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BLD05-098
1 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: BLDOS-098R-1 Issued: 08/16/05 lob Address: 250 Madison Street Zoning: C-III Nature of Work: Revision #1 • Install Automatic Fire Sprinkler System to Existing_Second Floor Use of Building: B Owner: Cityof Port Townsend Licensed Contractor: Fire Sprinklers Inc. - FIRESI*988RJ INSPECTIONS AND TESTS LOCATE(S) Pass Fail N/A ^ ^ ^ Fire Department Connection {Storz) ^ ^ ^ Vault(s) ^ ^ ^ Post Indicator Valve /nspector Date SYSTEM TEST(S) & INSPECTIONS Pass Fail N/A 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 Paee ^ ^ ^ Piping, Bracing, Valve Installations ^ ^ ^ Back Flow Prevention Inspection (Public Works Department} ^ ^ ^ Drain and drip device between FDC and Check Valve ^ ^ ^ Approval for Cover (except Q joints when prior to flow tests) ^ ^ ^ Hydrostatic Test (2 hour, 200 psi mirrimum 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 Page 1 of 2 -` SYSTEM TEST(S) & INSPECTIONS continued Pass Fail N/A CJ Permit NBLDOS-098R-1 ^ ^ ^ 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 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 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 Page 2 of 2 i • 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: BLD05-098 Issued: O6/15/OS Job Address: 250 Madison Street Zoning: CCHI Nature of Work: Install Automatic Fire Sprinkler System Use of Building: B Owner: Citv of Port Townsend Licensed Contractor: Fire Sprinklers Inc. - FIRESI*988RJ INSPECTIONS AND TESTS LOCATE(S) Pass Fail N/A ^ ^ ^ Fire Department Connection (Storz) ^ ^ ^ Vault(s) ^ ^ ^ Post Indicator Valve Inspector Date SYSTEM TESTfS) & 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 Ca? joints when prior to flow tests) ^ ^ ^ Hydrostatic Test (Z 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 Paee Page 1 of 2 t Permit RBLDOS-098 SYSTEM TEST(S) & INSPECTIONS continued Pass Fail N/A ^ ^ ^ 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 Departmeut Connection (4" Storz only) ^ ^ ^ Adequate heat provision for giging protection lnsoectot 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 Data 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 _ Page 2 of 2 p4QpPiTpn~P~ ~ CITY OF PORT TOWNS~D DEVELOPMENT SERVICES DEPARTMENT ~- ~ ~•pFWA+"~'~ INSPECTION REPORT PERMIT NUMBER: - o9B Site Address ..2~~ ~i-/~~-~!~-~~T Contractor ~~-~-Y'~' (-~~k-- ~ ~ ~ Owner date of Inspection Worksite or Cell Phone# /G~.,~ 0 S ^ Erosion/Sediment Control ^ Setbacks/Footings/UFER ^ Foundation Walls ^ Footing Drainage ^ Slab/Interior Footing/Insulation ^ Groundwork/Plumbing Test ^ Underfloor Framing ^ Ext. Shear Wall/Holdowns ^ Plumbing/Top Out ^ Propane Pipe/Pressure Test ^ Propane Tank/Line ^ Mechanical ^ Framing O Insulation ^ Interior Shear/BWP Nail ^ DrywalUFire Wall ^ Propane/Wood Appliance ^ Manufactured Home Set-up L9~Fire Department ~ a-(q~- ^Temporary Occupancy ^ Fees Paid ^ Final Occupancy ^ Other/Co ultatLon ~~ ~~ For inspections, call the Inspection Line at 360385-2294 by 3:00 PM the day before you want the inspection; for Monday inspections call by 3:00 PM Friday. Additional fees may be assessed for multiple re-inspections if the work is not ready and the inspector must return to the site. Failure to provide inspection record and approved plans on the site will result in $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR WRITTEN APPROVAL BY DSD.) ^ APPROVED ~ APPROVED WITH CORRECTIONS ^ NOT APPROVED SEE BELOW SEE COMMENT(S) BELOW 4.ddJi~-' Approved pl ns d permit card must be on-site and available at time of inspection. Inspecto Date ~~ l~ OJT Acknowle ed by Date d 8 3 0 /t.Le ,~/ ~ .uF ~ 0 3S iL~e ~s~- Q 2/~ cf~ AptQpRTYp~k~~ ~ CITY OF PORT TOWNS~D U DEVELOPMENT SERVICES DEPARTMENT ~'-' _.. _ p~a°WAS~~~ ,I/~NSPECTION REc~PORT PERMIT NUMBER: f~--%~ ~ ~_ - ~ 1n~ ---- Site Address ~ ~~ ~ '"~/ Contract Owner Date of Inspection Warksite or Cell Phone# ^ Erosion/Sediment Control ^ Setbacks/Footings/LIFER ^ Foundation Walls ^ Footing Drainage ^ Slab/Interior Footing/Insulation ^ GroundworWPlumbing Test ^ Underfloor Framing ^ Ext. Shear Wall/Holdowns ^ Plumbing/Top Out ^ Propane Pipe/Pressure Test ^ Propane Tank/Line ^ Mechanical ^ Framing ^ Insulation ^ Interior Shear/BWP Nail ^ Drywall/Fire Wall ^ Propane/Wood Appliance ^ Manufactured Home Set-up Fire Department ^ Temporary Occupancy ^ Fees Paid ^ Final Occupancy LI Other/Consultation For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want the inspection; for Monday inspections call by 3:00 PM Friday. Additional fees may be assessed for multiple re-inspections if the work is not ready and the inspector must return to the site. Failure to provide inspection record and approved plans on the site will result in $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR WRITTEN APPROVAL BY DSD.) APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED SEE BELOW SEE COMMENT(S) BELOW Approved pl and per it card must be on-site and available at time of inspection. Inspector ~~'~, - `(-- Date N I~ C' / Acknowledged by Date fpOPTTOw ~ ~m m u a .: 9A' 'L •. UO Op WASN~a • CITY OF PORT TOWNS~D PUBLIC WORKS DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT PERMIT NUMBER: S ~ ~'~ Address .2$~b ~~-Q-~-- „Q~' Contractor ~-s~ ~/~ Owner ~ °~ ~ d Date of Inspection Worksite or Cell Phone# ^ Erosion/Sedimentation SetbackslFootings/LIFER ^ Foundation Walls ©~/~~/oS Plumbing/Top Out ^ Gas Pipe/Pressure Test ^ Propane Tank/Line ^ Drywall/Fire Wall ^ Gas/Wood Appliance ^ Manufactured Home Set-up ^ Slab Interior Footing/Insulation ^ Mechanical \^ PPublic Works ^ Groundwork/Plumbing Test ^ Framing ~vther/Consultation ^ Underfloor Framing ^ Insulation ~azESP/.2inlK ~; o,¢,e /~-ST ^ 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 ^ APPROVAL ^ CORRECTION REQUIRED PROVED WITH CORRECTION ^ NEED APPROVED PLANS & PERMIT ON SITE i3 P.~s s ~~~ Approved pla and per it card m t be on-site and available at time of inspection. Inspector ~~ __ _ Date O-~ ~ o ~`°~p'T~"rysm • CITY OF PORT TOWNS~D PUBLIC WORKS DEVELOPMENT SERVICES DEPARTMENT ~~FWpSH\aU INSPECTION REPORT PERMIT NUMBER: Address ~~_~ ~ ~~~ v c.~ Contractor ~~/ Owner Date of Inspection Worksite or Cell Phone# ^ Erosion/Sedimentation 8 /o ~/o T J Plumbing/Top Out J 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 ^ Mechanical ^ Public Works ^ Groundwork/Plumbing Test ^ Framing ~ Other/Consul 'on ^ Underfloor Framing ^ Insulation - ^ Shear Wall/Holdowns ^ Interior Shear/BWP Nail ^ FINAL tf 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 FIN G AND, IF APPLICABLE, PUBLIC WORKS. VIOLATION APP _ ^ CORRECTION RE4UIRED ^ APPROVED WITH CORR(ECTIO ^ NEED APPROVED PLANS /&~~PE~RMIT O/N~SIT/E, a e Approved ans nd permit card must be on-site and available at time of inspection. Inspect __ --------_ Date dg +~ ~` • poor ro City of Port Townsend ,°°~ ~~~ Fire Department ~ ma ., ~t~ Office of the Fire Code Official ''FoF 1256 Lawrence Street, Port Townsend, WA 98368 (360) 344-4607 Email: utfire(a~ci port-townsend wa us Fax: (360) 344-4604 PLAN REVIEW MEMORANDUM TO: Jan Zimmer, Plans Examiner, Develop nt Services Department FR: Tom Aumock, Asst. Fire Chief__,y~ lo-~l'------, DT: 27 May 2005 J RE: BLD05-098, City Hall Annex Fve Sprinkler System; Corrected Review Letter CC: Tom Miller, Project Manager Emily Wheeler, Project Architect This department is in receipt of the set of plans for the above-referenced proposal from your office, and file this amended report which supercedes the May 24, 2005 report of this office. The above-reference proposal was reviewed by this department relative to the Uniform Fire Code [U.FC.J, 1997 Edition, NFPA 13, NFPA 24, and the Ciry of Port Townsend Engineering Design Standards. The following constitutes this department's findings and determinations based upon the plans of record submitted by FSI, Inc. dated Aptil 04, 2005, and specifications dated Apri105, 2005 The facilities were reviewed at a total of approximately 11,795 square feet [3-story] of new construction as a Group B occupancy with a Type V-1 Hr. construction classification ["Annex'], and, a remodel of 13,393 squaze feet [3-story above a basement] of existing construction as a Group B with accessory Group A Division 3 occupancy with a Type V-N construction classification ["City Hall"]. Findines & Determinations: I. An automatic fire suppression system (sprinklers) is proposed by the owner for the "Annex" new construction, with partial coverage provided for the "City Hall" existing facility as proposed by the property owner which provides all-floor egress protection and first floor office coverage; and, 2. The automatic fire sprinkler system is found to be designed by a licensed fire protection engineer, and shall be installed by a licensed technician (W.A.C. 212-80), and; 3. A complete set of as-built drawings and system design CD shall be filed for record with this department, and plan set provided on-site in a formal plans box adjacent to the F.A.C.P, submitted on a 24 x 36 inch maximum format, and; 4. The backflow prevention device shall be inspected and approved for installation by the City of Port Townsend Department of Public Works, Water Division, prior to installation, and; 5. The automatic sprinkler system shall be inter-tied with the automatic fire alarm system, and; 6. Elevator sprinkler protection and valves shall comply with ANSI standards, and; C:\Documen[s and Settings\tomalDesktop\Tom's Cabinet\Cortespondence\Ciry Hal] Annex -Sprinkler a.doc 5/27/05