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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001380 Date 11/26/07
809000
2407 ARBtITUS LN
06-30-01-5-5-0130-0000-
RES MECHANICAL PERMIT
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
2500
Owner
Contractor
KEVIN AND DONNA JONES
2407 ARBtITUS LN
PORT ANGELES WA 98363
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
WOOD STOVE
116244
50.00 Plan Check Fee
11/26/07 Valuation
5/24/08
Qty Unit Charge Per
Extension
50.00
BASE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned
for a period of 180 days after the work has 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 !his 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.
Ilklc If:)
Date
~J;AJ~ j~
Print Name
Signature of Contractor or Authorized Agent
T:FormslBuilding Division/Building Permit (10/01/07). wpd
Signature of 0
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
9
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMllING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
W ALL I FLOOR / CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE FINAd-z,- }J-06ATE 'JLL...
WOOD STOVE / PELLET / CHIMNEY ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
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. 4 I 7-4735 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
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received II'Zep-cn
Permit # {)7 - /3 f:>O
Date Approved/I- Z& - 0/
Applicant or ~~en~
Owner M 1/1'" <(, ::tbN..vA- ..\o"VC?
Owner's Address ;;1.'/0 7 ,4R..(ot((V(.s,
Contractor/Engineer /VoAle1i-
Contractor/Engineer's Address
License #
Phone
Phone 3c'o L/G 7 - 057 D
1... f\I .
Phone
Expires
PROJECT ADDRESS :;L Lf~ 7 ,fQbL{l~S
Parcel Number 0 " 3 0 0 { 5' 5" (5 ( 3>6
LtJ
Lot 13
Zoning a~
Proiect Tvpe & Brief Description: J>(Residential o Commercial o Multi-family o Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Sign o wall-mounted o projecting o freestanding Dawning o other
)(Heat System Total sign area Sq. ft. Maximum allowed siqn area sq. ft.
o Heat pump }(wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o Other
Floor Areas Existinq (Sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
151 Floor f
2nd Floor
3rd Floor
Garage \,~
Carport ~OC
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $4 2:300 -
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
sq. ft.
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
ft.
Occupancy group
Occupant load
Construction type
I have read and completed this application and know it 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, and to ob 'n pe~its ior to working on
projects. J / J/ - J -
Date J)/z.~ld1 Print Name I\.p 1)(11) c>/VE75 Signature ~
T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc ~ w,) r t. ~ S~.JS..e T /-ht<J~ 1.157 33 b '7
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
P/fJAtro
~~p /11 t,
t
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000309 Date
416177
2407 ARBUTUS LN
06-30-01-5-5-0130-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
7/26/05
Owner
Contractor
~
~
--4
KEVIN AND DONNA JONES
2407 ARBUTUS LN
PORT ANGELES WA 98363
OWNER
Structure Information 000
Other struct info . .
000 1372 SQ. FT. SFR W/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ATT GARAGE
21. 60
1. 00
9140.00
1978.00
1. 00
~
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Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1372SF SFR W/ATT 528SF GARAGE
51078
898.25 Plan Check Fee
7/26/05 Valuation
1/22/06
V\
.00
82980
l
Qty Unit Charge Per
Extension
667.25
231. 00
BASE FEE
33.00 7.0000 THOU BL-50,OOI-100K (7.00 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
51086
68.75 Plan Check Fee
7/26/05 Valuation
1/22/06
.00
o
Qty Unit Charge Per
Extension
47.00
21. 75
BASE FEE
3.00 7.2500 ECH ME-VENT FAN
Permit PLUMBING PERMIT
Additional desc
Permit pin number 51094
Permit Fee 132.00 Plan Check Fee .00
Issue Date 7/26/05 Valuation 0
Expiration Date 1/22/06
Qty Unit 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
Special Notes and Comments
SeparatJ>~ti11WB!?lre re~oit-?ld fBttelemR~~morR,-SE~,-Sfi6relrrfe,"ESp..~ utitities, 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 or 'nances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pre g~ authority to':ror cancel the provisions of any state or local law regulating construction or the performance of
nstructio . . /
0"- ...--
~_"'-~ ~6 \..jil(.... CJ~
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051
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I
BUILDING PERMIT INSPECTION RECORD
"
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN;' /YOPJ<BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
, -'
. INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
.~ ~~-
FOUNDATION: . . .-
'. \, ...
FOOTINGS . . '"
.. .
WALLS . ,
FOUNDATION DRAINAGE / DOWN SPOUTS.
~
PIERS
POST HOLES (POLE BLDGS.)
~....~
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
~~_..aa6
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
.
INSULATION
SLAB ."
WALL / FL~R} c.\ILlNG
MECHANICAL V ,
HEAT PUMP / FvRNACE / DUCTS
GAS LINE ,
WOOD STOVE / PEL~ET / ~IMNEY
COMMERCIAL HOO!:},! DljtTS
MANUFACTURED HO~
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT II'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:\Policiesll 102_15 building pennit inspection record05.wpd [1/4/2005J
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000309
Application pin number 416177
Page
Date
2
7/26/05
, 'Special Notes and Comments
Proposal will result in 22% lot coverage. No land use
issues are noted.
Building address sign shall not be less than 6" & noe more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by- Building D~partment is required prior to backfill.
New subdivisi~n outsi~.the. ~ou~ ~inute response time shall
be equipped with a'r~sidentia~sprinKler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1099.00 1099.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2873.50 2873.50 .00 .00
1.. '.,'
. ...1 ..'
'.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit Inspection record05.wpd [1/4/2005]
"
. .
" .
,
".
1--
BUILDING PERMIT INSPECTION RECORD
. .
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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
YES NO
COMMENTS
FOUNDA nON:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
I'LUMBING
€>.t(.o) --..J'l.,-L--
tbI f Q 10 fr- flL-
9":'/ q:"06 J!-}..-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
t::!,~. ../L.J ~fiCJ ~ ~
T r _ -y'
1;)../11/ Of) JU/ -4
1)-IIr/or crt. L ~
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I f~
~/"YfJ 10(, :It.-U \P~
.
I rf
l/i?I./n or ,at.
tj'Yd lOb ILu
I
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
I ,
l~v/fpl()(P
, ,
/'
0V
PtMfd ~ ft) ~
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s
PARKINGILIGIITlNG
LANDSCAPING
SEPA:
ESA:
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT.
417-4735 ~/;2S/06 /)cD
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/
ENGINEERING
417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE
417-4653
FIRE DEPT.
4 I 7-4750 ... / ,
BUILDING 417-4815 "Y 3'/&lv v~
T:\Policies\1102_15 building permit inspection record05.wp t(1/4/2005]
PLANNING DEPT.
--"-
PLANNING DEPT.
BUILDING
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES 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
., Owner
7/26/05
05-00000309 Date
416177
2407 ARBUTUS LN
06-30-01-5-5-0130-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
Contractor
KEVIN AND DONNA JONES
2407 ARBUTUS LN
PORT ANGELES WA 98363
OWNER
Structure Information 000
Other struct info . .
Permit . . . . .
Additional desc .
-... permi t pin number
Permit Fee
Issue Date
Expiration Date
000 1372 SQ. FT. SFR w/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ATT GARAGE
21. 60
1. 00
9140.00
1978.00
1.00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN WATER METER
51128
195.00 Plan Check Fee
7/26/05 Valuation
1/22/06
.00
82980
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
195.00
RIGHT OF WAY
51102
50.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
82980
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
51110
110.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
82980
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
05/12/2005 12:37 PM SROBERDS ---------------------------
Proposal will result in 22% lot coverage. No land use
issues are noted.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and . ces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pr me to gl ,e hority to V!9Ia,"?or cel the provisions of any state or local law regulating construction or the performance of
nstruction.
""
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Date Signature of Owner (if owner is builder) Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAW! [i{ Trj COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUor;,:; LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
~,:rI.":""!1o:.7.,=,"
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
"',I';:;::":":'_-;l.::'.~~
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
~="",,:,n':'"
STORM
SITE DRAINAGE
-:~:;:;~.,...~. ~.r.;r'.
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
C~'::-.:"_1;"~".--:".-:-::::'.:'
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
.'7.."7.'.-'~~__
;::..-::,:~., .
':.'::Il!:
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FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
..App~ication Number . . . . . 05-00000309
Application pin number 416177
Page
Date
2
7/26/05
. -. ..... -epecial Notes and Comments
color they are mounted on. (ard. 14.36.050-EI
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
..New, subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
._. ....Code. (UFC) and National Fire Protection Association (NFPA)
standards.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO. connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Construct driveway and Sidewalks to City Standards.
.. .... "':N"o"concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
...oth.eX' Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
Plan Check Total .00 .00 .00 .00
ather Fee Total 1774.50 1774.50 .00 .00
GX'.and Total 2129.50 2129.50 .00 .00
Separate Permits are required far electrical wark, SEPA, Shareline, ESA, utilities, private and public improvements. This permit becomes
null and void ifwark ar canstructian autharized is nat cammenced within 180 days, if canstructian arwork is suspended or abandoned
far a periad af 180 days after the wark as cammenced, ar if required inspections have nat been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this applicatian and knaw the same to. be true and carrect. All provisians af
laws and ardinances gaverning this type af wark will be camplied with whether specified herein ar nat. The granting af a permit daes nat
presume to. give authority to. vialate ar cancel the provisians af any state ar lacal law regulating canstruction ar the performance of
construction.
Signature af Cantractor ar Autharized Agent
Date
Signature af Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
...
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
,~
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
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CITY OF PORT ANGELES.
FIRE DEPARTMENT PERMIT
321 East Slh Street, Port Angeles, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000309 Date
416177
2407 ARBUTUS LN
06-30-01-5-5-0130-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
1/31/06
Owner
Contractor
KEVIN AND DONNA JONES
2407 ARBUTUS LN
PORT ANGELES WA 98363
OWNER
Plan Check Fee
Valuation
.00
o
~
~
~~
~}
~~
~~
~~
~
"
~
Structure Information 000
Other struct info . .
000 1372 SQ. FT. SFR W/ 528 ATT
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
21. 60
1. 00
9140.00
1978.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number 70276
Permit Fee .00
Issue Date 1/31/06
Expiration Date. 7/30/06
----------------------------------------------------------------------------
FIRE SPRINKLER RESID
Special Notes and Comments
05/12/2005 12:37 PM SROBERDS ---------------------------
Proposal will result .in 22% lot coverage. No land use
issues are noted.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
New subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
This pennit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the ovisions of any state or local law regulating the work specified in the permit.
<..
Signature of Owner (if Owner is builder)
Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
.....-
CITY OF PORT ANGELES,
FIRE DEPARTMENT PERMIT
321 East Slh Street, Port Angeles, WA 98362
Application Number . . . . . 05-00000309
Application pin number . . . 416177
----------------------------------------------------------------------------
Page
Date
2
1/31/06
Fee 5 ununa ry Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .00 .00
This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examine::) this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if Owner is builder)
Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 2407 Arbutus
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
Type of System: Open 130 13RO 13D~
Date: 1.27.2006 P AFD Permit #: 06-08
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13D system will require a
measured flow test.
Contractor
Reviewed by: ~o. .j)i)
Date: I-Zl- Cb
o
~
o
Building Department
Fire Department
BUILDING PERMIT - APPLICATION
rUKurFIC~U~S ONLY:
O{< Date Rec.:_'_~=~
Pemlit#.~ -:3 '1
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COl\1PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:~J; V\<:' Q,^- + ~ e.. +Tj <Lv Phone: L-j S 2.. - 7 ~<::; a,j
Owner: tic.,..s ;.;;:~. )J ~ + L. 0..-.' J.? ",J' Cl c.t, ~_ c.. " Phaae: '-/ ~ 2 - 7 G 3 J
Address: 2-Gd SO F."..a.. c..i,~ City:ryo.r+/1~3~/JLJ Zip: C}ltS'(;.2..
Architect!Engineer: Phone:
J/'-i..'? 12...
ContractorlNAlol..l4T.GD F/J<.b StateLicense#://V/YtltlFJo bxp: ~JJ<lab Phone:4S2-7SB3
Address: 8/ .tV R, uJ J!. ~u -'L '-'. t..... V\. City: P Ov- ..}- /t>-t.. j"J2i fL.J Zip: 98 S b .2
PROJECT ADDRESS: 2. ll07 ,t). .,10 to- '1-l/l.. S ZONING:
13
LEGAL DESCRIPTION: Lot:
Blocle:
Subdivision:
CLALLAM COUNfY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
. Credit Card Type VISA MC #
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRlEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
F;.v<..
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ lSF. = $
TOTAL VALUATION $ 2 2. SO. OQ
S pYSL-" k. J ~^ s J ~ +-e.. 'vV"\.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot'Size: Existing Sq. Ft
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTBER:_
PLANNING USE ONLY:
ESAlWetland{s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF. a plan chet:kfeeis due it must'b"e'submitted at the time the building permit application and Construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued v,7jthin 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 Rl 05.3.2
of the Intemational-BuildinglResidential Code, 2003). No application can be e},.,"tended 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 " ~ my responsibitffy to deJne what penn"s af!) f!)quimd ,not the City's, and that t must obtain such pennits prior to wurl<.
T:\Policies\BL-ll02_13.wpd Applicant: .~ 8 ~ Date: 1/2- 31/ (J ~
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P-age'111
From:
To:
Date:
Subject:
James Lierly
hacc@olypen.com; shhomes@olypen.com
1/6/0610:03AM
Floor conditions on Arbutus.
Clallam County Housing Authority
Gregg, now that we are in the rainy season, I noticed that the subfloor material has begain to swell and
deform. Most flooring has an exposure time frame specified by the manufacture, usually around 90 days.
This is the same condition we had last year on "0" street in the first phase and as per our conversation at
the begining of the second phase, I mentioned that i would hope to avoid over exposure on the second
phase.
At this point, i want you to complete and cover all existing structures that are framed before any other floor
systems are intiated. This will give the interior time to dryout and after the structure is enclosed, provide
heat, as was required on the first phase. (there is a device that i have seen used on other sites that acts
like a squeegee) that you can push the water outside the structure to help keep the water off the floor.
Please do not hesitate to contact me if you have any questions about this requirement.
City of Port Angeles
Building Inspector
Jim Lierly
360-417-4816
,
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lOl13 1" = 20'
JOB NO:
02030
CLIENT: FILE:
HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT13.DWG
2603 S. FRANCIS STREET DATE:
\.. PORT ANGELES, WA 98362 7-29-04 ~
JoI~ rIa", R~".'~v- J::"~e.,
. ~. .... '..~...~.""..'
~
?\a \3 f6\
BUILDING PERMIT - APPLICATION
www.cityofpa.us
Print out form and fill out COMPLETELY in INK. Your application and site
plan MUST BE COMPLETE to be accepted for review.
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Applicant or Agent:
Owner: k -e...v , r')
Address:
Architect/Engineer:
Contractor
)/ (}lIS ~ AI ~
C' OW1 TY
~ 00 m10
Au/II ORJ-,Y o~ T//~
c),c e t. .4L-t .4;..., Phone:
JOl1-<?_ 5 Phone:
City:
9:5 d- 7(" 3/
eKI 18'
Zip:
Phone:
State License #:
Exp:
Phone:
Zip:
ZONING:
/J1...Jrp/lJ<4
Address:
City:
PROJECT ADDRESS: olL/tJ 7 /f 17 d 11 Tt( .5
LEGAL DESCRIPTION: Lot: /3 Block:
CLALLAM COUNTY PARCEL NUMBER:
L/1/YE.
,
ppitr 1'10\/6- e lr.J"
j' t!fJ~ i'
Subdivision:
WOo j j
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~esidential W"'New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial a Remodel a Demolition
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZENALUATION:
o Stove (~,2. SF. @ $ ISF. = $
~arage 52 e SF. @ $ ISF. = $
o Deck 78 SF.@$ ISF.=$
TOTAL VALUATION $ e 2. BQo t 2 ~
/VE"uJ .~//V~~ ~ r-:::~mIL r :Re5/Vt:r,v c~
4- r- r,4 t' hi q- D 02- ~ -+ /C t5- .4 i? .46- -e-
ONE ;5T7JK r
?) I r 101
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: L Lot Size: q ll-/ 0 Existing Sq. Ft. 2'
Total lot coverage '2' I
Occupant Load: Construction Type:
& Proposed Sq. Ft. i 978 = TOTAL Sq. Ft. /97S
%
APPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITT AL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 41 7 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2
of the International 13uildinglResidential Code, 2003). No application can be extended more than once.
www.cityofpa.us
Applica t:
I hereby certify that I have read and examined this application and kno
understand that it is my responsibility to determine what permits are re ir
I
I ~ .
.,.;. ....
x'
."
-'
. t
Fire Sprinkler System Plan
Innovated Fire
Sprinkler Systems
81 New"Haven Lane
Port Angeles, WA.,
98362
(360) 452-7583
aq
-% trJ-'? .
January 23, 2006
For: Housing Authority Of Cia II am County
2603 So. Francis
Port Angeles, WA. 98362
Location: 2407 Arbutus (lot 13)
Port Angeles, WA., 98363
. .~..;.'
~
~i::~':;(frqf.iJWJ _".
1.-11J l1XUKAULIC CALCULATIONS.
. -
1-0 +- 13
,.
12.
13.
14.
1'5.
:F p- 9 C
Worksheet
For I" CPVC Pipe
.-
Two heads require 26 gpm flow at designed pressure. [+ 5 gpm domestic us
One head requires 18 gpm flow at designed pressure.
1.
2.
3.
4.
5.
\
Pipe size = , 1- J CPVC (friction loss .1067).
Watef pressure at street (2) = 'S psi.
Meter friction loss (3) = q psi (see Table 4-4.3d NFPA 13[
(2) "GS minus (3) <7 (4) = S C psi remainin
l~ss from street main to control valve = .'70 feet X , .1067" , = 7. (./,
feet (see friction loss chart).
(4) Sb m~nus (5) 7. Lj 7 . . = (6) . '18. $ 3
Elevation Joss (building & street) = /6 feet X .434 = .
(6) li8.S3 minus (7) 4. S '1 _ '-I'1,.JOJ
Total length of pipe from control valve to the farthest sprinkler =
X , .106~ = s: ,2- psi.
(8) L-fLj. J ~ minus (9) S". /2.. 3 q. 0"/ psi remalnm~
Equivalent length for valves and fittings (m~ter to farthest sprinkler head):
Tvpe Number Equivalent
1 " T run 7 X W =
1 " T Branch 2- X IT] =
1" 90 Elbo.W .3 X [IJ =
1" Coupling I X Q:J =
1" 45 Elbow 0 X W =
1" Gate Valve I X m =
(11) T ot.al Feet '-J D
6.
7.
8.
9.
psi remaininc
''-1. J Y p;
psi remainin
'-18 fe;
10.
11.
7.
I 0
2..1-
I.
o
r
f
f ~'
fee~~~'\'.
~~IIJJ+
Loss in fittings (11) 4 () feet X 1.10671 =;: l.,/, 2. 'I psi.
(10) .f q. 0) minus (12) '. L/, 2. / - ~7'1. ~O psi remaining.
PSI remaining (13) ] t...f. go minus . :~. f-( (Joss in riser) parts = ..3 /, '/(J .
(14) 31. '1 () is more than the minimum design psi required for 2 or 1 sprinkler
heads operating.
Riser Parts
Potter flow switch 2.4 psi
Soft seat valve 1.0 psi
Needed Information:
Type of sprinkler head
GPM & pressure 1 st head .
G PM & pressure 2nd head
3/4" water meter
Revis'ed 5/29/91
I~:'-""':"
': ,;,~. 'S\;'R.INKLE~R . MAN \ I=OL D
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tq~D / Fire & Building
/ Products
Direct Sales (Central): Tel: (BOO) 523-65121 Fax: (215) 362-5385
Distribution Sales (GemlStar): Tel: (BOO) 558-52361 Fax: (BOO) 877-1295
Technical Services: Tel: (800) 381-93121 Fax: (BOO) 791-5500
Series LFII Residential
Concealed Pendent Sprinklers, Flat Plate
4.2 K-factor
General
Description
The Series LFII (TY2596) Residential
Concealed Pendent Sprinklers are
decorative, fast response, fusible sol-
der sprinklers designed for use in resi-
dential occupancies such as homes,
apartments, dormitories, and hotels.
The cover plate assembly conceals the
sprinkler operating components above
the ceiling. The flat profile of the cover
plate provides the optimum aestheti-
cally appealing sprinkler design. In ad-
dition, the concealed design of the Se-
ries LFII (TY2596) provides 1/4 inch
(6,4 mm) vertical adjustment. This ad-
justment reduces the accuracy to
which the fixed pipe drops to the sprin-
klers must be cut to help assure a
perfect fit installation.
The Series LFII are to be used in wet
. pipe residential sprinkler systems for
o!"e- and two-family dwellings and mo-
bIle homes per NFPA 13D; wet pipe
residential sprinkler systems for resi-
dential occupancies up to and includ-
ing four stories in height per NFPA
13R; or, wet pipe sprinkler systems for
the residential portions of any occu-
pancy per NFPA 13.
The Series LFII (TY2596) has a 4.2
(60,S) K-factor that provides the re-
quired residential flow rates at reduced
pressures, enabling smaller pipe sizes
and water supply requirements.
The Series LFII rr(2596) has been
designed with heat sensitivity and
water distribution characteristics
proven to help in the control of residen-
tial fires and to improve the chance for
occupants to escape or be evacuated.
. The Series LFII (TY2596) Residential
C~ncealed Pendent Sprinklers are
shipped with a DIsposable Protective
Cap. The Protective Cap is temporarily
removed for installation, and then it
ca~ be repl?ced to help protect the
spnnkler 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/psi1/2 (60,5 LPM/bar1/2)
Temperature Rating:
160oFn10C Sprinkler with
1350F/5r'C Cover Plate
.JULY, 2002
-
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.: :.~'{':;,~;'.'.:. - .
....... ,,": .-",.-
" '. .,"-!,\ :'. ;:.....
. .~:.~:'~:::-:;:'.>';.>.:,'
Vertical Adjustment: .
1/4 inch (6,4 mm)
Finishes:
Cover Plate:
Rat White, Bright White, Chrome, or
Custom
Physical Characteristics:
Body . .. .. .. ..
Cap. . . . . . . . . . . . .
Saddle . . . . . . . . . . .
Sealing Assembly . . . . . .
. . . .. Beryllium Nickel wI Teflont
Soldered Link Halves . Nickel
Lever . . . . . . .'. . . . . . Bronze
Compression Screw . . . . . . Brass
Deflector . . . . . . . . . . . Bronze
Guide Arm Frame ..... Bronze
Guide Arms . . . . . Stainless Steel
Support Cup . . . . . . . . .. Steel
Cover Plate ......... Copper
Retainer . . . . . . . . . . . . Brass
Cover Plate Ejection Spring ....
. . . . . . . . . . . . Stainless Steel
. Brass
Bronze
. Brass
tDuPont Registered Trademark
TFP440
I
(.
. ~ .'
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::. ~Page 2'~f: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 LAI (TY2596) Residential
Concealed Pendent Sprinklers are UL
and C-UL Usted for installation in ac-
cordance with the following criteria.
NOTE
When conditions exist lI1at are outside
the scope of the provided criteria, refer
to the Residential Sprinkler Design
Guide TFP490 for the manufacturers
recommendations that may be accept-
able to the Authority Having Jurisdic-
tion.
System Type. Only wet pipe systems
may be utilized.
Hydraulic Design. The minimum re-
quired sprinkler flow rate for systems
designed to NFPA 13D or NFPA 13R
are given in Table A as a function of
temperature rating and the maximum
allowable coverage areas. The sprin-
kler flow rate is the minimum required
discharge from each of the total
number of -design sprinklers- as speci-
fied in NFPA 13D or NFPA 13R.
For systems designed to NFPA 13, the
number of design sprinklers is to be
the the tour most hydraulically de-
manding sprinklers. The minimum re-
quired discharge from each of the four
sprinklers. is to. be the greater at the
following:
· The flow rates given in Table A for
NFPA 13D and 13R as a function at
temperature rating and the maxi-
mum allowable c()verage area.
· A minimum discharge of 0.1 gpmlsq.
ft. over the -design area- comprised
of the tour most hydraulically de-
manding' sprinklers tor the actual
coverage areas being protected by
the four sprinklers.
Obstruction To Water Distribution.
locations of sprinklers are to be in
TFP440
'1
Minimum Flow (b) and Minimum Flow (II) and
Maximum MaxImum Resldual Pressure Residual Pressure
Coverage SpacIng For Horizontal Ceiling For Sloped CeIling
Area (a) Ft. (Max. 2 Inch Rise (Max. 8 Inch Rise
FLxFL (m) for 12 Inch Run) for 12 Inch Roo)
(m x m)
16O"Fm oc 160oFmoC
Sprinkler Sprinkler
12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,llPM)
(3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 ~
14 x 14 14 14 GPM (53,0 LPM) 18 GPM (68,llPM)
(4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1,27 bar)
1'6'x'16 1 16 16 GPM (60,6 LPM) 18 GPM (68,llPM)
(4,9 x 4,9) (4,9) 14.5 psi (1,00 bar) 18.4 psi (1,27 bar)
'- Hhc 1a../" 18 20 GPM (75,7 LPM) NJA
(5,5 x 5,5) (5,5) 22.7 psi (1,57 bar)
2Ox2O 20 24 GPM (90,8 LPM) NJA
(6,1 x6,l) (6,1) 32.7 psi (2,25 bar)
(a) For coverage area dimensions less than or between those indicated, it is
necessary to use the minirmm required flow for the next highest 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 HYDRAUUC 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 at the coverage area (Ref. Table
A) being hydraulically calculated (e.g.,
maximum 12 teet for a 12 ft. x 12 ft.
coverage area, or 20 feet for a 20 ft. x
20 ft. coverage area).
Installation
The Series LFII (TY2596) must be in-
stalled in -accordance with the follow~
ing instructions:
NOTES
Damage to the fusible Link Assembly
during installation can be avoided by
handling the sprinkler by the frame
arms only (ie., do not apply pressure
to the fusible link Assembly).
A leak tight 1/2 inch NPT sprinkler joint'
should be obtained with a torque of 7
to 14 fUbs. (9,5 to 19,0 Nm). A maxi-
mum of 21 h.lbs. (28,S Nm) of torque
is to be used to install sprinklers.
Higher levels of torque may distort lI1e
sprinkler inlet will1 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 lI1e
Sprinkler. Readjust the position of lI1e
sprinkler fitting to suit.
Step 1. The sprinkler must only be
installed in the pendent position and
with the centerline of the sprinkler per-
pendicular to the mounting surface.
Step 2. Remove the Protective Cap.
Step 3. With pipe thread sealant ap-
plied to the pipe threads, and using
the W- Type 18 Wrench shown in Rgure
2, install and tighten the SprinklerlSup-
port Cup Assembly into the fitling. The
W-Type 18 Wrench will accept a 1/2
inch ratchet drive.
Step 4. Replace the Protective Cap by
pushing it upwards until it boUoms out
against the Support Cup. The Protec-
tive Cap helps prevent damage to the
Deflector and Arms during ceiling in-
stallation and/or during application of
t' .
".
...:.....~.~~P440.. .
'. . t....
Page 3 of 4
s
BODY
(112" NPl)
SEAUNG
ASSEMBLY
WRENCH
RECESS
SADDLE
SPRINKLER
WRENCHING
AREA
D
CAP
COMPRESSION
SCREW
PUSH WRENCH
IN TO ENSURE
ENGAGEMENT
WfTH SPRINKlER
WRENCHING AREA
LEVER
FIGURE 2
W-TYPE 18
SPRINKLER WRENCH
GUIDE
ARM
GUIDE ARM
FRAME
I I
I I
I I
I I
I I
'" I I
,."..... I I
,J L../ ''>.....J L.
....... ., ..;- -""- - -""- """"'- - ,
DEFlECTOR
(OPERATED
POSITION)
SPRINKLERlSUPPORT CUP
ASSEMBLY
THREAD INTO
SUPPORT CUP
UNTIL MOUNTING
SURFACE IS
FlUSH WITH
CEILING
o
o
RETAINER
WITH THREAD
DIMPLES
EJECTION
SPRING
SOlDER
TABS (3)
COVER PLATElRETAINER
ASSEMBLY
FIGURE 1
SERIES LF" (TY2596) RESIDENT/AL
CONCEALED PENDENT SPRINKLER
COVER
PLATE
I--- 2-112" DIA.
I \ (63.5 mm)
112"
NPT
~
SPRINKLER-
SUPPORT CUP
ASSEMBLY
FACE OF
SPRINKlER
FITTING
1-718":2:118"
(47,6 mm
%3.2 mm)
COVER
PlATE
RETAINER
COVER- SPRINKlER-
RETAINER SUPPORT CUP
ASSEMBLY ASSEMBLY
3-1/4" DIA.
(82,6 mm)
=r'MOUNTING
3116" J SURFACE
(4,8 mm)
~
1
TIP
DEFlECTOR IN
OPERATED POSITION
FIGURE 3
SERIES LRI (TY2596) RESIDENT/AL CONCEALED PENDENT SPRINKLER
INSTALLA TlON DIMENSIONS/PROTECTIVE CAP / ACTIVATED DEFLECTOR
..
~ .
....
. .."'. -. .
': ~age 4 'of 4
':
the finish coating of the ceiling. It may
also be used to locate the center of the
clearance hole by gently pushing the
ceiling material against the center
point of the Cap.
NOTE
As long as the protective Cap remains
in place, the system is considered to
be "Out Of Service"..
Step 5. After the ceiling has 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 Rtting must be repo-
sitioned.
Care and
Maintenance
The Series lFII (TY2596) must be
maintained and serviced in accord-
ance with the following instructions:
NOTES
Absence of an Escutcheon Plate may
delay the sprinkler operation in a fire
situation.
Before closing a fire protection system
main control valve for maintenance
work on the fire protection system
which it controls, pennission to shut
down the affected fire protection sys-
tem must be obtained from the proper
authorities and all personnel who may
be affected by this action must be no-
tified.
Sprinklers which are found to be leak-
i~g or exhibiting visible signs of corro-
sion must be replaced.
Automatic sprinklers must never be
shipped or stored where the tempera-
ture will exceed 100oFI380C and they
must never be painted, plated, coated,
or otherwise altered after leaving the
factory. Modified or over heated sprin-
klers must be replaced.
Care must be exercised to avoid dam-
age - before, during, and after instal-
lation. Sprinklers damaged by drop-
ping, striking, wrench twisVslippage,
or the like, must be replaced.
The owner is responsible for the in-
spection, testing, and maintenance of
their fire protection system and de-
vices in compliance with this docu-
ment, as well as with the applicable
standards of the National Rre Protec-
tion Association (e.g., NFPA 25), in
addition to the standards of any other
authorities having jurisdiction. The in-
stalling contractor or sprinkler manu-
facturer should be contacted relative to
any questions,
NOTE
The owner must assure that the sprin-
klers are not used for hanging of any
objects and that the sprinklers are only
cleaned by means of gently dusting
with a feather duster; otherwise, non-
operation in the event of a fire or inad-
vertent operation may resuh.
It is recommended that automatic
sprinkler systems be inspected,
tested, and maintained by a qualified
Inspection Service,
Limited
Warranty
Products manufactured by Tyco Rre
Products are warranted solely to the
original Buyer for ten (10) years
against defects in material and work-
manship when paid for and properly
installed and maintained under normal
use and service. This warranty will ex-
pire ten (10) years from date of ship-
ment by Tyco Rre Products. No war-
ranty is given for products or
components manufactured by compa-
nies not affiliated by ownership with
Tyco Rre 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 Rre Protection Associa-
tion, and/or the standards of any other
Authorities Having Jurisdiction. Mate-
rials found by Tyco Rre Products to be
defective shall be either repaired or
replaced, at Tyco Rre Products' sole
option. Tyco Rre 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 Rre Products
shall not be responsible for sprinkler
system design errors or inaccurate or
incomplete information supplied by
Buyer or Buyer's representatives.
TFP440
G
IN NO EVENT SHAll TYCO FIRE
PRODUCTS BE LIABLE, IN CON-
TRACT, TORT, STRICT LIABILITY OR
UNDER ANY OTHER lEGAL THE-
ORY, FOR INCIDENTAL. INDIRECT,
SPECIAL OR CONSEQUENTIAL
DAMAGES, INCLUDING BUT NOT
LIMITED TO LABOR CHARGES, RE-
GARDLESS OF WHETHER TYCO
FIRE PRODUCTS WAS INFORMED
ABOUT THE POSSIBILITY OF SUCH
DAMAGES, AND IN NO EVENT
SHAll TYCO ARE PRODUCTS' li-
ABILITY EXCEED AN AMOUNT
EQUAL TO THE SALES PRICE.
THE FOREGOING WARRANTY IS
MADE IN LIEU OF ANY AND ALL
OTHER WARRANTIES EXPRESS OR
IMPLIED.. INCLUDING WARRANTIES
OF MERCHANTABILITY AND FIT-
NESS FOR A PARTICULAR PUR-
~
Ordering
Procedure
When placing an order, indicate the full
product name. Contact your local dis-
tributor for availability..
Sprinkler Assembly:
Series lFII (TY2596). K=4.2. Residen-
tial Concealed Pendent Sprinkler with-
out Cover Plate Assembly,
PIN 51-122-1-160.
Cover Plate Assembly:
Cover Plate Assembly having a (spec-
ify) finish for the. Series lFII (TY2596),
K=4.2, Residential Concealed Pen-
dent Sprinkler, PIN (specify).
Chrome.................. PIN 56-122-9-135
Bright White............... PIN 56-122-4-135
Rat White................ PIN 56-122-5-135
Custom .................. PIN 56-122-X-135
Sprinkler Wrench:
Specify: W-Type 18 Sprinkler Wrench,
PIN 56-000-1-265.
TYCO ARE PROOVCTS, 451 North Cannon Avenue,lansdale. Pennsylvania 19446
.
;,'.
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@..POlTER
Potter Electric Signal Company
2081 Craig Road. P.O. Box 28480
St. Louis, MO 63146-4161
(314) 878-4321 · (800) 32~3936
0J
VSR-SF
VANE TYPE WATER FLOW
FOR SMALL PIPE 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
Sefvlce Pressure: Up to 250 PSI
Minimum Row Rate for Alann: 10 GPM
Maximum Surge: 18 FPS
Enclosure: 0itH:ast, red enamel finish
Cover held In place with tamper resistant screws
Contact Ratings: 2 sets of SPOT (Fonn C)
15.0 Amps at 12512SO VAC
2.0 Amps at 0-30 VOC
Conduit Entrances: 2 knockouts provided for 1/Z conduit
Usage: Usted Plastic. Copper and Schedule 40 Iron Pipe
Fits pipe sizes - 1". 1 V4". and 1 1/Z
Note: 8 paddles are furnished with each unit. one for each
pipe size of threaded or sweat TEE. one for 1" CPYC,
and one for 1112" polybutylene (CT~ppertubing size)
Environmental SpecJflcatlons:
Suitable for indoor or outdoor use with factory instaned
gasket and die-cast housing.
NEMA 4 Rated Enclosure -use with appropriate conduit fitting,
Temperature Range: 40. F/l20. F (4.5. Cl49" C)
Caution: This device is not intended for appfications in
explosive environments
Service Use:
Automatic Sprinkler NFPA-13
One or two family dweUing NFPA-13D
Residentiafoccupancy up to four stories NFP A-13R
National Fife Nann Code NFPA-72
Optional: Cover Tamper Switch, or(ler Stk. No. 0090018
The Model VSR-SF is a vane type waterllow switch for use on wet
sponkier systems that use 1", 1 1/4", or 1 112.' pipe size. The unit
may also be used as a sectional watelflow detector on large
systems. .
The unit contains two single pole double throw snap action
switches and an adjustable. instandy recyding pneumatic retard.
The switches are actuated when a flow of 10 gallons per minute or
more occurs downstream of the device. The flow con<frtion must
exist for a period of time necessary to overcome the selected retard
period.
INST At..LA TION: 1hese devices may be mounted in horizontal or
vertical pipe. 00 horizontal pipe they should be installed on the top
side of the pipe Where they wiD be accessible. The units should not
be installed within 6. of a valve. drain or fitting which changes the
direction of the walerflow. The unit has a 1. NPT bushing for
Ihreading inlo a f1<XH:orrosive TEE. See Fig. 2 for proper TEE
size, type and installation.
Screw the device into the TEE fitting as shown in Fig, 2. Care must
be taken to property orient the device for the direction of waterflow.
The vane must not rub the inside of the TEE or bind in any way.
The stem should move freely When operated by hand.
The device can also be used in copper or plastic pipe installations
with the proper adapters so that the specified TEE fitting may be
inslaned on the pipe run.
INSPECTION AND TESTING: Check the operation of the unit by
opening the lnspecto( test valve at the end of the sprinlder line or
the drain and test connection, if an inspecto(s test valve is not
provided,
If there are no provisions for testing the operation of the flow
. detection device on the system. application of the YSR-SF is nol
recommended or advisable
The frequency of the inspection and testing and its associated
protective monitoring system should be in accordance with the
appflCable NFPA Codes and Standards and/or authority having
jurisdiction (manufacturer recommends quartedy or more
frequendy).
PRINTED IN USA
PAGE 1 OF 2
'MKT. '8800003. REV J
MFG. '5400802 - 819S
. ~
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. @..POTTER
@
BELLS
PBA-AC & PBD~DC
Potte,. Electr-lc Signal Company
2081 Crnlg Ad./P.O. Box 28480
St. Louis, MO 63146
(314)878~3211 (800) 325-3936
6" BELL SHOWN
Potte,. Electric Signal & Mfg. L TO
1967 Leslie Street .
Don Mills, Ontario, Canada M382M3
(416) 441-1833
UL USTED, FM APPROVED
Sizes Available: (0 8-. and 10-
Voltages Available:
~
20VA
12VDC (10.2 to 15.6) Polarized
24VDC (20.4 fo 31.2) Polarized
Service Use: Fire Alarm
General Signaling
Burglar Alarm
Envlr-onment: Indoor or Outdoor Use (See Note 1)
-400 to 1500F (outdoor use require
weatherproof bacl<box)
TermInation: 4 No. 18 AWG stranded wires
Finish: Red powder coating
Optional: Model BBK-1 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
18K-l weatherproof backbox for outdoor applications.
ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECllON:
StZE VOLTAGE MODEL HO. STOCK HO. . CURREHT(MAX} TYPICAL dB MINIMUM dB
C 10 FT. C 10 FT.
6 12VOC PB0126 1706012 .12A .. 75
8S
8 12vOC PBOl28 1706012 .12A 90 7S
10 12VOC PB01210 1710012 .12A 92 7S
6 24VOC PB0246 1706024 _06A 87 75
8 24VOC PB0248 1706024 .06A 91 79
10 24VOC PB02410 1710024 .06A 94 79
6 2<4VAC P8A246 1806024 .17A 91 75
8 24V AC PBA248 180802.( .17A 94 75
. 10 24V AC PBA2'( 10 181002.( .17A 94 75
t 6 120VAC P8A1206 1806120 .OSA 92 82
8 120VAC P8A 1208 1806120 .OSA 99 82
10 120VAC P8A12010 1810120 .OSA 99 8S
.'eatherproof backbox model 88K-1 Stk. No. 1500001.
)fCS:
MNnum d8 t~l~ ~te c~lculal~ "'om W>tegraled sound presSUte meuIMemetU made at Undetwrile<s Labotalories as q>ec.Iie<l.. UL Standatd <46<4. UL
tetnpe<~IUfe t~"9<l 1S.3O" 10 lSO.F.
Typical Cl8 ta'tnQs ate calC"'a'~ l,om me......._ """de wilh a convent;o,.al sound IeYel mete< and ate indical;.." of OUlpullevels.. an acIual insIatlalOOl\.
llNTEO IN USA
MKT. -8850001- REV K
PAGE 1 OF 2
1-
Fire Sprinkler System Plan
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'LEGEND
Lot 13
"1387" Jones
2407 Arbutus
5 INNOVATED FIRE SPRINKLER SYSTEMS
/
/:
81 NEW HAVEN LN.
PORT ANGELES, WA 98362
(360) 452-7583
o 'Denotes Fire Sprinkler Head (see cut sheet) PLANS APPROVED BY
_ Denotes 1" Fire Sprinkler Pipe PORT ANGELES FIRE DEPT.
Pipes will be strapped every four feet ~<O Q:-id.Q
Pipes in attic space will be insulated DAT : '-'2.i.O(..
System will have a 6" fire alarm bell on exterior
Manifold will be labeled
System will be tied into the toilet
,
, Total of sprinkler heads in system
(d'""~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98]62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subd~v~sion Name
Property Use
Property zoning
Appl~cat~on valuat~on
05-00000309 Date 12/13/05
416177
2407 ARBUTUS LN
06-30-01-5-5-0130-0000-
RES NE\1 SFR
MADRONA \100DS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
Owner
Contractor
.
KEVIN AND DONNA JONES
2407 ARBUTUS LN
PORT ANGELES \1A 98363
OWNER
Structure Information 000 000 1372 SQ FT SFR \1/ 528 ATT GARAGE
Other struct info TOTAL % LOT COVERAGE 21 60
NUMBER OF STORIES 1 00
LOT SIZE 9140 00
TOTAL LOT COVERAGE 1978 00
NUMBER OF UNITS 1 00
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Exp~rat~on Date
ELECTRICAL NE\1 RESIDENTIAL
EL SVC / 1900 SQ FT SFR
66969
ELECTRIC SERVICE
119 80
12/13/05
6/11/06
Plan Check Fee .
Valuation
00
o
I
~
-k
I
P
rJ
Qty
1 00
2 00
Un~t Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
46 80
:it
IC)
:~
I~
liP
I
Special Notes and Comments
05/12/2005 12 37 PM SROBERDS ---------------------------
Proposal will result in 22% lot coverage No land use
~ssues are noted.
BUllding 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, dra~ns will located in dry
wells or p~ped to approved storm drain location No
pressurized or pumping to curbs are allowed An lnspection
by Bu~ld~ng Department ~s requ~red pr~or to backfill
New subdivision out5ide the four minute response time shall
be equipped with a residential sprinkler system that ~s
lnsta11ed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protect~on Associat~on(NFPA)
standards.
Electrical load calculations and elctr~cal perm~ts are
required
Under 2004 policy - NO connection fee
D~tches and cu~verts will be installed to City Stanards See
Public \1orks Eng~neer~ng for Standards
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road r~ght of way An inspection by Publ~c Works
~
L
COMMENTS/ACTION NEEDED
s
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98:162
Appllcation Number
Application pin number
05-00000309
416177
Page 2
Date 12/13/05
Special Notes and Comments
Englneerlng is required prior to prourlng concrete
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745 00
4 50
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119 80 119 80 00 .00
Plan Check Total 00 00 00 00
Other Fee Total 1774 50 1774.50 00 00
Grand Total 1894 30 1894 30 .00 00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 4174735 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
T1ITC'J..( /2 -rz - tJ S" .< 2Q
lUlIl(yH_lN I CUVhK 1- ;L3-()?' "" rd1
~~K VIC.E 1/- -z -, -(Jfd .,o'j 'd)
-
FINAL 8-~~~()61~~/J
GENERAL COMMENTS:
PW-lI02.1S (4'96]
Job wired by
ELECTRICAL WORK PERMIT APPLICATION;
DOwner
InStallation ae,SCription ~'
Q Commercl21 ~ddentlal
Electrical
DsttExpires
13".U.......
o New
o Altered! AdditioD
Purchas~ LiliDTIddress . 'y,~
City~ Tn. State I!:IP,
'-roe, ~ I.J-i^ CfY')(;,J.-
TeJep~one number FAX number
Lf'bL-"'1..... ~ oS g-..f-
~ "l.C;~.
.
/ rtYD 5Q ~r
'.
V".~-'.iJ
-
Premises owner's name
J..l A-L-L.-..
Address of inspt:ction .
"V-Ioi ~ \-"b-k.$
City I 4 .
phone number to schedule Inspec.tlon:
(h.'1Ier as defined by RCW19.28.26l:(J) Owner will UCCllpy the structure for two
yearS ajier this electrical permit is fInalized. (2) Ow1'l8r is required Ie hi~e '''' elecMcal
COT/lraCIOr if above .raid property is jrJr sale, rent or Il!!dl6.
After reading the 3bove sts.tement, I hereby certify 11131 I am the OWner of the above
n:!l.med property or a licensed elcctric.:U c:cntractcT. r a.m making th.e eleotricol iMb.l-
ladoD Qr alterstion in' compliance with the electrical 13ws, N.E.C., RCW. Chap1t:r
19_28, WAC. Chapter 296.46H, 'fht City of Port Angeles Municipal Code. and
Utility Specifications.
SIe:nature of owner, ete
o Cash 0 Check#
o Credit Card VlSll
Mnsteroard
Discover
x
Date: C?- tJ Dr
Card # . - -
------~---~---
E""n &-... -<.....
xplral10n ate .
of card
o
EIp-ctTic:al Load Additions and nr ~lJbtraction8
o NO LOAD CHANGES .
CJ Baseboard KW
a Furnace KW
o Heat Pump _ Tan _ LAR
a Fan-Wall KW
Service Information
o Overhead Service
a Tamp Service
~dBrground Service
VOltag9
PhaseD' 03
Service Size; _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
j-.;J.'N>6 .,k/J . /-,,2, /vA<<-
Ihlt Allllr(lVe~ "y DilC ArlPro~cd By
SERVICE
/-.J.-? -<>b
nllC
AdQ
'A$lllfOVe4 By
FINAL
~~~6 .~
DITCH
d12
ffirnER
DafC' ."pprovod By
Inspection
Dale
Area. Building or Equipment Inspected
Action Taken
ElcC1nc:sl
Il1sp~ctor
;:J}.
(,
/- J. 7 -(J~
.s <<VI
/t!t2 /.;J,
~
90 39\1d
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