HomeMy WebLinkAboutBLD03-126CITY OF PORT TOWNSEND
AUTOMATIC FIRE SPRINKLER SYSTEM
PERNIIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
CALL 385-2626 FOR INSPECTION
Permit Number: BLD03-126 Issued: 07/01/03
Job Address: 602 Howard Street Zoning: M-C/C-II
Nature of Work: Install Automatic Fire Sprinkler System
Use of Building: Retail Owner: Tacoma Goodwill Industries
Licensed Contractor: Patriot Fire Protection Inc. - PATRIFP099CF
INSPECTIONS AND TESTS
LOCATE(S)
• Pas Fail N/A
^ ^ / Fire Department Connection (Storz)
^ ^ 4Y Vault(s)
^ ^ ~ Post Indicator Valve
/nspecto Date t>~l' •~-'~ ' ~~
SYSTEM TEST(S) & INSPECTIONS
Pas Fail N/A j -y, L
^ ^ Piping, Bracing, Valve Installations Q 8 G ~' f ~~ ~ ~~ ' ~ 7 ~ ~
^-/ ^ ^ Back Flow Prevention Inspection (Public Works D p e t)
LU' ^ ^ Drain and drip device between FDC and Check Valve~~~~~
f~" ^ D Approval for Cover (except @ joints when prior to flow tests)
`~ ^ ^ Hydrostatic Test (2 hour, 200 psi minimum 13, 13R; Static @ 13D)
GY ^ ^ Pressurized Air Test (24-hour dry test to 40 psi)
^ ^ Flush with sieve with De-Chlorination tablet (to sewer manhole only)
^ ^ ^ Flow Test: Water Pressure Gauge Reading: psi static to
psi flow reading ,.
^ ^ Fire Alarm System Inter-tie with Sprinkler System Test ~~ seconds to
/ alarm initiation
[9' ^ ^ Sprinkler Head installation ` /
^ ^ Piping, bracing, system installation ~ ~y7 '~~
See Next Page
Page 1 of 2
Permit #BLD03-126
SYSTEM TEST(S) & INSPECTIONS continued
Pas Fail N/A
^ ^ Labeling (Control valves, drains, etc.)
.~ ^ ^ Sprinkler Box Contents
td' ^ ^ Water Motor Alarm (required for 25 heads or more) (Tamper and flow):
~ Seconds to alarm initiation
6~ ^ ^ Fire Department Connection (4" Storz only)
6.d' ^ ^ Adequate heat provision for piping protection' 6/U3
g. ~~
/nsps~to ~j~<j ~ ~~, Date d
CERTIFICATE(S) OF MATERIAL & TEST
Pass Fail N/A
^ ^ ^ Back Flow Prevention Material & Test Certificate filed with Public Works
^ ^ ^ Sprinkler Contractor's Material & Test Certificate -Level U
^ ^ ^ Sprinkler Contractor's Material & Test Certificate -Above Ground
^ ^ ^ Private Fire Service Main Contractor's Material & Test Certificate
^ O ^ As-Built Plans/Instructions in Plan Box
^ ^ ^ Fire Department Final Inspection Approval
Inspector Date
Sprinkler Maintenance Company (if known):
Name %~~
Address
Contact Number ~~?7 ' / ~~~ Z~,
L&I Number
Back Flow Prevention Device Maintenance Company (if known):
Name
Address
Contact Number
L&I Number
NOTES:
Page 2 of 2