HomeMy WebLinkAbout711 E Front St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000232 Date 3/07/12
Application pin number 347552
Property Address 711 E FRONT ST B REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3960 -0000-
Application type description SIGNS on your state excise tax form
Subdivision Name to the City f Port Angeles
Property Use y g
Property Zoning COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation 200
Application desc
20SQR FT BANNER ATTACHED TO BLG AS SIGN
Owner Contractor
TERRY C/O WIND NESKE OWNER 1/1 n4 3.-14,1 2- 711 E FRONT ST
PORT ANGELES WA 98362
(360) 452 -0456
Permit SIGN
Additional desc 20SQ FT BLD MOUNTED SIGN
Permit Fee 47.00 Plan Check Fee .00
Issue Date 3/07/12 Valuation 200
Expiration Date 9/03/12
Qty Unit Charge Per Extension
1.00 47.0000 PER S -ALL SIGNS OR TO 25 SF 47.00
Fee summary Charged Paid Credited Due
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 47.00 47.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work 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 can el the provisions of any state or local law regulating construction or the performance of
construction.
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Ii
Date Print Name Signature of Contractor Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS FP
Building Inspections. 417 4815 Electrical Inspections 417 4735 �1
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 IN CONSPICUOUS 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 by
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 Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
P LANNING DEPT. Separate Permit #s SEPA:
P arking Lighting I ESA:
Landscaping L SHORELINE:
FINAL INSPECTION S REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted ByN r Electrical 417 -4735 tl
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417
Building 417 -4815 8 2_4 tom
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit 1Z/V12
Date: 5'- 22 0.-
1 phoned the: Applicant RO3a Orie n hey rn-&r at 452- 1 0O
Property Owner at
Contractor at
(left a phone message or discusse'
The permit (has expired, or will expire •n). What is the status of this project?
bI 1 1 Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
kf Yv es5
T:Forms /Building Division/Project Status Update
o POa',,M1, SIGN PERMIT APPLICATION Print in ink
0 7 CITY OF PORT ANGELES For City Use Only
U Cr— Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 Date Received 3_ L2_
Permit
W (360) 417 -4815 fax (360) 417 -4711 e Z3
Date Approved a
1 111
Applicant or Agent R t o q, i I IA Phone 3( -L 5a,-rd o0
Property Owner ._../.P Phone dr
Property Owner's Address I 4 PA e,.
Contractor Qw e Phone 364, Yoo. 09 43
Contractor's Address S'I'B
License Expires
Project Address III E. Ff oh
Business Name Ne� io' 'A 1 L?
Parcel Number o(03 000 S) 3 9 6 J Lot /2 04,13 ally- 3 q Zoning C 5 0
Submit an 8 Y2 "x 11 "site plan 8 three sets of plans that include:
Type of sign (wall- mounted, projecting, freestanding, illuminated, other...)
Placement and sq. ft. area
How the sign will be securely attached (Engineering specs may be required for freestanding signs)
Separation distance between the bottom of projecting and freestanding signs and the surface below
See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements.
Sign Tvpe Brief Description: (Type, location, sq. ft)
Sign #1 Lo- -v S'ee '&1;tvne'c 20 Sb r t.
Sign #2
Sign #3
Sign #4
Totals (Unit charges Sign(s)
Unit Charge Quantity multiplied by quantities) Type of Sign Valuation
$47.00 x 1 y 7, All signs less than or equal to 25 sq. ft.
$85.00 x Wall sign or marquees, over 25 sq. ft.
$115.00 x Freestanding sign or projecting sign, over 25 sq. ft.
GRAND TOTAL Make Checks Payable to: City of Port Angeles
Y ?I Credit Cards (Except American Express) are accepted
Existing sign(s) area 0 sq. ft Proposed sign(s) area 20 sq. ft. Total sign(s) area 20 sq. ft
Building facade area (height 20 ft. X width 30 ft) 600 sq. ft. (If a building has more than one
business in it, only measure the area of the building facade that is used by the business applying for this permit)
I have read and completed this application and know it to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility t determine what permits are
require and to obtain permits prior to working on projects.
Date j l a Print Name oe 1 etInt over si
T:Forms/Building Division/Sign Permit Applicatio
Your Mortgage
Professionals
Mortgage Lender
(360) 452 -1200 OFFICE
This banner measures 30" tall by 96" long and will be mounted on MDO exterior sign board
that has been primed and sealed. The sign will be mounted on the exterior wall of the building
with 4" exterior deck screws into the exterior 2 X 6 wall placed 16" on center along the entire
length of the sign 1%2" from the top and bottom of the sign for a total of 14 screws.
NETTwoRK
FUNDING LP
RESIDENTIAL MORTGAGE LENDER
711 E. Front St., Ste. B
Port Angeles, WA 98362
360.452.1200 Office
360.808.7107 Cell Roger Rheinheimer
360.406.9966 Fax Branch Manager
Rogcr.Rticinheimcr@'NFLP.com WA MI.0- 109795
C ONT?A
Of DOPT,A T''!^ I Ccncp.�.r.pn!t F'r n4
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Group: B
CERTIFICAME'O 'OCCUPANCY
City of Port Angeles,
Building Division
This Certification issued pursuant to the requirements of Sectiora of the
Unifornpuilding Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating
E L I construct or use. For the following x
Use Classification. Office Building Permit No: 03 -908 Business Name: Peninsula Mortaaae Inc.
Type of Construction. V -N
Owner of Business/Residence: Al Kruebbe
Building Address: 711 East Front Street.
4'r
Use Zone:
CA
Address: P.O. Box 953. Seauim. WA 98382
Port Angeles. WA 98362
entember 16.2004
Off Cia1 `gt• n�$g rur N ti3 Date
Po on V Jprem sesin,aaconsp,ic�uous place
Sha not be remo °except b Official
1
DATF /C
Address of Proposed Business
E /RDAP% ££,7- 3
Applicant CLviAiSaz. ,9 MD ,e7'6,f? E iJ&
Address 143 12y 9.53
S sL /,r1 V,4 993
Phone business 4 home‘g /M g
Brief description of proposed business Zifert.4. �ieOktiee
Legal Description Lot
Current Use of Property
Zoning Classification of Property'
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
Admission charged to patrons
Is this a home occupation?
Excavation of filling of lots
Work done in City right -of -way
Is there sufficient off street parking?
New driveway openings
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the existing streets paved?
Are there existing sidewalks?
Is there curb and gutter?
Other
APPROWED' here exis
ROUTING SLIP
Certificate of Occupancy
V ifi $47 00 Certificate /Inspection Fee
YES
Block
NO
x
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
THE FOLLOWING
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
Comments Conditions
0 3- 70e
Subdivision
WILL BE REQUIRED
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
X0 1 V I st-
Bog
,
CITY OF PORT ANGELES
DEPARThfENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000908 Date 9/19/03
711 E FRONT ST
06-30-00-5-1-3960-0000-
COMM ADDITION
262800
Owner
Contractor
NESKE TERRY A/JILL E FLORES CONSTRUCTION
711 E FRONT ST 2530 W 10TH
PORT ANGELES WA 983623610 PORT ANGELES WA 98362
(360) 457-1237
Structure Information NEW 2920SF TWO STORY ADDNT
Construction Type . . .. TYPE V NON-RATED
Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
HEATPUMP & EXAUST
83.45
9/1_9/03
3/18/04
FANS
Plan Check Fee
Valuation
.00
o
'J
.........
..........
ttl
?\ I};~ ~ l\
a
So
y~ \
~
1930.05
9/19/03
3/18/04
Plan Check Fee
Valuation
1254.53
262800
Qty Unit Charge Per
Extension
1017.25
912.80
BASE FEE
163.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Qty Unit Charge Per
Extension
47.00
14.70
21. 75
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
3.00 7.2500 ECH ME-VENT FAN
Permit PLUMBING PERMIT
Additional desc
Permit Fee 118.00 Plan Check Fee .00
Issue Date 9/19/03 Valuation 0
Expiration Date 3/18/04
Qty Unit Charge Per Extension
BASE FEE 47.00
6.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 42.00
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 2131. 50 2131. 50 .00 .00
Plan Check Total 1254.53 1254.53 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
T:\PLANNING\FORMS\1102.1S [4/2002]
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CITY OF PORT ANGELES
DEPARTMENT OF coMMUNIty DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Grand Total
03-00000908
3390.53 3390.53
Page 2
Date 9/19/03
.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:\PLANNING\FORMS\1102.1S [412002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I YES NO
FOUNDATION:
FOOTINGS ICf-^d -- _1.1.
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II
ROUGH-IN I I
PLUMBING
J,l-I -
UNDER FLOOR I SLAB C( - f)J./-b~
ROUGH-IN ;7 -i~ 1I-1iI- iJ LL.,
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I~....J Q_nJJ J.L.
CEILING I , I
FRAMING ~!Jj/~1 rrvm'1tc f)1J. .J.~J...
JOISTS I GIRDERS (j '9{,1 /Jea.-J 1'00 QSfr,..,j-s
SHEAR WALL
WALLS I ROOF I CEILING ~-I q -f)JI It.
DRYWALL
T-BAR 15 -IH-O;.J {( \1
INSULATION
SLAB ' J/\,I"ri ~ l
WALL I FLOOR I CEILING j,." /,0'" IJ7l"
MECHANICAL - .
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engmeering DIVISIon) SEP ARA TE PERMIT II's'
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT II's SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 f, I, BUILDING t..-- L~,.,() '-J ,.JL~
T:\PLANNING\FORMS\1102.15 [412002]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number .2357
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
property Zoning . . .
Application valuation
03-00000908 Date
2/25/04
711 E FRONT ST
06-30-00-5-1-3960-0000-
COMM ADDITION
COMMERCIAL ARTERIAL
262800
Owner
Contractor
NESKE TERRY A/JILL E
711 E FRONT ST
PORT ANGELES
WA 983623610
FLORES CONSTRUCTION
2530 W 10TH
PORT ANGELES
(360) 457-1237
NEW 2920SF TWO STORY ADDNT
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
HARD SURFACE AREA
WA 98362
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
TELEPHONE/DATA CABLING
ANGELES COMMUNICATIONS INC.
52.00 Plan Check Fee
2/25/04 Valuation
8/23/04
~~
'-
~
.00
o
Qty
1.00
- _~1. 00
Unit Charge
40.9000
11.1000
Per
EL-LOW VOLT SYS <=2500 SQFT
EL-LOW VOLT SYS >2500 SQFT
Extension
40.90
11.10
Other Fees
STATE SURCHARGE
4.50
:t\
\~
~'\
~~
~
~
C-
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 52.00 52.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 56.50 56.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authOrized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All proviSions of
laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authOrity to violate or cancel the proviSions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (If owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNINGIFORMS\I 102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPA~~
RESIDENTIAL DATE YES NO ( COMMERCIAL) DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 /;/;'1 /04 /IdJ ELECTRICAL ~LIL. ~
LIGHT DEPT -JI/"I7
f f / / -r
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
, \PLANNING\FORMS\1102 15 [11/14/2003]
PREPARED 6/14/04, 12 36 32
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
SUBDIV
PHONE
PHONE
PAGE
DATE
1
6/14/04
(360) 457-1237
------------------------------------------------------------------------------------------------
BLFS 01 9/24/03 JLL BUILDING FOOT /SLAB
9/25/03 AP
BL3 01 2/04/04 JLL BUILDING FRAMING
2/04/04 DA Bernle would llke a curtsy walk through, call hlm ahead to
meet you there 808-3614
head room clearance to be 61_8" m1n at nose of tread on 1st
floor stalrs/Jll
BAIR 01 3/19/04 JLL BUILDING AIR SEAL
3/19/04 AP
BL3 02 3/19/04 JLL BUILDING FRAMING
3/19/04 AP bernle call ahead 808-3614
BLWS 01 3/26/04 JLL BUILDING INSULATION WALL/FLOOR
3/26/04 AP TRACY 460-9544
BLTB 01 5/14/04 RV BUILDING T-BAR
~ AP
BL99 01 6/14/. 4 ~ BUILDING FINAL TIME 17 00
BERNIE 808-3614
-------------------------------------- COMMENTS AND NOTES ---------------------------___________
~~~
~Ov
~
~~
PREPARED 5/14/04, 13 01 31
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR ROGER VESS
PAGE
DATE
1
5/14/04
------------------------------------------------------------------------------------------------
ADqRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
SUBDIV
PHONE
PHONE
(360) 457-1237
-------------------------------------------------------------~----------------------------------
PERMIT: BPe 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01 9/24/03 JLL BUILDING FOOT /SLAB
9/25/03 AP
BL3 01 2/04/04 JLL BUILDING FRAMING
2/04/04 DA Bern~e would l~ke a curtsy walk through, call h~m ahead to
meet you there 808-3614
head room clearance to be 61-8" m~n at nose of tread on 1st
floor sta~rslJ 11
BAIR 01 3/19/04 JLL BUILDING AIR SEAL
3/19/04 AP
BL3 02 3/19/04 JLL BUILDING FRAMING
3/19/04 AP bern~e call ahead 808-3614
BLWS 01 3/26/04 JLL BUILDING INSULATION WALL/FLOOR
3/26/04 AP TRACY 460-9544
BLTB 01 5/14/04 RV / BUILDING T-BAR
IJ~ R~
COMMENTS AND NOTES -----------------------_______________
PREPARED 3/19/04, 13 17 34
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
3/19/04
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
SUBDIV
PHONE (360) 457-1237
PHONE ,
------------------------------------------------------------------------------------------------
PERMIT, BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01 9/24/03 JLL
9/25/03 AP
BL3 01 2/04/04 JLL
2/04/04 DA
BAIR 01
BL3 02
BUILDING FOOT /SLAB
BUILDING FRAMING
Bernle would llke a curtsy walk through, call hlm ahead to
meet you there 808-3614
head room clearance to be 6'-8" mln at nose of tread on 1st
floor stalrs!J 11
BUILDING AIR SEAL
BUILDING FRAMING
bernle call ahead 808-3614
COMMENTS AND NOTES ----------------------------------____
PREPARED 3/26/04, 12 57 23
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
3/26/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
SUBDIV
PHONE
PHONE
(360) 457-1237
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
9/24/03
9/25/03
2/04/04
2/04/04
JLL
AP
JLL
DA c::::-
BUILDING FOOT /SLAB
BLFS 01
BAIR 01
BUILDING FRAMING
Bernle would llke a curtsy walk
meet you there 808-3614
head room clearance to be 61-8"
floor stalrs/Jll
BUILDING AIR SEAL
through, call hlm ahead to
mln at nose of tread on 1st
3/19/04 JLL
3/19/04 AP
BL3 02 3/19/04 JLL BUILDING FRAMING
_ 3/19/04 AP bernle call ahead 808-3614
BLWS 01 ~r':~~~\1 JLL BUILDING INSULATION WALL/FLOOR
~ ~ TRACY 460-9544
-------------------- ----------------- COMMENTS AND NOTES ------------------------______________
PREPARED 2/04/04, 13 15 07
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV:
PHONE' (360) 457-1237
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01
9/24/03
9/25/03
~o~y~~
BL3 01
J ~A-u
JLL
AP
JLL
'DA-
BUILDING FOOT /SLAB
PAGE
DATE
BUILDING FRAMING
Bernle would llke a curtsy walk through, call hlm ahead to
meet you there 808-3614
~M
COMMENTS AND NOTES
eJ~'2~
~&O
B
2
2/04/04
~;(2.~
..i s J-
FI.cL
b
8' t
~
PREPARED 1/20/04, 13-11 57
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
SUBDIV
PHONE - (360) 457 -12 3 7
PHONE
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL1
9/24/03
9/25/03
1/20/04
TIME: 17 00
01
JLL
AP
~ PLUMBING ROUGH-IN
call dale
---------------------- - ------------ COMMENTS AND NOTES
PLUMBING UNDER SLAB
TIME
08 00
PL2
01
PAGE
DATE
4
1/20/04
PREPARED 9/24/03, 9 53 40
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL1
01
~
---------------------~-----------
PLUMBING UNDER SLAB
9/24/03
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
DESCRIPTION
RESULTS/COMMENTS
SUBDIV
PHONE
PHONE
TIME
(360) 457-1237
08 00
PAGE
DATE
7
9/24/03
COMMENTS AND NOTES ----------------------------__________
PREPARED 9/24/03, 9 53 40
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
711 E FRONT ST
FLORES CONSTRUCTION
NESKE TERRY A/JILL E
06-30-00-5-1-3960-0000-
03-00000908 COMM ADDITION
SUBDIV-
PHONE - (360) 457-1237
PHONE
6
9/24/03
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'"":"::::'/"/":~::::::'U';::::'::::-~:'~N"'-'AG'-::::::::::::::::::::::::::::---
\
, -
\
)'
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, ca
(360) 417-4815
FOR OFFICIAL USE ONLY
DateRec ~
P,~t# "I DB ~
ate Approved orj1
Date Issued.
BUILDING PERMIT - APPLICATION
ApphcantorAgent: fL-O ruE.S C()N91 ~< 1f:.'fl_K-.VtJBJLt::"Phone: ~()--4~7- OLfS~
Owner~ ."" ~~e \/ ~ FC-, V t;:::;. Phone:
,
Address: '7\' ~S-( F~oN---r ST, City: PI) ILl ~ f....FL1?S ZIp:....:1B3 l/JL
ArchItect/Engineer: i SE~D"'-.lc:::.., t2:~ blk..( Ee.LI~bi'J;:r-\C Phone:'""3CoD ~t.f5-:L -~Od"3
Contractor 0 f4:5 ~N Sf State License #: \ l.{.-r=.;' ~ Exp: "-1/ ~"":.I os- Phone:"'36o~l(S'=t:'-'1 d-5
Address: ;::2. S' 30 \uJ p.....::. t '( ~ +h City: ~v1- ~t,Q (.(;7 " ZIp: <1 ~ 3h '3 ~ <).~ \L\
J ~'i(x7
PROJECT ADDRESS: "71 , ~~ 1'" 'F fZ-D N ( ZONING: A C D ~ coY
LEGAL DESCRIPTION: Lot: \ ? Block: -~q SubdIvisIOn: iJtJP-tY/4-^f K (,4'''1-/,/-1 Sl/~
CLALLAM COUNTY PARCEL NUMBER: c() {p 3 0 tJ 0 c; ( ~ i 70
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family )tf Addition 0 Move
~ Commercial 0 Remodel 0 DemolItion
o Reparr 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
2q2d~
SIZENALUATION: oJ'
,;).~2..0 SF.@$ '10 /" /SF.=$ 2-hL,~l)O,"?9-
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL V~LUATION $
O~\'.e lS{QI.3'
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stones: _ Lot Size: ?()(gO EXiStlng Sq Ft. 0 & Proposed Sq. Ft._IS~'J:i. _ = TOTAL Sq.Ft.---.l b01-
Existing lot coverage -a.- % & Proposed lot coverage~% = Total lot coverage ')-1" .:J %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist reqmred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DiviSiOn can provide you with mformation on the apphcatIon and
plan submittal requrrements if you have questiOns.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. ThiS figure will be reviewed
and may be revised by the BUlldmg Division to comply With current fee schedules. Contact the PeImlt Coordinator at 417 -4815 for aSSistance
PLAN CHECK FEE: IF a plan check fee is due It must be submitted at the tune the bUlldmg permit application and constructIon plans are
submitted. All other permit fees are due at the tIme ofpeImlt issuance.
EXPIRATION OF PLAN REVIEW: If no peImlt is issued within 180 days of the date of applicatIon, the application will expire. The
BUlldmg OffiCial can extend the time for actiOn by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No applIcation can be extended more than once.
I hereby certify that I have read and examined thIS application and know the same to be true and correct. I am authonzed to apply for this permit and
understand that It is my responslb1l1ty to determme what permits are required ,not the CIty'S, and that I must obtam such permits pnor to work.
T \FORMS\APPSIB",ldmgp~,( wpd APPhC#~f ;2; nL- Date: ~ 11, Z<>o "
I4'-L\:\JtrO ~ 9JJ:+lo~ 0-:.-
filED FOR RECCIW ,~j THE IHQUEST
B.e{ 11~ t? F( o roes
d-530 \-<Je.s + Tet\.~
fo...-t 1:t"yksM 1\.
1~~03
(!; FJov~S
!.IF ',.. "0
;ECOllOEO 11'1 jlfCO:~t::. I'." ,~t I. .....""
2603 SEP -8 AM 8: 52
C0
2003
1116448
Clallam
County
ZONING LOT COVENANT
ItWE the undersigned owner(s) of the following described,property:
(Insert legal description here)
LtJJc5 /'2 I /~ / !JLee/( 3'} /lJt1
do hereby covenant that said property shall be designated as one zoning lot as defmed in Section 17.08.032
"Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may ofity
be req)ovec;l through compliance with Chapter 58.17 RCW (subdivIsion regulations) andlor 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 fwther purpose of compliance Wlth state and loca
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 ?/ day of :5'~
-
--. /-y //
L---~~ j//L
,Ii ,,'
,20~.
~~
(Owner)
(Owner)
STATE OF WASHINGTON)
COUNTY OF CLALLAM) ss
I, SIIELLnt L. ... . Notary Pubhc in and fOr the State OfW'SID11//0 trf!- 'rfy
that on this !1::!:::'day of ~ mbt?y I 2~personall).: aPt'~ared before me: : .. ,:,:tt
and T-PVV11 H,'Nes.~L _ ~ ~
to me known to be the individua1(s) desribed in and who executed the withm instrument and acknowledged that
~CI signed and sealed the same as +h U( free and voluntary act and deed for the purposes herem
mentioned ~\\''''''''''II~'
~\" WE 1. ~1'" .. I i I J,....
~...... ~ '--f"1'f I
GIVEN UNDER M1.7'~~. ". ~ L SEAL this day' of ~ JYJ beY
:: ~). ~~::
:cn: 0It.-. -' : ::
:; .... · .--vv-o., " _
;~\ lISUC ..~ 2
....,~. .0 ......
~ 0.. ...~ $'
'-'... ~ l:~""" ~~(;. "
......', I'vASH\ \\\"
/1/111111\1\\\
2o..Q3
~<11p1lL,0--&d~
NOTARY PUBLIC in and for the State of
Washington reslding at Port Angeles.
AUDITOR'S CERTIFICA~
Filed for record at the request of
S-q;t-
6ev f\ ,'e FJ VV' eS
2003.
this ~ day of
.~~:~J~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicat~on Number
pin number .2357
Property Address
ASSESSOR PARCEL NUMBER:
Appl~cation description
Subdivision Name
Property Use
Property Zoning . . .
Appl~cation valuation
03-00000908 Date
4/14/04
711 E FRONT ST
06-30-00-5-1-3960-0000-
COMM ADDITION
COMMERCIAL ARTERIAL
262800
Owner
Contractor
NESKE TERRY A/JILL E FLORES CONSTRUCTION
711 E FRONT ST 2530 W 10TH
PORT ANGELES WA 983623610 PORT ANGELES WA 98362
(360) 457-1237
Structure Information NEW 2920SF TWO STORY ADDNT
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST
Other struct info . . .. HARD SURFACE AREA
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
FIRE ALARM SYSYTEM 3000SQ.FT.
HI TECH ELECTRONICS
52.00 Plan Check Fee
4/14/04 Valuation
10/11/04
.00
o
~~
~~
~ ,
~*
'~
);\
~
~~
"-S .. \
\!
~
C
Qty
1. 00
1. 00
Unit Charge Per
40.9000 EL-LOW VOLT SYS <=2500 SQFT
11.1000 EL-LOW VOLT SYS >2500 SQFT
Extension
40.90
11.10
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 52.00 52.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 56.50 56.50 .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 authonty to violate or cancel the proviSions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVIsIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPA~SE -.........
RESIDENTIAL DATE YES NO ~MERCIAL ~ DATE ACCEPTED
. YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 6/;11o/f' 4tJIJ ELECTRlCAL a/;f~ ~Ac0
LIGHT DEPT
CONSTRUCTION R W. / PW/ / , CONSTRUCTION - R W. / /
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102 15 [11/14/2003]
, i.'
of VORT ~G'
~-4.~<}~
~,.~
"-- -=...
~
'l.Si:~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number .2357
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00000908 Date
2/15/04
711 E FRONT ST
06-30-00-5-1-3960-0000-
COMM ADDITION
COMMERCIAL ARTERIAL
262800
Owner
Contractor
NESKE TERRY A/JILL E FLORES CONSTRUCTION
711 E FRONT ST 2530 W 10TH
PORT ANGELES WA 983623610 PORT ANGELES WA 98362
(360) 457-1237
Structure Information NEW 2920SF TWO STORY ADDNT
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST
Other struct info . . " HARD SURFACE AREA
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
1-600A+3-200A FEEDERS
SIMPSON ELECTRIC
386.40 Plan Check Fee
2/15/04 Valuation
8/13/04
.00
o
~
.............
~----
~~
~
~~
r\~
~\\
{
~
C
Qty
3.00
1. 00
Unit Charge Per
59.4000 ECH EL-COM 101-200 NEW ADD SRV FDR
208.2000 ECH EL-COM 401-600 NEW SRV FEEDER
Extension
178.20
208.20
-------~--------------------------------------------------------------------
Gther.Fees
STATE SURCHARGE
4.50
,y~~.._(.,:
,Fee. sununary
-----------------
~Permit Fee Total
.Plan.Check Total
Other. Fee Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
386.40 386.40 .00 .00
.00 .00 .00 .00
4.50 4.50 .00 .00
390.90 390.90 .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. .lhereby 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 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CIDMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeermg DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCU~/USE ~
RESIDENTIAL DATE YES NO ~MERCIAL " DATE ACCEPTED
--/ YES NO
ELECTRICAL - LIGHT DEPT 417-4735 6;1r jpl/ b~ ELECTRICAL b;;,/;f~ ~
LIGHT DEPT
CONSTRUCTION R.W 1 PWI , , CONSTRUCTION - R W , 7
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T IPLANNING\FORMS\1102 15 [11/14/2003]
~ pORT ~
~~O~~~
,.
"- -=->>'
---
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number .2357
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zon~ng . . .
Application valuation
03-00000908 Date
7/15/04
711 E FRONT ST
06-30-00-5-1-3960-0000-
COMM ADDITION
COMMERCIAL ARTERIAL
262800
Owner
Contractor
NESKE TERRY A/JILL E FLORES CONSTRUCTION
711 E FRONT ST 2530 W 10TH
PORT ANGELES WA 983623610 PORT ANGELES WA 98362
(360) 457-1237
Structure Information NEW 2920SF TWO STORY ADDNT
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST
Other struct info . . .. HARD SURFACE AREA
Permit
Additional desc
Perm~t Fee
Issue Date
Exp~ration Date
FIRE ALARM SYSTEM
FIRE ALARM VALUATION $3159.00
150.00 Plan Check Fee
7/15/04 Valuation
1/12/05
.00
o
Qty
1. 00
1.00
Un~t Charge Per
100.0000 ECH FIRE INSPECTION & TESTING
50.0000 ECH FIRE ALARM PLAN REVIEW
Extens~on
100.00
50.00
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
\r\
}
~
'--4.
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.
6)./ FILE
Signature of Contractor or Authorized 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 IT IS UNLA WFUL TO COVER, INSULA TE 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'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 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 ' ~ II ~ , -f,t;-ri.J KDD
" FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T\PLANNlNG\FORMS\1102 15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec '1- (Q -6'/
Permlt# (-')$- q()~
Date Approved
Date Issued
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Phone:
Phone:
Apphcant or Agent
Owner.J --e..ry N-e -s k€.
Address' ., t \ F:: Q...6 t 1= ('-0 \I' 1-
City.
ZIp'
State LIcense #:
Phone'
Exp: Phone:566 '152'2'72-7
ZIp:
ZONING: Q. A;
ArchItect/Engmeer.
Contractorlj ~ -Ie. c. ~ e.le~lrnW')~ c.S
Address: /2'$ E: /-"'01'\01
PROJECT ADDRESS
,11
CIty:
E: i=- (' 0 V\. 't
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIVIsIOn'
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Res1dentlal 0 New Constr. 0 Re-roof
o Mult1-farmly 0 Add1tlOn 0 Move
o Commerc1al 0 Remodel 0 Demohtlon
o Repair 0 Slgn
BRIEF DESCRIPTION OF THE PROJECT:
City:
EAll. Date:
o Stove
o Garage
o Deck
o Other
~~"'€..
SIZEN ALUATION:
SF @ $ /SF. = $
SF. @ $ /SF. = $
SF @ $ /SF = $
TOTAL VALUATION $ ~ 15q /80
A I G. ,J'- '^'- s; ys{e IU\.
.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq Ft
Construchon Type:
= TOTAL Sq. Ft.
No of Stones:
Lot SlZe'
EXlshng Sq. Ft
Total lot coverage
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s). 0 Yes 0 No SEPA Checkhst requrred? 0 Yes 0 No Other
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg Div1slOn can provide you w1th information on the appbcatlOn and
plan subrmttal requrrements if you have questlOns
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Tills figure will be rev1ewed
and may be rev1sed by the Bmldmg DlVlSlOn to comply w1th clment fee schedules Contact the Perrmt Coordmator at 417-4815 for ass1stance.
PLAN CHECK FEE IF a plan check fee lS due 1t must be subrmtted at the hnle the bmldmg perrmt apphcatlOn and constructlOn plans are
sub1mtted All other peront fees are due at the time of perrmt lssuance.
EXPIRATION OF PLAN REVIEW: Ifno pemnt lS lssued W1thm 180 days of the date of applIcatlOn, the application will expire. The
BUlldmg Offic131 can extend the t1ll1e for actlOn by the applIcant up to 180 days upon wntten lequest by the applIcant (see SectlO111 07.4 of
the Umform Buildmg Code, cunent ed1tlOn). No apphcation can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to apply for this permit and
understand that Ii is my responsibility to determme what permits are required ,not the City's, and that I must obtam such permits pnor to work
T \FORMS\APPS\BUJldmgpenmt wpd
Apphcant.
Date:
N
'I
~~
~
~
HI-TECH ELECTRONICS
723 EAST FRONT ST.
PORT ANGELES, WA. 98362
360-452-2727
WE ARE PLEASED TO SUBMIT THE FOLLOWING BID:
Date:
Materials:
'ctu~'I):titY ~Hfllar.-ufactuier'! ; Ft'''n 'N'" . \ [~':~;,<<">' '''9''1~''b ,,,. ....."'y '''!II<.'''''''~\~,~!;l; ~nit:;~r(~ ;iZ~/J \fotal';. ",
~ ^ ~ ~ ^ ~""" $" ~ ~ .,\ Ji~." '...Q~,., )t1l;~i';.<' fj:':', ',e~c,~RJOIl :tc'1 ;,:';,:S;, I,.,,. !;~?\.> > <:, & "-''<< ,/;" " 4t~'r
1 Ademco Vista32 FB U.L. Listed Fire Panel $ 380.00 $ 380.00
1 Ademco 6160CR U.L. Listed Anunciator $ 159.00 $ 159.00
8 Ademco 5192SD Addressable Smoke Detector $ 72.55 $ 580.40
3 Ademco 5808LST Wireless U.L. Listed Smoke Detector $ 104.50 $ 313.50
6 Gentex Commander 3 Hom Strobe $ 49.00 $ 294.00
4 Gentex Strobe Only $ 39.0Q $ 156.00
1 Ademco 5881 ENHC Commercial Wireless Receiver $ 192.00 $ 192.00
1 Yuasa 7ah 7 Amp Hour Back-Up Battery $ 25.00 $ 25.00
1 RJ31 Phone Disconnect Module $ 9.00 $ 9.00
1 FLP Fire Wire $ 40.00 $ 40.00
1 Electrical Permit $ 50.90 $ 50.90
$ -
$ -
$ -
$ -
$ -
$ -
Materials $ 2,199.80
Labor:
~:"Houis .
20
'. ""~De'~ ,H'. tOW" " ,
~tr SCJIP I~;tn : . :',.j,
Install addressable commercIal fire alarm system
, '1"*11'
. 'T9t~ "~:
960.00
*Pnce per hour
Labor
960.00
~\ 5 q\
~ ~ v L c..<<-s
\1'\
If\ C \ v&s a.Jd'IOO
<c )l. S + \/j 0 b u \ \ 0\ i I\~
4/2/04
Sub-total
Tax
TOTAL
$ 3,159.80
Resale
$ 3,159.80
)0
Windemere Real Estate
Flores Construction
PORT ANGELES FIRE DEPARTMENT
Fire Alarm System Plan Review
Project Name: Windermere Addition Address: 711 E Front
Installer: Hi Tech Electronics Telephone: 452-2727
Type of System. Extended R-3 D R-1 IX] Com IX]
Date: April 7, 2003 Permit #04-04
We have checked this plan and find that it conforms to the requirements of our ordinance with the
following exceptions:
1. This is a limited coverage system that has been installed because of an addition to the
building.
2. The plans do not show an inter-connect with the release ofthe fire door on the second floor.
Additionally:
1. All systems shall be installed as prescribed in NFP A 72.
2. Fire alarm wiring to be done in accordance with P AMC and Washington Administrative
Code.
3. A final field acceptance test will be conducted before final approval is given.
D
~
D
D
Contractor
Building Department
Light Department
Fire Copy
Reviewed By
~.D-P
Date
Lt . '7. Cb t-(
FP - 6
Page 1 of 1
.*
GENTEX
CORPORA TION
GEe, GEH & GES
SERIES
UL 1971 COMPLIANT
CAN/ULC 5526-M87 Compliant
VISIBLE AND/OR AUDIBLE SIGNALING APPLIANCES
J. INTRODUCTION
The Gentex Model GEC/GES/GEH, horn/strobe, strobe or horn, is a high quality audible and/or vIsible signaling appliance The high intensity strobe utilizes a
Xenon flash tube that generates a high-intensity flash vIsible from all angles ThiS appliance is Intended to provide a vIsible, audible or audible/vIsible,
depending on the model, notification signal for the purpose of life safety and property proteclion The GEC3 and GES3 are proVided with a slider sWitch which
allows for candela selection at the Installation site. The intensities which can be selected are 15Cd, 30Cd, 60Cd, 75Cd, or 11 OCd. ThiS appliance is Ideal for
any occupancy that reqUIres notification appliances per the applicable bUilding or fire code or wherever dependable alarms are reqUired. The strobe IS listed In
compliance With UL 1971, Signaling Appliances for the Hearing Impaired and CAN/UL S526-M87 ViSible Signal Devices for Fire Alarm Systems (15/75Cd model
IS additionally listed in compliance With UL 1638).
II. LOCATION
ThiS appliance IS Intended for use In Fire Alarm Systems and IS to be Installed In accordance With thiS manual, the recommendalion of the local authOrities
haVing JUriSdiction, and other NFPA documents that proVide standards on notification appliances for protective Signaling systems. The GEC/GES IS Intended for
Indoor installations only ThiS appliance IS not weatherproof for outdoor or drip proof applications.
Wall mounted strobe and horn/strobe appliances shall have their entire lens at heights above the finished floor of not less than 80 In (2m) and not greater than
96 in (24m)**, Spacing shall be In accordance With Table A. If a room configuration IS not square, the room size that Will entirely encompass the room or
subdiVide the room Into multiple squares shall be used
Wall mounted horn only appliances shall have their tops above the finished floors at heights of not less than 901n. (2.30m) and below the finished ceilings at
heights of not less than 6 in, (152mm) Different mounting heights shall be permitted by the AHJ proVided the sound pressure level requirements of NFPA 72
are met
MaXImum Room Size Mmllnum ReaUlred LlOht Ouloul Candela cd Effecllva lolensll
One lIght Per Hoam (cd) Two LI~~~:s~;o~~~s~~:~ICd on Four Lights p~:~~ (One LIght Per
20'x20' 15 N/A N/A
30 x3D 30 15 N/A
40'x40' 60 30 15'
SO'x50' 95 60 30'
60'xGO 135 95 3D'
70'x70' 185 95 60'
aO'xeD' 240 135 60
90'x90 305 185 95
100'x10Q' 375 240 95
110'x110' 455 240 135
120'x12Q 540 305 135
130 x130' 635 375 185
TABLE A *- Must be used With the AVS44 control module due to
distance between strobes being less than 55ft
LIGHT OUTPUT IN PERCENTAGE WHEN MEASURED
FROM THE FOllOWING DIRECTIONS
light Output horizontal disperSion
vcrtlC<l1 dlspmslon (cClllng mount)
o
LIght Output- vertical dlspersJOn
**Effective Intensity Requirements
for Sleeping Areas
~
Degrees
o
530
35
40
45
50
55
60
65
70
75
80
85
90
rlOOR:
% of Rating
100
90
65
46
34
27
22
18
16
15
13
12
12
12
Visible Notification Appliance
Distance from Ceiling to Top of Lens IntenSity
eo
110cd
177cd
Degrees
o
525
3045
50
55
60
65
70
75
80
85
90
% of Rating
100
90
75
55
45
40
35
35
30
30
25
25
greater than or equal to 24"
less than 24"
III. MOUNTING, ROUGH-IN BOX AND RUN WIRING
ThiS Unit IS deSigned for mounting to most Single gang boxes, 4" square outlet boxes, 2-gang masonry boxes or non-metallic 2-gang SWitch boxes,
CondUit entrance to boxes should be selected to Insure suffiCient wiring clearance.
1 Mount a box for each remote signaling appliance Screw bracket onto box. Insert signal Into bracket and slide to the right firmly Into the terminal block
receptacle Place hOUSing over mounted assembly and screw together With Single screw at the bottom of the Signal Cover screw With plastiC tab
2 Run a minimum 18 gauge Insulated 2 or more conductor cable
Attention: Wiring should be connected to mounting bracket prior to mounting signal. Incoming positive power lead must be broken and each
lead IS to be Inserted into each of the top two terminals. If two power runs are made to the Signal, one for the strobe and one for the horn, only
one of the runs must have its pOSitive lead broken and placed under the two separate top terminals. A barrier is provided to prevent both leads
from being placed under the same terminal.
1
OC)
..
CD ~ ~~~
<?
.
.
..
o
.
.
<?
~
I
-
.
,
A
l
l
~
Cand":!la sel.ectton slider
swItch Dt:!press center
and slide swrt<;h to desIred
bnghtness le"~
(~
Break off pIn and Insert Into
hole at the bottom I)f th9'
selector to lock candela so::ttmg
Signal must be removed from
bracket and pin pushed forward
from backsIde Qut of hole
to (,hange candela
(GEC3 & GES3 ONLY)
'.:.-
CAUTION: A jumper card is provided to test for correct wlrmg in the supervisory mode only. DO NOT pass alarm current through the Jumper.
NOTE: All strobes are desIgned to flash as specIfIed wIth continuous applIed voltage ThIs appliance IS not recommended for use on coded or pulsing
sIgnaling CirCUits However, use of the AVS44 control module IS permItted to synchronize the strobe and/or mute the horn
IV. WIRING
Wiring for Independent synchronized strobes and horn.
USing this method you may:
Use only two wires to synchronize the temporal horn and strobe with the ability to mute the horn (place SWitches 1 and 2 up on the GEC)
Mute the horn only when the temporal horn option has been selected
Wiring for synchronized parallel (unison) horn/strobe operation.
USing thiS method you may:
Use only two wires to synchronize the temporal horn and strobe without the ability to mute the horn (place SWitches 1 and 2 up on the GEe)
Choose either temporal or continuous horn with the temporal horn synchronized
Also wire the control module (AYS44) to only the strobe Input power terminals, set the horn to continuous mode and power It from a coded source
NOTE: For thiS opl1on, SWitches 1 and 2 on the GEC (Fig 1) must be down to Isolate power to the audible and VISible portion of the CIrCUIt
FACP
::i~jfr:R t::~~-,-~~~~~~:~::=:~:~::::~::=::::::=~--~~----l
TO NEXT SIGNAL
TO NOTlFICAll0N ALARM ORCUIT
VISIBLE SIGNAL
CIRCUIT
TO NEXT SIGNAL
REMOVE JUMPER
FOR INDEPENDENT
SYNCHRONIZED STROBE
AND HORN OPERATION
LEAVE JUMPER IN PLAC
TO ELIMINATE NEED FOR
HORN INPUT ON AVS44
AND OPERATE SIGNAL
IN UNISON MOOE
LEAVE JUMPER IN PLACE ON
SLAVE UNITS UNLESS SEPARATE
CONTROL OVER HORN CKT
IS REQUIRED
AUDIBLE SIGNAL
CIRCUIT
END OF LINE
AESISTORFOR
ClJ'oSSEl
mRINGOI1LY
_________________ ______, ~_1-t--m-----------m-----------m---------------------------------_________________________h_________J
II
_____________ _________ n_____1 t____________________________n_____________________________________________________________ _______________J
2
Conventional Method:
You may connect both the strobe and the horn directly from a source of rated power without the use of a control module. However, the horns and strobe
lights Will NOT be synchronized Place SWitches 1 and 2 up on the GEC (Flg.1) to power both the audible and vIsible from a single pair of power wires If
you wish to power the horn and strobe from Independent sources of power, place SWitches 1 and 2 down on the GEC and connect power to the
appropnate terminals.
tHO OF U/IE
RE.5ISTOR
UL Listed
Control
Panel
UL Listed
Control
Panel
EHOOFLlIl!
RESISTOR
ttfOOf'lJtlE
IIUISIOR
CAUTION: When using only a single power source to energize the strobe and
horn (switches 1 and 2 up), the in/out wiring must be under the S+
and S- terminals only. Failure to do so may result in damage to
your signal. For the horn only (GEH) and strobe only (GES), only
the top three terminals are to be used.
NOTE: INSTALLATION IN CANADA. All Canadian installations should be in
accordance with the Canadian Standard for the Installation of Fire
Alarm Systems- CAN/ULC S524-01 the Canadian Electrical Code, Part 1.
SWITCH POSITION
MAX WIRE = ['PANEL VOlTAGE.APPLIANCE M" VOLTlXWIRE CONDUCTIVITY ]
DISTANCE
(IN FEET) TOTAL CURRENT ORAW
WIRE I CONDUCTIVITY
18AWG 50
15AWG 95
14AWG 153
12AWG 244
Includes wire to and from appliance CAUTION: Applies only to
regulated supplies Assumes all appliances are at the end of
wire run (worst case)
3 4 5
Mechanical-Temp ON ON ON
Mechanlcal-Cont OFF ON ON
HI-Temp ON OFF ON
HI Coni OFF OFF ON
Chlme- Temp ON ON OFF
Chlme-Cont OFF ON OFF
VVho op ON OFF OFF
V~lO op OFF OFF OFF
Fig. 1
Switch Position 6
ON > HIGH dB
OFF> LOW dB
SWitch positions 1 and 2
In the off position to select
Isolated horn and strobe
power Inputs
ON
~~~~~~
123456
STROBE CURRENT RATINGS
DC (mA) FWR (mA)
Candela Voltaqe Inrush Peak OperatlnQ Inrush Peak OperatlnQ
16 33 110 78 46 402 116
15 24 50 103 55 70 442 92
33 71 123 45 98 904 116
16 34 134 94 60 492 138
30 & 15/75 24 50 127 63 70 524 107
33 71 152 52 94 840 123
16 34 194 134 46 620 194
60 24 52 165 88 69 616 136
33 70 181 68 96 896 144
16 35 251 184 46 750 245
75 24 49 204 112 70 676 167
33 73 230 85 98 888 166
16 32 302 224 48 900 320
110 24 48 231 136 70 764 198
33 73 207 99 94 880 193
16 51 400 316 66 1032 384
177 24 72 304 186 84 880 250
33 90 260 137 114 880 217
Gnp both
Sides of bezel
and pullin a
downward
and outward
motion
3
HORN RATINGS OVER INPUT VOLTAGE RANGE OF 16-33V
dBA @ 10Ft dBA @ 10Ft
Horn Mode Per UL464 Per UL464 DC(mA) FWR(mA)
HIGH dB LOW dB
16v 24v 33v 16v 24v 33v 16v 24v 33v 16v 24v 33v
Temp 3 2400Hz 7B 83 84 71* 75 77 13 19 24 27 37 43
Temp 3 Mechanical 76 81 82 70* 73* 76 11 16 22 23 33 40
Temo 3 Chime 70* 71* 71* 66* 68* 70* 9 12 15 19 24 29
Continuous 2400Hz 81 86 87 74* 78 80 14 21 28 21 42 48
ContInuous Mechanrcal 80 84 85 72* 76 78 13 18 25 27 37 44
Continuous Chime 70* 71* 73* 66* 68* 70* 10 12 15 19 24 30
Whoop 82 83 83 69* 72* 75 43 51 56 51 58 62
*Operatlng the horn In this mode at this voltage will result In not meeting the minimum UL reverberant sound level required for
public mode fire protection service These settings are acceptable only for private mode fire alarm signaling use Use the high
dBA setting for public mode applications (the chime tone IS always private mode)
NOTE. The sound output for the temporal 3 tone IS rated lower since the time the horn IS off IS averaged Into the sound output
rating While the horn IS prodUCing a tone In the temporal 3 mode ItS sound pressure IS the same as the continuous mode
Units have been tested to DoC, 490C and 93% humidity and are rated 20-30vdc/vFWR -20%, +10% per
CAN/ULC S526-M87 The 15/75 cd model IS rated 15cd per UL 1971 and CAN/ULC S526-M87
V. CHECKOUT AND TROUBLESHOOTING
1 Supply power to the system control panel The aUXiliary signaling appliances In the system should not be activated
2 If the signal IS activated
Check all smoke and fire detectors In the system to make sure they have not been activated
Check all wIring connections to make sure the signal detection Circuits are not reversed or shorted together Check wire color codes and traces
Verify that the Jumpers and sWitches are properly set on both the control module and signal appliance. If the Jumper on the AVS44 IS removed, the
horns Will not produce any sound unless there IS an Input to the H+ and H- terminals on the control module
3 To test the signal appliances, trip the aUXiliary panel or activate the alarm CirCUit at the main control panel or activate one of the fire detection Units In the
system All aUXiliary signals should be activated.
4 An operational test on thiS product should be conducted In accordance with National Standards or at a minimum annually and more often If dictated by
local and state codes or authorities haVing Junsdlctlon.
NOTE: These testmg procedures and troubleshooting instructions are generalized. Please refer to the system control panel operating
Instructions for proper operation of the panel and fire detection system.
SIGNALING APPLIANCE LIMITATION:
Your horn and horn/strobe meet or exceed the current audibility requirements of Underwnters Laboratones However, If the appliance IS located outside a
bedroom It may not wake up a sound sleeper, especially If the room door IS closed or only partially open
WARNING
THIS APPLIANCE WILL NOT OPERATE WITHOUT ELECTRICAL POWER AS FIRES FREQUENTLY CAUSE POWER INTERRUPTIONS,
GENTEX SUGGESTS YOU DISCUSS FURTHER SAFEGUARDS WITH YOUR LOCAL FIRE PROTECTION SPECIALIST
VI. TO RETURN AN APPLIANCE:
Should you experience problems With your appliance, proceed as follows
1 Turn off electncal power to the aUXIliary alarm CIrCUIt
2 Remove the bezel, then mounting screw and slide signal off from bracket
3 Replace unit that was removed to restore wlnng supervision and to eliminate system trouble alert
4 Carefully pack the defective unit (the manufacturer cannot be responsible for consequential damage due to shipping or mis-handling) Include your
return address and complete details as to the nature of the difficulties being expenenced and date of Installation
5 Return to Gentex Corporation, 10985 Chicago Dr, Zeeland MI 49464 Prior to returning, call the Gentex field service dept @ 1-800-436-8391 for a
RMA number
LIMITED WARRANTY
For a penod of 36 months from the date of purchase or a maximum of 42 months from the date of manufacture. Gentex warrants to you the anginal purchaser that your appliance Will be free from defects
In workmanship. matenals and construction under normal use and service If a defect In workmanship, matenals and construclton should cause your appliance to become Inoperative Within the warranty pen-
od. Gentex Will repair your appliance or furnish you With a new or rebUilt appliance Without charge to you except for postage reqUIred to return the appliance to us Gentex Will not reimburse you for repairs or
replacement parts proVided by other parties Your repaired or replacement appliance Will be returned to you free of charge and It Will be covered under the warranty for the balance of the warranty penod
The warranty 15 VOId If our InspectIon of your appliance shows that the damage or failure was caused by abuse, mIsuse, abnormal usage, faulty installation, Improper maintenance or repairs other than those
performed by us
ANY WARRANTIES IMPLIED UNDER ANY STATE LAW INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE APPLY ONLY FOR THE WAR-
RANTY PERIOD SPECIFIED ABOVE PLEASE NOTE THAT SOME STATES DO NOT ALLOW LIMITATION ON HOW LONG AN IMPLIED WARRANTY LASTS SO THE ABOVE LIMITATION MAY NOT
APPLY TO YOU GENTEX WILL NOT BE LIABLE FOR ANY LOSS, DAMAGE, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND ARISING IN CONNECTION WITH THE SALE, USE OR
REPAIR OF THIS APPLIANCE THE MAXIMUM LIABILITY OF GENTEX SHALL NOT tN ANY CASE EXCEED THE PURCHASE PRICE PAID BY YOU FOR THE APPLIANCE PLEASE NOTE THAT
SOME STATES DO NOT ALLOW THE EXCLUSION OR L1MtTATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES, so THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU
If a defect In workmanshIp, matenals or construction should cause your appliance to become Inoperable WIthin the warranty panod, you must return the appliance to Gentex postage prepaid You must prove
to the satisfaction of Gentex the date of purchase of your appliance Warranty service may only be performed by Gentex personnel at Gentex's faCilities In Zeeland. Michigan You must also pack the appli-
ance to mlntmlZe the nsk of It being damaged In transit You must also enclose a return address Apphances returned for warranty service should be sent to Gentex CorporatIon, 10985 Chicago Dr ,Zeeland
MI 49464 If we receIve an appliance In a damaged condition as the result of shIpping, we Will notify you and you must seek a claim With the shIpper
THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS AND YOU MAY ALSO HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE
550-249-3
Gentex Corporation
10985 Chicago Dr., Zeeland MI 49464
Phone: 800-436-8391
3/5/02
4
ACE CD
An ADEMCO Group Company
5192
Smoke Detector
..... J: ""
. J-tf'l "?~
..... .;
- .>>
.-..:*; -
. .....vo .
With their
sophisticated
look, durability
and adaptability
these devices are
the right choice
for all your
system smoke
detector needs.
--
The ADEMCO 5192 Series low profile, addressable V-PlexlM smoke detectors deliver state-of
the-art features and benefits m a cost-effective package These detectors are designed to
provide open area coverage and are compatible with ADEM CO's VISTA controls supportmg V-
Plex technology An LED on the detector will blink penodlcally dunng normal conditions, remain
on steady during alarm and cease to pulse if the chamber is out of acceptable sensitivity
range
An extremely powerful feature available within the 5192 Series IS the Automatic Maintenance
Alert/Reporting capability - a feature normally found In today's high end analog addressable
systems. The detectors contmually monitor their own senSitiVity levels In addition to the basIc
normal and alarm conditions These HIGH and LOW SENSITIVITY Signals are communicated
back to the control, via the V-Plex addressable loop, to indicate locally and at the central statIOn
that the detector may not be able to detect smoke or may false alarm This feature works with
Vista-32FB, 128FB. 128B and First Alert ProfessIOnal FA 1600C.
More important is the cost saving associated with Automatic Mamtenance Reporting The
feature IS an approved alternate to NFPA 72 field sensitivity calibration testing that require
external test meters. This eliminates the need to schedule inspections to determme detector
sensitivity/vi abi lity.
Another Important benefit of these V-Plex (addressable) smoke detectors is their ability to
operate on eXisting wiring. There is no need to run speCial twisted pair, data grade or shielded
Wires, providing you With the nght choice for all your retrofit applicatIOns. That equates to
cost savings m time and materials!
FEATURES:
.. Low profile design
.. V-PlexlM addressable loop deVice
. Automatic maintenance reportmg
.. Available With integral heat sensor
.. Simple 2 wire installation
. Tamper resistant
.. DIP SWitch or senal number programmable
.. Lines on eXlstmg or conventional wiring
APPtlCATIONS
The 5192 Series smoke detectors are deSigned to provide open area coverage and are well
SUited for most fire detection applications These smoke detectors are compatible with all
ADEMCO VISTA Fire and Burglary controls that support V-Plex addressable loop technology.
These agency listed alarm initiating devices support most commercial and residential
applications They are suited for use in museums, hospitals, day care centers, retail stores,
strip malls, schools, libraries, fast food chams, medical or profeSSional office sUites and In
factory and warehouse environments
ACEMCC
GR.IlUP
COMMERCIAL ~MS DMSION
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Wmng diagram for 5192SD/SDT smoke detector
AD Me
An ADEMCO Group Company
DIP
SWITCH
UI,ISTAll...ATION
The 5192 Series smoke detectors are supplied
with a convenient mountIng bracket that allows
the detector to be mounted to a variety of
electrical Junction boxes A removable termInal
block, that accepts 14 to 22 gauge wire to
provide easy wiring
connections The detectors
are designed to meet all
applicable requirements for
UL Commercial and
Residential Fire Installations
as well as NFPA 72
requirements when Installed
in compliance with the
National Electric Code and
approved/listed control
panels
REMOVABLE
TERMINAL BLOCK
Ordering Information
Part No. DescnotlOn
5192SD Addressable
Photoelectric
Smoke Detector
5192SDT Addressable
Photoelectric
Smoke Detector
w/lntegral Heat
Sensor
COMPATIBILITY
These smoke detectors are compatible with all
VISTA control panels that support V-Plex
(addressable) polling loop technology. The
detectors support DIP SWitch or serial number
addreSSing DIP switch confIguratIOn are
compatible WIth 5140XM, VISTA-40, and VISTA-
SOP controls. Serial number addressing IS
supported on VISTA-32FB, VISTA-1 00, VISTA-
128FB, VISTA-128B and First Alert ProfeSSIOnals
FA 1600C controls. Refer to control panel and
smoke detector installation instructions for details
Automatic Maintenance Reporting
Compatibility
The automatic mamtenance feature is compatible
on With the follOWing control panels ONLY
VISTA-32FB (coming soon), VISTA-128FB, VISTA-
128B and First Alert ProfeSSionals FA 1600C The
automatic maintenance may be disabled for all
other controls that do not support thIS feature
Refer to control panel and smoke detector
Installation Instructions for details.
SPECIFICATIONS
Etectricai:
System voltage range:
.. 7 - 14 V
Standby current (maximum @ 12V):
.. LED off 1.2mA
.. LED on 2.8mA
Mechanical:
Diameter:
.. S S Inches (14omm) (including mounting bracket)
Height
.. 1.7 Inches (43mm) (including mounting bracket)
Weight:
.. 53 ounces (1So grams)
Environmental:
Installation temperature range:
.. 320 to 1 oooF (00 to 380C)
Installation humidity range:
.. 10% to 93% RH, non-condensing
Heat sensor (5192SDT only):
.. 13So fixed temperature electroniC thermistor
EMI:
.. Meets or exceeds the followmg requirements
.. FCC Part 1S, Class B Device
.. IEC EMC Directive
AGENCY USTINGS
Fire:
.. UL268 Commercial System Smoke Detector
.. Meets UF 217 ReqUirements for Residential
Applications
.. Factory Mutual(Pendmg)
.. California State Fire Marshall
.. MEA (pendIng)
COMPATIBLE DEVICES
.. VISTA-4o Partitioned System *(Resldential Fire)
.. VISTA-SOP and VISTA-5oPUL Partitioned
System *(Resldential Fire)
.. VISTA-1oo Integrated Fire/Burglary Control
*(Commerclal Fire)
.. VISTA-128FB Integrated Fire/Burglary Control
(CommerCial Fire)
.. VISTA-128B Partitioned Burglary Control
(ReSidential Fire)
.. VISTA-32FB Integrated Fire/Burglary Control
(Commercial Fire Pending)
* Automatrc Mal ntenance Reporting feature not
supported by control panel
165 Eileen Way, Syosset, New York 11791 . Copynght@ 1998 Plttway Corporation
ADEMCO IS an IS09001 Registered Company
U51921D 1/99
ACEMCC
GROUP
COMMERCIAL SYSTEMS OMS/ON
VISTA-32FB
Designed to Integrate seamlessly with CCTV. access
control and AD!=MCO's full range of fire and burglary
components. the VISTA-32FB provides the ultimate
protection of life and property. The UL listed Commercial
Fire and Burglary Control Platform can control up to two
separate partitions Independently. and supports up to 32
zones/points uSing hardwlred. wireless and addressable
~ technologies. A diverse line of ADEM CO
initiating devices. notification circuits. digital dialers.
keypads. RF receivers and relays support this extremely
powerful control platform. Advanced technology. combined
with simple end-user operation. make the versatile
VISTA-32FB the smartest choice for the most
demanding applications.
FEATURES:
I
. Stores up to 512 events and can
accommodate 75 user codes
. New E2 Software Simplifies Programmg
. Easily programmed and mamtamed with newly
upgraded Compass Downloader Software
. Automatic smoke detector sensitivitY
maintenance testing
. Commercial UL Wireless Fire and Burg
. Supports addressable ~ access control
pomts usmg VlstaKey (1 to 4 doors)
. Supports up to 16 doors of access control
usmg Vista Gateway Module CVGM)*
. Supports CCTV applicatIOns WIth the new
VlstaVlew-100 CCTV Switcher Module
. Identines the pomt or zone of a nre using the
new FSA-8/FSA-24 Fire System AnnunCiator
. Supports eight hardwired zones, 24 ~
addressable pomts/zones. or 32 wireless
pOlnts/zones
. Can control two separate areas (partitions)
independently
. Connects to Northern Computer's PassPomt
Access Control Systems. Max/mum 32 doors.
ADEMCC
GROUP
VISTA-32FB
Additional Features
. Notlhcatlon Appliance Circuits Ctwo):
- Programmable
- Temporal code compliant
- IndiVidually silenceable
. Programmable on-board auxiliary relay
. SIA false alarm reduction features
- EXit error logic
- Exit delay reset
- Cross zonrng
- Call waiting defeat
- Recent close report
. Supports commercial hardwlred. addressable ~
polling loop and wireless zones
. Hardwlred zones
- Provides nine style B hardwired zones
_ EOLR supervised for Fire and UL burglary installations
- Supports N 0 or N C sensors
_ Individually assignable to one or all eight partitions
_ Up to 16 two-wire smoke detectors each on zone one
and two C32 totaD
_ Up to 50 two-wire glassbreak detectors on zone eight
. Patented addressable ~ polling loop technology
- Supports up to 24 twO-W1re~zones/poInts
_ Global polling technology for faster processing
-Increased current draw capacity C128mAJ
- SuperVIsed by panel
_ Individually assignable to partitions, notification cirCUit
CbelD output or aux relay
_ 4,000 ft capability without the use of shielded cable
- Extender/Isolation bus module
I
'1
I
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4101SN
Rdt:y Module
9SOOSN
Glassbrel!lk Sensor
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,'n I
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_ TWO-Wire smoke detector zone/group expansion module
adds two or four zones
- Eight zone - Class A and B extender module
- Eight zone - Class B extender module
- One zone supervised contact monitor module
. UL listed wireless expansion
- Supports up to 32 wireless zones/points using
5881 ENHC Receiver
- Supervised by control for check-In Signals
- Tamper protection for transmitters
- IndiVidually assignable up to eight partitions
- Supports UL864/NFPA approved wireless smoke
detectors
· Event reporting
. Local pnnter of access or VISTA related event
. Scheduled uploading of events to central station
. Up to four doors USing VlstaKey~Access Control
Supported by a diverse line of ADEMCO initiating deVices,
the VISTA-32FB is well SUited for a variety of smaller to
medium sized applications as an Integrated
hre and burglary control-including restaurants, small retail
stores and shops, churches and synagogues. strip malls,
larger residences and small factory and
warehouse enVironments.
. Stored events for one call retrieval
. CommUnication
- Phone mapping by zone response type
- Supports VIP Interactive Phone Voice Module
- Panel operation dunng download
- Uploading equipment list to central station
_ CommUnication to Pass POint VIa Vista Gateway Module
---.
1.
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420BU
EJght~Zone
ExpB"1!!ilIon
Module
4293SN
V-PIex Adapter
420BSNF
I Eight Zone
Expan_
Module
With Two Class
. SB81ENHC A Zones
Wifeless
_ Commeraal
._.... :.. ReceIVer
ECP B.
5192 Senes
Smoke
DetectorB
427BEX Quod f
V-PLEX Loop
11
~;-:':
VtStaVrew-1oo
CCTV
Swll.cher
6160CR
Red Alpha
Console
~r;;:
VcslBKey V P1ex
Access Control
Modw.
i:~.~:~~;
4204 :_ NAC (BeW
}~~':r. "~:j.,.d:. ~:;M C,,,,,,,, 4204CF
Eight CIos9 B Hardvvare Zones
4146
K.y
Swotch
Opbon
0- ..,I .;;....
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4~;~ ~':~. r ~%
Interlace y~............,.
Mooule
5140 lED
Commumcater
Status Module
.u
RS232
Nobncabon ApphBl1c:e~T
.Jii._.
Phone une to Central SlBbon
82205 Pnnter
...~
i
7720ULF Long ~{$~ 1B45C CeBula
Range RadIO '1f3~ r
Applications
The VISTA-32FB control IS well sUited for a vanety of
applrcatlons as an Integrated iire and burglary control A
drverse line of ADEMCO Inlttatlng devices supports this
extremely powerful control Some of the applications
supported are medical and professional buildings. churches
or synagogues, office bUildings. schools. stnp malls. larger
residences and factory or warehouse environments.
Installation
The VISTA-32FB alarm system has been deSigned to mount
both qUickly and easily. It meets all applrcable requirements
for UL commercial fire and burglary installations
Specifications
Electrical:
. Pnmary power 18VAC @ 72VA ADEMCO No. 14S1
. QUiescent current draw 3S0mA
. Backup battery
-12VDC, 7AH mln to "34.4AH max
- Lead aCid battery (gel type)
. Alarm power 12VDC, 1.7 A max for each notIfication (belD
Circuit output
. Aux standby pwr. 12VDC. 1A max
. Total power 2.3A at 12VDC, 3 4A at 24VDC
from all sources
. 24 hours with 1A standby load or 60 hours with 20SmA
max standby load uSing 34 4AH battery
. FUSing Battery input. aux and notification ChelD cirCUit
outputs are protected uSing PTC circuit protectors All
outputs are power limited.
f;....~1BJ6lJ!r ")
I
j
Duff-J~~~~ector
4190SN
V ?lex Two-Zone
Exp,lnder
: I
IR
4193SN
Senallnterface
Mod~.
-1944SN
Addressable
Recessed Mount
ConlBct
s
5881
WiR!less A ecerver
{Max. Two)
ACEMCC
GROUP
Main Dialer:
. Line seize Double Pole
. Ringer equlv . 0.7B
. Formats ADEM CO Low Speed. ADEM CO 4+2 Express.
ADEMCO High Speed. ADEMCO Contact ID. Sescoa and
Radlonlcs
Cabinet dimensions:
. 14.S"H X 12 5"W X 3"D
Environmental:
. Storage temp -1 OOC to 700C
. Operating temp OOC to SooC
. Humidity. 85% RH
. EML Meets or exceeds the following reqUirements
- FCC Part 15. Class B Device
- FCC Part 68
- IEC EMC Directive
Agency Listings
· Burglary
. FCC Part 15. Class B. FCC Part 68
. UL Residential and CommerCial
. UL864/NFPA LDcal Fire
. UL864/NFPA Central and Remote Station FIre
. UL609 Grad A LDcal Mercantile Premises/Local
. Mercantile Safe and Vault
. UL36S polrce station connected burglar alarm
. Grade M Service (with LRR Model 7920SE)
. UL611/UL610 Central Station Burglar Alarm
. California State Fire Marshal
· FM
Manual Pull Stations
5140MP$..1*
5140MPS-2*
Tamper Swrtch"
Row SWItch"
Low Temp SVdtch"
32 =ter :?r)::t~:~
Red-Alpha
K"",Brl
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Smoke Detectorn
ili"'_
NonhcatJon
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Co~~:'naV~J~.~~
Smoke Detectors
P89SPomt
:,,-
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-Use wrth 4193SN Mm. Zone Module
VISTA-32FB
( SPECIFICATIONS:
.. "'.... :"; r".. ..'/' '.. ...... ~ ...."
~.~1fi
165 Eileen Way, SyDSlet, NY 11791
COPYright @2002 PilIway ColJloration
ADEMCO is an ISD9001 Registered
Company
ACEMCC
GROUP
Compatible Devices
See ADEMCO Group control accessories
compatlblhty chart for complete hst
Auxiliary devices
. 4204 - Relay Module, four form C contacts
. 4204CF - Two supeNised output CircUits
. 5140DLM, SupeNlsed Dialer
.5881 Senes - RF Receiver supporting 5800
wireless detectors
. 6160CR - Red Alpha Keypad
. 6139R - Red Alpha Keypad/annunciator
. 6220S - System pnnter used with 41 OOSM
serial module
. FSA-8, FSA-24 Fire Annunciators
Two-wire smoke detectors
conventional:
. System Sensor smoke detectors
Horn/Strobes:
. System Sensor NotifIcation Apphaflce's
Manual Pull Stations:
· 5140MPS-1
.5140MPS-2
V-Plex [addressable) Devices:
. 4101 SN Relay Zone Module
. 41 90SN Remote Point Module
- two zones
· 4190WH
. 41 93SN Two Zone Senallnterface Module
. 4208U Loop Expansion Module
- eight zones
. 4208SNF Eight Zone/2 Class A/6 Class B
Expander Module
. 4209U Group Zomng Module
- two/four zones
. 4293SN One Zone Senal Interface Module
. 4297 Isolation/Extender Module
CCTV
- VlstaVlew-1 OO-CClV SWltcher Module
V-Plex [addressable) Smoke Detectors:
· 5192SD
· 5192SDT
Vista Interactive Phone Module:
· 4286 VOice Module
ORDERING:
Passive Infrared Detectors:
· 998MX
· 4275EX-SN
· 4278EX-SN
. QUEST2260SN
V-Plex (addressable) Contacts:
. 4194WH, 4193SN
· 4939SN-WH
· 4944SN-WH
· 4959SN
Glassbreak Detectors:
· 9500SN
Long Range Radio:
· 7720ULF
· 7845C Cellular RadiO
Upgraded software:
. Upgraded Compass Downloader Windows
compatible
Wireless Devices:
. 5804 - Wireless Key
. 5804BDV - BI-directional with vOice
. 5804BD - BI-directlonal Key
. 58D8C - Wireless Smoke Detector
.5816 - Door/Wlndow Transmitter
· 5819 - Shock Sensor
· 5827BD - Bi-chrectlonal Keypad
. 5849 - Glassbreak Detector
. 5890 - PIR
Access Control:
· VlstaKey V-Plex (addressable)
Access Control
. VlStaKey-SK Starter Kit
. Vista Key-EX Expansion Kit
· VGM Vista Gateway Module to PassPoint
Access Control (Northern Computers)
Commercial Wireless Devices:
· 5808LST - Wireless Smoke Detector
· 5809 - Wireless Heat Detector
· 5817CB - Wireless Commercial Transmitter
· 5869 - Hold up Transmitter
· 5881 ENHC .. Commercial Fire/Burg
Receiver
Part No.
VISTA-32FB
Description
Commercial Fire and Partitioned Burglary Alarm Platform
LlVIST32FB/O 1/02
VISTA-32FB
Additional Features
. Notlflcatlon Appliance CIrcuIts (tv.Jo)
- Programmable
- Temporal code compliant
-IndIvIdually sllenceable
. Programmable on-board auxlnery relay
. SIA false alarm reductIon Features
- ExIt error logIc
- Exit delay reset
- Cross zoning
- Can waiting dafaat
- Recent close report
. Supports commerclal hardwlI-ed, addressable ~
pol11ng loop end wIreless zones
. Hardw1red zones
- Provides nIne style B hardWlfed zones
- EOLR supervised for Are and UL burglary Installations
- Supports N 0 or N C sensors
-Individually assignable to one or all eIght partltlons
- Up to 16 two-wire smoke detectors each on zone one
and two (32 totall
- Up to 50 two-wire glass break detectors on zone eight
. Patented addressBble~ polling loop technology
- Supports up to 24 l:'wo-wlre~:zone5/pornts
- Global polling technology for faster processing
-Increased current draw capacity (12BmA)
- Supervlsed by panel
-IndivIdually assignable to partitions. notlncatlon clrcult
(bell) output or aux relay
- 4.000 ft capebtllty without the use of shIelded cable
- Ext:ender/lsolatJon bus module
- T'NO-wlre smoke detector lone/group expansion module
adds two or four zones
- Eight zone - Class A end B extend~r module
- EIght zone - Class B extender module
- One zone supervised contact monitor module
. UL listed Wireless expansion
- Supports up to 32 wireless zones/points usIng
5881 ENHC Recelver
- Supervised by control for check-In sIgnals
- Temper protection for transmitters
- Individually assIgnable up to eIght partitions
- Supports UL864/NFPA approved wireless smoke
detectors
. Event reportmg
, Local printer of access or VISTA related event
, Scheduled uploading of events to oentral statIon
. Up to four doors using VlstaKey~Aooess Control
Supported by a diverse nne of ADEMCO Initiating devices,
the VISTA 32FB Is well suited for e variety of smal..r to
medium sized applications as an Integrated
fire and burglary control-Includlng restaurants, small retail
stores and shops. churches end synagogues. strIp malls.
larger residences end small faotory and
warehousa environments
. Stored events for one oall retrleval
, Communication
- Phone mapping by lone response type
- Supports VIP Interactlve Phone Voice Module
- Panel operation dur1ng download
- Uploading equipment I1st to central station
- Communlcatlon to Pass PoInt via Vista Gateway Module
Applications
The VISTA-32FB control Is well sulted for a variety of
appllcatlons as an lntegmted fire and burglary oontrol A
diverse nne of ADEMCO Initiating deVIces supports th1s
extremely powerful oontrol Some of the appl1catlons
supported ere medical and professlonal bUlldmgs. churches
or synagogues, office bUildings, schools. strIp malls. larger
residences and fectory or warehouse environments
Installation
The VISTA-32FB alarm system has been deSigned to mount
both qulcko/ end easily It meets all applicable requirements
for UL commercial flre and burglary Installations
Specifications
Electrical.
o Prlmary power 18VAC@72VA ADEMCO No 1451
. Qutescent current draw 350mA
, Backup battery
- 12VDC, 7 AH mln to 34 4AH max
- Lead acid batteI)' (geltypel
o Alarm power, 12VDC, 1 7 A max for each notification Cbelll
circuit output
o Aux standby pwr 12VDC, IA max
o Total power 2 3A at 12VDC, 3 4A at 24VDC
from all sources
, 24 hours With 1 A standby load or 60 hours wlth 205mA
max atandby load using 34 4AH battery
. Fuslng Battery lnput. aux and notlficatlon (belD c\roult
outputs are protected us1ng PTC circuIt protectors All
outputs are power limited
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ACEMCC
GROUP
Main Dialer
, Une seIze Double Pole
. Ringer equlV 078
o Formats ADEMCO Low Speed ADEMCO 4+2 Express,
ADEMCO High Speed ADEMCO Contact 10, SescOB and
Radlonlos
CabInet dimensions I
o145"HX 125 WX3'D
Envlronmenta'l
, Storage temp -1 Q"C to 70"C
. Operating temp Q"C to SO"C
o Humidity 85% RH
. EMl Meets or exceeds the following requirements
- FCC Part 15, Class B DevIce
- FCC Part 68
- IEC EMC Dlrect",e
Agency Listings
, Burglary
o FCC Part 15 Class B, FCC Part 68
, UL ResIdential and Commercial
o UL864/NFPA Local Are
o UL864/NFPA Central and Remote Station FICe
, UL609 Grad A Local Mercantile PremIses/local
, Mercantlle Safe and Vault
, UL365 police statIon oonnected burglar alarm
, Gmde AA Service (with LRR Model 7920SEJ
. UL6111UL610 Central Stat10n Burglar Alarm
, CalifOrnia State Fire Marshal
oFM
SU..Ol\ArEl.\
SI~rB-r
T.....f>!l,g.,..t::.h.
n,...e....t::.h
L_TD""O~
"Vnll"lIhLIIJJSNMhl!:omM:.iuD
&l&OCR
The 6160CR IS an addressable remote keypad
Intended for use In commercial fIre applications
with ADEMCO's control platforms. The keys are
continuously backlit for convenience and easy
visibility. The LCD display is backlit only when a
key is depressed*. or when the system is In alarm
or trouble condition.
'Note On some platforms. the LCD may be programmed to remain
on at all times (see panel instructions for detaIls),
fEATURES:
. Four programmable function keys
. Built-In sounder
. Four LED's
- ARMED
- READY
- TROUBLE
- SUPERVISORY
. Large easy-to-read display
. Red removable door
SPECifiCATIONS:
Physical: 5250. W x 7 437" H x 1.312" 0
Display: A1phanumenc. 32-character (2 lines x 16
characters) LCD back light
LEOs: ARMED (red), READY (green). "TROUBLE
(yellow) and 'SUPERVISORY (yellow)
. See control panel's Instructions for speclnc
applications regardmg Trouble and
Supervisory LEDs
Sounder: High-quality speaker
Electrical: 45mA standby
150mA In alarm (sounder. back hght and lID on)
Wiring table (all keypads)
01 "Data IN" to control
+ + 12VDC (+aux PowerJ
DO "Data OUT" from control panel to keypad
ORDERING:
Part No.
6160CR
Description
Commercial Fire Alpha Keypad
LJ6160CRlD 9/02
1
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Compatibility
Supports Control Platforms:
. VISTA-32FB Rev, 3 and higher
. VISTA-128FB Rev 4 and higher
. VISTA-128FBP
. VISTA-250FBP
· V128FBP-24
. V250FBP-24
.. . ."
:~{i~~I{,f4'
~~/...;.:..:..1t'41~r~~::i~:~~~~~::J.~t!i$:~
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165 Eileen Wa~ Syosset, NY 11791
Copyrl!llrt @2DD1 Pltlway Corporation
ADEMCD is an 1SD9DD1 Regllitered
Company
ACEMCC
GROUP
El
rzl
o
o
o
I DATE: 11- ro-o,/ I
FIRE DEPARTMENT keY\. DlJ...6~c
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o
o
ENERGY
ENGINEERING
POLICE DEPARTMENT
"
ADMINISTRATION
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DIVISION I
o
o
RE: ADDRESS: '7! l C J::.rclAt
\
NAME/CONTACT: C~a..-t-,! - H I - T~c.iA
PHONE: '15 L - 2'7"2.. -,
PERMIT NUMBER: et5~ 968
PROJECT DESCRIPTION:--F I'" e. A lo-.V' VA- 'S. ys {e, ~
o NEW CONSTRUCTION
~ ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
~REVIEW/RETURN
o FILE
?A-ffi
1;6"( - cD '1
, "j'1
\
~v\
1i- 03- 10i
./'
"-'
ROUTING SLIP
- ~ Certificate of Occupancy
~tV $47.00 Certificate/Inspection Fee
DATE 6 - / S:-O ~;
Address of Proposed Business
1// E, r~f)N"1 5'1', ~~d-I r~ J3
Applicant /1; A./"jJSt./ ~ "'7 /J1/J/;.?r68Gc; ;Z::-/V' e;,.
Address /? tJ . .80 X ~ 5..3
SctSiL//n U/,,e:; 9~3g;;z"
Phone: buslness~ 9?--:;Ji/;;f9 homebg/-~76P
New Business ............................
Transfer of BUSiness location. . , . , . , .
Change of Ownership . . . . . . . .. ....., ....
New Building . . . . . . . . . .. .................
Remodel. . . . .. ................. '"
Temporary BUSiness ............ .,.,.,....
Change of Use. , . . . , . . . . . . . , . , . . . . . . . . . . . .
(-><-)
( )
( )
(;:><- )
( )
( )
( )
Bnef description of proposed bUSiness: ~~ /tpAGe L?,.i!3CJ~~t!3.
legal Descnptlon: lot
Current Use of Property'
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electncal changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service . ,
AdmiSSion charged to patrons
Is thiS a home occupation? .
Excavation of filling of lots
Work done In City nght-of-way
Is there sufficient off-street parking? " .,
New dnveway openings
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the eXisting streets paved?
Are there eXisting sidewalks?
Is there curb and gutter?
Other
Block
C:A
SubdiVISion
YES NO THE FOllOWING Will BE REQUIRED:
--K PERMITS BUSINESS LICENSE ~
x.. """-
1) BUilding 1) TaXI ---
-~ 2) Plumbing 2) Peddlers
--X
.L~ 3) Electncal 3) 2nd Hand Dealer ~\
4) Mechanrcal 4) Pawn Broker
5) Sewer 5) Dance
-X 6) Sidewalk Installation 6) Hotel - Motel
--
X- 7) Dnveway Installation 7) Fireworks "
- --:><: 8) Curb Installation 8) Ambulance cl
--
-~ 9) Sidewalk obstruction 9) Tattoo shop ~
10) Water meter Installation 10) Other -+
~== 11) Fire if\
-- 12) Occupancy ";-t
-- 13) Sign
~== 14) Shoreline U)
15) Home occupation ~
-- 16) Conditional use ?:'
-- 17) Other
--
_.
V"
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied IS correct to the best of my
knowledge, Slg
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
Comments / Conditions
A- \ \C\2--0 ~ ~'BG
~ ~ \ \ 'Be \)(.}Il.,C
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C E RTI FI C,A:F~EMti~)F~Q.Q~CC UP AN C Y
",';'jl]j.~<<;;_ "_-.;.r-
,,~,;., City of Port Angele
.f:;~",. Building Division
JI"
A ·
This Cl}rtification issued pursuant to the requirements of SectiJ~?l 09 of the
Unifornp.}Building Code certifying that at the time of issuance this st~ucture was
in colnpliance with the various ordinances of the City regulating 'B"uilding
I construction or use. For the following: II
Use ClassIticatlon Office BUlldmg Penmt No 03-908 Busmess Name Peninsula Mortgage Inc.
I(!I tl
tft l~
Group: l ~ Type of Construction V-N Use Zone I\! CA
~ R
ownerofBusmeSSlReSlden~. Al Kruebbe Address P.O. Box 953. Sequi~. W A 98382
\ I
Buildmg Address 7'3.1 East Front Street. Port Angeles. W A 98362
y----;:~,~~t~? .
'j" "">N~ _.' tember 16 2004
~\B .< ..~~~ '0' Yt,\,~,~~~?1~i\'I<,,":;;Y"'I~~:;~~1 >"_~,!?r!i' ;t1 ...~~r' D t
" 1!lG;j ,'c' ;;ity;. l-:>:l' ,'i~'~"y/';:,'/P-"/':, tli~.,j a e
Po on"", 4:p,tetmisesf,ii1~a','ico'risi:)l.c.clous place.
~~ 4f~"i"1'-M4 lJ\"~.,,,\,,~;{:~~~,IU,IC-'f~'II!Ji.;;:.lV ,-t(:""
Sha not be rem~t~!:t~~~l.~g'by~Building Official.
.
~lJr6
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
OwnerfBusiness:
Owner/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
~ Add/alter circuits
I[J Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
~
~IDI
~\
.
PERMIT NO. d:2 7,;2 f
7~0o
DATE
EADY FOR
INSPECTION
o WI LL CALL FOR
INSPECTION
Phone:
License Number:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
010' 03.0'
Service size
o Temporary
Amps
~
.AAA
~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
J!!:. Rough-in/cover O.K.
o O.K. to connect service
.AjtIA"/< Final O.K.
Date
Hold for: 0 Easement 0 Letter
Size
Comments
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Installer'
Permit/Receipt No.
a 7,;2
D
New Meters
---
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 Ins or 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 ;;;:2f}!!:!l-
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.
5'77
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
013
PERMIT NUMBER
.
TOTAL FEE 52- EE. ~ P1 /f/l
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTAICAl PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 7// f Frtf> '-' f
CORRECT ADDRESS 15 RESPONSIBILITY OF APPLICANT ~
W f. A-nl--uCE V {J.o /J <rT .
Owner's Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By YV'i../2. (., {1M UrC~' L
Installers Address
~f"S
</./n
Owner
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
!>D.....-.J : .!.TbOL-7:J. I /-Hl-.ttL. J (J.L()~
,rpAc [
vp
01= Ftc...f...
!l-/H"
J - 'Vpv
Wiring Method
.'
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 . CIRCUITS CIR 10 30,
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE , MOTOR
CONVENIENCE /LV / MOTOR
- ".
APPLIANCE .::>..... . /.;ft MOTOR
DISHWASHER Ar vi i FI RE ALARMS
DISPOSAL " BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER A
LAUNDRY A " ;4-1"';""
DRYER i{ 'v I . J REINSTALLATION LIGHT FIXTURE #
FURNACE (} Jr71 -:;c SUB TOTAL FEE
GAS. OIL
FURNACE / "- ;fIl' 1/ I ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT 4- /11"
TOTAL FEE
ELECTRIC HEAT .I' k:--- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT f r"
AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I 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 conforman e with the N. C. Electrical Code.
Date Application made :;- Ii J / P J ,19 By
I I
eONTRA TOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
By t!1 ~E?~lpT
PLANS APPROV . ,
~11.J1j7 "
. Date Permit Issued
WARNING
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'lnspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. . .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
\ '.
. .
DATE OF VISIT
iii 1.1 q~
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REPORT OF INSPECTOR
MADE BY
REMARKS
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FROM,: HI-TECH ELECTRONICS FRX NO. : 3613 452 8560
:C: ::. ,0. .,:>J "'" CITI C:F PA BLOC JErT f.'} ~" i6C ; , J~
Mar, 032004 12:14PM P2
!i:. :1
, '
. .
tj,..~.\~
'" . .... .
.
"- ~
.
ELECTRICAL PERMIT APPLICATION
fOR OrlllCJ....1.. U~ om. "'(
l;lol.<"P.~:_.___
.....\.. ~
D~J.~!ID~ed'
o.l~ bI~td
0'3 - 908
0:;' --rl
Odn.:orElcc. Cor,""cto'OQenl: \t Te..c..k EI e<..d-- '''Ale... S Phooo: i 'S ~-?7;nFax: 'is') - '05" a
Prc;>.~y OWnor. '. IE' r r~' N e.~ \:.e .' Phon.,
Ad,"-: ,I \ E.'1~+:i='rc.>"\- ~+. City:'\1,r-\- ~N",e-~:>
1I .,.... I I. . '0 '1Q'1 C:~. J /
SccIri<:aICcnlrsctor:_nl -\.<e..<J.-. r=le~~('c>f'I\C ~. 1.i""",.#:i\/r'CI Sxp:;;l qtOS
A:ld,.",;1;)...3 ~"'~+ F'('<.>c>.--\-'~' rjll<~,,(+tr~e.~).
INSTAU.,ATIDN WIRED BY: OOWN5R' ~TRICAl. CONTf'CTOR
Credit Card Holder-Name: G:..r re.:\- 1v'I. \,=>",\ rt \ k.c..
8i1lingA~dress: 7d.-'l f: Ff''''^' 't- <:.;\-, C;ty: \1,,+ ~11, E' \0
CrDd/f Card Numbor: '
'
PROJI<CT ADORESS: 11/ E: "t ~ + Fro" + c:;+
T'h. E.le.ell:l~1 Pf!lrrr:it AP~I(;l11;joo must AI: filled cut eomDItl'!etv.
PIe-wI!! rype or I'Qfll'int in ink.. It,you haVA any qUlUltle"". pi_au ~l (360) 417~736"
~u nun1bsr: (300) 417-4711
Zip: q'i? (, 7-
Poena: 4-5;;. -;).7 J 1
Zip: ~nb ~
ZtP~ ~ n 0-
VISA: /MC:
- -
TYPE OF WORK: Check ~ ihat apply: CJ New' Cl A1tera~on/Addit"'n
o Residential n Multi-family ~mmercial 0 Mobile Homa . Sq. Ft 3 <::) 00
Cl Remote M",e.- 0 Detaehed garage" Ll Hot Tub CI Swim Pool C; Saptic Pump ~w VOltag~ C Telecom. 0 Sign
Numhar of C;rellits added Or alba,ed:
Com M e.r Cl "'-.l
t ,re...' AlwVV\.
DESCRIPTION D~ THE eLECTRICAL PROJECT:
Eloctrical Heat Load Additions ant1 or."SUb~otiDnli
SorvJce.lnfo"matio!1
o Ovarllesd Service
Cl Temp Service
::J Underground S.",lc.
VQ:ta~~
PhaSe: 0 1 CJ 3
ServIce Sfz";
F~eder~e:_______
o SasebOard
o Furr.aee.
a Heat pump
o Fan-Well
_IN/
KW
= TON_LRA
-"-YY
I neE8by certify that I have read and exemlned fIlis appliGtltion and know filet same to bll true and correct, and I am
alJthorized to apply for rills permit I understand it Is not the City's legal responsibility to detennine whet penn its
Bre requlrea; it remains the applicants responsibility to determine what p~rmjts are required ami to olitain such.
. Cre 1 ! ~ 3
Owner or ElK. Con!. Sivnature: _ ~ 1\.--._ Date, 31 ~ 16 S
;~.LcCTFlICAl.peRMIT APPLICA1l0N
PERMIT FEE: $
I 'Il 9~
4'JI./O
Jo- .$ 5"-;..,() 0
5;L,DO
1jtlf/()Y
'"
.
Feb-23-04 01:31P
360-457-0212
P.Ol
s
,
ELECTRICAL PERMIT APPLICATION
fo1t,Il'f1rlA~ \,;~r. ONLY
lhlol1\K.: ,_'.___....
r_1t1r ..
.....,.,-...:.~.--=.. .:~":~~:
u....~.
The Eloclncal Permit Applicetion must b. ftU8d oul camDt.l8Iv.
Add'9P;
1/1 t
Please type 01 ,.,rint In ink.. If 'OU hil,", ."1 qumona, ptc.ose e.1I (380) ..17....7S!1 03- 08
F.. nI......., IJ601417-4711
REQUEST INSPECTION rl
wnmunt'co...bat1s__p"""olif)7-<fi1S- Fu: Q57-02-1Z-
RbH--bfArt!. 1'11011'" "~'1- Q'f5'('
._ C'",...J'PIl-7" AIf/66tt!f______ L'I" 9~3~
Owne, '" EJvo_ Cont..cto, Ageel' _~es
p.l'fOPen'y l>oM"'t: WiN C ~ 2", I;,fl.~~_
~~~r
Dectric.~' COl'ltractor:
lU::8nllll#:
r",,:
Ph&>ne=.
Addnass: . City"
l~~ f AI. \ ,A liON WIREO flY: U OW,Nl:R ~ ELECTRICAL CONTRAC TOR
Credit C.rrJ Ho/der N.me:.A!.J1jJ<?:~ ComOJ4L--r'U'aLtl'rJY1S
BIlling Address: (()Z ~()S'S __ h.~_._Clly:Jt.cf .,t}-n~I-es
CTlldltCllrrJNumber: Exp. Dllte: ! () '-(
. , ' f
ZIP:
.-rnG,
Zip: .1B.3..cD.L
V1SA~_ MC:_
PROJECT ADDRESS:
711
c
hl/'/1--
TYPE OF WORK-
Cher-" i!!! thai apply; p( New
o AllerationlAddillon
o ResidenlBl I_I Munl-famlly
jj( Commercial 0 Mobile Home
Sq.Ft :tyro
Remote MeIer 0 Detached garage U Hot Tub 0 Swim Pool CJ Septic Pump
n Low Voltage p(Telecom_ Ll Si9
NUnlbef of urcuils addeo or aller1Jd:
DeSCRIPTION OF TIiE ELECTRICAL PROJECT,
-;e/~pY"bNL
$ 2:a~
Co.b!~.
lt~(k.
Electric.' Heat Load Additions
PERMIT FEE:
Service Information
U SaseboanJ
W ~umaco
o Heat Pump
CJ Fan.WsU
KW
Kw
TON LRA
-KW --
(J Overheao ge<Ylce
o T 8l11p Service
o Underground Service
VOII.U"'_o_
Pha.e; 0 t rJ 3
SoMCS 51...: __ _ _
FQl!Ilkn .s12&'n__~_
PAMC 14,05.060(8): For industrial, c-..nmlnorctal. & residential projects largltf' than e d~pl~ II one ~ line drawinSJ of the Electric,,! Service &
Foodors. Duikllng oo,e (OQ _ ~.). load calculations. and 111.. typo & of conduClo," ~ndlor raceway Is required and ol1all accompany 1110 Eladrica
Permit application.
I hereby certify Ihat / have read and examined this appliea/ion and know that same 10 be true and CQl19cl, and I an
authorized to apply for this permit. J understand it is not the City's legal responsibility to determine what permits sr
rflquired: it remains the applicsnts respam,ibility rmits "re 'r: "',d and to obtllln SUCh_
<:"
Credil Cerd Holder's Slgnature:____
DeM:_
_ D8te;4/.n/d-
Owne, or Elec. Cont. Signature:
C:lELECTRICAlPERMIT APPLICATION
Zh3/PC; - ko
..$ 5d-., 00
02/09/2004 19:19 4579270
SIMPSON ELECTRIC
PAGE 01 ,
,
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ILECTAIOAL fIllFlMIT APPL.ICATION
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