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HomeMy WebLinkAboutPP - 13038 INTERURBAN AVE S - AMERICAN FAMILY INSURANCE - PERMITS AND PLANS13038 INTERURBAN AVE S ASSOCIATED PERMITS 08-F-110 D08-022 D08-041 EL08-265 AMERICAN FAMILY INSURANCE AMERICAN INSURANCE INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: AW1z'\CAv, aY1Sv-c7.vNc.4 Type of Inspection: V‘c-t Aks:k 1N‘ , V' ice.. V cv a L Address: 1303 lb Z„ emlia % Al 1, Suite #: 120 Contact Person: go\O ..Ao, ckec Special Instructions: Phone No.: z(o2.- 3Sl - 3cto ,Approved per applicable codes. Corrections required prior to approval. COMMENTS: V.%Nt A\Ctx o." OIC Needs Shift Inspection: Sprinklers: Hrs.: 1 Fire Alarm: ,\\ AlGDw..► 'c Hood & Duct: Monitor: C.4 -1 Com Pre -Fire: Permits: „‘.o„,st._ Occupancy Type: S Inspector Date: 411\ as Hrs.: 1 $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Word/Inspection Record Form.Doc 1/13/06 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 4- Q—©$3 Permit# Property Address (3 o 3g .I-,uTc:RORLEAN AU6 _SoSuite # City Tukwila Zip Code BB Name of Facility ,4M.0CA-Al tRmL Cy �/U52 AiuC.� Occupied as Owner or Representative Phone # Installing Company Ce.el-L Q -Ore- - Installing Contractor's Address City Phone # Installer's Name (PRINT) License and/or Certificate General Contractor 10 21 Zo/J ? ThtI epos `i"?u c.void • Electrical Contractor C DA -R &ROVE (;/6C.. FACP Equipment Manufacturer -FT.R.J,,bNy Model # Ilk )O This system has beep ins ailed, pre -tested and operates in accordance with the standards listed below and was inspected by On (date) 41l8%Up and includes the devices listed on back. Circle all that apply: NFP 72;._Capter 1 2 4 5 6 7 and/or IFC SEC 907 Electrical Code, Article 760 Manufacturer's Instructions anufacturer's Instructions Other (specify) Tukwila City Ordinance Numbers 2050, 2051 UL Central Station Monitor System is monitored by 3-1f o- - -- SIGNED Date System Firmware: � 113/bs Installed version 2.1(1 Checksum Date Initial program Installation Date Revisions and Reasons V Programmed by \P kr 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 Make/Model ( A& f c GO0 1 of Make/Model f-av e),9- 8 -?°U S of $ Make/Model Vs .J»--/ 37-( 0 of Make/Model Cr•� c) PI a ( of Make/Model Z of z- Make/Model Z i? 9 of Make/Model 1 of ( Make/Model G Ax of Make/Model Z of Z Make/Model Readings Battery Generator HVAC Controls Fire Alarm Dialer of of 1 of ]. Full Load o I Charge 1 Z(t Monitored by ( T �J✓`� Annunciator 1 of l Make/Model Make/Model Make/Model Make/Model " 2.- 0 0 Sprinkler System. (Fire Alarm connections only) N/A Water Flow Sw. Valve Tamper Sw. PIV Elec. 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 51-20, IFC SEC 907., and/or NFPA 72 Chapter 6? Yes No Test of alarm System Test Witnessed by Comments: rgency power, satisfactory? Yes �No Title Co -/l Date eddins\Contractors Material & Test Certificate Revised: 10/28/04 TFD FP Form #110