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HomeMy WebLinkAboutPP - 4316 S 104TH PL - WAVE BROADBAND - PERMITS AND PLANS4316 S 104TH PL ASSOCIATED PERMITS 17-F-179 D06-123 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.: Site Address: Li Bt PL:Pte rr Suite Number: Floor: Tenant Name: W Pliv E.. % �J �L Z Z ��('Y� New Tenant? ❑ - Yes ❑ - No Property Owner's Name: Mailing Address: City State Zip CONTACT PERSON -if there are questions about the submittal. ^^ Name: 1%.1.f<�i� �a..E*J �S Day Telephone: o�S b1Co;1C4 Company Name:C.App2a.SS'i (�� �"j"�(�15p ,��►C. p� (� t' 4 ^ Mailing Address: 6:51-\6:51-\ZD`�'v► 5T • r . c61 s. p v-; 1 .. '►'l ! p dLI City State Zip E-mail Address: (MING,. ‘61,:Y.....‘ Z.LSZ 1 �� • C Q� Fax Number: 17 lo%C,p 0 (p Contractor's City of Tukwilar) NICET III number: Business License number: �7•, �J *049 L033-4 Total number of new/relocated devices or sprinkler heads: 1 Valuation of Project (contractor's bid price): $ 350.00 Scope of Work (please provide detailed information): Q:e; 0.L E,,,, AIC�►Cv�Z ��C,l.+ c r� 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OR WAVIA 9N, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: SF? 1 a 2011 Q TUKWILA FIRE Dale: ©—bl 1 g I ❑ Print Name: f 1 6(± 2 uc- cc D Telephone: f V s 00 Plan Permit App.doc 8/22/14 TFD FP Form 8 Signature: ACCEVfru. W- \NI ut Comme,,ts DAsNot d in Red O Per The Attached Letter These plates have been reviewed by 'i ne 'Tukwila Fire Prevention Bureau for conformance with current City standards. Accepcancf is subject to errors and omissions which do rof authorize violations 0t adopted rirndards and ordinances The responsibility or the %dequacy of design esrs totally with the designer. Additions, deletions . 3, ;'evisior is to these drawings after this date will void tr:,s 6cceptance and will require a resubmit -0i o •awangs fray subsequent approval. Final acc epazus_e is 4;v c, co i 1eid test and inspection by The Tukwik Ht.?: yure,au. Date: 9—� c,'/� ;1 L TUKWILA FIRE i;EPARTME'NT Pieade c&I 2O'5575 -44O7 and give this Firz., Permi No. l7,/ and pact address for shut :own or.re5..toron approval. i INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit l� -P-til PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Projectt:Type 1 if `1�I , of Inspection: F A- ii -L -- " . Address: 6,4-1` S-`—' Contact Person:sSuite/6 / 0 Special Instructions: Phone No.: Monitor: Approved per applicable codes. Corrections required prior to approval. COMMENTS: F71- 14 -PP (2-rivEj) Needs Shift Inspection:Sprinklers: fr c4....-- kt1e5 Fire Alarm: 7 et.b(r Hrs.: Hood & Duct: Monitor: 5{-4v► ec,irvi �7. friavi4- Pre -Fire: Permits: ('uue Occupancy Type: Inspector: fr c4....-- Date: (// (/('--- Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII 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 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit /1'1i6 - o(sg PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: wm-vr 6 ao-71-b 0 29-r,i D/14 Type of Inspection: t -----a--( F :7,m-1-- Address: Suite #: S `( c. /a c_. p 2, � Person: Special Instructions: Phone No.: • Approved per applicable codes. Corrections required prior to approval. COMMENTS: Appliv&—Nb 11}-b-(2-4-t.t Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: 't,i4. 5-4— Date: /(M/.9._Hrs.: j $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 INSPECTION NUMBER INSPECTION RECORD Retain a copy with per it -'3Lcpd PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Projec: 1t'1; //e0)1 tufa 1)1 ,-h / ,ni-e ci Type of Inspection: �`r-e 6-0(4. Address: Suite #: L/3/1 5 j (9tf , / Contact Person: Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Fnal - d(C Needs Shift Inspection: /v/) Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 1 1Ir Spector: U� 4 -/e) Date: 041136 Hrs.: , JC— p $80.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be at 444 Andover Park East. Call to schedule reinspection. Receipt No.: Date: Word/Inspection Record Form.Doc 12/2/05 T.F.D. Form F.P. 85 TUKAVILCTRE MIARSHAL'S OFFICE Phone: 706-575-4407 e Fay: 206-5774439 • Erna:ti Firs\lar hate tul`�tilai:a„rte° Fire alarm System is ready for Fire Department acceptance testing, Failure of test will result in termination of the testing and additional fee, will be assessed. Contractor is responsible for supplying manpower for Final Acceptance Test with two-way communications. Dat. IG •-L —17— CONTRACTORS l7— CONTRACTORS MIATERIAL AND TEST CERTIFICATE FIRE ALARM AND FIRE DETECTION SVSTEMIS Permit r I I- ” r -11-9 Property Address (-43 l G. 5 (0L/ ,PLAcc City TU KWIL:A Name of Facititti WSW BROAD 4A!.)i Zip Cc de _._L8., e? Suite Occupied aB irj A\ E 5E..\JL I _ Rc3Onvx Ov.ntir or Repre,entati'e 'hone = Intal link Compam SUPPRESS l CSN) S y5' l Er41 I In,t,tllingContractor's Addre.s 7 c:2O SI E, Si' "8" C its Fire. i `fl Yzq Phone .4 ZS,37 In,takler', Marne i PRINT) A,►P% L.iertme and/or Certificate 2-t/ C 1660.1Q General Contractor Electrical Contractor FACP Equipment :Manufacturer j . IQ OE , Y 'S in c_ tludel ;..E(.. • 0 This s.ateni has heen-intalled pre -u —. d and operas , in accordance %kith the stanci;trd, 4i.tcd helo‘k and It a, inspected On tdate} i0-2.5— 1 7- Circle O--ZS -17- Circle all that apply: NEPA 72. Chapter 12 4 5 ti 7 and/or IFC SEC 907 - NFP:. 70. National Electrical Code, Article "bt) NIanufacturer.; Instruction Ntanufacturer•, In•tructi.,n, Other 20.0 ruk«Ordinance Numbers 2).'_=)5I and nctude, the de ice• h -ted on hack. t_ 1. Central Station Nionit,ir SIG' tem E-irrntit tr.: tniti.tl prozram Insta i.tti,m and Prr.NMnt% J ty. Lw i-nt,ni .,r clh%. I)at_ l._.A_cP EQUIPMENT INSTALLED ANL) TESTED: Control Panel Manual Station Smoke Detectors Neat Detectors Duct Detectors A/V Devices Audio Devices Visual Devices of i 1 or 3 of 3 of of,2 of of __.. of t Auto Door Release of Trouble Indictors of Batteries Readings Battery Generator I IVAC Controls Fire Alarm Dialer Monitored by Annunciator . of .hof of of Nlake/Model 1(1Q0.0 PEL-.J5., 2-`C Make/Model , I 0 D E_ Make/Model IA 1 o D L` Make/Model .... >. Make/Model Make/Model lA. '.1.ctk. Make/Mode) Make/Model cEi0C._k Make/Model ... . Make/Model Full Load M ak e/M ode! Make/Model Make/Model Make/Model Sprinkler System. (Fire Alarm connections only) ,Vater Flom Sw. of Valve Tamper Sw. 1'1V of Elec. Alarm Bell of Charge i`lake/ModelN, Make/Model .,.._ Make/,Model Make/Model Automatic time Delay of water 11o,0. Alarm ..... Do you meet audible/visible requ Yes ..._.. No seconds, None Installed .menu of ANAC 51•20, IFC SEC 907.. and/or NF PA 7? Chapter b't Test of alarm System or einrency, t. sonsfactor) ? Yes No a. Teat Wrn e,sc.J by - f ttlr S�� V✓�L ... I)at ....� 2^ Comments. AI rt -t3 F