HomeMy WebLinkAboutPP - 5600 S 152ND ST - NEWPORT HEIGHTS APARTMENTS - PERMITS AND PLANS5600 S 152ND ST
ASSOCIATED PERMITS
16-F-242
SITE LOCATION
CITY OF TUKWILA
FIRE MARSHAL'S OFFICE
206-575-4407
FIRE PROTECTION SYSTEMS PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
**PLEASE PRINT**
King Co. Assessor's Tax No.: 1157200210
Site Address: 5600 S 152nd St, Tukwila, WA 98188 Suite Number: Bldg 7 Floor:
Tenant Name: Newport Heights Apartments New Tenant? ❑ - Yes El- No
Property Owner's Name: Woodspear Newport Hgts, LLC
Mailing Address: 5600 S 152nd St Tukwila WA 98188
City State Zip
CONTACT PERSON -if there are questions about the submittal.
Name: Howard Williamson Day Telephone: 206-575-1962
Company Name: Froula Alarm Systems, Inc.
Mailing Address: 861 Industry Drive
Tukwila WA 98188
E-mail Address: howardw@froulaalarms.com
City State Zip
Fax Number: 206-575-8168
82289 Contractor's City of Tukwila
NICET III number: Business License number: BUS -0101273
Total number of new/relocated devices or sprinkler heads: 1
Valuation of Project (contractor's bid price): $ 2,400
Scope of Work (please provide detailed information): INSTALL lEA GSM SINGLE PATH COMMERCIAL
COMMUNICATOR TO EXISTING FIRE ALARM SYSTEM
PERMIT APPLICATION NOTES
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Fire Marshal to comply with current fee schedules.
Expiration of Plan Review -Every permit issued shall become invalid unless the work on the site authorized by such permit
is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or
abandoned for a period of 180 days after the time the work is commenced. The Fire Marshal is authorized to grant, in
writing, one or more extensions of time, for periods not more than 180 days each. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OR WASHINGTON, AND I AM AUTHORIZED TO APPLY
FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: —V f%[ esawr�
Howard Williamson
Print Name:
Plan Permit App.doc
Date: 11 /15/16
Day Telephone: 206-575-1962
8/22/14 TFD FP Form 8
I
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
J r 24-- tM . Bio
Type ofI spection:
%— ,•1
Address: N��
Suite #: 'MR) 5, /5
Contact Person:
.HPJ
Special Instructions:
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
//0-- 6N1(1–t /V190--oveb
Em4.-t7.-6-r- i"-Svt-T 76 2 47voy, AJfvEsse T-2/twi44-e,v/4-
Needs Shift Inspection:
ltQ,ej
Sprinklers: y -4
Fire Alarm: ye67Hood
& Duct:
Monitor:
Pre -Fire: iveeds
Ov - - -
Permits:
Occupancy Type: �,-Z
Inspector:
Date: 3/7,411 -
Hrs.:
$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:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
CORRECTION NOTICE/REINSPECTIUN FEE
Inspector: % Permit number:
TUKWILA FIRE MARSHAL'S OFFICE
Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshaltukwilawa. ov
Business Name: , ah°,ff glibiS
Type of Inspection: L
Location Address:Date
G j S. /.S2 - r
:
f0 2 /f 7
Contact Person : 3/1474
Phone No 0406,) Z
ACTION REQUIRED
.49V4 ihyor 4007' 6,1r/ 2 ‘Arr;r0 V , X ,
A
— Cr'l-otri4 G r / Ze,tle 0(41041 61)'"r4 ACif 45-
/0 c"11 6 -Ale-
- On/6e- A -t- .*P•lZ /5 to c..97/-eal Aplol7f- lit.t:
G.eAlC
W7
Ve was )
CORRECTION OF THE ABOVE ITEMS ARE REQUIRED BY : / if / 7
FAILURE TO COMPLY MAY RESULT IN THE ISSUANCE OF A C MI AL CITATION/TICKET.
Signature:\J.
Billing/Mailing Address :
44.t3 .r-1
Attn:
Company Name:
Address:
City:
State:
Zip:
❑ A $100.00 Reinspection Fee is required. You will receive an invoice from the City of Tukwila Finance
Department.
❑ Ticket Issued. Citation #
Correction Notice Reinsp Fee2.doc
Revised 6/17/14
T.F.D. Form F.P. 100
03/07/2017 03:22PM 2065758168
FROULA ALARM #r- �/(J /I PAGE 01/02(
'i b l � • 7 • �' ,- , rig` t > .
111 iil�
TUKWILA FIRE MARSHAL'S OFFICE
Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal®tukwilawa.gov
CONTRACTORS MATERIAL AND TEST CERTIFICATE
LAIFIRE 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.
• 7 2c /-%
Date../c-• Permit # ��;' " � � �•� i =►C
Property Address o6I7 , �7 `"� - ] Suite # 5L12 7;t -
City �LA Zip Code 1 ,¢
Name of Facility VVPt ifeg-fir5
Occupied 'i.t.' Me I ei1?7
Owner or Representative dgf• v' �C 1 ��.• !-j Phone # '6 .? 4/39'6 cir
f f• i- 7 S
iL )y`2TF'1: ar'
Phone #'>, � t' 7 2...
Se; l J cc (.r --'E-'.1•7
Installing Company
Installing Contractor's Address
City I :-iv IA)
Installer's Name (PRINT)
License and/or Certificate. L• ..p
General Contractor
Electrical Contractor fir.. ,����f �••
FACP Equipment Manufacturer Si I f'. l r 7 t� /'
,� `.;� J 7` u '. A 6„ L 1,-:-/e67-
Model #
This system has been installed, pre-teged an4 operates in accordance with the standards listed below and
was inspected by Tb H 12a. k� 6•i
On (date) and includes the devices listed on back.
Circle all that apply:
NFPA 72, Chapter 12 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
LTi. Central Srl= onitor-o 05-33g g System is monitored bytiV ti,! 4A4j 'cd/4' Lei re,
SIGNED /'�L'•� Date
System Firt16ware_ J r— / -� /
Installed version � ._Ch ks4: •( C / 4/Da_fs?`w-.
Initial program
�I-
Installation Date
Revisions and Reasons6xv ri c_ t::! f C( frt tel- („7:_;e_ G —
03/07/2017 03:22PM 2065758168 FROULA ALARM SYSTEMS
Fc j r7 :2-c[7frouia.
EQUIPMENT INSTALLED AND TESTED:
Control Panel — of Make/Model
Manual Station — of Make/Model
Smoke Detectors of Make/Model
Heat Detectors_ of _ Make/Model
Duct Detectors of Make/Model
A/V Devices of Make/Model
Audio Devices — of — Make/Model
Visual Devices _ of Make/Model
Auto Door Release _ of Make/Model
Trouble Indictors of_ Make/Model
Batteries
Readings Battery Full Load
Generator of
HVAC Controls ,S — of,�
�.-..^- Fire Alarm Dialer of I
Monitored by —� Annunciator o Make/Model
or'ZQ
PAGE 02/02
Charge
Make/Model
Make/Model �
Make/Model4a16ittie r al;
Sprinkler System. (Fire Alarm connections only) �'`'
Water Flow Sw. % of Make/Model f j� e r f J X/5,774/
Valve Tamper Sw. — of — Make/Model
PlV of _ Make/Model
Elec. Alarm Bell of Make/ModeI
Automatic time Delay of Water Flow Alarm seconds one Ins
Do you meet audible/visib
Yes No
is of WAC 51-20, IFC SEC 907., and/or NFPA 72 Chapter 6?
Test of alarm System on emergency power, satisfactory? Yes( No —
Test Witnessed by Title Date
Comments:
Fire Alarm Certificate.doc
Revised: 6/17/14
TFD FF Form #110
L
King County
MNG COUNTY ZONE 3 FIRE WATCFI FORM
I IRE WATCH INSTRUCTIONS
1. Do not reset the alarm if alarm cause is likely a system malfunction.
�. Silence alarm if needed and direct the responsible party to request a servrcc call.
3. Fill out all portions of the Agency Copy.
4 On the Site Copy:
a. Fill out the incident number and
h. Identify the tire watch frequency.
c. Circle the appropriate follow -up agency
d_ Identify which system is out-of-ser\ice.
;. Leave the Site copy w ith the responsible party. >f, Ir ��
6. Identity the person this li+rm Um was lett with. �J
ei
7. If the Fire Watch was declined, identify the name of the mdtvidual who declined the fire
watch.
8. Was the building secure when you left? iYes C7 No If not, please explain what actions
were taken. _ _
9. Post placard if unable to contact a responsible party and/or when notification to building
occupants is important. Fire watch placard posted? Y /
10. Scan and Email the Agency Copy to the appropriate Fire Marshal's Office.
I l . Include Agency Copy with your fire incident report.
INCIDENT #: 050'6
REASON FOR FIRE WATCH: Ot y'-' - e - -o
I
(Orr` u �-e jSDC -GAI -Q Uy-) al) le
SYSTEM OUT OF SERVICE:
Sprinkler % ire Alarm [ 1 Monitoring ❑ Other Suppression Cl Other
RESPONDING UNIT/COMPA
yY OFFICER:/-/cc.,0--
Evcos g 5
n ys
BUSINESS NAME: NQJocA HeL,9)(4-1-5 ' a�
BUSINESS ADDRESS: _ 56 S 15 at S4
BUSINESS PHONE: 2c)"?-)- 252- - 05/1
BUSINESS CONTACT AND PHONE NUMBER: g 60
QCT NAME/SI 'NATURE:
rtC ..
(1P'fr)4,\ 01 NO
Feb 12 19, 14:08 Newport Heights Apt
2062439029 p.1
NA -4C 0 •
City of Tukwila
Fire Department\)G4AJN A Viko, : 3O t
FIRE WATCH REQUIRED c2
, ctv-A-saci2owlog4S5t&a.s
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverse side). The fire watch shall be maintained until the system(s) are operational as determined
by the Tukwila Fire Marshal's Office. FAX paperwork to 20n6o d �39e tod verify tre he
completion of
repair work and/or the restoration of system monitoring,
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be,ori location aiidmust patrol the building following the close of
business. Every two hours they must can 206-97i-8'1, 37'and leave a message stating the following:
1. Your name. '
2. Street address of firewatch location.
3. Time of day: , call
4. If everything is OK, state all clear. If you discover an emergency during your patrol
9-1-1 immediately to report it.
Date: -7!-- f .'Z . ' �` Inspectors: T/ -i --Start time: • -
•
i.
Reason For Fire watch: Incident #:
Business Name: ; — ••••i�' = ' '
' tti '
Business Address:Li
?�
t: r �1 ,
Business Phone: s • -
Person in Charge: t i s`
W — Fire Marshal's Office
st ;
Signature:
Rev. 7/29114
er!Manager
T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireVarshal a kwilawagor
City of Tukwila
Fire Department
INci bEi./74k lion 4+s[3
FIRE WATCH REQUIRED
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverse side). The fire watch shall be maintained until the system(s) are operational as determined
by the Tukwila Fire Marshal's Office. FAX paperwork to 206-575-4439 to verify the completion of
repair work and/or the restoration of system monitoring, in order to end the fire watch.
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be on location and must patrol the building following the close of
business. Every two hours they must call 206-971-8737 and leave a message stating the following:
1. Your name.
2. Street address of firewatch location.
3. Time of day.
4. If everything is OK, state all clear. If you discover an emergency during your patrol , call
9-1-1 immediately to report it.
Date: \ /\C( /fit Inspectors: C9194. C sz Start time: 0030
Reason For Fire watch: e n� -� 19)24- - 5
1
3\1 y ?1Vr fi plrc.i'^ {vp yn Sjtvi- crie*.
Business Name: N.
v A -f\-6 BO)
Business Address: S5.SQ S 1 SZ s t )0,
Business Phone: `i3- 9(6°3 , (zo .) 919 - M2_54
Person in Charge: S
W - Fire Marshal's Office Y - Owner/Manager
Rev. 7/29/14
T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal@tukwilawa.gov
/� /l it ,: � �s iv ,
l
FILE
City of Tukwila
Fire Department
FIRE WATCH RE0141
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverSeside). 'The fire Watch shall be maintained until the system(s) are operational as determined
byihe-Tukwila Fire Marshal's Office. FAX paperwork to 206-575-4439 to verify the completion of
repair work andlor the restoration of system monitoring, in order to end the fire watch.
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be on location and must patrol the building following the close of
business: Every two hours they must call 206-971-8737 and leave a message stating the following:
1. Your name.
2. Street address of firewatch location.
3. ;Tir e.o day.
4. If.eveWthju :is.OK, state. all clear. If you discover an emergency during your patrol , call
9: -1 immediately to reportit.
Date: tJ'
aoA
Insectors: ���! GVH Start time: 1�g3v
P � ,
Reason For Fire watch: //i fi Aler'
cident #: l 7
Business Name: N dea' 14,;9A14�7
158 ga? 17/
Business Address:
Business Phone:
ickz
Person in Charge: Arktaiii Signature:
W — Fire Marshal's Office
Y — Owner/Manager
Rev. 7/29/14 T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal@tukwilawa.gov
Crri OF T8KWIt A bRDINANCE #2437
SECTION 16.40.120-D
When monitorin of
g. an existing, system is.lost for any reason, afire watch
must be posted during iqn 7busines ,hours, : The fire watch person shall call the
rcorded: fire prevention, phone line at two=itour intervals confirming the al -clear.
status of the building.
CITY OF TUKWItA ORDINANCE #2436
SECTION 16.2.100-C
The Tukwila Fire Department shall be notified immediately of any
"impairment of the spririkfer system: The owner` shall be responsible €or'the
repair of the system, and shall maintain a 24-hour fire iiiatth until thesYsteni is
returned to normal condition. High hazard operation may be suspended until the
sprinkler system is back in normalcondition.
"�c
City of Tukwila
Fire Department
FIRE WATCH REQUIRED
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverse side). The fire watch shall be maintained until the system(s) are operational as determined
by the Tukwila Fire Marshal's Office. FAX paperwork to 206-575-4439 to verify the completion of
repair work and/or the restoration of system monitoring, in order to end the fire watch.
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be on location and must patrol the building following the close of
business. Every two hours they must call 206-971-8737 and leave a message stating the following:
1. Your name.
2. Street address of firewatch location.
3. Time of day.
4. If everything is OK, state all clear. If you discover an emergency during your patrol , call
9-1-1 immediately to report it.
Date: 5 l_ - 7 Inspectors: K. (2-ce.S/Ga/i U Start time: 06 SO
Reason For Fire watch: SPrz-Ive0- S`1S' t \ SNuT pOP/Incident #: 7- /4}65
Business Name: (N4CLNeo e_r 14(61 -TS Aer Bi- 06 4
Business Address: J Gr O D S I S 2. S 7 -
Business
Business Phone: 42-5 c, -7q Zi d 2 -
Person
Person in Charge: (1-0401-,no
PA 22!9 Signatt
W — Fire Marshal's Office Y — Owner/Manager
Rev. 7/29/14 T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarchal@tukwilawa.gov
February 12, 2016
Reliance Fire Protection
Jake Day
PO Box 428
Preston, WA 98050
Subject: Report on Sprinklers Sampled from the Following Location:
Newport Heights
5600 S 152Nd Street
Tukwila, WA 98188
UL Reference Numbers: G245491 FS#2299920
Dear Submitter,
UL has completed the sensitivity and functionality testing on samples installed in the referenced location.
The results of this testing is intended to assist interested parties including the local Authorities Having
Jurisdiction (AHJ) in accessing the operating characteristics of the sprinklers.
Please consult the local Authorities Having Jurisdiction (AHJ) regarding the interpretation of the test
results described in the attached Test Summary Table(s).
The following samples installed in the referenced location have been recalled and should be replaced:
Manufacturer
Model
Year of Manufacturing Range
Central
A-1
1975-2001
Additional details on sprinkler recalls can be found at the Consumer Product Safety Commission website:
htto://www.cosc.gov
In no event shall UL be responsible for whatever use or nonuse is made of the information contained
herein and in no event shall UL, its employees, or its agents incur any obligation or liability for damages
arising out of or in connection with the use or the inability to use information contained herein.
Thank you for your continued interest in UL's services and we appreciate your business. We look forward
in serving your future sprinkler submittals in accordance with the Standard for Inspection, Testing and
Maintenance of Water- Based Fire Protection Systems, NFPA 25.
UL LLC
333 Pfingsten Road, Northbrook, IL 60062-2096 USA
T: 847.272.8800 / F: 847272.8129 / W: Ut:com
Page 1 of 3
Should you should have any questions or comments,
Very Truly Yours,
\V.,.ts IL, 1,
Hector Salazar, Jr.
Field Sprinkler Coordinator
T: 847-664-2316
E: Hector.Salazarjr@ul.com
UL LLC
333 Pfingsten Road. Northbrook. IL 60062-2096 USA
T: 847.272.8800 / F: 847.272.8129 / W: UL.com
please feel free to contact the undersigned.
Reviewed by:
W -
Scott Dankert
Staff Engineering Associate
T: 847-664-2678
E: Scott.S.Dankert@ul.com
Page 2 of 3
Issue Date: February 12, 2016
Reference Number: G24549/ FS#2299920
Total Number of Sprinklers Received: 4
(4) sprinklers were submitted consisting of the following characteristics:
Manufacturer:
Central
Releasing Mechanism Type:
Pellet
Model:
A-1
Sprinkler Orientation:
Pendent
Sprinkler Type:
Dry
Special Sprinkler Features:
None
Water Seal Configuration:
Radial 0 -Ring
Response Type:
Standard
TEST SUMMARY TABLE 1
Sprinkler
Number
Location of Sprinkler
in System
Room
Environment
Temperature
Rating. 'F
Year
Marking
Nominal
K -Factor
Sprinkler
Condition
Releasing
Mechanism
Response
Time, sec.
Operation
Classification
364802-
Moderately
1
None given
None Given
165
1989
5.6
corroded or loaded
49.9
Normal
364803-
Mechanical
Abnormal - Not tested due
2
None given
None Given
165
1991
5.6
damage
- - -
to received condition
Abnormal - No release of
364804-
Moderately
water seal assembly at 7
3
None given
None Given
165
1990
5.6
corroded or loaded
47
psig
Abnormal - No release of
364805-
Moderately
water seal assembly at 7
4
None given
None Given
165
1990
5.6
corroded or loaded
49
psig
Sprinkler Condition: Please refer to the Standard for Inspection, Testing and Maintenance of Water -Based Fire Protection Systems, NFPA 25, for requirements and
information related to determining when sprinklers arc to be replaced. The Authority Having Jurisdiction (AHJ) should be consulted to determine when sprinklers need to
be replaced due to their condition. The referenced sprinkler condition is UL's visual observation of the received sample sprinklers.
Operation Classification:
Normal — Indicates sprinkler operation within the applicable time frame for the response type and temperature rating.
Abnormal - Sec Test Summary table for details.
Page 3 of 3
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DESCRIPTION
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1-5-84
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PREPARED BY
JOHN R. EWING AND ASSOCIATES
CIVIL ENGINEERING - LAND SURVEYORS
KENT, WASHINGTON
(206)852-6633
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5600 S 152ND ST
ASSOCIATED PERMITS
16-F-242
SITE LOCATION
CITY OF TUKWILA
FIRE MARSHAL'S OFFICE
206-575-4407
FIRE PROTECTION SYSTEMS PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
**PLEASE PRINT**
King Co. Assessor's Tax No.: 1157200210
Site Address: 5600 S 152nd St, Tukwila, WA 98188 Suite Number: Bldg 7 Floor:
Tenant Name: Newport Heights Apartments New Tenant? ❑ - Yes El- No
Property Owner's Name: Woodspear Newport Hgts, LLC
Mailing Address: 5600 S 152nd St Tukwila WA 98188
City State Zip
CONTACT PERSON -if there are questions about the submittal.
Name: Howard Williamson Day Telephone: 206-575-1962
Company Name: Froula Alarm Systems, Inc.
Mailing Address: 861 Industry Drive
Tukwila WA 98188
E-mail Address: howardw@froulaalarms.com
City State Zip
Fax Number: 206-575-8168
82289 Contractor's City of Tukwila
NICET III number: Business License number: BUS -0101273
Total number of new/relocated devices or sprinkler heads: 1
Valuation of Project (contractor's bid price): $ 2,400
Scope of Work (please provide detailed information): INSTALL lEA GSM SINGLE PATH COMMERCIAL
COMMUNICATOR TO EXISTING FIRE ALARM SYSTEM
PERMIT APPLICATION NOTES
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Fire Marshal to comply with current fee schedules.
Expiration of Plan Review -Every permit issued shall become invalid unless the work on the site authorized by such permit
is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or
abandoned for a period of 180 days after the time the work is commenced. The Fire Marshal is authorized to grant, in
writing, one or more extensions of time, for periods not more than 180 days each. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OR WASHINGTON, AND I AM AUTHORIZED TO APPLY
FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: —V f%[ esawr�
Howard Williamson
Print Name:
Plan Permit App.doc
Date: 11 /15/16
Day Telephone: 206-575-1962
8/22/14 TFD FP Form 8
I
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
J r 24-- tM . Bio
Type ofI spection:
%— ,•1
Address: N��
Suite #: 'MR) 5, /5
Contact Person:
.HPJ
Special Instructions:
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
//0-- 6N1(1–t /V190--oveb
Em4.-t7.-6-r- i"-Svt-T 76 2 47voy, AJfvEsse T-2/twi44-e,v/4-
Needs Shift Inspection:
ltQ,ej
Sprinklers: y -4
Fire Alarm: ye67Hood
& Duct:
Monitor:
Pre -Fire: iveeds
Ov - - -
Permits:
Occupancy Type: �,-Z
Inspector:
Date: 3/7,411 -
Hrs.:
$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:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
CORRECTION NOTICE/REINSPECTIUN FEE
Inspector: % Permit number:
TUKWILA FIRE MARSHAL'S OFFICE
Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshaltukwilawa. ov
Business Name: , ah°,ff glibiS
Type of Inspection: L
Location Address:Date
G j S. /.S2 - r
:
f0 2 /f 7
Contact Person : 3/1474
Phone No 0406,) Z
ACTION REQUIRED
.49V4 ihyor 4007' 6,1r/ 2 ‘Arr;r0 V , X ,
A
— Cr'l-otri4 G r / Ze,tle 0(41041 61)'"r4 ACif 45-
/0 c"11 6 -Ale-
- On/6e- A -t- .*P•lZ /5 to c..97/-eal Aplol7f- lit.t:
G.eAlC
W7
Ve was )
CORRECTION OF THE ABOVE ITEMS ARE REQUIRED BY : / if / 7
FAILURE TO COMPLY MAY RESULT IN THE ISSUANCE OF A C MI AL CITATION/TICKET.
Signature:\J.
Billing/Mailing Address :
44.t3 .r-1
Attn:
Company Name:
Address:
City:
State:
Zip:
❑ A $100.00 Reinspection Fee is required. You will receive an invoice from the City of Tukwila Finance
Department.
❑ Ticket Issued. Citation #
Correction Notice Reinsp Fee2.doc
Revised 6/17/14
T.F.D. Form F.P. 100
03/07/2017 03:22PM 2065758168
FROULA ALARM #r- �/(J /I PAGE 01/02(
'i b l � • 7 • �' ,- , rig` t > .
111 iil�
TUKWILA FIRE MARSHAL'S OFFICE
Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal®tukwilawa.gov
CONTRACTORS MATERIAL AND TEST CERTIFICATE
LAIFIRE 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.
• 7 2c /-%
Date../c-• Permit # ��;' " � � �•� i =►C
Property Address o6I7 , �7 `"� - ] Suite # 5L12 7;t -
City �LA Zip Code 1 ,¢
Name of Facility VVPt ifeg-fir5
Occupied 'i.t.' Me I ei1?7
Owner or Representative dgf• v' �C 1 ��.• !-j Phone # '6 .? 4/39'6 cir
f f• i- 7 S
iL )y`2TF'1: ar'
Phone #'>, � t' 7 2...
Se; l J cc (.r --'E-'.1•7
Installing Company
Installing Contractor's Address
City I :-iv IA)
Installer's Name (PRINT)
License and/or Certificate. L• ..p
General Contractor
Electrical Contractor fir.. ,����f �••
FACP Equipment Manufacturer Si I f'. l r 7 t� /'
,� `.;� J 7` u '. A 6„ L 1,-:-/e67-
Model #
This system has been installed, pre-teged an4 operates in accordance with the standards listed below and
was inspected by Tb H 12a. k� 6•i
On (date) and includes the devices listed on back.
Circle all that apply:
NFPA 72, Chapter 12 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
LTi. Central Srl= onitor-o 05-33g g System is monitored bytiV ti,! 4A4j 'cd/4' Lei re,
SIGNED /'�L'•� Date
System Firt16ware_ J r— / -� /
Installed version � ._Ch ks4: •( C / 4/Da_fs?`w-.
Initial program
�I-
Installation Date
Revisions and Reasons6xv ri c_ t::! f C( frt tel- („7:_;e_ G —
03/07/2017 03:22PM 2065758168 FROULA ALARM SYSTEMS
Fc j r7 :2-c[7frouia.
EQUIPMENT INSTALLED AND TESTED:
Control Panel — of Make/Model
Manual Station — of Make/Model
Smoke Detectors of Make/Model
Heat Detectors_ of _ Make/Model
Duct Detectors of Make/Model
A/V Devices of Make/Model
Audio Devices — of — Make/Model
Visual Devices _ of Make/Model
Auto Door Release _ of Make/Model
Trouble Indictors of_ Make/Model
Batteries
Readings Battery Full Load
Generator of
HVAC Controls ,S — of,�
�.-..^- Fire Alarm Dialer of I
Monitored by —� Annunciator o Make/Model
or'ZQ
PAGE 02/02
Charge
Make/Model
Make/Model �
Make/Model4a16ittie r al;
Sprinkler System. (Fire Alarm connections only) �'`'
Water Flow Sw. % of Make/Model f j� e r f J X/5,774/
Valve Tamper Sw. — of — Make/Model
PlV of _ Make/Model
Elec. Alarm Bell of Make/ModeI
Automatic time Delay of Water Flow Alarm seconds one Ins
Do you meet audible/visib
Yes No
is of WAC 51-20, IFC SEC 907., and/or NFPA 72 Chapter 6?
Test of alarm System on emergency power, satisfactory? Yes( No —
Test Witnessed by Title Date
Comments:
Fire Alarm Certificate.doc
Revised: 6/17/14
TFD FF Form #110
L
King County
MNG COUNTY ZONE 3 FIRE WATCFI FORM
I IRE WATCH INSTRUCTIONS
1. Do not reset the alarm if alarm cause is likely a system malfunction.
�. Silence alarm if needed and direct the responsible party to request a servrcc call.
3. Fill out all portions of the Agency Copy.
4 On the Site Copy:
a. Fill out the incident number and
h. Identify the tire watch frequency.
c. Circle the appropriate follow -up agency
d_ Identify which system is out-of-ser\ice.
;. Leave the Site copy w ith the responsible party. >f, Ir ��
6. Identity the person this li+rm Um was lett with. �J
ei
7. If the Fire Watch was declined, identify the name of the mdtvidual who declined the fire
watch.
8. Was the building secure when you left? iYes C7 No If not, please explain what actions
were taken. _ _
9. Post placard if unable to contact a responsible party and/or when notification to building
occupants is important. Fire watch placard posted? Y /
10. Scan and Email the Agency Copy to the appropriate Fire Marshal's Office.
I l . Include Agency Copy with your fire incident report.
INCIDENT #: 050'6
REASON FOR FIRE WATCH: Ot y'-' - e - -o
I
(Orr` u �-e jSDC -GAI -Q Uy-) al) le
SYSTEM OUT OF SERVICE:
Sprinkler % ire Alarm [ 1 Monitoring ❑ Other Suppression Cl Other
RESPONDING UNIT/COMPA
yY OFFICER:/-/cc.,0--
Evcos g 5
n ys
BUSINESS NAME: NQJocA HeL,9)(4-1-5 ' a�
BUSINESS ADDRESS: _ 56 S 15 at S4
BUSINESS PHONE: 2c)"?-)- 252- - 05/1
BUSINESS CONTACT AND PHONE NUMBER: g 60
QCT NAME/SI 'NATURE:
rtC ..
(1P'fr)4,\ 01 NO
Feb 12 19, 14:08 Newport Heights Apt
2062439029 p.1
NA -4C 0 •
City of Tukwila
Fire Department\)G4AJN A Viko, : 3O t
FIRE WATCH REQUIRED c2
, ctv-A-saci2owlog4S5t&a.s
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverse side). The fire watch shall be maintained until the system(s) are operational as determined
by the Tukwila Fire Marshal's Office. FAX paperwork to 20n6o d �39e tod verify tre he
completion of
repair work and/or the restoration of system monitoring,
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be,ori location aiidmust patrol the building following the close of
business. Every two hours they must can 206-97i-8'1, 37'and leave a message stating the following:
1. Your name. '
2. Street address of firewatch location.
3. Time of day: , call
4. If everything is OK, state all clear. If you discover an emergency during your patrol
9-1-1 immediately to report it.
Date: -7!-- f .'Z . ' �` Inspectors: T/ -i --Start time: • -
•
i.
Reason For Fire watch: Incident #:
Business Name: ; — ••••i�' = ' '
' tti '
Business Address:Li
?�
t: r �1 ,
Business Phone: s • -
Person in Charge: t i s`
W — Fire Marshal's Office
st ;
Signature:
Rev. 7/29114
er!Manager
T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireVarshal a kwilawagor
City of Tukwila
Fire Department
INci bEi./74k lion 4+s[3
FIRE WATCH REQUIRED
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverse side). The fire watch shall be maintained until the system(s) are operational as determined
by the Tukwila Fire Marshal's Office. FAX paperwork to 206-575-4439 to verify the completion of
repair work and/or the restoration of system monitoring, in order to end the fire watch.
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be on location and must patrol the building following the close of
business. Every two hours they must call 206-971-8737 and leave a message stating the following:
1. Your name.
2. Street address of firewatch location.
3. Time of day.
4. If everything is OK, state all clear. If you discover an emergency during your patrol , call
9-1-1 immediately to report it.
Date: \ /\C( /fit Inspectors: C9194. C sz Start time: 0030
Reason For Fire watch: e n� -� 19)24- - 5
1
3\1 y ?1Vr fi plrc.i'^ {vp yn Sjtvi- crie*.
Business Name: N.
v A -f\-6 BO)
Business Address: S5.SQ S 1 SZ s t )0,
Business Phone: `i3- 9(6°3 , (zo .) 919 - M2_54
Person in Charge: S
W - Fire Marshal's Office Y - Owner/Manager
Rev. 7/29/14
T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal@tukwilawa.gov
/� /l it ,: � �s iv ,
l
FILE
City of Tukwila
Fire Department
FIRE WATCH RE0141
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverSeside). 'The fire Watch shall be maintained until the system(s) are operational as determined
byihe-Tukwila Fire Marshal's Office. FAX paperwork to 206-575-4439 to verify the completion of
repair work andlor the restoration of system monitoring, in order to end the fire watch.
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be on location and must patrol the building following the close of
business: Every two hours they must call 206-971-8737 and leave a message stating the following:
1. Your name.
2. Street address of firewatch location.
3. ;Tir e.o day.
4. If.eveWthju :is.OK, state. all clear. If you discover an emergency during your patrol , call
9: -1 immediately to reportit.
Date: tJ'
aoA
Insectors: ���! GVH Start time: 1�g3v
P � ,
Reason For Fire watch: //i fi Aler'
cident #: l 7
Business Name: N dea' 14,;9A14�7
158 ga? 17/
Business Address:
Business Phone:
ickz
Person in Charge: Arktaiii Signature:
W — Fire Marshal's Office
Y — Owner/Manager
Rev. 7/29/14 T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal@tukwilawa.gov
Crri OF T8KWIt A bRDINANCE #2437
SECTION 16.40.120-D
When monitorin of
g. an existing, system is.lost for any reason, afire watch
must be posted during iqn 7busines ,hours, : The fire watch person shall call the
rcorded: fire prevention, phone line at two=itour intervals confirming the al -clear.
status of the building.
CITY OF TUKWItA ORDINANCE #2436
SECTION 16.2.100-C
The Tukwila Fire Department shall be notified immediately of any
"impairment of the spririkfer system: The owner` shall be responsible €or'the
repair of the system, and shall maintain a 24-hour fire iiiatth until thesYsteni is
returned to normal condition. High hazard operation may be suspended until the
sprinkler system is back in normalcondition.
"�c
City of Tukwila
Fire Department
FIRE WATCH REQUIRED
Due to the inoperative fire protection system(s) in your facility, you are required to provide a fire watch
per City of Tukwila Ordinance #2437, section 16.40.120-D and Ordinance #2436, section 16.42.100-C
(see reverse side). The fire watch shall be maintained until the system(s) are operational as determined
by the Tukwila Fire Marshal's Office. FAX paperwork to 206-575-4439 to verify the completion of
repair work and/or the restoration of system monitoring, in order to end the fire watch.
The fire watch is required 24 hours a day. Designated employees may serve as the fire watch during
business hours, while performing their regular job. Fire watch personnel must be aware of, and accept
the duties of the fire watch.
After hours fire watch personnel must be on location and must patrol the building following the close of
business. Every two hours they must call 206-971-8737 and leave a message stating the following:
1. Your name.
2. Street address of firewatch location.
3. Time of day.
4. If everything is OK, state all clear. If you discover an emergency during your patrol , call
9-1-1 immediately to report it.
Date: 5 l_ - 7 Inspectors: K. (2-ce.S/Ga/i U Start time: 06 SO
Reason For Fire watch: SPrz-Ive0- S`1S' t \ SNuT pOP/Incident #: 7- /4}65
Business Name: (N4CLNeo e_r 14(61 -TS Aer Bi- 06 4
Business Address: J Gr O D S I S 2. S 7 -
Business
Business Phone: 42-5 c, -7q Zi d 2 -
Person
Person in Charge: (1-0401-,no
PA 22!9 Signatt
W — Fire Marshal's Office Y — Owner/Manager
Rev. 7/29/14 T.F.D. Form F.P. 41
Tukwila Fire Marshal's Office • Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarchal@tukwilawa.gov
February 12, 2016
Reliance Fire Protection
Jake Day
PO Box 428
Preston, WA 98050
Subject: Report on Sprinklers Sampled from the Following Location:
Newport Heights
5600 S 152Nd Street
Tukwila, WA 98188
UL Reference Numbers: G245491 FS#2299920
Dear Submitter,
UL has completed the sensitivity and functionality testing on samples installed in the referenced location.
The results of this testing is intended to assist interested parties including the local Authorities Having
Jurisdiction (AHJ) in accessing the operating characteristics of the sprinklers.
Please consult the local Authorities Having Jurisdiction (AHJ) regarding the interpretation of the test
results described in the attached Test Summary Table(s).
The following samples installed in the referenced location have been recalled and should be replaced:
Manufacturer
Model
Year of Manufacturing Range
Central
A-1
1975-2001
Additional details on sprinkler recalls can be found at the Consumer Product Safety Commission website:
htto://www.cosc.gov
In no event shall UL be responsible for whatever use or nonuse is made of the information contained
herein and in no event shall UL, its employees, or its agents incur any obligation or liability for damages
arising out of or in connection with the use or the inability to use information contained herein.
Thank you for your continued interest in UL's services and we appreciate your business. We look forward
in serving your future sprinkler submittals in accordance with the Standard for Inspection, Testing and
Maintenance of Water- Based Fire Protection Systems, NFPA 25.
UL LLC
333 Pfingsten Road, Northbrook, IL 60062-2096 USA
T: 847.272.8800 / F: 847272.8129 / W: Ut:com
Page 1 of 3
Should you should have any questions or comments,
Very Truly Yours,
\V.,.ts IL, 1,
Hector Salazar, Jr.
Field Sprinkler Coordinator
T: 847-664-2316
E: Hector.Salazarjr@ul.com
UL LLC
333 Pfingsten Road. Northbrook. IL 60062-2096 USA
T: 847.272.8800 / F: 847.272.8129 / W: UL.com
please feel free to contact the undersigned.
Reviewed by:
W -
Scott Dankert
Staff Engineering Associate
T: 847-664-2678
E: Scott.S.Dankert@ul.com
Page 2 of 3
Issue Date: February 12, 2016
Reference Number: G24549/ FS#2299920
Total Number of Sprinklers Received: 4
(4) sprinklers were submitted consisting of the following characteristics:
Manufacturer:
Central
Releasing Mechanism Type:
Pellet
Model:
A-1
Sprinkler Orientation:
Pendent
Sprinkler Type:
Dry
Special Sprinkler Features:
None
Water Seal Configuration:
Radial 0 -Ring
Response Type:
Standard
TEST SUMMARY TABLE 1
Sprinkler
Number
Location of Sprinkler
in System
Room
Environment
Temperature
Rating. 'F
Year
Marking
Nominal
K -Factor
Sprinkler
Condition
Releasing
Mechanism
Response
Time, sec.
Operation
Classification
364802-
Moderately
1
None given
None Given
165
1989
5.6
corroded or loaded
49.9
Normal
364803-
Mechanical
Abnormal - Not tested due
2
None given
None Given
165
1991
5.6
damage
- - -
to received condition
Abnormal - No release of
364804-
Moderately
water seal assembly at 7
3
None given
None Given
165
1990
5.6
corroded or loaded
47
psig
Abnormal - No release of
364805-
Moderately
water seal assembly at 7
4
None given
None Given
165
1990
5.6
corroded or loaded
49
psig
Sprinkler Condition: Please refer to the Standard for Inspection, Testing and Maintenance of Water -Based Fire Protection Systems, NFPA 25, for requirements and
information related to determining when sprinklers arc to be replaced. The Authority Having Jurisdiction (AHJ) should be consulted to determine when sprinklers need to
be replaced due to their condition. The referenced sprinkler condition is UL's visual observation of the received sample sprinklers.
Operation Classification:
Normal — Indicates sprinkler operation within the applicable time frame for the response type and temperature rating.
Abnormal - Sec Test Summary table for details.
Page 3 of 3
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