HomeMy WebLinkAbout1428 Aurora Ct - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
05- 405
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000405 Date
521100
1428 AURORA CT
06-30-00-1-0-7800-0000-
RES NEW SFR
7/06/05
/ 4z8 ~(!;6
RS9 RESDNTL SINGLE FAMILY
193000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360) 681-3992
TOTAL \ LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
Oh; ~ [)~
WA 98382
29.50
1. 00
9048.00
2671.50
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER
DROP IN WATER METER
50609
195.00
7/06/05
1/02/06
SERV
Plan Check Fee
valuation
.00
193000
,
.00
715.0000 EA
BASE FEE
PW W/M 1" SERV 5/8" METER
(>:~rfr4 (fr'-'
Qty Unit charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
50617
110.00
7/06/05
1/02/06
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.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
06/06/2005 12:33
Needs bonding for
07/06/2005 09:31
must be placed on
PM SROBERDS ---------------------------
subdivision before permit may be issued.
AM SROBERDS -- The following wording
the building permit: "No occupancy of
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plan Check Fee
valuation
.00
193000
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
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 Ihat I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing Ihis type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give aulhority to violate or cancellhe provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agenl
Date
Signature of Owner (if owner is builder)
Date
'l':\Policics\] 102.1SR [l/OSJ
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CITY OF PORT ANGELES
PUBLIC WORKS. - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
. Application Number
'Application pin number
05-00000405
521100
Page 2
Date '._. _7/06/05
.Special Notes and Comments
dwelling units shall occur until improvements are installed
and approved by the City Engineer."
Electrical load calculations and elctrical permits are
required.
Connection fee under 2004 policy $222.00
05/31/2005 10:01 AM GMCLAIN ----------------------------:..
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch.
".,;-~~~,- 7 ~~~~~ - ;~~~ - -~ -~ - ~- ~- ~ - ~- ~ -~ - ~- - ~~~~~ - ~~~;~~ - ~~~~- ~~~;- -,-C ;45. 00 ~
------------------------------------~~~~;:;~;~;;-~~~-~~~-~~:;~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 305.00 305.00 .00 .00
",,,,.,,,,,-,,,. plan Check Total .00 .00 .00 .....00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2079.50 2079.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
~ull and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
f6r 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 10 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:\Policics\1102.15K [1105 J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
. . . .
REQUEST:
Date [3.- I () -eJ S"
1/'-5 4/'7
Time ., 0
Received by P~.eso"-'
(phone, person)
Location of Work to be inspected ''-IdR l Au.e.OA':i.~-r: ) _J
Name of person requesting inspection (')\YVY'\Pr, LlA,,-,d Df'~~~""""'",.)....
I
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit N( ~ - l./O~
Sewer Foundation Framing Chimney Plumbing Final~er EXc~Other
INSPECTION NOTES: ~ IJ
Inspected: Date 'b -, 0 - O!:'; Time I '. :2-0 PY'1 By \ >~
Remarks: c..o,,+""-,-~cv- tocc-4,,-d (,,"P;l1:.. SE'wuz...s+,-<<b &1- Pr'Ol::>...".I-t Q <I-S',ftJEf.fJ c,,-vJ
, ' I(t>! ~y ~ ' r- .
ox. /1 Soulh 0-1-..... ~~j . r^->€tZ., :J:'ns/p/I...d &'If.4'' /2ed~t"~~ w,!--t.. 0. ;;l'~'7'd
"'red Ct~d,;2 '0-1- <{"Pvc./o 'II/C.O C<.~ hc-L-d--<'. c..D.t's Isou.f.l..ot/1c",=-
Nle: (',()f2.J~ER. cJ- -JAt-c L...CA.-<s-e C,NJ (( ou..
t
RESTORATION REQUIRED. . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue.on_reverse.sidejf necessary)
.....................................................................
1512.3(;
APPLICATION FOR WATER
City Water Division
, \
Port Angeles. Washington
7-Co
20CJ ~
. -
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:. <;?07-b441
Name of Applicant: ~Ctdf1 avo LAnb 'J:::>e.J/>
Address: /4z.8 _ _ _t?U/2.T
Renewal 0 NewService~. Lot 1& Add CJLY hlf'e
I X 14/1 do ' Ov3(;aJI078'OO iJZ,!> 1i"5
Size of Service .' i'tJp / h . Meter NU,,!,;: ,,::::fZ- ro .~. 6(" 7
Service Left On D. Service Left Off Y Signed (~ ~-
Installed by
Remarks: Per/11/T"iL- tJ S--1C6 1/q~~+'ItJ2SCO
hre!:pn hkkr
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date II--q-o';-
Time
Received by
~F
I
(phone. person)
Location of Work to be inspected ~ Z ~ ~)J).I1..- t~
Name of person requesting inspection D'~l L..?q.. "- O~ff .
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): @ Permit No. OS--4OS
Sewer Foundation Framing Chimney Plumbin Final ewer Excav. Other
'~....,AL 7
&J~.-,- S{~.
INSPECTION NOTES: kH-J. ~~?
Inspected: Date I J - 14 - 0 S- Time By R V
Remarks: ~ -10-0:; "SIVl ~11Qk'""
tu ! rn { 1\.....'J'll' J.P;Io..
1- ,: _-UJ. \
Ok. 1<\/ II ~/4-CS-
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
[] INCOMPLETE
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CITYOFR9~'Itl~(JELES
DEPARTMENT OF COMMl.JNrrXD~YEI..pPMENT - BUll.DING DMSION
321 EAST STIi SlREET;"PQRT ~OELBS, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR.PARCEL NUMBER:
App~iaationtype description
Subdivision Name
Property Use . . . .
Property Zoning. . .
Application 'iraluation
Owner
05~0000040.S Date
521100
'14~8 AORORACT
06-30-00~1-O-7800-0000-
RES NEW SFlf:. .
7/06/05.
Ra9 RESDmL' S.INGLE FlIMILY.
193000. '
Contractor
OLYMPIC LAND. DEVELOPMENT INC.
259403HWY.101
,SEQUIM
(360) 457,.7222
Other.structinfo
WANT ACTION' CONSTRUCTION INC.
1:'.0. .BOX 1425
SEQtJIM
(360l 681.,.3992
TOTAL t. LOT. COVERAGE
NUMBER OF.:S'l'ORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
-
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WA 98382
WA 98382
29.50
1.00
9048.00
2671. 50
1.00
- - - - - - - - - - - - - - ... -. - - ~ - - - - - - - -... -... - - - - - - - - - - - - - - .'. '';'' ~--";...,- - - - - - - - - - - -.... ... - - - - - - - - - --
Permit ... . .
Additional. desc ,
Permit pin number
Permit Fee
Issue Date
Expirat~on Date
BUILDING PERMIT -RE~IDENTIAL
50593
1538.05
7/06/05
1/02/06
Pl~.Check Fee
valuation
615.22
193000
Qty Unit Charge Per
Extension
1017.25
520.80
BASE FEE
93.00 5.6000 THOU BL-100.001~500K (5.60 PERK)
- - - - --- - - - - - - - ---- "":' - --- ---. - - - - - - - - - - - - - - - - .,. - ~ - -- -. ---. - -- -_....;.:"" - ":'" - - - - -.- .-. ---
~nit Charge per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue.Date
ExpirationDate.
Qty
1..00'
4.00
MECHANICAL PERMIT
50633
90.70' Plan Check Fee
7/06/05 V~luation
1/02/06
.00
o
14.7000 ECH
7.25QO ECH
BASE FEE
ME- INSTALL 100.- FAU
ME-VENT FAN
Extension
47.00
14.70
29.00
.'. .' ~""_"W
-----------~----~----------------------------------~-----~-----~--~---------
Permit .. . . .
Additional desc .
Permit pin number
Permit 'Pee
Issue Date
Expiration.oate ..
PLUMBING PERMIT
50625
146.00
7/06/05
1/02/06
. .
.00
o
Qty
Unit Charge Per
10.00
1.00
1.00
1.00
BASE FEE'
PL- EA.FIXTORE ON o~ TRAP
PL- EA. INSTALL ~TER PIPE
PL- EA. BLDG SEymR., .
PL- EA. WATER HEATER
Extension
47.00
70.00
7.00
15.00
7.00
7.0000 ECH
7.0000 ECH
15.0000 ECH
7.0000 ECE
,,,,- ,'.-', ," ""'-
----------------------------------------------------~---------------------~-
Special. Notes and ....Comments
SeparatB~Mhfi% ~%f(fmre1km efI~~~se~.'5fIBI~rn,$gS";lfmjfles, private and public iml?rove~Elntl).TtJi~~'e.r'Illitbecomes
null and void If work or construction authorized is nofcommeQC~arwitJ:iin t80da~, ifconstruction or wOI"~.i~;s!JsH~rlc1~~.Qrabaf1don~d
for a period of 180 days after the work as'commenced:orifreq~.ir'il'cfm~pections have not been recjuestedv:it\1lQ,1~9:~:~r-;;ftom thEllast
inspection. I hereby certify that I have read and examinedtti.Wal?PUcation and know the same to betru~;:mdcortect: AllprovisionsCif
laws and ordinances governing this type of work will becornpli(3dWithwhether specified herein.orpot.Tbe;gi'antingof a"perl'l)J,t99~s'not
presume to give authority to violate or cancel the provisions of any state or local law regulatingcQr1structionor th~ performance of
construe' n. .
flli f?t - 02-orS;,
Date
Signature of Owner (if ownerisbuil<;Jer)
Date
T:\Policies\II02_15 building pennit inspection recordOS,wpd {1/412005]
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BUllJ)ING PERMIT INSPECTION RECORD
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CALL 417-4815 FORBUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL IN.'SPECTI. ONS.
. . .
. CALL 417-4807 FOR PUBLIC WORKS UTILlmS
PLEASB'PROVIDE A MINIMUM 24HOUR NOTICE. IT IS UNLAWFUL TO COVER,1NSUL4.TEORCONCEAL'ANY W(JIUfBEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. .
KEEP' PERMIT CARD AND APPROVED PLANS AT JOB SITE ..
.... ....." , "
INSPECTION TYPE . DATE . ACCEPTED C(!)MMENTS .........
I YES I NO ... <" "
.
FOUNDATION: '.
FOOTINGS , ..
WALLS ..... ,.
,FOUNDATION' DRAINAGE/DOWNSPOUTS .
.,'
PIEltS ..' . . '.
POSTHOLEs (poLE BLDGS,) " .......
PLUMBING ..
l,!NDER FLOOR/ SLAB ." ........... .'.
· ROUGH-IN' .
.......
. ,.W A TER. LINE (METER TO BLDG) , . :'
.::GAS LINE
. .. '.
"BACKFLOW/WATER .
AIR SEAL . .
,
,WALLS ' " I .......,
CEILING' :'. , '. I
...
FRAMING '.,
10lSTS / GIRDERS , ..' ;c,' ...
.. '..
SHEAR WALUHOLD DOWNS -- '"
;WALLS /R09F1CEILING ". ,
. '.' ".
,". PRYW ALL (INTERIOR BRACED PANEL ONLY) I...'......,. '"
" .
, :r.BAR .. ....... .
".
INSULATION , ' . . <
SL.AB .' . "'C ."
WALL I FLOOR / CElLI\lfG I ..... .. ,
MECHANICAL ..... .'.
HEAT PUMP/FURNACE I DUCTS ..
_ GAS LINE. +, .,.' '.. , , '.. ...
..
WOOD STOVE f PELLET I CIDNNEY I.. ..,'.
COMMERCIAL HOOD JDUctS .
MANUFACTURED HOMES._. ' .
FOOTING f SLAB f+ ' '.' , .... ,
. BLOCKING &: HOLD t>tiWNs ,
SKlRTING ......;< ....'.. '. - ."
. '.' .., .
PLANNING DEPT. S13PARATE PERMIT #'s SEPA:
PARKlNG/LIGHTlNG - '. '., ESA:
LANDSCAl'lNG ., SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE . . .'. :
.. .......
RESIDENTIAL DATE YES NO COMMERCIAL DATE- I.... ACCEPTED
.'. .' :
. .-. .. YEs NO
- ..... = 1
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
. . LIGHT DEP! ......
CONSTRucnONR.W.1 PW/ ..' ... :. CONSTRUCTION-RoW.
... I
liNGlNEERlNG . ..... \ . . \ .' . 411-4807 . PW f ENGINBERlNG ! '. .' ."-'
I
FIRE . '. .... ." '._ 417-4653 '.' " FIRE DEPT. i
. .' .. !
PLANNING DEPT. 417.4750 PLANNING DEPT. ."
BUILDING . 417-4815 ..' BUILDING . -.. . . .......
. .
T:\Policies\II02_15buildlngpemut InspectIon recordOS.wpd [1I412oo5J
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CITY OF PQRkANfJ:ELES
DEPARTMENT OFC01vlMUNITY DEWLOPMENT - BUILDING DMSION
321. EAST 5TH STREET; PORT:AAGELES, W A 98362,
05-00,000405 .
521100
2
7/0~I05
Application Number . . .. .
Application pin number . . .
, - ',- ,-"- - -', -,",
-~----------------------------------~~~-~------~--------------~----~--------
Special Notes and Comments . .
than 12" in height. Numbers colors. mui3t: . c.ontrast with, Wall
color they are mounted on. (Ord. 14;36:'050-E) . ,.
When roof gutters are installed, dfii:ipli)7ill,locatedij:ld.~
wells or piped to approved storm drain "19~ations. . ~ ".' . ,:;;, .
A residential fire sprinkler system shall: be installed per ;~::..
NFPA UD will be requir~d. ., ..', .....
2nd option is to install an out side alarm bell that is
eletronicly connected to' the residence' eH3moke.detectors;
The alarm bell. will, be painted red inco.l.or' and i,dentified
as "Firejl),.<\,PlI."~~> .~~ ..,! .... ""!:, \'g"~ ,,::: ,,' " ' .
06/06/2005'12:33 'PM sRbBERDS' -----'-------------------,--,-
Needs bonding::'fo;r ,subdivision before permit may be issued.
07/06/200509:3:1.. AM SROBERDS-- The' following wording. i
must be placed oJ the building permit: '.NO.OCCupaIlc'y~'01:"".' -,-,
dwelling units shall,occur until improvements a~e irist~~~ed
and approved by the City Engineer." '
Electrical load calculations and elctricalpermits are
req\lired. ,"" , '
Connection fee under 2004 policy $222.00
05/31/2005 10:01 AM GMCLAIN ----------------------------
sanit,liry sewer connection inspection is required by .
Public Works prior to back fill of dit:ch.
Other Fees
. . e, . . ;.., . . ...
SEWER SYS~ DELV CHARGE'
STATE SuRCHARc:;E. , ,"
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Permit Fee Total
Pl~ Check Total
Other Fee Total
Grand Total
Charged
~aid
Credited , DUe"',, (' ,
.------'-_..:..-\ L__:,,__'~s.,_.:':' '"
, ,
...................... - -.- --........ ..-'_.......................................... ....- -.~,_" .--.......... --.. ---.... .--............ -- -..
, , .
Fee sUlllllliiry
1774.75
615.22
1774.50
4164.47
1774.75
615.22
1774'.50
4164.47
.QO., .00.
.00 .00
.00 .00-
.00 .00
t't
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".- ,
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Separate Perml~ are re.quirec! for electrical work, SERA. S,h,!reline, E~A, utilities, private and public improveme 'erir1it:~ElPom~s
nu II and void if work or construction authorized is not cOrlll'oenceo witllih 180 days, if construction or'wor , .qJ:~~a!1done~
for a period of 180 days after the work as cOI;nmenced, or ifreguired,inspections have not been reque'stEf:+,',~jl~:fromthelast
inspection. I hereby certify that I have read and examined this application and know the same to betrue.~n~ ',. ,rrectAII p~qVjsions of
laws and ordinances governing this type of work will be cOll?pUe:d,Witnwhether specified herein o.rnQt:rh~g'nmti(lg,qta p,errnitidoes not
presume to give authority to violate or canysl the.. provisibnsilfany state or local law regulating construction qr llwpefform!'lnce of
construction.
Signature of Contractor or ALlthorized Agent
Date
T:\Policies\II02_IS building P,elmitinspection record()5.Wpd[ 11412005]
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BUll.DING PERMIT INSPECTION RECORD o~- 'fOeS"
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CAL,L 417-4lH5 FORBUILDINGTNSPECTIONS. CALL 417-4735 FOR ELECTRICAL rNSPECnONS.
CALL.417-4807 FORPUBLIC WORKS UTILiTIES . (. ..' ....... ....< ,,'i'
PLEASE PROVIDE A MINIMUM 24H:()URNOTICE. 'ITis UNLAWFUL TO COVER,1iVSULATEOR,.CONCEALANYJflORKBEiORE
INSPECTEDAll/DA,fCgPTED'.l.'OST PERMIT IN A. CONSPICUOUSL()CATION.
KEEp.PERMIT CARD:AND APPROVED PLANS AT JOB SITE
. .'
'. ~SPECTION TYPE ............ ,DATE ACCEI'TED .' . '.'
YES I NO .......
..... ..
FOUNDATION: , , .. ,
. 1
FOOTINGS '" '11 /p tot .:rIA.-- -~
WALLS ' 7, t-z,J ~cG. ..:]VCI l,
.' i
. . .
FOUNDA1'ION' DRAINAGE I DOWN SPOUTS '-1/IIP/ Olb · ~-
.. .
;
.
PIERS
POSTHOLES (poLE BLOGS.) . "<. '. "
0 . .' .. ..
". - II-Ii --ip ..s' 'J &-to
PLUMBI1'lG . .. '-",' tJ/tj..-
UNDER FLOOR i SLAB . '. . . "
r.
ROUGH-IN . ~._~.OS .j t.), .. ~
.. . I:
W A 'I'ER LINE (ME'I'ER TO BLOG) 6.\'b.oe Jtt- -~
,
GAS LINE . !
.BAcKftOW IWA'I'ER .. ;
. '. '.' . .... . I .... .'
AIR SEAL ...... . ....
'.
WALLS '. ,
CEILING. I : . I
FRAMING .. ,
. . I
JOISTS I GIRDERS : ..'"
I
SHEAR W ALUHOLD DOWNS ,:
~-
WALLS I ROOF I CEILING =r... >>-as- , J1.J \1
1
'DRYW ALL (INTERIOR BRAc;ED PANEL ONLY) 1...../8-Qr ~I L L" .... ,
f
.. .' .. "
T-BAR . , .'
.
.... f
INSULATION " .... .'
SLAB c I I
......
> WALL I FLOOR/CEIUNG .... ,~"'~~as ~L.L .'
. , . P'H..,"to Ji-l'#+D~
MECHANICAL ,.,
HEAT PUMP I FURNACE I DUCTS .'. ,.
GAS LINE , I .
". .'
WOOD STOVE I PELLET I CHlJ'dNEY - ......... ."
.. .... j;
~
COMMERCIAL HOOD I DUCTS .'
MANUFACTURED HOMES
FOOTING I SLAB ".' ........ ....,.
. BLOCKING & FlOLD DOWNS . ..
SKIRTING ;.... :..... .
.' .. .
.
...... " , .
PLANNING DEPT. SEPARATE PERMIT #'8 i SEPA: .
PARKINGILIGHrING .... .' ESA:
, : '.' .
LANDSCAPING ,. .', SHORELINE:
.' .'
'. .' FINAL INSP~CTIONSREQUIRED PRIOR TO OCCUPANCYIUSE
..... RESIDENTIAL DATE YES NO COMMERCIAL DATE . ACCEPTED
> .. . . YES NO
417-4735 .. .'
ELECTRICAL. LIGHT DEPT. ELECTRICAL
'., ....... LIGHT DEPT
CONSTRUCTION R.W.I PWf CONSTRUCTION - R.W.
ENGINEERING '. 417-4807 . PW I ENGINEERING
..... .. .' '. .
FIRE .... ..... 417-4653 .. . FIRE DEPT. '.. . .'
..... '. '.' PLANNING DEPT.
PLANNING DEPT. . 417-4750 .
BUILDING 417-4815 II-J/"".# .JJ.P BUILDING ."
. .
T:\Policies\1102_15 buildingpenmt mspe<;bol\ record05.wpd [1/412005]
PREPARED 11/04/05, 9:21:47
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L"LIERLY
PAGE
DATE
4
11/04/05
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
T6-30-00-1-0-7800-0016-
05-00000405 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 RESULTSicOMMENTS
BUILDING FOUNDATION FOOTING
07/06/2005 01:26 PM JLIERLY ------------------------____
07/06/2005 04:47 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
07/12/2005 08:59 AM DYASUMUR
ALLEN 809-1445
07/13/2005 08:56 AM
PLUMBING WATER SUPPLY
08/10/2005 08:00 AM
ALAN 809-0445
..... AM INSPECTION REQUEST ......
08/11/2005 09:44 AM JLIERLY ----------------------------
BUILDING FRAMING
. OVERRIDE TAKEN BY PBARTHOL DATE: 08/31/05
08/31/2005 11:10 AM PBARTHOL
ALAN 809-0445
09/02/2005 04:25 PM
BUILDING INSULATION
09/08/2005 10:35 AM
360-809-0445
09/08/2005 04:25 PM
BUILDING DRYWALL IBWP
09/15/2005 09:03 AM PBARTHOL
ALLEN RHODES
09/15/2005 04:14 PM JLIERLY ----------------------------
:~::_:~--~~~-----~~~~~~~~~~::~~~~=--~--~~~=~~~-===========================-----
BL1 "01
BI2
PL6
BL3
BLI
BLDR 01
7/06/05
7/06/05
01
7/12/05
7/13/05
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLIERLY ----------------------------
TIME: 08:00
PBARTHOL
TIME: 11:11:18
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
JLIERLY ----------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
01
8/10/05
8/11/05
ME99 01 ~O /05 ~L . MECHANICAL FINAL
11/04/2005 09:10 AM PBARTHOL ---------------------------
----------- -- ------ ----------~------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT SUB: JARMUTH ELECTRIC (360)683-4104
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
01
9/02/05
9/02/05
JLL
AP
PLUMBING ROUGH-IN TIME: 17:00
09/08/2005 11:00 AM PBARTHOL
360-809-0445
09/08/2005 04:25 PM JLIERLY ----------------------------
::::_::__~_~___~~~:~~:::::::~l~D~OT::~:~:~-~~~~~~~~~~~~~~~~~~~~~~~~~~~_____
01
9/08/05
9/08/05
9/15/05
9/15/05
01
9/08/05
9/08/05
PREPARED 9/15/05, 13:02:23
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
3
9/15/05
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
T6-30-00-1-0-7800-0016-
05-00000405 RES NEW SFR
SUBDIV:
PHONE (360) 681-3992
PHONE : (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED .INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 7/06/05 JLL
7/06/05 AP
BI2 01 7/12/05 JLL
7/13/05 AP
PL6 01 8/10/05 JLL
8/11/05 AP
BL3 01 9/02/05 JLL
9/02/05 AP
BLI 01 9/08/05 JLL
9/08/05 AP
BUILDING FOUNDATION FOOTING
07/06/2005 01:26 PM JLIERLY ----------------------------
07/06/2005 04:47 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
07/12/2005 08:59 AM DYASUMUR
ALLEN 809-1445
07/13/2005 08:56 AM
PLUMBING WATER SUPPLY
08/10/2005 08:00_AM
ALAN 809-0445
***** AM INSPECTION REQUEST ******
08/11/2005 09:44 AM JLIERLY ----------------------------
BUILDING FRAMING
* OVERRIDE TAKEN BY PBARTHOL DATE: 08/31/05
08/31/2005 11:10 AM PBARTHOL
ALAN 809-0445
09/02/2005 04:25 PM
BUILDING INSULATION
09/08/2005 10:35 AM
360-809-0445
09/08/2005 04:25 PM
BUILDING DRYWALL IBWP
09/15/2005 09:03 AM PBARTHOL
ALLEN RHODES
JLIERLY ---------------~------------
TIME: 08:00
PBARTHOL
TIME: 11:11:18
JLIERLY -----------------------
TIME: 17:00
PBARTHOL
JLIERLY ----------------------------
BLDR 01 ~+
-------------------------------------- COMMENTS
AND NOTES --------------------------------------
PREPARED 9/0B/05, 13:0B:56
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
4
9/0B/05
142B AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
T6-30-00-1-0-7BOO-0016-
05-00000405 RES NEW SFR
SUBDIV:
PHONE (360) 6Bl-3992
PHONE : (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION FOOTING
07/06/2005 01:26 PM JLIERLY ----------------------------
07/06/2005 04:47 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
07/12/2005 OB:59 AM DYASUMUR
ALLEN B09-1445
07/13/2005 OB:56 AM
PLUMBING WATER SUPPLY
OB/10/2005 OB:OO AM
ALAN B09-0445
***** AM INSPECTION REQUEST ******
OB/11/2005 09:44 AM JLIERLY ----------------------------
BUILDING FRAMING
* OVERRIDE TAKEN BY PBARTHOL DATE: OB/31/05
OB/31/2005 11:10 AM PBARTHOL
ALAN B09-0445
09/02/2005 04:25 PM
BLI 01 ~9/0B/05J~JLL BUILDING INSULATION
09/0B/2005 10:35 AM
360-B09-0445
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
BL1 01 7/06/05 JLL
7/06/05 AP
BI2 01 7/12/05 JLL
7/13/05 AP
PL6 01 B/10/05 JLL
B/11/05 AP
BL3 01 9/02/05 JLL
9/02/05 AP
JLIERLY ----------------------------
TIME: OB:OO
PBARTHOL
TIME: 11:11:1B
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
PREPARED 9/02/05, 12:29:44
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
5
9/02/05
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
T6-30-00-1-0-7800-0016-
05-00000405 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
BLl
7/06/05 JLL
7/06/05 AP
01
BI2
7/12/05 JLL
7/13/05 AP
01
PL6
8/10/05 JLL
8/n/05 AP
01
BL3
~*
01
BUILDING FOUNDATION FOOTING
07/06/2005 01:26 PM JLIERLY ----------------------------
07/06/2005 04:47 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
07/12/2005 08:59 AM DYASUMUR
ALLEN 809-1445
07/13/2005 08:56 AM
PLUMBING WATER SUPPLY
08/10/2005 08:00 AM
ALAN 809-0445
..... AM INSPECTION REQUEST ......
08/11/2005 09:44 AM JLIERLY ----------------------------
BUILDING FRAMING
. OVERRIDE TAKEN BY PBARTHOL DATE: 08/31/05
08/31/2005 11:10 AM PBARTHOL
ALAN 809-0445
JLIERLY ----------------------------
TIME: 08:00
PBARTHOL
TIME: 11:11:18
-------------------------------------- COMMENTS AND NOTES --------------------------------------
<::
:p I (Jvttf;f9
VJ~ (Vi}-) crl;. /6~
~~I C fJrf ) 9/ fAl D:)
~~
PREPARED 9/08/05, 13:08:56
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
T6-30-00-1-0-7800-0016-
05-00000405 RES NEW SFR
SUBDIV:
PHONE (360) 681-3992
PHONE : (360) 457-7222
PERMIT: PL 00 PLUMBING PERMIT SUB: JARMUTH ELECTRIC
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
~Jf-
PLUMBING ROUGH-IN TIME: 17:00
09/08/2005 11:00 AM PBARTHOL
360-809-0445
01
PAGE
DATE
5
9/08/05
(360)683-4104
-------------------------------------- COMMENTS AND NOTES ---------------------c----------------
PREPARED 8/10/05, 13:36:14
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
5
8/10/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
T6-30-00-1-0-7800-0016-
05-00000405 RES NEW SFR
SUBDIV:
PHONE (360) 681-3992
PHONE : (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 7/06/05 JLL
7/06/05 AP.
BI2 01 7/12/05 JLL
7/13/05 AP
PL6 01 ~.~
BUILDING FOUNDATION FOOTING
07/06/2005 01:26 PM JLIERLY ----------------------------
07/06/2005 04:47 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
07/12/2005 08:59 AM DYASUMUR
ALLEN 809-1445
07/13/2005 08:56 AM
PLUMBING WATER SUPPLY
08/10/2005 08:00 AM
ALAN 809-0445
***** AM INSPECTION REQUEST ******
JLIERLY ----------------------------
TIME: 08:00
PBARTHOL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/12/05, 12:29:22
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
6
7/12/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
A~PL NUMBER:
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000405 RES NEW SFR
SUBDIV:
PHONE (360) 681-3992
PHONE : (360) 457-7222
)PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
. REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
7/06/05
7/06/05
JLL
AP
BUILDING FOUNDATION FOOTING
07/06/2005 01:26 PM JLIERLY ----------------------------
07/06/2005 04:47 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
07/12/2005 08:59 AM DYASUMUR
ALLEN 809-1445
BI2
01~+
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/06/05, 13:31:50
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
4
7/06/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1428 AURORA CT
WANT ACTION CONSTRUCTION INC.
OLYMPIC LAND DEVELOPMENT INC.
06-30-00-1-0-7800-0000-
05-00000405 RES NEW SFR
SUBDIV:
PHONE (360) 681-3992
PHONE : (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 7/06/05 JLL BUILDING FOUNDATION FOOTING
_________~__~___::~::~2::~E::~2~P:OT::I:~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____
L
'",,,,~""',
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:~~-19-o...~
Permit #: <!) ~ - ~O~
Date Approved: I,! v n
Date Issued:
/,
Fill out COMPLETELY and in INK. Your application and site plan MUST B '
COMPLETE to be accepted for review. If you have any questions, call l
PERMITS (360) 417-4815 FAX(360)417-4711
~.
Applicant or Agent: kIA-I? 'Roads
Owner: OLymp,'L Land De Vt:JDfJyn~j-
Address: f. O. Box <5t::fS City: Ct:U'/S bOl""fj
Architect/Engineer:
Wtv'lf A L' , (,;J AN TACI
Contractor CnCY7 Con sfY'Uchi:N'""'l State License #: qq ~ B 3
Address: p.o. Box J'-I2S City: S~qU..;I'.n
PROJECT ADDRESS: 1'-12';' A UYOya.. C ot,u-f
LEGAL DESCRIPTION: Lot: #- I ~ Block:
CLALLAM COUNTY PARCEL NUMBER:
Phone: 3f.o 0 I ?? oq - 0'fL! '-I
Phone: .tf:s, - 7 A;2. 2-
{..-VA. Zip: q K~'f
Phone: 3{g 7> { KOc;- 04'1 S
Exp: t/::<7!D{,; Phone:~/-3qq2-
wA. Zip: q j'3i"'-.
P. A. ZONING: 12 S CJ
Subdivision: DIy YJ1.,PiL I-Ie...ltjhi s.
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
~~~i~~:~RK~New Constr. 0 Re-roof 0 Stove .zg-7~~!fs~~~~: /SF. = $ I q 3, 0/)0 . ()/J
o Multi-family 0 Addition 0 Move 0 Garage _S"O'lY- SF. @ $ /SF. = $
o Commercial 0 Remodel. 0 Demolition 0 Deck ...:"to'1_ SF. @ $ /SF. = $
o Repair 0 Sign 0 Other . TOTAL VALUATION $ Iq~! ODD 00
BRIEF DESCRIPTION OF THE PROJECT: Sill,?/( -farvt..,'/y f</!'st'dt:Yta? ir. _
dc.vdofmVL1 of 32 hoYYl('s
COMMERClAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: 1- Lot Size: ~ K~sting Sq. Ft. ,~ & Proposed Sq. FtC026'iiJ~= TOTAL Sq. Fl~?l.iIS
Total lot coverage ~,_, ~[ %
APPR0V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAIW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time ofpermit issuance. ,
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits priorto work.
Applicant: ~t:th ~.J Date: ~as
T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
(~
{ourf
Lot: --* {(P OI'{YJ1.pIc-
Address: ft{2 g A. tA./7)1' a-
Pori Anqe/es
Zip: q83{P~
Contact: S LA ZtU1 n (> ,. J 0 I-
Phone: '-!-57... 7:<;1.2-
City:
State: _W A
Phone 2:
Fax:
Table 6-1
. PRESCRIPTIVE REQIDREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
r' dOl' O' 01)
Un Imlte azmg )J hon nly]
Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4
Option Area] 0 U- CeiIing2 Vaulted Above Int4 Ext4 Floors On
% of Floor V erti cal Overhead 1 ] factor Ceiling3 Grade Below Below Grade
Grade Grade
III Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-I0 R-30 R-I0
Occupancy
Only
See the code text for footnote references
This project complies with the following:
./ The project is a single family residence or duplex.
./ The project is wood frame OR all of the insulation is interior or exterior of the framing.
./ All building components meet the requirements listed in Table 6-1, Option III.
./ The project will meet all other provisions of the WSEC and VIAQ.
The. project will take advantage of the following exceptions to the prescriptive option:
D 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
Location of the door(s) taking this exception
D 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
J
7
I
Wi-
It-~~
-1~O
S/-flNG"
Washington State Energy Code
Pian Review Checklist
Applicant please Check, write in N/ A or fill in value on boxes or lines.
Proj ect Address:
14;2.!
,Au.YOrA LOtL/f
COmpli311Ce Approach: ( check one) 0 Systems 3l1alysis
o Component performance
M Prescriptive path
HEATING SYSTEM
o Zone Heating
~ Electric Furnace
DHeat Pump
FOUNDATION PHASE
o Slab R- _ Exterior down to frostline/slab bottom; Interior 24" horizontal or vertical; or, If radiant under entire slab
o Below grade exterior wall insulation: R- _ (If interior -see Insulation Phase)
FRAMING PHASE
~ Standard 0 Intermediate 0 Advanced
~ Standard air seal: sole plate/sub floor; rirnjoist; window & door frames; wires, plumbing, ducts, light fixtures
'j( Source specific exhaust fans: bath & laundry(50 cfrn) kitchen(IOO cfrn)
~ Whole house exhaust fan_ cfrn intermittent system has manual & auto controls: Outdoor air supply reg. for habitable rooms
or
o Integrated forced -air system, fan _ cfm, outside air duct(with motor damper) allowing .35 and .5 ACH
INSULATION PHASE
o R-.2L.- Wall insulation(above grade)
o R-~ Wall insulation(below grade): Interior wall insulation
o R-.3Q. Floor insulation
o R-.3K.... Ceiling insulation: Including attic hatch
o R-~ Vaulted Ceiling insulation
o Vapor retarders: Walls, Ceiling: 0 4 mil poly 'R1Peml rated paint Dkraft faced batts
o Vapor retarders: Floors: 0 4 mil poly Dkraft faced batts
J1 Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall
T:\ROGER\BLDG_FORMS-BROCHURES\ENERGYPLANREVlEW
Over: Fill in back side also.
~
~-
J
CITY OF PORT ANGELES
PUBLIGWORKS - UTILITIES DIVISION
321 EAST 5111 STREET, PORT ANGELES, WA 98362
1
Applicatiod Number
. AppUc!::ation pin number
Property Address
ASSESSOR PARCEL NUMBER:
" Application" type description
Subdivision Name
Property Use
Property Zoning . . .
Applicationjvaluation
05-00000405 Date
521100
1428 AURORA CT
06-30-00-1-0-7800-0000-
RES NEW SFR
7/06/05
RS9 RESDNTL SINGLE FAMILY
193000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
,,259403,HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360)' 681-3992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98382
29.50
1.00
9048.00
2671.50
1.00
Permit
Additional desc .
Permit pin number
l?E:!:r;l!Iit,Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
50609
195.00 Plan Check Fee
7/06/05 Valuation
1/02/06
.00
193000
city Unit Charge Per Extension
BASE FEE 195.00
.001 715.0000 EA PW W/M 1" SERV 5/8" METER .00
I
------------.---------------------------------------------------------------
Permit . .'. ..
A~~i~;o~al desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
,
I
SANITARY SEWER HOOK UP
50617
110.00
7/06/05
1/02/06
plan Check Fee
Valuation
.00
193000
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
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
c()~ortheyare mounted on. (Ord. 14.36.050-E)
Wli~rir6of gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be, painted red in color and identified
as ."Fir~ alarm"
06/06/2005 i 12: 33
Needs bonding for
07/06/2005 I 09: 31
musE be placed on
PM SROBERDS ---------------------------
subdivision before permit maybe issued.
AM SROBERDS -- The following wording
the building permit: "No occupancy of
..t\
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 atter 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
constr ction. '
1/&t 7-G -05
ontractor or Authorized Agent
I
!
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102,15R [1/05]
," '.,- ';;--~;-, '; >:';,.
':'::,<'{\~':Y,:_;~t:_' :r?):: :'::f'~_:O:':t~'!f\J;i!f~~F;~~t~~_;i;~~:~i'::':f:_~_:;:',-,' ,
,:." .,
PERMIT INSPECTION RECORD
,""
i
CALL 41'74807 FOR UTILITY INSPECTIONS. PLEASE PROVIDEA MINIMUM 24 HOUR NOTICE. IT IS UNLAH'F'1.1LT6(JOVER,
'INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED ANDACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
(~ - - < - - / - . (;..-- '0: ,,' -. -'
KEEP PERMIT CARD AND APPROVED PLANS AT JOB'SITE
\
, ,', . '., .'" ",::,.',;,,,:,-,,!
INSPECTION TYPE D,ATE I ACCEPTED I . COMMENTS "
( f
" .<: ; , " I YES I NO " . ,,', ',.,'.
"", , (Engineering Division) .., (- I " ',,'"
PW UTILITIES " ,
W ATERLINEI METER (
, ' '
SEWER CONNECTION " r-'
SANITARY. \, , '> "
STORM) ,".,.' , --c' ,<
SITE DRAINAGE j / "
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SITE EROSION CONTROL . I,
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SInEW ALK v
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BACK-FLOW DEVICE , ,
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''; ,f' FINAL INsPECTIONS REQU~D PRIOR TO OCCUPANCYIUSE " ." .. ." <.,.".
. "'"
RESIDENT1AL ," i YES NO COMMERCIAL I' DATE - ACCEPTED
i ,DATE "
/ -
"- t.... <' YES' "'NO'>,
, , , "
CONSTRUCTIm{R:.W; / PV/I - .. t
J ! '. CONSTRUCTION -RW:; , 1< ,
ENG~ERING.. " ',' 417-4807 , P:w I ENGINEER11'!Q . , '.
,< - -,- "\ Ii" \ " ")/>'
FIRE 417-4653' : FIRE DEPT;' . / ,
" " "."
PLANNING DEPT. 417-4750 " PLANNING DEPT;
"
BUILDING 417-4815 , BUILDING ;' .. 'y , "
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T:\Policies\1102.15R[I/05]
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CITY.OFPORTANGELES
PUBLIC WORK.S - VTILITIESDIVISION
321 EAST 5TH STREET, PORT ANGELES, WA98362 '
.... Application' Nwnber . . . . . 05-00000405
Application pin nwnber '521100
"
(
2
7/06/05
-~--------------------------~-----~---------~~'--~---~--'---------~-~--------~
,Special Notes and Comments
dwellinguhits shall occur until improvements'are installed
and approved by the City Engineer."' ,
Electrical load calculations and elctrical permits are
required.
Connection fee under 2004 ipolicy $222.00
...;.05,1.31/2005 10: 01 AM GMCLAIN u_ - u-:- _u :-__:-'- __ - u - u u - u
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
-... -~<~~;'l""','" -.-..:, - - - - t - - - - - - - -,- - - - - - - - - -- - - - - - - - -'- - - - - - ~- _.:.~ - - - - - - - - - - - - - - '!'".- ~- ,".--
Other Fees . . . . . . . .. SEWER SYSTEM.DELV CHARGE 745.00,
STATE SURCHARGE 4~50
PW WATER SYSTEM USE. FEE 1025.00
----------------------------------------------------------------------------
, .
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- --------"-- ----------
permi t Fee', Total 305.00 305.00 .00 .00
....plan Check 'Total .00 . .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2079.50 2079.50 r- .00 .00
.'.~
/
/
Signature of Contractoror Authorized Agent
. j
I
SeparatePermitsare required for electrical work, SEPA.Sho~eline'iESA, utilities,private andpublic improvemEmts.Thispermitbecomes
null and, void if work or construction authorized is not comlT1~nced within 180 days, if construCtion or work issuspendlild/or a~andoned
foraperiod of180days after the work as commenced, orifrequired inspections have not been requestedwithil) 180d~ysfrom the last
inspection. I hereby certify that 1 have read and examineclthisapplication and know the same to be true and 'torrecL Allprovisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ora permifcJoes not
presume to give authority to violate or cancel the provisions of any state or local law regulating constructionorth~ peiformanceof
construction. . .
Signature of Owner (if owner is builder)
Date
f"
. ~~~!;:~:~ ~-~~;,<:'.<~ ;,_~,:;;y~;_:",; f'~{<~;:t._,!_;.;f.~- :c' .
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CPERMIT INSPECTION RECORD
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CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWf"uJL,Tq C;OVER,
Il'!SULATE OR CONCEllpANY WORK BEFORE1NSPECTEIlAND ACCE~TED. POST PERMIT IN A~ONSPlCUQIJ"S r;OCATION.
KEEP PERMIT Cj\.RD AN~ APPROVED PLANS AT.loB SITE
. , ..., ..... /. .
.) INSPECTlCJN TYPE DATE ACCEPTED . 'COMMENTS '. /.
'.\-. .. . :
., .' . ) YES NO . ...... .
PW UTILUms (Engineering Division) .'. ... ' ./
W ATERLINlH METE~ ,', <.
.' ,--..<;
SEWER..CONNECTION ..
SANITARY"" . \ , '. .. .
-
STORM .'" "
. SITE DRAINAGE \ '. ....... . ...
'. . I ...
'0' .
i' {-
SITE EROSION CONTROL ."
PARKING/ .
.. . / " -
SIDEWALK, .
CURB & GUTTER '" .... .... . .;
.....
; '. .., .' " -. ?
"
".... .. " 1\
DRIVEWAY APPROACH I '.
. /
....... I I / ./
.BACK~FLOWDEVICE .. . ......
.... ..... .... \ 0 .. ..'
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FINALINS~ECTIONS REQUIRED PItIOR TO OCCUPANCY/VSE. ....i......,.. / ............ c..' . -c.. ,
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RESIDENTIAL . DATE YES NO .. COMMERCIAL I: DATE t,: AGc::EPTED
.. ",
'.' ; .... .- ~:[;
.. . ." . I YES.' NO
. \ ,..... .... > ./. ,.;.
CONSTRUCTION R. W. I PWI . CONSTRUCTION" R.W.
ENGINEERING 417-4807 . PW I ENGINEERING ..... .f
,
417-4653 FIRE DEPT. , '. " .
FIRE '. I
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.
PLANNING DEPT. 417-4750 - .' PLANNING DEPT. p . ......
BUILDING . c... 417-4815 .' BUILDING .. .., ... ";'.'
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.... .... ..
T:\PoJi~ies\11~2.15R [1105]
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CITY Of PORT ANGELES
PUBLIC WORKS-ELECTRICAL DIVISION
321 EASTSTH Sl'llEET. PORT ANGELES. WA 91362
,
'.
Application;Number
Application 'pin number
Property Address . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application:valuation
05-00000405 Date
521100
. ~6-30-00-1-0-7800-0016-
RES NEW SFR
11/05/05
RS9 RESDNTL SINGLE FAMILY
193000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360) 681-3992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98382
29.50
1.00,
9048.00
2671.50
1. 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc THERMOSTAT
Permit pin number 50666
Permit Fee '. 36.40 Plan Check Fee
Issue Date Valuation
Expiration Date 5/04/06
.00
o
'-...:
~
'r
\>>
Qty Unit charge Per
1. 00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
~
~
~
Permit . . , . .
Additionaldesc .
Permit pin number
Permit Fee
Issue Date
Expiration,Date .
ELECTRICAL NEW RESIDENTIAL
CONN. EEE PAID 222.00
51664
.00 Plan Check Fee
, ,Valuation
.00
o
Permit . .. . .
Additional desc.
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
JARMUTH/ 2579 SQFT SFR
57372
JARMUTH ELECTRIC
143.20 plan Check Fee
8/11/05 Valuation
5/03/06
.00
o
0'
~
Qty
1. 01)
3.00
Unit Charge Per
'73_0000 ECH EL-R-SQFT FIRST 1300
23.4000 5C EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
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.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
f -
ELECfRICAL PERMIT INSPECfION -RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINlMUM 24 HOUR NOTICE. IT IS UNL<< WFUL TO COVER,
INSULATE OR CONCEAL ANI' woRt BEFORE IT IS INSPECTED AND ACCEPTED.
. .. .
KEEP PERM1T CARD AND APPROVBD PLANs AT JOB SITE
INSPBC'l10N TYPI DATI ACCIPTID COMMENTS
ns I NO
I UT. ....
.--
RnIIHI-I-JN ll,.., ._,
ShK ViCE
'.
~rN.4 T I I I
GENERAL COMMENTS:
PW.II02.I' I4'NJ
S
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CITY Of PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANGEbES. W^ 98362
\
\.
Application. Number . . . . . 05-00000405
Application'pin number.. . . 521100
Page 2
Date 11/05/05
Special Notes and Comments
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
06/06/2005 12:33 PM SROBERDS ---------------------------
Needs bonding for subdivision before permit may be issued.
07/06/2005 09:31 AM SROBERDS -- The following wording
must be placed on the building permit: "No occupancy of
dwelling uI1its shall occur until improvements are installed
and approved by the City Engineer."
Electrical load calculations and elctrical permits are
required.
Connection fee under 2004 policy $222.00
05/31/2005 10:01 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
222.00
745.00
4.50
1()25.00
.' , .
-------------------,-~--------------------------
Fee summary Charged Paid Credi t'ed Due
----~--~--~------ --'-------- -----....---- ---------- ----------
Permit Fee Total 179.60 179.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1996.50 1996.50 .00 .00
Grand Total 2176.10 2176.10 .00 ;00
COMMENTS/ACTION NEEDED
I.
, ""/:.',~0:,:~??~?~~H~:~~t:';;~t!:,:t:~~'~f:;:~i1~;~1{~~_~';:~'{,:~;:y~ ;i-" ,:, ,',<' c'
, ..
ELECl'RlCAL PERMIT INSPECfION.RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PReVIDE A MINIMUM 24 HOUR NOTICE. iT IS VNLAfl'F!Ji..:'ij)iiliJRf;ii,..
INSULATE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. .. ..,.... .... y... . ..
,
INSPItCI10N TYPI
DATI
NO
ClOMMII'ftSi';"
ICEEPPERMlT CARD AND APPROVED PLANs AT JOB SITB
GENERAL COMMENTS:
......~~ ..
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CITY OF PORT ANGELES
PUBLIC WORKS. -. ELECTRICAL DIVISION
:l21 EAST STH STREET. PORT ANGELES. WA 98J()2
Appl1cation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivisipn Name
Property Use
Property Zoning . . .
Application valuation
05-00000412 Date
154724
1428 AURORA CT
06~30-00-1-0-7800-0000-
ELECTRICAL ONLY
5/31/05
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
JARMUTH ELECTRIC
PO BOX 635 SEQUIM
SEQUIM
(360) 683-4104
WA 98382
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
JARMUTH/ TEMP. SVC.
50013
48.10 Plan Check Fee
5/31/05 Valuation
11/27/05
.00
o
Qty Unit Charge Per
1.00 48.1000 ECH EL-TEMP SRV - 0-100 SRV FDR
Extension
48.10
"-
~
~i
~~
'\
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
.Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPE~J.()N RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
DATE I ACCIlPTKD
I YES NO
COMMENTS
Ull\;.t1 ...
Ill)1 Tn].:l~Th.l/1 :1 J V ....K
. ~ ".u, __ _.
:)bf( ., JCb
FINAl
7:/:L./eJ:' I .4.r-J7 I
, .
GENERAL COMMENTS:
PW.II02.1S 14196)
,--
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. ,.
~~
CITY OFPORT~(iELES .
DEPARTMENT OF COl\1MUNITYDEVELO"PMENT -BUILDING DMSION
321 EAST 51H STREETi PORT ANGELES, WA98362
WANT A,CTION CONSTRUCTION me.
P.b.BOX 1425
SBQUIM
(360) 681-3992
roTAL It LOTCOVERAGE
NUMBER OF STORIES
l.OT SJ:Z2
TOTAL LOT . COVERAGE
NUMB~ OF UNITS
~pplication Number , . .
Application pin number
$>roperty Address . . . .
ASSESSOR. PARCEL NTJMBERz
J\.pplicationtyPe 4escription
Subdivision Name "
property Use . ......... .
J?roperty zoning". . . '. ...
Applicationvaluatlon
05-00000405 Date
521100
1428 AURORA C'l'
T6~30-00-1-0-7800-0016-
RES NEW SFa
RS9RESDNTL SINGLE FAMILl'
193000 .
9/16/05
29.50
1.00
9048.00
2673...50
1.'00
t='Gi
Contractor
WA 98382
-., -. _...;... - -- - --.-- - -.... ~ -..... --- --.. .._-_......-.--.;".-~-----.. ----~ - -..........;..:. - '- ...;.-~..:......... -.. - - --'.- ';;'.-
permit
Ad4itional desc.
permit pin number .
permit Fee . '.
Issue Date .... .
Expiration Date.
FtRE$R.INKLER. REStD
~~.... ---';;"- -............... - -- - ---- -........ -- - ";'-_:~-':"" ""--.-'" - - -.. - - - - -... -...:-... ~ - - - ----..;.------;.----~--_..
60n~
Plan Check Fee
Valuation .' .
Special Not>es and Comments
Building address sign shall not be less than 6". & not more
than 1211 'in height. NtIII$ers colors. must contrast with wall
color they are mounted. on. (Ol:'d. 14.36.0S0-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved . storm .drain locations.
A residential fire sprinkler system shall be lnstalledper
Nli'PA 13D.willbe required. . . . .'.
2nd option is.,to install an outside alarm'bell that is
eletroniclyconnected to the.residence's smoke' detectors.
The alarm bell will be painted red. in color and identified
l;lS "Fire alarm"
06/06/200512: 33. I?MSROBERDS _:.-_:-_ -.: --- --..:.- .:._u____-;__
Needs bonding for subdiVisiOn before permit may be issued.
07/06/2005 09:31 AM SR.OBERDS -- The following wording
must be placed on the building' permit: "Nooccupanoy of
dwelling units shall occuruntJ,limprovements are installed
and approved by the City Engineer."
Electrical'loadoalmaations . and .elc:tri<:al permit.$ are
required. . .' '. . . .
Connection fee under 2 004 policy $222 . 00
05/31/2005 10:01 AM ~CLAIN __o_____.:.___u____..:..:.__uu
Sanitary sewer,connectloninspection is required by
I?ublicWorks prior to back !ill.~ ditch.
Other Fees
RES. UNDERGRND SERVICS FEE
SEWER SYSTEM.DELV.CHARGE
S1'ATE SmiCHARGE
PW 1mTER SYS.TEM. USE FEE
222.00
745.00
, 4'.50
1025,00
~~~~---~--_._----------.-~---~~--------~-----------~--------------._-------~
..'
-
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0('3
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Fee summary Charged . Credited. DUe
5e parate Permi~arerequlred for electrical work,SEPA"Shoreline, ESA, utilities,. private and public improvements. "[.tlisp~"p1itlJecomes
null and void if work or construction authorized is 'notso!'ll1:lenced within 180:ijays, . ifconstructlon or worklssusP,#~~~,~rijliC1ndoned
for aperiod of 180 days after theworkas commenced,orlfrequlred Inspecti()nsnave not been requestedWithin180f:f~fron1the last
Inspection. I hereby certify that I have read and examined this application and know. the same to be true and ~rrect;A1lprovisionsof
laws and prdinalJces gOVerning this type of work will becompHed with whether specified herein or not The granting 018 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
TcUon. .
Signature of Contractor or Autho . ed Agent Signatureof Owner (if owner is builder) Date
T:\Policies\IIOV~ buildingpennit inspection recoidOS.wpd {1I4aOO5)
, "-"
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BUILDING PERMIT INSPECTION RECORD
It!
CA~L417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FORELECftuCAL INSPECTIONS.
. " CALL.41h48Q7 FORPpBLlC WORKS UTlLIT~ .... .... .' .... ...... .... '. ..
PLEASE PROVIDE A MINIMUM 24 HOUR NOTI;CE.ITIS UNLAWFUl, TO COvER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEP1'ED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANSATJOBSITE.
.~
INSPECTION TYPE DATE ACCEPTED COMMENTS
.... YES I NO ... ......
FOUNDATION: ....
FOOTINGS
WALLS . ,.
FOUNDATION .. DRAINAGE 1 DOWN SPOUTS .
PIERS> .' ',n.
..:..... ,
POST HOLES (POLEBLDGS.) . 'ii',:' .'
PLUMBING ...... .
.
UNDER FLOOR 1 SLAB
ROUGH-IN .' · . . . ;':,
WATER~ERTOBLoa~.
GAS LINE """"~<iI. ..~~~_" '.
BACK FLOW IWATERJ 1.'-. :"'"
- . ".~ .... .... , '''.
'" AIR SEAh'e:~",."j.' .
WALLS ,
... CEILING'
"......1. . .'
", FRAMING .' .
'\ JOISTS 1 GIRDERS ""'."'.
SHEAR W ALUHOLD DOWNS .
...; WALLS 1 ROOF 1 CEILING .....;:........ ..
"
.., DRYWALL (INTERIOR BRACED PANEL ONLY) 'i'.; .
T-BAR "');('" . . <.
. INSULATION '.' ''i''i.,.. -
.'
SLAB
.,.... W AliJ1.1E,.OORI CEILING d
, . ' . ~ __" :' 0 .... ,.",,: .
+. MECHAi"ijc;AL .
HEAT P~ 1 FURNACE 1 DUCTS
GAS LINE ;. ,
WOOD STOyE I PELLET 1 CHIJW-lEY ......
COMMERClA.LHooD 1 DUCTS .,. .
MANUFACTURED HOMES ":.. ,.
'.
FOOTING I SLAB ,
BLOCKING & HOLD DOWNS
SKIRTING ..' .'
.. '.,
PLANNING DEPT. SEPARA'l'E PERMIT #'s ..' SEPA:
PARKINGILIGHTING .. ESA:
. : .
" . . .' .' . 0~~
LANDSC~ING . ..' ... I.. SHOR.EJ,.INE: .
. " FIN~~!!rECl10f\lS ~~~,PRIOR TO OCcvrJ\Jll~IOSE .,' . .'
RESIDENTIAL .. . .,J>A TE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL .'.
LIGHTDEPT
CONSTRUCTION - It. W, .'
CONSTRUCTION It. W.I PWI -.. ;",'
ENGINEERING 417-4807 ..'. YW.l:EN~G'
FIRE ,; 417-4653 FIRE DEPT,
PLANNING DEPT. 417-4750 PLANNING DEPT. ..
BUILDING 417-4815 . BUILDING ,
:r:\P9!i.~~~!lP1""l~,8~!~~gp.\lnnll.lnspectl~~, ~cordOS.wpd (If,,,?OO5J
, dPORf~ -
.(1
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . , . 05-00000405
Application pin number . . .521100
Page 2
Date 9/16/05
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
.00
.00
1996.50
1996.50
.00 .00 .00
.00 .00 .00
1996.50 .00 .00
1996.50 .00 .00
Separate .Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This perl'l'llt 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 requlr:ed 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:\Policics\11 02_1 S building pennil inspection recordOS. wpd [J/41200S]
I
. ~.'.,",,,~;, ',; .. '.
',\':,N: ".:; -:,':;,1.'j ('!~.+";.
BUILDING PERMIT INSPECTION RECORD
...
.,-~
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECfRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS U11LITIES .... . . .
PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. IT IS UNLAWFUL TO COVEJ,l., lNSCJLATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. PO~T PERMIT IN A C()N~:flCU(:)US LOCATION.
KEEP PERMIT CARD ANIjAPPROVED pLANS'AT JOB. SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO ". . ..'
FOUNDATION: ,
FOOTINGS
WALLS .
FOUNDATION' DRAINAGE I DOWN SPOUTS
.
PIERS .
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB .'.
..
ROUGH-IN .>,
WATER LINE (METER TO BLDG)
GAS LINE .
BACK FLOW I WATER '. :':'"
AIR SEAL ..:.
WALLS I
CEILING' I I
: '.
FRAMING "..
JOISTS I GIRDERS ',:
SHEAR W ALLIHOLD DOWNS
WALLS I ROOF I CEILING , ..>".......
DRYWALL (INTERIOR BRACED PANEL ONLY) .' '.>
T-BAR . "':.,: "':.
':"', "
INSULATION
SLAB
W ALLIl'LOOR I CEILING I .. I
MECH~.<;AL
HEAT PuNw I FURNACE I DUCTS .
GAS LINE ,
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS .
"'.
MANUFACTURED HOMES
FOOTING I SLAB
. BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTlNG . ESA:
LANDSCAPING .':. SHOREI.INE: '!:.
,
F1NAt:'INSPE<;I'IONS REQ~ P~OR TO OCCUPANCYIUSE .
,
. YES NO COMMERCIAL DATE ACCEPTED
RESIDENTIAL ..DATE
YES NO
. .
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI !r/ Ir 10( IF CONSTRUCTION - R.W.
ENGINEERING 417-4807 . PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
___T:\Polil:ies~IlQLlS:!>uiJding pcnnilll1spcctJon record05.wpd [1/412005]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applicatior:. and site plan MUST BE
COMPLETE to be accepted for review. IfYOll have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: \/: V\..C' o'y\";.J- Bll.;ttJ.J...,;- Phone: vtS 2. - )..s l13
Owner: e 1..:.J';;;O~i'~ Vlo.......+t~#)(J'" c:-c.a.y..:!, f. Phone
Address: 'IJor. .. . -...)O>c J -I C>,J City: ~ J2....~ "^,,t ~
Architect/Engineer: Phone:
Contractor /NNCJ;/~U.f) '1=/ jl, E State License #:IWNd1JsFOl/"!!l} ~411~
Address: 8/ Ple,i.A../ ~-LL-... k'""- City: po-rJ f)......... S~'.e.J
PROJECTADDRESS: ...1.'-12-8 . A"^,,ro-r~ Co \.A..r f-
18
Zip:
'18-3 0'<-
Phone: LfS2 - 7s83
Zip: OzZ;3 ~ 2..
ZONING:
LEGAL DESCRIJlTION: Lot:
Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
Ti'1'E OF WORK:
)(: Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
MC
#
Exp. Date:
o Stove
o Garage
o Deck
o Other
---F ~.re-
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
~ \ T01;ALtVALUATION ,$ 2200. 00
.sp'n~~-R/- ~~S.f~~
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IFa plan check fee is dueitmustb-e'submitted at the time the building permit application and construction-plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: lfno permit is issued witbin 180 days of the date ofapplication, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to dete ine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T:\Policies\BL-l102_13.wpd Applicant: ~4. ate: aJZZ-/QS
, I
If>ro
as . z.~
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 1428 Aurora Court
Installer: Innovated Fire Sprinklers Installer Telephone: 452-7583
Type of System: Open 130 13RO 13DIZI
Date: 9.13.2005 P AFD Permit #: 05-23
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13D system will require a
measured flow test.
~ Contractor
o Building Department
o Fire Department
Reviewed by: fQ ~
Date: q. \~ '0'>
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
,
Project Name: Private Residence Address: 1428 Aurora Court
Installer: Innovated Fire Sprinklers Installer Telephone: 452-7583
Type of System: Open 130 13RO 13DIZI
Date: 9.13.2005 P AFD Permit #: 05-23
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13D system will require a
measured flow test.
Contractor
Reviewed by:
^fCD'~~
o
~
o
Building Department
Date: q. \3 . cs-
Fire Department
~
,
if
..
,
Fire Sprinkler. System Plan
Innovated Fire
Sprinkler Systems
81 New Haven Lane
Port Angeles, WA.,
98362
(360) 452-7583
August 29, 2005
For: Olympic Land Development
Location: 1428 Aurora Court
Port Angeles WA., 98363
Contractor: Want Action Construction
360-681-3992
I -
12.
13.
14.
1'5.
FP-9C
13 D HYDRAULIC CALClTLA TIONS
Worksheet
For I" CPVC Pipe
. Two heads require 26 gpm flow at designed pressure.
One head requires 18 gpm flow at designed pressure.
f+
1 .
2.
3.
4.
5.
,,-; ,f~
f'o""'....,..,h ....~'...~
I.. 'b" ~. .'
. I ..,,~ ~<1io" SilO""'\(' ,~'
Pipe size = 11" ] CPVC (friction loss .1067). '0 'I)r(J(J'hJ}~,SltI\"tl''1 .
- c. L)./Vl...--"~:::! /7. J).JS.
Water pressure at street (2) = G ~ pSI. .)/-<"1/':'_<-
Meter friction loss (3) = . I psi (see Table 4-4.3d NFPA 13[
(2) -G;S minus (3) 7 (4) = S8 psi remainin
Loss from street main to control valve = 60 feet X I .1067 I = G.. If()
feet (see friction loss chart).
(4) S 8 minus (5) 6 t '-10 _ (6) S6. ~ 0
Elevation loss (building & street) - I 2. feet X .434 =
(6) ..f~r;o minus (7) S,,21. - Y'6 .39
Total length of pipe from control valve to the farthest sprinkler =
X 1.10671 = S.7ro psi.
(8) LI b .3 CJ minus (9) S. -; b - 401 GJ" psi remafnfn~
Equivalent length for valves and fittings (meter to farthest sprinkler head):
Type Number Equivalent
1" T run 6 X IT] =
1 " T Branch a X W =
1" 90 Elbo.yv ::1 X IT] =
1 " Coupling I X 0 =
1" 45 Elbow 0 X IT] =
1 " Gate Valve I X [IJ =
( 11) Total Feetlj I
6.
7.
8.
9.
psi remaining
0. 2' I psi
psi remaininc
~ LJ'f fe~
10.
11 .
Cd
ID
? J
J
o
J
f
f~\t::~ ~
feef'~~"J"
tl'~!lJJ~
3/2 (/c.;.~
Loss in fittings (11) '--I I feet X 1.1067 I = L{:s 7 psi.
(10) 1-/0. ~3 minus (12) '1 ( ~ 7 - ,~c, . d. b psi remaining.
PSI remaining (13) .3 b .d ~ minus 3, If (loss in riser) parts = 3'~. 86
(14) :s 2, 8G is more than the minimum design psi required for 2 or 1 sprinkler
heads operating.
Riser Parts
Needed Information:
Type of sprinkler head -r.. c-o
GPM & pressure 1 st head l-b'
GPM & pressure 2nd head
Potter flow switch 2.4 psi
Soft seat valve 1.0 psi
p ,." ; ",.<1 c; f 7 9/9 1
. _. - . .. . .~ .
.SPR.IN.K:L..E.R' .MAN 1 f=OL 0
~
PYCn.n ._. n ?:..
...TO_....H..EA.D5 . .
(!J~~.I~.~__ ._____
J h.... __~A_.v.~!5- . _. . .
e..~.. .. n_'. '__'_
... ._~. ..-.--..' .-. .....-
.. 0 ~A-'N_ R TEST_.VAl V
p~_~.~=~.~_ .- :.-~--:_~.'~- . -.. .(PLVN\B.ED .TO. OVTSIDE.)
Q.l< :. .
iE.
J=LOW ~WITCH . ._ .
...~ __~_._u._ .._____0_......__ _.. ___. ._ _..
.' .
.__.__.. ..__....__._....___..._._.___. ... ._. _.u_
00
. --.. --.---.. -. -..- -.-.. ....
... ---._.-:-~___:/.__._.,<~.._. ..__.. H'" _0""__'
. ..- ,"_._ ._. .._On ..~.....4JC 'BLti. r__ '_' --G.I1J=C=K_ __'___' _''''__ ._ ....
_-_:_~ l;~-'~--- -- ~ t-' _-...-..m .-. i"~:P\.P€- ,'_
__Om _______ ., I . _ I -'\.rd .. I d. I L - ------.. 1'1 __ _ _ __ _
- -----. ..-)Y.ti..---Dc.VA.- -- - ._--. . - -- __. . ..' -.--- .-- . .-
__ :_\ __n.____.________.________.. .
..----...---..--- ....- -..-..---..---------- ----_.-- .-
. .
;rG:Nt D ....B Y.: .. .._:. . .... ._.. _. n: " .. .. ...
., . -. . __ __ . F ~OJY\ -
if\lOVATED F\-f~~E-:' S..?R\\~\KL.ERS.. . .~~..':. .'.M:CT'~"'~"
.~
.J
3
. . .
tileD / Fire & Building
/ Products
Direct Sales (Central): Tel: (BOO) 523-65121 Fax: (215) 362-5385
Distribution Sales (GemlStar): Tel: (BOO) 558-52361 Fax: (BOO) Bn -1295
Technical Services: Tel: (BOO) 381-93121 Fax: (BOO) 791-5500
Series LFII Residential
Concealed Pendent SprinklersJ 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 LFIl (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
C~nceale? Pendent Sprinklers are
shIpped wIth a Disposable Protective
Cap. The Protective Cap is temporarily
removed for installation, and then it
ca~ be replaced to help protect the
spnnkler while the ceiling is being in-
Page 1 of 4
stalled or finished. The tip of the Pro-
tective Cap can also be used to mark
the center of the ceiling hole into pias-
ter board, ceiling tiles, etc. by gently
pushing the ceiling product against the
Protective Cap. When the ceiling in-
stallation is complete the Protective
Cap is removed and the Cover Plate
Assembly installed.
WARNINGS
The Series LFII (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:
160oF1710C Sprinkler with
1350F/570C Cover Plate
.JULY, 2002
...
~
Vertical Adjustment:
1/4 inch (6,4 mm)
Finishes:
Cover Plate:
Rat White, Bright White, Chrome, or
Custom
Physical Characteristics:
Body. . . . . . . . . . . .
Cap. . . . . . . . . . . . .
Saddle . . . . . . . . . . .
Sealing Assembly . . . . .
. . . . . Beryllium Nickel wI Teflont
Soldered Link Halves . Nickel
Lever . . . . . . .'. _ . . . . Bronze
Compression Screw . . . . . . Brass
Deflector . . . .. .... Bronze
Guide Arm Frame . . . . Bronze
Guide Arms " Stainless Steel
Support Cup _ _ . . Steel
Cover Plate _ _. . . . . Copper
Retainer . _ . _ . . . . . . . . Brass
Cover Plate Ejection Spring
. . . . . . _ _ . . . . Stainless Steel
. Brass
Bronze
. Brass
tDuPont Registered Trademark
TFP440
- - .
.Page 2 of 4
Operation
When exposed to heat from a fire, the
Cover Plate, which is normally sol-
dered to the Support Cup at three
points, falls away to expose the Sprin-
kler Assembly. At this point the Deflec-
tor supported by the Arms drops down
to its operated position. The fusible link
of the Sprinkler Assembly is com-
prised of two link halves that are sol-
dered together with a thin layer of sol-
der. When the rated temperature is
reached, the solder melts and the two
link halves separate allowing the sprin-
kler to activate and flow water.
Design
Criteria
The Series lFII (TY2596) Residential
Concealed Pendent Sprinklers are Ul
and C-Ul Usted 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 manufacturers
recommendations that may be accept-
able to the Authority Having Jurisdic-
tion.
System Type. Only wet pipe systems
may be utilized.
Hydraulic Design. The minimum re-
quired sprinkler flow rate for systems
designed to NFPA 130 or NFPA 13R
are given in Table A as a function of
temperature rating and the maximum
allowable coverage areas. The sprin-
kler flow rate is the minimum required
discharge from each of the total
number of "design sprinklersft 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 O. 1 gpm/sq.
ft. over the "design areaft comprised
of the four most hydraulically de-
manding sprinklers for the actual
coverage areas being protected by
the four sprinklers.
Obstruction To Water Distributfon.
locations of sprinklers are to be in
TFP440
y
Minimum Aow (b) and Minimum Aow (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
Ft. x FL (m) for 12 Inch Run) for 12 Inch Run)
(m x m)
1600Fm oC 160oFnlOC
Sprinkler Sprinkler
12 x 12 12 13 GPM (49.2LPM) 18 GPM (68,llPM)
(3,7 x 3,7) (3,l) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar)
14 x 14 14 14 GPM (53,0 LPM) 18 GPM (68,llPM)
(4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1,27 bar)
II': lOx 16 1 16 16 GPM (60,6 LPM) 18 GPM (68,llPM)
(4,9 x 4,9) (4,9) 14.5 psi (1,00 bat) 18.4 psi (1.27 bar)
1'-- 1R y 1R/' 18 20 GPM (75,7 LPM) N/A
(5,5 x 5,5) (5,5) 22.7 psi (1,57 bar)
2Ox2O 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 minimlU'n required flow for the next highest coverage area
for which hydraulic design criteria are stated.
(b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The
associated residual pressures are calculated using the nominal K-factor. Refer to
Hydraulic Design Criteria Section for details.
TABLE A
NFPA 130 AND NFPA 13R HYDRAULIC DESIGN CRITERIA
FOR THE SERIES LF" (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 lFlI (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 h.lbs. {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 SprinklerlSup-
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
I
I
,
-',
".-.
.'
( .. .
. . TFP440
Page 3 of 4
s
BODY
(1/2" NPl)
SEALING
ASSEMBLY
WRENCH
RECESS
SADDLE
SPRINKLER
WRENCHING
AREA
D
CAP
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
11
1 I
11
I I
"
,JL../
......._~-""'------~......,..,.J
I I
I I
1 I
I I
I I
I I
11
''-.J l,
SOLDER LINK
ELEMENT
~
/ ,
SPRINKLER/SUPPORT CUP
ASSEMBLY
DEFLECTOR
(OPERATED
POSIT10N)
THREAD INTO
SUPPORT CUP
UNTIL MOUNTING
SURFACE IS
FLUSH WITH
CEILING
o
o
RETAINER
WITH THREAD
DIMPLES
EJECTION
SPRING
COVER PLATElRETAINER
ASSEMBLY
FIGURE 1
SERIES LFI/ (TY2596) RESIDENTIAL
CONCEALED PENDENT SPRINKLER
COVER
PLATE
SOLDER
TABS (3)
SPRINKLER.
SUPPORT CUP
ASSEMBLY
=r'MOUNTING
3116" J SURFACE
(4,8 mm)
~
SPRINKLER.
SUPPORT CUP
ASSEMBLY
FACE OF
SPRINKLER
FITTING
1-718":t:118"
(47,6 mm
:t:3,2 mm)
COVER
PLATE
RETAINER
OPERATED
SPRINKLER
~
COVER.
RETAINER
ASSEMBLY
718" (22,2 mm)
1.118" (28,6 mm)
3-114" DIA.
(82,6 mm)
1
TIP
DEFLECTOR IN
OPERATED POSITION
RGURE 3
SERIES LRI (TY2596) RESIDENnAL CONCEALED PENDENT SPRINKLER
INSTALLA nON DIMENSIONS / PROTEcnVE CAP / ACTIVA TED DEFLECTOR
'.,
,
:: ~age 4 of 4
.'
the finish coating of the ceiling. It may
also be used to locate the center of the
clearance hole by gently pushing the
ceiling material against the center
point of the Cap.
NOTE
As long as the protective Cap remains
in place, the system is considered to
be <<Out Of Service".
Step 5. After the ceiling has been com-
pleted with the 2-1/2 inch (63 mm)
diameter clearance hole and in prepa-
ration for installing the Cover Plate As-
sembly, remove and discard the Pro-
tective Cap, and verify that the
Deflector moves up and down freely,
If the Sprinkler has been damaged and
the Deflector does not move up and
down freely, replace the entire Sprin-
kler assembly. 00 not attempt to mod-
ify or repair a damaged sprinkler.
Step 6. Screw on the Cover Plate As-
sembly until its flange comes in con-
tact WIth the ceiling.
Do not continue to screw on the Cover
Plate Assembly such that it lifts a ceil-
ing panel out of its normal position.
If the Cover Plate Assembly cannot be
engaged with the Mounting Cup or the
Cover Plate Assembly cannot be en-
gaged sufficiently to contact the ceil-
ing, the Sprinkler Fitting must be repo-
sitioned.
Care and
Maintenance
The Series LFII (TY2596) must be
maintained and serviced in accord-
ance with the following instructions:
NOTES
Absence of an Escutcheon Plate may
delay the sprinkler operation in a fire
situation.
Before closing a fire protection system
main control valve for maintenance
work on the fire protection system
which it controls, permission to shut
down the affected fire protection sys-
tem must be obtained from the proper
authorities and all personnel who may
be affected by this action must be no-
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 100oF1380C and they
must never be painted, plated, coated,
or otherwise altered after leaving the
factory. Modified or over heated sprin-
klers must be replaced.
Care must be exercised to avoid dam-
age - before, during, and after instal-
lation. Sprinklers damaged by drop-
ping, striking, wrench twisVslippage,
or the like, must be replaced.
The owner is responsible for the in-
spection, testing, and maintenance of
their fire protection system and de-
vices in compliance with this docu-
ment, as well as with the applicable
standards of the National Rre Protec-
tion Association (e.g., NFPA 25), in
addition to the standards of any other
authorities having jurisdiction. The in-
stalling contractor or sprinkler manu-
facturer should be contacted relative to
any questions.
NOTE
The owner must assure that the sprin-
klers are not used for hanging of any
objects and that the sprinklers are only
cleaned by means of gently dusting
with a feather duster; otherwise, non-
operation in the event of a Ore 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 Rre Products to be
defective shall be either repaired or
replaced, at Tyco Rre Products' sole
option. Tyco Rre Products neither as-
sumes, nor authorizes any person to
assume for it, any other obligation in
connection with the sale of products or
parts of products. Tyco Fire Products
shall not be responsible for sprinkler
system design errors or inaccurate or
incomplete information supplied by
Buyer or Buyer's representatives.
TFP440
G
IN NO EVENT SHALL TYCO FIRE
PRODUCTS BE LIABLE, IN CON-
TRACT, TORT, STRICT LIABILITY OR
UNDER ANY OTHER LEGAL THE-
ORY, FOR INCIDENTAL, INDIRECT,
SPECIAL OR CONSEQUENTIAL
DAMAGES, INCLUDING BUT NOT
LIMITED TO LABOR CHARGES, RE-
GARDLESS OF WHETHER TYCO
FIRE PRODUCTS WAS INFORMED
ABOUT THE POSSIBILITY OF SUCH
DAMAGES, AND IN NO EVENT
SHALL TYCO FIRE PRODUCTS' li-
ABILITY EXCEED AN AMOUNT
EQUAL TO THE SALES PRICE.
THE FOREGOING WARRANTY IS
MADE IN UEU OF ANY AND ALL
OTHER WARRANTIES EXPRESS OR
IMPUED.INCLUDING WARRANTIES
OF MERCHANTABILITY AND FIT-
NESS FOR A PARTICULAR PUR-
EQS.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.......,.,.,...... PIN 56-122-9-135
Bright White......,...,. _.. PIN 56-122-4-135
Rat White..,... _...,. _... PIN 56.122-5-135
Custom .............. __ " PIN 56-122-X-135
Sprinkler Wrench:
Specify: W-Type 18 Sprinkler Wrench,
PIN 56-000-1-265.
TYCO ARE PROOVCTS, 451 North Cannon Avenue, Lansdale, Pennsylvania 19446
. <<
"
;'~
.:
'.
.'.....
....
~@PorrER
-
@
BELLS
PBA-AC & PBD-DC
:lotter Electric Signal Company
W81 Craig Ad./P.O. Box 28480
~t. Louis, MO 63146
314)878~3211 (800) 325-3936
6" BEll SHOWN
Potter Electric Signal & Mfg. L TO
1967 Leslie Street .
Don Mills, Ontario, Canada M3B2M3
(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)
-40" to 1 SO"F (outdoor use require
weatherproof backbox)
Termination: 4 No. 18 AWG stranded wires
Finish: Red powder coating
Optional: Model 8BK-1 weatherproof backbox
lese vibrating type bells are designed for use as tire, burglar, or general signaling devices. They have low power
Insumption and high decibel ratings. The unit mounts on a standard 4- square electrical box for indoor use, or on a model
3K-1 weatherproot backbox tor outdoor applications.
ALL DC BEllS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION:
SIZE VOLTAGE MOOR NO. STOCK NO. CURRENT (MAX) TYPICAL d8 MINIMUM d8
o 10 FT. o 10 FT.
6 l2VOC P60126 1706012 .12A .' 85 75
8 12VDC P60128 1708012 .12A 90 7S
I 10 12VDC P601210 1710012 .12A 92 75
i 6 24VDC P80246 1706024 .06A 87 75
8 24VDC 1'80248 1708024 .06A 91 79
10 24VDC P802410 1710024 .06A 94 79
6 24VAC P6A246 1806024 .17A 91 7S
8 24VAC P8A248 1808024 .17A 94 7S
. 10 24VAC P6A2410 1810024 .17A 94 1S
6 120VAC P6A12Q6 1806120 .OSA 92 62
8 120V AC PBA 1206 1806120 .OSA 99 62
10 120VAC P8A12010 1810120 .OSA 99 8S
a1hefpfoof backbox model BBK-1 S1k. No. 1500001.
:s:
Ainimum d8 ''''''-9s a'e c"lcula'''<I',om ;ot"9'.ted ~ pies.....e me..suremeols m.llde at Un<lefwfile<s Labofato<ies as q>6CIf"'d... Ul SI..nd.,<I .(6-(, Ul
empe...t...." '''''941 is .JO" to t SO'f.
'ypic.., Cl8 '.''''9s a." C.lcuC.'~ ('om ""'.........-s m.llde with a COfW......"""'1 sound level met", and a'e indalive of OUIpullevels;o an &dual install.1llon,
-trEO IN USA
PAGE 1 Or- 2
MKT. .6650001. REV K
. . o.
@2POTTER
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 TYPE W A TERFLOW
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
Sefvlce Pressure: Up to 250 PSI
Minimum Row Rate for Alann: 10 GPM
MaxImum Surge: 18 FPS
Enclosure: Oie~ red enamel finish .
Cover held In place with tamper resistant screws
Contact Ratings: 2 sets of SPOT (Form C)
15.0 Amps at 125f2S0 VAC
2.0 Amps at 0-30 VOC
Conduit Entrances: 2 knod<outs provided for 1rz' conduit
Usage: Usted Plastic, Copper and Schedule 40 Iron Pipe
Fits pipe sizes -1",11/4", and l1fZ"
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 11fZ" poIybutyIene (CTS-COppertubing size)
environmental SpeclficatIons:
Suitable for indoor or outdoor use with factory installed
gasket and die-cast housing.
NEMA 4 Rated Endosure - use with appropriate conduit fitting.
Temperature Range: 40" FI120" F (4.5" Cl49" C)
Caution: This device is net intended for applications in
explosive environments
Service Use:
Automatic Sprinkler NFPA-13
One or two family dweUing NFPA-13D
Residential "occupancy up to four stories NFP A-13R
National Rre Alarm Code NFPA-72
Optional: Cover Tamper Switch, or(Jer Stk. No. 0090018
The Model VSR-SF is a vane type waterflow switch fOf" use on wet
sprinldef" systems that use 1", 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..LA TION: These devices may be mounted in horizontal or
vertical pipe. On horizontal pipe they should be installed 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 waterttow. The unit has a l' NPT bushing for
threading into a noo-oorrosive TEE. See Ftg. 2 for proper TEE
size, type and installation.
Saew the device ioto the TEE fitting as shown in Ftg. 2. Care must
?e taken to propel1y orient the device for the direction of waterflow.
The vane must not rub the inside of the TEE or bind in any way.
The stem shou1O move freety 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 ANO TESTtNG: Check the operation of the unit by
opening the inspedor' test valve at the end of the sprinlder line or
the drain and test connection. if an inspector'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 of the inspection and lesting and its associated
protective monitoring system should be in accordance with the
applicable NFPA Codes and Standards and/or authority having
juriSdiction (manulacturer recommends quartet1y or more
frequently).
PRlmED fN USA
PAGE 1 OF 2
MKT. .8800003 . REV J
MFG. .~OO802 . 6t'9S
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08/09/2005 07:32
350-581-7272
JARMUTH ELECTRIC
PAGE B1
4:fP
~
~lectrltal Contractor
[J ADD.Ual Permit a Alarm
o owner.
D Carolvol D CommercIal .tRe.ideotlsl D Re.ldeotlsl Malol. D Sip. D Tbermo'lal D Telecom.
ELECfRICAL WORK PERMIT APPLICATION
Hleeuical contractor name
:r- t:U'".,.. ft- J: k..J.r1 C-
Purchaser's mailing address
FeJ l3."}f ~ 55""
City C'
~ell.~~
Telephon umber
't>
License number
::n.1lJo(Vi=-r ~ 3k &I
Installation descriPtion~
~/~SO ~~ # reS',,'t:-#1e<-.
.
Job wired by
1:1 Electrical Contractor 1:1 Owner
FAX number
dol)
:71:><'1
el-57 r t/J r{
(;
Stine ZJP
~ 99'34-<-
fklle~A1~ I-
c..f-
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Cash 1:1 Check #
otfredil Card Visa
Card#. .t:I21--E'L-c..__-____-____
Mastercard
Discover
rlcal contruror or electrical admlnlstntor
Expiration Date
of card
ln5peclion fee
$ /'0, .;;)--(J
x
CEILING
Insulation Only
TIlERMOSTAT
A'z:D
Appn>...od By
SERVICE
rfr{J
Appro...td By
".
DBICl ApplVnd By
#1' COVeT Ae',o
lit .tlPJ'<<lvod By
klCl Appro"'od8y
9. illS-Cover AzLJ
~n Ap~I'O"cd By
. DITCH
~~~/e~ dE<
J!DDER
Dll. A"pro~ By
ElectrlcllllDlld Additions and or subtrl!lctlons
D NO LOAD CHANGES
\J Baseboard KW
D Fumaco ~ KW
Q Heal Pump ~ Ton _LAR
o Fan-Wall _ KW
o Ovarhaad Sarvlca
D ramp Sarvlca
fit' Underground Service
Service Inlormatlon
Voltaga IP'/"'"d
Ph.... B"i d 3
Service Size: ~__ /
Foada, Slza; ~.... Y'"
.
InllpC:Clion
Date:
=
Ele:clrical
Jnspectot'
.
Area, Building or Equipment Inspected
Action Taken
/1-
~
AcD
~
--- -
fElIEC1rIRl~CAl ~U\!JSIPJIEC1r~OINl
W~lR~INIG IRlIEIP>OIRl1"
417-4735
PERMIT.
/25'- f05
.::T1'11c/T1. ~ ~~
ADDRESS
_~i'.E Au-rp::><"! a.~
APPROVED NOT APPROVED
D................... DIT~ ...................0
~ .............. ROUGH IN/COVER.............. 0
~' . .. .. . .. . . .. . .. ... SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
/7) .
CORRECTIONS NEEDED: CY ~"7,t3#A R.eK~.s /6
mATC"";
,I?~.l
....s-J#,..//'--'/~
@ t3e.6:>/C.€. 1"'",..; .e-.e /'?i>D..:: - u;CJ 7L>
,#bU$If_ c:<:>.u^J'<.77~~ rU- 1- ~:2.:2. 00
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
OS/24/2005 14:08
350-581-7272
JARMUTH ELECTRIC
PAGE 0!.
Ill'EIe<:trlcal Cnntractnr
Cl Owner.
ELEClRICAL WORK PERMIT APPLICA'GON
Request Inspection
o AlIDuBl Permit 0 Alarm a Carnival 0 Commercial
Reslde..tl I 0 Re.ldeallBl Molal. 0 Sips 0 Thermoslat a Teleeo",.
Job wired by
o Electrical Contractor Cl Owner
Installation dc..cription
;,;.., M7Jr-"~
f
~~)I'--
Electrical ton<ractor name I. lie.." Rumba
~<"II"IP\c.t,+-k E/~~k,. Tn Co.
Purchaser's mailing address /",....
Ci.;~r W W4~~ ~,ale ZIP > i-
S ~"I ~ /-vA-- <If G--3 ~ ?'
Telephon~umbcr FAX: number-
1'-
Premise. owner', name
(')/4fhn p )c.. k,,~ 17t'''t:/''fht~ f-
Addreul<< InllJ"j'lon "..,
/I./:J.f(' Ac.lI~"'r.l ~ t-
Cl,y '/
t!J r-'f"
~
Cl Cash Cl Check #
I he,eby certify that I am the ownor of the above oamed propeMy or a licensod IIIl Credit Card ~) Mastercard Discover
electrical contractor (or the firm's authorized agent) and am making the electrical r- ~
installation oralleratioR in cOIlljJliance with the electrical law. Chapter 19.2811CW. Card # ~;;d." _-____ _____
Slcnature of owner, electrical contl'"at'tor or e)~ctrlcal admlnhlratol'"
Expiration Date
of card
Inspection fee
$
x
WALLS
Insulllion Only
CEILING
Insullltion Only
THERMosTAT
SERVICE
O.la
Approved By
nllC
~VcdBY
p",C
A~CdBy
PIle
ApPfO..fl4 8y
DITCH
I'DDI1l.
Cover
Cover
nllC
M9rovcd By
Dille
AppRllIlllI. By
D.ur
APFOved. 9y
D.le
Appravlld By
Electrical Load Additions and or sublr1!ctlons
D NO LOAD CHANGES
D Baaeboerd KW
D Fumace KW
D Heet Pump Ton LAA
o Fen-Well _ KW
Service Information
a Overhead Sarvice
D Temp Serv~e
a Underground Service
Voltege
Ph..e0103
Service Size: _
FHdBr Size:
Inspection
Dllte
Area. Building or Equipment Inspected
Action Taken
1b?7
vz.-. (JD
,
----..
eN'
tJ/'f
I1rLJ 5.31/or
I.
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
'0.:5
...:r~ M-7?-i' ~'c..-
ADDRESS o<j ;2 tJ
APPROVED 0' NOT APPROVED
Do. . 0 0 . 0 0 . 0 0 . . 0 0 0 0 . . 0 DITCH. 0 0 0 . . . 0 0 0 0 . . 0 0 0 0 . 0 0 D
Do 0 0 0 0 . 0 0 . 0 0 :. 0 0 0 ROUGH IN/COVER. . 0 0 0 0 . . 0 0 0 0 . 0 0 D
Do 0 0 0 . 0 ~;? 0 0 . . 0 0 SERVICE 0 0 0 . . 0 0 0 0 . . . 0 0 0 . . 0 0 ~
D. 0 0 . 0 0 0 ..000..0000.00 FINAL. 0 0 0 . 0 0 0 0 ....000..00 D
A..o;<;,;- A?_
.
r~07A6H 7ll
/JLO/srAZ-
(j)
~
.....,/~<;
'~.A??....N~E
/ "A:7~
CORRECTIONS NEEDED:
J) / r et'l 'VZ>
.Ptv~
/N
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS. INC. (360) 452-1381
CITY DF P0,11,TAN c jri, LU $ P KRMITAI�I%ICATION
Building DWIslo.oIrEketricil lulapceojojjs
312J RUM Fifth $trect — P.0, Bux 11$0 / Port AngeIrs W-W914119011, 9,8362
Ph. (360) 417-4735 Ram (360) 417-4711
10/15/2013
- I & 2 -S Ing le F a Milly Dwell:! n g
* Plan Review May Be Requlr 1, Nam Com. Oto Electricai Plan Review In(ofmatlon Sheet
Job Ad&f
,55: 14UN AURORA CT
901*0 Sgiafe Foalago.. 1888
Dmviprior ofabm%
owncHniformatlon
Norne.. Searduhanlisen
ldnikkg kkkoss: 1428 N AURORA a
tj�y_- PORTANIGEL .. E . 5 - Bute; :rVA 7jp _28_36314
R�Dr)e:. 3607971794
ROM!
Servi*Feojor 20D An.
Serlo%Weetr 201430 snap.
Servk*/FR,aJer 401-6M Amp
60hkelFt�e t r 001 -1000 Amp.
UrvU/Feeder ovet WX A"r
Diao h C401 W Swka RbWw
Wnch Ckull WO ' �Wvlco F' der
Each Add1lio-nal Brandi Circuit
Wnd Ofoulls 14
Ternp, SeMcW Feeder 2DO Amp,
TOMP, 381*0fteder 201.,10 Amp,
Temp, ServiccFwder 401.00 Amp,
Tamp, Serv!Wr-eeder 601-WOO Amp.
pof!41 10 P-Mal HOWly
S1.giWCk mill limited Drlergy -1 & 2 FDmIIyDweV1np
kinoNviured Borne Ur naciloc
Nnewa* Iteciijoel Emgy. . WVA Syslern or Less
Thermostal
QUjjjll�:t Char,Le
$ 12OLM
$146,00
$205,00
$ 26ZDQ
$373.00
S Mc
i ea 5100
MOO
9100
$1,10.00
$ 140.00
$ 11 ROD
$ KOO
$ 600
$ 120.00
$ W100
$ 513,OG
N010: S5,00 bf each 8dcN6o9aCr-S11h1
gw cotqsmLctll�q '(�
—pbL
M51 1.,300 Squwe Ft, $120.00
Ead Adcliibnal 650 Square F1, (w Polion of 03M
&0 00buodimg (x Dawalied G orage S 700
5&) SWMMIng PWI of Hot TO t 110'M
OCT 1'� 17
2013,
At
INSPECTION'3
Contrawr Informajon
NnWae. Protect Your Horne
Makig Mdress-, 3750 PrIoCty Way South Dr
CRY.' Indianapolis Stale: IN Zip: 46240
P110110, 66-502-3559
317-564-2547
LicMa 4� E);, PRC)TEYK934RS exp 12/1012013
Total: Cgijy Mulflpjled�
$_.64-_00 Total
Nnef as dehmed bV RM 19, 2 8,261: (1) Owner All,xcuipy Ilie Strockire jor Iwo yeam Aerthlg oleiArloal Vairitit Is firtaflzed, (2) Owner Is required
to hire an 6ecldcol conlie clof V AMA said propDfty is rbrsale;, rent or lease, Permit expires after six Mcoths of last Inspection,
After reading Ilia above Uemosn t, I Araby cerlify That I W) the ovorier of the rabove roamed propeo or a lensed electrical contractor. I arl making
the alec*al! W[AlaficQ or aeration in compliatwo with flie eIec0ul
laws, N.E.C, RCW. ar9pter 19.28' WAC. U aptar 2961 -468, The City of Port
Angeles Mucldpal Coda, -Nd UkMlly speclilcolion6 anrj PAMC 14.05,050regerdog SecWal Pormll.[ApoicMli>ns,
Sibnawre of owtior, electrical coot=wr or eledflea I ad wil nistrato r,
L Da t i d: 10/15/2013
4 .
0 oall 0 check
91 &L4-'tG9Fdff
-S)
14)
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . .
13- 00001795 Date 10/15/13
Application pin number . , .
132850
INSPECTOR:
Property Address , . . . . ,
1428 AURORA CT
ASSESSOR PARCEL, NUMBER:
06-30-01-7-5- 0160 -0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name . . , , . ,
ROUGH -IN
Property Use
Property Zoning . . , . . . .
RS9 RESDNTL SINGLE FAMILY
Application valuation . . . ,
0
COMMENTS:
Application desc
inQ
security system
----------------------------------------------------------------------------
Owner
Contractor
SEAN MICHAEL AND MELINDA JEANN
PROTECT YOUR HOME
1428 AURORA CT
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 98363
#200
INDI NAPOLIS
IN 46240
(317) 810 -4720
-------------=---------------------------------------------------------------
Permit . . , . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc , .
Permit Fee 64,00
Plan Checic Fee
OQ
Issue Date 10/15/13
Valuation , . ,
, 0
Expiration Date 4/13/14
Qty Unit Charge Per
Extension
1:.00 64.0000 ECH EL-
SINGLE CIR LIMITED RES
64.00
Fee summary Charged
----------- - - - - -- ---- - - - - --
Paid Credited
---- - - - - -- ---- - - - - -- ----
Due
- - - --
Permit Fee Total 64.00
64.00 OD
-
.00
Plan Check Total .00
.00 ,00
,00
Grand Total 64.00
64.00 .00
.00
°.11,, 144 -AjK-
REPORT SALES TAX
on your excise tax form
to. the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
inQ
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGMBUILDING
ti