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HomeMy WebLinkAboutPP - 17600 WEST VALLEY HWY - UNKNOWN - PERMITS AND PLANS17600 WEST VALLEY HWY ASSOCIATED PERMITS 16-F-182 1 Are, L1A.+ tt- TUKWILA FIRE MARSHAL'S OFFICE Phone: 206-575-4407 • Fax: 206-575-4439 • Email: FireMarshal@tukwilawa.gov 4V,1 CONTRACTORS MATERIAL AND TEST CERTIFICATE FIRE ALARM AND FIRE DETECTION SYSTEMS 1272 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 4 VC1(i. 36 .16(to// t Permit %# /61' l" " � /g Property Address /76,00 -/7� 1r(j t.) . 0a ((/?Ge)Suite # P City TUKWILA Zi Code �qk/ nn Name of Facility A)491-41‘V44C� 1(P y 8us)4e SS Par (< Occupied as Owner or Representative /43V/ti�C3Y 01\ Phone # gdo- 30 `� ^ «3 20 Installing Company /Ukj' M 1Je2' Are . , Installing Con actor's Address ~7?/ -S 4S , jet) we S"/, City kevi Phone# 270(0, -?'l,2,-,?,SeS2 Installer's Name (PRINT) .3Ami)e V'at4 zer License and/or Certificate 4 General Contractor A15,1-4iv- CJ f --).Te yc S Electrical Contractor FACP Equipment Manufacturer ,n,14.4 4 41)011 L, Model # This system has been installed, pre -t' ted nd operates ' i accordance with the standards listed below and was inspected by Ql 2 y43.A On (date) 1(/,%DhLOl Cp ( 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 Ordinanc Numbers 2050. 2051 UL Central ation,A44nitor SIGNED System is monitored by Date /( System Fifmware: Installed version Initial program Installation Date /// 7 /� Revisions and Reasons (e474)— ;o©/ . Checksum Date Programmed by avvl 6. 1,7 r P f EQUIPMENT INSTALLED AND TESTED: Control Panel Manual Station Smoke Detectors Heat Detectors Duct Detectors A/V Devices Audio Devices Visual Devices Auto Door Release Trouble Indictors Batteries 1 of 1 it /67 9_ of ( of 1_7_/ �r of ,`3'% of of Make/Model Make/Model Make/Model Make/Model Make/Model Make/Model Make/Model / _ Make/Model �fvt '�j�' Peg Make/Modelj/-I Make/Model / IUB �a 1671, i, -/- /.,en 5ydevvl 3P4*,7 Pcg2 Readings Battery gc.. Full Load Generator I-IVAC Controls Fire Alarm Dialer Monitored by / Annunciator Make/Mode1 Make/Model M;tke/Mode 1 Charge Sprinkler System. (Fire Alarm connections only) Water Flow SAN. 1 of L( Valve Tamper SNA. -1 of t PIV of Elec. Alarm Bell of :5z1Q/,1 MA.�,f Make/Model Make/Model Make/Model Make/NIodel Automatic time Delay of Nater Floe Alarm seconds. None Installed Do you meet audible/Visible requirements of \VAC 51-20. IFC SEC 907.. and/or NEPA 72 Chapter 6? Yes No _ Test of alarm System on emergency Test Witnessed bv - over. satisfactory'' Yes K. No titnments: Po ` akAs Pottle- �oP��y&L / Pac��rSt, l� Po Pr(/ 4 (( 9-C' 7( Title Fire Alarm Certiticate.doc ,6 Date _1(Z164. aS:o 9.7.3 �� p �( (�c�� 4 3 l e V of / . 2 (V( . F)1( (00,0) r‘eu-c Re%ised: 6/17/14 TFD FP Form QJ/ 0 Inspector: CORRtAiTION NOTICE/REINSPECTION FEE 41/1 54/Permit number: `6 � /8Z TUKWILA FIRE MARSHAL'S OFFICE Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshaltukwilawa. ov Businesame v�u g ,, b Ailette--/,efr Type of Inspection: Location Address: o tit( Date : /47/1/16 C_ (eac a so): )'Th:: kane No. ow'6) — : S (in" 6,g2_( ..r ACTION REQUIRED ii -Db i-lop-i/sn2vgE 1�6,2o crr,fn-yt_ Qr�6.E- *OD Ka 2•-1IsrYLaig f 1 7-6 oPFicr" 4‘) \' (\I CORRECTION O THE ABOVE I EMS ARE REQUIRED BY : 1-7,/14-1(6 FAILURE TO C PLY MAY R ULT THE ISSUANCE OF A CRIMINAL CITATION/TICKET. Signature: e\--- Billing/Mailin 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 1 INSPECTION NUMBER 'INSPECTION RECORD Retain a copy with permit 1r z PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Projec : Witri( fesrAir- btride-- Type of Ins ection• Ad ress: Suite #: 6 G\_'I K_ Monitor: Contact Person: Special Instructions: Occupancy Type: Phone No.: J'Dproved per applicable codes. Corrections required prior to approval. COMMENTS: wl 04•I ,i 6 7� G Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Fr4 5-4-1 5-3 Date: 17,4 1)b 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