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HomeMy WebLinkAboutPP - 17951 SOUTHCENTER PKWY - FIRE STATION 51 - PERMITS AND PLANS17951 SOUTHCENTER PKWY ASSOCIATED PERMITS 16-19 19-S-202 D18-0321 19-F-180 Date: 3/28/19 Tukwila Fire Department OPERATIONAL PERMIT By virtue of the provisions of the International Fire Code adopted by City of Tukwila Ordinance, City of Tukwila located at 17951 Somhcenter Parkway 16-19 having made application in due form, and as the conditions, surrounding, and arrangements are, in my opinion, such that the intent of the Ordinance can be observed, authority is hereby given and the PERMIT is granted to operate an air -supported temporary membrane structure or a tent having an area in excess of 400 square feet (37 m'), or a canopy in excess of 700 square feet (65 m0) per section 105.6.43 of the International Fire Code. This PERMIT is issued and accepted on condition that all Ordinance provisions now adopted, or that may hereafter be adopted, shall be complied with. THIS PERMIT IS VALID FOR -March 30, 2019 - This permit does not take the place of any License required by law and is not transferable. Any change in use or occupancy of premises shall require a new permit. Fire Marshal THIS PERMIT MUST BE POSTED ON THE PREMISES MENTIONED ABOVE. T.F.D./F.P. 92 CITY OF TUKWILA FIRE MARSHAL'S OFFICE 6300 Southcenter Blvd., #209 Tukwila, WA 98188 206-575-4407 Email: FireMarshal@tukwilawa.gov Tent Permit Application To erect or operate a tent or air -supported temporary membrane structure having an area in excess of 400 square feet, or any canopy in excess of 700 square feet. (I.F.C. 105.6.43, Ch. 24) You will need to submit the following at least 48 hours in advance: 1. Two sets of scaled site plans showing the dimensions of the tent and its location on the property relative to any buildings, driveways, parking or sidewalks. Also, show the area around the tent that will be cordoned off. If the tent has sides, show the location of the exits. Also, indicate where the fire extinguishers will be located. 2. Submit a copy of the certificate that shows that the tent has been treated with a flame retardant. 3. If you have a generator or propane tanks, you may need other additional permits. Business Name of the Permit Applicant: C Applicant's Business Address: City: -1.AKA At -14- 2.00 SoUI'vSoKleJova State: 1n/P- Zip: I`k43y, /' Contact Person: N-11LOLF LoPOair+Sr-1 Telephone: 2010—' 2--1o231 Location Address where the tent will be set up: (-0 - 40- S t'.' '. j tt' Prnrc.wa y i Soatvr IQctn 4} Dates the tent will be in operation: 3 / 30 J How many tents total: 3' The permit fee is $150.00 per tent. You will need to call the Tukwila Fire Marshal's Office at 206-575-4407 to arrange for an inspection after the tent is installed. The inspector will bring your permit with him. Tent Permit Application.doc Rev. 3/12/14 T.F.D. Form F.P. 14 jot 05 12 09:51a ALLIXANDER QErtifiratc of lam Oats Manufectard 03/15/2011 1'1 AZTEC TENTS 7665 COLUMBIA ST TORRANCE, CA 90503 (800) 228-3687 This alp certify that the materials denc;inen helow Yave been Ffalle -sterile:1r :reams ;or are inherently flame retardant). ALEXANDER PARTY RENTALS 11.27 ANDOVER PARK W. Seale -De, WA 98158 • CertificationA hereby made that the ar01c15silesr„t19ed.beJcier Luta:A.1m mapo frovialrflemeiretaTileot rebels Lr errigirie registered mei approves by dee Calltornia Stale Fire Marshal for cich use. TO, reffre nes bezn felled and passes APPA 100 Large Scale. See chart :0 eget for trade risme of Name-resitant raLinc or rharenoi used are adoinceleLy referenced ori the iAbei of the fabric panel. THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING 20628.34545 p 2 Ota IT C C RAGE: INV Ni/MSER, 0183411 P.O. NUMBER: CUSTOMER NO: ALEXAWA Darid Bradley licr. Fitp.citon Svpalliste-rtion, ITEMS MANUFACTURED 1.0x20 Solis Well- LW tsor General Manager- Manufacturing riee of Apo, ret., P.O.Cifor, Suyastnet*,t TYPE FRCDUCEC City of Tukwila Temporary Special Event Permit Application You May Email Application To: Tem S•ecialEvents@TukwilaWA.rov Or You May Deliver Application to: City of Tukwila, Fire Marshal Office, 6300 Southcenter Blvd, Ste 209, PH# 206-575-4407 No Fee for Event Application. A permit fee Please allow 10-15 business days Event Contact Information Name of Organization Sponsoring Event: City may apply depending on event. for issuance of permit. ' ASSIGNED PERMIT # q of Tukwila Date of Application: 3/13/2019 City of Tukwila Business License: UBI# Event Contact Name: Rachel Bianchi, Deputy City Administrator Phone # 206.454.7566 Email Address: racheLbianchi@tukwilawa.gov Mailing Address: 6200 Southcenter Blvd Event Back Up Contact Name: Cheryl Thompson, Exec. Assistant Phone#206.433.1850 Type of Event -e SldewatktPa king lo Type of Event: FS51 Groundbreaking Email Address: cheryl.thompson@tukwilawa.gov le, Live Musical Performance Carnival, Block Party, organized walk, run, bike ride, etc. SCALED SITE PLAN OF EVENT IS REQUIRED ATTACH BROCHURES / FLYERS / POSTERS OR MAILING ADVERTISEMENT t ANNOUNCEMENT OF EVENT Dates of Event: March 30, 2019 Hours of Operation: 8 AM - 12:30 PM Number of Event Volunteers: 15 Address/location of event: Empty Lot at S 180th and Southcenter Parkway Will the event be held at any time during non -day light hours: N Private Security provided: N Will the event be held indoors or outdoors: O utl l On rs In Parking lot: On Sidewalk:: Streets, Trails and Parking — Attach Trail route, Parking Plan and location maps, written narrative of traffic Will streets need to be closed: N Will any portion of a City trail need to be closed: N What trail? If Yes, what streets and for how long: When and how long: Trail route/site plan required Parking; On street: Off street: If yes, what streets will be used: In movie theater parking lot How will parkingnbe directed / contr.-lied: Directional signs Live Music or Amplified_ Sound or Voice — TMC Noise Code 8.22 — Refer to Code for Complete Information TMC Noise Code; allowable times 7am — 10pm Monday through Friday Sam — tapirs Saturday and Sunday Use of PA System? Yes If DJ; Name of DJ: n/a If live music event / performance — Name of performer / group: Start Time: 10:00 AM Step Time: 10:45 AM City of Tukwila Temporary Special Event Permit Application - page 2 SCALED SITE PLAN REQUIRED TO SHOW LAYOUT OF EVENT ASSIGNED PERMIT # Restroom / Washing Facilities Permanent Restroom Available: YES LINO and Garbage Collection and Disposal Hand Washing Portable Restroom: YESINOII Station: YES NOE Garbage Receptacles: YES 2 NO Qnty: 2+ Garbage Collection and Disposal Plan: city staff onsite will collect trash and dispose in City dumpster Electrical I Propane / Gas Usage — location must be included in scaled site plan -- Using liquid propane gas / open flame: YES ❑ NOE For cooking: El For heating: Portable generators used: YES4OType: Cord & Plug[] Hardwire Temporary Structures — location must be included on scaled si Tents: YES 4 NOD Qnty: 1 Dimensions, including height 30 Electrical Service for / at the eyetyt, includilt use of power / extension cords: YES NO y e plan X40, Trailers / Cargo Containers: YES El NO❑ Onty: Dimensions, including height: Temporary Stages: YES© NO■ Qnty: 1 Dimensions, including height: 4rx4rx24" Scaffolding: YES❑ NO© Temporary Water Meter needed: YES El NO .._ - .._.. _. _.._ ._ ... Selling !Serrving - Food I Alcohol Selling I Serving Alcohol: YES ■ NO © WA State Liquor Lic. # Selling / Serving Food: YES J NO ❑ King County Food Permit # RCW 68.50.445(1) STATES THAT IT IS UNLAWFUL TO OPEN A PACKAGE CONTAINING, OR CONSUME, MARIJUANA, MARIJUANA - INFUSED PRODUCTS OR MARIJUANA CONCENTRATES IN VIEW OF THE GENERAL PUBLIC OR INA PUBLIC PLACE Event Entertainment - Motorized Carnival Inflatable Floats: YES 111 NO vehicles: YESE NO© Rides: YES 1111 NO rid Bouncers: YES El NOE Fireworks: YES❑ NO © Booths/ Animals: YES ■ NO © Types: Vendors: YES El NO Signage — criteria for temporary Temporary BannSigns ers YES 2 NO ■ signage to be followed — max 2 signs, up to 64sgft total, shown on site plan Qnty: 3 Dimensions: 3'X 10' Objects AnimatedWind YES Ei NOE Searchlights: YES❑ NOE CHECKLIST Completed Application Scaled Site Plan Event Flyers / Brochures Insurance — If Required The applicant may be required to procure and maintain proof of minimum insurance 1 full business day prior to the event and for the duration of the event naming the City of Tukwila as Primary and Non-contributory Additional insured. Applicant also agrees to defend, indemnify and hold the City, its officers, officials, employees, representative and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or in connection with activities or operations performed by the Applicant or on Applicant's behalf out of issuance of this Permit, except for injuries and damages caused by the sole negligence of the City. Signature certifies acceptance of terms and information provided is accurate: Date 03/13/2019 FIRE PROTECTION BUREAU — PLAN REVIEW PO Box 42600 Olympia WA 98504-2600 (360) 596-3911 FAX: (360) 596.3934 CONTRACTORS' MATERIALS AND TEST REPORT FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work, inspection and test shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTYNAME ,( LtkWII /L St, t,:,,, CI DATE PROPERTY ADDRESS p :. Ii4S1 Ca. LC..,S4, 6krkwc .' , i ly )A! j (I 1T3198 ACCEPTED BY APPROVING AUTHORITIES (NAME) - 1,1wllG F,'rt - PLANS ADOREss INSTALLATION CONFORMS TO ACCEPTED PLANS 1E1 YES 0 NO EQUIPMENT USED IS APPROVED '6# YES ANO IF NO. EXPLAIN DEVIATION INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTOL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? YES 0 NO IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTIONS ❑ YES 0 NO 2. CARE AND MAINTENANCE INSTRUCTIONS ❑ YES ❑ NO 3. NFPA 13 a YES` 0NO LOCATION OF SYSTEM f SUPPLIES BUILDINGS 5G GTI (vl c Y V -I bin 1 14i i N9 MAKE MODEL YEAR OF MANUFACTURE ORIFICE SIZE QUANTITY TEMPERATURE RATING TYco T•(113 ssv 2.019 VE. + .,S ISS- MYco Y y X), 335-5 P 2.0 19 1/z 15 5 SPRINKLERS Tern j"( 31 7 'Sy- 2D i -'j _ V (- b 766 7Yco T ( 313 SS t Zp VI L(T -7 2. g,b • rf ca i Y 3 2 3 55 P Zo 11 I/z. S1 1 SS PIPE AND -' TYPE,h,h,�OF PIPE /(' 0)gLLI c11 10 s- s'ar`i 9'0 FITTINGS TYPE OF FITTINGS / 6rvoacCf Co 1)ItVlc/i,}! ,A, t 4Q.Ci N l./Oh 1IIT 1 gel"- ,r, A', ( ALARM DEVICE L MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION .TYPE MODEL MINUTES SECONDS FLOW INDICATOR t S5' re 'S .(,MAKE Po (7 (,{ Qs a 10 DRY PIPE OPERATING TEST np /Q. Y / DRY VALVE QUICK OPENING DEVICE MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP THRU TEST CONNECTION WATER PRESSURE AIR PRESSURE TRIP POINT AIR PRESSURE TIME WATER REACHED TEST OUTLET ALARM OPERATED PROPERLY MW SEC PSI PSI PSI MIN SEC YES NO WITHOUT Q.D.D. WITH D.O.O. IF NO, EXPLAIN DELUGE S PREACTION VALVES Ain OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC PIPING SUPERVISED D YES D NO [ DETECTING MEDIA SUPERVISED 0 YES 0 NO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS? 0 YES 0 NO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? - 0 YES 0 NO IF NO, EXPLAIN DOES EACH CIRCUIT OPERATE SUPERVISION LOSS ALARM? DOES EACH CIRCUIT . VALVE RELEASE? OPERATE MAXIMUM TIME TO OPERATE RELEASE MAKE MODEL YES NO YES ( NO YES I NO TEST DESCRIPTION HYDROSTATIC: piping leakage PNEUMATIC: tanks at normal Hydrostatic levels shall be made at not less that 200 psm(13.6 bars)for Iwo hours of 80 psi (3.4 bars) above static pressure in Psi (10.2 bare)for two Nove5. Differential dry -pipe valva clappers shaft be left open during test to prevent damage. All aboveground shall be sopped. Establish 40 psi (2.7 bars) aV pressure and measure drop which shall 501 exceed 1 Si psi (0.1 bars)15 24 hours. Test pressure water level and air pressure and measure air pressure drop which shall not exceed 1 H psi (0.1 bars) in 24 hours '� TESTS ALL PIPING HYDROSTATICALLY TESTED AT - 6, FOR HRS IF N0. STATE REASON DRY PIPING PNEUMATICALLY TESTED D YES 0 NO EQUIPMENT OPERATES PROPERLY D YES 0 NO DO YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? D YES D NO DRAINREADING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDULE PRESSURE WITH VALVE IN TEST ' TEST ( CONNECTION PSI CONNECTION OPEN WIDE PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO S5B D YES 0 NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING D YES D NO IF NO, EXPLAIN BLANK TESTING GASKETS NUMBER USED [ LOCATIONS [NUMBER REMOVED WELDING WELDED PIPING D YES 0 NO IF YES. COMPLETE BELOW DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.0, LEVEL AR -3? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR -3? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE 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? D YES 0 NO D YES 0 NO D YES 0 NO CUTOUTS (DISCS) DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? DYES 0 N FUNCTIONAL FLOW TEST DOES AHI REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? D YES all NO WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? D YES D NO HYDRAUUC DATA NAMEPLATE NAME PLATE PROVIDED D YES D NO IF NO, EXPLAIN REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: SIGNATURES NAME OF SPRINKLER CONTRACTOR I DATE TESTS WITNESSED BY PROPERTY OWN ER OR REPRESENTATIVE A TITLE I DATE". j (7-fYDeo`Cov£2 // �,S`i FIRE PROTECTION BUREAU — PLAN REVIEW PO Box 42600 Olympia WA 98504.2600 (360) 596-391' ,1 FAX:' (360) 596-3934 CONTRACTORS' MATERIALS AND TEST REPORT FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work, insyrn,tion and test shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. - A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It Is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME ( p y 4' Qr� Aafjon T.,kw114 f oi-4 5"ft,frd,,, Ti Sy5is DATE PROPERTY ADDRESS LI6S1 C.o„)`'crH' ()Ea14 LV4Y` -T.L %WIk 1,J45�m. `Y IFP PLANS TH AccEPTEDeyAPPRovlNGAUORn s(NAME) Tkkwtif Fif4 ADDRESS INSTALLATION CONFORMS TO ACCEPTED PLANS ❑ YES Cl NO EQUIPMENT USED IS APPROVED O YES ONO IF NO, EXPLAIN DEVIATION INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTOL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? YES Cl NO IF NO. EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: I. SYSTEM COMPONENTS INSTRUCTIONS ❑ YES 0 NO 2. CARE AND MAINTENANCE INSTRUCTIONS D YES 0 NO 3. NEPA13 0YES _ONO LOCATION OF SYSTEM SUPPLIES BUILDINGS SG O ( N{ 4 ( G I i 4 i., MAKE MODEL OF MANY OR IFICE ORIFICE SIZE QUANTITY TEMPERATURE RATING .D 1 SY5a SPRINKLERS 9 i<S.ki pJn 7Yc0 'Y313 SS`t 1.019 (FL _ 7, is 1SS 7Y co 7Y X) 3 4 _ --co 19 `%z I S`Ic PIPE AND FITTINGS TYPE OF PIPE G4`V4n IZtJ 5.tL to Y 5.1, 40 TYPE OF FITTINGS /(� ] / J i j % r 6rosYc0 cu,,,10,jS / 1-1, R45 G0 v4M!'Lr.,¢/ t`I/{4 ( -1" J /4 ALARM VALVE OR FLOW INDICATOR 1 ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL -MINUTES SECONDS — 3000.4 10 Page 1 4A DRY PIPE OPERATING TEST - DRY VALVE. - QUICK OPENING DEVICE MAKE MODELSERIAL NO. - MAKE MODEL SERIAL NO. 01'Seo S -v 1 TIME TO TRIP- THRU TEST CONNECTION WATER PRESSURE AIR PRESSURE - TRIP POINT AIR PRESSURE , TIME WATER REACHED TEST OUTLET ALARM OPERATED PROPERLY MIN SEC PSI . PSI PSI MIN SEC YES NO WITHOUT 0.0.0. WITH 0.O.D. IF NO, EXPLAIN DELUGE & PREACTION VALVES OPERATION a PNEUMATIC 0 ELECTRIC 0 HYDRAULIC PIPING SUPERVISED 0 YES 0 NO 1 DETECTING MEDIA SUPERVISED 0 YES 0 NO DOES VALVE OPERATE FROM THE MANUAL TRIP ANDIOR REMOTE CONTROL STATIONS? 0 YES 0 NO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? 0 YES 0 NO IF NO, EXPLAIN MAKE MODEL DOES EACH CIRCUIT OPERATE SUPERVISION LOSS ALARM? DOES EACH CIRCUIT OPERATE - VALVE RELEASE? MAXIMUM TIME TO OPERATE RELEASE YES NO YES NO YES NO ai TEST DESCRIPTION HYDROSTATIC: ostal00 levels shall be made at not less tha4200 psi (13.6 bars) for two hours of 50 psi (3.4 bans) above static pressure in 0.2 bars) for two hours. Differential tl791Pe valve clappers shag be left open during test to prevent damepe. AB aboveground piping leakage shall he stoppepped.. - - PNEUMATIC: Establish 40 psi (2.7 bars) an pressure and measure drop which shell not exceed 1 )4 psi (0.1 bars) 1024 hours. Test pressure tanks at normal water level and alr pressure and measure air pressure drop which shall not exceed 1 140_ 0.1 bars) in 24hours TESTS ALL PIPING HYDROSTATICALLY TESTED AT "ZOO FOR X. HRS DRY PIPING PNEUMATICALLY TESTED 0 YES 0 NO EQUIPMENT OPERATES PROPERLY Q YES .0 NO IF NO, STATE REASON DO YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? 'YES 0 NO DRAIN READIN OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDULE PRESSURE WITH VALVE IN TEST TEST CONNECTION: PSI CONNECTION OPEN WIDE: PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO 8513 D YES O NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES 0 NO IF NO, EXPLAIN - - BLANK TESTING GASKETS NUMB USED - § LOCATIONS NUMBER REMOVED WELDING WELDED PIPING PES 0 NO IF YES, COMPLETE BELOW DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR'3? ' DO YOU CERTIFYTHAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.5, LEVEL AR -3? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE 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? _ 15ii YES O NO 0 YES 0 NO 0 YES 0 NO - p' CUTOUTS - (DISCS) DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTSSDISCSLARE RETRIEVED? 'Si YES O NO FUNCTIONAL FLOW TEST DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? 0 YES 0 NO WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? 0 YES 0 NO HYDRAULIC DATA NAMEPLATE NAME PLATE PROVIDED 0 YES 0 NO IF NO, EXPLAIN REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: SIGNATURES NAME OF SPRINKLER CONTRACTOR CONTRACTOR LICENSE # DATE TESTS WITNESSED BY PROPERTY OWNER OR REPRESENTATIVE I TITLE DATE - YDL / Cav .r��rf (/U/20 3000450o01vu, Page 2 TUKWILA FIRE MARSHAL'S OFFICE Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal@tukwilawa.gov CONTRACTORS MATERIAL AND TEST CERTIFICATE FIRE ALARM AND FIRE DETECTION SYSTEMS Fire alarm System is ready for Fire Department acceptance testing. Failure of test will result in termination of the testing and additional fees will be assessed. Contractor is responsible for supplying manpower for Final Acceptance Test with two-way communications. Date 6-8-2020 Permit # Property Address 17951 South Center Parkway Suite # City TUKWILA Name of Facility Tukwila Fire Station 51 Zip Code 98188 Occupied as Fire Station Owner or Representative Phone # Installing Company Red Hawk Fire & Security Installing Contractor's Address 21312 30 Drive SE, Suite.103 City Bothell Phone # 425-486-2600 Installer's Name (PRINT) Mike Seresun License and/or Certificate SERESM'0070N General Contractor Lydig Electrical Contractor McKinstry FACP Equipment Manufacturer Notifier Model # NFS-320 This system has been installed, pre -tested and operates in accordance with the standards listed below and was inspected by Mike Seresun On (date) 6-8-2020 and includes the devices listed on back. Circle all that apply: NFPA 72, Chapter 1 2 4 5 6 7 and/or IFC SEC 907 NFPA 70, National Electrical Code, Article 760 Manufacturer's Instructions Manufacturer's Instructions Other (specify) Tukwila City Ordinance Numbers 2050, 2051 UL Central Station oni r LACAES1E85B SIGNE System is monitored by Stanley System Firmware: Installed version v10.5 Initial program Installation Checksum NA Date 6-8-2020 Revisions and Reasons Date 6-8-2020 Date Programmed by Mike Seresun EQUIPMENT INSTALLED AND TESTED: Control Panel 0 of 1 Make/Model Notifier NFS-320 Manual Station 11 of 11 Make/Model Notifier NBG-12LX Smoke Detectors 26 of 26 Make/Model Notifier FSP -951 Heat Detectors 1 of 1 Make/Model Notifier FST -851 Duct Detectors of Make/Model A/V Devices 43" of 43 Audio Devices 25 of 25 Visual Devices 18 of 18 Auto Door Release of Trouble Indictors 2 of 2 Batteries Make/Model System Sensor Make/Model System Sensor Make/Model System Sensor Make/Model Make/Model Notifier panel and remote annunciator Readings Battery Full Load ,fS, Charge ;26.9 Generator of Make/Model HVAC Controls of Make/Model Fire Alarm Dialer 1 of 1 Make/Model Notifier UDACT2 Monitored by Stanley Annunciator 1 of 1 Make/Model Notifier FDU-80 ❑ Sprinkler System. (Fire Alarm connections only) Water Flow Sw. 3 of 3 Make/Model Potter Valve Tamper Sw. 7 of 7 Make/Model Potter PlV 1 of 1 Elec. Alarm Bell 1 of 1 Make/Model Potter Make/Model System Sensor Automatic time Delay of Water Flow Alarm 30 seconds. None Installed Do you meet audible/visible requirements of WAC 51-20, IFC SEC 907., and/or NFPA 72 Chapter 6? Yes x No Test of alarm System on emergency power, satisfactory? Yes x No Test Witnessed by Mike Seresun Title Field Foreman Comments: Date 6-8-2020 Fire Alarm Certificate.doc Revised: 6/17/14 TED FE Form P110 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit /9-5 -2-02-- / z.oal PERMIT NUMBERS 9-F- .0 CITY OF TUKWILA FIRE DEPARTMENT ' 41 ¥ � 206-575-4407 S A3 Project: r Ss / Sprinklers: Type offInssp ction: 1, Address: Suite #:/7157 `jli('(A.� Contact eP rs: Special Instructions: Occupancy Type: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sprinklers: Fire Alarm: Hood & Duct: j Pre -Fire: p '` / ,emen,7 — rn3 (/i -.,- 4'12) Occupancy Type: ,.- // _E L eeitt / ,1f //VII( // --Z/fe / ' 4 779 -iv, e -7,--"/,„,,,,_ - ... ! ,." . J Od ° ��. %` - p-/ ��,, — %rte A /2�,>, Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: I State: I Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 J Project: -,Type iC. 57141/Orl 5 I' of Inspection: t ifCO 1/4 Address: i `y Suite #: 1792CWrk 1n�� Contact Person: c5f Special Instructions: Occupancy Type: Phone No.: FAL Approved per applicable codes. Corrections required prior to approval. COMMENTS: iiimtimmeimmo 111111 IMIRIC411.4CFAM,P2MMMTASM111111111111111 Needs Shift Inspectio : Sprinklers: Fire Alarm: Hood & Duct: Monitor: n Pre -Fire: Permits: Il I Occupancy Type: Inspecto Date: )1/3 At) H $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: I State: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 EVENT LAYOUT EM -50, Fire Engine, Touch a Truck, Public Warks truck, kids activities - Chairs ("25) • Podium, stage and chairs Pile of dirt for shovel ceremony Tables Porta potty Hay efor accessibility Wayfinding IS -frames u Safety cones A rP info, enderings, etc. Food and refreshments 10x10 ten vi/banner. 11001 aI600O 6LOZOO elep deyy '0oo06LOZ® Aia6ew1 ssaJppe awoy a laS sdeW apooc9 Oct 051209:510 ALEXANDER RENTALS 2052834545 p.2 et e Dale Man e. tauu PAGE:, rcc AZTEC TENTS 03[15/2Ci11 - 2668LOWMSSp.ST INV NUMSEp:. 01054L?: TORRANCE.CA'44503 P.O. NUMBER; 18007 228-3697' CUSZoMER: Nq; ALEXAWA a to certify that the materialsdtstrlbed bei5w area Seen, ifag,e' retaftlaea YF..(or ere Inherently flame' retardant". ALEXANDER PARTY RENTALS .,e... 1127 ANDE3VR PARK W. • Seattle, WA 98108 ceft,sce9ort istrereby made that the ertctes.descr edbefpw.herecLare matte horn ThamehMtaltrant tabrlc Sriitaane,ceolst0red Ohd'ap5rnve0•by the CafiFore5laSYdte Fire Harsher tor 00chlore. The tayrirhea beta tont d and Pastan tIFPA. 702 tare -scare, See chart to right tar trade name 01 (tame-ce tstant fabrics material used and edolttotally referenced on the tebet tlf:Y1,e fabric pane). LAME RETARDANT PROCESS USED W3LL NOT BE REMOVED DY Wt David Bradley General Manager-Adaabfac2{ttio rer'renuenon 5Veermmwent totar Pmnvmen .tottneentett 10x211 solid' Nail- tow