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Home My WebLink About1715 S O St - Building FROM FAX NO. Dec. 06 2004 10:58PM P3 tI ELECTRICAL WORK PERMIT APPLICATION o Request Inspection h~ ~tractor ~'< 1:1 Owner ~, Ocr'- ?,?, l:l ADDual Permit a A13rm 0 Car-nival 0 Commercial ~. Q Residential MaiDt. 0 Sigos 0 Thermostat 0 Telecom. Job wired by 1:1 Electrical Contractor 0 Owner Inlttallation description I .iccn~ number i:.lk.-TSI 13/il..~ Elc~cal contra.ctor ~ _ 17 L...~. L<OC- Purchaser's mai~ address V~ 1?2 u.,...""-~ Cilr'""') ~ Slate - tilH- (~ Telephone number 4 ""-- --Go ........ '-I V'o ... .P ~ leooSo #- 7 \. 'Pr::.e.M. . I-hClO ? ZIP 4~~~ "'- FAX number '-- I premise~s 'lame ^ . ", +4<<.-1L-.. -:t, Address of Inspection 17\ S- '1;>" City . W.... I hereby certify that r am the owner of the above named propcny or a licr;nscd electrical contractor (or the flClIl's authorized agent) snd am making the electrical in!ilallation or alteration in compliance with the electrical law, Chapler 19.28 RCW. o Cash - heck # edit Card ~ Mastercard Discover C~#__~~_~____~___ Expiration Date of card ~gnAlure 0(1.;:" ~untn"ur or eleeldea' admln''''''or WALLS Insulation Only DD.le AsIpto~w 5y Cover D~lc Alll)I'I:'>Vtc\ H-y Inspecti.on fee $ CEIUNG Jnsulation Only lble Approved 9y Cover I)gl~ ApptClvod By ,,- THERMOSfAT \. OllIe App~vQ(l 1:1)' DITCH (lAte Aflflmved Ry SERVICE D.IC AU1l1'Ovcd By FEEDER D~l~ Appro"l:lI By 1 ~ Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard _ KW o Furnace KW o Heal Pump _ Ton _ LAR Q Fan-Wan KW Voltage PhasaOl03 Service Size: Feeder Size: Inspection Date \$ /;'-7-0,/ D~ }j~ ['l-leIOf Service Inforrnat1on Q Overhead Service t:J Temp Service pm, Underground Servioe ~...- Area, Building or Equipment Inspected '" "i ,j, Ac;tion Taken II /~ ;ft-. y ( " ~ .~~ ~EL!? ~.P' ~ k W/,e.[;5 /N ~.s, " .$~"t' ,I'l.<M7-- n NM.... rTN4t- i AP /'--::---.... I .~- -..... ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR Uk:;r-ftic ADDRESS /"2' ~ SI< D;, Sr: APPROVED NOT APPROVED o ......... . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................RN~.................~. CORRECTIONS NEEDED:@bh"'I'?A.-s-r 70 , @ ~//cM!,N h'u~ //V t':r1NPu'c.? MH Af/d'.f/J S/N.K 46#"/:' ~tA.€5r :614/,11 hio..-n ? W/7/f' 6/-1e:J11f-J~ (~""TH;,,-, " NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ... " . IEllE(cTIRl~CAl ~NSPIE(clr~ON W~IRl~NG IRllEiPlOIRlT 417-4735 IN/9Eo &-?~ .s~/c..e-. ADDRESS /7/5" $. 0, Si/ APPROVED /0.5 (' ?~/rs p;> .f~8fAPf~f D................... DIT~ ...................D D .............. ROUGH IN/COVER. . .. . .. . . ... .. D D .................. SERVICE .................. D D ........ O~;. . . . . FINAL. . . . . . . . . . . . . . . . . . . . M CORRECTIONS NEEDED: f:7~ /V ,W . /!.9"'.A.J"~ t:J.I/~I/, ,;::)?n:;,"-::"LJ ey ...:fN:J//y b N/?-/<t". Y' O.A .... /. v;; /,.L)/ZA/~ r) /-V/~ He, _""'-y .-5.--v..,D /~Sf(7) .Murn,8~ ~~ L/V ~ p- /2P.>?'7 rt- P47V~ (i2 w/~ ,EX.lnn.5T' //PN /N ft/7C"#~' @o5t-b'77e:.c. .//Y ~,;r .t5-.7H' ~ 1'5l-()~-'F/J L3; o/)/)r (ff) ()[~Tr1'/'ur, ~tA-/~ ro/G ",>u-:r .:OO<t:. L/";-;T..$ ~,A/ 6~L/ ~ Q? ~H..LJ,,'~ h7d7a.H NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS OLYMPIC PRINTERS, INC. (3(0) 452-1381 - DO NOT REMOVE - IElECTR~CAlINSPECTION . WIR~NG REPORT 417-4735 I DATE [PERMIT' , &O.R ',' I /I~' C' () J i... 'e) i' ~ i C/ - /'" / ' O{.-NY'CO ,AACTVR - .,- '. . ..,-- /;/4:.--CI _ 5'4'<",,/ rOC ./ ADDRESS -- /7/5".5- 0, 5/~ //(~?/I/fYJt'N "r ..$/-1-7'" ;[';;)C~ ;:J.-Lf C',C 'To APPROVED //Y' ..5?'6c.r;v/~' NOT APPROVED D """""",."", DITCH ".",.,.,."""" D D.............. ROUGH IN/COVER ..............)( D .".,....,.".,.,. SERVICE ....,...,'... D D .."""", iP' ' ~ . FINAL. , , . . , . , . . , , , , . , . , ., Ll CORRECTIONS NEEDED: .4'7 ff r.:.L .- b<4:J (;;'A'./::., ')'c'?' c._ /C,:") /'1'" /' .. , / \...?-/ ' , , t'./ "-- / o't/f"Tu,"-. //v )341'7/ ICe>, rJ2 ?<// ~" ~ "17) /i# pV f c),'::: I j{,,' 'i (l ( k ...6.utti.c.iP . '-( ...s'rkf) ..5/?,~ , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC, (360) 452-1381 f ~ORT ~ $4.0~~~ ,. -- ~ ~ 'l.tOi:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000099 Date .160166 1715 S 0 ST 06-30-01-5-5-0020-0000- RES NEW SFR 4/09/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor ARNDT, LEONARD/PHYLLIS 521 W 11TH ST PORT ANGELES WA 98362 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 76.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 o - '-J' ,--, {;'( .,., -, z. V1 ::!> I := \J : qq Permit . . . . Additional desc Permit Fee Issue Date Expiration Dal:e MECHANICAL PERMIT Qty Uni t: Charge Per 4.00 BASE FEE 7.2500 ECH ME-VENT FAN Extension 47.00 29.00 Permit PLUMBING PERMIT Additional deBC Permit Fee 132.00 Plan Check Fee .00 Issue Date 4/09/04 Valuation 0 Expiration Dal:e 10/06/04 Qty Unil: Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 821.25 4/09/04 10/06/04 Plan Check Fee Valuation .00 71573 Qty uni t: Charge Per BASE FEE Extension 667.25 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 constr tion. 1..c1 . V ~'-; Date Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMS\1102.15 [11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE 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 ELECTRICAL LIGHT DEPT 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:\PLANNING\FORMS\1102.15 [11/14/2003] .,;;--~'':!, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number 04-00000099 .160166 Page Date 2 4/09/04 Qty 22.00 Unit Charge Per 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 154.00 Special Notes and Comments The lot is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure for the subdivision is installed and approved. 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) Down spouts from roof gutters shall be piped to drywells or may be piped 'to curbs that flow to strom drains. No pressurized or pumping to curbs are allowed. 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. 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 ----------------- ---------- ---------- ---------- ---------- Permi t Fee Total 1029.25 1029.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2803.75 2803.75 .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:\PLANNING\FORMS\1102.15 [11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES I NO FOUNDATION: FOOTINGS "L I toOvCH L WALLS f/-~ 7,-0 H "'l 4 j... FOUNDATION DRAINAGE/DOWN SPOUTS J...J-~ v-ON . ).., ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING ~, h () ...uu..y ~ I"l 9- . 9.. -o,'})- J~), fl..a UNDER FLOOR 1 SLAB pLUf"IB PINAL It -25-t,S' .JLL /TP ROUGH-IN 1/ L' '?- 7,. u "I RtI WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS Jr) - " 7 ,,)--/ I I CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS lit; -/1-1 -()'j .j ,J.-.., WALLS 1 ROOF 1 CEILING 112 -7 -,).-1 DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING /-Ij-OS j , J MECHANICAL H ~-G1t FI tJA l 4 -2.:; -os ~Ji.L "'lP HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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 R.W. 1 PWI f\- n.u- 0_";- iP CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 4 .- t5 -c :> J LL- BUILDING T:\PLANNING\FORMS\1102,15 [11/14/2003] to to to t' t' t' \D :E; W \D en 000 >" >" >" to to P t' H \D ~ to t' '" o o 0 >" >" o >" ~ >">">">">">" f-'f-'I\.)I\.)I\.)I\.)OO~tf::>.tI=:>otf:::> ........................................................................................................................... I\.)I--'l--'OOOOI-'I-'WWNN UlWW-.J-.]-..J-J.c::...::::.OOWW I ,................................................................................................................................. 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AV1'Ho~/r;t; COi.!IVTY oFC~/...JA(YJ Phone: '1SJ.. - 7 t:3 I &rr'" it I Owner: L~"()AJpf...O t PHI/J.I-/S ARtJsrr (Illvvvr) Phone: . I. Address: S:J. I l-v/. /) r'lt sr City: poter( M C-tt.2.> Zip: ? 33 " 2.. ArchitectlEngineer: 1./111 Dl3f,1(~ A~Ci:fI(JE err;> Phone: r D - If/I t Contractor !lACe. State License #: Exp: Phone: 'I f) -7t3/ Address: {). t D.~~ 50. r(Z.Atni (! I S $'- City: po l?.(( M S F/L. 2 <;. Zip: ? 83C ? PROJECf ADDRESS: I / I ')' ..5ou"rf1 0 .5-rfC t F"r flff AN'c::fl.hZONlNG: R s - t . LEGAL DESCRIPTION: Lot: :it 2.. Block: '0 S7't?rc e..,- Subdivision: /I'1IPDI&uV /t Woo D 5 CLALLAM COUNfY PARCEL NUMBER: ct 300/ 5'.) . - 00 J.-C Credit Card Bolder Name: Billing Address: City: Credit CardType VISA MC # Exp. ~.te: TYPE OF WORK: SIZEN ALUATION: ,. ~Residentia1 KNewConstr. 0 Re-roof 0 Stove lit!O SF:@$ 'l;7 ~ /SF.=$ o Multi-family 0 Addition 0 Move )rGarage f','J.o SF.@$ '3D ~ /SF.=$ o Commercial 0 Remodel " 0 Demolition 0 Deck SF. @ $ , /SF. = $ o Repair 0 Sign . 0 Other TOTAl. VALUATION $"} / , 5'73 BRIEF DESCRIPTION OF THE PROJECT: NEWl"1/"'?J..l" F/1n7IJ..Y R'E.6Il:J'Er/<!..8., - ' ol"1E- $'1"Ol<.y WrT7f.A-'T1'A'C,if&O ~-e~ Gt<fP-..A-<f-E. COMMERCIAlIRESIDENTIAL: Occupancy Group: Occupant LOad: Colis1:lUCtion Type: No.ofStories:-L LotSize: foo7 ExistingSq.Ft. 0 &ProposedSq.Ft. 1700 =TOTALSq.Ft. /700 Existing lot coverage ~ % & Proposed lot coverage -4-% = Total lot coverage ./ 't % J~ ;t ~ 'r; <::> APPROVALS: PLAN: 4b BLDG~ DPWU. FIRE: OTHER:__ PLANNING USE ONLY: ESAlWetIand(s): 0 Yes 0 No SEPA Checldistrequired? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMI1TAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In aD cases, a valuation amount must be entered by the applicant. This figure Will b;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: 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 107.4 of the Unifonn Building Code, current edition). 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 wf.Iat permits are required T:WC)~~~S\8Ujld~t" . .. ':;~', -~,":"'>-,,,,'<.C ... ~' _::.,', _ _," , ,'_ ;'_/:':';:-'':;'i/;',A:#f~':}\;!:,~(: ..,. T -, " ,- , '.",_,~MPAAt,: '~:::~_'f\,~~t-;..": --:c'-' . .-: ':'-~ >,,": :"!'" i Jt' IO?O I 1 ---- .....262_ I U / /;;:-;M;,i~t--m=: ---- h C-m / Gt ~ 11> S-f"RtCff //,' r I : '\ r;/tP-f6 ' I : / ~t,~.s' 1 , , ~I 2' , : /' :: r $' +-,' ?' 71+ lI'..J. j f~ot>1t V , I I i / ""I(.o~....: 1 1; I ~ -f, : I 6<1 I I ~ ' I / I : I "-----: I : ~ ,.. L ~ 1 I :'-- __ _m__m______~j / II l---~-~--;-r<-~------~~:n-mnrnmmj I [nnn / I / ~{I ~// /~ J )i---266 ~o i) . .. ~. --". ...--.. . ... '.' "".' p. ~ -----------------. , , , I o .5.~((g€.r '" ..... 260--- ..----' p. 0> I 1~~=1 :\ \ SCALE: I o 1" = 20' I I ~ r l1t<.tJ Dr T1TLE:MADRONA WOODS SUBDIVISION SCALE: ~ lot 2 1" = 20' JOB NO: 02030 CLIENT: r-ILL HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT2.DWG 2603 S. FRANCIS STREET DATE: ~ PORT ANGELES, WA 98362 11-25-03~ FORM APPROVED OMS NO. 0575-0042, Form RD 1924-1 (Rev. 2-97) ORDER.NO. UNITED STATES DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT AND FARM SERVICE AGENCY DATE CONTRACT CHANGE ORDER STATE CONTRACT FOR VI ? OWNER A !2-r\/rD.,- COUNTY To (Contractor) You are hereby requested to comply with the following changes from the contract plans and specifications: fY/ (j) ~ (jJ @) (f) (p (J) l . Description of Changes . DECREASE INCREASE (Suoolemental Plans and Soecifications Attached) in Contract Price in Contract Price OO/FIC.,,-r/orJ TO P1M-roql/3fDleoc,n f/ M.IIS~1Yn" II ' ' $ 0>..4''3 f' $@ IN 1'Dv-J (jfD#2bcm '066R.. Tb 3 ~ t.S' (p 100 @ fLIfY1INItTi. w/t1..K-II'./ c.t.oSfT f. wlv'irlIlA-LJ..WIPf (f) (JJ .;2..s-o , ( ) AD P ~ (!Q''lGO f'Ylo V ~ ~tt'TH Fi n-ufl [..5' 701 J..f..'0 S I/O wu, S "" Ie ~A(3. 64{Z~ (f) /30 . Ap1) @ ~ ',/J fJcx:..I'\'l'T' '()ooiS FOR- l3/YTffUIJ'iR..'( . $:;: ~~ /l'D1J ")' C J..CJssr "'/ I.. 81 ,,~s C t..OS'iT poolCS l/1fo~4o.'>l) ~ J.. , ~ I flI$ f.. -5 -11" H V Im1ny CAI!J 11'1 [7 () (l/D((l.JV t -'PT H , + t'7S- I . ' $ ,.;.. ~:J-) CI/Ar'J6-f, .5' 5NcMW/1tJ8 7'0 f d&I).-lrJ SHowE.a. TOTALS ..,-/J."iD As ~/M" "0 F.M>1/J... Y J~ FRIf.r/V) " f <(SO . NET C ANGE IN CONTRACT PRICE $ JUSTIFICATION: PII'jI.LIS MIVO'T IS tvH'i'il. Cfh4.t~ l.3ou~ /-IVSl3AtVD ANo W IF't. AtfiU. """'A-r -rH7..SE. c..IIAr1~ L.JlJ-J... 1Ic.<:OPfI J).I7-r( HfA.. N'i..E DS (Cell.. A<!CfS5 ;17JO 1I5~ oF' II<JI)?'i:" /Vo or~ /t'l/'IcaloeCH4rJG<6 OF WI4J-..J-S; VooR0~ ()~ F'117V1'l.C5 M~ /hJTfc'1 Pt'9JCo. 5Hz Dots NOr IISZ. Kl'f(!)K.rI/ F/1e..}I..I'TIE5~ The' amount of the Contract will be (Decreas6'~~BY The Sum Of: ,A1VD F=I r1"t Foul'<. HNNDIl~D Dollars ($ '1M 00 ). The Contract Total Including this and previous Chan~ Orders Will Be: "/oJ ~ H CJYII OR E-D ,f7VO /II J tV l'.... , 00 /o~" 38 -). , , .,Ho ()S~ l) INJO ;1/ /,./f:.. /fUNDR W q '1 ffl (Cry - f., ~" Dollars ($ The Contract Period Provided for Completion Will Be (Increased) (Decreas~nch~ This documen ill become p' lement to' contract and all provisions will apply hereto. Days. Requested Recommended ,fi17 .lbTflTner's Architect/Engineer) (Contractor) (Owner) Accepted (Date) Approved by Agency (Name and Title) (Date) Public nporting burden for this collection of information is estimated to cnerage 15 milnltes per response, including th. time for nwewing tnstructions, searching existing data sources, gathering and maintaining the data needed, and completing and ~iewlng the collection of Information. Send comments ~ing this'burden estimate or any other aspect a/this collection of information, including suggestions for reducing !hIS burden, !o U.S. Department of Agriculture Clearance lcer, STOP 7602, 1400 Independence Avenue, S.w. Washington, D.C. 20250-7602. Please DO NOT RE7TJRN tills/ann 10 thIS address. Forward to the local USDA offu:e on y. You are not required to respond to this collection of information unless it displays 0 currently yolid OMB control number. POSITION 6 Fnnn Rn 1924-7 tRev. 2-97) t:::.!--"- -- _ '-----... ;;;;i'.. -,. ". . _ . __ . 1 -'~-" "'r I T '~ ~ () ~ ~ '0 ~ ~ - ~ ~ \) ~ ~ -\~~~ ~!~~ ....~#,. :~'I- .0--- _ . _00__- -- --.:::a.-.-1-... ~ ---..------ .-- _ . ~t;J_- /- ~ . /.,~ ,/ . i 'f. Q't f ~. -.-~ t fJe~- --- :;;r-n. I . I ../ I I I . .;. ')!' / / :& . . Cj \11 .- ~ .. ... I I I ~ t1. ~! \B i' "' t.l ~ ;; ~: !\ n. "II '\J: -t .. ~! tf:' =, . r . . \\ . ..l - ~ .~. ..... O. ! I : .... =- 1:).. " '0 ". ~ -: , . ": , . .':.~ ! :' ~ I.. ~ t 1 : .+a ~ \lJ :' ~ :QIJ 't i . U i i : I ~ . i . . ; = i I . - ; , 00 l : j , I r i \II , ! : ,~ '!\J! - -, ~I I .11:.. -I ::.. ..' .....:.;-.....- -\-;.. ;~". F~":;'''' If'-,,,, I.~. ; :. 1-:'. j L~: . . f. -- t -_. . 'J : I: -'.~ . . +. i: ! . . . . L._ I: -- - . ... .\J.-.. : : ~...- .., \11- ,,~. ~.. ;..- - r FORM APPROVED OMB NO. 0575-0042 Form RD 1924-7 (Rev. 2-97) ORDER NO. UNITED STATES DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT AND FARM SERVICE AGENCY DATE CONTRACT CHANGE ORDER STATE COUNTY () F CJ tJ1-.J-.. To (Contractor) You are hereby requested to compIy with the following changes from the contract pIans and specifications: Description of Changes Su lemental Plans and S ecifications Attached ADJ> l'rlorJ of OIVE I;" (V,mP 1"0 f"fl..oIII-r fo~CH eN1P-.y $ l1J.,orJfir ~U('O~ G~~f.. "'~~ "'/3,Q GuAtto ~Jt-IL.. 1/ f/,lffVoilAIJ... ATTAt.fHO,~ ~1fM1' TO 13~ '1'IocJIDf.//t % 54Jt ,DECREASE in Contract Price INCREASE in Contract Price $ 35'0 TOTALS $ -/I 1"' "3:)'0 ..,. 350 JUSTIFICATION: 1110 o;ftf./l NET CHANGE IN CONT CT PRICE $ ACC! t..5..5 rt> AloN'f' t:NT~Y III f:~5 ;-0 6t. IAJUWeM/1( 2.N~y IJ1-TW-Mlo/ll..5 M.f. tJt..~Dz.o. OS E IJe:.J..E The amount of the Contract will be (DeCreaS~BY The Sum Of: .,Hlf2.- !lUII/DIUO AY110 FI Fry " f Dollars ($ '"35b / 00 /09, 38-- . I _ . ()"J'Z... /l-v/Voem Af,JO NIt1lt.1'HovSA-d.) $NO NINtl/(JtVOIkQ Dollars ($ 100 13??)::- .,I1tR1Y-C/~ The Contract Period Provided for Completion Will Be (Increased) (Decreas (Unchanged):_ This document ill become a sup ent he contrac d all provisions will apply hereto. 00 ). The Contract Total Including this and previous Change Orders Will Be: Days. Requested (Owner) IJ-08'-C>3 (Date) Recommended (Owner's Architect/Engineer) (Date) Accepted (Contractor) (Date) Approved by Agency (Name and Title) (Date) Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instrunions, searching existing data sourc~, gathering and maintaining the dota needed, and completing and reviewing the collection of information. Send comments regarding this"burden estimate or any other aspect of thIS collection of information, including suggestionsfor reducing this burden, to U.S. Department of Agriculture Clearance Officer, STOP 7602, /400 independence Avenue, ~.w. Washington. D.C. 20250-7602. Pleose DO NOT RETURN thislorm to this address. Forward to the local USDA office onlY. You are not required to respond to this collectIOn of information unless it displays a currently valid OMa control number. POSITION 6 "'~_ Dn to")4_7(Rp.v 2-97) :u. '1+ , .- '- - o~ ,- - i I~~ Ul , I : ~- . l. 1ft. . . i \I'"'~ I \!r' I .' \'); \)\ '.- j. t- ni 1 . ~ '\I ! ~ . .~. f ... ! . ! l. I . ' . . . . . 1-1.- ~ ". '.. ... 1;- . ,- . \.l . ~ I I. -~ ,- - - - . ; t : : i. --- r<.~ A D~ 1))-11- II ~\~ " ~~ ~..t t"J~ ...... - ..~ ~ ~ ! :- .;~ I I' \J. It.. n I~' " ..,...;. ~> .-: ...~ I a:.. . f. . i - , t. I. '-" :'.,,-, . :'.; ~.. :.. , I. ~ ~.... . - ~ '~:' . -" ".: ~: --~----~:;t... . , u '" ~u. ~ ,i' ~,t. m. I~ . . "',mif" .~ ~ ;;', -4 I. f.4 ! , :.- . '. I c:. Iii. !:;; ~ ,I:;. I~. i (n:. n- j' " .Ir;. . ~11.d"'~ I j".. . ~ if .. Ii. '. J i ; . I/' II . /~ . "'L. -L~ -I-~r'/ I , I . I ,. I I I . ' -.. '. a: _.'.. _... . It" ./ k 1'--' 3(/' ,ct.o,t(.. (;A:> Ai c.. .e'A"~U ,.................." f ~ORT ~ ~~G<'O 8" .....,'1~'>.~ ~ 'iaiii -- ~ ~ 'l.tOi:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000099 Date .160166 1715 S 0 ST 06-30-01-5-5-0020-0000- RES NEW SFR 10/25/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor ARNDT, LEONARD/PHYLLIS 521 W 11TH ST PORT ANGELES WA 98362 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 .00 o ~ -J -- V( Permit Additional desc Sub Contractor permi t Fee Issue Date Expiration Date FIRE SPRINKLER RESID KNIGHT FIRE .00 10/25/04 4/24/05 PROTECTION INC Plan Check Fee Valuation V' ~ '" Special Notes and Comments The lot is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure for the subdivision is installed and approved. 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) Down spouts from roof gutters shall be piped to drywells or may be piped to curbs that flow to strom drains. No pressurized or pumping to curbs are allowed. 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. o \l\ --I 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 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' ction. Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\l \02.15 [11114/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN Wf'-TER LINE (METER TO BLDG) dAS LINE BACK FLOW / WATER AIR'SEAL WALLS CEILING FRAMING JOISTS / GIRDERS W SHEAR W Al:.!-/HOLD DOWN~ WALLS / ROOF / CIiILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG 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 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:\PLANNING\FORMS\1102.15 [11/14/2003] f ~ORT ~ $4.0~~~ ".. ~-- ~ ~ 'l.tOi:1C~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000099 pin number . . .160166 Page 2 Date 10/25/04 Permit Fee Total Plan Check Total Other Fee Total Grand Total .00 .00 1774.50 1774.50 .00 .00 1774.50 1774.50 .00 .00 .00 .00 .00 .00 .00 .00 II 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:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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 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:\PLANNING\FORMS\1102.15 [11/14/2003] PORT ANGELES FIRE DEPARTMENT 102 East 5th, Port Angeles, WA 98362 360-417-4653 Fire Sprinkler System Plan Review Project Name: Self-Help Housing Address: South 0 Street Installer: Knight Fire Protection TeIephone: 360-417-0505 Type of System: 13D R-3 [Xl R-l D Com D Date: October 19, 2004 Permit #04-12 We have checked this plan and find that it conforms to the requirements of our ordinance. Additionally: 1. All systems including underground mains, shall be installed by a state licensed and certified company. The system shall be installed as per NFP A l3D. 2. All electrical components shall be compatible with the fire alarm system voltage and as per P AMC and Washington Administrative Codes. 3. All systems will require witness underground flushing, hydrostatic tests for system, and underground pipe schedule inspection by the Port Angeles Fire Department prior to being covered. (R-3 and R-l requires design sprinkler flow.) 4. Before final acceptance of the system, an inspection will conducted by the Port Angeles Fire Department to ensure the system installation complies with NFP A 13D. o Contractor m Building Department o Fire Copy Reviewed by prLG--o Date \0. \~ 'rbl.( FP - 9 Page 1 of 1 HYDRAULIC CALCULATIONS ., L SHEET OF' . fOIL r~ A-U HtM~ Av.fh,,~ BY th. "i};r-1 : CWYI G?I Inlr\-} f\.rr~ I\~ ~~~ k.. ~ - 1S~ ~'Z. DATE \O)i';,/~ i NOZZLE fLOW I'II'E EQUIV. FRICTION C:J::,-tJ 10 Et'(T. "II'E FITTINGS "'I'E LOSS PRESSURE NORMAL NOTES AND IN AND LOCATION G.".M. SIZE DEVICES LENGTH I'.S.I./FOO T SUMMARY PRESSURE ~:.i.., /.1'" LLfo PrI~ ~O PI \~,..\~ I I Q '1w" 17.t" I F/~O PI: - Pv " A , I" T/'I.O o llD.o ' (J4r:'O Pf ." ~ Pn L P rll- "13 ' PI Q' F PI: Pv 0, T PI Pn A )./~ L'Z1< Pdi.43 PI Q Ir~m. F 1S.f) Pe - Pv 8 I.Q;P o '.1-- - III T J1i.~ ,011,Z. ...~, c.eN Pf Pn I L pd7..4:J7 PI I I Q F Pe Pv I 0 IT Pf Pn . I 4 116/ I L 4'1 ~ PI /i- "I~ Pt I Q !~~o'Z.~t J: "Zl.O ~ Pe - Pv ~ I" IT 1,'1.< I c,W o (,.e ~z. Pf .S? Pn I 8 Q ':;.-:,.. lIef I L z..,.~ PI lB. 02- Pt , Q~If'(..~6)~(,.m I z..,.uv I I Pv '( ~()f I, ~ I?"D ,.,.~ F n 0 Pe - I , p:- o , I ~ C ,4.I)ef. 0/,.0 I T "It,.e . tJ'-I~O Pf Z./' IPn I ! c. I IQ I L 4.0 Ptt'"./:, Ipt I i I F - /'.,,3 I Pv ~ ~ i 1; Ql~,o I" I T ~to, . ~ t.J)'o Pf ./~ Pn I ,ff'~:3) I II~I I L \.t> Pt Zz. aLl c~)u> I Pt I 11 q \ Fls 'rf'Ul I F Pe .4,$ Pv I ~ ~I\ Q Ik.~ I" IT 1.0 .L?BIo \ Pf ,0'1 Pn \ 1 ,. '1~~ I €: l.IO) i L I"l,..(> Pt Z~. S~ Pt ,:;; ....,{".o I q ~ !~ I F 'Z.),O ~~ Pe 2..f,1 Pv ~ ~'~. '"" 33 I f 10 '\,.6 ll' T'S?,D ,~....~ Pf f.~ Pn f c." 0 1101 I L (;;.o Pt Z h,e(. Pt !oo f' Z hi -] CI , ';1 F I~.o Pe - Pv 1:hJW ~ 1(. I & W1~f~ Q '2-\.0 I" , T eo,/) . ()7 ~< Pf S. '1 '- Pn I L 16 0 , (,. .m Pt 12.B'2. Pt "!MI. m~}.,1 I Iq I\~~(. I F ~.l' P-e - Pv 5. G\'pSI e. 'Z.\5 ... }J Q Z\o $).... T 1'\..1, .2243 ~.]t; 17ft Pn L Pt 'f'3.()8 Pt CI ~eC\iOI\ ~~ F Pe Pv ~ cerllfle.e Q T Pf Pn <(f> ~'~~~~ ~? * ;.' , TlU L Pt Pt ~ ~~ ICI l~, , F Pe Pv 0 T Pf Pn . L Pt Pt u"'J~ ~ 5 ~ II}. a &~~ ~. , Pe Pv l 0 T Pf Pn .rt "- ~ j~J.J HYDRAULIC CALCULA TI ON 5 SHEET --L-c~-.L , f 0 ~ r I 0- I..A... (1yf\ rt)t,)fI)f'.A, I'f1)VJW; Mh-A~ . BY ",. b"'1 PIP Y'\ llW "'\Wtl .lt4tl- ~t)I1..l,~ OAT~ , -- \ HOIIU: fLOW PI" r [QUIV FRICTIOH c....I,O IDEHT. I'II'E FITTINGS . LO'".;$ PRESSURE NORMAL NOrE AND IN AND I"IPE LOCATIOH G.'."". SI::E DEVICES UNGTH P.S.I./FOOT SUMMARY PRESSURE : ~ '. J .-=f /-1'1 I L ~.O PI &.0" 11" l1.. i 1- PI q fwt IF ;.0 Pe - Pv : A t.JX1O. , I J II It .00 q €I , -uiJ Q ..., j) 13.0 Pf ,13 Pn , \tI1 I L 41.';- , I Pt I A PI fji, 13 I " q . \~ tor-vi F I 2,; 0 , I Pe Pv ; ~ Q ,-7,f) . \ II I "i ~~.'" , CO'i f, Pf .(P3 I Pn I : I L Pt 9,1(. Pt q IF Pe Pv Q IT Pf Pn "Z. 1"01 ! to /I.v Pt Z',oo PI I q I p., I ! fna;,.,J F 11,0 IPe - I 131~ .104.0 3' I I c: /I , I f3 I 10 I~.I I I Ie I I 10 g I' Ie 1;-:1- c...1 'f~" I Q '2-'2.. 1- cl o I CA14Q Z2..l. DI c ~J3 .., r:;. ,.1-.'],. e:/ q q q tw) "",r Q ~z:z.. a 5:0 th~ Q '21.'2. a ,,J Q ~I- Q I \ : 1116\ I I :lnc. I /"! I I I : I I , .\ ,~ I t ~.t ! T Zz,.tO I .(>03 tG Ipf .~ IPn I L S:o I IpI ~..OO Ipt , I I I ! : 1'6 0 I ,P~ Pv I ':" I~.O I.OJ-/D'; !Pf.t. I IPn i :. I ! PI 9.lI'f I Pt , - I I Pe I Pv - I !PI IPn I IPI~.i(.lpI IP-o! - lpv .Oz,'Z-L; IPI s.8lP IPn Pt 12. ~t. I Pt p~ . I~) Pv ~.o '.()<bl-~ PF ,'33 IPn Pt '1./ /,6 I Pt Pe IPv . \')'1 .c.8~> . ''20 '1- .llllq l' L , l' Pf . 1 Pn PI Ie;' Z1 I Pt Pe L~l Pv Pf 1.1 z.. Pn Pt "10 ~ Pt P-e - Pv Pf q. r.\ Pn Pt)o.4" Pt Pe - Pv p7,03;.ti~ Pn Pt -11. Pt PI: Pv Pf Pn Pt Pt Pe Pv Pf Pn =;;r, Q~d1 ; ~: $~ ~ ! Q~:a!>,-~~ I "l"P; "- I I I II- 10' I [ ,'''211xV I ., I t It I I' I l'I~'i ! !. I I I ~ I t" i i -;- I~I I!. \,0 I I"I~~ IF - I" I ! i 1,0 11011 i L 12.0 I ~,,~ 7~\In I ~ ~). 0 1" r Ii 33.0 I I ItA I L k"..o ~o IF 1>0 Ii I L ID.O IF", I I l' '~.I IL IF ~lf'4}~ t,-l16 " e .-J3~ C~, sz> I /,)' R~;J I A-no ~",., : ~)T'JL : , V'i' M~d(... I Q.ep5\ e I 40~ " I Heliablll Bulletin 141 E OJ c ~. ::J Model F1/RES CCP Residential Sprinkler ..... ./:>. ..... m A Concealed Residential Sprinkler Features 1 . Lowest concealed residential sprinkler flows to 20 x 20 (6.0m x 6.0m). 2. Push on, thread off, sturdy convenient cover plate. 3. Factory assembled sprinkler and cup, shipped complete with protective cap. 4. Sprinkler assembly and cover plate separately packaged. 5 . Two versions: · 12 (13mm) adjustment · 516 (8mm) adjustment 6. Rugged damage resistant assembly. No exposed thermal element. 7. Utilizes the Model F1/RES 18 Pendent Residential Sprinkler. 8. Aesthetic ceiling profile. 9. Available in white or other color painted or brass, chrome or black plated finishes. Product Description The Reliable Model F1/RES CCP Concealed Sprinkler is an attractive, low profile concealed residential sprinkler assem- bly, This sprinkler assembly utilizes a Model F1/RES 181550F (680C) pendent residential sprinkler in a Model CCP cup and push on thread off cover plate assembly. The cup is securely factory threaded on the sprinklers inlet end. The assembly is shipped WITh a protective cap, The sprinkler and cup are eas- ily installed into the drop nipple using the Model RC1 Sprinkler Wrench. The attractive, low profile cover plate assembly is at- tached to the sprinkler cup using a strong threaded engagement Two attractive cover plate assemblies are available; the first provides 1'2" (13mm) of cover plate adjustment while the second provides an even lower profile with 5'6" (8mm) maxi- mum adjustment The Model F1/RES CCP Concealed Residential Sprinkler is a fast response residential glass bulb sprinkler. This sprinkler uti- lizes a 3.Omm frangible glass bulb, These sprinklers have dem- onstrated response times approximately 5 times faster than standard response sprinklers of the same temperature rating. The Model F1/RES CCP Calcealed Residential Sprinkler dis- charges water in an hemispherical pattern beloN the sprinkler deflector. The residential distribution pattern is higher and gener- ally contains a finer droplet size than standard sprinkler patterns. The Reliable Automatic Sprinkler Co., Inc., 525 North MacQuesten Parkway, Mount Vernon, NewYOI1< 10552 , '-'~'.. ", This combination of speed of response and special distri- bution pattern has demonstrated, in fire testing, an ability to control residential fires, providing significant evacuation time for occupants. The Model F1/RES CCP Concealed Residen- tial Sprinkler is a ULC Listed residential sprinkler intended to be installed in wet pipe sprinkler systems of one and two family dwellings and mobile homes, in residential occupan- cies up to four stories in height, or in the residential portions of any occupancy per NFPA13D, 13R, or 13, Application and Installation lhe Reliable Model F1/RES CCP Concealed Residential Sprinkler uses the 1550F (68 C) Model F1/RES 18 Pendent Residential Sprinkler with a threaded Model CCP cup which is factory attached to the sprinkler. A protective cap is pro- vided. The assembly is completed by the installation of the attractive, low profile, 1350F (57 C) rated Model CCP push on cover plate assembly. The cover plate and sprinkler cup assemblies are joined using flexible tabs having a strong threaded engagement. A choice of two cover plate assem- blies provides either !,~" (13mm) or 5,6" (8mm) of cover ad- justment The cover plate is attached to the skirt using 1350F (57 C) ordinary temperature classification fusible alloy. When the ceiling temperature rises, the solder attaching the cover plate and skirt fuses, thus releasing the Cover plate and exposing the sprinkler to the rising ceiling temperature. Continued increases in air temperature cause sprinkler bulb operation, which opens the waterway and alloNs the dis- charging water to be distributed in a hemispherical pattern below the sprinkler deflector. Following installation, any secure engagement of the cover plate assembly and cup assures that the sprinkler de- flector is properly positioned relative to the ceiling. The Reliable Model F1/RES CCP Concealed Sprinkler must be installed in ceilings with a neutral or negative pres- sure in the plenum space above the sprinkler. After installation, inspect all sprinklers to ensure that both the gap between the cover plate and skirt and the cup slots are open and free from any air flow impediment. Apply a Teflon*-based thread sealant to the sprinkler threads only. After the protective cap is removed, the Model RC1 Wrench is then used to engage the sprinkler wrench- ing surfaces and to install the sprinkler in the fitting. A Z- 3 (67mm) diameter hole cut into the ceiling allows sprinkler in- stallation and is properly covered by the cover plate. Push the cover plate assembly by hand into the cup. Final adjust- ment, if required, is made by turning the cover plate until the flange is in contact with the ceiling surface. The Model F1/RES CCP Concealed Sprinkler is only to be installed with a 1350F (57 C) rated Model CCP Concealed cover plate assembly, Concealed cover plate/cup assemblies are listed only for use with specific sprinklers. The use of any other concealed cover plate/cup assembly with the Model F1/RES 18 Sprinkler or the use of the Model CCP Concealed cover plate assembly on any sprin- kler with which it is not specifically listed may prevent good fire protection and will void all guarantees, war- ranties, listings and approvals, Maintenance Models F1/RES CCP Residential Sprinklers should be in- spected quarterly, and the sprinkler system maintained in accordance with NFPA 25,13, 130 and 13R. Do not clean sprinkler with soap and water, ammonia or any other c1ean- . DuPont Registered Trademark, ing fluids. Remove dust by using a soft brush Of gen~e vac- uuming, Remove any sprinkler which has been painted (other than factory applied) or damaged or operated sprin- klers, Prior to installation, sprinklers should be maintained in the original cartons and packaging until used to minimize the potential for damage to sprinklers that would cause im- proper operation or non-operation, Approval Organizations 1. Underwriters Laboratories Inc. 2, Underwriters Laboratories of Canada 3 NYC MEA 258-93-E Installation Wrench Model RC1 Sprinkler Wrench ULI Listing Category Residential Automatic Sprin- klers ULI Guide Number VKKW Ordering Information Specify: 1. Sprinkler Model: F1/RES 18 2, Sprinkler Temp, Rating: 155QF (68 C) 3, Cover Plate Model: CCP 4, Cover Plate Thread Size h NPT (R'I2) 5, Cover Plate Rating: 1350F (57 C) 6, Cover Plate Adjustment Either h (13mm) or 71'6 (8mm) 7, Cover plate finish Model F1/RES CCP Concealed Pendent Re idential Sprinklers Technical Data ,--- , Thread I Maximum I I Size Pressure Temperature Rating Sprink~ : Co~ 1550F 1350F (68 C) (57 C) Maximum Ceiling Temp. 1000F (38 C) W'NPT (RY2) 175 pSlg (12 bar) Installation Data Model Nominal Orifice Size K Factor US ! Metric Sprinkler Spacing ft.x It (mxm) 12x 12 (3,7x3.7) 14x 14 (4,3x4,3) 16x 16 (4,9x49) 18x 18 (5,Sx5,S) 20 x 20 (6,0 x 6,0) Fl/RES CCP Ya (RYa) 3,9 55.8 Cover Plate Finishes ;1) I Standard Finishes I Chrome Plated !White i Special Application FlIlishes I Bright Brass I Black Plated ! Black Paint [Off Whrte Satin Chrure I (1 )Other finishes and coiors are available on soecial cxcier, Consult factory for details. Sprinkler cup assembly are packaged separately, Installation Aid A protective cap is Inc!uaea for use during installanon. Note: Paint cx any other coatings applied aver the factay finlSl1 will void all approvals and 'N8ITar1ties, The cup and skirt are facrica.ted of plaled steei and are Intended for Interior, non-corrOSNe apolica- lions, Maximum C3tance -;) Wall t.(m) (18) . (2,1) ; (2.4) J (2,7) 10 (3,0) NFPA 13,130 and 13R Single Sprinkler : Two Or More Spri1klers Aow Pressure Aow Ea Presstn Ea. i gpm Umin PSi! bar I gpm Lhnin psi bar 11 41,6 8,0 i 0,6 lO,S 39,7 7.2 O.S 12 45.4 9,5 i 0,65 10,5 39.7 72 0.5 15 56,7 14,8: 1,0 12 45.4 9.5 Q,65 1660,S 16,8 I 1,2 13 49.2 11,1 0,8 18 68,1 21,3 I 1,S 16 60,6 ~6.8 '.2 2. 7 ")( 7/2" REDUCING FITTING 2 5/16" DIA CUP CEILING 1/2" MAX. I COVER ADJUSTMENT i COVER PLATE =bI ASSEMBLY 3 5/16" DIA. SPRINKLER 141FG01A 1/2" ADJUSTMENT 2 5/8" DIA. HOLE IN CEILING r 7 1/2" MAX. FACE OF FITTING TO FACE OF CEILING -77/] DIMENSION (//// -1 //// ~- 15/16" f FITTING 2 5/16" D/A CUP Lr--) I-~ SPRINKLER I J/-;;-~C;~~ / <!~l~_/j . ~-~ --~- CDLWG ' 5/16" MAXJ COVER ADJUSTMENT COVER PLATE- ASSEMBLY 3 5/16" D/A. i I L_ 141FG02A 5/16" ADJUSTMENT 3. 2 5/8" D/A. HOLE IN CEILING r 1 1/2" MAX. FACE OF FITTING TO FACE OF CEILING --77-]/ DIMENSION all/// '//// . /- --'- 3/4" r Reliable Riser - Residential Bulletin 416 Rev.A Reliable Riser - Residential 1" (30mm), or 1~1/ (40mm), or 2" (50mm) manifold optional NFP A 13D/13R rn c ~. ::J -+:>- ...... (J') :n (1) < )> Reliabl~ F eatu res: 1, Stainless Steel body construction, 2. All brass trim. 3, Factory assembled, 4 Factory pressure tested at 200 psi. (13,8 bar) 5, Choice of trim: · Basic Trim (Fig.1). · Basic Trim with TestANDrain Valve Trim (Fig, 2) · Basic Trim with Pressure Relief (P,R.) Valve Trim (Fig, 3), 6, Choice of mounting options: · Supply I System lines support. · Support Bracket (to stud) (Figs, 4 & 5). · Recessed or Flush mount (to wood panel) (Fig. 6). 7, NPT (female x female) connections, 8, Slim design allows for easy installation within 2 x 4 on 16 centers wood frame construction. 9, Dedicated UL Listed Water Flow Detector assures optimum sensitivity, Fig, 1 Base Unit S- , , '- ,"- ..; ,; '..- - i_ - _' ,< --', ~,: . -J '...."':"~ ~: Fig. 2 Base Unit with TestANDrain' Valve Fig, 3 Base Unit with Pressure Relief (P.R.) Valve Trim Approvals & Listings 1, Listed by Underwriters Laboratories Inc, and UL Certified for Canada (cULus) 2, NYC MEA 258-93-E I I I I I Fig, 4 Base Unit with P.R Valve Trim & Support Bracket The Reliable Automatic Sprinkler Co" Inc., 525 North MacQuesten Parkway, Mount Vernon, New York 10552 Optional Trims - Technical Data: I Description I Basic Trim ! Manifold I 'Size: Dimensions I Weight' P.R. Valve Trim Dimensions Weight* Lbs (kgs) - -.. -'"--,,~ ,-."-----."...-.,, ".~---_. ..-"'--~-""'..-~," """'.'''''","" ".-- ~ TestANDrain' Valve Dimensions Weight* · I~'~s:. :. --"'1(,- ~t I I II ,~--, . I A I ~! Pressure Relief Valve I '" " / ;' / / , / Water Row Detector Product Description: The Reliable-Riser comes factory assembled with the necessary ac- cessories for a cost effective, yet complete riser assembly. Cast-on lettering clearly identifies manifold size, flow direction as well as the test and drain outlet, and UL listing control number 59UN, Note: TestANOrain trim (Fig. 2) offered with choice of manifolds [1 (30mm), 1,Y;; (38mm) or 2 (50mm)] and three options of TestANOrain orifices each (% ,11'6 or h ). -.! ~/;:";-- MINiMuM CAP Fo.e> '//ATER ~~]rY ...'vDlc:;.7"t;R ! C')vER ,REMOVAL(TYPICAi.. ALL ."I/....-./.'F"OLD5.; T I I I S-;vD "'um~ d,' ~.~~ ~- ,~ suppopr BRAO<ET MOI..:N-: L BRA.CK[T ;:-~USH ,'(fTH F:'CZ CF 5Ti)D Fig. 5 B inch (mm) 10;'-; (267) 11,;(286) 12(305) Water flow detector contact ratings: 10 A @ 125/250 VAC Ordering Information: Specify: 1, Size 2. Trim type 3, Support bracket, if required Installation: 1, Install the manifold with the flow arrow pointing towards SYSTEM side using threaded connections, 2, Connect a 1 NPT drain line. Ensure the drain Ball Valve is in the CLOSED position. 3, Place the sprinkler system in service, Caution: Automatic sprinkler systems having non-fire pro- tection connection (permitting continual water flow) require dielectric fittings, according to NFPA 13 sect. 4-6, when dissimilar metal piping materi- als are joined, Note: Use a non-hardening pipe joint compound, or tape. ..."... !,":"rl ." "'-," ~~A;/~. T __ -=--:;:- -- '- ---- - - --,~- .::. J" ~.I ~ ~J __- ~ _ _~_;~~~~_ Fig, 6 The equipment presented in this bulletin IS to be installec in accordance with the latest pertinent Standards of the National Fire Protection ASSOCiation, Factory Mutual Research Corporation, or other similar organizations and also with the provisions of governmental codes or ordinances whenever applicable, Products manufactured and distributed by Reliable have been protecting life and property for over 80 years, and are installed and ser"ced by tne Test nlghly qualified and reputable sprinkler contractors located throughout the United States, Canada and foreign countries, Manufactured by Rellilblc4 The Reliable Automatic Sprinkler Co., Inc. (800) 431-1588 Sales Offices (800) 848-6051 Sales Fax (914) 668-3470 Corporate Offices wwwreliablespnnklercom Internet Address o Recycled \:I Paper ReVision lines Indicate upcaleo or new data E G Printed n USA 6102 P/N999997Q207 5 FlameGuard™ CPVC FIRE SPRINKLER PRODUCTS FG-2-0700 CORROSION RESISTANT SUPERIOR FLOW EASE OF INSTALLATION "'j Spears FlameGuard™ CP'I/C Fire Sprinkler Products provide a cost effectiye alternative to metal systems with advantages of high corrosion resistance, improved system hydraulics, ease of installation, and quick assembly \vi.th readily available tools. CPVC Fire Sprinkler Systems are based on proven products that ha\-e been in continuous service for oyer +0 years. Spears FlameGuard™ products are approyed by UL, FM Global, LPCB and Certified by NSF International for potable water use. Check local codes for restrictions and limitations. Corrosion Resistant CPVC Material Does Not Sustain Biological Grmvth Unlike metal systems, FlameGuardTM CPVC products never rust, scale or pit and do not sustain biological growth - a cause of .0.1icrobiologically Intluenced Corrosion (MIC) which can destroy metal fIre sprinkler systems from the inside out. Superior Flow Characteristics for Lower Friction Losses The smooth-wall interior surfaces of FlameGuard™ CPVC systems result in reduced friction loss over metal systems. The design tlow characteristics remain constant throughout the life of the product because there is no interior corrosion in the sYStem due to microbiological activity. Pressure Rated to 175 psi @ 1500 F FlameGuard™ CPVC Fittings are produced in a combination of Schedule 40 and Schedule 80 confIgurations conforming to ASTM F438 or F439 standards for use with SDR 13.5 CPYC fIre sprinkler pipe. CL Rated working pressure is 175 psi @ 1500 F (LPCB rated to 1200F). Easy Installation for Lower Costs FlameGuard™ CPVC s,-stem installations significantly reduce costs O\-er com-entional metal piping by virtually eliminating prefabrication. Systems can be fully installed onsite using solvent cement joining methods. UL Listed for NFPA 13, 13R & 13D Systems FlameGuard ™ CPVC Fire Sprinkler Products are UL listed for Light Hazard occupancies as detined in NFPA 13, Residential occupancies up to and including 4-stories as detined in :\.'FP.-\ 13R, and Residential occupancies for one and t\vo family dwellings and manufactured homes as defined in NFP.-\ 13D. Consult Spears CPYC Fire Sprinkler Piping Products Installation Instructions and NFPA Standards for additional applications including air plenum, system risers, underground, attic, and garage installations. Full10-Year Limited Warranty FlameGuard™ CPVC Fire Sprinkler Products are warranted for 10 years against defects in material or workmanship. Consult Spears FlameGuard™ warranty for additional details. PROGRESSIVE PRODUCTS FROM SPEARS INNOVATION & TECHNOLOGY \'isit our web site: www.spearsmfg.com Spears FlameGuard ™ . . . The Leader in Innovative CPVC Fire Sprinkler System Products Pioneer in Molded-in Brass Insert Head Adapters Spears pioneered the development of the FlameGuard™ molded- in-place brass thread insert for connection of sprinkler heads to CPVC fire sprinkler systems, then refining the design to produce one of the most reliable adapters of its type. "-\nilable in straight and reducing sizes with 1/2",3/4" and 1" Brass FIPT threads, plus 3/4" through 2" Brass FIPT threaded female adapters for metal-to-plastic transitions. Innovator of Advanced Stainless Steel Reinforced (SR) Head Adapters Spears FlameGuard™ continuous improvement program developed the technology to produce a superior patented plastic threaded fitting - the Stainless Steel Reinforced (SR) Design. This unique design incorporates a patented thermoplastic compression process that equalizes stresses generated by tapered thread joint make-up. All CPVC plastic body and threads provide a more uniform construction and improved corrosion resistance. Available in straight and reducing sizes with 1/2", 3/4" and 1" SR FIPT threads, plus 3/4" through 1-1/4" SR FIPT threaded female adapters for metal-to-plastic transltlons. Full Assortment of Specialty Products & Fittings Configurations Spears FlameGuard™ provides the specialty fittings needed in today's fire sprinkler systems. Like the adjustable drop nipple for fine-tuning to finished ceiling height, side-wall tees for opposing heads, and ringed head adapter for ease of locating during installation. Plus, Spears FlameGuard™ line offers a full assortment of CPVC fire sprinkler fitting configurations including Tees, Elbows, Flanges, Couplings, Caps, Grooved Coupling Adapters and Cnions, sizes 3/4" through 3". Spears Solvent Cements & Thread Sealant FlameGuard™ products should be installed using Spears FS-3 Solvent Cement & FS-1 Primer or FS-S One-Step Solvent Cement. For threaded joints, use Spears BLUE 75™ Thread Sealant that has been tested for compatibility with FlameGuardTM CPVC Fire Sprinkler Products. Consult sprinkler head manufacturer prior to use. Installation Training Available - Contact Spears Technical Services for Details FlameGuardTM Products must be installed in accordance with Spears CP\'C Fire Sprinkler Piping Products Installation Insuucnons, National Fire Protection Association Standards 13, 13R, 13D, and in accordance with local codes. Code requirements and field condinons may differ, It is the responsibility of the installing contractor to insure that dle product is suitable to meet these requirements. Ii SPEARS MANUFACTURING COMPANY CORPORATE OFFICES 15853 Olden Street, Sylmar, CA 91342 PO. Box 9203, Sylmar, CA 91392 (818) 364-1611. http://www.spearsmfg.com '~-;'" f;Y..j,.'.'.~~.~,'; .~ \-~ ? ~"~~ @Copyright 2000 Spears Manufacturing Company, All Rights Reserved, Printed in the United States of America 07/00, FG-2"()700 Model #1 08 Two-Hole Strap for CPVC Pipe I. .~ :'- ~-+-r -t) r ~'-r. \:J ' \...1/4.' @c@ LISTED LISTED 26 SIZE RANGE: 3/4" thru 2" pipe MATERIAL: Pre-galvanized carbon steel LISTED BY: Underwriters Laboratories Inc. to U. S. and Canadian safety standards SERVICE: To support C.P. V.C. or Polybutalene fire sprinkler piping in horizontal position from top, bottom or side of beam in Fire Sprinkler Systems installed per N.F.P.A. 13, 13R and 130. Fasten with 2 Hardened Hex Head Screws, # 10 x 1", supplied, needs no pre-drilling. Reta;ner d;mples secure hanger to p;pe dur;ng ;nstal/ation. Offset edge for abras;on prevention and added strength. ORDERING: Specify pipe size, model number and name. Pipe Size A B Max. Hanger Spacing 314" 3-1/8" 2-1/8" 5-1/2' 1" 3-5/16" 2-1/4" 6' 1-1/4" 4-1/8" 3-1/8" 6-1/2' 1-1/2" 4-5116" 3-3/8" T 2" 4-7/8" 3-15/16" 8' Model #109 Side Mount Strap for CaP .V.C. Pipe r----' --; @c@ LIST!:D LISTED SIZE RANGE: 314" thru 2" pipe MATERIAL: Pre-galvanized carbon steel LISTED BY: Underwriters Laboratories Inc. to U. S. and Canadian safety standards SERVICE: To support C.P. V. C. or Polybutalene fire sprinkler piping in horizontal position from top or bottom of beam in Fire Sprinkler Systems installed per N.F.P.A. 13, 13R and 130. Fasten with 2 Hardened Hex Head Screws, # 10 x 1 ", supplied, needs no pre-drilling. Offset edge for abras;on prevention and added strength. Reta;ner d;mp/es secure hanger to p;pe during ;nstallation. ORDERING: Specify pipe size, model number and name. Pipe Size A B C CL Max. Hanger Spacing 314" 2-5/16" 1-11/16" 2-7/16" 1-7/8" 5-1/2' 1" 2-518" 2" 2-11116" 2" 6' 1-1/4" 3" 2-3/8" 3-1/16" 2-1/8" 6-1/2' 1-1/2" 3-1/4" 2-5/8" 3-5/16" 2-1/4" T 2" 3-11116" 3-1/16" 3-13/16" 2-1/2" 8' 26 Michigan Hanger - ERICO d'OIt'~ J~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .'12I EAST 5TH STREET. PORT ANGELES. WA 91B62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning , . . Application valuation 04-00000099 Date .160166 1715 S 0 ST 06-30-01-5-5-0020-0000- RES NEW SFR 12/10/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor ARNDT, LEONARD/PHYLLIS 521 W 11TH ST PORT ANGELES WA 98362 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V~ON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 ............ "" '-. Vt ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1800 SQ FT SFR ELECTRIC SERVICE 96.40 12/10/04 6/09/05 ~. Plan Check Fee Valuation .00 o '\ Qty 1. 00 1. 00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 23.40 ('\ "..." Special Notes and Comments The lot is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure for the subdivision is installed and approved. 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) Down spouts from roof gutters shall be piped to drywells or may be piped to curbs that flow to strom drains. No pressurized or pumping to curbs are allowed. 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 Nat~onal Fire Protection Association(NFPA) standards. Electrical load calculations and elctrical permits are required. LI\ :'r Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPEcrJON 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 ACCEPTED COMMENTS YES NO I JIll :H ~ IHlllG-H_IN / CUVbK SbK VICb FINAL I I A............ GENERAL COMMENTS: PW-II02,IS (4196) '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 9R:l62 Application Number . . . . . 04-00000099 pin number . , .160166 Page 2 Date 12/10/04 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96 .40 96.40 .00 .00 Plan Check Total ,00 .00 .00 .00 Other Fee Total 1774.50 1774,50 .00 ,00 Grand Total 1870.90 1870,90 .00 ,00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECf,lON 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 ~/-..2' z_ ~ ~~ '1 r/,lVA-.t.. .0.+ '.I~j.5-",J GENERAL COMMENTS: PW-II02.U [<4196)