HomeMy WebLinkAboutFIR2004-00001 - FIR Permit / Conditions - 3/30/2004 MASON COUNTY FIRE MARSHAL
Ma*M County Mo.111426 W Cedar St
PO 010X 186 Shelbon,WA 98W
(360)427-9670 EXL 273
Permit# FI R - 00061
Mason County Fire Protection System Permit Application
In m lete � lai n WX gaj be uc _ted
Owner: LcooPhone#•
Mailing Address City: State: ___Zip:
Site Address:LA a " City: State: Zip:
Parcel#: ,�.3c��'"S�` �Legal Description:
Lien/Title Holder:
Address: City: State: Zip:
ContractorTQJ Phone#:3GU "Iq�_�k�q
• ��1s� •�
Address: ���.,���yi1,1Ct�'„� ��T� City tate• Zip:
Contractor Registration#: Expiration Date:
2
Building Square Footage (existing&proposed): 1st /S32"a / 3ra /
Building Use: Occupancy Classification: Construction Type:
Type of System: Type of Work:
Sprinkler: Wet Dry New System: A
Standpipe: Wet Dry Modification:
AFA:
Hood&Duct:
Dry Chem:
Wet Chem:
UL certified Monitoring company: A L Phone
Contractors Bid Price: $ 3W 0
Submittal Requirements on Back RECEIVED
OA-R,2 2 t 2004
$ELFAIR OFFICE
MASON COUNTY FIRE MARSHAL
Mason County Bidg.ill 426 W.Cedar
P.O.Box 186 Shelton."Washington 98594
(360)+427-%70 Ext.273
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i y OR THE CITY OFF/ ,. f�
1421 Sunset Vista
Bremerton WA.98310 <s,•
Phpne/Flu 360-373-8373
Fire Alarm System;Confidence Report
Central Station
S��tation Account No.� � �:7 t
Occupkas(major tenant) f l- i s
Address 4 14 1A I Zip Code. Phone No.
Type of Test: Monthly Quarterly Semi-Annual Annual 4rcceptance
Number of Initiating circuits Number of signaling circuits
Fire control panel msnrwturer !f Model No. 44;4 09
P
Central Station transmiher manufacturer .. _, Model No.
Battery Voltages" Charge Circuit Vo#lta�sger Battery under load
Alarms tripped by which initiating circuit
CENTRAL STATION 1I
FIRE CONTROL PANEL TRANSMITTER
Smoke detectors cleaned?
System operates on AC power Yes ❑ No ❑ NA ❑ Yes ❑ No
"Alarm Silence"results in tbL a*. Qe Yes ❑ No ❑ NA ❑ Yes ❑ No
Loss of AC results in trouble signal es ❑ No ❑ NA ❑ Yes ❑ No
System operates on battery es ❑ No ❑ NA ❑ Yea ❑ No
AL circuits checked for elec.supv. as ❑ No ❑ NA ❑ Yes 0 No
Test meets manufacturer's specs. ryes ❑ No ❑ NA ❑ Yes ❑ No
All auxiliary equipment operates �les ❑ No ❑ NA
Key to fire control panel available Yes ❑ No ❑ NA ti .
Operating instructions posted ea ❑ No ❑ NA
Test record posted at control panel as ❑ No ❑ NA ❑ Yes ❑ No
t
Automatic time delay of general alarm minutes
Trace initiated Time received by Central Station
EQUIPMENT TESTED
NO.OF UNITS MMOFLIMM
TYPE OF EQUIPMENT TESTED YES I NO NA IN WILDING
Bells,Hoses,Chimes,Voice Alamo,Speakers,Water Gongs
Visual'Alarm Devices
Trouble Indicators
Heat Detectors
Smoke Detectors
Smoke Beams
Sprinkler Watertlow Alarms
Sprinkler Supervisory Switches 72
Manual Pull Stations lay
Ventilation Controls Operate
Annunciator '
Elevator Recall
Fire Dampers/Smoke Dampers
Phone jacks
Automatic Door Release
Other
T=IS TO t otm THAT THIS FIRE ALARM SYSTEM/CENTRAL STATION TRANsurnR HAS BEAN PROPERLY TESTED ANDDNBPECrW FOR
RF.IJAMUN M ODvER n& nun LISTED IN no REPORT, 1S i:maismff wrni mr, AI.ARm mAwANANCE STANDARDS
ftA MJFACR1RER'S REQUDihl MS,AND COREC11ONS HAVE WWi HAVE NOT BEEN MAC.
Signature of Inspector l Date -
_
A.
Problems Found
Corrections Made
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6 CONCRETE MECHANICAL MANUFACTURED HOME .
c Footings/Setbacks Date B y Ribbons
N Date By Gas Piping Date By
Foundation Walls Date B y Set-up
Date B y INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
D ate By Date By Date By
PLUMBING Attic OTHER
Groundwork Date B
Date By WALLBOARD NAILING
,o D.W.V. Date By
U Date By FINA I PECTI
Water Line Date 3 By"
Date By Date By
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