HomeMy WebLinkAboutBLD04-280r
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: BLD04-280 Issued: 10/19/04
Job Address: 3109 Jefferson Street. Building Zoning: M-II ~A~
Nature of Work: Install Automatic Fire Sprinkler System
Use of Building: F-1-Boat Repair Steel Building Owner: Port Townsend Shipwri~ht's Co-op
Licensed Contractor: FSI Fire Sprinklers Inc. - FIRESI*988RJ
INSPECTIONS AND TESTS
LOCATE(S)
Pass Fail N/A
^ ^ ^ Fire Department Connection (Storz)
^ ^ ^ Vault(s)
^ ^ ^ Post Indicator Valve
/nspec#or Da#e
SYSTEM TEST(Sl & INSPECTIONS
Pass Fail N/A
^ ^ ^ Piping, Bracing, Valve Installations
^ ^ ^ Back Flow Prevention Inspection (Fublic Works Department)
^ ^ ^ L7rain and drip device between FDC and Check Valve
^ ^ ^ Approval for Cover (except @ joints when prior to flow tests)
^ ^ ^ Hydrostatic Test (2 hour, 200 psi minimum 13, 13R; Static @ 13D)
^ ^ ^ 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
^ ^ D Fire Alarm System Inter-tie with Sprinkler System Test seconds to
alarm initiation
^ ^ ^ Sprinkler Head installation
^ ^ ^ Piping, bracing, system installation
See Next Page
Page 1 of 2
Permit #BLD04280
SYSTEM TEST(S) ..& INSPECTIONS continued
Pass Fail N/A
^ ^ ^ Labeling (Control valves, drains, etc.)
^ ^ D Sprinkler Box Contents
^ ^ ^ Water Motor Alarm (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
Inspector Date
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
^ ^ 0 Fire Department Final Inspection Approval
Inspector
Sprinkler Maintenance Company (if known):
Name
Address
Contact Number
L&I Number
Date
Back Flow Prevention Device Maintenance Conn,pany (if known):
Name
Address
Contact Number
L&I Number ,~
NOTES:
Page 2 of 2
°FQORrro``H~~y CITY OF PORT TOWNSEND PUBLIC WORKS
_ ~ ~ DEVELOPMENT SERVICES DEPARTMENT
N''' ,n .. ~- O
~~oF~. ~~~ INSPECTION REPORT
WASH~a
PERMIT NUMBER: I' ~-~6~° ~~p . _ _._
Address ~~..-dG Z~ ~ 2T ~J~ ~ % ~_
Contractor
Owner f~ /~ty~e/G .L<J.;
Date of Inspection ~~ 2 °~
Worksite or Cell Phone#
^ Erosion/Sedimentation
^ Setbacks/Footings/LIFER
l:J Foundation Walls
^ Slab Interior Footing/Insulation
^ Groundwork/Plumbing Test
[~a oP
^ Plumbing/Top Out
^ Gas Pipe/Pressure Test
Propane Tank/Line
LI Mechanical
^ Framing
^ Drywall/Fire Wa11
Gas/Wood Appliance
'J Manufactured Home Set-up
'^ Public Works
^ Other/Consultation
Underfloor Framing ^ Insulation .5y~i M ~G L-~~ ~S"r'.s
Shear Wall/Holdowns ^ Interior Shear/BWP Nail FINAL
If corrections required, re-inspection must be done prior to covering ar cancealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY BUILDING AND, IF APPLICABLE, PUBLIC WORKS.
^ VIOLATION APPROVAL ^ CORRECTION REQUIRED
^ APPROVED WITH CORRECTION ^ NEED APPROVED PLANS & PERMIT ON SITE
Approved pl ns a d permit card must be on-site and available at time of inspection.
Inspector ---_- .9zJrtA __ Date ~D -~
-- - - -
p~POR77p~~~~ ..:
CITY OF PORT TOWNSEND PUBLI-C-WORKAS
U DEVELOPMENT SERVICES DEPARTMENT
N9~p~WASH~~O~p2 INSPECTION REPORT
PERMIT NUMBER: ~ -
Date of Inspection
Warksite or Cell Phone# ~ ' ~`'
^ Erosion/Sedimentation U Plumbing/Top Out ^ Drywall/Fire Wall
^ Setbacks/Footings/LIFER ~.] Gas Pipe/Pressure Test ^ Gas/Wood Appliance
^ Foundation Walls ^ Propane Tank/Line ^ Manufactured Home Set-up
^ Slab Interior Footing/Insulation U Mechanical ^ Public Works ~- - a
^ Groundwork/Plumbing Test ^ Framing C1 Other/Consultation ~ ~ ;{
~~ -
^ Underfloor Framing ^ Insulation - ~"' ~ -'
^ Shear Wail/Haldawns ^ Interior Shear/BWI' Nail ^ FINAL
If corrections required, re-inspection must be done prior to covering or concealing areas
of construe#ion. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (3fi0) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY BUILDING AND, IF APPLICABLE, PUBLIC WORKS.
^ VIOLATION -,~ APPROVAL ^ CORRECTION REQUIRED
APPROVED WITH CORRECTION U NEED APPROVED PLANS & PERMIT ON SITE
_~ v -
Approved plans and permit card must-be on-site and available at time of inspection.
Inspector _-... --- ___.-..__ Date _. . .