HomeMy WebLinkAbout2419 Arbutus Ln - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000310 Date
498430
2419 ARBUTUS LN
06-30-01-5-5-0120-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
Owner
Contractor
ANGELA AGREN
.2419.ARBUTUS LN
PORT ANGELES
OWNER
WA 98363
Structure Information 000
Other struct info . .
000 1372 SQ.FT SFR W/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ATT GARAGE
21. 90
1. 00
9034.00
1978.00
1.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1372SF SFR W/ATT 528SF GARAGE
51136
898.25 Plan Check Fee
7/26/05 Valuation
1/22/06
Qty Unit Charge Per
BASE FEE
33.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
51144
68.75 Plan Check Fee
7/26/05 Valuation
1/22/06
Qty Unit Charge Per
BASE FEE
3.00 7.2500 ECH ME-VENT FAN
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
51151
132.00
7/26/05
1/22/06
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
7/26/05
/9~
;?}o)7t~
.00
82980
Extension
667.25
231. 00
.00
o
Extension
47.00
21. 75
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Special Notes and Comments
SeparatJ>P'tj1{i~gg?e reaa1l-~d fB~elaet\i~~~rK,-SEP-~,-Sfi6re1In-e,"ESA~ utiTit1es, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. 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 whether specified herein or not. The granting of a permit does not
presu g" authority to vio~ate'or c el the provisions of any state or local law regulating construction or the performance of
str~"' ~
2 {, .....JlA- (1':)
Date
.00
o
Extension
47.00
56.00
7.00
15.00
7.00
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
..
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: --: .,' . .
. ;,
FOOTINGS , .
WALLS , ,...
"
FOUNDA nON DRAINAGE / DOWN 'SPOUTS..
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CF.LLING
MECHANICAL l.#rfJ
I-lEA T PUMP / FURN~AmCTS
GAS LINE ~
WOOD STOVE / PELLET / CHlt-'INEY
COMMERCIAL HOOD / \Du()'fs
MANUFACTURED HOMiV'
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRlCA1.
LIGHT DEPT
CONSTRUCTION R.W.I PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005J
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000310
Application pin number 498430
Page
Date
2
7/26/05
Special Notes and Comments
Proposal will result in 22% lot coverage. Setbacks are
good.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Buildin~ Depart~ent is required prior to backfill.
New subdivision.o~side t~e four.m~n~te response time shall
be equipped with a resideneial.~prinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. '. . ~,..
Construct driveway and Sidewalks to City Standards.
No concre~ wit~l~~~~~d:~gg~e~ate a~lowed in the City
road right bf way. An i:nspect'ion by'Public Works
Engineering is required prior to prouring concrete.
.
. . .
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1099.00 1099.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2873.50 2873.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. 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 whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\l102_15 building permit inspection record05.wpd [1/412005]
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BUILDING PERMIT INSPECTION RECORD ~
v.\
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. '
CALL 417-4807 FOR PUBLIC WORKS UTILITIES -..)l
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. "IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE Q
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS F1 -/ 9-0..1- .,JI-J.--
WALLS ~- ~,........_r:; , Ll.
FOUNDATION DRAINAGE / DOWN SPOUTS 1/0- ~ ar- , I l.-l
PIERS
POST HOLES (POLE SLDGS.)
PLUMBING F ,~;.,.;,~( Y/~O II} 0
UNDER FLOOR / SLAB
ROUGH-IN 2 j, d-IOfQ SW
WATER LINE (METER TO BLDG) I~/I i7-/0 (' ...Tl-L--
GAS LINE I
BACK FLOW / WATER
AIR SEAL
WALLS 14./0..0(:, l~
CEILING
FRAMING If-IO -"" F ~IH~. VA
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS ,
WALLS / ROOF / CEILING J./ /" /06 JJ..,L--
DRYW ALL (INTERIOR BRACED PANEL ONLY) .;'/p.. If) (; .J1.t-
T-BAR F
INSULATION
SLAB } I /
WALL / FLOOR / CEILING If' jH /0(:, .:Jlv
MECHANICAL - 0o/~
HEAT PUMP / FURNACE / DUCTS ~erl
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEP ARA TE PERMIT li's SEPA:
P ARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 "..,/ J -~ PLANNING DEPT.
Z1!-" /itr. V~
BUILDING 417-4815 - /v lY BUILDING
T:\Policies\1102_I5 building permit inspection record05.wpd r'I/4/2065]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
I,,,.
ANGELA AGREN
2419 ARBUTUS LN
PORT ANGELES
7/26/05
05-00000310 Date
498430
2419 ARBUTUS LN
06-30-01-5-5-0120-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
Contractor
OWNER
WA 98363
000 1372 SQ.FT SFR W/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Structure Information 000
Other struct info . .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ATT GARAGE
21. 90
1.00
9034.00
1978.00
1.00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN WATER METER
51185
195.00 plan Check Fee
7/26/05 Valuation
1/22/06
.00
82980
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
195.00
RIGHT OF WAY
51169
50.00
7/26/05
1/22/06
plan Check Fee
Valuation
.00
82980
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
511 77
110.00
7/26/05
1/22/06
plan Check Fee
Valuation
.00
82980
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
05/12/2005 12:36 PM SROBERDS ---------------------------
Proposal will result in 22% lot coverage. Setbacks are
good.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection, 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 ord' ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
m to gi ority to ".~9Ia:Icancel the provisions of any state or local law regulating construction or the performance of
construct on. /
r-
..... -'- ;;2-6 ::JL/L c!l j
tractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T;\Policies\1102.15R [1105]
PERMIT INSPECTION RECORD
'i
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
.
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH ,
BACK-FLOW DEVICE I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . .. 05-00000310
Application pin number 498430
Page
Date
2
7/26/05
'Special Notes and Comments
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
New subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. 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 whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.1 SR [1/05]
PERMIT INSPECTION RECORD
~
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
.
T;\Policies\1102.15R [1105]
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
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Job Located at
Qlf 11
A~tuS
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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Date 4/ro ) o{O
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
05-00000310 Date
498430
2419 ARBUTUS LN
06-30-01-5-5-0120-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
4/05/06
Owner
Contractor
ANGELA AGREN
2419 ARBUTUS LN
PORT ANGELES
OWNER
WA 98363
Structure Information 000
Other struct info . .
000 1372 SQ.FT SFR w/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ATT GARAGE
21. 90
1. 00
9034.00
1978.00
1. 00
Permit FIRE SPRINKLER RESID
Additional desc
Permit pin number 73965
Permit Fee .00 Plan Check Fee .00
Issue Date 4/05/06 Valuation 0
Expiration Date 10/02/06
Special Notes and Comments
05/12/2005 12:36 PM SROBERDS ---------------------------
Proposal will result 'in 22% lot coverage. Setbacks are
good.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. lOrd. l4.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
New subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
745.00
~
.........
~
,~
J\
~
~
~
frl
This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the r~visions of any state or local law regulating the work specified in the permit.
Vi, L
Signature of Contractor or Aut Signature of Owner (if Owner is builder) Date
.
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test . pSI
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
CITY OF PORT ANGELES.
FIRE DEPARTMENT PERMIT
321 East 51b Street, Port Angeles, WA 98362
Application Number . . . . . 05-00000310
Application pin number . . . 498430
Page 2
Date 4/05/06
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .00 .00
This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examine::l this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if Owner is builder)
Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test pSI
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 2419 Arbutus
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
Type of System: Open 130 13RO 13D~
Date: 4.3.2006 PAFD Permit #: 06-19
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush ofthe underground piping is required.
A design sprinkler flow test and alarm test are required for all13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFPA Standard. This 13D system will require a
measured flow test.
Contractor
Reviewed by: ~~--idQ
Date: ~ .?> . 0 "
II!]
o
o
Building Department
Fire Department
--~
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec-:'t--;;;i2.8 ~
Permit #:" . J71 D
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Date Approved: It .
Date Issued: ~ /It) &
, II
Applicant or Agent: : Vl C Q...V\.- +- Q. -++ e..r Phone: L/ S ..2.. - /..J e J
Owner: J-.J-o v-. S ] \.1 'J j.) ~ -I:.. L, 0 V' I ~I-'J cr,p I c.. II ~ V'-. Phone:
Address: 2 bO J .s () I-,rChI..-1 c;Y City: ~O tr+ /),--,]..tl R..j Zip: C; 8 J r;; 2
Architect/Engineer: Phone:
Contractor I N/IIot/ J-T$/J J::" 4i2 ~ State License #:/~/VtJ//p J d ~ttfi)?., -?/4/0,) Phone:
Address: 8/ !)Jf2,w Jf4l/~ L.VJ City: Poyj..jl~J.eLeJ Zip: 9.8-Sb 2-
PROJECT ADDRESS: 2- L{ I 0, A v b LA.. + lA S ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
r:::.- / r ..e..
SIZEN ALUATION:
SF. @ $ /SF. = $
SF.@$ /SF.=$
SF.@$ /SF.=$
.s ,TQTAL VALJJATION, $
P v-/""'l rcl-R,....r -00.r rR~
-to
2/00
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are
submitted. All other pennit fees are due at the time of pennit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are requi d ,not the City's, and that I must obtain such permits prior to work.
T,IRVESSIBLDG-f_-brooh.=\2004-B.i1d;agp"",bpd Applicant /J (j Date, J/Z~~h
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I-Jarl}~s L1erJ,y -_Eloo'i-"conc@ons on Arbutu-s-:-'
" "'~ -~-PageTll
From:
To:
Date:
Subject:
James Lierly
hacc@olypen.com; shhomes@olypen.com
1/6/06 1 0:03AM
Floor conditions on Arbutus.
Clallam County Housing Authority
Gregg, now that we are in the rainy season, I noticed that the subfloor material has begain to swell and
deform. Most flooring has an exposure time frame specified by the manufacture, usually around 90 days.
This is the same condition we had last year on "0" street in the first phase and as per our conversation at
the begining of the second phase, I mentioned that i would hope to avoid over exposure on the second
phase.
At this point, i want you to complete and cover all existing structures that are framed before any other floor
systems are intiated. This will give the interior time to dryout and after the structure is enclosed, provide
heat, as was required on the first phase. (there is a device that i have seen used on other sites that acts
like a squeegee) that you can push the water outside the structure to help keep the water off the floor.
Please do not hesitate to contact me if you have any questions about this requirement.
City of Port Angeles
Building Inspector
Jim Lierly
360-417-4816
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
, Correction Notice
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nd.{o, /11 ~v{,t/1VS.
Job Located at c::;r (l I ~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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These corrections must be made and are not to be
covered until reinspection is ri1~;hen corrections
have been made, please call 0;/ ,--
f' t' ( J
or Inspec Ion.
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/ In pector (or Building Division
DO NOT REMOVE THIS TAG
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JOB NO:
02030
CLIENT: FILE:
HOUSING AUTHROITY OF THE COUNTY OF CALL AM LOT12.DWG
2603 S. FRANCIS STREET DATE;
"- PORT ANGELES, WA 98362 7-29-04.)
(I......?DI<....~'.....~ ...
~ .'
L
.:p la \1\ l2> 1
\3
BUILDING PERMIT - APPLICATION
fJc. j))C<JlIf, r-e. v} <. w ~~
www.cityofpa.us
Print out form and fill out COMPLETELY in INK. Your application and site,
plan MUST BE COMPLETE to be accepted for review.
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Applicant or Agent:
Owner:
J/-otl::> /All-
t!()thl T'1
1). n tr) r1
;:}UrlftJ tl / r y O'-=- T,4IF
OF t' t ,.f { (. ,4-/'1 Phone: /7 ,5;7- /~ j'1 -eel- lir
~8r~Vl Phone:
City: Zip:
Phone:
State License #: Exp: Phone:
City: Zip:
4;(~/..f;1t/.5 roll " A ,v~E'- E S
,,(,4'VF . 91>3(,3 ZONING:
,
Block: Subdivision: 1fJ", Jro# A- W 0 (JJ ~
Address:
Architect/Engineer:
Contractor
Address:
PROJECT ADDRESS: d~/tJ
LEGAL DESCRIPTION: Lot: / :(
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA_MC #
TYPE OF WORK:
rYResidential ~ew Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
otYtF SrOi? lr-
SIZENALUATION:
o Stove I ~7Z. SF. @ $ /SF. = $
w-Garage S-zg SF. @ $ /SF. = $
o Deck ., B SF. @ $ ISF. = $
TOTAL VALUATION $ tg2 <aCiD. 2c-
/VIE IA/ S/I\/fr t. €' Ft9/17IL ~ 1?/E'::;/DIFNC~
.47 T l'ft' Hl!" D d - C A-i? c;,q ~ A (;-/E
WITH
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: L Lot Size: :J D'S '-I Existing Sq. Ft. 125
Total lot coverage '2. J I 'Cf
Occupant Load:
Construction Type:
& Proposed Sq. Ft. "'<17S = TOT AL Sq. Ft. I 9 '7~
%
PLANNING USE ONLY:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICA nON SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05 .3.2
of the International ijuilding/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and kno the
understand that it is my responsibility to determine what permits are re hire
www.cityofpa.us
Applican
Fire Sprinkler System Plan
Innovated Fire
Sprinkler Systems
81 New Haven Lane
Port Angeles, WA.,
98362
(360) 452-7583
"2\D
~ OJ//
March 21,2006
For: Housing Authority Of CIa II am County
2603 So. Francis
Port Angeles, WA. 98362
Location: 2419 Arbutus (lot 12)
Port Angeles, WA., 98363
J.j v l1rVKAULIC CALC~ATION~ .
Worksheet
For I" CPVC Pipe
Two heads require 26 gpm flow at designed pressure. [+ 5 gpm domestic u:
One head requires 1 8 gpm flow at designed pressure.
~
1. Pipe size = ., 1- I CPVC (friction loss .1067).
2. Water pressure at street (2) = GS psi.
3. Meter friction loss (3) = Cj psi (see Table 4-4.3d NFPA 13
4. (2) GS minus (3)CZ (4) - 5 G psi remainil
5. Loss from street main to control valve - 70 feet X I .1067"" , =.2. Lit
feet (see friction loss chart).
6. (4) ~ b minus (5) 7. Lt -; - = (6) i-t 8. 5 S psi remainin,
7. Elevation loss (building & street) - 10 feet X .434 = 4,.:s LI p~
8. (6) Lj 8" S J minus (7) '-I,.s,LI _ L/ '-/.19 psi remainir
9. Total length of pipe from control valve to the farthest sprinkler = <-IS fE
X I - 106 ~ = '-I, 8 0 psi.
.10. (8) (./'1. / ') minus (9) (,/. 80. :1 ~ # :s 9 psi remarnrn
11. Equivalent length for valves and fittings(m~ter to farthest sprinkler head):
Tvpe Number Equivalent
1 II T run .(; X fTI = ro
1 II T Branch 2. X CD = / 0
1 II 90 Elbo.w ..3 X W = 2. )
1 II Coupling ) X [C] = I
1" 45 Elbow 0 X fTI = 0
1" Gate Valve I X W = I
(11) Tot.al Feet .:s 9
12. Loss in fittings (11) 37 feet X 1.10671 = '-I. J(;;, pSI,
. 13. (10) ~ 9. 3 9 minus (12) cl. /6 _ 3 S. 2-::! psi remaining
14. PSI remaining (13) ,J'f:2.1 minus .:J~'1 (loss in riser) parts = 31,83
1'5. (14).~ 1,83 is more than the minimum design psi required for 2 or 1 sprinkler
heads operating.
Riser Parts
Potter flow switch 2.4 psi
Soft seat valve 1.0 psi
. . .
Needed Information:
Type of sprinkler head
GPM & pressure 1 st head I ~
GPM & pressure 2nd head 2
3/4" water meter or no)
FP-9C
Revised 5/29/91
. ,
. . -. - ..' -. . .
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_ ........n . ... D~A.IN_RTfST..VALV
.. .(PLVlY\B.ED ..TO. OV.TS/DE)
e.~.. .. .._.. .__._
... __A' ___ - .._ _______ ,_ - ___. .___ . _. .._- .-..-.......-- - .--- .".___e_____ .... -. .....
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. .
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- ..-.. - . _. - - - - - - . ... _.- - - .- - . .-
. .
S.l.G.NED ....By.: ._.._:.. ..:.._.. ....:.. .... ........--..
. .,
... . -
Jf\\O\!ATE D F \ RE. S.?R\l\\K LERS.
f ~OJY\ .
M ~ y,::".() '.
I '\.w.a-~
. i
3
. . .
tqCD IFire & Building
/Products
Direct Sales (Central): Tel: (800) 523-65121 Fax: (215) 362-5385
Distribution Sales (GemlStar): Tel: (800) 558-52361 Fax: (800) 877-1295
Technical Services: Tel: (800) 381-93121 Fax: (800) 791-5500
Series LFII Residential
Concealed Pendent Sprinklers, Flat Plate
4.2 K-factor
General
Description
The Series LFII (TY2596) Residential
Concealed Pendent Sprinklers are
decorative, fast response, fusible sol-
der sprinklers designed for use in resi-
dential occupancies such as homes,
apartments, dormitories, and hotels.
The cover plate assembly conceals the
sprinkler operating components above
the ceiling. The flat profile of the cover
plate provides the optimum aestheti-
cally appealing sprinkler design. In ad-
dition, the concealed design of the Se-
ries LFII (TY2596) provides 1/4 inch
(6,4 mm) vertical adjustment. This ad-
justment reduces the accuracy to
which the fixed pipe drops to the sprin-
klers must be cut to help assure a
perfect fit installation.
The Series LFII are to be used in wet
pipe residential sprinkler systems for
one- and two-family dwellings and mo-
bile homes per NFPA 130; wet pipe
residential sprinkler systems for resi-
dential occupancies up to and includ-
ing four stories in height per NFPA
13R; or, wet pipe sprinkler systems for
the residential portions of any occu-
pancy per NFPA 13.
The Series LFII (TY2596) has a 4.2
(60,5) K-factor that provides the re-
quired residential flow rates at reduced
pressures, enabling smaller pipe sizes
and water supply requirements.
The Series LFII (TY2596) has been
designed with heat sensitivity and
water distribution characteristics
proven to help in the control of residen-
tial fires and to improve the chance for
occupants to escape or be evacuated.
The Series LFII (TY2596) Residential
Concealed Pendent Sprinklers are
shipped with a Disposable Protective
Cap. The Protective Cap is temporarily
removed for installation, and then it
can be replaced to help protect the
sprinkler while the ceiling is being in-
Page 1 of 4
stalled or finished. The tip of the Pro-
tective Cap can also be used to mark
the center of the ceiling hole into pIas-
ter board, ceiling tiles, etc. by gently
pushing the ceiling product against the
Protective Cap. When the ceiling in-
stallation is complete the Protective
Cap is removed and the Cover Plate
Assembly installed.
WARNINGS
The Series LF/! (TY2596) Residential
Concealed Pendent Sprinklers de-
scribed herein must be installed and
maintained in compliance with this
document, as well as with the applica-
ble standards of the National Fire Pro-
tection Association, in addition to the
standards of any other authorities hav-
ing jurisdiction. Failure to do so may
impair the integrity of these devices.
The owner is responsible for maintain-
ing their fire protection system and de-
vices in proper operating condition.
The installing contractor or sprinkler
manufacturer should be contacted
relative to any questions.
Sprinkler/Model
Identification
Number
SIN TY2596
Technical
Data
Approvals:
UL and C-UL Listed.
Maximum Working Pressure:
175 psi (12.1 bar)
Discharge Coefficient:
K = 4.2 GPMlpsi112 (60,S LPMlbar112)
Temperature Rating:
160oF1710C Sprinkler with
1350F/570C Cover Plate
.JULY,2002
...
{f~l~~
~ 1...~~
~
. .
Vertical Adjustment:
1/4 inch (6.4 mm)
Finishes:
Cover Plate:
Flat White, Bright White, Chrome, or
Custom
Physical Characteristics:
Body. . . . . . . . . . . .
Cap. . . . . . . . . . . . .
Saddle . . . . . . . . . . .
Sealing Assembly . . . . . .
. . . . . Beryllium Nickel wI Teflont
Soldered Link Halves . Nickel
Lever . . . . . . . . . . . . . Bronze
Compression Screw . . . . . . Brass
Deflector . . . .. .... Bronze
Guide Arm Frame . . .. Bronze
Guide Arms _.. Stainless Steel
Support Cup . . . . Steel
Cover Plate ..' .... Copper
Retainer . . . . . . . . . . ., Brass
Cover Plate Ejection Spring
. . . . . . . . . . . . Stainless Steel
. Brass
Bronze
. Brass
tDuPont Registered Trademark
TFP440
"I
. \. .
.Page 2 of 4
Operation
When exposed to heat from a fire, the
Cover Plate, which is normally sol-
dered to the Support Cup at three
points, falls away to expose the Sprin-
kler Assembly. At this point the Deflec-
tor supported by the Arms drops down
to its operated position. The fusible link
of the Sprinkler Assembly is com-
prised of two link halves that are sol-
dered together with a thin layer of sol-
der. When the rated temperature is
reached, the solder melts and the two
link halves separate allowing the sprin-
kler to activate and flow water.
Design
Criteria
The Series LFII (TY2596) Residential
Concealed Pendent Sprinklers are UL
and C-UL Usted for installation in ac-
cordance with the following criteria.
NOTE
When conditions exist that are outside
the scope of the provided criteria, refer
to the Residential Sprinkler Design
Guide TFP490 for the manufacturers
recommendations that may be accept-
able to the Authority Having Jurisdic-
tion.
System Type. Only wet pipe systems
may be utilized.
Hydraulic Design. The minimum re-
quired sprinkler flow rate for systems
designed to NFPA 130 or NFPA 13R
are given in Table A as a function of
temperature rating and the maximum
allowable coverage areas. The sprin-
kler flow rate is the minimum required
discharge from each of the total
number of Odesign sprinklers" as speci-
fied in NFPA 130 or NFPA 13R.
For systems designed to NFPA 13, the
number of design sprinklers is to be
the the four most hydraulically de-
manding sprinklers. The minimum re-
quired discharge from each of the four
sprinklers is to be the greater of the
following:
· The flow rates given in Table A for
NFPA 130 and 13R as a function of
temperature rating and the maxi-
mum allowable coverage area.
· A minimum discharge of 0.1 gpm/sq.
ft. over the Odesign area" comprised
of the four most hydraulically de-
manding sprinklers for the actual
coverage areas being protected by
the four sprinklers.
Obstruction To Water Distribution.
Locations of sprinklers are to be in
TFP440
y
Minimum Flow (b) and Minimum Flow (b) and
Maximum Maximum Residual Pressure Residual Pressure
Coverage Spacing For Horizontal Ceiling For Sloped CeIling
Area (a) FL (Max. 2 Inch Rise (Max. 8 Inch Rise
FLxFL (m) for 12 Inch Run) for 12 Inch Run)
(m x m)
1600Fm oC 160oFmoC
Sprinkler Sprinkler
12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,1 LPM)
(3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar)
14x 14 14 14 GPM (53,0 LPM) 18 GPM (68,1 LPM)
(4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1,27 bar)
/lOX16 1 16 16 GPM (60,6 LPM) 18 GPM (68,1 LPM)
(4,9 x 4,9) (4,9) 14.5 psi (1,00 bat) 18.4 psi (1;2.7 bar)
'- 1A l< 1&./ 18 20 GPM (75,7 LPM) N1A
(5,5 x 5,5) (5,5) 22.7 psi (1,57 bar)
2Ox2O 20 24 GPM (90,8 LPM) N1A
(6,1 x 6,1) (6,1) 32.7 psi (2;2.5 bar)
(a) For coverage area dimensions less than or between those indicated, it is
necessary to use the minimum required flow for the next highest coverage area
tor which hydraulic design criteria are stated.
(b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The
associated residual pressures are calculated using the nominal K-tactor. Refer to
Hydraulic Design Criteria Section tor details.
TABLE A
NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA
FOR THE SERIES LFII (TY2596)
RESIDENTIAL CONCEALED PENDENT SPRINKLER
accordance with the obstruction rules
of,NFPA 13 for residential sprinklers.
Operational Sensitivity. The sprin-
klers are to be installed relative to the
ceiling mounting surface as shown in
Figure 3.
Sprinkler Spacing. The minimum
spacing between sprinklers is 8 feet
(2,4 m). The maximum spacing be-
tween sprinklers cannot exceed the
length of the coverage area (Ret. Table
A) being hydraulically calculated (e.g.,
maximum 12 feet for a 12 ft. x 12 fl.
coverage area, or 20 feet for a 20 fl. x
20 fl. coverage area).
Installation
The Series LFII (TY2596) must be in-
stalled in accordance with the follow-
ing instructions:
NOTES
Damage to the fusible Link Assembly
during installation can be avoided by
handling the sprinkler by the frame
arms only (i.e., do not apply pressure
to the fusible link Assembly).
A leak tight 1/2 inch NPT sprinkler joint
should be obtained with a torque of 7
to 14 tt.ibs. (9,5 to 19,0 Nm). A maxi-,
mum of 21 tt.lbs. (28,5 Nm) of torque
is to be used to install sprinklers.
Higher levels of torque may distort the
sprinkler inlet with consequent leak-
age or impairment of the sprinkler.
Do not attempt to compensate for in-
sufficient adjustment in an Escutcheon
Plate by under- or over-tightening the
Sprinkler. Readjust the position of the
sprinkler fitting to suit.
Step 1. The sprinkler must only be
installed in the pendent position and
with the centerline of the sprinkler per-
pendicular to the mounting surface.
Step 2. Remove the Protective Cap.
Step 3. With pipe thread sealant ap-
plied to the pipe threads, and using
the W- Type 18 Wrench shown in Figure
2, install and tighten theSprinklerlSup-
port Cup Assembly into the fitting. The
W-Type 18 Wrench will accept a 1/2
inch ratchet drive.
Step 4. Replace the Protective Cap by
pushing it upwards until it bottoms out
against the Support Cup. The Protec-
tive Cap helps prevent damage to the
Deflector and Arms during ceiling in-
stallation and/or during application of
'J:
: . TFP440
Page 3 of 4
s
BODY
(1/2. NPn
SEALING
ASSEMBLY
WRENCH
RECESS
CAP
SPRINKLER
WRENCHING
AREA
D
SADDLE
COMPRESSION
SCREW
PUSH WRENCH
IN TO ENSURE
ENGAGEMENT
WITH SPRINKLER
WRENCHING AREA
LEVER
FIGURE 2
W-TYPE 18
SPRINKLER WRENCH
GUIDE
ARM
GUIDE ARM
FRAME
I I
I I
I I
I I
I I
I I
I "............ I
,J L../ 'L...J l.,
........,,~------~.......r
DEFLECTOR
(OPERATED
POSITION)
SPRINKLER/SUPPORT CUP
ASSEMBLY
THREAD INTO
SUPPORT CUP
UNTIL MOUNTING
SURFACE IS
FLUSH WITH
CEILING
o
o
RETAINER
WITH THREAD
DIMPLES
EJECTION
SPRING
SOLDER
TABS (3)
COVER PLATElRETAINER
ASSEMBLY
FIGURE 1
SERIES LFII (TY2596) RESIDENTIAL
CONCEALED PENDENT SPRINKLER
COVER
PLATE
I-- 2-112. DIA.
I \ (63,5 mm)
112"
NPT
1-7/8.%118.
(47,6 mm
13,2 mm)
SPRINKLER-
SUPPORT CUP
ASSEMBLY
FACE OF
SPRINKLER
FITTING
OPERATED
SPRINKLER
COVER
PLATE
RETAINER
~
~
COVER- SPRINKLER-
RETAINER SUPPORT CUP
ASSEMBLY ASSEMBLY
3-1I4.DIA.
(82,6 mm)
=r'MOUNTING
3116. J SURFACE
(4,8 mm)
718. (22,2 mm)
1-118. (28,6 mm)
-1
TIP
DEFlECTOR IN
OPERATED POSITION
fiGURE 3
SERIES LRI (TY2596) RESIOENnAL CONCEALED PENDENT SPRINKLER
INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACT/VA TED DEFLECTOR
.."";
.: ~age 4 of'4
the finish coating of the ceiling. It may
also be used to locate the center of the'
clearance hole by gently pushing the
ceiling material against the center
point of the Cap.
NOTE
As long as the protective Cap remains
in place, the system is considered to
be "Out Of Service"'.
Step 5. After the ceiling has been com-
pleted with the 2-1/2 inch (63 mm)
diameter clearance hole and in prepa-
ration for installing the Cover Plate As-
sembly, remove and discard the Pro-
tective Cap, and verify that the
Deflector moves up and down freely.
If the Sprinkler has been damaged and
the Deflector does not move up and
down freely, replace the entire Sprin-
kler assembly. Do not attempt to mod-
ify or repair a damaged sprinkler.
Step 6. Screw on the Cover Plate As-
sembly until its flange comes in con-
tact with the ceiling.
Do not continue to screw on the Cover
Plate Assembly such that it lifts a ceil-
ing panel out of its normal position.
If the Cover Plate Assembly cannot be
engaged with the Mounting Cup or the
Cover Plate Assembly cannot be en-
gaged sufficiently to contact the ceil-
ing, the Sprinkler Fitting must be repo-
sitioned.
Care and
Maintenance
The Series lFII (TY2596) must be
maintained and serviced in accord-
ance with the following instructions:
NOTES
Absence of an Escutcheon Plate may
delay the sprinkler operation in a fire
situation.
Before closing a fire protection system
main control valve for maintenance
work on the fire protection system
which it controls, pennission to shut
down the affected fire protection sys-
tem must be obtained from the proper
authorities and all personnel who may
be affected by this action must be no-
tified.
Sprinklers which are found to be leak-
ing or exhibiting visible signs of corro-
sion must be replaced.
Automatic sprinklers must never be
shipped or stored where the tempera-
ture will exceed 1oooF1380C and they
must never be painted, plated, coated,
or otherwise altered atter leaving the
factory. Modified or over heated sprin-
klers must be replaced.
Care must be exercised to avoid dam-
age - before, during, and after instal-
lation. Sprinklers damaged by drop-
ping, striking, wrench twisVslippage,
or the like, must be replaced.
The owner is responsible for the in-
spection, testing, and maintenance of
their fire protection system and de-
vices in compliance with this docu-
ment, as well as with the applicable
standards of the National Rre Protec-
tion Association (e.g., NFPA 25), in
addition to the standards of any other
authorities having jurisdiction. The in-
stalling contractor or sprinkler manu-
facturer should be contacted relative to
any questions.
NOTE
The owner must assure that the sprin-
klers are not used for hanging of any
objects and that the sprinklers are only
cleaned by means of gently dusting
with a feather duster; othetwise, non-
operation in the event of a tife or inad-
vertent operation may resuh.
It is recommended that automatic
sprinkler systems be inspected,
tested, and maintained by a qualified
Inspection Service.
Limited
Warranty
Products manufactured by Tyco Fire
Products are warranted solely to the
original Buyer for ten (10) years
against defects in material and work-
manship when paid for and properly
installed and maintained under normal
use and service. This warranty will ex-
pire ten (10) years from date of ship-
ment by Tyco Fire Products. No war-
ranty is given for products or
components manufactured by compa-
nies not affiliated by ownership with
Tyco Fire Products or for products and
components which have been subject
to misuse, improper installation, corro-
sion, or which have not been installed,
maintained, modified or repaired in ac-
cordance with applicable Standards of
the National Fire Protection Associa-
tion, andlor the standards of any other
Authorities Having Jurisdiction. Mate-
rials found by Tyco Rre Products to be .
defective shall be either repaired or
replaced. at Tyco Rre Products' sole
option. Tyco Fire Products neither as-
sumes, nor authorizes any person to
assume for it, any other obligation in
connection with the sale of products or
parts of products. Tyco Fire Products
shall not be responsible for sprinkler
system design errors or inaccurate or
incomplete information supplied by
Buyer or Buyer's representatives.
TFP440
G
IN NO EVENT SHALL TYCO FIRE
PRODUCTS BE LIABLE, IN CON-
TRACT, TORT, STRICT LIABILITY OR
UNDER ANY OTHER LEGAL THE-
ORY. FOR INCIDENTAL, INDIRECT,
SPECIAL OR CONSEQUENTIAL
DAMAGES, INCLUDING BUT NOT
LIMITED TO LABOR CHARGES, RE-
GARDLESS OF WHETHER TYCO
FIRE PRODUCTS WAS INFORMED
ABOUT THE POSSIBIUlY OF SUCH
DAMAGES. AND IN NO EVENT
SHALL TYCO FIRE PRODUCTS' LI-
ABILITY EXCEED AN AMOUNT
EQUAL TO THE SALES PRICE.
THE FOREGOING WARRANTY IS
MADE IN LIEU OF ANY AND ALL
OTHER WARRANTIES EXPRESS OR
IMPLIED. INCLUDING WARRANTIES
OF MERCHANTABILITY AND FIT-
NESS FOR A PARTICULAR PUR-
EQSE..
Ordering
Procedure
When placing an order, indicate the full
product name. Contact your local dis-
tributor for availability..
Sprinkfer Assembly:
Series LFII (TY2596), K=4.2, Residen-
tial Concealed Pendent Sprinkler with-
out Cover Plate Assembly,
PIN 51-122-1-160.
Cover Plate Assembly:
Cover Plate Assembly having a (spec-
ify) finish for the Series LFII (TY2596),
K=4.2, Residential Concealed Pen-
dent Sprinkler, PIN (specify).
Chrome.... _... _.... _.. _' PIN 56.122-9-135
Bright White.... _ _.... ..... PIN 56-122-4-135
Rat White. . . _ . _ . . _ _ _ _ . _ .. PIN 56-122.5-135
Custom.... _...... _.. _ _.. PIN 56-122.X.135
Sprinkler Wrench:
Specify: W-Type 18 Sprinkler Wrench,
PIN 56-000-1-265.
TYCO ARE PROOVCTS. 451 North Cannon Avenue, Lansdale, Pennsylvania 19446
iU
"
.......
(f~lpOTIffi
@
BELLS
PBA-AC & PBD-DC
Potter Electric Signal Company
2081 Craig Ad./P.O. Box 28480
St. Louis, MO 63146
(314)878~3211 (800) 325-3936
;<E';':"~;"', ~i~ilf~~~x:: ."
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.:/-.~.~.~;ftt~;.: ~l;ttr~~f$~:;:~:)~.;;:;~~~:~~.:<:{:.
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}:{.::~~~i~;~~{,~:~;:... :~%~~.~;:~,~!~j ~~H~:~::.i.~~:?: .:
..:....~............. ,,00 .f:....\o:~,~.,.lr:'\!....::".\"'t~til\t...... .'.. ......~....:. ..
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....~. ~ =." t;t~~"IJ~. to "S'')I, ",It........,..... I..;.~..o:'.....
:-...~';:::~.:.~:t~t~~~:~~~J.~~:.i~I..
6" BELL SH,OWN
Potter Electric Signal 8. Mfg. L TO
1967 Leslie Street .
Don Mills, Ontario, Canada M382M3
(416) 441-1833
UL LISTED, FM APPROVED
Sizes Available: (0 80. and 10'
Voltages Available:
~
20VA
12VOC (102 to 15.6) Polarized
24VOC (20.4 fo 312) Polarized
Service Use: Fire Alarm
General Signaling
Burglar Alarm
Environment: Indoor or Outdoor Use (See Note 1)
-40" to lSO"F (outdoor use require
weatherproof backbox)
TermInation: 4 No. 18 AWG stranded wires
Finish: Aed powder coating
Optional: Model BBK-l weatherproof backbox
'hese vibrating type bells are designed for use as fire, burglar. or general signaling devices. They have low power
onsumption and high decibel ratings. The unit mounts on'a standard 4- square electrical box for indoor use, or on a model
\BK -1 weatherproof backbox for outdoor applications:
ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION:
StZE STOCK NO. CURRENT (MAX) TYPICAL dB MINIMUM dB
VOLTAGE MODEL NO. C 10 FT. C 10 FT.
6 12VOC P60126 1706012 .12A 65 7S
6 12VOC P60128 1708012 .12A 90 7S
10 12VOC PBD1210 1710012 .12A 92 75
6 24VOC PBD246 1706024 .06A 67 75
8 24VOC PBD2<l6 1706024 .06A 91 79
10 24VOC PB02410 1710024 .06A 94 79
6 24VAC P6A246 1806024 .17A 91 75
6 24VAC P8A2<l6 1808024 .17A 94 7S
- 10 24V AC P6A2410 1610024 .17A 94 75
: 6 120VAC PeA 1206 1606120 .05A 92 62
6 120VAC PeA 1206 1606120 .OSA 99 62
10 120V AC P6A12010 1610120 .OSA 99 65
eatherpcoof backbox model 88K.1 Stk. No. 1SOOOO1.
,Cc..:
IAinirnum cltl '~in9s a.. c.alcuUle" "'om Onleg<.aled ~ ptessure ""'.as....~ made at U_Ce<& L<<>o<.COfies .10 ~"n Ul SI.and.a'" 46-<<. Ul
~.aC....e ..a"9" is .30" Co 1 SO"f.
Typic.. GO ..aconos .'.. C.alcuC.al~ C'om <ne.a....~s _de..;u.. COIWenlOoo.aC ~ level ",,",,'.nd .,. ~C..... of 0UCj>uC levels n.n adu.al insc.a""O",
"NT~n IN ......"
-
"\
.'
,
@)..POTIER
0)
VSR-SF
FOR SMALL PIPE VANE TYPE W A TERFLOW
ALARM SWITCH WITH RETARD
Jotter Electric Signal Company
!081 Craig Road. P.O. Box 28480
it. Louis. MO 63146-4161
314} 878-4321 · (800) 325-3936
Potter Electric Signal & Mfg. L TO
1967 Leslie Street
Don Mills, Ontario, Canada M382M3
(416) 441-1833
,.
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;TK. NO. 1113000
I.S. PAT. NO. 3921989. CANADIAN PAT. NO. 1009680
lTHER PATENTS PENDING.
Ul, ULC, CSFM USTED and NYMEA ACCEPTED
Service Pressure: Up to 250 PSI
Minimum Row Rate for Alarm: 10 GPM
Maximum Surge: 18 FPS
Enclosure: Oie<ast, red enamel finish
Cover held In ptaoe with tamper resistant screws
Contact Ratings: 2 sets of SPOT (Fonn C)
15.0 Amps at 125J2S0 VAC
2.0 Amps at 0-30 VOC
Conduit Entcan<:es: 2 knockouts provided for 112:' conduit
Usage: Usted Plastic. Copper and Schedule 40 Iron Pipe
Fits pipe sizes -1',11/4'. and 11f2'
Note: S paddles are furnished with each unit. one for each
pipe size of threaded or sweat TEE. ooe for l' CPVC.
and one for 11f2' poIybuty1ene (CTS-Coppertubing size)
environmental Speclficatlons:
Suitable for indoor or outdoor use with factory installed
gasket and die-cast housing.
NEMA 4 Rated Enclosure -use with appropriate conduit fitting.
Temperature Range: 404 Fll20. F (4.54 CJ49. C)
Caution: This device is not intended for applications in
explosive environments
Service Use:
Automatic Spookier NFP A-13
One or two family dwelling NFPA-130
Residentia(oa:;upancy up to four stories NFP A-13R
National Fare Alarm Code NFPA.72
Optional: Cover Tamper Switch. oRler Stk. No. 0090018
he Model VSR-SF is a vane type waterflow switch for use on wet
:>riolder systems that use 1'. 1 1/4', or 1 112' pipe size. The Uflit
laY also be used as a sectional waterflow detector on large
(Stems. .
he unit contains two single pole double throw snap action
Nitches and an adjustable, instantly recyding pneumalic retard.
he switches are actuated when a flow 0110 gallons per minute or
,ore occurs downstream of the device. The flow condition must
ICist for a period of time necessary to overcome the selected retard
~riod.
1ST AU..A TION: These deviCes may be mounted in horizontal or
~cti<:al pipe. On horizontal pipe they should be installed 00 the top
de of the pipe where they will be accessible. The units should not
~ iostaUed within 6' of a valve. drain or fitting which changes the
rection of the waterffow, The unit has a l' NPT bushing for
reading ioto a non~rrosive TEE. See Ftg. 2 for proper TEE
ze. type and instanation.
:rew the devioe into the TEE fitting as shown in FIQ. 2. Care must
, taken to property orient the device for the direc1ion of waterflow.
The vane must nol rub the inside 01 the TEE or bind in any way.
The stem should move lreely when operated by hand.
The device can also be used in copper or plastic pipe installations
with the proper adapters so that the specified TEE fitting may be
installed on the pipe run.
tNSPECTION AND TESTING: Check the operation of the unit by
opening the inspector' test valve at the end 01 the sprinkler line or
the drain and test connection, if an inspector's test valve is not
provided.
tl there are no p<<Msions for testing the operation of the flow
. detedioo device on the system. application of the VSR-SF is not
recommended or advisable
The frequency of the inspection and testing and its a.ssociated
protective mooitoriog system should be in aCCO<<1ance with the
appftcable NFPA Codes and Standards 8lldIO( authority having
jorisdidion (manufacturer (ecommends quartedyor more
f(equently).
RUffeo IN USA
PAGE 1 OF 2
MKT. .8800003. REV J
MFG. .5400802 - 8195
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Fire Sprinkler System Plan
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- - DESIGNED BY:
LEGEND
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M
o Denotes Fire Sprinkler Head (see cut sheet) INNOVATED FIRE SPRINKLER SYSTEMS
, _ Denotes 1" Fire Sprinkler Pipe 81 NEW HAVEN LN. "
Pipes will be strapped every four feet PORT ANGELES, WA 98362
Pipes in attic space will be insulated (360) 452-7583
System will have a 6" fire alarm bell on exterior
Manifold will be labeled
System will be tied into the toilet
Total of /1 sprinkler heads in system
PLANS APPROVED BY
PORT ANGELES FIRE DEPF
~.D Q ~!.'\:::,; ·
. . .:-.' ",- ....... ....
DA! E: ,,\.'3.o~
d,()lI'~. .
'(j,"cadon Numbe< . .
r-Application pin numh~y
rLupercy AOOress
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property.Zoning . . .
Application valuation
Owner
ANGELA AGREN
2419 ARBUTUS LN
PORT ANGELES
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expirat'ion Date
CITY OF PORT ANGEl,..ES
PUBLIC WORKS - ELECTRICAL DIVISION
:12\ EAST 5TH STREET. PORT ANGELES. WA 98:\62
05-00000650 Date 7/21/05
""\1:: o"\r'" r.
2419 ARBUTUS LN
06-30-01-5-5-0120-0000-
ELECTRICAL ONLY
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
o
Contractor
OWNER
WA 98363
ELECTRICAL TEMPORARY SERVICE
ELECTRIC SVC. /TEMP
55087
42.20 Plan Check Fee
7/21/05 Valuation
1/17/06
.00
o
Qty Unit Charge Per
1.00 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42,20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42.20 42.20 .00, .00
Plan Check Total .00 .00 -.00 .00
Grand Total 42.20 42.20 .00 .00
COMMENTS/ACTlON NEEDED
I
,
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ELECTRICAL PERMIT INSPE~fJ.ON RECORD
. '.1
CALL 417-4735 FOR ELECTRICAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. "IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.lI07.J' I~
,<
,o..~.
=
'{!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subd~v~s~on Name
Property Use
Property Zoning
Application valuation
05-00000310 Date 12/13/05
498430
2419 ARBUTUS LN
06-30-01-5-5-0120-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
Owner
Contractor
ANGELA AGREN
2419 ARBUTUS LN
PORT ANGELES
OWNER
WA 98363
Structure Informat~on 000
Other struct info
000 1372 SQ FT SFR w/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ATT GARAGE
21 90
1 00
9034 00
1978 00
1 00
Permit
Additional desc
Perm~t pin number
Sub Contractor
Permit Fee
Issue Date
Expirat~on Date
ELECTRICAL NEW RESIDENTIAL
EL SVC / 1900 SQ FT SFR
66977
ELECTRIC SERVICE
119 80
12/13/05
6/11/06
Plan Check Fee
Valuat~on
00
o
Qty
1 00
2 00
Un~t Charge Per
73 0000 ECH
23 4000 5C
Extension
73 00
46 80
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Spec~al Notes and Comments
05/12/2005 12 36 PM SROBERDS ---------------------------
Proposal will result in 22% lot coverage Setbacks are
good
Bu~ld~ng address s~gn shall not be less than 6" 6< not more
than 12" in height Numbers colors must contrast with wall
color they are mounted on (Ord 14 36 050-E)
When roof gutters are installed, drains will located in dry
wells or piped tD approved storm drain location. No
pressurized or pump~ng to curbs are allowed An inspection
by Build~ng Department is required pr~or to backfill
New subd~vision outside the four minute response time shall
be equ~pped wit~ a res~dent~al sprinkler system that is
~nstalled and maintained In accordance with Uniform Fire
Code (UFC) and Nat~onal F~re Protection Association (NFPA)
standards
Electrical load calculat~ons and elctrical permits are
required
Under 2004 policy - NO connection fee
Ditches and culVerts will be ~nstalled to City Stanards See
Publ~c Works Englneering for Standards
Sanitary sewer connection inspectlon lS required by
Publ~c Works pr~or to back fill of ditch
Construct dr~veway and Sidewalks to Clty Standards
COMMENTS/ACTION NEEDED
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 98J62
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Appllcation Number
Application pln number
05-00000310
498430
Page 2
Date 12/13/05
Special Notes and Comments
No concrete wlth exposed aggregate allowed In the City
road rlght of way An inspection by Public Works
Englneering is required prlor to prouring concrete
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745 00
4 50
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119 80 119.80 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1774 50 1774 50 00 00
Grand Total 1894 30 1894 30 00 00
COMMENTS/ACTION NEEDED
, ,
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ELECfRICAL PERMIT INSPECfION RECORD
. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.ll02.1S (4196]
Job wired by
e
ELECTRICAL WORKPER1mT APPLICATION.
ectrical Contractor 0 Owner
IllJl(;ilb,l.iull description. _____ .
o CommerclsJ ~eDtial
EleCtric;al;.~ontractor n~me
. i2.-~,""c..
Purchase,', mllil~dress I / ~
f5 1- 'v.-.~ \.0
C;'y 0 .Il..'
~_ r1-~
Telephone number
4"''''--<C 1'L'{
License number D:ne Expires
:e: ( QC$"' :> I 1 1 "Len..
~
ClNew
o AlleredlAddllloD
State ZIP
'4)",,-
FAX number
'l' 53,-..,
~
c ~~( Cr-
/9tlV P /7
.
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Premises owner's Dl1me.
\.+~L..
Addrc'll5 of inspccrlon ~
"-Li\ "I "'''''+..1 ;
?A
pbone Dumber to schedule inspection:
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City
CJ C,edit Coed
Card #
VlSS
~rc~ud
\
\
Owner as defl"ned by RCw'19.28.26J:(1) (hmer wiil occupy the srH4crl4rejor fWO
YflQ.Tt cJji3r chIS electrical pe1mir is finaUz/Jd. (1) OwIl.lOl' i.\ fltf.jl.4i..-.:J to hi,.!! an t:lt:ctrical
COnlracror if abo'..e .said property is jor sale. rent or lease.
After reading the above statement, I herr=by certify that 1 am the owner of the above
nnmcd property or II licensed el!ctrical contractor. I 2m maki"g thl: dll'CtriCD;llm.W~
lstion or a]tcntion in" compliance with the electncll.llaws, N.E.C., RCW. Chapter
19.23. WAC. Chaptcr 296-~6B. The CilY of Pon .~ngeJes Municipal Colle. aud
Utility Specifications.
Signature ofl1ner.. eI
X f.cJJ-..
Electrical load Additions and or subtractIons
o NO LOAD CHANGES
a Baseboard KW
a Furnace _ KW
o Heat Pump Ton
o Fan-Wall KW
o Cash
o Check #
Discover
t,--
ontraCEor or electrical administrator
Date: l).. e
-0.---
Expiration Date
of card
o
Service Information
LAR
o Overhead Service
[) Temp Service
e-t1'nderground Service
Voltage
PhaseD' 0 3
Service Si2:Q:
Feeder SIze:
.
,
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN / llIERMOSTAT /. SERVICE
~. 2.1</- ob ,$':{i 23-2'1-1>0 4cO
Date Vale Apprllvcll.>>y \. Delo ....ppro\icll. By
/ /
FINAL DITrn FEEDER
9!t.1:/." ~ /j,h "/0$" .Au0
,- 'Duet Approved By \. 0'1" Approved. By
Inspection Area, Building or Equipment Inspected ^ction Taken Electrical
Vale Inspector
1'2./7. / ^"" I",,, _.J^ A -. _._.. k:--G 7 Po. n n_, "') IAPP LA- .;JJ
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d/</) ~,.J k, /A'_
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PoP9oSP09E
SS:61 S00G/80/GI
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
D5 -3/0
PERMIT'
5vc-
ADDRESS
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............f, ROUGH IN/COVER...... ........ 0
o . -ft1,'\lJ)1 N.. .... SERVICE .................. 0
)1:. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED: @ f/7;?r h)A-f7~ 7l4NK-
CZoIV)lt~ DN
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
. - DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (380) 452-1381
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~Iectrical Contractor 0 Owner -W
o AnDualPermit 0 ..o\Jntn Cl Camval 0 Commercial
ELECTRICAL WORK PERMIT APPLICATION
. '0 Request Inspection
Job ",ired by
o Electrical Contractor 0 Owner
Residential 0 Resld8ntisl MSlint. 0 SigD~ 0 Thermostat 0 Telecom.
Installation description
1-e,1'n--
(/J6 r.J. (hI'"
City
~
\.-IfY
\J
Cl'
I
o Cash 0 Check # ~ tv ~
I hereby certifY that r am the owner of the above named property or a licensed V
and I 0 Credit Card DVISa '~c. Discover
electrical OOntractor (OT the finn's 9.uthorized agent) am ma.ki:n.g the e ectrical \f\.~
insts.lla.tion oralterarion in compliance wilh the electricll.l \3.W, Chapter 19.28 RCW. Card # ___-'"..!::..___~~___-______~_ \:
(J
r Jh-bvh,s
Sieuture 0
Expiration Date
of card
nspectiQn fee
$
x
WALLS "-
Insub.tiol'l Only
D3te ApprCI"ed By
Cover
D.' Appro)v04 ~y
CEILING
Insulation Only
Tllli:RMOSTAT
",~~7&~
FEEDER
OMe
^IlIlmv~,d Ry
D.U~
APproved By
DITCH
Cover
Dale
Approved fly
./ O..le
ul~
Q Overhead Service
CJ Temp Service
CJ Underground SefVice
Approved By
Do.te.
J..pprovedBy
Electrical Load Addi'inn~ and or $ubtractions
o NO LOAD CHANGES
o Baseboaro KW
o FumaCQ KW
o Heat Pvmp _ Ton _ LA~
o fan-Wall _ KW
Service Information
Vottage
PhasaOl03
Service Size~
Feede( Size:
fnspootion Area, Bullding or Equipment lrispectoj Acrion Taken Electric!'}
pare. lnspc;:tllf
7/z1/05 o~ ~~ -9tkl-o ~ "-""LJ
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08 39'1d
PoP90.P89E
..:E1 .880/S11L8