HomeMy WebLinkAbout2675 GATEWAY RD; ; FS120008; Permit8/17/22,11:06 AM FS120008 Permit Data
City of Carlsbad
Fixed Systems Permit
Job Address: 2675 GATEWAY RD
Permit Type: FIXSYS
Parcel No: 2131911400
Lot #: 0
Reference No.:
PC #:
Permit No: FS120008
Status: PENDING
Applied 7/27/2012
Approved:
Issued:
Inspector:
Project Title: KASI RESTAURANT T.l.-STE 101
Applicant:
TRI-SIGNAL INTEGRATION
UNIT D
8380 VICKERS
SAN DIEGO, CA
858-571-1658
Owner:
REGENCY BRESSI L L C
C/O CORNERSTONE REAL ESTATE
ADVIS
100 WILSHIRE BLVD #700
SANTA MONICA CA
Fees ($) Add'I Fees ($) Total ($) Balance ($)
L 262 0 262 0
1/1
Fire Suppression, System Distributor Certificate of Installation
To be Completed by Regional Office
Job Name TP
Job Addres ZG 'r — E')A t
(A ,~ ,cp, 2cJ1Dc3
Job Number
Type of System: Ansul PIX
PyroChem [I
Other
To be Completed by Fire System Distributor
Company Name Tr-Signal Integration, Inc. System Model R '' 0 _
Address 9682 Via Excelencia, Suite 105 Serial Number
San Diego, CA 92126
Fuel/Energy Shut Off Device Gas Valve: Mechanical EE('Electrical LI Size______
Installed. Tested on '\&-fk Electric Equipment Shut-down Tested: EISes []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 Name
Signature
8 hctf( Date
10 b 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 ishe recommendation of the National Fire Protection Association (NFPA) that
the system be in ppted every six months to maintain its reliability.
Signature Date -
To be Completed by the Authority Having Jurisdiction
Functional tests have been witnessed and the system performs as designed.
Print Name ('_ Jurisdiction 6?
Phone Number _
Signature Date
Lc_
(:,tir~e .5pp,ession System Distributor Certificate of Insurance, v2 5-1-07