HomeMy WebLinkAboutPP - 14520 INTERURBAN AVE S - MULTIPLE BUSINESSES - PERMITS AND PLANS14520 INTERURBAN AVE S
ASSOCIATED PERMITS
15-F-213 D15-0273
15-5-188 D15-0232
INSPECTION RECORD
Retain a copy with permit
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INSPECTION NUMBER PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
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Project:
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Type off Inspi n:
Address:—
Address:,
Suite #: /
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Contact Person:
Special Instructions:
Occupancy Type:
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspect r:
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Date: yn6h(
Hrs.: A d
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$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
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INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
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PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:Type
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of Inspection:
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Address:/ L5010
Suite #: `M
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Contact Person:
Special Instructions:
Occupancy Type:
Phone No.:
pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Sprinklers:
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Occupancy Type:
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector: ek-.4-Z_
Date: j 2 /a/if
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
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
t4S-z 73
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:W�-u�
Type p1ii��
Address:
Suite #: / y
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Contact Person:
Special Instructions:
Permits:
Phone No.:
nApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type: ,
Inspector: <7
)p
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Date: 7 / z,,a1l6
IHrs.:
$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
Lc=F z -i3
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project: ss'
Sprinklers:
Type of Inspectio :
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Address:Contact
Suite #: /445-2-0
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Per n:
Special Instructions:
Occupancy Type:
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector: j �
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Date: 3/3b // C
Hrs.:
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$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
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PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
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314.4%15
Type of Inspection:
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Address: /1/5-420 ,
Suite #:
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Contact Person:
Special Instructions:
Occupancy Type:
Phone No.:
$&Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector:
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Date: 3/0/14,
Hrs.:
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$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
j)1.5 -,-0v32
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
Sprinklers:
Type of Insioiwitietkiiim
Address:
Suite #:
D IPO
Contact Person:
Special In
P� structions:
Occupancy Type:
Phone No.:
7 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector ,�� MI 43
Date: cifr..41h6
Hrs.: A 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
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 is responsible for
supplying manpower for Final Acceptance Test with two-way communications.
Date 3/29/16
Property Address 14520
Permit #
15-F-213
City TUKWILA
Name of Facility UNIVERSAL BUILDING SYSTEM
Zip Code 98168
Suite # 100
Occupied as OFFICE
Owner or Representative
Installing Company CONVERGINT TECHNOLOGIES
Installing Contractor's Address 450 SHATTUCK AVE S
City RENTON
Installer's Name (PRINT) JESSE SHARP
License and/or Certificate SHARPJR901 OT
General Contractor
Phone #
Phone # 425-272-2250
Electrical Contractor MCKINSTRY
FACP Equipment Manufacturer SILENT KNIGHT
Model # 5808
This system has been installed, pre -tested and operates in accordance with the standards listed below and
was inspected by JESSE SHARP
On (date) 3/24/16 and includes the devices listed on back.
Circle all that apply:
X NFPA 72, Chapter 1 2 4 5 6 7 and/or IFC SEC 907
x NFPA 70, National Electrical Code, Article 760 Manufacturer's Instructions
)( Manufacturer's Instructions
Other (specify)
X Tukwila City Ordinance Numbers 2050, 2051
UL Central Station Monitor System is monitored by ALARM CENTER
SIGNED Date
System Firmware:
Installed version
Initial program
Installation
Checksum
Revisions and Reasons
Date
Date
Programmed by
EQUIPMENT INSTALLED AND TESTED:
Control Panel 1 of 1 Make/Model SK -5808
Manual Station 2 of 2 Make/Model SK -PULL
Smoke Detectors _ of _ Make/Model
Heat Detectors _ of _ Make/Model
Duct Detectors of Make/Model
A/V Devices 13 of 13 Make/Model SYSTEM SENSOR PC2R
Audio Devices of Make/Model
Visual Devices 9 of 9 Make/Model SYSTEM SENSOR SCR
Auto Door Release _ of _ Make/Model
Trouble Indictors of Make/Model
Batteries
Readings Battery 26.5 Full Load 26.6 Charge 26
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 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 ❑ No ❑
Test Witnessed by Title
Comments:
eddins\Fire Alarm Certificate.doc
Date
Revised: 10/28/04 TFD FP Form #110