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HomeMy WebLinkAboutCALLAHAN DR., 811 e PERMIT e CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 JOB ADDRESS <;;' II CALL AHA~t/ OWNER MAIL ADDRESS D R I GrLl L OY+Ilt? -i IJ ~<;; t> ~ CONTRACTOR MAIL ADDRESS !tLr87U [(1/1(4-, PL rY1gp,-_ ZIP PHONE PHONE l 4-6 d- - 15 D A-lv IV ~OA-O LICENSE NO. 4L~T~- /VJ~~ 2grs Class of work: 0 NEW o ADDITION o ALTERATION ?REPAIR D MECHANICAL ~ PLUMBING CHIMNEY (No fee information only) INSPECTION: Groundwork Gas Test Masonary Lines Unlined Wasted Vents Water Factory Mfg Type B Type L Htg. Ruffin Chimney Location: Internal Outside Wall Stove or Insert Refrig. No. Type of Equipment Fee No. Type of Fixture or Item Fee STOVES Gas~ Oil~ Wood~ WATER CLOSET (TOILET) FIREPLACE INSERT BATHTUB ,:F;URNACE Gas (Nat.~ LPG.~) Oil~ LAVATORY (WASH BASIN) .' . ,Wood add on ~ Other~ Electric~ SHOWER "BTU KITCHEN SINK & DISP. Type: Up flow~ Down flow__ DISHWASHER Horizontal~ Wall~ LAUNDRY TRAY CONVERSION BURNER: Gas~(Nat.~ LP~) CLOTHES WASHER Under 1 OO,OOO~ Over 1 OO,OOO~ WATER HEATER Oil~ URINAL UNIT HEATERS BTU~ Gas~ Elec.~ DRINKING FOUNTAIN BOILER Gas~ Oil~ Electric~ FLOOR - SINK OR DRAIN Other_ H P_ SLOP SINK GAS SYSTEM Max. 5 outlet Total_ WATER PIPING & TREATING EQUIP. EVAPORATION COOLERS Roof_ Wall~ WASTE INTERCEPTER (Grease) BTU_ VACUUM BREAKERS & BACKFLOW DEVICE 7h AC UNIT Electric_ Gas Elec. Combo LAWN 'SPRINKLER SYSTEM 00 - BTU_ SWIMMING POOL - Private Public HEAT PUMP Single Package_ SpliL- GROUNDWORK Add on_ BTU Ton_ SUMP MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION AIR HANDLING UNIT CFM_ BTU_ POST & BEAM FANS ExhausL-- Supply~ Bath_ S ~O RANGE HOOD Residential_ Comm.~ PERMIT $ CLOTHES DRYER Res._ Comm._ TOTAL $ Jr:- 5-0 Incinerator NOTICE ALTERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- Heating/Cooling~ Exhaus~ IZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS TANKS Oil_ Gas_ Propane wlOK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER from Fire Dept._ Gallons_ WORK IS COMMENCED. REFRIGERATION UNIT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE- PERMIT $ THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- TOTAL FEE $ SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR- MANCE OF CONSTRUCTION. FINAL APPROVAL G ~-/ /rr-J- (DA TE) G"-//-8t- (DA TE) 2299 (SEE OTHER SI DE) SIGNA TURE OF OWNER (IF OWNER BUILDER) RECEIPT NO. 7;). t 1-4- PERMIT NO. ~'! (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) SUI LDI NG'~ERM IT tN! 1246 AI City of Bremerton, Washington Phone: (206) 478-5281 v OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE B, 6\0 -- --- - $8",(>0 -Yb'Z. y-;> g-9- ?~ $ ':00 $ OWNER'S NAME 7]t. PHONE CONTRACTOR~~ (~'l~~ ~~ ADDRESS STATE CONTRACTOR'S L1C. # ~ RESIDENCE PLANNING I ZONING o BUSINESS 0 NEW o REPAIR PHONE o REMODEL o ADDITION FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: ~ r<?~-C-d ~~- /' , th.~ 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 0 INSPECTION: Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINAL~ FOR INSPECTORS USE ONLY: REINSPECTION: APPROVED' NOT TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICAT-E REQUIRED BEFORE OCCUPYING BUILDING BY OWNER'S SIGNATUR BUILDING DEPT. ~ Authorized Agent ~ , ~ .~' ,.'r .~ "',.- , .. . Pd;'~' APPLlCATIOtJ FOR ADMINISTRATIVE VARIANCE A fee of $10.00 must accompany is required, an additional .fee of a hearing. 1. , /c Date: /7///; this application and in the event that a of $25.00 must be submitted prior to the €/() t7~~~ e?/~/7 r ~ hearing schedul ing ~# Ilv?/ 2. ,:/ Name of Applicant: ;/ // ~;-:./~-._?". _ f~/ ," /) /~, , / :r I /.; ./ p Y' /f;;~' //;~:/:./:-~~:./~~~ ~,' ./ ~=7/;~/'/':/.~,/~'~~, / 3. Street Address: /~. ,/'~ .#-' -" ..~_... '" .,' , .... /; . ;;./ , .-;-;,"' /;. ./--:.~-_/ ./ ./. '.r:? ./J..",-', -::.,:'/ .:~~ {/ :-) i,,:;:_/// ~ ./ ,/" ,/. t""',,-~ /' ~Y_/ Work 4. Telephone: Home 5. Location of the Property. Street Address: /?>>/ /~~2':'~:;~'/;~;:"i'/ ~ // /t.:~7:'<"_ ' ,(~C_ ._~--;/....~ ~ /' , //;/ l/; u>;; 1__ title to this ,/) //'~'/' / /...... ,/../ /. v/-'" property (Name & Address) : 6. Who holds legal 7. / Zone of the Property: 8. A short statement setting forth the type of variance you want and your reasons for applying for ..' /:;: / I.:" /C /' ../ ./ a variance, including any special circumstances justifying / // / ..~' "",-. . r . . //~" , ...--::/ ;:#0 ,. ,//;.1'// ./ /.( .// .1/~-'/) ./-'/;;./ _-:7 ,?....t.-(.J/ ./' .~I ,/ ____ ',/ '!...~/ /, / /' .' (' ~ /Ad~ ~22&r-l'~ rYV tv. ~/ -;;7 ~/\ . # 0 this application for a variance: - ...... / 9. A SKETCH TO SCALE MUST BE ATTACHED TO THIS APPLICATION. Include a sketch to scale with the following information: The dimensions of your property and the adjoining property showing existing structures and the relation of the proposed variation. 10. Present this appl ication, the sketch to scale, and the following statement to the adjoining property owners and solicit their signed approval of the proposed i "\ .~./ .. . Administrative Variance Applicat!on -2- THE RIGHT. TO A HEARING BEFORE THE PLANNING COMMISSION IS HEREBY EXTENDED TO ANY AGGRIEVED PARTY WHO WISHES TO OBJECT TO THIS APPLICATION FOR A VARIANCE. PLEASE OBJECT IN WRITING. IF YOU OBJECT, A HEARING WILL BE SCHEDULED AND NOTICE WILL BE PUT IN THE BREMERTON SUN OF THE TIME AND DATE. I hereby certify that I have read this application, have reviewed the proposed variance, and approve of its granting. . ~~n below a 1. UtA- our name and address. 2. (s i gnature) (print name) (print name) (print address) (print address) 3. 4. (signature) (signature) (print name) (print name) (print address) (print address) I hereby certify that the statement contained herein are correct and agree to abide by this application if it is approved. Further, I have contacted all adjoining property owners, sought their approval and informed them of their right to a hearing if they objected. If any part of this appl ication is not trufthful, or approvals have not been sought as required, the City reserves the right to revoke this variance. By his signature the applicant agrees to these conditions. ,," ') . :/ -'-~>/)//./, ///- . /, ,., /. - ., ',../. , (signature) / /. //~ /' 1>"'/ j 6/4 1975 Date of Administrative Action: ~. 3e:?cZ W App roved ( ) Disapproved Sections Varied: ~A ffllr~- PLANN I NG (JIRECTOR State Environmental Policy Act Declaration: NOT APPLI CABLE '1 . BUILDING'ERMIT' .\J~ 3515 City of ,Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG, DEPT, VALUE PLAN CHECK FEE RECEIPT NO, PERMIT FEE RECEIPT NO, DATE $3b.;.? - $ SITE ADDRESS I LOCATION 8'// OWNER'S NAME ~~~- , CONTRACTOR STATE CONTRACTOR'S L1C. # ADDRESS PHONE o RESIDENCE % BUSINESS o OTHER % NEW o REPAIR o REMODEL o ADDITION 0 DEMOLISH ~ -~-- All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction, INSPECTIONS REQUIRED: Foundation ~ FramingA Plumbing K Electrical ~ Wallboard ~ FINAL~ SEPARI\TE PERHITS JillE FEQUIRED (NB.:EJ1E APPLICABLE) FOR PLUl\mn\fG, J:;iBCHANICAL AND ELECTRICAL FOR INSPECTORS USE ONLY: REINSPECTION: !A.PPROVED' NOT . TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY BUILDING DEPT. ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BE OWNER'S SIGNATURE \~ "1 \-" ~ -.. ~"" '.)'P! fiCA TUONaA,'~71;\50 =-~~~l~;m: b~'i~~9~' oc) ;U.!l-DlN~~ENT · ". :.~~a~a~a....~ . . _ ,!>~R~ HI: s~{j?',r.~~"t' .J>e?c2.:":.3d . W6.N .;;;JE';S~~O~ O~8.:......... 81.1. :........... ......,... ~................. . ... . '. . . . . . . . .. . . . .. . . I' ~. . .......... """CAlI.O" I'5U<O '0", ..:.......~. :..... ...... ...: ......~:.., :.....,. ."...................... . .. . . ... .. ., .... 'ROPERTy"TAX ACCT. N0.27:~~;-t'.49'.-;"P.{(.;. P/J. ~:-;'. ...l??~:;!.~~.t/.-:~~~-:-<?t:J.t:')~ - ....;, . .____ . _':;r 9~ ~ _ ~t!:J~ _ I'Jt!J ~ - bt!J~;)- r---' ~ .$?d> ~ - Ot:lf,! - ~(!J~~./ . . . . . . . ,ANNINO '.."NO............ m' '".c........ '" OOCU"N"..:.. .:..... .. TY" 0' CONmUmo!!, .-......... d . ) W"E"-'~~"'~~*'~' .' CONTRACT..A<<4..~~.. ~ !ORESS..... .....................~....~... ".. ..... ....".. ... .. .ADORES~~t:~l~? -~ /.. W4..., .,...,:... ~'.t'-' ..=:,': '0' "JI'~"'" ... . . /1'" . .... . . . . ~H"". iii:,;;iii' ;T~;; ':,~.':: :~: ~:::::::::: :..::: ::: .- ,;...:. TUR' '~;;LlC'" . . .Q'.....:.x:JJk l.4AK . _' ~" :1;),/..L. . ~.4,. L ",r " · MCElY'O .,.~.. . . . .' DOES 'NOT INSURE I SSUANCE OF BLDG. }'"e(,h~Ji SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVING. SIDEWALKS.SANITARY , STORM SEwER. --"~ -- hrr ' D~' . Oy j _ - 1 ~ ~'- ,i~f DEPT. COMMENTS/REVIEwED 6Y.......... _ f:. i' .'\ .. ..- ... liAFFIC O~PT. CO~~E~TS/REVIEWED 6Y.......... .I:~ ~ i- f, I ., J. :~ PLUMBING REVIEWED SY...~...... J-:!EPARATE PERMITS REQUI~EO FOR PLUMBING AND MECHANICAL HORI(. [LECTRICAL REVIE~ED 81.......... ,",HER DlPT. -- ,.---......, "1'\,'0 llY SEPARATE PERMIT REQUIRED fOR ELEC,RICAL WOR~. .-. APi'ts)' :~'" --....- ...--...... 8Ul'O~h' REVIEWED uv........~~ 317 370_3 0/ ..._ ....,u...".....-. ,-_.\....,---_...._- ,.'- ,. ~ ...Jl OA n: . . . . . . . . . . . . . . . . l .. .- ~omplianc. ?rttcer .. . .. .. .. .. .. . . . .. .. .. .. .. . ... . . . . . .. . .. . e IRi ~ ~ Hr [fDJ /Yf4 Nav 30 1981 ASS ~iQ;~t'~~S A I A HARKNESS I, " Ill"""'" ARCHITECTURE . ENGINEERING . MASTER, PLANNING Nov. 25, 1981' Department of Building & Safety City of Bremerton 239 - 4th Street Bremerton, Wa 98310 Re: Soffit & facia lathing Eye Clinic for Drs. Guldjord & Hansen 811 Callahan Drive Bremerton, Wa Dear Mr. Bates: .Although the metal lath installed by the lathing & plastering contraGtor is not galvanized, I believe that the 3.4 lb. self furring expanded metal rib lath with black protective paint that wasiristalled possesses sufficient corrosive resistance to provide a lasting ma~erial for the particular use condition. I expected to see a vapor barrier behind the facia metal lath as would be required on all vertical wall surfaces, but because of the inclined and somewhat protected surface of the facia, the contractoj' ipparently assumed that this area was not weather exposed and'considered it as "under side of roof & eave projections", as describe~ in UBC 1707 (c) 1. I am disa~poi~bed: that the lathing & plastering contractor did not comply wi'th th~ Building Inspector's interpretation of the Code, but believe that costly time consuming corrective ~easures will create greater hardship on those involved in the project than warrented., DRH/dh c Owner c Contractor SCi~erelY yburs, \ J, "':. ;,' ,)~p~~ Dav~d R. Harkness 'W/ I"~ . , , , , , ALDERBROOK BOX 1668 . UNION, WASHINGTON 98592 . (206) 898-3977 ~ .~. \. ..... ~, '....... " .. .. . . , :\' INS P E C T ION S ". Inspections Required For Stated Construction BUILDING DEPARTMENT o FOUNDATION o POST & BEAM o F R1-"Uv1I N G o ELECTRICAL PLUMBING o INSULATION [] SHEET ROCK OR COVER o FINAL o o MECHANICAL ENGINEERING DEPARTMENT ~FORt'vl INSPECTION FOR CURB GUTTER AND/OR SIDE~'Jl\LK I fJfnueWft '{ ~ FINAL INSPECTION FOR CURB GUTTER AND/OR SIDE\\lALK,'/Of(\ ufL,U/t'1 ~CONNECTION TO CITY STORM OR SANITARY SEWER ~ffiIN LINES Q(PIPE INSTAtLATION PRIOR TO COVERING -W J76vz (Ill (jl ft vrtr '<J /'oJ FIRE DEPARTMENT . o LIFE SAFE'I'Y D FIRE EXTINGUISHING SYSTEM o o FIRE CODE SPRINKLING SYSTEM o REMOVp.L & INSTp.LLATION OF UNDERGROUND TANK THAT I;HLL CONTAIN FLpM~ffiBLE MATERIALS Allow 24 hour pr:.or notice for all inspections. Emergencies will be handled as soon as possible. If required inspections are not called for and made by the necessary City Departments, a Stop Work Order will be posted until necessary inspection is completed. Any materials hindering the inspection will be removed so an adequate inspection can be performed. All completed structures ,viII have a Certificate of Occupancy BEFORE the structure is occupied. If a structure is occupied without a Certificate of Occupancy, the City will have the water utilities removed and order the structure vacated until compliance is achieved. I have read and understand all the above that pertain to the , Construction SIGNATURE TITLE DATE*~ ^ . .- GLENN I<. JARST AD ~IAYCR MoW COMMiSS:0NER Or .PUBLIC HEALTH AN) SAFETY TOM SWANS01'\l CO~H'(ISS;CN~R OF PUBLIC WORKS AND UTllIrlES ROBERT B_ STEWART COMM:SSiONER OF FiNANCE .l\r-:D i,CCOUNTlNG PRE~CONSTRUCTION CONFERENCE KATHLEEN L. MANDIO CITY CLERIo( .AND PURCH,;.s1NG AGENT lvlINUTES DPI.TE: February 27, 1981 CONTRn>CTOR: Ryan Built I-lames RE: Eye Clinic - Drs. Guldjard and Hansen In attendance: David R. Harkn~ss, Architect; Ron Ward, Ryan Built Homes; Joan Hogue, Ryan Built Homes; Steve Johnson, Kyan Built Homes; Al Bartlett. Puget Power; Bob Frisbie. Assistant ci ty Engineer; A..i-n Costello, Building Official; .John Bates, Building Inspector; George Allen, Plumbing Inspector; Jay Williams, Building Inspector; Ken Attebery, Planning Director; Tom Pratt f Policf:: Traff ic; \'7a1 t Allo'day I Compliance Of f icer and Julie Gosselin, Secretary. The purpose of this ~eeting was to c12ri~v const~uction and code requirernentsa and their compliance. Iterns discussed were as fol10"l-7s: PUGET PO\-ER: The requirements set forth by this company will be mailed to you :JY th.(::m. PLA~JNING : Mr. Attebery stated there were some mlDor details that were not on the site plans that need attentio;. He said these were listed .in Ordinance 360l! (at.tached), and must be complied with. The Nor-th East corner must be graded dm'ln to provide sight access. Mr. Harkness said he would be providing curbs in the parking area. (This d'2tai 1 ',vas not shown on the plan.) I'lr. Attebery said he needed a copy of ~he landscaping plan, as landscaping is a re- quirement for occupancy. HOME OF THE PUGET SOUND NAVAL BASE AND SHIPYARD e e Pre-Constrcution Conference for: Hyan Built"Homes - Eye Clinic - 811 Callahan Drive page 2 ",/ POLICE TRAFFIC: Th~re was considerable discussion regarding the future construction of ari on ramp in the vicinity of this proposed Eye Clinic. Tom Pratt, of the Police Traffic Division stated until that was constucted the Police Department would like to have a Right Turn Only sign posted at the East exit. This would be uneforceable by the Peliee Department as it would be on private property, but if it ~as in- stalled at that proposed location it would the~ be 68 ~eet from the main intersection of Wheaton Way and would help in traffic flow. Mr. Frisbie, City Engineer suggested the architect, and builder check with the Engineering Department before installation of that sign, to find out the status of the proposed on ramo. ENGINEERING: Mr. Frisbie stated all work has been approved as per plan ~ated 12/4/81 with latest review dated 1/19/81. The exisiting sanitary sewer house laterals (possible three of them) will have to be capped at the right-of-~~ay line, unless they are 611 ill diam~~er, whereby they can be passed. Mr. Johnson inquired if the 6" lateral would be furnished by the City to the property line and Mr. Frisbie said "no". .0., catch basi_n is required at the SOl1th end of the property line. Mr. Harkness said three parking lights have been added since revision of the plans. Mr. Frisbie said in addition to the 1/19/81 plan revision, a wheel chair ramp needs to be installed at the SW corner of Wheaton and Callahan. He also indicated the Engineering Department will set the alignment and grades for the nel.v curb and gutter on Old 1iTheaton. The builder should coordinate this with Jim Ha1ffman, Field Engineer. The contractor may contact him at 478-5270 when he is ready. Separate Engineering permits are rel"}uired for: 1 )'storm detention and storm sewer; 2) Side\..'alk al1c1 driveway work - Curb and gutter work; 3) Insurance is required to work in the Right-oE-Way and is required before obtaining pennits for the work mentioned. Information ~ay be obtained at the counter. Inspections must be called for 24 hours in advance, so work can be scheduled for the Ci t:y crerdS. FIRE DEPARTMENT: Jack Horton, Fire Marshal was unable to attend. Mr. Costello, Building Official gave the particulars required by the Fire Department. These are as follows: 1) Fire extinguishers must be on the site when plumbers andH.V.A.C. installers are using torches, 2) The site must be kept clear and free of all cornbustible \v2ste. 1\ dumpster must be on site for disposal. No burning \vill be a11m'led. 3) All 'l'.s. G ! e e ., J Pre-Construdtion Conference for: Ryan Bui.lt Homes - Eye Clinic - 811 Callahan Drive page 3 \/ FIRE DEPART1'lE~::r~Contin~Jed) : cedar paneling must be protected with clear fire retardant coating; 4) Closures must be provided on doors indicated; ,5) A separation wall is required in the electrical equipment room in the bas~ment, as the area Hill be used fo:c storage. ~-:o combustible material \:Jill ~e allowed to be stored in this area; 6) Plans are not complete on fire alarm and detection information on electrical. These plans will have to be submitted for approval prior to installation. ~) Fire extinguishers are required to be installed. If these are stored 1n cabinets with plastic breakfront they will not detract from the decor, as a wall hung extinguisher would. 2AlOBC dry chemical type required. (N.F.P.A. 10) Emergency lighting must be installed ln central corridor. These should be battery controlled. BUILDING DEPART~E~T: Mr. Costello said this must be a 1 hour building. Mr. Bates sale the building must comply with the Washington State Energy Code, R-30. Styrafoam must be used under slab to come up to walls, but may be left out at certain sections so building will have a bearing wall. Styrafoam is not needed where there is a ?arking garage. Windows must all be double glazed to conform to th~ Energy Code. All doors ~ust be solid core doors. \ \j PLUt-iBING: Mr. }\lle::: said all plc.l"cbing nH1S,- be installed according to code. .v..ccording to 6901 of the Plumbing Code, elongated closets must be installed. The restroom must comply with handica? codes also. Downspouts must not be inilieddedin concrete or be ~udded in. They must be free. Fired dampers must be installed whereve~ they are required. Mec!ianical dra\.lings must be submitted to Building department for approval to make sure the proper duct work will be installed to comply with the Energy Code. ~ 'II .. : . . .' ~ '" r Pre-Construction Conference for: I :~ Ryan Built Homes - Eye Clinic - 811 Callahan Drive page 4 \ '- COMPLIANCE OFFICER: Mr. Alloway, Compliance Office explained th City's procedure regarding code compliance. All permits will have to be ipplied for before work comrnences. . Dirt must be kept off the City streets. If trucks have dirt a,l the wheels and they are not hosed dOvlD, and the dirt therefore gets on the streets, the City will clean up and bill the contractor for their services. All work in the right-of-way requires permi ts. If permi ts are not, applied for and inspections are not done, a STOP WORK ORDER will be placed on the job until the necessary requirements 3re met. If work is covered up and ~ot inspected, the City will require the contractor to uncover the work and have it inspected. .u.n OCCUPANCY PERl'lIT r-mS'I' BE :RECEIVED BEFORE THE BUILDING IS OCCUPIEQ o~ the utilities will be pulled and the - building ordered vacated, until the Occupancy Permit i3 received. If a Temporary Occupancy Permit is applied for, the Contractor must post a performance bond with the City, guaranteeing all the work . will be completed by the designa'ted date stated on the perrnit. :Respectfully submitted: .Julie Gosselin Secretary '" !!" ';dU,~~"~::;;~~~~-~- - (-- ..-(" ~-,,) , :'" <\~ r . ...: . " , CITY' HALL ) ,.'.' ~ .... ":'.....~ J/ ~'~,,~ . # --,{V, $':" / "- )/ '~i/>Clll ~ <~~~~;- ~ /;) '1;1f:'~ -n01~' ":{(?;.r~fl;~1.Z ,.; (!1f/.~~~ . ~_.lr'lUT :rt>tt:r,;,t; u't:/06:/I.if-/l.t/;~(V "J ..' d ,<.' . J/. '-'--~'-1: .... .- . .- :.. <".,. ~.; .", - '-, ,:~~~>;t~;~~:~, i vJ~~~~!~JG-ft,~; - / '~~~.f.~f~~.!~L';?;~?:tii~-~~~~~.~. -~, .._-_ -, . c~",.. -.. ~~-----' ',- :""'1' '< . .~ ",), 0- .... \.-00.... /1 ~_~..~~ ~_,~r --/ '~-. ,..~ r~....'l')/--- '.k " '__0. .~.:.. "~, <..~, '-', :::;:: ,', "./,:"J ".;.- "-~. ....~ - z, ~ i,,~ ;,:=-~..~~ .~ <.. :- " .' - "". -. . '239,,~9.YBJtI:.?IRE.~::_:'-98~-!Q ~'., . 1'" January 16~ 1981 TOM SWANSON GLENN K, JARSTAD 1>t,t..YOp. AND COM~tS510N::R,. c.;.- t:U8UC HEAln1 AN;) SP..-.ETY C0hH.~ISSlO~~ER OF PUE,,-!C WORKS AlJO UT!L1TIES Dav.id Harkness, AIA iUdel'bJ:o-:Jk Box 1668 [Jnicn I i'.'ashington 98592 KA TH'-EEN L MP,NO:O CITY CLERK A~:: PLi;:;CHf\Sl1~G AGENT ~E~~~W~~ JAN 1 6 1981 FiL'lBERT 8, Si'EVif ;\J=lT ro:.{MISS!Oi-zEH OF FltlA,.;Ci. A~4D ACCOUNTING Ite: Eye C~linic Callaha.n (~ f\-.he2.ton. r'/ay f BlI"emcrton ~ln -. Oepa' Dear '- ., T' . ....,J..:..L .. The E'ngit2eerinq LiE!pe.rtment 1:3.5 ny ~;G~l _~O:!: the prop::Jsec E:~?e Clinic. e..nC!/o2: [ev~:sions '.n.eec to be. .-:i/:tGe to revie~ied th9 p22:13 s :.:.b~L1: t tea" 2-'1.~2 - -" ~ ;::::;l..:..ot/.:ns" ;:'_~_~ .iEa~i,rinqs .;~I-ilJ2.~ :3~Ci6.i ticns ijOU'=- ::0 tha f~:rthe~:. I-)!'ocessing of '-jour ].-;e1.~2i~: b~ 0:...72"' (~ep[~.rt:Je!}::: ( '; , . ." J The calc-uletioIi Eel' the rels2se Y2te t.rc::: S::OJ."'~: dete~tion tanJ: shoulc be as fcllo:',~s: '. 26 / 084/ il:] , 56jO x o. 2 0 ~ 0.:" 2 ......-, /- r...._~ ::; r','i t11 a 6 f h2~C t~9 :equired eJE:..::-ice size ~" ,'::' (2) i11.L c:atciJ. b2Si..'1.s need 1-'...-. ~V be '-7li'J-'C: ~. (3) 'T.he c011tl"'ol basin at the - ., - c.1. S C ,[;'2. 2.~S:-2 0 r -;-.'1.0 -. .' ,:),--r..~..:.;.. c:e::er:C.lon tank needs to be 2 ~ype ~~ C2tC~ b2sin. (.:; ) Lt needs to .oe noted on the :)1,:;;';13 th2t q3.::..;e end plates .rnust be ~6/e)_ded on ~'.~aT..:9r -::'2~~jjt. (5) If- ell? . ~ ~- ~ :IS L.O De usec__ ~:1S;: .ce 24 qauqe s:ee2, aspha.lt tl~eated 01' 12 gauge bare a.I1.1:T'inUT!I.. (6) The bleeder line from the co~trol bBsin to ~~~ City's storrn syste!77 mus t ])9 at least 8 ~inc.l1 dian:e:e2- p-=-p.-=. ('1 / I The invert of the existing catch basin in t.:lS! f'lheaton R./f'l needs to be verified to ens~=e tiJat you ca:l e~ter it from yotl.r proposed system. (8) The sanitary sewer lateral to service the new building must be Cl Ininil1lUm cLian1eter of 6 inches, ~. . . n U r:~c:::.:{ t .-='-- L\ l.. ri, \ ~ r~ \. r .=:'J ...'~ t! W' "",.,...." l t .' 1..' ~,," _.<l ,....::::-':"'I , " (9) PIE',ase note on the plans that the C.it~! tvill furnish hor.izonta.2 and \lertical alignment for the rJeh' curb and gutter t.o be installed on f\!heaton fvay. Also note that the existing catch basin in f'lheaton rva~l is to be replaced ;.;i r:.h a net.; TS'pe I Catch Basin i'I,": th approved frame ilnd grate. The dra:ving HOME OF THE PUGET SOUND NAVAl Rl\SE AND SHIPYARD "" ~~ "4~----~------'--'--'- ,.. ..C1 j.n.i c Callahan f r'J.heaton . -2-= , 1/16/81 should also indicate that a radius circular type corner, ,,'ill have to be instal.led at Cal.lahan and fvheaton ,vi th an approved ,.;heel chai 1.' ramp. ill1 f.'ork to be to Ci t Y .standa.cds attached for your refc.n-ence. ( 10) The pia,;. should indicate that once the new sideh'alk, curb and gutter are installed t~at asphaltic concrete Ivill have to be placed to form a smooth -t.:rans.i tior! f'TOin ex_isting f'.'heato.n to the ner..,' qutter Ii}?.. t'f,. ~: (11) The l)lan .'3hou.Id ShOh' the t~.,o dTi ve~'/ay COI'1CZ"ett:'::: fillets to be nHnc:ved on Call ahar~. ( - " , .1 ,/. j T}}S' o.l.2n shoul(: indicat(~ ne:-'l dl'i~7e~,',i2~~ sec:tiC)I:S t() b~ .insta.iled through the ex.i.s til1g sidei;,lalJ:,s on Cal.lahan tc be done to C.2. ty standards... (.2] ) Th~:.:: plan I:.Ust also ind.icate t:nat the sieiev-/a).};.s or:. Cal1ailan anc j-Ie!711oc:k aJ."e to be cleaned ana l"cpairecl t~) hI.'inq then? up to L_i ty stanc.a!~6s. If ~ou have any qilest.icns, please COIJtact Ge~rge ~oe o.n .17S-5270~ , . :/ \ ~ ,-' ,.,. /. !.:/; z).-. -' -.. ~, .r..~" C ~ F_rzIS3IE Ass't~ City E~gineer 17.GF' : n C-;C: Blc1C~~" r:er)t~ Cl.E:fsi te File: E~;e Cl ini c-r~-'J~eaton and C2.212~:]2n . ., I , ...t< , . . ~ BREI.lERT\\\i f11U? ')EPA~-;:.ir:rr :)LA:\i REVIEW .JantL:'1~~i 91 19&1 OU L V ~~V & HANS OJ E~.. e -\-, ~e..~i n~{. c. .~I, n"; rl{H' !/;,? (/,.,,, {' ............ 'C_'-:..o"\..\,\.....'~ It v ..\...-'L.\.....Lt-~j ~_ g 11 C(U~.(tJaH " 1, ?'tcvi,de. (jA-he.. c.x..ti..,:glL{..6:'.f'.}t.6 on .s.L't.e :d:el: pbmbo:. c".lld iI. V, A. C. -<-n.s tcc.U:c.,'i..6 (Vl.;;: lL\..LiH] tC!:'c:;. 2. K c.e,,-:' .,;;.-i.:f:.c. n/l2..". and c..e.ea/t ?~c~J.Lde damlJ~te~ C~ .~~te .'.jo tLur.n-i.ng a..ffo!J}cd. 06 a.it. c.Ol~:0U_/S.t.~l..j,:.~ H\:::.s.t2~ 1 ,'" s.., ..... I t .,.0; ...~ ; {" l' o ....' f'L L:'~ -..1 ;~'l -..) \.'~...~- .. 3.. P ~~ a n ,j (t l!. C. a.;:J ,.:)t 0 v 2. c;: C. :{ c. e. ~J:: a..) E c .t .:::. d ~; L t lr. c. d ' " \ . J"'. "'t " rl ~ C. I, C' I n.t t..,.'1.' ',., 0 ,..J j -: 0 . i t-t. , _ \.I / ~ I/,. l. f t 9 .\.:...J " ... \:. q ~l A....' t. 'L- l<. _ ~, r .';. 0 ',,' .i. cf e. c.t en C...l1..;~ C 1':' de 0 ,';, ..:... u{ i c.c:.t c. d . 5, -:: .zlL :z.. e x...t ,f. it 9 Lc.i..:, II e. /t ,) 0.. -'t('. ''L e. f{lc-i... J'L c. ci Co.. n d /.. ~ ,L it ~ .t ,:' )~ ::. \2.. d ..i..: ~ c.:: b.{. rL 2.~t~6, {'.-~~L.:t It f).tet..j ;t:j_ c b.t. e Ct f2 j .~ 0 l!.:t , d [} v:o.t d \:..~t/:..c.. c:t j l't c: !:1 .tH.:tZ}Lic,1. decoJe. ,1{U.C:l ;:e!~.te..~ "tIter: .)~j jU~5.t {Lu.r~~ c:r ~~~a.E~l. I) 't 1 .,: Cd' 'I c'.. 0 p1 ; ... I" {/ t {', ? 't n ," " ; " n d I ~' -. p / .. '1 ) '- : , "..' ( 'L:. C I C ~ ..c,'~ _ .,. ' ~ :.. ',.. .. ~. ,{ lv_ ,,. ~:4 . , .' . I .' .. '.. I..' 5.' ,Scpie ~~jte. a.t.,~:JI_r-: avtd de..::.~c.:tior: ~f:6c.':f":G..tic;: o~: e.:Ze:t/':.i..c.at t1L:.t nc"t COt71p-t~z"te. 'P.taH.5 (:}Le /Lequ.L'l~d t;o !~'e. ,SULL.J~/~~:ted ,6o~ app~o\'at J~niD~ .to ~i~~tatf~~icn. 7. P..'lo.tec:t aLe. T&Gc..c.cla..J1.. pai:Q.e....{.1l9 (1..'.lL': c..teah 6-ihe )~;:'..t:;..l1..c:an.t €..oa:c~~t:J ~ g. E.tec.:t.::J..c.af e.qr..u:..pmc..11.t '~LCOi! i..JJ .Ut t~c..,: (',I'H2.H.L (1:a..L~ -i..!:. /LeQu-i.J1.e..d, 0.."" .tl:e. ct!tC-(l. (.l,LC...e. !J.L'Jc :;c.. Cor'1:1u...:."t.~bt~ rla~te/7'{'(c.c C.~lti:O,t be l-lO/te.d i~n a A .s e i~ :< ii.. ."..:t,t 0 l1 :L6ed iC~"ltohage. ~;:a:: a..~~:io :,:.6 ail ~a ~ 9. Applicati..on 6oii.. ii..ezone i~dlca~ed cve~~l9ht ~ac..it-i.tieh. , ~ n f. 1') (" J1" ~'"-1o J~ ; '-j -! .: '\ 0 f- 0 nf I""t '"r \"' 0 n ,... . 'I :.~.,-,... v~,~ " ..~ ...~..L ~~l... .,~"-"",, VI> /.....{.....'L-o. It ,t,:te.;~e aJte C{Hfl ql.te,:t.[oi1,:}/ pl~).r~.c cc..f~~e 478-5310. 7 JE!1//;I~ , /1 .j y; / 1/."/'-'--- I" ,.." t.... / {,A'......" 1;"- /l'/, ~ ~"":~ 1,( "PT')/i /-,.\_1. L. :t... _.,~.' f. c::-~t"t~f ;: i;-~e. '{L1..r:,,~ !:a.[ , I 1 . , . Dr. KYi Life- J y-: R c L'A?NJ-. ;- . \. \ l;t u I d-J C \'""c l-J-z/wl.s ."...., ^ I \'i \ ~ l/A..- \ . /VO DLle'v' _\~ l-ovw" v 'leA \ V\ J Z-17~ 8( fb ' ( ) ,r, " K 0 ot- 3\~.o )~\ .. ' \ \ , d e ~</}'7 '5 V 0 v -r- :s --ra ~,~-o y Vi'} d y- 0\ \ '/, ty ,+tl - tK'o D ~ ~Y'C'\~' Y\ G.;r-..1 y\ Q [{- + 30 \ \ ~ S }^r'" 0*' -- ~eYe \-S O}j \1 '<:~.s+- \'< '.1'\"'"' CVv\ d o Y-v\ 1 '~e-.s-+ "'\'),,,,,,,, - V--~ ~~_. c. \..osc \: ~") ~ D .~::? < \ C. \ i . /? \.-+r ..' C V'''V\ ~' !. <J/"'^,~. ''1 <J 'P ...___1 \ r 1\ J h \ s.. \ S i ~\.f, ~D h(:> - . / \ HvVL'i O'L-j f') \. Y t\ yo f. \ \\ j Cr.,,- 'f I' ' 1-+' l, \ Lo~ p )b~ C.~ OL/1.'1d \,/'VI 2 '57 )\\ec,tj. -1-0 r, \./ ~~-'J1"'" \ /:,) \ \~ \",-h.,C.. .... \ ' c l~ Q o..~J u V/<'\ J !k"'"/t d--1' q II 6Jes . "- . .. ,<> ~.~~ r... 'w;.". t ~~7~ ~ ~ Ii,' ~ .,:~," p _~- "$;it~f. ,~ I '. . ' . t. '., ' ' : ;. t;/:,:;,"'~~f!~~.."' ...i'" .,,1...._:; ..~c:> <.:'; .-~'.." . f.'~~~_~"-'?1:~.~~h4.r....h~~,~"'r.:,'~~~~~~~""~".!J~';;'_." '!'!"i'ii.1-~ ;)j.:;,:"~ , ..., .', '__' :'_,{;",<~~.A'J".J:!;~,,,,~~o(lf~~.K;'<~';..,.u'....~~ljj'\.;'w,.t'i;._:-;,,.!~ ;;;~"""'-~:'''';~:':''''':W"l'~''~-- '._ . ',~. r~ii' ,-' <- \ ~ . t, ..:. ,. ;,.....-- .0 ..-4 11':> <:;) o ~_. o N --- _._''''' 0 Go .. .' r.. · 'e " .e -1' ;j. '., ,~ . . .... , )~l . ',",-s) ~ . ',1" '. ~, .. ~ . .~:; :~~-;:~ \:-:_~~ . " . k- ': ~;~"I~ L ('.~ '. . , ~.,:. .'-'~=-:==c"~'~~~~~:7t~!?1:tjf-~~f:.s?~5~;~~'~f(~?7~~ .---'-~!~+::.- ...." ---7-- .. . ...~'+ . -.. . ~.r,... ~ ..~ ':~ --'\~~ \~.v ....:;;. ,~::: :: "'_. . / .. \ a-- . O!WINANCE NO. 3 ico~ :-:., r;""\ ~;"\ :.... ~-, -,.' if'~ ~~j J.... '''' j-{,..i',-'r:l i: . <:l~ J V,\ ..~Lvl.jt\U' '-~Q ~- ~t_ _ L~~_ D10NE~!{ ~~AT"L ilEE i~<), co THE CITY AN ORDINANCE amendinq the use and area o'1F'\" -1 i., ""J · lit "j)i1 - . . - - J I --'::J' J'I -.- ~" IJ maps of. Ordinance No. 1792. (Guldjord/ -', f~:t:i,;.U Hansen) OtJ ~-OO~~ Si-i...:..'-:."L ;--iUFF .8? t,~ - 007'"- t) ()~ - cJ Ot'.J:IT~.;p C~Uiil'( AUDITOR '.JcPUT{ ()Oh -C7(JO.2.. .. 007-o0tJ/ and area maps of Ordinance in conformity with Title OF BREHER'l'ON DO::::S ORDAIN: -~,,~- '--'. .~- --. ~ No. IV, SECTION 1: That the use 17~2 be and hereby are amended Chapter I thereof as follows: Lots 4 through 7, Block 4, Second Addition to Sheridan Park, si tuate in Ki tsap County, - Washington. (311 Callahan Drive, Bremerton, ~'lashington. ) be and the same hereby 1S reclassified from Residential - One (R-l) to Business - Two (B-- 2) subject to the following cGt:lditions: 1. The site shall be developed essentially the same as the 6/13/30 Harkness .Associates site plan marked Exhibit A for a medical clinic, optical shop and 8 units of patient sleeping accomodations except as it need be modified to meet the following conditions; 2~ The handicapped stalls south of the "optical shop" shall be rearranged or relocated to prevent a situation where a vehicle exiting the handicapped stalls will not cause a vehicle .from W1eaton ~vay to be forced to stop in the southbound lane of Wheaton Way; 3. Driveways shall be marked as "exit" or "entrance only". Markings shall be so designed and located to not inter- fere with driver and pedestrian visibility; . 4.' V~getation between parking areas .9-nd- streets shall il1c:r,',1ide __t,', !;'~," e,_,_,s.:a, -~d ..O!,her:vert~c_,a~J_y_:g,!='O\'v,ing-.Y~~J:, sLti:on_.in_~addi tiOIL~'_' ~to-'-:-g-)'bun~ <:,~::nLe:;r. _ _ 10"". growl!1g plants.. Ca.s.h,a.l-l=J~e .:ta-ken", , . --'.,'., ..., - .. ~ ".', '.. . -.;. .. , e e PER 1'1 ITS Indicate below what requirements, permits are required for this project. PLANNING DEPARTMENT o SHORELINE o VARIANCE ~ENVIRONMENTAL IMPACT rlENVIRONMENTAL IMPACT BUILDING DEPARTMENT o BUILDING o l\1ECHANICAL o HOUSE MOVING ENGI~EERING DEPARTMENT CONSTRUC'I'ION CURB & GUTTER CONST. mREZO~~~~~A~~~ o SHORT PLAT D CHANGE OF SITE PLAN ASSESSMEN1' ~ y~~~. STATE~'1ENT o ELECTRICAL o o o o DE]\'10LITION SIGN GR.-liDING PLUMBING ~~TO~~ SEWERS ~ DRIVEWAY ~ SANITARY SEWER CONSTRUCTION ,STO:RM DETENTION REQUIRED ~INSURANCE .liGREEIviENT FOR RIGHT--OF-vvl\Y v.JORK HEALTH DEPARTMENT r- D SEPTIC TANK o FOOD SERVICE . CITY OF ERF\lliRTON . ~ ~~~~F!NALDECLARATION OF S~~,*~I)fX~~K-:~/NON-SIGNIFICAIIJCE. Description of proposal Application for Building Permit for construction of Eye Clinic, OP'Xtical Shop and related business with associated parking area Proponent .-D.r...-K.flu.t~,uJ.dj.o.r:d_ancLD.t:._RobE.r...t_W.._l:Ia.ns.en_ Y_D..-8.o.L2.0.Z 5 Bremerton, WA 98310 Locatio:1 of P.r'oposal 811 Callahan Dr., Bremerton, WA Lead j;.gency___ CITY OF BREMERTON This proposal has bee~ determined to (~~~~fnot have) a significant adverse irr;~2,C t ~.lDOn t1'le en"'.rirc~erlt. l;n E:rS (~~/ is not) re'=?uired under .RC~~! 4.) ~ 21C . 'J30 ( 2 ) I . \ c) , '.l'i'1is decision was made aft.er revie',-j' by the lead. agency of a cO~:1;:;leted environmental checklist and othe::-- i:dormation on fi.Ie ':ii th the leadagencv. Based on checklist and Negative Declaration of 6/12/80 submitted for appl i c'ation for rezone for R-l to B-3 t.o allow development of site as indicated for Medicalpphthalmology and Business Center. Responsible Official KENNETH W. ATTEBERY Posi tion/Ti tle PLANNING DIRECTOR Date Jan. 9, 1981 Signature~ dl ... ~ L;. cJ e e N? 35823 ~~o . Fee $.....~::::.::~:::......................___......................... Receipt No. ..~.:~:L:2...:'<................................_ CITY OF BREMERTON BUILDING PERMIT BUILDIING DEPARTMENT / / F. E. IRISH, Building Inspector . ESsex 3-1411, Ext.36 Value I DESCRIPTION: Lot Block Additions ("'i: I (,1- /; /' 1/ / /<-- ___ Address on Job u~L_!.____:-:::~::::~-:::..:!.'_:;:::~:::"Ou:-:_-:___m__nmm__u u__mum_hm_____m___m__n_ Date __.______m_L:....._:__::__n____196:?'_ . Building mmmum__ x 00_0000_____0000 and _n___m_____u stories mmh____h__mnm basement\~t m___n_hmU X uun__h__m_ Front Yard nh_____hmnhn__n Rear Yard Um_mnn_______m_ Side Yard __00_________0000_______ Garage mu___Um__m_m___m_h_ g:c:~a_~~:~:i~;.~~ ~~ q2~~~~~ ~~,~~;;.~;&~~~)~ ~ ~ ~~ ~~ ~ ~ ~~~ ~~~~~ ~~~~ ~~~~ ~~ -Add ;~~~ - - ~~ ~ ~~~ ~ ~~~ ~ ~~~ ~ ~~~ ~ ~ ~ _ ~~~~ _-_-_-_-_-_-_-_-_-_-_-_-_-__ np h~~~~ ~ ~~~ ~~ ~~ ~~~~ ~~~ /:' '-- Contractor 00 _ _ _ _ 00 __ 00 00 0000 _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _00 00_ _ _ _ 00 _ __ __ 00_ _ _ _ _ _ __ _ __ _ _ _ _ Add ress __ _ __ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 00 _ _ _ _ _. _ __ _ _ _ _ _ _ Phone_ _ _ 00 000000 00 00_ ~~'his permit is issued for: ., " l.~~ ~ ~ ~: ~ ~ ~: ~ ~ ~ ~ ~ ~ ~: ~:: ~::~ ~: ~ ~: ~ ~: ~{~~!~ ~!.~ ~;) ~ ~ ~: ~:~ ~ :~~~ ~ ~:~: ~: ~ ~ ~: ~ ~: ~ ~ ~: ~:~ ~: ~::::: ~ ~ ~::: ~: ~ ~ ~:: ~: ~ ~ ~::: ~: ~ ~::: ~:::::: ~: ~:: ~: ~::::: ~: ~ ~: ~: ~ ~ ~:: ~: ~: ~ ~ ~: ~ ~: ~: ~ ~:::: ~ ~:: ~ 1/ $ 0< (lC) I Bldg. Dept. I Owner' S Value 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. .- - - - - ~ - - - - - -- - - - - - -. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - -- - - -- - - - - - - - - _. -- -...- -- --- - - - - - --- - - - - -- -- - - -- - - --- -- - - --- - - - -- --- -- --- - - - - --- - ---- -- -- --- -- -- - - --- - - -- - -- - - - - - - - - - - - -- - -- - - -- - - - - - - -- - - -- -- - - - --- -- -. - - - -- - -- - - --- - ---- -- - -- - -- ---- --- - --- --- -- ----- - -- -- -- -. - - --- - -- -- - - - - -- -- - -- -- -- - --- -- - - - --- --- - - -- - - -- - - -- - - --- ----- --- - --- ---- - --- -- -. - -- - - -- - - -- - - -- - - -- - - -- - - -- - - -- - --- -- -- - - - - - - -- -- -- - ---- - -- --- -- - --- ---- ----- --- -_..--- -- - - - - - - - - - --- -- - - - - -- -- -- --- - - -- - - --- - -- -- ~ -- - --.- -- - - ---- -- -- -- -- --- --- - --- - - -- -- -- - - - - - - - - - - - - - - -- - - -- -- --. - -- - - -- - - -- - --- -- - - - - --- --- -- -..- - -..- - ---- -- -- ---.. -- -- --- -..--- -.. ..-- -- ---- ---- --- -- -- - - -- -- -- -- --- -- --- -- -- -- -- -- -- -- - - --- ---- -- -- - - - - - -- - --- -- -- - - -- - - --- - - - - - - - - - - - - - - -- - - - - - - - - - - -- - -- - -- - - - -- - - - - - - --- - -- - - -- - - --- -- -- - -- - - --- ---- ---- - --- --..-_.. ---------------------------------------------------------------------------------------- ---------------------------------,---------------------------------------..--------------- -- ------...- ..... -...... -..-...... - -- - - -- - - --- - - - - - - - - - -- -- -- - - - - - - - - - - - -- --- - - -- -- ....... -.. - -.. ....- - - - - - - - - - - -- - - - -- - -- -- -- - - --- - - - - - --- -- -.. - - -........ - -.- - - -- --..-.. - -- -- --_ _____ __ __ __ - __0 -- ---- ------.... __ -.. _..... _.. - - --..-..- - - -- - -- - - - -- - - - -- - __ __ __ _ _ _ _ _ _ _ _ _ _ _ __.. .._. _........_.... ........ _or" - - -- - - _ - - - ___ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _ __ _ _'O..._.. _.. _.... 'O_. _ _ _ _ __ ___ _ _ _ _ _ __ __ __ _ _ ___ _ __ _ ___ _ ___ ____ t -----------------.....--.......-.....--------:::;-------r----------------------------..-----.-.....-...---------------------------------...-----..-..--..--.......-..--.....--------...--...------------------- Owner's Signature _ _~-:}':~;';;~--~-- !:~Z _ _!~:t:9:1_:_:~:~~::_____ ~~-!_ _ _ _ By _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 00 _ _ __ _ _ _ _ _ _ _ 00 ___ 00 __ _ _ __ __ no ___ _ _ _. _ _ n _ _ 00 _ _ __ _ _ no __ __.. ! - :::.. _;" His A1Jt~orized Agent /, Building Inspector ___ __ _ _ _______ _u_____~-?::f!._::':::_:_:_,~~!_:1_u_ u_________nh_____UU_hn___mu B /l~ r-7 y ,___ __0000_ ___ 00 00_ __ _00_ __ _ n_ 00 00 _ ___.. __ _ _ 00 0000 __ _ __ n 00 00_ _ _ _ _ _ 00 00 __ _ _ _ __ ____ _00__. ~DF '. /71/ I /;.," ;,f, ~~_ 1-.. ~'~~$~~$<;~ _ l .~\.. i ~~ \\,." .('<> f " :t ~: ./ ~"'~ ,~, j ~~"( '\..., J ~ I '--~r~ i .l .- ; .,.~ 'I' "-" '.' -.l I I .J.. ~ I :;~ r.').\ 1\" \ --.~~~""""~".,...",..,..,.