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HomeMy WebLinkAboutCLARE AVE., 2720l 10i City of Bremerton PERMIT NUMBER: BB18 00035 Department of Community Development DATE ISSUED: 01/24/2018 i 345.6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE STE A (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003.001.1304 ZONING: EC Name Phone Address Access Code APPLICANT: PSF MECHANICAL INC 206-812-7683 11621 E MARGINAL WAY S, STE A K4FZA-DXB3D SEATTLE, WA 98169 OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA 99310` CONTRACTOR: PSF MECHANICAL INC 206-812-7683 11621 E MARGINAL WAY S, STE A K4FZA-DXB3D SEATTLE, WA 98168 OWNER EMAIL: SUBMITTED: 01/12/2018 APPROVED: 01/18/2018 EXPIRATION: 07/23/2018 STATUS: ISSUED VALUATION: $7,500.00 Mechanical Only for Commercial Projects HARRISON HEALTH ONCOLOGY - ADD FAN AND DUCTWORK TO SERVE EXISTING BIO SAFETY CABINET HARRISON HEALTH ONCOLOGY - ADD FAN AND DUCTWORK TO SERVE Mechanical/Plumbing Commercial- $135.00 EXISTING BIO SAFETY CABINET Bid Price Plan Review Fee $87.75 Building Code Edition: Technology Fee $6.75 Occupancy Group: Type of Construction: TOTAL FEES: $229.50 Flood Zone: Setbacks: //JJ: (F/L/RT/R/O) Sanitalion Method: Number of Bedrooms: Inspection Requests: FIRE: Fire Inspections (360) 473-5385 DCD: Building Inspections: (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 415-4000 PW&U: Public Works - Engineering (360) 473-5270 This permit shall become null and void if the described work authorized by this permit has not commenced within 160 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compiled with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. I have read, and agree to abide by the conditio " of this permit Including all conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: 6&LL��L PRINTED NAME: L h.—I-4. DATE: 1 I;014 l/n{r CONDITIONS Printed by: Mountjoy, Margret on: 01/24/2018 10:54 AM Page 1 of 3 N City of Bremerton PERMIT NUMBER:. BB18 00035 Department of Community Development DATE ISSUED: 01/24/2018 c� 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE STE A (360)473.5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: EC Name Phone Address Access Code APPLICANT: PSF MECHANICAL INC 206-912.7683 11621 E MARGINAL WAY S, STE A K4FZA-DXB3D SEATTLE, WA 99168 OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA 98310 CONTRACTOR: PSF MECHANICAL INC 206-812-7683 11621 E MARGINAL WAY S, STE A K4FZA-DXB3D SEATTLE, WA 98168 OWNER EMAIL: SUBMITTED: 01/12/2018 APPROVED: 01/18/2018 EXPIRATION: 07/23/2018 STATUS: ISSUED By applying for this permit, the applicant has granted to the City of Bremerton the right to enter the above -described location at reasonable times to inspect the proposed, in -progress or completed work performed under this permit to ensure compliance with the permit conditions and other applicable laws and regulations. Should such entry be refused, all authorizations and approvals contained in this permit shall be immediately suspended and any work performed under the permit shall immediately cease until authorized in writing by the City of Bremerton. Work performed in violation of this condition shall be considered to have been performed without the approval or the City or Bremerton. The City or Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. (DCD-01) ASBESTOS AND LEAD -BASED PAINT: ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos -containing materials in the work area or structure. The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences).For more information, please contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 206-343-8800. The L&I web site can be found at www.tni.wa.gov/fradesLicensingILicensingReq/Asbestos/default.asp. LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For further information please contact: The Department of Commerce webstre at: www.commerce.wa.gov/lead, or call: (360) 586-LEAD (5323). CONTRACTOR: A contractor's registration issued by Washington State Dept. of Labor & Industries is required for anyone who contracts or submits bids for construction work, including new construction, alterations, repairs, or anyone who consults or superintends, improves, demolishes, develops residential property for sale, or "flips" houses. Contact L & I at (360)415- 4000 for information. 2. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of Bremerton Department. of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity, The permit expires 180 days past the date of inactivity. Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be uncovered so that the inspection. may be performed. Examples of inspections to be performed before covering are mechanical rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing. 3. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. if an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re - inspection tee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted. 4, (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy oruse of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. 5. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection. Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. 6. (DCD-08) Plumbing work shall be performed by a Level01 Journeyman Plumber licensed in the state of Washington. Residential plumbing work maybe performed by a Level 01 or :Level 02 Journeyman Plumber licensed in the state of Washington. Single family residential plumbing work may be performed by the owner. Printed by : Mountjoy, Margret on: 01/24/2018 10:54 AM Page 2 of 3 r City of Bremerton PERMIT NUMBER: BB18 00035 Department of Community Development DATE ISSUED: 01/24/2018 I 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE STE A COME= (360) 473-5275 Fax: (360) 4735278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: EC Name Phone Address Access Code APPLICANT: PSF MECHANICAL INC 206-812-7683 11621 E MARGINAL WAY S, STE :A K4FZA-DXB3D SEATTLE, WA 99169 OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA 99310 CONTRACTOR: PSF MECHANICAL INC 206-812-7683 11621 E MARGINAL WAY S, STE A K4FZA-DXB3D OWNER EMAIL: SEA9TLE, WA 98168 SUBMITTED: 01/1212018 APPROVED: 01/18/2018 EXPIRATION: 07/23/2018 STATES: ISSUED 7. (DCD-10) A separate electrical permit issued through Labor & Industries (L&I) is required for any new, modified, repair, replacement, service, maintenance, or temporary installations. Electrical work is inspected by L&I prior to cover and the framing inspection. Contact L&I at 360-4154000 or www.Ini.wa.gov. (RCW 1928) S. (DCD-58) T* satidy publc Mcords'retention; requirements uud public disclosure requests, a east etas -built plans in -electronic format shullbc Subtrtitted to rho Buildtrrg Dept.:before the led The format msy be in .pert tpsefcrred}. jpg, or.tif elactromc files and submitted on CD. flash drive or othcr;aceeptable method as detetmined by. the information technology specuililt .,13 bUllt plans inMiude the idvti drawlilg5, site plott, liGar pj�ris. constructwrtand:structural dtawtngs, attd:facility systems. MINIMUM INSPECTIONS REQUIRED To request an inspeCtlolt, please call (360) 473=597O and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. To register for ou4ine iit,3peetion access, visit the City's website at www:ci.bremerton.wa:us. Inspection Description MECHANICAL Mechanical Rough -in FRAMING Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) ELECTRICAL FINAL L&I - Electrical Final Inspection HVAC SHUTDOWN HVAC Shutdown tested with Fire Alarm System FINAL - BUILDING Final Inspection - Building Printed by; Mountjoy, Margret on, Ol/24/2018 10:54 AM Page 3 of 3 �. PERMIT CENTER COMMERCIAL MECHANICAL Dept. of Community Develo ment*345 — 6th Street Suite 600*Bremerton*WA*98337-1873 i Type of Fuel: ❑ Electric Q, Gas ❑ Oil ❑ Propane City of Breme _ n, DC Site Address: 2720 Clare Ave. Suite A CONTRACTOR: PSF Mechanical, Inc. OWNER: Peninsula Medical Building Associates LLC Address:11621 E Marginal Way S, Suite A Address: 2720 Clare Ave, Ste A City, State, Zip: Seattle WA 98168 City, State, Zip: Bremerton, WA 98310 License #: PSFMEI.09ONZ Phone # Contact Phone #: 206 812-7683 Tax ID/Parcel #: 603348727 Bremerton Business License: CITY TYPE OF EQUIPMENT QTY TYPE OF EQUIPMENT AIR HANDLING UNIT 10K - BACKFLOW DEVICE < = 2" AIR HANDLING UNIT 10K + BACKFLOW DEVICE > 2" BOILER< = 100K/3HP BUILDING SEWER BOILER > 1.75M/50HP CLOTHES WASHER BOILER > 100K < = 500K DISHWASHER BOILER > 1 M < = 1.75M DRAIN PIPE CHANGE BOILER > 500K < = 1 M DRINKING FOUNTAIN BROILER EYEWASH CLASS 1 HOOD FLOOR DRAIN CLASS 2 HOOD FLOOR SINK CLOTHES DRYER HOSE BIBB COMPRESSORS INTERCEPTOR GREASE COOKING APPLIANCE INTERCEPTOR INDUSTRIAL SAND/OIL DEEP FRYER LAWN SPRINKLER W/ BACKFLOW DEV DUCT CHANGE PLUMBING EQUIPMENT ELECTRIC FURNACE / HEAT PUMP ROOF DRAIN EVAP COOLER SHAMPOO SINK W/ BACKFLOW DEVICE 1 FAN / BATH OR EXHAUST SINK LAV KITCHEN, MOP OR BAR FIREPLACE GAS SUMP PUMP FIREPLACE WOOD TUB AND/OR SHOWER UNIT FURNACE < 100K BTU VACUUM BREAKER 1-5 FURNACE > 100K BTU VACUUM BREAKER > 5 GASPIPE SYSTEM WATER CLOSET AND/OR URINAL GRIDDLE WATER HEATER ELECTRIC LP TANK WATER PIPE CHANGE MECH EQUIPMENT Ductwork OVEN PIZZA OVEN RANGE TOP ROTISSERIE OVEN UNIT HEAT WATER HEATER GAS WOK WOOD CHARBROILER BID PRICE $7,500 ., �v f] . A// /ffjVV� LApplicanfs Signature Amanda Moore Print Name REV. JUNE 2016 City of Bremerton Department of Community Development PERMIT NUMBER: BB15 00781 DATE ISSUED: 12/17/2015 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: ED Name Phone APPLICANT: HOLIDAY PARKS 206-2504530 OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC CONTRACTOR: HOLADAY PARKS INC 206-2504530 LENDER: SUBMITTED: 11/23/2015 APPROVED: 12/09/2015 VALUATION: Mechanical/Plumbing Commercial - Bid Price Plan Review Fee TOTAL FEES: Address Access Code 4600 S 134 TH PLACE FCJBQ-CDEK3 SEATTLE, WA 98168 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA 98310 P.O. BOX 69208 ICP61-4TK6B SEATTLE„ WA 98188 EXPIRATION: 06/14/2016 STATUS: ISSUED $29,837.00 Mechanical Only for Commercial Projects HARRISON HEMATOLOGY AND ONCOLOGY - ADD 2 SPLIT SYSTEMS HARRISON HEMATOLOGY AND ONCOLOGY - ADD 2 SPLIT SYSTEMS $377.00 Building Code Edition: $245.05 Occupancy Group: $622.05 Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: ////: (F/L/RT/R/O) FINALE Inspection Requests: FIRE: Fire Inspections (360) 473-5386 DCD: Building Inspections: (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 4154000 PW&U: Public Works - Engineering (360) 473-5270 This permit shall become null and void if the described work authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. I have read, and agree to abide by tFie c�of this permit includ' gall conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: lt— PRINTED NAME: DATE: 7 —, CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. Printed by: Mountjoy, Margret on: 12/17/2015 11:55 AM Page 1 of 3 City of Bremerton PERMIT NUMBER: BB15 00781 Department of Community Development 345 - 6th Street, Ste. 600, Bremerton WA 98337 (360) 473-5275 Fax: (360) 473-5278 DATE ISSUED: 12/17/2015 SITE ADDRESS: 2720 CLARE AVE ASSESSOR NUMBER: 3966-003-001-1304 ZONING: ED Name Phone Address Access Code APPLICANT: HOLIDAY PARKS 206-2504530 4600 S 134 TH PLACE FCJBQ-CDEK3 SEATTLE, WA 98168 OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA 98310 CONTRACTOR: HOLADAY PARKS INC 206-2504530 P.O. BOX 69208 ICP61-4TK6B SEATTLE„ WA 98188 LENDER: SUBMITTED: 11/23/2015 APPROVED: 12/09/2015 EXPIRATION: 06/14/2016 STATUS: ISSUED 1. (DCD-01) ASBESTOS AND LEAD -BASED PAINT: ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos -containing materials in the work area or structure. The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences).For more information, please contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 206-343-8800. The L&I web site can be found at www.Ini.wa.gov/TradesLicensing/LicensingReq/Asbestos/default.asp, LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For further information please contact: The Department of Commerce website at: www.commerce.wa.gov/lead, or call: (360) 586-LEAD (5323). CONTRACTOR: A contractor's registration issued by Washington State Dept. of Labor & Industries is required for anyone who contracts or submits bids for construction work, including new construction, alterations, repairs, or anyone who consults or superintends, improves, demolishes, develops residential property for sale, or "flips" houses. Contact L & I at (360)415- 4000 for information. r 2. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of 1 Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or V failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity. The permit expires 180 days past the date of inactivity. Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be uncovered so that the inspection may be performed. Examples of inspections to be performed before covering are mechanical rough -in, plumbing rough -in, gas piping, framing, and sheetrock nailing. 3. DCD-47 ( ) DCD; Reins ection Fee: All approved plans, the printed building p pp p p g permit, and the permit inspection placard, are required to be on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re - inspection fee will be charged and must be collected by the Department of Community Development prior to any fitrther inspections being performed or approvals granted. �F I 4. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. 5. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection. t�A Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. 6. (DCD-08) Plumbing work shall be performed by a Level 01 Journeyman Plumber licensed in the state of Washington. Residential plumbing work maybe performed by a Level 01 or :Level 02 Journeyman Plumber licensed in the state of Washington. Single family residential plumbing work may be performed by the owner. 7. (DCD-10) A separate electrical permit issued through Labor & Industries (L&I) is required for any new, modified, repair, replacement, service, maintenance, or temporary installations. Electrical work is inspected by L&I prior to cover and the framing inspection. Contact L&I at 360-415-4000 or www.Ini.wa.gov. (RCW 19.28) MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. To register for on-line inspection access, visit the City's website at www.ci.bremerton.wa.us. Printed by : Mountjoy, Margret on: 12/17/2015 11:55 AM Page 2 of 3 City of Bremerton PERMIT NUMBER: BB15 00781 Department of Community Development DATE ISSUED: 12/17/2015 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: ED Name Phone Address Access Code APPLICANT: HOLIDAY PARKS 206-2504530 4600 S 134 TH PLACE FCJBQ-CDEK3 SEATTLE, WA 98168 OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA 98310 CONTRACTOR: HOLADAY PARKS INC 206-250-4530 P.O. BOX 69208 ICP61-4TK6B SEATTLE„ WA 98188 LENDER: SUBMITTED: 11/23/2015 APPROVED: 12/09/2015 EXPIRATION: 06/14/2016 STATUS: ISSUED Inspection Description MECHANICAL Mechanical Rough -In ELECTRICAL FINAL L&I - Electrical Final Inspection FINAL - BUILDING Final Inspection - Building Printed by: Mountjoy, Margret on: 12/17/2015 11:55 AM Page 3 of 3 B UILDING PERMIT INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building® Plumbing 2720 CLARE AVE HARRISON HEMATOLOGY AND ONCOLOGY - ADD 2 SPLIT SYSTEMS Mechanical W Alarm/Sprinkler 0 This Placard must be posted on or near building and the Permit &" Approved " plans must be at the site. Permit # BB15 00781 Call the following Agency Telephone Numbers for inspections: Building Department Inspections: 360 473-5870 Water - Public Works: J360) 473-5927 PW - Public Works - Engineering (360) 473-5270 Kitsap Public Health: 360 337-5235 Fire - Fire Department: 360 473-5385 L&I - Dept. of Labor and Industry; (360) 415.4000 F-0,3 - Property lines shall be properly identified and marked before foundation footing inspection. Setbacks are measured to the finished wall structure. - Reinspection fee may be assessed if inspection has been requested when not ready or corrections are not completed. - Permit, approved plans, engineering, and inspection card shall be on site during construction or Reinspection Fee may be assessed. Inspection APP DATE Notes Mechanical Rough -In g--f fo L&I - Electrical Final Inspection 13 ►k Z- 2 Z — i (' Final Inspection - Building ' - lac y l 6 15do7SA Si � �`Ss t. L7 iZ (are k� �Nt, rWN t� A ?n�Jecikbn - JV'Jk (on +0, c4- rl.^k R'V^Q- 'd- �I Q a{2, t (1°t At, FINAL BUILDING (360) 473-5870 All of the above must be approved. Approved Final Inspection grants occupancy for single-family residence only. Commercial structures require separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL w Page 1 of 1 .Y UILDING PERMIT INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building Plumbing ❑ 2720 CLARE AVE HARRISON HEMATOLOGY AND ONCOLOGY - ADD 2 SPLIT SYSTEMS Mechanical U Alarm/Sprinkler 0 This Placard must be posted on or near building and the Permit &"A�proved" plans must be at the site. :Permit # BB 15 00781 Call the following Agency Tel hone Numbers for inspections: Building Department Inspections: (360) 473-5870 Water - Public Works: 473-5927 PW - Public Works - Engineering: (360) 473-5270 Kitsap Public Health: (360) 337-5235 Fire - Fire Department: (360) 473-5385 L&I - Dept. of Labor and Industry: (360) 415-4000 POST ON SITE - Property lines shall be properly identified and marked before foundation footing inspection. Setbacks are measured to the finished wall structure. - Reinspection fee may be assessed if inspection has been requested when not ready or corrections are not completed. - Permit, approved plans, engineering, and inspection card shall be on site during construction or Reinspection Fee may be assessed. Inspection APP DATE Notes Mechanical Rough -In L&I - Electrical Final Inspection, Final Inspection - Building FINAL BUILDING (360) 473-5870 All of the above must be approved. Approved Final Inspection grants occupancy for single-family residence only. Commercial structures require separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL Page 1 of 1 4 m r PERMIT CENTER Dept. of Community Develo ment*345 — 6�1 Street. Suite 600* Bremerton* WA* 983 3 7-1873 1 R2"' Mechanical ❑ Plumbing Type of Fuel: C"Electric ,❑❑�-.�, G/S El oil ❑ Propane j Occupancy: El Residential LSYGommercial J Site Address: �u� i i Rawl] • J T� �.■ ��. f�I�j.� NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE AIR HANDLING UNIT >IO,000CFM ATMOSPHERIC VACUUM BRKR 1-5 AIR HANDLING UNIT <10,000 CFM ATMOSPHERIC VACUUM BRKR >5 BATH FAN AND/OR EXHAUST FAN BACKFLOW DEVICE <=2" CLASS 1 HOOD & DUCT SYSTEM BACKFLOW DEVICE > 2" CLASS 2 HOOD & DUCT SYSTEM BUILDING SEWER CLOTHES DRYER W/ EXHAUST CLOTHES WASHER COMMERCIAL FURNACE/DUCT COMMERCIAL FLOOR DRAIN COMM. FURNACE>100,000 BTUS DISHWASHER COMPRESSORS DRAIN PIPENENT PIPE ALTERATION COOK STOVE W/ EXHAUST DRINKING FOUNTAIN DUCT CHANGE W/O NEW FURNACE FLOOR DRAIN ELECTRIC FURNACEMEAT PUMP FLOOR SINK/INDIRECT WASTE EVAPORATIVE COOLER GREASE INTERCEPTOR FIREPLACE -GAS OR GAS LOG INSERT HOSE BIBBS FIREPLACE -WOOD, OR WOODSTOVE INDUSTRIAL SAND/OIL INTERCEPTOR GAS WATER HEATER & VENT LAWN SPRINKLER W/ BACKFLOW DEV. GAS PIPING ROOF DRAIN MISCELLANEOUS MECHANICAL SHAMPOO SINK W/ BACKFLOW DEVICE NATURAL GAS FURINACE/DUCTING SINK (LAV, KITCHEN, MOP OR BAR) PROPANE FURNACE/DUCTING SUMP PUMP PROPANE TANK (<2000 GALLONS) TUB AND/OR SHOWER UNIT UNIT HEATER WATER CLOSET AND/OR URINAL OTHER: OTHER: OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES:. TATAL FEES: Annlicant''s SiLLnahlre T Date V"Uk : ►P 041-Ll S 7 I DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 345 — 6th Street, Suite 600 Bremerton, Washington (360) 473-5275 INSPECTION REPORT PERMIT #:�' �� ADDRESS: 20 &(gyre- IIVP— Date:r� g +� Phone: 4 73-5 2q'4 INSPECTOR City of Bremerton Fire Department PERMIT NUMBER: BF15 00148 DATE ISSUED: 06/01/2015 911 Park Avenue, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE (360) 473-5380 Fax: (360) 473-5461 ASSESSOR NUMBER: 3%6d103-001-1304 Name APPLICANT: FOX FIRE PREVENTION INC OWNER: PENINSULA MEDICAL BLDG ASSOCIATES LLC CONTRACTOR: FOX FIRE PREVENTION INC LENDER: ZONING: CITY Phone Address Access Code 3WS71.1985 PO BOX 594 NMWAH-4VTCl PORT ORCHARD, WA98366 2720 CLARE AVE STE A VNWUZ-JRXZH BREMERTON, WA98310 360-871.1985 PO BOX 594 NMWAH-4VTC1 PORT ORCHARD, WA98366 SUBMITTED: 05/27/2015 APPROVED: 06/01/2015 EXPIRATION: 1U28/2015 STATUS: ISSUED VALUATION: Plan Check BID PRICE2 TOTAL FEES : Inspection Requests: $1,000.00 $26.65 $41.00 $67.65 Fire Sprinkler 13 Modifications HARRISON MEDICAL CENTER ONCOLOGY - HARRISON MEDICAL CENTER ONCOLOGY - Add and plug fire sprinkler heads for wall modifications. Fire Iaspectlona (360) 473-5386 It is the responsibility of the permit holder to see that the required inspections arc made. Failure to obtain required inspections may -suit in stoppage of the work until such time that the permit holder can susbstantiste to the City of Bremerton that the concealed work meets or exceeds code requirements, I hereby certify that I have road and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified heroin or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance ofthe construction. SIGNATURE OF OWNER OR AGENT: "�.- Z.,vozy PRINTED NAME: Aca A-,, 3 L,5 dt^ DATE: 0 1 tj tj k s CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. �1 10. (DCD-02) DCD: Validity of permit The issuance or granting of a permit shall not be construed to be a pen -nit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not he valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and ether data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. Printed by : Mountjoy. Margraton: 06i0i/2015 0636 AM Page t of 3 City of Bremerton PERMIT NUMBER: BF15 00148 a f Fire Department DATE ISSUED: 06/01/2015 „• ;;: •,- 911 Park Avenue, Bremerton WA99337 SITE ADDRESS: 2720 CLARE AVE (360) 473-5380 Fax: (360) 473-5461 10. (DCD-47) DCD: Reinspection Fee. All approved plans, the printed building permit, and the permit inspection placard, are required to be on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection, If an inspection is called for and plans are not available an site, or the work is not ready for inspection, approval will not be granted. In addition, a rc- inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted. 10. (DCD-01) ASBESTOS AND LEAD -BASED PAINT - ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be perfonned to detcnninc whether there are asbestos -containing materials in the work area or structure, The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences),For more information, please contact Clean Air Agency through their web site at www.pseleanair.org or by phone at800-552-3565 or 206-343-8800. The L&I web site can be found at www.ini.wa.gov/TradesLicensing(LicensingRcq/Asbestos/default.asp. LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on a residential building or a child -occupied facility built before 1918, must be trained and certified by an accredited training provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For further information please contact: The Department of Commerce website at: www.commcrce.wa.gov/lead, or call: (360) 586-LEAD (5323). CONTRACTOR: A contractors registration issued by Washington State Dept, of Labor & Industries is required for anyone who contracts or submits bids for construction work, including new construction, alterations, repairs, or anyone who consults or superintends-, improves, dernolislics, develops residential property for sale, or "flips" houses. Contact L & I at (360)415- 4000 for information, 10. (DCD-10) A separate electrical permit issued through Labor & Industries (L&I) is required for any new, modified, repair, replacement, service, maintenance, or temporary installations. Electrical work is inspected by L&I prior to cover and the framing inspection. Contact L&I at 360-415-4000 or www.lni.wa.gov. (RCW 19.28) 10. (FIRE-06) Fire Sprinkler Systems t� Fire Sprinkler Systems will be designed, built and maintained to NFPA 13, IFC 903.2 and BMC standards, All systems will be monitored by a UL listed central station. When a building or structure has a fire sprinkler, all spaces will be covered. Remote FDC required with fire hydrant located within 75' of that FDC. THE FIRE SPRINKLER PERMIT IS REQUIRED TO BE AT THE LOCATION OF THE RISER. 10, (FIRE-01) Life Safety and Fire Protection systems shall comply with: International Fire Code (IFC) with Appendix International Building Code (IBC) National Fire Protection Association (NFPA) Bremerton Municipal Code (BMC) Bremerton Roadway Standards Bremerton Municipal Utilities Copies of ordinances can be found on the cities website at www.ci.brcrncrton wa.us. To contact the Bremerton Fire Marshal's office; Mike Six at Michael.Six cQr cLbrcmerton.wa.us or (360) 473-5386 All questions, to be binding, must be followed with an email re -stating the question and must include either digital photos and/or drawings to show both existing conditions and proposed changeslalterations. The inspector retains the right to make requirements not addressed during plan review. In many cases the plan reviewer is not given adequate information to address all issues. The onsite inspection allows for a true representation of the project. All projects require a visible address during and after construction. Final fire inspection will not be signed off without a valid and usable address. Please contact the Public Works Department for address if need be, (360) 473-5337. All projects are required to have fire extinguishers unless exempt by the installation of a fire sprinkler system with quick response heads. All violations of the code and referenced documents is a S 125 fine per violation. Deviating from the approved plans is a violation of flit Fire/Building code. Any revisions need to be approved by the Fire Marshal. 11. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of ,0te- Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if snore than a year has passed with no activity. The permit expires 180 days past the date of inactivity. Required inspections: Any work required to be inspected and that is covered before such inspection may be required to be uncovered so that the inspection may be performed. Examples of inspections to be performed before covering arc mechanical rough -in, plumbing rough -in, gas piping, framing, and shectrock nailing. Printed by: Moungoy, Margret= 06l01/2015 08:16 AM Pegs 2 of 3 City of Bremerton Fire Department PERMIT NUMBER: BF15 00148 DATE ISSUED: 06/01/2015 91t Park Avenue, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE (360) 473-5380 Fax: (360) 473-5461 12. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection, I&SIC. Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections, 13. (DCD-32) Changes to Plans. Any changes to plans shall be approved before construction is performed, Architect or engineer of record ' shall approve the change before submitting a revision, A revision is subject to a revision fee; and additional fees for plan review and inspections. MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5386 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. To register for on-line inspection access, visit the City's website at www.el.bremerton.wa.us. Inspection Description FIRE - FLUSH FIRE - Fire Sprinkler Flush FIRE - HYDRO FIRE - Fire Sprinkler Hydrostatic Test FIRE - COVER FIRE - Fire SprinklenTire Alarm Cover FIRE - FINAL FIRE - Final Inspection Printed by: Mountjoy, Margreton: 06:'01/2015 09:36 AM Pap 3 of 3 Certificate of Occupancy Department of Community Development This certificate issued to the requirements of Section 110 of the International Building Code, as adopted by the Bremerton Municipal Code, certifies that at the time of issuance this structure complied with the requirements of the code for the occupancy and division of occupancy and the use for which the occupancy is classified. Issuance of a Certificate of Occupancy shall not be construed as an approval of a violation of the provisions of any building code or of the other ordinances of the City of Bremerton. ISSUED TO: BREMERTON ONCOLOGY -1st Floor SITE ADDRESS: 2720 CLARE AVE OWNER: HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON, WA 98310 �F-- Type of Occupancy Occupant Code S rp inkier Construction Classi ication Load Common Use Edition Read V-B SPR B / IBC 2009 N Permit Number: BB12 00180 Date: 10/01/2012 Business License Number: t ; � G J a ' nie Vaughn, Bui Official Special ConMons: ions: THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE 11m ILE BUILDING PERMIT 2720 GLARE AVE INSPECTION CARD HARRISON ONCOLOGY, STE A, REPAIR FROM AUTO DAMAGE PROTECT THIS CARD FROM THE WEATHER Building lo, Plumbing Eli (IN PENINSULA MEDICAL BLDG) Mechanical ❑ Alarm/Sprinkler 11 This Placard must be posted on or near building and the Permit & "Approved" plans must be at the site. Permit # BB 12 00016 Call the following Arsencv Teleohone Numbers for inspections: Building Department Inspections Call: (360) 473-5870 WATER - Public Works - Water: (360) 473-5927 PW - Public Works - Engineering: (360) 473-5270 HEALTH - Kitsap Co. Health District: (360) 337-5285 Fire - Fire Department: (360) 473-5394 L&I - Dept. of Labor and Industry: (360) 415-4000 Inspection Shear Wall Panels/Braced Wall Panels Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) Insulation - Wall Sheetrock Nailing Final Inspection - Building - Property lines shall be properly identified and marked before foundation footing inspection. Setbacks are measured to the finished wall structure. - Reinspection fee may be assessed if inspection has been requested when not ready or corrections are not completed. - Permit, approved plans, engineering, and inspection card shall be on site during construction or Reinspection Fee may be assessed. Approved Date Notes W� r� FINAL BUILDING (360) 473-5870 All of the above must be approved. p Occupancy approval for SFR only - Commercial l: structures require a separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENTAPPROVAL PROTECT THIS CARD FROM THE WEATHER CITY OF BREMERTON PERMIT NUMBER: BB12 00016 DEPARTMENT OF COMMUNITY DEVELOPMENT DATE ISSUED: 01/11/2012 345 - 6th Street, Bremerton, WA 98337 (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: INST APPLICANT NAME: PENINSULA MEDICAL BLDG PHONE: (360) 479-6154 OWNER NAME: PENINSULA MEDICAL BLDG PHONE: (360) 479-6154 CONTRACTOR: HUTCH CON CONST PHONE: (360) 871-6188 LENDER NAME: PHONE: 0- SUBMITTED: 01111 /2012 AF VALUATION: $7,500.00 Plan Review Fee $87.75 16-4580 State Surcharge $4.50 0236 Building Permit $135.00 2211 TOTAL FEES: $227.25 01/1 SITE ADDRESS: 2720 CLARE AVE ADDRESS: 2720 CLARE AVE SUITE A, BREMERTON, WA 98310 ADDRESS: 2720 CLARE AVE SUITE A, BREMERTON, WA 98310 ADDRESS: P.O. BOX 482, MANCHESTER, WA 98353 07/09/2012 STATUS: ISSUED Commercial Building rmit / Mechanical/Plumbing HARRISON ONCO , STE A, REPAIR FROM AUTO DAMAGE (IN PENINSULA MEDICAL BLDG) Building Code Edition Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: IBC 2009 B Type V, Sprinklered (Front) (Side) (Rear) (Other) Square Footage: Bid Price from Applicant TOTAL Inspection Requests FIRE: Fire Inspections (360) 473-5394 DCD: Building Inspections (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 415-4000 PW&U: Public Works -Engineering (360) 473-5270 This permit shall become null and void if the described work authorized by: this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revt n� an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to ppss final inspection prior to permit exp n d obtain a certificate of occupancy prior to use or occupancy. have read, and agree to.abide by the con ' ons o cl so ing, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: ( PRINTED NAME: �� t '�f 14 /14-C+ �' DATE: �� � — / i � � Z CONDITIONS City of Bremerton's/tnecessarily oval of is application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does n ensure compliance with federal or state laws. 10. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building, code or of any other ordinances of the City of Bremerton. 10. (DCD-01) ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound Clean it Agency and Washington Department of Labor and Industries (L&I) regulations require a asbestos survey be performed to determine whether there are asbestos -containing materials in the work area or structure. The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences).For more information, please contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 206-343-8800. The L&I web site can be Page 1 of 2 CITY OF BREMERTON DEPARTMENT OF COMM UNITYIDEVELOPMENT 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: APPLICANT NAME: PENINSULA MEDICAL BLDG PHONE: OWNER NAME: PENINSULA MEDICAL BLDG PHONE: CONTRACTOR: HUTCH CON CONST PHONE: LENDER NAME: PHONE: PERMIT NUMBER: BB12 00016 DATE ISSUED: 01/11/2012 INST SITE ADDRESS: 2720 CLARE AVE (360) 479-6154 ADDRESS: 2720 CLARE AVE SUITE A, BREMERTON, WA 98310 (360) 479-6154 ADDRESS: 2720 CLARE AVE SUITE A, BREMERTON, WA 98310 (360) 871-6188 ADDRESS: P.O. BOX 482, MANCHESTER, WA 98353 ()- ADDRESS: SUBMITTED: 01/11/2012 APPROVED: 01/11/2012 EXPIRATION: 07/09/2012 STATUS: ISSUED found at www.Ini.wa.gov/TradesLicensing/LicensingReq/Asbestos/default.asp. LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on a residential building or a child -occupied facility built before 1978, must be trained and Certified by an accredited training provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. �- For further information please contact: The Department of Commerce website at: www.commerce.wa.gov/lead, or call: (360) 586-LEAD (5323). 10. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit u inspection placard, are required to be on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted. 10. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity. 11. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection. Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. To register for on-line inspection access, visit the City's website at www.ci.bremerton.wa.us. Shear Wall Panels/Braced Wall Panels Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) Insulation - Wall Sheetrock Nailing Final Inspection - Building Page 2 of 2 Jim Bryan From: Jeff Klein [JKlein@pcs-structural.com] Sent: Wednesday, January 11, 2012 3:14 PM To: Jim Bryan Cc: sara.green@harrisonmedical.org; Mike Chitwood; Matt King Subject: RE: Jim, Per our discussion we can provide a slightly different detail to work around the existing anchor bolt. 1. At the location where there is an anchor bolt, place (1) piece of 2x4 flat on the sill plate and nail it to the sill with (6) 16d nails. This piece of 2x should extend from the anchor bolt location to the next adjacent stud. Then place another piece of 2x4 between the king stud and the next adjacent stud and nail that to the 2x below with (6) 16d nails. Connect the king stud to the 2x flat with an A35. Provide the A35 (1) side and connect the king to the trimmer stud with 16d nails at 12" on center. 2. Per our discussion it is acceptable to connect all other studs to the top and bottom plates with (1) A35. Please let me know if you have any questions. Thank you, Jeff PCS Structural Solutions Jeff Klein, S.E., Principal tacoma 253.383.2797 seattle 206.292.5076 JKleinppcs-structural.com www.pcs-structural.com -----Original Message ----- From: Jim Bryan mailto:'inwhutchcon.com Sent: Wednesday, January 11, 2012 2:34 PM To: Jeff Klein Subject: 1 1�J�1� 000ik� PERMIT CENTER COMMERCIAL Building Permit Application Department of Qojrnmurity Development * 345 - 6th Street- Suite 600 * Bremerton- WA 98337-1873 (360) 473-5275 * Fax ) 473-5278 * www.d.bremerton.wa.us Business Name: t"i C_ Site Address: 7 ,7 @Z© CLARC / e, -e To apply for a property address, contact Public Works at (360) 473-5270 r4 CONTRACTOR: t4 K &e - c ,3 e-vrJ OWNER: 1-k3,&p4 —e, e V r c AL - Address: f0 L9 X- '3 2 Address: Z 2J -(fle' City, State, Zi C-L ` 33a city, State, Zip: p (,,- t ,-) O License # & E22. Date: e, t11 fCt o 7j-Li' Phone #: b © 1 712- L C3S'' Authorized Agent Name: D,J -4 iZ14 ej_sO Contact Name: FZ3F.Ik „, Contact Phone #: ' 6 o .( D r 7) 0 Address: o Z Email address: /-L kk nJ n)C_ E M5� ^J, City, State, Zip: 4,j 40-7 & 9 9 ` Tax ID/Parcel #: ' Phone #: (,3b,) ) 7 19 — 72-3 P 0 ❑ Sewer ❑ Septic lEmail address: )-4t-( r- :1-j rr,l c- e,`-t cif , Wliat is the appllratlwftai'?_(Please check)____ EDTC6;strid-0-171 = Aiteration 0 Addition ❑ NEW COMMERCIAL ❑ TENANT IMPROVEMENT WITH WORK ❑ COMMERCIAL REMODEL ❑ TENANT IMPROVEMENT WITHOUT WORK ❑ COMMERCIAL ADDITION ❑ NEW SIGN ❑ COMMERCIAL REPAIR ❑ GRADING (Cubic Yards: ) ❑ NEW MULTI -FAMILY ❑ REROOF ❑ DEMOLITION _ Interior _ Exterior"" _ Foundation Wall— _ Roof / Section** ** Separate demolition permit and fees required. Contact Public Works for sewer ce,gpermit (473-5270). Sewer must be capped prior to demolition permit issuance. OTHER: I2 t�f/4-1 e'— IS THIS PROPERTY WITHIN 200 FEET OF SHORELINE? YES[::] NO ❑ Scope of work proposed: 9 0 A) 2 1-76ma F -OL A t t rn 7R1 ✓o ,-j L //J ,74 C` Square Footage: Building: Construction Type: Valuation Plan Review Fee Permit Fee Surcharge Total Fees '7S ©n �—S aa­7a5, Application for which no permit is issued within 1 days following the date of application shall expire by limitation, and plans and other data submitted for review thereafter be returned he Fdon ' r destroyed by the building official. The building official may extend the ti for action bylhr} applican r a period note ding 1 request by the applicant, showing the circumstances beyond the control of the applicant J�ave pre d actin m bei ken. t shall be extended more than once. In order to renew action on an application after uatto a 2013ficantlihall rew6mit ohvdl nd oav iew fee. / - 1- r Z Date Rev. July 2008 Questions on this sheet, please contact ivlixe bix, mire Marshal. (360) 473-5386, or email: Michael. Six ci.bremerton.wa.us Bremerton Fire Department Fire Marshal's Office Construction Assistance Bulletin Operations checklist Project Address: Primary Contact: Email: Below is a checklist of activities which this occupancy will be performing during day to day operations, not during construction. Please check all that apply. Also, please provide a copy (in both PDF and DWF/DWG format) of ALL drawings ands ecifications for this }ro'ect. PleE ise cnecK aii tnat a i : Aviation Battery Back Card swipe system Compressed Gases u Cooking Corrosives Cryogenics Emergency Generator Fireworks Flammable Flammable/Combustible Forklifts Material Liquids Gates Hot -work Large Ovens LPG Lumber/wood Motor vehicle Painting/powder coating Racks (12' or more in products repair hei ht Refrigeration i Storage >6' Tire Storage Dust products will be System I highproduced Place a check next to any item that will be addedlremoved or otherwise modified DURING CONSTRUCTION ONLY... Electrical Plumbing Fire Alarm Fire Sprinkler Hood System Walls HVAC Stom-/Se tic WHIM Access Site changes Windows Stairs Elevator Doors Building security ALL NEW CONSTRUCTION Items not mentioned: t-4 PERMIT #: \ A0 ., L DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 345 — 6th Street, Suite 600 Bremerton, Washington (360) 473-5275 INSPECTION REPORT ADDRESS: 9.7M 1 " -B"". td- &'a4' i�e ap &'t cu -5hze-':5 w Date: Phone: INSPECTOR � ft-M -1 k t4oT - City of Bremerton SoWNNSID PERMIT NUMBER: BB14 00883 Department of Community Development `7 DATE ISSUED: 01/27/2015 345 - 6th Street, Ste. 600, Bremerton WA 98337 SITE ADDRESS: 2720 CLARE AVE (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: 3966-003-001-1304 Name APPLICANT: RICE FERGUS MILLER INC OWNER: PENINSULA MEDICAL BLDG CONTRACTOR: HUTCH CON CONSTRUCTION INC. LENDER: ZONING: INST Phone Address Access Code 360-377-8773 275 5TH ST STE 100 JKXHF-R3UL1 BREMERTON, WA98337 360479-6154 2720 CLARE AVE SUITE A SRRQO-C3HB4 BREMERTON, WA98310 360-871-6188 P.O. BOX 482 WAPTW-W63PJ MANCHESTER, WA98353 SUBMITTED: 12/23/2014 APPROVED: 01/06/2015 EXPIRATION: 07/26/2015 STATUS: ISSUED VALUATION: $120,000.00 Plan Review Fee $758.55 Building Permit $1,167.00 State Surcharge $4.50 TOTAL FEES: $1,930.05 Commercial Building Permit w/ Mechanical/Plumbing HARRISON MEDICAL CENTER ONCOLOGY - MODIFICATIONS TO OPEN INFUSION SPACE HARRISON MEDICAL CENTER ONCOLOGY - MODIFICATIONS TO OPEN INFUSION SPACE Building Code Edition: Occupancy Group: B Type of Construction: V-B SPR Flood Zone: Setbacks: ////: (F/L/RT/R/O) Sanitation Method: Number of Bedrooms: Inspection Requests: FIRE: Fire Inspections (360) 473-5386 DCD: Building Inspections: (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 4154000 PW&U: Public Works - Engineering (360) 473-5270 This permit shall become null and void if the described work authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can substantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be home directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. SIGNATURE OF OWNER OR AGENT: PRINTED NAME: I tAA DATE: CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. Printed by : Mountjoy, Margreton: 01/27/2015 01:59 PM Page 1 of 3 City of Bremerton Department of Community Development PERMIT NUMBER: BB14 00883 DATE ISSUED: 01/27/2015 SITE ADDRESS: 2720 CLARE AVE �� � � 345 - 6th Street, Ste. 600, Bremerton WA 95337 4'rtii3iii7�i�i (360) 473-5275 Fax: (360) 473-5278 1. (FIRE-01) Life Safety and Fire Protection systems shall comply with: International Fire Code (IFC) with Appendix International Building Code (IBC) National Fire Protection Association (NFPA) Bremerton Municipal Code (BMC) Bremerton Roadway Standards Bremerton Municipal Utilities Copies of ordinances can be found on the cities website at www.ci.bremerton.wa.us. To contact the Bremerton Fire Marshal's office; Mike Six at Michael.Six@ci.bremerton.wa.us or (360) 473-5386 All questions, to be binding, must be followed with an email re -stating the question and must include either digital photos and/or drawings to show both existing conditions and proposed changes/alterations. The inspection retains the right to make requirements not addressed during plan review. In many cases the plan reviewer is not given adequate information to address all issues. The onsite inspection allows for a true representation of the project. All projects require a visible address during and after construction. Final fire inspection will not be signed off without a valid and usable address. Please contact the Public Works Department for address if need be, (360) 473-5337. All projects are required to have fire extinguishers unless exempt by the installation of a fire sprinkler system with quick response heads. All violations of the code and referenced documents is a $125 fine per violation. Deviating from the approved plans is a violation of the Fire/Building code. Any revisions need to be approved by the Fire Marshal. 2. (FIRE-02) Inspections Required Buildings and structures SHALL NOT BE occupied prior to the testing and approval of ALL fire protection systems and before an operational permit is issued. All Fire Inspections, including fire alarm, fire sprinkler, hood suppression, fire final etc are scheduled inspections. To schedule an inspection call: 360.473.5386 at least two business days before you need the inspection completed. 3. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection. Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. 4. (Custom) Domestic water and fire system are already protected with backflow assemblies 5. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. 6. (DCD47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re - inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted. 7. (Custom) ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos -containing materials in the work area or structure. The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences).For more information, please contact Clean Air Agency through their web site at www.pscleanair.org or by phone at800-552-3565 or 206-343-8800. The L&I web site can be found at www.lni.wa.gov/TradesLicensing/LicensingReq/Asbestos/default.asp. LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For further information please contact: The Department of Commerce website at: www.commerce.wa.gov/lead, or call: (360) 586-LEAD (5323). 8. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity. Printed by: Moungoy, Margreton: 01/27/2015 01:59 PM Page 2 of 3 n City of Bremerton Department of Community Development 345 - 6th Street, Ste. 600, Bremerton WA 98337 (360) 473-5275 Fax-(360) 473-5278 PERMIT NUMBER: BB14 00883 DATE ISSUED: 01/27/2015 SITE ADDRESS: 2720 CLARE AVE MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. To register for on-line inspection access, visit the City's website at www.ci.bremerton.wa.us. Inspection Description PLUMBING - ROUGH Plumbing Rough -In FRAMING Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) INSULATION - WALL Insulation - Wall SHEETROCK Sheetrock Nailing FINAL - BUILDING Final Inspection - Building Qty Fixture Type FIXTURE LIST Qty Fixture Type Printed by: Mountjoy, Margret on: 01/27/2015 01:59 PM Page 3 of 3 B UILDING PERMIT INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building Vi Plumbing 2720 CLARE AVE HARRISON MEDICAL CENTER ONCOLOGY — MODIFICATIONS TO OPEN INFUSION SPACE Mechanical ❑ Alarm/Sprinkler ❑ This Placard must be posted on or near building and the Permit &"Approved" plans must be at the site. Permit # BB 14 00883 Call the following Agency Telephone Numbers for inspections: Building Department Inspections: (360) 473-5870 Water - Public Works: {360) 473-5927 PW - Public Works - Engineering: 360 473-527 Kitsap Public Health: 360 337-523 Fire - Fire De artm 3600j 473-5386 L&I - Dept. of Labor -and Industry: (360) 415-4000 POS 1-° ON SITi - Property lines shall be properly identified and marked before foundation footing inspection. Setbacks are measured to the finished wall structure. - Reinspection fee may be assessed if inspection has been requested when not ready or corrections are not completed. - Permit, approved plans, engineering, and inspection card shall be on site during construction or Reinspection Fee may be assessed. , Plo,,l I 14% z I — Inspection APP DATE Notes Plumbing Rough -In 4- 03 -/5_ Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) � qqi, OA Insulation -Wall i� to �- Z?, fib'~ Sheetrock Nailing ,I3ey --2,-5 -oT IS Final Inspection - Building FINAL BUILDING (360) 473-5870 All of the above must be approved. Approved Final Inspection grants occupancy for single-family residence only. Commercial structures require separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENT APPROVAL Page 1 of 1 PERMIT CENTER 6[1- oowz3Cb COMMERCIAL Building Permit Application De;,artment of Communil� Development * 345 - 6th Street. Suite 600 * Bremerton, 1VA 98337-1873 (360) 473-5275 * Fax (360) 473-5278 * www.ci.bremerton.wa.us (Applicant: Owner E] Contractor I X Authorized Agent Business Name: Harrison Medical Center Oncology Site Address: 2720 Clare Ave., Bremerton, WA 98310 To apply for a property address, contact Public Works at (360) 473-5270 CONTRACTOR: Hutch -Con OWNER: Harrison Medical Center Address: PO Box 482 Address: 2520 Cherry Ave. City, State, Zip: Port Orchard, WA 98353 City, State, zip: Bremerton, WA 98310 License # & Exp. Date: HUTCHCC075LP Phone #: 253 426-4343 John Elswick Contact Name: Ron Hutchinson Authorized Agent Name: Matt King, RFM Contact Phone #: 360 710-2380 Address: 275 5th Ave, Suite 100 Email address: hutchconinc msn.com City, State, Zip-. Bremerton, WA 98337 Tax ID/Parcel #: 001-14 Phone #: (360 ) 362-1439 [] Sewer F-1 Septic Email address: mkin_q@rfmarch.com What is the application for? (Please check) 0 New Construction Alteration Addition Q NEW COMMERCIAL 0 COMMERCIAL REMODEL COMMERCIAL ADDITION 0 COMMERCIAL REPAIR F7NEW MULTI -FAMILY TENANT IMPROVEMENT WITH WORK 0 TENANT IMPROVEMENT WITHOUT WORK Q NEW SIGN 0 GRADING (Cubic Yards: _) 0 REROOF ( DEMOLITION _& Interior Exterior** Foundation Wall** Roof / Section** ** Separate demolition permit and fees required. Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior to demolition permit issuance. 0 OTHER: IS THIS PROPERTY WITHIN 200 FEET OF SHORELINE? YES NO �] DaUe u� N�fi Scope of work proposed: Scope includes new flooring, demolition of (3) walls, remodel of an existing toilet room, new casework and minimal modifications to existing casework. Square Footage: Building 10,560 Construction Type: V-B_ Valuation Plan Review Fee Permit Fee I Surcharge Total Fees $125, o00 5 7 ' i � ° 3 0' S I Application for hick no permit is issued within 180 lys following the date of application shall expire by limitation, and plans and other data submitted for ew may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by a pplicant for eriod not exceeding 180 days on request by the applicant, showing the circumstances beyond the control of the applicant h e p action from being taken. No applicant shall be extended more than once. In order to rent+:•, actio•+ on an application aft- ex pplicant shall resubmit plans and pay a new plan review fee. plican s ' ature Date 1 Rev. July 2008 Letter of Transmittal February 6, 2015 s Pe- , Washington State Department of IiHealth Construction Review Services I I I Israel Rd. SE Tumwater, WA 98501 PO Box 47852 Olympia, Washington 98504-7852 www.doh.wa.gov/crs tel. 360-236-2944 fax. 360-236-2321 Project Info: CRS# 60532988 Project 2720 Clare Ave Harrison Medical Center location: Bremerton, WA 98310 Chapter 246-320 WAC Hospitals Oncology Remodel Local Permit #: Key People: Assigned DOH Mina Zarelli Reviewer: mina.zarelli@doh.wa.gov Facility Harrison Medical Center Facility Contact: Harrison Medical Center Administrator: John Elswick Laurie Kearney 2520 Cherry Ave 2520 Cherry Ave Bremerton, WA 98310 Bremerton, WA 98310 (253) 4264343 x. (206) 755-8608 x. johnelswick@fhshealth.org lauriekearney@fhshealth.org Architect / Rice Fergus Miller Local AHJ: City of Bremerton Engineer: Matt King Jeannie Vaughn 275 5' St, Ste 100 Bremerton, WA 98337 (360) 362-1439 x. (360) 473-5212 x. mking@rfinarch.com jeannie.vaughn@ci.bremerton.wa.us Consultant: Hutch -Con Construction Consultant: N/A Ron Hutchinson PO Box 482 Port Orchard, WA 98353 (360) 871-6188 x. X. hutchconinc@msn.com Contact: N/A Contact: N/A X. X. Copies To: ® Local AHJ: City of Bremerton ❑ DOH Child Birth Center Licensing ® Architect / Engineer: Rice Fergus Miller ® DOH Office of Investigations & Inspections ® Consultant: Hutch -Con Construction ❑ DSHS, , Div. Of Alcohol & Substance Abuse ❑ Consultant: N/A ❑ DSHS, , Aging & Adult Services Admin. ❑ Contact: N/A ❑ L&I, Bill Eckroth, Electrical Section ❑ Contact: N/A ❑ L&I, , Factory Assembled Structures ® CRS File ❑ Page 1 of 5 Plan Review Comments for Project #60532988 Faciii Facility Name: Site Address: Data Certificate: Harrison ineaicai Lenter 2720 Clare Ave Bremerton, WA 98310 Estimated Date of Occupancy: Currently Occupied Occupancy B Group: Number of Current: �+ Beds: Automatic Fire Sprinkler System: dAutomatic Fire Alarm System: < Compartmentation req'd: w Special Delayed Egress Control: Certificate of Need Required: Licensee UBI#: 181005599 Critical Access Facility: ❑ Yes ® No Construction 5-B Applicable Code: 2000 NFPA 101 Type: 2012 IBC 2014 FGI Guidelines Added: Removed: Total: Yes ❑ No Type Yes ❑ No Yes ®No Smoke Control System Provided: ❑ Yes Yes ®No Location: Yes ❑No CON Approval Granted: ❑ Yes CON Number: Number of units: Private occupancy: Based on size of rooms used for sleeping Residents z O Based on size of common rooms Residents H Maximum allowable licensable beds: z� d Qualifies for Assisted Living Funding Program ❑ Yes [ �W Two person occupancy - Number of qualifying units: Remodel of existing infusion care clinic under the hospital license. Expands infusion care areas to add chairs. Finish upgrades throughout. The data above is based on the information presented to CRS. Any change in the facility or facility program that causes the above information to be incorrect is subject to review by CRS. Approval for construction is not approval for licensure. A copy of the facility data certificate will be sent to the licensing agency. Page 2 of 5 Plan Review Comments for Project # 60532988 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Remodel Project Status: - NOT APPROVED - - REVISE AND RESUBMIT - This project is not approved for use or licensure and construction is not authorized to begin. Authorization to begin construction may be issued once significant issues with the construction documents have been resolved. The project will not be approved until the comments labeled as "not approved" have been resolved by providing a written response to each of the comments. When referencing drawings or attached materials, provide sheet or page #, revision # and date as applicable. Additional comments may follow based on design team response and site inspections may be required to verify compliance. All documents submitted will be retained in our office until all the construction documents have been received, reviewed, and accepted. When the project is authorized to begin construction, a complete package of accepted documents will be stamped and signed by the department. One copy will be returned to the facility administrator to be kept on -site for the duration of construction and one copy will be retained for our records. Please note the following: ■ Please include your CRS number on all communications to Construction Review Services. ■ The facility may sign an "Acknowledge of Risk" form if they wish to proceed with construction without CRS approval. PROJECT CLOSE-OUT REQUIREMENTS You must notify the department when construction is complete by completing the following steps: ✓ Verify that you have resolved all of the comments on this form and have submitted any revisions ✓ Complete the Notification of Construction Completed at: http://www.doh,wa.izov/NotificationgfComnletion.aspx ✓ Email a copy of the approval from the local building department (final permit approval or certificate of occupancy); and ✓ Email a floor plan showing the scope of work to: fslcrs(a)doh.wa.gov. Once your construction project is complete, you may contact the DOH Office of Customer Service (360) 236-4700 for help with adjusting or amending your license to add this project. You can monitor project status at www.doh.wa.gov/crs. Page 3 of 5 Plan Review Comments for Project # 60532988 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Remodel Plan Review Comments: � b A o U ¢� z 1 ❑x Two complete plans and specifications for the fire alarm system installation or modification shall be submitted for review and approval prior to system installation. The department reserves the right to defer plan review and inspections to the local authority having jurisdiction (AHJ). Plans and specifications shall include, but not be limited to, a floor plan; location of all alarm -initiating and alarm -signaling devices; alarm -control and trouble -signaling equipment; annunciation; power connection; battery calculations; conductor type and sizes; voltage drop calculations; name, address, and phone number of the agency receiving off -premises transmission of alarm; and the manufacturer, model numbers, and listing information for all equipment, devices, and materials. Inconwlete plans andspecifications will be returned without review. Plans and specifications may be submitted separately from construction documents during the construction of the project. For small renovation projects in which devices are only to be relocated or very few devices are to be added, provide two plans that shows the relocation of devices which may be submitted for review in lieu of the above requirements. This information can be included on the electrical or architectural plans. Verify with Department staff to determine if the scope of your project meets this criteria. Section 907.1, International Fire Code 2 ❑x Two sets of sprinkler system working plans shall be submitted for review and approval before any equipment is installed or remodeled. The department reserves the right to defer plan review and inspections to the local authority having jurisdiction (AHJ). Deviation from approved plans will require permission. Plans and specifications. including hydraulic calculations that are incom lete or are not stamped by a Washin on State Licensed Fire Sprinkler Contractor, will be returned without review. Plans and specifications may be submitted separately from construction documents during the construction of the project. For small renovation projects in which heads are only to be relocated, a plan that shows the relocation of devices can be submitted for review in lieu of the above requirements. Section 903.1, International Fire Code 3 ❑x Provide mechanical plans to show how the remodeled infusion care areas meet the air change requirements of Table 7-1 (Treatment rooms). 2010 FGI 4 ❑x Plans received 1/6/15 show the removal of a hopper sink in the EVS room. A flushing rim clinical sink with bed -pan -rinsing device and a hot and cold mixing faucet is required in the soiled workroom. Where will this be located on the floor? 2010 FGI 3.6-3.6.10.1 ❑x Identify the environmental services room required by 2010 FGI 3.6-3.6.12 Page 4 of 5 Plan Review Comments for Project # 60532988 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Remodel 6 ❑x Identify the handwash sinks in the infusion area. Provide one sink for every four patient stations. 2010 FGI 3.6-3.2.5.2 7 0 Provide a furniture plan that shows at least 5 feet is provided between each chair. 2010 FGI 3.6-3.2.2.2 8 ❑x What will Closet 220 be used for? Identify where clean and soiled items will be stored throughout the clinic. 2010 FGI 3.6-3.6.9 & 3.6.10 9 ❑x Identify the nourishment station required by 2010 FGI 3.6-3.6.7 Compliance with the comments above provided by the Department of Health, Construction Review Services, are necessary for this facility to meet the requirements of the applicable licensing regulations found in the Washington State Administrative Code and associated references. These comments do not relieve the facilityfrom the responsibility to meet the requirements of any other applicable federal, state or local regulations. In the event of conflicts between other jurisdictions and these written comments, the most stringent shall apply. Page 5 of 5 Plan Review Comments for Project # 60532988 BUILDING PERMIT" INSPECTION CARD PROTECT THIS CARD FROM THE WEATHER Building W Plumbing 2720 CLARE AVE BREMERTON ONCOLOGY - REMODEL ON 1ST FLOOR J Mechanical q Alarm/Sprinkler ❑ This Placard most be posted on or near building and the Permit & "Approved" plans must be at the site. Permit # BB 12 00180 Call the following Aaencv Telephone Numbers for inspections: Building Department Inspections Call: (360) 473-5870 WATER - Public Works - Water: (360) 473-5927 PW - Public Works - Engineering: (360) 473-5270 HEALTH - Kitsap Co. Health District: (360) 337-5285 Fire - Fire Department: (360) 473-5386 L&I - Dept. of Labor and Industry: (360) 415-4000 Inspection Mechanical Rough -In Plumbing Rough -In Fire Rated Assembly L&I - Electrical Cover Inspection Before Framing (State of Washington) - Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) Insulation - Wall FIRE - Fire Sprinkler/Fire Alarm Cover Sheetrock Nailing Insulation - Ceiling — L&I - Electrical Final Inspection FIRE - Fire Alarm Acceptance Test FIRE - Fire Sprinklers/Suppression FIRE - Final Inspection WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigationy Final Inspection - Building - Property lines shall be properly identified and marked before foundation footing inspection. Setbacks are measured to the finished wall structure. - Reinspection fee may be assessed if inspection has been requested when not ready or corrections are not completed. - Permit, approved plans, engineering, and inspection card shall be on site during construction or Reinspection Fee may be assessed. Approved Date Notes &t . Lfi"LS�u 7�c2=ice FINAL BUILDING (360) 473-5870 All of the above must be approved. Occupancy approval for SFR only - Commercial structures require a separate Certificate of Occupancy. DO NOT OCCUPY BUILDING WITHOUT BUILDING DEPARTMENTAPPROVAL PROTECT THIS CARD FROM THE WEATHER �� 094 /a 6� Print Parcel Search Map Page 1 of 1 Kitsap County Parcel Search Legend Parcels Road: Names u: q �w w w af 3966-003-001-1304 Copyright@ 2011 Kitsap Count DISCLAIMER: This map is intended for display purposes only and is not intended for any legal representations. [Click here to Print] http://kcwppub3.co.kitsap-wa.us/ParcelSearch/PRINT.ASP?CM... 4/24/2012 Page 1 of 1 Valarie Jacobsen From: Jeannie Vaughn Sent: Tuesday, May 01, 2012 1:29 PM To: Valarie Jacobsen Subject: Fwd: Harrison Medical Center Oncology Expansion CRS #60269641 Sent from my iPhone Begin forwarded message: From: "Hamilton, Cory (DOH)" <Corv.Hamilton.. DOH.WA.GOV> Date: May 1, 2012 8:54:45 AM PDT To: "Matt King" <MKing�ii rflnarch.com>, <Stefanie.Dyertii:harrisonmedical.org> Cc: "Jeannie Vaughn" <Jeannie.Vaughm 1 ci.bremerton.wa.us> Subject: Harrison Medical Center Oncology Expansion CRS #60269641 Matt, You have Authorization to Begin Construction at Owner's Risk. We should complete our review around May 25th. Thank you for your time and attention with this material and please do not hesitate to contact our office with any questions or concerns. Thanks, C-.-ry :Iniiltoll Plans Reviewer I LEED AP Washington State Department of Health Construction Review Services Phone: 360-236-2944 E-Mail: core .hamiltonna doh.wa.wov INu Please fill out our Customer Service Surve►° located on our website at www.doh.wa.gov/crs M col uIII cttina 5/1/2012 t-4 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 345 — 6th Street, Suite 600 Bremerton, Washington (360) 473-5275 INSPECTION REPORT ! aA0&eA64v ,WA*,41 t, 4,0 &.i's tow Y.O"--4w A:��, 1 61 � C�?5 I 1� • ■ 1 ii •del 1 I IF 1��N � m I! I., AV rA H, "f4 JR I lI I il film, 11 A'o IWO A "FA f 1.0- LL��v�lnst �%'I IKR I rr le/14Y4 o)i Qd, Date: '7�/3 �/o'Z Phone: , iy-kc,q 640- 4�6- INSPECTOR Matt King From: Michael Six<Michael.Six@ci.bremerton.wa.us> Sent: Thursday, July 12, 2012 11:31 AM To: Matt King; Hamilton, Cory (DOH) Cc: Stefanie.Dyer@harrisonmedical.org Subject: RE: BR Med one Matt, this project was very confusing. The building does have a fire alarm system. It only covers the sprinkler system, but should have been extended into this new space. (I only discovered this panel yesterday) I am willing to sign off this project as is, but ANY future work in this building will also involve extending the fire alarm system throughout the building (all floors/areas etc) Currently there is no method of notifying anyone of a fire, but the building has a monitored fire alarm system?????????? Thanks, Mike Captain Mike Six, Fire Marshal Bremerton Fire Department Monday -Thursday Fire Alarm, Fire Sprinkler & Hood Suppression permits are issued 10 working days after a fully code compliant submittal package has been received. Commercial Building Permit Application -(Required for Fire Alarms, Hood Suppression Systems, NFPA 13 &13R Fire Sprinkler Systems) Residential Building Permit Application - (Required for NFPA 13D Fire Sprinkler Systems) From: Matt King I mailto:MKingCcbrfmarch.coml Sent: Thursday, July 12, 2012 10:17 AM To: Michael Six Cc: Stefanie Dyer (Stefanie.Dyer Ci harrisonmedical.ord) Subject: FW: BR Med one Importance: High Good Morning Mike, If you have completed the final review of the little Bremerton Oncology Building would you mind responding to this email with your findings. In particular the fact that you will not require smoke detection at the facility. Cory at DOH needs to hear that you are happy before he will final (allow them to see patients) the project. Thank you in advance for your help. Best Regards, Matt King Architect, WSSHE, LEEDAP BD&C Associate RICEfergusmiLLER 275 5th Street Bremerton WA 98337 Direct: (360) 362-1439 Main: (360) 377-8773 x 132 Fax: (360) 792-1385 CeN: (206) 257-8785 From: Stefanie Dyer fmailto: Stefanie. Dyeraharrisonmedical.or Sent: Thursday, July 12, 2012 10:05 AM To: Matt King Subject: BR Med one Matt, Mike Sixx has done the final fire inspection. Did you get an email stating we didn't need fire alarm? Thank you Stefa n ie Stefanie Dyer, MBA Design & Construction Project Coordinator Phone:360-744-6923 Mobile:360-509-4229 Matt King From: Hamilton, Cory (DOH) <Cory.Hamilton@DOH.WA.GOV> Sent: Friday, March 09, 2012 10:29 AM To: Matt King; Gary Maples Subject: HMC Expansion into Vacant Space CRS #60269641 Categories: Standard Spec Gary & Matt, I finally completed the Technical Assistance notes for the cancer center expansion project and you should be receiving the formal TA letter from our office early next week. There were a few things I wanted to bring to your attention: 1. A one hour separation will not be required around the mechanical room. 2. All of the storage will have to be removed from the mechanical room. Another option would to build a storage room (unrated) separate from the mechanical room. 3. 1 found an exception where the waiting room toilet and patient room toilet can be shared when there are less than 3 exam rooms, so the 'front' toilet can be used for waiting and patients. Thanks, Plans Reviewer I LEED AP Washington State Department of Health Construction Review Services Phone: 360-236-2944 Fax: 360-236-2901 Publics health - "Always working for a .safes~ and healthier Washington„ Please fill out our Customer Service Survey located on our website at www.doh.wa.gov/crs This anessage "lazy be conlidentio .dl'yore received it by mistake, please notify the sender and delete the mes:sraye. All niessa yes to and lroarr the Dc'p artiste=nt of fie alth may be disclosed to the public. Notice on. nferpret(ationS: 7`h& correspondence is not a formal interpveration i,ssaded I.mrsaiant to dle applicable licer7sing re (liddaitions, and daces riot necessadrity represent. the official position of the Department of ]tealth. In addition, this corresponden..i:e is nedthe'r intended, nor slitodid be r czlied ilporL to provide. prolessioncd consultation or services. Letter of Transmittal May 25, 2012 Project Info: CRS# 60269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion Key People: Assigned DOH Cory Hamilton Reviewer: cory.hamilton@doh.wa.gov Facility Harrison Medical Center Administrator: Forrest Ehlinger 2520 Cherry Ave Bremerton, WA 98310 (360) 744-6507 x. forrest.ehlinger@harrisonmedical.org Architect / Rice Fergus Miller PLLCA Engineer: Matt King 262 4th St . Bremerton, WA 98337-1813 (360) 377-8773 x. mking@rfmarch.com Consultant: N/A X. Washington State Department of Health Construction Review Services 310 Israel Rd. SE Tumwater, WA 98501 PO Box 47852 Olympia, Washington 98504-7852 www.doh.wa.gov/crs tel. 360-236-2944 fax. 360-236-2901 Project 2720 Clare Ave location: Bremerton, WA 98310 Local Permit #: Facility Contact: Harrison Medical Center Mike Chitwood 2520 Cherry Ave Bremerton, WA 98310 (360) 744-6635 x. mike.chitwood@harrisonmedical.org Local AHJ: City of Bremerton Jeannie Vaughn 345 6th St, Suite 600 Bremerton, WA 98337 (360) 473-5212 x. jeannie.vaughn@ci.bremerton.wa.us Consultant: N/A X. Contact: Harrison Medical Center Contact: N/A Stefanie Dyer 2520 Cheery Ave Bremerton, WA 98310 (360) 744-6923 x. X. stefanie.dyer@harrisortmedical.org Copies To: ® Local AHJ: City of Bremerton ❑ DOH Child Birth Center Licensing ® Architect / Engineer: Rice Fergus Miller PLLCA ❑ DOH Office of Accommodations & Res. Care Survey ❑ Consultant: N/A ® DOH Office of Investigations & Inspections ❑ Consultant: N/A ❑ DSHS, Div. Of Alcohol & Substance Abuse ® Contact: Harrison Medical Center ❑ DSHS, Aging & Adult Services Admin. ❑ Contact: N/A ® L&I, Bill Eckroth, Electrical Section ® CRS File ❑ L&I, John Harvey, Factory Assembled Structures Page 1 of 8 Plan Review Comments for Project #60269641 r'acnity liata uertiticate: Facility Name: Harrison Medical Center Licensee UBI#: 181005599 Site Address: 2720 Clare Ave Critical Access Facility: ❑ Yes ® No Bremerton, WA 98310 Estimated Date of Occupancy: None Occupancy B Construction Applicable Code: 2000 NFPA 101 Group: Type: 2009 IBC 2010 FGI Guidelines rA W Number of Current: N/A Added: N/A Removed: N/A Total: N/A Beds: >4 Automatic Fire Sprinkler System: ® Yes ❑ No Type aAutomatic Fire Alarm System: ❑ Yes ® No dCompartmentation req'd: ❑Yes ®No Smoke Control System Provided: ❑ Yes ®No w Special Delayed Egress Control: ❑ Yes N o Location: d Certificate of Need Required: ❑ Yes ZNo CON Approval Granted: ❑ Yes ❑No CON Number: Number of units: Private occupancy: Two person occupancy: W Qua Based on size of rooms used for sleeping Residents az O Based on size of common rooms Residents Cn H H z� Maximum allowable licensable beds: A U Qualifies for Assisted Living Funding Program ❑ Yes ❑No Number of qualifying units: Cn �W The data above is based on the information presented to CRS. Any change in the facility or facility program that causes the above information to be incorrect is subject to review by CRS. Approval for construction is not approval for licensure. A copy of the facility data certificate will be sent to the licensing agency. Page 2 of 8 Plan Review Comments for Project 960269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion Project Status: -Authorization to Begin Construction- -At Owner's Risk - This project is not approved for use or licensure. Subject to construction permitting from the local building official, construction can begin without delay. Proceeding with construction constitutes facility acknowledgement that it is doing so at its own risk. Initial plan review of the construction documents may or may not have occurred, however construction may begin, subject to construction permitting from the local building official. Please note the following: ■ The stamped "Authorization to Begin Construction" drawings will be delivered to the Facility Administrator. These shall be kept available on site for inspection during construction and post occupancy survey. ■ Please include your CRS number on all communications to Construction Review Services. You can monitor project status at www.doh.wa.goy/crs- Page 3 of 8 Plan Review Comments for Project # 60269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion Preliminary Comments zm Q E e 0 U Preliminary Conference — February 28, 2012 Attendees: Cory Hamilton (cory.hamilton@doh.wa.gov) Susan Upton (susan.upton@doh.wa.gov) Gary Maples (gary.maples@harrisonmedical.org) Sara Green (susan.green@harrisonmedical.org) — Department of Health — Department of Health — Harrison Medical Center — Harrison Medical Center The following are preliminary comments provided as information and for use in preparing the construction documents. These preliminary comments may be revised and/or additional preliminary comments may be made during subsequent submissions. T1 A floor plan will need to be provided that shows all spaces as highlighted or hatched that will be coming under the hospital license. This plan will need to include the clinic itself, egress to two exits and all shared support spaces (waiting, staff lounge, etc.). T2 Even though this is an existing building, this space will need to meet the new building requirements of NFPA 101, 2000 edition and the 2010 FGI because this space will be new to the hospital licensure. T3 A floor plan of the licensed space on the floor above will need to be provided for reference only with the construction documents. T4 Combustible materials will need to be moved from the mechanical room. 2009 International Fire Code 315.2.3 T5 All handwashing stations will need to meet the requirements of FGI 3.1-7.2.2.8 and 3.1-8.4.3 including: • Provide 4" wrist blades or sensor -regulated controls • Provide a minimum clearance of 6" from the bottom of the spout to the flood rim of the sink The area of the basin shall not be less than 144 square inches with a minimum 9-inch width or length. The discharge point of hand -washing sinks shall be at least 10 inches above the bottom of the basin. T6 Illuminated exit signs meeting the requirements of NFPA 101 section 7.10 will be required. Page 4 of 8 Plan Review Comments for Project # 60269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion 0 0 U T7 Plans will need to identify a staff toilet, patient toilet and waiting room toilet. The patient toilet and waiting room toilet can be shared since there are no more than three examination or treatment rooms per FGI 3.3-3.2.6.7. T8 A medicine room with a work counter, hand -washing station and provisions for controlled storage will need to be provided on this floor per FGI 3.6-3.6.6. T9 A nourishment station that meets the requirements of FGI 3.6-3.6.7 will need to be provided. The nourishment station on the floor above can be shared with this floor as long as the existing nourishment station meets the requirements of FGI 3.6-3.6.7 and the functional program describes how patients on this floor will receive nourishment from the floor above. T10 A clean workroom or clean supply room will need to be provided per FGI 3.6-3.6.9. Tl 1 A soiled workroom that meets the requirements of FGI 3.6-3.6.10 will need to be provided. The soiled workroom on the floor above can be shared with this floor as long as the existing soiled workroom meets the requirements of FGI 3.6-3.6.10 and a soiled holding room is provided on this floor. The soiled holding room will require an exhaust fan. T12 Space for storage of wheelchairs will need to be provided out of the direct line of traffic per FGI 3.6-3.6.11.1. T13 An environmental services room will need to be provided per FGI 3.6-3.6.12 and will need the following: • A service sink or floor basin • Storage for housekeeping supplies and equipment • An exhaust fan T14 The soiled holding room described in comment T11 and the environmental services room described in T13 can be combined T15 A staff lounge with lockers, toilet and hand -washing stations will need to be provided per FGI 3.6- 3.7.1. T16 The waiting room will need to provide local telephone access, drinking water and a toilet room with hand -washing station per FGI 3.6-3.8.1. The existing toilet does not provide direct access for waiting but could be used for waiting if the functional program clarifies how someone in waiting can access the existing toilet. Page 5 of 8 Plan Review Comments for Project # 60269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion ca P a 0 U T17 The functional program and/or construction documents will need to identify how storage for patient belongings will be provided. FGI 3.6-3.8.2 T18 Outlets with six feet of sinks will need to be replaced with GFCI receptacles per FGI 3.1-8.3.2.3. T19 The local fire marshal will need to inspect and approve this space prior to Licensing this space due to issues with the mechanical room and fire alarm system. Plan Review Comments: Q y o ° U Z 1 0 Two complete plans and specifications for the fire alarm system installation or modification shall be submitted for review and approval prior to system installation. The department reserves the right to defer plan review and inspections to the local authority having jurisdiction (AHJ). Plans and specifications shall include, but not be limited to, a floor plan; location of all alarm -initiating and alarm -signaling devices; alarm -control and trouble -signaling equipment; annunciation; power connection; battery calculations; conductor type and sizes; voltage drop calculations; name, address, and phone number of the agency receiving off -premises transmission of alarm; and the manufacturer, model numbers, and listing information for all equipment, devices, and materials. Incomplete plans and specifications will be returned without review. Plans and specifications may be submitted separately from construction documents during the construction of the project. For small renovation projects in which devices are only to be relocated or very few devices are to be added, provide two plans that shows the relocation of devices which may be submitted for review in lieu of the above requirements. This information can be included on the electrical or architectural plans. Verify with Department staff to determine if the scope of your project meets this criteria. Section 907.1, International Fire Code moo Provide documentation that the local fire marshal has inspected the space. Any citations by the local fire marshal will need to be addressed in this project. 2 0 Provide a fire extinguisher in the first floor Oncology suite. NFPA 101 section 38.3.5 Page 6 of 8 Plan Review Comments for Project # 60269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion 3 El Provide a plan showing exit signage that meets the requirements of NFPA 101 section 7.10. 4 0 Provide a plan showing illumination of means of egress that meets the requirements of NPFA 101 section 7.8. 5 ❑x Provide cuts sheets for all plumbing fixtures. WAC 246-320-505 6 ; 0 Provide a water closet and lavatory in Injection Room #108 per FGI 3.1-4.1.3.2. 7 H] Provide a medicine room with a work counter and hand -washing station separate from Injection Room #108. FGI 3.6-3.6.6 8 0 Provide a nourishment station with a drinking water -dispensing unit for patient use and a hand -washing station separate from Injection Room #108. FGI 3.6-3.6.6 9 0 Revise the construction documents so that one Soiled Workroom is provided in Oncology (either room #105 or room #231 will need to be modified) per FGI 3.6-3.6.10 including: • A flushing -rim clinical sink with a bed -pan -rinsing device and a hot -and -cold mixing faucet • Hand -washing station • Work counter • Storage cabinets • Waste receptacles 10 El Provide a space for storage of stretchers and wheelchairs out of the direct line of traffic per FGI 3.6-3.6.11.1. 11 ❑x Replace hand -washing stations in Public/Patient Toilet #103 and Exam Room #107 to meet the requirements of FGI 3.1-7.2.2.8 and 3.1-8.4.3 including: • Provide 4" wrist blades or sensor -regulated controls • Provide a minimum clearance of 6" from the bottom of the spout to the flood rim of the sink • The area of the basin shall not be less than 144 square inches with a minimum 9- inch width or length. • The discharge point of hand -washing sinks shall be at least 10 inches above the bottom of the basin. 12 El Provide storage for patient belongings. FGI 3.6-3.8.2 Page 7 of 8 Plan Review Comments for Project # 60269641 Harrison Medical Center Chapter 246-320 WAC Hospitals Oncology Expansion COMMENTS BELOW ARE RECOMMENDATIONS ONLY AND NO FURTHER RESPONSE IS NECESSARY. HOWEVER ALL CHANGES TO THE CONSTRUCTION DOCUMENTS MUST BE SUBMITTED TO CRS. R1 Recommend moving the new floor basin to Soil/EVS #105. R2 Unless the furnace room has a piece of equipment over 400,000 btu per hour input, CRS does not require a one hour wall between the storage room and Mechanical Room #115. Compliance with the comments above provided by the Department of Health, Construction Review Services are necessary for this facility to meet the requirements of the applicable licensing regulations found in the Washington State Administrative Code and associated references. These comments do not relieve the facilityfrom the responsibility to meet the requirements of any other applicable federal, state or local regulations. In the event of conflicts between other jurisdictions and these written comments, the most stringent shall apply. Page 8 of 8 Plan Review Comments for Project # 60269641 Page 1 of 1 Valarie Jacobsen From: Jeannie Vaughn Sent: Tuesday, May 01, 2012 1:29 PM To: Valarie Jacobsen Subject: Fwd: Harrison Medical Center Oncology Expansion CRS #60269641 Sent from my iPhone Begin forwarded message: From: "Hamilton, Cory (DOH)" <Cory.Hamilton( DOH.WA.GOV> Date: May 1, 2012 8:54:45 AM PDT To: "Matt King" <MKingw rfmarch.com>, <Stefanie.Dyertir.:harrisonmedical.org> Cc: "Jeannie Vaughn" <Jeannie.Vaughil[a)ci.bremerton.wa.us> Subject: Harrison Medical Center Oncology Expansion CRS #60269641 Matt, You have Authorization to Begin Construction at Owner's Risk. We should complete our review around May 25th. Thank you for your time and attention with this material and please do not hesitate to contact our office with any questions or concerns. Thanks, Plans Reviewer I LEED AP Washington State Department of Health Construction Review Services Phone: 360-236-2944 E-Mail: cor- .ham ilton(&doh.wa.aov Please fill out our Customer Service Surve► located on our website at ww-*v.doh.wa.gov/crs nor should ur 5/1/2012 Page 1 of 1 Jeannie Vaughn From: Hamilton, Cory (DOH) [Cory. Hamilton@DOH.WA.GOVj Sent: Tuesday, May 01, 2012 8:55 AM To: Matt King; Stefanie.Dyer@harrisonmedical.org Cc: Jeannie Vaughn Subject: Harrison Medical Center Oncology Expansion CRS #60269641 Matt, You have Authorization to Begin Construction at Owner's Risk. We should complete our review around May 25th. Thank you for your time and attention with this material and please do not hesitate to contact our office with any questions or concerns. Thanks, Plans Reviewer I LEED AP Washington State Department of Health Construction Review Services Phone: 360-236-2944 E-Mail: cory.hamilton@doh.wa.gov +1'k.itrg (oi tr .��2lr�r r11ltr Frcrtf(irit'► !1'riEJ1J►1r3Pr»r . 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S114++t61.N' rrrn•+1 t+ingt, to rrrrn l,fr• hrnr� �.�tr+tt'rl constrllatinta ++, 'xw s- 5/9/2012 PERMIT NUMBER: BB12 00180 DATE ISSUED: 05/21/2012 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345.6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 4735278 ASSESSOR NUMBER: 3966-003-001-1304 ZONING: INST SITE ADDRESS: 2720 CLARE AVE APPLICANT NAME: HARRISON MEDICAL CENTER PHONE: (360) 792-6674 ADDRESS: 2520 CHERRY AVE, BREMERTON, WA 98310 OWNER NAME: HARRISON MEDICAL CENTER PHONE: (360) 377-3911 ADDRESS: 2520 CHERRY AVE, BREMERTON, WA 98310 CONTRACTOR: HUTCH CON CONST PHONE: (360) 871-6188 ADDRESS: P.O. BOX 482, MANCHESTER, WA 98353 LENDER NAME: PHONE: 0- ADDRESS: SUBMITTED: 04/24/2012 APPROVED: 05/21/2012 EXPIRATION: 11/17/2012 STATUS: ISSUED VALUATION: Mechanical Fixture Fee Building Permit Plan Review Fee Plumbing Fixture Fee State Surcharge TOTAL FEES: $47,500.00 $30.75 2215 $559.00 2211 $363.35 16-4580 $48.00 2213 $4.50 0236 $1,005.60 Commercial Building Permit w/ Mechanical/Plumbing BREMERTON ONCOLOGY - REMODEL ON 1 ST FLOOR Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: IBC 2009 B Type V, Sprinklered (Front) (Side) (Rear) (Other) Square Footage: Bid Price from Applicant TOTAL Inspection Requests FIRE: Fire Inspections (360) 473-5386 DCD: Building Inspections (360) 473-5870 HEALTH: Kitsap County Health District (360) 337-5285 L&I: Department of Labor and Industries (360) 415-4000 PW&U: Public Works - Engineering (360) 473-5270 This permit shall become null and void if the described work authorized by this permit has not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned at any time after the work is commenced for a period of 180 days. It is the responsibility of the permit holder to see that the required inspections are made. Failure to obtain required inspections may result in stoppage of the work until such time that the permit holder can susbstantiate to the City of Bremerton that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be bome directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or local law regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR AGENT: PRINTED NAME: _��? ( ` DATE: ✓ �'� /� CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1.0. (DCD-02) DCD: Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Washington State Building code or of any other ordinance of the City of Bremerton. Permits presuming to give authority to violate or cancel the provisions of the Washington State Building code or other ordinances of the City of Bremerton shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of the Washington State Building code or of any other ordinances of the City of Bremerton. 10. (DCD-01) ASBESTOS: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos -containing materials in the work area or structure. The asbestos survey must be conducted by and EPA -certified (AHERA) building inspector (except renovation or owner -occupied single family residences).For more information, please contact Clean Air Agency through their web site at www.pscleanair.org or by phone at 800-552-3565 or 206-343-8800. The L&I web site can be Page 1 of 3 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER: BB12 00180 DATE ISSUED: 05/21/2012 345 - 6th Street, Bremerton, WA 98337 (360)473-5275 Fax: (360) 473-5278 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: SUBMITTED: 3966-003-001-1304 ZONING: INST SITE ADDRESS: 2720 CLARE AVE HARRISON MEDICAL CENTER PHONE: (360) 792-6674 ADDRESS: 2520 CHERRY AVE, BREMERTON, WA 98310 HARRISON MEDICAL CENTER PHONE: (360) 377-3911 ADDRESS: 2520 CHERRY AVE, BREMERTON, WA 98310 HUTCH CON CONST PHONE: (360) 871-6188 ADDRESS: P.O. BOX 482, MANCHESTER, WA 98353 PHONE: 0- ADDRESS: 04124/2012 APPROVED: 05/21/2012 EXPIRATION: 11/1712012 STATUS: ISSUED found at www.ini.wa.gov/TradesLicensing/LicensingReq/Asbestos/default.asp. LEAD -BASED PAINT: A contractor or person receiving compensation who is performing renovation, repairs or painting on a residential building or a child -occupied facility built before 1978, must be trained and certified by an accredited training provider, and registered as a Renovator by the Washington State Department of Commerce- Lead -Based Paint Program. For further information please contact: The Department of Commerce website at: www.commerce.wa.gov/lead, or call: (360) 586-LEAD (5323). 10. (DCD-47) DCD: Reinspection Fee: All approved plans, the printed building permit, and the permit inspection placard, are required to be on -site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In addition, a re -inspection fee will be charged and must be collected by the Department of Community Development prior to any further inspections being performed or approvals granted. 10. (DCD-50) Final Inspection Required: All building permits shall have a final inspection performed and approved by the City of Bremerton Department of Community Development prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration may require a reactivation fee, or a new permit application if more than a year has passed with no activity. 11. (DCD-14) DCD: Approved Plans, Engineering, Site Plan, Permit, and Conditions shall remain on site and be available for inspection. Any changes to plans shall be approved before construction is performed. Architect or engineer of record shall approve the change before submitting a revision. A revision is subject to a revision fee and additional fees for plan review and inspections. MINIMUM INSPECTIONS REQUIRED To request an inspection, please call (360) 473-5870 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. To register for on-line inspection access, visit the City's website at www.ci.bremerton.wa.us. Mechanical Rough -In Plumbing Rough -In Fire Rated Assembly L&I - Electrical Cover Inspection Before Framing (State of Washington) Framing Inspection (Mechanical & Plumb Rough -In, Elect Cover Completed) Insulation - Wall FIRE - Fire Sprinkler/Fire Alarm Cover Sheetrock Nailing Insulation - Ceiling L&I - Electrical Final Inspection FIRE - Fire Alarm Acceptance Test FIRE - Fire Sprinklers/Suppression FIRE - Final Inspection WATER -Potable Water Backflow Prevention (domestic, fire sprinklers, irrigation) Final Inspection - Building FIXTURE LIST Qty Description Qty Description 1 C-Floor Sink and/or Indirect Waste 1 C-Bath Fan and/or Exhaust Fan 3 C-Sink (Lavatory, Kitchen, Mop, or Bar Sink) Page 2 of 3 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: SUBMITTED CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 345 - 6th Street, Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 3966-003-001-1304 HARRISON MEDICAL CENTER HARRISON MEDICAL CENTER HUTCH CON CONST 04/24/2012 ZONING: INST PHONE: (360) 792-6674 PHONE: (360) 377-3911 PHONE: (360) 871-6188 PHONE: 0- APPROVED: 05/21 /2012 PERMIT NUMBER: BB12 00180 DATE ISSUED: 05/21/2012 SITE ADDRESS: 2720 CLARE AVE ADDRESS: 2520 CHERRY AVE, BREMERTON, WA 98310 ADDRESS: 2520 CHERRY AVE, BREMERTON, WA 98310 ADDRESS: P.O. BOX 482, MANCHESTER, WA 98353 ADDRESS: EXPIRATION: 11117/2012 STATUS: ISSUED Page 3 of 3 P11 1� 8, �'a coao PERMIT CENTER Co 5 COMMERCUL f 0 -ST Building Permit Application De artment of Communin, Development . W - 6th StreeL Suite 600 ' Bremerton. WA 98337-1873 (360) 473-5275 * Fax (360) 473-5278 * www.ci.brembrtonma.as Business Namawls'3pe: Site Address: To apply for a property address, contact Public Works at (360) 473.5270 CONTRACTOR: OWNER: LJ446s,,tv co CHt Address: ,a )4.1f ddress: Dav sgaotV 60C City, State, Zi : 7 Cl City, State, Zip: 'ge l I-5 License # & Ex . Date: Phone #: 4D h Contact Name: ill Authorized Agent Name: rk" , Contact Phone #: (P [ Address: 0 At 174koal Email address: rV, 741 Chu M Cit , State, Zi : Tax ID/Parcel #: Phone #: (OcLe) a ❑ Sewer 1►Vhat3s _ .: ❑ Septic Email address: r r •". VAdditica. NEW COMMERCIAL ❑ TENANT IMPROVEMENT WITH WORK COMMERCIAL REMODEL ❑ TENANT IMPROVEMENT WITHOUT WORK ❑ COMMERCIAL ADDITION ❑ NEW SIGN ❑ COMMERCIAL REPAIR ❑ GRADING (Cubic Yards: NEW MULTI -FAMILY ❑ REROOF ❑ DEMOLITION _ Interior Exterior" _ Foundation Wall'* Roof ! Section** ** Separate demolition permit and fees required. Contact Public Works for sewer cap permit (473-5270). Sewer must be capped prior to demolition permit issuance. ❑ OTHER: IS THIS PROPERTY WITHIN 200 F,€ET OFA SHORELINE? YEs❑ NO)z Scope of work proposed: Square Footage: Building: Construction Type: Valuation Plan Review Fee Permit Fee Surcharge Total Fees 7 S�L; Application for which no permit is issue vviithin 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be turned to the applicant or destroyed by the building official. The building official may extend the time a for action by the applicant for a period ceeding 180 days on request by the applicant, showing the circumstances beyond the control of the applicant have prevented action from bet ken. No applicant shall be extended more than once. in order to renew action on an application after expiration, the applicant shall resub and pay a new plan review fee. AaDlicanVs Sionature Date Rev. July 2008 Questions on this sheet, please contact ivime aix, mire Marshal. (360) 473-5386, or email: Michael.Six ci.bremerton.wa.us Bremerton Fire Department Fire Marshal's Office Construction Assistance Bulletin Operations checklist Project Address: Primary Contact: Vk4Z-7 1u,vvl _Email: m klk► �� � ►G��;� , Below is a checklist of activities which this occupancy will be performing during day to day operations, not during construction. Please check all that apply. Also, please provide a copy (in both PDF and DWF/DWG format) of ALL drawings and specifications for this.proiect. Please check all that apply: Aviation Battery Back Card swipe system Compressed Gases up Cooking Corrosives Cryogenics Emergency Generator Fireworks Flammable Flammable/Combustible Forklifts Material Liquids Gates Hot -work Large Ovens LPG Lumber/wood Motor vehicle Painting/powder coating Racks (12' or more in roducts re air hei ht Refrigeration Storage >6' Tire Storage Dust products will be System hi I produced Place a check next to any item that will be addediremoved or otherwise modified DURING CONSTRUCTION ONLY... Electrical Plumbing Fire Alarm Fire Sprinkler Hood System Walls HVAC Storm/Septic Buildinq Access Site changes Windows I Stairs Elevator Doors Buildin2 secu ty ALL NEW CONSTRUCTION Items not mentioned: I 00 IK D60 -INTER Zf,r Z, C'--mmunit►,� De;e3vvmem*3441 - pia" reei, S-uhc &00*Ere rlc-m*VH 9833 7-I 873 Alechan cal Plunibinp , Type Fuel CDecicl ass.; . ©4i1 Oopae ccpane3T L:3�erlentia Ioaiiaer�l drms `ONTI RAXTOR: C/ t, • C©A/ I O 11MR: Q � DN M (C4`L f 1 Address: --K-1 MILE141a Addresss: i Zi C O LA14 L City, State, 4: Phone 4 � 76A Contact Phone #: 0 6h y Tim ID/Parcel 4 : i INTO. TYPE Of EQUii'�`T NO. I TYPE OF TIDE AIR HANDIJNIG IWN T>J0,DWCFM t, ATMOSPI-IUIC AFACl'UM BRKR 11-S AIR HANDLING ITMT <I (l=Il1 V UM ATMOSPI• MC VACUUM BRKR > 3 BATH FAN ANDiOR Ei llST FA2i BAC:KFLOW- DMCE <=2" CLASS l HOOD & DUCT SYSIBM BACKFLOW DE1'ICE > 2-' CLASS 2 HOOD & D13CT SYSTEM BURDING SEWER CLOTHES DRYRfi W F-X'I-IAUST CLOTBF,S 'WASHER COhVV ERC3AL Fi7RNAMI UCT COWERCIAL FLOOR MAIN COMM. F"JRN ACI>]00,0D0 BTU DISHWASBEIR COMPREs54RS i DRAIN PREVENT PIPE ALTERATION COD,', s7c"�T- 1W EMIAUST 1 DRIOING FOUNTAIN t DUCT CHA7v 3y �'.fO i;j$W I LI'RNACE FLOOR DRAIN' j ELECTRIC FU: y" ACE4iEAi' I'DI+� T' -- EVAPORA=- iCk9LER _ -.--- - - I- OOR SINKAN`DIRECT WASTE i GREASEINMERCEVTOR I'IREPLACIa-3_-%3 Dal OAS LOG INSERT HOSE BIBBS FIREPLACE-W D. 0D- OR WOODSTOVE INDUSTRIAL SANDIOIL INTERC EffOR GAS WATER }TEAM &- V NIT LAWN SPRINKLER W/ BACKFLOW D.EV. i GAS PIPING ROOF DRAIN NUSCELLANEOU-' MEC}IANICAL 3-HA14POO SINK W/BACKYIOW DEV CI I NATURAL GAS FURNACE UCM- N G_j SINK VYOTCHEN, MOP OR BAR) PROPANE P URNACBADLICIM, I SUMP PL33►+IP PROPANE TANK (<20DD GALL IMSi TM AWWOR SHOWERUNIT � j !UNIT HEATER WATER CLOT- AND/OR URINAL OTHER: ' 071M OTHER OUTIE : - � I+IECIWLAICAL Fm• PLT,7I 1BFEES; f I-'O r AII- Y: III. _ r Applicant's `Signature cq I � Dane 4k Temporary CertijOf Occupanry Type of< Occupancy s Oceupan Common Codeprinkters Construaionl Classicatinn. load :Use?: edition R�.; VB `B2 105 IUletl�al IBC 2006: No.. THIS CERTIFICATE MUST BE POSTED AND PERM.ANENTLY.MAAIN.TAINED INA ', _. -- - ~~~ ~~ ~ ~.' ~ ~ ~ ~ I ~ ~~ . CERTIFICATE OF OCCUPANCY CITY OF BREMERTON , . BUILDING DEPARTMENT m,.i~ ~~(i/ic€d6 f'.J,~lled (o___...!~N~~_~.LA ~DI~~!~_~~~T~~_~.~~_ loaded at 2720 Clare Avenue flJU!4n6"l-wn,l 6)faJu;,.~ C6Uifiatlud~~~k~wi(h~~of~ $~ ~ode <1' tile ~it.Y <,i/ $U!4n<!/i-w1'I aJ.lunein l"UYtP-t~hul. TYPE CONSTRUCTION VN . TYPE OCCUPANCY . BZ OCCUPANCY LOAD 107 COMMON USE Office qj)ate: .9'~?,: #~// ~ ,/ -~:-~4J'c-~ . f!iJuiltlillR @//idal David A. Nelson - This (certificate must be posted and permanently maintained in a conspicuous place. 11851 October 21, 1991 ---...-, Permit No. , "..... ,:..~'?i'..j. .'~. .' . . .,' , ". . ~~:~f.f ~r~1ii'\"Ci;;j~'c:, ' . · ...' ,)\,{;,,), ". , '~"'i..re., .~, '~'f..b C E Rll F I CATE '.0 F,~ d;"\1h;t~~ . ',' '~':;U'~e,;i';,.,: ".~f,,:;,:;:~,:'i', i"","(?" '. .::. ';;.' . ,', "5,J;';,~:;~i < )!.c'" y,.OF.,:BREMERTON .:'/ , '.' \~;tC~'~;~:~~\'i "",' ;, " .. . . ,!"..i".',';""" ""'., "S'~~~k ' ANNE MURPHY, M.D. ""-.,, . ",'>', , '> ,-,.,.,~-,,1">':J-'''' '.J~~i)l?~~~'~~~~~~~l{~~i~~ ..,.'~ fLUte. '~'€1' $~'~ ~ ~" ,- ",' ,.. '"'''~&'}''''' . "~~r,:~~r3;:i i,' :W;~f:dllffi:0L?~~E:': ~:~;'< ',. 66~GPAN~'" "J:' :..:,' . .' ,:," .,~;:- ", , ',: ;':'~~'r, :?'~;::r ',(~~t~)C~,3~: ~~Jt';'Y ' "~';'~''-'':''CONSTRUCTlON' OCCUPANcY"'" 'LOAD'," ",,' ' ':~"COMMON USE ':'Y"';:i">"~'!: ~<i'" fi#flq1~;j=",~~,:tfl!';~!r .., . " ZY', '.' ,:~>' ..}' Of~fCe~j;;,:> .;c~"~~;'i~'jj~: ~~: ..,r:'t,. .' .q;~~, '~- " . " . ''', .", '.. ~~~_____ "~-'::~~nI ." ,-:>:::<,:,;'::' ~~. n ~2;?ri':\~;,,<~~~;,,' ~!:; ,', " ~'. ,< . ..' !Oci~\:i~~~~~i~~r;~\~t~;;;~ ~:~~~;~~~~::p'~~~li~~~ ~l ~1.l ~. ~ (1,' ~r . f) (' f) t!"f) ~v...:~ ",i , . , INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT Ip.O~5 f 1I1bL) P 11851 PERMIT NUMBER f. ADDRESS OWNER CONTRACTOR 2720 CLARE AVENUE PENINSULA MEDICAL BLDG ' ASSOCIArrp:PtONE PERDEMCO CONSTRUCTION INC. PHONE :'" 1 FOUNDA liON 1. PERMIT ON SITE ()' L- A J 7. CHECK FOR ALL 2. CHECK PLANS TO PERMIT V\.'1~<\ ~f~1J' 8. REQUIRED STEEL IN PLACE 3. CHECK SETBACKS lZ,. /)' 9. CHECK FIREPLACE FOOTING 4. PROPERTY STAKES I, "" 10. ANCOR BOLTS 5. FOOTING WIDTH & DEPTH 11. FOUNDATION VENTS 6. SOIL BEARING O.K. 12. CRAWL ACCESS . , . COMMENTS: R __ 0 k:: J St. FOUNDATION INS~GTION.L /. j S//t//'I APPROVED BY: 1fZ!'h.- >fzl Ifl f:'d LJdl- 17 ,y0~ 4u/f/ 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 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. ROOFING, FLASHING, SHEATHING 2B. SIDING 1.WIRING APPROVED . 2.FOUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITNE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. BEAM SUPPORT . 7. TA. 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: ~,t FRAMING INSPECTION APPROVED BY: 1/J6 ~r J!;~ 1Ir .. _$ INSULA lION -r~ 1. PROPER R-VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPE~ /'" APPROVED BY: ~ COMMENTS: Ur:,;4 ~/-rL ~/~/~ I rf-./zl MECHANICAL 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. '8' VENT SIZING 5. '8' VENT CLEARANCE 6. '8' VENT SUPPORT 7. COM8USTION AIR 8. DUCT SIZING 9. DUCT SUPPORT &. JOINTS 10.GAS PIPING TEST 11. GAS PIPE SIZING 12. GAS PIPE SUPPORT COMMENTS: PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. OW SIZING 5. PROPER SUPPORT COMMENTS: ._.J wlb /~ 06/5/1/ UNDERGROUND APPROVED BY: M p 3 HVAC APPROVED BY: GAS PIPING APPROVED BY: WDST 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT. WDST APPROVED BY: - -~ 6. PROPER FrrrlNGS 7. REQUIRED CLEANOUTS 8. PROPER GRADE 9. HWT PRES. RELIEF VALVE & LINE 10. SEISMIC STRAP ROUG~~VED ~_) /. BY: 0''; f.. F'/7.,L - A-ITW ~ <<-'\ WALLBOARD 6. ARE SEPARATION IN GARAGE 7. ATTIC ACCESS 8. DRAFT STOP IN ATTIC 9. PROPER CONST. OF FIRE WALLS 10. DROP CEILING & LIGHTING 1. LID OVER SIDES 2. NAILING 3. W/R AT TUB OR SHOWER 4.518 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: . ~% t?1/1/q, FINAL 1. HANDRAILS 2. GUARDRAILS HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROOFING IN SHOWERS 5. DISH\AlASHER AIRGAP 6. FIRE DOORS LABLED AS REQUIRED SELF CLOSING 7. FIRE DAMPERS INSTALLED 8. PENETRATIONS IN FIRE WALLS FINAL PLMB. APPR. (comm.) FINAL MECH. APPR. (comm. FINAL BUILDING APPR. D' 4 ....,. ~ VT ~.. 9. HOTWATEA TANK PRL 10. OUTSIDE GRADE 11. SOIL TO SIDING CLEARANCE 12. SMOKE DETECTORS 13. FIREPLACE HEARTH 14. SAFETY GLAZING 15. INSULA lION WINDOWS MEET ENERGY CODE UNDEAFLOOR & ATTICE INSUl. WATER PIPE & HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED COMMENTS: ~ ~'~rYl /~~ ~~ ~~~ --1 AJ~' ~,-li FILE COMMENTS f~ SITE ADDRESS: P~e.-V\ \, A ::"~~loc.L(Ua~pp. NO. C( I A->PtJ3,~ OWNER: .p~jn Sv 1~ k~ 6\J.~ ~GLPERMITNO. NUMBER OF PLAN SETS -3 VALUATION: FEES PAID: PLAN CK. /' SRCHG. BLDG. PLBG. . MECH. OTHER ROUTING: DATE DATE APP. WI NOT SET # SENT RETURNED APP. COMMENTS APP. REVIEWER BUILDING ff 21~ (q, ~ J PLANNING [2] 3,W}Q \ ENGINEERING B ~P-O Jq L 0/ do. s:Jt11 WATER El ~,JC11 4~q( FIRE f}(~3t>>/ql '*5'(11 V TRAFFIC [g/ _ 3/.:J.~lCtL 3./~G; /9 { '~iEAL TH DEPT. 0 ~ /' / I I ~ ~JV:({A~ d A ~~, I ,0' . -- 5d+J- }/ COMMENTS \ Ie 3.~~ ...J ) ;" tq I I I ~A u-J ~,~ , , r ~...~ / l~ , {t ; I ! -0--.. FILE COMMENTS SITE ADDRESS: ~ 7 ~ 0 ~ - ~~~. .+ APP. NO. lJ / !+PO ~6 d7 OWNER: PERM IT NO. NUMBER OF PLAN SETS VALUATION: FEES PAID: PLAN CK. J BLDG. SRCHG. PLBG. . MECH. / OTHER ROUTING: BUILDING .~ PLANNING 0 ENGINEERING 0 WATER 0 FIRE ~ TRAFFIC 0 HEALTH DEPT. D DATE DATE APP. WI NOT SET # SENT RETURNED APP. COMMENTS APP. :,.,...,.... REVIEWER '~I 1Jc~t1Iq J '7/3g jq 1/ 1/ , 4~' --- -Jg,. :/ : " i A sprinkler system will be installed according to N.F.P.A. #13 standards and to the approval of Brernerton Fire Department standards and approval. A shop drawing will be conpleted and submi tted to the Building Department and Fire Department 30 days after the building permit has been issued. Fox Fire Prevention, Inc. will be the installer; Fred Ziemke, owner 871-1985. ~~ct: 'i .- \' B REM E R TON B U I L D IN G D E PAR T MEN T PER. M I T ========================~==:====~=================:================== Application Date Issue Date Assessor Acctt Site Location Owner- Last Name - street - City - Phone Tenantts Name Agent's Name Architect's ( ]. Building [X] Mechani [ ] PI 07/29/1991 07/31/1991 Application Number 91AP03807 Permit Number 12230 ,Project Group 2720 CLARE AVENUE PENINSULA MEDICAL 2720 CLARE AVENUE First CENTER MI Building Work wil Zip 98310 Paving Underground lition ;1:. ~ Council Inspections Required Residence [ ) Business [ ] Other [ ] New [ ] Repair [ ] status Remodel ( ] Code Addition [ ] Foundation [ ] Framing f] Insulation,[ ] Plumbing [] Mechanical [X] Wallboard [ ] Final [X] --~------------~-~------~---------~---------~---------------------~--- Received By; Approved By: - . ~~ t1 ~ . I/l' f""""L~ " , \\(;,\'L " ,. \.,' . "".,!_ ~ ,oJ ______,______ .,. __ _______.__________,ft..-......:::--__ _<_1._ _._ ------------ ~-- __iJ_ -- ------~----~-----~r---.---~ -----~--- . , I I LJ' ,B ~ E,M E R T ON B U I L DIN G D E PAR T MEN T M EC H A N I C A L \P E ~ M I TAP P L I CAT,I 0 N i ."'1",,, ~! ,'f'~'l!f""'~ I r*""~r"';~1\I"~J$I','lt..:"~ i ; = == == === = = =::-~::~~~'~ ==~'=::;: J ~=:::='~ ='~':~~'==::::;::;::::; ==::==::==:: =::; ==.=::: == ::;'::;::;::; ::;~==:: ::;:= Application Number 91AP03807 ---------....---- --------- -,---- LEONARD/HILLMAN, INC. 3460 OLD ,BELFAIR HWY. 'BREMERTON (206) 98310 ,Contractor street City Phone Representative state License # City License # 1 a c,,<<e,">! rise r t s ac~,S'Y Bttrn~l"S ;~:;! Heat:E:rs p:s1:!j!!1t:~~i~~i:. Boil e r s "'1'1 Gct:!S out lets 5 c601ers ~ir Conditi ;Heat Pumps ~e-Heat Boxes ~~ir Handl ing Uni ~ans , !\ange Hoqij~ D'rvers ;~:" ',,"" :,< Il1<;:inerat Al t::,erations " TanJeE; rf9~ration r t~~ms t'< ~^~;,",O~~.'O Oo~~"; 't I / '\ ,O!' S' ^O~~~' ,o,;aYP 'l. ~ , ~ 80)~" I , , "> B R.E MER TON D E PAR T MEN ~ B U, I L., DIN ,G PER M I T A pop L I CAT ION . . --------------------------------------- --------------------------------------- . " ----------------------------- -----.------------------------ Application Date Issue Date Assessor Acct :/I: 'Site Location. Owner - Last Name street City Phone Tenant's Name /;::~. Agent's Namei.;i"; ,1vy . Architect's Njrne !';' [ ] Bui 1 din~.l;F)-' . [X] Mechani,tral .' [ ] PI umbi" 07/29/1991 Application Number 91APQ3807 Permit Number Project Group Fiit;aving < " derg~ound olit.ion Building Work wil Nature 0 Construction Type , , ,Inspections Required' Residence' Business Other New Repair Remodel Addition [ ] [ l ,[ ] [ ] [ ] [ J [ ] status Code Zoning Type " Foundation Framing Insulation Plumbing Mechanical HaIIboard Final- MI IT ] [ J [ J [ J [X] I J [X] ;;to . '.. ", , ' , . ,. . . ~:; \~;; == ;/=;= = - = = = = = y = = = = = = = ==== = = = = = ==== === = = = = == = = =;; ~;; == . .,1 B REM E R.T 0 N BU'ILDING M E C H A N I C A L P;E R M I T - - . . --------------------------------------------'------------------------- -----------------------~--------------------------------------------- - . I Application Number 91AP03807 Contractor Street City Phone Representative State Licens City Licens LEO N ARD I!!J"k~W;it~,~,:.;li'i;~~i~:-ri - 3460. ,.~im:;;,?EELFAIR HWY. ' .B TO Expira ."'~ ""'''''lrz1;ri'A:q. t ion '<Oleo ~ ~~'''' , ~~ ~~ e S- ii" Fire"lFl ace {? Fur;,naces '. But-ners l' Heaters goiler5, ~as Outlets, 5 poolers ' 5 ~ir Conditipning Heat Pumps ; ~e-Heat -xes A';i. r Hand Uni F~ns , , RaJ\,ge Hoo Dry~rs , c irt;'~:r a tor 13 . '...erat-ipns, s ...... . "P,\o"~,, " ' 'M,~~~,I 0 era t i .0 D:"T:Jn':i:.,t.,s> ",,,~. DE PA RT.M E N T A P PL IC A T I O.N f' '11\ '\ i " ' , ',' ot/" ,~jj' ,;0 ~ '. <'l -------~---------- . . - ------------------ . ~" ~ I " ", . 'r -.. :'''f:~ aRE MER TON B U l'L DIN G , D E PAR T MEN T .PERM.IT A P P L I CAT ION ,=============================~==========~~======================~==== . II Ii II 91APq3807 Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - Street - City - Phone Tenant's Name ^~ Agent's Name Archi teet's N:~1ne [ ] Bui Idin9!!:::!V [X] Mechanic,~;al [ ] Plumbiig j"~:; Application Number Permit Number Project Group 2 7 20 CLARE. A;i~llJ;ij:i::'::":!;i':'i;il::.~:".~. PEN I N SUL~!~~ED'I CAt ""'F'I't<s:t.;v,CENTER 2 7 2Qr;:::~'AR N""'" ,." .~E~ON _. ""~l.~"".,;.:., 98310 ,;:;:;<:'20',.; o~~;e">c"\ <~o ~~ ii ~I " 07/29/1991 ' ,<'3~', 'o~,t "~O~",;,>o,~ . --~------~~~ ;'.';~----- d'O~ .'G;a'(i'ing' ] )t'Ove Buildi J>'Mobile Horn " / ' , ~'o '"';""'" ~~ il II Ii rqround litien i: ,I I. !i ----.,.---- Sign';".:. Burning\ Land Cle'a,r 'or, ,:;;': i~~;~,\:> Building ;:I:o ;:'ator: ;~>, ,oo~ "~~. o.~ ",~>>?\r!t'J,.o~~c nO,n Work wil~ b~~~~~pl~ted by ~ooo " . Nature 9f~~i.W MechaxH'Qa :;;;:; ; ';~1\f '/~ ,,:0' 1<~i. o:~l>~;~l, \ ;.' l' ,I' '~~~tk ,.. \, ~~, " -------------~~~~~-- Council Distd:~G;t, . Cons ~~~~t i on .,.'''''''''''''~''''''"'1.o~''''''',2''"'".'"'"W",M.'" ". . i ! " Ie . ji Residence Business Other New Repair Remodel Addition [ ] [ ] [ ] [ ] [ ] [ ) [ ,1 Zoning Type Foundation Framing Insulation Plumbing Mechanical 'Wallboard Final )i Inspections Requi red Ii ,. i' t ] [ ] [ ] t ] tx] [ J [X) status Code " :1 . , Ii ============~==========================================~========~==== N @;,.e.c;t "\-r-u S j . -e: Yl' ~ " () € < I .s .s~, ~ v~. -;-":3 . )~Ic.C{ ~ '~~ {-.r0~~~J 6\~ ,-- ~q- q r ~~, r1lb\\~ /. -.\ B R EM E\R TON B U I LD I .N G D E PAR T MEN T ME C H A N I C A L P,E R M I T A P P LIe A T ION - - , ============~================~='===~=============================~==== Application Number 91AP03807 Contractor street City Phone Representative state License. City Li LEONARD/HILI.~i:lh,.'_-'iN;C.._ _ 3460 LiB:-,'BE'L'FAIR Hvry. .:'" BR "TO ":€:'~;06~,.,, <~7 ~>!~+'~:ll:~' ~~~,~ "'0 0" ~, <:1'~~: ~~,~ ~?{::~~:rt~::o~ 0 -------~----------- ------------------- ,,~ ,.~ "~ ",.P-> 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 o'~~o>'" Agent's Name ..' Arch.itect's Niime [ ] Bui 1 di nq:!\:;; [Xl Mechani~a [ ] PI umbi~::g 07/29/1991 91AP03807 Application Number Permit Number Project Group 2720 CLARE...~M~Nij:lf~'i'\::i.1:.1i:i':;"", PEN I N SUWti"M.ED I CAt .. Fft~~.t::CENTER 27 2 Q;:>::1Zt:AREi" :oA~lENtlBl;::~~~~~1h "0 T,:)O~>"~ o 0 ~ ~j<- s J,; :,o,~~o;~;;'~O ,~~h"'M~~.1~ONi:~::~~;;;;;:::;.. i~J; "~ ::( 20 6: :}.::. - .i:i.:....,..:..:.t.;:.;.: t...:.;.;:.;;:.]:: ..: :?i:: o~::/ ' '{f O:::b',,"';';~<:~ 0 c -, ' ~I 98310 o':/:~:;t :~<', ,1{;/" G:t;"aaing trove Bui 1 1 Mobile 8i gn:.:: Burning. Land Clea,r : ]~.aving . ] a~:der9round l:;;D~;mol i tion _ _ _ _ _ _ _ _ _ *:.... _:W\.,.._ _ _ _ _ _ .;; _ _ _ _ _ _ _ _ _ _ _ _ _ ,<;;;, ~<:~>;: Bui Iding;co~f~;j;@tot: - ~~~;~c~.~,~,_ il- - - .. - - - - ':~~~ o^o~ '/,:~o c&o ~i^:}: ,....0'..... .J.d,:,.. ..C:.;~~ ':;,0~: 7-30 _ ~/ .. _.-:-.:....."-...;,t_l'f _ _ _ _ _ _ _ _ _ _ _ -- ___________ _ . ""'1l';,~:,O',-_...~:~ ;:-.:;",.,. l:}f'%;' ,,,y,<" . ...........;'..:.:o.....o,~o.\.i:'.o:}.;':...1j.:::.:..i InRSeqPUec]., trJ.e' dons ;?:~:~/~:,:(, ~ "'w ~,," ~ ,;'T " '0 'T.'~<<<l; {:l~3:6'f:f:~:'b ~OT'/J /~<c>;' ">T ',,' ::t" ,,+0 Work WiI~b~~~~~pl~ted by owner. :;~i ;:) ;,1 ;,;;:: :;:; 1)';' ;0;' ~o', ;~~ Nature 'oDit W . [fu. ~~c~a~~:~~~ i r illJmoi t: U. " ., \ If:<' ~ l.J L~ Uii..Y l5 JUL :3 0 199. - ;::.;< ;T,( >'< ,>>' (;OO, ,::? .: "o~;; j:;;::; Construction Type Residence [ ] Business [] Other [] New [ ] Repair [] Remodel [) Addition [l Status Code Foundation r J Framing [] Insulation [ ] PI umbing [.] Mechanical (X] Wallboard (] Final [X] Zoning Type ====================================.================================ ~ F t r""L I-cl.q- q I B REM E R TON B U I L DIN G D E PAR T MEN T M E C H A N I C A L A P P L I CAT ION PER M I T _____________________~___~w___________________~_______________________ -~-------------------------~-------------------------~-----------~---- Application Number 91AP03807 Contractor street City Phone Re'presentat i ve.,." State License._ f Ci ty License:i'ff LEONARD/HI L~'",r-l>Jl~.;;.. 3 4 6 Oq;~JJ'i BEL FA I1~..J{WY ~.~ Bl?~ERTON ;., . {j~'O 6 ) -;",,(;:,. 'f~';::::::';;'> ,0:;+;, '< ,,,.0, ,d ,~"; ~.EOlAl* 12 61ft" ,/>1:~~~tr'~0\:, " +~;:r:"::: o~:~ro!' ~ '~o 11::\'0 >0 ) "'>;~ ,/i/ st(,ve~'/ Fi re,;i"Pl ace Insett::s:.',.}.. FUI;,naces Bt:\rners Heaters l;loilers Gas Outlets Coolers Air Conditioning Heat Pumps J{e-Heat xes A:,ir Hand Uni Fans Range Drye,rs ,.incinerators . fXl'tenitions .,; '!J;?lft:k s Ref1ii~gera t i onUni ts. ot6ii Ite,ms <, ' 11:'i ~',^ ,,',', 0 0, ------------------- - - - - - - - - - - - - - - - .-- - .... .... ----~------------ ------------~---- -..... J I I / 1 ) J ~ I ! B REM E R TON B U' I L DIN G D E PAR T MEN T ---------------------------------------------------------------------. --------------------------------------------------------------------- Application Date 06/20/1991," Issue Date Assessor Acct #: ~/~O U~ Site Location c-21J1 HEMLOCK'STREET Owner - Last Name PENINSULA MEDICAL - Street 2771 HEMLO - City BREME - Phone (20 Tenant's Name Agent's Name Architect's Nam [X] Building [ ] Mechani c [ ] Plumbin ;:1};,,~ Building dio II '~~I Contractdf lilY Street !.f1 . ri~$ Cl ty t~ Phone .~. ;~~ Represeflt State Lic #: Gi ty Li~~nse # 41~1;f- Nature of W? rk: Sprinkler, yste Building Valuation " , PER M I T A P P L I CAT ION Application Number 91AP03597 Permit Number Project Group First CENTER Zip 98310 dinn: ,,"/,.,'""~"'c'"~.''~'T.,,''',';:''' Sign ~~Ito~"'lj) l J 8;~,\>;, "~\t,.>"", ov~/"Bui 1 ding [] Bur-fl,.ing lIP ,~. 9l:li I e Home [] Land "~J ea / , '~~, -- - - -- - - - -"1:\-- '* \1, ,. '" i, \{, MI Paving rground lition - - _,?It_ _ _ _ _ _ _ _ _ _ actor/ i 'lfOXFIPI l on Date t07 // on Da t e'" '" ,~}t l<< o~~;i ", ";' ,l/P' --------------------------------- ------------------------------- Council District Census Tract Construction Type Residence Business Other New Repair Remodel Addition [ I [X] [ ] [ ] [ ] [ ] [ ] JFOX FIRE :P.O. BOX 594 I PORT ORCHARD 1;(206) 871-1985 , '. ~ Zip [ ] [ ] [ ] i[X] [ ] [ ] '[X] = = = = = = ::: = = = = ~= = = = := ~ = = = = = =:= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = [:=1' \ <- ,~ /",\', " :, ,. l\ \ '\ \ '+ h ., 0';10 ", ~~~to""';:oo ~~f;~,1 S~~\':>~'-i^,'", sir":; "'., ~ ~"''l'''''' ~.If::t"'C",_,r, "";BI1PIJIt'~P ~",,,,,~~~ ,', t"~ Sq Feet Inspections Required Zoning Type Foundation Framing Insulation Plumbing Mechanical Wallboard Final Status Code I I I / I { \; \ ,';:;" ~ - ~a;c:: .\ \;. 1\ \, '0" .~: ~ B R E . E R TON' BU'ILDING o E PAR T MEN T /' f \( '\ \ ~ E R M I T A P P L I CAT ION ===========================================================;========= "~~ '; , Application Date 06/20/1991 Issue Date "Assessor Acct # :;;"'7~O Q,.A~_ 51 te Location ...z,llJ.,...,HEMX.o.CK." STREET Owner - Last Name PENINSULA MEDICAL First - street 2771 HEMLOg~0,,#:~BU~::.i'?:i::it - Ci ty BREMER .Q;f~i:::i:;;l"' ." . , Phone ( 2 ,. Tenant's Name Agent's Name Architect's [X] Building [ ] Mechani [ ) Plumbi Application Number 91AP03597 Permit Number Project Group CENTER MI , , ..~ .." ""'>/','" . Contract street City Phone Repres state L City Li Zip 98310 ':~~~ne ( 206 ) ort:i'tt:{ 206) ~';~J~1;>o ding."",,""'" ".t.]. ,:~ign ove,A~ui 1 di,ng [J Btl'1?n1ng' qbf 1 e Home (] Land:'~l ea Pavingi . Underground lition l Building Nature of Sprinkler Building Valuation ----------------------~----_._-- --------------------~-----~-- Council District Census Tract Construction Sq Feet Type Residence [ ] Zoning Business [X] Type Other [ ] New [ J Repair [ ] status Remodel ( ] Code Addition [ J """ " ~~ T + . ., '",. AnS R.e,9;~ ions Requiredi . -Foundation [ ] FI"aming t] Insulation [ ] Pluml:llI)9 [X] Mechanical [ J Wallboard [J Final [X) :\i< ; f, ;~ ,...<";;,~.t:,~. ?~ JS \ ~ = = = = = = = = ~ [:;z= = = = = =[;I:re T ~ = i = = = ~ = = ~ = = = = = = = = = = = = = = = = = =".. = = = ~ .B REM E R I T 0 N B U I L D I N G D E P A R T MEN T P E R M I T A P P L I C A T I 0 N __~__________________~______________________~_~_________________l~___ ~-~--------------------------------------~--------------------------- . , I' Application Number 91AP03597 Permit Number Project Group Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - street. - City Phone Tenantts Name Agent's Name .., Archi teet' s Namei!:~;1" [X] Building . [ ] Mechani C<i:i: [ ] PI umbin1:~V;:1 c3V " I 06/20/1991 I 2771 HEMLOCK STREET PENINSULA M~DICAL ,First CENTER, 2771 HEMLOgJ,~':il~i'i.fifi''''~''''~1!:b,'''' BREME ":t;$~;.',':rp..'sta:t;t:,, A Zip 98310 (20';0':. ' dinadP,F,"""""""'''r~''J',eSign ,( oV~",,'BJ.iilding [] :Bl1'1':~ing 91>11 e Home ( '] Land"'€iJ ea:;:"i ,;jc ,~ , HI Paving :' .Underground lition _ _ _ _ _ _ _ _ _ _ ;~L ~,~_ ___-.ii.:~ _ _ _ ~ __~__ Bui 1 ding ~~~nf:tJ;ractor i ,~~+ ,',o:';~o ~", l Contractqr pFOX FIRE Streetl~~ ~P.O. BOX 594 City ~ ~PORT ORCHARD Phone' ~~ c€~I!; 4 (206) 871-1985 Repres c,;' ti!,~ state L c€!fi;" i YOXFIPI city Li nse # , ;;:; 1~ Zip 98 on on ", .'j> " ", Of;: '" - 9'/ Building .Valuation Council District ,Census Tract Construction Type I i "">""'",,,,,~,.J;n S n t i oils .~ . "., . ::1,,~~,(Ir~,€~ " ' ReqUJ. 'e~~", ')'-' Sq Feet Residence Bpsiness Other New Repair Remodel Addition [ ] [X] [ ] [ J [ ] [ ] [ ] Zoning Type Foundation Framing Insulation Plumbing Mecha.nical Wallboard Final , status Code ( , i [ ] [ ] [ ] [X] [ ] f. ] [x] r--,: :::: ,= = = = = = :::: :;: :::: = = :::: = :;: :; = '= :::: ::: :::: :: :::: :::: :::: ;;:; :::: :::: = :: :::: :::: :; :::: = = :: ,= = :::: = :: = = = :: :: = :::: :: = ,= = :: = = = = = :: :::: :::: :::: ~ :::: = = = r- ~ ~ ; , 'I FOX F~'RE PREVENTION,INC. " ,P.O. Box 594' , PORT ORCHARD, WASHINGTON 98366 DJE1Y'iJTEOO@[f lI00~~~~Ollu~[L fSJ)(; l")f;pt ATTENTION 871.1985 623.2993 RE, . Ii TO - ~~t:TZ"N C':5/1Z > , WE ARE SENDING YOU ,~ttached D Under separate cqver via , '~op: drawings D Prints D Plans, D Copy of letter D Change order . D the following items;;,' D Samples DSpecifi cations '0 ' COPI E? DATE NO. , DESCRIPTION ~L P~N6 F' THESE ARE TRANSMITTED ~~r approval' D For your use D As requested as checked below: ' > tJ Approved as submitted , f . . D Approved as noted D Return~d for corrections D ResjJbmit~copies for approval o Submit~copies for distributIon YReturn4-corrected prints D For review and comment ,D D FOR BIDS DUE 19 D 'PRINTS RETURNED AFTER LOAN TO ,US REMARKS .. Ij~, ( /' ~~\, ',~ /~"r ' ~ V./, f."4~, : v //' A" ',-- ,/I d 't.s~>) " f//; ''', ~.. ~~ ~~~ - . - -- , <'/'-y,n :. '~~""'" ,." , y /) .II"..., , ~A '^.y ~~~ ' ~l'4')" -1" r " . I~ i: If",- :' '. COPY TO SIGNEo+i0eiJ 0, ZL~, PRODUCT 240-3 /Nel!iS/ Inc., Groton, Mass 01471 If enclosures are not as noted, ,kindly notify 'us at once. BUILDING: 478-.5281 Cityof BremertoIt DEP.-\.RT~IENT OF CONSTRUCTION ..-LVD L..-L'tD USE PLANNING: 478-527: Building Department REQUEST FOR OCCUPANCY APPROVAL , ( ~uilding ~siness License ~ TO: Traffic ~~er/Wastewater~ \P'~nning a-lL- irtgineering~ -F'ire o-V lfealtn Dept, Please review this request for approval to occupy the following structure and return to this department by October 9, 1991 . Thank you. Permit Technician: Janet Lunceford Date: 9/25/91 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ Type of Occupancy ~-=- Occupant Load 107 * * * * * * * * * * * * * * * PLEASE REVIEW ASAP, Name of Building Name of Tenant (if applicable) Owner of Building Nature of Construction (if applicable) Address Contractor Permit 11 PeI1llit Date Type of Construction Square feet Use Comments: Peninsula Medical Center same Dr. Reimer' New office building 2720 Clare , . Perdemco Const. 11851 5/6/91 VN 10,658 Medical Offices -' * * * * * * * * * * * * * * * * * * * * * * * * * * * * , CONTRACTOR WOULD LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 Approved L:7 IDisapproved l:7 By: Date: 817 PACTFIC AVENl.,'E . BR.EMERTON. WASHINGTON 98310 B REM E R'T 0 N B U I L DIN G P E'RM I T D E PAR T MEN T =========================~==================================='======== Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - Street - City - Phone Tenant's Name Agentis Name Archi tect I s Na.m [X] Building [ ] Mechani c~~ [ ] PI umbin '. 06/20/1991 06/20/1991 Application Number 91AP03597 Permit Number 12065 Project Group Building 2720 CLARE AVENUE PENINSULA MEDICAL 2720 CLARE BREME (20 First CP;NTER MI 'Zip 98310 Paving .Uncle rg round emolition \' Contract Street City Phone Repres . State't ,~':;,Cit'Y:J ,.1i Nat.:ure, -of '~prinkler ,..,) Building Valuation --~------------------------~--- Council District Census Tract Constructiorl Type 'Sq Feet Inspections Required "." ,'I!'':. Residence [ ] Zoning Foundation ( J Business [X] Type Framing [] Other r ] Insulation [ ] New [ ] PI umbing [X] Repair [] Status Mechanical ( ] Remodel [] Code Wallboard [] Addition [ ] Final [X] ~-----~--------~--'-----~-----------------~--------------~----~--_._--~- Rece. i ved By: ~.. C' "jL .... I ~ 'Approved By: /L'" !! .--,.."\ J ,"'.. .. . . \ c: I fI~ ' ~A , \.0 I ",=/ (~ vr ( :: =:::::::::::;::;:::::::::::::::: _ _=-=:E~:::-=::".: ::::::=:::= =::::: :::::===:::=::::::::::: = === ==::: =~:: =====::: =::::::: ==::: ==_=:;::::- BUlLOlNO: .f7'8-5281 TO: Building Business License Traffic Cityof BremertoIt DEPA..RT~rENT OF CONsTRucrroN ..-LVD L..-\....~~ USE . PLANNINO: 478-57 Building Department REQUEST FOR OCCUPANCY APPROVAL CITY OF BREMERTON SEP2u.1991 MUNICIPAL UTllHltS Engineering }o"ire lfealtn. Dept, Water/Wastewater. Planning Please review this request for approval to occupy the following structure and return to this department by October 9, 1991 . rhank you. Permit Technician: Janet Lunceford Date: 9/25/91 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ Type of Occupancy I Occupant Load 107 * * * * * * * * * * * * * * * PLEASE REVIEW ASAP, -Name of Building Name of Tenant (if applicable) Owner or Building ~ature of Construction (if applicable) Address Contractor Permit II Pendt Date Type of Construction Square feet Use Comments: Peninsula Medical Center " same Dr. Reimer- New office building 2720 Clare Perdemco Const. 1:1851 5/6/91 VN 10,658 Medical Offices '. B2 -' * * * * ** * * * * * * * * * * * * * * * * * * * * * * , CONTRACTOR WOULD LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 _' APprove~ /Disapproved l:7 B Date: 817 P...CJFlC :\VENt:E . BR.E~ERTON. WASHINGTON 98J10 ~.~.~.( . BUILDING: 47'8..5281 TO: Building Business License Traffic CityofBremertoIl. l DEPART:\IENT OF CONSTRUCTION < A..~D LA...~T) USE ~ PLANNING: 017'8..52 :@' ~;:..r.~ ~.., ~ ., "" l ~ft ~' ~ ~~ II II /: : /, 'J Building Department t . REQUEST FOR OCCUPANCY APPROVAL /"".\ "I.'}-, c'...- :_.1 /,~ . i) 70 . , -<.7'(}7 {""",, I '%9%" :~)'~""', Eng ine'e r.ing }<'ire lfealtn Dept, Water/Wastewater / Planning Please review this request for approval to occupy the following structure and return to this department by' October 9, 1991 Thank you. \ Pennit Technician: .Jatwt 1.11I\1~llrOrd Data: lJ/'l.!I/lJl * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ Type of Occupancy B2 Occupant Load 107 _" * * * * * * * * * * * * * * * . * * . '. . . * * * * * . . * . * * * * * ** * * * * * ) PLEASE REVIEW ASAP, CONTRACTOR WOULD LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 Comments': Name of Building Name of Tenant (if applicable) Owner of Building Nature of Construction (if applicable) Address ( Contractor Permit Ir Permi.t Date Type of Construction Square feet Use Peninsula Medical Center same Dr. Reimer' New office building 2720 Clare /j. ~, . '..... ~.r!'.jj ":- . .< h r ~'//i"" ..... _ i:"4 j: Ii .~ ,.:':'--, 0.,,7 i .~ ~tlo - ~!J 8l1/f '-i/01'1" (98, /)/1tq 1>'1l.1:?r 1 . Otp;'C1V, ~~~.tl Pcrdemco Const. . 11851 5/6/91 VN 10,658 Medical Offices Approved /Disapproved D Date: /0-. /07/ 817 PACJFIC AVENUE . BR.fMER'TON. WASHINCTTON 98310 BUILDING: 478-5281 TO: Building Business License Traffic Cityof BremertoIt DEPART;,\IENT OF CONSTRUCTION A.. VD L..-\.... '-~ USE PLANNING: 478-52 Building Department REQUEST FOR OCCUPANCY APPROVAL Engineering c 'Fire', H"ealtn. Dept, Water/Wastewater Planning Please review this request for approval to occupy the following structure and return to this department by October 9, 1991 rhank you. Permit Technician: Janet Lunceford Date: 9/25/91 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ Type of Occupancy B2 Occupant Load 107 * * * * * * * * * * * * * * * PLEASE REVIEW ASAP, Name of Building Name of Tenant (if applicable) Owner or Building Nature of Construction (if applicable) Address Contractor Permit II Permit Date Type of Construction Square feet Use Comments: Peninsula Medical Center same Dr. Reimer' New office building . 2720 Clare ~ -.. .- ...~ r :".. r-' 'r:;} . lfu ic I' ! Ie " \! is rUt- ~ ,~i L':J U \.J . . Perdem~o Const. 11851 5/6/91 VN 10,658 Medical Offices aE? 3 (\ 1'191 [; r\Li",j ;:R7G~~ ~~!I nl~IG nrPARTMENT ~ . -.. * * * * * * * * * * * * * * * * * * * . * * * * * * * * , CONTRACTOR WOULD LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 Approved P' /Disapproved CJ By: Date: 817 P....CTF1C ..WENt.:F. . BR.E~EraoN. WASHINCTON 98:310 BUILDING: 478.5281 J!. TO: Building Business License-- Traffic Cityof BremertOIt DEPART~IENT OF CONSTRUCfrON A..VD LA,","~ USE q 5\J) \\", \~-- PLANNING: 478.5! Building Department REQUEST FOR OCCUPANCY APPROVAL -Engineering r~ire lfe.altft. Dept, Water/Wa8tewater . Planning '. Please review this request for approval to occupy the following structure and return to this department by October 9, 1991 . ~ank you. Permit Technician: Janet Lunceford Date: 9/25/91 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~-~;~ Type of Occupancy B2 Occupant Load 107 * * * * * * * * * * * * . . * PLEASE REVIEW ASAP, Name of Building Name of Tenant (if applicable) Owner of Building Nature of Construction (if applicable) Address Contractor Permit II Pennie Date Type of Construction Square feet Use Comments: Peninsula Medical Center same . Dr. Reimer' New office building 2720 Clare Perdemco Const. 1185t 5/6/91 YN 10,658 Medical Offices . . * . * * * . * . . . . . . . . . . . . . * . . * . CONTRACTOR WOULD LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 . , Approved ~ /Disapproved L:1 By: ""/h->~nw-~&.1 L~/~~~~ ~d?~ ~/~r;-e-~~~~ aUt n l'--~ ~ ~O~Y" T 817 PACJF1C .-\VENt.:E · BR.E~ERTON. WASHINCiTON 98310 BUILDING: 478-5281 TO: Building . Bu'siness License Traffic Please return \ Perad t Cityof BremertOIt DEPART:\-IENT OF CONSTRUCfrON ..-LVD L..-L'-TI USE PLANNING: 478:52 , Building Department REQUEST FOR OCCUPANCY APPROVAL Engineering }~ire Wealth. Dept, Water/Wastewater Planning review this request for approval to occupy the fOllowing stru~ture and to this department by October 9, 1991 Thank you. Technician: Janet Lunceford Date: 9/25/91 \ * ~ ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ Type of Occupancy B2 Occupant Load 107 * * * * * * * * * * * * * * * PLEASE REVIEW ASAP, Name of Bu1.'lding Name of Tenant (if applicable) Owner of Building -Nature of Construction (if applicable) Address Contractor Permit II Pennit Date Type of Construction Square feet Use Comments: Approved Peninsula Medical Center same Dr. Reimer' New office building , /<> (.:;') r '....." (/ l',' . "'~ /'\ i , " 2720 Clare Perdemco Const. - /~ ! ~ (~: ,/' '%,. .? v,'. .~' ~ \'/,"" , '~;;'I<~, '~ ~~'f' I~ ~ "<8t- ~. . ~ ~p ( , 11851 5/6/91 VN 10,658 Medical Offices * * * * * * * * * * * * * * * * * ** * * * * , LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 Date: 817 P.~CJFlC .~VENt:E . BR.E~ERTON. WASHINGTON 98310 BUILDING: .f78-52St Cityof BremertOxt DEPA.RT~IENT OF CONSTRUCTION ..-LVD L..-L'iD USE PLANNING: .f78-5!7 Building Department REQUEST FOR OCCUPANCY APPROVAL TO: Building ,! Business License Traffic Engineering }"ire }fe,alt1\. Dept, Water/Wastewater Planning Please review this request for approval to occupy the following structure and return to- this department by October 9, 1991 rh~nk you. , Permit Technician: Janet Lunceford' Date: 9/25/91 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * j Name of Building Name of Tenant { (if applicable) Owner of Building Nature of Construction (if applicable) Address Contractor Permit IJ PeI1nit Date Type of Construction Square feet Use Peninsul~ Medical Center same Dr. Reimer' New office building Ij 2720 Clare Perdemco Const. 11851 5/6/91 VN 10,658 " Medical Offices Type of Occupancy B2 Occupant Load 107 * * * * * * * * * * * * '* * * PLEASE REVIEW ASAP, Comments: -' . * * * * * * * * * * . * . * * * * . . * * . * * * * * , CONTRACTOR WOULD LIKE TO MOVE TENANT IN BY FRIDAY, 9/27 /- Approved ~ IDisapproved l:7 By: Date: jlJ./{.r:;1 817 P...CYFlC AVE:-It.:E . BR.E~ERTON. WASHINCTON 98JI0 BR E M' E R TON B U I L DIN G D E PAR T MEN T , . . . =============,~~==================================~=========,=~======== PER M ,IT , 1-' >- ;.PERDECI~'31JAJ EXP. ~.raiHion Date \ j' 'Q ~.<(t(~Ex~~rati~n Date ~\ ,-,., ,\L.-.' , ..)6'0 "'Q. ~ ,~ , Nature of Work: . ~ New ttiedical off~~e b'u,ilding, 10, ,;;SS8 square teet.~ 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. ~; :. ---- -- --- -,.:.,;- .~- ~;; . B.ui 1 ding ::rontractor: j~:1i( , '. Contract6c ' str.eet, City ,11 Phone :1: '* , Repres~ht,at~ ve St.ate t.l cenSre t- Ci ty Li~~ense .# ~ 1 \ -1 S-5 '-f -~ t\;'~ Building Valuation 03/20/1991 05/06/1991 3966-003-001-1007 2720 CLARE AVENUE. PENINSULA MEDICAL 2771. HE~lLOCK $~' BREMERTOl'l' (20 6~' 4 7 9-61~,4 Application Number 91AP03120 Permit Number 11851 Project Group First BLDG ASSOCIATES MI State WA Zip 98310 . ~~ ..( . . .t:OR ."~EI~ER '. ~ ,i~l ,X] Grading e ,,.,,1. ]iMov~ Building l J' MQbile Home Ph<),Qe(206) Phon$(206) (}Sigll . [ ] Burning . [ ] Land CJear [:a Paving ["J ,Underground .' [.. 1 Demol i tion --, - -: - '"';'<-- -..... -- ~- -,- - --- - - --,.....-. -- - - - - - ~ -..... - -.......- -...- ~."'7"- " '. ~PERDEMCO CONSTR~CTION 4235 ST. HWY 160:.' PORT ORCHARD . t (206) 871-4742 INC. Zip 98866 ...,f.... state WA , o 3 1r.iJ61 1 9 9:2 ,," ;, ~., , "~ " , ,"';I, , ~ . . . .~.. . '. -> . ----------~-----~-----------~-----------~----~--~--------------------- "$7Q.qoOO .00 Council District 3... Census Tract Construction Sg Feet Inspections Type Requi red . Residence [ ] Zoning Foundation [X] ;Business [X] Type Frami.ng [X] Other [ ] Insulation (X] New [X] Plumbing (X] Repair [ ] Status Mechanical [X] Remodel [ J Code wallboard [X] Addition [ ''1 10 Final [X] L ----------~-----------------------~-----------------------~---------- Receil~BY: g ~' Approved By: /{ . ".:.-1 f' I Ct - , , /t.. ,,-l l"p I I ======~= ._~=.- -_::..- =-==#=== == ================::'=-=;::============== ! '. f"~,\ .i,l. ~'\""f: '~t!.)o., \f~_ -~;;r- J1..'\ '-, - '" }J .. ...'-W~ofi> -, ........;,lO<...._"'...'~....~".!':.,;".:-}-,.";: ~..,' ... ~-. '.-j' i,;"" tT~~"J' LAJ\t(;1J~~;\" ,. , "'-, ,If \ , "- :..:#~ I B R E M E R T 0 N g'"i,'r, L D I N:G D E p A R T M E N T "'::~~_.f v{'1'i ~ G R ,A D I N. G P E R M I T A '0 P L I C A T ! 0 N ... .' . . . ========:====.===========.============:~===========~======~~========~== 03/20/1991 05/06/1991 3966-003-001-1007 2720 CLARE AVENUE PENINSULA MEDICAL 2771 HEMLOCK,' BREME'D7."~; ',,:(," " -~, ( 2().li'f 47 9 ::,$'1i~ 4 /Eiiiii' :',' :i,,'" ~~;>::.,"- ""~_ _ '*" :""i~~~;r~,,~;__ Agent's Name ~~:DR.4t~MER(~i\;Z,,0t\ Archi tect' s Namee" ~;,~'''; ;]',/ . [X] BuildinSl .,..~" :4~~t'Jdladin9, , [ ] Mechanica'!il ri',;" ]';';'Move' Building 'I ,] Plumbin#'~t';"1'M96iie Home ~' . l' . Application Date Issue Date Assessor Acct # Site Location Owner - Last Name -.street - City -Phone Tenant's Name .~...- - ------!';~ . ;1': Co~tractqf . street' City ~ i~~~:s~ntci~~ state 'i C51S;~ # Ci ty L~ca~s" i~~; ~~t'"~::::~:, ' '~~ . Nature oflmWork: 1,,")', New medilal -~)' ,. '~~I~ .." Appl ication Number 91AP.03120 Permit Number 11851 Project Group First BLDG ASSOCIATES MI Zip 9.8310 . "-;0 ;;~~('I: ~('t~. P'WQile( 206) ,<:~;ti~~~''f''Phontl( 20 6) 'i"~:, ~~,.<"i:~9 '~>" Sign '-",. ~21Paving :au:rI).ing~:;';j: ",I ];;. Underground LandqJ ea~~~:~";r];!,] '~~emol i tion '" " d~_. _'j ,)'~~j ~~\ ,~ ---~---------- ~:l' . ":.-, ...4" - 'tIt~- - - ""'- - - -- ! ' ~~;~~ ;':~;!~ ':" ~ERDEMCO CO!~1~,U~1JQNm INC. , 423' J:; ST H' r.-i~:,,;;!;.~~~' :.~~. ..:;r~oi': " __ . "-r, ':~'~, ,'~",1If>".L ,.".,. ^.' . " PORT ORCHARD:;l;:~ (206) 871-4742 :f;.;~~:StateWA oL"i'j!, Zip 9836 PERDECI131JA :.;,l:~ ]!,L'l"-~ :~~~"$xpiration -"~..>' ~~~~XPI r il1;, i on ~~~lt'1. .;;!~~. ,;;b:-~,.3C::Y '~~g";squ'are 1'''~:.~; )1": feet. ~.$/ Io,~'! ' . Date b3/stp9i,~~~ Dat e..! ,~"''';'~J';';;l/' b;~"=', l~;:17~';t " " )~~;;. ~j~~ ^;!f,to' '.;.!r_ y a r'a-f!:~,;,.. SEPA '{::\:'i~~~, -^-^-^-,. , = =:;; = == = = = ~::::; = = = = =:: = :.= = = =='::::'=~';?'=:,'~~f:~:.:f~.E::r~= ~ ------------------------ ----~----------------~-- I .t' . ',.., ;l:~'~_: '."'~:1>'ii';~ ~ .~ t~' '; "" B R E M E R T 0 N B.U:.I .L D r N G D E P A R T M E N T , '\ t,~,tr :,~ ~~; ';', '. ," \ ~ . . C 0 N D I T I 0 N S 0 F P E R M I T . .' , . ==~===~=~=~==~==~======~~===========~=~=====================~.==~~:===~ Application Number 91AP03120 Permit Number 11851 , , . --------~--~----~~------~---~-------------_._----------~--------~~-~-- . Fire,--Must have sprinkler pl~_bfSm~tfi9tfor plan . ,," ~ ~"~',: '~ ....~. ,.~\, ~, 'J,_~~;:_-~~~::r'- . . , ~'-"><_(;r~~,__.~,~. revi eWl ~'~.nd( a,p:proiva;L~~.Q:r [l':t~1'1 . onaba~: the . " , ' . j "~;!:2.,t1"it, f olinda t 1 on . r:;~~,.. '~tc;., ~w' ", '",.,~ - . , ~ Water--Develop.~r nta~t'f.tfi({-t1tltit,y. for~!~<{#i t,\?n ""iJIl" . ',~ ~', ,.~", '''''"I'''., "i~" ~."'. ''!i.2., for Water s~ivice ;~I:e"ep'connecti inspe'c~ion:~~~~ t ~ J' ~~:~ i' " ~.~'";~~' '\~~ storm sew~ ~?,.~cti,9n permit 1 assessedf~@$' \ Iii "I . 'lit; :prior to to~truct~.on. ~. .. f . '~ ~I~ ~ ~ -. ~"a AtmosPheiiJ~~uu~ breakers lobe on all f~uj:~ ~ ~ ~ ~~ hose bib..' lushometer~,. ,IA.lJ inside , : 1......., '\ ~h .' ~ {~-' shall con~~rm to 'City of B ~,~ 'ngtonftate i~' " H_, ~ ),~_ cross conn~~tioncontro~ stand~Fltl;~~j1 velPpmen,~';{s ~;~~ ,.i'" , subject to A~A ,piOlati'ons,APWA specificat~.Jl)ns, ~~:\~7 c~:~, ~,;=~.,,~~ij;. " ,)_~'~'~ "'j""E;., I ",1J;:' , requl ations, n~ i-:J;.,'j, ~ions 1"I:S~remEWi.t.on"R~rii d~ ;:F' . ,. .~ ~. and uti 1 i ty standl,\4.s .,#} , j;jl' '_"f-;~~...:'t:~" ~ },.. f r"t,..p:,~~. "-'C"~'"J,:_.;%) f~lii~"ff<>;;> serv~cefrorn"ma~n to meter. City to install water Contractor to install service to building. Architectl Engineer to size service/meter per UPC/AWWA fixture ~arialys(s~ Disposition of existing water service on , 'Clare Avenue to be established. Property is served '. byexi'sting sewer 1 a.t~ral.Connection ' to sanitary . , , ' .. '. , ., manholei~ n,ot' permitted. , ' Btiilding...,":"appr.ovedwi th sprinkl er system and I-hour ....- _. "".. -, ...... - ,--' ....... _.,~ .___. ,., ,No< ,.''''ilNlI''~'"........- - 'I ".-, ......, ...,'~."''''' . - , . . . ~ ~> 'CeCKD 1T to,N S o F PER M'I'T , . " , :::Z:"= ='=~=',=,~ ;::~'~ ==',;::,~,==~::>='~= ~ ::'== =- = :'::: = =;: ='::'!=-==-;: = = = = = == === == = = =:: = = =:: = = =:: =-~ = =:: == '-',' \ .', " " ". " ., Appl icat;,;,gn Number 91AP03120 Permit Number 11851 ~~-----~~~~,~~~~~~,~~~--~---~--~-----------~---------~-----------~------ corridor$., ~es:t.r:ooms to comply with Washington state ',' Barrier, Fre&':stan.dards; Separate plumbing and " . . , ' . ' , .mechanical permits required. '-. ,', - " , " ""\~n9:ineerin9--Dri veway permi t~, ~~equtroeed, f rom Engineering ",-~-~)t 1,iJ,;.';;V ~TC"--';'L-:~'~'"';'~"_,.. Depos~ t"~"''''req~lIl!t. ~~~,a~;~J il~l~, ..'" const.ructio.n in Wie p,um,i,c i~hf'-Of"':w'a'''~~~1D'sojlt sliQ~ld .'" >;~a' '~, ""', .' -. " ,'iti~~"\':' ..' " . """ be made to Eng;ine~:bepatJme1i.t';San'i~~ry <'sew~'(fn~te:s>:. '"'- - '~'~". .d'"^"', ":, .{<l' - :,;, . on sheet 2l4l:. a~<i~;Q'f rect . All inspect i oha';il;~I~lo,vClll ate made Of' tf~i;t"Uti 1 :i/ty wjr I' ~ 6a"";>';'~~'i;":-,"i' Department. -_-:_-----~;,,;.'- - -- - - - - - .....^'~- , !f~ :: :: :: :: :: :: :::: :::: :: :: ::':: :: := :;~:b~:i:: ::~~ :: :: :: :: :: :::: . c' ^ _ i ~ " " '~j ,- B REM E R TON B U I L 0 I N G D E PAR T M & N T P E: R M IT."", A P P L.. I CAT I Cl N ----------------------------------------------------------------------- .,~-----------------------------------------------------------~----------~ Application Date 03/20/1991 Application Number 91AP03120 Issue Date Per m i t Number Assessor' Acct :1f3'1 It> L:, - 6 (J ~ - 0 () j - fOO'7 Project GJ"P.uP , Si te Loc:at ion 'P()~<C[L A 1-I1::-.I"ILOCK/CL.f.ld~t:: .;;L -, ~ ~.z... Owner -Last Name PENINSUL.A MEDICAL First SL.DG ASSOCIATES MI - St r eat 2771 HEML.OCK ','>'~;~:; ."_. - City BREMERTO~~~~' - Phone (206) ~j9~6~54 Tenant' 8 Name "j ) ,',' Phone( ~~~06 ) Agent.s Name:DR. REIMEJ~:;;" ,:;;,j ;, 'Phone( 2(6) Ay'ch i t ect 's Name,:;;;:";(,~-,:,![," ,- [X] eu iJ. d i ng,~~ [X] tir ad i n9 ., .,,' ' ,'" [""l S i 9f( : - [J Mechanica f ::~;[ :H:;;M()ve.J.[3I..Ii Idi n9 I~ ~I "E3u~rli. n~;l ,: ,:, [ :] Plumb i n9\;::- ""L'r MSlb il e Home [ ] La nd'C I ear" St at,t::l WA Zip 9H310 ' [J Pavin9 [, 1. Under9round' [, JOemol it ion ~, > - / .' , , ----------...-.~---.---.---.,-.,,}.:r---------......?~----~-----------:-----:,7.----;.-:-~.----..-.- --.- :"'; Bu i 1. d :l n9 (,:Clfltr act or ,:, " Cont r act ("->r st reet1 City Phone ,:' Repr eseDt at i v,~ State L'Jce()*?e> if City License :lfc' ", -' ", . < . . PERDEMCO CON'STFWCT ION' ,42:35 ST. HWY 16~h; '; PORT ORCHAI:m ;/'e!;~ ~(206) B7l'-474;'~ ~"::~State WA INC. .;" Zip 90::166.' PERDECI1::'11JA ~, . . \, ^-\', . . ~ "Expi 'rat ion Date ,'m3/06/1992'.>>, " - ", ~ , //'Expi nrt.i.on Date' . ...... . <,," '.1 v';' " ;",~.' ." -' ;, 1" . ~!:" " Nature of W.ork:. "":::;}~ ''', ~." ,~ . . l' "" . New med 1. c;'al of'Use bLl~.1 ding. 1 0 ~"'f,>58 square feet. :'; ..~ . \OfV' \,\~~, ; , , v' () ~ ,,::!~:,,<, :~g'1':Co - ~~'~P"hJ ...,' \-\e-.r 0" +e';l",,;'~'rr,f1" -'CQ! f HO ...;> . "i,:i.(. "::~,..:,:i' ';<~: ji,'..',. "..t;'~" 'J_. ;, '. Building Valuation $700000.00 _..._______________..__..___________..:'.;:..:...:.:':t.;.;:.'~:.:::;..;....::.":..~:....,;:'.._'~~......'_..______.__.___..__..__..___..____.__.__ ~';" Council District ;I~Census Tr act Construction . Type Sq Feet Inspect i ems t~equ ired .. F~esidence [ J Business 1:] Ot her [ :] NE~W [ ] Repa i r [ J Remode 1 1:] Adeli t i.on [:] Zoning l'ype Foundat ion [ J Fr' am i ng [ :] Insulat :ion r "I Plumb i n~t [:] Mechanical [ :] Wa 11 board r '] F:-inal r "I Status Code @~ p: l e::====i0==~==f?=-==~=r===r==================== ~ 6-AJ \;"Lu( ~/~ If- ~ s-- qj CITY OF BREMERTON BUILDING DEPARTMENT PERMIT APPLICATION DATE: 3-20- , 199 1 TO BE COMPLETED BY 3-25- , 199 1 Peninsula Medical Center .oWNER Perdemca Canst. CONTRACTOR 2720 Cl are LOCATION OF .10B FOR new medical bldg. .oo~~ rn@ [g ~ w rn [ID- ,n. . U. t,J. r..~n-I) 2 0U" 199'1 d,;'''\ '\. J',' t . ENGINEERING COMMENTS/REVIEWED BY ~~ BREMERTON BUILDING DEPARTMErU ~ /a-E Sc(Or-'c a t veA/ Be7WE'Z-~ C$ -# S- 5 c ~ p./c . /9,.p/?EAI1.J ~L, . /' .... Z>. .,.,- . ~J,lIUt:W#Y D/i/,J'/~. /~ a~ / J-J C:n-'< c;rL ~ ~/j/il.t T 1../ 4e?CjiuJdb4:J rn.C//--y &0~/U/~ , ... ~CP~JI/ // . /?E'1 u/,,u5-,:; e (.) r- f7Y1 l/C TJC/.n# / rv ~ yye vf.,? ;tJ~ /V#?;J e /} ./ POA- ffNY .VTL~/7 /:?V1f&tL /2-0 -~~ 8v6P~~/fiA D~,C/j.J T 0/L//f I~ ~1A" ~ :.d'nt.L d ~IU:!".(.r:J c...,)y CN'6-/A/~ r-"(}~ sf ~ .. . (). ff/vt71'7v'Y ~e~D<.. NC/7EY c-<t7 F'iTCC7.-:2 oj<'- ~ 4/1 c:- //1./ CO/1/zEcr: "L)6L /;t/r)/ ec /Iv A- J /J7vO ~ ~ ~O'L/&-c- (j?t.. <.:::- /Vt /7/;} € rty ;71:;TL- u77 ( J /y o'CJ-o T ... (jI-.(!) ZJ /0 /'JO/ S'rz5' Hl1/y (?)2&)p,/G? C/Zd sZ/vA./ C2 Cf.rJ'/77C-C. <--- (dL-47'fJ.. SrfCI/l/eJ oeTm L.5' /24// CO{/L// ~6r F/~"? 0--~ 77/eY wellE Qe,lu.? --rz; qE //\..L.r~7?- i:3 r? j:. ;., ,_.. I,' U l ~f \""< [) !"" 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';J 1-'! ~':;t i::l t: iJ ':"; r,~c)r'l(-: ;"'lc': t':; 1'.'j t~_ f i j i_: ~':.~ t {;.}ij:1. 1. ~:J~Ji) '{ ~j (? 1[6- 3 -~o -'91 , L j L J r -, 1 , t. ,,~ f' L L 'J ('j i.. ... n I? ['" 1'1 L f' T C I N U U I I D f N (';i -[) I,":: p .', p' l ,'1 JI"'" t: "1" I.., I... I"'f .L , G r" (:t j'" t'J U f") F r' 11 I .," (~1 F) F' ! ]. C ti r L (I Ii ;< L} .! " . I.. " -... .... H' . ...."~ ._. ... _....... ,.. ,"T, .~ .,., . -... .~. ,," "... ".... ," ,", ". ,"." .,.~ '. ..,'.... ,.," ......, ... . ..~ .,".. ." .,..". hO_..,,_.'._ ...,.. ....,p..... "" ..........,. ....,....."...... m .."".,,,, ...."..." (;tr)r~!], i C:t"f::. t i ()fi r:)~:j t: f:: 03."::Xl/ :r.q,,1 1. np!:.l i(~al: j()n tlurnhey '/J ('If'(J:Jj 2U nf'~Y in :1. t f Jumbcy py k.\:j(:~f:t f3Yen.n' i' ~ E~ 11 L.. t') C: !<, ,/ C' L. I:~I f? E: MEDICAL riyst UlDG ASSOCJAT[S 1'1 r l~ :::; f~: 11 E'::: [) (:~ t ~:~: A i.: 'e; I;~ :i:; ':: Ci '( i'-, C: ;.; t .If :~;:i. t. e L oC;'lt1 on ()vJney.... Last t'~am1.' Str (.::et [)('lr::cr:L if) !"[},11 N~:;UL (i r: r;(Jr~(' /. j f~) ')fi:~:~ 1. Cj .... (~"j, t ~i r > to) (: ri 6:,: '"]" (~r'larit l' ~:) ~\ia,rn(-; f'IU~:;f'd; ;1 '.:~ f.JanH:: ('1((: hit (:~..: t 'I S I\JiJ \" "I '''' " '\J r"3tl J .I Cl J tl~J L j Nt;~( hi::tr;! L J F)lt.!mfJ). J 11.: .;. ::JI"t :,,::ur",t.( act ':trc~t::t [.~ ";, t: )-, r,':(~-~r':' (..~.::., ~::~ 'j,' t] t.: i":~ C j t:.> i.. N::.\.l. !.J.Y' ,.:.: '..1 f"'JI;".:~t)'J tn(.rJ .. J~ "\ ,.l ~''''...., ~ . \ .. ,.., "" \ . . . B REM E R TON E3 U I L DIN G D E PAR T M 5 N T P 1::: R M IT..,.. . A P P L I CAT ION _____________________________________________R_______.___________________ .\~----~----------------------------------------------------------------- Application Date 03/20/1991 Issue Date Assessor. Acct 1f '3'1 It> ~ - 0 0 ~ - 0 D L'- (00 '7 Site Location PARCEL A HEMLOCK/CLARE Owner - Last Name PENINSULA MEDICAL First - Street 2771 HEMLOCI:\,.;.,.. , - City BREMERTPN:":" . -- Phone ( 20c!.}'-.f79-~t.\154 Tenant's Name ~ Agent's Name ~DR. REIMER AY' C~) it ect '. s Nlim~.;"';('~ '''' '! ~. l LX] Building;:' [X] Gradin9". [ J Mec ha n i Ci~ V 'LL l;M(Jvt~. Bu il ding [ J Plumb i ng) '{;.~l ;'M()bi I e Home ;,", Application Number 91AP03120 Permit Number Project Group SLOG ASSOCIATES, MI State WA . Zip 98310 Phone( 206 ) - Phone( 206 ) , .".~:' -.,. ['.., '],5 i clri . . -. '" [ ] Burnin!;! [ ] Land'Clear [\J Paving [ 1: Underground { ] Demol it ion, , i' ,. .'~ ' . '., ----------::;~::.:7;(.~---:~T----------i-~.,~j\~.~----------~-:'~~t:;;f;~;~~~~~~-'- --.- Building .G:CJr}5\~,a(~tol'} ; ~:,.:~/\~:;...i ' . NCP~R"~f~ '991 Cont r act e,ir ' 'l PERDEMCO Co'NSTf.~lJS:,TI ON INC. street i::, ,'4235 5T. HWY 16Cg,;; C it yj PORT (mCHMm:::t~.i Phone \ (206) 071,-4742 ,Je';'State WA Zip 9H~166"" Represe,nt at- i V,l:'; ::;:~'~~i . State Licefll?t3/~f PERDECIUH.JA 1:':k'Exp:i.nition Date:03/Q6/199?' Ci ty Lic:ense#.T. ~':'. .';L.,~':E:Xpi~~'~ion Dat~ Nat ure. of Wor k: ."':[>~'.';::<:./;,': New med:i.c:1.il officebu,nding, 10~i~;:,:~5'8 square feet. -_ .> )1?l~1:~~~!;~~ ~ /r:!c,~,.~:,~:.~ ~.~~~-~ ~':?:~<;,', t(~>j;' 'i:" ""'\'~i~k; \.: ..:;,.,;' Building valuatiDn~"';;;";"','ii!';9P.2o'-9:~9; ..;~~ ~"2.-,J9/ ~!;~---~~~~~il-~i~;~i~;--------------~~~~~~~~~~~~~. --. ---.------------------, Construction , Type Sq Feet Inspections Required . Residence [ :] Business [] Ot her [ :] New [ :] . Repa:i. r [ J Remode 1 [] Add i t ion [] Zoning- Type Foundat ion r '" Fr am:i n9 [ ] Insulat ion [ ] Plumb i n~:t [: J Mechanica:j, [: ] Wallboard 1....1 F'i na:l. [ J Status Code ===================================================================== q::. ~~ r ~ ..3 -~6 -q{ B REM E R TON B U I L IJ I N G D E PAR T M 5 N T PI::. R M IT..,,, A P P L.. J CAT ION ===================================================================== Application Date 03/20/1991 Issue Date . Assessor Acct ~~ '3'1/P f.t:, - 0 0 ~ - 00 J - foo7 Site Location PARCEL A HEMLOCK/CLARE Owner- Last 'Name PENINSULA MEDICAL First BL..DG ASSOCIATES ~.t t ~-7"71 I-IE-MI O(~K' - ~) r ee . .::...::' -. ~''''i ..:,:,:,:,,'',;?::-.:'>(:; - City BI~EMERTOW';/'>' - Phone (206)~479-6151 TeT1ant"s Namt; ",i' '-.'" ','; i '-',' ;"'; 'd:',~ ASIf.mt's Name " ;DF~ ...,,REIMEF<;;<,.:,;,> Architect's Name' \;i~:~,>" :;,:,"' ... '.' ";" '; ,~- LX] Bu i I d i ngV . [X}, Gy;ad i ng [] MechanicQY '\[ 1,;MIJve""l3uilcling [: :] Plumb i n9/ ;~E:;,J" Mobile Home Application Numbsr 91AP03120 Permit Number Project Group MI State WA Zip 98:::110" ",'. Phone( 206 ) ,:', phone:( 206 ) .~'.. >. , [' '] c.' ' '" ''-' "",:~.)'lCln i, I~ ]'E3u~ni ng ,.:', L J L.and-.Clear L<J Paving [ lUnder9round' [,. ] ::Oemo lit ion '~ ; " - -..-------..-._~-_.- -,..--.. ------:;r---- ------ ~~--~ ~;~:- - ---..-- --'- -",!""",,,-,-.__~:--.- .-...-"';'"".---- -..- ..... --....- ,f ',' " Building C~ntractor~ ,r .' f \;; , ,"', '~, ' "',J "y Contract()r street J": City..... Phone}. . Repr ese'ht ~ t i v~ State Lice'nse ...~~ Ci ty Lic,~nse # .... , {' PERDEMCO CaN!3;n~UCTI()N' '. I NC. 4235 ST. HWY 16()>;, PORT ORCHAFW y.t: (206) B71-4742"State WA Zip 98~166.. \'pERDECI l~l,lJA '.J Expi 'rat ion Date031.06~199.2' /<:Exp qi'~ion Date' . <(.,' 'f:' Nature' of Wprk: ~ New medidd office bl.lildi ng, 10/"6.>58 , ",", '\". "if square feet. .: . ,.... ":";jN)" . .... . ..;;J' fIn: (] 1 'Fr\ ~,.rG',~\ D\:' ~s \ 1\. \"'.1" .1'1') ll..., ,; ,d' ' ~ u~'jJ.~ ,j \.. --~ <," . . - ro,0f 1'-1 ~eG11 r.A'4~; .:IU;) I, ',' \~\. ';}' Building . ~.~ :,:\.i~700000 .00 . ',' ""..... '"L -. ',:,' t; ",\ l' :. ~ :.,...' BRt: rr,')N BmLD\riG OEPI\R1MENl 1-"" 'Council District tIIIItC:ensus . Tr act' Construction . Type Sq Feet Inspections Required . F~es i dence [ ] Business [.J at her [: ] New [ J Repa i r L J Remode I [] Add i t ion [:] Zoning Type Foundat ion' [ ] Frami ng [ J Insulat ion [ J Plumb i n~t' [: J Mechanical [: J Wallboard r '] Final L ..I Status Code Tc c::rz=:~====]::3~~=:q~T=~~=~i:'~:='~=-~~~:f5-=;~~=::=~==:====:=::::==:::=cc::= " ,< '4' E3 F-< F M F R T 0 N E3 U I L D I N G D E:. P A F-< T M 6- N 'T' ,p E:~ R M I T ......., A P P L I C A T I 0 N ---------------------------------------------------------------------- .~------------~--------------------------------_._-----------------------~ ~ 0:::' - IoU 0) ~ ~ l.U ~~ :-:z 5 0:: <::::( i ,~ Application Date 03/20/1991 Issue Date , Assessor Acct ~f .3'1 It> ~ - 0 0 t:; - 00 J -- fOO,? Site Location PARCEL A HEMLOCK/CLARE C>>wner'- Last Name PENINSULA MEDICAL First BL.DG ASSOCIATES ~, - St r eet 2771 HEML.OCK ".,\..f,~:!i.:,'.,:;;;, S - City 8REMERTON~~~~-~State WA Zip 98310 5- Phone ( 206,),'479-f~J54 ' "...,Teni":int '~3 Na.ffit:;., ,~:",,:~-.::''', ~A t. N 01:> Rr:" I ME-'I~>'. :"" _ gen same -'.-:,.., M, c:, ::',',y,,;;:' ~ Ar'chi tect's Namt;t:i/i ,"\k;-.:.i' '(i,:,::'" ~ r:X~ Bu i 1 d :i. r:lg _ ,?", ~X~I,G~a~:i ng, ; . [ J Meehan 1 Cl:lJ ',.:, [ l:"MoVf;" l3u 11 ell ng r: :1 p 1. umb i ngi,/{;:}: Mqbi :I. e I-Iome Application Number 91AP03120 Permit Number Project Group MI Phone( ~~~06 ) , Phone( 2~06 ) ':'.: ~ [-'.5ign [~] Paving [J -Burr-Ii. nq,: [ 1 Underground r"l L.anefClear,":'[ ]':Oemolition' ". ' <' , . , , ,-' . . ---------------;.....------.,...--------------""'!'~.---..--------..---.----.-'0:-----..-------...----- k~, "i' :~ ;{i~:;' ::~;J'.';: "c' ".,,', '~:,~': 1 Bl.l :1. I d i n9 ~~C1nt;,r act or ,:' Cont r act c.fr i,~r ',:, Street ,t t-:ity ,. Phone ' . Representative 1:' ; ,\ ,'. State Li.cep~ei# City Liqense #0 i PEFWEMCO CdN~;TF~Ll.l;::;rI()N ,i 42:35 ST. HWY 16q)( :: pm~T OI~CHAfW ""';'[ ;' (206) B71-4'74;~ ~'~~_~state WA INC M Zip 9B:;366 '/,,;,'.1 . ~ ;" ,'" " ",.' ;.;;'Exp:i.rat ion Date. ()3/06~L992 j:i:Expiratjon Date' ' ":: ", '~ .- ,~ PERDECI131JA r' ~ "~' : "'\J Nature of Wqrk: New medic~) offige:bl.l~)ding, square feet. , \~~,~.~.~'~g\ID , -~ ::'i". D' 1'1~) a 2 199\ ,.'.; .,,\. 'j,:., ,": BRnnERro~' ~~!_~ ~~,~:_~~~~~ ~.~~ ~_ _____ ____ _____..~_..:~~__~~.._~:~.._ __ _~~ _13~ 1~Q~~~_ ~~:. ~~1~~~:~ _________ IP'~' Council District ...iIII'Census Tr act. Construction . Type Sq Feet Inspections ~~equ ired . Res:i dence [ ] Bus i. ness L] Other [ :] . New [ :] f-<epai r [ ] . Hemodel [] Add i t i. on [:] Zcm i n9 Type Foundation [ J Fr am:i nq [ J InHulat :i.on [ J Plumb i. nsf' [:] Mechanical [ J Wallboard [:] F'inal r "I Status Code w;;:=;;;7;=:=:==:=?;~:=::;~:=q=7=:==:=:=:::::::~~~::=;:~::::::~~:::::::=::::=:==::~:=:==::==::::=::: " Date 4':"1-91 h:ter-Office Communication I' . .~....~ "'~' CIty of Bremerton "j~:~:--f'~:':~;:' .:-::,:"'~ ,'~ ~ Building , .-/ ':~ ~"""';"""~'J/" " ..~' ~l!!:: t' ' '" " ,c C .... ". .. To Janet Lunceford, From Terrie Kirchner, utilities Subject REQUEST FOR REVIEW Site Address: Hemlock/Clare - Parcel A Building Appl. # 91AP03l20 Owner: Peninsula Medical Building Associates Contractor: Perdemco Construction Inc. [J No identifiable problems noted. II Developer shall contact the Utility for Application for Water Service and pay all assessed fees prior to construction. lIB Developer shall contact the Utility for Application for Sewer Connection and Sewer Inspection Permit and pay all assessed fees prior to construction. II Developer shall contact the Utility for Application for Storm Sewer Inspection and pay all assessed fees prior to construction. . Atmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers. II All plumbing, inside and out, shall conform to City of Bremerton and Washington State Cross Connection Control Standards. [] Owner shall contact 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. [] Prior to demolition of existing structures, sewer laterals shall be capped. Appropriate sewer cap permits and inspections shall be obtained by the Contractor. II Development is subject to AWWA Regulations, APWA Specifications, DOE Regulations, DOH Regulations ,. Bremerton Municipal Code, and utility Standards. [] 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. III Other: City to install water service from main to meter. ,Contractor to install service to building. Architect/Engineer to size service/meter per UPC/AWWA fixture analysis. Disposition of existing water service on Clare Avenue to be established. Property is served by existing sewer lateral. Connection to sanitary manhole is not permitted. APPROVED: DATE: *-17--- V / E3 F~ ru M E: F~ 'r 0 N B U I 1.... D I N G D E P A 1'< T M F:;:' N T u. P ru f< M I 'r (~ p P L.. ,. C A T I l"~ N .u ~.,,_!,>. .1. t..! ~~_'_'_________'N..__'___"___'''_____'______'___''_______..._._..._.______..__..._.___.._________.__._.._.._~-__."____.___.____..._ ~;~ "";~ ~~~ ~~~ z ~~; ;:~::::;i;:;t. . '\ ,i ';f:;O i~ ~. J btl.;i;:I. d :i. nq ~ 10. SqU,H' e f.ebt n ,;,1~,,>..::::)' . s'''1 11.... C()rrid&7Y~ ("-e..~a.. JE';:$~.:f,,~t;"':'~ ~ c:..o--p'/ '~':";""<"~: ""\'<'__". 'M>~...L -:;?< ~.:;;"y' ~~::>s~f~)l:?Se,"''''~ Met:..J..... :;~ 1tI-J/ ~~ ~:o u9rr, ~ \~~~r: '~'>,; ~:,~,y ':~::~, .:f~~r::b1 r.,y~r~ V-~~~<;~,,"':'~ '"::''' .,\.. ',,;< \r- ,"#;':;;/1. I " ", O'I~:\~_~~,;~:;o </c? ~;,/ .:,:;:;~:2~,~~:);;~':'.:i': '. 'But:l. d :i. n9 Va.l uat :i. on . "~~:::;~i;ZQ,POOO .. 00 .....s.. ......._ _... .".. ..... _... __. ..... ._.. ..... ..... ._.. ..~. ..... ,..,. _..,..... ,.... ..... ..._ _... ..... ..... ..... ~". ...~ _.~ ._.. _._ :~:..7.:' :~:~~::;;:.'.{::: 5'; ;..:.: ~i.;'~::~~; ~~:':~.~:::.:. '..... ..~. ..... .._. ..... _... _._ .._. ._.. ..... ..... __. ..... .._. ..... .._. ~... ..... ..... ..... .._. ..._ ..... ..... ..... ..... ..... Application Date 03/20/1991 Issue Date (1B~.mssor' Acct:l!: 2:/i/t> to - 60 2:> - () () 1- (00 7 Site Location PARCEL A HEML..OCK/CLARE Owner - Last Name PENINS~_A MEDICAL.. FiTBt 8L..DG ASSOCIATES'MI ., . _ . + ~ ,~m:,t ~~~~~~~~~~;~;""-'''-'~-'%\~t-~'''~-~~;-~ i : . :B:' 1 0 f E.. T Ic.i Tl \., ':, Ndmc.",.:. ,.' '.:,.::.;;':':' I flHfH...( ,...0(, ) A.. ::.' .t.. ~ q, 1..1.:. "" , .::f':'):j::) ;;:;;:'[ MI:::'I~)~::.'t"'.~.~i4 .c;b~)t 'r.";",t '::>(')/... ) qc. n. "" 1~1.~mL ,,:;;,1.. " " . 's.! I.... ','8:,:;.:1;!:i":.;:1.l:: )onG'::j~... /.... . u 0Y'~I';h:i.t~~~::;t.~.s ..,Na~;:f~~;;( ..,,~'.';"""" 't:.:;... '../., '.':<;";',' ...... "1' :::i:;;;""" 1..xJ lJu.l..I. d J. rV"';"'4.:I;.x.~b~~ !.A,f,C;1C, J. nq"...j'. .S i 9ff ~:1~;[),:] Pav :i: nq I:: :1 Meehan :i.c,~4;;:f~~t:1:f:;ir'1(:)v(~,.iJi:l i :I. d i nq I" "'E:jlh:,n i '1 'jl,'undeY'9YTlund L ] P:I. 1.1mb :i. nf.~!~;:";f.~~?sl;;,i ["1:)(fi :I. e 1-lomE'~ ,~,~ 1"'1 L.anc:f'-.;C;;.:1. ;..~,.,:.:~{..:'.';.:.;..f.~,:,,:,:,.~..:] "~.!i~emo:l. it :1. on , ~<,~::';/ "'~, ;'+ ' - - - '" ~ "'"~; ,E.. :J~"~~~, /,/'/ ~ '~ "'~ '" :'} ,-., t", " :~~:~:::(~!{~~;~~~::~~l:~~~:--.--.;~i'-~'i~~--~~~."-----':~-i-'~t:1~,.~!\--n-- ~~ ~ c t Y ('pi .... '4235 ~:;'T'.. I".IWY 1 i:; :l'l;; .:..: j' ~ POF~T OPCI...I(,FW , . , . IU)I--" ~ ( ';:.'C')"-,) ()'7" 1 u.-47.-:I.'''.' ("t l "A .. ,lone ~.1,:..~,.. \ C ,>, "1..: :.:.'-:;,";a:';e w-. -- >, .......... ..... ... F<pp'r P<':'f':;;'h+' '" (......:... " ....,~ (...."> '~,....,.." \~ , .::> l. at L' L.;;~. :Il: :,p E:F< D E: C I C i t y L. i(\!;~mse :tf:" " Fffi~ o~~~ Application Number 91AP03120 Pe'em i t Numb(.~y' PY'oj(::~ct GY'oup -,', Natt.lY'e of '1~&H'k:: N j' ,..,.., r"r" ew mee:l. cCi~:;: 0...... j':~~" l-~",,) .,,'or,. Counci:l. District ,)1I!ICensus ' 'r!' act,.. Construction .'rype Sq Feet, < Inspect i ems F<equ :i, Ted Pes :i. clence r .., Bus :i. ness I" u/ Dt hey' r ul Net,,1 r u, Pepa i Y' r '" F<em.ode 1 1"'" (,dd:i t ion r '] status Code F'oundat :i. on 'r '] FY' "'.m :i. nq I" "I Insulat ion r .., Plumbin~:t I" '] Mechanica'~l. [: ] Wallboa'rd L::I ,., ,.. .., F'lna.l. ..I , Lon :i. nq 'Type 6 1.~''''''''.==''''3:''~9=:''i(==='''-'====''''''====-''''-========='''='''''======''''''=" ""'" B REM E R TON BUIL..DING D E'P ART MEN T "Gf<(.lDING P!"""RMIT A P P l I CAT ION _M___._.._..__M'_____._.______.__._._._...___..__._____.__.____._____._..._..._.______.__~._.__._____.___.____.____.._.__._.____._.__ _________._..__...N...____.._.______...._....______.._..______.....__...._._._.______._._.__.__._.____._...._..._.._..______...........____._._.._....._.___ {.lppl :i.cat ion Da.te Issue Da.te . Assessor "Acct :tf S :i. t e L..ocat-:i. on Owner - last Name -'" S't;y'eet ... . 'C i t y ..... Phone Tenant"s Name f'iqent "s Name (II ch i t c:ct," s Lx.] Bu:i.ldi nq I:: :] l'1echani L J Plumbi 03/20/1991 'Application Number 91AP03120 Permit NumbeY" PY'ojt:~ct'. Group . Cont I act ,,~;t reet 'City Phone Pepr St at e' ,City L.. PARCEL A HEMLOCK/CLARE . PENTNSUL.,A MEJ)TCAl F':i,ist nL.DCi AS~::;OCIA'rES 'irfl MT . . ;';:~771 Zip 9B310 . Pav:i nq . qround J :i. t ion " '.: " t,1,; J J k: r, "1 -, >..) C) t n. F< E. "1 E n "r () N n U :r. L. [I J N G [) .E:: !~) f'~ F< T r1 E~ " ''1'' ". j"l . P:E' R · ['1 I .1' A P P L.I CAT ION ,.."" . '~;);~~;\]~f;~.C~~~:~:~~f'iPijte. ,.:03/20/1 ?91 .. t.~~'~~E,eGf:1P< e'!{~;ct ,it 39 JR, ki....;.. 0 /) ~'.: 6 91 ~..( OO'} ~lte Lrn:atlOh' ~~~~LL A Hl~~~~~(CLAk~ Uwner - Last Name PENINSULA MlUICAL ..... ~:;t"y' f';F:~.t '. "... ,t::i,t/ ..... phone "fen,;j,nt ":;'1 'Name f\Dent · B . Name ri'(Ghi t e(::;t 'I ~:1 [X] EiuJldinu' I:: ,:]. Nechan:i. r '" ';') 'i j if........ .: ..,' ..' \", c^ "UJ. f\p.P:I. j, ca, t :1. or; Nl.lmtk!'{";':I. i:WO:3120 pey:m:!.t Numbe-r project G)~OUP F' 1. Y' ~~;t t31".DG f~::;S;CJC: If0'fE:S .1'1 J City. . .,'.PflOI'iC! . f~f.::.p'( ~) t /:3 t f.~ C'it)1 2:1. p. ?f<~ll (} '1' P""')'I" ""0 . ,.... .J c..... 'r .. ~ l. ,.'_ >iit:t 1"'rh"'r'i~J"('r"11 <r'ld '."'~i ...: 1 i., ..... .,,' :.., ~.),. _'~ "1~:tJE)mo:l. :l.t ion " .~ Dtl i:l. din~l' Contract Natu're (if:', Nf';vJ rilE-:d.j ~ '- . Building Valuation ...:......, C01ncil District ,;, i{: f'~ rl f$ 1..1:'3: 'f '( Ei (:; t: ",~",:,-..:". ~ ~ --...---. . (~t)fi~~~ t y" t 1 (~.t; :i. () ri . ~::; Cl F' (.:~ (~}t: I nbpect :i. nrH3' F'(';qu J'ted . . . "I'YPf; r~ f~ ~.:) :t Cit:~rlc;f': ,. J Zon .; < fl9 L .j, E3u~~ i. 'qE::r.~::~::.:: L :] 'Type,:; .Ut he\~ '" "/ I ." t~ (~~ (.s..J [: :] I?epa, i y '" '1 ~::,t , .1 a.r: u.n I" F< E1 IT). () (} f:l 1 t,,' "\ Cock-:" , J i. f:'H::ldl t .\. on /' :I I.. Founda.t:l.on F'r am :1 nq Iru:wJat ion Plumb:i nsf l'k>:;!''',an i c;:j, 1. I.Ji3.1. J boa. 'j" d . F' :i. na. L ( "I" .1.. [: j r ,.., I.. r J ,. '" 't. .J LJ . r '.1 L J -f I ~"~':'::;:"'"~"'~3='~-=~;~"'''''''''''"'''"'''''''OO''''"''"'"""'-"""""""'0""'.'''''""'' , "'#1:!;.. C~ r:~ f, [) J . i'<.J C:i 'r}:' : .' r:)- ~ I T_ -I.... n I N ,., f) E P ,,\ P '1' 1'1 [ hi 'r. l..1I't'"i: ,.~.,~..:t- l.J .i,.:t n " {. ".c,";),"< t r {" ~ p r-- I..... t'1 ; T (', f' 1'" L. T C () "t" T 0 t\l ... j". ., .1. .., ... .I. I B R [ M_E R TON (~IPp1.:i.c,:'it:lon Da{E-:) 1: i~IE5ue Da:t f': f:"I~'3S~fH3f,;cr Acct it! ~::;:i. t e- Locat :i. Of) Owner ~ last Name ::;ty'eet C:i,t.y ph.Oflf'J "r ena. nt ~ s Name - ti~Fmt: ~,3 Na.mc . f~.r C;t1 i t c~c~t ;l?3 () ::::~ ,/ ~;:': () ,/ 1., t:) :~~ 1. {,r'p:! i ca.t tor! Number' p ,:~:'( m i t i'Jumbet P'(clject Gy'OUp '7' 1: (:1P031 ~,~O Pt'lR GEL. - i:J. ~ .IE:!'] L. nCJ( I CL.. f\R[ PENINSULA MEDICAL First .' _I Ut.DC ii)S::~nc I !'i'TT:S I i ':>/ f"l T i >1 ~?'?'71 j?: J f) (;~. f] ~3 .1. () IX! r .., L J L J t;:3u:i.lciinq t~H.':) ('; h a. n i Pluiilbi Pi:':l.v:i.fl9 JJnder 91' oi..;. net l:i.t ion Cont-r dct ..c~it>1 ::;:;:;~:~::~.:::::~::~::~:.-;::~.~;:::::::::::::::::::::::;';:::s:e::PA~:"'~-M~~:~:.:..:~:~~r;,:;~~~:::::::;:::C-:::.:::: ::e;:;:.:::::::: . '. ,..., 1({o.y,,~ 3 i'f9. 1,., ~r~I~\ CQvt b~ l'sslJ~ tI\~YLI tti/. pcJ~ 'WaSil ..........---'.,..,........."..,............ . ..... ..... ,-, ..........~'._.,..." ,. ..... ;'ijj,J'\j.' BR EM E R T ON l~ 1- B U I I~ D I N G " " %~~~'~:~'i?;:J:' ~ P E R M. ! T D E FA R T MEN T . . , . - " ' -======~==========;=;=========~=====================:===========:===== Application Date l.ssue Date Asse,ssor Acct .# Site Location Owner - Last Name -, street - City -, Phone Tenant's Name Agentfs Name Architect's ,[ , B 'ld" 'j lU... 1 ng [ ] Mechani ca [X] Plumbi 06/03/1991 06/03/1991 Application Number 91AP03483 Permit Number 11964 . Project Group 2720 CLARE AVENUE PENINSULA ~EDICAL 2120 CLARE AVENUE First GROUP !\H Zip 98310 . "~l:ili;;.J Paving C;~la;i Underground N.., T". 1 't' Ji:;Jt~emo ). J. on Building t'ilork wil Council Constructi Type. Inspections Required Residence Business . Other New Repair Remodel Addition r, .] L: [X] [ ] .~ ] l ' [] [ ] [ ] status Code Foundation Framing Insulation Plumbing Mechanical Wallboard Fina 1 . [ ] [ 1 [} [.x] [ ] [ ] [X] --------------------------------~----~~--~----~----~--------~----~~-- ,ReC~&jl d By/) JJ,. . Appt'oved By:' 1 ~ . ---. f - I / A!~ I ), ~' . . I ' ... ,___". , _, ~ - ,- ------------__________"'"__ ~ ,----1;",. --'. --' - --- -, -1--~- -.- ,~,--- -----------,-------,-------~------JliaJ--{~ . !. V, t'. , ' .I ''''"l',/r... ., !' B REM E R ,T 0 N But L D I N r< , '" D E PAR T MEN T ~\~:~l;"f/",: ' j"" ' , ' " P .L U M B. r ~ G ;, \P E R, M I TAP P L I., CAT I O,N ': , '=:::: :~~~:~~~:: Y:~-'f J:f';~"iJ'~~':-;~!~":::::::: =:: =:: =:::: =:: =:: ~;: =:::: = = ::~~:~::::::; =';::z J\:=':'l\=,;'~l.= ""': "..,.:" Applicatipn Number 91AP03483 Contractor street. City Phone Representative state License # City [,icense # THOMPSON'S PLUMBING INC. 722 KITSAPLAKE ROAD NW BRE~1ERTON ( 20 6) 4 7 .~7:.i~};3~;1}:Fl:;1';;e:~.~~1:,:W,A Zip ~,I eH ~~:!iHOMP SON. ':,~;;;~a~~~i~:~, : 98310 06/01/1992 o,COCo o~^:';;8~..:;:y^;..,_ ,.., "'" 8' ~~ ,,'h' ~W"\'""Z:"'~o~o o';/~ , s ',' ". W €l,llS Kitq;hen Sinks Di~Jlwashers , L~<.tndqf Trays C,! othes Wash Wa.ter Heater Wrinals 2 brinkin9'Fo~ntai prains Slop Sinks H;ater Pi r~tercep 7 Va:,cuum Br La~l,l Sprin, ire\Sprinkler i va"t,;@ Poo 1 s '-pil.V,ate Pools i.c POO];Oi1, , W 0 r k ""'''''., " ,"w,. "".'.," ,,~," d ~"ffi <t'1'U Priva. Semi- Public Hot Tubs Other Options " \\ , "Fc , '. " ~ Jt. l ,~ .' " ,,' 01;0' A/ . ==F=========,=================.===========================.=~=:===~~==== ,,~ . \. ~ Gateway to the Olympics and Home of the Puget Sound Naval Shipyard America's Most Liveable City April 18, 1991 Ms. Barbara Ritchie Department of Ecology Environmental Review Section Mail Stop PV-11 Olympia, WA 98504-8711 Re: . Determination of Non~significance issued to Peninsula Medical Building Associates/Perdemco Construction, Inc. for construction of 10,000-square-foot medical center with parking for 59 vehicles. Location: 2771 Hemlock Street, Bremerton, WA. Dear Ms. Ritchie: Enclosed is a Determination of Non-significance with accompanying Environmental Checklist for the above proposal. This is being issued with a comment period and notice pursuant to WAC 197-11-340 (2) . Please publish this in the SEPA Register. If you have any questions, please call our department at (206) 478- 5275. Sincerely, OM~ h~~JM JACK ALLING~ . . Senior Planner JA:dw Enclosures 286 4TH STREET . BREMERTON, WA 98310 . (206) 478-5275 An E<t1lll1 Oppar'"nity 1'.mploya I I / / / :39 FOURTH STREET BRE~1ERTON. WASHl:-':GTON 98310 C~06) 4";8.5:51 CitJrof BremertOIt DETERMINATION OF NON SIGNIFICANCE Description of proposal Construct 10,OOO-square-foot medical center with parking for 59 vehicles. ::f>roponent Peninsula Medical Building Associates/Perdemco Const. Inc. " Location of proposal, including street address, jf any: 2771 Hemlock Street Lead agency City of Bremerto~ Department of Community Development 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 43.21C.030(2) (c). This decision was made after review of a completed environmental checklist and other infoY~ation on file with the lead agency. This inform~tion is available to the public on r~quest. . 1-; There is no comment period for this DNS. ~ This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments m"ust be" submitted by ~- 3;1'/1/ Responsible official John W. Allinf!:ham Position/title Senior PI ;:mn<>r Phone (206) 478-5275 Address 286 - 4th Street, Bremerton, WA 98310 SignatureV~ ~ d'~ Date .AtrilIB fffl ~Y~u may appeal this determination to (name): Bremerron ~lanning Commission/City Council You shou14__~~prepared to make specific factual objections. Contact John Allingham to read or ask about the procedures for SEPA appeals. c=JThere is no agency appeal. Gareu'a)' ro [he Olympics and Home of the Pilger Sound .\'al'al Shipyard . :,- ,,; ',. ,',.. "- 0 ~~ 0:.. \ A - , La - Qt t '~\ Cityof Bremertort 23~ FOURTH STREET BREMERTON, WASHINGTON 98310 (206) 478 . 5252 MAYOR LOUIS MENTOR ,__.,_, ,-"""l , , . l i'~ " j :.', -J 1', < ~ ~ 'l \ ...\ i'; !_, \'-~'~"~]' '..: \, i . LU ~.-.. ..; L') 1; 1Q01 \'f'l).'(tx\I,} ", '-. oJ . ENVIRONMENTAL CHECKLIST F'~~~\r~.',! :l~.\~ ~~\~[\tNl Bl~lLDr>Hj ~ ..a SEPA RULES 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 ~nowledge. 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 d6 not know the answer or if a question does not apply to your proposal, write "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 to the Olympics and Home of the Puget 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 additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answets or provide additional information reasonably related to determining if there may be significant adverse impact. USE OF CHECKLIST FOR NON PROJECT PROPOSAL: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." In addition, complete the SUPPLEMENTAL SHEET FOR NONPROJECTACTIONS (Part D). For nonproject actions, the the w 0 r d s" pro j e c t " , "applicant" read as "proposal", "proposer, respectively. references in the checklist to and "property or site" should be and "affected geographic area, A. BACKGROUND 1 . Name of proposed project. if app 1 i cable: Peninsula Medical Center 2. Name of applicant: Perdemco Construction, Inc. 3. Address and phone number of applicant and contact person: 4235 SE Hwy 160 Port Orchard, WA 98366 Rex Dempewolf or Jack Perelli 4. Date check 1 i st prepared: 3-21-91 2 ~ 5. Agency requesting checklist: City of Bremerton 6. Proposed timing applicable): or schedule (including phasing, if To complete the construction, Summer or early Fall of 1991 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. Not avffire of any 9. Do you know whether a~plications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. None 10. List any government approvals or permits that will be needed for your proposal, if known. None other than ususal for construction 3 .... 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 include additional specific information on project description. ) To build a medical center of approximately 10,000 sq feet ~\c-~Al ~or 5"'\ \je..l..k\~ Sd-e... ~,,: 38 l71 $9' ++-, 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Bremerton, WA - adjoining the south lines of the existing Mountain View Medical Building and the Olympic Peninsula Kidney Center located between Hemlock Street to the east and Clare Avenue on the west. Mdress: z. 771 l~ \o,,~ ~ -\-f\c:..~+- 4 '. B. ENVIRONMENTAL ELEMENTS EVALUATION FOR AGENCY USE ONLY TO BE COMPLETED BY APPLICANT 1. EARTH a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other . Approximately 2-5% slope to the South b. What is the steepest slope on the. site (approximate percent slope)? 2-5% 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. Sand & gravel d. Are there surface indications or history of unstable soils in the i~mediate vicinity? If so, describe. Not that we are aware of e. Describe the purpose, type and approximate quantities of any filling or grading proposed.) Indicate source of fill. We may be excavating about 500 yards of dirt f. Could erosion occur as construction, or use? descri be. We do not believe so a result of clearing, If so, generally 'ks 5 'c g. About what percent of the site will be covered with impervious surfaces after p~oject constru~tion (for example, asphalt or buildings? Maybe 70 to 85% h. Proposed measures to reduce or control or other impacts to the earth, if any: None at this time erosion, 2. AIR a. What types of emissions to the air would result from the proposal (i, .e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. N.A. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. N.A. c. Proposed measures to reduce or control emissions or other impacts to air, if any: N.A. 6 Era;oA 0Y\+ro \ r(00\c.~eJ W\~ plo..V\S A~-b",() b,'\~ t\jo ~V\€- 3. YATER 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, wet- lands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. N.A. 2) Will the project require any ~ork over, in, or ~djacent to (within 200 feet) the described water? If yes, please describe and attach available plans. N.A. 3) Estimate the amount of fill and dredge material that would be placed in or removed from sur(ace water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. N.A. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. N.A. 7 No ~ 5) Does the proposal lie within a IOO-year floodplain? If so, note location on the site plan. N.A. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. N.A. b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known.. N.A. 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 h~uses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. All handled by r.ity sewer ~nrl storm systpm~ 8 ~~ '. Describe the source of runoff (including stormwater) and method of collection and disposal, if any (including quantities, if known). Where will this water flow? Will this wat~r flow into other waters? If so, describe. Has all been designed by N.L. Olson & Associates Enqineers as per blue prints in to Buildinq Dept. , . S~rll"o <.N~ ;$ c.cUa:...fd dek~ Y\cd a.v\A ~c.. rd~~c\ l("\. 10 T h,-: <;:"~+1. 5 s fo r '^'\ ~$+OM. vJLt-t\:.,\A +/6ws I~ ~ ~\f-~k~to'" ~~ Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: as per blue prints c. Water Runoff (including stormwater): 1) 2) Could waste materials enter ground or surface waters? If so, generally describe. Not to my knowledge d. 4. PLANTS a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other ____ evergreen tree: fir, cedar, pine, other X shrubs L- grass pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other ____ other types of vegetation 9 '\dv\ eff- t-c be:. <:.o(!e(.k~ o,V\c\ ~5> tk(~\1~ o~ \ j wC\.-kr s(:FrJ..or fr~(Dr <to dISC.~~~~ e'o'\tc c...\~ 5~fYV\ s yS-h:1IV\ '\ b. What kind and amount of vegetation will be removed or altered? Common c. List threatened or endangered species known to be on or near the site. None that I know of d. Proposed landscaping~ use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Landscape plans are on blue prints 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, ~ongbird~ other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: b. List any threatened or endangered species known to be on or near the site. N.A. 10 8rr.s~~/~cc...$sl SCOc.."'- br~DN". " c. Is the sit~ part of a migration route? If so, explain. N.A. d. Proposed measures to preserve or enhance wi I d Ii fe, if any: N.A. 6. ENERGY AND NATURAL RESOURCES a. What kinds of energy (electric, 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. N.A. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. N.A. 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: N.A. 11 .~ t..J~",,~ Ek~~(~c.~~( ~c c ~ '^"f \ (o..lJI..Ct: l.AJ ~ ~ ~ f!.-~+t ~ aJ~k{ \j ~~<V"\.. E. o/\~'I ~~~ 1. ENVIRONMENTAL HEALTH a. Are there any environmental health hazards, including exposure to t6xic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. N.A. ~~\\-~ ~:c~.rJ.s ~~,,-6 ,~ 't +-'^- 0., M e.~~ tA..( (;. U '^' k.. 1) Describe special emergency services that might be required. . N.A. ~t)'^ L 2) Proposed measures to reduce or control environmental health hazards, if any: None needed b. Noise 1 ) What types of noise exist in the area which may affect your project (for example: traffic, equipment operation, other)? Normal construction for wood building t" .-,..- , \ r 0.. \ c.... 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. Normal construction 12 3) Proposed measures to reduce or control noise impacts, if any? N.A. 8. LAND AND SHORELINE USE a. What is the current use of the site and adjacent properties? Unknown other than medical offices ~C"^'L s ~ k \~ V~~'" \- R~\d.e,^,~~ ro H-.e.: W~1- b. Has the site been used for agriculture? If so, describe. N.A. ~ c. Describe any structures on the site. N.A. (old concrete foundations) d. Will any structures be demolished? what? No If so, e. What is the current zoning classification of the site? Unknmm f. What is the current comprehensive plan designation of the site? Unknmm 13 ~~~ ~~\l be:.. . ~~IJe:\ 65 WVf?fflCru1c..! " go If applicable, what is the current shoreline master program designation of the site? N.A. ho Has any part of the site been classified as an "environmentally sensitive" area? If so, specifyo Not to my lmowledqe io Approximately how many people would reside or work in the completed project? Approximatelv 10 + or !ess jo Approximately how many people would the completed project displace? N.A. ko Proposed measures to avoid or reduce dis- placement impacts, if any? N.A. L Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: I believe it is compatible 14 ~ CbVVlfl t'a..'1<L W{ 'I~ Conl7J' 9. HOUSING a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. N .A. b. Approximately how many units, if any, would be eliminated. Indicated whether high, middle, or low-income housing. N.A. c. Proposed measures to reduce or control housing impacts, if any: N.A. 10. AESTHETICS a. .What is the tallest height of any proposed structure{s), not' including antennas; what is the principal exterior building material{s) proposed? 30 feet Dryvit siding b. What views in the immediate vicinity would. be altered or obstructed? N .A. t-0~v\.~ c. Proposed measures to reduce or control a est h e tic i m pa c t s j i fan y : N.A. 15 t\J~V\.e.. ~~ ~~ \o.v1SC.~f \''1 '. 11. LIGHT AND GLARE a. What type of light or glare will the proposal produce? What time of day would it mainly occur? This project wi 11 m;:lin1y np llSPc1 c111rin<J c1riyl i<Jnt hours. Some outside liqhtinq in the eves of the structure. b.. Could light or glare from the finished project be a safety hazard or interfere with view? No c. What existing off-site sources of light or glare may affect your proposal? N.A. d. Proposed measures to reduce or control light and glare impacts, if any: None 12. RECREATION a. What designated and informal recreational opportunities are in the immediate vicinity? Unknown b. Would the proposed project displace any existing recreational uses? If so, describe. No 16 s ki\J,^^ Kr~ (.c (\\~,^~.\-~( (e.~r 1 b \0<.k:. s (!)~ " c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: None 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. None b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: N.A. 14. TRANSPORTATION a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Shown on site plans, if any. See site plan of proposed medical center '(front page) b. Is sit~ currently served by public t~ansit? If not, what is the approximate distance to the nearest transit stop? Unknown 17 Ne"\L- cl~ S.t.recl- a~ ~4-kV"1~ sJreet ) . > 15. Yes ~ oJJlffo v1u..( ,ne<</, t-.Ji II rcsC?/';' .ftVY'\ Proposed measures to reduce or control di rect ()e"J devc..:/olrYleit.,'f: impacts on public services, if any. c. How many parking spaces would the completed project have? How many would the project eliminate? 51 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). N.A. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No ' f. How many vehicular trips per day would be generated by the completed project? If known, indicate when. peak volumes would occur. Peak hours will begin 8:00 am through 5:00 pm, 5 to 6 days aweek. Not sure of the vehicular trips g. Proposed measures to reduce or control transportation impacts, if any: N.A. PUBLIC SERVICES a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. Not to my knowledge b. Unknmm 18 S-9 '- ^ N 10 ,.;.. re<.e",,+-.$ h~~ Pb1- re.\)~e~ 'Pi t'v\.<:... C~.f..~1 E.-'Ij I\f\~-erttt\ Oe~r~eY\t- d(6. rd~l/v~.+.ct ~ 1'\-e-~ ( oi-re.ei- I Mr R:lI/Cft1evlJj r:. TE - '3/./ / /OCDftF,4 3<-/0 ~~ w~~y Tr~~ ~k... ~ ,,~ b. Proposed measures to reduce or control direct impacts on public services, if any. Unknown ~~"'\e- 16. UTILITIES a. Circle utilities currently available at the site:,electr1city, natural gas, water, refuse) ervice, tele hone, sanitary sewer) septic system, ot er. Storm water system 17. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: ~ Q, ~ Date Submi tted: 3/ 2- 1/ 11 \J 19 '':~l ':"~~ ..:~ .FFI DAV IT OF PUBLI CATION ~}B [~ @ [~ [I W :; W) !\:)-~ 2 :5 1?!~)1 No. :30174 DETERMINATION OF NON i~i ..~. !:. 1- ': f" l::~;- 'I": ~\t STATE OF WASHINGTON COUNTY OF KITSAP 5S GU1- ~.: rc ~' ,J " ) ," ;"', l I, Bridget Haney, 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 ~~blishers of THE SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County of Kitsap, in .which County it is published and is now and has been for more than SIX months prior to the date of the publication hereinafter referred to, pub- lished in the English language continually as a daily newspaper in Bremerton, Kitsap County, Washington, and is now and during all of said time, was printed in an office maintained in the afor'esaid place of publ ication of said newspaper-; that the following is a true text of a legal advertisement as it was published in regular issues (and not in supplement form) of said newspaper on the follow- ing dates, to wit: April 22, 1991 and that such newspaper was regularly distrib- uted to its subscribers during all of said period. That the full amount of the fee charged for the foregoing publication is the sum of $33.75 which amount has not been paid in full. _~jJ&J./~L________ (Signature of Pri~ipa1 Clerk) Subscribed and sworn to before me this day of April 22, 1991. Notary Public in and for the State of Washington, residing in Bremerton. DETERMINATION OF NONSIGNIFICANCE Description of proposal: Construct 10,000-square-foot medi- ca1center with parking for 59 vehicles. Proponent: Peninsula Medical Building Associates/Perdemco Const. Inc. Location of pr-oposal, including str-eet addr{~ss, if arn': 2771 Hemlock Street. Lead agency: City of Bremerton Department of Community De- velopment. 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 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This infor- mation is available to the public on request. This DNS is issued under 197-11-340(2); the lead agency will not act on this proPosal for 15 days from the date below. Comments must be submitted by May 3, 1991. Responsible official: John W. Allingham. Position/title: Senior Planner. Phone (206) 47:3-5275. Address: 286-4th Street, Bremerton, WA 98310. Date: April 18, 1991. Signature: John W. Allingham. .. y" You may appeal this determination to: Breme~ton Plannins Commission/City Council. You should be prepared to make spe- cific factual objections. Contact John Allinsham to read or ask about the procedures for SEPA appeals. April 22, 1991 80174 e e ~; c\..q,\ l' nj ,0 lt~ ,., l...\ - f \,s? - -'I l ",- '1J~ ~J~ ~ ~~~}. (J'"' 1\ ~r tf J- ~11..-L{7 CitJrof Bremertort 239 FOURTH STREET BREMERTON, WASHINGTON 98310 (206) 478 - 5252 MAYOR LOU IS MENTOR ENVIRONMENTAL CHECKLIST SEPA RULES , ~~;~ \~I ,'.ffi. :,. t~ti" . "'lr.. fl!!j,!1 \';~ I' \"t.,; 1fJ-.G\\ II W:~~l \~ \:!:,'!\ ,1..1: \,' I\-'l::..:llr 11l!.!.J',1 ~~ ,."... It \"\..."'1.\.".' .-, Ii "\il tl:~~J . 91 '':; A~.IfrI'\1 ,',r'"! ~l-,l \ i~)l\ \n\.[l.~ 'hj'.C\. <oJ \(,,,,".-\ ' w~"'\(! ,\ ~~\ M~~1t ,'~,""'-' ~~Jl\~nr...~~"-' l?+i\.!~l \i~\"~\~\ .,' \~Jt~'f ;"~:..'\1,.~ .. ,. ~ t ~ --,+ *' f:J- 1 ~ , .' ~Jd(}91 : . ,~ 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 doneJ and to help the agency decide whether an EISis required. INSTRUCTIONS FOR APPLICANTS: This environmental checklist asks you to describe some basic information about your propo~al. Governmental agencies use this checklist to determine whether tne 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, write "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 gov~rnmental regulations, such as landmark designations. Answer these If you have problems. the governmental 1 Gateway to the Olympics and Home of the Puget Sound Naval Shipyard f. The checklist questions apply to all parts of your proposal, eyen if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will h~lp describe your proposal or its environmental effects. The I agency to which you submit this checklist may ask you to explain ybur answers or provide additional information reasonably related ~f determining if there may be significant adverse impact. USE OF CHECKLIST FOR NONPROJECT PROPOSAL: I Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." In addition, cbmplete the SUPPLEMENTAL SHEET FOR NO~PROJECT ACTIONS (Part D). I For nonproject actions, the references in the checklist to the words "project", "applicant" and "property or site" should be I ' read as "proposal", "proposer," and "affected geographic area," rbspectively. A. BACKGROUND 1. Name of proposed project, if applicable: Peninsula Medical Center ~. Name of applicant: Perdernco Construction, Inc. 6. Address and phone number of applicant and contact person: 4235 SE Hwy 160 Port Orchard, WA 98366 Rex Dempewolf or Jack Perelli 4. Date checklist prepared: 3-21-91 2 , , 5. Agency requesting checklist: City of Bremerton 6. Proposed timing appl icable}: or schedule (including phasing, if To complete the construction, Summer or early Fall of 1991 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, d~rectly related to this proposa I . Not a\vare of any 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. None 10. List any government approvals or permits that will be needed for your proposal, if known. None other than ususal for construction 3 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 include additional specific information on project description. ) To build a medical center of approximately 10,000 sq feet 12. ,Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project. including a street address, if any, and section, township, and range. if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a. legal description, site .plan, vicinity map. and topographic map, if reasonably avaflable. While you sh~uld submit any plans required by the agency. you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Bremerton, WA - adjoining the south lines of the existing Mountain View Medical Building and the Olympic Peninsula Kidney Center located between Hemlock Street to the east and Clare Avenue on the west. 4 ~ B. ENVIRONMENTAL ELEMENTS EVALUATION FOR AGENCY USE ONLY TO BE COMPLETED BY APPLICANT 1. EARTH a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other Ap~roximatelv 2-5% slope to the South b. What is the steepest slope on the site (approximate percent slope)? 2-5% 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. Sand & qravel d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. Not that we are aware of e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. We may be excavating about 500 yards of dirt f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. We do not believe so 5 g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings? Maybe 70 to 85% H. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: None at this time l a. AIR What types of emissions to the air would result from the proposal (i,.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. N.A. fu. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. N.A. c. Proposed measures to reduce or control emissions or other impacts to air, if any: N.A. 6 3. VATER 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, wet- lands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. N.A. 2) Will the project require any work~over, in, or adjacent to (within 200 feet) the described water? If yes, please describe and attach available plans. N.A. 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 site that would be affected. Indicate the source of fill material. N.A. , 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. N.A. 7 5 Does the proposal lie within a lOO-year floodplain? If so, note location on the site plan. N.A. 6 Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. N.A. b Ground: 1 Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. N.A. 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.). Descrioe 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. All handled qy ~ity RPwpr Mnn Rtnrm RYRtpmR 8 c. Water Runoff (including stormwater): 1) Describe the source of runoff (including stormwater) and method of collection and disposal, if any (including quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. Has all been designed by N.L. Olson & Associates Enqineers as per blue prints in to Buildinq Dept. 2) Could vaste materials enter ground or surface waters? If so, generally describe. Not to my knowledge d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: as per blue prints 4. PLANTS a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other ____ evergreen tree: fir, cedar, pine, other 1L- shrubs 1L- grass pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other ____ other types of vegetation 9 b What kind and amount of vegetation will be removed or altered? Cornman c List threatened or endangered species known to be on or near the site. None that I lmow of d Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Landscape plans are on blue prints 5 ANIMALS a Circle any birds and animals which have been. ob~erved on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, ~ongbirds~ other: mammals: deer. bear, elk. beaver, other: fish: bass, salmon. trout. herring. shellfish, other: List any threatened or endangered species known to be on or near the site. N.A. 10 c. Is the site part of a migration route? If so, -explain. N.A. d. Proposed measures to preserve or enhance wildlife, if any: N.A. 6. ENERGY AND NATURAL RESOURCES a. What kinds of energy (electric, natur*l 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. N.A. b. Would your project affect the potential use of solar energy by adjac~nt properties? If so, gerierally describe. N.A. c. What kinds of energy conservation,features are included in the plans of this proposal? List other proposed measures to r~duce or control energy impacts, if any: - N.A. 1 1 7 ENVIRONMENTAL HEALTH a Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explo~ion, spill, or ha+ardous waste, that could occur as a result of this proposal? If so, describe. N.A. 1 Describe specJal emergency services that might be required. N.A. 2 Proposed measures to reduce or control environmental health hazards, if any: None needed b Noise 1 What types of noise exist in the area which may affect your project (for example: traffic, equipment operation, other)? Normal construction for wood buildIng 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. Normal construction 12 3) Proposed measures to reduce or control noise impacts, if any? N.A. 8. LAND AND SHORELINE USE a. What is the current use of the site and adjacent properties? Unknown other tpan medical offices ... . ' ~ b. Has the site been used for agriculture? If so, describe. N.A. c. Describe any structures on the site. N.A. (old concrete foundations) . d. Will any st~uctures be demolished? If so, what? No e. What is the current zoning classification of the site? Unknmm f. What is the current comprehensive plan designation of the site? Unknown 13 8. If applicable, what is the current shoreline master program designation of the site? N.A. n. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. Not to my knowledqe i. Approximately how many people wo~d reside or work in the completed project? ApproximatelY 10 + or :less j. Approximately how many people would the completed project displace? N.A. k. Proposed measures to avoid or reduce dis- placement impacts, if any? N.A. 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: I believe it is compatible 14 a. What type of' light or glare will the proposal produce? What time of day would it mainly occur? This project will mainly he llspn nllrinC) nrlyliC)J1t hours. Some outside liqhtinq in the eves of the structure. b. Could light or glare from the finished project be a safety hazard or interfere with view? No c. What existing off-site sources of light or glare may affect your proposal? N.A. d. Proposed measures to reduce or control light and glare impacts, if any: None 12. RECREATION a. What designated and informal recreational opportunities are in the immediate vicinity? Unknown b. Would the proposed project displace any existing recreational uses? If so, describe. No 16 . 9. HOUSING a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. N.A. b. Approximately how many units, if any, would be eliminated. Indicated whether high, middle, or low-income housing. N.A. c. Proposed measures to reduce or control housing impacts, if any: N.A. 10. AESTHETICS a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? 30 feet Dryvit siding b. What views in the immediate vicinity would be altered or obstructed? N.A. c. Proposed measures to reduce or control aesthetic impacts, if any: N.A. 15 , c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: None 13. HISTORIC AND CULTURAL PRESERVATION a. Are there any places or objects listed on, or proposed for, nat i ona I, ,state, or local preservation registers known to be on or next to the site? If so, generally describe. None b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. None c. Proposed measures to reduce or control impacts, if any: N.A. "' 14. TRANSPORTATION a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Shown on site plans, if any. See site plan of proposed medical center "(front page) b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Unknown 17 c. How many parking spaces would the completed project have? How many would the project eliminate? 50 d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally descriQe (indicate whether public or pr i vate) . N.A. e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. No fl. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. Peak hours will begin 8:00 am through 5:00 pm. 5 to 6 days aweek. Not sure of the vehicular trips. g. Proposed measures to reduce ~r control transportatio~ impacts, if any: N.A. - 15. PUBLIC SERVICES I - a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. Not-to my knowledge b. Proposed measures to reduce or control direct impacts on public services, if any. Unknown 18 , ~ b. Proposed measures to reduce or control direct impacts on public services, if any. Unknown 16. UTILITIES a. Circle utilities currently available at the site: electrIcity, natural as, water, refuse; ervice, tele hone, sanitary sewer, septic system. ot er. Storm water system ,... 17. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make i.ts decision. Signature, ~ IG Ila..r4 Date Submitted: ~(~/c;/ 19 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 eRvironment. When answering these questions, be aware of the the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater 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 noi.se? Very little, if any. Proposed measures to avoid or reduce such increases are: None 2. How would the proposal be likely to affect plants, animals, fish or marine life? N.A. 20 , , Proposed measures to protect or conserve plants, animals, fish or marine life are: None needed 3. How would the proposal be likely to deplete energy or natural resources? N.A. Proposed measures to protect or conserve energy and ~atural resources are: None 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under studyJfor governmental protection; such as parks, wilderness, ~ild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? N.A. Proposed measures to protect such resources or to avoid or reduce impacts are: - N.A. 21 " ., ~ ' 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? N.A. Proposed measures to avoid or reduce shoreline and land use impacts are: Not needed. 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Very little, if at all Proposed measures to reduce or respond to such demand{s} are: None 7. Identify, if possible, whether the proposal may conflict with local, state or federal law~ or requirements for the protection of the environment. None 22 . 4' ..~ ... /'" ::;~rrr!n T I A' NEW P.4RCe.L ~ L~:':~CR.!?rIC::: Order ~Io.: E-jl.799-7 Thnt p~tion of Parcell. }Hock 3" Plat of Second Addition to SheriJao Park, 4ccorcing to the plat thereot. recorded in Volume 8 of Plate, Page,74. recorda of [it~ap County, Va!hin~tOQ, described a8 follows: Cor:omdna at the northeast corner ot .aId Bl~k 1; thence alon~ the r:asterly line thereof South 19.06'05" t.ut_~f:>..ji}l~~..~o the begirmlnl of a curve to the ritht whose radius bean South 70-53'55" Veet 1491.60 feat; thenee Southerly alanr: the arc of .rld curve 434.19 feet to the True Point of Beginning of the tr4ct h~rein described; thc.mce continuing Southarly along the are at .aid curve 132.72 feet to d point of ten;ency; thence South 2-34'07" t;est 228.29 feet; thence North 83....1'52" \;C9t 196.32 feet co the weat boundary or Parcel 1 cn the East E!\argin of Clare Aven~e; thence Northerly along said mlSrgin 260 feet to thl! DOst Southerly c~rne=- of a bo\~!':!sry r!!vision tract described ur.der Auditor's rile No. 8611100102: rhe:)=~ ~:orth 70eS3'55" E.u:t 11.5.0'.. feet alc-ng sai~ 5outh~rly boundnry;thcnce t:orth 19006'05" ~:C"t 12 f~.at; th~ce ~,orth 70.SJ'S5" E.!8t 137.46 feat to the Tre!! Point of ::e ~i nnin6; EXCSrr thct portioo lying Southerly of the folb\"i.n~ described line: BcgLnn~:; et t~1e SOJtheast corner of t..~e he't'etofore cescri';)ed cain tr~ct aitu:l.ted cn the ~le!t CJarcin of :lcnlock J..vC-'1ue; th~ce l:orth 2-34'02" !:::Ist 153 fe:et .lllo:1g said t:C9t t!:~rcin to the True Point of Begincin& of t.~e line herein de3cdbed: thence \1aDterly to a point on tbe Esst ::1argin of Clare Avenue at a point 156 feet north, as tnee.surod alons oaid E~st E!\aq;in, from the Southwest cO':'t\I!r of the hl!retoforo described main truct and the terminus 'of ,aid line. , , ~)J j JJ S u / I~ h..ddtCf9 C- OtJ Vee s "q ff 5/ DR f(op/9lcl R. F?e/J.-I)ER 00< () oSe:pl, L. yoh Ji..,$o,/'\/ D i2. OOIU/J/~1 L I QeDtfco/G' o /2. E: )../ A y ~ r )'-./ / A If/-} AI :) 77(2 lie hi. ClCk S..;; ljrC//)..V> TOU. W.4 ,C;'i5 3/:2., '" gv;/d; iUy A550c..,~.q r6S t../ 79 -iJ/.s-~ .-.. . . ' . t.. ,/ "'~) ..~ " "- '" cf..L 1 , P A f< of \<:) \ ,\ G t ~ aL.Oe II) (0 I'-c(C()N~ ,0 P ^ R\< .of ^ ~~ ~ ()\Or:'\' sHtr< nL. B }5' \ 'i.., - 4 &. ~ G 1 ~ 4 . P . ,,-"- B \ ~ n:,)"- .,0\ ,,-"- \~. \ f, C3 '\ \.---- C;? \~, A \ \ \ \ - 2, \'(j,~ \ \ \\ Set Lead)( '\ & Tack ,-NE Corner Block 3. __ ~ -z. -- -"' __ \ \C. ~\ 0 en en ~\O \ 0 . -"_\ (J\. LOT LINE ADJUSTMENT City of Bremerton a portion of Sec. 12, nw. 24N., RG. 1E., If.M. \; - c~ \... Q) Q i!: a:: o z ~~ : f1'\ \\ 20.00' ~ <( u (f) Boundary line adjustment per A.F.#8611100102 / C5 ~ ~ . ,.~~: -" ~ co ,'~ -'" C\.j _-- tci N 88.06'12" W K I -22?r g I~ B ~ lC) 1lJ.J "- ..... tJ Q .-. . . , q> ---- --- --- --- ~.. ~ ## 41- Found brass cap monumen t. 196.32 C.7 t D ~ L 0 snort ~ lJ.J ertOn 6~90 1 1 t eref1" tJo. 0 6005 Pi I P\ot 1190,02 . t', ~ A F.Jr ' / ~lJ' I~. C2/ ~ L 93.Q5' ,/ / -~ S~T25'29" E Let JUNIPER STREET LEGENQ . = Set Rebar de Cap "L.S. # 20795" ., CUR VE I RADIUS I LENGTH I DEL TA , C7 1497.60' 305.23' 71'40'39" C2 100.00' 156.93' 89'54'54" CJ 1497.60' 128.96' 04'56'02" C4 1497.60' 132.72' 05 '04 '39 II C5 748.58' 102.00' 07'48'25" C6 748.58' 158.00' 12'05 '36 II C7 748.58' 67.60' 05'10'27" AES CONSULTANTS ARCHITECTS AESCS, INC. PO BOX 930 :H72 Nlf lDYfdi. SILYERDALE, WA 98303 (206)692-'6400 ENGINEERS SURVEYORS AESCT, INC. 101 E 26TH ST. - STE 100 P.O. BOX 1914 TACOllA, lA. 98421 TACOMA. fA. 96401 (206)572 - 6400 , ,":;~~' >:~-,. :'. \~'" i~'_' ~ '"lA '~!~:7t.;f':';':~f ,1- "h.,~7L'~1 . ..< ' ," " :" ,(.~'" ~'-'~ . (.~~ €t~_'r" , V",,-, " .>;c ':""\'~ aI':',' ", 2720 Clare Avenue. ,';' ,"_.:~~;.;';'-" ~. "::'$~ . 'Jj)frA.j..I~"'/.I>_'" '..~-:- ",<" . .> ~-"/' -~~ ' . j ~~ _." '." '1" - ~ _ ...<, . ~., ,'~~'7""""",'~; ,;. "',;. <~I/ud~~ k~~tk/~o/~$~,', '~,/; ~ "?-' ." ", " ~. ,.' , '... '. :'" ,~" ',' ,:;;;;:', ~,:,~~<:::,~,~~.,r5ify.,~$~f~.i/~,~..:" 'r,;' ',' '. ~., . fi.~ CO~i.i':U"cm6N: ~cJJ;:"CY" ~C~~~N~~Y\\;/;,: COMMO~USE <' , ' ~. ~' "",..,.:V,N ";"".'" . B2 ' 17:'" ....".,.~., :T: . Office,'.:,:'".., ,.~. , . ...,.~..".,..:,. .'. - . ,.' . ro: ".','" '.' .; " ~". ~."._~.J, " ' " '. . ,. , "~,,':','+ '7'.~~. o.~~:"~ ", . ~ \ /~~~., ~., ~:":.j!,c, ,Antiary9;,l992 " '. .' , #~ '.,. .. .... ~.' . - -' ('JZ) AjJl,A!}J:"I"" ~... " " :' ,;'" '-;';'. .' 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':', '. ."f!lJ~) OJfaJ~;,: '. ~~. ',:.,.', :..... ',:~~~tIHJ~~~~uU(/,.I6e~o/l6ef!lJ~ ',,:.,'. .~. .. , . ' ,'. '. '~'" . ~,.. ':;~~~i;:~/~/"f!ll,~~./~/~tIed.' ...... .' . '., ',~;~,....:,:'::.',i. . ~'W, .-:;. - ',,",. "~., -~. ,:-' -,' - '. . ";-',4'", ,,"'. - ,)' ,0 - I., ...,~ ~A '. . ..,.... .' . . , ".' ,'" TYPE' . "OCGUPAN.CY: "'" ";', '::: <. OCCUPANCY" '.' , .'. . LOAD'., . COMMON USE .'. .' . . . ", . ". . B2 52 .' ." .... Office. >, . ~.. . , ,,' "'''''''L~' ,.k ~'., ~ ", ' <' ~ "'::' .' "., ., " > - - ~. . .', ' flJ~ ......./)..~..<,'> . i:.~~E. ~ ,', .. " .' . ,;~~;IP~ Dayid A/Nelson' --.-....... ~.,., !hlJ ~QI1,lllc~te !IIust hepe,te;d~na perm~';Qnll~ rn~h;IlII';ea I~ :u::Ui~~~OUS pl~cl!,,' " '. fJ~.~?;. ~'))J~:Jl; '.' . gI~'''~ -, , ,', . , -' .'. . .." >".~':;.-.. .' . - ,. .. ',.' .'1 . ..~.,...,:",.). '. ',\ " - c- ~. ~ , c. " '.' .', ,"' ,,:< ,'"