HomeMy WebLinkAbout3825-Crossroads-1/18/2017 a r.,... CITY OF WATERLOO
FIRE INSPECTION DIVISION
FIRE PROTECTION SYSTEMS APPLICATION
Applicant Infonnatlon Owner Information
—cN PUAPA Pilo c
First Nanke Last Name First ame Last Name
Com any Name Company Name
A dress A � EIVA
city State ZJP city State ZJP
P' f�$l )1$f1
Phone#wl area code Fax or Emai Address Phone#wl area code Fdx or Email Address
Iowa Contractor#rp-Q74RME: lz
Designer NICET Cert# NAME:
Scope/Description of work(Include detailed account of work to be done.Attach additional page(s)if necessary):
Fire Protection System Fees Quantity Fee
0—4999 sq.ft. (per floor) .............................................$ 80.00
5000—7499 sq.ft. (per floor) ........................................$160.00
.................
7500 plus sq.ft. (per floor..............................................$240.00
Stand Pipe(additional per stand pipe) ...........................$150.00
Sprinkler Riser(additional per riser)...............................$150.00
Fire Alarm panel(additional)..........................................$150.00
Alternate Fire Extinguishing Systems.............................$180.00
0 As listed in currently adopted fire code
Residential Fire Sprinkler System(9&2 Family Dwellings) $100.00
Re-inspection due to test failurefinspections
• Before/after business hours per man hour.......$ 65.00
TOTAL FEE 1
NOTE: Fee applies to basement area and/or to new systems and system updates
" **Make Check or Money Order Payable to: City of Waterloo
Submittal Process
1. Provide:
A. Completed Application
B. Fee
C. Two copies of Fire Alarm 1 Fire Sprinkler/Fire Extinguishing System(full scale)
Drawings. (*Drawings to be certified by a NICET III or IV)
D. Two copies of all equipment I material submittals
E. Two copies of calculations(i.e.Sprinkler Hydraulics,Fire Alarm Voltage Drop 1
Battery Calculations,Alternate Fire Extinguishing System Design Calculation)
2. Mail to: City of Waterloo
Building Inspection Dept.
ATTN: Fire Marshal
715 Mulberry Street
Waterloo IA 50703
Call:319-291-4319 with questions
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NOLA - Fire Systems - Parts List Report Page 1 of 2
Fire System Parts List
Job#2697239-CHIPOTLE WATERLOO#2965 Location:WATERLOO, IA
Fire System#1 Ansul R102 ANSUL-3.0/1.5 Tag:
Installed:Fire Cabinet Right Hood#1
Hoods Covered:Hood#1
Gas Valve(s):Mechanical 1.250"Supplied by Captive Aire Systems Ship with Hood
Supplied by Ship
QtyltemCAS# Vendor# Description Dist CAS Units InstLoose
1 0 43-15733 43-15733 AIR CYLINDER ASSEMBLY-Air Cylinder and Tubing 0 1 EACH
for Mechanical Gas Valves(Ansul Part#15733)
-----••----................._.._.......................................................--.................................................................................-.............................................
10 0 METALCAP-CBMETALCAP-CBBLOWOFF CAP-Metal 0 10 EACH
1 1 AT-1.5 AT-1.5 TANK(#1A)- 1.5 Gallon SS Tank(for use with Automan 0 1 EACH
Release,Actuator, or SS Enclosure(UL/ULC))Macola#
02-429864
.........................................................................................................................................................................................................
1 1 AT
-3.0 AT-3.0 TANK(#1 B)-3.0 Gallon SS Tank(for use with Automan 0 1 EACH
Release,Actuator, or SS Enclosure(UL/ULC)) Macola#
01-429862
........................................................................................................................................................................................................................
1 3 ANS-OEM ANS-OEM REGULATED RELEASE-Ansul Regulated Mechanical 0 1 EACH
Release/Bracket Assembly, OEM, R-102, Cartridge
Detection Included,Ansul Part#79493
-••------•--.....--------••.....................••----........-•---•----......-•------•---.........---------.......-••--•••-----••••-••••....... -•--------•......---•--•--...........-••-••--•.._.......••••••--.•--...
1 5 LIQ-3.0 79372 AGENT-Ansulex Low PH Wet Chemical Agent, 3 1 0 EACH
`— Gallon (UL)79372
.......................................................................................... •---.........---•--...........................---•--...........--•---•--.....-•----••-•--...........--•--...
1 6 LIQ-1.5 79694 AGENT-Ansulex Low PH Wet Chemical Agent, 1.5 1 0 EACH
Gallon (UL)79694
....----•......................•-------........---•--......------------........-- _................-•---...........----.......-•--------- ..--•---------........---------..........-•------•---...........
1 9 101-30 101-30 CARTRIDGE-Carbon Dioxide, 101-30, Cartridge 1 0 EACH
(R-102) 19-15851
1 10 TLINK TLINK LINK-Test Link(1 test link)Ansul Part#24916, Macola 1 0 EACH
#20-24916
.......... ....• . • ----------•---------•-••--------•-•--••--•--------••••-------------••----•----------•••---•----••••-••---...-•---•-------------•----•-----......-------- .............................
1 11 MICRO-SDA MICRO-SDA MICROSWITCH KIT-Includes 2 switcvhes and 0 1 EACH
Mounting Hardware. Single Dual Electric Switch, One
Standard Switch, One Alarm Duty Switch Ansul Part#
437155, Macola#08-437155
..._....•-•-------•------•---•.............••--••--•----------......---•--......-----•---•--....----.•--•---------••-•-•-------••••••••--•---••-------------•--•••---------•-----•••-------------•••--...._------..••••-
1 12 HOSE 79007 HOSE-Rubber Hose 0 1 EACH
••-•---------------------------------•--------••-------------------------•--^•-----------------••---------•-----------------------------------------------------•---- - - -----------
2 14 419336 439839 NOZZLE-1W Nozzle, Duct/Appliance(Replaces 0 2 EACH
ANSUL Part#419347, CAS Part#419336)A0001266
3 15 419333 439836 NOZZLE-1F Nozzle,Appliance(Replaces ANSUL Part 0 3 EACH
#419344, CAS#419333)
......................_...............---•--...........--........--------•---........-•----•-•-•-•-••--•-----.......--•--..--.........-•----•---.......-•----.........-•---•--..........------•-•......._---•-•-----.......
4 16 419335 439838 NOZZLE-1N Nozzle, Plenum/Appliance(Replaces 0 4 EACH
ANSUL Part#419346, CAS Part#419335)A0001265
--•----------•----•-----------•-•-------------------------•-----•---------------------•--------•--•------------------•--••----------------••--••-------------•---•---••--•-------------------........------------...•-_..
1 19 419338 439841 NOZZLE-3N Nozzle,Appliance(Replaces ANSUL 0 1 EACH
Part#419349, CAS Part#419338)A0001268
--- ...._....._..................... ...........--.............---- ....... -•--••...•...........--
5 25 418569 423572 NOZZLE ADAPTOR-Swivel Nozzle Adapt Re p laces 0 5 EACH
CAS Part#418569)A0001274
..........................-....................................................---............-........................................................................................................................
10 26 QSA-3/8 QSA-3/8 QUIK SEAL-3/8"(UL) 0 10 EACH
.................••---•--............._...............................................------••--------...-..-----------.-....---......----._.........••........-..-----
1 27 QPSA-1/2 QPSA-1/2 PULLEY SEAL- 1/2" Hood Seal (UL)Ansul Part# 0 1 EACH
`— 423253, Macola#32-79768
......................-........................................................-------•---•----•--_....----•--•------•---••-••••-•---......----•-............---••••-••-----------•••--•------
https:Hnola.captiveaire.com/Order/FireSystems/PartsListReport?JobFireSystemld=802398 1/5/2017
NOLA -Fire Systems - Parts List Report Page 2 of 2
4 28 S-DET S-DET DETECTOR-Series(Scissor Linkage)Ansul Part# 0 4 EACH
435547/435548(Old#417369/434480); Macola#05-
417369
..................-........._.._.........................-...................................................................................................................................
2 29 ANS-360FL ANS-360FL FUSIBLE LINK-360deg F, R-102 and PIRANHA,Ansul 0 2 EACH
Part#439088
-----• • .. ................................................................................................................................................................
2 30 ANS-500FL ANS-500FL FUSIBLE LINK-500deg F, R-102 and PIRANHA,Ansul 0 2 EACH
Part#439232
------------------_.---•-------•----------.....--••------••------------...._..----.....-•--•----...--------------.....•-•-•-••••....--..---..........--••-•----------••--------------•-------•---•----•---------------
1 34 RPS-A RPS-A REMOTE PULL STATION-Red composite without wire 0 1 EACH
rope)434618(Old Macola#06-4835)
-
......................................................
2 35 PE-LT PE-LT PULLEY ELBOW-Low Temp. Pulley Elbow, Set Screw 0 2 EACH
Type Ansul Part#415670, Macola# 11-415671
- ..... ----..._ --....... . -•--•---••--•• •--g---•.•--p---•-•-y.......... ---•-.....
1 36 PE-HT PE-HT PULLEY ELBOW-Hi h Tem Pulle Elbow, 0 1 EACH
Compression Type,Ansul Part#423251, Macola# 10-
45771
.••----------._-------------_.------...-•---••---.....--------...---•--.......-•-•-----.....---------•------------....---•---•--....._------......---------------••--•-•----------•-•--•--••••••-•------•••••••-----•
1 41 SN-CHAR SN-CHAR SINGLE NOZZLE EXTENDED DROP ASSY 0 1 EACH
........................................................................................................................................................................•••••••.........---.......
https://nola.captiveaire.com/Order/FireSystems/PartsListReport?JobFireSystemld=802398 1/5/2017
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