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Home My WebLink About9112 & 9117 CITY OF BREMERTON - BUILDING DEPARTMENT 478-5281 - 817 PACIFIC AVENUE, BREMERTON, WA 98310 INSPECTION REPORT PERMIT NO. r117. 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: 7?a1 It we. flit tJI <::: / ( nJ/J>"Y-llc,-fr>tbrf / /11 You are hereby notified that no more work shall be covered upon these pre tions are corrected. When corrections have been made, call for re-inspecti Do Not Remove This Tag DATE 1t;/311~ ~ . IJIIJlmtinl["\('. 14.~ , q./ "I?;'y, ~"''\ 0:; - A.~ .\<-<'1 '4''' \:;, ~ ~v0,J:> !~I ~R. < ~J\ ~\ \>\c....K '0 _.J- c-::- I . \ ,> 'fXz.,.: \ ~UJ r~K: ~ i.bl~ ^'~. ~) .~~ CJCJ::) ( c- .:s) . ~~~,:a. , . 0 ~ I ~~ "<<<"'<: ~~ \.J r<Z "III f2-lf'{'P,t~. ~ c.:.r-..::> \ '<Z,c-> l .~6 1) . \\J~ . ", C" 0 ~ . I ~ ~v \<<.~ ''\<<..<<:. \, _. ~ J..... . T 811 l :J .;:;. r~?V\t 1~,\~;ifb~~~~-1l I~ lUti f"'J M4llCZleYl~'- ) :;:J 61 ~ SG:?1fJ ./U(~ ..,. (~Bhtl(h M L > ~ F~,t;~ e'4 ~ .......,.., IV . i '-'-"W'W J ,u I .J f i H >>v.{,'f-t-v.1 . S rttlVi !!J"'t~~~ [f- i:.6lY&'~ ~VU:J a;i>-:U'/U jC/lf'C6~ ;:~: ,~":. ~jJk m,~V{.{.)yJi:' . ~ "t4{", Witl4 ';." ft:;A1lV~ )'~ k1A~ft:tf D~ tt.~~ <2-~<J fu~1'T "1S~~J k1 E /,,'i{ {d. tlt<: fYd b~ i:::, tf)1!1t ;'~ J 1iAtJ \ vt:V<(C.'{A r;> (... 1{'a1.~~ c'>k{. (. k-~ t0C:-~iV /':'Jf"tl j-; (~l1Yr;, ,dcO"ea e:'t.t.e.") -;n14k. 1D~1r., fac.-d ~:nl Vg{;J.. .t~... 6 jete'ro~1'- III F R o M III PRIORITY o URGENT! o SOON AS POSSIBLE I" o NO REPLY NEEDED SIGNED: ~ftJic~ Jvip ~""~';:i?aA ';:, ,. I DATE OF~EPL Y: . j Ii t:ZA- t / 15' P ~. ~~- ~' . . . II . .,- -1 . 'I SIGNEqV JIL .. V J V ( . , I REPLY TO: ci/~ed ~tO~,~ R E P L Y I I ') '.i' RECIPIENT: WRITE REPLY. RETURN WHITE TO SENDER. KEEP THIS PINK COPY. -'_."J-.,. BUILDING PERMIT -NO ~JL12 r . , _ 0 City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: 3967-002-001-0000 Site Address: 2601 Cherry Avenue Phone No.: Owner's Name: Bridgeview Medical Center Address: Applicant: . DOwner ~ Architect D Contractor D Tenant \ Architect Firm: Harris Tsang Representative: Mary Cunnihgham Address: 748 Market St. Suite 300. Tacoma Phone: 272-9383 Contractor: Sunset Pacific General Contractors, Inc. Representative: Address: 3030 ....B 68th Avenue West, Tacoma Phone: 565-6527 Contractor's License No.: SUNSEPG 187BF Exp. Date: 8/7/89 D Residence GJ Business D Other: D New o Repair IX] Remodel/Addn 0 Demolish 0 Duplex o Multi-Family (No. units ) o Sign o Parking Lot 0 Grading (cu. yds ) o Bldg. Move Nature of Work Proposed: TTl..-",,'H nr "-"'Tl$n'" r",mntl",' rn "'''''Q~''''A tln,....orvc:z nffic'" . Sq. Ft.: Utilities: o Water D Waste o Sewer 0 Septic D New D Existing o Storm Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges: [UBC Sec. 304(b)] $ 4S3.93 $ 744.50 3.50 . [] fJ78877 843/88 State ~ $129,900.00 Rec~iPt No.: 1 ~ f> Lf Receipt No.: 1q~ Dif Energy $10/$15 0 Date: / 6 J /;)--// ! Date: /()/I~/ft . . Zone Designation: . Occupancy Classification (UBC): No. Stories: Minimum Req. Setbacks: Front: Side: Rear: Height: ,~;;' ( Heat Source: Comments/Conditions of Approval: ~'" Fire: Install storz adaptor on hydrant 2601 Cherry Avenue. Water: Install vacuum breaker on lab sink. Richard R. Mumma, Building Official INSPECTIONS REQUIRED: Foundation 0 Framing [i] Plumbing 0 Mechanical 0 Wallboard [i] FI NAL [i] OWNER OR BUILDER SHALL CALL ~~8-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS,Af1,E'REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL. All provisions of laws and ordinances govert(rig,.thjs~pe 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.:la:wr,egu@.ti~g'construction or the performance of construction. SEE AND READ NOTICE ON REVERSE. DateV,Jj, f5;& '/b~---- . \.. Signature .~,,~~.:.:... :y'<'. . ~ Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code I ,..' This shaH become nuHand is not cmmnenced within 180 authorized such menccd if the 'or work authorized this the date of such or if this or work or abandoned at any the work is com~ I have rcad and this and know the same lO be of laws and ordinances this of work wiLl hercin or not The of a does not presnme the of any other stme or local law of . of the state contractor's 2. .bel()re bet()re stalled and 3; Wallboard or lath bej()fC aird before occupancy. ci.mcrcre. walls and after all , are '---.-..-,-"...~~>- - S'UILDING PERMIT APPLICATION City of Sremert,.. .------- Assessor's Tax Acco"- Site Adnr-------- ~. Washington 98310 Phone: (206) 478-5281 '~ . <:::::>::)1 . ~ \ ' \ \ . ' \c- .1:>...\ C 4' n~ <2....'1' '5 Address: . \ \ [i2f Architect o Contractor o Tenant ./ ~. \ -=-"'" ") '/0 \-'. --T- ;) OJ q U- (,,:~,ol' '" ',;,>\1-", ~ , \A, , q )?- \ -~ / IOS \5ur,s.ct f~~'c, Ie.-, ~ ~ -- ~.~C).7 ~ \ /,\ --r: l <.::) - \ l' ~. SO \. IA"Ie.f1-/ I tLU yY\~ -- ')"'1,"'10= -} '-\t.\. s ::)7 8 I- ~\ 0 New , ?- % / Vi. ~ \milY (No. un;1s \ t11~ ~\ ~ /) ~ \- Y<ZrA~d<LL1a "--~J:>.+-~ 71~ \ . ", 9,\ ~'~\ lj \o~ " {~l ' 5( . _ \J Septic , ;;r \ \;' \ ~ ~ Permit Fee: ~ ~'0(. . $ Aep~se::~:~~; ;;~~ rrL , L"\:.. Representative: Phone: 1- ~5-105~7 J j f1 Cl Exp. Date: o Dl DG\ o Repair o Sign rszr Remodel/Addn o Parking Lot Nature c ~-r<;:~y. \:5 Sq. Ft.: Utilities: o New lSZI Existing o Storm Valuation of MatI. [UBC Sec. 304(bi \ i~_~ l . \ d-q ( Gl eceipt No.: Surcharges: \ . State $3. 50 ~ Energy $10/$15 0 'e: Zone Designation: ~ Setbacks: B~_ No. Stories: Height: Heat Source: Comments/Conditions of A. \ \ \ , , \ , I understand that applil ._'lllt is issued within 180 days following date of application shall exp _.~ians and/or other data submitted may be returned ...--- to applicant or destroyec _~~dinq Official. (Sec. 304(d)UBC). I certify that the information on this applil ,~~rnished by me is true and correct and that the applicable ----- requirements of the City of Bremerton will be met. S~n~ure D~e Copies to: White-owner; Yellow-file; Pink-Assessor: Goldenrod-Building ~at. Code I ~ BUILDING PERMIT APPLICATION .. Phone: (206) 478-5281 ',? . '. D. Contra~r.' ". . 0' Te'~~,.;t. ~~.~ciF:.' ~'~T~~;~t'-; ,':c" ',....,. ..... ....... Add~~~~ ',';:,~4 .' .. ~+"'.l,V\;-~ ~,~;; .. . ...- ..... . ...~ .,~ 'Represen~:._. ..' ". ..:: qJi;'!",,!!phi,~~:~ -,~~* ~ - ,. ;:"~t,:~_~ '-" ':0,;.::~:~,~'.~~;~. : '" . . . . ~~ ",~:~~.-r,; "'-~~'~' ~'~>i."',_;:i Representative:'" . , '. " .' - t;'!i' r~~fs~~~~~:';:f:~ 'J;"f ><;{::~ }:;y~;!;':~1J;~~ ..' /.-1, ....:,'; . ." ~.~..~'-.~~_:.~.~ . '. ~. '1- ' Ex~ Date.<' .' "~c. ~:;r<;:} ".:. .,\:".~-~:t-+~~!< ~-. ~../ ~".'", [J.:. '..'.. ., 'c...... . ~ " .... '.... . 'D: ", ":":);fY:~;,~:;rD' . ,7':':; '!.c; ;'''0' ". ':":';~'~~~':":S:fi;~;T ..' .;. .,'... ,-:-,,~.~:.;;;.x;,";,..;; ... .. ReSidence.. . ... '....~. Bus,ness,., .... · ..~her:.. ..... ,.... .... ..... ~.'f.""" '. ,.'New..:~,..... ......: Re~r."';"' ... ......... Remodel/Mdn, '~.~~~."-~\.::~"i'''~.~.e :_f:;,~ '{....:.". ::' ':'~.'~ ,,,,: ,,:~~,' , ,.~I~~~~..~..a~.:::'t~;,:,:_{:,:;:':'.~~J.;. ~ ';, ~. ..J..,;.; " ~" ,>', .-:",-. . ;-:<;:i\r.-.;~',~.~'.~~:. ..:~ ~ , " Date: y< ~~i~~~'~~J~;.~'~~~~~~'~:~~~~~~~~~:~~;=~~;;;~;';;~ 'g>mmentslConditions ~t Approval: : ~~:~~V/~~/ "~';:: '.1 !~t: (,~ -::-;':;.:.:I~'f".:~,; '-~;~~~W)~;';J:.~,,~~~.~.~ :}..<:~~ , : ' ,; ~ '" ... t, ,.' 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 returne< 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 Slat. Code! ~l. ..,: ",~,'~;,.c",,-,.!:~'~"~";"~':;-,.,..:~......,.,.....:~,. ~ . _ _~_____ n_ --P' -- _ -___ ____, _--":"~....:~.:~fS~:':'':4~.~.I 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. Signature Date "AJ~ ~.... 1;:'~u.:.L I-ie:, that the applicable Copies to: White-owner: Yellow-file; Pink.Assessor: Goldenrod-Building , ,Stat. Code I .. ~"~t. ; ~~'!~W;:;;:~7-~" 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 ,.;.-;;....->-.,~ ~,.- -~ ,~.. ~~, . .-," '_' -<~,~-~,~"""_,_"'~~~" ~_~.~^'~ ,. _~ ':"!:.,~._-'C~" . . . .. . . '" '''. . - . _.'-_. ~ '-'~' .\_._~~~,;>...,.~~---- ~,...... ..,-"'~ . ..".ot; ~~~J'...i::",,*~"::.:-~., -~;7 .' "- .. ;......,.....;~.,:+~........."....i_.~. "'-"-~ ,.' ..........~..:...>;..;:::'~:":::"'~ ..::~~.;,....~~.;.~~~.,.. "'~"'-~..."'*"~(};....:!.""'^'~..,......."-"O",.,_.j'_. .' ~ ..I.h~...:..,;r.' \- ~~ \ ~~~\(Lv..) Ma.d. C-~,<,. -- il::)\c:...\::" -. (J::::)v-.--.,<---v::Z,:r.,--\'" c::;-<\ \""Y't~\ U->~ \ ~ ___ _ ~=7_c::>_S- ('oj b. --l'0'1': ~'('~\ ~~ -Sb.e.. \ ,,",y- uu= ..I-~~~:~\'~~"'~<~~ ,,:.r';-~- . . '--.-.' . ........... -- . ",c-'K - ,<"""""\=.M> co :k:'" \":". ~\~Lu~\_ -- '-W \v<s: . '5 F~' ~ \ - .\-Y'-r~-'-::5 ~ -r s \~~'\~'C .~~m'o\~d. <:;'N''Y/cZ. ~ ~~y-\O::Y~J . -\.+.~ 2 -\- . lJ..,); \ n (.:: -~, '('Y)c::::-.Yk~Y. - ~~". ~~~J,--nc\ """'~'~1pz~.- \".,~z~::s.-t:".~y-v) C'::><:;\d''(''" V"'Ie \VI \T"Y'\~-T . I. Z S~1'..'-<2. 'o<,..)-\' A.,<.l":-')..;,,,}IO\e.. . S~IC-.e . \ j. \ . ,.., ..~ - BUILDING PERMIT ~N~ 9111 r City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: Plumbing Site Address: 2601 Cherry Avenue Phone No.: Owner's Name: Dr. Zapata Address: Applicant: DOwner D Architect . [!] Contractor D Tenant Architect Firm: Representative: Address: Phone: Contractor: Betschart Plumbing, Inc. Representative: Address: 15911 99th Avenue Ct. E. , Puyallup, WA 98373 Phone: 848-1854 Contractor's License No.: RF.'T'!=;r.PTl HORK Exp. Date: 7/'U)/'),Q D Residence [j] Business D Other: D New D Repair DRemodellAddn 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: Plumbing permit to install 3 water closets. 8 lavs. 1 "shower , Sq. Ft.: Utilities: D Water D Waste D Sewer D Septic D New D Existing D Storm Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges: [UBC Sec. 304(b)] $ $ 87.00 State $1.50 D Receipt No.: Receipt No.: 79217 Energy $10/$15 D Date: Date: 10/14/88 . Zone Designation: Occupancy Classification (UBC): . No. Stories: Minimum Req. Setbacks: Front: Side: Rear: Height: Heat Source: Comments/Conditions of Approval: Richard R. Mumma, Building Off~cial INSPECTIONS REQUIRED: Foundation D Framing D Plumbing 09 Mechanical D Wallboard D FI NAL [j 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 A~D READ NOTICE ON REVERSE. ^ .-.('ff Signature Date UJ f r lfJ.- .- ~ ~ I i I f ~, Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code I r - !~ \ " . -~. '-:" ......, '<:--::"7',.- '-. ~~~~~~~ ~.~~~..,~~.....~.,~~ ~ CERTIFICATE OF OCCUPANCY:. ~ ~ . CITY OF BREMERTON. .... ..BUlL~ING DEP~RTM~NT i ~ . ffl.i;,~ io6ued W . Jorg~ Zapata; M.D.". ..... .,:':. ~. . ~ ..~:U 2601 Cherry Avenue, Suite 304"~;: ~~.. . ~ . . :-~ ~(I~ . CONSTRUCTION . OCCUPANcY .... '. LOAD .... .... . "COMMONUSE.' .......'t'" ....t: 'z.' . . ~ . II-N ,; '<', B2' ':'22 ',' ;',>~, .... r/?1):'" -.~ i i' Offic~c-"~tf}(!j~.,:"'~~:" ~~. . -./ .;- / "....' /-; :"Y...... - ~ -', ...... r..;(A 9J)aIe: ; .~_ -./<: /(' '..~,~_>':':>, '~:~:;:;fijl>~L~ .. January 9, 1988 '. j . ": t. ,,:J:c~::~;~,~,.::/;;" . :'. . ~ . @... Richard R~ Mununa";.:?;;-~,-;':- ' ' ~ . ' This certificate must be posted and perm.amintiy 'mainta!~e~ina'.c~~~PiC~~~~,..~~c~;".,:: ~ " .... .. Permit No. '91l2.:::'.',,~' ~ ~~~ .. .' _ . ...,. ..' r" Ci tf of Bremertoll 239 FOURTH STREET BREMERTON, WASHINGTON 98310 (206) 478 - 5252 MA YOR GENE LOBE B U I L DIN G D E PAR T MEN T February 23, 1989 Lane, Powell, Mosf and Miller 3800 Rainier Bank Building 1301 5th Street Seattle, WA 98101-2647 ATTN: Kirsten Gracey Pursuant to your telephone inquiry, a check of our records reveals tha t we no longer have the original plans for the Bridgeview Building, which houses the Olympic Ambulatory Surgery Center. In my opinion, a medical office which performs outpatient surgery with ambula would be classified as a B2 occupancy. information is sufficient for your needs. Richard R. Mumma Building Official RRM : j 1 cc: file Gateway to the Olympics and Home of the Puget Sound Naval Shipyard I'l , '~ CITY OF BREMERTON BUILDING DEPARTMENT PERMIT APPLICATION DATE: 2-1- ,198 9 TO BE COMPLETED BY 2-6- ,198 9 Bridqeview Medical Center OWNER SlJnspt Pi'lrifir CONTRACTOR 2601 Cherry LOCATION OF JOB For tenant improvements ENGINEERING COMMENTS/REVIEWED BY ~~ IV CJ C CJ /\/)/Lf e- rJ77 It/Ii@ .' . .1t![Y !' -~ .. l~ ,~... .>-" . ... .'~ IOn hllfl- blh!-: ,.0'0' tltftlQ "'ll:tritJ. I)(/)'I/ -'!j . . '/(1;. . . . ./ftl/l/1 DUELUIN\:I PfRMIT APPLICATiON r r III 'City of Bremerton, Washington 98310 Phone: (206) 478-5281 , 2:H~ 7 ~() Od- 0000 , -Qo / -' ASsessor's Tax Account No.: /"? IF/C-;''Jf( A ( ('PtO/~ Site Adcress: , ,,{3,--;2! (] c-, VI~) Phone No.: . . . Owner's Name: Address: 2tcD( C /+g8Lf .c;,/ - n 0 0 - Owner Contrac:cr i Applicant: ~ !~rcnitect 1- " Architec: Firm: ;-s t.txJ r; Representative: Address: -;-7/-CCfP14 [Vfl ?!'1one: ,.--, , J C8!V -11&<< lmes Representative: -- . 07.e,/!' ( C &~I&-rZA( /::::--;" Contractor: o u Y\./" (;:::- r 0 Address: c5cac ~ ro8 l/h'c leY I~~ ,f- W~ Phone: . 0'0.) -b ') ~ iJ c) vi ;tJ.5 Eye;; I<? 7'i? F' 9 i" G~ 7 ,t3~--.--. f) 7 i Contractor's License No.: Exo. Date: , ! - n Residence ~ Business II Other: 0 New 0 Repair fJ<l RemcC2! ' ~ ~ n Demolisn U Duplex n Multi-;::amily (No. units ) 0 Sign [J L-.J ,-'E.r:<:;:-,.-. r--; ~ U Grading (cu. yds ) U Bldg. Move Nature or Work Proposed: --; ....~rU N ,<-T T'U,:J~OU '.t1 c=:it./ Sq. Fl' Utilities: 0 'Nater 0 'Naste 0 Sewer 0 Septic 0 New 0 Existing ! O' 0 Valuation of Materials/Labor: Pian Review Fee: ~rmjt Fee: I Surcharges: [UBC Sec. 304{b)j $ /cJ.. t, 70 s Iqi 00 $J.50'~ jq, ()f) 0 State . ~, 70 '-SJI Receipt No.: r;q55/ U Receipt 1: .? Ene rgy S101S'S , Date: I 3) /tq Date: I /3/ / d7' I j Zone Designation: Occ:Jpancy Classification (USC): No. Stories: Setbacks: Front: .' Side: Rear: Height: Heat Sour:ce: .- - ! " ........ .- Comments/Conditions at Approval: G I\.j Ie J_ 2.., f - k/j l " I ... . ., - >' . . -. . ~ '..lnde:::-s~and ~iat ac"" ; c.a:...'; "'ns' :c:::- .~hic:,. :10 pe=:nl. ~ is issued .....i bin 180 days fol!:c.....:. ::--:; - ...:---- ,--"_... _. of a!??licacicn shall expi:::-e by li:ni':3.tion, ;?lans and/or ot~e:::- data submitted .~.- '.- ,'. :nay ::e.:: e :: _ . to a!?plica:1t or- dest:::-oyed ~y tie 3uilding Official. (Sec. 304 (d) UBC) ... ce:::--=1:#7 '::-;a::: - .' . ... -- . in:cr::lat:.ion on this app li::a cien :u:::-:1ished by me is t~u.e and cor:::-ect and t..'1 a t t::-::.~e. a;:~_;;.::~ '-oc"; '-omen-- ~he C' -'I€)': 3rome.....-n '....i l' l:Je :net. ~--~--~ ~ --y ..~_.~ -.. Date df v' - Signature . . <Z>-f ..}-v-,' , ~~_ .. . - -',4...-0 - ~ .,' .... i/ .. '- '.. '. CODles ;0: White-owner: Yellow-lile; Pink.Assessor:GolcenrCXl-3Llllding BUILDING PERMIT APPLICATION F City of Bremerton, Washington 98310 Assessor's Tax Account No.: ~ ~ 7 - 0 Od. -00 I -" 0 00 0 Site Address: ,B/cZla0, VI~ 1JI/(;;:JfCv( ( CE'tOT~ Owner's Name: Address: 2 toOt Phone: (206) 478-5281 Phone No.: C I+EKPV; ,C::; "/ , Applicant: DOwner o Architect o Contractor o Tenar Architect Firm: 73 t7(xJ C-; Address: -P/'l-COJH4 t"O A: Contractor: 0.:..;< YV Address: a 0 dO B Representative: Phone: T~,f l-tfi{ 91'0~7 ~ Phone: l::~ '00;;-6 ~ 27 f) 7 J fj Contractor's License No.: /1-e to ~ rl/V~ It.J tS v ttJ5 EY<$ leg 7"6 F' Representative: Exp. Date: o Residence o Demolish o Grading (cu. yds Nature of Work Proposed: ~ Business o Duplex o Other: o Multi-Family (No. units o Bldg. Move 7er1.JrV i.:2:T rtUj.7,go\JfJ1~ o New o Repair o Sign o Remodel/Add o Parking L( Sq. A.: Utilities: o Water o Waste o Sewer o Septic o New o Existing o Storr Valuation of Materials/Labor: [UBe Sec. 304{b)) Plan Review Fee: Receipt N Date: / /~?, 7() : 7Q~-S7 Ja Permit Fee: $ Iqi OD Surcharges: $ Jq, Df) () State $3.50.IR:l Energy $1OJS15 0 Date: Zone Designation: Setbacks: Front: Occupancy Classification (UBC): Side: Rear: Height: No. Stories: Heat Source: Comments/Conditions of Approval: J? Li) ~ ~ I understand that applications for .....hich no permit is issued .....ithin 180 days follcwi:1gia: of application shall expire by limitation, plans and/or other data submitted may =e ret~=~ to applicant or destroyed by the 3uilding Official. (Sec. 304(d)UBC) _ I certify that ~~e infor.nation on this application furnished by me is true and correct and that ~~e applicab: requirements . e Ci tv f or rton .....ill be :net. Signature Dale a ( \:J~r1' 8:1 Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenroo-3ullding Stat. Code . BUILDING PERMIT APPLlCATIONrr-urBREN mcRToN City of Bremerton, Washington 98310 Phone: (206) 4fl-5.2j3~8 Assessor's Tax Account No.: C3:Pt ~ 7 - 0 Od. -00 / -- 0000 MUNICIPAL UTI ,9 Site Address: ,8/<2-/11(-, Vle-cv iJ1Cd (( vi ( C PHJT~ Phone No.: UT,f:;t::; Owner's Name: Address: 2.taOt C 1+~l1 ,0::::; 7' Applicant: DOwner o Architect o Contractor o Tenal Architect Firm: 73 t7fx.J C-; Address: - /1?-Cow4 W ~ Contractor: Ou yv Address: aD dO B Representative: Phone: Contractor's License No.: to ~ Ijfue lU c'Sv JVc5'EY<$ leg 71<: F Representative: T~;f ~ Phone: 9 /' 0~ 7 ~ . Exp. Date: I:::-~ r 00:; -6 ~ 2.7 (j'.l 7 / lj D Residence D Demolish D Grading (cu. yds Nature of Work Proposed: g] Business D Duplex D Other: o Multi-Family (No. units o Bldg. Move 7 c: r1..) rU t<: T ::TtU 17 #!O \J lt1 ~ o New o Repair kSI Remodel/Add ifn) Q I Sign 0 Parking II L~~.~~DW&@ rt:R / WOn . '- ~J I) Utilities: D Water D Waste o Sewer D Septic Cl\riv]iR !UN BUILDlNr, Sq~~:....-..- 6, ,I~' , ~fJt-l t...JM t o New 0 Existing o Star; Valuation of Materials/Labor: [UBe Sec. 304(b)] Plan Review Fee: Receipt N Date: / P9rmit Fee: $ !qf 06 Surcharges: $ }q, DO 0 State $3.50 lEt Energy $101$15 0 Date: Zone Designation: Setbacks: Front: Occupancy Classification (USC): Side: Rear: Height: No. Stories: Heat Source: ! unde=stand that applications for ~hich no pe=mit is issued within 180 days followi~g ~a: of application shall expire by limitation, plans and/or other data submitted may ze =e~~=~ to applicant or dest=oyed by the 3uilding Official. (Sec. 304(d)UBS). I ce=ti~y that =~e info~ation on this application fu=nished by me is true and correc~ and ~~at the applicae: requi=ements e City f Br =ton will be met. .~-c-.. Date a ( a:<rrO '8 ') Signature, F Copies to: White-owner: Yellow-file; Pink.Assessor: GoldenrOd-8ullding Stat. Code . BUILDING PERMIT APPLICATION r City of 8remert~n, Washington 98310 Assessor's Tax Account No.: C3:I1 ~ 7 - 0 Od -00 / -- 0000 Site Address: ,Ua-I(/<-' Vle-tV Il1c;cl/( <1 ( C L?PUT~ 'Owner's Name: Address: .2. toOt Phone: (206) 478-5281 Phone No.: C 1+~1 ,C::; '/ , Applicant: DOwner o Architect o Contractor o Tenant Architect Firm: 7-svfxJ~ Address: f//l-Cow4 t,.LJ ~ Contractor's License No.: Representative: T~-1 ~ Phone: 9 r t,~ 7 ~ . Exp. Date: Representative: Phone: Contractor: 30' IV Address: 38 dO 73 r-;) Co ~ II/V~ lU o V N<5'SY9 leg 7<6 F 6-;;J r 0706-6 ~ 2.7 V!7/tj o Residence lEJ Business 0 Other: 0 New o Demolish 0 Duplex 0 Multi-Family (No. units o Grading (cu. yds ) 0 Bldg. Move Nature of Work Proposed: 7c:rVrV <.::::T -:TtU,opE!OI,)U1e:rJ o Repair o Sign ~ RemodellAddn o Parking Lot Sq. Ft.: Utilities: o Water o Waste o Sewer o Septic o New o Existing D Storm Valuation of Materials/Labor: [UBC Sec. 304(b)] Plan Review Fee: Permit Fee: $ ItJg. 06 Surcharges: /q, DO 0 State $3. 50 ~ Energy $10/$15 0 $ Date: Zone Designation: Setbacks: Front: Occupancy Classification (UBC): Side: No. Stories: Heat Source: Comments/Conditions of Approval: F I L ~ I understand that applications for which no permit is issued within 180 days following dac~ of application shall expire by limitation, plans and/or other data submitted may be =et~=~e: to applicant or destroyed by the Building Official. (Sec. 304(d)UBC). I certify that t~e information on this application furnished by me is true and correct and that the applicable requirements e Cit f Br rton will be met. Signature Date a ( \T~"" B',J Copies to: White-owner: Yellow-file; Pink-Assessor: GoldenrOd-Building Stat. Code : Tenants located in Bridgeview Building As of March 21, 1989 Tenant Suite Number Kimberly Quality Care 100 Kitsap Imaging 102 Ultrasound Technical Services 102 Kitsap Radiology 102 Suite 104 has been incorporated with Suite 105 Advanced Medical Imaging 105 A.R. Islam, M.D. 105 Women's Diagnostic Center 111 Vacant 113 Olympic Ambulatory Surgery Center Prescription Optical John Richardson, M.D. Joe Jack Davis, M.D. Robert Caulkins, M.D. Steffan Tolles, M.D. Jim Green Bremerton Physical Therapy CAPRI David Eldinger, M.D. Donald Sharman, M.D. Eye Clinic of Bremerton Terrill Olsen, M.D. Thomas Schubert, M.D. A.R. Islam, X-ray B.A. Legler, X-ray J.F. Kadlec F.M. Schroeder L.D. Dalan 200 202 206 208 208 211 211 211 213 213 215 215 215 219 219 219 219 219 Orthopedic Surgery and Fractures Gordon Cromwell, M.p. Price Chenault, M.D. Jorge Zapata, M.D. Olympic Peninsula Services William Walgren, DMD Larry Gorman, M.D. Larry Iversen, M.D. Orthopedic and Hand Surgery Kitsap Internal Medicine Belding, M.D. Hamon, M.D. Hennes, M.D. Kitsap Pulmonary Functions W.O. Colignon, M.D. 300 300 302 304 304 308 311 311 311 315 315 315 315 315 315 .~ ,6/' / 10 ....... J - ~ .-k-. ,~ ~ " .. . . ,'::" / \ ~ ....,.~.{'.,~('. l,;'/"'J'~Io.II"';''''V'''- ... -(';-. ..n~' -., .-.,- _......~'\.~.....;,..,._.v.,_,'I..,' .~ BREMERTON WATER UTILITY 3027 OLYMPUS DRIVE BREMERTON, WASHINGTON 98310 478-5318 '" ~'\ ,"'<.~ '" ia@$ APPLICATION FOR WATER SERVICE Work Order No. Receipt No. Bremerton, Washington, March 10 ,19~' TAP NO: The undersigned property owner hereby applies for water service at: ., , ./' 26~Cherry Avenue Service Address: Legal Description: Install Storz Adaptor at ~638 Cherry Avenue 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. . . .~. . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .. $ Hydrantlnstallation .... .~.\p...... .P..\. .~L1L-'j $ System Connection . ~...... U..~ ~EJ[~.......... $ Pavement Restoration .. .D .~. .~. t. . G. . . . . . . . . . . . . . . . . . . .. $ County Road Permit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Front Footage Fees ................................................ $ General Facility Fees. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Storz Adaptor Other $ 128.64 TOTAL COST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ 128.64 Name Bridgeview Medidel Center Phone Number Billing Address 2601 Cherry AVenue Signed Date ,19_ Owner By Agent Accepted on behalf of Water Utility by ,19_ ORIGINAL & YELLOW: WATER UTILITY COPIES PINK: WATER ENGINEERING COPY GOLDENROD: CUSTOMER COPY