HomeMy WebLinkAboutBLD-2009-0370 - COMMERCIAL TENANT IMPROVEMENT 0929204-1 0006 1011912009 002 4
T Y Permit Fees 007902 $431.44
1 Cityof A
nacortes Permit#: BLD-2009-0370
904 6th Street Issue date: 10/19/2009
P.O.Box 547
9 �x Anacortes, WA 98221-0547 Expire date: 04/17/2017
I
(360) 293-1901
Job Address: 1400 4TH ST Permit Type: Commercial Repair/Alter Permit
ANACORTES WA 98221-1532 Project:
APN: P31513
P31514
P31515
P31516
P31517
P31518
P55366
P55673
P55679
Remarks: Vestibule addition to existing building.
Owner: TRIDENT SEAFOOD CORP Contractor:
Address: PO BOX 17599 Address:
SEATTLE WA 98127-1269
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 20000 State Building Code Fee 4.50
Plan Review Fee 168.19
Building Permit Fee 258.75
Total Calculated: 431.44
De posits/Receipts: 0.00
Total Due: 431.44
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I '..
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'f
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY
r . o rcll COMMERCIAL FIRE PROTECTION, INC.
1 17199 BENNETT ROAD, MOUNT VERNON, WA 98273
" Fire Protection (360) 848-9093 FAX(360) 848-1072
I `r INC.
CONTRACTOR'S LICENSE NO. COMMEFP132MM
STANDPIPE SYSTEM PER NFPA 14
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROJECT NAME TRIDENT SEAFOOD DOCK STANDPIPE JOB NO.
C2008147
1400 4TH STREET
PROJECT ADDRESS ANACORTES, WA 98221
Automatic Dry ❑
Automatic Wet ❑
TYPE'OF SYSTEM Semiautomatic Dry ❑Manual Dry
Manual Wet ❑
Combination Standpipe I Sprinkler ❑
If other,explain
Upon completion of work,inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owner's
PROCEDURE representative. Ail defects shall be corrected and systems left in service before contractor's personnel finally leave thejob.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners and contractor. It is
understood that owner's representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship,or failure
to comply with approving authont 's requirements or local ordinances.
AUTHORITY HAVING ANACORTES FIRE MARSHAL
JURISDICTION 1016 13`h STREET ANACORTES,WA 90221
PERMIT NO. BLD2009-0083
Installation conforms to accepted plans? N Yes ❑No
PLANS Equipment used is approved or listed? N Yes ❑No
If no,explain deviations
WATER SUPPLY DATA FIRE PUMP DATA MANUFACTURER: MODEL: FIRE DEPARTMENT PUMPER TRUCK
USED FOR DESIGN
AND AS SHOWN ON TYPE ELECTRIC ❑ DIESEL ❑ OTHER(explain)
PLANS RATED GPM RATED PRESSURE PSI SHUTOFF PRESSURE PSI
WATER SUPPLY PUBLIC WATERWORKS SYSTEM ❑STORAGETANK ❑GRAVITY TANK ❑OPEN RESERVOIR
SOURCE CAPACITY,
GALLONS N OTHER ex lain FIRE TRUCK INPUT TO FDC
IF PUBLIC
WATERWORKS STATIC PRESSURE NIA PSI RESIDUAL PRESSURE PSI FLOW GPM
SYSTEM
HAVE COPIES OF THE
FOLLOWING BEEN N System Components Instructions N Care and Maintenance of System N NFPA 25
LEFT ON THE
PREMISES? ®Copy of Accepted Plans N Hydraulic Data/Calculations
Main waterflow,shutoff location N/A
SUPPLIES Number of Standpipe Risers N/A
BUILDING(S). Do all standpipe risers have base of riser shutoff valves? ❑Yes ❑No
VALVE SUPERVISION ❑Locked open ❑Sealed and tagged ❑Tamerproof Switch N Other(explain) NON-VALVED SYSTEM
PIPE&FITTINGS Type of pipe SCH10 GALV&DUCTILE IRON
Type of fittings GALV GROOVED
HOSE THREADS Hose threads have been verified for compliance with local fire department N Yes ❑No
BACKFLOW ❑ Double Check Valve Assembly Size Manufacturer Model N/A
PREVENTOR ❑Reduced Pressure Device
Do you certify as the sprinkler contractor that welding procedures used comply with the minimum ❑ Yes ❑No
requirements of AWS B2.1,ASME Section IX Welding and Brazing Qualifications,or other applicable qualification
WELDED PIPING standard as required by the AHJ?
Do you certify that all welding was performed by welders or welding operators qualified in accordance the ❑Yes ❑No
minimum requirements of AWS B2.1,ASME Section IX Welding and Brazing Qualifications,or other applicable
❑ YES N NO IF YES, qualification standard as required by the AHJ?
Do you certify that welding was conducted in compliance with a documented quality control procedure to ensure 0Yes ❑No
that(1)all discs are retrieved;(2)that openings in piping are smooth,that slag and other welding residue are
removed;(3) the internal diameters of piping are not penetrated;(4)completed welds are free from cracks,
incomplete fusion,surface porosity greater than 1116 inch in diameter,undercut deeper than 25%of the wall
thickness or 1/32 inch;and(5)completed circumferential butt weld reinforcement does not exceed 3132 inch?
ADDITIVE AND DO YOU CERTIFYAS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM
CORROSIVE SILICATE OR DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED N YES ❑ NO
CHEMICAL FOR TESTING SYSTEM OR STOPPING LEAKS?
VERIFICATION
CUT OUT(DISC) DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUT OUTS N YES ❑ NO
CERTIFICATION (DISCS)ARE RETRIEVED?
TYPE SIZE MANUFACTURER MODEL
CONTROL VALVE
DEVICES
Time to trip remote hose valve Min Sec Water Pressure Air Pressure psi
Time water reached remote hose valve outlet Min Sec Trip point air pressure psi
Alarm operated properly? []Yes ❑No If no,explain
TEST DATA Time water reached remote hose valve outlet Min Sec
Hydraulic activation ❑ Electric activation ❑ Pneumatic activation ❑
Manufacturer and model of activation device
Each activation device tested? ❑Yes ❑No If no,explain
Each activation device operated properly? ❑Yes ❑No
LOCATION&FLOOR MODEL NON-FLOWING(psi) FLOWING(psi) GPM
INLET OUTLET INLET OUTLET
PRESSURE
REGULATING
DEVICES
HOSE VALVES ALL HOSES ON SYSTEM OPERATED PROPERLY ❑Yes ❑ No
IF NOT,EXPLAIN
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi for two hours or 50 psi above static pressure in excess of 150 psi for two
hours. All aboveground piping leakage shall be stopped.Differential valve clappers shall be left open during test to prevent damage.All aboveground
piping leakage shall be stopped.
HYDROSTATIC TEST ArL PIPING HYDROSTATICALLY TESTED 250 PSI FOR 2 HOURS? ®Yes ❑ No
IF NO,STATE REASON
TEST WITNESSED BY FOR COR ES FIRE MARSHAL
PNEUMATIC:Establish 40 psi air pr ure and measure drop,which shall not exceed 1 1/2psi in 24 hours.
Test pressure tanks at normal water evel and air pressure and measure air pressure drop,which shall not exceed 1 %psi in 24 hours.
PNEUMATIC TEST ALL PIPING PNEUMATICALLY TESTED 0Yes ❑ No
EQUIPMENT ES PROPERLY ❑Yes ❑No
IF NO,,8TATE REASDIq
TEST WITNESSED BY FOR F