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Home My WebLink AboutPermit File BLD-2021-0648 1715 O Avenue (2) �., Commercial COMMERCIAL FIRE PROTECTION, INC. ' + rs }aR 17199 BENNETT ROAD, MOUNT VERNON. WA 98273 (360) 848-9093 FAX (360) 848-1072 CONTRACTOR'S LICENSE NO. COMMEFP132MM WET SYSTEM CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROJECT NAME FIDALGO FLATS _ _ _ JOB NO. 2021017 ___ PROJECT ADDRESS 1715 O AVE V ANACORTES, WA 98221 SYSTEM NO. 1 SERVES HEATED INTERIOR OF BUILDING Upon completion of work,inspection and tests shal!be made by the contractor's representatives and witnessed by an AHJ andlor 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. BLD-2021-0648 PLANS Installation conforms to accepted plans ®YES ❑NO Equipment used is approved ®YES ❑NO If no,explain PIPE AND PIPE CONFORMS TO NFPA 13 - 2019 STANDARD ®YES ❑ NO FITTINGS FITTINGS CONFORM TO NFPA 13 • 2019 STANDARD ® YES ❑ NO Do you cenily 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 otherapplicable qualification standard as required by the AH.I? WELDED PIPING Do you certify that all welding was performed by welders or welding operators qualified in accordance the ® YES ❑NO Uj minimum requirements of AWS B2.1,ASME Section IX Welding and Brazing Qualifications,or other Il YES ❑ NO r 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 ❑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 V16 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 hours. All aboveground piping leakage shall be stopped. HYDROSTATIC TEST ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HOURS? ®YES ❑ NO IF NO,STATE REASON WITNESSED BY FOR C)TY Pf ANAC RTES SIGNATURE ,� !r L-'2� _ TITLE DATE __- Underground mains and lead-in connections to system risers flushed before connection made to sprinkler piping. FLUSHING VERIFIED BY CbPY OF UNDERGROUND PIPING TEST CERTIFICATE? ® YES ❑ NO VERIFICATION FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING? ® YES ❑ NO OTHER—EXPLAIN ADDITIVE AND DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THA t ADDITIVES AND CORROSIVE CHEMICALS,SODIUM CORROSIVE SILICATE OR DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED CHEMICAL FOR TESTING SYSTEM OR STOPPING LEAKS? ® YES ❑ NO VERIFICATION BLANK TEST GASKETS Number Used 0 Locations Number Removed 0 MANUFACTURER SIN TYPE MODEL YR.OF K- TEMP QUANTITY NUMBER MFG. FACTOR RATING,,F VIKING VK3001 SSU QR 2021 5.6 200 13 VIKING VK468 RECD SSP RES 2021 4.9 200 273 RELIABLE RA5231 DRY HSW RES 2022 4.4 j 175 3 VIKING VK305 HSW QR 2021 5.6 175 1 SPRINKLERS TOTAL F290 31VO ,. . . . . . . . .. . . r . . . . . . . u30l0H A0Nh3dWU0 d0.- 1V01311H30 30 3HfliVNOIS xa'�c aaa .�nleWls � - sraldY� 51tWZ£ld�3WW00 ( . 6; N OUI 'uollaa}aJd acid Ie1a�aLuwoO 930Y-090-£LaL'ON NOIIVIj1SIJ3li 31V01311H30 s E lanai 030-L090-£LhL H30IOH A0N313dPd00 d0 31V01311H37 dO 3WVN 031NIHd _ � o � - ' � NOIIVOI31ia30 uaw6iS tea out - � s stsAs rsi�INlyds NolAaatord srld S �i.! 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Fire Protection 17199 BENNETT ROAD, MOUNT VERNON, WA 98273 INC. (360) 848-9093 FAX (360) 848-1072 CONTRACTOR'S LICENSE NO. COMMEFP132MM STANDPIPE SYSTEM PER NFPA 14 CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROJECT NAME FIDALGO FLATS JOB NO' 2021017 PROJECT ADDRESS 1715 O AVE ANACORTES, WA 98221 Automatic Dry ❑ !' Automatic Wet ❑ TYPE OF SYSTEM Semiautomatic Dry ❑ Manual Dry ❑ Manual Wet Combination Standpipe/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. All defects shall be corrected and systems left in service before contractor's personnel finally leave 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 comEly with ap2roving authority's requirements or local ordinances. AUTHORITY HAVING CITY OF ANACORTES JURISDICTION P.O.BOX 547,ANACORTES,WA 98221 PERMIT NO. BLD-2021-0648 Installation conforms to accepted plans? N.Yes ❑No PLANS Equipment used is approved or listed? N Yes ❑No It no,explain deviations WATER SUPPLY DATA FIRE PUMP DATA MANUFACTURER: MODEL: USED FOR DESIGN AND AS SHOWN ON TYPE ❑ELECTRIC ❑DIESEL N OTHER(explain) UTILIZE PUMP ON FIRE TRUCK PLANS RATED GPM 1500 RATED PRESSURE 150 PSI SHUTOFF PRESSURE 240 PSI WATER SUPPLY ❑PUBLIC WATERWORKS SYSTEM ❑STORAGE TANK ❑GRAVITY TANK ❑OPEN RESERVOIR SOURCE CAPACITY, GALLONS N OTHER(ex lain) SUPPLIED THROUGH FIRE TRUCK DRAFTING FROM FIRE HYDRANT IF PUBLIC WATERWORKS STATIC PRESSURE N/A PSI RESIDUAL PRESSURE NIA PSI FLOW N/A 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 ®Hydraulic Data 1 Calculations Main waterflow shutoff location RISER ROOM SUPPLIES Number of Standpipe Risers 1 BUILDING(S) Do all standpipe risers have base of riser shutoff valves? N Yes ❑No VALVE SUPERVISION ❑Locked open ❑Sealed and tagged N Tamperproof Switch ❑Other(explain) PIPE&FITTINGS Type of pipe DYNA FLOW Type of fittings GROOVED FITTINGS HOSE THREADS Hose threads have been verified for compliance with local fire department N Yes ❑No BACKFLOW ❑Double Check Valve Assembly PREVENTOR ❑Reduced Pressure Device Size N/A Manufacturer Model Do you certify as the sprinkler contractor that welding procedures used comply with the minimum N 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 N Yes ❑No minimum requirements of AWS 82.1,ASME Section IX Welding and Brazing Qualifications,or other applicable N YES ❑ 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 NYes ❑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 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? ADDITIVE AND DO YOU CERTIFY AS 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? — 31VG --- - 91111 — 3»n1VN9IS aOJ AS a3SS3N11M IS31 HIV 03SS3ddWO3 ON SNIV1NOO 3dldONVIS 13M NOSV3a 31ViS 'ON J1 ON®SOA❑ - _ - Ala3dOad S3UVR3d01N3AdIr)03 ON ® saA❑ C315311.IIVJI1VVIn3Nd 9NIdId IIV iS31 ouvimnMd 'smoq he ul Isd z/ I paeoxe 1ou!legs goigM'doap amssa)d ne alnseaw pue amsgeid)1e pue 1ane1 aalem lewiou ve sNuelainssald lsaI smoq bZ ul Isd z/,'I poeoxe lou!lags golgm'dap amsmu pue aanssa)d ne Isd Olt gsllgejQ:OIIVW UNd L /�/�.� 31V0 /��f "�/ i! 3I111 _ �. 7.�i'J` 3an1VNDIS" V S3JLHOO NV illy HOJ " AS O3SS3NIIM 1S31 NOSV3a•31VIS'ON-JI ON ❑ saA® LsanOH Z HOJ Isd OOZ IV I 1S313IIV1SOHQAH 031S31 AIIV311V1•SOUCAH 9Nldld I1V -. Paddols aq pegs a5eyeal6uldld ouna6anoge IIV a6ewep Iuena)d of 1s,91 6u1mp uado 4al eq 11egs s)addelo a:nleA le1ju0aagi0 paddols aq 11eys a6e>)ea(6uldld punO)6snoge pV •S'noq oMl jot Isd Og 110 ssaoxa ul amssald Duets anoge Isd Og to smoq oM1)ol lsd OOZ uugl ssel lou lu apuw aq pegs sisal 0llelsO,PA1i :OIIVISOHOAH NIVIdX3'ION JI' ON ❑ saA® AIH3dOad G31V83dO W31SAS NO S3A1VA 3SOH IIV S3AIVA 3SOH -_--- - - --- -- _ _-- S331A3Q ---- �- - -- I— -_---- ----- -� -—---- EJNI-Lv-inJ3H 3unS93Hd I i I ------ 1311n0 131NI LA. —II I--131N1 - -- --- ---- --- Wd9 (•�$'. )9NIMOIM (!Sd)JNIMOIJ-NON-� 1300W - I - - a001J 19 N011VOOI ON❑ saA[] Z Apadald pale7edo a01naO uO!1eA110e gOe3 uleldxo`ou 11 ONE] saA❑ Z 0a1Sa;001AeP u0lleng0e gOe3 0:)IA0P uollenlloe 10 1aPOw pue aainloelnueW ❑ uOI1en110p o!lewnou 1 ❑ uo11un11oe 01.goal3 ❑ uOiienllae 011ne1pAi{ VIV©1S31 oaS UM lapno @Alen aSuq 91OUJGA Pagoea.i Ia1eM awl.l uleldxe'ou 1I ONE] so k[i Z npado)d polelad(,waelV Isd ainssaid ne lulod dui :)aS UA lapno amen asog 01OwO:pagoual)alr.M awll lsd amssa)d HIV amssa:d]alum oaS W01 aAleA @soq alowa)dp101 awll MIAM --- -- -- - -- - _-- 3AIVA-1081NOO ----- -------------- ------- ------------------------- - I _ _ V/N 3 OW I a3anl'OVJnNVW 3Z-IS 3d.lL M � HYDRAULIC DATA NAME PLATE PROVIDED EYES ❑NO NAMEPLATE IF NO,EXPLAIN BLANK TESTING NUMBER USED LOCATIONS 7NUMBER REMOVED CERTIFICATION IF NO,EXPLAIN IN-SERVICE DATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: MAIN DRAIN READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE RESIDUAL PRESSURE WITH VALVES IN TEST PIPE TEST STATIC PRESSURE: PSI OPEN WIDE PSI ADDITIONAL EXPLANATION AND STAIR ONE STANDPIPE NOTES HOSE VALVE 1 250 GPM @ 100 PSI STAIR TWO STANDPIPE HOSE VALVE 2 250 GPM @ 100 PSI HOSE VALVE 3 250 GPM @ 100 PSI REQUIRED FDC INPUT PRESSURE PSI FOR AHJ CITY)OF ACORTES FINAL ACCEPTANCE SIGNATURE �;' TITLE L ' I�' 5 L y / DATE / OR PROP STY OWfttR OR THEIR AUTHORIZED AGENT TEST WITNESSED _ BY Smolt URE7 -- --TITLE - ��f +?:� ry'(h/T� DATF_ FOR COMMERCIAL FIRE PROTECTION, INC. SIGNATURE TITLE _ _ DATE I CERTIFY THAT THE INFORMATION HEREIN IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCORDANCE WITH RCW 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY . w w w w w w w r w r r w w w w w r w w w w w THE STATE FIRE MARSHAL. 0 NASNINOTON STATE + + CERTIFICATE OF COMPETENCY r PIRE PROTECTION SPRINKLER SYSTEM a Eric Si men + PRINTED NAME OF CERTIFICATE OF COMPETENCY HOLDER r Eric Ray Sigmen + CERTIFICATE REGISTRATION It 7473-0607-CEG + 7473-0607-CEG Level 3 � + r +Commercial Fire Protection, Inc. CERTIFICATION C r N + r" 2�_ ' + COMMEF�P132 M � �+ r &"l a1n SIGNATURE OF CERTIFICA E OF COMPETENCY HOLDER :SlMwawr sac s1,a /� M wwwwrwwr wrwrwwrww wwwr DATE 26.2._2 16