HomeMy WebLinkAbout1990-11-08 2601 CHERRY AVE - Permits
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'.(13. ~~,.':ff"I,:"::' ,.-, ',' . ',' " .: \' . . ':" .' '. " ' '. '.. }D~
..... .... ~~r.~t?:CERTIFICATE~..OF .'OCCUPANCY:~~.... ~.'.
. ~, . . " .
w""4. ~"t~.:;;}::~;.~::i74,~ ~l() OLYMPIC:AMBULATORY SURGERY CENTER. ..' ..,. ,.', ~
":;:~;:'::~:;~ at '2601 Cherry Avenue, -:': : "$~ ''j q)fr"~.I:;L.}~ : ' . ,. ~'
" ',' " ''::-;:1';:'', ' ' ,~". _.,.,'.~~r.
, ,:;~,>~I ;'.I>/>~.I:A,BA dud the ~ k ~ tU:idz, the ~ ",-11 the"f!iJ,m~~""'"
. , ~ ,,,I,. ~~~ -nuzy. "r.. ,--:"7' ~
~ .~ >,rkdeofd.e rlityof~.~/w.em~ .' .... . :....... . '. ~
:. . TYPE'., TYPE OCCUPANCY'" ,,'. ,'" ".' "
, . CONSTRUCTION OCCUPANCY LOAD '. ' COMMON USE " ':, ~ ';', ',-' ~
, II F.R.. ,I-1 50 .. .Medical Office,s. ".':,: :, "!)
'. .,NovemberS, 1990 W~~E"'" ~
. .. ,$~,(PIfieiaI'DavidA.;.~.~lson "!)
".'. c"""::,: This ,certificate must be', posted 'andperm~nently maintai?ed in a cons~.icll,o,.~s P"I.~.cie~',~ '.~': " ~',
,..permitNo.11236"::' , ' ::.':.... "'''!)
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BUILDING: .f78-.5281
TO: ~ilding ~
Business License
Traffic
Cityof BremertOft
DEPA.RT~IENT OF CONSTRUCTION
~-L'\TD LA..."L> USE
PLANNING: 478-.527:
Building Department
REQUEST FOR OCCUPANCY APPROVAL
~ineering
~re'~
~er/Yastewater ~
~nning ~
H"e.altn Dept,
Please review this request for approval to occupy the following structure and
return to this department by November 13. 1990 . 'rhank you.
Permit Technician:
Janet Lunceford
Date: 11/5/90
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Type of Occupancy T1
Occupant Load 6 (for addition ~~1.y)
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ,
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit 11
Per:nit Date
Type of Construction
Square feet
Use
Comments:
Bridgeview Building
Olympic Ambulatory Surgery Center
Bridgeview Inves~ors
Interior. tenant remodel
2601 Cherry Avenue
H S Builders
11236
9/12/90
II F.R.
690
Operating room
Approved L:7 /Disapproved l:7 By:
Date:
811 PACJFlC AVENt.:E . BR.E~ERTON. WASHINGTON 98:110
BUILDING: 478-5281
TO: Building
Business License
Traffic
QO-53le
Cityof BremertoIt
DEPART~IENT OF CONSTRUCfrON
A..VD LA..."~ USE
PLANNING: 478-527:
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
r~ire
H"ealtti. Dept,
Water/Wastewater
Planning
Please review this request for approval to occupy the following structure and
return to chis department by November 13. 1990 . 1;hank you.
Permit Technician:
Janet Lunceford
Date :11/5/90
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Type of Occupancy Tl ,
Occupant Load 6 (for additiono~lY)
-'
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ,
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit 11
Permit Date
Type of Construction
Square feet
Use
Comments:
Bridgeview Building
Olympic Ambulatory Surgery Center
Bridgeview Inves~ors
Interior, tenant remodel
2601 Cherry Avenue'
H S Builders
11236
9/12/90
II F.R.
690
Operating room
Approved'
Da t e : II' (,. 1-0
817 P.A.CJFlC AVENt.:E . BRE~ERTON. WASHINCiTON 98J10
BUILDING: 478-,5281
TO: Building
Business License
Traffic
Cityof BremertoIt
DEPA.RT~IENT OF CONSTRUCTION
A..~VD L..-\....'-o USE
PLANNING: .r78-,5!7:
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
l~ire .
Water/Wastewater
Planning
lfealtn. Dept,
Please review this request for approval to occupy the following structure and
return to this department by November 13, 1990 . '],"hank you.
Permit Technician:
Janet Lunceford
Date: 11/5/90
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Name of Building
Name of Tenant
(if applicable)
Owner or Building
Nature of Construction
(if applicable)
Address
Contractor
Permit 11
Penlit Date
Type of Construction.
Square feet
Use
Bridgeview Building
Olympic Ambulatory Surgery Center
Bridgeview Inves~ors
Interior. tenant remodel
2601 Cherry Avenue
H S Builders
11236
9/12/90
II F.R.
690
Operating room
Type of Occupancy ~J 1 . ,
Occupant Load 6 (for addition. onlY)
* * * * * * * * * * * * * * * * * * * *~~ * * * * * * * * * * * * * * * * * * * * * * ,
Comments:
Approved ~ /Disapproved l:1 By:
Date:
/I~ ~ ~i 7.1)
817 P.A.CTFlC AYENt:E . BR.E~ERTON. WASHINOTON 98:310
Bl11LDING: 478-5281
TO: Building
Business License
Traffic
Cityof BremertOIt
D EPART~IENT 0 F CO NSTRU1m~~)l t[Y 'fC! Fl iV1 JSPrgrING: 478-521:
. ..-\.. VD L..-\.. 'ZD USE ' ~ I.S U V LS
l
'NOV - ~ 1990
Building Department
BR:"E--:'~J
REQUEST FOR OCCUPANCY APPROVAL BU!I,D:' . ::. .'.RTMc:m
Engineering
l-~ire
lfealtn Dept,
Water/Wastewater
Planning
Please review this request for approval to occupy the following structure and
return to this department by November 13, 1990 . 1;"hank you.
Permit Technician:
Janet Lunceford
Date: 11/5/90
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ~
Type of Occupancy ~Tl .
Occupant Load 6 (for addition onlY)
-.'
x x x * * x * * * * * * * * * * * * * * * x * * * * * * * * * * * * * * * * * * * * * ,
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit 11
Permit Date
Type of Construction
Square feet:
Use
Comments:
Bridgeview Building
Olympic Ambulatory Surgery Center
Bridgeview Inves~ors
Interior. tenant remodel
2601 Cherry Avenue
H S Builders
11236
9/12/90
II F.R.
690
Operating room
Approved
/Disapproved L:7 By:
Date: I(--~-f',;-
817 P.A.CJFlC .~VENt:E . BREMERTON. WASHINGTON 98310
...
#
BUILDING: .f7'8-5281
TO: Building
Business License
Traffic
Cityof BremertOIt
DEPART~IENT OF CONSTRUCfrON
..-LVD L..-L~~ USE
PLANNING: 478-527:
CITY OF BREMERTON
~I 0 V - 6 1990
MUNICIPAL UTILITIES
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
r~ire .
H"ealtn. Dept,
Water/Wastewater
Planning
Please review this request for approval to occupy the following structure and
return to this department by November 13. 1990 . 1;hank you.
Permit Technician:
Janet Lunceford
Date: 11/5/90
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~
Type of Occupancy r T 1
.
Occupant Load 6 (for additiono~lY)
* * * * * * '" * * * · · * * * 1Ir 1Ir 1Ir * * -. * * * * 1Ir * * * * 1Ir * * * * *
Comments: Approved subject to passing. qCross-connection control
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit 11
PeIiDit Date
Type of Construction
Square feec
Use
Bridgeview Building
Olympic Ambulatory Surgery Center
Bridgeview Inves~ors
Interior. tenant remodel
2601 Cherry Avenue
.~
1i1& @~O~
NOv -':FJon
~ "_ __I \...
BREMERTON
BIJ'~e'.'
. 'HJ Ut;'ARTMENT
H SBuilders
11236
9/12/90
II F.R.
690
Operating room
****.*.,
inspection
by the Building Dept. and the signed inspection report sent to the Utility.
APprov~ /Disapproved CJ
Date: If/~/7d
817 P.A.CTFTC .~VESt:E . BRE~ERTON. WASHINGTON 98310
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CITY OF BREMERTON
. , WATER DEPARTMENT
INSPECTION SHEET
CROSS CONTROL
DATE I I ~ q 6 . . TIME
NAME ()...{ ~y/' p U / L.AJ--. e:) U/ ~
ADDRESS .:2l1P6 j eJu...A^{;-\ PHONE_
WATER ACCO.UNT NO.
METER NO.
PARTY CONTACTED
TITLE
TYPE OF BUSINESS
OTHER WATER SUPPLY
USE
!.._----
.-...-- ....~--
FAULT
RECOMMENDED COR~ECTION .
.Cr~.
INmCTORPa _
l
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...
FILE COMMENTS
SITE ADDRESS:
~()I cv.~{L{
3 -..J
,
NUMBER OF PLAN SETS:
ROUTING:
-.'"'"
SET # DATE SENT DATE RETN'D APPROVED NOT APPROVED REVIEWER
DATE COM M ENTS
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B REM E R TON B LJ ..1. L. D :r N G o E PAR T MEN T
PE:F~f"lIT
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rippl ieat :Lon Da.tf::~
:r s~:.~ue Dat (':'~
I~S8e880Y' ~Iect :H:
~::; :i. t e L.ocat :i. on
Owner - Last Name
..... ~:;t Y' cet
..... C:i.ty
.... Phone
're'nant ' s Name
t-Iqent ' s Name
Ay'ch :i. t E~ct ' s Namf.:'~
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Buildinq Contractor:
Cont '(' act: Dr
~::;t: 'ref:.)'!;
C it>,
P honf':~
r~epn:'~sen'!; at :i. ve
st at e t..:1 censc~ :If:
C:i. t)/ L. i cense tl:
Application Number 90AP0200a
Pe'('mit Number IJ236
Project Group
SUITE 115
Fir~t MI
SUITE 115
State WA Zip 98310
06/07/1990
09/12/1990
2601 CHERRY AVENUE
()!'..Yf-fP I C f~ME3UI..AroPY
2601 CHERRY AVENUE
F.3 R C: 1'1 FF? 'T' CJ N
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IJ ~'i C Y'j E::' ( '':> t) L. )
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Phone( :;~06 )
onAS
r: ::I Gradi nq
[ J Move Bll i 1 d i nq
f" .., M t ' ./
L" 0 J 1 .I e Homfl
I: ] S:i.qn
I:: J Bu)-nJ flq
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I.." ....clrlt.. ..,..Cdr
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[.] Undey'qrollnd
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H S BUILDERS INC
172~ N. 120TH ST.
SEATTLE
(206)
HIN SING LI
HSBU1I*180F.3G
State WA Zip 98133
Expiration Date 12/14/1990
Expiration Date
Nature of Wo'('k:
Addition of 1 operating '('oom to existinq Olympic Ambulato'('y
Su'('gery Center.
Building Valuation
Council District
Cunst Y' uct ion
T)/PE~
I:) (:::; <.., .1' (...1 (::. r'j C'~ t" I" "I
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A.. f"l ('J .: .l" .,' (") T'] [' ".\
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$54000..00
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I::;>;~"'::..'I' ::.'c'l nv: A~.. ~ ~. App(o\/ed By:: d( LA 2 /210
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~:~
Cen;;:;us TI" act
~;':;q r::'eet
Inspections
Required
Zon:i.nij
Type
Foundat :1.0fl
F'y' am i nu
I n*:.iU 1 a.t lon
Plumb:lnq
;Vl(::;~c ha li:L ca 1
Wa,l J bot:i'(eJ
F.:'.na 1.
St at UG
COdE;
10
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8 REM E R TON
8 U I L DIN G D E PAR T MEN T
PL.IJMB J NCi
PERM IT A P P l I CAT I ON
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~pplication Number 90AP02Q08
Work will be completed by owner.
l011ets
B;:ll"; hI"; ubs
1. f:Jas:i ns
~::; h (HA) f'~ r s
. t<itchf.~m ~::;:i.nks
D:i. sh!A)a~:.~hf~r' s
L,al.lnd'(yT'( ays
Clot hes IAJashe'(s
l,~a t E:~'( l"lf':;:'! t er- E>
t.JY' i. na :I. ~3
D'(:l.nkJnq Founta:i.ns
Dra,l.ns
~::; I op ~:; in kE!
Watey' Ptpi nu
J nt f:y'Cept OY'S
Va.cuu,m I3rea k(';1"
L,;:1',AJT"I ~:;p'(:i. n k 1 flY'
F':i. 'J'e SPy' :1, n k 'I. C't
Pr':i vate Pools
Semi-Private Pools
publ :i,c Pools
Ci'(ounclt"lor k
~:;umps
tilt: er at i Of 'is
1/ .'l ('J fl ';:" ); M " ..,; I.. 'I' T') f'.' ""
f'o.,.. L c. 1.,-1 I.. ,"..'
PY':l. vat fl l"lot . 'rubs
Semi-.Private Hot Tubs
Pub J :l c I'''lotrubs
Ot her ()pt;:I. ons
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Application Number 90AP02008
Permit Number 11236
F.iye........\AJalk.....thnJ slide"", dooy betl,<H:::H,::m staff lounqe
and laundry room shall be replaced with a20-minute
rated door and frame.
Provide stor2 fittinq. location to be determined by Fi~e
t1a)''' E~ha:l. ..
Water--All new plumbinq shall conform to City of
E3n:.~me'('ton a.nd vJa8hi.nutonStal.:f:.~ GYO~.~t:>'''''connectiCln
contyol standan:ls.. rYl.l plumbinq f:i.xtu.n:.~8 capi:;tble
of: a hose attachment shall have built..<i.n vacuum
by' ea keY':;:i ..
E3uilding--Separate plumbing and mechanical permits
y'equ i r'f:.~d "
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8 REM E R TON
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PER M I T
A P P L I CAT ION
________________________________________M_____________--------.--------
_.____________________________________________________________u_________
, App 1 i ca t ion Oat e 06/07/1 990 '~O 0 () L, App 1 i ca t i on Number 90AP0200B
,Issue Date,' -211<07 - DOcJ-Q/ '::>,~-ooetF pen~it Number'
Assessor Acct n $r<1& 7 e Cl~ t. ul .. PrCl..Ject Group
Site Location 2601 CHERRY AVENUE SUITE 115
Owner - Last Name OLYMPIC AMBULATORY First MI
- st n:~et 260 1 CHEJmY",;AVENLJE:,,~..SUIJT:.. 115
- C i t Y BI~EMEI~TON;J~'~""" s'fi!i'te 'i, WA Zip 98310
~ "" j;> ......,-
- phone ( 2q6).Y;':479-.59,~Q >'..(,}(,
Tenant's Name~!r;~~;" \~\~i;;~;~:;~ phone( 206 )
Agent · s Name ,'LL;I~~" \B'i~'l'tii';;;' ' Phorie(~~06)
Ar ch i t ect 'B Name117 OMAS "'" " . '":'.
[X] Bu i 1 ding ,#"f' jj,[i;~1~;:;(if.;'ad i ng.-,,#""'.--,..~.''''T''']'''.S,t~;m (:] . Pav i ng
[ ] Mechanic~;~:l \[~1;4!tMovej',.Bui ldi ng [J Burn~ng ,,1; r\unde~!?r~und
[X] PI umb:i n~~:l [4~.;jl'Y" M,,9b1l e Home ,.;~""..:J: ] Land ct. ",!:i<;' [,:,:' I Demo.l. 1 t lon
~.,. ~I~\" ,,)< .~.,. , '\:.i~\::,:,.,,",.!',~.'-~,:.,,',~, :~j"", '
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Bu i 1 ding Cont,r act or ;' ''I: ~' \ ,
{if ?". J"!~0:,i / \ (.
War k w il1Gb' co@p 1 €#,t ed by owner.
~. 1\~t~1~,:~,j~}};t\;~ i
Nature Ofi\1 Wb'f'\(':"'''' i
, Add i t i o~ o ,of! ;i'~~1.op~r at i ng st i ng 0 1 ymp i c
~,....~. ~~"".\~"" 'V.,~ 't
Surgery\'.(\Ce,ntJ~Y). ,\'\ ' ,
~1 'r~;;~)Y.~)'.vy . t
~~hl ~1'~.;,,1 , ,i'
~, .
'~:~'. \
\'&, \" ,// /
\' '....." ",
8u i Id i ng Va 1 ua~t..J '~'",.$.;i4000 . 00",.,'''//
-- ------ --- - -- - - ..2'~;;::,_'_ - -;-:-:f,i,~t".-- - ___":~;:,::,"",,,",....:..o""'~'~_ -- - -,-:-'i?,,-'l'-:-::.;'j - - -:i'-:':' -- - - ----- - --
Council D i. st r..;i,ct 1""i/~zJ\f Census Tr act\;,:(....,;~"" ",;Y'
conSi~~~t ion ""Z~:~'~~'>.'~"m""",>~~:~,"~~:::ii:':' "",0/ '. I ~:~~~~~~ns
Residence [ ] -ti::i'rirnrj"" Foundation [ J
Bus i neBS [X] Type Fr am i ng [X]
Other [ ] Insulat ion
[X]
New [ ] Plumbi nq [X] '~,
Repair [ ] Status Mechanical [ ]
~,emode 1 [X] Code Wa 11 boa r d [X]
Add it ion [J 10 F i na ], [X]
--------m.-----y-- -------0---- ----
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F ~ ~ " ~,~
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1'1
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CRY OF BREMERTON
.lUN - () 1990
Il I' P (~MUNlc,p~L'UTilUTlES
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Application Date
Issue Date
Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant.s Name
Agent"s Name
Architect.s Name
[X] Building
[ ] Mechanical
[X] Plumbing
Building Contractor:
0{'/07/1.??O
2{,01. CHERRY AVENUE
OLYMPIC AMBULATORY
2601. CHERRY AVENUE
BI:~E:ME:r~'rON
( "::'OI.) ~"70.....o::'O(~()
~... c:> 011:., /7 ~.) 7 7 .
OMAS
[ ] Grading
[ ] Move Building
[ ] Mobile Home
Work will be completed by owner.
Application Number ?OAP02008
Permit Number
Project Group
SUITE 1.1.5
First MI
SUITE 1.1.5
State WA Zip '18310
Phone(206)
Phone(20{,)
[ ] ~:; :i. gn
I:: J Bl.l'rni ng
I:: J L.and C 1 E';)(J.r'
[ ] Paving
[ ] Underground
[ J Demolition
Nature of Work:
Addition of 1. operating room to existing Olympic Ambulatory
Surgery Center.
Building Valuation
~~54000 .00
Council District
.....---...-.......--..............----..-.-.-..--....--..__...________....___..___._____.....____....M.__...____.__...______.._.._._._.___.M.....___._____.._....._"""'_"'M
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f~epa i r' [ ]
F~emode 1 [X]
(-~dcJ i t ion []
:3
CflnSl.lS 'fya.ct
Sq Feet
Inspections
Required
Zon:i.nq / n
T y p e (..;:f'...J
~::;t at us
Code
1.0
Foundat :i.on [ ]
F'r' am :i. nq Lx]
Insulat :i.on [X]
Plumbinq [X]
t . '1 1"-1
..~ .~ . -. '.' ..~ -
f1f:.C It:HI.I. Cd... ....
Wa 11 boar'cJ [X]
F :i. na :I. [X]
f.
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PI~l\i=:J
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6 -/S-10
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r'lHF:-21- , ';3[1 l.JED 15: '::,cl I [I: C I T'(/BF'tJ1EPTCit'1 RDt'l I t1 TEL t'1[1: 2[16-478-52[11] OI'It-! I FR~\ ~::,cl3 F'02
~BUILDING PERMIT APPLICATION ~T .~,
, 47~.5'l7G
City of BremertonJ Washington 98310 Phone: (206) -4-18.5281--
Au~a,or's Tax Account No.: ~ " ,
She Address: 'lflIJI cHcl1tfl.'f ItvrNe.w- ~+-c I I \" P~o~.: ~i'i.. S"O
Owne"s N&m.: fJJ.'1MPIG ~N15II1JVDfl.r SJl~'1 ~dr.u: S'AUe AS A8'VS""
APPI~cant: ~ ~ 0 Owner : ~ Architect '" r -: 0
'_rr ...".~
AtCMoct FIrm: "hit A5 AI G
~IJJI!) ttJlISr SI1']e7f) N A
Addr6l1a:
sEA.
IVA
Contractor: _
1 0 Residence
I
I 0 Oomollah
o Gnldlng (cu. ydS
o Business
o Cuplex
)
o Other:
o Multi-Family (No. units
o Bldg. Move
o New
)
Phone:
Exp. Oete:
o Rep.lr
o Sign
Addreu;
Contractor', Ueen~ No.:
.,. ,~
~Remodllt'
o ?ark,i
i
(
,
'--- ",. i_ '1
Natur. 0' Work Proposed: i
~'P'lf1; "F S~ Sp;q~ . A ObI Wt/J-C/) O,PeJeA17IVe-!CeM (
,
, 1
i
~
A Sq. Ft' ,
, D Wat"r o Waste o Sewer o Soptlc: o New lSl E.1clltlng 0
Utllltles:
,
ValulAtlon ot Mat.rlattlLabor. Plan Rovlaw pree~ Permit Fee~ SUrchAlgN:
,Be See. :JOO(b)1 s $ l
';,/-, ()D~ . ()C 8&alt $3,50 0 i
Aeceipt No.: Aecelpt No.: Energy $101$15 0
Cate: Oate:
,.
.~
Zon. O..ignaUon:
S.tback$: flronl'
Occupancy ClaHlflc:atlon (UBe):
Side: Rear:
Height'
No. Stona:
Hoat Sour~.:_.
CommentsJCor.ditlonl of Approwl:
.....-~
.j
I unde:-st4t1d thAt: tl.ppl;l.ca.tions for: which no perznit 15 issued wi1:h.in 180 daytl fOllowin,;,
ot application shall expir~ by limitationl plans an.d/or other dACa. submitted ,ma.y be :'tl
eo applicant or destroyed by the Bu11d1nq Official. (sec:. 304(d)OBC), I certify that
information on ~h1.$,. a ion furnished by me is true anci correcC. and that the appl:,
requiremon o! tho emerto will be ~t.
:S1~n.(l.lro
Oat. (,. 7' '0 ;
r
I
"
',~' B'-R E M E'R T 0 N B U I LD I N G D E P A R T M E N T
\,
, " P E R M I T A P P L I C A T I 0 N
"
"
...
.=====================================================================
. ,
'Application Date 06/07/1990 Application Number 90AP0200B
Issue Date Permit Number
~~:- Assesso~ Ac6t # Project Group
Site Loc~tion 2601 CHERRY AVENUE SUITE 115
, ,Owner - Last Name OLYMPIC AMBULATORY First
- St r eet 260 1 CHEr~RY,,\,;.AVENUE":LSl:J'l:TE, .115
. '. _.... -j<'\53~~~"';"'''~ ' " :.~" '...t,;.) "
- Ci.ty E31~1::,MI:;"_RJ;ON",Statf.~,;:,W,A Zip 98310
- Ph(....ne ( ')06i,);;::"4" 79-5. 09'0 ,:t:: .'. "'1.'0::_,:
..I 4. ',_' F' \ ,_ <,,,,,, ,', . ;:.'<"'!~"i .':l, "'r-'! ~
~~~~~:;s N~~~e ,.' ;&~;;;- . '~:~;'" iJ~~:l~\'~~:~~:~;g~: ~
Architect's Name;0'-i''- OMAS ',""" ,'!;
[X] Bu i I ding A1r;;'J'; J;-[~;;;j~~,:~Wad i ng~..".-vP'~"""""'''''''\T''l''''-S,if:.m (<] '. Pav i ng
[ J Mechan i ca,lY t'[:'0Jt;Move,;,-S'i..ti 1. ding [] Bl..irni ng L r\Underground
[X] .Plumbin~ll, 'r~,;LJii;/MoD'ile Home. ' [: J Land'Cl,;:,':,'IXI 'Demolition
. ':.f~W ~~~;; ;f/'/' }';;~~';'~~{~i;'\ ' "\, \;:: : ::,i, ."r'
----------~,.-_:i~:~~;~~,'!~,;~ ---",t;----------- --""'"7'~-- ----.-----::---_~---..-"'l;,':"""'l'--_______.__.
h' .~ 2 \.
Building c~m;ttactor {\
i:~; J~~~;,~~l~~St~~??$ l \ : " ~
Wor k wi lli~' beh; cOmp I et ed by,:
[~;'~\'}'*h;'~ ! f i
Na t u reo f.~l Wor"I(:",h [ \' 'i;'
Additid% qrr l:;1'f:),operating Olympic Ambulatory:}
. SurgerY\1,cef;tJ~'yl \ /,;"'\#,;,~};1 ~~i
,j', ,-''', "', " " \ ' ' ,'" . , ".,;,j;,,~j ,
,~, '-\~;~~i;1t"~; , I ;;~';';~"i:X;~~",
,,' ;i ,_':"jj_:~,;:,::J
~ '\ I ~
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',. \~~} . j" ,-".."",,,,,,, . . ,,,,,., ,>7',-" "," : ,;S)
Bu 11 d 1 ng Va 1 uat.,t~ on".; .."$,~jOOO. 00 """j.,i""~,~>;{!'>:rj ,
. i
Construction
Type
';i:I;~:l
MI
[ ]
[X]
[X]
[X]
[ ]
[X]
LX]
'.
. .,\~;^, J
"}~;: ';jl~;~f-> ~
Inspections
Requ j, red
6l i%====C:=7~:q;;==========~?-=::?~=:;;:;r
~"b~
Residence
Business
Other
New
Repair
Remodel
Addition
[ ]
[X]
[ ]
[ ]
[ ]
[X]
[ ]
10
Type
Foundation
Framing
Insulation
Plumbing
Mechanical
Wallboard
F' i na 1
Status
Code
r /'
--- ---~- --~--- -- - ,----- ----- . ~ ~- --
o MAS
2400 W. BERTONA
SEATTLE, WA 98199
LETTER OF TRANSMITTAL
qO/5lJ,oo
JOB NO.
DATE
TO
(206) 281 - 7117
0(:j i~-:~ ~rrff/rtlln /l7ui Jd~ ~
ATTENTION
RE:
u Itml9u/dfo.
G-en7er
WE ARE SENDING YOU X Attached 0 Under separate cover via I~d
o Shop drawings 0 Prints g Plans 0 Specifications
o Copy of letter 0 Change order 0
the following items.
o Color Samples
COPIES DATE NO. DESCRIPTION
<3s-e, b (,17 ~d /P~-j- &f'/8'f1,u(!,~ '!:Jv(l..u.m-en1:5
/ tdt7 !<eA/lew k (~ -2M,c?S)
/ ("7 P.vi~ ,/I~~
THESE ARE TRANSMITTED as checked below:
( For approva I 0 Approved as noted
~ For your use 0 Returned for corrections
o As requested 0 Approved as submitted
o For review and comment 0
o FOR BIDS DUE 19 _ 0 PRINTS RETURNED AFTER LOAN TO US
0 Resubmit copies for approval
0 Submit copies for distribution
0 Return corrected pri nts
REMARKS
COpy TO
SIGNED:~tU~
If enclosures are not as noted, kindly nrftify us at once.