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HomeMy WebLinkAbout1116 E Lauridsen Blvd - Building CITY OF ORT N ELES �•� W A S H I N G T O N, U. S. A. L r Community & Economic Development Department February 19, 2015 Ryan Magers B&C Zoning 3000 S. Berry Rd., Ste. 110 Norman, OK 73072 Subject Property: Crestwood Convalescent Center 1116 East Lauridsen Blvd Port Angeles,WA In response to your request for information regarding the above-referenced property,we have researched our files and present the following: 1. The current zoning classification for the subject property is: RMD,Residential Medium Density 2. Adjacent property zoning designations: North: Residential Single Family RS-7 East: Residential Medium Density RMD South: Residential Medium Density RMD&Residential Single Family RS-7 West: Residential Single Family RS-7 3. According to the zoning ordinances and regulations for this district,the current use of the subject property is Permitted Use by Special/Specific Use A Conditional Use Permit was approved in 1990 for a 70 unit assisted living facility for this site. A CUP issued in 1997(CUP 97-04)allowed an additional 45 beds bringing the total number of approved beds to 115. The only condition was that there not be individual kitchens in the units. 4. To the best of our knowledge,the subject structure(s)was developed: in accordance with Current Zoning Code Requirements and is conforming to current zoning regulations. 5. Information regarding variances,special permits/exceptions,ordinances or conditions: A condition of conditional use permit approval is that individual kitchens are not approved in the care facility. 6. Rebuild:In the event of casualty,in whole or in part,the structure located on the subject property: The facility may be rebuilt in its current form(i.e.no loss of square footage,same footprint,with drive through(s),if applicable). 7. Code Violations Information: There do NOT appear to be any outstanding/open zoning,building or fire code violations that apply to the subject property. Phone: 360-417-4750/Fax: 360-417-4711 Website:www.cityofpa.us/Email: smartgrowth @cityofpa.us 321 East Fifth Street - P.O. Box 1150/Port Angeles, WA 98362-0217 8. Certificate of Occupancy,status: Certificates of Occupancy have been issued and are in effect for all buildings and,if required,for all units at the Property; however,we are unable to locate a copy in our records.The absence of a copy of the Certificate(s)of Occupancy will not give rise to any enforcement action affecting the property. A Certificate of Occupancy will only be required for new construction. 9. Site Plan Information: The subject property was not subject to a site plan approval process,however the current site development plan was identified in the conditional use permit materials. Site development complies with those plans. This information was researched on February 19,2015,by the undersigned. The undersigned certifies that the above information contained herein is believed to be accurate and is based upon,or relates to the information supplied by the requestor. The Authority assumes no liability for errors and omissions. All information was obtained from public records,which maybe inspected during regular business hours. ( 1 By: ,,1!4 Sue Roberds,Planning Man...er City of Port Angeles Department of Community&Economic Development (360)417-4750 Building Permit 1116 E Lauridsen Blvd 12 -1642 Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC 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 Application desc PROPANE FURNACE 'AND GAS LINES Owner FIR LANE TERRACE CONVL CTR #259 ATTN: TAX DEPT WILWAUKEE WI 53203 Permit Additional Permit Fee Issue Date Expiration Date Qty Unit Charge desc 2.00 18.2000 Per 1.00 10.6500 EA- Fee summary Charged Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit MECHANICAL PERMIT GAS FURNACE 97.05 12/18/12 6/16/13 97.05 .00 97.05 12- 00001642 779934 1116.E LAURIDSEN BLVD 06-30-11-5-1- 0200 -0000- COMM MECHANICAL PERMIT 11000 Contractor ANGELES HEATING INC. 2114 W.8TH ST PORT ANGELES (360) 457 -0111 AND LINES Plan Check Fee Valuation BASE FEE EA ME-FURN/HP/FAU 5 TON ME -FUEL GAS-PIPING,1- 5'OUTLETS Paid Credited 97.05 .00 97.05 .00 00 .00 Date 12/18/12 WA 98363 Due .00 .00 .00 .00 0 Extension 50.00 36.40 10.65 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 1 days, if.construction or,work suspended or abandoned for a period of 180 days after the work has 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 knowthe 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. Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: o FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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: FINAL Date Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL "INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: In Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit. #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit Project Address: 1' s^ k g- 131..t/ /2 Main Contact: P Phone G o -60 .,w3 1 Property N Name P _p e',✓- 6 Mailing Address E Email City S State Z Zip Contractor N N,. a P Phone �7ailli g A E Email C, r y -f/�l C /4-,_._ g r' 3 S State Z Zip Contractor License E Expiration: Project Value: Z Zoning: T Tax Parcel L Lot Type of R Residential Commercial Industrial Public Demolition Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical 0 Plumbing Other Existing Fire Sprinkler System? M Maximum height of structure P Proposed Bedrooms P Proposed Bathrooms Project Description G/ L iZA/l G( bvinv I--P- �H-S /L'��GerS" G&Pi_ ,4 G I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned and the fees forfeit. Date P Print Name S Signature 321 East 5`h Street Port Angeles, WA 98362 P: 360 417 -4817 F: 360- 417 -4711 permits @cityofpa.us I N G T Q N. U. S. Building Permit Application For City Use Permit# Date Received: -t e) Date Approved PREPARED 4/01/13, 100813 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 12 00001642 1116 E LAURIDSEN BLVD 06-30-11-5-1-0200-0000- 063011510200 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 1/09/13 APPROVED REQ COMM: January 9, 2013 84021 AM pbarthol. REQ COMM: Bob 460-2314 RES COMM: January 9, 2013 42056 PM jlierly. PAGE 1 RESULT DATE/STATUS INSPECTOR JLL Electrical Permit 1116 E Lauridsen Blvd 12 -1574 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN i x 1 f� �,1, Q J 9 FINAL a4/4131677 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2lcircuits ballast change Owner FIR LANE TERRACE CONVL CTR #259 ATTN: TAX DEPT WILWAUKEE WI 53203 Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total 174.00 12/04/12 6/02/13 174.00 .00 174.00 717 1 -05 1 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Date 12/04/12 12- 00001574 752690 1116 E LAURIDSEN BLVD 06-30-11-5-1- 0200 -0000- ELECTRICAL ONLY 0 174.00 .00 174.00 Contractor ELECTRICAL ALTER COMMERCIAL PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION PREMIER POWER ELECTRIC LLC 7730 ARAB DR SE OLYMPIA WA 98501 (360) 491 -9621 3�b Tig ZV Plan Check Fee .00 Valuation Qty Unit Charge Per 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 20.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT Paid Credited Due .00 .00 .00 .00 .00 .00 0 Extension 74.00 100.00 REPORT SALES TAX oh your excise tax form to the City of Port Angeles (Location Code 0502) c7 Date: '!41 .1.7;711, ta. 7c :7: 1:",:; •j 12/03/2012 13:37 FAX 3604386920 PREMIER POWER ELECTRIC 10001/001 Electrical Permit 1116 E Lauridsen Blvd 12 -1655 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN t) Li Lib A-1 FINAL ILi i 4 j i' r COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc FA, DUCT DET., GAS FURNACE CIRCUITS Owner FIR LANE TERRACE CONVL CTR #259 ATTN: TAX DEPT WILWAUKEE WI 53203 Fee summary Permit Fee Total Plan Check Total Grand Total Charged 175.00 .00 175.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00001655 150585 1116 E LAURIDSEN BLVD 06-30-11-5-1- 0200 -0000- ELECTRICAL ONLY 0 175.00 .00 175.00 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 -5303 Permit ELECTRICAL ALTER COMMERCIAL Additional desc OLY. EL. FA DUCT DET., GAS Sub Contractor OLYMPIC ELECTRIC CO INC Permit Fee 175.00 Plan Check Fee Issue Date 12/31/12 Valuation Expiration Date 6/29/13 Qty Unit Charge Per 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 1.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT Paid Credited .00 .00 .00 Date 12/31/12 WA 98363 /.l5' 3ii Due .00 .00 .00 .0 0 0 Extension 74.00 5.00 96.00 N REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PAJ 7 5)7 '105 Date: c'T\ Dec 26 2012 04:16PM Olympic Electric Co., Inc 3604523498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735. Fax: (360) 417 4711 Date: /PAZ //,Z. Owner Information Name: ZirtJ/ o/7 Rl EGG Mailing Address: 4/4,r7 '4r .i s r City: /r9. /tia State: 4/Z' Zip: _5J2-2 Phone: 1- 1":2-5!.24245” Fax: License* Exp. Item Service /Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp, Branch Circuit W/ Service Feeder Branch Circuit W' /0 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Arno. Temp, Service/Feeirer 601 -1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Multi Family Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less Thermos tat Note: $5.00 for each additional T -Stat Multi Family or Commercial* Unit Charge 132,00 160.00 225.00 288.00 $410.00 5:00 74.00 5.00 86.00 $102.00 121.00 164.00 185.00 96.00 88.00 64.00 96.00 page 1 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Add ress: //l 4 g:/; :c. Building Square ootage: Description of above f 0 INSPECTION: Contractor Information Name: /r�50r/77ff/,� Mailing Add Fets: /el 7 ll/.04v...g r Cit ff1� r State: L/9 Zip: Phone: 7- sfe.."3 Fax: License Exp. "redit Card LL Total (Qty Multiplied by Unit Chargel S S- y6 113.00 56.00 /75' Total 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 an the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: 0 cash 0 Check Dated: 0110112012 Building Permit 1116 E Lauridsen Blvd 12 -1375 Prepared 12/03/12,12:18:54 Application Inquiry- (BPN2001001) Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history User ID PBARTHOL Application 12- 00001375 Property Information Address: 1116 E LAURIDSEN BLVD PORT ANGELES, WA 98362 Location ID: 104788 Owner name: FIR LANE TERRACE CONVL CTR #259 ASSESSOR PARCEL NUMBER: 06-30-11-5-1- 0200 -0000- ALTERNATE ID: 063011510200 Zoning: MULT Subdivision: Application Information Application desc: INSTALL 2 GREASE INTERCEPTORS Application status: COMPLETE Status Date: 12/03/2012 Application type: PLUMBING PERMIT Application date: 10/16/2012 Valuation: 3855 Square footage: 0 Public building: NO Reviewed by PB PAT BARTHOLICK Pin number: 363250 Entered by: PBARTHOL Contractor Information Contractor Name: ANGELES PLUMBING INC Contractor Number: 139 Type: PLUMBING Status: ACTIVE Contractor Requirements Doc Number Exp Date STATE LICENSE ANGELPI077KP 5/15/2014 BOND 5/15/2014 LIABILITY INSURANCE 5/15/2014 Outstanding Inspections Insp Schedule Confirmation Permit Pmt Type ID Date Number Description Seq Min Max No outstanding inspections exist Work Description Code Description Quantity CO Information CO Issue Str /seq Date Status Description Str /Seq Permit /Seq Inspection type Insp Seq Inspector Schedule date Results Results date Confirmation Nbr 000 000 PL 00 PLUMBING FINAL 0001 JLL 11/30/2012 AP 11/30/2012 387829 Page 1 titan Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL 2 GREASE INTERCEPTORS Owner FIR LANE TERRACE CONVL CTR #259 ATTN: TAX DEPT WILWAUKEE WI 53203 Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PLUMBING PERMIT 64.00 10/17/12 4/15/13 12- 00001375 363250 1116 E LAURIDSEN BLVD 06-30-11-5-1- 0200 -0000- PLUMBING PERMIT 3855 Contractor ANGELES PLUMBING INC PO BOX 1151 PORT ANGELES (360) 452 -8525 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 2.00 7.0000 EA PL -IND WASTE PRETREAT INTRCPTR Charged Paid Credited 64.00 64.00 .00 .00 .00 .00 64.00 64.00 .00 Date 10/17/12 WA 98362 .00 0 Extension 50.00 14.00 Due .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. 49 //7 7/ ta ,i cfiyy,)z_ A ‘04/1 4---- Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) D to Print Name Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 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: Accepted by Heat Pump/ Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parkin. Li.hting Landscaping IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T-Pnrmc /R■ iilriinn rliuicinn /Ri iilriinn Permit BUILDING PERMIT INSPECTION RECORD 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 10/16/2012 11:39 3604528583 ANGELESPLUMBING Applicant orAgent ANGELES PLUMBING, INC. Property Owner CRESTWOOD CONVALESCENT CENTER Property Owner's Address 1116 T,auridspn Blvd Contractor /Engineer ANGELES PLUMBING, INC: Contractor /Engineer's Address P .0. Box 1151, Port An License ANGELPI077KP I PROJECT ADDRESS Parcel Number Parcel Number 1 Floor Areas Basement let Floor 2 "Q Floor 3 Floor Garage Carport Covered Porch Deck Shed Other T; Forms/Building Division/Bldg Permit Appl: 2006 Code_doc BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 4815 fax (360) 417 4711 Date /a-16 Print Name DALE BRUNTZ 1176 F Lauridsen Blvd. Max_ height of proposed structures 11. Occupancy group WII a lawn sprinkler system be installed? Occupant load Wffl a fire sprinkler system be installed? Construction type Phone 452 -8525 eles, WA 98362 Expires 5 -15 -13 Phone Phone Lot 452 -8525 452 -9206 Zoning of bedrooms of full baths of half baths PAGE 02/02 A PPLICA TION Print in ink For City Use Only: Date Received /0- /lo-AX Permit# /0 Date Approved /0—/6.- Proiect Type Brief Description: o Residential »(Commercial Check all that apply u New Construction Q M uRI- amily a Industrial o Addition Remodel o Repair o Re -roof Demolition o Heat System AOther a Heat pump wood burning stove a gas fireplace a pellet stove a other Tr.-roll 7 firaacr+ irkrnrrap rr a Existing fs[x ft) Proposed fsrx fit) per sq. ft. TOTAL VALUATION 3.855.00 Total footprint of structures sq. R Lot size sq. ft. Lot coverage v� I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit end understand that it is my responsibility to determine what pemcitts am required, and to obtain permits prior to working on projects. 0 Of 1141W ATI ;y 1 aN eX- .rv�+w T. �Y. T 144 Ne -^ate T ..•n. w T 4 T K• T T •'f 'T T T CERTIFICATE OF OCCUPANCY City of Port Angeles Building Section This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifving that at the time of issuance this structure was in compliance with the various ordinances (9 the Cit\ regulating building construction or use For 'le following Use Classification _•__LcsL_.h.trie_- Bldg. Pennit No. 1. 58,_2054, 2005 l se Zone Group 1 -2 Owner of Business Building Address Type Lonstruction V -1 hr. Crestwood Convalescent CenAj 1116 East Lauridsen Blvd. May 11, 1987 1116 E. Lauridsen Blvd. Port „eles Wa. 98362 Date �w1� Bui .ing Of icial 4 4 i i Post on the Premises in a Conspicuous Place Shall Not be Removed Except by Building Official rf 4 c c 1 S ��yy ri v tj 1 U w 41� 11' t 'yR) O..Y I �Y•''� lr :rI1 r t „�t� (12/7/2010) Linda Pangrle Fwd FOIA request for information 1116 East Lauridsen Boulevard From: Permits City of Port Angeles To: Linda Pangrle Date 12/7/2010 11:21 AM Subject Fwd FOIA request for information 1 116 East Lauridsen Boulevard Attachments: 95892.10R- 002.100 (FOIA) HUD BD pdf 'Ross Malinda' <msross @emgcorp.com> 12/7/2010 6 39 AM Please see attached Thank you Malinda Ross Technichal Management Assistant EMG 800 733 0660 ext 6519 msross @emacorp.com www.emgcorp.com [cid.image001.jpg @01 CB95F2.362AF400] PROPRIETARY NOTICE This e -mail and any attachment is intented only for the personal and confidential use of the designated recipient and may contain priviledged or confidential information If you are not the intended recipient please notify the sender immediately by reply transmission and delte this e -mail without copying or disclosing it EMG To Sir or Madam City of Port Angeles Building Department 321 East 5 Street P O Box 1150 Port Angeles Washington 98362 Phone (360) 417 -4815 Email permits @cityofpa us Re Crestwood Convalescent Center 1116 East Lauridsen Boulevard Port Angeles Washington 98362 EMG Project No 95892 10R -002 100 Project Manager Mr Matthew Fox Dear Sir or Madam EMG is an engineering firm acting pursuant to the request of the owners of the above referenced property to conduct an investigation of current conforming records to determine the condition of the property We are performing this Property Condition Survey in accordance with HUD insured transaction requirements Per HUD guidelines we require a written response Through the Freedom of Information Act (FOIA) we request your assistance by providing us with information concerning existing conditions for the above referenced property including Does the Building Department conduct routine inspections at the property? If yes what is the frequency? 63 603 What is the date of last Building Department inspection? U I 0 5-63 e� M� Are there any OUTSTANDING Building code violations? If Yes Please provide documentation describing the violation(s) 0 Is a copy of the original C of 0 or original Building Permit available to be faxed or emailed to us e' Responses may be faxed directly to our office at (410) 785 -6220 or mailed to our offices EMG Attn. Mr Brian Zink Senior Engineering Consultant 222 Schilling Circle Suite 275 Hunt Valley Maryland 21031 Freedom of Information Act (FOIA) Request (revised by DGS 10/8/02) December 7 2010 Please note the EMG Project Number and the Senior Engineering Consultants name on all correspondence Please respond via letter that can be sent by mail email or fax If you need additional information to complete this request, or there is a specific process required to obtain this information please contact me at (800) 733 -0660 ext. 6519 or via email msrossaa emgcorp com Thank you for your prompt attention to this matter Sincerely Malinda Ross Freedom of Information Act (FOIA) Request (revised by DGS 10/8/02) CITY OF February 22, 2011 Ms. Kimble C Holden, Associate Vice President EMG 222 Schilling Circle, Suite 275 Hunt Valley, Maryland 21031 Re 1116 E. Lauridsen Boulevard, Port Angeles, WA Crestwood Convalescent Center Dear Ms. Kimble Sincerely, Sue Roberds Planning Manager W A S H I N G T O N U S A In response to your inquiry as to land use matters regarding the above referenced property, please note the following: What is the zomng designation for the property? The property is zoned RMD Residential Medium Density Is the property, in general, a conforming use? Convalescent and group homes are conditionally permitted uses in the RMD zone. Conditional Use Permits (CUP 90(04)02 and CUP 97 -04) were approved for the use for up to 157 units in 1990 and 1997 The use is therefore conforming to zoning standards of the Port Angeles Municipal Code. Are there any OUTSTANDING Zoning code violations? We are not aware of any outstanding land use violations. Since no construction has taken place for some time, we have not had reason to inspect the facility I remember your earlier inquiry and am surprised that these questions have not been addressed by staff. If you need further information, please let me know INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN L J 23 a FINAL gf g COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Magnetic door holders Owner FIR LANE TERRACE CONVL CTR #259 ATTN TAX DEPT WILWAUKEE WI 53203 Permit ELECTRICAL Additional desc Permit pin number 144188 Permit Fee 63 50 Issue Date 4/14/09 Expiration Date 10/11/09 Fee summary Charged Permit Fee Total Plan Check Total Grand Total 63 50 00 63 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000323 782191 1116 E LAURIDSEN BLVD 06 30 11 5 1 0200 0000 ELECTRICAL ONLY 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 ALTER COMMERCIAL 63 50 00 63 50 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 3 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited Due 00 00 00 Date 4/14/09 WA 98363 442. 349$ Extension 57 50 6 00 00 00 00 00 0 Date il 04/13/2009 12 34 FAX 360 452 3498 RECigrAYAPric Co APR 13 2009 City of Port Angeles Permit Application Building DivislonlElectrical inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph; (360) 417 -4735 Fax: (360) 417-4711 Date: 4 /4ZiaY 1 2 Single Family Dwelling Mufti-Family or Commernlar Commercial Addition Alteration Remodel Repair* Plan Review Ailey Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: f// Building Square Footage: 4/A Description of above 441, /Jae.. /05- -/ko Owner Information Name: Gr-,otsit .s G;wd /r/ Zp L Mailing Address_ /ii Phone; License 0/ Exp. Unit Charlie 93.75 5113.75 $160,00 5205.00 5291.25 2,00 57,50 2.00 72.50 86.25 5116.25 5131.25 75.00 69,00 75.00 50.00 60.00 93,75 80.00 86.25 27,50 57,50 86.25 43,75 Slate: Signature of owner, electrical contractor or electrical administrator LIGHT DEPT Contraor Information N ame: l ?�Y• L f�� Mailing ct Add pia State:L_ Zip: t Phone: License Exp. r 'f/.h/' 2 2522 Total (qty Multlolied b U 1, we Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401.600 Amp. Service/Feeder 601 -1000 Amp. ServicelFeeder over 1000 Amp. Breach Circuit W/ Service Feeder s7- Branch Circuit IN/0 Service Feeder j. i Each Additional Branch Circuit Temp, Service/ Feeder 200 Amp. 5 Temp. Service/Feeder 201-400 Amp. Temp. Servic&Feeder 401.600 Amp. 5 Temp. ServlceiFeeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit( Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Connection 5 Renewable Bectrlcal Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Ft, or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hol Tub Thermostat f _63 J3' Total PA CITY INSPECT b 041 /001, N OwnemsdelinedbyRCW.1ll21.267:(1) Omar ariO occupy llre. amazIar.tre pea dJerl/as 1pamdtlsSaalised1 2)0aearisasqulradmtdraaa electrical conbac1or1 above slid proparyIs for sale tens or lease. After reading the above statement 1 hereby certify that 1 am the owner or the above named property or a licensed electrical contractor rem making the electrical installation or alteration incompliance with the electrical laws, N:EC_ RCW. Chapter 19.28, WAC. Chapter 296.468, The City oWPort Angeles Municipal Code, and Utility Specifications. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05- 00001266 Date 1/05/06 Application pin number 013428 Property Address 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 -30 11 -5 1 0200 0000 Tenant nbr name EXTENDED CARE HEALTH SERV Application type description FIRE SPRINKLER SYSTEM Subdivision Name Property Use Property Zoning Application valuation 3239 Owner Contractor FIR LANE TERRACE CONVL CTR #259 KNIGHT FIRE PR OTECTION INC ATTN TAX DEPT 2509 WEST 19TH STREET WILWAUKEE WI 53203 OLYMPIA WA 98512 Per mit FIRE SPRINKLER COMM Additional desc Permit pin number 68353 (360) 417 0505 Permit Fee 123 75 Plan Check Fee 80 44 Issue Date 1/05/06 Valuation 3239 Expiration Date 7/04/06 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 80 44 80 44 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 208 69 208 69 00 00 T-\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] wt642 At/ 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 co yl tru tion. n C I S Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. UNDER FLOOR 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 FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING 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 RW PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT 1, i _(j T BUILDING 417 -4815 BUILDING 'W� -Cd/�' b 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 C AR D AND APPROVED PLANS AT JOB SITE. T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2 BUILDING PERMIT INSPECTION RECORD Project Name: Extendicare Health Services Address. 1116 East Laundsen Blvd. Installer• Knight Fire Protection Installer Telephone: 417 -0505 Type of System. Antifreeze 13 D 13 I 1 13 R Date: 12.28.2005 PAFD Permit 05 -44 Additional Comments PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Spnnlder System Plan Review We have checked this plan and find that it conforms to the requirements of the code. In accordance with NFPA 13, 7.5.3.3 Where the connection between the antifreeze solution and the wet pipe system incorporates a backflow prevention device, a listed expansion chamber of appropriate size and precharged air pressure shall be provided to compensate for thermal expansion of the antifreeze solution. All systems 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. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. Contractor Reviewed by Building Department Date: 12 Za C Fire Department BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call (360) 417 -4815 Applicant or Agent: 61 '(Yl2 Owner nAN (e' ore pp �-7 avv4 1) vL. Phone C����� �i 7-O4 Address I l is Ayr l avl2►VSrn B1 L2D City' +.e Hx9l, l- i, t 94 Zip q '1g313 Architect/Engineer Phone. (3 (0 '1-G5 Phone Contractor VA.916i4 r P..011.0 1 State License I) .,�:�s mot- Exp 5 Phone ?)ct 41 Address. 2V4 0 City 1 i PROJECT ADDRESS. (1 1 b 6 r (PU2 fgKen 'g Wfl LEGAL DESCRIPTION Lot: Block: Subdivision. 4 Zip %3b5 ZONING CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: City Credit CardType VISA MC Exp. Date: TYPE OF WORK. Res dential New Constr Re roof Stove ulti- family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT ).2 SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Existing lot coverage Proposed lot coverage PLANNING USE ONLY ESA/Wetland(s): Yes No SEPA Checkhst required? Yes No Other FOR OFFICIAL SE ONLY Date Rec. Permit 0 Date Approved. Date Issued. sl 2 37 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 APPROVALS. PLAN BLDG DPWU FIRE. 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 maybe 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 submutted. 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 107 4 of the Uniform Building Code, current edition) No application can be extended more than once. I hereby certify that I have read and examined this application and kno 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 d ,not the City's, and th- ust obtain such permits .rior to work. T •\FORMS\APPS\Buildingpermit.wpd Applicant: Date: 1 NOZZLE FLOW IDENT IN AND LOCATION G.P.M. PIPE SIZE 9 1 -1 LI f Q I ►q Z Z Q 1.O q Zb 13 Q 3 CI I'h g 3 9. to Q 1 9 I z" Q \1 1•z. 7" 4 Q 4 0 Q Q I 2. 2. q 4 Q 4 Q q 4 Q q Q PIPE FITTINGS AND DEVICES EQUIV PIPE LENGTH 1" 1t4J L1 F T L F T 2 10 O r 10.0 T11,0 L F T L F T L T L F- T I- F T L F L T 1. F T FRICTION LOSS P.S.I./FOOT S.I. /FOOT 1705 [�I Gi p( 1360 ►300 PtIS 31 Pt PRESSURE NORMAL SUMMARY PRESSURE Pt 11 SI Pt Pe Pv Pf I l Pn Pt Lo Pt Pe 12, Pv Pf I I�j Pn Pe Pv Pf OS Pn Pt t t< Pt Pe Pv Pf D Pn Pt SS Pt Pe 1% Pv Pf 2.41. Pn Pt21 13 Pt P P Pfl4. Pn Pt 35.13 Pt Pe 113? Pv Pf 10s$6 Pn Pe Pv Pt 1.14.1.1g. Pt Pe Pv Pf Pn Pt Pt Pf Pt Pt Pe Pv Pf Pn Pt Pe Pt Pv PI Pn Pt Pe Pt Pv Pf Pn Pt Pe Pf Pt Pe Pf Pt Pv Pn Pt Pv Pn NOTES III115- 12Ls Izl, s )4 1 1.4 Qi 14 loot Z' Am14 t3 i psi eY? c Ia 16 4e Q3)3 5 c_ pr G•t Ow/. 55 v ps i HYDRAULIC CALCULATIONS Fog GP- Lt _ED 01/2 `e »J4? F'2n,(,per (R Pt 4 •o 1 Series 4000B Reduced Pressure Zone Assemblies Sizes: 1 /2 2 (15 50mm) Features Single access cover and modular check construction for ease of maintenance Top entry all internals immediately accessible Captured springs for safe maintenance Internal relief valve for reduced installation clearances Replaceable seats for economical repair Bronze body construction for durability /z to 2' (15 -50mm) Ball valve test cocks screwdriver slotted '/2 to 2 (15 -50mm) Large body passages provides low pressure drop Compact, space saving design No special tools required for servicing ES- A -4000B A M E S FIRE &WATERWORKS 2' (50mm) 4000B -HC Series 4000B Reduced Pressure Zone Assemblies are designed to protect potable water supplies in accordance with national plumbing codes and wa- ter authority requirements. This series can be used in a variety of installa- tions, including the prevention of health hazard cross connections in piping systems or for containment at the service line entrance. This series features two in -line, independent check valves, captured springs and replaceable check seats with an intermediate relief valve. Its compact modular design facilitates easy maintenance and assembly access. Sizes '/2 1 (15 -25mm) shutoffs have tee handles. Specifications A Reduced Pressure Zone Assembly shall be installed at each potential health hazard location to prevent backflow due to backsiphonage and /or backpressure. The assembly shall consist of an internal pressure differential relief valve located in a zone between two positive seating check modules with captured springs and silicone seat discs. Seats and seat discs shall be replaceable in both check modules and the relief valve. There shall be no threads or screws in the waterway exposed to line fluids. Service of all inter nai components shall be through a single access cover secured with stain- less steel bolts. The assembly shall also include two resilient seated isolation valves, four resilient seated test cocks and an air gap drain fitting. The as- sembly shall meet the requirements of USC Manual 8th Editiont ASSE Std. 1013 AWWA Std. C511 CSA B64 4 The assembly shall be an Ames Com- pany Series 4000B Job Name Contractor Job Location Approval Engineer Contractor's P.O. No. Approval Representative Ames product specifications in U.S. customary units and metric are approximate and are provided for reference only. For precise measurements, please contact Ames Technical Service. Ames reserves the right to change or modify product design, construction, specifications, or materials without prior notice and without incurring any obligation to make such changes and modifications an Ames products previously or subsequently sold. www.amesfirewater.com MODEL SIZE in. (DN) mm in. A mm in. B mm C in. DIMENSIONS mm D in. min in. L mm in. STRAINER M mm DIMENSIONS N in. mm WEIGHT lbs. kg. 4000B* 1/2 15 10 250 4 /e 117 3 86 11/4 32 51/2 140 3 76 2 51 4.50 2.0 40008 M3** 3 /4 20 10 273 5 127 31/2 89 11/2 38 6 171 3 84 2 59 5.75 2.6 4000B M2** 1 25 16 425 51/2 140 3 76 21/2 64 91/ 241 41/2 114 2 59 12.25 5.6 40006* 11/4 32 17 44 116 150 31/2 89 21/2 64 11 289 51/2 130 31/6 79 14.62 6.6 4000B* 11/2 40 17'/6 454 6 150 31/2 89 2' 64 111/6 283 5 149 3 95 16.32 7.4 r 40006* 2 50 21% 543 7 197 41/2 114 31/4 83 1312 343 6 157 4 124 30.00 13.6 Materials Bronze body construction, silicone rubber disc material in the first and second check plus the relief valve. Replaceable poly- mer check seats for first and second checks. Removable stain- less steel relief valve seat. Stainless steel cover bolts. Standardly furnished with NPT body connections. For optional bronze union inlet and outlet connections, specify prefix U ('h 2 ")(15- 50mm). Series 40008 furnished with quarter turn, full port, resilient seated bronze ball valve shutoffs. Standards AWWA C511 -92, USC Manual 8th Edition, IAPMO File No 1563 Approvals 4` pSSIFj Eo 0 c o us 1013 B64.4 3 /4' 2' (20 -50mm) (LBV models only) 2 Approved by the Foundation for Cross Connection Control and Hydraulic Research at the University of Southern California. Approval models QT U Weights Dimensions N 48 miner sold separately E Pressure Temperature Suitable for supply pressures up to 175psi (12.06 bar) and water temperature to 180 °F (75 °C) continuous. Available Models Suffix: B quarter -turn bat valves LBV less ball valves LH locking handle ball valves (open position) SH stainless steel ball valve handles HC 21/2 inlet/outlet fire hydrant fitting (2' valve) S bronze strainer Prefix: U union connections IMPORTANT Inquire with governing authorities for local installation requirements. A Suffix HC Fire Hydrant Fittings dimension "A" 25 (637mm) Ej Approved by the Foundation for Cross Connection Control and Hydraulic Research at the University of Southern California. kPa psi 138 20 117 17 96 14 76 11 55 8 35 5 AP 0 0 kPa psi N 138 20 p 117 17 96 14 m 76 11 y 55 8 a 35 5 kPa psi h 172 25 0 138 20 e 103 15 H 69 10 o. 35 5 AP 0 kPa psi 207 30 H 165 24 1 124 18 '5 83 12 N y 41 6 IC 0 0 Capacity Performance as established by an independent testing laboratory. *Typical maximum system flow rate (7 5 feet/sec. 2.3 meters /sec.) AP 0 1 /4 (8mm) .25 .50 75 .95 1.9 2.9 3.8 Flow Rate 3 /8 (10mm) .25 .50 75 1.25 0 .95 1.9 2.9 3 8 4.8 Flow Rate 1* (15mm) 1 2 5 5 7.5 3.8 9.5 19 28.5 5 7.5 1.5 2.3 Flow Rate 3 /4' (20mm) 117 gpm 4.5 Ipm kPa psi 172 25 138 20 103 15 69 10 34 5 1.50 2.5 3.1 gpm 0 0 5.7 9.5 11.8 Ipm AP 0 0 10 12.5 15 gpm 0 38 47.5 57 Ipm AP 0 15 fps 0 4.6 mps 0 2 6 10 14 18 22 26 30 34 38 42 46 gpm AP 0 7.6 23 38 53 68 84 99 114 129 144 160175 Ipm 7.5 15 fps 2.3 4.6 mps Flow Rate kPa psi 207 30 172 25 138 20 103 15 69 10 34 5 0 0 AP 0 kPa psi H 207 30 J 172 25 i 138 20 N 103 15 W i 69 10 a. 34 5 0 kPa psi 207 30 172 25 138 20 103 15 69 10 34 5 0 0 APO 0 1" (25mm) 5 10 20 30 40 50 19 38 76 114 152 190 7.5 15 2.3 4.6 Flow Rate 1 (32mm) 60 70 80 gpm 228 266 304 Ipm fps mps 10 20 30 40 50 60 70 80 gpm 38 76 114 152 190 228 266 304 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps Flow Rate 1 (40mm) 10 20 30 40 50 60 70 80 90 100 110 120 gpm 38 76 114 152 190 228 266 304 342 380 418 456 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps Flow Rate g (5Ornrn) 20 40 60 80 100 120 140 160 180 200 gpm 76 152 228 304 380 456 532 608 684 760 1pm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps Flow Rate 3 For Technical Assistance CaII Your Authorized Ames Agent. 0510 ES -A -40008 0513 HEADQUARTERS: Ames Fire and Waterworks Edwards, Platt Deely, Inc. Edwards, Platt Deely, Inc. W. P Haney Co. Inc. RMI The Joyce Agency, Inc. Vernon Bitzer Associates, Inc. WMS Sales, Inc. (Main office) Billingsley Associates, Inc. Billingsley Associates, Inc. Mid America Marketing, Inc Mid America Marketing, Inc. Mid America Marketing, Inc. Smith Stevenson Co. Inc. Wager Company Watts HydroSource Mid Continent Marketing Services Ltd. Soderholm Associates, Inc. Stickler Associates Hugh M. Cunningham, Inc. Mack McClain Associates Mack McClain Associates, Inc. Mack McClain Associates, Inc. OK! Sales, Inc. Phoenix Marketing, Ltd. Cisco Delco Sales, Inc. Hollabaugh Brothers Associates Hollabaugh Brothers Associates P I R Sales, Inc. Preferred Sales Rep Masters, Inc. Watts Industries (Canada) Inc. (Watts Regulator Co. Division) Con -Cur West Marketing, Inc. D.C. Sales Corporation Inc. D.C. Sales Corporation Inc. GiA Sales Team. Hydro-Mechanical Sales, Ltd. Hydro Mechanical Sales, Ltd. J.D.S. Sales Ltd. Le Groupe B.G.T. Inc. Le Groupe B.G.T. Inc. Mar -Win Agencies, Ltd. Northern Mechanical Sales Palser Enterprises, Ltd. RAM Mechanical Marketing Inc. RAM Mechanical Marketing Inc. Walmar Mechanical Sales 1427 North Market Blvd. Suite 49, Sacramento, CA 95834 271 Royal Ave. Hawthorne, NJ 07506 368 Wyandanch Ave. North Babylon, NY 11703 51 Norfolk Ave South Easton, MA 02375 Glenfield Bus. Ctr. 2535 Mechanicsville Tpk. Richmond, VA 23223 8442 Alban Rd. Springfield, VA 22150 980 Thomas Drive Warminster. PA 18974 9580 County Rd. Clarence Center, NY 14032 2728 Crestview Ave. Kenner, LA 70062 -4829 478 Cheyenne Lane, Madison, MS 39110 203 Industrial Dr. Birmingham, AL 35211 1364 Foster Avenue, Nashville, TN 37210 5466 Old Hwy. 78, Memphis, TN 38118 4935 Chastain Ave. Charlotte, NC 28217 702 -B Industry Rd. Longwood, FL 32750 2861 -B Bankers Industrial Drive. Atlanta, GA 30360 8182 Chagrin Rd. Chagrin Falls, OH 44023 1724 Armitage Ct. Addison, IL 60101 7150 143rd Ave. N.W. Anoka, MN 55303 333 North 121 St. Milwaukee, WI 53226 A M E S FIRE &WATERWORKS A Division of Watts Regulator Company 13755 Benchmark, Dallas, TX 75234 11132 South Towne Square, Suite 202, St. Louis, MO 63123 1450 NE 69th Place, Ste. 56 Ankeny, IA 50021 15090 West 116th St. Olathe, KS 66062 2200 Blue Creek Dr. Norman, OK 73026 2416 Candelaria N.E. Albuquerque, NM 87107 1738 Neville Street, Orange, CA 92865 111 Sand Island Access Rd. Unit 1 -10, Honolulu, HI 96819 6915 South 194th St. Kent, WA 98032 3028 S.E. 17th Ave. Portland, OR 97202 3050 North San Marcos Place, Chandler, AZ 85225 31177 Wiegman Road, Hayward, CA 94544 6255 Dexter St., Commerce City, CO 80022 5435 North Service Road, Burlington, Ontario L7L 5H7 71B Clipper Street, Coquitlam, British ColumbiaV3K 6X2 #10 -6130 4th St. S.E. Calgary, Alberta T2H 2A6 11420 142 Street, Edmonton, Alberta T5M 1V1 Greater Toronto Area 3700 Joseph Howe Drive, Suite 1 Halifax, Nova Scotia B3L 4H7 P.O. Box 1445 (Mailing), 297 Collishaw St. Suite 7 (shipping) Moncton, New Brunswick El C 9R2 4 Lancaster Street, St. John's, Newfoundland A1A 5P7 23 du Buisson, Pont Rouge, Quebec G3H 1X9 86 des Enterprises #208, Boisbriand, Quebec J7G 2T3 1333 Clifton St. Winnipeg, Manitoba R3E 2V1 P.O. Box 280 (mailing) 163 Pine St. (shipping), Garson, Ontario P3L 1S6 P.O. Box 28136 (mailing), 1885 Blue Heron Dr. 114 London, Ontario N6H 5L9 1401 St. John Street, Regina, Saskatchewan S4R 1 S5 510 Ave M South, Saskatoon, Saskatchewan S7M 2K9 24 Gurdwara Rd. Nepean, Ontario K2E 865 ©Ames Co. 2005 Telephone Fax 916 928 -0123 916 928 -9333 973 427 2898 973 427 -4246 631 253 -0600 631 253 -0303 508 238 -2030 508 238 -8353 804 643 -7355 703 866 -3111 215 443 -7500 716 741 -9575 www.amesfirewater.com 804 643 -7380 703 866 -2332 215 443 -7573 716 741 -4810 504 602 -8100 504 602 -8106 601 856 -7565 601 856 -8390 205 879 -3469 205 870 -5027 615 259 -9944 615 259 -5111 901 795 -0045 901 795 -0394 704 525 -3388 704 525 -6749 407 834 -4667 407 831 -0091 770 209 -3310 770 447 -4583 440 247 -9150 630 953 -1211 763 427 -9635 414 771 -0400 440 247 -6719 630 953 -1067 763 427 5665 414 771 3607 972 888 -3808 972 888 -3838 314 894 -8188 314 894 -8388 515 288 -0184 515 288 -5049 913 339 -6677 913 339 -9518 405 360 -6161 405 360 -0092 505 883 -7100 505 883 -7101 714 921 -9228 714 921 -0442 808 842 -7900 808 842 -9625 253 867 5040 253 867 -5055 503 238 -0313 503 235 -2824 480 892 -6000 480 892 -6096 510 487 -9755 510 476 -1595 303 286 -7575 303 286 -7576 905 332 -4090 905 332 -7068 604 540 -5088 604 540 -5084 403 253 -6808 403 259 -8331 780 496 -9495 780 496 -9621 888 208 -8927 888 479 -2887 902 443 -2274 902 443 -2275 506 859 -1107 506 859 -2424 709 579 -5771 709 579 -1558 418 873 -2500 418 873 -2505 450 434 -9010 450 434 -9848 204 775 -8194 204 786 -8016 705 693 -2715 705 693 -4394 519 471 -9382 519 471 1049 306 525 -1986 306 525 -0809 306 244 -6622 306 244 -0807 613 225 -9774 613 225 -0673 I 1427 North Market Blvd Suite #9 Sacramento CA 95834 Phone 916 928 -0123 Fax: 916 928 -9333 SO 9001 CERTIFIED tqco I Fire Building Products Technical Services Tel (800) 381 9312 Fax. (800) 791 -5500 Customer Service /Sales: Tel: (414) 570 -5000 (800) 558 -5236 Fax: (414) 570 -5010 (800) 877 1295 General Description The Series TY -B, 2.8, 5 6 and 8.0 K- factor Upright and Pendent Sprin- klers described in this data sheet are standard response standard cover age, decorative 5 mm glass bulb type spray sprinklers designed for use in Tight, ordinary or extra hazard com- mercial occupancies such as banks, hotels, shopping malls, factories, refin- eries, chemical plants, etc. The recessed version of the Series TY B Pendent Sprinkler where appli- cable, is intended for use in areas with a finished ceiling It uses a two -piece Style 10 (1/2 inch NPT) or Style 40 (3/4 inch NPT) Recessed Escutcheon. The Recessed Escutcheon provides 1/2 inch (12,7 mm) of recessed adjust- ment or up to 3/4 inch (19,1 mm) of total adjustment from the flush pen- dent position. The adjustment provided by the Recessed Escutcheon reduces the accuracy to which the fixed pipe drops to the sprinklers must be cut. Corrosion resistant coatings, where applicable, are utilized to extend the life of copper alloy sprinklers beyond that which would otherwise be ob- tained when exposed to corrosive at mospheres. Although corrosion resis- tant coated sprinklers have passed the standard corrosion tests of the appli- cable approval agencies, the testing is not representative of all possible cor rosive atmospheres. Consequently, it is recommended that the end user be consulted with respect to the suitability of these coatings for any given corro- sive environment. The effects of ambi- ent temperature concentration of chemicals, and gas /chemical velocity should be considered, as a minimum, along with the corrosive nature of the chemical to which the sprinklers will be exposed An intermediate level version of the Series TY -B Pendent Sprinkler can be Series TY -B 2.8 5.6 and 8.0 K- factor Upright, Pendent, d Recessed Pendent Sprinklers Standard Response, Standard Coverage obtained by utilizing the Series TY -B Pendent Sprinkler in combination with the Model S2 Shield. WARNINGS The Series TY -B Sprinklers described herein must be installed and main- tained in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec tion 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. Model /Sprinkler Identification Numbers TY1151 Upright 2.8K,1/2 "NPT TY1251 Pendent 2.8K, 1/2 "NPT TY3151 Upright 5.6K, 1/2 "NPT TY3251 Pendent 5.6K, 1/2' NPT TY4151 Upright 8.0K, 3/4 NPT TY4251 Pendent 8.0K, 3/4 NPT TY4851 Upright 8.0K, 1/2' NPT TY4951 Pendent 8.0K, 1/2' NPT Technical Data Approvals UL and C -UL Listed. FM LPCB, and NYC Approved (Refer to Table A for complete approval information including corrosion resis- tant status.) Maximum Working Pressure 175 psi (12,1 bar) Discharge Coefficient K 2.8 GPM /psi (40,3 LPM /barli K 5.6 GPM /psi (80,6 LPM /bar K= 8.0 GPM /psi (115,2 LPM /barti Temperature Ratings Refer to Table A Finishes Sprinkler Refer to Table A Recessed Escutcheon: White Coated Chrome Plated or Brass Plated Physical Characteristics Frame Bronze Button Brass /Copper Sealing Assembly Beryllium Nickel w/Teflont Bulb Glass Compression Screw Bronze Deflector Copper Bushing (K =2.8) Bronze Page 1 of 8 JANUARY, 2003 TFP151 Page 2 of 8 TFP151 ESCUTCHEON 7/16' (11 1 mm) PLATE SEATING NOMINAL SURFACE NPT MAKE -IN 2 1/4 (57,2 mm) 1 -9/16' (39 7 mm) WRENCH FLATS SSU DEFLECTOR SSP DEFLECTOR PENDENT UPRIGHT 1 Frame 3 Sealing 4 Bulb 6 Deflector 2 Button Assembly 5 Compression 7 Bushing Screw CROSS SECTION Temperature rating is indicated on deflector or adjacent to orifice seat on frame. Pipe thread connections per ISO 7/1 can be provided on special request. FIGURE 1 STANDARD RESPONSE SERIES TY -B UPRIGHT (TY1151) AND PENDENT (TY1251) SPRINKLERS 2.8 K- FACTOR, 1/2 INCH NPT ESCUTCHEON 7/16" (11 1 mm) PLATE SEATING 1/2' NOMINAL SURFACE NPT MAKE -IN 2 -3/16" (55,6 mm) 1 1 1/2" (38,1 mm) SSP DEFLECTOR PENDENT 1 Frame 3 Sealing 4 Bulb 2 Button Assembly 5 Compression Screw STYLE 10 RECESSED ESCUTCHEON 6 Deflector WRENCH FLATS SSU DEFLECTOR 2 -7/8" (73,0 mm) DIA. 1/2" NPT RECESSED PENDENT UPRIGHT 7/16' (11 1 mm) NOMINAL MAKE -IN I t 2-3/16' (55,6 mm) t CROSS SECTION Temperature rating is indicated on deflector or adjacent to orifice seat on frame Pipe thread connections per ISO 7/1 can be provided on special request. FIGURE 2 STANDARD RESPONSE SERIES TY -B UPRIGHT (TY3151) AND PENDENT (TY3251) SPRINKLERS 5.6 K- FACTOR, 1/2 INCH NPT TFP151 Page 3 of 8 ESCUTCHEON PLATE SEATING SURFACE 3/4 NPT 2 5/16' (58,7 mm) 4 1 -9/16' (39 7 mm) t l' SSP DEFLECTOR PENDENT 1/2' (12,7 mm) NOMINAL MAKE -IN STYLE 40 RECESSED ESCUTCHEON WRENCH FLATS 2 7/8' (73 0 mm) DIA. RECESSED PENDENT 1 Frame 3 Sealing 4 Bulb 6 Deflector 2 Button Assembly 5 Compression 7 Ejection Screw Spring SSU DEFLECTOR 3/4 NPT UPRIGHT 1/2' (12,7 mm) NOMINAL MAKE -IN 2 1/4 (57,2 mm) FIGURE 3 STANDARD RESPONSE SERIES TY -B UPRIGHT (TY4151) AND PENDENT (TY4251) SPRINKLERS 8.0 K- FACTOR, 3/4 INCH NPT CROSS SECTION Temperature rating is indicated on deflector or adjacent to orifice seat on frame. Pipe thread connections per ISO 7/1 can be provided on special request. ESCUTCHEON PLATE SEATING SURFACE fi 2 1/4' (57,2 mm) 1 -9/16" 411 mm) 1 Frame 3 Sealing 4 Bulb 2 Button Assembly 5 Compression Screw 7/16" (11 1 mm) 1/2' NOMINAL NPT MAKE -IN WRENCH FLATS SSU DEFLECTOR SSP DEFLECTOR PENDENT UPRIGHT 6 Deflector CROSS SECTION Temperature rating is indicated on deflector or adjacent to orifice seat on frame. Pipe thread connections per ISO 7/1 can be provided on special request. FIGURE 4 STANDARD RESPONSE SERIES TY-B UPRIGHT (TY4851) AND PENDENT (TY4951) SPRINKLERS 8.0 K- FACTOR, 1/2 !NCH NPT Page 4 of 8 TABLE A LABORATORY LISTINGS AND APPROVALS TFP151 NOTES. 1 Listed by Underwriters Laboratories, Inc. (UL). 2. Listed by Underwriters Laboratories, Inc. for use in Canada (C -UL). 3. Approved by Factory Mutual Research Corporation (FM). 4 Approved by the Loss Prevention Certification Board (LPCB) 5. Approved by the City of New York under MEA 354 -01 -E. 6. VdS Approved (For details contact Tyco Fire Building Products, Enschede, Netherlands, Tel. 31 -53- 428 -4444 /Fax 31 -53- 428 3377). 7 Where Polyester Coated, Lead Coated, Wax Coated, and Wax over Lead Coated Sprinklers are noted to be UL and C -UL Listed, the sprinklers are UL and C -UL Listed as Corrosion Resistant Sprinklers. Where Lead Coated, Wax Coated, and Wax over Lead Coated Sprinklers are noted to be FM Approved, the sprinklers are FM Approved as Corrosion Resistant Sprinklers. Installed with Style 10 (1/2" NPT) or Style 40 (3/4 NPT) 3/4 Total Adjustment Recessed Escutcheon, as applicable. 150 °F /66 °C Maximum Ceiling Temperature. Frame and deflector only. Listings and approvals apply to all colors (Special Order). N /A. Not Available SPRINKLER FINISH (See Note 7) K TYPE TEMP BULB NATURAL CHROME WHITE* LEAD WAX WAX OVER LIQUID BRASS PLATED POLYESTER COATED COATED LEAD COATED 135 °F /57 °C Orange PENDENT 155 °F /68 °C Red 2.8 (TY1251) 1 2, 3 N/A °F °C 1/2' and 175 /79 Yellow NPT UPRIGHT 200 °F /93 °C Green (TY1151) 286 °F /141 °C Blue 360 °F /182 °C Mauve 1 2 135 °F /57 °C Orange PENDENT 155 °F /68 °C Red (TY3251) and 1 2, 3, 4 5, 6 1 2, 3, 5 1 2, 3, 5 1 2, 3, 5 175 °F /79 °C Yellow UPRIGHT 200 °F /93 °C Green 5.6 (TY3151) 286 °F /141 °C Blue 1 ,2* 3* 5* 1 2* 3* 5* 1/2' NPT 360 °F /182 °C Mauve N/A 135 °F /57 °C Orange RECESSED 155 °F /68 °C Red PENDENT (TY3251)* 1 2, 3, 5 1 2, 5 N/A 175 °F /79 °C Yellow Figure 4 200 °F /93 °C Green 135 °F /57 °C Orange PENDENT 155 °F /68 °C Red (TY4251) 1 2, 5 1 2, 3, 5 1 2, 5 175 °F /79 °C and Yellow 1 2, 3, 4 5, 6 8.0 UPRIGHT 200 °F /93 °C Green 3/4" NPT (TY4151) 286 °F /141 °C Blue 1 ,2* 3* 5* 1 2* 5* 360 °F /182 °C Mauve N/A 135 °F /57 °C Orange RECESSED 155 °F /68 °C Red PENDENT (TY4251)* 1 2, 3, 5 N/A 175 °F /79 °C Yellow Figure 5 200 °F /93 °C Green 135 Orange PENDENT 155 °F /68 °C Red 8.0 (TY4951) 1/2' and 175 °F /79 °C Yellow 1 2, 3, 5 N/A 200 °F /93 °C Green NPT UPRIGHT (TY4851) 286 °F /141 °C Blue 360 °F /182 °C Mauve Page 4 of 8 TABLE A LABORATORY LISTINGS AND APPROVALS TFP151 NOTES. 1 Listed by Underwriters Laboratories, Inc. (UL). 2. Listed by Underwriters Laboratories, Inc. for use in Canada (C -UL). 3. Approved by Factory Mutual Research Corporation (FM). 4 Approved by the Loss Prevention Certification Board (LPCB) 5. Approved by the City of New York under MEA 354 -01 -E. 6. VdS Approved (For details contact Tyco Fire Building Products, Enschede, Netherlands, Tel. 31 -53- 428 -4444 /Fax 31 -53- 428 3377). 7 Where Polyester Coated, Lead Coated, Wax Coated, and Wax over Lead Coated Sprinklers are noted to be UL and C -UL Listed, the sprinklers are UL and C -UL Listed as Corrosion Resistant Sprinklers. Where Lead Coated, Wax Coated, and Wax over Lead Coated Sprinklers are noted to be FM Approved, the sprinklers are FM Approved as Corrosion Resistant Sprinklers. Installed with Style 10 (1/2" NPT) or Style 40 (3/4 NPT) 3/4 Total Adjustment Recessed Escutcheon, as applicable. 150 °F /66 °C Maximum Ceiling Temperature. Frame and deflector only. Listings and approvals apply to all colors (Special Order). N /A. Not Available TFP151 5/8±1/4 (159 ±64 mm FACE OF SPRINKLER FITTING MOUNTING SURFACE CLOSURE SERIES TY -B 2 7/8' DIA. (73 0 mm) 2 1/4 DIA. (57,2 mm) 3/4 (19 1 mm) 1/4 (64 mm) MOUNTING PLATE 1/8' (3,2 mm) 1 1/4 (31,8 mm) 3/4 (19 1 mm) FIGURE 5 SERIES TY -B RECESSED PENDENT SPRINKLER ASSEMBLY WITH TWO -PIECE 3/4 INCH TOTAL ADJUSTMENT STYLE 10 RECESSED ESCUTCHEON 5.6 K- FACTOR, 1/2 INCH NPT 5/8±1/4 (15,9±6,4 mm) FACE OF SPRINKLER FITTING MOUNTING SURFACE CLOSURE SERIES TY -B 2 7/8" DIA. (73,0 mm) 2 -1/4 DIA. (57,2 mm) 3/4 (19 1 mm) 1/4 (6,4 mm) MOUNTING PLATE 1/8' (3,2 mm) n �rff Mil .:1 f 1 -5/16' (33,3 mm) 13/16' (20,6 mm) FIGURE 6 SERIES TY -B RECESSED PENDENT SPRINKLER ASSEMBLY WITH TWO -PIECE 3/4 INCH TOTAL ADJUSTMENT STYLE 40 RECESSED ESCUTCHEON 8.0 K- FACTOR, 3/4 INCH NPT Page 5 of 8 WRENCH RECESS (END 'B' USED FOR 3/4' NPT MODELS) WRENCH RECESS (END A USED FOR 1/2' NPT MODELS) FIGURE 7 W -TYPE 6 SPRINKLER WRENCH WRENCH RECESS PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE 8 W -TYPE 7 RECESSED SPRINKLER WRENCH Operation The glass Bulb contains a fluid which expands when exposed to heat. When the rated temperature is reached, the fluid expands sufficiently to shatter the glass Bulb, allowing the sprinkler to activate and water to flow. Design Criteria The Series TY -B Pendent and Upright Sprinklers are intended for fire protec tion systems designed in accordance with the standard installation rules rec ognized by the applicable Listing or Approval agency (e.g. UL Listing is based on the requirements of NFPA 13 and FM Approval is based on the requirements of FM's Loss Prevention Data Sheets) Only the Style 10 or 40 Recessed Escutcheon as applicable, is to be used for recessed pendent installations. Installation Page 6 of 8 TFP151 The Series TY -B Sprinklers must be installed in accordance with the follow- ing instructions. NOTES Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb With the sprinkler held horizontally a small air bubble should be present. The diameter of the air bubble is approximately 1/16 inch (1 6 mm) for the 135F757°C to 3/32 inch (2,4 mm) for the 360 °F /182 °C temperature ratings A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 ft.lbs. (9,5 to 19 0 Nm) A maxi- mum of 21 ft. lbs (28,5 Nm) of torque may be used to install sprinklers with 1/2 NPT connections. A leak tight 3/4 inch NPT sprinkler joint should be ob- tained with a torque of 10 to 20 ft.lbs (13,4 to 26,8 Nm). A maximum of 30 ft.lbs. (40,7 Nm) of torque is to be used to install sprinklers with 3/4 NPT con- nections Higher levels of torque may distort the sprinkler inlet and cause leakage or impairment of the sprinkler Do not attempt to make -up for insuffi- cient adjustment in the escutcheon plate by under or over tightening the sprinkler Readjust the position of the sprinkler fitting to suit. The Series TY -B Pendent and Up- right Sprinklers must be installed in accordance with the following instruc tions. Step 1 Pendent sprinklers are to be installed in the pendent position, and upright sprinklers are to be installed in the upright position. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ref. Figure 7) except that an 8 or 10 inch adjustable Crescent wrench is to be used for wax coated sprinklers. With reference to Figures 1 2, 3 and 4 the W -Type 7 Sprinkler Wrench or the adjustable Crescent wrench, as applicable is to be applied to the wrench flats. When installing wax coated sprinklers with the adjustable Crescent wrench, additional care needs to be exercised to prevent damage to the wax coating on the sprinkler wrench flats or frame arms and, consequently, exposure of bare metal to the corrosive environ- ment. The jaws of the wrench should be opened sufficiently wide to pass over the wrench flats without damag- ing the wax coating Before wrench tightening the sprinkler the jaws of the wrench are to be adjusted to just con- tact the sprinkler wrench flats. After wrench tightening the sprinkler loosen the wrench jaws before removing the wrench. After installation the sprinkler wrench flats and frame arms must be in- spected and the wax coating re- touched (repaired) whenever the coat ing has been damaged and bare metal is exposed. The wax coating on the wrench flats can be retouched by gen- tly applying a heated 1/8 inch diameter steel rod to the areas of wax that have been damaged, to smooth it back over areas where bare metal is exposed. NOTES Only retouching of the wax coating ap- plied to the wrench flats and frame arms is permitted, and the retouching is to be performed only at the time of the initial sprinkler installation. The steel rod should be heated only to the point at which it can begin to melt the wax, and appropriate precautions need to be taken, when handling the heated rod, in order to prevent the installer from being burned. If attempts to retouch the wax coating with complete coverage are unsuc cessful, additional wax can be ordered in the form of a wax stick (the end of which is color coded) Only the correct color coded wax is to be used, and retouching of wrench flats and frame arms is only permitted at the time of initial sprinkler installation. With the steel rod heated as previously de- scribed, touch the rod to the area re- quiring additional wax with the rod an- gled downward, and then touch the wax stick to the rod approximately one -half inch away from the area re- quiring retouching. The wax will melt and run down onto the sprinkler The Series TY -B Recessed Pendent Sprinklers must be installed in ac cordance with the following instruc tions. Step A. After installing the Style 10 or 40 Mounting Plate, as applicable, over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step B Tighten the sprinkler into the sprinkler fitting using only the W -Type 7 Recessed Sprinkler Wrench (Ref Figure 8) With reference to Figure 3 or 4 the W -Type 7 Recessed Sprinkler Wrench is to be applied to the sprinkler wrench flats. Step C. After the ceiling has been in- stalled or the finish coat has been ap- plied, slide on the Style 10 or 40 Clo- sure over the Series TY -B Sprinkler and push the Closure over the Mount ing Plate until its flange comes in con- tact with the ceiling. TFP151 Care and Maintenance The Series TY -B Sprinklers must be maintained and serviced in accord- ance with the following instructions. NOTES Before closing a fire protection system main control valve for maintenance work on the fire protection system that it controls, permission to shut down the affected fire protection system must be obtained from the proper authorities and all personnel who may be affected by this action must be notified Absence of an escutcheon, which is used to cover a clearance hole may delay the time to sprinkler operation in a fire situation Sprinklers that are found to be leaking or exhibiting visible signs of corrosion must be replaced Automatic sprinklers must never be painted plated, coated or otherwise altered after leaving the factory. Modi- fied sprinklers must be replaced Sprinklers that have been exposed to corrosive products of combustion, but have not operated should be replaced if they cannot be completely cleaned by wiping the sprinkler with a cloth or by brushing it with a soft bristle brush. Care must be exercised to avoid dam- age to the sprinklers before, during and after installation. Sprinklers dam- aged by dropping striking, wrench twist/slippage, or the like, must be re- placed. Also, replace any sprinkler that has a cracked bulb or that has lost liquid from its bulb. (Ref. Installation Section) Frequent visual inspections are rec ommended to be initially performed for corrosion resistant coated sprinklers, after the installation has been com- pleted, to verify the integrity of the cor rosion resistant coating Thereafter annual inspections per NFPA 25 should suffice, however instead of in- specting from the floor level, a random sampling of close -up visual inspec tions should be made, so as to better determine the exact sprinkler condi- tion and the long term integrity of the corrosion resistant coating, as it may be affected by the corrosive conditions present. 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. It is recommended that automatic sprinkler systems be inspected tested and maintained by a qualified Inspection Service. Limited Warranty Page 7 of 8 Products manufactured by Tyco Fire Products are warranted solely to the original Buyer for ten (10) years against defects in material and work manship when paid for and properly installed and maintained under normal use and service. This warranty will ex pire ten (10) years from date of ship- ment by Tyco Fire Products. No war ranty is given for products or components manufactured by compa- nies not affiliated by ownership with Tyco Fire Products or for products and components which have been subject to misuse, improper installation, corro- sion, or which have not been installed maintained modified or repaired in ac cordance with applicable Standards of the National Fire Protection Associa- tion and /or 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. IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE, IN CON- TRACT TORT STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE ORY FOR INCIDENTAL, INDIRECT SPECIAL OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LABOR CHARGES, RE GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' LI- ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY AND FIT NESS FOR A PARTICULAR PUR- POSE, 530 2.8K UPRIGHT (1/2 "NPT) TY1151 531 2.8K PENDENT (1/2 "NPT) TY1251 570 5.6K UPRIGHT (1/2 "NPT) TY3151 571 5.6K PENDENT (1/2 "NPT) TY3251 590 8.0K UPRIGHT (3/4 "NPT) TY4151 591 8.0K PENDENT (3/4 "NPT) TY4251 560 8.0K UPRIGHT (1/2 "NPT) TY4851 561 8.0K PENDENT (1/2 "NPT) TY4951 Page 8 of 8 P/N 57 XXX X XXX I MODEUSIN Ordering Procedure When placing an order indicate the full product name. Refer to the Price List for complete listing of Part Numbers. Contact your local distributor for avail- ability. Sprinkler Assemblies with NPT Thread Connections: Specify (Specify Model /SIN), Stand- ard Response (specify K- factor) (specify temperature rating), Series TY -B (specify Pendent or Upright) Sprinkler with (specify type of finish or coating) P/N (specify from Table B) I 4 9 7 6 8' SPRINKLER NATURAL BRASS WHITE POLYESTER CHROME PLATED LEAD COATED WAX COATED 286 °F /141 °C MAX. WAX OVER LEAD 286 °F /141 °C MAX. TABLE B PART NUMBER SELECTION SERIES TY -B PENDENT AND UPRIGHT SPRINKLERS Recessed Escutcheon. Specify Style (specify) Recessed Es- cutcheon with (specify finish) P/N (specify). 1/2 (15 mm) Style 10 Chrome Plated 1/2' (15 mm) Style 10 White Color Coated 1/2" (15 mm) Style 10 Brass Plated 3/4" (20 mm) Style 40 Chrome Plated 3/4" (20 mm) Style 40 White Color Coated 3/4" (20 mm) Style 40 Brass Plated P/N 56- 701 -9 -010 P/N 56 -701 -4 -010 P/N 56- 701 -2 -010 P/N 56 -700 -9 -010 P/N 56 -700 -4 -010 P/N 56- 700 -2 -010 Sprinkler Wrench» Specify* W -Type 6 Sprinkler Wrench, P/N 56- 000 -6 -387 Specify W -Type 7 Sprinkler Wrench P/N 56- 850 -4 -001 Black for 135 °F Red for 155 °F Yellow for 175 °F Blue for 200 °F and 286 °F TYCO FIRE PRODUCTS, 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 135 155 175 200 286 360 TEMPERATURE RATING 135 °F /57 °C 155 °F /68 °C 175 °F /79 °C 200 °F /93 °C 286 °F /141 °C 360 °F /182 °C TFP151 Wax Sticks. (for retouching wrench damaged wax coating) Specify (Specify color) color coded Wax Stick for retouching (specify tem- perature rating) temperature rated Se- ries TY B Sprinklers, P/N (specify). P/N 56 -065 -1 135 P/N 56 -065 -1 -155 P/N 56 -065 -1 -175 P/N 56 -065 -1 -286 NOTES Each wax stick is suitable for retouch- ing up to twenty-five sprinklers. The wax used for 286 °F sprinklers is the same as for 200 °F sprinklers, and, therefore, the 286°F sprinkler is limited to the same maximum ceiling tempera- ture as the 200 F sprinkler (i e 150 °F) tqco I Fire Building Products Technical Services Tel: (800) 381 9312 Fax: (800) 791 -5500 Customer Service /Sales: Tel: (414) 570 -5000 (800) 558 -5236 Fax: (414) 570 -5010 (800) 877 1295 Series DS -1 5.6 K- factor Dry Type Sprinklers C��IC!p/ Quick Response, Standard Coverage General Description The Series DS -1 5 6 K- factor Quick Response, Standard Coverage, Dry Type Sprinklers are decorative 3 mm glass bulb automatic sprinklers de- signed for the following typical uses. where pendent sprinklers are re- quired on dry pipe systems that are exposed to freezing tempera- tures (e.g. sprinkler drops from un- heated portions of buildings) where sprinklers and/or a portion of the connecting piping may be exposed to freezing temperatures (e.g sprinkler drops from wet sys- tems into freezers sprinkler sprigs from wet systems into un- heated attics, or horizontal piping extensions through a wall to pro- tect an unheated area of a build- ing) where sprinklers are used on sys- tems that are seasonably drained to avoid freezing (e.g. vacation re- sort areas) WARNINGS The Series DS -1 Dry Type Sprinklers described 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 IMPORTANT Always refer to Technical Data Sheet TFP700 for the 'INSTALLER WARNING' that provides cautions with respect to handling and instal- lation of sprinkler systems and com- ponents Improper handling and in- stallation can permanently damage a sprinkler system or its compo- nents and cause the sprinkler to fail to operate in a fire situation or cause it to operate prematurely Page 1 of 8 standards of any other authorities hav- ing jurisdiction. Failure to do so may impair the performance of these de- vices. 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 with any questions. The Series DS -1 Dry Type Sprinklers must only be installed in fittings that meet the requirements of the Design Criteria section. Model /Sprinkler identification Numbers TY3235 (Pendent) TY3135 (Upright) TY3335 (Horizontal Sidewall) Technical Data Approvals UL and C -UL Listed. FM and NYC Approved (Refer to Table A) Maximum Working Pressure 175 psi (12,1 bar) Inlet Thread Connection 1 inch NPT (Standard Order) ISO 7 -R1 Discharge Coefficient K 5.6 GPM /psi (80 6 LPM /bar Temperature Ratings Refer to Table A Finishes Sprinkler Natural Brass, Chrome Plated, White Polyester Escutcheon: White Coated or Chrome Plated Physical Characteristics Inlet Copper Plug Copper Yoke Stainless Steel Casing Galvanized Carbon Steel Insert Bronze Bulb Seat Stainless Steel Bulb Glass Compression Screw Bronze Deflector Bronze Frame Bronze Guide Tube Stainless Steel Water Tube Stainless Steel Spring Stainless Steel Sealing Assembly Beryllium Nickel w/Teflon Escutcheon Carbon Steel *Registered Trademark of DuPont Patents U.S.A. Patent No. 5,188,185 APRIL, 2004 TFP510 Page 2 of 8 Temperature Rating 135 °F /57 °C 155 °F /68 °C 175 °F /79 °C 200 °F /93 °C 286 °F /141 °C Bulb Color Code Orange Red Yellow Green Blue SPRINKLER FINISH TY3235 Pendent w/ Standard Recessed Escutcheon (Ref. Fig. 3) w/ Wide Flange Recessed Escutcheon (Ref Fig.4) Natural Brass Chrome Plated 12,3,4 1 2, 3, 4 1 2, 3, 4 1 2, 3, 4 White Polyester 1 2, 4 1 2, 4 1 2, 4 1 2, 4 N/A TY3235 Pendent w/ Std. Escutcheon (Ref. Fig. 5) w/ Deep Escutcheon (Ref. Fig. 6) w/o Escutcheon (Ref. Fig. 7) TY3135 Upright w/o Escutcheon Ref Fig. 8) Natural Brass Chrome Plated 12,3,4 1 2, 3, 4 12,3,4 12,3,4 1 2, 3, 4 White Polyester 1 2, 4 1 2, 4 1 2, 4 1 2, 4 1 2, 4 TY3335 Hor Sidewall with top of Deflector -to- Ceiling distance of 4 to 12 inches (100 to 300 mm) w/ Std. Escutcheon (Ref. Fig. 9) w/ Deep Escutcheon (Ref. Fig. 10) w/o Escutcheon (Ref Fig. 11) Natural Brass Chrome Plated 1 2* 3* 4 1 2* 3* 4 1 2* 3* 4 1 2* 3* 4 1 2* 3* 4 White Polyester 1 2* 4 1 2" 4 1 2* 4 1 2* 4 1 2* 4 Notes: Listed by Underwriters Laboratories, Inc (Maximum order length of 48 inches) 2. Listed by Underwriters Laboratories for use in Canada. (Maximum order length of 48 inches) 3. Approved by Factory Mutual Research Corporation (Maximum order length of 48 inches) 4 Approved by the City of New York under MEA 352 -01 -E. Light and Ordinary Hazard Occupancies Only. Light Hazard Occupancies Only. N/A Not Available. TABLE A SERIES DS -1 QUICK RESPONSE STANDARD COVERAGE, DRY TYPE SPRINKLERS LABORATORY LISTINGS AND APPROVALS PLUG WITH GASKETED SPRING PLATE SEAL SPRING WATER TUBE GUIDE TUBE FRAME VENT HOLE DEFLECTOR FIGURE 1 SERIES DS -1 QUICK RESPONSE DRY TYPE SPRINKLER ASSEMBLY INLET YOKE CASING INSERT BULB SEAT 3 mm BULB COMPRESSION SCREW TFP510 WRENCH RECESS PUSH WRENCH INTO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE 2 W -TYPE 7 SPRINKLER WRENCH TFP51O SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) FACE OF SPRINKLER FITTING ORDER LENGTHS. 3 -1/2' to 48' (88,9 to 1219,2 mm) IN 1/4 (6,4 mm) INCREMENTS FACE OF CEILING 1 -3/8' 1/8' (34,9 3,2 mm) 2 1/4 DIA. (57,2 mm) 2 -7/8' DIA. (73,0 mm) FIGURE 3 TY3235 PENDENT w/ STANDARD RECESSED ESCUTCHEON SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) FACE OF SPRINKLER FITTING f ORDER LENGTHS. 1/2" to 46' (12,7 to 1168,4 mm) IN 1/4' (6,4 mm) INCREMENTS FACE OF CEILING 4 -1/4" 1/8° (108,0 ±3,2 mm) 3 -1/2" DIA. (88,9 mm) 2 -1/2" DIA. (63,5 mm) FIGURE 6 TY3235 PENDENT w/ DEEP ESCUTCHEON SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) FACE OF SPRINKLER FITTING 1 3/8' 1/8' (34,9 3,2 mm) ORDER LENGTHS. 3 -1/2' to 48' (88,9 to 1219,2 mm) IN 1/4 (6,4 mm) INCREMENTS J76,2 mm) FACE OF CEILING 3' DIA. 3 -5/8' DIA. (92,1 mm) FIGURE 4 TY3235 PENDENT w/ WIDE FLANGE RECESSED ESCUTCHEON SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) FACE OF SPRINKLER '1 FITTING ORDER LENGTHS. 5' to 48" (127,0 to 1219,2 mm) IN 1/4" (6,4 mm) INCREMENTS MINIMUM 1 3/4" (44,5 mm) DEFLECTOR TO CEILING FIGURE 7 TY3235 PENDENT w/o ESCUTCHEON Page 3 of 8 SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) FACE OF SPRINKLER FITTING ORDER LENGTHS. 2 1/2' to 48' (63,5 to 1219,2 mm) IN 1/4 (6,4 mm) INCREMENTS FACE OF CEILING 2 3/16 1/8' (55,6 3,2 mm) 1 3/4' DIA. (44,5 mm) 3' DIA. (76,2 mm) FIGURE 5 TY3235 PENDENT w/ STANDARD ESCUTCHEON TOP OF DEFLECTOR ORDER LENGTHS: 5' to 48' (127,0 to 1219,2 mm) IN 1/4" (6,4 mm) INCREMENTS FACE OF SPRINKLER FITTING SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) FIGURE 8 TY3135 UPRIGHT w/o ESCUTCHEON Page 4 of 8 ORDER LENGTHS. 2 1/2' to 48' (63.5 to 1219,2 mm) IN 1/4' (6,4 mm) INCREMENTS 4' x 1/8' (101,6 3.2 mm) FACE OF FACE OF SPRINKLER MOUNTING FITTING SURFACE SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) CENTERLINE OF WATERWAY 3.5° 5/ 6' (7,9 mm) 3' DIA. (76,2 mm) FIGURE 9 TY3335 HORIZONTAL SIDEWALL w/ STANDARD ESCUTCHEON ORDER LENGTHS FACE OF 1/2' to 45 -3/4' (12,7 to 1162,1 mm) MOUNTING IN 1/4' (6,4 mm) INCREMENTS SURFACE 1/2 DIA. (63,5 mm) mho L. FACE OF SPRINKLER FITTING 4- 13/16' 1/8' (122,2 3,2 mm) 3-1/2 DIA. 1 1 (88,9 mm) 3.5° SPRINKLER FITTING (REFER TO DESIGN CENTERLINE 5/16' CRITERIA SECTION) OF WATERWAY (7,9 mm) FIGURE 10 TY3335 HORIZONTAL SIDEWALL w/ DEEP ESCUTCHEON 11111161 FACE OF SPRINKLER FITTING SPRINKLER FITTING (REFER TO DESIGN CRITERIA SECTION) ORDER LENGTHS. 5' to 48' (127,0 to 1219,2 mm) IN 1/4' (6,4 mm) INCREMENTS 3.5° 5/16" (7,9 mm) CENTERLINE OF WATERWAY MINIMUM 2 -1/4" (57,2 mm) DEFLECTOR TO MOUNTING SURFACE FIGURE 11 TY3335 HORIZONTAL SIDEWALL w/o ESCUTCHEON Operation When the Series DS -1 is in service, water is prevented from entering the assembly by the Plug Belleville Seal- ing Assembly (Ref Figure 1) in the Inlet of the Sprinkler The glass Bulb contains a fluid that expands when ex posed to heat. When the rated tem- perature is reached the fluid expands sufficiently to shatter the glass Bulb and the Bulb Seat is released The compressed Spring is then able to ex pand and push the Water Tube as well as the Guide Tube outward.This action simultaneously pulls inward on the Yoke, withdrawing the Plug Belleville Seal from the Inlet allowing the sprin- kler to activate and flow water Design Criteria TFP510 The Series DS -1 Sprinklers are in- tended for use in fire sprinkler systems designed in accordance with the standard installation rules recognized by the applicable Listing or Approval agency (e.g. UL Listing is based on NFPA 13 requirements) The Series DS -1 Dry Type Sprinkler is to be installed in the 1 inch NPT outlet or run of malleable or ductile iron threaded tee fittings that meet the di- mensional requirements of ANSI B16.3 (Class 150) or cast iron threaded tee fittings that meet the di- mensional requirements of ANSI 816.4 (Class 125) with the end sprin- kler fitting on a branch line to be plugged as shown in Figures 3 11 When installing 1 inch NPT Series DS -1 Dry Type Sprinklers on a dry pipe sprinkler system, only use the side outlet of maximum 2 1/2 inch size re- ducing tee's. For wet pipe sprinkler systems, the Series DS -1 Dry Type Sprinklers may also be installed in the 1 inch NPT outlet of a Central Figure 730 Me- chanical Tee or the following Tyco Fire Products CPVC fittings. (P /N 80145) 1 x 1 NPT Female Adapter or (P /N 80249) 1 x 1 x 1 NPT Sprinkler Head Adapter Tee. NOTE Do not install the Series DS -1 into any other type fitting without first consult ing the Technical Services Depart meet. Failure to use the appropriate fitting may result in. failure of the sprin- kler to properly operate due to forma- tion of ice over the inlet Plug or binding of the inlet Plug, or insufficient en- TFP51O gagement of the inlet pipe threads with consequent leakage Branch cross, and feedmain piping connected to Dry Sprinklers and sub- ject to freezing temperatures must be pitched for drainage in accordance with the minimum requirements of the National Fire Protection Association for dry pipe sprinkler systems. When Dry Sprinklers are to be used in wet pipe sprinkler systems protecting areas subject to freezing temperatures (e g sprinkler drops into freezers) consideration must be given to the ap- propriate length of the sprinkler that will prevent freezing of the water in the connecting pipes due to conduction When the temperature surrounding the wet pipe sprinkler system is main- tained at a minimum temperature of 40 °F /4 °C the following are the mini- mum recommended lengths between the face of the sprinkler fitting and the outside surface of the protected area (i.e. length exposed to minimum am- bient of 40 °F /4 °C) 12 inches (300 mm) when the tem- perature within the protected area is -20 °F/ 29 °C 18 inches (450 mm) when the tem- perature within the protected area is 40 °F -40 °C 24 inches (600 mm) when the tem- perature within the protected area is 60 °F -51 °C For protected area temperatures be- tween those given above, the minimum recommended length from the face of the fitting to the outside of the pro- tected area may be determined by in- terpolating between the indicated val- ues. NOTE When Dry Sprinklers penetrate a ceil- ing or wall into an area subject to freez ing, the clearance space around the Sprinkler Casing must be completely sealed in order to prevent the leakage of moist air into the freezing area which might result in the formation of condensate around the Frame, Deflec tor Bulb Seat, or Bulb Failure to pre- vent the formation of condensate could result in the build -up of ice around the releasing components. This could re- sult an inadvertent operation of the sprinkler or impaired operation due to reduced thermal sensitivity Installation The Series DS -1 Dry Type Sprinklers must be installed in accordance with the following instructions NOTES The Series DS -1 must only be installed in fittings that meet the requirements of the Design Criteria section. Refer to the Design Criteria section for other important requirements regard- ing piping design and sealing of the clearance space around the Sprinkler Casing Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb With the sprinkler held horizontally a small air bubble should be present. The diameter of the air bubble is approximately 1/16 inch (1 6 mm) for the 135 °F /57 °C rating to 1/8 inch (3,2 mm) for the 286 °F /141 °C rating. A leak tight 1 inch NPT sprinkler joint should be obtained with a torque of 20 to 30 ft.lbs. (26,8 to 40,2 Nm) Higher levels of torque may distort the sprin- kler inlet with consequent leakage or impairment of the sprinkler Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under or over tightening the Sprinkler Readjust the position of the sprinkler fitting to suit. Step 1 Pendent sprinklers must be installed only in the pendent position, and upright sprinklers must be in- stalled only in the upright position. The deflector of a pendent or upright sprin- kler is to be parallel to the ceiling Horizontal sidewall sprinklers are to be installed in the horizontal position with their centerline of waterway perpen- dicular to the back wall and parallel to the ceiling. The word `TOP" on the De- flector is to face towards the ceiling. Step 2. With pipe thread sealant ap- plied to the inlet threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Wrench tighten the sprinkler by wrenching on the Casing with a pipe wrench whenever the casing is readily accessible. Otherwise, use a W -Type 7 Sprinkler Wrench (Ref Figure 2) The wrench recess of the W -Type 7 is to be applied to the sprinkler wrench flats (Ref Figure 2) Step 4 After the ceiling /wall has been installed /finished slide on the outer piece of the Escutcheon until it comes in contact with the ceiling /wall Do not lift the ceiling panel out of its normal position In the case of the outer piece of the Page 5 of 8 Deep Escutcheon hold the outer piece in contact with the mounting sur face (ceiling) and then rotate the inner piece approximately 1/4 turn with re- spect to the outer piece to hold the Deep Escutcheon firmly together Care and Maintenance The Series DS -1 Dry Type Sprinklers must be maintained and serviced in accordance with the following instruc tions: NOTES Absence of the outer piece of an es cutcheon, which is used to cover a clearance hole, may delay the time to sprinkler operation in a fire situation Before closing a fire protection system main control valve for maintenance work on the fire protection system that it controls, permission to shut down the affected fire protection systems must be obtained from the proper authorities and all personnel who may be affected by this action must be no- tified. A Vent Hole is provided in the Bulb Seat (Ref Figure 1) to indicate if the Dry Sprinkler is remaining dry Evi- dence of leakage from the Vent Hole is an indication that there may be weepage past the Inlet seal and that the sprinkler needs to be removed for determining the cause of leakage (e.g. an improper installation or an ice plug) The fire protection system control valve must be closed and the system drained before removing the sprinkler Sprinklers that are found to be leaking or exhibiting visible signs of corrosion must be replaced. Automatic sprinklers must never be painted, plated, coated, or otherwise altered after leaving the factory. Modi- fied sprinklers must be replaced Sprinklers that have been exposed to corrosive products of combustion but have not operated, should be com- pletely cleaned by wiping the sprinkler with a cloth or by brushing it with a soft bristle brush. 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. Also, replace any sprinkler that has a cracked bulb or that has lost liquid from its bulb (Ref Installation Section) The owner is responsible for the in- spection, testing, and maintenance of their fire protection system and de- vices in compliance with this docu- Page 6 of 8 TF510 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. It is recommended that automatic sprinkler systems be inspected tested and maintained by a qualified Inspection Service in accordance with local requirements and /or national codes. Limited Warranty Products manufactured by Tyco Fire Products are warranted solely to the original Buyer for ten (10) years against defects in material and work manship when paid for and properly installed and maintained under normal use and service. This warranty will ex pire ten (10) years from date of ship- ment by Tyco Fire Products. No war ranty is given for products or components manufactured by compa- nies not affiliated by ownership with Tyco Fire Products or for products and components which have been subject to misuse, improper installation, corro- sion or which have not been installed maintained, modified or repaired in ac cordance with applicable Standards of the National Fire Protection Associa- tion and /or 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. IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE IN CON- TRACT TORT STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE ORY FOR INCIDENTAL, INDIRECT SPECIAL OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LABOR CHARGES RE GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' LI ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED. INCLUDING WARRANTIES OF MERCHANTABILITY AND FIT NESS FOR A PARTICULAR PUR POSE. Ordering Procedure Contact your local distributor for avail- ability and please specify the follow ing 1 Sprinkler Model /SIN Quick Response Standard Cover age Dry Type Sprinkler Deflector Style 5.6 K- factor Order Length. Dry Type Sprinklers are furnished based upon Order Length as measured per Figure 3 through 11 as applicable After the meas urement is taken, round it to the nearest 1/4 inch increment. Inlet Connection (1 Inch NPT or ISO 7 -R1) Temperature Rating. Sprinkler Finish. Escutcheon Style and Finish, as applicable. Part Number from Table B. (Part numbers are for 1 inch NPT stand- ard order sprinklers. Orders for all other sprinkler assemblies must be accompanied by a complete description.) 2. W -Type 7 Sprinkler Wrench. Refer to the Price List for complete listing of Part Numbers. 36 Pendent w/ Standard Escutcheon (1 NPT) TY3235 (Fig. 5) 33 Pendent w/ Deep Escutcheon (1 NPT) TY3235 (Fig. 6) 37 Pendent w/ Std. Recessed Escutcheon (1 NPT) TY3235 (Fig. 3) 32 Pendent w/o Escutcheon Escutcheon (1 NPT) TY3235 (Fig. 7) 34 Sidewall w/ Standard TY3335 Escutcheon (1 NPT) (Fig. 9) 43 Sidewall w/ Deep TY3335 9 Escutcheon (1 NPT) (Fig. 10) 44 Sidewall w/o TY3335 3 Escutcheon (1 NPT) (Fig. 11) TFP51O P/N 60 XXX X XXX I I MODEUSIN 38 Upright w/o Escutcheon (1 NPT) TY3135 (Fig. 8) NOTES TEMPERATURE RATING (3) 135F/57C 155F/68C 175F/79C 200F/93C 286F/141 C (1). Dry Type Sprinklers are furnished based upon 'Order Length as measured per Figures 3 through 11 as applicable, and for each individual sprinkler where it is to be installed. After the meas- urement is taken, round it to the nearest 1/4 inch increment. (2). Escutcheon Finish applies to sprinklers provided with escutcheons. (3). The 286F/141 C temperature rating applies to non recessed sprinkler assemblies. Eastern Hemisphere sales only. TABLE B PART NUMBER SELECTION SERIES DS -1 QUICK RESPONSE, STANDARD COVERAGE, DRY TYPE SPRINKLERS (Use Prefix 1' for ISO 7 -R1 Connection, e.g. 1 -60 -361 1 180) Page 7 of 8 055 082 180 187 372 480 ORDER LENGTH (1) (EXAMPLES) 5.50' 8.25' 18.00' 18.75' 37.25' 48.00' SPRINKLER FINISH ESCUTCHEON FINISH (2) NATURAL BRASS WHITE 4 WHITE POLYESTER WHITE 9 CHROME PLATED CHROME PLATED 0 CHROME PLATED WHITE 3 WHITE (RAL9010)* WHITE (RAL9010)` TFP51O P/N 60 XXX X XXX I I MODEUSIN 38 Upright w/o Escutcheon (1 NPT) TY3135 (Fig. 8) NOTES TEMPERATURE RATING (3) 135F/57C 155F/68C 175F/79C 200F/93C 286F/141 C (1). Dry Type Sprinklers are furnished based upon 'Order Length as measured per Figures 3 through 11 as applicable, and for each individual sprinkler where it is to be installed. After the meas- urement is taken, round it to the nearest 1/4 inch increment. (2). Escutcheon Finish applies to sprinklers provided with escutcheons. (3). The 286F/141 C temperature rating applies to non recessed sprinkler assemblies. Eastern Hemisphere sales only. TABLE B PART NUMBER SELECTION SERIES DS -1 QUICK RESPONSE, STANDARD COVERAGE, DRY TYPE SPRINKLERS (Use Prefix 1' for ISO 7 -R1 Connection, e.g. 1 -60 -361 1 180) Page 7 of 8 055 082 180 187 372 480 ORDER LENGTH (1) (EXAMPLES) 5.50' 8.25' 18.00' 18.75' 37.25' 48.00' Application Number 07 00000891 Application pin number 076768 Property Address 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 11 5 1 0200 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STN STREET PORT ANGELES. WA 98362 Contractor FIR LANE TERRACE CONVL CTR #259 OLYMPIC ELECTRIC ATTN TAX DEPT 4230 TUMWATER WILWAUKEE WI 53203 PORT ANGELES (360) 457 5303 Date 7/30/07 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc OLY EL NURSING KIOSKS Permit pin number 108068 Sub Contractor OLYMPIC ELECTRIC Permit Fee 58 00 Plan Check Fee 00 Issue Date 7/30/07 Valuation 0 Expiration Date 1/26/08 Qty Unit Charge Per 1 00 58 0000•ECH EL -COMM ALT <5 CIRCUITS Charged Paid Credited Due Permit Fee Total 58 00 58 00 00 00 Plan Check Total 00 00 00 00 Grand Total 58 00 58 00 00 00 Extension 58 00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH ROUGH -IN COVER SERVICE FINAL 17 -3o -4'i IJI ,)I ELECTRICAL PERMIT INSPECTION 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 GENERAL COMMENTS: Pwa 102.13 [4'961 (4/27/2007) James Llerly 9219.pdf Letter of Transmittal April 27, 2007 Project Info: CRS# 9219 Crestwood Convalescent Center Chapter 388 -97 WAC Nursing Homes Care Tracker Kiosks Key People: Assigned DOH Dougl as Taylor CBO Revi ewe': dough as.tayl or@d oh.wagov Facility Exteidicare Health Services Administrator: Rick Jessal 111 W Midiigai 3 Milwaukee #WI 53203 Architect Engi nea: qprinkle' Contractor: Other: Page 1 of 4 414 908- HDI Architects Malin Hui si nga FLT Box 4087 Bd 1 evue WA 98009 (425) 455 -4997 hdiach©semet.c om Ccpies Ta Local Buildrg Official: City of Port Angeles Washingtm State Patrol, FirePrdectim Bureau Arcttited Er jneer: HDI Architects S b- Cartractor: SutrCmtracta: L &I, Bill Eckrdh, Beetled Section L& I Factory Assembled Structures Project location: Local Permit Fad I i ty Contact: Building Offidd: Fire Al am Contractor: Other: FOZ A Washington State Department of Health Construction Review Services 310 Isad Road SE Turawater, WA 98501 PO Box 47852 Olympia Watingtm 98504 -7852 1116 E Laurisen Rd Port Angeles WA 98362 Extendicae Hedth Servi John Mod 111 W Michigan St M i lwaakee #WI 53203 (360) 377 -3951 j mod<@edeldi ca eoom Oty of Port Angles Mr. im Liedy FO Box 1150 Port Angel es, WA 98362 -0217 (360) 417-4816 jlierly@dtyofpa.us DOH Child Birth Center Licerrerg DOH Office of Acoanmodaticn s& Res Care Srvey DOH Office cf Heath Care Srvey DSHS, Jerrtifer Brascher, Agng Adit Services Adniristraticn DSHS, Div. Of Alcohol and Srbdanoe Alas Other: CRS File www.dch.wagiv /c rs Del. 360 236.2994 fax. 360-236 -2901 Plan Review Comments for Project #9219 Page g [4/27/2007) James Lierly 9219.pdf Page Crestwood Convalescent Center Chapter 388 -97 WAC Nursing Homes Care Tracker Kiosks Memo: Authorized to Begin Construction The construction documents have been reviewed per Chapter 388 -97 WAC Nursing Homes (NH) and found acceptable. The stamped approved copy of the documents shall be kept and available for the licensing staff on site. Please note the following: The local building official is responsible for bu ilding construction permitting and occupancy. Installation work may begin upon receipt of any permits as deemed necessary by the local building official. Any changes /deviatio ns (incl. change orders or addenda) from the approved documents must be submitted to the Department for review and approval. Please include your CRS number on all communications to Construction Review Services. You must notify the department when construction is complete, either by the included notification of construction complete (pink card) or by completing the form on the CRS website. Additional instructions may be printed on the pink card. When we receive notification, we will notify Department of Social Health Services (DSHS) Nursing Home licensing that you have completed the review process and are ready for an on -site inspection. Nursing Home regulations do not allow activation of the touch screen monitor system until authorized by Department of Social Health Services (DSHS) Nursing Home Licensing. Final licensing approval is subject to a site inspection by DSHS Nursing Home Licensing and the Office of the State Fire Marshal to verify compliance with Nursing Home regulations and your approved documents. If you have any questions please feel free to contact Construction Review Services. You can monitor project status and fill out our online survey at www.doh.wa.gov /crs. Page 2 of 4 Plan Review Comments for Project 9219 RESIDENTIAL CARE FACILITIES ONLY Occupancy Group: 1 -2 Construction Type: Applicable Code: 2003 IBC Number of Beds: Current: 112 Added: 0 Removed: 0 Total: 112 Number of qualifying units: Automatic Fire Sprinkler System: El Yes No Type ALL FACILI1 Automatic FireAlarm System: Z Yes No Compartmentation req'd: 1]Yes ❑No Smoke Control System Provided: Yes EINo Special Delayed Egress Control: Yes ■No Location: Certificate of Need Required: Yes ■No CON Approval Granted: CON Number Yes •No RESIDENTIAL CARE FACILITIES ONLY Number of units: Private occupancy: Based on size of rooms used for sleeping Based on size of common rooms Maximum allowable licensable beds: Residents Residents Two person occupancy: Qualifies for Assisted Living Funding Program Yes ■No Number of qualifying units: 4/27/2007) James Lierly 92 pdf Page 3� Facility Data Certificate: Facility Name: Site Address: Crestwood Convalescent Center 1116 E Laurisen Rd Port Angeles WA 98362 Estimated Date of Occupancy:Currently Occupied DOH Facility ID: 007719 Critical Access Facility: Yes El No w 1— 0 z The data above is based on the information presented to CRS. Any change in the facility or facility program that causes the above information to be incorrect is subject to review by CRS. Approval for construction is not approval for Iicensure. A copy of the facility data certificatewill be sent to the licensing agency. Page 3 of 4 Plan Review Comments for Project 9219 1.(4127/2007) James Lierly 9219 pdf Care Tracker Kiosks Plan Review Comments 0 2 z z Crestwood Convalescent Center Chapter 388 -97 WAC Nursing Homes Approved 04/18/07 Per an explanation letter received from Ms. Donna Maassen, Privacy Officer with Extendicare Health Services, I nc., and a follow -up telephone conversation with Ms. Maassen, the installation of the Care Tracker kiosks is accepted provided the time before the monitor shuts itself off because of non activity is programmed at one minute instead of the two noted in the letter, and the monitor goes to a "picture" instead of a black screen. Be advised the facility may be cited if licensing inspections find staff using the kiosks when non -staff individuals are in the kiosk area, a complaint is made concerning misuse of the touch screen monitors, or monitors do not function as described by Extendicare. Construction and renovation may create conditions that compromise the health and safety of patients, staff, and visitors. Facility planning must include provisions for infection control and safety of the facility's occupants during any renovation or new construction. The facility's infection control practitioner (I CP) and safety and security personnel (S&SP) should be involved with facility planning, design, construction, and commissioning of any new or renovated area. The design professional should incorp orate the specific construction -rel ated requirements of the I CP and S&SP in the contract documents to require the constructor to implement these specific requirements during construction. WAC 388 -97 -365 Carpi we with the carinants above provided by the Deeartnent cfHea'th, Construction Review Sarvices, are necessary fa tics facility to meet the reqdrerrents of the applicable licensng regiiaions fond in the t4bdinycn Sate Adriridrative Cale and assacided references Them canrents ddnot relieve the facility from the res m bllty torreetthe reqdrernants day other applicable fddera, date or local regulations In the evert ofcabticts between other ju isicjans and then written commits the mad stringent seal aady. Page 4 of 4 Plan Review Comments for Project 9219 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03- 00000603 Date 7/14/03 Property Address 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-11-5-1- 0200 -0000- Application description COMM NEW CONST Subdivision Name Property Zoning Application valuation 4320 Owner Contractor FIR LANE TERRACE CONVL CTR #259 NICPON CONSTRUCTION ATTN: TAX DEPT 1720 W. 7TH ST WILWAUKEE WI 53203 PORT ANGELES,WA PORT ANGELES (360) 417 -3696 Structure Information NEW 216SF STORAGE BUILDING Construction Type TYPE V NON -RATED Occupancy Type GARAGES, CARPORTS, SHEDS Permit Additional desc Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T: \PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT COMMERCIAL Qty Unit Charge Per BASE FEE 3.00 14.0000 THOU BL- 2001 -25K (14 PER K) Charged Paid Credited WA 98362 134.75 Plan Check Fee 87.59 7/14/03 Valuation 4320 1/11/04 Due Extension 92.75 42.00 STATE SURCHARGE 4.50 134.75 134.75 .00 .00 87.59 87.59 .00 .00 4.50 4.50 .00 .00 226.84 226.84 .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 fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. [hereby certify that 1 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. 7 /x/- Signature of GcAtractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T c fC INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS 4 /V J r WALLS iJ/ 5 FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 4 ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT k's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT k's PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T: \PLANNING \FORMS \1102.15 [4/2002] REQUEST: Date 7/1 Location of Work to be inspected Name of person requesting inspection C.; r7 Jy l c eno Address of person requesting inspection Type of Inspection Sewer(Foundation INSPECTION NOTES: Inspected: Date Remarks CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT appropriate one): (Continue on reverse side if necessary) Time S Received by 'ems, ra- (phon Phone No. /Z3 4,54 Permit No. n ing Chimney Plumbing Final Sewer Excay. Other r !1 ime By RESTORATION REQUIRED I YES NO SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee El No Damage Found Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417 -4815 FOR OFFICIAL USE ONLY: Date Rec.:06 rH Permit ft: Date Approved: Date Issued: Applicant or Agent: Owner: C r e i4it Address: PROJECT ADDRESS: 14 5 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: ()C,a! /si Phone: 3 %Q go-36,9,10 Phone: X 2 9 Q (0 City: Zip: t .5(03 Architect/Engineer: Phone: Contractor tv 41, r State License Exp: Phone: 36, 0 41 77' 3C c Address: I t a City: Zip. ZONING: Block: 2. 8 3 Subdivision: Ca04.Le //5 jest Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC Exp. Date: TYPE OF WORK: SI7 ENALUATION• 4/3100 El Residential 2 New Constr. Re -roof Stove 4I l LI; SF. $0 /SF. 6o Multi- family Addition Move A Garage SF. /SF. f0 Commercial Remodel Demolition Deck SF. /SF. Repair Sign Other TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT: f`: p t r min COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. Existing lot coverage Proposed lot coverage Total lot coverage T :\FORMS\APPS \Buildingpernit.wpd Applicant: /ht l j t °".','t.er ^,4„ f Occupant Load: Construction Type: TOTAL Sq.Ft. PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: APPR PLAN: BLDG DP FIRE: 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I 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 I must obtain such permits prior to work. Date: dss13 3 PA-tilng Gs 5 g v U 1?es& -rim SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PHONE: PROJECT /DEVELOPMENT ADDRESS: See Page 4 for instructions on completing the site p an. For more information, call 417 -4815. FILE CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereun when in y*atior of all codes and ordinances of sdiction. ttlON 303(c) (niter Building Code. K Tat Date B9 TY mu_ wale: 1 =1 -O" F SLAB O (0RAbt 10-1 Rebar- (3) PIECES (cam) 2x4 DF 51.45 160 Tylr,!_ Tatar 0 f-) Siding TIII PT a f q N1ubssLr_ to Vg_ 3 T46 %s+ 766"osB 0/ PRE Eivoi0ekotety miss y ac 0 0 Fl�e �d cachintSS e B ab&tt 1 6 J 6" f- p 1 e gg S caN 1' 4Ab DF*). keodar 6 J 6" f- p 1 I y,/ 6 cri m c rli C 0 Z m 0 m r rri 9 H 0 L ;c CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5T1 STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT OWNER/APPLICANT CRESTWOOD CONVELESCENT CENTER 1116 E LAURIDSEN BLVD Port Angeles, WA 98362 360/452 -8443 T: S: CONTRACTOR OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457 -5303 PROJECT INFO Project Type: COML. MISC. Occupancy Type: Occupancy Group: Electrical Heat: Baseboard Furnace Heat Pump Fan Wall n 0 KW 0 KW 0 KW 0 KW PROJECT NOTES adding altering circuits for steam tables. FEES ASSESSMENT I I n Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $57.80 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $57.80 AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED ISSUED: 9/10/2001 PERMIT NO 7392 PROPERTY LOCATION 1116 LAURIDSEN BLVD E Lot: ALL BLOCKS 2 &3 Block: Long Legal Subdivision: CAMPBELL ADD Parcel No: 063011510200000 ARCHITECT N/A 98360 -0000 360/000 -0000 Project Value: $0.00 Construction Type: ADD CIRCUITS Zoning Use: RS7 Riser of Underground Service Overhead Service Voltage: 0 Temp Service Phase: n 1 1 1 3 Service Size 0 Feeder Size 0 $57.80 00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH -IN COVER FM 21 SERVICE FINAL 9 /4/v 1 -1.,L 1 ELECTRICAL PERMIT INSPECTION 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 GENERAL COMMENTS: PW -I 102.1514'961 ELECTRICAL PERMIT OWNER /APPLICANT CRESTWOOD CONVELESCENT CENTER 1116 E LAURIDSEN BLVD Port Angeles, WA 98362 360/452 -8443 T: CONTRACTOR OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457 -5303 PROJECT INFO Prj Type: COML. MISC. Occ Type: Occ Grp: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan /Wall KW: PROJECT NOTES Occ Load: S: Service Type O Riser O Overhead Service O X Underground Service O Temp Service ADD SURGE PROTECTION TO MAIN SERVICE PANEL PROJECT FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc TOTAL FEE: COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98352 $0.00 $0.00 $50.00 $0.00 $0.00 $50.00 Issued: 6/27/97 Permit No: PROPERTY LOCATION 1116 LAURIDSEN BLVD E Lot: ALL BLOCKS 2 &3 Block: Long Legal: Sub: CAMPBELL ADD Parc No: DESIGNER 000 /000 -0000 Prj Value: $0.00 Cnstr Type: ADD CIRCUITS Land Use: RS7 Voltage: Diameter: Service Size: Feeder Size: TOTAL FEE: Amount Paid: Balance Due: 5967 120,208 -1 X -3 1,200 AMPS 0 AMPS $50.00 $50.00 $0.00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH -IN COVER SERVICE FINAL G' GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION 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 PW- 1102 15141961 ELECTRICAL PERMIT OWNER /APPLICANT CRESTWOOD CONVELESCENT CENTER 1116 E LAURIDSEN BLVD Port Angeles, WA 98362 360/452 -8443 T: CONTRACTOR BIRD ELECTRIC 22930 STOTTLEMEYER RD. N E POULSBO, WA 98370 360/779 -2112 PROJECT INFO Prj Type: TEMPORARY SVC. Occ Type: Occ Grp: _Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan /Wall KW: PROJECT NOTES TOTAL FEE: Occ Load: PROJECT FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STHH STREET, PORT ANGELES, WA 98362 S: Issued: 4/29/97 DESIGNER 000 /000 -0000 Service Type O Riser O Overhead Service O X Underground Service O X Temp Service Prj Value: Cnstr Type: Land Use: RS7 TEMP SERVICE FOR CONSTRUCTION OF 45 UNIT ASSISTED LIVING $0.00 $0.00 $0.00 $50.00 $0.00 $50.00 PROPERTY LOCATION 1116 LAURIDSEN BLVD E Lot. ALL BLOCKS 2 &3 Block: Long Legal: Sub: CAMPBELL ADD Parc No: Voltage: 120,208 Diameter: X -1 -3 Service Size: 200 AMPS Feeder Size: 0 AMPS TOTAL FEE: Amount Paid: Balance Due: Permit No: 5908 $0.00 $50.00 $50.00 $0.00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH -IN COVER C /97 9# 4144 SERVICE FINAL 1 ELECTRICAL PERMIT INSPECTION 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 GENERAL COMMENTS: PW.1102.151N961 Site Address: 6 4 t 1.C..- 4- eV READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: (,?...4.—' 6 1 License Number: Phone: Owner /Business: C ,..r_Lo Phone: Owner /Business Address: Sq. Ft. OP PORT 4NCFC t in Q TY LIG� CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW Details /Description OLYMPIC PRINTERS INC. Pc- /(i ,rw-- 4a S/6 ELECTRICAL PERMIT RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR Electrical Inspector WHITE File by address PINK Top: Eng, Bottom, Customer PERMIT NO r51 DATE RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAG E 1 0 3 0 SERVICE SIZE AMPS TEMPORARY SERVICE FEEDER SIZE AMPS /CO C W.S. No. SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. OVERHEAD SERVICE APPROVED ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER Ditch Inspection O K Rough -in /cover O K ytek O.K. to connect service Final O.K. Site Address: 7// L Gt4∎L- .Q..>xn J. Installer: (.U-.l ,l'.t n-riCA ,I) Permit /Receipt No. S New Meters Date: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 -0411, EXT. 224. t�l,). 3 I Z- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7 tiL v Permit Fee GREEN Top: Meter Dept., Bottom: City,' \N„.. _Ass Site Address: iii (9 C /40_2 (.l:s c��� ID NSPECi ON N L' Installed By: ^I 1C— License Number: Phone: Owner /Business: Cuaktioa 6� ✓'f"'t J Cam,. �y�! Phone: Owner /Business Address: Sq. Ft. Site Address: /i Permit /Receip N /l/6 f. l'fd /L t i Installer: New Me Meters a Dte: �PQ�, W RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN Details/Description OLYMPIC PRINTERS INC. WHITE File by address YELLOW file by number CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) IS �s i PERMIT NO. 4'2 77 DATE ‘4 OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: SINGLE PHASE THREE PHASE SERVICE SIZE AMPS W.S. No. SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER Ditch Inspection O K Rough -in /cover O K O.K. to connect service Final O K Notify Port A gel es City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building- Permit. PHONE 457 0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT W Electrical Inspector Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: A l t ///6 e t, C. 2 NSPECT ON License Number: E C A Phone: Installed By: i�lgGQ�I.YiR J Owner /Business: Phone: Owner /Business Address: Sq. Ft. Site dress: __pp /7/4 Permit/Receipt N Installer New Meters Date: la.�.�. 013-7"L 4 RESIDENTIAL Sr COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN Details /Description: W.S. No. SERVICE SIZE CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE Ditch Inspection O K Rough -in /cover O K O.K. to connect service Final O K Notify Port Angeles City Light by Street Address an Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been iven by the electrical inspector in writing on either the Wiring Report or on the BuildingiPermi PHONE 457 -0411, EXT. 224. OLYMPIC PRINTERS INC. /Electrical Inspector WHITE File by address YELLOW file by number CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) 04 9J 11-74—. DATE NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. wit 28 DATE -a� -73 OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: SINGLE PHASE THREE PHASE SERVICE SIZE AMPS ENGR CHANGE SERVICE WIRE OTHER cZ Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall FOR Site Address: 1 K f D /n vi INSPECTION INSPECTION G r te Installed By: CI N !4n is ft 4C-- License Number: OLYM pn285 I Phone: 9-97 -5 7 Owner /Ducinc:o: I p *fWO0JD e0A)VM6 My ce17e Phone: 45* 924*, Sq. Ft. Owner /asiRess Address: 0 e G4 P te r (OP Lawj te/J. I Pl /K eA) Site Address: Permit /Receipt No. ///6 Lawj te/J. 3 8S Installer: r -7— New Meters Date: 617 `1 g& e— /0 ay -9 Z._ SIGN RESIDENTIAL W COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW X HEAT PUMP KW SPECIAL EQUIPMENT (LIST BELOW) Details /Description in A7 tkeme 41-4 Tg-1-F /()szvoc-fg, 445 /t?ccs/ £E J 44 %o /ezi iPL(/iErt/ ox9v WS No CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE `.Ditch Inspection OK Rough -in /cover O K O.K. to connect service Final O K Notify Port Angelis City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. or on the Building Permit. 01 41.1 Electrical Inspector WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SERVICE SIZE DATE NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT o PERMIT NO. (E. 5/92- DATE OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: /1--a 208 SINGLE PHASE THREE PHASE CLINIC❑ SIZE /o✓ a 7 AMPS AJW'ATI9-Lb 2. -2cchw ps et ivy ENGR CHANGE SERVICE WIRE OTHER for covering has been given by the electrical inspector in writing on either the Wiring Report PHONE 457 -0411, EXT. 224. CCP /CL Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: READY FOR 4. c, /A- Lr-,Q,QL (42 INSPECTION WILL CALL FOR INSPECTION Installed By: /✓yF(FS t// C- r License Number: Phone: Owner /Business: ie Do i n 7 v e .vr Phone: Owner /Business Address: Sq. Ft. Site Address: /1/ 6 7 -4- /,/.,e; ds (cle_ Es 4.001) Permit /Receipt No. V7 Installer: n New Meters Date: /O 9 Z n l'P r RESIDENTIAL J- COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN Details/Description CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) y co, W.S. No. CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE Electrical Inspector WHITE File by address YELLOW tile by number OLYMPIC PRINTERS INC. 4i47/12 Suit' OCR 1&nn 41 et< 2 l vs Itrr,te %ed.4-24 f SERVICE SIZE DATE /t_ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. 3 Y7 DATE /0 a3 7Z_ pVERHEAD SERVICE 2 SERVICE VOLTAGE /x SINGLE PHASE E THREE PHASE SERVICE SIZE /20O AMPS ENGR CHANGE SERVICE WIRE OTHER �.n,trli Ditch Inspection O K `(N Rough -in /cover O K (P' GS O.K. to connect service Final O K Notify Port Angles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 -0411, EXT. 224. Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall TOTAL FEE �s AMP PER CIR 240V 30 VIA_ CONT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 1 0 240V 30 USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 1 0 240V 10 OR 30 FEE LIGHT /FEAT fUnP1- Av ilt4 r SIGN fit LIGHT r O b 50 OR Ago AMP G sO fj424A. /e--0.et CONVENIENCE iS /1 5-20 MOTOR urn act i b o p i p0 CONVENIENCE #3 S-.o MOTOR 7( APPLIANCE an /(1-14 4 rif IODSS /L3 (L) C MOTOR DISHWASHER el /5- 000 FIRE ALARMS DISPOSAL QA C BURGLAR ALARM RANGE /7/ Otpo MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUB TOTAL FEE FURNACE �y1' ELECTRIC 2 y 7I. t I A./ (O 9n, J p Tj BASIC FE ELECTRIC HEAT Less ogtai -1i 5 xW TOTAL FEE A r ELECTRIC HEAT A/q.'L,Q m7,Tk 5; p 5:2 7 ¢II'OF SERVICE SWITCH OR CIRCUIT BREAKER f AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH t 1103 FEE IECEIPT NUMBER ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address ill e) ..1 A U2 t J sE.L/ 10. /nl CORRECT I AA RE55 15 RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADD ESSES AR CANCELL DD Owner C.. 2£S'rw000 t_-e] N C4 x+'17 A— 4 Installation By /fir k( £C PEW- Owner's Address Installers Address I Installers Phone Day Phone Z 9 2 0 (o Application is hereby made for Permit to install Electrical Equipment as follows' Nf i A .J 1 77u1 /d(A l Nit-) -200A -O miter/ 3 /2ao SiRvlCt. I certify that the work to be performed under his permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. fit �ECT 0 C .Y LIGHT b By 6 PLANS APPR VED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. Permits Phone: 457 -0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER Date Permit Issued WARNING OLYMPIC F RINTERS. INC. CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT U I 19 By d F 46 CONTRACTOR OR OWNER TOR AUTHORIZED AGENT) WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report A 603 PERMIT NUMBER Wiring Method DATE OF VISIT MADE BY REMARKS 41 lb( PNLL /200 3 pi /z(zo$ A- /So 3 0 P- 54 3/ Do 0 L- /Do 3 0 'P 26o it 40o mitts.) -m it P S'Cc. 9Q- 3So3f O R Zoo 30 9 )12c 0 8 /Sb 3/ NEE4 ALL o(1ST guc s //lout') F/ 10114 tit CTd.4C*C ?A,PtLS T^J F fit Nt of, TJo 'LINCS. I rbil ,vte.1) A1 7b NLk ?R.- 15/1)1 St. doUt iv Crc+43" G 1 cu I, -Pvt. .1 cc- 1 7 I 77 ��w.,..GG' O.K. FOR COVERING 1I SGIMYBE FINAL O.K. REPORT OF INSPECTOR z cc cc a z co r z W r O z 0 0 07/26/2007 15:42 3604523498 l lob wired by 2 Electrical Contractor 0 Owner License number Date Expires Electrical contractor n 1 ©LrAg ,E/25W, P „,,,,j S r maflln4 address 4:477 TU/77LA -7 City Sta J te ZIP c City /N n z izz, ,/5-.2-- 75/1F Telephone number FAX number YS7 7 Premises owOer9 n� e JU Address of Inspection /11,2 E 2 g,2,- frti curet /77 f Phone number to sebedule Inspection: V 9� C s Owner es defined by RCW.19. ?8.761: f) Owner will occupy the structure f or tw o yws Or Mb electrical permit Ullmann& (2) Owner is required la hire an electrical contractor IT above said property u for sale, rent or lease. After ending the above statement, 1 hereby certify that 1 am the owner of the above weed property or a licensed electrical contractor. I am making the electrical Instal laden or alteration in compliance with the A 19`21. WAS Chapter 296 -469 The City or PuttAngeles Municipal RCW. dc, an d Utility Specification. /Signature of owner, elsetrtul contractor or electrical administrator Date: 7 X /7 I call Load Additions and or atrhtractlong 0 ND LOAD CHANGES 0 Baseboard _KW O. Futriaas KW O Meat Pump Ton_ LAB 0 Fan -Wall _KW SAME DAY INSPECTION, CALL BEFORE Iaspectioo Date RO UGE M .THERMOSTAT OLYMPIC ELECTRIC O Overhead Service Temp Service O Underground Service 1:00 AM 360-417-4735 'wows.. ELECTRICAL WWORKP,ERM TAPPLICATIO)N V e rrotal .lion description D 0 Residential 0 New 0 Altered/Addltioo 23, &r //Ivry 12757(3. PAGE 01 Q Cash O Check Ir&ditCard Visa Mastercard Discover Card Expiration Date of card Inspection fee S Servloe information Voltage Phase 0 1 0 3 Service Slier Feeder Size: ECE V' E L 2 7 2nn7 LIGHT I1FPT Area, Building or Equipment Inspected Action Takeo Electrical Inspector Feb 10 2015 09,03AM Olympic Electric Co., Inc 3604523498 page 1 r�rs CITY OF PORT ANGELES PERMIT APPLICATION RECEIVED Building Division/Electrical Inspections FEB I 1 2915 � 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington. 98362 Ph: (360) 417 -4735 Fax. (360) 417 -4711 ELECTRICAL Date Q Multi-Family or Commercial INSPECTIONS * Plan Review May Be Required, Please Corpiplete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above r Owner Information Contractor Information Name; W' " - Name: OLYMPIC ELECTRIC Mall0q Address' / Mailing Address: 4230TUMwnreR �l Cilty:j.(+Y/�/ State: Zlp:�d•� L`Ity: MR 7ANGELE6 .�' WA Zip: 9838 Phone; ? .Fax: _ Phone; aea ae7.5aos Fax; aeo aba sass License ff ! xp. License #lExp. a�rrnP�caaso, Item Unit Charge ON Total (Qtv Mll-likit lied by Unit ChIMel Service)Feeder 200 Amp. $132,CC $ ServiceiFeeder201 -400 Amp, $160.00 $ 5erviceiFeeder 4-01.500 Amp $ 225.00 $ ServiceiFeeder601.1000 Amp, $ 288,00 ServiceiFeeder over 1000 Amp. $ 41C.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ -� Branch Circuils 1.4 $ 86,00 $ Temp, Service) Feeder 200 Amp, $ 102.00 $ Temp. Service/Feeder 201 -400 Amp. $ 121,00 Temp. ServicelFeeder 401 -600 Amp. $164,00 Temp. ServiaelFeeder 601 -1000 Amp . $185,00 $ Portal to Pcrtal Hourly $ 96.00 SignlOutline Lighting $ 68,00 $ Signal DculU Limited Energy- Multi - Family $ 600 $ Signal Circuill Limited Energy] First 1500 sf - Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $ 113.00 $ Thermostat $ 56.00 Note: $5.CC for each additional TStat �M $� J Total 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 eloctrlcal laws, N.E, C., RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Angeles (Municipal Code, and Utility Specifications and PAIMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cauh ❑ check Dated / M Credit Card # Q1f01R1)12 v N ELECTRICAL PERMIT CITY OF PORT ANGELES 350- 417 -4735 . Application Number . . . , 15- 00000120 Date 2/11/15 Application pin number , , . 740200 DITCH Property Address . . . 1116 E LAURLDSEN .BLVD ASSESSOR PARCEL NUMBER; D6 -39 11 -5 -1 02D0 Og00- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . 9 Property Use FINAL Property Zoning . . . . . . , Application valuation . . . . 0 Application desc Boiler Circuits Owner Contractor FIR LANE TERRACE CONVL CTR #259 OLYMPIC ELECTRIC CO INC. ATTU; TAX DEPT 4230 TUMJATER WILWAUKEE WI 53203 PORT ANGELES WA 98363 (360) 457 -5303 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 79.90 plan Check Fee ,00 Issue Date 2/11/15 Valuation . . • • 0 ENpiration Date 8/10/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH FL -COMM BRANCH CIR WO/ S/F 74.00 1.90 5,0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5,00 Fee summary Charged ---- - - - - -- paid Credited ---- - -- - -- ---- - - - - -- Due --- ---- -- -- -- -- ,..___-- -- Permit Fee Total 79,00 79,00 .00 00 Plan Check Total ,00 ,00 .00 .00 Grand Total 79.00 79.00 ,00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 9 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEISUILDING CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date (t -'J31-() S- Time I ,~o ,:;"",. Received by Dr:."tVl'S,c (phone, person) Location of Work to be inspected / II &, C. Lc. v r dse Vi Name of person requesting inspection De rt yt "oS ~. Address of person requesting inspection L.o r j} ~u"" J I Type of Inspection (circle appropriate one): Blvd. Phone No. L{ ( 7 -'-I g'l" Permit No. Sewer Excav. OtheCuJ",-+~~ Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date (z.. - 1'1- 05 Remarks: l2e ,lJc." r Z'" (L.lt- . l . , S-e-r..l, "- <L l::c, ''\.VLe.. ct l 0 ,"- Time q /I tv\. Ivt<~ ,- V\. ~ + r-~ By !l4rvt ,'S E. hof/'o L-.-.. of -(--~ RESTORATION REQUIRED 0 . . . .. YES NO k ~ C"TC'c"C~ ["" 'B'" A c TD +,.Yl..02... Art Ce."I.t-er ,~ Ln.v(id >olV\ "" v , i5\vd. ',,: 0 ~ ..... ...... .0 "-J .',1 &J J cr",.,t (.v"cJ 1 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # 30 34 ~ -68,/ o COMPLETE o INCOMPLETE ---- .-lI-.:J:._...",....,.COQru' C:TDJa=T CIID~DII\ITCl\.lnC'I\IT InAT~\ TECHNICAL Permit Address i i I (3 Lauri C�s-eri g■ Project description S- }woi Cuta* s 4Dit �{,e C AeS4 h �ew��� Cen+eiv Date the permit was finaled 7 Number of technical pages O fl-TU 1 1 'l_;J s QUI IN\TlION 0 C PO) 754-9339 0 N ry 1 116 Lauri daii Olvd1 STRUCTURAL CALCULATIONS FOR CRESTWOOD RETIREMENT CENTER PORT ANGELES, WASHINGTON FOR PDC MIDWEST, INC PROJECT 97102 MC SQUARED, INC REVIEWED STAMPED BY MIKE SZRAMEK, PE April 04, 1997 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job. 97/ Date. By Sheet. Page of 4:0 1,1A. TLjY ;r• 0.4 0.z /tie rk A nx,i/ t/c,er Lv.../.s Lee,V4 /4/ ,r -1.--- ,/40r 44/ ezhowesr, ./Arc L a, t, 4. c. //V& 4 tE a/CA/C4 X,41 1 1 f MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date. Sheet. Page of Ing )4 4/ VD 1 1 1:.er Al (i Vs tdo Woo Fie ictt„.") tD/t, 44? e(tieco I- 0 i; (S 14/415,7-//A/6 re) x i Dt-,51(/ Z2 40,5 /C .064/9 6/11_) 0 I LAQ D.e.)1, 4043 /11L SK/? /37/P5A" V By hl& MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 /k 7 0. 1 rv" f t c e)1.1' rece //A/ ,eronF 141/A/ 0 7 r(2 5 Job- Date- 7 „I/4,Z S I43/4) c if ,A 5Y( 1 SI c7 0.t 7 1 Sheet. Q.e?q j3 rr By lo Page of MC SQUARED, INC Job. Date. By ikkr Sheet OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Page 1/. of 6 t /?:3 LY )4/m16 1,44/ Pool r C)*()9 S',7Y2;5) Po 1/4/7 ppr( ,1 (c-.7 'of) 5..3 ,rY„ 3 ki !Air efo.L 7 21 /1 c!, A r0 ()LI/ 5,30 v S5/4 cpc,- 1 0 7 b rizr) rle ./5 (2 V 49 5- -4 .1 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 e 7, o 7 J N A4 7,k- Of, vi fl i i \i r .,..;,.,,,ve_.,.._. i A A 6.1- /5375 i/tit' re K. /5:, /6 )A/ t ,E;,,-. L., C) 3 c.56 9/0 'WO I .1 1 c 9 9 7- 1. 04V I L f 53q..) 1 9 ke.,0 r J 4-jP4--f 70 A/ 1 /R/ 3 c 6/4 tot 01 67,575 Job Date By Sheet Page of 6 At- E. Lot.' 0 No SCALE I 20' 1 1 [1111111 II I II 1111111:11111 ry N 1 7k lj 77 t1 .1- 0 AI f1 °U) -I fj MC SQUARED, INC. Job. r110? OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Sheet. Page of ki I 45 4-4! kat Date. 1 -1) qq By. /1/6 -71 T 91 I 10, 4oze, 4.0 6 f Tip) MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 IR F 17iPtle.A1- 1 4, 1 I ft" Date- By AK" Sheet: Page of /De/ 77 /7 /Q/ 3. MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 0 Job. Date. By Sheet: 111&- Sheet: Page_&_of FL-004- 9/ 0 /0/7 /7e/ A7-) 1 /79 3 /0 9 4/ .j j 14e,D v olAr 6 Li 2 /70 c,3 c9,538 9/0, o7 SO Vg 4/' SRi...47//7,45 A/46,0 c-/ 0"'s 'if° 6. 17/'6 V fry' g4/4/A/K p A /(411: 4 A AD S 7 evoc Joe), 3' 3 00 i/t4ci S3 qe Sac-4.524 5 -‘1?) I /57'j4 66-V /59131 3 -t '/7 OS2,6 t 97° Loy t- .5 I 9 co 3{o -t- 43 37o7 3 2(27 1140 &;eiLi 4 YO4 1 C1 W4 40 ski goo 2, 7 g( 56,7 60 /1 ?Se7 ./..g die 2 p 7/- 94/.,L-- /6- C2.91 5, 6755 Y/s o:Pf5 2 C-) o u p 2/ 2 QtY/ 1#1 o Os S SC SG-Ecr E- 1 cr cLI 9 2s d 2_4 33.S ,5c991 go9V 43000 675-o c /q9c1 i 1 y 0 /V V C Wall J 1 Level t 1 1/' V Wall Available Total Wall v Wall T e Anchor Bolts Wall Section Weight Down Net U I ift Total U •lift Required Holddown 5'5, in. Diameter S acin Uplift e...._ /007_ 2. J 3 r r) F /c 32 3z Z y8 4/41 Z ‘,0 B 12 Li. yo c) al /q 1 z i ;4,x. f� F C c 110 1 2) 2' i 1 .7 7 4[ 1/ /00 Z '/1 r2 7 c d. a._ 1 Z Ol' 2/ 1- s C _F 193: a .D... 5C 2 "D_ 22.. 1 '90 11 a- 1 C 6%73 v ^c0 2-04 I 5 /o9 es D r� 20 /3/ v G 1 V 90% Zv /0 <t)/ W ifqa G 7N- 22 ZZ d aL? az- /2-2- /7< v ,6 CS /6 F O 122 ti 001- 6 `J t�iT": MC Squared, Inc. Name 1235 E 4th ave Date. 4 Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Engineer /l1G Page /a of n Wall Level V Wall Available Total Wall v Wall T e Anchor Bolts Wall Section Weight Down Net U lift Total U lift Required Holddown in. Diameter S acin Uplift G 2 (v7 8 7; 2Z 25U ;32-3 zz ICJ 1z7 Q or es L� C Sc0F) 22 22- 3 ,5 o 32_ 3s53_ z e_. /90 3`/57) 616- /i72r i ItN—" N e-- 7 iS 3 79 3 9 /S /00 F c)/S(. 15 (,,o 2- cy J(, 5V /00 e/74/4/ _loo 14 0.501 (0 ore e_ (0 f 7 22 2Z 26/ 2.5�P) 2 l`) /.0) F 91 ►3 j qzci 1- /0 Z 2 ,c/e, 2 /pi) ,�,/e, y fi, ►o Kt e /7562 (2) 3 /1 ?,,s1, I S7a 3- 7 %v 7a. i/S7 y 7 e)o ,s 3 c90 l4 e r 0 277 27 G�' o F ,;fG (3) q (n 5 ?c^ 0 /1 10 7::) 1r MC Squared, Inc. Name* 1235 E 4th ave Date* 41 Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Engineer* Page /3 of Wall Level V Wall Available Total Wall v Wall T e Anchor Bolts Wall Section Weight Down Net U •lift Total U •lift Required Holddown in. Diameter Seams Uplift 1C 87 (Z ii I/8 1 9y 2 o 3 /Z /2 Zc(o 1249 (40 N r 2 i O 2 VO /2 2s/0 A if A AI J 2.'[7' mini 2t,:,, r Y 7 B 9 C� Y cz) 9, a t0 s S c,v S 2.0 (2. /0 V NM c 0 ,C Sa'9 Z 6 25 /L MC Squared, Inc. Name 1235 E 4th ave Date Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Engineer /VG- Page /C1L of 9g /02. e.../...D, Wall Level Vlt i V Wall Avajable Total Wall v Wall Type Anchor Bolts Uplift Wall Section Weight Down Net Uplift Total Uplift Required Holddown in. Diameter Spacing 7 7 17 I inc- it 7,o° -7x7 I r- e2gd 1 51 _Mt j `1 2- t v 3,3-V /4/Ve Z 21 Z -P -/55 Zq 2 n, 2 o 7_ w__ I? (Z) 44 35 .d o v zoo /2 G -V Co ei 7 c-Y' 9) Zoo i; Z 0 D /1 2 F aZ) S., 3/1,. Z L76 a .;G, /in-mg U zo o r; (.5 /D zoo F v s c (4/3// 83 S� I Ye 65 1/ 7,0 -468 2 L 2 1 L MC Squared, Inc. Name: 1235 E 4th ave Date Olympia WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 A Engineer' Page /6 MC Squared, Inc Name 1235 E 4th ave Date 7 Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Engineer Page of Wall Level V Wall Available Total Wall v Wall T e Anchor Bolts Uplift Wall Section Weight Down Net U •lift Total U •lift Required Holddown in. Diameter S acin 1 r 6)52.. l'L 5" /2/ 9, /3 7vo -s98 /p /6 ZI) al Zf No (I) 5/ L/ 1-00 0 1 F 25/102 R tl) S S V 2'l 5 'a oo 9/z 5 //D84 a fi► c0 7 7 too 4 (7) /0 /0 1-0i) 1/ (o 5 y4 2 V Y 2 z. 1 2004 2`/ j oo L /6ilot E F 7 1 7 7 1 �U 3 Q i27() fo 9 57 Fl ;lu m y 7 51)i l v yo) 1i ?667 (._.o '1(1 ,GJ,r (/r) w 0 -,0c,..- r• 7 Zif ZL _.0 if f 4 J S i -IDIc{H (G>1 /1 A J R Q-1 i MC Squared, Inc Name 1235 E 4th ave Date 7 Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Engineer Page of Wall Level V Wall Available Total Wall v Wall Type Anchor Bolts Wall Section Weight Down Net Uplift Total Uplift Required Holddown 16,t/oe in. Diameter Spacing Uplift k_ 18,3, ZZ 2a i7_ P /141 0 Joo (1/ 22 z 2. c) 7.- 1 15/ 2 OD i No a: /CM/0 9 Z-(63°4,- Zv Z y�. i i =lc Zo !vv Z? Mt 1- 9 s5 7°' 2-U Zc) `12._ V Z6 1 /co /..,5/ /947 v z 2- l 2 1 /e 2 r DO de/.%te /v F 7,- Z2. 2- 2_ 24, le 2 z z_2- icy, /212, /vr.).. /7 o e I yooS. z v 2- T on 1 i f ?_.v f (70 _L_ 7�4' 2 2y 2{�t z 1 L TZ7r/ !2 3 -4 22 qq 7 t.). 2z, 1 2-'7 f f? r 0 &,S-„- ti L2. ov 2- 2 7 too --V2 MC Squared, Inc Name 1235 E 4th ave Date. Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Engineer /ilk Page 7 of '77/00Z._ MC SQUARED, INC. Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date- By Sheet Sheet Pa„ 6t( I ---1 Letri:t 713- ala ON- 12-1S kis- De, 6)/v- e/s F b/ 4 PT ,(-%L v 30 300 ro A /Ales 406A 3 3c/7 8_2,s4-- 4- 3 3Die, 3301 ?$bS 4 ..„30te 33d- 330..,4- 67,3 ,errieteL.,-",e):41S, 2 „:97 fr( e. 9.5 9 iv /34.s 7 9 1/1.7 Nib //IL /19) 58 44, 21313 6V/3 3 MC Squared, Inc. Name: 1235 E 4th ave Date Olympia, WA 98506 Phone (360) 754 -9339 Fax (360) 352 -2044 Wall Level V Wall Available Total Wall Anchor Bolts v Wall in. Diameter Type Spacing 2s (O W F 8 a V c 18,; l a 3 rib 1_15, /8,5 3i4 Uplift Wall Section /3 Engineer A/6 s -PS /3 /8.,; Page /7 of Weight Net Down Uplift CO `b /ac 2; 7c /b0 /00 /SSS /19' a7 (00 (2 Total Required U liP ft Holddown //STI,o 73/(1 leArse t/ c/g/( ,(&?8,6 Use 5/8" dia. by 10" Anchor Bolts (AB's) with single plates and 5/8" dia. by 12" AB's with double plates spaced as shown on the drawings. AB's shall have 7" of embedment into footing, shall be centered in the stud wall, and shall project through the bottom plate of the wall. SHEAR WALL SCHEDULE \sheathing nailed with 8d's at 4" on center all edges. sheathing nailed with 8d's at 2" on center all edges and double studs at panel edges. T sheathing nailed with (3) rows of 10d's at 2 -1/2" on center all edges into 4X studs at panel edges. cJ HD8A attaches to concrete foundation with a Simpson SSTB28 with a 7/8" dia. coupler nut and a 7/8" dia. piece of threaded rod. SSTB28 has 24" minimum embedment into the concrete foundation. A 7/8 dia bolt with 24" minimum embedment into concrete is an acceptable alternative to SSTB28 HD8A attaches to 6X stud with (3) 7/8" dia. bolts in wall above TYPICAL SHEAR WALL NOTES All wall sheathing shall be 1/2" CDX plywood, 5/8" T1 -11 siding, or 7/16" OSB with exterior exposure glue and span rated "SR 24/0" or better All free sheathing edges shall be blocked with 2x4 or 2x6 flat blocking except where noted on the drawings or below All nails shall be 8d or 10d common (8d common nails must be 0 131 inch diameter, Senco KC27 Nails are equivalent. If 10d common nails are called for the diameter must be 0 148 inches, Senco MD23 Nails are equivalent) Nail size and spacing at all sheathing edges shall be as required below or as in the drawings. Nail spacings shall be 12" oc for all field nailing except as noted. Hold downs are Simpson "Strong Tie" and shall be installed per the manufacture's recommendation. Equivalent holdowns by United Steel Products Company "Kant -Sag" that have ICBO approval can be substituted in place of Simpson holdowns. All double and triple studs shall glued and nailed together with 10d's at 3" oc for each layer ALL WALL AND ROOF FRAMING LUMBER SHALL BE DOUG -FIR #2 OR BETTER. O CS 16 -R strap in (2) studs to wall or header below nail w/ (22) 10d nails. 9 P HOLDOWN SCHEDULE O MST 60 strap in (2) studs to wall or header below nail w/ (56) 16d nails. O MTT28B attaches to concrete foundation with a 3/4" dia. bolt with 14" minimum embedment into concrete MTT28B attaches to double studs with (24) 16d nails in wall above HD 14A attaches to concrete foundation with a 1" dia bolt with 30" minimum embedment into concrete. HD 14A attaches to 6X member with (4) 1" dia. bolts in wall above MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date: (4 91 By 1 91/6 Sheet. Page /9 of \ice-T-1c 'AL__ P-oo pA0 L 0 A 4- ,0 ea.2 Y ct, r i 1 i 28 A 00 fl V 'ik. 1 1 i UsE ;il, A -,./VS 4 i 4 q y (i (A2i..7 6 4. .0 t. i o_ 1. Dr t L L2, G/54 i ru,e4 x8 c. (:2--) HID es) EY I D t 14L, C., /ND 0 Ilb‘O MC SQUARED, INC. Job OLYMPIA, WASHINGTON 98506 (360) 754-9339 Date. By. FAX (360) 352-2044 Sheet Page of 6q t t „b/ i (7/6 .ii/t/voz):..,)_ .h.e.1.//./...,)e.-........... te (455 4,. r p 4A r 14 1 y K 7 cLic.. ,z b. i c25 LP6 c/pa__ oi -s 1 (pito 4- 1 .s_ c 6 I)/ 11 MC SQUARD, INC Job Date q OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 0 4 1. 2_ 1 1 !,3 RE/IC/7e kJ fe /le f f4 te /le ,t 6 oi'L) 3 20 /6.4o A .56 /-6 p -41 d F c s 1 2 I 1 p(.c c 5 3 pL c qGoz. 4 A 21/ c7 /-1,•Y Sheet: Page 1 .3 .3 of ki By A16-- MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job. Date. Sheet 14 91- By NO Page of (4 C L 1.f--t.LT,,t, /29"/ e., 2f3 4. d 3 i i A 1 /q 7 --C Pcg -I- i 1 77 ej i F i 3Via F' ,,)/r7b i tticr 65/o 2 i 1 i 0 T 1 I 2 e. sto ps DSc) 0 MC SQUARED, INC. Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date B A16 Sheet- Page 260f 4(1 E Y frit4.0t..e f 47e-e,21) F v /14.c.e)c.A 6AsED 5/8 xci G1,6 1 1 1 -1- 4- .1 1 6f /2 .S e i 2 4, f 1 ,)1 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 1 By Job. Date. Sheet. Page of______ ea.( m ik17.6 i /s opriovl oe 6W/ o B (9 601 967 4 b t2 0 Stpl I 0 8( 08(4 o 7040 So? 9si9 60 93-7 )J,/q-pr e, o, o-s7o 0 (.-9 MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 1 Tiii .s:),-iki 4," (V,2- 1) ?-0) -9..q) Li) r =7 0 1 141/ tir i 1 A 7- V9H 1. de/ 7 3 _1 i 4 .i I /4/7L l i i 1 1 1 ec./ 11 /'e PAC, 7Y 2 G. I .1 o ,)yro, -4t I D' 1 (Us "IYIy. .1. I 1 1 1 ---i .4- 1 "f 24/47 Date. Li 91- By Sheet 97 Page of MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754 -9339 FAX (360) 352 -2044 1-0,4t) a3 pi& D v Y34-7o k A /I" S 90 1 /3 A 57 ciTcp/ c.,, 0. 7/ -'SE lr /Di'X_( (()SE- 6 Y-IZ 02 3 x 4 1. c.6 97/0)-- Job: Date. By- Sheet. Page of MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 EYTC I///A/ boui nciEf. ,A*7 /4:4d 7. r/L) _20 7'9 e 1 0 5 1 /1 ()SC D 1/41 Foe,: Coki5 KATE 1-11761 j e, ci 3 3 3 7 Job. Date. Sheet. By Page of 6°6( MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 b 0 Jo I 7 4_ 0L/1( /0" 7.- 3Z/ir OV6i JtL M» to -5) i pe ,ern,e2 /.4:6 L- V1 IS 1. cF,r 76 Job. Date q Sheet Page of By ql I 00- 03 19 1997 13 07 47 TJ- Beam(TM) v4 51 1001 TJBEAMD MC SQUARED 1235 E 4th Ave OLYMPIA, WA 98506 USA Phone 360 754 9339 Name MIKE SZRAMEK Project Name PORT ANGELAS ASS LIVING CENTER Page Title JOIST SIZING File Name 97102 Based on Allowable Stress Design (ASD) UBC building code for Custom TJM products Application Floor Com Load Classification Floor Load Duration Factor Live Load(psf) Dead Load(psf) Partition Load(psf) 1 00 40 0 15 0 20 0 0/ S I Z E A N A L Y S I S A S D This analysis for TJM products only! Substitution voids this analysis 24 0 00 Deflection Criteria R) LL Defl TL Defl Span 1 L /600 L/240 20" TJI(R) /55C JOIST 24 0" o/c IMPORTANT! The analysis presented below is output from software developed by Trus Joist MacMillan(TJM) TJM warrants the sizing of its products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values The specific product application, input design loads and stated dimensions have been provided by the software user This output has not been reviewed by a TJM Associate The maximum unbraced length(s) shown are based on the controlling compressive forces on either the top or bottom edges of the member Lateral bracing needs to be properly attached and positioned to achieve stability Concentrated load requirements for standard non residential floors have been considered Web stiffeners are required at bearing 1 2 Shear(lb) Reaction(lb) Moment(ft lb) Live Defl (in) Total Defl (in) Max Reaction Total(lb) 1800 Live(lb) 960 Required Brg Length(in) 1 75(W)✓ Max Unbraced Length(in) Maximum Design Allowable Control 1800' 1800 2740 152% LT end Span 1 under Floor loading 1800 1800 2045 114% Bearing 1 under Floor loading 10800 10800 16671 154% MID Span 1 under Floor loading 0 319 0 480 L/903 MID Span 1 under Floor loading 0 598 1 200 L/482 MID Span 1 under Floor loading Span 1 1800 960 1 75 (W)\/ 32 Copyright (c) 1996 by Trus Joist MacMillan, a limited partnership Boise Idaho USA. TJI(R) is a registered trademark of Trus Joist MacMillan TJ Beam(TM) is a trademark of Trus Joist MacMillan Member Use Member Top Slope(in /ft) Roof Slope(in /ft) Floor Decking Repetitive Member Use Reinforced Overhangs 34q Page 1 of 1 JOIST 0 000 0 000 N Y N/A 03 19 1997 13 11 13 Application Floor Com Load Classification Load Duration Factor Live Load(psf) Dead Load(psf) Partition Load(psf) Shear(lb) Reaction(lb) Moment(ft lb) Live Defl (in) Total Defl (in) Floor 1 00 40 0 15 0 20 0 Max Reaction Total(lb) 1440 Live(lb) 768 Required Brg Length(in) 1 75(W) Max Unbraced Length(in) TJ- Beam(TM) v4 51 1001 TJBEAMD MC SQUARED 1235 E 4th Ave OLYMPIA, WA 98506 USA Phone 360 754 9339 Name MIKE SZRAMEK Project Name PORT ANGELAS ASS LIVING CENTER Page Title JOIST SIZING File Name 97102 Based on Allowable Stress Design (ASD) UBC building code for Custom TJM products Deflection Criteria R) LL Defl TL Defl Span 1 L /600 L/240 20" TJI(R) /55C JOIST 19 2" o/c S I Z E A N A L Y S I S A S D This analysis for TJM products only! Substitution voids this analysis 24 0 00 IMPORTANT! The analysis presented below is output from software developed by Trus Joist MacMillan(TJM) TJM warrants the sizing of its products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values The specific product application input design loads and stated dimensions have been provided by the software user This output has not been reviewed by a TJM Associate The maximum unbraced length(s) shown are based on the controlling compressive forces on either the top or bottom edges of the member Lateral bracing needs to be properly attached and positioned to achieve stability Concentrated load requirements for standard non residential floors have been considered Web stiffeners are required at bearing 1 2 Maximum Design Allowable Control 1440 1440 2740 190% LT end Span 1 under Floor loading 1440 1440 2045 142% Bearing 1 under Floor loading 8640 8640 16671 193% MID Span 1 under Floor loading 0 257 0 480 L/999+ MID Span 1 under Floor loading 0 483 1 200 L/597 MID Span 1 under Floor loading Span 1 1440 768 1 75 (W) 32 Copyright (c) 1996 by Trus Joist MacMillan a limited partnership Boise Idaho USA TJI(R) is a registered trademark of Trus Joist MacMillan TJ Beam(TM) is a trademark of Trus Joist MacMillan Member Use Member Top Slope(in /ft) Roof Slope(in /ft) Floor Decking Repetitive Member Use Reinforced Overhangs (i Page 1 of 1 JOIST 0 000 0 000 N Y N/A 03 19 1997 10 58 08 Name MIKE SZRAMEK Project Name PORT ANGELAS ASS LIVING CENTER Page Title JOIST SIZING File Name 97102 Based on Allowable Stress Design (ASD) UBC building code for Custom TJM products Application Floor Com Load Classification Load Duration Factor Live Load(psf) Dead Load(psf) Partition Load(psf) This analysis for TJM products only! Substitution voids this analysis IMPORTANT! The analysis presented below is output from software developed by Trus Joist MacMillan(TJM) TJM warrants the sizing of its products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values The specific product application, input design loads and stated dimensions have been provided by the software user This output has not been reviewed by a TJM Associate The maximum unbraced length(s) shown are based on the controlling compressive forces on either the top or bottom edges of the member Lateral bracing needs to be properly attached and positioned to achieve stability Concentrated load requirements for standard non residential floors have been considered Web stiffeners are required at bearing 1 2 Shear(lb) Reaction(lb) Moment(ft lb) Live Defl (in) Total Defl (in) Floor 1 00 40 0 15 0 20 0 Max Reaction Total(lb) 1800 Live(lb) 960 Required Brg Length(in) 2 19(W) Max Unbraced Length(in) 24 0 00 Span 1 32 1800 960 2 19(W) TJ- Beam(TM) MC SQUARED 1235 E 4th Ave OLYMPIA, WA 98506 USA Phone 360 754 9339 Deflection Criteria R) LL Defl TL Defl Span 1 L /600 L/240 20" TJI(R) /35C JOIST 24 0" o/c S I Z E A N A L Y S I S A S D Maximum Design Allowable Control 1800 1800 2740 152% LT end Span 1 under Floor loading 1800 1800 1800 100% Bearing 1 under Floor loading 10800 10800 10754 100% MID Span 1 under Floor loading 0 426 0 480 L/675 MID Span 1 under Floor loading 0 800 1 200 L/360 MID Span 1 under Floor loading Copyright (c) 1996 by Trus Joist MacMillan a limited partnership Boise Idaho USA TJI(R) is a registered trademark of Trus Joist MacMillan TJ Beam(TM) is a trademark of Trus Joist MacMillan v4 51 1001 TJBEAMD Member Use Member Top Slope(in /ft) Roof Slope(in /ft) Floor Decking Repetitive Member Use Reinforced Overhangs Pa 1 0 1 JOIST 0 000 0 000 N Y N/A 04 02 1997 09 40 50 Name MIKE SZRAMEK Project Name PORT ANGELAS ASS LIVING CENTER Page Title JOIST SIZING File Name 97102 Based on Allowable Stress Design (ASD) UBC building code for Custom TJM products Application Floor Com Load Classification Load Duration Factor Live Load(psf) Dead Load(psf) Partition Load(psf) S I Z E A N A L Y S I S A S D This analysis for TJM products only! Substitution voids this analysis IMPORTANT! The analysis presented below is output from software developed by Trus Joist MacMillan(TJM) TJM warrants the sizing of its products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values The specific product application, input design loads and stated dimensions have been provided by the software user This output has not been reviewed by a TJM Associate The maximum unbraced length(s) shown are based on the controlling compressive forces on either the top or bottom edges of the member Lateral bracing needs to be properly attached and positioned to achieve stability Concentrated load requirements for standard non residential floors have been considered Web stiffeners are required at bearing 1 2 Shear(lb) Reaction(lb) Moment(ft lb) Live Defl (in) Total Defl (in) Floor 1 00 40 0 15 0 20 0 Max Reaction Total(lb) 1950 Live(lb) 1040 Required Brg Length(in) 1 75(W) Max Unbraced Length(in) MC SQUARED 1235 E 4th Ave OLYMPIA, WA 98506 USA Phone 360 -754 9339 26 0 00 Span 1 1950 1040 1 75 (W) 32 TJ- Beam(TM) v4 51 1001 Deflection Criteria R) LL Defl TL Defl Span 1 L /600 L/240 20" TJI(R) /55C JOIST 24 0" o/c Maximum Design Allowable Control 1950 1950 2740 141% RT end Span 1 under Floor loading 1950 1950 2045 105% Bearing 2 under Floor loading 12675 12675 16671 132% MID Span 1 under Floor loading O 429 0 520 L/728 MID Span 1 under Floor loading O 803 1 300 L/388 MID Span 1 under Floor loading Copyright (c) 1996 by Trus Joist MacMillan, a limited partnership Boise Idaho USA TJI(R) is a registered trademark of Trus Joist MacMillan TJ Beam(TM) is a trademark of Trus Joist MacMillan Member Use Member Top Slope(in /ft) Roof Slope(in /ft) Floor Decking Repetitive Member Use Reinforced Overhangs 310( Page 1 of 1 TJBEAMD JOIST 0 000 0 000 N Y N/A Load Classification Load Duration Factor Live Load(psf) Dead Load(psf) Partition Load(psf) 04 02 1997 09 41 49 Application Floor Com Shear(lb) Reaction(lb) Moment(ft lb) Live Defl (in) Total Defl (in) Floor 1 00 40 0 15 0 20 0 28 0 00 Max Reaction Total(lb) 2100 Live(lb) 1120 Required Brg Length(in) 1 97(W) Max Unbraced Length(in) Span 1 2100 1120 1 97(W) 32 TJ- Beam(TM) MC SQUARED 1235 E 4th Ave OLYMPIA, WA 98506 USA Phone 360 754 9339 Name MIKE SZRAMEK Project Name PORT ANGELAS ASS LIVING CENTER Page Title JOIST SIZING File Name 97102 Based on Allowable Stress Design (ASD) UBC building code for Custom TJM products Deflection Criteria R) LL Defl TL Defl Span 1 L /600 L/240 20" TJI(R) /55C JOIST 24 0" o/c S I Z E A N A L Y S I S A S D This analysis for TJM products only! Substitution voids this analysis IMPORTANT! The analysis presented below is output from software developed by Trus Joist MacMillan(TJM) TJM warrants the sizing of its products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values The specific product application input design loads and stated dimensions have been provided by the software user This output has not been reviewed by a TJM Associate The maximum unbraced length(s) shown are based on the controlling compressive forces on either the top or bottom edges of the member Lateral bracing needs to be properly attached and positioned to achieve stability Concentrated load requirements for standard non residential floors have been considered Web stiffeners are required at bearing 1 2 Maximum Design Allowable Control 2100 2100 2740 130% LT end Span 1 under Floor loading 2100 2100 2100 100% Bearing 1 under Floor loading 14700 14700 16671 113% MID Span 1 under Floor loading 0 565 0 560 L /595 MID Span 1 under Floor loading 1 059 1 400 L/317 MID Span 1 under Floor loading Copyright (c) 1996 by Trus Joist MacMillan a limited partnership Boise Idaho USA TJI(R) is a registered trademark of Trus Joist MacMillan TJ Beam(TM) is a trademark of Trus Joist MacMillan Page 1 of 1 v4 51 1001 TJBEAMD Member Use Member Top Slope(in/ft) Roof Slope(in /ft) Floor Decking Repetitive Member Use Reinforced Overhangs JOIST 0 000 0 000 N Y N/A MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job. Date. Sheet. Page -NC of 6) 1 ,i ijr pe,/ /-3 .7.1 4 c- .Z- Di 2 4 ;4// _b 70 4 t:\ 1 2 7. i 5 dLF z1 Y/) S 0 C---• By. 91160. MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 (J/tez, 3/}4/t/ F6 zee& 12,0Z: 2 .<7 7 Fr (p (72) 0.50 6 4 2_ Li "lc Jj /13C a .,6(56 57e A.; i t (LisEb Ve )(/(0 GLE •roe- E C aSeD 5 I 40'4 C- Bo TH S R.- V //v S ti 6c r/c)A.1 F2,e Job. Date Sheet By 4(1 MEMBER DETAILED ANALYSIS Load Comb 1 LOADS Memb 1 1 Property BEAM Shape Length Max Shear 61. R Location 0 00 ft Min Shear -6 50 R Location 11. 50 ft Max Moment 0 00 E-ft Location 0 00 ft Min Moment 1 46 E -f t Location 9 98 ft Max +Def 1 0 0000 in Location 0 00 ft Max -Def 1 -0 120 in Location 5 75 ft Max Unck M. Calf 11 50 ft Moment Deflected Shape Unity Check Not Calculated Shear 1 2 MC Engineeri -ng Units Option US Standard AISC Code Checks 9th Edition ASD Shear Deformation No P -Delta Effects No Redesign Edge Forces A S I F Node No Material Label GLB BEAM Section Label X -Coord (ft) 0 00 11 50 I J No Node Node 1 1 2 No No 1 1 2 BEAM 1 333 Database Shape Y -Coord (ft) 0 00 0 00 RISA -2D (R) Version 3 03 Elastic Poisson's Modulus Ratio (Ksi) 1800 00 0 00000 Matl Set GLB Unbraced Lengths Lb -in Lb -out Lc (ft) (ft) (ft) Boundary Conditions X -dof Y -dof Rotation (in,K /in) (in,K /in) (r,K -ft /r) R R R Thermal Coefficient (F) 0 00000 Area (in 84 56 Weight Density (K /ft3) 0 000 Moment of Inertia (in 1918 511 I J I Releases J End Offsets No Node Node Section x y z x y z Sec Sway I J (in) (in) K Factors In Out Job g Page Date Temp (F) 0 00 0 00 Yield Stress (Fy) (Ksi)--- 2 400 As y/y Coef 1 20 Length (ft) 11 50 Bending Coefs Cm Cb MC Engineering Memb I J No Node Node Dir 1 1 2 1 1 2 Load Combination 1 LOADS Y -1 Node Node 1 2 Totals BLC No 1 2 1 LOADS Y Y RISA -2D (R) Version 3 03 Basic Load Case Description Member Distributed Loads,BLC 1 LOADS Start Magnitude (K/ft,F) 0 530 0 300 Self Wt BLC BLC BLC BLC BLC No Description Dir Fac Fac Fac Fac Fac Fac DYNA S V Dynamic Analysis Data Number of modes (frequencies) Basic Load Case for masses BLC mass direction of action Acceleration of Gravity Load Combination is 1 LOADS Nodal Displacements Global X (in) 0 00000 0 00000 1 1 Load Combination is 1 LOADS Reactions Global X (K) 0 00000 0 00000 0 00000 End Magnitude (K/ft,F) -0 980 -0 300 3 None X only 32 20 ft /sec *2 Global Y (in) 0 00000 0 00000 Global Y (K) 5 63500 6 49750 12 13250 Job Page Date lirf Load Totals Nodal Point Dist 2 Start End Location Location (ft) (ft) 0 000 11 500 0 000 11 500 Rotation (rad) -0 00275 0 00283 Moment (K -ft) 0 00000 0 00000 0 00000 W E Nodes I -End J -End No I J Axial Shear Moment Axial Shear Moment (K) (K) (K -ft) (K) (K) (K-ft)-- 1 1- 2 0 00 5 64 0 00 0 00 6 50 -0 00 MC Engineering Load Combination is 1 LOADS Member End Forces Load Combination is 1 LOADS AISC Code Checks Nodes No I J Maximum 0 1 1- 2 RISA -2D (R) Version 3 03 Job Page Date Member Quarter Points 1/4 1/2 3/4 L Shear Not Calculated MEMBER DETAILED ANALYSIS Load Comb 1 LOADS Memb 1 1 Properttj BEAM Shape Length Max Shear 7 36 E Location 0 00 ft Min Shear 5 1/ E Location 19 50 ft Max Moment 0 00 E -f t Location 19 50 ft Min Moment 30 7? E -ft Location 8 97 ft Max +Def 1 0 0000 in Location 0 00 ft Max -Def 1 -0 6056 in Location 9 56 ft Max Unck Mo Cd1c Unity Check Not Calculated Shear 19 50 ft Moment Deflected Shape MC Engineering Units Option US Standard AISC Code Checks 9th Edition ASD Shear Deformation No P -Delta Effects No Redesign No Edge Forces No A S I F 1 333 RISA -2D (R) Version 3 03 Node Boundary Conditions No X -Coord Y -Coord X -dof Y -dof Rotation Temp (ft) (ft) (in,K /in) (in,K /in) (r,K -ft /r) (F) 1 0 00 0 00 R R 0 00 2 19 50 0 00 R 0 00 Material Elastic Poisson's Thermal Weight Yield Stress Label Modulus Ratio Coefficient Density (Fy) (Ksi) (F) (K /ft3) (Ksi)--- GLB 1800 00 0 00000 0 00000 0 000 2 400 Section Database Matl Area Moment of As y/y Label Shape Set Inertia Coef (in (in BEAM GLB 84 56 1918 511 1 20 I J I Releases J End Offsets No Node Node Section x y z x y z Sec Sway I J Length (in) (in) (ft) 1 1 2 BEAM 19 50 I J Unbraced Lengths K Factors Bending Coefs No Node Node Lb -in Lb -out Lc In Out Cm Cb (ft) (ft) (ft) 1 1 2 MC Engineering BLC No 1 LOADS Member Distributed Loads,BLC 1 LOADS Memb I J No Node Node Dir 1 1 2 Load Combination Y No Description Dir Fac Fac Fac Fac Fac Fac DYNA S V 1 LOADS Y -1 Basic Load Case Description Dynamic Analysis Data Number of modes (frequencies) Basic Load Case for masses BLC mass direction of action Acceleration of Gravity Start Magnitude (K/ft,F) -0 980 1 1 Load Combination is 1 LOADS Nodal Displacements Node 1 2 Node 1 2 Totals Global X (in) 0 00000 0 00000 Load Combination is 1 LOADS Reactions Global X (K) 0 00000 0 00000 0 00000 RISA -2D (R) Version 3 03 End Magnitude (K/ft,F) -0 305 Self Wt BLC BLC BLC BLC BLC 3 None X only 32 20 ft /sec *2 Global Y (in) -0 00000 -0 00000 Global Y (K) 7 36125 5 16750 12 52875 Job Page Date Wan Load Totals Nodal Point Dist 1 Start End Location Location (ft) (ft)---- 0 000 19 500 Rotation (rad) -0 00857 0 00799 Moment (K- ft) 0 00000 0 00000 0 00000 W E MC Engineering Load Combination is 1 LOADS Member End Forces Load Combination is 1 LOADS AISC Code Checks Nodes No I J Maximum 0 1 1- 2 RISA -2D (R) Version 3 03 Not Calculated Job Page Date o iy-Q r "SLi Nodes I -End J -End No I J Axial Shear Moment Axial Shear Moment (K) (K) (K ft) (K) (K) (K-ft)-- 1 1- 2 0 00 7 36 0 00 0 00 5 17 0 00 Member Quarter Points 1/4 1/2 3/4 L Shear MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352 -2044 C 7 Z0 l .:.T J' C.. P Mar use 301WTs A My )__etc.,VA -Y6 1 Al a!k a- EC-f104 4S Date r' By Sheet- Page of b`! MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job: Date. By Sheet. Page of locl 4- 0= Opc-F ki/sYt 66e 3071 //2„ 'A 5 0/7 e _d(mL, 3/ ase /q6- -&/s rUS(/) /43 f MC SQUARED, INC Job- OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date- By- Sheet c1 pagearLofzcz_4_ d _of Vseo bOz 530 ?LE /1/11)( 4Zive'4/TE- //4-f„% 4_ A IT 0 7S 9 060 Z/)(7 s V Ycb 2 c.R (Use 5 MEMBER DETAILED ANALYSIS Load Comb 1 LOADS Memb 1 1 Propertij BE=M Shape Length 1. 00 ft Max Shear 5 ?8 E Location 0 00 ft Min Shear 06 E Location 17 00 ft Max Moment Location Min Moment Location Max +Def 1 Location Max -Def 1 Location Max Unck 0 00 E -f t 17 00 ft 34 E -ft 8 84 ft 0 0000 in 0 00 ft -0 5469 in 8 67 ft Ho Ca lc Moment Deflected Shape Unity Check Not Calculated Shear MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job. Date a fit By 2-N Sheet Page SO of b 1 97. `X.f.&.. _616[0E 5/?‘.7 Cist MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job. Date. 1 1 1 By Sheet Page of SEA ILL. 2 p/mi 11 4 11) A 0 0 d-Y$< 80c; sYe 6ceg 313- L 6X/8 ad >c 6 ecd g /43 A Lo,t0 'Y /9" '23 /9 /b2 de .,)/-7/ asg s x 7 9 -3/1- 6,6 (asep' T pi/t' 76),3 5 /9 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352 -2044 40A EtAeiioJ.! reo-, 2& 7 s i T C 8 7 )2•S X/3 //7 3 6, 70 r TAL 2p4 7512) 8 6 70 m OO/pLF VIA5 64r8 .7 7_ AD E$700 3 S) t ,)3o('7)' J/7- 32.96 f�t_sre ox/ rechcc.. Epp{. 7ZU 37 V4' (23/4 JS //79 pc, TOTAL ZoAp /J9 z d 099pe 3/23 atie 1 /S /90, 9 CCU 3 /g x /3/. c'c8 Job. 6 0/0,9 Date. 1-01 By. lV} Sheet. Page 5 (O MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job- Date Br Sheet- Page 53 of 6( i 6 4-!////f/ 2:;•./ 6Y-2 et 87s o 6,cfl c9/ 0125D MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date. q 94- By ar- 1 Sheet: Page 4 of ,,T.,. S 6' 6 9 0 4 .DD _4 1 /24/ s4.6 .3. 0 6 2257 L :m/e) z 7 J. 5.30 r f 3 ..2e0_ v i./ .q...)0 ',7 V ,..2,0 2 /7e 4, /7_;,q 2 ,7s5 /o• g 5 i" 1/ 00 73 30 ,47 /8 1/ .3 V MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 2TA/ poo4 0A /001.1,c _//5 /04 )r..,/,/ o`a y /az 1/ ,25 _A 7 diefrik '54 fr 1/44,-1 tmA- Q74 C L --fq./ rs PAA/ 1/ if /0 A 9 e o 797 Job. Date. 1 By Sheet Pa„ of 49 1 91/03-- MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job. Date. Bv. Sheet. 1\)(. Page c. of 64 1 EEA pPkidl: Lcpsco (.6/.? L A L 0 _/4.`i iLr F76 Se 4 4 ‘e./ k? 0 6 ,e6 f r t.: 7 ri //I9 La /0 572 e!' ,STZet:.:lo Fr6 S/ze 75 sa)4_ c7e5 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754 -9339 FAX (360) 352 -2044 gD+ 7 /5/ 2■' /5 .3 4") /S l 9 /2 /O dr4, 7 ✓5 ,.5 /e:7 6C, li L /O .94( u 1� //t/,) _LLkL) 3 I 3. 091A Job. 1 Date. q By. t1& Sheet. Page 0 of 1 ‘4 ;)3 ter 9� (9 (9 /7 /Y' Y'/ Use, -rS5 xs 114 eo tea( 4 u og S'• "T 0`1`7 0200 SOS 392. 15/ X93 /D8. (.?1 _CI 9� MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 /F e6A/ ST .e /Ale L) Job. Date- LfI1 By Sheet 1- M12 ,t- .7 p 'S/ (4% d c;s q42/!/) -f -r Page o f /06/ MC SQUARED, INC OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job Date: By Sheet. 6.1/ Cl- g At/iciT Xt-EA 7..S" 27 /7 6) 74- 9)( .7.57)0 A ?!-.D.., 1 (/)277-- i-6 cc /40 /7 /8& /5"Do 7 Upo fr. Cc./ Jpoki az &p 4r La= Er Tzuss Page of 6e7 MC SQUARED, INC. Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Date L f ,c) Sheet Page /P of /7 /((8 .s..-.) V 8._ --_..i9,/ /14_ y 0 de- 1 t3 Pia /33 __..2 se. 3O? 1/2_&, i 0 4 /5 2.._ 0 V --i- --q :_6C,_ OF 1 4 4/73 EXTU-ID 12_ k/A 1 F Lou D E A D 1-0 &0 t/ h c7 ,GL7c /1"/.3 V15) 4.C 7;6 9 -IT 9._(/ 00) 7 Y2_( (-Z13 i civr C -5115 2-52 9 /..3 5 7 k1 8 -)E Size ta_ 0561 5 y e By. '06 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Job By Sheet Page 6( of 64 Date. i° X) 2_ -4— WC/ J t- d _s6- „1,/ -7-o p i 72 TL f_ .5" 1 3...3. _1 3 9,... 7./..+. co__ 3 36'. 7 Z Z 4a icAE 7// 7 /ret--.5 MC SQUARED, INC Job. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 Sheet- Date. By //vrte_. /0 t.t.41-e-Ls t/..c) re 7Q LoAto D tL.. D At" 4/ S' 2—SY 2) 2—• "7 t LOfr 2 :9579 VC A117 /(z kc; /6 rzc (i2 K'' 0 gss (2) 2_ieG �1o /6' 6' /1 (2), q/ ,;6 9 ow CkE (D-).;>/ 6 ;V i/ c>c---- nesSES Page .of_LL1 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352-2044 A1 ?)C/ILIA 6 Job. Date. Sheet. T 'L S C ouxiCeybki HAY /q/A/ CA,e: /476 itir„r5 (ze B 74 97/7)2— Page &;--3 of HILL 12,EA k „pc, 26/zAr-s-_4;(.5-4,(),• ///A/ Zpie,,f/K 7 24 fl 7// s/ 2) YZ P k__ a 75 MC SQUARED, INC. OLYMPIA, WASHINGTON 98506 (360) 754-9339 FAX (360) 352 -2044 S64 F/?o7-//r4 4/ '9a( J2 A(2/)&.)2- 6 o zo e -TT L 4 /gam Psi 0' A/6 SQL 7 T o AD //90 4Z1 �s o8� 2_ -;nG!` Job- 9 '//9 Date. c By Sheer Page l(gof (4. C s-IY& M( iSZ 7 6S tg, 0 psF /SP0,V5 0/G 9 161 -tom SF k< Nov 24 2014 02:11 PM Olympic Electric Co., Inc 3604523498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Firth Street — P.O. Box 11501 Port Angeles Washington, 45362 Ph: (360) 417 -4735 Fax; (360) 417 -4711 Date; a 1!! L Multi- Famlly orCarnmercial" * Plan Review May Be Required, Job Address: Building Square Footage: Description of above , page 1 Plan Review Information Sheet _� - •�� a i" ; ELECTRICAL Owner 11 o align Contractor Information Name: + Name: OLYMPIC exec -Eric Mailinrp�Ad�dress: Mailing Address, 4230 TUMwATER City, '67— State: Ip: CIty: PORTANGELES State: WA Zip: 98363 Phone: Fax: Phone, 3&0467•5303 FaX; 360- 4s244ea License / Exp License #1 Exp. 0LYNPEC285DI Item Unit Chafxte I f Total i ty Multiplied by Untt Charge) Service;Feeder 200 Amp. $ 132.00 $ Service,'Fsedar 201.400 Amp. $160.00 $ ServicelFeeder 401 -600 Amp $ 225.00 $ Service,'Feeder 601 -1000 Amp $ 288,00 $ Service, "Feeder over 100D Amp. $ 410.00 $ Branch Circuit Wl Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 700 $ Each Additional Branch Circuit $ 5.00 � $ Branch Circuits 11-4 $ 86.00 'temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201.400 Amp, $121.00 Temp, Service /Feeder 401 -600 Amp. $ 164.00 $ Temp, ServicelFeader 601.1000 Amp . $ 185.00 $ Portal to Portal Hourly $ 96,0C $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy— Multi- Family $ 64,00 $ Signal Gircuif! Limned Energyl First 1500 sf— Commercial $ 96,00 $�• Note: $5.00 for each ad ditional 1500 sf Renewable Electrical Energy- 5KVA System or Less $ 113,00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat APO $�`_Total Owner as defined by RCK19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is tlnalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit exptres 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„ RCVV Chapter 19,28, WAC. Chapter 296 -466, The City of Port Angeies Municipal Cade, and Utility Specifications and PAM 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or eiectrical administrator: 71 Cash © Check © Credk Cerd 4 x / ed: IS/ 011012012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . . , , 14-00001436 Date 11/25/14 Application pin number , , . 922596 Property Address . , , , , . 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06- 30- 1.1 -5 -1 -4200 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , , , . . . Property Use Property Zoning , . , . . , . Application valuation , . . , 0 Application desc °-------- ----- ----- ---- ------- - - - - -- New boilers Owner Contractor FIR LANE TERRACE CONVL CTR #259 OLYMPIC ELECTRIC CO INC ATTN: TAX DEPT 4230 TUMWATER WILWAUKEE WI 53203 PORT ANGELES WA 98363 (360) 457 -5303 Permit . , . . ELECTRICAL - ----------------- ALTER COMMERCIAL -- - - - - -- Additional desc . . Permit Fee 79.00 Plan Check Fee ,00 Issue Date 11/25/14 Valuation p Expiration Date 5/24/15 Qty Unit. Charge Per Extension 1.00 74,0000 ECH EL-COMM BRANCH CIR W01 S/F 74.00 1,00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5100 Fee summary Charged _.- --------------- Paid Credited ---- - --. -- Due Permit Pee Total 79.00 79,00 ,00 - p0 Plan Check Total 00 00 ,00 00 Grand Total 79.00 7910D 00 ,00 REPORT SALE'S TAX on your excise tax form to the City of Part Angeles (Location Code 0502) PERMU WILL EXPrRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . , . 14- 00001436 Date 11/25/14 Application pin numbex' . . . 922596 DITCH Property Address . . , , . . 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER; 06-30-11-5-1- 0200 -0000- Application type clescription ELECTRICAL ONLY Siuhdivision Name . , , , . . G Property Use FINAL Property Zoning , . , . . . . �. 'y h Application valuation , . . . 0 COMMENTS: Application desc F New boilers ---------------------------------------------------------------------------- Owner Contractor FIR ;LANE TERRACE CONVL CTR$#259 OLYMPIC ELECTRIC CO INC ATTN; TAX DEPT 4230 TUMWATER WiLWAUKEE WI 53203 PORT ANGELES WA 98363 (360) 457 -5303 Permit, . , . , , , ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 79,00 Plan Check Fee 0❑ Issue Date 11/25/14 Valuation . . . . 0 Expiration Date 5/24/15 Qty Unit Charge Per Extension 1100 74,C000 ECH EL -COMM BRANCH CTR WOO S/F 74.00 1,00 510000 ECH EL -ECH ADDNT BRANCO CIRCUIT 5,00 Fee summary Charged paid Credited - Due - -- - -- -- - - --- ---- - - - - -- Permit Fee Total 79.00 ---- - - - -- ---- - - - - -- 79.00 .00 ---- - - -- -- DO Plan Check Total 00 00 .00 .00 Grand Total 79,00 79.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) lNSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN G _ FINAL �. 'y h COMMENTS: F PERMIT WILL EXPME. SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IE X C HANGEIB U I L D IN G Nov 24 2014 02:11 PM Olympic Electric Co., Inc 3604523498 page 1 � p �� ra 1• � �� CITY OF PORT ANGELES PERMIT APPLICATION Novi fffrrr V Building Divisinn/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Fort Angeles Washington, 9g3fi2 i f Ph: (360) 417.4735 Fax: (360) 417 -4711 l c Q Multi-Family Commercials Date: or Plan Review May Be Required, Please Com to Electrical Plan Review information Sheet Job Address. Building Square Footage, Description of above Owner Info nation Contractor Information �+- Name T Name: oLYMPIc ELEa -RIc Maili Address: Mailing Address, 12W711MwATER City: State; ip: Cil ayRTANO DES State: WA 21p; 9e363 Phone: - FOX: Phone; 369.487.536 Fax: 360 S2449C License i Exp. License #Ii OLYNPECZB601 item Unit Chartte {3 yt Total tQiv Multiplied by Unit Chancel Service;Feeder 200 Amp, $13200 Service;Feeder 201400 Amp. $160,40 $ Servica,7Deder 401 -600 Amp $ 225.00 $ Service;Feeder 601 -1000 Amp. $ 288 00 $ Service,'Feeder over 1000 Arnp. $ 410.00 $ Branch Circuit W/ Service Feeder Branch Circuit W10 Service Feeder $ 5.00 S 74.00 _ _L $ _ $74/. Each Additional Branch Circuit $ 5.00 $ 'r = Branch Circuits 1.4 $ 86.00 $ Temp. ServlcO Feeder 200 Amp. $102.00 $ Temp, ServicelFeeder 201.400 Amp. $ 121.00 $ Temp, ServicelFeeder 401 -600 Amp. $ 164.00 $ Temp. Service)Feeder 601.100D Amp $ 185.00 $ Portal to Portal Hourly $ 91 $ Sign/Outllne Lighting $ 88.00 $ Signal QrcuiV Limited Energy -- Multi- Family $ 64,00 Signal Circuit! Limited Energy 1 First 1500 sf— Commercial $ 86,00 $� Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $ 113,00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Staff S =Total Owner as defined by 119.28.261: (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,, RCVV. Chapter 19.28, VAC, Chapter 296466, The City of Port Angeles Municipal Cade, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: Q Cash ❑ cheek tom- '' Card it Credk u 1 //, � I / % f 01169I2012 X - ,_„_,eated:.� ,_ ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 15- 00000517 Date 5/13/15 Application pin number . . . 645872 Property Address . . . . . . 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMEFR: 06-30-11-5-1- 0200 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . Application valuation . . . . 0 Application desc Roof conduit and circuit repairs ---------------------------------------------------------------------- - - - - -- Owner Contractor RESULTS: FIR LANE TERRACE CONVL CTR #259 OLYMPIC ELECTRIC CO INC ATTN: TAX DEPT 4230 TUMWATER WILWAUKEE WI. 53203 PORT ANGELES WA 98363 g� (360) 457 -5303 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS COMMENTS: Permit Fee 86.00 Plan Check Fee .00 Issue Date 5/13/15 Valuation . . . . 0 Expiration Date 11/09/15 Qty Unit Charge Per Extension SASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 00 Plan Check Total .00 .00 00 .00 Grand Total 86.00 86.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN g� FINAL, COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING (rte ~4 May 12 2015 0220PM Q ympic Electric Co,, Inc 3604523498 " page...1 2 11 ff �: 11 ilk E , E . . . - .... . .: . .. . . . .... :,: . . : . / r... �. _- . . . . . . .. �.. . �, � �r.. .... . . . - � . . :. .. . I . . : . .,..... I .... .. . I... .. I ., . - .:� �. . .. . . . .; PaKr,. : .::: �% . - .... . .. rry 0. # PORT ANGELES PERMIT APPLICATION - . $uildslag , ky piort/Eleetrrcal I epeetioas i T . 3ZI East:Fifth Street P O. $ox Ii50 / Port:AngeEes Washiaogton 98362; INSP8�5 .'::" I.. (460) 417'47j . -8i {350) 417=4711 " , .' '. - . - . . Date ,S) - l 2-- ` l S Q Multi- Family;ar Camrnarcral ":. "Plan R�ulew May 8t? Required Please Cam�lete:'Elecfrlca! Plan Rewew,lnformation Sheet Job Address;:: AV Q t a t�r.�3 > G Building Sguara Fflalaa Desctiptlon of aboye v . ar "- QwherinFormatlon Conti- torinformatron Nerve �' CS'C`1a]o[� C7 Ce3ti/AL:L:E1.>+1< Name " ovrnAic e�aTaic madir Address �?41c sa Ma l ngAddress 423070MwA R �+I`r StBI9:1�14. �Z1p QjV'Y `,:(`,� PDR"TANGELES " 'S( W_ A ZO 987fi3 t1DnB` 4'. F81c. *� ;•C: 0R la5 . PhonB' "aeo �sy a�o� .; ..- aao cs2,oe , F License 1 Exp License # I Exp, O�YMPEC7fiOi 1�C r t ': �otsl ! Ntulttclied by Umf Char�e) SetvIc8lFeeder 200 Amp $;132 DO $89M 201- 406 Amp - $16fl.00. :.` $ SeiVicelFaeder 441 B00 Amp. it 225 0c $ r. Ssn,oelFeed� 801 ! 900 Amp. ', $ 288 00 , :: $ — ServlcelFeeder over 1 "Ofl0 Amp. > — — ; $ 410 fl0 -:' $ 9rar U lecuil WlService Feeds $ ', 5,00 $ Branch Circuit 0 Service Feeder $ 74 0C :: $ . Each Addrtlonal Branch C ❑cult $ 5.0C g -- Branch Circuits A $ ; 85 OC �^ $ ( "Temp Service! Feeder 200 Amp; $:102 CC - y $ Temp ServlcelFeeder 201 -4DD Amp. , $121,0G $ Temp U'71' e* det 401.600 Amp." $184 0Q $ xernp ServicelFeeder,_5U1 1DOD,Amp. $'.1 &500 , $ Portal to P9tta! Hourly $ 98 DC :;: . $ S1gnlGuthne Lghtmg ; $ 38800 $ Sfgn2l CircUtl Limited Energy :.Multi Family $ 8a CO ". - g Srgnat Care ilfl L�rnited t nargy! First 15C0 sf Canurrercial $ ; t 6100 $ Note $5 00 for each addiponai 150D sf Renewable`Eleotnoal EnerBV 51CVA System or Less $113 CC $ 7hainDstat ` $ 5fi4C $ 40k $5.00 fat e3 h addidonat T -Slat . $ 'a 70101 aWner ..s defined by RCW 19.28.261;,(1 tarvnervnli occupy the structure for trvo }fears after.this electrical permit is finalized, (2) Owner is`required t6 hire ah electrical contractor'ff above:laud properly is for sale, rent or lea. Permit expires aRer six months of last inspection. :: 1a., . After reading the above stafement (hereby ceitiiy that, I am the owner of the above.named property ora licensed electrical contractor I am making ; the electrical iristatlation'or alferatronlin corhpliance withtheeleof%at lays, . E,C.,,RCW Chapter 19,28,1r41RC:`Chapter'298 -46B The- Cty`of "Pert: , Angeles Municipal Code and'tltility 5pecdicat #ors and PAMC 14',05,050 regard' ': Electrlcal:Permit Application 3" Sign - . of owner; electrical contractor ar electrical administrator; ❑ . "cash D .check .:; Credit Card q ',..; �K� Dated: l . rl? 0110112012 t ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application. Number , , . . 16- 00000395 Date 3/22/16 Application pin number . . . 959985 Property Address . , . . . , 1116 R LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06- 30 -11 -5 -1- 0200- 0004- REPORT STATE SALES TAX Application type description ELECTRICAL ONLY subdivision Name . . , . . all your excise tax form Prcperty USe to the City of Pori Angeles Property zoning , , . , . (Location diode 0502) Application valuation . D --------------- Application dese Propane turnace's Owner ----- ----- Contractor RESULTS: -- --- -- FIR LANE TERRACE - - - - - -- CONV.L CTR##259 ------------------ ALL WEATHER HTO -- - --- a COOLING INC ATTN: TAX DEFT 302 KEMP ST WILWAUKEE INZ 53203 PORT ANGELES WA 98.362 °' (360) 452 -9813 ''r_7 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee , . . , 61,00 Plan Check Fee 00 Issue Date 3/22/16 valuation . , . . 0 Expiration Dade 9/16/16 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMCSTAT 56.00 1 00 5.0000 ECH EL- T,VT- ADDITIONL THERMOSTAT 5.00 Fee summary Charged Paid Credited Due Permit Fee Total 61.00 67.100 .00 00 Plan Check Total 00 .00 DD 00 Grand Total 51.00 61.00 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: CITY OF FORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East ,Fit11e Street - P.O. Box 11501 Port Angeles Washington, 98362 Ph. (360) 417-4735 Fax; (360) 411.4711 Glatei x/17116 _ x Mlultl,Pamily or Commercial* n I,i_ia1'11 €1 i( III`:"Pl -(dlii * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; 1116E Lauridsen Blvd Building Square Footage; Description of above Install 2 ro arse lwrrfdcas Owner Information Contractor Information Name, cmAjwnW. Name; All Weatijer Heating& Gaoling, lnc. Mailing Addwssi -_4116 R 1,011ridgen Blvd Mailing Address; 302 Kgmv -- Street City: State; ,WA Zlp; 99362 City! Dort Angeles State: WA Gip: � 98362 Phone:. 77 -qAg,61 .._ -F% Phone,, -f181. I Fax; QwgLzz License # I Exp, _M _ License 01 Exp. ALLWEWH934M11 9/16 Item tJnit_ Charge tJ yt Total (G,�t Mul i limey Unit Charnel ServicelFoeder 200 Amp. $132.04 $ ServleelFeeder 201-400 Amp. $160,00 ServioelFeadar401 -600 Amp S225,00 $, ServicalFeeder601 -1000 Amp. $ 288,00 $_ ServicelFeeder over 1000 Amp. $ 410,00 $ Branch Circuit WI Service Feeder $ 5,00 $_. Branch Circuit W10 Service Feeder $ 74.00 $� Each Additional Branch Circuit $ 5.00 g� Branch Circuits 1.4 $ 86 -00 Temp, Service/ l=eader 200 Arnp, $102.00 $ Tamp. ServicelFeeder201.400 Amp, $121.00 Temp, SarviceiReder401 -000 Amp. $164,00 _ — $� Temp, ServicelFeader6fll•1000 Amp . $185.00 $_ Portal to Portal Hourly $ 96,00 $� SigniOuiline Lighting $ 88.00 _ $ Signal Circuitl Limited Lnergy -- Muill�Family $ 64.00 $ _ Signal CircuiV Limited Energy I F'irat 1600 sf- Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less 8 113.00 $ _ Thermostat $ 56,00 _ $'� ► Note; $5,00 for each additional T -Stat I� Total Owner as defined by RCW.19.28.261; (1) Owner will occupy the structure fortwo 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 sm the owner of the above named property or s licensed electrical contractor, I am making the electrical installdtlott or alteration in Compliance With the electrical laws, N.E.C., RCW, Chapter 19.28, WAC, Chapter 296.46B, The City, of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.060 regarding Electrical Permit Applicatlons, Signature of owner, eiaatrinel contractor or electrical administrator; ❑ cash M Cheok %� 0 Crttdltcard# x bated: I (t`✓ v9 /eq 3Odd JNIiVAH �13HIV3M LL19Z9V 9ET TE :ZZ 9TEZ/LT /60 1 LECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 16-00000653 Date 5/06/16 Application pin number 492454 Property Address . . . . . 1116 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -11 -5 -1 -0200 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . . . Property Zoning . . . . Application valuation 0 Application desc Generator E stop Owner Contractor FIR LANE TERRACE CONVL C`I'R4259 HOI.,MES EI.,EC'll'RIC C10 ATTN: TAX DEPT PO F'OX 338 WILWAUKEE WI 53203 M.;,NT (253) 479 4000 Permit I"L,kiCTRIC.AL AV,7.11.',R COMMERCIA1:., Additional desc 1.-4 ClItC UI'IS' Permit Fee 86.00 P"d..txn Check Fee UC) Issue Date 5/06/:1.6 iil�:cat:.r.ort U Expiration Date 1::1./02/16 Qty U it Charge Per. :. i� 1 q) BASE 86, 00 Fee summary Charged Paid Credited Permit Fee Total 86.00 86.00 ..00 00 Plan Check Total .00 .00 00 Grand Total 86.00 86.00 00 00 a REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) ('1C kAIL 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 GAEXCHANGEWILDING 01/18/2006 04:16 2532342900 HOLMES ^ . CITY OF PORT ANGELUS _-___-___-LI~~~~.O=` Building N' �21 Cast Fifth St�eet—P��Box KISO /Pol't����� Pik: (360),417-4735 Fax: (.360) --�--- '`—~~^^~~�^—~°� . ' �hSFYi�K��R� Date: Multi -Family or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Information mallig T& Address: Contractor Information _Ite_ -AILLt. �m Service/Feeder 20OAmp. knit Cha e $132.00—~� Service/Feeder 2O140OAmp. $160.00 ------ ------ Service/Feeder 401-60OAmp $225.00 ------ Service/Feeder 0O1'1O00Amp, $288.00 ------ Service/Feeder over 1000Amp. $410.00 ------ Branch Circuit NVService Feeder $ 5.00 —----- Branch Circuit W10Service Feeder $ 74.00 ----- EaohAdditionu|BmmchOmoit $ 6.00 Branch Circuits 14 $ 00.00 ------ Temp. Service/ Feeder 20OAmp. o102.00 ------ Temp. Service/Feeder 20i4O0Amp. $121.00 ------ Temp. Service/Feeder 401-6OOAmp. $164.00 - Temp. Service/Feeder 8U1'1000Amp . $18580 ------ Portal Pnrtal toPortal Hourly * 88.00 -----' 8igmDudinoLighting $88.00 ------ Signal CimuittLimited Energy -Multi-Family o04.00 Signal CimuittLimited Energy / First 1500sf-Commercial $ 08.00 ------ --------' Note: $5.00 $5.O0foreach additional 15OOsf Renewable Electrical Energy 'SKVASystem mLess $113.00 Thermostat $ 50.00 ------ Note: $5,OOfor each additional T-Stat �-------- �J Tmtal 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 mflast inspection. Aker --- 'the above ~--^°U hereby certify that '~°^° the owner ~~ the above named property m*licensed electrical contractor, /ammaking he electrical installation aralteration ,wcompliance with the electrical laws, N.LC.,RC01Chapter 18.28.WAC, Chapter 208-46B`The City m(Port Angeles Municipal Cade, and Utility Specifications and PAMC14.85.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor orelectrical administrator: O mwx O Check LW11;