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PAZOOKI & ASSOCIATES
P.O. Box 720
SILVERDALE, WASHINGTON 98383
(206) 692-5525 FAX (206) 698-0546
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PAZOOKI & ASSOCIATES
P.O. Box 720
SILVERDALE, WASHINGTON 98383
(206) 692-5525 FAX (206) 698-0546
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P.O. Box 720
SILVERDALE, WASHINGTON 98383
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INSPECTION RECORD CARD
CITY OF BHElJERTON BUILDING DEP AHTMENT
~"---
l:;a7' ~
11938
PERMIT NUMBER
i.
ADDRESS
OWNER
CONTRACTOR
2624 CHERRY AVENUE
ijARRISON HOSPITAL
ACE PAVING CO
PHONE
PHONE
---"
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PlANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOIL BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS
11. FOUNDATION VENTS
12. CRAWL ACCESS
, COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF & CEILING LINES
FURRED OUT AREAS
FIREPLACE AT CEILINGS
HOLES PLUGGED TOP & BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED FIRE EXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. A TIIC ACCESS
26. RAFTER & JOIST SPAN
27. ROOFING, FLASHING, SHEATHING
28. SIDING
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.
B. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAN
11. 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:
FRAMING INSPECTION
APPROVED BY:
2B INSULATION
COMMENTS:
1. PROPER R-VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
HVAC APPROVED BY:
GAS PIPING APPROVED BY:
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. IB' VENT SIZING
5. IB' VENT CLEARANCE
6. IBI VENT SUPPORT
7. COMBUSTION AIR
B. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
",
WDST APPROVED BY:
~I .1..-
_.........:ll.A.. ~JI.~~ __,.
T-W_1IIl1 -
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
p
411I ~ .d.ll.....
.~r
6. PROPER FIlTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & LINE
10. SEISMIC STRAP
UNDERGROUND APPROVED
BY:
ROUGH-IN APPROVED
BY:
3
WALLBOARD
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4.518 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:/
WALLBOARD APPROVED BY:
J:1
6. ARE SEPARATION iN GARAGE
7 . ATTIC ACCESS
8. DRAFT STOP IN ATTIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
~-'EJ' 1111I
--
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. FIRE DAMPERS INSTALLED
8. PENETRATIONS IN FIRE WALLS
FINAL PLMB. APPR. (comm.)
FINAL MEeH. APPR, (comm.
FINAL BUILDING APPR.
4
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9. HOTWATEA TANK PRL
, 10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPLACE HEARTH
14. SAFETY GLAZING
15. INSULATION
WINDOWS MEET ENERGY CODE
UNDERFLOOR & A TTICE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
COMMENTS:
I
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FILE COMMENTS
NUMBEROF PLAN SETS
c9 ~:d~ C )VJ~ _
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APP. NO. q ) Pr-t~ 0 .~~ 7[
SITE ADDRESS:
OWNER:
PERMIT NO.
VALUATION: 1. q [p<< J ~ L(-
FEES PAID:
PLAN CK.
/
BLDG.
SRCHG.
PLBG.
MECH.
OTHER
ROUTING:
DATE DATE APP. WI NOT
SET # SENT RETURNED APP. COMMENTS APP.
REVIEWER
ENGINEERING
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BUILDING
PLANNING
WATER
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~
FIRE
TRAFFIC
HEALTH DEPT. D
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A P P L I CAT ION
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Application Date
Issue Date
Assessor Acct #"
site Location
Owner - Last Name
- street
- Ci ty,
- Phone
Tenant's Name
Agent's Name' "
Archi tect 's Name"
[X] Building:}'
[ ] Mechanical'
[ ] Plumbing/'
05/15/1991
Application Number 91AP03378
Permit Number
Project Group
2624 CHERRY AVENUE
HARRISON MEMORIAL
2520 CHERRY AVENUE~
BREMER TON " '
(206)"
RICK 377-3911 EX~;2762
First HOSPITAL
MI
state WA
Zip 98310
Phone(206)
Phone(206)
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" [, ] Grading -"
~ [ ] Move'Building
f.. ] Mobile Home
. [ ] Sign
[ ] Burning
[ ] Land Clear
[ ]
[ ]
[ ]
Paving
Underground
Demolition
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Building .9ontractor:
,~: .' "-,<.
Contractor ';,,'
street 'Ui
Ci ty r,::
Phone}; ,
Represemtat i ve
sta te Li cense #"
Ci ty Lic<~nse #"
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! ACE PAVING CO.
BREMER TON
(206)
state WA Zip 98310
ACEPA**275K5
Expiration Date 05/l5/l991
Expiration Date
Nature of Work: '
Retaining<;wall for parking lot ,"grading permit
"
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Building Valuation
-.. .-
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.$~6124. 00
Council Distl:'ict 2 Census Tract
Construction Sq Feet Inspections
0 Type Required
Residence [ ] Zoning Foundation [X]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ]
New [ ] Plumbing [ ]
Repair [ ] status Mechanical [ ]
Remodel [ ] Code Wallboard [ ]
Addition [ ] 32 Final [X]
-------------------------------------------yt------------------------
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To -S-A-W't.:<j L.(h';(,~FCJIZD .
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Subject REQUEST FOR REVIEW
h.ller-OUice COl1lmUnlcaUOIl '. . t...~" '"... ;;O:'...~/::~.. .
City of Bremerton I-I">.o-~ ...~.~
si te l\ddress: -1.-':,2.4
c. H 611-/2 If
4vr:
Building l\1'P1. # <)1 A Po ":33 7(1
Owner:
Contractor:
fKI No iden t:ifiable problems noted.
D Developer shall contact the Utility for l\pplication for Water Service and pay all assessed
[ees prior to construction.
o Developer shall contact the utility for l\pp.lication [or Sewer Connection and Sewer
Inspection Permit and pay all assessed fees prior to construction.
o Developer shall contact the Utility for l\pplication for storm Sewer Inspection and pay
all assessed fees prior to construction.
o l\tmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers.
D l\ll plumbing, inside and out, shall conform to city of Bremerton and Washington state
Cross Connection control Standards.
o Owner shall cont,:lct the Utility Billing Office (478-5316) prior to demolition for payment
of fees for water meter removal for existing service. If service is to remain, contact
must be made for possible recoding of billing account type.
D Prior to demolition of existing structures, sewer laterals shall be capped. l\ppropriate
sewer cap permits and inspections shall be obtained by the Contractor.
o Developmen t is subject to moJWl\ Regula tions, l\PWl\ Speci fications, DOE Regula tions,
DOli Regulations, I3remerton Municipal Code, <lnd Utility Standards.
o Contractor to verify location and depth of existing utilities. Contact Underground
Utility Locates (1-800-424-5555) forty-eight (48) hours prior to start of construction.
o Other:
f4ID
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(fa ~ i~! ;-~ !: l;i I;' ,
MA)' 28 '1991
l,R;:::lt=~TC:.
8U1WIHG DEPARTMENT.
l\PPROV'
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B REM E R TON
B U I L DIN G
CITY OF BREMERTON
D E PAR T MEN T
MAY 2 01991
PER M I T
A P P L I CAT ION
======,===================~===========================================
MUNICIPAL UTILITIES
Application Date
Issue Date.
Assessor Acct :#
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Building
( ] Mechanical
[ ] Plumbing
05/15/1991
Application Number 91AP03378
Permit Number
Project Group
2624 CHERRY AVENUE
HARRISON MEMORIAL First HOSPITAL MI
2520 CHERRY AVENUE
BREMERTON state WA Zip 98310
(206)
RICK 377-3911 EXT. 2762 Phone(206)
Phone(206)
( ] Grading
[] Move Building
[ ] Mobile Home
[ ] Sign
[ ] Burning
( ] Land Clear
[ ] Paving
[ ] . Underground
[ ] Demolition
-------------.--------------------------------------------------------
Building Contractor:
Contractor ACE PAVING CO.
Street
City BREMERTON
Phone . (206)
Representative
State License # ACEPA**275K5
City License #
state WA Zip 98310
Expiration Date 05/15/1991
Expiration Date
Nature of Work:
Retaining wall for paJ;king lot, grading permit
Building Valuation
~
$96124.00
Council District 2 Census Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation (X]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ]
New [ J Plumbing [ ]
Repair [ ] status Mechanical [ ]
Remodel [ ] Code Wallboard [ ]
Addition [ ] 32 Final [X]
L,Jo~
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=====================================================================
Application Date
Issue Date
Assessor "Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Building
[ ] Mechani cal
[ ] Plumbing
Building Contractor:
Contractor
Street
City
Phone
Representative
State License #
City License #
05/15/1991
Application Number 91AP03378
Permit Number
Project Group
2624 CHERRY AVENUE
HARRISON MEMORIAL First HOSPITAL MI
2520 CHERRY AVENUE
BREMERTON State WA Zip 98310
(206)
RICK 377-3911 EXT. 2762 Phone(206)
Phone(206)
. [ .] Grading [ ] Sign ",<" [ .] Paving
L ] Move Building. [ ] Burning. [] " Underground.
[ ] Mobile Home [] Land Clear :~[.] Demolition
ACE PAVING CO.
BREMER TON
(206)
Stat~ WA Zip 98310
" ACEPA**27 5K5
- Expiration Date 05/15/1991
Expiration Date
Nature of Work:"
Retaining wall for parking lot, grading permit
Building Valuation
,
"
---------------------------------------------------------------------
$96124.00
Council District 2 Census Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation [X]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ]
New [ ] Plumbing [ ,
j
Repair [ 1 Status Mechanical [ ]
j
Remodel [ ] Code Wallboard [ ]
Addition [ ] 32 Final [X]
,-
:: = = = = = = ': = = = = = = = = = = = = = = = = = = = = = = = = = = = =:: = = =-= = = = = = = = = = = = =,= = = = = = = = = = = = = = = =
~'_ 1,-__CAI
1. ENTER AREA OF IMPREVIOUS SURFACE (PAVED AREAS
AND ROOF AREAS)
25586 S.F.
2. A. ENTER DIAMETER (FT) AND LENGTH OF
PIPING TO BE USED FOR STORAGE
, DIA (FT) LENGTH (FT) -
3 77 544.28-
3 29 204.99
3 39 275.67
o 0 0.00
TOTALS 1024.94 CU.FT.
B. ENTER DIAMETER (FT) AND THE HEIGHT DIFF
(OVERFLOW - INVERT ELEV.) OF MH'S TO BE USED
DIA (FT) LENGTH (FT)
_ CONTROL 5 3.12 61.26
BASIN
61.26 CU.FT.
RESULTS
REQUIRED VOLUME OF STORM DETENTION
VOLUME ASSHOWN ON PLANS
ORIFICE RELEASE RATE
ORIFICE DIAMETER
1026.18 CU.FT.
1086.21 CU.FT.
0.12 CFS
0.013
1.57 INCHES
~_~3~~ UJ (lJt- O~~
O~r ~{J~~!
-
>>__L--
q I-JY3
B REM E R TON
B U I L DIN G
D E PAR T MEN T
PER M I T
A P P LIe A T ION
---------------------------------------------------------------------
---------------------------------------------------------------------
Application Date
Issue Date
Assessor Acct #
Site Location
Owner - Last Name
Street
- City
- Phone'
Tenant's Name
Agent's Name
Architect'~ Name;
[X] Building ,:/
[ ] Mechanical
[ ] PI umbing/
i'~"
Building pontractor.;
/; 'l"
Contractor L;~;'
!t:;f
Street ,;f;
City Ii,
h '~';',i
Pone ;:"
Representative
State r.hcEmse' #
Ci ty Li~~fnse #
05/15/1991
Application Number 91AP03378
Permit Number
Project Group
2624 CHERRY AVENUE
HARRISON MEMORIAL First
2520 CHERRYbVENUE'b.J.:,."
BREMERTON- Stat~
( 2 0 6 ) "
RICK 377-391T' EXT:;:2762
HOSPITAL
MI
WA Zip 98310
Phone(206)
Phone(206)
, if}:"
),~~~' ,
;., "."
[,:} "Grading.,,,'" [ J Sign [. ] Paving
[ ] ", Move'Bui 1 ding [ ] Burning [ ] Underground
[ "J Mob'i 1 e Home [ ] Land Clear ( ] qemolition
""f.". .~
;'
"
------.---------------------.-----------.----------------
" ,
,'Y. :
"\,
;~ .~'.. ~.
(ACE PAVING CO.
i
I
I BREMERTON
,
.~ (206)
1\ ,
"ACEPA**275K5
.State WA
Zip 98310
, Expiration Date,05/15/J991
,: Expiration Date
',: .., -I
'~;~~;>,. <\' <
'"
Nature of Work: ~,
Retaining\t~all f.or par~ing lot ,'grading permit
,<
':;;',
'./.>
"':.;\"
'\~~.
Building Valuation
"'.<i!,
"t,,_ .
" ,~
, <'>:'-
------------------------------------------------------.---------------
k>_~,'< :,$, ~~,.6~12 ~ ~ ~q>~...,'
Council District 2 Census Tract
Construction Sq Feet Inspections
Type' Required
Residence [ ] Zoning Foundation [X]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ]
New [ ] Plumbing [ ]
Repair [ ] Status Mechanical [ ]
Remodel [ ] Code Wallboard [ ]
Addition [ ] 32 Final [X]
------------------------------~~------------------------------------
f ) ~ -~ -;- -;r - - - - - - 5~) - ~ - ~"iJ - (- tr~,~- =- -~ - W- - - "51;; 71 r - - - - - - - --
B REM E R TON
B U I L DIN G
D E PAR T MEN T
PER M I T
A P P L ! CAT ION
-------------------~-----------~-------------------------------------
----------------------------------------------------------~--------~-
~pplication Data
Issue Date
Assessor Acct ?t
Site Location
Owner - Last Name
- street
- City
-. Phone
TenantVs Name
AgentVs Name
ArchitectVs Name
[X] Building
( ] Mechanical
[ ] Plumbing;
Building Contractor:
Contractor
St.reet
City
Phone
Representative
St.~te ti cer.UJ~ lV
City Lieense ~
05/15/1991
Applicat.ion Number 91AP03378
Permit Number
Project Group
262~ CHERRY AVENUE
HARRISON MEMORIAL
2520 CHERRY AVENUE
BREMERTCN
(206)
RICK 377-S911 FXT.
First HOSPITAL
M1
state WA Zip 98310
2762 Phone(206)
phone(206)
[ . J GrZlding
[ 1 Move Building
r j tv::obi 1 e Eome
[ J Sign
[ ] BUt:'ning
[ ] Land Clear
[ ] Paving
[ ] Underground
L ] Demolition
ACE PAVING CO.
BREMERTOW
(206)
stateWA Zip 98310
Expiration Date 05/15/1991
Expiration Dat.e
ACEPA**215K5
Nature of Work:
Retaining wall for parking lot, g~&ding permit
. . O/~
~~~ ~ ~~~~ _ ~:~ ~::~ ~~_ _ _ _ _ __ __ _ _ =~~~: ~:~~ _ _ _ _ _ _ ___ _.~ ~ _F- ~/ 7- '71
Council ~istrict 2 Census Tract
, Construction Sq Fe~t Inspections
TYPe Requj,&'l;;:d
Residence [ ] Zoning Foundation LX]
Business LX] Type Framing [ ]
Other r , Insulation v- .,
I- j l. I
..
l.'h~w [ J Plumbing [ ]
Repair [ ] status Mechanical r ]
l
Remode! [ ] Code Wallbcard [ ,
J,
Addition [ ] 32 Final [XJ
\== : r(...
------------------------------------------.-------------------------~-
-------~-~-------~-----------_._-----------~--------------------------
5~)~--q \
B 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
Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name'
[X] Building
[ ] Mechanical
[ ] PI umbing:r
05/15/1991
Application Number 91AP03378
Permit Number
Project Group
2624 CHERRY AVENUE
HARRISON MEMORIAL
2520 CHERRY ~VENUE~
BREMER~ON .
( 20 6 r .' . ;
RICK 317-391r EXT.;2762
First HOSPITAL
MI
State WA
Zip 98310
Phone(206)
Phone(206)
:~ '
, .'t
("~';":'
. ~! i
[ .J Grading.. . [ ].Sign , [ ] Paving
[ ] Move"Building [ ] Burning [ ] Underground
[.:.] Mpbile Home [ ] Land Clear [ ] Demolition
r, ~
----------,-------------------------------------------,----------------
{if
. ;:. ~ l... ... ~
,
Building fon~ractor:
,.,1"' > I,:, ""~'. .
Contractor ACE PAVING CO.
;(1.'
Street ;:y
d
City ~ BREMERTON
;>r:
Phone )~" ", (206)
Repres~ritative -
State LJcemse # 'ACEPA**275K5
City Ligense #
'~t. ".,
:~., '..^;~ i<<.
State WA Zip 98310
Expiration Date.05/~5/1991
Expiration Date
Nature of Work: ".;'
Retaining~~all fpr par~ing lot, g~ading permit
'{:
<;'>
,\"
......,.
Building Valuation
;. ...
-----------------------~---------------------------------------------
.$~.6124. 00
Council District 2 Census Tract
Construction Sq Feet Inspections
Type Required
Residence [ ] Zoning Foundation [X]
Business [X] Type Framing [ ]
Other [ ] Insulation [ ]
New [ ] Plumbing [ ]
Repair [ ] Status Mechanical [ ]
Remodel [ ] Code Wallboard [ ]
Addition [ ] 32 Final [X]
------------------~=#==d~~~~~----------------------------------
[S\~---------~--~~---~~~/~(--------------------------
B 0 I 1... D ! N G
~ E PAR T MEN T
B REM E R TON
PERMI"!'
~_______~_.~_______~_____~__k._______~__________'__~____________~_______
- - ,.... - ... -- - - - - - ~- - - -- -~ .... - - - - -. - -- ...... .... ,... ..- , ... - ..... - .- - -.. --- ..- .- -- ..... - .... - - .~.. - .- - ... .... -... - - - - - - ...... - - - - - .... ~ - -. ..... -
A?plication Dabe
Issue Date
Assessor Acct ff:
Site Location
Owner - Last Name
- street
-. Ci ty
~ Phone
Tenant's Name
AgentOs Name
Architect~s Name
[x] 'Building
r ] Nechanical
r ] Plumbing
05/15/1991
OS/28/1991
Application Number 91AP03378
Permit Number 11938
Project Group
2624 CHERRY AVENUE
HARRISON M~lOR!AL
2520 CHERRY AVENUE
BREltlERTm~
(206)
RICK 377-3911 EXT.
First aOSPXTALJ
MY
state WA Zip 98310
2762 Phone(206)
1?hone(206)
[ ] GrZlding .
[ ] Move Building
[ ] Mobile Home
[ ] Sign
[ ] Burnill1.g
[ ] Land Clear
[ ] Paving
[ ] Underground
[ ] Demolition
-------~--~-----~----------_._-----~---~~---~-------------------------
Building Contractor:
Contractor
street
City
Phone
RGpresentative
St.ate License ti
City License ~
ACE PAVING CO.
PO BOX 4070
BRE~4ERTOl\'l
(206) 275-6057
state WA Zip 98310
Expiration Date 05/15/1991
Expiration Date
ACEPA**275K5
Nature of ~1ork:
Retaining wall for parking lot, grading permit
Building Valuation
-~----~------_._~-------------~---~--------~---~---~-----~---~--------
$96124.00
Cotmci 1 District 2 Census Tract
Construction Sq Feet Inspections
Typ~ Required
Residence [ ] Zoning Foundation [X]
Business [X] Type Fr@ming r ]
l
other [ ] Insulation [ ]
N,eH [ j Plumbing [ ]
Repair [ ] status M€chanical [ ]
Remodel [ ) Code t~rallboard [ ]
. A9dH: ion [ ~ 32 ;(.\inal [X]
J
-----~~---~~~-~----~----------~--~-----------~~-_._----~._----~---------
Ee6eiv~d 3y: . Approved By: .'
'~"''"J~ ~. ?/) Ai .. .--: I. .
-f./ . J . .,.-1' I' ;.~-..., '.' \.......
_ ._ _. _ .... '- _ _ _ _ ."':j -.& ~ _ .. _ _ !...._ _ _. -. _ _ _ _ _ ._ .- _ _ _ _ _ _ _ _ _ _ _ ~ -;;. _1_'--' _ .. .- -. ~ '-";. _4. - - -I
,- - - - _<:i"""4",, _' '? - - _ bo-A;,-.. ___ __ ___ _. _'_ - _._., - - - - - - - - __.__ __'__,"" __ - -. _-",,_ :;_.". -(;^'_'--~~ .
l./r~. ~ /:0_"""'" JtL!....r-f~.A""-" r? ~. I \-
\~t) ~~- -~~ ,.': ~-~
, i l
/ \ \ ,
'. \
B REM E R TON B U I L D A-~ G D E PAR T MEN T
CON D I T I ON S 0 F PER M I T
---~-----_.~-----------------~~--------~-~--~~------------------~------
-------_.~---~---------------~------~-----_.~---------------~----~-----
Application Number 91AP03378
Permi t Numb.ar 11938
Engineering--Propcsed driveway section must be standard
city of Bremerton driveway section (detail shown does not
comply)
Bubble up catch basin ~ust be set in the concrete gutter
per City of B~emcrtonstandards. The curb, gutter and
sidewalk shall be removed to expansion joints, or saw
cut-on dummy joints. Replacements tolill be with City of.
Bremerton curb, gutter and sidewalk.
Driveway permit is required from Engineering prior to
const~~ction. Need to submit Certificate of Insurance
, ,
naming.Cify as an additional insured and p~y $42.00 permit
fee to obtain permit..
Details of silt fence and straw bale dams are shown, but
location not shown on plan view. Erasion control shall be
placed along the entire south and west edges of the
property.
No method is shown to ~revent track-out onto street.
No dirt or waste shall be tracked out onto the public
r.:i.ght"o-f-way.
1
~:=====;=========================~=====~========:==========~=========
'I
1
B REM E ~ TON
B U I L DIN G
D E PAR T MEN T
PER M I T
----------------------------------~-----------------------------~----
---------------------------------------------------------------------
' ~
~
~
~
Application Date 08/13/1991
Issue Date 08/13/1991
Assessor Acct #
Site Location' 2624 CHERRY AVENUE
Owner - Last Name HARRISON HOSPITAL
-street 2624 CHERRY" AVENUE
- City BREMER':l'O!\j'"' "'State,WA Zip 98310
- Phone (20J>)<> ":',
Tenant's Name '>/ /',"P'Kone(206)
Agent's Name // ' " // //~h~h~( 206)
I" /",,//") " ... ('/! " '"
Archi teet's Nam~ / \' ,,/ I // ,
[ ] Bui 1 ding /> ,LJ\Gf~ding~"'E,lJag.n'/,<
[ ] Mechani ciVi/ "r 1 ~ove,,:'Bui 1 ding []B'urping,^, '"
[X] Plumbing.'; 'f.JM9blle Home [] Land/~",leai>
/ ~ ~
,','/ "
----~---------- ~----~----~~--
~ ~
" Ii
Building Co~tractorf
Application Number 91AP03881
Permit Number (~~
Project Group ~
First
MI
[~J Paving
L]'\Underground
,[ ,l\pemol i tion
"
\\
,',
"
.' I /" .. .
Work wil~'ber'compl~ted by owner.
Nature of; W'ork:J
Lawn s~ti~ltlie): system
':,' i
/
I
-."j
/.
"
;/'
/1
/ ./
Construction
Type
v
,,;>'
/('
. /f'
J7
Inspections
Required
Residence
Business
Other
New
Repair
Remodel
Addition
[ ]
[X]
[ ]
[ ]
[ ]
[ J
[ ]
" ,~,Zcmi !l,9
. TYPe'u
status
Code
Foundation [ ]
Framing []
Insulation ( ]
PI umbing [X]
Mechanical [ ]
Wallboard []
Final [X]
\
...., ,I..
BRE~~~TONBU~LDING DEPARTMENT
',. . ~ ~ \ .
P L U/;:..:,,,~;,~G ~:';l~:~~(~ I TAP P i. I', r A TI If N: \' \ \
=============~=====~=~~=====~=========================~====~=========
,- .
,., ~.' .,,'
Application Number 91AP03881
Contractor
street
City
Phone
Representative
state License #
City License #
SUNDBERG CONSTRUCTION
5645 E HILLCREST DRIVE
PORT ORCH1\RD..
(206)/' / S'fa~te~:WA.,.,Zip 98366
I ) / ~ ",. '} ~c"~'<:,'~~:~~:>,
,.Ex:&>t1:"el;tion; Dat~>06/17 /1992
\ t i ,,-'" 1 . ,I (-',_, ,,',
Ex p;j;rat,i prL/D, t e ';~:"
SrJNDBCCl f:2L8.'
" . "'--,
\" ',"-,.' >J
/toil~ts
: Bathtubs>";'
, , '" " -,' ,,:/
'Bas! n s :;:;
Showefs
Kit.d'hen Sinks
Di,~hwashers
L~undry Trays
Olothes Washers
Water Hea ters~~"1
prinals :
Drinking Fountaihs
Drains I
klop Sin~~ I
i\ . ' .,""
W,ater p~pJ.ng
Ifiterceptors'
vabuum 'Breake,r.
1 Lawa Sprinkl er<.
,lEt re'':sprinkl er "
'.' \j
\\ /pi;'ivate,Pools
\\ 'v;s E(mJ: - P r {\l'aj:.~ Pool s
'>., 'Public Pool S*'L."",,~
< " /' - ' ,
. .':.." G r ()~nd w.ot:~
'Sump$/ ....:,J ri. ,e'7 "
A1t.erat1on~' r: i i I
Ki drtey 'l'1a c hi rie' 51.)
P r i vat eCcHO:t;.T.UPEl..~ , ,._
Semi - P r i vat eHot"Tt1b~r'
Public Hot Tubs
Other Options
"" '
.===========~===============================================~~:.==~~'===
II DEPARTMENT OF COMMUNITY DEVELOPMENT II
Gateway to the Olympics arid Home of the Puget Sourld Naval Shipyard
BREMERTON BUILDING DEPARTMENT
286 Fourth street
Bremerton, WA 98310
478-5275
CERTIFICATE OF COMPLETION
This 1 et ter certi f i es that the bui 1 ding, s t ruct ure or porti on
thereof, as described below, is completed and has met the
requirements for final approval pursuant to the Building and Fire
Sa f ety Codes as adopt ed by the Muni cipa 1 Code f or the Ci ty of
Bremerton that are appficable to this project.
Work as defined in building permit #11938 has been completed at:
, 2624 Cherry Avenue
The bui 1 ding, s truct ure, or porti on thereof as def ined above,
passed final inspection on 8/23/91.
.~6W~
DAVID A. NELSON
Building Official
DATE:
.~/?;~/
286 4TH STREET . BREMERTON, WA 98310 Il!I (206) 478-5275
An UjIUll Opporlwnity f.'"Plop
Cityof Bremertoll,
BUILDING: 478-5281
DEPARTMENT OF CONSTRUCTION
AND LAND USE
PLANNING: 478-5215
Building Department
Request for Issuance of Certificate of Completion
TO:
~ilding~
B9siness License
~ngineering ~
Please review this request for a Letter of Completion to be
issued to the following structure and return to this Department
by ~30/~____. Thank you.
\.P1re ~
1'ianning~
T~ffic
4<aterjWastewater ~
Date_~~~0!______
Permit Technician:
Janet Lunceford
*****************************************************************
Address of Building
Harrison Hospital Parking Lot
Building Owner
Harrison Hospital
--------------------------
Nature of Construction
Grading/retaining wall to create parking lot
Name of Building
N/A
Contractor
Ace Paving
Permit j:
11938
Square Feet
5/28/91
N/A
N/A
Permit Date
Type of Construction
*****************************************************************
Comments:
-------------------------------------------------
Approved __ Disapproved __ By:________________Date_____________
BUILDING: 478-5281
Cityof BremertOIl.
DEPARTMENT OF CONSTRUCfION
AND LAND USE
PLANNING: 478-5275 .
Building Department
Request for Issuance of Certificate of Completion
TO: Building
Business License
Engineering
Fire'
Planning
Traffic
water/Wastewater
Please review this request for a Letter of Completion to be
issued to the following structure and return to this Department
by ~30/~____. Thank you.
Permit Technician:
Janet Lunceford
Date_~~0!______
. \
*****************************************************************
Address of Building
Harrison Hospital Parking Lot
Building Owner
Harrison Hospital
-------------------------
Nature of Construction
Grading/retaining wall to create parking lot
Name of Building
N/A
Contractor
Ace Paving
Permit # 11938 ~'(:-~~____
Permit Date 5/28/91 i' i.I .t., .'" ~
Type of Construction ~________ 4U~_
Square Feet N/ A BUILL"
, ~v~ c-. .
*****************************************************;~~*~~~*****
Comments:
------------------------------------------
Approved.J;.. Disapproved - eY~
'.
Date_~~ - 1'('_ .
Cityof BremertoI\,
BUILDING: 478-5281
DEPARTMENT OF CONSTRUCfION
AND LAND USE
PLANNING: 478-5275
Building Department
Request for Issuance of Certificate of CompletioVlTY OF BREMERTON
TO: Building
Business License
Engineering
Fire
Planning
AU G 2;j 1991
TraffiCMUNICIPAL UTILITIES
water/wastewater
Please review this request for a Letter of Completion to be
issued to the following structure and return to this Department
by .-lU30/~____. Thank you.
Permit Technician:
Janet Lunceford
Date_~~0!______
********** ************** ** * *** ***** ***** ** * *** ** ** * *** * ** ***'** ** *
Address of Building Harrison Hospital Parking Lot
Building Owner Harrison Hospital
Nature of Construction Grading/retaining wall to create parking lot
Name of Bu~lding JV3____________________________________
Contractor
Ace Paving
[
,~
~-:::
_ 2 G ~~: LS@}-__
Permit #
11938
Permit Date
5/28/91
N/A
Type of Construction
1~ll ,"
o ,I} 1"/" " , ~
..... ...~.:..: JVU [)Cn'r,
- ~I f1iT/MENr
Square Feet
N/A
*****************************************************************
Comments:
Approved ~ Disapproved __ BY:_~_Date_~~~
Cityof BremertoIt
BiJILDlNG: 478-5281
DEPARTMENT OF CONSTRUCfrON,
AND LAND USE
l'
I
PLANNING: 478-5275
Building Department
if ~ (F' ~,
~u; c.~ ,;7 tl.t" ~
. \1. Ii'" if"
fIU(:: f),. '" ~,^.b
, '. i:, J 799
Compl@:tiiA,;,Pe .. 1
J l'1Ie...
. "Oil F.n .
.g!fiI')(~I"S
Request for Issuance of Certificate of
TO: Building
Business License
Engineer ing I
Fire
Planning
Traffic j
Water/Wastewater
Please review this 'request for a Letter of Completion to be
issued to the following structure and return to this Department
by --Y30/2l.-__~_. Thank you.
Date_~~0!_______
Permit Technician:
Janet Lunceford
*****************************************************************
Address of Building _Harri~l!~spita!.]'.!lrking Lot
Building Owner _~~~is~~ospit~~______________________
Nature of Construction Grading/retaining wall to create parking lot
Name of Building N/A
Contractor Ace Paving
Permit i 11938
Permi t Date 5/28/91
Type of Construction N/A
Square Feet N/A
*****************************************************************
Comments:
------------------------------------------------
Dat eJi~_2..1::~L
Approved ~isapproved
Cityof BremertoIl
,
BinLDING: 478-5281
DEPARTMENT OF CONSTRUCfION
AND LAND USE
PLANNING: 478-5275
Building Department
Request for Issuance of Certificate of Completion
TO: Building:
BuSiness License
Engineering
Fire
Planning
Traffic
water/wastewater
Please review this request for a Letter of Completion to be
issued to the following structure and return to this Department
by --.!U30/21--____- Thank you_
Permit Technician:
Janet Lunceford
Date_~~~0!_______
*****************************************************************
Address of Building Harrison Hospital Parking Lot
Building Owner _~~~is~~~spit~~____________________~___
Nature of Construction Grading/retaining wall to create parking lot
Name of Building N/A
Contractor Ace Paving
Permit i 11938
Permit Date 5/28/91
Type of Construction N/A
Square Feet N/A
*****************************************************************
Conunents:
__ BY:~~~ate____~_~___
Approved _~Disapproved
~ \ - L\ li \
Cityof BremertoI\,
BUILDING: 478-5281
DEPARTMENT OF CONSTRUCfION
AND L.AND USE
PLANNING: 478-5275
Building Department
Request for Issuance of Certificate of Completion
TO: Building
Business License
EnQineering
Please review this request for a Letter of Completion to be
issued to the following structure and return to this Department
by ~30/2.!.-____. Thank you.
Fire
Planning
Traffic
Water/Wastewater
Date_~~0!______
Permit Technician:
Janet Lunceford
-
*****************************************************************
Address of Building Harrison Hospital Parking Lot
Building Owner Harrison Hospital
Nature of Construction Grading/retaining wall to create parking lot
Name of Building N/A
Contractor Ace Paving
Permit i 11938
Permit Date 5/28/91
Type of Construction N/A
Square Feet N/A
*****************************************************************
Comments:
ate~~h
Approved ~ Disapproved __ By:
~
3~
- -'-::5;.;IVi1~:h:j~lJtlJM--tPAVI tPll.-~IL~ ~~
$1f'~
(~5~
,w
POLe:. -ryp tf\;tS 'p~j,I.J{-
-- . I I I I I
-4:Vlb.11I-JU? -
.,;>Pt<.1 N6, .
~~~
.. _ _. trufv-IW ~
~ -/2.C-EO)!>.NOTfhJ? _H V~1Jotr r.l
(Fl'-OME:.XI-:,i: .P!-AWIIf-J~.?") ...... - ~ ~ '(e/
--~ E- f<AYWOOD.,A~t4 --.' .('.I'"~
tN:..oM ex 10$. j: . PLAJ-J1"':' I N9? .) -~-- ~ ------
---:-==-5.~-----vleulZ- U . . tJ ~ --.--.---- -
~_ ~~I'-I~- ~~UE:."-:'~L. .
"0"
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'V~'f~' ~
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:~ - ~ I:=I:t-f:,lA ~ "'5~RJJt:.E::.: ----= - ,-,~
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. DEPARTMENT OF COMMUNI1Y DEVELOPM:ENT II
-
>, G~teway to the Olympics ~nd Home of the Puget Sound Naval Shipyard
. '>"..,k; !C-,.
B U I L DIN G
D E PAR T MEN T
May 10, 1990
.1
The Harrison Group
2520 Cherry Avenue
Bremerton, WA 98310
ATTN: Dave Olson
RE: 2624/26 Cherry Avenue
Mr. Olson:
It has come to' my attention that your application for building
permit for the change of use of 2624/26 Cherry Avenue will expire
on 5/29/90.
Section 304(d) of the Uniform Building Code states, "Applications
for which no permit is issued within 180 days following the date
of application shall expire by limitation... The building official
may extend the time for action by the applicant for a period not
exceeding 180 days upon request by the applicant showing that
circumstances beyond the control of the applicant have prevented
action from being taken. No application shall be extended more
than once."
-'
Please contact me within 14 days to discuss your intentions for
this project.
Sincerely,
~~~ct:~
Permit Technician
cc: file
wI LJ
~~
$J~C; /90
286 4TH STREET . BREMERTON, WA 98310 . (206) 478-5275
An u,1UIl Opportunity Employer
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.Appl i cati on,Date ..
Issue. Date .
Assessor Acct .~
Site Locat ion
Owner - Last Name
- Street
-city.
- Phone
Tenant's ,Name.
Agent's'Name
Architect's Name
[XL-Bu i I di ng "r
..[ ] Mechanical
[]PIumbi.n~i:'
89AP01301
~ppli.cation Number
Per m i t Number.
3933-000-002-0004 Project Group
2624/2626 CHERRY AVENUE
HARRISON GROUP First
2520 CHERRy:AIJENUE
,Br~I::MERTON
( 206) 377-3911-
.1.1./29/.1 989
MI
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[ ] Burni.ng ."fJ "cUnderq'(ound ;
.[ ] Land Clear~~,,~.~L::"] D~mol it ion.
.'
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space f~r '~!:ir~i sOn:Memorifl Hosp~ctal
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Counci I DistY'ict -;Ce,nsus Ty:act'
Construct ion :iSq Feet ',. '. Inspections
Type '.. Required
Residence [ ] Zoning Foundation [ ]
Business [X] Type Framing [ ]
'. at her [ ] Insulation [ ]
New [ ] Plumbing [ ]
Repair [] status Mechanical [ ]
Remodel [X] Code . Wallboard [ ]
Addi t ion [ ] 10 Final [X]
~~~=========;========~~================~~~=====~~===============
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-._====~=====~==========~===~~================~=~=~=====================
Appl ication,Date,
Issue Oate.- .-
Assessor 'Acct .fi:
Si te Locat ion
Dwner Last ~ame
-. Street..
-City
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Tenant"sName
Agent.' sName ..
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11./29/1989 . .-
,Application Number 89AP01301
Permit Number.
Group.
.3933-000-002-0004 Project
2624/2626 CHERRY AVENUE
HARRISON GROUP First
. 2520 CHERRY::;;AVENUE
BREMERTON
. (296) :::l77~$91:1
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....[.]J'1Clbile-Home .,'.;<>c,;.[ ] Land Cl~al.;j,;;.",'~L,:;l,Demo 1 :i.t ion
.Zip98310-
:.1tphone( 206) ..
,.. hone(..206 )
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space fql' {tlar,risOn uMemol'i~lHospi:tal .
~~~V\~o~~t '~~t:;~~~s?C- rnus-h
office; .
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Inspections
Required
Constl'uction
" Type
10
Foundation
Fl'aminq
Insulation
Plumbing
Mechanical
Wallboal'd
Final
( 1
[ ]
( ]
[ ]
[ ]
[ ]
[X]
Residence
Business
,athel'
.New
Repair
Remodel
Addition
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[X]
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Type
status ..
Code
Fr;~===Lr~:;tCr~=fcr============d:;:=====~~;;=====~====
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, ~UILDING PERMIT APPLICATION ~ .,
City of Bremerton, Washington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: 3933-000-002-0004 Pc<.. "c: o (SOl'"")
Site Address: 2624 & 2626 Che~~y Avenue Phone No.: 377-39ll,ext.2985
Owner's Name: The Harrison GrouL Address: 2520 Cherry Ave., Bremerton, WA 98310
Applicant: ~ Owner D Architect D Contractor D Tenant
Architect Firm: not applicable (minor renovations only) Representative:
Address: Phone:
Contractor: not applicable (to be done by owner) Representative:
Address: Phone:
-
Contractor's License No.: Exp. Date:
o Residence [X] Business D Other: 0 New o Repair [] Remodel/~ijX
o Demolish D Duplex o Multi-Family (No. units ) o Sign 0 Parking Lot
o Grading (cu. yds -> 0 Bldg. Move ,- --
) .-p'.'~ "0 -. ,_., .....,- ..
Nature of Work Proposed: Conversion of duplex to general office use. Minor interior renovations
only are proposed.
Sq. Ft.:
Utilities: o Water o Waste o Sewer 0 Septic o New [!] Existing D Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $ $45.00
State - $ 3 . 50 0
$2,000 (approx.)
Receipt No.: Receipt No.: Energy $101$15 0
Date: Date:
Zone Designation: Pro fes s iona 1 OfcOccupancy Classification (UBC): No. Stories: 2
Setbacks: Front: 40' Side: 20' & 11' Rear:58'-60' Height:25 ' - 30 I Heat Source: pecgricJ
ase oar
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) UBe) . I certify that the
information'on this application furnished by me is true and correct and that the applicable'
reqUirernents~he ~y of Bremerton will be met. /// j."q 1&.9
~ Signature ,,' fA }... ~ .// 110 ./' Date ~
( /J / /
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
f' .
, .
h'l~'
B REM E R T.O N
B U 1. L 0 I N-G
o E PAR T MEN T.,
. . .,p. E R M I T
APPLICATION
. .- ====~~===~========~==~===~~================~~~~~=~===================
Appl ication.Date,;1.1/29/1989 '. -Appl i.cat ion Number- 89AP01301
Issue.Date-.~. Permit Numbe~
Assessor Acct ~ 3933-000~002~0004 Project Group
Si.te Location 2624/2626CHERRY.AVENUE
Dwner-Last Name HARRISON GROUP First
St r eet 2520 CHERRY;~VENUE
-eit y BREMEHTON.. ..
- Phone (206)377-a91~
Tenant ~ ?Name ,',J" .".i':- \L":' . .J,'Phone( 206 )
Agent' sName ,~} -' - \~f"Pfc~/' .' ",."", . 'j' . ,,,.,- Phone(-206 )
'. Arch i t ect 's Name'/':;;--.. .,;. ,.",.d._"~' .
[X] Building /,;/...[!;[h.,Grading" r] 'Sign... ';:.,,''''. ll:.-paying " .,.
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Bust ness [X]. Type . F, am i ng [ ]
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New [ ] Plumb i ng []
Repair []. status Mechanical ( ]
Remade 1 [X] Code Wa 11 boar d []
Addi t ion [] 10 Fi nal [X]
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4r~ r /2-/-8"f
~
CITY OF BREMERTON BUILDING DEPARTMENT
PERMIT APPLICATION
11-30- .198 9
TO BE COMPLETED BY
12-4-
, 1989
DATE:
Harrison Group
owner
OWNER
CONTRACTOR
@&@&OW&[Dj
DEe 1 2198Q
BREMERrDN
BUILDING DEPARTMENT
2624-26 Cherry
LOCATION OF JOB
convert duplex to office
For
ENGINEERING COMMENTS/REVIEWED BY~
~-a.. k" / ~ II.
S-H-?vf..O
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APPI. T CI'i'r I ON
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f~IPP 1 i cat i. nn Da.t f'.)
It3suf') Date
A~3sesso)''' fice I'; tl:
~:;i't;e L..ocat ion
Owner - t.ast Name
..... ~::;t '(' eE:)'t;
..... City
..... PhonE)
'T'e:nan!';'s Name
r~~q(;:)nt · s NamE)
Architeet's Name
Lx] Hu i J cLio nq
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.\......' '.' :......
,.. Mc::.c,ldrl.l.Ld.
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11./?9/19B9 1'i!'lP'l. iea.1: ion Num b:,:.) y. U9riP01301
Pe'(m:i t. Nllmbe'('
:J93~::i""'OOO'''''OO?'''''0004 py. 0 j (;c t CA (' OllP
2624/26?6 CHERRY AVENUE
HARRISON GROUP First MI
2520 CHFRRY AVENUE
BREMERTON State WA Zip9U310
( '~'>(): ) ':>'7" '7' ._.'::>0 j .
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Phone( ~::\O{) )
Phone(20
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I': ::I 11ob:i 1. e l"lome
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r ] Demo:l :i. t :i. on
"N' ...-, ...- ...., ..... ..... ..... ..... ,.-.. ..... ............... ..... _.. ..... ,_ . "'_ _'" .._. ..... ..... _... .... ...., ..... ..... ..... ..... ..... ..... '.N' ..... ..". ..... ..... ..... ..... ..... ..... ..... ..... ..._ .....~_, ..... ...... ..... ..... _... ..... N'" ..... _'_ .,,,. ..... ..... ._. ._.. ........... ...., .... ..._ .."...... ..... ,.........
nu :i. 1 d:i nq Cont:'r a.ct oy. ::
Work will be completed by owner.
Natur-e of Ir.Jc)'rk~
Chanu:.;',) of US(~.;) pE)y'm:i '1'; to conv(.)'(t dlJ.P I E:~X :i nt 0 n'i"f i ee
space Fe))"~ Hay'y' 'i. ~>on ~1emoY' 'i. a '1. 1...losp i ti:; 1
Bu:i. Jd:i no Valuat ion
~!>~:::()()O .00
- .. ..... ..... ..... ..... ..... .-.. ..- .... ..... ..... ... . ..... ..... ..... ..... -. ..... ..... .-.. ..... .._. ..._ _... ...... .. _.. ..... .w., ..... ..... ..... ... . ..._ ..... ..oo. ..... ..... ......~.. ..... ..... ..... _... _...oo... ..... ,.._ ..._ _.. _.. .'.. ..... .... __ _~. ..... _. ...., ._. .... ...., _... ._.. ..... ..... _,. _. , .....
Council District
Cr::-.)nsus Ty'act
Construction
Type
Sq r:'e(.)t
1 nspect :i. ems
F-<equ i 'f' C':)d
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F :i. na.l D<']
~::;t at us
Code
I D :::: :::~ ::::: ::::: ::::. ::~: ::::: ::::: :::: ::::: ::::: ::::: :::: ::~ C~.: :.::: ::::: :::: ::::: ::::: :~:: ~.:: :::c ::::: ::::: :::: :.:C :c:: ::::: :c: ::::~7C:: ::::: ::: :::: :::::::::: ::: :::: :.:: .:::: ::: :::: ::::::c. :::. ::::: :::~::::: :::~:::/':: ::::. :::: :::c :::: ::: ::.:. ::::: :::~: ,c:: ::::: ::::::::::: :::: :c:: ::..:
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o (es'~~~ ~~ l L #~~
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.. -. _...-,
CITY OF BREMERTON
NOV 3 0 1989
MUNICIPAL UTlLlTIF.~
B REM ~ R TON
nUl _ I.... DIN.G
D F PAR T ME NT
PEF<:MIT
A P P L I CAT ION
'"'.._M.._.___'.___M...__._____...__......_.__...___............___.......__........_.....____.___.__.___.__..__._.._............____._____________..._M._____.............
.-----.--.-------------.-.-.--....-.-.---------------------.---------.-------------------....--...
Application.Date
I8aue Dat f)
Assessor" Acct il:
:;:; :i. t e I....ocat:i. on
Owner Last Name
..... Sty-eet
('~ . 4..
..... ..,], \,y
..... Phone
Tenant.s Name
Agent · a Na.m(:':
'~Tchitect.s Name
LX] Bu:i.leU.nq
r :] Mecha.n i ca 1
r ::I Plumbi n9
Buildin9 Cont~actoT:
11/29/1989 Application Number 89AP01301
Pey'm i t Number-
3933-000-002-0004 Project Group
2624/2626 CHERRY AVENUE
HARRISON GROUP First MI
2520 CHERRY AVENUE
BREMERTON State WAZip 98310
( 206) 377.....;3911
-F:>t... .. (''''OL )
H..lne . .::. . 0
Phone( ~~06 )
r: ] Gy'ad:i.n9
[ ] Move_ Buildinq
r :1 ~10b :i. :I. e Home
r ] ~::iiqn
I: ] l3u.rninq
r ../ L.and CleaT
r 1 Pav :i. fi9
I: ] Uncley'uy'ouncl
L ..I Demo lit :i. on
Work will be completed by owner.
NatUY'f~ of -WoY'k=
Change of use pe~m:i.t to ~onvert ~Jplex into office.
space for Harrison Memorial Hospital
l3uilclin9 Valu~tion
[fJrg@m~W~fID
DE C 51989
$2000.00
BREMERTON
~BUlLDING DEPARTMENT
Council District
.....-...-.-.-.--------.--.;..---..-.---------.....------------_._-----_._-_._-_..._..._-_..._---_....._..~-------..--...-----.---.--.------
. - ,
-Census T'I"act
Consty'uct ion
Typ~=~
Pesidence
f'J .
1:: USl nesa
Ot hey'
New
r:~epa ior
r:~emode 1
Add :i. t :l on
~:;q Feet.
I n~3pect :l ems
I~equ :i. Y' ed
r ']
[X]
[ ]
[ ]
I: ]
[X]
r ]
Zon :i. n9
l'ype
F'uundat ion
Framinq
I nsu tat ion
Plumb:i.ng
Mf:~chan i ca 1.
Wallboay'cJ
F:i.nal
[ 1
r. J
[ :]
[ J
r :1
r "I
I:x]
Status
Code
10
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Applicant:
Property:
THE HARRISON GROUP
Change of Occupancy Plan
2624/2626 Cherry Avenue
The Harrison Group is a non-profit corporation which supports
and assists Harrison Memorial Hospital in attaining its mission
to meet the healthcare needs of the community it serves.
The property consists of a duplex structure located at 2624 &
2626 Cherry Avenue, Bremerton, Washington. The Kitsap County
Assessor's number for the property is #3933-000-002-0202. The
property's legal description is as follows:
Lot 2, Higgen Addition, a Replat of Parcel 4, Block 6, 3rd Addition
to Sheridan Park, according to plat recorded in Volume 9 of Plats,
page 49, records of Kitsap County, Washington, and located in
Section 12, Township 24, Range 1 E, NW 1/4.
Enclosed are a series of vicinity and plot maps to provide additional
information concerning the location of and other factors pertaining
to the property.
Conversion: The property was rezoned by the City of Bremerton for Professional
Office use in March, 1988, in order that it could be available
for office functions in support of the hospital's functions.
The property is now being converted from its pre-existing, non-conform-
ing, residential use to general office use, which is an allowed
use under the Professional Office zoning designation.
~
Facility:
Site:
Parking:
Attached are two copies of floor plan sketches for the facility.
The first shows the current residential functions within the
facility. The second shows the general office functions which
are proposed to occur within the structure after its conversion.
A minimal level of renovations is proposed for the facility to
enable the conversion to occur most effectively. This includes
the following:
Upstairs - Reconfigure the counters in the kitchens to create
general office storage and work areas, including space for a
photocopy machine. This will also enable a door to be cut through
the wall to allow access between the offices on either side of
the facility.
Downstairs - The walls from one of the bedrooms will be removed
to create a larger area for work stations. In addition, the
laundry room will be converted to provide a small room for employee
breaks.
Attached is a site plan for the property.
The site provides accessible space for seven vehicles as it is
currently configured. The office functions which will be located
in the facilities will occupy a total of approximately 1,804 gross
square feet on the upper level and 880 gross square feet on the
lower level. This excludes the storage spaces in the front portion
of the lower level of the facility. The total of 2,6R4 gross
_ v
square feet of general office space would require 9 parking spaces
when calculated at one parking space per 300 gross square feet
of office space. While this number of parking spaces would be
expected to be sufficient for most times during the work days,
there could be occasional need for as many as 25 parking spaces
in support of the functions which are likely to occur in the
facility. This would generally he for limited periods of time
for the weekly staff meeting of the home health care personnel
who will be located in the facility. (Such meetings currently
are held in the hospital.) Clearly this site alone could not
provide adequate parking for those peak parking needs. In order
to meet those needs there are both immediate and long-term options
available.
The hospital currently leases SO spaces from the Sea Galley Restau-
rant. (A copy of this lease is attached.) These SO spaces are
excess to the restaurant and are not fully utilized by the hospital.
As members of a department of the hospital, the home health employees
would have access to these spaces, which are directly across
Cherry Avenue from the offices which are being created.
If at some point in the future, the lease on these spaces is
terminated, The Harrison Group owns the vacant lot immediately
north of the office that is being created. This lot could be
developed to provide 20 or more spaces which could support the
functions in the offices.
In addition, the offices' site, itself, could be further developed
to create a total of approximately 10-11 parking spaces.
,"',
It is hoped that use of this property for offices can be approved
based on this combination of: (1) on-site parking available
to meet nearly all normal parking needs; (2) leased parking
across the street available to meet occasional peak parking needs;
(3) relocation of such vehicles from parking on the hospital
campus; and (4) options for developing additional parking on
property owned by the applicant.
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LEA S E
THIS LEASE made this ~ day of August, 1987, between A. R. ISLAM, M.D.,
hereinafter called the "lessor", and HARRISON MEMORIAL HOSPITAL, hereinafter
called the "lessee".
WITNESSETH: The
described real estate
State of Washington:
lessor does hereby lease to the lessee the following
with the appurtenances, situate in the County of Kitsap,
50 parking spaces on Lots 16, 17, 18, and 19 of Third Addition
to Sheridan Park, records of Kitsap County, Washington,
which property shall be used for a hospital parking area. The initial term
of this Lease is for a period of one year.
The parties agree as follows:
1. Commencing the / ST day of 5~d.p..""...hYc- , 1987, the lessee will
pay to lessor a monthly rental of One Thousand Dollars ($1,000.00) per month.
Rental payments shall be due and payable on the 10th day of each and every
following month during the period of the Lease.
2. Lessee, after obtaining written consent of the lessor, may make
such improvements or changes to the property as may be necessary or desirable
to operate the parking area, at its own cost and expense, and shall have
the right to construct and install signs, which will remain the property
of lessee. Upon the termination of this Lease, lessee shall leave the property
in good condition, less damage by fire or the elements and ordinary wear
and tear.
3. Each of the parties hereto release the other and waive a claim for
recovery for loss or damage to property in, on or about the premises, arising
out of or incident to fire, lightning or other perils included in the standard
fire insurance extended coverage endorsement, whether due to negligence of
said parties, their agents or employees or otherwise; provided, however,
that the right of the lessor and lessee to recover under insurance policies
covering the above-named risks shall not be impaired by this paragraph.
4. Lessee agrees to maintain the premises neat and clean at all times,
and to comply with all state laws, city ordinances, rules and regulations.
5. At the end of the initial term of twelve (12) months, this Lease
shall renew automatically for additional successive twelve (12) month
intervals, and may be terminated by either party giving ninety (90) days
written notice at any time during the twelve (12) month renewal periods of
its decision to terminate the Lease. The rental amount during the twelve-month
extension period(s) shall be the same as for the initial twelve-month term.
6. If any rent shall be due and unpaid, or if default shall be made
in any of the covenants herein contained, then it shall be lawful for the
said lessor to re-enter the said premises and remove all persons therefore;
and the said lessee hereby promises and agrees to pay the said rent in the
manner herein specified; and not to lease or sub-lease the whole or any part
of the said premises nor assign this Lease, or any interest therein, without
the written consent of the lessor.
IN WITNESS WHEREOF, the parties hereto have signed and sealed this Lease
the day and year first above written.
A. R. ISLA11, H.D.:
HARRISON ~mHORIAL HOSPITAL
11-. R. h, M.J
ItQ~e~
Lessor
Lessee
STATE OF WASHINGTON )
) ss.
COUNTY OF KITSAP )
On this day personally appeared before me A. R. ISLAM, M.D., to me known
to be the individual described in and who executed the within and foregoing
instrument, and acknowledged that he signed the same as his free and voluntary
act and deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this ~ "- ~ day of ~~~ ,1987.
~~i~~'
NOTARY PUBLIC and for~he State of
Washington, residing at )~./" ~ J ,~
STATE OF WASHINGTON )
) ss.
COUNTY OF KITSAP )
On this b dv day of ~ . 1987. before me, the undersigned.
a Notary Public in and for the State of Washington, duly commissioned and
sworn, personally appeared ROBERT W. BRADLEY, to me known to be the President
of Harrison Memorial Hospital and acknowledged the said instrument to be
the free and voluntary act and deed of said Hospital, for the uses and purposes
therein mentioned, and on oath stated that he is authorized to execute the
said instrument.
WITNESS MY HAND AND OFFICIAL seal hereto affixed the day and year first
above written.
1- /) ~)1' -r
kt c--C: L l: . / J/ CL'K-.~C
NOTARY PUBLIC in and
Washington, residing
.~'
.....-
Applicant:
Property:
THE HARRISON GROUP
Change of Occupancy Plan
2624/2626 Cherry Avenue
The Harrison Group is a non-profit corporation which supports
and assists Harrison Memorial Hospital in attaining its mission
to meet the healthcare needs of the community it serves.
The property consists of a duplex structure located at 2624 &
2626 Cherry Avenue, Bremerton, Washington. The Kitsap County
Assessor's number for the property is #3933-000-002-0202. The
property's legal description is as follows:
Lot 2, Higgen Addition, a Replat of Parcel 4, Block 6, 3rd Addition
to Sheridan Park, according to plat recorded in Volume 9 of Plats,
page 49, records of Kitsap County, Washington, and located in
Section 12, Township 24, Range 1 E, NW 1/4.
Enclosed are a series of vicinity and plot maps to provide additional
information concerning the location of and other factors pertaining
to the property.
Conversion: The property was rezoned by the City of Bremerton for Professional
Office use in March, 1988, in order that it could be available
for office functions in support of the hospital's functions.
The property is now being converted from its pre-existing, non-conform-
ing, residential use to general office use, which is an allowed
use under the Professional Office zoning designation.
.
"'-
Facility:
Site:
Parking:
Attached are two copies of floor plan sketches for the facility.
The first shows the current residential functions within the
facility. The second shows the general office functions which
are proposed to occur within the structure after its conversion.
A minimal level of renovations is proposed for the facility to
enable the conversion to occur most effectively. This includes
the following:
Upstairs - Reconfigure the counters in the kitchens to create
general office storage and work areas, including space for a
photocopy machine. This will also enable a door to be cut through
the wall to allow access between the offices on either side of
the facility.
Downstairs - The walls from one of the bedrooms will be removed
to create a larger area for work stations. In addition, the
laundry room will be converted to provide a small room for employee
breaks.
Attached is a site plan for the property.
The site provides accessible space for seven vehicles as it is
currently configured. The office functions which will be located
in the facilities will occupy a total of approximately 1,804 gross
square feet on the upper level and 880 gross square feet on the
lower level. This excludes the storage spaces in the front portion
of the lower level of the facility. The total of 2,684 gross
square feet of general office space would require 9 parking spaces
when calculated at one parking space per 300 gross square feet
of office space. While this number of parking spaces would be
expected to be sufficient for most times during the work days,
there could be occasional need for as many as 25 parking spaces
in support of the functions which are likely to occur in the
facility. This would generally be for limited periods of time
for the weekly staff meeting of the home health care personnel
who will be located in the facility. (Such meetings currently
are held in the hospital.) Clearly this site alone could not
provide adequate parking for those peak parking needs. In order
to meet those needs there are both immediate and long-term options
available.
The hospital currently leases 50 spaces from the Sea Galley Restau-
rant. (A copy of this lease is attached.) These 50 spaces are
excess to the restaurant and are not fully utilized by the hospital.
As members of a department of the hospital, the home health employees
would have access to these spaces, which are directly across
Cherry Avenue from the offices which are being created.
If at some point in the future, the lease on these spaces is
terminated, The Harrison Group owns the vacant lot immediately
north of the office that is being created. This lot could be
developed to provide 20 or more spaces which could support the
functions in the offices.
In addition, the offices' site, itself, could be further developed
to create a total of approximately 10-11 parking spaces.
It is hoped that use of this property for offices can be approved
based on this combination of: (1) on-site parking available
to meet nearly all normal parking needs; (2) leased parking
across the street available to meet occasional peak parking needs;
(3) relocation of such vehicles from parking on the hospital
campus; and (4) options for developing additional parking on
property owned by the applicant.
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LEA S E
THIS LEASE made this ~ day of August, 1987, between A. R. ISLAM, M.D.,
hereinafter called the "lessor", and HARRISON MEMORIAL HOSPITAL, hereinafter
called the "lessee".
WITNESSETH: The
described real estate
State of Washington:
lessor does hereby lease to the lessee the following
with the appurtenances, situate in the County of Kitsap,
50 parking spaces on Lots 16, 17, 18, and 19 of Third Addition
to Sheridan Park, records of Kitsap County, Washington,
. which property shall be used for a hospital parking area. The initial term
of this Lease is for a period of one year.
The parties agree as follows:
1. Commencing the 1ST day of 5~d~~~ , 1987, the lessee will
pay to lessor a monthly rental of One Thousand Dollars ($1,000.00) per month.
Rental payments shall be due and payable on the 10th day of each and every
following month during the period of the Lease.
2. Lessee, after obtaining written consent of the lessor, may make
such improvements or changes to the property as may be necessary or desirable
to operate the parking area, at its own cost and expense, and shall have
the right to construct and install signs, which will remain the property
of lessee. Upon the termination of this Lease, lessee shall leave the property
in good condition, less damage by fire or the elements and ordinary wear
and tear.
3. Each of the parties hereto release the other and waive a claim for
recovery for loss or damage to property in, on or about the premises, arising,
out of or incident to fire, lightning or other perils included in the standard
fire insurance extended coverage endorsement, whether due to negligence of
said parties, their agents or employees or otherwise; provided, however,
that the right of the lessor and lessee to recover under insurance policies
covering the above-named risks shall not be impaired by this paragraph.
4. Lessee agrees to maintain the premises neat and clean at all times,
and to comply with all state laws, city ordinances, rules and regulations.
5. At the end of the initial term of twelve (12) months, this Lease
shall renew automatically for additional successive twelve (12) month
intervals, and may be terminated by either party giving ninety (90) days
written notice at any time during the twelve (12) month renewal periods of
its decision to terminate the Lease. The rental amount during the twelve-month
extension period(s) shall be the same as for the initial twelve-month term.
6. If any rent shall be due and unpaid, or if default shall be made
in any of the covenants herein contained, then it shall be lawful for the
said lessor to re-enter the said premises and remove a 11 persons therefore;
and the said lessee hereby promises and agrees to pay the said rent in the
,.
"'--
manner herein specified; and not to lease or sub-lease the whole or any part
of the said premises nor assign this Lease, or any interest therein, without
the written consent of the lessor.
IN WITNESS WHEREOF, the parties hereto have signed and sealed this Lease
the day and year first above written.
A. R. ISLA11, M.D.:
HARRISON ~ffiMORIAL HOSPITAL
If. R.l&-, M,J
ItQ~e~
Lessor
Lessee
STATE OF WASHINGTON )
) ss.
COUNTY OF KITSAP )
On this day personally appeared before me A. R. ISLAM, M.D., to me known
to be the individual described in and who executed the within and foregoing
instrument. and acknowledged that he signed the same as his free and voluntary
act and deed. for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this ~ "-~ day of ~~~ ,1987.
fl- - Ii'
~~-'1~~~.
NOTARY PUBLIC. and for~he State of
Washington, residing at )lLI.~ J ,~
STATE OF WASHINGTON )
) ss.
COUNTY OF KITSAP )
./4 ~
On th~sw day of [~ . 1987. before me, the undersigned,
a Notary Public in and for the State of Washington. duly comm~ss~oned and
sworn. personally appeared ROBERT W. BRADLEY. to me known to be the President
of Harrison Memorial Hospital and acknowledged the said instrument to be
the free and voluntary act and deed of said Hospital. for the uses and purposes
therein mentioned. and on oath stated that he is authorized to execute the
said instrument.
WITNESS MY HAND AND OFFICIAL seal hereto affixed the day and year first
above written.
LlcrL
NOTARY PUBLIC in and
Washington. residing
f
e
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~//)' ,1-0', ',' ;',' " - til
B U I L DI N G PER M l T ;i:~f
CITY:OF BREMEIlTON BUILDING DEPARTMENT < ..."
> ':
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
Owner's Value I Bldg. Dept. Value DESCRIPTION:
$ Jlt,,J bpo . Lot Block Additions
Address on Job ..~. ~.~_.t{,,:......;!.,..~_~.____.__a._~~.___. ...__...__. ._____..__..__.__. Date'.m...a..~.L.A.::.2__ll........_._.
Building ____m_m_____ x mm__.m____ and ____.m___m__ stories ____.m.____m_____m basement. Lot onmm___m. x .m....____m_
Front Yard m________m__.__m__ Rear Yard .m.__.____mm______ Side Yard _______________..___m. Gatage ___m___m._mm,___m.__
Occu pan 9' ... --.. - -.. ':;B.-'- -... - - - - - - -. -. - -.. - -.. -.... -. - -~..... - - -- - - --.. .-- - - -- - - --. - --.. --- - ---. --.. -- --. -. -- Zone ... '--' - - -.. - -.. --..... - -.- -. --. --.. - -' -.-
Owner ..~! .d.:______.____~._~____.... _...__._._... ..__. ..... Address ..______....___________.__.____...______.... Phone .___...____..___.
Contractor .~.!_._.~~_...__..._...____. Address .____..__......____...,__._.__..__..______._ Phone .___..._..______.
~::;:.L.iS issued for: .'
:::::::::::::..::::::~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~~::::::::::::::::::::::::::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::
All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION - Reinforcing steel must be inspected after placing and before cov~~ing. FORMS shaUbe inspected
and approved before pouring. All plumbing, wiring and the frame of all building$ mU$tbe inspected and approved'
before covering. Wood preservative to be used on 'aU wood against masonry. Ventila~,fOundation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before workffig on streets or sidewalks.
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. ~s Authorized Agent
Building Inspector --d~.-~-~.~~---...-:~--......---".-.. .-.-------- -- ------.. --- -.____
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Fee $.........................~...::................................... Receipt No. ...d.!;!,::,l:.~..7::..............__o....o...........
BUILDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
~/
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
Owner's Value Bldg. Dept.
Value DESCRIPTION:
$ .....:t)-;t"(;
Lot
Block
Additions
Add J b . -:"l --::. ;~ -'/ <:.~ /./," .. D t ~:j. . .,./. "'7.,:,-
ress on 0 .. .'-.... - "'- -". -- --. - ..",. -..~~.- _ _<_;1'\__" -- -- -.. .....--...-..- -. - - ----- _..n. ____ _. _ ____ n__ __ a e ../...... ._<?'.o_ _ _._ ___ _ _'_"n _....___..
Building ____.m._..__.. x m.___.___mn and .__:..__.__....__ stories m__n_____.m.mm. basement. Lot ..._m..m.__. x .__m__.m..__
Front Yard n__...__nm__..n_... Rear Yard ..n....__n............ Side Yard ___......__........____. Garage ._o.___m.___.................
OCCUPANCY PERMIT REQUIRED BEFORE OCCU.PYING BUILDING Zone ...___..on.........__.............__.____
Owner .}(2;! :z:..._d'.~d:/..__.~~:-.iC::"$c:..~::,_.r::.)._ .o__ _' _ _ ___ n ___....... Address _. ....__.._ __ ____ .._.__ _._. on _.__.... ._. __. Phone .. .........._ _.__
Contractor ,1,,;.;:JA;.-,.,_...:..,d:~ on __ on _. __ n... _... _ _ __.__.o. _... _. _ __ __o. __ _. _ Address .___ _..... _ _..... ____...... __.o ____ .o_ __... _ Phone __........ .__ n.o
This permit is issued for:
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...................................... --............................ --.......................................................-..............-......-..............-...... .............. --............................................................................................................. --..............-........ -.. - - - -.........-
All work to conform to all applicable building ordinances and amendments. Please note the following
special instructions and requirements.
DETACH HERE AND POST THIS SECTION ON JOB
INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shaU be inspected
and approved before pouring. All plumbing, wiring and the fralme 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-
ra,te permits requ'ired for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
-.. - -.. - - - -.. - - -.. - - - -.. -- - - - _.. - --............. - - -.... - - - -..... - -.. -.... - - - -.... -..... -.. -....... -... -.. -.. - -.. _.. - -.. -... --....... - - -.. - - - -... -......... - - -..... -..... -.. -..... -.. - - -.. -....... - -........ -..... -.................................. - - - - -.....- -..... -.. -....... -.. -.. .....-- --
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------..-..--..---....---....-..-..--..---..----..-..----....-----..-.....---......-----..-...---...--..-..-.........-..--.. --..-....--....--.---..---------..--..--....--....--..----..-....-....-..--....-..----...---.....-......----..-......-...---
..- -- --.. -- -.. - - - - -........ - -.... -.. ..._-.... _.........- -........ ---.. - ---.. --.. - -..... -...... -.... -.. .......- -...- ........ -.. ............-....... -.. -.. - -.. -...-..-...... - -.... - -- -- -- - -.... - -..- - - --- ....- - - -.. - -.. -- --.. - - -..... _..- ---"'-- -........-..... --....- -..-... -..--..
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Owner's Signa ture_ __ ___ _.. _ _ u__ __.__... ___ _. __ _._ __ __. _.. _..__... _ _ __. _ ___.o._ By ..___ _o. __._._. _ _. _ _... _.. _ _ _ _ _ ..__.._. ______o.. _.. ___ _ _ __ _ _. __ _ _ __ _ __ __... _._
His Authorized Agent
Building Inspector ._____.t?__u..!._ __ .._(~,~~_L:e:~._____..._.. __.______m_..._____.
By . _____o.._ __. _d-<,.G... _... __ _.. __. n.'_ _... ....... _.._ n._. ..,__ ___ ..__ __._ _ .....__..
...., 0 F
A?PLIC/,TIO:'i FOn ;c:-;:.T.TIS;:r';-~~.'rIV2 'lA?L',.~ICZ .
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Date:
-
Anplication ~ro.
2.
~arrle.o~Applicant:
3.
Street Address:
---:-;; I
. b !~E~ ,,-7 ,~ r- r-;:, 1'1
4.
Telepho:'le:
Rome
5.
Location of the Property. Street Address:
/' A .t.. D '
Lot .,2 VJ, 4:;e-/7.5 Jdl fen .~!:;Jf~e/:i?,:",/~Tco
.SQI7?e.- ,,-2~._:U,4 Cherr'</ /l ,,'e..
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6. Hho r.olds legal title to this property (Ncme 0: Address): J.-:::S l? e /7$(1/)
7.
Zone of the Property:
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8. . Alsnort statement setting forth the type of variance you want and your
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roasons for applying for a Variance, i~cluding ~~y special circun9t~~ces
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jctstifying
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',"'rot7)
Jl w/I
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this application for a variance: .
~:.) ee t' f 0 ~,3 Ie e t '-;;'0 n7 .S'o t./ t h pt) P e,... r
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. s' t c! ,~ G' A f (:1.? P ,.. D C{ c h (J D the d r ,. II c-. \1' L,i Y'
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c~r-.oort.. Entrc1nCe 'ro Ca.~-i?Ot"r
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/;'0'71 The. f-ont of .t/:..('. oi-ODert..J.
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6' lye cu:j,v ;5 rL blac;~ .t'O.D d.-;ve, /ea..j 1~7c;' LfP to
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e/7ft.r"- nee c;- Ih ('_~ c(..,~ -,o~v-t .
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to allow' Ci.-
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9. A SKEl'C.H TO SCALE M"'JST BE ATTACHED TO T"rIIS APPLICATIOl'J. Include a sketch
t? scale Hi th the follOt.ling in..fonr:ation: The. diffi~nsions of your property
"
and the adjoining property ehm,;ir.g existi,r.g structures and the relation
to the proposed variation.
11. Present this application, the sketch to scale, and the follo~~ng state~€nt
to the adjoining property Oh~ers and solicit their signed approval of
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the proposed variation.
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...\___-___"....... \__",._"'_'-'_ .......-.-_..,...... :~.....-~._,,_.__: "'j.~~,; ._. .,..:..~.:...:._......M.._...." ."t..: _;;.;'~':
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riDE RIGHT TOai-S!o--'{r.;.;G ~~Er-G::>3 T:I:!: ?U~::':m1G CaISSlCiH IS m:.;"EBY
E:':'l:::'"'lTDr::J 70 . ;,G'.:;::tu:;" .::.:J ?il.ll..'l'Y '.\';;0 '::-I37-SS T_? J'::::~T 'I-O ':i.'ilIS
APPLICNrrO~r ?O~ A V.:.....-.::.r;._l;CE. PL~\S;:: C~';.Ec;T. IH '..?I~I?;G. IF YOU
OFJECT, P.. h...:-:Ul::,:G \';I~ ~.2 SCS".2:DL,.wED J~m T;-O':'ICE .~';IL~ LZ PUT n~
THE EREI.:ErrrO~ SUN OF '':''c~ TTI-lE Mill Di~7E.
I herehy certify that I have read this application, have reviewed the
pro~~sed'variance, and approve of its granting.
Sign below and print your name and address.
1.
. ( SiJrtr,j.'t-tJ
t7&~e)
2.
(signature)
( print narr.e)
(print address)
(print addre:ss)
3.
(si[;nature)
4-
.
(signature)
(print narr,e)
(print name)
(print address)
(print addr'ess)
I :3eret.y certify that, tr.c_ stateme::ts cO:ltained herein are correct and agree
to a2ide ty t~is application if it is approved. Furt~er, I have ccntacted all
adjoining p~~o~e.:-ty o,",-:lers, sou:::-1".t tneir approval and infor;';1ed them of their
rig...'r1t-to a hearing if they objected.
If any part of this ap~lication is not trut~ful, or-approvals have not 8een
soug..'lt as required, the Ci ty r~serves the rie-ht to revo'i::e this vari~'1ce. BJ'
'his signature the applicant agrees to these
~onc.i tions. - - . - -
C-----)-, ,r a
Ctt,' vt/-V ,-.
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(' 9 igrla tu.:-e) .
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19 7S--
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A?proval
Disa~provc.l
Sections Varied:
1.
2.
3.
4.
5.
State Environ~ental Policy Act Decla.:-ation:
I
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October 18, 1975
To Whom It May Concern:
My next door neighbor who lives on Lot 2,
Wiggen's Additional, Bremerton, is going to build
a car port on the South side of his property and
approximately thirty-eight feet from the back of
the property. This would be along side my North
Boundary. The car port will be approximately three
feet from the north side of my property.
I approve of this carport as it will not
interfere with my bUilding.
Yours very truly, ,
.-E2- "-R'~-' 0) A{~)
'---_____~'-T'".;-~..:.-...~- ..
Frank Rosendale, M. D.
2620 Cherry Avenue
Bremerton, Washington, 98310
.......
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BUILDING~ERMIT
.NO
4464
AI
vi
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
6:2Ib
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
RECEIPT NO.
DATE
8'.- /? -' g-z...-
SITE ADDRESS ILOCATION
OWNER'S NAME
"
76 51
() 0 '-CPo Z -000 L.
..--.
PHONE
CONTRACTOR
. ADDRESS
~ RESIDENCE
PLANNING I ZONING
o BUSINESS
o OTHER
o NEW
o REPAIR
o REMODEL
PHONE
o ADDITION
o DEMOLISH
FIRE ZONE
STORIES
OCCUPANCY
THIS PERMIT ISSUED FOR:
~~.~G.-f1 ~~ Oil
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation 0
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
FINAL ~
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
APPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
COMMENT
DATE
TIME
APPROVED
FI NAL I NSPECTION APPROVED BY
Building Inspector
OWNER'S SIGNATURE
IFICATE REQUIRED BEFORE OCCUPYING BUILDING
BY
BUILDING DEPT.
~AuthoriZedAgent
I