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205 E 8th St - Building
- CITY OF PORT ANGELES 1. DEPARTMENT' COMMUNITY & ECONOMIC DEVEL 'TENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES wA 98362 Application Number 09 00000420 Date 6/19/09 Application pin number 678160 Property Address 205 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00- 4 00001-0 Tenant nbr name SERGIO S MEXICAN REST Application type description CO REMODEL Subdivision Name Property Use ^ Property Zoning COMMUNITY SHOPPING DISTR Application valuation 25000 Application desc TI EXPANDING TO MAKE A BAR/DINING AREA NEXT DOOR r Owner Contractor DAVID / JANET ERICKSON DISCOUNT WATER HTRS & PLMB INC 144 THOMPSON RD 15620 HWY 99 STE 19 PORT ANGELES WA 983639740 EVERETT WA 98204 (360) 808 9919 (206) 356 6510 Structure Information 000 000 TI EXPAND INTO NEXT UNIT (BAR/DINING) Other struct info HARD SURFACE AREA Permit BUILDING PERMIT COMMERCIAL Additional desc TI EXPAND NEXT DOOR o , Permit pin number 145607 Ci Permit Fee 417 75 Plan Check Fee 271 54 Issue Date 6/19/09 Valuation 25000 Expiration Date 12/16/09 Qty Unit Charge Per Extension (� BASE FEE 95 75 23 00 14 0000 THOU BIL-2001 25K (14 PER K) 322 00 Q< Permit PLUMBING PERMIT Additional desc Permit pin number 145615 Permit Fee 100 00 Plan Check Fee 00 Issue Date 6/19/09 Valuation 0 Expiration Date 12/16/09 �ar Qty Unit Charge Per Extension _®t' Ir ►1 p �`t/��V// BASE FEE 50 00 ' 3 00 7 0000 EA PL-PLUMBING TRAP 21 00 �^ 1 00 7 0000 EA 7 00 1 00 7 0000 EA �M-SE FLOW PROTECTION <OR=2 7 00 1 00 15 0000 EAR LINE 15 00 1\ Special Notes and Comments (�V� geckp-r May 13 2009 10 36 26 AM kdubucJ (�� V 2006 International Fire and Building Codes 903 2 1 2 requires that all A 2 occupancies with an occupant load over 100 be equipped with fire sprinkler systems D� v June 15 2009 8 39 45 AM kdubuc ( k�1_ft .1" Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void ifwork 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 folate or cancel the provisions of any state or local.law regulating construction or the performance of construction. Date Pr nt Name Signature of Com actor or Aurnarized Agent Signature of.Owne (if owner is builder) T� ns Building D1 sionBuilding Permit \ OF poRTAjV,, � Official Use Only o� a Asscm.# Backflow Assembly Test Report Received �i City of Port Angeles °hbRKSAN0J Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES ^ SERVICE ADDRESS LOCATION OF DEVICE. "� �0 CAI " T(" � !� � � ��li��l� ✓�! i ,���- :if`� t )� ASSEMBLY `r� r ✓ .i G t7 �, Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY'? YES 9/NO❑ IS ASSEMBLY INSTALLED CORRECTLY' YES 0'1V0❑ DATE OF INSTALLATION ./i `? UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP �' RPDA ❑ DC ❑ DCDA ❑ DOUBLE CHECK VALVE ASSEMBLY SVB 13 Air Gap 13 SVB ❑ AVB ❑ CHECK VALVE#1 CHECK VALVE#2 RELIEF VALVE PVB/SVB Initial Leaked ❑ Leaked ❑ Did Not Open ❑ AIR INLET r Closed Tight 0 r 7 Did Not Open 13Test Held at f '�' psi Opened atp. Held at psi si Opened at psi Repairs Cleaned ❑ Cleaned ❑ Cleaned ❑ CHECK VALVE Leaked ❑ Held at psi Replaced ❑ Replaced ❑ Replaced ❑ REPAIRS Cleaned ❑ Details Replaced ❑ 3 psi Buffer YES ❑ NO ❑ Final Closed Tight ET- AIR INLET Opened at psi 7CHECK VALVE Held at psi Test Held at °� psi Held at psi Opened at °.� psi BACK PRESSURE NO❑ YES❑ AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES ❑ NO ❑ TYPE OF HAZARD COMMENTS Line Pressure psi f; f Held Backpressure YES 0"NO E3 r� � ° 42 Shutoff Held YES❑' NO ❑ Relief Valve Exercised YES❑ NO ❑ Date/Time Tester Signature Cert.# Test Kit Passed Failed Initial Test rF 1 r 3 s `� "rte /I El" ❑ Repass ❑ ❑ Final ' r L d;, t~t' ❑ E3Test WHITE CUSTOMER COPY. YELLOW PURVEYOR COPY PINK TESTER COPY 4 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00001246 Date 2/03/10 Application pin number 071668 Property Address 205 E 8TH ST D ASSESSOR PARCEL NUMBER 06 30 00 0 2 3064 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 6 circuits remodel for Bar area Owner Contractor ERICKSON DAVID K BOTERO & SON ELECTRICAL N144 THOMPSON RD 940 TAMARACK WAY N PORT ANGELES WA 983639740 PORT ANGELES WA 98362 Permit ELECTRICAL ALTER COMMERCIAL v 1 Additional desc ` Permit pin number 157453 Permit Fee 67 50 Plan Check Fee 00 Issue Date 12/02/09 Valuation 0 Expiration Date 5/31/10 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 5 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 10 00 Fee summary Charged Paid Credited Due e�,1 Permit Fee Total 67 50 67 50 00 00 Plan Check Total 00 00 00 00 Grand Total 67 50 67 50 00 00 c P V INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date PREPARED 2/01/10 13 03 26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/0 /10 ADDRESS 205 E 8TH ST SUBDIV TENANT NBR SERGIO S MEXICAN REST CONTRACTOR DISCOUNT WATER HTRS & PLMB INC PHONE (206) 356 6510 OWNER DAVID / JANET ERICKSON PHONE (360) 808 9919 PARCEL 06 30 00 0 2 3064 0000 APPL NUMBER 09 00000420 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 8/05/09 JLL BLDG FRAMING 10/01/09 AP ANDRES 206 356 6510 October 1 2009 4 24 40 PM jlierly BL99 01 2/01/10 L BLDG FINAL N February 1 2010 1 01 26 PM 1pangrle SERGIO 460 5255 BLDG FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 7/09/09 JLL PLUMBING UNDER SLAB TIME O1 00 7/09/09 DA July 8 2009 4 07 03 PM 1pangrle ANDRES 206 356 6510 'GROUNDWORK PLUMBING (SERGIO S MEX REST BAR ADDITION) AFTERNOON July 9 2009 4 54 16 PM jlierly provide clean sand for backfill around dwv/also water in test head is not in pipe check leak and refill/jll July 13 2009 9 39 11 AM permits PL1 02 7/10/09 PB PLUMBING UNDER SLAB 7/13/09 AP July 13 2009 9 39 51 AM permits July 13 2009 9 40 58 AM pbarthol PL2 01 7/20/09 JLL PLUMBING ROUGH IN 7/20/09 AP July 20 2009 8 52 32 AM 1pangrle ADNRES 206 356 6510 ROUGH IN PLUMBING LATER AFTERNOON July 20 2009 3 49 18 PM jlierly PL99 01 2/01/10J-� PLUMBING FINAL _ February 1 2010 1 02 26 PM 1pangrle � SERGIO 460 5255 PLUMBING FINAL COMMENTS AND NOTES �D e Western Surety Company + SITE IMPROVEMENT ` Performance Bond 1 f Bond# 70866246 + ' KNOW ALL PERSONS BY THESE PRESENTS That we t Did K. Erickson Principal. and WESTERN SURETY COMPANY a corporation authorized to do surety business in the State of Washington as Surety are held and firmly bound unto City of Port Angeles as Obligee,in the sum of &even Thousand Five Hundred and ool o0 Dollars($ $7,500.00 )lawful money of the United States of America, for which payment well and truly to be made, we b-ind ourselves, our heirs, executors, administrators, successors, and assigns firmly by these presents. WHEREAS, the Principal has entered into an agreement with'the Obligee guaranteeing only that the 4 Principal will complete site improvements as per estimate prepared by attached to and made a part hereof at certain land known as all of which improvements shall be completed on or before the date set forth in the agreement or any extension thereof,and the Principal provides this band as security for such agreement. NOW THEREFORE,the condition of this obligation is such,that if the Principal shall carry out all the terms of said agreement relating to the site improvements only and perform all such work asset forth in the attached agreement,then this obligation shall be null and void;otherwise,to remain in full force and effect. No party other than the Obligee shall have any rights hereunder as against the Surety The aggregate liability of the Surety on this bond obligation shall.not exceed the sum stated above for any reason whatsoever SIGHTED,SEALED AND DATED THIS 29th DAY OF January 2010 RECEIVED PRINCIPAL. 'I ��� Aa d on FEB 01 2010 BY-1-yi 7�� CITY OF PORT ANGELS S(TRE,TY BUILDING DIVISION WESTERN SURETY COMPANY 'q L.T)av1s,Asst.See. % By- Fa"F7485-12-2004 \ .� y, Attorney-in-Fact I ACKNOWLEDGi4fENT OF SURETY I STATE OF SOUTH DAKOTA � (Corporate CTzcer) + County of Minnehaha ss i On this 29th day of 2010 ,before me a Notary Public in I-Davi,Ant Sec. and for said County personally appeared personally known to me, who being by me duly sworn, did say that he is the aforesaid officer of WESTERN SURETY COMPANY s rorporotion duty organized and existing under.the laws.of the State of South Dakota,that the seal affixed to the fmgoi4 in8trunie t-i4 the corporate seal of said corporation, that the said instrument wag signed, sealed and executed on be6ay of said,LbrporaL•�u by authority of its Board of Directors, and further acknowledge that the said instrument and the e-;cec;utionI.herea£to be fhe voluntary act and deed of said corporation. i r rN-W'ESS"WHF;RRQF I have hereunto subscribed my name and affixed my official seal the day and year fast above Mybammis�s2on axpitsisy HEGGEN 6.22-2013 _' �rrurdssiol�ExG� Notary Yublic Fath 1034298 File Edit List Commands Help S N QUWPUSLiC SECTOR ,ry, NavrLene Application Tracking Action Log Maintenance Application number- 09 00000420 Address: 205 E 8TH ST Application type: COMM REMODEL Revision/Path/Step/3eq/Agency A 01 00 PUBLIC WORKS ENGINERING Action date: 20110 Action by > ROGER VESS Action code: —] APPROVED Time spent(hours): �?0 ��Goi'reiilortsrejidrti#etr`J". ® :t - -- ---: - - - - - --- ---- - - - - 1 OOO�:Paving ixnprovments are to be_completed no later than June - r 1 ,30th 2010, Per letter-dated—January 15th 20105750000 bond ' 17— 1held by City of Port Angeles r r --- - 2 000 (` I - ---- ..._ a 000 r__ s 0001i r k 000 r �f Ezit 8 000, Uz Canoel Highlighted Sequence indicates line is not available for List selection. Add standar (1/26/2010) Linda Pangrle Sergio's C of O Building Permit#09-420 205 E 8th St. Page 1 From Linda Pangrle To: Roger Vess Date: 1/26/2010 1 55 PM Subject: Sergio's C of O, Building Permit #09-420, 205 E. 8th St. Hi Roger Before Jim can do his final building inspection on permit#09-420(for the bar addition),Sue wants an agreement and bond for improvements of the parking area ok'd by the Public Works department. Please let me know when the Public Works department receives what it needs(parking improvement commitment letter and bond?) so Jim can do his final building inspection Thanks, Linda 2 c ZIP` 10 UAI- C � �� From. Roger Vess To: Steve Sperr Date: 1/13/2010 12 25 PM Subject: 205 E 8th St Parking improvements CC: Eric Walrath, Sue Roberds Steve, Dave Erickson owner of 205 E 8th St was in today He has made a commitment to completing the parking improvements but doing the work at this time of the year is not a good time He will be drafting a letter requesting an extension for this work. I asked he provide an estimate of the work to be included with his letter I also let him know the City may ask him for a bond for the extension of the work, he seemed OK with this concept. Thank you, Roger PREPARED 8/05/09 9 55 07 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/05/09 ADDRESS 205 E 8TH ST SUBDIV TENANT NBR SERGIO S MEXICAN REST CONTRACTOR DISCOUNT WATER HTRS & PLMB INC PHONE (206) 356 6510 OWNER DAVID / JANET ERICKSON PHONE (360) 808 9919 PARCEL 06 30 00 0 2 3064 0000 APPL NUMBER 09 00000420 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 8/05/09J BLDG FRAMING ANDRES 206 356 6510 COMMENTS AND NOTES PREPARED 7/20/09 8 53 50 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/20/09 ADDRESS 205 E 8TH ST SUBDIV TENANT NBR SERGIO S MEXICAN REST CONTRACTOR DISCOUNT WATER HTRS & PLMB INC PHONE (206) 356 6510 OWNER DAVID / JANET ERICKSON PHONE (360) 808 9919 PARCEL 06 30 00 0 2 3064 0000 APPL NUMBER 09 00000420 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 7/09/09 JLL PLUMBING UNDER SLAB TIME 01 00 7/09/09 DA July 8 2009 4 07 03 PM 1pangrle ANDRES 206 356 6510 GROUNDWORK PLUMBING (SERGIO S MEX REST BAR ADDITION) AFTERNOON July 9 2009 4 54 16 PM jlierly provide clean sand for backfill around dwv/also water in test head is not in pipe check leak and refill/jll July 13 2009 9 39 11 AM permits PL1 02 7/10/09 PB PLUMBING UNDER SLAB 7/13/09 AP July 13 2009 9 39 51 AM permits July 13 2009 9 40 58 AM pbarthol PL2 01 7/20/09 PLUMBING ROUGH IN July 20 2009 8 52 32 AM 1pangrle ADNRES 206 356 6510 ROUGH IN PLUMBING LATER AFTERNOON COMMENTS AND NOTES PREPARED 7/13/09 9 41 11 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/10/09 ADDRESS 205 E 8TH ST SUBDIV TENANT NBR SERGIO S MEXICAN REST CONTRACTOR DISCOUNT WATER HTRS & PLMB INC PHONE (206) 356 6510 OWNER DAVID / JANET ERICKSON PHONE (360) 808 9919 PARCEL 06 30 00 0 2 3064 0000 APPL NUMBER 09 00000420 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 7/09/09 JLL PLUMBING UNDER SLAB TIME O1 00 7/09/09 DA July 8 2009 4 07 03 PM 1pangrle ANDRES 206 356 6510 GROUNDWORK PLUMBING (SERGIO S MEX REST BAR ADDITION) AFTERNOON July 9 2009 4 54 16 PM jlierly provide clean sand for backfill around dwv/also water in test head is not in pipe check leak and refill/jll July 13 2009 9 39 11 AM permits PL1 02 7/10/09 JLL_ -) PLUMBING UNDER SLAB _ '1 ///J July 13 2009 9 39 51 AM permits r7 (-- COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES. Correction Notice I Z> C�> . - r F -Job Located at l.nspection of your work revealed-that-the.f ol-lowing-is not-in accordance with the code$, governing the work in. this jurisdiction ED-1 kj k ( a These corrections must be. made and- are not to be covered until reinspection -is made When corrections have been made, please call' t!�f'":1 - for inspection Date 5 -6 J, Inspector for Building Division 00 NOT REMOVE THIS TAG PREPARED 7/09/09 10 59 48 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/09/09 ADDRESS 205 E 8TH ST SUBDIV /• ~ TENANT NBR SERGIO S MEXICAN REST CONTRACTOR DISCOUNT WATER HTRS & PLMB INC PHONE (206) 356 6510 OWNER DAVID / JANET ERICKSON PHONE (360) 808 9919 PARCEL 06 30 00 0 2 3064 0000 APPL NUMBER 09 00000420 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 7/09/09 PLUMBING UNDER SLAB TIME O1 00 July 8 2009 4 07 03 PM 1pangrle ANDRES 206 356 6510 GROUNDWORK PLUMBING (SERGIO S MEX REST BAR ADDITION) AFTERNOON C EN S AND NOTES � � � 0 a )) Linda Pangrle Sergio's From Ken Dubuc To• Linda Pangrle Date: 6/4/2009 8 06 AM Subject: Sergio's Linda The designer has changed the plans for the remodel in order to lower the occupant load. With the new occupant load under 100,they do not need to sprinkler the building I have seen the change via email, however I would expect that they would need to route updated plans through you. It would probably be a good idea for you to contact them and request the updates,I don't know if they know they need to do that. Once you receive the updates and route them to me,I will amend the comments in HTE. Thanks, Ken (6/4/2009) Linda Pang rle Sergio s Page 1 From Ken Dubuc To Linda Pangrle Date: 6/4/2009 8 06 AM Subject: Sergio's Linda The designer has changed the plans for the remodel in order to lower the occupant load. With the new occupant load under 100,they do not need to sprinkler the building. I have seen the change via email, however I would expect that they would need to route updated plans through you. It would probably be a good idea for you to contact them and request the updates, I don't know if they know they need to do that.Once you receive the updates and route them to me, I will amend the comments in HTE. Thanks, Ken (5/15/2009) Linda Pangrle Sergio's restaurant plans to expand Page 1 From Linda Pangrle To• Jeff Young Date• 5/15/2009 3 04 PM Subject: Sergio's restaurant plans to expand Hi Jeff Sergio's Mexican Restaurant(205 E. 8th St.)applied for a permit to expand into the unit next door Their permit number is #09-420 The new area will be a karaoke bar and dining area. They will have a sink for preparing drinks, but no cooking will be done in the new addition. They claim that all the dishes will be washed in the existing restaurant kitchen. It doesn't appear that they will be pouring greasy things down the bar sink or floor sink. Here are some contact names and numbers if you need more information. The business owner's name and phone number are: Sergio 452-8434 The contractor's name and phone number are• Andres Sanchez 206-356-6510 They will get a backflow device for their carbonated beverage machine, Please approve or disapprove it in HTE(permit#09-420) Thanks, Linda °�s°�7A" ION Print in ink �Fs BUILDING PERMIT APPLICAT CITY OF PORT ANGELES Q CY'J? l IlD For City Use Only- V__ V=—� Attn Building Permit Technician ��(' 1 5��.� Date Received - �C3 321 E. Fifth St. Port Angeles WA 98362 20�3 j Permit# ® , (360 417-4815 fax (360) 417-4711 ate Approved /? �V�Yels J Q+�G��Z w/ l�cscoalPlok,�,►�� �nG � _ � _ Re i5q Applicant D Ph e 66 5-z$" "r Property Owner o Phone 30 106L9-10719 Property Owner's Ad ress N4 PA t�Pr t8'3�3 Contractor t �. ,e„r jRchone M6 3-56 4�510 Contractor's Address �(�. _i4to k 079 ea i� M �-muAk- W A 9e 1Oy License # M I S C.;pcj H qfj jKr ExNires E-mail 2441 -5AACI&P-z.6l W400'66' PROJECT ADDRESS ser9'es-►�"'�` to '�` Parcel Number 83 -,K/ 7 Lot Zoning krtTir Y_ Project Type & Brief Description. ❑ Residential ❑ Multi-family ® Commercial ❑ Industrial Check all that apply ❑ New Construction p . yi k ,p�y(, avYG�2 GCS xAddition vvL i to 1 4 l o� V, x Remodel j)� Vvt— - ❑ Repair CCXpl�t �L ❑ Demolition q e— S ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sa. Basement !2 5-00. (s @ $ per sq ft. _ $ 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch a`wilny Deck U0 Shed �y� ��e��w Other TOTAL VALUATION $ BGo Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures 9 ft. Occupancy group _Y0 #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this _application and know it to be true and correct. /am aut4topr thi nd understand that it is my res onsibility to deter ine/�whatt permits are required, and to�,btain pemits pprojects Date Pnnt Name N �tc�y�?� satte�e°Z Signatur _ T Form /Building Division/Bldg Permit doc (0l8 f a 9 pevi sed p lans urevz s�b►� r (per �? r,�xrrt-) avot d� n e �ng -� t Y)S-fa.l( �i r- S Prt pkle4� o ; e _Y a � '�' �" �v c" � -, � � ,n s «� a- ,t >4 ,_ ;g �" y` _ y Q.t��YY sQ ^,�� � =2 r �- 'ur � 1 �� � � �` ' � a ,��, -�, �� e�� � � � f` �, ; �� � ,: ` O s� �� � T� rt�$3a �` � 4 o,,.•k ,,1, CERTIFICATE OF OCCU.i ANCYAPPLICAT1OtT Permit#_ ` rryLl 2' CITY OF PORT ANO;LES to P� - I FEES Attn B jilding Permit Technician $50 Certificate i Inspect:on ,! ` 321 E Fifth St. Port Angeles WA 98362 I� (360)417-48 5 fax (360) 417-4711 0 00 Parking Business Improvement Area.(PBIA) � Print in nk fee charged for downtown locations BUSINESS-NAME V � �, O01(aI�t� BUSINESS ADDRESS �yt 1. Zoning Business mailing address � Phone# Opening date Das & hours of o eration c`We -W 1 D " Z Washington State Tax I D # If known list the n8me,of-the previous ��� business at this to ation Vie C a Brief description of proposed business �lirt�k er I O 1�C pap�.t 4_ liile KcraoQI Business owner's name Phone# - 6)- �S- Business owner's home address $ 1.ave.t 9+- r PLEASE NOTE. l n X o' ")d 1101 nextAII co r !tom cGS� (y '4'1-ye s- urunl�=� A Business License is also required for the following businesses-Taxi Peddlers Second-hand dealer Pawnbroker Dance Hotel- Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT Electrical changes ,e;,2> I Electrical Dept. at 417-4735 New business New or relocated signs AJO Building Div at 417-4815 Construction changes Transfer of business Mechanical changes ventilation, heating,cooling,etc. location from a Plumbing changes PBIA location Firesprinkler system changes Fire alarms stem changes New or relocated sewer or water service Public Works at 417-4807 Transfer of business Excavation or filling of lots location from a Work done in the City right-of-way non-PBIA location New driveway openings Change of ownership Grading site drainage(parking lots,,downspouts,etc.) Landscape irrigation system(backflow devices) Water Dept.at 417-4886 Is this a home occupation? PlanningDiv at 417-4750 Remodel Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 Temporary business Is there off-street parking for this business? Ve,5 'How many spaces? Is the street in front of this businesspaved? Is'there a sidewalk in front of this business? 16 Change of use Is there a curb& utter in front of this business? Call for Certificate of Occupancy inspections before opening business. pease sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this appligiation and state that the information I have supplied i co ct to the best of my know edge Date Print NameC� 1,�:z Signature AA- For City use only Department Approved Rejected Comments/Conditions Initials&date Initials&date Building Type of construction Occupant Load Fire Automatic fire sprinkler system required no yes PBIA I ^� \ _sem �_•� �� `^ PlanningT City Clerk Public Vlorks T.Forms/Bu iding Divisior/Cartdi of Oc ipancy Application .— ;/ City of Port Angeles Permit Application Fff ) RECEIVEDf s*(ArBuilding Division/Electrical Inspections DEC 2 2009 321 East Fifth Street—P.O.Box 1150 *0116Port Angeles Washington,98362 ELECTRICAL Ph.(360)417-4735 Fax:(360)417.4711 INSPECTIONS Date/y Z-Z.?f �r _1 &2 Single Family Dwelling Colti-Family or Commercial* mmercial Addition/Alteration 1 Remodel!Repair* N *Plan Review May Be Required lease Complete-Electric Ian Review Information Sheet Job Address: Building Square Foot ge: Description of above Owner Information ContractorsInfor n Name. �]r�W VZLC-V, ,b� Name: "r,-_ Mailing Address: 1'14 T)4DrnPso+� �� Mailin Address: - yo `;.e1.vr� City' 'V iA State._ + Zip City. Statgty Zip �6 Phone. Fax: Phone--?4o-ell/Li_7Eax: 366 License#/Exp License#/Exp !;je/e 2 c 9:3 a Unit Charge y Total (Qty Multiplied bV Unit Charge) $ 93.75 $ Service/Feeder 200 Amp. $11375 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601 1000 Amp. $291.25 $ Service/Feeder over 1000 Amp $ 2.00 $ Branch Circuit W/Service Feeder $ 57.50 _�� $ Branch Circuit W/O Service Feeder $ 2.00 $ Each Additional Branch Circuit $ 72.50 $ Temp.Service/Feeder 200 Amp. $ 86.25 $ Temp.Service/Feeder 201-400 Amp $116,25 $ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp Service/Feeder 601 1000 Amp $ 75.00 $ Portal to Portal Hourly $ 69 OD $ Sign/Outline Lighting $ 75.00 $ Signal Circuit/Limited Energy Commercial $ 5000 $ Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 5000 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 93.75 $ Manufactured Home Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 5750 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat $ 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. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C. RCW Chapter 19.28,WAC.Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications. Signature of owner electrical contractor or electrical administrator ❑ Cash VCredit heck / Dat,/g '� e Card# OZL/ i ` CITY OF PORT ANGELES �1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION > 321 EAST 5TH STREET PORT ANGELES WA 98362 f. Application Number 09 00000420 Date 6/19/09 Application pin number 678160 Property Address 205 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 3064 0000 Tenant nbr name SERGIO S MEXICAN REST Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 25000 Application desc TI EXPANDING TO MAKE A BAR/DINING AREA NEXT DOOR Owner Contractor DAVID / JANET ERICKSON DISCOUNT WATER HTRS & PLMB INC 144 THOMPSON RD 15620 HWY 99 STE 19 PORT ANGELES WA 983639740 EVERETT WA 98204 (360) 808 9919 (206) 356 6510 Structure Information 000 000 TI EXPAND INTO NEXT UNIT (BAR/DINING) Other struct info HARD SURFACE AREA Permit BUILDING PERMIT COMMERCIAL Additional desc TI EXPAND NEXT DOOR Permit pin number 145607 Permit Fee 417 75 Plan Check Fee 271 54 Issue Date 6/19/09 Valuation 25000 Expiration Date 12/16/09 Qty Unit Charge Per Extension BASE FEE 95 75 23 00 14 0000 THOU BL-2001 25K (14 PER K) 322 00 Permit PLUMBING PERMIT Additional desc Permit pin number 145615 Permit Fee 100 00 Plan Check Fee 00 Issue Date 6/19/09 Valuation 0 Expiration Date 12/16/09 Qty Unit Charge Per Extension 00 BASE FEE 50 00 3 00 7 0000 EA PL PLUMBING TRAP 21 00 1 00 7 0000 EA PL-WATER LINE 7 00 1 00 7 0000 EA PL-BACKFLOW PROTECTION <OR=2 7 00 1 00 15 0000 EA PL SEWER LINE 15 00 Special Notes and Comments May 13 2009 10 36 26 AM kdubuc 2006 International Fire and Building Codes 903 2 1 2 requires that all A 2 occupancies with an occupant load over 100 be equipped with fire sprinkler systems June 15 2009 8 39 45 AM kdubuc 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. Q S2Y 1� 0-5 - 7� Date Print Name tgnature of Contractor or A orized Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit n 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 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 Page 2 Application Number 09 00000420 Date 6/19/09 Application pin number 678160 Special Notes and Comments Occupant load based upon seating must remain below 100 or a fire sprinkler system will be required per IBC and IFC Addendum to revised plans (received 6/12/2009) show an occupant load less than 100 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 517 75 517 75 00 00 Plan Check Total 271 54 271 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 793 79 793 79 00 00 Separate Permits are required for electrical work,SEPA, Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit n BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 CP Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 .� 1 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rou h-In Water Line(Meter to Bldg) Gas Line O'-td Back Flow/Water FINAL Date02– Accepted b AIR SEAL. Walls Ceiling FRAMING $ rj��q 3LL Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) �Q T-Bar –} INSULATION s Slab Wall/Floor/Ceiling 1i1 MECHANICAL. --� Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting A� Q PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. �O Landscaping SHORELINE. Q FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW I Engineering 417-4831 7p Fire 417-4653 Planning 417-4750 Building 417-4815 Q Q l— 16 —SLA— ®� T.Forms/Building Division/Building Permit �� CER : ;F 1C�ATE ®F GC,C& �'NCYAPP LNT I CATIQPermit# 0fi4 r'' - - CITY OF PORT ANGELES S �� `n �� FEEs _— — - � � i Attn. B !.iding Permit Technici �an $50 Certificate i Inspection � 321 E Fifth St. Port Angeles WA 98362 (360) 417-48�5 fax (360) 417-4711 000 Parking Business Improvement Area (PBIA) G Print in nk fze charged for. downtown locations BUSINESS-NAME BUSINESS ADDRESS �` � , Zoning Business mailin .address <. ct e, Phone# G Opening enin date Das & hours of o eration -W 1 P P` ` ` Z Washington State Tax I D # If known list the, name of the previous business at this'.lo ation ,V)e Cirri( 511006 a .Brief description of proposed business �� ` CrYt�►1 (per SeFc0 Business owner's name Phone# - �S- Business owner's home address 7S J,&uc'\ PLEASE NOTE. (�X Pond 1 V�-9 Y1CXt Ot CO r '��lL' E C sf pi �-1-�e i�s-f a v'Cz T) A Business License is also required for the following businesses Taxi .Peddlers Second-hand dealer Pawnbroker :Dance Hotel- Motel Fireworks Ambulance Tattoo shop- Contact the City Clerk at 417-4634 for additional information ACTION ✓ 1 z_ ? NOV YES,/ 'IF YES CONTACT e_5- Electrical Dept..at 417-4735 _ tic) Building Div at 417-4815 New business S L ,v© e Transfer of business l (1 0 CL/4(� �'�G�, location from a J,}-�'�'� PBIA location / �+✓W l YYI�Y TO .��y-� Public Works at 417-4807 ' Transfer of business J location from a non-PBIA location I Y� ;•�{�.�' Change of ownership r Water Dept.at 417-4886 Remodel / �LV U PlanningDiv at 417-4750 V City,Clerk.at 417-4634 �/. 1 e, How many spaces? Temporary business 4 Change of use k ! 4p� � ^ Call for Certificate of OccupancV inspections before opening business. Please sign-up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum.24-hour notice for inspections I hereby-apply for a Certificate of Occupancy I acknowledge that I have read this appli tion and state that the information I.have .supplied is con- ct to the best of my knowledge - Date�% Print Name f-1 �Fi Signature For City use only, Department Approved Rejected Comments/Conditions Initials&date Initials&date Building Type of construction Occupant Load Fire Automatic fire sprinkler system required r r no yes PBIA �er)"A' �5 fV© a4a.�-f}�G,lf+- Planning If ,ay Clerk Publi- _J T FormslBu idi Div nIC -cc jandy Application Rr,,,, CERTIFICATE OF OCCUPANCY APPOCA T10ff' Permit# CITY OF PORT ANGELESsee, J P FEES Attn Building Permit Technician +, /I ` 321 E. f fifth St. Port Angeles WA 98362 $50 Certificate / Inspec .on 321 E. Fitt 15 fax (360) 417-4711 0 00 Parking Business Improvement Area(PBIA) Print in nk fee charged for downtown locations BUSINESS NAME (11 V-1�- aUravq-,-,v BUSINESS ADDRESS Zoning Business mailing address ct Phone# Opening date Das & hours ofoperation - -Weex- FV0, I -"'ID P'- Z Washington State Tax I D # If known list the name of the previous call 5 j II�� s business at this to ation I)e C Brief description of proposed business w` cyav, 6per Serg l0 faui- 11 Business owner's name Phone# -4 A/5- �S- Business owner's home address 94-- \ PLEASE NOTE. (t�X PoY)d 11719 next-J co r +D -T 1'"e- E c Sf Oi �S'�at U�CZtr1 1 A Business License is also required for the following businesses-Taxi, Peddlers, Second-hand dealer Pawnbroker Dance Hotel- Motel, Fireworks,Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT Electrical changes e_55 Electrical Dept. at 417-4735 New business New or relocated signs BuildingDiv at 417-4815 Construction changes O Mechanical changes ventilation, heating,cooling,etc. e Transfer of business Plumbing changes location from a Firesprinkler system changes PBIA location Fire alarm system changes fill 1, Transfer of business New or relocated sewer or water service Public Works at 417-4807 location from a Excavation or filling of lots non-PBIA location Work done in the City right-of-way New driveway openings Change of ownership Grading site drainage(parking lots,downspouts,etc. Landscape irrigation system backflow devices) Water Dept.at 417-4886 Is this a home occupation? PlanningDiv at 417-4750 Remodel ✓ Is.this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 Temporary business Is there off-street parkingfor this business? How many spaces? • Is the street in front of this business paved? Change of use Is there a sidewalk in front of this business? Is there a curb&gutter in front of this business? Calf for Certificate of Occupancy inspections before opening business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby-apply for a Certificate of Occupancy I acknowledge that I have read this appli tion and state that the information I have supplied i co ct to the best of myk�now edge 1 ' Date O Print Name Signature For Ci use I Departm nt Approved Rejected Comments/Conditions lrliti4ls&date Initials&date Building ' (.0 Type of construction Occupant Load Fire Automatic fire sprinkler system required no yes PBIA .......... . -- Planning P, City Clerk &V 5Z� Public Works w �=��� T:Forms/Building Division/Certificate of Occupancy Application t.5^, '� t4 `"4e T � ` �; t�+:"#n• t T ''s a '»�'�-a�'�;�<r :�i>;y'�"" �5 ^n+��a703� ; l '.JI-',rd�'tttt � r§Y � `�tv ` '`'¢" .rpt, � �"• ,.= n .� �ri�- ,+ +u a 4•r. s t� �}iG�*�^`:��..�'v���' Jl Yiv - t-�' i ,�•E r�i '�''.t. ��.a `r��� �rv,•i>5 � r ,� �I 'i�ti.,', 1 i, � f,"t"t+�Y ` 4i��` � . �y'','hrt Yl�`a'�� �r', t ''�`'t�' a f y,��,+N'r�-v F[ +a � ° •ef ~i•,A�j S'� h 5"• trN+Y:.� ,�R [ Fr,. � �Y'6,r' S} :(h�'a.s.'�;a`T, ,`Mi�,��, R _ "',�4,�e,y' ., '"`,psi„ ,'-r, :f,•'"�;' ��=_. i,'�I� .�.tY_4a;�';?.'.t` ;�_sa 3- r�as,+v,'.�;� - ,� - - .7 .t n- fit „•N. ���1�'"` fi.` ``3q°. .K�6§. 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'lt,Kf -1..' ;ya°., `�..w�' .'S`� K���`;< Jj9�J�'t`:{''%t J •,k1�fa=,K,4--.,aw`.ae',�d�j�_''T °y,W1'iFc.,,..;r(•,�tt` a W IM • A '���� ', 1 .},. � d t ,.:,`� ` �♦ �� '� �'��. , .,. .rip '�'zt'Ya %. `- tsIt" }g r' _ '-1=�''' { ("iri�.��" I��' ;r.`A'!7 3 f°• JR'�,',fi`L.OF � � j4. ` ':� 4¢Y'i, t r' d- i'{ .% 1 .1:r c',r,��;.&�, r - P3i.,�t' .rl ..�-. ':Vtv�' '°` •t=,��d .,sydPc,'C�r.:Ay,... �T - �r +.ter_ .�f' '�°d`t"i��>�• ,;'�Xr,. '3A -r<.°��v"-� S n S, (!� =v+ryt: _'•'.�_�' .� ➢P �y 1: �F i{� �r �"°`i`L .A.; fi'� { �C �`1t,':,KK e +' � t CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building ' construction or use. For thefollowing: Use Classification: Retail Building Permit No.: 04-318 Business Name: Selah Gifts and Espresso u � Group: B Type of Construction: V-N Use Zone:.. CN Owner of business: Selah Gifts and Espresso Address: 126 Westl st. St Port Angeles;{WA 98362 Building Address: 205 East 8th Street, Port Angeles, WA 98362 August 27, 2004 Building Official Date Post on the premises in a conspicuous place. Shall not be removed except by Building Official. 1 � Ise ' _ ' ROUTING SLIP (f�� Certificate of Occupancy OL (�1 $ Certificate/Inspection Fee DATE wmly New Business Address of Props Buspqs. Transfer of Business Location . . . . . . . . . . . . . . . . ( X ) Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant ElG New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Add ss Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: b nesstl&457— home 3Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . . . . . . . . . . . . ............ X PERMITS BUSINESS LICENSE Electrical changes. . ... . .. . . . . . . . . ........... ... _>C— 1) Building 1) Taxi Mechanical (heating, cooling, stoves)...... . . . . .... _ 2) Plumbing 2) Peddlers Plumbing changes . . . . . . . .. . ... . . . . . . . . . . ... ... 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . ... . . ....... . . . .. . ...... 4) Mechanical 4) Pawn Broker New septic tanks . . ... . . . . . . . . . ........ . ..... . . . X 5) Sewer 5) Dance New sewer service . . . . . . . . . . ............... . . . . X 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons.................... 7) Driveway installation 7) Fireworks Is this a home occupation? .. .................... _ 8) Curb installation 8) Ambulance Excavation of filling of lots . . . . . .................. 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . ............... L 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... 11) Fire New driveway openings . . . . . . . . . ..... . . . . . . . .... 12) Occupancy A grading plan for site drainage. . . . . . . . . . . . . ...... V 13) Sign (parking lots, downspouts, etc.) . . . . . . ............ 14) Shoreline Are the existing streets paved? . .................. 15) Home occupation Are there existing sidewalks?. . ................... 16) Conditional use Is there curb and gutter? . . . . . . . ................. 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . .. I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: - information I have supplied is correct to the best of my knowledge. Signed: ,ROVED EJECTED Comments / Conditions Building Section Public Works Department 'Si° Planning Department Fire Department - I-0 -p�) City Clerk P.B.I.A. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000876 Date 9/11/03 Property Address . . . . . . 205 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3064-0000- Application description . . . COMM NEW CONST Subdivision Name . . . . . . Property Zoning . . . . . Application valuation . . . . 280000 OWner Contractor ________________________ ________________________ ERICKSON DAVID K CRESCENT DEL. INC. 144 THOMPSON RD P. O. BOX 41 PORT ANGELES WA 983639740 JOYCE WA 98343 (360) 928-2560 ------ Structure Information NEW 6100 SF COMMERCIAL BLDG PHASE I ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST Other struct info . . . . . NUMBER OF UNITS 3.00 ____________________________________________________________________________ Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional deac . . NEW 6100 SF COMM BLDG PHASE I Permit Fee . . . . 2025.25 Plan Check Fee 1316.41 Issue Date . . . . 9/11/03 Valuation . . . . 280000 ^IT Expiration Date . . 3/10/04 Jl Qty Unit Charge Per Extension 7 BASE FEE 1017.25 (� 180.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 1008.00 �' V ______________________ Permit MECHANICAL PERMIT �f1 Additional deac Permit Fee . . . 98.35 Plan Check Fee .00 Issue Date 9/11/03 Valuation 0 Expiration Date . . 3/10/04 ) Qty Unit Charge Per Extension ` �^ BFEE 47.00 �' \ 3.00 14.7000 ECH ME-E- INSTALL 100- PAU 44.10 1.00 7.2500 ECH ME-VENT FAN 7.25 ------__:_:__________--------___-______________________-_ Permit PLUMBING PERMIT v Additional desc . Permit Fee . . . . 204.00 Plan Check Fee .00 Issue Date . . . . 9/11/03 Valuation . . . . 0 Expiration Date . . 3/10/04 O Qty Unit Charge Per Extension BASE FEE 47.00 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00 3.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 21.00 3.00 15.0000 HCH PL- EA. BLDG SEWER 45.00 3.00 7.0000 ECH PL- EA.WATER HEATER 21.00 ___________________________________________________________ Special Notes and Comments Before a foundation footing inspection is requested, a complete soil compaction test from a soils engineer must be - supplied to the building dept. ____________________________________________________________________________ Other Fees . . . . . . . . STATE SURCHARGE 4.50 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Taws and ordinances governing this type of work will be complied with whether spa ' ' d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or I cay law re lating construction or the performance of construction. �G Signature of Contractor or Authorized Agent Date ignature of Owner(if owner is builder) Date T:\PLANNINGTORMS\1102.15[4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 03-00000876 Date 9/11/03 Fee summary Charged Paid Credited Due ----------------- ---------- ________ Permit Fee Total 2327.60 2327.60 .00 .00 Plan Check Total 1316.41 1316.41 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3648.51 3648.51 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date TAPLANNING\PORMS\1102.15[4/20021 1 ��f I •trN (,0NSIRI)CIION To RE RFI.()(:+TED. COORDINATE / 1 15.0 I �L��4 RECONSTRUCT EX. SIDE 5EWEF,1I RELOCATION WITH PROPFR UTILITY V I -To APARTMENT BUILDING AS I COMPANIES i NECESSARY ' INSTALL W U � i EXISTING WOOD WA1"EQUIRED WAY I 45' ELR � O I TO REMAIN DEMO EXISTING FENCEFORCONSTRUCTIOr _ Iii 10 HE REM OVED� -_ .— 8"0 PVC iA "IL_010RIN CCNCOI N(�/�L,LE�Y = f,ENTL FL INC lRJC01N ST. INSTALL R(1Ll ARO MEMO EX. CURD, GUTTFR—��I L C IR POS 0 P (; Si 2M DI,AIN GY TYPE 1 AND SIDEWALK AND REPLACE EX. UTILITY POLE WITH NEW PER DETAILS TO REMAIN, RELOCA 7E _ 1z; GUY WERE. COORDIN A7 3 y L " TL I 11 iR WITH CITY. - L I.✓`� ''� I i l�l , !6 I N I �y J4 .I� REPLACE EX. 4"0 SIDE SEWER WITH NEW 6"0 PVC SIDE SEWER ! I LtJ I PROPOSED BUILDING - 50'j '2 O( lI F.F.=MATCH EX. RLOG f 1 roh JET by Geo L / �� ti IVU , FIND CX. CURB, GUTTER V I --�- AND SIOFWAI K AT FX. DRIVEWAY RAMP (( AND REPLACE WM11 NEW STANDARD • ` I�'! 71 N q{, 1 !� I�(,fTI' CURB GUTTER, AND SIDEWALK I I I r '� LOADINGS LOAOI G' �qT ` r as 1 r �T UNLOADING. z I1NlOADINQ �/L r r I { �1�}N ! f)IDI, A� ` I f}JE ' r HJG I6 ` / r I r (VqN 'AC'CESSfBLE n P S PV INSTAEL1; r P�4 Q o 54979 TYPE1 I I: 'er t---'' I 1 q INSjALi f0 11V TYPE 9 fl ('�• w T 11 / r DEMO EX, CURB, GUTTER '� ) 1 1 N I I ',nTu1 J I I r AND SIDEWALK AND REPLACE—_ 1 I r r I r __ �• WITH NEW PER DETAILS KEYI -__ - -'—_ - —. _ . . -.- ' _`.i__�__ �� alp '---'---- CNISIIN(i PROPERTY LIN[ �y '-- - --- - EXISTING CENTER[ I V I I I STREET ----- ---- EXISTING SIDEWALK AND CURB I I EXISTING DRIVEWAY \, cR 'r �+ PREPARED 4/09/04, 12:29:28 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/09/04 ----------- ------------------------------------------------------------------------------------ ADDRESS : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 928-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000896 COMM NEW CONST ________________________________________________________________________________________________ PB IT: BPC 00 BUILDING PEHNIT - CGMMBRCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------_____________________-------------.-..--_.__-_._------_------------------------------ ELM O1 10/14/03 dLL BUILDING FOUNDATION MONO SLAB 10/14/03 AP Main Slab form inspection PH4 460-4692 partial insp. slab and plumb next to lincoln st ok/jim BLM 02 11/03/03 ILL BUILDING FOUNDATION MONO SLAB 11/03/03 AP East 1/2 slab BL9 01 1/28/04 RV BUILDING SHEARWALL 1/28/04 AT Chris 460 4692 BAIR 01 3/26/04 SLL BUILDING AIR SEAL 3/26/04 AP BL3 01 3/26/04 ILL BUILDING FRAMING 3/26/04 AP BLWS O1 /09/04 IL• I BUILDING INSULATION WALL/FLOOR CHRIS 460-4692 __ _ -4------------ COMMENTS AND NOTES -------------------------------------- T PREPARED 8/19/04, 13:46:42 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/19/04 ------------------------------------------------------------------------------------------------ ADDRESS : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 928-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000876 COMM NEW CONST ------------------------------------------------------------------------------------------------ PBRMIT: BPC 00 BUILDING P�IT - CQlDBB2CIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLM 01 10/14/03 JLL BUILDING FOUNDATION MONO SLAB 10/14/03 AP Main Slab form inspection PH# 460-4692 partial insp. slab and plumb next to lincoln at ok/jim BLM 02 11/03/03 JLL BUILDING FOUNDATION MONO SLAB 11/03/03 AP East 1/2 slab BL9 01 1/28/04 RV BUILDING SHEARWALL 1/28/04 AP Chris 460-4692 BAIR 01 3/26/04 JLL BUILDING AIR SEAL 3/26/04 AP BL3 01 3/26/04 JLL BUILDING FRAMING 3/26/04 AP BLWS 01 4/09/04 JLL BUILDING INSULATION WALL/FLOOR 4/14/04 AP CHRIS 460-4692 BL99 019 4 JLL BUILDING FINAL 'D Chris 460-4692 Restaurant units B & C remaining ---------------------C�hVl% ---- COMMENTS AND NOTES -------------------------------------- PREPARED 3/26/04, 12:57:23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/26/04 _ _________________________'_______________ ADDRESS 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 928-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000896 COMM NEW CONST PERMIT: BPC 00 BUILDING PB IT - C0MM02CIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------- __--__-----------___.______-----------_ HLM 01 10/14/03 JLL BUILDING FOUNDATION MONO SLAB 10/14/03 AP Main Slab form inspection PH# 460-4692 partial insp. slab and plumb next to lincoln at ok/jim ELM 02 11/03/03 JLL BUILDING FOUNDATION MONO SLAB 11/03/03 AP East 1/2 slab BL9 01 1/28/04 RV BUILDING SHEARWALL 1/28/04 AP Chris 460-4692 BAI 01 3/26/04 BUILDING AIR HL3R O1 3/ 4 BUILDING FRAMING 2,6 L -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/25/04, 12:09:31 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/25/04 ------------- ------------------------------------------------------------- ADDRESS : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 926-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000876 COMM NEW CONST ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS _______ PL1 01 10/14/03 JLL PLUMBING UNDER SLAB TIME: 17:00 10/14/03 AP Hopes the plumber will get it all done in time. Make this one a late P.M. inspection. PH4 460-4692 partial inspection on the west half of the slab and plumb rough ok to pour jim PL1 02 11/03/03 JLL PLUMBING UNDER SLAB TIME: 17:00 11/03/03 AP Underslab plumbing, 3rd and final pour for slabs center portion of plumbing and slab steel ok to pour/jim PL2 01 3/25/04 JL, PLUMBING ROUGH-IN TIME: 17:00 DAVE 809-0161 JIM, COULD YOU ASK THE OWNER OR CONTRACTOR TO HAVE SERGIO BRING IN THE COMPLTED APPLICATION FOR THE HOOD & SUPRESSION SYSTEM SO I CAN PROCCESS THE PERMIT. WE HAVE THE PLANS BUT NO APPLICAION.THE OWNER OR BUILDER ALSO NEEDS TO PAY FOR THE PUBLIC WORKS PERMIT,TAKE RECEIPT FROM THE BIN WITH YOU. ------- COMMENTS AND NOTES -------------------- --------------- PREPARED 1/28/04, 12:37:39 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR ROGER SEES DATE 1/28/04 . .----------------------------- -------------------------------------------------- ---___ ADDRESS : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 928-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000876 COMM NEW CONST PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---_-------------------__ . --_.................... _-_..................... ELM 01 10/14/03 JLL BUILDING FOUNDATION MONO SLAB 10/14/03 AP Main Slab form inspection PH# 460-4692 partial insp. slab and plumb next to lincola st ok/jim ELM 02 11/03/03 JLL BUILDING FOUNDATION MONO SLAB 11/03/03 AP East 1/2 slab BL9 01 1/28/04 RV BUILDING SHEARWALL J— 2i1go' Chris 460-4692 __ ... ------------------fl�------ COMMENTS AND NOTES ----------------------- INSTALL CMS714 STRAP FOR LENGTH OF BUILDING. NAIL EVERY HOLE WHERE STRAP ALIGNS MiH ROOF SHEA THING HOLE WALL BELOW, LIG AT T 0 ,,< STAGGERED ELSEWHERE. INSTALL TOP CHORD OF STRAP OVER ROOF SHEATHING TRUSS(BY OTHERS) DOUBLE 2X6 BLOCKING <,.. BETWEEN TRUSSES FOR LENGTH ' OF BUILDING. INSTALL CMSH4 STRAP APA RATED SHEATHING o1 Q FOR LENGTH 01 BUILDING. NAIL EVERY AND NAILING PER SM HOLE WHERE STRAP ALIGNS"TH BLOCK ALL EDGES 1 DATABLE 2x BLOCKING BETWEEN a EGG WALL BELOW, IOa AT 6 O0. TRUSSES T=LCE PFO RTCc SHE. THNGINSTALL !, �iRAP O F ROCP SHEATHING 4X BLOCK ATTACHED \IY/ TO DOUBLE i6 PLATE VENT HOLES PER CODE SHEATHING BL CKING N, \ NTH I6a Ai 6' CC t ,J TO DOUBLE BLOCKING BEI WEEN - PR'Y',EE /'N LA-ICE' PER CODE // SILL D5 AT SHEAR WALL O LOCATIONG INSTALL 2% STUDS EACH (oEE DETAIL TO RIGHT FOR BLOCKING) SIDE OF TRUSS WHERE $HEATew6 (SOFFIT AND ROGCI REOVIRED AT SHEAR WALL LOCATIONS 16-5 3/6 12 � ROOFING BY OTHERS TRUSSES BY OTTERS �� BRUES BLOCKING/SHEATHING TSSNG DETAIL NO SCALE SHEATHING TO ETEND TO DOUBLE BLOCKING BETWEEN TRUSSES PRONOE VENTILATION PER CODE 1X6 VERTICAL TRUSS MEMBER - Ai BEARING WALL 112' GWH OAR RATED SHEATHING 5/8' CWB PER SHEAR WALL SCHEDULE R-38 INSULATON WHERE REGUIREO PER PLANS ' DOUBLE TOP PLATE 1/2'GWB SIDING OAR RATED SHEATHING INSULATION PER CODE PER SHEAR WALL SCHEDULE �f > N, Revision/Issue Date Ap,POf W nnG NEwWE Ox�a emwxo i 1.L W`PNE XIDFECLES,ws OPTIONAL TRUSS/ WALL DETAIL y r� TRUSS ROOF FRAMING OPTION NO SCALE IN, GAVE ERICKSON DRAWING. wxryT/022X2/E22XuHPuxA-R[v0w �o R 32777 O 42"¢ 144 THOMPSON ROAD ,w NO SAecT e FCISTERE i PORT ANGELES. WA 98363 02232 `rS'ANAL CHG AA, ENOVIC& 'L..'sT IW NOVEMBER 2003 1 EXPIRES: 8/12/04 ZASSDCIATES vx X 11.1X'.w�O1X.0 zc.LL oRArzo IFA:1XeA)417—um' AS NOTED VT 1 PREPARED 11/03/03, 12:16:07 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/03/03 ------------------------------------- ----------------------------------------------------------- ADDRESS . : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 928-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000876 COMM NEW CONST _ -..------------------- PNRMIT- PL 00 PLUMBING PBHMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL1 01 10/14/03 JLL PLUMBING UNDER SLAB TIME: 17:00 10/14/03 AP Hopes the plumber will get it all done in time. Make this one a late P.M. inspection. PH4 460-4692 partial inspection on the west half of the slab and plumb rough ok to pour aim PL1 02 11/03/03 , LL PLUMBING UNDER SLAB TIME: 17:00 Underslab plumbing, 3rd and final pour for slabs _ --------------- --- COMMENTS AND NOTES -----^--- 5 ' PREPARED 10/14/03, 12:04:47 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/14/03 ------------------------------------------- ---------------------------------------------------- ADDRESS : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE : (360) 928 2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000876 COMM NEW CONST ------------------------------------------------------------------------------------------------- PHRMIT: PL 00 PLS ING PS IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ___________________________________________________________________________________ PL1 01 10/14/03 LL PLUMBING UNDER SLAB TIME: 17:00 Hopes the plumber will get it all done in time. Make this one a late P.M. inspection. PH# 460-4692 --------"__.__.._--------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/14/03, 12:04:47 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/14/03 ---------------------------... .---------------------------------...---------------.--------------- ADDRESS . : 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE (360) 928-2560 OWNER ERICKSON DAVID K PHONE _ PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000896 COMM NEW CONST PERMIT: HPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------..---------------------------------.---------- BLM 01 10/14/03ATL BUILDING FOUNDATION MONO SLAB `}(¢\,pjl�/'— Main Slab form inspection - ------ PH# 460-4692 - ---- CONTINUED ONTO NEXT PAGE - I . : /3s e7 erk \ J�i�t°t1A,4tt'Cv r;iclS7 rt C7 rR t FOR 0FFlC: LVSFONt.Y BUILDING PERMIT - APPLICATION J LWeRm f� 0 p >o,nn a3 7 to Fill out COMPLETELY and in INK.Your application and site plan MUST HE tt,;e A,preved. COMPLETE to be accepted for review. If you have any questions,calf (360)417 4815 Applicant or Agent: C-RPSCCA// 101-1Z2/v 2/ / L/✓{Phone: _5_Z,; - ZS(C - y6�-�/Fj 4- Owner RV f /�C _—_Phor-e: 7 ! Address: L� ThDmf SO ✓ f C� City: 02fi /( PLP1' Zip . 5� — _— Architect,Engineer: Z-P-/✓ 0 U/G _SS 0<<i f'j Phone: ContrastorG2PSCt�vT % e / x ; 03 -p S _ Yhone: y6 CYco / Address: p /_!C'k `-// City--J 0�e --WJ? Zip: PROJECT ADDRESS: 7 IS- S 4i.y C 0Z n/ or 4-0s-6.9 •K ZONING: G_ p _-- LEGAL DFSCRLPTION: Lot-10,1"I I3 Block: Z,l O Subdivision: CLALLAM COUNTY PARCEL O b 3 0000 21-? FsfhI�L22O R Credit Card Holder Name: Billing Address: —City:-- _ Credit CardlType VISA —MC # Esp.Date: TYPE OF WORK: ;•-�---- ------ - ----- ❑ Residential X New Consn. ❑ Re-roof ❑ Stove $_ ❑ Multi-fatnily ❑ Addition ❑ Move C Garage 6t Comrrsercial ❑ Remodel ❑ Demolition ❑ Deck S C Repair Cl Sign ❑ Other BRIEF DESCRIPTION OF THE PROJECT: 4:x-;Ca� COMMERCIAL/RESIDEe- A ccupancy Group: t7A/L ( I Type: /tj �_ No. of Stories:--L Lot Size ',Q S��1YpLxisting Sq.Ft. Z. Z ('� _OTAL. Sq.Ft. 10,9 ZO Existing lot coverage 2 5 %&Proposed lot coverage ZL_%-Total lot coverage — O 7 _ APPROVALS: PLANNING USE ONLY: PLAN: --- - - BLDG: 71i4�r?j - -- - —---- DPWUo FSA/Wetland(s): ❑ Yes❑No SEPA Checklistrequimd?D Yes C No Other: FIRE: -- - — I OTHER:_ RITILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information ou the dpplic:.tion and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figura:wril 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 CIIECK FEE:IF a plan check fee is�kie it most be submitted at the time the building permit application and construction plaus are submitted. All other permit fees are due at the time of permit issusac e EXPIRATION OF PLAN REVIEW: If no pemut is issued within 180 days nfthe date of application.the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upor written request by the applicant(see Section 107.4 of the 1-ruform Building Code,current edition). No application can be extended more than once. I hereby caddy[bat l have read and examined this application and know the same to ba tore and correct. i a.m,authorized to eppj✓for this permit and urderatand thai t is rr.v responsibility to determine what per,nits are,'equired,not the Ci %• and th//�^l✓✓.��m////ust obtain such permits prior to work. T:10R.%4StA.PPS0.ildingperm4 wrA Applicant: --__ Date: _�O `/ 1 "0 O pt "ILED FOR RECOR6 e i TILE RLOUEiT �U/1� �'UGlf LkS t Gv� �ECCRDff '';I Lc Sb y� 433 2003 SEP I I PM it 44 • IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I 2003 1116865 c1-11- C1 County ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (Insert legal description here) Low S l6 , / ; /Z %f i9 67zuc/,- 3cD do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 1711 of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be roved through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). . This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s),assign(s), and successor(s)in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this 2S day of _, 2003. (Owner) * a � (Owner) (Owner) (Owner) STATE OF WASHINGTON) COUNTY OF CC��LALLAM ) ss that an this r Notary Public in and for the State of Washington,do hereby cemty 'day of 20.a3 personally appeared before me UAJ, n X i icso and_ . Fal _-7AAffr;r � c .«� .1 to me known to be the individual(s)desribed in and who executed the within instrument and acknowledged that Lux —signed and sealed the same as T free and voluntary act and deed for the purposes herein mentioned.`"tttittltttllll/I GIVE nn y�ND OFFICIAL SEAL this day of L7 u G u 57r 2003 �pTAgy 9 'e to X40.04141 z Sd 'a *UBL%Q �0 --��i�OFWASN�������` NOTresidii1nTgg in and for the State of g111111lttltt��p� Washingtoat PortAngeles, AUDITOR'S RTIFI ATF Filed for record at the request of [rI C ko� t:l this L I day of -►��_2003 CLALLAM COUNT AUDITOR By: ��CC= •�t1� Y�C�L2dc" CIVIL ENGINEERING E N O V I C LAND SURVEYING & ASSOCIATES 519 South Peabody Street,Suite 22 Poet Angeles,Washington 98362 1vc0er0ea 'r2D (360)417-0501 Fax (360) 417-0514 E-mail: zenovic@olympus.ner DAVE ERICKSON PROJECT-8T" AND LINCOLN STREET PORT ANGELES, WA PLAN REVIEW COMMENTS RESPONSE LETTER-August 21, 2003 Plan review comment and response: 1. Replacement of 50'+/- section of sanitary sewer main in alley. Raise manhole in alley. Project is going to be phased with approximately 13100 s.f. of building being ��vZ constructed at this time. Phase one will not require construction of the alley to meet parking requirements thus there is no need to replace section of sewer line or raise manhole (actually a cleanout). See revised plans for phasing. 2. What is proposed for wall on north side of alley? Project is going to be phased thus there is no need for the wall at this time since the alley is not being constructed. For your information the intent is to construct a geofoam wall with a concrete slab and guardrail over the wall. Engineering and detailed plans will be provided for review prior to construction of alley. 3. Identify alley as to one way with signage and directional arrows. p Z Requirement is noted. Signage and directional arrows will be shown on plan for ailey 1 construction provided in future for Phase two. d b3✓ 4. Install clean out at storm drain or install catch basin- north side of alley- east end. Clean out has been provided on revised Plans. 5. Extend storm drain to west of most westerly catch basin. Install curb inlet at Lincoln 12- south south side of alley entrance. Requirement is noted. Due to phasing of project this portion of the storm drainage system will not be installed at this time. Limits of fill slope being constructed at this time does not allow installation of this portion of the storm drain line. 6. A 10'storm drain easement to the City is required. Revised plans indicate the required stor,n drain easement. This item will be addressed prior to phase two of the project when the section of storm drain line is constructed. City of Port Angeles Plan Review Response Page 2 7. Identify no parking areas with appropriate striping. (Parking at alley— west end). Z Requirement is noted. It will be address on Phase two plans when they are submitted for approval. / 8. Building sidewalk shows 4'walk way. Maintain a 4'clear walking path. Curb stops ✓ will be required unless 6.5'sidewalk is installed. 2.5'is the allowable overhang for vehicles. Parking stalls on 8"' Street to have curb stops. Precast curb stops have been shown on revised plan. 19. Any broken section of sidewalk within City r/w will need to be removed and replaced. Note has been added to revised plan to note this requirement. $�ti1 /10. Driveways constructed to city standards. (6"depth). Please see Sheet 2 of plans. Details indicate requirement of 6" depth at driveways. 11. Size of water meter, one or more? Revised plans show requirements for water meters. Each unit to have a separate meter(5 total). There will be a total of 4—5/8" meters and 1 - 1" meter. There are three existing services that will be used and two additional ones installed. At this time there will be the need for only three services, 1 - 1" meter and 2 - 5/8" meters. Meter setters are to be installed at this time with service lines stubbed over for future building expansion so that the proposed parking lot does not need to be disturbed in future to install them. � 'I7 Q>✓t e Soh 1,*4 744- PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name: Erickson Building Address: 8th & Lincoln Plan #03-8 1 COME] R-1 ❑ Date: August 20, 2003 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. The following inspections will be required: 1. The building appears to be planned at 8,600 square feet. Port Angeles Municipal Code requires that all buildings in excess of 6,250 square feet be protected by automatic sprinkler systems designed in accordance with NFPA 13. Separate plans are required. 2. Port Angeles Municipal Code requires that all buildings in excess of 6,250 square feet be protected by an approved addressable automatic fire alarm system connected to an approved fire alarm receiving center.Area separation walls cannot be used to reduce the square footage of the building in order to negate the fire alarm system requirement. (Occupancies protected by an approved fire sprinkler system may delete automatic detection in all sprinkler protected areas except public assembly areas and egress pathways.) Separate plans are required. 3. A locking keybox must be provided for the building. Please contact the Port Angeles Fire Department for a keybox application form and for location guidance. 4. 2A:IOBC portable fire extinguishers will be required for each tenant space. 5. Address numbers will be required for the building and each tenant space. Address numbers are to be at least 6" tall, visible from the street and of contrasting color from their background. 6. If a restaurant is located in one of the tenant spaces, and if commercial cooking that emits grease-laden vapors is conducted in that restaurant,a commercial hood and duct system with fire suppression system must be installed. Separate plans must be submitted for the hood and duct fire extinguishing system. Reviewed by )L Date Building Department ® File Copy FP - 22 Page 1 of 1 Cl. CQr��aac co l2 PLAN REVIEW COMMENTS SENT FOR DEPARTMENT REVIEW ON: 7103/03 REVIEWING DEPARTMENT: [ ] Building [x] PW Engineering [ ]Wastewater [ ]Water [ ] Street [ ]Solid Waste ( ] Light ( ] Fire DEPARTMENT COMMENTS RETURNED: COMMENTS TO SUBMITTER: SUBMITTER RESPONSE DATE: NO IF TO PIAN Sl IIIMH TE.Ii� All plan comments require written response and/or correction for permit issuance. Return respnnse with plan resubmittal. Approval of A,reviewing departments;required prior to permit issuance. f_l Concert Review ❑Revision ❑Not approved.Comments remmed to submitter for response and or correction. +?t .v� RACK CHECK S Cl Preliminary Review ❑ +, y F-, BV/DATE: T ❑ final Review other ❑Reviewed by: ,y # A STATl IS CODES: RIiVIGWINfi HI!I'ARINE,NTPINAI.APPROVAI,. Lt_5tC1 ✓,� y;:. 11 A=COMMENT ACCEPTED S C=CORRECTION MADE. hv Date "+ N=NO RF_SPONSF RFQ'D ('OMMFNI DRAWINGOR COMMEN'I;S NO, SPEC. REE. � L Replacement of 50'+1-section of sanitary sewer main in alley. Raise Man hnle in alley. 2, what is ptopnsed for wall on north side of alley? 7 Identify alley as to one way with signiallc and directional arrows a Install clean net at storm drain or install catch basin-north side of aIle -cast end S Extend storm drain In west of most westerly catch basin.Install curb inlet at Lincoln south side of alley entrance. - 6. A TO-storm drainage casement to the City is required unless smrindrain at alley parking is moved out into aIle . 7. Identify no parking areas with appropriate striping with curbing (Parking at alley-west ed F. Iluilding sidewalk shows 4'walk way. Maintain a 4'clear walking path. Curb stops will he required unless 6.5'sidewalk is installed. 2.5'is the allowable overhang for vehicles. Parkiflit stalls on S'*Street and at alley all to have curb strips. n, Any broken section of sidewalk within City r/w will need in he removed and replaced. in, Driveways constructed to city standards. 6"depth) Size of water Iretq,one or mone? 12 PROJECT'NAME•.: I'.ricksnn Comme tial Rchp S ace U)Ch ION: R)h hinco n Street PERMI # 1994 Waanegton State NonreegeMu rxr9y Cafe Compiuu c Forma .. Avnl.1994 r Project Info Project address Vi 02> _ � Date ^If33 ' Fat Building Department Use • Yti.1. v a t Applicant Name- -64 t//ir iJ `b'7�„; Address. Applicant . . Applicant Pi0'eCt DeSM tion New Building ,0 Addition Fa0 Alteration .. ,,.. .r;. ...,... „�>fs7,?r�?7S4d✓'7 It+.rtlk” da. �r Prescriptive ❑Component Performance ENVSTD " r.'"0 Systems , CCmpliance Option (See Decision Flowchart(aver)fw qualifications) Type - ❑ Electric resistance Space Heat T ✓'" De cs.. All other `; •(see over for defintilons) Total Glazing Area z ws3 t I o ,. Glazing Area Calculation (rough opening) p k p Gross Exterior 14' A 11 ,1�`,.....us t r r„ Note:Below gra de walls may be included m the (vertical 8 overhd) .divided by Wall Area ."times 100 equals ; Glazing Gross Exlerlor Well Area a they wo kwulaled to the level required for opaque walls. OO 7iQ - l \ 13 A✓a H>x YXY 7 �;Ix r5 COncrete/Masonry Option LICheok here If acing this option and II projaat mortis as rsqukssnle for t(a-CancrNeiMasonry Option.;bee Decision Flova:had(over)For quallficatloni. Enter regtiiromerite(w e��aych,,�quaafylnpacc9mhly Inge table below, ! r. 1 .. `�tta �•,. 1rlMhz +-,)y ! . - Envelope Requirements(erdtx values as eppBcaWe) . :Opaque Concrete/Masonry Wall Requirements Ful/yhoaftxi/codad space Insulation on interior maldmum U factor Is 0.19 `. r" Minimum Insulation R-values F" Insulation ort exterior or Integral-maldmum U-factor is 0.25 Roofs Over Attic 1f project qualifies for C O anwetelNlaaonry ption,Yst wails All Other Roofs 21 with HC 2 9.0 StWrta•eF below(ow walls must meet Opaque Walls Opaque Will requirements) Use descriptions and values —2, ,/. from Table 2Mb In the Code. Below Grade Watls Wall Description - -.U-factor, Floors Over Unconditioned Space (including Insulation R-value 8 position) Slabs-on-Grade —(b Radiant Floors Maximum Ldactors - Opaque Doors Vertical Glazing. a Overhead Glazing - Maxhnum SHGC(or SC) FerticallOverhead Glazing Semi-heated space, Minimum Insulation R-values Roofs Over Semi-Heeled Spaces- 'Refer to Section 1310 for qualifications and requirements Notes: vvogi til i rub i orale ivul 11 ualudl'['at tnerov Code Compliance Form 1994 Wass Mw Smte Nonrecgen0al Energy e e C plm ce Fa s rye Project Info Prolecl Address .- Date For Building Department Use Applicant Name: A Applicant Address: Ny /tW v�.✓ Applicant Phone: r _& Q f Project Description I RNew Building ❑Addition ❑Alteration Compliance Option rescripttve ❑ Lighting Power Allowance ❑Systems Analysis Qualifica0on Checklist(over).Indicate Prescriptive&LPA spaces clearly on plans.) Alteration Exceptions ❑No changes are being made to the lighting (check appropriate box) ❑ Less than 60%of the fixtures are new,and Installed lighting wattage Is not being Increased Maximum Allowed Lighting Wattage (interior) Location Allowed (Root/room no J Occupancy Description Wattsr fe" Pe Area In ftAllowed x Area 2�y'J5(D dwec ,,e p �. "From Table 15-1 (over)-document all exceptions taken,lrom footnotes Total Allowed Watts ! Pro osed Li hting Wattage (Interior) (May riot exceed Taal Allowed watts for Interior) Location Number of Watts/ Watts (11oor/room no.) Fixture Description Fixtures Fixture Proposed S /(GC twli0 •- D Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts Maximum Allowed Li hting wattage (Exterior) Location Allowed Watts Area in ft' Allowed Watts. Covered Parking Description per R'or Per K for N for perimeter) x R'(or x I<) Open Parking 0.2 WM' Outdoor Areas 0.2 Wm' Bldg.(by facade) 02 Wm' 0.25 W/ft' Bldg.(by Perim) %) i /' W11f Note:for building exterior,choose either the facade area or the perimeter mMhod,but not both) Total Alkwred Watts 0 Pro osed Li Ming Wattage (Exterior) (May not exceed Total Allowed Watts for Exterior) Number of Waits/ Wena Location Fixture Description Fixtures Fixture Proposed // 'r.9�a 70<.,� /I-0 !(<lr.y, '✓/ 1�f r-rFYJt4 7D >SC� out 1 i .� c.✓ �.,-v�sc*..-/ e /3 a wA `- J Total Proposed Watts may not exceed Total Allowed Watts for Edenor Total Proposed Watts 1=4 vvasnln ton State Nonresidential Ener Code CorriMdiance Form 1996 W asamgton Stale Nm ,denml Energv G e Gompbance Forms Apnl,1994 Project Info Project Addresss_u ' 1s A�cC�s Date ti-z0- 03 For Building Department Use Applicant Name: p� Applicant Address: Applicant Phone: 9 Project Description A� pu , P sYs� — oi'v£ Alt ,5qa r w Briefly describe mechanical system type and features. �h6 � S�y.4r7JAC Compliance option Simple System ❑ Complex System ❑ Systems Analysis (See Decision Flowchart(over)for qualifications) Equipment Schedules The following information is required to be incorporated with the mechanical equipment schedules on the plans. For projects without plans,fill in the required information below. Cool in E ui merit Schedule Equip. OSA CFM SEER ID Brand Name' Model No.' Capacfty' Total CFM Econo or EER IPLW Location Heatin E ui ment Schedule Equip. OSA cfm 10 Brand Name' Model No.' Capacky' Total CFM Econo Input Btuh Output Btuh Efficiency' Fan E ui ment Schedule Equip. ID Brand Name' Model No.' CFM SP' HP/BHP Flaw Control' Location of Service If available. 'As tested according to Table 141, 14-2 or 14-3. 'If required. 'COP, HSPF, Combustion Efficiency,or AFUE,as applicable. 'Fim control typesVAV,constant volume,or variable speed. m Ply F—r�'• 13 Snr,� �n� � .g im�a'' < W _ wwu , aaa¢ 7 cncoNw !b Z asps Ll IN T.mmmm i 4,., _ -z ?1-u. - 3ti� - '� `? �3LC3t.k Ark- FDC,*�!� -Ir2 —/ = a te 16d AJAILs 7'oP r4,qrgo s LIC - 1-7-7 s C, lb -rF--Q- , z Q�a1�T1� `JA con �9RD I , � 0 I I I �,� I N N N f _ ob o - p � , ZDvT. W Ate- , OTM -z Nle r�9Fe7--) -3-7spa -77 WALL aa¢� U Sas so 1 .I��� C�►�. wWWW _ ____ N N 444 14.E . v = � ScaSw 2= sem ; ca ca cn (( 6 LEwUE ____ n to co co 44 VEAsr - �9iSlb I w Vin r = 43830 /b i 2c® F AiTA�-t\ h�F��JT � w�� �" ►3s3o 1� ���� # 151 Cd' 2 2 SD nmmm A W LU LU n(icoai1171 _ 1 �S.yFf}TN � �TN Sly L 111"2 / K-/t5'�i2 " /?ilgN67 IL /4G'l/1 `AA-)CP09- 7YP� !3 4sr/` A3o7 iY.. �i -r �ri'��}f•G(�k'R.in—l' � �b�Ai,00� I�S��1L o -S&i 7-2or� FOOT )eJG �OCn 7// '' 36ii1Fl gWD a '- -0 . c � rye/ x ! /&L PLATS sirnP�-�bV Hi) is ® ERc4 corLwv 0 > 5H&4jL PAJL- : -1-yP,6 g NIX NrAp qS-Z" 143u-7 601T APC�O Z TOP 'PIATE AS COLLE-Cr62./O2u-T ---_f - r1STC., 40 ST12AP AGN S1O� riF To6' PYiT� sPLIG :> Ito. col)c \ /c;)- PSA WALL WWW s�� = ay , s f age : 5 � = �S3 ' �»cr ;9RD T31 90 k�At CGCbV 0, y(,_/yi J W W / �` IWWW ) M O _. ru U Intl_AU, �1Nk 3 WWW SP, - _ccm inmw ' Z' `� ►sl>,/sa '' = N3P Ib/cam caovV kA544 IL IL • 1 I Gv9,Y u� I III I I n r n 1 nMMM i w i I t JfL)61tSou DOT. VlALL LWW nNU)y fVAIL AOd PRAM IN' OM 6ZP(Y-� ZG\)T L 07_� 1 J L /l6 " OV/y/LTs,Q , � 'y/ n- I 77 (� — ;13Fs3G , p I I H 0 i I OT lam.= a7 `0 Q - H (� soI , L77/� �} L✓ S:s7"3 1,6 1 /i6 G,-ATE► sh�iT l) J6 A) AILFO 6Loc� AGS F1C)Gf_-- s 5/1-6 s p m psvav c rr l 3 i H O 16 A,,,vc�cl e�G Vvr4``2- WZ I LZ-1 GAJ �F Jot ST, I o 6 P1,/1 t %tJFi c 4+m F N -)-z 4 - 35- FLIP 6) P O. G. Ver to www cr¢¢ NNNIt. � mmmx U)Cf) NN Sss � � y, r�� , f ISIj� J ru e 11' 131 wI:nm/L-, /4/vcbl of4 fL slvW&WL C,of kn— (3LctZ ALL 1-.v- SI[.L . �G� P�.A1� St7L1G� //'I " it,6 . a " I OSP P411 F A fNCPM,(K It'� I I I f�hAx w u a �( ar 5T r m M: � __ �S - 5"9 S'1 - k _ W 9 co N co C4� �ty, 7 VIII X 3 S A42s lab' `' �0770A r- T j I I 0 3 1 au 3 � � S W « <0 IL »>93 w wu �� cgs � G►3 } N N N r ^ e» mcQi Mv 71 612 IAI�� w� 5 --- ---- _ G�z3Z �l X606 / z/ N 0 Q-s AVn rh Po�� v b S fio_ U)cn CoaaM LU lo¢ i to-u�� wwww mo 8 g mmmm 5 U' fid- 1 � �C VV S 3 NLAD-�V c\ A;Z CN>[ • LW W W y i LAwww W W nmmm � 0 � 0 � JPI - - --- - - TI� C-- -'-� S� �c� plfi �S Ws" U)co ��A+ u w w �) cc DDD� 77 oo QQ / I UWLU u i i 38 -d•�X lG,?'« � i9i m m _ Ire---' -. '3 �•--� ��I✓ ' -I. �331� • , � ` W W W aaa¢ co Pc- wwww SSxS NC0NN00 N M N N yl W Arp r U I 1 i O1 { �i,r*xaza- -n-- & ASSOCIATES , INC . GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION September 26, 2003 KA Project No.: 106-03122 Crescent Development Inc. Mr. Chris Donnell P.O. Box 41 Joyce, WA 98343 RE: Lincoln & 8"/Port Angeles,WA Dear Mr. Donnell: In accordance with your request and authorization, the following test data are presented on the following reports, which are enclosed: September 11 Field Report No. 31929—Density Report No. 4689 (/1 Referenced concrete reports and compressive strength data will be mailed following 28-day tests, if applicable. R If you have any questions, or if we can be of further assistance, please do not hesitate to contact our office. Respectfully submitted, 0( Penn Seely, Laboratory Manager Peninsula Division PS:jm Enclosures Cc: City of Pt.Angeles—Mr.Louis Haehnlen F'LE With Offices Serving The Western United States 20714 State Hwy. 305 NE, Suite 3C•Poulsbo, Washington 98370•(360)598-2126 •Fax: (360)598-2127 = �y� FIELD REPORT NO: 31929 KraZa1 & Associates , Inc . GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING ANo INSPECTION DATE: —�p t C�3 CONTRACTOR: \ -rse�� 4#. T' PROJECT#: -3 JURISDICTION: PROJECT: N S PERMIT #: LOCATION: L1er (-oi,.-. °6 �� INSPECTOR: KRAZAN PROJECT MANAGER: -) 1'h B / WEATHER: C j,,„,)r4, TEMP: c& Te C'' K; rt r r /�I y �'C1 I S 'I vr—.(' 7- ✓ 4(1— /i't'./ ✓r,F(% tJ 1,/7 �. ry ,:( p•�.- I� r . C ---� z 1Z :s � �-'h.. i. ,�. •� �co '�' c' � t-Vtc•E h^(�.JI f I �L cc7/�kcv5 /� �^ fw a � tam �a •r>�/ c � rsc. l � r eKCe > Ar r ;��,r '^I ZS "� ✓�C �' �-e 2 h r•1 ^ l4G S-e. d Ove t'r C r F.i i ( Yh Jcc7W'. J-7 �! 6 , ,-7% 1 Tss rrr- i ititPTC-21/ic 1CSiI /L(4 c c � eve ' >l To the best of my knowledge,the above- d4 erformed in accordance with the approved plans,specifications,and regulatory requirements, Superintendent/Representative: TechniciarK t//✓1 `1 � r 11 1 \1zl 215 WIVSkota Ave_ Clovis, CA 93612 (559)348-2200 1507-15th St.NW Suite 106,Auburn, WA 98002 (253)939-2500 4237 Foster Ave., Bakersfield,CA 93308 (667)633-2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360)598-2126 1025 Lone Palm Ave. #8G, Modesto, CA 95351 (209)572-2200 19501-144th Ave-NE#F 300, Woodinville, WA 98072 (425)4855579 545 Parrott S7_San Jose, CA 95712 (408)271-2200 12876 NE 95th St.Suite 8-100 Vancouver, WA 98682 (360)254-3200 723 Commerce Circle,Sacramento, CA 95815 (916)564-2200 4221 Brickell St.. Ontario, CA 91761 (909)974-4400 Revision o Effect—Date 8,16 nu mronnvn n Pmvded on leis repur miss.on ol'th,then,and K,u-&Assoau¢s %;;5:411(ra7a1 & Associates , Inc . DENSITY REPORT NO.: 4689 GEOTECHNICAL ENGINEERING - ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION • NATURAL RESOURCES /WETI-ANCS DATE: S` 1' I t r ©3 CONTRACTOR: C'rzszr PROJECT#: JURISDICTION: PROJECT: `I— ¢'i" PERMIT#: CLIENT: Cees' + � ctey (I'P,� b INSPECTOR: KRAZAN PROJECT MANAGER: 31a WEATHER: Cmc_ Cg TEMP: ❑ SANDCONE ❑ NUCLEAR TEST ❑ OTHER COMMENTS: LOCATION MAP C�rva DAN ^cyZ,p fUr� TTFr1ATc1-2IAL_ TLiI —ii,i cM�3 Sfgn..f'c GI;�rCC��7 I 0 A. 44 cit kn 'N Tht^S f4-pot z,f lltlt ryu. t t.l + Max Dry Opt Curve Density Moisture � LPDi 1 � I rrD2 Test Elevation Location (Comments) Curve Mode& Dry Moist PercentDepth Density % Compaction Required w t ZS R S 33 J 1. � `C t3� c/ Z � i. f AtZ" (-3t.9 y 3 9 Map Location: curve Test Method: Daily Avg.moisture 6t 33 sm 'S Caum ❑ Attached ❑ on Backside Gauge# Daily Avg.8to ❑ Plans. Sheet# see above 2 U, J 3 Count Densities 2`!Z(, To the best of my knowledge, the above WAS/WAS NOT performed in accordance with the approved plans, specifications,and regulatory requirements. Superintendent/Representative: Technician: 215 West Dakota Avenue Clovis, CA 93612 (559)348-2200 1501-15th St.NW Suite 106 Auburn, WA 98002 (253)939-2500 4231 Faster Ave. Bakersfield, CA 93308 (661)633-2200 20714 State Hwy 305 NE Suite 3C Poulsbo, WA 98370 (360)598-2126 1025 Lone Palm Ave.48G Modesto, CA 95351 (209)572-2200 19501 144th Ave.NE#F-300 Woodinville. WA 98072 (425)485-5519 545 Parrott St. San Jose,CA 95112 (408) 271-2200 11913 NE 103rd Ave. Vancouver,WA 98662 (360)254-3200 123 Commerce Circle Sacramento, CA 95815 (916)564-2200 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000876 Date 3/03/04 Pin number . . . . . . .0047 Property Address . . . . . . 205 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3064-0000- Application description . . . COMM NEW CONST Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 280000 Owner Contractor - ------------------------ ----------------------- ERICKSON DAVID K CRESCENT DEL. INC. 144 THOMPSON RD P. 0. BOX 41 PORT ANGELES WA 983639740 JOYCE WA 98343 (360) 928-2560 ------ Structure Information NEW 6100 SF COMMERCIAL BLDG PHASE I ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST Other struct info . . . . . TOTAL 4 LOT COVERAGE 30.70 CONSTRUCTION TYPE V-N t� . HARD SURFACE AREA O NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 2520.00 LOT SIZE 28000.00 v\ PROPOSED LOT COVERAGE 6100.00 TOTAL LOT COVERAGE 8620.00 NUMBER OF UNITS3.00 --------------------------------- ------------------ -------- Permit . . . . . . ELECTRICAL NEW COMMERICAL Additional desc 400/600A+5-200A FEEDERS Sub Contractor HALVORSEN ELECTRIC Permit Fee 683.80 Plan Check Fee .00 { Issue Date . . 3/03/04 Valuation . . . . 0 e{lief Expiration Date 8/30/04 Qty Unit Charge Per Extension 5.00 59.4000 ECH EL-COM 101-200 NEW ADD SRV FDR 297.00 1.00 178.6000 ECH EL-COM 201-400 NEW SRV FEEDER 178.60 .q 1.00 208.2000 ECH EL-COM 401-600 NEW SRV FEEDER 208.20 1 ---------------------------------------------------------------------------- Special Notes and Comments Before a foundation footing inspection is requested, a complete soil compaction test from a soils engineer must be supplied to the building dept. ---------------------------------------------------------------------------- _Other_Fees._. . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 683.80 683.80 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 688.30 688.30 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:APLANNINGAFORMSV 102.15[11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:0 ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACKFLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT Ws: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNINGDEPT. SEPARATE PERMIT N's SEPA: PARKWG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL 12 LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-RW. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. ,T)ING 417-4815 BUILDING -^^MS\1102.15[11/14/2003] m CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000505 Date 5/28/03 Property Address . . . . . . 205 4j1 '; !r ASSESSOR PARCEL NUMBER: pR0$ �-,S ST- Application description . . . ELECTRICAL ONLY Property Zoning . . . . . Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ OWNER ---------------:____ __-----__ _--____ Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Sub Contractor . . AIRFLOW HEATING Permit Fee . . . . 98.40 Plan Check Fee .00 J\v� Issue Date . . . . 5/28/03 Valuation . . . . 0 Expiration Date . . 11/24/03 1 (CIS Qty Unit Charge Per Extension \/' 1.00 35.3000 ECH EL-LVT-FIRST THERMOSTAT 35.30 1 2.00 11.1000 ECH EL-LVT-ADD THERMOSTAT 22.20 1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT 40.90 ^y Fee summary Charged Paid Credited Due \ ----------------- ------- _ ______ -_ Permit Fee Total 98.40 98.40 .00 .00 N, Plan Check Total .00 .00 .00 .00 �If1T Grand Total 98.40 98.40 .00 .00 I ]n Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[4/2002] 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:N ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE GAS LINE BACKFLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEATPUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT N's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\I 102.15[420021 ^� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000876 Date 4/05/04 Pin number . . . . . . .0047 Property Address . . . . . . 205 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3064-0000- Application description . . . COMM NEW CONST Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 280000 Owner Contractor _ ________________________ _______________________ ERICKSON DAVID K CRESCENT DEL. INC. 144 THOMPSON RD P. O. BOX 41 PORT ANGELES WA 983639740 JOYCE WA 98343 (360) 928-2560 ------ Structure Information NEW 6100 SF COMMERCIAL BLDG PHASE I ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST Other struct info . . . . . TOTAL 4 LOT COVERAGE 30.70 CONSTRUCTION TYPE V-N HARD SURFACE AREA NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 2520.00 LOT SIZE 28000.00 PROPOSED LOT COVERAGE 6100.00 a. TOTAL LOT COVERAGE 8620.00 NUMBER OF UNITS__________________3_ -O ---�� Permit . . . FIRE ALARM SYSTEM- Additional desc . Sub Contractor FEDERAL FIRESAFETY Permit Fee 150.00 Plan Check Fee .006-01 Issue Date . . 4/05/04 Valuation . . . . 0 Expiration Date . . 10/02/04 Qty Unit Charge Per Extension 1.00 100.0000 ECH FIRE INSPECTION & TESTING 100.00 1.00 50.0000 ECH FIRE ALARM PLAN REVIEW 50.00 ---------------------------------------------------------------------------- Special Notes and Comments f ^ Before a foundation footing inspection is requested, a V complete soil compaction test from a soils engineer must be �l supplied to the building dept. __________________________ ________ Other Fees . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due __________ __________ __________ __________ Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 154.50 154.50 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of CoMractor ora thorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH4N WATER LINE(METER TO BLDG) GAS LINE BACKFLOW/WATER AIR SEAL WALLS CEILING FRAMING �' JOISTS/ GIRDERS SHEAR WAftWOLD DOWN WALLS/ROOp ILING DRYWALL(INTERI CED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT k's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-RW. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 — I FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15[11/142003] °ar FOR OFFigAL USE ONLY: Building/Utility/Electric/Fire Permit Application Date Rec.: ' a _m Petmi[N: Please fill out completely. Type or print in ink. If you have questions P�Appt Completo: SHB1724: Y N please call(360)4174815 or Fax: (360)4174711 Letter of completeness:_ e-mail: www.d.port-angeles.wa.us Bldg.PamitAppl: A B.P.Issued: Applicant and/or Agent: A L M I LLF /.1e Phone: A $7-3 308 Owner: bAy�-- GR iC KSS N Phone: 1� Address: )41` T9O M{r-`%oN RD, City: Ft R-,' A ry 6F-Lt `� , WA Zip: 4) Architect Engineer/Designer: Phone: CEDE RL- t; F6flCR�t ) S 4573Joa' Contractor: R 1 �° �F �� License#: Exp: Phone: Address: `Z.0,7 2 S. © 8 City: ?Q T faN6f U.5 ,-WA Zip: C7 PROJECT ADDRESS:: 2 C S F . S 1 iT ZONING LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: I Zip:_ Credit Card# Exp. Date: VISA—Mc— TYPE ISAMC_TYPE OF WORK: SIZENALUATION: ❑ Residential ❑ New Constr. ❑ Reroof ❑ Stove/Insert SF. @ S /SF.=S ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @ S /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=S X-Electrical ❑ LP-gas ❑ Sign ❑ UST TOTAL VALUATION S �SDOe t BRIEF DESCRIPTION OF THE PROJECT: FL£c rRON+G. tG)AiF ,AL9Rrn COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: %Lot Coverage: % Existing Lot Coverage: /sq. ft. +Proposal Lot Coverage: /sq. ft.=TOTAL LOT COVERAGE: /sq.fl PLANNING USE ONLY: APPROVALS: PLAN _ Permits Required: Notes: BLDG Max. Height: Setbacks: Zoning: DPW Site Plan and Use Approved by: Date: FIRE ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER PRE-APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions)and building construction plans are to be submitted to the Building Division. 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 Div.to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due 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, this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on 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 know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are re aired and to ob ain such. Pw-1102_13[rev.6/001 Applicant: Date: 0'A3 0b� O�OF pO�N4�F�N DATE: -"RKS ANS TO: ❑ FIREDEPARTMENTC- ❑ PLANNING DEPARTMENT ❑ PUBLIC WORKS/ENGINEERING DIVISION ❑ LIGHT DIVISION ❑ ENERGY ❑ ENGINEERING ❑ POLICE DEPARTMENT ❑ ADMINISTRATION ❑ CITY CLERK ❑ RISK MANAGEMENT FROM: PUBLIC WORKS/BUILDING DIVISION RE: ADDRESS: 2bG- L 9", NAME/CONTACT: A L. M v- PHONE: � S -7 23n8 PERMIT NUMBER: PROJECT DESCRIPTION: T-; e A j r w- 4 e wt R NEW CONSTRUCTION ❑ ADDITION/ALTERNATION COMMENTS/CONDITIONS: REVIEW/RETURN ❑ FILE PAFO 0v-vz PORT ANGELES FIRE DEPARTMENT Fire Alarm System Plan Review Project Name: 8"' & Lincoln Building Address: 205 E 8th Installer: Federal Firesafety Telephone: 457-3308 Type or system: Extended R-3 ❑ R-1 X❑ Com NI Date: Aril 1, 2003 Permit #04-02 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions: 1. Add detection in the room at the north side of the restaurant, adjacent to the kitchen. The space is indicated on the plans. Additionally: 1. All systems shall be installed as prescribed in NFPA 72. 2. Fire alarm wiring to be done in accordance with PANIC and Washington Administrative Code. 3. A final field acceptance test will be conducted before final approval is given. ❑ Contractor Reviewed By Building Department ❑ Light Department ❑ Fire Copy Date FP - 6 Page 1 of 1 FEDERAL FIRESAFETY, INC. �C44CG3 O[� 4G3LQC:]�Lv]�44G�1d 2032 South '0' St. PORT ANGELES, WA 98363 (360) 457.3308 DATE L7 JOB No. FAX (360) 457.5612^^ Ar ENnon To C 1 T� 0 �aRT �l t�C+F L S RE: FjA ICK Sf)tJ Sv) L'Q lfJ6- WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 3 F')i�E L-Astra 544 D*Awim .5 3 " 11 Fpv.p"Sh -r ac�m �'rf,F}Lg THESE ARE TRANSMITTED as checked below: RFor approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: H enclosures are not as noted,kindly notify us at once. SEAL FIRESAFETYINC. 2032 South "O" Street, Port Angeles, WA 98363 (360) 457-3308 Fax (360) 457-5612 ERICKSON BUILDING FIRE ALARM EQUIPMENT SUBMITTALS CONTROL PANELS EDWARDSSYSTEMSTECHNOLOCY 4 FireShield Conventional Fire Alarm Control Systems FS302 Features ■ Available in 3,5,and 101DC models ■ IDC or NAC pairs convertible to single Class A circuits(10 and 5 IDC panels only) *� ■ Supports 2M,"EC"and 6200 Series detectors ■ Combination Waterflow and Supervisory IDCs ■ NACs programmable by zone and individually selectable for - Genesis.continuous,ortemporal outputs ■ Front panel programmable „ . r, FS1004 ■ PC programmable with optional DACT installed L� FS502 ■ Genesis option allows precision synchronization and audible silence over two wires without additional modules ■ On-boa rd relays for Alarm,Supervisory and Trouble Description iii optional serial bus relay modules are programmable for common or zone activation The FireShield fire alarm fami ly consists 5and 10zone con- ventionalfire alarm control panels,an integgrated DACT(Dialer, ■ Optional serial bus remote annunciator serial annunciator modules,and serial remote relay modules.All of ■ One person device testing(audible or silent) thesecomponents are microprocessor-controlled.The FireShield family is ideal for both new and retrofit installations alike. ■ Expandable power supply(10 IDC panel only) FireShield incorporates features designed to simplify installation, ■ Optional City Tie and Reverse Polarity Modules operation and maintenance.These include front panel program- ■ Optional trim ring for semi-flush mounting ming,one person walk testing,and selectable OC and NAC types. ■ Optional fully integrated DACT/Dialer with: FireShield panels are powerful enough to meet the demands of • onal fully int LCD display today's installations while leaving plenty of room to grow in the future. • Eventhistarylog • Supports Contact to and SIA DCS 4/2 FS502 and FS1004 panels support Class A operation by combining • Upload/download of Panel/DACT configuration, pairs of on-board lDCs or NACs to provide the necessary circuits. status and event history For example,the FS1004 comes factory set to support 10 Class B MCs and four NACs.But it can be field-configured to provide five Class A IDCs,no Class B IDCs,and two Class A NACs-or any other combination of circuits that fall within the circuit-pairing parameters. FS1004 FS502 FS302 ,. Class g IDCsUp to 1 O tto 5 3 Class A IDCS Up t 5 Up to 2 Not supported Clens B NACs Up to 4 Up to 2 2 - Class A NACs Up to 2 1 Not supported NAC Power 2.5 exp to 5 amps 2.5 amps 1.5 amps Auxiliary power 0.5 amps 0 5 amps _0 5amps Note: ClassAoperationwillreducethenumberofavailable Class BIDCsand,'or NAGS,depending on thepanel configuration.See SP"lscaoons onpage 5 fo, details. EDWARDS SYSTEMS TECHNOLOGY U.S.SALES:SARASOTA,FL941-7394200,FAX941-727-0740 • CANADA SALES:OWEN SOU ND,ON519-37&2430:FAX519-376-7258 INTERNATIONAL SALES:905270-1711',FAX905-2709553 • CORPORATE HEADQUARTERS:CHESHIRE CT U.S.MANUFACTURING:PITTSRFLDanci NEWPORT of r5 Issue 2.1 Literature Sheet #85005-0118 Not to be used for installation purposes. For the most current Iltereture and updates visit www.est.net. Options Panel Operation Off-premise communication Operators'Interface Afully integrated FireShie/d DACT/dialer is available for reporting Control of the panel's operation is both simple and intuitive.While events to a monitoring facility.The DACT also supports uploading the LEDs and optional LCD are visible with the panel door closed, or download in of system configuration,status and event history. the door and bezel block access to the controls.With the door The DACT is programmable for either single or dual line opera- open the following controls are available: . tion.It also supports split and dual reporting for two Reset-used to resetthe panel; digital alarm receivers. Signa/Silence and Dril/-used to silence The DACT brings additional features to the panel FS1004 notification appliances or activate the drill including a 32-character alphanumeric LCD display, function; local or remote PC programming and an event Pane/Silence-silences the buzzer on the panel history log. and the remote trouble unit; Modules are also available for City Tie(CTM4.7)and E Remote Disconnect-disables the DACT,or,if no Reverse Polarity(RPM)connections. `?} ^'' DACT installed,disables the panel's alarm relay; Remote Annunciators and RelaysI" Walk Test-activates the panel's silent and The serial bus standard on all Fire Shield models is - audible walk test mode. another installation time-saver.This circuit allows the MMO; The following system LEDs display the panel's status: connection of Remote System Indicators(FSRSI), rr.,, ^:+� A/arm-panel is in the alarm state; Remote Zone Indicators(FSRZI-A)and Remote Relay (,�� %, .. Modules(FSRRM)over a four-wire(data and power) w, iw'ix Trouble-panel is in the trouble state; Circuit.Annunciator and relay modules can be Supervisory-panel is in the supervisory state; installed up to 1,000 feetfrom the panel on 18-gaugek°4 q�., Power-indicates the status of the AC power wire. source; k17!;I ;ua's+ Disab/e-indicates when any IDC,NAC,relay or ."LW3;;a`ifYa. the DACT are disabled; Application , Annunciator Trouble-indicates trouble on the FireShie/d provides smoke and fire detection, ,,;:;, remote annunciator bus; occupant notification and off-premises signaling for Battery Trouble-indicates battery or small-to medium-sized buildings. r'*M:a;a,__.. i charging problems; Each IDC can be configured for either Class 8 or Ground Fault-indicates a short between any Class A operation and one of eight operating modes: panel circuit and ground; Alarm-without smoke detector verification; The FS1004provides •� ' Walk Test-indicates that one or more IDCs Alarm-with smoke detector verification,and ten zones of control ='s-.. are in the walk test mode; instant activation of contactdevices; plusoptionalLCD Alarms Silenced-indicates that the panel is display. in the alarm state with one or more NACs Waterflow,Alarm-no retard; silenced. Waterflow Alarm-with 15 second retard; Combination Waterflow(no retard)and Supervi- FS502 Each IDC has a disable switch and three LEDs: sory; Alarm-red-indicates that the IDC is in the alarm Combination Waterflow(retard)and Supervisory; state; Supervisory(Latching); Trouble--yellow-indicates that the IDC is in the { ..: trouble state or is disabled(when flashing); Monitor-for monitoring devices other than alarms or supervisory such as fire doors or fire dampers. f,p ' e;j .t Supervisory/Monitor-ye//ow-indicates thatthe DC is i n the supervisory state or the mon itor state NACs may also be configured for either Class 8 or (whenflashing). Classoperation.Additionally,NACs can be individually configured for one of three outputs. 11'1 >St, Each NAC also has disable switch and atrouble/ These are Genesis,Continuous or Temporal.The ° disable LED. Genesis selection allows independent horn control ' over two wires and provides precision synchroniza f1ti'I Status indication with the DACT/Dialer installed Gonesi Signal Master ac all withoutthe needfora `iu, Genesis Signal Master accessory. The dialer's LCD display provides two lines x 16 characters oftext. For programming,the top line When configured for Genesis notification appliances, • displays the programming step and the lower line FireShie/d's Alarm Silencefunction will silence - ! displays the selected option. connected Genesis audible appliances but Genesis The FS502provides strobeswill remain active until the panel is reset. fivezonasofoordrol When Genesis Mode is selected,both the horns and pWsoptionaluco " :c.•.- display. strobes on Genesis and Enhanced Integrity notifica- tion appliances will be synchronized across all NACs. EDWARDS SYSTEMS TECHNOLOGY Page 2 of 6 Literature Sheet *85005-0118 Issue 2.1 Not to be ..ad for Installation purposes. For the most current literature and updates visit wwwest net. DACT/Dialer Remote Relay Module The optional DACT/Dialer is _ The Remote Relay Module(FSRRM)is multifunction module that provides. one componentof the system thatsets i� communications,modem capability, •. Fire Shield apart from other panels in its and LC D di splay functions.its primary L c lass.Th is module has five Form function is as a Digital Alarm Comm uni- :tt"�, relays rated at 1 amp each.It can be cater Transmitter(DACT).As a DACT,it '�;t configured to function in either a zone transmits event messages to a Digital relay mode ora common system Alarm Communicator Recelver(DACR) mode. Thep ACT/DialerinaWllsbehind The Remote Relay Module thefront pan el display. ata monitoring facility.The monitoring mountson aplastictrack inside When configured in the zone relay facilitythen notifies thefire department an MFC-Acabinrt. mode,relays energize when the and other responsible parties ofthe associated IDC is active.The module event.Programmable options include uy to a HHMs ca n be config a red for activatio n by single or dual line operation,and split eFSHHM"� IDCs 1 through 5 or IDCs6 through 10. or dual reporting to two DACRs. s r oo,,Tllk One relay is automatically associated ^-•'- The DACT module can also be used as FSRRM Sn., with each IDC. a modem to connect the panel to bothti_, —, ,rec�^ren local and remote computers for both [ ti_, °-^• e^MFC-A. Whe n config ured in the com mon uploading and downloading of system mode,relays energize ordo- uploading qenergizewhenthe panel configuration data(programmingL changes state.One relay is pa n e I status and event hi story.For ", ,„„•�,} available for each of the security,the modem can be configured following functions.Alarm, to accept programming on incoming ti ,, Supervisory,11following functions l A Power calls or it can be required to call a Loss,Monitor. preprogrammed number before accepting downloads and sending The FSRRM mounts on a uploads. plastic snap track and can be installed in an MFC-A or other The DACT module can be configured ur.,01,11.,: °FT.r listedfire alarm enclosure.The to work as all of the above,or as only y e,” 1 panel will supporttwo RRMs an LCD display or LCD display and Il of each configuration for a modem. °°"" total of six on the 10-zone panel. Remote Annunciators Fire Shield fam ily has several remote Remote System - Remote Zone a.,.., Indicator (FSRSI) ^^' Indicator F annunciation options.The serial remote IM* The FSR51 is ideal (FSRZI-A) a n n unciato r bus ca n be ru n up to 1000 for common system The FSRZI-A is feet(305 m)on untwisted non-shielded annunciation. It used to indicate �-} (-:.,.... I 18-gauge cable.Several annunciator = includes five LEDs i�^ zones in the ,nee a models round outthe familyto provide a t'llo- . and a local silence/ '''_ alarm state. It range of features and functions.As many lamp test switch. contains five red The FSRSlcanbeinstalled as three annunciator modules maybe The LEDs indicate LEDs. Depend- alone orwithoneormor¢ ° .. ° in on the FSRZI-As.The FSRSI and mounted inastandard electrical box, -':p power status, alarm, 9 FSRZI-Arequidetrim plates sharing an attractive trim plate that supervisory, trouble jumper setting (ordered separately).These blends with any decor. and ground fault. selected, the areavailablemone,twoor The silence switch LEDs will threegang models.Eachpanel will silence the indicate either will supporttwoFSRSIs. onboard trouble IDCs 1 through 0 0 buzzer If active. The 5 or IDCs 6 • switch can also - through 10. bei used to The panel can O - { initiate a lamp support two test of the LED modules on all connected programmed W,FSRSIs and for each as �.� FSRZI-As. selection. EDWARDS SYSTEMS TECHNOLOGY Issue 2.1 Literature Sheet 485005-0118 Page 3 of 6 Not to be ..ad for Installation purposes. For the most current literature and updates visit wwwest.net. Panel Layout r., OMain AC wiring block and fuse holder: Provides connections for 120 or 230 volt AC (primary power) from dedicated service. Includes primary power fuse S Amp) ©Dual Transformer AC wiring block: Ten-zone panel only. Provides connections between primary side of both main and ro' r a expander transformer and 120 or 230 volt AC (fused primary power), ^ 9 volts e to 24 ® Transformer: Changes 120 or 230 volt AC supply 9 volt AC. OPower expander transformer (XTR): Optional. Available for the ten-zone panel only. Provides additional primary power to increase the available NAC current for the ten-zone panel. :?. Sk^" ., OMain circuit board: Provides connections for all circuits. Also includes the operator interface. ,ft g,z ' OOperator Interface: Includes operator controls, LED indicators IAll=( r rr' and circuit identification labels. i yrt r d if��f1��1tT / t I OCabinet enclosure: Houses the panel electronics and standby 1 •, n: �� # °y; �• ' ' batteries. In some cases the batteries may be housed in an external battery cabinet (BC2). OSTandby batteries: Provide Secondary/Standby power to the a G '"r panel electronics in the absence of primary power. (i wrap mounts: Used to secure wires and to help mamtam proper separation between power-limited and nonpower- [,,� .;. limited conductors. Farm r2°°a415 H.5°Mx Dimensions Power oadiaar dranrn rirr u _, o FNOeE'GIWrto",50 Hx GOl1nE:CtIOnS �� r Model Dia D2 D3 D4 D5• N L Three-5 16.5 in 3.75 in 9.13 in 10.5 in 14.23 in five-zone (41.9 cm) 19.5 cm) (23.2 cm) (26.67 cm) (36.14 cm) CA-1 Main Ac Ten-zone (602-3 C rl 3.75 m 7..7 c 21.27 m 1627 r .,r,,rlad (60 cml (9.5 cm) (19.7 cm) (54.0 cml (4L27 cm) and lat. no der 'Add 1'/x inches(3.61 cm)to D1 and D5 dimensions 10- ail...11-k orwlnn511-k D2� �----D3-> N L eR�, d • o Main = i m -lea Main Rard o-alawrmar -surface mounting holes- IN tar D1 E E N O O O O E Mounrn5 rn o sluda IC %TR rprionai e O m ep O O a o pw5 r~,nnaen, DS O EDWARDS SYSTEMS TECHNOLOGY Issue 2.1 Literature Sheet X85005-0116 Page 4 of 8 Not to be used for installation puTOoses. For the most currant literature and updates wsit www.estnet. Specifications Flnitiating l Panels FS1004 FS502 FS302 Device Circuits-IDCsClass B 10 8 6 4 2 0 5 3 1 Three Class B IDCs ble combinations shown at right) Class A 0 1 2 3 4 5 0 1 2ation Appliance Circuits-NACs Class B 4 2 0 2 0 B NACs ble combinations shown at right) Class A 0 1 2 01 Su 1 3.0 A expandable to 6.0 A 3.0 amps total24 Vtwrolta a Ratin -- _---- 1.5 amps each,2.5 amps total 1.5 amps each 1.5 amps each Maximum NAC current for NAC 1 + 2 or 3 +4 2.5 amps total 1.5 amps total 5.0 A w/optional transformer AC Input 120 Vac 60 Hz... 1.6 A w/optional transformer 0.8 amps 0.8 amps 230 Vac 50/60Hz... 0.8 A w/optional transformer 0.4 amps 0.4 amps 110 mA Base Panel Current Draw Standby... 145 mA 120 mA Alarm... 250 mA 170 mA 145 mA Panel Battery Charge Capacity(sealed lead acid Up to two 18 Ah batteries Up to 1B Ah,7Ah max in cabinet only) 0.5 amps max.May be programmed as resetable Auxiliary Current . 19 to 25.7 Vdc Auxiliary Output _ IDC Alarm Current 1.5 mA(Consult detector compatibility list pin 3100468 for maximum detectors per circuit) IDC Circuit Maximum loop resistance: 13 Ohms; Maximum loop capacitance:0.03 NF IDC Operating Voltage 16.3 to 25.7 Vdc UL Detector ID 100 Alarm Contact(normally open) Trouble Contact(Form C) 30 Vdc @ 1 A(resistive load) Supervisory Contact(normally open) Operating Environment Temperature:32-120'F(0-49'C); Humidity:5-93%RH, non-condensing Terminals[wire gauge) 18- 12 AWG 10.75 mm'-2.5 mm21 Asynchronous Serial Communications Maximum resistance: 13 Ohms; Maximum capacitance:0.03 NF *if larger batteries are required,use the CC,battery cabinet See installation sheet 3100027 for details. DACT-FSDACT(mounts in panel) Receivers Supports two receivers with two phone numbers each _- Communications Protocol Contact ID(SIA DC-05),4/2(SIA DG02 P3) Programming Front panel controls or PC with appropriate software Telephone line connection Two RJ31X(plug-to-plug)cords supplied with DACT Telephone lines Two or one loop start lines on the public switched telephone network.Pulse or DTMF. Telephone wall connector RJ31 X/CA31X equiv.or RJ38X/CA38X equiv. Communications Compliance Communications Canada CS-03; FCC/CFR 47 Parts 15 8 68; NFPA 72; UL 864; ULC S527-M87 _Operating Environment Temperature:32-120°F(0-49'C); Humidity: 93%RH,non-condensing Current requirements Standby:40 mA; Alarm:60 mA _ Remote Annunciators FSRSI Remote System Indicator FSRZI-A Remote Zone Indicator Maximum per System All panelsi 2 1 10 zone panel:4 3 or 5 zone panel: 2 Current Requirements Standby: 12 mA Alarm:48 mA I Standby:8 mA Alarm 35 mA Voltage Range Minimum: 21 Vdc; Maximum: 25 Vdc Maximum Circuit Capacitance 0.03 NF - Maximum Circuit Resistance 13 Ohms Wire Size 18- 12 AWG(0.75 mm'-2.5 mm') .. Mounting ANSI/NEMA OS1-1996 13 gang electrical box Operating Environment Temperature: 32-120'F(0-49'CI; Humidity: 93%RH,non-condensing Remote Relay Module-FSRRM C_oniigured for Zone Mode Configured for Common Mode _. Maximum per system 10 zone panel:4; 3 or 5 zone panel 1 All panels: 2 Current Requirements Standby:8 mA; Alarm:65 mA Standby:30 mA; Alarm: 41 mA Voltage Range Minimum: 18 Vdc; Maximum: 27 Vdc Maximum Circuit Capacitance 0.03 OF Maximum Circuit Resistance 13 Ohms _ _- Wire Size 18- 12 AWG(0.75 mm2 2.5 mm2) Mounting Single FSRRM mounts in plastic track(included)or up to four FSRRMs in an FSRRM S1 11`track ordered separately.FSRRMs should be installed in an MFC-A or other listed fire alarm enclosure. Operating Environment Temperature:32-120°F(0-49°C); Humidity: 93%RH,non-condensing Dimensions 2-3/4"W x 3-3/8"H x 1-112"D(65.9 mm W x 85.7 mm H x 38.1 mm D) EDWARDS SYSTEMS TECHNOLOGY Issue 2.1 Literature Sheet #65005-0110 Page 5 of 6 Not to be used for Installation purposes. For the most currant literature end updates visit www.est.net. Ordering Information - Shi Wt.lb. k . PartNumber Description Control Panels Conventional Fire Alarm Control Panel-10 Class B IDCs and 4 Class B NACs 30.5(13.8) EST-FS1004' (Pairs of IDCs and NACs convertible to single Class A circuits), 120 Vac Conventional Fire Alarm Control Panel-10 Class B IDCs and 4 Class B NACs 30.5(13.8) EST-FS1004-2 (pairs of IDCS and NACS convertible to single Class A circuits),230 Vac.Grey cabinet. Conventional Fire Alarm Control Panel-5 Class B IDCs and 2 Class B NACs 18.5(8.4) EST-FS502' (Pairs of IDCs and NACs convertible to single Class A circuits), 120 Vac Conventional I re Alarm Control Panel-5 Class B IDCs and 2 Class B NACs 18.5(8.4) EST-FS502-2 (Pairs of IDCs and NACsconvertible to single Class A circuits),230 Vac.Grey cabinet. EST-FS302* Conventional Fire Alarm Cc ntol Panel-3 Class B IDC.and 2 Class 6 NACs, 120 Vac EST-FS302*-2 Conventional Fire Alarm Control Panel-3 Class B IDCs and 2 Class B NACs,230 Vac 18.0 8.2) Semi-flush trim ring for FS302 and FS502 1 7(0.8) FSTRIM35* 22(1.0) FSTRIM10' ISemi-flush trim ring for FS 1004 'Insert"G"for Gray cabinet or"R"for Red cabinet.Insert"GP'for French language(grey cabinets, 120 volt models only). Related Items ` 4,0 11,81 XTRA3A120 Expander Transformer,120 Vac-For FS7004only 4.0(1.8) XTRA3A230 Expander Transformer,230 Vac-For FS1004`-2 only FSCDF35 Electrical terminal shield for 3 8 51DC panels.Required for all installations in Canada 1.0(0.5) FSCDFI0 Electrical terminal shield for 101DC panels.Required for all installations in Canada 2.0(0.9) Required UL listed End of Line Resistors-One 3.6K Ohm and one 1.11K Ohm. 0.1 (0.5) EOL3.6-1.1 One required for each IDC configured as combination waterflow and supervisory. EOL-P1 Required ULC End of Line Resistor Plate-includes one 1.1 K,3.oN and 4.7K Ohm resistor 1.0(0.5) Off Premises Communications 1.0 0.5) FSDACT Digital Communicator/Modem/LCD module(Mounts in control panel) 1,0(0.5) _ CTM4.7 Ci[y Tie Module(Requires 4"square or 2-gang North American electrical box) 3.0(1.4) RPM Reverse Polarity Module(Requires MFC-A or other listed fire alarm enclosure) Remote Annunciation Remote System Indicator-Includes LEDs for display of Power,Alarm,Supervisory,Trouble and Ground Fault,trouble sounder and silence/lamp test switch.Single gang trim plate 0.3(0.1) FSRSI included,multi-gang plates ordered separately.Mounts in a single or multi-gang North American electrical box. Remote Zone Indicator-Includes LEDs for five IDCs. 0.3(0.1) FSRZI-A Single gange trim plate included,multi-gang plates ordered separately. Mounts in single or multi-gang North American electrical box. FSAT2 Annunciator Trim Plate0.1 0.05 ,2 gang with FireShield Logo _- - FSAT3 Annunciator Trim Plate,3 gang with FireShield Logo Remote Relay Module Remote Relay Module-Five Form C relays.Configurable for IDCs 1-5,or 6-10,or common 0.4(0.2) FSRRM system indications.Requires MFC-A or other listed fire alarm enclosure. FSRRM-S 11 11"Mounting track.He up to 4 FSRRMs. 0.4(0.21 Accessories 7.0(3.2) MFC-A Multi-function Cabinent(fire alarm accessory enclosure) 12.0(5.4) BC-2 Grey Battery Cabinet(holds two 18 Ah batteries) BC-2R Red Battery Cabinet(holds two 18 Ah batteries) 12.0 Batteries 5.0(2.3) 12Vq 4Ah Sealed Lead Acid Battery-12 Vdc 12 required) 6.0(2.7) 12\16 6.5 Ah Sealed Lead Acid Battery-12 Vdc(2 required) 10.0 4.5) -{ 12V10 10 Ah Sealed Lead Acid Battery-12 Vdc(2 required) 17 Ah Sealed Lead Acid Battery-12 Vdc 12 required)_ 13.0(59) 12\117 - _-_ - --- - EDWARDS SYSTEMS TECHNOLOGY It is our intention to keep the product information current and accurate.We cannot cover specific applications or anticipate all requirements. All specifications are subject to change without notice.For more information or questions relative to this Specification Sheet.contact EST. ari,cu, 'Js n. P 2002 EST Literature Sheet 085005-0118 loaue 2.1 Page 6 of fi Not to be used for installation uupdates purposes. For the most current literature and updefea vlalt www.est.net. EDWAROaSYSTEMS TECHNOLOGY M CONVENTIONAL INITIATING DEVICES Rate-of-rise/Fixed ; 00 Temperature Heat Detectors 2806-PL Series « - i° Features ■ UL listed for 50 ft. (15.2m) spacing ;- ■ Single pole—normally open contact ■ Low profile with mounting plate © FM ■ Pure whits finish ■ Mounting flexibility with screw terminals ■ Easy twist-on installation ■ On-site testing of rate-of-rise feature WARNING-Use For Property Protection Only: Heat sensors du not protect life against fire and smoke.In most fires,hazardous ■ Positive operating indication—for fixed temperature element levels of smoke, heat and toxic gases can build up before a heat detector would initiate an alarm.Independent studies indicate th, eSC r l pt i o n heat detectors should only be used when property protection alone is involved. In cases where life safety is a factor,the use of 280B-PL Series heat detectors offer fixed temperature or combi- smoke detectors is recommended. nation rate-of-rise and fixed temperature detection. L �'^ Under no circumstances should heat detectors be relied upon a� RATE-OF-RISE:A temperature increase at the sensor of 15°F(9°C) the sole measure to ensure fire safety.However, if they are or more per minute activates the rate-of-rise feature.This closes spaced in accordance with the directions in the Specifications the contacts in the sensor to transmit the alarm condition to the table,these sensors can contribute,within an overall fire safety fire alarm control panel.When the rate-of-rise element alone has program,to reducing the risk of avoidable property losses. been activated,the sensor is self-restoring. FIXED TEMPERATURE:If the temperature of the center disk rises to the sensor's rated temperature,the fixed temperature element activates.This closes contacts in the sensor and transmits an alarm Ordering Information condition to the fire alarm control panel.The fixed temperature Ship element is non-restorable and,when activated,the sensor must be Cat.No. Description Weight replaced.The need for replacement is indicated when the center _ Heat Detector,135°F(57°C),Combination disk has fallen free from the sensor. 2818-PL Rate-of-Rise and Fixed Temperature 2828-PL Heat Detector, 194°F(90°C),Combination Rate-of-Rise and Fixed Temperature 1.0 Ib Application 2636-PL Heat Detector,135°F(57T), (0.5kg) Fixed Tem erature Only Heat detectors are most suitable for environments where rapid Heat Detector, 194°F(90°C), fire development can be expected.When selecting the loc 2848-PL p P 9 Fixed Temperature Only on the ceiling for the heat sensor,do not locate it in direct path o Detector Accessories hot orcoldairflow.Refertothe detector specifications forthe 6252 Surface Trim Rin recommended maximum spacing.Earlier detector response may be 6253 Decorative MountingSkin obtained by reducing the spacing between detectors. 0.25 lb 280A PL plastic Mounting Plata -White,Reversible(included) 280A-MPL Metal Mounting Plate EDWARDS SYSTEMS TECHNOLOGY U.S. SALES: SARASOTA, FL 941-739-4200: FAX 941-7270740 • CANADA SALES: OWEN SOUND. ON 519-376-2430: FAX 519,3767258 INTERNATIONAL SALES: 905-270-1711: FAX 905.270-9553 - CORPORATE HEADQUARTERS: CHESHIRE. CT • U.S.MANUFACTURING: PITTSFIELD, cv'. Issue 2 Literature Sheat X85009-0261 page 1 0� Specifications Catalog Number 281 B-PL2828-PL 283B-PL 2848-PL UL Temperature Rating135-F(57°C) 194°F(901C) 135-F(57-C) 194-F(90-C) UL Max Ambient Temp.at Ceiling 100GF(38-C) 1500(660C) 100-F(38nC) 150-F(66nC) Detector Type Fixed Temperature and Rate-of-Rise yp Rate-of-rise: 15"F(9°C),self restoring Fixed Temperature Only UL Recommended Coverage* 2,500 ft.21232 m2) UL Recommended Spacing 50 ft.(15.2 m) FM Recommended Spacing 30 ft. (9.14 m) UL Maximum Distance from Wall 25 ft. (7.6m)from any wall or 2rojection extendin2 down from the ceiling more than 12 inches(305 mm) Contacts-Rating Single Pole Normally Open 3.0 amps at 6 to 125 Vac; 1.0 amp at 6 to 28 Vdc;0.3 amps at 125 Vdc;0.1 amps at 250 Vdc Operating Environment Indoor-Dry Agency Listings UL,FM,CSFM -Maximum detector coverage has been determined by UL to provide detection time equal to sprinkler devices spaced at 70 R(3.05m) Intervals on a smooth ceiling 15 feet 9 inches(4.8m)high. Higher ceilings may adversely affect detection time. Earlier detection may be obtained by reducing the spacing between sensors. (See NFPA 72, Chapter 5 Mounting TO INSTALL DETECTOR— NIMH ARROWS ON DETECTOR AND MOUNTING ELECTRICAL WX EST 2808 series heat sensors come standard with a white plastic reversible PLME.PUSH UP AND TURN mounting plate.The plate is designed for surface or Flush mounting and installs CLOCKWISE. QN SUPPING) directly to a standard North American 3Yz or 4 inch octagon box.Once the -H ------- mounting -----nmounting plate is fixed,a simple twist will lock the sensor in place. It can be removed using a screwdriver to release the tamper-resistant locking finger.This helps prevent unauthorized removal. �. TO REMOVE DETECTOfl FIYFN M.M Theo clonal metal mounting late has four legs that can be bent u to accom- LIFT LOCKING FINGER WnH t,Kma"A., P 9 P 9 P SCREW DRIVER TIP ANO modate exposed wiring using limited energy cable.The plastic mounting plate c°BONCMDW TECIOR COUNTER' is molded to accommodate exposed wiring. 1145' When mounting to a surface mounted octagon box(1 Y2 inch(38mm)deep (4mm) maximum)the 6253 Trim Skirt can be used as a decorative cover.A 6252 "1 Surface Trim Ring is used to adapt the detector to fit a standard North American _ 4 inch square box. ..vx• I FRONTWEW MCN)Mwnlinq'We PM 2W-MPL (aae,.ePemley) 2 LOCKING FINDERS SURFACE FLUSH SUFFICE MOIINTINO MOUNTING MOUNTING SIDE SIDE HOLES PI 5 SURFACE n2imm) MOUNT MR WR UTB FOR WIRE O O ENTRANCE �I Imo- FLUSH MOUFR: 21aw, SPEAK ARAY 2 SECTIONS aW..) PPI VIEW ON CIRCUMFERENCE PINAW R.,01A.MGUMOK PIGM GI.No.2NMPL EDWARDS SYSTEMS TECHNOLOGY It is our intention to keep the product information current and accurate.We can not cover specific applications or anticipate all requirements. All specifications are subject to change without notice.For more information or questions relative to this Specification Sheet,contact EST. 02W EST - P,,M in U.5A, Page 2 of 2 Literature Sheet#85001.0281 Issue 2 EDWARDS SYSTEMS TECHNOLOGY CONVENTIONAL INITIATING DEVICES Two-Wire Self-Diagnostic Smoke Detector z a 2M-PD Series Features ■ Remote maintenance(CleanMe°)reporting and built-in drift A� compensation reduces false alarms ■ Self diagnostics eliminates the need for external meters ■ Fixed/rate-of-rise heat sensors work with photo chamber to Remote maintenance reporting.2M-PDC detectors include the catch fires faster optional CleanMee feature,which automatically reports back to the control panel and central station when dirt buildup increases, ■ Field-replaceable optical chamber makes service fast and the risk of false alarm or when the detector fails other internal simple diagnostics.A separate CleanMe®interpreter module relays IN,. ■ Selectable 6-12 Vdc or 12.24 Vdc voltage range accommo- information from up to 20 detectors to the control panel(see dates a broader base of applications catalog sheet 85001-0383). ■ Small,low profile design blends with any environment Multi-criteria sampling.The 2M-PDH combination photoelectrit. smoke detector/fixed rate-of-rise heat detector includes fast response algorithms for quick response to both flaming and smoldering fires. Fast response algorithms allow the heat sense Description to work intelligently with the photoelectric smoke sensor.W hei 2M-PDC Series self-diagnostic,two-wire smoke detectors are the the heat sensor detects a rise in temperature of more than 15 industry's first conventional direct-wire smoke detectors with degrees per minute,the sensitivity of the photoelectric sensor advanced features such as remote maintenance reporting,self automatically increases,allowing it to detect smaller particles o, diagnostics,drift compensation,and multi-criteria sampling. combustion much more rapidly than it would acting on its own Self diagnostics.All 2M-PD detectors continually monitor their own sensitivity and operational status.The on-board LED provides Application a visual indication if the detector drifts out of its'prescribed p p sensitivity range or fails internal diagnostics.This meets NFPA 72 The 2M-PD is ideal for both retrofit applications and new instalki field sensitivity testing requirements without the need for tions alike. It is particularly well-suited for installations where external meters.Additional diagnostic information is retrieved by detector reliability is essential,but where intelligent analog applying a magnet near the detector's integral reed switch.This devices,such as EST's Signature Series,may not be approprial initiates a self-diagnostic routine and indicates,by means of or feasible.The 2M-PD,with its replaceable optical chamber is coded flashes of its LED,the sensitivity level and operational equally well-suited to dusty environments where detectors status of the detector. require frequent cleaning. Drift compensation.Built-in drift compensation dramatically Two-wire 2M-PD detectors feature a field-selectable voltage increases the periods between cleaning.This feature allows the range of either 6-12 Vdc or 12-24 Vdc.This voltage range is thr detector to automatically adjust its sensitivity over time as it widest available and makes the 2M-PDC ideal for dedicated life becomes dirty,which can effectively double the time between safety applications,as well as combination burglary/fire installa- detector cleanings. tions. Field-replaceable optical chamber. Detector cleaning is ex- tremely simple with the 2M-PD's patented field-replaceable optical chamber.To clean the detector simply remove it's cover, pop out the dirty chamber,snap in a clean one,and replace the cover. EDWARDS SYSTEMS TECHNOLOGY U.S. SALES: SARASOTA, FL 941-7394200; FAX 941-7270740 • CANADA SALES: OWEN SOUND, ON 519 3762430; FAX 519-376-7258 INTERNATIONAL SALES: 905-270-1711; FAX 905-2709553 • CORPORATE HEADQUARTERS: CHESHIRE, CT - U.S. MANUFACTURING: PITTSFIELD, Issue 1 Literature Sheat#85001-0379 Page 1 . Mounting and Installation Assembly 2M detector bases mount directly to standard single-gang electrical boxes,three-inch round,or four-inch octagonal boxes. Detector heads simply twist onto the base.Heads are equipped Optional fixed temperature sensor with a break-away locking tab,which prevents unauthorized removal,Terminals accept 12 to 24 AWC field wiring. Diagnostic LED :.' `s,.,•,' Optional rate-of-rise sensor Dimensions Photoelectric sensor I 2'(S cm) 5"(12cm) " Replaceable optical chamber Detector cap Typical Wiring 2-wire Inillatlng + Q EOL CimultFOT Device Listed Alarm Control + — + First Dated r ( _G LLon Detaator 4v Specifications Ordering Information Voltage(24 volt operation) 8.5 Vdc to 33 Vdc Model Description Voltage(12 volt operation) 6.5 Vdc to 20 Vdc 2M-PD 2-wire,photoelectric,6.24 VDC(without CleanMe) Standby current 70 WA 2M-PDC 2-wire,photoelectric,6.24 VDC,CleanMe® Alarm current 60 mA 2M-PDHC 2-wire,photoelectric,6-24 VDC,multi-criteria Auxiliary relay contacts 2 A @ 30 Vdc algorithms,fixed/rate-of-rise heat,CleanMe® Alarm contacts 500 mA @ 36 Vdc 2M-PDHRC 2-wire,photoelectric,12.24 VDC,aux.relay, multi-criteria algorithms,fixed/rate-of-rise heat, PhMpelectricsensorsenskivity 3,1%(+0.5%,-1%) CleanvleO Operstingtemperature 32°F to 100°F(0°C to 37°C) Accessories Operating humidity 0%to 95%(non-condensing) 2M-CMM Module that interprets the detector's self-diagnostic RR immunity 20 WITT;0.1000 MHz signal for panel and can convert 2-wire detectors to Field wiring 12 to 24 AWG 4-wire inputs on panel DrHt compensation 1.0%/ft.max. 401G Teat magnet in plastic shell for pole mounting Reset time 1 second(minimum) SM-200 Smokel in a Can®(canned smoke)for functional to Listings UL of 2M Series smoke detectors 211G Replacement optical chambers EDWARDS SYSTEMS TECHNOLOGY It is our intention to keep the product information current and accurate.We can not cover specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information or questions relative to this Specification Sheet,contact EST. ®2000 EST Printed In ue Page 2 or 2 Literature Sheat Me5001.0379 Issue 1 EDWARDS SYSTEMSTECHNOLOGV CONVENTIONAL INITIATING DEVICP Fire Alarm Stations 270 Series Features ■ Pull lever ■ Simple positive operation ■ Break glass --- ■ Attractive,streamline design ■ Less than 5 Ib pull force complies with ADA "---' ■ Solid,die-cast metal construction rM ' MEA Description The EST 270 Series Non-Coded Fire Alarm Stations are sturdy, attractive,and designed for economical installation. The station is available in the following operational and functional designs: — The 270 Series provides a single action, break glass initiat- All non-coded statins are designed for either flush or surface ing station. It is available with normally open (N.C.), nor- mounting. For flush mounting a 4 inch standard North mally closed(N.C.)or combination N.OJN.C. contacts.The American square box with single gang plaster cover should be basic 270 Series have screw terminals for field connection. used. For surface mounting the 270 Series or 270P Series,use The 270A Series Manual Stations have 6 inch(150mm)wire P-027193 Cast Box, P-039250 Steel Box,or Cat. No.1291 leads. Housing for weatherproof enclosure. — The 270P Series is a break glass, normally open pre-signal station.The pull of the lever sounds an alarm onall pre-signal WARNING:These devices will not operate without electrical power. indicating devices. Inserting a key and turning it will initiate a As fires frequently cause power interruptions, we suggest you general evacuation alarm. Screw terminals are provided for discussfurthersafeguards with your local fire protection specialist . field connection. -- Ordering Information Table FINISH: Fire Alarm Red with Aluminum Strips MARKINGS: Top.-Fire Alarm Handle-Pull in Case of Fire Switch Contacts Field Connections Cat.No. UL Listed Single Pole Double Pole Open Circuit Screw Terminals Wire Leads Pre-Signal 270-DPO x x x x 270-SPO x x x x 270A-DPO x x x x 27OA-SPO x x x x 270P-DPO x x x x x 270P-SPO I x x x x x �i EDWARDS SYSTEMS TECHNOLOGY U.S.SALES:SARASOTA,FL 941-739-4200:FAX 941-727-0740 • CANADA SALES:OWEN SOUND,ON 519-376-2430:FAX 519376-7258 INTERNATIONAL SALES:905-270-1711:FAX 905-270-9553 - CORPORATE HEADQUARTERS:CHESHIRE.CT • U.S.MANUFACTURING:PITTSFIELD,MF Issue 5 Literature Sheet#8500'1.0303 Page 1 or Mounting I It2" 34/4" (25mm) (38mm) (a2mm) DOOR RELEASE FOR TEST 8 RESET AND WALL SURFACE GLASS REPLACEMENT /INCLUDED WITH PRE-SIGNAL STATIONS) ONLY ® GEN ALARM KEY SWITCH S.P.S.T. INCLUDED WITH 4-V2" PR -SIGNAL STATIONS) (114mm) ONLY x o L DETAILS FLUSH MTG. UNIT FITS 4"SO BOX a PLASTER COVER WITH P27165 GLASS ROD o SINGLE GANG OPENING HAVING OVERALLMIN. DEPTH OF 21/6" , FLUSSH INSTALALTION USING P-024WO STEEL BOX 3-1/8" 3 1/2" ..,I I� 35/32" 1" 39/16' (SOmm) (89Mm) I (fi0mm) (25m (90mm) 25mm) I I I O 41/2" 4-9/16- (1 14mm) (116mm) O O L I OL O , r==1— FRONT SIDE I STEEL SURFACE BOX FRONT CAST SURFACE BOX SIDE P-039250 P�027193 EDWARDS SYSTEMS TECHNOLOGY It is OUT intention to keep the product information current and accurate.We cannot cover specific applications or anticipate all requirements. All specifications are subjectto change without notice.For more information or questions relative to this Specification Sheet,contact EST. C 2000 EST Primed In U.S.A. Paye 2 of 2 Literature Sheat;µR5001-0903 Issue 5 07/30/03 WED 13:59 FAX 14256702675 Federal Firesafety ... Fed Fire PA Z001 INWARCSSYSTENSTECHMXOGY NOTIFICATION APPLIANCES Swedable I5, 30, 75, Field Configurable 110 cd Horns and Strobes G1 Series � - Features .,...eeeeeee ■ Unique low-profile design ... - The most compact UL-1971/ULC-S626listed strobe available - Ultra4im=protrudes leasthanone inch from the wall - Attractiveappearance - Novlsibiemounting screws _ --- ■ Faurfiield-eordigurable options in one device - Select 16,30,76,or 110 cd strobe output - Selecthigh(default)or low dB horn output - Selecttemporal(default)or steady horn output !':dam•'' ¢gY - Select public mode flash rate(default)orprivate mode k (E®© ' 1 temporal flash ■ Easytolnatall 4 hst - Fits standard t-gang electrical boxes-no trim plate needed Listing:paaairg - Optional trim plate accommodates oversized openings One or mare parents pending. Pre-assembledwith captive hardware - #12 AWG terminals-ideal for long runs or existing wiring with FullLi httechnol g ogygowell beyond the minimum UL- ■ Unparalleledperformanca required'T'pattern,significantly exceeding UL-1 971 and ULC- - InduatlYsmostavenlightdistribution 5526lightdistributionrequirements. - Meets tough synchronizingwandardsforstrdbes Although all Genesis strobes are self-synchronizing,when installed - Single microproceworcontrols both ham and strobe with an optional synchronization module,strobeflashes from - Lowcurrentdrawminlmizessystemoverhead devices on the same circuitsynchronizetowithin 10milliseconds - Independent horn control over a single pair of wires of each other/nderinitely.This exceeds the two-hour minimum - Multiple re frequency tonsush current improv specified in the UL standards.Only one synchronization module is. - Multipletroquenoytonoimprovutput penetration required per circuit. - Industry'sfirsttemporalstrobeoutput Genesis strobes and horn-strobes offer 15 to 110 candela output, Description which is selectable with a conveniently-located switch on the side of the device.The candela output setting remains clearly visible The Genesis line of signals a re among the smallest,most compact even afterfinalinstallation,yet itstays locked inplace toprevent audible-visible emergency signaling devices in the world.About unauthorizediampering. the size of a dock of playing cards,those devices are designed to blend with anydecor. Genesis horn output reaches as high as 99 dB and features a unique multiple frequenoytone that results in excellentwall penetration Thanks to patented breakthrough technology,EST G anesis strobes andanumistakable werningofdanger.Horns may beconrigured donotrequlrebulky specular reHectorsand lonses.Instead,an for either coded or non-coded signal circuits.They can also be set exclusive cavity design conditions light to produce a highly for low dB output with a jumper cutthat reduces horn output by controlled distribution pattern.Sig nlFeantdevelopment efforts about 6dB. employing this new technology have given rise to a new bench- mark in strobe performanee-FUIILighttechnology. Genesis signals feature textured housings in architecturally neutral white or traditional fire red.An ingenious iconographic symbol FUIILightstrobe technology produces asmooth light distribution indicates the purpose of the device.This universal symbol is code- pattern withouMe spikes and voids characteristic ofspecular compliant and is easily recognized by all building occupants reflectors.This ensures the entire coverage area receives consis- regardless of what language they speak.Models with"FIRE" tent IN mination from the strobe flesh,As a result,Genesis strobes markings are also available. EIDWARDS SYSTEMS TECHNOLOGY U.a.aALES;SARASMA,f1941.7304700:FAXe41777,0740 - G1NADASALES:OWENSOUND.ON519.Wga490;FAX51S3767259 MFANAawrLuS4LBS:gOS27o-1711:FA)CWSV085M - CORPORATENEAOWARTFAS:CHESHIRE,CT - USMAT"ACTUWNG:PrtTSFIELD6NEWPOnr ME teaue 1 Literature Sheet OBB001-0573 Page 1 of 6 Nan m be used for insun4von purpoaec. For the most oUrmrtt Ikerature and pdata.Nan www.ost•not 07/30/03 WED 14:00 FAX 14256702675 Federal Firesafety �4 Fed Fire PA laoo' Application The suggested sound pressure levelforeach signaltngzone used with pp alettor alarm signals is at least 15 d9 abovethe average ambient Genesis strobes are UL197141stedfor use indoors aswall- sound level,or 5 dB above the maximum sound level having a mounted public-mode notification appliances;for the hearing duration ofatleast60seconds,whichever Isgreater,measured 5feet impaired:Prevailing codes require strobes to be used where (1.6 in)above the floor.The average ambient sound level is,A- ambient noise conditions exceed 105 dBA(87dBA in Canada), weighted sou nd pressure measured over a 24-hour period, where occupants use hearing protection,and in areas of public Doublin the dista nce fro m the signal to the eat will theoretically accommodation as definedinthe_AmericanswithOisabi/iriesAct 9 (see application notes-USA). actresuhina6dBreduction ofthe rustic pr sputiesof ateriaure vel.The actual affect depends on the acoustic properties of materials inthe Combination horn-strobesignels mustbeinstaled inaccordance space. A 3 d8A difference represents a barely noticeable change with guidelines establishedfor strobe devices. in volume. Strobes Application Notes - USA The following guidelines are based on ANSI/NFPA 72 NaticnaMre App Alarm Code(1999).When applied and installed in accordance with Audible signals in the public mode should never have a sound that code,EST strobes meet or exceed the illumination produced level less than 75 dBA at 10'(3 m)per NFPA 72.Signals cannot by the ADA-specified 76 candela led)strobe at 30 feet. exceed 120 dBA per ADA and NFPA 72 Sit the minimum has ring distance to audible appliance. NonSleepingRooms ES 11rrountedstrobes* Strobe and combinati on horn/strobe devices should be installed U to 20'x 20'(6.1 m x 6.1 m) I One 15 cd strobe with the bottom ofthe device at least 80 Inches(2.0 ml and no more Up to 30'x 30'(9.1 m x 9.1 m) One 30 cd or two 15 ad strobes than 96 Inches(2.4 m)abovethe finished floor.Horns should be Up to 40'x40'(12.2 m 15.2mx15.2 m)x 12.2 m) One 75 cd or two 30 ed strobes installed with theirtops not less than 6 inches(152 mm)belowthe Up 5050 x50'( Ona 110 cd or two 75 cd strobes ceiling and not less than 90 inches(2.3 m)above the finished floor. Strobes must be used to supplementaudible signals whereverthe Corridors average ambient sound level exceeds 105 dBA. Combination 15 cd strobes spaced at 100' audible/visual signals mustbe installed in accordance with NFPA Any length. (30.5 ml max.Strobes must be guidelines establishedforstrobes. Maeimumwldth:20'(6.1m). placed withinl5'(4.5m)ofeaeh ADA requires naisinthefollowin areas: and of the corridor. q 9 9 ADA suggew using 75 ed swbos throughout an ares,with spacing that neva a restrooms,meeting rooms,and other common use areas. excseds so It from the atrobe be any point in the protected space. • sleeping Looms intended for use by personswith hearing Non-Sleeping Rooms and Corridors:ESTstrobes rated otiose impairment(in accordance with Tale 1 of ADA). than 110 cd per UL 1971 are intended foruse innon-sleepingareas • work a reas used by a person with a hearing impairment(per only.Install with the bottom of the device at least So inches(2.0 m) TiitleIofADAI. and no morethan 96 inches(2.4 m)above the finishedfloor.No point in any space(including corridors)required to have strobes should Application Notes - Canada be morethan5Ufeet(15.2m)from the signal(mthe hortzontal (BasedinParton 1995Canada National Building Code) plane). The fire alarm signal sound pressure level shall not exceed Fo r detailed spacing requirements,consult The Handbookof 110dBA Inanynormal lyoeeupisdarea.The sound pressure level visible Notification Applian cas for Fire A/a rm Applications from an audible sig nal in a floor area used for occupancies other published by EST Press,orcontact you rlocal EST rep resentative. than occups ncies shall n ot be less than 10 d8A above ambient lesetlsland never less the n65dMInsleeping too methe Sleeping roomw EST 110 cd strobes are intended for use in sound pressure level from an a udible signal shal I not b a less than sleeping rooms and should be installed along with a smoke 75 dBAwhen any intervening doors between the device and the detector.It must be wall mounted at least 80'(2:03 m)above floor sleeping room are closed. Audible signal devices shall be level,but noeloserthan24"(610mm)tothe ceiling,The distance installed notlessthan 1.8 mto the center of the device abovethe fromthestrobe tothepi8owmust not exceed l6'(4.8m). floor(perCAN/ULC$524). Sleeping Rooms EST wall mounted strobe The fire alarm audible signal shall be supplemented byfire alarm Any size 110 cdwithin i6feet ofpiilow strobes Inanyfloorareawheretheambiennoiselevel exceeds 87 —w dBA,orwheretheoccupants ofthefloorarea use ear protective devices,are located within an audiometric both,orare located within sound Insulating enclosures.This also appliesto assembly Horns occupancies inwhich music and other sounds associatadwith performances could exceed 100 dBA Strobes shall be installed in a building so that the flash from one device is visible th ro u ghout the floor area or portion thereof in which they are installed.For maximum safety,EST recommends that strobes be installed as perthe guidelines shown hors Under Strobe Spacing. t4 i, {a EDWARDS SYSTEMS TECHNOLOGY literature Sheet Ie5001-0573 L--"e 1 Page 2 eP a him to be Used Por InfiUlatlun PUtpOSee. Fer the most eurrent literature and updams Nsrt wavw.esirhaG 07/90/09 WED 14:01 FAX 14256702675 Federal Firesafety Fed Fire PA 16009 Installation three-pulse temporal pattern.Units may be configuredfor use with coded systems by cutting a jumper on the,circuit board.Th Genesishornsand strobes mounttoanystandardone-gang results in a steady output that can be turned on and off(coded) surface ortiushelectrical box.Matching optional trim platesare the system applies and removes power to the signal circuit.A Used to cover oversized openings and can accommodate one- Genesis Signal Master is required when horn-strobe models are gang,two-gang,four-inch square,or octagonal boxes,and coltfiguredfor coded systems.Non-temporal,horn-only models European 100 mm square, sound a steady tone. Ali Genesis Signals'eome pre-as- Genesis strobes and horn-strobes am aHopedfromthelactory sembledwith captive m0mingscrews ready for use as 4L 1971 compliant signals for public mode for easy installation.Two"be atthe operation.These signals may be configured for temporal flesh top of the signal unlock the cover to cutting a jumper on the circuit boa rd.This battery-saving feature ' • reveal the mounting hardwsre.The intended for private mode signaling only. shallow depth of Genesis devices leaves ample room behind the signal Genesis strobes and hom-strobes maybe setfor15.30,75,orII for extra wiring.Once installed with the candela output.The output setting ischanged bysimply openin cover in place,no mounting screws the device and sliding the awhchtothe desired setting.The devl are visible. does not have to be removed to change the outputsetting.The setting remains visiblethrough a small window on the side of th device afterthe cover is closed. Genesis Hum/Strobe Field Configuration with optional Temporal horn and horn-strobe Horns and horn-strobes are factorysatiorhlghaBoutput. trim platemodels are factory set to sound ina Low dB output may be selected by cutting a jumper onthe circa board.This reduces the output by about 5 dB, Wiring Field wiring terminals accommodate#18 to#12 AWG(0.75 mm' to 2.5 mmz)wiring.Horns,strobes,and combination horn-strobes are imerconnected with a single pair of wires as shown below. t + �v T.twd eoN°e OL"ONsa b H M °ra°edsnm.,° ONall:sheers meet have condwom w1hoe. i Q" XIA j,. EDWARDs SysTEMs TECHNOLOGY Literature Sheet I0800t-03Te Pea.9 Imus 1 Not to be used for Installation pumoma. 07/30/03 WED 14:01 FAX 14256702675 Federal Firesafety ,4� Fed Fire PA 43004 Specifications + Housin Fed or white textured UV srabilhed,color int re dated en Ineared pfasde.Exceeds 94VA UL flammability roti Lens oat grade po carbonate clear)' Mounting mount:2'h Inch(84 mm)deep oris-gang box surface mount:EST model 27193 surface mount box,wlremold box,or aquiwlent surface-mount box (indoorwellmount only) optional trimnlate:One anti.two-gene.four-inohs octagonal,or Euroeansin le- an box Vire connections w terminals:single input for both horn and Strobe.#18 to#12 AWG(0.75 mm2 to 2.5 mm2)wire size O aretin environmentor only:32-120'F(0-WC)ambient temperature.93YAgenoy 971,UL 1638.UL 464,ULC 5525,ULC 5526,CE,FCC,(MEA,FM,CSFM pending).Ilsdn a rovals models comply with ADA Code of Federal Regulation Che ter 28 Part 36 FinalDimensions(HxWxD) ai' 4-1/2"x 2.3/4•x 13/16"(113 mm x 6a mm x 21 mm) late: U.1127 mm Hei M-5-7/S'(749 mm);Deth-'h"(13mm) 0 eerier temporal-tone horns:non-coded,filtered 16.33Vdc orunfiltered 16.33Vdc FWR(orcoded when set to steady tone) Operating voltage iDVM series temporal-tone hom•strobes:noncoded,filtered 1633 Vde or unfiltered YB33 Vdc FWR oded(audible NAC only)when used with optional GIM Genesis Signal Master) M series strobes:noncoded,filtered 16.33 Vdc or unfiltered 16.33 Vdc FWR Gl•P series stead tone horns:coded or non-coded,filtered 21131 Vdc or unfiltarad 2x27 V(wr Strobe output ing UL 1971 UL 1639,ULC 5626:selectable 76 set,30 cd,75 ed,or 110 cd output GJ-VM strobes and Gt-HDVM series temporal-tone horn-strobes:one flash per second synchronized with Strobe flash rate optional GIM Genesis Signal Master.indefinitely within 10 mtlitsecends(or.eek synchronized within 200 milliseconds over thirty minutes on a common circuit without GIM Genesis Signal Master) Tem oral setting(private mode on :synchronized to temporal output of horns on same circuit Compatible synchronization GIM,GIM-RM,SIGA-CC1S,SIGA•MCC1S modules* G1,HD tamporal-tone horns and G1-HDVM s8ries temporal-tont'hornstrobes:temporal rate synchronized Horn pulse rata with optional GIM Genesis Signal Master indefinitely within 10 milliseconds(or self-synchronized within 200 milliseconds over thirty minutes on a common circultwithout GIM Genesis Signal Master) GI-P stoady-tone horns:continuous,steady tone only Temporal audlhlepartern %see ON,'A we OFF,h sec ON,'A see OFF,'A sec ON,11h Seo OFF,then repeat cycle eNotcompatiblowkh G i-PSeriesheme. dBAoutput Average Sound Output(dBA) 4 TemporalUl4M .r(Hi hdSsetiin +anecho.c 24iV,+measured awt1oft) r a.rwerr oen Aox6a �aek T se r, Tanrpone/Stead 16Vde 1 01.4 665 97.4 90.2 ri1', I n 24Vds &1.4 88.6 94,6 97.6 33;;d. a8.3 90.4 Temporal Nome,He as (G/-H0,O1-HOVM series)-low ar -I• u ULA64J_ Avara0s teak *:' Temporal I ®msd TampenVSteady ..•i;. 16 VdG T6:0 60.1 Bela 69.2 Ar r .. +r y1 Vdc 70A 83.5 89,8 -� 92.5 33 Vdc 1 eta 1 ear I Light output - (effective cd) Steady Tenn Homs l67•P series) Percent of UL rating versus angle UL104 Average Peak m m m r + e r ..i"�• . +,• e, v z0 Vdc 70.7 09.5 91 26 Vdc 77.1 90 91.1 I . 31 Vda 77.2 90.4 91.6 � 'x Nave } 1. Alwkmashownerad6AmnomdotlOaret(3.01m). 2 UL464w1uss measured lnmverberatlon room. 3. AverageandPeakwlumarememumdinanachoicchember. 14 J9, 913WARAS SY6T'HMS TECHNOLOGY his"1 Lheramra Sheat#x90014673 Page 4 of 6 Net to be used for imaerhmon purposes. For the most current literature end updetee vlak www.est.not. 07/30/03 RBD 14:02 FAX 14256702675 Federal FSresafetY Fed Fire PA Z005 Current Draw Strobes,Hom-Stmbes Home Mulched WWI Strobes(GI-VMI Wall Temporal Hams(ul-HO) UL Nem late Ratin (UL1971,ESectiv6 May 2004) UL Namcpl4t4 Ra6n9(U1a64 EMeedve May 2004) 16 d 30 ad 75 ad t392 High d3 Low d3 RMS RMS RMS RMS RMS 16 Vde 103 141 255 16 Vde 20 19 76 Vrwr 125 179 21M 26 Vdc 38 Z7 33 We 41 33 Typical Currant(Measured by EST) 18 vlrm 91 37 16 ad 90 oil 75 ad 110 td74 Vicar 69 62 Mom RMS Mcan RMS MeRMS Mean RMS Mean 33 Vfwr 16 Vda 95 79 127 124 246 243 285 283 20 Vde 71 66 98 96 196 t66 240 236 Typical Current(Measured by ESq 24 Vdc 59 55 O SO 152 150 197 1 Im...1 High ds Low do 88 Vdc 46 44 84 63 112 111 137 1 136 RMS Mean RMS Mean 16 Vfwf 119 64 169 97 332 203 378 240 16 We 22 17 17 14 ?A Wwr 103 61 143 76 253 . 160 331 198 20 We 24 19 19 16 2411f1vr 94 44 129 66 218 121 262 152 24 Vdc 27 21 22 1e 88 Yfwr 87 37 112 52 179 89 206 106 23 Vde 32 Z5 26 22 16Vfwr 34 15 30 id Multl<d Wall Tompord Ham-WObes(GT-HOVMI—High d6 Sefdn9 20 Vfwr 40 19 34 16 UL Nam dam Rating(UL1971,Effective May 2004) 24 Vlwt 45 21 38 18 16 ed 30•ed 75 cd 170ad 33 Vfwr 52 24 47 22 RMS RMS RMS RMS 16 Vdc 129 167 261 337 Wall Homs(01-P) 16 Vlwr 178 230 397 443 UL Name late Rating Measured b EST RMS RMS 1162 Typical Current(Measured by EST) 20 Vde. 9 10 load 30 ad 75 ed 710 ed 24 Vde 10 11RMS Moen RMS Mean RMS Mean RMS Mean 81 Vdc 12 12 16 Vdc 102 80 136 129 246 242 309 305 20 Vim 0 920 Vdc M 77 109 104 . 103 190 249 243 24 Vlwr 9 10 24 Vde 81 71 54 90 161 tea 203 200 88 Vde 74 64 72 74 1 124 121 154 151 matmandcommentl 16 Vfwr 144 77 182 106 352 212 393 249 1. Curremvatuesore sho"In mA. 20Vfwr 141 68 162 87 274 158 362 210 2AVfwr 136 85 152 1 75 235 1 133 202 165 2 ULNameplate Rating can varyfromTypical Current dmw measurement medlodsend Inswmemswed. 33 Vfwr1 125 1 54 1 144 1 65 1 201 I 101 232 123 3 ESTmcmnmendsusingtheTWMICu MfbrayswmdaignincludingNAC and Power Supplyloadangandwlblgedrop NIVA110n3. MuftiodWaRTempMTHornatrobes(Ol-NDVM)—LawdBSedng 4. UsethaVdcRMScurr radngsftn6nemdpo rcupplywdbatmryAH M Nameplate Rating IUL1971,eHettive May 2004) mIculadona.UeelhellfwrRMS curremradngsforungRefedpOwersupply 15 ad 30 W 75 ed 110 cd calculations. RMS__ MAS RMS RMS S Fusee,ekouiibmakemandomerwem entprometionde%ka amtypieslly 16vdc 122 160 274 330 raltheheaing affact fthe eimntflo singdlexdhthodo Pce.The sedupon 216 363 629 theheadngrentin FkMSVarentBowdngthmCWI "OPC tebWOduMn nt Ills~ 182 (notthsmeancurrem)datertninaetheheadngalfeaterdtherefom,thetdp and ho Idlhreshol d forth ase devices. Typical Current(Messwad by EST) S Curindusbyllmused'mesn'aurrems overthayeam Howaver,ULwdll direct 15 ad 30 Od 76 cd 1tOW the dndusbyto wethe 2004 RMSV0106S inthnfuture. RMS Mean RMS Mean RMS Mean RMS Mean 16Vdo 96 94 130 124 243 240 302 297 20Vda 79 70 104 99 189 186 241 237 24Vdc 68 61 as 84 156 164 1B7 iB3 33 Vdo 66 52 71 68 IIB 118 146 149 16~ 128 69 180 104 344 204 1 359 1 244 20 viear lie 60 157 04 266 156 1 We 1 200 24 Vfwr 113 64 144 74 230 126 270 161 89 Vfwr 112 40 137 04 1a7 ®o 226 117 EDWARDS SYSTEMS TECHNOLOGY pogo a of Literature Sheet#06001-0579 Issue 1 Not a be used far bv4allatlon punno4os. 07/00/03 WED 14:02 FAX 14256702675 Federal Firesafetr v.. Fed Fire PA 0 006 Ordering Information `; Cetabg Ntunbsr Ship Wt White Finish Red Finish Description lbs(kg) G1-HDVM G1R-HDVM Genesis Horn-Strobe(selectable 15,30,75 or 110 cd output,selectable high/low dB output) 014MG1R-VM Genesis Strobe(selectable 15,30,75,or 110 cd output) Gt•HD G1R•HD Genesis Temporal Horn(selectable hi hlow dB output) G14 G1R-P Genesis Steady Horn(not compatible with Genesis Signal Master) G1F-HDVM G1RF•HOVM Genesis Horn-Strobe(selectable 15.30,75,or 110 cd output,selectable hightlow dB output) 25 0 -with'FIRE'marking (0 25 GIF-VM GIRFVMGenasis Strube(selectable 15 30,75,or 110 cd output)-with'FIRE'merlin GIF-HD GtRFHD Genesis Temporal Horn(selectable highllow dB output)-wilh'FIRE'marking GIF-P GIRFP Genesis Steady Horn with'FIRE°markin (not compatible with Genesis Signal Master) Mounting Accessorias GIT GIRT Genesis Trim Plate(for two-gang or C square boxes) 0.15(0.7) GIT-FIRE GIRT-FIRE Genesis Trim Plate(for two-gang oro'square boxes)with'FIRE'markings 27193.16 27193-17 1 one-gang surface mount box Synchronization Modules GIMGenesis Signal Master-Sna on Mount GIM•RM Genesis Signal Master-Remote Mount(1-gang) SIGA•CC1S Intelligent Synchronization Output Module(2• ng) 0.5(0.23) SIGA-MCC1S Intelligent Synchronization Ou ut Module(Plu tin UIO) 0.1810.081 b e ordered a ed in rerobes may Vit{. be ordered in red or ? &il white,withorwithout 'FlRE'marking. FIRE I WRRNWG:ThesedsykWv4Rn6top "MwMhOUtelectkWpower.As SresfrepueMlyeawspowtxlnterr*ow ,we suggest you discuesfunhersafeguardswithyour!oral in prolaction apadekkt . 1Msevw'tilastgrWappOancw':flasfilntenm mpynatbeadegUatetosmormakeno=upariwinftpmwctodarea.Re�earchtn*amsthatthemtenslyofswbeneeded b awoken Oo%otowford"MOO la approdmaONy,190 p1.�tiTT recammendi thil strobes in akeplrg moma be Ila cd minimum. Genesis and Fullllght Strobe Technology are trademarks of Edwards Systems Technology,Inc. "_�- EDWARDS SYSTEMS TECHNOLOGY hlecurWmtbttokwpthaproduairdormationcu mandaamam.V6%wnItOtwo speakaPplkatbnsorand'rlpemegre0uksrtWa. gkspesakaaOrreeresub)eette Mangewatlroutmtiee.forrnpre inMmatron orrPrsaomreWvElotHs Speediratlort EST 0 2003 EBT Fdrard h USA(site( P.00 a of 6 ilbra/an 6haet#6500!-06l3 Issue 1 Noe to be ueea%I installwd*"purpenes. For thb mast Currant ataretum end upda"o vlsit www.e net. A product or ESTMnlmang.aamc,U,PL EDWARDS SYSTEMSTECHNOLOGy NOTIFICATION APPLIANCES Field Configurable Ceiling Horn-Strobes GC Seriesr Features kt ■ Unique low-profile design - 30 percent slimmer profile than comparable signals �• .., y yti;�, 7° - Attractive appearance - No visible mounting screws 'd _-1V1 ■ Easytoinstall `°s• - Fits all standard 4"square electrical boxes with plenty of rr room behind the signal for extra wire-no extension ring or pending trim plate needed NEA - Pre-assembled with captive hardware-no loose feces ending - #18to#12 AWG terminals-ideal for longruns or existing wiring oneormore P p 9 patents Pending. ■ Field configurable-no need to remove the device) - - Selectable 15,30,75,95 candela output;switch settings pending remain visible even after the unit is installed - Low/high dB settings FuIlLight strobe technology produces a smooth light distribution pattern without the spikes and voids characteristic of specular ■ Unparalleled performance reflectors.This ensures the entire coverage area receives consis- - Exclusive Fulli-ightstrobetechnology producesthe industry's tent illumination from the strobe flash.As a result,Genesis strobes most even light distribution with FuIlLight technology go well beyond the minimum UL- - Precision timing electronics meettough synchronizing required"cross"pattern,significantly exceeding UL-1971and ULC- standards forstrobes S526 light distribution requirements. - Single high-efficiency microprocessor controls both horn and strobe Although all Genesis strobes are self-synchronizing,when installed - Low cu rrent draw minimizes system overhead with an optional synchronization module,strobe flashesfrom - Independent horn control provided over a single devices on the same circu it synchronize to within 10 milliseconds pair of wires of each otherindefinitely.This exceeds the two-hour minimum - Highly regulated in-rush current allows the maximum specified in the U L standards.Only one synchronization mod ule is number of strobes on a circuit required per circuit. - 100 dB peak-multiple frequency tone improves Genesis horn-strobes feature 15 to 95 candela output,which is wall penetration selectable with a conveniently-located switch on the front of the - Approved public and private mode applications device.The candela output setting is clearly visible even after final - UUULC listed for ceiling or wall use installation,yet it remains locked in place to prevent unauthorized movement after installation. Description Genesis horn output reaches as high as 99 dB(peak)and features a Genesis ceiling horn-strobes are small,compact,and attractive unique multiple frequency tone that results in excellent wall audible-visible emergency signaling devices.Protruding no more penetration and an unmistakable warning of danger.All models than l.6"(41 mm)from the ceiling,Genesis horn-strobes blend with may be configured for either coded or non-coded signal circuits. any decor. They can also be set for low dB output with a jumper cut that Thanksto patented breakthrough technology,EST Genesis strobes reduces horn output by about 5 dB. do not require bulkyspecular reflectors and lenses.Instead,an Genesis horn-strobesfeaturetextured housings in architecturally exclusive cavity design conditions light to produce a highly neutralwhite.An ingenious iconographic symbol indicatesthe controlled distribution pattern.Significant development efforts purpose ofthe device.This universal symbol is code-compliant and employing this new technology have given rise to a new bench- is easily recognized by all building occupants regardless ofwhat mark in strobe performance-FuIlLight technology. language they speak.Models with"FIRE"markings are also available. EDWARDS SYSTEMs TECHNOLOGY US.SALFS:SARASOTA,FL941-739-0200;FAX941-727-0740 • CANADASALES:OWEN SOUND,ON 519376-2430,FAX 519-376-7256 INTERNATIONAL SALES:905-270-1711:FAX 905-270"9563 • CORPORATE HEADQUARTERS:CHESHIRE CT • U.S.MANUFACTURING:PIT7SFIELD5 NEWPORT ME Issue 2 Literature Sheet#85001-0559 Page t of 4 Not to be used for installation purpose.. For the most current literature and updates visit www.est.net. Specifications Housing White textured UV stabilized,color im re nated engineered plastic.Exceeds 94V-0 UL flammability rating. Lens Optical grade polycarbonate(clear) Mounting North-American 4"square box,2 1/8'(54 mm)deep(indoor wall or ceiling applications only). Wire connections Screw terminals:single input for both horn and strobe.#18 to#12 AWG(0.75 mm2 to 2.5 mm2)wire size Operating environment Indoor:32-120T(0-49°C)ambient temperature.93%relative humidity Meets or exceeds ULC-5541,year 2004 UL requirements for standards UL1638 and UL1971,and complies with Agency UL1480.All horn-strobes comply with ADA Code of Federal Regulation Chapter 28 Part 36 Final Rule.CSFM,FM and listings/approvals MEA pending. Operating voltage GC-HDVM series temporal-tone horn-strobes:non-coded,filtered 16-33 Vdc or unfiltered 16-33 Vdc FWR (or coded(audible NAC only)when used with optional G1M Genesis Signal Master) Strobe output rating UL 1971,UL 1638,ULC S526:selectable 15 cd,30 ed,75 cd,or 95 cd output GC-HDVM series temporal-tone horn-strobes:one flash per second synchronized with optional GiM Genesis Strobe flash rate Signal Master indefinitely within 10 milliseconds(or self-synchronized within 200 milliseconds over thirty minutes on a common circuit without GIM Genesis Signal Master) Temporal setting(private mode only):synchronized to temporal output of horns on same circuit Synchronization modules G1M-RM,SIGA-CCIS,SIGA-MCC1S GC-HDVM series temporal-tone horn-strobes:temporal rate synchronized with optional G1M Genesis Horn pulse rate Signal Master indefinitely within 10 milliseconds(or self-synchronized within 200 milliseconds over thirty minutes on a common circuit without GiM Genesis Signal Master) Tem oral audible pattern Y2 sec ON,%sec OFF,1A sec ON,'A sec OFF,'h sec ON,VA sec OFF,then repeat cycle Current Draw Multi-cd Ceiling Temporal Horn-Strobes(GC-HDVM)-High dB Setting NotesanclComments UL Nameplate Rating(UL1971,Effective May 2004) 1. Currentvalues areshown in mA. 15 ed 30 ed 75 ed 95 od 2. UL Nameplate Rating can varyfrom p g Typical Current due to measurement RMS RMS RMS RMS methods and instruments used. 16 Vde 147 190 316 372 3. EST recommends using the Typical Currentforsystem design Including NAC 16Vfwr 189 253 417 451 and PowerSupplyloadingand voltagedrop calculations. 4 Use the Vdc RMS current ratings for filtered power supply and battery AH Typical Current(Measured by ESTI calculations.Usethe Vfwr RMS currentratingsfor unfiltered powersupply 15 ed 30 cd 76 cd 95 cd calculations. RMS Msen RMS Mean I RMS I Mean RMS Mean 5. Fuses,circuit breakers and otherovercurrent protection devices are typically 16 Vdc 111 95 152 143 281 276 333 328 rated for current!n RMS values.Most of these devices operate based upon the heating affect of the currentflowing through the device.The RMS current(not 20 Vale 91 80 124 117 219 214 257 251 the mean current)determines the heating affect a nd therefore,the trip and hold 24 Vdc 80 71 108 101 185 180 212 207 threshold for those devices. 33 Vdc 69 62 89 84 144 140 160 156 6. Our industry has used'mean'currentsover the years.However,ULwill direct 16 Vfwr 153 81 218 123 388 240 420 26B the industry to use the 2004 RMS values in the future. 20 Vfwr 141 70 190 100 325 188 378 219 24 Vtwr 135 64 176 90 280 154 310 180 33 Vfwr 139 61 167 80 241 122 254 133 dBAoutput Multi-ed Ceiling Temporal Horn-Strobes(GC-HDVM)-Low dB Setting Ceiling Temporal Horns,Horn-strobes(GC-HDVM)-High dB Setting OL Nameplate Raling(UL1971,Effective May 2004) UL484 Average Peak 16ed 30 ed 75 ed 95 oil Temporal Steady Temporal/Steady Temporal/Steady NMS RMS RMS RMS 16 Vdc N/A N/A N/A N/A l6Vdc 79.8 83.2 80.6 93.6 24 Vdc 83.3 85.4 93.6 96.6 16 Vicar N/A WA N/A N/A 33 Vdc 85 87.8 95.7 98.7 Typical Currant(Measured by EST) 15 cd 30 ed 75 cd 95 cd Ceiling Temporal Horns,Horn-strobes(GC-HDVM)-Low d8 Setting RMS Mean RMS Mean RMS Mean RMS Mean UL464 Average Peek 16 Vile 108 g1 149 139 275 269 327 322 Temporal I Steady Temporal/Steady Temporal/Steady 20 Vdc 87 75 120 113 214 209 250 245 16 Vdc 75 79.386.3 66.7 24 We 76 66 103 97 180 175 205 207 24 Vdc I8 83 88.8 92.4 33 Vdc 64 57 85 80 138 135 153 150 33 Vdc 80.9 85.9 91.8 95.1 16 Vicar 141 76 204 118 384 239 418 265 20 Vfwr 127 65 176 95 312 181 371 214 Notes. All lvalues shownare dBA measured at lOfeet(3.01 m). 24 Vtwr 118 60 162 82 262 149 301171 2. UL464values measured in reverberation room. 33 Vicar 127 58 155 73 229 118 249 129 3. Average and Peakvalues are measured in anechoic chamber. EDWARDS SYSTEMS TECHNOLOGY Issue 2 Literature Sheat#85001-0559 Page 3 of 4 Not to be used for installation purpose.. For the most current literature and updates visit www.est.net. Application Genesis strobes are UL 1971-listed for use indoors as ceiling- Application Notes - USA mounted public-mode notification appliances for the hearing Audible signals in the public mode should never have a sound level lat impaired.Prevailing codes require strobes to be used where 120 n 75 dBA dBA per ADA a (3 m)per NFPA 72.Signals cannot exceedd to and NFPA 72 at the minimum hearing ambient noise conditions exceed 105 dBA(87dBA in Canada), distance to audible appliance. where occupants use hearing protection,and in areas of public accommodation as defined in theAmericans with Disabilities Act Strobes must be used to supplement audible signals wherever the (see application notes-USA). average ambient sound level exceeds 105 dBA. Combination Combination horn-strobe signals must be installed in accordance audible/visual signals must be installed in accordance with N FPA with guidelines established for strobe devices. guidelines established for strobes. ADA requires visible signals in the following areas: Strobes • rest rooms,meeting rooms,and other common use areas. The following guidelines are based on ANSI/NFPA 72 Nationa/Fire . sleeping rooms intendedfor use by persons with hearing Alarm Code(1999).When applied and installed in accordancewith impairment(in accordance with Title t of ADA). that code,EST strobes meet or exceed the illumination produced by the ADA-spectied 75 candela(cd)strobe at 50 feet.(ADAsuggests - work areas used by a person with a hearing impairment(per using 75 cd strobesthroughoutan area,with spacing that never Title l of ADA). exceeds 50 ft.from the strobe to any point in the protected space.) um Area Maximum Recommended Maxim Room Type (square room Area Ceiling Ceiling mount Application Notes - Canada Height Genesis strobe (Based in part on 1995 Canada National Building Code) 20 x 20 ft.(6.1 x 6.1 m) 15 cd The fire alarm signal sound pressure level shall not exceed 30 x 30 ft.(9.1 x 9.1 m) 10 feet 30 cd 110 dBA in any normally occupied area.The sound pressure level 40 x 40 ft.(12.2 x 12.2 m) (3.05 m) 75 cd from an audible signal in a floor area used for occupancies other 50 x 50 ft.(15.2 x 15.2 m) 95 cd than residential occupancies shall not be less than lO dBA above ' 20 x 20 ft,(61 x 6.1 m) 30cd ambient levels,and never less than 65 dBA.In sleeping rooms the 30x30 ft.(9.1x9.1 m) 20 feet 75 cd sound pressure level from an and ible signal shall not be less than Non-sleeping 75 dBA when any intervening doors between the device and the Rooms 40 x 40 ft.(12.2 x 12.2 m) (6.10 m) 95 cd sleeping room are closed. Audible signal devices shall be 50 x 50 ft.(15.2 x 15.2 m) installed not less than 1.8 m to the center of the device above the 20 x 20 ft.16.1 x 6.1 m1 75 cd floor(per CAN/ULC S524). 30 x 30 R(9.1 x 9.1 m) 30 feet 75 cd The fire alarm audible signal shall be supplemented by fire alarm 40 x 40 ft.(12.2 x 12.2 m) (9.14 m) strobes in anyfloor area where the ambient noise level exceeds 87 50 x 50 ft.(15.2 x 15.2 m1 dBA,or where the occupants of the floor area use ear protective sleeping Distance from pillow devices,are located within an audiometric booth,or are located Rooms not to exceed 16'(4.8 m) within sound insulating enclosures.This also applies to assembly Nate:Recommendations in the table above assume the strobe is placed in the occupancies inwhich music and other sounds associated with center of the room.If not,the maximum room size is determined by doubling the performances could exceed 100 dBA distance from the strobe to the farthest wall. Strobes shall be installed in a building so that the flash from one Non-Sleeping Rooms and Corridors:EST strobes rated at less than 110 cd per UL 1971 are intended for use in non-sleeping areas device they yaree installed. Forhout the floor safe[ea or portion thereof n ds only.Install with the bottom of the device at least BO inches(2.0 m)and whichstrobeare installed.For maxi mum safety, nhereurecommder no more than 96 inches(2.4m)above thefinished Floor.No point in thatstrobes Spacing. tailed as per the guidelines shown here under any space(including corridors)required to have strobes should be Strobe Spacing. more than 50 feet(15.2 m)from the signal(in the horizontal plane). For detailed spacing requirements,consult The Handbook of Visible Notification Appliances for fire Alarm Applications published by EST Press,or contact your local EST representative. Horns The suggested sound pressure level for each signaling zone used with alert or alarm signals is at least 15 dB above the average ambient sound level,or 5 d8 above the maximum sound level having a duration of at least 60 seconds,whichever is greater,measured 5feet (1.5 m)above the floor.The average ambient sound level is,A- weightedsOundpressuremeasuredOvera24-hour period. WARNING: Thesedevices wee i twill not operate without eleyou disc power.As fires frequently cause power interruptions, we suggest you discuss further safe- Doubling the distance from the signal to the ear will theoretically guards with your local fire protection specialist. result in a 6 dB reduction of the received sound pressure level.The These visible signal appliances'flash Intensity may not be adequate to alert or actual effectdependson the acoustic properties of materials in the awaken occupants in the protected area.Research indicates that the intensity of space. A 3 dBA difference represents a barely noticeable change strobe needed to awaken 90%of sleeping persons is approximately 100 cc.EST recommends that strobes in sleeping rooms be 110 cd minimum. in volume. EDWARDS SYSTEMS TECHNOLOGY Page 2 of 4 Literature Sheet AaSO01-0568 Issue 2 Not to be usad for installation purposes. For the most current literature and updates visit www.eat.net. Light output - (effective cd) Dimensions Percent of UL rating versus angle i. (6 3 mem u wac oo s o ) eo• ( it rlw, t la, 1.0" (26 mm) X91 to w tihk 9 Yom ' 'q.� �t t 3 rlRfxnt fe d is 0.60"(16 mm) a n �ti{yr�l9"ty�''x t 1 t'ar .f S <fYt II4 , m � .r• Wiring ad` -ao Field wiring terminals accommodate#18to#12 AWG(0.76 ri to 2.5 ri wiring.Horn/strobes are interconnected with a single pair of wires as shown below. Installation and Mounting O + + All models are intended for indoor wall or ceiling applications only.Horn-strobes mounttoanyflush North-American 4'square polarity shown In To next device Is.condition or end of line electrical box. H H devloe O�O Nota;Strobes must have continuous voltage. o O. e O ® Ordering Information Catalog Number ` * White With FIRE Description Sbs(I Finish Markingg) Genesis Ceiling/Wall 0.82 GC-HDVM GCF-HDVM Hom-Strobe(selectable 15, (1 6) Genesisceiling horn-strobes simply unlatch and twistto open.This 30,75,or 95 cd output) gains aceessto mounting screwsand theselectable candela switch. Accessories The shallow depth of Genesis devices leaves ample room behind the signal for extra wiring.Once installed with the cover in place,no 31M-RM Genesis Signal Master 0.1 mounting screws are visible. Remote Mount(1-gang) (0.5) Intelligent ntelligent Synchronization Output Module 0.5 EST recommendsthatthesefirealarm horn-strobes always be CC1S (2-gang) (0.23) installed in accordance with the latest recognized edition of national SIGA- Intelligent Synchronization Output Module 0.18 and local fire alarm codes. MCCiS (Plug-in UIO) (0.08) Field Configuration Genesis ceiling horn-strobes may besetfor 15,30,75,or 95 candela output.The output setting is changed bysimplyopening at' , 't* the device and sliding the switch to the desired setting.The horn- strobe does not have to be removed to change the output setting. - The setting remains visible through a small window on the front of the device after the cover is closed. Field Configurable Ceiling Horn-Strobes maybe ordered with or without optional'FIRE'marking. The horn-strobe comes factory setfor high dB output.Low dB output maybe selected by cutting a jumper on the circuit board. This reduces the output by about 5 dB, Genesis and FullLight Strobe Technology are trademarks of Edwards Systems Technology, Inc. EDWARDS SYSTEMS TECHNOLOGY It is ourintentfonto keep the product information cumentandaccurete.We can not coverspecfic applications orarnicipateall requirements. All specifications are subject to change without notice.For more information or questions relative to this Specification Sheet,contact FST. 0 2003 FST Primed in U.SA.longe) Pegs 4 of 4 Literature sheet*86001-0568 ]esus 2 Not to be used for inetellstlonpurpoeea. For the most current literature and updates visit www.astnet. Aproduct of EST Marketing,Sensed,FL Fire Shei/d BATTERYCALCULATfON PROJ: 1264 Standby(C) Alarm(D) 8th Street 8l Hours= 24 Minutes= Description Qty Standby Total Standby Alarm Total Alarm (mA) (mA) (mA) (mA) BASE PANEL 1 55 55 100 100 2 ZONE INPUT 16 0 45 0 RELAY MODULE 1 1 16 0 76 0 STYLE D CONVERT 0 0 40 0 DIALER 1 14 14 25 25 ANNUNCIATOR MST 10 0 100 0 REMOTE TROUBLE 10 0 10 0 0 0 10 0 0 0 1800 0 0 0 1500 0 0 0 2700 0 0 0 1900 0 0 0 90 0 0 0 10 0 0 0 20 0 0 0 20 0 0 0 38 0 4 WIRE SMOKES 0 0.05 0 0.05 0 NOTIFICATION APPLIANCES2 124 1460 NOTIFICATION APPLIANCES 5 58 280 NOTIFICATION APPLIANCES 5 205 1025 NOTIFICATION APPLIANCES 0 249 0 0 2.5 0 2.5 0 ANNUNCIATOR LEDs 0 00 80 0 Miscellaneous 0 Miscellaneous I0 0 Miscellaneous 0 0 0 Total(A)= 69 Total(B)= 2900 Battery Capacity= 1.2x (AxC)+((.0167xD)xB) 2.28 divided by 1000 7.0 ah provided CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000299 Date 3/20/03 Property Address . . . . . . 205 E 8TH ST ASSESSOR PARCEL NUMBER: 0630000230640000 Application description . . . DEMOLITION Property Zoning . . . . . Application valuation . . . . 7500 Owner Contractor ------------- _- _______-_ ____ ERICKSON DAVID K CRESCENT DEL. INC. 144 THOMPSON RD P. O. BOX 41 PORT ANGELES WA 983639740 JOYCE WA 98343 (360) 928-2560 ------ Structure Information 715,719,721723,725 S LINO, 207 E 8TH ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST __ _-_-__ __ _ -_ -__ --_ Permit . . . . . . DEMOLITION Additional desc . . Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 3/20/03 Valuation . . . . 0 Expiration Date . . 9/16/03 Qty Unit Charge Per Extension (� BASE FEE 47.00 Fee summary Charged Paid Credited Due _______________ __________ __________ __________ ---------- Permit _____Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 I1I V J 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 al law gulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date §gnature of Owner(if owner is builder) Date T:\PLANNiNG\FORMS\1102.15[4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT]OB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGHFN WATER LINE GAS LINE BACKFLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T-OAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL 14EATPUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTI ITT)ES/ SITE WORK (Engineering Division) SEPARATEPERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 —0 e BUILDING lijd T:APLANNINGAFORMSV1102.15[4/2002] PREPARED 9/17/03, 13:12:41 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/17/03 ------------------------------------------------------------------------------------------------ ADDRESS 205 E 8TH ST SUBDIV: CONTRACTOR CRESCENT DEL. INC. PHONE : (360) 928-2560 OWNER ERICKSON DAVID K PHONE PARCEL 06-30-00-0-2-3064-0000- APPL NUMBER: 03-00000299 DEMOLITION ------------------------------------------------------------------------------------------------ P® IT: DBMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------ ----------------------------------------------------------------------------- BL99 01 9/17/03AP L BUILDING FINAL final demo permit -------------------------------------- COMMENTS AND NOTES -------------------------------------- FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Date Rec.: Permit p: t Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions,call (360)4174815 Date Issued: Applicant or Agent: /C(250 (/ Phone: 2 7 Owner: S ?iG Phone: Address: /Z± 77 ,P,� City: Architect/Engineer: 7�ou.0 ..A Phone: Contractor CALe � ,-eZO aM'Mate License#CQ 1>0 Exp: 3-5—65 Phone: -?66 '7Z8-Z5'46 Address:TF�r 4 City: Zip: PROJECTADDRESS: jU/ / ZONING: LEGAL DESCRIPTION: Lot: /0 -/2 Block: �3 d Subdivision: TPA CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: .. Billing Address: City: Credit CardTypeVISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof., ❑ Stove SF._@$ /SF. _$ ❑ Multi-family ❑ Addition Move ❑ Garage SF. @$ /SF. -$ - -Gonunercial ❑ Remodel 'X] Demolition ❑'Deck SF. @$ /SF.11 -$ Repair Other— TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: ❑ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:— Lot Size: Existing Sq.Ft. &Proposed Sq. Ft. =TOTAL Sq.Ft. Existing lot coverage %&Proposed lot coverage_%=Total lot coverage APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: 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 submitted. All other permit fees are due at the time of pemti[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 t have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, and that I must obtain such permits prior to work. T:\FORMSWPPS\Buildingpermit.wpd Applicant: Date: 0 L Y M P I C AIR POLLUTION CONTROL AUTHORITY Notification of Demolition Permit It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from OAPCA. A written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the structure. Project Site Address: 71q S, County C City ��12 T /%L)Cxze'S State 4�,'14 Zip V Starting Date: / Completion Date: Property Owner: 0/}v /e ,e fc.tcS ti Telephone: Mailing Address: J�/y %?�ry�rs�'SuvLJ PO City z o e` State Zip G Z Demolition Contractor: df2£',SeC c/ Lu.c.:S5ejv, -r State License# Mailing Address: City ye le State Zip x'63 q3 Contact Person: Telephone S'Z 8- —ZYc cD YES NO Demolition by Wrecking or Dismantling? ($25 fee) Training Fire Demolition? (If yes, attach fire department request for training fire) Renovation, Alteration, Remodeling, Maintenance, or other Construction? Asbestos found or suspected* *An OAPCA"Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to OAPCA Regulation I Article 14 for additional requirements that may apply. Asbestos Survey Completed by AHERA Certified Inspector Certification # i approved permit Certification of the Asbestos be available at the Enclose $25 Survey must accompany this job site Processing Fee form 909 Sleater Kinney Rd SE,Suite#l,Lacey,Washington 98503 360-438-8768 ' 800-422-5623 ' fax 360491-6308 homepage:www.oapca.org + email: info@oapca.org CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES,WA 98362 . UJ-40 Date 8/21/03 Property Address . . . . . . 205 E STH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3064-0000- Application description . . . ELECTRICAL ONLY Subdivision Name . . . . . . Property Zoning . . . . . Application valuation . . . . 0 Owner Contractor ________________ ___ _- ERICKSON DAVID K HALVORSEN ELECTRIC 144 THOMPSON RD 1426 W 11TH ST PORT ANGELES WA 983639740 PORT ANGELES WA 98363 (360) 457-7803 ---------------------------------------------------------------------------- Permit . . . ELECTRICAL TEMPORARY SERVICE Additional desc NE CORNER OF 8TH AND LINCOLN Sub Contractor HALVORSEN ELECTRIC Permit Fee . . . . 40.90 Plan Check Fee .00 Issue Date . . . . 8/05/03 Valuation . . . . 0 Expiration Date . . 2/02/04 Qty Unit Charge Per Extension 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR 40.90 Fee summary Charged Paid Credited Due Permit Fee Total 40.90 40.90 .00 .00 �J 1 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 r A r Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15(4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTIONTYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:0 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 PWUTILITIES/ SITEWORK (Engineering Division) SEPARATEPERMITN's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT Ws SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED �Y�EES� NO LECTRICAL ELECTRICAL-LIGHT DEPT. 417-4735 LIGHT DEPT -r ('J CONSTRUCTION RW./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING OE PORT AHC =FN CITY OF PORT ANGELES �J LIGHT DEPARTMENT PERMIT NO. 1-1Z e2l I;L d ELECTRICAL PERMIT DATE Cp A 3 / F`� ® Site Address: _ p �-(` ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: License Number: Phone: 0. /v c �5 0 •'� Owner/Business: Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ Nem� Construction ❑ Overhead Heat KW B Remodel ❑ Underground El Baseboard ElFurnace/Boiler Ll Service update/alter/repair Volta�9a 2z 0 o 11Heatpump 11 Other CSE ❑ g g ❑ Commercial/Industrial load ❑ Add/alter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: �il2C [ � r G KG — W.S. No. Service Size—Date—Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation ❑ O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending Site Address: Permit/Receipt No. a0S IL 9 Installer: New Meters Date: a c/�.s o v-\- �-- CP a3 9 ® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / / U 0 Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN —Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES QUO FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A 259 PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT �/ TOTAL FEE !/ CONT.LIC,NO.. TIME TO COMPLETE NO.STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c�1c-7� % is Site Address 22� A CORRECT ADDRE SIS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner s0hAT C/ZIClC7,)00 Installation By f�ALj/DL?S6idS �!�C Owner's Address P—/6r Installers Address 2les 1✓ bI Day Phone ,47 9 3232 - Installers Phone - Application is hereby made for Permit to install Electrical Equipment as follows: _ H�Rrey �iuM �_ Wiring Method AMP 120V 240V - NUMBER AMP 120V 10 240V NUMBER USE OF CIRCUIT PER 1 0 OR FEE USE OF CIRCUIT 1 PER 10 OR FEE CIRCUITS CIR 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR - APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. f OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE k FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP . I PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE �BC Q A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,19Fi B / ONTRACTOR OR OW NE (OR AUTH RIZED AGEN� Permission is hereby given to do the above described work,according to the conditi s hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. - 01 TO(g/gF Clxf IGMT Date Permit Issued By 7 II 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. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD Inspector's Report 1l OLYMPIC PRINTERS,INC. - REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS Q-,S=�S-r.. �•� � . ,� / U OC�CG-RGuMO'.�T Pe>>��RouvO-�. 'C:'G9Mi� KPQ / Roc NO li/, 1-flex' o t-'/c, R /N . Bo P;v No-ragTe.R 7N C',eLi + C- eAreRS use 8e' Y7ReP z a H Z_ W F O Z O D O.K.FOR COVERING O.K.TO CONNECT,�ERVICE �� \,. '--♦ -FINAL O.K.' 1 ,�� r F 9oPTAN `AO.,,-;:•I ,1Ct�Y FOR OFFICIAL USE ONLY ELECTRICAL PERMIT APPLICATION Dales: �Ww Pemil M: Dale AppovN: /O The Electrical Permit Application must be filled out completely. 0 n Please type or reprint in ink. If you have any questions,please call(360)417- 4735 Fax number:(360)417-4711 REQUEST INSPECTION ❑ Owner or Elec.Contractor Agent: Phone, Fax: Property Owner: DAVE ERICk AIV Phone: Address: Bth ,;� L IVCOLA/ city. �oPlA/VGFjct zp._983L� VriRSEN5 FZ.6M?Ir Lic��e#O�D�CL Ex hone:4r7-7803 Electrical Contractor: NAI P= Address: 2442 GLACE 1?D City: PORT 14N6EL6;5 -zip: 96363 INSTALLATION WIRED BY: ❑OWNER XELECTRICAL CONTRACTOR ' Credit Card Holder Name, 1YA4V15RSE1V9 ELECTRIC Billing Address* 2,9.10 PLAcp RD city: PART 19NGELES zip. .q$3G3 Credit Card Number, sx� ON F/LE Exp. Date: � ^ VISAJ�_ MC_ PROJECTADDRESS, �'n .+�<0/�✓ 206'60 RA U4iT[ A +3 -C TYPE OF WORK: Check all that apply: ❑New ❑Alteration/Addition ❑ Residential ❑ Multi-family A Commercial ❑ Mobile Home Sq. Ft Remote Meter ❑ Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑Low Voltage ❑Telecom. ❑ Sigr Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: Co�lir4C R�� L h'�iLSY4Q ��7s1 i L 6 sons Electrical Heat Load Additions PERMIT FEE: Service Information ❑Baseboard — KW Voltage: /2e 4 ❑Furnace KW /ui /a�.io�l 5 k w XOverhead Service Phase: X 1 ❑ 3 ❑Heat Pump —TON LRA 2 J ty f 47" ❑Temp Service Service Size: ❑Fan-Wall —KW O Underground Service Feeder Size: 1 hereby certify that/have read and examined this application and know that same to be true and correct, and l am authorized to apply for this permit. l understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. 3�/�0 4 A( — ala �,`-Ff r`F ��G>rG'T — 0 X15 %S O/,Y 60- UA �fevl cr. et." yrwt z ast-. A--t-- N C, U'D n solu- Credit Card Holder's Signature: _/4w1 gpneDate: Zzazld4 Owner or Elec. Cont. Signature: te: z/2?'Zo } C:/ELECTRICALPERMITAPPLICATION / � JU - f03 10 :26 AN HALVORSEN 360 452 9647 P. 01 / FOR OrR[IAL Use ONLY ELECTRICAL PERMIT APPLICATION qui ew App.,W: The Electrical Permit Appllcalon MO h•NII d auk oemd•reLv_. Please type or reprint In Ink. It you hew any Ruaseons,pis"@ call(300)417- 4736 Fa number:(300)417-0711 REQUEST INSPECTION phooe F", owner or Elec.Contractor Agent: Phony. 99 A—73 S71 - property Owaswner: Address: /4A T. 81aN A Cny: SDR? L 1�t!S�44CL QIP:. • A - NALVORSENS -57 —Llcanselk EXP: �h"^°•A�•?B83 Electrical Contractor:_ �jAA77' A 4EL"';-Sg�'3��- 492 P AG1< ay: zro: Address: —�- INSTALLATION WIRED BY: DOWNER *.LECTRICAL CONTRACTOR Credit Card Holder Name'_�A1Y01�5FN Billing Address 74Q? A/�1rF_ R9 CRY,—P�BTBNG�LCS Zlp:��� Ctvd Card Number. 0/✓ FILE Exp. oats' VISA' MC_ PROJECT ADDRESS - 20S C TYPE 9F WOR& Check aU that apply: ❑ NOW O AlteratlonlAdditlon O Resldential O Multi-family O Commerclel ICl Mobile Home Sq. Ft Remote Meter O Detached garage O Hot Tub O SWIM Pool O Septic Pump O low Voltage O Telecom. O 31911 Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: T LrA P SERI/Ir' rlectrlcal Ha t Lyad Add tions PERMIT FEE: 4 Service Information o Baseboard — KW voltage: O Furnace _ KW O Overtlead Service Phase: C 1 C 3 O Heat Pump —TON LRA *Temp Service Servtoe Size:f06 A C Fan-Well —KW O`�Underground Service Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and/an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: ,, ��03 Owner or Elec. Cont. Signature: Date: 7��7 40/21 C aELECTRICALPERMITAPPLICATION �o,-