HomeMy WebLinkAbout2501 EL CAMINO REAL; ; FS160021; Permit9/16/2020 FS160021 Permit Data
City of Carlsbad
Fixed Systems Permit
Permit No: FS160021
2501 ELCAMINO
Job Address: Status: ISSUED
REAL
Permit Type: FIXSYS Applied 10/21/2016
Parcel No: 1563020800 Approved: 10/21/2016
Lot #: 0
Reference No.: Issued: 10/21/2016
PC #: Inspector:
Project Title: DAVE & BUSTERS - SYSTEM I SYSTEM I OF 2- NEW INSTALL
OF AN ANSUL, R-102, WET CHEMICAL FIRE SUPPRESSION
SYSTEM. SYSTEM 2 IS F5160022
Applicant:
PARACLETE FIRE & SAFETY, INC.
MICHAEL TRAN
2950 SATURN UNIT I
BREA, CA 92821
714-577-5779
Owner:
CMFPCRLLC
C/O WESTFIELD PROPERTY TAX DEPT
P0 BOX 130940 DEPT WFLD
CARLSBAD,CA
Fees ($) Add'l Fees ($) Total ($) Balance ($)
310.5 0 310.5 0
1/1
Fire Suppression System Distributor Certificate of Installation
To be Completed by Regional Office
Job Name 9,wo- -4- evorms Job Number________________
Job Address /1 aM/ic/# A2LY= Type of System: Ansu7
Pyrochem 0
Other_____________
TO be Fire 5vstem Distributor
Company Name Paraclete Fire & Safety, Inc. System Model _
Address 2950 Saturn St., Unit I Serial Number___________
Brea, CA 92821
Fuel/Energy Shut Off Device Gas Valve: Mechanical 0 Electrical 0 Size_________
Installed. Tested on Electric Equipment Shut-down Tested: DYes EJNo
Date
This Fire Suppression System is installed in accordance with the Manufacturer's instructions and
drawings, NFPA 96 and 17 (current issues) and all applicable state and local codes. All electrical
work or work performed by others to complete the installation of this system has been completed.
Exceptions to the above are noted below. (Use back of sheet if necessary)
Installer's Name
Signature Date
robe owner or owners
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 National Fire Protection Association (NFPA) that
the system be inspected every six months to maintain its reliability.
)J r /1 -7 Signature Date________________
TO bO uornpieted by the Authority Having Jurisdiction
and the system performs as designed.
Date q