HomeMy WebLinkAboutFIR2009-00019 Fire Fire Suppression - FIR Permit / Conditions - 7/14/2009 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 FIR2009-00019
APPLICANT: BELFAIR COMMUNITY BAPTIST RECEIVED: 4/17/2009
CONTRACTOR: LICENSE: EXP: ISSUED: 7/8/2009
SITE ADDRESS: 23300 NE STATE ROUTE 3 BELFAIR EXPIRES: 1/8/2010
PARCEL NUMBER: 123325000015
LEGAL DESCRIPTION: SAM B. THELER'S HOME &GAR TRS TR 7 EX N 25' OF &TR 7-A& 7B DOR#4656-001
PROJECT DESCRIPTION: FIRE SUPPRESSION IN RANGE HOOD
GENERAL INFORMATION System Information
Type of Use: COMM Sprinkler Heads: Audible Switches: Pull Stations:
Fire District: 2
Hood& Duct?: Y Flow Switches: Visual Devices: Door Releases:
Dry Chemical?: N Pressure Switches:: Smoke Detectors: Duct Detectors:
Wet Chemical?: Y Zones: Heat Detectors:
Sprinkler?: '?
Standpipe?: N SQUARE FOOTAGE FEES
Monitoring Company: MOUNTAIN ALARM First Floor:
Type Amount Due Amount Paid
Monitoring Phone No.:(800)424-8276 Second Floor:
Hood & Duct Permit Fee $168.50 $168.50
Auto Fire Alarm?:Y Third Floor;:
Hood and Duct Plan $109.50 $109.50
Total: $278.00 $278.00
FIR2009-00019 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES
FIR2009-00019
CONDITIONS FOR
FIR2009-00019
1.) Per section 901.2.1 of the 2006 International Fire code, Statement of Compliance.
Before requesting final approval of the installation, the installing contractor shall furnish a written statement to the fire code official that the subject fire
protection system has been installed in accordance with the approved plans and has been tested in accordance with the manufactures specifications and
the appropriate installation standard. Any deviations from the design standards shall be noted and copies of the approvals for such deviations shall be
attached o the written statement.
X 5
2.) The sy is required to be a UL 300 fire supression system.
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is
by means of a progress inspection.The ownerorthe agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection.
OWN ER OR AGENT: DATE:
FIR2009-00019 Please refer to the following pages for conditions of this permit. 2 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME m
O Footings !Setbacks Date By Ribbons T
O � Gas Piping D
OIntenor Date By interior-Date By Date By X
00 Exterro(Date By Exterior-Date B n
Set-Set-up
INSULATION
W Point Load/Isolated Footings Date By
BG I SLAB INSULATION --
Date By Date By FIRE DEPARTMENT C
Foundation Walla Floors Date By Z
Date By Date By DECKS I
FRAMING Walls Date By 00
D
Date By Data By PROPANE TANKS
PLUMBING vault Dale By - N
Date By OTHER
Groundwork Attic
Type:
Date gy Data By Date By
D.W.v DRYWALL Type
M Int.Brace Wall Date By
ty Date By Date By 55
FINAL INSPECTION N
0 Water Line Fire Separation O
3, 1 Date By Date By Date By
� O
o Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments o
I 11
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MASON COUNTY FIRE MARSHAL
Mason County Bldg.III 426 W Cedar St
PO BOX 186 Shelton,WA 98584
(360)427-9670 Ext.273 r �-y�-�)Cj
Permit#T� 11�.2��"lJ��l l
Mason County Fire Protection System Permit Application
Incomplete application will not be accepted
Owner: P5c 1 �,`,, C� �-�, r�� s r C���c� Phone#:(3(a o)
Mailing Address: P• v , Ga X l City: 1�t State: W� Zip: 5R5-7-
o t
Site Address: X 3 3 m- City: G, l State:L j r- Zip: 13 Y5-2-4
Parcel#: 1 A33.1 S0000 15 Legal Description: Trz-1 E" Iv ;c � F aid
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Lien/Title Holder:
Address: City: State: Zip:
Contractor: 0�w-e,&T Fi '}� �c.� Phone ;,p(� j7--7qqr
Address: ha,.- 55,3 QA oe- W-City: State: W Zip:9?Q 5
Contractor Registration#: NW F L(Z F N q7( K Y�N Expiration Date: I
Building Square Footage (existing&proposed): lst / 2nd / 3rd /
Building Use: L�LAr G r1 Occupancy Classification: Construction Type:
Type of System: Type of Work:
Sprinkler: Wet Dry New System:
Standpipe: Wet Dry Modification:
AFA:
Hood & Duct:
Dry Chem:
Wet Chem: 5kPp►^tc;5iD) t I rq Rok 2 H-ooJ
Fire Pump:
UL certified Monitoring company: L`f Phone#:
Contractors Bid Price: $
Plan Submittal Requirements
Your elan submittal shall include the following;
• Plans shall be on standard 24"x 36"paper, drawn to scale with dimensions and north arrow.
• Site and Floor plan with cross sectional and exterior elevations.
• Location of occupancy and/or area separation walls,partitions,stairway enclosures,concealed spaces,etc.
• Cut sheets and/or references for all new devices.
• Location/description of all new and existing devices.
• Battery calculations.
• Wiring diagrams per floor or zone overlaid on an accurate floor plan.
• Electrical riser diagram showing all zones,circuits,devices,and end—of—line resistors.
• Hydraulic calculations.
• Copy of Contractors bid.
Fees
The permit fee will be assessed based on the submitted contractor bid for the project or a minimum of$168.50.
A plan review fee will be calculated at 65%of the permit fee(minimum$109.50)and is due upon submittal of permit application.
Contractor's Affidavit
I certify that I am a currently registered contractor in the State of Washington. I am aware of the ordinance requirements regulating
the'workW which the permit is issued and certify that all work will be in compliance with this ordinance. No changes will be made
witho fi obtaining prov om the Mason County Fire Marshal.
BY. Date ' T l
Range Hood Systems Report
SERVICE COMPANY DATENEF�,yIC� TIME A.M. P.M.
coo ANNUAL SEMI;tN>AL RECHARGE INSTALLATION RENOVATION
LOCATION F SYSTEM CYLINDERS
Bill's Fire '.A. `e;vic�
P.O. Box 3005 FACTURER MODEL NUMBER WET MICAL
Bremerton, WA 9 T
0 _SuL DRY E
Phone: 3 7 1 _8 s 3�i CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
CUSR FUSE LINKS 360'F. FUSE LINKS 450°F FUSE LINKS 500'F OTHER
Name / FUEL SHUT-OFF ELECTRIC GA SIZE
Add
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
city t t- l
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER:
Owner or Manager
COOKING APPLIANCE LOCATION EFT TO RIGHT
1. All appliances properly covered w/correct nozzles _� 20. Replaced fuse links
2. Duct and plenum covered w/correct nozzles 21. Check travel of cable nuts/S-hooks
3. Check positioning of all nozzles. C�� 22. Piping & conduit securely bracketed t
4. System installed in accordance w/MFG UL listing 23. Proper separation between fryers & flame
5. Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order
7. If system has been discharged, report same 26. All filters replaced
8. Pressure gauge in proper range (If gauged) 27. Fuel shut-off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date 30. System operational & seals in place
12. Inspect cylinder and mount J 31. Slave system operational Qh4 _
13. Operate system from terminal link 32. Clean cylinder& mount
14. Test for proper operation from remote 33. Fan warning sign on hood
15. Check operation of micro switch 34. Personnel instructed in manual operation of system
16. Check operation of gas valve /�- 35. P oper hand portable extinguishers
17. Clean nozzles 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place - 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS: ) C C/VV e
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On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above.
i
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM FtISTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found cond tion o be as indicated on this report.
V Brooks Equipment Company,Inc.
AUTHORITY HAVING JURISDICTION
NORTHWEST FIRE AND MECHANICAL, INC. Refile ( )
P.O. BOX 553 1-425-432-6968 1-360-886-8123 FAX Invoice No.
RAVENSDALE, WA 98051-0553 1-360-886-1794 1-206-817-7997 CELL 32121
Contractor License#NWFIRFM971 KK _
SOLD TO DATE SERVICE INTERNAL
�1 MO❑ OTRLY❑ SEMI YRLY❑
SERVICE& �3 `,�p— �`� . 3 (�> CASH ❑
LOCATION (1 V y� ,J
CITY COUNTY,/ STATE !� ZIP i p CHECK ❑
/ IG ACCT. ❑
SALESMAN%�,,,,,,,;_0 PURCHASE ORDER NO. AUTH.SERVICE I DAY&TIME INIT. POSITION PHONE TERMS:
DUE NOW
UNITS Sur-Charge for Truck Stop minimum$5.00 to$20.00 maximum FAX PRICE AMOUNT
1
tOAA
WET CHEMICAL(TEST DATE )
DRY CHEMICAL TEST DATE
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DZZ
PC
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Systems Service (BRAND ) (SIZE ) (TEST DATE
Systems Service BRAND SIZE (TEST DATE /
SERVICED PER NFPA#17 `&WASHINGTON SURVEYING & RATING BUREAU
-Fusible Links
ITEMS OK ATTENTION REQUIRED AS FOLLOWS
1. Gas Valve ❑ ❑ Fib -I 1 ,
2. Contactor ❑ ❑ Fv-iA j4 ci
3. Nozzles ❑ ❑ l2
4. Detection ❑ ❑
5. Remote Release ❑ ❑
6. Other- Cleaning, etc. ❑ ❑
7. Draft System Diagram and/or Service Report Sent to Confidence Test Department
8. An H Js�o
Insurance Co. Phone U I Sub Total
Address Preferred Day M Tu W Th F I Truck Stop
am
City, St Zip Best Time pm NON-TAX xxxxxxxm
SETT SERVICE REPORT BE ❑A ent N O IINSURANCE OMPN AMOUNT
❑AUTOMATIC APPROVAL THANK YOUSERVIC TAXABLE
All equipment whether, customer pickup, delivered and/or installed remains the property of Northwest SUB-TOTAL
Fire and Mechanical, Inc. on a Lessor to Lessee(Customer) basis until the terms of this invoice/agree- TAX RATE
ment are satisfied. Any and all monies paid on repossessed equipment will be considered forfeited
damages. Accounts referred to collection will be charged reasonable attorney's fees. Interest at 1.5% .0
per month, 18% per annum $5.00 minimum will be charged after 10 days&each 30 days thereafter. On
account receivables under$35. not paid in 10 days, will be billed at$35. plus tax, signature required. TOTAL