HomeMy WebLinkAbout2198 PALOMAR AIRPORT RD; ; FS090029; Permit12/28/2020 FS090029 Permit Data
City of Carlsbad
Fixed Systems Permit
2198 PALOMAR
Job Address:
AIRPORT RD
Permit Type: FIXSYS
Parcel No: 7602211800
Lot #: 0
Permit No: FS090029
Status: ISSUED
Applied 9/15/2009
Approved: 9/15/2009
Reference No.: Issued: 9/15/2009
PC #: Inspector:
Project Title: LANDINGS HOOD & DUCT PLAN CHECK & INSPECTION
Applicant:
INTERSTATE FIRE PROTECTION
36140 JANA LANE
WILDOMAR, CA
951-764-2921
Owner:
AVIS RENT A CAR SYSTEM INC
C/O ARC DEPT
6 SYLVAN WAY
PARSIPPANY NJ
Fees ($) Add'l Fees ($) Total ($) Balance ($)
130 0 130 0
1/1
AMEREX KP/ZD RESTAURANT SYSTEM
DISTRIBUTOR JOB COMPLETION FORM
Date: 11 0
Distributor: 4
Address: 'k
City, State:
Installer:
Job Name:
Address: •\ ' - ••
City, State: :_-• A . — ' r.
DESCRIPTION OF HOOD & APPLIANCES - To be filled out by installer.
Hood 1: L W t4 Duct Size: (Rectangular Circular)
Hood 2: L W Duct Size: (Rectangular Circular)
Appliances listed from left to right. MRM: ___________ PRM:
Hood # Type Gas/Elec.
01
Size
r-
______ 4L. -J
Gas Valve: Type 'ci— Size - Manual Reset: N
Location: k:-
SYSTEM FUNCTION / COMPONENT - To be filled out by installer. TESTED INITIAL
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! 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! Employees Given System Operations Training
FINAL SYSTEM CHECK -To be filled out by AHJ.
Title of Local Authority:
Name of Inspector:
Phone Number: L.
Type of Test Performed: a
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: i'
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