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HomeMy WebLinkAboutFIR2003-00011 AFA - FIR Permit / Conditions - 12/30/2003 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 Itr Shelton, WA 98584 ylo FIRE PROTECTION PERMIT FIR2003-00011 APPLICANT: LES KRUEGER RECEIVED: 4/17/2003 CONTRACTOR: TRI-TEK SYSTEMS LICENSE: TRITES*02101 EXP: 9/21/2004 ISSUED: 4/25/2003 SITE ADDRESS: 30 NE ROMANCE HILL RD BELFAIR EXPIRES: 10/25/2003 PARCEL NUMBER: 123325000007 LEGAL DESCRIPTION: SAM B THELER'S HOME & GAR TRS TR 3 EX CO. R/W SEE BLA#01-13 PROJECT DESCRIPTION: AUTOMATIC FIRE ALARM GENERAL INFORMATION System Information Type of Use: COMM Sprinkler Heads: Audible Switches: 5 Pull Stations: 4 Fire District: 2 Flow Switches: Visual Devices: 8 Door Releases: 0 Hood & Duct?: N Pressure Switches:: 1 Smoke Detectors: 1 Duct Detectors: Dry Chemical?: N Zones: 8 Heat Detectors: 0 Wet Chemical?: N Sprinkler?: Y Standpipe?: N SQUARE FOOTAGE FEES Monitoring Station No.:8007522490 First Floor: 8,950.00 Auto Fire Alarm?: Y Second Floor: Type Amount Due Amount Paid Third Floor;: Auto. Fire Alarm Permit $69.25 $69.25 Auto. Fire Alarm Plan $45.01 $45.01 Total: $114.26 $114.26 FIR2003-00011 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES CD FIR2003-0001 i N (n � N m O m O W CONDITIONS FOR FIR2003-000il CD 1. This permit is far the shell oniy. Anyte inn rovementwill require a seperate permit and review. X All strobes aretc be syrnaronlzed. orkls W CT) This pro)ect hecornes null and vol if�vc>rkar oonsht�etie autlwr"¢ed is nol commenced volt n 180 days,or if construcrm or work is suspended bra period of 180 days at anytime a fter Tv m comrrterxed. Evider►caaf oa ti©aof war is tt�ressir►speclion WIhin the 180dayperi . Lo N N N Ovmer or Agent: 3]ate: ^� E� H Z.J 0 m co uO m co Go h h H O C7 h O -- — - D fl n m 0 0 N m CV nnnA A Please refer to the following pages for conditions of this permit. 2 of 3 T N 0 0 Gf CONCRETE MECHANICAL MANUFACTURED HOME 0 c it ootings / Setbacks Date B y Ribbons Date By Gas Piping Date By Foundation Walls Date B y Set-up Date By INSULATION Date By B G / 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 v D.W.V. Date By Date By FINA INSPECTION Water Line Date jt',�t, �3 B y Date B y n h_, . � � �s '� Date By �,. P 0 ca a 0 0 3 a 0 0 N N 3 0 O W 0 W MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION PERMIT N0. TVf-2-M"Z> 1 L RECEIVED MASON COUNTY FIRE PROTECTION SYSTEM APR 11 2003 PERMIT APPLICATION 426 :,ALEAhE IW%r:This application must be completed and accompanied by a minimum of three (3) copies of plans,spedfications, and applicable calculations per Mason County Fire Protection Standards, and submitted 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 OWNER: LCs PHONE: FIRE DISTRICT SITE ADDRESS: 30 �� I�1 �IIJL A CITY STATEWk,ZIP MAILING ADDRESS: CITY STATE ZIP LIEN/TITLE HOLDER: ADDRESS: CITY STATE ZIP CONTRACTOR ADDRESS: �4� S0h)SU: V 11 jSnCITY STATEJAZIP� CONTRACTOR PHONE# CONTRACTOR REG#T-�,I E,S� a1V 1 PARCEL LEGAL DESCRIPTION: BLDG. SQ. FT. (EXISTING/PROPOSED)IIST FL 2ND / 3RD / USE OF BUILDING [L "�Iwm DESCRIPTION OF WORK: SPRINKLER: WET DRY STANDPIPE: WET DRY AUTOMATIC FIRE ALARM HOOD & DUCT DRY CHEMICAL WET CHEMICAL HnnALO NEW SYSTEM MODIFICATION Rf1E VVVA1P MONITORING STN fl� PHONE Ja rd` 1V YOUR SUBMITTAL MUST INCLUDE: 1. DIMENSIONS, SCALE, NORTH ARROW 2. FLOOR PLAN AND CROSS SECTIONAL ELEVATION 3. ALL CONCEALED SPACES (LABELED COMBUSTIBLE AND NON-COMBUSTIBLE) 4. CUT SHEETS OR REFERENCES FOR ALL NEW DEVICES 5. LOCATION/DESCRIPTION OF ANY EXISTING DEVICES 6. BATTERY CALCULATIONS FOR FIRE ALARM SYSTEMS 7. RISER/WIRING DIAGRAM FOR FIRE ALARM SYSTEMS 8. HYDRAULIC CALCULATIONS FOR SPRINKLER SYSTEMS PLEASE NOTE: WORK MAY PROCEED ONLY IN ACCORDANCE WITH A VALID FIRE PROTECTION SYSTEM PERMIT ISSUED BY THE MASON COUNTY FIRE MARSHAL. A VALID PERMIT AND AN APPROVED SET OF PLANS MUST BE ON THE JOB SITE DURING CONSTRUCTION AND MUST REMAIN THERE UNTIL A FINAL INSPECTION IS DONE BY THE MASON COUNTY FIRE MARSHAL. FAILURE TO OBTAIN A VALID PERMIT PRIOR TO WORKING ON A FIRE PROTECTION SYSTEM AND/OR FAILURE TO PROVIDE THESE PLANS AND PERMIT FOR THE MASON COUNTY FIRE MARSHAL MAY RESULT IN A CITATION AND FINE. OWNER'S AFFIDAVIT I certify that I am exempt from the requirements of the Contractor's Registration Law RCW 18.27, and am aware of the Mason County ordinance requirements for which this permit is issued and that all work will be done in conformance therewith. No changes will be made without first obtaining approval from the Mason County Fire Marshal. OWNER: DATE: CONTRACTOR'S AFFIDAVIT I certify that I am a currently registered contractor in the State of Washington and I am aware of the ordinance require men egulating the work for which the permit is issued and all work done will be in conformance therewit h. changes Will a made without first obtaining approval from the Mason County Fire Marshal. DATE: 4493 FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY , ADDRESS CITY ZIP PHONE NAME P A l INSPECTOR AGENCY DATE t; DAV�R 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD �= ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTrON NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY t L! DATE k do s�� o a cow , — c a� �c.�►.b�,�1Q _ � bZ3Cn W LO 00 a00 LL C � c a� 1— 3 c Z 0 L N N 0 V DON w x c0 L W ?N O n 0 o � a C/) U x N QC aO THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE REINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS NO LATER THAN THE DATES INDICATED 17 PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY ADDRESS CITY ZIP PHONE NAME INSPECTOR �A: -S c FD AGENCY DATE DAVE SATZER 160-427-9670 X-273 MASON COUNTY FIRE MARSHAL ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE Cpw.Qkekp o J Q C!� CQ G W00 oco u_ .0 P a) C (J q1 H 3 c Z t N y0 O � n U SON � ~ X an L W Z ?to O n OQo�OP U x N Q 0 C v0 � L � d THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIG RE REINSPECTION DATE EXPLAINED TO ME, AND 1 AGREE TO MAKE CORRECTIONS NO LATER THAN THE DATES INDICATED PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal—Pink Copy: Fire District FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY ADDRESS CITY NAME \C_,- C � � ZIP PHONE INSPECTOR AGENCY DAVR 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD DATES O ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE O J Q a W � o0 � 00 00 LL �' JC - � c U O Z (No Oc^ U SON m L W Z TN O - a 0 o U x N C 0 V Q 0 C C 010 G THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE REINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS NO LATER THAN THE DATES INDICATED 't +`J PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District Tri-Tek Systems FOR THE CITY OF E3e- I R, 1421 Sunset Vista Bremerton WA.98310 Phone/Fax 360-373-8373 Fire Alarm System Confidence Report Central Station Account No.75 7,�L -15 4 I Occupied as(major tenant) C i I n e Address 3 G Yf� R Q Ma►nCC. H, Zip Code. Phone No. __"1 t'6 ,�7,5- ,r)`L 10 Type of Test: Monthly f Quarterly Semi-Annual Annual cceptance Number of Initiating circuits V Number of signaling circuits Fire control panel manufacturer Sl I e,t1 t Model No. 5�k n A Central Station transmitter manufacturer Model No. Battery Voltage 2,�1q Charge Circuit Voltage .17,1'�3 Battery under load 'U7 i Alarms tripped by which initiating circuit ` CENTRAL STATION FIRE CONTROL PANEL TRANSMITTER Smoke detectors cleaned? System operates on AC power Yes ❑ No ❑ NA l Yes ❑ No "Alarm Silence"results in tbl.sig. U//Yes ❑ No ❑ NA WYes ❑ No Loss of AC results in trouble signal ,�,V7 Yes ❑ No ❑ NA &(Yes ❑ No System operates on battery U Yes ❑ No ❑ NA W"Yes ❑ No All circuits checked for elec.supv. , ^Yes ❑ No ❑ NA � es ❑ No U Test meets manufacturer's specs. Yes ❑ No ❑ NA l:7 Yes ❑ No All auxiliary equipment operates E/� Yes ❑ No ❑ NA Key to fire control panel available Uo Yes ❑ No ❑ NA Operating instructions posted W Yes ❑ No ❑ NA Test record posted at control panel 117 Yes ❑ No ❑ NA M Yes ❑ No Automatic time delay of eneraI alarm s minutes Time initiated 1 C 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 Smoke Detectors Smoke Beams Sprinkler Waterflow Alarms ' Sprinkler Supervisory Switches Manual Pull Stations Ventilation Controls Operate Annunciators 1 Elevator Recall Fire Dampers/Smoke Dampers Phone Jacks Automatic Door Release Other THIS IS TO CERTIFY THAT THIS FIRE ALARM SYSTEM/CENTRAL STATION TRANSMITTER HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER THE S LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTANANCE STANDARDS /MANUFACTURER'S REQ ALL CO_RECr10NS/HAVE BEEN/HAVE NOT BEEN MADE. Signature of Inspector �'v Date J5 IVO►,C 3 Problems Found Corrections Made 00 ,� L CONTRACTORS MATERIAL&TEST REPORT FOR ABOVEGROUND PIPING. PROCEDURE Upon oomplation of work;inspection and tests shah be made by thoo contractor's representative and witnessed by an owner's representative.All defects stall be oorrected and system left in serAoe before contractor's personnel flnaliy locos the Job. A certifksto shag be filled out and signed by boar representatives. Copies shall be prepared for approving authorities,owners,and oontraclor. It is under- stood the owner's representative's signature In no way prejudices any claim against oontractor for faulty material,poor workmanship,or failure to comply with approving authority's requirement@ or local ordinances. PROPERTY NAME ATE 0-6 F� Ix�c 1►tz5 7�3 PROPERTY ADDRESS &/L1rV`L.0 4-ttj A- '38Set AUTHORITIES C. t--. kA . ADDRESS INSTALLATION CONFORMS TO ACCEPTED PLANS LITES NO PLANS EQUIPMENT USED IS APPROVED BY€S []NO IF NO,tXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION EfYES LJ NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? 1110,_,--Lam HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: LnifS Lj NO INSTRUCTIONS 1. SYSTEM COMPONENTS INSTRUCTIONS BYES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS. BYES ONO 3. NFPA 13A 0'rf 5 ❑NO LOCATION -7 OF SYSTEM SUPPLIES BUILDINGS 4� If- 1,Ob C OFF-7 C 6 YEAR OF ORIFICEEMPERATURE MAKE MODEL MANUFACTURE SIZE QUANTITY RATING 0. v SPRINKLERS Z1705> Olt- It Zoo3 -l c r z t t 1 PIPE AND TYPE OF PIPE FITTINGS TYPE OF FITTINGS Vo , [F i> ALARM ALARM DEVICE MAXIMUM TIME TO OPERATE VALVE THROUGH TEST CONNECTION OR FLOW TYPE MAKE MODEL MIN SEC. INDICATOR DRY VALVE Q.OD. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. ' TIME TO TRIP TIMEWATER ALARM DRY PIPE THRU TEST WATER AIR TRIP POINT REACHED OPERATED OPERATING CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET PROPERLY TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO WITHOUT Q.O.D. WITH O.O.D. IF N0,11EXPLAIN f; •MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED 85A (OVER) OPERATION , ❑PNEUMATIC ❑EL.ECTRIC ❑HYDRAULIC E jr DOES SUPERVISED YES NO DETECTING MEDIA SUPERVISED YES NO DELUGE ION DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE STATIONS YES NO VALVESPREACT • IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT TESTING I IF IN,EXPLAIN ❑YES ❑NO DOES EACH CIRCUIT OPERATE DOES EACH CUICUR MA)OMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE TEST Hydroalssa tests sh"be made at not Iasa ttrn 200 pal(13.S bW*1°r two noun or 50 psi p.a burp above srtla prwun In aeroasa d 160 pod(102 FORTY ar two burs. Dlfanrtlal dgy-p"va"clappers anal)ba tun span durtnp tact b PnPA"danwrpa_AN showwgreund PkWng wtlmpa shall be�pp� DESCRIPTION • EslabAsh 40 psi;Ll bars)ak pressure and nwasura drop whkn OW not asaad 1.1R psi p.1 Ears)In 24 noun. Tasl pressure Was d normal w°Yr nd aM n,and mwaun alr drop vh{th"nd arcaad 1 1R .1 bars In 24 hours. PIPINGHYDR TATI ALLY TESTED AT c PSI R H N AT PIPING PNEUMATICALLY TESTED S ❑NO EQUIPMENT OPERATES PROPERLY VS ❑NO DO YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICAT , BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST- ING SY TEMS OR STOPPING LEAKS? LPrES ❑NO TESTS DRAIN READING F GAGE LOCATED NEAR WATER _--prSIDUAL PRESSURE WITHIN TEST EST SUPPLY TEST CONNECTION: n2 PSI CONNECTION OPEN WIDE PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FWSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. I VERIFIED BY COPY OF THE U FORM NO.8513 EJY-E—S DI NO OTHER 2: P N FLUSHED BY INSTALLER OF UNDER- � GROUND SPRINKLER PIPING �^',lt`S ❑NO BLANK TESTING NUMBE7SED LOCATIO7/'4 NUMB REMOVED GASKETS WELDED PIPING U LJ NO IF YES. . . DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3 �( S ❑NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALJFIED IN ,� WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 t,_T YES ❑NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF �� PIPING ARE NOT PENETRATED O'f—ES El NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL DISCSCUTOUTS DISCS ARE RETRIEVED? MY7 5 ONO FUNCTIONAL DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? UYES LJ NO FLOW-TEST WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? OYES ❑NO HYURAUUC NAME PLATE PROVIDED IF NO, EXPLAIN DATA NAMEPLATE CIYES ❑NO w GATE FT ItfSERACf WITH ALL COlgTROL VALVES OPEN: REMARKS // o'J NAM15 OF SPRIN R CONTRACTOR ICONTRACTOR LICENSE# -Z/-i c /=2JllC FLU 'lll lb1 TESTS WITNESSED BY SIGNATURES FOR PRQf ERTY ER I NED) TITLE DATE FO T R(SIGNED) TIT LE�',�' T N HO �C l ATE 1 RTIFY THAT THE INFORNRMN HEREIN IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN A CE WITH RCW 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY CERTIFICATION HE STATE FIRE MARSHAL tk fib" ;r'n�+,� 1� NAME OF CERTWCATE OF COMPETENCY HOLDER PRINT OR rfPIQ i SK3NATURE OF CERTIPICATE OF COMPETENCY HOLDER CERTIFICATE REGISTRATION ? DATE t�s�t ADDTTK)NAL EXPLANATION AND NOTES • s+..... ��� 6M BACK �t �v��n Spr1n��S 1�1• �ra�Oyi►Orc�m 1