HomeMy WebLinkAbout5352A
B U I L DIN G ''t> E R M IT
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5352
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ SOz>o ~ '3 J- ,8' J $ 50,50 /2.y82- /-.5--fy
$
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OWNER'S NAME I/,~. ~f 14-.n /l-t..f) ADDRESS
CONTRACTOR ..5(.0 r ~ STATE CONTRACTOR'S L1C.#
ADDRESS ,Pd) 4 ...s-s- () r-O>t~ l~J ct
o RESIDENCE .0 BUSINESS 0 OTHER 0 NEW
SITE ADDRESS I LOCATION .1' (;;6 /
PLANNING I ZONING
PHONE
5C-o T-C -if -;r /9 ?C.s
PHONE
o REPAIR
O)-(iEMODEL
DEMOLISH
SIGNS
STORIES
o
. 0
OCCUPANCY
o ADDITION
THIS PERMIT ISSUED FOR:
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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 locall?;w regulating construction o€;the performance of construction.
INSPECTIONS REQUIRED: Foundation 0.. Framing ~ q Plumbing 0 Electrical 0 Wallboard ~ FINAL~
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
. NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
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Building Inspector
OWNER'S SIGNATURE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
BY
Sh
Authorized Agent
BUILDING DEPT.
e PERMIT .
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
JOB ADDRESS
j:) 00 /
ZIP
PHONE
PHONE
LICENSE NO.
Class of work:
o ALTERATION
o REPAIR
D MECHANICAL D PLUMBING
CHIMNEY (No fee information only) INSPECTION: Groundwork Gas Test
Masonary Lines Unlined Wasted Vents Water
Factory Mfg Type B Type L Htg. Ruffin Chimney
Location: Internal Outside Wall Stove or Insert Refrig.
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_ I LAVATORY (WASH BASIN) ? ~"
Wood add on _ Other_ Electric_ SHOWER
BTU KITCHEN SINK & DISP.
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 HEATERS BTU_ Gas_ Elec._ DRINKING FOUNTAIN
BOILER Gas_ Oil_ Electric_ I FLOOR - SINK OR DRAIN --:J c;-- r)
Other_ HP_ SLOP SINK
GAS SYSTEM Max. 5 outlet Total_ I WATER PIPING & TREATING EQUIP. ,S- OD
EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease)
BTU_ VACUUM BREAKERS & BACKFLOW DEVICE
AC UNIT Electric_ Gas Elec. Combo LAWN SPRINKLER SYSTEM
BTU_ SWIMIVIING POOL - Private Public
HEAT PUMP Single Package_ SpliL- GROUNDWORK
Add on_ BTU Ton_ SUMP
MIXING OR REHEAT BOX CFM_ BTU_ ALTERATION
AIR HANDLING UNIT CFM_ BTU_ POST & BEAM
FANS ExhausL- Supply_ Bath_ ,-YO
RANGE HOOD Residential_ Comm._ PERMIT $ S
CLOTHES DRYER Res._ Comm._ TOTAL $ J--; ,')r)
Incinerator NOTICE
ALTERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
Heating/Cooling_ ExhauSL- IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
TANKS Oil_ Gas_ Propane w/OK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
from Fire Dept._ Gallons_ WORK IS COMMENCED.
REFRIGERATION UNIT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE-
PERMIT $ THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE-
TOTAL FEE $ SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR-
MANCE OF CONSTRUCTION.
. FINAL APPROVAL
/-'2 .-1?
(DA TE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
(SEE OTHER SIDE)
RECEI PT NO.
,7? ~<C/ P
PERMIT NO.
~~
(DA TE)
2168
(White-O R IG I NA L, Yellow-I NSPECTO R, Pink-APPLI CANT)
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Olympic Peninsula Kidney Center
."
2601 Cherry Avenue . Suite 104 . Bremerton, Washington 98.310 . 479-5908
24 April 1986
Bremerton Planning and Building Departments
Bremerton, WA 98310
Dear Sirs:
Please accept the enclosed square footage breakdown as the basis
for parking space allocation. Using this breakdown and current
code, we determine that the new Olympic Peninsula Kidney Center
location will require 25 spaces.
Please feel free to contact me should you have any questions.
fjjj(~
Robert C. Schneidler
Executive Director
APR 23 1986
City of Bremerton
Planning Dept.
BOARD or DIRECTORS: Art Anderson. Robert Bradley · Kenneth Cogen, M.D. · Gary A. Cunningham · Clarence De Witte
James Kilduff, M.D, . Captain Willis Lent . Wanda Mosbarger · Clint Shinkle · E. L. Sturdivant
Robert Wilson
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OLYMPIC PENINSULA KIDNEY CENTER
Office
-Lounge
-Hallway (off Lounge)
-Toilets
-Head Nurse
-Hallway (W. of Hd. Nrse)
-Main Office
-Main Hallway
-Waiting
Subtotal
Treatment Area
1 0 Bedsi~
Storage
-Main Floor
-Basement
N/A
1 .8: Bed
18
436
4000
4436
1 : 2000
-L
Total Required &2
* As per Department of Social and Health Services' Certificate of Need.
~;?R 23 1986
City 01 Bremerton
Planning Dept.