HomeMy WebLinkAboutBLD05-204CITY OF PORT TOWNSEND
Office of the Fire Code Official
Consulting Fire Code Official to Jefferson County
COMMERICAL HITCHEN INSPECTION AND TEST CERTIFICATE
Date: January 24, 2006
Owner/Proprietor: Dau Harbin, BLDOS-204, 1632 - 32nd St. Port Townsend
Nature of Work: Commercial Kitchen Hood and Fire Extinguishing System
Contractor: Ldzenbury
RF/ATiTRFTI TNSPF.CITTONS
+F3 System orientation installation in accordance with mfr's/[JL listing and City permit
Appliances properly covered with correct nozzle(s) (appliance mfr's listing)
~ Duct and plenum covered with correct nozzle(s)
~ Positioning of nozzles
~ Nozzle covers in place (where required)
p' Fusible links within rated temperature requirement
9/Hood/duct penetrations sealed with weld or iII, listed device
Gr'Cylinder pressure gauge in proper range (if gauged)
-e--Hydrostatic test date of cylinder current (COz cartridge exempt)
Inspect cylinder mount(s)
Check travel of cable(s)
able piping and conduit properly bracketed
-a--Proper separation between fiyer(s} and devices with surface flames
Proper surface to filters clearance
/Exhaust fan in operating order
y Filters in proper orientation
~ Fuel shut-off in "on" position for operation/test
Fan warning sign on hood or at fan manual control switch
ya Manual release and location proper
-a--Personnel instructed in manual operation of system
~ Class K Fire extinguisher within 30 feet and tagged properly
~a'~40-B:C Portable Fire Extinguisher available and tagged properly
,.m' Fuel/Power disconnect for all hooded appliances/outlets (with manual reset)
p/~` Hood protection system monitored by premises automatic fire alarm system
~Certification/service tag on system
'ff'-"Electrical panel properly labeled for shunt-trip function and manual reset, if applicable
^ Make-up Air installation in proximity of hood: A~lac~f --~r~~
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Automatic Trip Test
Manual Trip Test
moo-" F'ueUPower disconnect for all hooded appliances/outlets (with manual reset)
-a--flood protec 'on system monitored by premises automatic fire alarm system
~Certificati set rice tag on system
Inspector: Date: January 24, 2006
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PERMIT NUMBER:
Site Address
~ITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT,. - ---
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Owner
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Worksite or Cell Phone# -
^ Erosion/Sediment Control ^ Plumbing/Top Out
ess
re Test
Pi
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^ Manufactured Home Set-u
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ropane
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^ Setbacks/Footings/LIFER ^ p
^ Foundation Walls ^ Propane Tank/Line ^ Fire Department '~
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^ Footing Drainage ^ Mechanical v~.
^ Temporary Occupancy
^ Slab/Interior Footing/Insulation ^ Framing ^ Fees Paid
^ Groundwork/Plumbing Test ^ Insulation ^ Final Occupancy
^ Underfloor Framing ^ Interior ShearlBWP Nail ^ Other/
nsultation ,
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^ Ext. Shear Wall/Holdowns ^ Drywall/Fire Wall f
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For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM ~ ~ v( /% vvt,~v~-
the day before you ant 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 plans and permit card must be on-site and available at time of inspection.
Inspector
Acknowledged by
Date
Date