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