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330 S Stillaguamish Ave_BLD20080080_2026
PLOT DATE: 11-May-2009 PA07018 Cascade Valley GCCM Application0rawings\Phase 2 New Expansion Interior Build 0007018 RO.11 TI Code Analysts Ground and First Floors.dwg PS A z i> o o z '=z. �m z ti m z o 'a::nddg_ o o o - o m zx= o 4r��pQ�Dm�m zm�3l O �C \ A o O OA C A VJi NJ q O (7 W O O O O p I I m y `' 11 > — asN 2 C + + V A Z m N w + r. jQf CS O 9 O O m A + W O O m lip I m + O O 8 8 $ $ $ TI 14'-J• I z m O cn 0 oo8N2 03 �� - -11 V8 --- --- z 6v I` N x S2 •ti � II � � I Z Ife A B° Ax ;W A An m Ul 7. g OCC.CUSS 1-2 �•-• — L ax�r OCC.CLASS A-3 I — — - q 1 �'' I I q r I I I • (E) Jj - ! 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O� � 0 oNx4 o � � yo�'�8 m z z Em � v6 'z" � s� czi x& N <'m 3' oc�cN zzf`�' 'o Sc a z Inez# w o E3oY��"hF� S �_ >Z ci csi c �m `�'� i Ac�S > ; k• ry? ; o {�' x �z g �"z 0 �n z � I D m �6 o Z m m l m m v Z-►,K ZS 0 y _ y y�� �2 /rAy,e� �o nm w� o O 00 m D W C m 7�' C W r O Z m Z D z r � �o S m N Zrn F PLOT DATE: 24-Jun-2009 PA07018 Cascade Valley GCCM ApplicauonZ—ingslPhase 2 New Expansion Intelior Build Ou1107018 R0.12 TI Code Anslysis.dwg +�4 X tt95S N c _ — cn N O • O vz 0ma lox Dig� n u } zo.� I Q� �� n No .� 4r� w8 �SZ O _ ' ^oz1m orozi St 6c��`45 °'Oj — a - — \w 2 ® 2 S gy O LEI I ON OE m ;p O � C C Sa 6\ \ v _� Y �I 1 ---- 05 I u n xm 0 D __ z��_6�y� _� g�> _ _ ' — _ I t Apt �A� Z �F'9 99 1 9Nfg m 1. - m� N a� f�� z F a N 2 g y� $ p _< �wm oom N y m as all If IT Jill 4 w --- _ r - - - - - — � - - ® \ �0 OCC.CLASS I-2 I I III I �� — o a 8 9 C.CLASS - I ® m --- Erg � m � _ ZAC 1f-pV 4-0' I to 8 m — II -e. yl O -'� e• e N LJ s� 'er o �"gr f I M — - _ I _ — �aI✓ Q I� I I is 0 I I'I 4 Ali g — — ----- 01 --->_—/ --- (E1 LCC®MALE Z 444 'L I Qm lei• / ai III Fill A ! 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G✓ Inspector: Date: /(!!�7-e� - Q TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation o6 Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: ce-0.e0 Lot #: Address: �3� S• S '��� G�i�-.SG Contractor: Owner: �ei�Sc�� Date: l APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. �c C!� O L�ti ro✓ Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping 6 Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 325 INSPECTION REPORT • Permit No.: o y oc no Lot #: Address: -1 3 o S S rz Contractor: I-l-.,r-,-,-- /i-,.j • Owner: c u -t-k Date: z5-C)a PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. e- C l.v•Tl' �''�]�/V � l... 1 ti ` � Ct r21 r'� ' rZ' 1 Inspector: Date: 9- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping Uit Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT-- Permit No.: Ok 6zs l Lot #: Address: 3 30 S: S 6 ulclL Contractor: Xp Owner: C i/ 14-W Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. of Inspector: Date: TY E OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: 'NSPECTION REPORT • Permit No.:6K Lot#: Address: 97e S Contractor: ♦ Owner: G�f Date: 7L 9 APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ f%sonry _ ❑ Drainage ❑ Insulation Other: Et/lV INSPECTION REPORT • Permit No.: �&P-0zJ'1 Lot#: Address: -3s0 Contractor: Owner: Date: jz�i.5 APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Ago Inspector: VGL Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Wsonry 7 Drainage ❑ Insulation Other: INSPECTION REPORT • Permit No.: -MU Lot#: Address: 330 S, SA(4w-a XW Contractor: 505pii/ Owner: C., V1-/ Date: 12,41 A) APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. IN Inspector: lle Date: 12,71T4,i TYPEf OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical O'Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: Lot#: Address: 330 S. f7Z�.�6ccALlf�(i� Contractor: �.�) Owner: C V/-/ Date: lI/&j 105- YAPPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: TYP OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑��S ear Nailing ❑ Groundwork ❑ Mechanical {r Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑1 �Masonry/ El Drainage ❑ Insulation 3'0ther. INSPECTION REPORT PA 0• Permit No.: ��- 0off® Lot #: � Address: -13® Contractor: • s Owner: Date: z0 9 ❑ APPROVAL (PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. xl-ad 1 ��i r is s s •,yk r .�ovt 3) 6v+LC Adz,46 ALZ 5- -e-Z ueC, _S*FZ- '4S %'U cax �i� Ft.L✓{ � s) f�C.t�E�T•9-�'7�.c�S ��./ �00� Z gam Inspector: Date: TYP9 OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical M-trid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ` uol;err,-•--JI ❑ a6eulm0 ❑ fijuoseym ❑ leuld ❑ u!-y6noa ❑ anoIS POOM ❑ gelS 'lonj3S ❑ PPJ leolueyoaW ❑ Niompunoj0 ❑ 6ull!eN Keay uoljepunod ❑ uo!jellnsuo0 ❑ 6u!FIN 'IIemAJO ❑ 6ul;ood ❑ 6u!dld se0 ❑ 6u!wejd ❑ joold-aapuN in a31S3f1om N01103dSNI 30 3dA.L Se A A :GIB(] 9�r�� :joloedsul �1�a!►'I �°�G���� �YJ �� . . x;��� j'k-tip�/ ' ellld -pailnbai aoljou inoy VZ- N01103dSNl-3b 130d bL90-5£3p T1d0 ❑ •uo!}oadsui wjojjad of elge jou seM ❑ •joloodsu! ;oeluoo aseald ❑ 'panoidde eq ueo Niom ejojaq 30dW 381snvy molaq pals!l suolloono0 In (131S3nD3H N01103aa00 ❑ NOIIV-10IA ❑ IVAO)Jddb IVIIH dd_F IVAOaddd ❑ Sn ,� :area Joumo • • ��Yy72/s .S' O£E :ssa�PPd #101 ®�� . oN }lwJad • .LHOd3H N01133dSN1 INSPECTION REPORT • Permit No.: '©� Lot#: Address: Contractor: /1U�i�, AV • Owner: Date: QAoy ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. O� zz Inspector: Date: G if oy TYME OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT - • Permit No.: dzP'U®1-d Lot#: Address: Flo Contractor: • Owner: Date: Zc c APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. y���6cti Est-� Inspector: 499uxx Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing L�"Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: ('='-A5 INSPECTION REPORT • Permit No.: 4K 66'10J Lot#: Address: 33o -5- C Contractor: • Owner: Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION Cl CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FORE-INSPECTION -24 hour notice required. Ez.�Z,rrt��r1 ✓ AFL;;�f�-L.. +r2�.�� 3 2-3 ra 1'3 Z Z 3 Aivluo..va.-+.: i,.r (LrT3 •�.. :e- L-1 e7 t !its-.�u4'vt c�sL �7.�n> cryt.u�n o.J ,�iL�.,•� �t7wo c'r}-� �-✓+� 1 .3y lD �x"?tc� r�c'�/�-NLt4iZ.,ti� .�1 i.J�:S i is••��4,A 12-1>9 j%453- Dk eT- 644.4ni o 6upparca'is� Ana, 9Pru-j Lr'1;15 Kn h I LU C a'ieq rto Inspector: �� Date: �' A` TY14 OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ yasonry /! ❑ Drainage ❑ Insulation 02 Other:_ �� /`"1� /S-T— �t,�:r i2 01,7 _' I �- INSPECTION REPORT • Permit No.: ns n darn Lot #: Address: -3 Contractor: t-�-D • Owner: Ly it Date: 9-15--a9 ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Tb 'L� �LCsU✓` f`l (L.� �,�tl-f— < � 3e '1 �.�TT"l� Inspector: Date: Z.Y -C)i TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: oc? IL c- Sf-�rrf P INSPECTION REPORT • Permit No.: oQ, oo6D Lot#: Address: 37 a S S ;-1 _ Contractor: l-(u�-� it- .j Owner: Gi-'i Date: 9 --(0—o g ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. A-t®'/s ryz� ..-b" `t( #-( to.-p— T-t-to"A'S-c r,n,a.EL— 7'0 0. :ro �! l S&3E],nt 7 $ A-n --A.S £ en C-..!E Q +-C-Z rre�e.e.,a-L_ .b....s sr e y C.R..✓G� Inspector: �& = _ Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: /'57- ,'E. Nti INSPECTION REPORT • Permit No.: as too fro Lot #: Address: 3 3 c7 s s 7-1 �. Contractor: .� • Owner: G/-H Date: ❑ APPROVAL a PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. O rJ vt 7'�> r4,L A a , O S� a y—* f2n,-. -Z—Z 1 l Inspector: Date: 3— TYPE OF INSPECTION REQUESTED O Under-floor ❑ Framing 4,Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT v • Permit No.: ©b -oat,o Lot#: Address: ?.3 J s .s;> Contractor: , - .� Owner: " �-t Date: ff-APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Gctxu D O.rL L;O�`N:wJ L n C.33�n S Tl nl L. �k a�.iD�wll� �IPPJ'l.s�.cY� Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Fi24- Q,6 INSPECTION REPORT • Permit No.: -06 ,,)ko Lot#: Address: 3 3 L S s Contractor: • Owner: Pt Date: 8- 613 ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. u' ,—s-r'444 Inspector: Axxt— Date: 9 3v- 05 TYPE OF INSPECTION REQUESTED ❑ Under-floor )a Framing 3 �r� ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: fICV-1 INSPECTION REPORT 2-So Permit No.: n vt as e o Lot#: Address: 3 Contractor: Aor_q--.K,*a n�=O cw f- • Owner: w ;f Date: "7 -2 9 -o ❑ APPROVAL 4 -PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. `^ 1 'lnlLj Y3T 1�1.5z�rZ 12 1or'r- 6 i Cp�N O w I?--S ltj en, e�p Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: s ^j, INSPECTION REPORT • Permit No.: ,!)b Lot #: Address: 3s c, s Contractor: H-p -w,A.J Owner: C-.4 r+ Date: 7-ZA—cDq ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. F✓1Gs.4wt , /y�_ P fk—s�T1 t4'� /C}'{��lL�U1/1�92_ Inspector: �� Date: �-z-9—09 TYPE OF INSPECTION REQUESTED ❑ Under-floor 3T-Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: -SPECTION REPORT • Permit No.: ord oos© Lot #: Address: >z, Contractor: N>>FicrH.t^J • Owner: c a t+ Date: -7- 2.7-o9 ❑ APPROVALPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: z Date: -7- 2-7-y 9 TYPE OF INSPECTION REQUESTED ❑ Under-floor Ad Framing 6%4.rr- ❑ Gas Piping ❑ Footing A}-Drywall, Nailing,.,�❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 3t3 VSPECTION REPORT • Permit No.: 05 o z) e a Lot#: l Address: S a o S s � Contractor: /- Q�-,in � • Owner: CIV L4 Date: 7-2-3 -0 9 ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Zvi s .An 2.So a Inspector: Date: 7-2-3--a9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing 9-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Z`f9 INSPECTION REPORT • Permit No.: o oa cunt o Lot#: Address: 3 3 c S S A �L_Y Contractor: M-b FF V_--rr Owner: C_\J 4 Date: 7-1-i --0 9 ❑ APPROVAL !Y-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED I;F-Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. i4-ft�v�-S 'TB �c r-�3 IC.c�p SAT 1�✓-}'S"�'L r4-Z•� , 2-ti0� 2-y c�5 Za/c( 2-40 -7 � 2- P-a` z6-0 4- - r s i pi 'L5c3 S 1L c z)1. f try�o Inspector: -� Date: 7 -2-4 -c4 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing a f ❑ Gas Piping ❑ Footing &L Drywall, Nailing Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: L.f3 'NSPECTION REPORT Permit No.: ag oob Lot#: 1 Address: 3 c Contractor: f4-z A .J �c,� ® Owner: Gy N Date: -7- ►o—o't ❑ APPROVAL f5-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. J---N 9L' 'o �LW 2. Gann Lc'7'ls Inspector: Date: '7-/d-e!� TYPE OF INSPECTION REQUESTED ❑ Under-floor J52framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage Insulation ❑ Other: INSPECTION REPORT PM • Permit No.: 04?Cbffa Lot#: Address: 330 Y �TLff��c�12CsIs Contractor: Owner:_ L/'1 yW Date: _ �< '(Zs"/o F ❑ APPROVAL O'PARTIAL APPROVAL ❑ VIOLATION Cl CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. �4,?r7vA 57 7 Alz--� 52:;-,f eg W i.Al- Z 7,7 a�cs � OAS G��� �jfJ� lz,?�X Inspector: Date: �' G TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing O-6-rywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT • Permit No.: Lot #: Address: *2>�SO S. Contractor: - • Owner: a�ik _ Date: (Dla5 oq APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ftA or Coo 46S � �ZG Inspector: Date: TY E OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation Other:,-�r\c n 'INSPECTION REPORT P� • Permit No.: o g n,!N scD Lot #: Address: 3 3 o s S 7-7 Contractor: H D,,",P vl Owner: 4�,v n Date: to-3 0- o9 ❑ APPROVAL €PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. C-,D O a S a,-)-r H �7il4Y✓I r �h ;'yYL, IL, 7"Z�t�-C7..+' /��Pll.yyt"� 7_ (�� Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor °Framing ❑ Gas Piping ❑ Footing Q—Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT - • Permit No.: 09"OOW Lot#: Address: 330 S- SZZCarz Contractor: dnF641Aru Owner: C y H Date: ❑ APPROVAL 2' PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: TY E OF INSPECTION REQUESTED ❑ Under-floor �❑ Framing ❑ Gas Piping ❑ Footing �1 Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: 'NSPECTION REPORT Permit No.: cD b 01>00 Lot#: Address: 3 3V i Contractor: t-/-r>4e-7--k-1A-,J en�%'-z.� • Owner: GJr} Date: ❑ APPROVAL ,PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. 5T �wz�rt, Inspector: Date: (o TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage insulation ❑ Other: 3/O INSPECTION REPORT Q Permit No.: o s cob® Lot#: Address: 3 s Contractor: Htyzl'm Ali o ,.j • Owner: C%j H Date: &-i I -o9 ❑ APPROVAL .PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing I-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: :2-IJO " S fh+r�!' 7 INSPECTION REPORT Permit No.: og o080 Lot#: Address: 3 s Contractor: teir-F AAA_j — • Owner: G✓ 1-+ Date: 6 -/ -/ -og ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. /A),SL A�-n 4 ,J L-(,v a- 8 4/t".o 13 _ D. Z u�cict: (1 p Q L4 ro o< .I To e Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ,Insulation ❑ Other: ao5 INSPECTION REPORT • Permit No.: o,8 ooE!" Lot#: Address: 3 3 Contractor: CX-Z Owner: c� ►� Date: (o- o 01 ❑ APPROVAL ,IMPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. A-P�rw.r�� o� �-•,, Inspector: � — Date: -/Io�C7� TYPE OF INSPECTION REQUESTED ❑ Under-floor X Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: t sry INSPECTION REPORT Permit No.: oa oz Cd-n Lot #: Address: 3-3 Contractor: Ft-r-�y&+A-,j 01D, _7u_r_ Owner: C y i-f Date: b-ram as ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. eN N— Inspector: Date: A —! 2-:::j TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ff-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: &s oes o Lot #: Address: I3o s s Contractor: F(tAem.4^j gatlegyLr • Owner: Gv 14 Date: 4— ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. 7 !9 Igr+.n�n to S- -,a � --;�'riti- 1-''O Inspector: —�-y Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor 0 Framing ❑ Gas Piping ❑ Footing 0,Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: o z3 ozz5o Lot#: Address: 110 S s;, , Contractor. • Owner: C\j Date: (o— Z- 0 9 ❑ APPROVAL ❑ PARTIAL APPROVAL O VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. c.rL 6:D C S -S :d c�.j c5te_ x,,-- c3 r Lem APE n,",62 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing 0-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: oe3 o.:�bo Lot#: Address: 330 S cam, Contractor: a .K.�,J ♦ Owner: Gd r► Date: fo ( —0 9 <;17-APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: &_J TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation Foundation PeT- ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: GYM 1`- INSPECTION REPORT Permit No.: o-a Lot#: Address: 3 So s s n Contractor: W-1vu rr,.j • Owner: cla}t Date: S- Z9 -°5 ❑ APPROVAL 0.PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. 41 ivS cJ Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor If Framing ❑ Gas Piping ❑ Footing J91 Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation -Q Other: r-i 3 z..6 -INSPECTION REPORT • Permit No.: o 8 c oe o Lot #: Address: 3 3 Contractor: 4or-�A+�► Irl V- ",AT.S J Owner: e_u" Date: 5-Z-18-0 9 ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: 5-2-d —� TYPE OF INSPECTION REQUESTED ❑ Under-floor ;!r,Framing ❑ Gas Piping ❑ Footing 0 Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: S 079-T-r- ar+o Z4 INSPECTION REPORT �'` • Permit No.: o 6 oov c7 Lot#: Address: 3 3 o S S n Contractor: ^j • Owner: c,v � Date: 5-z4 -og ❑ APPROVAL .4-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. i t-4n+�-1 z-e•1- � A - yZ) �- Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing e}-r�'-- ❑ Gas Piping ❑ Footing W-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C ,K s,^,=t -- Q s,oy - -Ic w a,�• S 2ac4N) VSPECTION REPORT • Permit No.: o S ©t 6 o Lot#: Address: 3 3 o s Contractor: Ns,r-,-,,^,j 0_�-pz_'Lr Owner: C—) -4 Date: S-Z i -0 9 ❑ APPROVAL W PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. � ST ��l..a�,2. GT Ste.-sum/ /pi'1'T"ZR'� ✓-�'i� W�Ar-J TtS �rNL� Inspector: Date: 5-1/-29 TYPE OF INSPECTION REQUESTED ❑ Under-floor @LFraming ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: -P g�e-s,4F�- /-i x.L" `VSPECTION REPORT • Permit No.: e) s coo a v Lot#: Address: 3 3 o 5 Contractor: • Owner: G v 1.4 Date: 5-21-o 9 APPROVAL ISIJPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. �(iZcrY 'ar�1L7t.c ey?_ nc, `_ t-Y ,j h-ti,L i Inspector: - � Date: ZI —6Ql TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: &&,� ?�' ISPECTION REPORT Permit No.: es &o mo Lot#: Address: 33 a i 5 .S"�' Contractor: -1-6 R� Owner: Gy �+ Date: s-z-t -,3 9 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ,mac c, /-'� aor Inspector: Date: 5-'Li-&I TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping k(Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 331 ~NSPECTION REPORT Permit No.: a 8 0o s o Lot#: Address: 3 3 c S sr,t-w, Contractor: Nor--r-w o•j C'e- xWW1--s0'1 • Owner: C v k Date: 9-r 3- o ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 5- o- "° rL.00/L F: ro -,T- �.'a-fI.Jr11�t� jh"P�lLool,/{Z, Inspector: Date: 5--13-o9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing tW-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: w ra.— I 35� "ISPECTION REPORT • Permit No.: s,3-�k oc e-�-_ Lot #: -M= Address: s s o Lam, 1 J Contractor: .j i Owner: C� Date: 5-i z--0-1 ❑ APPROVAL OPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. s 2'jO r�tpc+�t. /Z�-L's0S z-l134 5 e of_ K v, is S D-, 1 3 3 1 -.1V'k N^An.�.�� Inspector: Date: S-1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing a Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage X Insulation 0 Other: z.31 INSPECTION REPORT Permit No.: o 8 c oa o Lot#: Address: 3,;o _9. S 7-1 L-k-4 Contractor: N33 r F-n..vr 4'K K-N u rSo.J Owner: e—v 0 Date: r r-o-7 ❑ APPROVAL 4FOARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. IS' FwadL _F>VVltrN L if'C PAP;WVYA'� Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing 21, Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage SL Insulation ❑ Other: 3ti$ INSPECTION REPORT • Permit No.: n" oo ig o Lot#: Address: -5'�o s s T, Contractor: fo('ev-,✓ /i 6)(4. /c y,4fxu j Owner: Gv t4 Date: 5-? -©-) ❑ APPROVAL PPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 1'.J-5 t k nLa Inspector: t Date: 5 s 7- Dg TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage Insulation ❑ Other: L-sv ASPECTION REPORT Permit No.: 16 oo$o Lot #: Address: Contractor: 4 14- ie_�rVrx40 1 ♦ Owner: C v Date: 5-b-of) ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION )d.CORRECTION REQUESTED )@Eorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. i �AP17 11�1 c� i1414,,ji TD Fibk✓,,e- 1! L-5 AcL,^A_ Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical Cl Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ilkl� Insulation S ❑ Other: s r7"z ,\-ySPECTION REPORT • Permit No.: os oo 6 0 Lot #: Address: 3 ,3o Contractor: _-n.r- Owner: Date: 5-4-o q ❑ APPROVAL 194ARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: SUDS Date: s-6 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage - .I�twt�iaa ❑ Other: 0_'72..- 711"7 NSPECTION REPORT Permit No.: Ps ooso Lot#: Address: Contractor: t4-of-r-.-.4.,j - c, ,:,,,�� �L"j Owner: Date: ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. /mil QYu?t 5, D %t)'Lc= 5►'n ,ti a7 0= S�?�,'}x[}TI r-r— c/-I I7�1 1 1..a3.NL� j v'�.,1'C.)•ll y}'L HJ/�J L•-� i Inspector:— Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor I( Framing w 5r*'�L• ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: S ✓+,a>�,� .� 3 ►8 INSPECTION REPORT • Permit No.: o t3 oc, Lot #: Address: 3 3 C, S s r, Contractor: c, re- 4N.a t--"i Owner: C-y 1—+ Date: y- 33-- g ❑ APPROVAL ZPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: ,.- Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Q� • Permit No.: oS &--, 6 o Lot#: Address: 33 o s s-m &:�' -, Contractor: kjo�m �� -YLT- Owner: Gy,.t Date: —L 9 —o !!) ❑ APPROVAL og-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. �tf�a-ter �'�U..as,. w�.� F-z�► ,.J 4 8� 6 o7�r..� o r D/t.,.,,,✓ -vim_ .4r°P✓i..i�.c i� Inspector: Date: `f'Z-`I_y TYPE OF INSPECTION REQUESTED ❑ Under-floor lL Framing ❑ Gas Piping ❑ Footing ®-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: % 54 INSPECTION REPORT • Permit No.: 08 o0 8 v Lot #: Address: 33 b .5 t Contractor: N-w-rm&-j ex-r Owner: c V *4 Date: H-2-6 -on ❑ APPROVAL .I RTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. �tV is .c 2.01� HZ_ A-PPA'T-v ykz Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor S Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 3e� INSPECTION REPORT Permit No.: ©a o v fa,-, Lot#: Address: Contractor: A,00-F,-&r4 rsc-,a Owner: "V4 Date: 9-7-5 - 0-7 ❑ APPROVAL 4F-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 13 2t4t-ri.c i,a S,o�s S w►e .�. Inspector: Date: 7 ' Z3- 09 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: i 2-fB INSPECTION REPORT • Permit No.: at5 oo 8 o Lot #: Address: -Y�o JL .s n i Contractor: l r-F— - G K K-MHr1��1 • o Owner: "ram Date: - - 09 ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. r,Jmeii+ i 3z? it-L-Lp Vz- iro SZ'yt-ti Zc./��l.t "2.J' Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing M Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage Ii Insulation ❑ Other: G,rc zZS ISPECTION REPORT • Permit No.: os Dos© Lot#: Address: 33o S Contractor: l�o�,=ri►.r.•► f �i i�,�; rs� • Owner: C_v L4 Date: N-/e-o 5 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ;�W cNL. AT c..3c-ri.,o::r... C3.� ST►4�rc.w CZL_ 13 13 1 2,3 s z Inspector: Date: q-(b - o TYPE OF INSPECTION REQUESTED ❑ Under-floor .Framing Cl Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: i-. s f 51 1SPECTION REPORT f Permit No.: Qs o z,o 3 Lot#: Address: 3 3 c s s;,g.-�ti Contractor: -b,A,6,., o a Owner: C-,L/H Date: N-Av-o9 _&fAPPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: , `f-/ & -g 7 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Q-Rough-in ❑ Final ❑ Masonry 0 Drainage ❑ Insulation ❑ Other: IL4A,Ai t_t% V cnj INSPECTION REPORT Permit No.: D8 o06 v Lot #: Address: 3 3 0 s s r%-kAA Contractor: t-k-z, 4, k- IC eJ A7-sv,IJ • Owner: Date: - `4- ❑ APPROVAL aPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. 23 a� Inspector: Date: ` -I TYPE OF INSPECTION REQUESTED ❑ Under-floor A Framing ❑ Gas Piping ❑ Footing 2,Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 0A--r* mu-. �. NSPECTION REPORT • Permit No.: 0$ ooe o Lot #: Address: 3 s S-rl L4-y Contractor: • • Owner: 0�+ Date: `f- s—oa) .APPROVAL 4FIPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. R vtn c.rc S r p z Inspector: � -r-� Date: 4-8-0. TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing 0-Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: sry INSPECTION REPORT Permit No.: o fs o-a o Lot#: Address: 33 o Contractor: t-xo cx_;r a Owner: e v µ Date: H- 7-05 ❑ APPROVAL -PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. G,-+'> S +fiYf- v l rh vim.s Po. -&C_r t- .5 4*F-f Inspector: Date: y-7-o 9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 3 INSPECTION REPORT • Permit No.: o a go g8o Lot #: Address: Sao .s s r, Contractor: Owner: e.Wr+ Date: ❑ APPROVAL 9-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 1 � 13 ii � * 13 7- 2- I i Z f 0_-1 a aS,Pr kj0✓-5,0� iLi 7 L,-A-cam P AAA,Ort- Inspector: Date: Z—y� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Il Zy INSPECTION REPORT • Permit No.: ole ac cac Lot #: Address: 3 3 0 S S 7n LA_ Contractor: Hni:- .Nan- i LAP�-n Owner: CU K Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION —CORRECTION REQUESTED 92-'Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 14�� .c Tor Grp r#j 5 1 a A s S W Yet.` FuYL 14,/'0'yc - w�-..` ��i 1..,1 S tab ,f!-S pfLuPZt /IiLU s� ,36 3t.4 1 R.t S21" M W-'r'L'Yl-1 vt-I.-S Inspector: • Date: `�- f -O 9 TYPE OF INSPECTION REQUESTED ❑ Under-floor I-Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 'NSPECTION REPORT • Permit No.: ®,8 ooa-o Lot#: Address: 3 3 a .5 S Tn!� Contractor: <ZLeAp2r Owner: L' 0 0- Date: `/-/ -D5 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. 2_ �)►Z�YL �,L O� G i S[_�,.J 20,E M ��I�� roil" 0/ 13ob t3107 o� 13o b i 3o-7 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: , ,r 5 z1 314 Q� INSPECTION REPORT • Permit No.: c F3 oo&a Lot #: Address: s 3 0 .s s , Contractor: cnix-psn � W ♦ Owner: V H Date: 3 —30. o ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. To,P too yj:n. .✓v�-c.� n er- n Cfs o rc,'a o n v+-- ! +� c� ✓-4 L r r cr 7. 1 F.1 r-o A� 0 1L Tn �17•t,. r.✓r9 ti.L i s r Inspector: 5; cL bt- Date: 3 '3cs—a TYPE OF INSPECTION REQUESTED ❑ Under-floor gaming ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage C�Jnsulation ❑ Other: z� 2c1L INSPECTION REPORT • Permit No.: n A oa a o Lot #: Address: 3,10 S s n Contractor: G K- K►yutS orj Owner: c-v J�4 Date: 3-3 o-o 9 ❑ APPROVAL MARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. ELE trr'rro,rL �n✓�.ct-h..r�— rL.c_�.,..� z� l.�n,� crrL i>;U� ...:,a-;.c 6t,c'Z.�uc. �•Z'w�S 13 iL; 3 e-Lj.-5 c-ryu L 2zu, 13 2-9 a4 — Inspector: Date: -30 -d`1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing *Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: rKcu� $ 55 l' -SPECTION REPORT • Permit No.: o to o o g Lot#: Address: 3 3 o S s71 Contractor: Owner: 6-v ,•; Date: 3 -z6-o9 ❑ APPROVAL IAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED P"Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Zrz ra .2 o vi_ I D D o A- / 7-D X,� IQ.k �Zc�7 /nr rl_ . —'t. 17�c1 A- //VT er out I2r3 1,JrrK-vQr%_ iL/f /L�7 . ZZ-7 aIzz 1 / 3`!3, 13qy 1 32.1 1309 i�trL-x�a2J ours, vt5- s,c- lr r PAS L-) D f� r " �Z 1(_.h .a r-►-�-c_ !S r 4 Inspector: ��9�—� Date: _S—Z-7—09 TYPE OF INSPECTION REQUESTED ❑ Under-floor a Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Z5 15 INSPECTION REPORT • Permit No.: oe o m so Lot#: Address: 3 3 0 S s 1-7 wti Contractor: r am, A,.► 4 !�„r� �r�.i Owner: c�v e-+ Date: 3-16—oc) ❑ APPROVAL 19-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. nJS vl �.4-n D--) I-J a1_LrZTri-,64-e1 022& 13 14e� r- �- 8 E�C-C-L" 13 3 0 4 133 1 9.t 0 ►.� r9 PP:w ytb �o sL Lf: V AA AL4-h wl d-, 131 1 o,Arai Rib �--�� ,,.,gar-_•�__ Inspector: 4 Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor 19-Framing ❑ Gas Piping ❑ Footing 0 Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage JO-Insulation ❑ Other: 19 r L_!j=& A.- caa-L /��- -7 2 INSPECTION REPORT • Permit No.: 08 oo8ca Lot#: Address: 3 3 c s S- -, {.,n Contractor: 9-o l==mvr.v — die_ IGN -rro j Owner: C v►4 Date: 3—.7-6—0 9 ❑ APPROVAL OLPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Lf j o i`-Z Tu .i vy►,�h Zip 2 so y, 1 ti/ka r4 r ftla"1 A.. A�PArw,ifrt.- Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor 0 Framing ❑ Gas Piping ❑ Footing W—Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 09 --0090 Lot #: Address: :3 30-- 5 , S;P4-W,czC. ,xw Contractor: _6G.X A/c i4q.04 • • Owner:�4s��,1� A/5ofo/ Date: 3 ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. P-te-r- D , 1 t.....n-7 16 -1c !; L ,,., C 1 b - D.I ro S . Z. %• t�7- S . -L 10 -fa 7 true, , L_1 N G� . I I T- � e- /• -('Ytl ra F M 2 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor Al Framing P"��/s ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: — INSPECTION REPORT • Permit No.: oe oc,go Lot #: Address: 33 o s S';7 c-4-y Contractor: U u o r s •� l ,�,�,��,,� • • Owner: e—V 1- - Date: 3-5 —og ❑ APPROVAL 0 PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. k 1,A-v_s 1C, A-1 O 2_ Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor JCZ Framing ❑ Gas Piping ❑ Footing ry "ing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: of3 cp&D Lot#: Address: ;� `_`i Contractor: Owner: v 1� Date: -7 — O'S APPROVAL 4PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: - == Date: l 1—1 7--0 5 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid C;I?Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: -OOeO Lot#: Address: Contractor: Owner: Date: r ❑ APPROVAL -PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. S rp7 L►.j C C r o i'� I Inspector: Date: .,)I—I. TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ).Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: w P�,,rz- INSPECTION REPORT t oOs4 O Permit No.: 06 ez=f Lot#: Address: 3 3 Contractor: t+a O�A4 +/J • Owner: � Date: ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping -Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: /Y( N PECTION REPORT • Permit No.: o-6 cj zs y Lot#: Address: 3 C T s n Contractor: HrAi=m *.J 0,64-- .6 c.6Lc,N Owner: C v L-t Date: 0 1� ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. WA-s;t- 12 rr cs'S s .) ,.�✓ ,ems �.3 11�, R 7�-/ ifa s P, A-- 4 Ml O Z �i4N�t � r w a rm 2 - 3 Inspector: Ll Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing S-Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing FwL Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION 'REPORT • Permit No.: o a c z 3 g Lot#: Address: 3 3 � s 77 L :,F Contractor: �a�,,,, ,✓ n, A ♦ Owner:— (--y l+ Date: ❑ APPROVAL )2 PARTIAL APPROVAL Ell VIOLATION ❑ CORRECTION REQUESTED ,1i@'orrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. M '/Z v L-,J Cc; n L-t-LE ram-, w-� J�P>',z:, ✓ Inspector: _ Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove At Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 4-'szr !Ve^17-- 2_1'j�o e INSPECTION REPORT • Permit No.: o e o2:3 Y Lot #: Address: 3 3 � s s !=" Contractor: 04 0*/4 iJ,ry 13 c.;-L„� • Owner: e,v it Date: ❑ APPROVAL 4FPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. S ,tit l ST D�'K C3?�7/C. .i7it�P..i..� /Gt�✓t- 1�-e. TX�� �71<�C'✓f' Inspector: r,'7T- Date: G -Ito-r-,9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing J9 -Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: qi5 INSPECTION REPORT • Permit No.: o-8 z3 y Lot #: Address: 3 3 <' S s Contractor: Am ti►/A-/J D, €,. 6 W CNN Owner: C-v �-+ Date: b- i Z -o ❑ APPROVAL MARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. i Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing -,Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: via o z,3 y Lot#: Address: 3s;z s s Contractor: ♦ Owner: <Alt+ Date: 6—I,)—p 9 ❑ APPROVAL -W-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: fo—!o—o, TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing 4,Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: os o w Lot#: Address: 33 o S i Contractor: -D, g Owner: Gtj&4 Date: 6--� -off ❑ APPROVAL 0-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. C.�T- L S Inspector: _��.g�C,+` Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing 4- Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove oQ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation Cl Other: iz5q INSPECTION REPORT Permit No.: m-ig o234 Lot#: Address: 33c s s Contractor: C-LL(,j • ® Owner: (�_,j l� Date: ❑ APPROVAL WPARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: S c'Spcc- Date: CD TYPETYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove A Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 15� PECTION REPORT • Permit No.: c n Lot #: Address: 3 a ; s Contractor: • • Owner: c-v H Date: to- 3 - a g ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. G,e&,,n l3 — I= c-,,.�-vc' "7, ( ru 8 g 2� ►3 09 P,:,LT 6107PA&V Inspector: Date: 6-3 - o� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing 0-Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Z Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.: Off 4 i�3 ti Lot #: Address: 3 Contractor: Ho,--►�.rr .� / �, ,� • Owner: Cal Date: 6 r t—0 9 ❑ APPROVAL *PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. LI.7-- Ty 6 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove 52-Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION'REPORT Permit No.: 05 4923`'T Lot#: Address: 3 3� s s 71 (_u„ Contractor: di.µ j a r Owner: CV,-4 Date: ❑ APPROVAL /5-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ti �.s r F®inn `I- C-4. vro Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove A Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: _MSPECTION REPORT • Permit No.: 6 9 - o-0 4 Lot#: Address: 3 7o S Contractor: • Owner: G-► ,-+ Date: 5-2 J6—o9 ❑ APPROVAL 44 PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. �f37L.t"1 A�L 2 At aL:- }C Inspector: Date: -apt TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove R_Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: NSPECTION REPORT • Permit No.: o F? Lot #: Address: 3 y Contractor: [">,yFMaN - i-4 - `�i") • Owner: Gv H Date: 5-15 ❑ APPROVAL 9—PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ,A S U ,•1 T Hh L.4+ �,4 n Inspector: 1'- Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove FX[ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTIONS REPORT • Permit No.: 6�0'-0a 3` I_ot#: Address: 3 30 Contractor: c%I� • ♦ Owner: Cc s:c"c7 Date: //"02 APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ZZ Inspector: / Date: /Z-_, 27nc'9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 't INSPECTION REPORT aS • Permit No.: C?� Lot#: Address: Contractor: • Owner: Case�✓� G /;� Date: 'a� ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. L.t,J t G To '7. I Inspector: Date: /L&--08 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing AGroundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: zoo INSPECTION REPORT �ti' • Permit No.: ore c z 3%4 Lot#: Address: 33o s 's Contractor: 'T>t Am,,Q,-j o 4 cam.vsT_ Owner: c V v-t Date: i t c,F3 ❑ APPROVAL �iOARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. ptt'-v 15 ern"r� e4=Ljn zis__ G K4 0 A TD E (ter/j EFI�_C_ . ai�1iL C10_'U!J D l 7 , , Inspector: 5LZ mil Date: f- 3—o S TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing -0 Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Z Z-Y INSPECTION REPORT • Permit No.: o 6 0 Z,3 w Lot #: Address: 733 o S s n u-1,+ G�'t va-.H r s rf Contractor: Owner: c a H Date: — to - 3 C -c 8 ❑ APPROVAL a-PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. �1...,..�(��, �.J '�°cam vim__ .�.��'.t,�.�y-►-� Inspector: `Z,t- Date: l d - 3 e: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing 42 Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 7-ue l l9Py �v! RNSPECTiON REPORT • Permit No.: Pad-0.;k 3 y Lot#: Address: 3 3 n0 � A, . S1t� , Contractor: t/ c 1� �G IV s Owner: e�:G y caa� Date: -alp ❑ APPROVAL alb PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. jG C>j- Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping Footing ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 'VSPECTION REPORT • Permit No.: 06^a 2 3� Lot#: r Address: 3 C �' -s'�✓I�i'ti k zk�-� Contractor: • Owner: Date: ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. .�-2iA,f7�,� �ri� Il1�p Y�o►r c� ' /' sd AS Inspector: Date: �1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing CeGroundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 3 Lot #: Address: ��� - S' '��• �s�.�.�-� Contractor: Owner: Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. ere ro✓ Inspector: Dater TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing MI Groundwork ka,'- ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT c-::�P3 � • Permit No.: Lot #: Address: Fr_7 Contractor: ,,Vfihoha� /J • Owner: 4f,;7 Date: ❑ APPROVAL 0,,PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: _ZL12 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing 14 pXGroundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: o e © --su Lot#: Address: 3 3 o s ;r c Contractor: "br e6n. 4,j o R • Owner: Date: G®.APPROVAL PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. STc�.�v— __1 s rtY°iPA..� Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing 93 Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: izSco INSPECTION REPORT • Permit No.: o 8 o z s t Lot #: Address: '3-)c s s Contractor: ef v Owner: Date: 9- z5 —o ❑ APPROVAL 3A,,PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. — Z;0-4O � L.f^'LF I — 4ri►.n G.S — ���-►ems S Inspector: _ i Date: 1—ZS--9 S TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing fit Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION-REPORT • Permit No.: o 9 o o yo Lot#: Address: 6 S S 5T !=" Contractor: +vim-A-.J a 6 Owner: C."i X'+ Date: -7 ❑ APPROVAL 0,;<PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: gl Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ,6k Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT N G T, Permit No.: er-00 7 7G3�3 Lot#: F' Address:.73o a: aTi1� Contractor: �I N O Date: ! ❑ APPROVAL Ir PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. k�iTiVcsSED ,7'���ry a F if Z:? zi Inspector: Date:l� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 08 oLI Z- Lot#: Address: 3 o S 7-7 Contractor: {�i, _dr•.� • Owner: 6V r-f Date: 2 - 5—o g —E — PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Ik IV L5 Inspector: Date: 2-5 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation Other: rf n n.,- L l c/L INSPECTION REPORT • Permit No.: Zc�R 0Z►? Lot#: Address: 33o S 5-�,ha,:2 ,a.vwsL Av. Contractor: S7GT_ n6,s4-ror4vVrE • Owner: CcLscg L-?_ W!A e2 4 Date: to-Z4-oH ❑ APPROVAL ❑'PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 4, ) G» s-Z76F- - iN:TNcSSC J zoo i2S. 4 el4-oa744t( I t� Inspector: 'T- T Date: 10 3 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT e Permit No.: '2006 G z I Z Lot #: Address: �j U A'/ Contractor: "C I u • Owner:Csc<<cL2, Date: Ia ❑ APPROVAL Q'PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 2. 1 1lS�'LCC'i /�f/f0.�?C�(c ��r7k7✓ / ��5 l u ks Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 06_- 0-1 Y Lot #: Address: 7 3 s s T t Contractor: Owner: G v H Date: Ct- z.9 -� -APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. M L-1 I J Ln-4- S {O. D 1V, �A.o v� e�CL�rL TO Q fl.r Inspector: Date: I'--�-`j-oT_ TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing qLaas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: z�g INSPECTtON -REPORT • Permit No.: o 2,3 y Lot#: Address: 3 s r Contractor: _ o T ,��; ,b y A- 6 • Owner: G v �4 Date: ❑ APPROVAL MARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: M CV A-.j *s--" INSPECTION REPORT -4-7 • Permit No.: o s Lot #: Address: 3 3 6 s s-� Contractor: t-moy—,u.t �k G C4 • Owner: cy kt Date: '7 - 2--7 -O 9 ❑ APPROVAL MARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. r 4:,'„ o Lit-EDE Inspector: Date: 7-Z"1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove &_Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: �5S " INSPECTION REPORT • Permit No.: oti 0-2-34 Lot#: Address: 33 o s s 7--).:w Contractor: Owner: Gi►� Date: -7-7-3— og ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. L,N tr.%j u w . N Grp--ti f T+ �1i C, 6 11.r►b3; c 9�Ao,Pr.,. i.A1 A-n.eV - / Al Q-ISr.4 Qtr.Ol� noT Gir- �.ttYt-us ,—o f1`By✓cT L �.,..G dnJ�l. Inspector: Sri — Date: 7-2-V 0'9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove i-Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: f 33 9NSPECTIAN REPORT • Permit No.: o b o 23-f Lot #: Address: 3 3 s c. Contractor: 6 Owner: Cv H Date: 7 -9- 0 9 ❑ APPROVAL ;PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: 5_7�4� Date: 7-9-D TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove a Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 7°Er-F 33r INSPECTION REPORT • Permit No.: ®6 o z 3-t Lot#: Address: _ 330 S sr7�..y i Contractor: 14-o, L-L,,,, Owner: c U ►� Date: 7-Z-O c� ❑ APPROVAL - PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: J Date: 7— Z—y 1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing O-Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: IN GTON • ARL N.,VA 98223 CITY OF CAVE.-ARLINGTO 238 N.OLYMPHONE:(360)403-3421 permit #: BLD20480080 —AVE ARLINGTON ' t Project Address: 330 S STILLAGU AMISH Parcel No- 31051100102900 HOFFMAN%CONSTR U NIoEC00 I CASCADE VALLEY HOSPITAL 1505 WESTLAKE CASCADE VALLEY HOSPI i:��. 330 S 5TILLAGUA 98223 HOFFMCC164NC EXP:7112/2008 330 S STILLAGUAMISH ARLINGTON. LICENSE#: ARLINGTON,WA 98223 phone:360 435-2133 Phone:360 435-2133 Email: Email: I � Lic#1 Ex : Lich: Ex Construction of a new addition to existing Hospital of 42,025 sq. • VALUATION: $30,000,000 11 PERMIT GROUP:UCTI0N:1-B TYPE OF C 3 OI`ISTR PERMIT TYPE:Commercial OCCUPANT GROUP:1-2,A- NUMBER OF STORIES:2 OCCUPANT LOAD: NUMBER OF DWELLING UNITS:0 19482 CODE:2006 I--- FLOOR 22543 11 FL O,�ER.-0 BASEMENT) ARAGE 0 DECK:O OTHER.0 3RD FLOOR.0 BASEMENT:14370 (ST FLOOR:14370 2ND FLOOR: 1437 3RD FLOOR:14370 GARAGE:o DECK=0 WNW RE UIRED: PROPOSED: RE UIRED: PROPOSED REQUIRED: PROPOSED: RE UIRED: PROPOSED. I(EIGHT ALLOWED:0 PROPOSED:O REBY.NO SETBACK NOTES: E WORK AUTHORIZED TFIE D IN DOING TH ON RELATING TO WORKMEN S 18:27- PAID. OF WAS(i1NGT SURANCE AND RCW DEPUTY AND ALL FEES ARE PLOYED IN VIOLATION OF THE LABOIR CODE OF THE STATE ER I AGREE TO COMPLY WIITvIH CITY AND STATE LAWS REGULATING CONSTRUG'TI PERSON WILL BEE COMPENSATION THIS APPLICATION►S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFF1CtAL OR HtS /Z L v� Date 1 b6Q eleased BY Q Date ��30 ` ignature mt ame ! ` ATTENTION 11AS BOF EEN MADE AND APPROVAL'OR A CERTIFICATE OCCUPANCY HAS BEEN GRANTED•UBC1091loc110/11Clto. OR STRUCTURE UN ril-A FINAL INSPECTION 1T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OTHER � ASSESSOR ED APPLICANT ED ARCHIVE BLD20080080 None Fee Amount Paid Balance Due $0.00 $34,617.00 Description $34,617.00 $0.00 $4.50 C-Building Permit Fee $4.50 $0.00 $34,621.50 C-State Building Code Surcharge Total Due: $34,621.50 Y THE WORK NOTED.THIS PERMIT COVERS MARRK TO BE DONE QUEES ETC.)WIOLL REQUIRE SEPARATE PERMISSION4 PRIVATE PROPERTY ONLY.ANY . ON THE THIS PERMIT AUTHORIZES DOMAIN(CURBS,SIDEWALKS,DRIVEWA BUILDING/ENGINEERING[P RKS/UTILI07ES/FINAL(360)435-0674 FIREJob Sitee of Inspection ddresS format on, When calling for an in please leave the following 1°ate Prefereeda Permit whether,Lou )refe rmornin Type bein re uested,Contact Name and Phone Number, C-Footings C-Foundation Wall C-Foundation Drainage C-Slab Insulation C-Plumb Ground Work C-Plumb Rough In C-Gas Test/Pipe C-Equipment-Mechanical C-Shear Nailing-Exterior C-Ceiling Grid C-Fire Stopping C-Framing C-W all Insulation/Caulk C-SheetrockNail . C-Building Final C-Gas Piping Groundwork C-Structural Slab - - ■ - - - 1 �, I I _ I I _ I �I CITY OF ARLINGTOlo1 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20080080 Project Address: 330 S STILLAGUAMISH AVE, ARLINGTON Parcel No: 31051100102900 I Tol . � am � . CASCADE VALLEY HOSPITAL CASCADE VALLEY HOSPITAL HOFFMAN CONSTRUCTION CO 330 S STILLAGUAMISH 330 S STILLAGUAMISH ARLINGTON,WA 98223 ]505 WESTLAKE AVE N STE 500 ARLINGTON,WA 98223 Phone:360 435-2133 Phone: 360 435-2133 Email: Email: LICENSE#:HOFFMCC I 64NC EXP:7/12/2008 Lie#: hx Lic#: Ex PHASE one FOOTER and FOUNDATION Issued 09/26/08 SHELL AND CORE PORTION OF NEW HOSPITAL ADDITION. 92,025 SQ.FT. L1 22,543,L2-19,482. VALUATION: $19,000,000 PERMIT TYPE:Commereial NUMBER OF STORIES:0 PERMIT GROUP:Addition NUMBER OF DWELLING UNITS.0 TYPE OF CONSTRUCTION: CODE:2006 1 OCCUPANT GROUP: OCCUPANT LOAD: BASEMENT:0 I ST FLOOR:0 2ND FLOOR 0 BAS FLOOR:0 GARAGE:0 DECK:0 OTHER:0 BASEMENT:0 IST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 RE UIREU PROPOSED: I THElGH T ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: RE UIRED: PROPOSED SETBACK NOTES: REQUIRED: PROPOSED I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL R HIS/HER DEPUTY AND ALL FEES ARE PAID. kA Sig ture Print Name Date Releas By ate ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPAPICY HAS BEEN GRANTED_UBC109/IBCI10/IRC110. >(AIRC11111V APPLICANT ASSESSOR OTHER CK 9�� � ., i BLD20080080 CONDITIONS • None PERMIT FEES INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL FOR INSIIECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None � I I I l f V r� ''� Materials Testing;; Consulting, Inc. Geotechnical Engineering •Materials Testing•Special Inspection•Environmental Consultir MTC �'-•«I Rn�ifI11 IOVIDYIh�"" Project: Cascade Valley Hospital and Clinics, Master Plan Materials Testing and Special Inspection Budget Estimate MR elocatlon Eart esting Units Qty Rate C Verify Bearing Geotechnical Corsulting(P.E.) hours 3 Compaction Testing of ill hours 3 Control Density Fill Observation hour Subtotal low Reinforced Concrete Inspection of reinforced concrete(includes slump, ir, temperature,mix design review,c < protection,we ing of reinforcement) hours 8 Adhesive anchor hours 8 Cornpre rencgth Cylinders each 8 al idW i'lul d,.n'g_ 'p ,198T' ui dt §-Renovation hallow Foundations Units Qty Rate Cost rify Bearing Capacity, Geotechnical C I*ig (P.E.) hours 16 C action testing of structural f observation hours 64 Co ction testing of asp hours 12 VRice sity of asp x each 1 Extracti gra i of asphalt mix each 1 Proctor each 3 Gra 4ach 3 total e Monitoring and 7 O tion of n micro-piles $65.00 0 Micro- esting hours 6 $600.00 al Cast-In-Place Concrete Inspection Inspection of reinforced concrete(includes resteel,slump,air, temperature, mix design review,curing and protection,welding of reinforcement) hours 130 Inspection of drilled in epoxy and expansive anchors hours 40 Floor Flatness(FF/FL)testing hours 16 Compression Test Cylinders each 120 Moisture emission of concrete(quantity to be determined) each TBD Subtotal Fee Proposal Page 1 of 2 777 Chrysler Dr.•Burlington,WA 98233-360-755-1990-Fx 360-755-1980 2126 East Bakerview Rd.,Ste.9101 •Bellingham,WA 98226•360-647-6061 - Fx 360-647-8111 2118 Black Lk F.IA-Olympia WA 98512-360-534-9777•Fx 360-534-9779 www.mte-inc.net l' I Materials Testinj,; Consulting, Inc. Geotechnical Engineering •Materials Testing•Special Inspection •Environmental Consultir MTC Project: Cascade Valley Hospital and Clinics, Master Pla `'�� .,�„ �"' Materials Testing and Special Inspection Budget Estimate New Building and 1987 Building Renovation (Continue ) Reinforced Masonry Units Oty os Inspection of reinforced masonry(full time during grouting} hours 120 Compressive Strength Grout Samples each 120 Compressive Strength Prism Samples each 15 Subtotal Structural Steel and Welding (shop (location to be determined) Field Inspection(includes metal decking and high strength bolting) hours 140 Fabrication shop inspection hours 24 Non-destructive testing hours 16 Subtotal Pre-cast Concrete Plant Inspection I;plant location to be determined) Inspection of reinforced concrete(includes resteel,slump,air, ternperature,mix design review, curing and protection,verify embeds) hours 24 Technical Director review of review of pre-cast QA/QC manuals hours 4 Compressive strength samples each 12 Subtotal Spray-Applied Fireresistive Materials Inspection of spray-applied materials and"ire resistive joints hours 40 Density samples of fire-resistive materials each 18 Subtotal Nailing Inspection Inspection of shearwalls,sheathing and/or other lateral members hours 28 Subtotal Roofing Inspection Full-time inspection of roof installation hours 40 Subtotal Other Costs Curtainwall/windows testing (ASTM E-110.5) LS LS Periodic inspection of uni-strut hangars hours 16 Miscellaneous inspection for concrete,epoxy,nailing on Tenant Improvement hours 40 Project Management hours 28 Subtotal Total for All Structures Fee Proposal Page 2 of 2 777 Chrysler Dr.•Burlington,WA 98233•360-755-1990-Fx 360-755-1980 2126 East Bakerview Rd.,Ste.#101 -Bellingham,WA 98226.360-647-6061 -Fx 360-647-8111 2118 Black Lk Blvd-Olympia WA 98512•360-534-9777-Fx 360-534-9779 www.mtc-inc.net I i tgb-, August 22,2008 Ms. Yvonne Page Senior Planner City of Arlington Development Services 238 North Olympic Avenue Arlington,WA 98223 Re: Nominal revisions to building elevations for Cascade Valley Hospital Via:email ypage@ci.arlington.wa.us Dear Yvonne, Thank you very much for meeting with us last week. It was a pleasure to sit with you, Chris Young,and Kristi to discuss our concerns. Connie DiGregorio,Assistant Administrator at CVHC and 1 both appreciate your staffs assistance and understanding in this project. This letter shall serve as confirmation of our discussion related to the south side exit stair as viewed from Stillaguamish Avenue, and related to the deletion of the rooftop screen-wall surrounding the new mechanical air handling units. We concurred in that discussion that the addition of a window above the south stair landing would provide the anticipated transparency and"break up"of continuous wall material desired by the DRB and that this revision to the east elevation of the south stair would be incorporated into the DRB review as an administrative approval. We further concurred in that discussion that the deletion of the screen-wall surrounding the air handling units at the roof is acceptable,provided the units are painted to compliment the building elevation and that this deletion would be incorporated into the DRB review as an administrative approval. Please find enclosed with this letter,revisions we have made to our exterior elevation drawings to reflects these decisions,along with photographs of the Sedro Woolley Pavilion that depict how those air handling units will be viewed from vantage points at varying distance from the building. The Sedro Woolley Pavilion is a building of similar size,scale and materials as that proposed for Cascade Valley, The rooftop parapet,setback of air handling units from the parapet edge,and size and scale of the parapet is similar in both projects. The most significant difference is that the Sedro Woolley Pavilion, because of its lengthy setback off of Highway 20,and its significant surface parking area fronting the building, affords a much greater vantage point for the rooftop air handling units that is anticipated for Cascade Valley Hospital. The benefit of this reduced vantage point, is evident in the second and third photographs included with this letter,that is a much foreshortened view of the rooftop equipment. As we discussed,the revisions for the east elevation of the south stair wall and deletion of the rooftop screen-wall will be incorporated into the construction documents and transmitted to Marty Gillis of Bureau Veritas, so that she may include them in her review of shell/core permit documents for building permit. Once again,thanks to both you and Chris Young for your assistance to address and resolve these issues, If you have any additional comments,please do not hesitate to contact me. Sine I Cc:Chris Young:COA, Connie DiGregorio_CVHC, Marty Gillis: BV t 111772 1111 11911 761h Ave W,Suite 210 ncorporat lNa ed in the Slate of shington taylor grecdary butterf!eld architecis Ir,_ f 42 .77k_7803 I Edmonds WA 1;8026 ( tvwvr1gbarchite(1s corn j Page 1 of 1 Brenda Fecht From: Christopher Young Sent: Monday, March 31, 2008 2:45 PM To: Brenda Fecht Subject: FW: 07018 Cascade Valley Hospital & Clinics Permit Submittal Form Attachments: 07018 Completed Permit Application COA 03282008.pdf; 07018 2008.02.20 CVHC Project Contacts.pdf Brenda, Stuff for Permit Trax From: Tim Sadler [mailto:TSadler@TGBArchitects.com] Sent: Monday, March 31, 2008 2:35 PM To: Christopher Young Cc: aaalhus@racmi.com; Lois Broadway; Frances Villasenor Subject: 07018 Cascade Valley Hospital &Clinics Permit Submittal Form Hey Chris: Attached is the completed application for permit as well as an attached directory of consultants and contact people for the project. Last week when we met you advised that in order to move our application along you would require two sets of drawings and the application form. By now you should have received two drawing sets plus structural calcs, NREC forms and geotech reports for your use. Per our conversation you don't require the special inspection form, intended use form, or contractors' license. You are aware that our Land Use Permit is forthcoming and that we have an approval form for Design Review. We have submitted two sets of drawings/NREC forms/structural calcs and geotech reports to Bureau Veritas, so they should have what they need. To my knowledge our submittal is complete. Please advise if you need anything further. Timothy L. Sadler Project Lead tgb'_ taytor gregcry butterfeid 21911 76th Ave W Suite 210,Edmonds WA 98026 t:425.778.1530 f:425.774.7803 4/1/2008 4�``Y NE%,, COMMERCIAL/MLm.TIFAMILY 7� o PERMIT APPLICATION -ING Department of Community Development City of Arlington • 238 N Olympic Ave, -Arlington, WA 98223 • Phone (360)403 3551 - FAX(360)403 3447 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS UNITS CONTAINING TOWNHOUSES OR THREE OR MORE UNITS. THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8)SETS OF CONSTRUCTION DRAWING,EIGHT(8)SETS OF STRUCTURAL DRAWINGS AND CALCULATIONS,EIGHT(8)SETS OF SITE PLANS,EIGHT(8)SETS OF SPECIFICATIONS IF APPLICABLE, THREE(3) SETS OF ENERGY CODE CALCULATIONS, THREE(3)SETS OF GEOTECH REPORT.TWO(2) SETS OF THE APPROVED LAND USE PERMIT. Name of Project: Cascade Valley Hospital&Clinincs Tenant Improvements Valuation: $11M Project Address: 330 S Stillaguainish Avenue,Arlington WA 98223 Parcel ID#: 31051100102900 Legal Description See attached Owner: Cascade Valley Hospital&Clinics Phone Number: 360-435-2133 Address: 330 S Stillaguarnish Avenue City: Arlington State: WA Zip Code: 98223 Architect: Taylor Gregory Butterfiled Architects Phone Number: 425-778-1530 Cell Phone: 206-718-9783 Fax: 425-774-7803 E-mail: fillasenor(a,tgbareiiiiects.com Address: 21911 76th Ave Suite 210 City: Edmonds State: WA Zip Code: 98026 Engineer-See attached Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code; General Contractor:Hoffinan Construction Co. Phone Number: 206-286-6697 Cell Phone: Fax: 206-286-7523 E-mail: Address: 1505 Westlake Avenue North Suite 500 City_Seattle State: WA Zip Code: 98109 Contractor's License Number: #HOFFMCC164MC Expiration: 7-12-2008 Contact Person: Frances Villasenor Phone Number: 425-778-1530 Cell Phone: 206-718-9783 Fax: 425-774-7803 E-mail:fvillasenor(eDtgbarchitects.com Address: 21911 76th Ave Suite 210 City: Edmonds State: WA Zip Code: 98026 Proposed Scope of Work: TI portion of new building addition Estimated Project Value, $11Iv1 Building Footprint-22,744 SF Occupancy Classification: 1-2/A-3 Type of Construction: 11A Number of Stories: 2 Total Square Footage: 42,025 SF Square/Footage per Floor. L1-22.543 SF/L2- 19,482 SF Parking Spaces Provided: 60 Barrier Free Spaces: 05 1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- describe perty will be' ance wi�he laws,rules and regulation of the State of Washington. a-Q �CA7 5-30-2008 l Applicants Signature Date Frances Villasenor Print Applicants Name FOR STAFF USE ONLY 91-D'Di-&L0CAD Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—07 ��Page 1 of 1 3/07 dwa � 1 �� 7 is 1 I 11 I� � — 0,1 NEW COMMERCIAL/MUL-TIFAMILY z PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave. - Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3447 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS UNITS CONTAINING TOWNHOUSES OR THREE OR MORE UNITS, THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8)SETS OF CONSTRUCTION DRAWING,EIGHT(8)SETS OF STRUCTURAL DRAWINGS AND CALCULATIONS,EIGHT(8)SETS OF SITE PLANS,EIGHT(8)SETS OF SPECIFICATIONS IF APPLICABLE,THREE(3) SETS OF ENERGY CODE CALCULATIONS,THREE(3)SETS OF GEOTECH REPORT.TWO(2) SETS OF THE APPROVED LAND USE PERMIT. %6 44 Name of Project: 2A ��� >� �'�/—`�"wG Valuation: Ct o Project Address: ✓� �, J (,[ / /JT T AL � � Parcel IDS�#:, -V•�wO, GIIPV1�� Legal Description 2� Owner:_5. . a�n i�CL r Phone Number: (�07) Address: OV�DS• -577YAE- // City: 404&re4 Stale: (V4 Zip Code•:•�� Architect: 'aY M Phone Number: .( o lros Cell Phone: QW qq%t GPM Fax: (4M)M,Z 47S E-mail: Address: City: State: KOfA Zip Code:- Engineer: Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: General Contractor: Phone Number:(24221l') Cell Phone: Fax: Z�O- 1i E-mad Address. �l City: Stale: 9!44! Zip Code: S b0 ` o ZG� Contractor's License Number: #K ��«� Expiration: Contact Person: Phone Number: // Cell Phone: 1.6f�t `�'�''✓<'V Fax: 77 1 ®S E-mail LJ1 Addrpsss IM 5 City: �'i OP1 Stale: �Zip Code: J f&2-�p (PVrroppoosed Scope f ork. wl�rl Estimated Project Value' (� Building Footprint:-� SF Occupancy Classification: +T'3 Type of Construction: �`� Number of Stories: �. Total Square Footage: Square/Footage per Fluor: Lr ��°�'{� (1z (Q — Parking Spaces Provided: Barrier Free Spaces: O6 I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- descnbe7�;All, accordance with the laws, rules and regulation of the State of Washington. �v licant Signature Date Print Applicants Name //II FOR STAFF USE ONLY Permit N Acceple�By Amount Received heceipi# Dat4 Received WEB Forms-07 Page 1 of 1 3/07 dwa Co: ot E / / k q ® § I 2E £ 2 IL / ( r E BCD Cl) `A£ �k § f / » § k �\ \ƒ/� \\\\ /k0- ��,4R §(\ §[[/ k §§/\ _§04 ` -f 2Ro�\ Rqo �r -7 G§° mR/§ o kcoA§) Bkk* �9§ RqR- mcq®f •co 2000] S§@2 \k$ $ ■nCR �mnm� s04N� E -C4Nn §z k q ° k ° & °.� S zWm� \- E �/\ od \ 0 1. ®° � # S� >;�§ ) ok�k 7� m o ; m °�2 � > CL 0m I a_ ■34 WOE 02LU § a) � k §§IL �2k $ k�� > 0 m 2 / emONVIve INvl nSNOO \ q G +v BNgm]*vM 1Nvl nSNO iNvl nSNOO m9 ]vQIISnOov l�v o / £ 2 ONLS]1 Z]@vNgS ƒ � ..� M �� T,,00k Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 Topic Index Contact Info Search ' ' ' reS I Home Safety ?'Claims$Insurance Workplace Rights Trades Et Licensing Find a Law or Rule: Get a Form or Publication Help Look Up a Contractor, Electrician or Plumber Printer Fri_e_nd_ly Version General/Specialty Contractor A business registered as a construction contractor with L81 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. License Information License HOFFMCC164NC Licensee Name HOFFMAN CONSTRUCTION CO OF WA Licensee Type CONSTRUCTION CONTRACTOR UBI 600536121 Verb.Workers God Premium Status Ind. Ins.Account Id Business Type CORPORATION Address 1 805 SW BROADWAY SUITE 2100 Address 2 City PORTLAND County OUT OF STATE State OR Zip 97205 Phone 5032218811 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 8/3/1984 Expiration Date 7/12/2008 Suspend Date Separation Date Parent Company Previous License Next License HOFFMAJ964LD Associated License Business Owner Information Name Role Effective Date Expiration Date ' DRINKWARD, WAYNEA 01/01/1980 SMITH, DON 01/01/1980 HARMON, DAN 01/01/1980 PURVIS, D W 01/01/1980 FREDRICKS, SCOTT W 1 01/01/1980 v Bond Information https://fortress.wa.gov/lni/bbip/Detail.aspx?License=HOFFMCC 164NC 4/1/2008 A ti �� 11 11 :i I.00k Up a Contractor, Electrician or Plumber License Detail Page 2 of 3 Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date FEDERAL Until #5 INS CO 81555779 07/01/2002 Cancelled $12,000.00 07/12/2002 FEDERAL #4 INS CO 81555779 01/01/1999 07/01/2002 $6,000.00 SEABOARD SURETY Until #3 CO 96706784 01/01/1992 Cancelled 02/06/1999 $6,000.00 SEABOARD SURETY #2 CO 967067 01/01/1986 01/01/1992 $6,000.00 SEABOARD SURETY #1 CO 96706784 08/01/1984 01/01/1986 Savings Information No Matching Information j Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date AMERICAN CONTRS INS #21 CO RRG GL07000011 06/01/2007 06/01/2008 $5,000,000.00 05/21/2007 AMERICAN CONTRACTORS #20 INS CO RP GL06000011 06/01/2006 06/01/2007 $2,000,000.00 05/26/2006 AMERICAN CONTRACTORS #19 INS CO RR GD05014010 06/01/2005 06/01/2006 $2,000,000.00 06/01/2005 AMERICAN CONTRACTORS #18 INS CO GD04014009 06/01/2004 06/01/2005 $2,000,000.00 06/03/2004 AMERICAN CONTRTORS #17 INS CO RRG GLD0300132 06/01/2003 06/01/2004 $1,000,000.00 06/03/2003 AMERICAN CONTRACTORS #16 INS CO GLD0200105 06/01/2002 06/01/2003 $1,000,000.00 07/02/2002 AMERICAN CONTRACTORS #15 INS CO GLRO100042 06/01/2001 06/01/2002 05/10/2001 AMERICAN CONTRACTORS #14 INS CO GLR0000026 06/01/2000 06/01/2001 AMERICAN CONTRACTORS #13 INS CO GLR9900008 06/01/1999 06/01/2000 AMERICAN CONTRACTORS #12 INS CO CL00219095 06/01/1998 06/01/1999 AMERICAN CONTRACTORS #11 INS CO CL00271098 06/01/1998 06/01/1999 AMERICAN CONTRACTORS #10 INS CO CL00249097 06/01/1997 06/01/1998 AMERICAN CNTRS INC CO #9 RRG CL00219095 06/01/1995 06/01/1998 https://fortress.wa.gov/lni/bbip/Detail.aspx?License=HOFFMCC 164NC 4/1/2008 I,,00k Up a Contractor, Electrician or Plumber License Detail Page 3 of 3 i FIEDLITY 8t #8 CAS CO OF NY CL00219095 06/01/1995 06/01/1996 AMERICAN CONTRACTORS #7 INS CO CL00196093 06/01/1993 06/01/1995 AMERICAN CONTRACTORS #6 INS CO CL00141089 06/01/1990 06/01/1993 FIDELITY Et #5 CASUALTY CL00057086 06/01/1989 06/01/1990 ST PAUL FIRE Et MARINE INS #4 CO 502XA2249 12/21/1987 06/01/1989 ST PAUL FIRE Et MARINE INS #3 CO 502JA1300 12/31/1986 12/31/1987 ST PAUL FIRE Et MARINE INS #2 CO 502JA1171 12/18/1985 12/31/1988 SEABOARD #1 SURETY CO CW510616 06/27/1984 01/01/1986 Summons/Complaints Information Tax Summons/ Cause Warrant Complaint Complaint Judgment Judgment Payment Payment Dismissal Paid Complaint Number Id Plaintiff County Date Amount Date Amount Date Amount Date By WILLIE TENNET #2 942106023 (AMENDED) KING 06/17/1994 $0.00 $0.00 $0.00 TENNET, #1 942106023I WILLIE KING �05/16/1994 $0.00 $0.00 $0.00 Start a New Search. Rdn.er Friend Version GiLr""�Ci About LEI I Find a job at LEI I Information en espanol I Site Feedback 1 1-800-547-8367 2matm 1 (V Washington State Dept,of labor and Industries.Use.of fails site is subject to the laws of the skate of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy I 5taff only link Visit access.wa.Qov https://fortress.wa.gov/lni/bbip/Detail.aspx?License=HOFFMCC 164NC 4/1/2008 J I Page 1 of 3 PROJECT: CASCADE VALLEY HOSPITAL & CLINICS EXPANSION PROJECT PROPERTY ADDRESS: 330 S STILLAGUAMISH AVE, ARLINGTON WA 98223 LEGAL DESCRIPTION: PARCEL A: BEGINNING AT THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 11, TOWNSHIP 31 NORTH, RANGE 5 EAST, W.M.; THENCE S 40 RODS (660 FEET) FOLLOWING THE EAST LINE OF SAID SECTION 11 TO THE TRUE POINT OF BEGINNING; THENCE WEST 6.66 CHAINS (439.56 FEET) RUNNING PARALLEL WITH THE NORTH LINE OF SAID SOUTHEAST QUARTER OF THE NORTHEAST QUARTER; THENCE SOUTH 10 CHAINS (660 FEET), MORE OR LESS, TO THE SOUTH LINE OF SAID SUBDIVISION; THENCE EAST 6.66 CHAINS TO THE SOUTHEAST CORNER OF SAID SUBDIVISION; THENCE NORTH 10 CHAINS, MORE OR LESS, TO THE TRUE POINT OF BEGINNING; EXCEPT TRACT BEGINNING ON THE SOUTH LINE OF SAID SUBDIVISION 304.00 FEET WEST OF THE SOUTHEAST CORNER OF SAID SUBDIVISION; THENCE NORTH 2O0.00 FEET; THENCE WEST TO THE WEST LINE OF THE AFORESAID TRACT; THENCE SOUTH TO THE SOUTHWEST CORNER OF SAID TRACT; THENCE EAST ALONG THE SOUTH LINE OF SAID SUBDIVISION TO THE POINT OF BEGINNING; ALSO EXCEPT THE FOLLOWING DESCRIBED TRACT: BEGINNING AT THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION; THENCE SOUTH ALONG THE EAST LINE OF SAID SUBDIVISION 962.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE WEST PARALLEL TO THE SOUTH LINE OF SAID SUBDIVISION 229.00 FEET; THENCE SOUTH PARALLEL TO THE EAST LINE OF SAID SUBDIVISION FOR 276.00 FEET TO THE SOUTH LINE OF SAID SUBDIVISION; THENCE EAST ALONG THE SOUTH LINE OF SAID SUBDIVISION TO THE SOUTHEAST CORNER THEREOF; THENCE NORTH ALONG THE EAST LINE OF SAID SUBDIVISION TO THE TRUE POINT OF BEGINNING; AND ALSO EXCEPT THAT PORTION LYING WITHIN STILLAGUAMISH AVENUE INCLUDING THAT PORTION CONVEYED TO THE CITY OF ARLINGTON BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1090950, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. PARCEL A-1: BEGINNING AT THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 11, TOWNSHIP 31 NORTH, RANGE 5 EAST, W,M.; THENCE SOUTH ALONG THE EAST LINE OF SAID AOUTHEAST QUARTER OF THE NORTHEAST QUARTER 962.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE WEST PARALLEL TO THE SOUTH LINE OF SAID SOUTHEAST QUARTER OF THE NORTHEAST QUARTER FOR 229.00 FEET; THENCE SOUTH PARALLEL TO THE EAST LINE OF SAID SOUTHEAST QUARTER w I �_ I I �I Page 2 of 3 OF THE NORTHEAST QUARTER FOR 276.00 FEET TO THE SOUTH LINE OF SAID SOUTHEAST QUARTER OF THE NORTHEAST QUARTER; THENCE EAST ALONG THE SOUTH LINE OF SAID SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF THE SOUTHEAST CORNER OF SAID SOUTHEAST QUARTER OF THE NORTH EAST QUARTER; THENCE NORTH ALONG THE EAST LINE OF SAID SOUTHEAST QUARTER OF THE NORTHEAST QUARTER FOR 276.00 FEET TO THE TRUE POINT OF BEGINNING; EXCEPT THAT PORTION LYING WITHIN STILLAGUAMISH AVENUE INCLUDING THAT PORTION CONVEYED TO THE CITY OF ARLINGTON BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1090950, RECORDS OF SNOHOMISH COUNTY, WASHINGTON; AND EXCEPT THE SOUTH 116.00 FEET THEREOF, PARCEL B: THAT PORTION OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 11, TOWNSHIP 31 NORTH, RANGE 5 EAST, W.M., DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHEAST CORNER OF SAID SUBDIVISION; THENCE N 4° 26' 52" E ALONG THE EAST LINE OF SAID SUBDIVISION A DISTANCE OF 603.92 FEET, MORE OR LESS, TO A POINT THAT BEARS S 4° 26' 52"W A DISTANCE OF 660.00 FEET FROM THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION; THENCE N 88' 34' 31"W, PARALLEL WITH THE NORTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST OF SAID SECTION A DISTANCE OF 36.25 FEET TO A POINT ON THE WEST LINE OF STILLAGUAMISH AVENUE AS DESCRIBED IN THAT DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1090950, RECORDS OF SNOHOMISH COUNTY, WASHINGTON, AND WHICH POINT IS THE TRUE POINT OF BEGINNING; THENCE CONTINUING NORTH 88' 34' 31"W, PARALLEL WITH THE NORTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION ; THENCE ALONG THE NORTH LINE OF THAT TRACT OF LAND CONVEYED TO PUBLIC HOSPITAL DISTRICT NUMBER 3 BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1855840, RECORDS OF SNOHOMISH COUNTY, WASHINGTON, A DISTANCE OF 403.31 FEET; THENCE NORTH 4" 43' 09" E A DISTANCE OF 26.75 FEET TO A POINT ON THE SOUTH LINE OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION, WHICH POINT BEARS N 88° 44' 39"W A DISTANCE OF 439.50 FEET FROM THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION; THENCE S 88° 44' 39" E ALONG THE SOUTH LINE OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OIF THE NORTHEAST QUARTER OF SAID SECTION AND ALONG THE SOUTH LINE OF THOSE TRACTS OF LAND CONVEYED TO PUBLIC HOSPITAL DISTRICT NUMBER 3 BY DEEDS RECORDED UNDER AUDITOR'S FILE NUMBER 8012240239 AND 2226275, RECORDS OF SAID COUNTY A DISTANCE OF 402.96 FEET TO A POINT ON THE WEST LINE OF STILLAGUAMISH AVENUE AS DESCRIBED IN DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1090951, RECORDS OF n it .' I Page 3 of 3 ANOHOMISH COUNTY, WASHINGTON; THENCE S 3° 51' 28" W A DISTANCE OF 27,92 FEET TO THE TRUE POINT OF BEGINNING, PURSUANT TO DECREE ENTERED 1N SUPERIOR COURT CASE NUMBER 83-2- 00529-7. SITUATE IN THE COUNTY OF SNOHOMISH. STATE OF WASHINGTON, PARCEL C: BEGINNING AT THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 11, TOWNSHIP 31 NORTH, RANGE 5 EAST, W.M.; THENCE WEST 36.6 FEET, MORE OR LESS, ALONG THE SOUTH LINE OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER TO THE WEST LINE OF PREMISES CONVEYED TO THE TOWN OF ARLINGTON BY INSTRUMENT RECORDED UNDER AUDITOR'S FILE NUMBER 1090951, THE TRUE POINT OF BEGINNING; THENCE CONTINUE WEST ALONG THE SOUTH LINE OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER 214.3 FEET; THENCE NORTH PARALLEL TO THE EAST LINE OF SAID SECTION 140.00 FEET; THENCE EAST PARALLEL TO THE SOUTH LINE OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER TO THE WEST LINE OF THE PREMISES CONVEYED TO THE TOWN OF ARLINGTON AS ABOVE REFERRED TO; THENCE SOUTHERLY ALONG SAID WEST LINE TO THE TRUE POINT OF BEGINNING; TOGETHER WITH THE FOLLOWING DESCRIBED TRACT OF LAND: BEGINNING AT THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 11, TOWNSHIP 31 NORTH, RANGE 5 EAST, W.M.; THENCE WEST ALONG THE SOUTH LINE OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER 250.9 FEET, MORE OR LESS, TO THE SOUTHWEST CORNER OF A TRACT OF LAND CONVEYED TO SNOHOMISH COUNTY PUBLIC HOSPITAL NUMBER 3, A MUNICIPAL CORPORATION BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 2226275 AND THE TRUE POINT OF BEGINNING; THENCE NORTH PARALLEL TO THE EAST LINE OF SAID SECTION 140.00 FEET; THENCE EAST PARALLEL TO THE SOUTH LINE OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER TO THE WEST LINE OF TRACT OF LAND CONVEYED TO THE TOWN OF ARLINGTON BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1090951; THENCE NORTH ALONG SAID WEST LINE 41.00 FEET TO THE EASTERLY EXTENSION OF A FENCE AS IT EXISTED JULY 20, 1980; THENCE N 89° 08' 16" W ALONG SAID FENCE LINE A DISTANCE OF 580.26 FEET TO THE WEST END OF SAID FENCE; THENCE S 42' 11' 46" E 247.91 FEET TO THE SOUTH LINE OF SAID NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER; THENCE EAST ALONG SAID SOUTH LINE 188.66 FEET, MORE OR LESS, TO THE TRUE POINT OF BEGINNING. SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. �: 1 I �. Y �4h COMMERCIAL APPLICATION 0 SUBMITTAL CHECKLIST �ING1 Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 . Phone (360)403 3551 • FAX (360)403 3447 The following minimum information is required for your Commercial/Multi-Family Building Permit Application. Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents. Incomplete applications will not be accepted. J r� ®t`/l One (1)City of Arlington Commercial/Multi-Family Permit Application (One permit application per building or structure is required) JO ` One (1) City of Arlington Commercial/Multi-Family Submittal Requirements Form Q-- ❑ Eight(8) Site Plans �6't'gtAtf�L' 2 ® � EightXArchitectural Drawings Eight Structural Drawings © 2� Four�°rStructural Calculations — ❑ Four(4) Geotechnical Engineering Reports(6U0M 1rfVV 'r/t'i'tk ®—[r Two (2) Project Specification Manuals or applicable) z FourS4,rIVREC Code Compliance Forms 0-0 Two (2) Special Inspection Requirements Forms(,fa file' %Aa g -❑ One (1) Copy of current Washington State Contractor License CSt�na,�► D ��Iht ��S�k�t t�f�.ot i#ieetien ewer a Sewef Availability-frerP Gity-ef AAer ille of applisaf�le�— . ®—❑ Two(2)copies of approved Land Use Permit (,5Lko All h tTll�. A* vu 1� Two (2)copies of City of Arlington Design Review Permit J zwcz , fte A&t-r Drawings shall be BOUND SEPARATELY BY TYPE, architectural, structural and landscape, and then ROLLED TOGETHER IN COMPLETE SETS> An intake appointment is required for all new Commercial or Multi-Family Building Permit Applications. To schedule an appointment please contact the City of Arlington Permit Center at(360) 403 3431 or by email to Pre APP Appointment Request. I acknowledge that all items designated above are included as part of this application. Applicant's Signature Date Web Forms—04 Page 1 of 1 3/07 dwa J d. r Community Development Special Use Permit � 1 March 28, 2008 Cascade Valley Hospital Addition PLN20080028 A. PROJECT DESCRIPTION AND REQUEST The applicant requests a special use permit for the development of a 2-story, approximately 40,000 square foot building addition to the existing hospital complex. The site is located at 330 S Stillaguamish Avenue. The applicant proposes stormwater detention facilities, parking, and landscaping in accordance with City of Arlington standards. The project will be served with water and sewer from the City of Arlington. The site is approximately 6.63 acres and is zoned Medical Services. B. GENERAL INFORMATION 1. Applicant/Owner/Contact Person: Cascade Valley Hospital District #3, 330 S Stillaguamish Avenue, Arlington, WA 98223. 2. General Location: The site is located on the west side of Stillaguamish Avenue and north of Highland Drive/212th Street NE/Tveit Road, in Section 11, Township 31 N, Range 05 E, WM (Tax ID No. 310511-001-029-00 and 310511-001-039- 00). 3. Address of Property: 330 S Stillaguamish Avenue. 4. Use Classification per Arlington Municipal Code (AMC) §20.40.010: Use 7.100, hospitals, clinics, and medical facilities over 10,000 square feet. 5. Acreage: Approximately 6.63 acres, or 288,667 square feet. 6. Comprehensive Plan Land Use Designations, Zoning Designation and Existing Land Uses of the Site and Surrounding Area: AREA LAND USE DESIGNATION ZONING EXISTING USE Proiect Site Medical Services MS Hospital North of Site Public/Semi-Public P/SP Middle School South of Site Old Town Residential District OTRD Sin le-family Residences East of Site Medical Services & High Density MS & RHD Hospital Parking Lot, Residential Clinic, & Church West of Site Public/Semi-Public P/SP Middle School \\coaadminl\plan ning\S hared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 1 of 7 . U n n � . � |� U — n U . U n � — ' » — ^� ` ^ Y . . � v Special Use Permit March 28, 2008 Cascade Valley Hospital Addition PLN20080028 7. Public Utilities and Services Provided by: Water: City of Arlington Gas: Cascade Natural Gas Sewer: City of Arlington Cable TV: Corncast Garbage: Waste Management Northwest Police: City of Arlington Storm Water: On-site Fire: City of Arlington Telephone: Verizon School: Arlington School District Electricity: Snohomish County PUD#1 Hospital: Cascade Valley Hospital 8. Public Notification: A Notice of Application was published, posted, and mailed on February 13, 2008. C. ENVIRONMENTAL REVIEW The applicant has contacted Snohomish County and Washington State Department of Transportation (WSDOT) with traffic mitigation fee offers of $0 and those offers were accepted (see copies in the file). Therefore, since the only conditions in an MDNS would have been to require Snohomish County and WSDOT traffic mitigation, an MDNS was not necessary, and a DNS was issued on March 12, 2008, with no comment period. D. FINDINGS OF FACT 1. Application Process: The special use permit application was received by the City of Arlington on February 4, 2008. The application was deemed complete on February 4, 2008. Revised information was requested on March 5, 2008, and received on March 10, 2008. Per AMC §20.16.140, the Community Development Director issues a special use permit after an administrative review process unless an interested party requests a hearing. No hearing was requested on this project. Per AMC §20.16.140, the Community Development Director's decision may be appealed to the Hearing Examiner. 2. Comprehensive Plan. Zoning, and Permissible Uses: The City of Arlington Comprehensive Plan identifies this area as Medical Services, and the subject property is zoned Medical Services per AMC §20.36.100, Zoning Map. Per AMC Table 20.40-2, the proposed use (Use 7.100, hospitals, clinics, and medical facilities over 10,000 square feet) is a permitted use. 3. Density and Dimensional Standards: Per AMC Table 20.48-4, Density and Dimensional Standards, the proposed development complies with the following standards for the Medical Services zone: minimum lot size (10,000 square feet), width (70 feet), street setback (25 feet), and lot boundary setbacks (10 feet) and with maximum building height (50 feet) and lot coverage (100 percent). 4. Non-residential Performance Standards: Per AMC Chapter 20.44 Part III, the proposed development must comply with the performance/operation standards for noise, vibration, odors, smoke and air pollution, disposal of liquid and hazardous wastes, water consumption, electrical disturbance or interference, lighting, and site and building maintenance. Per AMC §20.60.490, every development is required to provide a dumpster; the existing dumpster on the site will be used, which meets this requirement. \\coaadmin I\plan n ing\Sha red\Cu rrent Planning\NCTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 2 of 7 Special Use Permit March 28, 2008 Cascade Valley Hospital Addition PLN20080028 5. Design: Per AMC §20.46.010, developments in the Medical Services zone shall conform to the applicable guidelines or standards set forth in the Design Guidelines. On March 18, 2008, the Design Review Board reviewed the design of this development. The Design Review Board determined that the project meets the required design review guidelines, pursuant to the Land Use Code, and a Design Review Decision was issued on March 21, 2008. 6. Off-street Parking: Per AMC Table 20.72-6, the required parking for the proposed use (Use 7.100, hospitals, clinics, and medical facilities over 10,000 square feet) is the greater of either 2 spaces per bed, which is 48, or 96 spaces; or 1 space per 300 square feet of gross floor area, which is 104,732 square feet (both existing and proposed), or 350 spaces; therefore, 350 spaces are required. Per AMC §20.72.084, the number of required spaces may be reduced by 10%, or 35 spaces, because the hospital is served by transit on the site, for an adjusted total of 315 required spaces. The proposed site plan shows 64 parking spaces, 5 of which are handicap accessible, for the revised area around the hospital; 138 parking spaces, 7 of which are handicap accessible, for the area around the existing buildings at the north part of the site; and 114 parking spaces in the hospital's parking lot across Stillaguamish Avenue according to the zoning permit for that project (Cascade Valley Hospital Parking Lot, File No. MN-02-031); for a total of 316 spaces, which meets the minimum requirements yet does not exceed the maximum allowed per AMC §20.72.010.g (twice the minimum required spaces). Per AMC §20.72.100, loading spaces are not required because normal operation does not require that goods, merchandise, or equipment be routinely delivered to or shipped from the development. However, the applicant is proposing a delivery truck parking area near the northeast corner of the proposed addition. 7. Screening and Trees: Per AMC Table 20.76-9, the required screening for the adjacent street is Type C, which requires a minimum of 10 feet of Intermittent Screen along all street frontages, no screening is required for the adjacent Public/Semi-Public uses to the north and west, and no screening is required for the residential uses to the south since there is no change proposed for the area to the southwest and there is about 130 feet between the proposed addition and the property line of the house to the southeast. (NOTE: According to the drawings, an existing house and garage on the southeast part of the hospital property will be removed; however, the existing vegetation will remain.) Per AMC 20.76.130, a minimum of 20 percent of the new vehicle accommodation area must be screened, and per Design Guidelines 2.4.3, the new parking areas along Stillaguamish Avenue must be screened with a minimum of a 2.5-foot high screened wall or hedge. (NOTE: Screen types are described in AMC §20.76.040, and suggested planting patterns to achieve the required standards are included in the Public Works Construction Standards and 'Specifications.) The landscape plan reflects sufficient frontage, parking area, and frontage parking area screening landscaping to meet the general landscape requirements specified in AMC Chapter 20.76 The final site plan shall comply with the requirements of AMC Chapter 20.76. 8. Sianificant Trees: Per AMC §20.76.120, every development shall retain all existing significant trees and stands of trees unless the retention of such trees would unreasonably burden the development. Any significant trees removed \\coaadminl\planning\Shared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 3 of 7 � _ ► r •' z• i }, i �: Special Use Permit March 28, 2008 Cascade Valley Hospital Addition PLN20080028 because their retention would unreasonably burden a development shall be replaced with 5-gallon-sized native species at a ratio of 3:1. If the trees are to be planted on building lots, the developer shall provide adequate protection from damage during construction or planting shall occur after construction, in which case a planting plan and security shall be provided to ensure their planting. 9. Streets and Sidewalks: The proposed development is located on the west side of Stillaguamish Avenue and north of Highland Drive/2121h Street NE/Tveit Road. It is anticipated that this project will add no new average daily trips, which includes no p.m.-peak-hour trips, to the street system as well as pedestrian and bicycle trips. The site will be accessed from Stillaguamish Avenue. a. Frontage Improvements — To mitigate safety impacts and provide both vehicular and pedestrian access to the project, AMC §20.56.170 provides that no permit may be issued for a project unless and until all roads on which the project fronts are developed to their full 3/4-street standards. The AMC provides for various ways for this to happen. In this instance, frontage improvements have been installed on Stillaguamish Avenue and no further frontage improvements are required. (NOTE: As part of the site civil process, there will be Public Works Department requirements that must be satisfied, which could come in the form of actual construction, fees in lieu, and/or a developer agreement.) b. City Impact Fees —To mitigate impacts to the City's overall transportation system, AMC §20.90.040 requires the developer to pay transportation impact fees for each new p.m.-peak-hour trip (0 p.m.-peak-hour trips in this case). The fee shall be that fee in effect at the time of payment. (NOTE: The current transportation impact fee is $3,355.00 for each p.m.- peak-hour trip, but this may change.) City transportation impact fees shall be paid prior to issuance of any building permits. C. State Facilities — Pursuant to the applicant's agreement with WSDOT, transportation mitigation fees shall be paid to WSDOT for this project's proportionate share of average daily trips and their impacts to state transportation facilities. The applicant provided an analysis and offered $0 mitigation, which WSDOT accepted. A copy of WSDOT's acceptance is included in the project file. d. County Facilities — Pursuant to City's Reciprocal Traffic Mitigation Interlocal Agreement, transportation mitigation fees shall be paid to Snohomish County for this project's proportionate share of average daily trips and their impacts to county transportation facilities. The applicant provided an analysis and offered $0 mitigation, which the County accepted. A copy of the County's acceptance is included in the project file. 10. Stormwater Management: Per AMC §20.64.300, all stormwater systems shall be in compliance with AMC Chapter 13.28, Stormwater Management, and the most current City-adopted edition of the Department of Ecology's Stormwater Management Manual for the Puget Sound Basin (The Technical Manual). A preliminary review of the system indicates that they have a conceptually feasible plan. 11. Environmentaliv Critical Areas: Per AMC Chapter 20.88, there are no known environmentally critical areas on the site. \\coaadminl\planning\Shared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 4 of 7 i - i I � ... �I - - iF - - t� Special Use Permit March 28, 2008 Cascade Valley Hospital Addition PLN20080028 12. Potential Cultural Resources: The Stillaguamish Tribe has expressed concern about potential cultural resources in the area where the proposed project will occur. If any archaeological materials are discovered on the site, the State Historical Preservation Officer, the Stillaguamish Tribe, and the City of Arlington shall be contacted and measures taken to preserve the materials and the site. 13. Airport Management: Per AMC Chapter 20.38, the area in which the development is being proposed is within Subdistrict D of the City of Arlington Airport Protection District. Therefore, the applicant needs to be aware that aircraft will be flying over the area frequently. A recorded Airport Disclosure Statement has already been provided, but the Arlington Municipal Airport requires that street lamps or light poles located on the property be down-shielded as to avoid interfering with flight operations. 14. Water and Sanitary Sewer: Adequate water and sewer service is available to the site from the City of Arlington. Utility services, fire hydrants and fire protection are required and will be reviewed when site civil construction drawings are submitted. All existing and planned utilities shall be shown on the site civil construction drawings. Water and sanitary sewer general facility charges may be assessed when construction drawings are submitted. All fees shall be paid before connection is made to the water or sanitary sewer utility. All utilities shall be operational prior to building occupancy. E. CONCLUSIONS 1 . The City of Arlington Comprehensive Plan identifies this area as Medical Services, and the subject property is zoned Medical Services per AMC §20.36.100, Zoning Map. Per AMC Table 20.40-2, the proposed use (Use 7.100, hospitals, clinics, and medical facilities over 10,000 square feet) is a permitted use. Therefore, the proposed development as noted and conditioned is consistent with policies governing those types of uses and is allowed in that zone. 2. The requested special use permit, as conditioned, is Consistent with all AMC requirements, permit processing procedures, and all other applicable codes. 3. The special use permit should be approved subject to conditions noted below. F. CONDITIONS The applicant shall meet the following required conditions in order to receive approval for the special use permit. 1. All development shall be in substantial conformance with the approved site plan and landscape plan received March 10, 2008, subject to any conditions or modifications that may be required as part of the special use permit, Design Review Decision, and site civil construction plan review. 2. Prior to issuance of a building permit, the applicant shall file a drainage plan and site civil construction plans which meet the following conditions, in conjunction \\coaadminl\planning\Shared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 5 of 7 a Special Use Permit March 28, 2008 Cascade Valley Hospital Addition PLN20080028 with a building permit application. The final site plan shall comply with all requirements of the Land Use Code, International -Building Code, International Fire Code, and Public Works Construction Standards and Specifications. 3. The developer shall meet all local, state, or federal code requirements. Attached is a list of code requirements that are specifically called to the developer's attention. It is in no way intended to be a complete list of code requirements but a general checklist of major steps and issues. Please refer to the AMC for a complete list of code requirements for your particular project type. 4. Prior to issuance of the building permit for this project, any significant trees removed because their retention would unreasonably burden a development shall be replaced with 5-gallon-sized native species at a ratio of 3:1. 5. It is hereby noted that, as part of the site civil process, there will be Public Works Department requirements that must be satisfied, which could come in the form of actual construction, fees in lieu, and/or a developer agreement. 6. It is hereby noted that no traffic impact fees are required to the City of Arlington nor are there WSDOT or Snohomish County traffic mitigation fees required for this development. 7. If any archaeological materials are discovered on the site, the developer shall contact the State Historical Preservation Officer, the Stillaguamish Tribe, and the City of Arlington and take measures to preserve the materials and the site. 8. The developer shall clear all outstanding Planning Division permit-processing account with the City within 60 days of issuance of this permit. 9_ Per AMC §20.16.220, this special use permit shall expire automatically two years of the below date of approval if the use is not commenced or if less than 10 percent of the total construction cost has been completed. G. APPEALS Per AMC §20.20.010 and AMC §20.98.210, to appeal this decision or the SEPA threshold determination, an appeal application must be filed, with all required fees, within 14 days of the date of issuance of this permit. The Hearing Examiner would hear the appeal of the permit, and his/her decision would be considered the City's final decision on the underlying governmental action. The Hearing Examiner's decision is appealable to Snohomish County Superior Court. H. DECISION The special use permit is hereby APPROVED, subject to the conditions specified in Section F above. i. EXHIBITS 1. Revised site plan received by the City of Arlington on March 10, 2008. 2. Revised landscape plan received by the City of Arlington on March 10, 2008. \\coaadmi n 1\plan ning\S ha red\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 6 of 7 ' � - �1 � r. - - - - - - i• Special Use Permit March 28, 2008 Cascade Valley Hospital Addition PLN20080028 3. File PLN20080029 (Cascade Valley Hospital Addition Design Review) (on file at City Hall). 4. File PLN20080028 (Cascade Valley Hospital Addition) (on file at City Hall). ORDERED THIS 28TH DAY OF MARCH 2O08. �� D i Kuhl, Community evelopment Director Di t ibuted to the Following Panties: • Cascade Valley Hospital District#3, ATTN: Connie DiGregorio, 330 S Stillaguamish Avenue, Arlington, WA 98223 • TGB Architects, ATTN: Frances Villasenor, 21911 76th Avenue W Suite 210, Edmonds, WA 98026 • Launa Rupert, Engineering Permit Technician • Christopher Young, Building Official • Scott Black, Plans Examiner • Kerry Wentz, Plans Examiner • Reta Shepard, Utilities Specialist • Bill Blake, Natural Resources Manager • Dale Carman, Airport Coordinator \\coaadminl\planning\Shared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc 03/28/07 Page 7 of 7 ' " . � � . n U n � . U c � . � � U n , * — . . � ^ . ~ — . / . CITY OF ARLINGTON CODE REQUIREMENTS NOTE: The following items are not conditions of permit approval but rather certain local, state, or federal code requirements that the developer needs to be aware of. This is in no way intended to be a complete list of code requirements, but is a general checklist of major steps and issues. Please refer to the Arlington Municipal Code for a complete list of code requirements for your particular project type. 1. Code Applicability. This permit is subject to the applicable requirements contained in the Arlington Municipal Code, Land Use Code, and Building Code. It is the responsibility of the developer to ensure compliance with the various provisions contained in these ordinances. 2. Pre-Construction Phase. Prior to commencing any site work, including installing any easement or right-of-way improvements, utility systems, drainage systems, street lights, mailbox structures, emergency facilities, storm water control systems, or any other improvements, the developer shall submit site civil construction improvement plans for review and approval by the Public Works Department, Engineering Division. Said plans shall be in conformance with applicable code and below listed conditions. a. The developer shall survey and mark all property corners prior to review of any submitted construction plans. b. The developer shall design and install erosion control measures deemed necessary by the City. These measures shall be installed and inspected by the City prior to the issuance of any permits. C. The developer shall undertake no site preparation,or other disturbances within environmentally sensitive areas or their required buffers. d. The developer shall submit to the Engineering Division and receive approval of a storm-water run-off and detention plan in conformance with the AMC Chapter 13.28, Stormwater Management, and the most current edition of the Department of Ecology's Stormwater Management Manual for the Puget Sound Basin (The Technical Manual) for both the construction phase and a permanent system. All site drainage must be directed through biofiltration swales prior to discharge into wetlands. e. The developer shall place all new utility lines underground. f. The developer shall provide a temporary rock pad at all points of ingress and egress to the site throughout the construction phase. g. The developer shall show locations of all required streetlights on the construction plans and install them as designed. h. The developer shall obtain a right-of-way permit prior to any work done in a public right-of-way. (NOTE: City departments are exempt from right-of-way permits.) \\coaadminl\planning\Shared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc Code Requirements;2 Pages lei i. The developer shall install all low sodium or similar low intensity illumination lighting and it shall be placed in a way as to not cause glare on an adjoining property or right-of-way. 3. Construction Phase. The following conditions shall apply during construction. a. The developer shall follow all applicable noise and other nuisance codes. b. The developer shall not track mud and dirt onto public rights-of-way, but if tracked by accident, the developer shall clean it up immediately. C. During any site grading or clearing activity, the developer and contractor shall use all available means of controlling air pollution (dust, ash, and smoke). d. The restrictions of the AMC shall apply to any and all grading. 4. Installation of Improvements. Prior to receiving a Certificate of Occupancy, the developer shall: a. Install all rights-of-way and access easement improvements on all proposed streets internal and existing streets adjacent to the project in accordance with the requirements of AMC Chapter 20.56 and per Public Works Construction Standards and Specifications. The developer shall coordinate with all adjacent developments the final design of the street improvements and/or include the appropriate transition tapers for the street pavement from the property. b. Install a potable water system to serve the project per City of Arlington's Engineering requirements. Water is to be served by the City of Arlington. This system cannot be deferred if a performance bond is secured. Both water and sanitary sewer must be completely installed and approved before either a temporary or permanent Certificate of Occupancy is issued. C. Relocate any existing water facilities and/or install water services/fire hydrants at the expense of the developer. d. Install a sanitary sewer system per Engineering Division requirements. Sanitary sewer is provided by the City of Arlington. This system cannot be deferred if a performance bond is secured. Both water and sanitary sewer must be completely installed and approved before either a temporary or permanent Certificate of Occupancy is issued. e. Install a permanent storm water control system per AMC Chapter 13.28. f. Prior to issuance of a Certificate of Occupancy, the applicant shall complete all required or voluntary improvements unless otherwise secured by the developer and authorized by the City Engineer. (NOTE: Code requirements for infrastructure improvements are based on conceptual information as submitted by the applicant for the land use permit. Additional specific requirements may be required upon review of the engineered construction drawings submitted by the developer. All improvements are subject to review and approval by the Engineering Division. All utilities shall be constructed underground.) \\coaadminl\planning\Shared\Current Planning\ACTIVE PROJECTS\Cascade Valley Hospital SUP PLN20080028\CVH permit.doc Code Requirements;2 Pages u— ' ° r , ., '' � � .� = q � . � K , -------- ---- ------- -- -------- --- ---------- ----- ---------- ---' -- — — -- � � ' ^ n m " | / / ` ° � ~ � � '� — .. . � ^ . � ' ~ " CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3421 Permit#: BLD20080234 BUILDING PERMIT Project Address: 330 S STILLAGUA IISH AVE, ARLINGTON Parcel No: 31051100102900 PROPERTY O. CASCADE VALLEY HOSPITAL CASCADE VALLEY HOSPITAL DIAMOND B CONSTRUCTORS INC 330 S STILLAGUAMISH 330 S STILLAGUAMISH 3436 AIRPORT DR ARLINGTON,WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223 Phone: Phone: LICENSE#: EXP: Email: Email: PLUMBING . . MECHANICAL CONTRACTOR Lic#: Ex : Lic#: Ex : t DESCRIPTION INSTALL UNDERGROUND PLUMBING FOR HOSIPTAL ADDITION VALUATION: $0 PERMIT TYPE:Commercial IPERMIT GROUP:Plumbing NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: EXISTING AREA PROPOSED BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONT1SETBACK REQUIRED: PROPOSED REQUIRED: PROPOSED REQUIRED: PROPOSED: HEIGHT ALLOWED:0 PROPOSED:O RE UIRED: PROPOSED SETBACK NOTES. PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27- THIS APPLICJfrION IS DIOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Sign tune Print Name Da eleased By Datef ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC110/IRC110. ARCHIVE APPLICANT ASSESSOR OTHER BLD20080234 CONDITIONS • None PERMIT FEES INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL ' INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None n o o > on z C D fD N cn y �• O o o 0 0 z ON 0 > O O CrJ � CD � � fi A Q � Oho �• r�i � W CD l z N o o d O nx 00 Cz (D °z z a o d > On rt z m y r o Z d or z > 4 It n d z Qn � ® C7 d � m rD rfl � r� Cri O x N d On x o 0 0 n N + o [ o 0 z Q Materials Testing & Consulting, Inc. MTC Geotechnical Engineering•Materials Testing•Special Inspection•Environmental Consulting December 29, 2009 �A .o,,,_,,,_,,��• Cascade Valley Hospital & Clinics Ms. Connie DiGregorio 330 S. Stillaquamish Ave. Arlington, WA 98223 RE: Final Letter—Cascade Valley Hospital & Clinics Located at 330 S. Stillaquamish Ave.,Arlington,WA Permit No. Bld. 20080234,Arlington Dear Ms. DiGregorio, Materials Testing & Consulting, Inc. ("MTC") performed materials testing and special inspections at the above-referenced project. This letter is a statement declaring the actual work MTC inspected as itemized below was performed in accordance with the project plans and specifications, engineer revisions and/or approval; and is in accordance with the standards of The International Code Council (ICC). MTC accepts responsibility only for the work which we inspected, and an MTC report was generated. • Reinforced Concrete • Reinforced Masonry • Structural Steel Welding (including High Strength Bolting) • Sprayed on Fire Resistive Materials • Proprietary Anchors If you have any questions, or require additional documentation, please feel free to contact our offices at (360) 755-1990 at your convenience. Respectfully Submitted, MATERIALS TESTING & CONSULTING,INC. Stephen Barrie Technical Director cc: connied@cascadevalley.org ohn@rcminc.net john-hardin@hoffmancorp.com lbroadway@tgbarchitects.com aaalhus@racmi.com ctaylor@degenkolb.com Corporate HQ 777 Chrysler Drive • Burlington, WA 98233 • Phone (360) 755-1990 • Fax (360) 755-1980 SW Division - 2118 Black Lake Blvd SW • Olympia, WA 98512 • Phone (360) 534-9777 • Fax (360) 534-9779 NW Division - 2126 East Bakerview Rd, Suite #110 • Bellingham, WA 98226 • Phone (360) 647-6061 • Fax (360) 641.8111 Visit our website: www.mtc-inc.net © 2008 Materials Testing & Consulting, Inc. All rights reserved. J I COMMERCIAL PLUMBING I SUBMITTAL CHECKLIST A Department of Community Development City of Arlington•238 N Olympic Ave. •Arlington, WA 98223•Phone(360)403 3551 •FAX(360)403 3447 WHEN is a PLUMBING PERMIT IS REQUIRED The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. Examples include new installation of a dishwasher,water heater, toilet, or irrigation system. This also includes replacement of a bathtub or shower. The replacement of all or part of a water supply or waste system also requires a permit. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT THREE(3)COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: Plumbing plans or drawings. (Minimum plan size is 18"X 24"scale, %<"scale for details.) Provide one set of plumbing drawings maximum size 11"X 17" Size of sanitary and potable water systems. ❑ Location, type and specifications(cut sheets)of proposed fixtures and equipment. E3 Riser diagram of waste and vent, potable water and rain water systems, including sizes. I ® Medical gas piping riser diagram indicating type of gas, bottle storage room and size of piping. C] Location and type of all backflow assemblies for each fixture. All Requirements for fuel gas piping and combustion air or venting of equipment is required in the 2006 International Mechanical Code. Gas water heaters replacements require a permit in the International Mechanical Code. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. Building Owner or authodled Agent: Signature ,,4 ,0A4�� PrintName: 1 f�& /,46�/ Date: 9 WEB Forms-137 Page 1 of 1 04108 sb C( AMERCIAL PLUG_ 31N PERMIT APPLICATION 42 Department of Community Development (pity of Arlington e 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360) 403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION DRAWINGS,AND THREE (3) SETS OF FIXTURE SPECIFICATIONS(CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: ( ) Commercial (�) Commercial Addition/Alteration Project Address: 53o s. alQ(,uam Is At• >�l'It ��� ���Parcel ID#: Lot#: Subdivision: Project Description:�T,T l :Lk csiR4 ) Valuation: mil. .��1� Owner:Jt,l (C `f �l tJ( $�3 of =P7olI trS� ��v. J6 ' 2 ,6 �l i K.b fyt6 hone-7Vum�er::i P -� Address: �� S, �� m/ -A City: t�lQ State: ��" Zip Code: Contact Person: /�E ��r.Uey Phone Number: 3(.0- 73 -,36,00 Cell Phone: ,360 ,70►-9 cVtq Fax: _%0-733 -ZY�Y E-mail: /n(YIC 4�ne�/ �UiDn 1.C'.OV/1' Address: -N-Ae A,IMEE 613— City:3CLLfA/C;!,4yt , State: A F-Z-So - .J VIA Zip Code: 2E Please List quantity of fixtures Below: (,Wb6V0&C1_)J 4 45y WATER CLOSET BATH TUB SHOWERS LAVATORIES CLOTHES WASHER LAUNDRY TUBS FLOOR DRAINS FLOOR SINKS SINKS URINALS SUMPS DISHWASHERS WATER HEATERS ROOF DRAINS WATER PIPING DWV ALTER/REPAIR LAWN SPRINKLERS DRINKING FOUNTAINS MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP Contractor: _Dt411'Y16noL 6 �_-IC. Phone Number: 3W.-"73Lf -AIL, Address: �43�_ Y+ City: I �l/` �4L� State: W Zip Code: 2Fl ' Contractor's License Number: D_qN 0 OrAl (,,(O KA Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. 2cx�g Applicants Signature ate RECEIVE® (/(�F k /unA/ SEP 15 2008 Print Applicants Name COA PERMIT CENTER FOR STAFF USE ONLY ZCY-46 23 L� Permit# Accepted By I Amount Received Receipt# Date Received WEB Forms—112 Page 1 of 1 04/08 sb Ll Page 1 of 1 Brenda Fecht From: Brenda Fecht Sent: Wednesday, April 02, 2008 9:29 AM To: 'Frances Villasenor' Cc: Connie DiGregorio; Christopher Young Subject: question on Contact list Could you change the contact list under City of Arlington for the Plans Examiner/Inspector to Christopher Young Building Official/Plans Examiner as the Primary contact? You can add Scott Black and Kerry Wentz as Inspectors/Plans Examiner. Christopher would be the main contact as he is usually in the office more than the Scott or Kerry. All the information on the face of the application is viewable in the file. However, as a courtesy, we will keep the contact list in a separate envelope labeled confidential in file. By code all records submitted with the permit are of Public Record if requested through the public disclosure act. Thanks, Brenda Fecht 4/2/2008 Permit Review Details Permit: BLD20080080 Er�Mi-r 1000 -P-Cross Conn Premise Isolation Complete? y 04/04/2008 gschlagel 20 Cross Connection has no comments for this permit.Cross connection requirements will be y addressed when site civil drawings are submitted for review 06/11/2008 rshepard 0 interior review-plans in Chris Young't office N 06/23/2008 gtararan 30 On the drawings submitted premises isolation has been adressed. In premise protection is y taken in consideration by an outside source to comply with CoA and State regulations. Total Time: 50 1004-P-Engineering II Complete? y 04/22/2008 khale 30 For Public Works comments see comments from Fred and Gary. y Total Time: 30 1006 -P-Engineering III Complete? y 04/14/2008 tcross 30 Comment are on the site civil plans. y Total Time: 30 1012 -P-Pre-Treatment Complete? y 04/08/2008 sboyd 10 No comments. y 06/11/2008 rshepard 0 review is for INTERIOR-plans are in Chris Young's office N 06/24/2008 sboyd 10 Pretreatment comments will be addressed in the plumbing permit application. y Total Time: 20 1014-P-Public Works I Complete? y 04/11/2008 Itaylor 5 No comments y 06/11/2008 sblacker 0 The exterior/shell only was originally routed.This routing is for the interior of the building. N And,the plans are in the permit center in Chris'office for review 06/16/2008 Itaylor 5 No comments y Total Time: 10 1016 -P-Public Works II Complete? y 04/23/2008 Irupert 15 y 06/11/2008 sblacker 0 The exterior/shell only was originally routed.This routing is for the interior of the building N And,the plans are in the permit center in Chris'office for review. 06/18/2008 Irupert 15 no comment y Total Time: 30 1020-P-Sewer Complete? y 04/07/2008 frapelyea 10 1.Any alterations to the existing sewer system must be inspected by the Wastewater Utility. y 2.For any assistance or questions contact Fred Rapelyea @(360)403-3540 06/11/2008 rshepard 0 review for INTERIOR-plans in Chris Young's office N 06/18/2008 frapelyea 10 No Comments for this material. y Total Time: 20 1026-P-Utilities Fees Complete? y 04/14/2008 rshepard 30 no comments y 06/11/2008 sblacker 0 The exterior/shell only was originally routed.This routing is for the interior of the building. N And,the plans are in the permit center in Chris'office for review. 06/25/2008 rshepard 30 no comments y Total Time: 60 1028-P-Water Complete? y 04/16/2008 eanderson 20 I have no comments for this material y 06/11/2008 rshepard 0 review for INTERIOR-the plans are in Chris Young's office N 06/16/2008 eanderson 10 No comment y Total Time: 30 1032 -P-Utilities I Complete? y 04/10/2008 jewing 0 No Comment y Total Time: 0 12/30/2008 11:30:47 AM Page 1 of 2 1 2000-C-Building I Complete? Y 06/11/2008 sblacker 0 The interior portion of the permit is being routed 06.10.08 N 12/29/2008 cyoung 600 Received approved set of stamped drawings from Bureau Veritas. OK to issue. Y Total Time: 600 2008-C-Community Development 1 Complete? Y 05/12/2008 bfecht 0 Chris will let us know when plan review is finished by outside agency. N 08/12/2008 bfecht 0 Per Chris at CD meeting-Plan review is not finished by outside consultants yet. He is working N with them on it. PER C.Y.INSTRUCTION-we may issue foundation only when site civil is approved. 12/29/2008 bfecht 30 Preparing to issue-per C.Y Y Total Time: 30 2012-C-Natural Resources Complete? Y 04/22/2008 bblake 5 No comments Y 06/11/2008 sblacker 0 The exterior/shell only was originally routed.This routing is for the interior of the building N And,the plans are in the permit center in Chris'office for review. 07/07/2008 sblacker 0 Y Total Time: 5 2014-C-Planning I Complete? Y 04/23/2008 ypage 0 See Yvonne's comments. Y Total Time: 0 2016 -C-Planning Il Complete? Y 04/23/2008 ypage 45 Plans are in substantial conformance with the special use permit(PLN20080028)issued for Y the project on 03/28/08 and Design Review(DR)Decision(PLN20080029)issued 03/18/08. However,the south end of the east elevation is different than what was approved by the DR Decision Prior to issuance of the building permit,the applicant needs to provide an east elevation that matches the approved east elevation or provide a sample of the materials and explain how the changes meet the intent of the DR Decision.FYI, 1)As part of the site civil process,there will be Public Works Department requirements that must be satisfied,which could come in the form of actual construction,fees in lieu,and/or a developer agreement;2) no traffic impact fees are required to the City of Arlington nor are there WSDOT or Snohomish County traffic mitigation fees required for this development 06/11/2008 sblacker 0 The exterior/shell only was originally routed.This routing is for the interior of the building N And,the plans are in the permit center in Chris'office for review. 06/26/2008 ypage 15 See my 4/23/08 comments re PWD requirements and no traffic impact or mitigation fees Y However,the applicant still needs to provide an east elevation that matches the approved east elevation or provide a sample of the materials and explain how the changes meet the intent of the DR Decision prior to issuance of the building permit Total Time: 60 3004-X-Fire Complete? Y 04/29/2008 tcooper 5 1.Becuase these are being sent out is there anything I need to do? Y 06/11/2008 sblacker 0 The exterior/shell only was originally routed.This routing is for the interior of the building N And,the plans are in the permit center in Chris'office for review. 07/17/2008 tcooper 0 Y Total Time: 5 Total Reviews: 39 Total Time: 980 12/30/2008 11:30:47 AM Page 2 of 2 ' .; � �: l I Permit Review Details Permit: BLD20080080 1000 -P-Cross Conn Premise Isolation Complete? Y 04/04/2008 gschlagel 20 Cross Connection has no comments for this permit.Cross connection requirements will be Y addressed when site civil drawings are submitted for review. Total Time: 20 1004 -P-Engineering II Complete? Y 04/22/2008 khale 30 For Public Works comments see comments from Fred and Gary. Y Total Time: 30 1006 -P-Engineering III Complete? Y 04/14/2008 tcross 30 Comment are on the site civil plans. Y Total Time: 30 1012 -P-Pre-Treatment Complete? Y 04/08/2008 sboyd 10 No comments. Y Total Time: 10 1014-P-Public Works I Complete? Y 04/11/2008 Itaylor 5 No comments Y Total Time: 5 1016 -P-Public Works II Complete? Y 04/23/2008 Irupert 15 Y Total Time: 15 1020 - P-Sewer Complete? Y 04/07/2008 fapelyea 10 1.Any alterations to the existing sewer system must be inspected by the Wastewater Utility Y 2. For any assistance or questions contact Fred Rapelyea @(360)403-3540 Total Time: 10 1026 - P-Utilities Fees Complete? Y 04/14/2008 rshepard 30 no comments Y Total Time: 30 1028 -P-Water Complete? Y 04/16/2008 eanderson 20 1 have no comments for this material Y Total Time: 20 1032 -P-Utilities I Complete? Y 04/10/2008 jewing 0 No Comment Y Total Time: 0 2000 -C-Building I Complete? N Total Time: 0 2008 -C-Community Development I Complete? N 05/12/2008 bfecht 0 Chris will let us know when plan review is finished by outside agency N Total Time: 0 2012 -C-Natural Resources Complete? Y 04/22/2008 bblake 5 No comments Y Total Time: 5 2014 -C-Planning I Complete? Y 04/23/2008 ypage 0 See Yvonne's comments. Y Total Time: 0 2016 -C-Planning II Complete? Y 04/23/2008 ypage 45 Plans are in substantial conformance with the special use permit(PLN20080028)issued for Y the project on 03/28/08 and Design Review(DR)Decision(PLN20080029)issued 03/18/08. However,the south end of the east elevation is different than what was approved by the DR Decision.Prior to issuance of the building permit,the applicant needs to provide an east 6/2/2008 2:03:40 PM Page 1 of 2 (-ation that matches the approved east elevation or p. +e a sample of the materials and explain how the changes meet the intent of the DR Decision. FYI, 1)As part of the site civil process,there will be Public Works Department requirements that must be satisfied,which could come in the form of actual construction,fees in lieu,and/or a developer agreement;2) no traffic impact fees are required to the City of Arlington nor are there WSDOT or Snohomish County traffic mitigation fees required for this development. Total Time: 45 3004-X-Fire Complete? Y 04/29/2008 tcooper 5 1. Becuase these are being sent out is there anything I need to do? Y Total Time: 5 Total Reviews: 16 Total Time: 225 6/2/2008 2:03:40 PM Page 2 of 2 - � _ �'. .� �:� I Page 1 of 2 Brenda Fecht From: Kelli Hale Sent: Monday, March 31, 2008 3:16 PM To: Bill Blake; Brenda Fecht Subject: RE: DOE Notice of Intent Forms question. The hospital will need to file a Notice of Intent. Their engineering will need to determine which one that they will need to file with DOE. You might want to check the file for the Oso Lumber Notice of Intent. I believe that they did not need to file because they did not meet the requirements set forth by the DOE for the NOI process. When I checked the permit center last week we did not have the correct NOI form on display. We did have the application but not the handout that needs to be with it. All of the materials that we need to have displayed are on the DOE's website. I forwarded the web address to the permit center last summer. Let me know if you can't find the correct documents and I will help. Thanks, tti I+Xtea f.Z. Senior ingineer City of Arlington 1 238 N Olympic Avenue Arlington, WA 98223 1 (360) 403-3512 ],:hale((-i?ei.ar]ington.wa.us From: Bill Blake Sent: Monday, March 31, 2008 3:04 PM To: Brenda Fecht Cc: Kelli Hale Subject: RE: DOE Notice of Intent Forms question. Hi, Sonya is also going to print out a 2nd form for industrial sites ECY 020-84 -----Original Message----- From: Brenda Fecht Sent: Tuesday, March 25, 2008 2:24 PM To: Kelli Hale Cc: Bill Blake; Sonya Blacker Subject: DOE Notice of Intent Forms question. Hi Kelli, A couple questions for you. Does the Hospital need the DOE Notice of Intent Form to be turned into DOE? There site is over an acre. The Industrial one? They may not be aware of it. They haven't submitted anything for Site Civil yet. Not sure if it was brought up at pre-design meeting as I don't attend those. Also, since we're on the subject. I was wondering about OSO' filling one out. Didn't someone decide that their site did not need the DOE form filled out. Was the reasoning due to the timing of their initial submittal, possibly before DOE required the Notice of Intent form be filled out? There are two forms one for Construction Stormwater General Permit and One for Industrial per Mike Wolenik's phone call today. This came up due to his phone inquiry, he was wondering if we make it available to customers at the permit center, and we have had in our drawer since Bill brought it to our attention a long time ago. Now it's on the round display in the lobby or we can print one, and/or direct them 4/1/2008 a: :. '2/17/2009 11: 19 4253;y ;73 A BAT AND SERF PAGE 04 UTILITIES DIVISION RECEIVED • 154 W.Cox DEC 17 2009 ? Arlington,Wa 98223 BACKFLOW PREVENTION ASSEMBLY TESTING REPORT <�Ncto (360)403-3526 Utilities Div. (360)435.7944Fax NAME OF PREMISS --CA yS C_A Q Z //A 14C X oe mid L _Commercial® Residential[] Industrial❑ SERVICE ADDRESS TO 7 ,, /lr��Al-I 1Y 6 TY Ije&&L 7�,V w4 zIP-`�� CONTACT PERSON (u : / PHONE(36p) YOC--r2 4f.jCj FAX(TLO)7 'v n CONTACT COMPANY 1-7lr¢i` O O 47 ADDRESS:_� -2 4 1ef 0_k'CITYAe!/,21✓4. '7�/r�`7 LZ" LOCATION OF ASSEMBLY-AM EC// R dp Al DOWNSTREAM PROCESSBQQ 'e RPBA($ PVBA❑ 8VBAQ OTHER NEW INSTALL ® EXISTINGD REPLACEMENT© OLD SERIAL PROPER INSTALLATION?YESta NO❑ / MAKE OF A.SSEM6LYS'OMvfeAc Q MODEL� yr OO SILE S SERIAL NO. W� C DCVAIRPBA DCVAIRPBA RPBA PVBAISVBA INITIAL CHECK VALVE NO.1 CHECK VALVE N0,2 AIR INLET TEST OPENED AT PSID LEAKED [] LEAKED [] CLOSED TIGHT 12� CLOSED TIGHT f2 #1 CHECK —PSIO OPENED AT__ .PSID PASSED PS FAILED Q _PSID _PSID AIR GAP OK7_>Le5 DID NOT OPEN❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ ❑ o ❑ ❑ LEAKED D AND D D 0 ❑ D D REPAIRS C) ❑ 0 0 0 ❑ CLEANED ❑ ❑ ❑ ❑ 0 ❑ Q REPAIRED ❑ TEST AFTER REPAIRS LEAKED Q LEAKED ] CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT_PSID AIR INLET PSID PASSED ❑ FAILED 0 PSID PSID #1 CHECK PSID CHECK VALVE PSJD AIR GAP INSPECTION: Required minimum air gap/separation provided? Yes R No ❑ Detector Meter R*adiny _. REMARKS: G �� 'Z ( P.(� l e.-e7' /t j O Utv/-D _LINE PRESSURE•P81 CONFINED SPACE?_,VO TESTER'S SIGNATURE: CERT.NO. ��� DATE / TESTER'S NAME PRINTED: ON a- G A ' Af TESTER'S PHONE N(C JS-)3,?L1 - G Y•9+Z_� REPAIRED BY: DATE_ FINAL TEST BY, // CERT.NO. CAT€___ TEST EQUIPMENT• MgJSEZ11qLv[y MODEL S SERIAL NO, SERVICE RESTORED? YES NOQ ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED'** Routing: White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy C � UTILITIES DIVISION AtrQ154 W.Cox nArlin ton,Wa 98223 BACKFLOW PREVENTIOS Y`fi TING REP.OR, ` I'= ry- f ,F`ING g ` 1 1fr f tit (360)403-3526 (360)435-7944 Fax OCT 13 1009 `L NAME OF PREMISE C-Z, S C. �� \- C I Residential❑ InbAl."t SERVICE ADDRESS��li �• �t1��C�\�C�V111 �� IV CITY IP CONTACT PERSON PHONE( ) F ( ) CONTACT COMPANY \\ r ADDRESS_- CITY LOCATION OF ASSEMBLY `J 1�?� 1` '1 r cr�1 C -L. U1,1 t 11. 1 Y11•<lo- DOW NSTREAM PROCESS DCVA4 RPBA❑ PVBA 0 SVBA❑ OTHER NEW INSTALL ;rq EXISTING❑ REPLACEMENT❑ OLD SERIAL# PROPER INSTALLATION?YES ] NO � MAKE OF ASSEMBLY V� 5 MODEL `I 7 �) yX• �- 1 SIZE L SERIAL N[]; DCVAIRPBA DCVAIRPBA RPBA PVBAISVBA INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET TEST OPENED AT PSID LEAKED ❑ LEAKED � •� CLOSED TIGHT CLOSED TIGHT❑ #1 CHECK__PSID OPENED AT PSID PASSED ❑ FAILED NjW1 PSID e c1 PSID AIR GAP OK? DID NOT OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ O ] O ❑ ❑ LEAKED ❑ AND ❑ ❑ ❑ O ❑ O REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED O LEAKED ❑ CLOSED TIGHT CLOSED TIGHT OPENED AT PSID AIR INLET PSID PASSED _ FAILED PSID L� PSID #1 CHECK PSID CHECK VALVE PSID AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑ No ❑ Detector Meter Reading _ REMARKS: LINE PRESSURE-PSI CONFINED SPACE? �� O TESTER'S SIGNATURE: .vw CERT.NO. `J 1A DATE 9 �I !�I TESTER'S NAME PRINTED: �+� i 5 0 IA TESTER'S PHONE#(L) 51.5 3 4"LA 11 REPAIRED BY: ( � DATE 9 - 3 o-'(I I I t _ FINAL TEST BY: 1 CERT.NO. �3 LA "I] DATE q "3 U 0 '1 It TEST EQUIPMENT-MAKE MODEL q�I SERIAL NOC)M-6OG i 3 SERVICE RESTORED? YES NO❑ ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED' Routing: White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy �M• �`.1� f�� 09/14/2009 20:04 4253 173 A BAT AND SE` °E -PAGE-- 03 n�I I" C./ UTILITIES DIVISION 1In, A I !�� � +54 W.cox � V U l�n �q o Arlington.We 98223 BACKFLOW PREVENTION ASSEMBLY TESTING REPORT �� 5 2��� (360)403-3526 (360)435-7944 Fax I ' NAME OF PREMISE ��•Sca��� � Mom ! �y�1 Com ci IG--�- a dustrlal❑ SERVICEApORESS�3Q 5, '��'--/—j=-�E.�1Jsa� dITY yam_ CONTACT PERSON Colin n„ -—PHONEE(( �S— Q FAX(360) CONTACT COMPANY—MAXI J,� ADDRESS 3434 f 1 it � C,n 3`II;, T, ��,,4 LOCATION OF ASSEMBLY_M DOWNSTREAM PROCESS .1i',k e _ DCVA(73 RPBAX PVBA❑ SVBA❑ OTHER. NEW INSTAL4 9 EXISTINp❑ REPLACEMENT Q OLD SERIAL r PROPER INSTALLATION?YESXNO❑ MAKE OF ASSEMBLY.-COV1br6:Q MODEL 40`+40_0-31ZE y l) SERIAL NO. jR,592 — DCVA/ RPBA DCVA/ BA RBA _ PVBA/SVBA INITIAL CHECK VALVE TEST CHECK VALVE NO.$ AIR INLET 7E5T OPENED AT 3•)► PSID LEAKED LEAKED ❑ PASSED CLOSED TIGHT CLOSED TIGHT;W #1 CHECK�� PSID OPENED AT PSID � FAILED PSID PSID AIR GAP OK? d DID NOT OPEN ❑' NEW CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE HELD AT PSID PARTS ❑ [] ❑ ❑ � ❑ ❑ LEAKED ❑ AND 00 ❑ ❑ ❑ ❑ REPAIRS Ej ❑ ❑ ❑ ❑ ❑ CLEANED 0 ❑ ❑ ❑ ❑ ❑ ❑ REPAIRED 0 TEST AFTER REPAIRS LEAKED ❑ LEAKEDD ❑ PASSED ❑ CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT—PSID AIR INLET PSID FAILED ❑ PSID ___PSID #1 CHECK PSID CHECK VALVE PSID AIR GAP INSPECTION: Required minimum air gap*aparatlon provided? Yoe No ❑ Detector Maier Reading REMARKS:�O�y�blfSr�OS� �O►1nGGf`)On 6,hC ,, C.5 - LINE PRgASVRE-PSl___k_D CONFINER SPACE? NO TESTER'S SIGNATURE:�� CERT.NO. 13 /A 3 DATE "/1 .'O TESTER'S NAME PRINTED: &Id Ae ; l TESTER'S PHOPfff#(112sr) s113 ;Z 6 y REPAIRED SY: DATE FINAL TEST BY: CERT.NO. DATE TI=STEQUIPMENT-MAKE '."4, MODEL $!I 5.. SERIALN0.06OL111yfd SERVICE RESTORED? YES❑ NOX ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED*** Routing: White-City of Arlington Yellow-Taster's Copy Pink-Owner's Copy ./.• '� J�' � i Sti ,.1, �� . � 09/14/2009 20:04 4253� 73 A BAT AND SER)`-- PAGE 02 l UTILITIES DIVISION j`• 154 W.Cox BACKFLOW PArlinflton,wa 93Z23 REVE STING REPORT SFP 15 2009 (350)403.36n (360)435-7944 Fax NAME OF PREMISE Ce 16115JF ��11c��/ f'�r���f CommsrclalXRssidsntisl❑ Industrial❑ Sr=RVICE ADDRESS 33O fi`I I s i tti 4 ITY r(1 tb✓t ZIP_ 19a01 -_ CONTACT PERSON Cc I in -_PHONE(,%A_;j05'~7 yj0 FAX(3b0) 1733•'afrll9 CONTACT COMPANY_ L/ i rlpr —ADDRESS 3 L pr4- QJZ CITY jj&jjj» 11A/h, G✓,� LOCAT)0N OF ASSEMBLY DOWNSTRFAM PROCESS Pr&r1r',6e. DCVA(j RPBAPf PVBA❑ SVBA❑ OTHER NEW IN$TALL X EXISTING❑ REPLACEMENT[:) OLD SERIAL# __ PROPER INSTALLATION7 YES No❑ MAKE OF ASSEMBLY M )40 ODEL ��` —93 SIDE ;3 I� SERIAL NO. L i 9 DCVA RPBA DCVAIRPSA RPBA PVBAISVBA INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET TEST OPENED AT .�•g PSID LEAKED ❑ LEAKED ❑ CLOSED TIGHT CLOSED TIGHTX #1 CHECK 1/1 .PSID OPENED A7 PSID PASSED FAILED PSiD -___._PSID AIR GAP OK7—Y42 DID NOT OPEN❑' CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND ❑ ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ 0 ❑ © ❑ ❑ CLEANEp ❑ ❑ C] ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED © LEAKEp'❑ CLOSED TIGHT ( CLOSED TIGHT ❑ OPENED AT PSID AIR INLET PSID PASSED ❑ FAILED ❑ _—PSID PSID IM1 CHECK PSID CHECK VALVE PSID AIR GAP INSPECTION: Required minlmum air gap separation provided? Yes No ❑ Detector Mister Reading REMARKS, b iG C ,CeKS G4)1N�„f�tiPy1 �,hG,,.� LINE PRIPSURE•PSI O CONFINED SPACE? Np TESTER'S SIGNATURE: _.� CERY.NO. DATE TESTER'S NAME PRINTED; I+-ra Id- AL'�'n 1 TESTHR'a PHONk#(q,S-) REPAIRED 8Y; DATE FINAL TEST BY._____ CERT. NO. DATE__ TEST EQUIPMENT-MAKE M;4W( * MODEL j _SERIALNO.Qb0'j1jjjf SERVICE RESTORED? YESF) NOX ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED**' Routing;.White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy ! �. .� �! J t `'. 12/17/2009 11:19 4253 473 A BAT AND SE� 'E PAGE 03 � R ECEIV � � n D i - UTILITIES DIVISION DEC 17 2009 154 W.Cox 'r Arlington,Wa 98223 BACKFLOW PRE ON ASSEMBLY TESTING REP"Ofilities Div. (360)403-3526 P �UJ (360)435-7944 Fax A NAME OF PREMISE, C A/2 Z 1,1A I L"A, Z—Comm,I)lIft Raald•ntlal❑ Industrial❑ SERVICE ADDRESS � �0 �. �7�z llnt,AHZ<ZZ�TY A18t/!!'�� f'l t.Urt 2.IP 91 ��'{� CONTACT PERSON lrr'1/ d/ PHONE(36p) rLa�'2 jag FAX(TCd)7.33'� � CONTACT COMPANY Z21A,� A)a 1� �I ADDRESS?eYX6 f�1�,POItr 9UCITY,,*(1/NC, y6t= LOCATION OF ASSEMBLY H � r! H RAsri DOWNSTREAMPROCESsade- f<,j 1ate DCVAQ RPUAO PVBA❑ SVGA❑ OTHER10Cr120t NEW INSTALL IS EXISTING[] REPLACEMENT❑ OLD SERIAL K PROPER INSTALLATION?YES fg] No(—] �9 MAKE OF ASSEMBLY MODEL?mod A,0 SIZE SERIAL 1tC. DCVA/RPBA DCVAIRPBA RPBA PVBA/SVGA INITIAL CHECK VALVE N0,1 CHECK VALVE NO.2 AIR INLET TEST OPENED AT PSID LEAKED ❑ LEAKED ❑ CLOSED TIGHT JZ CLOSED TIGHT® *1 CHECK PSID OPENED AT PSID PASSED a.9- FAILED ❑ ' _PSID 'y PSID AIR GAP OK? DID NOT OPEN Q CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED Q AND EI 0 0 0 ❑ 0 REPAIRS [] ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ ❑ ❑ © ❑ REPAIRED TEST APTER REPAIRS LEAKED ❑ LEAKED 0 CLOSED TIGHT (] CLOSED TIGHT ❑ OPENED AT_______ PSID AIR INLET PSID PASSED ❑ FAILED ❑ ___PSID PSID *1 CHECK PSID CHECK VALVE PSID � g4h' S`�fG A1R GAP INSPECTION: Required minimum air gapseparation provided? Yes [] No Detector Meter Readlny O OOO"C" REMARKS: C—C C T/'7' T L-,d/ &'F?~ -.S f'Q U,v/D LINE PRES8URE-PSICONFINED SPACE?— TESTER'S SIGNATURE: t CERT. NO, 74YI/ DAT & D TESTER'S NAME PRINTED: A ' ~Y TESTER'S PHONE 0(G�,xS 1_j,�`7E REPAIRED BY: -----DATE FINAL TEST BY: CERT.NO. DATE TEST EQUIPMENT-MAKEI 11 4y E j MODEL SERIAL NO,//17.tQ7 f 6' SERVICE RESTORED? YESrKNOO ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED*' Routing: White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy Apt 12/17/2009 11: 19 4253! 73 A BAT AND SER�''_'E PAGE 02 RECEOVED UTILITIES DIVISION DEC 17 2009 154 W,Cox AdInglon.Wo 98223 BACK FLO VENTION ASSEMBLY TESTING REPORutllltl@S Div.rv .c (360)403-3526 (360)435-7944 Fax 0 NAME OF PREMISE CA/I Z _/,1A/l ,� i k*.8rdal D§ Resldentlal❑ Industrial SERVICE ADDRESS TY��'/i/�cs Y�Q y W'I ZIP !�.'1 AT CONTACT PERSON if n,, PHONE(F60)?�r' �/ti'e7 FAX(S CC)7 "-A 'q2 CONTACT COMPANY �1.4�OAt ?7 \/�' ADDRES!�4/ l /�P pdt-r 04CITY&"//mac f//M7 LOCATION OF ASSEMBLY DOWNSTREAM PROCESS&,0,4 y/G-1' DCVAN RPBAQ PV6A❑ SVBA❑ OTHER NEW INSTALL N EXISTING ] REPLACEMENT❑ OII.D SERIAL: - PROPER INSTALLATION?YES M NO❑ MAKE OF ASSEMBLY—C&,,a •AtS _ _MODEL 517-E � SERIAL NO. DCVAIRPBA DCVA/RPBA RPBA PVBAISVBA INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET TEST OPENED AT PSID LEAKED LEAKED ❑ CLOSED TIGHT CLOSED TIGHT #1 CHECK_ PSID OPENED AT PSID PASSED FAILED [j 7' ._�S:U .—PSID AIR GAP OK? DID NOT OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ ❑ ❑ 0 ❑ ❑ LEAKED ❑ AND p ❑ ❑ ❑ 0 Q REPAIRS Q ❑ ❑ E7 ❑ ❑ CLEANED ❑ © ❑ ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED Q LEAKED Q CLOSED TIGHT ❑ CLOSED TIGHT Q OPENED AT PSID AIR INLET PSID PASSED a FAILED 0 P51D _PSID #1 CHECK_ .__ PSID CHECK VALVE PSID AIR GAP INSPECTION: Required minimum air gap septfrstton provided? Yes Q No 54 Detector Meter Resding REMARKS: r(,_ �c l G'f� S I'� U�) M LINE PRESSURE•PSICONFINED SPACE? A)p TESTER'S SIGNATURE:_ / CERT.NO. 2 19 Z DATE/A&9A0° TESTER'S NAME PRINTED: Rd� � ( G. A -JA 7 TESTER'S PHONE 0(4.95-)311-/' �yA.3_ REPAIRED?BY DATE— FINAL TEST BY: CERT.NO, DATE TEST EQUIPMENT-MAKp j¢Z[�e~s MODEL S SERIAL.NOU ZSO� SERVICE RESTORED? YES NO❑ ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED*** Routing: White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy �t�°� '12/17/2009 11:19 425i, 3473 A BAT AND SE(� 3E PAGE 07 Y RECEPWE U UTILITIES DIVISION .�� 154 W.Cox �EC 17 2009 T<rNcto AdInpton,Wa98223 BACICFLOW PRE es L EMBLY TESTING REPOR `, (350)403-3520 Utilities Div. (360)435-7W Fax NAME OF PRE MISE_(:,4 tv A11 E- LEA I Ab.W/T5A L Commercial 0 Rasldential 0 Industrial❑ SERVICE ADDRESS �,�Q S. 'C7r/ ZZ6CM,-f/0y AUQ.ITY r1 Toy✓ {(/4 ZIP '?cP.ZA7 CONTACT PERSON �:C/I AI PHONE 136e) TD-('.7 yS<7 FAX( e& )7�3'xFr5�9 CONTACT COMPANY 421 cP J.Q \a r ADDRESs7 (o r4/R Pg&-r OR CITY cz,/t LOCATION OF ASSEMBLY_1 7 t/ rA Ar, T ;;(N -d' JG'tosA /1 y n /l d�i`1 q'DP laN/t DOWNSTREAM PROCESS Az 're At", DCVA❑ RPBAJJ PVBAD SVBA(:D OTHER NEW INSTALLS EXISTING❑ REPLACEMENT❑ OLD SERIAL 0 PROPER INSTALLATION?YES❑NO❑ MAKE OF ASSEMBLY </-..,k ZZ L MODEL O d9!`z3 4:r$IZE 7 . SERIAL NO. f�3� DCVAIRPBA DCVAIRPBA _ RPBA PV8AISVGA INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET TEST OPENED AT 4SID LEAKED 0 LEAKED ❑ CLOSED TIGHT E,;;* CLOSED TIGHT #1 CHECK fi— PSID OPENED AT PSID PASSED tZ- FAIL,ED 0 Y PSID _ ___PSID AIR GAP 0147_�S DID NOT OPEN[] CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS 11) ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND ❑ © 0 O ❑ D _ REPAIRS Ej ❑ ❑ El ❑ d CLEANED ❑ ❑ [] ❑ ❑ [] [] REPAIRED 0 TEST AFTER REPAIRS LEAKED © LEAKED ❑ CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT PSID AIR INLET PSID PASSED 0 FAILED ❑ PSID PSID #1 CHECK PSID CHECK VALVE PS)D AIR GAP INSPECTION: Required minimum air gapseparation proVIdid7 Yes (:, No Q Detector Motsr Rasding REMARKS: G d d ''iCl 77C,c1( l G t'r7"� S >✓(9 UN� LINE PRESSURE•PSI _CONIAINEC)SPACE7�� TESTER'S SIGNATURE: z CERT.N0, DATE1rd�� � TESTER'S NAME PRINTED: d,A) f `; G. A - K I' TESTER'S PHONE N REPAIRED BY: DATE __, FINAL TEST BY: // CERT. N'0.� _ DATE TEST EQUIPMENT-MAKE/rl1C l�-*-*XMODEL S SERIAL NO.//0-7o3/ SERVICE R$STORED9-*9jjff-NO2 ***NOTE; INCOMPLETE REPORTS WILL NOT BE ACCEPTED' Flouting: White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy i` a ��. ._ 12/17/2009 11:19 4253'./ 73 A BAT AND SERF" PAGE 06 � (� M 2 � E CIIE Q U E C,`�Y °� UTILITIES DIVISION D 154 W.Cox DEC 17 2009 �A �? Arlington,Wa 96223 SACKFLOW PREVE EMBLY TESTING REPORT ��r:G� (360)403-3526 40a (360)435-7944 Fax ��III�IG� �I�• NAME OFPREMISE_CA AQF //A ZZr-),f ,0/1-A4 Commercla C Residential CD Industrial SERVICEADDRESS :710 j, 7_1 I�-Al AuQiTY- //,✓6 td_✓ L&,4 zip_ ;,FgeA7 CONTACT PERSON �:O+!d PHONE(360) r7!Vj& FAX Cd)7 CONTACT COMPANY 2MHO,�V 9 `>3 � ADDRESS?y,,3 6 41,f 490A:r O,Q CITY&//JNC Y4= uox LOCATION OF ASSEMBLY109.,? A /*2r de o< �-yl l �/� (�� IW vNi ' DOWNSTREAM PROCESS_ C` / DCVA❑ RPSAM PVBA❑ SVBAD OTHER NEW INSTALL W EXISTING❑ REPLACEMENT© OLD SERIAL 0 PROPER INSTALLATION?YES 0�,NOD MAKE OF ASSEMBLY r,/,4 ?TS MODEL 4?O l fAo 4"f SIZE :2 w1 SERIAL NO,;4 5��y . q DCVAIRP A DCVAIRPBA RPBA PVBA/SVGA INITIAL CHECK VALVE.NO,1 CHECK VALVE NO.2 AIR INLET TEST OPENED AT�# '-AYPSID LEAKED ❑ LEAKED ❑ CLOSED TIGHT CLOSED TIGHT E5 01 CHECK'�2/'_ PSID OPENED AT PSID PASSED 1W FAILED Q _ 17. ;X, ,PSID _ PSID AIR GAP OK?_ tC%, DID NOT OPEN❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS 0 ❑ ❑ 0 ❑ ❑ LEAKED ❑ AND 0 ❑ Q ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ C] 1:1 ED CLEANED ❑ ❑ ❑ ❑ [] ❑ 0 REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED A7 PSID AIR INLET PSID PASSED ❑ FAILED p PSID PSID M1 CHECK PSID CHECK VALVE PSJD AIR GAP INSPECTION: Required minlmum air gap separation provided? Yes • No ❑ Detector Meter Reading_ REMARKS: ZA_ "cc/ J�77Gg( ! 6'(7- I±J 1'1! UZ?12 -- LINE PRESSURE-PSI ��CONFINED SPACE?N0 TESTER'S SIGNATURE: 2 CERT.NO, 7 y1I I DATE / C 1197 TESTER'S NAME PRINTED: O� 4' A Af TESTER'S PHONE 0(4.9S-) REPAIRED BY: DATE FINAL TEST BY:_ _ CERT,NO, DATEr TEST EQUIPMENT-MAKE,(�fjaliv cl MODEL S SERIAL NO, SERVICE RESTORED? YES© NoIS ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED*** Routing: White-City of Arlington Yellow-Tester'S Copy Pink-Owner's Copy qd� '12/17/2009 11:19 425 3473 A BAT AND SEl CE PAGE 05 0&,"0, UTILITIES DIVISION RECEIVED 154 W.Cox � /� 1 7 2009 Arllnplon,Wa 98223 BAC �NTION ASSEMBLY TESTING REPO l� 1 I J (360)403-3526 (360)435-7944 Fax Utilities Div. NAME OF PREMISE C A/1 /�A l�['Y /�ih,�e �i4 Commercial ® R*91dential0 Industrial Q SERVICE ADDRESS Z_T0 S C 7-11 Z/ry�ly-'A Lai TY -!A/ ujeg ziP_gcp73t� CONTACT PERSON aa,�,i1 _ _ PHONE(360),�0!r-7�agP FAX(T[d!)7 CONTACT COMPANY 42,MH$)),Q , _ADDRF-337 �� � �8/I7~ D4CITY�Cr/ril✓L yir uirl LOCATION OF ASSEMBLYS��y DOWNSTREAM PROCESS/f f DCVA❑ RPBAJ0 PVBA❑ SVBAQ OTHER NEW INSTALL IES EXISTING❑ REPLACEMENT OLD SERIAL#__ __ T PROPER INSTALLATION?YES 2�NO❑ MAKE OF ASSEMBLY Le�:t;;�T JJC Sl7B 7 SERIAL NO.;;C, �,'3 S 0 DCVA I RPSA DCVA I RPSA RPBA PVBA/SVBA INITIAL. CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET SST OPENED AT�- PSID LEAKED ❑ LEAKED ❑ CLOSED TIGHT CLOSED TIGHT 01 CHECK--A—PSID OPENED AT PSID PASSED [25— FAILED ❑ 7_ 41 PSID PSID AIR GAP OK? NL�'= DID NOT OPEN❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE ► EW HELD AT PSID PARTS ❑ ❑ 0 ❑ ❑ Cl LEAKED ❑ AND p ❑ - ❑ ❑ d Q REPAIRS ❑ E] 0 ❑ ❑ 0 CLEANED 13 ❑ �] ❑ [] ❑ ❑ REPAIRED TEST AFTER REPAIRS LEAKED © LEAKED Q CLOSED TIGHT ❑ CLOSED TIGHT Ej OPENED AT PSID AIR INLET PSID PASSED a FAILED Q — PSID —PSID #1 CHECK PSID CHECK VALVE PSID AIR GAP INSPECTION; Roquirsd minlmum ale gap/separation provldsd7 Yes W No ❑ Detector Motor Ro*ding REMARKS GG�� 7TGd f G f�`-S 1� ✓�� LINE PRESSURE-PSI�� CONFINED SPACE?,�!d TESTER'S SIGNATURE:&nj:�2 CERT.NO. -?N?1 _ DAYS/ iG 9 TESTER'S NAME PRINTED 0/0 X lelu& A - AY TESTER'S PHONE X(4.91-) G YRQ REPAIRED BY: DATE ____, FINAL TEST BY: CERT.NO, _ DATE— TEST EQUIPMENT-MAKR&1 u',c c f" MODEL s SERIAL NOf,/403:,73/. SERVICE RESTORED? YESQ NO;S ***NOTE: INCOMPLETE REPORTS WILL NOT BE ACCEPTED*** Routing: White-Clty of Arlington Yellow-Tester's Copy Pink-Owner's Copy � I 12/17/2009 11:19 42�F 3473 A BAT AND SE'_ -CE PAGE 09 ONG"'t UTILITIES DIVISION E �o E I V E 154 W,CoxrytryArlington,Wa 98223 DEC 1 / 2009 BACKFLOW PREVf=NTIO A 1�TESTING REPORT (360)403-3526(360)435-79"Fax Utilities Div. NAME OF PREMISE L>: ,(��et/ Commerclal 0 Residential [] Industrial SERVICE ADDRESS TY ZIP 1 c .Z A; CONTACT PERSON Al PHONE(36&)XeZ - FAX CONTACTCOMPANY j]�5,4 -[!J,(J!J �/? yj ADDRESA7 yj!(e 4hf 38Ay_ 0,CITy2gj1,1y LOCATION OF ASSEMBLY02 �PJ K DOWNSTREAM PROCESS ri7 _ „_,,._YDCVA❑ RPBAPZJ PVBA❑ SV13A❑ OTHER NEW INSTALL EXISTING❑ REPLACEMENT❑ OLD SERIAL it PROPER INSTALLATION?YES4 Nor-1 MAKE OF ASSEMBLY_Ce,_-'& ,f MODEL O&*dtL SIZE 1 SERIAL NO._l DCVA/RPBA DCVA PBA RP A PVBA/SVBA INITIAL CHECK VALVE NO.I CHECK VALVE NO.2 AIR INLET TEST OPENED ATZ,,J--PSID LEAKED ❑ LEAKED ❑ CLOSED TIGHT DE� CLOSED TIGHT, #1 CHECK Jrr�4 PSIO OPENED AT PSID PASSED M` v , FAILED ❑ - ,r —PS10 PSID AIR GAP OK? S DID NOT OPEN❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND ❑ ❑ ❑ ❑ ❑ REPAM 0 ❑ ❑ © ❑ ❑ CLEANED ❑ 0 ❑ ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT PSID AIR INLET PSID PASSED 0 FAILED [] PSID PSID #1 CHECK PSID CHECK VALVE PSJD AIR GAP INSPECTION: Rrqul/red minimum air gap&operation providod? Yet ( No ❑ Detector Motor Reading REMARKS: LINE PRESSURE-PSI y CONFINED SPACE?. 9 TESTER'S SIGNATURE: CERT.N0. N9I —DATE E/ TESTER'S NAME PRINTED: 0/� f / G. A - A TESTER'S PHONE#(41.2S REPAIRED BY: DATE_ _ FINAL TEST BY CgRT.NO. TEST EQUIPMENT• MAKE,/fjJ62�u' 1X /J.MODEL SERIAL NO.Z/0r1r3/a SERVICE RESTORED? YES❑ Np;K- ***NOTE; INCOMPLETE REPORTS WILL NOT BE ACCEPTED*** Routing: White-City of Arlington Yellow-Tester's Copy Pink-Owner's Copy 12/17/2009 11:19 425 J473 A BAT AND SE( ',E PAGE 08 Y UTILITIES DIVISION RECEOWED 154 W.Cox Arlington,Wa 98223 B VENACKFLOW PRE (��C 17 2009 <,Nc� � B Y TESTING REFOF�T� (360)403.3525 ( ) 360 435.7944 Fax Utilities Div. NAME OF PREMISE A4. 4 Commercial® Resld*ntial0 Industrial❑ SERVICE ADDRESS 70 s-. t�iAMLC// TY .i.P CONTACT PERSON [rIJ i n/ PHONE(?60) FN((�Cq) 7. -�� AADRE55.� CONTACT COMPANY�j /{!J�/tJ y1 �• Q_- /�, `�'_3(v /¢/R f��rS'r �Q,CITY.��//�Jt/C-!yi'rh'l GrJi( LOCATION OF ASSEMBLY,2/Vd Ufit t �✓4.C4 />'c/f„v /1/w,t y i/ DOWNSTREAM PROCESS 4? _DCVA❑ RPBA ,J PVBA❑ SVBA❑ OTHER_ NEW INSTALL Z EXISTING❑ REPLACEMENT❑J OLD SERIAL N PROPER INSTALLATION?YES fK NOD �) MAKE OF ASSEMBLY G!J A rr4 MODEL CtO j/`leT-r SIZE + SERIAL NO. / dG _DCVA I RPBA DCVA I RPBA RPBA PVBA I SVBA INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 _ AIR INLET TEST OPENED AT'—/- '�PSID LEAKED ❑ LEAKED ❑ CLOSED TIGHT CLOSED TIGHT #1 CHECK 7- PSID OPENED AT PSID PASSED Z_ FAILED ❑ --PSIO PSID AIR GAP OK7)&e_ DID NOT OPEN❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW HELD AT PSID PARTS ❑ ❑ _ -_-- © ❑ Cil 0 LEAKED ❑ AND D ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ CD � CD ❑ CLEANED ❑ ❑ ❑ [] ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ CLOSED TIGHT ❑ CLOSED TIGHT C] OPENED AT PSID AIR INLET PSID PASSED ❑ FAILED ❑ PSID _�—�SiG #1 CHECK PSID CHECK VALVE PSJO AIR GAP INSPECTION: Required minimum air gap /separation/provlded7 Yes w No Detector Meter Reading REMARKS_ ����'d CI-7 d [ �T� /4-J f 0 U/-)/D LINE PRESSURE-PSI 4/O CONFINED SPACE? /(10 TESTER'S SIGNATURE: CERT.NO. d 9 DATE TESTER'S NAME PRINTED: /?ON Qr /1(11.,16. CA -JAr) TESTER'S PHONE IV(4J-f) REPAJRED BY: DATE FINAL TEST DY. CERT. Nu.-- TEST EQUIPMENT-MAKE141 [V gs l' MODEL9_4/S'._._SERIAJ_NO.//07a�Zf S SERVICE RESTORED? YES N0;24 ***NOTE! INCOMPLETE DEPORTS WILL NOT BE ACCEPTED' Routing: White-City of Arlington Yellow-Tester's Copy fink-Owner's Copy `jAp'J ADegenkolb Subject: GENERATOR PAD DETAILS Job Number: Date: 4/29/09 Job: CVHC By: CWT Section: Checked By: Page of T.D. PAD �tr.�s�l� CAL TIP 5T, TT, TyP, • #�4 12 p,L lion. v CO N f A C.TF.A 5T/�-+cxC ,cA L- kND VwT HooK VEcTs, FILL-\ SEE NOTE. I (,TAP OF S,O,G. LFhHTF-& RE.LrtF, xr4 NA�I� T.D. GkW\ • — DOWF�LS Tv MATo szzE. SE, Uel'— PW6, AND SPAc-xrlG OF- Wkt,, 0,1 5, :W F F-:P RO L S AS 2 Erb`D T-0'.IjTDE I�-O-TNI:GK Foor-PW, GFNr�2ED $F-L.vq HAO- W1 Lj- #5 L006XT-upxt4AL- (RED 1 NuTs`s; I. KFPAXC 5U"A-ADF- PE.P- GEVTF-..HNT-GhL� PF-(4MftHPATT#-,Is hHD DF.TALL. S/S4.1 2, '54 SHU-T 34,1 T09- TgPICAL- SSI� G�H>-ZATbf- PAP P—E-V�r4THG ttAL►- SI �' .. � - ,_, i :. �, f L � I . I Y. _ 1. _ � .. 1 _ !'r� ,� � Y J 1 .. BLD20080234 - bfecht , I _ Page 1 of 1 BLD - Building Permit Ver: 2008B Priority: Normal J #BLD20080234 owner: CASCADE VALLEY HOSPITAL- PUBLIC, H status: APPLIED address: 1330 S STILLAGUAMISH AVE, ARLINGTON post date: 9/15/2008 data screens: I Select Screen... zJ functions: Select Permit Function... I'lumbing REVIEWS Add Review Remove Review I Print Close Review Description Assigned To I Due Date Req? Done? ASSIGN 2000 UNDERGROUND PLUMBING CYOUNG 9/15/2008 0 Y N ASSIGN 2008 _ UNDERGROUND PLUMBING BFECHT 9/15/2008 1 Y N ASSIGN FL ;_ ux)t 6-rz Pocc" atju/ -e.Qs e rrr, 1 http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?CONID=PT-L... 9/15/2008 ., ' ' • fi n . ti - � ;. 3 ' IlLs,01W6VIERCIAL. PLC► ,1RI11"1 PERMIT APPLICATION Department of Community Development City of Arlington o 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360) 403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION DRAWINGS,AND THREE (3) SETS OF FIXTURE SPECIFICATIONS(CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type o1- Permit: ( ) Commercial (�) Commercial Addition/Alteration Project Address: S. l Parcel ID#: Lot#: Subdivision: . � Project Description: � �CC�.�SlD-h Valuation: Owner: L61 bih-*a D� 1:;►okb�r►r5� �c' C�4hone um6e/� . Address: S, �9y I IaA(tam c , -A c City: State: Zip Code: Contact Person: 4&e dInLz_./4-ey Phone Number: Ax- 7:3V-.36100 Cell Phone: 360 -701-Y.F/9 Fax: 3cO-733 -Z,7qq E-mail: (n(Y1C/40nC1�9 dtOn 1 C'Ovr� Address: City: u+ 'l�9w� A_ 1'Z?1(4 Y —+�T State:�— Zip Code: 01� Please List quantity of fixtures Below: (vbE& O/-/z WATER CLOSET BATH TUB SHOWERS LAVATORIES CLOTHES WASHER LAUNDRY TUBS FLOOR DRAINS FLOOR SINKS SINKS URINALS `• SUMPS _ DISHWASHERS WATER HEATERS ROOF DRAINS WATER PIPING DWV ALTER/REPAIR LAWN SPRINKLERS DRINKING FOUNTAINS MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP Contractor: �iOlY�t6Y`oL _ s, Phone Number: 3&)-1,73y - L6D Address: ��3�' `� �Pivte City- t` � Zip Code: ��0 1 Y State: Contractor's License Number:. (0(1 k14 Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature at��g C'EIVE01 M I kF /n/�d�/ Print Applicants Name SEP 15 2008 COA PERMIT CENTEF FOR STAFF USE ONLY 2_00Y6 2-3 Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-112 Page 1 of 1 04/08 sb • I • �� � � BLD20080234 - Hecht Page 1 of 1 BLD - Building Permit Ver: 2008B Priority: Normal - #BLD20080234 �i owner: ICASCADE VALLEY HOSPITAL-PUBLIC, H status: JAPPLIED address: 1330 S STILLAGUAMISH AVE, ARLINGTON post date: 9/15/2008 data screens: Select Screen... - functions. Select Permit Function... - Numbing REVIEWS Add Review Remove Review Print Close Review Description Assigned To Due Date (�) � Req? Dane? ASSIGN 2000 UNDERGROUND PLUMBING CYCLING 9/15/2008 0 Y N ASSIGN 2008 UNDERGROUND PLUMBING BFECHT 9/15/2008 1 Y N ASSIGN http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?CONID=PT-L... 9/15/2008 i _ � i Simp/exGrinnel/ sE SAFE ATyco International Conipany Building Systems Submittal Package Cascade Valley Hospital 330 South Stillaguamish Avenue Arlington, WA 98223 RECEIVED JUN 9 2009 Fire Alarm System CO A PERMIT CENTER /Sl-ba0oC1,U � z7 SimplexGrinnell LP Milne Electric 952010th Ave. South 17251 Tye Street SE Suite 100 Monroe, WA 98223 Seattle, WA 98108 Ph: (360)863-9617 Phone: (206) 291-1400 Fax: (360)805-0287 Fax: (206) 291-1500 www.SimplexGrinnell.corn Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World I r Simp/exGrinne// BE SAFE. ATyco International Company Table of Contents Section I: Scheduling/Installation Checklist Section II: Equipment List.& Equipment Datasheets Section III: Hardware Warranty Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World i i SimplexGrinnell BE SAFE. ATyco International Company Scheduling Thank you for working with SimplexGrinnell on this project. We would like to take this opportunity to introduce you to the project team. Joe Hughes is the SimplexGrinnell Project Manager assigned to this project to help with generic project information. Chad McCammon is the project engineer to assist with drawings/engineering questions. Doreen Robinson is the project coordinator and is available for scheduling technicians. Office: (206)291-1400 Fax: (206)291-1500 In an effort to assist you in your installation we require you to arrange a Pre-Construction meeting with one of our Technicians. This meeting will allow your field foreman to ask any questions they may have in regards to the installation of your system. Based on the equipment quantities and current scope of work our Technician will need no less than 20 business days to complete all necessary programming and commissioning from the time the below checklist is complete prior to any final testing. Please make sure this time is allowed for in the General Construction CPM schedule as it can not be compressed. Change orders, change of scope,etc. may require additional time allotment to field personnel. Installation Checklist SimplexGrinnell is committed to providing the highest quality service available. As part of this service we want to ensure that the installation results in a trouble-free system. Please review the Checklist below and ensure each item is complete prior to our site visit. A Technician will be dispatched only after the below checklist items have been completed. If these items are not completed prior to the visit by our technician,you may incur additional charges not covered by our quotation. Please feel free to contact our office if you have any questions. O Panel(s) have been mounted and all wiring pulled into panel(s). O All wiring pulled into panel(s)or junction boxes have been permanently marked with wire markers and can easily be identified by a SimplexGrinnell Technician. O System Power is supplied and on a dedicated circuit(Do Not Energize prior to Technician visit). O All peripheral devices have been mounted. O All end-of-line resistors have been installed. O All circuits have been checked for shorts,opens and grounds. O All devices are properly protected against construction dust and contamination. O There are no missing parts or equipment. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World i Simp/exGrinne!/ BE SAFE ATyco International Company Equipment List & Equipment Datasheets Quantity Product ID Product Description Fire Alarm System 1 4100-9111 41000 Fire Alarm Control Panel 1 4100-0634 Power Distribution Module - 120V 8 4100-1279 2" Blank Display Module 1 4100-2300 Expansion Bay 1 4100-2302 8-Slot Expansion Bay Filler Panel 1 4100-3101 IDNet Module, 250 Pts 1 4100-3206 8 Point Auxiliary Relay Module 1 4100-5101 XPS Power Supply, 3 NACs, 120VAC 1 4100-6038 RS-232 Module 1 4100-6052 Event/Point Reporting DACT 1 2975-9426 Backbox/Door/R eta in er 3-Bay 2 2081-9279 Battery, 110Ah 1 4081-9306 Battery Cabinet 3 4009-9201 NAC Extender, IDNet, 120VAC 1 4009-9807 NAC Card,4 Point, IDNet 6 2081-9272 Battery, 6.2Ah 1 4190-9013 24-Pin Dot Matrix Printer 1 4603-9101 LCD Annunciator 19 4099-9001 Addressable Manual Station 188 4098-9714 Smoke Sensor 13 4098-9733 Heat Sensor 201 4098-9792 Sensor Base 13 283B-PL Fixed Temp Heat Detector 20 4090-9001 Supervised IAM 22 4090-9002 Relay IAM 28 2088-9008 Remote Relay - SPDT (MR-101/C) 21 4098-9756 Duct Sensor Housing,4-Wire 21 2098-9808 Remote Alarm LED 21 2098-9798 Sampling Tube, 73" 21 4098-9843 Duct Detector Relay (PAM-SD) Equipment List subject to change. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World 1 Simp/exGrinnel/ BE SAFE. ATyco International Company Quantity Product ID Product Description 106 4906-9129 Multicandela Wall Horn/Strobe-White 29 4906-9103 Multicandela Wall Strobe -White 1 MB-G10-24-R Weatherproof Bell 1 WBB-R Weatherproof Backbox 68 2088-9609 Door Holder, Surface-Mount Equipment List subject to change. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World 1 � % G®Simplex 41000 Fire Control Panels UL, ULC, CSFM Listed; FM Approved, Addressable Fire Detection and Control MEA (NYC)Acceptance* Basic Panel Modules and Accessories r Master Controller(top) bay: • Master controller with color-coded operator interface including raised switches for high confidence feedback • Dual configuration program CPU,convenient service port access, and capacity for up to 2000 addressable points" • System power supply(SPS)and charger(9 A total)with ` on-board:NACs,IDNetTM addressable device interface, programmable auxiliary output and alarm relay ' • Module level ground fault search locates and isolates faults to assist installation and service I ; ` „ • Available with InfoAlarmTM Command Center expanded urtllmlrs m,; content user interface see data sheet S4100-0045 ( ) AY..iIlNWIYLI :al�jlll.-:•1•u�-.N+-4' NI:KaL�l:4If1bL•Yt.•'.:1-..-- • Available with redundant CPU(requires two bays) • Upgrade kits are available for existing control panels 41000 Cabinets are Available with One,Two or Three Bays Standard addressable interfaces include: • IDNet addressable device interface with 250 points that support TrueAlarni®analog sensing and operate with either shielded or unshielded twisted pair wiring CPU provides two on-board configuration • Remote annunciator module support via RUI(remote programs: unit interface)communications port • Two programs allow for reduced service programming Optional modules include: time with one active program and one reserve • MAPNET II®or additional IDNet output modules and • Downtime is reduced because the system stays running IDNet/MAPNET II quad isolator modules during download pC based programmer features: • IDNet+output module with built-in quad isolator and • Convenient front panel access port for quick and easy enhanced operation for better retrofit to existing wiring download of site-specific programming (see data sheet 54100-0046) • Modifications can be uploaded as well as downloaded • TrueAlert®addressable notification appliance power for greater service flexibility supplies with three,3 A SLC outputs on-board e AND,firmware enhancements are made via software • DACT, City Connect,Network Interfaces,and RS-232 downloads to the EPROM—service personnel are not output ports for printers or maintenance terminals required to exchange board level components • Alann relays,auxiliary relays,additional power supplies,IDC modules, and NAC expansion modules • Service modems,VESDA®Air Aspiration Systems Building on the established success of the 4100 Series interface,and coded manual station interface products,the 410OU Series offers additional operator, • LED/switch modules and panel mount printers installation,and service features. These new features • Audio amplifiers,firefighter master phones,and control include both new hardware and new software designs that modules(see page 7 for additional data sheet reference) provide high performance and convenient operation,installation,and maintenance.(Additional features are Compatible with Simplex remotely located: found in documents referenced on page 7.) • 4009 IDNet NAC Extenders • TrueAlert Addressable Controllers • BACpac'BACnet®portal 41000 Control Panels provide point and module 41000 and upgrade kits are UL Listed to: capacities that are suitable for a wide range of small to • UL Std. 864,Fire Detection and Control(UOJZ),and medium size applications.They accept a variety of Smoke Control Service(UUKL) interface modules and can be configured for either r • UL Std. 2017,Process Management Equipment(QVAX) Stand-Alone or Networked fire control panel operation. l • UL Std. 1076,Proprietary Alarm Units-Burglar(APOU) See pages 5 and 6 for product that is UL or ULC listed.This product has been approved by the California Slate Fire Marshal(CSFM)pursuant to Section 13144.1 of the • UL Std. 1730,Smoke Detector Monitor(UULH) California Health and Safety Code.See CSFM Listing 7165-0026:251(non-high rise)and • ULC Std. S527-99 7170-0026 250(high rise)for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible Simplex fire alarm technology is protected by the following U.S.Patent Numbers: cancellation.Additional listings may be applicable;contact your local Simplex product TrueAlarm analog detection:5,155,468;5,173,683 and 5,543,777.IDNet/MAPNET II supplier for the latest status.Listings and approvals under Simplex Time Recorder Co. addressable communications;4,796,025,5,966,002;and 6,034,601.TrueAlert addressable are the property of Tyco Safety Products Westminster. notification;6,313,744:6,426,697;and 6.693,532132.SmartSync control;6,281,789. S4100-0031-11 4/2007 The Master Controller Bay(top)includes a standard • The latching dress panel (retainer)assembly easily multi-featured system power supply,the master controller lifts off for internal access board, and operator interface equipment. • NACs are mounted directly on power supply The Expansion Bays include a Power Distribution assemblies providing minimized wiring loss,compact Interface(PDI)for new 4"x 5"flat design option size, and readily accessible terminations modules and also accommodate 4100-style modules. • Packaging supports traditional 4100-style motherboard with daughter cards The Battery Compartment(bottom)accepts two Modules are power-limited(except as noted,such as batteries,up to 50 Ah,to be mounted within the cabinet relay modules) without interfering with module space. • The NEMA 1 box is ordered separately and available The following illustration identifies bay locations using a for early installation three bay cabinet for reference. • Boxes,doors,and dress panels are available in beige or red(ordered separately) �111< tl�llllllflllfllllflftllfl�llffflfltlttmtitifihllill111iflfl� i11111111111111illflit g • Doors are available with tempered lass inserts or IIINIIIIIIIIIIIIII1111111111111111111111U1111111uIIIIIUIIIIIIIIIIINIIIIIIIIIuuIIIIIIIHilpllll p solid,in beige or red rso h --rI • Refer to data sheet S4100-0037 for enclosure details Sfo12J, Master c...... ert3ay - - The following illustration identifies the primary functions "-': ! of the operator interface. Master controller with System power supply Operator interface panel is directly dual slot motherboard viewable and accessible(no access door) Expansion Bay 1 �^ _. -. i Typical bays with ' L mixed module sizes i ,Expansion Say 2 Upload/Download Basic operator instructions Panelsounder 1 py port access(under are printed on the interface l I sliding cover) mounting plate TrueAlarm individual analog sensing with front panel I Battely compartment information and selection access • "Dirty"TrueAlarm sensor maintenance alerts,service IIIIgIIIIIIIII1111111111111111111111111111111111111111111111111111IIIllllllllllllllllllllllllllllllll ( and status reports including"almost dirty" mluuuuu➢unlwuuuuluuullWluwWW mnununmuW�WOuuuuuuuuL • TrueAlarm magnet test indication appears as distinct 41000 Module Bay Reference "test abnormal"message on display when in test mode • TrueAlarm sensor peak value performance report ■ . • • Selectable service override allows authorized operators to clear alarm conditions during System Reset even if • Optional modules are easily and quickly installed and status has gone to trouble before reset occurred programmed • Module level ground fault searching assists installation • New design modules are mechanically secured in place and service by locating and isolating modules with and then electrically plugged into the PDI module grounded wiring reducing the need for wiring harnesses • WALKTESTTM silent or audible system test performs • Boxes can be close-nippled;each box provides an automatic self-resetting test cycle(WALKTEST convenient stud markers for drywall thickness and operation is protected under U.S. patent No.4,725,818) nail-hole knockouts for quicker mounting . NOTE: If new features require software revisions, • Smooth box surfaces are provided for locally cutting updates will be performed on-site by the authorized conduit entrance holes exactly where required Simplex product representative. 2 S4100-0031-11 4/2007 Convenient Status Information.With the locking • Convenient and extensive operator information is door closed,the glass window allows viewing of the provided using a logical,menu-driven display display,status LEDs, and available operator switches. . Multiple automatic and manual diagnostics for Features include a two-line by 40-character,wide viewing maintenance reduction angle(super-twist)LCD with status LEDs and switches as shown in the illustration below. • Alarm and Trouble History Logs(up to 1200 total events)are available for viewing from the LCD,or LED indicators describe the general category of activity capable of being printed to a connected printer,or being displayed with the LCD providing more detail. For downloaded to a service computer the authorized user,unlocking the door provides access to the control switches and allows further inquiry by • Convenient PC programmer label editing scrolling the display for additional detail. • Password access control FIRE ALARM ACK acknowledges a Fire Alarm condition,logs the acknowledge,and silences the operator panel and all annunciator tone-alerts 51X SYSTEM STATUS INDICATOR LEDs PRIORITY 2 ACK acknowledges a Priority 2 Alarm provide system status indications in addition condition,logs the acknowledge,and silences the to LCD information,LEDs flash to indicate operator panel and all annunciator tone alerts ULC SYSTEMS the condition and then when acknowledged, SUPV ACK acknowledges system supervisory require designating remain on until reset: conditions,logs the acknowledge,and silences the a Ground Fault Fire Alarm&Priority 2 Alarm,red LED operator panel and all annunciator tone-alerts indicator Supervisory&Trouble,yellow LED Alarm Silenced,yellow LED TROUBLE ACK acknowledges system troubles,logs Ala Power,green LED(on for normal) the acknowledge,and silences the operator panel and all annunciator tone-alerts THREE PROGRAMMABLE LEDs ALARM SILENCE causes audible notification provide custom labeling,the top 2 X 40 LCD READOUT,LED backlighted appliances to be silenced(depending on panel two LEDs are selectable as red or during normal conditions and abnormal programming)typically after evacuation is complete and yellow,the bottom LED is operating conditions,provides up to 40 while alarm source is being investigated;may allow selectable as green or yellow characters for custom label information visible notification to continue(strobes still flashing) FIRST ALARM DISPLAY:Operation can SYSTEM RESET restores control panel to normal when Custom label insert be selected for maintained display of first all alarmed inputs are returned to normal alarm until acknowledged wetamaW.Eaat SYSTEM IS NORMAL I rip wat•mov,-w••t 12: :�5: 15 am TUE 2@-MAR-07 ' 1 GroundFauM I 1 r I 1 Manual Evac r" 1 � I 1 1 ` I 1 City Diaconnoct 1 I 1 I 1 I Sh 1 1 Elovator RecallEvrNi S°' himTime 1 1 1 1 1 Lamp TNt AL Tnt FIVE PROGRAMMABLE POINT STATUS ADDITIONAL LCD NAVIGATION NUMERIC KEYPAD for FUNCTION SWITCHES, CONTROL KEYS: FUNCTION KEYS: CONTROL: point category and point each with a yellow LED Point Enable and Event Time Request Menu selection selection(alphabet indicator;NOTE:Program Disable More Information Request Vertical and characters are not used at the bottom switch as"Lamp Force On or Arm Lamp Test Horizontal position this time) Test"for UL listed systems Force Off or Disarm selection buttons Return On/Off or Arm/Disarm to Auto Mode 3 S4100-0031-11 4/2007 The 4100U is compatible with an extensive list of remote The 4100U can be equipped with a TrueAaert Power Supply peripheral devices including printers,CRT/keyboards, and that provides three 3 A Signaling Line Circuits(SLCs)for both conventional and addressable devices including both controlling and powering addressable notification TrueAlarm analog sensors. appliances. With addressable appliances, Class B wiring _ can be"T-tapped"for both easier wiring and reduced wire • • • _ _ • • run lengths.Extensive details concerning TrueAlert Overview.The 410OU provides standard addressable addressable notification are found on data sheet device communications for IDNet compatible devices and S4009-0003.Appliances are documented separately and accepts optional modules for communications with include horns,strobes,and combination units. MAPNET II compatible devices.Using a two wire _ • _ • communications circuit,individual devices such as manual fire alarm stations,TrueAlarm sensors, Addressable device communications include operation of conventional IDC zones, and sprinkler waterflow TrueAlarm smoke and temperature sensors. Smoke switches can be interfaced to the addressable controller to sensors transmit an output value based on their smoke communicate their identity and status. chamber condition and the CPU maintains a current Addressability allows the location and condition of the value,peak value,and an average value for each sensor. connected device to be displayed on the operator interface Status is determined by comparing the current sensor LCD and on remote system annunciators.Additionally, value to its average value. Tracking this average value as control circuits(fans,dampers,etc.)may be individually a continuously shifting reference point filters out controlled and monitored with addressable devices. environmental factors that cause shifts in sensitivity. Addressable Operation. Each addressable device on Programmable sensitivity of each sensor can be field the communication channel is continuously interrogated selected at the control panel for different levels of smoke for status condition such as:normal,off-normal,alarm, obscuration(shown directly in percent)or for specific supervisory,or trouble. Both Class B and Class A heat detection levels.In order to evaluate whether the operation are available. Sophisticated poll and response sensitivity should be revised,the peak value is stored in communication techniques ensure supervision integrity memory and can be easily read and compared to the alarm and allow for"T-tapping"of the circuit for Class B threshold directly in percent. operation.Devices with LEDs pulse the LED to indicate TrueAlarm heat sensors can be selected for a fixed receipt of a communications poll and can be turned on temperature detection,with or without rate-of-rise steady from the panel. detection.Utility temperature sensing is also available, IDNet Channel Capacity. The CPU bay system power typically to provide freeze warnings or alert to HVAC system problems. The temperature readings can be supply(SPS)provides an IDNet signaling line circuit programmed to be read in either Fahrenheit or Celsius. (SLC)that supports up to 250 addressable monitor and control points intermixed on the same pair of wires. TrueSense®Early Fire Detection.Multi-sensor Additional IDNet circuit modules are available for 64, 4098-9754 provides photoelectric and heat sensor data 127,or 250 addressable devices. using a single 4100U IDNet address. The panel evaluates MAPNET If Channel Capacity.A total of 127 smoke activity,heat activity,and their combination,to provide TrueSense early detection.For more details on addressable monitor and control points may be intermixed this patented operation,refer to data sheet S4098-0024. on the same pair of wires supporting a single MAPNET II signaling line circuit(SLC). - • • • • Wiring Requirements for IDNet or MAPNET If Sensor Status.TrueAlarm operation allows the control Communications.Refer to the specifications chart panel to automatically indicate when a sensor is almost below.Distances are for shielded or unshielded wire. dirty,dirty,and excessively dirty.The NFPA 72*(National Shielded wire may provide protection from unexpected Fire,41arnr Code)requirement for a test of the sensitivity sources of interference. range of the sensors is fulfilled by the ability of TrueAlarm operation to maintain the sensitivity level of each sensor. Wiring Specifications Modular TrueAlarm sensors use the same base and Size 18 AWG(0.82 mm2) different sensor types(smoke or heat sensor)and can be Preferred Shielded twisted pair(STP) easily interchanged to meet specific location requirements. Type Acceptable" Unshielded twisted pair(UTP) This allows intentional sensor substitution during building construction when conditions are temporarily dusty. Farthest Distance 126-250 Up to 2500 feet(762 m) Instead of covering smoke sensors(causing them to be from Control Panel disabled),heat sensors may be installed without per Device load up to 125 Up to 4000 ft(1219 m) reprogramming the control panel.The control panel will Total Wire Length Allowed With to 10 058F indicate an incorrect sensor type,but the heat sensor will "T"Taps for Class B Wiring Up ,000 ft(3 km); , N operate at a default sensitivity to provide heat detection "Some applications may require shielded wiring.Review system with your for building protection at that location. local Simplex product supplier. 4 S4100-0031-11 412007 • , System Power Supply (Continued): Master Controller and Motherboard: Three, 3 A On-Board NACs,conventional reverse polarity operation;rated 3 A for Special Application • The master controller mounts in Slot 4 of a two slot appliances and 2 A for Regulated 24 DC power,with motherboard (Slots 3 and 4 of the Master Controller Bay) electronic control and overcurrent protection;selectable and provides a standard RUI communications channel, as Class B or Class A,and for synchronized strobe or selectable as Style 4 or Style 7, available at Slot 4 SmartSyncTm horn/strobe operation over two wires • RUI controls up to 31 MINIPLEX®transponders,or . NACs can be selected as auxiliary power outputs remote annunciators per channel,including 4603-9101 derated to 2 A,for continuous duty;the total auxiliary LCD Annunciators,4602-9101 Status Command Units power output per SPS is limited to 5 A (SCU),4602-9102 Remote Command Units(RCU),4602 . Battery Charger is dual rate,temperature compensated, Series LED Annunciator Panels,and 4100 Series 24 1/0 and charges up to 50 All sealed lead-acid batteries and LED/Switch modules for custom remote mounting mounted in the battery compartment;also is UL listed • Up to four RUI channels are supported; use up to three for charging up to 110 Allbatteries mounted in an 4100-1291 RUI expansion modules as required external cabinet(see data sheet S2081-0012 for details) • Optional Service Modem 4100-6030 mounts onto the • Battery and Charger Monitoring includes battery master controller board with its own on-board connections charger status and low or depleted battery conditions; • Slot 3 of the motherboard is primarily used for the status information provided to the master controller 4100-6014 Network Interface Board with media modules, includes analog values for:battery voltage,charger and secondarily can accommodate the 4100-6038 Dual voltage and current,actual system voltage and current, RS-232 Board and individual NAC currents System Power Supply: (see page 7 for more detail) • 2 A Auxiliary Power Output is selectable for detector • Rating is 9 A total with"Special Application"appliances; reset,door holder,or coded output operation 4 A total for"Regulated 24 DC"appliance power • Auxiliary Relay is selectable as N.O.or N.C.,rated 2 A • Outputs are power-limited,except for the battery charger @ 32 VDC,and is programmable as a trouble relay, • Provides system power,battery charging,auxiliary power, either normally energized or normally de-energized,or auxiliary relay,earth detection,on-board IDNet as an auxiliary control communications channel for 250 points,three on-board • Optional City Connect Module(4100-6031,with NACs,and provisions for either an optional City Connect disconnect switches,or 4100-6032,without disconnect Module or an optional Alarm Relay Module switches)can be selected for conventional dual circuit • IDNet SLC Output provides Class B or Class A city connections communications for up to 250 addressable devices(as • Optional Alarm Relay Module(4100-6033)provides described on page 4) three Form C relays that are used for Alarm,Trouble, Master • and Supervisory,rated 2 A resistive @ 32 VDC Controller • • Master Controller and Expansion Bay Selection* (Canadian models have low battery cutout) Model Model Type/Listing Description Supv. Alarm 4100-9111 120 VAC Input UL 41000 Master Controller Assembly with LCD and 4100-9112 English 120 VAC,Canadian ULC operator Interface,9 A system power supply/battery 375 mA 472 mA 4100-9113 French charger(SPS),250 point IDNet interface, 3 NACs, 4100-9211 220-240 VAC Input UL auxiliary relay,and external RUI communications interface 4100-9131 120 VAC Input UL 41000 Master Controller Assembly, no display,no 4100-9132 English 120 VAC,Canadian ULC operator interface,9 A system power supply/battery 363 mA 425 mA 4100-9133 French I charger(SPS),250 point IDNet interface, 3 NACs, 4100-9230 220-240 VAC Input UL auxiliary relay,and external RUI communications interface Redundant Master Controller,two bay assembly;top bay contains LCD and operator interface, 4100-9121 CPU card assembly, and 41000,9 A system power supply/battery charger(SPS);second bay 718 mA 937 mA contains CPU card in Slot 2, and LCD and operator interface; 120 VAC,60 Hz input; NOTE:RUI connections require use of 4100-1291 RUI expansion modules 4100-2300 Expansion Bay Assembly; order for each required expansion bay(not required for 4100-9121) Master Controller Upgrades for Existing 4100 Series Fire Alarm Control Panels* Model Description 4100 Panel Type Details 4100-7150 Master Controller Upgrade with LCD and operator interface assembly 1000 point Upgrades existing 4100-7151 Master Controller Upgrade without LCD or operator interface (4100+) 4100 panel to 4100-7152 Master Controller Upgrade with LCD, operator interface, and power supply 512 point 41000 operation 4100-2301 Expansion Bay Upgrade Kit for mounting 41000 style(4"x 5"modules)in existing 4100 style panels Master Controller Upgrades for Existing 4020 Series Fire Alarm Control Panel Model Description 4100-9833 4020 Master Controller Upgrade with LCD&operator interface assembly;mounts as an adjunct panel; single bay size with locking glass door and retainer;cabinet dimensions are 24"W x 22"H x 8-3/8"D(610 mm x 559 mm x 213 mm) *For InfoAlarm Command Center expanded content display products, refer to data sheet S4100-0045. 5 S4100-0031-11 4/2007 VNIMM Mm.111117 • Communication Modules Model Description Size Supv. Alarm 4100-6014 For Master Controller; mounts in Slot 3 Modular Network Interface; each requires 1 Slot 46 mA 46 mA 4100-6061 For Redundant Master Controller two media modules(below) 1 Slot 46 mA 46 mA 4100-6056 Wired Media Module Select two media cards as required; mounts on N.A. 55 mA 55 mA 4100-6057 Fiber Optic Media Module 4100-6014 or 4100-6061 N.A. 25 mA 25 mA 4100-6055 Network Access Dial-in Service Modem, mounts to 4100-6014 or 4100-6061 Network N.A. 60 mA 60 mA Interface Card, requires telephone line connection 4100-1291 Remote Unit Interface Module(RUI); up to three maximum per control panel 1 Slot 85 mA 85 mA 4100-6030 Service Port Modem, local panel access only, mounts to Master Controller Module, N.A. 70 mA 70 mA requires telephone line connection,accesses same information as front panel port 4100-6031 City Circuit, with disconnect switches For use with SPS N.A. 20 mA 36 mA only,4100-6032 SPS(fits Select one per ts on SPS) City Circuit, w/o disconnect switches Y, not RPS N.A. 20 mA 36 mA 4100-6033 Alarm Relay, 3 Form C relays, 2 A @ 32 VDC;for SPS or RPS N.A. 15 mA 37 mA 4100-6036 Physical Bridge, Class B, includes 1 modem module and 2 wired modules 1 Slot 210 mA 210 mA 4100-6037 Physical Bridge, Class A, includes 2 modem and 2 wired modules 2 Slots 300 mA 300 mA 4100-6038 Dual Port RS-232 Interface,mounts in Slot 3 or Slot 2; 3 max. RS-232 type per panel 1 Slot 132 mA 132 mA 4100-6045 Decoder Module 3 Slots 85 mA 163 mA 4100-6048 VESDA Aspiration System Interface 1 Slot 132 mA 132 mA 4100-6065 2120 BMUX Replacement Module; see data sheet S4100-0048 for details 1 Slot 220 mA 220 mA 4100-9816 Master Clock Interface Module with one standard RS-232 port(see S4100-0033) 1 Slot 132 mA 132 mA s 4100-6052 DACT, Point or Event Reporting; 1 shipped unless 4100-7908 is selected;2 max. per 1 Slot 30 mA 40 mA system; includes 2,2080-9047 cables, 14 ft(4.3 m)long, RJ45 plug and spade lugs Expansion,System, Remote,and TrueAlert Power Supplies and Accessories (Canadian models have low battery cutout;XPS and RPS NACs operate like SPS,see page 5 for details) Model Description/Listing Size Supv. Alarm 4100-5101 120 VAC UL 4100-5103 120 VAC,Canadian ULC Expansion Power Supply(XPS); 9 A output,3 built-in 2 Blocks 50 mA 50 mA Class A/B NACs 4100-5102 220-240 VAC UL 4100-5115 NAC Expansion Module, 3 NACs, Class A/B,mounts on XPS only N.A. 25 mA 25 mA 4100-5111 120 VAC UL Additional System Power Supply(SPS); 9 A power 4100-5112 120 VAC, Canadian ULC supply/charger with 250 point IDNet channel, 3 Class 4 Blocks 175 mA 185 mA 4100-5113 220-240 VAC UL A/B NACs, add IDNet device currents separately 4100-5125 120 VAC UL Remote Power Supply(RPS);9 A power 4100-5126 120 VAC,Canadian ULC supply/charger similar to SPS except no IDNet channel 4 Blocks 150 mA 185 mA 4100-5127 220-240 VAC UL or City Circuits;will accept one 4100-6033 4100-5120 120 VAC UL TrueAlert Power Supply(TPS); 3 Class B SLCs rated 3 A each for up to 63 TrueAlert addressable(special 4100-5121 120 VAC, Canadian ULC application)appliances per channel, 189 per TPS; 4 Blocks 88 mA 100 mA built-in battery charger; 2 A aux. power output; add 4100-5122 220-240 VAC UL I device current separately(see S4009-0003 for details) 4100-5124 TrueAlert SLC Class A Adapter for all 3 SLCs, mounts on TPS only N.A. 10 mA 10 mA 4100-5152 12 VDC Power Option, 2 A maximum 1 Block 1.5 A maximum 4100-0156 8 VDC Converter, required for multiple Physical Bridge Modules, 3 A maximum 1 Block included w/loads 4100-0636 Box Interconnection Harness Kit(non-audio); order one for each close-nippled cabinet 4100-0638 4100 Slot Module Additional 24 VDC Harness; need when 4100 Slot module requirements exceed 2 A from SPS 8 Zone Initiating Device Circuits" Expansion Signal Module and Options(1.5 A Class B except as noted) Model Type Supv. Alarm Model Description Supv. Alarm 4100-5005 Class B 75 mA 195 mA 4100-5116 Converts 1 NAC in to 3 NACs out; 1 Block size 18 mA 80 mA 4100-5015 Class A 1 75 mA 195 mA 4100-1266 Expands 3 NACs to 6 1select one; mounts 0.6 mA 60 mA IDC Modules are 1 Slot size 4100-1267 Converts 3 NACs to Class A I on 4100-5116 0.6 mA 30 mA Miscellaneous Accessories Model Description 4100-1279 Single blank 2"display cover, order as required(8 are required to fill a bay front) 4100-2210 Appliqu6, Canadian French,41000 Fire Control 4100-9835 Termination and Address Label Kit(for module marking); provides additional labels for field installed modules 4100-6029 Smoke Management Application Guide; required for UUKL listing 4100-6034 Door Tamper Switch with built-in addressable IDNet IAM,one per cabinet assembly if required Series resistor for WSO, IDCs(N.O.water flow and tamper on same circuit, wires after water flow and before tamper) 2081-9031 470 0, 1 W,encapsulated,two 18 AWG leads(0.82 mm2), 2-1/2" L x 1-3/8"W x 1"H (64 mm x 35 mm x 25 mm) Continued on next page 6 S4100-0031-11 4/2007 I III . s M11111(fromn Addressable Interface Modules (refer to location reference on page 8) Model Description Supv. Alarm 0-` 0-4100-3101 IDNet Module,250 point capacity With 250 IDNet devices, add 200 mA 250 mA 4100-3104 IDNet Module, 127 point capacity With 127 IDNet devices, add 102 mA 127 mA 4100-3105 IDNet Module,64 point capacity With 64 IDNet devices, add 51 mA 64 mA IDNet Modules,Specifications for each capacity; Module without devices 75 mA 115 mA Module size= 1 Block Loading per IDNet device 0.8 mA 1 mA Model Description Supv. Alarm MAPNET II Module, 127 point capacity, add devices Module without devices 255 mA 275 mA 4100-3102 separately; Module size=2 Slots; Loading per MAPNET II device= 1.7 mA Fully loaded module,total 471 mA 491 mA Isolator Module for MAPNET II or IDNet; converts a single connected SLC into four isolated outputs selectable as Class A or Class B; up to two Isolator Modules can be 4100-3103 connected to one SLC; Module size= 1 Slot; 50 mA 50 mA NOTE:Compatible with MAPNET II Remote Isolators only;for quad isolation with IDNet Remote Isolators, use 4100-3107 IDNet+Module(see data sheet S4100-0046 for details) Relay Modules; Nonpower-limited (for mounting in expansion bay only, refer to location reference on page 8) Model Description Resistive Ratings Inductive Ratings Size Supv. Alarm 4100-3202 4 DPDT w/feedback 10 A 250 VAC 10 A 1250VAC 2 Slots 15 mA 175 mA 4100-3204 4 DPDT w/feedback 2 A 130 VDCNAC 1/2 A 30 VDC/120 VAC 1 Block 15 mA 60 mA '4100-3206 8 SPDT 3 A 30 VDC/120 VAC 1-1/2 A 30 VDC/120 VAC 1 Block 15 mA 190 mA Current Calculation Notes: 1. To determine total supervisory current, add currents of modules in panel to base system value and all external loads powered by panel power supplies. 2. To determine total alarm current, add currents of modules in panel to base system alarm current and add all panel NAC loads and all external loads powered from panel power supplies. System Power Supplies(SPS) 120 VAC Models 3.5 A maximum @ 102 to 132 VAC, 60 Hz Input Expansion Power Supplies(XPS) Power Remote Power Supplies(RPS) 220-240 VAC 1.75 A maximum @ 204 to 264 VAC, 50/60 Hz; TrueAlert Power Supplies(TPS) Models separate taps for 220/230/240 VAC Power Supply Output Total Power Supply Including module currents and auxiliary power outputs; Output switches Ratings for SPS,XPS, Out Rating 9 A total for"Special Application"appliances;4 A total for to battery backup and RPS "Regulated 24 DC"power(see below for details) during mains AC (nominal 28 VDC on Auxiliary Power Tap 2 A maximum failure or AC;24 VDC on battery NACs Programmed 2 A maximum per NAC; Rated 19.1 to 31.1 VDC brownout backup) for Auxiliary Power 5 A maximum total conditions Special Application Simplex 4901,4903,4904,and 4906 Series horns, strobes, and combination horn/strobes and Appliances speaker/strobes(contact your Simplex product representative for compatible appliances) Regulated 24 DC Power for other appliances listed to UL Standard 1971 or UL Standard 464; use associated external Appliances synchronization modules where required Battery Charger Battery capacity range UL listed for battery charging of 6.2 Ah up to 110 Ah(110 Ah batteries require a Ratings for SPS, remote battery cabinet);ULC listed for charging up to 50 Ah batteries RPS and TPS(sealed Charger characteristics Temperature compensated,dual rate, recharges depleted batteries within 48 lead-acid batteries) and performance hours per UL Standard 864;to 70% capacity in 12 hours per ULC Standard S527 Environmental Operating Temperature 32°to 120°F(0°to 49° C) Operating Humidity I Up to 93%RH, non-condensing @ 90° F(32'C)maximum UrgronTrOTITTRUTITIM Subject Data Sheet Subject Data Sheet Subject Data Sheet Enclosures S4100-0037 MINIPLEX Transponders S4100-0035 InfoAlarm Comm.Center S4100-0045 LED/Switch Modules&Panel S4100 S4100 IDNet+Module w/Quad Graphic 1/0 Modules S4100-0005 Mount Printer -0032 Isolator -0046 2120 BMUX Module S4100-0048 41000 Audio/Phone Modules S4100-0034 Remote Annunciators S4100-0038 SafeLINC Internet Interface S4100-0028 TFX Interface Module S4100-0042 Network Display Unit(NDU) S4100-0036 Addressable Device S4090-0011 TrueAlert Addressable Products S4009-0003 Remote Battery Charger S4081-0002 I Compatibility List 7 S4100-0031-11 4/2007 �21 elm", WMITir-rdiiii .. - Slot 3,one 2"card:either 4100-6014 Network Module with media cards or 4100-6038 Dual RS-232 rilfllflllllfllflt0lfllffllffQllllfill?III.II 4100-6030 Service Modem mounts: Master Controller Bay' (IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiillllllllllllll.il(only on master controller board ' Two,2",or one,4"slot for one or two modules installed - Knockout Cabinet height: t '4100-6031 or 4100-6032 per the following: 1 City Circuit or 4100-6033 screw/nail (2 bay shown 4100-6052 DACT,Slot 1 ;sia,' '- i Alarm Relay _ holes(for ; for reference) Physical Bridge, semi-flush 1 Bay=22" 4100-6036 Ph Y g sra�', —► mounting) ; 4 � j (559 mm) Slot 2 Door thickness 4100-6037 Physical Bridge ! 2 Bay=40" (4"module)Slots 1 and 2 - r.-- (1016 mm) 'Master control r � poyyer ly 4100-6048 VESDA Interface, with motherboard Exposed cabinet 3 Bay=56" Slot 1 or 2 i for semi-flush (1427 mm) Wall board 4100-5005/5015 IDC Modules, mounting Slot 1 or 2 l_ 1-3/8"(35 mm) reference for -F "° minimum semi-flush 4100-6038 Dual RS-232, y „f 1I i`I —: �C' i mounting, Slot 2,if Network Module is =-- 1' -- "' 6"stud in Slot 3 Typical Expansion Bay i �i w.. ter► Stud ,(shoW111g mixed module sizes) t alignment I _ Exposed door / markers, [STwo bay cabinet and cabinet for each side hown without retainer I semi-flush 6"stud mounting Battery Compartment 2-3/4"(70 mm) 4"stud minimum e _ J�J III!Ili!II!IIIIIII!illlllllllllllllllllllllllll!Illlllllllllllllilllllll!Illllliilll!IIIIIIII�IIIIII Door can be hung✓ 1 ���lllWlillWlWllllWl ll hinged left or right. -- 6-29132" _ 24"(610 may _ (175 mm) Optional semi-flush trim kit 8 3/8"(213 mm) NOTE: A system ground must be provided for Earth Detection and transient protection devices.This connection shall be made to an approved, dedicated Earth connection per NFPA 70,Article 250, and NFPA 780. Expansion . . Loading Slot 1 Slot 2 Slot 3 Slot 4 Slot 5 Slot 6 Slot 7 Slot 8 Description Mounting IDNet Modules 1 Block 4,2 A Relays 1 block NON Block A Block c Block E Block G 4, 10 A Relays power-limited 4".2 slots 8,3 A Relays 1 block VESDA Interface 2", 1 Slot Class B IDC 2", 1 Slot Class A IDC 2", 1 Slot MAPNET II Module 4",2 Slots MAPNET II/IDNet Isolator 2", 1 Slot Class B Physical Bridge 2", 1 Slot Block B Block D Block F Block H Class A Physical Bridge 4",2 Slots �1 n Decoder Module 6",3 Slots U V System,Remote,or TrueAlert Blocks E,F,G&H Expansion Bay Chassis Power Supply ONLY Expansion Power Supply Blocks G&H ONLY Size Definitions: Block=4"W x 5"H(102 mm x 127 mm)card area NAC Expansion Module On XPS ONLY Slot=2"W x 8"H (51 mm x 203 mm)motherboard with daughter card Tyco,Simples,the Simpler logo,IDNet,MAPNET 11,TrueAlarm,SmarrSvne,WALKTEST,MINIPLEX,TrueAlert,TrueSense,InfoAlarin,and BACpoc are trademarks ofTveo International Services AG or its offilrales in the U.S.and-or other countries.Microsoft and Windows are registered trademarks of Microsoft Corporation. VESDA is a trademark of Vision Products Ply Ltd.NFPA 72 and National Fire Alarm Code are registered trademarks ofthe National Fire Protection Association(NFPA).BACnet is a registered trademark of the American Society of Heating,Refrigeration,and Air Conditioning Engineers(ASHRAE). Simplex Tyco Safety Products Westminster-Westminster, MA-01441-0001-USA S4100-0031-11 4/2007 £� e www.tycosafetyproducts-usa-wm.com 1,2007 hco Safety Products Wevinunsier.All rights resemed.All speciiticalions and other mf rinalion shown were current av of document revision date and are suh/ect to change without notice. 9,,Simplex 41000 Fire Control Panels UL, ULC, CSFM Listed; FM Approved; Cabinet Reference; Boxes, Doors, MEA (NYC)Acceptance* Retainers, Rack Mounting, and Accessories Box and door options: • Box are available sized for one,two,or three equipment le bays,and for remote mounting of the TrueAlert addressable power supply(TPS),in the 4009 TPS cabinet assembly,each with a battery bay located at the bottom 41000 One Bay Cabinets • Colors include beige or red r== • Doors styles are glass with retainer or solid • Models are available with box and door combined for single package shipping or separately packaged Door type selection is coordinated with cabinet function: i tt•<t'pMiil • Glass doors with retainers provide visibility of annunciation and interface modules for Control Panels, Network Display Units(NDU),and Remote Annunciators 41000 Two Bay Cabinets • Solid doors are for MINIPLEX®Transponders and , utility function cabinets where module visibility is not required �. j 41000 Enclosure details: • Latching retainers(dress panels)easily lift off for internal access 1� • Smooth box surfaces are provided for locally cutting conduit entrance holes exactly where required • Alignment markers are provided at the top and bottom of each box side for 6 (152 mm)or 4 (102 mm)wall 1:tlIlIIFlF!! studs NitIilt17i1 ri • Knockout screw/nail holes are supplied for semi-flush mounting 41000 Three Bay Cabinets Upright cabinet rack packaging reference: • For use with Bud Industries Inc.special cabinet rack model number 45964 • Refer to page 2 for cabinet rack listing f ii Enclosures are NEMA 1 rated I _ - Refer to individual 41000 data sheets for product I f application listings (see list on page 2) < ' Refer to information on page 2 for agency listing of cabinet rack enclosure.As of 1,. document revision date,listings are not applicable to the 4009 TPS Cabinet Assemblies. 4111TPs For 41000 one,two,and three bay cabinets with associated equipment:Products are listed by the California State Fire Marshal(CSFM)pursuant to Section 13144.1 of the —J California Health and Safely Code.See CSFM Listing 7165-0026:251(non-high rise) 1 and 7170-0026:250(high rise)for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.Accepted for use—City of New York Department of Buildings—MEA35- 93E.Additional listings may be applicable,contact your local Simplex°product supplier t its for the latest status.Listings and approvals under Simplex Time Recorder Co.are the property of Tyco Safety Products Westminster. Cabinet Rack Enclosure 4009 TPS Cabinet (shown with door open) Assembly(not to scale) S4100-0037-5 3/2008 -Enclosure Selection Chart OrTer to pages 3 and 4 for dimensions) Combined Box and Door Selection (select if box and door are to be shipped together) Description Beige Two Bq I Bgjg2 Three Bay Red Two Bay Red Three Bay Box with Glass Door and Dress Panel 2975- - 2975-9426 2975-9422 2975-9423 Box with Solid Door 2975-9431 2975-9432 2975-9428 2975-9429 Model Color Description 2975-9230 Beige 4009 TPS Cabinet Assembly for remote TPS mounting; includes box,door, mounting plate, input AC terminal block, and wiring harnesses; order 4100 Series TPS,4009-9813 Interface Card, and batteries 2975-9229 Red separately(12.7 Ah maximum for cabinet mounting); refer to page 3 and to data sheets S4100-0031 and S4009-0003 for additional details; NOTE: Listings are not applicable as of document revision date Separate Box and Door Selection (select if boxes and doors are required to be shipped separately) BEIGE Model Numbers RED Model Numbers Description One Bay Two Bay Three Bay One Bay Two Bay Three Bay Box 2975-9410 2975-9411 2975-9412 2975-9407 2975-9408 2975-9409 Glass Door and Dress Panel 4100-2101 4100-2102 4100-2103 4100-2121 4100-2122 4100-2123 Solid Door 4100-2111 4100-2112 4100-2113 1 4100-2131 4100-2132 4100-2133 Cabinet Rack Mounting (refer to page 4 for additional details) Model Description #46964 Listings #45964, Special upright cabinet rack for 41000; 19" (483 mm)E.I.A.; UL and ULC listed only as of document revision from Bud gray texture; includes front polycarbonate door and rear date; cabinets are listed with the Simplex 41000 Industries Inc. louvered door,both keyed with Simplex"B"keys product line 4100-2140 Master Controller Rack Mount Kit, one required per master controller Master Controller and Option Bays each require 9 Rack Units; 4100-2145 Option Bay Rack Mounting Kit, one required per expansion bay 15.75"height(400 mm) 4100-2144 Power Distribution Module(PDM)Rack Mount Kit, order PDM separately per system voltage, one required per cabinet rack Power Distribution Modules Model Voltage Description 4100-0634 1120 VAC Power Distribution Module(PDM); select per system voltage; 4100-0635 220/230/240 VAC one required per box or cabinet rack Miscellaneous Accessories Model Description 4100-2210 Appliqu6, Canadian French,41000 Fire Control 4100-9835 Termination and Address Label Kit,for module marking NOTE: One kit is supplied for each cabinet; order this if required for additional field module installation 4100-9837 Green LED Power-on Indicator Kit, required for ULC Mounts using knockout provided in solid door listing of MINIPLEX transponder 2975-9811 Beige semi-flush box trim 1-7/16"(37 mm)wide,four corners and trim pieces for 2975-9812 Red semi-flush box trim top, bottom, and sides Battery Reference Model Capacity Model Capacity Battery Notes 2081-9272 6.2 Ah 2081-9287 25 Ah 1. Sealed lead-acid batteries, 12 VDC each;two required per 2081-9274 10 Ah 2081-9276 33 Ah battery location. 2081-9288 12.7 Ah 2081-9296 50 Ah 2. Battery selection is required if batteries are internal. 3. Select one size per battery set 2081-9275 18 Ah 4. Refer to data sheet S2081-0006 for battery details. Battery Accessories Model Description 4100-0650 Battery Shelf, required for 50 Ah batteries 4100-5128 Battery Distribution Terminal Block, mounts to side of box,required for all close-nippled cabinets unless cabinet receives all power from power supplies and batteries located in the adjacent cabinet • • • 9 . Subject Data Sheet Subject Data Sheet 41000 Basic Panel Modules and Accessories S4100-0031 Network Display Unit(NDU) S4100-0036 LED/Switch Modules S4100-0032 Remote Annunciators S4100-0038 41000 Audio/Phone Modules S4100-0034 InfoAlarme Command Center S4100-0045 MINIPLEX Transponders S4100-0035 Remote Battery Charger S4081-0002 2 S4100-0037-5 3/2008 x ' 11,1=1M MGM • • Front view,box outline without door Side view with door attached NOTE: A system ground must be provided for Earth Detection and 3 say height= transient protection devices.This ss"(1422 mm) i connection shall be made to an Door thickness approved, dedicated Earth 1-3/8"(35 mm)—� Knockout screw/nail holes I connection per NFPA 70,Article ! (for semi-flush mounting) 250, and NFPA 780. �! it Exposed cabinet for 2 Bay height= I semi-flush mounting 40"(1016 mm) ` 1-3/8"(35 mm) i minimum Wall board referenpe for semi-flush mounting,6"stud 1 Bay height= Exposed door and 22 (569 Mrn) cabinet for semi- flush mounting 2-3/4"(70 mm) _ minimum Doors can be hinged left or right Stud alignment I markers,each side W stud Optional semi-flush i4"stud trim kit reference —' — — - "1_/ i r —24"(610 mm) 8-29/32" (175 mm) (213 mm) = Box width 16-1/8"(410 mm)- Box depth �-7"078 rnm)__� 13-5/8"(346 mm)— ►: TrueAlert Addressable Power Supply mounts here: J 4100-5120,120 VAC,US 4100-5121,120 VAC,Canada 4100-5122,220-240 VAC,50/60 Hz, International 4009-9813 Transponder panel size= Interface Card Knockouts are (406 mm) AC power LED 13"W x 9"H(330 mm x 229 mm) (TIC)mounts located on top 0 here and both sides ------------- a Battery Area,12.7 Ah maximum, AC input— No conduit or wiring in this area Door shown terminal block o ' . o for reference 3 S4100-0037-5 3/2008 Ap { ',low Y. S 'A f T s r Front View Side View Rear View Type Upright cabinet rack for exclusive use with Simplex 41000 Fire Alarm Products Supplier Order from Bud Industries Inc. (www.budind.com) Model Number 45964 Height 69-7/8"(1775 mm) Outside Dimensions Width 24-1/16"(611 mm) Depth 22" (559 mm) Color Gray texture Panel Space Width 19" E.I.A. (483 mm) Front Door Surface mount with 1/8"thick(3.18 mm) smoke gray polycarbonate, locked with Simplex"B" key, hinged on left of cabinet Rear Door Ventilated top and bottom, locked with Simplex"B" key Sides Side panels are removable from the inside for rack-to-rack mounting Bottom Pan attached for battery mounting Levelers Includes 4 stem levelers on bottom 7)co is a registered trademark gfTyco International Services GMBH and is used under license.Simplex,the Simplex logo,li foAlarm,and MINIPLE ore trademarks q/7yco International Ltd.and its of hates and are used under licence. GSimplex Tyco Safety Products Westminster- Westminster, MA-01441-0001-USA S4100-0037-5 3/2008 ® www.tycosafetyproducts-usa-wm.com t 20OR Tyco Sgfety Products Westminster.All rights reserved.All specification and other information shown were ciorenl as gfdoeumeni revision date and are stiNect to change witharo notice. 9A,Slmplex 41000 System Accessories UL, ULC Listed; FM, CSFM, 41000 Compatible External Battery and MEA (NYC) Approved* Cabinet with Charger, 4081 Series Remote battery cabinet with charger for use with Simplex®model 41000 addressable fire alarm control panels: • For mounting and charging of batteries up to 110 Ah I (batteries are ordered separately) • Enclosure is a surface mounted red cabinet that mounts close-nippled to the 4100U control panel � I cabinet,(within 20 ft[6 m] and connected with I conduit) _ - L �I • Models are available for operation at 120 VAC or 4081-9306/9308,41000 Compatible 220/230/240 VAC Battery Cabinet with Charger Battery charger details: • Charger provides dual rate operation with temperature compensation and dynamic battery testing to detect ® �► = for low voltage or missing battery ]I =1 • Battery voltage, charger voltage and current, and charger status are all communicated to the control panel and available for display • Earth fault detection and depleted battery cutout are selectable Listings: 2081-9279 Batteries(2 required for 24 V system) • UL listed to Standard 864 • ULC listed to Standard S527-99 ee - • - . External Battery Cabinet with Charger Simplex 41000 fire alarm control panels accept Model Voltage Description batteries of up to 50 Ah mounted within their enclosures, 4081-9306 120 VAC Input 41000 Compatible Remote For system applications requiring battery backup greater 220/2301240 VAC Battery Cabinet with Charger for than 50 Ah,these battery cabinets with battery charger 4081-9308 input,multi-tapped up to 110 Ah batteries can accommodate up to 110 Ah batteries. Monitoring and control of the remote charger is Accessories performed at the 4100U control panel allowing status Model Description conditions to be known and displayed as required. Green LED Power-on Indicator Kit,required for ULC 4100-9837 listing,mounts above access panel using knockout Low Battery Cutout.For ULC listed systems,the low provided battery cutout feature disconnects the batteries when they reach low voltage cutoff. Battery Reference(ordered separately) Model Description Voltage per Battery Quantity This product has been approved by the California Stale Fire Marshal(CSFM)pursuant 2081-9279 110 Ah Sealed 12 VDC 2 Required to Section 13144.1 of the California Health and Safety Code.See CSFM Listing Lead-Acid Battery 7165-0026:251(non-high rise)and 7170-0026:250(high rise)for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.UL and ULC fire alarm system requirements are satisfied when 2081-9279 batteries are used with these remote battery cabinets and chargers.2081-9279 batteries are equipped with flame arrester vent caps in accordance with UL Standard 924 requirements.Additional listings may be applicable; contact your local Simplex product supplier for the latest status. S4081-0002-2 5/02 General Specifications Dual rate,temperature compensated,for batteries 55 Ah to 125 Ah; recharges Charger Type depleted batteries within 48 hours per UL Standard 864 and to 70%capacity in 12 hours per ULC Standard S527 Battery Type and Capacity Sealed lead-acid, batteries ordered separately Battery Output Voltage 24 VDC nominal Charger Standby Current Requirement 50 mA Battery Output Protection 80 A fast acting fuse, charger is reverse polarity protected Input Power Requirements 120 VAC Input Models Voltage 102 to 132 VAC,60 Hz _ Current 4 A maximum 220/230/240 VAC Input Models Voltage 187 to 264 VAC, 50/60 Hz, (separate taps for 220/230/240 VAC) Current 2 A maximum Environmental and Mechanical Temperature Range 32'F to 122°F(0`C to 50'C) Humidity Range Up to 93% RH, non-condensing @ 100.4' F(38°C)maximum Wiring Connections AC Input Terminal block for 14 to 12 AWG Battery Output Terminal block for 14 to 6 AWG wire, 5 terminals each for(+)and (-) Distance from 41000 Panel 20 ft(6 m)maximum, in conduit Terminals and cables to connect to 2081-9279, 110 Ah batteries; Included Hardware and Cables communications harness,20 ft long(6 m); Battery connection harness to power distribution module(PDM) Metric wire equivalents: 14 AWG=2.08 mmZ; 12 AWG=3.31 mm; 6 AWG= 13.3 mmZ IS L . • Capacity 110 Ah(rating at 20 hour discharge rate) Discharge Voltage 12 V per battery,2 required for 24 V system Connections High current terminal posts Size(per battery) 11-3/16"W x 9" H x 10-1/2" D(284 mm x 230 mm x 267 mm) Weight(per battery) 82 Ibs(37 kg) 14-5/8"(371 mm)deep Locking top is hinged at back and held open with built-in support Side panel is removable for access to battery connections and • • • • • • s • o • • e • • • • • • • • • • charger assembl (343 mm) : .. .s.�:�.�.�e�.�.�.�.����e.�.���.�'e © —Access cover `' 7 .< �' � ����"�•�� for AC input Atli -4 S 27-7/8"(708 mm) -I Tyco,Simplex and the Simplex logo are trademarks of 7}•co lneernarional Services AG or its affiliales•in the US and or other countries. �.Sjm TEPG-US•91 Technology Drive•Westminster, Massachusetts•01441-0001•USA S4081-0002-2 5/02 U 2002 7GPG-1/,S(a Tyco compatti).All rights reserved.All spec•iftcations and other information www.tepg.com shown were current as of docmnent revision date and are subject to change without notice. 93.,Simplex LifeAlarm® Fire Alarm Controls i UL, ULC Listed; FM, CSFM 4009 IDNefm NAC Extender For Control from 4010 or and MEA (NYC) Approved* 41000 IDNet Communications, or Conventional NACs Provides additional notification appliance circuit AOptioallDNetr (NAC) capacity with flexible operation modes andpower-limited designUp to 8 NACFour, Class B (Style Y) NACs are standard:• Rated 2 A @ 24 VDC,compatible with standard 4009 IDNet 24 VDC notification appliances NAC Extender• Can be selected to rovide s nchronization for Sim lex =P Y P ��visible notification strobe flashes • Capable of controlling TrueAlertTMnon-addressable notification appliances operating with SmartSyncTM C two-wire control mode IBM hannel Repeater Input control can be from either: • IDNet addressable communications from a Simplex model 4010 or 4100U Fire Alarm Control Panel** 2-wire IDNet �. • Or from one or two conventional 24 VDC NACs with Communications or multiple output control options Fiber Optic IDNet �. Communications or ` IDNet communications control benefits: NAC Control • Provides status monitoring and individual NAC control using a single address per 4009 IDNet NAC Extender ® IDNet Fiber • Supports IDNet"Device Level"earth fault location Optic Transmitter WALKTESTTm operation is available with either —�--- input choicer 4010(shown)or 41000 Fire Alarm Internal 8 A power supply/battery charger: Control Panel • Charges internal batteries up to 12.7 Ah or up to 18 Ah Fire Alarm Control Panel with batteries in external cabinet Conventional NACs • Provides status monitoring of battery,input power, and earth faults 4009 IDNet NAC Extender Connection Reference Drawing Optional 4009 IDNet NAC Extender modules: • IDNet Communications Repeater provides Class B ffm • • • (Style 4)or Class A(Style 6)output ADA Compliance. Complying with the notification • IDNet Communications Fiber Optic Receiver/Repeater, requirements of ADA(Americans with Disabilities Act) available as Class B or Class A may require more notification appliance power than is Four additional Class B NACs,rated 1.5 A @ 24 VDC available within the fire alarm control panel. When • Class A(Style Z),Two Circuit Adapter Module additional power is required,a Simplex 4009 IDNet NAC Extender can provide up to 8 A of NAC power with up to UL Listed to Standard 864 eight, supervised reverse polarity NACs. • - Location Flexibility.The 4009 IDNet NAC Extender can be mounted close to a compatible dedicated host transmitters: Series IDNet communication fiber optic panel or can be located remotely for convenient power transmitters: distribution.Multiple operation modes and multiple • For applications requiring the data integrity available connection options further increase location flexibility. with fiber optic communications Additional Information.For additional operation detail • Available as Class B (Style 4)or Class A(Style 7) and application information,refer to Installation • Mounts in standard six-gang electrical box Instructions 574-181. External battery cabinet for 18 Ah batteries ULC listed model is 4009-9202CA.This product has been approved by the California State Fire Marshal(CSFM)pursuant to Section 13144.1 of the California Health and Safety Code. Simplex IDNet addressable communications are protected by U.S.Patent No. See CSFM Listing 7300-0026;214 for allowable values and/or conditions concerning 4,796,025.Refer to specifications for additional IDNet wiring information.41000 material presented in this document.It is subject to re-examination,revision,and possible requires revision 11 software or higher for compatibility.4010 requires revision 2 cancellation.Accepted for use-City of New York Department of Buildings-MEA35-93E. software or higher for compatibility. Additional listings may be applicable;contact your local Simplex product supplier for the latest status. t Simplex WALKTEST service testing is protected under U.S.Patent No.4.725,818. S4009-0002-3 7/02 • . . • • - . • • Hardwire Control Applications.For applications IDNet Addressable Communications Compatible. where an existing(or new)conventional NAC needs additional power,the 4009 IDNet NAC Extender can be Up to five,4009 IDNet NAC Extenders can be controlled controlled directly from the NAC.Either one or two on a single IDNet communications channel. Each output NACs, from either the same,or from different host fire NAC can be individually controlled for general alarm or alarm control panels, can be connected to control the 4009 selective area notification requiring only one point IDNet NAC Extender output NACs. Multiple control address per Extender, Individual Extender NACs can also selections provide flexible operation. (Refer to page 4 for be manually controlled from the host panel. IDNet more detail.)Alarms from the host panel will activate the controlled extenders will inform the host panel of troubles four,4009 IDNet NAC Extender NACs(or optionally, via IDNet communications. eight NACs)to extend the alarm. Optional IDNet Repeaters.IDNet communications The 4009 IDNet Extender monitors itself and each of its can be repeated with the optional IDNet Repeater Module output NACs for trouble conditions, including earth or with the optional Fiber Optic Receiver Module. Up to faults. Extenders wired to conventional NACs will 100 of the IDNet channel points can be repeated once indicate a trouble by opening the path to the NAC's (refer to pages 3 and 5 for details).Repeated IDNet end-of-line resistor,but retaining the ability to respond to communications also support the"device level"earth alarms. Individual troubles are also annunciated by LEDs fault location utility of the host panel. located on the 4009 IDNet NAC Extender main circuit board.(Refer to page 7 for more diagnostic information.) Standard Models Model Description 4009-9201 4009-9202CA, 120 VAC input 4009 IDNet NAC Extender with 4, Class B (Style Y) NACs and 8 A power supply 4009-9301 240 VAC input ULC listed model Optional Modules (for on-site installation) Model Description Comments 4009-9807 Additional four point NAC module, rated 1-1/2 A, One maximum Class B (Style Y), 4009-9808 Dual Class A(Style Z)adapter(for two NAC outputs) Select as required (4 maximum) 4009-9809 IDNet Repeater, output is Class A(Style 6)or Class B (Style 4) Select either an IDNet Repeater or a 4009-9810 Class B (Style 4) Fiber Optic Receiver as required 4009-9811 Fiber Optic Receiver Class A(Style 7 fiber, Style 6 IDNet) 4009-9805 Red Applique for door Select if required 2975-9801 Semi-Flush Trim Kit Beige trim 1-7/16"wide (78 mm), use if required for 2975-9802 Red trim semi-flush installations Battery Selection (select battery size per system requirements) Model Description Comments 2081-9272 6.2 Ah Battery, 12 VDC 2081-9273 8 Ah Battery, 12 VDC Two batteries are required,24 VDC 2081-9274 10 Ah Battery, 12 VDC operation 2081-9288 12.7 Ah Battery, 12 VDC 2081-9275 18 Ah Battery, 12 VDC Requires external battery cabinet,two batteries are required,24 VDC operation External Accessories (select per system requirements) Model Description Comments 4090-9105 IDNet Fiber Optic Class B (Style 4)operation Mounts in six-gang electrical box, refer to 4090-9107 Transmitter Class A(Style 7)operation page 4 for mounting details 4009-9801 External battery cabinet for 18 Ah batteries, beige 16-1/4"W x 13-1/2" H x 4-1/8"D (413 mm x 343 mm x 105 mm) 2 S4009-0002-3 7/02 r C';IglplpYl I�N!w� Typical IDNet compatible devices (Refer to individual devices for actual wiring requirements,some wiring is not shown.) M I IN IDNet addressable communications channel. shown Class B(Style 4) Output NACs,four standard, Conventional NAC operation(horns) eight with expansion option Select conventional = or SmartSync ------- operation per NAC 41000(shown)or 4010 Fire --_—a_�_ _r� �► Alarm Control Panel � � f SmartSync operation(horns and strobes) 4009 IDNet NAC Extender with __ __ Conventional NAC optional internal IDNet Repeater \ operation(strobes) Repeated IDNet Channel: up to 100 devices maximum on repeater output, _ 250 devices total on IDNet Channel IDNet devices and additional 4009 IDNet NAC Extender(s) NOTE: Up to five(5)4009 IDNet NAC Extenders may be connected to one IDNet channel. IDNet communications can be repeated only once(can pass through only one series connected repeater or one fiber optic receiver). Two fiber cables,3000 ft Output NACs 4090-9105,Class B (914 m)maximum distance (Style 4)Output Fiber IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlllllullllglllllllt Optic Transmitter\ IDNet addressable communications r channel Class B(Style 4)or Class A (Style 6),Class B shown Reoeated IDNet Channel:up to 100 devices maximum on repeater output,250 devices total on IDNet Channel IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Four fiber cables,3000 ft 4010 or 41000 Fire (914 m)maximum distance Alarm Control Panel �-L � - 24 VDC power for fiber optic transmitters 4090-9107,Class A(Style 7) Output Fiber Optic Transmitter •�Illl , 4009 IDNet NAC Extenders with optional Output NACs internal IDNet Fiber Receivers NOTE: Up to five (5)4009 IDNet NAC Extenders may be connected to one IDNet channel. IDNet communications can be repeated only once (can pass through only one series connected repeater or one fiber optic receiver). Fiber optic transmitters connect to only one 4009 IDNet NAC Extender. 3 S4009-0002-3 7/02 Hardwire • • • • • • • NAC Input Selections. The 4009 IDNet NAC The TrueAlertTM Notification Appliance product Extender can be selected to:- line includes addressable and non-addressable operation. • Track input NAC operation or to provide a locally Non-addressable models are available with 2-wire generated code, selectable per NAC input SmartSync operation or conventional 4-wire operation. • If selected for local coding,NAC outputs can be either The following details apply to use with the 4009 IDNetNAC Extender: Temporal Coded or 60 Beats/min March Time Coded, one code selection per extender(input NACs must be on • TrueAlert non-addressable models with SmartSync continuous with Alarm) operation allow audible notification to be separately • Additionally,NAC outputs can be selected to provide controlled over the same wire pair that controls the Simplex strobe synchronization signal. This signal visible notification(protected under U.S. Patent No. will synchronize the flashes of synchronized strobes but 6,281,789) will be ignored by free-run strobes and audible devices. a 4009 IDNet NAC Extenders can be selected to provide (Strobes are for operation by noncoded NACs) SmartSync operation whether controlled by IDNet communications or conventional NACs NAC input to NAC output control can be selected for o IDNet control allows output NACs to be individually standard and optional NACs per the following table: selected for conventional or SmartSync operation Conventional NAC Output Operation Options . With NAC input control,all output NACs are selected Input A B C for either conventional or SmartSync operation NAC 1 NACs 1 &2, 5&6 NACs 1-4 NACs 1-8 . Class A(Style Z) SmartSync operation requires NAC 2 NACs 3&4, 7&8 NACs 5-8 None SmartSync Control Module(SCM)4905-9938 (refer SmartSync NAC Output Operation to data sheet S4903-0010 for details) Input NAC Control Function • Refer to data sheet S4009-0003 for TrueAlert NAC 1 Strobe Control All NAC outputs(1-8) addressable operation details,contact your local NAC 2 Horn Control Simplex product supplier for further information on specific TrueAlert notification appliances Up to eight(8)output NACs total;hardwire control can be selected to map NAG inputs to different combinations of NAG outputs depending on system requirements NAC 1 input (see Note 1) 7nventonl _7 ia NACsv,With hardwire control, NAC outputs are all lam! - N C it conventional or all ---- --- _ -� NACs /--� 3mart9ync operation I % .- 7SmI 1 4009 IDNet NACExtenderFire Alarm Control Panelwith Conventional NACs operation I I 1 4905-9938 SmartSync Control Module is required NAG 2 input 1 for Class A output wiring of SmartSync NACs (optional,see Note 1) 1 I 1 1 To additional 4009 IDII NAG Extenders(up to four(4), 1--------a 4009 IDNet NAC Extenders per NAC);see Note 2 Notes: 1.For separate audible and visible output NAG control,or SmartSync NAC output operation,two(2)input NACs are required. NAC 1 is"on-until-reset"and NAC 2 is"on-until-silenced." 2.To synchronize strobe flash outputs for up to four(4)4009 IDNet NAC Extenders,use the synchronized strobe output from a Synchronized Flash Module(4905-9914 for Class B operation,4905-9922 for Class A operation)or, if available,from a NAC selected to provide synchronized strobe flash output. NOTE:DO NOT USE a NAC selected for SmartSync operation for this function. Refer to Installation Instructions 574-181 for additional information and application guidance 4 S4009-0002-3 7102 111,111 a • a • • Input Voltage 120 VAC Input(4009-9201) 3A @ 102-132 VAC, 60 Hz 240 VAC Input (4009-9301) 1.5A @ 204-264 VAC, 50/60 Hz Conventional reverse polarity operation Hardwire Control from External NACs,Input Requirements 3 mA @ 24 VDC in Alarm (rated 4.5 mA maximum 21.1 to 29.1 VDC) -- Maximum operating voltage is 18 to 32 VDC,filtered or unfiltered Output Ratings Auxiliary Output 500 mA @ 24 VDC nominal Standard NACs 2 A each @ 24 VDC nominal Total current must not exceed 8A Optional NACs (requires 4009-9807) 1.5 A each @ 24 VDC nominal Optional Modules IDNet Repeater Module(4009-9809) Input Power 70 mA @ 24 VDC, system supplied _ IDNet Input, One Address Maximum distance from IDNet source is 2500 ft(762 m) Repeated IDNet output for up to 100 devices (total IDNet devices not to exceed 250 per channel) Maximum distance to farthest device from 4009 IDNet NAC Extender output is IDNet Output Specifications 2500 ft(762 m) Total distance including"T-taps"is 10,000 ft(3048 m) Class A(Style 6)loop maximum distance is 2500 ft(762 m), no"T"taps Fiber Optic Receiver Modules Input Current 4009-9810, Class B (Style 4). 65 mA @ 24 VDC, system supplied 4009-9811, Class A(Style 7), 80 mA @ 24 VDC, system supplied IDNet Output Specifications Same as those for Repeater Module(see above) Fiber Optic Transmission Distance 3000 ft(914 m) maximum General(LED status indicators are listed on page 7,dimensions and mounting details are on page 6) Operating Temperature 32°to 120° F (0°to 49° C) Operating Humidity Range 10%to 90% RH from 32' F to 104' F (0' C to 40° C) Wiring Connections" Terminal blocks for 18 AWG (stranded)to 12 AWG (solid) • - • • - • Input Voltage 18.9-32 VDC from compatible listed fire alarm supply Input Current 4090-9105, Class B (Style 4), 30 mA @ 24 VDC 4090-9107, Class A(Style 7), 35 mA @ 24 VDC Type ST connectors Fiber Optic Connections and cable Multimode, graded index, 50/125pm, 62.5/125 pm. 100/40 pm, or 200 pm requirements 4090-9105, Class B (Style 4) operation,two fiber cables required 4090-9107, Class A(Style 6) operation,four fiber cables required Module Size (with mounting bracket) 6-13116"W x 3-3/4"H x 1-1/8"D(173 mm x 95 mm x 29 mm) Green LED flashing=transmit On-board Status Indicators Red LED flashing=receive Separate red LED on 4090-9107= Class A(Style 7)receive Communications Simplex IDNet Fiber Optic Transmission Distance 3000 ft(914 m) maximum Wiring Connections" Terminal blocks for 18 AWG (stranded)to 12 AWG (solid) Operating Humidity 10%to 90% RH from 32'to 104' F (0°to 40' C) Operating Temperature 32' F to 120° F (0°to 49°C) " Metric wire equivalents: 18 AWG=0.82 mm2; 12 AWG=3.31 mmZ 5 S4009-0002-3 7/02 FlIT11:11111 ion 154111111MAT81JMM • - • • •FyivrqmM. I- 16-1/4" 413mm Cabinet depth r ( ) �4-1/4"(108 mm)� 10-29/32"(277 mm) Door,5/8" ® 0 ® ® (16 mm)thick ®® 4 o • o7Four Optional Class A 4009-9807 Additi 13-1/2" adapter modules point module(sh (343 mm) Q Class A adap@ Exposed cabinet dimension for !�1 System Module o o semi-flush mount i 1"(25.4 mm), Knockouts for screw B IDNet repeater or 1-3/8"(35 mm)with or nail mounting holes �p Fiber optic receiver n semi-flush trim V � 8 0 0 0 ------------------- ----------- � - -- is 12"(305 mm) � o--- Battery location,no conduit entry or wiring in i this area(12.7 Ah battery outline shown) ' O O, Semi-flush trim option Non-power limited wiring area(AC input) 1-3/16"wide(30 mm), 3/8"(9.5 mm)thick Wall surface reference for semi-flush mount NOTE: Recommended conduit entrance varies with module selection. Refer to general installation instructions 574-181, specific module installation instructions, and to field wiring diagrams 842-068 before locating conduit entrance. Optional red appliqu6 (4009-9805) V 4009IDNet NAC EXTENDER 6 S4009-0002-3 7/02 Surface mount box: _� 0 0 0 0 0 0 Simplex model 2975-9217 (ordered separately) F n n n n Flush mount masonry box: 0 0 0 O O O use 6-gang box, RACO#960, 2-112"deep 0 0 0 0 0 0 (64 mm), or RACO#965, 3-1/2"(89 mm) O deep, or equal(supplied by others) U o o o O Flush mount ganged boxes:� O use 6-gang box, 1-1/2"(38 mm) minimum depth; six, RACO#400 O O or equal, (supplied by others) o O O o 0 0 0 0 0 o IDNet fiber optic transmitter: 4090-9107, Shown,Class A(Style 7)output 4090-9105, Not shown,Class B(Style 4)output INSTALLATION NOTE: Fiber optic cable bend radius should be 2"(51 mm) minimum,or per Manufacturer's specification. 0 0 0 0 0 0 Six-gang blank cover plate Mulberry Metal Products 97156 or equal(by others) DiagnosticService Power-up Self-Diagnostics.Upon power-up,the LED Status Indicators are provided for the following: 4009 IDNet NAC Extender tests each module and • Each NAC(standard and optional)has a dedicated performs earth fault diagnostics.Trouble conditions are yellow LED that: communicated to the host control panel and are also — During supervision provides a slow flash to indicate displayed on diagnostic status LEDs in the 4009 IDNet a short circuit condition and a fast flash to indicate NAC Extender. When connected via IDNet an open circuit communications, detailed status information is available at the host. When controlled with conventional NAC — During an alarm,the LED follows the NAC output inputs,common troubles are signaled by providing a (on steady or flashing with coded output) polarized open circuit that disconnects the NAC wiring . Four, general status yellow LEDs provide nine from its end-of-line resistor but still allows a reversed separate indications listed in priority of urgency.As a polarity alarm to be received. trouble is eliminated,any remaining trouble(s)will Door Mounted Reference Label.The 4009 IDNet then be indicated until the 4009 IDNet NAC Extender NAC Extender has a detailed programming and is returned to normal operation. diagnostic label inside the front door that provides a quick . AC power status is indicated by a green LED that is reference for both installation and checkout. on when AC is normal.During low AC(brownout) conditions or with no AC,the LED is off. Additional power and battery status is indicated by the general status LEDs. 7 S4009-0002-3 7/02 11 ' e Panel Module Selection (shaded model numbers are optional modules) Model Description Supervisory Actual Alarm Current Actual Alarm Current Supervisory 4009-9201 120 VAC input Basic Panel 85 mA 85 mA 185 mA 185 mA 4009-9301 240 VAC input 4009-9807 Additional Four Point NAC 40 mA + +NAC loads +NAC loads (add below) (add below) 4009-9808 Dual Class A Adapter(current included in basic panel value) 4009-9809* IDNet Repeater 70 mA 70 mA 4009-9810*1 Fiber Optic Receiver, Class B 65 mA + 65 mA + 4009-9811*1 Fiber Optic Receiver, Class A 80 mA 80 mA IDNet Devices, 0.7 mA each, maximum of 100 Total devices + Total devices (All) + (see note 5) x 0.7 mA each x 0.7 mA each Auxiliary Power Output, calculate per total 500 mA + 500 mA (A2) + device requirements(see note 5) maximum maximum Total Supervisory Current= (A) + Total 4009 IDNet NAC Extender Panel Alarm Current= (B1) *Only one of these three modules can be chosen for a single 4009 IDNet NAC Extender. t NOTE: IDNet Fiber Optic Transmitter current is supplied from the host fire alarm control panel. NAC Loads NAC Type NAC Circuit# NAC Alarm Current Circuit 1 + Circuit 2 + Standard Panel NACS, 2 A maximum per NAC (see note 5) Circuit 3 + Circuit 4 + Circuit 5 + Optional Four Point NAC Module, 1.5 A maximum per NAC (see note 5) Circuit 6 + Circuit 7 + Circuit 8 + Total NAC Loads Alarm Current= (C) Total 4009 IDNet NAC Extender Panel Alarm Current(enter 131 from above)= (112112) + Procedure: Total Alarm Current= (D) 1. Calculate total panel supervisory current(A). 2. Calculate total panel alarm current(131)[convert mA to A,example: 350 mA=0.35 A]. Copy(131)into block(132). 3. Calculate total NAC loads alarm current from notification appliance ratings(C). 4. Add (C)+ (132)to determine total alarm current(D). 5. Total of IDNet Device Current(Al) +Auxiliary Power Output Current(A2) + NAC Loads Alarm Current(C)is 8 A maximum. 6. Refer to Simplex battery selection document 900-012 for recommended battery size for specific standby requirements (i.e. 24 hours supervisory, 5 minutes of alarm). Internal cabinet space is provided for batteries up to 12.7 Ah. Tvco,.Simplex,the.Simplex logo,LifeAlurnt,IDNet, WALKTE.ST.,SmarLSj•nc,and TnreAlert are trademarks of Tyco International AG or its affiliates in the U.S.and or other countries. 93ASimplex TEPG-US-91 Technology Drive•Westminster, Massachusetts-01441-0001 -USA S4009-0002-3 7/02 2002 7EPG-US(a Tvco comparn) All rights reserved.All specifications and other information www.tepg.com shown were current as of document revision date and are subject to change without notice. ®Simplex Fire Alarm System Accessories UL, ULC, CSFM Listed; Model 4190-9013, 24-Pin Dot Matrix FM Approved* Fire Alarm System Remote Printer High resolution, 24-pin, dot matrix bi-directional printer for use with Simplex°model: • 4010,4100,and 4100U Series Fire Alarm Control Panels doop • 4190 Series Network Annunciator Products — _ • Other new and legacy Simplex fire alarm control panels e with serial printer support(contact your local Simplex product representative for compatibility) ---- / Provides hard copy records of: • System events with alarm conditions automatically printed bold *_ • TrueAlarmo analog sensor information** 4190-9013 Fire Alarm System Printer • WALKTESTTm system testing** • History files _ Serial RS-232 or parallel communications interface Voltage 120 VAC,60 Hz RS-232 communications and AC input are Idle Current 130 mA @ 120 VAC transient protected Print Current @ 120 VAC 1.1 A typical,2.6 A maximum, depending on character type UL listed to Standard 864 Approximately 42 W per Print Power @ 120 VAC' ISOIIEC 10561 letter pattern High Speed Model 4190-9013 is a high resolution 24-pin printer for Print Speed Draft Mode 440 cps @ 10 cpi use with Simplex fire alarm control panels and related (characters Draft Mode 330 cps @ 10 cpi systems. It is listed for supplemental fire protective per second, signaling system operation under UL Standard 864. cps) Letter Quality 110 cps @ 10 cpi Transient suppression is included for both RS-232 Column Width 80 Columns @ 10 cpi communications and 120 VAC power.Product burn-in testing is performed to ensure proper operation with Buffer Size 128 kB compatible UL listed fire alarm control equipment. Fan Fold 4"to 10"wide(101 to 254 mm) Typical printer operations would include:recording of Paper Cut Sheet 5-13/16"to 10-1/8"wide fire alarm system activity for fire response documentation, Specifications (148 to 257 mm) documenting non-fire alarm activity such as security Copies Original and up to 4 copies, carbon-less only monitoring of door openings and WALKTEST system 16-5on-1 W x 13-13116"D x 6-5/8"H test results, and documenting other related activity(such Dimensions 16-5 mm x 350 mm x "D G- as AC power failure and restoration)as directed by the connected panel.Additionally,diagnostic information Weight 15.9 Ibs(7,2 kg) may be printed such as TrueAlarm analog sensor status Operating Temperature 32'to 120°F(0°to 49°C) and service reports for analysis of smoke detection Humidity 10 to 85%RH,non-condensing sensitivity(refer to sample printouts on page 2). Order as vended item in Job Replacement Ribbon Refer to Installation Instructions 579-233 for additional Design,Bushnell Ribbon 837-0100 information. System Designation PRT80S,Supervised PRT80U,Unsupervised This product has been approved by the California State Fire Marshal(CSFM)pursuant to Please note that the printer specifications supplied under Section 13144.1 of the California Health and Safety Code.See CSFM Listing 7300-0026:320 for allowable values and/or conditions concerning material presented in this model number may vary slightly due to product this document.It is subject to re-examination,revision,and possible cancellation.This availability. product was not approved by MEA(NYC)as of document revision date.Additional listings may be applicable;contact your local Simplex product supplier for the latest status. '"TrueAlarm analog sensing is protected by U.S.Patent No. 5,155,468 and 5.173,683. Listings and approvals under Simplex Time Recorder Co,are the property of Tyco Safely WALKTEST system test is protected under U.S.Patent No.4.725,818. Products Westminster. S4190-0011-3 5/2007 • • Alarm Condition: 12:42:44 pm WED 23 MAY 07 CAFETERIA STORAGE ROOM FIRE MONITOR ZONE ALARM Supervisory Service: 12:43:08 pm WED 23 MAY 07 OFFICE AREA BUILDING 23 SPRINKLER MONITOR ABNORMAL Trouble Condition: 12: 43: 41 pm NURSES STATION EXAMINING ROOM FIRE MONITOR ZONE DISABLE TROUBLE • in • Simplex 4100 FIRE ALARM SYSTEM Page 1 Report 3 : TrueAlarm Status Report 9:25:22 am WED 23 MAY 07 Channel 1 (M1) Zone Sensi- Almost Name Custom Label tivity Device Status Dirty M1-1 ANALOG PHOTO - CLEAN ROOM 0.5 NORMAL MI-2 ANALOG ION - CLEAN ROOM 1.3 NORMAL M1-3 ANALOG PHOTO - MAIN LOBBY 2.5 NORMAL *YES* M1-4 ANALOG PHOTO - CONFERENCE ROOM 1 2.5 NORMAL M1-10 HEAT DETECTOR - GARAGE 135F NORMAL M1-11 ANALOG PHOTO - KITCHEN 3.7 NORMAL *YES* Alarm sensitivity in % obscuration Retains highest value sensed Simplex 4100 FIRE ALARM SYSTEM Page 1 Report 4 TrueAlarm Service Report 10: 05:53 am WED 23 MAY 07 Channel 1 (Ml) Dev Alarm Avg Curre / Peak/ State Num Custom Label at: val % alarm % alarm 1 CLEAN ROOM DEV 1 0.5 82 67 68/ 7% 72/ 33% NOR 2 CLEAN ROOM ION DET DEV 2 1.3/114 94 97/ 4% 101/ 9% NOR 3 MAIN LOBBY DEV 3 2.5/185 117 117/ 0% 125/ 12% NOR 4 CONFERENCE ROOM 1 DEV 4 2.5/161 93 93/ 0% 93/ 0% NOR 10 GARAGE DEV 10 HEAT DETECTOR 135F/187 63/ 67F 66/ 69F NOR 11 KITCHEN DEV 11 3.7/216 116 117/ 1% 152/ 36% NOR Current status Tyco,Simpler,the Simplex logo,WALKTEST,and TnreAlarm are trademarks of Tyco International Seances AG or its gffrliates in the U.S.and,or other countries. SjMj3jjeX Tyco Safety Products Westminster- Westminster, MA-01441-0001-USA S4190-0011-3 5/2007 o www.tycosafetyproducts-usa-wm.com 2007 Tyco Safety Producis Westminster.All rights reserved.All specifications and other information.shown were current as gfdocumeni revision date and are subject to change without notice. 91,,Simplex Multi-Application Peripherals and Accessories UL Listed Annunciators ULC Listed* 4603-9101 FM Approved Serial LCD Annunciator FEATURES • Remote LCD annunciator for use with: - 4020/4100/4120 Fire Alarm Control Panels 0 - 4100/4120 Universal Transponders SYSTEM 18NORMAL 12:35:15 am MON 22 NOV 99 • Information display features: - Wide viewing angle, super-twist LCD technology with green LED backlighting 0 •sue - Two lines of 40 characters each - - LED status indicators 4603-9101 LCD Annunciator - During battery backup, backlighting is disabled until there is switch activity • Controls include: - Switches for system acknowledge, alarm SPECIFICATIONS silence, and system reset General Operating Specifications - Four programmable control switches Voltage 20.4 to 32 VDC,system supplied - Lamp/LCD test Normal Operating Current 170 mA,backlighting enabled • Information is transmitted over one twisted, Battery Supervisory 30 mA,backlighting disabled shielded pair Current Alarm 170 mA,backlighting enabled • Flush mount on standard electrical boxes Operating Temperature 32'F to 120'F(0'C to 49'C) • Options Operating Humidity Range 10%to 90%C) - 4603-9111, Brushed aluminum trim from 32'F to 104'F - 2975-9206, Surface mount box Mechanical Specifications (0 C to 40 Standard Trim Steel,painted light beige Trim Dimensions 41/2"H x 11 13116"W DESCRIPTION (114 mm x 300 mm) - Simplex 4603-9101 LCD annunciators provide Trim Hardware Supplied with both slotted and remote control and annunciation with an 80 character, -- tamper-resistant screws back-lit, alphanumeric, LCD readout. Information is Optional Trim Brushed aluminum, presented in clear, descriptive English language and (Ordered separately) model 4603-9111 includes: point status(alarm, trouble, etc.); alarm type Mounting Requirements (smoke detector, manual station, etc.); number of Conduit entrance must be located a system alarms, supervisory conditions, and trouble NOTE:General Conduit minimum of 2 3/4"(70 mm)from the conditions; and a custom location label. A single Entrance Requirement front of the box to clear assembly twisted, shielded wire pair provides serial Model 2975-9206 communications that also supports other models of Surface Simplex serial annunciators on the same wire pair. Mount Box Dimensions 11 31132"W x 4 5/8"H x 2 3/4"D Consult local code requirements for guidance in (Ordered (304 mm x 117 mm x 70 mm) determining applications and location of the 4603-9101 separately) Color Ivory LCD annunciator. 6-Gang,31/2"(89 mm)deep: Flush Mount Box Reference RACO 965,6-gang masonry box; ULC Listed model is 4603-9101 C. (By others) RACO 590,gangable switch box, 6 required;or equal ©1999 Simplex Time Recorder Co.All rights reserved. S4603-0001-9 12/99 DESCRIPTION (Continued) OPERATION (C. nued) Alarm, Supervisory, and Trouble conditions are also When system activity is normal,the LCD displays the indicated by dedicated LEDs and a tone-alert audible time, date, and"SYSTEM IS NORMAL." sounder. Each condition has a dedicated acknowledge Control Switches. Four programmable"CONTROL" push-button switch that silences the tone-alert but switches and associated LEDs are included.Typical leaves the LED on until all conditions in that category a applications include manual evacuation, door holder re restored to normal. Switch operation is either globally or individually acknowledgeable, determined by release bypass, and elevator capture bypass. the control panel operation. Repeated operation of the Keyswitch Enable.All switches on the annunciator are appropriate acknowledge switch will scroll the LCD controlled by the"ENABLE" keyswitch with a key that is display showing activity in the sequence of occurrence. removable only in the disabled position.A brief The tone-alert also pulses to indicate the operation of lamp/LCD test is performed whenever the keyswitch is any of the push-button switches. changed from enabled to disabled. OPERATION Battery Backup Operation. During battery backup, the System Controls. Notification appliances can be LED backlighting is disabled to conserve battery power. deactivated by pressing the"ALARM SILENCE" switch. When an annunciator switch is activated, the (Exact operation is determined by the host control backlighting is automatically enabled. After panel such as visible appliances remaining on until approximately 30 seconds of inactivity, the backlighting system is reset.) Pressing the"SYSTEM RESET" will again be disabled. switch restores the system to normal operation. SYSTEM CONNECTION REFERENCE (Not drawn to scale) anTcr utionwu ux:�a..row a Noun 9 0 a�.ar 4603-9101 LCD Annunciator WIRING: 1. Communications require a single#18 AWG twisted, shielded pair. Typical Fire Alarm Control Panel 2. Power requires 2,#18 to#12 AWG for 24 VDC system power. 3. Provide Earth Ground connection to electrical box. 4. Refer to Installation Instructions 574-031 for additional wiring specifications. m m Sys ter n noway t AZI Um!7 wwN 4603-9101 LCD Annunciator Simplex and the Simplex logo are registered trademarks of the Simplex Time Recorder Co S4603-0001-9 12/99 flSimplex Gardner,Massachusetts Throughout t e S.A. World Offices and Representatives Throughout the World Visit us on the world wide web at www.simplexnet.com. All specifications and other information shown were current as of printing and are subject to change without notice. 93,Si plex Multi-Application Peripherals UL, ULC Listed; FM, CSFM, MAPNET II® or IDNetTM Communicating Devices and MEA (NYC) Approved* Addressable Manual Stations Individually addressable manual fire alarm FIRE ® ALARM stations with: • Power and data supplied via MAPNET II or IDNet addressable communications using a single wire mallmmlioiyiyjkl pair** 1 • Operation that complies with ADA requirements • Pull lever that protrudes when alarmed • Break-rod supplied (use is optional) USimplex • Models are available with single or double action (breakglass or push)operation 4099-9001 Addressable Manual Station • UL listed to Standard 38 (front and side view) Compatible with the following Simplex®control FIRE panels: �d�` ® 0 ALARM • Model Series 4010/4100/4100U/4120/4020 fire alarm control panels equipped with either IDNet or PULL oowN r uu r,ovtim; MAPNET II communications 1 • Model Series 2120 communicating device _ transponders (CDTs)equipped with MAPNET II communications Compact construction: 4099-9002 4099-9003 With 2099-9828 • Electronics module enclosure minimizes dust Breakglass Push Institutional infiltration Cover kit • Allows mounting in standard electrical boxes • • Screw terminals for wiring connections Activation of the Simplex 4099-9001 single manual station requires a firm downward pull to activate the Tamper resistant reset key lock (keyed same as alarm switch. Completing the action breaks an internal Simplex fire alarm cabinets) plastic break-rod(visible below the pull lever,use is Multiple mounting options: optional). The use of a break-rod can be a deterrent to • Surface or semi-flush with standard boxes or vandalism without interfering with the minimum pull requirements needed for easy activation. The pull lever matching Simplex boxes latches into the alarm position and remains extended out • Flush mount adapter kit of the housing to provide a visible indication. • Adapters are available for retrofitting to commonly Double Action Stations (Breakglass)require the available existing boxes operator to strike the front mounted hammer to break the • glass and expose the recessed pull lever.The pull lever then operates as a single action station. The Simplex model 4099-9001 addressable station Double Action Stations (Push Type)require that a combines the familiar Simplex manual station housing spring loaded interference plate(marked PUSH)be with a compact communication module that is easily pushed back to access the pull lever of the single action installed to satisfy demanding applications. Its integral station. individual addressable module(IAM)constantly monitors status and communicates changes to the connected control Station reset requires the use of a key to reset the panel via MAPNET II or IDNet communications wiring. manual station lever and deactivate the alarm switch. (If the break-rod is used,it must be replaced.) I This product has been approved by the California State Fire Marshal(CSFM)pursuant to Station testing is performed by physical activation of Section 13144.1 of the California Health and Safety Code See CSFM Listing the pull lever.Electrical testing can be also performed by 7150-0026:224 for allowable values and/or conditions conceming material presented in this document.It is subject to re-examination,revision,and possible cancellation.Accepted for unlocking the station housing to activate the alarm switch. use—City of New York Department of Buildings—MEA35-93E.Additional listings may be applicable;contact your local Simplex product supplarfor the latest status.Listings and •" ID MAPNET II and IDNet addressable communications designs are protected by U.S. approvals under Simplex Time Recorder Co,are the property of Tyco Safety Products patent No 4 and ID25 Westminster, S4099-0001-6 10/2003 • . . • - Addressable Manual Stations Model Description 4099-9001 Single action 4099-9002 Double action, Breakglass operation Addressable manual station, red housing with white letters and white pull lever 4099-9003 Double action, Push operation Accessories Model Description Reference 2975-9178 Surface mount steel box, red 2975-9022 Cast aluminum surface mount box, red Refer to page 3 for dimensions 2099-9813 Semi-flush trim plate for double gang switch box, red Typically for retrofit, refer to page 4 2099-9814 Surface trim plate for Wiremold box V5744-2, red 2099-9819 Flush mount adapter kit, black Refer to page 4 for details 2099-9820 Flush mount adapter kit, beige 2099-9803 Replacement breakglass 2099-9804 Replacement break-rod 2099-9828 Institutional cover kit for field installation on 4099-9001 • • . - Power and Communications MAPNET II or IDNet, 1 address per station, up to 2500 ft(762 m)from fire alarm control panel, up to 10,000 ft(3048 m)total wiring distance(including T-Taps) Address Means Dipswitch, 8 position Wire Connections Screw terminal for in/out wiring,for 18 to 14 AWG wire UL Listed Temperature Range 32°to 120° F(0°to 49° C)intended for indoor operation Humidity Range Up to 93% RH at 100' F (38'F) Housing Color Red with white raised lettering Material Housing and pull lever are Lexan polycarbonate or equal Pull Lever Color White with red raised lettering Housing Dimensions 5" H x 3-3/4"W x 1"D(127 mm x 95 mm x 25 mm) Single Gang Box Mount 4"Square Box Mount Single gang box,2-1/2"deep 4"(102 mm)square box,2-118"(54 mm)minimum (64 mm),RACO#500 or equal depth,RACO#231 or equal(supplied by others) (supplied by others) f 0 o Mount flush or with r 1/16"(2 mm) / maximum extension l-1 4"Square box o C DO NOT RECESS with cover plate Station ; FIRE ® ALARM side view Single gang cover plate,3/4" (19 mm)extension,RACO#773 PULL DOWN or equal(supplied by others) ♦ - Single gang box outline Wall surface� - -- Semi-Flush Mount Side View il35implex 2 S4099-0001-6 10/2003 2975-9178 Box 2975-9022 Cast Box Preferred Mounting.For 5-3/16"H x 4"W x 2-3/16"D 5"H x 3-7/8"W x 2-3/16"D surface mounting Of these (132 mm x 102 mm x 56 mm) (127 mm x 98 mm x 56 mm) addressable manual stations,the (ordered separately) (ordered separately) preferred electrical boxes are shown in the illustration to the right. 0 0 0 Additional Mounting Knockouts located Reference. Refer to page 4 for top and bottom Wiremold box mounting compatibility. FIRE ® ALARM 0 0 PULL DOWN 1 Access for 3/4"threaded 5- conduit located top and bottom (127 mm) t3 Simpler 1"(25.4 mm) E.— 3-3/4"(95 mm) 4099 Series Addressable Manual Station Refer to NFPA 72,the National Fire Alarm Code,and all applicable local 1-1/4" codes for complete requirements for I (32 mm) Simplex 2975-9178 box manual stations. The following (shown for reference) I summarizes the basic requirements. 1. Stations shall be located in the normal path of exit and distributed in the protected area such that they Address setting under are unobstructed and readily resealable label(accessible accessible. with cover open) . 2-5/8" 2. Mounting shall be with the (67 mm) operable part not less than 3-1/2 ft (1.1 m)and not more than 4-1/2 ft Station cover (1.37 m)above floor level. hinges open for installation access \ 3. At least one station shall be \11 provided on each floor.Additional Switch wiring stations shall be provided to obtain (prewired) a travel distance not more than 200 ft(61 m)to the nearest station from any point in the building. 4. When manual station coverage i appears limited in any way, additional stations should be installed. 3 S4099-0001-6 10/2003 For retrofit and new installations, additional o 0 Wiremold compatible mounting boxes �o receptacle box and the required adapter plates 2099-9814 Surface trim model V5744-2 are shown in the illustration to for Wiremold box (supplied by 5-1/8"H x 5"W others) the right. (130 mm x 127 mm) O O O O Two gang switch box,each 3"H x 2"W x 2-3/4"D FIRE ALARM (76 mm x 51 mm x 70 mm) (supplied by others) 4099-90011DNet PULL DOWN ° 'J addressable station I IO o19 i � n U U U 2099-9813 Semi-flush trim for 2 gang O # o switch box,6"H x 4-1/2"W (152 mm x 114 mm) Flush mount adapter kit 2099-9819,Black 2099-9820,Beige\ Box must be recessed into wall 1"to 1 1/ts"(Y5,4 mm to 29 mm) J ■ ALARM 8" (203 mm) Hole cutout mutt be a PULL DAWN minimum of 6"11 by 5"W 6° (152 mm by 127 mm) (152 mm) i^) OSImplex 4-11/16"(119 mm) square box,2-1/8" (54 mm)minimum Wall depth(by others) 4-3/4"(121 mm) - surface 6-3/4"(171 mm) Front View Side View Tyco,Simpler,the Simplex logo,MAPNET H,,and IDNet are trademarks of Tyco liner•national Services AG at-its offiliales in the U.S.and/or other countries.NFPA 72 and National Fire Alarm Code are registered trademarks of the National Fire Protection Association(NFPA).Leran is a tr•adernm'k of the General Electric Co.Wiremold is a trademark of the Wiremold Comparrv. USimplex Tyco Safety Products Westminster• Westminster, MA•01441-0001 •USA S4099-0001-6 10/2003 a www.tycosafetyproducts-usa-wm.com 0 2003 Tyco Safety Products Westminster.All rights resen ed.All specifications and other information shown were current as of document revision date and are subject to charge without notice. 93®Simplex TrueAlarm Analog Sensing UL, ULC, CSFM Listed; FM Approved, TrueAlarm Analog Sensors — Photoelectric, MEA (NYC)Acceptance* Ionization, and Heat; Standard Bases and Accessories IAM TrueAlarm®analog sensing provides: WE • Digital transmission of analog sensor values via IDNetTM or MAPNET II®two-wire communications** For use with the following Simplex products: • 4010 and 41000 Series control panels;and 4008 Series control panels with reduced feature set(refer to data sheet S4008-0001 for details) • 4020,4100,and 4120 Series control panels,Universal Transponders and 2120 TrueAlarm CDTs equipped for 4098-9714 TrueAlarm Photoelectric MAPNET II operation Sensor Mounted in Base Fire alarm control panel provides: • Peak value logging allowing accurate analysis of each = ' sensor for individual sensitivity selection ® Digital Communication of Analog Sensing. • Sensitivity monitoring satisfying NFPA 72 sensitivity TrueAlarm analog sensors provide an analog testing requirements;automatic individual sensor measurement digitally communicated to the host control calibration check verifies sensor integrity panel using Simplex addressable communications.At the • Automatic environmental compensation,multi-stage control panel,the data is analyzed and an average value is alarm operation,and display of sensitivity directly in determined and stored.An alarm or other abnormal percent per foot condition is determined by comparing the sensor's present • Ability to display and print detailed sensor information value against its average value and time. in plain English language Intelligent Data Evaluation.Monitoring each sensor's Photoelectric smoke sensors provide: average value provides a continuously shifting reference • Seven levels of sensitivity from 0.2%to 3.7% point.This software filtering process compensates for environmental factors(dust,dirt,etc.)and component Heat sensors provide: aging,providing an accurate reference for evaluating new • Fixed temperature sensing activity.With this filtering,there is a significant reduction • Rate-of-rise temperature sensing in the probability of false or nuisance alarms caused by Utility temperature sensing shifts in sensitivity,either up or down. • Ionization smoke sensors provide: Control Panel Selection.Peak activity per sensor is stored to assist in evaluating specific locations. The alarm • Three levels of sensitivity; 0.5%,0.9%, and 1.3% set point for each TrueAlarm sensor is determined at the General features: host control panel,selectable as more or less sensitive as • UL listed to Standard 268 the individual application requires. • Louvered smoke sensor design enhances smoke Timed/Multi-Stage Selection. Sensor alarm set points capture by directing flow to chamber;entrance areas can be programmed for timed automatic sensitivity are minimally visible when ceiling mounted selection(such as more sensitive at night, less sensitive • Designed for EMI compatibility during day).Control panel programming can also provide multi-stage operation per sensor.For example,a 0.2% • Magnetic test feature is provided level may cause a warning to prompt investigation while a • Optional accessories include remote LED alarm 2.5%level may initiate an alarm. indicator and output relays Sensor Alarm and Trouble LED Indication.Each Additional base reference: sensor base's LED pulses to indicate communications • For isolator bases,refer to data sheet S4098-0025 with the panel. If the control panel determines a sensor is • For sounder bases,refer to data sheet S4098-0028 in alarm,or is dirty or has some other type of trouble,the • For photo/heat sensors,refer to data sheet S4098-0024 details are annunciated at the control panel and that sensor (single address)and S4098-0033 (dual address) base's LED will be turned on steadily.During a system alarm,the control panel will control the LEDs such that These products have been approved by the Califety C Stale Fire Marshal t((CSFM)pursuant to an LED indicating a trouble will return to pulsing to het Section 13144.1 of the California Health and Safety Code.See CSFM Listings g p g p 7272-0026:218.7271-0026:231,7270-0026:216,and 7300-0026:217 for allowable values identify the alarmed sensors. and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.Accepted for use—City of New York TrueAlarm analog sensors are protected by one or more of the following U.S.Patents: Department of Buildings—MEA35-93E.Additional listings may be applicable,contact your 5.155,468;5,173,683;5,400,014;5,543,777;5,710,541;D383,407;D388,352;D392,573. local Simplex product supplier for the latest status.Listings and approvals under Simplex MAPNET II and IDNet addressable communications designs are protected by U.S.Patent Time Recorder Co.are the property of Tyco Safety Products Westminster. No.4,796.025. S4098-0019-11 812007 TrueAlarm Sensor Bases and Accessories • : • - TrueAlarm sensor bases contain integral addressable electronics that constantly monitor the status of the Base mounted address selection: detachable photoelectric,ionization,or heat sensors.Each • Address remains with its programmed location sensor's output is digitized and transmitted to the system • Accessible from front(DIP switch under sensor) fire alarm control panel every four seconds. General features: Since TrueAlarm sensors use the same base, different • Automatic identification provides default sensitivity sensor types can be easily interchanged to meet specific when substituting sensor types location requirements. This feature also allows intentional • Integral red LED for power-on(pulsing), or alarm or sensor substitution during building construction.When trouble(steady on) conditions are temporarily dusty, instead of covering the • Locking anti-tamper design mounts on standard outlet smoke sensors(causing them to be disabled),heat sensors box may be installed without reprogramming the control panel.Although the control panel will indicate an • Magnetically operated functional test incorrect sensor type,the heat sensor will operate at a e , • default sensitivity providing heat detection for building 4098-9792, Standard sensor base protection at that location. 4098-9789, Sensor base with wired connections for: • 2098-9808 Remote LED alarm indicator or 4098-9822 relay(unsupervised) Electrical Box Requirements:(boxes are by others) 4098-9791, Sensor base with supervised relay driver Without Lela":4"octagonal or 4"square,1-1/2"deep; output(not compatible with 2120 CDT): single gang,2"deep • Relay operation is programmable and can be manually With r":4"octagonal or 4"square, 1-1/2"deep, operated from control panel with 1-112"extension ring • Use with remote mount 2098-9737 relay 4"(102 mm)Square Box 4"(102 mm)octagonal Box • Also includes wired connections for remote LED alarm Surface mount reference 7 indicator or 4098-9822 relay 2098-9737, Remote or local mount supervised relay: • DPDT contacts for resistive/suppressed loads,power 1-1/2"(38 mm) limited rating of 3 A @ 28 VDC;non-power limited minimum box depthFlush mount reference,mount even with final rating of 3 A @ 120 VAC(requires external 24 VDC surface,or with up to 1/4"(6.4 mm)maximum recess COl]power) 2098-9737 Relay(mounts in 4098-9822 Relay(mounts 4098-9822, LED Annunciation Relay: base electrical box or remotely) in base electrical box) • Activates when base LED is on steady,indicating local alarm or trouble • DPDT contacts for resistive/suppressed loads,power limited rating of 2 A @ 28 VDC;non-power limited rating of 1/2 A @ 120 VAC, (requires extemal 24 VDC coil power) 4098-9632, Adapter late: Relay Size. 2-1/2"x 1-112"x 1"(3.75 cubic inches) p p (64 mm X 38 mm X 25.4 mm) • Required for surface or semi-flush mounting to NOTE:Review total wire cnnnt,wire size,and ar_.ressories 4"square electrical box and for surface mounting to being wired to determine required box volume. 4"octagonal box ----------------------------------------------- • Can be used for cosmetic retrofitting to existing 6-3/8" �� 6-3/8"(162 mm) diameter base product 2098-9808, Remote red LED Alarm t 4098-9832 Adapter Plate,reouired for Indicator: 1/4" mounting to surface mounted boxes (6.4 mm) and 4"square flush box • Mounts on single gang box ALARM 7/e1za mm (shown in illustration to right) ® a- ( ) 1s/1s° (24 mm) O fl SMnplex TrueAlarm Bases 4098-9789,-9791,&-9792 2 S4098-0019-11 8/2007 TrueA/arm Sensors • ; - TrueAlann photoelectric sensors use a stable,pulsed Sealed against rear air flow entry infrared LED light source and a silicon photodiode Interchangeable mounting receiver to provide consistent and accurate low power smoke sensing. Seven levels of sensitivity are available EMI/RFI shielded electronics for each individual sensor,ranging from 0.2%to 3.7%per Heat sensors: foot of smoke obscuration. Sensitivity is selected and • Selectable rate compensated, fixed temperature sensing monitored at the fire alarm control panel. with or without rate-of-rise operation The sensor head design provides 360°smoke entry for • Spacing distance between heat sensors: optimum response to smoke from any direction. Due to its Fixed Temp. UL S FM Spacing,Either Fixed photoelectric operation,air velocity is not normally a Setting pacing Temperature Setting factor,except for impact on area smoke flow. 135°F(57.2°C) 60 ft(18.3 m) 15 It x 15 ft(4,6 m)fixed L _I temperature only; r 4-7/8"(124 mm) 155°F(68°C) 40 ft(12.2 m) 30 ft x 30 ft(9.2 m)fixed — temperature with rate-of-rise Smoke Sensors: 0 LED status indicator 2-1/8" • Photoelectric or ionization technology sensing (54 mm) • 360°smoke entry for optimum response - • Built-in insect screens • ' ' 4098-9714 Photoelectric Sensor with Base TrueAlarm heat sensors are self-restoring and provide rate Etii;r.iw-y&irAr.rTm. compensated,fixed temperature sensing,selectable with or without rate-of-rise temperature sensing.Due to its TrueAlarm Ionization sensors use a single radioactive small thermal mass,the sensor accurately and quickly source with an outer sampling ionization chamber and an measures the local temperature for analysis at the fire inner reference ionization chamber to provide stable alarm control panel. operation under fluctuations in environmental conditions such as temperature and humidity. Smoke and invisible Rate-of--rise temperature detection is selectable at the combustion gases can freely penetrate the outer chamber. control panel for either 15°F(8.3° C)or 20°F(11.1°C) With both chambers ionized by a small radioactive source per minute. Fixed temperature sensing is independent of [Am 241 (Americium)],a very small current flows in the rate-of--rise sensing and programmable to operate at circuit. The presence of particles of combustion will cause 135°F(57.2°C)or 155°F(68°C). In a slow developing a change in the voltage ratio between chambers. This fire,the temperature may not increase rapidly enough to difference is measured by the electronics in the sensor operate the rate-of--rise feature.However,an alarm will be base and digitally transmitted back to the control panel for initiated when the temperature reaches its rated fixed processing. temperature setting. Three levels of sensitivity are available for each TrueAlann heat sensors can be programmed as a utility ionization sensor:0.5,0.9,and 1.3%per foot of smoke device to monitor for temperature extremes in the range obscuration. from 32°F to 155°F(0°C to 68°C). This feature can provide freeze warnings or alert to HVAC system 4-7/8"(124 mm) -I problems.Refer to specific panels for availability. L 4-7/8" 124 mm 0--LED status indicator 2-1/8" (54 mm) LED status indicator 2- 4 318" (60 mm) 4098-9717 Ionization Sensor with Base =71=1• Sensor locations should be determined only after careful 4098-9733 Heat Sensor with Base consideration of the physical layout and contents of the area to be protected. Refer to NFPA 72,the National Fire WARNING: In most fires, hazardous levels of smoke Alarm Code'"'. On smooth ceilings,smoke sensor spacing and toxic gas can build up before a heat detection of 30 ft(9.1 m)may be used as a guide. For detailed device would initiate an alarm. In cases where Life application information,refer to 4098 Detectors, Sensors, Safety is a factor,the use of smoke detection is highly and Bases Application Manual(574-709). recommended. 3 S4098-0019-11 8/2007 1 1 M' TrueAlarm Sensor Bases" Model Description Compatibility Mounting Requirements 4098-9792 Standard Sensor Base, no options Sensors 4098-9714,-9733,&-9717 4"octagonal or 4"square box, 1-1/2"min. depth; or single gang box,2"min. depth Sensor Base with connections for Sensors 4098-9714,-9733,&-9717 4098-9789 Remote LED Alarm Indicator or 2098-9808 remote LED alarm Unsupervised Relay indicator or 4098-9822 relay 4"octagonal or 4"square box Sensor Base with connections for Sensors 4098-9714,-9733,&-9717 Note:Box depth requirements depend Supervised Remote Relay and 2098-9737 remote relay(supervised) on total wire count and wire size,refer to 4098-9791 connections for Remote Alarm accessories list below for reference. 2098-9808 remote alarm indicator or Indicator or Unsupervised Relay 4098-9822 relay(unsupervised) TrueAlarm Sensors Model Description Compatibility I Mounting Requirements 4098-9714 Photoelectric Smoke Sensor 4098-9717 Ionization Smoke Sensor Bases 9792,4098-9789, and 4098-978-9791 Refer to base requirements 4098-9733 Heat Sensor TrueAlarm Sensor/Base Accessories Model Description Compatibility Mounting Requirements Remote Mounting requires 4"octagonal or Supervised Relay,mounts remote 4"square box, 1-112"minimum depth 2098-9737 or in base electrical box For use with 4098-9791 base Base Mounting requires 4"octagonal box, 2-1/8"deep with 1-1/2"extension ring 2098-9808 Remote Red LED Alarm Indicator Single gang box, 1-1/2"minimum depth on single gang stainless steel plate Relay,tracks base LED status Bases 4098-9789 and 4098-9791 4098-9822 (unsupervised,mounts only in base extension ring octagonal box,2-1/B"deep with 1-1l2" electrical box) e Required for surface or semi-flush 4098-9832 Adapter Plate Bases 4098-9792,-9789,&-9791 mounted 4"square box and for surface mounted 4"octagonal box *Refer to Installation Instructions 574-707 and Application Manual 574-709 for additional information. General Operating Specifications Communications and Sensor Supervisory Power MAPNET 11 or IDNet,auto-select,24-40 VDC w/data,400 µA typical, 1 address per base Communications Connections Screw terminals for in/out wiring, 18 to 14 AWG(0.82 mm2 to 2.08 mm`) Remote LED Alarm Indicator Current 1 mA typical,no impact to alarm current Remote LED Alarm Indicator and Relay Connections Color coded wire leads, 18 AWG(0.82 mm2) UL Listed Temperature Range 32°to 100'F(0°to 38°C) Operating with 4098-9717 or 4098-9733 32°to 122°F(0'to 50°C) Temperature Range with 4098-9714 15°to 122'F(-9°to 50°C) Humidity Range 10 to 95%RH Smoke Sensor 4098-9714,Photoelectric Sensor Air velocity=0-2000 f/min(0-610 m/min) Ambient Ratings 4098-9717. Ionization Sensor Air velocity=0-200 ft/min(0-61 m/min);Altitude is up to 8000 ft(2.4 km) Housing Color Frost White 4098-9791 Base With Supervised Remote Relay 2098-9737(see page 2 for contact ratings) Externally Supplied Relay Coil Voltage 18-32 VDC(nominal 24 VDC) Supervisory Current 270 µA,from 24 VDC supply Alarm Current with 2098-9737 Relay 28 mA,from 24 VDC supply 4098-9822 Unsupervised Relay,Requirements for Bases 4098-9789 and 4098-9791 (see page 2 for contact ratings) Externally Supplied Relay Coil Voltage 18-32 VDC(nominal 24 VDC) Supervisory Current Supplied from communications Alarm Current 13 mA from separate 24 VDC supply Tyco,Simplex,the Simplex logo,TrueAlarm,/UNet,and LIAPNET II are Irademarkc of Tyco International Services AG or its uffiliates in the U.S.and or other countries. NFPA 72 and National Fire Alarm Code are registered trademarks of the National Fire Protection Association(NFPAj. eSiMpIM Tyco Safety Products Westminster- Westminster, MA-0 144 1-0001-USA S4098-0019-11 8/2007 e www.tycosafetyproducts-usa-wm.com '�'2007 Tyco Safely Products Wesinuinster.All rights mvemed.All specifications and other information shown were current as gfdocument revision dale and are subject to change without notice. FIRE ALARM E?UIPMENT Ratemof=Rise and Fixed Temperature Heat Detectors FEATURES 280B-PL Series > Low profile with base The 280B-PL Series heat detectors offer fixed temperature or com- > Positive fixed temperature bination rate-of-rise and fixed temperature features.The heat detec- operating indication for is available with a white plastic reversible mounting plate.The > On site testing of rate-of-rise plastic plate can be used for either flush or surface mounting. It in- feature cludes a white skirt which covers the space between detector base and the mounting surface. AGENCY APPROVALS *NOTE:Maximum detector coverage has been determined by UL to > UL Listed provide detection time equal to sprinkler devices spaced at 10 ft > FM Approved (3.05m)intervals on a smooth ceiling 15 feet 9 inches(4.8m)high. Higher ceilings may adversely affect detection time. Earlier detec- > CSFM Listed tion may be obtained by reducing the spacing between detectors. SPECIFICATIONS (See NFPA 72,Chapter 5) T11 ingle circuit normally open Detector twists and locks onto mounting plate.Mounting plate may ontact rated at 3 amps at 6 to be surface mounted or mounted onto any 3 1/4"(83mm)or 4" 25V AC; 1.0 amps at 6 to 28V (102mm)octagon box. DC, 0.3 amps at 125V DC, and .01 amps at 250V DC > Maximum coverage 2,500 sq.ft. (232.25 sq. m) > UL spacing: 50 ft(15.24m) > FM spacing:30 ft(9.14m) > Color- white 90 Fieldstone Court I Cheshire, CT 06410 Ph: 203.699.3300 Fx: 203.699.3108 Edwards Signaling ©Copyright 2004 Edwards www.edwards-signals.com & Security Systems FIRE ALAM EQUIPMENT TECHNICAL INFORMATION Surface Mount Flush Mount Skirt Mount 5" dia. Wire entrance ;" "" ?'--- ; 7 13/16" dia. (127) snap-outs (198mm) z 13/4• Reversible (51 mm) (44mm) � plastic I 6253 mounting 3 7/16" skirt p Reversible (t27mm) late (87}mm� (not supplied) plastic mounting plate Flush mounting (supplied) using 3 1/2" or 4" octagonal Mounting using Reversible plastic mount- 1 1/2"deep electrical outlet box 6253 skirt (not supplied) ing plate (supplied)* (not supplied) with 3 112" or 4" octagonal 1 1/2"deep electrical outlet box (not supplied) No. Description Rating Rating 281B-PL ROR& Fixed 157/min. 135 100 282B-PL ROR & Fixed 15°F/min. 194 150 283B-PL Fixed — 135 100 284E-PL Fixed — 194 150 Edwards Signaling 90 Fieldstone Court I Cheshire, CT 06410 wars ©Copyright 2004 Edwards 7 g Ph: 203.699.3300 1 Fx: 203.699.3108, & Security Syrs-t@nvol www.edwards-signals.com 93®Simplex Multi-Application Peripherals UL, ULC Listed; FM, CSFM, MAPNET Ile and IDNetTM Communicating Devices, and MEA (NYC) Approved* Individual Addressable Modules (IAMs) MAPNET II or IDNet addressable communications supply both data and power over a single wire pair -- tr1 f,�, to provide**: • Supervised Class B monitoring of normally open,dry contacts ll R • • Total wiring distance from IAM to supervision resistor(s)of up to 500 ft(152 m) Eli • Monitored connection is compatible with Simplex 2081-9044 Over-voltage Protectors for outdoor wiring or electrically noisy applications 4090-9001 Supervised IAM For use with following Simplex control panels: (shown approximately 3/4 size) • Model Series 4010/4100/4100U/4120/4020 fire alarm control panels equipped with either IDNet or MAPNET II communications • Model Series 2120 communicating device transponders (CDTs) equipped with MAPNET II communications Model 4090-9001: • Enclosed design minimizes dust infiltration • Mounts in standard single gang electrical box • Screw terminals for wiring connections • Visible LED flashes to indicate communications • Optional covers are available to allow LED to be viewed after installation(requires mounting bracket, 4090-9051 Supervised IAM ordered separately) (shown approximately 3/4 size) Model 4090-9051: • Encapsulated design for extended exposure to high humidity(LED is not present on this model) • • Color coded 18 AWG leads for wiring Individual addressable modules (IAMs)receive IDNet communications provides current limited both power and communications from a two-wire monitoring: MAPNET II or IDNet circuit. They provide location • Provides monitoring of tamper switch(supervisory)and specific addressability to a single initiating device(such waterflow switch(alarm) on same circuit using one point as single station smoke detector alarm contacts or heat detector contacts)or multiple devices at the same location • Available with IDNet communications only by monitoring normally open dry contacts and the wiring Multiple operation modes are available and are to an end-of-line resistor. selectable at the control panel: Model 4090-9001 is packaged in a thermoplastic • Contact closure status can be tracked housing and provides screw terminal connections and a • Momentary contact closure conditions can be selected at status indicating LED. the panel to be latched or tracked(not available with the Model 4090-9051 is an encapsulated package with wire 2120 CDT) leads.It does not provide a status indicating LED. UL listed to Standard 864 These products have been approved by the California State Fire Marshal(CSFM)pursuant to Section 13144.1 of the California Health and Safety Code.See CSFM Listing 7300-0026:223 for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.Accepted for •• MAPNET II and IDNet addressable communications designs are protected by U.S. use—City of New York Department of Buildings—MEA35-93E.Additional listings may be Patent No.4,796.025. applicable;contact your local Simplex product supplier for the latest status.Listings and approvals under Simplex Time Recorder Co.are the property of Tyco Safety Products Westminster. S4090-0001-7 3/2004 'Current Limited Operation Applications, Contact Closure.Closure of the monitored contact(s) For use with IDNet communications only,these -initiates an alarm or other response as programmed at the IAMs can sense normal,open circuit,short circuit, and fire alarm control panel.An open in the monitored circuit current limited conditions.With the proper end-of-line wiring will cause a trouble to be reported. and current limiting resistors,dual functions such as Panel Selections. Selections can be made at the control tamper switch and waterflow switch monitoring can be panel to maintain the alarm condition if the initiating determined and communicated by a single addressable device contacts are momentary,such as from a point. rate-of-rise heat detector,or to track the device contact status (not available with the 2120 CDT). • • • Model Number Description mA4090-9001 Supervised IAM, mounted in thermoplastic housing with screw terminals; see applicable options below 4090-9051 Supervised IAM, encapsulated with wire leads Optional Trim Plates and Mounting Bracket for Model 4090-9001 Model Number Description 4090-9806 Trim plate with LED viewing window, requires For semi-flush mounted box 4090-9810 mounting bracket, includes mounting 4090-9807 screws; galvanized steel For surface mounted box 4090-9810 Mounting bracket, mounts IAM to electrical box and provides screw holes for trim plate, required for optional trim plates Electrical Power and Communications MAPNET II or IDNet, auto selected, 1 address per IAM Input Requirements Normally open, dry contacts 4090-9001 Screw terminals for in/out wiring, 18 to 14 AWG wire Wire Connections (0.82 MM2 to 2.08 mm ) 4090-9051 Color coded wire leads, 18 AWG (0.82 MM2), 8"long (203 mm) Supervision Resistor 6.8 k92, 1/2 W NOTE: Refer to installation instructions 574-331 (-9001), 574-572(-9051)and Resistors for Current Limited Operation field wiring diagrams 841-804 and for use with IDNet communications only 1.8 kS2 and 4.7 kS2, 1/2 W ( Y) � 842-073 for additional information. Wiring Distances Distance from IAM to Contacts 500 ft(152 m)maximum without protectors 400 ft(122 m)maximum with 2081-9044 Overvoltage Protectors Wiring Distance Reference per channel, 2500 ft(762 m)maximum from fire alarm control panel MAPNET II or IDNet Communications 10,000 ft(3048 m)maximum total wiring distance(including T-Taps) Mechanical Dimensions 4090-9001 1-9/16"W x 1-3/4"H x 1-1/4" D(40 mm x 44 mm x 32 mm) 4090-9051 1-9/16"W x 1-9/16" H x 9/16"D(40 mm x 40 mm x 14 mm) Housing Material,4090-9001 Black thermoplastic Encapsulation Material,4090-9051 Epoxy, beige Temperature Range 32'to 120' F (0°to 49' C)intended for indoor operation Humidity Range Up to 93% RH at 100' F(38' C) 2 S4090-0001-7 3/2004 . 4090-9001 IDNet Field wiring shown supervised IAM for reference 0 LED viewing port Single gang electrical box 2-1/2"(64mm) minimum depth (supplied by others) Address setting under resealable label Single gang blank cover plate and mounting screws,for use when LED is not required to be externally viewed (supplied by others) Mounting Reference, Single Gang Blank Cover Plate All O O Light pipe for / LED viewing 4-114" s 4-1/2" 106 mm ) DISCONNECT POWER DISCONNECT POWER (114 mm BEFORE SERVICING BEFORE SERVICING QO O J o 0 1 3(64mm) I� (72mm)� 4090-9806,Trim plate for 4090-9807,Trim plate for 4090-9810 Mounting semi-flush mounted box surface mounted box bracket, ordered separately NOTE:These mounting plates require mounting bracket 4090-9810. Optional Trim Plates and Mounting Bracket for Visible LED 3 S4090-0001-7 3/2004 Address setting is at rear of housing 4090-9051 Encapsulated Supervised IAM �..� ZZ Q Single gang electrical box 2-1/2" (64mm) minimum depth (supplied by others) Single gang blank cover plate and mounting screws (supplied by others) Tyco,Simplex,the Simplex logo,MAPNET!/,and/DNeI are trodemarkv of Tyco/menautlonal Services AG or its of liales in the U.S.and/or other countries. f3Simplex Tyco Safety Products Westminster•Westminster, MA•01441-0001• USA S4090-0001-7 3/2004 e www.tycosafetyproducts-usa-wm.com 02004 Tyco Safely Producls Westminster.All rights resemed All specifications and other information shown were current as ofdocument revision date and are subject to change without notice. 93.Slmplex Multi-Application Peripherals UL, ULC Listed, FM, CSFM, IDNetTM Communicating Devices and MEA (NYC) Approved* Model 4090-9002 Relay IAM IDNet addressable interface modules"for use with Simplex model 4010 fire alarm control panels 8 4090-9002, Individual Addressable Relay Module C (Relay IAM): m • A single addressable point provides control and status tracking of a Form"C"contact (09 • Low power latching relay design allows IDNet communications to supply both data and module o o power Compact, sealed construction: 4090 Series IDNet Relay IAM Package • Enclosed design minimizes dust infiltration (shown approximately 1/2 size) • Mounts in standard 4"square electrical box • Screw terminals for wiring connections - • Visible LED flashes to indicate communications (Refer to Installation Instructions 574-184 for additional • Optional covers are available to allow LED to be information.) viewed after installation Communications IDNet,1 address per device UL listed to Standard 864 Relay IAM Power Supplied by IDNet communications Relay IAM Contacts(Form"C",SPDT) IDNet Relay IAMs allow the Simplex 4010 fire alarm 2 A @ 24 VDC,for transient control panel to control a remotely located Form"C" Power-Limited Rating suppressed loads contact using IDNet addressable communications for both 1 A 0 24 VDC for inductive loads data and module power. Typical applications would be for switching local power for control functions such as Nonpower-Limited Rating 1/2 A @ 120 VAC,for transient suppressed loads elevator capture,or control of HVAC components, pressurization fans,dampers, etc.Relay status is also Screw terminals for in/out wiring, communicated requiring only one device address. Wire Connections 18 to 14 AWG wire 4 Up to 2500 ft(762 m)from fire alarm control panel Model Description IDNet Wiring Reference Up to 10,000 ft(3048 m)total wiring 4090-9002 Relay IAM distance(including T-Taps) Optional Trim Plates Compatible with Simplex 2081-9044 Overvoltage Protectors Model Description 41/8"H x 41/8"W x 1 3/8"D Trim plate with LED 4090-9801 For semi flush Dimensions (105 mm x 105 mm x 35 mm) mounted box viewing window,includes Housing Material Black thermoplastic 4090-9802 mounting screws For surface mounted box Mounting Plate Material Sheet metal,galvanized Temperature Range 32°to 120°F(0°to 49°C), intended for indoor operation This product has been approved by the California State Fire Marshal(CSFM)pursuant to Humidity Range Up to 93%RH at 100° F(38°C) Section 13144.1 of the California Health and Safety Code.See CSFM Listing 7300-0026:223 for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.Accepted for use—City of New York Department of Buildings—MEA35-93E.Additional listings may be 'Simplex IDNet addressable communications are protected by U.S.Patent No. applicable,contact Simplex for the latest status. 4,796,025. ©2000 Simplex Time Recorder Co.All rights reserved. S4090-0002-4 8/00 O O O V r� 0 Address setting under O resealable label / O I � !� I 4"(102 mm)square box,2 1/8" (54 mm)minimum depth,RACO 232 or equal(supplied by others) 4090-9002 Relay IAM i Double gang blank cover plate and mounting screws,for use when LED is not required to externally viewed(supplied by others) Mounting Reference, Double Gang Blank Cover Plate Ali I' i (4 9/16") II -- Light pipe for LED viewing___ (105/m) 116 mm I I! O O O O 4 9/16"(116 min) ► 4 5/16"(109 mm)� 4090-9801,Trim plate for 4090-9802,Trim plate for semi-flush mounted box surface mounted box Optional Trim Plates for Visible LED Siniplec,the Simplex logo,arrd IDNet ore either trademarks or registered trademarks Offintpler Time Recorder Co.in the U.S.and/or other countries. S4090-0002-4 8/00 U®Simplex Westminster, Massachusetts 01441-0001 USA visit us on the world wide web at www.simplexnet.com All specifications and other information shown were current as of printing and are subject to change without notice 935implex Multi-Application Peripherals and Accessories Fire Alarm Control Relays, UL Listed* Track Mounted and Encapsulated, (Air Products) 4098-9843 and 2088 Series FEATURES - • UL listed as Control Unit Accessory (UOXX) „• .e I•.�,a,4�,e •M f 64 A:COi-,c c "o,c a 611 • Track mount package availability: - Single or four relay module, with or without ;;° ,° 2° enclosure, with SPDT or DPDT contacts - LED indicates relay coil status , ° ° a �° ° ° _f ig o,° • �° ° - Enclosures provide status LED viewing ports - Multiple coil voltage inputs, diode polarized --- '— - - Modules are track mounted with "Snap-Apart" 2088-9020, MR204/C, Four DPDT Relay Package feature design with Enclosure(shown with cover removed) • Single encapsulated SPDT relay package with color coded 18 AWG wire leads, available in two versions: -- - 2088-9021 (PAM-1) Provides diode polarized multiple input voltage ability and LED indication - 4098-9843 (PAM-SD) Provides a diode j polarized 24 VDC coil with in/out wiring SPECIFICATIONS (refer to page 2 for dimensions) MiGPM1lD Track Mount Relays `"" �° � RG Contact Ratings 10 A @ 115 VAC,resistive Coil Voltage 18-35 VACNDC,115,or 230 VAC Encapsulated Relay Package Coil Current • SPDT models=15 mA (typical of 2088-9021, PAM-1 and 4098-9843, PAM-SD) • DPDT models=35 mA Terminal Block Ratings up to 14 AWG DESCRIPTION Encapsulated Relays These multi-purpose control relays offer SPDT or Connections 118 AWG color-coded wire leads DPDT, 10 Amp contacts in a variety of mechanical packages. Models are available for coil operation by 2088-9021 - one of four input voltages allowing a single relay to be Contact Ratings 10 A @ 115 VAC,resistive energized from a voltage source of 18-35 VDC or VAC, Voltage 18-35 VACNDC,115,or 230 VAC 115 VAC, or 230 VAC (not available with 4098-9843). Coil Ratings Voltage selection is made by wiring to the appropriate Current 15 mA @ 24 VACNDC,115,or 230 VAC input terminals. 4098.9843 Each relay model (except model 4098-9843)contains a Coil Ratings 18-35 VDC input,15 mA @ 24 VDC red LED which indicates that the relay coil is energized. • 10 A @ 115 VAC Mounting options are varied for application flexibility. Contact Ratings • 7 A 0 28 VDC Track mounted relays may be"snapped apart"from a • 250 µA @ 5 VDC standard four-module assembly and used General Specifications(all models) independently if desired. Temperature Range I -58- F to 185- F(-50°C to 85' C) "Product listings are by Air Products&Controls,Ltd.per model numbers shown on page 2. ©2001 Simplex Time Recorder Co.All rights reserved S2088-0010-7 4/01 RELAY SELECTION CHART Reference Air Products Relay Relay Packaging Dimensions Track mount Number Model Type Quantity 2088-9007 MR-101/T SPDT 3" H x 2 1/8"W x 1 1/2"D ,without enclosure 2088-9009 MR-201/T DPDT Single (76 mm x 54 mm x 38 mm) 2088-9008 MR-101/C SPDT 6 1/8" H x 3 1/4"W x 2 1/2" D Track mount with enclosure 2088-9010 MR-201/C DPDT (156 mm x 83 mm x 64 mm) 2088-9017 MR-104/T SPDT 3" H x 8 1/2"W x 1 112"D Track mount,without enclosure 2088-9019 MR-2041T DPDT (76 mm x 216 mm x 38 mm) Four 2088-9018 MR-104/C SPDT 6 1/8" H x 9 1/2"W x 2 1/2" D Track mount with enclosure 2088-9020 MR-204/C DPDT (156 mm x 241 mm x 64 mm) Encapsulated, multi-voltage coil, color 1 1/2" H x 1"W x 7/8"D 2088-9021 PAM-1 coded 18 AWG wire leads,with coil (38 mm x 25.4 mm x 22 mm) SPDT Single status LED 4098-9843 PAM-SD Encapsulated, 24 VDC coil, color 1 1/2" H x 1 3/16"W x 13/16"D coded 18 AWG wire leads (no LED) (38 mm x 30 mm x 21 mm) TRACK MOUNT RELAY WIRING REFERENCE SPDT contacts rated DPDT contacts rated 10 A @ 115 VAC, resistive 10 A @ 115 VAC, resistive ® f NC C NO @ ® @ NC C NO NC C NO - - -- Relay energized LED 0 @ ® @ ® E3 tt ® @ O ® ® E3 0 18/24 115 230 O O 0 18/24 115 230 O I I Coil voltage (18-35)VDC ( ) (+) (18-35)VDC (-) (+) Coil voltage (note polarity (18-35)VAC AC AC (note polarity (18-35)VAC AC AC for DC) 115 VAC N V for DC) 115 VAC N V 230 VAC V V 230 VAC V V Terminal strip connections Terminal strip connections SPDT models DPDT models Simplex and the Simplex logo are either trademarks or registered trademarks of Simplex Time Recorder Co.in the U.S.and/or other countries. S2088-0010-7 4101 �3.,S�r�pleX Westminster,Massachusetts 01441-0001 U. S.A. Offices and Representatives Throughout the World Visit us on the world wide web at www.simplexnet.com. All specifications and other information shown were current as of printing and are subject to change without notice. 93®Simplex TrueAlarm Analog Sensing UL, ULC, CSFM Listed; FM Approved; Addressable Duct Sensor Housings with TrueAlarm MEA (NYC) Acceptance* Photoelectric Sensor; Available with Multiple Relay Control Compact air duct sensor housing with clear cover to monitor for the presence of smoke** ( \1 vQo �� Includes factory installed TrueAlarm i . rumrom If L I a a � • photoelectric smoke sensor and features: � o,MIMm • Individual sensor information processed by the host o 7 a� control panel to determine sensor status �� • Digital transmission of analog sensor values via IDNetTM or MAPNET II®,2-wire communications' - • Programmable sensitivity,consistent accuracy, environmental compensation,status testing, and o_ monitoring of sensor dirt accumulation Model 4098-9755: • Basic duct sensor housing(no relay output)powered by IDNet/MAPNET I1 communications Duct Sensor Housing, Front and Bottom View Model 4098-9756: • Duct sensor housing with supervised output for I �� multiple remote relays;requires separate 24 VDC; includes one relay r� ` • Relay output is under panel control "`" • At the panel,relay output can be activated manually or in response to a separate alarm or other input 2098-9808 2098-9806 General features: Remote Status/Alarm Indicator and Test Station • UL listed to Standard 268A •' • • Clear cover allows visual inspection Operation.Simplex®compact air duct smoke sensor • Test ports provide functional smoke testing access housings provide TrueAlarm operation for the detection of with cover in place smoke in air conditioning or ventilating ducts. Sampling • Mounts to rectangular ducts or round ducts;minimum tubes are installed into the duct allowing air to be directed to size is 8"(203 mm)square or 18"(457 mm)diameter the smoke sensor mounted in the housing. • Magnetic test feature for alarm initiation at housing - . . • Optional weatherproof enclosure is available Digital Communication of Analog Sensing. separately(refer to data sheet S4098-0032) Analog information from the sensor is digitally Diagnostic LEDs (on interface board): communicated to the control panel where it is analyzed. • Red Alarm/Trouble LED for sensor status and Sensor input is stored and tracked as an average value communications polling display with an alarm or abnormal condition being determined by • Yellow LED for open or shorted trouble indication of comparing the sensor's present value against its average. supervised relay control(4098-9756 only) Intelligent Data Evaluation.Monitoring each Sampling tubes (ordered separately): photoelectric sensor's average value provides a software filtering process that compensates for environmental • Available in multiple lengths to match duct size factors(dust,dirt,etc.)and component aging,providing • Installed and serviced with housing in place an accurate reference for evaluating new activity. The Remote module options (ordered separately): result is a significant reduction in the probability of false • Remote red status/alarm LED(2098-9808) or nuisance alarms caused by shifts in sensitivity,either • Remote test station with LED(2098-9806) up or down. ** Please note that smoke detection in air ducts is intended to provide • 4098-9843 remote relays(refer to page 2 for details) notification of the presence of smoke in the duct.It is not intended * These products have been approved by the California State Fire Marshal(CSFM)pursuant to to,and will not,replace smoke detection requirements for open Section 13144.1 of the California Health and Safety Code.See CSFM Listing 3240.0026.241 areas or other non-duct applications. for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.Acoopted for use—City or New t TrueAlarm sensors and IDNet and MAPNET II communications are protected by one or York Department of Buildings—MEA35-93E.Additional listings may be applicable;contact more of the following U.S.Patents:5,155,468;5,173,683;5,543,777:5,400.014; your local Simplex product supplier for the latest status.Listings and approvals under Simplex 5,543,777;5.710,541;D383,407;D388,352;D392,573;4,796.025. Time Recorder Co.are the property of Tyco Safely Products Westminster. S4098-0030-5 3/2007 15-14SOGIRGPIT37.1drell II • • - • • Control Panel Selection.Peak activity per sensor is Typically duct sensor applications require less sensitive stored to assist in evaluating specific locations. The alarm settings(such as 2.5%per foot obscuration)due to the set point for each sensor is determined at the control ducts being a relative dirty environment.However,the panel,selectable as the individual application requires. standard seven levels of TrueAlarm sensor sensitivity are Sensor Status LED.Each sensor housing's red status available for each individual sensor,ranging from 0.2%to LED(located on the electrical interface board)pulses to 3.7%per foot of smoke obscuration. Sensitivity is indicate communications with the panel. If the control selected and monitored at the fire alarm control panel. panel determines that a sensor is in alarm, or that it is . • ■ dirty or has some other type of trouble,the details are annunciated at the control panel and that sensor housing's • Individual smoke sensitivity selection status LED will be turned on steadily. During a system • Sensitivity monitoring that satisfies NFPA 72 alarm,the control panel will control the LEDs such that sensitivity testing requirements an LED indicating a trouble will return to pulsing to help • Peak value logging allows accurate analysis for identify any alarmed sensors. (Remote Status/Alarm sensitivity selection LEDs track the operation of the sensor housing LED.) I Automatic, once per minute individual sensor ■ • ' - calibration check verifies sensor integrity TrueAlarm photoelectric sensors use a stable,pulsed • Automatic environmental compensation infrared LED light source and a silicon photodiode • Smoke sensitivity is displayed in percent per foot receiver to provide consistent and accurate low power • Ability to display and print detailed sensor smoke sensing. information in plain English language • Relays of model 4098-9756 are under panel control • for ON,OFF,or override Duct Smoke Sensor Housing with Photoelectric Sensor* Model Description Compatibility Basic Duct Sensor Housing; operating power is supplied by Simplex fire alarm control panel models 4010, 4098-9755 either IDNet or MAPNET II communications(no relay output) 4020,4100,41000, and 4120.Also 2120 CDT if configured for MAPNET II,TrueAlarm operation Duct Sensor Housing with supervised multiple relay output, Same as above except relay operation is not 4098-9756 requires separate 24 VDC fire alarm power and 4081-9008 compatible with 2120 CDT; end-of-line resistor harness; includes one 4098-9843 relay Relay output is for up to 15 total 4098-9843 Relays(additional relays are ordered separately) Remote LED Indicator and Test Station, Select One if Required Model Description Compatibility Mounting 2098-9808 Red LED status indicator 4098-9755 Use single gang box, 2098-9806 Test Station with keyswitch and red LED status indicator 4098-9756 3"H x 2"W x 2"D (turning switch to"TEST"initiates alarm for system testing) (76 mm x 51 mm x 51 mm) Epoxy Encapsulated Remote Relay and End-of-Line Resistor Model Description Compatibility Location Relay;single Form C(7 A @ 120 VAC); refer to pages 3 and 4 y;4098-9756 onl Locate relays within 3 ft �..4098-9843 for additional relay information;one included with 4098-9756; (1 m)of device being wiring is 18 AWG(0.82 mmZ)color coded wire leads connect up to 15 controlled per NFPA 72 4081-9008 End-of-Line Resistor Harness; 10 k92, 1/2 W; (ref. 733-894); 4098-9756 At last relay location required to supervise remote relay coil connection "Each duct housing includes an internally mounted model 4098-9714 TrueAlarm photoelectric sensor and an exhaust tube.A correctly sized sampling tube(ordered per application)is required, refer to chart below. Overall Duct Width Tube Required Suggested Cut Length 12"(305 mm) 2098-9796 1/2"(12.7 mm)longer than duct width 13"to 23"(330 mm to 584 mm) 2098-9804 1/2"(12.7 mm)longer than duct width 24"to 46"(610 mm to 1168 mm) 2098-9797 2"(51 mm)longer than duct width 46"to 71"(1168 mm to 1803 mm) WrLei : 2098-9798 2"(51 mm)longer than duct width 71"to 95"(1803 mm to 2413 mm) 2098-9799 2"(51 mm)longer than duct width 2 S4098-0030-5 3/2007 SensorDuct • • Detail Reference NOTE: Refer to Installation Instructions 574-776 for additional detail and maintenance information. 11-3/8"(289 nvn) Exhaust tube access hole Conduit(by others 4098-9714 Smoke sensor,mounted x in special interface base(supplied) Metal plate with dual holes - _ for 3/4"(19 mm)conduit,plug supplied for unused hole C''' tllilU❑f10 ■'T.) 6-3/4" ) Otl ; • (171 mm 0 0 17 6 000 Yellow LED,relay control trouble Sampling tube indicator(4098-9756 only) access hole ° o � Red sensor status LED Side of duct 0 x x Wiring terminals Stationary baffle built-in) Captive fastening screws(4) (Magnetic test area Mount as shown(preferred)or (Transparent cover Gasketed sensor area with electronics area located to the LEFT or UP ONLY .�I 3-3/8" _ I (86 mm) : . O l� 13/16" Gaskets(supplied) (21 mm) Duct wall Exhaust tube(supplied) Test ports(2)provided Sampling tube,ordered for measuring airflow separately per duct width and for aerosol injection End View with Duct and Tubes Duct housing 18"Round duct outline 4098-9843 Remote Relay (minimum diameter) (7 A @ 120 VAC,for use with 4098-9756 only) NOTE: Mount in separate electrical box within 3 ft(1 m)of device being controlled per NFPA 72 i Exhaust tube 1 8"Square duct outline (minimum width) 1 13/16" (21 mm) Sampling tube,keyed for proper hole alignment (38 mm) 1-3/16"(30 mm) with holes facing into airflow(template is provided for proper tube installation) 3 S4098-0030-5 3/2007 • • • ' - - Preferred Duct Sensor Locations: 1. A minimum of six duct widths downstream from Exhaust sensor bends or inlets to avoid air turbulence. Damper OK 2. On the downstream side of filters to detect fires in the Exhaust. —Return filters. Air 3. In return ducts,ahead of mixing areas. Do not locate 4. Upstream of air humidifier and cooling coil. sensor here ; Return air 5. With accessibility for test and service. damper 6. For additional information,refer to NFPA 90A, Standard for the Installation ofAir Conditioning and Ventilating Systems. Fresh Supply airIL 111 Air Locations to Avoid: Filter 1. Where dampers closed for comfort control would Do not locate Sensor sensor here bank OK interfere with airflow. Bend or other 2. Next to outside air inlets(unless the intent is to obstruction monitor smoke entry from that area). 3. In return air damper branch ducts and mixing areas Return s Duct where airflow may be restricted. 6 Duct in widths widths minimum y minimum is Outdoor Applications Note: For outdoor applications,refer to data sheet S4098-0032 for information on weatherproof enclosure 4098-9845. General Mechanical and Environmental Air Velocity Range(linear ft/min) 300 to 4000 ft/min(91 to 1220 m/min) Sensor Sensitivity Range 0.2%to 3.7%per foot of obscuration, selectable at host control panel LIL Listed Temperature Range 32° F to 100* F(0°C to 38°C) Operating Temperature Range 32°F to 122° F(0°C to 50°C) Storage Temperature Range 0° F to 1400 F(-181 C to 601 C) Humidity Range 10%to 95%RH, non-condensing Wiring Connections Terminal blocks, 18 to 12 AI(0.82 mm2 to 3.31 mm2) Housing Color Black base with clear cover Remote Status/Alarm LED and Test Station with Remote Status/Alarm LED Remote Alarm LED Current 1.2 mA, no impact to 24 VDC alarm current(2098-9808 or 2098-9806) Test Station Keyswitch Current 3.3 mA, no impact to 24 VDC alarm current(2098-9806) Remote Alarm LED and Test Station Distance 250 ft(76 m)maximum Addressable Operation Data Communications IDNet or MAPNET II communications, auto-select, one address per housing; provides operating power to model 4098-9755 Model 4098-9766 with Supervised Multiple Relay Control,Requires Separate Fused 24 VDC from Fire Alarm Power Supply Input Voltage 18-32 VDC(24 VDC nominal) Standby Current 3 mA @ 24 VDC Alarm Current(one relay activated) 15 mA @ 24 VDC; add 15 mA for each additional remnte 4098-AA43 relay For use with 4098-9843 relay only, quantity of 15 maximum; distance of 500 ft Supervised Remote Relay Control Output (152 m)maximum; requires 4081-9008(ref.733-894) 10 ka, 1/2 W end-of-line resistor 4098-9843 Relay Output Ratings,Single Form C, use with Model 4098-9766 Only Coil Current 15 mA @ 24 VDC, up to 15 maximum per relay control output Relay Contacts 7 A at 0.35 PF @ 28 VDC& 120 VAC 250 pA @ 5 VDC Location Distance 500 ft(152 m)maximum to relay coils; relays must be within 3 ft(1 m)of device being controlled per NFPA 72 Tyco,Simplex,the Simplex logo,TrueAlarm,IUNet,and AMPNET ll are trademarks ofTyco International Services AG or its offiliates in the U.S.and or other countriesNFPA 72 and National Fire Alarm Code are registered trademarks of the National Fire Protection Association(NFPA). £;,Simplex Tyco Safety Products Westminster•Westminster, MA-01441-0001-USA S4098-0030-5 3/2007 4. www.tycosafetyproducts-usa-wm.com ''2007 Tyco Safety Products Westminster All rights reserved.All srec fcations and other information shown were current as ofdocument revision date and are subject to change without notice. 93,Slmplex TrueAlert® Multi-Candela Notification Appliances UL, ULC Listed; Visible Notification Appliances with Horn and Synchronized FM Approved* Flash; Non-Addressable, SmartSynCTM Operation Compatible — — -- -- - Audible/visible (AN) notification appliances with efficient electronic horn and high output xenon — strobe, available for wall or ceiling mount • Operation is compatible with ADA requirements (refer to important installation information on page 3) )) �� n • Rugged,high impact,flame retardant thermoplastic housings are available in red or white with clear lens F I R e Operates over a two-wire SmartSync circuit to provide: • Horns that are controlled separately from strobes on the same two-wire circuit • "On-until-silenced"and"on-until-reset"operation on the same two-wire pair FIR E • Horn control that can be selected to be temporal coded, _ march time coded,or on continuously • Strobe appliances on the same circuit operating at a synchronized 1 Hz flash rate • Class B (Style Y)operation requires connection to a compatible SmartSync NAC or to SmartSync Control Wall and Ceiling Mount ANs Module(SCM)4905-9938 • Class A(Style Z)operation when connected to the 1111 R • 4905-9938 SCM or with 410OU series fire alarm control Multi-Candela TrueAlert ANs with horn and panel NACs synchronized strobe provide convenient installation Wall mount ANs features: to standard electrical boxes.The enclosure designs are both impact and vandal resistant and provide a convenient • Wiring terminals are accessible from the front of the housing providing easy access for installation, strobe intensity selection. Since each model can be selected for strobe intensity output,on-site model inspection,and testing inventory is minimized and changes encountered during • Covers are available separately to convert housing color construction can be easily accommodated. Optional adapters and wire guards: Wall mount AN housings are a one-piece assembly • Wall mount AN adapters are available to cover surface (including lens)that mounts to a single or double gang,or mounted electrical boxes and to adapt to Simplex 4"square standard electrical box. The cover can be 2975-9145 boxes quickly removed(a tool is required)and covers are • UL listed red wire guards are available for wall or available separately for color conversion. ceiling mount ANs Ceiling mount ANs install using standard 4"electrical Visible notification appliance (strobe): boxes. Color choice is determined by model number. • 24 VDC xenon strobe;intensity is selectable as 15, 30, • � . • 75,or 110 candela with visible selection jumper secured behind strobe housing During installation,a selection plug at the back of the • UL listed to Standard 1971 housing determines the desired strobe intensity.An Regulated circuit design ensures consistent flash output attached flag with black letters on a highly visible yellow • and provides controlled inrush current background allows the selected intensity to be seen at the side of the strobe lens. Audible notification appliance (horn): This product was not approved by CSFM or MEA(NYC)as of document revision dale. • Low current,24 VDC electronic horn with harmonically Refer to page 2 for listing status of wire guards.Additional listings may be applicable; contact your local Simplex product supplier for the latest status.Listings and approvals rich output sound suitable for either coded or steady under Simplex Time Recorder Co.are the property of Tyco Safety Products Westminster. operation `" Simplex two-wire strobe synchronization operation is protected by U.S_patent No. • UL listed to Standard 464 5.559,492 and SmartSync hornlstrobe operation is protected under U.S.Patent No. 6.281,789. S4906-0002 4/2004 Virne • . I On . • • • • Proper selection of visible notification is dependent on SmartSync operation mode allows a two-wire circuit to occupancy,location,local codes,and proper applications provide the ability to activate both the horn and strobe on of: the National Fire Alarm Code(NFPA 72),ANSI the same NAC and then allow the horn to be silenced Al 17.1; the appropriate model building code: BOCA, while the strobe remains flashing.The horn operates as ICBO,or SBCCI; and the application guidelines of the "on-until-silenced"while the strobe operation is Americans with Disabilities Act(ADA). "on-until-reset." • - . • • - • Multiple Strobes.When multiple strobes and their • 41000 and 4010 Fire Alarm Control Panels(refer to reflections can be seen from one location,synchronized data sheet S4010-0001 for details;refer to data sheet flashes reduce the probability of photo-sensitive reactions S4100-0031 for basic 4100U information) as well as the annoyance and possible distraction of . 4009 IDNet NAC Extender(refer to data sheet random flashing. The multi-candela strobes of these ANs S4009-0002) are synchronized by the controlling SmartSync operation • SmartSync Control Module(SCM)4905-9938 (refer to NAC. data sheet S4905-0003) Additional SmartSync compatible notification appliances include separate horns and combination horn/strobe notification appliances. Multi-Candela A/Vs Model Mounting Housing Color "FIRE"Lettering Description 4906-9127 Wall Red White 4906-9129 White Red Horn with Multi-Candela Strobe;strobe intensity selectable as: 15, 30, 75,or 110 candela;operates with SmartSync two-wire 4906-9128 Red White control Ceiling - 4906-9130 White Red Wall Mount A/V Adapters Model Description Dimensions 4905-9937 Red Surface Mount Adapter Skirt; use to cover 1-1/2"(38 mm)deep 5-3/8"H x 5-1/4"W x 1-5/8"D surface mounted boxes (136 mm x 133 mm x 41 mm) 4905-9940 White depth with strobe=4-3/8"(111 mm) 4905-9931 Red Adapter Plate for mounting to Simplex 2975-9145 box(typically for 8-5/16"x 5-3/4"x 0.060"Thick retrofit, may be mounted vertical or horizontal) (211 mm x 146 mm x 1.5 mm) 2975-9145 Red Mounting Box,requires Adapter Plate 4905-9931 7-7/8"x 5-1/8"x 2-3/4"D (200 mm x 130 mm x 70 mm) SmartSync Control Module Model Description Dimensions 4905-9938 SmartSync Control Module with Class B or Class A output; mounts in 4" 4"x 4-1/8"x 1-1/4" D (102 mm)square box; refer to data sheet S4905-0003 for details (102 mm x 105 mm x 32 mm) Replacement Covers for Wall Mount AlVs Model Description Dimensions 4905-9992 Red cover with white"FIRE"lettering 5-118"H x 5"W x 1-112"D 4905-9993 White cover with red"FIRE"lettering (130 mm x 127 mm x 38 mm) Wire Guards and Ceiling Mount A/V Adapter Model Description Dimensions 4905-9961* Wall mount red wire guard with mounting plate, compatible with semi-flush 6-1/16"H x 6-1/16"W x 3-1/8"D or surface mounted boxes (154 mm x 154 mm x 79 mm) 4905-9927* Red Wire Guard for mounting to flush mounted electrical box 8-1/2"x 6-1/8"x 3" (216 mm x 156 mm x 76 mm) 4905-9928* Ceiling Red Adapter Plate, required to mount guard to surface 9"x 7" Mount mounted electrical box (229 mm x 178 mm) 4905-9915 White Surface Mount Adapter Box Extension, use to cover 4-3/4"x 6-7/8"x 1-1/2"deep, 4905-9916 Red 1-1/2"deep surface mounted boxes (121 mm x 175 mm x 38 mm) *UL listed by Space Age Electronics Inc. 2 S4906-0002 4/2004 Wall Mount or Ceiling Mount,Common Specifications Rated Voltage Range UL Listed Rating Regulated 24 VDC;see Note 1 below ULC Listed Rating 20 VDC to 30 VDC per ULC S526-M878 Flash Rate and Synchronized NAC Loading 1 Hz;with up to 35 synchronized strobes maximum per NAC Environmental;Temperature and Humidity 32"to 122'F(0°to 50'C); 10%to 93%, non-condensing at 100*F(38'C) Connections Terminal blocks for 18 AWG to 12 AWG(0.82 mm2 to 3.31 mm );two wires per terminal for in/out wiring Horn Output Characteristics 2400 to 3700 Hz sweep,modulated at 120 Hz rate Voltage 16 VDC 24 VDC 33 VDC Horn Output Ratings Sound Type(see Note 2) Steady Coded Steady Coded Steady Coded @ 10 ft(3 m) Reverberant Chamber, 66 dBA 82 dBA 88 dBA 84 dBA 90 dBA 86 dBA UL 464 Test Anechoic Chamber 92 dBA 91 dBA 94 dBA 95 dBA 96 dBA 96 dBA Housing Dimensions(with lens) 5-1/8"H x 5"W x 2-3/4"D(130 mm x 127 mm x 70 mm) Wall Maximum RMS Current Rating per 15 cd 30 cd 75 cd 110 cd Mount Strobe Setting(see Note 3 below) 75 mA 116 mA 221 mA 285 mA Reference RMS Currents 18 VDC 70 mA 101 mA 184 mA 243 mA at other voltages 24 VDC 60 mA 84 mA 143 mA 185 mA Housing Dimensions(with lens) 4-3/4 L"x 6-7/8"W x 2-5/8"D(121 mm x 175 mm x 67 mm) Ceiling Maximum RMS Current Rating per 15 cd 30 cd 75 cd 110 cd Mount Strobe Setting(see Note 3 below) 86 mA 132 mA 250 mA 320 mA Reference RMS Currents 18 VDC 81 mA 119 mA 216 mA 283 mA at other voltages 24 VDC 70 mA 97 mA 167 mA 217 mA NOTES: 1. 'Regulated 24 VDC'refers to the voltage range of 16 to 33 VDC per UL Standard 1971, Signaling Devices for the Hearing Impaired, changes effective May 1,2004.This voltage range is the absolute operating range.Operation outside of this range may cause permanent damage to the appliance.Please note that 16 VDC is the lowest operating voltage that is allowed at the last appliance on the NAC under worst case conditions. 2. Coded values are typical of the output measured with a Temporal coded or a March Time coded pulse and with a sound level meter reading on a"fast'setting.Under the same test conditions,coded horn output"peak"sound level readings are typically 4 dBA higher. 3. Currents are with horn on steady.The maximum RMS current listed is the device nameplate rating.Strobe designs are constant wattage and the maximum RMS current rating occurs at the lowest allowable operating voltage. (RMS is root mean square and refers to the effective value of a varying current waveform.) Installationor Mounting 0 0 Mounting is compatible with single gang,double gang,and 1 ° 1 IMPORTANTI WALL MOUNT 4"(102 mm)square boxes, - _= INSTALLATION HEIGHT REFERENCE 1-1/2"(38 mm)deep,by others 0 ° o ° o I / Bottom of lens is either even with,or slightly Electrical 0 0 above bottom box outline Wiring access hole of compatible�_E boxes Wiring terminals for o j SmartSync operation I Mounting Holes: NFPA 72 requires 80"(2.03 m) Single gang (2) 4i square that the entire lens minimum be not less than Double gang(3) 80"and not greater than 96"above the Transparent housing finished floor and lens assembly Intensity selection plug,accessible only from rear of housing; is n factory setting is 15 cd Removable cover Strobe intensity (tool required) viewing slot 3 S4906-0002 4/2004 • • : I F WIMM ill nFff-To11-.0 Ceiling reference, 4"(102 mm)square box, Optional 4905-9928 Adapter Plate, surface mounted box 1-1/2"(38 mm)minimum depth required for surface mounted electrical box Four mounting clamps included,two each side V JICeiling reference, flush mounted box Optional 4905-9915/-9916 Adapter, recommended for surface mounted box - Wiring terminals are Optional 4905-9927 located behind the housing Red Wire Guard 1 End View ------- Strobe intensity viewing slot Intensity selection plug, ; accessible only from rear of lens / housing;factory setting is 15 cd---Wall Mount Installation Reference; Adapter Plate, Guard, and Adapter Skirt Surface Mounting Reference 2975-9145 Box with Optional Adapter Skirt f and Optional Wire Guard z Surface mount conduit and O box shown for reference 4"(102 mm)square box profile, 1-1/2" - - r j (38 mm)deep O O Optional 4905-9961 Wire Guard nn AN --- 4905-9931 Adapter Plate Optional Surface Mount Adapter Skirt, O 4905-9961 Optional Wire Guard 1-1/2"deep:4905-9937,Red; (shown here for reference only, 4905-9940,White(conduit knockouts 4905-9931 Adapter Plate can be used on other mounting options) are provided on all four sides) Tyco,Simplex,the Simplex logo,1DNet.TrueAlerJ,and SmarlSvnc are trademarks of Trco htternatiorral AG or its affiliates in the U.S.and/or other countries NFPA 72 and National Fire Alarm Code are registered trademarks of the National Fire Protection Association(NFPA). Tyco Safety Products Westminster• Westminster, MA• 01441-0001•USA S4906-0002 4/2004 gesir"PWX www.tycosafetyproducts-usa-wm.com 0 2004 Trco Safety Products Westminster.All rights reserved.All specifications and other information shown were current as ofdocument revision dale and are subject to change without notice. 93®5implex TrueAlert® Multi-Candela Notification Appliances UL, ULC Listed, FM Visible Notification Appliances with Synchronized Flash; and CSFM Approved* Non-Addressable, SmartSynCTIM Operation Compatible Visible only(V/O) 24 VDC notification appliances with high output xenon strobe, available for wall or ceiling mount: • UL listed to Standard 1971 '� • Intensity is selectable as 15,30, 75,or 110 candela with b '1 ro visible selection jumper secured behind strobe housing �"- • Operation is compatible with ADA requirements(refer I p c to important installation information on page 3) i G • Polarized input allows connection to compatible reverse polarity,supervised notification appliance circuit(NAC) Wall Mount Strobes • Regulated circuit design ensures consistent flash output and provides controlled inrush current F I R E • Rugged,high impact,flame retardant thermoplastic — T housings are available in red or white with clear lens \_ Strobes provide synchronized flash for use with: • 4010 Series and 41000 Series fire alarm control panels Ceiling Mount Strobes with NACs selected to provide strobe synchronization or SmartSync two-wire control** • • • 4009 IDNetTM NAC Extenders Multi-Candela TrueAlert synchronized strobes • Separate strobe Synchronization Modules that are provide convenient installation to standard electrical available for Class B or Class A operation boxes. The enclosure designs are both impact and vandal • Separate SmartSync Control Modules(SCMs)that resistant and provide a convenient strobe intensity provide Class B or Class A output from conventional selection. Since each model can be selected for intensity NAC inputs output,on-site model inventory is minimized and changes encountered during construction can be easily Strobe housings provides flexible, easy, and accommodated. convenient semi-flush or surface wall mounting: Wall mount strobe housings are a one-piece assembly • Rear of housing does not extend into box (including lens)that mounts to a single or double gang, or • Wall mount strobes easily mount to single gang,double 4"square standard electrical box. The cover can be gang, or 4-inch square outlet box quickly removed(a tool is required)and covers are • Ceiling mount strobes mount to single gang boxes available separately for color conversion. Wall mount strobe features: Ceiling mount strobes install using standard single gang electrical boxes.Color choice is determined by model • Wiring terminals are accessible from the front of the number. housing providing easy access for installation, inspection,and testing • • ' • • Covers are available separately to convert housing color During installation,a selection plug at the back of the Optional adapters and wire guards: housing determines the desired strobe intensity.An attached flag with black letters on a highly visible yellow • Wall mount strobe adapters are available to cover background allows the selected intensity to be seen at the surface mounted electrical boxes and to adapt to side of the strobe lens. Simplexx 2975-9145 boxes • UL listed red wire guards are available for wall or • • • • • - ceiling mount strobes Proper selection of visible notification is dependent on occupancy, location,local codes,and proper applications ' This product has been approved by the California Stale Fire Marshal(CSFM)pursuant to of: the National Fire Alarm Code(NFPA 72),ANSI Section 13144.1 of the California Health and Safety Code,See CSFM Listing 7125-0026:316 for allowable values and/or conditions concerning material presented in A 117.1;the appropriate model building code: BOCA, this document.It is subject to re-examination,revision,and possible cancellation.This ICBO, or SBCCI; and the application guidelines of the product was not approved by(NYC)as of document revision date.Refer to page 2 for Americans with Disabilities Act(ADA). listing status of wire guards,Additional listings may be applicable;contact your local Simplex product supplier for the latest status.Listings and approvals under Simplex Time "' Two-wire strobe synchronization operation is protected by U.S.Patent No.5,559,492; Recorder Co are the properly of Tyco Safely Products Westminster. SmartSync horn/strobe operation is protected under U.S.Patent No.6,281,789;strobe designs are also protected under U.S.Patent Nos.5.886,620;5,622.427:and 5,865,527, S4906-0001-1 8/2004 M111111-111 • .FROM • Multiple Strobes.When multiple strobes and their Class B SmartSync two-wire control is available reflections can be seen from one location,synchronized from: flashes reduce the probability of photo-sensitive reactions • 41000 and 4010 Fire Alarm Control Panels;4010 as well as the annoyance and possible distraction of panels require operating software Revision 2.X or random flashing. These multi-candela strobes are higher(refer to data sheet S4010-0001 for details;refer synchronized over a two-wire circuit when connected to to data sheet S4100-0031 for basic 4100U information) compatible NACs,to compatible Synchronized Flash • 4009 IDNet NAC Extender,models 4009-9201 and Modules,or to SmartSync Control Modules. 4009-9301 (refer to data sheet 54009-0002) • TV SmartSync Control Module(SCM)4905-9938, converts separate conventional horn and strobe NAC Some applications desire the audible notification inputs into a SmartSync NAC output; up to eight SCMs appliances to be capable of being silenced before the can be synchronized to each other alarm condition is reset(on-until-silenced)while the visible notification appliances are kept activated until the Class A SmartSync two-wire control is available alarm condition is reset(on-until-reset). SmartSync from 4100U NACs and from the 4905-9938 SCM. operation mode provides this function using a single Additional SmartSync compatible notification circuit(two-wire operation). appliances include separate horns and combination horn/strobe notification appliances. . • Multi-Candela Visible Notification Appliances (Strobes) Model Mounting Housing Color "FIRE"Lettering Description 4906-9101 Red White 4906-9103 Wall White Red Multi-candela strobe with intensity selectable as: 4906-9102 Red White 15,30,75, or 110 candela;synchronized flash rate; 9 Ceilin — SmartSync two-wire control compatible 4906-9104 White Red Wall Mount Strobe Adapters Model Description Dimensions 4905-9937 Red Surface Mount Adapter Skirt;use to cover 1-1/2"(38 mm) 5-3/8"H x 5-1/4"W x 1-5/8"D 4905-9940 White deep surface mounted boxes (136 mm x 133 mm x 41 mm) Total depth with strobe=4-3/8"(111 mm) 4905-9931 Red Adapter Plate for mounting to Simplex 2975-9145 box(typically for 8-5/16"x 5-3/4"x 0.060"Thick retrofit,may be mounted vertical or horizontal) (211 mm x 146 mm x 1.5 mm) 2975-9145 Red Mounting Box, requires Adapter Plate 4905-9931 7-7/8"x 5-1/8"x 2-3/4"D (200 mm x 130 mm x 70 mm) Ceiling Mount Strobe Adapter Model Description Dimensions 4905-9910 Surface Mount Adapter Plate;zinc plated; required for mounting to 4-7/8"x 3-1/8"x 0.060" D handy box;not needed when using 4905-9926 guard (124 mm x 79 mm x 1.5) Synchronization Modules (refer to data sheet S4905-0003 for additional information) Model Description Dimensions 4905-9914 Class B Synchronized Flash Module;epoxy encapsulated with 1-3/8"x 2-7/16"x 13/16" in/out 18 AWG(0.82 mm )wire leads,rated for 2 A NAC, 4905-9922 Class A requires 10 mA for power (35 mm x 62 mm x 20 mm) 4905-9938 SmartSync Control Module with Class B or Class A output; mounts in 4"x 4-1/8"x 1-1/4" D 4"(102 mm)square box (102 mm x 105 mm x 32 mm) Replacement Covers and Guards Model Description Dimensions 4905-9992 Red cover with white"FIRE"lettering 5-1/8"H x 5"W x 1-1/2"D For Wall mount strobes 4905-9993 White cover with red"FIRE"lettering (130 mm x 127 mm x 38 mm) 4905-9961* Wall mount 6-1/16"H x 6-1/16"W x 3-1/8"D Red wire guard with mounting plate,compatible with (154 mm x 154 mm x 79 mm) 4905-9926* Ceiling mount semi-flush or surface mounted boxes 6-1/8"x 4-3/8"x 2-7/8"deep (156 mm x 111 mm x 73 mm) *UL listed by Space Age Electronics Inc. 2 S4906-0001-1 8/2004 . • -1 Wall Mount or Ceiling Mount, Common Specifications Rated Voltage Range UL Listed Rating Regulated 24 VDC;see Note 1 below ULC Listed Rating 20 VDC to 30 VDC per ULC S526-M878 Flash Rate 1 Hz Synchronized NAC Loading Up to 35 synchronized strobes maximum per NAC Temperature Range 32'to 122'F(0'to 50'C) Humidity Range 10%to 93%,non-condensing at 100*F (38°C) Connections Terminal blocks for 18 AWG to 12 AWG(0.82 mm2 to 3.31 mm2);two wires per terminal for in/out wiring Housing Dimensions(with lens) 5-1/8"H x 5"W x 2-3/4" D(130 mm x 127 mm x 70 mm) Wall Maximum RMS Current Rating per 15 cd 30 cd 75 cd 110 cd Strobe Setting(see Note 2 below) 60 mA 94 mA 186 mA 252 mA Mount Reference RMS Currents 18 VDC 55 mA 85 mA 169 mA 226 mA at other voltages 24 VDC 41 mA 63 mA 123 mA 164 mA Housing Dimensions(with lens) 4-3/4"L x 2-5/16"W x 2-5/8"D(121 mm x 75 mm x 67 mm) Ceiling Maximum RMS Current Rating per 15 cd 30 cd 75 cd 110 cd Strobe Setting(see Note 2 below) 75 mA 125 mA 233 mA 316 mA Mount Reference RMS Currents 18 VDC 64 mA 102 mA 199 mA 266 mA at other voltages 24 VDC 49 mA 76 mA 146 mA 195 mA NOTES: 1. "Regulated 24 VDC"refers to the voltage range of 16 to 33 VDC per UL Standard 1971, Signaling Devices for the Hearing Impaired, changes effective May 1,2004.This voltage range is the absolute operating range.Operation outside of this range may cause permanent damage to the strobe. Please note that 16 VDC is the lowest operating voltage that is allowed at the last appliance on the NAC under worst case conditions. 2. The maximum RMS current listed is the device nameplate rating.Strobe designs are constant wattage and the maximum RMS current rating occurs at the lowest allowable operating voltage.(RMS is root mean square and refers to the effective value of a varying current waveform.) Installationor Mounting, 0 0 Mounting is compatible with \ 0 \ r single gang,double gang,and 1 I 4"(102 mm)square boxes, - o o 0 0 0 1-1/2"(38 mm)deep,by others o 0 o IMPORTANTI WALL MOUNT J' INSTALLATION HEIGHT REFERENCE �- i _ Bottom of lens is either even - with,or slightly Electrical Wiring access hole �' \-� above bottom box outline of compatible boxes�_E Wiring terminals o Mounting Holes: 4"square(4) NFPA 72 requires 80"(2.03 m) Single gang(2) that the entire lens minimum Double gang(3) be not less than 80"and not greater than 96"above the Transparent housing finished floor and lens assembly Intensity selection plug,accessible only from rear of housing; factory setting is 15 cd Removable cover Strobe intensity (tool required) viewing slot 3 S4906-0001-1 8/2004 M. fflam • • . Iffimmilim, • . Handy box, 1-1/2"(38 mm)deep Single gang box(Wiremold (RACO 656 or equal)or single gang V5744S)2-1/4"(57 mm) box,2-1/2"(64 mm)deep(RACO 519 deep,supplied by others or equal)supplied by others Also can be attached to boxes mounted to drop ceiling T-bar with clips(ERICO No.512 or equal) 4905-9910 Adapter Plate,required for surface mount with handy box unless using the 4905-9926 wire guard Ceiling mount strobe Optional 4905-9926 wire guard U D with mounting plate --------------y--------- Strobe intensity viewing slot Intensity selection plug, accessible only from rear of lens' housing;factory setting is 15 cd -- - -- - ----------------- ----- Surface Mounting Reference 2975-9145 Box with Optional Adapter Skirt and Optional Wire Guard C� Surface mount conduit and O box shown for reference 4"(102 mm)square ^-�-^ ® box profile, 1-1/2" (38 mm)deep O — Optional O 4905-9961 Wire Guard LE Strobe - 4905-9931 Adapter Plate Optional Surface Mount Adapter Skirt, O 4905-9961 Optional Wire Guard 1-1/2"deep:4905-9937,Red; (shown here for reference only, 4905-9940,White(conduit knockouts 4905-9931 Adapter Plate can be used on other mounting options) are provided on all four sides) Ti co,Simplex.the Simplex logo,IDNet.TrueAlert,and SmartSync are trademarks of Tyco hnernational AG or its of in the U.S.and/or other cownries.NFPA 72 and National Fire Alarm Code are registered trademarks of the National Fire Protection Association(NFPA). �,�� Tyco Safety Products Westminster• Westminster, MA• 01441-0001•USA S4906-0001-1 8/2004 o www.tycosafetyproducts-usa-wm.com 2004 Tsco Safely Producis Westminster.All rights reserved.All specifications and other information shown were current as of document revision date and are subject to change without notice, 1/ COOPER Wheelock Series MB Motor Bells i � r RSSP REMOTE _ PLATE Description Features The Wheelock Series MB Motor Bells provide a better Approvals include: UL Standard 464, Factory Mutual(FM), Califor engineered motor bell for fire and life safety alarm systems. nia State Fire Marshal (CSFM), New York(MEA) and Chicago (BFP) The Wheelock Series MB Bells include higher dBA,low current Meets OSHA 29 Part 1910.165 draw, built-in trimplate for semi-flush mounting,low frequency aluminum shells, and low RFI noise. The motor for Series High sound output with low current draw MB Bells is a durable, high torque permanent magnet motor Low frequency aluminum shells for better audibility through walls, selected for its high performance and long life. doors and other structures These DC vibrating Series MB Motor Bells are offered in 6" 6"and 10"shell sizes in 12 or 24 VDC models and 10"shell sizes in both 12 and 24 VDC models. Series RSSP Sync/Non-Sync retrofit plates are used in Integral RFI suppression to minimize included noise on the NAC conjunction with the Series MB Motor Bell when combination circuit appliances are required.The Series RSSP retrofit plates are Mounting options for surface, semi-flush, outdoor, and concealed available with either Multi-Candela or single candela strobes conduit installation and easily mount to a 4"square or Wheelock SBL-2 backbox. Built-in trimplate makes semi-flush mounting simpler and less All Series RSSP strobe appliances meet or exceed the expensive requirements of NFPA 72 (National Fire Alarm Code), ANSI 117.1 (American National Standard for Accessible and Usable Screw terminals permit fast in-out field wiring of#12 to 18 AWG wire Buildings and Facilities),ADA(Americans with Disabilities Act) Polarized for DC supervision of NAC circuits and UL Standard 1971 (Signaling Devices for the Hearing Impaired). Operates on filtered or unfiltered DC The Series RSSP retrofit plates may be synchronized when For combined audible(bell) and visual signaling, convenient retrofit installed with the Wheelock Series SM, DSM, Sync Modules plate assemblies are available with Multi-Candela or Single candela or the PS-24-8MC Power Supply with Wheelock patented sync strobes(Refer to Fire Alarm Products Catalog for Series RSSP protocol. Wheelock synchronized strobes offer an easy way Sync/Non-Sync Strobes specifications and technical information) to comply with ADA requirements concerning photo-sensitive epilepsy. Ordering Information Model Order Shell Input Voltage Average RMS UL dBA @ 10 Ft. Mounting NOTES: Number Code Size (VDC) Current Max* Options 1.Typical dBAat 10 MB-G6-12-R 3942 6" 12 0.060 0.090 feet is measured in an anechoic chamber. MB-G6-12-S 4221 6" 12 0.060 0.090 2.For bells all 12 VDC B-G6-24-R 3941 6" 24 0.030 0.040 1 models are UL rated for 9.0 to 15.6 VDC and all B-G6-24-S 4222 6" 24 0.030 0.040 24 VDC models for 18.0 92 D,E,J,K,N,O,P,R,S to 31.0 VDC. MB-G10-12-R 3944 10" 12 0.060 0.090 MB-G10-12-S 4223 10" 12 0.060 0.090 M-M M B-G 10-24-R 3943 10" 24 0.030 0.040 MB-G10-24-S 4224 10" 24 1 0.030 0.040 *RMS current ratings are per UL average RMS method. UL max current rating is the maximum RMS current within the listed voltage range(16-33v for 24v units). G For strobes the UL max current is usually at the minimum listed voltage(16v for 24v units). For audibles the max current is usually at the maximum listed voltage MEA6.� >_ APPROVED (33v for 24v units). For unfiltered FWR ratings,see installation instructions. Architects and Engineers Specifications The alarm appliances shall be Wheelock SE MB vibrating Motor Bells or approved equal. y shall be UL Standard 464 Listed for Fire Protective Service. Shells shall be aluminum in 6" or 10" diameter. Sound output at 10 feet shall be 92 dBA. The bells shall incorporate a permanent magnet motor and suppression circuitry to minimize RFI.They shall include a built-in trimplate for semi-flush mounting to a standard 4"square backbox, or surface mounting to Wheelock's indoor BB backbox or outdoor WBB backbox. For bell strobe applications,retrofit plates Wheelock Series RSSP with Multi-Candela or Single Candela strobes shall be used.All bell models shall be polarized for line supervision and shall have screw terminals for in-out field wiring of#12 to#18 AWG wire.Operating voltage shall be nominal 24 VDC or 12 VDC. Finish on all models shall be textured enamel. Model Number "'der Nominal Voltage Strobe Average Current *Mounting Code VDC Candela UL Max` (VDC) (AMPS)at listed VDC Options RSSP-24MCW FR 9402 24 15/30/75/110 .041/.063/.109/.140 .060/.092/.165/.220 D,E,Z RSSP-241575W-FR 7793 24 15 (75 on-axis) .060 .090 D,E,Z RSSP-121575W FR 7798 12 15 (75 on-axis) .152 .255 D,E,Z " RMS current ratings are per UL average RMS method. UL max current rating is the maximum RMS current within the listed voltage range(16-33v for 24v units). For strobes the UL max current is usually at the minimum listed voltage(16v for 24v units). For audibles the max current is usually at the maximum listed voltage(33v for 24v units). For unfiltered FWR ratings,see installation instructions. Wiring Fig. 1 Bell Models Fig. 2 Retrofit Strobe Plate Models(RSSP) AUDIBLE STROBE J FROM TO NEXT FROM _ APPLIANCE PRECEDING _ _ ro NEXr PRECEDING Jr OR r:ND•OF-LINE APPLIANCE oR APPLIANCE APPLIANCE l } FRCP + + OR EU LR OR FACP RESISTOR (EOLR) FROM _ TO NEXT PRECEDING - SI STRO RORF.OR KE OR + +GOLR N'A(:Y Wheelock products must be used within their published specifications and must be PROPERLY specified, applied, installed, operated, maintained and operationally tested in accordance with their installation instructions at the time of installation and at least twice a year or more often and in accordance with local,state and federal codes,regulations and laws.Specification,application,installation,operation,maintenance and testing must be performed by qualified personnel for proper operation in accordance with all of the latest National Fire Protection Association (NFPA), Underwriters'Laboratories(UL), National Electrical Code(NEC),Occupational Safety and Health Administration(OSHA),local,state,county,province,district,federal and other applicable building and fire standards,guidelines,regulations,laws and codes including,but not limited to,all appendices and amendments and the requirements of the local authority having jurisdiction(AHJ). A WARNING:PLEASE READ THESE SPECIFICATIONS AND ASSOCIATED INSTALLATION INSTRUCTIONS CAREFULLY BEFORE USING, SPECIFYING OR APPLYING THIS PRODUCT.FAILURE TO COMPLY WITH ANY OF THESE INSTRUCTIONS,CAUTIONS OR WARNINGS COULD RESULT IN IMPROPER APPLICATION,INSTALLATION AND/OR OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESULT IN PROPERTY DAMAGE,AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS. NOTE: Due to continuous development of our products,specifications and offerings are subject to change without notice In accordance with Wheelock Inc.standard terms and conditions. �1NWieN1 273 Branchport Avenue R'JIi4 Long Branch, NJ 07740 Phone: (800)631-2148 WE ENCOURAGE AND SUPPORT NICET CERTIFICATION Fax: (732)222-2588 3 YEAR WARRANTY www.cooperwheelock.com Made in USA e,oenn a.o ncinc VI ' ...1� 1. a �► ► 151-92-E S5391 1'PP It ,FPe"uI3 sw ake A(,ti , S2652 (A)UNIVERSAL MOUNTING PLATE MOUNTING ACCESSORIES 0 (F)DOUBLE-GANG, FLUSH(BO) � See Notes 4 �JJ c MAXIMUM NUMBER OF CONDUCTORS WA G.#18 AWG.#16 AWG.#14 WA G•#12 / "AS"Mounting 4 4 4 4 (B)SINGLE-GANG,FLUSH(BO) (G)DOUBLE-GANG, SURFACE(BO) D W 0 / L. W. D. GANG# See Notes 1 &8 See Note 5 h J MAXIMUM NUMBER OF CONDUCTORS_ AWG.$0 AWG.#16 AWG.#14 AWG.#12 MAXIMUM NUMBER OF CONDUCTOR$ 4 4 4 4 Ate'-.#1Q AWG,#16 Auk,#14 AWG. 4 4 4 4 (D)4"SQUARE,FLUSH(BO) �'� (H)NATP(Order Codes: Red 8440,White 8441) r3 a ----------------;----�-, �J L---- ------! ! G G 5.25" G V ' � G1-1'/:"Deep ! �� See Note 2 MAXIMUM NUMBER OF CONDUCTORS AWG, AWG.#1 AWG.#14 w #12 5.25" 4 4 4 Thickness: 13/64" - __ 4 (E)4"SQUARE,DEEP,FLUSH(BO) (1)WPBB(Order Code: 9014) For surface mounting AS outdoor products. �O G 5 21132 3-3I6 1'1 G \\\ -Mo .� �. + 2-1/8"Deep \, �; o0 See Note 3 i MAXIMUM NUMBER OF CONDUCTORS i� 53/16 �- AWG,#1 AWG.#16 AWG.#1 AWG.#12 MAXIMUM NUMBER OF CONDUCTORS 8 8 8 8 AWG.#18 AWG.#16 AWG.#14 AWG.412 Copyright 2005 Wheelock,Inc. All rights reserved. 8 8 8 8 (J)BB BACKBOX(Order Codes: Red 28, . Gray 2349) (N)DBB BACKBOX(Oro,. Code: 2955) Standard steel backbox with knockouts for interior surface mounting, Standard steel backbox provided with knockouts for interior surface concealed conduit mounting or semi-flush applications. mounting,concealed conduit mounting or semi-flush applications. It is It is painted to match the signal. painted to match the signal. 5 4 3-3/8 3-3/11 .-I 2-3116 (2)H TARE o 0 o o (T 3.6 11, 0 o(Of �` (2)HOLES ` (2)HO E 1 J O ; 12)HOLES V C I T �L o Imo) DWF KNOCKOUTS �f See Note 9 FOR /.'CONDUIT PROVIDED WITH KNOCK- OUTS FOR W 8'/.-CONM MAXIMUM NUMBER OF CONDUCTORS MAXIMUM NUMBER OF CONDUCTORS AM#118 AWG.#16 AWG.#14 AWG.#12 AWG,#1 AWK,91 AWG.#14 AWG.412 4 4 4 4 8 8 8 8 00P(K)WBB WEATHER RESISTANT BACKBOX(Order Codes: (0)RP-R RETROFIT PLATE(Order Code: 5042) Red 2959,White 2411) Sturdy die cast housing,threaded conduit hole and knockout for outdoor applications. It is painted to match the signal. 5-7/8 13132 4.11E' 2' 3-3/B' TAPPED FOR W CONDUIT 0-1/4" Z DIA 12114OLES ,) !'4.11E } 3.3116 2-v16 h"KNOCKOUT MAYJMUM NUMBER OF CONDUCTORS IL AWG.#18 AWG.016 AWG.#14 AWG.#12 3-13116 4 4 4 4 (L)ISP2 SURFACE ADAPTER(Order Code: Red 3194, (P)SBB BACKBOX(Order Codes: Red 3204,White 3193) White 3195) For surface mounting speakers, chimes,andelectronic applications. 5-1116 3-9116 pt�oot� u �11 + 000a /0 O S1 6 I , �— 345/64 D 4s,,,. O / G O L 3-3/B n. 'W KOUTS %-KNOCKOUTS - See Note 11EACH 610E) (FACH SIOF) 74/32 t �DI�t� -- MAXIMUM NUMBER OF CONDUCTORS q 5/32 1 3/16 AWG.#18 AWG. i AWG#14 AWG.#12 8 8 8 8 (M)IOB BACKBOX(Order Codes: Red 5046,White 5047) (Q)4"SQUARE DEEP W/EXTENSION RING, FLUSH(BO) For surface mounting MT products. KNOCKOUTSFOR OCONDUIT(TOP.BOTTOM) k2-110'11EEP 5-2102 5-1/4 SO.3-3/B SO oPSee Note 6 O 0 c^ o o e EXT.PoN�DFHTH,-1/2' 2-1C j-� 2 AWG.#1 B B B (� - See Note 10 0 AWG.#16 8 8 G MARIMUM NUMBER OF CONDUCTORS AWG.#14 _8 , B AWG.#16 AWG.#1e AW_ G.#14 AWG.#12 AWG.#12 4 B U� G 1-1/2'DEEP 8 8 8 8 (R)SFP SEMI-FLUSH PLATE(Order Codes: Red 2957,White (V)SSB-4 CEILING SUPPORT BRIDGE(Order Code: 3380) 2958) Provisions for(4)J-nuts#8-32 ib 3 3/6"square Material: Steel Stamped aluminum surface wall plate which mounts behind the basic unit and serves to cover recessed backboxes in semi-flush mounting applications. It is painted to match the signal. - 3-3/S ae-3z _ TAP(2) HOLES T -1 ~ 23-3/4- (S)AP ADAPTER PLATE(Order Code: 2961) (W)411/16"SQUARE,DEEP SURFACE(130) Stamped aluminum adapter plate designed for applications where semi-flush installations cannot be used. The plate can be mounted to standard octagon or round backboxes single or double gang boxes or plaster rings. The backbox and basic:unit are then fastened to the plate. This type mounting is referred to as a concealed conduit installation. It is painted to match the signal e " 3-3/8 ♦ \ 1 aB-32 TA (4)HOLES 0 ~)P ]•3R See Note t� c ��/ r MAXIMUM NUMBER OF CONDUCTORS AWQ#te AWG.#16 AWG.#14 AWG.#12 -- 10 10 10 10 l (T)WPSBB-R(Order Codes: Red 9761,White 3033) (X)SHBB SQUARE, SURFACE BACKBOX(Order Codes: 1 Red 7254,White 7255) sine -i r 5 21132 3-3/63/8 J —Ts— 112 ----- f-- 3-3/8 z 1en Q 0 0 0 0 0 O 1 3/16 / I O l 0 MAXIMUM NUMBER OF CONDUCTORS I O a J o W #1 AWG,#f AWG,#1 AWG.#12 B 8 8 8 _ (U)5"SQUARE BACKBOX W/EXTENSION RING, FLUSH(BO) (Y)SER-R SQUARE SEMI-FLUSH EXTENSION RING(Order Codes: Red 3045,White 3049) r�� ri r T I J - LEI 1-Jli6' 5' �•T"" 1— 3-318" v • ��� 3 3fH' 5' s •� � (Z)SBL-2 BACKBOX(Order Codes: Red' `8,White 6989) (DID)CBB-8 8"CEILINO- -EAKER BACKBOX(Order +.111i 67/64 Code: 3314) 12-e06 - nne 3-3/8 a-3fa o i o •1ltn U 11-114 o , p000p 10 5/16 % o i ! i i rti-t ` �• —4i.YB-J2 V NUT Jl7C NUIC I (AA)E50SB-R (Order Codes: Red 0230,White 0231) -s.os� F—x,—] O ((oi n O O TOP s.os �0} oCIC Co (BB)E60SSB-R(Order Codes: Red 0232,White 0233) 5.0. r 1 b7 TOP GENERAL NOTES o %0r 1. FIGURE B IS TYPICAL OF A STEEL CITY LXM-WOW BOX OR EQUAL. FIGURE B SHOULD BE A 3.5"DEEP BACKBOX FOR CONDUIT INSTALLTIONS AND IS TYPICAL OF A STEEL CITY /� CY-'/2 BOX OR EQUAL. 0'`'J 2. FIGURE D IS TYPICAL OF A STEEL CITY 52151 BOX OR EQUAL. P9�348 3. FIGURE E IS TYPICAL OF A STEEL CITY 52171 BOX OR EQUAL. 4. FIGURE F IS TYPICAL OF TWO STEEL CITY LXM-WOW BOXES 0 0 [ OR EQUAL. 5. FIGURE G IS TYPICAL OF A WIREMOLD 5748-2 BOX OR EQUAL. 6. FIGURE Q IS TYPICAL OF A STEEL CITY 52171 BOX WITH A (CC)SSB-8 8"CEILING SUPPORT BRIDGE(Order Code: STEEL CITY 53151 EXTENSION RING OR EQUAL. 3573 7. FIGURE W IS TYPICAL OF A STEEL CITY 72171-1 BOX OR EQUAL. 23 750 I Y P 8. USE 3.5 DEEP BACKBOX ON ALL MIZ PRODUCTS WHEN EMT 10� -0000 CONDUIT IS USED. 7.9566 9. WHEN USED WITH AC HORN(J),"BB"MUST BE USED FOR SURFACE MOUNT. 10. HS4,HS,MT OR MTWP STROBE ARE FOR OUTDOOR MOUNTING. 11. USE WITH SERIES RSSP. 1 00 TYF 12. FIGURE U IS TYPICAL OF A RANDL INDUSTRIES BACKBOX. 10 100 7 95G ? ;Oo 14,63 ('Total Number of conductors shall be in accordance with NEC ` table 314.16(B)"). B 500 Foco x yr11Bvn N _ Nca V MOUNTING MATRIX wco a m O w _ v � 0 0 2 Z M�- w of Qr w v U w u 2 w M 2 Z x rn Q Q W�? (0 co N N N co 'nfA N N N N (n (n N N N (40 in N N a, N N .5 N N a) N N N N N N N N N N d N N N N CD a) N N N a) N d N N (U N a) a) a)(n W U) rn W rn (n U) (n (o (n CO � W W U) L4 U) rn U)Q a) (A)Universal Mounting Plate X (B)1-GANG x 2"Deep-Flush(BO)Note 1 &8 X I I I X X X D 4"x 4"x 1.5"Dee -Flush BO Note 2 X X X X X X X E 4"x 4"x 2.125 Dee -Flush BO Note 3 X X X X X X X X X X X X 2-Gang x IT Dee -Flush BO Note 4&8 X X X X X X G 2-Gang x 1.75"Dee -Surface-LBO)Note 5 X X X (H)NATP Trim Plate X X X (1)WPBB-R Weatherproof Backbox for ASWP 1 2 (J)BB Surface WSI)Note 9 X X X X X X K WBB Weatherproof WSI X X X X X 3 L ISPAdapter(WSI)for Square Products X X X X X M 10B Surface&Weatherproof WSI Note 10 1 1 1 X X X X 4 N DBB Surface(WSI) X X X X X X X X X X (0)RP-R Retrofit Plate X X X X X X X X X X X P SBB Surface(WSI)Note 11 X X X X X X X X X X X (Q)4"x 4"x 2.125"Box w/1.5"Extension Ring-Flush X X X X X (BO)Note 6 (R)SPT Semi-Flush Plate WSI X X X X X X X X X X X X S AP Adapter Plate WSI X I X X X T WPSBB-R Weatherproof Backbox for RSSWP I1 U 5"Square Backbox w/Extension Ring,Flush BO X X X (V)SSB-4 Ceiling WSI)Support Bride X X X X X ( 4.6875"x 4.6785"x 2.125"Deep Surface(BO) X X SHBB WSI)Shallow Surface X X X X X Y SER Semi-Flush Extension Ring RetrofitAi)N.) X X X Z SBL-2 Surface(WSI)Note 11 X X X X X X X (AA)E50SB Backbox for E50 Speaker X (BB)E50SSB Backbox for E50 Speaker Strobe X CC SSB-8 8"Speaker Support Tile Bride X DD CBB-8 8"Ceiling Speaker Backbox X 00 000 _o 0 0 $ tUENI-) 0 0 00 0 0 0 0 0 0 0 go o0 000 0O � O LO c7(O r` O O O O O Data Sheet Numbers rn 0 0 (qq 0 0 N N N M ao rn(o(n Cn(n In Cn (/? (/7 0 U2 rn fn (n U) U) U) (/1 (� (0 rn(q MOUNTING NOTES p Caution: The mounting options figures show the maximum number of field wires (conductors)that can enter the backbox used with each mounting option. If these limits are exceeded,there may be insufficient space in the backbox to accommodate the field wires and stresses from the wires could damage the product. Although the limits shown for each mounting option comply with the National Electrical code (NEC), Wheelock recommends use of the largest backbox option and the use of approved stranded field wires whenever possible, to provide additional wiring room for easyy installation and minimum stress on the product from wiring. QCaution- Check that the installed product will have sufficient clearance and wiring room prior to installing backboxes and conduit, especially if sheathed multiconductor cable or 3/4" conduit fittings are used. 1. Mounting hardware for each mounting option is supplied. 2. Conduit entrances to the backbox should be selected to provide sufficient wiring clearance for the installed product.When extension rings are required, conduit should enter through the backbox, not the extension ring. Use Steel City#53151 (1-112" deep) or#53171 (2-1/8" deep) extension rings (as noted in the mounting options) or equal with the sarne cut-out area. 3. When terminating field wires, do not use more lead length than required. Excess lead length could result in insufficient wiring space for the appliance. 4. Use care and proper techniques to position the field wires in the backbox so that they use minimum space and produce minimum stress on the product. This is especially important for stiff, heavy gauge wires and wires with thick insulation or sheathing. 5. Do not pass additional wires(used for other than the appliance)through the backbox"unless the backbox is of a sufficient size to permit additional wiring as described in NEC 314.1p6(B)".Such additional wires could result in insufficient wiring space for the appliance. NOTE: Due to continuous development of our products, specifications and offerings are subject to change without notice in accordance with Wheelock Inc. standard terms and conditions. BACKBOX MOUNTING HEIGHTS for WHEELOCK WALL MOUNTED HORIZONTAL STROBE APPLIANCES NFPA-72(2002) 7.5.4" Appliance Location. Wall-mounted appliances shall be mounted such that the entire lens is not less than 2.0 m (80 in.) and not greaterthan 2.4 m(96 in)above the finished floor. Series RSSP Series MT and Series AS Series NS Series RSS Series E50 Audible Strobe Flush and Surface Horn Strobe Strobe AMT Speaker Strobe Retrofit Plate Multitone Strobe Backbox Mounting Options" 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN (B) 1-Gang x 2"Deep-Flush(BO) 77'/z 8'/z" 78 3/q' 7%" 79 1/," 6'/q" (D)4"x 4"x 1.5"Deep-Flush(BO) 77" 9" 83 15/,R" 77'!p' 8 1/R' 1 78 5/5" 7%" 179 15/,," 6'/ (E)4"x 4"x 2.125"Deep-Flush(BO) 77" 9" 83 15/_" 77'/p' 8 1/p" 78 5/a' 7 3/p' 79 15/_" 6'/,�' 75 3/," 11 1/," (F)2-Gang x 3.5"Deep-Flush(BO) 77'/2" 8'/z 78 1/," 7 5/," 79 Ve" 67/," 80 9/,fi' 57/_" (G)2-Gang x 1.75"Deep-Surface(BO) 77'/" 8'/z' 78 3/A" 7 5/," 79 1/," 67/," 80 9/16" 5 7/75" (M)IOB Surface&Weatherproof(WSI) 79 3/," 6 5/," (P)SBB Surface(WSI) 79 1/," 6 3/a' (U)5"Square Backbox w/Extension 69'/i' 8'/2" 83 1/,," 77 3/," 7 5/," 78 1/d' 67/e' 79 7/16" 5 9/16" Ring,Flush(BO) (X)SHBB(WSI)Shallow Surface 76'2" ` 9'/z" 77 1/," 8 5/a' 781/e' 77/;' (Z)SBL-2 Surface(WSI) 78" 70S SA Series - Series CH70 Series ET80 Series E70 Series ET70 Series E50 Chime Strobe Speaker Strobe Speaker Strobe Speaker Strobe Self Amplified Speaker Strobe Speaker Strobe Backbox Mounting Options" 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN 80 IN 6 IN 80 IN 1 6 IN (P)SBB Surface(WSI) 77% 8'X" 79 3/_" 6 13/__" 77 Y.." 8'/" 77 W 8'/," 79 3l,F' 6 13/1a R4ng-Flush .12 "Box w/1.5"Extension 77'/" 7'/_" 80 6" 78'/d' 7 Yz" 78'/_' 7''/z' 80" 6" (U)5"Square Backbox w/Extension Ring 78" 7" 79,/: 5,'/i' 78" 7" 78" 7" 79 X. 5'/:" 75'/a 11 '/a' -Flush(BO) (Y)4"x 4"x 1.5"Box w/1.5"Extension 78Y2' 7'/" 80" 6" Ring Plate-Flush(BO) (BB)E50SSB Surface Box 74 1/," 12" * Measured from Bottom of Backbox NOTES: (BO)=By Others (WSI)=Wheelock Product , 93.Slmplex Fire Alarm System Accessories UL, ULC Listed; Electromagnetic Door Holders CSFM Approved* Wall Mounted or Floor Mounted Electromagnetic door holders with models - --- available for: • Flush wall mount for low profile applications • Semi-flush wall mount for shallow box applications • Surface wall mount • Floor mount, single or double door 0 Low current, multi-voltage design reduces power 0 supply and battery demands: • Operates with 24 VDC, 24 VAC, or 120 VAC l • Current requirement is 15 mA at rated voltage (per Semi-Flush Wall Mount Door Holder Magnet and Catch magnet for double door floor mount) Plate(shown with screw hole caps in place) Internal full wave rectifier allows AC or DC operation and provides switching transient suppression Low residual magnetism allows easy door release for compatibility with low pressure door closers Quick and easy installation: • Self-adjusting swivel catch plate has two pivot points to adjust to door alignment changes Floor Mount Side and Front View • Adhesive mounting templates assure alignment (Double door model shown) Holding force is 25 Ibs minimum UL listed to Standard 228 Mechanical Specifications Optional accessories: Material Durable die-cast metal • Extension rods of l"or 3" • Back plate for reinforced door mounting Finish Double chrome plated,decorative surfaces are textured 11111610631111111111 Three position terminal block with provisions Wiring Connections for in/out wiring(common,low voltage,high Door holders are normally energized to provide door voltage) holding with a minimum force of 25 lbs. In the event of a Ground Connection 18 AWG wire lead,9"minimum fire emergency,the fire alarm control panel or other compatible control means will release the magnet Electrical Specifications allowing the door to close to prevent the spread of smoke. Nominal Input Current Voltage Range Terminals Doors may be manually closed or opened when the door 24 VDC holder is energized. 20.4 to 32 C&L ( 24 VAC 15 mA @ These products have been approved by the California State Fire Marshal(CSFM) nominal pursuant to Section 13144.1 of the Cafiforria Health and Safely Code.See CSFM Listing 120 VAC 102 to 132 C&H 3550-0026:232 for allowable values andlof conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.ULC listed models are designated with a"C"suffix such as 2088-9607C,refer to page 2 for model availability.This product was not approved by FM or MEA(NYC)as of document revision date.Additional listings may be applicable,contact Simplex for the latest status. ©2000 Simplex Time Recorder Co.All rights reserved. S2088-0013-2 5/00 Wall Mounted Door Holders, Voltage Selectable as 24 VDC, 24 VAC, or 120 VAC Model" Description Electrical Box Requirement 2088-9607 Flush mount, includes magnet, catch plate, cover, and Single gang box, 2 1/2"deep minimum 3" (76 mm)chrome extension rod (supplied by others) 2088-9608 Semi-flush mount, includes semi-flush magnet and Single gang box, 2"deep minimum (supplied by cover assembly, catch plate, and screw hole caps others) Surface mount, includes semi-flush magnet and cover Surface mount box is supplied with door holder, 2088-9609 dimensions:4 5/8"H x 2 3/4"W x 2 1/8" D assembly, catch plate, and matching electrical box (117 mm x 70 mm x 54 mm) Floor Mounted Door Holders, Voltage Selectable as 24 VDC, 24 VAC, or 120 VAC Model Description Electrical Box Requirement 2088-9610** Floor mount for single door Includes magnet(s), catch Separate box is not required, wiring enters floor plate(s), housing, mounting plate, mount housingvia bottom mounting late 2088-9611** Floor mount for gasket,and mounting hardware g p double door Optional Door Holder Accessories Model Description 2088-9680 Back plate for reinforcing catch plate, mounts on opposite side of door, recommended for hollow doors 2088-9681 Chrome catch plate extender rod, 1" (25.4 mm) long 2088-9682 Chrome catch plate extender rod, 3" (76 mm)long (supplied with 2088-9607 and floor mount models) * Add"C"suffix for ULC listed models(such as 2088-9607C). *"Note:ULC listing in process for these models as of document revision date. lii ' • li Zvi • • lii ' • 1 ' • • • 1" 1" (25 mm) (25 mm) � 2 3/4" 1 1/8" 2 1/8" (70 mm)� (29 mm) (54 mm) -� 3 5/16" /� 4 5/8" 4 5/8" (84 mm) v (117 mm) (117 mm) i Semi-Flush and Surface Semi-Flush Side View Surface Mount Side View Mount Front View (conduit entries are provided on top,bottom, and back of box) Simplex Time Recorder Co 2 S2088-0013-2 5/00 1 1 • •MM a 9 • 2 3/4" �(49 mm)� 3 5/16" O 4 5/8" (84 mm) (117 mm) Flush Mount Front View Flush Mount Side View .. - . - III � 2" (51 mm) " I 211 Screw holes 2 1/2" (51 mm) 1 3/4 (64 mm) (44 mm) i Pivot swivel Ball swivel Threaded rod extensions insert here Simplex Time Recorder Co. 3 S2088-0013-2 5/00 • • • • • Magnet assemblies, doubl)shown Mounting plate has a 7/8"(22 mm)hole in the center for wiring entrance(mounting plate and gasket are included) ii 3 1/2" `(89 mm) 'I Mo unting plate Gasket 4 3/4"(121 mm) �4 9116"(116 mm) P. � 2 3/8" 3/16" (60 mm) �(5 mm) 7/8" (22 mm) 1 3/4" (44 mm) ..I 3/4" (19 mm) .Simplex and the Simplex logo are registered trademarks gfSimplex Time Recorder Co in the U.R.and or other countries S2088-0013-2 5/00 U®Simplex Westminster,Massachusetts 01441-0001 USA visit us on the world wide web at www.simplexnet.com All specifications and other information shown were current as of printing and are subject to change without notice. Simp/exGrinne/I .BE SAFE. ATyco International Company HARDWARE WARRANTY 1) SIMPLEXGRINNELL WARRANTY STATEMENT: a) SIMPLEXGRINNELL WARRANTS TO THE PURCHASER OF NEW SIMPLEXGRINNELL PRODUCT(S)THAT THE PRODUCTS SHALL BE FREE FROM DEFECTS IN WORKMANSHIP AND MATERIAL. 2) WARRANTY PERIOD: a) THE WARRANTY PERIOD WILL TERMINATE IMMEDIATELY FOLLOWING THE EARLIEST OCCURRENCE OF EITHER OF THE FOLLOWING: i) 18 MONTHS HAVE ELAPSED FOLLOWING SHIPMENT OF ANY SYSTEM OR SUB- SYSTEM FROM SIMPLEXGRINNELL TO THE CUSTOMER, OR ii) 12 MONTHS HAVE ELAPSED FOLLOWING THE FINAL CONNECTION OPERATION AND BENEFICIAL USE OF ALL OR ANY PART OF THE SYSTEM. iii) AS STATED IN THE SPECIFICATIONS AND/OR CONTRACT DRAWINGS 3) SIMPLEXGRINNELL OBLIGATION UNDER THE TERMS OF THE WARRANTY: a) SIMPLEXGRINNELL'S SOLE RESPONSIBILITY SHALL BE TO REPAIR,ADJUST OR REPLACE, AT ITS OPTION,ANY SIMPLEXGRINNELL PRODUCT WHICH FAILS DURING THIS PERIOD PROVIDING PURCHASER HAS PROMPTLY REPORTED SUCH FAILURE TO SIMPLEXGRINNELL IN WRITING. REPLACEMENT PARTS WILL BE WARRANTED ONLY FOR THE BALANCE OF THE EQUIPMENT WARRANTY. SIMPLEXGRINNELL AGREES TO CONTINUE TO HONOR ALL OF THE UNEXPIRED EXPRESSED WARRANTIES SPECIFIED ABOVE ON DEFECTIVE EQUIPMENT AFTER TRANSFER OF THE EQUIPMENT TO PURCHASER'S CUSTOMER, PROVIDED PURCHASER'S CUSTOMER ASSUMES THE PURCHASER'S OBLIGATIONS SPECIFIED BELOW. b) EXCEPT FOR THE EXPRESSED WARRANTIES STATED HEREIN, SIMPLEXGRINNELL DISCLAIMS ALL WARRANTIES ON PRODUCTS FURNISHED HEREUNDER, INCLUDING WITHOUT LIMITATION,ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE,AND THE STATED WARRANTIES ARE IN LIEU OF ALL OBLIGATIONS OR LIABILITIES ON THE PART OF THE SIMPLEXGRINNELL ARISING OUT OF OR IN CONNECTION WITH THE PERFORMANCE OF THE PRODUCTS. THE SELLER SHALL NOT BE LIABLE FOR ANY DIRECT, INCIDENTAL OR CONSEQUENTIAL LOSS OR DAMAGE TO THE PRUCHASER OR USER OF THIS EQUIPMENT ARISING OUT OF THE FAILURE OF THE EQUIPMENT TO OPERATE IN EXCESS OF THE PURCHASE PRICE OF SAID EQUIPMENT. c) SIMPLEXGRINNELL MAKES NO WARRANTY AND NO WARRANTY SHALL BE DEEMED TO EXIST,THAT PURCHASER HOLDS THE GOODS FREE OF THE CLAIM OF ANY THIRD PERSON BYWAY OF PATENT INFRINGEMENT OR THE LIKE. 4) PURCHASER'S OBLIGATIONS UNDER THE TERMS OF THE WARRANTY. a) THIS WARRANTY IS CONTINGENT UPON THE PROPER INSTALLATION AND USE OF THE PRODUCT(S). SUCH WARRANTY SHALL NOT APPLY IF THE PRODUCT FAILURE IS THE RESULT OF ACCIDENT, UNUSUAL PHYSICAL, ELECTRICAL OR ELECTROMECHANICAL STRESS, NEGLECT, MISUSE, USER PROGRAMMING ERRORS, FAILURE OF ELECTRICAL POWER,AIR CONDITIONING OR HUMIDITY CONTROL, CONSTRUCTION DUST, DAMAGING FOREIGN SUBSTANCES,TRANSPORTATION OR CAUSES OTHER THAN MANUFACTURING DEFECT. PURCHASER AGREES TO PROVIDE FULL AND FREE ACCESS TO AUTHORIZED SIMPLEXGRINNELL EMPLOYEES. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World Simp/exGri. ,re/I BE SAFE. ATyco International Company 5) WARRANTY SERVICE HOURS- a) SERVICES PROVIDED UNDER THIS WARRANTY WILL BE PERFORMED DURING THE HOURS OF 8:OOA.M. TO 5:OOP.M., MONDAY THROUGH FRIDAY, EXCLUDING LOCALLY OBSERVED SIMPLEXGRINNELL HOLIDAYS. OFF HOURS RESPONSE IS AVAILABLE AS AN EXTRA COST SERVICE OPTION. 6) WARRANTY EXCLUSIONS: a) LABOR,TRAVEL,AND MILEAGE FOR: i) SERVICE OUTSIDE OF SIMPLEXGRINNELL NORMAL BUSINESS HOURS. ii) PROGRAMMING AND/OR LABEL CHANGES. iii) FAILURE DUE TO EXTERNAL CAUSES (LIGHTNING SURGES, CONSTRUCTION DUST, ETC.) OTHER THAN MANUFACTURING DEFECT. b) ELECTRICAL WORK EXTERNAL TO THE EQUIPMENT SUPPLIED BY SIMPLEXGRINNELL OR MAINTENANCE OF ACCESSORIES, ALTERATIONS,ATTACHMENTS OR OTHER DEVICES NOT FURNISHED BY SIMPLEXGRINNELL. c) BATTERIES d) COVERAGE OF EQUIPMENT CLASSED AS A WATER FLOW MONITORING/CONTROL DEVICES INSTALLED IN OR ON WATER PIPING Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World Print Form ' ! FIRE ALARM' PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. °Arlington, WA 98223• Phone(360)403 3551 • FAX(360)403 3447 THIS APPLACATION MUST BE ACCOMPANIED BY FOUR(4)SETS OF COMPLETE AND SCALED PLANS FOR EACH FIRE ALARM PERMIT APPLICATION.INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO,INCLUDE SPECIFICATION SHEETS, WIRING DIAGRAMS, (POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON EQUIPMENT PROPOSED TO BE INSTALLED PRIOR TO INSTALLATION. Type of permit: (check one) r]) New Fire Alarm ErFire Alarm Alteration/Addition Project Address �' ��' X' +In _i�'I IaC"{L(uvri``'Z"` Parcel ID#: d`6Z-G I i DO 1(�1 cq U U Number of Zones/Panels: � � ✓�P ` Building Area(Sq Ft): Valuation: 30 car, Owner: �/a�l',2r�P �� "� I-�nQ��r}� Phone Number: 60' L42-67' Address: City: rw 1�VVA ,-\ State- to_�Al Zip Code: Contact Person: 3001t eA 2 .1.6k 1S c� of J%VA a U V 6�,Ivu Il Phone Number: 1nf.- Cell Phone: 206 ,�3-3 _jc)4_+ Fax: 20&-- 2c0 -ISOO E-mail: ia54�1�(.,;�-, 'c,w�I, r�, ✓r�t n+l�•t�rh Address: �Lti'�U I(�t�` Aw S. -�,�%t-e i00 City: SDa+'I Q State: LAJ A- Zip Code: Contractor: „hT,l�y�.,r. ,. Phone Number: Ztxr • 1, A t• 11I(,)n Address: I(>tt^ Ave es. T s"''b iwcity: 1:,1P''*I ° State: �Z`� Zip Code: I ok Contractor's License Number: '31 M13t-L- cZ�d I >�r Expiration: I- i_ I - ( 1--) Electrical Contractor: vve Cie(.W,C Phone Number: +C) • q(0 3- 9(Q I_� Address: G St • S L City: MOA V"Of State: WIV Zip Code: Contractor's License Number: LA ILNc-_c---F- lol Q(\,) Expiration: > - I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. al47 /' c' = -Aporicants Signat6re Dale Print Applicants Name REcE11/E® JUN 9 2009 T COA PERMIT CENTS R FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Form—130 Page 1 of 1 4/04 sb I �r � � i � , 06/18/2009 09:40 2062°'--1.500 SIMPLEXGRINNE�j PAGE 01/02 06/10/2009 09:23 360g03343.8 QUA PERMIT Q6,- f AGE 01/04 x 0 . Community Development Building and Planning Division Fax Transmission Cover Sheet N1' �C. R ;i, r f, ,��'.� 'r'! ��'���;h ,,� �Y,�`�,'�'::9 I C "F ofi5�t ��,� �ldt'7'7'.�i� 'F_a��`���1�'1��n��•�.�,.�:.rr,°+��� FAX TRANSMISSION City of Arlington 238 North Olympia,Avenue Arlington,WA 98923 Phone 360-403.3551 Fax 360-403,3447 DATE: 009109 FCC-Janet Stebbins COMPANY: SimplexGriinnell � FAX NO.. 206 291-1500 RAGES(including cover sheet), 2 -ERGM: Brenda Focht SUBJECT; COMMENTS: PLEASE SIGN on the bottom of the pest to 9h0uu you are receiving via fax for signature and FAX back to mo at 360 403,3418. This also confirms your permit pick-up that we will forward the hard copy via FED EX. Prepaid by recipient tomorrow or Monday delivery. I CAUooumonts and 9mlkinptallil'LehADeskloplForm-Fax Tmnsmittal=FAx,dao v1p;0/18109 �: I � M '` r.z Community Development Building and Planning Division -ING'�0 Fax Transmission Cover Sheet FAX TRANSMISSION City of Arlington 238 North Olympic Avenue Arlington, WA 98223 Phone 360-403-3551 Fax 360-403-3447 DATE: 06/18/09 TO: Janet Stebbins I COMPANY: SimplexGrinnell FAX NO.: 206 291-1500 PAGES (including cover sheet): 2 FROM: Brenda Fecht SUBJECT: permit ready for signature COMMENTS: PLEASE SIGN on the bottom of the permit to show you are receiving via fax for signature and FAX back to me at 360 403-3418. This also confirms your permit pick-up that we will forward the hard copy via FED EX. Pre-paid by recipient tomorrow or Monday delivery. CADocuments and Settingstfecht\Desktop\Form-Fax Transmittal-CD FAx.doc yjp;6/18/09 BLD20090127 (BFECHT/PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT #: BLD20090127 OWNER: CASCADE VALLEY HOSPITAL#3-P... STATUS:APPLIED ADDRESS: 330 S STILLAGUAMISH AVE,ARLI. . BALANCE: $0.00 ISSUED: POSTED: 6/9/2009 SCREENS:I Select Screen... - FUNCTIONS: Select Permit Function... -� FIRE ALARM Reviews Add Review Remove Review I Print Close Review ID Description Assigned To Due Date (tk) Req? Done? ASSIGN 2000 C-Building I CYOUNG 6/23/2009 0 Y N ASSIGN 2008 C-Community Development I BFECHT 6/23/2009 0 Y N ASSIGN 3004 X-Fire TCOOPER 6/23/2009 0 Y I N ASSIGN 4000 0-Fire Consultant JTRACEY 6/23/2009 1 Y N ASSIGN http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=R... 6/9/2009 1 1 I I ;i .� C -0 n o� m ARCHITECT OWNER'S OWNER (D v REPRESENTATIVE n ° 0 G cn mN>D 00�2 DW10 w m CL o d 0 a�-1� =3� w o_a N p w �m� d Wn �� .� 0 3 d 0 ale Doi DDuim Amy � Ddm 3 N OOoO 0 Dx GoH'= O — �0 00 f?D -< coan wDlpnl � n N_CD 14 z (D d .► V) m 3 7 O n z n G D v m n' Im i N 7 m z z 'AN AN 0 WA W wK o NONO dOMMMdmoa= O O)N OOd o On T U PUl C:) J OD�I A W: -I N(O A NC;)A d JU7v W 37 -I W NO (D w0)6+WIG {C ?O OD� OO W Oo D^y 00 O A N S-O)OO Oo En CD A W �I co a) NNNC.nP -lO j ON V�� OD 0)(J)C• N W N N -1 p) D C) cn W w 3 ,...W NO � j W((n"- O �OW� Idn WO W d ( n d N 0 N O N CLN O N O0 0 O. 7 O (D ...vj v(D N3 O)(D mp�j vN (D 0 (b �. .G+ �. 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Outputs are activated by an open collector sink or normally open(NO) dry trigger input from an Access Control System, Card Reader, Keypad,Push Button, PIR, etc. These units will route power to a variety of access control hardware devices s> including Mag Locks, Electric Strikes, Magnetic Door Holders, etc. The outputs will operate in both Fail-Safe and/or Fail-Secure modes.The units are designed to be powered by one common power source (factory installed) which will provide power for both the board operation and locking devices, or two (2)totally independent power sources, one (1) providing power for board operation and the other for lock/accessory power.The FACP Interface enables Emergency Egress,Alarm Monitoring, or may be used to trigger other auxiliary devices.The fire alarm disconnect feature is individually selectable for any or all of the eight (8)outputs. AL1012ULACM AL1012ULACMCB • Eight(8) independently controlled • Eight(S) independently controlled fuse protected outputs. PTC protected outputs. • Class 2 Rated power limited outputs. Specifications • 12VDC @ 10 amp supply current. Fire Alarm disconnect(latching or non-latching) is • Power supply input options: individually selectable for any or all of the a) One (1) common power input for ACM8/ eight(8) outputs. ACM8CB and lock power(factory installed). Fire Alarm disconnect input options: b) Two (2)isolated power inputs - One (1)to power a) Normally open(NO) or normally closed (NC) the ACM8/ACM8CB and one (1) for lock dry contact input. accessory power, (external power supply b) Polarity reversal input from FACP is required). (Current is determined by the signaling circuit. power supply connected, not to exceed a • Alarm output relay indicates that FACP input maximum of 10 amp total). is triggered(form"C" contact rated @ 1 amp 28VDC • Eight(8)Access Control System trigger inputs. not evaluated by UL). Input options: • Green LED indicates when FACP disconnect a) Eight(8)normally open(NO)inputs. is triggered. b) Eight(8) open collector inputs. • Built-in charger for sealed lead acid or c) Any combination of the above. gel type batteries. • Eight(8) independently controlled outputs. • AL1012ULXB (Power Supply Board) Output options: maximum charge current .7 amp. a) Eight(8) Fail-Safe and/or Fail-Secure • Automatic switch over to stand-by battery power outputs. when AC fails. b) Eight(8) form"C" 5 amp rated relay outputs • Zero voltage drop when unit switches over to battery (AL1012ULACM only). backup (AC failure condition). c) Any combination of the above. • AC fail supervision(form "C" contact). • Eight(8) auxiliary power outputs (unswitched) • Battery fail and battery presence supervision • Output ratings: (form "C" contact). -Fuses are rated @ 3.5 amp (AL1012ULACM). • AC input and DC output LED indicators. -PTCs are rated @ 2.5 amp(AL1012ULACMCB). • Enclosure accommodates up to two(2) 12AH batteries. • Input 115VAC 60Hz rated @ 1.9 amp. • Product weight: • ACM8 board main fuse is rated at 10 amp. - AL1012ULACM: 10.2 lbs. • Filtered and electronically regulated outputs - AL1012ULACMCB: 9.8 lbs. (built-in power supply). • Shipping weight: • Short circuit and thermal overload protection. - AL1012ULACM: 11.5 lbs. RECEIVED • Red LEDs indicate outputs are triggered(relays energized). - AL 1012ULACMCB: 11.1 lbs. DEC 0 7 2007 tj> Agency Approvals UUL Listed for Access Control Systems Units CUL Listed- CSA Standard C22.2 L (UL 294). I C@No.205-M1983 Signal Equipment. Enclosure Dimensions 15.5"H x 12"W x 4.5"D I t- 1 I!!' IN J su- YN9" 9Ab" 12.5• �- O O O C O O (A1I aM 0000 0 000 0 O O O O O O 0 0 0 0 0 0 O O O O O O 0000oo 00000 � 000000 00000 � 000000 000000 ooaooa o 0 0 0 0 0 C 0 0 0 0 0 ao � oo � J.K IJ V• C O O O O O ISW J.r o0000 o c o 0 o0 c 0 0 0 0 0 0 0 0 0 0 0 0 o 0 o a o 0 0 0 0 0 0 0 n 000000 I II I IY l IS' I tea.• J ///1] •r I M IM - JW JSu" Isn .� RECEIVED DEC 0 7 2001 9 1 CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20090064 BUILDING PERMIT Project Address: 330 S STILLAGUAMISH AVE, ARLINGTON Parcel No: 31051100102900 PROPERTY OWNER APPLICANT CONTRACTOR CASCADE VALLEY HOSPITAL#3 CASCADE VALLEY HOSPITAL#3 FIRE SYSTEMS WEST INC 330 S STILLAGUAMISH 330 S STILLAGUAMISH 206 FRONTAGE ROAD N#B ARLINGTON,WA 98223- ARLINGTON,WA 98223- PACIFIC,WA 98047- Phone:(360)435-2133 Ext. Phone:(360)435-2133 Ext. LICENSE#:FIRESWI 140B1 EXP:10/12/2009 Einail: Email: PLUMBING 1 1 ' MECHANICAL CONTRACTOR FIRE SYSTEMS WEST INC 206 FRONTAGE ROAD N#B PACIFIC,WA 98047- Lic#: Lic#:FIRESWI 140B 1 :10/12/2009 JOB DESCRIPTION FIRE SPRINKLER TO THE EXISTING 1987 AND NEW TWO STORY EXPANSION. VALUATION: $280,000 PERMIT TYPE:Commercial IPERMIT GROUP:Fire Sprinkler NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 1 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTSETBACK SIDE6REARSETBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: PERMITAPPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. i S a Print Name Date Release By DalZ 0' ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC110/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER :� _ � � E . � �. q u � J �� 1 �' � 1�1 y BLD20090064 CONDITIONS • Contractor FYI: Drawings submitted for review shows the incoming pipe to be stainless steel.Black Steel pipe is not allowed from the point of connection to the in coming side of the DCVA/DCDA.CALL GUS T.if questions at 360 403-3542. PERMIT FEES Date Description Fee Amount Paid Balance Due 3/30/2009 C-Inspection/Hydro $346.80 $0.00 $346.80 3/30/2009 C-Flow/trip test $346.80 $0.00 $346.80 3/30/2009 C-Building Plan Review Fee $1,583.00 $0.00 $1,583.00 Total Due: $2,276.60 $0.00 $2,276.60 INSPLCTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number Date Prefereed,and whether you prefer morning or afternoon. • None I R I Hydraulic Summary — Job Number:2-11-10207 Report Description:Light Hazard Job NVTMI Dasifln Enpinear 2-11-10207 CRAIG M Job Name: Stale GMIlcalkNLkanse N.— CASCADE VALLEY HOSPITAL FIRESWI 140131 Atltlress t AHJ 330 SOUTH STILLAGUAMISH AVE CITY OF ARLINGTON A.—3 Job She city Stale Zip Code 01iml,Name ARLINGTON WA 98223 2-11-10207_Revision02_(First Floor-Expansion).ca S Atern .i Remote Area(s) Mast D.,dint'Sp,lnkler Dab Occupanry Job Sulfa 5.6 K-Factor 16.80 at 9.00 Light Hazard NON 0*A NSeema D"ty Area of Applkadon 100.00 0.10gpm/ft, 1500.0oft'(Actual 1537.44ft2) AEdi—1 Hasa Suppk. Number GI Spd,klers Cakulaletl Ca'ara"pw/vents Node Flow(gpm) 17 168.0oft' y .N.k Resue,:Pressure For Remote Aree(s)AdlewnI T.Mosl Remote Area Tole)Hose St-- 100.00 System Fbw Demantl Total Water Required(Inclutlinp Hose Allowance) 324.02 424.02 Maximum Presaura Unbaknoe In Loops 0.00 -j Ma,lmum Velocity Ab—Grouts 12.45 between nodes 19 and 18 Mayimom Velecily Unea,G.- 1.88 between nodes 1 and 4 Volume eapad,,of MI Pi- Wu—cap—y al Dry Pipe, 1372.94gal ;..,,r,iies Hose Flow Static Residual @ Flow 1 Available @ Total Demand Required Safety Margin Node (gpm) (psi) (psi) (ap^ni j (psi) (gpm) (Pop (psi) 1 100.00 55.00 20.00 1500.00 51.62 424.02 40.62 11.00 RECEIVED -- MAR ? 4 2009 COA PERMIT CENTER Contractor 1 1 Conbaaor Number 1 conlaa Name conbta Tile 2-11-10147 C.MILLER PE N.m.of conlnaec PMne OIYeIM FIRE SYSTEMS WEST 253-833-1248 Address t FAX 219 Frontage Road North,Suite B Atltlrasa 2 LNlrr — cdy Zlp S� cod, WebSile Pacific WA 1 98047 0 M.E.P.CAD,Inc. J.11 AutoSPRINK®VR7 v7.1.7 03/18/2009 2:59:32PM Page 1 +� 1 I } • ., 111 Summary Of Outflowing Devices r', Job Number:2-11-10207 Report Description:Light Hazard Actual Flow Minimum Flow K-Factor Pressure Device 1013m1 looml (KI losil Sprinkler 110 21.04 18.90 5.6 14.12 Ob Sprinkler 101 16.80 16.80 5.6 9.00 Sprinkler 104 17.27 16.80 5.6 9.51 Sprinkler 102 16.83 16.80 5.6 9.03 Sprinkler 113 20.83 16.80 5.6 13.83 Sprinkler 112 20.60 16.80 5.6 13.53 Sprinkler 105 17.40 16.80 5.6 9.65 Sprinkler 114 20.89 16.80 5.6 13.91 Sprinkler 103 16.97 16.80 5.6 9.18 Sprinkler 107 17.71 16.80 5.6 10.00 S rinkler 106 17.57 16.80 5.6 9.85 Sprinkler 117 21.27 16.80 5.6 14.42 Sprinkler 115 21.14 16.80 5.6 14.24 Sprinkler 109 18.63 16.80 5.6 11.07 Sprinkler 108 18.31 16.80 5.6 10.69 Sprinkler 116 21.22 16.80 5.6 14.36 Sprinkler 111 19.55 16.80 5.6 12.18 r� Most Demanding Sprinkler Data �,®M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/18/2009 2:59:42PM Page 2 ■ ■ �I �I I' Node Analysis Job Number:2-11-10207 Report Description:Light Hazard Node Elevation(Foot) Fittings Pressure(psi) Discharge( m 57 11-3 E 13-2 23.94 56 11-3 PO11-3Yz 23.74 55 11-3 PO11-3'/z 23.59 _ 54 11-3 PQ 11-3'/? 23.45 53 11-3 PO11-31/z 23.32 _ 52 11-3 PO11-3'/z 23.20 51 11-3 PO11-3Yz 23.11 50 11-3 PO11-3Yz 23.00 49 11-3 PO11-3Yz 22.92 48 11-3 PO11-3Yz 22.85 47 11-3 PO11-3Yz 22.81 46 11-3 PO11-3'/z 22.78 45 11-3 PO11-3Yz 22.77 67 12-5 PO 5-0 8.87 68 12-5 PO 26-4 8.87 8 3-0 PO 20-0 29.96 10 6-6'/z E 13-11 26.36 31 9-3Yz fr 16-0 25.37 6 3-0 BFP-2.95 33.25 44 13-1 PO 5-0 14.53 11 13-1 PO 5-0 8.51 37 13-1 PO 5-0 8.64 4 0-6 34.62 12 13-1 PO 5-0 8.55 43 13-1 PO 5-0 14.20 59 13-1 PO 5-0 14.20 38 13-1 PO 5-0 8.79 60 13-1 PO 5-0 14.21 13 13-1 PO 5-0 8.74 14 13-1 PO 5-0 9.17 39 13-1 PO 5-0 9-47 65 12-7 PO 5-0 14.86 61 12-7 T 11-3Yz 14.79 62 12-7 PO 5-0 14.79 15 13-1 PO 5-0 10.34 40 13-1 PO 5-0 10.42 63 12-7 PO 5-0 14.93 58 11-4 PO 5-0 17.15 64 11-4 T 11-3Yz 16.97 30 9-10 PO 18-8 24.77 29 9-10 PO 11-3Yz 24.36 28 9-10 PO11-3Yz 24.15 27 11-4 PO11-3'/z 23.01 26 11-4 PO11-3Yz 22.71 25 11-4 PO11-3'/z 22.40 24 11-4 PO11-31/z 22.01 23 11-4 PO11-3Yz 21.48 22 11-4 PO11-3Yz 21.01 21 11-4 PO11-3Yz 20.11 19 11-4 PO11-31/z 19.12 18 11-4 PO11-31/z 18.23 17 11A PO11-3'/z 17.40 16 11-4 PQ 11-3Yz 16.75 41 11-4 PO11-3Yz) 16.60 110 9-0 S r-14.12 14.12 21.0 101 9-0 S r-9.00 9.00 16.8 104 9-0 S r-9.51 9.51 172 102 9-0 S r-9.03 9.03 16.8 113 9-0 S r-13.83 13.83 20.8 112 9-0 S r-13.53 13.53 20.6 105 9-0 S r-9.65 9.65 17.4C 114 9-0 S r(-13.91) 13.91 20.K �ly©M.E.P.CAD,Inc. AutoSPRINKO VR7 v7.1.7 03/16/2009 2:59:48PM Page 3 Node Analysis Job Number.2-11-10207 (� Report Description-Light Hazard Node Elevation(Foot Fittings Pressure(psi) Dischar o m 9-0 S -9.18 9.18 16.9 107 9-0 S -10.00 10.00 17.71 106 9-0 S -9.86 9.85 17.5 117 9-0 S -14.42 14.42 21.27 115 9-0 S -14.24 14.24 21.1 109 9-0 -11.07 11.07 18.8 108 9-0 S -10.89 10.69 18.31 116 9-0 S -14.36 14.36 21,2 111 12-7 S -12.18 12.16 19.5 ly ®M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/18/2009 2:59:48PM Page 4 } I II II InHydraulic Analysis Job Number:2-11-10207 Report Description:Light Hazard Pipe Type Diameter Flow Velocity HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length o•••••RoutaI••••• DR 1.0490 Q=16.80 6.24 C=120 0.094254 4-71Gr Pf 1.28 101 9-0 q=16.80 K=5.6 9.00 Spr(-9.00) 9-0 Pe -1.77 11 13-1 8.51 2E(2-0),PO(5-0) 13-7'Lil Pv CM 1.7280 Q=12.14 1.66 C=120 0.004549 8-C,Pf 0.04 11 13-1 8.51 Pe 12 13-1 8.55 8-( Pv CM 1.7280 Q=28.97 3.96 C=120 0.022726 8-31A Pf 0.19 12 13-1 8.55 Pe 13 13-1 8.74 8-3Y Pv CM 1.7280 Q=45.94 6.29 C=120 0.053324 8-11 Pf 0.43 13 13-1 8,74 Pe 14 13-1 9.17 8-1 PV CM 1.7280 Q=63,65 8.71 C=120 0.097459 12-0 Pf 1.17 14 13-1 9.17 Pe 15 13-1 10.34 12-0 Pv CM 1.7280 Q=82.28 11.26 C=120 0.156724 19-2 Pf 6.65 15 13-1 10.34 16-11 Pe 0.76 16 11-4 16.75 2LtE(2-10),PO(11-3%) 36-1 Pv CM 2.7030 0=157.49 8.81 C=120 0.058948 _ 11-0'Pf 0.65 16 11-4 16.75 Pe 17 11-4 17.40 111-0,Pv CM 2.7030 Q=184.44 10.31 C=120 0,078958 10-6 Pf 0.83 17 11-4 17.40 Pe 18 11-4 18.23 10-6 Pv CM 2.7030 Q=222.62 12.45 C=120 0.111828 7-11 Pf 0.89 18 11-4 18.23 Pe 19 11-4 19.12 7-11 Pv CM 2.7030 Q=198.01 11.07 C=120 0.090041 11-1!Pf 1.00 19 11-4 19.12 Pe 21 11-4 20.11 11-1,Pv CM 2.7030 Q=174.91 9.78 C=120 0.071575 12-F%Pf 0.89 21 11-4 20.11 Pe 22 11-4 21.01 12-Ei,Pv CM 2.7030 Q=153.27 8.57 C=120 0.056057 8-6'Pf 0.48 22 11-4 21,01 Pe 23 11-4 21.48 8- Pv CM 2.7030 0=135.60 7.58 C=120 0.044695 11-q Pf 0.53 23 11-4 21.48 Pe 24 11-4 22.01 11-9 Pv CM 2.7030 Q=121.25 6.78 C=120 0.036337 10-9 Pf 0.39 24 11-4 22.01 Pe 25 11-4 22.40 10-9 Pv CM 2.7030 Q=109.03 6.10 C=120 0.029858 10-6 Pf 0.31 25 11-4 22.40 Pe 26 11-4 22.71 10-6 Pv C_M 2.7030 Q=98.60 5.51 C=120 0.024790 11 5 Pf 0.29 26 11-4 22.71 Pe 0.00 27 11-4 23.01 11-Q Pv CM 2.7030 Q=90.05 5.03 C=120 0.020958 11 i Pf 0.50 27 11-4 23.01 12-E.Pe 0.65 28 9-10 24.15 2LtE(6-21/2) 23-6 Pv C_M 2.7030 Q=86.93 4.86 C=120 0.019634 10-6 Pf 0.21 28 9-10 24.15 Pe 0.00 29 9-10 24.36 10-6 Pv CM 2.7030 Q=87.90 4.91 C=120 0.020042 1-91/,i Pf 0.41 29 9-10 24.36 18- Pe 30 9-10 24.77 PO(18-8) 20-51/Pv FM 4.3100 Q=87.90 1.93 C=120 0.002066 98-7' Pf 0.37 30 9-10 24.77 78-1 Pe 0.23 31 9-3% 25.37 4E(13-11),2fEE(3-5),fT(16-0) 177-24 Pv DY 4.3100 Q=324.02 7.13 C=120 0.023084 1- Pf 0.67 31 9-31/2 25.37 27-101Y Pe 0.33 10 8-61/2 26.36 2E(13-11) 29-01/Pv FIR 4.0260 Q=324.02 8.17 C=120 0.032172 5-11/ Pf 1.19 10 8-61/2 26.36 32- Pe 2.40 8 3-0 29.96 f(-0.00),f,BV(12-0),PO(20-0) 37-11/Pv FM 6.3570 Q=324.02 3.28 C=120 0.003478 24-1C�Pf 3.29 8 3-0 29.96 71-E Pe -0.00 6 3-0 33.25 3LtE(11-4),T(37-81/2),BFP(-2.95) 96-E Pv, FM 5.8430 Q=324.02 3.88 C=150 0.003471 52-5 Pf 0.29 6 3-0 33.25 30-6 Pe 1.08 4 0-6 34.62 12cplg(2-6),5LtE 82-5 Pv &©M,E.P.CAD,Inc. [41 AutoSPRINKO VR7 v7.1.7 03/18/2009 2:59:56PM Page 5 II it i y Hydraulic Analysis Job Number..2-11-10207 Report Description:Light Hazard Pine Tvoe Diameter Flow Velocitv HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream 1Total Length UG 8.3900 Q=324.02 1.88 C=140 0.000677 154-C,Pf 0.15 4 0-6 34.62 61-1 Pe 5.85 1 -13-0 40.62 2E(30-61/z),S 215-1 Pv �•••••Route2••••• DR 1.0490 Q=16.63 6.25 C=120. _ 0.094565 4-7Y: Pf 1 29 102 9-0 q=16.83 K=5.6 9.03 Spr(-9.03) 9-0 Pe -1.77 12 13-1 8.55 2E(2-0),PO(5-0) 13-71/:•Pv :.r•••••Route 3••••• DR 1.0490 Q=16.97 6.30 C=120 0.096014 6-101 Pf 1.33 103 9-0 q=16.97 K=5.6 9.18 Spr(-9.18) 7-0I Pe -1.77 13 13-1 8.74 E(2-0),PO(5-0) 13-10 Pv �•••••Route 4••••• DR 1.0490 Q=17.27 6.41 C=120 0.099176 4-11 Pf 0.90 104 9-0 q=17.27 K=5.6 9.51 Spr(-9.51) 5-Cr Pe -1.77 37 13-1 8.64 PO(5-0) 9-1 Pv CM 1.7280 Q=21.92 3.00 C=120 0.013569 ` 11-4M, Pf 0.15 37 13-1 8.64 I Pe 38 13-1 8.79 I 11-4'/: Pv CM 1.7280 Q=39.32 5.38 C=120 0.039984 11- Pf 0.68 38 13-1 8.79 5-711 Pe 39 13-1 9.47 2LtE(2-10) 16-11 Pv CM 1.7280 Q=56.90 7.78 C=120 0.079198 124 Pf 0.95 39 13-1 9.47 Pe 40 13-1 10.42 124 Pv CM 1.7280 Q=75.20 10.29 C=120 0.132700 21-1Y Pf 5.42 40 13-1 10.42 19- Pe 0.76 41 11-4 16.60 3LtE(2-10),PO(11-3%) 40-101/Pv CM _ 2.7030 Q=75.20 4.20 C=120 0.015018 10- Pf 0.15 41 11-4 16.60 Pe 16 11-4 16.75 10- Pv •:r•••••Route 5••••• DR 1,0490 0=17.40 6.46 C=120 0.100542 4-11 Pf 091 105 9-0 q=17.40 K=5.6 9.65 Spr(-9.65) 5- Pe -1.77 38 13-1 8.79 PO(5-0) 9-1 Pv �•••••Route 6••••• DR 1.0490 Q=17.57 6.52 C=120 0.102447 4-7 Pf 1.39 106 9-0 q=17.57 K=5.6 9.85 Spr(-9.85) 9-0 Pe -1.77 39 13-1 9.47 2E(2-0),PO 5-0 13-7 Pv .+•••••Route r••••• DR 1.0490 Q=17.71 6.57 C=120 0.103867 4-1 Pf 0.94 107 9-0 q=17.71 K=5.6 10.00 Spr(-10.00) 5-( Pe -1 77 14 13-1 9.17 PO(5-0) 9-1 Pv %.4•••••Route 8••••• DR 1.0490 Q=18.31 6.80 C=120 0.110512 4--,1 Pf 150 108 9-0 q=18.31 K=5.6 10.69 Spr(-10.69) 9-(Y Pe -1.77 40 13-1 10.42 2E(2-0),PO(5-0) 134 Pv -6•••••Route 9•••• DR 1.0490 0=18.63 6.92 C-120 0.114169 4-1i Pf 1.04 109 9-0 q=18.63 K=5.6 11.07 Spr(-11.07) 5-( Pe -177 15 13-1 10.34 PO(5-0) 9-1 Pv .&• •Route10••••• DR 1.0490 Q=21.04 7.81 C=120 0.142976 6-2 Pf 2.18 110 9-0 q=21.04 K=5.6 14.12 Spr(-14.12) 9-C Pe -1.77 44 13-1 14.53 2E(2-0),PO(5-0) 15-2 Pv CM 1.7280 Q=58.08 7.95 C=120 0.082277 56-71/s Pf 7.45 44 13-1 14.53 33-101/; Pe 0.79 45 11-3 22.77 4LtE(2-10).T(11-31/z),PO(11-31/z) 90-E Pv CM 4.2600 Q=58.08 1.31 C=120 0.001016 10-E Pf 0.01 45 11-3 22.77 Pe 46 11-3 22.78 10-E Pv CM 4.2600 Q=101.40 2.28 C=120 0.002848 10-E"Pf 0.03 46 11-3 22.78 1 Pe 47 11-3 22.81 10-Ei Pv CM 4.2600 Q=126.01 2.84 C=120 0.004258 8-Ei Pf 0.04 47 11-3 22.81 I Pe 48 11-3 22.85 8-E Pv CM 4.2600 Q=149.11 3.36 C=120 0.005813 12-Eg Pf 0 07 48 11-3 22.85 Pe 49 11-3 22.92 12-E',Pv CM 4.2600 Q=170.75 3.84 C=120 0.007470 10-E:Pf 0.08 49 11-3 22.92 Pe 50 11-3 23.00 10-E1 Pv /,0 M.E.P.CAD,Inc. ill AutoSPRINK®VR7 v7.1.7 03/18/2009 2:59:56PM Page 6 1; ._ M Hydraulic Analysis Job Number:2-11-10207 Report Description:Light Hazard Pi e T pe Diameter Flow Velocity HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length CM 4.2600 Q=188.42 424 C=120 0,008962 11-9 Pf 0.11 50 11-3 23.00 Pe 51 11-3 23.11 11-9 Pv CM 4.2600 Q=202,77 4.56 C=120 0.010266 9-` Pf 0.09 51 11-3 23.11 Pe 52 11-3 23.20 9-; Pv CM 4.2600 Q=214.98 4.84 C=120 0.011439 10-E;Pf 0.12 52 11-3 23.20 1I Pe 53 11-3 23.32 10-e4 Pv CM 4.2600 Q=225.41 5.07 C=120 0.012487 1 O-E Pf 0.13 53 11-3 23.32 Pe 54 11-3 23.45 10-E Pv CM 4.2600 Q=233.97 5.27 C=120 0.013377 1 O-E Pf 0.14 54 11-3 23.45 Pe 55 11-3 23.59 10-Er Pv CM 4.2600 Q=237.09 5.34 C=120 0.013709 10-E Pf 014 55 11-3 23.59 Pe 56 11-3 23.74 1 O-E Pv CM 4.2600 Q=236.12 5.31 C=120 0.013606 1-91/, Pf 020 56 11-3 23.74 13- Pe 57 11-3 23.94 E(13-2) 14-11'/Pv CM 4.3100 Q=236.12 5.19 C=120 0.012854 154 Pf 0.58 57 11-3 23.94 29-11 Pe 085 31 9-3'% 25.37 E(13-11),fT(16-0) 45-11 Pv o•••••Route II..... EL 1.0490 Q=19.66 7.26 C=120 0,124728 _.� 22-q Pf 4.43 111 12-7 q=19.55 K=5.6 12.18 Spr(-12.18) 13-0 Pe 0.54 58 11-4 17.15 4E(2-0),PO(5-0) 35-E Pv CM 1,7280 0=38.18 5.22 C=120 0.037860 14-41/i Pf 1.08 58 11-4 17.15 14-1'/;Pe 18 11-4 18.23 LtE(2-10),PO(11-3'/) 28-E Pv �►•••••Route 12••••• DR 1,0490 Q=20.60 7.65 C=120 0.137424 8-9 Pf 244 112 9-0 q=20 60 K=5.6 13.53 Spr(-13.53) 9-(t Pe -1.77 59 13-1 14.20 2E(2-0),PO(5-0) 17-9'Pv CM 1.7280 Q=16,21 2.22 C=120 0.007759 0-4:Pf 0.00 59 13-1 14.20 I Pe 43 13-1 14.20 0-4 Pv CM 1.7280 0=37.04 5,07 C=120 0.035793 9- Pf 0.33 43 13-1 14.20 Pe 44 13-1 14.53 9- Pv +ai•••••Route 13..... DR 1,0490 0=20.83 7.73 C=120 0.140287 5-:t Pf 2 14 113 9-0 q=20.83 K=5.6 13.83 Spr(-13.83) 10-(1 Pe -1.77 43 13-1 14.20 T(5-0),PO(5-0) 15-' Pv 4iib•••••Route 14••••• DR 1,0490 Q=20.89 7.75 C=120 0.140991 _ 5-E Pf 2.07 114 9-0 q=20.89 K=5,6 13.91 Spr(-13.91) 9- Pe -1.77 60 13-1 14.21 2E(2-0),PO(5-0) 14-8 Pv CM 1.7280 Q=25.28 3.46 C=120 0.017653 12-41/i Pf 0.37 60 13-1 14.21 8-5'/ii Pe 0.22 61 12-7 14.79 3LtE(2-10) 20-1 Pv CM 1.7280 Q=3,23 0.44 C=120 0.000392 O-E Pf 000 61 12-7 14.79 T(11-3%) 11-3'/ Pe 62 12-7 14.79 11-11'Y Pv CM 1.7280 Q=24.36 3.33 C=120 0.016489 8- Pf 0.13 62 12-7 14.79 Pe 63 12-7 14.93 8-C Pv CM 1.7280 Q=45,58 6.24 C=120 0.052557 8-11 Pf 1,51 63 12-7 14.93 19-1 Pe 0.54 64 11-4 16.97 3LtE(2-10),T(11-3'/a) 28-E Pv CM 1.7280 Q=18,63 2.55 C=120 0.010041 64 Pf 0.18 64 11-4 16.97 T(11-3'/.) 11-31/�Pe 58 11-4 17.15 17-61/8 Pv a•••••Route 15••••• DR 1.0490 0=21.14 7.85 C=120 0.144125 54,Pf 2.10 115 9-0 q=21.14 K=5.6 14.24 Spr(-14.24) 9- Pe -1.55 62 12-7 14.79 2E(2-0),PO(5-0) 14- Pv .&.....Route 16••••• DR 1 049 0 Q=21.22 7.88 C=120 0.145242 5- Pf 2.12 116 9-0 q=21.22 K=5.6 14.36 Spr(-14.36) 9-( Pe -1.55 63 12-7 14.93 2E(2-0),PO(5-0) 14-Y Pv 4ab•••••Route17••••• &©M,E.P.CAD,Inc. AutoSPRINKO VR7 v7.1.7 03/18/2009 2:59:56PM Page 7 1 I 111 Hydraulic Analysis Job Number:2-11-10207 Report Description:Light Hazard Pipe Type Diameter Flow Velocity HWC Friction Loss Length jPressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Len th DR 1.0490 Q=21.27 7.90 C=120 0.145810 4= Pf 198 117 9-0 q=21.27 K=5.6 14.42 spr(-14.42) 9( Pe -1.55 65 12-7 14.85 2E(2-0),PO(5-0) 13--ij Pv CM 1.7280 Q=43.32 5.93 C=120 0.047826 97- Pf 7.35 65 12-7 14.85 56-5'/ Pe 0.58 46 11-3 22.78 2T 11-3'/2,8LtE(2-10),PO(11-3%) 153 Pv ®•••••Route 18••••• CM 4.2600 Q=4.66 0.10 C=120 0,000010 10-E Pf 0.00 67 12-5 8.87 26-4 Pe 68 12-5 8.87 PO(26-4) 36-1( Pv CM 1.7280 Q=4.66 0.64 C=120 0.000772 59-E Pf 0.05 68 12-5 8.87 11-3'/' Pe -0.29 37 13-1 8.64 4LtE(2-10) 71-0'/'Pv Go•••••Route 19••••• CM 1.7280 Q=4.39 0.60 C=120 0.000692 7-1 Pf 0.01 59 13-1 14.20 Pe 60 13-1 14.21 7-1 1pv .+.....Route 20..... CM 1.7280 Q=4.66 0.64 C=120 0.000772 58-1 Pf 0.07 11 13-1 8.51 33-1051 Pe 0.29 67 12-5 8.87 BLIE(2-10),PO 11-3'/: 92-4' Pv - Raub 2l.... CM 1.7280 Q=21.64 2.96 C=120 0.013249 113-6' Pf 1.88 22 11-4 21.01 PO(11-3'/2) 28-2' Pe 0.04 49 11-3 22.92 2LtE(2-10).PO(11-3%) 141E Pv 4ow•••••Route 22••••- CM 1.7280 Q=0.97 0.13 C=120 0.000043 115-11'1 Pf 0 01 56 11-3 23.74 PO(11-3'/) 56-5'/ Pe 0.61 29 9-10 24.36 4LtE(2-10),4E(5-7'/2),PO(11-3'/2) 1724, Pv v•••••Route 23••••• CM 1.7280 Q=3.12 0.43 C=120 0.000369 115-0%' Pf 0.05 28 9-10 24.15 PO(11-3'/2) I 33-10'/ pe -0.61 55 11-3 23.59 4LtE(2-10),PO(11-3'%) 148-10%'Pv -&•••••Route 24••••• CM 1.7280 Q=8 55 1 17 C=120 0.002379 _I 116-q Pf 0.41 27 11-4 23.01 PO(11-3'/2) 56-51/ Pe 0.04 54 11-3 23.45 12LtE(2-10).PO(11-3'/2) 1724 Pv e+•••••Route 28••••• CM 1.7280 Q=12.21 167 C=120 0.004596 115-E Pf 0.76 25 11-4 22.40 PO(11-3'/2) 50-9'/ Pe 0.04 52 11-3 23.20 10LtE(2-10).PO(11-3'/z 166A Pv -•••••Route 28••••• CM 1.7280 Q714.36 1.96 C=120 0.006200 120- Pf 1.06 24 11-4 22.01 PO(11-3Y2) 50 Pe 0.04 51 11-3 23.11 10LtE(2-10),PO(11-3'/ 171- Pv v•••••Route 27••••• CM 1.7280 Q=10.43 1.43 C=120 0.003433 115- Pf 0.57 26 11-4 22.71 PO(11-3'/2) 50-9'/' Pe 0.04 53 11-3 23.32 1OLtE(2-10).PO(11-3'/2) 166-4 Pv Gib•••••Route 28••••• CM 1.7280 Q=17.66 2.42 C=120 0.009096 120-0Y Pf 1.48 23 11-4 21.48 PO(11-3'/2) 42-�I Pe 004 50 11-3 23.00 7LtE(2-10),PO(11-3Y2) 162-8'/Pv 4-+•••••Route 29..... CM 1.7280 Q=26.95 369 C=120 0.019881 10-1 Pf 0.43 64 11-4 16.97 11-3'/ Pe 17 11-4 1740 POO 1-3'/2) 21-5'/'Pv .�•••••Route 30••••• CM 1.7280 Q=24.61 3.37 C=120 0.016799 133-3' Pf 3.66 19 11-4 19.12 PO(11-3'/2) 84- Pe 0.04 47 11-3 22.81 14LtE(2-10),2T(11-3'/), I 217-11' Pv PO(11-3Y2) o•••••Route 3l••••• CM 1.7280 0=23.10 316 C=120 0.014949 I 118-6'/ Pf 2.70 21 11-4 20.11 PO(11-3'/2) 62-1 Pe 0.04 48 11-3 22.85 10LtE(2-10).T(11-3'/2).PO(11-3'/2)I 180-7'/Pv ei•••••Route 32••••• CM 1.7280 Q=22.05 3.02 C=120 0.013713 4-51/ Pf 0.06 61 12-7 14.79 Pe 65 12-7 14.85 4-5'/Pv �,Q M.E.P.CAD,Inc. rll§AutoSPRINK®VR7 v7.1.7 03/18/2009 2:59:56PM Page 8 I I I 1 1 1 Hydraulic Analysis Job Number..2-11-10207 Report Description:Light Hazard Pipe Type Diameter Flow Velocity HW_C_ Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length Equivalent Pipe Lengt4.01`Valves and Fittings(C=120 only) k C Value Multiplier Actual Inside Diameter 487 Value Of C 100 130 140 150 =Schedule 40 Steel Pipe Inside Diameter Factor Multiplying Factor 0.713 1.16 1.33 1.51 Pipe Type Legend Units Legend Fittings Legend AO Arm-Over Diameter Inch ALV Alarm Valve BL Branch Line Elevation Foot AngV Angle Valve CM Cross Main Flow gpm b Bushing DN Drain Discharge gpm BaIV Ball Valve DR Drop Velocity fps BFP Backflow Preventer DY Dynamic Pressure psi BV Butterfly Valve FM Feed Main Length Foot C Cross Flow Turn 90' FR Feed Riser Friction Loss psi/Foot cplg Coupling MS Miscellaneous HWC Hazen-Williams Constant Cr Cross Run OR Outrigger Pt Total pressure at a point in a pipe CV Check Valve RN Riser Nipple Pn Normal pressure at a point in a pipe DeIV Deluge Valve SP Sprig Pf Pressure loss due to friction between points DPV Dry Pipe Valve ST Stand Pipe Pe Pressure due to elevation difference between indicated points E 90°Elbow UG Underground Pv Velocity pressure at a point in a pipe EE 45°Elbow Eel 11%'Elbow Ee2 22'/a°Elbow f Flow Device fd Flex Drop FDC Fire Department Connection fE 90°FireLock(TM)Elbow fEE 45°FireLock(TM)Elbow fig Flange FN Floating Node fT FireLock(TM)Tee g Gauge GloV Globe Valve GV Gate Valve Ho Hose Hose Hose HV Hose Valve Hyd Hydrant LtE Long Turn Elbow mecT Mechanical Tee Noz Nozzle P1 Pump In P2 Pump Out PIV Post Indicating Valve PO Pipe Outlet PRV Pressure Reducing Valve PrV Pressure Relief Valve red Reducer/Adapter S Supply sCV Swing Check Valve Spr Sprinkler St Strainer T Tee Flow Turn 90' Tr Tee Run U Union WirF Wirsbo WMV Water Meter Valve Z Cap �,0 M.E.P.CAD,Inc AutoSPRINK®VR7 v7.1.7 03/18/2009 2:59:56PM Page 9 his Hydraulic Graph Job Number.2-11-10207 Report Description_Light Hazard Supply at Node 1 100 - 80 -- 70 - 60 Static Pressure 55.00 Z d 50 - - fn N N EL 324.02 @ 40.62 40 - �424.02 with hose streams 30 ystem demand curve 20 10 0 �150 300 450 600 750 900 1050 1200 1350 1500 Water flow,gpm Supply at Node 1 S 1 P..... 55.00 R..b..1:R...ure 1500.00 @ 20.00 M.lbbb N.—Q Time M T.0 51.62 @ 424.02 syr.m am.m 324.02 @ 40.62 S'..m N—W(1-1'Nos.Nbrnrce� 424.02 @ 40.62 h 0 M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/18/2009 3:00:01 PM Page 10 r N 1 Hydraulic Summary Job Number.2-11-10207 Report Description:Light Hazard Jeb Number Deagn Engineer 2-11-10207 Craig Miller Job Name: Stele CerE11n1uNLkeme Nw r CASCADE VALLEY HOSPITAL FIRESWI 140B1 Mtlrecz 1 AHJ 330 SOUTH STILLAGUAMISH AVE CITY OF ARLINGTON Atltlress Z Job Silo — City Stele Zlp Code Dnxlnp Neme ARLINGTON WA 98223 2-11-10207_Revision02_(Second Floor-Expansion).c to ArGa(s) s Mod De—hg Sp Illkkr D.la Ca yAcy Jab Sulfa 5.6 K-Factor 16.80 at 9.00 Light Hazard New Albn•rls I.7,Nre• N,,.ity Ne•tlAPpA®tio. 100,00 0.logpm/ft2 1500 OOft2(Actual 1510,67ft2) Addis JH..Suppees NprMer CI Sprinkkm C—Ill etl Coverage Per Sp—W Node Flow(gpm) 13 144.00ft2 AWnPoek Resubz:Pre czar,For Remote Nee(,)MI.—To Mod Remote N.. Left:37.37 L-EVEL 2— VfOak INC. T,bl Hose Slreema 100.00 Sydem Flow Derrell T,bl WaMf Re•ulred(IMluding Nose Allovnrvw) 251.43 351.43 Mexlmgm Pressure Unbal—In Loops 0.00 Ma1loci Velocity Above Gr,1 urM 1 43 between nodes 2105 and 2104 M.0--ity U—Ground 1.46 between nodes 1 and 4 Volume capacity el Mt Pipes Volume capacity of Dry Pipea 1287.01 gal Supplies Hose Flow Static Residual @ Flow Available @ Total Demand Required Safety Margin Node m (psi) s (psi) (gpm) (psi) (psi) 1 100.00 55.00 20.00 1500.00 52.61 351.43 44.72 7.90 '�;ndfactl�t Contractor Number Conma N.— Condd Tdle 2-11-10207 C.MILLER PE M•mFNCMY•cMc PMm Exkin:ion FIRE SYSTEMS WEST 253-833-1248 Add—1 FAX _ -- 219 Frontage Road North,Suite B Atldieaa 2 CRY SGI, lip Code VV K. Pacific WA 98047 ®M.E.P.CAD,Inc tAi AutoSPRINK®VR7 v7.1.7 03/20/2009 11:32:43AM Page 1 1 r-, 1 11 Summary Of Outflowing Devices - Job Number.2-11-10207 Report Description:Light Hazard Actual Flow Minimum Flow K-Factor Pressure Device m) (gpml K Iasi Sprinkler 2113 21.85 14.40 56 15.22 Sprinkler 2112 21.42 14.40 5.6 14.63 Sprinkler 2111 21.17 14.40 5.6 14.29 Sprinkler 2105 21.03 14.40 5.6 14.11 Sprinkler 2104 19.82 14.40 5.6 12.53 Sprinkler 2103 18.31 14.40 5.6 10.69 Sprinkler 2102 17.57 14.40 5.6 9.85 Sprinkler 2101 16.80 16.80 5.6 9.00 Sprinkler 2110 21.02 14.40 5.6 14.08 Sprinkler 2109 19.81 14.40 5.6 12.51 Sprinkler 2108 18.29 14.40 5.6 10.67 Sprinkler 2107 17.56 14.40 5.6 9.83 Sprinkler 2106 16.78 14.40 5.6 8.98 a> Most Demanding Sprinkler Data �,0 M E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/20/2009 11:33:01AM Page 2 �i I Node Analysis Job Number.2-11-10207 Report Description:Light Hazard Node Elevation(Foot) Fittings Pressure sl Dlscharael m 213 24-8 PQ 18-8 19.81 _ 215 24-8 PQ 11-3% 19.79 217 24-8 PO(11-31/2) 19.77 219 24-8 PO(11-3%) 19.75 220 24-8 I POO1-3'/2) 19.72 226 24-8 POO1-3Y2) 19.65 228 24-8 POO1-3'/2) 19.57 _ 233 24-8 P011-3Yz 19.52 263 23-9/2 E(3-0) 0.00 249 25-0 PO(11-3/21 19.20 265 26-6% Z 0.00 264 23-9/2 PO(8-0) 0.00 _ 262 23-9/2 Z 0.00 8 3-0 PO(20-01 34.27 10 8-6/2 EN3-11) 31.12 238 25-6 PO(11-3Y2) 18.71 247 25-6 PO(11-3/2) 18.67 256 25-6 PO(11-3%) 18.65 258 25-6 PO 11-3/z 18.63 260 25-6 PO(11-3/2) 18.63 261 25-6 PO(11-3/2),C(11-3Y2) 18.63 6 3-0 1 BFP(-3.00) 37.47 4 0-6 1 38.77 201 24-8 PO(11-3/2) 20.33 203 24-8 PO 8-0 20.12 204 24-8 PO 8-0 19.98 205 24-8 PO(6-0) 19.91 207 24-8 PQ(8-01 19.83 210 24-8 PO(8-0) 19.70 211 24-8 PO(8-0) 19.60 212 24-8 PO(8-01 19.50 216 25-0 PO(11-3/2) 19.14 200 24-8 LtE(8-4/2) 21.12 225 25-6 PO(11-3/2) 18.64 227 25-6 PO(11-3/2) 18.56 231 25-6 PO(11-3/z) 18.48 240 25-6 T(27-10/2) 18.46 251 25-6 PO 6-0 18.47 257 25-6 PO(27-10/2) 18.47 259 25-6 PO(11-3/2),C(11-3/2) 18.47 236 26-9 PO(10-0) 16.94 237 26-9 PO(10-0) 16.89 235 26-9 PO(10-0) 16.76 239 28-0 T 6-0 15.75 243 26-9 PO(10-01 16.64 245 28-0 T(6-0) 15.17 224 13-1 T(6-0) 0.00 222 12-1/2 PO(8-0) 0.00 214 12-2 PO(8-0) 0.00 218 12-2 PO(8-0) 0.00 221 12-1/2 PO(8-0) 0.00 246 26-9 PO(10-0) 16.62 253 28-0 T(6-0) 15.14 2113 28-0 SDr(-15.22) 15.22 21.8 2112 28-0 S r-14-63 14.63 21.4' 2111 28-0 SDr(-14,291 14.29 21.1- 2105 28-0 Spr(-14.11) 14.11 21.0 2104 28-0 Sp -12.53) 12.53 19.8 2103 28-0 S r-10.69 10.69 18.3'I 2102 28-0 S r-9.85 9.85 17.5 2101 28-0 SDr(-9.00) 9.00 16.8 2110 28-0 S r-14.08 14.08 21.021 ®M.E.P.CAD,Inc. AutoSPRINKO VR7 v7 1.7 03/20/2009 11:33:06AM Page 3 ,r I J I r' h4d Node Analysis Job Number.2-11-10207 Report Description:Light Hazard Node ElevationlFootl Fittinas Pressure si Discharge apm 2109 28-0 S -12.51 12.51 19.81 2108 28-0 S -10.67 10.67 18.2 2107 28-0 S -9.83 9.83 17.5 2106 28-0 S -8.981 8.98 16.7 0 M.E.P.CAD,Inc. Gad AutoSPRINK®VR7 v7.1.7 03/20/2009 11:33:06AM Page 4 I ' I I r , I�� Job Number.2-11-10207 Report Description:Light Hazard Pipe Type Diameter Flow Velocity HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length 40•••••Route I..... BL 1.0490 Q=16.80 6.24 C=120 0.094254 9- Pf 0.85 2101 28-0 q=16.80 K=5.6 9.00 Spr(-9.00) I Pe 2102 28-0 9.65 9-D Pv B_L 1.3800 Q=34.37 7.37 C=120 0.093209 9-61 Pf 0.84 2102 28-0 q=17,57 K=5.6 9.85 Spr(-9.85) II Pe 2103 28-0 10.69 9-Ct Pv BL 1.3800 Q=52.68 11.30 C=120 0.205350 9-0 Pf 1.85 2103 28-0 q=18.31 K=5.6 10.69 Spr(-10.69) I I Pe 2104 28-0 12.53 9-(M Pv BL 1.6100 Q=72.51 11.43 C=120 0.175023 9-Q Pf 1.58 2104 28-0 q=19.82 K=5.6 12.53 Spr(-12.53) Pe 2105 28-0 14.11 9-0 Pv BL _ 2.0670 Q=93.54 8.94 C=120 0.083039 2- Pf 1.06 2105 28-0 q=21.03 K=5.6 14.11 Spr(-14.11) 10- Pe 245 28-0 15.17 T(10-0) 124 Pv RN 2.0670 0=93.54 8.94 C=120 0.083039 1.- Pf 0.93 245 28-0 15.17 10-(�Pe 0.54 243 26-9 16.64 PO(10-0) 11-3;Pv, CM 4.3100 0=187.00 4.11 C=120 0.008349 14-( Pf 0.12 243 26-9 16.64 Pe 235 26-9 16.76 14- Pv CM 4.3100 0=251.43 5.53 C=120 0.014438 9-C Pf 0.13 235 26-9 16.76 Pe 237 26-9 16.89 9-C Pv C_M 4.3100 0=251.43 5.53 C=120 0.014438 3-E Pf 0.05 237 264 16.89 Pe 236 26-9 16.94 3-E Pv CM 4.3100 Q=251.43 5.53 C=120 0.014438 23-1 Pf 0.98 236 26-9 16.94 44- Pe 0.54 240 25-6 18.46 2LtE(8-4'/2),T(27-10'h) 68- ,Pv, CM 4.3100 Q=226 87 4.99 C=120 0.011939 1-E Pf 0.02 240 25-6 18.46 Pe 0.00 231 25-6 18.48 1-E Pv CM 4.3100 0=219.42 4.83 C=120 0.011223 Pf 0.07 231 25-6 18.48 Pe 0.00 227 25-6 18.56 6 Pv CM 4.3100 Q=212,70 4.68 C=120 0.010596 7-f Pf 0.08 227 25-6 18.56 Pe 0.00 225 25-6 18.64 7-E Pv CM 4.3100 Q=207.58 4.56 C=120 0.010129 11-10'L' Pf 0.29 225 25-6 18.64 16-BY.' Pe 0.22 216 25-0 19.14 2LtE(B-4'/2) 28-ij Pv CIA 4.3100 Q=203.63 4.48 C=120 0.009775 ` 10- Pf 0.21 216 25-0 19.14 11- Pe 0.15 212 24-8 19.50 2EE(5-7) 21-9'/ Pv CM 4.3100 Q=201.40 4.43 C=120 0.009578 1 O-E Pf 0.10 212 24-8 19.50 Pe 211 24-8 19.60 10-Ey Pv CM 4.3100 0=203.99 4.49 C=120 0.009807 I 10-Ei'Pf 0.10 211 24-8 19.60 I Pe 210 24-8 19.70 I 10-Ek Pv CM 4.3100 Q=207.36 4.56 C=120 0.010108 13-6,Pf 0.13 210 24-8 19.70 Pe 207 24-8 19.83 13- Pv CM 4.3100 Q=212.48 4.67 C=120 0.010575 I 7-1 Pf 0.08 207 24-8 19.83 Pe 205 24-8 19.91 74f.Pv CM 4.3100 Q=219.51 4.83 C=120 0.011231 6- Pf 0.07 205 24-8 19.91 Pe 204 24-8 19.98 6- Pv CM 4.3100 Q=227.68 5.01 C=120 0.012018 11-ff.Pf 0.14 204 24-8 19.98 I Pe 203 24-8 20.12 11-E>Pv CM 4.3100 Q=237.42 5.22 C=120 0.012985 16-0 Pf 0.21 203 24-8 20.12 I I Pe 201 24-8 20.33 16- Pv C_M 4.3100 Q=251.43 5.53 C=120 0.014438 10- Pf 0.79 201 24-8 20.33 44--, Pe 200 24-8 21.12 T(27-10%2),LtE(2-0),LtE(8-4%) 54-71/ Pv CM 4.3100 Q=251.43 5,53 C=120 0.014438 85-31/ Pf 3.02 200 24-8 21.12 123-9/' Pe 6.98 10 8-6'/2 31.12 5E(13-11),2ri(22-3'/a),2fEE(4-9) 209-1 Pv ©M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/20/2009 11:33:13AM Page 5 r� 1 N•�� Hydraulic Analysis Job Number:2-11-10207 11111�/BBBBt�1 Report Description:Light Hazard Pipe TVDe Diameter Flow Velocitv HWC Friction Loss I Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length FR 4.0260 0=251.43 6.34 C=120 0.020122 5-1'/ Pf 0.75 10 8-6'/2 31.12 32-C Pe 2.40 8 3-0 34.27 f(-0.00),f,BV 12-0,PO(20-0) 37-11V Pv FM 6.3570 Q=251.43 2.54 C=120 0.002176 24-1 Pf 3.21 8 3-0 34.27 71- Pe 6 3-0 37.47 3LtE(11-4).T(37-8'/2),BFP(_-3.00) 96- Pv FM 5.8430 0=251.43 3.01 C=150 0.002171 55-8 Pf 0.21 6, 3-0 37.47 42-6 Pe 1.08 4 0-6 38.77 8cplg(2-6),3LtE,Tr(2-6),2E(10-0) 98-2 Pv UG 8.3900 Q=251.43 1.46 C=140 0.000423 154-0 Pf 0.09 4 0-6 38.77 61-11 Pe 5.85 1 -13-0 44.72 2E(30-6'/2),S 215-11 Pv v•••••Route 2••••• BL 1.0490 0=16.78 6.23 C=120 0.094098 9- Pf 0.85 2106 28-0 q=16.78 K=5.6 8.98 Spr(-8 98) Pe 2107 28-0 9.83 9-C Pv BL 1.3800 Q=34.34 7.37 C=120 0.093055 9-C Pf 0.84 2107 28-0 q=17.56 K=5.6 9.83 Spr(-9.83) Pe 2108 28-0 10.67 9-C Pv BL 1.3800 Q=52.63 11.29 C=120 0.205012 9- Pf 1.84 2108 28-0 q=18.29 K=5.6 10.67 Spr(-10.67) Pe 2109 28-0 12.51 9- Pv SL_ 16100 0=72 44 11.42 C=120 0.174736 9- Pf 1.57 2109 28-0 q=19.81 K=5.6 12.51 Spr(-12.51) Pe 2110 28-0 14.08 9-C Pv BL 2.0670 Q=93.46 8.94 C=120 0.082904 2 Pf 1.06 2110 28-0 q=21.02 K=5.6 14.08 Spr(-14.08) 10-( Pe 253 28-0 15.14 T(10-0) 12-� Pv RN 2.0670 Q=93.46 8.94 C=120 0,082904 1- Pf 093 253 28-0 15.14 10- Pe 054 248 26-9 16.62 PO(10-0) 11 S,Pv CM 4.3100 0=93-46 2.06 C=120 0.002314 I 12-0 Pf 003 248 26-9 16.62 1 Pe 243 26-9 16.64 12-0 Pv r.•••••Route 3••••• BL 1.3800 0=21.17 4.54 C=120 0.038012 9-0 Pf 034 2111 28-0 q=21.17 K=5.6 14.29 Spr(-14.29) 1 Pe 2112 28-0 14.63 9-()Pv BL 1.6100 Q=42,59 671 C=120 0.065397 9-01 Pf 0.59 2112 28-0 q=21.42 K=5.6 14,63 Spr(-14.63) Pe 2113 28-0 15.22 9-0 Pv BL 2.0670 Q=64.43 6.16 C=120 0.041666 2-S?Pf 0.53 2113 28-0 q=21.85 K=5.6 15.22 Spr(-15.22) 10-0 Pe 239 28-0 15.75 T(10-0) 12-9,Pv RN 2.0670 Q=64.43 6.16 C=120 0.041666 1 21,Pf 0.47 239 28-0 15.75 10-C�Pe 0.54 235 26-9 16.76 PO 10-0 11-11 Pv -D.....Route 4••••• CM 2.7030 Q=47.80 2.67 C=120 0.006494 15-1 Pf 018 249 25-0 19.20 12-5 Pe 0.14 233 24-8 19.52 ME(6-2%) 27-6 Pv CM 2.7030 Q=50.03 2.80 C=120 0.007065 7-6 Pf 0.05 233 24-8 19.52 I Pe 228 24-8 19.57 7-q Pv C_M 2.7030 Q_=47.43 2.65 C=120 0.006402 11-d Pf 0.07 228 24-8 19.57 Pe 0,00 226 24-8 19.65 11- Pv CM 1.7280 0--3.36 OA6 C1420 0.000423 85-5'/ Pf 0.06 226 24-6 19.65 PO(11-3%) 45- Pe -0.00 210 24-8 19.70 4E(5-7%a),PO(11-3'/2) 130- Pv go•••••Route 5••••• C_M 1.7280 0=2.23 0.30 C=120 0.000197 79-5'/ Pf 0.02 212 24-8 19.50 PO(11-3'/2) 31-0'/' Pe 233 24-8 19.52 LtE(2-10).E(5-7'/2),POO1-3Y2Y 110-E Pv ......Route 6••••. CM 1.7280 Q=3.96 0.54 C=120 0.000571 75-81/, Pf 0.06 216 25-0 19.14 PO(11-3'/2) 22-1 Pe 0.00 249 25-0 19.20 PO(11-3'/2) 98-314 Pv 4�•••••Route 7••••• CM 1.7280 Q=14.01 1.92 C=120 0.005926 76-5%Pf 0.52 213 24-8 19.81 11-3'/ Pe 201 24-8 20.33 PO(11-31/2) 87- Pv ".....Rnote8••••• &0 M.E.P.CAD,Inc. �,�AutoSPRINK®VR7 v7.1.7 03/20/2009 11:33:13AM Page 6 ,� I aM � Hydraulic Analysis Job Number..2-11-10207 Report Description:Light Hazard Pine Tvne Diameter Flow Velocitv HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length CM 2.7030 Q=38.94 2.18 C=120 0.004445 7 Pf 0 03 220 24-8 19.72 Pe 219 24-8 19.75 7 Pv CM 2:7030 Q=31.92 1.78 C=120 0.003076 6-E Pf 0.02 219 24-8 19.75 Pe 217 24-8 19.77 6-E Pv CM 2.7030 Q=23.74 1.33 C=120 0.001779 1 O-E Pf 0.02 217 24-8 19.77 Pe 215 24-8 19.79 10-E Pv CM 2.7030 Q=14.01 0.78 C=120 0.000671 17-C Pf 0.02 215 24-8 19.79 18-E Pe 213 24-8 19,81 PO(18-8) 35-711V Pv .......Route 9..... CM 1.7280 Q=5.13 0.70 C=120 0.000923 84-51. Pf 0.12 220 24-8 19.72 PO(11-31%) 45-' Pe 207 24-8 19.83 4E(5-71/2),PO(11-31/2) 129-7 Pv v•••••Route 10••••• CM 4.3100 Q=24.55 0.54 C=120 0.000195 7-1C Pf 0.00 240 25-6 18.46 Pe 0.00 251 25-6 18.47 7-1 C Pv CM 4.3100 Q=16.38 0.36 C=120 0.000092 8-C Pf 0.00 251 25-6 1847 27-101/: Pe 0.00 257 25-6 18.47 PO(27-101/2) 35-101/Pv CM 4,3100 0=7.78 0.17 C=120 0.000023 8-E Pf 0.00 257 25-6 18.47 PO(27-101/2) 83-7Y Pe 259 25-6 18.47 PO(27-10%),C(27-101/2) 92-11V Pv CM 1.7280 Q=7.78 1.06 C=120 0.001998 _ 54-E Pf 015 259 25-6 18.47 22- Pe 261 25-6 18.63 PO(11-31/2),C(_11-31/2) 77-21/'Pv CM 2.7030 Q=7.78 0.44 C=120 0.000226 8-E Pf 0.00 261 25-6 18.63 Pe 260 25-6 18.63 8-E Pv CM 2,7Q30 Q=16,38 0.92 C=120 0.000896 I 8-C Pf 0.01 266 25-6 18.63 Pe 258 25-6 18,63 8-C Pv CM 2.7030 Q=24.55 1.37 C=120 0.001894 8-C Pf 0.02 258 25-6 18.63 Pe 256 25-6 18.65 8-C Pv CM 2.7030 Q=32-00 1,79 C=120 0.003091 8- Pf 0.02 256 25-6 18.65 Pe 247 25-6 18.67 8- Pv CM 2.7030 Q=38.72 2.17 C=120 0.004399 7- Pf 0.03 247 25-6 18.67 Pe 238 25-6 18.71 7-1 Pv CM 2.7030 Q=43.84 2.45 C=120 0.005535 32-E Pf 0.27 238 25-6 18.71 17-1 Pe 0.22 249 25-0 19,20 2LtE(6-21/2),EE(4-8) 49-71/.'Pv . .....Route 11••••• CM 2.7030 Q=44.07 2.46 C=120 0.005588 12-U Pf 0.07 226 24-8 19.65 Pe -0.00 220 24-8 19.72 12-C Pv -0.....Route 12••• CM 1.7280 Q=7.45 1.02 C=120 0.001842 56-,?Pf 0.17 231 25-6 18.48 PO(11-31/2) 33-101/1 Pe 0.00 256 25-6 18.65 2E(5-71%),PO(11-31/2) 90-( Pv ..+•••••Route 13••••• CM 1.7280 Q==8.18 1.12 C=120 0.002188 76-51/ Pf 0.22 217 24-8 19.77 PO(11-31%) 22-i Pe 204 24-8 19.98 PO 11-31/2 99-01Pv 40•••••Route 14••••• CM 1.7280 Q=7.03 0.96 C=120 0.001653 76-51/• Pf 0.16 219 24-8 19.75 PO(11-31/2) 22-7 Pe 205 24-8 19,91 PO(11-31/2) 99-01/: Pv ...... Route 15••••• CM 1.7280 Q=2.59 0.35 C=120 0.000261 76-51/;' Pf 0.03 228 24-8 19.57 PO(11-3Y2) 22-7 Pe 211 24-8 19.60 PO(11-3%) 99-01 Pv o• •••Route 16••••• CM 1.7280 Q=9.73 1.33 C=120 0.003020 77-5Y:' Pf 0.34 215 24-8 19.79 PO(11-31/2) 33-10Y:' Pe 203 24-8 20.12 2E(5-71/2),PO(11-31/2) 111-31/. Pv -&•••••Route 17••••• �/ ©M.E.P.CAD,Inc. IJIAutoSPRINKO VR7 v7.1.7 03/20/2009 11:33:13AM Page 7 l Job Number.2-11-10207 Report Description:Light Hazard P_pe Tye, Diameter Flow Velocity HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt PinFittings Eq.Length Summary Upstream Total Length CM 1.7280 Q=8.60 1.18 C=120 0.002401 I 54-E'i Pf 0.16 257 25-6 18.47 ll-3%y�'I'I Pe 260 25-6 18.63 PO(11-3Y2) 65-1111 Pv w•••••Route 18••••• CM 1.7280 Q=8.17 1.12 C=120 0.002186 544 Pf 0.17 251 25-6 18.47 PO(11-3Y2) 22-A Pe 0.00 258 25-6 18.63 PO(11-3Y2) 77-2Y Pv �•••••Route 19••••• CM 1.7280 Qa6.72 0.92 C=120 0.001522 54-F Pf 0.12 227 25-6 18.56 PO(11-3Y2) 22-7 Pe 0.00 247 25-6 18.67 PO(11-3Y2) 77-2Y�Pv v•••••Route 20••••• CM 1.7280 0=5.12 0.70 C-120 0.000920 54- Pf 0.07 225 25-6 18.64 PO(11-3Y2) 22- Pe 0.00 238 25-6 18.71 PO(11-3%) 77-2Y Pv Equivalent Pipe Lengths of Valves and Fittings(C>=120 only) C Value Muitip(ree--_-i / Actual Inside Diameter \4 B7 Value Of C 100 130 140 150 l Schedule 40 Steel Pipe Inside Diameter 1 =Factor 9 MultiP IY in Factor 0.713 1.16 1.33 1.51 Pipe Type Legend, Units Legend Fittings Legend AO Arm-Over Diameter Inch ALV Alarm Valve BL Branch Line Elevation Foot AngV Angle Valve CM Cross Main Flow gpm b Bushing DN Drain Discharge gpm BaIV Ball Valve DR Drop Velocity fps BFP Backflow Preventer DY Dynamic Pressure psi BV Butterfly Valve FM Feed Main Length Foot C Cross Flow Turn 90' FR Feed Riser Friction Loss psi/Foot cplg Coupling MS Miscellaneous HWC Hazen-Williams Constant Cr Cross Run OR Outrigger Pt Total pressure at a point in a pipe CV Check Valve RN Riser Nipple Pn Normal pressure at a point in a pipe DeIV Deluge Valve SP Sprig Pf Pressure loss due to friction between points DPV Dry Pipe Valve ST Stand Pipe Pe Pressure due to elevation difference between indicated points E 90'Elbow UG Underground Pv Velocity pressure at a point in a pipe EE 45'Elbow Eel 111W Elbow Eel 22%'Elbow f Flow Device I'd Flex Drop FDC Fire Department Connection fE 90•FireLock(TM)Elbow fEE 45•FireLock(TM)Elbow fig Flange FN Floating Node fT FireLock(TM)Tee g Gauge GloV Globe Valve GV Gate Valve Ho Hose Hose Hose HV Hose Valve Hyd Hydrant LtE Long Turn Elbow mecT Mechanical Tee Noz Nozzle P1 Pump In P2 Pump Out PIV Post Indicating Valve PO Pipe Outlet PRV Pressure Reducing Valve PrV Pressure Relief Valve red Reducer/Adapter S Supply sCV Swing Check Valve Spr Sprinkler St Strainer T Tee Flow Turn 90• Tr Tee Run U Union WirF Wirsbo WMV Water Meter Valve Z Cap �j 0 M.E.P.CAD,Inc. jjjAutoSPRINK®VR7 v7.1.7 03/20/2009 11:33:13AM Page 8 �� I Hydraulic Graph Job Number..2-11-10207 Report Description:Light Hazard Supply at Node 1 100 - 80 - - 70 — 60 tic Pressure 55.00 IA a 50 - N N a 251.43 @ 44.72 s i 351.43 with hose streams 40 - ystem demand curve 30 - 20 10 — 0 �150 300 450 600 750 900 1050 1200 1350 1500 Water Flow,gpm Hye„uuc caon Supply at Node 1 sd�,v,eww 55.00 F..ku.l:W...— 1500.00 @ 20.00 52.61 @ 351.43 Sy'bm D—M 251.43 @ 44.72 Sy._N—M(Irclueiip H..ANow ' 351.43 @ 44.72 ©M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/20/2009 11:33:19AM Page 9 i S g� t Hydraulic Summary Job Number.2-11-10207 Report Description:Ordinary Group I k6 NumNr Dazlgn Enpnwr 2-11-10207 Craig Miller Job N.— CASCADE VALLEY HOSPITAL FIRESWI 140B1 Aaaress 1 ANJ 330 SOUTH STILLAGUAMISH AVE CITY OF ARLINGTON Aaarew 2 Joe ske city sdM Zlp Cotla D W.gN.— ARLINGTON WA 98223 2-11-10207_Revision02_(Second Floor-Expansion).c I Remote Area s Mast--no SpMkte,D.d Occupenry Job Sa 5.6 K-Factor 19.80 at 12.50 Ordinary Group I Now Asarvw A,6.uro wnspy Aka of Appliotbn 250.00 0.15gpm/ft2 1500.0oft2(Actual 1019.39ft2) A4d*..l N.e./upows Number C Spankbre C,k t" Cov.rap.P.,Spwkk, Node_ Flow(gpm) 12 132.00ft2 AW.Peak R—ft Pressure For Remod Nea(s)Aaj—To M-Remote Mea ,044,Le- '�° d 4C T-1 Now Streams 250.00 S,—F—wmena Todl Water ReQulred(Ilrclutlin3 Now Albwanu) 239.34 489.34 Maximum Pressure Unbalance In Leaps `, 0.00 yYY Mealmum Ve.4 Above GreunO �� 7.50 between nodes 229 and 3011 Maakrum vebciry Unaer Gmuna 1.39 between nodes 1 and 4 volume c'n*of m,Pipes MINIIM w�alyaOrylyo 1287.01 gal I Supplies Hose Flow Static Residual @ Flow Available @ Total Demand Required Safety Margin Node m t st m (psi) pm) j (ps') 1 260.00 55.00 20.00 1500.00 50.59 489.34 40.79 9.80 t I . �:untractur � Cenb.aor Number Cond0.Nam. Condo Tk 2-11-10207 C.MILLER PE Ne,f�aCOMseMf: PMrN Eed Mbn FIRE SYSTEMS WEST 253-833-1248 Aaaww 1 FAX 219 Frontage Road North,Suite B A.—2 E-11 CMy SdWAh Zip Coae WbbSke Pack 98047 0 M.E.P.CAD,Inc. tfl,i AutoSPRINK®VR7 v7.1.7 03/20/2009 11:41:12AM Page 1 if Ail I Summary Of Outflowing Devices Job Number.2-11-10207 Report Description:Ordinary Group I Actual Flow Minimum Flow K-Factor Pressure Device (apml lapml (KI (psi) Sprinkler 3010 19.94 19.80 5.6 12.68 Sprinkler 3008 19.87 19.80 5.6 12.59 Sprinkler 3009 19.97 19.80 5.6 12.71 Sprinkler 3007 19.90 19.80 5.6 12.63 I& Sorinkler 3002 19.80 19.80 6.6 12.60 Sprinkler 3005 19.92 19.80 5.6 12.65 Sprinkler 3012 20.09 19.80 5.6 12.86 Sprinkler 3001 19.80 19.80 5.6 1 12.50 Sprinkler 3004 19.93 19.80 5.6 12.66 Sprinkler 3006 20.00 19.80 5.6 12.76 Sprinkler 3003 1 19.91 19.80 5.6 12.64 Sprinkler 3011 20.21 19.80 5.6 13.02 eP Most Demanding Sprinkler Data 0 M.E.P.CAD,Inc AutoSPRINK®VR7 v7 17 03/20/2009 11:41:18AM Page 2 +� 1 1 I Node Analysis Job Number.2-11-10207 Report Description:Ordinary Group I Node Elevation(Foot) Fittings Pressure(psi) Dischar e m 213 24-8 PO18-8 15.97 215 24-8 PO11-3'/z 15.95 217 24-8 PO11-3Yz 15.93 219 24-8 PO11-3'/z 15.91 220 24-8 PO11-3Yz 15.88 226 24-8 PO11-3Yz 15.81 - - -- 228 24-8 PO11-3Yz 15.73 233 24-8 PO11-3Yz 15.67 263 23-9'/z E(3-0) 0.00 249 25-0 PQ 11-3Yz 15.28 265 26-6'/z Z 0.00 264 23-9%: PO 8-0 0.00 262 23-9'/ Z 0.00 8 3-0 PO 20-0 30.00 10 8-6Yz E 13-11 26.92 238 25-6 PO11-3Yz 14.52 247 25-6 PO11-3Yz 14.40 256 25-6 PO11-3Yz 14.36 258 25-6 PO 11-3Yz 14.36 260 25-6 PO18-8 14.43 261 25-6 PO 11-3Yz.CO 1-3Yz 14.47 6 3-0 BFP(-3.38) 33.58 234 25-6 PO 5-0 13.63 246 25-6 PO 5-0 13.40 255 25-6 PO(5-0) 13.54 232 25-6 PO 5-0 13.58 244 25-6 PO 5-0 13.31 254 25-6 PO(5-0) 13=47 230 25-6 PO(5-0) 13.59 241 25-6 PO(5-0) 13.31 252 25-6 PO 5-0 13.48 4 0-6 34.85 250 25-6 PO(5-0) 13.59 242 25-6 PQ 5-0 13.47 229 25-6 PQ 5-0 13.87 201 24-8 PQ 11-3Yz 16.47 203 24-8 PQ 8-0 16.28 204 24-8 PQ 8-0 16.15 205 24-8 PQ 6-0 16.09 207 24-8 PO 8-0 16.02 210 24-8 PQ 8-0 15.90 211 24-8 PQ 8-0 15.81 212 24-8 PO(8-0) 15.72 216 25-0 PO11-3Y 15.40 _ 200 24-8 LtE 8-4Yz 17.19 _ 225 25-6 PO11-3Yz 14.97 227 25-6 PO11-3Y: 14.93 231 25-6 PO 11-3Yz 14.90 251 25-6 PO 6-0 14.89 257 25-6 PO11-3Yz 14.89 259 25-6 PO 11-3Yz C 11-3Yz 14.89 236 26-9 PO10-0 14.36 237 26-9 PO10-0 14.36 235 26-9 PO 10-0 14.36 243 26-9 PO 10-0 14.36 224 13-1 T 6-0 0.00 222 12-1Yx PO 8-0 0.00 214 12-2 PO 8-0 0.00 218 12-2 PO 8-0 0.00 221 12-1'/z PO 8-0 0.00 248 26-9 PO10-0 14.36 3010 25-0 S r-12.68 12.68 19.91 [El 0 M.E.P.CAD,Inc. AutoSPRINKO VR7 v7.1.7 03/20/2009 11:41:22AM Page 3 Node Analysis Job Number.2-11-10207 Report Description:Ordinary Group I Node Elevation(Foot) Fittings Pressure si Dischar e m 3008 25-0 S -12.59 12.59 19.8 3009 25-0 S -12.71 12.71 19.9 3007 25-0 S -12.63 12.63 19.9 3002 25-0 S -12.50 12.50 19.8 3005 25-0 S -12.65 12.65 19.9 3012 24-0 S r-12.86 12.86 20.0 3001 25-0 S r-12.50 12.50 19.8 3004 25-0 S -12.66 12.66 19.9 3006 25-0 S -12.76 12.76 20.0 3003 25-0 S r-12.64 12.64 1 19.91 3011 25-0 S r(-13.02) 13.02 20.21 l 0 M.E.P.CAD,Inc. AutoSPRINKO VR7 v7.1.7 03/20/2009 11:41:22AM Page 4 I I '4 I N I .Hydraulic Analysis Job Number.2-11-10207 Report Description:Ordinary Group I Pipe Tvpe Diameter Flow Velocitv HWC Friction Loss Length l Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length (Summary Upstream Total Length v•••••Route l••••• DR 1.0490 Q=19.80 7.35 C=120 0,127734 _ 1-9 Pf 1.02 3002 25-0 q=19.80 K=5.6 12.50 Spr(-12.50) 7-0 Pe -0.21 244 25-6 13.31 E(2-0),PO(5-0) 8- Pv CM 1.7280 0=2.02 0.28 C=120 0.000164 10-0 Pf 000 244 25-6 13.31 Pe 241 25-6 13.31 10- Pv CM 1.7280 Q=21.82 2.99 C=120 0.013449 11-11 I/Q Pf 0.16 241 25-6 13,31 Pe 242 25-6 13.47 11-11Y Pv CM 1.7280 Q=41.73 5.71 C=120 0.044637 9- Pf 1.43 242 25-6 13.47 22-T Pe -0.00 231 25-6 14.90 2E(5-7%),PO(11-3'/z) 32-1I Pv CM 4.3100 0=115.57 2.54 C=120 0.003428 6-1 Pf 0.02 231 25-6 14.90 Pe 0.00 227 25-6 14.93 6-f Pv CM 4.3100 Q=162.25 3.57 C=120 0.006421 7- Pf 0.05 227 25-6 14.93 !Pe 0.00 225 25-6 14.97 7-6,Pv CM 4.3100 Q=176.16 3.87 C=120 0.007476 11-10/ Pf 0.21 225 25-6 14.97 16-8Y Pe 0.22 216 25-0 15.40 2LtE 8-4/2 28-11Pv CM 4,3100 Q=182.27 4.01 C=120 0 007963 10-9 Pf 0.17 216 25-0 15.40 11-2 Pe 0.15 212 24-8 15.72 2EE(5-7) I 21-9/Pv CM 4.3100 0=185.79 4.09 C=120 0.008250 10- Pf 0.09 212 24-8 15.72 I Pe 211 24-8 15.81 10-5 Pv CM 4.3100 Q=190.48 4.19 C=120 0.008640 10-6 Pf 0.09 211 24-8 15.81 Pe 210 24-8 15.90 10-&Pv CM 4.3100 0=194.88 429 C=120 0.009012 13-0 Pf 0.12 210 24-8 15.90 Pe 207 24-8 16.02 13-0 Pv CM 4.3100 Q=200.45 4.41 C=120 0.009494 7-2 Pf 0 07 207 24-8 16.02 Pe 205 24-8 16.09 7-2 Pv CM 4.3100 0=207.76 4.57 C=120 0.010145 64 Pf 0.07 205 24-8 16.09 IPe 204 24-8 16.15 6-6 Pv CM 4.3100 Q=216,05 4.75 C=120 0.010906 I 11-1Pf 0.13 204 24-8 16.15 Pe 203 24-8 16.28 11-q Pv CM 4.3100 Q=225.68 4.96 C=120 0.011822 16-Q Pf 0.19 203 24-8 16.28 °Pe 201 24-8 16.47 16- Pv CM 4.3100 Q=239.34 5.26 C=120 0.013180 10-0(Pf 0.72 201 24-B 16.47 44--/1 Pe 200 24-8 17.19 T(27-10'/2).LtE(2-0),UE(8-4'/0 54-71/Pv C_M 4.3100 0=239.34 5 26 C=120 0.013180 85-31/2 Pf 2.76 200 24-8 17.19 123-91/3 Pe 6.98 10 B-6/2 26.92 5E(13-11),2fT(22-3%),2fEE(4-9) 209-11Pv FIR 4.0260 Q=239.34 6.03 C=120 0.018369 5-1'A Pf 0.68 10 8-6/2 26.92 32-d Pe 2.40 8 3-0 30.00 f(-0.00),f,BV(12-0).PO(20-0) I 37-1/4 Pv FM 6.3570 Q=239.34 2.42 C=120 0.001986 24-10,Pf 3.57 8 3-0 30.00 71-8 Pe 6 3-0 33.58 3LtE(11-4),T(37-8/2),BFP(-3.38) I 96-9 Pv FM 5.8430 Q=239,34 2.86 C=150 0.001982 55-6 Pf 0.19 6 3-0 33.58 42-6 Pe 1.08 4 0-6 34.85 8cola(2-6).3LtE.Tr(2-6).2E(10-0) 98-�Pv UG 8.3900 Q=239,34 1.39 C=140 0.000387 154-0 Pf 0.08 4 0-6 34.85 614 Pe 5.85 1 -13-0 40.79 2E(30-6/2).S 215-11 Pv .•.....Route 2..... DR 1.0490 Q719.80 7.35 C=120 0.127749 1- Pf 1.02 3001 25-0 q=19.80 K=5.6 12.50 Spr(-12.50) 7- Pe -0.21 241 25-6 13.31 E(2-0),PO(5-0) 8-(;Pv o•••••Route 3.... DR 1-0490 Q=19.87 7.38 C=120 0.128543 1-q Pf 1.03 3006 25-0 q=19.87 K=5.6 12.59 Spr(-12.59) 7-O!Pe -0.21 246 25-6 13.40 E(2-0),PO(5-0) B-d,Pv, ®M.E.P.CAD,Inc. AutoSPRINKO VR7 v7.1.7 03/20/2009 11:41:28AM Page 5 111 Hydraulic Analysi" Job Number:2-11-10207 Report Description:Ordinary Group I Pipe Type Diameter Flow Velocity HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Length CM 1.7280 Q=37.65 5.15 C=120 0.036895 14-81/'.,Pf 0.96 246 25-6 13.40 11-3/,Pe 256 25-6 14.36 PO(11-3Yz) 26-0 Pv CM 2.7030 Q=43.62 2.44 'C=120 0.005483 8-0 Pf 0.04 256 25-6 14.36 Pe 247 25-6 14.40 8-( Pv CM 2.7030 0=77.09 4.31 C=120 0.015720 74 Pf 0.12 247 25-6 14.40 1 Pe 238 25-6 14.52 74 Pv CM 1.7280 Q=13.91 1.90 C=120 0.005846 54- Pf 0.45 238 25-6 14.52 PO(11-31/z) I 22- Pe -0.00 225 25-6 14.97 PO(11-31/) 77-2Y Pv -a.....Route 4••••- DR 1.0490 Q=19.90 7.39 C=120 0.128959 2- Pf 1.16 3007 25-0 q=19.90 K=5.6 12.63 Spr(-12.63) 7- Pe -0.21 232 25-6 13.58 E(2-0),PO(5-0) 9- Pv CM 1.7280 Q=6.38 0.87 C=120 0.001384 7- Pf 001 232 25-6 13.58 Pe 230 25-6 13.59 7 Pv CM 1.7280 0=26.47 3.62 C=120 0.019223 14- Pf 0.28 230 25-6 13.59 Pe 229 25-6 13.87 14- Pv CM 1.7280 Q=46.68 6.39 C=120 0.054909 7-11 Pf 1.06 229 25-6 13.87 11-3Y Pe -0.00 227 25-6 14.93 PO(11-3'/) 19-2' Pv o•••••Route 5••••• DR 1 0490 Q=19.91 7.39 C=120 0.129088 1-OY Pf 1.04 3003 25-0 q=19.91 K=5.6 12.64 Spr(-12.64) 7-(71 Pe -0.21 242 25-6 13.47 E(2-0),PO(5-0) 8-0'/II Pv -&.....Route 6••••• DR 1 0490 Q=19,92 7.39 C=120 0.129161 ' 1-Cj Pf 1.03 3005 25-0 q=19.92 K=5.6 12.65 Spr(-12.65) 7-C Pe -0,21 254 25-6 13,47 E(2-0),PO(5-0) 8-C�Pv CM 1.7280 O_=5.23 0.72 C=120 0.000956 10-6 Pf 0.01 254 25-6 13.47 I Pe 252 25-6 13.48 10-0 Pv CM 1.7280 Q=25.15 3.44 C=120 0,017495 6-C Pf 0.10 252 25-6 13.48 Pe 250 25-6 13.59 64 Pv CM 1.7280 Q=45.16 6.18 C=120 0.051647 13-11 Pf 1.30 250 25-6 13.59 11-31/., Pe -0.00 251 25-6 14.89 POO1-3Yz) 25-21/.. Pv CM 4.3100 Q=73.84 1.62 C=120 0.001497 I 9-E Pf 0.01 251 25-6 14.89 Pe -0.00 231 25-6 14.90 9-E Pv .�•••••Route 7••••• DR 1.0490 0=19.93 7.40 C=120 0.129245 1- Pf 10 3004 25-0 q=19.93 K=5.6 12.66 Spr(-12,66) 7- Pe -0.21 252 25-6 13.48 E(2-0),PO(5-0) 8- Pv ,-&.....Route 8..... DR 10490 Q=19.94 7.40 C=120 0.129442 24 Pf 1.16 3010 25-0 q=19.94 K=5.6 12.68 Spr(-12,68) 74 Pe -0.21 234 25-6 13.63 E(2-0),PO(5-0) 94 Pv CM 1.7280 Q=33.46 4.58 C=120 0.029666 I 14-8' Pf 0.77 234 25-6 13.63 11-3' Pe 247 25-6 14.40 PO(11-3Yz) 264 Pv •.•..•.•Rotrte6••••• DR 1.0490 0=19.97 7.41 C=120 0.129729 i 1-( Pf 1.04 3009 25-0 q=19.97 K=5.6 12.71 Spr(-12.71) 7-( Pe -0.21 255 25-6 13.54 E(2-0),PO(5-0) 8- Pv CM 1.7280 Q=34.66 4.74 C=120 0.031657 14-8'/ Pf 0.82 255 25-6 13.54 11-31Y Pe 258 25-6 14.36 PO(11-3Yz) 26- Pv C_M 2.7030_ Q=5.97 0.33_ C=120 0.000139 8- Pf 0.00 258 25-6 14.36 Pe 256 25-6 14.36 8- Pv io•••••Route 10••••• DR 1.0490 Q=20.00 7.43 C=120 0.130167 1-0 Pf 1.04 3006 25-0 q=20.00 K=5.6 12.76 Spr(-12.76) 7-0 Pe -0.21 250 25-6 13.59 E(2-0),PO(5-0) 84111 Pv Gib•••••Route 11..... �,®M.E.P.CAD,Inc. AutoSPRINKO VR7 v7.1.7 03/20/2009 11:41:28AM Page 6 I I I Hydraulic Analysis Job Number.2-11-10207 I I Report Description:Ordinary Group I Pipe Type Diameter Flow Velocity HWC Friction Loss-_ Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Upstream Total Lenqth DR 1.0490 Q=20.09 7.46 C=120 0.131161 3-5'/ Pf 1.37 3012 24-0 q=20.09 K=5.6 12.86 Spr(-12.86) 7-0 Pe -0.65 230 25-6 13.59 E(2-0).PO(5-0) 10-5'/ Pv 4W•••••Route12••••• DR 1.0490 0=20.21 7.50 C=120 0.132654 1- Pf 1.06 3011 25-0 q=20.21 K=5.6 13.02 Spr(-13.02) 7- Pe -0.21 229 25-6 13.87 E(2-0),PO(5-0) 8-C Pv sa•••••Route 13••••• cm.... M 1.7280 0=6.11 0,84 0=120 0.001276 75-8,1 Pf 0.13 249 25-0 1528 PO(11-3'/2) 22-i Pe -0.00 216 25-0 15.40 PO(11-31/2) 98-31 Pv v•••••Route 14••••• CM 1.7280 0=13.66 1.87 C=120 0.00516252 76-5'1 Pf 0.50 213 24-8 15.97 -- 11-31/,,Pe 201 24-8 16.47 PO(11-3'/2) 87-5)Pv v•••••Route 15••••• CM 2.7030 Q=48.85 2.73 C=120 0-006761 11-6 Pf 0.08 228 24-8 15.73 Pe 0.00 226 24-8 15.81 11-6 Pv CM 1.7280 0=4.39 0.60 C=120 0000693 85-51/' Pf 0.09 226 24-8 15.81 PO(11-3'/2) 45-: Pe -0.00 210 24-8 15.90 4E(5-7'/2),PO(11-3Y2) 130-i Pv -&.....Route 16••••• CM 2.7030 0=38.88 2.17 C=120 0.004432 7-2 Pf 0.03 220 24-8 15.88 Pe 219 24-8 15.91 7-2 Pv CM 2.7030 Q=31.58 1.77 C=120 0.003016 6-E Pf 0.02 219 24-8 15.91 Pe 217 24-8 15.93 6-E Pv CM 2.7030 Q=23.29 1.30 C=120 0.001717 1 O-E Pf 0.02 217 24-8 15.93 Pe 215 24-8 15.95 1 O-E Pv CM _ 2.7030 Q=13.66 0.76 C=120 0.000640 17-C Pf 0.02 215 24-8 15.95 1 B-E Pe 213 24-8 15.97 PO 18-8 35-7'/Pv 4iie•••••Route 17••••• CM 1.7280 Q=5.57 0.76 C=120 0.001077 84-5'/, Pf 0.14 220 24-8 15.88 PO(11-3'/2) 45-2 Pe 207 24-8 16.02 4E(5-7%),PO(11-3'/2) 129-7 Pv 4op•••••Route 18••••• CM _ _ 4.3100 Q=28._69 0.63 C=120 0.000260 8-0 Pf 0,00 257 25-6 14.89 Pe -0.00 251 25-6 14.89 8-0 Pv, QD•••••Route 19••••• CM 2.7030 Q=13.38 0.75 C=120 0.000616 8-E Pf 0.04 260 25-6 14.43 PO(18-8) 55-11% Pe 261 25-6 14.47 PO(18-8),C(18-8) 64-5'f Pv cm 1.7280 0=13.38 1.63 C=120 0.005440 54-E Pf 0.42 261 25-6 14.47 22= Pe 259 25-6 14.89 PO(11-3'/2).CO1-3'/2) 77-2'/ Pv C_M 4.3100 Q=13,38 0.29 C=120 0.000063 8- Pf 0.00 259 25-6 14.89 Pe 257 25-6 14.89 8- Pv ob•••••Route 20••••• CM 27030 Q=44,46 2.49 C=120 0.005679 12-0 Pf 0.07 226 24-8 15.81 Pe -0.00 220 24-8 15.88 12-6 Py -&....•Route 21..... CM 27030 Q=63.18 3.53 C=120 0.010879 32-6 Pf 0.54 238 25-6 14,52 17-11 Pe 0.22 249 25-0 15.28 2LtE(6-2'/2),EE(4-8) 49-7'/�Pv �•••••Route 22••••• CM 2.7030 Q=28.69 1.60 _ C=120 0.002525 8-C Pf 0.07 258 25-6 1436 18-f Pe 260 25-6 14.43 PO(18-8) 26 El Pv CM 1.7280 Q=15.31 2.09 C=120 0.006981 1 54-1 Pf 0.46 260 25-6 14,43 11-3Y.' Pe 257 25-6 14.89 POO1-3'/2) 65-111 Pv, 41.....Route 23••••• CM 2.7030 Q=53.55 2.99 C=120 0.008011 7-1 Pf 0.06 233 24-8 15.67 Pe 228 24-8 15.73 7- Pv &©M.E.P.CAD,Inc. AutoSPRINKV VR7 v7.1.7 03/20/2009 11:41:28AM Page 7 Hydraulic Analysis Job Number.2-11-10207 Report Description:Ordinary Group I Pine Tvoe Diameter Flow Velocity_ HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pn Fittings Eq.Length Summary Uostream Total Length CM 1.7260 0=4.69 0.64 C=120 0.000784 76-5'/' Pf 0.08 228 24-8 15.73 PO(11-3%) 22= Pe 211 24-8 15.81 PO(11-3'/a) 99-01/'Pv �•••••Route 24••••• CM 1.7280 Q=3.52 0.48 C=120 0.000461 79-SY Pf 0.05 233 24-8 15.67 PO(11-3'/z) 31-0Y Pe 212 24-8 15.72 E(5-7'/2),LtE(2-10),PO(11-3'/2) 110 Pv Q&•••••l2oute25••••• CM 1.7280 0-8.29 1.13 C=120 0.002246 76-5' Pf 0.22 217 24-5 15.93 PO(11-3%) 22- Pe 204 24-8 16.15 PO(11-3%) 99-0' Pv ea-• •Roub28••••• CM 1.7280 0=7.31 1.00 C=120 0.001777 76-5% Pf 0.18 219 - 24-8 15.91 PO(11-3'/2) 22- Pe 205 24-8 16.09 P0('I 1-3%) 99 oY Pv 60•••••Route 27••••• CM 1.7260 Q--9.63 1.32 C-120 0.002962 _ 77T 0.33 215 24-8 15.95 PO(11-3'/2) 33-203 24-8 16.28 2E(5.7'/2).PO(11-3'/2) 111 c-0•••••Route 28••••• CM 1.7280 Q314-69 2.01 C-120 0.000470 10.1Pf 0.06 254 25-6 13.47 Pe 255 25-6 13.54 10- Pv GO•••••Route 29••••• CM 1.7280 Qz17.78 2.43 C=120 0.009210 10- Pf 0.09 244 25-6 13.31 Pe 246 25-6 13.40 10 Pv v•••••Route 30••••• CM 1.7280 0=13.62 1.85 C=120_ 0.005548 10-6 Pf 0.06 232 25-6 13.58 IPe 234 25-6 13.63 10-0 Pv 4iip•••••Route 3l••••• CM 2.7030 Q=57.07 3.19 C=120 0009013 15-11 Pf 0.25 249 25-0 15.28 12-51 Pe 0.14 233 24-8 15.67 2L1E(6-2%2) 27-4 Pv Equivalent Pipe Lengths of Valves and Fittings(C=120 only) k C Value Multiplier / Actual Inside Diameter \4 87 Value Of C 100 130 140 150 l Schedule 40 Steel Pipe Inside Diameter l =Factor Multiplying Factor 0.713 1.16 1.33 1.51 �j 0 M.E.P.CAD,Inc. no AutoSPRINK®VR7 v7.1.7 03/20/2009 11:41:28AM Page 8 ;, :. I I J Hydraulic Analysis IN Job Number:2-11-10207 cription:Ordinary Group I Pipe-TyPe Diameter Flow Velocity HWC Friction Loss Length Pressure Downstream Elevation Discharge K-Factor Pt Pin Fittings Eq.Length Summary Upstream Total Length Pipe Type Legend Units Legend Fittings Legend AO Arm-Over Diameter !ch ALV Alarm Valve BL Branch Line Elevation Foot AngV Angle Valve CM Cross Main Flow gpm b Bushing DN Drain Discharge gpm BaIV Ball Valve DR Drop Velocity fps BFP Backflow Preventer DY Dynamic Pressure psi BV Butterfly Valve FM Feed Main Length Foot C Cross Flow Turn 90° FIR Feed Riser Friction Loss psi/Foot cplg Coupling MS Miscellaneous HWC Hazen-Williams Constant Cr Cross Run OR Outrigger Pt Total pressure at a point in a pipe CV Check Valve RN Riser Nipple Pn Normal pressure at a point in a pipe DeIV Deluge Valve SP Sprig DPV Dry Pipe Valve Pf Pressure loss due to friction between points ST Stand Pipe Pe Pressure due to elevation difference between indicated points E 90'Elbow UG Underground Pv Velocity pressure at a point in a pipe EE 45'Elbow Eel 111Y.Elbow Eel 221/�Elbow f Flow Device fd Flex Drop FDC Fire Department Connection fE 90"FireLock(TM)Elbow fEE 45°FireLock(TM)Elbow fig Flange FN Floating Node fT FireLock(TM)Tee g Gauge GloV Globe Valve GV Gate Valve Ho Hose Hose Hose HV Hose Valve Hyd Hydrant LtE Long Turn Elbow mecT Mechanical Tee Noz Nozzle P1 Pump In P2 Pump Out PIV Post Indicating Valve PO Pipe Oullet PRV Pressure Reducing Valve PrV Pressure Relief Valve red Reducer/Adapter S Supply sCV Swing Check Valve Spr Sprinkler St Strainer T Tee Flow Turn 90' Tr Tee Run U Union WirF Wirsbo WMV Water Meter Valve Z Cap [�y®M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1.7 03/20/2009 11:41:28AM Page 9 � .� _ r I I I Hydraulic Graph Job Number.2-11-10207 Report Description Ordinary Group I Supply at Node 1 100 - so - 80 70 60 - Static Pressure 55.00 N d 7 50 to N N a 239.34 @ 40 79 40 — t - 489 34 with hose streams 30 ystem demand curve - 20 10 - 0 0150 300 450 600 750 900 1050 1200 1350 1500 Water Flow,gpm Hydnulk Graph Supply at Node 1 Sl.lk:N.... 55.00 Neeiduel:Preesula 1500.00 @ 20.00 A-Wbk Pr —Q Time of T-1 50.59 @ 489.34 239.34 @ 40.79 Sy.l.m N—(l.1W1W Hoc.Alkwance) 489.34 @ 40.79 &®M.E.P.CAD,Inc. AutoSPRINK®VR7 v7.1 7 03/20/2009 11:41:33AM Page 10 i I I March 30, 2009 TO: Scott Black Department of Community Development City of Arlington Arlington, WA FR: Jim Tracy Code Consultant Tracy III Enterprizes Woodinville, WA RE: Cascade Valley Hospital 330 S. Stillaguamish Ave. Arlington, WA BLD20090064 PLAN REVIEW AUTOMATIC SPRINKLER SYSTEM We have reviewed the plans and calculations submitted by Fire Systems West of Pacific, WA. The plan is approved subject to field inspections and tests. For inspections and tests, contact Jim Tracy at 206-940-9622. Permit Review Det ails Permit.- BLD20090064 P-Cross Co 03/27/2 lation gtararan 20 The drawings submitted for r COm late? Y Pipe it is not allowed from the review Shows the incornrng pipe to be stainless steel.Black steel Y 1026-P-Utilities Fees Point of connection to the in corning side of the ee.Bl c steel 03/27/2009 rshepard Total Time: 20 5 no comment Complete? 1028 -P-water Y 03/2612009 eanderson Total Time: 5 20 I have no 1032 Comments for the inform Provided.ation Complete? Y -P-Utilities 1 Y Total Time: 20 2000 Complete? N C-Building I 03/30/2009 sblack 30 Total Time: 0 2008- Complete? Y C-Community Develo Y pment I Total Time: 30 3004-X-Fire Complete? N 03/25/2009 tcooper Total Time: 0 5 Per review of Jun Tracy Complete? Y 4000 - O-Fire Consultant Y 0313012009 sblack Total Time: 5 0 The plan is approved subject to field ins Complete? Y Factions and tests. Y Total Time: 0 Total Reviews: 8 Total Time: 80 3/31/2009 9:54:48 AM Page 1 of 1 j r • , •a BLD20090064 (bfecht/PT-LI1 - PermitTrax by Bitco Software Page 1 of 1 BLD - Building Permit Ver: 2009B Priority: Normal - #BLD20090064 owner: CASCADE VALLEY HOSPITAL#3 - PUBLIC status: JAPPLIED ;1 address: 1330 S STILLAGUAMISH AVE, ARLINGTON , post date: 3/25/2009 data screens; I Select Screen... functions.- Select Permit Function... Fire Sprinkler- Reviews Add Review Remove Review Print Close Review ID Description Assigned To Due Date (#) Req? Done? ASSIGN 1026 P-Utilities Fees RSHEPARD 4/8/2009 0 Y N ASSIGN 1032 P-Utilities I LTAYLOR 4/8/2009 0 Y N ASSIGN 2000 C-Building I CYOUNG 4/8/2009 0 Y N ASSIGN 2008 C-Community Development I BFECHT 4/8/2009 0 Y N ASSIGN 3004 X-Fire TCOOPER 4/8/2009 0 Y N ASSIGN 4000 0-Fire Consultant JTRACEY 4/8/2009 0 Y N ASSIGN 4004 0-Marysville Marysville PW 4/8/2009 0 Y N ASSIGN http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=... 3/25/2009 Print Form FIRE SPRINKLER PERMIT APPLICATION ai Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5) SETS OF HYDRALIC CALCULATIONS, FIVE(5) SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE SPRINKLER PERMIT APPLICATION. INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO INCLUDE SPECIFICATION SHEETS, WIRING DIAGRAMS(POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON ALL EQUIPMENT TO BE INSTALLED PRIOR TO INSTALLATION. Type of Permit: 0 New Fire Sprinkler 0) Fire Sprinkler Add/Alt [ 1 Underground Fire Line 330 SOUTH STILLAGUAMISH AVE 31051100102900 Project Address: - Parcel ID#: Project Valuation: 280,000 Number of Heads: 421 Building Area (Scl Ft): 56,000 Owner: CASCADE VALLEY HOSPITAL Phone Number: 360-435-2133 Address: 330 STILLAGUAMISH AVE City: ARLINGTON State: WA Zip Code: 98223 Contact Person: CONNIE DISREGORIO Phone Number: 360-435-2133 Cell Phone: 425--268-2300 Fax: 360-435-0513 E-mail: connied@cascadevalley.org Address: 330 STILLAGUAMISH AVE City: ARLINGTON State: WA Zip Code: 98223 Contractor: FIRE SYSTEMS WEST INC. Phone Number: 253-833-1248 Address: 206 FRONTAGE ROAD N. #B City: State: Zip Code:PACIFIC WA 98047 - Contractor's License Number: FIRESWI 140131� Expiration: 10-12-09 A 1 Cr's Celt I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance wi the laws, rules and regulation of the State of Washington. �� 3-23-09 Applica Signat re Date CRA G A MILLER Print Applicants Name 4 2099 COO PERMIT CENTER FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms- '31 Page 1 of 1 04/08 sb Print Form ' FIRE SPRINKLER "? PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5) SETS OF HYDRALIC CALCULATIONS, FIVE(5) SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE SPRINKLER PERMIT APPLICATION. INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO INCLUDE SPECIFICATION SHEETS, WIRING DIAGRAMS (POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON ALL EQUIPMENT TO BE INSTALLED PRIOR TO INSTALLATION. Type of Permit: IQ New Fire Sprinkler 0) Fire Sprinkler Add/Alt Underground Fire Line Project Address: 330 SOUTH STILLAGUAMISH AVE Parcel ID#. 31051100102900 Project Valuation: 280,000 JNumber of Heads: 421 Building Area (Sq Ft): 56,000 Owner: CASCADE VALLEY HOSPITAL Phone Number: 360-435-2133 Address: 330 STILLAGUAMISH AVE city. ARLINGTON State: WA Zip code: 98223 Contact Person:CONNIE DISREGORIO Phone Number: 360-435-2133 Cell Phone: 425--268-2300 Fax: 360-435-0513 E-mail: connied@cascadevalley.org Address. 330 STILLAGUAMISH AVE city. ARLINGTON State: WA Zip Code: 98223 Contractor: FIRE SYSTEMS WEST INC. Phone Number: 253-833-1248 Address: 206 FRONTAGE ROAD N. #B City: PACIFIC State: WA Zip Code: 98047 Contractor's License Number: FIRESWI 140B1 Expiration. 1 0-12-09 Celt I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. 3-23-09 Applicarj Signat re Date CRAG A MILLER Print Applicants Name RECEIVED MAR 2 4 2009 COA pEWT CENM FOR STAFF USE ONLY Aba bq b4 Permit# Accepted By Amount Received Receipt# Date Received WEB Forms- ';1 Page 1 of 1 04/08 sb �� . . • �� 5 I _I ' f -INSPECTION, REPORT ii r Permit No.: .F-W2o09'0a 1 Lot #: Address:Zen s s�-rtc.r aApi sk .��w-Contractor: oq s vs Owner:e_-4s .�.o y a cf ccry Date: ❑ APPROVAL , f PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. s✓�r�� �,o.,vc /14AK�- S een c.i,dG C.sr J_ Z.rto Ftoac r.� 2- a p a ! S Inspector: ' %` Date: TYPE OF INSPECTI TV REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: "-INSPECTION REPORT Permit No.: 2-ce9c06Y Lot#: Address: 334) 4„t Contractor: Air Gyes f- Owner: Ca V roe Le, V,?/" aos"oi A/ Date: S'-/-0 9 ❑ APPROVAL LKOARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. (. ci/v r - c S / S�/s�e..z., fa✓ /�..al Gi�• Cn vP✓ c,.t fir r�' �f ea✓ o n Inspector:-- .< 7 Date: — _a YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 06/18/2009 09:40 2062911a00 SIMPLEXGRINNELL _ PAGE 02/02 06/18/:C00 09:23 3504t _ COA PERMIT 00-17' PAGE OL) 04 CITY OF A"RLINGTON Z 3S N,OLYMPIC:AYE,.M1 INC3TON,WA,98223 PRONE:(360)403.3421 C� 1R r F' �,itr;� �,: �:� .', '•,1 r ��' r� � ��,'•,. 1, r ..Ir G�„", i(�� .d�1�J„ .I„r..w .n,...tS..o.]„ .,...., �•,,«51.��--�i�kC'fA�n'A.:�....A}Z� Parcat NO;31051100102900 MOM VALLEY IIOSPITAL OS CASCADE VALLEY HOSPITAL 03 SIMPLgX CRMNELL 330.5 971MAGUAMISH 330 S STIL LA0TJAMISI-i 9520 I OTH AVS 9 4160 ARLINGTON,WA H223• AkLINQ70N,WA 4827.,J• gRArr.Q3,WA 981o8- Phona;060)435.2133 Lxt. Phnnb;(,160)433-213313St, LICENSE#:SIMPL1,094180 EXI' I V1010 0n aii' mall: Mcli; Ex : Lick Ex rm AT,A m VALUATION. $0 P1rRMiT TvPB:Commercial PRI MIT CRQT l`;I'ira AIAM NUMBER OF STD7it S:0 TYPE OF CONMUCl'ION: N MBER OF DWE-11ING 1.TPll'I'6:0 OCCUPANT oRptipi CODE:2006 OCCUPANT LOAD: 13ASEMPNT:0 t STFLOOR•0 2NC mooit:0 RASEMENT:0 IST FLOOR-0 2Nb 3RD FLOOR:0 GAtL OS:0 DECK;0 OTI•IPR•0 3R0 F 0 GARAGE:0 DECK O QTpItzR;q Rp C>TRI? O 0313D UIILL�Dc PROPOSED- RL� UIRED: PROPOSED; HEIGHT AI.T,OWI30:0 PROPOSER 0 Rl UIIZED: PR i' D; 9F'I'iSACK NOTt?.4 t MGM COMPLY A7174 CITY AND STATP.LAWS REGULAMNO CONSTRUCTION AND IN DOING Tim WORK AUTHORI7.ED THERBUY.NO PERSON WILL SE EMPLOY',ED IN VIOLATION OF THIS I,AISOR CO17TS OF THE STATE OF W ASIIINGTON KI$l AM0 TO 1YORKMEN'S C OMMNSATION INSUPANCE AND iMW 19:27, THIS APPLICATION IS NOT A PLRA TM SIGNED BY TIC DL'ILDING OMCIAL OR HI5tx13R DE Pt" ,VD ALL FEES AR6 PAID. AL gnature Pohl Name Del eleaaep ay Ua r A TTLNUON IT rS UNLAWFUL TO USE OR OCCUPY A MUILDINO Olt 0TRUCTURP,UNTIL A FINAL INSIWTION WAS BEEN MADS AND APMOVAL(IRA OFIMPICA46 OF OCCUPANCY MAS rir 14G RANT'ED,1,113C1091IBC1101IRCI10. ARCHIVE APPLICANT = ASSIMMOR OTtMR I CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20090127 BUILDING Project Address: 330 S STILLAGUAMISH AVE, ARLINGTON Parcel No: 31051100102900 PROPERTY OWNER APPLICANT CONTRACTOR CASCADE VALLEY HOSPITAL#3 CASCADE VALLEY HOSPITAL#3 SIMPLEX GRINNELL 330 S STILLAGUAMISH 330 S STILLAGUAMISH 9520 1 OTH AVE S#100 ARLINGTON,WA 98223- ARLINGTON,WA 98223- SEATTLE,WA 98108- Phone:(360)435-2133 Ext. Phone:(360)435-2133 Ext LICENSE#:SIMPLL*981SG EXP:1/11/2010 Email: Email: PLUMBING CONTRACTOR MECHANICAL CONTRACTOR Lie#: Ex : Lie#: JOB DESCRIPTION FIRE ALARM VALUATION: $0 PERMIT TYPE:Commercial PERMIT GROUP:Fire Alarm NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:O OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONT : • CK SIDE SETBACK REARSETBACK RE UIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED: SETBACK NOTES: PLRMITAPPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. "I I i IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Q e Kl-A-Ac0'c cQ Signature Prim Name Date eleased By Da ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC110/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER I :�., BLD20090127 CONDITIONS • None PERMIT FEES Date Description Fee Amount Paid Balance Due 6/12/2009 C-Consultant(Fire/Sprinkler) $346.80 $0.00 $346.80 6/12/2009 C-Building Plan Review Fee $1,693.41 $0.00 $1,693.41 Total Due: $2,040.21 $0.00 $2,040.21 INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL F011 INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None S%mpleXGr%nnell BE SAFE. SimplexGrinnell LP 9520 10th Avenue South, Suite 100 ATyco International Company Seattle,WA 98108 LETTER OF TRANSMITTAL# SG 0001 Phone: 206-291-1400 Fax: 206-291-1500 DATE 6/8/2009 Contractor's License:SIMPLL'988BG Electrical License: SIMPLL'981SG TO: City of Arlington Dept of Community Development SG PROJECT#: 942631301 238 N Olympic Ave Arlington WA 98223 PROJECT: I Cascade Valley Hospital &Clinics TI WE ARE SENDING YOU: Shop Drawings J Letter ±jApplication for: 1 Fire Alarm Permit/# Product Data Sheets/Cut Sheets Submittals ;— f r ISprinkler Permit/# J Change Order Request f—IO&M Manuals F JCheck Other: FedEx return label THESE ARE TRANSMITTED: For Approval Approved as Submitted J Resubmit copies for approval For Your Use Approved as Noted Submit copies for distribution As Requested Returned for Corrections Return corrected prints For Review and Comment Return upon approval: Permit&Approved Drawings 1! DATE QNTY NUMBER DESCRIPTION 6/8/2009 4 sets Drawings for Fire Alarms stem for above job 6/8/2009 4 sets Data sheets/submittal for above job 6/8/2009 1 application Fire alarm permit application a_ label Return FedEx label for return of stam ed/a pp roved drawings and fire alarm permit for above job SHIPPED VIA: i FEDEX(STANDARD OVERNIGHT) COURIER UPS(GROUND) r OTHER REMARKS: Questions regarding work for the particular job, please contact: name: Joe Hughes hone: 206-291-1423 email: joshughes@simplexgrinnell.com Questions pertaining to permitsubmittal or issuance, please contact: name: Janet Stebbins hone: 206-291-1468 email: jastebbins@simplexgrinnell.com Please give me a call when payment is due either at submittal or issuance and I can provide a VISA number. Thankyou-Janet file jaktetste66Cws COPY TO RECEIVED' 0- TRANSMITTED BY: If enclosures are not as 9?IV,kirlly. ptifv us at once COA PERMIT CENTER � oF � S%mpleXGr%nnell BE SAFE. SimplexGrinnell LP 9520 10th Avenue South, Suite 100 ATyco International Company Seattle,WA 98108 LETTER OF TRANSMITTAL# SG 0001 Phone: 206-291-1400 Fax: 206-291-1500 DATE: 6/8/2009 Contractor's License: SIMPLL"988BG Electrical License: SIMPLL"981SG TO: City of Arlin ton Dept of Community Development SG PROJECT#: F 942631301 238 N Olympic Ave Arlington WA 98223 PROJECT: I Cascade Valley Hospital &Clinics TI WE ARE SENDING YOU: i Shop Drawings Letter ± Application for: Fire Alarm Permit/# Product Data Sheets/Cut Sheets Submittals h Sprinkler Permit/# i, Change Order Request 1O&M Manuals LICheck Other: FedEx return label THESE ARE TRANSMITTED: For Approval Approved as Submitted I] Resubmit copies for approval For Your Use J Approved as Noted I , Submit copies for distribution As Requested Returned for Corrections Return corrected prints For Review and Comment I� (+� Return upon approval:Permit&Approved Drawings DATE QNTY NUMBER DESCRIPTION 6/8/2009 sets Drawings for Fire Alarms stem for above job 6/8/2009 sets Data sheets/submittal for above job \ , 6/8/2009 application Fire alarm permit application w \ label Return FedEx label for return of stamped/approved drawinN and fire alarm permit for above job SHIPPED VIA: FEDEX(STANDARD OVERNIGHT) ' COURIER UPS (GROUND) OTHER REMARKS: Questions regarding work for the particular job, please contact: name Joe Hughes hone: 206-291-1423 email joshughes@simplexgrinnell.com Questions pertaining to permit submittal or issuance, please contact: name: Janet Stebbins phone: 206-291-1468 email: jastebbins@simplexgrinnell.com Please give me a call when payment is due either at submittal or issuance and I can provide a VISA number. Thankyou-Janet RECEIVED file JUN 9 Z! )awet�ste66zws moo-�yl-z �08 COPY TO TRANSMITTED BY: If enclosures are not as note>GGIA1PERMPF i - r June 10, 2009 TO: Scott Black Department of Community Development City of Arlington Arlington, WA FR: Jim Tracy Code Consultant Tracy III Enterprizes Woodinville, WA RE: Cascade Valley Hospital 330 S. Stillaguamish Ave. Arlington, WA BLD20090127 PLAN REVIEW FIRE ALARM SYSTEM We have reviewed the plans and specifications of the Fire Alarm System submitted by Simplex-Grinnell of Seattle, WA. The plan is approved subject to field inspection and the following: 1. Replace the exterior bell shown on the plan with a weather proof horn/strobe. 2. Provide horn/strobes in rooms 234 &237 on the 2°a floor of the tower. 3. Horn/strobes are shown on the plans in all the restrooms in the buildings. Review this option with the building owner as strobes only would be satisfactory. 4. The two story atrium section of the building shows smoke detectors in all the bays between the beams. Review the beam design with the owner as NFPA 72, 2007 edition;Section 5.7.3.2.4.2 may provide some other options for detector spacing. 5. All Fire Alarm System wiring shall be inspected and approved by a State of Washington Electrical Inspector prior to acceptance test. For inspections and tests, contact Jim Tracy at 206-940-9622 I �� I� 1 I 1 BLD20090127 (BFECHT/PT-LJVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT #: BLD20090127 OWNER: CASCADE VALLEY HOSPITAL#3- P... STATUS:APPLIED fy- ADDRESS: 330 S STILLAGUAMISH AVE,ARLI... BALANCE: $0.00 ISSUED: POSTED: 6/9/2009 SCREENS:I Select Screen... FUNCTIONS: Select Permit Function... FIRE ALARM Reviews Add Review Remove Review Print Close 71 Review I _ Description Assigned To Due Date (#} Req? Done? ASSIGN 2000 C-Building I CYOUNG 6/23/2009 0 Y N ASSIGN 2008 C-Community Development I BFECHT 6/23/2009 0 Y N ASSIGN 3004 X-Fire TCOOPER 6/23/2009 0 Y N ASSIGN 4000 0-Fire Consultant JTRACEY 6/23/2009 1 Y N ASSIGN _I http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=R... 6/9/2009 i.: f 1 Tag Reader—Installation Manual k...i User Guide ' Due to a nature of RF communication,it is hard to predict communication range between a Tag and a Tag Reader.This is heavily dependent on surrounding ambient,architecture,even people and equipment movement.However, in order to install the system,the assumption ofcertain communication range has to be made.To achieve complete RF coverage of atypical office style area(including typical healthcare facility),good starting point is to position Tag Readers in a grid pattern with 25-foot centers.During system testing this assumption may need some adjusting(accomplished by moving Tag Readers in either direction) but in majority of cases, it is proven to be a good general rule of thumb. Locations in which Tag Reader is shielded by metal tiles or walls should be avoided,or density ofrag Readers should be increased. Wiring Tag Reader requires 3 types of wiring to be fully functional: - Power Supply: o 12VDC power supply which is capable of delivering 03A of continuous current.AWG- 18 or heavier wire should be used(depending on wire length - Networking: o Ethernet CAT-5 cable with RJ-45 should be used for communication between a Tag Reader and the Server. - Peripheral: o This is applicable To Tag Reader DC only.It includes wiring for Door Switch Input, Bypass Input and Relay Output.Door Switch and Bypass Inputs can use AWG20 or heavier wire,but Relay Output should use AWG-18 or heavier wire. All Tag Reader's wiring connections are accessible without opening the enclosure. Configuration Tag Reader configuration is accomplished via 3-position DIP switch located inside the enclosure. The functionality of these switches is as fbllows: - Switch 1: Communication to Host disabled. o "0" 4 Communication enabled o "1" 4 Communication disabled - Switch 2:Mode of alarm operation o "0" 4 Continuous Alarm(Tag Reader will continue alarming after the Tag has left Signpost field until the alarm is acknowledged by Bypass) o "1"4Non-Continuous Alarm(Tag Reader will stop alarming when the tag leaves the Signpost field) - Switch 3:Alarm Buzzer enabled o "0" 4 Alarm Buzzer disabled o "1" 4 Alarm Buzzer enabled RECEIVED Guard RFID Solutions Inc. Page 3 of 7 0 EC 0 / 1WU „ � � '� jt' +, � i, 3fl, Tag Reader—Installation Manual User Guide ' Switch configuration change can be done whie the unit is powered up. Tag Reader Receiver should always have Switch 3 in position"0"(Alarm Buzzer disabled). User Guide Functionality The functionality of Tag Reader Receiver is just tom receive messages from Tags and pass them to the Server. The functionality of Tag Reader Door Controller is more complex as it includes interaction between Tag, Signpost and peripheral door controlling hardware. Tag Reader Database The Tag Reader has a local database that enables it to function without any interactbn with the Host Server. This database has default set of rules for different Tag types which are used if no rule is stored for a particular Tag.Tag Rules for individual Tags are downloaded from the Host Server whenever the tag is assigned to a person or asset. Tag Rules specify what action should be taken bythe Tag Reader upon detection of a particular Tag and in what time period(e.g. activate alarm if the tag is detected between 2:OOPM and 2:30PM) Tag Reader database is volatile and it has to be downloaded every time after reset. Alarm and Pre-Alarm When the Tag is detected in a Signpost field and Tag Rules database specifies that it should generate alarm condition,the door state defines is it Alarm or Pre-Alarm condition. If the door is closed,the Tag Reader will lock the door and signal Pre-Alarm(short"chirping").When the Tag moves out of the Signpost field,Pre-Alarm is stopped and the tag Reader reverts back to Idle mode of operation(note that Switch 2 has no impact on Pre-Alarm). While in Pre-Alarm,the Tag Reader can be bypassed by activating Bypass Input(shorting it)or by sending a command from the Host Server. If the door is open,the Tag Reader will not activate the maglock,but it will signal Alarm condition by beeping long beeps.Switch 2 defines what happens when the tag moves out of the Signpost field;the tag Reader either reverts back to Idle mode(Switch 2="1"),or the Tag Reader remains in Alarm Mode until Bypass is started(Switch 2="I"). Bypass Bypass can be started by either shorting Bypass Input and Com terminals or by receiving the command from the Host Server. In either case,the Bypass is indicated by 3 short"chirps"every 1 second. While in Bypass,the Tag Reader will not enter Alarm or Pre-Alarm state,but rather it will remain in Bypass state. If the Tag Reader is already in Alarm or Pre-Alarm state, it while exit this states and go into Bypass state. RECEIVED Guard RFID Solutions Inc. Page 4 of 7 DEC 0 ! 10Ut � �Y. � � .; , T t� `U0� U �3fa Tag Reader—Installation Manual .d User Guide ` Anti gil;gybackin feature All new Tags entering the field 10 seconds after the Bypass has been started will generate the Alarm or Pre-Alarm. The Bypass state will last until either all the Tags leave the field or until the door is opened and closed.If the Bypass is terminated by opening and closing the door,the Tag Reader will ignore Tagsthat were already in the field for 5 seconds(this is Post-Bypass state), after which time it will revert to Idle state and be able to detect all the Tags again.Note that while in Post-Bypass state the Tag Reader will enter Alarm or Pre-Alarm state for all the new Tags entering the field. Audio-Visual Indication There are 4 LEDs and the buzzer which provide information aboutTag Reader state: - NET LED is red and is blinking while there is no communication established with the Host Server. The LED goes solid when Tag Reader establishes communication with the Host. - RF LED is red and flashes briefly whenever a massage from a Tag is received. - HCI LED is yellow and flashes briefly whenever a message has been sent to the Host Server - PMI LED is not used. Tag Reader buzzer is used for indication purposes and annunciation of Alarm,Pre-Alarm and Bypass states. System Verification Guard RFID systems are designed to assist staff in providing a high degree of safety forpeople and assets and therefore should only be used as a component of a c(mprehensive security program of policies, procedures,and processes.As with every security system,Guard RFID highly recommends regular system operational checks to verify functional integrity. RECEIVED Guard RFID Solutions Inc. Page 5 of 7 DEC 0 7 2007 'A ir Tag Reader—Installation Manual _..d User Guide SPECIFICATIONS Physical Specifications • Operating Temperature........................... 32 degree F to 131 degree F Humidity ........................................... 0%-90%non-condensing Size (WxHxD) .................................... 3.3"x 1.5"x 5.3" Weight .............................................. 0.3 lb.(180g) Electrical Specifications: Power Requirement ............................... 0.25 A @ 12VDC+/-5% RF Frequency ...................................... 125KHz RECEIVED Guard RFID Solutions Inc. Page 6 of 7 DEC 0 7 �, '� d41:a '� - •r 1i �1 Tag Reader—Installation Manua._.id User Guide FCC Regulations This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference,and (2) This device must accept any interference received,including interference that may cause undesired operation. This equipment has been tested and found to comply with the limits for Class B Digital Device,pusuant to Part 15 of the FCC Rules.These limits are designed to provide reasonable protection against harmful interference in a residential installation.This equipment generates and can radiate radio frequency energy and,if not installed and used in accordance with the instructions,may cause harmful interference to radio communications.However,there is no guarantee that interference will not occur in a particular installation.If this equipment does cause harmful interference to radio or television reception,which can be determined by turning the equipment off and on,the user is encouraged to try to correct the interference by one or more of the following measures. •Reorient or relocate the receiving antenna •Increase the separation between the equipment and Receiver •Connect the equipment into an outlet on a circuit different fran that to which the Receiver is connected •Consult the dealer or an experienced radio/TV technician for help Modifications Any changes or modifications not expressly approved byGuard RFID for compliance could void the user's authority to operate the equipment. RECEIVED DEC n 7 2nm Guard RFID Solutions Inc. Page 7 of 7 t ' f h guard Signpost Installation Manual and User Guide Document Number: 07-00001-000 RECEIVED IT, flan Signpost—Installation Manual and LJser Guide Introduction Signpost is a device that is designed to operate in conjunction with Tag and Tag Reader.Basic Signpost functionality is shown in diagram below: 125 kHz 434 MHz Signpost Tag Tag Reader The Signpost generates modulated RF signal at 125 kHz frequency,which is detected by the Tag.Upon detection of Signpost signal,the Tag transmits its own signal on 434 MHz frequency to one or more Tag Readers.Tag Readers process information and based on internal database,they activate outputs while simultaneously passing information to the Server computer which is running application software. Ethernet Network _ r6 �6 <===> a I Installation Position Signpost should be installed in such a way that provides complete coverage of the area in which a Tag has to be detected,but minimizing coverage in adjacent areas to prevent Tag detection where it is undesirable (e.g. Tag detection at exit door is desirable,but Tag detection in adjacent patient's rooms is not). Frequently used locations for Signpost installation include:Plenum above the door,side of the door(surface mount or inside the wall),surface mount above the door, etc. If feasible,the most desirable location for Signpost installation is on a side of the door(4-6 feet above the floor, depending on the door size),because the field size can be minimized and does not extend to the floor above. RECEIVED Guard RFID Solutions Inc. Page 2 of 6 DEL7 iv 1 1 Signpost—Installation Manual ano Jser Guide Wiring Signpost operates as a standalone device from system interaction point of view. It does not require any wiring for data communication,which is accomplished wirelessly. The Signpost requires 12VDC power supply which is capable of delivering I of continuous current. Power should be supplied via AWG-16 two-conductor,multi-stranded cable. The top of the enclosure has to be opened by removing 4 screws. The power cable enters the enclosure through the hole on the side and is fed through the hole on the PCB for strain relief,and attached to'F"and "—"terminal blocks. Top of the enclosure is replaced and enclosure is attached to the wall through brackets on the side. Configuration Manual settings that need to be configured during installation are: - RF field size - Signpost ID Both settings should be configured before final attachment of the enclosure to the wall ismade. RF Field Size The size of RF field determines the distance at which the Signpost can detect the Tag.This field is spherical,extending in all directions around Signpost and care should exercised in order not to set the field too big or too small as they both have their disadvantages. If the field is set larger than it has to be,there is a possibility of detecting a Tag which is not in position to exit through the door.If the field is set too small,a Tag may not be detected reliably when it is gong through the door. RF Field size is set by rotary switch SW7 which is positioned on the Printed Circuit Board(lower right corner), inside the enclosure. Signpost ID Each Signpost within a system must have a unique ID number. This is 3-digit hexadecimal number(0-9,A- F),where the last digit is configurable via rotary switchSW6 which is positioned inside the enclosure (lower right corner of PCB). Default Signpost ID number is printed on the enclosure label and only in unlikely event if there are two Signposts within a system with the same ID number,the rotary switch has to be used. In most of the case, there is no need to adjust this switch. User Guide Functionality The Signpost operates as a standalone device which requires only power and appropriat manual settings to perform its function(RF field size and ID). The Signpost continuously generates RF signal which has embedded its own ID number.When the Tag gets within communication range of the Signpost(which is determined by RF field size),thetag detects the field RECEIVED Guard RFID Solutions Inc. Page 3 of 6 DEC ' .2007 i i l T 1 2 y a-A Signpost—Installation Manual ana User Guide ' and sends the signal to the Tag Reader which includes Tag ID number and Signpost ID number.Based on this,the system can determine where the Tag is and what action should be taken. Audio-Visual Indication There are 3 LEDs and the buzzer which provide information about Signpost functionality: - Power LED is green and is continuously on when device is powered from main power supply. - Field LED is red and indicates when LF field is on. - Network LED is yellow and is not in use for this version of Signpost. - The buzzer indicates when power is applied System Verification Guard RFID systems are designed to assist staff in providing a high degree of safety forpeople and assets and therefore should only be used as a component of a comprehensivesecurity program of policies, procedures,and processes.As with every security system,Guard RFID highly recommends regular system operational checks to verify functional integrity. RECEIVED Guard RFID Solutions Inc. Page 4 of 6 DEC Signpost—Installation Manual and User Guide ' SPECIFICATIONS Physical Specifications Operating Temperature........................... 32 degree F to 131 degree F Humidity ........................................... 0%-90%non-condensing For UL certified installation,the installation environment must be within: 0 to 49 degree C,and maximum humidity of 85%noncondensing. Size (WxHxD) .................................... 9.11"x 8.36"x 2.17" Weight .............................................. 1.1 lb.(500g) Electrical Specifications: Power Requirement ............................... 1.2 A @ 12VDC+/-5% LF Field Frequency ............................... 125KHz RE.LL' l Guard RFID Solutions Inc. Page 5 of 6 4 ' rl 336 Signpost—Installation Manual and User Guide " FCC Regulations This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) This device must accept any interference received, including interference that may cause undesired operation. This equipment has been tested and found to comply with the limits for Class B Digital Device,pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation.This equipment generates and can radiate radio fraluency energy and,if not installed and used in accordance with the instructions,may cause harmful interference to radio communications.However,there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on,the user is encouraged to try to correct the interference by one or more of the following measures. •Reorient or relocate the receiving antenna •Increase the separation between the equipment and Receiver •Connect the equipment into an outlet on a circuit different from that to which the Receiver is connected •Consult the dealer or an experienced radio/TV technician for help Modifications Any changes or modifications not expressly approved byGuard RFID for compliance could void the user's authority to operate the equipment. ,A RECEIVED nEC R 7 ?007 Guard RFID Solutions Inc. Page 6 of 6 "� . io'. 1 i1' � a 1-�1 -1 r guard Tag Reader Installation Manual and User Guide Document Number: 07-00002-000 RECEIVED DEC 0 7 2007 kJ a IN Tag Reader—Installation Manual....d User Guide Introduction Tag Reader is a device that is designed to operate in conjunction with a Tag and a Signpost.Basic Tag Reader functionality is shown in diagram below: 125 kHz 434 MHz E—=) J 0 Signpost Tag Tag Reader The Signpost generates modulated RF signal at 125 kHz frequency,which is detected by the Tag.Upon detection of Signpost signal,the Tag transmits its own signal on 434 MHz frequency to one or more Tag Readers.Tag Readers process information and based on internal database,they activate outputs while simultaneously passing information to the Server computer which is running application software. Ethernet Network _ 0 There are two types of tag Readers: Tag Reader Door Controller and Tag Reader Receiver. Tag Reader Receiver is used when only to collect all the messages from the Tags and pass them toi the Server.Tag Reader Door Controller has the same functionality,but additionally, it is used for perimeter protection by controlling the door it is assigned to. Installation Position The main function of a Tag Reader is to receive RF communication fromTags. It is important to select carefully mounting location of the Tag Reader which will not interfere with a capability of the device to receive RF messages from the Tags. This is accomplished by avoiding mounting in the proximity of metal objects,cables,electrical devices,etc. RECEIVED DEC 0 7 7m7 Guard RFID Solutions Inc. Page 2 of 7 W; ' yn #1 Locknetics MagForceTM 390DEL Delayed Egress Locking System MagForcW The Intelligent Force Solution LED Provides Visual Monitoring r ' Terminals for Keypad or iButton Reader j• On Board Programmable iButton Reader Relock Delay The 390DEL Series Delayed Egress Locking System is a self utilizes an on board iButton Reader to provide reset and contained unit,designed to meet NFPA 101 Life Safety Code and legal release. Two iButton fobs are shipped with each lock, BOCA,while providing ongoing access controlled security.This Up to seven iButton keys may be programmed without easy to install,cost effective solution provides the highest access a programmer, Up to 150 users may be programmed with security and safety. a keypad. Each lock includes an on board The 390DEL delayed egress is triggered by an internal "plunger microprocessor that accepts all Locknetics iButton readers, switch," to initiate a 15 or 30 second delay and audible alarm keypads, or any other access control system which can provide before unlocking and can be triggered by external contacts such a dry-contact closure, as an electrified exit bar or a Request to Exit device.The 390DEL Benefits of Using MagForceTm 390DEL • Automatic Voltage Selection • On board Control Circuitry for iButton readers or keypads • Low Voltage Alert • On board Tri-Color LED • Fire Alarm Terminals • On board Audible Alarm • Legal Release Input • Programmable Relock Delay • Reset Input • Programmable Nuisance Delay • Internal Plunger Switch • Selectable Nuisance Delay Alert • Auxiliary Input(For Delayed Egress Activation) • Selectable Delayed Egress Time •Alarm Contacts • Selectable Unlock Alarm • On board iButton Reader •Anti-tamper Switch CSFM C �L us 1500lbs. Holding Force ((�� (MADE IN USA �RAMgerso!!Rand Questions? Call:866-322-1237 • FAX:866-322-1233 • Visit us on the Internet at www.ingersollrand.c.RE"E I V E D G15 soav+try TcchnW.y— Ingersoll Rand Security Technologies • 575 Birch Street • Forestville,CT 06010 � � n : �} .� �1�41 '�� • r , ; LEE Locknetics MagForceTM 390DEL Delayed Egress Locking System The Intelligent Force Solution How To Order MagForceTM 390DEL 390DEL — HDB90 — 612 — KP74+ + EXCIP Select Model Select Options Select Finish Select Accessories Select Computer Programming Accessories 1 . Select Model 4. Select Accessories (continued) 390DEL Single Lock iButton Readers and Accessories 390DEL-2 Double Unit—Separate Housing TR80 Cast stainless steel includes 80CAB interface cable 390DEL-DSM/MBS/SEC TR81 Cast stainless steel includes 80CAB interface cable 390DEL-2/DSM2/MBS2/SEC2 TR83* All-purpose—black Lexan housing, 390DEL-DSM/MBS/SEC/ATS/BOCA Available in special finishes 390DEL-2/DSM2/MBS2/SEC2/ATS/BOCA TR84* All-purpose—black Lexan housing, Available in special finishes IBA iButton with adhesive back 2. Select Options IBF iButton with keyfob HDB90 HDB92 Herculite Door Bracket *100 CAB interface cable required for use with keypads, TR83 and TR84 3. Select Finish 628 US28 Satin Aluminum,Anodized (standard) 5. Select Computer 628E US28 Satin Aluminum w/Black Programming Accessories 335 US19 Satin Black,Anodized EXCIP Computer Interface Pack 612B US10 Satin Bronze Includes Windows based LockLink, Express 612SF US10 Satin Bronze-SF software, PC Cable and interface module 672B US26 Bright Chrome IRPDA Computer Programming Kit with serial and USB 672SF US26 Bright Chrome-SF cable.Cradle includes PDA installed with Uplink 666B US3 Bright Brass software,cable and interface module 666SF US3 Bright Brass-SF 100CAB Interface Cable for keypads,TR83 and TR84 613SF US1 OB Dark Satin Bronze AUXCABI 1 ft.Auxiliary Cable for use with 100CAB AUXCAB16 16 ft.Auxiliary Cable for use with 100CAB Armature housing finish standard Lexan black B suffix—Satin black anodized 335/US19 housing with Specifications: choice of select special finish for slide plates only 390DEL SF suffix—Special finish for all metal surfaces Holding Force:1500 lbs. Input Voltage: 12/24 VACNDC 4. Select Accessories Current Draw: .8Q12VDC Keypads and Accessories .5Q24VDC KP74+* Narrow,stainless steel,high traffic Height: 23/4" 390DEL-2 KP76+* Narrow, black Lexan housing,all-purpose Length: 1 O'b" Holding Force:1500 lbs. KP78+* Narrow, black Lexan housing,all-purpose, Width: 2/z per door leaf Available in special finishes Weight: 12.5 lbs Input Voltage: 12/24 VACNDC KP79+* Single gang box mount, black Lexan, Current Draw: .8@1 2VDC all-purpose,Available in special finishes .5Q24VDC Height: 23/4" Length: 21" Width: 2'/2" Weight: 25 lbs G16 Questions? Call:866-322-1237 • FAX:866-322-1233 • Visit us on the Internet at www.ingersollrand.com IZrrS�l�Ra�rl! E 0 Ingersoll Rand Security Technologies • 575 Birch Street • Forestville,CT 06010 snuriry Rtt"U400M. DEC 0 7 2007 ( � � ;� _ w.a . _ .,. CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 • ` PHONE:(360)403-3421 Permit#: BLD20090040 BUILDING PERMIT Project Address: 330 S STILLAGUAMISH AVE, ARLINGTON Parcel No: 31051100102900 ,PROPERTY OWNER APPLICANT CONTRACTOR CASCADE VALLEY HOSPITAL DISTRICT#3 CASCADE VALLEY HOSPITAL DISTRICT DIAMOND B CONSTRUCTORS 330 S STILLAGUAMISH #3 3436 AIRPORT DR ARLINGTON,WA 98223 330 S STILLAGUAMISH BELLINGHAM,WA 98226 ARLINGTON,WA 98223 Phone:360 435-2133 Phone:360 435-2133 LICENSE#: EXP: Email: Email: PLUMBINGi ® ' MECHANICAL CONTRAC7011 DIAMOND B CONSTRUCTORS DIAMOND B CONSTRUCTORS 3436 AIRPORT DR 3436 AIRPORT DR BELLINGHAM,WA 98226 BELLINGHAM,WA 98226 Lick Lic#:DIAMOBC066KA Ex :5/14/2009 JOB DESCRIPTION PLUMBING for New Addition Related permit number BLD20080080 VALUATION: $0 PERMIT TYPE:Commercial PERMIT GROUP:Plumbing NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONT SETBACK SIDE SETBACK REAR SETBACK RE UIRED: PROPOSED: RE UIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED: SETBACK NOTES: PERMITAPPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Signature Print Name Date Releas d By e ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC1.10/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER r .. ,� I I BLD20090040 CONDITIONS • None Date Description Fee:kmount Paid Balance Due 3/10/2009 C-Plumbing Permit Fee $1,335.00 $0.00 $1,335.00 Total Due: $1,335.00 $0.00 $1,335.00 INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None ;; I I I ,MAR-05-2009 THU 02:57 PM Di- nd B Constr FAX N0, 3RA)733 2849 P. 07/08 COMMERCIAL PLUMBING I* PERMIT APPLICATION Department of Community Development City of Arlington •238 N Olympic Ave.•Arlington,WA 98223•Phone (360)403 3551 •FAX(360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION DRAWINGS,AND THREE (3)SETS OF FIXTURE SPECIFICATIONS(CUT SHEETS).CALCULA77ONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. �C.baoo�'6o�D . Type of Permit: C:)Commercial Commercial Addition/Alteration Project Address: �U S-I� \�`4``�`;v' � �`�`� Parcel ID#: D S 11 AU i�'Zti pb Lot#: - Subdivision: Project Description:['��ctTn�- (}ac�f.� �sn�/�L.j�;�>�� Valuation:'&V � +- Owner:► /��'r-`r jF'}'y;;`- ��� Phone Number: / -- /�Jc�,,-�Z13 Address: �� /.4utsc,,�; sk City: h State: L /L Zip Code: �3 Contact Person, 1 &A,:g36eG- Phone Number 360-- 3600� Cell Phone: ,gyp `)'6/'03-,� Fax: s60--'�3'2 �Z-29IJ5 E-mall: C���S �/�•zt-�,C!Pdb,-N w.:�� Address:? —Akg2tri ��� City: State:1AJA Zip Code: Z�� Please List quantity of fixtures Below: Z S 2 ' WATER CLOSETS BATH TUB SHOWERS �3 LAVATORIES CLOTHES WASHER LAUNDRY TUBS FLOOR DRAINS ?I FLOOR SINKS 54, SINKS 2 URINALS SUMPS DISKWASHEkS 2- WATER HEATERS ROOF DRAINS WATER PIPING DWV ALTER/REPAIR LAWN SPRINKLERS DRINKING FOUNTAINS MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP Contractor._1) �wk �� ��'�.51�.c[�NS Phone Number:'311� 360 Address: 3,Ll 36 �r�ur-F CJri, City. �l V4. State: W`ar Zip Code: 9 Contractor's License Number.>k wa��-n OL c-, 4CA Expiration: I hereby certify that thg-abaV information is correct and that the construction on, and the occupancy and the use of the above- described prope a in rdance with the laws,rules and regulation of the State of Washington. RECEIVED Aj� cants Signature Date MAR 0 5 2009 Print Applicants Name COA PERMIT CENTER FOR STAFF US ONLY --— _ i✓/, A XLE'L/) �4-- CITY OF ARLINGTON Permit Accepted By Arnouni Receiv©d Re 7,` i, - _ AY�Tlagt elves I WEB Forms--112 Page 1 of 1 ' ,a 04/08 sb l ��FFI4�Z§CA�NGES DAl E , - i.3YP AUTI;OR*IZE UNLESS APPROVED BY T BUILDING INSPECTOR - W7 so 1 I - Now • ~ _ _ - - - - I I � ■ 7 I ■ .T - I . his . ■ - � I _ Is ■ L �I ' 1 '_ `r - ; � '■ • ■ ■ ■ ■ T `JT 1 r ■ •■ IN ' ■ sl'17 !u— N " 0 Sol 0, - 0 0 Us ■ I _! — I IN I I I ■ ■ 1 _1_ .• ■ so f I I I 1 1 ■ 1 II ■ ■ ■ r ■ MAR-05-2009 THU 02:57 PM Di nd B Constr FAX N0, 361�733 2849 P. 06/08 COMMERCIAL PLUMBING IP SUBMITTAL CHECKLIST Department of Community Development City of Arlington 238 N Olympic Ave. •Arlington,WA 98223•Phone(360)403 3551 •FAX(360)403 3447 WHEN is a PLUMBING PERMIT IS REQUIRED The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed,altered,or remodeled. Examples include new installation of a dishwasher,water heater,toilet,or irrigation system:This also includes replacement of a bathtub or shower.The replacement of all or part of a water supply or waste system also requires a permit. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT THREE(3)COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: Plumbing plans or drawings. (Minimum plan size is 18"X 24"scale,Y4"scale for details.) Provide one set of plumbing drawings maximum size 11"X 17" i(1 r Size of sanitary and potable water systems. 2 Location,type and specifications(cut sheets)of proposed fixtures and equipment.. 13'Riser diagram of waste and vent,potable water and rain water systems, including sizes. Q ClaMedicai gas piping riser diagram indicating type of gas,bottle storage room and size of piping. L 3 ErLocation and type of all backflow assemblies for each fixture. _o All Requirements for fuel gas piping and combustion air or venting of equipment is required In the 2006 International Mechanical Code. Gas water heaters replacements require a permit In the International Mechanical Code. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. Building Owner or au ' ed Agent: Slgnatufe Print Name:"�irJ 2r`�r���.J.�lr Date: zOnc WEB Forms—137 Page 1 of 1 04/08 sb I I� I+ �1 ,MAR-05-2009 THU 02:57 PM Di7nd B Constr FAX NO. 36A�733 2849 P. 08/08 City of Arlington Utilities Division Cross Connection Survey Business or Project Name&Address: - S �' Name of person fillip out survey lease print): Place a check mark next to all equipment/fixtures listed below that are,or will be,permanently or occasionally connected to water for use at your project/business. oilets ❑ High Pressure washers w/o chemical injection Jainks(kitchen,bathroom,etc.) ❑ High Pressure washers with chemical injection Janitor sink ❑ Chemical Feeder for Cleaners ❑ Shampoo Basin Dye Vats ffKHose Bib(outside faucet) ❑ Industrial Fluid Systems blot tub ❑ Chlorinators C] Swimming pool ❑ Computer Cooling Lines ❑ Spa/Sauna [] Brine Tank: Er Dishwashers ❑ Condensate Tanks Mr Ice maker ❑ Cooling Towers [KLaundry Machines © Etching Tanks Air Conditioner ❑ Fermenting Tanks Beverage(pop)Machine using CO2 [3 Livestock Drinking Tanks Coffee Urn,Espresso Machine,etc. ❑ Make-up Tanks [Water Treatment/Filtration System ❑ Fertilizer Injection CJ Decorative pond/fountain ❑ Intertied(looped)services - Drinking Fountains ❑ Aspirators,weedicide,herbicide,pesticide J Lawn/Landscape Irrigation w/o chemicals ❑ Pesticide Applicator Trucks ❑ Lawn/Landscape Irrigation with chemicals ❑ Pump Prime Lines ❑ Film Processors ❑ RV dump Station ❑ Photo Developing Sinks/Tanks etc. ❑ Sewer Connected Equipment Mobile carpet cleaner ❑ Sewer Flushing ❑ Air Washers E3 Stills ❑ Solar heating system 0 Sumps ❑ Heating Exchangers w/o double wall with leak path ❑ Laboratory Equipment peat Pumps ❑ Bottle washing equipment Heating System using water ❑ Autoclave Heating Boilers,comtnercial ❑ Autopsy Tables 12-'Boiler Feed Lines sterilizers Eae loor Drains ❑ Bed Pan washers ❑/kitchen Equipment ® Bidets Commercial Cooking Kettles [] Dialysis Equipment 12-�Furne Hoods ❑ Hydrotherapy Baths Degreasing Equipment [] Dental Equipment/Cuspidors Q/t"rap Primers ❑ X-Ray Equipment ❑ Used or Gray Water Systems ❑ Private Well on property Steam Generating Equipment ❑ Garbage Can washers The above information is complete and accurate to t'Firc Sprinkler System w/o chemicals the best of my knowledge. I understand that any ❑ Fire Sprinkler System with chemicals changes in equipment connected to the domestic kr'Fire Dept Connection water system must be reported immediately to the ❑ Private Fire Hydrants City of Arlington U ilities Division as a condition of ❑ Aquarium make-up Water continue vice. ❑ Baptismal Fountain [v�Air Compressor j��✓ ❑ Car washing equipment ❑ Radiator Flushing Equipment Signature Date CCS BP pg2 2006 �' I .MAR-05-2009 THU 02:55 PM DiT) nd B 0onstr FAX NO. 3 733 2849 P. 01/08 DIAMOND D c o N S T R U C T 0 R s FACSIMILE TRANSMITTAL 3436 AIRPORT DRIVE,BELLINGHAM,WA 98226 PHONE: 360-734 3600 FAX: 360-733-2849 TO: City of Arlington FAX 360-403-3447 ATTN: Permit Dept. TELEPHONE: 360-403-3551 FROM: Dan Soderberg REFERENCE:Cascade Valley Hospital Expansion Project,permit#BLD200MM DATE: March 5,2009 NUMBER OF PAGES INCLUDING COVER: 8 Please accept my applications for mechanical and plumbing permits for the Cascade Valley Hospital Expansion Project. I have attached a copy of the building permit for reference along with my applications. Please feel free to contact me if there are any questions or if you require more clarification. Thank you, (RECEIVED MAR 0 5 2009 OOP►PERMIT CENTER Dan Soderberg Project Manager MAR-05-2009 THU 02:55 PM Dialond B Constr FAX NO, 3Q-U33 2849 P. 02/08 J ' CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 1 Parcel No:31051100102900 CASCADE VALLEY HOSPITAL CASCADE VALLEY HOSPITAL H0114M,AN CONSTRUCTION CO 330 S STILLAGUAMISH 330 S STILLAGUAMIS1-I 1505 WESTLAKE AVE N STE 500 _ ARLINGTON,WA 98223 ARUNCTTON,WA 98223 Phone:360 435-2133 Phone:360 435-2133 LICENSE N:HOFFMCC164NC EKP:7/IV2008 Emomm Email; 1't0: Ex : Lick: Eac Construction of a now addition to existing Hospital of 42,025 sq.ft. VALUATION: $30,000,000 PERMIT TYPE:Commercial I PERMTT GROUP:Addition NUMBER OF STORIES:2 JIYPE OF CONSTRUCTION:I-B _ NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP:1-2 A-3 CODE:2006 OCCUPANT LOAD; BASEMENT.14370 ISTFLOOR:14370 2NDFLOOR:14370 3AASHMENT:0 1ST FLOOR:22543 2NDPLOOW194112 3RD FLOOR:14370 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE;0 DECK:0 OTHER:0 RE llIR3D; PROPOSED; RE DIKED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOW13D.0 PROPOSED;O R UIRED: PROPOSED: SETBACK NOTES: 7AGREE MPLY WrM CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZEDTHEREBY,NO ILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. N IS NOTA PHRMrr U TnL SIGNED BY TTIE BIJILDWG OFFICIAL OR IUS/HER DEPUTY AND ALL FEES ARE PAID. Igneturo Inl ame Dete ���� Released By Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A au"iNO OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.URC109/IBCI ID/IRCI 10. RECEIVE MAR 0 5 Z009 COA PERMIT CENTEf ARCHIVE APPLICANT 0 ASSESSOR 0 OTHER I :I MAR-05-2009 THU 02:57 PM F--Tond B Constr FAX H0. 3CO-733 2849 P. 07/08 COMMERCIAL PLUMBING PERMIT APPLICATION DeMt wd of Community Development City of Adingtot a 238 N Olympic Ave.•Arlington,WA 98223•Phone (360)403 3651 •FAX(360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION DRAWINGS.AND THREE (a)SETS OF FDaWE SPECVgCATIONS(CUT SHEETS).CALCULATIONS ARE REQUIRM FOR GREASE RVTERCEPTOR IF APPLICABLE. Type aF Permit C3 Comm mial $1 ommewlai Aditon/Alterai'bion Project Address: -10 5. S+:l a 4�u�•:- A k Q �ID* cos 1 t on I o�ti cad Lotprod# 5ubdrvislon: De on: 4; Valuation 4 2 441 445 'or owner. jM= Lti:-+���s Phone Number: Address:_ c7hi !c .c ;city: State: LAA Tip Code: contact Person. __Phone Number. ,� o-?3q"� Cell Phone: —Foe 3 bc. E-111811: Sa 3k(t) w•cr+K Address: (- 14k62 o rj- Dr � any., &(r State: Zip C,oft_ 1 PlsaaeLktquariftoftzWros Below: Z S Zy WATER CLOSITT` K3ATHTUB SHOWERS LAVATORIES cuoTiaswAsHER FLOOR CRAM � FLOOR0940 5_+ SINKS T7 2- URINALS SUMPS DISHWAS WATER HEATERS ROOF DRAKNS WATER PIPING Z MW ALTERIREPAIR LAWN SPRINKLERS DRINKING FOUNTAINS MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP t tor. ,Ael-A IS -- Phone Number.� � �� '3b d a Address:3—`1 3 i, iTvr- � f- PDA!Nke2!5. state: 1•` q Zip Code: Zzh Conharlors Llamas Number:�' o oc o 4CA4 Expiration: 5/t K/2oc?`i I hereby awllfy that the WonRation is con"d and that the consttuat{on on, and the occupancy and the use of the above} described pi in rdanoe with the laws,miles and regulation of the Stalls of VVasNrgpn- r RECEIVED arm S Date MAR 0 5 2609 C4A PERMIT CENTERPrjrtE AMIcards Name FOR STAFF use ONLY Permit rr A00Wad By Amount RatgIved Rocnipt! Date RBOehAd WEB Foam-112 Pape 1 Of 1 04=ab 1 BLD20090040 (bfecht/PT-L `i) - PermitTrax.by Bitco Software Page 1 of 1 BLD - Building Permit Ver: 2009B Priority: Normal - #BLD20090040 owner: CASCADE VALLEY HOSPITAL DISTRICT* status: JAPPLIED ' address: 330 S STILLAGUAMISH AVE, ARLINGTON post date: 3/9/2009 data screens: I Select Screen... functions: Select Permit Function... Plwn l)111g Reviews Add Review Remove Review 11 Print 711 Close Review ID Description Assigned To Due Qate (#) Req? Done? ASSIGN 2000 C-Building I CYOUNG 3/23/2009 0 Y N ASSIGN 2008 C-Community Development I BFECHT 3/23/2009 0 Y N ASSIGN 4A�C http://coaweb2/permittrax/PennitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=R... 3/9/2009 " CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20090099 BUILDING PERMIT Project Address: 330 S STILLAGUAMISH AVE, ARLINGTON Parcel No: 31051100102900 PROPERTY OWNER APPLICANT CONTRACTOR CASCADE VALLEY HOSPITAL#3 CASCADE VALLEY HOSPITAL#3 SANDORSON SAFETY 330 S STILLAGUAMISH 330 S STILLAGUAMISH 2600 AIRPORT WAY S ARLINGTON,WA 98223- ARLINGTON,WA 98223- SEATTLE,WA 98134- Phone:(360)435-2133 Ext Phone:(360)435-2133 Ext. LICENSE#:SANDESS24040 EXP:6/6/2009 Email: Email: PLUMBING CONTRACTOR NIECIIANICAL CONTRACTOR 1,101 F.NP Lic#: Ex I. JOB DESCRIPTION HOOD SUPPRESSION SYSTEM VALUATION$1350.00 VALUATION: $0 PERMIT TYPE:Commercial PERMIT GROUP:Fire Suppression NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTSETBACK SIDE SETBACK REAR SETBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: RE MIRED: PROPOSED: HEIGHT ALLOWED:0 PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: PERMrr APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HEg DEPUTY AND ALL FEES ARE PAID_ Signature Print Name Date Relea d By Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC I10/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER t BLD20090099 CONDITIONS • None Fee Amount Paid Balance Due 6/24/2009 C-Consultant(Fire/Sprinkler) $346.80 $0.00 $346.80 6/29/2009 C-Building Plan Review Fee $198.53 $0.00 $198.53 6/29/2009 Mechanical review fee $4.05 $0.00 $4.05 6/29/2009 C-Mechanical Permit Fee $153.00 $0.00 $153.00 Total Due: $702.38 $0.00 $702.38 INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL F011 INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None BLD20090099 (BFECHT/PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT #: BLD20090099 s OWNER: CASCADE VALLEY HOSPITAL#3-C... STATUS: APPLIED r ADDRESS: 330 S STILLAGUAMISH AVE, ARLI.. BALANCE: $0.00 ISSUED: POSTED: 5/6/2009 SCREENS:I Select Screen... - FUNCTIONS: Select Permit Function... FIRE SUPPRESSION Reviews Add Review Remove Review Print Close 71 Review ID Description Assigned To Due Date ("I Req? Done? ASSIGN 2000 C-Building I CYOUNG 5/20/2009 0 Y N ASSIGN 2008 C-Community Development I BFECHT 5/20/2009 0 Y I N ASSIGN 3004 �X-Fire TCOOPER 5/20/2009 0 �Y I N ASSIGN 4000 0-Fire Consultant JTRACY 5/20/2009 0 Y N I ASSIGN 6 http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=R... 5/6/2009 G �x °�' 814 am'D ,�1,N DUCT' UPS'RESSION 7 o SYSTEM PERMIT" APPLICATION T ION �.N�� Department of Community Development City of Arlington • 23.8 N Olympic Ave. •Arlington, WA 98223 Phone(360) 403 3431 • FAX(360)403 3447 THIS APPLICATION MUST SE ACCOMPANIED BY FOUR(4) SETS OF CONSTRUCTION DRAWINGS AND SPECIFICATIONS. q..1 Project Address:- �c) 5. 5�l.l.�C�unm t 5� f C --_ Parcel ID#: 1 � co C Project Valuation; I �o 'u� 1 Building Area (Sq Ft): Owner: C_A5 c .Phone Number: Address: 3 3 5 S i�t 5'k (fi)��� City; ��7D`3 State: L4W Zip Code; Contact Person: t I 1 t t f�Ls Phone Number: lzol� 340 A?j 0 L Cell Phone: � �'� �Q10`(� Fax: Zoe 'BD 43V , E-mail: Address: 4 0 J o 1 mtDR-T—Loy S City; 5W--L-C State: Zip Code: 13 Contractor: cp' n '0101-5 Phone Number: Address: 2 0� It 'q_,, ,5—City: `�C State: !— Zip Code: ,3 Contractor's License Number: t SS Z ,�� Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pZZ rdance with the laws, rules and regulation of the State of Washington. '�" �c a re Date Print Applicants Name CITY OF ARLINGTON RECEIVED BUILDING DEPARTMENT MAY 0 5 2009 A P P R Oo f COA PERMIT CENTER DATE 0�1 -— � `99 NO AH GEC AUCFi OFFICE � D THUNLESS APPROVED BY BUILDING INSPECTOR FOR STAFF USE ONLY ermit#: Accepted By Amount Received Receipt# Date Received WEB Forms—25 Page 1 of 1 5/05 dwa _\ � �� 4 �� ♦ Community Development Permit Center FACSIMILE TRANSMITTAL SHEET TO: FROM: Dave Carlson Christopher Young COMPANY: DATE: Sanderson Safety 5/14/09 FAX NUMBER: TOTAL NO.OF PAGES,INCLUDING COVER: 206-340-4301 4 PHONE NUMBER: SENDER'S REFERENCE NUMBER: RE: YOUR REFERENCE NUMBER: Cascade Valley Hospital Type I Hood Permit ❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT X PLEASE REPLY ❑ PLEASE RECYCLE NOTES/COMMENTS: Please fill out the information regarding the Type I Hood system and fax it back to 360-403- 3418 for the review. Thanks, CITY OF ARLINGTON COMMUNITY DEVELOPMENT DEPARTMENT PERMIT CENTER PHONE 360.403.3551 FAX 360.403.3418 I �, -- r: COMMERICAL. MECHANICAL SUBMITTAL REQUIREMENTS Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360) 403 3447 WHEN A MECHANICAL PERMIT IS REQUIRED The City of Arlington requires a mechanical permit before mechanical equipment is installed, altered, replaced or remodeled. Examples are installations or alterations of gas piping, replacement of furnaces: installation or replacement of gas fireplaces: installation of gas logs in an existing wood-burning fireplace: and replacement or installation of gas space heaters and gas water heaters. The City of Arlington does not require a permit to replace an existing gas clothes dryer, stovetop ranges, ovens, or gas log if there is no gas piping installed or altered. MECHANICAL PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings. 5. All hoods(Type I and II). 2. Complete HVAC systems and AC units, heat 6. All Commercial gas piping. pumps, rooftop units or exhaust fans. 7. Any penetrations of fire resistive construction 3. Relocation of 10 or more diffusers. 8. All spray booths 4. Addition of fan coil units. SUBMIT TWO (2) COPIES OF THE FOLLOWING FOR MECHANICAL PLAN REVIEW: 1j Mechanical plans or drawings. (Minimum plan size is 18"X 24"scale, W scale for details.) El Reflected ceiling plan showing and identifying ductwork, equipment, piping, supply diffusers, return air grilles and fire dampers. El Roof plan showing equipment, ductwork, vents, roof access and equipment screening. List of equipment and schedule. Engineered structural gravity and/or lateral force calculations for ALL rooftop units. A Commissioning Plan shall be submitted with the following: A detailed explanation of the original design intent Equipment and systems to be tested, including the extent of tests Functions to be tested, i.e. calibration, economizers, etc. Conditions under which test shall be performed, i.e. winter or summer design, full outside air, etc. Measureable criteria for acceptable performance Washington State Non-Residential Energy Code Forms. Washington State Ventilation and indoor Air Quality Code (VIAQ)calculations for outside air. Structural Information: Please note that engineered structural gravity loads calculations are required for all rooftop units. If the unit is 440 lbs. or larger engineered structural lateral force calculations are also required. All Natural Gas Fuel Gas Piping is covered under the 2006 International Fuel Gas Code. Liquefied Petroleum Gas installations are covered by NFPA 54 (2002 National Fuel Gas Code)and NFPA 58(2001 Liquefied Petroleum Gas Code). Gas water heater replacements require a permit in the International Mechanical Code. I hereby certify that I have read and examined this application and know the same to be true and correct. and I am authorized to apply for this permit. Building Owner or authori d Agen .--�� Signature: Print Name: P6, KptL ODate: Web Forms—135 Page 1 of 1 03/09 sb I �I I � � COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Inlet Pressure: t Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s) and Length(s)from meter to all appliances. ❑ Scale or Not to Scale d } ,.,e, 00 jc� uL a f,� T 0 NOTE:any interior pressure regulators must be indicated NOTE:drip legs/sediment traps are required at all appliances unless integrated in the listed oppiience VLzl Po k oou �i :•: I ' ' ' , ` � i . � ■,� - � � � Commercial Type 1 / Type 11 Kitchen Hood Systems Department of Community Development City of Arlington •238 N Olympic Ave. •Arlington,WA 98223 •Phone(360)403 3551 •FAX(360)403 3447 This document shall accompany the Mechanical Permit for all Commercial Type I and Type II Kitchen Hood Systems. Plans,details, and specifications for the hood and grease duct systems must be submitted together. Project Address: V50 S. S-ri ij.A Q view►is H A�(C A. Is the existing use a restaurant, food processing or food service area? [ Yes ❑No B. Is the ductwork/mechanical equipment located on the roof?9Yes ❑No C. Type I Hood(deep fat fryers, grills, broilers, solid fuel appliances) MYes ❑No Type II Hood (steamers,pastry and pizza ovens) ❑Yes ❑No D. Hood Material and Gage (506.3.1.1, 507.4, 507.5) )(a CAA • TYPE I TYPE II Type of material Min.eaee Proposed Minimum eaee Proposed Duct/ Stainless Steel 18g g 26g up to 12" diameter g Plenum Galvanized 16g g 22g up to 30" diameter g c sMLZe N STEEL- llo G �_ 9 Hood Stainless Steel 20g 1(o g 24g Stainless Steel g Galvanized 18g g 22g Galvanized g Flashing Stainless Steel 22g Zo g NOT REQUIRED Galvanized 22g g E. Quantity of air exhausted through the hood (507.12, 507.14) 3500 GFWl CTeop C*'V 1. Type of hood proposed: X Canopy(6"beyond surface) ❑Non-Canopy Cl Fee7_ 2. Distance between hood and surface: _�4ft. max. 3ft. max. 3. Hood: Listed (make/model) r-APT I yC- A IRL- 11 D&D 5/5 12 y 1�I FrL ❑T Tnlisted (check one below) ❑Extra heavy-duty appliances: 550 CFM per Linear feet of hood required Heavy-duty appliances: 400 CFM per Linear feet of hood required C? ❑Medium-duty appliances: 300 CFM per Linear feet of hood required ❑Light-duty appliances: 200 CFM per Linear feet of hood required Page 1 of 3 Revised 9/4/08 I y y:K. I F. Exhaust duct system (506.3.4) Air Velocity • Grease duct systems serving a Type I hood shall be designed and installed to provide an air velocity within the duct system of not less than 500 feet per minute (FPM). Indicate FPM with static pressure drop: //e/(, ii2)'w• - , 7 S • Fan and Motor shall be of sufficient capacity to provide the required air movement. Fan motor shall not be installed within ducts or under hood. G. Exhaust outlet location (506.3.12) Proposed Distance Min. Required Exhaust outlet shall terminate above roof. Type I 670 in. 40 in. Type II in. 24 in. Distance from building or adjacent building. /o ft. 10 ft. Distance above adjoining grade. 10 ft. Distance from property line. /400 t ft. 10 ft. Distance from windows and doors. 50_- ft. 10 ft. Distance from mechanical air intake // ft. 10 ft. Distance of duct above adjoining grade 16 ft. i H. Makeup air (508.1) 1. System shall provide makeup air not less than 90% of the exhaust(CFM) 2. Makeup air system shall be electronically interlocked with the exhaust system. 3. Makeup air shall be provided by mechanical or gravity means of sufficient capacity. 4. If more than 2500 cfm of makeup air is required a heater is required to preheat the makeup air. I. Duct enclosure (566.3.10, 506.3.11) 1. Ducts penetrating a ceiling, wall or floor shall be enclosed in a duct enclosure having a fire rating per IBC 707.4 from the point of penetration to the outside. A duct may only penetrate exterior walls at locations where unprotected openings are permitted by IBC Table 704.8. 2. Duct enclosures shall be separated from the duct by at least 6 inches. 3. Duct enclosures shall be sealed around the duct at the point of penetration and vented to the exterior through a weather protected opening. 4. Duct enclosures shall serve only one kitchen exhaust duct unless approved for multiple hood venting per IMC 506.3.5. 5. Tight-fitting hinged access doors shall be provided at each cleanout. Access enclosure doors shall have a fire-resistance rating equal to the enclosure. An approved sign shall be placed on the access door. Page 2 of 3 ,., I I J. Additional Information 1. Grease filters shall be installed at a 45 degree angle minimum and be equipped with drip trays and gutters. 2. The distance between the lowest edge of the grease filters and cooking surface shall not be less than 2 feet and 3 '/2 feet for charcoal/char broilers. 3. Hoods less than 12 inches from ceilings or walls shall be flashed solidly. 4. All joints and seams shall be made with continuous liquid tight weld or brace made on the external surface of the duct system. Joints shall be smooth and accessible for inspection. 5. The fire suppression system shall be installed and maintained per the IFC. Portable fire extinguishers shall also be provided per the IFC. 6. An automatic shunt trip shall be provided to shut down the makeup air, exhaust system, and the fuel source to the appliances when the suppression system is activated. Page 3 of 3 '` 1 1 I I �' ,: '�. -v J� �100® I` ��' Plenuro z U Fryer-M w/Ilrlp Board w N Wir,�h Fr^nxln 1,y 15.00' L pryrlr-M w/Drlp I3ooru! p� L� hIlorl ProxImIty �-. z , 15.00' L. xF.A.(10' 1.) J - (55 N I GrlddLe - M d High PrioxlrIty se] Iki.00, I. x'4.u0' D I CJ Range-Merl o HIph Prnxlnl ty o c 25 Wes- -v r rn � s —o c� Received Time Apr. 28, 10: 20AM -, '.. I I � - _ �� . . _ ,i _ f �.' I Nola- Fire Systems - Parts List ReporL 7 'I d a W a A I a)a"-ge 1 of 2 AVOZ :0 8 d l P Fire system Parts List Job # 939375-Cascade Valley Hospital-Arlington,WA Location: ARLING'I'ON, WA Fire System # 2 Ansul R102 ANSUL-33.0/1.5 Tag Installed: Fire Cabinet Left Hood #2 (ITEM 80) Hoods Covered: Hood # 2 Gas Valve(s): Mechanical 2.000" supplied by Distributor Supplied by Ship Qty Item CAS # Vendor# Description Price Dist CAS Units Inst Loose 1 0 43-15733 43-15733 AIR CYLINDER ASSEMBLY -Air Cylinder and $103.06 1 0 EACH Tubing for Mechanical Gas Valves(Annul) ----------------------------------------------------------------------------------------------------- 1 1 AT - 1.5 AT- 1.5 TANK(#1A) - 1.5 Gallon SS Tank (for use with 0 1 EACH Automan Release, Actuator, or SS Enclosure(UL)) ----------------------------------------------------------------------------------------------------- 1 1 AT- 3.0 AT- 3.0 TANK(#15) -3.0 Gallon SS Tank (for use wlth 0 1 EACH Automan Release, Actuator, or SS Enclosure (UL)) ----------------------------------------------------------------------------------------------------- 1 3 ANS-OEM ANS-OEM REGULATED RELEASE -Annul Regulated 0 1 EACH Mechanical Release/Bracket Assembly, OEM, R- 102 ----------------------------------------------------------------------------------------------- 1 5 LIQ-3.0 79372 AGENT-Ansulex Low PH Wet Chemical Agent, 3 $194.00 1 0 EACH Gallon (UL)-- -- ------_ 1 6 LIQ-1.5 79694 AGENT-Ansulex Low PH Wet Chemical Agent, $194,00 1 0 EACH 1.5 Gallon (UL) --------------------------------------------------------------------------------------------- - 1 9 101-30 101-30 CARTRIDGE - Carbon Dioxide, 101-$0, Double $120.00 1 0 EACH Tank Cartridge (R-102) - --- --------------------------------- -------------------------- $1.63 - 1----1 EACH O-- 1 10 TLINK TLINK LINK-Test Link Package __EACH---------- --------------------------------------------------------------------- 0 1 11 MICRO-SD MICRO-SD MICROSWITCH -Single Dual Electric Switch -------- ------------------------------------------------------------------------ ----1 EACH---- -- 1 12 HOSE 79007 HOSE - Rubber Hose o ------------- ---- ----------------------------------------------------------- -- ------- 1 13 419337 419337 N077LE-2W Nozzle, Duct -0 1 EACH ----------------------------------------------------------------------------- 1 16 419335 419335 NOZZLE - 1N Nozzle, Plenum/Appliance -------- 0 1 EACH --------------- ---------------- 2 19 419338 419338 NOZZLE -3N Nozzle, Appliance EACH-------E 0 2 A ---- --------------------------------- 1 20 419340 419340 NOZZLE - 245 Nozzle, Appliance ----_ _-__ 0--- '1--EAC - - ----_ --------------------------------------------------------------------- _ 1 24 419341 41934.1 NOZZLE - 260 Nozzle,Appliance --------- 0-r- 1--EACH --------- ------------------------------------�--------------------------------- 1 25 418569 418569 NOZZLE ADAPTOR-Swivel Nozzle Adaptor --_------_ 0-__ 1-_EA-:__-___-_-- CH --------------------------------------------------------------------- 6 26 QSA-3/8 QSA-3/8 QUIK SEAL - 3/81' (UL) 0 6 EACH ---------------------------- --------------------------- -�-------- -------------- O----1--EACH 1 27 QPSA-1/2 QIISA-1/2 PULLEY SEAL- 1/2" Hood Seal (UL) -------------------------------------- ----------------------------------------------- 0 4 EACH 4 28 S-DET S-DET DETECTOR -Series (Scissor Linkage)..---------------_ ---- ------------------------ ------- --------------------------------------- 1 29 ANS-360FL ANS-360FL FUSIBLE LINK- 360deg r, R-102 and PIRANHA --------- 0--- 1---EACH- --------- ----------------------------------------------- 3 30 ANS-500FL ANS-500FL FUSIBLE LINK - 500deg F, R-107 and PIRANHA----------------- 3__EACH -� ---------- ------------------------------------------------------------- -- 1 34 RPS-A RPS-A REMOTE PULL STATION -Aluminum (without wire 0 1 EACH rope) --------------------- OW - Low Temp. Pulley Elbow, Set 0 2 L ACH 2 35 PE-LT PE-LT PULLEY ELE screw Type ------------------------------ ----------------- --------------------------------------------------- 0 1 EACH 1 36 PE-HT PE-HT PULLEY ELBOW - High Temp Pulley Elbow, Compression Type ---------------------------------------- ------------------------------------ ---- 2---41 SN-CHAR SN-CHAR SINGLE NOZZLE EXTENDED DROP ASSY 0 2 EACH Total List Price for Distributor Parts: $612.69 1-lrrn.//anol.Ca-D[ivcuire.com/0-rder/f-'ireSysteM.s/Part&ListReport.aspx?Snh N i reSy stemld=22... 4/14/2009 WVOZ :OI :' add awil paniaOad iu = mtj (- (- I I I I I I I z 0 � -s00. ❑ S� rp 0 trl 0 CY ZY � 0 ]D -'-1 S :K M ;�U " T1 -� b # -p z tj -. IU c�� r0 Z D 70 -U i 7 C N � � co m S� � � � DrU � GI � !� r0 o D Ul Ul C4 t� bl fTl Z m Z n _ � r-v' art� © CD � r3r1 ci� n � N0 © ° ram- m oZ -U � � �i �� � �I o w < mx 70M ci� cV) C/) �� Q o DZ m -DOG -� v X 0 r- tj -u C/) -Tl rrl M r I ul Fri DC F-00 Fri -u 0 - F-I r z z ]>10— X � � m ,ZJ ? Fri N I"*I r Tl Z I- rtd ro O Q 70 = DMZ 0 � � C7\- � - D n D --I M M �7 © tj r-ri �U 0 d m ZI G) m7— � n uFri d l] < N N m O rrl mm 2 Cl ED t� ftoZ 0 8 '1dd awl j pania3a� Z Plenun n A. uu • Steamer � No Proximity kath•q) m A0.0n• i. x36.00' A Duct —_ I<ae ttL,, No PvIO hglTy 1�4'L'InQ 24,00' L x36.00' ll dvoll High 15✓'nxhll'by m 24,00' L. x,36,00' 1) C2 d CIO zz u .- I i• Nola- f ire Systems - Parts List Report Wy O Z O l I a d y a ui I j p a n l a D Page 1 of I Fire System Parts LISt Job #939575-Cascade Valley Hospital-Arlington, WA Location; ARLINGTON, WA Fire Systern # 1 Ansul R102 ANSUL-1.5 Tag: Installed; Fire Cabinet Right Hood #1 (ITEM 48) Hoods Covered: Hood # 1 Gas Valve(s); Mechanical 2.000" Supplied by Distributor Supplied by Ship Qty Item CAS # Vendor# Description Price Dist CAS Units Inst Loose 1 0 43-15733 43-15733 AIR CYLINDER ASSEMBLY -Air Cylinder and $103.06 1 0 EACH Tubing for Mechanical Gas Valves (Ansul) ----------------------------------------------------------------------------------------------------- 1 1 AT- 1.5 AT- 1.5 TANK(#1A) - 1.5 Gallon SS Tank (for use with 0 1 EACH Automan Release, ACL'uator,or SS Enclosure(UL)) --------- ----------------------------------------------------------------------------- 1 3 ANS-OEM ANS-OENI REGULATED RELEASE -Ansul Regulated 0 1 EACH Mechanical Release/Bracket Assembly, OEM, R- 102 ------------------------------------------------------------------------------------------------------ 1 6 LIQ-1.5 79694 AGENT- An5ulex Low PH Wet Chemical Agent, $194.00 1 0 EACH 1.5 Gallon (UL*1------------------------------------------------------------------------------------ -- -. 1 8 101-10 101-10 CARTRIDGE - Carbon Dioxide, 101-10, 1.5 Gallon $64.50 1 0 EACH Cartridge (R-102, PIRANHA) ----------------------------------------------------------------------------------------------------- 1 10 TLINK TLINK LINK-Test Link Package $1.63 1 0 EACH ----------------------------------------------------------------------------------------------------- 1 11 MICRO-SD MICRO-SD MICROSWITCH - Single Dual Electric Switch 0 1 EACH ------------------------------------------------------------------------------------------------------ 1 14 419336 419336 NOZZLE- 1W Nozzle, Duct/Appliance 0 1 EACH ----------------------------------- ----------------------------------------------------------------- 1 16 419335 419335 NOZZLE - 1N Nozzle, Plenum/Appliance 0 1 EACH ----------------------------------------------------------------------------------------------------- 2 26 QSA-3/8 QSA-3/8 QUIK SEAL- 3/8" (UL) ----- 0--- 2 EACH --------------------------------------------------------------------- ---------------- 1 27 QPSA-1/2 QPSA-1/2 PULLEY SEAL- 1/2" Hood Seal (UL) 0 1 EACH -------------------------------------------------------------------------- ---------------- 3 28 S-DET S-DET DE1'ECl'OR -Series (Scissor Linkage) 0 3 EACH ---------------------------------------------------------------------------------------------------- 3 29 ANS-360FL ANS-360FL FUSIBLE LINK - 360deg F, R-102 and PIRANHA 0 3 EACH ------------------------------------------------------------------------------------------------------ 1 34 PPS-A RPS-A REMOTE PULL STATION -Aluminum (without wire 0 1 EACH rope) ------------------------------------------------------------------------------.------- 2- 35 PE-LT - PE-LT PULLEY ELBOW --Low Temp. Pulley Elbow,-Set---:-- 0 EACH Screw Type ------------------------------------------------------------------------------------------------- 1 36 PE-wr PE-HT PULLEY ELBOW - High Temp Pulley Elbow, 0 1 EACH Compression Type Total List Price For Distributor Parts: $363.19 Total Distributor Allowance: $217.91 firtr)://aDDI car)tivCLtirr�.COn1/Ordcr/I'ireSystctng/Parrt-,ListReport.aspx?JobFireSysie111rd=?-2... 4/14/2009 ,• r ' I I� �I M F r •f1 �.f• M 1 � r � NVOZ :OI F dd IWI1 paAI Dad vbd D - O `: 7 O O 0 G� rD O Ln Q ZY ZY 0 D -rl '—' S :K m Z7 Co 7 � �j Q. <-+- z = "-' -u D '—' D D M I— rD :3 ? : '—' N7 (1 _ zXI— r" f''l � � W3 .o o c � < Gl � I- oo-< rD W H G7 �7 � ? -u I D L1 ICON `D � In � C7 �I Gl p N• , rp Q F9 D rU � M � fTl LJ r r Fri 0 D Un cn (/� rJ -� td M TJ 2 o rl � Z o (4 Q mm Lrri td N � 70 CDQ —i F-9 G)` n f T1 N p L� < rrl � fTl n m Z -D Tl 7C �(p Ll Q �J C:D -I I H t-, D -9 Fri D � '< t� -p D (n = D ( Ti = M � � d S = Z z Q � � H � r Dom. z �] D C 70 z - 70 N rD (D W I-,-I Z (n 0 o td C i 0 -u D � D � F9 1770O dd � doN < o n err o � z � m � s •� �� � - I I iy 1 �!I • • 1 "J"1v — SYSTEMDESIGN UL EX.3470 REV.5' 4-1-06ULC CEx747 Page 4-2° Node Application Chart The following chart has been developed to asslst'in calculating the quantity and type of nozzle required to protect each duct,plenum; or appliance. % NOTICE This chart is for general reference only see complete derails for each type of hazard. . Maximum Hazard. Minimum Hazard Nozzle Nozzle Nozzle Tip Dimensions Quantity Nozzle Stamping— Duct or Transition Part No. Length=Unlimited 1 Hai is Row No. (Single Nozzle) Perimeter—50 in.(127 cm) _. 430912 1 W Diameter-16 in.(40:5cm) Duct or Transition . (Single Nozzle Length-,Unlimited'.. - 1 _ Perimeter—100 in.(254 cm) 419337 2W Diameter-31718 in.(81 cm) Duct or Transition (Dual Nozzle Length-Unlimited 2 — Perimeter-150 in.(381 cm) 419337. 2W Electrostatic Precipitator Individual 6e11 (At Base of Duct) 419334 1/2N Plenum Length-1,0 ft(3.1 m) 1 _ (Horizontal Protection) 419335 1N Plenum Length—6 ft.0.8 m) 1 _ (Horizontal Protection) Width—4 ft.(1.2 m) 1 430192 1 W Plenum — 419336 1 W Length—4 ft..(12 m) 1(Vertical Protection) Width-4 ft.(12 m) - 419336 1W Fryer(Split or Maximum Size. Non-Split Vat) (without drip board) 14 in.(36 cm)•x 15 in.(38 cm) 1 13—16 in. Low_ Proximity„ 419342 290 Fryer(Split or (33-41 cm). Maximum Size Non Split Vat) (without drip board)_ 141/2 in.(37 cm)x 14 in.(36 cm) 1 16—27 in.Medium Proximity (41 —69 cm) 419342 290 Fryer(Split or Maximum S'rce Non-Split Vatp (without dnpboard) 15 in.(38 cm)x 14 in.(36 cm) High Proximity 1 27—47 in. Medium Proximity 1 419339 230 Maximum Size Fryer(Non-Split Vat Only) 20—27 in. 419340 245 (without drip board) 191/2 in.(49.5 cm)x 19 in.(48.2 cm) High Proximity 1 21-34 in. 419338 Low Proximity 1 13=16 in. 3N 419342 290 Maximum Size (without drip board) 18 in.(45.7 cm) x 18 in.(45.7 cm) High Proximity 1 25—35 in. 419338 3N (64-89 cm). For multiple,la-&e protection of single fryers,see detaiw mformaWon On Pages 4.12 through 4-14- i I I �1 I, I M R�1�; � - UL EX.3470ECTIULC CEX 47STEtPDESIGNg 4-1-Oo REV 5 Nozzle Application Chart (Continued) Minimum Maximum Hazard Nozzle Nozzle Tip Hazard Dimensions e Stamping— Otianf Nozzle Nozzle Part No. Flow No. Fryer(Non-Split Maximum Size Vat Only)' (with drip board) 21 7n.(53 cm) x 14 in.(36 cm) (Fry Pot must not exceed 15 in.x 14 in. (38 cm x 36 cm)) High Proximity 1 27—47 in. 419339 230 Medium Proximity 1 20—27 in_ 419340 245 Maximum Size (with drip board) 25 3/8 in.(64.4 cm) x 19 1/2 in.(49.5 cm) (Fry pot side must not exceed 19 112 in. (49.5 cm)x 19 in. (48.2 cm) High Proximity 21 —34 in. 419338 1 Low Proximity 3N1 Maximum Size 13-16 in. 419342 290 (with drip board) 18 in.(45.7 cm) x 27 3/4 in.(70.5 cm) High Proximity 1 25—35 in. 419338 3N Fryer(Split or Maximum Size (64-89 cm) Non-Split Vat) (with drip board) 14 in.(36 cm)x 21 in.(53 cm) 1 13—16 in. 419342 Low Proximity 290 (33—41 cm) Fryer(Split or Maximum Size Non-Split Vat) (with drip board) 14 1/2 in.(37 cm) x 26 1!2 in.1,67 cc:) I 16—27 in. 419342 Medium Proximity 290 (41 —69 cm) Range Longest Side 1 30 32 in.(81 cm) —40(76—102 419335 1N Area—384 sq.in. cm} (2477 sq.cm) Longest Side 40—48 in. 419333 28 in.(71 cm) 1 F Area—336 sq.in. (102—122 cm) (2168 sq.cm) (With Backshelo Longest Side(High Proximity) 1 40—50 in. 419340 28 in.(71 cm) 245 (102—127 cm) Area—672 sq.in. (4335 sq.cm) Longest Side (Medium Proximity) 1 30—40 in. 32 in.(81 cm) 19341 260 Area—768 sq.in. (76—102 cm) a (4955 sq.cm) Longest Side (Low Proximity) 2 36 in.(91 cm) 15—20 in. 419342 290 Area—1008 sq.in. (38—51 cm) (6503 sq.cm) Fir miiGpie noale protection of sing,.fryers.Bee detailed information on Pages 4-7 tthrough 4-11. SECTION IV - SYSTEM DESIGN UL EX.3470 ULC CEx747 Page 4-30 REV.3 10-1.02 Nozzle Application Chart (Continued) Minimum Nozzle Tip Hazard Maximum Hazard Nozzle Nozzle Nozzle Dimensions Quanti Hc=l nt, Stamping- —� _ Part N— o___ Flow No. Griddle Longest Side(High Proximity) 1 30-50 in. 419341 48 in.(122 cm) (76-127 cm) 260 Area-1440 sq.in. (perimeter (9290 sq.cm) located) Longest Side.(High Proximity) 1 30-50 in. 419342 30 in.(76 cm) 290 Area-720 sq.in. (76-127 cm) (4645 sq.cm) (center located) Longest Side(High Proximity) •1 35—40 in. 419335/417332 1 N/1 NSS -36 in.(91 cm) (89-102 cm) _ Area 1080 sq.in. (perimeter located (6968 sq.cm) ) Longest Side 1 ?0-30 in (Medium Proximity) 419342 290 48 in.(122 cm) (51 -76 cm) _ Area-1440 sq.in. (perimeter located) (9290 sq.cm) Longest Side(Low Proximity) 1 10-20 in. 48 in.(122 cm) 419343 2120 Area-1440 sq.in. ( -51 cm) (9290 sq.cm) (perimeter rimeter located) Chain Broiler' Longest Side-34 in: 86 cm 2 (Overhead Protection ( ) 10-26 in. 419336/417333 Area-1088 sq.in. (25-66 cm) 1 WA WSS (7019 sq.cm) Chain Broiler Length-43 in.(109 cm) 2 (Horizontal Protection) Width-31 in.(79 cm) 1 -3 in. 419335/417332 1 N/1 NSS (3-8 cm) Gas-Radiant Char-Broiler Longest Side-36 in. cm 91 ( ) 1 (3 -40 in. 419335/417332 Area-864 sq.in. (38-102 cm) 1 N/1 NSS (5574 sq.cm) Electric Char-Broiler Longest Side-34 in. cm 86 ( ) 1 -50 in. 419335/417332__. . - •--._. _ _ .___ .Area-680 S (5q.in.-.. .. _., .. (51 -12'1 cmJ - (4388 sq.cm) Lava-Rock Broiler Longest Side-24 in. 61 cm 1 18-35 in. 419335/417332 1 N/1 NSS Area-312 sq.in. (46-89 cm) (2013 sq.cm) Natural Charcoal Broiler Longest Side-24 in. cm 61 ( ) 1 (4 -40 419335/417332 Area-288 sq.in: (46-102 cm) 1 N/1 NSS (1858 sq.cm) Lava-Rock or Natural Longest Side-30 in. 76 cm 1 Charcoal Char-Broiler (3 ( ) -40 419338 Area-720 sq.in. {36-102 cm) 3N (4645 sq.cm) Mininwm chain broiler exhaust opening—12 in.x 12 in.(31 On x 31 cm),and net less then 66%of internal broiler size. to--- ratt ivu. tyGyVGf , agaiion - ran No.79291)contains the regulated release mechanism, agent tank,expellant gas hose for,agent tank hookup,r +enclosure TA U knockouts to facilitate installing actuation pip expellant -"' g � €_ L E piping:detection system;and additional equipment.This regu ;�E R E " s ° [ Iarted release assembly is used in single,double.and multiple- E=�-^ tank systems and must be mounted to a rigid-surface. The release mechanism can be used to interconnect both the actu- o Fvri ation and expellant cas liies as required per system design.TheStai` il' !�� 0 regulator is designed to allow a constant flow of gas into the weed) tank at 100 psi (690 kPa) when the system is actuated. In single,double•and multiple-tank systems,the provided expel- lant cas hose connects the agent tank to the bottom outlet of the regulator.In double and multiple4ank system configurations. Nozzle Identiilcation Char- the back outlet of the regulator is used as an expellant gas feed Nozzle Nozzle for one additional tank-enclosure or tank-bracket hookup.The Note T vo= N0Z enclosure contains the required knockouts to facilitate this con,- Part WO Si mpino Flov section. If a pressure switch is to be attached to the regulator, 1 W Nozzle 419336 1 W 1 additional fittings are required. 1 WSS Nozzle 417$33 1 W 1 The tank is mounted within the enclosure. The tank contains 1 N.Nozzle 41.9335 an adaptor/tube assembly'with a burst disc union.T he burst disc IN 1 helps prevent siphoning of the agent up the pipe due to signifi- 1 NSS Nozzle 417332 TN 1 cant temperature fluctuations in the area where the tank is 1/2N Nozzle 41,9334 1/2N 1/2 located.The tank is mild steel and, under normal conditions, 3N Nozzle requires hydrostatic testing every twelve years. 419338 3N 3 The agent tank is shipped uncharged and must be filled with 2W Nozzle . ?19337 2�ry 2 1.53 gallons(5.8 L)or 3.06 gallons(11.6 L)of only ANSULEX 2WH Nozzle 78078 2W.9 2 Low pH Liquid rue Suppressant during installation. The detection and additional P^;,ipmen' required ner:;yLiea: design are connected lathe release mechanism..The enclosure 230 Nozzle 419339 230 contains knockouts to facilitate detection and additional hookups. 2 245 Nozzle. ^-.19340 245 The system can b: actuated automatically or manually.Auto 2 matic actuation occurs when a fusible link,within the detection :260 Nozzle 419341 260 2 system separates in a fire condition. Manual actuation of the 290 Nozzle 419342 290 2 system occurs when personnel pull on the remote manual pull 2120 Nozzle 419343 station pull ring. 2120 2 1 F`Nozzle. - 419333 11= 1 ExTit���Is�ING AGENT Il©o rloZ�tE �13G912 llco ANSULEX Low pH Liquid Fire Suppressant(1.5 gallon - Part No.79694 or 3.0 gallon - Par No.79372)is apotassium-based solution .designed for fast 'knock-down and suppression of grease-related fires.The agent is shipped in plastic-'containers which provide one complete tank charge. Agent storage life expectancy is twelve years.The distributor must record the batch numbers and date of shipment receipt to be filed with each instal- lation record. Total Tank Type of . _N'itrogen Carbon Wilde Plow No.' OuAn-trty' - S stem of kardware Cartridoe Reouired Ca d ,rtri 0 Figgui-a-t 1-5 1 Single 1.5'Gal.Reg.Release LT 20-R(7032) 101-10(15850) 6-11 1 Single 3.0 Gal. Reg.Release LT-30-R (5373) 101-20 (17452) Et FCTRICAL SWfTCHES -1.00,gic�, it3 E The electrical AUo switches are intended for use with electric gas valves, alarms, contactors, lights, contractor supplied electric Power shut-off devices and other electrical devices that are designed to shut off or turn on when the system is actuated. Switches are available-in kits: One Switch Kit, Part No. 423878 Two Switch Kit, Part No. 423879. Three Switch Kit, Part No. 423880,and Four Switch Kit,Part No.423881.Each switch has a set of single-pole, double-ihrow contacts rated at 21 125,250,277 VaC or 2 HP,2 0 P, 1 HP, W Provided 50•-�VAC.Mounting hardware is . P with etch kft. N.C. JVI f(may (k((Z SRU iJ O \ o o \ lW_11-6nS} UNW- f'�Dt7+� s�v� j NO l� r-TLA E-,I) s t(�t�� 1s � � . �� - �'A - - - - - - - - - - - - - - - - - - - - - - - I N SECTION IX - APPENDIX UL EX.3470 ULC CEx747 Page 9-1 10-1-02 REV.5 r SYSTEM SELECTION GUIDE Note: System options do not cover all conceivable variations.They are listed here as a general guideline to show the most common type arrangement for multiple systems, Based on certain system designs utilizing manifolding, non-manifolding, 3-tank systems, etc., other tank/cartridge combinations can be designed.The combinations below are based on 11 flow,3.0 gallon tanks and 5 flow, 1.5 gallon tanks. More competitive designs may be available by utilizing 12 flow and 13 flow systems when appropriate. Total Tank Type of Carbon Dioxide Nitrogen Flow No.'' Quantity System Tvpe of Hardware Cartridge Re aired Cartridge Required 1-5 1 Single 1.5 Gal.Reg.Release 101-10(423439) LT-20-R (423429) 6-11 1 Single 3.0 Gal.Reg.Release 101-20 (423441) LT-30-R (423435) 12-16 2 Double 1.5 Gal.Reg.Release 101-30(423443) Double (423493) 3.0 Gal.Additional Tank 17-22 2 Double 3.0 Gal.Reg.Release 101-30(423443)" Double(423493) 3.0 Gal.Additional Tank 23-33 3 Multiple 3.0 Gal.Reg.Release 101-20(423441) LT-30-R (423435) 3.0 Gal.Reg.Actuator 101-30(423443)`"" LT-A-101-30 (423491) 3.0 Gal.Additional Tank 23-27 3 Multiple 1.5 Gal.Reg.Release 101-10(423439) LT-20-R (423429) (Optional) 3.0 Gal.Reg.Actuator 101-30(423443)""` LT-A-101-30 (423491) 3.0 Gal.Additional Tank 28-33 3 Multiple 3.0 Gal.Reg.Release N/A Double(423493) (Optional) (2)3.0 Gal.Additional Tanks 34-38 4 Multiple 1.5 Gal.Reg.Release 101-10(423439) LT-20-R (423435) 3.0 Gal. Reg.Actuator N/A LT-A-101-30 (423491) Double 3.0 Gal.Tank Box 34-38 4 Multiple 1.5 Gal.Reg.Release 101-30(423443) Double (423493) (Optional) 3.0 Gal.Additional Tank 3.0 Gal.Reg.Actuator 101-30(423443)""' LT-A-101-30 (423491) 3.0 Gal.Additional Tank 39-44 4 Multiple 3.0 Gal.Reg. Release 101-20(423441) LT-30-R (423435) 3.0 gal.Reg.Actuator N/A LT-A-101-30(423491) Double 3.0 Gal.Tank Box 39-44 4 Multiple 3.0 Gal.Reg.Release 101-30(423443)" Double (423493) (Optional) 3.0 Gal.Additional Tank 3.0 Gal.Reg.Actuator 101-30(423443)'"" LT-A-101-30 (423491) 3.0 Gal.Additional Tank 45-49 5 Multiple 1.5 Gal.Reg.Release 101-30(423443) Double(423493) 3.0 Gal.Additional Tank 3.0 Gal.Reg.Actuator N/A LT-A-101-30(423491) Double 3.0 Gal.Tank Box 45-49 5 Multiple 1.5 Gal.Reg.Release 101-10(423439) LT-20-R (423429) (Optional) 3.0 Gal.Reg.Actuator 101-30(423443)""" LT-A-101-30(423491) 3.0 Gal.Additional Tank 3.0 Gal.Reg.Actuator 101-30(423443)"". LT-A-101-30(423491) 3.0 Gal.Additional Tank Based on 5 flow numbers for a 1.5 gal.system and 11 flow numbers for a 3.0 gal.system. If tanks are manifolded,only a"double tank'nitrogen cartridge(Part No.423493)can be used, "` It tanks are manifolded,either an LT-A-101-30 nitrogen cartridge(Part No,423491)or a double tank cartridge(Part No,423493)can be used. .�_ �.� } 1 I 4' 'C�. HOnD AND DUCT 191�''IPRESSION 7SYSTEM PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3431 • FAX (360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY FOUR(4) SETS OF CONSTRUCTION DRAWINGS AND SPECIFICATIONS. Project Address: - 'sk 2S 50-0 Parcel ID 0: �✓ ®0 21 ® D Project Valuation; �350 ' Bullding Area (Sq Ft): Owner: CoJDC VY1LI�Y ��OSP 1 Il�'�- s� \ _.Phone Number; Address: J 3 3 S 5�" 15,Q City:_ I�-t'I� �)`' State: L4W Zip Code: �00 Z L3 Contact Person: &.1t's&i � �/)(,. 3 � �30 L Phone Number: , Cell Phone: 31 �e��� Fax: ��0 3�17 �3� I E-mail- Address; 2tp U t�(� S City: S � State: �— Zip Code: l� bG^12S 5/ -f�— Contractor: �- Phone Number, 34 D ,3 t)0 Address 0-0 M`- `^L ' us ,�J City; C State: ZIP Code: ,3 Contractor's License Number- X—S5 2 Z)PLO Expiration: -D I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro erty will be in accordance with the laws, rules and regulation of the State of Washington, f oC �pplicants Signa re Date Print Applicants Name RECEIVED MAY 0 5 2009 COA PERMIT CENTER FOR STAFF USE ONLY ��ermit�fi Accepted By Amount Received Receipt# Date Received WEB Forts—25 Page 1 of 1 5/05 dwa � � •t �, .� � r CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 + PHONE:(360)403-3421 Permit#: BLD20080212 BUILDING PERMIT Project Address: 330 S STILLAGUAMISH AVE, ARLMGTON Parcel No: 31051100102900 'PROPERTY OWNER APPLICANT CONTRACTOR CASCADE VALLEY HOSPITAL CASCADE VALLEY HOSPITAL SCI INFRASTRUCTURE 330 S STILLAGUAMISH 422 S STILLAGUAMISH AVE 1508 VALENTINE AVE SE ARLINGTON,WA 98223 ARLINGTON,WA 98223 PACIFIC,WA 998188 Phone:360.435.2133 Phone:425.212.3400/360.435.0741 LICENSE#:SCIINL*993JA EXP:12/31/2008 Email: Email:Tomasz-Kaltur(a�_Hoffinancotp.corn CONTRACTORPLUMBING MECHANICAL CONTRACTOR Lic#: Ex> Lic#: Ex i DESCRIPTION UNDERGROUND FIRE LINE VALUATION: $0 a/5 ouu PERMIT T E:Commercial PERMIT GROUP:Fire Sprinkler NUMBER OF STORIES:0 ITYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: EXISTING AREA PROPOSED BASEMENT:0 I ST FLOOR:0 2ND FLOOR:0 JBASEMENTo I ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTSETBACK SIDE : REARSETBACK REQUIRED: PROPOSED: RE UIRED: PROPOSED: REQUIRED: PROPOSED HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. 1 JAs,-,t-) c: + &ZAbLJ toll 11,9 D 6 Df' n re Print Name Da a eased By Dot u ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC110/IRC110. ARCHIVE APPLICANT F-1 ASSESSOR OTHER I I i :. BLD20080212 CONDITIONS • Lot line stakes must be in place at the time of foundation/setback inspection. 0 Installation,use and maintenance of equipment and components shall be per manufacturer's specifications,installation instructions,and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector. • Hose Bibbs(exterior faucets)are required to have a permanently affixed anti-siphon device installed. • In addition to the required pressure/relief valve,an approved listed expansion tank shall be installed on all hot water tanks. Per UPC 608. • Type B or L vent connectors required on fuel-burning appliances passing through unheated spaces.Per IMC 803.2 • Obtain Electrical Permit from State Department of Labor&Industries. • Pursuant to UPC 605.2 a water service shutoff shall be installed on the water line as it enters the building. • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure.Check the job card for all required City inspections including final project approval and final occupancy inspections. • Provide combustion air per IMC for commercial and multi-family residential installations,and IRC for one and two-family dwellings. • A pressure regulator valve(PRV)shall be installed near the water shutoff. • Provide 2A:IOB:C portable fire extinguishers at locations as noted on approved plans. • Final Locations of illuminated exit signs&emergency lighting subject to field inspection by the Building Official. • Request final Fire Department Inspection(360)403-3607. • New and existing buildings shall have approved address numbers,building numbers or approved building identification placed in a position that is plainly visible from the street or road fronting the property. Address numbers shall be Arabic numerals or alphabet letters. Numbers shall be legible from the public way,at least 4 inches high with a'/z inch min. stroke width on a contrasting background. • Call for locates of underground utilities 2 business days prior to any excavation. 1-800-424-5555 • Call for required inspections as noted and prior to backfill. PERMIT FEES Description Nee Amount Paid Balance Due C-Plumbing Permit Fee $0.00 $0.00 $0.00 C-Mechanical Permit Fee $0.00 $0.00 $0.00 C-Building Permit-Other Fees $194.84 $0.00 $194.84 Hydro/flush $346.80 $0.00 $346.80 Inspection $346.80 $0.00 $346.80 Total Due: $888.44 $0.00 $888.44 INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL 1 ' INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • C-Footings • C-Foundation Wall • C-Foundation Drainage • C-Plumb Ground Work • C-Plumb Rough In • C-Gas Test/Pipe • C-Equipment-Mechanical 6. �� � f ' �� f I • C-Shear Nailing-Exterior • C-Ceiling Grid • C-Framing • C-Wall Insulation/Caulk • C-Sheetrock Nail • C-Building Final • F-Fire Final • C-Underfloor • C-Gas Piping Groundwork :. :x - FIRE SPRINKL_.R PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5) SETS OF HYDRALIC CALCULATIONS, FIVE(5) SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE SPRINKLER PERMIT APPLICATION. INCLUDE ELECTRICAL PLANS WHERE APPLICABLE. ALSO INCLUDE SPECIFICATION SHEETS, WIRING DIAGRAMS(POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON ALL EQUIPMENT TO BE INSTALLED PRIOR TO INSTALLATION. Type of Permit: ( ) New Fire Sprinkler ( ) Fire Sprinkler Add/Alt (Underground Fire Line If details are shown on approved site civil drawings l No drawings will be needed for underground submittal Project Address: 93o 5 STILL A,6URMLSH - ME: Parcel ID#: ' � i-� � I 0 0 1 L 29 OD Project Valuation: NI`� Number of Heads Wk Building Area (Sq Ft): N i1 Owner: f,Ax '�Q�G U�cLLt�� PZ)5Q1 1�\L- Phone Number: _ '3(0O^ L4�,, -Z 13 3 Address: 5T)LLAC9,Uf;\ML5µ hQ-city: AeorI G,tUj State: wA Zip Code: `k2�2-23 Contact Person: n►✓`ASS t—PC\.T Phone Number: �L51- 2t Z -340 0/,%0-Lf 7-04 I Cell Phone: #j,Z5 3Z�` Own Fax: 3W-CI S- OC�� Z E-mail: �(D r l -P VL TV L HOrTMf\N Address: �-IZ2 5, STILL/ GVRM(SM A\1F City: ARL-'9'-K00 State: wA Zip Code: 2-Z3 WV P°Cq b - - c/ 14$ Contractor: SL I i NF(ZRSTi�vc�U2C �QX♦(� Done Number: Address: � T i�c)S Vule.nfin e Avfe sr City:RA-cJ fJ� State: Zip Code: C4 l �g � *1 Contractor's License Number: `"�_ ~�-- J Expiration: 3( - 0� I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. S/s/u� Applicants Signature bate o^k5-ice KfIiTUq_ Print Applicants Name RECEIVED FOR STAFF USE ONLY AUG 0 5 2008 :i5W A�__ Aeo" "Oel - Permit# Accepted By Amount Received Receipt# A�Fd�R>«D� e�OENTEn WEB Forms-131 Page 1 of 1 04/08 sb 7 ,, � :� 1 � � 1 SCI Infrastructure,L.L.C. [None Specified] SCIINL*993JA (253)218-0444 1508 Valentine Avenue Southeast in Pacific, WA 98188 December 31,2008 J . December 12, 2007 TO: Scott Black Department of Community Development City of Arlington Arlington, WA FR: Jim Tracy Code Consultant Tracy III Enterprizes Woodinville, WA RE: Cascade Valley Hospital 330 S. Stilliguamish Arlington, WA Bldg. No 20077633 PLAN REVIEW FIRE ALARM SYSTEM SECURITY TAG SYSTEM We have reviewed the plans and specifications of the proposed Security Tag System to be installed by Prosec Protection Systems, Inc. of Lakewood,NJ. The plan is approved subject to field inspection, acceptance test and the following: 1. Insure that all of the wiring used in the installation is inspected and approved by a State of Washington Electrical Inspector. For inspection and acceptance test contact Jim Tracy at 206-940-9622. Note: I contacted Prosec Protection in New Jersey and the sequence of events are as follows: 1. The tag goes on the infant and if near an exit, the doors lock. 2. The exit doors have a delayed egress system for normal operation. 3. The building Fire Alarm System overrides the locking systems when in alarm condition. 4. This installation is permitted by the IBC Section 1008.1.8.6. ! OFF ••L s � .� '•: 1� BLD20077633 - arusko Page 1 of 1 BLD - Building Permit Ver: 2007 #BLD20077633 owner: ICASCADE VALLEY HOSPITAL-PUBLIC, H- status: JAPPLIED address: 1330 S STILLAGUAMISH AVE,ARLINGTON post date: 12/10/2007 data screens: Select Screen... - functions: Select Permit Function... zi -fire Alarm REVIEWS Add Review Remove Review= Print Close Review Description Assigned To j Due Date (#) Req? Done? ASSIGN 1026 P-Utilities Fees RSHEPARD i 12/24/2007 0 Y N ASSIGN 1032 P-Utilities I I LTAYLOR 12/24/2007 0 I_ Y i N ASSIGN Building I _ SBLACK E 12/24/2007 0 Y N ASSIGN 2008 C-Community Development I ARUSKO 12/24/2007 0 Y I N ASSIGN 3004 X-Fire TCOOPER 12/24/2007 0 Y N ASSIGN Cc/'rT yE4*— . http://coaweb2.arlington.local/permittrax/PermitTraxMain/wfPermitConsoleReviews.asp... 12/10/2007 r. � � 12/12/2007 13:45 4351400 PAGE 02/02 DEPARI"MPNT OF LABOR AND INDUSTEUGS d LICENSED AS PRO•V'IDED BY LAW AS ELPC COSTS GENERAL LICTSE # ESP R 41 PROTX=14S,�$ .-0 f.31, 9 PROTECTION & CO91N1MICAT0 - KC I 19630 40TH AVE W LYMN001a WA 98036 6�nss-a�a(gmi► — - LICENSED AS PROVIDEM BY LAW AS ELEC CONTR GENERAL LICENSE # • EXP. DATE 3CU1 PROTZCI16SL8 0513112009 BPPECTIVE DATE OROTECTION',& ,CQNKWIi:ATWS, INC 19630 49TU .AVE W Ly=00D WA 98036 Signaruru r Issuad by DEPARTMENT QF LABOR AND LNDUS•CRUM Hof `7 �(� a: 1 W/T9 . d WW03 Old LTESP449ZV £5:17T 4(32Z/Zl'/ZT I I I J 12/12/2007 13:45 4351400 PAGE 01/02 3 30 South 5tilliguumish rlington WA 98223 Ca Valley scade 3P0-435-1404 Direct 3i301i35.1400 rax Hospital To: Amy Rusko/COA From: Curt Leland ax: 360-403-3447 Pages: (2)including this cover sheet home. Date: 12/12/2007 Urgent ❑ For Review ❑ Please Comment 13 Please Reply ❑Please Recy Ou Comments: E Cascade Valley Hospital Fire Alarm Alteration Permit. I I � I �I �� I I Page I of 1 Amy Rusko From: Curtis Leland [CurtisL@cascadevalley.org] Sent: Wednesday, December 12, 2007 2:03 PM To: Amy Rusko Subject: RE: contractor info. for hospital fire alarm permit Thanks Amy. Pro-com is faxing me a copy of their WA state contractors license right now. They are listed as Protection and Communications INC. with L&I. Pro-corn is the sub actually doing the fire alarm connection and certification. I'll fax it to you once I receive it. The other company I had listed on their, Pro-sec out of NJ, is the vendor who is supplying the infant security system and software. They do not make any of the connections or wiring for the fire alarm portion of it rather rely on a local sub for that piece. In this case Pro-com. Do you still need a contractor license for Pro-Sec? Just received Pro-com's license and am faxing now. Curt From: Amy Rusko [mailto:arusko@ci.arlington.wa.us] Sent: Wednesday, December 12, 2007 11:25 AM To: Curtis Leland Subject: contractor info. for hospital fire alarm permit Hi Curt, We need some additional information from you about the contractors that are listed on the permit application. We could not find either contractor you listed as having a valid contractor's license in the State of Washington. Could you please send us a copy of their contractors' license? We will need all the contractor information before we will be able to issue the permit. You can email or fax the information to me at arusko ci.arlington.wa.us or fax 360.403.3447. If you have any questions,just let me know. Thank you Amy Rusko City of Arlington Permit Technician 360.403.3550 ***************************************************************** DISCLAIMER- Email is not considered secure. Confidentiality risks are assumed by choosing to communicate with Cascade Valley Hospital and Clinics by email. The information contained in this e- mail is confidential, privileged, or otherwise protected from disclosure. It is intended only for the use of the authorized individual as indicated in the e-mail. Any unauthorized disclosure, copying, distribution or taking of any action based on the contents of this material is strictly prohibited. Please do not rely on e-mail to communicate health concerns or confidential information. If you have received this e-mail in error, please notify the sender and delete it immediately. 12/12/2007 .� I ;: 1 FIRE ALARM 7 o PERMIT APPLICATION 41ivc;l Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 THIS APPLACATION MUST BE ACCOMPANIED BY FOUR(4)SETS OF COMPLETE AND SCALED PLANS FOR EACH FIRE ALARM PERMIT APPLICATION.INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO,INCLUDE SPECIFICATION SHEETS, WIRING DIAGRAMS,(POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON EQUIPMENT PROPOSED TO BE INSTALLED PRIOR TO INSTALLATION. Type of permit: (check one) ( ) New Fire Alarm (vrFire Alarm Alteration/Addition Project Address: ` `5 ' S �\`��A M��'� qB&9 3 Parcel ID#: 3 1 (OD ( D AuJ Number of7Zones/Panels: Building Area(Sq Ft): 58 k�C� Valuation: t 3 1 8�o . C�C� Owner: lofn -b A c "xwe � Phone Number: —360— U Address: City: Ar \:.a State: WG Zip Code: Q8 a' Contact Person: n — c J0rY c ic,,,,.,8 Phone Number: - 360— 61 Q— 78 6 Cell Phone: L_1a,5- Ylg' 37,3 7 Fax: ,360-61 P-765 6 E-mail:n,.t-S CAc_NX,_\kg pz6 Address: City: State: L 3--Q Zip Code: 3 -fc Contractor: �rnSrc �co�cc��o,a Sys—,,cam/� _l.�c• Phone Number: A'CX�— 77C� — 73oZ8 l9RS .�.�,r _,.r s� rt.�c �G \LcwyO� N S. bCR-701 Address: — _ City: State: Zip Code — Contractor's License Number: Expiration Electrical Contractor: Phone Number: Address City: State: Zip Code: Contractor's License Number: Expiration: I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. - ll /oZ� /0-7 �1 J Applicants Signature Date l� urn 211U _ C Print Applicants Name C P U —C,C, 19630 t-1 OVh. G vt w 4 `'j.� u�c9e�c� W� ei8�3 6 c IaT 77'-1 FOR STAFF USE ONLY RECHM H-- DEC 0 7 2007 erm Ir Accepted By Amount Received Receipt# Date Received WEB Form—22 Page 1 of 1 3/07 dwa . N' k J � 111 � .� � - ' ,. L � � 1 I � I � �•� � � I I I _ ' �- • I ,� �_� II � • A, I 1 1 � 1 :� �, f �_ � � , ' CITY OF ARLINGTON J238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3421 Permit #: BLD20077633 BUILDING PERMIT Project Address: 330 S STILLAGUAMISH AVE, ARLINGTON Parcel No: 31051100102900 PROPERTYOWNER APPLICANT CONTRACTOR CASCADE VALLEY HOSPITAL CASCADE VALLEY HOSPITAL PROTECTION&COMMUNICATNS INC 330 S STILLAGUAMISH 330 S.STILLIGUAMISH 19630 40TH AVE W ARLINGTON,WA 98223 ARLINGTON,WA 98223 LYNNWOOD,WA 98036 Phone: Phone:360.618.7861 LICENSE#:PROTECI 165L8 EXP:5/31/2009 Email: Email:curtisl cascadcvalle .or PLUNIBINC AIECHANICAL CONTRACTOR Lie#: Lx0 Lie#: Expi JOB DESCRIPTION FIRE ALARM ADDITION TO CASCADE VALLEY HOSPITAL INFANT TAG READER VALUATION: $3,800 PERMIT TYPE:Commercial MPERMITOUP:Fire Alarm NUMBER OF STORIES:0 NSTRUCTION: NUMBER OF DWELLING UNITS:0 GROUP: CODE:2006 LOAD: EXISTINGAREA I BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONT1SETBACK RE UIRED: PROPOSED: j7M"QV== PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:0 PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: PERMITAPPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27, THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Ignat a Print Name Date eleased By Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC110/1RC110. i ARCHIVE APPLICANT ASSESSOR OTHER I I I . �.• } -f BLD20077633 CONDITIONS • None PERMIT FEES Description Fee Amount Paid Balance Due C-Plumbing Permit Fee $0.00 $0.00 $0.00 C-Mechanical Permit Fee $0.00 $0.00 $0.00 C-Consultant(Fire/Sprinkler) $100.00 $0.00 $100.00 C-Consultant(Fire/Sprinkler) $338.80 $0.00 $338.80 C-Building Plan Review Fee $73.78 $0.00 $73.78 Total Due: $512.58 $0.00 $512.58 INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. f None I _ y ?{ 1 :it� 1 �1 I .i Ca W O I' f Q eu Q Q ~ ? 1 N o E d `V LO co > �` W UJ ca z --� r r^ LL ,� w F-LLJ CO SLEEP LAB NCOLOGY Z W E L E'-p 1/ Q LL E E 0O lmh � U U EL � U Cascade Valley Hospital Third Floor h t�i� �� � 1 � i m �► U ' � zit.! i! A. 1 .� 1'� �� "� r �, ' I _ _�.,. c E O �' `° wW N a m zipN Q O m a _ W o � E � � m > La 0 = V v N N O /'{'S V E W L.`�/ G > U _O N a a a u) c Q O a H cn —_ III III EMERGENCY DEPARTMENT RADIOLOGY I I r I r ELEV f I a ELEV RESP L THERAPY I� T o I ELEV I f � Il p RADIOLOGY co Cascade Valley Hospital First Floor VV77 {Y O 1 tJ L.J � ti ii o W C o O LL Q a Q W o LL o E o C.) 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