HomeMy WebLinkAbout2675 GATEWAY RD; 103; FS090007; Permit9/14/22, 2:05 PM FS090007 Permit Data
City of Carlsbad
Fixed Systems Permit
Job Address: 2675 GATEWAY RD
Permit Type: FIXSYS
Parcel No: 2131911400
Lot #: 0
Reference No.:
Permit No: FS090007
Status: ISSUED
Applied 1/26/2009
Approved:
Issued:
PC #: Inspector:
Project Title: BOARD & BREW, STE. 103 HODD & DUCT PLAN CHECK &
INSPECTIONS
Applicant:
INTERSTATE FIRE PROTECTION
36140 JANA LANE
WILDOMAR, CA
951-764-2921
Owner:
LNR CPI BRESSI RETAIL L L C
C/O LNR PROPERTY CORP
4350 VON KARMAN AVE #200
NEWPORT BEACH CA
Fees ($) Add'I Fees ($) Total ($) Balance ($)
130 0 130 0
about:blank 1/1
MRM:
Gas/Elec.
AMEREX KPIZD RESTAURANT SYSTEM
DISTRIBUTOR JOB COMPLETION FORM OLXIF
Date:
Distributor:' k rf
Address: 2
City, State: i, ..-f,, (,
Installer:
Job Name:
Address:
City, State:
DESCRIPTION OF HOOD & APPLIANCES - To be filled out by installer.
Hood 1: L - W_______ Hood 2: L W_______
Appliances listed from left to right.
Hood# Type
-
Duct Size: / (Rectangula'r Circular)
Duct Size: (Rectangular Circular)
PRM:_________
Size
ri1 S'-'
Gas Valve: Type I' ( Size Manual Reset: y) N
Location: L , ..
SYSTEM FUNCTION / COMPONENT - To be filled out by installer. TESTED INITIAL
VI,
Detection Network Exercised and Reset
Accumulator Pressure Gauge Checked (PRM)
Leak Checked all Joints of Accumulator and Tubing Connections (PRM)
End of Line Ball Installed in the Tubing (PRM)
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 I 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: -' c
Phone Number: '—
- -
Type of Test Performed:
Signature of Local Authority
COMPLETION OF DECLARATION - To be filled out by the Authorized Amerex Distributor.
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: - - - - Date: 2) &)
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