HomeMy WebLinkAbout92AP04665
B REM E R TON
B U I L DIN G
D E PAR T MEN T
PERMIT
A P P L I CAT ION
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Application Date 02/10/1992 Application Number 92AP04665
Issue Date Permit Number
Assessor Acct # 3967-002-001-0000 Project Group
Site Location 2601 CHERRY AVENUE SUITE 219
Owner - Last Name BRIDGEVIEW INVESTORS First MI
- Street 2601 CHERRY AVENUE SUITE 219
- City BREMER'l'ON~;;;.~tJj.:.:llW"J;;<llibJ1.iJ;~~"St:a.te WA Zip 98310
_ Phone ( ') 0 c \,':3;'7/""3"'" 9 ""i,it;~i4'
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Tenant's Name DR'5iU"'ISLAM~[;f:;;' I. ~~'P,hone(206)
Ag en t 's Name .t.d()YGE~~SMI .J.i.H.';~ '..;/iJ~il../:;..'iP'ii'6ne... ( 206)
. ,,>,~..4 . ~ - \:.",.'>,,.-,,;:::.1'1 tf<~.Jpd };'''i~,J~(',r "~~,i},
Arch.~ tect 's Nam.tf;jy~ CEREE{;l'A GR0UP iff,I:'>:;""'!!:.,. <1%4:;-.
[ X] B u i 1 d i ~ 9 . ,f~fI ".;C~~::l '9:'s ad i n 9,:,I...........-._-L.J. S i cia , .... '1'';,:. '1fr,\,] P a vi n 9
[ ] Mechan~c;;tt ,:::'i[ 'J'iM'ove ~Btu1d~ng []-B4.rn~ng,~. v [<~~.] Underground
[ ]' Plumb i n ,~j)~l \'~?ljJ/ Mq,b,(i e Home [] L a l:i'~C l"~~)r Jl{ip emo lit ion
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Building /'~n rac or/ ~~~:~~i' \..... \:\tl
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Work wi 111'i h.l.e ie6JnPl/eted owng{i'~;::;;~&."(~31'.i:~~ \ 1'0<
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Tenant~i~p,rpxemint for outpatieli#~::;!MR Im<?-ging faci l\i t
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Building v:~~t '~,~431000.00 /' _ uj/~_u_______
- - - - - - - - - - - - - ~'i;~:- - ;,~J=:~~ - - - - -~~::';:":<t=-~~~"- - - - - ~ _ ,~I\"
Counci I Dis:tl~ i ct);;':~';.f Cens us T r act,<~i"d:>Y'
\(~~~,~"'~t...\j "!,'f! ,r', l;';r,~j:.\~}?'h il:;;i'J.Y ,
Construction '''''''. $p tE. ,,". . ,t V' .~4jJ" Inspect~ons
~~. {..:r ~i~~'" ~}if.
Type''',. f0ti ~;d .._,tiN Requi red
Res ide n c e [] 'X'-i.;'!':;:;"k~.;;[~~:iilii:i.~,\i'.:.I:t~:nt:n~Ea;.;~~~~:lt;;~.tP F 0 un d a t ion [ X ]
Business [X] Type Fr~ming [X]
Other [] Insulation [X]
New [ ] PI umbing []
Repair [] Status Mechanical [ ]
Remodel [X] Code Wallboard [X]
Addition [] 12 Final [X]
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-
B R E ME R TON
B U I L DIN G
D E PAR T MEN T
RECEIPT # 084134
* This Is Not A Permit *
Feb 10, 1992
Building
62-322.1001
Permit Fees
$ 1798.00
Amount Paid Plan Check Fees Amount Paid
$ 1168.70 $ 1168.70
-----------------------
-----------------------
I
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$ 1168.70
62-345.8300
$ 1168.70
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B U 1 L D 1 N.,G D E PAR T MEN T
July2,9~19,92,'
,.
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Dr. Islam
" 2601 Cherry Avenue Suite 219 '
Bremenon, WA. 98310
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RE: Building permit appliC&Lion t92AP0466,5 ." '..'
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Dear Dr. Islam:
. '.
It has come to my .mention Wt your building permit applicarion ~92AP04665 will expire'
without permit issuance on 8/10/92. If you wish to continue this project, please submit a
. written request for extension of this .applicarion bcfor~ the apirarion date.' If an extension /
ill not requested, it will be ~umed you no longer w~h [0 obtain a permit for thi!i project
and ~. withdrawing your application. .' '.
.....-.. .
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If you have an)" ,questions regarding thismartcr, you maycoDtaCI the Building Department
at 478-5275. . . " '. . ,
Sincerely.
'J~~~.
. Janet Lunceford' " .~"..' ;....:- .',
Pcr:mi t T ec.hnician
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2B6 4TH STREET .. UREMERTON, WA 911310 . (206) 4711-5275
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Gf Medical Svstems
~/
General Electric Company
PO. Box 414, Milwaukee, WI 53201
February 7, 1992
Bremerton Building Department
286 4th Street
Bremerton, Washington 98310
Attn: Janet Luncford
Re: MRI Renovation
Dr. Islam, Legler, Schroeder, Cook & Brandt, A Partnership
GE Project No. 68900072
Dear Janet:
Enclosed please find the following information:
. (3) sets of construction drawings
. (3) copies of the specification
. Application for building permit
· Check for $1,168.70 for the plan review fee
I am hereby submitting these for your plan review process. Please call me with
any questions you may have at (414) 548-4529 or Erik Madisen at (414) 544-2044.
Sincerely,
La:::a~~~~
Senior Project Architect/MedFACS
cc: Mark Otto
Erik Madisen
9000n/All
BUILDING
PERMIT
APPLICATION
\
''-,
I ~itY of If ~
Bremerton, Washington 98310 Phone: (206) .478-5281
,
, Assessor's Tax Account No.: 3967-002-001-0000
Site Address: 2601 Cherry Ave. Suite 219 Phone No.: (206) 373~2519
,
Owner's NR~.: RF.P. Joyce Smith Address: 2601 Cherry Ave. Suite 219
. .
Applicant: DOwner lXJ Architect o Contractor o Tenant
Architect Firm: Cerreta Group, Ltd. Representative: Ed k Madisen
21415 W. Greenfield Avenue, New Berlin, WI 53146 Phone: (414) 544-2044
Address:
Contractor: Representative:
,
Address: Phone:
Contractor's license No.: ( Exp. Date:
.
o Residence [!] Business o Oiher: o New o Repair. o RemodelfAddn
o Demolish o Duplex o Mulll-Famlly (No. unlls ) o Sign o Parking Lot
o Grading (cu. yds o Bldg. Move .
)
Nature or Work Proposed: Tpnl'mt improvements within an existing medical professional building.
The improvements will function .as an outpatient MR Imaging Facility.
, Sq. Fl.: 1311
"- -- ,
Utilllles: o Water o Waste o Sewer o Sepllc o New o Exisllng o Storm
Valuation or Materials/Labor: I I
Plan Review Fee: Permit Fee: Surcharges:
IUBC Sec. 304(b)) $ $ 1,798.00
1,168.70 State $4. 5 o I!]
$431,000.00 Recelpl No.: Receipt No.:
Dale: Date:
. I
Zone Deslgnallon: GB Occupancy Classlflcallon (UBc):Group B. Div. 2 No. Stories: 1
Setbacks: Front: Side: Rear: . Height: Heat Source:
Comments/Conditions or Approvat:
.. " -- ..-.... ....- .- .~. .--- . - , .. , -
I understand that applications for which no permit is issued within 180 days following date
of application shall expire by limitation, plans and/or other data submitted may be returned
I. .
. ~- :0 applicant o~ deatroyed by the Building Official. (Sec. 304 (d) UBC) . I certify that the
- .nferma~H~hiS apPlie~~n furnished by me is true andeeneet and that the applicable
requirem ts r,tr!'tlJ,/' Bremerton will be met. L ,_
\.. Signature ,< . ~ ~ . Date F6f!y 9' 2.. ~
'----/ A '-'
IT
Copies 10: While.owner: Yellow-tile: Pink-Assessor: Goldenrod. BuildIng
SIal. Code '--'1
( ,
~
B REM E R TON
B U I L DIN G
D E P A 11 T MEN T
PER M I T
A P P L I CAT ION
---------------------------.------------------------------------------
----------------------------------------------.-----------------------
Application Date 02/10/1992 Application Number 92AP04665'
Issue Date Perlllit NUllIber
Assessor Acct ~ 3967-002~001-0000 Project Group
Site Location 2601 CHERRY AVENUE SUITE 219
Owner - Last Name BRIDGEVIEW INVESTORS First MI
- Street 2601 CHERRY AVENlJESUI'I'E 219
_ Ci ty BREHER'l'.ON~~Ii.U1,i~s,t,;1Je.., WA Zip 98310
"!t:;r.~,.~
- Phone ( 206,).,\;,;13;73 - 2~ 19 ~\';:lllil:~ ('yo... ."~..:~{'
'renan t's Name QR;,}F"'r S LAM\{;?!iig~~ i}:~j,};\~ j~i"'1~!il1 ;', ~",p.hone ( 2 0 6)
Ag en t 's Name ".,{,iJ'OY CC;}i;'SM I li.'Hi\j;"t'kr~ ~~r.,.\t:}\\ hi)~..~,"~.' ;.ifJ"."jrl ,r'li'cm,f':, ( 206 )
v . .. "",. y wi! Ii...,. I- ~""",,~ '.. '1 "'~
Archi tect 's Name;!'" CER(Uii'rA G!{0UP ... ""!.t.iJi .f;,;J,CL.:/,t:,,> /, J<(1t '
. . , . 'IV '.' '< T . ":ll ':- jl -:W I. .Ii\; '\l~.' , .
[X] BUll ell ng (;j;" .',t.,;.} 'Q,I:'.1(11 ng,.......~.~,_......-kJ S 1 gn .i:ir;M{~;<r . L;.,] P a v 1 ng
[ ] Mechani cgol' i:f.~r.("t\r:.MOV e/,Fn.G l,di ng [r"8l.\.rning),:t.I!li!~:'~V [~'l<] Uncle r 9 I~ ound
[ ] P 1 umbi r;tl'l\,~]~e',J:;i ;/g,hll e Hom~,/':n't". [ ] LaI1.d,""'~..:~~;~;;;~t\~~<;: ]~;l~el\lo lit i on
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- - - - - - - - - -./,:.17 - 1~:~iC~.~~~~. -- - -7\~- - - - - - - - - - -1~tr,:,;,.!".',f., -, -'~f.",!:,i~ - - - - - - - - - -~\ - - -\,IJ;Y-~'- - - ~\:;., - - - - - - - --
,}{r .r.D":,,,,,''::.i''~iY I 0j;.;;'~\ f.:.)\~ !;.1~~ \" \;1,.,
Building.ir:on ractor': ~Il,<'i~'u.if . \ '1':", .
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W 0 r k w i ll~ R.. ' v~ arnp lie t e d by 0 w n l;?~it;~:~i'~~;~;~~l\ilfJ \~..','.
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N a t u r e a;;t aQ:.rlt -:l Ii' :; I j .~:,
Tenan t\~\ impr~x\;em\' n t for ou, t. pa t:i ert~.:...,.,1,~lMR Imaging f ac iI, i ty,"i..;~1;:.;.....:.~.:.ii1V I,;~
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Bui lding Val ~~ti\16\1'M<:.;~c '-...'" $431000.00 "" .",..~~~:~7il
_ _ _ _ _ _ _ _ - - - - - ~):F.:- -,.;;s::,-=: -:- ::!.,-:- - - - :'~~"-..._:-_::..=_:.:..~"'''''<:' - - - -:, - ;i!.1:.....';;,;~~t ~l:r --ffl- - - - - - - - - - - - -
Council DiiFtP:ict;,.dl . 2 Census Tract;.i.;;~ ~it:.I,,1f~ ..;t.
....~~., "'''''\} i' i~~:~~\;:j:) ,1(;11 JI .' .,,, ;C!,jl'~~' '~":~~i,t l>l',...)-~,~r .
Construction ~<"',1 'i:;",:;:j,,<l l,!';r~' s.n ~"f\eeltl~\:\, ,'i? . ",,',i;;.J)'l'" Inspections
'< .. ~. -w I" "i:f~ 'r'~' ...~ ' 'V
'I'ype "'~ ". W oil,s. (:{;1 'l"g~': .# Required
..........~\J. ,.' -....: c:td ':',"\ ::.! ~;:' ';~';-lJ-.
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Residence [ ] '~"":;:"Zfon.j"n9r.;;;iE~ .. Foundation [X]
Business [X] 'I'ype l;>rullIing [X]
other [:I Insulation [X]
New [ ] PIUlnbing []
.Repair [] statuu Mechanical [ ]
Remodel [x] Code Wallboard [X]
Addition [J 12 Final [X]
=====================================================================
bd"l c-A
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Dale ~h "'70, '9'Z..-
,
Inler-OHio! commt.micaHon . . .~j,~.. .. ..
~i; 8); .,.
City of Bremedon '."So,~.
To ra-J LV"'t"e fo~<?1
From GUj 8e",~o (?@
Subject REQUEST FOR REV:j:EW
ItS~ te l\ddress: -Z rc.o I
~owner: 1Sv:o{ll e VI.e L0
C HvIU."'(
-+ V(!rN UtE--. '5 lJ 1"'-lF- 'l. I <7
I
Building 7\ppl. # q?..A Poff,<.,<S"'
:C1..qJ e <: .J- <:Jr .
Contractor:
00 J>/.C-{2..
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D
No identifiable problems noted.
Developer shall contact the Utility for Application for Water Service and pay all assessed
fees prior to construction.
o
~
o
Developer shall contact the Utility for Application for Sewer Connection and Sewer
Inspection Permit and pay all assessed fees prior to construction.
Developer shall contact the Utility for Application for Storm Sewer Inspection and pay
all assessed fees prior to construction.
[3]
[8J
Atmospheric vacuum breakers to be installed on all faucets, hose bibs, and flushometers.
7\11 plumbing, inside and out, shall conform to city of Bremerton and Washington State
Cross Connection Control Standnrds.
D
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 ,~...6,,~
must be made for possible recoding of billing account type.
D Prior to demolition of existing structures, sewer laterals shall be capped. Appropriate
sewer cap permits and inspections shall be obtained by the Contractor.
[B
Development is subject to 7\WWA Regulations, APWA Specifications, DOE Regulations,
DOH Regula tions,. Bremerton Municipal Code, and Utility Standards.
o
Contractor to verify location and depth of existing utilities. Contact Underground
Utility Locates (1-800-424-5555) forty~eight (48) hours prior to start of construction.
IB
Other:
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APPROVED:
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DATE:
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A CITY OF BREMERTON
B REM E R T 0 N B U I F~ D I N G n 12: p. A fREB~1J lE1S12T
P E R Iv/. T 0'(' A P P L I C A T I o MUNICfMl UQUf4f.S
...
===========~===~=====================================~=======~=======
Application Date
Issue Date
Assessor Acct ~f
Site Loc~tion
Owner - Last Name
- Str.eet
- City
- Phone
Tenant's Name
Agent~s Name
Architect9s Wam~
[X] Building;
[ ] M,echanical
[ ] Plumbin(j
02/10/1992
Application Number 92AP04665
Permit Number.
Croup
3967-002-001-0000 Project
2601 CHF.RRY AVENUE SUITE 219
BRXDGEV!EW INVESTORS First
2601 CHERRY AVENUE SUITE 219
BREMERTOW st~te WA
( 20 6) j'l 3 - /. 51 9
D~; , I Sy..AM
. JOYCE BMITB'
CERf:~i<;'t~\ GR(iUt?
. [ 1 (:;'(ading
[ ~ ~ove Building
; j .Mobil e Home
MY
Zip 98310
?b.one(?'06)
Phone(206)
~ :
I ]
[ ]
[ ]
Sign
Bl}.rnin1'
Land CJetl:t"
I. ] Paving
[ ] Underground
r jDemolition
- - - - - - - - - --",.....,- -""""'-- - -- - -~ --- -.-.-- -~--...... - -""-.. ,. .-- - - - - -.... - ---- - - -'~-~-I'-' - - __ - __ - - - - __
Building Contractor:
Work wi 11. be c~imp13ted by owner.
Nature Q:i: ~;;tr{k:
Tenant improvem.nt for outpatient MR Imaging facility
Building Valuation
$431000.00
-----------~-~----~-------------~-------~----~-_._~.~------------------
Council District
2
Census TK'atct.
Construction
'1:'Y\90
S\~ P!S<:'t
Inspections
Required
-Residence [ ]
Business [X]
Other []
- New [ ]
Re19Slir []
Remodel [X]
Addition []
ZQ>,;~nv
Type
12
Foundation [X]
Framing [X]
Insul ati on on
Plumbing []
Mechanic~l [ ]
Wallboard [X]
F'inal [X]
status
Code
-------------------------~--~~----------_._-----~-----~-~._-_._--------_.
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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
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Application Date 02/10/1992 Application Number 92AP04665
Issue Date Permit Number
Assessor Acct # 3967-002-001-0000 Project Group
Site Location 2601 CHERRY AVENUE SUITE 219
Owner - Last Name BRIDGEVIEW INVESTORS First
- Street 2601 CHERRY Ay'~):\J9IL~UITE 219
- Ci ty BREMERTON--::::::.::::.----.----..-:.:St-ate WA Zip 98310
- Phone ( 20.J> Y-:3'7'3 ":,25.19 - --<~:>"
Tenant's Name DR'./ISLAM\ ( /'>,""::P:ll~ne(206)
Agent's Name /;J'OYCl(:SMITH"'-, \ / i/:-,Ph"on,e(206)
Arch,itect's Nam/,e'>'CER'~.ET,.,'.,A GROt}P/ /./11/",'/ "'\\
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[X] Bui 1 ding (,/ /t~''J,\ql::ading ,-:,,_,~ '.- -~--.,LJ Sigrr( / / ',', ',-'t',,] Paving
[ ] MechanicaY : C[ '\J\ M6ve/1"Bu{1 ding [] ""But:'nfn.g '>, ';;v' ["] Underground
[ ] Plumbingi/ \,J.j]/Mqhf'le Home [] Larl''d\,cfeeit: /'l r,Demolition
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Work wi 1:1,1 be-Gompfeted by owneL
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Addition [ ]
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Code
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Foundation [X]
Framing [X]
Insulation [X]
Plumbing []
Mechanical [ ]
Wallboard [X]
Final [X]
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PER M I T
A P P L I CAT ION
====================================~'=================~==============
Appli.cation Date 02/1P/199Z Application Number 92AP04665
Issue Date ' ..,.. permi t Number
Assessor Acct # 3967-002~OOl-0000Project Group l
Site Location 2601 CHERRY AVENUE SUITE 219
Owner - Last 'Name BRIDGEVIEW INVESTORS First
- Street 2601 CHERRY AVENUE SUITE 219
- Ci ty BREMERTOPV:~:::::::::;'="':::::'--::=::::::::::S.:tate WA Zip 983',;10
- Phon e ( 2 O~,t;:S7-~r:.. ~,51 9 ' . '-<,":~~''::.:'', .
Tenant's Name 9~~'/1~t.AM\ n ). ./" '-:e~ene( 206)
Agent's Name /~~lOYC~,>~MI~~"')) //Z,("r}j'f:1~e...(206),
Archi tect 's Name/ CERREtA GROUP ( // ..;~ / " ",,, .
[X] Building /:/ /[-<l \Q~ading /",.o;=o.---=.J.c-J Sf'gnj / .//,,\ "C,J p'aving
[ ] Mechani.caY ({'''J\M6ve"J3uliding ['r'B4,rnl.nq :"~;") [\1 Un.derground
[ ] Plumbing/ ~t>:YM9J)11e Home [] Larl'cl,cl'e,~;t" ,/'T l\Dernolition '
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Res i den c e [ ] ....".<::.::::.::::.:.:.::::::~:~:nL~~;:::.:::-::;.:.:::::::::./ F 0 unda t i on [ X ]
Business [X] Type Framing [X]
Other [ ] Insulation [X]
New ( ] Plumbjng []
Repair [] Status !D: -.. ,""" _ Mechanical [ ]
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TYPE OF CONSTRUCTION SQ. FTG. acC. LOAD
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VALUATION PLAN CK. BLDG. SRCHG. '
FEES PAID: PLBG. MECH. q::rHER
DATE DATE APP. WI NOT
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