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1718 Lambert Ln - Building
N ELECTRICAL PERMIT CITY OF PORT ANGELES N 360-417-4735 Application Number . . . . . 12-00000246 Date 3/07/12 Application pin number . . . 548400 Property Address . . . . . .. 1718 LAMBERT LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- On your excise tax form Application.type description ELECTRICAL ONLY Subdivision Name . . . . . . t0 the City Of Port Angeles Property Use (Location Code 0502) Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 circuit remodel relocate wall ---------------------------------------------------------------------------- Owner Contractor JAMES F CROMBIE EXTRA MILE TECH & ELECT. , LLC PO BOX 1741 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477-8032 (360) 457-0198 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee .00 Issue Date . . . . 3/07/12 Valuation . . . . 0 Expiration Date 9/03/12 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 �7 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN TJ 7 Z FINAL CZ— COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING a MAR-05-2012 05 :59 PM E. JANSSEN 360 452 2982 P. 01 r (( s )v 1ir'�r J ' fr `1� V(lltr'� �����:� %gin. '• �' .� CITY OF PUNT ANGELES Primal"P.APPL,ICATION >i �'''+► '! - Building Division/Electrical Inspewtionsi `LECTRICAL 3211 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 INSPECTIONS 4 Pb: (360)417-47:35.Fax: (360) $174711_Z1 &2 Single Family Dwelling __Multi-Family or Commercial* ___Commerr:tal,addition 1 Alteration I Remodel/Repair° Plan Review May Be Required,PN;ase Complete Electrical Plan Review Information Shew Ionadarm: ...��1G �, z. r.,,.,1a, , r v r�r- Bultdlrg Squam Fooi$qe:.. __......._._._... ,,., .,. _...... __._......- --— - OAst nption of a1bovB �[e,r .. e . ` ,S ..._., — L . 1~C' JL Owner Information Contractor Information Name: L�6rt �' GF44s c 442,c..i G _L!^►,.,.....-�--------._.... .. . Name: Meiling Address:..1 .1_SC�c_.....__=• .'. r i C i'r._ r".--i1 t' Mailing Address: -1,i+---,4-4-YeF.y.State: - �.., ._..•-0 ._._....�.SL__i..L:' .�- CI1Y:_'[t^_�� Phone — --- Phone,.Ys7-7J12;1 Fax; yrs- >r Lir�mse N/Fx .,_; T-RR.vl r'9 1 r'L ----...-._.... .. P I - - ------- -.. IS@T Unit Charge (fit 7otaIAQWjk#1A24ALV9MClt; ej ServicWFeeder 200 Amp. $119.90 $_._____..__.._......_.. ervkWroeder 201400 Amp, 3'45.,50 $_•.-........^ ervlcell"eeder4014t00Amp $204.60 _. ... �,...,....._..__.__..__....-. Servlcrr/Feeder 601.1000 Amp. 5262.20 _.....__. $........_........-_......... ervicelFeeder over 1000 Amp. $372.50Branch _. ...__....... S_..--._-.... Circuit W/Service Evader S 2,60 70._...._...,. . .__. Stanch Circuit W/O Service Feeder b 13.150 Each Additirmal Branch Circult 5 2.60 _ ._......... $__..._..__._•... Tamp.Servicel Feeder 200 Amp. $ 192 .......... .70 _...._..._...... $..._ .....•...._........_. Temp.Servlce/Feeder201-400Amp, $ 110.30 ,... $..._..._,_._..._..._..__ 'remp.Service/Feeder 401.600 Amp. $148.70 ------ $_.................._.__.._.. Temp,Service/Feeder 6014000 Amp. $167.90 .,.._-.......-. $._-._........_..-.............. to Paial Howly S 95.90 Sign(Outline ung $ 68.20 $............... ...._.._.. Signal ClrcuW Lhnited Energy/First 1500:3,-(.;rnnmercial S 95.90 Mote: $5.00 for each additional 1500!;. Signal ClimW I.Inlhed Energy-1&2 f=amily Dwelling $ 63.00 $.,........__.._..__....-.._-_-• Signal Cirtwitl L6niled Energy-Muhl- arnify Dwelling $ 6390 $.._... ---...._._._........ Manufacteued Home Connection $,19.90 RersewIBblb ElHchMaf Energy-5i(VA Sysh-in or l.ilss $1U2.30 _.___.._...... $...:.._.._._....... Thermostat $ 56,00 $ -.............,.......... Fist 1300 Square R. $"10.30 $____....---..._................... Each Addlk)nNl 1100 Square Ft_or Rxtia i c r $ 35.20 $ _ Each(Aitbullding or Detached Garage $ 73.50 _. $ Each Swimining Pool or Hol Tub $'10.30 Total Owner as defined by RCW.19.28.261:.1)Owner Wil occupy tho structure for two years after this electrical permit is finalized.(2)Owner is Mqufred to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires After six months of last Inspection. After reading the above statement, ,hf reby certify that I am the owner of the above named property br a licensed electrical contractor.I am making the electricai installvitlon or alteration Ir compliance with the electrical laws,N.E.C.,RCW,Chapter 19.28.'%NAC.Chapter 296-4168,-rhe City of pnit Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Pemvl Anplicalions. Signature of owner,electrical contractor or electirkal administrator. FI Cash Ca„•r:w - Ll Credlf Ca u _ .................__..._ 0110112010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000177 Date 2/27/12 Application pin number . . . 765871 Property Address . . . . . . 1718 LAMBERT LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- Application type description RES REMODEL on your state excise tax form SubdProperty Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . . . 1250 --------- Application desc REMOVE INTERIOR WALL/INSTALL HEADER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAMES F CROMBIE STRAIT WAVE SERVICES PO BOX 1741 2020 W. 5TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477-8032 (360) 452-5962 Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . REMOVE INTERIOR WALL/INSTALL H Permit Fee . . . . 74.40 Plan Check Fee 48.36 Issue Date . . . . 2/27/12 Valuation . . . . 1250 Expiration Date. . 8/25/12 Qty Unit Charge Per Extension BASE FEE 50.00 8.00 3.0500 HND BL-501-2K (3.05 PER C) 24.40 ---------------------------------------------------------------------------- . Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 74.40 74.40 .00 .00 Plan Check Total 48.36 48.36 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 127.26 127.26 .00 .00 final 541 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit.does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD v PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections. 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. �. Inspection Type Date Accepted By Comments FOUNDATION: } Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor I Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA. Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 !� T:Forms/Building Division/Building Permit PREPARED 3/08/12, 16:09:31 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/08/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SU13DIV: CONTRACTOR STRAIT WAVE SERVICES PHONE (360) 452-5962 OWNER JAMES F CROMBIE PHONE (360) 477-8032 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 12-00000177 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 3/08/12 JLL BLDG FRAMING 3/08/12 AP March 8, 2012 8:11:35 AM hcatuzo. Wayne Stratford--461-1766 March 8, 2012 4:08:37 PM jlierly. BL99 01 3/08/12 J BLDG FINAL -_{Fi/ March 8, 2012 4:09:21 PM jlierly. ----------------- --------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/08/12, 8:12:12 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/08/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR STRAIT WAVE SERVICES PHONE (360) 452-5962 OWNER JAMES F CROMBIE PHONE (360) 477-8032 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 12-00000177 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------------------------------------------- BL3 01 3/08/12 J BLDG FRAMING March 8, 2012 8:11:35 AM hcatuzo. Wayne Stratford--461-1766 C%U To M ------------------ --------- COMMENTS AND NOTES .�,� ` BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: -�� Date Received 321 E. Fifth St., Pori Angeles, WA 933662 s �-'�`"`y Permit# %2--_11,71 (360) 417-4815 fax (360)417-4711 Date Approved r Applicant C r'6W 2 P on Property Owner J z yo Phone 1/77 Pb--32- Property a3ZProperty Owner's Address /71 q C Lambe,-f Z ,k Contractor ( &)� n e Sfir& 7'0e6✓4 Phone 766 Contractor's Address ao2 0 1931� 3 License# S' 7-XA X W S?�-lk w Expires /a8/ao/z E-mail 6u6, ire ftC PROJECT ADDRESS 41-krn6erf /�ve Parcel Number Lot Zoning Project TVpe & Brief Description: Residential ❑ Multi-family ❑ Commercial o Industrial Check all that apply ❑ New Construction QexS 1 ❑Addition /, v ,M n "ream, Remodel F e I h 'I /Z ea-)n F Owe o Repair +D 'h 2 r Wk ❑ Demolition o Re-roof ❑ House ❑ garage ❑ other ❑tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑wood-burning stove o gas fireplace o pellet stove in other o Other Floor Areas Existinq(sa. ft.) ' Proposed(sq. ft.) Basement C 5 per sq. ft. _ $ 15' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATIO S %;2- Total footprint of structures sq. ft. T Lot size sq. ft. = of coverage % Site Coveraga_the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other,impervious surfaces: (see PAMC 17.94.135 for exemptions) Site coverage % Max, hei ht ofd ro osed structures a ft. Occupancy group #of bedrooms 9 P .P P Y 9 P Will a lawn sprinkler system be installed? Occupant load #of full baths Will afire sprinkler system beinstalled? 4 Construction type #of half baths i�haJ read and completed this application and know it to be true and-cor\t: ammauthorized to apply for this permit and understand that it is my responsibilitylto determine wh t pe its are requirtod, and to obtain,emits prior-to or ing on projects. Dated i� Print Name . + Signature T Form Building Division/Building permit applica[ _"� Contractors or Tradespeople Detail Page 1 of 2 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and licensing Information Name STRAIT WAVE SERVICES UBI No. 6026141 52 Phone No. (360)452-5962 Address 2020 West 5Th St Status _ Active Suite/Apt. License No. STRAIWS941 KW City Port Angeles License Type Construction Contractor State WA Effective Date 5/16/2006 Zip 98363 Expiration Date 5/28/2012 County Clallam Suspend Date A) Business Type Individual Parent Company Specialty 1 General Specialty 2 Unused Business Owner Information j, Hide All Name Role Effective Date Expiration Date STRATFORD,WAYNE Owner 05/16/2006 ( Bond Information ' Bond Bond Company Bond Account Effective Expiration Cancel Date Impaired Bond Received Name Number Date Date Date Amount Date 2 CBIC SH8015 05/04/2008 Until $12,000.00 05/05/2008 Cancelled 1 STATE FARM FIRE 98-GE-0308- 05/09/2006 Until 07/27/2008 $6,000.00 05/16/2006 &CAS CO 1 Cancelled I Assignment of Savings Information https://fortress.wa.gov/lni/bbip/Result.aspx 2/21/2012 Contractors or Tradespeople Detail Page 2 of 2 No records found for the previous 6 year period Insurance Information ' Insurance Company Policy Effective Expiration Cancel Date Impaired Amount Received Name Number Date Date Date Date 4 CBIC C11SH8015 05/04/2009 05/04/2012 $300,000.00 03/25/2011 3 CBIC C11SH8015 05/04/2008 05/04/2009 $300,000.00 04/10/2008 STATE FARM 2 FIRE&CAS CO 98GY52561 05/04/2007 05/04/2008 05/04/2008 $250,000.00 05/01/2007 1 STATE FARM 98GT27240 05/04/2006 05/04/2007 $250,000.00 05/16/2006 FIRE&CAS CO ' Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period i77,i Warrant Information No unsatisfied warrants on file within prior 6 year period <: Washington State Dept. of Labor& Industries. Use of this site is subject to the laws of the state of Washington. Acces 1$asb i ngawn,' https://fortress.wa.gov/lni/bbip/Result.aspx 2/21/2012 Clallam County Assessor& Treasurer - Property Details - 67471 JAMES F CROMBIE fo... Page 1 of 1 Clailam County Assessor & Treasurer Property Search Results > 67471 JAMES F CROMBIE for Year 2011 - 2012 Property ._._..__... _.__ ....r....... ., Account Property ID: 67471 Legal Description: LOT A19 HIGHLAND COMMUNITITES I AND II Geographic ID: 0630146501900000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location .. ..... _..._..._.M__.__..mm.._. Address: 1718 LAMBERT LN Mapsco: PORT ANGELES,WA 98362 Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: JAMES F CROMBIE Owner ID: 209632 Mailing Address: PO BOX 1741 %Ownership: 100.0000000000% PORT ANGELES,WA 98362 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement/ Building Sketch Property Image Land _ Roll Value History �.. __..__ _.._ . .� .._ �.....__-_ .. .. ... _w.. _. � Deedµand Sales History _..... _ . .._...._....._a. _ . I Payout Agreement Website version: 9.0.32.2200 Database last updated on: 2/21/2012 3:50 ©2012 True Automation, Inc.All Rights AM Reserved, Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=67471 2/21/2012 _e 1 ' ,1,T A, a. �.. 1721 b ert.1nAl ; .. ra "^ a E X mW s _ MIR 41 ga- IM=p r f # RV �3p, s F g ` ' d - NAME 7 6 r 20'-0' 20'-0" Keynotes REVISIONS 6-0" 14-�• ' O1 DOUBLE SINK O2 DISHWASHER S m O REFRIGERATOR 6YOX4Z D S IDER e 4 RANGE & OVEN /VENT TO OUTSIDE WATER CLOSET x o Vi N N vi 5 r 8O LAVATORY DO 12 MASTER BEDROOM O7 ARP, TS-6034 TUB/SHOWER b AMERICAN REINFORCED PLASTICS MODEL S-6035-R SHOWER DECK O MEDICINE CABINET 8 2'-B" 3'-4" 3'-0" 2'-2" 3'-2" 2'-2" 2'-B" 5'-6' .BATH 1D CABINET PANTRY 6 _ o L L 11 ROD & SHELF Anderson D � n 12 LINEN, (5) SHELVES Homes, LLC 5 0X3 6 SLIDER 6 0X6 10 S.G.D. 618 South Peabody Street c ... Su1b I g I _j I SAFETY GLASS 13 WASHER & DRYER Part AlWea,Washington 9=2 .i 360.482.4841 WHOLE HOUSE FAN W/AUTO-TIMER MANUAL OVERRIDE SWITCH. 1 1 1 2 NLL W.I.C. 15 MELAMINE SHELF 9J 11 0O o BEDROO 2 CHEN 19 16 SOLAR TUBE � " I N o _ DINING w Q 17 8"WIDE 36" HIGH WALL a a o \ D 16 0 3 i � 1n � � EATING BAR 7 o -- 5 -e x n t9 TYPE "X"GWB ®WARM & BEARING WALLS, y ix o o w r 2 LAYERS ® CEILING. WRAP ALL POSTS N 11 ------ - 10 ta AND BEAMS. V ; BATH \ 20 22"X30"ATTIC ACCESS W/ B „ / � c� .... n ORO STAIR o v N o .I ._8. 3._2. g 5,_6" 2,-10• 5,-0. 3._0. No x o w 13 11 N x J CITY OF P{ .T ANGELES—CortsFrticeion Plans The Issuance of this permit based upon these plans,specifl" LIVING ,ar°rs and 0th r data steal!n0,pr FOYE 17 4 event the building official x BEDROO 3 from thereafter requiri;:g the correct=on Of errors in said I I o LALIN. plans, specifica ions and other data, or froln preventing 14 o building operati ns being carried o.: thereunder when in rn N 15 \x violation of ail ,odes ani! Ordinarc6s of this jurisdiction. Jones 44q Approval Date BY = Residence S.H. ro s/O 2/ox5/o Lot 19 . FXE S.H. 5'-0" 7'-6" L 7'-6• o �l Hi hland Drive � wV„� L� Port Angeles,We COVERED PORCH �' ? 4& t�a- -2' Building Area S mary MAIN FLOOR LIVING AREA; 1,459 S.F. r_`ADA/_C I GARAGE: 450 S.F. 2. VENTED EAVE BLOCKING 9 tI AMNG. O.H. 3. BEARING WALLS ARE SHADED, 4. ROOF PITCH AS SHOWN, VERIFY AND MATCH EXISTING ROOF PITCH. 5. EAVE OVERHANGS AS SHOWN, GABLE END 6. APPLY ROOFING IN ACCORDANCE GABLE END TRUSSvi WITH I.B.C. SEC. (MIN.) / 7. PROVIDE ATTIC ACCESSCESS 22" X 30" MIN. W •i o - ° 8. ALLNIMUM TRUSSESFSHALLHEADROOM CARRY MANUFACTURER'S v STAMP, SHALL BE INSTALLED AND BRACED TO O MANUFACTURER'S SPECIFICATIONS, SHALL HAVE DESIGN DETAILS AND DRAWINGS ON SITE FOR N FRAMING INSPECTION, AND WILL NOT BE FIELD ® ALTERED WITHOUT PROIR BUILDING DEPARTMENT s? u, APPROVAL OF ENGINEER'S CALCULATIONS. w 9. TRUSS MANUFACTURER TO SUPPLY ALL v� BLOCKING AND HANGERS REQUIRED AT MANUFACTURED TRUSSES. 10. TRUSS LAYOUT TO BE REVIEWED AND APPROVED - BY TRUSS MANUFACTURER PRIOR TO CONSTRUCTION. 7 0 2 7 1•_p• ALL CHANGES TO BE SUBMITTED AND APPROVED - 0 o S21 O.H. BY ARCHITECT PRIOR TO FABRICATION. 99.1 - EAVE Anderson 3o Homes, LLC ' - - - IRDER TRUSS Roof Ventilation ,,�� - •«::� 618 South Peabody Street 2.2 Butte I I k R I THE NET CFR ED VENTILATING AREA SHALL NOT BE Part AnpeW,WasFdngton 98382 FV.1f. f LESS THAN 1 / 150 OF THE AREA OF SPACE TO BE 4 VENTILATED, EXCEPT THAT THE AREA MAY BE 380.462.4841 Ny�'l I ( +II REOF OURED'VENTILATING300, PROVIDED ATAREA SSSPROMDEDH BY VENTILATORS LOCATED IN THE UPPER PORTION q�I 4 k.\�� OF THE SPACE TO BE VENTILATED AT LEAST 3 FEET `l ABOVE EAVE VENTS WITH THE BALANCE OF THE REQUIRED VENTILATION PROVIDED BY EAVE VENTS. I I 8 THE OPENINGS SHALL BE COVERED WITH t CORROSION-RESISTANT METAL MESH WITH MESH OPENINGS OF 1/4" IN DIMENSION. w MCC �° Roof Vent Calculation O.H. ATTIC AREA ® ROOF = 2,083 S.F. RIDG 2,130 S.F. / 300 = 7.10 (NET) S.F. REQ'D. VENTING o AREA. 7.10 S.F. / .75 = 9.46 S.F. TOTAL z g m w GROSS VENTING W/ LOUVERS AND MESH SCREENING. w 4.73 S.F. ® EAVES AND 4.73 S.F. WITHING 3' OF RIDGE. � m COM ON TR SSES 024" c� w M0 0 w w Sm ° N s9.1 JP f < 4 t f AFP P�� t I Fp i Z Jones I I 4X, DF sr I.' ( - Residence N COMMON TRUSS N Lot 19 IRDER TRUSSr7 : ac °COMMON TRUSS �, o , Highland Drive Y K X Port Angeles,Wa 2 ' COMMON TRUSS 2"X30" MIN. Q i d ATTIC ACCESS ✓� -- ° GABLE END TRU55 GABLE END 99.1 O.H. � N a N O ° U � CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 4a� Application Number . . . . . 05-00000006 Date 1/14/05 Pin number . . . . . . .484896 Property Address . . . . . . 1718 LAMBERT LN ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- Application description . . . RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 112130 Owner Contractor ------------------------ ------------------------ JONES, SHIRLEY L ANDERSON HOMES LLC 5114 PT. FOSDICK DR. N. W. 618 SOUTH PEABODY GIG HARBOR WA 98335 PORT ANGELES WA 98362 (253) 851-5346 (360) 452-4641 ------ Structure Information NEW 1459 SF SFR W/ATT GARAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL g LOT COVERAGE 37.91 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 5035.00 PROPOSED LOT COVERAGE 1909.00 TOTAL LOT COVERAGE 1909.00 NUMBER OF UNITS 1.00 - -------------------------------- ------------ ----------------- V Permit BUILDING PERMIT -RESIDENTIAL Additional desc . . 1 Permit Fee . . . . 1090.05 Plan Check Fee 436.02 Issue Date . . . . 1/14/05 Valuation . . . . 112130 Expiration Date . . 7/13/05 Qty Unit Charge Per Extension ►`L��/,J BASE FEE 1017.25 1 / 13.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 72.80 ! - --------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc ' I Permit Fee . . . . 76.00 Plan Check Fee .00 _ Issue Date . . . . 1/14/05 Valuation . . . . 0 ct Expiration Date . . 7/13/05 Qty Unit Charge Per Extension BASE FEE 47.00 4.00 7.2500 ECH ME-VENT FAN 29.00 - --------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 1/14/05 Valuation . . . . 0 Expiration Date . . 7/13/05 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 Separate Permits are required forelectrical 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. Sig bre of Co"tractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102_15 building permit 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/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./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:\Policies\l 102_15 building permit inspection record05.wpd[1/4/2005] ���'►. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 05-00000006 Date 1/14/05 Pin number . . . . . . .484896 Qty Unit Charge Per Extension 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 121, in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC) and National Fire Protection Association(NFPA) standards. Proposal is for a single family residence w/attached garage in the RHD in a PRD. The PRD allows an increase in lot coverage for this property. No land use issues are noted. Public works electrical engineering has no requirements for this plan review. Electric Service Connection Fee Applies. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ---------------------------------------------------------------------------- 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 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1298.05 1298.05 .00 .00 Plan Check Total 436.02 436.02 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3508.57 3508.57 .00 .00 Separate Permits are required forelectrical 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 compiled 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:\Policies\1102_15 building permit inspection record05.wpd[1/4/20051 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS r-2-7` WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) _ PLUMBING -4i S _ 2c,_C J °4 P..� L i_ UNDERFLOOR/SLAB ROUGH-IN �� 1'� )4- WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS L CEILING jt?t,�►-a•l 3 _�"C' i fL' FRAMING JOISTS/ GIRDERS _.__. SHEAR WAL /HOLD DOWNS j C WALLS/ROOF/CEILING L--------------- - DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING s A P J L_L t4 A MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: ESA: PARKING/LIGHTING SHORELINE: LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 may; _ ELECTRICAL a5l LIGHT DEPT CONSTRUCTION-R.W. CONSTRUCTION RW./PW/ 417_4807 PW/ENGINEERING ENGINEERING FIRE DEPT. FIRE 417-4653 PLANNING DEPT. PLANNING DEPT. 417-4750 BUILDING 417-4815 S A-.L BUILDING T:\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] PREPARED 5/20/05, 13:20:39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 5/20/05 ---—----------------------------- ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --- BL1 01 1/27%05 JLL BUILDING FOUNDATION FOOTING 1/27/05 AP Allen 670-9451 BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL 2/02/05 AP allen 670-9451 BLHD 01 2/17/05 JLL BUILDING FRAMING HOLD DOWNS 2/17/05 AP Rick, framing straps recieved eng design (in file) BL9 01 3/01/05 JLL BUILDING SHEARWALL 3/01/05 AP Dennis - 461-2733 BAIR 01 3/16/05 JLL BUILDING AIR SEAL TIME: 17:00 3/16/05 AP Dennis - 461-2733 BL3 01 3/16/05 JLL BUILDING FRAMING TIME: 17:00 3/16/05 AP Dennis - 461-2733 BLI 01 3/22/05 JLL BUILDING INSULATION TIME: 17:00 3/23/05 AP Dennis 461-2733 BL99 01 5/20/05 JLL BUILDING FINAL = ,, /� 05/20/2005 11:56 AM JLIERLY T1'« DENNIS 461-2733 CONTINUED ONTO NEXT PAGE PREPARED 5/20/05, 13:20:39 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 5/20/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------------------— PL2 01 3%03/05 JLL PLUMBING ROUGH-IN TIME: 17:00 3/03/05 AP Todd - 808-0668 04/19/2005 02:39 PM JLIERLY PL99 01 5/ �JLL PLUMBING FINALTIME: 17:00 05/20/2005 11:58 AM JLIERLY ---------------------------- --------- - ---- COMMENTS AND NOTES -------------------------------------- PREPARED 5/20/05, 13:20:39 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 5/20/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 Ol 5/, JLL MECHANICAL FINAL : � 05/20/2005 11:58 AM JLIERLY ----- ------ CONTINUED ONTO NEXT PAGE ---- PREPARED 3/22/05, 13:09:17 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/22/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 1/27%05 JLL BUILDING FOUNDATION FOOTING 1/27/05 AP Allen 670-9451 BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL 2/02/05 AP allen 670-9451 BLHD O1 2/17/05 JLL BUILDING FRAMING HOLD DOWNS 2/17/05 AP Rick, framing straps recieved eng design (in file) BL9 01 3/01/05 JLL BUILDING SHEARWALL 3/01/05 AP Dennis - 461-2733 BAIR O1 3/16/05 JLL BUILDING AIR SEAL TIME: 17:00 3/16/05 AP Dennis - 461-2733 BL3 01 3/16/05 JLL BUILDING FRAMING TIME: 17:00 3/16/05 AP Dennis - 461-2733 BLI O1 3 22/05 LL BUILDING INSULATION TIME: 17:00 Z p Dennis 461-2733 -------------------- COMMENTS AND NOTES --- PREPARED 3/16/05, 12:06:31 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/16/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------- PERMIT= BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 1/27/05 JLL BUILDING FOUNDATION FOOTING 1/27/05 AP Allen 670-9451 BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL 2/02/05 AP allen 670-9451 BLHD 01 2/17/05 JLL BUILDING FRAMING HOLD DOWNS 2/17/05 AP Rick, framing straps recieved eng design (in file) BL9 01 3/01/05 JLL BUILDING SHEARWALL 3/01/05 AP Dennis - 461-2733 BAIR 01 /16/05 JA BUILDING AIR SEAL TIME: 17:00 Dennis 461-2733 BL3 01 3 6 5JLJ BUILDING FRAMING TIME: 17:00 Dennis 461-2733 -------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/03/05, 12:40:43 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/03/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 0 /OS JLL _ PLUMBING ROUGHTIME: 17:00 f� / � � Todd 808-0668668 ----------------------I} —,�-1 ----------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/17/05, 13:22:32 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/17/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 1/27/05 JLL BUILDING FOUNDATION FOOTING 1/27/05 AP Allen 670-9451 BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL 2/02/05 AP allen 670-9451 BLHD 01 2Z17/05 JLL _ BUILDING FRAMING HOLD DOWNS Rick, framing straps COMMENTS AND NOTES -------------------------------------- 01/11/2005 09:52 4258033289 JAMIESON PAGE 02 " JAMESON CONSULTING JOB NAME AMMM[,+�/ J C Cnnaniting Engiamr$ 'z .OS NO, BY J 733 7TH AVE SM 108 -ICIRICLAND WA 98033 SHEET N0. OF . (425)803-2581 •FAX(426)803-3289 DATE DOOR HEADER PROVIDE BLOCKING BEHIND C516 STRAP TW. ADD C516, STKAF FULL WIDTH OF SHEAR WALL PLUS 12"1=ND L8NGTH. OIL- 0f;)B pjFf- -p/- ti� iM fi�rE,e F/ELp 57-#D 10 l0/a. WASE 0 19900 EXPIRES 8/23/!ed$ cop PREPARED 3/01/05, 12:33:51 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/01/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT. BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------- —----— -------------------------------------------- BL1 01 1/27/05 JLL BUILDING FOUNDATION FOOTING 1/27/05 AP Allen 670-9451 BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL 2/02/05 AP allen 670-9451 BLHD 01 2/17/05 JLL BUILDING FRAMING HOLD DOWNS 2/17/05 AP Rick, framing straps recieved eng design (in file) BL9 013 O1/ 5 JLL BUILDING SHEARWALL Dennis - 461-2733 -------------------------- --- COMMENTS AND NOTES -------------------------------------- PREPARED 2/02/05, 13:03:55 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/02/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------------- BL1 01 1/27/05 JLL BUILDING FOUNDATION FOOTING 1/27/05 AP Allen 670-9451 BI2 01 2 02 05 JL��-L ///))) BUILDING FOUNDATION WALL allen 670-9451 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/27/05, 12:50:21 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/27/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1718 LAMBERT LN SUBDIV: CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452-4641 OWNER JONES, SHIRLEY L PHONE (253) 851-5346 PARCEL 06-30-14-6-5-0190-0000- APPL NUMBER: 05-00000006 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: SPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 1/27/05 L BUILDING FOUNDATION FOOTING Allen 670-9451 - ------------------ ----------- COMMENTS AND NOTES r-- FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Date Rec.:(>, b r Fill out COMPLETELY and in INK.Your application and site plan MUST ty Date Approved: s:y COMPLETE to be accepted for review. If you have any questions, call J�,(� Date Issued: PERMITS (360)417-4815 FAX(360)417-4711 !-,pplicart or Agent: l CL_ �F b�ls_�I' Phone: !I�22_ � ' Owner: , Iy Phone: 2 C_??2 51 Address: ( �� PT �b5�lU� DK N.U).City: 61. Zip: 33� Phone: tri 2- , Architect/Engineer: �'L�L -��(S�` r s .�-- Contractor 4tV 06_�� State License#: ANDFIL#L Exp: 0!j-b 5 Phone: -f5i2_'!f bAI Address: ' ->4 S �E 4 �'�5 501 M I City: rnr=T S.d►�/QC:211=� Zip: 8 z PROJECT ADDRESS: ['LOT a - l I 65p TEG ZONING: P K D LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 01 3,0 it�2c�q Credit Card Holder Name: — Billing Address: City: Credit Card Type VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ,V Residential J2'New Constr. ❑ Re-roof ❑ Stove fkZSE1jKA SF. @$ /SF._$_/t>2_Sb j 34) ❑ Multi-family ❑ Addition ❑ Move ❑ Garage 01AF f50 SF. @$ Z/, 38 /SF. =$ q 6Z 1" ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF. =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: 5'►Al til F FA MI t 7' A - AfEu COMMERCIALIRESIDENT'IAL: Occupancy Group: t-' - 3 Occupant Load: Construction Type: V & No. of Stories: Lot Size: L?' Existing Sq.Ft. _&Proposed Sq.Ft. /ya q =TOTAL Sq.Ft. Total lot coverage 37, % PRD 30 NAXM/ APPROVALS: PLAN: PLANNING USE ONLY: BLDG: DPWU: FIRE: ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: 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 of permit 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 R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. t hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 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 1 must obtain such permits prior to work. T:aVESS\BLDG-forms-brochures\2.003-Buildingpermit.Nvpd Applicant: Date:A' ' Oj OF ?ORT 'q IV ter► co Washington State Energy Code Plan Review Checklist 0 SNING Applicant lease Check write in N/A or fill in value on boxes or lines. Project Address: �dT f��1C�ffG./�lll�J `�Tf1Ts Compliance Approach:(check one) ❑ Systems analysis ❑ Component perfonnance ❑ Prescriptive path HEATING SYSTEM Ja'Zone Heating ❑ Electric Furnace ❑Heat Pump FOUNDATION PHASE ❑ Slab R- Exterior down to frostline/slab bottom; Interior 24"horizontal or vertical;or, If radiant under entire slab M11 ❑ Below grade exterior wall insulation: R- (If interior-see Insulation Phase) N/,+ FRAMING PHASE ,.O'Standard ❑ Intermediate ❑ Advanced ❑ Standard air seal: sole plate/sub floor;rim joist;window&door frames;wires,plumbing, ducts, light fixtures „lam Source specific exhaust fans:bath&laundry(50 cfm)kitchen(100 cfm) ❑ Whole house exhaust fan cf m intermittent system has manual&auto controls: Outdoor air supply reg. for habitable rooms or ❑ Integrated forced-air system, fan cfm, outside air duct(with motor damper) allowing .35 and.5 ACH INSULATION PHASE ❑ R--n Wall insulation(above grade) ❑ R--WA Wall insulation(below grade): Interior wall insulation ❑ R-3r—Floor insulation ❑ R- G? Ceiling insulation: Including attic hatch ❑ R-_SV�&Vaulted Ceiling insulation ❑ Vapor retarders: Walls,Ceiling: ❑ 4 mil poly ❑Perm rated paint ..2ciaft faced batts ❑ Vapor retarders: Floors: ❑ 4 mil poly Zkraft faced batts 12 Ground cover: 6 mil Black polyethylene, 12" lap at joints&extending to foundation wall TAROG ER\BLDG-FORM S-BROCHURESTNERG YPLANREVIEW Over: Fill in back side also. WINDOW GLAZING Please fill out window information,inclued skylights,glass doors,and all other glazing on this form.Use rough opening area for calculations. SIZE QUANTITY AREA U-VALUE& MANUFACTURER 2el iN 720 S� ' X 2t7 _ 1/L 1 E 1Z �Z Total glazing area: Total conditioned floor area: 1 Percentage of glazing: DOORS List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture. SIZE QUANTITY AREA U-VALUE& MANUFACTURER 2061�3 T:\ROGER\BLDG-FORMS-BROCHURES\ENERGYPLANREVIEW-2 TABLE 6-2 PRESCRIPTIVE REQUIREMENTS 1** FOR GROUP R OCCUPANCY CLIMATE ZONE 1 • HEATING BY OTHER FUELS HVAC9 Glazing Glazin U-Factor Door 10 Vaulted Wall Walls Walls Slab6 Option Equip. Area": U-Factor Ceilingz Ceiling' Above into ext4 Floors on Effic. % of Vertical Overhead z Grade Below Below Grade Floor Grade Grade JI. Med. 10% 0.70 0.68 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 II. Med. 12% 0.65 0.68 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 III. High 21% 0.75 0.68 0.40 R-30 R-30 ER 19 R-l9 R-10 R-19 R-10 IV.* Med. 21% 0.65 0.68 0.40 R-30 R-30 R-19 R-19 R-10 R-19 R-10 V. Low 21% 0.60 0.68 0.40 R-30 R-30 R-19 R-19 R-10 R-19 R-10 VI.' Med. 25% 0.45' 0.68 0.40 R-38 R-30 R-19 R-19 R-10 R-25 R-10 VII.' Med. 30� 0.40' 0.68 0.40 R-30 R-30 R-19 R-19 R-10 R-25 R-10 VIII. Med. unlimited 0.25 0.40 0.40 R-30 R-30 R-19 R-19 R-10 R-25 R-10 Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example,if a proposed design has a glazing ratio to the conditioned floor area of 19%,it shall comply with all of the requirements of the 21%glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv'denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10,or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use,and installed according to the manufacturer's specifications. See Section 602.2. S. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use,and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of 25%or less; 0.45 maximum for glazing areas of 30%or less. 8. Reserved. 9. Minimum HVAC equipment efficiency requirement. 'Low'denotes an AFUE of 0.74. 'Med.'denotes an AFUE of 0.78. 'High'denotes an AFUE of 0.88. Minimum HVAC equipment efficiency requirement for heat pumps. 'Low'denotes an HSPF of 6.35. 'Med.'denotes an HSPF of 6.8. 'High' an HSPF of 7.7.Water and ground source heat pumps shall be considered as medium efficiency and have a minimum COP as required in Table 5-7. 10. Doors,including all fire doors, shall be assigned default U-factors from Table 10-6C. 11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead)as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U=0.40 or less is not included in glazing area limitations. 12. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. 38 7/01/01 TABLE 6-1 PRESCRIPTIVE REQUIREMENTS 1** FOR GROUP R OCCUPANCY CLIMATE ZONE 1 • HEATING BY ELECTRIC RESISTANCE Walls Wall• Glazing Glazing U-Factor Wall Slab' Option Area70: Door 9 Ceiling' Vaulted Above inta exta Floors on % of Floor Vertical Overhead" U-Factor Ceiling' Grade Below Below Grade Grade Grade I. 10% 0.46 0.58 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10 II. 12% 0.43 0.58 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10 III. 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-10 R-30 R-10 IV.* 15% 0.40 0.58 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10 V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 VI. 21% 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 VII.' 25% 0.32' 0.58 0.20 R-38 R-30 R-19 R-21 R-10 R-30 R-10 +R-58 VIII.' 30% 0.29' 0.58 0.20 R-38 R-30 R-19 R-21 R-10 R-30 R-10 +R-58 * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21% glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturer's specifications. See Section 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.35 maximum for glazing areas of 25% or less; 0.32 maximum for glazing areas of 30% or less. 8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing. 9. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C. 10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U=0.40 or less is not included in glazing area limitations. 11. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. Effective 7/01/01 37 K _ g�13"� 53 E r r-7 3 ; d 1 N _40'-01, / N 1 I F, L 1\ 6 I T I �T CO) m Rfl�OG� Cl) ,� N MCO J. s , V 4 � ' s � M 1 F ii ft i I � e s� / 53.63 -S 7 e3g,13"� r fb ' HA Z A RO O L vEo�OG/G � � --- V1 5' a s � 0 ,S m 2s- 1 � ✓g �' ✓O S O N 1.00 11 H �S• S' I 25� C y y � 25 4,b\ � 0 O ss O r. `p" _1 u / m y O O OF pORTgNC Official Use Only o� a Assem.# Backflow Assembly Test Report Received City of Port Angeles aKsr+N° Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES: ' SERVICE ADDRESS: LOCATION OF DEVICE: ASSEMBLY: Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY'? YES Br O❑ IS ASSEMBLY INSTALLED CORRECTLY'? YES Er NO❑ DATE OF INSTALLATION ' UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ❑ RPDA ❑ DC Q- DCDA ❑ PVB ❑ Air Gap ❑ DOUBLE CHECK VALVE ASSEMBLY SVB ❑ AVB ❑ CHECK VALVE 41 CHECK VALVE#2 RELIEF VALVE PVB SVB Initial Leaked ❑ Leaked ❑ Did Not Open ❑ AIR INLET Closed Tight ❑ Did Not Open ❑ Test Held at psi J Opened at _psi Held at � psi — Opened at psi Repairs Cleaned ❑ Cleaned ❑ Cleaned ❑ CHECKVALVE Leaked ❑ Held at _ psi Replaced ❑ Replaced ❑ Replaced ❑ REPAIRS Cleaned ❑ Details Replaced ❑ 3 psi Butler YES ❑ NO ❑ Final Closed Tiaht ❑ AIR INLET Opened at psi CHECK VALVE Held at psi Test Held at psi Held at _ psi Opened at psi BACK PRESSURE NO❑ YES❑ AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES ❑ NO ❑ TYPE OF HAZARD COMMENTS Line Pressure psi ` Held Backpressure YES M" NO ❑ #2 Shutoff Held YES[?/"NO ❑ Relief Valve Exercised YES❑ NO ❑ Date Time Tester Signature Cert.# Test Kit Passed Failed Initial Test El•''";�r-7 ... �„ � - Repairs ❑ ❑ Final ®- ❑ WHITE-CUSTOMER COPY YELLOW-PURVEYOR COPY PINK-TESTER COPY 4�.'o CITY OFPORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION X21 EAST STH STREET. PORT ANGELES.WA 98362 L Application Number . . . . . 05-00000006 Date 3/12/05 Pin number . . . . . . .484896 Property Address . . . . . . 1718 LAMBERT LN ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- Application description . . . RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 112130 Owner Contractor JONES, SHIRLEY L ANDERSON HOMES LLC 5114 PT. FOSDICK DR. N. W. 618 SOUTH PEABODY GIG HARBOR WA 98335 PORT ANGELES WA 98362 (253) 851-5346 (360) 452-4641 ------ Structure Information NEW 1459 SF SFR W/ATT GARAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL % LOT COVERAGE 37.91 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 5035.00 PROPOSED LOT COVERAGE 1909.00 TOTAL LOT COVERAGE 1909.00 NJ NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL NEW RESIDENTIAL Additional desc SHAMP/ 1909 SQ.FT.SFR. Sub Contractor SHAMP ELECTRICAL CONTRACTING Permit Fee . . . . 119.80 Plan Check Fee .00 Issue Date . . . . 3/12/05 Valuation . . . . 0 Expiration Date . . 9/08/05 Qty Unit Charge Per Extension 1.00 73.0000 ECH EL-R-SQFT FIRST 1300 73.00 2.00 23.4000 5C EL-R-SQFT ADDITIONAL 500 46.80 ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 1211 in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC) and National Fire Protection Association(NFPA) standards. ProRosal is for a single family residence w/attached garage in the RHD in a PRD. The PRD allows an increase in lot coverage for this property. No land use issues are noted. Public works electrical engineering has no requirements for this plan review—Electric Service Connection Fee Applies. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 713.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED commUm YBS NO -ROUGH-IN/COM SERVICE GENERAL COMMENTS: Pw-1102.1514%1 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES.WA 98362 Page 2 Application Number . . . . . 05-00000006 Date 3/12/05 Pin number . . . . . . .484896 ---------------------------------------------------------------------------- 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 Permit Fee Total 119.80 119.80 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2487.50 2487.50 .00 .00 Grand Total 2607.30 2607.30 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTJON RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIl"24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPT® COMMENTS YES NO DITCH -7 c� -ROUGH-IN COVETE SERVICE _14 FINAL /t c S-7/E c�1 GENERAL COMMENTS: Pw-1102.15(A" CITY OF PORT ANGELES Imo= DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 4a� Application Number . . . . . 05-00000006 Date 3/08/05 Pin number . . . . . . .484896 Property Address . . . . . . 1718 LAMBERT LN ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- Application description . . . RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . __kr211=A Owner Contractor JONES, SHIRLEY L ANDERSON HOMES LLC 5114 PT. FOSDICK DR. N. W. 618 SOUTH PEABODY GIG HARBOR WA 98335 PORT ANGELES WA 98362 (253) 851-5346 (360) 452-4641 ------ Structure Information NEW 1459 SF SFR W/ATT GARAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL % LOT COVERAGE 37.91 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 5035.00 PROPOSED LOT COVERAGE 1909.00 TOTAL LOT COVERAGE 1909.00 NUMBER OF UNITS 1.00 �. ---------------------------------------------------------------------------- Permit . . . . . . FIRE SPRINKLER RESID Additional desc 1 Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 3/08/05 Valuation . . . . -49-- Expiration Date . . 9/04/05 ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 1211 in height. Numbers colors must contrast with wall ^ color they are mounted on. (Ord. 14.36.050-E) t(l When roof gutters are installed, drains will located in dry S- wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC) and National Fire Protection Association(NFPA) standards. Proposal is for a single family residence w/attached garage in the RHD in a PRD. The PRD allows an increase in lot coverage for this property. No land use issues are noted. Public works electrical engineering has no requirements for this plan review. Electric Service Connection Fee Applies. Sanitary sewer connection inspection is required by v Public Works prior to back fill of ditch. ---------------------------------------------------------------------------- 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 ----------------- ---------- ---------- ---------- ---------- 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. f Signature of Contractor or Authorize Agent [ ate Signature of Owner(if owner is builder) Date T:\Policies\1102 15 building permit inspection record05.wpd[1/4/2005] \ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/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./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:\Policies\1102 15 building permit inspection record05.wpd[1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION s 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 05-00000006 Date 3/08/05 Pin number . . . . . . .484896 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 Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd[1/4/20051 S 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. ITIS 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/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/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 JCOMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION-R.W. CONSTRUCTION R.W./PW/ 417-4807 PW/ENGINEERING ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. Ed BUILDING 417-4815 BUILDING T:\Policies\1102 15 building permit inspection record05.wpd[1/4/20051 `+pF P�TCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 05-00000445 Date 6/08/05 Application pin number . . . 329460 Property Address . . . . . . 1718 LAMBERT LN ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- Application type description PLUMBING REPAIR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 1700 Owner Contractor ------------------------ ------------------------ JONES, SHIRLEY L OSTERBERG LANDSCAPING 5114 PT. FOSDICK DR. N. W. 706 S. H ST. GIG HARBOR WA 98335 PORT ANGELES WA 98362 ( 25) 851-5346 (360) 452-9511 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 50732 Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . 6/08/05 Valuation . . . . 0 Expiration Date . . 12/05/05 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 7.0000 ECH PL- EA LAWN BACKFLOW 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ` ----------------- ---------- ---------- ---------- ---------- -t Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 s 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. f Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/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./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:\Policies\1102 15 building permit inspection record05.wpd[1/4/20051 OF PORrµCQ. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION s 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Ra� Application Number . . . . . 05-00000445 Date 6/08/05 Application pin number . . . 329460 Property Address . . . . . . 1718 LAMBERT LN ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0190-0000- Application type description PLUMBING REPAIR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 1700 Owner Contractor ------------------------ ------------------------ JONES, SHIRLEY L OSTERBERG LANDSCAPING 5114 PT. FOSDICK DR. N. W. 706 S. H ST. GIG HARBOR WA 98335 PORT ANGELES WA 98362 ( 25) 851-5346 (360) 452-9511 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 50732 Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . 6/08/05 Valuation . . . . 0 Expiration Date . . 12/05/05 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 7.0000 ECH PL- EA LAWN BACKFLOW 7.00 --------------------------------------------------------------------------- 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. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102_15 buildingpermit inspection record05.wpd[1/4/20051 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/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./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:\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] PORI ij r FOR OFFICIAL USE ONLY: BUiLDING PERMIT - APPLICAi iON Datc Rcu..E-28--6 -"'�- Permit#: Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions,call Date Issued: PERMITS(360)417-4815 FAX(360)417-4711 Applicant or Agent:J&2L!L>--i Fj ah4kz— Phone: Lj'�S Z 7S g3 Owner: An s6 140 v,rt e-T / (31x1 e-.f' Phone: LYS' a— Ll6`/1 Address: ( �b' S, j)4- 4)C)J7 , City: C, �e/" ,r Zip: l'9 3 C 2 Architect/Engineer: Phone: Contractor�di✓�'T�/3 .�/�State License#:1i1%r I/ASd Exp: G Phone: z//L -7S�'3 U ei. Address: Zip: 3�� Z PROJECT ADDRESS: , La-wl 6k,l Lio, ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: Residential XNew Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. =$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF. =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ 2 D, U U BRIEF DESCRIPTION OF THE PROJECT: 1 k S �, ✓'� SrJr� l��-r�^ S',,,$f' wi COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq. Ft. Total lot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: 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 of permit 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 Building/Residential Code,2003). No application can be extended more than once. I hereby certify that t 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 requi.r1d,not the City's, and that I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2004-Buildingpermit.wpd Applicant: V Date: 2, c? G C/ OF pORTgN� A F��N DATE: `'C�RICS ANO J� TO: �1 FIRE DEPARTMENT ❑ PLANNING DEPARTMENT ❑ PUBLIC WORKS/ENGINEERING DIVISION ❑ LIGHT DIVISION ❑ ENERGY ❑ ENGINEERING ❑ POLICE DEPARTMENT ❑ ADMINISTRATION ❑ CITY CLERK ❑ RISK MANAGEMENT FROM: PUBLIC WORKS/BUILDING DIVISION RE: ADDRESS: 1 -71 ,Q- NAME/CONTACT:-7 l �3 NAME/CONTACT: � ►'LC��`�- � � ,� PHONE: y.,.,? ._ ?S 3 PERMIT NUMBER: 04;7 — PROJECT 4;7 _PROJECT DESCRIPTION: "ad F a,t-f:� NEW CONSTRUCTION ❑ ADDITION/ALTERNATION COMMENTS/CONDITIONS: REVIEW/RETURN ❑ FILE -(wD cbS 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: Jones Residence Address: 1718 Lambert Lane Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 13 ❑ 13 R ❑ 13 D Date: 3.2.2005 PAFD Permit#: 05-08 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 NFPA 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 all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. ❑ Contractor Reviewed by: Building Department Date: 3.2• CDS ❑ Fire Department Fire Sprinkler System Plan Innovated Fire Sprinkler Systems 81 New Haven Larne Port Angeles, WA., 98362 (360) 452-7583 February 27, 2005 For: Mrs. Shirley Jones Location: Lot 19 Highland Drive Port Angeles, WA., 98363 Contractor: Anderson Homes 360-452-4641 2M. 13 D HYDRAULIC CALCULA`riONS Worksheet For t" CPVCMpe �'J ('yY1R-s Two heads require 26 gpm flow at designed pressure. ( + 5 gpm domestic u: One head requires 18 gpm flow at designed pressure. I . Pipe size 1 " P � CPVC (friction loss .1067). 2. Water pressure at street (2) _ © psi. 3. Meter frf(-tines loss (3) = psi (see T-��!Q d-4.3d NFPA 13 4. (2) __ -70 — minus (3) (4) psi remainin 5. Loss from street main to control valve = _ Go feet X - 106 _ feet (see friction loss chart). 6. (4) minus (5) = (6) S Y. 7. Elevation loss (building & street) = 1� psi remainin - feet X _434 = S;� f ' p, 8. (6) — `l (: minus (7) / _ 9.201— psi remainir 9. Total length of pipe from control valve to the farthest sprinkler = 70 fE X. - 106 = s's !' S1. 10. (8) `l CC - 3 P `? minus (9) �. _ �"�/, G1 psi remainin 1 1 . Equivalent length for valves and fittings (meter to farthest sprinkler head): Type Number Equivalent 1 T run _ X F-1-1 = feet 1 T Branch q X F-5 ] _ 'Als� f 1 " 90 Eibo.w r n . )- 1 " Coupling X _ �` f 1 " 45 Elbow Q X CD = o_ fc� � 1 " Gate Valve % X ee� '�' (1 1 ) Total Feet 12. Loss in fittings (1 1 ) .� feet X ps 13. minus (12) �. / psi remaininc 14. PSI remaining (13) /Z minus .�, �( (loss in riser) parts =- 1�• (14} -- � _ is more than the minimum-design psi required for 2 or 1 sprinklE heads operating. Mflow t3/4" eeded Information: 2.4 psiype of sprinkler headr 1_ F- " 0 psiPM & pressure 1 st head _ � j�js ,r. PM & pressure 2nd head water meter.. FP - 9C Revised 5/29/9 MAN I FOLD - :, Pvc -...- - - - -- -- -- -- - -- ---- - G_U � h -GAuclC- - ree - ---- —--- - - --- - -- - - 02A1N- 9 .T EST _._VALV - - - - (PLUM8E0 TO CIVTSIOC) FLOW �SWI CH 1p - To �S�wctTucq�� � I F RC- I VA NNaVATED FIRE S ? PUIN -1LERS - T-E PC. J Fire & Building Products Direct Sales(Central):Tel:(800)523-6512/Fax:(215)362-5385 Distribution Sales(Gem/Star):Tel:(800)558-5236/Fax:(800)877-1295 Technical Services:Tel:(800)381-93121 Fax:(800)791-5500 Series LFII Residential Concealed Pendent Sprinklers, Flat Plate 4.2 K-factor General stalled or finished.The tip of the Pro- tective Cap can also be used to mark the center of the ceiling hole into plas- Description ter board, ceiling tiles, etc. by gently I=► pushing the ceiling product against the The Series LFII (TY2596) Residential Protective Cap. When the ceiling in- - Concealed Pendent Sprinklers are staliation is complete the Protective decorative, fast response, fusible sol- Cap is removed and the Cover Plate der sprinklers designed for use in resi- Assembly installed. f - dentia) occupancies such as homes,%-'— �'`� apartments, dormitories, and hotels. WARN/NGS The cover plate assembly conceals the The Series LF/1(TY2596)Residential sprinkler operating components above Concealed Pendent Sprinklers de- the ceiling.The flat profile of the cover scribed herein must be installed and plate provides the optimum aestheti- maintained in compliance with this cally appealing sprinkler design.In ad- document, as we#as with the applica- dition, the concealed design of the Se- ble standards of the National Fire Pro- ries LFII (TY2596) provides 1/4 inch tection Association, in addition to the (6,4 mm) vertical adjustment.This ad- standards of any other authorities ha v- justment reduces the accuracy to ing jurisdiction. Failure to do so may which the fixed pipe drops to the sprin- impair the integrity of these devices. Vertical Adjustment: klers must be cut to help assure a The owner is responsible for maintain- 1/4 inch (6,4 mm) perfect fit installation, ing their fire protection system and de- Finishes: The Series LFII are to be used in wet vices in proper operating condition. Cover Plate: pipe residential sprinkler systems for The installing contractor or sprinkler Flat White, Bright White, Chrome, or one-and two-family dwellings and mo- manufacturer should be contacted Custom bile homes per NFPA 13D; wet pipe relative to any questions. residential sprinkler systems for resi- Physical Characteristics: dentia) occupancies up h FPA and includ- ing Sprinkler/Model Bodass Cady. . . . . . . . . . . . . . Bronze ing four stories in height per NFPA Saddle . . . . . . . . . . . . Brass 13R; wet pipe sprinkler systems for Sealing the residential Identification portions of any occu- 9 Assembl Y - pancy per NFPA 13. Number Soldered LinnkkrHa 'vesNic. . w/Teflon Nickel The Series LFII (TY2596) has a 4.2 (60,5) K-factor that provides the re- SIN TY2596 Lever . . . . . Bronze Compression Screw . Brass quired residential flow rates at reduced Deflector . . . . . . . . . . . Bronze pressures,enabling smaller pipe sizes Technical Guide Arm Frame . . . . . . Bronze and water supply requirements. Guide Arms . . . . . Stainless Steel The Series LFII (TY2596) has been Data Support Cup . . . . . . . . . . Steel designed with heat sensitivity and Cover Plate . . . . . . . . . Copper water distribution characteristics Approvals: Retainer . . . . . . . . . . . . Brass proven to help in the control of residen- UL and C-UL Listed. Cover Plate Ejection Spring . tial fires and to improve the chance for . . . . . . . . . . . . Stainless Steel escape to occupants Maximum Working Pressure: p pe or be evacuated. 12 psi ,1 bar) tDuPont Registered Trademark p { The Series LFII {TY2596) Residential 175 Discharge Coefficient- Concealed Pendent Sprinklers are K=4.2 GPMoef Coefficient: (60,5 LPM/bar��2) shipped with a Disposable Protective Cap.The Protective Cap is temporarily Temperature Rating: removed for installation, and then it 160'F/71"C Sprinkler with can be replaced to help protect the 135'F/57°C Cover Plate sprinkler while the ceiling is being in- Page 1 of 4 JULY, 2002 TFP440 ,Page 2 of 4 TFP440 Operation Minimum Flow(b)and Minimum Flow(b)and Maximum Maximum Residual Pressure Residual Pressure When exposed to heat from a fire, the Cover Plate, which is normally sol- Coverage Spacing For Horizontal Ceiling For Sloped Ceiling dered to the Support Cup at three Area(a) Ft (Max.2 Inch Rise (Max.8 Inch Rise points, falls away to expose the Sprin- Ft.x Ft (m) for 12 Inch Run) for 12 Inch Run) kler Assembly.At this point the Deflec- (m x m) for supported by the Arms drops down 160"Ft71`C 160'Ff71°C to its operated position.The fusible link Sprinkler Sprinkler of the Sprinkler Assembly is com- prised of two link halves that are sol- 12 x 12 12 13 GPM(49,2 LPM) 18 GPM(68,1 LPM) dered together with a thin layer of sol- (3,7 x 3,7) (3,7) 9.6 psi(0,66 bar) 18.4 psi(1,27 bar) der. When the rated temperature is 14 x 14 14 14 GPM(53,0 LPM) 18 GPM(68,1 LPM) reached, the solder melts and the two (4,3 x 4,3) (4,3) 11.1 psi(0,77 bar) 18.4 psi(1,27 bar) link halves separate allowing the sprin- 16x 16 16 16 GPM(60,6 LPM) 18 GPM(68,1 LPM) kler to activate and flow water. (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) WA Design (5,5 x 5,5) (5,5) 22.7 psi(1,57 bar) Criteria 20 x 20 20 24 GPM(90,8 LPM) N/A (6,1 x 6,1) (6,1) 32.7 psi(2,25 bar) The Series LFII (TY2596) Residential (a) For coverage area dimensions less than or between those indicated,it is Concealed Pendent Sprinklers are UL necessary to use the minimum required flow for the next highest coverage area and C-UL Listed for installation in ac- for which hydraulic design criteria are stated. cordance with the following criteria. (b) Requirement is based on minimum flow in GPM(LPM)from each sprinkler.The NOTE associated residual pressures are calculated using the nominal K-factor.Refer to When conditions exist that are outside Hydraulic Design Criteria Section for details. the scope of the provided criteria,refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's TABLEA recommendations that may be accept- NFPA 13D AND NFPA 13R HYDRAULIC DES/GN CR/TER/A able to the Authority Having Jurisdic- FOR THE SERIES LF11(TY2596) tion. RESIDENTIAL CONCEALED PENDENTSPRINKLER System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- accordance with the obstruction rules to 14 ft lbs. (9,5 to 19,0 Nm). A maxi- quired sprinkler flow rate for systems of NFPA 13 for residential sprinklers. mum of 21 ft.lbs. (28,5 Nm)of torque designed to NFPA 13D or NFPA 13R is to be used to instal/ sprinklers. are given in Table A as a function of Operational Sensitivity. The sprin- Higher levels of torque may distort the temperature rating and the maximum klers are to be installed relative to the sprinkler in/et with consequent /eak- allowable coverage areas. The sprin- ceiling mounting surface as shown in age or impairment of the sprinkler. kler flow rate is the minimum required Figure 3. discharge from each of the total Sprinkler Spacing. The minimum Do not attempt to compensate for in- number of"design sprinklers"as speci- spacing between sprinklers is 8 feet sufficient adjustment in an Escutcheon fied in NFPA 13D or NFPA 13R. Plate by under-or over-tightening the (2,4 m). The maximum spacing be- For systems designed to NFPA 13,the tween sprinklers cannot exceed the Sprinkler. Readjust the position of the number of design sprinklers is to be length of the coverage area(Ref.Table sprinkler fitting to suit. the the four most hydraulically de- A)being hydraulically calculated(e.g., Step 1. The sprinkler must only be manding sprinklers. The minimum re- maximum 12 feet for a 12 ft. x 12 ft. installed in the pendent position and quired discharge from each of the four coverage area, or 20 feet for a 20 ft.x with the centerline of the sprinkler per- sprinklers is to be the greater of the 20 ft.coverage area). pendicular to the mounting surface. following: • The flow rates given in Table Afor Step 2. Remove the Protective Cap. /nstallation NFPA 13D and 13R as a function of Step 3. With pipe thread sealant ap- temperature rating and the maxi- The Series LFII (TY2596) must be in- Plied to the pipe threads, and using the mum allowable coverage area. stalled in accordance with the follow- Type Wrench shown in Figure 2,install and tighten the Sprinkler/Sup- • A minimum discharge of 0.1 gpm/sq. ing instructions: port Cup Assembly into the fitting.The ft. over the"design area"comprised NOTES W-Type 18 Wrench will accept a 112 of the four most hydraulically de- Damage to the fusible Link Assembly inch ratchet drive. manding sprinklers for the actual during installation can be avoided by coverage areas being protected by handling the sprinkler by the frame Step 4. Replace the Protective Cap by the four sprinklers. arms only(i e., do not apply pressure pushing it upwards until it bottoms out to the fusible link Assembly). against the Support Cup.The Protec- Obstruction To Water Distribution. tive Cap helps prevent damage to the Locations of sprinklers are to be in Aleak tight 1/2 inch NP Tsprinklerjoint Deflector and Arms during ceiling in- should be obtained with a torque of 7 stallation and/or during application of ; . TFP440 Page 3 of 4 J BODY SEALING WRENCH (1/2•NPT) ASSEMBLY RECESS CAP SPRINKLER WRENCHING SADDLE AREA PUSH WRENCH SUPPORT COMPRESSION IN TO ENSURE CUP WITH SCREW ENGAGEMENT ROLL FORMED WITH SPRINKLER THREADS WRENCHING AREA LEVER FIGURE2 ' ' W-TYPE 18 GUIDE ' ' ARM SPRINKLER WRENCH ' SOLDER LINK ELEMENT GUIDE ARM FRAME DEFLECTOR (OPERATED DEFLECTOR POSITION) SPRINKLER/SUPPORT CUP ASSEMBLY THREAD INTO LE TAINER SUPPORT CUP THREAD UNTIL MOUNTING CD CDMPLES SURFACE IS FLUSH WITH CTION CEILING RING SOLDER COVER PLATE/RETAINER COVER TABS(3) ASSEMBLY PLATE FIGURE 1 SERIES LFII(TY2596)RESIDENTIAL CONCEALED PENDENT SPRINKLER 2-1/2'DIA. SPRINKLER- (63,5 mm) 1/4'(6,4 mm) FACE OF SU PPORT CUP 1/2• THREADED SPRINKLER ASSEMBLY NPT ADJUSTMENT FITTING OPERATED SPRINKLER 1-7/8. 1/8• COVER 3/32•GAP (47,6 mm PLATE (2,4 mm) t3.2 mm) RETAINER 7/1"(22.2 mm) COVER- SPRINKLER- MOUNTING 1_1/8'(28,6 mm) RETAINER SUPPORT CUP 3/16. SURFACE ASSEMBLY ASSEMBLY (4,8 mm) 3-1/4'DIA. DISPOSABLE DEFLECTOR IN (82,6 mm) TIP PROTECTIVE CAP OPERATED POSITION FIGURE 3 SERIES LFII(TY2596)RESIDENTIAL CONCEAL ED PENDENT SPRINKLER INSTALLATIONDIMENSIONS/PRO TEC TIVE CAP/ACTIVATED DEFLECTOR Page 4 of 4 TFP440 ro the finish coating of the ceiling. It may Care must be exercised to avoid dam- IN NO EVENT SHALL TYCO FIRE also be used to locate the center of the age - before, during, and after instal- PRODUCTS BE LIABLE, IN CON- clearance hole by gently pushing the lation. Sprinklers damaged by drop- TRACT,TORT,STRICT LIABILITY OR ceiling material against the center ping, striking, wrench twist/slippage, UNDER ANY OTHER LEGAL THE- point of the Cap. or the like, must be replaced. ORY, FOR INCIDENTAL, INDIRECT, The owner is responsible for the in- SPECIAL OR CONSEQUENTIAL NOTE Spection, testing, and maintenance of DAMAGES, INCLUDING BUT NOT As long as the protective Cap remains their fire protection system and de- LIMITED TO LABOR CHARGES, RE- in place, the system is considered to vicein compliance with this dode- GARDLESS OF WHETHER TYCO be Os"Out Of Service" mens as well as with the applicable FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH Step 5.After the ceiling has been com- standards of the National Fire Protec- pleted with the 2-1/2 inch (63 mm) tion Association (e.g., NFPA 25), in DAMAGES, AND IN NO EVENT diameter clearance hole and in prepa- addition to the standards of any other SHALL TYCO FIRE PRODUCTS' LI- ration for installing the Cover Plate As- authorities having jurisdiction.The in- ABILITY EXCEED AN AMOUNT sembly, remove and discard the Pro- stalling contractor or sprinkler manu- EQUAL TO THE SALES PRICE. tective Cap, and verify that the facturer should be contacted relative to INE FOREGOING WARRANTY /S Deflector moves up and down freely. any questions. MADE IN LIEU OF ANY AND ALL If the Sprinkler has been damaged and OTHER WARRANT/ES EXPRESS OR the Deflector does not move up and NOTE IMPLIED,INCLUDING WARRANT/ES down freely, replace the entire Sprin- The owner must assure that the sprin- OF MERCHANTABILITY AND FIT- kler assembly. Do not attempt to mod- klers are not used for hanging of any NESS FOR A PARTICULAR PUR- ity or repair a damaged sprinkler. objects and that the sprinklers are only POSE, cleaned by means of gently dusting Step 6. Screw on the Cover Plate As- with a feather duster,-otherwise, non- sembly until its flange comes in con- operation in the event ofa fire orinad- Ordering tact with the ceiling. vertent operation may result. Do not continue to screw on the Cover It is recommended that automatic procedure Plate Assembly such that it lifts a ceil- sprinkler systems be inspected, ing panel out of its normal position. tested, and maintained by a qualified When placing an order,indicate the full If the Cover Plate Assembly cannot be Inspection Service. product name. Contact your local dis- engaged with the Mounting Cup or the tributor for availability.. Cover Plate Assembly cannot be en- Limited Sprinkler Assembly: gaged sufficiently to contact the ceil- ing, eil- in the Sprinkler Fittingo Warranty Series LFII(TY2596),K=4.2,Residen- sitip must be reponed. tial Concealed Pendent Sprinkler with- Products manufactured by Tyco Fire out Cover Plate Assembly, Products are warranted solely to the P/N 51-122-1-160. Care and original Buyer for ten (10) years Cover Plate Assembly: Maintenance against defects in material and work- Cover Plate Assembly having a(spec- manship when paid for and properly ifs,)finish for the Series LFII (TY2596), The Series LFIITY2596 be installed and maintained under normal ( ) must K=4.2, Residential Concealed Pen- maintained and serviced in accord- use and service.This warranty will ex- dent Sprinkler, P/N (specify). ance with the following instructions: pire ten (10) years from date of ship- ment by TYCO Fire Products. No war- Chrome P/N 56-122-9-135 NOTES ranty is given for products or Bright White............... P/N 56-122-4-135 Absence of an Escutcheon Plate may components manufactured by compa- Flat White P/N 56-122.5-135 de/ay the sprinkler operation in a fire Hies not affiliated by ownership with Custom .................. P/N%-122-X-135 Tyco Fire Products or for products and situation. y components which have been subject Sprinkler Wrench: Before Closing a fire protection system to misuse, improper installation,corro- Specify:W-Type 18 Sprinkler Wrench, main control valve for maintenance sion,or which have not been installed, P/N 56-000-1-265. work on the fire protection system maintained,modified or repaired in ac- which it controls, permission to shut cordance with applicable Standards of down the affected fire protection sys- the National Fire Protection Associa- tem must be obtained from the proper tion, and/or the standards of any other authorities and a//personnel who may Authorities Having Jurisdiction. Mate- be affected by this action must be no- rials found by Tyco Fire Products to be hfied defective shall be either repaired or Sprinklers which are found to be leak- replaced, at Tyco Fire Products' sole ing or exhibiting visible signs of corro- option. Tyco Fire Products neither as- sion must be replaced. sumes, nor authorizes any person to assume for it, any other obligation in Automatic sprinklers must never be connection with the sale of products or shipped or stored where the tempera- parts of products. Tyco Fire Products ture will exceed 100oF/38oC and they shall not be responsible for sprinkler must never be painted,plated,coated, system design errors or inaccurate or or otherwise altered after leaving the incomplete information supplied by factory. Modified or over heated sprin- Buyer or Buyer's representatives. klers must be replaced. TYCO FIRE PRODUCTS,451 North Cannon Avenue,Lansdale,Pennsylvania 19446 VSR-SF OFPOTTER VANE TYPE WATERFLOW FOR SMALL PIPE ALARM SWITCH WITH RETARD Potter Electric Signal Company Potter Electric Signal & Mfg.LTD 2081 Craig Road- P.O.Box 28480 1967 Leslie Street St.Louis, MO 63146-4161 Don Mills,Ontario,Canada M3B2M3 (314)878-4321 -(800)325-3936 (416)441-1833 UL,ULC,CSFM LISTED and NYMEA ACCEPTED Service Pressure: Up to 250 PSI Minimum Flow Rate for Alan-ru 10 GPM Maximum Surge: 18 FPS Enclosure: Die-cast,red enamel finish Cover held in place with tamper resistant screws Contact Ratings: 2 sets of SPOT(Form C) 15.0 Amps at 125/250 VAC 2.0 Amps at 0-30 VDC Conduit Entrances: 2 knockouts provided for 1/2'conduit Usage: Listed Plastic,Copper and Schedule 40 Iron Pipe I Frts pipe sizes-1',1 1/4',and 1 112' _ - Note:8 paddles are furnished with each unit,one for each r--. pipe size of threaded or sweat TEE,one for 1'CPUC, and one for 1 112'polybutylene(CTS-Copper tubing size) Environmental Specifications: Suitable for indoor or outdoor use with factory installed gasket and de-cast housing. NEMA 4 Rated Enclosure-use with appropriate conduit fitting- Temperature Range:40'F/120'F(4.5'C149'C) Caution: This device is not intended for applications in explosive environments Service Use: Automatic Sprinkler NFPA-13 One or two family dwelling NFPA-13D STK. NO. 1113000 Residential occupancy up to four stories NFPA-13R U.S. PAT- NO-3921989. CANADIAN PAT.NO. 1009680 National Fire Alarm Code NFPA-72 OTHER PATENTS PENDING. Optional:Cover Tamper Switch,order Stk-No-0090018 The Model VSR-SF is a vane type waterflow switch for use on wet The vane must not rub the inside of the TEE or bind in any way. sprinkler systems that use 1',1 1/4',or 1 1/2'pipe size.The unit The stem should move freely when operated by hand. may also be used as a sectional watedlow detector on large systems- The device can also be used in copper or plastic pipe installations with the proper adapters so that the speed TEE fitting may be The unit contains two single pole double throw snap action installed on the pipe run- switches and an adjustable.instantly recycling pneumatic retard- The switches are actuated when a flow of 10 gallons per minute or INSPECTION AND TESTING: Check the operation of the unit by more occurs downstream of the device-The flow condition must opening the inspector'test valve at the end of the sprinkler line or exist for a period of time necessary to overcome the selected retard the drain and test connection.if an inspector's test valve is not Period- provided- INSTACLATION: These devices may be mounted in horizontal or If there are no provisions for testing the operation of the flow vertical pipe- On horizontal pipe they should be installed on the top detection device on the system,application of the VSR-SF is not side of the pipe where they will be accessible. The units should not recommended or advisable be installed within 6'of a valve,drain or fitting which changes the direction of the waterflow. The unit has a 1-NPT bushing for The frequency o1 the inspection and testing and its associated threading into a non-corrosive TEE_ See Fog-2 for proper TEE protective monitoring system should be in accordance with the size,type and installation. applicable NFPA Codes and Standards and/or authority having jurisdiction(manufacturer recommends quarterly or more Screw the device into the TEE fitting as shown in Fig.2. Care must f(equently), be taken to properly orient the device for the direction of waterflow. PRINTED IN USA MKT.88800003-REV J PAGE 1 OF 2 MFG-85400802-M5 (E)4PO TTY 6ELLS PBA-AC & PBD-Dt✓ Potter Electric Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd.JP.O. Box 28480 1967 Leslie Street St. Louis, MO 63146 Don Mills, Ontario. Canada M3132M3 (314)878=4321 /(800)325-3936 (416)441-1833 UL LISTED, FM APPROVED Sizes Available:a8', and 10' Voltages Available: 2 '01A,C AagVAfd 12VDC(102 to 15.6)Polarized 24VDC(20.4 to 312)Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use(See Note 1) -40e to 150`F(outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires Finish: Red powder coating 6" BELL SHOWN Optional: Model B8K-1 weatherproof backbox -hese vibrating type bells are designed for use as fire, burglar, or general signaling devices. They have low power onsumption and high decibel ratings.The unit mounts on a standard 4'square electrical box for indoor use.or on a model ;BK-1 weatherproof backbox for outdoor applications- ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE VOLTAGE MODEL NO_ STOCK NO. CURRENT(MAX) TYPICAL d8 MINIMUM do e 10 FT_ a 10 FT. 6 12VOC P60126 1706012 -12A 85 75 8 12VOC P80128 1706012 12A 90 75 10 12VOC P001210 1710012 72A 92 75 6 24VOC P80246 1706024 _06A 87 75 6 24VDC P80248 1708024 -06A 91 79 10 24VDC P002410 1710024 _06A 94 79 6 24VAC POA246 1806024 -17A 91 75 6 24VAC PBA248 1808024 _17A 94 75 10 24VAC POA2410 1810024 17A 94 75 6 120VAC POA1206 1806120 .05A 92 62 8 120VAC PSA1208 1808120 .05A 99 82 10120VAC PBA12010 1810120 _106A 99 85 lealherproof backbox rnodel BBK-1 Stk. No. 1500001. aces: Mrt.rnrxn dO rat.ngs are calculated Iron. tegrated sound pressure measurernerXs made al Underwriers Laboratories as specified n UL Standard 464. VL Iemperatwe s-30'to t 50'f Typocai dO ratings are ca��aA at�d Irom measuremervs made w�h a convenlgnal sound level meler and aredealive of output levels n an actual wutattat.on RINTEO IN USA MKT_8 88 5000 1-REV K PAGE 1 of 2 MFG.85400776-4794 Wo ELECTRICAL WORK PERNIITAI'PLICATION a �eQuestInspection `O Electrical Contractor ❑ Owner O Annual Permit 0 Alarm O Carnival O Commercial-Ild Residential O Residential Maint. ❑ Signs O Tbermostat O Telecom. Installation description Job wired by �Elettrlcal Contractor ❑Owner Electrical contractor name License number ,N116rnn CoOT?el711.16 Purchaser's mailing address Po 30/ 3Y3 city, state ZIP II AilJ&eL� Lvvq q t Telephone number FAX number Sq rn,e Premises owner's name 10 I -es Address of insDectlon LTA t- `/5D cit = LAS - 9&3 a— ❑Cash 4 Check# I hereby certify that l am the owner of the above named property or a licensed El electrical contractor(or the Firm's authorized agent) and am making the elecIrcal Crct$t Card Visa Mastercard Discover installation or alteration in compliance with the electrical law,CImpter 19.28 RCW. Card# SIg // ° n ure of owner, electrical contractor or electrical administrator o Expiration Date of Cflid Inspection fcc N Air WALLS CEII.NG THERMOSTAT SERVICE Insulation Only Insulation Only 3i mt< Appmv=a ey « npprov<d er Dem Approved ay 0.1. Appmv<e BY DITCH Coverver FUER `3 nppm�ee 9y Dai � apnn�•cJ ey Dp¢ Appmvee ay Electrical Load Additions and or subtractions Service Information go O NO LOAD CHANGES O Baseboard _KW Voltage 713,0Z0 O Furnace _KW O Overhead Service Phase O t O 3 I] Heat Pump Ton T LAR O Temp Service Service Size: 83.1 .G?O }0r Fan-Wall 60-0—KW ❑ Underground Service Feeder Slze: inspection Arca,Buildin• Equipment ment In, ected Electrical s Date 6 or 9 p Action Taken Inspector Coe- � 6rnMev"f f2F-- 27716 7a 0_6 At J. /g?4 i t 3/9/05 Cooilo Q xrj tt : t 90oz/80ieo pOFTAN WIRING REPORT w®� ELECTRICAL INSPECTION 417-4735 ARKS& DATE PERMIT INSPECTOR ©5' z 2 9 - O OfVNER/COnTRACTOR C.� ADDRESS / 7 i .gym Y C14�� APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDE Dj�i97✓� AL NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC.(360)452-1381 Payment inquiry Operator ID: TOWEN Date: 5/13105 Number: 01 Recolptnumb®r. 45969 Poet date: 5/13705 Tender. CREDIT CARD Check number: 2005 6 36.40 BP 5/11105 10:0204 t 5H ML CTPIC Total payment: 3640 Total tender. 3640