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HomeMy WebLinkAboutPP - 15830 39TH PL S - UNKNOWN - PERMITS AND PLANS15830 39TH PL S ASSOCIATED PERMITS 12-F-202 CEFD2O-0124 INSPECTION NUMBER INSPECTION RECORD Retain a copy with per PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: I e.,—-4- cc AcA.. 1041'- Tye of Inspection: +-N Address: J`'% Suite #: 301 O\5 (3v'c.,Contact Person: Special Instructions: Permits: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: LA Proj‘4., ).e Alar er10 S.-- bow 4 34_ 5„ 2._ eiat1 t )t sm Ke, "L -or Co t EC to (As --e. ui V -i.,, 6,,,A- zLizzt s bAW g -cCv�.q oft_ � l 4- SvA-o k,N.�srlk keivut, —t tt_ roa.si J 3. (7c, SS it.,S ts. . q)pc-N-cL \p uj X1430 . P ,r.'u✓ ( W l t \ 1 i5 Ewe-e'L Ik C5V12-6 Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: lk. R s a-- Date: 316/%3 Hrs.: i $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 6/11/10 T.F.D. Form F.P. 113 JKWILA FIRE PREVENTION BUREAU 444 Andover Park East, Tukwila, WA 98188 - Phone 206-575-4407 - Fax 206-575-4439 E-mail: tukfdprv@ci.tukwilawa.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 is responsible for supplying manpower for Final Acceptance Test with two-way communications. Date 9 /26/t1._ Permit # P — 20 2— Property Address t5f SO 39,L PL S. Suite # City TUKWILA Zip Code q f( fl Name of Facility CArroje. 174.1r A CL IWI C. Occupied as 01P.6.0414 re rrr,&e— g tst 1✓ Owner or Representative Phone #C– V(3 —04(43 Installing Company To. e,r4c.- Firms- d—fcc. t,iA Installing Contractor's Address tit Fortar P(. 5. City Seeviite. nn ee Phone # '24,6'24,6- ils1--04Q�. Installer's Name (PRINT) U �- C License and/or Certificate S F0 "lco-i-t12 General Contractor Electrical Contractor FACP Equipment Manufacturer $' (GvtJ– Y..A4 511 Model # This system has been installed, p&3-ffecl and operates in accordance with the standards listed below and was inspected by f.4jtAl ti, On (date) 'L(241L 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 UL Central Station Monitor System is monitored by ,44Otr i4 r" SIGNED Date System Firmware: Installed version '2. Z Checksum Date Initial program Installation Date Revisions and Reasons Programmed by N/A- EQUIPMENT INSTALLED AND TESTED: Control Panel I. of I Manual Station of Smoke Detectors j of Heat Detectors of Duct Detectors of A/V Devices of Audio Devices of Visual Devices of Auto Door Release of Trouble Indictors of Batteries Make/Model S eA4-6k,4- S h�9 Make/Model Make/Model �, i# secs-- !2A,/ B Make/Model Make/Model Make/Model Make/Model Make/Model Make/Model Make/Model Readings Battery Full Load Charge Generator _ of _ Make/Model HVAC Controls _ of _ Make/Model Fire Alarm Dialer of Make/Model — Monitored by Annunciator of Make/Model ❑ Sprinkler System. (Fire Alarm connections only) Water Flow Sw. of Make/Model Valve Tamper Sw. of Make/Model PIV of Make/Model Elec. Alarm Bell i of _ Make/Model Automatic time Delay of Water Flow Alarm seconds. None Installed .1‹ Do you meet audible/visible requirements of WAC 51-20, IFC SEC 907., and/or NFPA 72 Chapter 6? Yes No Test of alarm System on emergency power, satisfactory? Yes )No _ Test Witnessed by Title Comments: Date Fire Alaim Certificate.doc Revised: 10/28/04 TFD FP Fort #110 KING COUNTY ZONE 3 FIRE WATCH FORM •"Nt F F 5 StscuS King County 4 to, 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. Ide tify the person this form was left with. ' OP -k A (4) 1.1-r- 7 f 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 No If not, please explain what actions were taken. Li' UP t R 1/ 6^'1a -N., t4 Cr- ea - 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 #: 61-7A• -161 REASON FOR FIRE WATCH: /464T D.F-r--t=c - {t =tJ W%� i nt3T- €.stT "A 6.57— L U -BLit DUE TO SYSTEM OUT OF SERVICE: ❑ Sprinkler ire Alarm ❑ Monitoring ❑ Other Suppression ❑ Other RESPONDING UNIT/COMPANY OFFICER: 6.--35-1-4 c_AP Z 0',2 Arrk.) BUSINESS NAME: (" tq-r4, !-1 ^-1 BUSINESS ADDRESS: / S��U ��jT`PC-- S, T(J/L Lt tJ- 9e/ge. BUSINESS PHONE: 6 —,71, c-{ T -- ©`-1 `73 BUSINESS CONTACT AND PHONE NUMBER: PIT -A 1-4vt 1 ?ed.243-0tflj CONTACT NAME/SIGNATURE: 09-5/4"4- ; LLAJ7 Agency Copy — White Site Copy - Yellow Z3FM004A 01/2019 007,4, Burien/Normandy Park/KCFD#2 FMO@BurienFire.org, Phone: 206-209-4119 483c04 King County Enumclaw Fire Department/KCFD#28 FireMarshal@Enumclawfire.org King County Fire Marshal's Office FireMarshal@KingCounty.gov Mountain View Fire & Rescue/KCFD#44 Pkramlich@KCFD44.org, Phone: 253-735-0284, 253-569-4211 Port of Seattle Fire@PortSeattle.org Puget Sound Regional Fire Authority FirePreventio@PugetSoundFire.org, Phone: 253-856-4444 Renton Regional Fire Authority FireMarshal@RentonRFA.org South King Fire & Rescue Prevention.Division@SouthKingFire.org, Phone: 253-946-7348 Skyway/KCFD#20 Admin@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 01/18 • 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: Date: 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. Inspectors: 5 ,1 Start time: /c7.'ex, a u„ Reason For Fire watch: r;re ata ' •,,, et SGio rled cda.... , J Incident #: /1/-2059 j?ceSc.t.re, toy Business Name: C:e(o Ae+s. -Dc{c. E Business Address: IS -15t0 311 1?L. 5 . Business Phone: 20co 361 • Z.j Person in Charge: 6.41 /iv Mevic. Signature: ffrvzokt.,.. 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@)ukwilawa.gov Inspector: • 44' CO TION NOTICE/REINSPECT FEE Permit number: TUKWILA FIRE MARSHAL'S OFFICE Office: 206-575-4407 Fax: 206-575-4439 Email: Fire Marshal tukwilawa. ov Business Name:T / Ctel--0 4-11/-5 • ype of Inspection: e...- , / it) it at/ ,,9c LocationAddress:( 39A ez,c Date: Contact Person:__ r, W-yioiA A. autivti Phone No. • ACTION REQUIRED : /.12-ite) Aiex) optwrg- rvi-4 /5430 /1-. FoifatJy cra g-- /7 S7 -4--7700u Hits /"Jcari--gez-1--- ,49p,ofi-r-ss ri)?_ 771'g A9r-k co-wv/9-c< COoe-e- RN CORRECTION OF THE ABOVE ITEMS ARE REQUIRED BY : (// 3 /1-7-- FAILURE TO AMPLY MAY RESULT IN THE ISSUANCE OF A CAL CITATION/TICKET. Signature: ,><- Billing/Maffing Address : Attn: Company Name: Address: City: State: Zip: 0 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