HomeMy WebLinkAboutFIR2004-00001 Final AFA - FIR Permit / Conditions - 7/20/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
` Shelton,WA 98584
FIRE PROTECTION PERMIT FIR2004-00001
APPLICANT: GOODELL-WOLF RECEIVED: 1/22/2004
CONTRACTOR: TRI-TEK SYSTEMS LICENSE: TRITES*02101 EXP:9/21/2004 ISSUED: 2/10/2004
SITE ADDRESS: 10 NE CREELMAN LN BELFAIR EXPIRES: 8/10/2004
PARCEL NUMBER: 123285000001
LEGAL DESCRIPTION: BELFAIR STATION BLK: LOT: 1 10 NE CREELMAN LN BELFAIR
PROJECT DESCRIPTION:
GENERAL INFORMATION System Information
Type of Use: COMM Sprinkler Heads: 0 Audible Switches: 8 Pull Stations: 4
Fire District: 2 Flow Switches: 0 Visual Devices: 14 Door Releases: 0
Hood& Duct?: N
Dry Chemical?: N Pressure Switches:: 0 Smoke Detectors: 12 Duct Detectors: p
Wet Chemical?: N Zones: 3 Heat Detectors: 14
Sprinkler?: N
Standpipe?: N SQUARE FOOTAGE FEES
Monitoring Company: ACI First Floor: 3,673.00 Type Amount Due Amount Paid
Monitoring Phone No.:(800) 752-2490 Second Floor:
Auto. Fire Alarm Plan $63.21 $63.21
Auto Fire Alarm?:Y Third Floor;:
Auto. Fire Alarm Permit $100.00 $100.00
Auto. Fire Alarm Plan $1.79 $1.79
Total: $165.00 $165.00
FIR2004-00001 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES
FIR2004-00001
CONDITIONS FOR
FIR2004-00001
1.) Add detector when indicated on site plans. X Ak
Move FACP to a Fire Mars I approved location for exterior access. X
This project becomes null and void if ork r constructio ut rized is not commenced withirttBO days,or if construction or work is suspended fora period of 180 days at any time after work is
commenced. Evidence of Conti tion work is a p res nspection within the 180 day period. /
Owner r Agent: �� `� Dat
FI R2004-00001 Please refer to the following pages for conditions of this permit. 2 of 3
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CONCRETE MECHANICAL MANUFACTURED HOME
0
o Footings / Setbacks Date By Ribbons
o Date By Gas Piping Date By
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G f Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
fD Water Line Date By
m Date By Date By
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FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION
FACILITY r ADQRESS CIr1C ZIP PHONE
NAME S
INSPECTO AG CY DATE
0 27-9670 X-273 MASON COUNTY FIRE MARSHAL FD t
ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION 'CORRECTION
NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY
Q DATE
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THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE ' REINSPECTION DATE
EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS
NO LATER THAN THE DATES INDICATED
PAGE OF PAGES
White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District
Tri-Tek Systems FOR THE CITY OF �' fzi i r
Sunset Vista Bremerton
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Bremerton WA.98310 �
Phone/Fax 360-3 73-83 73
Fire Alarm System Confidence Report
Central Station Account No. 3
Occupied as(major tenant) 6- Ot2.D 0 C.ES
L
Address 10 Al E C ree-%n gi,� Zip Code. 6 Phone No.
Type of Test: Monthly Quarterly Semi-Annual Annual cceptance
,
Number of Initiating circuits Number of signaling circuits
Fire control panel manufacturer L 6 &• j ✓1 i G V4 Model No.
Central Station transmitter manufacturer l , ( Model No. C
Battery Voltage Charge Circuit Voltage 27r Battery under load
Alarms tripped by which initiating circuit S(('1(1 CjKe , RJ11 .5 eA. c
CENTRAL STATION
F RE CONTROL PANEL TRANSMITTER
Smoke detectors cleaned?
System operates on AC power es ❑ No ❑ NA 2/des ❑ No
"Alarm Silence"results in tbl.sig. 00 ❑ No ❑ NA t _ ❑_f,'7 No
Loss of AC results in trouble signal 3,/Yes Yes ❑ No ❑ NA W�w s ❑ No
System operates on battery es ❑ No ❑ NA Fes
Is ID No
All circuits checked for elec.supv. 10Aes ❑ No IDNA ❑ No
Test meets manufacturer's specs. XYes ❑ No ❑ NA s ❑ No
All auxiliary equipment operates r�v� Y/ es ❑ No ❑ NA
Key to fire control panel available r,+at//Y ❑ No ❑ NA
Operating instructions posted V7 es ❑ No ❑ NA
Pe g
Test record posted at control panel Yes ❑ No ❑ NA Yes ❑ No
Automatic time delay of general alarm minutes
Time initiated Time received by Central Station
EQUIPMENT TESTED
NO.OF UNITS SATISFACTORY NO.OF UNITS
TYPE OF EQUIPMENT TESTED YES NO NA IN BUILDING
Bells,Horns,Chimes,Voice Alarms,Speakers,Water Gongs
Visual Alarm Devices
Trouble Indicators
Heat Detectors j
Smoke Detectors 2
Smoke Beams
Sprinkler Waterflow Alarms
Sprinkler Supervisory Switches
Manual Pull Stations
Ventilation Controls Operate
Annunciators
Elevator Recall
Fire Dampers/Smoke Dampers
Phone Jacks
Automatic Door Release
Other 'D V r• 'p
THIS IS TO CERTIFY THAT IRE ALARM SYSTEM/CENTRAL STATION TRANSMITTER HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER ITEMS LISTED IN THIS RT, CONSISTENT WITH FIRE ALARM MAWTANANCE STANDARDS
/MANUFACTURER'S REQ AND ALL COREcnos B /HAVE NOT BEEN MADE.
Signature of Inspect r, Date I l�
Problems Found
Corrections Made