HomeMy WebLinkAbout2207 W 16th St - Building FROM FAX NO. Sep. 3 2009 1:13PM P1 rr�
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CITY OF PORT Awuus PmNIIT APPL3CATION q �'s',�'"• {;�°�
r.;
Building Divisiow'Electrical Inspections
321 Bast FiftlD Street—P.O.Boa 1150/Port Angeles Washingtan,98362
Ph:(360)417-4735 Fax:(360)417-4711 DEC I
Date: Single Family Dwelling REURICAL
Plan Review Ma0e Required,Please Complete ElectW Flan Review Infomiafion Sheet
Bd wing Square ,--•_----
Descilpdan d above
Owner Inforynfon Contractor ! o
Name: 7 1--e-(w'x N=
Meiling A6d 2 It to
City: She_.�Z `I ¢ r 3 C�
t'hvne:y s r'y � c, ,
a>c 9
Lkema 41 Exp. _ - LtM#1 eCP C-r s IL , z 0syl
fEerr It CMF.QLL 9k Total fray Muklntled by Unit„Qarao)
Senricefeeder240Amp. $120.00
Servic eTeWer 201404 Aurp. $146.00 S
Ssr cwTeWer 401.600 Amp $205.00
Servlo®IFeWw W-1000 Amp. $262.00 $
SeuvioelFeeder over 1000 Amp, $373.00 $
Branch Circuit W/Service Feeder $ 5.00 s
Branch Cira*W/0 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00
Branch Circuits 14 - $ 75.00
Temp_Servhx•1 Feeder 200 Amp. $ 93.00 $
To".Sere m Feeder 201.4W Amp. $110,00 $
Temp.ServicelF99dsr401-= p. $149,00 $
Temp.Sere mFeeder6ol-1t1 Arne. $168.00 $�
Portal to Portal Hovey $ 96.00 ___ $
Signal Cimcritl Limited Energy-1&21x*DwdN $ 64X $ ---._---
Manufactumd.Hom Canectioa $120.00 $_,
Renewable Eledt{A F.i%ngy-5KVA System or Less $10200 $ -
Therrumtst $ 56.00
Kota:$5.00 for each addWW Twmt
N N OP[LIC:
First 1300 Square Ft $12D.D0 _- $
Each Addiitiod 500 Square Ft or Po"of $ 44.00 $
Bach ouftild4V or Debehed Garage $ 7440 $_,
Each Svrirn"Pool or Hot Tub $110.00 $
s i��To�l
owner as defined by RCW,19.28.261:(1)Owner VWl occupy the struat"far two yearn MW M eleftw pemrit b 8nd ized,(2)Owner is required
to hire an eledrkxO oonttactor N above said properly is for sale,rent or lease.Pemvt expires after six months of last lnspedfon.
After reading the above stater enl,I hereby certify that 1 am the owner of the above named property or a lcenmW electrical eanaactor,I am making
the eletftat installation or akration in eor oa=mith the electrical laws,N.E-C-,RCW.Chapter 1928,WAC.Char 296-4613,The City of Part
Angeles Muni*d Code,and Utility 5peefhc4ons and PAMC 14.05.050 reganfing EleotriM PerlW Applications.
5lgeature o!own ,el I contractor .or dsctrioat adminlr:trator Q Cso t7 ram
❑ Cm*Card a t�
DAW, — 01l01r2p12
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 13-00001433 Date 12/12/13
Application pin number . . . 076481
Property Address , . . . . . 2207 W 16TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMB13R: 06-30-01-7-5-0020-0000
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . .
Property Use to the City of Port Angeles
Property Zoning . . . . . . . R39 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
Meter base repair
---------------------------------------------------------------------_------
Owner Contractor
OLYMPIC LAND DEVELOPMENT INC. ELECTRIC SERVICE
RICK CAVANAUGH 82 DRAPER RD
77 ROAD LESS TRAVELED WAY PORT ANGELES WA 98362
SEQUIM WA 98382 (360) 452-6424
Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . , . . 120.06 Plan Check Fee .00
Issue Date , , . . 12/12/13 Valuation . . , 0 `
Expiration Date 6/10/14
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 120,00 120.00 ,00 .00
Plan Check Total .00 .00 .00 ,00
Grand Total 120,00 120.00 .00 .00
,INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41 7-4735 �
Application Number 13-00001433 Date 12/12/13
Application pin number 076481
Property Address . . , . . . 2207 W 16TH ST /�+ �+ TAX
ASSESSOR PARCEL NUMB`FR: 06-30--01-7-5-0020-0000- REPORT SALES TA
Application type description ELECTRICAL ONLY on your excise tax form
Property Us e Subdivision Name
Frppert Use to the City of Port Angeles
o .a e
Property Zoning . . , . , . . R59 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0 l
Application desc
Meter base repair
Owner Contractor
OLYMPIC LAND DEVELOPMENT INC. ELECTRIC SERVICE
RICK CAVANAUCH 82 DRAPER RD
77 ROAD LESS TRAVELED WAY PORT ANGELES WA 98362
SE0Ulm WA 983B2 (360) 452-6424
------------------------------------------ �----------_----_-_
Per
. . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee , , . . 120,00 Plan Check Fee .00
Issue Date , , , , 12/12/13 Valuation . . , , 0
Expiration Date 6/10/14
Qty Unit Charge Per Extension
1.00 120,0000 ECH EL-0-200 SRV FEEDER 120-00
Fee summary Charged Paid Credited Due %v+
Permit Fee Total. 120.00 120,00 .00 .00
Plan Check Total .00 Do ,00 .00
Grand Total 120.40 120.00 00 ,00
G .
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL 1 Z [ t
COMMENTS:
PERMIT WILL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G.,TXCHANGE\B.UILDING
,
ELECfRICAL 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
GENERAL COMMENTS:
PW.II02.1~ (4'96\
PREPARElr-r/1.7/ 0 6~r2J.T:T8
CITY OF PORT ANGELES
INSPECTT~TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
1/12/06
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER
2207 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-01-7-5-0020-0000-
05-00000235 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
------------------------------------------------------------------------------------------------
TYP/SQ
REQUESTED
COMPLETED
DESCRIPTION
RESULTS/COMMENTS
INSP
RESULT
------------------------------------------------------------------------------------------------
ME6
1/04/06
1/04/06
JLL
AI'
01
MECHANICAL GAS LINE TIME 17,00
01/04/2006 11-37 AM DYASUMUR ---------------------------
AL 809-0445 PROPANE LINE
01/04/2006 04 31 PM JLIERLY ------------------------____
::::_:~--~-~------~~~~~~~~~_:~~~~=--~~--~=~~~~-===========================-----
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
TYP/SQ
DESCRIPTION
RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2
7/11/05
1/03/06
8/03/05
8/03/05
JLL
AI'
JLL
AI'
01
PLUMBING ROUGH-IN TIME, 17 00
01/03/2006 01 37 PM JLIERLY ------------------------____
PLUMBING WATER SUPPLY TIME 17 00
08/03/2005 01 07 PM PBARTHOL ---------------------------
809-0445 ALAN
08/03/2005 04 15 PM JLIERLY ----------------------------
PL99 01 ,t{~21~6 _ FfL PLUMBING FINAL TIME 17 00
~ 01/12/2006 12,12 PM DYASUMUR -----------------------____
------------------------- ----------- COMMENTS AND NOTES ---------------------------___________
PL6
01
~K~PKRED--1/T21u~r2-14-r8
CITY OF PORT ANGELES
1
1/12/06
INSPECTION-TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
2207 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-01-7-5-0020-0000-
05-00000235 RES NEW SFR
SUBDIV:
PHONE (360) 681-3992
PHONE . (360) 457-7222
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1
4/21/05
4/22/05
JLL
AP
01
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09 07 AM RVESS
04/22/2005 08 22 AM JLIERLY ------------________________
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04.43 PM JLIERLY ------______________________
BUILDING FOUNDATION DRAINAGE
05/12/2005 11 04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04:40 PM JLIERLY -------_____________________
BUILDING SHEARWALL
06/07/2005 12 49 PM JLIERLY --------____________________
al 681-3992
06/07/2005 04:24 PM JLIERLY ------------________________
BUILDING FRAMING TIME 17 00
07/08/2005 01 15 PM JLIERLY -------_____________________
07/08/2005 04 43 PM JLIERLY ---------___________________
elec rough not complete/Jll
BUILDING FRAMING
01/03/2006 01 37 PM JLIERLY ------______________________
BUILDING AIR SEAL TIME 17 00
01/03/2006 01 36 PM JLIERLY -----_______________________
01/03/2006 01:37 PM JLIERLY --------____________________
BUILDING INSULATION
07/12/2005 08 44 AM DYASUMUR
ALLEN 809-0445
07/13/2005 08:55 AM JLIERLY --------____________________
BUILDING DRYWALL IBWP
07/22/2005 11'57 AM JLIERLY
ALLEN 809-0445
07/22/2005 04 27 PM JLIERLY -------_____________________
PUBLIC WORKS FINAL
11/21/2005 01:02 PM RVESS -------------_________________
11/21/2005 01 02 PM RVESS -------------_________________
BUILDING FINAL
11/21/2005 09 54 AM PBARTHOL
ALLEN ROADS
CALL FIRST, HOME LOCKED
360-809-0445
PUBLIC WORKS AND ELECTRICAL ARE SIGNED OFF 11/22/2005
11/22/2005 03.44 PM PBARTHOL -----------________________
PROPANE STOVE NEED TO BE HOOKED UP AND OPERABLE TO CHECK
BEFORE FINAL CAN BE GIVEN
BL99 02@121.06JLLBUILDINGFINALTIME1700
~ 01/11/2006 04 58 PM DYASUMUR -----______________________
r g ALAN 809-0445 FINAL
----------- --- --------------------------------------------------------------------------------
BI2
4/29/05
4/29/05
JLL
AP
01
BLFD 01
5/12/05
5/12/05
JLL
AP
BL9
6/07/05
6/07/05
JLL
AP
01
BL3
7/08/05
7/08/05
JLL
DA
01
BL3
7/11/05
1/03/06
7/11/05
1/03/06
JLL
AP
JLL
AP
02
BAIR 01
BLI
7/12/05
7/13/05
JLL
AP
01
BLDR 01
7/22/05
7/22/05
JLL
AP
PW99 01
11/21/05
11/21/05
RV
AP
BL99 01
11/22/05
11/22/05
JLL
DA
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
----------------------------------- CONTINUED ONTO NEXT PAGE ---------__________________________
PREPARED 1/04/06, 13:30 22
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
2
1/04/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
2207 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC.
06-30-01-7-5-0020-0000-
05-00000235 RES NEW SFR
SUBDIV:
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01 ~ ~
-------------------------------------- COMMENTS AND
MECHANICAL GAS LINE TIME: 17 00
01/04/2006 11 37 AM DYASUMUR -------------------------__
AL 809-0445 PROPANE LINE
NOTES
PREPARED 11/22/05, 13 28'11
CITY OF PORT ANGELES
2
11/22/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
(360) 681-3992
(360) 457-7222
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 4/21/05 JLL
4/22/05 AP
BI2 01 4/29/05 JLL
4/29/05 AP
BLFD 01 5/12/05 JLL
5/12/05 AP
BL9 01 6/07/05 JLL
6/07/05 AP
BL3 01 7/08/05 JLL
7/08/05 DA
BLI 01 7/12/05 JLL
7/13/05 AP
BLDR 01 7/22/05 JLL
7/22/05 AP
PW99 01 11/21/05 RV
11/21/05 AP
BL99 01 ~::JJ;q-
/ r-
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09,07 AM RVESS
04/22/2005 08 22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11 04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04:40 PM JLIERLY ----------------------------
BUILDING SHEARWALL
06/07/2005 12:49 PM JLIERLY ----------------------------
al 681-3992
06/07/2005 04 24 PM JLIERLY ----------------------------
BUILDING FRAMING TIME 17 00
07/08/2005 01 15 PM JLIERLY ----------------------------
07/08/2005 04 43 PM JLIERLY ----------------------------
elec rough not complete/)ll
BUILDING INSULATION
07/12/2005 08 44 AM DYASUMUR
ALLEN 809-0445
07/13/2005 08:55 AM JLIERLY ----------------------------
BUILDING DRYWALL IBWP
07/22/2005 11.57 AM JLIERLY
ALLEN 809-0445
07/22/2005 04:27 PM JLIERLY ----------------------------
PUBLIC WORKS FINAL
11/21/2005 01 02 PM RVESS ------------------------------
11/21/2005 01.02 PM RVESS ------------------------------
BUILDING FINAL
11/21/2005 09 54 AM PBARTHOL
ALLEN ROADS
CALL FIRST, HOME LOCKED
360-809-0445
PUBLIC WORKS AND ELECTRICAL ARE SIGNED OFF 11/22/2005
PERMIT: ELNR 01 ELECTRICAL NEW RESIDENTIAL SUB JARMUTH ELECTRIC
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
(360)683-4104
ELI 01 6/23/05 ACO ELECTRICAL ROUGH- IN
6/23/05 DA 06/23/2005 11 03 PM AOMAN ------------------------------
WIRE IN GARAGE NOT COMPLETE
NEED SMOKE DETECTOR MAIN LEVEL 06/23/2005 11:04 PM AOMAN
------------------------------
ELI 02 7/08/05 ACO ELECTRICAL ROUGH-IN
7/08/05 AP INSPECT CORRECTIONS FOR ROUGH-IN 07/09/2005 09 45 PM
AOMAN ------------------------------
07/09/2005 09 46 PM AOMAN ------------------------------
EL3 01 8/04/05 ACO ELECTRICAL UNDERGROUND
8/04/05 AP 10/10/2005 12 54 PM AOMAN ------------------------------
----------------------------------- CONTINUED ONTO NEXT PAGE ------------------~--------------
JJUIX .h;t~~
~cJCVO # f {l.~
PREPARED-ayo 3YO 5-;--n-4-3~5-0
CITY OF PORT ANGELES
2
8/03/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
INDP~CITO~TTCKET
INSPECTOR JAMES L LIERLY
pAG,,;
DATE
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6 01 ~03/05 ~JILL PLUMBING WATER SUPPLY
08/03/2005 01.07 PM
809-0445 ALAN
-------------------------------------- COMMENTS AND NOTES --------------------------------------
TIME 17 00
PBARTHOL ---------------------------
PREPARED 7/22/05, 12 08 06
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
3
7/22/05
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
(360) 681-3992
(360) 457-7222
SUBDIV.
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 4/21/05
4/22/05
BI2 01 4/29/05
4/29/05
BLFD 01 5/12/05
5/12/05
BL9 01 6/07/05
6/07/05
BL3 01 7/08/05
7/08/05
BLI 01 7/12/05
7/13/05
BLDR 01 7/22/05
~~(
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
DA
JLL
AP
JLL
~
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09,07 AM RVESS
04/22/2005 08 22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11 04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04 40 PM JLIERLY ----------------------------
BUILDING SHEAR WALL
06/07/2005 12 49 PM JLIERLY ----------------------------
al 681-3992
06/07/2005 04,24 PM JLIERLY ----------------------------
BUILDING FRAMING TIME 17.00
07/08/2005 01 15 PM JLIERLY ----------------------------
07/08/2005 04 43 PM JLIERLY ----------------------------
elec. rough not complete/]ll
BUILDING INSULATION
07/12/2005 08 44 AM DYASUMUR
ALLEN 809-0445
07/13/2005 08 55 AM JLIERLY ----------------------------
BUILDING DRYWALL IBWP
07/22/2005 11 57 AM JLIERLY
ALLEN 809-0445
-------------------------------------- COMMENTS AND NOTES
PREPARED 7/12/05, 12 29 22
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
7/12/05
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
(360) 681-3992
(360) 457-7222
SUBDIV
PHONE
PHONE
P~T: BPR 00 BUILDING PERMIT - RESIDENTIAL
. '<~ REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl 01 4/21/05 JLL
4/22/05 AP
BI2 01 4/29/05 JLL
4/29/05 AP
BLFD 01 5/12/05 JLL
5/12/05 AP
BL9 01 6/07/05 JLL
6/07/05 AP
BL3 01 7/08/05 JLL
7/08/05 DA
'----"
BLI 01 ~+
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09 07 AM RVESS
04/22/2005 08 22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11 04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04 40 PM JLIERLY ----------------------------
BUILDING SHEARWALL
06/07/2005 12:49 PM JLIERLY ----------------------------
al 681-3992
06/07/2005 04:24 PM JLIERLY ----------------------------
BUILDING FRAMING TIME 17 00
07/08/2005 01 15 PM JLIERLY ----------------------------
07/08/2005 04-43 PM JLIERLY ----------------------------
elec rough not complete/]ll
BUILDING INSULATION
07/12/2005 08 44 AM DYASUMUR
ALLEN 809-0445
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 1/03/06, 13 36 56
CITY OF PORT ANGELES
1
7/11/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER'
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2207 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC.
06-30-01-7-5-0020-0000-
05-00000235 RES NEW SFR
(360) 681-3992
(360) 457-7222
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 02 ....7(.;V~5( lfrL.o
BAIR 01 ~ ~ BUILDING AIR SEAL TIME 17 00
",.,'^r-- ~ 01/03/2006 01 36 PM JLIERLY ----------------------------
---------~----- -----------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
BL1 01 4/21/05 JLL
4/22/05 AP
BI2 01 4/29/05 JLL
4/29/05 AP
BLFD 01 5/12/05 JLL
5/12/05 AP
BL9 01 6/07/05 JLL
6/07/05 AP
BL3 01 7/08/05 JLL
7/08/05 DA
TYP/SQ
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09:07 AM RVESS
04/22/2005 08:22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11 04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04 40 PM JLIERLY ----------------------------
BUILDING SHEARWALL
06/07/2005 12 49 PM JLIERLY ----------------------------
al 681-3992
06/07/2005 04 24 PM JLIERLY ----------------------------
BUILDING FRAMING TIME 17 00
07/08/2005 01 15 PM JLIERLY ----------------------------
07/08/2005 04 43 PM JLIERLY ----------------------------
elec rough not complete/]ll
BUILDING FRAMING
DESCRIPTION
RESULTS/COMMENTS
PL2 01 ~~ PLUMBING ROUGH-IN TIME- 17 00
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/08/05, 13 33 30
CITY OF PORT ANGELES
10
7/08/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER'
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
(360) 681-3992
(360) 457-7222
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 4/21/05 JLL
4/22/05 AP
BI2 01 4/29/05 JLL
4/29/05 AP
BLFD 01 5/12/05 JLL
5/12/05 AP
BL9 01 6/07/05 JLL
6/07/05 AP
BL3 01 ~.D'~
~~
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09 07 AM RVESS
04/22/2005 08.22 AM JLIERLY -----------------.-----.----
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04.39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11.04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04 40 PM JLIERLY ----------------------------
BUILDING SHEARWALL
06/07/2005 12.49 PM JLIERLY ----------------------------
al 681-3992
06/07/2005 04 24
BUILDING FRAMING
07/08/2005 01 15
PM JLIERLY
TIME 17 00
PM JLIERLY
c.
7,
L
CO~ AND ~~i'---------------------------------
6~ 'Fc~
~ ~ F60
PREPARED 6/07/05, 12 58 19
CITY OF PORT ANGELES
10
6/07/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
SUBDIV
PHONE (360) 681-3992
PHONE - (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 4/21/05 JLL
4/22/05 AP
BI2 01 4/29/05 JLL
4/29/05 AP
BLFD 01 5/12/05 JLL
5/12/05 AP
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09,07 AM RVESS
04/22/2005 08 22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04,43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11.04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04.40 PM JLIERLY ----------------------------
BUILDING SHEARWALL
06/07/2005 12 49 PM JLIERLY ----------------------------
a1 681-3992
BL9
~
w-
-------------------------------------- COMMENTS
01
~
AND NOTES --------------------------------------
PREPARED 5/12/05, 13 45.16
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
4
5/12/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
4/21/05 JLL
4/22/05 AP
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09 07 AM RVESS
04/22/2005 08 22 AM JLIERLY --------------- ------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11.04 AM JLIERLY
ALLEN 681-3992
BI2 01
4/29/05 JLL
4/29/05 AP
BLFD 01
~s--Ap-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/29/05, 12 10 34
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
9
4/29/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
SUBDIV
PHONE (360) 681-3992
PHONE, (360) 457-7222
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
4/21/05 JLL
4/22/05 AP
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09 07 AM RVESS
04/22/2005 08 22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04 39 PM RVESS
BI2
01
~$.fL
COMMENTS AND NOTES --------------------------------------
PREPARED 4/21/05, 13.20 01
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
4/21/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000235 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 Ar(2~~5_~~LL BUILDING FOUNDATION FOOTING
~J - Allen 582-0608 04/21/2005 09 07 AM RVESS
------------------------- -------- COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec 4-1- 6::;;-
Perm'" 05 ~
Date Approved 12 OS
Date Issued
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent: L e &:.... t-,
Owner: Diy ~plL LtiY?d
Address: p.o. {.3 OX" SCfS
Roads
[) eve /0 p /IY1.ej'L+
CIty: C uris bo r5
Phone: 3(P (> &oq -O'l'fL/
Phone: 3/00 L{S7 - 7'22'C-
wA. ZIp: q' ~.J 2<<-1 ,
A I leV'/.
Phone' 360 goer - (P{tfS Rcx::.!S.
Wltivr ACI J
State LIcense #: Q'1 Z ib3 Exp: (127/o~ Phone:3&O &?rl- 391
CIty: S~10rn /,.vA ZIp: q 832> L
iA..), /10 ~ Sf. p, A, ZONING: ~ 57
Subdivision: D 1'7 rn pi "[ !-{.er'c; hi:!
Block:
ArchItect/Engmeer: ~
wan f/,. I'
Contractor AchUYl Uj/7Sfruc..:f?'Or1
Address: f 0, 60/< (c.{-:25
PROJECT ADDRESS: ~ 0'7
LEGAL DESCRIPTION: Lot: Jf ;;2..
CLALLAM COUNTY PARCEL NUMBER:
063000/07 ~06o 000
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
J!f.. ResIdentIal /!!. New Constr. 0 Re-roof
o Mulh-fannly 0 AddItIon 0 Move
o CommercIal 0 Remodel 0 DemohtIon
o RepaIr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT.
d(ve.lo(JfneYtf of 32
City:
Exp. Date:
SIZEN ALUATION:
I q7 r SF. @ $ {(/O '()o /SF = $ (qt.' Kt>> .OD
SF.@$ /SF. =$
SF. @ $ /SF. = $
TOTAL VALUATION $
-F'u.;,..t./i'1 J( -e 5 t'L ('" V1 ~ i Y1 -<.
W S-\-tC5.U/.)~ ~.gle
o Stove
o Garage
o Deck
o Other
S,- n c; (.e
h tJ vneS
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: 2.. Lot SIZe: Q(J3fo ExistIng Sq. Ft.
Tota110t coverage ;2..q
Occupant Load: Construction Type:
& Proposed Sq. Ft. 2& 5'1 = TOTAL Sq. Ft. 265 r
%
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAIW etland(s)' 0 Yes 0 No SEP A Checkhst requIred? 0 Yes 0 No Other
BUILDING PERMIT APPLICATION SUBMITTAL: The Bm1dmg DlVlsIOn can proVIde you WIth mformatIOn on the applIcatIOn and
plan sublll1ttal requrrements If you have questIons
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reVIewed
and may be revIsed by the Bm1dmg DIVISIOn to comply WIth current fee schedules Contact the Perrmt Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE. IF a plan check fee IS due It must be sublllltted at the tIme the bmldmg perrmt applIcatIOn and constructIOn plans are
sublll1tted. All other permit fees are due at the tIme of perrmt Issuance
EXPIRATION OF PLAN REVIEW: 1fno penrut IS Issued WItlnn 180 days of the date of applIcatIOn, the application will expire. The
Bm1dmg OffiCIal can extend the tIme for action by the apphcant up to 180 days upon written request by the apphcant (see SectIOn RI05.3.2
of the InternatIOnal BuildmglResIdential Code, 2003). No applIcahon can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authOrized to apply for this permit and
understand that it is my responSibility to determine what permits are reqUired ,not the City's, and that I must obtain such permits prior to work.
T \RVESS\BLDG-forrns-brochures\2003-BUlldmgpenmt wpd Applicant: ~ah ~ Datetf /11 () S
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Vertical Datum -::.. NAD 83/91
I HOT/lon/af Datum _
d 'lptlOl1
be llsed as a legal esc~~1m use and pm poses
Tlus map IS not 'b"~~~~e~,~of Port AIl~~:e~!:o:n~~:""'"'' n',I.. r.n.
roduced .1 Ion" .......1 },."
ThIS map/drav.~~~~s!r tl",. ..."mU. ;"'''''I'lIT'''
Al1l>nfhn
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Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building Department Use Only .
Lot.';' ..2
Address >> (5 7 U I (p +~ S ..f-
CIty. Por-f AV/.c;ele.S
State L0.A ZIp' C( t:s&., 7-
Contact. 5 U Z C<:A. n ~ 10/ 0 I-
Phone q 57 - 7;2. 2.. "2-
-.. ,~ -~- ,-"~, ....,. ,~, ~-"1._, __ >~~ ".,-~, .),<.,'0>1'" .J',
PermIt #.
Notes:
- l"r',
~" '<j
, -,' -" > "< .' " ' ,~ " '; -
!.".
r'"
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Phone 2
~, .~
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> ,Jl:n> " l i,{', , i ~ n"d_1 q "nJl~_ltt~" J "'ll"" "-~",' ~~"'_l ,Pll ~o' l~tj "',_
Fax'
n Imlte azmg tlon ny
Glazing Glazmg U-Factor Door9 Wall Wall Wall Slab4
OptIOn Area10 U- Ceiling2 Vaulted Above Int4 Ext4 Floors On
% of Floor V ertl cal Overhead 11 factor Ceilmg3 Grade Below Below Grade
Grade Grade
III Unlimited
Group R-3 040 0.58 020 R-38 R-30 R-21 R-21 R-IO R-30 R-lO
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(U r . d Gl O' 0 I )
See the code text for footnote references
This project complies with the following:
./ The project is a single famIly residence or duplex
./ The project IS wood frame OR all of the insulatIon IS interior or extenor of the framing.
./ All building components meet the requIrements listed in Table 6-1, Option III
./ The project will meet all other provIsions of the WSEC and VIAQ
The project will take advantage of the following exceptions to the prescriptive option
o 602 6 Exception 1 One door, that IS 24 ft 2 or less, that does not meet the standards IS allowed
Location of the door taking thiS exceptIon
o 6026 Exception 2 Doors with a U-factor of 0 40 allowed without calculatIons, Option III only
LocatIon of the door(s) taking thiS exception
COPYright 2002, WSUCEEP02-056
Copied by permission from the Washington State University ExtenSion Energy Program
PreSCriptive - Simple Form - Climate Zone 1
7/26/2004
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,.b&
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
05-00000235 Date
097435
2207 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
7/14/05
RS9 RESDNTL SINGLE FAMILY
197800
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information 000
Construction Type
occupancy Type
Other struct info
INC.
WANT ACTION CONSTRUCTION INC.
P. O. BOX 1425
SEQUIM
(360) 681-3992
000 1978SF 2 STORY SFR W/ATT 528SF GARAGE
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
WA 98382
~
~
~
---l
WA 98382
29.00
~
V-N
2.00
1. 00
9052.00
2654.00
2654.00
1. 00
~
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Perm1.t Fee
Issue Date
Expiration Date
FIRE SPRINKLER RESID
RES. FIRE SPRINKLER SYS.
54452
INNOVATED FIRE
.00
7/14/05
1/10/06
'*
SPRINKLERS
Plan Check Fee
Valuation
.<t-
. 9>l'- '"1 -
.00
..e--
A
.~
V)
\)
:s
.:s
f
,
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 locations.
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.
The proposal will result in a s.f. home in the RS-9 for
total lot coverage of 29%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee required $222.00.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
Other Fees
SEWER SYSTEM DELV CHARGE
745.00
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 penod 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 tructlon.
Signature of Owner (if owner is bUilder)
Date
T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000235
Applicat10n pin number 097435
Page 2
Date 7/14/05
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 penod 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 authonty 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 \PoIICles\1102_15 bUlldmg permit mspectIOn record05 wpd [1/4/2005]
No of Stones' Lot SlZe:
Total lot coverage
EXlStmg Sq Ft
=T
FOR OFFICIAL USE ONLY
Dale Rec 6 - ~O-E),~-
Peml11 #
Date ApPJOved
Date Issued
7S8:t
-:r77 ~
CZSj~ 2-
?- 722<.,
one. 'is' 2 -7..r8..f
lP: '7BSb.2.
:
. Date:
$
$
$
$ -5 J b ? 0 d
TE/V7
Type:
OTAL Sq. Ft
APPROVALS:
PLAN:
BLDG:
DP"WU:
FffiE :
OTHER: -
ills figure will be revIewed
at417-4815 for assIstance.
and constructIon plans are
plication will expire. The
cant (see SectIOn RI05.3.2
d to apply for this permit and
Its pnor to work
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST BE
COMPLETE to be accepted for review. If you have any qnestions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApphcantorAgent V;VLC-.fL""-' +- f3 tl..1-~5 -tr- Phone: 'IS 2. -
Owner Ol"Jl/a- p.'c. L~J OJ} ".1l,{ _ Phone: t;;:,81
Address 1'1 J..f ;::')v.. "'- Ik 'I ~ 'P(!.F~#~IJ-W Zlp:
Archltect/Engmeer: vJ~f/\.,f /J-C /-"'0 ~ c.c.~ r It Phone: LIS
Contractor/NA/tJl/ 4-TF /) ~/.Q.~ State Llcense #/JV/IIoIISF d c..Irfx~('-- eft~/Qb Ph
Address 8/ /l/b~ /,/,4//E/lfL/y' Clty. POIr.J-4k..J ~/.e.J Z
PROJECT ADDRESS' 22() 7.J / b ~ t, S ~ r-e...-L t'- ZONING
- ~ "-
LEGAl DESCRlPTION: Lot: 2- Block SubdlVlslOn:
CLAlLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o ResIdentIal 0 New Constr. 0 Re-roof
o MultI-family 0 Add1tIon 0 Move
o Commercial 0 Remodel 0 DemolItIon
o RepaIr 0 Sign
BRlEF DESCRIPTION OF THE PROJECT
City:
Exp
o Stove
o Garage
o Deck
o Other
,c/~ E..
SIZE/V ALUATION:
SF. @ $ /SF. =
SF @ $ /SF =
SF @ $ /SF =
TOTAL VALUATION
S //./l/ /V k L...E 12... S J.I J
COMMERCIALIRESIDENTIAL: Occupancy Group'
Occupant Load.
& Proposed Sq. Ft.
ConstruCTIon
%
PLANNING USE ONLY:
ESAfWetland(s) 0 Yes 0 No SEPA Checkb.st required? 0 Yes 0 No Other
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant. T
and may be revIsed by the Buildmg DIvISIon to comply wIth current fee schedules. Contact the Penmt Coordmator
PLAN CHECK FEE IF a plan check fee is due It must De sublIlltted at the hIDe the bmldmg pemut apphcation
subnutted. All other pemut fees are due at the tmle of pemut Issuance.
EXPIRATION OF PLAN REVIEW: lfno pemut IS Issued WIthm 180 days of the date ofapphcatIOu, the ap
Bmldmg OffiCIal can extend the tune for actIon by the apphcant up to 180 days upon wntten request by the appli
of the IntematlOnal Buildmg/Resldentlal Code, 2003). No applIcatIOn can be extended more than once.
J hereby ceMy that I have read and examined this applicatIOn and know the same to be true and correct. I am authorize
understand that IT" my rosponS/bl/ity to denmits aro roquired .not the City". and that / must obtam such perm
T\Pohcles\BL-]]02_13wpd ApplIcant. ~;J3~ Date: Cft Va..J
[=:J
J<~V1
~
o
o
I DATE? ~o.S' I
v-
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
/
/
LIGHT DIVISION
o ENERGY
o ENGINEERING
o POLICE DEPARTMENT
o ADMINISTRA TI~N
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DMSION I
RE: ADDRESS: c9-~ ~'J ttt11.s:t:
NAME/CONTACT: /lie -~ . J?fftte. y
PHONE: Jfl:;~- ~IT3>
PERMIT NUMBER: .6)5.... ~~
PROJECT DESCRIPTION: J::, re Sf H YI 1:.1 el.., Sf! 15i~
~ NEW CONSTRUCTION
o ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
f REVIEWIRETURN
o FILE
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: 2207 West 16th
Installer: Innovated Fire Installer Telephone: 452-7583
Type of System: Open 130 13RO 13DI:8J
Date: 7.13.2005 P AFD Permit #: 05-18
We have checked this plan and find that it conforms to the requirements of the code.
The plans do not indicate which toilet will be tied into the system.
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 NFPA Standard. This 13D system will require a
measured flow test.
o Contractor
~ Building Department
o Fire Department
Reviewed by: ~ 00. .no
Date: 1. l~' 05
,-.\
Fire Sprinkler System Plan
Innovated Fire
Sprinkler Systems
81 New Haven Lane
Port Angeles, WA.,
98362
(360) 452-7583
June 29,2005
For: Want Action Construction
Location:~O')16th Street
Port Angeles WA., 98363
Contractor: Want Action Construction
12. loss in fittings (11)
13.
14.
1'5.
6.
7.
8.
9.
10.
11.
13 D HYDRAULIC CALCULATION~
1.
2.
3.
4.
5.
~,'f\\..h' ...., "I, 'h, /
:'t" -~ ,)\Il. t t. rrtf"4t ""tr:
"::-"......v'"="''- (r"'r-:..I'::,...
~ ... ~ f'.
}..F ~l.
[ + 5 g~'; \', ...~nt B;u~er.. ~ ~
-= 'Sl
I
~~/~~~ "-'."'1 <'~'~~I
Pipe size · 11. I CPVC (friction loss .1 067). lIJ::::.?;';';:~~~
Water pressure at street (2) = 7 psi. S/2//c.~
Meter friction loss (3) = ~..s- psi (see Table 4-4.3d NFPA 1 [
(2) -C:,~ minus (3) 7- (4) = S8 psi remain n
loss from street main to control valve = 0; 0 feet X I . 1 ~ oJ- I = . 0
feet (see friction loss chart). ' 0 ? '--/ /
(4) J 8 minus (5) J.o ,. - (6) .5 (.'/, CJJ psi rel1)ain'#g
Elevation '<t.ss {building & street} - 2. 0 feet X .434 = 8, G 8 si
(6) S 1. 9J minus (7) 8 ._b 9 - L.le;. 2 S psi remaini (
Total length of pipe from control valve to the farthest sprinkler = t-/9 f.le~
X I .10671 = Sf 2.:1 psi.
(8) L/e.-. 2S minus (9) S 2 J - 1..-;1.0 -e pSI remainl/n~
Equivalent length for valves and fittings (meter to farthest sprinkler head):
Type Number Equivalent
1 " T run "7 X m =
1 " T Branch ...) X o=J =
1" 90 Elbo.yv '-I X [2] =
1" Coupling I X 0 =
1 " 45 Elbow 0 X m =
1 " Gate Valve / X [I] =
- (1 1 ) Total Feet b 2-
Worksheet
For 1" CPVC Pipe
Two heads require 26 gpm flow at designed pressure.
One head requires 18 gpm flow at designed pressure.
7
2S
?O
'----- G
/
o
I
feet X
Riser Parts
Potter flow switch 2.4 psi
Soft seat valve 1.0 psi
Needed Information:
Type of sprinkler head T . c- 0 LF11
GPM & pressure 1 st head /6" 1.1... /
GPM & pressure 2nd head 2- '1
,
3/4" water meter
or no)
.'
SPR.1NK,LER'
MAN \ I=OL D
:.- py c .~.. _. n ?
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------.- ----- --' - . - ---' - ... -- - --
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~ ~ DR-A','N_ RT~Si-.:VALV
(PLV{\/\BED TO. OVTSI DE)
VE
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TO J~.E ---.ft-
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N f\\ 0 V ATE D F \ RES.? R\ 1\\ K L E RS
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tqeD / 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 spnnkler design. In ad-
dition, the concealed design of the Se-
nes LFII (TY2596) provides 1/4 inch
(6,4 mm) vertical adjustment. This ad-
justment reduces the accuracy to
which the fixed pipe drops to the sprin-
klers must be cut to help assure a
perfect fit installation.
The Series LFII are to be used in wet
pipe residential sprinkler systems for
one- and two-family dwellings and mo-
bile homes per NFPA 130; wet pipe
residential sprinkler systems for resi-
dential occupancies up to and includ-
ing four stories In height per NFPA
13R, or, wet pipe sprinkler systems for
the residential portions of any occu-
pancy per NFPA 13.
The Series LFII (TY2596) has a 4 2
(60,5) K-factor that provides the re-
quired residentIal flow rates at reduced
pressures, enabling smaller pipe sizes
and water supply requirements
The Senes LFII (TY2596) has been
deSigned with heat sensitivity and
water distnbution 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) Residentlal
Concealed Pendent Sprinklers are
shipped with a Disposable Protective
Cap. The Protective Cap is temporarily
removed for installation, and then it
can be replaced to help protect the
sprinkler while the ceiling is being in-
Page 1 of 4
stalled or finished. The tip of the Pro-
tective Cap can also be used to mark
the center of the ceiling hole into pias-
ter board, ceiling tiles, etc. by gently
pushing the ceiling product against the
Protective Cap. When the ceiling in-
stallation is complete the Protective
Cap is removed and the Cover Plate
Assembly installed.
WARNINGS
The Series LF/! (TY2596) Residential
Concealed Pendent Sprinklers de-
scribed herein must be installed and
maintained in compliance with this
document, as well as with the applica-
ble standards of the National Fire Pro-
tection Association, in addition to the
standards of any other authorities hav-
ing jurisdiction. Failure to do so may
impair the integrity of these devices.
The owner is responsible for maintain-
ing their fire protection system and de-
vices in proper operating condition.
The installing contractor or sprinkler
manufacturer should be contacted
relative to any questions.
Sprinkler/Model
Identification
Number
SIN TY2596
Technical
Data
Approvals:
UL and C-UL Listed.
Maximum Working Pressure:
175 psi (12,1 bar)
Discharge Coefficient:
K = 4 2 GPM/psi1l2 (60,5 LPMlbar1/2)
Temperature Rating:
160oFn10C Sprinkler with
1350F/570C Cover Plate
JULY, 2002
-
ei~~
r~~""'~'~'
~~~
~ . ~---.-~
Vertical Adjustment:
1/4 inch (6,4 mm)
Finishes:
Cover Plate.
Flat White, Bright White, Chrome, or
Custom
Physical Characteristics:
Body. . . . . . . .
Cap. . . . . . . . . . . . .
Saddle. ....... .
Sealing Assembly . . . . . .
Beryllium Nickel wI Teflont
Soldered Link Halves . Nickel
Lever . . . Bronze
Compression Screw . . Brass
Deflector. Bronze
Guide Arm Frame Bronze
Guide Arms . Stainless Steel
Support Cup . . . Steel
Cover Plate Copper
Retainer. . .. . . Brass
Cover Plate Ejection Spring
. Stainless Steel
. Brass
Bronze
Brass
tDuPont Registered Trademark
TFP440
.'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 Listed for installation in ac-
cordance with the following criteria.
NOTE
When conditions exist /hat 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 13D or NFPA 13R
are given in Table A as a function of
temperature ratmg 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 13D or NFPA 13R.
For systems designed to NFPA 13, the
number of design sprinklers is to be
the the four most hydraulically de-
manaing sprinklers The minimum re-
quired discharge from each of the four
sprinklers is to be the greater of the
following'
· The flow rates given 10 Table A for
NFPA 13D and 13R as a function of
temperature ratmg and the maxi-
mum allowable coverage area.
· A minimum discharge of O. 1 gpmlsq
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
Minimum Aow (b) and Minimum Flow (b) end
Maximum Maximum Residual Pressure Residual Pressure
Coverage Spacing For Horizontal Ceiling For Sloped CeIling
Area (a) Ft (Max. 2 Inch Rise (Max. 8 Inch Rise
Ft. x Ft. (m) for 12 Inch Run) for 12 Inch Run)
(m x m)
1600Fm oC 160oFmoC
Sprinkler Sprinkler
12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,1 LPM)
(3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar)
14x14 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 ;2.7 bar)
1r;1OX 16 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;2.7 bar)
'- lIhc 1 &.,..0' 18 20 GPM (75,7 LPM) N1A
(5,5 x 5,5) (5,5) 22.7 psi (1,57 bar)
2Ox20 20 24 GPM (90,8 LPM) N1A
(6,1 x 6,1) (6,1) 32.7 psi (2;2.5 bar)
(a) For coverage area dimensions less than or between those indicated, it IS
necessary to use the minimum reqUired flow for the next hlghest coverage area
for which hydraulic design criteria are stated.
(b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The
associated residual pressures are calculated using the nominal K-factor. Refer to
Hydraulic Design Criteria Section for details.
TABLE A
NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA
FOR THE SERIES LFII (TY2596)
RESIDENTIAL CONCEALED PENDENT SPRINKLER
accordance with the obstruction rules
of NFPA 13 for residential sprinklers.
Operational Sensitivity. The sprin-
klers are to be installed relative to the
ceiling mounting surface as shown in
Figure 3.
Sprinkler Spacing. The minimum
spacing between sprinklers IS 8 feet
(2,4 m). The maximum spacing be-
tween sprinklers cannot exceed the
length of the coverage area (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 Lmk Assembly
during mstallatlon can be avoided by
handling the sprinkler by the frame
arms only (i.e., do not apply pressure
to the fusible link Assembly).
A leak tight 1/2 mch NPT sprinkler jomt
should be obtained with a torque of 7
to 14 fUbs. (9,5 to 19,0 Nm). A maxi-
mum of 21 fUbs. (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 fttting 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 ratchel 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 andlor during application of
. TFP440 Page 3 of 4
,
BODY SEALING WRENCH
(112. NPl) ASSEMBLY RECESS
CAP SPRINKLER D
WRENCHING
AREA
SADDLE
PUSH WRENCH
SUPPORT COMPRESSION IN TO ENSURE
CUP WITH SCREW ENGAGEMENT
ROll FORMED WITH SPRINKLER
THREADS WRENCHING AREA
LEVER FIGURE 2
W-TYPE 18
GUIDE SPRINKLER WRENCH
ARM
I I I SOLDER LINK
I I I ELEMENT
I I I
GUIDE ARM I I I
I I I
FRAME I I I
, 1 I DEFLECTOR
,J L./ ......-' l, (OPERATED
l.........-..,,--'''''------.................-J POSITION)
SPRINKLER/SUPPORT CUP
ASSEMBLY
THREAD INTO
SUPPORT CUP
UNTIL MOUNTING
SURFACE IS
flUSH WITH
CEILING
o
o
RETAINER
WITH THREAD
DIMPLES
EJECTION
SPRING
SOLDER
TABS (3)
COVER PLATElRETAINER
ASSEMBLY
FIGURE 1
SERIES LF" (TY2596) RESIDENTIAL
CONCEALED PENDENT SPRINKLER
COVER
PLATE
I-- 2-1/2. DIA.
I \ (63,5 mm)
1/2.
NPT
FACE OF
SPRINKLER
FITTING
SPRINKLER-
SUPPORT CUP
ASSEMBLY
1-718.01:1/8.
(47,6 mm
01:3,2 mm)
COVER
PLATE
RETAINER
OPERATED
SPRINKLER
~
~
COVER- SPRINKLER-
RETAINER SUPPORT CUP
ASSEMBLY ASSEMBLY
3-1/4. DIA
(82,6 mm)
=r'MOUNTING
3116. J SURFACE
(4,8mm)
718. (22,2 mm)
1-1/8. (28,6 mm)
1
TIP
DEFLECTOR IN
OPERATED POSITION
FIGURE 3
SERIES LFlI (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER
INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACT/VA TED DEFLECTOR
. ~age 4 of 4
the finish coating of the ceiling. It may
also be used to locate the center of the
clearance hole by gently pushing the
ceiling material against the center
point of the Cap.
NOTE
As long as the protective Cap remains
in place, the system is considered to
be "Out Of Service".
Step 5. After the ceiling has been com-
pleted with the 2-1/2 inch (63 mm)
diameter clearance hole and in prepa-
ration for installing the Cover Plate As-
sembly, remove and discard the Pro-
tective Cap, and verify that the
Deflector moves up and down freely.
If the Sprinkler has been damaged and
the Deflector does not move up and
down freely, replace the entire Sprin-
kler assembly. Do not attempt to mod-
ify or repair a damaged sprinkler.
Step 6. Screw on the Cover Plate As-
sembly until its flange comes in con-
tact with the ceiling.
Do not continue to screw on the Cover
Plate Assembly such that it lifts a ceil-
ing panel out of its normal position.
If the Cover Plate Assembly cannot be
engaged with the Mounting Cup or the
Cover Plate Assembly cannot be en-
gaged sufficiently to contact the ceil-
ing, the Sprinkler Fitting must be repo-
sitioned.
Care and
Maintenance
The Series LFII (TY2596) must be
maintained and serviced in accord-
ance WIth the following instructions:
NOTES
Absence of an Escutcheon Plate may
delay the sprinkler operation in a ftre
sItuation.
Before closing a fire protectIOn system
mam control valve for maintenance
work on the fire protection system
which it controls, permission 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-
Med
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 100oF/380C 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 twist/slippage,
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 result
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-
ma[1ship 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
IN NO EVENT SHALL TYCO FIRE
PRODUCTS BE LIABLE, IN CON-
TRACT, TORT, STRICT LIABILITY OR
UNDER ANY OTHER LEGAL THE-
ORY. FOR INCIDENTAL, INDIRECT,
SPECIAL OR CONSEQUENTIAL
DAMAGES, INCLUDING BUT NOT
LIMITED TO LABOR CHARGES, RE-
GARDLESS OF WHETHER TYCO
FIRE PRODUCTS WAS INFORMED
ABOUT THE POSSIBILITY OF SUCH
DAMAGES, AND IN NO EVENT
SHALL TYCO FIRE PRODUCTS' LI-
ABILITY EXCEED AN AMOUNT
EQUAL TO THE SALES PRICE.
THE FOREGOING WARRANTY IS
MADE IN LIEU OF ANY AND ALL
OTHER WARRANnES EXPRESS OR
IMPLIED. INCLUDING WARRANnES
OF MERCHANTABILITY AND FIT-
NESS FOR A PARTICULAR PUR-
EQSE..
Ordering
Procedure
When placing an order, indicate the full
product name. Contact your local dis-
tributor for availability..
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
Bnght 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 PROQVCTS. 451 North Cannon Avenue,lansdale, Pennsylvania 19446
...
".
/ .....
~POTTffi
@
BELLS
PBA-AC & PBD-DC
Potter Electric Signal Company
2081 Craig Ad,/P.O. Box 28480
St. Louis, MO 63146
(314)878-41321/ (800) 325-3936
;<~\'c;;, :'<.J!~I!~t~[.;..+
..............~~l~.... . ....,..~.......
;(.:;;~~~i~'~'~1~11,~~:'i~'r ....
:~...: : ":::::'.:.~':<.:... :-:J.i!.:j.~~t,";"i\t.;/~t.l4f.'1);.;. ,,.:.;. .....~. :.... .:
6" BELL SHOWN
Potter Electric Signal & Mfg. L TO
1967 Leslie Street
Don Mills, Ontario, Canada M382M3
(416) 441-1833
UL LISTED, FM APPAOVED
Sizes Available: (0 8", and 10"
Voltages Available:
~
20VA
12VOC (102 to 15.6) Polarized
24VOC (2004 fo 312) Polarized
Service Use: Fire Alarm
General Signaling
Burglar Alarm
Environment: Indoor or Outdoor Use (See Note 1)
-400 to 1500F (outdoor use require
weatherproof backbox)
Termination: 4 No. 18 AWG stranded wires
Finish: Red powder coating
Optional: Model BBK-l weatherproof backbox
'hese vibrating type bells are designed for use as fire. burglar, or general signaling devices. They have low power
onsumption and high decibel ratings. The unit mounts on a standard 4" square electrical box for indoor use, or on a model
lBK-l weatherproof backbox for outdoor applications.
ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION:
SIZE MODEL NO. STOCK NO. CURRENT (MAX) TYPICAL <18 MINIMUM d8
VOLTAGE e 10 fT. e 10 fT.
6 12VOC P80126 1706012 .12A 8S 75
8 l2VOC PBOl28 1708012 .12A 90 75
10 12VOC P8012l0 1710012 .12A 92 75
6 24VOC P60246 1706024 .06A 87 75
8 24VOC PB0248 1708024 .06A 91 79
10 24VOC P602410 1710024 .06A 94 79
6 24V AC P6A246 1806024 .17A 91 75
8 24VAC P6A248 1808024 .17A 94 75
. 10 24VAC PeA2410 1810024 .17A 94 75
~ 6 120VAC PeA 1206 1806120 .OSA Q2 82
8 120V AC PBA1208 1808120 .OSA Q9 82
10 120V AC PBA12010 1810120 .OSA 99 85
Veatherproof backbox model BBK-1 Stk. No. 1SOOOO1.
cotes:
M<n<mum <18 'al"'9S ..'e calculated !'om ....Ieg<ate<l ~ pressure meUUfemenr.s mad<! al Unde<WfCe<s Lat>o<"tones as spedfoed.... UL Standa,d.&4 UL
I<lmpe'atUfe "'''9'' IS .30' 10 ISO'F
rY'P'C~1 dB (a(u'9~ ate caCCut~(~ 'tom meaSUfemeo<<s made wd:h. cooven(t()("\o&' sound Iev.- mete,.nd .te ff'ld<.atlV6 of OUCP<A lev~s n an actual WU(",fUhOO
RINTEO IN USA
MKT. '8850001- REV K
MFG '$-400776.4/94
PAGE 1 OF2
,
'-
~POTIER
Potter Electric Signal Company
2081 Craig Road. P.O. Box 28480
St. Louis, MO 63146-4161
(314) 878-4321 . (800) 325-3936
J)
VSR-SF
FOR SMALL PIPE VANE TYPE W A TEA FLOW
ALARM SWITCH WITH RETARD
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
Enclosul"e: Oie<ast, red enamel finish
Cover held In place with tamper l"esistant saews
Contact Ratings: 2 sets of SPOT (Fonn C)
15.0 Amps at 1251250 VAC
2.0 Amps at 0-30 VOC
Conduit Entrances: 2 knod<outs provided for 1/2" conduit
Usage: Usted Plastic, Copper and Schedule 40 Iron Pipe
Fits pipe sizes -1",11/4", and 1 1/2"
Note: 8 paddles are furnished with each unit. one for each
pipe size of threaded or sweat TEE. one for 1" CPVC,
and one for 1 1/2" polybutylene (CTS-COppertubing size)
Envlronmental Specifications:
Suitable for indoor or outdoor use with factory installed
gasket and die-cast housing.
NEMA 4 Rated Endosure - use with appropriate conduit fitting.
Temperature Range: 400 F/l2Qo F (4S C/490 C)
Caution: This device is not intended for applications in
explosive environments
Service Use:
Automatic Sprinkler NFP A-13
One or two family dwelling NFP A-13D
Residential occupancy up to four stories NFP A-13R
National Fire Alarm Code NFPA.72
Optional: Cover Tamper Switch, or{ler Stle 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 1/2" pipe size. The Ulllt
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 recydlOg pneumatic retard.
The switches al"e actuated when a flow of 10 gallons per minute Of
more occurs downstream of the device. The flow condition must
exist for a period of time necessary to overcome the selected retard
period.
INST At-LA TION: These devices may be mounted in horizontal Of
vertical pipe. On horizontal pipe they should be installed on the lop
side of the pipe where they will be accessible. The units should not
be installed within 6" of a valve, drain or fitting which changes the
direction of the watertlow. The unit has a 1" NPT buShing for
threading into a flOO-<x>rrosive TEE. See Ftg. 2 for proper TEE
size, type and installation.
SCl"ew the device into the TEE fitting as shown in Fig. 2. Care must
be taken to properly orient the device for the direction of waterflow.
The vane must not rub the inside of the TEE or bind in any way.
The stem should move freely when operated by hand.
The device can also be used in copper or plasttc pipe installations
with the proper adapters so that the specified TEE fitting may be
installed on the pipe ruR
INSPECTION AND TESTING: Ched< the operatton of the unit by
opening the inspedor' 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 operatton of the flow
- detectton device 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 (manulacturer recommends quarteoy or more
frequently).
PRfNTED IN USA
PAGE 1 OF 2
MKT. '8800003 - REV J
MFG. '5400802 - 8/95
/
Plan Check Fee
Valuation
.00
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'l4ir..?
CITY OF PORT ANGEI,..ES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~('2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdiv1sion Name
Property Use
Property Zoning
Application valuation
05-00000235 Date
097435
2207 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
4/26/05
RS9 RESDNTL SINGLE FAMILY
197800
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information 000
Construction Type
Occupancy Type
Other struct info
INC.
WANT ACTION CONSTRUCTION INC
POBOX 1425
SEQUIM
(360) 681-3992
000 1978SF 2 STORY SFR W/ATT 528SF GARAGE
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
WA 98382
WA 98382
29.00
V-N
2.00
1. 00
9052.00
2654 00
2654 00
1. 00
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY
JARMUTH / TEMP SVC.
47134
JARMUTH ELECTRIC
48.10
4/26/05
10/23/05
SERVICE
Qty
1 00
Unit Charge Per
48 1000 ECH EL-TEMP SRV - 0-100 SRV FDR
Extens10n
48.10
Spec1al 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 p1ped to approved storm dra1n locations
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
The proposal will result in a s f home in the RS-9 for
t~tal lot coverage of 29% No land use issues are noted
Electrical load calculations and elctrical permits are
required
Connection fee required $222 00
Sanitary sewer oonnection inspection is required by
Pub11c Works pr10r to back f1ll of ditch
Construct driveway to City Standards
No concrete w1th exposed aggregate allowed in the C1ty
COMMENTS/ACTION NEEDED
'fi
""..3
CITY OF PORT ANGEl:-ES
PUBLIC WORKS - ELECTRICAL DIVISION
:l2\ 1-::AST 5TH STREET. PORT ANGELES. WA 98:\62
I I
Application Number
Application pin number
05-00000235
097435
Page 2
Date 4/26/05
Special Notes and Comments
road right of way.
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 48.10 48.10 00 .00
Plan Check Total 00 .00 .00 00
Other Fee Total 1774.50 1774 50 00 00
Grand Total 1822 60 1822 60 .00 00
COMMENTS/ACTION NEEDED
~
ELECfRlCAL PERMIT INSPE~JON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MlNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCErI'ED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEcnON TYPE
DATE
COMMENTS
NO
rel'Ylf> ,S V c...
GENERAL COMMENTS:
PW.II02.15(<II96)
PREPARED 3/09/06, 12 33 09
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
3/09/06
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-01-7-5-0020-0000-
05-00000235 RES NEW SFR
01
4/21/05
4/22/05
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION FOOTING
Allen 582-0608 04/21/2005 09:07 AM RVESS
04/22/2005 08:22 AM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
ALLEN 582-0608 04/28/2005 04:39 PM RVESS
04/29/2005 04 43 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
05/12/2005 11 04 AM JLIERLY
ALLEN 681-3992
05/12/2005 04 40 PM JLIERLY ----------------------------
BUILDING SHEARWALL
06/07/2005 12 49 PM JLIERLY ----------------------------
al 681-3992
06/07/2005 04 24 PM JLIERLY ----------------------------
BUILDING FRAMING TIME 17 00
07/08/2005 01:15 PM JLIERLY ----------------------------
07/08/2005 04.43 PM JLIERLY ----------------------------
elec rough not comp1ete/]11
BUILDING FRAMING
01/03/2006 01 37 PM JLIERLY ----------------------------
BUILDING AIR SEAL TIME 17 00
01/03/2006 01:36 PM JLIERLY ----------------------------
01/03/2006 01 37 PM JLIERLY ----------------------------
BUILDING INSULATION
07/12/2005 08 44 AM DYASUMUR
ALLEN 809-0445
07/13/2005 08 55 AM JLIERLY ----------------------------
BUILDING DRYWALL IBWP
07/22/2005 11.57 AM JLIERLY
ALLEN 809-0445
07/22/2005 04 27 PM JLIERLY ----------------------------
PUBLIC WORKS FINAL
11/21/2005 01:02 PM RVESS ------------------------------
11/21/2005 01:02 PM RVESS ------------------------------
BUILDING FINAL
11/21/2005 09 54 AM PBARTHOL
ALLEN ROADS
CALL FIRST, HOME LOCKED
360-809-0445
PUBLIC WORKS AND ELECTRICAL ARE SIGNED OFF 11/22/2005
11/22/2005 03.44 PM PBARTHOL ---------------------------
PROPANE STOVE NEED TO BE HOOKED UP AND OPERABLE TO CHECK
BEFORE FINAL CAN BE GIVEN
BUILDING FINAL TIME. 17 00
01/11/2006 04.58 PM DYASUMUR ---------------------------
ALAN 809-0445 FINAL
01/12/2006 04:47 PM JLIERLY ----------------------------
see mech flnal comments/]ll
BL99 03 ~o /06 ff=L ~~~~~~~~O~IN~~ 30 PM JLIERLY ____________________________
please call alIen at 809-0445
------------ - --------- ----------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
BL1
BI2
BLFD 01
BL9
BL3
BL3
BAIR 01
BLI
BLDR 01
PW99 01
BL99 01
BL99 02
01
4/29/05
4/29/05
5/12/05
5/12/05
01
6/07/05
6/07/05
01
7/08/05
7/08/05
02
7/11/05
1/03/06
7/11/05
1/03/06
01
7/12/05
7/13/05
7/22/05
7/22/05
11/21/05
11/21/05
11/22/05
11/22/05
1/12/06
1/12/06
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
DA
JLL
AP
JLL
AP
JLL
AP
JLL
AP
RV
AP
JLL
DA
JLL
DA
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Job Located at -z ?-Or
Correction Notice
} to <fL,
l,J
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~G)~ ~(2.pL~LCA7 \J.{) 1-
001L--~~
~ V 1'4"llh; 4=l Q 'I- L i U+r
_~~~~ +-k~~
U~~~
These corrections must be made and are not to be
covered until reinspection is made. When correcti s
have been made, please call li .-- It t
for inspection.
Date ~p ~
In
DO NOT REMOVE THIS TAG
........
PREPARED 3/09/06, 12:33 09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2
3/09/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2207 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-01-7-5-0020-0000-
05-00000235 RES NEW SFR
SUBDIV:
PHONE
PHONE
(360) 681-3992
(360) 457-7222
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
ME6
01
1/04/06
1/04/06
JLL
AP
MECHANICAL GAS LINE TIME 17:00
01/04/2006 11 37 AM DYASUMUR ---------------------------
AL 809-0445 PROPANE LINE
01/04/2006 04:31 PM JLIERLY ----------------------------
MECHANICAL FINAL
01/12/2006 12 11 PM
01/12/2006 04 46 PM
tank to be located 10'
foundatlon vent/)ll
ME99 02 ~lf/~~ Y MECHANICAL FINAL
~ 03/08/2006 01:31 PM JLIERLY ----------------------------
-------------------------- ----------- COMMENTS AND NOTES --------------------------------------
1/12/06
1/12/06
JLL
DA
DYASUMUR ---------------------------
JLIERLY ----------------------------
from a/c condenser and 5' from
ME99 01
, 04/12/2005 09: 13
350-581-7272
JARMUTH ELECTRIC
PAGE 01
... Request Inspection
II Electrical Contractor [J Owner
e Annaal Permit e AI.rm D C.raIVB' 0 Commerelal II Re.lde 01 0 Reslde.tI.1 Mlllnl. eSIIlI' e TherlDOllll C Telecom.
IDltallaUon delCription
Job ..Ired by il Electrical Contractor [J Owner
TemDorarv Service
Electrical contractor name Lttense number
JARMUTH ELECTRIC JARHUE1438BR
P,,"h.ller', mailing 1d4reJls
PO BOX 635
City S.... ZIP
SE(lUIM WA 98382
T~lel'hone nwnbe:r FAX number
360 683-4104 360 681-7272
'reml... OWDIlI", .alAe I
Olvmoic Land Develonment Ine
Addre.. or 'a.pectloH
2207 W 16th St Lot 2
City ,
~ort An"ele8 WA ....<~
~ale Jarmuth [J Cash [J Check #
) hucby emfy that] am the owner of the above named property or a lu ""eel II Credit Cllld Visa Mastercard Discover
electrical contractor (or the firm's authorized agent) and am making the .:1 ~I
installation or a1tcn1llon In complill.1lcc with the clC<tlicallaw. Chaplcr 19.28 ClU'd# On File.. . -
----------------
SlIUI,... of OWDer tlledrh:al contnelor Dr electrical admlol.tnto Expiration Date
X J _O....J _. - 1.f!'IA( ( 't4Ron fee
"ofcllld $ . ,It)
\\ f
WALLS / CEJUNG TIlERMarrAT
SERVICE
Insulation Only Insulation Only
Dllo AIl'Pf'O.... B)' 0.. Appt'lW'OlI by
0.. _a, .... _a, DJJOI
Cover Cover I'DDIill.
nIle AtlOfOved By DIle _a,
.... Appvwa:l By boo. All9I9""B
Electrical Load AddlttOM and or aublrBct/oM SertlIce InfonnatJon
(J NO LOAD CHANGES
C B_rd _KW VollIlgo
e Furnace - KW I:l Over!l. SeIViC8 Phaael:ll1:l3
I:l Heal PlJmp _ Ton_LAR II Tamp Ice SeMee Size: -
(J Fan-Wall KW I:l Under ~ Service F_, SIze:
Inspection Area. BUilding or Equipment I bored Action Taken Electrical
Date n lnspCClor
4 /i2.J 05 u(0 11., ,'0G:..-f' r.,.) H::-6 ::hzu .e-J 1);. y
//r// 47J27n~
fa
ELECTRICAL WORK PERMIT APPLICATION,
06/16/2005 12:17
360-681-7272
60l
C owner.
~lettrl"'l CODtractor
CJ Auoual Permit 0 Alarm 0 CarDiY.. 0 Commert:l.'
JARMUTH ELECTRIC
,
PAGE 01
.~
ELECfRlCAL WORK PERMIT APPLICATION
Insto.llalion description
,
o Residential 0 R..ldendll Mallo!. Q 5110. 0 nermollat Q '):eleco....
Job wired by
o Electrical Contrador 0 Owner
Eleclriclt contractor name
J 0.. ....... kl- )l}-, f.t...'C-
Pun:h05ef'5 mailing address
J-
fi;:
,/p B-. ~7 2-
pu"ml.el a_De,', name 1~ d. ~
(")/~.~ P'LI OfM ok-
Addr~d.;'p ellooW ,,,f(.... - $r ILt//llofto
,
Clly (1r+
15"7 - 72-:
"z-
1 hereby certify that I am the owner of the above narned property or a licensed
electrical contraCtor (or the firm's authorized agent) and am. making " the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
Slgnat-nf owner, e elrlca' contrador or electric::.' admiolnuto!'"
X Jd ~ ~
WALLS
Insulation Only
CEnJNG
Insulation Only
O.I~
7/'0. /00;-
I I)ale
Appftl"c48y
Cover Afl
,",ppf(lvcd By
Dale ApfIf'O\led By
'~/ Cover ~
...<
~ &Ie ^",,~C>d:J3y
ElectrlcBlload Additions Ind or subtractions
o NO ~OAD CHANGES
o B...boerd KW
[J Fumace KW
o Heat Pump _ Ton _ LAR
D Fan-Wall KW
S7ZJ
5'Cfo SG2
I 78
5).....8
o Check #
VISa
Card#, --t2&!.h,.r_"____-____
Mastercard
Discover
Expiration Date
of card
TIlERMOSTAT
8jcT~ ~D
~ Appntv<ldEll'
. DrraJ
B o~ Ar:D
Appn;I\l1Id By
..~. --.. -
D Qvsr1'lead Service
a Jemp Service
g' Underground Servtce
Area, Building or Equipmc:nt Inspected C;fZ-
"5L-
SERVICE
-~-e:/oS- ~
o .....'
1'J!.l!lJER
: Dtte
AP'llfOv<ld 9y
Service Inlannellon
_ VOtla~. /vj....y""
Phese B'1 0 3
Service Size: /&.4f!)~
Feeder Size:
Action Taken
BleclricBI~.
Ins~eclar....
4c6:>
-...-
.
(
C'~'\
/1".,. L\G"
IElIECTIRl~CAl ~ ~~IP'IEClr~ON
W&iRl~NG IRllEIP'OlRllr
417-4735
PERMIT If
ON ~
ADDRESS
1 ~ /ihd :37.
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN ICOVER .............. ~
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEOEO:@
W/ /Z./ _ ~ I'JA?,.,., ~,J' ~ _
,
h 1I?..."V' M J4-z...e..- erp ~~~.
@s.,,:rU),r/_ L7~.;r ",(7~.#6J /"z>><'"
.n?/b,,(J "'''''.JH4'_
-
..--....,
~
~ W~ ("<'7~//~'
~),7 - <y'13~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (380) 452.1381
~90RT04""
..l,.O~Q(<':
t;:.'~<'-
(J ,___ ~ ~
:-~
"'OL-~&.l
~'- t
('1l~:Y
C'IJ.-OFfKSe.:s:"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
CJ5-:;z$S
INSPECTOR
4zD
...:T~,,-7?-I
ADDRESS
:v. ...J 1&,6 3'1'
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . , , . . . . . .. , , ROUGH IN/COVER. . . . , . . . . , . , . . . 0
D. . . . , , . . . . . . . , . . . . . . SERVICE, , . . . . , . . . . . . , . . . . . 0
)(.', . . . . . . . . . , . . . . . . , , , FINAL. , , . . . . . . . . . . . , . . . . . 0
CORRECTIONS NEEDED(/) ~O I/F
.t)......,.-- COV'~ "
-g';1'?-<:,c,.. LJ~-q",~,~
~ .I'1'7/~ 7..u?.
I..A'''''P5 /~ r/><"f"I.<-~~ S
..
,
,f; jt} fr1- pUC-TJU c./ft- / NSj.)~ 77 L) /'V
.
/1r' /" M v'tt-iO A-7T7ft:-H n-f I.$.
7ZJ fJ~/Y1 /-r ?i/,c Voz,-.a. ~lU)J'UJ.3
AL.
..
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3%417-4735
Application Number . . . . . 18-00000358 Date 3/20/18
Application pin number . . . 224416
Property Address . . . . . . 2207 W 16TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -5 -0020 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
TV outlet and tube for cables
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOSHUA JOHNSTON BOB'S ELECTRIC INC
2207 W 16TH ST 2293 DEER PARK RD.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 457-6887
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 3/20/18 Valuation . . . . 0
Expiration Date . . 9/16/18
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Pee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .OD
REPORT STATE SALES TAX
on your excise tax form
I* .the City of Port Angeles
(Location Code WM
1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
gf ��(
COMMENTS: �itl t P��i-�--•- 1 /.�`"'� .
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date: : :
I — 2 SINGLE—FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and ITtilitieS Department
321 E. 5th Street. Port Angeles, LVVA 98362
360.417.4735 www.cityofpa.us j electricalpermitsra,cityofpa.us
Project Address: l
Project Description: 7 ' 6'1/�% a�Gl .,�/yt�r l f �okp P/' Cet b 1i' 6`n. k,L al
X Single -Family Residential ❑ Duplex / ARU Building Square footage:
I=
Unit Charae
Quanffty IM (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$205.00
$
Service/Feeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$6300
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
�� $
Temp. Service/Feeder 200 Amp.
$9300
$
Temp Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal CircuiULimited Energy -182 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square feet'
$40.00
$
Each Outbuilding / Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structurefor 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_ Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of
the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance
with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The Vity of Port Angeles Municipal Code, and Utility Specifics ions and
PAMV14.O5, 0 regarding Electrical Permit Applications.
N31kila, C seg, l,'��f e
Date Prints lame
Signage
(❑ Owner kElectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa u:i or faxed to 360.417.4711]
CP
ELECTRICAL PERMIT
CITY OF PORT .ANGELES
360-417-4735
Application Number . . . . . 18-00000443 Date 3/29/18
Application pin number . . . 498331
Property Address . . . . . . 2207 W 16TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -5 -0020 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
- - -
Application desc
TV and phone outlet
----------------------------------------------------------------------------
Owner
Contractor
------------------------
JOSHUA JOHNSTON
------------------------
SIMPSON ELECTRIC
2207 W 16TH ST
243036 W KWY 101
PORT ANGELES
WA 98363
PORT ANGELES
WA 98363
(360) 457-9270
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc .
. 1-4 CIRCUITS
Permit Fee . . .
. 75.00
Plan Check Fee
00
Issue Date . . .
. 3/29/18
Valuation . . .
. 0
Expiration Date .
. 9/25/18
Qty Unit Charge
Per
Extension
BASE
FEE
75.00
Fee summary
-----------------
Charged
---------- ----------
Paid Credited
Due
Permit Fee Total
75.00
---------- ----------
75.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
75.00
75.00 .00
.00
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL In _S7
COMMENTS:
MMIT WILT, I??C ME'IX (6) MONTHS FROM LAST INSPECnON
Signature of:o or Electrical: Contractor X
REPORT S'Tr, s ` . S TAX
on your exs ter rrn
to the City of Port:Ang&W
(Location Coate 0502)
INSPECTOR;
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ( www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 2207 W 16th St
Project Description: adding an outlet for TV and phone Outlet
in Single -Family Residential ❑ Duplex /ARU Building Square footage:
Name: Josh Johnson
Email:
0 m
B
1148
W
Mailing Address: 2207 W 16th St Phone: 360-775-7045
ELECTRICAL II AAG I 41A 11I * ,1 1
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: PO Box 1086 Expiration Date: 12/11/2019
Email: dlsimpson5l@gmail.com Phone: 360-457-9270
Item
Unit Charae
Service/Feeder 200 Amp.
$120.00
Service/Feeder 201-400 Amp.
$146.00
Service/Feeder 401-600 Amp.
$205.00
Service/Feeder 601-1000 Amp.
$262.00
Service/Feeder over 1000 Amp.
$373.00
Branch Circuit W/ Service Feeder
$5.00
Branch Circuit W/O Service Feeder
$63.00
Each Additional Branch Circuit
$5.00
Branch Circuits 1-4
$75.00
Temp. Service/Feeder 200 Amp.
$93.00
Temp. Service/Feeder 201-400 Amp.
$110.00
Temp. Service/Feeder 401-600 Amp.
$149.00
Temp. Service/Feeder 601-1000 Amp.
$168.00
Portal to Portal Hourly
$96.00
Signal Circuit/Limited Energy - 1&2 DU.
$64.00
Manufactured Home Connection
$120.00
Renewable Elec. Energy: 5KVA System or less
$102.00
Thermostat (Note: $5 for each additional)
$56.00
First 1300 Square Feet
$120.00
Each Additional 500 square feet'
$40.00
Each Outbuilding / Detached Garage
$74.00
Each Swimming Pool / Hot Tub
$110.00
Quantity Total (Quantity x Unit
$
1-4 $ 75.00
TOTAL $ 75.00
Owner as defined by RCW. 19.28.261: (1) Owner will occupy the structure for 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. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3/27/2018 Ahdvew �Siwt�Jo�
Date Print Name Signature (❑ Owner w Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]