HomeMy WebLinkAbout7040 AVENIDA ENCINAS; STE 111; FS140013; Permituity oT UarisLad
Fixed Systems Permit
Permit No: FS140013
7040 AVENIDA
Job Address: Status:• ISSUED
ENCINAS
Permit Type: FIXSYS Applied 4/4/2014
Parcel No: 2144301400 Approved: 4/23/2014
Lot #: 0
Reference No.: Issued: 4/23/2014
PC #: Inspector:
Project Title: JERRY DOGS STE 111_ANSUL 6.0 GALLON SYSTEM
Applicant:
V FIRE SYSTEMS CORPORATION
P0 BOX 13278
SAN BERNARDINO, CA
909-398-1591
Owner:
DONAHUE SCHRIBER REALTY GROUP L P
C/O PARADIGM TAX GROUP
5694 MISSION CENTER RD #602-800
SAN DIEGO CA
Fees ($) Add'l Fees ($) Total ($) Balance ($)
229 0 229 0
V-Fire Systems Inc
Fire Suppression System Distnbutor Ceitificate of Installation
Regional Office UL 300 Suppression System
Job Name tdame II(-/ S '-a -' Job Number____________
Job Add '3 (p1° l"e,V'%/9 &1t Fype of System: Ansul R-102
Ansul Piranha
CaphveAireCORE 0
Pyro Chem 0
- C4
Fire Svsthm 10istrihutor1VFlRE SYSTEMS INC.
Company Name 1/ /Z74 .i/ System Model / - io 2. (
Address / 7r Serial Number
FueUEnergy Shut Off Dece Gas Valve: Mechanical 0 Electrical [I Size_______
Installed. -Tested on A Shunt Breaker
Otha
This Fire Suppression System is installed in accordance with the Manufacturer's instructions and
drawings, NFPA 96 and 17 (adopted issues) and all applicable state and local codes. All electrical
work or work perfonned 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 1}16-t S
Signature Date L/J)
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 National Fire Protect-o Mao iati n (J4FPA) that
the system bpmsPee intain its reliability.
Signature Date /2 V' I
Authority Having Jurisdiction m >
Functional tests have been witnessed and the system performs as designed.
Print Name (?.-(,JLY\ _\ Jurisdiction_______________________
Phone Number
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