Loading...
HomeMy WebLinkAbout2215 W 16th St - Building )~~~~!::i~,,1'" .' I;..~ '" , CITY OF PORT ANGELES OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET; PORT ANGELES, WA 98362 04-00000996 \. Date 003652 2215 W 16THST 06~30-00-1-0~7800-0000- ELECTRICAL ONLY ,)-\::; " Application Number Pin,number Property Address ASSESSOR PARCBL NUMBER: Application description Subdivision Name Property Use property zoning . . . Application valuation RS9 RESDNTL SINGLE FAMILY o ~ ~ \ :::::':.:':- :;X;;~Fi ...':t';",-! ;,:;: ~::;.~-:. :;:(L:'::-;~:X -,-, (.L' OWner Contractor 10/28/'04 JARMUTH ELECTRIC 42.20 Plan Check Fee 10/28/04 Valuation .. 4/27/05 .00 o ~ ~9J \"\ }! L ~j . t:'! ~ 'I OLYMPIC LAND DEVELOPMENT mc. 259403 HWY 101 SEQUIM WA 98382 (360) 457-7222 JARMUTH ELECTRIC PO BOX 635 SEQUIM SBQUIM (360) 683:"4104 WA 98382 . -...0 ~ ~ Permit . . . . Additional desc Sub Contractor Permit Pee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICB -----~---------------------------------------------------------------------- Qty Unit Charge Per 1.00 42.2000 BCH. BL-TEMP SRV - 0...,60 SRV FDR Extension 42.20 Fee summary Charged, Paid Credited Due ----------.------ -~-------- -~----.---- ---------- ---------. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit,becomes null and void if work or construction authorized is not commenced with,in180 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 withii1180'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. "U provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The grantingofa.J>Eirrilil do.esnot presume to give authority to violate or cancel the provisions of any'state or local law regulating construction or the performanbe:of construction. . . Permit Pee Total Plan Check Total Grand Total Signature of Contractor or Authorized Agent. Date T:\PLANNING\FORMS\II02.1S [11/1412003) .00 .00 .00 .00 .00 .00 .", .. ~ ~. Signature of Owner (if owner is builder) ';:"J:~' .' BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECfIONS~ CALI.. 417-4735 FOR ELECTRICAl:! IN'SPECfIONS. PLEASE PROVIDE A MINlMUM 24J-IOUR NOTICE., IT IS UNLAW~TO COVER, IlI{SULATE ORCONCEAJ. ANlHYQRK BEFORE INSPECTED AND ACCEI!TED,' POST PERMIT IN A~QNSPICUOUS LOCATION. ' KEEP PERMIT CARD AND APPROVED PLANS AT JOB,SITE. INSPECTION TYPE DATE ACCEPTED [COMMENTS I YES I NO FOUNDATION: , FOOTINGS WALLS roUNoATlON DRAlNAGEIDOWN SPOtrrS , ELEC'IJUCAL (LIGHTDEPT) SEPARATE PERMIT: # bl - - -1.,,' -,-,~ ROUGH-IN V"1'l.. L" _. .n", Il.. r( I - PLUMBING , UNDER FLOOR 1 SLAB ROUGH-IN W~TER LINE (METER TO BLOG) , , , d).s'LJNE BACK FLOW 1 WATER " AutlsEAL WALLS I CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WAUJHOLD DOWNS WALLS 1 ROOF 1 CEn.ING -., DRYWALL (INTERIOR BRACED PANEL ONLY) i T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEn.ING I MECHANICAL i HEAT PtiMP , GAS LINE I WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: i WATERLINE lMETER SEWER CONNECTION SANITARY i STORM i ! i PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG , ESA: . ~oscAPING '" SHORELINE: , FlNALINSPECT,IONS REQUIRED PRIOR TO OCCUPANCYtU~1 ,. " , " " - . })ATE;, ~~C~,~D RESIDENTIAL DATE YES NO COMMERCIAL , f) " "YES NO . 1(~ ELECTRIcAL , ELECTRICAL - LIGHT DEPT. 417-47]S 'I ()-~y-()~ , " I , LIGHT DEFT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. , PLANNING DEPT. " 417.4750 . 'PLANNING DEPT. Bun:.DOO ' 417-481S BUILDING T:\PLANNING\FORMS\II02.IS [11/1412003) ,>; 'Dro p - I rJ \.^I 0 1f: 1,-\ 7D 5'" - 093 o ~ APPLICATION FOR WATER t--o/ City Water Division Port Angeles, Washington II" Ii , 20D~ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: < ID oJu:e.::u..... n I.oT Name of Applicant: f}/YWJflt" _ LtLY\d. DpAleJDFl'Yle~ 4'S1-71Z2. ., 'Z.\L II -th Po o. Bo~ ~ Address: ~ -:J W /) - c..,tlt4,;.btmf Renewal 0 New service~,:;::: Lot "7 Add yV.4-e:i.83:i.... I " !1fI.... 7/.A II OIY.....p1c:.-tle"\h-+s Size of Service-----1 4> JP- I Meter N,'jI"ber Service Left On 0 Service Left O~Signed..<:~{.f(jaAf1.- Pt (;( Installed by . 0.. Y'Iev vY\ ex- r p~ PeV' /'v\IT1h 04 -)OSI $pl'~~- ~~ ) t$ ~ 70tlE +- ~ J oz.5~ F- D'/ 3,1>87 (.- ,<>,/0 Remarks: " N '~. " T~ '22ISW.Il. til W Xf ~" D1: 1 /p"'''' ~ E t;1 ~ s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date / Z---/v-Of' Time Received by (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ?;:2J~ /,V /~~ /CJ 1-11 D~ Phone No. Permit No. 0 </-/OS? -----Sewer---Foundation---Fra ming~Chimney -.Plum bing-~inal-Sewer-Excav.-Other- -- ----------------------- Inspected: Date Remarks: INSPECTION NOTES: / z....n-09 Time By JJ-::,\2J~M\l A AJc~ GuJ<;' } RESTORATION REQUIRED. . . . .. YES NO , .,', T vV f. - _~lJ)(J) 1-'\~ (')..-'--1<;" EL(~""~ , l~/ Y'OE'nll I , I r SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ...~. cl90Rl" ~ -~4. ~~~ ha"' .... -=->r ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdlvlslon Name Property Use Property Zoning Appllcation valuation 04-00001051 Date 11/17/04 .292585 2215 W 16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR RS9 RESDNTL SINGLE FAMILY 189000 t=1~lA~W 0/7/08 Owner Contractor OLYMPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information Construction Type Occupancy Type Other struct info WANT ACTION CONSTRUCTION P. O. BOX 1425 SEQUIM (360) 681-3992 NEW 1677SF SFR W/ATT 484SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC. INC. WA 98382 WA 98382 25.20 V-N 1. 00 1. 00 9034.00 2282.00 2282.00 1. 00 ~ ~\(jJ'(\ \tr , l1a~ Permit MECHANICAL PERMIT Additional desc Permit Fee 90.70 Plan Check Fee .00 Issue Date 11/17/04 Valuation 0 Expiration Date 5/17/05 Qty Unit Charge Per Extenslon BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 4.00 7.2500 ECH ME-VENT FAN 29.00 Permit PLUMBING PERMIT Fe Additional desc Permlt Fee 146.00 Plan Check Fee .00 Issue Date 11/17/04 Valuation 0 Expiration Date 5/17/05 Qty Unit Charge Per Extenslon BASE FEE 47.00 10.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 70.00 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 Permlt Addltional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1677SF SFR W/ATT 484SF GARAGE 1515.65 Plan Check Fee 11/17/04 Valuation 5/17/05 .00 189000 Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEP A, 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. /f'f1-of Date Signature of Owner (if owner is builder) T'\PLANNING\FORMS\1102 15 [11114/2003] 'P ~ - Crt ( .--.. I ~ ~ Date \ ,. K' ~ ,ORT ""0 t~e(~ "-~ ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 04-00001051 Date 11/17/04 pin number .292585 Qty Unit Charge Per Extension BASE FEE 1017.25 89.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 498.40 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equ~pped with a residential sprinkler system that ~s installed and maintained ~n accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The proposal will result in the construction of a single family residence in the RS-9 zone. Lot coverage and setbacks are good. No land use issues are noted. The subdivision was finaled on 11/16/04. Electrical load calculations and elctrical permits are requ~red. Sanitary sewer connection ~nspection is requ~red by Public Works prior 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 1752.35 1752.35 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3526.85 3526.85 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102 15 [11/1412003] BUILDING PERMIT INSPECTION RECORD ...... .J.... CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, 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 r YES NO FOUNDATION: FOOTINGS i I- I i'} ...04 L1 WALLS , I _.., ~"" _Ii \ I FOUNDATION DRAINAGEIDOWN SPOUTS I 1) :e;,f ..",nil j . I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN 1 I PLUMBING I Bu lId, VIA ( 1 g..-<f ~ l.t... I)P UNDER FLOOR / SLAB P!UI'Ylt).'~V\tJ -&lr/()~ J/"~ -AP ROUGH-IN I ~~-O5 -JLL WATER LINE (METER TO BLDG) It IJ... -<X-D J.J J.t GAS LINE BACK FLOW / WATER AIR SEAL WALLS .., D..-D> -b, , CEILING '''' ...... I-' FRAMING ~~ls I-~-OS J./y JOISTS / GIRDERS SHEAR W AVUHOLD DOWNS .J i fl .fl {\ J'>J.1 \ L WALLS / ROOF rCEILING l-i8~()l/ \lL- DRYWALL (INTERIOR BRACED PANEL ONLY) !l-n-o s- J I, T-BAR INSULATION SLAB WALL / FLOOR / CEILING "2-'" }-e>S 1..3 LL- MECHANICAL 1~1r1t\I.Me~. bh/05Jf-,L- AP HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY I. HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s: ~ WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKINGILIGHTING 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 f.? hl() c:. 1~ BUILDING T:\PLANNINGIFORMS\1102.15 [11/1412003] PREPARED 6/07/05, 12 58 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 6/07/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE (360) 681-3992 PHONE. (360) 457-7222 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL5 01 12/08/04 12/08/04 JLL CA PLUMBING BUILDING SEWER BRIAN 460-6026 call trenla pw to lnspect sewer Ilne/Jll PLUMBING WATER SUPPLY TIME 17 00 BRIAN 460-6026 PLUMBING ROUGH-IN TIME. 17 00 12/08/04 JLL 12/08/04 AP 1/28/05 JLL 1/28/05 AP PL99 01 6/07/05 JLL PLUMBING FINAL TIME 17 00 _________~_~___::~::~2:::ME::S5~DP:OT::I:~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ PL6 01 PL2 01 TIME: 17 00 PREPARED 6/07/05, 12 58:19 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 6/07/05 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR 01 01 01 01 01 01 SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING 20' ground rod ln footlng #4 BUILDING FOUNDATION WALL ALLEN 360-809-0445 BUILDING DOWN SPOUT DRAINS BRIAN 460-6026 BUILDING FRAMING HOLD DOWNS barlJll TIME 17 00 11/17/04 JLL 11/17/04 AP 11/30/04 JLL 11/30/04 AP 12/08/04 JLL 12/08/04 AP 12/22/04 JLL 12/22/04 AP 1/25/05 JLL 1/25/05 AP 1/28/05 JLL 1/28/05 AP 1/28/05 JLL 1/28/05 AP 2/01/05 JLL BUILDING INSULATION 2/01/05 AP Allen 809-0445 2/17/05 JLL BUILDING DRYWALL IBWP 2/17/05 AP DAN 461-3204 BL99 01 ~07/05 JiLh BUILDING FINAL ~ 06/07/2005 12 51 PM ------------ ---------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- BL1 BI2 DSD BLHD 01 BL9 BAIR 01 BL3 BLI BLDR 01 BUILDING SHEARWALL TIME 17 00 Allen Rhodes 681-3992 BUILDING AIR SEAL TIME: 17 00 BUILDING FRAMING TIME 17 00 JLIERLY ---------------------------- PREPARED 6/07/05, 12 58 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 5 6/07/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 i J~7~.~\--~L MECHANICAL FINAL ~ 06/07/2005 12'51 PM JLIERLY ---------------------------- ------------------------ --------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 2/17/05, 13 22 32 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 2/17/05 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR 01 01 01 01 01 01 SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING 20' ground rod 1n foot1ng #4 BUILDING FOUNDATION WALL ALLEN 360-809-0445 BUILDING DOWN SPOUT DRAINS BRIAN 460-6026 BUILDING FRAMING HOLD DOWNS barlJll TIME 17 00 11/17/04 JLL 11/17/04 AP 11/30/04 JLL 11/30/04 AP 12/08/04 JLL 12/08/04 AP 12/22/04 JLL 12/22/04 AP 1/25/05 JLL 1/25/05 AP 1/28/05 JLL 1/28/05 AP 1/28/05 JLL 1/28/05 AP 2/01/05 JLL BUILDING INSULATION 2/01/05 AP Allen 809-0445 2117/05_~ ~L BUILDING DRYWALL IBWP ~ln\Q) DAN 461-3204 ----------------~------- ------------- COMMENTS AND NOTES -------------------------------------- BL1 BI2 DSD BLHD 01 BL9 BAIR 01 BL3 BLI BLDR 01 BUILDING SHEARWALL TIME Allen Rhodes 681-3992 BUILDING AIR SEAL TIME 17 00 17 00 BUILDING FRAMING TIME 17 00 \" PREPARED 2/01/05, 13 17 03 CITY OF PORT ANGELES PAGE DATE ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 2 2/01/05 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV, PHONE (360) 681-3992 PHONE . (360) 457-7222 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 11/17 / 04 JLL 11/17/04 AP 11/30/04 JLL 11/30/04 AP 12/08/04 JLL 12/08/04 AP 12/22/04 JLL 12/22/04 AP 1/25/05 JLL 1/25/05 AP 1/28/05 JLL 1/28/05 AP 1/28/05 JLL 1/28/05 AP ~~:__~l__~__~.__~~~:~I~::::::::T::: NOTES ___________.._______..________________ BL1 01 BI2 01 DSD 01 BLHD 01 BL9 01 BAIR 01 BL3 01 BUILDING FOUNDATION FOOTING 20' ground rod ln footlng #4 BUILDING FOUNDATION WALL ALLEN 360-809-0445 BUILDING DOWN SPOUT DRAINS BRIAN 460-6026 BUILDING FRAMING HOLD DOWNS barlJll TIME 17 00 BUILDING SHEARWALL TIME. 17 00 Allen Rhodes 681-3992 BUILDING AIR SEAL TIME. 17 00 BUILDING FRAMING TIME 17.00 PREPARED 1/28/05, 16 07 52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 1/28/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL5 01 12/08/04 12/08/04 JLL CA PLUMBING BUILDING SEWER BRIAN 460-6026 call trenla pw to lnspect sewer llne/JII PLUMBING WATER SUPPLY TIME 17 00 BRIAN 460-6026 PLUMBING ROUGH-IN TIME. 17.00 12/08/04 12/08/04 PL2 01 .r/28/05 -+J 2.. ~ rl~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- PL6 01 JLL AP JLL ~f TIME 17 00 PREPARED 1/28/05, 16,07 52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 1/28/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 JLL BUILDING FOUNDATION FOOTING AP 20' ground rod in footlng #4 bar/]ll BI2 01 JLL BUILDING FOUNDATION WALL AP ALLEN 360-809-0445 DSD 01 JLL BUILDING DOWN SPOUT DRAINS TIME 17 00 AP BRIAN 460-6026 BLHD 01 JLL BUILDING FRAMING HOLD DOWNS AP BL9 01 JLL BUILDING SHEARWALL TIME 17-00 AP Allen Rhodes 681-3992 BAIR 01 tt:f BUILDING AIR SEAL TIME 17 00 BL3 01 BUILDING FRAMING TIME 17 00 14 F ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 1/25/05, 13 07 17 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 1/25/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV: PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS DSD 11/17/04 JLL 11/17/04 AP 11/30/04 JLL 11/30/04 AP 12/08/04 JLL 12/08/04 AP 12/22/04 JLL 12/22/04 AP ~~~__::__~__~~~_____~~~:~:~::::::::A:::1~:::: 01 BL1 01 BUILDING FOUNDATION FOOTING 20' ground rod ln footlng #4 bar/)ll BUILDING FOUNDATION WALL ALLEN 360-809-0445 BUILDING DOWN SPOUT DRAINS BRIAN 460-6026 BUILDING FRAMING HOLD DOWNS TIME 17-00 BI2 01 BLHD 01 17 00 PREPARED 11/17/04, 16 10 15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 11/17/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 11/17/04 ,-J~LL -t-i-l11 I "':-r ' ------------------------- ------------ 01 BUILDING FOUNDATION FOOTING COMMENTS AND NOTES -------------------------------------- PJ<J:;PAJ<J:;D n-rTo7o4-;-n-O~8:3 8 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 11/30/04 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER: 2215 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC 06~30~00~1~0~7800~0000~ 04-00001051 RES NEW SFR SUBDIV PHONE (360) 681- 3 992 PHONE. (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BI2 01 JLL AP BUILDING FOUNDATION FOOTING 20' ground rod ~n foot~ng #4 bar/Jll BUILDING FOUNDATION WALL ALLEN 360-809-0445 Ap-- COMMENTS AND NOTES -------------------------------------- PREPARED 12/08/04, 13 42 15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 12/08/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS 12iO~10~4 ~~~ ~~~ING B~~~~~~;6SEWER '" " \1f\i;\~tl\ ~L PLUMBING WATER SUPPLY TIME 17.00 BRIAN 460-6026 -------------------------~ ----------- COMMENTS AND NOTES -------------------------------------- PLS 01 TIME 17 00 \ J ' -'''' ' PREPARED 12/08/04, 13-42 15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 12/08/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER- 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 JLL BUILDING FOUNDATION FOOTING AP 20' ground rod ~n foot~ng #4 bar/]ll JLL BUILDING FOUNDATION WALL AP ALLEN 360-809-0445 ~JLL BUILDING DOWN SPOUT DRAINS I BRIAN 460-6026 ----- -------- CONTINUED ONTO NEXT PAGE ----------------------------------- TIME 17 00 BI2 01 DSD 01 PREPARED 12/22/04, 14 03 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 12/22/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2215 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 04-00001051 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 11/17/04 JLL BUILDING FOUNDATION FOOTING 11/17/04 AP 20' ground rod ln footlng #4 bar/]ll BI2 01 11/30/04 JLL BUILDING FOUNDATION WALL 11/30/04 AP ALLEN 360-809-0445 DSD 01 12/08/04 JLL BUILDING DOWN SPOUT DRAINS TIME 17 00 12/08/04 AP BRIAN 460-6026 BLHD 01 ~ ~ BUILDING FRAMING HOLD DOWNS -------------------------------------- COMMENTS AND NOTES -------------------------------------- Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONLY Dat~ Rec /0"'"2.0 -0'1- p~,t' otf-trv Date ApPlOved I d I Date Issued I I I BUILDING PERMIT - APPLICATION Applicant OJ Agent: I-~C<.-h KOLL ('~~ Phone: (d')(/-3 qq ..... Owner: 0 {y f't1 Pi C {a r ul () p ue I 0 fe. JlrYJ n t Phone: StI.'Z"- r? Y1 PtI of '" S 7~7')'.l.~ Address: p. V Box S l' S City: C Ci- r 15. bo,.., l,J A , Zip: 9 t .3 ~ 'I Architect/Engmeer: Phone: :3 '" 0 XOCJ - 0 'f'fS 1- A (rJflS+n..,';"on wANT AC..I:.q'i'2~3 I I /'.., Contractor L )~. It. (. +1011 State License #: Exp: aJ.. II 0 S Phone: \P II ;..3 'i 9 2 . Address: f. V Box 1'1.2 S City: Setju./m kJA. Zip: ? ~ .3 ~<- PROJECT ADDRESS: :2:2t 'S (A). I to -rk Sf. ZONING: R ~ cr LEGAL DESCRIPTION: Lot! ~ '3 Block: Subdivision: -L21~( M f'L Ue~'l hf--:r CLALLA.\1 COUNTY PARCEL NUMBER: Ol::. '6 C6(!J I 07 Roo CCY"'lC') Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: ~ Resldential r! r.;ew Const!. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Reparr 0 Sign BRIEF DESCRIPTION OF THE PROJECT: O\l..llM VQ/ l \~'C) hts COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: q 0"3 L{ Existing Sq. Ft. (l{ . Total lot coverage 2. ~. '2- Me City: Exp. Date: r- I~ ~ -- # o Stove o Garage o Deck o Other V1-eL0 SIZE/V ALUATION: rb 7/ SF.@$ ISF. =$ if Qt.{ SF. @ $ ISF, = $ 80 SF,@$ /SF. =$ TOTAL VALUATION $ J ~~ o~ 00 "S.irl"')/e ~rk( ('e<;"I'cl~",(p _'_ ~ -' ,.. Occupant Load: Construction Type' & Proposed Sq. Ft.~~L = TOTAL Sq. Ft. .:t::l.~-:L % APPROVALS: PLAN : BLDG: DPWU: FIRE: OTHER:_ PLANNING USE O~LY: ESA'Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building DiviSion can provide you with infOlmatlOn on the application and plan subnnrtal requll'ements If you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills figure will be reviewed and may be revised by the Building DiVISIOn to comply with current fee schedules. Contact the Pemnt Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit apphcation and construction plans are submitted. All other permit fees are due at the time ofpennit issuance. EXPIRATION OF PLAN REVIEW: I[no permit is issued Wlthm 180 days ofthe date of application, the application will expire. The Building OffiCIal can extend the tinle for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05 3.2 of the IntematlOnal BuildinglResidentlal Code, 2003). No application can be extended more than once. I I I hereby certify that I have read and exammed this application and know the same to be true and correct. I am authorized to apply for this permit and I 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 work. I T:\RVESS\BLDG-forms-brochures\2003-Buildmgpennlt.wpd Applicant: ~ t?~/ ~ at.d::1- Date: L 0/2...0 Juc), Washington State Energy Code Pian Review Checklist Uif ~~~ kiNG Applicant please Check, wnte in N/ A or fill in value on boxes or lmes. Project Address: ;22l 5 W I (o -Ph sf- Lof *3 Compliance Approach:(check one) 0 Systems analYSIS o Component perfOlmance o Prescnptive path HEATING SYSTEM OZone Heatmg 'rj Electric Furnace DHeat Pump ! : , , I I' .. i' I , I, FOUNDATION PHASE o Slab R- _ Extenor down to frastlme/slab bottom, Intenor 24" honzontal or vertIcal; or, If radIant under entrre slab o Below grade extenor wall msulatlOn R-_ (Ifmtenor -see InsulatlOn Phase) FRAMING PHASE ~ Standard 0 Intermediate 0 Advanced cs(standard an seal sole plate/sub floor, rnnjOIst, wmdow & door frames, wrres, plumbmg, ducts, hght fixtures ~Source specIfic exhaust fans' bath & laundry(50 cfrn) latchen(lOO cfrn) o Whole house exhaust fan_ cfm mternnttent system has manual & auto controls: Outdoor arr supply reg for habItable rooms or o Integrated forced -an system, fan _ cfm, outSIde an duCt(WIth motor damper) allowmg 35 and 5 ACH INSULATION PHASE )<:1 R-& Wall msulatlOn(above grade) o R- _ Wallll1sulatlOn(below grade)' IntenOl wallll1sulatlOn tJ R-~ Floor msulatlon ~K CeIlmg lllsulatlOn Includmg attIC hatch o R-_ Vaulted Ce1lmg msulatlOn o VapOl retarders, Walls, Cellll1g 0 4 nnl poly Ja"perm rated pamt Dkraft faced batts o Vapor Ietarders: Floors 04 nul poly Dbaft faced batts ~ Graund cover 6 nnl Black polyethylene, 12" lap at joints & extendmg to foundatlOn wall T \ROGERIBLDG_FORMS-BROCHURESIENERGYPLANREVIEW Over FIll in back side also. WINDOW GLAZING Please fill out window Information, Inclued skylights, glass doors, and all other glazing on this form Use rough opening area for calculations SIZE QUANTITY AREA U-VALUE & MANUFACTURER 50cto '~ fn 0 VVlL/[C;lArd 2XS6 ::2- 2(0 ( I /' 407n -., /)4 ( .:> ( I? oS (") l ':$ (} \ I Co ~(a 2- In \ ) (0 r(o { '1' -'(nth 2 2.2 r),j rJ 'S;? -P ':3 3 2LJ I T rl.t nS'6rv> / 5 <;/ rl () I r'c;h fs '2 ~ (\ r IJ s S Cleo r ( Ih ) Total glazing area: Total conditioned floor area: Percentage of glazing: 2br I (p-r7 /7P , , DOORS List doors by type(soild core, Insulated, Etc.)quantlty, U-value, and Manufacture. SIZE QUANTITY AREA U-VALUE & MANUFACTURER T:\ROGERIBLDG-FO RMS-BROCH URESIENERGYPLAN REVIEW-2 , ./ gq' 5~1t; ?LAN \ o L~ M PIL LAMD DE.vELOPE.MEN\" LOT 1+3 25' I ./ 73' '\ \ I' ~ - - .-\/ - - - - - - - - - - - - I I I I " I / ~I \.1. / (P3' / 'l' , 1 \ , , ( I I HousE. ~ (P,1 .5 Q, .(r I I I 'c1 ... N I If') \j) I - . COV€"REC::> 43' <) - I - 0 /' po R-'- \-Ie G ARM E - ~OSQ I I f"r. 1v.q s~ fr. l I I v I I L- - -~\ - - - - - ---- - - ----0 - - J ')5' t'1' ~ 1(0 rH ;Sc AL t. l " ::: \ () t 5T ~ 0 f(T\-\ 1\ " ..~~( of .ORT ~ ~...~~~ O,.~ ...~ ~ "l.Ol,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zonlng . . . Application valuation 04-00001051 Date .292585 2215 W 16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR 1/07/05 RS9 RESDNTL SINGLE FAMILY 189000 Owner Contractor OLYMPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information Construction Type Occupancy Type Other struct info INC. WANT ACTION CONSTRUCTION P. O. BOX 1425 SEQUIM (360) 681-3992 NEW 1677SF SFR W/ATT 484SF GARAGE TYPE V NON-RATED SINGLE,FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC. WA 98382 WA 98382 25.20 V-N 1. 00 1. 00 9034.00 2282.00 2282.00 1. 00 Permit FIRE SPRINKLER RESID Additional desc c- - Permit Fee .00 Plan Check Fee .00 Issue Date 1/07/05 Valuation 2150 Expiration Date 7/06/05 ~ 'f=> cr ( Speclal Notes and Comments Building address sign shall not be less than 6" & not more than 12" in helght. Numbers colors must contrast with 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 drain locations. New subdivision outside the four minute response time shall be equipped wlth a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The proposal will result in the construction of a single famlly residence in the RS-9 zone. Lot coverage and setbacks are good. No land use lssues are noted. The subdivision was finaled on 11/16/04. Electrical load calculations and elctrical permits are required. Sanitary sewer connection lnspection is required by Public Works prior to back fill of ditch. ~ ~ "l ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not I presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of . COJ~4t€~ I!/I/OS; Signature of Contractor or Autho . ed Agent I ~te Signature of Owner (if owner is builder) Date T'\PLANNINGIFORMS\1102 IS [11/14/2003] .- r' ~ ~ORT ~ ~O~~ ~ha~ "-~ ---=- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00001051 pin number . . .292585 Page 2 Date 1/07/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total .00 .00 1774.50 1774.50 .00 .00 .00 .00 1774.50 .00 1774.50 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes I 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 I inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of i 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 IPLANNING\FORMS\1102.15 [11/14/2003] 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: Olympic Land Development Address: 2215 W 16th Street Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D~ Date: 12.6.2004 PAFD Permit #: 05-01 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: ~Odd.. 0, Date: 12. c,. (/)'-1 D ~ o Building Department Fire Department BUILDING PERMIT - APPLICATION FOR QF.Eg::jAL vs~ O]\[L Y Date Rec I;: JI-, oS' Penmt # t!?,L.f ~ 10S1 Date Approved Date Issued 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 Owner: OJ'J J.n If> r G Lc... l.--\- d Address: Appltcant or Agent: ; IV # () Y II- J E f) F I ~ E -S P R ) /IlkL!;J!J:one: D-.e- V.e-/o p VV\- ~ f- Phone' <-IS 2. - 7S 83 LfS:J -722'"2- CIty: ZIp: ArchItect/Engmeer: Contractor / It) /V t) j/ A- TJ.: f) ;:; jiVE-. Address: 8 J /)/.e. <-J J.) a.. iJ J{ V1. PROJECT ADDRESS: 2-;2..} ~ LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Phone: 4t..tOJ~ J'?h . State LIcense,#:/Mv <J ilJ=SeJ Exp: //7 O~Phone: '-15"2 -?Sb,s L ~ City: P~r.J- /J.-..3 Q leI' ZIp: CJ&Sb"2- LV J ~ j L. .s r ZONING: Block: SubdIvIsion: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: )i Res1dentIal 0 New Constr. 0 Re-roof o Mult1-farmly 0 Add1tlOn 0 Move o CommerClal 0 Remodel 0 Demohtion o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT' City: Exp. Date: o Stove o Garage o Deck o Other F/V"'L SIZEN ALUATION: SF. @ $ /SF. = $ SF @ $ /SF. = $ SF.@$ /SF.=$ TZOTAL VALUATION $2./S010 0 .s p Y' I" Jt..A ~ r S ':J s. -I- fll"'"V'- COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones' Lot SIZe: EXIstmg Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. ConstructIon Type: = TOTAL Sq Ft % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlW etland( s): 0 Yes 0 No SEP A Checkhst reqUIred? 0 Yes 0 No Other: BUILDING PERMIT APPLICA TION SUBMITTAL: The BUIldmg DIvIslOn can proVIde you W1th mfonnatlOn on the apphcatlOn and plan subrmttal reqUIrements If you have questlOns. V ALUA nON OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Tills figure will be revIewed and may be rev1sed by the BUIldmg D1vIslOn to comply w1th current fee schedules. Contact the Penmt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the tune the bUIldmg penmt apphcatlOn and constructlOn plans are submitted. All other penmt fees are due at the tIme of penmt Issuance. EXPIRATION OF PLAN REVIEW: Ifno permit 1S issued W1thm 180 days of the date of apphcatlOn, the application will expire. The Buildmg OffiCial can extend the tune for actlOn by the apphcant up to 180 days upon wntten request by the apphcant (see Section Rl 05.3 2 of the IntematlOnal Buildmg/Res1dentIal Code, 2003). No apphcatlOn 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 authonzed to apply for this permit and understand that It IS my responsibility to determme what permits are reqUired ,not the City's, ard that I must obtain such permits prior to work. T \RVESS\BLDG-forms-brochures\2003-BUlldmgpermlt wpd Apphcant: U~ f Il, f3~;' Date: ~ I DATE: /- 'i - CJS'I E:l KeVl p~ FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRATI;N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUILDING DIVISION I ~ o o RE: ADDRESS: 2. Z ( :; l)J I t6 1- ~ NAME/CONTACT: ff.:Jt: )- PHONE: ~II 7 - ___ PERMIT NUMBER: <:0 1-/- / 0 ~s-/ PROJECT DESCRIPTION: 'Re.s. 9 5,Dr~\Akl-€-,j' S YSfQ~ [lJ NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~REVIEW fRETURN o FILE r=- ~P\} ellS. -<t) L , ,..- . Fire Sprinkler System Plan Innovated Fire Sprinkler Systems 81 New Haven Lane Port Angeles, WA., 98362 (360) 452-7583 January 3, 2005 For: Olympic Land Development Location: 2215 ffl: 16th Street, Lot #3 Port Angeles, WA., 98363 13 D HYDRAULIC CALCULATIONS .A-C+:crl-1 CD - . ' . - C0~-/-r .' W 0 r k she e t For I" CPVC Pipe #-;}... l.Jo~~ . 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. 6. 7. 8. 9. 10. 11. . Pipe size = I 1" I CPVC (friction loss . 1 067). Water pressure at street (2) .:-.- 70 psi. Meter fri~tinn loss (3) = 7 psi (see T:~!,:, L1.-4.3d NFPA 131I (2) 70 minus (3) _ 7 (4) = 63 psi remainirl L~ss from street main to control valve = 52- _ feet X I .106 T I = .S', s..st feet (see friction loss chart). I (4) k, 3 minus (5) .s.5.5" = (6) ~ /. LJS psi remaininG Elevation loss (building & street) - I 2. feet X .434 = 6. 2 r p~ (6) S7- '-'IS minus (7) .5 ,2 J - 52.. 2. l..J psi remainint T ota' length of pipe from control valve to the farthest sprinkler = ~ 7 fe~+ X. LLo671 = 2, I S,psi. I (8). 52-,2. C1 minus (9) 7, IS - ~LS. Off psi remainin~ Equivalent length for valves and fittings (m~ter to farthest sprinkler head): Type Number Equivalent 1 II T run I L X [I] = 1" T Branch 2. X [}J = 1 Ie 90 Elbo.yv <0 X IT] = 1 Ie Coupling 2- X [Q = 1" 45 Elbow 0 X IT] = 1" Gate Valve J X IT] = (11) To~al Feet 0 G /1 LCJ ~/2 :L o J 12. 13. 14. 1'5. Loss in fittings (11) . G; G feet X 1.1067 I = 7. 0 t.:.J psi. (10) 4$".0'1_ minus (12) 7, 0'/ = 38. os psi remaining. PSI remaininQ (13) 3 B. CJ.S"' minus :3 I '1 (loss in riser) parts =-. 3 '-'I. ".5 t (14) 3 Y. ~5 is more than the minimum.design psi required for 2 or 1 sprinkler heads operating. FP-9C Riser Parts Potter flow switch 2.4 psi Soft seat valve 1.0 psi - Needed Information: Type of sprinkler head GPM & pressure 1st head GPM & pressure 2nd head 2.~ 3/4" water meter e.,.s . Revised 5/29/91 . . . . , . .'.S p.Rl'N.K:Lt~~:R" MAN 1 ~OL 0 , . . ~ py c. ~____. __?. . To.._.H..EAD5 . . y~ ~~ T ~.~__ ._____ --_._~ --.- . - ...~ ------. --... -.- - ------..----- -- - --- -- .---.--- --- - -- ----.._--~------- -..- -. -.- - . . - -- - .. - .-. ._- - -- .e. e- . . ~ ORA','N_ RT~S.r_.:VALV - '.' .(PLVN\B.ED TO. aVTSI DE) :..e..\< :. . vE. . _J:::J-::O_l~L__.s W.lIc H . .. ...--------- - --. __a ___ _._ ._ ___ -. - -- -- -. - . ... ... _ . ... _ .... ... -- - - - -- - - - - - - - .... - -.. . .. -.. . .. ._._ .. __ ._ _____ ______. .__ .__ .__n_ _ : ..: .. II .. ... ~- .. .-----,... .,\ .- .....-.--,-----..-.-. --. . -. 0 1.0. _, __... _. . , 1 1 I P \. P~. ~ . ~ I . '" .... - - -------- .-. . ~ .' . . . --- - -.... ... -. ---. .-. ~ ..--- - ... --- --_._. . ------- ---- --- --- --------- ..---- .--_.- --.. .. - . .. ... - __A - __. - .___ - ____ .... - .________...____ --- ... -. .. - . - .. -.. _.- ... - --- ="5 .l.G.JV ~ 0 --.8 Y.: ._.. _ ;. . .. . _. . .: . . . ... -...-- .. -- -- - --- -- -- . - -..... . . .. . . N C\\ 0 V ATE. D F \ R E.. S.? R\ l\\ K L E RS . f \3.:0J'V\ 'p71-c'Tt"R tqeD / Fire & Building / Products Direct Sales (Central): Tel: (800) 523-65121 Fax: (215) 362-5385 Distribution Sales (Gem/Star): Tel: (800) 558-52361 Fax: (800) 877-1295 Technical Services: Tel: (800) 381-93121 Fax: (800) 791-5500 Series LFII Residential Concealed Pendent Sprinklers, Flat Plate 4.2 K-factor General Description The Series LFII (TY2596) Residential Concealed Pendent Sprinklers are decorative, fast response, fusible sol- der sprinklers designed for use in resi- dential occupancies such as homes, apartments, dormitories, and hotels. The cover plate assembly conceals the sprinkler operating components above the ceiling. The flat profile of the cover plate provides the optimum aestheti- cally appealing sprinkler design. In ad- dition, the concealed design 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/I (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/psi112 (60,5 LPMlbar1/2) Temperature Rating: 160oFfl10C Sprinkler with 1350F/570C Cover Plate dULY, 2002 ~~ Vertical Adjustment: 1/4 inch (6,4 mm) Finishes: Cover Plate: Flat White, Bright White, Chrome, or Custom Physical Characteristics: Body . . . . . . . . . . .. . Brass Cap . . . . . . . . . . . .. Bronze Saddle . . . . . . . . . .. . Brass 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 tDupont Registered Trademark TFP440 \'1 Page ~ of 4 " ,1 Operation When exposed to heat from a fire, the Cover Plate, which is normally sol- dered to the Support Cup at three points, falls away to expose the Sprin- kler Assembly. At this point the Deflec- tor supported by the Arms drops down to its operated position. The fusible link of the Sprinkler Assembly is com- prised of two link halves that are sol- dered together with a thin layer of sol- der. When the rated temperature is reached, the solder melts and the two link halves separate allowing the sprin- kler to activate and flow water. Design Criteria The Series LFII (TY2596) Residential Concealed Pendent Sprinklers are UL and C-UL Listed for installation in ac- cordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having Jurisdic- tion. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 130 or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 130 or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the the four most hydraulically de- manding sprinklers. The minimum re- quired discharge from each of the four sprinklers is to be the greater of the following: . The flow rates given in Table A for NFPA 130 and 13R as a function of temperature rating and the maxi- mum allowable coverage area. · A minimum discharge of 0.1 gpmlsq. ' ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in TFP440 Minimum 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) 160oFn1 oC 160oFn1OC Sprinkler Sprinkler 12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,1 LPM) (3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar) 14 x 14 14 14 GPM (53,0 LPM) 18 GPM (68,1 LPM) (4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1,27 bar) 16 x 16 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) 18 x 18 18 20 GPM (75,7 LPM) N1A (5,5 x 5,5) (5,5) 22.7 psi (1,57 bar) 2Ox20 20 24 GPM (90,8 LPM) N/A (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 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA FOR THE SERIES LFII (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed relative to the ceiling mounting surface as shown in Figure 3. Sprinkler Spacing. The minimum spacing between sprinklers is 8 feet (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). Installation The Series LFII (TY2596) must be in- stalled in accordance with the follow- ing instructions: NOTES Damage to the fusible 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 fUbs. (9,S 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 the sprinkler inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under- or over-tightening the Sprinkler. Readjust the position of the sprinkler fitting to suit. Step 1. The sprinkler must only be installed in the pendent position and with the centerline of the sprinkler per- pendicular to the mounting surface. Step 2. Remove the Protective Cap. Step 3. With pipe thread sealant ap- plied to the pipe threads, and using the W- Type 18 Wrench shown in Figure 2, install and tighten the Sprinkler/Sup- port Cup Assembly into the fitting. The W-Type 18 Wrench will accept a 1/2 inch ratchet drive. Step 4. Replace the Protective Cap by pushing it upwards until it bottoms out against the Support Cup. The Protec- tive Cap helps prevent damage to the Deflector and Arms during ceiling in- stallation and/or during application of , TFP440 Page 3 of 4 BODY (1/2" NPT) SEALING ASSEMBLY WRENCH RECESS CAP SPRINKLER WRENCHING AREA D SADDLE COMPRESSION SCREW PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA LEVER FIGURE 2 W-TYPE 18 SPRINKLER WRENCH GUIDE ARM GUIDE ARM FRAME I I I I I I I I I I I I I I I I I I I I I I ~ I I I I ....'.... I 1 .-I L....... '''-.J l., t....../~-""-_--."""'-_/ DEFLECTOR (OPERATED POSITION) SPRINKLER/SUPPORT CUP ASSEMBLY THREAD INTO SUPPORT CUP UNTIL MOUNTING SURFACE IS FLUSH WITH CEILING o o RETAINER WITH THREAD DIMPLES EJECTION SPRING SOLDER TABS (3) COVER PLATE/RETAINER ASSEMBLY FIGURE 1 SERIES LFI/ (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"zll8" (47,6 mm zS,2 mm) COVER PLATE RETAINER ~ ~ COVER- SPRINKLER- RETAINER SUPPORT CUP ASSEMBLY ASSEMBLY 3-1/4" DlA. (82,6 mm) =rt MOUNTING 3116" J SURFACE (4,8mm) 718" (22,2 mm) 1-118" (28,6 mm) -1 TIP DEFLECTOR IN OPERATED POSITION FIGURE 3 SERIES LF/I (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACTIVA TED DEFLECTOR 'Page 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 cellmg 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 LFIt (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 mam control valve for maintenance work on the fire protection system which It controls, permission to shut down the affected fire protection sys- tem must be obtamed 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 twist/slippage, or the like, must be replaced. The owner is responsible for the in- spection, testing, and maintenance of their fire protection system and de- vIces in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec- tion Association (e.g., NFPA 25), in addition to the standards of any other authorities having jurisdiction The in- stalling contractor or sprinkler manu- facturer should be contacted relative to any questions. NOTE The owner must assure that the sprin- klers are not used for hanging of any objects and that the sprinklers are only cleaned by means of gently dusting with a feather duster; otherwise, non- operation in the event of a fire or inad- vertent operation may result. It is recommended that automatic sprinkler systems be inspected, tested, and maintained by a qualified Inspection Service. Limited Warranty Products manufactured by Tyco Fire Products are warranted solely to the original Buyer for ten (10) years against defects in material and work- 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 representatlves_ TFP440 IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE, IN CON- TRACT, TORT, STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE- ORY, FOR INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LABOR CHARGES, RE- GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' LI- ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED. INCLUDING WARRANTIES OF MERCHANTABILITY AND FIT- NESS FOR A PARTICULAR PUR- EQ$E.. 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 Bnght White Rat White _ Custom _ PIN 56-122-9-135 PIN 56-122-4-135 PIN 56-122-5-135 PIN 56-122-X-135 Sprinkler Wrench: Specify: W-Type 18 Sprinkler Wrench, PIN 56-000-1-265. TYeo FIRE PROOVCTS, 451 North Cannon Avenue, Lansdale. Pennsylvania 19446 ~ ". . @1POTIER Potter Electric Signal Company 2081 Craig Road · P.O. Box 28480 St. Louis, MO 63146-4161 (314) 878-4321 · (800) 325-3936 0) FOR SMALL PIPE VSR-SF VANE lYPE WATERFLOW 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 USTEO and NYMEA ACCEPTEO Service Pressure: Up to 250 PSI Minimum Row Rate for Alarm: 10 GPM Maximum Surge: 18 FPS Enclosure: Oie-cast. 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 112" conduit Usage: Usted Plastic, Copper and Schedule 40 Iron Pipe Fits pipe sizes -1"" 11/40" and 11120 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 1112" polybutylene (CTS~ppertubing size) environmental Specifications: Suitable for indoor or outdoor use with factory installed gasket and di~ housing. NEMA 4 Rated Endosure -use with appropriate conduit fitting. Temperature Range: 400 F/1200 F (4S CJ490 C) Caution: This device is not intended for applications in explosive environments Service Use: Automatic Sprinkler NFPA-13 One or two family dwelling NFPA-13D Residential "occupancy up to four stories NFP A-13R National Rre Alarm Code NFPA-72 Optional: Cover Tamper Switch, offJer Stk. No. 0090018 The Model VSR-SF is a vane type waterflow switch for use on wet sprinkler systems that use 10, 1 1/4'. or 1 112' pipe size. The unit may also be used as a sectional waterflow detector on large systems. The unit contains two single pole double throw snap action switches and ,an adjustable, instantly recyding pneumatic retard. The switches are actuated when a flow of 10 gallons per minute or more occurs downstream of the device. The flow condition must exist for a period of time necessary to overcome the selected retard period. INST At.l.A TION: These devices may be mounted in horizontal or vertical pipe. On horizontal pipe they should be instaUed on the top side of the pipe where they will be accessible. The units should not be installed within 6" of a valve, drain or fitting which changes the direction of the waterflow. The unit has a 1" NPT bushing for threading into a non-corrosive TEE. See Fig. 2 for proper TEE size, type and installation. Screw the device ioto the TEE fitting as shown in Rg. 2. Care must be taken to propel1yorient 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 installed on the pipe run. INSPECTION AND TESTING: Check the operation of the unit by opening the inspedo( 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 flow . detection device on the system, application of the VSR-SF is not recommended or advisable The frequency 01 the inspection and testing and its associated protective monitoring system should be in accordance with the applicable NFP A Codes and Standards and/or authority having jurisdiction (manufacturer recommends quarter1y or more frequently). PRtNTED IN USA PAGE 1 OF 2 MKT. '8800003 . REV J MFG. .5400802 - 8195 , ,: 1:~..1r ,', , f,.' ~. . ~POTTER . . @ SELLS PBA-AC & PBD-DC Potter Electric Signal Company 2081 Craig Rd./P.O. Box 28480 St. Louis, MO 63146 (314)878~3211 (800) 325-3936 6" BELL SI-tOWN Potter Electric Signal & Mfg. L TO 1967 Leslie Street . Don Mills, Ontario, Canada M382M3 (416) 441-1833 UL LISTED, FM APPROVED Sizes Available: (0 8", and'10' Voltages Available: ~ 20VA 12VDC (102 to 15.6) Polarized 24VDC (20.4 fo 312) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 15QoF (outdoor use require weatherproof backbox) Termln~tlon: 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 :8K-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 dB MINIMUM dB C 10 FT. C 10 FT. 6 12VOC PBDI26 1706012 .12A 85 75 8 12VOC PBD128 1708012 .12A 90 75 10 12VOC PB01210 1710012 .12A 92 75 6 24VDC PB0246 1706024 .06A 87 75 8 24VOC PB0248 1708024 .06A 111 79 10 24VOC PB02410 1710024 .06A 114 79 6 24VAC PBA246 1806024 .17A 91 75 8 24VAC PBA248 1808024 .17A 94 75 . 10 24VAC PBA2410 1810024 .17A 94 75 ~ 6 1 20V AC PBAI206 1806120 .05A 92 82 8 120VAC PBAI208 1808120 .OSA 99 82 10 120V AC PBAI2010 1810120 .OSA 99 85 Jeatherproof backbox model BBK.1 Stk. No.1 s00001. aCc:s: Mitwnum dB .al"'9S a.e calculaled I.om ontegrated $QUOd pressure measurements made ac Underwr<<ers laborat()(Nts as speclf16d in Ul Standard 4&4 Ul Cempe(ature (ange.s .30' 10 lS0'F Typ<al dB (a\fngs a.e calcul"I"" I.om measurements made _h" conven\1ONI1 $OUOd level mele. and a.e indocalive 01 O<JIpullevels on an &CIuat installatoon RINTEO IN USA MKT. <<8850001- REV K MFG. <<5400776 - 4\194 PAGE 1 OF2 'S "'r,.("; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST 5TH STREET. PORT ANGELES. WA 9lU62 '. J 'I "'I Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zon~ng Application valuation 04-00001051 Date .292585 2215 W 16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR 12/17/04 RS9 RESDNTL SINGLE FAMILY 189000 Owner Contractor OLYMPIC LAND DEVELOPMENT INC 259403 HWY 101 SEQUIM WA 98382 (360) 457-7222 . Structure Information Construction Type Occupancy Type Other struct info WANT ACTION CONSTRUCTION POBOX 1425 SEQUIM (360) 681-3992 NEW 1677SF SFR W/ATT 484SF GARAGE TYPE V ~ON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98382 25.20 V-N 1 00 1 00 9034 00 2282 00 2282.00 1. 00 ~~ ~~ c;: ~ Permit Add~t~onal desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1800 SQ FT SFR JARMUTH ELECTRIC 96 40 12/17/04 6/16/05 Plan Check Fee Valuation .00 o t Qty 1 00 1 00 Unit Charge Per 73 0000 ECH 23 4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73 00 23 40 Special Notes and Comments Bu~ld~ng address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on (Ord. 14 36 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations New subdivision outside the four minute response time shall be equ~pped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. The proposal will result in the construction of a single fam~ly residence in the RS-9 zone. Lot coverage and setbacks are good. No land use issues are noted The subdivision was finaled on 11/16/04. Electr~cal load calculations and elctrical permits are required Sanitary sewer connect~on ~nspect~on is required by Public Works prior to back fill of d~tch "'- 0" \}. '\ Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS! ACTION NEEDED 'ft '\oir;"" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 9lB62 ~ Application Number pin number 04-00001051 292585 Page 2 Date 12/17/04 Other Fees STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1025 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96 40 96.40 00 .00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774.50 00 00 Grand Total 1870 90 1870.90 00 .00 COMMENTS! ACTION NEEDED ~, ELECTRICAL PERMIT INSPE~JON RECORD , CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO .......i GENERAL COMMENTS: PW-II02.IS (0V96) 12/15/2004 11:09 350-581-7272 JARMUTH ELECTRIC PAGE 03 / ~ ELECTRICAL WORK PERMIT APPLICATION .,{,_.c.._,", po.... w ~'kt"" Q ADDue. Permit CJ Alarm i 0 Carnival CJ Commercial 1:1 RelldeatlB. D ResldeDtial MaiDt. 0 SlEDS a nermo!!itat Q Telecom. Job wired by [J tle<tri.al Contractor CJ Owner license number In5tIl.IIJ"~~I=oion p _~~ _ I"<.s;ef.",_~ ~ rr [J Cash [J Check # I bereby cc:i1ify that I am the owner of the above named property or B licensed ~ electrical contractor (or the firm's 3uthoriu:d agent) and am making the electrical cCJaCrdre#d.it Card ~ ~;Card_ _ _~isco_ver__ installati01l oralleration in comp6ance with the electrical law. Chapter 19.28 RCW. ...LL.:-",-~1 ~ ~ x Expiration Dale of card o WAUS Insulation Only CEILING Insulation Only TIIERMOSTAT SERVICE I -;)0 - Dale DII! Approved By ~ ""'- .o"c p~" ~ I;,~B; ,4.pP!'Ovod 8t D'l~ Apl'f'VVt'd By Cover Ac/) /-,U>- 05 Dlte Apprvvd By DITOI /:J-/; V"'i ftLJ / DII Appl'Ovc4 By FEEDER Cover ~ h;JO-,,~ 01111 "wroVI! 91 Dlle Appl'Vved By Electrical Load Additions anll or subtractfons ~ o NO LOAD CHANGES . 0 Baseboard KW o Furnace KW o H8l\1 Pump Ton lJ'iR o Fan.Wall KW Service InfDrmAtlon o Overhead Service (J Temp Service o Underground Service VOllag. Pn....O'03 Service Size: ______ Feeder Size: inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector L I-Okl- oS- P.. /- .J- - 0"- -"7tTE<=:.~ ..s: ~.s ';-{N~I'(... /'h:9; h.3b /)/:... ,>>r.: () - k~~.l) U (:) l'Lllfa I tJr.f- ! J . .. . 10/20/2004.08:44 360-681-7272 JARMUTH ELECTRIC PAGE 01 ,. -.-0.' -~ 4_ ~'-l:'~; ."':~I!"''''~;~.'T'' ~C'ft, .....'~r:L&:,. j ,3e.C14' .,."T, . ti 'DaomnA.lll!tL:lll\..Y ......, """.,; ----.. 0.."""",,,,: ELECTRICAL PERMIT APPLICATION The EIectIi_1 Permit ~C..Dn MY" ... flu.. euI aflMelMllY PIoa..ly... or ..,ria' 1ft ..... W you """"... tll n......'_ ''''(310) '17. ....U Po a._ (JI01'17~"' 0..- or Elec. CO'I"c"" A....t w(V\.+ Ad, in-.u~51- PhoN' REQUEST INSPECTION 0 Mj/- 3.,,, 'J.. F." ,,~ \ -. T~ 7 ;Z Property Owner: _: :;. ~ I c;- tv /~.ff... Sf -: CIty: EI_ Conlraclor. JaxUluth Electric Inc Ad-.: 349 W Washington St Zip; ~83-4104 98382 Zip: INSTALLATION '."REO BY: DOWI'-'ER JARMIlEI438BH L1cen.. ,: Ot)': Sequim, WA lfc!I ElECTRICAl. CONTlU\CTOR 11130{2004 EIll: Crwllt Cenl Halder He_' ON FILE SflOng AddffNls' City: C,.dll CaffJ Hum""" Exp. 0.,.: Zip: ""SA~ /lIC,-- \) ~ Same As Property Owner Address Above ~"OJeCT AI/PREISS' _ TYl'E OF WORK: Check IIJllhalspply; 0 N_ o AlterattonlAdd~lon ~ ~ ~e"den~al 0 Multl-lemlly r:J CommerClllI 0 Mobile Home Sq, Ft Remote Meter 0 Oe1Bched gertlQe 0 Hot Tub 0 Swim ~ C S.pllc Pump 0 Low VoIlage 0 Telecom, 0 Sign Number 01 Cirr.uil8 added or '~e"": ~AM /}hn:l ":i ~C;0u: ,....- , CJ DESCRIPTION OF TH~ I!LECTRICAL PROJI!CT: ""'!JOtrl"'" H.a,!..J.HgAddltloM PERMIT FI!I!: Serv.... Infonnetion t:". Oasebo8J'tj ~ Fumoce o Heel Pump C1 r- an-Willi _KW _KW _ TON lRA -KW- o eve_d SeNt.. o Temp SlIlVlce tJ Undetground s..NIce Vollage: Pha...; 0 1 0 3 SerAce Size: Feed.' SIze: I hereby certify that I hSve relld snd fJumined this application BIld know thst slime to be tflle lInd eotrect, and I em authorized (0 apply for this perrml. I unde~lBnd it is nor /he CIty'IS 18981 respons/bUIly to Clsterm/ns what peml/ls are requited; It remains Ihe app/lcanta responsibility to determine whet perm/ls are required fJnd to obtain such. . , C....dK Card Holder'. SllInature: Oete:lO .-,;>0 - 0 'I Oal.: /CJ-:J.o-O"-I . Own.r Dr I!lec, Cont. Slgnatu..: C;lELECTRICALPERMITAPPLICA nON