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Owner - last Name
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'TenD.nt · B Name
Aq(~nt; · S Name
Ay'chi tect's Ham(.:')
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Lx] Plurnbinq
Buildinq Contractor:
09/07/19?O
09/0//19?0
2601 CHERRY AVENUE
(JI...YMr:' I C AMULJL.(:IT'OPY
2601 CHERRY AVENUE
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Work will be completed by owner.
Application Number 90AP0238?
P~rmit Number 11222
r;.'( 0 j eetGr- oup
Fir-st SURGERY CENTER MJ
state WA Zip 98310
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PER M I TAP P L I. CAT ION ,
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Application Number 90AP02389
Cont '1" i:'~ct er(
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C:ity
Phone
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ALTENBLffiG rLUMBING
1462 8 DAWN ROAD NE
BI~F:f"IE!?'rUN
(206) 479-4664 State WA Zip 983tO
AI.. 'rr:::N I ,x223.JS
Expiration Date 02/20/1991
r::xp'i.rat ion Date
101 Jets
Bathtubs
~:~ Bas:1 ns
ShCHAJen:;
f\ :i. t chE::n ~::;:i n ks
D :i. Eh~"ashe'rs
Laundry 'Ty'a.Ys
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UrInkIng ~ounta]ns
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Slop ~::; inks
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~)a.cuum Bre:".ker
LalAJn Sp'(:i n k J EH'
Fire ~::;prink'l.e'r'
pr-:i. vat E:': Poo 1 s
Se~i-Pr-ivate Pools
Public Pools
Gn::HJ.nd~'JoY' k
Sumps
Al'tf';)rat tons
I\Jdnf::Y f'1achines
Pr :i.lJa.t e l"lot "j"ubs
Semi-Pr-ivate Hot Tubs
Pub:l. :i. C 1"'!otrubE~
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1359
BREMERTON MUNICIPAL UTILITIES
3027 Olympus Drive
~remerton, Washington 98310~4799
(206) 478-5318
Work Order N~ ~ :; .,
y
YIJLITY SBRVICB)AGRBH~NT
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Tt;t;p No.
Reo~PtNO: . f~ I OS!)
WA. ~ I (I '.' 19.L(
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for Utility service at:
. , Bremerton,
, The undersigned property owner hereby applies
Service Address: Cherry/Cherry Court
Legal Description:
Plat Block Lot
Kitsap County
-------------------------------------------------~-----------~--~-~-----
SERVICE REQUIREMENT: [] Water [] Wastewater [] Stormwater
SERVICE AREA: [] Marine Drive Water [] Sewer District #1
[] City [] North Perry Water [] Tracy ton Water
[] County [] Port of Bremerton []
---------------------------------------------------------------------------
SERVICE CHARGES:
Connection/Inspection Fee:
Water: Domestic...............Size $
Fire ..................Size $
Was tewa ter ............................. $
St,orm Water ............................. $
BA~
Front Footage Fee:
Wa tar ..............,........."............ S
Was tewa te r ........ \I . ,I . . . . . . .'. . . . . .. . . . . . . $
S t 0 rm Wa t e r ........ '. . . . . . . . ',. .'. . . . . . . . . . $
General Facility Fee:
- Wa ter ......., of units 8 . $
Wastewater . . # of units ~ . $
Storm Water .f of units (it $ $
System Development Charges:
Water $
Wastewater $ ----
Storm Water $
Temporary Service . .
Road Permit [] City [] County ..$
Street Restoration [] Asphalt [] Concrete $
Tapping Fee ................................ $
Deposit $
Other Storz Adaptor $ 128.64
401-388.1000
TOTAL. . . . . . . . ... . . ... . . . . $
---------------------------------------------------------------------------
1 .
Utility charges are the responsibility to the owner regardless of
whether the property is oocupied by the owner or tenant. Unpaid
cllarge shallj~become a lien on' the property serviced.
By. this agre~ment, the undersigned owner acknowleClges that the owner
a~sumes the risk and the City disclaims responsibility for all claims
:for damage or injury to person or property resulting from the
following:
a. Installation, maintenance and operation of all plumbing, fixtures
or appliances conneoted to the water meter or wastewater main.
(Building permit inspections are limited in scope and do not
guarantee plumbing design or workmanship.)
b. Changes in pressure, flow or temporary shut-off of. services due
to system maintenancEt, emergency or non-payment of charges.
2.
Name OlympiC'. Ambulatory Surgery Center
Billing Address 2601 Cherry Avenue Suite
. . City Bremerton' .-
Owner's Signature
Agent's Signature
Phone Number )
115
State 'WA
ZIP 98310
, 19
, 19 9'0
Date
. Date
~~~
of Bremert n Municipal
) . r'. '. . . . ..
'1-/?. .
Utilities:
"'Date
Cf {[~
, 19 CfCS
Yellow Copies.. Utilities Accounting
Utilities Engineering Goldenrod Copy: -eustomer
< . \ ,'...... ":". ,:.~ ",-, .!"~. .,." .~;
:'to '-:. .. .
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
112-99/'-'1
1/23,8
11222 P
PERMIT NUMBER
ADDRESS
OWNER
CONTRACTOR
2601 CHERRY.AVENUE
'OLYMPIC Ar.lffiULATORY SUGERY CTR
ALTENBURG PIMBG
PHONE
PHONE
1 FOUNDA liON
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PRO~ERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOIL BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS
11. FOUNDATION VENTS
12. CRAWL ACCESS
, COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF & CEILING LINES
FURRED OUT AREAS
FIREPLACE AT CEILINGS
HOLES PLUGGED TOP & BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED FIRE EXITS
WINDOW SILL HEIGHT
22. CEiliNG HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLYIN5TALLED
STAMPED
PROPERLY BRACED
25. AITIC ACCESS
26. RAFTER &. JOIST SPAN
27. ROOFING, FLASHING, SHEATHING
28. SIDING
1. WIRING APPROVED
2.FOUNDATION VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TR. MAT. NEXT TO CONC.
8. 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 &. 100i(er)
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AIR
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
, 8. SMOKE DETECTOR
19. SHEETROCK BACKING
UNDER 5T AIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTION It',/
APPROVED BY: or? I.rt.- (o"'S:ftJ
-
2B INSULA liON
COMMENTS:
1. PROPER A-VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. IBI VENT SIZING
5. 'B' VENT CLEARANCE
6. IBI VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT SUPPORT &. JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
HVAC APPROVED BY:
GAS PIPING APPROVED BY:
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
rO~ J.c,.c..~ cdc../K-
~~ I rO-S-tjc>
5~
PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
p
6. PROPER FITTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELlEFVALVE & UNE
10. SEISMIC STRAP
UNDE~UND APPROVED
BY: ~ ~'-/1.-1f)
ROUGH~RO~~
BY: ~ ~ ~Z)
(
3
WALLBOARD
6. FIRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN A TIle
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4.5/8 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY: 0 (<... (s:c I&>. It. ?u
1. HANDRAILS ..J---
2. GUARDRAILS -.
HEIGHT _
INTERMEDIATE
-
3. EXHAUST FANS -
4. WATERPROOFING IN SHOWERS-
5. DISI-I'NASHER AIRGAP.-..
6. FIRE DOORS-
LABLED AS REQUIRED .-
SELF CLOSING
7. FIRE DAMPERS1NSTALLED -
O. PENETRATlONS IN ARE WALLS --
FINAL PLMB. APPR, (comm.) loft
FINAL MEeH, APPR. (comm. .
FINAL BUILDING APPR. 0.
4
FINAL
9. HOT WATER TANK PRL-
. H 10. OUTSIDE GRADE Jl/4 Ad
11. SOIL TO SIDING CLEARANCE 11--
12. SMOKE DETECTORS;:;O
13. FIREPLACE HEARTH-
14. SAFETY GLAZING --
15. INSULATION-
WINDOWS MEET ENERGY CODE
UNDERFLOOR & ATTICE INSUl.
WATER PIPE & HEAT DUCTS .
16. WOODSTOVE APPROVED-
17. WINDOWS & DOORS CAULKED
COMMENTS: