HomeMy WebLinkAbout6889 EL FUERTE ST; ; FS150010; PermitCity of Carlsbad
Fixed Systems Permit
Permit No: FSI500I0
Job Address: 6889 EL FUERTE ST
Permit Type: FIXSYS
Parcel No: 2154101400
Lot #: 0
Reference No.:
PC #:
Status: APPROVED
Applied 4/28/2015
Approved: 4/29/2015
Issued: 4/29/2015
Inspector:
Project Title: LA COSTA MEADOWS ES
Applicant: Owner:
SIMPLEX GRINNELL SAN MARCOS UNIFIED SCHOOL
DISTRICT
3568 RUFFIN ROAD SOUTH
SAN DIEGO CA
858-583-0426 PUBLIC AGENCY
Fees ($) 1 Add'I Fees ($) Total ($) Balance ($)
302 0 302 0
Fire Suppression SysteQflistrib
CHOOL
Installation
To he completed by Fire System Distributor
rr-:;h 6~ 0 Q 0:~h a ;"ti . NON-
Job Name JQI) NUflhI)er
Job Address b 8 vry Type of System: ANSUL R-102
3e44c Z4 9:1Ov9
Distributor Name
Distributor Address 8 A?,&n Ed n','/
Ziar&, 34 9jva3
System Model
Serial Number
Gas Valve: Mechanical U Electrical W Size_________
Electric Equipment Shut-down Tested: OYES flNO
Installed. Tested on
(MM/DDIYYYY)
This Fire Suppression System Is installed in accordance with the Manufacturer's instructions and drawings, NF-PA 96 and 17 (current
Issues) and all applicable state and local codes. All elech ical work or work performed by others to complete the installation of this
system has been completed. Excep[iuus to the above are noted below. (Use back of sheet if necessary) -
- -
Installer's Name
Signature Date________
(MMIDDIYYYY)
To be Completed by Owner or Owner's Representative
I have received a copy of the Fire Suppression System Owner's Manual and I understand it. I also understand that it is the
recommendation of the Naonal Fire Protection Association (NFPA that the system be Inspected every six months to maintain Its
reliability. /1 -7 1
Signati Date 617, <
To be Completed by the Authority Having Jurisdiction
Functional tests have hen witnessed and the system performs as desigtied.
Signature ' Date & \ I S
(MMDD1f(YY)
Purchase Order, Change Order, & Distributor Certificate - Fire System CaptiveAire, v3 1-29-09