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HomeMy WebLinkAbout2207 W 16th St - Building FROM FAX NO. Sep. 3 2009 1:13PM P1 rr� VV CITY OF PORT Awuus PmNIIT APPL3CATION q �'s',�'"• {;�°� r.; Building Divisiow'Electrical Inspections 321 Bast FiftlD Street—P.O.Boa 1150/Port Angeles Washingtan,98362 Ph:(360)417-4735 Fax:(360)417-4711 DEC I Date: Single Family Dwelling REURICAL Plan Review Ma0e Required,Please Complete ElectW Flan Review Infomiafion Sheet Bd wing Square ,--•_---- Descilpdan d above Owner Inforynfon Contractor ! o Name: 7 1--e-(w'x N= Meiling A6d 2 It to City: She_.�Z `I ¢ r 3 C� t'hvne:y s r'y � c, , a>c 9 Lkema 41 Exp. _ - LtM#1 eCP C-r s IL , z 0syl fEerr It CMF.QLL 9k Total fray Muklntled by Unit„Qarao) Senricefeeder240Amp. $120.00 Servic eTeWer 201404 Aurp. $146.00 S Ssr cwTeWer 401.600 Amp $205.00 Servlo®IFeWw W-1000 Amp. $262.00 $ SeuvioelFeeder over 1000 Amp, $373.00 $ Branch Circuit W/Service Feeder $ 5.00 s Branch Cira*W/0 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 14 - $ 75.00 Temp_Servhx•1 Feeder 200 Amp. $ 93.00 $ To".Sere m Feeder 201.4W Amp. $110,00 $ Temp.ServicelF99dsr401-= p. $149,00 $ Temp.Sere mFeeder6ol-1t1 Arne. $168.00 $� Portal to Portal Hovey $ 96.00 ___ $ Signal Cimcritl Limited Energy-1&21x*DwdN $ 64X $ ---._--- Manufactumd.Hom Canectioa $120.00 $_, Renewable Eledt{A F.i%ngy-5KVA System or Less $10200 $ - Therrumtst $ 56.00 Kota:$5.00 for each addWW Twmt N N OP[LIC: First 1300 Square Ft $12D.D0 _- $ Each Addiitiod 500 Square Ft or Po"of $ 44.00 $ Bach ouftild4V or Debehed Garage $ 7440 $_, Each Svrirn"Pool or Hot Tub $110.00 $ s i��To�l owner as defined by RCW,19.28.261:(1)Owner VWl occupy the struat"far two yearn MW M eleftw pemrit b 8nd ized,(2)Owner is required to hire an eledrkxO oonttactor N above said properly is for sale,rent or lease.Pemvt expires after six months of last lnspedfon. After reading the above stater enl,I hereby certify that 1 am the owner of the above named property or a lcenmW electrical eanaactor,I am making the eletftat installation or akration in eor oa=mith the electrical laws,N.E-C-,RCW.Chapter 1928,WAC.Char 296-4613,The City of Part Angeles Muni*d Code,and Utility 5peefhc4ons and PAMC 14.05.050 reganfing EleotriM PerlW Applications. 5lgeature o!own ,el I contractor .or dsctrioat adminlr:trator Q Cso t7 ram ❑ Cm*Card a t� DAW, — 01l01r2p12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00001433 Date 12/12/13 Application pin number . . . 076481 Property Address , . . . . . 2207 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NUMB13R: 06-30-01-7-5-0020-0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . Property Use to the City of Port Angeles Property Zoning . . . . . . . R39 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Meter base repair ---------------------------------------------------------------------_------ Owner Contractor OLYMPIC LAND DEVELOPMENT INC. ELECTRIC SERVICE RICK CAVANAUGH 82 DRAPER RD 77 ROAD LESS TRAVELED WAY PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 452-6424 Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . , . . 120.06 Plan Check Fee .00 Issue Date , , . . 12/12/13 Valuation . . , 0 ` Expiration Date 6/10/14 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 120,00 120.00 ,00 .00 Plan Check Total .00 .00 .00 ,00 Grand Total 120,00 120.00 .00 .00 ,INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:TEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-41 7-4735 � Application Number 13-00001433 Date 12/12/13 Application pin number 076481 Property Address . . , . . . 2207 W 16TH ST /�+ �+ TAX ASSESSOR PARCEL NUMB`FR: 06-30--01-7-5-0020-0000- REPORT SALES TA Application type description ELECTRICAL ONLY on your excise tax form Property Us e Subdivision Name Frppert Use to the City of Port Angeles o .a e Property Zoning . . , . , . . R59 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 l Application desc Meter base repair Owner Contractor OLYMPIC LAND DEVELOPMENT INC. ELECTRIC SERVICE RICK CAVANAUCH 82 DRAPER RD 77 ROAD LESS TRAVELED WAY PORT ANGELES WA 98362 SE0Ulm WA 983B2 (360) 452-6424 ------------------------------------------ �----------_----_-_ Per . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee , , . . 120,00 Plan Check Fee .00 Issue Date , , , , 12/12/13 Valuation . . , , 0 Expiration Date 6/10/14 Qty Unit Charge Per Extension 1.00 120,0000 ECH EL-0-200 SRV FEEDER 120-00 Fee summary Charged Paid Credited Due %v+ Permit Fee Total. 120.00 120,00 .00 .00 Plan Check Total .00 Do ,00 .00 Grand Total 120.40 120.00 00 ,00 G . V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL 1 Z [ t COMMENTS: PERMIT WILL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G.,TXCHANGE\B.UILDING , ELECfRICAL PERMIT INSPECf,lON RECORD '. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02.1~ (4'96\ PREPARElr-r/1.7/ 0 6~r2J.T:T8 CITY OF PORT ANGELES INSPECTT~TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 1/12/06 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL _ APPL NUMBER 2207 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-01-7-5-0020-0000- 05-00000235 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 ------------------------------------------------------------------------------------------------ TYP/SQ REQUESTED COMPLETED DESCRIPTION RESULTS/COMMENTS INSP RESULT ------------------------------------------------------------------------------------------------ ME6 1/04/06 1/04/06 JLL AI' 01 MECHANICAL GAS LINE TIME 17,00 01/04/2006 11-37 AM DYASUMUR --------------------------- AL 809-0445 PROPANE LINE 01/04/2006 04 31 PM JLIERLY ------------------------____ ::::_:~--~-~------~~~~~~~~~_:~~~~=--~~--~=~~~~-===========================----- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT TYP/SQ DESCRIPTION RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 7/11/05 1/03/06 8/03/05 8/03/05 JLL AI' JLL AI' 01 PLUMBING ROUGH-IN TIME, 17 00 01/03/2006 01 37 PM JLIERLY ------------------------____ PLUMBING WATER SUPPLY TIME 17 00 08/03/2005 01 07 PM PBARTHOL --------------------------- 809-0445 ALAN 08/03/2005 04 15 PM JLIERLY ---------------------------- PL99 01 ,t{~21~6 _ FfL PLUMBING FINAL TIME 17 00 ~ 01/12/2006 12,12 PM DYASUMUR -----------------------____ ------------------------- ----------- COMMENTS AND NOTES ---------------------------___________ PL6 01 ~K~PKRED--1/T21u~r2-14-r8 CITY OF PORT ANGELES 1 1/12/06 INSPECTION-TICKET INSPECTOR JAMES L LIERLY PAGE DATE ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 2207 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-01-7-5-0020-0000- 05-00000235 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE . (360) 457-7222 ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 4/21/05 4/22/05 JLL AP 01 BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09 07 AM RVESS 04/22/2005 08 22 AM JLIERLY ------------________________ BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04.43 PM JLIERLY ------______________________ BUILDING FOUNDATION DRAINAGE 05/12/2005 11 04 AM JLIERLY ALLEN 681-3992 05/12/2005 04:40 PM JLIERLY -------_____________________ BUILDING SHEARWALL 06/07/2005 12 49 PM JLIERLY --------____________________ al 681-3992 06/07/2005 04:24 PM JLIERLY ------------________________ BUILDING FRAMING TIME 17 00 07/08/2005 01 15 PM JLIERLY -------_____________________ 07/08/2005 04 43 PM JLIERLY ---------___________________ elec rough not complete/Jll BUILDING FRAMING 01/03/2006 01 37 PM JLIERLY ------______________________ BUILDING AIR SEAL TIME 17 00 01/03/2006 01 36 PM JLIERLY -----_______________________ 01/03/2006 01:37 PM JLIERLY --------____________________ BUILDING INSULATION 07/12/2005 08 44 AM DYASUMUR ALLEN 809-0445 07/13/2005 08:55 AM JLIERLY --------____________________ BUILDING DRYWALL IBWP 07/22/2005 11'57 AM JLIERLY ALLEN 809-0445 07/22/2005 04 27 PM JLIERLY -------_____________________ PUBLIC WORKS FINAL 11/21/2005 01:02 PM RVESS -------------_________________ 11/21/2005 01 02 PM RVESS -------------_________________ BUILDING FINAL 11/21/2005 09 54 AM PBARTHOL ALLEN ROADS CALL FIRST, HOME LOCKED 360-809-0445 PUBLIC WORKS AND ELECTRICAL ARE SIGNED OFF 11/22/2005 11/22/2005 03.44 PM PBARTHOL -----------________________ PROPANE STOVE NEED TO BE HOOKED UP AND OPERABLE TO CHECK BEFORE FINAL CAN BE GIVEN BL99 02@121.06JLLBUILDINGFINALTIME1700 ~ 01/11/2006 04 58 PM DYASUMUR -----______________________ r g ALAN 809-0445 FINAL ----------- --- -------------------------------------------------------------------------------- BI2 4/29/05 4/29/05 JLL AP 01 BLFD 01 5/12/05 5/12/05 JLL AP BL9 6/07/05 6/07/05 JLL AP 01 BL3 7/08/05 7/08/05 JLL DA 01 BL3 7/11/05 1/03/06 7/11/05 1/03/06 JLL AP JLL AP 02 BAIR 01 BLI 7/12/05 7/13/05 JLL AP 01 BLDR 01 7/22/05 7/22/05 JLL AP PW99 01 11/21/05 11/21/05 RV AP BL99 01 11/22/05 11/22/05 JLL DA PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ----------------------------------- CONTINUED ONTO NEXT PAGE ---------__________________________ PREPARED 1/04/06, 13:30 22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 2 1/04/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 2207 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC. 06-30-01-7-5-0020-0000- 05-00000235 RES NEW SFR SUBDIV: PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 ~ ~ -------------------------------------- COMMENTS AND MECHANICAL GAS LINE TIME: 17 00 01/04/2006 11 37 AM DYASUMUR -------------------------__ AL 809-0445 PROPANE LINE NOTES PREPARED 11/22/05, 13 28'11 CITY OF PORT ANGELES 2 11/22/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 2207 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR (360) 681-3992 (360) 457-7222 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/21/05 JLL 4/22/05 AP BI2 01 4/29/05 JLL 4/29/05 AP BLFD 01 5/12/05 JLL 5/12/05 AP BL9 01 6/07/05 JLL 6/07/05 AP BL3 01 7/08/05 JLL 7/08/05 DA BLI 01 7/12/05 JLL 7/13/05 AP BLDR 01 7/22/05 JLL 7/22/05 AP PW99 01 11/21/05 RV 11/21/05 AP BL99 01 ~::JJ;q- / r- BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09,07 AM RVESS 04/22/2005 08 22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11 04 AM JLIERLY ALLEN 681-3992 05/12/2005 04:40 PM JLIERLY ---------------------------- BUILDING SHEARWALL 06/07/2005 12:49 PM JLIERLY ---------------------------- al 681-3992 06/07/2005 04 24 PM JLIERLY ---------------------------- BUILDING FRAMING TIME 17 00 07/08/2005 01 15 PM JLIERLY ---------------------------- 07/08/2005 04 43 PM JLIERLY ---------------------------- elec rough not complete/)ll BUILDING INSULATION 07/12/2005 08 44 AM DYASUMUR ALLEN 809-0445 07/13/2005 08:55 AM JLIERLY ---------------------------- BUILDING DRYWALL IBWP 07/22/2005 11.57 AM JLIERLY ALLEN 809-0445 07/22/2005 04:27 PM JLIERLY ---------------------------- PUBLIC WORKS FINAL 11/21/2005 01 02 PM RVESS ------------------------------ 11/21/2005 01.02 PM RVESS ------------------------------ BUILDING FINAL 11/21/2005 09 54 AM PBARTHOL ALLEN ROADS CALL FIRST, HOME LOCKED 360-809-0445 PUBLIC WORKS AND ELECTRICAL ARE SIGNED OFF 11/22/2005 PERMIT: ELNR 01 ELECTRICAL NEW RESIDENTIAL SUB JARMUTH ELECTRIC REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS (360)683-4104 ELI 01 6/23/05 ACO ELECTRICAL ROUGH- IN 6/23/05 DA 06/23/2005 11 03 PM AOMAN ------------------------------ WIRE IN GARAGE NOT COMPLETE NEED SMOKE DETECTOR MAIN LEVEL 06/23/2005 11:04 PM AOMAN ------------------------------ ELI 02 7/08/05 ACO ELECTRICAL ROUGH-IN 7/08/05 AP INSPECT CORRECTIONS FOR ROUGH-IN 07/09/2005 09 45 PM AOMAN ------------------------------ 07/09/2005 09 46 PM AOMAN ------------------------------ EL3 01 8/04/05 ACO ELECTRICAL UNDERGROUND 8/04/05 AP 10/10/2005 12 54 PM AOMAN ------------------------------ ----------------------------------- CONTINUED ONTO NEXT PAGE ------------------~-------------- JJUIX .h;t~~ ~cJCVO # f {l.~ PREPARED-ayo 3YO 5-;--n-4-3~5-0 CITY OF PORT ANGELES 2 8/03/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER, INDP~CITO~TTCKET INSPECTOR JAMES L LIERLY pAG,,; DATE 2207 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL6 01 ~03/05 ~JILL PLUMBING WATER SUPPLY 08/03/2005 01.07 PM 809-0445 ALAN -------------------------------------- COMMENTS AND NOTES -------------------------------------- TIME 17 00 PBARTHOL --------------------------- PREPARED 7/22/05, 12 08 06 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 3 7/22/05 2207 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR (360) 681-3992 (360) 457-7222 SUBDIV. PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/21/05 4/22/05 BI2 01 4/29/05 4/29/05 BLFD 01 5/12/05 5/12/05 BL9 01 6/07/05 6/07/05 BL3 01 7/08/05 7/08/05 BLI 01 7/12/05 7/13/05 BLDR 01 7/22/05 ~~( JLL AP JLL AP JLL AP JLL AP JLL DA JLL AP JLL ~ BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09,07 AM RVESS 04/22/2005 08 22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11 04 AM JLIERLY ALLEN 681-3992 05/12/2005 04 40 PM JLIERLY ---------------------------- BUILDING SHEAR WALL 06/07/2005 12 49 PM JLIERLY ---------------------------- al 681-3992 06/07/2005 04,24 PM JLIERLY ---------------------------- BUILDING FRAMING TIME 17.00 07/08/2005 01 15 PM JLIERLY ---------------------------- 07/08/2005 04 43 PM JLIERLY ---------------------------- elec. rough not complete/]ll BUILDING INSULATION 07/12/2005 08 44 AM DYASUMUR ALLEN 809-0445 07/13/2005 08 55 AM JLIERLY ---------------------------- BUILDING DRYWALL IBWP 07/22/2005 11 57 AM JLIERLY ALLEN 809-0445 -------------------------------------- COMMENTS AND NOTES PREPARED 7/12/05, 12 29 22 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 7/12/05 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR (360) 681-3992 (360) 457-7222 SUBDIV PHONE PHONE P~T: BPR 00 BUILDING PERMIT - RESIDENTIAL . '<~ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 4/21/05 JLL 4/22/05 AP BI2 01 4/29/05 JLL 4/29/05 AP BLFD 01 5/12/05 JLL 5/12/05 AP BL9 01 6/07/05 JLL 6/07/05 AP BL3 01 7/08/05 JLL 7/08/05 DA '----" BLI 01 ~+ BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09 07 AM RVESS 04/22/2005 08 22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11 04 AM JLIERLY ALLEN 681-3992 05/12/2005 04 40 PM JLIERLY ---------------------------- BUILDING SHEARWALL 06/07/2005 12:49 PM JLIERLY ---------------------------- al 681-3992 06/07/2005 04:24 PM JLIERLY ---------------------------- BUILDING FRAMING TIME 17 00 07/08/2005 01 15 PM JLIERLY ---------------------------- 07/08/2005 04-43 PM JLIERLY ---------------------------- elec rough not complete/]ll BUILDING INSULATION 07/12/2005 08 44 AM DYASUMUR ALLEN 809-0445 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/03/06, 13 36 56 CITY OF PORT ANGELES 1 7/11/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2207 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC. 06-30-01-7-5-0020-0000- 05-00000235 RES NEW SFR (360) 681-3992 (360) 457-7222 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 02 ....7(.;V~5( lfrL.o BAIR 01 ~ ~ BUILDING AIR SEAL TIME 17 00 ",.,'^r-- ~ 01/03/2006 01 36 PM JLIERLY ---------------------------- ---------~----- ----------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT BL1 01 4/21/05 JLL 4/22/05 AP BI2 01 4/29/05 JLL 4/29/05 AP BLFD 01 5/12/05 JLL 5/12/05 AP BL9 01 6/07/05 JLL 6/07/05 AP BL3 01 7/08/05 JLL 7/08/05 DA TYP/SQ BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09:07 AM RVESS 04/22/2005 08:22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11 04 AM JLIERLY ALLEN 681-3992 05/12/2005 04 40 PM JLIERLY ---------------------------- BUILDING SHEARWALL 06/07/2005 12 49 PM JLIERLY ---------------------------- al 681-3992 06/07/2005 04 24 PM JLIERLY ---------------------------- BUILDING FRAMING TIME 17 00 07/08/2005 01 15 PM JLIERLY ---------------------------- 07/08/2005 04 43 PM JLIERLY ---------------------------- elec rough not complete/]ll BUILDING FRAMING DESCRIPTION RESULTS/COMMENTS PL2 01 ~~ PLUMBING ROUGH-IN TIME- 17 00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 7/08/05, 13 33 30 CITY OF PORT ANGELES 10 7/08/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR (360) 681-3992 (360) 457-7222 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/21/05 JLL 4/22/05 AP BI2 01 4/29/05 JLL 4/29/05 AP BLFD 01 5/12/05 JLL 5/12/05 AP BL9 01 6/07/05 JLL 6/07/05 AP BL3 01 ~.D'~ ~~ BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09 07 AM RVESS 04/22/2005 08.22 AM JLIERLY -----------------.-----.---- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04.39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11.04 AM JLIERLY ALLEN 681-3992 05/12/2005 04 40 PM JLIERLY ---------------------------- BUILDING SHEARWALL 06/07/2005 12.49 PM JLIERLY ---------------------------- al 681-3992 06/07/2005 04 24 BUILDING FRAMING 07/08/2005 01 15 PM JLIERLY TIME 17 00 PM JLIERLY c. 7, L CO~ AND ~~i'--------------------------------- 6~ 'Fc~ ~ ~ F60 PREPARED 6/07/05, 12 58 19 CITY OF PORT ANGELES 10 6/07/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER- INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR SUBDIV PHONE (360) 681-3992 PHONE - (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/21/05 JLL 4/22/05 AP BI2 01 4/29/05 JLL 4/29/05 AP BLFD 01 5/12/05 JLL 5/12/05 AP BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09,07 AM RVESS 04/22/2005 08 22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04,43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11.04 AM JLIERLY ALLEN 681-3992 05/12/2005 04.40 PM JLIERLY ---------------------------- BUILDING SHEARWALL 06/07/2005 12 49 PM JLIERLY ---------------------------- a1 681-3992 BL9 ~ w- -------------------------------------- COMMENTS 01 ~ AND NOTES -------------------------------------- PREPARED 5/12/05, 13 45.16 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 4 5/12/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/21/05 JLL 4/22/05 AP BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09 07 AM RVESS 04/22/2005 08 22 AM JLIERLY --------------- ------------ BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11.04 AM JLIERLY ALLEN 681-3992 BI2 01 4/29/05 JLL 4/29/05 AP BLFD 01 ~s--Ap- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/29/05, 12 10 34 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 9 4/29/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR SUBDIV PHONE (360) 681-3992 PHONE, (360) 457-7222 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/21/05 JLL 4/22/05 AP BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09 07 AM RVESS 04/22/2005 08 22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04 39 PM RVESS BI2 01 ~$.fL COMMENTS AND NOTES -------------------------------------- PREPARED 4/21/05, 13.20 01 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 4/21/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 05-00000235 RES NEW SFR SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 Ar(2~~5_~~LL BUILDING FOUNDATION FOOTING ~J - Allen 582-0608 04/21/2005 09 07 AM RVESS ------------------------- -------- COMMENTS AND NOTES -------------------------------------- BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec 4-1- 6::;;- Perm'" 05 ~ Date Approved 12 OS Date Issued Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent: L e &:.... t-, Owner: Diy ~plL LtiY?d Address: p.o. {.3 OX" SCfS Roads [) eve /0 p /IY1.ej'L+ CIty: C uris bo r5 Phone: 3(P (> &oq -O'l'fL/ Phone: 3/00 L{S7 - 7'22'C- wA. ZIp: q' ~.J 2<<-1 , A I leV'/. Phone' 360 goer - (P{tfS Rcx::.!S. Wltivr ACI J State LIcense #: Q'1 Z ib3 Exp: (127/o~ Phone:3&O &?rl- 391 CIty: S~10rn /,.vA ZIp: q 832> L iA..), /10 ~ Sf. p, A, ZONING: ~ 57 Subdivision: D 1'7 rn pi "[ !-{.er'c; hi:! Block: ArchItect/Engmeer: ~ wan f/,. I' Contractor AchUYl Uj/7Sfruc..:f?'Or1 Address: f 0, 60/< (c.{-:25 PROJECT ADDRESS: ~ 0'7 LEGAL DESCRIPTION: Lot: Jf ;;2.. CLALLAM COUNTY PARCEL NUMBER: 063000/07 ~06o 000 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: J!f.. ResIdentIal /!!. New Constr. 0 Re-roof o Mulh-fannly 0 AddItIon 0 Move o CommercIal 0 Remodel 0 DemohtIon o RepaIr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT. d(ve.lo(JfneYtf of 32 City: Exp. Date: SIZEN ALUATION: I q7 r SF. @ $ {(/O '()o /SF = $ (qt.' Kt>> .OD SF.@$ /SF. =$ SF. @ $ /SF. = $ TOTAL VALUATION $ -F'u.;,..t./i'1 J( -e 5 t'L ('" V1 ~ i Y1 -<. W S-\-tC5.U/.)~ ~.gle o Stove o Garage o Deck o Other S,- n c; (.e h tJ vneS COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: 2.. Lot SIZe: Q(J3fo ExistIng Sq. Ft. Tota110t coverage ;2..q Occupant Load: Construction Type: & Proposed Sq. Ft. 2& 5'1 = TOTAL Sq. Ft. 265 r % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAIW etland(s)' 0 Yes 0 No SEP A Checkhst requIred? 0 Yes 0 No Other BUILDING PERMIT APPLICATION SUBMITTAL: The Bm1dmg DlVlsIOn can proVIde you WIth mformatIOn on the applIcatIOn and plan sublll1ttal requrrements If you have questIons VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reVIewed and may be revIsed by the Bm1dmg DIVISIOn to comply WIth current fee schedules Contact the Perrmt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE. IF a plan check fee IS due It must be sublllltted at the tIme the bmldmg perrmt applIcatIOn and constructIOn plans are sublll1tted. All other permit fees are due at the tIme of perrmt Issuance EXPIRATION OF PLAN REVIEW: 1fno penrut IS Issued WItlnn 180 days of the date of applIcatIOn, the application will expire. The Bm1dmg OffiCIal can extend the tIme for action by the apphcant up to 180 days upon written request by the apphcant (see SectIOn RI05.3.2 of the InternatIOnal BuildmglResIdential Code, 2003). No applIcahon can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authOrized to apply for this permit and understand that it is my responSibility to determine what permits are reqUired ,not the City's, and that I must obtain such permits prior to work. T \RVESS\BLDG-forrns-brochures\2003-BUlldmgpenmt wpd Applicant: ~ah ~ Datetf /11 () S I ,II " " " >-, "" " " , / / / I / , I", / '".,-, / ~...,,,<> / If ~~~ "'''V ~~ / ", V""-...,,,, "" / ;; / / ~ / " I / ~ / / 1'" / ,,/ > .,&~ / "-!~, ~~roP~f'''>~, / ,. '2.'2.01 / / ,_ ;' ,0 -"", I / ~ ., / , """>,,- /1 '.......,'........ ~--,,/ "', J"., / ~" / " ...~,........ -.........:/' "",,-: ,,/ / ~/ r~/ " " " ,-\ / , ,/ // ( / / , , / / -NAVD88 Vertical Datum -::.. NAD 83/91 I HOT/lon/af Datum _ d 'lptlOl1 be llsed as a legal esc~~1m use and pm poses Tlus map IS not 'b"~~~~e~,~of Port AIl~~:e~!:o:n~~:""'"'' n',I.. r.n. roduced .1 Ion" .......1 },." ThIS map/drav.~~~~s!r tl",. ..."mU. ;"'''''I'lIT''' Al1l>nfhn I'=~,::.t . . Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only . Lot.';' ..2 Address >> (5 7 U I (p +~ S ..f- CIty. Por-f AV/.c;ele.S State L0.A ZIp' C( t:s&., 7- Contact. 5 U Z C<:A. n ~ 10/ 0 I- Phone q 57 - 7;2. 2.. "2- -.. ,~ -~- ,-"~, ....,. ,~, ~-"1._, __ >~~ ".,-~, .),<.,'0>1'" .J', PermIt #. Notes: - l"r', ~" '<j , -,' -" > "< .' " ' ,~ " '; - !.". r'" -' ! \ f, ~ '. <; ~ l< . ~' - ~ : l j , " ,J t " , ~ ! : l \ '" '- ,,-,> "."'" . '1\ , "r_ I' , , 'I' '. t ~,- , f.l '" < ".""'l'-J>t_ ,''''.tOt, ,:-,' > IJ l "r'/ ''', Phone 2 ~, .~ I If " 1 ~ _' IP- ,.. ,1\ ,,~ fi , . ",,',,_">1' ",,>! -,. - \' ""> ' I l' >< 'I, , h "l. ,,' <~, " " , ' , , , \ If,' > ~ ~ H~ ~l"!" i.f~j .-, to' ,.~. ,r~~ """':1' ~ H j>'<'C';.<l..-i ,r~, x 'J- ,j,}" > > ,,. ,Uid'" " j'll' I""'" 't-< ,.' I,.' it I ',' p ! lPl 'I ~~ " >f 1 ' > ,Jl:n> " l i,{', , i ~ n"d_1 q "nJl~_ltt~" J "'ll"" "-~",' ~~"'_l ,Pll ~o' l~tj "',_ Fax' n Imlte azmg tlon ny Glazing Glazmg U-Factor Door9 Wall Wall Wall Slab4 OptIOn Area10 U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor V ertl cal Overhead 11 factor Ceilmg3 Grade Below Below Grade Grade Grade III Unlimited Group R-3 040 0.58 020 R-38 R-30 R-21 R-21 R-IO R-30 R-lO Occupancy Only Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (U r . d Gl O' 0 I ) See the code text for footnote references This project complies with the following: ./ The project is a single famIly residence or duplex ./ The project IS wood frame OR all of the insulatIon IS interior or extenor of the framing. ./ All building components meet the requIrements listed in Table 6-1, Option III ./ The project will meet all other provIsions of the WSEC and VIAQ The project will take advantage of the following exceptions to the prescriptive option o 602 6 Exception 1 One door, that IS 24 ft 2 or less, that does not meet the standards IS allowed Location of the door taking thiS exceptIon o 6026 Exception 2 Doors with a U-factor of 0 40 allowed without calculatIons, Option III only LocatIon of the door(s) taking thiS exception COPYright 2002, WSUCEEP02-056 Copied by permission from the Washington State University ExtenSion Energy Program PreSCriptive - Simple Form - Climate Zone 1 7/26/2004 HJ.lNN ~ ..J. ;];}i1I -1S: I1J- t7J I j;l 01 = I, / 71'P':J5: ,be? I>C I I ...... J ~ VI I w , ~ I \Ii W I ,.8 ,01> ..u IPs- & c::s; .a 9l>'.?fV';;l c ...... e ,pS J.. d'O..Ls Z .1.:1 ~S' J L};I grno/l 1;1 195 (l0/ H:J)lOd OnG/lO;) tEL ';;'.J.H I9I3H '7J:IrlW/'70 z #=- -1.07 '1-f 6) 1 (11 L () 'Cc ..1 N1W rJ Qr 0111 :10 aN/;I7 -JIcJUI~70 /Vlnd 3-1.I'5' I~-c ,.b& CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name' Property Use property Zoning . . . Application valuation 05-00000235 Date 097435 2207 W 16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR 7/14/05 RS9 RESDNTL SINGLE FAMILY 197800 Owner Contractor OLYMPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information 000 Construction Type occupancy Type Other struct info INC. WANT ACTION CONSTRUCTION INC. P. O. BOX 1425 SEQUIM (360) 681-3992 000 1978SF 2 STORY SFR W/ATT 528SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 ~ ~ ~ ---l WA 98382 29.00 ~ V-N 2.00 1. 00 9052.00 2654.00 2654.00 1. 00 ~ Permit . . . . . Additional desc . Permit pin number Sub Contractor Perm1.t Fee Issue Date Expiration Date FIRE SPRINKLER RESID RES. FIRE SPRINKLER SYS. 54452 INNOVATED FIRE .00 7/14/05 1/10/06 '* SPRINKLERS Plan Check Fee Valuation .<t- . 9>l'- '"1 - .00 ..e-- A .~ V) \) :s .:s f , Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed. drains will located in dry wells or piped to approved storm drain locations. New Subdivision outside the four minute response time shall be 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. The proposal will result in a s.f. home in the RS-9 for total lot coverage of 29%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee required $222.00. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees SEWER SYSTEM DELV CHARGE 745.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pUblic improvements. This permit becomes null and void If work or construction authOrized IS not commenced within 180 days, If construction or work is suspended or abandoned for a penod of 180 days after the work as commenced, or If required inspections have not been requested Within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All prOVISions of laws and ordinances governing thiS type of work Will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the proviSions of any state or local law regulating construction or the performance of con tructlon. Signature of Owner (if owner is bUilder) Date T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000235 Applicat10n pin number 097435 Page 2 Date 7/14/05 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 penod 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 authonty 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 \PoIICles\1102_15 bUlldmg permit mspectIOn record05 wpd [1/4/2005] No of Stones' Lot SlZe: Total lot coverage EXlStmg Sq Ft =T FOR OFFICIAL USE ONLY Dale Rec 6 - ~O-E),~- Peml11 # Date ApPJOved Date Issued 7S8:t -:r77 ~ CZSj~ 2- ?- 722<., one. 'is' 2 -7..r8..f lP: '7BSb.2. : . Date: $ $ $ $ -5 J b ? 0 d TE/V7 Type: OTAL Sq. Ft APPROVALS: PLAN: BLDG: DP"WU: FffiE : OTHER: - ills figure will be revIewed at417-4815 for assIstance. and constructIon plans are plication will expire. The cant (see SectIOn RI05.3.2 d to apply for this permit and Its pnor to work BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST BE COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApphcantorAgent V;VLC-.fL""-' +- f3 tl..1-~5 -tr- Phone: 'IS 2. - Owner Ol"Jl/a- p.'c. L~J OJ} ".1l,{ _ Phone: t;;:,81 Address 1'1 J..f ;::')v.. "'- Ik 'I ~ 'P(!.F~#~IJ-W Zlp: Archltect/Engmeer: vJ~f/\.,f /J-C /-"'0 ~ c.c.~ r It Phone: LIS Contractor/NA/tJl/ 4-TF /) ~/.Q.~ State Llcense #/JV/IIoIISF d c..Irfx~('-- eft~/Qb Ph Address 8/ /l/b~ /,/,4//E/lfL/y' Clty. POIr.J-4k..J ~/.e.J Z PROJECT ADDRESS' 22() 7.J / b ~ t, S ~ r-e...-L t'- ZONING - ~ "- LEGAl DESCRlPTION: Lot: 2- Block SubdlVlslOn: CLAlLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o ResIdentIal 0 New Constr. 0 Re-roof o MultI-family 0 Add1tIon 0 Move o Commercial 0 Remodel 0 DemolItIon o RepaIr 0 Sign BRlEF DESCRIPTION OF THE PROJECT City: Exp o Stove o Garage o Deck o Other ,c/~ E.. SIZE/V ALUATION: SF. @ $ /SF. = SF @ $ /SF = SF @ $ /SF = TOTAL VALUATION S //./l/ /V k L...E 12... S J.I J COMMERCIALIRESIDENTIAL: Occupancy Group' Occupant Load. & Proposed Sq. Ft. ConstruCTIon % PLANNING USE ONLY: ESAfWetland(s) 0 Yes 0 No SEPA Checkb.st required? 0 Yes 0 No Other VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant. T and may be revIsed by the Buildmg DIvISIon to comply wIth current fee schedules. Contact the Penmt Coordmator PLAN CHECK FEE IF a plan check fee is due It must De sublIlltted at the hIDe the bmldmg pemut apphcation subnutted. All other pemut fees are due at the tmle of pemut Issuance. EXPIRATION OF PLAN REVIEW: lfno pemut IS Issued WIthm 180 days of the date ofapphcatIOu, the ap Bmldmg OffiCIal can extend the tune for actIon by the apphcant up to 180 days upon wntten request by the appli of the IntematlOnal Buildmg/Resldentlal Code, 2003). No applIcatIOn can be extended more than once. J hereby ceMy that I have read and examined this applicatIOn and know the same to be true and correct. I am authorize understand that IT" my rosponS/bl/ity to denmits aro roquired .not the City". and that / must obtam such perm T\Pohcles\BL-]]02_13wpd ApplIcant. ~;J3~ Date: Cft Va..J [=:J J<~V1 ~ o o I DATE? ~o.S' I v- FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION / / LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRA TI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DMSION I RE: ADDRESS: c9-~ ~'J ttt11.s:t: NAME/CONTACT: /lie -~ . J?fftte. y PHONE: Jfl:;~- ~IT3> PERMIT NUMBER: .6)5.... ~~ PROJECT DESCRIPTION: J::, re Sf H YI 1:.1 el.., Sf! 15i~ ~ NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: f REVIEWIRETURN o FILE PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 2207 West 16th Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13RO 13DI:8J Date: 7.13.2005 P AFD Permit #: 05-18 We have checked this plan and find that it conforms to the requirements of the code. The plans do not indicate which toilet will be tied into the system. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. o Contractor ~ Building Department o Fire Department Reviewed by: ~ 00. .no Date: 1. l~' 05 ,-.\ Fire Sprinkler System Plan Innovated Fire Sprinkler Systems 81 New Haven Lane Port Angeles, WA., 98362 (360) 452-7583 June 29,2005 For: Want Action Construction Location:~O')16th Street Port Angeles WA., 98363 Contractor: Want Action Construction 12. loss in fittings (11) 13. 14. 1'5. 6. 7. 8. 9. 10. 11. 13 D HYDRAULIC CALCULATION~ 1. 2. 3. 4. 5. ~,'f\\..h' ...., "I, 'h, / :'t" -~ ,)\Il. t t. rrtf"4t ""tr: "::-"......v'"="''- (r"'r-:..I'::,... ~ ... ~ f'. }..F ~l. [ + 5 g~'; \', ...~nt B;u~er.. ~ ~ -= 'Sl I ~~/~~~ "-'."'1 <'~'~~I Pipe size · 11. I CPVC (friction loss .1 067). lIJ::::.?;';';:~~~ Water pressure at street (2) = 7 psi. S/2//c.~ Meter friction loss (3) = ~..s- psi (see Table 4-4.3d NFPA 1 [ (2) -C:,~ minus (3) 7- (4) = S8 psi remain n loss from street main to control valve = 0; 0 feet X I . 1 ~ oJ- I = . 0 feet (see friction loss chart). ' 0 ? '--/ / (4) J 8 minus (5) J.o ,. - (6) .5 (.'/, CJJ psi rel1)ain'#g Elevation '<t.ss {building & street} - 2. 0 feet X .434 = 8, G 8 si (6) S 1. 9J minus (7) 8 ._b 9 - L.le;. 2 S psi remaini ( Total length of pipe from control valve to the farthest sprinkler = t-/9 f.le~ X I .10671 = Sf 2.:1 psi. (8) L/e.-. 2S minus (9) S 2 J - 1..-;1.0 -e pSI remainl/n~ Equivalent length for valves and fittings (meter to farthest sprinkler head): Type Number Equivalent 1 " T run "7 X m = 1 " T Branch ...) X o=J = 1" 90 Elbo.yv '-I X [2] = 1" Coupling I X 0 = 1 " 45 Elbow 0 X m = 1 " Gate Valve / X [I] = - (1 1 ) Total Feet b 2- Worksheet For 1" CPVC Pipe Two heads require 26 gpm flow at designed pressure. One head requires 18 gpm flow at designed pressure. 7 2S ?O '----- G / o I feet X Riser Parts Potter flow switch 2.4 psi Soft seat valve 1.0 psi Needed Information: Type of sprinkler head T . c- 0 LF11 GPM & pressure 1 st head /6" 1.1... / GPM & pressure 2nd head 2- '1 , 3/4" water meter or no) .' SPR.1NK,LER' MAN \ I=OL D :.- py c .~.. _. n ? . TO_.J~..EAD5 . ?/~~~T~.e__ .____. . . . -- - - - - . -' b . _. __9='A v..~ E- .-' --._- .-- - .... --~-- ----. --. -~ .-.---...--.-. - - --- -- .------- --- +--- --------- -------- ---- - - _.- - - ------.- ----- --' - . - ---' - ... -- - -- .e. e.- . ~ ~ DR-A','N_ RT~Si-.:VALV (PLV{\/\BED TO. OVTSI DE) VE 0-_- ____.___ -- -- --- .---. - -_.- ~e.l< : TO J~.E ---.ft- ~V_E._~_._ . ___~~OJ~L__SWJlcH ._ ---- --.---.-.-..-- ..--- - -" - -.-+ --. -. -.--------..----------------- -_. -----._----- --.----------- 'NtO.N....n _.. . - ____.~_ _______. ___ __. ___u. _______ _ n' u_, _u . _ . _ ._ _ .___..__ =- .! ____..__ _ ._ _\._ ____.________.__...__ n . n_" - .----- ,..., 0 10. ___...... .. . ---e--' ~ / -- "., . r_ a ~ r\. _ I If P \ P E:. . . ------ .-------.---------.- --. -- . ~S.lG.lV~ 0 ..B Y.: ___" . . . -- -. . - - - - - - . - - -.- N f\\ 0 V ATE D F \ RES.? R\ 1\\ K L E RS . . . ... f B-:OJ"V\. . jV' .,.- ~. ,-- .~ . -- , -- , . J ... I . ~.... .-..' . . . tqeD / Fire & Building / Products Direct Sales (Central): Tel: (800) 523-65121 Fax: (215) 362-5385 Distribution Sales (GemlStar): Tel: (800) 558-52361 Fax: (800) 877-1295 Technical Services: Tel: (800) 381-93121 Fax: (800) 791-5500 Series LFII Residential Concealed Pendent Sprinklers, Flat Plate 4.2 K-factor General Description The Series LFII (TY2596) Residential Concealed Pendent Sprinklers are decorative, fast response, fusible sol- der sprinklers designed for use in resi- dential occupancies such as homes, apartments, dormitories, and hotels. The cover plate assembly conceals the sprinkler operating components above the ceiling. The flat profile of the cover plate provides the optimum aestheti- cally appealing spnnkler design. In ad- dition, the concealed design of the Se- nes LFII (TY2596) provides 1/4 inch (6,4 mm) vertical adjustment. This ad- justment reduces the accuracy to which the fixed pipe drops to the sprin- klers must be cut to help assure a perfect fit installation. The Series LFII are to be used in wet pipe residential sprinkler systems for one- and two-family dwellings and mo- bile homes per NFPA 130; wet pipe residential sprinkler systems for resi- dential occupancies up to and includ- ing four stories In height per NFPA 13R, or, wet pipe sprinkler systems for the residential portions of any occu- pancy per NFPA 13. The Series LFII (TY2596) has a 4 2 (60,5) K-factor that provides the re- quired residentIal flow rates at reduced pressures, enabling smaller pipe sizes and water supply requirements The Senes LFII (TY2596) has been deSigned with heat sensitivity and water distnbution characteristics proven to help in the control of residen- tial fires and to improve the chance for occupants to escape or be evacuated The Series LFII (TY2596) Residentlal Concealed Pendent Sprinklers are shipped with a Disposable Protective Cap. The Protective Cap is temporarily removed for installation, and then it can be replaced to help protect the sprinkler while the ceiling is being in- Page 1 of 4 stalled or finished. The tip of the Pro- tective Cap can also be used to mark the center of the ceiling hole into pias- ter board, ceiling tiles, etc. by gently pushing the ceiling product against the Protective Cap. When the ceiling in- stallation is complete the Protective Cap is removed and the Cover Plate Assembly installed. WARNINGS The Series LF/! (TY2596) Residential Concealed Pendent Sprinklers de- scribed herein must be installed and maintained in compliance with this document, as well as with the applica- ble standards of the National Fire Pro- tection Association, in addition to the standards of any other authorities hav- ing jurisdiction. Failure to do so may impair the integrity of these devices. The owner is responsible for maintain- ing their fire protection system and de- vices in proper operating condition. The installing contractor or sprinkler manufacturer should be contacted relative to any questions. Sprinkler/Model Identification Number SIN TY2596 Technical Data Approvals: UL and C-UL Listed. Maximum Working Pressure: 175 psi (12,1 bar) Discharge Coefficient: K = 4 2 GPM/psi1l2 (60,5 LPMlbar1/2) Temperature Rating: 160oFn10C Sprinkler with 1350F/570C Cover Plate JULY, 2002 - ei~~ r~~""'~'~' ~~~ ~ . ~---.-~ Vertical Adjustment: 1/4 inch (6,4 mm) Finishes: Cover Plate. Flat White, Bright White, Chrome, or Custom Physical Characteristics: Body. . . . . . . . Cap. . . . . . . . . . . . . Saddle. ....... . Sealing Assembly . . . . . . Beryllium Nickel wI Teflont Soldered Link Halves . Nickel Lever . . . Bronze Compression Screw . . Brass Deflector. Bronze Guide Arm Frame Bronze Guide Arms . Stainless Steel Support Cup . . . Steel Cover Plate Copper Retainer. . .. . . Brass Cover Plate Ejection Spring . Stainless Steel . Brass Bronze Brass tDuPont Registered Trademark TFP440 .'Page 2 of 4 Operation When exposed to heat from a fire, the Cover Plate, which is normally sol- dered to the Support Cup at three points, falls away to expose the Sprin- kler Assembly. At this point the Deflec- tor supported by the Arms drops down to its operated position. The fusible link of the Sprinkler Assembly is com- prised of two link halves that are sol- dered together with a thin layer of sol- der. When the rated temperature is reached, the solder melts and the two link halves separate allowing the sprin- kler to activate and flow water. Design Criteria The Series LFII (TY2596) Residential Concealed Pendent Sprinklers are UL and C-UL Listed for installation in ac- cordance with the following criteria. NOTE When conditions exist /hat are outsIde the scope of the provIded criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having JUrisdic- tion. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature ratmg and the maximum allowable coverage areas, The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the the four most hydraulically de- manaing sprinklers The minimum re- quired discharge from each of the four sprinklers is to be the greater of the following' · The flow rates given 10 Table A for NFPA 13D and 13R as a function of temperature ratmg and the maxi- mum allowable coverage area. · A minimum discharge of O. 1 gpmlsq ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in TFP440 Minimum Aow (b) and Minimum Flow (b) end Maximum Maximum Residual Pressure Residual Pressure Coverage Spacing For Horizontal Ceiling For Sloped CeIling Area (a) Ft (Max. 2 Inch Rise (Max. 8 Inch Rise Ft. x Ft. (m) for 12 Inch Run) for 12 Inch Run) (m x m) 1600Fm oC 160oFmoC Sprinkler Sprinkler 12 x 12 12 13 GPM (49,2 LPM) 18 GPM (68,1 LPM) (3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar) 14x14 14 14 GPM (53,0 LPM) 18 GPM (68,1 LPM) (4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1 ;2.7 bar) 1r;1OX 16 1 16 16 GPM (60,6 LPM) 18 GPM (68,1 LPM) (4,9 x 4,9) (4,9) 14.5 psi (1,00 bar) 18.4 pSI (1;2.7 bar) '- lIhc 1 &.,..0' 18 20 GPM (75,7 LPM) N1A (5,5 x 5,5) (5,5) 22.7 psi (1,57 bar) 2Ox20 20 24 GPM (90,8 LPM) N1A (6,1 x 6,1) (6,1) 32.7 psi (2;2.5 bar) (a) For coverage area dimensions less than or between those indicated, it IS necessary to use the minimum reqUired flow for the next hlghest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal K-factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA FOR THE SERIES LFII (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed relative to the ceiling mounting surface as shown in Figure 3. Sprinkler Spacing. The minimum spacing between sprinklers IS 8 feet (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft x 20 ft coverage area). Installation The Series LFII (TY2596) must be in- stalled in accordance with the follow- ing instructions' NOTES Damage to the fusible Lmk Assembly during mstallatlon can be avoided by handling the sprinkler by the frame arms only (i.e., do not apply pressure to the fusible link Assembly). A leak tight 1/2 mch NPT sprinkler jomt should be obtained with a torque of 7 to 14 fUbs. (9,5 to 19,0 Nm). A maxi- mum of 21 fUbs. (28,5 Nm) of torque is to be used to install sprinklers. Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under- or over-tightening the Sprinkler. Readjust the position of the sprinkler fttting to suit. Step 1. The sprinkler must only be installed in the pendent position and with the centerline of the sprinkler per- pendicular to the mounting surface. Step 2. Remove the Protective Cap Step 3. With pipe thread sealant ap- plied to the pipe threads, and using the W- Type 18 Wrench shown in Figure 2, install and tighten the SprinklerlSup- port Cup Assembly into the fitting. The W-Type 18 Wrench Will accept a 1/2 inch ratchel drive. Step 4. Replace the Protective Cap by pushing it upwards until it bottoms out against the Support Cup. The Protec- tive Cap helps prevent damage to the Deflector and Arms during ceiling in- stallation andlor during application of . TFP440 Page 3 of 4 , BODY SEALING WRENCH (112. NPl) ASSEMBLY RECESS CAP SPRINKLER D WRENCHING AREA SADDLE PUSH WRENCH SUPPORT COMPRESSION IN TO ENSURE CUP WITH SCREW ENGAGEMENT ROll FORMED WITH SPRINKLER THREADS WRENCHING AREA LEVER FIGURE 2 W-TYPE 18 GUIDE SPRINKLER WRENCH ARM I I I SOLDER LINK I I I ELEMENT I I I GUIDE ARM I I I I I I FRAME I I I , 1 I DEFLECTOR ,J L./ ......-' l, (OPERATED l.........-..,,--'''''------.................-J POSITION) SPRINKLER/SUPPORT CUP ASSEMBLY THREAD INTO SUPPORT CUP UNTIL MOUNTING SURFACE IS flUSH WITH CEILING o o RETAINER WITH THREAD DIMPLES EJECTION SPRING SOLDER TABS (3) COVER PLATElRETAINER ASSEMBLY FIGURE 1 SERIES LF" (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER COVER PLATE I-- 2-1/2. DIA. I \ (63,5 mm) 1/2. NPT FACE OF SPRINKLER FITTING SPRINKLER- SUPPORT CUP ASSEMBLY 1-718.01:1/8. (47,6 mm 01:3,2 mm) COVER PLATE RETAINER OPERATED SPRINKLER ~ ~ COVER- SPRINKLER- RETAINER SUPPORT CUP ASSEMBLY ASSEMBLY 3-1/4. DIA (82,6 mm) =r'MOUNTING 3116. J SURFACE (4,8mm) 718. (22,2 mm) 1-1/8. (28,6 mm) 1 TIP DEFLECTOR IN OPERATED POSITION FIGURE 3 SERIES LFlI (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACT/VA TED DEFLECTOR . ~age 4 of 4 the finish coating of the ceiling. It may also be used to locate the center of the clearance hole by gently pushing the ceiling material against the center point of the Cap. NOTE As long as the protective Cap remains in place, the system is considered to be "Out Of Service". Step 5. After the ceiling has been com- pleted with the 2-1/2 inch (63 mm) diameter clearance hole and in prepa- ration for installing the Cover Plate As- sembly, remove and discard the Pro- tective Cap, and verify that the Deflector moves up and down freely. If the Sprinkler has been damaged and the Deflector does not move up and down freely, replace the entire Sprin- kler assembly. Do not attempt to mod- ify or repair a damaged sprinkler. Step 6. Screw on the Cover Plate As- sembly until its flange comes in con- tact with the ceiling. Do not continue to screw on the Cover Plate Assembly such that it lifts a ceil- ing panel out of its normal position. If the Cover Plate Assembly cannot be engaged with the Mounting Cup or the Cover Plate Assembly cannot be en- gaged sufficiently to contact the ceil- ing, the Sprinkler Fitting must be repo- sitioned. Care and Maintenance The Series LFII (TY2596) must be maintained and serviced in accord- ance WIth the following instructions: NOTES Absence of an Escutcheon Plate may delay the sprinkler operation in a ftre sItuation. Before closing a fire protectIOn system mam control valve for maintenance work on the fire protection system which it controls, permission to shut down the affected fire protection sys- tem must be obtained from the proper authorities and all personnel who may be affected by this action must be no- Med Sprinklers which are found to be leak- ing or exhibiting visible signs of corro- sion must be replaced Automatic sprinklers must never be shipped or stored where the tempera- ture will exceed 100oF/380C and they must never be painted, plated, coated, or otherwise altered after leaving the factory. ModIfied or over heated sprin- klers must be replaced. Care must be exercised to avoid dam- age - before, during, and after instal- lation. Sprinklers damaged by drop- ping, striking, wrench twist/slippage, or the like, must be replaced. The owner is responsible for the in- spection, testing, and maintenance of their fire protection system and de- vices in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec- tion Association (e.g., NFPA 25), in addition to the standards of any other authorities having jurisdiction. The in- stalling contractor or sprinkler manu- facturer should be contacted relative to any questions. NOTE The owner must assure that the sprin- klers are not used for hanging of any objects and that the sprinklers are only cleaned by means of gently dusting with a feather duster; otherwise, non- operation in the event of a fire or inad- vertent operation may result It is recommended that automatic sprinkler systems be inspected, tested, and maintained by a qualified Inspection Service. Limited Warranty Products manufactured by Tyco Fire Products are warranted solely to the original Buyer for ten (10) years against defects in material and work- ma[1ship when paid for and properly installed and maintained under normal use and service. This warranty will ex- pire ten (10) years from date of ship- ment by Tyco Fire Products. No war- ranty is given for products or components manufactured by compa- nies not affiliated by ownership with Tyco Fire Products or for products and components which have been subject to misuse, improper installation, corro- sion, or which have not been installed, maintained, modified or repaired in ac- cordance with applicable Standards of the National Fire Protection Associa- tion, andlor the standards of any other Authorities Having Jurisdiction. Mate- rials found by Tyco Fire Products to be defective shall be either repaired or replaced, at Tyco Fire Products' sole option. Tyco Fire Products neIther as- sumes, nor authorizes any person to assume for it, any other obligation in connection with the sale of products or parts of products. Tyco Fire Products shall not be responsible for sprinkler system deSIgn errors or inaccurate or incomplete information supplied by Buyer or Buyer's representatives. TFP440 IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE, IN CON- TRACT, TORT, STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE- ORY. FOR INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LABOR CHARGES, RE- GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' LI- ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN LIEU OF ANY AND ALL OTHER WARRANnES EXPRESS OR IMPLIED. INCLUDING WARRANnES OF MERCHANTABILITY AND FIT- NESS FOR A PARTICULAR PUR- EQSE.. Ordering Procedure When placing an order, indicate the full product name. Contact your local dis- tributor for availability.. Sprinkler Assembly: Series LFII (TY2596), K=4.2, Residen- tial Concealed Pendent Sprinkler with- out Cover Plate Assembly, PIN 51-122-1-160. Cover Plate Assembly: Cover Plate Assembly having a (spec- ify) finish for the Series LFII (TY2596), K=4.2, Residential Concealed Pen- dent Sprinkler, PIN (specify). Chrome..... . " . PIN 56-122-9-135 Bnght White ... . .... PIN 56-122-4-135 Rat White . .. ....... PIN 56-122-5-135 Custom..... . ... .. .. PIN 56-122-X-135 Sprinkler Wrench: Specify: W-Type 18 Sprinkler Wrench, PIN 56-000-1-265. TYCO ARE PROQVCTS. 451 North Cannon Avenue,lansdale, Pennsylvania 19446 ... ". / ..... ~POTTffi @ BELLS PBA-AC & PBD-DC Potter Electric Signal Company 2081 Craig Ad,/P.O. Box 28480 St. Louis, MO 63146 (314)878-41321/ (800) 325-3936 ;<~\'c;;, :'<.J!~I!~t~[.;..+ ..............~~l~.... . ....,..~....... ;(.:;;~~~i~'~'~1~11,~~:'i~'r .... :~...: : ":::::'.:.~':<.:... :-:J.i!.:j.~~t,";"i\t.;/~t.l4f.'1);.;. ,,.:.;. .....~. :.... .: 6" BELL SHOWN Potter Electric Signal & Mfg. L TO 1967 Leslie Street Don Mills, Ontario, Canada M382M3 (416) 441-1833 UL LISTED, FM APPAOVED Sizes Available: (0 8", and 10" Voltages Available: ~ 20VA 12VOC (102 to 15.6) Polarized 24VOC (2004 fo 312) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 1500F (outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires Finish: Red powder coating Optional: Model BBK-l 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 lBK-l weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE MODEL NO. STOCK NO. CURRENT (MAX) TYPICAL <18 MINIMUM d8 VOLTAGE e 10 fT. e 10 fT. 6 12VOC P80126 1706012 .12A 8S 75 8 l2VOC PBOl28 1708012 .12A 90 75 10 12VOC P8012l0 1710012 .12A 92 75 6 24VOC P60246 1706024 .06A 87 75 8 24VOC PB0248 1708024 .06A 91 79 10 24VOC P602410 1710024 .06A 94 79 6 24V AC P6A246 1806024 .17A 91 75 8 24VAC P6A248 1808024 .17A 94 75 . 10 24VAC PeA2410 1810024 .17A 94 75 ~ 6 120VAC PeA 1206 1806120 .OSA Q2 82 8 120V AC PBA1208 1808120 .OSA Q9 82 10 120V AC PBA12010 1810120 .OSA 99 85 Veatherproof backbox model BBK-1 Stk. No. 1SOOOO1. cotes: M<n<mum <18 'al"'9S ..'e calculated !'om ....Ieg<ate<l ~ pressure meUUfemenr.s mad<! al Unde<WfCe<s Lat>o<"tones as spedfoed.... UL Standa,d.&4 UL I<lmpe'atUfe "'''9'' IS .30' 10 ISO'F rY'P'C~1 dB (a(u'9~ ate caCCut~(~ 'tom meaSUfemeo<<s made wd:h. cooven(t()("\o&' sound Iev.- mete,.nd .te ff'ld<.atlV6 of OUCP<A lev~s n an actual WU(",fUhOO RINTEO IN USA MKT. '8850001- REV K MFG '$-400776.4/94 PAGE 1 OF2 , '- ~POTIER Potter Electric Signal Company 2081 Craig Road. P.O. Box 28480 St. Louis, MO 63146-4161 (314) 878-4321 . (800) 325-3936 J) VSR-SF FOR SMALL PIPE VANE TYPE W A TEA FLOW ALARM SWITCH WITH RETARD Potter Electric Signal & Mfg. L TO 1967 leslie Street Don Mills, Ontario, Canada M382M3 (416) 441-1833 '" STK. NO. 1113000 U.S. PAT. NO. 3921989, CANADIAN PAT. NO. 1009680 OTHER PATENTS PENDING. UL. ULC, CSFM USTED and NYMEA ACCEPTED Service Pressure: Up to 250 PSI Minimum Row Rate for Alarm: 10 GPM Maximum Surge: 18 FPS Enclosul"e: Oie<ast, red enamel finish Cover held In place with tamper l"esistant saews Contact Ratings: 2 sets of SPOT (Fonn C) 15.0 Amps at 1251250 VAC 2.0 Amps at 0-30 VOC Conduit Entrances: 2 knod<outs provided for 1/2" conduit Usage: Usted Plastic, Copper and Schedule 40 Iron Pipe Fits pipe sizes -1",11/4", and 1 1/2" Note: 8 paddles are furnished with each unit. one for each pipe size of threaded or sweat TEE. one for 1" CPVC, and one for 1 1/2" polybutylene (CTS-COppertubing size) Envlronmental Specifications: Suitable for indoor or outdoor use with factory installed gasket and die-cast housing. NEMA 4 Rated Endosure - use with appropriate conduit fitting. Temperature Range: 400 F/l2Qo F (4S C/490 C) Caution: This device is not intended for applications in explosive environments Service Use: Automatic Sprinkler NFP A-13 One or two family dwelling NFP A-13D Residential occupancy up to four stories NFP A-13R National Fire Alarm Code NFPA.72 Optional: Cover Tamper Switch, or{ler Stle No. 0090018 The Model VSR-SF is a vane type waterflow switch for use on wet sprinkler systems that use 1", 1 1/4", or 1 1/2" pipe size. The Ulllt may also be used as a sectional waterflow detector on large systems. The unit contains two single pole double throw snap action switches and an adjustable, instantly recydlOg pneumatic retard. The switches al"e actuated when a flow of 10 gallons per minute Of more occurs downstream of the device. The flow condition must exist for a period of time necessary to overcome the selected retard period. INST At-LA TION: These devices may be mounted in horizontal Of vertical pipe. On horizontal pipe they should be installed on the lop side of the pipe where they will be accessible. The units should not be installed within 6" of a valve, drain or fitting which changes the direction of the watertlow. The unit has a 1" NPT buShing for threading into a flOO-<x>rrosive TEE. See Ftg. 2 for proper TEE size, type and installation. SCl"ew the device into the TEE fitting as shown in Fig. 2. Care must be taken to properly orient the device for the direction of waterflow. The vane must not rub the inside of the TEE or bind in any way. The stem should move freely when operated by hand. The device can also be used in copper or plasttc pipe installations with the proper adapters so that the specified TEE fitting may be installed on the pipe ruR INSPECTION AND TESTING: Ched< the operatton of the unit by opening the inspedor' test valve at the end of the sprinkler line or the drain and test connection, if an inspector's test valve is not provided. If there are no provisions for testing the operatton of the flow - detectton device on the system, application of the VSR-SF is not recommended or advisable The frequency of the inspection and testing and its associated protective monitoring system should be in accordance with the applicable NFPA Codes and Standards and/or authority having jurisdiction (manulacturer recommends quarteoy or more frequently). PRfNTED IN USA PAGE 1 OF 2 MKT. '8800003 - REV J MFG. '5400802 - 8/95 / Plan Check Fee Valuation .00 o .1 I 1 1 I I I 1 ~ ~ (j) ~ I ~t 3 I l>t=- \J\ \f. ~ I I~ 1 I I I I 1 I I I I I I I I S 'l4ir..? CITY OF PORT ANGEI,..ES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~('2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdiv1sion Name Property Use Property Zoning Application valuation 05-00000235 Date 097435 2207 W 16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR 4/26/05 RS9 RESDNTL SINGLE FAMILY 197800 Owner Contractor OLYMPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information 000 Construction Type Occupancy Type Other struct info INC. WANT ACTION CONSTRUCTION INC POBOX 1425 SEQUIM (360) 681-3992 000 1978SF 2 STORY SFR W/ATT 528SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL '% LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 WA 98382 29.00 V-N 2.00 1. 00 9052.00 2654 00 2654 00 1. 00 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY JARMUTH / TEMP SVC. 47134 JARMUTH ELECTRIC 48.10 4/26/05 10/23/05 SERVICE Qty 1 00 Unit Charge Per 48 1000 ECH EL-TEMP SRV - 0-100 SRV FDR Extens10n 48.10 Spec1al Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050-E) When roof gutters are installed, drains will located in dry wells or p1ped to approved storm dra1n 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 The proposal will result in a s f home in the RS-9 for t~tal lot coverage of 29% No land use issues are noted Electrical load calculations and elctrical permits are required Connection fee required $222 00 Sanitary sewer oonnection inspection is required by Pub11c Works pr10r to back f1ll of ditch Construct driveway to City Standards No concrete w1th exposed aggregate allowed in the C1ty COMMENTS/ACTION NEEDED 'fi ""..3 CITY OF PORT ANGEl:-ES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ 1-::AST 5TH STREET. PORT ANGELES. WA 98:\62 I I Application Number Application pin number 05-00000235 097435 Page 2 Date 4/26/05 Special Notes and Comments road right of way. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745 00 4.50 1025 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 00 .00 Plan Check Total 00 .00 .00 00 Other Fee Total 1774.50 1774 50 00 00 Grand Total 1822 60 1822 60 .00 00 COMMENTS/ACTION NEEDED ~ ELECfRlCAL PERMIT INSPE~JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MlNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCErI'ED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEcnON TYPE DATE COMMENTS NO rel'Ylf> ,S V c... GENERAL COMMENTS: PW.II02.15(<II96) PREPARED 3/09/06, 12 33 09 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 3/09/06 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-01-7-5-0020-0000- 05-00000235 RES NEW SFR 01 4/21/05 4/22/05 SUBDIV PHONE PHONE (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING Allen 582-0608 04/21/2005 09:07 AM RVESS 04/22/2005 08:22 AM JLIERLY ---------------------------- BUILDING FOUNDATION WALL ALLEN 582-0608 04/28/2005 04:39 PM RVESS 04/29/2005 04 43 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 05/12/2005 11 04 AM JLIERLY ALLEN 681-3992 05/12/2005 04 40 PM JLIERLY ---------------------------- BUILDING SHEARWALL 06/07/2005 12 49 PM JLIERLY ---------------------------- al 681-3992 06/07/2005 04 24 PM JLIERLY ---------------------------- BUILDING FRAMING TIME 17 00 07/08/2005 01:15 PM JLIERLY ---------------------------- 07/08/2005 04.43 PM JLIERLY ---------------------------- elec rough not comp1ete/]11 BUILDING FRAMING 01/03/2006 01 37 PM JLIERLY ---------------------------- BUILDING AIR SEAL TIME 17 00 01/03/2006 01:36 PM JLIERLY ---------------------------- 01/03/2006 01 37 PM JLIERLY ---------------------------- BUILDING INSULATION 07/12/2005 08 44 AM DYASUMUR ALLEN 809-0445 07/13/2005 08 55 AM JLIERLY ---------------------------- BUILDING DRYWALL IBWP 07/22/2005 11.57 AM JLIERLY ALLEN 809-0445 07/22/2005 04 27 PM JLIERLY ---------------------------- PUBLIC WORKS FINAL 11/21/2005 01:02 PM RVESS ------------------------------ 11/21/2005 01:02 PM RVESS ------------------------------ BUILDING FINAL 11/21/2005 09 54 AM PBARTHOL ALLEN ROADS CALL FIRST, HOME LOCKED 360-809-0445 PUBLIC WORKS AND ELECTRICAL ARE SIGNED OFF 11/22/2005 11/22/2005 03.44 PM PBARTHOL --------------------------- PROPANE STOVE NEED TO BE HOOKED UP AND OPERABLE TO CHECK BEFORE FINAL CAN BE GIVEN BUILDING FINAL TIME. 17 00 01/11/2006 04.58 PM DYASUMUR --------------------------- ALAN 809-0445 FINAL 01/12/2006 04:47 PM JLIERLY ---------------------------- see mech flnal comments/]ll BL99 03 ~o /06 ff=L ~~~~~~~~O~IN~~ 30 PM JLIERLY ____________________________ please call alIen at 809-0445 ------------ - --------- ---------------------------------------------------------------------- PERMIT: ME 00 MECHANICAL PERMIT BL1 BI2 BLFD 01 BL9 BL3 BL3 BAIR 01 BLI BLDR 01 PW99 01 BL99 01 BL99 02 01 4/29/05 4/29/05 5/12/05 5/12/05 01 6/07/05 6/07/05 01 7/08/05 7/08/05 02 7/11/05 1/03/06 7/11/05 1/03/06 01 7/12/05 7/13/05 7/22/05 7/22/05 11/21/05 11/21/05 11/22/05 11/22/05 1/12/06 1/12/06 JLL AP JLL AP JLL AP JLL AP JLL DA JLL AP JLL AP JLL AP JLL AP RV AP JLL DA JLL DA BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at -z ?-Or Correction Notice } to <fL, l,J Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~G)~ ~(2.pL~LCA7 \J.{) 1- 001L--~~ ~ V 1'4"llh; 4=l Q 'I- L i U+r _~~~~ +-k~~ U~~~ These corrections must be made and are not to be covered until reinspection is made. When correcti s have been made, please call li .-- It t for inspection. Date ~p ~ In DO NOT REMOVE THIS TAG ........ PREPARED 3/09/06, 12:33 09 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 2 3/09/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2207 W 16TH ST WANT ACTION CONSTRUCTION INC OLYMPIC LAND DEVELOPMENT INC 06-30-01-7-5-0020-0000- 05-00000235 RES NEW SFR SUBDIV: PHONE PHONE (360) 681-3992 (360) 457-7222 TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS ME6 01 1/04/06 1/04/06 JLL AP MECHANICAL GAS LINE TIME 17:00 01/04/2006 11 37 AM DYASUMUR --------------------------- AL 809-0445 PROPANE LINE 01/04/2006 04:31 PM JLIERLY ---------------------------- MECHANICAL FINAL 01/12/2006 12 11 PM 01/12/2006 04 46 PM tank to be located 10' foundatlon vent/)ll ME99 02 ~lf/~~ Y MECHANICAL FINAL ~ 03/08/2006 01:31 PM JLIERLY ---------------------------- -------------------------- ----------- COMMENTS AND NOTES -------------------------------------- 1/12/06 1/12/06 JLL DA DYASUMUR --------------------------- JLIERLY ---------------------------- from a/c condenser and 5' from ME99 01 , 04/12/2005 09: 13 350-581-7272 JARMUTH ELECTRIC PAGE 01 ... Request Inspection II Electrical Contractor [J Owner e Annaal Permit e AI.rm D C.raIVB' 0 Commerelal II Re.lde 01 0 Reslde.tI.1 Mlllnl. eSIIlI' e TherlDOllll C Telecom. IDltallaUon delCription Job ..Ired by il Electrical Contractor [J Owner TemDorarv Service Electrical contractor name Lttense number JARMUTH ELECTRIC JARHUE1438BR P,,"h.ller', mailing 1d4reJls PO BOX 635 City S.... ZIP SE(lUIM WA 98382 T~lel'hone nwnbe:r FAX number 360 683-4104 360 681-7272 'reml... OWDIlI", .alAe I Olvmoic Land Develonment Ine Addre.. or 'a.pectloH 2207 W 16th St Lot 2 City , ~ort An"ele8 WA ....<~ ~ale Jarmuth [J Cash [J Check # ) hucby emfy that] am the owner of the above named property or a lu ""eel II Credit Cllld Visa Mastercard Discover electrical contractor (or the firm's authorized agent) and am making the .:1 ~I installation or a1tcn1llon In complill.1lcc with the clC<tlicallaw. Chaplcr 19.28 ClU'd# On File.. . - ---------------- SlIUI,... of OWDer tlledrh:al contnelor Dr electrical admlol.tnto Expiration Date X J _O....J _. - 1.f!'IA( ( 't4Ron fee "ofcllld $ . ,It) \\ f WALLS / CEJUNG TIlERMarrAT SERVICE Insulation Only Insulation Only Dllo AIl'Pf'O.... B)' 0.. Appt'lW'OlI by 0.. _a, .... _a, DJJOI Cover Cover I'DDIill. nIle AtlOfOved By DIle _a, .... Appvwa:l By boo. All9I9""B Electrical Load AddlttOM and or aublrBct/oM SertlIce InfonnatJon (J NO LOAD CHANGES C B_rd _KW VollIlgo e Furnace - KW I:l Over!l. SeIViC8 Phaael:ll1:l3 I:l Heal PlJmp _ Ton_LAR II Tamp Ice SeMee Size: - (J Fan-Wall KW I:l Under ~ Service F_, SIze: Inspection Area. BUilding or Equipment I bored Action Taken Electrical Date n lnspCClor 4 /i2.J 05 u(0 11., ,'0G:..-f' r.,.) H::-6 ::hzu .e-J 1);. y //r// 47J27n~ fa ELECTRICAL WORK PERMIT APPLICATION, 06/16/2005 12:17 360-681-7272 60l C owner. ~lettrl"'l CODtractor CJ Auoual Permit 0 Alarm 0 CarDiY.. 0 Commert:l.' JARMUTH ELECTRIC , PAGE 01 .~ ELECfRlCAL WORK PERMIT APPLICATION Insto.llalion description , o Residential 0 R..ldendll Mallo!. Q 5110. 0 nermollat Q '):eleco.... Job wired by o Electrical Contrador 0 Owner Eleclriclt contractor name J 0.. ....... kl- )l}-, f.t...'C- Pun:h05ef'5 mailing address J- fi;: ,/p B-. ~7 2- pu"ml.el a_De,', name 1~ d. ~ (")/~.~ P'LI OfM ok- Addr~d.;'p ellooW ,,,f(.... - $r ILt//llofto , Clly (1r+ 15"7 - 72-: "z- 1 hereby certify that I am the owner of the above narned property or a licensed electrical contraCtor (or the firm's authorized agent) and am. making " the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Slgnat-nf owner, e elrlca' contrador or electric::.' admiolnuto!'" X Jd ~ ~ WALLS Insulation Only CEnJNG Insulation Only O.I~ 7/'0. /00;- I I)ale Appftl"c48y Cover Afl ,",ppf(lvcd By Dale ApfIf'O\led By '~/ Cover ~ ...< ~ &Ie ^",,~C>d:J3y ElectrlcBlload Additions Ind or subtractions o NO ~OAD CHANGES o B...boerd KW [J Fumace KW o Heat Pump _ Ton _ LAR D Fan-Wall KW S7ZJ 5'Cfo SG2 I 78 5).....8 o Check # VISa Card#, --t2&!.h,.r_"____-____ Mastercard Discover Expiration Date of card TIlERMOSTAT 8jcT~ ~D ~ Appntv<ldEll' . DrraJ B o~ Ar:D Appn;I\l1Id By ..~. --.. - D Qvsr1'lead Service a Jemp Service g' Underground Servtce Area, Building or Equipmc:nt Inspected C;fZ- "5L- SERVICE -~-e:/oS- ~ o .....' 1'J!.l!lJER : Dtte AP'llfOv<ld 9y Service Inlannellon _ VOtla~. /vj....y"" Phese B'1 0 3 Service Size: /&.4f!)~ Feeder Size: Action Taken BleclricBI~. Ins~eclar.... 4c6:> -...- . ( C'~'\ /1".,. L\G" IElIECTIRl~CAl ~ ~~IP'IEClr~ON W&iRl~NG IRllEIP'OlRllr 417-4735 PERMIT If ON ~ ADDRESS 1 ~ /ihd :37. APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN ICOVER .............. ~ o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEOEO:@ W/ /Z./ _ ~ I'JA?,.,., ~,J' ~ _ , h 1I?..."V' M J4-z...e..- erp ~~~. @s.,,:rU),r/_ L7~.;r ",(7~.#6J /"z>><'" .n?/b,,(J "'''''.JH4'_ - ..--...., ~ ~ W~ ("<'7~//~' ~),7 - <y'13~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452.1381 ~90RT04"" ..l,.O~Q(<': t;:.'~<'- (J ,___ ~ ~ :-~ "'OL-~&.l ~'- t ('1l~:Y C'IJ.-OFfKSe.:s:" ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # CJ5-:;z$S INSPECTOR 4zD ...:T~,,-7?-I ADDRESS :v. ...J 1&,6 3'1' APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . , , . . . . . .. , , ROUGH IN/COVER. . . . , . . . . , . , . . . 0 D. . . . , , . . . . . . . , . . . . . . SERVICE, , . . . . , . . . . . . , . . . . . 0 )(.', . . . . . . . . . , . . . . . . , , , FINAL. , , . . . . . . . . . . . , . . . . . 0 CORRECTIONS NEEDED(/) ~O I/F .t)......,.-- COV'~ " -g';1'?-<:,c,.. LJ~-q",~,~ ~ .I'1'7/~ 7..u?. I..A'''''P5 /~ r/><"f"I.<-~~ S .. , ,f; jt} fr1- pUC-TJU c./ft- / NSj.)~ 77 L) /'V . /1r' /" M v'tt-iO A-7T7ft:-H n-f I.$. 7ZJ fJ~/Y1 /-r ?i/,c Voz,-.a. ~lU)J'UJ.3 AL. .. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL PERMIT CITY OF PORT ANGELES 3%417-4735 Application Number . . . . . 18-00000358 Date 3/20/18 Application pin number . . . 224416 Property Address . . . . . . 2207 W 16TH ST ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -5 -0020 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TV outlet and tube for cables ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOSHUA JOHNSTON BOB'S ELECTRIC INC 2207 W 16TH ST 2293 DEER PARK RD. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-6887 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 3/20/18 Valuation . . . . 0 Expiration Date . . 9/16/18 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Pee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .OD REPORT STATE SALES TAX on your excise tax form I* .the City of Port Angeles (Location Code WM 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL gf ��( COMMENTS: �itl t P��i-�--•- 1 /.�`"'� . PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: : : I — 2 SINGLE—FAMILY ELECTRICAL PERMIT APPLICATION Public Works and ITtilitieS Department 321 E. 5th Street. Port Angeles, LVVA 98362 360.417.4735 www.cityofpa.us j electricalpermitsra,cityofpa.us Project Address: l Project Description: 7 ' 6'1/�% a�Gl .,�/yt�r l f �okp P/' Cet b 1i' 6`n. k,L al X Single -Family Residential ❑ Duplex / ARU Building Square footage: I= Unit Charae Quanffty IM (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $6300 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 �� $ Temp. Service/Feeder 200 Amp. $9300 $ Temp Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy -182 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet' $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structurefor two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease_ Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 46B, The Vity of Port Angeles Municipal Code, and Utility Specifics ions and PAMV14.O5, 0 regarding Electrical Permit Applications. N31kila, C seg, l,'��f e Date Prints lame Signage (❑ Owner kElectrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa u:i or faxed to 360.417.4711] CP ELECTRICAL PERMIT CITY OF PORT .ANGELES 360-417-4735 Application Number . . . . . 18-00000443 Date 3/29/18 Application pin number . . . 498331 Property Address . . . . . . 2207 W 16TH ST ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -5 -0020 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 - - - Application desc TV and phone outlet ---------------------------------------------------------------------------- Owner Contractor ------------------------ JOSHUA JOHNSTON ------------------------ SIMPSON ELECTRIC 2207 W 16TH ST 243036 W KWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee 00 Issue Date . . . . 3/29/18 Valuation . . . . 0 Expiration Date . . 9/25/18 Qty Unit Charge Per Extension BASE FEE 75.00 Fee summary ----------------- Charged ---------- ---------- Paid Credited Due Permit Fee Total 75.00 ---------- ---------- 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: DITCH SERVICE ROUGH -IN FINAL In _S7 COMMENTS: MMIT WILT, I??C ME'IX (6) MONTHS FROM LAST INSPECnON Signature of:o or Electrical: Contractor X REPORT S'Tr, s ` . S TAX on your exs ter rrn to the City of Port:Ang&W (Location Coate 0502) INSPECTOR; Date: 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 ( www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 2207 W 16th St Project Description: adding an outlet for TV and phone Outlet in Single -Family Residential ❑ Duplex /ARU Building Square footage: Name: Josh Johnson Email: 0 m B 1148 W Mailing Address: 2207 W 16th St Phone: 360-775-7045 ELECTRICAL II AAG I 41A 11I * ,1 1 Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: PO Box 1086 Expiration Date: 12/11/2019 Email: dlsimpson5l@gmail.com Phone: 360-457-9270 Item Unit Charae Service/Feeder 200 Amp. $120.00 Service/Feeder 201-400 Amp. $146.00 Service/Feeder 401-600 Amp. $205.00 Service/Feeder 601-1000 Amp. $262.00 Service/Feeder over 1000 Amp. $373.00 Branch Circuit W/ Service Feeder $5.00 Branch Circuit W/O Service Feeder $63.00 Each Additional Branch Circuit $5.00 Branch Circuits 1-4 $75.00 Temp. Service/Feeder 200 Amp. $93.00 Temp. Service/Feeder 201-400 Amp. $110.00 Temp. Service/Feeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp. $168.00 Portal to Portal Hourly $96.00 Signal Circuit/Limited Energy - 1&2 DU. $64.00 Manufactured Home Connection $120.00 Renewable Elec. Energy: 5KVA System or less $102.00 Thermostat (Note: $5 for each additional) $56.00 First 1300 Square Feet $120.00 Each Additional 500 square feet' $40.00 Each Outbuilding / Detached Garage $74.00 Each Swimming Pool / Hot Tub $110.00 Quantity Total (Quantity x Unit $ 1-4 $ 75.00 TOTAL $ 75.00 Owner as defined by RCW. 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 3/27/2018 Ahdvew �Siwt�Jo� Date Print Name Signature (❑ Owner w Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]