Loading...
2006, 04-27 Bldg F: Temporary C of O and backup docs S1Ôkne ' 11707 E,Sprague Ave. • Suite 106 • Spokane Valley,WA 99206 (509)921-1000 • Fax(509)921-1008 • cityhall @spokanevalley.org TEMPORARY CERTIFICATE OF OCCUPANCY April 27, 2006 Donald E Neraas 104 S Freya Street Spokane WA 99202 RE: 601 S Woodruff, Bldg F (2-C) Woodruff Apartments Permit#05-008 I This Temporary Certificate of Occupancy is being issued according to the 2003 IBC Code 1 10.3 which states: The building official is authorized to issue a temporary certificate of occupancy before the completion of the entire work covered by the permit, provided that such portion or portions shall be occupied safely. The building official shall set a time period during which the temporary certificate of occupancy is valid. The following items must be complete before issue of Certificate of Occupancy: Building Department: • Not applicable Planning Department: • Not applicable Public Works/Engineering Department: • Engineer to submit letter certifying swales built and constructed per plan prior to final Certificate of Occupancy, Fire: • Not applicable This document does not authorize the holder or their designated agent to violate any provisions of the code or any other ordinance of this jurisdiction. Life safety for the occupants will be maintained at all times, any unsafe acts or failure to provide minimum code requirements will result in the revocation of the Temporary Occupancy. This Temporary Certificate of Occupancy is valid until June I, 2006, 5:00 p.m. in where this Temporary Certificate will become null and void if the conditions listed have not been instituted and the Certificate of Occupancy has not n obtained. Permit Specialist/CO Coordinator 0-AD e.7- - -FINMTCERTIFICATE OF OCCUPANCY SIGN OFFS ADDRESS: CG'C ! 5$,/Live? 'LC Pi 6 I PERMIT NO: C) }- C"CTh l Abbreviated Use: 2- Code: U3 C Conditions: INSPECTOR/DATE: t-( —2 ' ' 2EYs�:s,G PLANNING/DATE: 0 k '..1}t \\ ( K ENGINEERING/DATE: - FIRE/DATE: c' 1,_ t..: ("I 120 r, HEALTH/DATE: MULTI FAMILY/EHB 1848: APR -24-06 MON 02 :48 PM NERAAS. ARCHITECT 509 534 8481 P. 01 DONALD I. NERAAS, AlA Member-American Iusiitute orArchitccls 24 April 2006 TO: Torn Scholtens, Building Official, City of Spokane Valley RE: Rudeen Development LLC o "Woodruff-108" Apartments 10009 E. 7th Avenue, Spokane Valley, WA SUB): Project Completion Inspection/Evaluation In the above project, the following buildings are entirely complete; "1-A", "1-B", "1-C", "3-A", "3-B", and the recreation building. Building "2-C" is now fully complete In every regard. Very truly, DONALD E. NEfAAS Architect 1020 REGISTERED AtiECY DONA.DE,NERAAS STAIEOF WASH NGTO I TAIIO O FME CENTER•YELLOW FLAG OVliOING N303.104 BOUT!!FREYA STREET•SPOKANE,WA 09202.4690•PHONE I FAX(5081 534.04F11 Page 1 of 1 Jodi Main From: Alysa Wiyrick Sent: Thursday, April 27, 2006 9:48 AM To: Jodi Main; Tom Scholtens Cc: John Hohman; Henry Allen Subject: 601 S Woodruff Temporary CofO Jodi, Public Works is okay with a temporary CofO for 601 S Woodruff for Buildings F, C, D, and E. Prior to final CofO, the applicant needs to provide a letter from the design engineer stating the swales are constructed according to plan. If you have any questions, please let me know. Alysa Wiyrick Assistant Development Engineer City of Spokane Valley 11707 E. Sprague Ave Ste. 106 Spokane Valley, WA 99206 (509) 688-0228 (509) 921-1008 Fax awiyrick @spokanevalley.org (Contents of this email and any reply are subject to public disclosure.) 4/27/2006 Page 1 of 1 Jodi Main From: Chase, Paul [ChaseP @SpokaneValleyFire.com] Sent: Thursday, April 20, 2006 1:18 PM To: Jodi Main Cc: Loftin, Norm; Andersen, Patricia Subject: C of O for 601 S Woodruff Jodi Re 601 S. Woodruff- Pheasant Ridge 1. I witnessed the alarm and fire sprinkler acceptance tests on buildings C, D, E, F today 0420-06. 2. ****Buildings D and E still need siding and a building sign before they are ready to occupy. Your inspector can watch for that.**** 3. I have copies of all the alarm acceptance tests...If you need copies I can make a complete set. 4. I am waiting for copies of fire sprinklers acceptance tests from Patriot for a couple of buildings. We have witnessed all the building tests and we can get you copies of the entire set A-F if you desire...I expect them to fax it to me today. I will be out of the office Friday and Monday... Paul Chase Spokane Valley Fire Department 10319 E. Sprague Ave. Spokane, WA 99206-3627 Phone (509)892-4121 Fax (509)892-4127 ChaseP @SpokaneValleyFire.com "Fire Sprinklers Save Lives" 4/20/2006 Page 1 of 1 Jodi Main From: Micki Harnois Sent: Tuesday, April 25, 2006 9:52 AM To: Jodi Main; Alysa Wiyrick; 'Fire Inspect; NORM LOFTIN (loftinn @spokanevalleyfire.com); PAUL CHASE (chasep @spokanevalleyfire.com) Cc: Doug Powell Subject: RE: TEMPORARY C OF 0-601 WOODRUFF BLDG F The Temp C of 0 is approved by Planning. Micki Original Message From: Jodi Main Sent: Tuesday, April 25, 2006 9:45 AM To: Alysa Wiyrick; Fire Inspect; Micki Harnois; NORM LOFTIN (loftinn©spokanevalleyfire.com); PAUL CHASE (chasep@spokanevalleyfire.com) Cc: Doug Powell Subject: TEMPORARY C OF 0-601 WOODRUFF BLDG F I am looking for sign off's for the following: 601 Woodruff, Bldg F-2-C-Permit#05-0081 They are wanting a Temporary C of O. Thanks :) Jodi Main Permit Specialist City of Spokane Valley Building Dept Phone: 509-688-0203 Fax: 509-688-0037 4/25/2006 09/08/2005 06:42 5099266521 :F IC ELECTRIC PAGE 01 -1 4 j$U CrtlG7 (4-7 C 7 ti Page 1 of 3 ( F ) KPrint Perrni [, l tetum,to Main Menu J t1r.i: -'POST ON JOBSITE PRIOR TO BEGINNING WORK .4; ; ELECTRICAL CONTRACTOR `' ELECTRICAL WORK PERMIT# 1087320E Noma License Number PACIFIC ELECTRIC CONTRS INC PACIFEC9B1D1 Insualaeon Desoription: Purchamer'e muting Mares° SN 2721 N VAN MARTERSUITE#5 SPOKANE WA 99206 Telephone number FAX Number ---- �.------ ., - _— 5099263304 U- Premisns owner's name Services to inspect Rudeen Description Quantity Amount Address or insPeelfan ew Service or Largest Feeder- 10009 E 7th 01 400 AMP —..•...,... �?_� 195.8.0 Spokane AMP d pitional Feeder(s)-0-200 p — ..... 11 — 257.40; Power company Total Paid:$453.00 Avista(Spokane) This permit expires in one(1)year from date of last activity. Applied: 9/8/2005 Expiration, 9/8/2006 Date Approved By Date Approved By WALLS Insulation Only SERVICE Cover FEEDER CEILING Insulation Only THERMOSTAT - Cover DITCH Inspection Data Area,Building or Equipment Inspected Action Taken Electrical Inspect "3---- - hmw1 Iwwc,...wa.onv11ni/inen/rntPemvt.asnx 9/8t2005 1 *�°�•� SPOKANE VALLEY FIRE DEPT. INSPECTION REPORT rjs 10319 EAST SPRAGUE AVE. • SPOKANE VALLEY,WA 99206-3676• (509)928-1700• FAX(509)892-4127 TYPE OF INSPECTION: ❑ BUILDING ACCEPTANCE ❑ ANNUAL ❑ SITE SURVEY ❑ FIRE PERMIT ❑ HAZARDOUS MATERIALS ❑ OTHER ADDRESS � CITY /moo , 7 BLDG SUITE OF MAP APT.PAGE OCC CLASS 901# MASTER PROPERTIES YES O NO NAME PHONE NAME IEMERG PHONE NAMEIEMERG PHONE KNOX BOX LOCATION DYES ONO SPRINKLER SYSTEM SERVICED? SIAMESE ❑YES ONO DYES 0 N ELECTRICAL LOCATION GAS PAINT BOOTH LOCATION HYD# DYES NO 1) HAZMAT LOCATION 2) YES ONO 3) NOTES: ITEM CODE COMPLY DATE NO. SEE REVERSE CORRECTIONS REQUIRED DATE OK'D //lam // ,-*/ I '0.5 4t ' ` The •.ove mentioned items are in con, with county ordinances and will be corrected by the date(s) indicated. If for any reason you are una.. • o compl= = - corre% i1 s wi,jin the time indicated or you have any questions, contact: FIRE PREVENTION BUREAU 928-2462 ,■ BUSINESS REPRESENTATI IGNATURE INSPECTOR (P rE PRINT) EMP# DATE Notification of Compliance by Responsible Party the undersigned, do hereby verify that the above violations have been corrected. x x Printed Name Signature Date Please marl or fax back to the Spokane Valley Fire Department, (address/fax at top of form) REV.2/05 RUSINISS COPY 1 FIRE ALARM SYSTEM ZiAjd/k3___ RECORD OF COMPLETION • Name of protected property: f// /'-1 a, b f 6 / Address: . f o,� — '� Representative of protected property(name/phone): Authority havingjurisdiction: ■_ �`/l/�. r ,�s: •�. • Address/telephonenumber. /'•3 1.22 Organization name/phone Representative name,phone Installer /?f E 5-vffe. S /s q- T%'S`/�4 OuS it././C' 9-9S '/ • Supplier F7z€ 'y's 'eA �,r/c'J /ffs97-STTV-r7,f1 0eAr Y/ Service organization 5YZN' ,Siekree otsiS l r-A!r /r119 -5'3 y - ,��/ j eAr Ett// /1'79~Ff yf Location of record(as•built)drawings: 01 Location ofoperation and maintenance manuals: DN .Si' +° Location of test reports:_O.t/ S-,E 4- A contract for test and inspection in accordance with NFPA standard(s) Contract No(s): Effective date: - Expiration date: System Software y (a)Operating system(executive)software revisio p Ievel(s): V' (b)Site-specific software revision date: t`/79/0 (c)Revision completed by: ••. CC - • -' _ C (name) _(firm 1.Type(s)of System or Service /�. NFPA 72,Chapter G—Local If alarm is transmitt4. to location(s)off premises,list where received: /I/4' tc i.2. 2:VC_ ea)-7r.7-ay 94 51.576/ • • NEPA 72,Chapter 8—Remote Station Telephone numbers of the organization receiving alarm: Alarm: Supervisory: Trouble: • - If alarms are retransmitted to public fuss service communications centers or others,indicate location and telephone numbers of the organization receiving alarm: Indicate how alarm is retransmitted: - NFPA72,Chapter 8—Proprietary • Telephone numbers of the organization receiving alarm: Alarm: Supervisory: . - Trouble: - If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone numbers oftho organization receiving alarm: Indicate how alarm is retransmitted: ' NFPA 72,Chapter 8—Central Station Prime contractor:. Central station location: (NFPA 72,1 of 4) Copyright NFPA • 1 . Means of transmission of signals from the protected premises to the central station: McCulloh _ _Multiplex One-way radio x Digital alarm communicator Two-way radio Others Means of transmission of alarms to the public fire service communications center: . . (a) e-1 9i.We- c ySL e#rt_ ' , - System location: e 7L !/Ol e N.FPA 72,Chapter 9—Auxiliary ' Indicate type of connection: Local energy Shunt Parallel telephone . Location of telephone number far receipt of signals: 2.Record of System Installation. . • (Fill out after installation incomplete and wiring-is checked fir opens,shorts,ground faults,and improper branching,. but prior to conducting operational acceptance tests.) . This system has been installed in accordance with the N TA standaj ds al shown below,was inspected by - fiQF s'yyffe ovi S te' on Yf/9/O 4 ,includes the devices shown in 5•and 6,and has beenin service since V/1 f/0 bf NFPA 72,Chapters 2" 3 4 5 ( ) 7 8 9 10 1 (circle all that apply) X NFPA 70,Nationo)Nketricat Code,Article 760 •_ . .X Manufacturer's instructions ' Other(speci��,: . Signed: _L�i111, !. f/ /!: . Organization / —Pecs' I 4. 3.Record of System Operation • Documentation in accordance with Insp onTestingDrairigire 1062 3,is attached / / All operational features and functions of this system were tested by i47.5.G✓. date Yf194 . and found to be operating properly in accordance with the requirements of- - • X NFPA 72,:Chapters ( 1 2 .3 4 5 7 ---ET-771-1.0 (circle all that apply) NEPA70,Ncstional Elec trical Code,Article 760 X Manufacturer's instructions " ______Other(speci ): / ft ' Signed: /41,(71/ Aato: Organization: 71Ii ii.d- G✓!d 1 . • 4.Signaling Line Circuits Quantity and class of signaling line circuits connected to system(see NFPA 72,Table 6.e.v: • Quantity: s _ Style: y Class: 3 • (NFPA 72,2oi4) Copyright NFPA • .5.Alarm-Initiating Devices and Circuits Quantity and class of initiating device circuits(see NFPA 72,Table 6.5): Quantity: Style: Class: MANUAL (a)Manual stations" Noncoded Transmitters Coded Addressable - (b)Combination manual fire alarm and guard's tour coded stations AUTOMATIC - - Coverage: Complete Partial X Selective Nonrequired " (a)Smolm detectors _ Ion _ .. Photo Addmssable (b)Duct detectors Ton Photo Addressable_• - (c)Heat detectors _ PT RR FDRR RC Addmssable,. 6 (d)Sprinklerwaterflow indicators: Transmitters Noncoded Coded Addressable 6 _ (e)The alarm verification feature is disabled X ,or enabled ,clanged from seconds to seconds. (O Other(list): • • • • é.Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices) GUARD'S TOUR (a) Coded stations (b) . Noncoded stations • • (c) " Compulsory guard's tour system'comprised of transmitter"stations and intermediate stations • • ' • Note:Combination devices are recorded cruder 5(b);Manual,and fi(a),Guard's Tour: • SPRINKLER SYSTEM' • • Check if provided • • • (a)........Valve supervisory switches (b) Building temperature points (e) Site water-temperature points . (d) Site water supply level points Electric fire pump: . •- (e) Fire pump power • (0 Fire pump running • . (g) Phase reversal Engine-driven fire pump: (h) Selector in auto position , ' • (i) Engine or control panel trouble . . ( Fire pump running • ENQNE•DR1VEN GENERATOR: (a) Selector in auto position • (b) Control panel trouble (e) Transfer switches . (d) Engine running �y,' / _/ Other supervi ry function(s)(s ify): //Y lit ,?O/7 $1A-1 r-f.Gc+2� `f'( f✓ (NFP472,3of4) . Copyright NFPA 7.Annunciator(s) �7 Number: f Type: frA•P Location: J�.e gc(f/of/_{� 14,vG 8.Alarm Notification Appliances and Circuits NFPA 72,Chapter 6—Emergency Voice/Alarm Service Quantity of voice/alarm channels: Single: Multiple: Quantity of speakers installed: - Quantity of speaker zones: Quantity of telephones or telephone jacks included in system: Quantity and the class of notification appliance circuits connected to system(see NFPA 72,Table 6.7): Quantity: e2 Style: r Class: '] Types and quantities of notification appliances installed: (a)Bells WithVisiible. (b) Speakers_/: With Visible T (c) Horns t • With Visrirle 78 (d)Chimes With Visible • • (e) Other: WithVisrible (0 Visible appliances without audible: 9.System Power Supplies (a)Fire Alarm Control Panel: Nominal voltage: /09-10 V4 C.. Current rating: Overcurrent protection: ' Type: Cifiet4,74 , iet t l'Current rating: / Sr ! 1-4 Location: Rce, , .8u-eV O( / So .8PS 's 4,44 (b) Secondary(standby): S +utitdert C,143$1,11 Storage battery: 02 Amp-hour rating: 7 .41-1,/ Calculated capacity to drive system,in hours:_ e y Engine-driven generator dedicated to fire alarm system: • Location of fuel storage: (c) Emergency system used as backup to primary power supply: Emergency system described in NFPA 70,Article 700: - r 10.Comments Frequency of routine tests and inspections,if other than in accordance with the referenced NFPA standard(s): System deviations from the referenced NFPA standard(s)are: • /1/,/r- Ai° ,, -,1,f7/42////,oritstae /e 9/4/-04G (si.ne. r stall.ton co .i/su..j (title) (date) 'le • ,r, Pr Y/z0/6:7 6 ( pod alarm:ersice co p. (file) (dale) (signed)for central.tation ,/ (title)J (date) Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction): ( w R. 1e,,- 1 (y- at>- 0,6 gr ed)representative at the authority having jurisdiction LI (tle) (date) (NFPA 72,4 of 4) Copyright NFPA (,) ! ATRIOT FIRE PROTECTION CONTRACTORS MATERIAL&TEST REPORT FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work,Inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system 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 under- stood the 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 requironients or local ordinances. PROPERTY NAME r , DATE •a `- ti ._ - -66- PROPERTY ADDRESS � r. 7 ACCEPTED BY APPROVI 0 AUTHORITIES(NAME) m �of•t.r 6-1" VALL.51 ri 7 ®- ADDRESS INSTALLATION CONFORMS TO ACCEPTED P S Li ES NO PLANS EQUIPMENT USED IS APPROVED ►4 YES 0 NO IF NO,EXPLAIN DEVIATIONS "r. HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION YES NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: YES NO INSTRUCTIONS 1. SYSTEM COMPONENTS INSTRUCTIONS ). YES 0NO 2. CARE AND MAINTENANCE INSTRUCTIONS. Ei YES 0NO 3. NFPA 13A - RYES 0NO LOCATION SYSTEM # \ SERVES: 1►. 4 • ^ � I T ) OF SYSTEM _.° YEAR OF •RIFIC£ TEMPERATURE MAKE MODEL MANUFACTURE SIZE QUANTITY RATING TAIMA1111=1■111131:4121/11NEW,11•1■1111VAVIR11111MINI /5- SPRINKLERS 11-tl�2.�. IM __L M l `rf !1 11 t` Ali lOINIE i - - PIPE AND ' TYPE OF PIPE it 2L 4.' GPli9 FITTINGS TYPE OF FITTINGS ta..e,sY,t-e,c, '1-e 4 V c. ALARM ALARM DEVICE MAXIMUM TIME TO OPERATE VALVE THROUGH TEST CONNECTION OR FLOW TYPE MAKE MODEL MIN SEC. 1 INDICATOR F e War-+C- taliMil __ {=�- DRY VALVE O.OD. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO, TIME TO TRIP ` TIME • ER ' ALARM DRY PIPE ANL CONNECTION PRESSR•E PRESSU• AIRRPRESSURE R- T OUTLET �'ROPERLY OPERATING TEST -�uR SEC. PSI SEC. YES NO WIT OUT 11.11 0,01, 1 OfP Q,IF Ne,EXPLAIN OPERATION D PNEUM•T1. ❑ELECTRIC AA DRAULIC PIPING S L J E ISED ■YES •NO rDETEW 11141■15*ILVI 144.14A" D -wgimmino DELUGE Pr DOES V•,�#_ i ERATE FROM T E M• UAL TRIP AN, OR REMOTE CONTROL ST• ' ONS Q ! r L� PREAC.Z IUN 15 THE •L CESSIBLE F���`�, CH CIRG FOR TES IF NO, • VALVES DYES II NO —� p\R_ iiii DOES�=�• 1'•CUIT OPERATE DOES • •CH CIRCUIT �1► ' t TO •DEL SUP:' •� LOSS ALARM OP 'r E VALVE RELEAS .SE city _. . . 11/ 11 • l '1 =Mil MI1MM TEST HYDROSTATIC:Hydrostatic 1estS shall be made at not less than 200 psi(13.8 bars)for two hours or 50 pal(3.4 bars)above static pressure In excess of 150 pal DESCRIP TEST ON (10.2 bars)for tvio hours.Differential dry-pipe valve clappers shall be left open during test to prevent damage.All above ground piping leakage shall be stopped. )PNEUMATIC:Establish 40 psi(2.7 bars)afr pressure and measure drop which shall not exceed 1-1/2 psi(0.1 bars)In 24 hours.Test pressure tanks at normal water level and sir pressure and measure air pressure drop which shall not exceed 11/2 pal(0.1 bars)In 24 hours. - _c r-PIPIN HYDROSTATICALLY TESTED AT PSI FOR Z. HRS, IF NO,STATE REASON .1-.217.19.5 7 DRY PIPING PNEUMATICALLY TESTED YES ❑NO 7 EQUIPMENT OPERATES PROPERLY gYES ONO DO YOU CERTIFY AS THE SPRINKLER SYSTEM CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SIUCATE OR DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TEST- • ING SYSTEM S OR STOPPING LEAKS? l YES . ' ®NO __ TESTS DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL.PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION: °r PSI CONNECtION OPEN WIDE ` )j PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO.8,513 YES IA NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING EIYES ONO _ _ BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS --WELDED PIPING YES NO IF YES. . . DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-3 OYES ONO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WE DING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010,9,LEVEL AR-3 ❑YES ONO A m DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED _ _ DYES ONO_ cUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL Nrn DISCS CUTOUTS DISCS A y�RE RETRIEVED? _ {751 YES ONO FUNCTIONAL DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? YES NO FLOWTEST WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? EYES ❑NO NAME PLATE PROVIDED IF NO,EXPLAIN • DATA NAMEPLATE YES ❑NO _ REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: /7W-0 NAME OF SPRINKLER CONTRACTQ CONTRACTOR LICENSE # cr.,7C'� CIS' -�C...0,,Q(■ PATRIFP099CF TESTS WITNESSED BY SIGNATURES FOR PROPERTY OWNER(SIGNED) TITLE DATE FOR SPRINKLER CONTRACTOR(SIGNED) f TITLE DATE - fpi\ _ �'_ FOR '"PROVING A T I AI ITLE 1 ATE /:,..loll .V -- VFW -_ R 2S�4 I :A IFY THAT E I ' ORMATION HEREIN IS TRUE AND THAT THIS SPRINKL R SYSTEM WAS INSTALLED IN ACCOD- ANCE WITH!KWIC.- i AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY CERTIFICATION THE STATE FIRE HAL. NAME OF CERTIFICATE OF COMPETENCY HOLDER(PRINT OR TYPE) SIGNATURE OF CERTIFICATE OF COMPETENCY HOLDER CERTIFICATE REGISTRATION# DATE - ADD TIONAL EXPLANATION AND NOTES 8EA HACK 5 ATRIOT FIRE PROTECTION Incorporated 10005 East Montgomery ,of Building: t )( c) ,Ckk , \\:.i " Spokane, WA 99206 1�°.,� .{ www.patriotfire.com Address: \ ()OO 7 s 509-926-3428 ',\ )1YOMr. 509-926-3708 Fax SERVICE CHECK LIST TYPE OF SYSTEM (S) ). � JOB# ')\- ()LTA') YES NO N/A 1. Main control valve open and sealed 2. Water Motor Gong operates 3. Alarm Stop Valve open and sealed 4. Supervisory Switches operate properly 5. Electrical Alarm operates properly 6. Low Points drained (Dry Sysyems) - # of drains fir' 7. Air Compressor functions correctly - Oil level 7a. Compressor Start PSI 7b. Stop PSI 8. Low Air Pressure Switch Low PSI High PSI c=' 9. System Air Pressure PSI = 10. System Water Pressure tt'j PSI J 11. Residual Pressure 2" Flow `r' PSI 12. All other valves in proper position 13. All Systems in Service 14. Central Station notified and clear 15. Explain any no answers Service Technician A. A.'{ ;, ,. � Signatu 6 Print Name Date I have read the above checklist and to the best of my knowledge the information contained is accurate. Owner's Representative (.(-7.--4;:-(7 if( Signature -/// Title Date f White Copy Office rev. 2004 Yellow Copy Customer FROM PATRIOT FIRE PROTECT 1 ON, INC. (THU) APR 20 2006 14 :01/ST. 14 :00/No. 6834436680 P 1 • 40465 East M oSgomefy Spokane,WA 9920e ATRIAL Fire Sprinklers Says Lives! Ema��:epokane pstriaU�+.com P RI; PROTECTION TEL:(509)926,342$ FAX:(569)928.3708 FAX COVER SHEEN' ' ! -- ; • �� • DATE y-.020.-_,0_6... RECIPIENTS FAX NO. - /a . • . • TO. /cli G! �/�� 7 L- /O ' ATTENTION ' /ilG • /4' f . FROM • Number of peges Including Cover Sheet 4 .?7 ' . • Comments: /�.s l 5 't Z I �i�1. ``O .,, ,.. . • ..6t 5 4w' .c, • L,c.t t, f'o!C e-a S A . 7:I • irk C ' /' s LcJeY co,,b1 . ✓ 44 ! ,: .. , 6. L 4,, r 1 . Thank you. • • FIRE ALARM SYSTEM ,, p /� RECORD OF COMPLETION Name of protected property: Watt• ' /' !l?i .f'�'/` ' C, 1b, / /j Addreas: 40 0 J/ - Representative of protected property(name/phone) . i_' L • Authority having jurisdiction: .. r f!: .� Address/telephone number: ./•3 '� - . !' r - - 1,2 - Organization name'phom Representative name/phone Installer Lee S-y.I f e/4-S t4 /.S-4 9-S'a4r S"rr .f it//C./•S%79-9c W Supplier FY?e .c 6f- s' Ge.iccrit- �y S"35�-S-!�"o oem-ei yet /s-e- YLTY/ Service organization. Fi rc<. .5-y,tec -#vx e -.57?y - 5'!09 PeA r 6:r[/fC/S'y9,t;T r/ Location of record(as-built)drawings: 1 A/-$r'6 Location ofoperation and maintenance manuals: 4N S,'tee Location of test reports: OA/ .cr te er A contract for test and inspection in accordance With NFPA standard(s) . Contract NW(s): - Effective date: Expiration date: System Software g (a)Operating system(executive)software revislo level(e)r_ ! (b).Site-specific software•revision date: 57/9/06 (c)Revision completed by: .2)uf'flit/ Ae-/ ,4 C ft"C,is bch,C. ' - [name) •'(firm 1.Type(s)of System or Service _NFPA 72,Chapter C---Local . If alarm is to locations off premises,list where received: l - Sao-?s-.2-ayya SI-576/ . . Nk'PA72,Chapter 8—Remote Station • Telephone numbers of the organization receiving alarm: - • - Alarm: .' .• • Supervisory: Trouble: ° If Alarms are retransmitted to public fire service communications centers or others,indicate location and telephone numbers attire organization receiving alarm Indicate how alarm is retransmitted: • NkPA72,Chapter ---=Proprietary • Telephone numbers of the organisation receiving alarm: - Alarm: . . Supervisory: • Trouble: -If alarms are retransmitted to public fire service communications centers of others,indicate location and telephone numbers of the organization receiving alarm: . . • Indicate how alarm is retransmitted: V • . ____NFPA 72,Chapter 8--Central Station Prime contractor: - Central station location: (NFPA 7'2,i oi4) • Copyright NFPA . . . , • . . - - - '. • . . . . . . ' • ' i • . - . . . . .-- • - . - . . . . - . . . , -• - • • . • . . . • - , . . . '5.Alarm-Initiating Devices and Circuits . • • Quantity and class of initiating device citctiitS(see N1PA 72,Table 0.5): . , Quantity: Style:. .• Class: • . . .' . . • . • ' MANUAL - • ' . • (a)Manual stations Noncoded Transmitters Coded Addressable •• / .. . - (b)Combination manual fire alarm and guard's tour coded stations . . . , . - • AUTOMATIC . . • . . • • ' • Coverage: Complete Partial X . • • • . Selective • Nonrequiied . • •. • • . . " . ' (a)Smoke detectors • Ion •. Photo Addressable . • . . • • (b)Duct detectors_ .. ... • Ion Photo . Addressable . -.. (c)Heat.detectors . FT' RR FT/RR 1_ RC Addressable •. . (d)Sprinkler wittertlew indicators: Transmitters • _ Noncoded • . . Coded ' Addtessablo: 6 .- • ' •' • (e)ThO alarm verification.feattae is disabled X or enabled : ,changed from • •seconds to• seconds. . • . . (0 Other(list): . • 1 • . : •• „ , . • ' , . . I ' . • ., . . . . 1 • ....'• 6.Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices) • • • .. GUARD'S TOT.M. • • • • , , '. (a),____Co deci stations . - • . . • • • • : • ' • .."{ . . . .0) ____Noncoded stations • , .. . ..• .• (c)-.-__: Compulsory guard's teur system comprised of • transmitter stations and intermediate stations • '' - ' -. , • Note:Ceinbination.devices are recorded under kb),Manual,and 0(a),Guard's Tour •• • .. • SPRINKLER SYSTEIM. . - . • • - • . - • ' • • • - . • . - Chock.if provided • . . . • -.. : , (a)._...jalve supenrisory switches . • • . (b) Building temperature points • • . (e) . •. Site waterteraperature points , • ' • 1 , • ' - • - (4) - Site water supply level points . . . . . '* . Electric ftre pump: , . • = .•- ' ' • (e)__ Fire pump power _•• • (0_Fite pump running ... • - • (0 _Phase.reversal • ,. . . . . . Engine-driven fire pump: , . • . , (h) Selector in auto position i ' • ' , . • . i(0 Engine pane'trouble - • - . • (J)___:Fire pump running . . • • • . . • ENGINE-DRIVEN GENERATOR: ' • • • .• • (0—Selector in auto position • . ' (b)—___.Control panel trouble • . . • • • • • • - • (c) ' Transfer switches - • _,,,, • . . ' ' • Other supetyi ty fwiction(s)(BD:Deify): 7;:imi,e0-e. S c.r.,..././t_g_,?0/2e,/ tClAirrL4CAtzi 1116(--- 4,4*—.4i cs . .. . .. . . . . . . . .. • . . . • (NFPA 72,3 of 4).. • . . . . • Copyright 14FP/f. • . . . . . • • • . . . , . • • SJ • • • FIRE ALARM SYSTEM 734,m1/061,1.3 • RECORD OF COMPLETION • • Name of protected property: 7 i► tJl "�' '.44 Cf h(6 4, Address: . s o•• - A, • • - Iepccentative of protected property(name/phone): • Authoiity havingjurisdiction: -•a .'�tfC. r c_ 4 '.. Address/telephonenumber: /•3 = �, �'' , /22 - Organization.name/phone Representative namat phone Installer /47-4'E ,S7c., •iS l.✓ 5 y/s-aq-S'`3Y S`/r'O /+599° 35// • Supplier F%.�� .S�sf€A'J u/ere /se,9 say°s'i7a �4,:r 7..3 V,/ - Service organization •S' -e e. o- sr - / J? •; - y/ • Location ofreoord(as-built)drawings:. el.v'-$ 6 e Location of operation and maintenance manuals: a4/ Si"¢e • • Location of test reports: O v A contract for teat and inspection in accordance with NFPA standard(s) . • • Contrail No(a): Effective date: Expiration date: .l System Software • (a)Operating system(executive)software revisio level(s): Y ' . • • (b).Site-specific software revision date: 517/9/06 • (c)Revision completed by: Zi1Jtc/i1/ f /� , ee C f CftiJ /4-10, . (name) (rrmj 1-Type(s)of System or Service NFPA 72,Chapter 6—Local. - If alarm is tranailated to locatiou(s)off premises,list where received: • • • /9r /cm r''e to 2".ye.: •Jeo-l5�%.=7Y q4 Sl-576 NFPA72,Chapter.8—Remote Station • • Telephone numbers of the organization receiving alarm: - . • Alarm: • • Supervisory: - Trouble:, • If alarms are retransmitted to public fire service communications colliers Or indicate location and telephone nurabersofthe organization receiving alarm: • . • • Indicate how alarm is retransmitted: • NFPA72,Chapter 8-Proprietary S . . • • Telephone numbers ofthe organization riving alarm: • " ' • Alarm: • Supervisory: • • Trouble If alarms am retransmitted to public fire service communications centers or others,indicate location and telephone numbers of the organization receiving alarm: . • Indicate how alarm is retransmitted: . . ' NFPA 72,Chapter8•--Central Station Prime contractor:. • Central station location: - • . (NFPA 77 1 of 4) . • Copyright NFPA • • . • Means of transmission of signals from the protected premises to the central station: . McCulloh `• Multiplex . - • One-way radio . •• . X- Digital alarm communicator m-way radio Others• ' • ' Means o€transmission of alarms to the public fin;service communications center. - . • (a) l.aG `1ai11� S�SL'eirt- . . .•(a) System location: eG ' ge4f/01/`I'+j • .. . .. . NFPA 72,Chapter 9—A llary - . Indicate type of conna:Alan: Local energy .Shunt Parallel telephone . . Location of telephone number 6r receipt of signals: - V V V ' 2 Recordof System Installation. ' . , • - ' ' . ' (Fill out after installation is complete and wiring is checked 6r opens,shorts,ground faults,and improper branching,. but prior to conducthig operational acceptance teats) V - - . . . . This system has been installed in acoordance with the NFPA.—standards as shown below,was inspected by . • ' -FiieE cyfie ;S Aie s'6 - on f�`//�91Ca�P ,includes the devices shown .in band 6,and has beetiin service sinoee v�/7(�J .' • _. _1.41-PA 72,Chapters 2' 3 4 5 (5 7 8—;71---)0 (circle all that apply) - ' • X NFPA 70,National Electrical Code,Article 760 - • x°l arufactnrezts instructions . • Other(s.:.f., U /° . . • •- . Signed: /!!_� . Date: /7� r • . • 0 - Organization: Re-- • 3.Record of System Operation _ • • . Documentation in accordance with Inspection Testing}brm,Figure 10.623,is attached 1 ' All operational f�.atures and functions of this system were tested by FS Ai- . date ' y�7/-�� - - and found to be operating properly in accordance with the requirements oi:- • • ' - X NiPA 72,Chapters(1.-i 8 4 64) 7 •SThP (circle all that apply) • _ x NFPA•70,National Llictrical Code,Article 760 . .X_Manufacturers instructions - . • _Other(speci ): /'• - Signed: Date: r/I / 1 • • 4.Signaling Line Circuits • • • Quantity and class of signaling line circuits connected to system(see NFPA 72,.Dable f 6:1): • . •. -.Quantity: a .Style: Y Class: 3 . . . . . . - - • (NFPA 72.2of4). ' " Copyright NFPA • .5.Alarm-initiating Devices and Circuits . • Quantity and class of initiating device circciits(see 14PA72,Dable 6.5): Quantity: Style:. •• Class: • ' MANUAL • • (a)Manual stations' Noncoded . Transmitters Coded - Addressable • / • - (b)Combination manual fire alarm and guard's tour coded stations • • " AUTOMATIC Coverage: Complete Partial X - - • • Selective. - . - Nonrequiind . . • (a)Smoke detectors • Ion .. Photo Addressable, • (b)Duct detectors Ion. __ _ Photo Addressable f (c)Heat defectors, FT• RR FI'/RR • RC Addressable . +�__ • (d)Sprinklerwaterflow indicators:Transmitters Noncoded . " Coded . Addressable 6 . - (e)The alarm verification feature is disabled }( or enabled ,changed from_ 'seconds.to seconds, • (Q Other(list): . • • s.Supervisory Signal-initiating Devices and Circuits(use blanks to indicate quantity of devices) • • GUARD'S TOUR• . . - . (e) Coded stations . . • .. • • . • { (b) Noncoded stations - • (a) Compulsory guard's tour system'oompalsed of - ' transmitter stations and intermediate stations • " ' - Note:Combination devices are recorded under We),Manual,and 6(a),Guard's Tout SPRINKLER SYSTEM' - • . . Check if provided • . (a)—— _Valve supervisory switches (b) Buildingtemperatuxe points . . : (c) ' Site water temperature points • - ' • (d) • - Site water'supply level points . . " . ' Electric fire pomp: - . _ • • (e) Fim punIP power ' .• (0 rim pump running . . • • (g) Phase'reversal . • .•.. Hoene-driven fire pump:. . • . • (h) Selector in auto position i - • .(r0.•_Engine oroontxol panel trouble . . - (j_Piro pump running . ' - . ENGENTE-DRIVEN GENERATOR: .. . -- (a) Selector in auto position - - ' • . I (b) Control panel trouble . . . ' • . . . - ' (c) ' Transfer switches ' - • ' (d) " _Engine running �,�• f'� • Other supervi ory�funct�'on(s)(s i£y): ?-.0/1? j/l.?O t G+!! E-C.4Jp ilia/ V /,t02. ie- GCS .� . . . • (NFPA 72,3 of 4).. - • Copyright NFPA . . . . . . . • • �.Annunciator(:) _�j Number:_j____ Type: l bacation: �° _ [.f.(r/0"to 641C-P v 8.Alarm Notification Appliances and Circuits NFPA 72,Chapter 6--Emergency Voice/Alarm Service Quantity of voice/alarni channels: Singe: Multiple: Quantity of speakers installed:_ - Quantity of speaker:ones: Quantity of telephones or telephone jacks included in system: Quantity and the class of notification appliance circuits connected to system(see NFPA 72,Table 6.7): Quantity: C2 Style:c _. _ Clnss: Types and quantities of notification appliances installed: (a)Bells. WithVi=s`blew • (h) Spealnts_ f WithVisrble • .` (c) Horns_ 7 WithVisl Le. Y (d)Chimes WithVisriole , • (e) Otlior: With Visible (0 Visible appliau without audible: • 9.System Power Supplies (a)Fire Alarm Control Panel: Nominal voltage: /c VA-C Current rating: f. /S 4-1.44p Overcur-rent protection: Type: CUJee4A,t , R d Current rating: / 5 n � Location: /erG :s s°0 AiS /►t. .5,4 (b) Secondary(standby): 5'prtdeg. anal' Storage battery: ca Amp-hour rating: 7 Calculated capacity to drive system,in hours: v? Engine-driven generator dedicated to fire alarm system: Location of fuel storage:----------- - ._- (e) Emergency system used as backup to primary power supply: Emergency system described in NFPA 70,Article 700: r 10.Comments Frequency of routine tests and inspections,if other than in a000rdance with the referenced NFPA standard(s): System deviations from rho referenced NFPA standards)are: Al.,�/Jy ./,.ter ' . _ .1� j'CfUi� — (sign. • :ion cunt :r r.) (title) (date) (-fined alarm *ervi••ce i p. (hue) (date) Ary A (signed)lot central.!alien / (title) (date) Upon completion of the system(s)satisfactory tests)witnessed(if required by the authority having jurisdiction): s To4A1>___ eve. 1‘1.0-s4.( �- - (94 reprernlative of a authority having jurisdiction (title) (date) (NFPA 72,4 of 4) Copyright NFPA - FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20200314 :03/ST. 14 :00/No. 6834436680 P 14 la�IOT / FlRE PROTECTION CONTRACTORS MATERIAL& TES'REPORT FOR UNDERGROUND PIPING PF1OCEI7IJRE rr'. ,;�. .,.,...,.,..m.11,AZ rAtA; K: :t,.^ Upon coroplelian of war*,Ins peclIon and tests shall V*made by the contractor's re p rese nts(Iv,and witnoasad by an owner'o rop,eaentellve.All as loots shell b8 corrected and eyatam left In servlte befor8 OOnh.clor'a personnel finely Igeve OR lob. A eartlllyate shall be filled out and alg nod by bptlt reprgea euchre e.Cookie chill be prepared far approving authorlll■s,owners,and conlrector.It Is understood the owner's rapreebntatIyo's stunators In no way prsludlour any claim agalhsl Oon(ugor for lavily nralerlel,poor workmanship.or failure to comply with approving autherlty'a require mania or local ordinance*, l _� �` ERTY NAM a1/ [� /� /rl DATE Orr PROP TY ADDRESS et, I;r -1.9 .1rM � 1 i/ • ACCEPTED BY APP'• NO AUTHOR IE_ ( • • ADORE. PLANS INSTALLATION CON ••• : TO ACCEPTED PLANS II Y •N• EQUIPMENT USED IS APPROVED DYES ❑NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN * • '•c E OF FIRE EQUIPMENT B IN RUCTED AS TO LOCATION •YES • N• Of CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,E<PL*JN INSTRtJGT10NE • •7••• •F APPROPRIATE INSTRUCTIONS AND ,- AND MAI ''Ir't -C'' -T` ■y 's ■ • BEEN LEFT ON PREMISES? IR NO,DPL,VN • LOCATION SUPPIJES BUILDINGS t • I • TY- '' AND CLASS 1 TYPE.POINT ////// • PIPE CONFORMS TO ;•; 11:,5rs':•T•'' a :•* U NO . r E ,. - . .. Li YES C7 NO UNDEfKlRQUNp FITTINGS CONFORM TO ., _$°TM7�:� IF NO,EXPLAIN :(7./ _PIPES AND �� JOINTS NEEDING ANCHORAGE CLAMP TRiAPPED,OR LOCKED IN YE$ NO ACCORDANCE WITH STANDARD IFNO EXPLAIN . . f i ' FLUSHING +ow the 'squired rate until water It oiear as Indicated by no OollttO bn of foreign m medal In burlap bilge at outlets such.ae hydrant*and blow. Flush at flows not Isss(hen Soo piPM for 41neh plpe,6tio(iPM for$10ch pipe;t680 GPM for 8-Inch pipe,2440 f3PM for 10lnOh pips,end 25 00PM for 12•Inth r°) supply Oannol produce ellpul.ted flow raise,obtain ri lmdm'iVuilebla. (7 ,r,E T HYDROSTATIC •lydroKalfa teal shall CO made at not lees than 200 61 for Iwo hours or 60 pal above Walla premiere In excess of 550 p51 for two tl0ure. DESCRIPTION LEAKAGE New PIP'laid With rubber uaskstsdfflrlte shall,If the workmanahipiseallslactory,hare 111118orno leakage at III.joints.Tag amour lafrgaltegeat the joints shall not oieded 2 qta,psi hour per 100!Write Irraepeotive of pipe diameter.the leakage shall be disti lbut*d oast all Iowa.if ouch leakage oscure at a law lolnls the Installation shell be oQnetdarea unaatlafactory and necessary repalra made.The amount Of 04Wlbt1+sal age spool Ilea above maybe Increased by 1 il,on per In.salve dlarrn liter per hoar for each metal Dueled calls Is0letIng(ha test Inc lion,II dry barrel hydrehte are tested with the main rah&open,eo MO hYdrants in under pressure,an additional 6 on per m+null leakage Is pefmll(ed for tech hydrant, NEW UNDERGROUND PIPING FLUSHED ACCORDING TO $TANOAA[7 YE$ Na {�ik r i BY(COMPANY) /q# L IF NO,EXPLAIN ,... (f r r ''EUSHIN COW WAS OBTAINED THROUGH WHAT FLUSHING • )UBUC WATER 1:3 TANK OR RESERVOIR In FIRE PUMP ❑HYDRANT BUTT ;2OPEN PIPE TESTS LEAD-INS FLUSHED ACC DING TO STANDA D YES N • BY(COMPANY} IF NO, (PLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING ❑PUBLIC WATER ❑TANK OR RESERVOIR 0 FIRE PUMP ICY CONN,TO FLANGE&SPIGOT 0 OPEN PIPE 856 FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :03/ST. 14 :00/No. 6834436680 P 15 ALL NEW UNOE;RG Re UND PIPING HYDROSTATICALLY TESTED AT JOINTS C+ RED HYDROSTATIC 196 Int FOR (2? HOURS OYES ONO TEST TOTAL AMOUNT •F 441:11 E MEASURED GE GALS. HOURS LEAKA TEST ALLOWABLE LEAKAGE C LS. ___ HOURS +1' -t -. i• an a. *'• AND T•1' •1 •• -T.. T •-IL. HYDRANTS d YES ❑N0 WATER CONTROL VALVES LEFT WIDE OPEN IN ' • 0 CONTROL IF NO,STATE REASON VALVES H THR AATMENT•( NNECTIONB AND HYDRANTS IN)ERCHANGEASLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM ■YES Ca NO or 18 1 -ERVICE REMARKS - - NAM OF INSTALLING CONT-• OR — I CONTRACTOR LICENSE'' - PATRIFPO9YCF TESTS WITNESSED Dv` . " SIGHATURE.B Ritt PROPERTY O EW 3R('i NIED) Tm..E Vo 1 b.r,i. ,(,fir`%'' [� Z z . . -n+���' IC • FY THAT'' IN ••T •TION HEREIN-11 TRUE ANDTHAT T I iP INKLER SYSTEM WAS INS A, RD- ANCE WITH RCW 1&1Q4 AND THE RULES ADOPTED BY THE WAS ITON ADMINIST--TiVE COPE AS ADMINISTERED BY CEHTIE`ICATION THE STATE FIRE MARSHAL A .:• - T�eF►�+�'�'`� ' kt01L:CJ1 ff'PIHTC}fiTn'q i f, SIGN-&a CC C iT KATE F CERTIFICATE REGISTRATION# /et. i,F►. . -} DATE •1'1 s-• K ","..-2 ate„_• - AL I LAMATION MO NCFiF.B -+ f ,r 'I:1+ '.: WS 1300( 1 D*N0M •