HomeMy WebLinkAboutPermit File BLD-2019-0211 1016 27th Street (2) Commercial Fire Protection, Inc. Transmittal
1�,1 17199 Bennett Road
Mt.Vernon WA 98273-9789 Today's Date: 01/17/2020
360 848-9093
COMMEFP 132 MM Date Sent: 01/17/2020
To: Anacortes Permit Center Project: 2018039
P.O. Box 547 Anacortes Family Apartments AFC PH2
904 6th Street 1016 27th St
Anacortes WA 98221 Anacortes WA 98221
Prepared By: DELLA DELLINGER
Item Quantity Description
1 1 Aboveground Test Cert
Notes
Please sign and date this form as proof that you are in receipt of the above listed items.
Return form to Commercial Fire Protection, Inc.
Signed: Date:
_______
,.......,,
:.,.p„c. -- Go►�nr �ercia�l COMMERCIAL FIRE PROTECTION , INC.
ill Fire Protection 17199 BENNETT ROAD, MOUNT VERNON, WA 98273
A:iu i<ts ' /plc. (360) 848-9093 FAX (360) 848-1072
CONTRACTOR'S LICENSE NO. COMMEFP132MM
WET SYSTEM
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROJECT NAME ANACORTES FAMILY APARTMENTS JOB NO. 2018039
PROJECT ADDRESS 1016 27TH ST.
ANACORTES, WA 98221
SYSTEM NO. ' 1 SERVES 1ST, 2ND, & 3RD FLOORS
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. All defects shall be corrected and systems left in service before contractor's personnel finally leaves the job.
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 authority's requirements or local ordinances.
AUTHORITY HAVING CITY OF ANACORTES
JURISDICTION P.O. BOX 547, ANACORTES, WA 98221 PERMIT NO. tr14) LI) ?e 1. (.9 — 02,1 I
PLANS Installation conforms to accepted plans 0, YES 0 NO
` _ Equi_pmeni used is approved YES 0 NO 1f no, explainaielaiWrompa
PIPE AND PIPE CONFORMS TO NFPA 13 - 2016 STANDARD ® YES ❑ NO
FITTINGS FITTINGS CONFORM TO NFPA 13 - 2016 STANDARD 0 YES 0 NO
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 standard as required by the AHJ ?
WELDED PIPING Do you certify that all welding was performed by welders or welding operators qualified in accordance the ►. YES ❑ NO
,i minimum requirements of AWS B2.i, ASME Section IX Welding and Brazing Qualifications, or other
Ili YES 0 NO applicable qualification standard as required by the AHJ ?
u Do you certify that welding was conducted in compliance with a documented quality control procedure to YES 0 NO
ensure that( I ) 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 1/16 inch in diameter, undercut deeper than
2S% of the wall thickness or 1/32 inch; and ( 5 ) completed circumferential butt weld reinforcement does not
......r._.,_,..W..�_ ___ _._.._... � exceed 3132 inch ? .,,,_ -..._
HYDP03TATtC: 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
curs. All aboveground piping leakage shall be stopped.
HYDROSTATIC TEST A:-u PIPING' HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HOURS? CIYES ❑ NO
IF NO STATE REASON
WITNESSED BY FOR CIT F ANACORTES -7
SIGNATURE TITLE ii,S f't A4w5 ` i DATE /73 tt
Underground ins and lead-in connections to system risers flushed before connection made to sprinkler piping.
FLUSHING VERIFIED BY COPY OF UNDERGROUND PIPING TEST CERTIFICATE? El YES ❑ NO
VERWIC.ATION FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PiPING? 0 YES 0 NO
OTHER — EXPLAIN
ADDfTIVE AND
CGRRClSIVE DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM
CHEMICAL SILICATE. OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED CI YES 0 NO
FOR TEST LUG SYSTEM OR STOPPING LEAKS?
VERIFICATION
BLANK TES1 GASKETS N::mber Used 0 Locations Number Removed 0
MANUFACTURER SIN TYPE MODEL YR, OF K - TEMP.o QUANTITY
NUMBER MFG. FACTOR RATING F w
VIKING VK468 SSP RES 2019 4.9 '175 158
VIKING ' VK305 HSW QR 2019 5.6 200 1
�._. -r - --- _
SPRINKLERS 1
--A.m./J.K.• -4 l•.1••b i r Iei,..,.....L - -
,........ ,
, , . 1
1- , TOTAL 159
commercial COMMERCIAL FiRE PROTECTION , INC.
j�� ! 17199 BENNETT ROAD, MOUNT VERNON, WA 98273
'' Fire Protection INC. (360) 848-9093 FAX (360) 848-1072
CONTRACTOR'S LICENSE NO. COMMEFP132MM
DRY SYSTEM
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROJECT NAME ANACORTES FAMILY APARTMENTS FJOB NO. 2018039
PROJECT ADDRESS 1016 27T" ST
ANACORTES, WA 98221
SYSTEM NO. 2 SERVES ATTIC
PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owner's
representative. All defects shall be corrected and systems left in service before contractor's personnel finally leaves the job,
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 aproving authority's requirements or local ordinances.
AUTHORITY HAVING CITY OF ANACORTES
JURISDICTION P.O. BOX 547, ANAC• -TES, WA 98221
PERMIT NO. BLD-201 9-
PIPE AND PIPE CONFORMS TO NFPA 13 - 2016 STANDARD ® YES ❑ NO
FITTINGS FITTINGS CONFORM TO NFPA 13 - 2016 STANDARD E YES ❑ NO
WELDED Do you certify as the sprinkler contractor that welding procedures used comply with the minimum ® YES ❑ NO
PIPING requirements of AWS B2.1, ASME Section IX Welding and Brazing Qualifications, or other applicable
qualification 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
E YES L] NOLi-. minimum requirements of AWS B2.1, ASME Section iX Welding and Brazing Qualifications, or other applicable
qualification standard as required by the AHJ ?
Do you certify that welding was conducted in compliance with a documented quality control procedure to E YES ❑ NO
ensure 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 1/16 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
3/32 inch ?
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
HYDROSTATIC TEST hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HOURS? E YES ❑ NO
IF NO, STATE REASON
WITNESSED BY FOR CITY •. ANACO ES
SIGNATURE / TITLE i I �' /4'1,S I'(, DATE J/ /(4
e
PNEUMATIC: Es abli-h + psi air pressure and measure drop which shall not exceed 1.5 psi in 24 hours. Test pressure tanks at normal water level
and air pressure a d easure air pressure drop, which shall not exceed 1.5 psi in 24 hours.
PNEUMATIC TEST
DRY PIPING PNEUMATICALLY TESTED? 0 YES ❑ NO
IF NO, STATE REASON
WITNESSED BY
FOR
SIGNATURE
TITLE DATE
Underground mains and lead-in connections to system risers flushed before connection made to sprinkler piping.
FLUSHING VERIFIED BY COPY OF UNDERGROUND PIPING TEST CERTIFICATE? E YES ❑ NO
VERIFICATION FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING? ® YES ❑ NO
❑ OTHER — EXPLAIN
i
ADDITIVE AND DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,
CORROSIVE CHEMICAL SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS ® YES ❑ NO
VERIFICATION WERE NOT USED FOR TESTING SYSTEM OR STOPPING LEAKS?
BLANK TEST Number Used: 0 Locations •
Number Removed: 0
YR. OF TEMP,
MANUFACTURER SIN NUMBER TYPE MODEL MFG. K - FACTOR RATING °F QUANTITY
TYCO TY3180 ATTIC BB1 2019 5.6 212 12
TYCO TY3183 ATTIC SD1 2019 5.6 212 24
TYCO TY3190 ATTIC AP 2019 5.6 200 16
SPRINKLERS
TOTAL 52