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HomeMy WebLinkAboutMIS94-0928 AFA & FIR2004-00013 AFA Final - MIS Permit / Conditions - 10/31/1994 GG M Cl) p 2 § i o 2 $ \ q / 3 0 o � \ moo :3 Cl � # 33 � Ca / ) � R q \ \ $ i \ � � 2 & A w - mac c § 2 2 2 b 2 e / = n n 2 ƒ o o r © 0 o g q q CD / 2 q r / 2 x E I w LL coo \ g kkkk coCD § = > o u E a 2 ° k E E &! A § D / ■ ■ E 2 E i � 0 kk > EI � < m £ L e a 0 % w NIL / / 2 CY) - 2 > 0 � � \ LU % 000q oa w d B § / 0 m _ O � : LL . . (D ® � k CL � 2R2 LU00 _0 � f W k ' ° § « LL ® E U 2 Jk _ x 2 U) � E 2 f 00 co 2 0- / ® 0 d o ® . 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III 426 W.Cedar OcC l�'qqo P.O.Box 186 Shelton,Washington 98584 (206)427-9670 GENERAL SERVICES CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION PERMIT NO. MASON COUNTY FIRE PROTECTION SYSTEM PERMIT APPLICATION NOTE: This application must be completed and accompanied by a minimum of three (3) copies of plans, specifications and applicable calculations per Mason County Fire Protection Standards and brought to the office of the Mason County Fire Marshal. This is not a permit, and failure to submit all necessary information will cause a delay and/or rejection of your submittal. When a permit has been issued, you will be notified. PLEASE PRINT #1 OWNER PHONE SITE ADDRESSj_ - _3`'7/ �y� �4ry-t '3 FIRE DIST. CITY 4 ( L, STATE L./ ZIP DIRECTIONS TO JOB SITE OWNER MAILING ADDRESS CITY STATE ZIP LIEN/TITLE HOLDER ADDRESS CITY #2 CONTRACTOR l C _k C{U`'4 £ l t X CONTRACTOR REG ADDRESS f, (�, o X 0 J q EXP. DATE / CITYc j f STATE ZIPS' #3 PARCEL # /1,:2 .3 / -/- LEGAL DESCRIPTION #4 BLDG. SQ. FT (EXISTING/PROPOSED) 1ST FL / / 2ND / 3RD / BASEMENT / DECK / #BR #BATH GARAGE / CARPORT / ENCL ATTIC: Y N OTHER SQ FT USE OF BUILDING #5 DESCRIPTION OF WORK: SPRINKLER: WET ,DRY STANDPIPE: WET DRY AUTOMATIC FIRER CORRIDOR SMOKES OD & DUCT DRY CHEMICAL WET CHEMICAL HALON NEW SYSTEM MODIFICATION NUMBER OF NEW DEVICES MONITORING STATION / M PHONE . 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III 426 W.Cedar P.O. Box 186 Shelton, Washington 98584 (206)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION FIRE ALARM SYSTEM REPORT OF INSPECTION (-• - ' ( ( Date: Name of Facility: <�U �.� �lat�(`1 I"i/'l,t i'� Occupied As: Address:-F. 1 �3� f 9 Wv .3 City: ( vim, WA: County: VA us-e L, Zip: Telephone: (360)Z 7S-(o Building Destination (if more than one building): Inspection By , Title: / cc Date of Inspection: - - - - - - - - - - - - - - - - - -,- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Type of Test: Monthly [ ] Quarterly ( ] Semi-Annual ( ] Annual OQ 2. Type of System: Noncoded 9L Common coded [ ] Selective coded [ ] Dual coded [ ] I (as pertaining to Chapter 212-14 WAC) i M 3. Local Fire Department: 4. Fire Department Official Contacted: 5. Test Received at Fire Department?: Yes [ ] No ( ] 6. Master Box Reset A.M. P.M. 7. Comments, explanation of results, action taken, etc. tl� K i 1 — i i MCFMO 03-5/93 EQUIPMENT TESTED - NUMBER. OF SATISFACTORY CHECK UNITS TEST TYPE AND TYPE OF EQUIPMENT TESTED DATE YES NO N/A MANUFACTURER Control Panel ��� �< <2 g K %► &VJZe Manual Station �. Heat Detectors 1 . Smoke Detectors �( ?. Audible Alarm Devices x 3. Visual Alarm Devices 1. Code Transmitters ~ x >. Automatic Door Releases X Trouble Indicators X �. Master Alarm Box 3. Batteries f. Charger ). Generator �( Ventilation Control x Fire Department Interconnection Central Station Interconnection Exterior Sprinkler Electric Alarm Bell J� Sprinkler Water Flow Switch i. Sprinkler Gate Valve Supervision Switch Annunciators 14 Automatic Time Delay of General Alarm Minutes. None Installed [ ] Test of alarm system emergency power, satisfactory? Yes (X] No ( ] This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with P Fir Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representativ W . C. Name of Firm '� p /_ D. Mailing Address f e ��In.Q (�6� W�f '7�5��� Phone No. yZ7�1 Q >Q MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 rrk t N�;f'F r. I Lf1N5: r:A) 1 427•-967• 14 X' AIVEt) l! a PEIRM � T fit L01 1'•' HIS94-0926 PAl+r 7'L- Ij '3 1 .1 490010 P I. A f . JOB Al DRF-S"_7 E 1.6371 STA'iE HWY 3 At_LYN APPI !"� AN'C STRETCH Ifi1 AND FRtlii l?WNE tl ' STREI"CH TSLAND FRUii lkGAI it 1 If SVIVtV 31113 it 1 of St Nt5 fS II;I/tt S1 tilt AUTOMATIC FLRE ALARM V f'Ft"jI-C Y LOCATION' i Y f'F �l PI(�U N t tj— � E r!a - PkM i fi !,Vl 0r3 K 1 1 / ! / 008 1 ,. � 1/ r�wNE-1� {�l� AR Mlti Y6M1 , fox'' NAi41i� MASON COUNTY 4 Mason County Bldg. III 426 W. Cedar on P.O. Box 186 Shelton, Wash 9 aved hui. idXnq that effect; t,otr+ . lianc� t:c, CF►N 98584 �9l b.1sS ► fl,rir►CIP.S t.o A t k,rl 1 .a '.1.011 an(. rl nar r tii9 •y c� . r ��► � LoAe and/or Mason ca►-rnt:y K�n►a�l At_i r►� m►►� • the Uniform bui .ldinq Code, ... . ._R ,....._.........._...� _�...,......_....._. be aPProved by Mayon t'oc,►ntY t�ric:,r t;a r.arl�t.:rut,Y:iar1X. ....__..._.�._....._ pkiCrION (.E.5S TO BE. FTEI.0 (:OkkECTFI) A5 kF;(7U1RI l) F'F:li MASONCOIINfY F3tl:ll UINf, l)V,.PARTMENI ANt) IINTFORM BUt L0INEy CODE . x .h r MASON COUNTY Mason County Bldg. ill 426 W. Cedar M "= S G E L L A N E Q U S Pp. Box 186 Shelton, Washington 9P(§M N.,f,E.(, I t ON�., C A L I 4 77—96 7• ;10B ADDREiS . E 16371 STATE HWY 3 ALL.YN API)I T('ANT - RON SAGERSOW 276-6060 06INFR RON SAGERSON 275-60SO L f G A I. TS A IF SINVET 31143 TIT A IF St 1466 FS $64%0:1 It #$IA I'(?O:.IF�_"1' LRII" I ION HVAC IN OFFICE AREA. HEATING AND VENTILATION IN OTHER pRoif-i'l- L0CA` J0N 7 MIKES WEST ON HWY 3 FROM ALLYN } t'ROJECI NOTES ' i TYPE AMOUNT By DATE REC[ .[P I' M�'kt`.7 tri , 00 KS 1 .1 /02/94 376H5 TO {Al Eii .. (b(D UWNI" R OR A -sfNT t► IF ITS PROT, rev: 14/61192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED IVIf�JVir vvv� • Mason County Bldg. Ill 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MIS94-0738 For : RON SAGERSON Page : 1 I d to be On-bite for' i ncpect i.on piirposys _ If inepecti on is All Approved plans are require T11 called for and plans are not on sits . Apprc�vtr.l Will-L NOT he granted . it AcictichAr a lledf fee in the �rmc:unt: of $30 . 00 per hour fmi.ni.mtrm 1 hotir� will I,Q �ler ��rme lrrdr R.-Inspection must be collected by this department prior to any Yrtr-t.hwr ina:l»ct;i.c:n:� being (. Approval. grunted . pURSUANT TO 1991. UNIFORM HUIL.DIN(i CODE , VIt F()I ON51ilAH� Al p0� [ jr VON[ A N /L E Tf OF PI.ATHLY I.VSTHI F HAVE APPROVED MtIMBERS OR ADDRESSES AND LEGIBLE FROM THE S'TRE7HISRHI OA�MPI FRONTING DNPRIOR 1OOPAIt I.NiiMFORNANYtiNI TE�.RITNL,-:PE=f 1-TONS . A DEPARTMENT RE=QU7RES THAT REINSPECTION FEE . BASED ON RATES IN ARLF POS I iA OF ADC1RE.�+HE `O1N9S t TF PRIOR 10 RF(iU"'"NO WILL BE,t,SSESSFD IF OWNER/CONTRACTOR FAT LS [O j.NSpEc ► IONS . AI.L t'ONS7RIIC.TION MUST M1 CT OR EXCEED ALL LOCAL Ct)IIES ANSI UHC pEQUI'PFMENTS i )NCRETE otings Setback MOBILE MOBILE HOME 9 date b Ribbons Andation Wams Gas Piping date b e date Set UP I-Ag wukAatm INSULATION date by a by Floor Final qyWvw date by date by 3 hw Walls FIRE DEPT. 1MBING date by date by undwork Atlic OTHER i date by F.V. WALLBOARD NAILING by date by er Line FINAL INSPECTION by date by date by MASON COUNTY FIRE MARSHAL �a� p�Z$ Mason County Bldg.III 426 W.Cedar L & I INOPECTI0N P.O.Box 186 Shelton,Washington� 8384 (206)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION FADDRESS_____ AUTOMATIC`FIRE ALARM SYSTEM fL3 3 ACCEPTANCE TEST REPORT . - A� .* OCCUPANT ---PHONE ------------ -- --- - ---------- - - USE - -------- - - FIRE ALARM CONTRACTOR 61AAM4 PHONE CONTACT -INSTALLER- PLANS & PERMIT ON SITE YES NO PERMIT # CONTROL PANEL MFR 157 MODEL #_ 7 Z--�7 INITIATING CIRCUITS NO. OF SIGNAL CIRCUITS BATTERY VOLTAGE VOLTS CHG.CIRCUIT VOLTAGE VOLTS '- r� BATTERY VOLTAGE UND ER SIGNALS OPERATING FULL LOAD VOLTS t� TROUBLE SIGNAL WITH AC POWER OFF: YES NO Z" Y SYSTEM OPERATES ON STANDBY POWER: YES NO N/A yy�, �.C�►�"` ALL SIGNALS OPERATE ON AC POWER: YES NO N/A N wV � ALL SIGNALS OPERATE ON STANDBY POWER: YES NO WA ALL CIRCUITS CHECKED FOR ELECTRICAL SUPERVISION: YES NO N/A • CONTROL PANEL CHECKS MADE PER NFPA&MFTRS.INSTRUCTIONS: YES NO ALL AUXILIARY EQUIPMENT OPERATES: YES_NO_N/A_(ELEVATORS, FANS, DAMPER ) r! • CENTRAL STATION 2J?446PHONE 1''D�V�742�CC6UNT # " r[ L AUTOMATIC TIME DELAY OF ALARM SECONDS/MINUTES. NONE IN,.STALLED ® SYSTEM WIRING CONFORMS TO NFPA STANDARDS: YES NO PANEL KEY IN KNOX BOX: YES NO OPERATING INST. AT PANEL: YES NO TEST RECORDS POSTED AT PANEL: YES NO EQUIPMENT TESTED NPE OF Ft �11Pt`IIENT #UNITS IN-BLDG. #UNITS TESTED COMMENTS AUDIBLE DEVICES -_-_ ---------- -------- - ---------- VISUAL DEVICES �_--___- -------- TROUBLE INDICATORS _- -____ ---------- -------- HEAT DETECTORS ----------- ------- A.F.S. SUPV. SWITCHES ------------ :---=------- - SMOKE DETECTORS ------------ ------- MANUAL PULL STATIONS -----_----- ------------ ------- WATER FLOW SWITCHES _-___-____ ----------- -------- GENERATOR STARTS l --- ------- VENTILATION CONTROLS ------------ -------- CENTRAL STATION ------------ -------- F.D MONITORING ------------ ------- ANNUNCIATORS ------------- ---------- -------- ELEVATOR RECALL --------- ------- DOOR RELEASE ----------- -------- C- FIRE DAMPERS ----------- -- -- PHONE JACKS _-_----- ----------- ------ AUTO DOOR LOCKS -------_-- ------------ ------- AUTO DOOR RELEASES _-- ---- ------------ . ------ OTHER ---------- -------�---- ------- THIS IS TO CERTIFY THAT THIS AUTOMATIC FIRE ALARM SYSTEM HAS BEEN INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH NFPA FIRE ALAMA STANDARDS,AND THAT ALL CORRECTIONS HAVE BEEN MADE. 4 A. SIGNATURE OF OWNER OR REPRESENTATIVE: DATE B. FIRE ALARM COMPANY: PHONE: C. SIGNATURE OF FIRE ALARM CO. REP: DATE D. FIRE ALARM CONTRACTOR LICENSE #: PROBLEMS FOUND: CORRECTIONS MADE: 1.1w IN"IT MASON COUNTY FIRE MARSHAL Mason County W ill 426 W.Cedar P.O.Box 186 Shelton.Wd,shlvoon 98584 (206)Q7-9670 CORRECTION OTiCE OCCUPANT PERMIT )l ADDRESS DATE CONTACT PHONE The following items do not comply with County Codes/Ordinances.These must be corrected and,subsequently Inspected by the Mason County Fire Marshal. At LAA t '. 9 t a DO NOT OCCUPY UNTIL ALL CORRECTIONS HAVE BEEN MADE AND AN OCCU- ANCY'PERMIT HAS BEEN ISSUED. i Following the correction of all violations contact the Mason County Fire Marshal for an inspection. Call 427-9670 Mon.-Fri.8:00-4.00 TG BE REMOVED BY INSPECTOR ONLY MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION March 7, 1995 Mason County FD 5 P.O. Box 127 Allyn, WA 98524 RE: Stretch Island Fruit Automatic Fire Alarm System The automatic fire alarm system has been tested and approved. Following are the details on the system for your records: 1. The system is monitored by AMS. 1-800-562-4464. 2. The account number is: 523186. 3. AMS has been given the following number for dispatch: 1-360-426- 5532. 4. The alarm system is zoned as follows: BLDG. ONE IS THE NEW BUILDING. BLDG. TWO IS THE ORIGINAL BUILDING FRONTING ON HWY 3. ZONE ONE SPARE ZONE TWO SPARE ZONE THREE BLDG. ONE-WHEREHOUSE ZONE FOUR BLDG. ONE-OFFICE ZONE FIVE BLDG. ONE-SECOND FLOOR ZONE SIX BLDG. ONE-MAIN FLOOR, ABOVE SUSPENDED CEILING ZONE SEVEN BLDG. TWO-MAIN FLOOR ZONE EIGHT BLDG. TWO-ATTIC ALL ZONES ARE TRANSMITTED TO THE CENTRAL RECEIVING STATION. The owner contact is: RON SAGERSON LAJ s J CY — — va 3 PA L d E 4 �r d � ° 3 r y C.ID -� t J 13 a +F � �w V 1 1 tW�-, - I I� f v O i C.2 114 _.. .... .... .... CE t A _ I I y LAB 0 • N O� � r . • 9 � L Y' (U u _ r A • yob MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 Ext.273 oX2 Om NDD 5 U0 m Mm n_r--I -4 D 1 A m G � SJ CD Don ' -n = mcmi) ZIA m o vZm v ,C c m _D n t/� ca cn �1 o m 91) Zmo O Q Mmy CO) n -qD /�'` j mm is l m 0v > _ � m x �" z o m N -� -o n < r^ Om n ;Um V.i Q � > v '�� CD mm m OZ r- ° p0 mZ z Z n y O X0OC m to m m Z m n G) m rn m X -n m C mn m O ° m ic D m n � n = m n r Z X -< X n go A0 � n O D 0n m 0 m Zv Nm m Un O m m 0 �� ° In o Z mp m Z Z vc� m v n�m D � mod -R m m Wz N r MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 Ext.273 zm —I Ox = u 0m yDD 0rn mmr- mZ -nn ;0mn V" < ;001 = � m .� Dpz o -imm U f' 1-5 m >0 4 n� 90 O OZMyoC/, �, G u, ;, V r c mD � -yi c C -n zmrn � -" m N n C� -mj > mm w p 00 (r Z Z 0) C m vgm Y � p o •? m x - z o m y o tv N OM Ivy / w m O ,i X 00 n CDD D K nz o 1 Dz 0 � Z N O O < N " w z Z � � 0 m0a m X CO) o -n m Z D Z � ?I -1 © zo * 55 O CD m m D m -1 v m n � C n m m y n = m o n m Q° mn n c 0 56 IT!y 00 m 0 rn ZG m m N z U > v m 6�g = z O p n 1 o z D0 m D a "' Q p m wo rn Tri;Tek Systems FOR µw - a A.)��tY OF 8485 Silverdale Way NW THE Silverdale WA 98383 Voice: (360)373 8373 Fax: (360)308 0254 Fire Alarm System Confidence Report Central Station Account No. J - 1 Occupied as(major tenant)�,�5me tr-L /s ,n V.,pt Address � 124- 3 Zip Code. 7 Phone No. � � ��.�'`UXJ-5 — Type of Test: Monthly Quarterly Semi-Annual Annual Acceptance Number of Initiating circuits Number of signaling circuits _ 01q Fire control panel manufacturer S;/eA /- k m r k Model No. Central Station transmitter manufacturer Model No. Pted Battery Voltage(27 1?2 Charge Circuit Voltage Battery under load % t /L fzo# JD Alarms tripped by which initiating circuit 4.Q m s d ye f 1 n CENTRAL STATION �./ J / FIRE CONTROL PANEL TRANSMITTER f Smoke detectors cleaned? A ik "Jr QSystem operates on AC power Yes ❑ No ❑ NA Yes ❑ No "Alarm Silence"results in tbl.sig. I es ❑ No ❑ NA Yes ❑ No ��a �, A`�r�>•►`¢� Loss of AC results in trouble signal Yes ❑ No ❑ NA es ❑ No System operates on battery ,ICJ Yes ❑ No ❑ NA IO Yes ❑ No r1 All circuits checked for elec.supv. Yes ❑ No ❑ NA r es ❑ No [J Test meets manufacturer's specs. eyes ID ❑ NA Yes ❑ No _ All auxiliary equipment operates iarYes ❑ No ❑ NA 10 Key to fire control panel available *a'Yes ❑ No ❑ NA Operating instructions posted ,eYes IDNo ❑ NA N Teat record posted at control panel ICI Yes ❑ No ❑ NA XYes ❑ No Automatic time delay of general alarm > minutes '/V I Time initiated fQ.t I& Time received by Central Station !Z-40 2 EQUIPMENT TESTED t t t_ NO.OF NITS SATISFA ORY NO.OFUNITS TYPE OF EQUIPMENT TESTED YES NO NA IN BUILDING Bells,Horns,Chimes,Voice Alarms,Speakers,Water Gongs k Visual Alarm Devices 92-049 adfk Ik" Trouble Indicators Heat Detector Smoke Detector )( Smoke Beams Sprinkler Waterflow Alarms Sprinkler Supervisory Switches Manual Pull Stations Ventilation Controls Operate Annunciator Elevator Recall Fire Damper/Smoke Damper Phone lacks Automatic Door Release Other TFBS IS TO CERTIFY THAT THIS FIRE ALARM SYSTEM/CENTRAL STATION TRANSMITTER HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER4&1.1, LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MA04TANANCE STANDARDS /MANUFACNRFR'S gT CORF.CCIONS HAVE BEEN HAVE NOT BEEN MADE. Signature of pect Date 9 t /40 /` I Problems Foun f �- !!+� Corrections Made gr MASON COUNTY FIRE MARSHAL r Mason County Bldg.111 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 Ext.273 pf V f n I I w � I GJ vOIO . 0 x m Om yDD Tm � �0 v 0mr l z r R,, r: � Z m `� � - m v, �� ., i z m mZv b 4/ 90 O yvumi ^1 '^ r _a c\ mD .Z01 p (a O P m ZG) W m N > 0mv s 523 v �� -Dr1 m > 0W (� zz 0) m v -4c vDm � -n K Z _ o TA m D `� N N :0 0 m C w m r n m mm r` � G) o - 0Z yn�mZ m0c fi m mmz VN m -oo ;U O z mXm c m O nm m CD o I m n E Cj v N n 3 = W m a z 0r � _ -< Qo m0 0 cc O v > m D - 0 m -4 z0 rNm m � �� D tZn C �' n O � o � z r �1 D 2 z z Ap m Z v a D mmv0 IT! m �z sy r