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Home My WebLink About825 Madeline St - Building CITY OF PORT ANGELES s DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000244 Date 3/06/12 Application pin number 390044 Property Address 825 MADELINE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-7-6- 0250 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name to the City of Port Angeles Property Use s Code Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 5000 Application desc FREESTANDING WOOD STOVE Owner Contractor NICHOLAS HAZEL KRAVCHENKO B B ENTERPRISES PO BOX 742 520 ROSE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417 -0436 Permit MECHANICAL PERMIT Additional desc FREESTANDING WOOD STOVE Permit Fee 60.65 Plan Check Fee .00 Issue Date 3/06/12 Valuation 0 Expiration Date 9/02/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME -STOVE /FIREPLACE /MISC. APP. 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 Y' iy Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 3 4//9 CO C 7'o 4 B(, d Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD C>Q PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 \51 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL, TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. cJ Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In r� 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 J'GO' 1 2Accepted by J w MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 IV Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit H N l H H l l O l N l l M l W W l U'Hl 1 0 aq M 0 c O O N l M it a l b 2 u w c H l ozz 41 H 1 000 V7 u z V) a s H N 0 H l N 0 Z H o r q Z zd o 0 r o H w a o H H H H a w u u E Z. z N 0 H ELI w l (k W H H ?S Z a a l w (0 w o o w 0 (0 a z N 4) X z u u o 0 .a H\ 010 u x a a V) H Z Z a a s <,M x l u b x u uoa Cnm u IA 40C/ F Q a S O H H Z z, E=1,-10X 0 0 m 0 N 0 w 2 2 1.) wax o gz0 x ■w H r 4 N l z c in l H W .L 0 H fk h CO i W 7-, V) H 0 If) (0 <o o a l 0000 :AWN N N W l x M 0 H U' l m Ls u 0 W I N H W N 0 W O O l 0 0 Z 0 1 00M• N N O' X W O M a o 0 q H X W w l i V) U 0 0 1 0 Z a z F a 0 a z Hwua H m w H l g z z Z a a 10 a u 0 0 0 2 a H voar s;lt.` BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use •ni Date Received 3 to 321 E. Fifth St., Port Angeles, WA 99362 Permit (360) 417 -4815 fax (360) 417-4711 Date Approved 31 Wig- Applicant Co L (D n f 'c d d y Phone Property Owner IC vQckey; /cc) Va vcL4Cy K,CD Phone 5 Property Owner's Address S, d GC w -e Contractor Co LTC vi )act d d J3 O 19 GnPf-oapri s 'hone y/ 7--0 y3,6 Contractor's Address 3P i s s'? po rY -44 t-.14 g8 License 13 13 Eivr G 1 3 Pth. Expires /0/5/1,_3 E -mail PROJECT ADDRESS 6 --5 yyiGJ fee t o Po rT A e_s i 8 Parcel Number Lot Zoning Profect:Type Brief Description; Residential Multi- family Commercial CI Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump *mod- burning stove gas fireplace pellet stove a other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq, ft. 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION cr- Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a "parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 to determine what permits are required, and to obtain permits prior to w• kjg on projects. cr Date 3 6 h 2 Print Name CO LTC +'1 )3c d c� Signature P v •I aiti T:Forms /Building Division /Building permit application Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with Lid to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name B ft B ENTERPRISES UBI No. 601622455 Phone 3604170436 Status Active Address 520 Rose St License No. BBENT *043P1 Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 10/21/1996 State WA Expiration Date 10/5/2013 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Partnership Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date BODDY, CLYDE H Partner 01/01/1980 BODDY, COLTON S Partner 01/01/1980 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 2 CBIC SA5267 10/10/2001 Until $12,000.0011 /02/2001 Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date Liberty 15 Northwest Ins C10154343 10/10/2011 10/10/2012 $1,000,000.0010 /12/2011 Corp LIBERTY 14 NORTHWEST C09154343 10/10/2010 10/10/2011 $1,000,000.0009 /16/2010 INS CORP LIBERTY 13 NORTHWEST C08154343 10/10/2009 10/10/2010 $1,000,000.0009 /29/2009 INS CORP https: fortress .wa.gov /lni /bbip /Print.aspx 3/6/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 12 NORTH PACIFIC C07154343 10/10/2008 10/10/2009 $1,000,000.0009 /02/2008 INS CO 11 NORTH PACIFIC CO5154343 10/10/2007 10/10/2008 $1,000,000.0010 /16/2007 INS CO 10 NORTH PACIFIC C04154343 10/10/2006 10/10/2007 $1,000,000.0010 /16/2006 INS CO 9 NORTH PACIFIC CO3154343 10/10/2004 10/10/2006 $1,000,000.0009 /30/2005 INS CO Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni /bbip /Print.aspx 3/6/2012 i N, CO ,N, A ''''''4:411";ilvq,SMIIV ,410't:tgiti•-•''.4,:‘,,,,,,A ,;'2 ,It- L.. nt'r t. ,,,-.,•/'tiv,a,,,0"t'LL't,,ti,,,,tt-,,tt,-.:,/,,,,ft.i/i,,. tttiitt k.,,, ......o. t 1 t4"R 5/ VIV, V'.'' 'V' ,k,k,,,A4V.,14,,,VV.4,V,,,V1, v v 3''''''''''' '''''f'' ';t '41' a: .,,AVIMIP,',OVA „4 *,*4„,.10.krfiltov,,,1,„.0,1;:ii#44g,'..",..ia ,14-.#1i.r•i';'...A.,,0f,-,‘,4",',--'4,.-.4416:':''' ..,,-.„....,,,..,•'-',,,,--,,,/'-'";,4/`'-', /:',,i-19'''' pe'll'i,l,ilig-tit'' 1 ''r"' -'1,',41°.'''',.';‘,1*.,.:',,Att,',.4110",rt,-Ellkitok.:;:...1,"1,1 04.oft, A i. 0,,,,,1,:, ,h,',''a'l'",r'j,r.:',+5."xi■'' -4,-' 0 1 4::.•'‘-f N. ie, .49 o 4 ,,s Po, i pal? V Clallam County Assessor Treasurer Property Details 63334 NICHOLAS T AND H... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 63334 NICHOLAS T AND HAZEL N KRAVCHENKO TTES for Year 2011 2012 Property Account Property ID: 63334 Legal Description: LOT 25 ESTATES AT MILWAUKEE FKA MOUNTAIN VIEW ESTATES Geographic ID: 0630017602500000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 825 MADELINE ST Mapsco: PORT ANGELES, WA Neighborhood: PA Sublots Res Map ID: 3 Neighborhood CD: 5201000 Owner Name: NICHOLAS T AND HAZEL N KRAVCHENKO TTES Owner ID: 202542 Mailing Address: PO BOX 742 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on: 3/6/2012 3:52 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =63334 3/6/2012 ;rd" _, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00000464 Date 712464 825 MADELINE ST T6-30-00-1-0-4600-0025- LOT 25 RES NEW SFR RS9 RESDNTL SINGLE FAMILY 143650 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 Other struct info G L C HOMES INC 1975 SW 1ST SUITE H WA 98362 PORTLAND TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 7/15/05 OR 97201 26.70 26.70 9004.00 2400.00 1. 00 BUILDING PERMIT -RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 53314 1263.65 7/15/05 1/11/06 Plan Check Fee Valuation Qty Unit Charge Per 44.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) ---------------------------------------------------------------------------- Extension 1017.25 246.40 Permit MECHANICAL PERMIT Additional desc Permit pin number 53330 Permit Fee 94.10 Plan Check Fee Issue Date 7/15/05 Valuation Expiration Date 1/11/06 Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 3.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 505.46 143650 .00 o Extension 47.00 14.70 21.75 10.65 PLUMBING PERMIT ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 53348 146.00 7/15/05 1/11/06 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER .00 o Extension 47.00 70.00 7.00 15.00 n IJ ~fth. ~,~ ~ \)J~ ~ . ~ ~~ "\ \\ 1 S T~ ~ ~ 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 certi at I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances rning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give)i1 .. r rity to violate or cancel the provisions of any state or local law regulating construction or the performance of construc~/ / /" ,/... T:\Policics\ 1102 15 building permit inspection record05.wpd [1/4/2005J Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTrNGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION . SLAB " WALL 1 FLOOR I CEILING .. I I MECHANICAL HEAT PUMP / FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTrNG 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING 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 4 I 7-4807 PW 1 ENGINEERING FIRE 417.4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:IPolicieslI 102_ 15 bUlldmg permIt mspectIOn recordO) .v/pd [1/4/2005] ~ f'OP"-..v. $-~O~~~ ha 1L ~ 'tOi-;;-~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 05-00000464 712464 Page Date 2 7/15/05 ..C;;1ty 1. 00 Unit Charge Per 7.0000 ECH PL- EA.WATER HEATER Extension 7.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC) and National Fire Protection Association (NFPA) standards. 06/28/2005 10:22 AM SROBERDS -- Proposal will result in 27% lot coverage in the RS-9 zone. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee $222.00 - under 2004 policy 06/15/2005 08:30 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by PUblic Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ----------. ---------- ---------- Permit Fee Total 1503.75 1503.75 .00 .00 I?lan Check Total 505.46 505.46 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3783.71 3783.71 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\11 02_15 building pemlit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD C) S -161 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS ~1, LV c\ l.Ju WALLS ., .")..., 0,,\- Jl..t.- FOUNDA TION DRAINAGE / DOWN SPOUTS Ja- ~,OS III PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN ( 0 ':;'1-0 S J ~),. tt~~- Y4~ J7v WATER LINE (METER TO BLDG) f'1J-/o r- :J L- I.- GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS /0 -2J-oS J ~}... WALLS 1 ROOF / CEILING 1t?-ZI-05 J l-).. DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING 1/ h-;) 1:"_""," ~, L.1- MECHANICAL HEAT PU!vlP / FURNACE / DUCTS GAS LINE ~ (!)- 2.5-0.~ J J-l- ~~y/~t()r.- :fk/ WOOD STOVE / PELLET 1 CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #"s SEPA: PARKING/LIGHTING 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 IPWI CONSTRUCTION. R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. 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Z t:J IJl Z , ~~'"Ij , '-<>-l Z , ~8 0 , 0 'd'd Ul , >-l "'" 0 :I1:I1 53 , tTl7: tTl oot:J>-l 00 , UltTl Ul "'O<H ZZ t:J , >-l "':>>Z tTltTl ::: , '" UlGl , ~ .. , '" H ~' c:: tTl :u w , :u '" , '" 0 , 0< ~ , "'" IJl '" 00 '" '" "'" t:J'd :>>:>> >-lQ tTltTl -J '- '" 0 '- 0 Ul'" BUILDING PERMIT - APPLICATION www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 Applicant or Agent: GLC Homes Inc Phone: 360-683-8865 Owner: GLC Homes Inc Phone: 503-227-0207 Address: 121 Taylor Cutoff Rd City: Sequim, WA Zip: 98382 Architect/Engineer: Larry Smith (GLC Homes Portland office) Phone: 503-227-0207 Contractor GLC Homes Inc State License #: GLCHOI*972KE Exp: 12/15/06 Phone: 360-683-8865 Address: 121 Taylor Cutoff Rd City: Sequim, WA Zip: 98382 PROJECT ADDRESS: f1 ~5' ~ Madeline ~ 'r. ZONING: RS-9 LEGAL DESCRIPTION: Lot: 25 Block: Subdivision: Mountain View CLALLAM COUNTY PARCEL NUMBER: C d't C d H Id N GLC Homes Inc, Gerald R Engler re I ar 0 er ame: Billing Address: 1975 SW 1st Avenue Ste H _ City:Portland. OR 97201 Credit Card Type VISA XXX MC 1f _. Exp. Date: TYPE OF WORK: SIZENALUATION: ia Residential ia New Constr. 0 Re-roof 0 Stove 1.673 SF. @ $ 75.00 /SF. = $ 125,475.00 o Multi-family 0 Addition 0 Move IiZI Garage 727 SF. @ $ 25.00 /SF. = $ 18.175.00 o Commercial 0 Remodel 0 Demolition 0 Deck :J,ltt?O SF. @ $ /SF. = $ \. ",," o Repair 0 Sign 0 Other TOTAL VALUATION $ 143 (,..'~o-- BRIEF DESCRIPTION OF THE PROJECT: t:Sulla new sIngle ramllY reslaence ana anacnea garage. COMMERCIALIRESIDENTIAL: Occupancy Group: R-3 No. of Stories: 1 Lot Size: 't tlt'4 Existing Sq. Ft. - Total lot coverage ~b:1 Occupant Load: Construction Type: V .d & Proposed Sq. Ft. ') 4c:c = TOTAL Sq. Ft.~,4-o,-.' % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITJ' AL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written re st by the applicant (see Section Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extende than once. and correct. I am authorized to apply for this permit and , and that t must obtat. such penals prkN k Dale 5~C I hereby certify that / have read and examined this application and know the same ~ understand that it is my responsibility to determine what permits are required, not www.cityofpa.us Applicant: (j!3 - 4&4- [01 :A5 _plumh /t1j- I r tLf 5 !fff- {tf/ WiAfertfetLfcr / 1/1/A f-c V ( SetA/e r I fY7 e-c/tan {c ~ ( V.et1 fJ (/1 pu rnAL.C-- - I (&) Are p It:t~ ~ / ,/ y~, ~ yO\! \<,' ~ ov ~s o~ Y ~s GS~ ",\G' s\\ ~ d\\"I ~~ " r ~S\~. o O~\ ~r'</ ? ~~ .~ U~ 0- CO / . l> (J / ~' . (':)0 <00 c::::o 0(0 .oocQolO 1-1 b 556'45'16"E 108.25' I'-' ~~ !u .;,; D \9\,~J ~ 1< .... " *t- C~. ., ;;; :;] \0 ~p~\~~ ;;;:;j -~~>~LJ6'~ '7'7"'(:~00; SffiEET ~ .so. JERI LYNN _ ~6 @_ 524.27' 104.75' J\ \9"'i J\1 *~ I'-' .;,; '" :!"! . ~ ~ <:: 90.25' 78.00' I'-' ..... ,-,..., ....00 :-fij ~ <: ,0 \.-O;~J \ \ ~9 \.-0~\)09 ~I ~\.~\,-Il, c \l~ o ~C ~ ~' \ '~- ~ /cJ_~:::J~~ .:::'f:,!5~~~ /\,,)~ ! c,y j \It ,'} \.-O:I'>\J -1 j1 <I CJ,oWbcl:1 ::; 556'45'II"E :1 120.00' ".1 \~ ~~~ 3D' ~:I \..01\)\1 if?f-\~" ~ -'I j1 c~\. ,> '<I'-' cr, ?ool/i .>.,.\0 <G' : ,'---/ f-\." >1 556'45'l1"E 120.00' 3D' ~D fl:"1 VJO; ....1 ::>; ~ -." i \ b It) <ci i;j 1 I". .... ,-, :! a :1 >:1 ~1 ::'1 >1 ':1 \~. o"'i ~\\ \: *1'> q,lDOc)l 556'45'11"E 120.00' )I 1 c;l ~I :1 ::'1 '::1 ,.:.1 ;.:1 .~i ':', I >/ ::1 ';'1 ~I :>1 I \ \ \.-o"'i ~9; *\) q,G>cocjJ 556'45'II"E 120.00' \0 o"'i 09 \: *9 "1,"001/1 556'45'II"E 120.00' 9 o"'i J \) *9\ ct, bQ?cj1 556'45'II"E 120.00' ;\ I'> \.-0 \1 *9 C/S1f,41 WEST L27 'l ~ I'-' ..... ~~ ~ .:; ~ <:: ::@ \6 \.-O*€>\A- 556'45'II"E 120.00' \6 \.-O*\)\ ~ 556'45'II"E 120.00' II \1 " \.-0 *\)~7- 556'45'II"E 120.00' \1'> \.-~*€>'1.6 '- 556'45'11"E 120.00' \9 o"'i .0'" \) *9 \ ------- '- (: I I~ I., I:: '" I: I I;;': I~ 1 i. ~ I> ( f6 1:3. I (: 556'45'11"E 12~.00' t\_ II ']; .' . -----1- \.-0~9\1t \~\. I~ 11 \.f-C~~:~~~~ I: "if? I.: 556'45'11"E . 120.00' ~\ \.-0*9\1'> 110.00' 10TH 30.1 \ 30' 556'45'11"E 66.92' 7-1'> D \.-O~I'>\J a :g 556'45'11"E (3\ 107.10' J 7-1 k ~ <.1 cij \.-O~\)\1 :2 " ~I ~ :1 556'45'17"E 'i 705.00' :',1 . ~6 ~I \.-0\\)'1.\ k ~I G~\. :g ~\o' f-C~~\tI~ t.t-?~ >1 556'45'11"E :1 105.00' i >:1 7-9 k ~i \.-0*\)7-9 :g 1 " ') -. <I 556'45'l1"E .) 105.00' '..,. :1 !t) ~ :, ~ 7-1t k ~ 31 \.-0,*909 :g :<: ::I :::1 'I 556'45'71"E j 105.00' ....1 ~! ~J k ~I \.-0*9\J :g -:1 ::, 1 556'45'l1"E 105.00 ' 7-7- c C, \.-0*9\1 . a <ci 00 95.00' jq 't- iQ ~ ~ fl: VJ b It) !;;J <ci <- i;j [31 Cl ~ c, ~ '" ...., I". .... ,It) ~ ~ '" 570.00 STREET ~ Q) :> c Jg C ::J o ~ a. C'O ~ C o :.;::; C'O o o -J "-- 0 !- "- m ~ (-, ~ .rr (t; -- ~ ~ '- lL. "- V) Q> 'b ::::: m -- ~ .-) - ..... '<::( "- '- o Q. -... n n An '" N oj -0 .. C ~ '5 :;:: 01 ~ .!; ~ " o CD ,s ~ UJ CD f Iii :r @ g: :e (; ,s " .. c .. '0 .. c .. U E .g c o .iii UJ E Iii o. ,s .~ c CD .>< J! c .2 OJ E .E .!; UJ CD -0 " " .!; J! .. -" UJ :c sf-: j~ .!!!CD E g: 0- ~1! ~! .2< Ed 1~ ~~ f~ ~o ~"ti !~ SCD ~~ !:s <.2. I!!;; .~ <( ~~ UJ,.;; liS' ~g -o-c :.i,! e-J! 8d '5.2 UJ-C eo. ~f "(9 ~>- ,;,-" g:g ~'" Q:;:: ~.~ ~8 UQ 'e o r./ pORT ~Q "~~"",, ~~~ 1b. -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000982 Date 10/18/05 579092 825 MADELINE ST T6-30-00-1-0-4600-0025- FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2450 Owner Contractor GLC HOMES 121 TAYLOR CUTOFF RD SEQUIM WA 98382 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 fift~J 2j~ Io?:. cA ~ ~ ~ ~ ---------------------------------------------------------------------------- Permit FIRE SPRINKLER RESID Additional desc Permit pin number 62562 Permit Fee .00 Plan Check Fee .00 Issue Date 10/18/05 Valuation 0 Expiration Date 4/16/06 ;s. ~ (h ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 crstruction. 1JJ.~ ~, {3 fJ/i;; Jb\. /a/eo/O$ Signature of Contractor or Aut~~Z~gent / Da(e Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4120051 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T.BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTlNG 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 - RW. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\ II 02_15 building perrnlt inspectIOn record05. wpd [ 1/4/2005] BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in LNK. Your applicatior:. and site plan MUST BE COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Issued: Applicant OJ Agent: V,'(J(leJ1.-J- '&HScef Phone: L.f!i ~ - 7~g3 Owner: /l/lclerso/L /-/t; /77p._<:, Phone: <7f;id ~6 5'/ Address: 6/g .So I' ?Cah<<&)-f"city: f]r-I- 1711 crdes' Zip: 75362-- "1\rcIilled/El1grrreer: Pherre: Contractor 1/V/lIoUA-T&JJ FlU S?~~~icense #:IN^/our-S~'1p't O~p 1()6 Phone: '1S.2 -7593 Address: l/ /VGtIJ If/jY/;,ll/ LIJIVE City: r:or<.r Jl!l&ELE..s Zip: 9XS6oz- PROJECT ADDRESS: -70 7 C ~ v-- V V- /' 0 V C-f A 2... Block: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NU1v1BER: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC -# T}'l'E OF WORK: ~ Residential D New Constr. D Re-roof D Stove D Multi-family D Addition D Move D Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: -//1 <:;-/ L(( / City: Exp. Date: SIZE/VALUATION: SF. @$ ISF. = $ SF. @ $ ISF. = $ SF. @$ /SF. = $ TOTAL VALUATION $ 2. ~" -)(; , CJ d J:=; Y (l 5j?r/., 1,1C IF. Y <;: YS"7 c- #1__ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DP\VU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checldist required? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it mustbe submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant np to 180 days upon written reqnest by the applicant (see Section Rl 05.3.2 of the International BuildinglResidential Code, 2003). 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 authorized to apply for this permit and underst"d that ff is my responsibilffy to de'e'l=ermffS are required ". at the City's, and that I must obtai~ such permits prior to work. T:\Policies\BL-1l0V3.wpd Apphcant: J ~,(), {5~ate: /6 / ~/ 0 S" OS -'2. 7 I,. / PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 825 Madeline ~_'_'_m~><= - ~-- Installer: Innovated Fire Protection Installer Telephone: 452-7583 ",*-,""*"------ Type of System: Open 130 13RO 13D~ "- "',""" Date: 10.12.2005 P AFD Permit #: 05-28 We have checked this plan and find that it conforms to the requirements of the code. 1) A pressure reducing valve is required in the sprinkler line prior to the toilet connection. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. o ~ o Contractor Reviewed by: ~~ Date: lo. {2.. as- Building Department Fire Department .. Fire Sprinkler System Plan Innovated Fire Sprinkler Systems 81 New Haven Lane Port Angeles, WA., 98362 (360) 452-7583 October 4, 2005 For: GLC Homes Location: 825 Madeline Port Angeles, WA., 98363 Contractor: GLC Homes 121 Taylor Cut Off Rd. Sequim, WA 98382 0LL- LoT c:,. 13 D HYDRAULIC CALCULATIONS Worksheet For 1" CPVC Pipe . Two heads require 26 gpm flow at designed pressure. [ + One head requires 18 gpm flow at designed pressure. 12. 13. 14. 1'5. 1. 2. 3. 4. 5. . Pipe size = 11" I CPVC (friction 1Q.~s .1067). Water pressure at street (2) = /00 Meter friction loss (3) = 9 (2) ) () 0 minus (3) '0 Loss from street main to control valve feet (see friction loss chart). (4) OJ J mi.nus (5) L-/. 2 "7 (6) f!J G.,73 Elevation loss (building & street) - I '2. feet X .434 = (6) gr::, .73 minus (7) s,"Z l = B r~ S 2- Total length of pipe from control valve to the farthest sprinkler = X 1_10671 = Lft 2 7 psi. (8) 81: r L minus (9) '-I. 2. -; - 7 7 ~ Z-S psi remalnln~ Equivalent length for valves and fittings (meter to farthest sprinkler head): Tvpe Number Equivalent 1 " T run :3 X [I] = 1 " T Branch -3 X [I] = 1" 90 ElboYII 2... X o::J = 1" Coupling I X [CJ = 1" 45 Elbow 0 X [I] = 1 " Gate Valve . I X IT] =~.. - (11) Total Feet 2l/ 6. 7. 8. 9. psi remaining ~~ 2-/ psi psi remaininc '-I 0 fe~ 10. 11. J IS I ~/ I o I f f E\\4:: ~ ~ teel~~~" J~;t.I3~ 3/2'lc..~ Loss in fittings (11) .3 If feet X 1.10671 = :S, <;J psi. (10) ") 7, 2S minus (12) :1, bJ - 7 J, Co 2.. psi remaining. PSI remaining (13) I J. b 2.. minus J , i/ (loss in riser) parts =. . (14) 70. 22-is more than the minimum design psi required for 2 or 1 sprinkler heads operating. Riser Parts Potter flow switch 2.4 psi Soft seat valve 1.0 psi Needed Information: Type of sprinkler head GPM & pressure 1 st head / G : GPM & pressure 2nd head 2: L 3/4" water meter:-e or no) FP-9C n~..;~~rl c,f?9/91 ., ' 5?RINKL~R . ..MAN \ ~OLD (i) ....- .----- -- ---- ..- ... -' - . 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" .J 3 , . . tqeD / Fire & Building / Products Direct Sales (Central): Tel: (800) 523-65121 Fax: (215) 362-5385 Distribution Sales (GemlStar): Tel: (800) 558-52361 Fax: (800) 8n-1295 Technical Services: Tel: (800) 381-93121 Fax: (800) 791-5500 Series LFII Residential Concealed Pendent Sprinklers, Flat Plate 4.2 K-factor General Description The Series lFII (TY2596) Residential Concealed Pendent Sprinklers are decorative, fast response, fusible sol- der sprinklers designed for use in resi- dential occupancies such as homes, apartments, dormitories, and hotels. The cover plate assembly conceals the sprinkler operating components above the ceiling. The flat profile of the cover plate provides the optimum aestheti- cally appealing sprinkler design. In ad- ~ition. the concealed design of the Se- ries lFII (TY2596) provides 1/4 inch (6,4 mm) vertical adjustment. This ad- justment reduces the accuracy to which the fixed pipe drops to the sprin- klers must be cut to help assure a perfect fit installation. The $eries lFII are to be used in wet pipe residential sprinkler systems for o!1e- and two-family dwellings and mo- bll~ hon:aes p~r NFPA 130; wet pipe resl~entlal sprinkler systems for resi- ?entlal occupancies up to and includ- 109 four stories in height per NFPA 13R; or,. wet pipe sprinkler systems for the residential portions of any occu- pancy per NFPA 13. The Series lFII (TY2596) has a 4.2 (60,S) K-factor that provides the re- quired residential flow rates at reduced pressures, enabling smaller pipe sizes and water supply requirements. The Series lFII (TY2596) has been designed with heat sensitivity and water distribution characteristics proven to help in the control of residen- tial fires and to improve the chance for occupants to escape or be evacuated. The Series lFII (TY2596) Residential C~ncealed Pendent Sprinklers are shipped with a Disposable Protective Cap. The Protective Cap is temporarily removed for installation, and then it ca~ be repl~ced to help protect the Sprinkler while the ceiling is being in- Page 1 of 4 stalled or finished. The tip of the Pro- tective Cap can also be used to mark the center of the ceiling hole into pias- ter board, ceiling tiles, etc. by gently pushing the ceiling product against the Protective Cap. When the ceiling in- stallation is complete the Protective Cap is removed and the Cover Plate Assembly installed. WARNINGS The Series LFII (TY2596) Residential Concealed Pendent Sprinklers de- scribed herein must be installed and maintained in compliance with this document, as well as with the applica- ble standards of the National Fire Pro- tection Association, in addition to the standards of any other authorities hav- ing jurisdiction. Failure to do so may impair the integrity of these devices. The owner is responsible for maintain- ing their fire protection system and de- vices in proper operating condition. The installing contractor or sprinkler manufacturer should be contacted relative to any questions. Sprinkler/Model Identification Number SIN TY2596 Technical Data Approvals: UL and CcULListed. Maximum Working Pressure: 175 psi (12,1 bar) Discharge Coefficient: K = 4.2 GPMlpsi112 (60,S LPM/bar1l2) Temperature Rating: 160oFn10C Sprinkler with 1350F/570C Cover Plate JULY, 2002 - ~ll . . Vertical Adjustment: 1/4 inch (6,4 mm) Finishes: Cover Plate: Rat White, Bright White, Chrome, or Custom Physical Characteristics: Body. . . . . .. .... Cap. . . . . . . . . . . . . Saddle . . : . . . . . . . . Sealing Assembly . . . . . . . . . . . Beryllium Nickel wi Teflont Soldered Link Halves . Nickel Lever . . . . . . . . . Bronze Compression Screw . . . . . . Brass Deflector . . . .. .... Bronze Guide Arm Frame . . . . Bronze Guide Arms ... Stainless Steel Support Cup . . . . Steel Cover Plate ... .... Copper Retainer . . . . . . . . . . . . Brass Cover Plate Ejection Spring . . . . . . . . . . . . Stainless Steel . Brass Bronze . Brass tDuPont Registered Trademark TFP440 ,. . ~Page 2 'of 4 Operation When exposed to heat from a fire, the Cover Plate, which is normally sol- dered to the Support Cup at three points, falls away to expose the Sprin- kler Assembly. At this point the Deflec- tor supported by the Arms drops down to its operated position. The fusible link of the Sprinkler Assembly is com- prised of two link halves that are sol- dered together with a thin layer of sol- der. When the rated temperature is reached, the solder melts and the two link halves separate allowing the sprin- kler to activate and flow water. Design Criteria The Series LFII (TY2596) Residential Concealed Pendent Sprinklers are UL and C-UL Usted for installation in ac- cordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having Jurisdic- tion. System Type. Only wet pipe systems maY,be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 130 or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 130 or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the the four most hydraulically de- manding sprinklers. The minimum re- quired discharge from each of the four sprinklers is to be the greater of the following: · The flow rates given in Table A for NFPA 130 and 13R as a function of temperature rating and the maxi- mum allowable coverage area. · A minimum discharge of O. 1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations Of sprinklers are to be in TFP440 y Minimum Flow (lit and Minimum Flow Cb) and Maximum Maximum ResIdual Pressure Residual Pressure Coverage Spacing For HorIzontal Ceiling For Sloped CeIling Area (a) Ft. (Max. 2 Inch Rise (Max. 8 Inch Rise Ft. x Ft. (m) for 12 Inch Run) for 12 Inch Run) (m x m) 16O"Fm "C 160oFn1OC Sprinkler Sprinkler 12 x 12 12 13 GPM (49,2LPM) 18GPM (68,llPM) (3,7 x 3,7) (3,7) 9.6 psi (0,66 bar) 18.4 psi (1,27 bar) 14 x 14 14 14 GPM (53,0 LPM) 18 GPM (68,llPM) (4,3 x 4,3) (4,3) 11.1 psi (0,77 bar) 18.4 psi (1,27 bar) . lOxi6 1 16 16 GPM (60,6LPM) 18 GPM (68,llPM) (4,9 x 4,9) (4,9) 14.5 psi (1,00 bar) 18.4 psi (1,27 bar) :'- 1Av1~ 18 20 GPM (15,7 LPM) N/A (5,5 x 5,5) (5,5) 22.7 psi (1,57 bar) 2Ox2O 20 24 GPM (90,8lPM) N/A (6,1 x 6,1) (6,1) 32.7 psi (2,25 bar) (a) For coverage area dimensions less than or between those indicated, it is necessary to use the rninirmm required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal K-factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 130 AND NFPA 13R HYDRAUUC DESIGN CRITERIA FOR THE SERIES LFII (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed relative to the ceiling mounting surface as shown in Figure 3. Sprinkler Spacing. The minimum spacing between sprinklers is 8 feet (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). Installation The Series LFII (TY2596) must be in- stalled in .accordance with the follow- ing instructions: NOTES Damage to the fusible Link Assembly during installation can be avoided by handling the sprinkler by the frame arms only (i.e., do not apply pressure to the fusible link Assembly). A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 fUbs. (9,5 to 19,0 Nm). A maxi- mum of 21 h.lbs. (28,S Nm) of torque is to. be used to install sprinklers. Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under- or over-tightening the Sprinkler. Readjust the position of the sprinkler fitting to suit. Step 1. The sprinkler must only be installed in the pendent position and with the centerline of the sprinkler per- pendicular to the mounting surface. Step 2. Remove the Protective Cap. Step 3. With pipe thread sealant ap- plied to the pipe threads, and using the W- Type 18 Wrench shown in Figure 2, install and tighten the SprinklerlSup- port Cup Assembly into the fitting. The W- Type 18 Wrench will accept a 1/2 inch ratchet drive. Step 4. Replace the Protective Cap by pushing it upwards until it bottoms out against the Support Cup. The Protec- tive Cap helps prevent damage to the Deflector and Arms during ceiling in- stallation and/or during application of .;,.. . .' '. TFP440 , '. Page 3 of 4 s BODY (112" NPl) SEAUNG ASSEMBLY WRENCH RECESS CAP SPRINKLER WRENCHING AREA D SADDLE COMPRESSION SCREW PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA LEVER FIGURE 2 W-TYPE 18 SPRINKLER WRENCH GUIDE ARM GUIDE ARM FRAME I I I I , I ~ I I ,.......... f. ,J LJ'" 'LJ L. ......._..r-------.~........,.".J DEFlECTOR (OPERATED POSITION) SPRINKLERlSUPPORT CUP ASSEMBLY THREAD INTO SUPPORT CUP UNTIL MOUNTING SURFACE IS FlUSH WITH CEILING C> C> RETAINER WITH THREAD DIMPLES EJECTION SPRING SOLDER TABS (3) COVER PLATElRETAINER ASSEMBLY FIGURE 1 SERIES LF/J (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER COVER PLATE ~ SPRINKLER- SUPPORT CUP ASSEMBLY FACE OF SPRINKLER FITIING 1-718"x118" (47,6 mm :t3.2 mm) COVER- SPRINKLER- RETAINER SUPPORT CUP ASSEMBLY ASSEMBLY 3-114" DIA (82.6 mm) =rt MOUNTING 3116" ~ SURFACE (4,8 mm) ~ 718" (22,2 mm) 1-118" (28,6 mm) -f TIP DISPOSABLE PROTECTIVE CAP DEFlECTOR IN OPERATED POSITION FIGURE 3 SERIES LF/I (TY2596) RESIDENTIAL CONCEALED PENDENT SPRINKLER INSTALLA TlON DIMENSIONS / PROTECTIVE CAP / ACTIVATED DEFLECTOR ". ~ :. ~age 4 'of 4 the finish coating of the ceiling. It may also be used to locate the center of the clearance hole by gently pushing the ceiling material against the center point of the Cap. NOTE As long as the protective Cap remains in place, the system is considered to be -Out Of Service" Step 5. After the ceiling has been com- pleted with the 2-1/2 inch (63 mm) diameter clearance hole and in prepa- ration for installing the Cover Plate As- sembly, remove and discard the Pro- tective Cap, and verify that the Deflector moves up and down freely. If the Sprinkler has been damaged and the Deflector does not move up and down freely. replace the entire Sprin- kler assembly. Do not attempt to mod- ify or repair a damaged sprinkler. Step 6. Screw on the Cover Plate As- sembly until its flange comes in con- tact With the ceiling. Do not continue to screw on the Cover Plate Assembly such that it lifts a ceil- ing panel out of its normal position. If the Cover Plate Assembly cannot be engaged with the Mounting Cup or the Cover Plate Assembly cannot be en- gaged sufficiently to contact the ceil- ing, the Sprinkler Fitting must be repo- sitioned. Care and Maintenance The Series LFII (TY2596) must be maintained and serviced in accord- ance with the following instructions: NOTES Absence of an Escutcheon Plate may delay the sprinkler operation in a fire situation. Before closing a fire protection system main control valve for maintenance work on the fire protection system which it controls, petmission to shut down the affected fire protection sys- tem must be obtained from the proper authorities and all personnel who may be affected by this action must be no- tified. Sprinklers which are found to be leak- i~g or exhibiting visible signs of corro- sion must be replaced. Automatic sprinklers must never be shipped or stored where the tempera- ture will exceed 100oF1380C and they must never be painted, plated, coated, or otherwise altered after leaving the factory. Modified or over heated sprin- klers must be replaced. Care must be exercised to avoid dam- age - before. during. and after instal- lation. Sprinklers damaged by drop- ping. striking, wrench twisVslippage, or the like, must be replaced. The owner is responsible for the in- spection. testing, and maintenance of their fire protection system and de- vices in compliance with this docu- ment, as well as with the applicable standards of the National Rre Protec- tion Association (e.g.. NFPA 25), in addition to the standards of any other authorities having jurisdiction. The in- stalling contractor or sprinkler manu- facturer should be contacted relative to any questions. NOTE The owner must assure that the sprin- klers are not used for hanging of any objects and that the sprinklers are only cleaned by means of gently dusting with a feather duster; otherwise, non- operation in the event of a fire or inad- vertent operation may resuh. It is recommended that automatic sprinkler systems be inspected. tested, and maintained by a qualified Inspection Service. Limited Warranty Products manufactured by Tyco Rre Products are warranted solely to the original Buyer for ten (10) years against defects in material and work- manship when paid for and properly installed and maintained under normal use and service. This warranty will ex- pire ten (10) years from date of ship- ment by Tyco Rre Products. No war- ranty is given for products or components manufactured by compa- nies not affiliated by ownership with Tyco Rre Products or for products and components which have been subject to misuse, improper installation, corro- sion, or which have not been installed, maintained, modified or repaired in ac- cordance with applicable Standards of the National Rre Protection Associa- tion, andlor the standards of any other Authorities Having Jurisdiction. Mate- rials found by Tyco Fire Products to be defective shall be either repaired or replaced. at Tyco Fire Products' sole option. Tyco Rre Products neither as- sumes, nor authorizes any person to assume for it, any other obligation in connection with the sale of products or parts of products. Tyco Rre Products shall not be responsible for sprinkler system design errors or inaccurate or incomplete information supplied by Buyer or Buyer's representatives. TFP440 G IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE. IN CON- TRACT, TORT, STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE- ORY, FOR INCIDENTAL. INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES. INCLUDING BUT NOT LIMITED TO LABOR CHARGES. RE- GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' li- ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN UEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED. INCLUDING WARRANTIES OF MERCHANTABILITY AND FIT- NESS FOR A PARTICULAR PUR- EQ$E.. Ordering Procedure When placing an order, indicate the full product name. Contact your local dis- tributor for availability.. Sprinkler Assembly: Series LFII (TY2596), K=42, Residen- tial Concealed Pendent Sprinkler with- out Cover Plate Assembly, PIN 51-122-1-160. Cover Plate Assembly: Cover Plate Assembly having a (spec- ify) finish for the Series LFII (TY2596), K=4.2, Residential Concealed Pen- dent Sprinkler, PIN (specify). Chrome.................. PIN 56-122-9-135 Bright White............... PIN 56-122-4-135 Rat White................ PIN 56-122-5-135 Custom.................. PIN 56.122-X-135 Sprinkler Wrench: Specify: W-Type 18 Sprinkler Wrench, PIN 56-000-1-265. TYCO ARE PROOVCTS. 451 North Cannon Avenue, lansdale, Pennsylvania 19446 ... . ~ .' ,~ - It ......... . . (flPOTIER Potter Electric Signal Company 2081 Craig Road. P.O, Box 28480 St. Louis, MO 63146-4161 (314) 878-4321 · (800) 325-3936 Q) FOR SMALL PIPE VSR-SF VANE TYPE WATERFLOW ALARM SWITCH WITH RETARD Potter Electric Signal & Mfg. L TO 1967 Leslie Street Don Mills, Ontario, Canada M382M3 (416) 441-1833 STK. NO. 1113000 U.S. PAT. NO. 3921989, CANADIAN PAT. NO. 1009680 OTHER PATENTS PENDING. UL, ULC, CSFM USTED and NYMEA ACCEPTED ServIce Pressure: Up to 250 PSI Minimum Row Rate for Alann: 10 GPM Maximum Surge: 18 FPS Enclosure: Oie<ast. red enamel finish Cover held In place with tamper resistant screws Contact Ratings: 2 sets of SPOT (Fonn C) 15.0 Amps at 125f2S0 V AC 2.0 Amps at 0-30 VOC Conduit Entrances: 2 knockouts provided for 1/Z" conduit Usage: listed Plastic. Copper and Schedule 40 Iron Pipe Fils pipe sizes -1",1114", and 11/2" Note: 8 paddles are furnished with each unit. one for each pipe size of threaded or sweat TEE. one for 1" CPVC, and one for 1 1/2" poIybutyIene (CTS~ppertubing size) Environmental Specifications: Suitable for indoor or outdoor use with factory instaned gasket and die-cast housing. NEMA4 Rated Enclosure -use with appropriate conduit fitting. Temperature Range: 40" F/l20" F (4.5" Cl49" C) Caution: This device is not intended for applications in explosive environments Service Use: Automatic Sprinkler NFP A-13 One or two family dweUing NFPA-130 Residentiafoccupancy up to four stories NFP A-13R National Fare A1ann Code NFPA.72 Optional: Cover Tamper Switch, or(ler Stk. No. 0090018 The Model VSR-SF is a vane type watefflow switch for use on wet sprinlder systems that use 1",1 1/4', or 1 1/2' pipe size. The unit may also be used as a sectional watefflow detector on large systems. . The unit contains two single pole double throw snap action switches and 3n adjustable. instantly recyding pneumatic retard. The switches are actuated when a now of 10 gallons per minute or more occurs downstream of the device. The flow condition must exist for a period of time necessary to overcome the selected retard period. INST At..LA TION: Thes~ devices may be mounted in horizontal or vertical pipe. On horizontal pipe they should be instaUed on the top side of the pipe Where they witl be accessible. The units should not be installed Within 6' of a valve. drain or fitting which changes the direction of the waterflow. The unit has a 1" NPT bushing for Ihreading into a non-oorrosive TEE. See Fig. 2 for proper TEE size, type and installation. Screw the device ioto the TEE fitting as shown in Fig. 2. Care must be taken to property orient the device for the direction of watefftow. The vane must not rub the inside of the TEE or bind in any way. The stem should move freely when operated by hand. The device can also be used in copper or plastic pipe installations with the proper adapters so that the specified TEE fitting may be installed on the pipe run. INSPECTION AND TESTING: Check the operation of the unit by opening the inspector' test valve at the end of the sprinlder line or the drain and test connection. if an inspector's test valve is not provided. If there are no provisions for testing the operation of the now . detection device on the system, application of the VSR.SF is not recommended or advisable The frequency of the inspection and testing and its associated protective monitoring system should be in accordance with the applicable NFPA Codes and Standards and/or authority having jurisdiction (manufacturer recommends quarterty or more frequently). PRINTED IN USA PAGE 1 OF 2 MKT. .8800003 - REV J MFG. .5400802 - 8195 -.. .. '.. :-. ./' .'..... ....... A. .. @ ~..POTTER BELLS PBA-AC & PBD-DC /!c";cC,( , ' 3!~ll{~!~1;:>J; " '..,., .. '~~'tHln.~~~._ .. .;......... "'. ;i"i::~{~'t~p:rf~li~';:~lf:;;:; ,: - "'-"" ".,~<.;j,,(Z' "." " Potter Electric Signal & Mfg_ L TO 1967 Leslie Street . Don Mills. Ontario, Canada M382M3 (416) 441-1833 UL LISTED, FM APPROVED Sizes Avallable:@8-' and 10. Potter Electric Signal Company 2081 Craig Ad./P.O. Box 28480 St. Louis. MO 63146 (314)878~3211 (800) 325-3936 Voltages Available: ~ 20VA 12VOC (10.2 to 15.6) Polarized 24VOC (2004 fo 31.2) Polarized : ....:~:: -'. '.~ "..... Service Use: Rre Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 1500F (outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires Finish: Red powder coating Optional: Model BBK-1 weatherproof backbox ".-".. . 6" BELL Sl10WN 'hese vibrating type bells are designed for use as fire. burglar. or general signaling devices. They have low power onsumption and high decibel ratings. The unit mounts on a standard 4- square electrical box for indoor use. or on a model 18K-l weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: stZE VOLTAGE MOQR NO. STOCK NO. CURRENT (MAX) TYPICAL dB MINIMUM dB o 10 FT. o 10 FT. 6 12VOC PBOl26 1706012 .12A 65 75 6 12VOC PB0128 1706012 .12A 90 75 10 12VOC PB01210 1710012 .12A 92 75 6 2<4VOC PB02<46 170602<4 .OGA 87 7S 8 2<4VOC PB02<48 170602<4 .OGA 91 79 10 2<4VOC PB02<410 171002<4 .OGA 94 79 6 2<4VAC PBA246 1806024 .17A 91 7S 8 2<4VAC PBA2<48 1608024 .17A 9<4 7S . 10 24VAC PBA2410 1810024 .17A 94 75 , 6 120V AC PeA 1206 1806120 .OSA 92 62 6 120V AC PeA 1206 1806120 .OSA 99 62 10 120V AC PBA12010 1610120 .OSA 99 8S eatherproof backbox model BBK.1 Stk. No. 1500001. t<res: t.Ain;mum d6 ...cings ...e c..lcut..led C'om ,,"egraled sound p<eSSUfe measuremeolS made al UnderwriCers Laboraco<ies as q>edfied.. UL Scandald <4&4. UL 1empe'..Cure '''<>9<' is.3<r 10 lSO.F T . . YPCaf dB f~t.noS a'e c.a&cuC.3t'!K1 f'Qifn nle~SUf'etnenCs iA'\ade wdh . convenc~f sound levee mete' and .,. indalNe of outpuC leve(s in .n actual inst.afllllO<l. INTED IN USA MKT. _'"'50001- REV K MFG. _5400776 . <419<4 PAGE 1 OF2 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in LNK. Your applicatior:. and site plan MUST BE COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Issued: Applicant or Agent: V: V\. C- Q h+B e +-t:3 V- Phone: '-I S. 2 - 7S 83 Owner: G L C- 1-1 0 vV\. (2... J' Phone: Address: 1 2.. IT a.. 7' (?IV' C ,--,:1 OA"1?rtf S e...C} lA <~ ~ Zip: 98 S ~ <. Architect/En gineer: Phone: State License #:JI'I#VOllrJ()'1fi/?P-8}V(J6 Phone: LiS < -7-5&:S L....... City: Yo",..f-Ji-......i>..ele,.J- Zip: Qe3G. 2- M Ot.-d Q./ II \rJL..; oJ Contractor I]V/'! d v #7 ~ V 1= I fl.. c. Address: Al /))e,f..A..} ).J-OI..IJ.e.1-, PROJECT ADDRESS: 8 z..S LEGAL DESCRIPTION: Lot: 2- S CLALLAM COUNTY PARCEL NUMBER: ZONING: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRlEF DESCRll'TION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other f:-, v~ SIZEN ALUATION: SF. @ $ ISF. = $ SF. @ $ ISF. = $ SF. @ $ ISF. = $ ~~TAL VALUATION ,$ 2- l./ SO. 00 S PV-I.' ""- "- I--€./\ ..r- <-:J .s --r e ~ COMMERCIALIRESIDENTlAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. ESAIW etland( s ): 0 Yes 0 No SEP A Checldist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DP\VU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it mustbesubmitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the tinle of permit issuance. EXPIRA.TION OF PLAN REVIEW: If no permit is issued within 180 days oftlle date ofapplicatiol1, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2 of the International Building/Residential Code, 2003). 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 authorized to apply for this permit and understand that it is my responsibility to deterri:e what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\Policles\BL-1l02_13.wpd ApplIcant: t/~ j) I ~ Date: I () J:s / (J........) o -;;-. 28 dfO"f~ ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANOELES. WA 911~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000464 Date 712464 825 MADELINE ST T6-30-00-1-0-4600-0025- LOT 25 RES NEW SFR 8/07/05 RS9 RESDNTL SINGLE FAMILY 143650 Owner Contractor GLC HOMES INC. 121 TAYLOR CUTOFF RD SEQUIM (360) 683-8865 Other struct info G L C HOMES INC 1975 SW 1ST SUITE H WA 98382 PORTLAND OR 97201 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 26.70 26.70 9004.00 2400.00 1. 00 '!l U\ Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL BEST/ 2400 SQFT SFR 56762 BEST ELECTRIC 143.20 8/07/05 2/03/06 Plan Check Fee Valuation .00 o 3 eJ r" (' - ~ Qty 1. 00 3.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 70.20 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. 06/28/2005 10:22 AM SROBERDS -- Proposal will result in 27% lot coverage in the RS-9 zone. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee $222.00 - under 2004 policy 06/15/2005 08:30 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works ~ COMMj:::NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH ROUCTH_IN I cu Y bK SERVICE FINAL I I I GENERAL COMMENTS: PW-II02.1S [4196) dVOIll:'~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANOELES. WA 9R162 Application Number . . . . . 05-00000464 Application pin number 712464 Page Date 2 8/07/05 ---------------------------------------------------------------------------- Special Notes and Comments Engineering is required prior to prouring concrete.. ---------------------------------------------------------------------------- . . Other Fees SEWER SYSTEM DELV CHARGE; . '1745.00 STATE SURCHARGE . '. .. . 4. ~O PW WATER SYSTEM USE FEE" ~~.o-25'''00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due.. ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143.20 143.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1917.70 1917.70 .00 .00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEALANJ' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.15 [4196] 't;) ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000896 Date 606016 825 MADELINE ST T6-30-00-1-0-4600-0025- ELECTRICAL ONLY 9/26/05 RS9 RESDNTL SINGLE FAMILY o Owner Contractor GLC HOMES 121 TAYLOR CUTOFF RD SEQUIM WA 98382 BEST ELECTRIC P.O. BOX 2445 SEQUIM SEQUIM (460) 2248 WA 98382 - - - - - ~ - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE BEST/ 60A TEMP. 60608 BEST ELECTRIC 42.20 Plan Check Fee 9/26/05 Valuation 3/25/06 .00 o (1) ~ J\ Qty Unit Charge Per 1.00 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 )> ~ ~ [' t r [;1 -/ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO UnC.t1 III liliTH-IN / \"UV~K ShR V lCb 7l4np ..... en" Lj j\/('... FINAL c1- JA -05' .kW.;J I GENERAL COMMENTS: PW-Il02.I~ [4196] " ELECTRICAL WORK PERMIT APPLICATION Inllllllllllon lisscription o co~.rd.1 ~ D A1teredlAddltloD J . Phone number to schedule Intpec.tiod: J-I./oo SQ Fr ~WeLLpV G, i (C,,73 7")--7 2-~OO Owrl,r as defined by RCW,/9.28.26/:(I) Owner wilt (JCcupy tit, llrucrU" /0" two years qfler this I!ltClrl"tl permit is fl"all:ed. (2) Owner Is requtred to hire Of! electrical ctJ,lIraeror if above saW pt'opsrl)ll.! 10' sQle. re'll or 1l!l1.ft. After reading the above statement. I hereby certify that J !Un. the owner of the above named property or II licensed ele~trif;al eontractor. l am making the electrif;al instal- lation or 1I1ler8tion in compliance with the eJectri<;aJ laws. N.E.C., RCW. ChapleT 19.28, WAC, Chapler 296.468, The City of Port Angeles Municipal Code, and Utllil)' SpecjficlItionl. ~&..tu I ow.er. 'Ie't~'. CJ Cash CJ Check # CJ Credit Card VlSB cG::lltprcarct' Discover Card# p~-a~---.---- Expiration Date CI NO LOAD CHANGES o Baseboard ~ tJ Furnace -!.1A<W CI Hoat Pump _ Ton _ LAR CI Fan.Wall KW (J Overhead Servics CI ~mp Sorvlco tJQ'"Underground Service Voltage Pha.. IJ , IJ 3. Service Size: _ Feeder Sizs: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-473S R UGJl-IN 11lERMOSTAT D&(2-: '5: ,~~ Dill! AlIPl1lvlld By FINAL 1-1.: /O? d::f?, DITCH ~.5'" ftfJ Approvccl By SERVICE t'~4.zf5 kD al Approved 8)' FFEDER Dll0 ApPTlIVld 8y Eleclrical In8pec~r Inspection Date Area, Bullding Of Equipment inspected Aclion Taken ~ 5'"' ..'. '.,"",-,,: . ~:; ,., -:",', ': \II:'~.' le.d 58L5 2:89 1392: 3~I::;IMq~I::;IH([~I::;I>tOO~ WI;;;! 62::11 500Z:-'V13-~nl::;l . " ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE I P05-l'C'l I INSPECTOR /"- /2- - os' AzD OWNER/CONTRACTOR I3e5/ L A ,.,,"",qC~ ADDRESS 6~5 rt A-t:> ,6,L.MV1!.. APPROVED NOT APPROVED o .",."..".."..", DITCH, , , . , , , . , , , . . , , , . . , , 0 )(. , , . , , , . , , , . , , , . ROUGH IN/COVER, , , , , , . . , , , . . ' , 0 D. , ' . , , . , , , . , , , . . , , , , SERVICE, , , , , , . , , , . . , , , . , , , 0 0"..",.",.""."" FINAL".",.",..",."" 0 C:=EDE,D~~::~~u)~::::n_ ,~,~ /A-/;{..A) ~'0' C.J ~I -r (1(.5J $4"" ft7 /rSlt-i.-lc, fj;) t-J/p,.....L<; 7b rO'LL-o'J E';'///J/uL U).Jtt;5, -0~i..- c.e;11...t.~,d,,) @ 3171'>'" t-'L- w / ~ / /'Y CL-AI~ Or .5:;'"?t.p .s,P~ /~ "/?'7/N F~~ e.v{.~ C) ~ JTCA.LJ {j) L f/ ~t?/L tb~ ..57WL- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 -.;';' ..-;~~.. ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE I Po~ - -Ie 7" IINS~) /"- /2.. - oS' OWNER/CONTRACTOR 8e:s/ L ... 'ru.c c. ADDRESS 6z.< ,-, r-I-C> ,e.. L- < A/~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 Ii;(. . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 " D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: @ L~.vtJ' Cr~/r N.€..rl-~ -5-~Lb IA' /TJ-I ,n-; r C-1'1. n__;~A f/C 1.' A-v<. ,v tJ/L y ~ /r:Se:t-IC, \ c.'Y:.'n~; r '\ " .Be: j3vl , 71'--' K' (5;) t--//,rL/Z:<:; 7b rOLL-o<J 84.//D/,if.... \ ' Lo-'tF.5.MJ(?-,~6t.- CtE;IUN b ') @ ~*~ W/~ //y ~(~7V'<- ,.- .:::-- '. Or .:}J'U?/ $f'J~ //9 rn/rV r/f'-O;?1 e-Oc.p .!) r ,JTc-<D ti2 I 1/ ~t7/L kh .57lVL NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 SEP-20-2005 03:24 PM ROOKARDHARDWARE 360 683 5785 P.01 . :v~ ~ s ELECTRICAL WORK PERMIT APPLlCAT,ION Job wired by Cl Owner Imuallalion d08~ription _ ~ o Commercial iSI'1[esld.ntlal ON.w iJ Altered! Addition 19()~ Te;n~ \ Pdt.UE~ \ I \ . Pbone number to IIichtdule lIupectlon: Owner Q.! definr!d by RCw'J9.18.26/:(J) Owner will ace-lip>, lhe .!trllctwre for two ytar.' aftcr this fl/e-clrical permir is finalized. (2) Owner I.~ required to hire an elt':'rt,."a/ contractor If above said property iJ fur sale. relit or lea.~t. Af\cr reading the above statement, I hereby certify that I an, the owner of the above named property or a licensed elcctricll.l contractor. r 8m making the electrical instal. lation or alteration in" compliance with the electncallaw!, N.S.C" RCW, Chapter 19.28, WAC. Chapter 2.9o-46B, The City of Port Angeles Municipal Code. Ind Utility Specifications. ;gnl'Ur r owner, .I~. :0. It CJ NO "OAD CHANGES CJ ea..board _ KW o Furnace _ KW o Heel Pump _ Ton _ LAR o Fan-Wall _ KW Cl Cash Cl Check # o Credit Card Visa ~) Discover Card # _0.. ^.LF.r-:L.f _ _ _" _ _ __ ' Service InformatlDn tJ Overhead Service lC""'femp S.rvlce o ~"d8rgrou"d Servloe Vollage Pha..Ol03 SliHvice Size: _______ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360417.4735 r ROUGH-IN lHERMOSTAT SERVICE \. O.'a ^Pl'lllved 131 OIl' "'pl\l....1I s~ D_le Approved 8r , FINAL DITCH FEEDER i~I()S- ~2 DIll AJlProvtll B~' ../ "- 011I.111 A IOvc4BY,/ Inlipcction Area, Building or Equipment Inspected Action Take:n Electrical Dste In)..f1eclor 9-2Z~a5" ~ - FIOAL- t'/l '- H) G(~ ,.,lJ,.) F~ 11 t ?-Z ~ .~f~L:f v . .