HomeMy WebLinkAbout122 W Lauridsen Blvd - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
am-- V 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 08- 00001413 Date 12/01/08
Application pin number 129847
Property Address 122 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 9030 -0000-
Tenant nbr, name TOGA'S RESTAURANT
Application type description COMM ADDITION
Subdivision Name
Property Use
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 37500
Application desc
250 SF KITCHEN /DRIVE- THROUGH, REMODEL UPSTRS
Owner Contractor
HUBERT E HERTZOG OWNER
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
(360) 452 -1952
Structure Information 000 000 250 SF KITCHEN /DRIVE THROUGH ADDITION
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT COMMERCIAL
Additional desc 250 SF KITCHEN /DRIVE- THROUGH
Permit pin number 137547
Permit Fee 549.05 Plan Check Fee 356.88
Issue Date 12/01/08 Valuation 37500
Expiration Date 5/30/09
Qty Unit Charge Per Extension
BASE FEE 417.75
13.00 10.1000 THOU BL- 25,001 -50K (10.10 PER K) .131.30
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 137562
Permit Fee 90.25 Plan Check Fee .00
Issue Date 12/01/08 Valuation 0
Expiration Date 5/30/09
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 14.8000 ECH ME- INSTALL 100- FAU 29.60
1.00 10.6500 ECH ME- HOOD /DUCT.SYSTEM 10.65
Permit PLUMBING PERMIT
Additional desc
Permit pin number 137570
Permit Fee 100.00 Plan Check Fee .00
Issue Date 12/01/08 Valuation 0
Expiration Date 5/30/09
Qty Unit Charge Per Extension Pilarkt II. I O 1'
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 1 have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
12-1.05 6 os
Date Print Name Signatur: of Contractor or Authorized Age t Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
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 1
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Duct
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
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
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
I Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2.
Application Number 08- 00001413 Date 12/01/08
Application pin number 129847
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 28.00
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00
Special Notes and Comments
November 14, 2008 2:15 pm Ken Dubuc
This project will require a separate permit and fire alarm
plans for review.
November 25, 2008 4:01:55 PM sroberds. le-,
Proposal will convert restaurant add second floor be B
B and drive in window at rear of restaurant. On ite
parking is 10 spaces for restaurant and 4/for B B. No
land use issues anticipated. I �P`z��-
Electrical load calculations and electrical permits are
required.
Parking lot space requirements to City Urban Services
Standards, Chapter 3, 3G.110 and Standard Detail, Parking
Lot Minimum Design Requirements.
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 739.30 739.30 .00 .00
Plan Check Total 356.88 356.88 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1100.68 1100.68 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
BUIL.DING PERMIT INSPECTION RECORD 09
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS oc"
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings M 0' WWI.
Stemwall
Foundation Drainage Downspouts
Piers r
Post Holes (Pole Bldgs.) Ni LUMBING: 1
Under Floor Slab X i 1 '3I 0 9 L L_
Rough -In r /0q ,'VLL
Water Line (Meter to Bldg) C
Gas Line
Back Flow /Water FINAL Date 52-2 q AAccepted by al--
AIR SEAL:
Walls
Ceiling
FRAMING: 3 /6/0 c i ).L F re w ail 0130109 TL-L
Joists Girders Under Floor 2 C
Shear Wall Hold Downs r -rtea1 Frclroel 6-19 J
0' l t..
Walls Roof Ceiling p t e2tt 03 3LL.
Drywall (Interior Braced Panel Only) VS
T -Bar
INSULATION: '3/ I n q ALL ti t In 5uiaiioh b ehind watk -in
p
Slab I r7 1 ,�L Co O2 -i9 -09
Wall Floor Ceiling OD
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney 5 Commercial Hood Ducts FINAL Date J Accepted by I 'LL
MANUFACTURED HOMES:
Footing Slab ---0
Blocking Hold Downs
Skirting E j
PLANNING DEPT. Separate Permit #s SEPA: -6
Parking Lighting ESA:
Landscaping _SHORELINE:
4
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 0
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
I Planning 417 -4750 1 t.
Building 417 -4815 9 ///0/77 u
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T:Forms /Building Division /Building Permit:
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DELI GOURMET
City of Port Angeles Building Department March 28th, 2011
Re: Six Month Extension 127, W Lauri k,se)n
6144.
To whom it may concern,
I, Toga Hertzog would like to ask for a Six Month Extension on Building Permit 08 -1413.
The funds for finishing the outside spiral staircase and railings are not fully available and will be
put in as soon as possible.
Thank you for your patience in this matter.
RECEIVED
Sincerely, MAR 2 8 2011
Toga Hertzog
CITY OF PORT ANGELES
BUILDING DIVISION
434
312
00/
Nkr \V )N
122 W. Lauridsen Blvd O l
Port Angeles WA 98362
360- 452 -1952
www.togassouphause.com
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CITY OF PORT ANGELES
;a BUILDING DIVISION
MORNING INSPECTION REQUEST
Date 27 -0 9 Time NO
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Type of inspection U tn-dve `f tao v S �o i g u lGt; 0Y
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BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
of IWO Attn: Building Permit Technician
Date Received 1(- 1
NNW 321 E. Fifth St., Port Angeles, WA 98362 Permit O$-
(360) 417 -4815 fax (360) 417 -4711
Date Approved 0/A `ra
Applicant or Agent 4-4 Ph ne, 060•- 6'5 /9=
Property Owner ,a? c Ph ne \3U- 4 1SZ --/952'
Property Owner's Address /22 L✓ 44ve /OSEN I/O 4 65, 14,44 9636z
Contractor /Engineer —72)&4 Phone
Contractor /Engineer's Address
License Expires E -mail
PROJECT ADDRESS /2Z W L41.)704 v ,gyp
Parcel Number s j -Q'cJ 27 03? Lot Zoning C,S1
Proiect Type Brief Description: Residential %Commercial Multi family Industrial
Check all that apply
New Construction
(Addition 250 ie./a Pe'i ngoe -6 A;c4o tJN
XRemodel ,U /Z,a i Rele Ni fo2ATi6/1/ Gf// 6 6
Repair 4/ i 7 )2E E,sc.4tAt
Re -roof
Demolition BE Break-cmS+
Heat System %Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement ‘PO per sq. ft.
lst Floor 4' ,ZSQ
2 Floor
3 Floor
Garage�G p) 72U
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 3
,c! 31, SG?�
Total footprint of structures 78/6 sq. ft. T Lot size' 7 sq. ft. Lot coverage
15,92 1 7, 6��
Max. height of proposed structures 27 ft. Occupancy group of bedrooms Z
Will a lawn sprinkler system be installed? A/ Occupant load of full baths
Will a fire sprinkler system be installed? I/ Construction type of half baths 2.
1 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 working on
projects.
Date II" 10 -0° Print Name 4 gnature
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Application Number
Applicatio* pin number
Property Address
ASSESSOR P NUMBER
Application type description
Subdivision Name
Property U e
Property Zoning COMMUNITY SHOPPING DISTR
Applicatio* valuation 0
Application desc
1 circuit AC unit
Owner
HUBERT E HERTZOG
122 W LAURIDSEN BLVD
PORT ANGELES WA '983627752
(360) 452 1952
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
11 00000588 Date /13/11
104324
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
ELECTRICAL ONLI
Con ractor
THE ELECTRIC COMI•AN'
PO BOX 1471
PORT ANGELES
60) 457 7120
ELECTRICAL ALTER COMMERCIAL
187419
73 50
6/13/11
12/10/11
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
Charged
73 50
00
73 50
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
Paid
73 50
00
73 50
DATE
PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPECTION
Credited
00
00
00
Due
RESULTS
WA 98 62
00
00
00
0 0
0
Erten, ion
73 50
Date
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711 6
Date -to
1 2 Single Family Dwelling
Multi Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: laa. west L. r,cQsen ./3 /rrrt
Building Square Footage:
Description of above Ot. Ck
Owner Information
Name: TO a aS
Mailing Address: Iola
City
Phone:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp Service /Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional.1500 sf
Signal Circuit/ Limited Energy 14.2 Family.Dwelling
Signal Circuit/ Limited Energy Multi- Family.Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW: CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional.500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
l c r'rcG, +0r- A. coKo( e,r-
,So
cS T G(ucA
State: Zip:
Fax:
Unit Charge
$119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
$102.30
56.00
110.30
35.20
73.50
110.30
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit.is finalized (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28. WAC Chapter 296 -46B The City of Port
Angeles Municipal Code, and Utility Specifications PAMC 14 05 050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator
Dated:
4 -(D
f
ELECTRICAL
INSPECTIONS
Commercial Addition.I.Alteration Remodel Repair*
Contractor Information
Name: TI7 e e t ec-TP 'c_ Co
Mailing Address: P,O. Qos 3scr-
City w ..A State: CJh Zip: 4P G 2
Phone: Fax:
License Exp. 9 I e GTC
Cash Check
Credit Card
RECEIVED "'vat
%mow-
JUN 10 2011
0110112010
77 SO Total
Total (Qtv Multiplied by Unit Charge)
J VAIt—
Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
DUCTLESS HEAT PUMP
Owner
HUBERT E HERTZOG
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
(360) 452 1952
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
14 8000 EA
T:Forms /Building Division /Building Permit
MECHANICAL PERMIT
DUCTLESS HEAT PUMP
186395
64 80 Plan Check Fee 00
5/25/11 Valuation 0
11/21/11
Per
Charged
64 80
00
64 80
1 2/I 5::ii2
11 00000511
050728
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
HUBERT E HERTZOG
MECHANICAL APPL PERMIT
COMMUNITY SHOPPING DISTR
6552
BASE FEE
ME FURN /HP /FAU
Paid
Contractor
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM
(360) 683 3901
64 80
00
64 80
OR 5 TON
Credited
00
00
00
Date 5/25/11
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
Print Name Signature of Contractor or Authorized Agent
WA 98382
Extension
50 00
14 80
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of Owner (if owner is builder)
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
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
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
T /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
1 FINAL Date I by ULL-
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
3
PREPARED 6/20/11 8 09 01 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/20/11
ADDRESS 122 W LAURIDSEN BLVD SUBDIV
TENANT NBR HUBERT E HERTZOG
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901
OWNER HUBERT E HERTZOG PHONE (360) 452 1952
PARCEL 06 30 09 5 2 9030 0000
APPL NUMBER 11 00000511 MECHANICAL APPL PERMIT
PERMIT
TYP /SQ
ME99 01
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
6/20/11
MECHANICAL FINAL
June 17 2011 3 19 23 PM 1pangrle
SANDY 683 3901
MECHANICAL FINAL DUCTLESS HEAT PUMP
COMMENTS AND NOTES
or 'bailie
a__ 1 y.
Applicant or Agent Pt I 12 Fix 4E h11 N 6"
Owner Tao 6 A A Lk S rPt E Crzo
Owner's Address 1 j L A.0 k PS«:IJ 1 D
Contractor /Engineer iN1I %NV-
Contractor /Engineer'sAddressa j tAJ Cs pkg.. St
License Art oo ttc
PROJECT ADDRESS v.J bark 1)5 E/4 B LV b
Lot
Parcel Number
Project Type Brief Description. o Residential Commerciai
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
Sign
XHeat System
o Other
Floor Areas Exisfina (sq. ft.) Posed (sq. ft.)
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. T Lot size
Max height of proposed structures ft. Occupancy group
Will a fawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know it to be true and correct. am
understand that it is my responsibility to determine what permits are required, a
oroject
Cate 5 IL Print Name 1 LLE N Kee g--5 Signature
r:Forms /Building Division /Bldg Permit Appl —2006 Code dac
1 d TLGC EB9 09E
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
APPLICATION Print in ink
Phone
6E(01M
Expires
wall mounted projecting freestanding o awning o other
Total sign area sq ft. Maximum allowed sign area sq ft.
o Heat pump wood burning stove gas fireplace o pellet stove I other DULTLEcSS
P U N11' $15
Phone
Phone
For City Use Only
Date Received 5 -26 -II
Permit #_41-. c jt
Date Approved
443 -3561
4g3-35ef
Zoning
o Multi family Industrial
per sq ft.
TOTAL VALUATION 6SS a.
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
thorized to apply for this permit and
o obtain permits prior to working on
CAV
Odd NIL; WdS T is I T 02 b2 �eW
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Landscape lighting 1 circuit
Owner
HERTZOG HUBERT E
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
161901
73 50
3/09/10
9/05/10
COMMENTS VORIV IS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00000220
113020
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
ELECTRICAL ONLY
COMMUNITY SHOPPING DISTR
0
Contractor
ELECTRICAL ALTER COMMERCIAL
THE ELECTRIC COMPANY
PO BOX 1471
PORT ANGELES
(360) 457 7120
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER
Charged Paid Credited
Permit Fee Total 73 50 73 50 00
Plan Check Total 00 00 00
Grand Total 73 50 73 50 00
Date 3/09/10
DATE RESULTS
7(14 t(
Signature of owner or Electrical Contractor X
WA 98362
Due
Extension
73 50
00
00
00
00
0
INSPECTOR.
Date 3 1
6/
6-2,Ec-76-4 /1.010g
7 1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date
1 2.Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Rev'et,�pclvlaxBe quired, Please Complete Electrical Plan Review Information eet
Job Address: I (90 l 2 Z, c,3 L-(90 21 1) emu.
Building Square Footage:
Description of above
Owner LCfpr[J(1A
Name:
Mailing Address:
City
Phone:
License #1 Exp.
State: Zip:
Fax:
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
$119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
$102.30
56.00
$110.30
35.20
73.50
$110.30
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator
Dated:
Contras,for Information
Name: i/e (--7 I G Q.
Mailing Address: IP 0, 136) x'
City PA State: ()A— Zip: Qt1
Phone: 1 0 c) -IS 07 Fax: US
License /Exp. t= lecrc -4( /0y IL-9
Total (Qty Multiplied by Unit Charge)
Cash Check
Credit Card
S
'7. S D Total
01/0112010
t
0
0
Application Number 09 00000214 Date 3/16/09
Application pin number 518342
Property Address 122 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER 06 30 09 5 2 9030 .0000
Tenant nbr name TOGA S
Application type description FIRE ALARM SYSTEM
Subdivision Name
Property Use
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 5345
Application desc
INSTALL FIRE ALARM SYSTEM 6 FIRE ZONES
Owner Contractor
HUBERT E HERTZOG HI TECH SECURITY INC
122 W LAURIDSEN BLVD 723 E FRONT ST
PORT ANGELES WA 983627752 PORT ANGELES
(360) 452 1952 (360) 452 2727
Permit FIRE ALARM SYSTEM
Additional desc FIRE ALARM SYSTEM 6 FIRE ZONES
Permit pin number 142612
Permit Fee 200 00 Plan Check Fee
Issue Date 3/16/09 Valuation
Expiration Date 9/12/09
Qty Unit Charge Per
1 00 100 0000 ECH FIRE INSPECTION TESTING
5 00 10 -0000 ECH FIRE ALARM EA ZONE
1 00 50 0000 ECH FIRE ALARM PLAN REVIEW
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5` Street, Port Angeles, WA 98362
Special Notes and Comments
A full acceptance test will be required for the fire alarm
system
A KNOX locking keybox will be required Contact the Fire
Department at 360 417 4653 for KNOX keybox ordering
information and mounting location
March 9 2009 4 53 20 PM kdubuc
Add detection in drive through area and in area marked
kitchen on plans
Fee summary Charged Paid Credited Due
Permit Fee Total 200 00 200 00 00 00
Plan Check Total 00 00 00 00
Grand Total 200 00 200 00 00 00
WA 98362
0 0
0
Extension
100 00
50 00
50 00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
s C
ature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360 -417 -4655 for fire inspections Please provide a minimum 24 -hour notice
or conceal any work before inspected and accepted. Post permit in a conspicuous
KEEP PERMIT CARD AND APPROVED PLANS AT
Date Passed
Inspection Type
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Underground piping inspection /pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP -gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
GENERAL COMMENTS
5 21 -o q KDIN
Completed by Contractor-
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
It is unlawful to cover, insulate
location.
JOB SITE
Comments
psi
psi
C
7
2/15/00 A
pC1P,.r,t.i
�Qe v vt welt7c Kuvor-t _E �er�zo9
BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant I-l. Taw- Ste-x-v2-0 zee Phone
Property Owner t R. S Phone
Property Owner's Address rl .2, w LJuDa osa-z 8 LVP
Contractor 4 t -ric Ss e..tzvv; r z' e. Phone
Contractor's Address -7 .23 jP,s -r F r Sr
License 14.r -r 9 SS SS Expires 110 20 1 E -mail
PROJECT ADDRESS 12 2 L,+�R. .SD
Parcel Number
project Type Brief Description. Residential Multi- family {Commercial
Check all that apply
New Construction
Addition S1 -l. L (JVA2w■ S CT c.v✓∎
t.Remodel, 1-.rs6,11-1
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Existing (sq. ft.) dosed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Date 3)5-1 el Print Name ('•%V.-`-- 51;AA.NS`(
T:Forms /Building Division /Bldg Permit.doc
Signature
Lot
Print in ink
For City Use On
Date Received 5—
Permit
Date Approved
y
J o -ys� 2f2
36o -4 S2 1952
3epo 4s2.- 2121
t-L, r ot4pel-1 eo
Try(-;a5
Zoning
of bedrooms
of full baths
of half baths
p
Industrial
House garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
TOTAL VALUATION 5'3' c 3
Total footprint of structures sq. ft. 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
I have read and completed this application and know it to be true and correct. am authorized to apply for is ermit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working
VISTA -32FB
COMMERCIAL FIRE AND PARTITIONED
BURGLARY ALARM PLATFORM
Designed to integrate seamlessly with CCTV, access control
and a full range of fire and burglary components, Honeywell's
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 hardwired, wireless and
addressable V -Plex technologies.
FEATURES
Supports addressable V -Plex access
control points using VistaKey
(One to Four doors)
Supports up to 16 doors of
access control using Vista
Gateway Module (VGM)*
Supports CCTV applications with
the new VistaView -100 CCTV
Switcher Module
Identifies the point or zone of a fire
using the new FSA -8 /FSA -24 Fire
System Annunciator
Supports eight hardwired zones,
24 V -Plex addressable points/zones,
or 32 wireless points/zones
Can control two separate areas
(partitions) independently
Stores up to 512 events and can
accommodate 75 user codes
New E2 Software simplifies programming
Easily programmed and maintained
with newy upgraded Compass
Downloader Software
Automatic smoke detector sensitivity
maintenance testing
Commercial UL Wireless Fire and Burg
Connects to Northern Computer's
PassPoint Access Control Systems.
Maximum 32 doors.
Honeywell
A diverse line of 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.
Notification Appliance Circuits (two):
Programmable
Temporal code compliant
Individually silenceable
Programmable on -board auxiliary relay
SIA false alarm reduction features:
Exit error logic
Exit delay reset
Cross zoning
Call waiting defeat
Recent close report
Supports commercial hardwired,
addressable V -Plex polling loop
and wireless zones
VISTA -32FB
COMMERCIAL FIRE AND PARTITIONED BURGLARY ALARM PLATFORM
ADDITIONAL FEATURES
Hardwired zones
Provides nine style B hardwired zones
EOLR supervised for Fire and UL
burglary installations
Supports N.O. 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 (32 total)
Up to 50 two -wire glassbreak
detectors on zone eight
Patented addressable V -Plex polling
loop technology
Supports up to 24 two -wire V -Plex
zones/points
Global polling technology for
faster processing
Increased current draw
capacity (128mA)
Supervised by panel
Individually assignable to partitions,
notification circuit (bell) output or
aux relay
4,000 ft. capability without the use of
shielded cable
Extender /Isolation bus module
i
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 printer of access or
VISTA related event
Scheduled uploading of events to
central station
Up to four doors using VistaKey V -Plex
Access Control
AU
II
950064 4101SN
Glaostrrek Relay Module
VistaKey VRea
Aixess Control Module
Notification gopi:noes
4208U
Eght -Zone
Expansion Module
4293SN
Adapters
Stored events for one call retrieval
Communication
Phone mapping by zone
response type
Supports VIP Interactive Phone
Voice Module
Panel operation during download
Uploading equipment list to
central station
Communication to PassPoint via
Vista Gateway Module
Applications
The VISTA -32FB control is well suited for
a variety of applications as an integrated
fire and burglary control. A diverse line of
initiating devices supports this extremely
powerful control. Some of the applications
supported are: medical and professional
buildings, churches or synagogues,
office buildings, schools, strip 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 applicable requirements for UL
commercial fire and burglary installations.
V -Plex Loop
4204
Relay Module
RS232
5192 Series
Smoke Detectors
8180CR Red
Alpha Console
Eight Class B Hardware Zones
4100SM
Prime
,tedace
Module
is
4148 p K ifh
5881 ENHC
Commercial
Wvdess Receiver
VisteMew 100
CCTV 9Mtder
5140 LED
Corrmuicator
8220S Printer
Status Module
4208SNF
Eight -Zone
Expens Module
su.. Rare Lire to Central Station
7720U.F Lcngg
7805C Cellular Notification
Appliances
Range Rado
6160CR
COMMERCIAL FIRE ALPHA KEYPAD
The 6160CR is an addressable remote keypad intended
for use in commercial fire applications with Honeywell's
control platforms. The keys are continuously backlit for
convenience and easy visibility. The LCD display is backlit
FEATURES
Four programmable
function keys
Built -in sounder
SPECIFICATIONS
Display
Alphanumeric, 32- character
(2 lines x 16 characters)
LCD back light LEDs:
Armed (red)
Ready (green)
`Trouble (yellow)
"Supervisory (yellow)
See control panel's instructions for
specific applications regarding
Trouble and Supervisory LEDs.
ORDERING:
•.8160CR
Automation and Control Solutions
Honeywell Security Communications
2 Corporate Center Dr. Suite 100
PO. Box 9040
Melville, NY 11747
www.honeywell.com
Four LEDs
Armed
Ready
Trouble
Supervisory
:Cornmercial:Fire AlphaKeypad
Sounder
High quality speaker
Electrical
45mA standby 150mA in alarm
(sounder back light and LED on)
Wiring Table (All keypads)
DI I Data IN' to control panel from keypad I
I Ground -aux. Power) I
I I +12VDC (+aux. Power)
1 DO I Data OUT" from control panel to keypad'
L/6160CR/D
October 2008
2008 Honeywell International Inc.
Compatibility
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).
Large easy -to -read display
Red removable door
Physical
5.250° W x 7 437' H x 1.312' D
Supports Control Platforms
VISTA -32FB Rev. 3 and higher
VISTA -128FB Rev. 4 and higher
VISTA- 128FBP
VISTA- 250FBP
V128FBP 24
V250FBP 24
UL/CUL Listed for Residential and Commercial Fire
and Burg installations. To be employed with
manufacturer's listed control units as indicated in
the installation instructions.
Honeywell
SYSTEM
4 4 70' SENSOR
Smoke Detectors with
Sounder and Relay Option
System Sensor it sounder and relay smoke detectors
apply the guiding principles of installation ease,
intelligence, and instant inspection in a series of
specialty conventional devices.
Installation ease.Throughout the P series, installation is simple
with its installer friendly base and plug -in design.The base
accommodates a broad range of back box and direct mounting
options and provides ample space for pre- wiring the device.To
complete the installation, the P detector plugs into its base with a
simple Stop Drop 'N Lock action.
Intelligence.To reduce the likelihood of nuisance alarms, all
i detectors are equipped with both drift compensation and
smoothing algorithms.These capabilities minimize both short- and
long -term causes of nuisance alarms such as RF interference and
dust accumulation. When connected to the 2W -MOD2 loop test/
maintenance module or an i Ready panel, 2 -wire i detectors can
generate a remote maintenance signal when in a maintenance or
freeze trouble condition. To measure the sensitivity of any i detector,
the SENS -RDR displays the reading, in terms of percent per -foot
obscuration, within seconds.
Should the appin.ation 1.:11 for dif 'rentiating between a local and
a general alarm, the i- line :)ffel an isolated thermal model, which
initiates a local alarm when smoke is detected, and a general alarm
when the thermal sensor is activated.
Features
85 dB sounder
Form C relay
Isolated thermal sensor
Plug -in design base included
In -line terminals
Flexible mounting options
Stop -Drop 'N Lock' attachment to the base
Removable cover and chamber
Remote maintenance signaling
Drift compensation and smoothing algorithms
Simplified seri! :ivity measurement
Instant inspection.The 13 line's red and green LEDs simplify local Dual color LEDs
status indication during power -up, standby, alarm, maintenance and
freeze trouble conditions. When in alarm, P sounder models generate
an 85 dB temporal tone. If connected to the RRS -MOD reversing
relay /synchronization module, all i sounders on the loop will
activate when one detector is in alarm. Additionally the RRS -MOD
synchronizes the output of all P sounders to ensure a clear audible
signal. Agency Listings
LISTED
0911
APPROVED
3015195
7272- 1053:1G4
MEA MSFM
approved approved
372 -02 -E 2133
(j Smoke Detector Specifications
Operating Voltage Nominal: 12/24 V non- polarized
2 -wire: 8.5V 35V
4- wire. 1OV 35V
Maximum Ripple Voltage 30% of applied voltage (peak to peak)
Standby Current 2 -wire: 50 pA maximum average
4 -wire: 50 FA maximum average
Peak Standby Current 2-wire: 100 pA
4 -wire: n/a
Maximum Alarm Current 2- wire; 2WTR -B: 130 mA limited by control
panel
2WTA -B: 130 mA*
4 -wire: 4WTA -B, 4WTR -B• 35 mA
4WTAR -B, 4WITAR -B: 50 mA
"Direct PnwPr rtieygrse Polarity): 130
mA limited by panel. Reverse Polarity Power
30 mA for the 2WTA -B in alarm; 12 mA for all
other 2WTA -B units on the loop. Add 25 mA
for the RRS -MOD reversing relay alarm current.
Alarm Contact Ratings 2 -wire: n/a
4 -wire: 0.5 A 30V AC /DC
2A 30V AC /DC
Form C Contact Ratings
c:�c °o::�•.�svm ryrrra::,: r /.x.; x
Operating Temperature
Range
Operating Humidity
Range
Thermal Sensor
Freeze Trouble
Sensitivity
Input Terminals
Dimensions (including
base)
Approximate Weight
Sound Pressure Output
Mounting
2WTA -B Yes
2WTR -B Yes
4WTA -B Yes
4WTR -8 Yes
4WTAR -B Yes
4WITAR -B Yes
32 °F -100° F (0°C -37.8° C)
0 to 9596 RH non condensing
35' F 67.2 C) fixea
41 F (5° C)
2.5%/ft. nom_ inal
14 -22 AWG
5.3 inches (134 mm) diameter, 2.0 inches (51
mm) height
71 oz. (200 grams)
85 dBA (models 2WTA -B, 4WTA -B, 4WTAR -B,
and 4WITAR -B only)
31/2-inch octagonal back box, 4 -inch octagonal
back box, Single gang back box, 4 -inch square
back box with a plaster ring, Direct mount to
ceiling
Ordering Information
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fcrr }ar' i
2 -wire
2 -wire
4 -wire
4 -wire
4 -wire
4 -wire
VSTEIVI
SENSOR
130 mA max. limited by
control panel
130 mA max. limited by
control panel
35 mA
35 mA
50 mA
50 mA
LED Mode
Power up
3825.Ohio Avenue St. Charles, IL 60174
Phone: 800- SEN5OR2 Fax: 630- 377 -6495
Green LED
Blink every
10 seconds
Normal
(standby
Out of
sensitivity
Freeze
trouble
Alarm off Solid
Condition Duration
Initial LED 80 seconds
status
indication
RRS -MOD
2W -MOD2
SENS -RDR
RT
A77 -AB2
Red LED Condition
Blink every 10 Initial LED
seconds status
indication
Blink every 5 off
seconds
:ff Blink every 5
seconds
off Blink every 10
seconds
Reversing relay /synchronization module
2 -wire loop test/maintenance module
Sensitivity reader
RemovaVreplacement tool
Retrofit adapter bracket
Duration
80 seconds
4
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Smoke detector shall be a System Sensor i Series model number
listed to Underwriters Laboratories UL 268 for Fire Protection Signaling
Systems. The detector shall be a combination photoelectric/thermal
equipped with a sounder (model 2WTA -B, 4WTA -B), a Form C relay (model
2WTR -B), a combination sounder /relay (model 4WTAR -B) or an Isolated
thermal /sounder /relay (model 4WITAR -B). The detector shall include a
mounting base for mounting to 31/2-inch and 4 -inch octagonal, single gang,
and 4 -inch square back boxes with a plaster ring, or direct mount to the
ceiling using drywall anchors. Wiring connections shall be made by means
of SEMS screws. The detector shall allow pre- wiring of the base and the
head shall be a plug -in type.The detector shall have a nominal sensitivity
of 2.5% per foot nominal as measured in the UL smoke box. The detector
shall be capable of automatically adjusting its sensitivity by means of drift
compensation and smoothing algorithms.The detector shall provide dual
color LED indication which blinks to indicate power -up, normal standby, out
of sensitivity, alarm, and freeze trouble conditions. When used in conjunction
with the 2W -MOD2 module, 2 -wire models shall include a maintenance
signal to indicate the need for maintenance at the alarm control.panel, and
shall provide a loop testing capability to verify the circuit without testing each
detector individually When used in conjunction with the RRS -MOD module,
all i sounder models on a loop shall sound when one alarms, all shall be
synchronized, and all sounders may be silenced from the panel.
Q2005 System Se
Product 5t55P.0 Ible!T to ch nge wthart tobc t4s 7ers
rrent product inlorrran cluding the latest version of thisda sheet
A05 -0348-003. /06. #7676
1
s SYSTEM
ENS OR
5600 Series Mechanical
Heat Detectors
System Sensor's 5600 series mechanical heat detectors
offer a low -cost means for pro petty protection agair ct
fire and for non -life- safety installations where smoke
detectors are inappropriate.
Features
Multiple configurations for installations:
Single- and dual- circuit models
Fixed tamp and Lun fixed- term. rate -of rise
135 °For 194 °F ratings.
Plain housing for residential installations (Model 5601 P)
Easy -to -use terminal screws
A broad range of back box mounting options:
Single gang
3.5 and 4 Octagonal
-4 square with sgt,are to round plaster ring
Reversible mounting bracket
AJency Listings
LISTED APPROVED
52101 3010AC6
MEA
approved
193 -03 -E
72701209227
Multiple contiigurations.The 5b00 series offer a full -line �f
anfigurations to ac or a broad range of applications. Bath
single- and dual circuit models are available for low- and high
temp- rature ratings with either fixed temperature Lombinatinn
fixed iemperat,rr• 'rate zf-r1:(ROR) act vation.The ROR element of
Cie fixed/ROR modes 'e ,torab:e o acc:c: mm xiate field- testinc
Installation flexibility.To satisfy a variety of installation needs,
the 5600 series easily mounts to single -gang and octagonal back
boxes. And these models accommodate four- square back boxes,
when used with a square to round plaster ring. The reversible
mounting bracket permits both P\rsh- and surface -mount bark h
installations.
Visual identification. The 5600 series provides clear markings on
the exterior of the unit to ensure that the proper detector is being
used. Alphanumeric characters identify the activation method, as
well as the temperature rating, in Fahrenheit and Celsius degrees.
Fixer, temperatwe models are identified X, while mb,riation
fixed/rate-of-rise units are marked FX/ROR The ,600 series ais
provides a post- activation indicator in the form of a collector. When
the detector is activated, the collector drops from the unit, making it
easy to identify the unit in alarm.
Specifications
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Mechanical heat detector shall be a System Sensor 5600 series model number listed to Underwriters Laboratories UL 521 for Heat Detectors for Fire
Protective Signaling Systems. The detector shall be either a single- circuit or a dual circuit type, normally open. The detector shall be rated for activation at either
35°F (57°C; or 134T (90 °C), and shall activate b means of a fixed temperature thermal sensor or a cornbrnatior fixed ternperature/rate -o: rise thermal sensor.
The rate -of -rise element shall be activated by a rapid rise in temperature, approximately 15 °F (8.3 °C) per minute. The detector shall include a reversible mounting
bracket for mounting to 3 -inch and 4 -inch octagonal, single gang, and 4 -inch square back boxes with a square to round plaster ring. Wiring connections shall
be made by means of SEMS screws that shall accommodate 14 -22AWG wire.The detector shall contain alphanumeric markings on the exterior of the housing
c identify its temper le rating and ac.:ation method.T to rate -of -rise element of com0inatior fixed .enlpel .Jae, (ate of rise models shall oe restorabl: to
allow for field- testing.17 detectors snail include an external collector that shall drop up n acti to icentlfy the Jni Ir alarm.
:.ONN2C?`?MOVON* rY'" '<ce tb.` x '.`t2 t i` ;#:Cis c„ gal C`#:. N. ft". y
Maximum Installation Temperature
Operating Humidity Range
Dimensions with mounting bracket Diameter 4.57 inches (11.6cm)
Height: 1.69 inches (4.3cm)
Alarm Temperature 5601 P 5603, 5621 and 5623: 135 °F (57 °C)
5602, 5604, 5622, and 5624: 194 °F (90 °C)
6 oz. (170 grams)
15 °F (8.3 °C) rise per minute (models 5601 P 5602, 5621 and 5622 only)
Weight
Rate -of -Rise Threshold
Mounting
Operating Voltage Contact Ratings
Input Terminals
3 octagonal back box
4 -inch octagonal back box
Single gang back box
4 -inch square back box with a square to round plaster ring ;,,5 q q p 9
A, 7`:.s."k:ff+.; f axa f f {k. m kmi.'+.• li '�`ft: .f� :r ..t ..2.421
5601P
Ordering Information
Single
Single
Single
Single
5621 Dual
5622 Dual
5623 Dual
5624 Dual
5601P
5602
5603
5604
"NOTE: Refer to NFPA72 guidelines for spacing reductions when ceiling heights exceed 10 feet.
None
Lettering
Lettering
Lettering
Lettering
Lettering
Lettering
Lettering
SENCOA
5601P 5603, 5621, and 5623:100 °F (38 °C)
5602, 5604, 5622, and 5624:150°F (65.6 °C)
5 to 95% RH non condensing
6- 125VAC 3A
6 -28VDC 1A
125VDC 0.3A
250VDC /0.1A
14 -22 AWG
135i (57°C)
194°F (90°C)
135°F (57°C)
194°F (90 °C)
135 °F (57 °C)
194°F (90 °C)
135 °F (57°C)
194 °F (90°C)
5603,5623
Fixed Temperature/ Rate -of -Rise
Fixed Temperature Rate -of -Rise
Fixed Temperature
Axed Temperature
Fixed Temperature Rate -of -Rise
Fixed Temperature Rate -of -Rise
Fixed Temperature
Fixed Temperature
3825 Ohio Avenue St. Charles, IL 60174
Phone: 800- SENSOR2 Fax: 630-377-6495
5604,5624
5621
50 feet x 50 feet (15.24m x 15.2m)
50 feet x 50 feet (1524m x 15.2m)
25 feet x 25 feet (7.62m x 7.62m)
25 feet x 25 feet (7.62m x 7.62m)
50 feet x 50 feet (15.24m x 15.2m)
50 feet x 50 feet (15.24m x 15.2m)
25 feet x 25 feet (7.62m x 7.62m)
25 feet x 25 feet (7.62m x 7.62m)
J200G System Sensor
Produc spe, rano aGJecMchangewthcut not. ',1st caste for
Went productlnformafio ducting the latest versionot this data sheet
A05 -0351 -002 11/06 4167G
S SYSTEM
SENSOR
Selectable Output
Horns, Strobes, and
Horn /Strobes
SpectrAlert°Advance selectable- output horns, strobes,
and horn /strobes are rich with features guaranteed to
cut installation times and maximize profits.
Features
Electrically compatible with existing SpectrAlert products
Automatic selection of 12- or 24 -volt operation at 15 and 15/75
candela
Plug -in design
Field selectable candela settings on wall and ceiling units: 15, 15/75,
30, 75, 95, 110, 115, 135, 150, 177 185
Same mounting plate for wall- and ceiling -mount units
Shorting spring on mounting plate for continuity check before
installation
Tamper resistant construction
Outdoor wall and ceiling products rated from -40 °F to 151 °F
Design allows minimal intrusion into the back box
Horn rated at 88+ dbA at 16 volts
Rotary switch for horn tone and three volume selections
Outdoor products UL listed to UL 1638 (strobe) and UL 464 (horn)
outdoor requirements
Outdoor products NEMA 4X rated
Compatible with MDL sync module
Agency Listings
SIGNALING
0 1 MEA
approved
LISTED APPROVED
54011 302357+
55512
53593
MEA452-05 -E
7125 1653:186 (indoor strobes)
7300.1653187 (outdoor strobes)
7 725- 1653:788 Ihornhtobes
chime /strobes)
7135-1653189 (ho chimes)
SPECTRAlert
The SpectrAlert Advance series of notification appliances is
designed to simplify installations, with features such as plug in
designs, instant feedback messages to ensure correct installation of
individual devices, and 11 field selectable candela settings for wall
and ceiling strobes and horn /strobes.
When installing Advance products, first attach a universal mounting
plate to a four -inch square, four -inch octagon or double -gang
junction box.The two -wire mounting plate attaches to a single -gang
junction box.
Next, connect the notification appliance circuit wiring to the SEMS
terminals on the mounting plate.
Finally, attach the horn, strobe or horn /strobe to the mounting plate
by inserting the product's tabs in the mounting plate's grooves.The
device will rotate into position, locking the product's pins into the
mounting plate's terminals.The device will temporarily hold in place
with a catch until it is secured with a captured mounting screw.
The SpectrAlert Advance series includes outdoor notification
appliances. Outdoor strobes and horn /strobes (two wire and four
wire) are available for wall or ceiling. Outdoor horns are available for
wall only All System Sensor outdoor products are rated between
minus 40 degrees Fahrenheit and 151 degrees Fahrenheit in wet or
dry applications.
SpectrAlert Advance Specifications
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General
SpectrAlert Advance horns, strobes and hom/strobes shall mount to a standard 4 x 4 x 11/2-inch back box, 4 -inch octagon back box or double -gang back
box.Two -wire products shall also mount to a single -gang 2 x 4 x 1 back box A universal mounting plate shall be used for mounting ceiling and wall
products.The notification appliance circuit wiring shall terminate at the universal mounting plate. Also, SpectrAlert Advance products, when used with the
Sync-Circuit-Module accessory, shall be powered from a non -coded notification appliance circuit output and shall operate on a nominal 12 or 24 volts When
used with the Sync-Circuit Module, 12 -volt rated notification appliance circuit outputs shall operate between nine and 17.5 volts, 24 -volt rated notification
appliance circuit outputs shall operate between 17 and 33 volts, Indoor SpectrAlert Advance products shall operate between 32 and 120 degrees Fahrenheit
from a regulated DC, or full -wave rectified, unfiltered power supply. Strobes and horn/strobes shall have field- selectable candela settings including 15,15/75, 30,
75, 95, 110,115, 135, 150,177 185.
Strobe
The strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and shall be approved for fire protective service. The strobe shall be
wired as a primary- signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances, flashing at
1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tube and associated lens/reflector system
Horn /Strobe Combination
The horn/strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL 464 and shall be approved for fire protective service.
The horn/strobe shall be wired as a primary- signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible
signaling appliances, flashing at 1 Hz over the strobe's entire operating voltage range. The strobe light shall consist of a xenon flash tube and associated
lens/reflector system The horn shall have three audibility options and an option to switch between a temporal three- pattern and a non temporal (continuous)
pattern. These options are set by a multiple position switch. On four -wire products, the strobe shall be powered independently of the sounder.The horn on
horn/strobe models shall operate on a coded or non -coded power supply.
Outdoor Products
SpectrAlert Advance outdoor horns, strobes and horn/strobes shall be listed for outdoor use by UL and shall operate between minus 40 degrees and 151
degrees Fahrenheit.The products shall be listed for use with a System Sensor outdoor /weatherproof back box with half inch and three fourths Inch conduit
entries.
Synchronization Module
The module shall be a System Sensor Sync-Circuit model MDL listed to UL 464 and shall be approved for fire protective service.The module shall synchronize
SpectrAlert strobes at 1 Hz and horns at temporal three. Also, while operating the strobes, the module shall silence the horns on hom/strobe models over a
single pair of wires The module shall mount to a 43/4 x 43/4 x 2 -inch back box The module shall also control two Style Y (class B) drcults or one Style Z
(class A) circuit The module shall synchronize multiple zones. Daisy chaining two or more synchronization modules together will synchronize all the zones they
control. The module shall not operate on a coded power supply.
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Standard Operating Temperature
K Series Operating Temperature
Humidity Range
Strobe Flash Rate
Nominal Voltage
Operating Voltage Range
Input terminal wire gauge
Ceiling mount dimensions (including Tens)
Wall mount dimensions (induding lens)
Horn dimensions
Wall -mount back box skirt dimensions (BBS -2, BBSW -2)
Ceiling -mount back box skirt dimensions (BBSC -2, BBSCW -2)
Wall -mount weatherproof back box dimensions (SA -WBB)
Ceiling -mount weatherproof back box dimensions (SA -WBBC)
Wall -mount trim ring dimensions (TR- HS,TRW -HS)
Ceiling -mount trim ring dimensions (TRC -HS, TRCW -HS)
Notes:
1 Full Wave Rectified (FWR) voltage is a non regulated, time varying power source that is used on some power supply and panel outputs.
2. P S, PC, and SC products will operate at 12 V nominal only for 15 and 15/75 cd.
A05- 039.5005
32 °F to 120 °F (0 °C to 49 °C)
-40 °F to 151°F (-40 °C to 66 °C)
10 to 93% non condensing (indoor products)
1 flash per second
Regulated 12DC/FWR or regulated 24DC/FWR'
8 to 17.5 V (12V nominal) or 16 to33 V (24 nominal)
12 to 18 AM,
6.8 diameter x 2.5' high (173 mm diameter x 64 mm high)
5.61 x 4.7'W x 2.5 (142 mm L x 119 mm Wx 64 mm D)
5. 61 x4 .TWx13 D(142mmLx119mmWx33mmD)
5.91x5.0 Wx2.2 D(151 mm L x 128 mm W x 56 mm D)
71 diameter x 2.25 high (180 mm diameter x 57 mm high)
5.71x5.11/Vx2.01D(145mmLx 130mmWx51 mm D)
7 i diameter x 2.0 high (180 mm diameter x 5 mm high)
5. 71x4.812 Wx035 D(146 mm L x 122 W mm x 9 D mm)
6.9 diameter x 0.35 high (176 mm diameter x 9 mm high)
UL Current Draw Data
4 fix s l,� a'. 5. i r a' f J C}3 4 �i�n��`: �'a
8-17.5 Volts
Candela DC FWR DC
Standard 15* ,123 128 66
Candela Range 15/75" 142 148 77
30* NA NA 94
75* NA NA 158
95* NA NA 181
110 NA NA 202
115 NA NA 210
High 135 NA NA 228
Candela Range 150 NA NA 246
177 NA NA 281
185 NA NA 286
r r.rr� .rrftf f
DC Input
Temporal High
Temporal Medium
Temporal Low
Non temporal High
Non temporal Medium
Non temporal Low
FWR Input
Temporal High
Temporal Medium
Temporal Low
Non temporal High
Non temporal Medium
Non temporal Low
8-175 Volts
15 15/75
137 14/
132 144
132 143
141 152
133 145
131 144
136
129
129
142
134
132
155
152
151
161
155
154
16 -33 Volts
FWR
71
81
96
153
176
195
205
207
220
251
258
88
78
76
103
85
80
97
88
86
112
95
90
16 -33 Volts
15 15/75 30
79 90 107
69 80 97
66 93
91 100 116
75 85 102
68 79 96
8-17.5 Volts
Sound Pattem dB DC FWR
Temporal High 57 55 69 75
Temporal Medium 44 49 58 69
Temporal Low 38 44 44 48
Non temporal High 57 56 69 75
Non temporal Medium 42 50 60 69
Non- temporal Low 41 44 50 50
Coded High 57 55 69 75
Coded Medium 44 51 56 69
Coded Low 40 46 52 50
112
103
101
126
110
105
75
176
15/
154
176
163
156
168
160
160
181
166
161
95
194
182
179
201
187
182
190
184
184
203
189
184
16 -33 Volts
DC FWR
110 115
212 218
201 210
198 207
221 229
207 216
201 210
210
202
194
221
208
202
218
206
201
229
216
211
DC Input
Temporal High
Temporal Medium
Temporal Low
Non temporal High
Non temporal Medium
Non temporal Low
Candela Derating
For K series products used at low temperatures, listed candela
ratings must be reduced in accordance with this table.
Listed Candela
15
15/75
30
75
95
110
115
135
150
177
185
16-33 Volts
135 150 177 185 FWR Input 135 150 177 185
245 259 290 297 Temporal High 215 231 258 265
235 253 288 297 Temporal Medium 209 224 250 258
232 251 282 292 Temporal Low 207 221 248 256
255 270 303 309 Non temporal High 233 248 275 281
242 259 293 299 Non temporal Medium 219 232 262 267
238 254 291 295 Non temporal Low 214 229 256 262
Candela rating at -40°F
1 Do not use below 32 °F
1
44
70
110
115
135
150
177
185
16-33 Volts
Horn Tones and Sound Output Data
..t }:1;: 4���lvC�ti j 7 1����?f }th \t
''�k�/}^•. v..�'�ti'.��+ \k t2yt:;:: i:; ti\? i��ti \t} \t }X, \`i \`t�ti:4v:`%.x�'h`. h��C+"}.
8-17.5
Volts
DC FWR
Switch
Position Sound Pattern dB
1 Temporal High 78 78 84
16-33
Volts
DC FWR
24 Volt Nominal
Reverberant Anechoic
DC FWR
84 88 88
86
80
92
90
84
2 Temporal Medium /4 /4 80 80 86
3 Temporal Low /1 73 76 76 83
4 Non- temporal High 82 82 88 88 93
5 Non temporal Medium 78 78 85 85 90
6 Non temporal Low /5 /5 81 81 88
/t Coded High 82 82 88 88 93 92
8t Coded Medium 78 78 85 85 90 90
9t Coded Low 75 75 81 81 88 85 96 92
tSettings 7 8, and 9 are not available on 2 -wire horn/strobe.
DC
99
96
94
100
98
96
101
97
FWR
98
96
89
100
98
92
101
98
A05- 0395-005
SpectrAlert Advance Dimensions
4 7' w- 2.6
h--5 05
DQ_94
5.98'
P2R*t
P2RH*
P2RK*°
P281-1K°
P2W*
P2WH*
P4R*
P4RH*
P4RK°
P4RHK°
P4W*
P4WH*
Wall Strobes
PC2W *t
PC2WH *t
PC4R
PC4RH
PC4RK
PC4RHK°
2 -wire Horn/Strobe,
2 -wire HorrVStrobe,
2 -wire Horn/Strobe,
2 -wire Horn/Strobe,
2 -wire Horn/Strobe,
2 -wire Horn/Strobe,
4 -wire Horn/Strobe,
4 -wire Horn/Strobe,
4 -wire Horn/Strobe,
4 -wire Horn/Strobe,
4 -wire Horn/Strobe,
4 -wire Horn/Strobe,
Strobe, Standard cd, Red
Strobe, High cd, Red
M` ST
SENSOR
Wall -mount horn/strobes
r2.231
Wall back box skirt Ceiling back box skirt
SpectrAlert Advance Ordering Information
"'i :`..5:. i��L .�WF+i�n��Yh` ::xr.v.. •:�'�1C'4'.
Wall Horn /Strobes
Standard cd*, Red
High cd, Red
Standard cd, Red, Outdoor
High cd, Red, Outdoor
Standard cd, White
High cd, White
Standard cd, Red
High cd, Red
Standard cd, Red, Outdoor
High cd, Red, Outdoor
Standard cd, White
High cd, White
SR*t
SRN *t
SRK° Strobe, Standard cd, Red, Outdoor
SRHK Strobe, High cd, Red, Outdoor
SW* Strobe, Standard cd, White
SWH* Strobe, High cd, White.
Ceiling Horn/Strobes
PC2R* 2 -wire Horn/Strobe, Standard cd, Red
PC2RH* 2 -wire Horn/Strobe, High cd, Red
PARK° 2 -wire Horn/Strobe, Standard cd, Red, Outdoor
PC2RHK° 2 -wire Horn/Strobe, High cd, Red, Outdoor
2 -wire Horn/Strobe, Standard cd, White
2 -wire Horn/Strobe, High cd, White
4 -wire Horr/Strobe, Standard cd, Red
4 -wire Horn/Strobe, High cd, Red
4 -wire Horn/Strobe, Standard cd, Red, Outdoor
4 -wire Horn/Strobe, High cd, Red, Outdoor
SCR*
SCRH*
SCRK°
SCRHK°
SCW*t
SCWH *t
Horns
HR
HRK°
HW
Accessories
BBS -2
BBSW -2
BBSC 2
BBSCW -2
TR -HS
TRW -HS
TRC -HS
TRCW -HS
3825 Ohio Avenue St. Charles, IL 60174
Phone: 800- SENSOR2 Fax 630 377 -6495
5 1
Wall weatherproof back box
Ceiling -mount horn/strobes
A
2.0'
Ceiling weatherproof back box
Ceiling Horn /Strobes (cont'd.)
PC4W 4 -wire HorWStrobe, Standard cd, White
PC4WH 4 -wire Horn/Strobe, High cd, White
Ceiling Strobes
Strobe, Standard cd, Red
Strobe, High cd, Red
Strobe, Standard cd, Red, Outdoor
Strobe, High cd, Red, Outdoor
Strobe, Standard cd, White
Strobe, High cd, White
Horn, Red
Horn, Red, Outdoor
Horn, White
Back Box Skirt, Wall, Red
Back Box Skirt, Wall, White
Back Box Skirt, Ceiling, Red
Back Box Skirt, Ceiling, White
Trim Ring, Wall, Red
Trim Ring, Wall White
Trim Ring, Ceiling, Red
Trim Ring, Ceiling, White
Notes:
Add' -P" to model number for plain housing (no 'FIRE" marking on cover), e.g.
P2R -P
t Add" SP" to model number for "FUEGO" marking on cover, e.g. P2R -SP
"Standard cd; refers to strobes that include 15, 15/75, 30, 75, 95,110, and 115
candela settings. "High cd refers to strobes that include 135,150, 177 and 185
candela settings
All outdoor units ending in "K" include a weatherproof back box
o Add' -R" to model number for weatherproof replacement device (no back box
included).
02008 System Sens
Product subject to change wtthon notice ee systensenso can far
current product infom atbn, Including the West version ofthe data sheet
405- 0395-005.8/00.42018
Location:I
:No00'1 Account ff:1
1 Mode1:1
9tF:Tke 1 Engineer1
1 Date:
Standby pane Bell #1 Bell #2 1 II Max Battery
Select Panel from oulldown list: Polling
Auxiliary Auxi Italy
/Ham,
StandbY AI (mA)
Panel
Output Out Put (I' Standby Output Alann Output
Maximum Panel Maximum Panel supporwpanei by
P (mil Power (m_1)1 Power (n_y_y_ (mA) (mA) used: tnAl
Vista I v r77, 128 7501 100011 3001 47011 17001 170011 13001 280011 34.4
o(W:::
SELECTED PANEL MAXIMUM OUTPUT RATINGS
KEYPADS
4 4
.e
6139/6139R
6160/6160CR
6160RF
6160V
27 31 1251
01 0 AValk
Add7Kekepd (Enter anciCurrents) 01 01 0
How many
2 WIRE 4 WIRE SMOKE DETECTORS Enter powered
(except Vplex Polling Loop detectors) Quantity externally?
2 wire. smoke detector (zone oowered) 4
12 wire smoke detector (zone powered) OV
12 wire smoke detector (zone Dowered) 0 \\N
2 wire smoke detector (zone powered) 0
12V 4-wire Smoke Qnt'y o
Currents) N,&‘..N..
01 0 0 s:
01 0 0
-kk•k.l
12V 4 w i r e Smoke Ont'y C u r h e n t s 01 0 1 01 o t. .'0 o 1 0 0
12V 4-wire Smoke Qnt Currents) k
i o 1 0 0
112v 4-wire Smoke Qnty Currents) 1 o
01 01 01 01 01 01 0 k. Fr N a, 01 al
0 t
'y
MULTI-POWER DEVICES
4208U (powered by polling low)
4208U (powered by panel aux powerH
4208U (powered externally]
4208SN (powered by_polling loop]
4208SN (powered by_panel power/
4208SN (powered extema5V1
4208SNF /powered by polling low
4208SNF (powered by panel aux poweri I
4208SNF [powered externally]
4208SNF (Class to A Zone Converter)
4209U Grouped Zone Mux. Module
4297 Polling Loop Extender
5601P System Sensor Heat Detector
Addi Device (enter quant. cuments)
Enter
Quantity
Facility information
1 0 9 T 1 625.6 850.0 500.0 I 1080011 1147 7 EWPewe
Crer
0 0 It
How many
t... PM ."1
powered
*1**
iiiiiiiii. *ii4iii
01 0
I1
=.k,:.V.I.`..
01 0 M ht* 0
0
0
01 0
0 0
01 0
01 0
45 45
11 01
01 01 50
01 01 60
150 12001 62011 1521
Togas
Vista 32FB
Mike Shirley(
314/2009f
4)44:
poov
Enter Standby and Alarm Times
A1 Battery Standby (hours):1 2 4
larm Duration (minutes):
/2.7
0
0
0
0
01 0
O 01
0
0
0_
O 0
0 0
O 0
150 0
0 01
0 01
O 0
O 0
9FPW.451
Two-wire smoke detectors are powered from the appropriate panel zone(s), and
their current draw is built into the Panel standby and alarm budgets. These fields
are included to hello you create a complete equipment list.
99
How many
:i 3
.0
1 i.
Enter 't ,4iAii.ii.,
Quantity e 127 ;r1Wr
.:-..-1'..
01 Or
Pe te. li 27,31 titiO •.:uok iiiiiiMiiii4tiiiiii41 tiei4iiiikkijfAiti
01 01 di!
0' 261 01 0.61 01 01 01 0 li
281 01 0.61 01 01 01 0 t
0 01 33.61 0 0 01 Ot
33 0 0.6 0 0 01 0 ti
33 0 0.6 0 0 01 0
0
L„.
0 0
33.6
0
0
0 01
40 0 0.6 0
01 0 t
0 l',
0 *.s•. 40 0 0.6 0 0 01 OE
01 01 40 0 0 0 0 01 0
01 01 110 0 15.5 0 0 01 01::
01 01 178 0 "A\j'W\%■■\%V4 0 0! 0 r:
21 01 0 0 0 01 0 01 0'.
01 01 0 1 01 01 01 01 0
11 I IWWWW#W.1,41,Mr".W
Battery
Contlgency
Factor
0. 1
AUXILIARY POWERED DEVICES
PS24 24 volt Power Supply Module
4100SM (no more than one oer system)
4204: Enter no. of relays used
4204CF:Enter no. of relays used
1 4285 Voice Module
4286 with warning sneakers
5140DLM Backup Dialer Module
5800RP wireless reoeater module
5800TM wireless xmtr module
5881 EN receiver
5883 hi- security receiver
7845C Cellular Radio Current Limited?
7845CV2 Cell Radio Current Limited?
7845i Internet Communicator
997 Ceiling Mount PIR Li LED Active?
998 Wall Mount PIR LED Active?
Motion Detctrs (enter quant. currents)
Motion Detctrs (enter auant. currents)
Motion Detctrs (enter auant currents)
Motion Detctrs (enter auant. currents)
FSA -8 fire zone annunciator
FSA -24 fire zone annunciator
UVS
VA8200 Panel Linking Module
1VA8201 Alpha Pager Module
Ott �iit rlsis:si�t:ir� �eai�d:1
POLLING LOOP DEVICES
4101SN Single Output Relay Module
4190SN Two Zone SIM
4190WH
4191SN -WH
4192CP
4192SD Photoelectric Smoke Det.
4192SDT
4193SN Two Zone SIM
4194 Contact
4196
4209U
4275EX Dual PIR 11 LED Active?
4275EX -SN Dual PIR 0 LED Active?
4278EX -SN 0 LED Active?
4293SN
4939SN WH/BR /GY Surf Mt. Cntct.
4944SN Recessed Contact
4945SN -WH
4959SN Overhead Door Contact
5192S0 Smoke Detector
5192SDT Smoke Detector with Heat
998MX PIR U LED Active?
FG- 1625SN Glass Break Detector
Quest2260SN
Vistakey
11
How many
Enter powered
Quantity externally?
0
01
of
11
01
01
of
01
01
01
01
01
01
01
oI
of
11
oI
01
of
oI
01
0
o f 01
0 oI
0 01
01 01
G7 t :itiig mif
How many
Enter powered by
Quantity 4297?
01 0
01 o%
01
01 0 n, v p"!vvvv vyl k�
01 0 \4tl\\
oI o�'� \a
01 0
0 1 0
01 0
0I 0 \"�\�\z��
tip• o..•
°g \\.ti
of
of
of
01
of
01
of
01
oI
01
oI
0
01
01
oI
01
0
01
01
01
01
01
01
oI
of
01
01
0
01
01
01
01
of
oI
o f
011
Msstc :t Via*> v sr OMIP :.0
801 r\
1601
220 300 ktk
51 15 \tsv.
1001
201
601 kON
50 100
25 0 �t
1; 1�A11 k
401 o=
801
600
1101
121
131
01
0I
oI
oI
351 65
351 130
75
881
1651
01
01 0 1� �0��
`$Gf2iKRi 010.14400::
7% 1 71
I 21
of
0 1
21
0.51
0.4
0.41
0.41
1 51
11
11
15.5
1
11
11
11
11
11
0.51
0.51
2.81
2.81
11
11
s1
21
o f
0I
01'”"
No
of
oI
01
801
01
01
o f
of
01
o1
01
0 0
p unwo
0
of\
0
0
0
0 \V
rrt.
of
of
01
of
01
0I
0
0
0
0
0
0
0
01 0
of 0
O 0
O 0
O 0
0 0
O 0
O 0
01 0 1
O 01
01 01
01 01
01 01
How many ..,.....ii
Enter powered i:Statidbyla# Alarm
Quantity externally? ii Curren t (Aux)
ol o o_.,
c ■Ati.,)•
01 0 0
0 i '0\‘‘\"\\\A' 0 it"
01 0 It*
0 4.
gd 4# 1 ROM t :pill:Tar:OW 1141 460
12V NOTIFICATION DEVICES ON
BELL OUTPUT #1
PC2R Hom Strobe
How many 114004.410n#40'
Enter
Alarm
Quantity erten/a/1y? Current (Aux) snemeO
3
140 4201 0
1 0 200 2001 0
01 0 '241141164*,\itmav\\‘‘,
01 0
0 01 0
01 0 0
c1# wet rwi
04:;.
0.00 AtigiA 0.00
12V NOTIFICATION DEVICES ON
BELL OUTPUT #2 (IF USED)
SW Strobe only
P2RK Outside Hom Strobe
12V AUX POWER AND BELL CIRCUIT
WIRE RUN DATA
Panel Aux Power Wire Run (twin lead)
01 0.00
12.00
0.641
Panel Bell 1 Wire Run (twin lead) I Feet #14 AWG Solid 3.19 100
11.231 6.38
Panel Bell 2 Wire Run (twin lead) (Feet iv I #j4 AWG solid 3.19 Lki 100 11 601 3.30
0.641
is
24V NOTIFICATION APPLIANCES
Enter Device Names Specifications
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
124V Notification Appliance
24V Notification Appliance
24V Notification pliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V Notification Appliance
24V BELL CIRCUIT WIRE RUN DATA
PS24 Output A Wire Run (twin lead)
PS24 Output B Wire Run (twin lead)
Feet v <Select Wire Gauge>
0 1 Output A lz
oloutPutA F=1
o I Output A I 01
o Output A 9
0 lOutput A 12d 01
0 1 output A 1■1
o lOutput A 1■1
0 10utput A v
0 10utput A lz
01
01
1
0 lOutput A Iv 1
O utput A
01
01
0 10utput A 1
0 I Output A I■1
0 lOutput A lz
I Feet iTr<Select Wire Gauge>
'Feet Ei <Select Wire Gauge>
the
24 4*
0 Output A i v 0 0 r1:17 Oi
01 1. 01
01 0 KA•w N` 01
1
01 0 k 4kUi....::.:.:.....1
I N*
01
01 0 4*** 0 I
0I
..kkk*****: 0 i
0 1 Output A I■1 01
01 01
at\
12001 0
01 0
01 0
01 0
Standby/Alarm Durations m to
Battery Standby (hours):
Alarm Duration (minutes):
00#040000*:plar: 1.059
...:***:400#00* 7 0
0
0
0
0
0
0 0
01 0.001 24.00
01 0.001 24.001
iiiiiiiii 411
i: 11:Biliiiiiiii: :1 1
::0046:4100:-:: iiSiiO4.41:: :::*iikeiA Si
01 01 o
01 01
01 01 o
01 0
o 1
01
01
ol
01 o 0
0 0
01 o o
01 0 0
1 0 1 0 0
0W 01 0 0 0
01 01,, 'tal 01 0
01 f*.\k,S\ii■i■■•,1
isk 01
0
o[
P S 4 POWER SUPPLY MODULE, MAXIMUM CAPACITIES
Panel 12V I Pane/ 12V Outputit Output A I Output B
;iStandby(mA)Alarm(mA)Starldby(mA)Alamt(mA)Standby(mA). Output B Maximum Total Max. Battery
Board (mA) Standby Output Alarm Output
Alarm
unAl I
Capacity
PS24 PC Maximum Total
5701 17001 5701 17001 401 610 1 418011 34.41
0.0 If 0.01I 01 01 01 0 401 401 4`.41
.:*/~00.
00 452.3 2467.3 11 570.0 1 1700.0 1 570.0 1 1700a, 7a0 1 4140.0
0.
0:
0
0
01
O F
0101101.0 J 1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Fire alarm
Owner
HERTZOG HUBERT E
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 75 0000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
142505
75 00
3/04/09
8/31/09
75 00
00
75 00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000205
782215
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
ELECTRICAL ONLY
COMMUNITY SHOPPING DISTR
0
Contractor
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
EL LIMITED 1ST 1500 SQ FT
Paid Credited
75 00
00
75 00
00
00
00
31 lag
/6fd,
Date 3/04/09
WA 98362
ii5Z e w
DATE RESULTS
0 0
0
Extension
75 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
opooP
Nre
FROM H —TECH ELECTRON
City of Port Angeles Permit Application
Building OMslonlElectrical Inspections
321 East Fifth Street P,O. Box 1150
Pori Angeles Washington, 99362
Ph: (360) 417.4735 Fax: (360) 417 -4711
Data: 3 2 0D9
1 8 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition I Alteration Remodel Repair
Owner Information
Name: 1194 A S
Mailing Address: 12.2- 5 L.Parawsi
Citrtoar Aabt.bos .State: &Afa zip: ?MX 2..
Phone•_ 36 NSZ-- 19C7_
License Exp-
Unit Charge
93.75
5113-75
5160.00
5205.00
5291.25
5 2.00
5 57.50
S 2.00
72.50
5 8625
5116.25
5131.25
5 75.00
5 69.00
5 75.00
5 50.00
5 50 -00
5 93.75
80.00
586.25
5 27.50
5 51.50
5 85.25
5 43.75
Signature of owner, eternal contractor or elecutcal administrator
Dare: 3/410 3
FAX NRECEIVED
MAR 4 2009
LIGHT DEPT.
kit 10)11.4.7
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 122, u..1 Linr.s emz,s
Building Square Footage:
Oescliprion of above -iA F\kf 4301%6
Total Wry MuIU ee by Unit Chant)
s
S
RErro 4 fe✓ L
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
F Service/Feeder 401.600 Amp.
5 Service/Feeder 601 -1000 Amp.
S Se vitelFeeder over 1000 Amp.
S Branch Circuit W/ Service Feeder
10 Branch Circuit WO Service feeder
S EachAddilionel Breech Circuit
S Temp. Servic& Feeder 200 Amp.
S Temp. Service/Feeder 201400 Arno.
Temp Service/Feeder 401-600 Amp.
S Temp Service/Feeder 601 -1000 Amp.
S Portal to Portal Hourly
5 Sign infine lighting
5 7S.e o Signet Circuit, Limilod Energy Commercial
5 Signal Circuit/ Linked Energy 1 A2 Family Deeding
5 Signal Circuit/ Limited Energy Multi Family Dwane
5 Mans/echoed Home Connection
S Renewable Electrical Energy SKVA System or Less
S First 1300 Squats Ft
S EachAdduonal 500 Square Ft. or Portion of
5 Each Outbuading or Detached Swage
5 Each Stemming Pool or Hot Tub
5 Thermostat
i
PO Total
Mar 04 2009 11, .08AM P1
Contractor Informalion
Name: Hi Tech Security Inc
MallingAddress: 723 Eaat Front St
cit Port Angeleo state: wA zip: 99362
Phone: 360 4S2 2727
LiaenSOVEXp, HITECT$955B5
-t o �tz.r1 At3 r11a F I to.
Owner as defined by RCW.7928267. (7) Drina will occupy the structure for two years after this electtfeat permit is finalized. (2) Dwner is regvind to hire an
electrical contractor if above said property is tor sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making tho electrical
Installation or alteration In compliance with the electrical laws. N.EC-, RCW- Cha pier 1928,1AC. Chapter 29S-46e, The City *Ilion Angeles alunC pal Code, and
Utility Speclficatfons.
DAT
2./
OWNER/CONTRACTOR
ADDRESS
12, k3
APPROVED
CORRECTIONS NEEDED OW/5-0-
OLYMPIC PRINTERS, INC. (360) 452 -1381
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTOR
�ir'_G��� ,_c W°3iWILC
i
L-proz 14_ RcQ
DITCH
ROUGH IN /COVER
SERVICE
FINAL
au re_
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
NOT APPROVED
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
600 amp service and remodel
Owner
HERTZOG HUBERT E
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
30 00 2 0000 ECH
Special Notes and Comments
February 9 2009 2 50 23 PM banders
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL ALTER
SERVICE 116 25
141473
1 25
2/10/09
8/09/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000133
061982
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
ELECTRICAL ONLY
COMMUNITY SHOPPING DISTR
0
Contractor
THE ELECTRIC COMPANY
PO BOX 1471
PORT ANGELES
(360) 457 7120
COMMERCIAL
Plan Check Fee
Valuation
BASE FEE
EL BRANCH CIRCUIT W /FEEDER
Brian 417 4708 OK
Charged Paid Credited
176 25 176 25 00
00 00 00
176 25 176 25 00
Date 2/10/09
WA 98362
Due
DATE RESULTS
00
00
00
00
0
Extension
116 25
60 00
INSPECTOR.
IN:7'm 4?
Signature of owner or Electrical Contractor X Date
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 9 q -0 61
1 2 Single Family Dwelling
Multi Family or Commercial*
7C Commercial Addition Alteration Remodel Repair*
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69 00
75.00
50 00
50.00
93.75
80 00
86.25
27.50
57.50
86.25
43.75
city
3U
Signature of owner electrical contractor or electrical administrator
Date: -0
RECEIVED
FEB 9 2009
UGHT DEPT
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above 60 0 C LA e 1 Sr) 0 lac 144ode
Total (Qtv Multiplied by Unit Charael
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp
Service /Feeder 401 -600 Amp.
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
LO Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp
tt,, 15 Temp. Service /Feeder 401 -600 Amp.
Temp Service /Feeder 601 1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
S Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
17( Total
Cash
v git Check
Credit Card
kr40110111
NMrrr1 JJ
Owner Information Contractor Information
Name. TOGAS {?eSrA,A.rAvt Name: Te. E1ecTric. C c). (Sec( IZt►�ae
Mailing Address: i22. we (T L.c<c4 r i d S e n 1 3 fool Mailing Address: P.O, co x 3 5
City' P .A. State. LJ Zip 9 e3 6 a. Cit P 4 State. w'. Zip
Phone: Fax: Phone: -l v 0 G Fax: el r 7 c 9 6 7
License Exp. License Exp
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Furnace 15kw heat pump 2640w
Owner
HERTZOG HUBERT E
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000078
772936
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
ELECTRICAL ONLY
ELECTRICAL ALTER COMMERCIAL
140707
43 75
1/23/09
7/22/09
COMMUNITY SHOPPING DISTR
0
Contractor
43 7500 ECH EL LVT THERMOSTAT
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM
(360) 683 3901
Plan Check Fee
Valuation
Charged Paid Credited
43 75 43 75 00
00 00 00
43 75 43 75 00
Date 1/23/09
2 ,t7 1
WA 98382
DATE RESULTS
00
0
Extension
43 75
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
i*
01/22/2009 THU 9 36 FAX 360 683 3971 Air Flo Heating Co. Ii002 /003
City of Port Angeles Permit Application
Building Division /Electrical Inspections
321 East Fifth Street- P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4417 -4735 Fax: (360) 417.4711
Date: 11-Ob-1 0
1 2 Single Family Dwelling
Multi- Family or Commercial*
j,Commercial Addition Alteration Remodel Repair*
Plan Review May Be Reg uir Please Complete Electrical Plan Review Information Sheet
Job Address: 1 Z 4 1,3 t_ AA) a
Building Square Footage:
Description of above ti tD1 NU %1 Ed's 4t/ Pk 3 4t1 14t- AIDLCt b
Own I�matio
Nam e: 1O 1
Maili Address:
City "4J4
Phone: NIP
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
JC
LAUttb 5
Sa 1ctS
Date:
Total (Qtv Multiplied by Unit Charge,
Service/Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Signatu of o electrical contractor or electrical administrator
RECEIVED
r-'14
P ORTq JAN" 3 2 2009
it IMO
IJQHT DEPT.
Contractor nformation
l Name: IL FLO li{E ff4 tN b-
L) MailingAddress:`a W* C. E.OAR_ ST
?S a City tiE.A.Apk State: Zip: 3 i a
Phone: 0- 611- D 1
License /Exp. lb
IIL14 C NA
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
.1 Thermostat
Total
STtv1
w
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Replace existing sidewalk
O wn e r
HERTZOG HUBERT E
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T\Policies \1102.15R 1/05]
Charged
00
00
00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001195
646985
122 W LAURIDSEN BLVD
06 30 09 5 2 9030 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
BISHOP ENTERPRISES
982 LEWIS RD
PORT ANGELES
(360) 417 0861
RIGHT OF WAY
REPLACE EXISTING SIDEWALK
134874
00 Plan Check Fee 00
9/18/08 Valuation 0
3/17/09
Paid Credited Due
00
00
00
00
00
00
Date 9/18/08
WA 98362
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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection. f 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
PW UTILITIES (Engineering Division)
I WATERLINE METER
SEWER:CONNECTION
SANITARY
STORM
"SITE, DRAINAGE
SITE EROSION :CONTROL
PARKING•
'SIDEWrA1 K'
CURB.&GUTTER
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO1!ER,
INSULATE OR CONCEAL ANY WORT[ BEFOREINSPLCTEDAND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMITCARD AND APPROVED PLANS, AT JOB SITE
DRIV.E APPROACH
BACK=FlOW DEVICE
°T KPolicies\1.102 1544005jr'
INSPECTION TYPE DATE ACCEPTED
(CONSTRUCTION -R :•W`t /P_ 1/'
r ENGWEERING'
°FIRE.`
:PLANNING .DEPT:
BUILDING'
''RESIDENTIAL-
x.
417 -4807
417.4653
417 -4750 .I
417 -4815
PERMIT INSPECTION RECORD
YES I NO
I
NAI 3NSP.ECTIONS :REQUIRED.'P.RIOR TO OCCUPANCY/USE'
SCOMMERCI'AL. DATE:- "I' 4CCEPTED
lk NO.`
CO NSTRUCTION rR W
PW /,.ENGINEERING'
FIRE DEPT.
PLANNING DEPT
BUILDING
COMMENTS
d'~'~
J~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORlANGELES. WA 98~('2
ELECTRICAL PERMIT
Issued: 7/29/98
Permit No:
6396
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
TOGA HERTZOG 122 LAURIDSEN BLVD W
122 W. LAURIDSEN BLVD Lot: 3
Port Angeles, WA 98362 Block:
360/452-1952 Sub:
T: S: Parc No:
Long
FOGARTY &
SP 79
Legal: .
DOLANS
CONTRACTl)R-----------~-----------------DESIGNER---~--------------------~--------
.OLYMPI::: ELECTRIC
1805 T:JMWATER
PORT ANGELES, WA 98362
360/457-5303
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: COML. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD HEAT
Occ Grp: Occ Load: Land Use: CSD
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
Furnace KW: 0 Overhead Service Diameter: X-I -3
X Heat Pump KW: 5 Underground Service Service Size: 320 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
WIRE 5l\W HEAT PUMP
PROJECT FEES ASSESSMENT-----------------~---------~------~----------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $54.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$54.00
$54.00
---------------------------------
---------------------------------
TOTAL FEE:
$54.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
~
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COllER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCItPTEll COMMENTS
YES I NO
-iN / CUYER
SERVICE
f ,.
FINAl 17/6 I~I ,
GENERAL COMMENTS,
PW-IJ01.UI4'96l
~.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
<7"02-<:)
DATE ~At2.... 'ZZ/ i0~'7
PERMIT NO.
I~stalled By:
. (2)
'-tf;I2_:rz, 0
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
z.'Z- W. 8 DID
O\Vner/Busine~
(} A-
Owner/Business Address:
Phz::. 3foC08
Sq. Ft.
.>~..,
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
;:g COMMERCIAL
o NEW CONSTRUCTION
~ REMODEL
';fi( ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
KOVERHEAD SERVICE
o UNDERGROUND)3E~i9E
VOLTAGE: /2eJ~ ~
~>91 D3~~
SERVICE SIZE . AMPS
FEEDER SIZE AMPS
-s ID/2;I\lC.€ I N To 12E:&T~A.M
.
6 7 f-uJ
/(/ '*,OQ/'
'w
Ft,. ::''Ki?-I ,J ~
/ (
W.S. No. SERVICE SIZE
C,6;PACITY:
o OK 0 NOT OK
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
~
I .d 0 Ditch Inspection O.K.
/ltlII'l ~ Rough-in/cover O.K.
111 O.K. to.connect service
~ Final O.K.
Site Address:
12-.:2. W. B/..-VD.
Installer: ' '
:5 'T f., /..f;L.. . ( !
Permit/Receipt No.
5'0Z.0;
New Meters Date:
Mp,e, u. 1'19
.
Noti,fy Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or ofl the Building Permit. PHONE 457-0411, EXT. 224. ~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 70~ e~
Electrical Inspector
Permil Fee
WHIT~ - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
f~
OLYMPIC PRINTERS INC
. FEE REC'!itBEA
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
.5%3
PERMIT NUMBER
..
TOTAL FEE
''7 ~
;y-fp
Slb-tJ
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
w
gj). RA,
Wiring MBthod r-
.
NUMBEA AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V 100R FEE USE OF CIRCUIT ' PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN I IK.D II( 2k, !!
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE / MOTOR .
APPLI \NeE , MOTOR
DISH\-' lASHER FIRE,ALARMS
DISPC SAL BURGLAR ALARM
RANG::: MISC.
OVEN
WAlE l HEATER
LAUN )AY
I--
DAVE I REINSTALLATION LIGHT FIXTURE #
~, SUB TOTAL FEE
FUAN \CE
GAS ~ :)IL
FURN \CE ENERGY FEE
~RIC BASIC FEE
ELEC' AIG HEAT A /~ ~
~ TOTAL FEE
ELEC' AIG HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. L ...IT AMP PHASE
FEED[ R SIZE OF SERVICE ENTRANCE CONDUCTORS
I--
SEAVi:;e AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date A:Jplication made
is permit will be done by the Installer and in
S- ,19~ By
. .C. Electrical Code.
1 certif . that the work to be performed under t
..
CONTRACTOR OR OWNER (OR AUTHO ED AGENT)
P€"mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifl::atlons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
~ ~ ",DIRECZ OF CITY LIGHT
Date P rmit Issued By It:.O~~~ ~..f?
d7 ~ /8'. tLJ Notify Department of City Light by Stree;~::Sr;s:R:~;Dpermit N umber whe~ ready Ior inspection. Work l)1ust not
II / <: r be covered or current turned on before inspection and O.K. for covering or service has been given by'lnspector in
r:: I Writing on Permit Placard. A. - Permits Phone: 457-0411 Ex!. 158.
I WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER-
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OL YMPlr PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
I
, , , ,
~Vj! i' )/[ v'J AJl:ll {I,L.,,i (),,/VLT~ft1 SI"'''''
I L ~ t7 .<A +u-+ . /
v.-llt.'i:..
. . A-lJo J..Jt>TIO r'~"~L), t. e... v.L..., -f lev"" r .
1. (,qL.t f.,xtvlt.l.S ':"T.,..f!c.t.d ,_,+R.. L_ ~b.<J1-
. () I/t f'u.""tk I,"", I-l.t ~ ';0 .tv (l. { .
f-..A.,C./0'\I4
'tt. S!, t r ~-,'.L +tt tI W'l>vl.l. -f-.A.kt tJU.~I-h-
. ....A '''' +P...t. h-i-vll..t .
(j (1!Q, AIY 1..10 all. /Ult<..r.. f.o ~(L.~-
TIf IV'" t Oc.UIVVL lI-'l/l.t.d I'IAL 11>-'1 II -0.".
,
s:::[7s" ...uvtRING --
. . ~9 eC,.n1r=.l,.; I ~l;.n..,('E
~ ~11V\o ' . . v\ ~ FINAL O.K.
\ \.
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ct
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