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Permit #05-557 is really for 1925 W. 8th St. -
Permit #05-558 is really for 1929 W. 8th St.
Originally these two permit numbers were mixed up. They got
straightened out to the above correct permit numbers. That is why
the permit numbers are changed on the paperwork.
Linda Pangrle 11-28-07
(
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
Applicat~on Number
Application p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
05-0000~ ,5"S"7 Date
727048
1925 W 8TH ST
06-30-00-8-5-0215-0000-
RES NEW SFR
3/20/06
05-557
{)I-:f!~ 07
RS7 RESDNTL SINGLE FAMILY
147714
Owner
Contractor
COZI HOMES CONSTRUCTION INC.
324 EAST 9TH ST
PORT ANGELES WA 98362
(360) 452-9906
Other struct ~nfo
COZI HOMES CONSTRUCTION
324 E 9TH ST
PORT ANGELES
(360) 452-9906
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA 98362
29.17
2.00
7000.00
2042.00
1. 00
Permit FIRE SPRINKLER RESID
Additional desc
Perm~t p~n number 73031
Permit Fee .00 Plan Check Fee .00
Issue Date 3/20/06 Valuation 0
Expiration Date 9/16/06
Spec~al Notes and Comments
Bu~ld~ng address sign shall not be less than 6" & not more
than 12" in he~ght. Numbers colors must contrast w~th wall
color they are mounted on. lOrd. 14.36.050-E)
When roof gutters are ~nstalled, drains will located in dry
wells or p~ped to approved storm drain locat~on. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department ~s requ~red pr~or to backf~ll.
07/12/2005 04:20 PM SROBERDS -- The proposal w~ll result
in a new s.f. res in the RS-7 zone for total lot coverage
of 30%. Improvements w~ll be requ~red to the fronting
street by PWU Dept. No land use issues are noted.
Sanitary sewer connection inspection is requ~red by
Publ~c Works pr~or to back fill of ditch.
-
~
~
q
t
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025.00
~
~
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2184.50 2184.50 .00 .00
This permit 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
th provisions of any state or local law regulating the work specified in the permit.
~4(
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: 1925 West 8th
""""'<__~~",,"'~A-__~",_-======_ =, ===-"''''^''-'''= -.,,~- ~-"''''~~-~
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
Type of System: Open 130 13RO 13D[8J
~"'-""_'_W,~,<<_..w<", . 'w'''''''''''''''''''' --"" -""'<-~
Date: 3.16.2006 P AFD Permit #: 06-16
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 NFPA Standard. This 13D system will require a
measured flow test.
Contractor
Reviewed by: ~ill:i)Q
\
Date: ~'llo'OG
o
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Building Department
Fire Department
-----
BUILDING PERMIT - APPLICATION
FOR OFFJCJA} USf ONLY
O."Rtt ~/'4/~(;: \
PermIt # &9--17~~ \
Date ApplOved""" '\
I DM' """00
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: \J: V\. e. Q,^- +- ~.Q.. H 5Jlr- Phone: L.} ~ 2- - 7 sa 'S
Owner: CC>"2-~ HOVV\.~J Phone.
Address: J 2.- L/ 'E- 9. f-L. City: ?()-v-1- /J-'""-j,.t (<LS Zip: q &'Jro "2-
Architect/Engineer: Phone:
Contractor /NNtJI/A r;;O 1=1/2...;:: State LIcense #: JNHO//F so'-ll../.Ol-... Exp: J)3/0/Phone: L/~2 -7S~J
Address: 8 1 lV e..-vu #~JI<'~ L...... City.))lrv f .J ~ ..e Ly Zip: 96'J 6 '2....
PROJECT ADDRESS: I '1 2.s uJ 8 +- ~ ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdivisIOn:
,J'~PE OF WORK:
.A" ResIdential D New Constr. D Re-roof D Stove
D MultI-family D AddItion D MoveD Garage
D Commercial D Remodel D DemolItion D Deck
D Reparr D SIgn D Other
BRIEF DESCRIPTION OF THE PROJECT: F; \I'" e.
SIZEN ALUATION:
SF.@$ /SF.=$
SF. @ $ /SF. = $
SF. @ $ /SF. = $ 0/
S' T?TAL,VALUAI.ION -I- $ 3. ZS-
P v, "'t /" R..r- S '7 g e. 'V'-"\
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stones: Lot SIze: EXlstmg Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): DYes D No SEPA ChecklIstrequrred? DYes D No Other:
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 Buildmg 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 bmlding perrmt applicatIOn and constructIOn plans are
submitted. All other perrmt fees are due at the time of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued WIthin 180 days of the date of applicatIOn, the application will expire. The
Bmldmg OffiCial can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section
R1 05.3.2 of the International Buildmg/ResldentIal Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtam such permits prior to w~rr "
T\FORMS\BldgPenmtfonn wpd Applicant' V~ r f!3 ~
Date o//Y/O(,
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. ~~~'1f,:~> >1: :;' ^;":~,; :, 7 ^'~* ~:; ~~ ;0~;~
PLUMBING
TRAPS:
.
WATER HEATER:
SEWER:
WATER:
MECHANICAL:
VENTS:
FURNACE:
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
o<'~T""
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~~~
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----
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appllcatlon pln number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcatlon type description
Subdivision Name
Property Use
Property Zoning . . .
Appllcatlon valuation
Owner
05-00000557 Date
646892
1925 W 8TH ST
06-30-00-8-5-0215-0000-
RES NEW SFR
COZI HOMES CONSTRUCTION
324 E 9TH ST
PORT ANGELES
(360) 452-9906
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
RS7 RESDNTL SINGLE FAMILY
147714
Contractor
COZI HOMES CONSTRUCTION INC.
324 EAST 9TH ST
PORT ANGELES WA 98362
(360) 452-9906
Other struct lnfo
Permit . . . . .
Additional desc .
Permlt pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
54817
1286.05
9/08/05
8/21/06
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
48.00 5.6000 THOU BL-I00,001-500K (5.60 PER K)
Permit . . . . .
Additional desc .
Permit pln number
Sub Contractor
Permlt Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DAVE'S HEAT/ T-STAT
72900
DAVE'S HEATING
36.40
3/16/06
9/12/06
& COOLING
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date .
Expiration Date .
ELECTRICAL NEW RESIDENTIAL
ELEC SRV /2336SRF
73700
143 20 Plan Check Fee
Valuation
9/26/06
Qty
1. 00
3.00
Unlt Charge Per
73.0000 ECH EL-R-SQFT FIRST 1300
23.4000 5C EL-R-SQFT ADDITIONAL 500
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
MECHANICAL PERMIT
54825
101.35 Plan Check Fee. .
3/30/06
<d
V)
(
~
~
INC
WA 98362
29.17
2.00
7000.00
2042.00
1. 00
4v( ,qCt~
514.42
147714
Extension
1017.25
268.80
~
.00
o
Extenslon
36.40
.00
o
%qt
O( ec/
....2q
1'0
>
~
~
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~
-
Extenslon
73.00
70.20
~
~
~
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
T.IPohclesllI02_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
c.--
BlJaDING PERMIT INSPECTION RECORD
r
\.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. "
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILINP I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \Pohcles\1102_15 bUlldmg penmt mspeclIon record05 wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cat~on Number
Appl~cat~on p~n number
Issue Date .
Expiration Date . .
05-00000557
646892
9/08/05 Valuation
8/21/06
Page
Date
2
3/30/06
o
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
4.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extension
47.00
14.70
29 00
10.65
Permit . . . . .
Add~tional desc .
Perm~t p~n number
Perm~t Fee
Issue Date
Exp~rat~on Date
PLUMBING PERMIT
54833
146.00
9/08/05
8/21/06
Plan Check Fee
Valuat~on
.00
o
Qty Unit Charge Per
BASE FEE
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
Extension
47.00
70.00
7.00
15.00
7.00
Special Notes and Comments
Building address s~gn shall not be less than 6" & not more
than 12" ~n he~ght. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof ~utters are ~nstalled, dra~ns will located in dry
wells or p~ped to approved storm drain locat~on. No
press~ri~ed or pumping to curbs are allowed. An ~nspect~on
by Bu~ld~ng Department is required prior to backfill.
07/12/2005 04:48 PM SROBERDS -- The proposal will result
in a s.f. res in the RS-7 for total lot coverage of 29%.
Improvement to fronting street is required. No land use
~ssues are noted.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee of $410.00 required.
07/06/2005 03:37 PM GMCLAIN ----------------------------
San~~ary sewer ~onnect~on ~nspect~on ~s required by
Publ~c Works pr~or to back fill of ditch.
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 1713.00 1713.00 .00 .00
Plan Check Total 514.42 514.42 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 4001.92 4001.92 .00 .00
Separate Permits are required forefectrical 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 of180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T IPohclesll102_l5 bUlldmg pennit inspectIon record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
<
,
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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.
SEP A-
ESA
SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
DATE YES NO COMMERCIAL
INSPECTION TYPE
DATE
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
CfItC1 lot?
~ !'2.7!OJ
q..?o -c6
~/3\ lO(,
I
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, 1 ,
It./../?, ..>>fp
, I
IW J Itt.
II I
PLANNING DEPT SEPARATE PERMIT #'s
P ARKINGILIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL - LIGHT DEPT
417-4735
CONSTRUCTION R W 1 PW 1
ENGINEERING
FIRE
417-4807
417-4653
PLANNING DEPT
417-4750
.
II //1 ",/"",.,
BUILDING 417-4815 III
T \PolIcles\ II 02_15 bUlldmg pennlt mspectlOn record05 wpd n 14/2D05]
ACCEPTED
I YES NO
COMMENTS
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0-7 /O~ 4kuvv~ ~
7'>\r~" - .--
JJ...V
FINAL
DATE
ACCEPTED BY
,7l.A,
I
JVV
I
I 'J (IV
fJlh
FINAL
DATE
ACCEPTED BY
DATE
ACCEPTED
YES NO
Ir A
"/1
~1I1
f
ELECTRICAL
LIGHT DEPT
CONSTRUCTION - R W,
PW 1 ENGINEERING
FIRE DEPT
PLANNING DEPT.
BUILDING
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PREPARED 1/29/07. 10 45 17
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
2
1/29/07
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
(360) 452-9906
(360) 452-9906
TYP/SQ
REQUESTED
COMPLETED
1/17/07
BL99 03 1/24/07
1/24/07
BL99 04 1/26/07
1/26/07
BL99 05 1/29/07
"
.\
SUBDIV
PHONE
PHONE
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
AP 01/23/2007 08 31 AM RVESS ------------------------------
Drlveway lS off alley, Down spouts to storm dralnage dltch
on 8th St
JLL BUILDING FINAL
CA 01/22/2007 03 18 PM PBARTHOL
KEN 460-0036
01/24/2007 03 42 PM JLIERLY ----------------------------
bUllder called and cancelled sald he wasn't ready, Jll
JLL BUILDING FINAL
DA 01/25/2007 09 11 AM PERMITS
KEN 460-0036
01/26/2007 04 20 PM PBARTHOL ---------------------------
HOUSE LOCKED UNABLE TO DO INSPECTION
~ BUILDING FINAL
I 01/29/2007 08 34 AM PERMITS
, KEN 460-0036
GAS LINE CRIMP
------------------------- ------------ COMMENTS AND NOTES --------------------------------------
PREPARED 1/26/07, 9 50 09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
10
1/26/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
SUBDIV'
PHONE
PHONE
(360) 452-9906
(360) 452-9906
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
1/17/07
BL99 03
1/24/07
1/24/07
JLL
CA
01/23/2007 08 31 AM RVESS ------------------------------
Dr1veway 1S off alley, Down spouts to storm dra1nage d1tch
on 8th St
BUILDING FINAL
01/22/2007 03 18 PM PBARTHOL
KEN 460-0036
01/24/2007 03 42 PM JLIERLY ----------------------------
bU11der called and cancelled sa1d he wasn't ready, Jll
BUILDING FINAL
01/25/2007 09 11 AM PERMITS
KEN 460-0036
AP
BL99 04
1/26/07
I (;L.(P
-------------------_._---~~~""
JLL
DA:-
,
NOTES --------------------------------------
Locr~ ZD
'-
~
,,-' ~u
~ '~~~;....t;.~-
-~ .,y-~~~~-"t:c.-:~~~.p,;...--Zt'w ~.~~ ~ "4-" j--"t-<~-':lr- .... ~ ~ ~"~:~..:ce-~~~~
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
c~
Job Located at /9 J- s--- LA I 0
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this j:guri . diction:
_VI )<,L l-o ~cLJJ ,
~ - ~
;
These corrections must be made and are not to be
covered until reinspection is made./~~en 90~ecti.9Ds
have been made, please call ~ ~I (
:~t~SP7' ;, ~7 ~:i
I Inspector for BUilding Division
DO NOT REMOVE THIS TAG
PREPARED 1/24/07, 10,18 10
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
1/24/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 452-9906
(360) 452-9906
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
1/17/07
AP
01/23/2007 08,31 AM RVESS ------------------------------
Dr~veway ~s off alley, Down spouts to storm dra~nage d~tch
on 8th St
BUILDING FINAL
01/22/2007 03,18 PM PBARTHOL
KEN 460-0036
BL99 03
1/24/07
[(
U-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~-J~~ tfJ-LJ
Jo~
'kt;o y
PREPARED 1/16/07, 12 00 01
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 03
BL1 01
BL1 02
BI2 01
BL9 01
BL9 02
BL9 03
BL9 04
BAIR 01
BL3 01
BLI 01
BL99 02
9/19/05 JLL
9/19/05 AP
9/19/05 JLL
9/19/05 DA
9/19/05 JLL
9/19/05 AP
9/27/05 JLL
9/27/05 AP
1/23/06 JLL
1/23/06 DA
1/25/06 JLL
1/26/06 DA
1/27/06 JLL
1/27/06 AP
2/22/06 JLL
2/22/06 AP
3/31/06 JLL
3/31/06 AP
3/31/06 JLL
3/31/06 AP
4/04/06 JLL
4/05/06 AP
1/16/0~
BUILDING FOUNDATION FOOTING
03/31/2006 03 40 PM JLIERLY ----------------------------
03/31/2006 03 40 PM JLIERLY ----------------------------
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
property 11nes need to be ver1f1ed
BUILDING FOUNDATION FOOTING TIME. 17.00
09/19/2005 04 13 PM PBARTHOL
KEN 460-6522
09/19/2005 04 47 PM PBARTHOL ---------------------------
09/19/2005 04 48 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
09/27/2005 08 03 AM PBARTHOL ---------------------------
KEN 460-0036
09/27/2005 04 15 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME: 13:00
01/20/2006 01 26 PM DYASUMUR ---------------------------
KEN COZI HOMES 452-9906
01/23/2006 04-40 PM JLIERLY ----------------------------
hot d1p Zlnc fastners at s111 plate requ1red/J11
BUILDING SHEARWALL TIME 13'00
01/25/2006 09 08 AM DYASUMUR ---------------------------
01/26/2006 08 30 AM PBARTHOL ---------------------------
NEEDS HOT DIP GALV FASTENERS IN PRESSURE TREATED WOOD NOT
ELECTRO PLATE
BUILDING SHEARWALL
01/26/2006 12 09 PM
KEN 460-0036
01/27/2006 05 06
BUILDING SHEARWALL
02/22/2006 10 35 AM
KEN 460-0036 THIS WAS
THERE IS A INSPECTION
02/22/2006 04 45 PM
BUILDING AIR SEAL
03/31/2006 03 36 PM JLIERLY ----------------------------
03/31/2006 03 36 PM JLIERLY ----------------------------
BUILDING FRAMING
03/31/2006 03 36 PM
03/31/2006 03 37 PM
BUILDING INSULATION
04/03/2006 03 54 PM
KEN 460-0036
04/05/2006 08 27 AM PBARTHOL ---------------------------
BUILDING FINAL
01/16/2007 09 34 AM PBARTHOL
AL HAS DONE HIS FINAL AND WORKER WILL BE THER ALL DAY
PAGE
DATE
9
1/16/07
SUBDIV
PHONE
PHONE .
(360) 452-9906
(360) 452-9906
TIME 13 00
DYASUMUR ---------------------------
PM JLIERLY ----------------------------
TIME 13 00
DYASUMUR ---------------------------
CALLED IN A LITTLE LATE, HOWEVER
SCHEDULED NEXT DOOR AT 1925 W 8TH ST.
JLIERLY ----------------------------
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME 13 00
DYASUMUR ---------------------------
~
U~
mmnnnmmm~\et'o1i
-~
f1~
1
~
Ll UJI
PREPARED 6/01/06, 10'37 09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
3
6/01/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
SUBDIV.
PHONE
PHONE
(360) 452-9906
(360) 452-9906
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
6/01/06
tt;;(
-------------------------------------- COMMENTS AND NOTES --------------------------------------
AfJ
MECHANICAL GAS LINE TIME 13:00
KEN 460-0036 05/31/2006 01.16 PM
DYASUMUR
01
JLL
PREPARED 4/20/06, 12:39 53
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
4/20/06
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL N~R
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 452-9906
(360) 452-9906
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6
01
~~
PLUMBING WATER SUPPLY
04/19/2006 08 54 AM PBARTHOL ---------------------------
MIKE 460-6011
... MAKE SURE ONSITE PERMITS ARE IN THE CORRECT HOUSE......
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/04/06, 13 00 50
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
4/04/06
1925 W 8TH ST
COZI HOMES CONSTRUCTION INC
COZI HOMES CONSTRUCTION INC
06-30-00-8-5-0215-0000-
05-00000557 RES NEW SFR
03
9/19/05
9/19/05
SUBDIV.
PHONE (360) 452 - 9906
PHONE: (360) 452-9906
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION FOOTING
03/31/2006 03'40 PM JLIERLY ----------------------------
03/31/2006 03'40 PM JLIERLY ----------------------------
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
property Ilnes need to be ver1f1ed
BUILDING FOUNDATION FOOTING TIME: 17 00
09/19/2005 04.13 PM PBARTHOL
KEN 460-6522
09/19/2005 04 47 PM PBARTHOL ---------------------------
09/19/2005 04,48 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
09/27/2005 08.03 AM PBARTHOL ---------------------------
KEN 460-0036
09/27/2005 04 15 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 13.00
01/20/2006 01 26 PM DYASUMUR ---------------------------
KEN COZI HOMES 452-9906
01/23/2006 04'40 PM JLIERLY ----------------------------
hot d1p Zlnc fastners at slll plate requ1red/Jll
BUILDING SHEARWALL TIME' 13 00
01/25/2006 09 08 AM DYASUMUR ---------------------------
01/26/2006 08 30 AM PBARTHOL ---------------------------
NEEDS HOT DIP GALV FASTENERS IN PRESSURE TREATED WOOD NOT
ELECTRO PLATE.
BUILDING SHEARWALL
01/26/2006 12:09 PM
KEN 460-0036
01/27/2006 05:06
BUILDING SHEARWALL
02/22/2006 10:35 AM
KEN 460-0036 THIS WAS
THERE IS A INSPECTION
02/22/2006 04:45 PM
BUILDING AIR SEAL
03/31/2006 03:36 PM JLIERLY ----------------------------
03/31/2006 03:36 PM JLIERLY ----------------------------
BUILDING FRAMING
03/31/2006 03,36 PM
03/31/2006 03 37 PM
4/04/06 JLL BUILDING INSULATION
~ ---rr--ft- 04/03/2006 03 54 PM
'J Ov; ITr KEN 460-0036
----------- -- ----------------------- COMMENTS AND NOTES --------------------------------------
BL1
BL1
BL1
BI2
BL9
BL9
BL9
BL9
BAIR 01
BL3
BLI
01
9/19/05
9/19/05
02
9/19/05
9/19/05
01
9/27/05
9/27/05
01
1/23/06
1/23/06
02
1/25/06
1/26/06
03
1/27/06
1/27/06
04
2/22/06
2/22/06
3/31/06
3/31/06
01
3/31/06
3/31/06
01
JLL
AP
JLL
DA
JLL
AP
JLL
AP
JLL
DA
JLL
DA
JLL
AP
JLL
AP
JLL
AP
JLL
AP
~l...k---
TIME 13:00
DYASUMUR ---------------------------
PM JLIERLY ----------------------------
TIME 13:00
DYASUMUR ---------------------------
CALLED IN A LITTLE LATE, HOWEVER
SCHEDULED NEXT DOOR AT 1925 W 8TH ST.
JLIERLY ----------------------------
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME 13: 00
DYASUMUR ---------------------------
PREPARED 3/31/06, 13,12,55 INSPECTION TICKET PAGE 4
::==_~~_~~~=_~~~~E:_____~~~_~______I~:~~:=~~__~~~:_~_~:~~~=________________~~=~____=~==~~~
ADDRESS 1 W 8TH ST SUBDIV.
CONTRACTOR' OZI HOMES CONSTRUCTION INC PHONE (360) 452-9906
OWNER .~. COZI HOMES CONSTRUCTION INC PHONE . (360) 452-9906
PARCEL . 06-30-00-8-5-0215-0000-
APPL NUMBER' O~~OOOO~ RES NEW SFR
--------------~~--~~--------------------------------------------------------------------
PERMIT: BPR 00 BUILDING P~IT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
BL1 02
BI2 01
BAIR 01
BL3 01
BLI 01
BAIR 02
BL3 02
9/19/05 JLL
9/19/05 DA
9/19/05 JLL
9/19/05 AP
9/27/05 JLL
9/27/05 AP
3/06/06 JLL
3/07/06 CA
3/06/06 JLL
3/07/06 AP
3/09/06 JLL
3/09/06 AP
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
property 11nes need to be ver1f1ed
BUILDING FOUNDATION FOOTING TIME, 17.00
09/19/2005 04 14 PM PBARTHOL
KEN 460-6522
09/19/2005 04,48 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
09/27/2005 08,03 AM PBARTHOL ---------------------------
KEN 460-0036
09/27/2005 04,15 PM JLIERLY ----------------------------
BUILDING AIR SEAL TIME, 13,00
03/03/2006 09,26 AM DYASUMUR ---------------------------
KEN 460-0036 LATE AFTERNOON.
03/07/2006 08,25 AM JLIERLY ----------------------------
03/21/2006 03,12 PM DYASUMUR ---------------------------
BUILDING FRAMING TIME 13 00
03/03/2006 09,26 AM DYASUMUR ---------------------------
KEN 460-0036 LATE AFTERNOON
03/07/2006 08,25 AM JLIERLY ----------------------------
BUILDING INSULATION TIME, 13,00
. OVERRIDE TAKEN BY DYASUMUR DATE, 03/06/06 TIME, 11,49 32
03/06/2006 11,48 AM DYASUMUR ---------------------------
KEN 6 IN M KEN HE HAS OUTSTANDING FEES
03/09/2006 '09 P JLIERLY ----------------------------
BUILDING AIR SE T E 13 00
03/30/2006 11,16 AM DYASUMUR ---------------------------
BUILDING FRAMING T E 13 00
03/30/2006 11,16 DYASUMUR
KEN Z & 460-0036
NOTES --------------------------------------
~Q~
~
~ 1
~
~ ~- sc')
PREPARED 3/09/06, 12:33 09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
3/09/06
ADDRESS 1925 W 8TH ST
CONTRACTOR C02I HOMES CONSTRUCTION INC
OWNER C02I HOMES CONSTRUCTION INC.
PARCEL . 06-30-00-8-5- 15-0000-
~~~~_~~~~~~_~=~~~~00=___~~:_~~~_:~~___~~_~_~~_:l_________________________________________
PERMIT: BPR 00 B LDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
TYP/SQ
BLl 01
9/19/05 JLL
9/19/05 DA
BLl 02
9/19/05 JLL
9/19/05 AP
BI2 01
9/27/05 JLL
9/27/05 AP
BAIR 01
3/06/06 JLL
3/07/06 AP
BL3 01
3/06/06 JLL
3/07/06 AP
BLI 01
~sr-
SUBDIV:
PHONE: (360) 452-9906
PHONE: (360) 452-9906
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
property 11nes need to be verlfled
BUILDING FOUNDATION FOOTING TIME: 17:00
09/19/2005 04:14 PM PBARTHOL
KEN 460-6522
09/19/2005 04.48 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
09/27/2005 08 03 AM PBARTHOL ---------------------------
KEN 460-0036
09/27/2005 04:15 PM JLIERLY ----------------------------
BUILDING AIR SEAL TIME' 13:00
03/03/2006 09 26 AM DYASUMUR ---------------------------
KEN 460-0036 LATE AFTERNOON.
03/07/2006 08 25 AM JLIERLY ----------------------------
BUILDING FRAMING TIME 13:00
03/03/2006 09:26 AM DYASUMUR ---------------------------
KEN 460-0036 LATE AFTERNOON
03/07/2006 08.25 AM JLIERLY ----------------------------
BUILDING INSULATION TIME 13:00
* OVERRIDE TAKEN BY DYASUMUR DATE 03/06/06 TIME: 11:49:32
03/06/2006 11 48 AM DYASUMUR ---------------------------
KEN 460-0036 - INFORM KEN HE HAS OUTSTANDING FEES.
-------------------------------------- COMMENTS AND NOTES
PREPARED 3/06/06, 14 03 01
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
5
3/06/06
ADDRESS 1925 W 8TH ST SUED IV ,
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE , (360) 452-9906
OWNER COZI HOMES CONSTRUCTION INC PHONE , (360) 452-9906
PARCEL.. 06-3~~~~Z0215-0000-
~~~~-~~~~~--~==~~~=~-~~:_~~~_:~~---~-~~-~~-~----------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 9/19/05 JLL
9/19/05 DA
BL1 02 9/19/05 JLL
9/19/05 AP
BI2 01 9/27/05 JLL
9/27/05 AP
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
property 11nes need to be ver,f,ed
BUILDING FOUNDATION FOOTING TIME 17,00
09/19/2005 04.14 PM PBARTHOL
KEN 460-6522
09/19/2005 04 48 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
09/27/2005 08.03 AM PBARTHOL ---------------------------
KEN 460-0036
09/27/2005 04,15 PM JLIERLY ----------------------------
BAIR 01 ~O /06 ~ BUILDING AIR SEAL TIME, 13,00
03/03/2006 09,26 AM DYASUMUR ---------------------------
KEN 460-0036 LATE AFTERNOON.
BL3 01 ~3/06/06 ~L BUILDING FRAMING TIME, 13,00
03/03/2006 09,26 AM DYASUMUR ---------------------------
KEN 460-0036 LATE AFTERNOON
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/22/06. 13 30,13
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
3
2/22/06
ADDRESS 1925 W 8TH ST SUBDIV
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452-9906
OWNER COZI HOMES CONSTRUCTION INC. PHONE , (360) 452-9906
PARCEL , 06-~~~~~0215-0000-
~~~~_~~~~~~_~==~~::~_~~~_~~~_~~~__()~~~:?_fi~___________________________________________
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
COMPLETED RESULT
TYP/SQ
PL2 01
2/22/06 8~
;).~~~\p ~
DESCRIPTION
RESULTS/COMMENTS
PLUMBING ROUGH-IN TIME. 13 00
02/21/2006 04 57 PM DYASUMUR ---------------------------
KEN 460-0036
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/27/05, 12 45 50
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
9
9/27/05
ADDRESS 1925 W 8TH ST SUBDIV
CONTRACTOR C02I HOMES CONSTRUCTION INC PHONE . (360) 452-9906
OWNER C02I HOMES CONSTRUCTION INC PHONE : (360) 452-9906
PARCEL 06-30-00-8-5-0215-0000-
~~~~_~~~~~~_~:=~~~~~:~~~_~~~____~~~_;2_~_~_________________________________________
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 9/19/05 JLL
9/19/05 DA
BL1 02 9/19/05 JLL
9/19/05 AP
BI2 01 R~-I1f-
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
property 11nes need to be ver1f1ed
BUILDING FOUNDATION FOOTING TIME 17 00
09/19/2005 04 14 PM PBARTHOL
KEN 460-6522
09/19/2005 04 48 PM PBARTHOL -------------------- ------
BUILDING FOUNDATION WALL
09/27/2005 08 03 AM PBARTHOL ---------------------------
KEN 460-0036
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/19/05, 16 20.35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
9/19/05
ADDRESS 1925 W 8TH ST
CONTRACTOR COZI HOMES CONSTRUCTION INC
OWNER COZI HOMES CONSTRUCTION INC
PARCEL . 06-30-00-8-5-0215-0000-
~~~~-~~~~~--~==~~~~:_~~~_:~~--~-~-~-~-~------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
SUBDIV
PHONE (360) 452-9906
PHONE. (360) 452-9906
TYP/SQ
BLl 01 9/19/05 JLL BUILDING FOUNDATION FOOTING
9/19/05 DA FOOTING
#II STEVE 460-6522
-JL~~ property 11nes need to be verlfled
'"'..".......'....,-~..::1::i:;:::::::;~:'~::~~'Ho:'M'..".'0 _..... __ ._
"
PREPARED 9/19/05, 12 36:00
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
9/19/05
ADDRESS 1925 W 8TH ST SUBDIV
CONTRACTOR : COZI HOMES CONSTRUCTION INC PHONE
OWNER .' COZI HOMES CONSTRUCTION INC PHONE
PARCEL 06-30-00-8-5-0215-0000-
;~~~~;;;~-~~=~~~~~~;~=:~~~~~~~-~-----------------------------------------
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
(360) 452-9906
(360) 452-9906
TYP/SQ
BL1
01
~/ JLL
Tr ~~
BUILDING FOUNDATION FOOTING
FOOTING
STEVE 460-6522
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
---- W ~~
It;; 1\ --
Job Located at _I- cr
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
n~r1~Y yZk ~~~
Ic~~t;, ~~-r ~..J
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Date
Inspector for Building Division
DO NOT REMOVE THIS TAG
?L.o\ 1> GA-r-J
lCf 2-5 v--I. ~TH sr.
A L-I- E Y
t''l.. iLA ~I !::.l-
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v.I. B,r/ S~
N
III -= '2-0'
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
UJff
Building Department Use Only
Permit#: CJ5-- ~ 55'7
/
Site Information
Notes
ZIp. 0 ~~6~
0;'90-b
OQ3~
, ,,'i",
I''::"
n IllIte azmg ptlon ny
Glazmg Glazmg U-Factor Door9 Wall Wall Wall Slab4
OptIOn Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 Floors On
% of Floor VertIcal Overhead 11 factor Celling3 Grade Below Below Grade
Grade Grade
III UnliImted
Group R-3 040 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-I0
Occupancy
Only J
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(U I . d GI . 0 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 exterior of the framing
./ All bUilding components meet the requirements listed In Table 6-1, Option III
./ The pr~Ject 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
fYllI- ~ tJ ~ 1J',fr~ ).~
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
,T)"pE- D F l-\GA-t- SQV!2..c...~ (
,H.-e,rf- {"?c.. f
Copynght 2002, WSUCEEP02-056
Copied by permission from the Washington State Umverslty ExtenSIOn Energy Program
Prescnptlve - Simple Form - Climate Zone 1
7/26/2004
BUILDING-~ERMIT - APPLICATION
FOROFAC~~~
Date Rec '7
Pen11lt # c::(;; ~ -- 5
Date ApplDved ~
Date Issued_
Fill out COMPLETELY and in INK. Your applicatior:. and site plan MUST BE
COMPLETE to be accepted for review. If you have any qnestions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Address'
1t4-
.
Phone: 45;;)-
Phone: VS~
u.J It-- ZIp:
Phone: 7'~
99'o~
<7'90 Co
9K~b~
2 L{ l (~
ArchItect/Engmeer:
ApplIcant or Agent C" 2:+- ~ crrtl.e5
I-G:> vJ ?' ..p !.::/-p-r
'<. ~ If E cpA CIty:
~<-~
Contractor C c) -z..:J:- 1-IcJ't";:.S State LIcense #:
3d'''' ~ crf~
ride: (~)
Owner.
Address:
Qlt..l
City. P t4
--M, ~ f
3 ..- 0rr'
Exp.F,'-(<
LLJ74-
Phone: '4.:5?- <7 ?lJ 10
'7 K3 6,2-
ZONING: R.r- ~ 7
,
ZIp:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIVIsIon:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~ResIdential 0 New Constr. 0 Re-roof
o MultI-family 0 AddItIOn 0 Move
o CommercIal 0 Remodel 0 DemolItIon
o Repall' 0 SIgn
BRIEF DESCRll'TION OF THE PROJECT
SF[\
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZEN ALUATION:
,:).3,L{ ~, SF. @ $ S4.:;JJ.- /SF. = $
5.5~ SF @ $ ,s;. /SF = $
81 SF. @$ I-z. /SF. = $
TOTAL VALUATION $
13~; Q3oDO
~ ! Ji. {') ..0
( 4
14,,114
. I
,
-
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
ConstructIon Type:
No. of Stones'.;2 Lot -SlZe:
Total lot coverage :<q. (7
70 DC> EXIStIng Sq. Ft.
%
o
&ProposedSq.Ft .;;20l./~ =TOTALSq.Ft. ;;;Jdl()_
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIstrequll'ed? 0 Yes 0 No Other:
APPRO V ALS:
PLAN:
BLDG:
DP"'WU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant. This figure WIll be revIewed
\, and may be revised by the Buildlllg DIVISIon to comply with current fee schedules Contact the PermIt Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE' IF a plan check fee is due It must be subrrntted at the tIme tlle buildlllg perrmt applIcation and constructIon plans are
\ subnntted All other permit fees are due at the tIme of perrmt Issuance
\ EXPIRATION OF PLAN REVIEW: If no permit IS Issued Vi'lthm 180 days of the date ofapphcatlOn, the application will expire. The
\ Bmldlllg OffiCIal can extend the tlIlle for actIon by the applIcant up to 180 days upon written request by the applIcant (see SectIOn R1 05.3.2
\ of the InternatIonal Bmldlllg/ResIdentlal Code, 2003) No applicatlOn can be extended more than once.
\1 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.
\Oh""IBL-1I02_13 wpd Apph"""" ~ 1': ~ Date' J - 0 G:; - 05
~
TECHNICAL
r,'
-., -' .... ~.
Fire Sprinkler System Plan
Innovated Fire
Sprinkler Systems
81 New Haven Lane
Port Angeles, WA.,
98362
. (360) 452-7583
March 1,2006
For: Cozi Home Construction
324 E. 9th
Port Angeles, WA. 98362
Location: 1925 w: flh St.
Port Angeles, WA., 98363
<?,~'.\~-~f~~>'~~L-~~.-'-. :~--: ;
- ... ~ r
- . l~.JJ ttXVKAULIC CALC~ATION~ .
. .
Worksheet
For 1" CPVC Pipe
, ~ ~~. w..~ ft
, -
Two heads require 26 gpm flow at designed pressure. [+ 5 gpm domestic u~
One head requires 18 gpm flow at designed pressure.
\
Pipe size = 11- f CPVC (friction loss. 1067).
Water pressure at street (2) = C? S psi.
Meter friction loss (3) = <<1 psi (see Table 4-4.3d NFPA 13:
(2) q 5 minus (3) _' ~. (4) = 8 ~ psi remainir
Loss from street main to control valve = 70 feet X I .1067- I = 7,4-;
<-;" feet (see friction loss chart).
(4) R b m~nus (5) 7. '-t I' = (6) 7 R " 53 psi remainin!
Elevation loss (building & street) = 2- 0 feet X .434 = 8., G, 8 p~
(6) 7 ~. SJ minus (7) 8,. G8 . - ~ 9. 8s psi remainir.
Total length of. pipe from control valve to the farthest sprinkler = ~ 0 fe
X I _10671 = G I 40 psi.
(8) " ~. g S" minus (9) G> Co '-{ 0 - b J. ~I S psi remamm
Equivalent length for valves and fittings (m~ter to farthest sprinkler head):
Type Number Equivalent
1 " T run 2... X IT] =
1" T Branch S X [TI =
1" 90 Elbo.W S X CD =
1" Coupling J X [!] =
1" 45 Elbow 0 X IT] =
1" Gate Valve I X [TI =
(11) To~al Feet G t..f
6.
7.
8.
9.
10.
11.
1.
2.
3.
4.
5.
2-
2..5
::?S
I
o
I
12. Loss in fittings (11) Cd:> L-I feet X 1_10671 = <~ ~8 3 ps
13. (10) C, ~, "'IS fDinus (12) Co; 8;] - S€;. G '2... psi remaininf
14. PSI remaining (13) ..$'G~:2.minus 7. LlO (loss in riser) parts = qo,.22.
1'5. (14) Y c.z. 2. 2 is more than the minimum design psi required for 2 or 1 sprinklE
heads operating.
FP-9C
Riser Parts
Potter flow switch 2.4 psi
Soft seat valve +:e- psi
Gc... V s: 0 ~t;
Needed Information:
Type of sprinkler head
GPM & pressure 1 st head
GPM & pressure 2nd head
Revised 5/29/9:
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~l'\\OVATE.D F\ RE_ S.?R\l\\KLERS. _.__h.. . ....METE..~
," '~.! \-,' ,
":'.~
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"tileD / Fire & Building
/ Products
Direct Sales (Central): Tel: (800) 523-65121 Fax: (215) 362-5385
Distribution Sales (Gem/Star): Tel: (BOO) 558-52361 Fax: (800) 8n-1295
Technical ~rvices: Tel: (800) 381-93121 Fax: (BOO) 791-5500
Series LF" Residential
Concealed Pendent Sprinklers, Flat Plate
4.2 K-factor
General
Description
The Series LFII (TY2596) Residential
Concealed Pendent Sprinklers are
decorative, fast response, fusible sol-
der sprinklers designed for use in resi-
dential occupancies such as homes,
apartments, dormitories, and hotels.
The cover plate assembly conceals the
sprinkler operating components above
the ceiling. The flat profile of the cover
plate provides the optimum aestheti-
cally appealing sprinkler design. In ad-
dition, the concealed design of the Se-
ries LFII (TY2596) provides 1/4 inch
(6,4 mm) vertical adjustment. This ad-
justment reduces the accuracy to
which the fixed pipe drops to the sprin-
klers must be cut to help assure a
perfect fit installation.
The Series LFII are to be used in wet
pipe residential sprinkler systems for
one- and two-family dwellings and mo-
bile homes per NFPA 130; wet pipe
residential sprinkler systems for resi-
dential occupancies up to and includ-
ing four stories in height per NFPA
13R; or, wet pipe sprinkler systems for
the residential portions of any occu-
pancy per NFPA 13.
The Series LFII (TY2596) has a 4.2
(60,5) K-factor that provides the re-
quired residential flow rates at reduced
pressures, enabling smaller pipe sizes
and water supply requirements.
The Series LFII (TY2596) has been
designed with heat sensitivity and
water distribution characteristics
proven to help in the control of residen-
tial fires and to improve the chance for
occupants to escape or be evacuated.
The Series LFII (TY2596) Residential
Concealed Pendent Sprinklers are
shipped with a Disposable Protective
Cap. The Protective Cap is temporarily
removed for installation, and then it
can be replaced to help protect the
sprinkler while the ceiling is being in-
Page 1 of 4
stalled or finished. The tip of the Pro-
tective Cap can also be used to mark
the center of the ceiling hole into pias-
ter board, ceiling tiles, etc. by gently
pushing the ceiling product against the
Protective Cap. When the ceiling in-
stallation is complete the Protective
Cap is removed and the Cover Plate
Assembly installed.
WARNINGS
The Series LF/! (TY2596) Residential
Concealed Pendent Sprinklers de-
scribed herein must be installed and
maintained in compliance with this
document, as well as with the applica-
ble standards of the National Fire Pro-
tection Association, in addition to the
standards of any other authorities hav-
ing jurisdiction. Failure to do so may
impair the integrity of these devices.
The owner is responsible for maintain-
ing their fire protection system and de-
vices in proper operating condition.
The installing contractor or sprinkler
manufacturer should be contacted
relative to any questions.
Sprinkler!Afodel
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/psj112 (60.5 LPMlbar112)
Temperature Rating:
160oF1710C Sprinkler with
1350F/570C Cover Plate
.JULY, 2002
-
: ~ F' ... "
~ -.-.:. , --'-:..
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
....,:
. ~ .... 't....' . _"
::', 'Page 2 of 4
:. ....'; .. -'
" ~..
h
~
Operation
When exposed to heat from a fire, the
Cover Plate, which is normally sol-
dered to the Support Cup at three
points, falls away to expose the Sprin-
kler Assembly. At this point the Deflec-
tor supported' by the Arms drops down
to its operated position. The fusible link
of the Sprinkler Assembly is com-
prised of two link halves that are sol-
dered together with a thin layer of sol-
der. When: the rated temperature is
reached, the solder melts and the two
link halves separate allowing the sprin-
kler to activate and flow water.
Design
Criteria
The Series lFII (TY2596) Residential
Concealed Pendent Sprinklers are UL
and C-UL Usted for installation in ac-
cordance with the following criteria.
NOTE
When conditions exist U1at are outside
the scope of the provided criteria, refer
to the Residential Sprinkler Design
Guide TFP490 for the manufacturers
recommendations that may be accept-
able to the Authority Having Jurisdic-
tion.
System Type. Only wet pipe systems
may be utilized.
Hydraulic Design. The minimum re-
quired sprinkler flow rate for systems
designed to NFPA 130 or NFPA 13R
are given in Table A as a function of
temperature rating and the maximum
allowable coverage areas. The sprin-
kler flow rate is the minimum required
discharge from each of the total
number of "design sprinklers" as speci-
fied in NFPA 130 or NFPA 13R.
For systems designed to NFPA 13, the
number of design sprinklers is to be
the the four most hydraulically de-
--manding sprinklers. The minimum re-
quired discharge from each of the four
sprinklers is to be the greater of the
following:
· The flow rates given in Table A for
NFPA 130 and 13R as a function of
temperature rating and the maxi-
mum allowable coverage area.
· A minimum discharge of 0.1 gpm/sq.
ft. over the "design area" comprised
of the four most hydraulically de-
manding sprinklers for the actual
coverage areas being protected by
the four sprinklers.
Obstruction To Water Distribution.
locations of sprinklers are to be in
TFP440
'-1
Minimum Flow (b) and Minimum Flow (b) and
Maximum MaxImum Residual Pressure Residual Pressure
Coverage Spacing For HorIzontal Ceiling For Sloped CeIling
Area (a) FL (Max. 2 Inch Rise (Max. 8 Inch Rise
FLxFL (m) for 12 Inch Run) for 12 Inch Run)
(m x m)
1600Fm oC 160oFmOC
Sprinkler Sprinkler
12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,1 LPM)
(3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi(1,27 bar)
14 x 14 14 14 GPM (53,0 LPM) 18 GPM (68,1 LPM)
(4,3 x 4,3) (4,3) 11.1 psi (O,n bar) 18.4 psi (1,27 bar)
/1 1"Ox 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 (1,27 bar)
" 1A y 1A../ 18 20 GPM (75,7 LPM) N1A
(5,5 x 5,5) (5,5) 22.7 psi (1,57 bar)
2Ox2O 20 24 GPM (90,8lPM) N1A
(6,1 x 6,1) (6,1) 32.7 psi (2,25 bar)
(a) For coverage area dimensions less than or between those indicated, it is
necessary to use the minimum 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 130 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 Link Assembly
during installation can be avoided by
handling the sprinkler by the frame
arms only (i.e., do not apply pressure
to the fusible link Assembly).
A leak tight 1/2 inch NPT sprinkler joint
should be obtained with a torque of 7
to 14 tUbs. (9,5 to 19,0 Nm). A maxi-
mum of 21 fUbs. (28,S Nm) of torque
is to be used to install sprinklers.
Higher levels of torque may distort U1e
sprinkler inlet wiU1 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 U1e
Sprinkler. Readjust the position of U1e
sprinkler fitting to suit.
Step 1. The sprinkler must only be
installed in the pendent position and
with the centerline of the sprinkler per-
pendicular to the mounting surface.
Step 2. Remove the Protective Cap.
Step 3. With pipe thread sealant ap-
plied to the pipe threads, and using
the W- Type 18 Wrench shown in Figure
2, install and tighten the SprinklerlSup-
port Cup Assembly into the fjtting. The
W-Type 18 Wrench will accept a 1/2
inch ratchet drive.
Step 4. Replace the Protective Cap by
pushing it upwards until it bottoms out
against the Support Cup. The Protec-
tjve Cap helps prevent damage to the
Deflector and Arms during ceiling in-
stallation and/or during application of
~ --...
. _ '. t ....' . . ,
. .':' :rFP440
'.. \ ..'
Page 3 of 4
s
..
( .
BODY
(112. NPT)
SEAUNG
ASSEMBLY
WRENCH
RECESS
CAP
SPRINKLER
WRENCHING
AREA
~
SADDLE
COMPRESSION
SCREW
PUSH WRENCH
IN TO ENSURE
ENGAGEMENT
WITH SPRINKLER
WRENCHING AREA
LEVER
FIGURE 2
W-TYPE 18
SPRINKLER WRENCH
GUIDE
ARM
GUIDE ARM
FRAME
, ,
I I
I I
"
I'
r f ~
t I """'.....
,..IL/
L....._.r---""'----~.......r
, I
I I
I I
I I
"
I ,
r I
''L.J l.,
DEFlECTOR
(OPERATED
POSITION)
DEFlECTOR
SPRINKLER/SUPPORT CUP
ASSEMBLY
THREAD INTO
SUPPORT CUP
UNTIL MOUNTING
SURFACE IS
FLUSH WITH
CEIUNG
o
o
RETAINER
WITH THREAD
DIMPLES
EJECTION
SPRING
SOLDER
TABS (3)
COVER PLATE/RETAINER
ASSEMBLY
FIGURE 1
SERIES LFII (TY2596) RESIDENTIAL
CONCEALED PENDENT SPRINKLER
COVER
PLATE
I--- 2-112" DIA.
I \ (63,5 mm)
112.
NPT
FACE OF
SPRINKLER
FITTING
SPRINKLER-
SUPPORT CUP
ASSEMBLY
OPERATED
SPRINKLER
1-718.%118.
(47,6 mm
~,2mm)
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)
718. (22,2 mm)
1-118. (28,6 nun)
'1
TIP
DEFlECTOR IN
OPERATED POSITION
FIGURE 3
SERIES LFlI (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER
INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACTIVA TED DEFLECTOR
',', }"\I". ',: .
u: ~age 4 of 4
-~ .
.
.
..
.,. .
t
the finish coating of the ceiling. It may
also be used to locate the center of the
clearance hole by gently pushing the
ceiling material against the center
point of the Cap.
NOTE
As long as the protective Cap remains
in place, the system is considered to
be "Out Of Service".
Step 5. After the ceiling has been com-
pleted with the 2-1/2 inch (63 mm)
diameter clearance hole and in prepa-
ration for installing the Cover Plate As-
sembly, remove and discard the Pro-
tective Cap, and verify that the
Deflector moves up and down freely.
If the Sprinkler has been damaged and
the Deflector does not move up and
down freely, replace the entire Sprin-
kler assembly. Do not attempt to mod-
ify or repair a damaged sprinkler.
Step 6. Screw on the Cover Plate As-
sembly until its flange comes in con-
tact with the ceiling.
Do not continue to screw on the Cover
Plate Assembly such that it lifts a ceil-
ing panel out of its normal position.
If the Cover Plate Assembly cannot be
engaged with the Mounting Cup or the
Cover Plate Assembly cannot be en-
gaged sufficiently to contact the ceil-
ing, the Sprinkler Fitting must be repo-
sitioned.
Care and
Maintenance
The Series LFII (TY2596) must be
maintained and serviced in accord-
ance with the following instructions:
NOTES
Absence of an Escutcheon Plate may
delay the sprinkler operation in a fire
situation.
Before closing a fire protection system
main control valve for maintenance
work on the fire protection system
which it controls, pennission to shut
down the affected fire protection sys-
tem must be obtained from the proper
authorities and all personnel who may
be affected by this action must be no-
tified
Sprinklers which are found to be leak-
ing or exhibiting visible signs of corro-
sion must be replaced.
Automatic sprinklers must never be
shipped or stored where the tempera-
ture will exceed 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 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 Fire
Products are warranted solely to the
original Buyer for ten (10) years
against defects in material and work-
manship when paid for and properly
installed and maintained under normal
use and service. This warranty will ex-
pire ten (10) years from date of ship-
ment by Tyco Fire Products. No war-
ranty is given for products or
components manufactured by compa-
nies not affiliated by ownership with
Tyco Fire Products or for products and
components which have been subject
to misuse, improper installation, corro-
sion, or which have not been installed,
maintained, modified or repaired in ac-
cordance with applicable Standards of
the National Fire Protection Associa-
tion, andlor the standards of any other
Authorities Having Jurisdiction. Mate-
rials found by Tyco Fire Products to be
defective shall be either repaired or
replaced, at Tyco Fire Products' sole
option. Tyco Fire Products neither as-
sumes, nor authorizes any person to
assume for it, any other obligation in
connection with the sale of products or
parts of products. Tyco Fire Products
shall not be responsible for sprinkler
system design errors or inaccurate or
incomplete information supplied by
Buyer or Buyer's representatives.
TFP440
G
IN NO EVENT SHALL TYCO FIRE
PRODUCTS BE LIABLE, IN CON-
TRACT, TORT, STRICT 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 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
BrightVVhtte............... PnN56-122-4-135
Rat VVhtte . . .. . .. .. . . . .. .. PIN 56-122-5-135
Custom ..... ............ . PnN 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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~POTIER
@
BELLS
PBA-AC & PBD-DC
Potter Electric Signal Company
2081 Craig Ad./P.O. Box 28480
St. Louis, ~O 63146
(314}878~3211 (800) 325-3936
. r<~'-/":'::~;;':"" J!~il~i~~i.:.:~ ".
. ............. '~;j;.'-~.. ........ .
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;. .... . .:;.:.;.; ',;:';"" .'t,;:.".t~1...:~'::,:i(~.:;:;,.:;; 'J..~': .... '" ._.:. .
. .:......:......:.. ,'. .~J\.:~...:..,..,.~;<'l'..\..'''I. .... ..:...:..... ,.
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 Avallable:G1a-. and 10-
Voltages Available:
~
20VA
12VOC (10.2 to 15.6) Polarized
24VOC (20.4 fo 31.2) 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: Aed powder coating
Optional: Model BBK-1 weatherproof backbox
fhese vibrating type bells are designed for use as fire, burglar, or general signaling devices. They have low power
;onsumption and high decibel ratings. The unit mounts on a standard 4<< square electrical box for indoor use, or on a model
3BK-l weatherproof backbox for outdoor applications.
ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION:
SIZE VOLTAGE MODEL NO. STOCK NO. CURRENT (MAX) TYPICAL d8 MINIMUM d8
o 10 FT. o 10 FT.
6 12VOC PeOl26 1706012 .12A 85 75
8 12VOC PeOl28 1708012 .12A 90 75
to 12VOC PSOt210 1710012 .12A 92 75
6 24VOC P802-46 170602-4 .OGA 87 75
8 2-4VOC P80248 170802-4 .OGA 91 79
10 24VOC P802410 1710024 .OGA 94 79
6 2-4VAC PSA246 180602-4 .17A 91 75
6 24VAC P8A248 180802-4 .17A 9-4 75
. 10 2-4VAC PeA2410 1810024 .17A 94 75
~ 6 120VAC PeA 1206 1806120 .OSA 9:! 8:!
8 120V AC PeA 1208 1808120 .OSA 99 8:!
10 120V AC PBA12010 1810120 .OSA 99 85
Veatherproof backbox model 88K.1 Stk. No. 1500001.
:oC~$:
Monimum d8 .atongs a.e calculated "om onteg<..e<l s;ound p<essure meuur_ R\lIde at Unde<wrC....s Labo<ato<ies as spedlied.. Ul Sf.nda,d .(G-C. Ul
Ie<11pe< a'Ufe '''oge fS .3<r' '0 t SO'F.
. TrPCal Cl8 '."ogs a'e C.lc"'.."" "om ""'......~ R\lICfe -. a GO<W<<1l00na' souncIlevef met<t. and a'. onCf<:aC...... 0( outpuf levels on an adua' inst.cu.oon
fUNTEO IN USA
MKT. <<8650001- REV K
PAGE 1 OF2
.~
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~P01TER
0J
FOR SMALL PIPE
VSR-SF
VANE lYPE WATER FLOW
ALARM SWITCH WITH RETARD
Potter Electric Signal Company
2081 Craig Road. P.O. Box 28480
St. Louis. MO 63146-4161
(314) 878-4321 · (800) 325-3936
Potter Electric Signal & Mfg. L TO
1967 Leslie Street
Don Mitts. Ontario. Canada M3B2M3
(416) 441-1833
~
'"
5TK. NO. 1113000
J.S_ PAT. NO. 3921989, CANADIAN PAT_ NO. 1009680
JTHER PATENTS PENDING_
UL. ULC. CSAII USTEO and NYMEA ACCEPTED
Service Pressure: Up to 2SO PSI
Minimum Row Rate for Alarm: 10 GPM
Maximum Surge: 18 FPS
EncCosut'"e: 0MH:ast. red enamel finish
Cover held in place wilh tamper resistant screws
Contact RatIngs: 2 sets of SPOT (Fonn C)
15.0 Amps at 125f250 VAC
2..0 Amps at 0-30 VOC
Conduit Entran<:es: 2 knockouts provided for 1J2:" conduit
Usage: Usted Plastic" Copper and Schedule 40 Iron Pipe
Fits pipe sizes -1".1114", and 1112"
Note: 8 paddles are furnished with each unit. one for each
pipe size of threaded or sweat TEE. one for 1" CPVC,
and one for 1 1/2' polybutylene (CTS-copper tubing size)
Environmental Specifications:
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" Fll20" F (4.5" Cl49" C)
Caution: This device is not intended for appflCations in
explosive environments
ServIce Use:
Automatic Sprinkler NFPA-13
One or two familydweHing NFPA-130
Residential"occupancy up to four stories NFP A-13R
National Fire Alarm Code NFPA-72
Optional: Cover Tamper Switch, o((ler Stk. No. 0090018
I1le Model VSR-SF is a vane type watertlow switch for use on wet
;prinl<ler systems that use 1". 1 1/4". or 1 112' pipe size. The unit
nay also be used as a sectional watedlow detector on large
;ystems. "
I1le unit contains two single pole double throw snap action
;witches and an adjustable. instantly recyding pneumatic retard.
I11e switches are actuated when a flow of 10 gallons per minute or
nore occurs downstream of the device. The flow condition must
!xis( for a period of time necessary to overcome the selected retard
>eriod.
NST ALtA TION: These devices may be mounted in horizontal or
'erueat pipe. On horizontal pipe they should be instaned on the top
;ide of the pipe where they will be accessible. The units should not
Ie installed within 6" of a valve. drain Of fitting which changes the
Iirection of the waterflow. The unit has a 1" NPT bushing for
~reaacng into a noo-conosive TEE. See Fig. 2 for proper TEE
ae, type and installation.
tcfew the device into the TEE fitting as sf10wn in Fig. 2. Care must
.e taken to propedyorient the device for the alfection of watertlow.
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 instanations
with the proper adapters so that the specified TEE fitting may be
inslaned on the pipe run.
INSPECTION AND TESTING: Checl< the operation of the unit by
opening the inspecto( test valve at the end of the sprinkler 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 Row
. detection device 00 the system. application of the VSR-SF is not
recommended or advisable
The frequency of the inspection and lesting and its associaled
protective monitoring system should be in acco<dance with the
appflCable NFP A Codes and Standards and/or authority having
jurisdiction (manufacturer recommends quarterly or more
frequently).
~RfNTEO IN OSA
PAGE 1 OF 2
MKT. <<8800003 . REV J
MFG. <<5400802 - 819S
MODEL 950 . '..'.'" ....... .............. ". '. '>.
Double Check Valve Assembly.. .... ".VVILKI N:S.
Backflow Preventers'. .'. : . ..... " ,'., .-:.~:.;,~'-! :':,:,'~'r. .,.>.:':' ." ::~...
"S. ." 3' 14'" 1" 1 '1/4" l' 1",:'2' ...: & '2" ;,::',':',: ~::' :':,:~':,'ZIJRN!.Ii_,r(l;...;,;,,~,t~~;~'''>;/;.'i~/.'.'.~,<''::."
. Izes .,. ,. , . ...., ". ;.:..:;....~.;,._.:.,<...: .~I._.::.:.......,:-:.;.<.:...:. :'.~: .,.'.~::..
. . . . . . ." . .... :~-;,.,,,,,,,:-,,,,,,,:,,,,,,,,,-~~,,,,"-'-.',. . .~:,.....-...... :::....:.'...~_.., .~: :'-...:'-~'
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FEATURES
3/4" to 2"
-..
· 8ronze body construction - ASTM 8584-78
. All internal parts made from corrosion
resistant materials
· Low head loss
· Spring loaded "Y" type center guided
check valves
. All internal parts serviceable in-line
· Threaded inlet and outlet ANSI 82.1
· Maximum working pressure - 175 PSI
· Temperature range - 33.F to 140"F
· High temperature option available
STANDARDS
WILKINS Model 950 Double Check 8ackflow
Preventer meets or exceeds the requirements for
flow rates and head loss of FCCCHR at U.S. C.,
ASSE Standard No.1 015. AWWA C-506. IAPMO
(Upe). and CSA 864.5. Consult your local
WILKINS representative or factory for other state,
county or city acceptances.
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APPLICATION
The WILKINS Model 950 Double Check Valve
. Backflow Preventer has been designed for Instal-
lation in potable water lines where a potential
health hazard does not exist
WILKINS'tow head toss makes the device most
suitable where system pressures ar~ low or where
it is important to hold pressure loss to a mln!fT1urn
NOTICE
Proper performance is dependent upon the user
adhering to recommended installation proce-
dures and by having licensed. qualified person-
nel perform regular. periodic inspection and
maintenance. For proper installat!on, consult
WILKINS' installation and maintenance manual
and prevailing governmental and local codes.
Two shut-off valves and four test cocks are
provided for testing and maintenance. All Model
950 Double Check Valve 8ackflow Preventers
can be disassembled and repaired without
removmg the device from the line.
Damage to the device could result wherever
water hammer and/or thermal expansIon could
cause excessive line pressure. Where thiS cculd
occur. a swing check. shock arrestor and/or
pressure relief valves should be Installed
downstream of the device.
WARRANTY
WILKINS' Backflow Preventers are warranted
against defects in material and workmanship for
a period of one year from date of shipment strictly
in accordance with WILKINS' Certificate of Lim-
ited Warranty.
'~f'tt "9'
"""
MODEL 950
I
314" - 1"
SPEelFICA TIONS
FLOW CHARACTERISTICS
MOOEL 950 , 114- - 2-
. !
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I
12
2~ 36
FlOw Rala (U S GFMI
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PURPOSE
Tne WILKINS Model 950 Double Check Valve
Backflow Preventer consists of a main body with
two check valves. The check valves are spring
loaded and operate independently.
PRESSURE-TEMPERATURE
_ 1$
~ 12
<4
2 e
! e
I 3
...
1 1).-
"" ~ _'" 1'~
~ 2~
!
225
eo
eo 135
flow Rele (U.S. GPM)
45
1eo
MATERIALS
. All corrosion resistant
. Cast bronze maincase
. Stainless steel springs'
. Rubber check valve discs
. Stainless steel bolts
. Center guided check valves
Suitable for supply pressure up to 175 PSi and water temperatures from 330F to 140"F.
TYPICAL INSTALLATION
I nstall with minimum clearance of 12" from floor or
grade.
Install with adequate side clearance for testing
and maintenance.
Protect from freeL-ing.
If installed in pit or vault consult local codes,
provide adequate drainage.
lO!.'W:l--~ I
IIrr :
r-t"":."''' I I". - ,I
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we:1 fl.)' ! i I rOA.... i .
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o o.(Ctf04f Of 14.GW 0
I...
· ZVBNj-...-<<-
. PRESSURE REDUCING VAlVES a 8ACKFLOW PAEVENTERS
. TEMPEAATlJAE AND/OR PRESSURE RELIEF VAlVES
. BALL VAlVES. fARIGATION VAlVES. DIELECTRIC UNIONS
· -y- STRAINERS. CRAlNAGE PRODUCTS
PERFORMANCE UNDER PRESSURE
I OPTIONS
j
I Suffix (options can be combined)
J B - with full port resilient seated ball valves
I S - with bronze "V" strainer
I U - with union connections
I L - without shut-off valves
I
i HT - high temperature service
I wI removeable plastic check seats
I A - removeable brass check seats
I
i
i
I I
I
i
i
DIMENSIONS & WEIGHTS
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:~v. ",ltf . 4_"~ .#.~'~..:.:;L. .., I (<<. to..-
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..... 1~"". 4" ':Ai 'W ..... ...., l I,': .
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WILKINS
REGULATOR DIVISION
1747 Com~ W.y, P.IO Robles, CA 93<<6-3696
PHONE: 805/238.7100 FAX: 805/238.5766
d'O"~.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 98~62
Appllcatlon Number
Applicatlon pln number _
Property Address
ASSESSOR PARCEL NUMBER
Appllcatlon type description
Subdivislon Name
Property Use
Property Zonlng
Appllcation valuation
05-00000557 Date
646892
1925 W 8TH ST
06-30-00-8-5-0215-0000-
RES NEW SFR
3/31/06
RS7 RESDNTL SINGLE FAMILY
147714
Owner
Contractor
COZI HOMES CONSTRUCTION INC
324 EAST 9TH ST
PORT ANGELES WA 98362
(360) 452-9906
Other struct info
COZI HOMES CONSTRUCTION
324 E 9TH ST
PORT ANGELES
(360) 452-9906
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA 98362
29 17
2 00
7000 00
2042 00
1. 00
Permlt
Additlonal desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Explratlon Date
ELECTRICAL NEW RESIDENTIAL
ELEC SRV /2336SRF
73700
ELECTRIC SERVICE
143 20
3/30/06
9/26/06
Plan Check Fee
Valuation
00
o
""
~
~
~
Qty
1 00
3 00
Unlt Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73 00
70 20
Special Notes and Comments
BUlldlng address sign shall not be less than 6" & not more
than 12" in height Numbers colors must contrast wlth wall
color they are mounted on (Ord 14 36 050-E)
When roof gutters are lnstalled, drains will located In dry
wells or piped to approved storm draln location No
pressurized or pumplng to curbs are allowed. An lnspection
by BUlldlng Department is required prlor to backfill
07/12/2005 04 48 PM SROBERDS -- The proposal wlII result
in a s f res In the RS-7 for total lot coverage of 29%
Improvement to fronting street lS required No land use
lssues are noted.
Electrical load calculations and elctrical permits are
requlred
Electrical connectlon fee of $410 00 required
07/06/2005 03 37 PM GMCLAIN ----------------------------
Sanitary sewer connectlon inspection is required by
Public Works prlor to back fill of dltch.
~
0\
~
\~
~
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745 00
4 50
1025 00
Fee summary Charged Paid Credlted Due
COMMENTS/ACTION NEEDED
~,.
"I.oii..~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 98362
Appl~cat~on Number
Appl~cat~on pin number.
Permit Fee Total 143
Plan Check Total
Other Fee Total
Grand Total
20
00
1774 50
1917 70
COMMENTS/ ACTION NEEDED
05-00000557
646892
143.20
00
1774.50
191 7 70
Page
Date
2
3/31/06
00
00
.00
00
.00
00
00
00
ELECI'RICAL PERMIT INSPECI'ION RECORD
.. "
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.1~ (4'96)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
/-}7.--07
Time
Received by
10/21
J,-qz9- OfC /QZ5W
Co=<!;../~
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
s>"t.b
Phone No.
Permit No.
E~ar~er Excav. Other
05""-5$ 7
b:> -:s- s-lr
INSPECTION NOTES:
Inspected: Date 1- 1 (, -07 Time By f2, V
Remarks: / "'Z1 tU R ~ /97-:') IV B 61,
(;) c.;- - 5S"7 uJ ahA..- t) /C 0 J -S-.> -:8 u H1..:z:i:A- ".i::
StLI1S"Al~ 4-10-0& ~ ~ SJ..MJl.. d-7-Db
j),.:veI.C<>Y dtt I///}j ({..rxL,-'./?3t -~_ ~~ :-'
D",wV\ ..$po,..ts -/-0 ,l"k 01'\. @,....\-,. S +-
RESTORATION REQUIRED. . . . .. YES NO X.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
MAR-29-06 09:08 AM
3532872/7378423
.
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3744130
P.01
ELECTRICAl. WORK PERJ\fiT APPLlCAnO~
_.~-_.__._- .-- ---- -----.~ .---
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\y't'" 0 ^lh'red/Addilion
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((l\ d(Jill,'dhl H.lH I', '8 ~(,: .', ("1/1" ".;(/ "'-'-'/'\ rlh"'I';/["O"l" /." I"~ I
~I'J I},;,. ('/I..:.tn~1I1 t,-'II,i/n fjlf,/Ii:..d. f:!1 /)\\",,, r .. I. ,/1/1,-,./1" hi'"~ I!. ,-f",. f' .,.
,Of if ab(/'J'!'\t1/d )l,ojlcu\ i\ /in' ,'Iii, 1',',,1 III I,,"~
..
, \>>l0,n,t', lilt' llhuvc: 'sl;:l\.Jl\(I,I. ! hN:b)' Cl'TlIfy Ilwl I,ll" th(' owner of ~h.' ,.b\lI.-r
~I"rl('rl~ .Ir 01 lin'Il~I.'" l'k,'tllC:11 cllnlr"..:lur I ;1111 '''.,Io.:lll~: thc clet"lrl\"<tllll~\:ll.
'Jt~ ;lltcr:1tion in n'lI1pli,l'I\'(' wnh thc t:l\-dril."'i.l l,,,,, ... I. { ~(W t I: II'h"
\';'AC. ChaplCt' 206o.~(,H, I he t',ly llr P\1I1 ^n~r!"', \1U'lI":lr;\~ ('n,I,. :'1.1'.]
Srccir''':<l~.'~:'~___w__ ____ + _, ~_______ _
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'to DAY rNSPEt"J'lO",,_!, A..!:,l. HI: tO~1:: _7,00 ,\ \1 3()Q-,417-47J5
~'--- Ron;H.i:,; -. ''. / .-- THER\IOSL\T
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tr'YIi'3', 1. 0
SlIrJdc.\ll.nlQrmaliIlG
Voltage .l.201... ", p
Phase Q 10-5
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Application Number . . . . . 23-00000323 Date 4/04/23
Application pin number . . . 260981
Property Address . . . . . . 1925 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-8-5-0219-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Circuit
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Owner Contractor
------------------------ ------------------------
CARL SCHWARTZ AND SUSAN LEVINE KIRSCH ELECTRIC INC.
1925 W 8TH ST P. O. BOX 3396
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 683-6819
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 4/04/23 Valuation . . . . 0
Expiration Date . . 10/01/23
Qty Unit Charge Per Extension
BASE FEE 75.00
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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
PREPARED 4/03/23,13:59:40 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000323 1925 W 8TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/4/2023 23-323 TAP
OWNER
CONTRACTOR
Kirsch Electric
PROJECT ADDRESS
1925 W 8th St