HomeMy WebLinkAbout2215 CALLE BARCELONA; ; AS070002; Permit6/16/22, 3:49 PM AS070002 Permit Data
City of Carlsbad
Sprinkler Permit
Job Address:
2215 CALLE
BARCELONA
Permit Type: SPRINK
Parcel No: 2552730700
Lot#: 0
Reference No.:
Permit No: AS070002
Status: ISSUED
Applied 1/9/2007
Approved: 1/9/2007
Issued: 1/9/2007
PC #: Inspector:
Project Title: COASTLINE COMMUNITY CHURCH UNDERGROUND FIRE
SPRINKLER PLAN CHECK & INSPECTIONS
Applicant: Owner:
GRANT GEN. CONTRACTORS INC.
5051 AVENIDA ENCINAS
CARLSBAD,CA
619-438-7500
Fees($) Add'I Fees ($)
400 0
COASTLINE COMMUNITY CHURCH
511 ENCINITAS BLVD #104
ENCINITAS CA
Total($) Balance($)
400 0
1/1
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AMEREX KP/ZD RESTAURANT SYSTEM
DISTRIBUTOR JOB COMPLETION !9-BM--· .
FIL£ Copy
Date:
Distributor: Job Name: ___ ___,;...;;._ ________ _
Address:
City, State:
Address:....::.;;.____;,,;;::;_..;;;._~-------------~
City, State: ..:.....:.,._...;;....;.;..:...:.. __ -=---~~=-
Installer:
DESCRIPTION OF HOOD & APPLIANCES -To be filled out by installer.
Hood 1: L w I Duct Size: Rectangular Circular)
Hood 2: L w Duct Size: ( Rectangular Circular)
Appliances listed from left to right. MAM: PAM:
Hood# Type Gas/Elec. Size
Gas Valve: Type ____ _ Manual Reset. Y N
Location:
SYSTEM FUNCTION/ COMPONENT -To be filled out by installer.
Detection Network Exercised and Reset
Accumulator Pressure Gauge Checked (PAM)
Leak Checked all Joints of Accumulator and Tubing Connections (PAM)
End of Line Ball Installed in the Tubing (PAM)
Manual Pull Station Exercised and Reset
Gas Valve Exercised and Reset
Alarm Connection Exercised and Reset
Electrical Interlocks Tested and Reset
Distribution Piping Network Complete & Secure
Actuation Piping is Complete
Agent Cylinder/ Discharge Valve Full and Pressurized to 240 PSI
Nitrogen Actuation Cylinder in Place and Fully Charged
Tamper Seals in Place
Owner has been given a copy of the Owner's Manual
Owner I Employees Given System Operations Training
FINAL SYSTEM CHECK-To be filled out by AHJ.
Title of Local Authority:
Name of Inspector:
Phone Number:
Type of Test Performed:
TESTED
Signature of Local Authority __________ _.;... _______ _
COMPLETION OF DECLARATION -To be filled out by the Authorized Amerex Distributor.
INITIAL
I hereby certify the Amerex KP Restaurant Fire Suppression System is UL300 listed and has been installed,
checked, tested, and placed in service in accordance with its UL Listed Installation Manual (P/N 12385),
NFPA 17A and 96 and Local Codes.
Authorized Signature:
Note: No invoice will be approved for payment without proper forms and receipts.
Original Copy: Mail to Amerex Canary Copy: Distributor Pink Copy: Owner/Agent Goldenrod Copy: AHJ 5/05