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HomeMy WebLinkAboutPP - 3742 S 144TH ST - UNKNOWN - PERMITS AND PLANS3742 S 144TH ST ASSOCIATED PERMITS 14-F-111 D06-0219 18-H-205 f TUKWILA FIRE PREVENTION BUREAU . 444 Andover Park East, Tukwila, WA 98188 - Phone 206-575-4407 - Fax 206-575-4439 E-mail: tukfdpry@ci.tukwila.wa.us 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 isresponsible for. supplying man . ower. for Final Acceptance: Test 'with t*o-way communications: Date 7 Installing Installing ontractor's Address 170/ A/ L6 4 fr' . ��►- City /1 A --/-f Er 14I. Phone # 04P0 -9 9' - d y y/ Installer's Name (PRINT) vil t 6 (,a y License and/or Certificate S c c' 7Tcr 9 7z Name of Facility -2-0t-C.- j _t,.3 . C °)C Property Address -7' 'i- S, / f City�' . fllkWlld Zip Code 95! (,e • Permit # 0 T — ( ( ompany 177 -/f4./4- c6S Occupied as Owner or Representative Ailti4 R- . 7cr . 46714 .(Phone # T3 '7 9-7 0/5-4 General Contractor. • /L( 'ytj4_ c cps 7 uc -'-? Electrical Contractor ®$9b ��7-6":01 S S D S -f--' 970 PT FACP Equipment Manufacturer Ap ,i /At..5,Ac-yl,1- Model # ,X) -/4& C) This system has been installed, pre -tested and operates in accordance with the standards listed below and was inspected by On (date) V. Circle all tjat apply:. and includes the devices listed on back. PA J2 Chapter 1 2 4 5 6 7 and/or UFC, S'1'll 10-2:SBC L'/.1.2, 199/-EI:— PA 70, National Electrical Code, Article 760 Manufacturer's Instructions Manufacturer's Instructions Other (specify) Tukwila City Ordinance Numbers 1900, 1901 KSS tevIA UL Central SIGNED System Firmware: System is monitored by. SS \fsTEk S Date Installeii version Checksum Date Initial program Installation . Date Revisions and Reasons ProQrammeri by Tukwila Fire Prevention Bureau- Material and Test Certificate EQUIPMENT INSTALLED AND TESTED: ' Control Panel Manual Station Smoke Detectors Heat Detectors Duct Detectors AN Devices • Audio Devices Visual Devices Auto Door Release Trouble Indictors of of 3 1( ofj Jofj 7i of 1/ of 4 of of ( • of Make/Model Make/Model Make/Model Make/Model Make/Model .4/6 vyo ?-70.5r- /4-.D osr ,4.Z Eri, c=. Vo. .41r - F,14(a s-/9'1— Make/Model Make%Model Make/Model Make/Model Make/Model S ( 2-2---\ Y_ Batteries i ¢ gr z- • '' ?--- it 5Y-- D"L (/z v8 , ---r. z o Readings Battery /3/ 4:.' • Full Load / 5, 5 3 Charge / 3/ 6 S" r5r4r /3, C. Y. /5 / 6 s Generator _ of Make/Model • A/.4- HVAC v.HVAC Controls / of L Make/Model 1o,p.ii — 01,4-d a 1- (41.4./(,)/1,-09.4, G0 "' Fire Alarm Dialer _ of LMake/Model i4"." yr 45-2✓e r /'-tt 0 0 . i�E�v4-1 r y 0( ft/, -r-- , 4./e.. of • Make/Mkel • Monitored by Annunciator • Sprinkler System. (Fire Alarm connections only) Water Flow Sw. Valve Tamper Sw. PTV • Eleo. Alarm Bell of of of of Make/Model •• Make/Model _ Make/Model Make/Model Automatic time Delay of Water Flow Alarm seconds. None Installed Do you meet audible/visible requirements of WAC 51-44, INC STD 10-2,1997 ED., and/or NFPA 72, 1999 edition; Chapter 6? Yes _ No _ Test of alarm System on erge c er, satisfactory? Yes Test Witnessed by i �''1� Title Comments: No . Date 7/// • TFD FP Form #110 2 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project:ticiA V4 ,& Type of In�pectiop: HOO el Address:Contact Suite #: 2-'m . / 6(r ' ST7 Person: Special Instructions: - /us7V #t ,v Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sprinklers: r .-it--(4 CR- ,--;-- j-L--titAi Hood & Duct: Monitor: Pre -Fire: - /us7V #t ,v p -e -1— �� • /46 i �lf �- #0"/ /y L /14,4-X, by/ A-rg- aae.ciet 0/ uQ A hp- a /C ikt1 &,vive2s Au /Ns, A((,, — >2 , U T// tB/itc Shcila Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: ---I/,4--L , 53 Date: Witi%l 7 Hrs.: /, o $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 permit PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Pr ' i, Jb�pj r 6t usr Type ofInspctio ,t-oef Address:57'Contact Suite#: 370S' S•'q Monitor: Person: . Special Instructions: 1 ow e' Phone No.: Approved per applicable codes. orrections required prior to approval. i u MENTS: W'r — ltUu vs 4Ns/4e-e4,--t 9' 0 rS 6t usr b 110 coehadet/7w 5'llYb - t a yi2. / it ‘ysk -- /ova 5,Frnirrt Monitor: `� Permits: 1 ow e' 54-04-71(;-,A. - P t' afo /. , 5 s 4eA-..._ ! .. • —kb eel. 419. -- ,./e55&7),1-0 hl� 4-- 7 Ad/pi- 7,v:lam. Al S1- iv /- /46,e, Malt ,4 Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspectors '? Date: 3'/ //c Hrs.: / 6 $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/REINSPECTION FEE Inspector: 'bi, Permit number: TUKWILA FIRE MARSHAL'S OFFICE Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshal na tukwilawa.ov Business Name: jaefe,/VG Nav Type of Inspe(>fU1il7-r4d4.-e..e_C!/I/L Location Address: S-1-- Date : (./i K Contact Person . ��\�a 5vare.� Phone No. `IZ5 523 26q( ACTION REQUIRED : Nav e..eCt- IV 425 rir4L-e-✓i Vaeg A/4 kd Gf ei S Address: r, - 1)ecked (226/- Need Vert 'A -d- City: — c(.e&iVI 442 .es, /0(etl v .K/1/ Zip: ,....."/ ----A lie -c- s - 12Ift)( Di 0 ✓ice, / n ry l 1%F S t--(iS A;l �v- G 1 5 -re vi/t e , f.' ei'l4(). Yt Vti‘tA/') 1 1 CORRECTION OF THE ABOVE ITEMS ARE REQUIRED BY : FAILURE TO COMPLY MAY RESULT IN THE ISSUANC i ' • RIMINAL CIT �/ Signature: /� Billing/Mailing Address : PQL-- TIC Attn: Nav r, YfI Address: ?imPanY City: State: .K/1/ Zip: ,....."/ ❑ A $100.00 Reinspection Fee is requi Department. ❑ Ticket Issued. Citation # d. You will receive aki invoice from the Cit Correction Notice Reinsp Fee2.doc Revised 6/17/14 wila Finance T.F.D. Form F.P. 100 D1‘,\ Inspector: CORRECTION NOTICE/REINSPECTION FEE Permit number: TUKWILA FIRE MARSHAL'S OFFICE Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshal (a tukwilawa.eov Business Name: g(/("-- Type of Inspection/_ r, *r Location Addr : A 5, 44 5.7--t 5.� Date : 2. /g. /1,g Contact Person . (-4-z-6--- A ��e�fb rt[7AirAh Phone No.: ACTION REQUIRED : Pm c___/elT 1-$ 6GN-F-7.4oe--7./c6- R Jda-1—i7 D fZ/Z&,/i7. C rei-le rio-6O sys7 v ,it---e---D - )2p R //6,,2 , G& �'/7_47,,, ( - a(2 , -,,N k L!NE- m_-,-0, / /1(f( -- -r.) -z V fr"- C L c /~/9/a_ Gy d 6 6, Pie --"J i 0 "a2Z/& s (-4-z-6--- — r A e- Te L .P�t.S `�6- r-, Z (Zil(''' 4 e CORRECTION OF THE ABOVE ITEMS ARE REQUIRED BY : FAILURE TO CO i) '' Y MAY ' SU T IN THE ISSUANCE OF A CRIMINAL CITATION/TICKET. Al 411_ RIO Signature: Billing/Mailing Address : 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 ��s" X3--2(9 CORRECTION NOTICE/REINSPECTION FEE Inspector: / 7� Permit number: TUKWILA FIRE MARSHAL'S OFFICE Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshal�a tukwilawa.sov Business Name: 6 n14 !i,J T Z Type of Inspection: rt-'� �' ' Locati ddre :74-- 2_ 5_ (41-4-, Date : ii, i2€ scy c(-1( Contact Berson .. . / -f 62-- '- Pho o. : k. ,'e,:\\Lck _ 3 j -e -R--- 2 S 2`3 2_6q ACTION REQUIRED : of 2 0 E—FEZ- it tZ_ ipi eil-e.:_& /2-m c i2€ scy c(-1( F/16)-- pil-fiEL ,s to t/Kms( 17---- 2_67i7, - __ / -f 62-- '- .,6.-.1 ii/ 4-t--1 6 cL.r ,'t-- /, v -i 1-12- crtib... / I CORRECTION OF THE ABOVE ITEMS ARE REQUIRED BY : ( 9j / FAILURE TO COMPLY MAY RESULT IN THE ISSUANCE OF A CRI INiL CITATION/TICKET. Signature: Billing/Mailing Address : 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 King County 314-2 S l44St KING COUNTY ZONE 3 FIRE WATCH FORM FIRE WATCH INSTRUCTIONS 1. Do not reset the alarm if alarm cause is likely a system malfunction. 2. Silence alarm if needed and direct the responsible party to request a service call. 3. Fill out all portions of the Agency Copy. 4. On the Site Copy; a. Fill out the incident number and b. Identify the fire watch frequency c. Circle the appropriate follow-up agency d. Identify which system is out -of -service. 5. Leave the Site copy with the responsible party. 6. Identify the person this form was left with. �-16/0 7. If the Fire Watch was declined, identify the name of the individual who declined the fire watch. 8. Was the building secure when you left? ❑ Yes kNo If not, please explain what actions were taken. (Woe) `PS/NZL' 9. Post placard if unable to contact a responsible party and/or when notification to building occupants is important. Fire watch placard posted? Y / N 10. Scan and Email the Agency Copy to the appropriate Fire Marshal's Office. 11. Include Agency Copy with your fire incident report. INCIDENT #: 67 C-cp�� - 04(rREASON FOR FIRE WATCH: UPi2eS-ro r. i'1 k INAi SSS SYSTEM OUT OF SERVICE: ❑ Sprinkler K.Fire Alarm kMonitoring ❑ Other Suppression ❑ Other 443IW Q RESPONDING UNIT/COMPANY OFFICER: Zig ,Ce4 S t' BUSINESS NAME: L� <. i rgr mar TG y BUSINESS ADDRESS: 3712 S / S/f 7'" BUSINESS PHONE: BUSINESS CONTACT AND PHONE NUMBER: Fe/A/c/6W /lia,i, COfNTCT ► Y ► E/SIGNA URE: Agency Copy — White Site Copy - Yellow 7_3FM004A 01/2019 King County ligY444 Burien/Normandy Park/KCFD#2 FMO@BurienFire.org, BurienFire.org, Phone: 206-209-4119 Enumclaw Fire Department/KCFD#28 FireMarshal@Enumclawtire.org King County Fire Marshal's Office FireMarshal cr,KingCounty.gov Mountain View Fire & Rescue/KCFD#44 Pkramlich@KCFD44.org, Phone: 253-735-0284, 253-569-4211 Port of Seattle Fire a,PortSeattle.org Puget Sound Regional Fire Authority FirePrevention@PugetSoundFire.org, Phone: 253-856-4444 Renton Regional Fire Authority FireMarshal@RentonRFA.org RentonRFA.org South King Fire & Rescue Prevention.Division(cD,SouthKingFire.org, Phone: 253-946-7348 Skyway/KCFD#20 Admin a KCFD20.org, Phone: 206-772-1430 Tukwila Fire Department FireMarshal TukwilaWA.gov Valley Regional Fire Authority Fire.Marshal a VRFA.org, Phone: 253-261-3616 Vashon Island Fire & Rescue Administration@vifr.org, Phone: 206-463-2405 Z3FM002 01118 I INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit SEP 2 8 2006 r sorx- 21, PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575- Project: .-a GK ;h 4e_, eax IV, Type of Inspection: oc4- k 17/,- 0 ,/-- Fire_ 1"o`.t c / Address: Suite #: 3—) Lf2 511/f571— Contafct Perso1: Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: l �? — Q% ,90 5 v �r /1-sC -6 - o� Needs Shift Inspection: //j/4 Sprinklers: ,©,. Fire Alarm: %1?//iK.ca / Hood & Duct: Yes Monitor: ss to Pre -Fire: Permits: Occupancy Type: Inspector: Date: ilz,4706 Hrs.: S ////-- $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from tlify of Tukwila Finance Department. Call to schedule a reinspection. Word/Inspection Record Form.Doc 1/13/06 T.F.D. Form F.P. 113