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HomeMy WebLinkAbout6628 SANTA ISABEL; ; FS110018; PermitUity 01 Uarlsbad Fixed Systems Permit Permit No: FSII00I8 6628 SANTA ISABEL Job Address: ST Permit Type: FIXSYS Parcel No: 2153300100 Lot #: 0 Reference No.: Status: ISSUED Applied 6/9/2011 Approved: 6/9/2011 Issued: 6/9/2011 Inspector: Project Title: ST. ELIZABETH SETON SPECIAL CHEMICAL AGENT SUPPRESSION Applicant: SIMPLEX GRINNELL 3568 RUFFIN ROAD SAN DIEGO CA 858-633-9100 Owner: ROMAN CATHOLIC BISHOP OF SAN DIEGO P0 BOX 85728 SAN DIEGO CA Fees ($) Add'I Fees ($) Total ($) Balance ($) 130 0 130 0 FS1.10019 Fire Suppression System Distributor Certificate of Installation o be (ompletea by Kegionail UlTice Job Name 1 Job Number Job Address S6jTA I'SAIFSek of System: (ARsa41 .CA 9200c Pyrochem Other I 0 ne Lompietea by Iire System Distributor Company Nameis?y jNL- System Model Address SOJ ¶ Serial Number SAN (o °2V~TS Fuel/Energy Shut Off Device Gas Valve: jical Electrical Size (,0 Installed. Tested on Electric Equipment Shut-down Tested: No 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 Nam Signature Date \ 10 be uornpleted bV Owner or Owners 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 Protection Association (NFPA) that the system be' ed every six mo ~toirntain its reliability. Signature Ci_19 Date S // o ne Loornpietea by tne Autnority iiaving Jurisaiction Functional tests have been witnessed and the system performs as designed. Print Name Phone Nun Signature Jurisdiction Date €'/ISi2d11 Fire Suppression System Dsiribuior Ceroficute of Insurance. s2 5-1-07 C