HomeMy WebLinkAboutBLD04-018
CITY OF PORT TOWNSEND
AUTOMATIC FIRE SPRINKLER SYSTEM
PERMIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
CALL 385-2626 FOR INSPECTION
Permit Number: BLD04-018 Issued: 02/23/04
Job Address: 218 West Sims Way Zoning: C-II
Nature of Work: Install Automatic Fire Sprinkler System
Use of Building: Retail Owner: Henery Hardware
Licensed Contractor: Vikin¢ Automatic Sprinkler - VIKINAS373NT
INSPECTIONS AND TESTS
LOCATE(S)
~
Pas ~ Fail NIA: -~;
^ F~ Fire Department Connection (Storz)
^ ^ ~ Vault(s)
^ ^ C~1' Post Indicator V to
C ~~. ~~c y
Mspector Date
SYSTEM TEST(S) & INSPECTIONS
Pass. Fail N/A
g' ^ ^ Piping, Bracing, Valve Installations
(il ^ ^ Back Flow Prevention Inspection (Public Works Department)
^ ^ ^ Drain and drip device between FDC and Check Valve
(i~ ~
; ^ ^ Approval for Cover (except @ joints when prior to flow tests)
~
¢~ : ^ ^ Hydrostatic Test (2 hour, 200 psi minimum 13, 13R; Static @ 13D)
0'~ ^ ^ Pressurized Air Test (24-hour dry test to 40 psi)
D ^ ^ 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
I:7 , ^ ^ Sprinkler Head installation
L3 ^ ^ Piping, bracing, system installation
See Next Paae
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Permit #BLD03-126
SYSTEM TEST(S) & INSPECTIONS continued
Passe Fail N/A
^ ^ ^ Labeling (Control valves, drains, etc.)
D : ^ ^ Sprinkler Box Contents
'¢ ^ ^ Water Motor Alann (required for 25 heads or more) (Tamper and flow):
( Seconds to alarm initiation
~~ ^ ^ Fire Department Connection (4" Storz only)
^ ^ Adequate heat' provision for piping protection
r
Inspector!' ~~;LLwi1"~ ~ Date ~~ ~ ~~ c `~
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
^ ^ ^ As-Built Plans/Instructions in Plan Box
^ ^ ^ Fire Department Final Inspection Approval
Inspector Date
Sprinkler Maintenance Company (if known):
Name
Address
Contact Number
L&I Number
Back Flow Prevention Device Maintenance Company (if known):
Name
Address
Contact Number
L&I Number
NOTES:
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