HomeMy WebLinkAboutPP - 200 ANDOVER PARK EAST - UNKNOWN - PERMITS AND PLANS200 ANDOVER PARK EAST
ASSOCIATED PERMITS
11-F-180 D11-024
11-S-117 M11-016
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
/'(-5- /17
011- oaI
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206-575-4407
Project:Type
5it,j
Sprinklers:
f Inspection:
6 G Ue_r
Address: 2-0 a h P e
Suite #: /
Contact Person:
Special Instructions:
Phone No.:
Iv
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
O k --ro
Cou -e-r
A,4i
) I'd S
CL". -1-1, roe Ems ) `r" - ra'Yr
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
il
Inspector:
'
5d--
Date: $�/Z7/ 1/
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
6/11/10
T.F.D. Form F.P. 113
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
/'-S-//
arf -
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206-575-4407
Project:.�
s�fl� I1we S4eCa
Type of Inspection
.. /
ice
Address: o�v c
Suite #: r
Contact Person:
Pre -Fire:
ity t4e-1.)
Special Instructions:
0.c5 0
Phone No.:
pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
ity t4e-1.)
-oK /4106
0.c5 0
dk_ 1----77)
Cover
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector: Y " `
ce"
Date: L W/ ft
Hrs.:
a._
$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
3
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
FILE
!t -F-110
1/ -s --/Q
0/)—Oa.`I
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206-575-4407
Project: $ 1-5114- A vve.
Type of Inspection:ppFly,
rAt-Ghc.iifI/1/C RIG.( iecA1 I Fly n
Address: )_,ou Avjojc_ P<
Suite #: a
Contact Person:
Special Instructions:
Phone No.:
FrApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-- 51),k � 1 dk
-- k
— F; 6),1 ak
Needs Shift Inspection:
`(
Sprinklers: Y
Fire Alarm:
Y A4 II
I
Hood & Duct: AJ
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
f?
Inspector:/ !
Date: s. -- s _ /
Hrs.: a
$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
TUKWILA FIRE PREVENTION BUREAU
444 Andover Park East, Tukwila, WA 98188 - Phone 206-575-4407 - Fax 206-575-4439
E-mail: tukfdprv@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 is responsible for
supplying m npower for Final Acceptance Test with two-way communications.
Date g i 12,0 ( 1 Permit # / � ! ' Y0
Property Address to t) h d o t! 4 ✓ Park f 5)- ' Suite #
City TUKWILA
Name of Facility
Occupied as
jtAs;,�e 5 S
Zip Code
Owner or Representative Phone #
Installing Company Ai* c 44- EAR c-11- .L
Installing Contractor's Address 1 o S S So GkS or% S r
City Sea'HA
Installer's Name (PRINT) ,-} 4 tra ft{
License and/or Certificate
Phone # 4( O 6) 3 Z1 ' / 6
General Contractor Co .4 /
Electrical Contractor % J®( S,fry E (e c_¢
FACP Equipment Manufacturer 5) I-er' f kr, / r Model #
This system has been ' pre-test and operates in accordance with the standards listed below an
was inspected by cY 14 (e. -S
On (date) 1(.2-`5— /1-0 1 t 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 1 Q l L -� j?%! I z
NFPA 70, National Electrical Code, Article 760 Manufacturer's Instructions
Manufacturer's Instructions
Other (specify)
x Tukwila City Ordinance �iumbers 2050, 2051
UL Central Statio onitor J System is monitored by OV�� `1 Se-e.fir,J
SIGNED /I Date g% 1' I
I
System Firmware:
Installed version Checksum Date
Initial program
Installation Date
Revisions and Reasons
Programmed by
EQUIPMENT INSTALLED AND TESTED:
Control Panel _ of _ Make/Model 0651-(9
Manual Station of l_ Make/Model l N'41's
Smoke Detectors /of / Make/Model
Heat Detectors 'of —- Make/Model
Duct Detectors ofl_ Make/Model SySe).—‘..,
AN Devices 10 of /4 Make/Model SIS SQh SJ ?IA' a- J► L
Audio Devices _ of _ Make/Model
Visual Devices f 3 Zi Make/Model 5/ 5 5cft s w 4. o,- SC12
Auto Door Release _ of _ Make/Model
Trouble Indictors of Make/Model
Batteries
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
D 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 of Make/Model
Automatic time Delay of Water Flow Alarm seconds. None Installed
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 O4 No
Test Witnessed by Title Date
Comments:
Fire Alarm Certificate.doc
Revised: 10/28/04 TFD FP Form #110