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Application Date
Is S lJ e Da t 1'2
Assessor Acct #
Site Location
Owner Last Name
- Street
- City
Phone
Tenant's Name
Agent's Name
Architect's Name
[ ] Building
C J Mechanical
[ J Plumbing
Building Contl~actor:
07/27/198C?
07/28/1989
App 1 i cat ~'on Numb er 89AP00669
Permit Number 10203
Pl~oj ec t GT'OUP
2602 CHERRY
COONS
1932 TR,l\ I LWA Y NE
POULSBD
(206)
First CRAG MI
State WA Zip 98370
Phone(206)
Phone(206)
[ ] Gl~ading
ex] Move Building
[ J Mobile Home
[ J Sign
C ] Burning
[: J Land Clear
[ J Paving
[ J Underground
[ J Demolition
Work will be compl(~ted by owner. .
I'~ature of Work:
Permit to mo0e house from 2602 Cherry Avenue to City limits
Route: Cherr!,.J to She'l~idan. Sher.idan to Wheaton Way,
Wheaton Waaga Way, Central Valley Road exit. North
Council District
Construction
Type
Census Tract
Sq Feet
Inspections
Required
Residence eX] Zoning Foundation [ J
Business [] Type Framing [J
Other [ J Insulation [ J
N e l\.I [ J Plum bin g [J
Repair [] Status Mechanical [ J
Remodel [] Code Wallboard []
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Contr,ac tor
Stl~eet
t i t.y
Phone
Representatlve
State License ~t
C i t Y'''cJ- ice n s e . #
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Nature of Work:.;
PeT'mi t to move
Route: CheT-ry
Wh;ea t on Waaga'
Application Number 89AP00669 ~.
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JW DENT BUILDING
6726 17TH AVE SW
SEATTLE
(206) 246-5999
l'10VER S
State WA
Zip
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Date 07'\(;:26/1989
Date
house from 2602 Cherry Avenue to City limits
to Sheridan. Sheridan to Wheaton Way,
Way, Central Valley Road exit. North
JWDENBl'1233K3
Expiration
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Application Number '89AP00669
Permit Number 10203
-------------------------------------------~-------------------------
CONTINGENT:
Engineering--It is our understanding from Dusty Wiley
COt\!TH.j(l;;"ENT: ..
-.'
that no danfaSje to City tT'affic si~gnals will occur dUT'ing
C ONT I NGENT:
or as a result of housemove.
Any damage will be repaid
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--.--._______H__.__.______.__._______.__._____.__.____.._____~_______._____~______.___,___._.___
Application Date
Issue Date
f.lsses~.or Acct ~:j:
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent/s Name
Architect's Name
[ J Building
[ ] Mechanical
[ J Plumbing
07/27; 19E19
Application Number 89AP00669
Permit Number
Project Gr.oup
2602 CHERliY
COONS
1932 TRAILWAY NE
POULSBO
(206)
Fir'st CRAG
MI
State WA Zip 98370
Phone(206)
Phone(206)
[ J Grading [ J Sign , J Paving
L..
[ XJ I"love Building C ] Bur'nine ,- I Un cI e'rg'r [I un d
.- ...I
[ J Mob il e Home [ J Land Clear [ J Demoli.tion
-----------------.-.------------------------.----.-------------------------..--.,.--..-...--
Building Contractor:
Work will be completed by owner.
NaturE) of !"Jork:
Permit to move house from 2602 Cherry Avenue to City limits
----------------~-..-------------"-----_______.M____________..__.___.______.__.___
Council Distr-ict
CensllS Tr'act
Const'I'uction
Type
Sq Fe(~t
Inspections
Required
Residence
Business
Other
Nelli
Repair
t1emodel
Addition
[ XJ
[ :I
[ J
r ..,
[ :]
[ J
[ J
Zoning
TkJPe
~~
c:.
Foundation
FT'aming
Insul.:3tion
Plumbing
Mechanical
itJallboard
Final
[ ]
[ ]
r:. ]
[ J
[ J
[ ]
[ XJ
status
Code
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P E R 1"1 I T A P P L I C A T I 0 N II
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App1i~ation Date
Issue/Date
Assessor Acct#
Site Location
Owner Last Name
St"reet
City
"'- Ph one ,\
Tenant's Name' \\
Agent's Name
Architect's Name
e J Building
e J t'1echanical
e ]- Pol u m bin g
B u i I c! i ne4C 0 n t. r act 0 r :
;-C.,.l
07/27/1989
Application Number 89AP00669
Per"mi.t Number
Pr"o~jec't Group
\\,'
2602, CHERRY
COONS
:l932 TRAILWAY !\IE
POULSBO
(206)
First CRAG Ml
State WA Zip 98370
Phone(206)
Phone(206)
[ J GT"a d i 119
eX] Move Building
e ] Mobile Home
e ] Sign
C ] Burning
[ J Land Clear
e ] Paving
[ J Underground
e J Demolition
..
Work will be completed by owner.
"
NaturE! of Work:
Permit to ~ove house from 2602 Cherry Avenue to City limits
-----------------------------'----------~~~---------------------------
Council District Census Tract'
Construction Sq Feet Inspections
Type Required
Residence eX] Zoning Foundation [ ]
Business e ] Type Framing [ ]
Other [ ] Insulation [ ]
New [ ] Plumbing C ]
Repair [ ] Status Mechanical [ ]
Remodel e ] Code Wallboard C ]
Addition C J 2 Final eX]
=~==~================================================================
B REM E R TON
B IJ I L DIN G
D E PAR T MEN T
H 0 USE
M 0 V I N G
PER M I 'r
AP P L I CAT ION
==========================================~=====~====================
Application Number 89AP00669
Work will be completed by owner.
,f'}
Nature of- Work:
Permit to move house from 2602 Cherry AvenUe.to City limits
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P E R M I L
==========================~==========================================
Applic.;iItion, Date
I SSUft~' Date
Assessor Acct *1=
Site Location
Owner Last Name
- Street
City
t<>_ Pho1/H!"
T enan t ; s Name ,,'II>
Agent's Name
Architect's Name
e J Building
e J Mechanical
e J ~lumbing
07/27/1989
Application Number 89AP00669
Permit Number
Projec4:; Group
:1\<
2602 CHERRY
COONS
1932 TRAILWAY NE
POULSBO
(206)
First CRAG MI
State WA Zip 98370
Phone(206)
Phone(206)
e J Grading
eX] Move Building
[ J Mobile Home
[ J Sign
e J Burning
e J Land Clear
[ ] Paving
e ] Underground
[ ] Demolition
--------~--~---------------------------------------------------------
B u i 1 d. i ~ 1C 0 n t r act 0 r :
Work will be completed by owner.
Nature of Work:
'"
Permit to move house from 2602 Cherry Avenue to City limits
Council District Census Tract
Construction Sq Feet Inspections
Type Required
Residence eX] Zoning Foundation C ]
Business C ] Type Framing C ]
Other [ J Insulation [ J
New C ] Plumbing C ]
Repair C ] Status Mechanical [ J
Remodel C J Code Wallboard C J
Addition [ ] 2 Final eX]
======================================================================
~
B REM E R TON
B IJ I L DIN G
o E PAR T MEN T
H 0 USE
M 0 V I N G
PER M I T
A P P L I C ;'A T ION
=====================================================================
Application Number 89AP00669
Work will be completed by owner.
Nature of Work:
Permit to move house from 2602 Cherry Avenue.to City limits
----_._-------------------~-------------------------------------------
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Application Number 89AP00669
Work will be completed by owner.
: I
Nature of Work:
Permit to move house from 2602 Cherry Avenue to City limits
_._--_.._--_._------------_._---.--~._--------'---------------------.-------.-------.--.-----.---
----------_._-_._-_.--------~---------------------------------.-------------
--------------_._--_._-----~---------_._-------------------------------------.-
B R E. MER TON
B U I L DIN G
D E PAR T MEN T
H.D USE
i"10VING
PERi"1IT
A P P L I CAT ION
.----.------.-----.---.---.------..---------------------.---------------------...-.-..-
---------.--.----------------------------------------------.---------.-----......--
Application Number 89AP00627
Contractor
street
City
Phone
Representative
State License :f1~
City License *~
.Jl.J DENT BUILDING
6726 17TH .cNE SLoJ
SEAT'TLE
(206) :;~46-5999
MOVERS
State LoJA Zip
JWDENB 1'12331-\3
Expiration Date 07/26/1989
Expiration Date
Nature of: ItJork:
Permit to move single family residence from 2610 Cherry
to 2510 Larch Place. North on Cherry, East on Callahan}
to L.arch Pl<i:lce. 1~101/e to tak€~ place on Sunday, .July 23} 1989
----.--.-------.---.--------------------------------------------.---------.--...--
----------------------------------------------------------------------
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H..O USE
B R ~.M E R TON
t10VING
PER M I T
DE PAR T ME N T
Bur L DIN G
A P P L I CAT I ON
=========================================~======~====================
Contractor
StT'eet
City
Phone
Repr-esentative
Sta~ License *"
City Lie eti s e #
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Nature of WOT'k:
Application Number 89AP00627
.JW DENT BUILDING
6726 17TH AVE SW
'3EA TTLE
(206) 246-5999
JWDENBM233K3
"10VERS
State WA Zip
Expiration Date 07/26/1989
Expiration Date
Permit to move single family residence 'r~m 2610 Cherry
to 2510 Larch Place. North on Cherry, East on C~llahan,
to' Larch Place. 1"1oveto take place on Sunday) July 23, 1989
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=====================================================================
Application Number 89AP00627
Contractor
Street
City
Phone
Rep'r-esentative
Stat~ License "*
CitY->License 4*
Fl..
JW DENT BUILDING
6726 17TH AVE SW
SEATTLE
(206) 246-5999
MOVERS
State WA Zip
JWDENBM233K3
Expiration Date 07/26/1989
Expiration Date
Nature of Work:
Permit to move single family residence from 2610 Cherry
to 2510 Larch Place. North. on Cherry, East on Callahan,
to Larch Place. Move to take place on Sunday, July 23, 1989
-~-------~-~---------------------------------------------------------
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Moved Building Application
* * * * * * A TWO WEEK NOTICE ~1UST BE GIVEN PRIOR TO THE DAY OF MOVING * * * *
· · · · · · ALLOWED t~DAYS - ~UESDAY - WEDNESDAY - THURSDAY . . . . . . .
HOUSE "OVING COMPANY D uJ Drsrl( .t:l.U:i /JftlYet!!s LICENSE1. .
ADDRESS ~ 7d (; J 7 fit NdLi ..3oJ. Pe?lpJyi~ '7 f J9P
TENTATIVE MOVING DATE /' . TENTATIVE MOVING TIME
TYPE OF STRUCTURE TO BE MOVED /j(jU~ U , fJf!&~'1 /1 { b' WIDTH.J! LENGTH 5D,
STRUCTURE TO BE MOVED FROM: cJ6 ()d 6f1t.t. ~~C/. TO: 1 5L I1---N:I LY-
ROUTE TO BE TA EN: To be des~ nated bv Tra~~c"Cont:t;ol) I .p/"~~~ IfJtJcJcl.
fl ' ' ~'~ V[, 1.iJ'$ 0 aJ~KJJ-V(j/u LLJklc.f
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Il f !..f e, eiJ.J~ L~. m ;V ~ 0
1".5Lfd yti LditJ
YES NO :SUGGESTIONS FOR ALTE&~ATE ROUTE
INITIAL
----------------------------------------
MOVE ACCEPTED:
DEPART!;l.ENT:
( INITIAL)
APPROVED
1. CITY CLERK
2 . TRAFFIC
3. COMMUNIG\.TIONS
4 . PACIFIC NW. BELL
5 . TELECABLE
6. PUGET POWER
7. ENGINEERING
8. BUILDING
9 . COMM. OF PUBLIC
WORKS
~
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFIED
IS NOT USED ON DAJjY F~,WHICH IT IS ISSUED,
, / ~ .
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Date
A NEW PERMIT IS REQUIRED.
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Moved Building Application
* * * * * * A TWO WEEK NOTICE ~1UST BE GIVEN PRIOR TO THE DAY OF MOVING * * * * *
* * * * * * ALLOWED MOVI~DAYS ~ TUESDAY - WEDNESDAY - THURSDAY * * * * * * * *
HOUSE ",OVING COMPANy::5 uJ Da:1Z/f' .flU.5' mt1/eLs LICENSE-l
ADDRESS (p 7d h J 7 fh LJD ..5oJ. Pi!,CJll.Jt)~~ Cf f J9P
TENTATIVE MOVING DATE ~ TENTATIVE MOVING TIME
TYPE OF STRUCTURE TO BE MOVED f. 'IJ~& . ~~/?( f)WIDTHJ! LENGTH $0,
STRUCTURE TO BE MOVED FROM: C:;l.aOd ~J1tt.e.t.d.., TO: 15Lfl11d LT
nated b Tra!.!JC~Cont~ol) I -P,"CC,tS. (fjJJcJt!.
, t1J r e fL 15 aJlLK,(J-v{J/!.J L() Acf
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ROUTE ACCEPTED:
COMMUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
INITIAL
NO
SUGGESTIONS FOR ALTERNATE ROUTE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -' - - -
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
----------------------------------------
MOVE ACCEPTED:
DEPARTMENT:
( INITIAL)
DISAPPROVED
APPROVED
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2.
CITY CLERK
TRAFFIC
~.' Cm1MUNICATIONS
4. PACIFIC NW. BELL
~. TELECABLE
~ PUGET POWER
7 y. ENG INEERING
vi'. BUILDING
9. COMM. OF PUBLIC
WORKS
1'10 I 0, G1 ~1L H PrNt") (, ~o-L
TO BE NOTIFIED BY PHONE
b'i--
COUNTY ENGINEER
~RE DEPT
COMMENTS
DATE
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T u ~ ro A -.j 0 '; cA ~+r~f V ~ lFoVf~;((j Ii rd~H
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IS NOT
WHICH IT IS ISSUED, A NEW PERMIT IS REQUIRED.
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ROUTE ACCEPTED:
COMMUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
IN IT L:J..L
-- - - - - - - - - - - - - - - - - - - - - - -
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
- - - - - - - - - - -' - - - - - - - - - - -
MOVE ACCEPTED:
DEPART!'!.ENT:
INITIAL)
APPROVED DISAPPROVED
COMl'1ENTS
DAT3
1. CITY CLERK
2. TRAFFIC
3. COMMUNICATIONS
4. PACIFIC NW. BELL
-.--
5 . TELECABLE
6. PUGET POWER
7. ENGINEERING
8 . BUILDING
9 . COMN. OF PUBLIC
WORKS
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFISD
IS NOT USED ON DAY ~~.WHICH IT IS ISSUED, A NEW PERMIT IS REQUIRED.
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Moved Building Application
* * * * * * A TWO WEEK NOTICE~1UST BE GIVEN PRIOR TO THE DAY OF ~10VING * * * *
* * * * * * ALLOWED t~DAYS - ~UESDAY - WEDNESDAY - THURSDAY * * * * * * *
HOUSE !V1OVIN. G COMPANY 0 uJ Da;:rl( .t!lLdJ5 /J1tlieR!s LICENSE ft
· -; / b /J J'ic'~ Cj i i
ADDRESS C? /d &:; ) 7 vA /<(1- [} ...30). Pe,C;!l Q ~~ 779JJ
TENTATIVE MOVING DATE /' TENTATIVE MOVING TIME
TYPE OF STRUCTURE TO BE MOVED i./oU.5,U . ~':11?( b' WIDTHj'/ LENGTH to.
STRUCTURE TO BE MOVED FROM: c:J(j, O:-.::J ~f1.1i R../Lt/. TO: ,SL Ih1d L -
ROUTE TO BE TA EN: To be des' nated by Trag~c~Cont~ol) I .plfJ~~tJ.. /YjJJUcl.
h' r3 ~., uJ r $ 6 aJ~KJ}-V(jIU'
J6 (!. f. ~
11 fr fSe , ~ L~.hf ~(j~
1'.s Lfti J1ti [11,(6 -*-
ROUTE ACCEPTED:
COrAMUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
INITL=\L
-----------------------------~--------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
MOVE ACCEPTED:
DEPART!'IENT:
( INITIAL)
APPROVED
DISAPPROVED
COMMENTS
DATE
1. CITY CLERK
2 . TRAFFIC (}/J
3. COMMUNICATIONS
4. PACIFIC NW. BELL
5. TELECABLE
6 . PUGET POWER
7. ENGINEERING
8. BUILDING
9. COMM. OF PUBLIC
WORKS
~ Avo' b ~~71LA<" 6.U:v 1r
vA u;~ 4 ~4 /1tbd.ov.pu4S
tC OH.tt~VAJ/CA7)oN$ #~
Acso ~R/N/?II'AlS ~&VAJ7'Y
7Jt-A~"&"~ 5 /' 6A14~j)
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFII:D
IS NOT USED
FOR., WHICH IT IS ISSUED, A NEW PERMIT IS REQUIRED.
/r:-
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ROUTE ACCEPTED:
COlVlMUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
INITL\L
----------------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
------------------
MOVE ACCEPTED:
DEP ARTr'IENT :
( INITIAL)
APPROVED DISAPPROVED
COMMENTS
DATE
1.
2.
3.
4 .
CITY CLERK
TRAFFIC
CO~~UNICATIONS ~ / ~
PACIFIC NW. BELL~~
~~~/7~~?~7~
':l . TELECp-.BLE
6. PUGET POWER
7. ENGINEERING
8. BUILDING
9. COMM. OF PUBLIC
WORKS
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFIED
I~~IT IS NOT USED ON DAY l~,WHICH IT IS ISSUED, A NEW PERMIT IS REQUIRED.
~(AilJ
~ature of Applicant Date
.'
Moved Building Application
* * * * * * A TWO WEEK NOTICE~1UST BE GIVEN PRIOR TO THE DAY OF ~10VING * * * *
* * * * * * ALLOWED 1~DAYS - ~UESDAY - WEDNESDAY - THURSDAY * * * * * * *
HOUSE MOVING COMPANY 0 uJ Da:rl( .t!lU.5' IJfl1'/eLs LICENSE-l
ADDRESS (, -;~ (; J 7 fA N CD ...3oJ. Pl!?llJ Y ~~ ~ f 19</
TENTATIVE MOVING DATE r TENTATIVE MOVING TIME
TYPE OF STRUCTURE TO BE MOVED /..jOUs,& . ~1~WIDTH.J/ LENGTH to,
STRUCTURE TO BE MOVED FROM: cJ ~ ()d 6ft it. e.;tt./ . TO: 1.5 L Ih1d L .
ROUTE TO BE TA EN: To be des' nated b Tra!l~c~Cont~ol) I .plfJ~c:,tS. f/)j:JcJ6.,
- c.5 i Vr.., t.1J' e 6 aJJt.iS..J}-VC;/U'
'{ U (!., P </
Il. f'( tse , ~ L<,hf!& ~
1'.5 Lfid M LtI ,(c1
ROUTE ACCEPTED:
COtJIMUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
INITIAL
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
--------------------------------------
MOVE ACCEPTED:
DEPART!iIENT:
( INITIAL)
APPROVED DISAPPROVED
COMMENTS
DATE
1.
2.
3.
4 .
5 .
6 .
7.
8.
9 .
CITY CLERK
TRAFFIC
COMMUNICATIONS
PACIFIC NW. BELL
TELECABLE
PUGET POWER
1ht-
ENGINEERING
BUILDING
COM!-1. OF PUBLIC
WORKS
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFIED
IS NOT USED
IT IS ISSUED, A NEW PERMIT IS REQUIRED.
~..,
~! . ~
Moved Building Application
* * * * * * A TWO WEEK NOTICE HUST BE GIVEN PRIOR TO THE DAY OF MOVING * * * *
* * * * * * ALLOWED l~DAYS - ~UESDAY - WEDNESDAY - THURSDAY * * * * * * *
HOUSE MOVING COMPANY <{) uJ DtXll{ ~.:J lJ!(I/eLs LICENSE /,
ADDRESS ~ 7;2 (; ) 7 fA NU6 ..301. Pl!~lJy~~ '7 f J9.P
TENTATIVE MOVING DATE /'. TENTATIVE- MOVING TIME
TYPE OF STRUCTURE TO BE MOVED ;../tJ()S, u " ~1 Iff b' WIDTH 31 LENGTH 10,
STRUCTURE TO BE MOVED FROM: c:2~Od ~11K.R.;tl/" .. TO: j.SLI}J'1Ci! L -
ROUTE TO BE TA EN: To be desti nated by Tra!!.~c"Cont~ol) i 'fJl"',c:,tS. tr},.tJdri.
- . c3' k vl, {jj '$ 6 ,aJJ.GK~VCjfV . }
Yo e ' ~
Il frr fSi , ~ Lr.,f,n;~ ~
:I .5 LfJ ni Ld r'6.
ROUTE ACCEPTED:
CO~MUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
INITL:>"L
--------------------------------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
----------------------------------------
MOVE ACCEPTED:
DEPART!'IENT:
1. CITY CLERK
2. TRAFFIC
3. COMMUNICATIONS
4. PACIFIC NW. BELL
5. TELECABLE
6. PUGET POWER
7. ENGINEERING
8. BUILDING
9. COMH. OF PUBLIC
WORKS
APPROVED
( INITIAL)
DISAPPROVED
COM!1ENTS
DATE
x(~
...
e~/c.-/N'ce4/p~ :Doe... ^'C-T ./ -2/._Cc::.J
~ CO'H rC"L7"1??i'I-G 771'74-'7 (0 v 0 1-
~,t?(...l(:..rl7-r C-/J?V ~c..( ~
77'I'1uvu~ $" /h-'Tl-.S w/a
Z>""'f'\..~1 ;"'/..i ';/.0,..;,,-(..-./
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFIED
IS NOT USED
DAY ~)WHICH IT IS ISSUED, A NEW PERMIT IS REQUIRED.
.uJ
Date
-WJI
~
~
~ 0) ~
~ 8? ~
n.;..,.. - ~ ~
~ C\~ ~fi
<@ ~tJJ i
lJ!y; !s I ~
@&, ",) ~ 11
Q !
;IS
(Q
C>
ROUTE ACCEPTED:
COMMUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
INITL=\L
----------------------------------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
----------------------------------------
DATE
t, - f1-~<l
I
MOVE ACCEPTED: r INi:TIA
DEP ART "'ENT : '. ;PfVED' I SAPP
1. CITY CLERKJ'lct~,~ . ';
2. TRAFFIC
3. COMMUNICATIONS
4. PACIFIC NW. BELL
5. TELECABLE
6. PUGET POWER
7. ENGINEERING
8. BUILDING
9. COM}1. OF PUBLIC
WORKS
TO BE NOTIFIED BY PHONE
COUNTY ENGINEER
FIRE DEPT
NOTIFI:SD
F~,WHICH IT IS ISSUED, A NEW PERMIT IS REQUIRED.
)r:;-
~
Date
P
J
Moved Building Application
* * * * * * A TWO WEEK NOTICE "~1UST BE GIVEN PRIOR TO THE DAY OF ~10VING * * * *
* * * * * * ALLOWED '~DAYS - TUESDAY - WEDNESDAY - THURSDAY * * * * * * *
HOUSE MOVING COMPANY <{) uJ Da;7Z( .t!lU.:r /J! t1:/ee:s LICENSE",
ADDRESS C:, fd ~ J 7 f), NOLi ..3QJ, Pe}llJy~~ <f f !9J'
TENT.Z\TIVE MOVING DATE /" TENTATIVE MOVING TIME
TYPE OF STRUCTURE TO BE MOVED /.kJUs' u . fiftrrti/): I? ( I; WIDTHj'/ LENGTH to,
STRUCTURE TO BE MOVED FROM: cJL;Od ~f1It.e.dJ/. To:/5Lfh1d L .
ROUTE TO BE TA EN: To be des' nated bv Tra!!.~c~ContJ;"ol) I .plfJ~c:,a. /1}J:JcJa..
. - c5 - , f.1.)' e Ilr. 6 aJ~KA-V61U"
J6 ~. '
11 f'{ tse , ~ Lr,hf ~ ~
1".5 L~ JlLJ L4 ,(6.
".
.....
ROUTE ACCEPTED:
CO~.MUNICATIONS
PACIFIC NW BELL
NATIONWIDE CABLE TV
PUGET POWER
YES
NO
SUGGESTIONS FOR ALTERNATE ROUTE
INITIAL
----------------------------------------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
----------------------------------------
MOVE ACCEPTED:
DEP ART!;mNT :
CITY CLERK
TRAFFIC
COMMUNICATIONS
1.
2.
3 .
4 .
5 .
6 .
7.
8.
9 .
( INITIAL)
APPROVED DISAPPROVED
COMJ'1ENTS
DATE
PACIFIC NW. BELL
TELECABLE
PUGET POWER
ENGINEERING
BUILDING
/ ;c!t1
COMM. OF PUBLIC
WO RKS
10. RISK MANAGER
TO BE NOTIFIED BY PH
NOTIFIED
COUNTY ENGINEER
FIRE DEPT
IS NOT USED ON DAY
IT IS ISSUED, A NEW PERMIT IS REQUIRED.
'1'~. '. . '
.'-
\
~,,-,~....'
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<.!
4.-'''::'':'''~'F"' ',-, - IT " "
.- ^ I NO 952~'--- "
, . .. - I - '\ ",
..
.' "
City of 8re"1~f}~&bLoWi%&J1 i ngton 98310 Phone: (2.~6) 478-5281 .......~
'..
Assessor's Tax Account No.: J967-006-001-0001, 1967-006-002-0000 '.
"
Site Address: 2603 Ash Street~ 2602~ 2610 Cherry Avenue 479-2360 i,
Phone No.:
Owner's Name: Gordon Cromwell, M.D. Address: 26IDID Cherry Avenue, Bremerton ,Il;'-:
Applicant: DOwner f] Architect D Contractor d:' Tenant
Architect Firm: Mithun P{ilrtners Representative: Thorn Emrich
"
Address: 2000 112th NE, Bellevue, WA 98004 Phone:454-3344
Contractor: [~ 4 t"~) () n O---El Representative:
Address: .< Phone: I
Contractor's License No.: JAM L.; j ~ e... ~7 t !\J1 Exp. Date: 'qf,JC?() I
I '
D Residence [i] Business D Other: [iJ D Repair o RemodellAddn I
New
D Demolish D Duplex D Multi-Family (No. units ) D Sign D Parking Lot
D Grading (cu. yds ) D Bldg. Move ....
'.
Nature of Work Proposed: ConRt'ft1tC't" RROO ~.F. pr.,nfARAional offic.~..bui1ding with underbuilding
.,
rU'Irk:fog ~on no gT$'In". p$'l1"ld ng : or, , .'
..
: .'
J I
; I
,. I
'. Sq. Ft.:
Utilities: D Water D Waste D Sewer; D Septic D ~ew D Existing D S~orm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] ;; '-/ (vi. 50
7 $ 1469.00 -"-$"~ 3.50 ~
"; 1\ I' ! q. I ~ -~ State ~
Ij~~0Jv
Receipt No.: 78926 Receipt No.: Energy $10/lItlp to
" .
8/15/88 ~
Date: Date:
Zone Designation: Occupancy Classification (UBe): No. Stories:
Minimum Req. Setbacks: Front: Side: Rear: Height: Heat Source:
, Gooseneck required on overflow pipe in control basin.
Comments/Conditions of Approval: En~: Enginee
Btam~ missing from sheet C-1. Show propofed ranitaaY se~er an~ conniction .
uil ing--Approved as revised, separate p umb ng an mec anica perm ts ana plans required.
Fire--Full detection fire alarm system required. Plans to be submitted for approval'. Fire
alarm system shall be monitored off premise. Exit and emergency lighting shall be included
on plans. Install Knox Key Entry System, application from Fire Marshal. Storz hydrant adapt I
required on hydrant located at Ash and Cherry.
Water--Application for water service, sewer ~nspection and connection permits reqVd.
..". , V.L.L~""C&"" Plumbing U Wallbo~rd IKJ
INSPECTIONS REQUIRED: Foundation Ii] Framing El Mechanical [i] FINAL IKJ
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
I WORK. SEPARATE"PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
I
All provisions of I~ws and ordi{;f;;,ces 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 any10ther state/or local law regulatin'g consr;L;'ction"or the performance of construction. SEE AND READ NOTICE ON REVERSE.
I . X~ //~ t:Zr. ~ Date ? - ,..-:19' -ai9'
l.Signature ~,~ ~. ~ ~
. . / 'I ' (/
/'
/
VI
r
L-
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code_ I
I
, - ~ '
..oorg@~ aw ~@ .
"Al' '(" '.n " "
,J J ,:; ,r'-:~:l"
. '. '-' '-.J ,j
I
. MITHUN
PARTNERS
- .
7 August '1989 ,',
, ,
, , BREMERTON
, BUILDiNG DEPARTMENT
, "
Janet Lunceford ,
, Building, Department
City of Bremerton "
, 239 Fourth p;treet ,
Bremerton, WA, 9,8310
Mi thun Partners,' J;'nc.
'Job NU1TIber86246.00
Re: . Buildirlg' Permit Application, Gordon cromwell, M..D.,
2~03 Ash street (ch~nqed to 2680 'Ch~rrv)
Dear Ms.Lun~eford:
'"
Due 'to a' number ofcircumstai'lces,including' the re-biddirig of
the subjectproject:an,d the, delay in removing the' 'existing
houses from the site', L reqUe,st' an extensiontc:> the 'building
, permit. application referenced above. '."
It is ariticip~~edthat ,~~ will be seeking ih~ issuance6f a.
,permit within'9nemonthstime.
~h~nk'youfor your' consideration.
Very : truly' "yours,
- . " ~,'
~-'r l.l-IC ~.pa.L
,-~
Thom'D. Emrich' AlA
./ ,,~
,qT~7N-~J~ 9!~ .~-,._,.".
"!~j~~'~,
'j ~~-~.
- !z,,5f/1077
I '
I
I
TDE :>cam
5l8L
i,
',. ..-
ARCHITECTURE
PLA'NNIN:G &
INTERIOR DESIGN
, 2000 112TH AVE NE
BELLE VUE WA 98004, .
(206),4543344,
FAX(206)646 4776 '
, j,.
~
~
I'
BUILDING
PERMIT
APPLICATION
City of Bremerton, Washinaton 98310 Phone: (206) 478-5281
.3'3J3~ - 000 - 02./ - 00 0 t'
Assessor's Tax Account No.: :3<7tb 7 - ClOCO - !lal . 000 I
39G7 - ~ -00'2 -OC(JO
Site Address: 21.:JJ'? ASJt ST ~ :?~02 I 26 10 ~y A'lS Phone No.: 47'1' 23'=>0
Owner's Name: Gof2..t::c)N ~oN\WeLL I tv'. D. Address:' .2~O I ~tz:.~1 Bt<:EM8mJ/J 9831b
Applicant:
DOwner
~rchitect
o Contractor
o Tenant
Architect Firm: M \-r-\-t1J N 'PA\<TNe32..S
Address: .2o:x:> \\'2.m Ntz ~V\Je.. I W~
18004"
Contractor:
N.A.
Representative:
Phone:
Address:
Contractor's License No.:
Exp. Date:
Business 0 Other:
o Duplex 0 Multi-Family (No. units
) 0 Bldg. Move
Nature of Work Proposed: ~S~\.tOl ~ St= :t fFc.FesslO~
f3U:6. WI"'f1-1r u~DEJf<.'eulLD\~ ~<..\t-JG, et
o Residence
o Demolish
o Grading (cu. yds
New
o Repair,
o Sign
o RemodellAddn
o Parking Lot
a=f=1 ce
a-J G~ P~\f'6,
Sq. Ft.:
eeco SF -t
Utilities:
~ Water
o Waste
o Sewer
o Septic
o New
Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
."
\ - , " . r
';"~. ',' f' .r J
Plan Review Fee:
Permit Fee:
Surcharges:
State $3.50 !1r.---./
EnergY@15 :,,0
j
P~. :::';-(,' .;-:-.J_J;...... '
f, '-' ~ ....., ~ ':-' ... ...
6" &~ I 9 yo, 0 0
Zone Designation: .\.3~
Setbacks: Front:
$ J'-+~9. 00
Receipt No.: 1iq4
Date: f / Is-;tt
..
$ ~~0(),O{J
Receipt No.:
Date:
Occupancy Classification (UBC):
..~
.
No. Stories:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application r ished by me is true and correct and that the applicable
requireme h of B er on will be met.
Signature
Date
e;i ElI8b
Copies to: White-owner; Yellow. file; Pink.Assessor: Goldenrod.Building
I
Stat. Code I
UILDING
PERMIT
APPLICATION
'"
""'
City of Bre~~l~~~o~~I~~Q~ton 98310
Assessor's Tax Account No.: -39~ 7 - aoo - ~I . 0001
3967 - ~ -00'2 -00(10
Site Address: 2~~ A5l+ ST ~ 2~O2. I zlb 10 ~ A\IIa
Owner's Name: ~N aoMWeLL ; M. D. Address: 2~OI
Phone: (206) 478-5281
Phone No.:~
CJ..\E~~1 13reM6tIDI-J 9831b
Applicant:
DOwner
~rchitect
o Contractor
o Tenant
Architect Firm: M I"T\-tU N 'PA~TNE.j2..S
Address: .2o:JO \\"2.-n-\ N~ ~wa \ W~
4'8001
Contractor:
N.A.
Contractor's License No.:
-
-
Representative:
Phone:
Exp. Date:
Address:
Business 0 Other:
o Duplex 0 Multi-Family (No. units
) D Bldg. Move
Nature of Work Proposed: ~s~\,}crl ~ CSt::: r fPcFS'SS\~
6U:::6 . W 1m Ijt-JDER'6UIL.D\~ ~<Jt-J'~ ~
o Residence
o Demolish
o Grading (cu. yds
New
o Repair
o Sign
o Remodel/Addn
o Parking Lot
a:RCE
eN G~ P~ING.
Sq. Ft.:
~'5F 't
Utilities:
~ Water
G Waste
o Sewer
o Septic
o New
Existing
o Storm
Valuation of MaterialsJLabor:
[UBC See. 304(b)]
Plan Review Fee:
Permit Fee:
Surcharges:
State $3.50 (If
Energy $101$15 0
f 6 fv,~ g YO. ~ 0
Zone Designation: 6~
Setbacks: Front:
$ tLf~9. 00
Receipt No.: 1f94
Date: f / / 5/ er
,
$ ~~loo.0()
Receipt No.:
Date:
Occupancy Classification (UBC):
\3;2 .
. REMERTOrl
. t' ~ h' h 't" d'" ,BglJ,lU1ING lJff..P1/.!\HIIVI!:I\JJ
~ca ~ons ror w ~c no pe~ ~s ~ssue w~tn~n ~ u aays 0 Iow~ng date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that ~~e
information on this application - r~ished by me is true and correct and that the applicable
requireme of B er. on will be met.
Signature
Side:
Rear.:
Height:
No. Stories;
Heat Source:
Date q1 sf Bf!:;
Copies to: White-owner; Yellow-file; Pink-Assessor: GOldenrOd-Building
Stat. Code i
/
Inter-Office Communication
Date ~/v;J.~ Cityof Bremert01l,
To~~
From ~ .a4VL>
Subject ~~ ~ .$' ~.:.~U$7f ~
_~!1~ ~ ~~"~~"='f;LD4~
q- .
CDSEF'A-- ~ME1JTAL ~n- t;ilJ~ ~ ~ ~ ~ PAri'> 7b
~~ Lvt"O-( r::J.Ie' ~..
(Z) A .VEkJ LeGrArL OE:>c{l-I.P-uGJ..j iV~) -co '8!'= ;::"1-8' ~ ~-r~M
&v1.rry c1 (2€pLM:f: ~ ~ 01J ~ A,/, f ~ S)15/Sf;) r~
(2reo€tz.)~ ~ :> L.€LS JNTO O"WE' Lar 1f" V).€ 'Pe~W4- #- dP-
~ ~~ ~ ~ ~ Jh:~ IN ;vp.. .p.,~.
~ A ~frJ Pee-f.1itr c.,MJ p~~ ~ T~
~ ~ ~ cbJ f3;€'CiJN ~~ ;1ePA- f~s I.N11Jlf'nk
~ ~~ Please reply on reverse
is L~kla- ~,.-- ,~..
.
September 20, 1988
Mr. Thorn Emrich
l-'li thun Partners
2000 112th NE
Bellevue, WA 98004
Reference Permit Application Gordon Cromwell - 2603 Ash St.
Dear Mr. Emrich;
The application for permit submitted 8/15/88 is still in process,
the following are comments made by Department following review:
Building: Still in review, tentatiye date of completion of
rev i ew i s 9/23/88. 0 K - 1 () I 3/ f 6
Planning: A rml3:ccd le9'~pt:T'on-mu's~t:"'i)e--ei-l"e'"d~B-K..i..t.s.a.p-
Co un t y and a cO~1W-SliPem-i~e-te'd-t"O-ttrrs-off""'h3'e"""I?e'€lef~i"'fl'-rn~th"'e"""S~0ts-s?'
:into one_an..a-E-b'e-I"e00'F~i-l'l'g""'n'l:1m@e'fi=fH:)!-&eQ= Note: A demol i tion
permit can proceed without the revised legal and we can begin the
SEPA process in the meantime. 0 ~
Fire: Full detection fire alarm system is required. Plans
should be submitted for approval. Fire alarm shall be monitored
off premise. Exit and emergency lighting not shown on plans
shall be included on set to be approved. One hour fire resistive
construction required between garage and office space. Install
Knox key engry system - application through the Fire Marshal.
Hydrant Storz adaptor on hydrant located at Ash and Cherry.
Engineering: Need to state orifice size; need to show proposed
sanitary sewer and connection; need to have gooseneck on
overflow pipe in control basin; E~g~neer's seal is not on sq~t
C 1 .- ~ D),. u s 6 C ( D) <,.7'(; l . r.dV if rv-'
fJ-7'""\ -- ~\ (10 I) f
f cA,V-
Water: Need sewer cap permits for each structure; application
for water service to upgrade meter; sewer lnspection permit for
reconnection; storm sewer inspection permit, refer to comments on
page Cl 0 f 1. 6K.. +0 {S5ve bldj oe.r r>o-.'t
, ..-
Traffic: No problems identified.
p
Please call me if you have questions and I will direct you to the
proper department. Thank you.
Sincerely,
Carol L. Johnson
Permit Technician
CLJ/cj
AL~ 04 '88 16:31 EryWARD SIDER & ASSOC
-::IN;'
fit VII';..... . -':'.:-'
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IVn <::1''.'2)..
88St p . J.f.J.:;v
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a Q21.'\/'::1
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M.d. . "ln6Caflekd.----..--...~-."
f' ~ 'f4i' .~ tt
Da~ Oat.o
P.1/5
FDWARD S.'SIDER & ASSOCIATES
M<<JurimI Erdr-s
Project ..CAaHtJELt. MfJ:)JCA(.,..attlc~
e;REHeR70JJifJA~~'
.~~823-~:'-
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CITY OF BREMERTON
PERMIT APPLlCATIO"~C~A~~T:~~'~S
City of Bremerton, Washinaton 98310 Phone: (206) 478-5281
.3:J3~ - cc:JO - 0.2./ - ~ 0 \'
Assessor's Tax Account No.: 39~ 7 - CJelIO - ~, . ~ 00 I
3~"7 - ~ -00'2 -ocCo
Site Address: 21:;()~ A~ SoT ~ 2G>02; 2b 10 ~ Me
Owner's Name: 6:c;iI2t~:::)t'J G;~MW~ ( ~ Nt. D- Address: 2~O I
Phone No.: 47'9. 23bO
CJ..\E~1 13~U 9831b.
UILDING
---.
Applicant:
DOwner
~rChjtect
o Contractor
o Tenant
Architect Firm: M \-r:\-tU N 'PAI<TNS<..S
Address: ~ \\"2:n~ Nt:; ~ J..:e..'v\J~ \!VA
'f8oo1
P ne:
Contractor:
N.A.
Representative:
Phone:
Address:
-
-
Contractor's License No.:
Exp. Date:
Business D Other:
o Duplex D Multi-Family (No. units
) D Bldg. Move
Nature of Work Proposed: ca.JS~\}C.'-l ~ St:: r fPcFessl~
eL.t:6 . W 11l-1r \J ~DE1<'6UIL..D\~ ~<Jt-J~ ~
o Residence
o Demolish
o Grading (cu. yds
New
o Repair.
D Sign
D Remodel/Addn
o Parking Lot
a=RCE
a-J G~ P~11'6
Sq.Ft.:
B&::o'SF "t
Utilities: ~ 1~~tJ~ @ ~~Jl~e~ ffi)D Sewer D Septic 0 New
W!..l l~
Valuation of Materials/Labor: 1 S G j Plan Review Fee: Permit Fee:
[UBC See. 304(b)] r~:,. ; , $ t Lf ~ 9. 0 0 $ ~ ~ fc;D . 0 ()
BREMERTON 1P'Q
J:. 6 I"" 8U1LDING DEPART ~EIl9ce;pt No.' O.~ Rece;p, No.'
r ~~ q yo, 0 0 Date: t,l I 5LIT Date:
Zone Designation: 6~ Occupancy Classification (UBG): ~ .
Existing
D Storm
Surcharges:
State $3.50 M
Energy $10/$15 D
No. Stories:
Setbacks: Front:
Side:
Rear:
Height:
Heat Source:
I understand that applications f r which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application - rpished by me is true and correct and that the applicable
requireme h of B er'on will be met.
Signature
Date q'lS/80
Copies to: While-owner: Yellow-file: Pink-Assessor: GOldenrOd-Building
SIal. Code i
BUILDING
PERMIT
APPLICATION
..
...
City of Bremerton, Washinaton 98310
s:;J3~ - 000_ 0.2.1 - aco\'
Assessor's Tax Account No.: 3'707 - axe - Q:7\ . 0001
~967 - ~ -00'2 -"o~o
Site Address: 2~? AsH- ST ~ ::?G02 I 2 b 10 ~y AVe
Owner's Name: ~N ~oN\WaL ~ M. b. Address: 2"0 I
Phone: (206) 478-5281
Phone No.: 47'1. 23ho
CJ..\E~\<..1 B~M8tIDf..J 9831b
Applicant:
DOwner
~rchitect
D Contractor
o Tenant
Architect Firm: M l-n-tlJ N PA\<.TNS<-S
Address: .2.o::x:) - \\"2.1"\-\ tJ~ ~\)\jE. \/VA
'18cv't
Contractor:
N.A.
Contractor's License No.:
-
-
Representative:
Phone:
Exp. Date:
Address:
Business 0 Other:
D Duplex D Multi-Family (No. units
) 0 Bldg. Move
Nature of Work Proposed: <::,aJS~\Jcrr ~ CSt::: :t fPcFESS\~
ELt:6. wlm Uf'Jt:6~:eulL.D\10G ~<Jt-J~ ~
o Residence
o Demolish
o Grading (cu. yds
~ew
D Repai~
D Sign
D Remodel/Addn
D Parking Lot
a=Rce.
aJ G~ P~ING.
Sq. Ft.:
Beco SF 't
Utilities:
o Water
o Waste
o Sewer
o Septic
D New
Existing
o Storm
Valuation of Materials/Labor:
[UBe Sec. 304(b))
(&" 'Stf / (/!J (j
f 1:5 ~~ g V 0 ,0 0
Zone Designation: 6~
Setbacks: Front:
Comments/Conditions of Approval: ~
Plan Review Fee:
Permit Fee:
Surcharges:
State $3.50 !If
Energy $101$15 0
$ JLfCo9. 00
Receipt No.: '7gq~
Date: f / I 5;f't
I
$ ~ ;;d106. 0 ()
Receipt No.:
Date:
Occupancy Classification (UBC):
\39- .
No. Stories:
Side:
Rear:
Height:
Heat Source:
r
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information this application rpished by me is true and correct and that the applicable
requireme of B er on will be met.
Signature
Date t}fS/W
Copies to: White-owner: Yellow-file: Pink-Assessor: GOldenrOd-Building
Stat. Code I
CITY OF BREMERTON BUILDING DEPARTMENT
PERMIT APPLICATION
DATE:
9-25-
,1989
TO BE COMPLETED BY
9-27- ,1989
Gordon Cromwell
OWNER
Mirhun Partners
CONTRACTOR
2603 Ash - 2602-10 Cherry
LOCATION OF JOB
For construct office bldg.
ENGINEERING COMMENTS/REVIEWED BY ~
WI; Cl:/J-t,M.;~#-V
',-
Date ~J~~
To~~
From ~ !),4\r!5
Subject ~l4N'4 ~ ~ ~.4 ~t...15T ~
-,.-~f1~ ~ ~ ~ fIu='DI1!p.L f?:U't.;~
~
(DSep,4. ~MEm".4L ~.J( t;iiCJ~ ~~ ~ ~ ~ fl410 -po
fYl.e-~ 4/tv-( ~ ~ 1
(%) ~ wew ue~kL 0E>c.(UP~ ~~ -co BE' 'F-IL.B' ~ 1C4-r~M
~y ~ ~l.M!c 'tUC fJ1JC ~ ~ ~/. r ~ 8)q8t>) r~
f2El:>fl2.)Nf> ~ '3 urS )/nO O'WE LeT-.If ~ ~~~ #- dP-
~ ~N6> ~ P€3cJ41PrtBN ~ ~~ IN If1J12.. .p,l.E3.
~ A ~&cJ ~MiT 4flJ Pf2€Jc~ ~ ~
~ --:t ~ C-~ r;e~N ~ ~Id- ffJecBS ~lJf'TJIC
~ 41<-A()11Jfi- Please reply on reverse
,
Inter-Office Communication
Cityof Bremertol1.
\
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~..
BUILDING
PERMIT
( 1
'B'b,l\ \
.,
AP PLICATION
...
City of Bremerton, Washinaton 98310
.s3J3~ - C)oo - 02.1 - 00 0 i'
Assessor's Tax Account No.: .3"'>07 - ClOD - ~I . "00 I
3~~1 - ~ -00"2 -0000
Site Address: 2H:J?? Ast\- ST ~ 2G02,' 2 b 10 ~ ~S
Owner's Name: ~N ~oMWa.L. ,M. D. Address: 2~O I
Applicant:
DOwner
Phone: (206) 478-5281
Phone No.: 4 7~ . 2'3bO
CUE~~1 B~EM6z:rm.J 98310
~rchitect
o Contractor
o Tenant
Architect Firm: M IT\-t\.l N 'PA~TN E::1<..S
Address: ~ W2."'D-\ ~t% ~W~ WAr.
'18001"
Contractor:
N.A.
Address:
Contractor's license No.:
-
-
o Residence
D Demolish
D Grading (cu. yds
Nature of Work Proposed:
6U::6. Wl~
P ne:
Representative:
Phone:
Exp. Date:
o Other:
D Multi-Family (No. units
o Bldg. Move
COJs~\Krl ~ CSt:: :t ~O~
\J t-Jt:E1<.'6lJ1 L..D\ ~ ~<..lt-J ~ ~
Business
D Duplex
Utilities:
o Water
o Waste
Valuation of Materials/Labor:
lUBe Sec. 304(b)]
f 6 ~~ q YO. 0 0
Zone Designation: 6~
Setbacks: Front:
New
D Repair
D Sign
D Remodel/Addn
D Parking lot
a=Rce:
eN G~ P~l~.
Sq. Ft.:
eeco'SF "t
o Sewer
D Septic
D New
Existing
D Storm
Plan Review Fee:
Permit Fee:
Surcharges:
State $3.50 M
Energy $101$15 0
$ J'-fCo9. 00
Receipt No.: 19q~
Date: t / I 5/ ~ 0
,
$ ~ ~ 0() . 0 ()
Receipt No.:
Date:
Occupancy Classification (UBC):
\3;:L .
No. Stories:
Side:
Rear:
Height:
Heat Source:
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returne(
to applicant or destroyed by the Building Official. (Sec. J04(d)UBC). I certify that the
information on this application - ~ished by me is true and correct and that the applicable
requireme of B er on will be met.
Signature
Date t}1 5/80
Copies to: While-owner: Yellow-file; Pink-Assessor: GoldenrOd-Building
Stat. Code i
.
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PROJECT:~~~~_~m~_ FAX:---H1~. 5'.206 ~___~
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DATE SENT: 9' · La.~.e, __~~,~_ PAGE-.J.~._ OF ~-2~ PAGES
If you have trouble receiving part or all of this transnlitta)._ pJE:ase notify ..CA~__~._@
(205) 454-3344 (OEe), (206) 646.4776 (Fax).
MITHUN PARTNEI{S, IN'C'I 2000 112TH AVE. N.E.f He11evuel VvA 98004 I 5.A.
.. ...,.--,-.-..,.. ~3EP-18-' 89 17: 04 I D: f'll THU~~ PHRn~ERS
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D Memorandum bt'A .041
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Date \ -"2.. I -z. ~ · ~ ~
Project No. <<PJ Ceo -z.. 4 C ~
RECa: IVED
JAN U r.; 198~
MITHUN
PART N E RS
MITHUN. BOWMAN
".M~!"I.l,C=-;- ':>.l.N~
To G I TY 6fE- ~'rG ~ /v1 ~f2- T~)
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Re: .....1 ~ 10 ~ I 1--. LA rv c.rE.- pc.) f<-D
We are sending you the following: D Attached
D Under separate cover D
For your:
D Information D Review & comment D As requested
~ t. ~c::;./i-4 CH~~r<"1 tMp;..;f~. t~c-,r:;; ~
fll LL P"ft<.f: :DE:/cCTION 0'1,"; TtM
(.-.2--) ~rE.. ~---\-.--Af? M . PTS rf~ t- \
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If enclosures are not as noted kindly notify us at once.
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8-29-88
~~"-~;~-'~lf;;~1
FIRE DEPARTMENT PLAN REVIEW
4
Cherry & Ash Medical Building:
j- Full-detection fire alarm system required. Plans shall be submitted
. for approval. Fire alarm shall be monitored off premise.
Exit and emergency lighting not shown on plans shall be included
on set to be approved.
F
IllN
One-hour fire resistive construction required between garage and
office space.
Install Knox key entry system - application through Fire Marshal.
Hydrant Storz adapter on hydrant located at Ash & Cherry.
no
~AN'
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WALL, TOP AT 66". . .. ._--
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EDWARDS #439D-6AW 6-INCH DIAMETER FIRE ALARM BEt
WALL MOUNT 12D BELOW CEILING.
2 .
U,L. TYPE FPL CABLE. TO BE INSTALLED CONCEALED INSI
WALLS AND CEILING SPACES. NUMBER INDICATES NO. OF
WEST PENN WIRE #970 2 CONDUCTORS #18 FOR INITIA TIN
#971 2 CONDUCTORS #16 FOR BELL CII
THE ENTIRE FIRE ALARM SYSTEM SHALL BE IN COMPLIANCE WITH N.,E.C. AI
AND ALL APPLICABLE LOCAL CODES AND ORDINANCES..
ELECTRICAL CONTRACTOR TO FURNISH AND INSTALL A' COMPLETE EDWARD~
FINAL CONNECTIONS AND TESTING TO BE PERFORMED BY SIGNAL EQUIPMEt
SEA TTLE. WASHINGTON (206) 324.-8400.
'.,
CITY OF BREMERTON
FIRE MARSHAL'S OFFICE
.t~PPROVED 'JAN 081989
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. AME . TITLE.
APPROVAL RELATES TO FIRE PROTECTION
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286 4TH STREET. ..BREMEKIUNi WA 98310 .
An f.qUld Opporlwniiy Employer
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BUILDING: .(78-5281
Cityof BremertoIt
DEPA.RT~IENT OF CONSTRUCTION
..-L~D L..-L"..'TI USE
PUNNING: 478-527:
Building Department
REQUEST FOR OCCUPANCY APPROVAL
-("gineering q~~~ '<#ater Illastewater ~
>1ire~- ~" ",l1ianning ~
H"ealtn.. Dept.
TO: f~ilding ~ b. )
~siness License ~'-/
Traffic
Please review this request for approval to occupy
return to this department by 9/5/90
Permit Technician:
the following
Thank you.
8/29/90
Date:
structure and
Janet Lunceford
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Cromwell Office Building
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Various doctors
Gordon Cromwell
Nature of Construction New Office Building
(if applicable)
Address
Contractor
Permit: 11
Pentit Date
Type of Construction
Square feet
Use
Type of Occupancy
2600 Cherry St.
James H. Robinson Co.
9523
9/29/89
VN
7568
()ff;("'P<::
B2/B3
-----:
Occupant Load Rq _,
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ,
Comments:
Approved L:1 /Disapproved l:1 By:
Date:
817 P.'\CfFlC AVENUE . BR.E~ERTON, WASHINGTON 98310
BUILDING: .t78-5281
TO: Building
I Business Licens~
Traffic
Cityof BremertOIt
DEPART~rENT OF CONSTRUCTION
..-\...VD LA...'\rO USE
PL.ANNING: 478-521:
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
}~ire
H"ealtn. Dept.
Water/Wastewater
Planning
Please review this request for approval to occupy
return to this department by 9/5/90
Permit Technician:
the fOllowing
'l;11ank you.
8/29/90
Date:
structure and
Janet Lunceford
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Cromwell Office Building
Type of Occupancy ~2/B3
Occupant Load ...Rq _'
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IDisapprovedD By:
Name of Building
Name of Tenant
(if applicable)
Owner of Building
~ature of Construction
(if applicable)
Address
Contractor
Permit "
Permit Date
Type of Construction
Square feet
Use
Comments:
Approved
Various doctors
Gordon Cromwell
New Office Building
2600 Cherry St.
James H. Robinson Co.
9523
9/29/89
VN
7568
ro...
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Date:
'/~i
817 P.4.CJFlC ..~YENUc: . BR.E~ERlON. WASHINGTON 98JI0
,~~
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BUILDING: 478-5281
TO: Building
Business License
Traffic
Cityof BremertoIt
DEPART:\-IENT OF CONSTRUCTION' ... I PLANNING: 478-527:
. ..-LVD LA...~"D USE CIlV' OF BREMER10N
f\U G 3 0 '\990
, MUNICIPAL UTILITIES
Building Department
REQUEST FOR OCCUPANCY APPROV~
Engineering
}O~ire
H"e,altn Dept,
(Wat~ewate~l
Planning
Please review this request for approval to occupy
return to this department by 9/5/90
Permit Technician:
the fOllowing structure and
'1;11ank you.
8/29/90
Date:
Janet Lunceford
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Cromwell Office Building
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Various doctors
Gordon Cromwell
Nature of Construction New Office Building
(if applicable)
Address 2600 Cherry St.
Type of Occupancy ~2/B3
Occupant Load -.RQ _'
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ,
Comments: Approved subject to a Cross-connection control inspection by the
Contractor
Permit 11
Pennit Date
Type of Construction
Square feet
Use
James H. Robinson Co.
9523
9/29/89
VN
7568
n.p.pi,",~~
Building Dept. and receipt of a signed inspection report.
Approved ~'/Disapproved l:7 By:
/v
817 P.4.CJFTC .""VENUe: .
Date: 51:
, I
mrE @ ~ OW ~[ID
OCT 1 S 1990
B~~ER'roN. WASHINcroN 28JlQ BREMERTON
BUILDING DEPARTMENT
. -, .
..~:;.,~~ ~
CITY OF BREMERTON
. WATER DEPARTMENT
DATE~~D
NAM' ~
ADDll'55 ~ . ~
WATER ACCOVNT NO.
PARTY CONTACTED
TYPE OF BUSINESS
INSPECTION SHEET
CROSS CONTROL
TIME
PHONE _
METER NO.
TITLE
USE
OTHER WATER SUPPLY
RECOMMENDED CORRECTION
IN5PEC'O.~d/:?
FAULT
~/..
A._~[..~._
-
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--
BUlLOlNG: 478-5281
TO: Building
Business License
Traffic
Cityof BremertOIt
DEP.-\..RT~IENT OF CONSTRUcrION
.-L VD L.-L ''1) USE
PLANNING: 478-521:
Building Department
_REQUEST FOR OCCUPANCY APPROVAL
Engineering
..~
Wealth Dept,
Water/Wastewater
Planning
Please review this request for approval to occupy the fOlloWing structure and
return to this department by 9/5/90 Thank you.
Janet Lunceford 8/29/90
Permit Technician: Date:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * j
Cromwell Office Building
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Various doctors
Gordon Cromwell
Nature of Construction New Office Building
(if applicable)
Address
Type of Occupancy !..2/B3
Occupant Load -.Rq _.'
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ,
Comments: ~~~~~~~_R' td.doj
~~~~-/~~1~~~'~~
6?1~.t2k ~ ~ ~..
Approved rp /Disapproved ~ R-/30 llo
, ,
Contractor
Permit /1
Permit Date
Type of Construction
Square feet
Use
2600 Cherry St.
. .
James H. Robinson Co.
~9523
9/29/89
VN
7568 .
r-. -.
f D. . .: (') ;-;
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BUILDING OEPARTMnfT
()FFi('to~
817 P.60CfFTC ..WENt:E . 8R.E~ERTON. WASHINCTON 98310
BUlLDlNO: .f7'8-S281
Cityof BremertoIt
DEP.-\..RT~IENT OF CONSTRUCTION
..-LVD LA..'i!) USE
ql)-~\q
PLANNINO: 478-S21:
Building Department
Y;QUEST FOR OCCUPANCY APPROVAL
TO: Building
Business License
Traffic
Engineering
}o~ire
lfealtn Dept,
Water/Wastewater
~
Please review this request for approval to occupy the fOllowing structure and
return to chis department by 9/5/90 rhankyou.
Janet Lunceford 8/29/90
Permit Technician: Date:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Cromwell Office Building
Name of Building
Various doctors
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit 11
Pennit Date
Type of Construction
Square feet
Use
Gordon Cromwell
New Office Building
2600 Cherry St.
James H. Robinson Co.
9523
9/29/89
VN
7568
Type of Occupancy .2:2/B3
Occupant Load -.RQ _'
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ,
Comments:
J)f"f"; ""'PQ
Approved
IDisapproved l:7 By'
Date: ~2>S"'1D
817 P.6,CTFlC AVENUE . BR.E~ERTON. WASHINGTON 98310
BUllDrNG: .f7'8-'.5281
TO: [Building J
Business License
Traffic
Cityof BremertOIt
DEPA.RT~IENT OF CONSTRUCTION
.-L'lD LA....'\"D USE
PLANNING: 478-527:
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
}."ire
lfealcfL Dept.
Water/Wastewater
Planning
Please review this request for approval to occupy the fOllowing structure and
return to this department by 9/5/90 rhank you.
Janet Lunceford 8/29/90
Permit Technician: Date:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Cromwell Office Building
Name of Building
Name of Tenant
(if applic.able)
Owner of Building
Various doctors
Gordon Cromwell
Nature of Construction New Office Building
(if applicable)
Address 2600 Cherry St.
Type of Occupancy B2/B3
--
Occ.upant Load -Rq _'
* * * * . * * * . * * . * * * . * * * ** * * * * * * * * * * * * * * * * * . * . * * ,
Comments:
Contractor
Permit II
Permit Date
Type of Construction
Square feet
Use
James H. Robinson Co.
9523
9/29/89
VN
7568
J)-F-F; t'~Q
Approved ~/Disapproved l:7 By:
Date: /o/L6/r"
, ~
817 P.'\CJFlC .~YENt.:E . BR.E~ERTON. WASHINGTON 98310
BUILDING: .f78.5281
TO: Building
Business License
Traffic
Cityof BremertOIt
DEPA.RT~IENT OF CONSTRUCTION
.A.ND LA_:~"D USE
F
PLANNING: 478.527:
If~
C ~' 1'1
/:./ii t., .! k ~ ~~.
'.. q .~) ( fI.i;' J!)
0Jy ',J /J ;q t)
. Dr it, ... .;10
~flJ$N
.'o,'} ".
l:?j{) .
<:Jill(fJer
"S
Building Department
REQUEST FOR OCCUPANCY APPROV~
/I
. Engineering
lnre
!fe.altn Dept,
Water/Wastewater
Planning
l'
Please review this request {or approval to occupy the following structure and
return to this department by 9/5/90 thank you.
Janet Lunceford 8/29/90
Permit Technician: Date:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * j
Cromwell Office Building
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Various doctors
Gordon Cromwell
Nature of Construction New Office Building
(if applicable)
Address
Type of Occupancy .!:2/B3
Occupant Load RQ _'
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ,
Contractor
Permit II
Pennit Date
Type of Construction
Square feet
Use
Comments:
2600 Cherry St.
_James H. Robinson Co.
YS23
~~
40 ~~
~ 't-- ....
~4,~. '-:, --~
. V'v~ .~ ~c9
~^ ;.p~ v
-"'"' -~
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~~
~~
9/29/89
~VN
~ 7568 .
J1f'f'; ~A~
Approved
Date:
817 P.6,CJFlC ..~YENt.:c: . BR.E~ERTON. WASHINGTON 98310
~
City of Bremerton
Building Department
817 Pacific Avenue
Bremerton, Washington 98310
(206) 478-5281
Plan review based on
the 1985 Uniform Building Code
Project Id: Cherry and Ash Medical Building
Address: 2603 Ash
Date: October 3, 1988
Contractor: Self
Architect: Mithun Partners
Engineer: "7hfJ,.,., S D. e,.",./f.I.
Plans Examiner: Dick Mumma
Occupancy: B2,B3
Type of Const: V-N
#
SHEET IDENTIFICATION
CORRECTION REQUIRED
-----------------------------------------------------------------------------
-----------------------------------------------------------------------------
1 A 3.1
Door area
Glazing in a hazardous location is required to be
glazed with safety material. -- Sec. 5406.
2 A 4.1
Skylight area Provide attic ventilation that complies with
section 3205. (c)
3 A 5.3
Roof section The roofing on this building is required to be fire
retardant. -- Sec. 3202. (b).
4 A 3.1
Door areas Glazing in a hazardous location is required to be
glazed with safety material. -- Sec. 5406.
5 A 4.1
Floor ceiling Provide details (construction and location) of
draftstbps in the floor system. -- Sec. 2516. (f)4.A
6 A 4.1
Garage ceiling The ceiling of the basement is required to be a
1hr assembly. -- Section 1703.
,.
, .
F
City of Bremerton
Building Department
817 Pacific Avenue
Bremerton, Washington 98310
(206) 478-5281
Plan analysis based on
the 1985 Uniform Building Code
Project Id: Cherry and Ash Medical Building
Address: 2603 Ash
Occupancy': B2,B3
Type of Const: V-N
Date:
Contractor:
Architect:
Engineer:
Plans Examiner:
October 3, 1988
Self
Mithun Partners
Dick Mumma
NOTE:The code items listed in this report are not intended to be a complete
listing of all possible code requirements in the 1985 UBC. It is a guide to
selected sections of the code.
===============================================================================
DIRECTION BOUNDARY
NORTH Public way
EAST Public way
SOUTH Property line
WEST Property line
Area increased 80.00%
SEPARATION
AREA INCREASE
52.0 Feet
52.0 Feet
53.0 Feet
0.0 Feet
for open area
FIRE PROTECTION
32.0 Feet
32.0 Feet
53.0 Feet
0.0 Feet
3 sides.
on
FL
NAME
OCC
MAX FLR AREA ALLOWED RATIO STATUS
1 Lease Space B2 ok 7568 14400 0.53 ok
TOTAL FOR FLOOR 7568 14400 0.53 ok
B Lease Space B2 ok 1305 14400 0.09 ok
B Parking Garage B3 ok 6263 14400 0.43 ok
TOTAL FOR FLOOR 7568 14400 0.53 ok
BUILDING TOTAL 7568 14400 0.53 ok
Page # 2
Code review for:
Project Id.: Cherry and Ash Medical Building
Address: 2603 Ash
EXTERIOR WALL FIRE RATINGS AND OPENING PROTECTION
Table 17-A & Table 5-A
NORTH EAST SOUTH
OCC BRG NON-BRG OPNG BRG NON-BRG OPNG BRG NON-BRG OPNG
WALL WALL PROT WALL WALL PROT WALL WALL PROT
B2 Ohr Ohr None Ohr Ohr None Ohr Ohr None
B3 Ohr Ohr None Ohr Ohr None Ohr Ohr None
The exterior walls may be of COMBUSTIBLE material. Sec.2201.
None -- No fire protection requirements for openings.
Prot -- Openings are to be protected with 3/4 hr fire assemblies.
50% of the area of the wall maximum. Sec.2203.(b) & Table 5-A
Maximum single window size is 84 sq.ft with no dimension
greater than 12 feet. -- Sec. 4306. (h)
Openings are not permitted in t .
* walls ma e to have a parapet wall 30 inches
a et wall is required to have the same
See sec l.on
OTHER
BUILDING ELEMENTS
MATERIAL
Any
Any
Any
Any
Any
Any
Any
Table 17-A
RATING
o hr
o hr
o hr
o hr
o hr
o hr
None
NOTES
ELEMENT
Interior Bearing wall
Interior nonbrg wall
Structural Frame
Exterior Struct Frame
Floor/Ceiling Assembly
Roof/Ceiling Assembly
Stairs
See footnote #1
See Footnote #9
FOOTNOTES:
1) Minimum on exterior side also based on exterior brg. wall requirements.
9) In areas with vehicles or airplanes, the floor surface shall be of
noncombustible, nonabsorbent materials. -- Sec. 702. (b) & 902. (b)
17) The ceiling of the basement is required to be protected with 1hr fire-
resistive construction and doors to basements are required to be of
noncombustible construction or 1 3/4 inch S.C. wood. -- Sec. 1703.
(
OCCUPANCY SEPARATIONS
B2-B3 1hr
ADDITIONAL SEPARATIONS
FOR B2 OCCUPANCY:
A 1hr occupancy separation is required around rooms containing a boiler or
central heating unit greater than 400,000 BTU input. -- Sec. 708.
FOR B3 OCCUPANCY:
A 1hr occupancy separation is required around rooms containing a boiler or
central heating unit greater than 400,000 BTU input. -- Sec. 708.
Page # 3
Code review for:
Project Id.: Cherry and Ash Medical Building
Address: 2603 Ash
EXIT REQUIREMENTS:
FL NAME
OCCUPANT NUMBER EXIT PANIC RATED DOOR NOTES
LOAD REQUIRED WIDTH [ft.] HDWR CORRIDOR SWING
-------------------------------------------------------------------------------
2)
No Yes Out
No Yes Out
No No N/R
No Yes N/R
No Yes N/R
occupant loads.
1 Lease Space ~
TOTAL .. c:f60-'
B Lease Space ..L
B Parking Garage * 31
TOTAL 31
* NOTE: This area is being treated as
-- Sec. 3302. (a) exception
Rated corridors are to have 1hr fire protection on both sides of walls and
ceiling. -- Sec. 3305. (g) Openings are required to be protected.
-- Sec. 3305. (h)
In areas where 2 exits are required, the minimum separation is 1/2 of the
maximum diagonal of the area or floor. -- Sec. 3303. (c)
Door swing is based on Sec. 3304. (b) except as noted.
Occupant load is based on Table 33-A.
Number of exits is based on Table 33-A except as noted.
Exit width is based on Sec. 3303. (b)
2
2 (
1
2
2 (
1.5
1.5( 1.5)
0.3
0.6
2) 0.6( 1.5)
an accessory for
FOOTNOTES:
HANDICAPPED ACCESS:
1) Handicapped access is required to at least one primary entrance
to this building -- Sec. 3301. (e) & Table 33-A
See table 33-A for exceptions for the basement.
2) If a ramp is used for handicapped access, the max slope is
1:12. -- Sec 3307. (c)
STAIR NOTES:
The maximum rise of a step is 7 inches and the minimum run is 11 inches.
-- Sec. 3306. (c)
The minimum width of a stairway is 36 inches, 44 inches if the occupant load
is greater than 50. -- Sec. '3306. (b) See section 3303. (b) when occupant load
is greater than 183.
Provide handrails on both sides of a stairway 30 to 34 inches above the nosing.
(May be on one side if less than 44 inches wide) -- Sec. 3306. (j)
Provide a guard rail where drop off is greater than 30 inches. Minimum height
= 42 inches, maximum opening size=6 inches. -- Sec. 1711.
The minimum headroom is 6 ft.- 6 inches. -- Sec. 3306. (p)
Enclosed usable space under the stairs is required to be protected as required
for 1hr fire-resistive construction. -- Sec. 3306. (n)
Provide a landing within 1 inch (1/2 inch at doors used for handicap access)
of the threshold. Sec. 3304. (h)
The minimum width is same as door width and the minimum length is 44 inches.
-- Sec. 3304. (i)
The maximum travel distance in this building is 150 feet.
-- Sec. 3303. (d)
Page #= 4
Code review for:
Project Id.: Cherry and Ash Medical Building
Address: 2603 Ash
ROOFING REQUIREMENTS:
1) The roofing on this building is required to be fire retardant.
Sec.3202. (b)
2) See section 3203. (e) and ICBO research reports for requirements.
AUTOMATIC SPRINKLER SYSTEMS:
If opening are not provided in each 50 feet of exterior wall or there is
floor area more than 75 feet from an exterior opening, an automatic
sprinkler system is required. -- Sec. 3902. (b)
STANDPIPE REQUIREMENTS:
1) A standpipe system may be required. -- Table 38-A
2) The location is to be per Sec. 3805. (c), (d) , and/or (e)
WALL AND CEILING FINISH:
1) Wall and ceiling finish materials are required to comply with
Sec. 4204. (a) and Table 42-B.
2) Carpeting on walls and ceiling are required to have a Class I
flame spread rating. -- Sec. 4204. (b)
INSULATION NOTES:
1) All insulation material including facings are required to have a flame-
spread rating of 25 or less and a maximum smoke density of 450 unless
it is in a concealed space and the facing is in contact with a wall or
ceiling. -- Sec. 1713. (c) exc.#=2
2) Foam plastic insulations are required to be protected. -- Sec. 1712.
GLAZING REQUIREMENTS:
1) All glazing in hazardous locations is required to be of safety
glazing material. -- Sec. 5406. (d)
ADDITIONAL REQUIREMENTS:
For B2 occupancy
In all areas customarily occupied
artificial light and ventilation.
by humans, provide natural or
Sec. 705.
For B3 occupancy
See section 709 for requirements for an open parking garage.
Page # 5
Code review for:
Project Id.: Cherry and Ash Medical Building
Address: 2603 Ash
If water fountains are provided, one must have a spout within 33 inches of
the floor and up-front controls. -- Sec. 511. (c)
HANDICAPPED TOILET FACILITIES:
1) All doorways leading to a toilet room for handicapped are required to
provide 32 inches clear width. -- Sec. 511. (a)
2) Provide 44 inches clear on each side of doorways. -- Sec. 511. (a) 1.
3) Provide a 60 inch diameter clear area within the to~let room(s).
-- Sec.511.(a)2.
4) Provide a clear area 42 inches wide and 48 inches long in front of at
least one water closet. If in a compartment and door is on the side,
provide a clear access width of 34 inches. Door may not encroach into
clear area. -- Sec. 511. (a)3.
5) A 48 inch access width is required to the handicapped compartment.
-- Sec. 511. (a)3.
6) Grab bars are required behind and on one side or on both sides of
handicapped water closet. Side bar is required to be 42 inches long (min)
and extend 24 inches in front of water closet. Rear bar is to be 24 inches
long in a room or 36 inches long in a compartment. Bars are to be 33
inches to 36 inches above the floor. -- Sec. 511. (a)4.
7) Provide a clear area under at least one lavatory. 30 inches wide X 29
inches high X 17 inches deep minimum. -- Sec. 511. (b)l.
8) The bottom of one mirror, opening of a towel fixture, and disposal fixture
is required to be within 40 inches of the floor. -- Sec. 511. (b)2.&3.
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CitYQf Bremerto1l,
~39 FOURTH STREET
BREMERTON. WASHINGTON 98310
(206) ~78 . 5275
DEPARTMENT OF COMMUNITY DEVELOPMENT
MA YOR GENE LOBE
October 10, 1988
Ms. Barbara Ritchie
Department of Ecology
Environmental Review Section
Mail Stop PV-ll
Olympia, WA 98504-8711
Re: Demolition of three residential structures;
construct 8800 square feet medical office
building; construct parking for 53
automobiles.
Dear Ms. Ritchie
Enclosed is a Determination of Non-significance and accompanying Environmental
Checklist for the above proposal. This DNS is being issued with a comment
period and notice pursuant to 197-11-340 (2).
Would you please publish this in the SEPA Register.
If you have any questions, please call our department at (206) 478-5275.
Sincerely,
t' ~n . !
I ;/'. ' (" i. I) " ",
1^0,~t..,CL('~~ ) !,-"LL.j~(\. (]J'li' /1 j
---- 'C:''''~,' : v~
DEBBIE WILLIAi.'1S
Office Assistant
Enclosures
The Clt.y of" a...em...r-ton is An EqUAl Oppo...tunity F-mploy...r.
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RESPONSES FROM
Request for Comments
SENT OUT: 9/15/88
(DATE)
REQUESTED RETURN DATE:
9/23/88
PROJECT:
Dr. Gordon Cromwell - N.E, corner
Cherry Ave. and Ash Street
FILE NO.: SErA file - Cherry & Ash.
REQUEST FOR COMMENTS FORMS RECEIVED AND DATES RECEIVED @ PLANNING DEPARTMENT
Date
Building <1- \\~Q .~
City Attorney ''"'\ - )( U. ~ ~
\I v'" '.
,
Date
Health Dept. q - ~,~~
Long-range Planning ~... ~\-<t>i
Current Planning
Engineering q-},~ - <6 b
Fire q - ~t\- ~ ?)
.8~
Date
Sanitary Sewer~\O~~
School Dist. q - d\ - <x~
Stormwater q ~ ~a - ~<i
Water q -3< J .("6<1>
Other
SYNOPSIS OF RESPONSES
Completed by _
Name
Title
4! /7"f;~
-
I
DATE
tt:f//3 /8fJ .
RECEIVED FROM '"' / /
A::::~$~~i ~~I~ $ ~~ 00_
CITY OF BREMERTON
239 4TH STREET
BREMERTON, WA 98310
TELEPHONE (206) 478-5281
",...'-'
79040
11
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CASH 1# CHECK 1# ON ACCT. I
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FUND DPT BSB EL OBJ DESCRIPTION AMOUNT ..
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001 62 322 10 03 PLUMBING PERMITS I
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001 62 322 10 05 MECHANICAL PERMITS I
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160 I 00 I
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001 341 COPIES I
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62 342 40 06 REINSPECTION FEES I
03 ,IE......,..iv~ .\ ^ _. '~I >t- 'r1i~
001 16 345 81 ~ ZONING SUB DIV FEES , I
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643 220 00 DEPOSITS (POLITICAL SIGNS) I
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643 208 . ,04 ST. ENERGY CODE SURCHARGE !
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. Cit.y"'qf Bremerto1l,
(:06) .f73-52S2
::39 FOURTH STREET
BREMERTON, WASHINGTON 98310
DETERMINATION OF NONSIG~IFIG~NCE
Descr iption of proposal Demolition of three residential structures, construct
8800 sq. ft. medical office building; construct parking for 53 automobiles.
Proponent Gordon Cromwell, M.D.
Location of proposal, i~cluding street address, if any:
2603 Ash St., 2602 and 2610 Cherry Avenue, Bremerton, WA 98310
Lead agency
City of Bremerton
The lead agency for this proposal has determined that it does
not have a probable significant adverse impact on the
environment. An environmental impact statement (EIS) is not
required under RCW ~3.21C.030(2) (c). This decision was made
after review of a completed environmental checklist and other
information on file with the lead agency. This information is
av.ailabl.e to the public on request.
.
I I There is no comment period for this DNS.
,..--...,
IX iThis DNS is issued under 197-11-340(2); the lead agency will
no-l:act on this proposal for 15 days from the date below.
Commen.';-.s must be" submi t ted by Qctober 25. 1988
RespoXi.5iible off icial
DONALD L. PRATT
"P ..+-0.:..,.... j--. tl
- OSJ._.,_,-"n \..~ e
Director of Community Development
Phone (206) 478-51.75
817 Pacific Ave., Bremerton, WA 98310
DatL~~ 't} {f(t3
Signat~re
~
OrB Y.:;;:,.'1nay apoeal this de t = rmina ti on to (name):
'., Bremerton City Council
You should be prepared to make specific factual objections.
Contact F.rl DRVil=; to read or ask about the procedures
for SEPA appeals.
DThere is no agency appeal.
Gateway to {he Olympics and Home of {he Puge{ Sound .Vaml Shipyard
'Request for Comments
SEPA file-Cherry &
FILE NO. A _,
DATE: 9/15/88
TO:
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Pa rks
Pol ice/Traffic
Sanitary Sewer
School Dist.
StorlThVater
Water
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Architects for Dr.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street,
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS~ FILE #IS
APPLICANT:
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and propo8ed building plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
Please review and cOlTlllent on this proposed action in respect to your department's activities
and responsibilities. Your reply wi 11 become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A .
Please address the following concerns in your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific respons ibi lit ies).
2. Speci fi c requirements, standards. or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
--..-
.
COMPLETED BY:
Name:
Please this form by 9/23/88 Ti t le:
return
Date:
6/88
. 'flequest foP Commentdt
FI LE NO. SEPA file-~herry &
DATE: 9/15/88
~,
TO:
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea I th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Pol ice/Traffic
San ita ry . Sf;,.n roF BREMERTON
Schoo 1 0 1St.
Stor(ThoJater SEP 1 5 1988
Wa te r
MIINICIPAl UTILITIES
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Architects for Dr..
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-527~
APPLICATIONS, 0 ~ @ ~ ~ o/J IE ~ILE
Environmental Checkl1s .
OCT 04 1988
lIS
APPLICANT:
ENCLOSURES: BREME'RTON
E. t 1 rh kl' IRilJllll~DiI:NGt,!;)FnPA~TaMENJ
nV1ronmen a ~ ec 1S t:, 'toc'~.LC5 .., p,
and pr~posed ~uildipg plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
Please review and comment on this proposed action in respect to your department's activities
and responsibilities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A .
Please address the following concerns rn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
I
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems~
... ..
( 1 ) No identifiable problems noted. I
(2 ) Development is subject to all applicable specifications required by the City of I
I
B remerton, DSHS Rules and Regulations, State and Federal laws. I
I
(3) Prior to additional connections or enl argement of sanitary and storm water systems, I
plans are subject to review and approval by the City of Bremerton Engineering
Deoartment and oavment in full of assessed fees at the City of Bremerton Municipal
Utilities Center.
COMPLETED BY: ~ ~ QQ
Name: John Poppe ~I
Please return this form by 9/23/88 Title: Contract Cpr ~pliance Ad~~istrator
'V
Date:
6/88
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.Request f* CommentA
FILE NO.
SEPA file-Cherry &
,
..~..
DATE:
9/15/88
TO:
Bui lding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea I th Dept.
Long-range Planning
Neighborhood Assn.
Pa rks
Po 1 i\~e/Tra ff i c
'..... --...---~'
San i tary c~5fBREMERTON
School Dlst.
Storl11NaterSEP 151988
Water
MUNICIPAL UTILITIES
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS: FILE #IS
APPLICANT:
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0posed ~uilding plan.
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
OO~@[UW~WJ
SEP :30 198f3
PROPOSED PROJECT & ACTION:
BREMERTON
BUILDING DEPARTMENT
Please review and comment on this proposed act ion in respect to your department's activities
and responsibilities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A .
Please address the following concerns rn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
".. ".
(1) Please refer to EnoineerinQ Deoartment comments on stormwater.
(2) Develooment is sub.iect to all applicable specifications required by the City of .
Bremerton. DSHS Rules and Requlations, State and federal laws.
(3) Prior to additional connections.or enlargement of sanitary and storm water systems,
plans are subject to review and approval by the City of Bremerton Engineering
Department and payment in full of assessed fees at the City,df Bremerton Municipal
Utilities Center.
~~f\
("\ ~) A
COMPLETED BY: \}..c ~ ",1 b Hill 'IJ
, .,
Name: Robert D. Theroux )
Please this form by 9/23/88 Ti tIe: Administrative Superv~s~r
re turn y,~ ~tr
Date:
6/88
Request folt Comment!tt
"
FILE NO. SEPA file-~herry &
DATE: 9/15/88
TO:
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Pol ice/Traffic
San i tary se~Jl1 OF BREMERTON
Schoo 1 D i st. S
StorlJ?olater EP 151988
Water
MUNICIPAL UTILITIES
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for D~.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis. Mgr. Current Planning
478-5275
APPLICATIONS: FILE #IS
APPLICANT:
Environmental Checklist
ENCLOSURES:
Environmental Checklist. location map,
,.l" d l... "d' 1
an_ pr0pose _u1_1ng p_an.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
[ffirn @ [u w ~IID
SEP30198G
BREMERTON .
BUILDING DEPARTMENT
Please review and comment on this proposed action in respect to your department's activities
and responsibil ities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
d W S ecifications DSHS Rules and Re ulations,
Code, and Utility Standards.
Prior to connection to the ublic water system, Application for Water Service
must be filed with the Water Utility and payment of assessed fees.
Please return this form by
<:) 23/88
COMPLETED BY:
Name: Robert D.
Ti t 1 e:
Date:
6/88
flequest f~ Commentl
FILE NO.
SEPA file-Cherry &
DATE:
9/15/88
TO:
Bui Iding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Po I i ce/Tra ff i c
Sanitary Sewer
Schoo 1 0 i st.
Stor~ater
Water
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for D~.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS:
APPLICANT:
FILE #IS
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0posed building plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
?, 1"' \9~~)
SE\> ~v\'
f 8. fe~T\~\
CitY 0- ~ 089\'
Ph~nt\"''lg
Please review and conment on this proposed action in respect to your department's activities
and responsibil ities. Your reply wi 11 become part of the record for cons j derat ion at the
Planning Commission/City Council meeting scheduled for N/A .
Please address :he following concerns rn your comments, as appropriate and use the back
of this sheet or additional pages, as neces sa ry.
1. Identified problems (related to your specific responsibil ities).
2. Specific requirements, standards, or regu 1 at ions that should be addressed.
3. Other conments or conditions reconmended by your department to address
identified problems.
... -9
. This development appears to conform to the dev. requirements for the B-2 zone, but
not to the new "PO" (Professional Office) district. PO zone would require 20 ft. setbacks.
. The development plan seems to be maximizing the site's potential. Unable to determine
amount or quality of landscaping.
. Total 8800 sq. ft. of floor space requires 50 parking space s for "medical offices" and
5 spaces for "professional offices" , for a total of 55 spaces. Plan shows 52. This is
not a major problem and can probably be resolved by adjusting the parking design or by
adjusting the medical/professional balance of offices.
. Ash is a residential street and driveways should be oriented toward Cherry if possible.
Perhaps a one-way system entering from Cherry and exiting to Ash should be cons1.derea.
. Flat roof will help maintain residential COMPLETED BY: Hough ~~ J2
views (good) . Name: Ron W. -
../
. . (
Please this form by 9/23/88 Ti tIe: Mgr. Long-range Planning
return
Date: Sept. 26, 1988
6/88
t:I'equest f* Comment.
FI LE NO. SEPA fi1e-C~~rry &
DATE: 9/15/88
TO:
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Park 5
Pol ice/Traffic
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
FROM: City of Bremerton
Dept. of Community Development
Sanitary Sewer
School Oist.
StorlTPw-Jater
Water
STAFF CONTACT: Ed Davis,
478-5275
APPLICATIONS:
APPLICANT:
Thomas D. Emrich with Mithun
Partnus Architects for Dr.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
ENCLOSURES:
Environmental Checklist
Environmental Checklist, location map,
and proposed building plan.
R E C If: /'1 ni? I"'~
. ~,rm,7 d tl' (h~- ~
1.,::.:11
LOCATION:
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
Mgr. Current Planning
SEP 2619SS FILE
"-lOn
City oi 61 i;),,~til
Planning Dept.
#'5
SEP 15 1988
BREM[jno~1 " "'
! ~ L /1 y In"-I-n /') 1\" l""v
~1 Ui'ilvti
Please review and comment on this proposed action in respect to your department's activities
and responsibil ities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A .
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards. or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
COHPL.T~. BY: ~ /7
Name~oc. ~
/7- c~__ ~ ~~
Title~~s-~ .
Oate:cZ.. -5'"':>_ ~",-
IV"
r~
~"p
,,~
Please return this form by
9/23/88
6/88
'Requ
/
st for Comments
Fl LE NO. SEPA file-Cherry
,\.3 h
TO:
OA TE : 9 / 15 /88
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea 1 t h Dep t .
Long-range Planning
Neighborhood Assn.
Parks
Pol ice/Traffic
San i tary Sewer
Schoo 1 0 i st.
StorlTPto./ater
Water
FROM: City of Bremerton
Deot. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr..
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS: FILE
JZ I _
:r ~
APPL/ CANT:
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0po~ed ~uildipg plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) buildirrg of two levels
with parking garage space below.
~jij'''''~~\!f.r~
b'h :1,; '"", ,,~, v = "'"
SEP lG 1988
City of ),:'~mc:.~:':~ t::i~;i1~:'r~
. ~
l~
Please review and comment on this proposed action in respect to your department's activities
and responsibilities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, ,as necessary.
I. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
~@~~
SEP 231988
!?REMERTQfll
BUILDING DEPARTMENT
Please return this form by
g/23/88
COMPLETED SY:
Name: ~r ~N"-:::-.2f-: /
Title: ,~.C E
Date: C:!-?S-;p:~
6/88
R~uest f.. Comment.
FI LE NO. SEPA file-Cherry &
DATE: 9/15/88
TO:
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea I th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Pol ice/Traffic
Sanitary Sewer
School Oist.
Stormwater
Water
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS:
APPLICANT:
FILE ,qls
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0po~ed ~uilding plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential stn'.ctures and
construct an office (medical) building of two levels
with parking garage space below.
Please review and comment on this proposed action in respect to your department's activities
and responsibil ities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
SEP 2 ;.?, 1988
BUILDING DEPARTMENT
Name:
Please return this form by
g 23/88
Ti t 1 :
Date:
6/88
Request f. Commenta
<;.
F J LE NO. SEP A file-Cherry &
DATE: 9/15/88
TO:
Sui Iding
City At torney
Current Planning
Engineering
Fire
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Po 1 i ce/Tra ff i c
Sanitary Sewer
School. Dist.
Storll?wllater
Water
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
N.E. CQrner Cherry Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS:
FILE fils
APPLICANT:
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0posed" ~uildipg plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential strDctures and
construct an office (medjcal) building of two levels
with parking garage space below.
SEP 22 1983
., , '~''''';''''',,''I
i' "~'U o'"r BrOi!'"; ,f,:,1 .v'
~...fJ'G\; y " . ~:,,~~~
t;lanni'ng Depl.
Please review and comment on this proposed action in respect to your department's activities
and responsibil ities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
Please return this form by
9 23/88
Ti tIe:
Date: ~ ~ ~
BREMERTON KITSAP COUNTY HEALTH DEPT
109 AUSTIN DRIVE. BREMERTON. WA 98312
Name:
6/88
Request f* Comment.
FILE NO. SEPA file-Ch:rry &
u~..
DATE: 9/15/88
Tcr:
Sui Iding
City At torney
Current Planning
Eng i neer i ng
Fire
Hea I th Dept.
Long-range Planning
Neighborhood Assn.
Park 5
Po I i ce/Tra ff i c
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS: FILE #IS
San i ta ry Sewer
School Dist.
Stormwater
Water
FROM: City of Sremerton
Dept. of Community Development
APPLICANT:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
Environmental Checklist
LOCATION:
N.E. CQrner Cherry Ave. and
Ash Street,
ENCLOSURES:
Environmental Checklist, location map,
and pr0po~ed ~uildipg plan.
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
OO~@~aw~fID
SEP 1. G 1988
BREMERTON
BUILDING DEPARTMENT
PROPOSED PROJECT & ACTION:
Please review and conment on this proposed action in respect to your department's activities
and responsibil ities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A
Please address the following concerns rn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
I. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
-...
Please return this form by
9 23/88
Ti tIe:
Date:
6/88
Request f* Commen~
FILE NO.
SEPA file-Cherry &
,
OATE:
9/15/88
TO:
Bu i I ding
City Attorney
Current Planning
Eng i neer i ng
Fire
Hea I th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Pol ice/Traffic
STAFF CONTACT: Ed Davis, Mgr. Current Planning
San i tary Sewer
Schoo I 0 i st.
StorrT?Nater
Wa te r
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich. with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street.
478-5275
APPLICATIONS:
APPLICANT:
FILE #IS
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0posed ~uilding plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
Please review and comment on this proposed action in respect to your department's activities
and responsibilities. Your rep 1 y will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A .
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regu 1 a t ions that shoul~ be addressed. ,
3. Other comments or conditions recommended by your department to address
identified problems.
... ..
;1
COMPLETEOp)f;l/L 1/
Name: 1A/1A/1
Please return chis form by 9/23/88 Ti tie: V 'g, (}) /
Date: 'Q-/6-' c?J
6/88
Request f. Commen~
'"
FILE NO. SEPA file-?~~rry &
DATE: 9/15/88
TO:
Bu i 1 ding
City Attorney
Current Planning
Eng i nee I'" i ng
Fire
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Parks
Po I i ce/Tra ff i c
Sanitary Sewer
Schoo I 0 i 5 to
StormNater
Water
FROM: City of Bremel"'ton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
N.E. corner Cher,y Ave. and
Ash Street.
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS:
APPLICANT:
FILE #15
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0posed ~uildipg plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
Please I"'eview and comnent on this proposed action in respect to your department's activities
and responsibil ities. Your reply will become pal"'t of the record ror consideration at the
Planning Commission/City Council meeting scheduled ror N/A
Please address the following concerns tn your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific I"'equil"'ements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
COMPLETED BY:
Name:
Please return this form by
9 23/88
Ti tIe:
Date:
6/88
- ,
1..
FJ LE NO. SEPA file-~herry &
DATE: 9/15/88
Request f. Comment.
TO:
Bu i I d i n9
City At torney
Current Planning
Engineering
Fi re
Hea 1 th Dept.
Long-range Planning
Neighborhood Assn.
Par-ks
Pol ice/Traffic
San i tary Sewer
Schoo I 0 i st.
S to rmNa te r
Water
FROM: City of Bremerton
Dept. of Community Development
LOCATION:
Thomas D. Emrich with Mithun
Partnus Ar~hitects for Dr.
Gordon Cromwell
N.E. corner Cherry Ave. and
Ash Street,
STAFF CONTACT: Ed Davis, Mgr. Current Planning
478-5275
APPLICATIONS: FILE #'s
APPLICANT:
Environmental Checklist
ENCLOSURES:
Environmental Checklist, location map,
and pr0posed ~uildipg plan.
PROPOSED PROJECT & ACTION:
To remove three existing residential structures and
construct an office (medical) building of two levels
with parking garage space below.
\) \9,\j&
('t:~ ~\ ....0<'
~ \- . f\,0' ~
(. 'e'\e. 0\.
C\'i.'! 0\ . ~(\ oe"
p\eJ"\n\. ~
Please review and comment on this proposed action in respect to your department's activities
and responsibi I ities. Your reply will become part of the record for consideration at the
Planning Commission/City Council meeting scheduled for N/A
Please address the following concerns to your comments, as appropriate and use the back
of this sheet or additional pages, as necessary.
1. Identified problems (related to your specific responsibilities).
2. Specific requirements, standards, or regulations that should be addressed.
3. Other comments or conditions recommended by your department to address
identified problems.
Please r-eturn this for-m by
9 23/88
COMPLETED BY:
Name: ~
Title:-fZ:;: ~~
Date: -/s-FF
6/88
! ,..
. .
Inter-Office Communication
Date e:-J~~ Cityof Bremert01l,
To~~
From -eo !J,4.'\rLS
Subject ~l.4N'{. ~ .. ~ ~LJ;{ .~
_~!l~ ~ ~~ ~bJ ~qi
~
CDSa'.4- ~MEm'A-L~.s-r- z;;j(;tfE. ;r~ ~.,:e ~ fAriO -po
~~ L.vtv-i -c#te ~..
@ A.V'eW LeG:M.. oe::>c{U()~ ~~ -co ~ ~L..B' ~ 1C4-r~M
~ c1 (2dJ~ '(;.fC &WE em ~ ~/. I ~ 8)qBfJ) r~
(2eo€l')~ ~ '3 urS )/J'TO O'WE Lerr Jf '"t').€ ~~~ #- dF-
~ ~~ ~ ~teI-J ~.B1=~ IN Ii1/P.. -PrL..ff3.
~ A ~&cJ ~ft+tr C,4IJ ~r~ ~ T~
~~ ~ C-~ ee~N ~ ;;e-PA- f~s ~JLfnt€
~ 4-f<-t:rOHJ"G- Please reply on reverse
is -rMk1a- ~ __ ,~..
. - . ---'" ~m____. _____.__ ---______4____4 ".___._. .
"!
No. 10-55
AFFIDAVIT OF PUBLICATION
Notice of Determination of Nonsignificance
STATE OF WASHINGTON
COUNTY OF KITSAP ss
I, Andrea Brown, being first duly sworn on oath, deposes and says: That she is
now, and at all times embraced in the publication herein mentioned was the prin-
cipal clerk of the printers and publishers of THE SUN; that said newspaper has
been approved as a le9al newspaper by order of the Superior Court of the County
of Kitsap, in which County it is published and is now Bnd has been for more than
six months prior to the date of the publication hereinafter referred to, pub-
lished in the English language contihu~lly as a daily newspaper in Bremerton,
Kitsap County, Washin9ton, and is now and during all of said time, was printed
in an office maintained in the aforesaid place of publication of said newspaper;
that the following is a true text of a le9al advertisement as it was published
in regular issues (and not in supplement form) of said newspaper on the follow-
ing dates, to wit: October 13, 1988 and that such news~aper was re9ularly dis-
tributed to its subscribers durins all of said period. That the full amount of
the fee charsed for the foresoing publication is the sum of $28.06 which amount
has not been paid in full.
No tar'y Pub 1 i c
__._G.n~_~~,_.._
~=;ubscr'i~fed .:tnd s
(Signature of Principal Clerk)
this day of October 13, 1988.
...-
~:~ i d ~-~~------
01: Wa s hi n 9 ton,
DETERMINATION
OF NONSIGNIFICANCE
Description of Proposal: Demolition of three residential
structures, construct 8800 square foot medical office build-
ins; construct parkins for 53 automobiles.
Proponent: Gordon Cromwell, M.D.
Location of proposal, includins street address, if any: 2603
Ash St., 2602 and 2610 Cherry Avenue, Bremerton, WA 98310
Lead Agency: City of Bremerton.
The lead agency for this proposal has determined that it
does not have a probable significant adverse impact on the
environment. An environmental impact statement (EIS) is not
re~uired under RCW 43.21C.030(2) (c). This decision was made
after review of a completed environmental checklist and
other information on file with the lead asencY. This infor-
mation is available to the public on re9uest.
This DNS is issued under 197-11-340(2); the lead asency will
not act on this proposal for 15 days from the date below.
Comments must be submitted by October 25, 1988.
Responsible Official:
DONALD L. PRATT
Position/Title: Director, of
Community Development
Phone: (206) 478-5275
Address: 817 Pacific Ave.,
Bremerton, WA 98310
Date: October 9, 1988
Signature: DONALD L. PRATT
You may appeal this determination to: Bremerton City Coun-
cil.
You should be prepared to make specific factual objections.
Contact Ed Davis to read or ask about the procedures for
SEPA appeals.
Octa 1~7 1988 10-55
, . (
.~..
. C, i t..y/~ qf B r C ill C r to 11,
l39 FOURTH STREET
BREM ERTON. WASHINGTON 98310
(::06) ~78 - 5::5::
'.,
."
..'''(...
MA YOR GENE LOBE
E~RONMENTAL CHECKLIST
00 ~ @ lli G W ill ill]
:-: ' 1 ,'" 1 r:' "\q (J ,'")
i'\l., tJ L ,J 'V U,)
SEPA RULES
BREMERTOfl
BUILDING DEPARTMBrf
PURPOSE OF CHECKLIST:
The State Environmental Policy Act (SEPA), chapter 43.21C
RCW, requires all governmental agencies to. consider the
environmental impacts of a proposal before making decisions. An
environmental impact statement (EIS) must be prepared for all
proposals with probable significant adverse impacts on the
quality of the environment. The purpose of this checklist is to
provide information to help you and the agency identify impacts
from your proposal (and to reduce or avoid impacts from the
proposal, if it can be done) and to help the agency decide
whether an EIS is required.
INSTRUCTIONS FOR APPLICANTS:
This environmental checklist asks you to describe some basic
information about your proposal. Governmental agencies use this
checklist to determine whether the environmental impacts of your
proposal are significant, requiring preparation of an EIS.
Answer the questions briefly, with the most precise information
known, or give the best description you can.
You must answer each question accurately and carefully, to
the best of your knowledge. In most cases, you should be able to
answer the questions from your own observations or project plans
without the need to hire experts. If you really do not know the
answer or if a question does not apply to your proposal, wr i te
"do not know" or "does not apply". Complete answers to the
questions now may avoid unnecessary delays later.
Some questions ask
zoning, shoreline, and
questions if you can.
agencies can assist you.
about governmental regulations, such as
landmark designations. Answer these
If you have problems, the governmental
-1-
Gateway (0 (he Olympics and Home of rhe Pilger Sound Naval Shipyard
.
.
~
~
The checklist questions apply to all parts of your proposal,
even if you plan to do them over a period of time or on different
parcels of land. Attach any addi tional information that will
help descr ibe your proposal or its environmental effects. The
agency to which you ~ubmit this checklist may ask you to explain
your answers or provide additional information reasonably related
to determining if there may be significant adverse impact.
USE OF CHECKLIST FOR NONPROJECT PROPOSAL:
Complete this checklist for nonproject proposals, even
though questions may be answered "does not apply." In addition,
complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (Part D).
For nonproject actions, the references in the checklist to
the words "project", "applicant" and "property or site" should be
read as "proposal", "propo se r," and "affected geographic area,"
respectively.
A. BACKGROUND
1.
Name of proposed project, if applicable: la I~
CIIE/<.R)/ Af../D ASH /Vl,EC::{G4L- ,8.J/L-I:;:II"IC7'
2.
Name of applicant:
e3rD!<ExN C,R.OMW,EL-L /;0/1, D ,
3.
Address and phone number of applicant and contact person:
'::!.Go I CHt=!</< Y /::3R.F/VteRWA.// WA ~8'!3/o Ffi: +71, 2360
CONTI'tCT ~N; rlk:J/'VIAs D. EMRICH M/71+UN FA:P7NJ:;~
~ //2/1-1 Nt E. 8E~LE:::V'Ue WA, :31350<:>1-_
FIf.' +51-.' 33# ..-
Date checklist prepared:
8/15/88
4.
5.
Agency requesting checklist:
G/7Y oj==- EREM.€f<...ToN / WASI-/ JI'/G1VN
6.
Proposed timing
applicable):
caJSTRuG-770N
c.oA1Pf-E7TON "
or schedule (including
phasing,
if
I
sr-A/<.. T / f=A LL e>~
sPJ<.-ING / SUMJrfE1Z I t?<J
-2-
,.
...
7. Do you have any plans for future additions, expansion, or
further activity related to or connected with this
proposal? If yes, explain.
No
8. List any environmental information you know about that
has been prepared, or will be prepared, directly related
to this proposal.
ro NO r I<NoW
9. Do. you know whether applications are pending for
governmental . approvals of other proposals directly
affecting the property covered by your proposal? If yes,
explain. ~t1 $"
lXJ N6r /<.NOW ~4
.~'kfr.
~
10. List any government approvals or permits that will
needed for your proposal, if known.
C/ry OF 8fi.E/v1e;<1tN 8U/LpiA/G PE/</VI/'i
11. Give brief, complete description of your proposal,
including the proposed uses and the size of the project
and site. There are several questions later in this
checklist that ask you to describe certain aspects of
your proposal. You do not need to repeat those answers
on this page. (Lead agencies may modify this form to
-3-
. . .. j
inclu~e . addi tional specific information on project
descr ~pt~on.)
FEMo\JPL. ,AN.t?/Of'!-~LATIOJ.J ~~'~\STI.s& ~t=:S\t:eNCeS; ~VA'll~
~t-JG ~ CDt-JSl\<=.\J0~ a=-. . ot==::F\c~ .{3llIl-bINb ~ A~x. 7SDo SF'
e1f'J c;Ne ~ia!l==\- O:J~ A ~~tJb.~ ~ R:Jf<.. I 0 ~
fl-VS ,MA- PI l'l1SHeP' sp~ e>p. Af='fZO)llMA'TEL-Y 1'300 st=-. JJ.+E; U~
l...~-l:L 0PFtCE" s.px:e. ~5 . flA~BP """fD I3f3 ~ClOf"et:> AS Mt=tACAL
CFFIce V:;;S. -rt\E= \...WE'1?- LeleL Sf1\CE: \SFtA-NNst::> -ro ee WELDPEP
A'S PJ<.OR?SSL~ Q9==tG& ~. -rf..\G; eurLDt~ J5 c(=. MoPlF\Et>
-mAN~ ~ . t..cCA-reP t N 11-1\3 SW C0f<tJE\'<- ~ Il-\-e &l-ce
WI/-H SJ~FKe:. ~NG ~ n-\e ~fG11-\ $ ~~ ft:(<.IlDI'J 0F
11-\~ S\""fE' C'*'""'"-e~c,.14 91 _"
. ~~ 3 JllJ -
12. ~ocat~on of the proposal. Give suff~c~enP~imrma ~on ~
tor a person, to ux:derst':lnd the precise location of your~'
prop~sed proJec~, ~nclud~ng a street address, if any, and
sect~on, townsh~p, and range, if known. If a proposal
would o~cur over a. range of area, prov ide the range or
b~undar~es of ~h~ ~~te(s). Provide a legal description,
s~ te plan, v.~c~n~ ty map, and topographic map, if
reas~nably ava~lable. While you should submit any plans
requ~red by the. agency, you are not required to duplicate
maps. or. deta~led plans submitted with any permi t
appl~cat~ons related to this checklist.
SITE (S COMFf<./Ze:p 8/= 71If<E'/:3 /3'xfSTIlVG iLJfs
/..OCA1~P AT ~~.3 Af./O ::L0/~ASflSj: ANt?
~G:72.- ANT? .2 6/0 c)-II3J<I<Y' AV~. :
UJ-j .2 I ,. ff-/GGEN At;)r::>inoN /<l=PLA1) ACLOI<D/1J0 7D FLAt
/I-IEl<eOP p.EGD!<PeD IN VOL.. cl t:JJ=- Purrs PA~e 49 !<EC@ft.ps
OF- f:::..I-,sA.r ceuNTY/ wA-. I
Lfft 'I 13l.LJCK6/ AND Lot 2./ I3LOCI<. ~ / 71Hf<.P.
APPJTION -ro ~J-It3f:.ID/\N pARI<.; Ao:.-oRJ::INt;;,. tv
~ FLIt, T~F I f<CCO~ iN VOLu/V1e B
CJF= PLA-rs I' pA<de 64 -rH/<t)(JtOH 07/ j<ECL:)Jq;;>s
0;:::- j</TSAF couN7Y/ WA-
-4-
B. ENVIRONMENTAL ELEMENTS
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
1. EARTH
a. General description of the site (circle one):
Flat, rOll~q, hillYR steep slopes,
mountainous,. other SLoFfNG. .j
~
b. What is the steepest slope on the site
(approximate percent slope)?
v
~x;IMA1ELY . J0% ~s.s A pO\<.I\e>K)
CJF 'Tl-\1::::: SI'TE
c.
What general types of soils are found on the
site (for example, clay, sand, gravel, peat,
muck)? If you know the classification of
agricultural soils, specify them and note any
prime farmland.
GENE~~ ~!.Jtl~ OF SA-AID AND
CLAY L . ~qJ
d.
Are there surface indications or history of
unstable soils in the immediate vicinity? If
so, describe.
,be:; NOT M1CJ~
e.
Describe the purpose, type and approximate
quantities of any filling or grading proposed. .
Indicate source of fill. ~
~7E. ~LL /3E ~tgj; ~ ~O~1E Ca.j8~17Of\j />Jl I J
f1.t 1Mb La tI '/Lli. 6., Ult G MAY EE r.u;ff6tJVt'AU
l?i=&u/ReD Ar La:::A-Tfof,/S OF EXIST: 3TR.fX)WJ<..ES A .A-l: J
7b t5e ~t.:1VEP ~ .1} 'f
Could ero.sion occur as a result of clearing, !v/~1 to rAi\
construct~on, or use? If so, generally /;' "&7V
describe. J
'2i:.ING fffrLlnON ~~st: S?fi:UC~ nt
S7RUG 'ON a= Nt. "AclLI eS,. s
'WjI.-L 8/E &XR:JSED 7b TI-I-t= fELEM an:."J SlICI-I
--,HAT ,E!<oS/ON COULD CX:Xu/<.... IF /<Alf.l PND
WIND ACTfO/V W,EJ<.C: NOT Acceu~/=Gf<......
,8y sOMe MatNS.
f.
-5-
~
· g. About what percent of the site will be covered
with impervious surfaces
construction (for example,
buildings)?
Aff/<.o XI,1/1 A---J-E:f:LY 7 S ~ - 7 b ft
after project
asphal tor
h. Proposed measures to reduce or control 10-
erosion, or other impacts to the earth, if "~ / I
any: ~
~MPoRA/<.Y E~SI(!JJV caJ1'f<tJLMI:1t-3Ji?:ES Af"..E ~ ~
{!rJl:i!!!i5~~~~ ~lloA/. tUU/9f~
2 . AIR
a. What types of emissions to the air would
result from the proposal (i.e., dust,
automobile , odor s, industr ial wood smoke)
during construction and when the project is
completed? If any, generally describe and
give approximate quantities if known. ~
;;:='XH/WS'j E/J'f/SS/oAlS #~f./1 ~D/NG !aJ.U/PM
AND ~ VElIICLES L&EP fA! OJNJUND110A/ WITf/-
ra/S71<WnoN
b. Are there any off-site sources of emissions or
odor that may affect your proposal? If so,
generally describe.
t:::n NO T I<NOII\/
c. Proposed measure s to reduce or control
emissions or other impacts to air, if any:
~NE Pft..OA:JSE:3:J:;J ~/TlcN /0 THOSt=
/MPO~ fjf" \/. feLES AND EQUIPMeJJt
By SlATE: a 'lVA-SHIN67VN.
.
3 . WATER
~
a. Surface:
1) Is there any surface water body on or in
the immediate vicinity of the site
(including year-round and seasonal
streams, saltwater, lakes, ponds,
wetlands)? If yes, describe type and
provide names. If appropriate, state what
stream or river it flows into.
No
-6-
2) Will the project require any work over,
in, or adjacent to (within 200 feet) the
described water? If yes, please describe
and attach a~ailable plans.
NQ
3) Estimate the amount of fill and dredge
material that would be placed in or
removed from surface water or wetlands and
indicate the area of the si te that would
be af fected . Indicate the source of fi 11
material.
poes NOI A-ffLY
4) Will the proposal require surface water
withdrawals or diversions? Give general
description, purpose, and approximate
quantities if known.
$(/ JZ..FAa::. WA 7f;:::p... WILL..- et;;= CO~1'EO
iN A S7VRM Wfi 7EI<.. R/=7l=J..moN ~~
ANb Tl-l-eM b/s~ lA/TO Cl7Y
smRlv1 WA~ CO~S.
5) Does the proposal lie within a lOa-year
floodplain? If so, note location on the
site plan.
Alo
6) Does the proposal involve any discharges
of waste materials to surface waters? If
so, descr ibe the type of waste and
anticipated volume of discharge.
lis:2
-7-
~/
titll~t
~dd'-
Wid ~r
~
~~
~
b. Ground:
1)
Will ground water be withdrawn, or
water be discharged to ground water?
general de?cription, purpose,
approximate quantities if known.
will
Give
and
~
2) Describe waste material that will be
discharged into the ground from septic
tanks or other sources, if any (for
example: Domestic sewage; industrial,
containing the following chemicals. . .;
agricultural; etc.). Describe the general
size of the system, the number of such
systems, the number of houses to be served
(if applicable), or the number of animals
or humans the system (s) are expected to
serve.
~E5 NOT APPLY
c. Water Runoff (including storm water):
1) Descr ibe the source of run of f <including
storm water) and method of collection and
disposal, if any (include quantities, if
known). Where will this water flow? Will
this water flow into other waters? If so,
describe.
STbRNI INA7l::f?-. WIt..L EE" a:LL.Et;.;/t:::::I.J ;::paM /<.coF
AND PAR/</NG tor SV~CEE JO SToJ<e:l;> /).} A SJV~
WA~ 'J:::>e7E/.JTIoA/ SYSTEM' E1 M~ INTO
erry ~ IN ACUJ/2..PIWCBWITH A-~
PLANS .
2) Could waste materials enter ground or
surface waters? If so, generally
descr ibe.
NfJT -Ai.T-tFC/.l9\1E'f:::>
d. Proposed measures to reduce or control
surface, ground, and runoff water impacts, if
any:
S'/7E <f /MffoVE/III~ WILL l3E ~ t
O!J{\J5.7f?lICTET::> 70 ^'Tf<d- M/\/. of:1=.. 4'
COL1.EcT IN APP!<eVED SYs:--JCM
-8-
~I/~
"T~b-
!
~
f1J/'/ Ii
4 . PLANTS
a. Check or circle types of vegetation found
on the site:
~ deciduous tree:
other
~ evergreen tree: fir, cedar, pine, other
y. shrubs
-L grass
pasture
crop or grain
wet soil plants: cattail, buttercup,
bullrush, skunk cabbage, other
water plants: water lily, eelgrass,
milfoil, other
other types of vegetation
alder,
maple,
aspen,
b. What kind and amount of vegetation will be
removed or altered?
MOST Or 71IE VEf::e7i'r77DN ~y kJUND '
f!JA/7tlE S'/TE W/U 81: ;=<.E.MtJVeT:> D/JI</NG
{.)eMOU7TON ANp {fJNS'Tr<UG770N
c. List threatened or endangered species
known to be on or near the site.
NOAlI2 KNOWN /D f:?X/ST
d. Proposed landscaping, use of native
plants, or other measures to preserve or
enhance vegetation on the site, if any:
~~:~~~~~~~
:-ftftlfdr;;fL~~~rrG B~fg~ ~kTCJIJ
LItfi/I::JSCAFlffi j28;(U/ t<EME1VT.S f1!JRJJEVV CbNSfRJJ671CJIJ.
5. ANIMALS
/
a. Circle any birds and animals which have
been observed on or near the site or are
known to be on or near the site:
birds: hawk, heron,
other:
mammals:, aee r I bea r , elk,
lother: S.MAI / Rot:elVlSj
eagle, /sOnqbirdS ,I
,
beaver,
-9-
fish: bass, salm~n, trout, herring~
shellf ish ~70the r: /VOT /lrPLfcA~ I
b. List any threatened or endangered species
known to be on or near the site.
NONE /<.Nevv'/V .
c. Is the site part of a migration route? If
so, explain.
Po NOr /<f\IOVV.
,
d. Proposed measures to preserve or enhance
wildlife, if any:
NtJ}/E PAofb5ED EEYcrYO INSlALLAlltJN CJF
'.LANDSCAPING MEE71N(;;, ~u/REiV/eNlS
e>F CITy (!I')J==- BI<J2/v1~1ON.
6 . ENERGY AND NATURAL RESOURCES
a. What kinds of energy (electr ic, natural
gas, oil, wood stove, solar) will be used
to meet the completed project's energy
needs? Describe whether it will be used
for heating, manufacturing, etc.
e'-'=C77</CAL- EtVEPGY WILL bE USED
Pol<. LlGH71N~ J IlEA77NG A-ND A-//<...
'coN t::>lnoN; I\jG '
b. Would your project affect the potential
use of solar energy by adjacent
properties? If so, generally describe.
!SLQ
c. What kinds of energy conservation features
are included in the plans of this
proposal? List other proposed measures to
reduce or control energy impacts, if any:
%JfS~~lz~Efjfi~iff:!f~
Rf3qUfR13/1leJ.1TS ~J/= srA7E: /If/ILL PE- Mer-
Of<.- ex~.
7 . ENVIRONMENTAL HEALTH
a.
Are there any environmental
hazards, including exposure to
heal th
toxic
-10-
chemicals, risk of fire and explosion,
spill, or hazardous waste, that could
occur as a result of this proposal? If
so, describe.
Ni?NE ANilcl PA1B':O
1) Describe special emergency services
that might be required.
NO,R.MAL rtJUCE AN/;? J=/R.E
Pj<.D""TC:=CTlt'JN.
2) Proposed measures to reduce or control
environmental health hazards, if any:
No sf"E:L/AL- MeASUReS ~rost=D
b. Noise
1) What types of noise exist in the area
which may affect your project (for
example: traffic, equipment operation,
other)?
NO~AL.-- 71<A-FFl6 NO/sE
2) What types and levels of noise would be
created by or associated with the
project on a short-term or a long-term
basis (for example: traffic,
construction, operation, other)?
Indicate what hours noise would come
from the site.
$IieJ/<..T 7"C7<M NOISE GElV~ /3Y
.EX CAVA710N ~ Co/JS7T<.UCTloAJ ~UIPMe1JT
rf AcT/vinES - l..olJ6 ~ NOISe-
~~7E:D 13)/ 71<AFFlC if MECHAIJ/CM_
ld::x..;;ulF!\.1e!ST ASSOCIA1C.l:> WITH rp.o..Jt=r:.7j.
3) Proposed measures to reduce or control
noise impacts, if an~:
NO 1eX71<AOAD/NA~ Y Mt=;+SURI=5::.
ffloPos~
,
~
-11-
"
8 . LAND AND SHORELINE USE
a. What is the current use of the site and
adjacent properties?
/<.L=S/PE:NT! Ai-- USE3
, ,
b. Has the site been used for agriculture? If
so, describe.
Do NOr !<NoW'
c. Describe any structures on the site.
/~beNce::s e/ ANClLLAI<-Y S7?....vG7VRBS
d. Will any structures be demoli shed? If so,
what?
ALL EX/ST1N1G S77<.UCTUr?1=s WILL eE:-
~MOVeo /AN/7 /o~ DEMoUS!-IED
. I' "
e. What is the current zoning classification of
the si te?
ff,-2 W/71-f CONCOMMI77.+N!
,~ e:tJt:
f. What is the current comprehensive plan
designation of the site?
Pf<.DFESS'lof.lA-L oI=FlCE
g. If applicable, what is the cur rent shoreline
master program designation of the site?
Poes NOT A-FFLY
h.
Has any part of the site been
nenvironmentally sensitiven
specify.
Do NOT /<NoW
classified as an
ar e a ? I f so ,
i. Approximately how many people would reside or
work in the completed project?
~:~'t1;!lt~~(f~f?~~~ WILL
-12-
~~
~trtteItJ
IffflIt/f
I Jk:'t..//PGt) @
jJuJ~rMIT
j. Approximately. how many people would the
completed project displace?
APP/<O)(/NIA1t~Y 7J1f<.E?E:.. /le::uSEHoLiilS'
.
k. Proposed measures to avoid
displacement impacts, if any:
or
reduce
NOA/t:= A-N7ICIPA-7C=:l:J -/3eYo/VO NORMAL
. }../()71CE /l:) VAcA7e"
1. Proposed measures to ensure the proposal is
compatible with existing and projected land
uses and plans, if any:
,8UL-/<. RBQUIReMeiJ"1s; I SC7.l3A-c/GS', LAIJD~N1N6/
.SGReEN/fJG ~ CITY 'O!=-/3RENlEJ<-WN
Q?Dcs . WILL .t3E M~
/
9. HOUSING
a.
Approximately how many units would
provided, if any? Indicate whether
middle, or low-income housing.
be
high,
t::oes" - >>Or - A-rrLY.
b. Approximately how many units, if any, would be
eliminated. Indicate whether high, middle, or
low-income housing.
~ UNITS- - /NCOME J EVt=t..-S )Jar !<NOW/J
c. Proposed measures to reduce or control housing
impacts, if any:
NoNe FPo:PoS/:;f::>
10 . AESTHETI CS
a. What is the tallest height of any proposed
structures(s), not including antennas; what is
the principal exterior building material{s)
proposed?
2/ fBE-r~ HEIG:rtA-r iA'-LES\~.
Pf<..\"-\C.H=?\.L l3}(~ N\A.iE:p4AL t t;;:)(~to~
INSUI-A-not-..J FltJ\s.H SyS-rt=M, 1.6. ., D~YV'T"
-13-
b. What views in the immediate vicinity would be
altered or obstructed?
\/\'f2.N5 ~M R.\:=S\~ N ~E: 0\=- p~i::crt WI~
Be M-~ ~/o\<.. ~ewAAT Of3S~-reo
BY t..h:='\i\1 aJt-S~(9tJ
c. Proposed measures to reduce or control
aesthetic impacts, if any:
~~~ ~~o;rG~~~~~
'~OD.JLAtI~ .4 COLo~~ ~ ~
lv'\AN S~-ro . - ..
11. LIGHT AND GLARE
a. What type of light or glare will the proposal
produce? What time of day would it mainly
occur?
~~l~~~:l:~~~
S6.FETY If ~Ti ~~ "'" Sne <fU~,
b. Could light or glare from the finished project
be a safety hazard or interfere with views?
~~-r STM-J~ 'RJJ2- ~~ UJT flllJMltJkT\otJ
MAy fFoPJCe. A- MlNo~ o\3STl<.J\.fOlla..J <t1=- \/\r?3A/S
"Ft<oM LJR-\'\ LL AbJ~ ~\ t:;::b-..JGE::.S. .
c. What existing off-site sources of light or
glare may affect your proposal?
.co NO! Kt-J0W
d. Proposed measures to reduce or control light
and glare impacts, if any:
Lo\I'J ANCd E L-VMI ~ I<-E 0Jj. 0 FF. t:::~SI6~
spt::::C\ P1c:::::A-rIot--S WI L.L.- ~ \JT( U z..et::J
12. RECREATION
a. What designated and informal recreational
opportunities are in the immediate vicinity?
tbE:S NO; Af=PI-Y'
b. Would the proposed project displace any
existing recreational uses? If 50, describe.
=:=HE>
-14-
~)
v
~
~
~
!
I
\
1M" - ~
~- >ttE (}(fIG'
L..l-46C"'t'.$ 6€
~t..-rU1?
c. Proposed measures to reduce or control impacts
on recreation, including recreation
opportunities to be provided by the project or
applicant, if any:
.t::oes NOT Af='PL:y
13. HISTORIC AND CULTURAL PRESERVATION
a. Are there any places or objects listed on, or
proposed for, national, state, or local
. preservation registers known to be on or next
to the site? If so, generally describe.
EO t-JOT t<N=NV
b. Generally describe any landmarks or evidence
of historic, archaeological, scientific, or
cultural importance known to be on or next to
the si te .
=.NONt:; I<J.J()'W"TO ~\ Sf
c. Proposed measures to
impacts, if any:
reduce or
control
tz>es NO) AFFLY
14. TRANSPORTATION
a. Identify public streets and highways serving
the site, and describe proposed access to the
exi sting st reet system. Show on site plans,
if any.
~ :;~Jf~.~~ ~/D~~ ~~
~G~Y~AStt. l~ To L.It-J~ \=3.-CG. P~~~M
. ~ Wl1t\ ~ ~ To AS\-\-.
b. Is site currently served by public transit?
If not, what is the approximate distance to
the nearest transit stop?
_..t2!:2 ~T K.l\tOVv'
c. How many parking spaces would the completed
project have? How many would the project
eliminate?
53 N~\j\/ 'P~\~6 SPACES fL\] S
~\N0 t=o~ 6IGYG\ \=S d; MoTOF<GYCl..EE:;.
\='F.&)8::Tr I~IU- ~L1M,tJkiE AR=f?ox. B PE=f2.. \'\CUSl~G lJIJIT
-15-
JhJ ~_-~~
.'
.'
d. Will the proposal require any new roads or
streets, or improvements to existing roads or
streets, not including driveways? If so,
generally describe (indicate whether public or
private) .
-.f.lO\\H:~- A~G\ ~~
e. Will the project use (or occur in the
immediate vicinity of) water, rail, or air
transportation? If so, generally describe.
blQ
f. How many vehicular trips per day would be
generated by the completed project? If known,
indicate when peak volumes would occur.
~X. /30 '"ff!:./,FS ~,CY\y MA'NMU/VI. ~
FAlJ<.LY EVeNLY 7lfI<.C)UlGHoUT 7'l--It= t:::)4y.
,
g. Proposed measure s to reduce or control
transportation impacts, if any:
No SPECIAL MEAsUP-t=:s A-Ar77C/?A fr::;p ,
15. PUBLIC SERVICES
a. Would the project result in an increased need
for public se rvice s (for example: fire
protection, police protection, health care,
schools, other)? If so, generally describe. .
PRE ~7't::::GI/ON <t ,POLICE. P/<O~T101V WILL
.fu ,REl5JUIRt::r> ,By R<oJeGj.
b. Proposed measures to reduce or control direct
impacts on public services, if any.
IT /S ANnel fitTED Tl-fAr /=U1!3LIC/ :st::f<..V!CES NEEDS
lA/ILL--- NCJT .5/G/V/RClt/ViLY E?)(CEf::3t;? uu~ Na=r:::&
f"G<- ~~.
16. OTILITIES
a. Circle
-16-
5u-~
Jdft.~
Irr./t'I./
17 . SIGNATURE
The above answers are true and complete to the
best of my knowl,edge. I understand that the
lead agency is relying on them to make its
decision. '7JIbI'v1AS p. t=/vt !'-~ / AG<=Nr.
Signature: ~J() ~.- ----'
Date Submitted: ~/'l~~~>
-17-
.
D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS
(do not use this sheet for project actions)
Because these questions are very general, it
may be helpful to read them in conjunction
with the list of the elements of the
environment.
When answer ing these questions, be aware of
the extent the proposal, or the types of
activities likely to result from the proposal,
would affect the i tern at a grea ter intensity
or at a faster rate than if the proposal were
not implemented. Respond briefly and in
general terms.
1. How would the proposal be likely to increase
discharge to water; emissions to air,
production, storage, or release of toxic or
hazardous substances; or production of noise?
Proposed measures to avoid or reduce such
increases are:
2. How would the proposal be likely to af fect
plants, animals, fish or marine life?
-18-
EVALUATION FOR
AGENCY USE ONLY
.'
Proposed measures to protect or conserve
plants, animals, fish or marine life are:
3. How would the proposal be likely to deplete
energy or natural resources?
Proposed measures to protect or conserve
energy and natural resources are:
4. How would the proposal be likely to use or
affect environmentally sensitive areas or
areas designated (or eligible or under study)
for governmental protection; such as parks,
wilderness, wild and scenic rivers, threatened
or endangered species habitat, historic or
cultural sites, wetlands, floodplains, or
prime farmlands?
-19-
., .
Proposed measures to protect such resources or
to avoid or reduce impacts are:
5. How would the proposal be likely to affect
land and shoreline use, including whether it
would allow or encourage land or shoreline
uses incompatible with existing plans?
Proposed measures to avoid or reduce shoreline
and land use impacts are:
6. How would the proposal be likely to increase
demands on transportation or public services
and utilities?
Proposed measures to reduce or respond to such
demand(s) are:
-20-
.
':,. .
.'
7. Identify, if possible, whether the proposal
may conflict with local, state or federal laws
or requirements for the protection of the
environment.
6/88
-21-
..
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MITHUN
PA'RTN.E-RS
6, Octobe+, 1988
Edward F~ Davis, ~AICP .
Manager -current,'Planni~g'
81,7 Pacific Avenue' ".. .
Bremerton,. .WA' 98310 .
.)
'RE:
. .permit Appliqatio~ - Cherry and Ash'.
N:ithun Partne~s Job No. 86246.00'
" '
J
Dear' Ed:'
. ,
. ' _. / I / " L. - .", _ . "'.' _ _ _' ( .
In response to your request'for add;i.tional explanations for
several ite~s' on the' Environme,ntal 'Checkl'ist for the above '.' )
;refere,nced.: proj ect, ,~:s~bmi.t . the' fc;>llowing: ",'
Re.:llo1oeoandBolof. and Bol.~ . / ~ 5' ...
site. grading and excava,tion will' resultina net surplp.s of .
materi,alto, be:' removed, reducing the. a~ount ,of traffic to and
'f:rpm th~ site. 'Because the site i$' ~elatively: small'/i.t is , \'
anticipated that haul trucks' will be'loadeq close' to th~ ' .
publ.ic street; s6 as " to- reduc.e the amouI)t, o'f . dirt from,. the
"s~te tracked onto the ~streets during'thj,s period.H,ay ;bales.
'will be available during. grading and.site'construction(3-4
mopths):toinstall a.s.a silt bar~ier,- if the 'weather is such
that erosion. causesrun.;..6ff .onto the public \. st.+,eets. " .
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"
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'A storm detention system wi th an, oil and water, aspirator wil.l
b~~ installeCl. ,in accordance': with the plans' submitted with
building permit' application. and a.s, approved byt,he Engineering-,
Department of the City ,of Bremerton.' '
',/ .
. ,.Re: 14. f.
. \,
, ... ~ ~
, 'Thenu~ber-of '130 -vehicular. trips was calc::ulated in .
. .consultation'with ,the phy~icians users o~the proposed
faci~lity,.. .. It 'represents the anticipated ,trips generated by .
the physicians,> staff and patients'. It -should be .noted, . '.
however; that transpor:tatfon engIneering guidelines If6r .
:'fa.cili tie's" stIch ?-s 'the' one proposed .forecast approximately
4QO-450 trips pe~~ay.c ~ . . .
\, ,"
, "
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.A RC H ITEC Tl! RE
P LAN NI N G&
'INTERIOR'DESIGN
2000 1 12TH AVE NE-
BEL.LEVUE ~~98004
;\(206)4543344
FAX(206)64-64776
, '
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Edward . F ~.
(; October
Page. 2
,~
Davis, AICP
1988
., ;
.-Ihope
responses
that thisaddit:iona.l information
. . , r' ~ .
proyided.bn the Environmental
will ,help-c~arify the
Checkl.ist. .
. ,
. Very .trulyy,ours,
:'1
Thomas:]).
President
, "
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P(~'rm:l t,: ?'-lumbey'
Py'oJect Ciroup
2600 CHERRY AVENUE
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8 REM E R TON
B U I L. DIN G
D E PAR T MEN T
PER M I T
A P P L. I CAT ION
-----------------.---------.--------------------------------.-------------.-
-...-.---------------------.---------------------------.----.---------------..---.--
Application Date
Issue Date
Assl'?ssor Acct ~
Site Location
Owner - L.ast Name
-- Stleet
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Bu i 1 ding
[X] Meehan i ca 1
[X] Plumbing
09/15/198'1
Application Number 8'1AP00940
Permit Number
Ploject Group
2600 CHERRY AVENUE
CROMWELL
2600 CHERRY AVENUE
BREMER TON
( 206 )
First GORDON
MI
State WA Zlp 98310
Phone( 206 )
Phone( 206 )
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ ]
[ ]
[ ]
Sign
Bu,ning
Land Clea,
[ ] Paving
[ ] Underground
[ ] Demo 1 it ion
Building Contractor:
Work will be completed by ownel.
Natu,e of Work:
Inte,io, tenant remodel for 2 suites atCher,y and Ash
Medical Cente,.
Building Valuation
$258392.00
----------------------------------------~-----~-----------------------
Council District Census Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation [ ]
Business [X] Type Flaming [X]
Other [ ] Insulation [ ]
New [ ] Plumbing [X]
Repair [ ] Status Mechanical [X]
Remodel [X] Code Wallboard [x]
Addition [ ] 1 Final [X]
::::::::::: :::::::::::::::::::::::::::::::::::::: =-=::::::: :::=:::::: =;::. ~7-= =.::::::::::: :::;r~:::: =:::'.7~:::- _::::::::::::::::::::=:::::::::::::: =::::::: =~::::::::::::::::::: =::::::::::::::::= =~ =":"~ :::::~-:::
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B U I L. DIN G
D E PAR T MEN T
PER M I T
A P P L I CAT ION
-------------------------------.---------------------------------------
_.__._____________________________.________.__________------------______0_-_-----
Application Date
Issue Date
Assessor Acct :Il=
Site Location
Owner - Last Name
- St y.eet
-- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Building
[X] Mechanical
[X] Plumbing
09/15/1989
Application Number 89AP00940
Permit Number
Project Group
2600 CHERRY AVENUE
CROMWELL
2600 CHERRY AVENUE
BREMER TON
( 206 )
Fi rst GOf~DON
MI
State WA Zip 98310
Phone( 206 )
Phone( 206 )
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ ] Sign
[ ] Burninq
[ ] Land Clear
[ J Paving
[ ] Underground
[ ] Demo 1 it ion
------------------------------------------------------------------------
Building Contractor:
Work will be completed by owner.
Nature of Work:
Interior tenant remodel for 2 suites atCherry and Ash
Medical Center.
Building Valuation
$258392.00
----------------------------------------------------------------------
Council District Census Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation [ ]
Business [X] Type Framing [X]
Other [ ] Insulation [ ]
New [ ] Plumbing [X]
Repair [ ] Status Mechanical [X]
Remodel [X] Code Wallboard [X]
Addition [ J 1 Final [X]
--------------.------.------.-.------------.--------------------------------.--
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A P P L I CAT ION
____n_.n____.______..________'__n.__._______.___.____._.___M~___._._________._________.._~____
_._.__...__"______~~__._.___._._.__________________._.___._.,.____..H.____.______.._____...._.________
Application Date
Issue Date
Assessor Acct :Il=
Site Location
Owner - L.ast Name
-- St n:~et
..... City
-_. Phone
Tenant's Name
Aqent's Name
Architect's Name
[X] Bui ldinq
[X] Mf)chanical
[X] Plumb :i. nS!
Building Contractor:
09/15/1(18'71
Application Number 8?APOO?40
Permit Numbe'r
P'roject Group
2600 CHERRY AVENUE
CROMWELL
2600 CHERRY AVENUE
BREMER TON
( 206 )
First GOI~DON
MI
State WA Zip 98310
Phone( 206 )
Phone( ~::~06 )
[ ] G'rading
[ ] Move Building
[ ] Mobile Home
[ ] 51 ~m
[ ] Burning
[ ] Land Clear
[ ] Paving
[ ] Underground
[ ] Demol it ion
Work will be completed by owner.
Natu're of WOY' k:
Interior tenant remodel for 2 suites atCherry and Ash
Medical Center.
Building V~luation
Council District
Consty'uct ion
Type
f~es i dance [ ]
Bus i ness [X]
Other [ ]
New [ ]
Repai Y' [ ]
f~emode I [X]
Add i t i on I: J
$258392.00
Census TY' act;
Sq Feet
Inspections
f~equ ired
Zoning
Type
Foundat ion [ :1
FY' am i n~J [X]
Insulat ion I: ]
Plumbi ng [X]
Meehan i ca 1 LX]
Wallboard [X]
F i na 1 Lx]
Status
Code
1
-----------------...--.--."..-.--.-.-.----.-.-----.--._._---_.~--_.._--------".-_.__._-----_._-
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-~
B U I L. 0 I N G
PER M I T
A P P L I CAT ION
______________________________M________________________________________
--.-.-----.---------------------------------------.--..------------------------
Application Date
Issue Date
Assessor Acct #
site Location
Owner - Last Name
-- 5t reet
-- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Bu i 1 ding
[X] Mechanical
[X] Plumbing
09/15/198'1
Application Number 89AP00940
Permit Number
Project Group
2600 CHERRY AVENUE
CROMWELL
2600 CHERRY AVENUE
BREMERTON
( 206 )
First GORDON
MI
State WA Zip 98310
Phone( 206 )
Phone( 206 )
[ ]
[ ]
[ ]
Sign
Burning
Land Clear
[ ] Paving
[ ] Underground
[ ] Demol it ion
[ ] Grading
[ ] Move Building
[ ] Mobile Home
Building Contractor:
Work will be completed by owner.
Natur.e of War k:
Interior tenant remodel for 2 suites atCherry and Ash
Medical Center.
Building Valuation
$258392.00
Council District Census Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning :pO Foundation [ J
Business [X] Type Framing [X]
Other [ ] Insulation [ J
New [ ] Plumbing [X]
Repair [ ] Status Mechanical [X]
Remodel [X] Code Wallboard [X]
(-~dd i t ion [ ] 1 Final [X]
______________.___.__________._._._._________.__._________.___________________M___._.__
--.-----.----.--------------------------.------.-------.-----------.-----------------
f)~~I"\;~ q - d&-!;'q
Ilprl/,J ~~ (rZ/i, J1
B REM E R TON
B U I L 0 I N G
o E PAR T MEN T
M E C H A N I C A L
PER M- I T
A P P L I CAT ION
-----------_._-~---------~._-----------~----.._---------------------------
--------------------------------~---------------------------------------
Application Number 89AP00940
Work will be completed by owner.
Stoves
Fire Place Inserts
Furnaces
Burne'rs
Heaters
Boilers
Gas Outlets
Coolers
Air Conditioning Units
Heat Pumps
Re-Heat Boxes
Air Handling Units
Fans
Ranges
Or'yers
Inciney'ators
Alterations
Tanks
Refrigeration Units
at her' I t ems
_R_._____R_______________________._____..______._______________..____.____________~._____
.___,~___..__.~________~________________._._.H______.________________________________
B REM E R TaN
B U I L DIN G D E PAR T MEN T
P L U M BIN G
PER M I TAP P lIe A T ION
____.._____.~~__N_~_____"_____N________"_____~____.__..-------.---------------------
__._.____M_____"_._____~..____________._________.____..___.____._.N_._.__.____._____.~___._..____._
Application Number 89AP00940
War' k wi 11 . be cqmp 1 et ed by ciwn€~r.
Toi lets
Bathtubs
Basins
Showers
Kitchen Sinks
Dishwashers
Laundry Trays
C 1 ot hes Washer's
Water Heaters
Urinals
Drinking Fountains
Drains
Slop Sinks
Water' Pi pi ng
Interceptors
Vacuum Breaker
Lawn Sprinkler
Fire Sp'(' inkIer
Private Pools
Semi-Private Pools
Public Pools
Groundwork
Sumps
Al ter'at ions
Kidney Machines
Private Hot Tubs
Semi-Private Hot Tubs
Public Hot Tubs
at her Opt i ems
----.-------------.----.------------------------..----.-------.-------.------------.-
-------.------------------------.----------.-.----------.-----------------------
--
....""""":;...
B REM r R TON
1:3 IJ I L.. D J N G
D r PAR T MEN T
M E C H A N I C A L
PF:r~r'1 I'r
A P P LIe A T ION
_....._.._M......___.,..._.._....._~........"._._.._._............_____.......__.....M__......M..._....,.....M...."...........,...._._........__......_...___..._......._......_.._.........___._.,.__...................._...______............
.................................,...................,.............................................."'"......"........................................................................................."..........",.......................................,...........-.,.. .........-.".......................,.,.........
Application Number 89AP00940
WO"r k ~<J :i. 11 be comp.l. et ed tJ)' Ol'm('.:~'(..
~::;t o'ves
Fire Place Inserts
F'uY"nacc'~s
BuY'ney's
Hf'~at; CY'S
1~3 0 :I. ./. ~::~ '( t:,
Ga~~, Out Ic.~ts
Cool (:~Y' i~;
f.\:i. '( CI.::nld :1. t :1 on:i. nq Un t t S
Hf.:)at Pu.mp~3
F<c..-.I...Jeat: 130)((;,:.>
Ai'( Handling Units
F'ans
F<e:l.nq(:~d
DY' y(.~"( r:
J 'ne :1. n(;)y' i:3.t DY' f.:,
.f-lItey'at :l.ons
ranks
r~ef"(:i.qc:~'rat ion Un:l.ts
Ot hey' It f)ml-::,:
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Application Number 89AP00940
Work will be completed by owner.
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CITY OF BREMERTON BUILDING DEPARTMENT
PERMIT APPLICATION
9-18- ,1989
TO BE COMPLETED BY
9-21-
,1989
DATE:
Gordon Cromwell
OWNER
owner
CONTRACTOR
For
tenant remodel for 2 suites
[ffim~[HW~[ID
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2600 Cherry Ave.
LOCATION OF JOB
ENGINEERING COMMENTS/REVIEWED BY F F
BREMERTON
BUILDING DEPARTMENl
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Aeplication Number 90AP01455
Permit Number 10650
Pruject Group
First HI
State WA Zip 98310
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P L U r'~l n I t'J Ci P r' F< M I 'f
...
D E PAR T MEN T
A P P L I CAT ION
\
::::: ::::: .:::: ::::: ::::: ::::: ::::: .:::: ::::: ::::: ::::: ::::: ::::: ::;: ::~: ::::i'~:::: ::::: ::::: ~-::: :::" ::::': :~:: :::~: :.)~::: ::::: ::::: ::::: ::::: :::~ ::::: ::::: ::::: :::: :::; :::;: co:: ::::; :::;; ::::: ::::: ::::: .:::: ::::: ::::; ::;:: ::::: :::: ::::: ::::: ::::: ::::: :::: ::::: ::::: ::::: .:;:;,,:: ::;: :::: :::;; ::::: :::: :::(: ;:::: ~.::: ;:::: :::::
Application Number 90AP01455
Con\:.: Y' act crr
~::;t Teet
City
f:Ohone
F<epY'i:.'::sent at :i. Vf:"
Sta.te L..:i.cen1:.:;e :It
C :i. t)l 1.... :i. cense ;lJ:
SIL..VERDALF PLUMBING
p ,.U. BOX 963
~:;; I L.l,)[I~Dt;l...[:
( :::-:'(6) (,92'....8840
State WA Zip 98383
S J tJ)[ I j<.'220NU
'[xplTa.t orl Da.te OB/~;ll/1?90
[)(p:l.'tat on Date
'7 'fo:i let:.:;
Bathtuhs
;'::'1 Bas ::. TiS
2 ~:;h(::jt')e)"s
I<itcri(,)n S:inks
D i ~::>hwa,::':i heY's
L..b.undy'y T'r-afs
C], ot hc.)s (Ala.shey s
1 l~a t BY' !'''Iea. t CY' S
l"hr i na],n
Drinking Fountains
~::; [) Y- ;:1 :1. rl f~
S:: up ~:;:i. n ks
i.AJat:'er P :i. p t ng
I nt ey' Cf:P!,'; or s
'Jacuum Dr ea. kt:':)y'
L,alA1/"1 SP'f':i. n k J Ci
F' :i.r f.:)~::;P'( ink 'I f~Y'
Pr' :i, va. t e P()cll s
Semi-Piiv0te Pools
l:::.ul:::. J i c; Poo J s
Gy'ounc!IA!OY" k
:::;umps
AlteYi:3.t:lons
i<idnf'),;/ ~1ach:lnen
Py':i.viJ.tc; 1"'lot "rubs
Semi-0rivate Hot Tubs
Pub 11 c I"lot TtjJ)H
1. Ot h()y' Dr:::..t:i CH'H~i
. ~,". , . , .
,- '
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. .
Applicaiicm Number 90AP01455
. ?ermit Number 10650
. .
..... -... ,.... ._. ..... ..... ..... ..... m'. ...... ",_ "'n .._ .... ..". .'.,_ ..... ,n,. _....... ..... ..... ._. ..... ..... .._....... ..... ..... ..... .,... ..... _no ..... ..... ..... ...._ ..... "'" '......... _.. ..... ,-t.- ..... ..... ......... ..... "... ..... _.... . ... ........ . ..... _.'" h_' ..... ..... ..._ ..... ..~.. ..... ..... ..... ..... .... ....
Building-Trap primersr~quired on 811 f106y drains
subject to infrequent use.
Water.......Ne";~d appl icat ion for i'"Iijt(~~y' F,~e'l"'.dce, sCin:i taY')I
t:,e"'Jey' :i. nsp('::~ct ion pe'rm i '1': f:or n:'~connf:lGt ion t 0 seiAlt;~y'. etorm
sewei inspection permit.
All plumbing shall conform to Washington Stat~. and City
of Bremerton cross connection control jta0dards.
Flushometers to have vacuum breakers. lab, janit0r and
any other sinks capable of a hose connect inn tu have
built-in vacuum brea~ers. Install double check valve
aSsembly per Washington State cross-connection control
standards. See Attached. Mihimum clearance of double.
check valve to be 12 inches from the floor andte0t
cocks to be facirig away from the wall faY' easy access.
A pressure vacuum breaker shall be installed on water
line to the djf3h~\Ji:)sh('~y' if the dishl~Jashf;r dc)en not hi:i\h':; a.
:..J Ii
k;f
......~'- j'
"'. . \ '
,)
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built in air-gap.
.;-"$
'Note::
Est :i.mate f'or
. ...~~
(') n
.<:...
t"iat fOr' . met eY'
.... ,.t'
:is attached..
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-
B REM E R TON
B U I L DIN G
D E PAR T MEN T
PEf~MIT
A P P LIe A T ION
-----------~--------------.--.----.-----.---.___.__~_____M___________________.M.._
______M_.______________.___________.____~.____.__._____________..___._____________
Application Date
Issue Date
Assessoy' Acct #
Site Location
Owner - last Name
- St y'eet
..... Ci ty
..... Phone
Tenant's Name
Aqent's Name
Architect's Name
I: ] Bu i I ding
[ :] Mechanical
I:X] PI umbi ng
01/17/1990
Application Number 90AP01455
Pey'mit Numbey'
Py'oject Group
2600 CHERRY
Cr~OMWELl...
2600 CHERRY
BREMEFHON
( 206 )
First MI
State WA Zip 98310
Phone( 206 )
Phone( 206 )
r '" Grading
[ J Move Building
[ ] Mobile Home
I: J Si!;)n
r '] Burning
r "I L.and C I ear
[ ] Paving
r '] Undergy'ound
[ ] Demol it ion
--.-.---__________________..____M__.____.___.____________________._.__._________________
Building Contractor:
Work will be completed by owner.
Nature of Work:
Plumbing permit for 7 water closets, 21 lava, 2
shower~, 1 mixing valve, 2 floor drains, 1 floor sink,
1 hot water tank~
Council District
--.---.,.,-------.-----.-----------.------------------------------------.--------
Census Tract
Construction
Type
Residence [ ]
Bus i ness I:X]
Ot hey' r "I
New [ ]
f~epi:'i i Y' I: :1
I~emode I 1:::1
Add i t i on I.. J
Sq Feet
Inspections
Required
.Zon i nq
Type
Foundat ion L ..I
F."r am i n9 [ :]
Insulation [ J
Plumb i n9 [X]
Mechanical r ']
Wallboard [:1
F i na I [X]
Status
Code
/
::::: ::::::::: ~~:::::::::: ~-::: :::: :::1F:: ::::::::::::;::: =,::: 7::::::;: ::: 7,= _::::: ~ .....;:;: ::;:,,::::';::;:::::::::::::::::::::::=:::::::;::: :;::::::::;:::::::;:::: ::::: ::::::::::::::::~.::: ::::::::::::-:::::::::::::: :::: :::::::::::::::::::::: ;~.: :;:: :;:-: :::: :~':;::::;:::::::
.FI' C f/f) yu
B R F M l R TON
B U I L DIN G D E PAR T MEN T
P L U M 8 I N G
PER M I TAP P L I CAT ION
__H_._____________M__._________________.._______________________~_.~M__M____.___
---------------~--------_._---------------_._------------------------------
Application Number 90AP01455
Contractor
Street
City .
Phone
Representative
State License .
City License .
SILVERDALE PLUMBING
P.O. BOX 963
SILVERDALE
(206) 692-8840 State WA Zip 98383
SILVEI*220NU
Expiration Date 08/31/1990
Expiration Date
7 Toilets
Bathtubs
21 Basins
2 Showers
Kitchen Sinks
Dishwashers
Laundry Trays
Clothes Washers
1 Water Heaters
Urinals
Drinking Fountains
3 Drains
Slop Sinks
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
1 Other Options
____.___.__.___R_____~_____.___.______.___.____.._.....~__.__._________________________._____.____
----..--.-------------------------....------.---------.-----.-----.---.-.---------.--
8 REM [ R TON
F3[) J L..D.1 NG
D F PAR T MEN T
PF:F<f1TT
A P P L I CAT ION
"'_ ..... ..... "." ..... ..... .~,. ..... ..." _.. ...~ ..... ...~ ..... ._. .._ . ...,. ..... ..... ..... ..... ..... ..... ..... ..... ..". .._. ..... ..... ..~. ..... '"'' ..... ..... ..... ..~. ..... ..... ...,. ..... ..... "._ _... .~~ ..... ..... _... ..... ..o" ..... ..... ..... "'" ...... ..' ..... ..... _'" .....-.m. ..... ..... ..... ..... ..... ..... m', ",., .....
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{iPP 1 :i. cat j on Da.t e
IsauE~ Date
tlssenso'( ~ICGt.: :fl:
~):i. t e I....oc,;"[;:i. on
Owner - Last Name
..... S t'( f:~ e t
.... C1 ty
Phone
.fena.nt; · a Namf~
()qent · s Name
Arch:i.tect.s Nam(~
r .., Hu i .'..J., nC) .
1.... ... .. (.... .;:
I.. ..1 M (.., C' l..) ." .r.,; c.,", 1
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.... .-.L ..lmu.l Ylq
01/3: ..// 1. 990
Application Number 90AP01455
Permit Numbsl
Py.()J(.:':~ct ClY'OU.P
;-':>600 CI..IF:F<I<Y
CP()I"ll,JE:LL
'::'600 C!.!F:PI~Y
nF~E:~1FPl.nN
( ;'~~06 )
Firat MI
State WA Zip 9831.0
Phont'":l( 206 )
P. t.)CiY-. F.' ( ')Cif:. )
.. t1." ... __ ../ ,
[ J EiY"ad:i.nq r J
[ J i"lol,/e 'Huildi. riU I:: .'1
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r .1
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r. ..1
r "]
S:ign
FSu,rni. nq
I..and elsa.Y.
Pav:inq
Undey.qy'ound
hemo 1 it :1. on
Building Cont7actar:
WOlk will be compl~ted by owner.
Natun;:.~ of I;JOY. k::
Plumbip9 permit for 7 watel closets. 21 lavs. 2
showeTh. 1 mixing valve. 2 floor drains. 1 floor sink.
1 hot water tank.
C:ouncil District
construct:fon
.r/pe
F(eE~ :i. denc(~
Bus:l. rj(:-:~ss
Ot hey.
~,Jel;.J
Pepa. :1. Y.
f<emode :I.
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CF:nSU8 TT. act
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Pequ i. y c~d
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[X]
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I~ ..
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r ..,
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Zon:i.nq
Type
Founda.t: :i.on
r.r.ami nU
Insu.la.tion
1)J.umb:i. nq .
Meehan'; cal
klal.1. boa'tel
F :i. ni3.1
I:: :1
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L .
LX]
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~::;t at us
Code
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.......... ._. ,"n ..... ..... ..... ..... ..... ..... 'n.'_'" ..... ..._ ..... ..... ..... ..... "". .._. ,.... ....._.. ........._... ..... ..... .'... _.. ..... ..... .... ......... ..... .... ..... .,.,. ..". ...... .,." ..... ..... ..... ..... ._". ,.... ._.. ..... ..... ..... _... ......... .... .... .... ..... .".. .......... ........_..._ ..... "... ..... ._..
Cont '( act Of
~:; '1'.: r (: I':.: t
C:i.t'l "
Phonr::::
r~epY'e'i3ent at i '-Ie
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Application Number 90AP01455
;::;:r L.'JFF<Dti:...E PI."LJ~'1B I NG
P..O.. BO>< 963
S J L.VF:F?DAL..F'
(206) 692-8840 state WA Zip 98383
s r L')[ 1')~;?~?DNU
Expiratian Date 08/31/1090
Fxp:i.yat ion Da.tt-:~
')' 'T' () :i. :1 e'l:: ,,:',
Bat;htubs
.;:;>1 UasJns
.::. :3holA.leys ,
f\:i.tchf'-l'f) :::;inkf~
1J1shwa.she'(s
L,au.nd';,y 'rr ay~:,
C 1. (] t heE: 1/~asheY's
t,\Ja.t er 1...1 f'.:)a t f:lY' e
Uy :i. na.ls
Drinking Fountains
::3 Dy' a i '('IS
~:; 1 op ~::; j f'I ks
hlatf:~r p-;,pJn(:j
I nt er'r;ept c)r'~~
!,)actlum OY-'C'l,:'; key'
L.al,o.lfI :::;Py j n k 1 Cj'(
F:i. Y e ~::;P'(:i. n k I. BY' ,,'1'''',
PY' i va t f-l F'oo:l. *3
Semi-Private Pools
Public Pools
G,ounc!'Ao'I.K
:~;umpf3
f~lteY'ations,
1< :i. clney !"lac h i nee
PY' i Vc~t f.:~ !"'lot Tubs
Semi-Private Hot Tubs
Pu,b 1. i c 1".10'1'; Tubs
ot hey' Opt:1 ons
=:===:;::===:~=::~:==:==:::=~:=:=;:::====:=:=::::======:==::~:===::=:=~==:===::=~::=:=::===:=:=::=~:~=::====:=~===::=:=
...
Date 1 - 2 4 - 9 0
Inter-Office Communication
Glt(Yjof Bremerto~: .
To Janet Lunceford, Building Dept.
From Mary~llen Babbitt, Utilities Dept.
Sub~ct Plumbing Permit 2600 Cherry Ave.
Building App. # 90AP1455
W' ./ \(Q-A(tXO
Need: Application for Water Service
Sanitary Sewer Inspection permit for reconnection to sewer
Storm Sewer inspection permit
All plumbing shall conform to Washington State and City of Bremerton
Cross-connection Control Standards.
Flushometers to have vacuum breakers. Lab, janitor, and any other
sink capable of a hose connection to have built-in vacuum breakers.
Install Double Check Valve Assembly per Washington State Cross-
connection control standards. See Attached. Minimum clearance
of double check valve to be 12 inches from the floor and test cocks
to be facing away from the wall for easy access.
A pressure vacuum breaker shall be install on water line to the
dishwasher if the dishwasher does not have a built in air-gap.
Note: Estimate for a 2" water meter js attached.
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..
'. SILVERDALE PLUMBING
& HEATING INC.
P.O. Box 963
SILVERDALE, WASHINGTON 98383
OJEuu[EOO @[r UOO~~~[Kj[] Duu~[L
(206) 692-8840
DATE I JOB NO.
Januarv 16. 1990
ATTENTION
Janet Lunceford
RE;
Cherrv & Ash Medical Center
TO Bremerton Building Department
239 Fourth Street
Bremerton, WA 98310
WE ARE SENDING YOU .KJ Attached D Under separate cover via
the following items:
D Shop drawings
D Copy of letter
D Prints
D Change order
[X Plans
D Samples
D Specifications
D
COPIES DATE NO. DESCRIPTION
1 Mechanical Section of Plans
1 Check *9259 for Plan Check & PE>rmi t- 1i'",,,..,
THESE ARE TRANSMITTED as checked below:
~ For approval D Approved as submitted
D For your use D Approved as noted
D As requested D Returned for corrections
D For review and comment D
D FOR BIDS DUE 19
D Resubmit_copies for approval
D Submit_copies for distribution
D Return_corrected prints
D PRINTS RETURNED AFTER LOAN TO US
REMARKS
,Ie 0,/'
e. t/t(. , "'I, .'
'tItlD/'1I1 'fM(It'1:"
IrQ Of' aN
'PI/If r /'yf (IV '1
,
Thank-you,
COpy TO
SIGNED: ~J.I~ ~~,
It enclosures are not as noted, kindly notify us at onceTeresa Anderson/Secretary
PRODUCT 240-2 jNEliSjlnc., Groton, Mass. Ol471.
1/16/90
CHECK
DATE
DATE
INVOICE NO.
DESCRIPTION
\
\
\
Permit Application for
Cherry & Ash Medical Center
2600 Cherry Avenue
Bremerton, WA 98310
Plan Check Fee
7 - Water Closets
21- Sinks
2 - Showers
1 - Mixing Valve
2 - Floor Drains
1 - Floor Sink
1 - Hot Water Tank
1/16/90
9259
TOTALS
INVOICE AMOUNT
SILVERDALE PLUMBING AND HEATING. INC.
SILVERDALE, WA 98383
DEDUCTION
47.45
14.00
42.00
4.00
2.00
4.00
2.00
2.00
9259
BALANCE
R REM E R T ON 8 U I L DIN G D E pAR T M E NT
.p E R M I T R E eEl P T
----~--------------------------[081177]---------------------------.-------
Permit Fees Amount Paid Plan~heck Fees Amount Paid
i3uildinq
00 1.....(/::-.}:::~:? .. :1. 00 1.
f1e:cha,fj i (;,). J '
00 1.....(;2.....:::l;~~:? ., 100S
!':)'l.l,'m' L"j'j' Y"Cl
....4 t... i I....
00 1. ..... 6;,:><3 ~::~ :',:': .. 1. 00::3
. O'ra.d:i.no .
00 1 .....{,::?.<:l~::~::. 1 00.4.
["love 1..louse
()Ol.....6::?.....3:~:2 .. 1. 00 1
[vlob :1. J (':~ Ifome::
00 1...c:,:?.....3::::2 ..1001.
.~::;:i.qn.
00l-..\::,2....3~.:'2 ..1001
~J)
'/3.00
$
73..00
~l)
.47..4!::i
*
4"7..45
.._....~ ...;....., ..... ,.... ..... ...~__..... ..... ..... _.. ....' .~.. .u,. ..... ..... ...., .,..... ..... ._.......
..... .....".... ...... ...... ..... ..... ..... ..... ..... ..... ..... ..... ..... ...- ".... ....~ -.. ..... _.. "." ..... .....
. HUYTI i nG)
00 1.....25..-<32:,? .. <:;iOn:?
L.and Clea'c
00l"'2h""32~':;:.. 900;?
Pc,,"Ji. flq
00 J ...61.-<::l42 ..
Undeycrround
001....\:;:.1 . ~ 1. 006
- D(.~mo]. it:i. on
00 1.....6>:....3;:::~? " 100 1
~l,
4'':;;' ..45
$
4/..45
0'1'.: he"!" r f..~f:~8
. ~:;t 0'( Z {-'1dapt tn"
,1.).Ol.....3Un ..1000
<::: ,;. '.1' f"'} <," ('j .(.: rvl ';, r:') q / p. l.ll..., ~...
....I..eft. ,. :~ <..) , . I 11:.;', . ,.':; , . L. ,:)
001.....16..<34] ,,5000
Cop 1. (':':t,
00 1.... 16"':;:l.41 .. (,DOC)
l~e inspect: i Dn
OOl.....6:?....d.t12.LiOOe::,
i..
ZClniilg F'ee'8
Shun"! L. i fie
001....1.(,.<:14::) .. H 102
S[:!';'(~I
00 1.....16.....;::l4:S "gJ 0:3
f"11:i. f.:}C~
Cien Payment
Dt hf::r Fec~3 $
Fn'::'~Y'9Y Chayue
~::;tate ~:;/C
,,00
'.......
Zoning Ordinances
00 1 .....16..<34:":. .. H 1 05
Comprehen~ive Plan
001.....16.....345 .. H 1 06
:::;hoy.t Plat;
00 1 ,...16.....345.. H 1 0"/'
Sty'eet lJaCiJt ion
00 1"'"1 6.....::;l4:::) .. B 1 on
..... ...-..... ,.... .......... .......-.......
...........-....,...........................
lot d:l Fees ~l;
Amount Paid ~l;
P'r i ()'( Payment ~I:;
120..45
1::-;:0..45
,,01;)
~... ,.... ..... .....' ..... ..... ";",,. ,.... ,"..
..... ..... ..... ......~.... ..... ..... ..,,, .....
Oa J ;:~.nc(~ Due
("
-p
000
.,
,
.___..."..._..___.....'__...........~.__........,..."...M..._''__'M_'"''''''''
..... ..... ..". ".u ..... '_", ..". ...'. ..... ..... ..... ..... ,.... _... ...,. ..... "'.. ..... ...~ ..... ..." ..... .....
~l;
"/3.00
~>
/3.00
~Pecc.i. (jed F"com::
Silverdale Plumbinq #9259
On 01/17/1990
F'cn'" :!r.S'O(liPO 1455
~
!
CITY OF BR:EMER:!XN BUILDJN; DEPARIMEm'
PERMIT APPLlc]\.TICN
8-16- 198 8
TO BE CCMPLErED BY
8-22- 1988
DATE
Gordon Cromwell
ov-.7NER
M;rhun Partners
ffiNTRACIDR
2603 Ash - 2602/10 Cherry
:u:x:::fI~TION OF JOB
For construct off; ce bJd9.~
. Hrtt,.
I ....
\
;.~. . "
ENGINEER:IN; CCMMENTS/REVIEWED' BY ~:.f
.,;. ':'.;:.,
/) H~co . -ro S'-rA-'"7'"C:
2) 1\I~el:1 70 .r Nt:> ~
:$) lYeC,rJ 11:> n'nve
J ,
C'12/~/~ti;;
.s-.I2C.
pAe~P"'J"~Q
. d .
.$""flrJ trJ'j7t'7f r C,.1-'VJ:x. l4u,() Ct:>':;;'.'iCchp";';
G(;)OSC^lI!.l'o< '0,,", OVCK.r,-"v:J .I::.,I'II4[ IN'
, .
Cr:::>A.//K/If}/ao. "'1PAJ"IN'
ej) &IC;/Iv!f}jl..)/ J:C~J'b
I I:
lVo'T eAt JrY-t::r'."..... c/
~r:3 q - ~~ - rq
Pl~ --p(U ~
( Gv.J.. ~ fl ~ +- Dr~~j"f"\lLl
WurY\ 6D~ j '] .
~~roVeJ
00 ~ (GH~ D \YJ ~ lID
~\ lU::l C) 1 Q 0 ,8
J-', .. \.,J ..t /~ J U.
BREMERTON
BUILDING DEPARTMENT
,1- 'V'
. I 01)- )'I~
yO ( R~ (' vt'~
, \1\
;":' I L. L~'" C' 0 /J )-"
Cityof BremertOtt
239 FOURTH STREET
BREMERTON, WASHINGTON 98310
(206) 478 - 5252
BREMERTON MUNICIPAL UTILITIES
3027 Olympus Drive
Bremerton, Washington 98310
MA YOR GENE LOBE
August 30, 1988
Gary E. Warner
David Evans & Associates
P.O. Box 3073
Silverdale, Washington 98383
Re: Cromwell Office Building
Cherry Avenue and Ash Street
The Bremerton Water Utility has reviewed the plans and they
will be approved subject to the following:
1. Water installation shall comply with APWA-DOT
Specifications Edition 1988, AWWA Standards, DSHS
Regulations, and Bremerton Municipal Utilities
Standards.
2. Easement for existing 6.f water main is to remain
unobstructed to facilitate repairs. Contractor to
verify location and depth of existing 6" water main
prior to start of construction and grading.
3. Prior to demolition of existing structures, sewer
laterals shall be capp~d and water meters removed.
Appropriate sewer cap permits and inspections shall be
obtained by Contractor.
4. Domestic meters (s) will be installed by the Bremerton
Municipal Utilities. Size of meters to be determined
by the City Building Department based on plumbing code
requirements to insure adequate flow to each plumbing
appurtenance. Installation of service line from meter
to building is the responsibility of the developer.
5. Irrigation sprinkler system shall be metered and have
State-approved backflow prevention devices.
Gateway to the Olympics and Home of the PUPp/ SmUlA Nn",,! <;;:/,;n..n....I
.. ". . ...
6. Fire sprinkler system shall be metered and have a
State-approved backflow prevention device. The
Br~merton Municipal Utilities shall tap the main and
install metered backflow devices and vaults for
separate fire lines.
7. All hose bibs shall be built in vacuum breaker style.
A cross-connection inspection will be performed by the
Bremerton Municipal Utilities.
8." Contractor shall obtain construction/hydrant meters for
use of water from hydrants during construction.
A deposit shall be paid to the Bremerton Municipal
Utilities prior to use.
9. Storm and sanitary plans to be apptoved by the City
Engineering Department prior to issuance of sewer
permits.
10. Any contractors doing work on right-of-way must have an
insurance certificate on file at the City Engineering
Department and pay a street repair deposit at the time
of obtaining sewer, storm, and sidewalk permits.
11. Written estimates for cost of water meter installation
will be provided by the Bremerton Municipal Utilities
when information on size of meter, total square footage
of building, location of meter, and a legal description
of property is provided.
12. Payment for water services shall be prior to scheduling
the work by the Bremerton Municipal Utilities. An
allowance of a minimum of two weeks schedule time is
required during busy construction season.
If you have any further questions, please contact this
office"at 478-5318.
Sincerely,
~t;Jl~#-
Maryfll~n Babbitt
Enginee~ing Tech III
Iga
cc: File
~
,~ '
E3 F< C J1 r F< "T' 0 N r' U I L D I N G D 'f:::. P A P '1" 1,1 r' N 'f
... ::~
P ,.... r' 1'1 J T
... .'\
M'~M"'.'"____M""_'___"_'___"_"'_H"'_'_"_"___'__._.......__....____.._.M..._'.____.__.__n._._......._'_._M.___.._._._.._...__.____...."__...~-_..,-......_..__"____..___._.._.__
--..-....--..,.-.----.-.-..-...--..-.--.-.-...-'.,_~_.-_._..___,....__._.'_._,~.....__._.._.._...___.___..~,_.............._....__..__.,..__..._..,.._...,..._.__.w_.....___........______.._._...__.__
(~ppl :i,cat ion Dat:e::O~:)/1(,/1{)90
Issue Date I
Assessor Acct# ;
~::;:i.te Locat ion I
I
Owner - Last Na~e
..... St '( f::~(:t
..'.. City
..... Pi''',one'
Tf:nant .~:, Namf:':~
(~qent · s r',/rime
A Y' C h'J. '1'; (:ct · ~:, NamE:
[. .., l::'>tl'i] "'I' .'l'C" 0
. ..I d. .t...L. I.:.,
,[)(] ~1echan:i,c,il
.[: ::I Plurnbin9
OS/ 16/ 1 <)90
Application Number 90AP01956 .
Permit Numbe~ 10918
P'to.Ject Group
2600 CHERRY AVENUE
CF~Ol"ll,JE:I..j...
~?600 CI'IF:RF~Y (.)t)E:NI.)E
lJF~Er"lERTON
( ''''(''./ ')
,,::. JC) I
First MI
state WA. Zip 98310
pllone( 206 )
I'} t. r..r.... f ,", () / )
" IJ It.::... .::.,.0
r '] Grad:l.nq
[] Move Building
r "j I"lob:l.l (-;;: Home
Si!;;)fl
BUi"n:i. no
L.and 'Cleay'
I ::I Pavinq
'. I:'.J UnClf~Y'9'(OI,md
r "I Demo 1 :i. t: ion
I" "j
[: J
[ J
-.-~-..-".,....~_.-.--~..--._~--~_..-.-.-.......,...__.~..__.....__.____~_______..______._"._._~.._..__.._..__..._____.._.__._______.'..._M........_...._....._
(., "I I' C' t\ t
::.1..11 ..C.lflCl .:on" r i(~C'; or ~
".' \
Work will be co~pleted by owner.
Nat u Y' e 0 f v,Jo'{' k ::
'Mechanical permit far
U fl :i, t. 4 he:at pump(~. 1
f:ans.
r 'I
r ..,
r ']
r "I
I.. "I
:::it at: us
[ :] Code '\
r ']. ,
~;~,:;~~~:j:;~:~:" -~- _.~-:~.::~~~o:o:_~:::~.~.:-:.::::_~1l=~~::;Z
G)uncil District
. ,
. Const'cucti:on
'T' y P e
" 't
Res i df~nCf:)
1_. '
::H.J.f.>]. ness
Other
NC'll,\l
Pepa:i. '( .
F~emode.l
. Add it ion
1 electric air conditioning
1:1. i 'I' hane!],:i. nq un:i. t, !:;i exhaust.
Cen""u.,,:.; 'fy' act
Sq F'f)!::,)t
. '1' .., ;;:, n !~~ (..'t:': r) fl\" '
, . '... ~ ...' I". :" ...f .t ,I. \", . . ,'-.,(
,':;(:':"'''ll', 'I' V'i"'''''j'
_~~:~t. ,.::1,.. I ",':''":,'.
Zoning
Type
. l:~ouhddt :iorl f. .l
. '1:~Y' arid, h~~l. [J .
InsuJat ion' [ ::I .
P:I. uml::d.rH} . ["I
~1f.:'lcha n i ca.l' rx]
Wa 11 board [:1'.
Final. rX"I'
rF"lC:.nml I Ar"r'I.I\"A I IU
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
.~o
SITE ADDRESS /)
0\ 4 ,~ \ c.. -((\c t:SS {' ~"'\A j ~ ( n6..r'
OWNER \J, ~ MAlL ADDREs9
LC:hrv'i ~ I ~; I ( Vn"", , ~ c 3L/(d) 0 (cf 6d-fA \ ('
CONTRACrOR " MAlL ADCRESS
Class of work: ~'NEW 0 ADDITION 0 ALTERATlON
DXt MECHANICAL
ij ~/
ASSESSOR'S ACCi. ;
l/C.f'.t,
I
ZIP
<-/79, D.28~
PHONE
PHONE
UCENSE NO.
o REPAIR
D PLUMBING
COMMENTS
No.
1\'pe of Equipment
Mte
STOVES Gas_ Oil_ Wo~
FIREPLACE INSERT
FURNACE Gas (Nat._ L?G.-l Oil_
Wood add on_ Other_ Electric_
BTU
Type: Up now_ Down now_
Horizontal_ WaJ'-
CONVERSION BURNER: Gas_ (Nat._ L?-l
Under 100,000_ Over 100,000_
Oil_
UNIT HEATER BTU_ Gas_ EI~
BOILER Gas_ Oi'- Electric_
Other_ HP_
GAS SYSTEM Max. 5 outlet Tota'-
EVAPORATION COOLERS Roof_ WaJl_
BTU_
t! .Po AC UNIT Electric--1- Gas Elec. Combo_
BTU~I 700
HEAT PUMP Single Package.d- SpliL-
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CMF_ BT~D / ~ 71k~
FANS Exhaust 5 Supply_ Bath_
RANGE HOOD Residentla1- Comm._
ROOF DRAINS
CLOTHES DRYER Res._ Comm._
INCINERATOR
ALTERAT10N TO DUCT SYSTEM
Heating/Coolin9-- Exhaust..-
TANKS Oil_ Gas_ Propane wlOK
tram Fire Dept._ Gallons
REFRIGERATION UNIT
~
.~
UIP.
WA5rE INTERCEPTER (Grease)
VACUUM BREAKERS &; BLACKFlOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private_ Publi<L-
GROUNDWORK
SUMP
ALTERATION
KIDNEY MACHINE
PERMIT $
TOTAL S
NOTICE
PERMIT $ t--
TOTAL FEE $
THIS ?ERMIT BECOMES NULL AND ~ID IF WORK OR CONSTRUCTION AUTHOI
IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR 'NORK IS
PENCED OR ABANDONED FOR A ?ERIOD OF 120 DAYS AT ANY TIME AFTEfl '
IS COMMENCED.
I HEREBY CERTlFY THAT I HAVE READ AND EXAMINED THIS APPU~CN
1<.NOW THE SAME TO BE mUE AND CORRECT: AU. PROVISIONS OF LAWS
ORDINANCES GOVERNING THIS TYPE OF 'NORK WILL BE COMPLED WITH 'NHE
SPEC:F1EO HEREJN OR NOT. THE GRANTlNG OF A PERMIT OOES ,~ ?AE
TO GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF ANY C
STATE OR I.OCAL LAW REGULATING CONSTRUCTION OR THE ?Ei:'1FORMANC
CONSTRUCTION,
SIGNATURE OF CONTRJlCTOR OR IWTHORlZED AGENT
FINAL APPROVAL
SIGNATURE OF ONNER (IF ONNER BUILDER)
RECEIPT NO.
(Whil&-ORIGINAL. Yellow-iNSPEc:'OR, ?ink-APPlICANT)
PERMIT
~j
(~
..
CITY OF BREMERTON - BUILDING DEPARTMENT
478-5281 - 239 FOURTH STREET, BREMERTON, WA 98310
-.
INSPECTION REPORT
PERMIT NO.
rC;-2-J
I have this day inspected this structure and. these premises and have found the following violation0
of City, County and/or State laws governing same: , U - L.e 7 U"- c.
cf) f2{}>, 4..""",+ c"or!, \e~J, 4,. J~.J ;l4.~- . ,In 7 ~
r:;) L~ I/J J /' c L-_ 1'--0 +- /:, ~/kdr
o r I,/'e.- ~ (e. v"'"'- -:::;> 7.?'7~"""'"
You are hereby notified that no more work shall be covered upon these premises until the above viola-
D~ aN~ireR;~~~~orThii;s T~it:':F ma?~~~~r re-in~ ~
INSPECTOR FOR BUILDING DEPT.
\1
CITY OF BREMERTON - BUILDING DEPARTMENT
478-&28't- 239 FOURTH STREET, BREMERTON, WA 98310
~j.., 1 s-
INSPECTION REPORT
A
.
PERMIT NO.
eJr'b]
I have this day inspected this structure and these premises and have found the following violations
iO~ City, County and/or State laws governing same:
'\., (j) -r;~ r/~V
. ., J y~ \ v--'
(j~'l ~
tY E-p"erfh?7
(j)
@)
Y'e~ d
0'1
&J el -k r h.J24.-...f-c.r
velie .{
L./<:'l I'-'-e
,
!
,
//7 t7 fr:-j ~(/$-I- 1;;.-: Of?-er~b/<2-
5 vc <<: I ./,-",_ _ cLo<:>v <; r e Gte!.. .
/1 YI c-7e Or-. .J iy.-v- -
1/lI,u II 6> Ol^v' d. ~ r./<? f 6 e {;'v<- ~ r-e... J. (I f'4 se tCY~Gi 'f6b)
You are hereby notified that no more work shall be covered upon these premises until the above viola-
tionsare corrected. When corrections have been made, call for re-inspecti n.
Do Not Remove This Tag DATE fj 50.-0/;:J
,
1362
BREME~TON MUNICIPAL UTILITIES
3027 Olympus Drive
Bremerton, Washington 98310-4799
(206) 478-5318
UTILITY SERVICE AGl!~Ef1HNT,
Work Order No.
Tap No.
Reoeipt No,.
Bremerton, WA.
XOq 97
, 19_
The undersigned property owner
Servioe Address: Ash/Cherry
Legal Description:
Plat Block
hereby applies for Utility service at:
. - ,
Lot
Kitsap County
----------------------------------------------------------------~-------
SERVICE REQUIREMENT: [] Water [] Wastewater [] Stormwater
SERVICE AREA: [] Marine Drive Water [] Sewer District #1
[] City [] North Perry Water [] Tracy ton Water
[] County [] Port of Bremerton []
---------------------------------------------------------------------------
SERVICE CHARGES:
Connection/Inspection Fee:
Water: Domestic...............Size $
Fire ..................Size *
Wastewater ............................. $
Storm Water ............................. $
BARS-l
Front Footage Fee:
Water ................................... $.
Wastewater............................. .S
S t 0 rm Wa t e r ............................. $;
General Faoility Fee:
Water .......# of units
Wastewater ..# of units
Storm Water .1 of units
(j $
(j $
(it $
$
$
$
System Development Charges:
, Water
Wastewater
Storm Water
*
$
$
~
Temporary Servioe $
Road Permit [] City [] County ..$
Street Restoration [] Asphalt [] Concrete $
Tappin-, Fee ............................,.. $:
Deposit $
Other ~~nT7. An~ptnT $ 128.64
TOT AL. . . . . . . . . . . . . . . . . . $
401-388.1000
------------------------------------------~-~------------------------------
1.
Utility charges are the responsibility to the, owner regardless of
whether the property is occupied by the owner or tenant. Unpaid
o!\.arge shall.~beoome a lien on the property servioed.
By this agre~me~t, the undersigned owner acknowletlges that the owner
a~sumes the ~isk and the City disclaim~ responsibility for all claims
for damage or injury to person or property resulting from the
following:
a. Installation, maintenanoe and operation of all plumbing, fixtures
or applianoes oonneoted to the water meter or wastewater main.
(Building permit inspections are limited in scope and do not
guarantee plumbing de~ign or workmanship.)
b. Changes in pressure, flow or temporary shut-off of servioes due.
to system maintenance, emergency or non-payment of oharges.
2.
Name Ceraolt Crgmwiilll '
Billing Address 2600 C';",rry A'T"'nllp
'," ,Ci ty ,Bn"TQ",rt-nn J
Owner's Signature~~~~ Date
Agent's Signature .----,-::.,.....__ ~,tf~.j:- Date 1/-/3
on be f of B emerton Munioipal Utilities: )
", Date .J t _ , ~
I
Phone Number
)
State
WA
ZIP 98310
, 19
, 195:7
, 19 t..J
Yellow Copies: Utilities Aocounting
Utilities Engineering , Goldenrod Copy: Customer
~
q 5"6'1;
10 q I g m
I o3~$ ;JA'l~(}jy)
to{;:5() p
95'23
PERMIT NUMBE'R
INSPE\CT10N RECORD CARD
CITY OF BREldERTON BU1LD1NGDEP ARTMENT
ADDRESS
OWNER
CONTRACTOR
2600 Cherry
GORDON CROMWELL
479-2360
454-3344
PHONE
PHONE
MITHUN PARTNERS
.1
FOUNDATION
.-~~~
. " ft\-10
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOIL BEARING O.K.
~&~5-ZW~.
te..~~} rf/c-I ~ s .If~ 'It?
7. CHECK FOR FILL \~
8. REQUIRED STEEL IN PLACE tt\;[Q
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS ~
11. FOUNDATION VENTS
12. CRAWL ACCESS ~
. COMMENTS: ~K-leY'io{ ~;~ rl!.-~ '"
FOUNDATION INS~lJON
APPROVED BY: ~ I'Z -/f-~(
'f.;<k,.,'6l1- v~t' ~
~,-J ~+- 11 ~/S<
~ {/-&,-~
2A
I
......-./
'~
FRAMING
20. AREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF &: CEILING LINES
FURRED OUT AREAS
AREPLACE AT CEILINGS
HOLES PLUGGED TOP &: BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED ARE EXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER &:JOIST SPAN
27. ROOANG, FLASHING, SHEATHING
28. SIDING
C', .,
- 1
1. WIRING APPROVED
2. FOUNDATION VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
\ 7. TR. MAT. NEXT TO CONC.
\. 8. WASHERS ON ANCHOR BOLTS
\
\ 9. BEAMS PROPER SIZE
'9. FLOOR JOIST SPAN
1.\ NOTCHING & DRILLING
12. STAIRS
WIDTH
RISE & RUN
WINDERS
LANDINGS
HEADROOM
13. ATTIC VENTILATION (upper & lower)
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AIR
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
18. SMOKE DETECTOR
19. SHEETROCK BACKING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
~w~
p, ,u;;;,.l'YHI2- ~
FRAMING INSPECTIO~<<=.A'
APPROVED BY: C / c--
5~Z~/ f;
2B INSULA liON
COMMENTS:
1. PROPER R-VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECT~k'f 5'-7//17)
APPROVED BY: ~L- 71
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. '8' VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
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HVAC APPROVED 8y$-f-/l'-~ '
GAS PIPING APPROVED BY:-
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
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PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
6. PROPER FflTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT' PRES. RELIEF VALVE &. LINE
10. SEISMIC STRAP . ~
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UNDER~D Af.~R~YED
By. V ----,"-zri...h ~"'>-
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ROUGH-IN APPROVED
BY:
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WALLBOARD
6. FIRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN ATTIC
9. PROPER CaNST. OF FIRE WALL'j
10. DROP CEILING &. LIGHTING /
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4. 518 UNDER STAIRS
5. FURNACE ENCLOSURE
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COMMENTS:
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WALLBOARD APPROVED BY:
4
FINAL
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS
5. DISHWASHER AIRGAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. ARE DAMPERS INSTALLED
8. PENETRATIONS IN ARE WALLS
9. HOT WATER TANK PRL
10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPLACE HEARTH
14. SAFETY GLAZING
15.INSULATJON
WINDOWS MEET ENERGY CODE
UNDERFLOOR & ATTICE INSUL.
WATER PIPE &. HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS &. DOORS CAULKED
FINAL PLMB. APPR. (comm.) - COMMENTS:
FINAL MECH. APPA. (COmm.~ K
FINAL BUILDING APPR. ~16 I~/Z-<:'/'fo
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)41579
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Fee $_____~(__:~~~~____...._.____._.._______........_____.....___ Receipt No. _.....Z,...._."?:.___~l~_.8.-r.----h...--
BUILDING PERM IT .'
CITY OF BREMERTON BUILDING, DEPARTMENT
~
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
(/, II'
Owner's Value I Bldg. Dept. Value I' DESCRIPTION:
$..,.. l' ..
'/ .~ ,., /\ _.-' ' Lot Block Additions
Address on Job ,~~:?/::__P_._~..m(~!(g,/!:~:_::_t..- .~___m.u m.'._ __.._.__ 00___._ m_m_m__ 0000.. Date .1100::__-2: 'h<(:::__~?.~m.__ 00
Building u._u._u...m x ....u.._mm_ and _m.Lu_u__ stories m_uhuu.__...u._u basement. Lot m.m_u..u.. x u.._m.m.m
I' .
Front Yard _m_mm._m_muu Rear Yard _m_m.mm_.m_m SIde Yard _m_m_m_m_um.. Garage .m..hm...hm.___.u.m
E~~::~~-~~&;::--:::::--::-::::-i~i~::::::::::::::::::-:::::~;;;::::::::::::::-~E~:::::::::::::::::-:-
This permit is issued for:
::~,;~~~iififfl~:~:::ii:~:f:~L::7f1.~~::;f~/j~;;f!1,:~~::~::::::::::::::::::::
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All work to confonn to all app icable 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 fra,me 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 he'ating. See City Engineer before working on streets or sidewalks.
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Owner's Signature~...~~._.~_'-"k___'h_uu,,________,__ By h~~-______'T~d~.~.1-'-:~_uu:._______u__
llis lfs./thorized Agel~t
Bold' I ..7--C ',/,:".
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8 By -00 _.00 - -- 00 -- _Ju u' 00 u. - 00 -. u..u. u. _ _ 00 00 __.. ____ ___. __ 00.00 --__. __c'.u., - --:', -.;,-.
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