS ADMINISTRATION CBOC CENTER Valuation Permit Fees: 153.25 Total Calculated Fee: 257.36 7,344.00 Plan Check Fees: 99.61 Additional Fees: .00 Other Fees: 4.50 Total Permit Fee: 257.36 *a>kBMt��*>xaxXz•��*�*:K��K�K���K��K�K:K����K*�1�����:iM:kzc**�[�X�Mc���7K�x>K�ic**asa��k*�K*�MXSMc����%c�k�:k:K��*�k�x�K�K��k�*� This permit shall became null and void if the building or work authorized by this permit is not commenced within 180 days from the date of such permit, or if this building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see to it that required inspections are made. The permit holder mist notify the Building Official when ready for inspections. Failure of the permit fielder to notify the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden stall be borne directly by the permit holder. Failure -to-substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of Saws and ordinances governing this type of work will be cclied 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. Signatures Dates I certify that I am exempt from the requirements of the state contractor's registration law, under Section 3. Chapter 126, laws of 1967. Signatures Date:. **#**Y1<i<7KXtG�*.YtWM(%t�Af>X:K*:Ka>K:K7% Permit Center --Approved By Date: b"VE-141 VOW WNA ansa-ays Me) ISSQ&� TIMAW MCi. YU8 'UK 10 "W jupw Gl 1.9 � 1).'+ le . 1 {: � -`4 )"'W p n W! "MO &10 A 0 A= ymm 1v so 10 Am "0 1M, W9 my on man, A l. f f 1� �K i�: i. 4( K;�:k 3� I'd v :0 t ,,,KA X. I, rWWW mm". JW V iblaq WMA 'a "A"um km—, cc MW K! n bb" Aw um "WWA 5—MO MY -0 bvW*lW" "r '"n"I 6WO Q Wr"um Aw - kill w�b Wj 0 W-W"WrA My iT 1., •3k A,Gt4 MH sl, !-, I �, e,j !. 4, f ;V, I I [ , ", 1 f , N.-� . 11, 1 1. i " j,, , . dal I i;l '�, i F I ""�-1 , ; i Jl — ""', "t , � , � � , , r. '� T`M ,0 Ow"nk 6000 MNM U am, v- "WW 0—" Wr , .�11, -Wo, 1. fz"Ww& o J-9 "K vd ) :hj;��! il WMAK .& MO At A WMAMMM" W, vvvy jm"q Wh Iwo .,A &W !Wu ", .0 W "W—W of s ` -'i i. -.j:;: -Adi lj W Aye M-Ny40C1 %4th @�t4apylFO���+�� y`iA�7 lt ph000 r C ) 470-52n . E " r'AK. ( 6) 478-$278 uiLDING PERf41T j" r ACfd 5 AIDE Permit No: Oi-'049� t0'"ticr a 0 M 0 TME Ci,R":S CLINIC Statue= PENDING . Aar l i ." 02 009-0004 , Applivd3 09/11/2001, AP041aat. NORTHWEST SECURITY SPECIALISTS 373-9rO7 Expires; 1$d8' RAfdD LIM At : BRENERTON. WA 9G311 Owrfara NA14AY LLC 3331 KfYSAP AY 40 6REM£RTOf4, WA 98313' ontra4tbr• NORTN45'T SECURITY SPECIALISTS 373-'9567 L.ie:,#r NORTHM55W exp? 11-14.2001 144 '.FRANKLIN AVEL 9REKE ' ft"WA 90311 Faubccrtt r ' Oeser Low v%TAGE FIRE 'ALARM SYSTEMFOR THE OFFICE Of THE VETERANS ADMINISTRAY10N CKC CENTER. � a'ax��>KasK��a� aiw�* as�aza ���4 aaak�c�C1c��iKrz�c�calt:��tx�*a��:����;�x�¢mitkcaa:i��aYlM�rak:a�;axx�saa��a��Kzs�x �k �lK%c�acaa� Vallatirrn x " permit Few 153., 25 `fatal Calculated Peez 257.36 7,344.09' p'ldrt' Citef,,ck'ael#a. 99.61 Additiert�l F4elr .00 00or Fees. 4.50 Total permit Fee= 257.34 ltlt�.t:�eeasawaar*r.�t4elt�at�alsraate�t�sa�axese:lxslt�reeltltztea�mlcl�earerrxan.we�tlra�s�zxxesltstl�m�3s��ltss��ltss�xe This porwit *hall b000me null and void if the tmil+dira or work outharivod by this peraait. is nat owwwwo within Igo days froo tto tjta;af frpoY*ti ov if this baildina or work author d; b*, such, porwit'is suvpe f *r -abaft"'a# @et' tiAW *iter tfw. woWk "i* for s.poriod of ill dayo. TIC lt'fe time rari*ibilitY of the peYRNif hoi&r,, .rik tDae city at et vain car esailirar Ctffzeaal to-sae d. tm i.t that vgtraired iTwoeCti" are rrado. The permit holder wast noti fy tFHr auildiroGrf9i'&si�l uahary r for it aide = ftiluv4 of the .pevoli, hrlder tea notify the buirbolrea Offleial: @'f Ye*airw it a horse, reoult irs tl *towsp rvf'!h@:wavk uYttil *0.rch kim'e tFrat tXN6 pa,a i&'"hK>lcfev ran atista to.th*:keuiltlisag afPi,&A'*1 . that tho oomes,lad tm,k Vis' or re i , .; 'Esus* d000litton, tm*t1%. pr fi4miol burdim shall kai boYii,*:direertly tv t1h o*vaait holder: failure tar . requirtirtia a. will 04ampify t1he cite. , '000irot *ear aarc9,al1 r WiDita brr, liability *orrn Wd.with tb* conotruetion.' 1' Exam' certify tD f S Nave read and @asamgirrvd "this Wmit kr tate to be five aced caYrsct, All', Nrae+k',#ia"ma o , Xaw*:-aair3 or'direaearicR. ' r@rnins +his type of Work will .kit comliod with whother opocif ipd §"aiiii �i ov ., ., The srsntlrai of a warlt 4004'rat Pr to give authority to violate or ear's:@I the avc`vL*xaraet .eaf.-,. - arY,oth*v at%+* or :locel law repulatirat tort@tr'Ation or the perforwarlow Of vonstructio" 3atAtiture0. Data; I cortify oft ver t from the V100"ratnonts of the wfats- caftr*otorIs reetstrotion Tawe urtd@Y eeotitn 9, r 1�*e .liwm of ice. 'ataS_kltaRl4g.8riA4dK�it3k*ltd.. Jtl"4f d 4A. • Permit Cerrtsrti�ApproVaa 8y LDate d e t , Building ,Permit Application. 2,� City of Bremerton, WA 98337 Phone: (360) 478-5275 Fax: (360) 478-5278 -7 APPLICANT: ❑OWNERXCONTRACTOR ❑AUTHORIZED AGENT -:2 :;, -! - r"1 I I Site address: ` Z5 AyEl-.E AV4, �F/ZLr1✓ Crz-7'0 n). 1-1 . Owner: Kf4AIfAy "C Contractor: OTZ. H v4 S .Se'cvt2, �p�ei�-u'srs -CPKs q9!/ Contractor Licenseg: Noe -rt l S% -e -SS Q M Contact Person: M ! 10E R L45 (4 1E VA c a©c cG= (5Q_ ❑ SF RESIDENTIAL NEW ❑ DUPLEX ❑ MANUFACTURED HOME ❑ RESIDENTIAL REMODEL ❑ RESIDENTIAL ADDITION ❑ RESIDENTIAL REPAIR Tax _account dumber 3785 -007- - F _Q s nrrs tl. Addzess: _3�5l Kt2%sA,,2 lip b OD z ta,F— , Wk- '76 Q_ Address: r �/ LJ/ LL/ Am ni Toni Elpiraaon Contact ❑ COMMERCIAL NEW ❑ COMMERCIAL REMODEL ❑ COMMERCIAL ADDITION ❑ COMMERICAL REPAIR ❑ MUIJI-FAMILY ❑ TENANT IMPROVEMENT 98 Up ❑ GARAGE SBP 11 ?OQ ❑ ACCESSORY ❑ SIGN 9h'jy'FNr ❑ DEMO ❑ GRADING (Cubic yards: ) ❑ OTHER: Scope of Work Proposed: 4.ow Vio,r-4c6 Ff/LE f41 -AZ, SyS � EN Square Footage: Dwelling: SSOD IS THIS PROPERTY WITHIN 200 FEET OF A SHORELINE? YES NO -'C Valuation Plan Review Fee Permit fee Surchar esTot 'Fees . Energy: S50.00 3 "O f 3 State: S 4.50 ( Gil '' Applications- for which no permit is issu d wiin 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 that 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. �^ APPLICANT'S SIGNATUR DATE: J /Q LV f RECEIPT RECEIPT NuMbers 01000794 Amounts 99.61 09/11/01 1303 Payment Methods CK Notations RUSH INNOVATE CK Init: VW -- P ------ermit----------------------ypez --------------FIRE-------------------- Not 01-0497 TFIREALMS ALARM PERMIT Wool Not 3793002-009-0004 Site AddreSSZ 925 ADELE AVE WOW= 044 SITE OF THE DRIS CLINIC Total Fees= 257.36 This Payment 99.61 Total ALL Pmts; 9961 Balance: 157.75 Account Code Description Amount 16-345.8300 (4580) BUILDXNG PLAN CHECK FEES 99.61 ---------------------------------------------------------------- � f 1'Ba�B 4 Aar555-a I..��� 09/11/2001 10:40 FA% 360 337 4874 KITSAP CO. ASSESSOR- _ ;, 0002 173 `✓ ,�=—�b�are-BB _. '—c- sgB-Br F ] I [ F. 1 ny/ep0/ / 23-A - 178 1 r 00.9 J .� �., • : ,� ; ,•` / / _ ,1—_—.�;=tea---}-�= '° �-�=�-� �:...• 068 1!TVf a '�- `+�,�r - 1-m-0 �.. Q3 -aa- Iii Dll se i 1.t�>` 73=— �� f•7 s-o•� ear s� Fjro'Ii`-aBSeor�so`J .. � � ---14. �"";-:R" It Blf oftf0� I. d_.-. �aot8 I.j�sr�r-so,5��„1<-,.., _'4z_sr..r�`-_-.•.-1';ti —=i I I .I 3I 183 I h.I e.11 'I fR 1, fnx 11 tel 1 ��� ./.....mgt/ 1a 1 I t las —1 _1e 1 Dat Dsts�$ns�Dt1 hte Ds ie law 1ACI D 8MM354 / 1-NZM! . ® t fly h \".A �i 1JNl1L?W+v DR! F � f 1'Ba�B 4 Aar555-a I..��� --� Iw r 173 `✓ ,�=—�b�are-BB _. '—c- sgB-Br F ] I [ F. 1 ny/ep0/ / 010 1 D73-80 = 1 A171 A 00.9 J .� �., • : ,� ; ,•` / / _ ,1—_—.�;=tea---}-�= '° �-�=�-� �:...• ._.... _ _ 1!TVf a '�- `+�,�r - 1-m-0 �.. Q3 -aa- Iii Dll se i 1.t�>` 73=— �� f•7 s-o•� ear s� Fjro'Ii`-aBSeor�so`J .. � � ---14. �"";-:R" It Blf oftf0� I. d_.-. �aot8 I.j�sr�r-so,5��„1<-,.., _'4z_sr..r�`-_-.•.-1';ti —=i -a>a_ar r�.fi {¢-”[ s. .I 3I .37 �In�•8a--�-- �� � [I4_.--'�:.,-._ L� i� _ ...1,u.€ "'_,�' 618 -OD .� - I� 1 I t las —1 _1e 1 Dat Dsts�$ns�Dt1 hte Ds ie law i [ 1� 1 _. �.; 1 { 0-4 —_ie �_r° �JiADB. BPB-0V� S�T�;I 1-NZM! . ® t fly h \".A i ---"-i i i 161 1 11 1 v+o 1 1 j 41EXISINGA41� TS M 14 [ i { 141 ..1. ! � l � l ku'llr%M . i (159 1 1�f1 tie l y--- ---- I 8OJ4 s�, —1 I 1 136 1A Z- 15-7 1i - [ dS5 145 �`d34 1 133 [ 178 r --''_j W)Ktx**R*I* *X*)KX RECEIPT RECEIPT Number: 01000823 Amount: 157.75 09/20/01 15:21 Payment Method: CK Notation: RUSH CK In i't t 10, 11 -------------- - --------------------------- Permit No.* 01-0497 Type* FIREALMS FIRE --------- ALARM PERMIT Parcel No: $7830OZ.009-0004 Site Address: 925 ADELE AVE Location' OLD SITE or THE OR'S CLINIC Total Fees: 257,36 This Payment 157.75 Total ALL Riots. 257.36 salanoe: .00 ftcount Code Dtsraripiion Amount 16-322p1001 (2211) BUILDING PERMIT FEES 153.25 643-237.13 (0236) STATE OF WA SURCHARGE ----------- 1— -------- ---------- --, ----------------- . 4»50 --------- 'A. CLINIL q�25 �ADEzC Av. .SRFm, \A/A. NO2THW1=S7 SEGIAZITY S?ECiRL-lSTS 3(00 - (099 - 9411 =.N ITIA-TING ZoWEs -T,I� �T-T in FIRE MARSPi H N 5 1 10 VOLT. ACL 1c��o��D m SEP 112001 n I BREMERTON I I BUILDING DEPARTMENT H 14 5 H H H S H H S P H H H H hl N S �I N g H H S H S FvA.C. P, M, Ru5 F1 1-3-01 u� N a ro z. /'� N tJ 1d iJ G i pl TC R M, Ru5 F1 1-3-01 VISTA-128FB Installation. and Setup Guide Total Control Panel Load Worksheets To calculate the total current for the Aux. Power 1, Aux Power 2, Bell 1 and Bell 2 outputs and polling loop current, multiply the each device's standby and/or alarm current by the number of units used. 1. Enter devices used on Aux. Power 1 output, calculate standby and alarm currents, then add to get Aux. Power 1 current subtotal. 2. Enter devices used on Aux. Power 2 output, calculate standby and alarm currents, then add to get Aux. Power 2 current subtotal. 3. Enter devices connected to Bell 1 output, calculate alarm currents, then add to get Bell 1 output current subtotal. AUX. POWER 1 OUTPUT Total Current Device Model # Device Current X # of Units = Standby Alarm ID}39 ANN 1-jazi, 0 1 '090 Ax0 brae k�� a;43G I aao oy MaTIaN , �o (o oda ,oa }[XXX XXXXXX Bell I Output Subtotal (terminals 3 & 4) 1.7 amp max XXXXXX , a% 0 Aux. Power 1 Output Subtotal (terminals 10 & 11) , 08 tl LOA max 16L) 1.7A max AUX. POWER 2 OUTPUT Total Current Device Model # I Device Current X # of Units = Standby I Alarm Aux. Power 2 Output Subtotal (terminals 10 & 11) 1 1.OA max 1.7A max BELL 1 OUTPUT Total Current Device Model # Device Current X # of Units = Standby Alarm .136 1 XY= 35 Saw IS s s .o xxyx ,as KKKXXX XXXXXX XXXXXX }[XXX XXXXXX Bell I Output Subtotal (terminals 3 & 4) 1.7 amp max XXXXXX , a% 0 3� IIacT 20.4 a 4. Enter, devices connected to Bell 2 output, calculate alarm currents, then add to get Bell 2 output current subtotal. 5. Enter the total polling loop using values calculated in the polling loop worksheet. 6. Enter total calculated subtotals of all listed outputs, then add to get the combined current. These values are fixed. Section 20 - Final Power -Up Procedure BELL 2 OUTPUT Total Current Device Model # Device Current X # of Units =Standby Alarm WAVE �R .Soo 1Qam .Soo XXXM XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX Bell 2 Output Subtotal (terminals 5 & 6) 1.7 amp max XXXXXX POLLING LOOP Total Current Aux. Power 1 Output Subtotal Standby Alarm (Enter worksheet total, both standby & alarm columna) Aux. Power 2 Output Subtotal to Polling Loop Subtotal Bell 1 Output Subtotal -6 COMBINED AUX, POWER, BELL AND POLLING LOOP Total Current Standby Alarm Aux. Power 1 Output Subtotal 8 1W tl Aux. Power 2 Output Subtotal to �^ Bell 1 Output Subtotal -6 5140DLM Backup Dialer Module Bell 2Output Subtotal -V. Polling Loop Subtotal (inactive) Add all subtotals (j (Cannot exceed 1.0 amp max. standby; 2.3 amp max. alarm) 1 . bb 1 VISTA-128FB PCB CURRENT Total Current Standby Alarm Includes 2 -wire smoke detector loading on zones 1 & 2 and 300mA 470mA trigger output currents - 5140DLM Backup Dialer Module 5mA 15mA (inactive) (inactive) *5140DLM actually draws 55mA when active. However, since VISTA-128FB PCB current includes built-in main dialer current, and since main dialer is inactive when 5140DLM is active, 514ODLM imposes only 15mA added current on power supply. c2 VOLT 20-5 VISTA-128FB Installation and Setup Guide 7. Enter the calculated combined current, then add to total PCB current. TOTAL CONTROL PANEL LOAD Total Current Standby Alarm Combined aux. power, bell, and polling loop total ,o. ey ." PCBcurreA ,305 98sToTotal .98's— tal control panel load Total Yuma NP12-12 (connect 2 in parallel) 1. When not using the PS24, the total control panel standby load must be limited to 1.27A for 24- hour standby time, or to 510mA for 60 -hour standby time using a 12V, 34.3AH battery connected to the control. 2 When using the PS24, skip the worksheet shown below and fill out the worksheets found in the PS24's instructions instead. The total control panel standby load must be limited to 919mA for Y 24-hour standby time or 345mA for 60 -hour standby time using two 12V, 17.2AH batteries connected to the PS24. Battery Capacity Calculation Worksheet For burglary installations requiring 4 -hour standby time followed by 15 -minute alarm time, use a 12AH battery to support all loads up to and including the maximum system load (i.e., 1.3A standby/2.8A alarm total control panel load). For fire installations requiring 24-hour or 60 -hour standby time, use the worksheet below to calculate the required battery capacity. 8. Using the total calculated power supply load (step 8), calculate the battery capacity required for the installation. Capacity Formula Calc Value Standby Capacity total standby load X 24 or 60 hours X 1.1 contingency 24 AH Yuma NP12-12 (connect 2 in parallel) factor (use total standby load from previous Yuasa NP7-12 (connect 4 in parallel) 34.4 AH worksheet) Alarm Capacity total alarm load XX 0.083 hours (5 minutes) or 0.250 hours (15 minutes) (use total alarm load from previous worksheet) ; Total Capacity Add standby and alarm capacities Battery Selection Table (The following batteries will fit inside the VISTA-128FB cabinet) 9. Using the battery capacity value from step 8, select the appropriate battery. 20.6 12 AH Yuma NP12-12 14 AH Yuma NP7-12 (connect 2 in parallel) 17.2 AH Yuasa NPG1S-12 24 AH Yuma NP12-12 (connect 2 in parallel) 28 AH Yuasa NP7-12 (connect 4 in parallel) 34.4 AH Yuma NPG18-12 (connect 2 in parallel) BATTERY CAPACITY CALCULATIONS (Cont'd) 2 FII in the Total PS24 MODULE Load Worksheet, below, to deter- mine the PS24's total standby and alarm current loading. Then use the BATTERY CAPACITY CALCULATION WORKSHEET to determine the capacity required for each of the PS24's batteries. Select 12 -volt batteries from the BATTERY SELECTION TABLE having capacities which are greater than, or equal to, the calculated capacities. BATTERY CALCULATION WORKSHEETS Total Control Panel Load Standby Alarm Total control panel load at 12V (Note 1) (fmm control panel worksheets) 38 1.1q Equivalent control panel load at 24V (multiply above values by 0.62) • 2 ,10 Total PS24 Module Load Worksheet Standby Alarm Total OUTPUT A load (Notes 2, 3) Total standby load x hours x 1.1 contingency factor (use total PS24 standby load) / o (total for all devices on OUTPUT A) (670 mA max) (.7A mak) Total OUTPUT B load (Notes 2,3) 1%� -- (total for all devices on OUTPUT B) (570 mA max) (1.7A max) CONTROL BATTERY POWER toad . (use total PS24 alarm load) _- - (equivalent control panel load at 24V Add standby and alarm capacities as calculated above) ..;23 1 l CJ S24 PCB current 0 mA 0 mA (these values are fixed) Total PS24 module load (Note 3)7 (add currents In columns above) (610 mA max) (4.18A max) BATTERY CAPACITY CALCULATION WORKSHEET Capactty Formula b0 Calculated Value Standby Capacity Total standby load x hours x 1.1 contingency factor (use total PS24 standby load) 17. 81t Alarm Total alarm load x alarm time in hours 2required Capacity i.e.: 5 minutes = 0.083 hours j 15 minutes = 0.250 hours - r � G . (use total PS24 alarm load) _- - =city I Add standby and alarm capacities 1 l CJ CONNECTIONS AND POWER UP PROCEDURES A 7 -wire harness, consisting of six # 22 AWG and one #16 AWG wires, is provided for making connections between the P624 and the control panel. Use the #22 AWG wires to make connections to the PS24's INPUT A. INPUT B, LOW AC, and LOW BATTERY terminals. Use the #16 AWG wire to make connections to the PS24's Earth Ground terminal. Wire AC power and earth ground as shown in Figure 3. DO NOT APPLY AC POWER AT THIS TIME. • Wire INPUT A, INPUT B, OUTPUT A and OUTPUT B for the desired auxiliary power or bell circuit operation as shown in Figure 3. Devices powered from OUTPUT A or from OUTPUT B must be rated for 21- 30VFW (full wave rectified, unfiltered) operation. The following UL Listed devices are compatible with outputs configured for auxiliary power operation. First Inertia Switch Photoslotric beam smoke detector Model FIRERAY 1401 ESL Model DH -1224 12/24V electromagnetic fire door holder ESL Model DH -24120 24/120V electromagnetic fire door holder • Use UL listed, polarized fire indication devices on outputs configured for EOLR supervised bell circuit operation. Refer to the tables below for examples of compatible fire indication devices and for recommended limits on bell circuit wire run length. -2- NOTE 1: Input A and Input B draw 50mA from the control panel when 9.5V --14V is applied to actuate the corresponding output. Be sure to include this in the control panel's total load. NOTE 2: When configured for auxiliary power operation, enter the continuous load in the standby column and enter the continuous load plus any additional intermittent alarm load in the alarm column. When configured for bell circuit operation, enter V in the standby column and enter total load in the alarm column. NOTE 3: The largest battery capacity supported by the PS24 is 17.2AH. Total PS24 standby current must be limited to 610mA maximum for this battery. BATTERY SELECTION TABLE p Hours YURM Model Number Comments 7AH NP7-12 2 required 12 AH NP12.12 2required 172 AH NPG18-12 2 required NOTE: flee two batteries from the same manufacturer, with the same capacity and with approximately the same age. Replace both batteries at the same time even If only one battery is law. • Wire the LOW AC and LOW BATTERY outputs to separate control panel EOLR supervised zones. Program the respective control panel's zones for 24-hour trouble response. • Connect the PS24's CONTROL BATTERY POWER output fast -on terminals to the control panel's battery terminals, using the battery cables supplied with the control panel. - • Appy AC power and verify that the proper battery float charging Mage (27.0-27.6VDC) is present across the BATT 1 (+) and BATT 2 terminals. Then connect two 12V lead -acid batteries as shown in figure 3, using the battery cables supplied. MOTE: The battery cable's female Fast -on terminals should be ¢Upped off when making connections to the 17.2 AH batteries. • ediy that the LOW AC and LOW BATTERY outputs are in the not - d slate (.e.: shorted to ground through 220 ohms). ly that OUTPUT A and OUTPUT B are in the proper state (i.e.: for auxiliary power operation; not active for bell circuit operation). VIS`U-128FB COMMERCIAL SYSTEMS onnslon, Commercial Fire and season Partitioned Alarm. Control An ADEMCO Group Company Mechanical' - - '=5121575 Cabinet dimensions: -SZ41575 18"H X 14.5"W X 4.3"D Manual pull stations - - ' 514OMPS-Series Environmental: V-Flex devicese Storage temp: 420BU Loop Ekpansion Module- eight zones --10°C to 70°C - 4209U Group Zdpmg, Module - two/four zones Operating tamp: - '-4190WH..Remote PoiarModule-twozones — 0°C to 50°C - 4193SN Two ZoueSeria1 Interface Module `Humidity: - 4293SN.OneZbne SwW Iirterface Muduie -85%RH 4297101 ation/FxtendbrModule EMI: Smoke detectors` Meets or exceeds the following requirements:= 4192M Seiies .. — FCC Part 15, Class B Device Paissf rw4nfrared.de[ectorr. —FCC Part 6899 MX , IEC EMC Directive 'w 4: 42M SN AGENCY LISTINGS (Pending)" Burglary: 4194M - UL609 Grade A Loral Mercantile Premises and Mercantile' 49395N Safe and Vault k . " — UL611/1610 Grades A, AA, Central Station Glass breakdeMctorx —UL365 Grades A, AA Police Connect-4-7500 Fire: — UL664/NFPA72 Local, Central Station and VISTA interactive phone module Remote Station -4285 VIP Mgdola — Factory Mutual Optiona[24V Ipower;upply — California State Fire Marshall =PS24 - 24V.ppweesupply - 3.4A —MEA - Long range radio _ — UL965 — 7720- Long.range radio ' Software. COMPATIBLE DEVICES =Compass Downloader -Windows compatible See ADEMCO Group control accessories compatibility -V-Link,-DOS:Qownloader':' chart for complete list Wireless davioes: (for use with QED control panels only) Auxiliary devices: =58040 --Bid€recbanat key; —6139R - red alpha keypad -5808 Wirelesssmoke detector - - 5140DLM -backup dialer module =5618 - DooriwmdMctraramitter 5140LED - LED annunciator module -5804 -Wireless key —4204 - relay module, four form C contacts gg27gp:gisdirectionalkeypad " 4204CF- two supervised output circuits -'5890 PIR —5881 EH - RF receiver supporting 5800 wireless detectors' .; — 6220S - system printer used with 4100SM serial module - 5849 - Glass break detector _ Two-wire smoke detectors conventional: -5819 - Shocksensorr - -2100 Series Photoelectric ORDERING.INFORMATION — 2400 Series Photoelectric - Part No. "peacrilifion —1100 Series Ionization Four-wire smoke detectors conventional: VISTA-128FB Commercial Fire and Partitioned — 2112/24 Series Photoelectric Burglary Alarm Control —tate series Ionization Horn/Strobes: VISTA-128FB-24> .Commercial Fire and Partitioned — HS121575 Burglary Alarm Control 24V — HS241575 - Model --H1224 AOEMCg—�D 165 Eileen Way, Syosset, New York 11791 • Copyright ©1998 Pittway Corporation ADEMCO is an IS09001 Registered Company. G R 0 U r UVIS128FB/O 7/98 Ank COMMERCIAL SYSTEMS DIVISION TVISTA-128FB is a Commercial Fire and Burglary Alarm Control interfacing with Access Control to provide complete protection of life and property. The Vista-128FB now features automatic calibration maintenancealert for its V-Plex and wireless commercial photoelectric detectors. The alarm control offers eight partitions in a UL Listed Commercial Fire ,and Burglarycontrol panel supporting up to 128 "zones/points using hardwired, compatible wireless devices and V flex technologies. It also supports initiating and notification circuits, digital dialers, keypads, RF receivers and relays. In addition, the control supports scheduling capabilities. Defined operations can be automated by pressing a single keypad button to enable user defined macros. The VISTA-128FB is available in 12V and 24V models. :y Features ♦ Eight zones standard expandable to 128 zones/points ♦ Eight partitions ♦ 150 user codes ♦ Two on -board notification (bell) circuits delivering 2.3A at 12V or 3.4A at 24V ♦ Supports in excess of 1,000 two -wire smoke detectors ♦ Seven authority levels VISTA-128FB Commercial Fire and Burglary Alarm Control lay ♦ Automatic V-Plex and wireless commercial smoke detector maihtenance reporting ♦ Supports UL268 Listed commercial wireless smoke detectors Optional gateway for high power access control integration (pending) ♦ Event logging storage, printing and retrieval ♦ Automatic scheduling features ♦ Easily programmed and maintained through Compass Windows- based software All 0�11111�111 1� 11C= COMMERCIAL SYSTEMS DIVISION ADDITIONAL FEATURES ♦ Notification Appliance Circuits — Programmable —Temporalcode compliant — Individually silenceable ♦ Programmable on -board auxiliary relay ♦ SIA false alarm reduction features: — Exit error logic — Exit delay reset — Cross zoning —Call waiting defeat — Recent close report ♦ Supports hardwired, V-Plex polling loop and wireless zones ♦ Hardwired zones — Provides eight style B hardwired zones —EOLR supervised for Fre and UL burglary installations — Supports N.0 or N.C. sensors — Individually assignable to one or all eight partitions — Up to 16 two -wire smoke detectors on zones one and two (32 total) —four -wire smoke or heat detectors on zones one to eight — Up to 50 two -wire glass break detectors on zone eight ♦ Patented V-Plex polling loop technology — Supports up to 120 two -wire multiplex zones/paints — Global polling technology far faster processing — Increased current draw capacity (128mA) — Supervised by panel — Individually assignable to partitions, notification circuit (bell) output or aux relay — 4,000 ft capability without the use of shielded cable — Extender/Isolation bus module —Two -wire smoke detector zone/group expansion module adds two or four zones — Eight zone - Class A and B extender module — Eight zone - Class B extender module — One zone supervised contact monitor module ♦ UL Listed wireless expansion — Supports up to 128 wireless zones using 5881 receiver — Supervised by control for check-in signals —Tamper protection for transmitters — Individually assignable up to eight partitions — Supports UL864/NFPA approved wireless smoke detectors ♦ Access control integration — Full integration with PassPoint Access Control System Complete Gateway interface of VISTA and access functions ♦ Event reporting ♦ Local printer of access or VISTA related event ♦ Scheduled uploading of events to central station ♦ Stored events for one call retrieval ♦ Communication — Phone mapping by zone response type — Supports VIP interactive phone voice module —Panel operation during download —Uploading equipment list to central station — Dual dialer capability for commercial fire applications — Communication to PassPoint via VISTA Gateway Module APPLICATIONS The VISTA-128FB control is well suited for a variety of applications as an integrated fire and burglary control. A diverse line of ADEMCO alarm notification appliances as well as initiating devices supports this extremely powerful control. Some of the applications supported are: medical and professional buildings, supermarkets, churches or synagogues, office buildings, schools, universities, strip malls, and factory or warehouse environments. INSTALLATION The VISTA-128FB alarm system has been designed to mount both quickly and easily in an attack resistant cabinet. It meats all applicable requirements for UL commercial Fire and Burglary installations and NFPA72. SPECIFICATIONS Electrical: Primary power: —120VAC to ADEMCO No. 1451 Transformer Secondary rated 18VAC,72VA Quiescent current draw: — 350mA 5691 EH Paeher 69ai q 'an"- - an" ns 3i Gh�eM1z ®Ww I oaamvmmw s��w VISTA-128FB Commercial Fire and Buglary Alarm Control Backup hatter: —12VOC, 12AH min to 34AAH max — Lead acid battery (gel type) Alarm power, —12VDC,1.7A max for each notification (bell) circuit output Aux. standby pwr. —12VDC,1A max Total power. —2.3A at 12VDC, 3.4A at 24VDC from all sources Standby time: —24 hours with 1A standby load or 60 hours with 205mA max standby load using 34AAH battery Fusing: — Battery input, aux. and notification (bell) circuit outputs are protected using PTC circuit protectors. All outputs are power limited. Main Dialer. Line seize: — Double Pole Ringer equiv.: —0.7B Formats: —ADEMCD Low Speed, ADEMCO 4+2 Express, ADEMCD High Speed, ADEMCD Contact 10, Sescoa and Badionics Manual PPI18ralbn9 �MPB-1' �MPS�T ��t1]'1MPB-5' —OMPS � 1P —t]T Per Swi6M1' -0Flow Swild,' flaw Temo BwittM1' 4. Plug the supplied flying lead connector into the keypad PC board and splice the panel wiring to it, or wire directly to the terminal block on the PC board (Wire colors are marked next to terminals). Wire colors and functions are described in the SPECIFICATIONS section. 5. Re -attach the keypad to its case back. 6. Remove the clear protective films from the LCD display and keypad labels. Remove case back by P -hi 9 down the 2 "ampa" along the keypads top edge and polling the case apart. - NOTE: The keypad will not enter address mode if the panel to which it is connected is in programming mode. 2. Set the current address to "00": Press [0[ to clear the current "tens" digit. The cursor will move to the "ones" digit position. Press [0[ to clear the current "ones" digit. The cursor will move back to the "tens" digit position. 3. Enter the keypad's address: Enter the proper "tens" digit of the keypad's address. The cursor will move to the "ones" digit position. Enter the proper "ones" digit of the keypad's address. Note that address "31" sets the keypad to non -addressable mode. 4. Exit address mode: Press Al to save the displayed address and exit address mode. VIEWING THE KEYPAD ADDRESS Press and hold down the [11 and [3[ keys at the same time for about 3 seconds. The current address is displayed. No key entry is allowed. Press any key to exit or wait 10 seconds to exit viewing mode. SPECIFICATIONS Physical: 6128: 4-3/4"11 x 5-3/4"W x 1"D (121mm x 146mm x 25.4mm) 6137/61378: 4.3/4"H x 6-L4"W x 1"D (121mm x 159mm x 26mm) 6138/6139/61398: 4 -NTH x 6-3/4"W x 1-1/4"D (121mm x 159mm x 32mm) Wiring. Red: +12VDC (all Keypads) Black: Ground. ADEMCO LEWTED WARRANTY Alarm Device Menufettnring Company, a Division of Pittway Coepomtiav, seed its divisions, ..beidimiss and oBbass, CBeller"),165 ED... Way, Syoaaet, New York 11791, weemsete its products to be m canformavice with its own plane and apeciScatime and to be free ham defects in materiels end wmkee—bip under, normal nae mad aarviss fm 24 months from the dem stamp control on the product or, f products not havheg an Adems data stamp, for 12 month. &sem date of mi" purchase uvle®. Die:netellatioo iastracdove or catalo to forth a aborter g as, of tod, in which as, the er s wr speperiod shall apply. 8eferb o is m to shell be limited m repairing or replacing, at its option, Dee of h.. for materials m ]acme Li product whish is proved not is he p d.et with Sellers epeefirationa or proves defective in asy,se at o , thas —k—hip under normal use and service. Sallee shall have no ebB ep under tide Limited Warranty m otherwise if product is altered se , N—Ym repaired or serviced by avyone other thea Ademco factory service. Far warravty cam., return product transportation prepaid, m Ademco Factory 9ervi., 165 Eilcen Way, Syeeeat, New Yark 11791. THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, OF MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE OR OTHERWISE, WHICH EXTEND BEYOND THE DESCRIPTION ON THEFACE HEREOF. IN NO CASE SHALL SELLER BE LIABLE TO ANYONE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES FOR BREACH OF THIS OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED, OR UPON ANY OTHER BASIS OF LJARDdTY WHATSOEVER, EVEN IF THE LOSS OR DAMAGE IS CAUSED BY THE SELLER'S OWN NEGLIGENCE OR FAULT. Seller saes, vot.p.sent that the p.ducm it sells may vat be rvmpromised or circumvented; that the products will prevent at, personal igjury or property loss by burglary, .bbery, fire or oth- or that the pmductr well is all cases provide adequate wmaing or pmteetien. Customer undust=& that a properly mat ted and eaamtsived alarm may anly red.to the ask of a hur- glmeabba e, See or other evente aavrrivg without pwveoag an alarm, but it is not.masa. or a gumantae flat such wiR not occur or that thers will be as peraomi injury or property leas ea e .salt. CONSEQUENTLY, SELLER SHALL HAVE NO LIABILITY FOR ANY PERSONAL INJURY, PROPERTY DAMAGE OR OTHER LOSS BASED ON A CLAIM THE PRODUCT' FAILED TO GIVE WARNING. HOWEVER, IF SELLER IS HELD LIABLE, WHETHER DIRECTLY OR INDIRECTLY, FOR ANY LASS OR DAMAGE ARISING UNDER THIS LIHTE➢ WARRANTY OR OTHERWISE, REGARDLESS OF CAUSE OR ORIGIN, SELLER'S MAXIMUM LIABHITY SHALL NOT IN ANY CASE EXCEED THE PURCHASE PRICE OF THE PRODUCT, WHICH SHALL FE THE COMPLETE AND EXCLUSIVE REMEDYAGAiNST SELLER. This werrzaty replace. any peeviuue warranties and ie the only warranty made by Seller on ADEMCE3 R 165 Eileen Way, Syosset, New York 11791 'I Copyright © 1993 PITTWAY CORPORATION III N6752V8 I8II�IIIIuIIII'III V8 8/98 Blue: If present, not used. Green: Data to control panel. SETTING THE KEYPAD ADDRESS - Current: Yellow: Data from control panel. The keypad can be set for an address of 0-31 (the keypad will not 6128: 40mA sounder on, 20mA standby, alarm sounder off. f3ut�(*6 accept entries greater than 31), which is stored in EEROM memory. 6137/6137R: 85mA (ARMED LED ht, LCD backlight and sounder on), The keypad's default address is 31 (non -addressable mode–some early reduces to 40mA when panel is operating in standby versions of 6139/61398 default to 11). mode (backlight off). To change the keypad's address, do the following: 1. Enter address mode: Power up (plugin) the keypad. Within 60 \k 6139/6139R: 100mA (ARMED LED lit, LCD backlight and sounder seconds of power -up, press and hold down the [11 and [3[ keys at the - on), reduces to 40mA when panel is operating in standby mode (backlight off). same time for 3 seconds. (If unable to enter address mode, power up ; - . and try again)Displays: The current keypad address will be displayed, and the cursor will be 6138: - 1 x 16 alpha -numeric supertwist LCD, backlit. under the "tens" digit. If 10 seconds have passed with no key entry, 6139,6139R: 2 x 16 alpha -numeric supertwist LCD, backlit. the keypad automatically exits address mode. You must power 6128,6187: Fixed -Word LCD (6137 backlit). down, power up and start address mode again. Sounder: Piezo-electric (fire alarm is loud, pulsing single tone; (all Keypads) burglary alarm is loud, continuous, dual - i -- tone). - REFER TO INSTALLATION INSTRUCTIONS FOR THE CONTROL PANEL FOR DETAILS ON LIMITATIONS OF THE ENTIRE ALARM SYSTEM, ADEMCO LEWTED WARRANTY Alarm Device Menufettnring Company, a Division of Pittway Coepomtiav, seed its divisions, ..beidimiss and oBbass, CBeller"),165 ED... Way, Syoaaet, New York 11791, weemsete its products to be m canformavice with its own plane and apeciScatime and to be free ham defects in materiels end wmkee—bip under, normal nae mad aarviss fm 24 months from the dem stamp control on the product or, f products not havheg an Adems data stamp, for 12 month. &sem date of mi" purchase uvle®. Die:netellatioo iastracdove or catalo to forth a aborter g as, of tod, in which as, the er s wr speperiod shall apply. 8eferb o is m to shell be limited m repairing or replacing, at its option, Dee of h.. for materials m ]acme Li product whish is proved not is he p d.et with Sellers epeefirationa or proves defective in asy,se at o , thas —k—hip under normal use and service. Sallee shall have no ebB ep under tide Limited Warranty m otherwise if product is altered se , N—Ym repaired or serviced by avyone other thea Ademco factory service. Far warravty cam., return product transportation prepaid, m Ademco Factory 9ervi., 165 Eilcen Way, Syeeeat, New Yark 11791. THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, OF MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE OR OTHERWISE, WHICH EXTEND BEYOND THE DESCRIPTION ON THEFACE HEREOF. IN NO CASE SHALL SELLER BE LIABLE TO ANYONE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES FOR BREACH OF THIS OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED, OR UPON ANY OTHER BASIS OF LJARDdTY WHATSOEVER, EVEN IF THE LOSS OR DAMAGE IS CAUSED BY THE SELLER'S OWN NEGLIGENCE OR FAULT. Seller saes, vot.p.sent that the p.ducm it sells may vat be rvmpromised or circumvented; that the products will prevent at, personal igjury or property loss by burglary, .bbery, fire or oth- or that the pmductr well is all cases provide adequate wmaing or pmteetien. Customer undust=& that a properly mat ted and eaamtsived alarm may anly red.to the ask of a hur- glmeabba e, See or other evente aavrrivg without pwveoag an alarm, but it is not.masa. or a gumantae flat such wiR not occur or that thers will be as peraomi injury or property leas ea e .salt. CONSEQUENTLY, SELLER SHALL HAVE NO LIABILITY FOR ANY PERSONAL INJURY, PROPERTY DAMAGE OR OTHER LOSS BASED ON A CLAIM THE PRODUCT' FAILED TO GIVE WARNING. HOWEVER, IF SELLER IS HELD LIABLE, WHETHER DIRECTLY OR INDIRECTLY, FOR ANY LASS OR DAMAGE ARISING UNDER THIS LIHTE➢ WARRANTY OR OTHERWISE, REGARDLESS OF CAUSE OR ORIGIN, SELLER'S MAXIMUM LIABHITY SHALL NOT IN ANY CASE EXCEED THE PURCHASE PRICE OF THE PRODUCT, WHICH SHALL FE THE COMPLETE AND EXCLUSIVE REMEDYAGAiNST SELLER. This werrzaty replace. any peeviuue warranties and ie the only warranty made by Seller on ADEMCE3 R 165 Eileen Way, Syosset, New York 11791 'I Copyright © 1993 PITTWAY CORPORATION III N6752V8 I8II�IIIIuIIII'III V8 8/98 INSTALLATION AND MAINTENANCE INSTRUCTION& k "s TEM SpectrAlert Horns, Strobes, and S�p / y+ �Y.0®®7 /�® Horn /Strobes Strobes & Hum/Strobes: 12 -volt models - 10.5 to 17 volts; 24-volt- 20 to 30 volts A Division of Pittway For use with the following models.,=-'= - 3825 Ohio Avenue, St. Charles, Illinois 60174 Horns: 12/24 volt: H32/29 iF;i- 1-800-SENSOR2, FAX: 630-377-6495 Strobes: 12 volt: 51215, 5121575 Operating Temperature: 24 volt: 52415, 52430, 5241575, S2475, 524110 l K Series: Combo: 12 volt: P1215, P121575 -- - -- 24 volt: P2415, P2430, P241575, P2475, P24110 1, Add sdix "K° for weatherproof linm and homisuobe, red housing only. - SPECT rt_ Add suffix K" for outdoor strobe only. red honing anly. - - Light Output: Add affix "F' fur tmiz marked NUEGo, "EV' for MC, WAG' for AGENT. available an 241575, and housing only. Add aa6 'P" for plain (non -printed) 241575 only. ' 4(1 Add sutBx "liLP' for Red Lens, "ALP" for Amber Lene,'GLP" for Green Lens, ar "BIP" for Bl a Lens. Available on 2475 plain, red hausing only. Add side. "W" i—li , housing models Models with a red, amber, green or blue tens are listed at 75 candela per UL 1638. Specifications Voltage Range: . DC or FullWe-Rectified Horn: 10.5 to 30 Volts - models Strobes & Hum/Strobes: 12 -volt models - 10.5 to 17 volts; 24-volt- 20 to 30 volts (with MDL module): 12 -volt models - 11 to 17 volts; 24 -volt models - 21 to 30 volts - NOTE: Horn and combo units will operate on walk tests with on-time durations of 1 sec. or greater. Flash Rate: 1 Flash Per Second b6 - - Operating Temperature: 32' F to 120' F (0' C to 49' C) Horn horn/strobe models are indoor listed, having a temperature range of 32' F to 150° F (0° C to 66° C) and are K Series: and Rainproof per UL50 (NEMA 3R). i= Strobe only models have a temperature r ge of 40° F to 158° F (-40° C to 70° C), and are indoor/outdoor listed per UL1638 and indoor listed per U1,1971 S24119K is rated 60 candela @ -40° C. S2475K and S241575K we rated 41 candela @ -40° C. Light Output: Models with 15 only in the model numb :are listed at 15 candela Models with 1575 are listed at 15 candel� per UL 1971 but will provide 75 candela on axis (straight ahead) Models with 30, 75 or Ito are rated for that candela. Models with a red, amber, green or blue tens are listed at 75 candela per UL 1638. Smmd Output: Sound output levels are established at Underwt tern Laboratories in their reverberant room. Always use the sound out- - put specified as UL Reverberant Room whgn comparing products. - Listings: UL, FM, CSFM, MEA. K Series models am:UL, CSFM, MEA listed only. - General Description 'V Power Supply Considerations The SpectrAlert series notification appliances are designed to meet the - Panels typically supply DC filtered voltage or FWR (full -wave rectified) requirements of most agencies governing these devices, including:. voltage. The system design engineer most calculate the number of units NFPA, ADA, The National Fire Alarm Code, UL, FM, CSFM. MEA. Also, -'used in azone based on the type of panel supply. Be certain the sum of check with your local Authority Having Jurisdiction for other codes or: all the device currents do not exceed the current capability of the panel. standards that may apply. Calculations are based on using the device current found in the subse- i' quent charts and must be the current specified for the type of panel The SpectrAlert series can be installed in systems using 12- or 24-voltpower supply used. panels having DC or full -wave rectified (FWR) power supplies. ThsA series can also be installed in systems requiring syncbmnvaGo ";, Wire Sias. (module MDL required) or systems that do not require synchronization - The designer mustbe sure that the last device on the circuit has sufficient (no module required). voltage to operate the device within its rated voltage. When calculating - the voltage available to the last device, it is necessary to consider the volt - NOTICE: This manual shall be left with the owner/user of this equipment. age drop due to the resistance of the wire. The thicker the wire, the less the voltage drop. Generally, for purposes of determining the wire size n -- Fire Alarm System Considerations .t Mary for the system, it is best to consider all of the devices as "lumped" Temporal and Non -Temporal Coded Signals: on the end of the supply circuit (simulates "worst case"). The American National Standards Institute and the National Fire Alarm Code require that all horns used forbuilding evacuation installed after July - Typical wire size resistance: 1, 1996, must produce Temporal Coded Signals. 18 AWG solid: Approximately 8 ohrns/1,000 ft. 0d' A tel 5 ohms/l 000 ft Signals other that. those used for evacuation purposes do not have to pro- duce the Temporal Coded Signal. Temporal coding is accomplished by inter- rupting a steady sound in the following manner: '/a Sec. , Sec 'la Sac. l/z Sac- '/z Sec. 1%S Repeats _ oa o00. on as Off 16 AWG sq . pprnxiroa y . 14 AWG solid: Approximately 3 ohms/1,000 ft. 12 AWG solid: Approximately 2 ohms/ 1,000 ft. Example: Assume you have 10 devices on a zone and each requires 50 mA average and 2000 Ft. of 14 AWG wiring (total length=outgoing +re - rum). The voltage at the end of the loop is 0.050 amps per device x 10 devices x 3 ohms/1,000 ft. x 2000 ft =3 volts drop. D900-13-00 - 1 156-0982-018 Strobe Only: '75 cd nw4els wltll cabretl lane NA 79 82 85 NA NA NA 94 96 98 Horn Only: NigbiLow Tamp AVE RAGE CURRENT(.A) 24V Moaa{c HIghft_ w Temp 12V Motlels 10.6V 12V Iry 20V 24V 30V Tone Volume IN*" Dc Iwo oc rvm uc rwx oc rum x — a !Electro- High Tem_D 10 1t 10 f0 14 14 19 21 25 18 29 28 mach. Non 10 16 10 19 14 25 17 29 23 30 30 42 Lav Tem NA NA NA NA NA NA 11 12 13 13 17 15 Non NA NA NA NA NA I NA 1 12 1 18 1141 191 171 7A 3000 Hz High Tem 11 1311 11 18 18 24 28 28 23 37 33 ilnte PL Non 11 17 11 2t 14 28 tii 39 2] 38 35 45 Lew Temp NA NA1 NA INA I NA 114 14 17 15 21 19 Non NA NA NA NA NA NA t3 18 18 21 22 25 Horn/Strobe 15 ed: Homw T—P AVERAGE CURRENT(.A) HIpNLow 12V Medelw 26V Modell t0.5V 12V 20V MV 30V =.P Volurtw Mon 1 cwx oG w.st -1— 'electro- High Temp 143 1]0 12d 18] 95 142 6B 82 68 B 67 B7 !M Irnech, Nen 143 1]0 124 187 95 142 67 80 88 68 103 Low Tem A NA NA 81 73 56 ]3 55 76 Non - A Nq NA 62 71 5] 79 55 as 3000 Hz High Tem ea 97 144 74 a7 ]1 83 75 09 *NA �Ihis-in. Nan 68 95 168 89 95 70 ge 73 108 Lew Tem N4 NA NA 84 75 Horn/Strobe 110 cd and 75 ed with colored lens NAI NA I NA 10 1 79 1 691 81 1130 86 Hom/Strobe 1575 ad: 20V 24V 30V AVERAGE CURRENT ImA) HIghlLow Temp 0 10.5V t2V iTV20V KV 30V (Tone Yelume /Non a a FWR oc rw Electro- High TeMp 178 193 113 186 75 68 74 82 73 88 Imech. Nen tT8 193 113 164 ]3 94 ]2 98 74 109 Low Tem NA NA NA NA 87 7] 82 77 61 77 Nan NA NA NA NA 68 81 83 W 81 86 13000 Hz High jg 179 195 115 IN ari 91 77 87' Bi 95 JNAN'A Nan 179 196 113 IN 75 99 76 103 79 107 �Inlenupt Lew Tem NA NA NA NA 70 79 86 79 85 81NA NA NA 69 83 65 M 86 67 Hein/Strobe 80 ed: NA 79 82 85 NA NA NA 94 96 98 AVERAGE CURRENT (mA) NigbiLow Tamp 20V 24V 90V Tone Volum, IN rwa ec two Ix rwR Eledm- High Tem 100 8] 90moth,Non 24 116 88 114Lev/ Tem O 95 75 B]Non 1Z t 101 75 963000 MP Hz High Tem 5 105 95 105IntemlPt Non 4 12i B3 117low Tam 4 97 ]9 91NonJ NA 103 BO B] Horn/Strobe 75 ed: 79 AVERAGE CURRENT(mA) Homw T—P 2- 30V Tom.VIN.. a wx xI nHa Electro- High - Tem 164 191 148 167 131 167 meah. Nm 183 788 146 169 132 169 Law Tem 158 762 136 162 119 IN Non 157 782 13'7 162 119 157 3000 Hz High Tem 169 16(1 151 172 139 174 InlenupL No, 164 782 150 775 t37 177 Low Tennp 159 184 140 164 123 IN Nan 158 188 139 163 1241 162 Horn/Strobe 110 cd and 75 ed with colored lens AVERAGE CURRENT(mA) HIghlLow Tamp 20V 24V 30V Tone Dc wB Electro- High Tem 188 241 165 209 144 200 ..on. - don 786 238 163 211 145 202 Lout Te 1B0 232 153 204 132 189 Non 101 232 154 204 132 190 3000 Hz High em 193 246 768 21a 152 20] Inlenupt. n 189 242 187 21] 150 210 Low Tem 183 234 15] 206 136 793 Non 182 232 156 205 137 195 Sound Output Guide NA 79 82 85 NA NA NA 94 96 98 UL Reverberant Room dBA& volts DC Anechoic dBA 010 ft./volts DC High Volume Electromechanical 79 79 85 85 88 88 94 95 98 100 101 102 lu U 1Z 24 23 in 14.E 1Z 11 22 21 .0 Temporal Low Volume Electromechanical NA NA NA 75 75 79 NA NA NA 94 96 98 Electromechanical sound. With the jumper In place, the tone is 3000 Hz Interrupted NA NA NA 75 79 79 NA NA NA 94 96 98 High Veltane Electromechanical 75 75 79 82 82 82 94 95 98 100 101 102 3000 Hz Interrupted 75 75 79 82 85 85 94 95 98 100 101 102 Nan- Low Volume Electromechanical NA NA NA 79 82 85 NA NA NA 94 96 98 Temporal 3000 Hz Interrupted NA NA NA 82 82 85 NA NA NA 94 96 98 High Volume Electromechanical 79 79 85 85 88 88 94 95 98 100 101 102 3000 Hz Interrupted 79 82 85 88 88 88 93 95 98 100 101 102 The same number of devices using 12 AWG wire will produce only Temp/Non-Temp: 2 volts drop. The same devices using 18 AWG wire will produce 8 Temporal coding or Non -Temporal coding can be selected us - volts drop.Consult your panel manufacturer's specifications, as ing the jumper plugs located on the printed circuit board. well as SpectrAlert's operating voltage range to determine accept- With the jumper offset, the tone pattern Is the Temporal Coded able voltage drop. Signal. With the jumper in place, the Non -Temporal code HornmSelections (continuous) tone is active. Hos are factory set for high volume. temporal code, and electrome- chanical tone. High/Low Volume: Tones: High or low volume may be selected using the jumper plugs Two tones may be selected using the jumper plugs located on located on the printed circuit board. With the jumper in place, the printed circuit board. With thejumper offset, the tone is the the sound output level is the high level. With the jumper off - Electromechanical sound. With the jumper In place, the tone is set, the sound output level is the low level. The low volume a 3 kHz sound. setting must NOT be used when the device is powered from a NOTE: When powered from FWR supply, tones will be modulated 12 -volt panel. (turned on and off) by 120Hz causing the tones to sound different from UC power. NOTE: Always power down devices before setting jumpers. D900-13-00 2 156-0982-018 INSTALLATION AND MAINTENANCE INSTRUCTIONS 2100S and 2100TS Photoelectronic Smoke Detectors "STEM SENSOR' A Division of Pittway 3825 OhioAvenue, St. Charles, Illinois 60174 I-800-SENSOR2, PAX: 630-377.6495 Specifications Diameter: 5.5 inches (140 mm) Height (including mounting bracket): 1.9 inches (48 mm) Weight: 5.3 oz. (150 g) Operating Temperature Range: Model 21005: 32° to 120°F (0° to 50°C) Model 2100TS: 32° to 100°F (0° to 38°C) " Operating Humidity Range: 10% to 93% Relative Humidity, Noncondensing Latching Alarm: Reset by momentary power interruption Heat Sensor (Model 2100TS only): 135°F Fixed Temperature Electronic Thermistor Electrical Ratings System Voltage - Nominal: 12 or 24 VDC Minimum: 8.5 VDC Maximum: 3S VDC Maximum Ripple Voltage: 30% of nom. Voltage (peak to peak) Start-up Capacitance: 0.02 pF maximum Standby Current: 50 pA maximum Alarm Ratings: 4.2 VDC minimum at 10 mA. 6.6 VDC maximum at 130 mA. (Alarm current must be limited to 130 mA maximum by the control panel. If used, the RA40OZ Remote Annunciator operates within the specified detector alarm currents.) Reset Voltage: 2.5 VDC minimum Reset Time: 0.3 seconds maximum Start-up Time: 30 seconds maximum (after 60 second reset) Before Installing Please thoroughly read System Sensor manual 156-407; Guide for Proper Use of Systent Smoke Detectors, which pro- vides detailed information on detector spacing, placement, zoning, wiring, and special applications. Copies of this manual are available at no charge from System Sensor. NOTICE: This manual shall be left with the owner/user of this equipment. IMPORTANT: This detector must be tested and maintained regularly following NFPA 72 requirements. The detector should be cleaned at least once a year. General Description Model 21005 is a 2 -wire photoelectronic smoke detector that uses a state-of-the-art optical sensing chamber. This detector is designed to provide open area protection and to be used with compatible UL -listed panels only. Model 2100TS features a restorable, built-in, fixed -temperature (135°F) thermal detector. Installation of these detectors is simplified by the use of a mounting bracket and a plug-in screw terminal block that can be prewired to the system, allowing the detector to be easily installed or removed. The detector's sensitivity can be tested in place using the MOD40OR Test Module. An LED on the detector provides a local visual indication of the detector's status. If power is applied to the detector, and it is functioning normally in standby mode within the listed sensitivity ranges, the status LED blinks once every ten sec- onds. The LED also provides a visual indication that main- tenance is required. If the LED stops blinking, the detector is either not powered, out of the listed sensitivity range, and/or unable to function properly. The test switch will not operate if the detector is below the insensitive limit. The LED will also latch on when the detector is in alarm. D200-54-00 I 156-710-14R Electrical Railings Chemelr®riidge 6125—A0.3AAnp HEAT DETECTOR Izs vp� oc. sawnv. SERIES 600 pwe�a.p.1AmP. SPECIFICATIONS eCalifomla State Fire Marshal Listed aAPprob Board of Standards and Appeals, NYC (MEA) 1.110 2-110 M.1— sparing Ideref icadon on Circuit Oaoult Allowanpe Had Collaclor Modal Model Description Appllcanons UL FM Nene fi01 apt RNeaFRbe end Far Tee FYatl TemP., NormaE Pare,. fluGaeXpna entl peYYq 50x50 X. 30230X. O Intlepen 136°F (bTC). deM nM "odXe 1 W F l3G°Cl —oft Signal, Dray RYlp 802 apt RoeaF-Rlea arq NPmel hnFanrWro 50x60 X. 30z30R FprT Med U.P. IMapen- p00°F (aa°CI Y—W.ns anile Um IempaaWree e2uedip oo tleM apnel¢ 100°F (3X°C)Outnpr EF iN°G) Gro Sppl 803 81S FdatlT P. UnuawYy vlaMM ...ft 20zp0. Fur Tyro —,—F Intl¢pem (6AC1. bmperwnfAwWYUne —1.0 gumpe— tlaiH expeetlirp lW°F (3B°C1. 9ipnie any SP.. FXg 809 B24 F T p. unOwavM l 15x16. 16x15. Fm two Onl,-0 temperature fluetuatlan¢ [Mew, (se°0). dem arq CaYie bmperaNrea emeeev—F(39°C) Slpmla Dn nil 150°F (carol. Kbler b N FFA 9XntleN Tp Im applkalbn roquliameMe. Uadng and Approvals: -11L Listed a FM Approved eCalifomla State Fire Marshal Listed aAPprob Board of Standards and Appeals, NYC (MEA) ChemetWiffai® HEAT DETECTOR • Rate -of -Rise and Fixed Temperature • One orTwo-Circuit, Normally Open WARNING: • HEAT DETECTORS ARE NOT LIFE SAFETY DEVICES: USE FOR PROPERTY PROTECTION ONLY! WHERE LIFE SAFETY IS REQUIRED. SMOKE DETECTORS MUST ALSO BE USED, RATTERV BACK -U P: HEAT DETECTORS SHOULD BE ELECTRONICALLY SUPERVISED WITH BATTERY BACKUP AT THE PANEL. • THE RATE -0F -RISE MECHANISM MAYBE SUBJECT TO REDUCED SENSITIVITY OVERTIME. ANNUAL TESTING OFT E RATE -OF -RISE OPERATION IS RECOMMENDED REFER TO NFPA STANDARD 72 FOR APPLICATION REQUIREMENTS. TESTING AND MAINTENANCE. STANDARD SINGLE CIRCU IT DETECTOR DUAL CIRCUIT DETECTOR (used to send two Independent slgnale) WIRE FROM FIRE CIRCUIT NO.2 �f ALARM PANEL OR CONNECTED CIRCUITNO.1 PREVIOUS DETECTOR SIMILARTO /� WIRE CONNECTED 0 CIRCUIT N0.1 V TO NEXT DETECTOR p OR END OF LINE I`s 0 RESISTOR 8._Terminala WIRE FROM ALARM PANEL OR PREVIOUS Q WIRE CONNECTED DETECTOR TO NEXT DETECTOR 0 OR END OF LINE WIRE CONNECTED L� RESISTOR - 1 TO NEXT DETECTOR OR END OF LINE RESISTOR NOTE: Allsingle circuit models come with NOTE: All duel draft models came wit one(1)n Wr ,aw dry ceded. two (2) nmmelty open d7 conlech. 9 AURORA In Pig notion Sensor • Immune to pets up to 40 lbs. • 35 ft. x 45 ft. (10.6m x 13.7m) coverage • Advanced ASIC -based processing • Split -Zone Optics technology • Ultra-low current (<4operation on mA nominal) • Totally silent relay p compensation • Dual -slope temperature comp . 6 -year warranty S CE Assembled in MEXICO 7 81410 25919 5 B R E M E R T 0 N B U I L D I N G D E P A R T M E N T P E R M I T Application Date 03/19/1993 Application Number 93AP06400 ;Issue Date 04/12/1993 Permit. Number 14524 Assessor Acct # Project Group Site Location 925 ADELE STREET Owner - bast. Name WEST BREMERTON First DOCTOR'S CLINIC MI Street 925 ADELE STREET City BREMERTON State WA Zip 98310 - Phone (206) - Tenant's Name Phone(206) - Agent's Name ROD WARCZAK #377-2972 Phone(206) Architect's Name [X1 Building [ ] Grading [ j Sign [ ] Paving [ ] Mechanical [ ] Move Building [ Burning [ ] Underground [X] Plumbing [ Mobile Home [ ] Land Clear [ } Demolition ____________________-__---_--------_-----__-------___.__-__---__ Building Contractor: Work will be completed by owner. Nature of Work: Remodel opthalmology suite to remove partition walls, add larger doors, move plumbing. Building Valuation $1291.9.00 ___ _ T Council District S _ Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation ( ] Business [X] Type Framing [Xa Other, [ 7 Insulation [ l New [ j Plumbing [Xj Repair [ Status Mechanical [ I Remodel [Xj Code Wallboard [X): d - rvAri:dition [ j 12 .----__- Final'-----_--- Received iiy_._ -/ Approved By, P R E M E'ug TON B U I L D I, N G : D E P A R T M aE N 74 , £v, t ws _ P L U M P 2; 9I G I" R kl I T A P P L I `G A T I O N Application Number 913AP06400 Contractor ALTENBURG PLUMBING Street 1.462 B DAWN ROAD NE City : BREMERTON Phone (206) 479-4664 State WA Zip 98310 Representative State License # ALTENI*223.75 Expiration Date 02/20/1993 City License # Expiration Date'.. Toilets Bathtubs 4 Basins Showers: Kitchen Sinks Dishwashers Laundry Trays Clothes Washers Water Heaters Urinals Drinking Fountains - Drains _ Slop Sinks 4 Water Piping Interceptors Vacuum Breaker - -:Lawn Sprinkler - - Fire Sprinkler Private Pools Semi -Private Pools Public Pools Groundwork Sumps Alterations Kidney Machines Private Hot Tubs Semi -Private Hot Tubs` Public Hot Tubs Other Options -- -- - Y5ga 669 p�pa ��yy ��vn Ys U R F #"4 M. :R. M Jh p��y gy i .M V a V 3. Y y� Y 6% yq L 0 4 !.1 lV C3 p� Y1 tt9 atl �v y{' 4M �.S � .F AM1 R 1, K Z N .6 , 08.5737 * This To Not A Permit * Mar 22, 1943 ,. Permit Fees Amount Paid Plan Check Fees Amount Paid, [3u3.1ding wr 144.00 144.00 9350 93.64 61-322,1001 plumbing 5100 51,,419 62-322.1003 93,60 62-3415,8300 Other Weer oni.ng Feer, pen Payment 4.50 Other Fees 4o Energy Charge Stade 9/C 4.50 643-237,11 Total Feez 293.10 Amount Paid 293.10 . r 2' Balance Due :sat) 1.95.40 $ 155.00 Received Frea r, On 03/22/.1993 NirwWrront PropV(DYS. clinic) For 493AP06400 B R E M E R T'O N B U I L D I N G D E,P A R T M E N T P E R M I T A 'P P L.I C A T I 0.N Application, Date 03/19/1993 Application Number"93AP0640,'0 Issue,D'ate Permit Number Assessor Acct # Project Group' Site Location 925 ADELE STREET Owner -..Last-Name WEST BREMERTON First DOCTOR'S CLINIC MI ,Street -:925 ADELE STREET -`City BREMERTON State WA Zip 98310 . - Phone (206) Tenant's Name Phone(206) - Agent'stiName ROD WARCZAK #377=2972 Phone(206) - Architect's.Name [X] Building [ ],Grading [ ] Sign ( ] Paving [ j Mechanical. :[ ] Move Building [;j Burning [ ] Underground If [Xj'Plumbing [- ] Mobile Home [ ] Land Clear ( ] Demolition. fding. contractor: Buil: Work will be completed by owner. Nature of'Work Remodel`opthalmology'suite to remove partition. walls, add larger -doors, move plumbing_. Building Valuation SI,2.9i9.40 -------------------------- -------------------------------- Council District 8 Census Tract Construction Sq Feet Inspections Type it Required' Residence [ ] Zoning ." Foundation ( ] Business [X] Type Framing [X] Other [ .] Insulation [ ] New, [ ] Plumbing [X] `Repair [ ] Status Mechanical [ ] Remodel [XI Code Wallboard [X] Addition -[ ] 12 Final [X],, B R E M E T 0 N B U I L D .I 'N G .' D E.P A R T M E N T P L U M 'B I N G PE R M I,',_T A P P "L I C A' T 1 0' N ------------- Application Number"93AP'06400 Contractor ALTENBURG PLUMBING Street 1462 'B DAWN ROAD` "NE, " City BREMERTON Phone (206) 479-4664 State WA Zip 98310 . Representative State License # AUTENI*223J5 Expiration Date 02/.20/1993 - City License # Expiration Date ` Toilets Bathtubs ,. -.., .. 4 Basins. Showers . Kitchen Sinks Dishwashers Laundry Trays Clothes Washers Water Heaters Urinals ' Drinking Fountains Drains, Slop' Sinks . 4. Water Piping . Interceptors, Vacuum' Breaker' ; Lawn, Sprink•.ler, Eire'Spri"nkler Private.Pools Semi' -Private °Pools Public Pools Groundwork Sumps Alterations Kidney Machines Pri,v'Ate Hot Tubs Semi -Private "Hot, ,'Tubs Publ'ic Hot Tubs Other Options B R E'M E R T d N B U I L D I N G D E P A R T M E N �- P E R M I T A P P L I G A T I d N Application Date 63/19/1993 Application Number 93AP06400 Issue Date Permit Number N Assessor Acct # Project Group Site Location 926 ADELE STREET Owner _ Last Name WEST BREMERTON First DOCTOR'S CLINIC MI - Street 925 ADELE STREET - City BREMERTON State WA zip 98316 - Phone (206) - Tenant's Name Phone(206) - Agent's Name RCD WARCZAK #377-2972 Phone(206) - Arahitect,''s Name [X] Building j ] Grading [ ] sign [ ]Paving [ ] mechanical [ l Move Building [ ],Burning [`] Underground [X] Plumbing [ ] Mobile Home [ '],Land Clear. [ ] .Demolition Building Contractors Work will be completed by owner. Nature of Work Remodel opthalmology suite to remove partition walls, add larger doors, move plumbing.. Building Valuation $12914.00 -- _-__ YAT--- Co.uncil District 8CensusTract _-- -}- -- __--- - Construction Sq.Feet Inspections Type Required ReResidence[ ] Zoning Foundation-[ ] Business [X] Type Framing: [X] Other [ ] Insulation [ 7 New [ ] Plumbing, (X, 'RepairL [ ] Status Mechanical [ ] Remodel. IX) Code Wallboard [X] Addition [ ] 12Final [.X] 'jo to, u-0CA— t S �pQr— i'� nom, ,� d:ourS r �� carr iole�S ctgarS E R E M E R T O N ,' B'U_I L D. I" N�'G° D E P A R T M E N T P L U M B I N G P E R M I T A P P L I C A T I O N Application Number 93AP06400V= Contractor ALTENBURG PLUMBING Street, 1462 B DAWN ROAD NE City BREMERTON f Phone (206) 47.9-4664 State STA Zip 98310 Representative II State License # ALTFNI*223is Expiration Date 02/20/].993 Ci.ty.License # Expiration Date' Toilets Bathtubs 4 Basins Showers Kitchen sinks Dishwashers Laundry Trays Clothes Washers Water Heaters Urinals Drinking Fountains Drains Slop Sinks 4 Water.Piping Interceptors vacuum Breaker Lawn Sprinkler Fire Sprinkler. Private" Pools... Semi -Private Pools Public Pools . Groundwork Sumps Alterations Kidney Machines Private Piot Tubs Semi -Private Hct Tubs Public Hot Tubs f other options 1 d p: 4 T5 S R E M E R Ty 0a N �8g "5� '`i" yL� D 11',4,4: q A E pP Ag R !1 9 N 'I' S' E R M I A C, P P L 7 C.A R 1 u N Application Dante 03/19/1993 Application Number 93AP06400 Issue Ante Permit Number. Assessor Acct # project Group Site LDcatidn 925 ADDLE STREET Owner Last Nasse GEST BRE12ERTON First DOCTOR'$ CLINIC Mi w Street 925 ADELE STREET - City BREMERTON State WA Zip 98310 - Phone (206) Tenant's,Name Phone(206) Agent's Dame ROD WARCZAK #377-2972 Fhone(206), - j Architect's 's name [X7 "Building [ 1 Grading [ l Sign. G } Paving [ ),Mechanical l Rove Building ( j Burning Underground j [X) plumbing Mobile Rome Fane! Clear Demolition Building Contractor. Work will be completed by owner. Mature of Work: Remodel opthalmology suite to remove partition Qalls, add larger doors, moa plumbing'. Building Valuation - .,---------------12919.Ui,._�_ 17z- —?---;-- w Council District 8 Tract Trct w construction S4 Feet Inspections Type Required Residence [ zoning Foundation [ j Susinegs EX) T e Framing [Xj Other [ � Insulation [ ]. New [ 3 Pluxtmbing IX) Repair[ a us?echanical [" Reamodel. [X) Cede 'Wallboard [X] .. Addition j 12 Final [XI 0 R a M X R T 0 V 0 0 1 L D T N 0 D H P A H T M F N T Rpplicatton Date 63/19/1993 Usue Date Apstsmor Acot Site Location 925 ADELE STREET Gwner - Last Name WEST BR ETON - Street 926 ADXLE STREET - City 8REMVRTOR - Phone (206) 7 Tenant's Name Ag6nt's Name XOP WARCZAK #37V-0977 Architect's NamIlk Application Numbet 93AP06400 Permit Number Project Group First DOCTOR'S CLINIC KI State WA Zip 98310 Phane(206) Phone(206) [XJ Building f I Grading f 1 sign [ I Paving mechanical Move Building, Burning f I Underground Plumbing Mobile Rome Land clear [ I Demolition Building Contractor: Work will be completed by owner, Nature of WOW Remodel opthalmology suite to remove par-titi 1+0., add larger dooln, move plunking. MAR150 1993 Building Valuation 4��12919.00 L)EPAHIMENI ----------------------------------- 1-- 7 --------- Council District 8 Census Tract C on s t ruct i on Sq: Feet Inspections Trpo Reds ired Residence E 1 zoning po"ndatioa Husine8z [XI Type Framing EXI other I I Insulation t I NWW G 1 Plumbing Repair 6 Vatus Mechanical Remodel fx1 code wallboard fxj Addition ( I I � 12 Final fX1 Kvtc,-x 1%, well r-qme,,,J pl&c-t a.+-ek � will n4,a tosp-x-2Tr<tti-,, H R 9 M 9 R T 0 N B U I L n T N 0 D F P A R T M, E MT P L U M. B I N 0 P E R M I T APPLICATION Application Number 13AP06400 Contrantor ALTENBURG PLUMBING Street 1.462 B DhWN ROAD NE city BRFMEwV(,* Phone (206) 479-4664 State WA Zip 98310 Representative " I State License ALTENI*223JS Xxpiration Pate,02120/1993 city License # Xpiration Datk Toilets Bathtubs 4 Basin$ Showers Kitchen Anks Dishwashers Laundry Trmys clothes washers Water Beaters urinals Drinking Fountains Drains Slop Anks 4 water. piping Interceptors Vacuum Breaker Lawn Sprinkler Fire sprinkler Private Pools Semi -Private Pools Public Pools Oroundwork sumps Alterationn Kidney machines Private Hot Tubs SeMA-Pricrate Hot Tubs Public Hot Tubs other options T' �0�r WG3rme2ronl ©�n+nir,n�oo-ywirs 3�I,f 93 �\fiNOAEu7Jlr C05T ESTI F'(A-rE5 Ca,ipe r /viol(,_ I - ELEc-r,/PLuM&k)(r 11 YbCQ�rT%gCT = �} �jao as Ger-T, )j>LAMrar0lr Iu 4jouSE 1 5wurzrcic/_F AMlra1./P� prr = I SoO, eo JUNP FEES - 500 00 o QIa f �/t, - -T0_ _ -CAM MCNCi=- _ "rrls _ - iz-EMOE�tf_�_�,.11r-. �2o�gCT f}P2iC.. I, 199.3 AND �rl�._._ConnpLcripN 1Ja rE-- 15 (4 3(, 19.93, _ i�Lr}v Sugr� Tpe ---ANrJ__"PE2M17- RegU 57 Wiu gc-_._.MADE _CN F'JA(ICH 19� 1993 _.._ F+r� ST)U WoRI� r�lr S.I(rNpbi�—TfOfL_._THE _W_E5T--pp MEfri-00 G(aNIC-._.----T-p6 WE�k of _HA2. _ Z(p __W_ lU �6 SPe}.�T _ON -.__ ["iNhL(2iNl, DErhtc.s aF Yt1-3 (. N /t N 0 ISLSGr 2-i CR -L W021�. We -.-r Dasa.DEMOIrITlOw1 +�(..aN. S� tom(. s 61-C 0— /7EMOVE .boo/t /ZERO✓E __C%%�3/NET1ty _f1ND S/NiC _ /��MOVE _ /�Lt/MgiNG- /TE/iD//B Z OUT G6T5 � > SwiTGN _ _ .QED-jov6 GS'2�E'T 56e e,;� WEST" �REt-� . �EMOI IT10N_CpfN, O RGT'IoUE �DOOfL Remove . Cp,--)ST - j P=Na Sln�tc oLA. ..I SWiTc►1_� .I -T ��F-IDV I oue CPeIZPET/ 1= I con- ? $cE pcowg c k, p VJE$T F32ENl, EcoaNSTrLUCTtonl I=RA,M I&:, lr >✓XAM - PzAME 4 1 _ HALL, Wldrw- �2prME 10, wi _(2.00" - V l ome-p- 1::P2AME 36" VJ DooR EXAM Z - FIZAMr }{lelA WkL RAMC �j(p" W _1DOo(L eyAM hRAME S' 44A -L4 MJAL1. F2hME 3lr" W D0o2 �2AME 9� Ib�� I'ZOOM -bIviDEiiL W4Lt- - - ��d.lMi3lWlr' t �C-Ec-rRic�L _ RsLzcp-rE 151A PPLy- I N S7pru - I S w rr" A D 3r4cs wr -ro DpD 9- 0 U -r L 0U-rL T - CEl�rEZ iJE u" W R LL _ f I�`1TA-Ld I OUTZEr�02 �OIN7 aF- USE WATER. -HSI}T$� _ . E:YA M Z - _ --T1-9 l IJ _ u P PC y I L� ASTE -To .4D J%kCEnrf ATO Rf}(> (�apN( ---L. � LlT LET 4A -u wA-LL — - _rrc44 - A IZA---- ' To _Doo2 --- _-. _LNSTPrtt _ I -OU'rL.E7___CepreZ - NIFO W/,0- 1�EST Bt2EM. I�cOn�STRatCTiOtJ - GoNT. LLL MH31rJtr ELELTrtic/it— -RSLOCA:TE SUPPL_ _i WASTE _ NSTAu I _StNiTCH AIAJACENT To DoofL INSTALL Ol1TLET- MIt)-Pcm�3T MEW W4LL.,, nn iRoG.l5To2._� INsTAu SwiTcH N-0�AceIz-T To tcp2 INS-T.AL - I Bu'rt--T MIDPOINT MtrW LCPL(, LsENEiLAC� wAu, WoRI4. IN5ULATE SH6ET RCC.k- (5/8'� A -U T-2AM1.0!r _ TAPE �MuD/_PiNA50 ANE-rOx7uR PAjr jr AAA WAU5 rtooR.iNtf 5,SAL. OfL 6VE2C Jay, LiUHT �-tywtA E5 1 NGTA U, N6vJ z)L,{ Ftou(tESctArT ��kTuYtES i EXAM I Ftn31> E)(AM 3 CPo5si8L,E IN EXAM 2) SEE PCAtz G• WIT 13RSwET wo . CWra1L ?LAOS Q E L E,-TZt cP,L- ��r-t �-��,(JSTAt,L_ �04 F-or^^� �u,�F�eS Nlclenrr Ir.�CAoJ�E=eEr�rr �r�r!�irZr CoNpul � i�r2a� 400 low Tb(L ti1Qt-C-,- WIRE `t'b ?Z.E F2f�L'rt7 GL TA -GLC -7. .&SNbut.r) -ae 3` xo'n OU7SI6 " waw (PAPRax0 INSrPu ©UTWI-7 �;ox T �Nb v�r2� RDx S TD �e — (12I 05:1rrIl T:Rb'o l-100/L�) 2�FIZO" 01,«SID477 WA, -L-( . 'zz1 l _ �ELo AATF C�,E�t-7�>T _}'IOIAI�b`scCNT �I�_N'7 F-�XTu2E %' CoNTm Y2o1� ouT5lbr WA LA ti1AWTAIO Arn.e: SwiTc.w Ihl'Fz,to ,PJ'5rALA S VITGp -B 'D C6N�U!T� l.V!2!ti r X20 NAu Wt9r1 /boon LATCH C1Dc, O_ IN AU - „OUTLET hoX �'CtiDU(7� wIRw& CSWPQ NOWT 'IVfbl"p WAU.. S5e Ar3oVC ._l 3` ET.o Yo -L_)I,)IAr NI,- Wrk u� 5E� /�3oVE (moi 'F2onn ,NSI�E WAI.{� �w!TCN T3cx�-CONI�y rr� I;Vr2rn�l t' Role �b�e o� [-Arc0 Site, SES Rcom I ( �j` f -I �6 m E 12co m 1��'i �r 20c{v1 Boon I - ABANDON btb PUUM3inJlr/ iZTI—L, LccAricO NF-vW N/GJW GGNrE¢ED CRPV2nx� d2oM INSIDE W�((� Z ET New VeAjr FILE COMMENTS SITE ADDRESS: �" i „ - _ APP. NO. R V OWNER: LY.� J. -1 ) /-) � 4 NO. PLANS CONSTRUCTION TYPE: SQ. FT.: OCC. LOAD VALUATION: PLAN CIC - BLDG. SRCIIG. FEES PAID: - PLBG. MECIL OTHER ROUTING: "' DATE DATE SET Al S�/EN7T RETURNED APP. APP, W1 NO COMMENTS REVIEWER q--"5 � y BUILDING ' ~� �7'{� I PLANNING 3 M4 ENGINEERING WATER n FIRE TRAFFIC IIEAI.TIIDEPT. r� 2525 BREMERTON MUNICIPAL UTILITIES Clinic Phone Number.( ) 3027 Olympus Drive Billing Address Q9s AA.1. Bremerton, Washington 98310-4799 City B e State wA ZIP 98112 (206) 478-5318 Signature Date , 19 Agent's UTILITY SBRVICH AGRBHMBNT Work Order No. Tap No. Utilities: r/ Receipt No. �� 3 By: V( %lam *��- F'��- Bremerton, WA. , 19 The undersigned property owner hereby applies for Utility service at: Service Address: Goldenrod Copy: Customer Legal Description: Plat Block Lot Kitsap County SERVICE REQUIREMENT: [] Water [] Wastewater [] Stormwater SERVICE AREA: [] Marine Drive Water [] Sewer District $1 [] City [] North Perry Water [] Tracyton Water [] County [] Port of Bremerton [] ---------------------"------------------------------------------------- -- SERVICE CHARGES: Connection/Inspection Fee: BARS Water: Domestic........ ....Size $ Fire ....... .........Size $ Wastewater $ Storm Water ...................$ Front Footage Fee: Water .................... .........$ Wastewater ..............................$ Storm Water ............. ...............$ Gener&l.Facility Fee: Water .......* of units Q $ $ Wastewater .. of units @ $ $ Storm Water of units @ $ $ System Development Charges: Water $ Wastewater $ Storm Water $ Temporary Service $ _ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee ................................$ Deposit $ Other Storz Adopter $ 128,64 TOTAL..... ..........; 1. Utility charges are.the responsibility to the owner regardless of whether the property is occupied by the owner or tenant. Unpaid charge shall become a lien on the property serviced. 2. By this agreement,the undersigned owner acknowledges that the owner assumes the risk and the City disclaims responsibility for all claims for damage or injury to person or property resulting from the following: a. Installation, maintenance and operation of all plumbing, fixtures or appliances bonnected to the water meter or wastewater main. (Building permit inspections are limited in scope and do not guarantee plumbing design, or workmanship.) b. Changes in pressure, flow or temporary shut-off of services due to system maintenance, emergency or non-payment of ,charges. Name noetor'a Clinic Phone Number.( ) Billing Address Q9s AA.1. City B e State wA ZIP 98112 Owner's Signature Date , 19 Agent's Signature Date Accepteid�gn behalf of Sr erton Municipal Utilities: r/ 16 By: V( %lam *��- F'��- Date , 19 Original & Yellow Copies: Utilities. Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Customer | / un�um�mnm� / �m�w�m�mm unznonmp ^vn 1993x p m nhizo Not A permit ^ ��r �_____ arCoInc # nwsamm --- eees�e amount mwim a« � � z ^ atocm mimp�Cr �ow.*« _ 34-388.1000 ====== Total --- $ jzm�«� ^ amount paid$ lu»»« ===="�= Reme{ved Pro"'viewoW Properties � Ib RSCRIfT # Meal This is Not A Permit gay 04, WS Of"I'mit F"s Amount Paid Mv�4 cbook fees Awlmt PW Wilding 14400 9M0 67-377.1001 plumbitiq S 73,50 7.50 62-3MIL003 .A 3. 1 t ,00 Other Feeo Got nymeot Ot4er hes beKOY Charr, State SIC 1,50 643-237J.3 Total woes 8 M.5 60 Amount Paid 6 7.50 Prior Nyont $ 293,10 RalAA06 Otte t" 0 HIM 7150 �qreivtd prom" on OS/04/1'qo7 ViAwlMit Properties #5091 rot 113AP06400 0 BREWWrON BUILDING DEPARMENT Inspection Report Scapa oiwork RIlKOVE vin LS, add door, Plmbg permit Number: 14524 Add • 925 ADELE STREET Owner: WEST BRmmm DOCTORS CLINIC Phone: COIItraC'tOr: ALTENBURG PLUMBING p1a0IIe: �fl I lkI)TA 4,11LA I cm&appruvmdpkw on site Setbads Foodno. togWised sold h==" Walk: requireil ssphomwm uimd wild & AqA Walk: requirail size Bead soil (;dk if k'cabk) S ins (when cable) COMMENTS: FOOTINGS APPROVED: WAILS APPROVED: Ekwicel Piumbing ac mKimuica! yproved Crawl space aceta (min. 18 : 24) Floor 'jono and bmm/propm dmnnce to eud Positive ccsmecdam pom & beams Foundatiat vents Posta properly supported Ancor bolo: nun & wasben in p6ce Mudsilb treated material Floor joists: size & span Bans/ ' : aiw & mmn NotdiinR & dri ' & beams, surds Snake demKwn: all regain& bndas Exhaust form: whore mquind Exhamt form imulated: uncon&doned spaw I Whole house fan, outside air inul m ach bodroan Fam ftnminating dimcdy outside Row hood Dryer cAmut veM All van ewndn ticm: windows & property titre Fimpum combustion air Windows: maeft agnm mquirenum Windows: Uvabx Windows: when-g—td Ceffing heigho Stairs: headroom clearance Stain: Ase & nn; propw wield Fiamb"FW. wag to cdlia& forced walk eymy 10' Fin b6ddnr. stain, soffin, lowered cdfings Fite b6dd . a"showers Fire b6dkijW fids in void spacaAafte Fire b6cking, staff holes top & bottom Sheevock baddng Wati bndug Raf en aiwJnmchi Trusses: spm, bradug Atdcacaen Acdcvendladan Wall & roof sbaa6ingSher mL ' Builth dried in APPROVED: ENERGY CODE COMPLIANCE Insulation proper Rvahm Imulation: proper fimmuibm Inmlrtione beerier Bottom plaws awdw to Boen Pertetratiom cadted as required Ekaeical bases gaskewd or caulked 6 mil b"E± in crawl spam UNDER FI OORIFOUNDATION INSULATION APPROVED: _ WAIL INSULATION APPROVED: CEILING INSULATION APPROVED: MECHANICAL Appham hxxdon and arms, proper support Applisnce Barance to ootnbusdbles Vend deamae to cambusdbks Van ' : size & support Vent termination Combustion air Dam: size & support Gas pipe ander cert Gas pipe- size & support Gas p underground min. 12" below gmde Gas pipe: within 6" or Gas shatoff within Y of applin Gas : safirty shat -off Gas Woodatavw: EPA cerdfied Woodstom & fi lam: Ti—fitting door Woodswm & hoes: proper heath MmU&c rer's sp= om site Chimney Ener: when required Clumner separaw Awes when regiared COMMENTS:___ GAS PIPING APPROVED: FURNACE APPROVED:_ OTHERAPPLIANCESAPPROVED:__�___-- PLUMBING DWV & water piping under test DWV: DlW- sizi DWV- fitdpp where required DW V & water i support DW V: reqtdrad deanosa Vent unnination All fb=m vented Wats suppkr. proper sizing Shut-offvalm on all fimra Wats heater: pw valve an odd water supply Vacuum breahm: where required Warn heater teikfvalve drain to outside Water bates: siesude strap R-10 pad under water heater when regalized Wa i ' i -Mated as aired Gmw i toes: wha® mquimd Propm indirect waste: when aired COMMENTS: --- PLUMBING GROUNDWORKAPPROVED:___ PLUMBING ROUGH-INAPPROVED—_— SHEMOCIC Proper fa*wWnr, nails -7"ox. h". F&m naih-8" o e vertical lane Propw EagmirW acawvw-12" — koria. hars(1/2') saews-12" o.e hMz. lans(1/2") 24" o.e. fraining Proper fastrdi 16" ox -ver. plaw (1/2") screws -12" o.c.vect. 1/2')-24" o.c. fuming Proper fmmd marws-12" o c. horiz. p6ne (518") soxwr12" o c koriz. 66(5/8")-24" o e frani P fes mcwws-16" ox- vat. hute(S/8") satews42" ox. horiz. /S-)-24" ox- &auing Area & ooaqmg, separadon walls Draftetaps wbee requited Usable Spam under stairs (5/8" mquir4 Waterboard whm mquind (tat on cmb4 Corridors SHEETROCKAPPROVED• � � 7 - FINAL FINAL ""I E ode""*m-ft mer, e&aust fans PkmbinIt & mockanicd Guvddweling door self doshn sofid axe Smahe detectors whore mqwmd Handraih & , as mquiftd Pix ratinp m aim fined Frit sigm when mquiftd EnwtgaaKy hStung when required Oampaw bad posW when Vplcabk BuMng weatherdaht Wood siding to earth separadon (6'7 Building addreze poned Radon monitor when yogniftd COMMENTS 'G J L xf f /Gosh fuii� f S O �Gr 54O.� Vf o tocol rate✓ 6�/I�f3 ,B -RE M E R T O N B U Y L D,Y N G D E P A R T M E N T P E R M I Application Data 04/26/1.994 Application Number 94AP07537 Issue Date 014/26/1994 Permit Number 15378' Assessor Acct # Project Group ` Site Location 925 ADELE Owner - Last Name DOCTORS CLINIC.' First MI - Street 925"ADELE - City BREMERTON State WA Zip, 98310 . - Phone (206) 37T-2972 1 Tenant's name Phone(206) _ Agent's Name Phone(206) - C Architect's Name C ] Building, C"]'Grading C ] Sign C ], Paving CX] Mechanical C ] Move Building C ] Burning C',] underground [ ]. Plumbing C ] Mobile Home C ] Land Clear. C ] Demolition ----------------------- ----------------------------------------- ----- Building Contractor; ' Work will be completed by owner. Nature of Work s MECHANICAL FOR THRR#'JAC UNITS, GAS FURNACE AND PIPING. --------------------------------------- ._----_-- -------- Council District Census Tract Construction Sq Feet Inspections TYPa Required Residence'[ ] Zoning Foundation C ] Business CX] Type Framing [ Other [[ ]] Insulation New C ] Plumbing C ] Repair C ] Status Mechanical C%] Remodel C" ] Code wallboard ( ) Addition C ] Final CX] ----------------- _- ---------------------- ---------------- _^____'---- ---'-- Received B Approved By: B R E M E R T 0 N B U I L D I N G D E P A R T M E N T M E C H A N I C A L P E R M I T A P P L I C A T 1 0 N Application Number 94AP07537 Contractor RAY'S HVAC Street 2181 CHICO WAY NW City BREMERTON Phone (206) 377-5005 State WA Zip 98312 Representative State License # RAYSHI*13DD7 Expiration Date 02/01/1995 City License # Expiration Date Stoves Fire Place Inserts 3 Furnaces Conversion Burners Unit Heater Boilers 5 Gas System: Max 5 Outlets Evaporation Coolers 3 Air Conditioning Units Heat Pumps Mixing or Re -Heat Box Air Handling Units Fans Range Hoods Clothes Dryers Incinerators Duct Alterations Tanks Refrigeration Units Other Items ApPLICAN'r; E] OWNER ® CONTRACTOR ❑ OTHER COMMENTS: SITEADDRESS: qa5 1 r -AQ -L OWNER: ES Q.( �. - CONTRACTOR CONTRACTOR LICENSE OWNER PHONE #�� ADDRESS: a($1 W WO -1-4 �jQ EXPIRATION DATE: G b' CONTRACTOR PHONE # Z-0 — PO S 94-.F` .:.: .. P' ",. ,,r,_.,�,„ � '. .: -�` F , RANGE WATER CLOSET WOOD/PELLET STOVE BATHTUB GAS FURNACE btus: o 09 C ° 1 LAVATORY CONVERSION BURNER btu's: SHOWER UNIT HEATER btu'r: KITCHEN SINK BOILER btu 's: DISHWASHER GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS bra,: CLOTHES WASHER AC UNIT bra's: WATER HEATER HEAT PUMP bra's: tons: URINAL REHEAT BOX bray DRINKING FOUNTAIN AIR HANDLING UNIT btu f: FLOOR SINK OR DRAIN EXHAUST FANS SLOP SINK RANGE HOOD (residential) WATER PIPIING & ALTERATION RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANKS me. BLDG. SEWER (mobile / moved house) REFRIGERATION UNIT ROOF DRAINS OTHER,-- THERMECHANICAL MECHANICALPERMIT FEE 315.00 PLUMBING PERMIT FEE (15.00 or 4.50) MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: APPLICANT'S SIGNATURE: DATE: PORTLAND TACOMA KIRKLAND EUGENE 1040 N.E. 44th 901 Center St. 11801 N.E. 116th St. 1040 Tyinn St. 84 Portland, OR 97213 Tacoma, WA 98409 Kirkland, WA 98033 Eugene, OR 97402 (503) 288-5704 (206) 572-2000 (206) 822-2222 (503) 686-5855 (800) 227-1753 (800) 654-8982 (800) 523-3966 (800) 892-1566 FAX: (503) 280-9603 FAX: (206) 572-1790 FAX: (206)820.7820 FAX: (503) 686-5794 i 7 ' RREMERTONRWLDING OEPARTMENT Piumbiniechantad Inspection Report Scope of oriec 3 AC, 3 Nati_Pendt Number: 15 t�tidret X25 1e QWher� Doctors Clinic Gontractort Rays ME, Phone: GAS PIPING COWMXNTS: CA,S PIPINCA APPROVED: pQRNACE �?I�11ttt�0. `(t' r�8 a '�IC�ltlbn8 bn BAte •. _ "tion, tion, tress, 8¢ ort Clearanme to combustibks Ve nti : dearanot to Combustibles Noor shah & auppordoonnPaions,. Vent termination Combustion air WMILIMliner ;;X. x t,, Q asrequired G- shut-off within 3' Pilot ekmted ofd' floor in e DuCas:siae&au = Emulated when requirod Rourn air COhdMEN'I'Sr FURNACE APPROVED: MiSc. "Pumcps hlanufaeturcr's s Geo dons on site "don, aCmsa, s ort Clearance to eambus"Its Venting: dearaam to wrnbustibks Vent s6ing & suppordconnecdons trent termination Combustion air Chico , liner andlor9e re Elena a9 Gras shut-off within Y Wood stave 8t finlames: propor harth Wood store: EPA a mead Gas 1 : 9 shno-off M2_4 stoves & fire lamp: tight fift doors Gas,shut offwithin 3' COMMENTS- M'I=APPLIANCES APPROVED: WAITRR RRATBR COWENTS: Cit '*of Bremerton, 239 FOURTH STREET PLMEAT BREMERTON, WASHINGTON 98310 (206) 478. 5252 R%}_ MAYOR GENE LOBE The following plans are located in plan file drawer #3 of the tan, 5 -drawer cabinet located on floor in northeast corner of basement: 1. Food King Store (presently Gary's Family Grocer) 616 6th St. 2. Oyster Bay Inn (formerly Hearthstone Inn) 4360 Kitsap Way -2 sets r �'D ' 4. Doctors Clinic East 'l fi"I -eaton Way JOWN 5. East Towne Center -Riddell Rd. & Wheaton Way. 3 bound sets/3 single sheets 6. St. Paul's Episcopal 700 Callahan - 2 bound sets 7. Kitsap County/Bremerton Health Dept. 109 Austin Dr. S. Wheaton Way Middle School/Naval Ave. Elem. 1300 30th/900 Olympic 9. Manette Plaza - 1100 Wheaton Way 10. Olympic College Food Service 1519 Chester 11. Westgate Motel 4303 Kitsap Way Gateway to the Olympics and Home of the Puget Sound Naval Shipyard INSPECTION REC D CARD - CITY OF BREMERTON BUILDING DEPARTMENT PERMIT NUMBER ADDRESS & DIRECTIONS Ex "s �� OWNER In(h12& � �Ck ✓11 e°' PHONE CONTRACTOR PHONE FOUNDATION CCRR O.K.COMMENTS: 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING SIZE CORRECT _ 6. WALL SIZE CORRECT 7. CHECK FOR FILL 8, REQUIRED STEEL IN PLACE 9. CHECK FIREPLACE FOOTING 10. ANCHOR BOLTS 11. FOUNDATION PLATE 12, FOUNDATION VENTS 13. CRAWL SPACE ACCESS FOUNDATION INSPECTION APPROVED BY: 2 FRAMING COMMENTS: cog 1. WIRING APPROVED 2. FOUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITIVE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. POST CLEARANCE - 2" _ 7. BEAM SUPPORT 8. TR. MAT. NEXT TO CONIC, 9. WASHERS ON ANCHOR BOLTS 10. BEAMS PROPER SIZE 11. FLOOR JOISTS SPAN 12. NOTCHING & DRILLING A -FLOOR JOISTS _ B -STUDS 13. STAIRS A -WIDTH B -RISE & RUN C -WINDERS D -LANDINGS E -HEADROOM 14. ATTIC VENTILATION _ 15. CHIMNEY STRAPS SECURED 16. FIREPLACE COMBUSTION AIR 17. FANS VENTED OUTSIDE 18. A -BATHROOMS _ B -LAUNDRY ROOMS C -KITCHEN 18. WATER CLOSET CLEARANCE _ 19. SMOKE DETECTOR FRAMING INSPECTION APPROVED BY: conx O.K. 20. FIREBLOCKING A -STAIRS B -DROP CEILINGS C TUBS OR SHOWERS D -ROOF & CEILING LINES E -FURRED OUT AREAS F -FIREPLACE AT CEILING G -ELECTRICAL HOLES PLUGGED H -PLUMBING HOLES PLUGGED_ I -LID IN VOIDS 21, WINDOWS A -SAFETY GLAZING B VENTILATION C -REQUIRED FIRE EXITS D -WINDOW SILL HEIGHT 22. CEILING HEIGHTS A -BASEMENT B -MAIN FLOOR C -UPPER FLOOR _ 23. SWAY BRACING 24. TRUSSES _ A -PROPERLY INSTALLED _ B -STAMPED _ 25. ATTIC ACCESS 26. CEILING JOIST SPANS 27 RAFTER SPANS 28. ROOF SHEATHING 29. ROOFING APPLICATION 30. SIDING _ 31. CLOTHES CHUTE 32. SHEETROCK BACKING _ A -UNDER STAIRS B -ABOVE GARAGE DOOR HANGERS MECHANICAL • 1. FURNACE SIZING 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. 'B' VENT SIZING 5. 'B' VENT CLEARANCE 6. 'B' VENT SUPPORT 7. COMBUSTION AIR 8. DUCT SIZING 9. DUCT CLEARANCE 10. DUCT SUPPORT 11. DUCT JOINTS 12. GAS PIPING TEST 13. GAS PIPING SIZING 14. GAS PIPING SUPPORT 15. OTHER 0 CORR O.K. CORR O.K. 1. WOOD STOVE CLEARANCE - - 2. CHIMNEY CLEARANCE _ - 3. HEARTH EXTENSION _ 4. CHIMNEY HEIGHT FURNACE APPROVED BY: HEAT PUMP APPROVED BY: GAS PIPING APPROVED BY: WOOD STOVE APPROVED BY: OTHER: PLUMBING CORR O.K. 1. UNDER TEST 2. GATE VALVE 3. WATER PIPE SIZING _ 4. DRAIN PIPE SIZING 5. VENT PIPE SIZING - - 6. PROPER SUPPORT _ 7. PROPER FITTINGS - UNDERGROUND APPROVED BY: 8. VENTING 9. CLEANOUTS _ ROUGH -IN APPROVED BY-/� 10. PROPER GRADE 11. HOT WATER TANK P.R. VALVE 12. OTHER _ WALLBOARD CORR O 1. LID OVER SIDES 2. NAILING 3. W/R AT TUB OR SHOWER 4. 5/8 UNDER STAIRS - 5. FURNACE ENCLOSURE - - 6. FIRE SEPARATION GARAGE 7. ATTIC ACCESS 8. DROP CEILING & LIGHTING 9. BACKING AS NOTED ON FRAMING WALLBOARD INSPECTION APPROVED BY: FINAL CORR O.K. 1. HANDRAILS 2. GUARDRAILS - - A -HEIGHT B -INTERMEDIATE 3. EXHAUST FANS A -KITCHEN VENTING - B -BATHROOMS C-LAUNDRYROOMS - - D -DRYER 4. TILE AT TUB OR SHOWER - 5. DISHWASHER PROPERLY INSTALLED 6. FIRE DOORS - - A -SELF-CLOSING B -SWEEP OR THRESHOLD 7. ATTIC ACCESS 8. HOT WATER TANK NOTES: PLANNING: COMMENTS: CORR O.K. 9. OUTSIDE GARAGE 10. CLOTHES CHUTE - 11. SEWER/HEALTH DEPT. - 12. COMMERCIAL BUILDING - A -MECHANICAL APPROVED , B -PLUMBING APPROVED 13. SMOKE DETECTORS 14. FIREPLACE HEARTH _ - 15. SAFETY GLAZING/ DOUBLE GLAZED - - 16. INSULATION CERTIFICATE 17. FREE-STANDING FIREPLACE APPROVED - - 18. WINDOWS & DOORS CAULKED _ WEATHER-STRIPPED - - FINAL I PE APPROVED BY INSPECTION BARD CARD CITY OF BREMERTON BUILDING DEPARTMENT 7350 & 3197 PERMIT NUMBER ADDRESS & DIRECTIONS 925 Adele OWNER Viewmont Properties PHONE 377-8561 CONTRACTOR GCR Plumbing PHONE 779-8561 1 FOUNDATION 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING SIZE CORRECT 6. WALL SIZE CORRECT 7 CHECK FOR FILL 8 REQUIRED STEEL IN PLACE COMMENTS: CORR 01�/ - d 9. CHECK FIREPLACE FOOTING 10. ANCHOR BOLTS 11. FOUNDATION PLATE 12. FOUNDATION VENTS 13. CRAWL SPACE ACCESS FOUNDATION INSPECTION APPROVED BY: _jGoJ Z FRAMING COMMENTS: CORR O.K. CORR O.K. 1. WIRING APPROVED _ _ 20. FIREBLOCKING 2. FOUNDATION VENTS A -STAIRS 3. SHIELD UNDER POSTS _ _ B -DROP CEILINGS 4. POSITIVE CONNECTIONS C TUBS OR SHOWERS 5. SOIL TO WOOD CLEARANCE D -ROOF & CEILING LINES 6. POST CLEARANCE - 2" E -FURRED OUT AREAS 7 BEAM SUPPORT _ _ F -FIREPLACE AT CEILING & TR. MAT. NEXT TO CONC. G -ELECTRICAL HOLES PLUGGED_ _ 9. WASHERS ON ANCHOR BOLTS _ _ H -PLUMBING HOLES PLUGGED 10. BEAMS PROPER SIZE I -LID IN VOIDS 11. FLOOR JOISTS SPAN _ _ 21. WINDOWS 12. NOTCHING & DRILLING A -SAFETY GLAZING A -FLOOR JOISTS 8 -VENTILATION B -STUDS C -REQUIRED FIRE EXITS _ 13. STAIRS _ _ D -WINDOW SILL HEIGHT A -WIDTH 22. CEILING HEIGHTS B -RISE & RUN A -BASEMENT C -WINDERS _ _ B -MAIN FLOOR D -LANDINGS C -UPPER FLOOR E -HEADROOM 23. SWAY BRACING 14. ATTIC VENTILATION _ _ 24. TRUSSES 15. CHIMNEY STRAPS SECURED A -PROPERLY INSTALLED 16. FIREPLACE COMBUSTION AIR B -STAMPED 17. FANS VENTED OUTSIDE _ 25. ATTIC ACCESS 18. A -BATHROOMS 26. CEILING JOIST SPANS _ B -LAUNDRY ROOMS 27. RAFTER SPANS C -KITCHEN 28. ROOF SHEATHING _ 18. WATER CLOSET CLEARANCE 29. ROOFING APPLICATION 19. SMOKE DETECTOR _ _ 30. SIDING _ 31. CLOTHES CHUTE 32. SHEETROCK BACKING A -UNDER STAIRS B -ABOVE GARAGE DOOR HANGERS FRAMING IN PE N APPE¢,� BY: V v w ]� " ��J • .•. M MECHANICAL CORR O.K. CORR U.R. 1. FURNACE SIZING 1. WOOD STOVE CLEARANCE _ 2. FURNACE LOCATION 2. CHIMNEY CLEARANCE 3. FURNACE CLEARANCE 3. HEARTH EXTENSION 4. 'B' VENT SIZING 4. CHIMNEY HEIGHT S. 'B' VENT CLEARANCE 6. 'B' VENT SUPPORT _ 4. 5/8 UNDER STAIRS 7. COMBUSTION AIR 8. DUCT SIZING FURNACE APPROVED BY: 9. DUCT CLEARANCE HEAT PUMP APPROVED BY: 10. DUCT SUPPORT 11. DUCT JOINTS _ _ GAS PIPING APPROVED BY: 12. GAS PIPING TEST WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING 14. GAS PIPING SUPPORT OTHER: 15. OTHER WALLBOARD INSPECTIONPPROVED BY: L:Lz PLUMBING CORR D.K. 1. UNDER TEST 2. GATE VALVE _ 4 3. WATER PIPE SIZING CORR oxx. 4. DRAIN PIPE SIZING 5. VENT PIPE SIZING 2. GUARDRAILS 6. PROPER SUPPORT 10. CLOTHES CHUTE 7 PROPER FITTINGS - - UNDERGROUND APPROVED BY: 8. VENTING B -INTERMEDIATE _ 9. CLEANOUTS - ROUGH -IN APPROVED BY: 10. PROPER GRADE _ _ 11. HOT WATER TANK P.R. VALVE A -KITCHEN VENTING 12. OTHER B -PLUMBING APPROVED _ _ WALLBOARD COMMENTS: 3 con � 1. LID OVER SIDES 2. NAILING 3, WIR AT TUB OR SHOWER 4. 5/8 UNDER STAIRS 5. FURNACE ENCLOSURE 6. FIRE SEPARATION GARAGE 7 ATTIC ACCESS 8. DROP CEILING & LIGHTING _ 9. BACKING AS NOTED ON FRAMING_ WALLBOARD INSPECTIONPPROVED BY: L:Lz /- .- e 7 FINAL 4 CORR O.K.. CORR oxx. 1. HANDRAILS 9. OUTSIDE GARAGE 2. GUARDRAILS _ _ 10. CLOTHES CHUTE A -HEIGHT _ _ 11. SEWER/HEALTH DEPT. B -INTERMEDIATE 12. COMMERCIAL BUILDING 3 EXHAUST FANS _ _ A -MECHANICAL APPROVED _ A -KITCHEN VENTING B -PLUMBING APPROVED _ _ B -BATHROOMS 13. SMOKE DETECTORS C-LAUNDRYROOMS 14. FIREPLACE HEARTH _ D -DRYER 15. SAFETY GLAZING/ 4. TILE AT TUB OR SHOWER DOUBLE GLAZED 5. DISHWASHER 16. INSULATION CERTIFICATE PROPERLY INSTALLED _ _ 17 FREE-STANDING 6. FIRE DOORS FIREPLACE APPROVED _ A -SELF-CLOSING _ _ 18. WINDOWS & DOORS CAULKED B -SWEEP OR THRESHOLD WEATHER-STRIPPED _ 7 ATTIC ACCESS 8. HOT WATER TANK _ FINAL INSPECTION APPROVED BY: NOTES: -__ MANNING: BUILDING: 478-5281 • • Cit- y -of Bremerton, DEPARTMENT OF CONSTRUCTION AND LAND USE Building Department REQUEST FOR OCCUPANCY APPROVAL Building Fire Business License Planning Engineering Traffic Wastewater Water PLANNING: 478-5275 Please review this request for approval to occupy the following structure and return to this department by 3/16/87 Thank you. Permit Technician: Date: 3/13/87 Name of Bldg. Doctor's Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 925 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank you. A Approved 44 /Disapproved L ] By: 817 PACIFIC AVENUE • BREMERTON. WASHINGTON 98310 BUILDING: 478-5281 TO: Building Business License Engineering • • City'of Bremerton, DEPARTMENT OF CONSTRUCTION PLANNING: 478-5275 AND LAND USE U0 „ l�JE Building Department REQUEST FOR OCCUPANCY APPROVAL , Fire Wastewater Planning Water Traffic Please review this request for approval to occupy the following structure and return to this department by X33/166/8877 Thank you. Permit Technician: 7'...,.Date: 3/13/87 Name of Bldg. Doctor's Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 925 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank you. Approved disapproved f7 By: 817 PACIFIC AVENUE • BREMERTON, WASHINGTON 98310 e: -�—/ia — Z7 Approved =/Disapproved D ByDate: —/( e 7 �G/neELK/�46 t>ip Nar Ixrr-cam 'IWr WG13K 817 PACIFIC AVENUE • BREMERMN, WASHINGTON 98310 Cit- y -of Bremerton, BUILDING: 378-5281 DEPA:RTNIENT OF CONSTRUCTION PLANNING: 478-5275 AND LAND USE Building Department GtyofBR� 1911 REQUEST FOR OCCUPANCY APPROVAL0,0 Pmery0 TO: Building 17 Fire Wastewater FA9inee� Business License Planning Water Engineering Traffic Please review this request for approval to occupy the following structure and return to this department by 3/16/87 Thank you. Permit Technician Date: 3/13/87 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Name of Bldg. Doctor's Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 925 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank you. Approved =/Disapproved D ByDate: —/( e 7 �G/neELK/�46 t>ip Nar Ixrr-cam 'IWr WG13K 817 PACIFIC AVENUE • BREMERMN, WASHINGTON 98310 City'of Bremerton, BUILDING: 478-5281 DEPARTMENT OF CONSTRUCTION PLANNING: 478-5275 AND LAND USE Building Department REQUEST FOR OCCUPANCY APPROVAL TO: Building Fire Wastewater Business License Planning Water Engineering Traffic Please review this request for approval to occupy the following structure and return to this department by 3/16/87 Thank you. Permit Technician• Date: 3/13/87 Name of Bldg. Doctors Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 925 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank you. Approved,W /Disapproved [= By: —Date: -3–/3; 817 PACIFIC AVENUE • BREMERTON. WASHINGTON 98310 Cit- y -of Bremerton, BUILDING: 478-5281 DEPARTMENT of CONSTRUCTION PLANNING: 478-5275 AND LAND USE Building Department REQUEST FOR OCCUPANCY APPROVAL TO: Building Fire Wastewater Business License Plann�,c Water Engineering Traf Please review this request for approval to occupy the following structure and return to this department by 3/16/87 Thank you. Permit Technicia • Date: 3/13/87 Name of Bldg. Doctor's Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 925 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank you. Approved /Disapproved r] By:Date: 817 PACIFIC AVENUE • BREMERYON, WASHINGTON 98310 City'of Bremerton, BUILDING: 478-5781 DEPARTMENT OF CONSTRUCTION PLANNING: 478-5715 AND LAND USE Building Department REQUEST FOR OCCUPANCY .APPROVAL TO: Building Fire Wastewater Business License Planning Water Engineering Traffic Please review this request for approval to occupy the following structure and return to this department by 3/16/87 Thank you. Permit Technician �at,g_: 3/13/87 Name of Bldg. Doctor's Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 925 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank you. Approved/Disapproved = By � � � �U7 Date: 817 PACIFIC AVENUE • BREMERTON, WASHINGTON 98310 �lrY OF Cib-o Bremerto MAR 13 iser tQr 4"nient BUILDING: 478-5281 DEPARTMENT OF CONSTRUCNQN,... ,VPLAN,NH$G:478-5_'75 AND LAND USE E" h! Building Department REQUEST FOR OCCUPANCY APPROVAL C?tT`.irgt,€zl i1 TO: Building Fire Wastewater Business License Planning Water Engineering Traffic Please review this request for approval to occupy the following structure and return to this department by 3/16/87 Thank you. Permit Technician: te: 3/13/87 Name of Bldg. Doctor's Clinic West Name of Tenant Doctor's Clinic West (if applicable) Owner of Bldg. Viewmont Properties Address 425 Adele Contractor self Permit # 7350 Permit Date 6/30/87 Type of Construction V N Square feet 5283 Use Doctor's offices Type of Occupancy B 2 Occupant Load 53 Comments: Building occupied prior to receiving Certificate of Occupancy, please return as soon as possible. Thank_you. Approved/Disapproved L] By: \I(BA�y,,,IDate: 3- 817 PACIFIC AVENUE • BREMERTON. WASHINGTON 98310 BUILDING 'HERMIT - City of Bremerton, Washington Phone: (206) 478-5281: ASSESSOR'S ACCOUNT NO. 3783-002-011-0000 SITE ADDRESS/LOCATION 925 Adele DOCTOR'S CLINIC WEST OWNER'S NAME Viewmont Properties OWNER'S ADDRESS 2512 Wheaton Way PHONE 377-8561 CONTRACTOR Self STATE CONTRACTOR'S LIC. # i ADDRESS PHONE ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE BY�� avinonzea agene (SEE AND READ NOTICE ON REVERSE SIDE) ❑ RESIDENCE R BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR ®REMODEL ❑ ADDITION ❑ DEMOLISH ❑ SIGNS PLANNING/ZONING Commercial # STORIES OCCUPANCY B-2 THIS PERMIT ISSUED FOR: Remodel existing bui.lding,for use as medical clinic 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 R Plumbing R Electrical R Wallboard R FINAL R OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. COMMENTS: Fire Dept: Complete set of fire alarm plans required, including equipment specifi- cations and off -premise monitoring. Basement must be protected. Storz hydrant adaptor for hydrant located at Adele and Ki.tsap Way. Knox key box to be installed at entrance ~ to building. 6/18/86 $1.50 state surcharge BUILDING OFFICIAL: VALUATION PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. OQTE $ 240,000.00 $ 734.10 75655 $ 1129.50 '7573% 6/30/86 WILDING INSPECTION DIVISION — Bremerton, WA 96310 Permit No. 7350 )PIES TO: WHITE — BUILDING, YELLOW — ASSESSOR, PINK — OWNER ot-e--BUILDING P MIT A PLICRTION City of Bremerton, Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. S Z? SITE ADDRESS/LOCATION 9,?S��X�de% � G1�R) 5 CLI N ( C -VAI OWNER'S NAME OWNER'S ADDRESS LUA. PHONE.? 77 RIS -6 / CONTRACTOR STATE STATE CONTRACTOR'S LIC. # ADDRESS PHONE ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE BY Authorlxeo Agent I ❑ RESIDENCE L7 BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR ❑ REMODEL ❑ ADDITION ❑ DEMOLISH ❑ SIGNS JUN ='IJ RRFMFRTON BUILDING DEPARTMENT 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. OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. --- ..._..__ ✓ : .. ®� --� � • � tel/% /� %i ' , r BUILDING OFFICIAL: j VALUATION PLAN CHECK FEE RECEIPT N0. PERMIT FEE RECEIPT NO. DTE $hyo $ `/3q '� %'3—�5 $ //a9 �� ;qhs 000. BUILDING INSPECTION DIVISION — 817 PACIFIC, Bremerton, WA 98310 i r ca�ars tic �S'• •-BUILDING PL*RMIT APPLiC TION City of Bremerton, Washington _ Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. SITE ADDRESS/LOCATION 9,75 14de% OWNER'S NAMEgrope %.« OWNER'S ADDRESS ?S/2 W�,&47 �, W-4 PHONE 377 X5-4 ) Viewtnoni / i CONTRACTOR STATE CONTRACT'OR'S LIC. # ADDRESS PHONE' s ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING SIGNATURE BY puuarizae Agent ❑ RESIDENCE 27 BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR ❑ REMODEL ❑ ADDITION ❑ DEMOLISH ❑ SIGNS JUN I r:1g86 BUILDING DEPARTMENT 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. OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS RE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. COMMENTS: &�k,' BUILDING OFFICIAL: VALUATION PLAN CHECK FEE RECEIPT NO. PERMIT FEEo RECEIPT NO. DTE �yv.�.��. -- 1 BUILDING INSPECTION DIVISION — 817 PACIFIC, Bremerton, WA 98310 BUILDING PERMIT APPLICRTION City of Bremerton, Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. SITE ADDRESS/LOCATION 9s7.5— 14da% ��2) s C LI N\ I C OWNER'S NAMEVjew)n,,,r OWNER'S ADDRESS W -i&47—, %.44Z PHONE 377 R'S -6 ! W CONTRACTOR '��` � STATE CONTRACTOR'S LIC. # ADDRESS PHONE ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING I OWNER'S SIGNATURE BY r11 BUEl 23 SINESS OTHER ❑ NEW 11REPAIR ElREMODEL ElADDITION ElDEMOLISH ❑ SIGNS PLANNING/ZONING i PERMIT ISSUED FOR: , # STORIES JUN 10 10, IBUILDING DEPARTMENT 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. 'OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. BUILDING VALUATION PIAN CHECK FEERECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ ��o,DOD, $ `731— ���� l/a9 S� -',l BUILDING INSPECTION DIVISION — 817 PACIFIC, Bremerton, WA 98310 CITY OF BREMERTON — BUILDING DEPARTMENT 478-5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310 - INSPECTION REPORT PERMIT NO. 1 have this day inspected this structure;+and these premises and have found the following violations of City, County and/or State laws governing same: l You are hereby notified that no more work shall be covered upon these premises until the above viola- tions are corrected. When corrections have been made, call for re -Inspection. Do Not Remove This Tag OAT- Co . NG SEPT. . .u�.a.wuev,3_.,.. u3w.ar,w_Y ,ra8 s.r-,. M,G't.1rt..audu�E rSPmsv6ritl,.sl3&d.,rew�A��nc..s:.^az. ,...i5an.,®e tki._�ll.Lws�as'e.,b,,,.<x.sv..�`i�.s,.s,�LIlddi�Eatwur..v.sx .n. CITY OF BREMERTON — BUILDING DEPARTMENT 478.5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310 INSPECTION REPORT PERMIT NO.'? 1 have this day inspected this structure and these premises and have found the following violations of City, County and/or State laws governing same: 'CITY COUNCIL r AL COLVIN • City'of Bremerton, District t 239 FOURTH STREET P`MEgTD MORRIE DAWKINS District 2 BREMERTON, WASHINGTON 98310 �' HANK WAIBEL (206) 478 - 5252 t District 3 ,BMiNY S LON OVERSON District 4 MAYOR GENE LOBE SHIRLEY MARTY CRUTCHER District 5 MARY LOU LONG September 30, 1986 - District 6 C.R. "TINY" COLLINS District SPENCER HORNING District 8 RUSS JOHNSON District 9 Dr. Tom Olsen Assistant Administrator 2512 Wheaton Way Bremerton, WA 98310 Dear Dr. Olsen: This letter serves to respond to your letter of September 16, 1986, wherein you requested the opportunity to place a temporary modular building on the site of the Doctors Clinic improvement at 925 Adele Ave. The Planning Department has no objections to the placement of this temporary structure as I indicated to you in a telephone conversation of September 24, 1986. However, I would like to add that the temporary modular structure be located in accordance with the appropriate setbacks for your subject property. In a check with the Building Department they have no specific comments at this time. You are encouraged to contact the Jan Stemkoski of the Engineering Department at 478-5270 regarding any necessary utility hook-ups for water and sewer for such a structure. The duration of the use of the temporary modular building will be limited to the length of time necessary to complete to the clinic located at the aforementioned address. Gateway to the Olympics and Home of the Puget Sound Naval Shipyard Dr. Tom Olsen September 30, 1986 Page 2 Thank you for your early insights and questioning and I look forward to working with you on your building project. sSincere �, DAVID HANNA Senior Planner DH:dw cc: George Yeager, Acting Building Official T Iv,,cc CLINIC OF BREMERTON SEP 17 1966 S city os a�rEgrlsnon September 16, 1986 p6:: nnln Dept. Mr. Dave Hanna City of Bremerton, Planning Dept. 817 Pacific St. Bremerton, WA 98310 Mr. Hanna: The Doctors Clinic is remodeling its satellite clinic in West Bremerton at 925 Adele. The building has been vacated for construction and the doctors are now seeing their patients at our main facility next to Harrison Memorial Hospital. This is inconvenient for many of our West Bremerton patients, however, and we'd like to reopen the clinic as soon as possible to minimize the problem. I'd appreciate your review and comment on the following plan to achieve that goal. Remodeling is expected to continue into February, 1987, but one wing of exam rooms will be finished the middle of next month. We'd like to / place a modular office next to this wing to use as a waiting room, Lf business office and medical record storage area until the project is completed (about four months). I'd like to stress that we're proposing to use a modular office built to satisfy most commercial building codes in this region, that this office will only be occupied during normal business hours, and will only be on the site for the duration of the project. Please let me know if you think this will be feasible from your depart- ment's perspective. If you have any questions or concerns, feel free to call me at your convenience. Yours truly, --7 Tom Olsen Assistant Administrator TOJgjd 2512 Wheaton Way Bremerton, WA 98310-3399 Telephone: 206-377-8561 i BUILDING ERMiT 1207 q City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE do SITE ADDRESS/ LOCATION OWNER'S NAME%,:) ( Z:U4WA9,&t ( 4DDRESS PHONE CONTRACTOR/%[✓/j%'/ (�i'.`�'-'�' STATE CONTRACTOR'S LIC.# ❑ RESIDENCE BUSINESS ❑ NEW REPAIR ❑ REMODEL ❑ ADDITION PLANNING IZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED 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 INSPECTION: FOR INSPECTORS USE ONLY: REINSPECTION: FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATUREBY ice, �%..�d— ,!/arG �-C�G�,y Aurhori Agenf BUILDING DEPT. �� O 6' N9.O 4 5 4 2 4 Fee s--....................Ir...............................---...... Receipt No.., 'b 5-- ---------------- ................ BUILDING PERMIT CITY OF BREMERTON • BUILDING DEPARTMENT F. E. IRISH, Building Inspector • ESsex 3-1411, Ext. 36 Aga--- 01 1 .2I Ownees Value j Bldg. Dept. Value � DESCRIPTION: Lot Block Additions Address on Job . ....................... ............ ...................... Date ------- - ---- Building ---------------- X ------.......--- and ----- ...-------- stories ------------------------ basement. Lot ---------------- X ---------------- Front Yard ------------- •---....... Rear Yard ..-.------------------- Side Yard --•--------------------- Garage OCCUPA1CY PERMIT REQUIRED BEFORE OCCUPYING BUILDING.. Zone ................--------- ...... Ownerzy� r .,arc!---------------- --------------- . Address -------------------------------------------- Phone --=-............. Contractor .............. Address,��--P-- y 5- ........ Phone ----------------- This permit is issued for: -----.`_'-------------'=-==----- All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. -•------------------------------------------------------------------------- -----.............................. - ---------------------- -------------------------- ......•... --------------------------------------------------------------- ----------..------------ .......... -- - - -----------------•--------------------------------- --------------------------------•------ ............-------------.....---------------......... ------- -------------•-------------------------------------------------- ------------------------------------------------------------ ------------------------ --.... ------------------------------- -........................... ----------------- ----- ---- --------------- ------------------------------------------------------- ----------- ------------------------ .......................... ----........ .......... ---- -------------------------........ ---......................... ------- ------------------------------------------------------------------------------ ............. ---------- --------------- ----------------------------- ------------ ----------------------------- ----------------------------- Owner's Signat v ti5 G -B- ----------------------------------- -- ---- ----- Hit Authorized Agent Building Inspector .-._-_ ...- By---------------- ----- N? 44211 Fee t. .......... ....- Receipt No >.7.'..',c?.dt..:!..2r. :..-._...................... BUILDING PERMIT CITY OF BREMERTON • BUILDING DEPARTMENT F. E. IRISH, Building lnWetor • ESsex 3-1411, Ext. 36 Owner's Value Bldg. Dept. Value DESCRIPTION: - -�0 Lot Block Additions Address on Job ...... r ° Q .. z_ ------------------------- -----------------------------•----- Date t cf .........---- Building ................ X ---------------- and ................ stories ........................ basement. Lot .......... - x ..... FrontYard ------------------------ Rear Yard ------------------ ----- Side Yard ------------------------ Garage ------............------------ OCCUPANCY PERMITREQUIRED BEFORE OCCUPYING BUILDING Zone -------------------------------------- _._ Owner 6,-- � P_x: c----------- -------- Adtiress----------------------------------- Phone ----------------- Contractor-------------------------------------- ------------------------------ Address ------------------------------------------ .- Phone ---------------- Thiis permit is issued for: ---- - �cr s _. All work to conform to all applicable ,building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reinforcing steel must be Inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected' and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. ------------------------------------------------------------------------------------ ---------------------------------------------- -- -- - ------------------------------------- ------------------------ Owner's Signature ------------------- Owner sSignature .............. a411-'-�%--- ------- Hit Asihorized Agent Building Inspector SG% "f------- - -------------------------------------- %J ofBY------------------'-:---------------------------------------------------- Uf �ab� N ° 42156 Pee $............... . -------- -- ..-: Receipt N. ... u J. -! ................... . BUILDING PERMIT CITY OF 'BREWItTON • BUtWING DEPARTMENT / F. E, IRISH, 8eilding inspector • Max -1411, Ext. 36 Owner's Value I Bldg. Dept. Value DESCRIPTION; S <ff.?!J �: T,..r Rl-t- AdAi i— Address on Job _.-- -- -•-- ..,•---........ Date ----------- Building ---....-- x . ............. and ---- -. - - stories , ----- basement. Lot x ----------- Front Yard Yard ........... Rear Yard ------------------- Side Yard ---- Garage .------ Occupancy i-:,.,trre��._ s L..._ - ---------- Zone —.,.. '_. Owner .--. -- -- Address Phone Contractor ....... -. Address .............................. _..... ...... Phone ................. This permit is issued for: -------------------- 6}� All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements, DETACH HERE AND, POST THIS SECTION ON JOB INSPECTION Reinforcing, steel must be inspected after placing and before covering. FORMS shahbe Inspected and approved. before pouting, All :plumbing, wiring and the frame. of all buildings must be inspected and approved before covering. Wood preservative to be usedon all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating.. See City Engineer before working on streets or sidewalks. ---------------------------------- ---------------------------------------------------------- .......... -i----`---------------------------'-------;,n --------- --------------- Owner's Signature ----------- - --------- ---- - - -- ----- ------ -- -- - ---- ' Hi, Authorized Agew Building Inspector .........`=. .... = wr ------------------------------------ per✓ of By -------------------/-`— .ro IV b 3 / 5 O 6 Fee ""` ..... Receipt No. ..... j`...Q-�� ------------- ---------------- BUILDING PERMIT CITY OF BREMERTON • BU'ILDI'NG DEPARTMENT F. E. IRISH, Building Inspector • ESsex 3••1411, Ext.. 36 O-swnner's Value Bldg. Dept. Value j DESCRIPTION: s [�•t, - �. Lot Block Additions on Job __. `.t %.. ---- -------------------- to ------ Address Building ---------------- X ---------------- and ---------------- stories .-----_----------_---- basement. -------------- x --_----------- Front Yard ------------------ Rear Yard----- Side Yard -------•-- Garage ..-----•----------------------- Occupancy.. -' ; -- Zone.. Owner _- a tL% �t ... Address ._ -___ _. Phone________________ Contractor - -- r� t .............................. ............ Address . � l * /o a P e__.... This permit is issued for: ---------------- ................................. --------------- __---------------------------------------------------- •----------------•---------cx=r.� f.... f 1 ... All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring,.All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. Owner's Signature Building Inspector By Hi, A4hori3fd Agent