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ADELE AVE., 911
1— v —VIVIv v,^ ^,v V.V,,Y, Vv V, YIW, v nV Y" V VX V V 10 n , + i t , J,V U ' C Certz zcate O Occupancy Department of Community Development s Thu certificate issued pursuant to the requirements of Section 110 of the International Building Code, as adopted by the Bremerton W unicipal Code, certifies that at the time Of issuance this structure complied with City regulations for construction or use 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 other ordinances of the City of Bremerton ISSUED TO: TRACEE A. COSTA L.M.P. SITEADDRESS: 911 ADELE ROAD Type of Occupancy Occupant Construction Classification Load Common Use VN B 2 MASSAGE THERAPY OWN Permit Number: BL 24983 F J Christopher Hugo, Director Special Conditions: Date: 10/19/05 THIS CERTIFICATE MUST BE POSTED AND PERMANENTLY MAINTAINED IN A CONSPICUOUS PLACE CITY OF BREMERTON BUIL.6ING DEPARTMENT 478-5275 - 286 FOURTH STREET; BREMERTON, WA 98337 INSPECTION R OI tT PERMIT NO. o f 1 have this day inspected this structure and these premises and have found the following violations of City, County and/or State laws governing same: l t" es t �+c ILAJe. Ir d- �x vs ko e,- 11JAC 4J k Q d A rev !' e q v (r e 1 V t, V V ee s4ee4 � 3 J 1pry f o-9t)ire MejL� s 1)14e KI5e C (( ((047 &;A o 'zr QAC f �«y��-yt. Cry � �41ti �+t�c.y �� •� .�' E3 Q ET P1 E= Q -T- (3 Psi Q 1=7 Q W-1 17- 1=7 1%1 V Q 1;:R 2K 4th Areet, Nemertan, WA 988'37 Phonex (360) 476�5175 F6X: (160) 478-5278 BUILDING PERMIT Job Addr: 911 ODELE AVE Locationg 91.1 ADInE ST Parcel Not Applicant3 GALLA CONSTRUCTION INC 6710 GLENEAGLE AVE SW PORT ORCHARD, WA CELL -900111 Owner: JOHNSON, DR. RICHARD 2862 SE LUND PORT ORCHARD WA 9PS67 Permit Not 98-0417 Status: ISSUED WIN& 07/17/1998 Issued: 08/21/1998 Expires: 02/17/1999 99866 Contractor: GALLA CONSTRUCTION INC: L,ic,; it: SALIAC168SCF Expt 216/1999 -908-3161 98366 .6710 GLENRASLE AVE SW PORT ORCHARD, WA CELL Subconty: Desc: NEW OFFICE BLOB. (JOHNSON CHIROPRATIC) Valuation Permit Fere ss 1,44700 Total Calculated Fee; 2,561.60 2;0,OOP40p Plan check Fees; 83222 Additional Fees,: .00 Other Fees: 281.78 Tot.al Permit F e:e: 2,561.60 MECHANICAL/PLUMBING FIXTURES— MECH-Range ......I MECH-Gas Furnace to 100k btu.: I MECH"Gas Piping (outlets) .... 2 MECH-AC Unit 0- a hp.........: i MECH-Exhaust Fans..„... 3 MECH-Range Hood (res)........ I PLBG-Water Closet............ : 2 PLBG-Lavatory ................ : 2 PLBG-Kitchen Sink ............ I PLBG-Water Heater.. ....: I PLBG-Hose Bibbs ....... ...... PLBG-Lawn Sprinkler System,..: I PLBG-Misc Plumbing Fixtures..: 2 This permit shall become null and void if the building or work authorized by this permit is not commenced within 190 days from the date of such permit, or if this building or, work authorized by such permit is suspended or abandoned at anytime after the Work is commenced for a period of 180 days, NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see A it Af SO& 0000% Af@ 9@69z The permit holder must notify the Building Official when ready for inspections. Failure of the permitholder to notify the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official, that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden 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 the provisions of any ot#slr s to or c:>cal law regulating construction or the performance of construction. ------- --------- ----------- Dat e I certify that I am exempt from the requirements of the State contractor's registration law, under Sectiod 3, Chapter 126, laws of 1967, Signature: ------------------------- ------- w. -------- BREMERTON PERMIT CENTER PERMIT CONDITIONS Permit,N&AB-0417 Page 1 Address! 911 ADELE AVE Ar)v) I ({:{::# 1 Q7/17/1998 Ass&Ach Non ftp provedg 08/21/1998 I (.",)cat I ph 3 ill ADELE ST Issuedu 6S/21/190S Ai)r,:) I i cant g GALLA CONSTRUCTION:INQ- Owner, JOHNSON, 01. RICHARD Contractor GALLWCONSTRUCTIONINCit' i Q I an NEW OFFICE BLDG. 3OHNSON"CH1ROPRA-1":1:(::. Canditionsi 1. fire a. Follow the requirements listed an the note page of plans, for "extinguishers, addrpse, etci fire 1. Starz adapters to BMC 18.02. 2 total required. 2. C R 0 S S c a N N E q. "r :K o N initial review of the plansvill require the followiniq Domestic service to provide,protection by installation of an approved reduced,pressure balkPlaw"assembly at the point of entri,'pr o the facility with connections allowed upstream of the assembly. Landscape irrigation to provide protection by installation of an approved double check valve assembly or assemblies. This facility will require inspection before occupancy. Please can tact Pat Jacobson at (360) 47S-5927,. ' 3. 11 FR 0 S 13 C 0 : N N E C T 0 N T R 0 L NOT& ALL. APPROVED BACKFLOW ASSEMBLrES MUST BE ON THV,::' CURRENT WASHINGTON STATE DEPARTMENT OF HEALTH APPROVEI::) Y LIST AND MUST BE TEST90 AT THY TIME OF INSTALL- ATION, WHENEVER MOVED OR SERVICED, AND ANNUALLY. TESTS AUST.BE PERFORMEO'BY A CERTIFIED WASHINGTON STATE BACKFLOW ASSEMBLY TESTER. TEST REPORTS MUSTQE SENT TO BREMERTON 1(", WC; RKY AND UTILITIES, ATTN! CROSS CONNECTION CONTROL, 100 OYSTER BAY AVENUE, BREMERTONi WA 98312., 0. RIGHT OF WAY PERMIT REOPItil D FOR DRIV[�:W Y' A N ,zone LATERAL, IF EXTENDED TO THEV WA 0 0. UTILITY MES ANO ASSESSMENTS;MUST BE PALO PRIOR TO H() (::)K-- C. MUST REVISE SHEET 3.,, Permit Hilthr.'s I Sionaturel, ----------------- Oat e ................ Job Addresso : Locations Assr Acct No: f"ffc)V('cFq r . . . . . . . . ..... E3 FT EE P1 En Q -r C) P4 F�' 1=1 lot F-1 :17- K tsp W 1=7 Fit 286 4th Street, Bremerton, WA 78337 Phone: (360) 478-5275 FAX: (360) 478-5278 Building Permit Nag 911 ADELE AW�i: ftatusg 911 ADELEST Issuedc' 98-0417 1 1 SSUED 08/21/1998 02/17/1999 R E 0 U I R E D I N S P E C T 1 0 14 S ItemQIIOO FOUNDATIONIFOOTINUS Dept: BLDG Division: IteT1404200 FOUNDATIONAALLS Deptg BLDG Divieianu Itq=01400 MECHANICA1 Depto BLDG Division: Item: 01500 PLUMBING GROUNDWORK Dopt:,BLDG Divisions Items 01600 PLUMBING ROUGH -IN Depts BLDG Division! Items 01700 FRAMING Dept: BLDG Divisions Item: 01000 INSULATION Dept g BLDG Divisions Item, 01.900 SHEETROCK NAILING Dopts BLDG Divisiohr items =00 ENERGY CODE --AIR LEAKAGE Dept: SPECINSP DivisAng' Item, 03700 ENERGY CODE--MEDHANICAL VENTS Deptg SPECINSP Division; Items 03600 ENERGY CODE—LIGHTING BUDGET Dept: SPECINSP Division, Item: 02200 PUBLIC RIGHT-OF-WAY Dept: PL, BWORKS.Div isiont Items 0200P LANDSCAPING 'Dept2 PLANNING Division: Items 02702 -FINAL--PUPWORKS, Depts PUBWORKS Division, Item: OMPAINAL—BLOG, Tepti BLDG Mivisiono TESTINQf Must be recognized by the Wishington;Assaclation af,Building Official -L SPEC INSQ Must be registered with the State UfLWA AT OF WQ State of WA Dept. of Labor and Industries 47B-4921 HEAWN Bremerton/Kit;wap Health District 47S -52S6 ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED 'T111:R(:A,,K311 7'111�iil PERMIT CENTI::,-.A. (S60) 47S -S275,, Permit Hold Signa.tures...... ........ ....... Date: ------.... -- .... ... . .. 286 4th Street, Bremerton, W 9833:7 0wrier. J()HNS()N 01:(X (J(X1N!3(.)N ("filR(.)Pf�A('.,T":177--,.37'i1 911 ADE:ilf!� AVE BRE`MFJR1"0N WA 98312 HANS0N SIGN C() INC PO 13(".)X 928 STL.VFRDAL,f:::1.' WA 9838".3 sul:x::,.ont r 613--9550 Lie:, #:: HANS01*221JI . ;.xp- 1211.7198 Des(.:;,., INSTAL-L,ATION ()F (..)NF.;', [,)O .,G` SIGN **,Xl)f X. X, X XX )(*,Xl* * X A X)(. X X, A Vri I uO ion x f)ermit F`ees- 69 ',,'40 Toti.al CalculatedF'ee:: c:31800.00 f)lan Check 1:::'ees: 4!,3J)5 Additional Fees. 1.00 Other F'ees 4.50 Total F)ermit F"eell 118. F35 This permit shall become null and void if the building or work authorized by this permit Is not commenced within 180 days from the date of such permit, or if this building or work authorized.by such permit Is suspended or abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building official to see to it that required inspections are made. The permit holder must notify the Building Official when ready for, inspections. Failure of the permit 'holder to notify the Building official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden 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 no'. The granting of a e it does not presume to give authority to violate or cancel the provisions of any other state 9fjoval r gu, gulating construction or the performance of construction. Signature.:--- Date,.--- ---------------- ------- ,.I certify that I exempt from the requirements of the state contractWs registration law, under Sect I on 8,.Chapter 126, laws of 1967. Signature: bates ------------------------------------ --------- ----------- f)e r mi t Cent er ()ate" Phone' (360) 478-5275 FAX: (360) 478-5278 BUILDTNG PERMIT Job'ACRAr. 9111 ADEJ I' AVE r)ermit No: 98-,07q6 JOHNS (.% CI I I Eft. PfRACT I D Peircel Nov 37FK,,i0()2-016 000,1,.'i App 1i ec.J: 1.U -Q11,998 I ssue(l: 12/03/1998 HAN!::;0N SIGN (.10 INC 6 9 S 150 X r� I Y, r"", S 0610 1, / 1999 P0 [30X 928 !i";ILVE:"R1')AL.1"`, WA 98383 0wrier. J()HNS()N 01:(X (J(X1N!3(.)N ("filR(.)Pf�A('.,T":177--,.37'i1 911 ADE:ilf!� AVE BRE`MFJR1"0N WA 98312 HANS0N SIGN C() INC PO 13(".)X 928 STL.VFRDAL,f:::1.' WA 9838".3 sul:x::,.ont r 613--9550 Lie:, #:: HANS01*221JI . ;.xp- 1211.7198 Des(.:;,., INSTAL-L,ATION ()F (..)NF.;', [,)O .,G` SIGN **,Xl)f X. X, X XX )(*,Xl* * X A X)(. X X, A Vri I uO ion x f)ermit F`ees- 69 ',,'40 Toti.al CalculatedF'ee:: c:31800.00 f)lan Check 1:::'ees: 4!,3J)5 Additional Fees. 1.00 Other F'ees 4.50 Total F)ermit F"eell 118. F35 This permit shall become null and void if the building or work authorized by this permit Is not commenced within 180 days from the date of such permit, or if this building or work authorized.by such permit Is suspended or abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building official to see to it that required inspections are made. The permit holder must notify the Building Official when ready for, inspections. Failure of the permit 'holder to notify the Building official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden 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 no'. The granting of a e it does not presume to give authority to violate or cancel the provisions of any other state 9fjoval r gu, gulating construction or the performance of construction. Signature.:--- Date,.--- ---------------- ------- ,.I certify that I exempt from the requirements of the state contractWs registration law, under Sect I on 8,.Chapter 126, laws of 1967. Signature: bates ------------------------------------ --------- ----------- f)e r mi t Cent er ()ate" 71 must' tx-", 1:")y 'O'le i"It :1, c) r'1 c) f t3u J, I cli r1c; C) ,i,° 1 "41 !3 ID F:I:: C,"T N r,:) must, 1::)e wittF') tfle SMate c1d" WA E3F;ZE7MR=F;Z-rON F=OF=- IZZ M I IF- M -T FF. F�z i.31" CA" WA ;::a't: i:�'t; P;': (:)f WA I")e;::)t c)f i-arlci Inciustries �2 98337 286 4 t h Sire'at, Bremerton, WA, Fkvaltt-i Cqstrict Phone., (360) 478-511-375 FAX.- (360) 478-5.278 152`3,5 1':3uiT(Jir-1q Nc)', 98--07":,36 J (::)I:") A(J(JY-ess--- 911, AI)ED F. AV[*::":" cx::�,iati I'98 JC)I-(N!:l;C)N T. 2 3 19 Y, A c, c -,t, No 3 7 0 C) 2 ' 99 R I:' (.',J LI I R 1:`t: D 'T N "I" I" C) N ' I N, 1:131 D (-i C:) :J. v 1.:4:i. c::)r-I 'T4 Al L., rl.ly ClIll'y C)F` !:X1 Cli"N"I"El"IR, C36(1)) X, -XI -XI -X. X. X -XI X. X X. X, X. X. X. F)ermit ".,vt CAS' a . ..... ... . ..... . t 3 must' tx-", 1:")y 'O'le i"It :1, c) r'1 c) f t3u J, I cli r1c; C) ,i,° 1 "41 !3 ID F:I:: C,"T N r,:) must, 1::)e wittF') tfle SMate c1d" WA i.31" CA" WA ;::a't: i:�'t; P;': (:)f WA I")e;::)t c)f i-arlci Inciustries 4'!'8...4•921 Fkvaltt-i Cqstrict 4.78 152`3,5 'T4 Al L., rl.ly ClIll'y C)F` !:X1 Cli"N"I"El"IR, C36(1)) X, -XI -XI -X. X. X -XI X. X X. X, X. X. X. F)ermit ".,vt CAS' a . ..... ... . ..... . t 3 BREMERTON BUILDING DEPARTMENT Inspection deport. Scope of work: Instal one freestandin pole siclRermit Number: 98-0736 Address: 911 Adele Ave. Owner: Johnson Chriropractic) Phone: Contractor: Hanson sign Co. Phone: 613-9550 mi INnATInN COMMENTS: FOOTINGS APPROVED: G 41.4 f_ WALLS APPROVED: -- GI2AMIAIf2 Electrical approved Inspection card/approved plans on site Setbacks Crawl space access (min. 18 X 24) Footings: required steel placement Walls: required steel placement Positive connections posts & beams Footings: required width & depth Walls: required size Posts properly supported Bearing soil (soils analysis if applicable) Special inspector (when applicable) COMMENTS: FOOTINGS APPROVED: G 41.4 f_ WALLS APPROVED: -- GI2AMIAIf2 Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts &washers in place Mudsill: treated material Floor joists: size & span Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outisde Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fire blocking; stairs, soffits, lowered ceilings Fireblocking: wall to ceiling, furred walls every 10' Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Sheetrock backing Fire blocking: stuff holes top T bottom plates Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in COMMENTS: APPROVED: sulation: proper R value sulation: vapor barrier metrations caulked as required mil black poly in crawl space COMMENTS: CODE COMPLIANCE m plates caulked to floors 'Ical boxes gasketed or caulked UNDER FLOOR/FOUNDATION INSULATION APPROVED: WALL INSULATION APPROVED: CEILING INSULATION APPROVED: r zb- C4 / :(13A0Hddb ldNl3 :S1N3WWO0 IVNIJ :a3AONddb NOONi33HS �S1N3WWO0 patmbat uagm to;luow uopeZI pa;sod ssatppy Bulplm8 „g) uolleJedas gpea o; 6ulpls pooh jgBipa4;eem Bu1P118 aigeolldde uagm pa}sod peol luednoop patmbat uegm Bui;y611 Jtoua6JOW3 patmbat uagm su6ls;lx3 poulelulew s6ul4et at13 patmbat se 'slletptenB p slletpueH patmbat ejegm stoloolop o�owS woo phos Bulsolo;las loop Bulllemp/aBeteS leolueyoaw g 6ulgwnld sue; }sneyxe 'law sluawatlnbat opoo ABtau3 IVNIJ :a3AONddb NOONi33HS �S1N3WWO0 H�C.12113�HS 03AOHddd NI-Hono8 ONiewnld :43AOldddb AHOMONnouD ONiewnld :S1N3WWO0 patmbat a.legm :selsem loetlpul tedo,Jd stoputoo (6uipeo uo lou) paiinbet ejegm pteogtaleM (patmbat „g/g) steels tapun coeds algesi patmbat atagm sdols:ueta sheen uolletedas Aouedn000 +g easy Bul-wet; 'o'o „tiZ - (.8/9) aueld -laaA 'o'o „ZL-SMOMS („g/g) oueld ':tan -o-o „91-snnatos :Bwualse; tedotd Bulwet; •o -o „bZ - (rg/g) eueld -zuoy *o,o „zL-Smejos („g/g) aueld -zltoy -o-o „ZL-smetos 6ulualse; tadotd Bulwet; -o'o „bz - („z/L) sueld -:poA •o•o „zL-smetas („Z/L) aueld -lJan -o-o „gL-SMBtos :6ulualse; tadotd Bulwet; 'a'o „bz („Z/L) eueid zlJoy -o'o „zL-smatos („Z/L) oueld •zuoq -o-o „ZL-smatos :6ulualse; tadotd aueld Ieol}Jan -0-9 .8 slleu aueld -zlto4 -o-o „L-slleu :Bulualse; tadotd H�C.12113�HS 03AOHddd NI-Hono8 ONiewnld :43AOldddb AHOMONnouD ONiewnld :S1N3WWO0 patmbat a.legm :selsem loetlpul tedo,Jd patlnbaJ aJeynn sto}daotalul/sdetl aseatS patmbat se polelnsul Buldld-.IeleM pannbat uegm talea4 talem tepun ped 0 L -M delis oiLusals :taleay taleM eplslno of uleJp 8men18110t taleay taleM patlnbet atagm :stajeetq wnnoen Alddns talem plop uo amen Oleg :taleay talent satn:xg lie uo sanleA Uo-;nyS Bulzls tadotd :Alddns talent Apadotd paluaA satnlmj IIb uolleulwtal luau slnoueelo patmbat :AMG poddns tadotd :Buldld Mem +g AMG patmbat ale#4m s6ui:gg 96euletp tadotd :AMO Bulzls tadotd :AM(] epet6 tadotd :AMG isel tapun Buldld Jalem IS AMG JNlawn-ld :Q3AOtiddV S30N`dlldd`d H3H1O :03AO8ddV 30dNmn=i :a3AO8ddV SNldld S` Q :S1N3WWO0 patmbat uegm sang aletedes :Aeuwlyo pat►nbat uegm :taull Aeuwlyo ells uo soads,s,tatnloe;nueVq q:peay tadotd :saaeldatl;'g sanolspooM stoop Buc4g-14611 :saoeldatg'8 sanolspooM pal;Iltao dd3 :sanolspooM uedo Apouewtad tedwep :s6ol se ,do-lnys J(la;es :s6ol seS eouelldde;o ,g wyl!m golnys seO poleoo-punotBtapun to „g ulyl!m :edld seE) opet6 molaq „ZL -ulw punotBtapun Aid seS :poddns -2 azls :adld seS isel tapun adld seS poddns-19 azls :sl6na ale uol;sngwoo uolleulwtal luaA :poddns +g ezls :6ulluan selgllsngwoo of aouetealo :Bui uan selgl;sngwoo of aouetealo soueliddy :poddns tadotd 'ss000e pue uolleool aouellddy IV31NVH33W MECHANICAL Appliance location and access, proper support Appliance clearance to combustibles Venting: clearance to combustibles Venting: size & support Vent termination Combustion air Ducts: size & support Gas pipe under test Gas pipe: size & support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or underground -coated Gas shutoff within 3' of appliance Gas logs: safety shut-off _ as logs: damper permanently open Woodstoves: EPA certified Woodstoves & fireplaces: Tight -fitting doors Woodstoves & fireplaces: proper hearth Manufacturer's specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH -IN APPROVED SH5ETROCK DWV & water piping under test nails 8" 'o.c. vertical plane DWV: proper grade Proper fastening: screws -12" o.c. horiz. plane (1/2") DWV: proper sizing DWV: proper drainage fittings where required screws -12" o.c. vert. plane (1/2") - 24" o.c. framing DWV & water piping: proper support Proper fastening screws -12" o.c. horiz. plane (5/8") DWV: required cleanouts Vent termination screws -12" o.c. vert. plane (5/8") - 24" o.c. framing All fixtures vented properly Area & occupancy separation walls Water supply: proper sizing Shut-off valves on all fixtures Waterboard where required (not on ceiling) Water heater: gate valve on cold water supply Corridors Vacuum breakers: where required Water heater relief valve drain to outside Water heater: siesmic strap R-10 pad underwater heater when required Water -piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH -IN APPROVED SH5ETROCK COMMENTS: SHEETROCK APPROVED: FINAL Proper fastening: nails -7" o.c. horiz. plane nails 8" 'o.c. vertical plane Proper fastening: screws -12" o.c. horiz. plane (1/2") screws -12" o.c. horiz. plane (1/2") 24" o.c. framing Proper fastening: screws -16" o.c. vert. plane (1/2") screws -12" o.c. vert. plane (1/2") - 24" o.c. framing Proper fastening screws -12" o.c. horiz. plane (5/8") screws -12" o.c. horiz. plane (5/8") - 24" o.c. framing Proper fastening: screws- 16" o.c. vert. plane (5/8") screws -12" o.c. vert. plane (5/8") - 24" o.c. framing Area & occupancy separation walls Draftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors COMMENTS: SHEETROCK APPROVED: FINAL COMMENTS: FINAL APPROVED: Energy code requirements met, exhaust fans Plumbing & mechanical Garage/dwelling door self closing solid core Smoke detectors where required Handrails & guardrails, as required Fire ratings maintained Exit signs when required Emergency lighting when required Occupant load posted when applicable Building weathertight Wood siding to earth separation (6" Building Address posted Radon monitor when required COMMENTS: FINAL APPROVED: Owner: J%WSON DICK (JOHNSON CHIROPRA11:Ta77-3751. 911 ADELE AVE BREMERTON WA 98312 Contractorl HANSON SIGN CO INC 613-9550 Li,` 0: HANSOI*221JI Expo 12/17/98 Subcontr - *; PO BOX 928 SILVERDALE WA 9838,3 Descr INSTALLATION OF ONE FREESTANDINS POLE SISN Valuation Permit Fees: - F=- Total Calculated Fee: 11805 3,e00.00 286 4th Street, Bremerton, WA 9B337 Additional Fees: .0c) Phbne: (360) 47e-5275 FAX: (360) 4le-5278 Wal Permit Fee; 118.85 BUILDING PERMIT yy Job Ar:; dr' 911 ADELE AVE Permit No; 900796 Location: JOHNSON CHIROPRACTIC OFFICE Statuat ISSUED WON Nor 3783002-016-0005 Applied: 11/30/1998 Issued: 12/03/1998 Applicant: HANSON SIGN CO INC 613-9550 10pirest 06/01/3999 PC BOX 928 SILVERDALE WA 9898.3 Owner: J%WSON DICK (JOHNSON CHIROPRA11:Ta77-3751. 911 ADELE AVE BREMERTON WA 98312 Contractorl HANSON SIGN CO INC 613-9550 Li,` 0: HANSOI*221JI Expo 12/17/98 Subcontr - *; PO BOX 928 SILVERDALE WA 9838,3 Descr INSTALLATION OF ONE FREESTANDINS POLE SISN Valuation Permit Fees: - 69.30 Total Calculated Fee: 11805 3,e00.00 N Plan Check Fees,, 45.05 Additional Fees: .0c) Other Feest 4.50 Wal Permit Fee; 118.85 yy This permit shall become null and void if the building or work authorized by this permit is not commenced within 180 days from the date of such permit, or if this building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building official to see to it that required inspections are made, The permit holder must notify the Building Official when ready for inspections. Failure of the Permit holder to notify the Building official of required inspections may result in the stoppage of the work until such, time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden 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 oe it f a does not presume to give authority to violate or cancel the provisions of t e L any other state pf-local ygulating construction or the performance of construction. Signature:_' -------------------------------- Date:_j' YL I certify that I r MMPI from the requirements of the state contractor's registration law, under Section 3, Chapter 126, laws of 1967 Signature: .................................................. Date; Perm; t Cent er- -Approved E3 FT En P1 ko Ff A- CA P4 P -Do KE FZ M 1 -T- C.-- F--- ", -r EF FZ 296 4th Street, Rremerton, WA 98337 Phone: (360) 47S -5P75 FAX: (36 0) 478-5279 job Address: 911 ADEIE AVE Inoation: JOHNSON CHIROPRAC73C �Aser Acct Not 3783002-016-000!!�'i R E CA U I F1 E D Item: 01100 FOUNDATION-FOOTING.13, Item: 02700 FTNAL--HLD(,,� Building Permit Not 98-0726 Status: ISSUEC) Issuad;02/03/3998 Expires: 06/01/1999 Deptg BLDG Divisiont, Dept, HKDG Divjsjan:� TESTINGV Muet be recounized by the Washinaton Association of Building 0ffWUTs-',, SPECINSW Must be registered with the State of WA ST OF WA; State of WA Dept. of Labor and 1nduStTieS 478-4921, HEALTIA Sramt eron/KsHe itap alth District 478-5205 WL 7NSPFX;T!ONS FURFORMED BY ME CITY OF" MUST WT SEWDULED THROUEW PERMIT CENTER, (S60) We-S27Y, Permit Holder's Signature:— --A Datev— A trre�- Ornissms in th plans and sr "i I s,�V; Inc p 1 ,•LL 4 l:..y c +�%w§'1 {9E.�r'��I LYSs 11, .. 6 t ry w33, &Ter frG+ S di", �1 6' (c i [yq ,q Imo, (vz;� Deign des P 8 9438 WILLAMETTEETTE MERIDIAN RD NW PHONE (360)613-9550 SALES: GARY KELSTRUP ME fiANsotvl 11 E P - E � � FAX(360)613-9515 DESIGN: DOUG KRONQUIS? S I G N S INc SILVERDALE, WA.98383 ?( � �"Oseo Wuaz- S I�-Dv.Ppr JobidsOro c la® Ac..r, ate ,fid L- A og L , �'1y SeT �o�-t5 t t1a B,Ip� Li 7 14-51. �R f A tEi � II • r 5'f 2s LLS 0 10 L 7RA TION N TRENCH 9' x 18' ffII u� t` Vi � T 40• W 28.3' ;. HC BUILDING 2560 SF FF=239.0 �o •�: k �y6 f '.• ®. Q �e I 2z 5' o Q •• i 16i APPLICANT: CONTRACTOR "F-] OTHER:'r 3735 -az- -Of& -0005 SITE ADDRESS: Cc 'kf3gi G" �0i✓ TAX ACCOUNT NO. 379-3 -op7_ -- p[ �i --bpc>q OWNER:_ 4 ADDRESS:q, 1 �t Aj, — CONTRACTOR: Hanson Sign Co., Inc. ADDRESS: P.O. Box 928 Silverdale, NSA 98383 CONTRACTOR LICENSE # HANSOI*221J1 EXPIRATION DATE: 12-17-97 CONTACT PERSON: Randy Hanson CONTACT PHONE # 360-613-9550 El SFR F-� DUPLEX F-1 MULTI -FAMILY F-� BUSINESS F -I OTHERD 5 $ ® $ .SIGN DEMO MOVE BLDG. MOBILE GRADING(yds):�f {199 NEW F --j REPAIR F-� REMODEL ADDITION OTHER:___ ._?E."M BUILDING DEPARTMENT NATURE OF WORK PROPOSED: �, ab��{� ��g -� c � �� • Q �y SQUARE FOOTAGE: Dwelling. Garage: men DP�IAI�rsltltt 2iao /1../„ Decks:_ VALUATION PL1N AEUIEW EEE IEIrIv1IT.E . �.: SUReHARGES TOTAL: FEES 5 $ ® $ STATE: $4.50 Applications for which no permit is issued within. 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken.' No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. APPLICAiINT'S SIGNATURE: / DATE: I�%- 23-931 L BREMERTON BUILDING DEPARTMENT Inspectin Report I Scope of work: New office bldg (Johnson's ChiroPJermit Number: 98-0417 Address: 911 Adele Ave. Owner: Dr. Richard Johnson Phone: 876-0711 Contractor: Ron Galla Phone: 876-1234 FOUNDATION COMMENTS: FOOTINGS APPROVED: 42 ee -- -V WALLS FRAMING Electrical approved Inspection card/approved plans on site Crawl space access (min. 18 X 24) Setbacks Positive connections posts & beams Footings: required steel placement Posts properly supported Walls: required steel placement Mudsill: treated material Footings: required width & depth Beams/girders: size & span Walls: required size Smoke detectors: all required locations Bearing soil (soils analysis if applicable) Exhaust fans insulated: unconditioned space Special inspector (when applicable) COMMENTS: FOOTINGS APPROVED: 42 ee -- -V WALLS FRAMING Electrical approved Plumbing & mechanical approved Crawl space access (min. 18 X 24) Floor joists and beams/proper clearance to earth Positive connections posts & beams Foundation vents Posts properly supported Anchor bolts: nuts & washers in place Mudsill: treated material Floor joists: size & span Beams/girders: size & span Notching & drilling: joists & beams, studs Smoke detectors: all required locations Exhaust fans: where required Exhaust fans insulated: unconditioned space Whole house fan, outside air intakes each bedroom Fans terminating directly outisde Range hood Dryer exhaust vent All vent terminations: windows & property line Fireplace combustion air Windows: meets egress requirements Windows: proper U valve Windows: safety glazed where required Ceiling heights Stairs: headroom clearance Stairs: rise & run; proper width Fireblocking: wall to ceiling, furred walls every 10' Fire blocking; stairs, -,soffits, lowered ceilings Fire blocking: tubs/showers Fire blocking: lids in void spaces, shafts Fire blocking: stuff holes top & bottom plates Sheetrock backing Wall bracing Rafters size/notching Trusses: specs, bracing Attic access Attic ventilation Wall & roof sheathing Shear nailing Building dried in COMMENTS: ENERGY CODE COMPLIANCE Insulation: proper R value Insulation: proper fastening Insulation: vapor barrier Bottom plates caulked to floors Penetrations caulked as required Electrical boxes gasketed or caulked 6 mil black poly in crawl space COMMENTS: UNDER FLOOR/FOUNDATION INSULATION WALL INSULATION APPROVED: (��J !W JY CEILING INSULATION APPROVED: MECHANICAL Appliance location and access, proper support 4 Appliance clearance to combustibles Venting: clearance to combustibles Venting: size & support Vent termination Combustion air Ducts: size & support Gas pipe under test Gas pipe: size & support Gas pipe: underground min. 12" below grade Gas pipe: within 6" or underground -coated Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Woodstoves: EPA certified Woodstoves 8 fireplaces: Tight -fitting doors Woodstoves & fireplaces: proper hearth Manufacturer's specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING DWV & water piping under test DWV: proper grade DWV: proper sizing DWV: proper drainage fittings where required DWV & water piping: proper support DWV: required cleanouts Vent termination All fixtures vented properly Water supply: proper sizing Shut-off valves on all fixtures Water heater: gate valve on cold water supply Vacuum breakers: where required Water heater relief valve drain to outside Water heater: siesmic strap R-10 pad underwater heater when required Water -piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: v � 1i""PLUMBING ROUGH -IN APPROVED 4' C- SHEETROGK 6!r ie_ lY COMMENTS: SHEETROCK APPROVED: PIN Energy code requirements met, exhaust fans Proper fastening: nails -7" o.c. horiz. plane nails 8" o.c. vertical plane Smoke detectors where required Proper fastening: screws -12" o.c. horiz. plane (1/2") screws -12" o.c. horiz. plane (1/2") 24" o.c. framing Exit signs when required Proper fastening: screws -16" o.c. vert. plane (1/2") screws -12" o.c. vert. plane (1/2") - 24" o.c. framing Building weathertight Proper fastening screws -12" o.c. horiz. plane (5/8") screws -12" o.c. horiz. plane (5/8") - 24" o.c. framing Radon monitor when required Proper fastening: screws- 16" o.c. vert. plane (5/8") screws -12" o.c. vert. plane (5/8") - 24" o.c. framing Area & occupancy separation walls Draftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors COMMENTS: SHEETROCK APPROVED: PIN Energy code requirements met, exhaust fans Plumbing & mechanical Garage/dwelling door self closing solid core Smoke detectors where required Handrails & guardrails, as required Fire ratings maintained Exit signs when required Emergency lighting when required Occupant load posted when applicable Building weathertight Wood siding to earth separation (6" Building Address posted Radon monitor when required COMMENTS: FINAL APPROVED: a'Z MECHANICAL COMMENTS: GAS PIPING APPROVED:_ wf2f_ FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING Appliance location and access, proper support nails 8" o.c. vertical plane Appliance clearance to combustibles Proper fastening: screws -12" o.c. horiz. plane (1/2") Venting: clearance to combustibles Exit signs when required Venting: size & support screws -12" o.c. vert. plane (1/2") - 24" o.c. framing Vent termination Proper fastening screws -12" o.c. horiz. plane (5/8") Combustion air Radon monitor when required Ducts: size & support screws -12" o.c. vert. plane (5/8") - 24" o.c. framing Gas pipe under test Area & occupancy separation walls Gas pipe: size & support Gas pipe: underground min. 12" below grade Waterboard where required (not on ceiling) Gas pipe: within 6" or underground -coated Corridors Gas shutoff within 3' of appliance Gas logs: safety shut-off Gas logs: damper permanently open Woodstoves: EPA certified Woodstoves & fireplaces: Tight -fitting doors Woodstoves & fireplaces: proper hearth Manufacturer's specs on site Chimney liner: when required Chimney: separate flues when required COMMENTS: GAS PIPING APPROVED:_ wf2f_ FURNACE APPROVED: OTHER APPLIANCES APPROVED: PLUMBING COMMENTS: PLUMBING GROUNDWORK APPROVED: lop� 5-/s J I,/PLUMBING ROUGH -IN APPROVEDt/'�5k- SHEETROCK G/1 V. SV DWV & water piping under test nails 8" o.c. vertical plane DWV: proper grade Proper fastening: screws -12" o.c. horiz. plane (1/2") DWV: proper sizing Exit signs when required DWV: proper drainage fittings where required screws -12" o.c. vert. plane (1/2") - 24" o.c. framing DWV & water piping: proper support Proper fastening screws -12" o.c. horiz. plane (5/8") DWV: required cleanouts Radon monitor when required Vent termination screws -12" o.c. vert. plane (5/8") - 24" o.c. framing All fixtures vented properly Area & occupancy separation walls Water supply: proper sizing Shut-off valves on all fixtures Waterboard where required (not on ceiling) Water heater: gate valve on cold water supply Corridors Vacuum breakers: where required Water heater relief valve drain to outside Water heater: siesmic strap R-10 pad underwater heater when required Water -piping insulated as required Grease traps/interceptors: where required Proper indirect wastes: where required COMMENTS: PLUMBING GROUNDWORK APPROVED: lop� 5-/s J I,/PLUMBING ROUGH -IN APPROVEDt/'�5k- SHEETROCK G/1 V. SV COMMENTS: SHEETROCK APPROVED: /i�% !�` ' /l/9 Aior P11" FI Energy code requirements met, exhaust fans Proper fastening: nails -7" o.c. horiz. plane nails 8" o.c. vertical plane Smoke detectors where required Proper fastening: screws -12" o.c. horiz. plane (1/2") screws -12" o.c. horiz. plane (1/2") 24" o.c. framing Exit signs when required Proper fastening: screws -16" o.c. vert. plane (1/2") screws -12" o.c. vert. plane (1/2") - 24" o.c. framing Building weathertight Proper fastening screws -12" o.c. horiz. plane (5/8") screws -12" o.c. horiz. plane (5/8") - 24" o.c. framing Radon monitor when required Proper fastening: screws- 16" o.c. vert. plane (5/8") screws -12" o.c. vert. plane (5/8") - 24" o.c. framing Area & occupancy separation walls Draftstops where required Usable space under stairs (5/8" required) Waterboard where required (not on ceiling) Corridors COMMENTS: SHEETROCK APPROVED: /i�% !�` ' /l/9 Aior P11" FI Energy code requirements met, exhaust fans Plumbing & mechanical Garage/dwelling door self closing solid core Smoke detectors where required Handrails & guardrails, as required Fire ratings maintained Exit signs when required Emergency lighting when required Occupant load posted when applicable Building weathertight Wood siding to earth separation (6" Building Address posted Radon monitor when required COMMENTS: FINAL APPROVED: 01,73*— �°F�� �CrtltlCdtC crup aurp ;Department of t�ommuntp �ebeio�metrt ?� e�uL�!uate caQued is �e x'���� � seetia�c 109 � tke � ► 4do� u ; �egulatla� �ai co«t!tfuatiaa oa uQe. ISSUED TO: JOHNSON CHIROPRA TIC OFFICE SITE ADDRESS: J11 AL EIX AVE Type of Occupancy Occupant Construction Classification Load Common Use VN B 26 ._-.CHIROPRACTIC OFF Permit Number: 98-0417 Date: 0111311999 BUILDING OFFICIAL ,Special Conditions J �. TRIS CERTIFICATE MUST BE POSTED AND PERMANENTLYMAINTAINED IN A CONSPICUOUS PLACE 4&4 AN, M RZO rKollrj11'11 CITY OF BREMERTON BUILDING DEPARTMENT 478-5275 — 286 FOURTH STREET, BREMERTON, WA 98337 INSPECTION REPORT PERMIT NO. 63 9— e) �L) ? I have this day inspected this structure and these premises and have found the following violations of City, County and/or State laws governing same: bard -rev- &ee' 155 t,4e5 ltA4e_ lqvo-6 40 -V'S A4 oz -1, GOAD "V P -J 1014,W6- N 1'?'Ve'v k4'yd&jtj-e k'e-fuwes 0)- X72- #154 Ale �"t5 e r f,�6 1�c /( S' �r6 /'Ss AV e— J-5 �e-6 V11941A ems, &2,-t � c6L, J�-' I/ You are hereby notified that no more work shall be covered upon these premises until thii/above violations are corrected. When corrections have been made, call for re-in snection. Do Not Remove This Tag DATE /�A 1 ki � "i INSPECTOR'FJBUILDING DEPT. Ngo befcencies Found (Thank you for your conscientious effort) Date sofast lservice: Aare fnsyect on will be made at the end of a specified time. Extiinguishers _ Tease submit a Fetter of, compliance when these items are corrected or, fax to 478-5397. Alarms _ Have your portable extinguishers, fire alarm and fi}resprinkler systems serviced by a certified Sprinkers technician. Thus must be accomplished, on at least an annual basis, UFC Sec. 1001.5,1 Hood ;. Have your ran eg hood suppression system serviced every six months, by a certified technician, CorrectionIBte: k M 1 r f. Owner/ Manager;. Spector 4 E3 Ff FE P1 EK M X C71 01 F=1 K FAt K1 1 0- Q k7l hi -T- FET FFAZ 286 4th Street, Bremerton, WA 98337 Owner: JOHNSON, DR. RICHARt.) 2862 SE I A. AND PIOR'If ORCHARI) WA 98367 Contractort GALLA CONSTRUCTION IN(.' Lic 0: GALLACI088CF Ew 2/6/1999 6710 GLENEASLE AVE SW PORT ORCHARD, WA CELL -900061 98366 Subcontr,", Desc: NEW OFFICE BLDG, (JOHNSON CHIROPRATIC) Phone: (160) 478-5275 F4X: (360) 479-5278 Total Calculated Feev 2,561.60 250,000.00 * Plan Checkq Fees: 832.62 BUILPING PERMIT Other Job Addr: 933 ADELE AVE Permit Not 98-0417 Location: 911 ADELE ST Status: ISSUED Pay rel Nco MECH-Range Hood I Applied: 07/37/3998 PLBG-Kitchen Sink— ...... —: I PLBG-Water Heater-- ..... -n Issued: 08/21/1998 Applicant: GALLA CONSTRUCTION IN(,' Expires: 02/37/1999 6730 GLENEAGLE AVE SW PORT ORCHARD, WA CELL -908-3161 98366! Owner: JOHNSON, DR. RICHARt.) 2862 SE I A. AND PIOR'If ORCHARI) WA 98367 Contractort GALLA CONSTRUCTION IN(.' Lic 0: GALLACI088CF Ew 2/6/1999 6710 GLENEASLE AVE SW PORT ORCHARD, WA CELL -900061 98366 Subcontr,", Desc: NEW OFFICE BLDG, (JOHNSON CHIROPRATIC) This permit shall become null and void if the building or work authorized by this permit is not commenced Within 190 days from the date of such permit, or if this building or work authorized by such permit is suspended or abandoned at any time after the work is cammenctd for a period of 180 dare., NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see P It Ad QUIN %P0000 As PAN Tho PoNt NO must notify the Building Official whep reaj holy, inspections, Failure of the permit holder to ratify the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden 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 ordinancee governing this type of work will be complied with whether specified herein or note The gnanting of a permit does not presume to give authority to violate or cancel the provisions of ,any ot1hr she or local law regulating construction or the performance of construction. I I :ertify that 1 am exempt from the requirements of the state Section 33 Chapter 126, laws of 1967. Date,; contractor's registration law, under Signatur'z-X '— 1 , , e: ......................... Date� 2 valuation M Permit Fees: 1,447.20 Total Calculated Feev 2,561.60 250,000.00 * Plan Checkq Fees: 832.62 Additional Fees,, .00 Other Fees: 2BI.78 7atal Permit Fee; 2,563.60 yf MECHANICAL/PLLHIBING FIXTURES— 1 MECH-Gas Furnace to 100k Aw I MECH-Gas Piping (outlets) .... : 2 MECH-AC Unit 0- 3 hp---; 1 MECH-Exhaust Fans. ..... ---: 9 MECH-Range Hood I PmpG-W te w 2 PLBG-Kitchen Sink— ...... —: I PLBG-Water Heater-- ..... -n I PLBG-Hose Bibbs--- ...... : I PLBG-Lawn Sprinkler System...: I PLBG-Misc Plumbing Fixtures..: 2 This permit shall become null and void if the building or work authorized by this permit is not commenced Within 190 days from the date of such permit, or if this building or work authorized by such permit is suspended or abandoned at any time after the work is cammenctd for a period of 180 dare., NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see P It Ad QUIN %P0000 As PAN Tho PoNt NO must notify the Building Official whep reaj holy, inspections, Failure of the permit holder to ratify the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden 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 ordinancee governing this type of work will be complied with whether specified herein or note The gnanting of a permit does not presume to give authority to violate or cancel the provisions of ,any ot1hr she or local law regulating construction or the performance of construction. I I :ertify that 1 am exempt from the requirements of the state Section 33 Chapter 126, laws of 1967. Date,; contractor's registration law, under Signatur'z-X '— 1 , , e: ......................... Date� 2 BREMERTON PERMIT CENTER PERMIT CONDITIONS Permit Not 98-0417 Page " Job Addreast 911 ADELE AV):::: Applied: 07/17/1991 Assy Acct No�i Approved: 08/21/190 Location! 911 ADELE ST Issued; 08/21/1991 Applicantt GALLA CONSTRUCTION IN(:., Clwner: JOHNSON, DR. RICHARD Contractor: GALLA CONSTRUCTION IN(,.' Descriptiont til E: OFFICE BLDG. (301-INEA::)N Conditions,-. 1, fire a. Follow the requirements listed an the note page of plans. for extinguishers, address, etc,, fire b. Storz adapteys to BMC 18.02. 2 total required, 2. C R 0 13 S C 0 N N E C T :1 0 PN initial review of the plans will require the following:: Domestic service to prova ide,protection by installation of an approved reduced pressure backflow assembly at the point of entry to the facility with connections allowed upstream of the assembly., Landscape irrigation to provide protection by installatiorl of an approved double check valve assembly or assemblies, This facility will require inspection before occupancy,; Please contact Pat Jacobsen at a, •;;f60) 47S-5927,, NOTE: ALL APPROVED BACKFLOW ASSEMBLIES MUST BE ON THII,.:.:, CLA:-';�RENT WASHINGTON STATE DEIDARTMENT OF HEALTH APPROVEL) ASSEMBLY LIST AND tCJST BIE TUSTED AT THE TIME OF INSTALL-, A`r-]A::)N, W1 MOVED OR ANr) ANNLIAII-L-Y. -11" ML)S'I" PEJiFTIRMED BY A CERTIFIED WASHINGTON STATE BACKFLOW ASSEMBLY TESTER. TEST REPORTS MUST BE SENT TO BREMERTON PUBLIC WORKS AND UTILITIES. ATTNI CROSS CONNECTION CONTRM 100 OYSTER BAY AVENUE, BREMERTON, WA 98312,. 4. 11 N G 31 N E E R 1 N G A. RIGHT OF WAY PERM17 REQUIRED FORDRTJVEWkOy *P!0j"O1AC;H AtNID VI SEWER LATERAL TF EXTENDED TO THEMOIN. ;<I -Q 485 0,7 B. UTILITY FEES ANWASSESSMENTS MUST BE PAID PRIOR TO HOOK -- LAD . C. MUST REVISE SHEET S. Permit Holchr'S S i gnat ur e, TESTING: Must t::3 . recognized by the Washington.Associat ion of Building Officii SPEC I NSP: Must be registered with the State of WA ST OF WA; State of WA Dept. of Labor and industries 478-4921, HEALTHv Bremerton/Kitsap Health District 478-523!5 ALL TNSPECTIONS PERFORMED BY THE CITY OF BREMERTON tVST 11H PERMIT CENTER, (S60) 47S-5275, signaOtt ureC Q FT EE P1 EF Q ir ED P4 FQ'F7 FR M I I- C FF N -IF IF- FZ 286 4th Street,Bremerton, NA 98337 Phone: (360) 478-5275 FAX: (060) 478-527P Building Permit Not 98-0417 Job Addrosss 911 ADELE AVE Status; ISSUED Location; 911 ADELE ST issuedt 08/21/190 Asir Acct Nos Expirean 02/1(/199,' FRET QU I FREE) 3' N S P F C 1" 1 0 14 S Items 01100 FOUNDATTON-FOOTING:i, Dept; BLDG Division item: 01200 FOUNDATION-WALLz'i, Dept: BLDG Divieiant Items 01400 MECHANICAL Dept; BLDG Divisions Items 01. ?:;> 0 C) Dept: BLDG Divisim; Item: 01600 1,DL.LJM13TN(*3 IN Do= BLDG Divisiont Items 03700 FRAMTN( Dept: BLDG Divisions Item: 01800 INSULATION Dept: BLDG Divisions item: 01900 SHEETROCK NAILING Deptc BLDG Divisionv Items 03400 ENERGY Vii :11"F" Dept i SP; CINSP Divisions Items 03700 ENERGY CODE--MECHAN 1 COAL. UENTS Dept: SIDECINSP D 1 w; i Ex i on s� items 03600 ENEFRGY CX3DE--1,..1GHTIPVG BK)GET Dept t SPECINSP Divisions Items 02200 PUBLIC RIGHT-OF-WAY Dept; PI:.. BWORKS Divi sion�� Itemz 02500 LANDSCAPINI,'. Dept: PLANNING Divisiont Item: 027011 F" 1 14A L - -- P U B W 0 R K Deptc PUBWORKS Divisiont items 02700 FTNALBLD(,e Dept: BLDG Division�� TESTING: Must t::3 . recognized by the Washington.Associat ion of Building Officii SPEC I NSP: Must be registered with the State of WA ST OF WA; State of WA Dept. of Labor and industries 478-4921, HEALTHv Bremerton/Kitsap Health District 478-523!5 ALL TNSPECTIONS PERFORMED BY THE CITY OF BREMERTON tVST 11H PERMIT CENTER, (S60) 47S-5275, signaOtt ureC T -0 .............. ............... ..................... LDM.' ...-TERAW AP 11M. : .... �:� . � . . .. . ..... .................... .................. ............ . ............ .. . .... ZSG 4th Sv�t Bremuton, Wh 98337 Phases (36U} 478-5275:::':F AX: f36Ui 478-5278 APPLICANT: OWNER CONTRACTOR OTHER: SITEADDRESS: OWNER: �l@. �ic $ 'i� ` 0xaxalf) CONTRACTOR o s f /,4T CONTRACTOR LICENSE # &.A44A C t 08FCV" CONTACT PERSON: ,IP® ,tJ /� L Iq 37E -0,0- n)/C^ onoS A ESSOPARCEL # ADDRESS: - c�� E �u�7s foa_127 64V ADDRESS: 7/� �erd �� % . ��' , t a RCS 9- S3 01 EXPIRATION DATE: '22 CONTACT PHONE # F 74' _ /_? 3 SFR [:] DUPLEX [] MULTI -FAMILY L4 BUSINESS M OTHER: 0 SIGN E] DEMO M MOVE BLDG. MOBILE GRADING(yds RPM WNEWMREPAIRMREMODEL $ 7/3�STATE: ADDITION OTHER: 1 Us 17 1998 M SEWER M SEPTIC BREMERTON o BUILDING DEPARTMENT INTENDED USEz}C �A � t'6 PP -r9 S i �`C � ( r� /C NATURE OF WORK PROPOSED:Y_ eirn "e"y1d N c4 c, AleF'- S MhiN F6 00 K, SQUARE FOOTAGE -2 J -T 6) Garage: Decks: For Denartment Use Only ..... LCIATI�I+I: P1 .1tEvIEV pEE... 1'EIt1VIIT FEE< ..SUR! <. Tt3TAL FEES:..::.; $ $ 7/3�STATE: $4.50 $ X ::---�s•�w._ Applications for which no permit is issued within 180 days following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. I hereby certify that the above information is correct to the best of my knowledge. APPLICANT'S SIGNATURE: DATE: 1'3 90 bpapp.dot revised 4/23/97 TT . 4�8 z� ' . ( 50 1 �-5,278 MECHANICAL PLUMBING APPLICANT: F-1 OWNER CONTRACTOR F] OTHER: COMMENTS: SITE ADDRESS. `i'''// AVe l g_ S7K• /90e I WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE n OWNER:�2.. K (c..h a-�.eo % 1Q A6) Se A) ADDRESS: o7,5 6-1 �'� �e �cs?s e_ /100- 6AI�A CONTRACTOR: Poo R c C.oq ADDRESS: 4? A�/e & 56u . BOILER btu's. 7 30 CONTRACTOR LICENSE*619 < C R G f 0 EXPIRATION DATE: .2 —L _ 9 7 EVAPORATION COOLERS, btu's: OWNER PHONE # 7- /,l CONTRAC'T'OR PHONE # 74, - / RANGE Z I WATER CLOSET WOOD/PELLET STOVE/GAS FIREPLACE JBATHTUB GAS FURNACE btu s: Z LAVATORY CONVERSION BURNER btn's: UNIT HEATER btu k i SHOWER KITCHEN SINK BOILER btu's. DISHWASHER GAS PIPING LAUNDRY TRAY JUL 17 1998 EVAPORATION COOLERS, btu's: CLOTHES WASHER AC UNIT btu's: / WATER HEATER B HEAT PUMP btu's: tom: URINAL BUILDING DEpAgTm REHEAT BOX btu's: DRINKING FOUNTAIN AIR HANDLING UNIT btu's: FLOOR SINK OR DRAIN EXHAUST FANS SLOP SINK RANGE HOOD (residential) WATER PIPIING & ALTERATION RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS INCINERATOR - / LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANKS e: BLDG. SEWER (mobile / moved house) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: / MECHANICAL PERMIT FEE $16,50 / PLUMBING PERMIT FEE (15.00 or 4.50) MECHANICAL FEES: � 5 PLUMBING FEES: !2 CITY SURCHARGE:_ TOTAL PEES: APPLICANT'S SIGNA pmapp.dot revised 4/23/97 TE: BUILDING HERMIT City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE I BLDG. DEPT. VALUE I PLAN CHECK FEE RECEIPT NO. N° 5548 Al PERMIT FEE RECEIPT NO. DATE © a E3 $ DATE TIME APPROVED SITE ADDRESS/ LOCATION �z�- OWNER'S NAME ADDRESS PHONE CONTRACTOR Lf � STATE CONTRACTOR'S LIC. # .ADDRESS IYZ JZ 2Aeir- PHONE RESIDENCE ❑ PLANNING/ZONING BUSINESS ❑ OTHER ❑ NEW ❑ REPAIR ❑ REMODEL ❑. ADDITION ❑ DEMOLISH ❑ SIGNS STORIES OCCUPANCY THIS PERMIT ISSUED FOR: All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation ❑ Framing ❑ Plumbing ❑ Electrical ❑ Wallboard ❑ FINAL SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: TYPE OF INSPECTION W■�® '.. . .... FINAL INSPECTION APPROVED BY. COMMENT DATE TIME APPROVED ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OWNER'S SIGNATURE BY Building Inspector UPYIING IL �DI w'" j�uthorized CITY OF BREMERTON BUSINESS LICENSE Tax & Li:vnse Division e 345, 6"' St, Suite 600 ®,fit �it�to��.��'A ,.0 X Office Use Only oceipt # 5-35:5q Initial ,Fee Due: ($65.00/yr) Initial Business Name ��(�C� L ` L h- F (b.) Site Address: R City/State:&C-i, l U' Zip Code: `1 (3- (a.) Tax Iteturns Mailed To: 4 ATION License # Issued: i. c i.. ,( U Owner Name: la Cep (c.)nomeAddress: City/State: Zip Code: ( �� Date Business Started in City: 0 -5 -35 _J -3S (a.) Business Phone(c.) [ionic Phone: i Nature of Business: [% l (.P,�/} ��. Qt 5 �( C\ (Designate whether Retail, Wholesale, Manufacturing, Service, etc., and specify Produel oiService provided) Type of Ownership: Sole Owner X Partnership ❑ Corporation ❑ LLC ❑ WA State Tax/ UBI Number: (,C>1 � °t3 Name / Address / PI►one Numbers of Partners or Owners of the Corporation: Corporate Phone Number: Previous tenant/business name: Date Last Occupied: Will there be remodeling or altering of an existing building for your business? Yes ❑ No I& Number of Employees: If ,you are tenant, give property owner's name:.U(1y� �� �� tiCc V1 DSC Business Square Footage: 0this tenant space currently vacant? Yes Z No ❑ If No, Explain: Office: WK 10 Will you be sharing this tenant space with another business? Yes ❑ . No6d If Yes, Who? Retail: Will you operate this business out of your home? Yes ❑ No [Y Other: If yes, will any person be employed at. the home other than resident? Yes A No ❑ If Nome Occupation, I have read and agree to abide by the Home Occupation Regulations found in the Bremerton Zoning Ordinance: Yes ❑ No ❑ PERSONAL DATA REQUIRED OF ALL APPLICANTS / Of Corporation, an Officer must complete this portion) Birthdate: '9 / 3a lq 7 Soc See Number: DL Number: State: The undersigned hereby certifies that the information provided on this application is true and correct, to the best of his /her knowledge under penult, of perjure under the laws of the State of Washington: �4a V1 R- 1 Print Full Na., 1 (-gcej2 C,5 -"O, Title:. y� Signature' � �l1y�o't�C� DO NOT OPERATE UNTIL YOUR LICENSE IS ISSUED ..................................................................................................................................................................................