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HomeMy WebLinkAboutBLD04-316,~ a • CITY OF PORT TOWNSEND AUTOMATIC FIRE SPRINKLER SYSTEM PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE CALL 3$5-2626 FOR INSPECTION Permit Number: BLD04-316 Issued: 02/02/05 Job Address: 940 Lawrence Street Zoning: C-III Nature of Work; Install Automatic Fire Sprinkler System Use of Building: B/A-3/R-1/S-1 -Retail/Assembly/Residential/Storage Owner: Ham & Rye LLC Licensed Contractor: Western States Fire Protection, Co. - WESTESF1360F INSPECTIONS AND TESTS LOCATE(S) Pass Fail N/A ^ ^ ^ Fire Department Connection (Storz) ^ ^ ^ Vault(s) ^ ^ ^ Post Indicator Valve Inspector Date SYSTEM TEST(S) & INSPECTIONS Pass Fail N/A ^ ^ ^ Piping, Bracing, Valve Installations ^ ^ ^ Back Flow Prevention Inspection (Public Works Department) ^ ^ ^ Drain 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 ^ ^ ^ 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 ,. • SYSTEM TEST(Sl & INSPECTIONS continued Pass Fail N/A Permit #BLD04316 ^ ^ ^ Labeling (Control valves, drains, etc.) ^ ^ ^ 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 ^ ^ ^ Fire Department Final Inspection Approval Inspector Date Sprinkler Maintenance Company (if known): Name Address Contact Number L&I Number Sack Flow Prevention Device Maintenance Company (if known): Name Address Contact Number L&I Number NOTES: Page 2 of 2 g2,'g1/2005 16:52 FAX 38q 385 7875 CITY OF PORT T0IVNSF~~TU C~]OU1 ~~ ~~.~ ~~ t ~.~ ~ Y -F PORT TOWN~END- t ~ ~ ~~ CIT C AUTO~ATi[C FIRE SPRINKLER SYS'I°ElO~I ~~ ~ PER.MI7' ~~ INSPECTION RECORD ' THIS CARD MUS`1" 13E POSTED AT CONSTRUCTION SITE `. ~~4~ h ~ CALL, 3 BS-2626 FOR INSPECTION Permit Nlunbr,:r: SLD04-316 - Issued: 0 2/0 Jab Address: '~~40 Lawrence ~~ Zoning: C-III Nature of Wa. •k: Install Automatic. Fixe Sri cler stern Use ofBuildi:tg: ~3_/,A,-3/IZ-l/S-1 - Licensed Con:ractox: -Western States .Fire Yrot~;S1o,~;,~,, I1'e1SPECTIC1~iS ANU TESTS ~~; c ~~ ~.: LOCATE(S) ~'' Pass Fail NJ,1 ^ ^ ^ Fix Departmer.~t C lmectro (St rz) ^ ^ ^' Vault(s) ^ ^ ^, Post Indicator `I'al rR~~ecror ©ate Owner: Har,~. &_RY~LLC S~SrIYEl~ il~a~.l ~~7~ QL ~A~~I'1H~1._11.0~~~ Pass ^ Fail ^ N/; ~ ^ Piping, F3raein~;, Valve Installations ^ ^ ©~ Back Flow Pre";gentian Inspection (Public 'Works Departmentl ^ © Q Drain and drip device between FDC and Check Valve ^ ^ ^ Approval for Cover (except @ joints when. prior to flow tests) ^ ^ ^! Hydrostatic Te yt (2 hour, 200 psi minimum 1.3, 13R; Static ~ 13I]) ^ ^ ^ Pressurized Air Test (24-hour dry test to 4n psi) ^ C! ^' Flush with sieve with Ue-Chlorination tablet (to sev~~er manhole only) ^ ^ ^ Flow 'Test: Water Pressure Gauge Reading:_~~ psi static to ~~ psi flow reading ^ ^ L7 Fire Alarm sy~.ter~ inter-tie with Sprinkler System Test seconds to alarm initiatior; ^ ^ ^ Sprinkler Head. installation ^ ^ Chi Piping, bracing;, system installation See Next Ya ~e Page 1 of Z D1~U1/2DD5 ].6:53 FAX 360 386 7675 CITI' OF PORT TgW~SlwNp [~DD2 • Hermit ~IBLUD~-3I6 SYSTEM TEST S & tNSPECTIOIdS continued Pass ]Fail lYdt~ ^ ^ ^ Labeling (L'onta~nl valves, drains, etc.) ^ D ^ Sprinkler }3ax Contents ^ © ^ Water Motor Aianm (required far 25 heads or n~.are) (Tamper and. flow): Seconds to alarm initiation. ^ ^ Cl' Fire r7epartment Connection (4" Storz only) C1 ;;~ ^ Adequate heat Isrovision for piping protection Inapecfor Data CEl_ZTIFICr~'E~S) [)I~' MATE.R.~AI: & TEST Pass Fail N!~- ^ ^ L7' Back Flow Pre~rention Material & Test Certificate filed with Public Works ^ ® ©' Sprinkler Contractor's Material & Test Certificate =Level U ® ^ ^' Sprinkler Cnntzactox's Material & Test Lertif'icate -.Above Gxound ^ ^ !>' 4'rivate Fire Service Main Contractor's Material ~c Test Certificate © ^ ^ i A5-BLlllt Plans/lnstruction5 In Plan Box ^ C6 ^' Fire Departmer.~t Final Inspection Approval dnspector _ _ ~, Date Sprinkler lYlxintenance Cumpatay (it' knowvn}: Name Address ,_,~ Contact Number L&I Number;. Back lFlow Prevention Device Maintenance Company (if known): Name ,4ddress Contact Nurn~er L&I Number: NOTES• Page 2 of 2 tl~eo~rro~,~s CITY OF PORT TOWNS ~~ DEVELOPMENT SERVICES DEPARTMENT ~gF~,ASM,~" INSPECTION REPORT PERMIT NUMBER: ,[~~. a v y~ 3 ~~ Site Address 9~0 ~~- ~~ ~J Z~ Contractor l~tJ ~ ~+~-~ S ~~ ~ ~ ~° ' Owner < ~ ~ ~ ~~- Date of Inspection ~o /~ ~ s Worksite or Cell Phone# ^ Erosion/Sediment Control ^ Setbacks/Footings/LIFER ^ Foundation Walls ^ Footing Drainage ^ Slab/Interior Footing/Insulation l:l Groundwork/Plumbing Test ^ Underfloor Framing ^ Ext. Shear Wall/Holdowns i...l Plumbing/Top Out ^ Propane Pipe/Pressure Tes ^ Propane Tank/Line ^ Mechanical ^ Framing ^ Insulation ^ Interior Shear/~3WP Nail ^ Drywall/Fire Wall ^ Propane/Wood Appliance t ^ Manufactured Home Set-up ~~Fire Department U Temporary Occupancy ^ Fees Paid ~~'~inal Occupancy ^ Other/Consultation Additional fees may be assessed for multiple re-inspections. Par Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:U0 AM. (NO OCCUPANCY UNTIL APPROVED BY DSD. OCCUPANCY REGIUIRES WRITTEN APPROVAL BY DSD.) APPROVED ^ APPROVED WITH CORRECTIONS CJ NOT APPROVED SEE BELOW SEE COMMENT(S) BELOW 0 it .~ [. t:-'~'C ~c..a.- ~-.~..c 3 ~ ~ ~-~ , ~ ~~ rte. °' ~-e.ru~•~r4- + ~ : ~r ~ ~ d' c K C o- ~ f A- r. j/' [ G-rr 1 ~ /° rd"~17"~ Approved pla Inspector Acknowledge d permit card must be on-site and available at time of inspection. ..~- r ---:.-_~_........ ._...._~ Date 6, ..~ : ~1 ~.~_... Date n~Qp~r,°~HS CITY OF PORT TOWNS~D ~y U DEVELOPMENT SERVICES DEPARTMENT ~~FWAS~~d INSPECTION REPORT PERMIT NUMBER: ~._ Site Address d Contractor Owner ~ Date of Inspection ~ ~ ~ Worksite or Cell Phone# ^ Erosion/Sediment Control ^ Setbacks/Footings/LIFER C:] Foundation Walls C] Footing Drainage ^ Slab/Interior Footing/Insulation C:1 Groundwork/Plumbing Test ^ Underfloor Framing ^ Ext. Shear Wall/Holdowns Q Ste' ^ Plumbing/Top Out ^ Propane Pipe/Pressure Test ^ Propane Tank/Line ^ Mechanical LI Framing ^ Insulation ^ Interior Shear/BWP Nail ^ Drywall/Fire Wall ^ Propane/Wood Appliance ^ Manufactured Home Set-up ^ Fire Department f_5'~emporary Occupancy ^ Fees Paid ^ Final Occupancy ^ Other/Consultation Additional fees may be assessed for multiple re-inspectians. For Re-inspection, call Inspection Message Line at (3fi0) 385-2294 prior to 8:00 AM. (NO OCCUPANCY UNTIL APPROVED BY DSD. OCCUPANCY REQUIRES WRITTEN APPROVAL BY DSD.) -.c d'Zc~..rr . % L v ~~ Approved pla s an permit card must be on-site and available at time of inspection. Inspecto ~~" ~ /~r~~ _._........_..~~_.. ................ .____..._.~.. Date ~.... Acknowle ed by __._..~_.___. _~_._..._ _.__.. __.._ _....___ Date .rJ ~ v U S~ -- `,~d~PPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED SEE BELOW SEE COMMENT(S) BELOW ~QOnrrpk, ~~ tis~y CITY OF PORT TOWNSEND PUBLIC WORKS ° DEVELOPMENT SERVICES DEPARTMENT ~:=t _ z - _ :- o ~~~~wnsH~"'G~ INSPECTION REPORT PERMIT NUMBER: o ~ ~ Address /.2 0 ~ /~~ ~~-~.~. r~ Contractor ~ ,.rc-a~~._ -~ r- Owner __ Date of Inspection ~ ~ 0 5 Worksite or Cell Phone# ^ Erosion/Sedimentation ^ Plumbing/Top Out ^ Drywall/Fire Wall ^ Setbacks/Footings/U1=ER ^ Gas Pipe/Pressure Test ^ Gas/Wood Appliance ^ Foundation Walls ^ Propane Tank/Line ^ Manufactured Hame Set-up ^ Slab Interior Footing/Insulation ^ Mechanical ^ Pubiic Works ^ Groundwork/Plumbing Test ^ Framing er/Consultation ^ Underfloor Framing ^ Insulation C-~ ^ Shear Wall/Holdowns ^ Interior Shear/BWP Nail ^ FINAL If corrections required, re-inspection must be done prior to covering or concealing 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 ~-~4PPROVAL ^ CORRECTION REQUIRED lJ APPROVED WITH CORRECTION ^ NEED APPROVED PLANS & PERMIT ON SITE vU ~ ~. 3-~ Approved plans ~~~- Inspectar ~x~ permit card must be on-site and available at time of inspectio ``~ - ~~~ Date ~ ~~ J . a°~°°RTr°``~~ ,CITY OF PORT TOWNSE D PUBLIC WORKS Fx ° DEVELOPMENT SERVICES DEPARTMENT '~°~WASH~a°~ INSPECTION REPORT PERMIT NUMBER: ~~. ,a 0 y ~ .~ r_6 _ Address y'4L~ L ~-~~w ~~ Contractor LtJ ~`~ i~~N ~f r~1 ~~ 1~i ~ ~2 a ~~~ Owner ~+K ~Y ~. L ~ C.- Date of Inspection d Zv Worksite or Cell Phone# ^ Erosion/Sedimentation ^ Setbacks/Footings/LIFER ^ Foundation Walls U Slab Interior Footing/Insulation ^ Groundwork/Plumbing Test ~! Underfloor Framing CJ Shear Wall/Holdowns ^ Plumbing/Top Out 'J Drywall/Fire Wall ^ Gas Pipe/Pressure Test ^ Gas/Wood Appliance ^ Propane Tank/Line ^ Manufactured Home Set-up C.1 Mechanical ^ Public Works ^ Framing ~ Other/Consultation LJ Insulation .quTc~ ~~/~/rv~c'. /,QE's S , ~~"7j~ ^ Interior Shear/BWP Nail ^ FINAL If corrections required, re-inspection must be done prior to covering or concealing areas of construction. Additional fees may be assessed for multiple re-inspections. Far Re-inspection, call Inspection Message Line at (3B0) 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 ~~ U ~ v ~}-x-~.. 2 ~ rJ ~ S 774~L7` _ ....._. _.._._...._._.._ ~~ ~ Ste. ~-~--t~ ~-~ .• ~ s~ ~~ ~-~..~~.% ~.~... Approved Ins and permit and must be on-site and available at time of inspection. r D~ ~o a ~ Inspe ~~~_ - cJ a~-- 5 _..-_----- Date _ °~Q°pTr°~,ry~ ~ITY OF PORT TOWNSE D PUBLIC WORKS x U _ _ DEVELOPMENT SERVICES DEPARTMENT °pWAS~~~ N9~.'l ~ ~~° INSPECTION REPORT PERMIT NUMBER: 1St~D~ -.3~~ __ ~.._. Address °~ddJ~ ~.¢~i.~i(/~ ST• Contractor Owner ~ ~ AYE ~-~-G Date of Inspection ~~DS Worksite or Cell Phane# ^ Erosion/Sedimentation ^ Setbacks/Footings/LIFER ^ Foundation Walls ^ Slab Interior Footing/Insulation ^ Groundwork/Plumbing Test U Underfloor Framing ^ Shear Wall/Holdowns ^ Plumbing/Top Out ^ Gas Pipe/Pressure Test ^ Propane Tank/Line ^ Mechanical ^ Framing ^ Insulation U Interior Shear/BWP Nail ~] Drywall/Fire Wall ^ Gas/Wood Appliance Manufactured Home Set-up ^ Public Works Other/Consultation ~.~N~'~~ ^ FINAL If corrections required, re-inspection must be done prior to covering or concealing 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 L.l NEED APPROVED PLANS & PERMIT ON SITE ~/~ SE~y/t E ~ ~'l~riv ~LV-tt1E~ 7L ,it/~®~' aS~~ G,f~. /O, /D~ Z. / - ~t~ z !/VJ p /J /L 4 6/ ~/ N ~ ~ ' ~C b U / !,~ ~__m_. / .~!~ /!V /C E7(, Approved pl~fis end permit card must be on-site and available at time of inspection. Inspector _ __ Date _.~~;~~, _:_.`