HomeMy WebLinkAbout813 Madeline St - Building
I
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
05-00000518 Date
230986
813 MADELINE ST
06-30-00-1-0-4600-0000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
158761
Owner
Contractor
7/13/05
r-----
~
H-HAlt5V
V~;b~
WA 98362
~ ....1l!:.M.C;i~N-G HMS 13\1Z.e-M ~~"ON Ir-JC..
'Z10q AUe>UR.H ~A.y t4
,6o.U 13u~N WI::... q6~~
BFV LLC
711 E FRONT ST
PORT ANGELES
(360) 452-8924
Other struct info
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
NEW SFR
54122
1347.65 Plan Check Fee
7/13/05 Valuation
1/09/06
Qty
Unit Charge Per
59.00
BASE FEE
5.6000 THOU BL-I00,001-500K (5.60 PER K)
26.40
1. 00
8862.00
2340.00
1. 00
~
~
i
\\
539.06
158761
Extension
1017.25
330.40
~
'9-
C":'~
c&
~
-\-
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 54130
Permit Fee 90.70 plan Check Fee .00
Issue Date 7/13/05 Valuation 0
Expiration Date 1/09/06
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
4.00 7.2500 ECH ME-VENT FAN 29.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
54148
132.00
7/13/05
1/09/06
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
.00
o
Extension
47.00
56.00
7.00
15.00
7.00
Special Notes and Comments
Separat~~fti cftg<teq\)frEftfflRelf&ettibcffWo~7~A, Sflffletine~~, am/Hes, 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 provisioQs 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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construe
T:\Policies\ 11 02..15 building permit inspection record05.wpd [1/4/2005]
Signature of Owner (if owner is builder)
Date
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 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 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
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T.BAR ..
INSULATION ". .
SLAB ,
WALL / FLOOR'~~EILtNG I I
MECHANICAL ',,!\;
.
HEAT PUMP 1 FURNACE 1 'bUCTS
GAS LINE . .
WOOD STOVE 1 PELLET rtHIMNEY
COM.\1ERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417.4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW. / PWI CONSTRUCTION - R.W.
ENGINEERING 417.4807 PW 1 ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417.4815 BUILDING
.
T:IPolicieslll 02_15 building permit inspection record05.wpd [1/4/2000 ]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000518
Application pin number 230986
Page
Date
2
7/13/05
----------------------------------------------------------------------------
Special Notes and Comments
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 Building Department is required prior to backfill.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
06/28/2005 11:09 AM SROBERDS -- The proposal will result
in the construction of a s.f. res in the RS-9 zone for
total lot coverage of 26.4%. No land issues are noted.
CONNECTION FEE OF $222.00 DUE UNDER 2004 POLICY
06/28/2005 02:54 PM GMCLAIN ----------------------------
Electrical load calculations and elctrical permits are
required.
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 1570.35 1570.35 .00 .00
Plan Check Total 539.06 539.06 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3883.91 3883.91 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\II02_15 building permit inspection record05.wpd [1/412005]
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 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
FOUNDATION:
FOOTINGS ~-4r O~- Tei.--
WALLS e> -q....O ~/"' Jtr&
FOUNDATION DRAINAGE 1 DOWN SPOUTS y,{t'1{O.,- --JL-'----
PIERS I
POST HOLES (POLE BLDGS.)
PLUMBING ~- \ 01 D(,
UNDER FLOOR 1 SLAB
ROUGH-IN <q-/9-05- ~ U...l.
WATER LINE (METER TO BLDG) ?::; /-z...<;-j 03 v"L.-
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS II-Q-() 5 J L.l-
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF 1 CEILING /1- 'I-os- \ I I
DR YW ALL (INTERIOR BRACED PANEL ONLY) v
T-BAR
INSULA TION
SLAB
WALL 1 FLOOR 1 CEILING III-I~- (!)s l...lt-!-
MECHANICAL ~-l/::wIOf.-
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COl\1MERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 4 I 7-4750 I PLANNING DEPT.
.
BUILDING 417-4815 V~O/O~ ~/ BUILDING
T:\Policies\ II 02_ 15 building penni t inspection record05. wpd rJ/4/2005]
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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 AddrE:ss
ASSESSOR PARCE:L NUMBER:
Application t}~e description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000959 Date 10/11/05
865570
813 MADELINE ST
T6-30-00-1-0-4600-0028-
FIRE SPRINKLER SYSTEM
RS9 RESDNTL SINGLE FAMILY
3150
Owner
Contractor
BFV LLC
711 E FRONT ST
PORT ANGELES
(360) 452-8924
WA 98362
INNOVATED FIRE SPRINKLERS
81 NEW HAVEN LANE
PORT ANGELES WA 98362
(360) 452-7583
------------------..---------------------------------------------------------
Permit FIRE SPRINKLER RESID
Additional desc
Permit pin number 62232
Permit Fee .00 Plan Check Fee .00
Issue Date 10/11/05 Valuation 0
Expiration Da1:e 4/09/06
------------------.----------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
ol{
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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
con ruction.
1~
h< ~~ 0 ~
Signature of Contractor or Authoriz Agent
/tJ~..! /~
/ Dare
Signature of Owner (if owner is builder)
Date
T:\Policies\1 102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 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, INSULA TE 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
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I I
MECHANICAL
HEATP~/FURNACE/DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPoliciesll 102_15 building permit inspectIOn record05. wpd [1/4/2005J
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: 813 Madeline Place
Installer: Innovated Fire Installer Telephone: 452-7583
Type of System: Open 130 13RO 13 D [gI
'"..'"',"'.,__-='"'.,.."..,._-=..._._A___.,._..,....._~__......._.~______"..".,,<.,,_..,.,.
Date: 5.7.2005 P AFD Permit #: 05-24
We have checked this plan and find that it conforms to the requirements of the code.
A pressure reducing valve will be required in the system, prior to the connection to the
toilet.
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 of the 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 NFP A Standard. This 13 D system will require a
measured flow test.
Contractor
Reviewed by: ~O()DO
Date: l().( . b~
o
~
D
Building Department
Fire Department
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DaleRec.c(-30 -O:S
Pel111it #: CX;;,Qf71
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FilX(360)417-4711
Applicant 0' ~gent~~~ <<: t ,~ ~ ? ~.---
Owner: BY-I o-..v... vr, c....v
Address:'2, ~ ~ d S o....~ Q...v-~ P L City:
Architect/Engineer:
Contractor I rJN[j/JATEO
Address: e.J AI e..c.-..,..)
PROJECT ADDRESS:
p(J~ -)-/f-'-\'J .Q.,. lrZ.- J'
Phone:
State License #: fltWOll.J ;::oz./'4?€:: 8h..z/tJ f;
, ,
J.)0u/€.---. L....... City: Pt/V'I- j}'''''''J ...RLLi7
81s Mqcl.e. }}V\..l- L Y\...
Phone: S?O - LlS;2 - 75 g J'
'-II 7 - q S 2 '1
Zip: ~ 8,) G0
Phone:
F I Jl...E
Phone: '-IS..2. - J."r 83
Zip: 9 &,stO.2..
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA Me #
TYl'E OF WORK:
o 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
1= I \1""<-
SIZE/V ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
Tg~AL VALUATION $ 3/Sc::;l. ao
.s r rl \..... ~L.lv-- S I ,', -I e &...--,
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
ESAfWetland(s): 0 Yes 0 No SEPA Checldist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DP"\\ru:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IFa 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tune for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2
of the Intemational BuildinglResidential 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
und'rst"d that iI is my responsibilily to d'tv::::.t p,ncils are required ,not th, Cily's, and that I must obtain such p,rmils prior to work.
T:\PoJicies\BL-llOV3.wpd ApplIcant: .J- ;l) ;..&~Date: 9 /2... J J cJ S I: li'
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Look Up a Contractor, Electrician or Plumber License Detail
Page I of3
Topic Index
Contact Info
Safety Claims & Insurance
Workplace Rights
Trades & licensing
Find a Law or Rule Get a Form or Publication
Look Up a Contractor, Electrician or Plumber
General/Specialty Contractor
A business registered as a construction contractor with Uil to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License ARMSTHB307QL
Licensee Name ARMSTRONG HMS BREMERTON INC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 600027342.Yerify WQrkeLSCQ!Dp.Premiurn
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 2709 AUBURN WAY N
Address 2
City AUBURN
County KING
State WA
Zip 98002
Phone 2538840145
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 11/13/1970
Expiration Date 5/712007
Suspend Date
Separation Date
Parent Company
Previous License ARMSTL *340ME
Next License ARMSTHR29QKP
Associated
License
Business Owner Information
II
https://fortress.wa.gov/lnilbbip/Detail.aspx?License= ARMS THB3 07 Q L
7/14/2005
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: 00/2~ lor.;
Pennit #: ex; ~ I? I ~
Date Approved: (p f28tt
pate Issued:
www.cityofpa.us ~'
Print out form and fill out COMPLETELY in INK. Your application and si
plan MUST BE COMPLETE to be accepted for review. ,I
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Applicant or Agent: ~r \ C\n ~ c.Q y Y I R.. CCA '0-0\ Phon~\9\)) L-Ll , - ~~ 2- 0
Owner: '-.)Q rv'\.Sl CA. ~ a \no V'-R- Phone:
AddressGO'0D ~:('(\(A,(Q ~\. City: Qjy1' ft"c:v- \R\ Zip: qZ- 3~Q3
Architect/Engineer: 6ytt~ ~. H \ \ \ E Y'\ <j \ I{)Q e...es Phone(;)~) 11J..:l-9 Li 'i9
Y\ J 6i.m19J'Z1C>1l ", . t. \ ~Iq,- .. - (,., \:2....3- -v-dn i
Contractor\-1Yl\I~-\n'j\\~ -\-\~" u- Sfate License #: l'--'(YVV\H nt)Exp: sf lf~rnTPhon~Ou '. ~
Address:dVi.~\ Pexvy AV'Q... City: ~Yc.YYU. \L t0r\ Zip:--.9 ~ ~ ~S
PROJECT ADDRESS:_~ 13 \v'\QdQ \ W\..l Sty L.L -\-. ZONING:
LEGAL DESCRIPTION: Lot: ~~ Block: Subdivision: MQ)tJlAI,-.J \1'\ EW E..'j"lATt::j
CLALLAM COUNTY PARCEL NUMBER:
O&~COCJ
[ CJ4& :JO
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
;( Residential )l..New 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:
SIZE/VALUATION: ~ 1
o Stove 2.\\t..~ SF.@$ '':{o /sF.=$-.L40,(" D
o Garage ~~~'l..- SF. fa] $Zt--3e /SF. = $ 10, Ci11
Deck SF.@$ /SF.=$ lG~1G:,1-
TOTAL VALUATION $
00 ,u?;-J"ZL..Jc:....:r j'-.:: ~'J -b l,'va--t....G- r:-A<v\.\L'{ \2E:.:~\X::,,,::t I.i-
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: '" - N
,-h:,OI ~\J.~ . ( . {~ '1 '2 i I '"' '" ? , / i)
No. of Stories: ,Lot Size: a '6~:l- Existing Sq. Ft. J/? _ & Proposed Sq. Ft.~ = TOTAL Sq. Ft. (,,;J~(;
- Total lot coverage~. '21~
APPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERM IT APPLICA TION 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 at417-4815 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: Ifno permit is issued within ]80 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 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
understand that it is my responsibility to determine what permits are require ,n the Ci
www.cityofpa.us
Applicant:
true and correct. I am authorized to apply for this permit and
, , and that I must obtain such permits prior to work.
\ Date: ~ / '2,~31 O~
Look Up a Contractor, Electrician or Plumber License Detail
Page 1 of3
Topic Index i Contact Info
Search .1
Home
T'
Safety Claims & Insurance
Workplace Rights
Trades 8: Ucensing
Find a Law or Rule Get a Form or Publication
Look Up a Contractor, Electrician or Plumber
General/Specialty Contractor
A business registered as a construction contractor with LEtI to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License ARMSTHB307QL
Licensee Name ARMSTRONG HMS BREMERTON INC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 600027342 YerityWorke.rs.CQmp.PIemium
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 2709 AUBURN WAY N
Address 2
City AUBURN
County KING
State WA
Zip 98002
Phone 2538840145
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 11/13/1970
Expiration Date 517/2007
Suspend Date
Separation Date
Parent Company
Previous License ARMSTL*340ME
Next License ARMSIHR290KP
Associated
License
Business Owner Information
II
https://fortress. wa.gov /lnilbbip/Detail.aspx?License= ARMS THB307 Q L
6/24/2005
Look Up a Contractor, Electrician or Plumber License Detail
Page 2 of3
Effective Expiration
Name Role Date Date
ARMSTRONG, RICHARD C
JR 01/01/1980
ARMSTRONG, JAMES R 01/01/1980
KROKE, GAYLE A 01/01/1980
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
ST PAUL
FIRE & Until
#4 MARINE 400HT 4540 04/22/2002 Cancelled $12,000.00 04/25/2002
ST PAUL
FIRE &
MARINE
#3 INS 400HT4540 05/07/1998 04/22/2002 $6,000.00
ST PAUL
MARINE
#2 INSCO 400HT4540 05/07/1988 05/07/1998 $6,000.00
SAFECO
#1 INS CO 2036419 05/07/1981 05/07/1988
Savings Information
No Matching Information
Insurance Information
Policy Effective Expiration Cancel Impaired Receh
Insurance Company Name Number Date Date Date Date Amount DatI
UNDERWRITERS AT
#23 LLOYDS LONDON CJ0426087 05/07/2005 05/07/2006 $1,000,000.00 03/25/:
UNDERWRITERS AT
#22 LLOYDS LONDON CJ0352069 05/07/2003 05/07/2005 $1,000,000.00 04/28/:
UNDERWRITERS AT
#21 LLOYD LONDON A02BF375 05/07/2003 05/07/2004 $1,000,000.00 05/05/:
UNDERWRITERS AT
#20 LLOYD LONDON A02BF375 05/07/2002 05/07/2003 $10,000,000.00 05/15/:
#19 LLOYDS OF LONDON A02BF170 05/07/2002 05/07/2003 $1,000,000.00 04125/:
#18 LLOYDS OF LONDON A01BF170 05/0712001 05/07/2002 05/04/:
CLARENDON
#17 AMERICA I NS CO UCLM1000101 05/0712000 05/0712001
SAFECO INS CO OF
#16 AMERICA CP8484258 05/07/1999 05/0712000
#15 VALLEY FORGE INS 1029705062 05/07/1998 05/07/2000
#14 VALLEY FORGE INS C129705062 05/07/1997 05/07/1998
VALLEY FORGE INS
#13 CO 1029705062 05/07/1996 05/07/1997
https://fortress.wa.gov/lni/bbip/Detai1.aspx?License= ARMS THB307 Q L
6/24/2005
Look Up a Contractor, Electrician or Plumber License Detail
Page 3 of3
TRANSCONTINENTAL
#12 INSCO 1014927439 05/07/1995 05/07/1996
#11 RELIANCE INS CO QB1222427 05/07/1994 05/07/1995
#10 RELIANCE INS CO QB6208801 05/07/1993 05/0711994
#9 RELIANCE INS CO QB1131428 05/07/1992 05/07/1993
UNITED PACIFIC INS
#8 CO QB0773255 05/0711991 05/07/1992
#7 UNITED PACIFIC QB1140955 05/07/1990 05/07/1991
UNITED PACIFIC INS
#6 CO QB1219033 05/07/1989 05/07/1990
UNITED PACIFIC INS
#5 CO UP0653716 05/07/1988 05/07/1989
TRANSAMERICA INS
#4 CO 30219134 05/07/1987 05/07/1988
#3 SAFECO INS CO CP 821194C 05/07/1987 05/07/1988
#2 SAFECO INS CO CP821194 05/07/1986 05/07/1987
#1 GENERAL INS CO CP821194 04/21/1981 05/07/1986
Summons / Complaints Information
Tax
Summons / Cause Warrant Dismissal Complaint Complaint Judgement Judgement Payr
Complaint Number Id Plaintiff County Date Date Amount Date Amount Dc
SERVICE
DRYWALL
& PAINT
#1 CO KITSAP 10/16/1978 $0.00 $0.00
Start a New Search Printer fdel)dl~Yersioo
About LEtI I Find a job at LEtI I Informacion en espanal I Site Feedback I
1-800-547-8367
\V('ishingto!) State Dept. of Labor and Industries, Use of thL~ site' is ';ubj<:::'ct to the ldv/S of the
state of Washington.
Access Agreement! Privacy and securH.y stat(:ment ! intended use!ex.ten'ldl content potier! Visit access,v-liLgov
SC3ff only link
https://fortress.wa.gov/lni/bbip/Detai1.aspx?License= ARMS THB307 Q L 6/24/2005
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ARMSTRONG BREMERTON
PAGE 01
Arms. ronq
homes
&iJdins ~'i.'1ce "1952"
18l
H.oNll:. 13Ut.I...l:mtS
ASsoC'lA.TlON
.:If II:JuM -:;Cl.I"'TY
~~
-.."l'c.......,,""".........IloAt.........:__
Fax Cover Sheet
o Urgent
C Please reply ASAP
10 Please Comment
[J Please review
)'( For your mfonnation
From~~~~~
Date: [D~ IYt /0 .
TUne: /.' fl3f~
(360)3'3-5061 voice / (360)373-5063 Fax
~ Fax# 0( cD - LlI1- ~ "'1 ::r 1 (
Number of sheets including cover
Comments:
~,;)Vl' \~~y\'1 Jo1D-
~~y r~~~ ~m~
~ ~ ~\4~
~h
05/24/2005 13:35
35037350511
ARMSTRONG BREMER TON
PAGE 02
'Armstronq
Building SInce '"1952"
2531 Perry Avenue
Bremerton, WA 98310-5218
(360) 373-5061
FAX 373-5063
ARMSTHB307QL
armbrem@msn.com
23 June, 2005
Building Official
Ref: a) CARD RESIDENCE: 813 Madeline Street, Port Angeles, WA
Lot 28, Mountain View Estates
Armstrong Homes is building this project as a paneIized home. The wall panels are
constructed in our factory in Auburn Washington and then transponed to the site framed
and sided.
In an effort to ensure compliance with wall nailing schedules we are able to provide an
engineer's certificate of compliance as proof of adherence to the structural requirements
as noted in the provided calculations as well as photographs taken at the time of
construction showing the nailing patterns.
If there are additional requirements needed to satisfy the inspector that our walls are in
compliance we would be happy to discuss them with you at your convenience
Best Regards,
Armstrong Homes ofBremerton
(360)373-5061
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Fire Sprinkler System Plan
Innovated Fire
Sprinkler Systems
81 New Haven Lane
Port Angeles, WA.,
98362
(360) 452-7583
September 27, 2005
For: Brian & Carrie Card
Location: 813 Madeline Pl.
Port Angeles, WA., 98363
(360) 417-9529
'- (Av d
13 D HYDRAULIC CALCULATION~
Worksheet
For 1" CPVC Pipe
. Two heads require 26 gpm flow at designed pressure. [ +
One head requires 18 gpm flow at designed pressure.
12.
13.
14.
1'5.
FP-9C
1 .
2.
3.
4.
5.
,
Pipe size = 11" I CPVC (friction 19.~s .1067).
Water pressure at street (2) = /00'
Meter friction loss (3) = 7
(2) / (:)0 minus (3) "7
Loss from street main to control valve
feet (see friction loss chart).
(4) Cj 3 mi.nus (5) G~ 'i d - (6) S G., c,eJ
Elevation Joss (building & street) - 2. 0 feet X .434 =
(6) 8'(; .bO minus (7) &....68 - 7 7..0,.2
Total length of pipe from control valve to the farthest sprinkler =
X I .10671 = S. '-1'1 psi.
(8) 77. C) 2 minus (9) s: /..-1'-/ - -; 2 . Y 8 psi remaJnJn~
Equivalent length for valves and fittings (meter to farthest sprinkler head):
Type Number Equivalent
1 " T run 3 X [IJ =
1" T Branch .3 X m =
1" 90 Elbo.W Lj X W =
1" Coupling I X 0 =
1" 45 Elbow 0 X [IJ =
1" Gate Valve -; X IT] =
- (11) Total Feet Gj8
6.
7.
8.
9.
psi remaining
8, b8 psi
psi remaininc
S / fe~
10.
11.
:5
IS
28
I
o
I
f
f~~~ ~
feel~~~"
J~/IJ3~
3/2 fl c='
Loss in fittings (11) <18 feet X /.10671 = S./2 psi.
(10) "7 2-, Ll8 minus (12) S', /2. - b 7, .] b psi remaining.
PSI remaining (1 3) (; 7. J b minus :) .l( (loss in riser) parts = G 3, CJ~ .
(14) Co S. c; b 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
3/4" water meter (@ or no)
h..-----
:. L '. .._
O~H; rM~ <; 129/9 I
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Nf\\OVATED F\RE.. S.?R\l\\KLERS.
. ..
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..M E TE'~ .
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tqeo / Fire & 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 ofthe 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 13D; 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 iFII (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 lire protection system and de-
vices in proper operating condition.
The installing contractor or sprinkler
manufacturer should be contacted
relative to any questions.
Sprinkler!NIodel
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 GPM/psil12 (60,5 LPM/barl12)
Temperature Rating:
160oFfl10C Sprinkler with
1350F/570C Cover Plate
,JULY, 2002
-
Vertical Adjustment:
1/4 inch (6,4 mm)
FInishes:
Cover Plate:
Rat 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
'.
.' <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 manufacturer's
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 "design 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 "design 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
'-1
Minimum Flow (b) and Minimum Flow'" and
Maximum MaxImum ReslduBI Pressure Residual Presswe
Coverage Spacing For Horimntal Ceiling For Sloped CeIIng
Area (a) Ft. (Max. 2 Inc:h Rise (Max. 8 Inch Rise
Ft.xFt. (m) for 12 Inch Run) for 12 Inch Run)
(m x m)
16O"F171OC 160oFn1"C
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)
14 x 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)
/1OX16 1 16 16 GPM (60,6 LPM) 18 GPM (68,1 LPM)
(4,9 x 4,9) (4,9) 14.5 psi (1,00 bar) 18.4 psi (1 ,27 bar)
'i;: 1Qv 11\/ 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 (2,25 bar)
(a) For coverage area dimensions less than or between those indicated, it is
necessary to use the minimt.m required flow for the next highest coverage area
for which hydraulic design criteria are staled.
(b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The
associated residual pressures are calculated using the nominal K-factor. Refer to
Hydraulic Design Criteria Section for details.
TABLE A
NFPA 130 AND NFPA t3R 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 (Ref. Table
A) being hydraulically calculated (e.g.,
maximum 12 feet for a 12 ft. x 12 ft.
coverage area, or 20 feet for a 20 ft. x
20 ft. 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 (le., 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 fUbs. (9,5 to 19,0 Nm). A maxi-
mum of 21 ftlbs. (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 the SprinklerlSup-
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
'.,
. . TFP440
~ .."
Page 3 of 4
s
BODY
(112" NPT)
SEAUNG
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
f I
I I
I I
I I
~ I I
......... , I
,J L../' 'L.J l,
L....,~-""'----~......./
DEFlECTOR
(OPERATED
POSITlON)
SPRINKLERlSUPPORT 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
r \ (63,5 mm)
112"
NPT
1.718"%1/8"
(47,6 mm
~mm)
SPRINKLER-
SUPPORT CUP
ASSEMBLY
FACE OF
SPRINKLER
FITTING
COVER. SPRINKLER.
RETAINER SUPPORT CUP
ASSEMBLY ASSEMBLY
3-114" DIA.
(82,6 mm)
=r t MOUNTING
3116" J SURFACE
(4,8 mm)
~
COVER
PLATE
RETAINER
~
1
TIP
DEFlECTOR IN
OPERATED POSITION
FIGURE 3
SERIES LFlI (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER
INSTALLA nON DIMENSIONS / PROTECTIVE CAP/ACTIVATED 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 l?een 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 atld 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 100oF1380C and they
must never be painted, plated, coated,
or otherwise altered after 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 Fire 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; otherwise, non-
operation in the event of a fire 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 Fire Products to be
defective shall be either repaired or
replaced, at Tyco Fire 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 LIABIUTY 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 POSSIBIUTY 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 UEU OF ANY AND ALL
OTHER WARRANnESEXPRESSOR
IMPUED.INCLUDING WARRANTIES
OF MERCHANTABILITY AND FIT-
NESS FOR A PARTICULAR PUR-
E!!lH..
Ordering
Procedure
When placing an order, indicate the full
product name. Contact your local dis-
tributor for availability..
Sprinkler 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 Nor1h Cannon Avenue,lansdale. Pennsylvania 19446
.J .
-.. .
. .'
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/....
-- ..
@
@)ePOTTER
BELLS
PBA-AC & PBD-DC
Potter Electrlc Signal Company
2081 CraIg Ad./P.O. Box 28480
S1. Louis, MO 63146
(314)878-4321/ (800) 325-3936
). -.:' .'.:':':~::i~:n/\':~:':,::,-,
../: ""~' '>;~;""i'?f\i;!
,.;.~>[;r,::-\\~".>:',:;",
,'-;' - ~- :.;<,': {,~s.:;;,,<;_.JlV'<i! ::;: ,:, "
.. .......... ~.......d"\...~~i\;\..! .-
Potter Electric Signal & Mfg. LTD
1967 Leslie Street .
Don Mills, Ontario, Canada M382M3
(416) 441-1833
UL USTED, FM APPAOVED
Sizes Avallable:(0 8", 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)
-400 to 1sooF (outdoor use require
vveatherproofbackbox)
Termination: 4 No. 18 AWG stranded wires
Finish: Red powder coating
Optional: Model BBK-1 vveatherproof backbox
6" BELL SHOWN
fhese 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
3BK -1 weatherproof backbox for outdoor applications.
All DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION:
stZE VOLTAGE MODEL NO. STOCK NO. CURRUIT (MAX) TYPICAL d8 MINIMUM d8
o 10 FT. o 10 FT.
6 12VOC PeD126 1706012 .12A 85 75
8 12VDC PeOl28 1708012 .12A 90 75
10 12VDC Pe01210 1710012 .12A 92 75
6 24VDC (>80246 1706024 .OGA 87 75
8 24VDC Pe0248 170602<1 .OGA 91 79
10 24VDC Pe02410 1710024 .OGA 94 79
6 24VAC PeA246 1806024 .17A 91 75
8 24VAC P6A248 1808024 .17A 94 75
. 10 24VAC PeA2410 1810024 .17A 94 75
~ 6 120V AC PeA 1206 1806120 .OSA 92 82
8 120V AC PeA 1200 1806120 .OSA 99 82
10 120VAC P8Al2010 1810120 .OSA 99 85
Neatherproof backbox model BBK-1 Stk. No. 1500001.
ofoees:
1. Minimum dB <alingS a<e calculated t,om inleg<ated sound p<esSU<8 meUUl'_nts made at Undenwil....s Labo<alo.-ies as speclf...d in Ul Slanda,d 4&c. Ul
lempe'al",e 'a"ll8 is .30" to I SO'F.
~. Typic.. 08 "~('nos ale c.alcu(~'~ 'C'om n-.e.asuremeocs fnaOe wilh.. GOfWenliooa( sound lev.. mete4' and' ale indO(fve of oucpuC levets ___ an actuat insc.-ct.a(II()C'\.
'AINTEO IN USA
MKT. .8850001- REV K
MFG. .5-400176 - 4194
PAGE 1 OF2
"
'~7
(p2POTfER
(j)
FOR SMALL PIPE
VSR-SF
VANE TYPE W ATERFLOW
ALARM SWITCH WITH RETARD
Potter Electric Signal Company
2081 Craig Road · P.O. Box 28480
St. 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
STK. NO. 1113000
U.S. PAT. NO. 3921989, CANADIAN PAT. NO. 1009680
OTHER 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: Die-<:ast. red enamel finish
Cover held In p1aoe with tamper resistant screws
Contact Ratings: 2 sets of SPOT (Form C)
15.0 Amps at 125f2S0 VAC
2.0 Amps at 0-30 VOC
Conduit Entrances: 2 knockouts provided fO( 1~ conduit
Usage: Usted Plastic. Copper and Schedule ~ Iron Pipe
Fits pipe sizes -1". 11/4". and 1112"
Note: 8 paddles are furnished with each unit. one for each
pipe size of threaded or sweat TEE. one for 1" CPVC,
and one fO( 1 112" poIybutyIeoe (CTS-COppertubing size)
Environmental Specifications:
Suitable for indoor or outdoor use with factory installed
gasket and die-cast housing.
NEMA" Rated Enclosure -use with appropriate conduit fitting.
Temperature Range:~" F/l20" F (4.5" C/49"C)
Caution: This device is not intended for applications in
explosive environments
Service Use:
Automatic Sprinkler NFP A-13
One or two family dweUing NFPA-13D
Residentiafoccupancy up to four stories NFP A-13R
National Fife Alarm Code NFPA-72
Optional: Cover Tamper Switch, on1er Stk. No. 0090018
The Model VSR-SF is a vane type waterflow switch for use on wet
sprinkler systems that use 1". 1 1/4", or 1 112" pipe size. The unit
may also be used as a sectional waterflow detector on large
systems.
The unit contains two single pole double throw snap action
switches and an adjustable, instantly recyding pneumatic retard.
The switches are actuated when a now of 10 gallons per minute or
more occurs downstream of the device. The flow condition must
exist for a period of time necessary to overcome the selected retard
period.
'NST At.l.A TION: These devices may be mounted in horizontal or
vertical pipe. On horizontal pipe they should be instaUed on the top
side of the pipe where they will be accessible. lhe units should not
be installed within 6" of a valve. drain 0( fitting which changes the
direction or the watertlow. The unit has a 1" NPT bushing for
threading into a ooo-<::orrosive TEE. See Fig. 2 for proper TEE
size, type and instaltation.
Screw the device ioto the TEE fitting as shown in Fig. 2. Care must
be taken to property orient the device for the direction of waterflow.
The vane must not rub the inside of the TEE 0( bind in any way.
The stem should move freely 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 lilting may be
installed on the pipe run.
INSPECTION AND TESTING: Ched< the operation of the unit by
opening the inspector' test valve at the end of the sprinkler line or
the drain and test connection, if an inspector's test valve is not
provided.
If there are no provisions for testing the operation of the flow
. detection devioe on the system. application of the VSR-SF is not
recommended or advisable
The frequency of the inspection and testing and its associated
protective monitoring system should be in accordance with the
applicable NFPA Codes and Standards and/or authority having
jurisdiction (manufacturer recommends Quarterly 0( more
frequently).
PRINTED IN USA
PAGE 1 OF 2
'MKT. .8800003 - REV J
MFG. .5400802 - 8195
Gl
w
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]2\ EAST 5TH STREET, PORT ANGELES. WA 9RJll2
.,
Application Number
Application pin number .
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000518 Date
230986
813 MADELINE ST
T6-30-00-1-0-4600-0028-
RES NEW SFR
9/29/05
RS9 RESDNTL SINGLE FAMILY
158761
Owner
Contractor
BFV LLC
711 E FRONT ST
PORT ANGELES
(360) 452-8924
WA 98362
ARMSTRONG HMS BREMERTON,
2709 AUBURN WAY
KING CO.WA
AUBURN
(253) 884-0145
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98002
Other struct info
26.40
1. 00
8862.00
2340.00
1. 00
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
TWETER/ 2588 SQFT SFR
61044
TWETER ELECTRIC
TWETER ELECTRIC
143.20
9/29/05
3/28/06
Plan Check Fee
Valuation
.00
o
~
--
\)J
Qty
1. 00
3.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
3
~
~
~
l
r.
Special Notes and Comments
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 Building Department is required prior to backfill.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International.Fire Code (IFC) and National Fire Protection
Association (NFPA).
06/28/2005 11:09 AM SROBERDS -- The proposal will result
in the construction of a s.f. res in the RS-9 zone for
total lot coverage of 26.4%. No land issues are noted.
CONNECTION FEE OF $222.00 DUE UNDER 2004 POLICY
06/28/2005 02:54 PM GMCLAIN ----------------------------
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway and Sidewalks to City Standards.
~
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATE ACCEPTED COMMENTS
I YES I NO
I II '1'( 'H
llOUnl-l.IN I COVER
~r.K V lCh
~.&..L I
GENERAL COMMENTS:
PW.II02.J~ 14I96J
"[;:
w
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:'21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number . . . . . 05-00000518
Application pin number 230986
Page
Date
2
9/29/05
----------------------------------------------------------------------------
Special Notes and Comments
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 143.20 143.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1917.70 1917.70 .00 .00
COMMENTSI ACTION NEEDED
ELECTRICAL PERMIT INSPECTION 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
INSPEC110N TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.1514'96]
d'O"'~_
$ti~
DB
~--;:;,..
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET, PORT ANGELES. WA 91l~62
Appl~cation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000577 Date
121355
813 MADELINE ST
06-30-00-1-0-4600-0000-
ELECTRICAL ONLY
7/12/05
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BFV LLC
711 E FRONT ST
PORT ANGELES
(360) 452-8924
WA 98362
TWETER ELECTRIC
423 BLACKHAWK LOOP
PORT ANGELES
(360) 417-1151
WA 98362
----~-----------------------------------------------------------------------
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
TWETER/ TEMP SVC
54049
TWETER ELECTRIC
42.20 Plan Check Fee
7/12/05 Valuation
1/08/06
.00
o
Qty unit Charge Per
1.00 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
'J)
..........
~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - --
Fee summary Charged Paid Credi~ted 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
j
~
~
~
'-
0\
()
';
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPEQ'.I0N 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
INSPEcnON TYPE DATE ACCEPTED COMMENTS
YES NO
UnCtl
ROIJlTH-IN / (;UY~K
~bJ<. V 1 Cb
I'tf rn;0 ~,.""'C~
FINAl 7~/:J.-c S- Az(l.
/""
GENERAL COMMENTS:
PW.1102.1~ 14'961
vi,
!/Z,
Job wired by
rJ-'A
l"'~'..
"''IlA
'L..~:.
\~!'
_...
~Iectrical Contractor 0 Owner
ELECTRICAL WORK PERMIT APPLICATION
Electrical contractor name
.-r-kr/77/7!-/Z P/7?r//A/f'"
Purchaser's mailing address
.rr:J ~ b//kIc'lIift,t.JC &P
City Stale ZIP
<..-UJT- - rz.
Telephone number FAX number
~/7 Ih7 3bO Llf7
License number
Date Expires
Installation deSCriPtio~
(J Commercial "Residential
o New 0 Altered/Addition
Premises owner's name
iSa'A,v CA R..\)
Address of inspection
8 i <, /V/4m> LM7?
City
-=-=-P......'"" .r.., -vr;-lC /fl.-f /A.AIr- 9~'L
Phone number to schedule inspection:
/6Ot! >-7 F,;- ,t/~. ;<;rq
~
L-1/
f',/-(/.m ,.r
Owner as defined hy RCW /9.28.26/:(/) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required fa hire an electrical
contractor if above said property is for sale. relll or lease.
After reading the above statement, 1 hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the elcctrical instal-
lation or alteration in compliance with the elcctrical laws, N.E.C., RCW. Chaptcr
19.28, WAC. Chaptcr 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
::u / t,
v/ ';2;; 2..
d5Bf3
.5rI'C
(~e.
o Cash ~heck #
o Credit Card
Card #
Visa
Mastercard
Discover
lectrical contractor or electrical administrator
Expiration Date
of card
o Overhead Service
o Temp Service
-,a. Underground Service
Service Information
Voltage ,;)'(c hVD
Phase J;l1 0 3
Service Size: ~J'"
Feeder Size: r/o
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
/JJ/c<r' At&
I Ul(le Approvc<.l By
THERMOSTAT
k.F)
ale Approved By
SERVICE
/J,i.;- ..hO
/ Djlfe Approve<.ll:ly
FINAL
/ <1.0/- ()?, ..a.- n
Dale A~~'1
DITCH
Cj ~ -,/ Au:J
Da Approved By
FEEDER
Date Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Insp.:ector
-, -
fi
-05
OJ<, -
Op L2Z
oD
t
......
DATE
/-~ -
ELECTRICAL INSPECTIO~, -
WIRING REPORT }
417-4735
PERMIT #
0>- '5"/8
OWNER/CONTRACTOR
t.J~ ~~~
/YJ;'1Z:J,6uNe
APPROVED NOT APPROVED
o ,....,.............. DITCH. . . . . . . . . , . . . . . . . . . . 0
D.. , . . . . . , . . . . . .. ROUGH IN/COVER. . . . ... , . . . . . , . 0
D. . . . , . . . . . . . . . . . . . . . SERVICE. ' . . . . , , . . . . . , . ' . . . 0
)1( . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . .. ~
CORRECTIONS NEEDED:O;7.IV~ #~~J,/~
~bva~>>b ~~n? t.~C/.z: /U('~
/71/IZJL 7l> LJ~ (;-;. kM170AJ -0
(1AU L//7.;-~73) wlfOJ
(Jflry'oIJJ}S!\ ,,c /lfIhtl/:..5> Ai-
,
>..~> if"
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (360) 452-1381
{1 ~tf
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
lectrical Contractor 0 Owner
Installation descrjptjo~
o Commercial Residential
Electrical contractor name License number
-/ PI/E77F4- 'Er11ZC IM(
pJrchaser's mailing address
Lf23 6JA<:t./fo'\W.L L-.'P
City State
(Jj:>r _ uJ-A--
Date Expires
o New
o Altered/Addition
.
00 >'1/1f t::l
.
.-:::;
I~~
,
5Urlcr
CA-Q..{L\"E Cf\.ILV
Address of inspection
I-d\ ;;J..~ W1o'\"!:>l1.-IN..E
City Q-A-, ~
Phone number to schedule inspection:
(8/.3 rnAOk.... €.. 5.T.J
Owner as defined by ROf.19.28.26J:(l) Owner will occupy the structure/or two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor If above said property is for sale. rent or lease.
After reading the above statement, I hereby certify that I am the owner of the ahove
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and
Uti lit ecifications.
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
ectricaI contractor or eI~t:~;: a;i~t;:-
Expiration Date
of card
Inspection fee
$ ~Z _ ZO
Service Information
o Overhead Service
o Temp Service
;,u(Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
E ddilions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan-Wall KW
LAR
Voltage "Z-~/'1_-o
Phase~ 1 3
Service Size: Go
Feeder Size:
ROUGH-IN THERMOSTAT ,.- SERVICE "-
Date Approved By Dale Approved By Date Approved By
,.- ,.- "-
FINAL DITCH FEEDER
7/t,/,.,--- Au)
" / Datsf Approved By / Date Approved By Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date . Inspector
7-il-rJC;- nl" (iJ" ,H '''''''c.....,., no , r;;:-_ _ ~ '/'7700 A -/J
~." ~
v
.
A'r ..// 7/ qhs--