HomeMy WebLinkAbout1988-10-24 2601 CHERRY AVE - Permits
CERTIFICATE, OF OCCUPANCY
CITY OF BREMERTON
BUILDING DEPARTMENT
f!7~~~to ROBERT L~ CAULKINS, D.O. "
~ at 2601 Cherry Avenue,Suite208" , '$~7:q)f~ '
~Uud~'~nury6e~uu:th,!k~o/~ $~
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TYPE' TYPE OCCUPANCY '
CONSTRUCTION OCCUPANCY LOAD
VN B2 , 13 ' ;
COMMON USE
Office !
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rllJate..
October 24, 1988
, Permit No. '
Bus. Lie.
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BUILDING PERMIT _.
- r NO 8005
, I -
City of Bremerton, Was~ington 98310 Phone: (206) 478-5281
Assessor's Tax Account No.: 3967-002-001~ObOO
Site Address: 2601 Cherry, Suite 100. Phone No.:
Owner's Name: Bridgeview Investors Address: same
DOwner D GJ I D Tenant
Applicant: Architect Contractor i
Architect Firm: Representative:
Address: Phone:
Contractor: Bocklie Bldrs. Representative: Henrik ~J. Bockel .
Address: 5240 Werner Rd Phone: 377-l~196
Contractor's License No.: BOCKEffiJ342LO Exp. Date: 12/1/87
D Residence [i] Business D' Other: D New D Repair ~ Remodel/Addn
D Demolish D Duplex D Multi-Family (No. units ) D Sign D Parking Lot
D Grading (cu. yds ) D Bldg. Move
Nature of Work Proposed: Interior" tenant remodel of existing building to create Doctor's
office.
.
.
Sq. Ft.: 782
Utilities: D Water D Waste D Sewer D Septic D New ~ Existing D Storm
Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges:
[UBC Sec. 304(b)] $ 134.55 $ 207.00
State $1.50 [i]
$20,000 Receipt No.: 76576 Receipt No.: 76576 Energy $10/$15 D
Date: 2/ 18/87 Date: 2/18/87
. .
Zone Designation: Occupancy Classifipation (UBC): B 2 No. Stories:
Minimum Req. Setbacks: Front: Side: Rear: Height: Heat Source:
Comments/Conditions of Approval:
. 2/18/87
Ceii:ling shall be 1 hr rated assembly - Fi~e Dept. , Chet Meigs
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"-. Fou~dationD t:~( I .
INSPECTIONS REQUIRED: Framing ~ Plumbing Mechanical D Wallboard W FI NAL GJ
-'
OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
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. SEE AND READ NOTICE ON REVERSE.
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Signature // '.;l/fr/1/l-r, __ t-U 0 t7':>. e.e,. '1...-1' . Date
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Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I 10
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APPLIeS liON
BUILDING
~RMIT
City of Bremerton, Washington 98310
Assessor's Tax Account No.: ;; 7 6? - () cJ 2. - 00 / - () (JOO
Site Address: dK) I ,CJ.-aJ''''Y- 'I. I - S )) tGz. I c::c:::>
Owner's Name: ~ f1! d tjev/ leur J/J( ve.5 'to /)1 5 Address:
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Phone: (206) 478-5281
,;:?tJO(
Phone No.:
~1i~1/';'v
/
Applicant:
DOwner
~Contractor
D Architect
Architect Firm:
Representative:
Phone:
Address:
Exp. Date:
Contractor:
Representative:
Phone:
Address:
B t'e-M r-C/1 fi/l-- IJ 2 .
'7 f7 17-
Contractor's License No.:
D Residence
D Demolish
D Grading (cu. yds
Nature of Work Proposed:
D Business
D Duplex
D Other:
D Multi-Family (No. units
D Bldg. Move
D
New
D Repair
D Sign
Sq. Ft.:
Utilities:
D Water
o Existing
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
~ ~ O::D
. /
o Waste D Sewer o Septic o New
Plan Review Fee: Permit Fee:
/' c::f!'::>
$ 13L/ ~ $ ~-r-
Receipt No.: Receipt No.:
Date: Date:
o Tenant
2,7/-4/7'6
I;;? /1 /~ 7
. I
D Remodel/Addn
o Parking Lot
o Storm
Surcharges: '\ ,
State $1.50 Ozj
Energy $10/$15 0
Zone Designation:
Setbacks: Front:
Comments/Conditions of Approvar:--c:::=
Occupancy Classification (UBC):
No. Stories:
Heat Source:
Side:
Rear:
Height:
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
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file; Pink.Assessor: Goldenrod-Building
Stal.Code I
r
BUILDING
-
PERMIT
APPLlC!YION
"'
City of Bremerton, Washington 98310
Assessor's Tax Account No.: rp:j G? - c)(J 2- - f){} (- ()()(j()
Site Address: ;:<q) I .~rY-1
Owner's Name: '13Y'/d!1eV/ew- d/Jtl/e-57'oVtS Address:
t/
Phone: (206) 478-5281
c::!C,O(
Phone No.:
~!i~tt'f/'V
/
Applicant:
DOwner
o Architect
~Contractor
o Tenant
Architect Firm:
Representative:
Address:
Contractor: ~J~/;~ RUP5
Address: i7?' yO /.;uel/'~e; If j '13f/1e#l'r"'V'\ fc/J-.. tJ2d 7' H /2-
Contractor's License No. :13()c. {1' B II tJ . .~ '/2.. L 0
Phone:
Representative: 4 ;YF/ 'P !.o./'2cr~I:'l
Phone:Z, 7? ~ 4/ '1'&
I;? /1 /"J 7
Exp. Date: . I
o Residence
o Demolish
o Grading (cu. yds
o Business
o Duplex
)
o Other:
o Multi-Family (No. units
o Bldg. Move
o
New
o Repair
o Sign
o Remodel/Addn
o Parking Lot
Nature of Work Proposed:
Sq. Ft.:
Utilities:
o Water
o Waste
o Sewer
o Septic
o New
o Existing
o Storm
Receipt No.:
Date:
Receipt No.:
Date:
Surcharges: \ .
State $1.50 Oz]
Energy $10/$15 0
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
:f
~/~
Plan Review Fee:
$ /3L-j ~
Permit Fee:
dO
$ ~-r-
Zone Designation:
Setbacks: Front:
Occupancy Classification (UBC):
No. Stories:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval: ;</c:!.. (J C'\r-,U
I I
.
of application shall expire by limitation, plans and/or other data submitted may
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify
information on this application furnished by me is true and correct and that the
requirements of the City of Bremerton will be met.
l Signature
I understand that applications for which no permit is issued within 180 days following date
be returned
that the
applicable
.
Date
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I
I
.BUILDING
I'ERMIT
APpuclTION
City of Bremerton, Washington 98310
Assessor's Tax Account No.: ;;7 6? - {)() 2- - {)CJ (- ()QO()
Site Address: d8) I C__h:2J-'Y' '!.
Owner's Name: '13 f? I d2f1!reur S/1tile 5 {oil'S
!/
Phone: (206) 478-5281
Address:
C<00(
Phone No.:
~!/t'!/I'V
,
Applicant:
DOwner
o Architect
~Contractor
o Tenant
Architect Firm:
Address:
Contractor: ~~e/~
Address: I?AcfO 0uef/''J,ef/' '!3I"eM.~c"f~ [J2.', lY5/L
Contractor's License No.: 130 c.t-( ~ /I tJ "3 '/2..L. 0
Representative:
Phone:
Representative:
Phone: ;;; 7 7 ~ 4/ 'tt
Exp. Date: /;;?/I/i? 7
o Residence
o Demolish
o Grading (cu. yds
Nature of Work Proposed:
o Business
o Duplex
o Other:
o Multi-Family (No. units
o Bldg. Move
o
New
. 0 Repair
o Sign
o RemodellAddn
o Parking Lot
Sq. Ft.:
Utilities:
o Water
o Waste o Sewer 0 Septic o New
Plan Review Fee: Permit Fee:
$ /Y-J ~ . ~
$ d0~
Receipt No.: Receipt No.:
Date: Date:
o Existing
o Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
~ ~ 0:S:.J
/
Surcharges: \ .
State $1.50 Oz]
Energy $10/$15 0
Zone Designation:
Setbacks: Front:
Occupancy Classification (UBC):
No. Stories:
Side:
Rear:
Height:
Heat Source:
,.
\
~.
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 returnee
to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file; Pink.Assessor: Goldenrod-Building
Stat. Code I
BUILDING: 478-5281
TO: Building
Business License
Traffic
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c::::><- Cs:5{j - \' I~ ('=t:"(~, O\h<2-Y.
Cityo.fBrem_ertCIl, W\~'0 ~)'\O ~O_
DEPART~IE~T OF CONSTRUCTION
.-\.~D LAi~D USE.. --r-
\r-
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?LANNING: '~78-5275
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
W a tey/~..;r;;:rstewa:fe r/-,
------ -'-----~ ...---
Fire
Planning
Police
Please review this request for approval to occupy the following structure and
return to this department by 8/21/87 Thank you.
Date:
8/17/87
Permit Technician: Carol L. Johnson
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit II
Permit Date
Type or Construction
Square feet
Use
Type of Occupancy
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
2601 Cherry, Suite 11111
Bockelie Bldrs., Inc.
CITY OF BREMERTON
AU y U ;1 l~G I
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
MUNICIPAL UTILITIES
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comment3: Ift-+erl~r t1i1/V -/11/lJ
/
Approved d~Disapproved 0 By' ~'r
Date: r~!7
817 PACIFIC AVENCE . BREMERTON. WASHINGTON 98310
INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS 2601 Cherry
OJ/}7 fJP
Q112
PERMIT NUMBER
OWNER
Bridgeview Medical Center
PHONE
CONTRACTOR Sunset Pacific General Contractors PHONE
565-(,5/.7
FOUNDATION
COMMENTS:
1
CORR O.K.
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING SIZE CORRECT
6. WALL SIZE CORRECT
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCHOR BOLTS
11. FOUNDATION PLATE
12. FOUNDATION VENTS
13. CRAWL SPACE ACCESS
FOUNDATION INSPECTION APPROVED
BY:
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ?PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING INSPECTION APPROVED
BY:
CORR O.K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED__
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
~
II ~/~\~
M MECHANICAL
1. FURNACE SIZING
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. 'B' VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
8. DUCT SIZING
9. DUCT CLEARANCE
10. DUCT SUPPORT
11. DUCT JOINTS
12. GAS PIPING TEST
13. GAS PIPING SIZING
14. GAS PIPING SUPPORT
15. OTHER
CORR O.K.
CORR O.K.
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
FURNACE APPROVED BY:
HEAT PUMP APPROVED BY:
GAS PIPING APPROVED BY:
WOOD STOVE APPROVED BY:
OTHER:
....
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS --
8. VENTING --
9. CLEANOUTS --
10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
UNDERGROUND APPROVED BY:
ROUGH-IN APPROVED BY: .? t:> () ;:;f{~
CP~M.:f~r~ti)
-
3
WALLBOARD
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING _ _
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
~A- t-n rJ1-
/ V~; IbY/~
~
WALLBOARD INSPECTION APPROVED
BY:
4 FINAL CORR O.K. CORR O.K.
1. HANDRAILS -- 9. OUTSIDE GARAGE --
2. GUARDRAILS -- 10. CLOTHES CHUTE --
A-HEIGHT -- 11. SEWER/HEALTH DEPT. --
B-INTERMEDIATE -- 12. COMMERCIAL BUILDING --
3. EXHAUST FANS -- A-MECHANICAL APPROVED --
A-KITCHEN VENTING -- B-PLUMBING APPROVED --
B-BATHROOMS -- 13. SMOKE DETECTORS --
C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH --
D-DRYER -- 15. SAFETY GLAZING/
4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED --
5. DISHWASHER 16. INSULATION CERTIFICATE --
PROPERLY INSTALLED -- 17. FREE-STANDING
6. FIRE DOORS -- FIREPLACE APPROVED --
A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED --
B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED --
7. ATTIC ACCESS --
8. HOT WATER TANK -- FINAL INSPECTION APPROVED
BY:
NOTES:
PLANNING:
D.rV'~~
rz... 3o~"g3
~
. 1/ <J I
1"74------
OUTLINE SPECIFICATION
DR. ZAPATA TENANT IMPROVEMENTS
BRIDGEVIEW MEDICAL CENTER
2601 CHERRY AVENUE, SUITE 304
BREMERTON, WASHINGTON 98310
DMSION 1 - GENERAL
1.01 Contract Type
A. Construct work under a prime contract, General Contractor shall be
responsible for all sub-contract work under this Contract. Agreement
form shall be AlA Document A101.
B. Submit Bid on Form of Proposal, listing basic bid, and alternate bids.
1.02 General Conditions
A. AlA Document A201 is hereby made a part of this contract as though fully
contained in these specifications. Copies may be obtained from the
American Institute of Architects, 1735 New York Avenue NW, Washington,
D.C. 20006 or local chapter offices.
1.03 Permits
A Contractor shall secure and pay for the building permit and for all
other permits and governmental fees, licenses, and inspections fees.
1.04 Insurance
A Contractor shall provide Contractor's Liability and Contractor's
Protective Insurance. Submit Certificate of Insurance to Owner.
1.05 Warranty
A. All work by this Contractor and his subcontractors shall be guaranteed
for a period of one year after substantial completion.
1.06 Time
A The Contractor shall complete this project within 90 consecutive
calendar days from the date of the Notice to Proceed. Early September
project initiation.
BRIDGEVIEW MEDICAL CENTER
'l,"flRIS TSANG ARCHITECTS DATe: PRINTED
J48 MARKET STREET. SUITE ~GU
TACOMl\. 'NA 98402 JUL ~.:; 1988
Page 1
11.07 General Notes
A. All dimensions and elevations on this project are to be checked and
verified before proceeding with the work. Contractor shall carefully
examine site prior to submitting bid. Notify Architect of any
discrepancies prior to commencing work.
B. All construction and related work on this project is to be in
accordance with applicable codes.
C. The Outline Specification defines minimum quality only. Items not
included in the Specifications shall be provided based on standard
level of quality, normal to the specific trade and practices.
D. HV AC work shall not be included in this contract. HV AC work is provided
by building owner under a separate contract and will be installed prior
to the date of the Notice to Proceed.
E. Plumbing and Electrical work shall be "Bidder Design" (exclusive of
fixture specification and switching requirements). Contractor shall
retain all permits for plumbing and electrical work and install work in
accordance with all applicable codes. All plumbing work that requires
access to floor from tenant space below or slab drilling work must be
done during non-business hours.
1.08 Shop Drawings
A. Submit one (1) copy of reproducible shop drawings to Architect for
Custom Casework.
1.09 Substitutions
A. No substitutions will be accepted unless approved by the Architect
prior to bid. Submit product information on proposed substitution in
enough detail to allow Architect to verify that product is equal to
specified item.
1.10 Alternates
A. Carpeting: Use Holeytex #553 Incentive, Color #770 Peacock, in lieu of
Bigelow "Interweve Highlights" No. 2110, Color No. 56696 Rainbow as
specified in base bid.
BRIDGEVIEW MEDICAL CENTER
'1.~RRIS TSANG ARCH!ECTS DATE PRINTED
148 MARKET STREET. SlJlTFWU
TACOMA, 'NA 9840; JUL 25 1988
Page 2
B. GWB Soffits: Delete all GWB soffits except in room No. 101, 102 and
111. Extend scheduled wall and ceiling finishes in lieu of soffits.
Lighting at soffit areas shall be recessed into ceiling tile in lieu of
soffit.
C. Casework: Delete casework in room No. 104 and room No. 111 (includes
glass shelving and wood countertops), shelf at west and south walls of
room 113, upper cabinets at north and south walls of room 115, base
cabinets at west wall of room 115 and base cabinets at room 112, 110,
109 and 108. Where base cabinets are to be removed in 112, 115, 110,
109, and 108, counter top shall remain and be supported with wall
cleats and (1) plastic laminate over 1 1/2" particle board vertical
support panel at underside of counter at each room - provide (3)
vertical support panels at room 115. Add 6" front panel at underside of
counters at room 112, 110, 109 and 108 in lieu of base cabinets. Extend
floor and wall finish where cabinets have been deleted.
D. Plastic Laminate Rail: Delete plastic laminate rail and related
blocking to support rail throughout.
E. Paint: Provide (3) color scheme Parker Satin Glow paint in lieu of
Zolatone Paint as specified in Base Bid.
F. Lighting: Delete cove lighting, track lighting and all related
switches). Delete dome lighting and provide (2) 2 x 4 fluorescent
lights with parabolic lenses in lieu of dome light.
G. Glass Block: Delete glass block throughout. Provide 3 5/8" metal stud
framing with ((1) layer 5/8" type "X" GWB at each side texture and paint
as specified. Delete hollow metal frame around glass block at top,
bottom and side (if frame at side is integral with door jamb, do not
delete it.
DIVISION 2 - SITE WORK
2.01 Miscellaneous Demolition
A Remove and legally dispose of all previous tenant improvements. Do not
damage existing adjacent construction.
B. All demolition work to be done during non-business hours. Scheduling
for demolition work must be coordinated with building manager, Joyce
Smith. (373-2519)
HARRIS fSANG A,RCHiFI'T,--
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BRIDGEVIEW MEDICAL CENTER
DATe PRINTED
JUL 25 1988
Page 3
*
Demolition work includes, but is not limited to:
1) walls (other than demising walls and corridor walls, except at
new entry with relite).
2) casework.
3) ceiling grid, tile and light fixtures.
4) electrical and plumbing work.
5) carpet and cushion.
6) resilient flooring.
7) doors, frames and hardware.
8) window blinds.
9) corridor relite and interior relites.
c.
*
*
*
*
*
Salvage and return to building owner for tenant improvement inventory.
DIVISION 6 - WOOD At"ffi PLASTIC
6.01 Custom Plastic Laminated Faced Casework
A. Component Construction:
1. Cabinet Doors: 3/4" particle board with high pressure plastic
laminate bonded to the front and back faces and all edges.
Provide 3 hinges per door. Flush Overlay type doors.
2. Cabinet Ends, Cabinet Tops and Bottoms and Cabinet Partitions:
3/4" particle board with high pressure plastic laminate bonded to
exposed faces and front edges and polyester overlay bonded to
inside surfaces. Underside of wall hung casework shall have
plastic laminate face.
3. Cabinet Backs and Drawer Bottoms: 3/8" pre-finished hardboard.
4. Adjustable Shelves: 3/4" particle board with polyester overlay
and vinyl T-mold on front edge.
5. Vertical and Horizontal Cubby Hole Dividers (Room 102 and 107):
Two (2) layers of .050 nominal thickness high pressure laminate
bonded together.
6. Scribes and Fillers: Any scribes or fillers to be 1" wide
maximum. Use 3/4" particle board with high pressure plastic
laminate bonded to face.
7. Drawer Faces: 3/4" particle board with high pressure plastic
laminate bonded to front face and all edges and polyester overlay
boned to back face.
8. Drawer Sides: 1/2" particle board with polyester overlay bonded
to all surfaces.
9. Drawer Subfronts and Backs: 3/4" particle board with polyester
overlay on all surfaces.
10. Drawer Bottoms: 3/8" pre-finished hardboard.
BRIDGEVIEW MEDICAL CENTER
DAle PRINTED
Page 4
HARR~S .T}A!,IG ARCHITECTS
748 ,'y1.'1RKr T ,TR~P (', WI r- ~ "J
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JUL 25 1988
11. Countertops, Benches and Purse Shelves: 3/4" particle board with
3/4" particle board build-up at edges for 1 1/2" thickness at
edges. High pressure plastic laminate bonded to exposed face and
edges and polyester overlay to back face. Post from front edge,
full bullnose with high pressure plastic laminate. Side edges
back edges are square profile. Radiused casework (room 102 and
107) is exempt from post formed full bullnose detail - provide
square edge.
12. Back Splashes and Rail: 1/2" particle board with high pressure
plastic laminate bonded to exposed face and edges and polyester
overlay bonded to back side.
B. Materials
1. Vertical Surface Type Plastic Laminate: For all vertical faces,
0.030" nominal thickness.
2. General Purpose Type Plastic Laminate: For all horizontal
surfaces and vertical and horizontal cubby hole dividers (except
post-formed tops), 0.050" nominal thickness.
3. Post-forming Type: For all post-formed counter tops, 0.042"
nominal thickness.
4. Polyester Overlay: For all particle board surfaces not bonded
with plastic laminate, 60% plastic laminate overlay, factory
bonded with heat and pressure. Color-white.
5. Particle Board: Monolithic flake board, 3-ply board of balanced
construction of 45 lbs. per cubic foot density with moisture
content of 8% or less. Polyester overlay factory bonded with 200
psi 300 degrees F.
6. Factory Pre-finished Hard Board: 3/8" thick with smooth face
(white). Opposite face finished with balance coating.
7. Vinyl Edges: .125" thick extruded PVC with color throughout.
Color-white.
8. All high pressure plastic laminate shall be selected by architect
from either Wilsonart or Nevamar. Colors selected by architect
form any color option in complete Wilsonart or Nevamar line.
9. Allow three (3) different plastic aminate colors on project.
Color A: Rooms 102, 105, 106, 107, 113, 115.
Color B: Rooms 108, 108A, 109, 109A, 110, 11OA.
Color C: Rooms 111, 112.
BRIDGEVIEW MEDICAL CENTER
DATe PRINTED
JUL 25 1983
Page 5
HARRIS TSANG ARCHiTECTS
743 M.!..R'<:ET STREET. SUiiT 20,]
TACOMA, 'II>' 98402
C. General
1. Submit shop drawings to be approved by architect.
2. Construction quality shall conform to Architectural Woodwork
Institute (A WI) standards, Section 400 Casework, for "Premium
Grade" product at minimum.
DIVISION 8 - DOORS AND WINDOWS
8.01 PLASTIC LAMINATE FACED WOOD DOORS
A. Acceptable Manufacturers:
1. Weyerhaeuser Company
2. Cal-Wood Door
3. Vancouver Door
B. Materials: 1 3/4 inch thick, standard and fire-rated type, plastic
laminate facing, A WI premium grade. Provide particle board core in
non-rated and 20-minute doors. Vertical edges to be laminate same as
door face.
C. Plastic Laminate: General purpose type minimum 1/16 inch thick,
textured finish, color and manufacturer to be selected by architect.
Manufacturer and color to be selected from any color in the Wilsonart
or N eramar lines.
8.02 HOLLOW METAL DOOR AND RELITE FRAMES
A. Acceptable Manufacturers:
1. Member firms of Steel Door Institute.
B. 18 gauge, shop prime with field applied paint.
C. Prep door frames for silencers. Provide (3) single rubber silencers at
strike side of frame.
D. Provide welded frame reinforcement for all hardware.
8.03 DOOR HARDWARE
A. Manufacturer:
1. Hinges - Hager (RA), Grass (GR).
2. Levers, cylinder collars, turn piece, passage sets, pulls, dead
bolt - HEW! Products (HE).
3. Door closers - Donna (DO).
BRIDGEVIEW MEDICAL CENTER
00--
H.~RRIS TSANG ARCHITECTS 1\ I c. PRINTED
748M;.IRKETSiRtET.S'-'!~C:3QG JUL 95 100:-
T_~C~~/.-~, \1/;.\ 'j:~.1~;~' h.l ,-,G,j
Page 6
4. Wall stops, roller latch, gate latch - Rockwood Manufacturer
(RO).
5. Smoke gaskets, PEMKO (PE).
6. Locksets, privacy lock - Russwin (RU).
7. Gate pivot - Bommer (BO).
8.04 GENERAL REQUIREMENTS
A The General Contractor shall be responsible for proper operation and
fitting of hardware and shall notify architect of any discrepancies or
problems with items specified in hardware groups prior to ordering.
Exposed surfaces of hardware shall be well protected during
installation to avoid damage.
8.05 KEYING
A The General Contractor shall deliver all keys to the Owner upon
completion. Coordinate keying with Architect.
8.06 HARDWARE GROUPS
A Hardware Group 01:
.Qjy
Description
1 1/2 pair
1 each
1 set
1 each
1 each
1 each
1 each
1 set
hinges BB1279; 4 1/2 x 4 1/2 x US26D
lockset 5067L less lever trim US26D
levers 111.23L22 USD white #1
cylinder collar 306 ZUS white # 1
turn piece 306 RUSD white #1
door closer TS83/U2 x ALUM.
wall stop 409 x US26D
smoke gaskets S88D17
B. Hardware Group 02:
.Qjy
Description
1 1/2 pair
1 each
1 set
1 each
1 each
hinges 1279; 4 1/2 x 4 1/2 x US26D
lockset 5056L less lever trim US26D
levers 111.23L22 USD white #1
cylinder collar 306ZUS white #1
wall stop 409 x US26D
BRIDGEVIEW MEDICAL CENTER
Page 7
HARR!S TSANG ARCHITECTS
)48 't:,",:~!~:'! ~~REET, SU1T~ ~nr
TACOMA. WA 98402 . ~
0':' ~-::. rtoNTED
JUL 25 1988
Manufacturer
HA
RU
HE
HE
HE
DO
RO
PE
Manufacturer
HA
RU
HE
HE
RO
C. Hardware Group 03:
.Qll'
Description
Manufacturer
1 1/2 pair
1 each
hinges 1279; 4 1/2 x 4 1/2 x US26D
privacy lock 5039L less lever
trim US26D
levers 111.23L22 USD white #1
cylinder collar 306ZUS white #1
wall stop 409 x US26D
HA
1 set
1 each
1 each
RU
HE
HE
RO
D. Hardware Group 04:
.Qll'
Description
Manufacturer
1 1/2 pair
1 each
hinges 1279; 4 1/2 x 4 1/2 x US26D
passage lever set 90.1-111.23Lll USS,
white # 1
dead bolt 90.2 306RMUSS white #1
HA
HE
1 each
HE
E. Hardware Group 05:
.Qll' Description Manufacturer
1 1/2 pair hinges 1279; 4 1/2 x 4 1/2 x US26D HA
1 each lockset 5061L less lever trim x US26D RU
1 set levers 111.23L22 USD white #1 HE
1 each cylinder collar 306ZUS white #1 HE
1 each turn piece 306R USD white # 1 HE
1 each wall stop 409 x US26D RO
. F. Hardware Group 06:
.Qll' Description Manufacturer
1 1/2 pair hinges 1279; 4 1/2 x 4 1/2 x US26D HA
1 each passage lever set 90.1-111.23Lll USS, HE
white #1
1 each wall stop 409 x US26D RO
G. Hardware Group 07:
.Qll'
Description
Manufacturer
1 set
1 each
gate pivot 7312 x US26D
gate latch 602 x US26D
BO
RO
BRIDGEVIEW MEDICAL CENTER
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Page 8
H. Hardware Group 08:
.Qjy
Description
Manufacturer
5 each
1 each
1 each
Cabinet hinges, Grass #1006VZ
Pull 115.23G white #1; type B4 fastening
Cabinet type roller latch for 3/4" door.
(GR)
(HE)
8.07 CABINET AND DRAWER HARDWARE
A. Hinges: Blum, 1300 opening minimum, flush overlay type door, self
closing, and fully concealed, or approved equal.
B. Pulls: HE WI, #548.13.32, type BA4 fastening, color - #1 white. Orient
all pulls vertically on cabinet doors and horizontally on drawer
faces.
C. Drawer Slide: Knape & Vogt No. 1300 or approved equal.
D. Full Extension Drawer Slides: Grant No. 329 or approved equal.
E. Adjustable Shelf Standards and Shelf Supports: Knape & Vogt No. 255
mortised flush aluminum shelf standards with No. 239 shelf supports.
F. Coat Hooks: HEWI, #520.70.1, Color - #1 white.
8.08 GLASS BLOCK UNITS
A. Manufacturer: Pittsburgh Corning.
B. Standard Series PC Glass Block Units, 37/8 inch thick, ARGUS pattern,
6" x 6" size, orient flutes on south face of block vertically.
C. Follow manufacturer's requirements for mortar specifications. Color
shall be selected by Architect.
D. Mortar joints shall be 1/4 inch wide.
E. Provide all required glass block panel anchors, expansion strips and
panel reinforcing as required by manufacturer.
BRIDGEVIEW MEDICAL CENTER ". -- -. ,- , --D
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~/;RRIS TSANG ARCHITF_CTS
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Page 9
MSION 9 - FINISHES
9.01 Ceramic Tile
A. Conform with ANSI-A118A, ANSI-A118.6 and TCA F122-88 standards.
B. Manufacturer: American Ole an, 2" x 2" X 1/4" size, "Satinglo"
porcelain ceramic mosaic tile with satin glaze finish, architect shall
select color from any 15 pure satin glaze colors or any 15 satin glaze
designer colors.
C. Adhesive and Grout Accepted Manufacturers:
1. Adhesive - Laticrete or PCI.
2. Grout - "Hydroment" by Upco.
D. Provide all required matching trim pieces.
E. Provide matching core and base tile.
F. Grout color selected by Architect from any Hydroment color option.
G. Prepare the sub-floor so that maximum variation does not exceed 1/8" in
10' -0" from the required plane.
9.02 Suspended Acoustical Ceilings
A. Included Work:
1. Suspended metal grid ceiling system including sway bracing.
2. Acoustical tile lay-in panels.
B. Conform with ASTM C635 and ASTM C636 standards.
C. Provide ten (10) extra acoustical tile unites for Owner maintenance.
D. Suspension System Manufacturer:
1. DONN Corporation, "DX" exposed steel grid system.
2. Non-fIre rated.
3. DX-24, 1 1/2" x 12'-0" main tee.
4. DX-416, 1" or DX-424, 1 1/2", cross tees to meet application
requirements.
5. Color selected by architect from any 24 color options.
6. Provide all necessary suspended ceiling grid components,
required for complete installation of system, from one
manufacturer.
BRIDGEVIEW MEDICAL CENTER~. _-:; , :__:\
U/"ll..... I i"," I t.LI
H.ARRIS rSANG ;~RCHITECTS :') - '0'"'
7~2 M~RKET :)Tr:EET, ::UITE 300 J U L !.JJ : JC j
u;COMI\. WM 931.02
Page 10
E. Acoustical Tile Lay-in Panel Manufacturer:
1. Armstrong, "Second Look II" tegular lay-in tile.
2. 24" x 48" x 3/4" with 1" wide scoring (to simulate 24" x 24"
tegular panel).
3. Color selected by architect from any 5 color options.
9.03 RESILIENT FLOORING, VINYL BASE AND VINYL TRANSITION STRIPS
A. Resilient Flooring Manufacturer: Armstrong, Classic Corlon,
Suffield.
1. Color selected by architect from any color in the Suffield
senes.
2. Prepare sub-floor according to resilient flooring manufacturer's
guidelines.
B. Vinyl Base Manufacturer: Armstrong standard vinyl wall base.
1. 4" high topset with thin toe profile.
2. Color selected by architect from any 20 color options.
C. Vinyl Transition Strip Manufacturer: Johnsonite Vinyl Carpet
Companions.
1. Provide transition strip between carpet and hard surfaced
flooring. Center strip underneath door in fully closed position.
2. Color selected by architect from any 20 color options.
9.04 CARPETING WITH CUSHION
A Carpeting Manufacturer: Bigelow, "Interweve Highlights" No. 2J10.
1. Color No. 56696 Rainbow.
2. Install in accordance with manufacturer's instructions.
3. Verify carpet match before cutting to ensure minimal variation in
dye lots.
4. Locate seams in area of least traffic and minimize seams.
5. Seal seams in accordance with manufacturer's instructions.
B. Carpet Cushion Manufacturer: General Felt Industries, "Piberloc II"
commercial carpet cushion.
1. 3 /8" thickness, 32 oz.
9.05 PAINTING
A General Painting Approved Manufacturer: Zolatone 43.
1. Work includes all wall surfaces, wood trim in Room 100 and Room
100 side of door 100 and 100A door frame. Surfaces not to be
Zolatone, include all hollow metal frames, unless noted
Page 11
HARRIS TSANG ARCHITECTS
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otherwise, and walls in Room No. 100, and Room No. 101 face of
doors 100 and 100A.
2. Applicator must be approved by the manufacturer for this type of
work. Contact Zolatone representative (Rex Papard, Seattle
(206) 285-2064) for local approved applicators.
3. Follow all manufacturer's guidelines for storage and use of
Zolatone. See Zolatone Application Manual No. 106 for detailed
instruction.
4. Apply Zo-Dri-Wall Primer 95 primer coat to all drywall to receive
Zolatone 43. Use Zolatone's recommended primer on wood and metal
surfaces.
5. Color to be selected by architect from any Zolatone color.
6. Provide Owner with (3) gallon containers of specified Zolatone 43
color for future touch-up.
B. Other Painting
1. All painting (other than Zolatone) shall conform to the
Architectural Specifications Manual, Painting and Decorating
Contractors of America.
2. GWB wall surfaces (Room No. 100) - System Int. 3-B, (1) coat
premium grade latex primer sealer product No. 33, (2) coats
premium grade interior latex product No. 40/satin finish, custom
color to match adjacent corridor walls.
3. Wood Doors (Room 101 face of Door No. 100 and 100A) - System Int.
I-A, sand and fill door face to repair all surface dings and to
fill wood grain, (1) coat alkyd premium grade wood primer product
No. 33, (2) coats premium grade alkyd finish product No. 36, color
selected by Architect.
4. Hollow metal frames (all frames except room 100 side of door 100
and 100A door trim) Int. 12-A, (1) coat premium grade alkyd rust -
Inhibitive primer, product No. 19, (2) coats alkyd enamel product
No. 36, color selected by architect.
DIVISION 10 - SPECIALTIES
10.01 Toilet and Bath Accessories
A. Manufacturer: Bobrick Washroom Equipment co.
B. Accessory Types:
1. Specimen Pass Thru Cabinet: Bobrick B-505, type 304 satin finish
stainless steel finish.
2. Soap Dispensers: Bobrick B-822, type 304 polished stainless
steel finish. Provide No. 8295-11 spacer as required adjacent to
self-rimming lavatories.
3. Toilet Seat Cover Dispenser: Bobrick B-3017, plastic laminate
color selected from any Wilsonart laminate color option.
BRIDGEVIEW MEDICAL CENTER Oq
In,,;: 1';o']l~IC:L:l
Page 12
HARRIS TSANG ARrHITECTS
748 M~RKET STREET, :::ijJiE :;00
T ACOivlA. WA 984(12
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4. Paper Towel Dispenser: Bobrick B-35907, plastic laminate color
selected from any Wilsonart laminate color option.
5. Toilet Paper Holder: Bobrick B-697, type 304 polish stainless
steel finish.
6. Towel Bars: HEWl #475.7.60, color No.1 white.
C. Provide necessary blocking for all recessed accessories.
DIVISION 15 - MECHANICAL
15.01 Plumbing Fixtures
A. Manufacturers: Kohler, Elkay.
B. Fixture Types:
1. Toilets: Kohler, Wellworth Waterguard elongated toilet, No. K-
3520-EB, color - white (allow one (1) toilet to be "high fashion"
color).
2. Toilet Seats: Kohler
a. No. K-4652, (2) seats shall be white and (1) seat shall be
selected from any "high fashion" color. .
b. Provide 3/8" supplies.
3. Lavatories: Pennington K-2196 with 8" centers and Pennington K-
2195 with 4" centers. Provide appropriate centers to accommodate
specified valves. Color - white (allow (1) lavatory to be "high
fashion" color.
4. Shower Enclosure: Kohler, Cancun II two piece fiberglass plastic
shower cove with seat at right, No. K-1578, color selected by
architect form any "high fashion" color option.
5. Shower Door: Kohler, glassworks shower door, No. K-9877 by-pass
shower door with obscure glass panels and Nevada silver door
frame finish.
6. Double Compartment Sink: Elkay, Pacemaker Starlite Hospitality
Sink, No. BPSR-2317, one (1) sink with three (3) 1 1/4" diameter
faucet holes, 8" centers, and (1) sink with single hole, 20 gauge,
type 302, self rim. Provide Elkay type LK-36 strainer cast brass
connection and p-trap, and 3/8" hot and cold supplies by Brass
Kraft.
7. Lavatory Faucet Type A: Kohler, Finesse Series, No. K-13337, 8"
centers, 1 3/8" maximum countertop thickness, polished chrome
finish, provide grid drain K-7715 c.p., cast iron p-trap K-9000
and 3/8" hot and cold water supplies by Brass Kraft.
8. Lavatory Faucet Type B: Kohler, Finesse Series No. K-13340, 8"
centers, 1 3/8" maximum countertop thickness, polished chrome
finish, provide cast iron p-trap K-9000 and 3/8" hot and cold
water supplies by Brass Kraft.
9. Lavatory Faucet Type C: Kohler, Finesse Series, No. K-15182, 4"
BRIDGEVIEW MEDICAL CENTER
H ~ "'R' -. -.'" ^/'r, ARf'HI-'" 'TS
,i'\i\,,~i,J.'-\I\j_I' \, ItL
713 M,.J..ilKtT Slf;::tT, ~lJllf 'liIU
TACOMA. "IA lJH'j(J;:
0,., I,=- ',=~,! ..'-:-;::1
- ,"d~I...LJ
Page 13
J U,: -) :::'c'- "
L- :..;v ;.;c j
centers, polished chrome finish, provide cast iron p-trap K-9000
and 3/8" hot and cold water supplies by Brass Kraft.
10. Kitchen Sink Faucet: Kohler, Coralais Series, single hole sink
faucet, No. K-15175, polished chrome finish, provide Elkay LK-36
strainer, cast brass connection and p-trap and 3/8" hot and cold
supplies by Brass Kraft.
11. Shower Faucet: Kohler, Finesse Series No. K-13353 c.p. valves,
K-7397 c.p. shower arm and flange with Moen pulsating shower
head. Provide K-9132 perforated chrome plate strainer.
DIVISION 16 . ELECTRICAL
16.01 Light Fixtures
A. 2" x 4" Fluorescent Recessed Fixtures with Built-in Air Return:
Building standard fixture to match existing fixtures. Re-use
seventeen (17) existing fIxtures and provide remainder. Lamp - two (2)
F40 DWW (deluxe warm white).
B. Recessed Fluorescent Wall Washer: Lightolier, No. 8042-AO, Specular
clear Alzak. Lamp - two (2) each, 13W PL.
C. Recessed Fluorescent Down Light: Lightolier, No. 1102 PI frame-in kit
with No. 1120, anodized satin clear cone reflector trim. Lamp - two (2)
each 9W PL.
D. Emergency Light: Same as item "C".
E. Recessed Low Voltage Downlight: Lightolier, No. 7047-AO, specular
clear Alzak cone. Lamp - one (1) each 12 volt 50W PAR 36.
F. Surface Mounted Track with low voltage Track Light Fixtures:
1. Track - Lightolier, 8' No. 6002 and 4' No. 6001, matte white,
provide live conduit above end of track and invisible feed
mounting kit, No. 6080 matte white. Provide any additional
accessories required for mounting or operation.
2. Fixture - Lightolier, low voltage/PAR 36 fixture, No. 6270 matte
white. Lamp - PAR 36, 12 volt, 36 watt.
G. Wall Sconce, Atelier International Lighting, "Quarto", No. F55WIES,
white enameled metal, lamp - 75 W A lamp.
H. Fluorescent Cove Lighting - Lightolier, Perimeter Trough System (PTS),
PTS-3/CD6-3X, 8" wide, provide louvre and reflector, field verify
lengths required and provide all necessary corners and accessories to
completely install and operate. Lamp no, 30, or 40 DWW.
BRIDGEVIEW MEDICAL CENTER
Page 14
, . ~ P. R I ( .- '"' A ,,-, 'R C I I T
f"ii-i . \ ,.) ! ~'-i''1tJ K '. .:11 ECTS
748 ;',iArtt<ET ~7J~~:=i ~ti~rE 'J,':O
r.'./"n '"1' 'I; '. - I"'J"J-:' 'uH) J.
n'.JIo..lr", ".., Q-t'"
0,; i: ~; 7< ~ici)
IU' 0:- or''''
~. ," .. j - .
v L .~l.J ,-.-/...... J
I. Fluorescent Dome Light: Lightolier, Round Dome Diffusing Luminaire,
No. 11538, provide all necessary components for recessed installation
in suspended acoustical tile ceiling.
J. Parbolic Lenses: Louvres International, 1 1/2" x 1 1/2" x 1" cell size,
styrene, semi-specular finish, provide custom size and/or flange to
adapt to existing fixtures, Contractor shall mock-up one (1) fixture
prior to ordering to verify fit.
BRIDGEVIEW MEDICAL CENTER
Page 15
.m I": j-; i\ L ~icj)
~ARR:? .T$~Nr;'~RCH'TECTS
J'!~) ;."......t;\:T S'KEtl. .:~LJ:';E ~~I;lj
T,::"CG~f~ .~. 'NA :~~":G2
J U I /::: 102::-
L .-iLl ~,-,\""'J
BUILDING: '+78-5281
TO: L B~~~~ing -J
Business License
Traffic
e
e
Cityof BremertOll,
DEP.ART~IENT OF CONSTRUCTION
4\....VD LA.ND USE
PLANNING: .+78-5275
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
Fire
Water/Wastewater
Planning
Police
Please review this request for approval to occupy the following structure and
return to this department by 8/21/87 Thank you.
Date:
8/17/87
Permit Technician: Carol L. Johnson
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permi t If
Permit Date
Type of Construction
Square faet
Use
Type of Occupancy
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
2601 Cherry, Suite #111
Bockelie Bldrs., Inc.
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments:
Date: (( ~ I?- - g 7---
Approved ~ /Disapproved l:7 By:
Approved
/Disapproved l:7 By:
Approved ~ /Disapproved
817 PACIFIC AVENUE . BREMERTON. WASHINGfON 98310
Date: 7---17->17
317 PACIFIC AVENUE
BREMERTON, WASHINGfON 98310
Date:
- I <i --~ >
- ,
817 PACIFIC AVE;-.iUE . Bl~UEKION. WASHINGIDN 98310
BUILDING: 478-5281
TO: Building
,
B 0 \ LO
us~ness"" ~cense
Traffic
e
e
Cityof BremertOIt
DEPART:\-IENT OF CONSTRUCTION
AND LAND USE r
PLANNING: 478-5275
Building Department
REQUEST FOR OCCUPANCY APPROVAL
REClEsVED
ilU (:; 1 f) 1987
City of Bremerton Ena'neA""
,J- . .....1.)
~ - - -- ~-
Enginee:;:~ng':j
Fire
I
~ater/Wastewater
Planning
j
Folice
Please review this request for approval to occupy the following structure and
return to this department by 8/21/87 Thank you.
Date:
8/17/87
Permit Technician: Carol L. Johnson
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permi t II
Permit Date
Type of Construction
Square feet
Use
Type of Occupancy
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
2601 Cherry, Suite #111
Bockelie Bldrs., Inc.
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments:
Approved
/Disapproved l:7 By: (
Date: ?,-f' - '? 7
m7 PACIFIC AVENUE G EREMERTON, WASHINGrON 98310
e
-
Cityof BremertoIl.
BUILDING: 478-5281
DEPART~IENT OF CONSTRUCTION
A.ND LA1'ID USE
PLANNING: 478-5Z75
Building Department
REQUEST FOR OCCUPANCY APPROVAL
TO: Building
Business License
Engineering
\, f i :r:e)
Police
Water/Wastewater
Planning
Trafric
Please review this request ror approval to occupy the rollowing structure and
return to this department by 8/21/87 Thank you.
Permit Technician: Carol L. Johnson
Date:
8/17/87
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name or Building
Name of Tenant
(if applicable)
Owner or Building
Nature or Construction
(if applicable)
Address
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
Contractor
2601 Cherry, Suite #111
Bockelie Bldrs., Inc.
Permi t II
Use
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
Permit Date
Type or Construction
Square reet
Type or Occupancy
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments:
o
Approved {,)ZL /Disapproved o By: ~ ~:?~., ~
Date:
--
~-1?-?i7
817 PACIFIC AVENUE . BREMERTON, WASHINGfON 98310
BUILDING: 478-5281
TO: Building
Business License
Traffic
e
e
Cityof Bremert01l.
DEPART)-IENT OF CONSTRUCTION
AND L~-ti"VD USE
PLANNING: 478-5215
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
Fire
c-- PoliCe:
Water/Wastewater
Planning
Please review this request for approval to occupy the following structure and
return to this department by 8/21/87 Thank you.
Date:
8117/87
Permit Technician: Carol L. Johnson
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit II
Permit Date
Type of Construction
Square feet
Use
Type of Occupancy
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
2601 Cherry, Suite 1I1ii
Bockelie Bldrs., Inc.
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments:
Approved l:7 /Disapproved l:7 By:
Date:
817 PACIFIC AVENUE . BREMElITON. WASHINGIDN 98310
BUILDING: 478-5281
TO: Building
Business License
Traffic
e
e
Cityof BremertoTt
DEPART)IENT OF CONSTRUCTION
AND LAND USE
PLANNING: 478-5275
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
Fire
Police
Water/Wastewater
lPiann1~~
Please review this request for approval to occupy the following structure and
return to this department by 8/21/87 Thank you.
Date:
8/17/87
Permit Technician: Carol L. Johnson
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permi t If
Permit Date
Type of Construction
Square feet
Use
Type of Occupancy
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
2601 Cherry, Suite #111
Bockelie Bldrs., Inc.
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments:
,.
Approved ~ /Disapproved l:7 By:
Date:
817 PACIFIC AV~NUE . 3REMERTON, WASHINGION 98310
BUILDING: 478-5281
TO: Building
Business License
Traffic
e
e
Cityof BremertOI\,
DEPART~IENT OF CONSTRUCTION
AND LAND USE
PLANNING: 478-5275
Building Department
REQUEST FOR OCCUPANCY APPROVAL
Engineering
Fire
Water/Wastewater
Planning
Police
Please review this request for approval to occupy the following structure and
return to th~~ department by 8/21/87 Thank you.
Date:
8/17/87
Permit Technician: Carol L. Johnson
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Name of Building
Name of Tenant
(if applicable)
Owner of Building
Nature of Construction
(if applicable)
Address
Contractor
Permit II
Permit Date
Type of Construction
Square feet
Use
Type of Occupancy
Bridgeview Clinic
Women's Diagnostic Center
Bridgeview Investors
Interior Tenant Remodel
2601 Cherry, Suite 11111
Bockelie Bldrs., Inc.
8107
4/24/87
V l-hr
1,074 appx.
Medical Offices
B2
Occupant Load 36
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Comments:
Approved L:7 /Disapproved l:7 By:
Date:
817 PACIFIC AVENUE . BREMERlDN, WASHINGfON 98310
INSPECTION RE~RD CARD
CITY OF BREMERTON BUILDING DEPARTMENT
ADDRESS & DIRECTIONS 2nD] c'herry Sui te 111
~ '''5 U)b>.,3
e
3360 Plumb
8107 Bldg
PERMIT NUMBER
C5{'.
OWNER
CONTRACTOR
~Ii~hb~~gWl-'I~irib
Bock) ip Rl nn::
1
FOUNDATION
CORR O.K.
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING SIZE CORRECT
6. WALL SIZE CORRECT
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCHOR BOLTS
11. FOUNDATION PLATE
12. FOUNDATION VENTS
13. CRAWL SPACE ACCESS
FOUNDATION INSPECTION APPROVED
BY:
PHONE ~H:gg~~
PHONE 377-4196
-,---
COMMENTS:
2 FRAMING COMMENTS:
CORR O.K.
1. WIRING APPROVED --
2. FOUNDATION VENTS --
3. SHIELD UNDER POSTS --
4. POSITIVE CONNECTIONS --
5. SOIL TO WOOD CLEARANCE --
6. POST CLEARANCE - 2" --
7. BEAM SUPPORT --
8. TR. MAT. NEXT TO CONC. --
9. WASHERS ON ANCHOR BOLTS --
10. BEAMS PROPER SIZE --
11. FLOOR JOISTS ?PAN --
12. NOTCHING & DRILLING --
A-FLOOR JOISTS --
B-STUDS --
13. STAIRS --
A-WIDTH --
B-RISE & RUN --
C-WINDERS --
D-LANDINGS --
E-HEADROOM --
14. ATTIC VENTILATION --
15. CHIMNEY STRAPS SECURED --
16. FIREPLACE COMBUSTION AIR --
17. FANS VENTED OUTSIDE ---
18. A-BATHROOMS --
B-LAUNDRY ROOMS --
C-KITCHEN --
18. WATER CLOSET CLEARANCE --
19. SMOKE DETECTOR --
FRAMING)NSPECTION APPROVED
BY: ./~ 1/;041
OJ~
CORR O. K.
20. FIREBLOCKING _ _
A-STAIRS _ _
B-DROP CEILINGS _ _
C-TUBS OR SHOWERS _ _
D-ROOF & CEILING LINES _ _
E-FURRED OUT AREAS _ _
F-FIREPLACE AT CEILING _ _
G-ELECTRICAL HOLES PLUGGED_ _
H-PLUMBING HOLES PLUGGED_ _
I-LID IN VOIDS
21. WINDOWS
A-SAFETY GLAZING
B-VENTILATION
C-REQUIRED FIRE EXITS
D-WINDOW SILL HEIGHT
22. CEILING HEIGHTS
A-BASEMENT
B-MAIN FLOOR
C-UPPER FLOOR
23. SWAY BRACING
24. TRUSSES
A-PROPERLY INSTALLED
B-STAMPED
25. ATTIC ACCESS
26. CEILING JOIST SPANS
27. RAFTER SPANS
28. ROOF SHEATHING
29. ROOFING APPLICATION
30. SIDING
31. CLOTHES CHUTE
32. SHEETROCK BACKING
A-UNDER STAIRS
B-ABOVE GARAGE
DOOR HANGERS
e e
M MECHANICAL CORR O.K. CORR O.K.
1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE --
2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE --
3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION --
4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT --
5. 'B' VENT CLEARANCE --
6. 'B' VENT SUPPORT --
7. COMBUSTION AIR --
8. DUCT SIZING -- FURNACE APPROVED BY:
9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY:
10. DUCT SUPPORT --
11. DUCT JOINTS -- GAS PIPING APPROVED BY:
12. GAS PIPING TEST -- WOOD STOVE APPROVED BY:
13. GAS PIPING SIZING --
14. GAS PIPING SUPPORT -- OTHER:
15. OTHER --
P PLUMBING CORR O.K.
1. UNDER TEST --
2. GATE VALVE --
3. WATER PIPE SIZING --
4. DRAIN PIPE SIZING --
5. VENT PIPE SIZING --
6. PROPER SUPPORT --
7. PROPER FITTINGS -- UNDERGROUND APPROVED BY:
8. VENTING --
9. CLEANOUTS -- ROUGH-IN APPROVED BY:
\ 10. PROPER GRADE --
11. HOT WATER TANK P. R. VALVE --
12. OTHER --
3
WALLBOARQ
CORR O.K.
COMMENTS:
1. LID OVER SIDES _ _
2. NAILING __
3. W/R AT TUB OR SHOWER _ _
4. 5/8 UNDER STAIRS _ _
5. FURNACE ENCLOSURE _ _
6. FIRE SEPARATION GARAGE _ _
7. ATTIC ACCESS _ _
8. DROP CEILING & LIGHTING _ _
9. BACKING AS NOTED ON FRAMING_ _
WALLBOARD INSPECTION APPROVED
BY: 01<- S~ Y4--B'
4
FINAL
1. HANDRAILS
2. GUARDRAILS
A-HEIGHT
B-INTERMEDIATE
3. EXHAUST FANS
A-KITCHEN VENTING
B-BATHROOMS
C-LAUNDRYROOMS
D-DRYER
4. TILE AT TUB OR SHOWER
5. DISHWASHER
PROPERLY INSTALLED
6. FIRE DOORS
A-SELF-CLOSING
B-SIIVEEP OR THRESHOLD
7. ATTIC ACCESS
8. HOT WATER TANK
CORR O. K.
CORR O.K.
9. OUTSIDE GARAGE
10. CLOTHES CHUTE
11. SEWER/HEALTH DEPT.
12. COMMERCIAL BUILDING
A-MECHANICAL APPROVED
B-PLUMBING APPROVED
13. SMOKE DETECTORS
14. FIREPLACE HEARTH
15. SAFETY GLAZING/
DOUeLE GLAZED
16. INSULATION CERTIFICATE
17. FREE-STANDING
FIREPLACE APPROVED
18. WINDOWS & DOORS CAULKED
WEATHER-STRIPPED
FINAL INSPECTION APPROVED
BY: 1); tJ.14.: .
see- ~
St. g-,-~
NOTES:
PLANNING:
I
/ ~I
. e
CITY OF BREMERTON - BUilDING DEPARTMENT
478.5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310
INSPECTION REPORT
PERMIT NO.
8/1J7
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:
(l)
/"1 A.
/'T II'"
~4p
rG; t/;r<.-J
, . J. f-
o n. r i1. \ yo( c.-
w~<;k...
(J~
?X"f; eQ";IP~-i:
~ ~ffl!!r h .:7AII/.c-'Q,;~~e.d w.:ff-ley CCYIf\e.c...~.OV"\. j U.;,2t:t<;~r-hvb/-e-
You are hereby notified that no more work shall be covered upon these premises until the above viola-
tions are corrected. When corrections have been made, call for re-inspection.
Do Not Remove This Tag DATE g: ?-~7 ..~u
INSPEClOR FOR BUILDING DEPT.
(;
.~ '. ,.;;,
,,\,' "f'
'~; ,.r" .
',}-
,!
I'
.
I co --r-\ ~ .~
I
~
;-
'""BUILDIN'G PERMIT
81~7
City of Bremerton, Washington 98310
Assessor's Tax Account No.: 3967-002-001-0000
Phone: (206) 478-5281
Site Address:
2601 Cherry, Suite 111
BridgeviewInvestors
Bridgeview Clinic
Address: same
Phone No.: 373..;.0453
Owner's Name:
Applicant:
DOwner
. DArchitect
[] Contractor
D Tenant
Residence
[iJ Business
o Duplex
D Other:
D Multi-Family (No. units
D Bldg. Move
. .
Interior remodel existing office.
Representative:
Phone:
Representative: H.W. Boeke lie
Phone: 377-4196
Exp. Date: Hl/1/~7
D New D Repair ~ Remodel/Addn
D Sign D Parking Lot
Architect Firm:
Address:
Contractor:' Bocke1ie B1drs. Inc.
Address: 5240 Werner Rd., Brm.
Contractor's License No.:
BOCKEHW342L)
D
D
D
Demolish
Grading (cu. yds
)
Nature of Work Proposed:
! )
':~', t
Sq. Ft.:
Utilities:
D Water
D · Waste
D Sewer
D
Septic
D New
~l Existing
D Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
Plan Review Fee:
Permit Fee:
Surcharges:
$ 134.55
$ 207.00
$20,000
Receipt No.: 76831
Date: 4/14/87
Receipt No.: 7683.1
Date: 4/14/87
B2
State $1.50 [i]
Energy $10/$15 D
Zone Designation:
Minimum Req. Setbacks: Front:
B 2
Occupancy Classification (UBC):
No. Stories:
Side:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
Install Storz Hydrant ~Elaptor 'on hydrant located 1601 Wheaton Way. Install
exit signs. C. Meigs, Fire Marshall
~ . ~k_.,.... \<''\~r\-'' 4&';/7,7
. IN-;;~TIONS REQUI~ED: )Foundation D') Framing ~J PIUmbi~g ~ ~echanical D Wallboard ~ FINAL []
OWNER OR BUILDER SHAl:[ CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING
WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL.
All provisions of laws and ordinances governing this type of work wiH 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 IDeal law regulating construction or,the performance of construction. SEE AND READ NOTICE ON REVERSE.
/? (If'). t/;J. Il /),
Signature. // L"~.-n/),,,J~ //2/ /~f/7--~'"
r
Date
4/24/87
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code I 10 I
r!
r
\f~..=--:-'+:-
,,",16_~_ '.
':.~..--.-4f'
"",
~
~r
{. PERMIT .. (,D7~
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
..
2601 Cherry, Suite 111
SITE ADDRESS
3967-002-001-0000
ASSESSOR'S ACCT. #
Brid~eview Investors
Altenburg Plumbing, 1462 Dawn Rd NE. Brem.
479-4664
ZIP
ALTENI*223JH
PHONE
OWNER
MAIL ADDRESS
Class of work: D NEW
MAIL ADDRESS
~ ADDITION D ALTERATION
PHONE
LICENSE NO.
CONTRACTOR
D REPAIR
D MECHANICAL
Q PLUMBING
COMMENTS
No. Type of Equipment Fee No. Type of Fixture or Item Fee
STOVES Gas_ Oil_ Wood_ WATER CLOSET (TOILET)
FIREPLACE INSERT BATHTUB
FURNACE Gas (Nat._ LPG._) Oil_ LAVATORY (WASH BASIN)
Wood add on_ Other_ Electric_ SHOWER
BTU 1 KITCHEN SINK & DISPOSAL 6.00
Type: Up flow_ Down flow_ DISHWASHER ~
Horizontal_ Wall_ LAUNDRY TRAY
CONVERSION BURNER: Gas_ (Nat._ LP _) CLOTHES WASHER
Under 100,000_ Over 100,000_ WATER HEATER
Oil_ URINAL
UNIT HEATER BTU_ Gas_ Elec._ DRINKING FOUNTAIN
"I. 1 6.00
BOILER Gas----:iPI- Electric_ FLOOR - SINK OR DRAIN
Other_ HP ---..1; . SLOP SINK
GAS SYSTEM Max. 5 outlet Total_ WATER PIPING & TREATING EQUIP.
EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease)
BTU_ VACUUM BREAKERS & BLACKFLOW DEVICE
AC UNIT Electric_ Gas Elec. Combo_ LAWN SPRINKLER SYSTEM
BTU_ SWIMMING POOL - Private_ Public_
HEAT PUMP Single Package_ Split_ GROUNDWORK
Add on_ BTU Ton_ ,~, J SUMP
MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION
AIR HANDLING UNIT CMF _ BTU_ KIDNEY MACHINE
FANS Exhaus~ Supply_ Bath_ 15.00
RANGE HOOD Residential_ Comm._ PERMIT $ / t1.0lO'Q
ROOF DRAINS TOTAL $ 27.00
CLOTHES DRYER Res._ Comm._ NOTICE
INCINERATOR THIS PER.MIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
ALTERATION TO DUCT SYSTEM IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS,
Heating/Cooling_ Exhaust_ PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
TANKS Oil_ Gas_ Propane wlOK I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
from Fire Dept._ Gallons KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
REFRIGERATION UNIT ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER
10.00 SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
PERMIT $ TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
TOTAL FEE $ STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
r. . /"'./ /,'1
,f /"-' //l'. 4/ I / r": -1""- p'
/,;'.1~/:.. /7 /r;UJ!' ' .dt:V'. /' I t;~??~./. ~b? .,
SIGNATURE OF CONTRACTOR OR AUTHOFJIZED AGE~Y
/.
.y)" " J,p t7.
/...-A. --/ (.... I
(DATE)
FINAL APPROVAL
RECEIPT NO.
SIGNATURE OF OWNER (IF OWNER BUILDER)
: --
/C;~7'-.
(DATE)
PERMIT
~~
3360
(White-ORIGINAL, Yellow-INSPECTOR, Pirik:-APPLlCANT)
'REMERTON WATER UTI LIT'
3027 OLYMPUS DRIVE
BREMERTON, WASHINGTON 98310
478-5318
N~
660
APPLICATION FOR WATER SERVICE
Work Order No.
Receipt No.
76886
Bremerton, Washington.
4/24/
.19~
TAP NO:
The undersigned property owner hereby applies for water service at:
Service Address:
2601 Cherry. Brernerton. WA 98310
Legal Description:
Hydrant at 2601 Wheaton Way
Plat
Block
Lot
Kitsap County
It is understood and agreed that any unpaid charges shall become a lien on the property serviced. The City or Utility shall
not be responsible for service outside the Utility boundaries, nor for pressure or volume of flow, greater or less than normal to the
location.
Domestic Service .......................... Size
$
Fire Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Size
$
Temporary Service. . . . . . . . . . . . . . . . . . . . . . . . .. Size
$
Main Installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Hydrant Installation ................................................ $
System Connection ................................................ $
Pavement Restoration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
County Road Permit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Front Footage Fees ................................................ $
General Facility Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Storz Hydrant Adaptor
Other
$
170.80
TOTAL COST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
170.80
Name
Bridgeview Investors
Phone Number
Billing Address
2601 Cherry, Brernerton, WA 98310
Signed ,
By ~~k hi 4:~~
( Agent
Date
4/24/
1987
.-
H.W. Bocke1ie
Accepted on behalf of Water Utility by
.19_
ORIGINAL & YELLOW: WATER UTILITY COPIES
PINK: WATER ENGINEERING COPY
GOLDENROD: CUSlOMER COPY
BUILDING
'ERMIT
APPUc!TION
Site Address:
Phone: (206) 478-5281
Phone No.:
Owner's Name:
Address:
Applicant:
DOwner
D Architect
~ Contractor
o Tena
Architect Firm:
Contractor:
rr1
':),2 ~tJ
JilS
Wc.?' '>1 ~j\ I?d t3 r~ e r (~
BsC/<E Hw 31',;)., LV
..-.J f<.
Representative:
Phone:
Representative: ,j;(!v/~-1
9J/J/L- Phone: '":3? ?~ 71/'1(;
Exp. Date: / ~/o 1(/ i' 7
Address:
Address:
Contractor's License No.:
o Residence
D Demolish
o Grading (cu. yds
0- Business D Other:
D Duplex D Multi-Family (No. units
) D Bldg. Move
;e~ 5~ uJ~l(>S' - Ac:ld..
~ ~ I -L2b/",e::t-- f/J~
P'
D New
D Repair
D Sign
~ Remodel/Adc
D Parking L
Nature of Work Proposed:
S~ JP')~ ~
~ LJc. 2.2>
L:::b;f:cL-4
Q'
Sq. Ft.:
Utilities:
o Water
D Waste
D Sewer
D Septic
D New
D Existing
D Stor!
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
I..J /)UD
"',' " 0
~w .' I I
l't7" .
Plan Review Fee:
Permit Fee:
Surcharges:
State $1.50 ~'
Energy $10/$15 D
3
$ j 3i 55
$ Jo 7.~
Receipt
Date:
<:
Date:
Zone Designation:
~
Occupancy Classification (UBC):
~
No. Stories:
Setbacks: Front:
S:de:
Rear:
Height:
Heat Source:
Comments/Conditions of A.pproval:
I understand that applications for which no permit is issued within 180 days following dat
of application shall expire by limitation, plans and/or other data submitted may be return
to applicant or destroyed by the Building Official. (Sec. 304 (d) UBC). I certify that the
information on this application furnished by me is true and correct and that the applicabl
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building
Stat. Code r---
BUILDING
~RMIT
APPLlC!YION
Phone: (206) 478-5281
Phone No.:
Owner's Name:
Applicant:
DOwner
D Architect
a Contractor
D Tenant
Architect Firm:
Contractor:
/liS c-
we", '>1 t::..i/I Jfd (3 /'>~ e r (en.....
/3d e. 1<' 8 H tv ? y,;), l.. 0
Representative:
Phone:
Representative: #.- ~/~
-JA.Jf< " '1JYJ/P-- Phone: ~? ?- c..;/'?6
Exp. Date: I 2/011/ P' 7
~ Remodel/Addn
D Parking Lot
D New
D Repair
D Sign
Address:
Address:
?'A? 'It)
Contractor's License No.:
D Residence ~ Business D Other:
D Demolish D Duplex D Multi-Family (No. units
D Grading (cu. yds ) D Bldg. Move
Nature of Work Proposed: ~~ 5" ~ uJ 2 ~(> > ---.. Acid.. ~
s~ tfJ?~~ ~, ~L'2-bl'h4-' f/./cnlz
J~Y7~'S.. ~ ~
\ \
LJe 2.2r
L~Jul::eL-4'/h
"
I
1,074 ;j
, ,
Sq. Ft.:
\ "
Utilities:
D Water
D Waste
D Sewer
D Septic
D New
D Existing
D Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b))
uO
).j t1:I /)
r ~ VI
Plan Review Fee:
Permit Fee:
Surcharges:
State $1.50 w/
Energy $10/$15 D
31
$
$ Jo ?,~
Date:
oS
Date:
Zone Designation:
~
Occupancy Classification (UBC):
~
No. Stories:
Setbacks: Front:
S:de:
Rear:
Height:
Heat Source:
Comments/Conditions of Approval:
I understand that applicatio!1B 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
to applicant or destroyed by the Building Official. (Sec. 304 (d) UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file: Pink-Assessor: Goldenrod-Building
Stat. Code !
-BUILDING
'ERMIT
APpu&nON
Phone: (206) 478-5281
Site Address:
Phone No.:
Owner's Name:
Address: ..,..:::,~<:;
/"
Applicant:
DOwner
D Architect
a Contractor
D Tenant
Architect Firm:
D Residence
D Demolish
D Grading (cu. yds
0- Business 0 Other:
D Duplex 0 Multi-Family (No. units
) 0 Bldg. Move
;e~ 5~uJ2~(S" -Ac:loI..~
~ ~. -L?b/'l1~ b-I~
*'
o New
Representative:
Phone:
Representative: );(!v, ~--2--,
" 9JYJ/L- Phone: '?>? /~ c.;./?0
Exp. Date: / ~/o 11/;- 7
o Remodel/Addn
D Parking Lot
D Repair
D Sign
Address:
/
,~<(!)
/liS
Well' '>1 ~~ Rd 6 r~ e r 0~
!36c.{~5 ffw 3~';;' LO
--g}Q
Contractor:
Address:
Contractor's License No.:
Nature of Work Proposed:
S~ JJ??~ ~
LJc. 2.2)
L:::bJ::d-4/~",
" -
Sq. Ft.:
Utilities:
D Water
D Waste
o Sewer
D Septic
D New
D Existing
D Storm
Valuation of Materials/Labor:
[UBC Sec. 304(b)]
u vUO
'qC)()/
l (/' .
Plan Review Fee:
Permit Fee:
Surcharges:
State $1.50 w/"
Energy $10/$15 D
31
o~
$ i 3i 55
$ J() 7.~
Receipt
Date:
Date:
Zone Designation:
~
Occupancy Classification (UBC):
~
No. Stories:
Comments/Conditions of Approval:
Setbacks: Front:
S:de:
Rear:
Height:
Heat Source:
~
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 returnee
to applicant or destroyed by the Building Official. (Sec. 304 (d) UBC). I certify that the
information on this application furnished by me is true and correct and that the applicable
requirements of the City of Bremerton will be met.
Signature Date
Copies to: White-owner: Yellow-file: Pink.Assessor: Goldenrod-Building
Stat. Code ,
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