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1714 Lambert Ln - Building
t�- RECEIVED 1 A — r ........... CITY OF PORT ANGELES PI+aRMIT APPLICATION Building 17avisleaa]/Flec:traeai Inspections ELECTRICAL 321 Fast Fifth Street M-P,O.Box 11501 Port Angeles Washington,98362 INSPECT08 Ph:(360)417-4735 Fax: (360)417-4711 Date:_" -� r 1&2 Single Family Dwelling Plan Review May Be required,Please Complete Electrical Plan Review Information Sheet Job Address;,..._ /7/ �.---------- Building Square Footage; DeacripWn of above-_ _...__c.i ra.c u u 4- �W#4.e�..� Owner Information Contractor Information Name:, I!F7() ; ALoi�_; _— 14ame; U-AA-._..-_.d.1�r( - t c.l,. �? Mailing Address: Mailing Address; !:z city: St te: s v�.� xip;_.` L City:—2' g—Lb i=1�tLr Stater Zlp; 'r r'hcna: ���•��Fax � Phone;�����Fax;. License#/Exp._ — —. .__ License��l Exp JeM Uri9t-_Charge >t TotalQty Mult's lid ed U Unit Char e Servica)Feeder 200 Amp. $120.00 $-- ServicelFeeder2,01.400Amp. $146,00 Service/Feeder 401-600 Amp $205.00 $ m_. Service)Feeder 601-1000 Amp. $262.00 ServiCelFeoder over 4000 Amp. $$73,00 Branch Clrc0 W1 Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 83.00 f Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 $ �- Temp.$ervicel Feeder 200 Amp. $ 93.00 $ Temp.ServicelFsader 104 400 Amp. $110.00 $ Temp,Servics/Feeder401-600 Amp. $149.00 Temp.Service/Feeder$01-1000 Amp, $168.00 $ Portal to Portal Hourly $ 96.00 Signal Circult/Limited Energy-1&2 Family Dwelling $ 64.00 $ , Manufactured Nome Connection $120,00 $ Renewable Electrieai Energy-5KVA System or Less $102.00 Thermostat $ 55.00 Note!$13.00$5,00 for each additional T-SW NEW CONSTRUCTION ONLY: First 1300 Square Ft. $1200 Each Additional 500 Square Ft or Portion of $ 40.00 Each Outbuilding or Qellar;W Garage $ 74.00 $ .� Each Swimming Pool or Hot Tub $110.00 $ C T= t l Owner as defined by RCW.19.28161:(1)Owner will occupy the structure for two years after this electrical permit Is finalized.(2)Owner is recithred to hire an electrical contractor if above said property is fur sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,t hereby certify that I am the owner of the above n arced property or a licensed electrical contractor.I am making the electrical installation or alteration In compllance with the electrical laws,N.E.C.,RCW.Chapter 19,28,WAC,Chapter 286-468,The City of Port Angeles Mrmicipal Code,and Utility Speolficati©ns and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: El Cain Ll cheek x � Q]I0,I12042 r' ELECTRICAL PERMIT CITY OF PORT ANGELES O 360-417-4735 Application Number 14-00000208 Date 2/2E/14 Application pin number 934736 Property Address , .. 1714 LAMBERT LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-6-5-07,80-0000- Application type description ELECTRICAL ONLY . on your excise tax fora? Subdivision Name , . . , . . to the City of Port Angeles Property Use Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . , . 0 Application desc Ductless heat pump Owner Contractor ------------------------ ------------------------ EDWARD AND HARRIET HAUE F REV T EXTRA MILE TECH & ELECT. , LLC 1714 LAMBERT LN 416 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-6966 (360) 457-5222 S` Permit . . , . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 63,00 Plan Check Fee 00 Issue Date 2/25/14 Valuation . . . . 0 Expiration Date 8/24/14 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 - - --- ------- - ------- ------ --------------- ------ ----- --- Fee summary Charged Paid Credited -.Due ------ --------- - ------ -- Permit Fee Total 63.90 63,00 00 .00 � Plan Check Total .00 .00 00 .00 f\1 Grand Total 63.00 63.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL. } COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc security system Alarm System Owner Hauff Edward 1714 Lambert Lane PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 155243 50 00 10/14/09 4/12/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00001065 533925 1714 LAMBERT LN 06 30 14 6 5 0180 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor ELECTRICAL ALTER RESIDENTIAL ADT SECURITY SERVICES INC 11824 NORTH CREEK PKWY BOTHELL WA 98011 (425) 489 3668 Plan Check Fee Valuation Qty Unit Charge Per 1 00 50 0000 ECH EL SINGLE CIR LIMITED RES Charged Paid Credited Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Grand Total 50 00 50 00 00 10Irsl 16116-m *9 Date 10/14/09 DATE RESULTS 00 0 Extension 50 00 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360 Date. 10 t X 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1" 14 F (ten o err-L t.�r� Building Square Footage: X.5 Description of above r-A.,\ p► \o��,rv� ����ei'�'1 Owner Information Name: CAA—Jour Mailing Address: SaxvIc__ �s ti fie. City Po{-t P State: ;AA- Zip: 15SAto2_ Phone. Fax: License Exp Unit Charae Total (Qtv Multiplied by Unit Charael 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator Datch 1g 10 RECE VED OCT 14 2009 ELECTRICAL INSPECTIONS Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial 5o .oao Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat So or) Total Cash Check Credit Card Contractor Information Name: A1rT Mailing Address: it sizu e_e ptcar. N Io City 'R<-I -lne_Y I State: tsl/ar Zip: 1 1 Phone: Fax: License Exp t 0 O --.. ..r-. of pORT ~ l~~ rea ...~ ~ "toO:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001115 Date .389055 1714 LAMBERT LN 06-30-14-6-5-0180-0000- RES NEW SFR 12/17/04 RESIDENTIAL HIGH DENSITY 97906 Owner Contractor LBR CONSTRUCTION/STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OWNER Structure Information Construction Type occupancy Type Other struct info 1470 SF SFR W/454 ATT GAR TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 38.00 V-N 1. 00 4941.00 1925.00 1925.00 1. 00 _.. Permit . . . . Additional desc Permit Fee Issue Date Expiration Date 90.70 Plan Check Fee 12/17/04 Valuation 6/16/05 .00 o -.J ........ ~ MECHANICAL PERMIT Qty Unit Charge Per Extension 47.00 14.70 29.00 ~ ." \\~ ~ '""'''~ , ~~ r- ~ ~ BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT Additional desc permi t Fee 132.00 Plan Check Fee .00 Issue Date 12/17/04 Valuation 0 Expiration Date 6/16/05 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 ~ ,,:~ <p- i , -t )- .::s; Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1003.25 12/17/04 6/16/05 Plan Check Fee Valuation 401.30 97906 BASE FEE Extension 667.25 Qty Unit Charge Per Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con struction.O ~~/I . k-. ~--C {2--{7'v Signature of Contractor or Authorized Agent ate Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL .... HEAT PUMP ""IlII!,,>. GAS LI~ .. WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W.I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNlNGIFORMS\1102.15 [11/1412003] Cl.Q '= --- "toO:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 04-00001115 .389055 Page 2 Date 12/17/04 Qty 48.00 unit Charge Per 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 336.00 ---------------------------------------------------------------------------- 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 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. The Fire Department has reviewed the project application and has no comments The proposal will result in the construction of a 1470 s.f. home w/attached garage in a PRD for total lot coverage of 38%. Setbacks are good per PRD approval. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. There are not any conflicts with the electric utility facilities A cost estimate for electric service will be prepared after the customer has provided the load data. (Note: Heat Pump Kw LRA. etc. Ref.: 9871 WF 29662/01 Public works utility engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1225.95 1225.95 .00 .00 Plan Check Total 401.30 401.30 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3401.75 3401.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNINGIFORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS / ,7 7~Oc; -J L<.- WALLS I J) --:1 -n ,,- J.L. FOUNDATION DRAINAGEIDOWN SPOUTS IV ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING P~U,lHU i r1j !-=itla j.-ji-L Apr UNDER FLOOR 1 SLAB . ROUGH-IN ~-jf).n.'l ~i--I- &.:::1)- ! C,~~) WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS 1~-~3-oj- I J i-L.- CEILING r I FRAMING S; h a,"'- v.",\ j J "3 -I-() S. .j i-L !H) JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS D. -I <{.o ...- J 1-L WALLS 1 ROOF 1 CEILING ~ -!1-~.;)C .J j,..l DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I J -1--;,. -c:J y- I j J.. J..- MECHANICAL ~C {UtM It,d FL>'I.~ HEAT PUMP h/L..!(hi J j"L !lfP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W.I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 f#/io/Orj ,]vV BUILDING T:\PLANNlNGIFORMS\1102.15 [11/1412003] 3: >-3 'd I ;I>'Oon;l> n'O t'l "' ; I 'O;I>:E:OO H:<1 '" '0 I 'O:<1ZZ0 >-3t'l '" '- I t:<nt'l>-3:<1 ><:'0 Ul H I t'l:<1:<1t'l ;I> 0 0 >-l I Zt:< ;l>Ul 0:<1 H " I ~. nUl "'t'l I >-3 0 ~ I tJj 0 '0 ~ t'l. :<1. 0 n:<1 :<1 :<1'" Ot'l >-3'- 3:0 0 'Oe::o OOt:< H ~~ t:<t'lo ","",tJj " t'lUl , ':<1 H Glo ;;!;a Ow "'" t'l'" Oon t:<. 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Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 J2.10 i r:;::.-,. I \/, rtt Phone'. 1r:..2 - 1'2 2Z Applicant or Agent_v ;, I L->/\J r--f::;P /7 0./ _/ Owner: ~L(1MD + f-IA1<R1f;t ~UfT Phone: 3t-;O - L/ll3 ' c:-'/f32 Address: l (J he);; c' ffA-A.J~ f L,. N LV. City: /; I L~VEF-DN 1::_/ (1JA-- Zip: 1 z: .38.;; 12 .4SZ ) ? -7 ""? Architect/Engineer: r;-TR,\ E'l\..\ lL-C:DiSt+ Phone: I. .- <:-..-:~ L._ I - C" AN D & rz rl L.. c -1 r I 72- '7 Contractor PrNr>e-p-s;c tJ l--rv IUE ~ State License #: aoo) S. Exp: DEu/ 2 "O.:;?Phone: .:;72- ,e..'jL- Address: 61 B $ fCA-BObr 0rf'-'tF~ City:-16F< T A-f\! 9f:LF:,~ bUA Zip: cJ 713.h2- PROJECT ADDRESS: Lo T A J-lB f H-itji ~ D E<;; rATe ,; ZONING: I '7 11-/ m b~r J1 e.- LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: b3() 146 SO I Boo 0 00 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: .12l' Residential ,)1 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: Exp. Date: , SIZENALUATION: d? o Stove (fhUs;~SF.@$ ;;;f?~/SF~$ ~~~~L B' Garage :_qA-~) 4C;f SF. @ $ /SF. = $ 0,; .;Z.-- .Id Deck SF. @ $ /SF. = $ . o Other TOTAL VALUATION _ $ ~ ~ ~ ex:; ~,,-)9.. ~, tJh L E fA-LU 11.-'1 Rf.c::, II) E-i'\ \c..~,' f\(tLU L (S-TP-U{,ll D \~ COMMERCIAL/RESIDENTIAL: Occupancy Group: .Q - 3 Occupant Load: Construction Type: V.1> No. of Stories: -L Lot Size: ~ Existing Sq. Ft. ~ & Proposed Sq. Ft. /f 2 S = TOTAL Sq. Ft. t r ;?E:; Total lot coverage 2,f? % (p f2- DI 5t:1o f2-L(L6 N/AJ APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLlCA TION SUBMITTAL: The Building Division can provide you with infonnation 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 417-48 I 5 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby cel1ify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2003_Buildingpermit.wpd Applicant: ~_!--t-(} Date: ~ II -2rl-01- 'Vashington State Energy Code Plan Review Checklist Applicant please Check, write in N/A, or fill in value on boxes or lines. Project Address: COlnpliance Approach:(check one) 0 Systems analysis o Component perfOlmance o Prescliptive path REA TlNG SYSTEM o Zone Heating o Electric Fumace OHeat Pump FOUNDATION PHASE o Slab R- _ Exterior down to frostline/slab bottom; Interior 24" horizontal or vertical; or, Ifradiant under entire slab o Below grade exterior wall insulation: R- _ (If interior -see Insulation Phase) FRAMING PHASE o Standard 0 Intermediate 0 Advanced o Standard air seal: sole plate/sub floor; rim joist; window & door frames; wires, plumbing, ducts, light fixtures o Source specific exhaust fans: bath & laundry(50 cfm) kitchen(100 din) o Whole house exhaust fan _ cfm 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-_ Wall insulation(above grade) o R-_ Wall insulation(below grade): Interior wall insulation o R- _ Floor insulation o R-_ Ceiling insulation: Including attic hatch o R-_ Vaulted Ceiling insulation o Vapor retarders: Walls, Ceiling: 0 4 mil poly OPerm rated paint o kraft faced batts o Vapor retarders: Floors: 04 mil poly Okraft faced batts o Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall T:IROGERIBLDG_FORMS-BROCHURESIENERGYPLANREVIEW Over: Fill in back side also. ("it LG7A-{2[) S I-'-(Ct L"IJt, WINDOW GLAZING (f-LCA-f2- t. L{.'L{,; e>) Please fill out window informalion, inclued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations. SIZE QUANTITY (2. i AREA U-VALUE & MANUF Total glazing area: Total conditioned floor area: Percentage of glazing: :--? 7. I 7 14/0 10<fC; DOORS List doors by type(solid core, insulated, Etc,}quantity, U-value, and Manufacture. SIZE QUANTITY AREA U-VALUE & MANUFACTURER :3 {' X (, @ [I) ~O " l {J CD Df;(/ 2~;(LeJ (i) 1'7. 1 B , 2,> co Va..,.. T:\ROGERIBLDG-FO RMS-BROCH U RESIEN E RGYPLAN REVI EW-2 QVJ . >-Ct: ) lLlW >Z oJ Ct:Ct: ) :=)0 (/)0 ~ " / , / ~" / ~ / l'", ~81 CI) . ?& I ::IJ.J, ~ 15' o I~ I C/) I CI)" CI)" / I ,""- '{ ."", 8 / / ,/"y/" 4t //2'" , , /2'& OI.9~ ~ , , / '\ "'" I ~ "l "- tJ \ " \ ~ '<9 , - or- (\I 1)0 -(\I . 0 )1'- tl'- I II J<] ~ ~ , , ~] -- 1.-.../ ll:J" oj ll:J" 1.9 If) / / / -! --'=fE:nr8;,o::;s - - 8 ~. ,;' #'''' ,..1...', IJ.J tr; ,.... f11 o ~ , ,C/) #'.~ C\J .....- --(t) 0('1)(\/ Oeo . . 0 ""'-O)LO V('l)LO II II II CI:-l<J , , ~" '" ."'P, .9L '017 M 1/617.6 to80 S ~"'. 'If..... ------- .... d ~ fORT :Vr. $~O~~~ rGii ~-- "toO:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00001115 Date .389055 1714 LAMBERT LN 06-30-14-6-5-0180-0000- RES NEW SFR 3/08/05 RESIDENTIAL HIGH DENSITY ~7SJ86 __ Owner Contractor LBR CONSTRUCTION/STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OWNER Structure Information Construction Type Occupancy Type Other struct info 1470 SF SFR W/454 ATT GAR TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 38.00 V-N 1. 00 4941.00 1925.00 1925.00 1. 00 -, permi t . . . . Additional desc Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID -:J -2:. .00 3/08/05 9/04/05 Plan Check Fee Valuation .00 .... . '2.~56 ~ 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. The Fire Department has reviewed the project application and has no comments The proposal will result in the construction of a 1470 s.f. home w/attached garage in a PRD for total lot coverage of 38%. Setbacks are good per PRD approval. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. There are not any conflicts with the electric utility facilities A cost estimate for electric service will be prepared after the customer has provided the load data. (Note: Heat Pump___Kw___ LRA__, etc. Ref.: 9871 WF 29662/01 Public works utility engineering has no requirements for this plan review. r ..-. S ~ i. ~ ., .s Other Fees SEWER SYSTEM DELV CHARGE 745.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~-4,f3~ ' '"1/,1 /,?V Signature of Contractor or Auth rized Agent / Date Signature of Owner (if owner is builder) Date T:\PoliciesllI02_15 building permit inspection record05.wpd [114/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. I INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARK1NG/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoJiciesIJ 102_15 building pennit mspectlOn record05.wpd [1/4/2005] fti1 ... f pORT ~ $~O~~~ r'Gii ... ~ ~ "toO:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 04-00001115 pin number . . .389055 Page 2 Date 3/08/05 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policieslll02_15 building permit inspection record05.wpd [1/412005] , .. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR / CEILING I I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARK1NG/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoliciesllI02_15 building permit inspection record05.wpd [1/4/2005] :fPORT -1.1,: 8"'o~~~ ha ... ~ ~ "toO:-;--~ CITY OF PORT ANGELES 'DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000443 Date 826562 1714 LAMBERT LN 06-30-14-6-5-0180-0000- PLUMBING REPAIR 6/08/05 RESIDENTIAL HIGH DENSITY 1700 Owner Contractor LBR CONSTRUCTION/STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OSTERBERG LANDSCAPING 706 S. H ST. PORT ANGELES WA 98362 (360) 452-9511 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 50724 54.00 6/08/05 12/05/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. C--> At I:: I 1-1; Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Date T:IPoliciesllI02_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIQNS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES I PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS , WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoJiciesIJ ] 02_15 building pennit inspection record05. wpd [1/4/2005] of pORT ""'0 ~~ ",,,..,,,t,,,, Cl".~ L~ ~ "toO:-;;-~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION .321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000443 Date 826562 1714 LAMBERT LN 06-30-14-6-5-0180-0000- PLUMBING REPAIR 6/08/05 RESIDENTIAL HIGH DENSITY 1700 Owner Contractor LBR CONSTRUCTION/STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OSTERBERG LANDSCAPING 706 S. H ST. PORT ANGELES WA 98362 (360) 452-9511 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 50724 54.00 6/08/05 12/05/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 -J - --t.. ., p 3 .~. ~ ,. -r r ..~ '-' Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. (j/ AI ).:::., L~ Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC~ nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I T FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I . WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoliciesIl102_] 5 building pennit inspecllon record05.wpd [1/412005J BUilDiNG PERMiT - APPliCATiON I FOR OFFICIAL USE ONLY: _I I DutcRcc2 -28 -c~ I Permit # 0'1 - t t J s:- Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Dale Apprll\ed. Date Issued: Applicant or Agent: \!;r'\.C-<l......... fl, fS.Q..Hs~t' I"'t.,"",-oJc:..;&d i:',~hone: '-152 - 7S 8:S Owner: A vvd il-" S ()~ }.fa yY\...e.....f J H lA.V\..- 4 Phone: '-is 2.. - if b 4/ Address: (0) e s. P ~ 60 d; city:?e vi A-"S-elfLJ' Zip: CZ$ J~ -2- Architect/Engineer: Phone: Contractor7'^ ~o 0/4;'<.- d F,' j/..e... State License #: 'JI/J"i/PJ'ov,,~xp: f:l/~Y(j 6 Phone: Lt,\Z -7S83 Address: B I .#fJvV Jk.il.i.v. L VI City: Pc,rf /)~J~' IZ.....P Zip: 99JG:2.. PROJECT ADDRESS: /7' '-I. L ~ VV\. b.e;-.~ L I/t ZONING: LEGAL DESCRIPTION: Lot: A J 8 Block: Subdivision: 1-1: '3 L, I Ot. LA. d F-:.!~ fe. + ~J> CLALLAM COUNTY PARCEL NUMBER: . Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK' IX Residential ~ 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: Exp. Date: o Stove o Garage o Deck o Other '.1 '^- \' !p, /1 SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 23.5'0 I () d 1=:r~ SP/'.'vt. kl-<. r s? r k............ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Otller: 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 pennit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days of the date of application, the application will expire. The Bui]ding Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 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 determine what permits are requir. d ,not the City's, and that I must obtain such permits prior to work. T:\RVESS\BLDG-fonns-brochures\2004-BuiIdingpermit.wpd Applicant: Date: 2,)2-8/ (J S , r 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: Hauff Residence Address: 1714 Lambert lane ~ Installer: Innovated Fire Installer Telephone: 452-7583 . Type of System: Open 130 13RO 13DIZI Date: 3.2.2005 P AFD Permit #: 05-07 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. o Contractor ~ Building Department o Fire Department Reviewed by: ~ J ~)O Date: 3.2- (bS EJ ~ o o o o o I DATE: ;::-/- OS-I FIRE DEPARTMENT k lC:- ~ b v.. 6 u.... "- PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING POLICE DEPARTMENT ADMINISTRATION o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUILDING DIVISION I RE: ADDRESS: t 1 l L..f L ~VV\. b.e I' f L v1. NAME/CONTACT: V I L -€- vv t- 15 Q tt '3 -e.. v--- PHONE: <--{';'-"2 - 7 S 83 PERMIT NUMBER: 0 Y - I , l::;;- , PROJECT DESCRIPTION: R~s i.'d~'-"L- j.'c...l h 'v-'X... ~p\l--i\A k l-e v- SYSt~~IA.^_ g NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: JSl REVIEW /RETURN o FILE ?~ffi Q)s -([) 7 Fire Sprinkler System Plan Innovated Fire Sprinkler Systems 81 New Haven Lane Port Angeles, WA., 98362 (360) 452-7583 February 27, 2005 For: Hauff Location: Lot A18 Highland Drive Port Angeles, WA., 98363 Contractor: Anderson Homes 618 S. Peabody St. Port Angeles, WA. 98362 360-452-4641 13 D HYDRAULIC CALCULATIONS . HOt \A. ~-P Worksheet For III CPVC Pipe . Two heads require 26 gpm flow at designed pressure. [+ 5 gpm domestic u~ One head requires 18 gpm flow at designed pressure. . 1. Pipe size = 11" I CPVC (friction loss .1067). 2. Water pressure at street (2) = ~o pSI. 3. Meter frir.tinn loss (3) = _ psi {see T-->~!~ Lt-4.3d NFPA 13 4. (2) )0 minus (3) _ (4) - 6/ psi remainir 5. Loss from street main to control valve - SO- feet X I .1067 I = S",3'1 feet (see friction loss chart). 6. (4) ~ ~ mi.nus (5) S'J (? 'f - = {6}S S. b b psi remainin 7. Elevation,19ss (building & street) /2- feet X .434, = 5.. 21 ' p~ 8. (6) ,SS = Co 6 minus (7) ,s', ~I - S C1.. 5 b psi remainir 9 . Total length of ripe from control valve to the farthest sprinkler = ~ j fE X - L!0671 = S. '-l L/. psi. . 10. (8) S6. S<z:. minus (9) .5: '-/'-1 - 'is': I 2. psi rematnm 11. Equivalent length for valves and fittings (m~ter to farthest sprinkler head): TVDe Number Equivalent 1" T run b X IT] = ~ 1" T Branch 3 X [[J = IS. 1 Ie 90 Elbo.w 3 X w = ;;2.,.1 _ 1" Coupling J X IT] = I ~ 1" 45 Elbow 0 X IT] = 0 _ 1 ,t Gate Valve i X [IJ = i , (11) To~al Feet 7. tt 12. Loss in fittings (11) '-{ V feet X 1.1067 I - '-I. ~ 9' ps 13. (10) <-t.S,j2.. minus (12) '-j, Gy' - It().4..3 psiremainin~ 14. PSI rema!ninq (13) '-j(), 'f...r minus 3, 'I (loss in riser) parts =.. 37.03 1'5. (14) :1), ().3 is more than the minimum. design psi required for 2 or 1 sprinklE heads operating. Riser Parts Potter flow switch 2.4 psi Soft seat valve 1.0 psi Needed Information: Type of sprinkler head GPM & pressure 1st head /. GPM & pressure 2nd head 26 3/4" water meter, e-3 FP-9C Revised 5/29/9 .5 P R.l.NK,LE.R MAN1~OLD CiJ :..-P,vc ~~. . TO__.H._EAD5 _. y~~~ r~.e.__ ______ -e.. C- . / b _ _. __9:"A-J!G:-!5:-- . -. -- - ~ 0 ~A"N_ &. TtS-r- _'VA LV . .CPLV{\/\BEDTO. OUTSIDE) 0E ~e.l< :. _ ___f==t;ow___S W_ LTC H ._ ~v~t~. NtQ.N_ _ __. . . . , ..- -:-- .-.-_. ---~_. - 0 10_ d_d". __ . ~ ~ '" l -' - HAc -ifv~-'s ~;+~~h~__.-~_~ '" ~-::~~-..~ ..: .. . _. L J~.g,..:d__~; \A.. 1-<1 Tn 1.1.e..+ ___ _' ., -- ---.--..- ----.--. ---_. --- __A _. _______.____________..__ ____ . n\ _ _ d' ____.__________________. - --- 1.1l__P\.p~. , . -=-5 .l.G:N ~ D ....BY.: __ __ _ ;. . H' _ _._ .. d:_. _... _. _ ._. .__ __.. - ---. -- - ----- -- ... - ---- -_.- .... - .- - N~\OVATED F\RE.. S.?R\l\\KLERS- F ~O_l~ '~-- .." ,. n.H. _ j"l c;T";:; ~, ~ ,-- tqCD / Fire & Building / Products Direct Sales (Central): Tel: (800) 523-65121 Fax: (215) 362-5385 Distribution Sales (Gem/Star): Tel: (800) 558-52361 Fax: (800) 8n-1295 Technical Services: Tel: (800) 381-93121 Fax: (800) 791-5500 ? --.) Series LFII Residential Concealed Pendent Sprinklers, Flat Plate 4.2 K-factor General Description The Series LFlI (TY2596) Residential Concealed Pendent Sprinklers are decorative, fast response, fusible sol- der sprinklers designed for use in resi- dential occupancies such as homes, apartments, dormitories, and hotels. The cover plate assembly conceals the sprinkler operating components above the ceiling. The flat profile of the cover plate provides the optimum aestheti- cally appealing sprinkler design. In ad- dition, the concealed design of the Se- ries LFII (TY2596) provides 1/4 inch (6,4 mm) vertical adjustment. This ad- justment reduces the accuracy to which the fixed pipe drops to the sprin- klers must be cut to help assure a perfect fit installation. The Series LFII are to be used in wet pipe residential sprinkler systems for one- and two-family dwellings and mo- bile homes per NFPA 13D; wet pipe residential sprinkler systems for resi- dential occupancies up to and includ- ing four stories in height per NFPA 13R; or, wet pipe sprinkler systems for the residential portions of any occu- pancy per NFPA 13. The Series LFII (TY2596) has a 4.2 (60,5) K-factor that provides the re- quired residential flow rates at reduced pressures, enabling smaller pipe sizes and water supply requirements. The Series LFII (TY2596) has been designed with heat sensitivity and water distribution characteristics proven to help in the control of residen- tial fires and to improve the chance for occupants to escape or be evacuated. The Series lFII (TY2596) Residential Concealed Pendent Sprinklers are shipped with a Disposable Protective Cap. The Protective Cap is temporarily removed for installation, and then it can be replaced to help protect the sprinkler while the ceiling is being in- Page 1 of 4 stalled or finished. The tip of the Pro- tective Cap can also be used to mark the center of the ceiling hole into pIas- ter board, ceiling tiles, etc. by gently pushing the ceiling product against the Protective Cap. When the ceiling in- stallation is complete the Protective Cap is removed and the Cover Plate Assembly installed. WARNINGS The Series 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 ha v- 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-Ullisted. Maximum Working Pressure: 175 psi (12,1 bar) Discharge Coefficient: K = 4.2 GPMlpsi112 (60,5 lPMlbar112) Temperature Rating: 160oFn10C Sprinkler with 1350F/570C Cover Plate .JULY, 2002 ~ ~ Vertical Adjustment: 1/4 inch (6,4 mm) Finishes: Cover Plate: Flat 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 Listed for installation in ac- cordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having Jurisdic- tion. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the the 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 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. · A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. . Obstruction To Water Distribution. Locations of sprinklers are to be in TFP440 y Minimum Flow (b) and Minimum Flow (b) and Maximum Maximum Residual Pressure Residual Pressure Coverage Spacing For Horizontal Ceiling For Sloped CeIling Area (al Ft. (Max. 2 Inch Rise (Max. 8 Inch Rise Ft. x Ft. (m) for 12 Inch Run) for 12 Inch Run) (m x m) 160oFn1OC 160oFn1OC Sprinkler Sprinkler 12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,1 LPM) (3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar) 14 x 14 14 14 GPM (53,0 LPM) 18 GPM (68,1 LPM) (4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1,27 bar) 16 x 16 16 16 GPM (60,6 LPM) 18 GPM (68,1 LPM) (4,9 x 4,9) (4,9) 14.5 psi (1,00 bar) 18.4 psi (1 ,27 bar) 18 x 18 18 20 GPM (75,7 LPM) N/A (5,5 x 5,5) (5,5) 22.7 psi (1,57 bar) 2Ox20 20 24 GPM (90,8 LPM) N/A (6,1 x 6,1) (6,1) 32.7 psi (2,25 bar) (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (lPM) from each sprinkler. The associated residual pressures are calculated using the nominal K-factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA FOR THE SERIES 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 lFII (TY2596) must be in- stalled in accordance with the follow- ing instructions: NOTES Damage to the fusible Link Assembly during installation can be avoided by handling the sprinkler by the frame arms only (i.e., do not apply pressure to the fusible link Assembly). A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 ft./bs. (9,5 to 19,0 Nm). A maxi- mum of 21 fUbs. (28,S Nm) of torque is to be used to install sprinklers. Higher levels of torque may distort 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 andlor during application of Page 3 of 4 c- --' WRENCH RECESS D PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA LEVER FIGURE 2 W-TYPE 18 SPRINKLER WRENCH GUIDE ARM GUIDE ARM FRAME I I I I I I I I I I I I I I ,J LJ" '---' l, l.........r~~_--T"'o...-~-..../ DEFlECTOR (OPERATED POSITION) SPRINKLERlSUPPORT CUP ASSEMBLY THREAD INTO SUPPORT CUP UNTIL MOUNTING SURFACE IS FlUSH WITH CEILING o o RETAINER WITH THREAD DIMPLES EJECTION SPRING COVER PLATE/RETAINER ASSEMBLY FIGURE 1 SERIES LFII (TY2596) RESIDENT/AL CONCEALED PENDENT SPRINKLER COVER PLATE SOLDER TABS (3) I-- 2-112' DIA. I \ (63,5 mm) 112' NPT FACE OF SPRINKLER FITTING SPRINKLER- SUPPORT CUP ASSEMBLY 1-718':1:118' (47,6 mm :1:3,2 mm) COVER PLATE RETAINER ~ ~ COVER- SPRINKLER- RETAINER SUPPORT CUP ASSEMBLY ASSEMBLY 3-1/4' DIA. (82,6 mm) ==r'MOUNTING 3116' J SURFACE (4,8 mm) 718' (22,2 mm) 1-118' (28,6 mm) -, TIP DISPOSABLE PROTECTIVE CAP DEFLECTOR IN OPERATED POSITION FIGURE 3 SERIES LFlI (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACTIVA TED DEFLECTOR Page 4 of 4 the finish coating of the ceiling. It may also be used to locate the center of the clearance hole by gently pushing the 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 UOut Of Service". Step 5. After the ceiling has been com- pleted with the 2-1/2 inch (63 mm) diameter clearance hole and in prepa- ration for installing the Cover Plate As- sembly, remove and discard the Pro- tective Cap, and verify that the Deflector moves up and down freely. If the Sprinkler has been damaged and the Deflector does not move up and down freely, replace the entire Sprin- kler assembly. Do not attempt to mod- ify or repair a damaged sprinkler. Step 6. Screw on the Cover Plate As- sembly until its flange comes in con- tact with the ceiling. Do not continue to screw on the Cover Plate Assembly such that it lifts a ceil- ing panel out of its normal position. If the Cover Plate Assembly cannot be engaged with the Mounting Cup or the Cover Plate Assembly cannot be en- gaged sufficiently to contact the ceil- ing, the Sprinkler Fitting must be repo- sitioned. Care and Maintenance The Series LFII (TY2596) must be maintained and serviced in accord- ance with the following instructions: NOTES Absence of an Escutcheon Plate may delay the sprinkler operation in a fire situation. Before closing a fire protection system main control valve for maintenance work on the fire protection system which it controls, pennission to shut down the affected fire protection sys- tem must be obtained from the proper authorities and all personnel who may be affected by this action must be no- tified Sprinklers which are found to be leak- ing or exhibiting visible signs of corro- sion must be replaced. Automatic sprinklers must never be shipped or stored where the tempera- ture will exceed 100oF/380C and they must never be painted, plated, coated, or otherwise altered after leaving the factory. Modified or over heated sprin- klers must be replaced. Care must be exercised to avoid dam- age - before, during, and after instal- lation. Sprinklers damaged by drop- ping, striking, wrench twisVslippage, or the like, must be replaced. The owner is responsible for the in- spection, testing, and maintenance of their fire protection system and de- vices in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec- tion Association (e.g., NFPA 25), in addition to the standards of any other authorities having jurisdiction. The in- stalling contractor or sprinkler manu- facturer should be contacted relative to any questions. NOTE The owner must assure that the sprin- klers are not used for hanging of any objects and that the sprinklers are only cleaned by means of gently dusting with a feather duster; otherwise, non- operation in the event of a fire or inad- vertent operation may result. It is recommended that automatic sprinkler systems be inspected, tested, and maintained by a qualified Inspection Service. Limited Warranty Products manufactured by Tyco Fire Products are warranted solely to the original Buyer for ten (10) years against defects in material and work- manship when paid for and properly installed and maintained under normal use and service. This warranty will ex- pire ten (10) years from date of ship- ment by Tyco Fire Products. No war- ranty is given for products or components manufactured by compa- nies not affiliated by ownership with Tyco Fire Products or for products and components which have been subject to misuse, improper installation, corro- sion, or which have not been installed, maintained, modified or repaired in ac- cordance with applicable Standards of the National Fire Protection Associa- tion, andlor the standards of any other Authorities Having Jurisdiction. Mate- rials found by Tyco Fire Products to be defective shall be either repaired or replaced, at Tyco Fire Products' sole option. Tyco Fire Products neither as- sumes, nor authorizes any person to assume for it, any other obligation in connection with the sale of products or parts of products. Tyco Fire Products shall not be responsible for sprinkler system design errors or inaccurate or incomplete information supplied by Buyer or Buyer's representatives. TFP440 G IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE, IN CON- TRACT, TORT, STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE- ORY, FOR INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LABOR CHARGES, RE- GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' LI- ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED. INCLUDING WARRANTIES OF MERCHANTABILITY AND FIT- NESS FOR A PARTICULAR PUR- EQSg 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. Bright White. Rat White . Custom PIN 56-122-9-135 .. . . ... . ... PIN 56-122-4-135 PIN 56-122-5-135 . . . . ... . .. PIN 56-122-X-135 Sprinkler Wrench: Specify: W-Type 18 Sprinkler Wrench, PIN 56-000-1-265. TYCO FIRE PROOVCTS, 451 North Cannon Avenue, Lansdale. Pennsylvania 1944B @lPOlTER o FOR SMALL PIPE VSR-SF VANE TYPE WATERFlOW ALARM SWITCH WITH RETARD Potter Electric Signal Company 2081 Craig Road. P.O. Box 28480 St. Louis, MO 63146-4161 (314) 878-4321 . (800) 325-3936 Potter Electric Signal & Mfg. L TO 1967 Leslie Street Don Mills, Ontario, Canada M382M3 (416) 441-1833 STK. NO. 1113000 U.S. PAT. NO. 3921989, CANADIAN PAT. NO. 1009680 OTHER PATENTS PENDING. Ul, ULC, CSFM USTED and NYMEA ACCEPTED Secvlce Pressure: Up to 250 PSI Minimum Row Rate for Alarm: 10 GPM Maximum Surge: 18 FPS Enclosure: Oie<ast, red enamel finish Cover held In place with tamper resistant saews Contact Ratings: 2 sets of SPOT (Fonn C) 15.0 Amps at 125f250 VAC 2.0 Amps at 0-30 VOC Conduit Entrances: 2 knockouts provided for 112" conduit Usage: Usted Plastic, Copper and Schedule 40 Iron Pipe Fits pipe sizes -1", 1 1/4", and 1112" Note: 8 paddles are furnished with each unit, one for each pipe size of threaded or sweat TEE. one (or 1" CPVC, and one for 1 112' poIybutylene (CTS~pper tubing size) Environmental Specifications: 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" F/l20" F (4.5" Cl49" C) Caution: This device is not intended for applications in explosive environments Service Use: Automatic Sprinkler NFPA-13 One or two family dwelling NFP A.130 Residentialoccupancy up to (our stories NFP A-13R National Rre A1ann Code NFPA-72 Optional: Cover Tamper Switch, oRler Stk. No_ 0090018 The Model VSR-SF is a vane type watertlow switch for use on wet sprinkler systems that use 1', 1 1/4', or 1 112- pipe size. The unit may also be used as a sectional watertlow detector on large systems. The unit contains two single pole double throw soap 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 o( 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. 00 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 waterftow. The unit has a l' NPT bushing for threading into a non-corrosive TEE. See Fig. 2 for proper TEE size, type and installation. Screw the device into the TEE fitting as shown in FIg. 2. Care must be taken to 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 should move freely when operated by hand. The device can also be used in copper or plastic pipe installations with the proper adapters so that the specified TEE fitting may be installed on the pipe run. INSPECTION AND TESTING: Check the operation of the unit by opening the inspector' test valve at the end of the sprinkler 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 00 the system, application of the VSR-SF is not recommended or advisable The frequency of the inspection and testing and its associated protective monitoring system should be in accoroance with the applicable NFPA Codes and Standards and/or authority having jurisdiction (manufacturer recommends quartel1y or more frequently). PRINTED tN USA PAGE 1 OF 2 MKT. <<88??oo3 - REV J MFG. <<5400802. 819S / -'. (g) ~..POTTER BELLS PBA-AC & PBD-DC Potter Electric Signal Company 2081 Craig Rd.jP.O. Box 28480 St. Louis, MO 63146 (314)878~321/(800) 325-3936 . -~~.: .:':t.~::.;::5~~~:~~:.io';' '", ,<"' . : .'. . ~~?'-';:\;>,i~~x . ...... ~~'rHI~>'" .'.-'. :.:. .....:' i;~..~r~:'{~I: ~l6~~ft~::.:~/'.:..~~~;;~' ,:.: ... ... ..'. ..-..' .': .35:'...... ~....~....- 'I.:. , '.'- . ;:'~:,';";.f:/i;'\:.. :~J~~~:.>'::.:l~j~.{~.:.?.::::.;;.'.:.. .,: '.:';"':"". ~'~"''''-~''''.'~':'.~;''''~\I.'''''-:' .... Potter Electric Signal & Mfg. L TO 1967 Leslie Street Don Mills, Ontario, Canada M382M3 (416) 441-1833 UL LISTED, FM APPROVED Sizes Avallable:@8-, and 10- Voltages Available: ~ 20VA 12VDC (102 to 15.6) Polarized 24VDC (2004 fo 312) Polarized ,,,: ..::-....: Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 1500F (outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires . ,,: .....; .:'..:..... 6" BELL SHOWN Finish: Red powder coating Optional: ModeIBBK-1 weatherproof backbox hese vibrating type bells are designed for use as tire. burglar. or general signaling devices, They have low power onsumption and high decibel ratings. The unit mounts on a standard 4- square electrical box for indoor use. or on a model BK-l weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE VOLTAGE MODEL NO. CURRENT (MAX) TYPICAL dB MINIMUM dB STOCK NO. e 10 FT_ C 10 FT. 6 12VOC P8D126 1706012 _12A 8S 7S 8 12VOC P8D 128 1706012 .12A 90 75 10 12VOC P8D1210 1710012 .12A 92 7S 6 24VDC P8D246 1706024 .06A 67 7S 8 24VOC P80248 1706024 .06A 91 79 10 24VOC P802410 1710024 _06A 94 79 6 24VAC P8A246 1806024 .17A 91 7S 8 24VAC P8A248 1608024 .17A 94 7S 10 24VAC P8A2410 1810024 .17A 94 7S , 6 120VAC P8A 1206 1606120 .OSA 92 82 8 120VAC P8A1208 1806120 .OSA 99 82 10 120V AC PBAl2010 1810120 .OSA 99 6S 'eatherproof backbox model BBK-l SUe No. 1500001. )ees: MtrWnU'fT1 d8 (.at~s .(6 catcutaled 'tom inteQf'ated sound preSSUfe me.aSUf'8fne,..s made a1 Und6(W(1I.6C5lat>oracorles as ~"8d in Ul Standatd.&4 UL tetnpef.ltvre (aoge cs -30'" 10 15O'"r Typec.3l' dO (.lihOQ'S .Ie ca$(:uf~1~ '.om f"I'l<easut'ef'neOCs nu.Oe wrth.. cooveoc~1 s.ound levet f'n61<8( and ate 1Od<.'Ne of OU'tpuC leve{s tn.o &C1uaf instatuhOO llNTED IN USA - MKT. .8850001- REV K Mf'G. .S400776 - 4/94 PAGE10F2 (i "-'r;" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98:162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001115 Date .389055 1714 LAMBERT LN 06-30-14-6-5-0180-0000- RES NEW SFR 2/01/05 RESIDENTIAL HIGH DENSITY 97906 Owner Contractor LBR CONSTRUCTION/STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OWNER Structure Information Construction Type occupancy Type Other struct info 1470 SF SFR W/454 ATT GAR TYPE V NON-RATED SINGLE rAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 38.00 V-N 1. 00 4941.00 1925.00 1925.00 1. 00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE SHAMP ELECTRIC/ 60A TEMP SHAMP ELECTRICAL CONTRACTING 42.20 Plan Check Fee 2/01/05 Valuation 7/31/05 .00 o "- ~ ~ "- ~. ... { \' U. t '-. ~ \'" ~ (\ '\ t'. "- -,( Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 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. The Fire Department has reviewed the project application and has no comments The proposal will result in the construction of a 1470 s.f. home w/attached garage in a PRD for total lot coverage of 38%. Setbacks are good per PRD approval. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. There are not any ~onflicts with the electric utility facilities A cost estimate for electric service will be prepared after the customer has provided the load data. (Note: Heat Pump___Kw___ LRA etc. Ref.: 9871 WF 29662/01 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEgJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO I1IT('H r IU1T TGH-IN I COVER SbK v iLb --" GENERAL COMMENTS: PW-II02.1j [4196] '(I '\olr';-" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98:162 Application Number . . . . . 04-00001115 pin number . . .389055 Page Date 2 2/01/05 -------------------------------~-------------------------------------------- Special Notes and Comments Public works utility engineering has no requirements for this plan review. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1816.70 1816.70 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEgJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.\S (4'96\ r.,. ~"'rf1"'f"'f"""'r''''WI!",",''J'''''''~~'.!lII''''~'''''''1f'''I:.n,....'I'''''''"''''"'''' '. ~.......r~, ""'~JIP1' "~"'rr9~"~~'!"I!IJII"tI!pt~...~~4"y~~...".~ ~~.,..".....",.,.,-",__rw Official Use Only Assenl. # r;' Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division R~ccived NAME OF PREMISES: , I-~ L., J' ! / "I C~J SERVICE ADDRESS: ! 7/(./ ; i I " j ( /, 1\,' c:,:;.~ IDCA TION OF DEVICE: I / ' i /:, .) p' i " ' ) " {/ , ) ASSEMBL Y: Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY? YES [!rNO 0 IS ASSEMBLY INSTALLED CORRECTLY) YES ErNO 0 DATE OF INSTALLATION j UNKNOWN 0 REDUCED PRESSURE PRINCIPLE ASSEMBLY RP D RPDA D DC [g/" DCDA D PVB D Air Gap D DOUBLE CHECK VALVE ASSEMBLY SVB D AVB D CHECK VALVE#! CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Leaked D L~aked D Did Not Open D AIR INLET I Closed Tight D Did Not Open D I Test Held at ~~psi Held at ,;. (/ psi Op~ned at ~ psi Op~ned at___ psi Repairs Cleaned D Cleaned D Cleaned D CHECK VALVE Leaked D Held at psi Replaeed D Replaeed D Replaced D REPAIRS Cleaned D Details Replaced D 3 psi Buffer YES D NO D Final Closed Tight D AIR INLET Opened at _~ psi ! Held at .~. t' psi CHECK VALVE Held at -., .. pSI Test Held at --=..:.......... psi Opened at ~ psi BACK PRESSURE NoD YESD AIR GAP INSPECTIO"-i: REQUIRED MINIMUM SEPARATION: YES D NO D TYPE OF HAZARD - COM!\IE'\TS Line Pressure ---'"'- ps i ,.' -. .- ( i / ( : -' ( - ) .' j Held Backpressure YES gr" NO D #2 Shutoff Held YES B'" NO D Relief Valve Exercised YESD NO D DateTime Tester Signature Cert.# Test Kit Passed Failed Initial 0 Test - / 'r {,7' / . (J.... D , Repairs D D Final J " ~, /11 ,:~. . /{ , . D Test ~ , , , I WHITE - CLJSTOMER COPY YELLOW - PURVEYOR COPY PI"IK - TESTER COPY S 'I.oii r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\2\ EAST 5TH STREET. PORT ANGELES. WA 98:\62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001115 Date .389055 1714 LAMBERT LN 06-30-14-6-5-0180-0000- RES NEW SFR 3/12/05 RESIDENTIAL HIGH DENSITY 97906 Owner Contractor LBR CONSTRUCTION/STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OWNER Structure Information Construction Type occupancy Type Other struct info 1470 SF SFR W/454 ATT GAR TYPE V NON-RATED SINGLE rAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 38.00 V-N 1. 00 4941.00 1925.00 1925.00 1. 00 ........ 'J' """- ~ permi t Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SHAMP/ 1924SQ.FT,SFR. SHAMP ELECTRICAL CONTRACTING 119.80 Plan Check Fee 3/12/05 Valuation 9/08/05 .00 o 1'.. ~ ~\ ~ ~ t'. ~ ~. \" Qty 1. 00 2.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 46.80 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, The Fire Department has reviewed the project application and has no comments The proposal will result in the construction of a 1470 s.f. home w/attached garage in a PRD for total lot coverage of 38%. Setbacks are good per PRD approval. No land use issues are noted. MAIMTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. There are not any conflicts with the electric utility facilities A cost estimate for electric service will be prepared after the customer has provided the load data. (Note: Heat COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO I II' lUU~-IN I CUVhK SER V lCb FINAL I I GENERAL COMMENTS: PW-II02.1S (4'96\ d'O'''~. .s~~~ D!J ""~..... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98:162 Application Number . . . . . 04-00001115 pin number . . .389055 Page Date 2 3/12/05 Special Notes and Comments Pump_Kw_ LRA_, etc. Ref.: 9871 WF 29662/01 Public works utility engineering has no requirements for this plan review. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119.80 119.80 .00 .00 Plan Check Total .00 .00 ,00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1894.30 1894.30 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.lS [4'96\ Iv ~ DOwner @ IlIIIL ELECTRICAL WORK PERi'\1IT APPLICATION {W'!!eQuest Inspection . .\ -6' Electrical Cootractor , I o Anuual Permit 0 AIllJ'In 0 Carni""al CJ Commen:ial !:t"Residential 0 Residential Ma.lne. 0 Signs 0 Thermostat CJ Telecom. Job wired by 'dElectrical Contractor a Owner Installation descrhHion Electrical contractor name rS'WlmP ~-:112J~ lO1J77VtC71A/& Purchaser's mailing address ';>0 :tX1)l 3f'~ City ~~ Telephone number 100- ("1- License number 5WI-rn Pt-c.O 2'1133 1ftvt'E '~~Of+ . ,. Stale ZIP IM;i:l '113 b'L FAX number s." <. /~7o '/5' '1 Fr~ 19,;. ~ Pn:miscs owner', name j.lAvtf'f- AddreSl!: or inspection 1"4 L""I>'YII;,-c:.--+ L...,,-c. ell s~. a Cash a Check # I hereby cenify that J am the owner of the:: above named property or a licensed electri<:.a.l c:::on1I3CIQr (or me finn's authorized agent) 3J'd am making the elecrrical installa.tion Or alteT'ation in compliance with the electrical law, Chapter 19,28 RCW, Sign contractor or electrical adminiur8tor o Credit Card VIsa Mastercard Discover Card# _ff1l{;L__-____-____ i/, Inspcction fee $ CJ ~ Expiration Dale of eard / ~D'lC A"pN~=~ ay 3. .2 ...cove, A-:trJ o c ' "p,N)~d ay CEILING Insula.tion Only Dale ^Pprc"CQ By 3/2., !o~ovc'Aa9 , O.ly ^ppro",dlh /' THERMOSTAT 3h,/~7S' AQ \,j Ou)i ^pl'rcved B~ /' Durn DOle Al'Pm\'c~ 1\)' SERVICE - .s/z, /I'if $1>> , DlI.\e/ Apprc\'ed By FEEDER 0.. Approyed 5y v- Q ~ WALLS insulation Only Electrical Load AddItion!; and or subtractions [J NO LOAD CHANG ES [J 8aseboard KW if! ~urnaee lO.. KW ~ Hear Pump 2D.. Ton ___LAA . a Fan.Wall _ KW Service Information CJ Overhead ServIce !:I Temp Service D Underground Service Voltage Phase 0 1 03 Service Size: _ Feeder Si.z:e: Inspection Date" '7 <;; /0 S- , I Area. Building or Equipment In6pectc:d Action T~ken Electricol Inspector F4- "'- G..,.,~ F<:.z -z..z.z., <"3 rJI k.s I' . - Ol..J:>'R Ie.......- ,/~ , ;/!tl/ ~ {;~ 800/<:00121 yv 3NloS XV, ll: Ll <;000/80/80 ..........................--'-....- ~ ..'-" . ......-,-. ..... ~~-.... .-...r" ,- ............. _-.'.-.___<_.-' ........-.......,......---_..,.- ~_~__-_.-... -~_. ~...........__-.-....;;"" ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT" - ///5 ~c..-- Mm .c;;ur APPROVED NOT APPROVED ~. . . . . . . . . . . . . . . . . .. DITCH ................... 0 . . . .. .. . . . . . . . ROUGH IN/COVER. .. .. . . . . . .. .. 0 . . . . . . . . . . . . . . . . .. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: f/) ~N'N~,'r h~t-(/"'O.$ (~ ) ~ ~.lJ1"tU- .&eJU:l'"~><- 9f' j"!:,, / tf- . 1 J .,' ' ~-?--I/ ,; . p/,,/'< , A I ~"11-t/O';3/-' i, \ , " YJ'//7L t?U-<JN/ .j 1 "/- , / ffl. /1 .' , -~. I \ i '. NOTIFY INSPECTOR WHEN CORRECTIONS ! ARE COMPLETED WITHIN 15 DAYS , " , - DO NOT REMOVE - I' ....\ . \. OLYMPIC PRINTERS, INC. (360) 452-1381 \ . 01/21/2005 16:25 FAX I€J 001/001. . -~, ~_.._- .------......- &~s S"~ ~ ~'i ~'<i:i..." ELECTRICAL WORK PERMIT APPLICATION o Request Inspection ,,. \.f:1'i;lectrical Contractor 0 Owner (J AODual Permit 0 Alarm (J Carnival 0 Commeretal \.B'"R.esideatial CJ Residential Mnlnt D Signs IJ Tbermostat a Telecom. 'la'iiectrical Contractor 0 Owne, InSlallation description License number L;I ~ser'5 majli~d~ress ~y-.Q:(3 c~ ~I .A-.J 6~11:.-s. ir=Jcphonc number . -'1..-1 b- SUire ZIP 1.0..__'4 , 9 g: ":l h2--- FAX number l~tlWt"y LiJ-t .4 I g Address of Iftllpection ~ LAmbut Ltinc c~ ~ 1- o Cash 0 Check # J hereby c~nify that I am [b.e owner of the above named property or i3 licensed electrical Contractor (or the firm's authorized agelH) and am making the electrical josIaJlalion or alteration in compliance with the electrical law. Chapter 29.28 RCW. o Credit Card Visa Mastercard Discover Card# -fu--fiJt:'.--,-___-____ contractor or elecrrlcal AdmiD,is[tator Expiration nate of card WALLS Insulation Only CEILING Insulation Only THERMOSTAT l,)~IC ^l'provlld B~ SERVICE ,-%~h-r <!:./2 D~lc; ApprQ~ed l:ly DalC ApprovllQ By DITCH FEEDER Cover Cover Dille Apptovoo By D;!.l~ Al1rrov;(l e~ D.lo Approved By Dale; Approved B~ Electrical Load Additions and or subtractions o NO LOAO CHANGES o Baseboard KW o Fl,Il'naee KW Q Heat Pump _ Ton _ LAR o Fan-Wall KW Service Inlormallon o Overhead Service o Temp Service o Underground SeMee Volleg. Phase0103 Service Sin: _ Feeder Size: Inspection Date Ilze 0'!7 p~-rr-7 llhz.z-. (.:s .,.'. 1/29/05, 22:38:44 PORT ANGELES PAYMENTS DUE RECEIPT PROGRAM BP820L .--------------------------------------------------------------------- ., iCATION NUMBER: 04-00001115 1714 LAMBERT LN DESCRIPTION AMOUNT DUE ?l11L'-/T1 /'Ayn>LoN/ ELECTRICAL TEMPORARY SERVICE /. TOTAL DUE c-JffrrmjJ /'i.,f-f'-I7t:1C 0,>,44 ~fi.,t'8 - h03;2 -,;23/<. l- /191 t.x. /;jo~ please present this receipt to the cashier with full payment. 222.63 222.63 I?re..r # 787 f ti.}f~ j!..<HC;Z/O/ ~l ,