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HomeMy WebLinkAboutMULT DOCS - 05-00257 - Pineapple Grill - Fire Suppression System~~ CtTY~ RE~BLIR~ AMERICA'S FAMILY COMMUNI`fY ,. - ,. _ -~ r ~ 19 E. Main St. Rexburg, Idaho 83440 www. rexbu rg.oro Phone: 208-359-3020 x326 Fax: 208-359-3024 cdd@rexburg.org APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #:_ PERMIT APPROVED: YES/ NO -APPLICANT INFORMATION: BUSINESS NAME: ~/!2n OFFICE ADDRESS: APPROVED $50.00 FEE PAID: YES/NO B i~ r ~ ~ ~ city ~ ~ s~ rp OFFICE PHONE NUMBER: ~ P`) 2 CONTACT PERSON: ~ /~ CELL PHONE # (~ ~S~ -D3~~j -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: ~ ~3 S ~~'~ ~ ~ s ~ BUSINESS NAME WHERE WORK WILL BE DON ~ ~ DATES FOR WORK TO BE DONE: ~ S TO ~ CONTACT PERSON: ~ ~ ~ D S~ PHONE NUMBER: (~) -- S CELL # ( ) PLEASE ECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: AUTOMATIC FIRE-EXTINGUISHING SYSTEMS ^ COMPRESSED GASES ^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ^ FIRE PUMPS AND RELATED EQUIPMENT ^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ^ HAZARDOUS MATERIALS ^ INDUSTRIAL OVENS ^ LP-GAS ^ PRIVATE FIRE HYDRANTS ^ SPRAYING OR DIPPING ^ STANDPIPE SYSTEMS ^ TEMPQRARY E RANE STRUCTURES, TENTS, AND CANOP S ~~, ~~ AP LICANTS SIGNATURE DAT a a7 l_7 ~,., X ~ ~ a, ~ 3 ~ ~ Q ~ © ~ ~ Q U JI ~ Q ~ ~ XN ~ o ~ X U ~ ~rj ~ O. 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I 1 1, I 1 I 1 11 ,, 1 1 ~ __ 1 1 1 1 ~ ______~_~___~o P ~~ IN vx ~J i~ ~o d N ~~lu!XO.~~ ldB!hl Q 00"8 ix 1 DO'61 ,(}itvixo.~d UBiH Q DQ81k ~ 00"8TH p.~oog ~~6/M W-.la .~,~ f ..P T d~~o o~~} + o ) 4 ( y v°s~f ~" s >t~;0~~ a;~~ a7d' sd ..,. - ~ ~ r ~, ,Z Wgi N v E Xi d N~ d ~pi I U N A ~ a y~n ~xo J ~- d ~, CYg ' = C7 9 ' d 09b ' ON 3ZlI d 3r"~,Ildl~O ~Jd~.S : S SBBZ ' 6z ' ~Idd APR. 29.2005 2 ~ 56Pf'I CAPTI~lE HIRE N0.460 P.7 • • ~,ir~ ,Su~~pre.~sfo~x ~ysfer» 17~s~r~but`ar Cerll`,fffc.r~t~e of Inst`a/lat`.fa~>- ~ o rye ~.,o~eJ~,e~E,r:, cry ~~c~,ur,a, L..„ruC 1~ ll Joh Nante -} ~ ~ Jc51- Ninttl~or o~ ~ ~ ~ ~t-+u~_ht~ Joh Aclctr4ss ~ ~ ~ ~. ~s~i~~s~`~ 7~YI~ra of 5ysteln' Ansnl .~ F'yroclren7 -- O l l t e ~' .---------- --- ~ o ^e ~:pr1r>tF~leteu u,y r-~re ~ysier>rt urs[rrr~,a><or Conrt~ahY !Nattia ... Syslorri Mc~clo- ~_.,_. „~, Address Serial Nurnh~r_„,_~----.._._-.- FueilEner~{y 51tu1 tiff Device Gas Valve: Meclianlc~~l ~ Ellectrlc~l SIzQ.______- Inslalled. T©sled on Sliuttt Br©al<er_.,._,.,_,_,.„__-_ ---- rre~o This Fire Suptyrnsslor~ Syslorh is Install©d in acccrclanco wl(tt flit? Manufacturr~r`s Instrrrctlc~n® t~r~<! cJrawfn~s, NF=P'~ JQ and '17 (CUi-i'eitl Issues) ancJ all alt(>ilcal~le slate anti IcjG~l t;otles. A11 elrac:trical work or w~ar(c (~erForrzred by others to ec7ir~t~lele ilre instalir3tlc]~t crf Ihts syslt~rti has ~Irc~en ~:nn~(il~rtecJ. ExcepiJons to lire ahr~ve are rrolocl halaw. {llse I~aclc of slrc~el if nec~essrrry) I~istalter`s Na~ttQ,_-_-- --------- -----.. .._ . ~ ......---~-~ - ~- --~ - ... _........ . j Sl~naluro _-- i)ala To be Cotnpleted M>'y Ouvner' or t?wnerrs Rert>t-es~eniatf~e I have received a copy oP Lhe Flre Su~r(~regston.Sy;;lerrt Owncrr's Maltllal and I underslartcl Il. I also underslanca [hat iL Is lire recorTirrtondallon of lira National titre t~rolectlr~n Assoclallc>n (NFPA) (Irat' the 5yslem be~•Ins(tecled every Slx rnonll-s to rrr~lnlaln Its rollalrlllly. Sl~nalure_ F .,,.-... ~ a I o. _....----._.,._.--------- . _..-.., - r To be Cam~~le~ed b~/ xl>te Au1El~ar~ty M-~e'vir~~ J>.rriscJYatia~t _ __~ Funel.lonal tests have hQen wilnc~ssetl and lira syslertr t~orfnrnrs As ~tesir}rr©cl. gl~naltlrQ~ ___-_.. _., llaLo ...-,^ .--•• ___-- APR. 29.2005 3~57PM CAPTIVE HIRE N0.460 P.2 • • C.~~~"IV~~AIRE ALTAMONTB SPRINGS OFk'ICE S01 W, Stato Road 436 5UITL~ ##2183 ALTAMONTE SPRINGS, FL 32714 Phone (800) 948-7124 or (407) 682-0317 Fax (407) 772-0623 Email Address: gEGG6 cr captivoair.com Tp: JOHN HOLMAN - FIRST SERVICES OF IDAI~O 1~ATE: APRIL 29, 2005 FR01VI: PAT pZC~SON - RECYIONAL SALES ADMINTSTRA.TOR g~: p~'F,,Q,P~'LE GRILL, 383 S. SECOND WEST, REXBiJRG, ~ 83440 p,0. #341,14366 FOOD SGI~EDXJLEA TO SHIP: 4~29/OS CAPTT'VE A1RE' S CORPORATE OFFXCE IS NO'W REQUIRING US TO HAVE A COpY Or THL PERMIT IN OUR FILES V4'I~1~N YT ~S OBTAINED FOR ALL PIRL SYSTEM INgTALT~A'I'XONS. PROCEED TO AI'PLS.'~ )10R YO't]'R PE12MrT WI'~~ T~ BUS][NESS DAYS A;k'TER'YOL? IOC ~~~ P EA5E FAX TO MY ATTL•NTYO~N EXNiN1~DIATELY~ A COPY IN Y 'Z'IdANIt YOU FOR GIVINQ TI~'IS YOUR ATI'ENTXON, AND FOR COMPLYING WI'I'II OUR g.LQU73ST. -•- --APR. 29.2005 •~ A ~ 56PM CAPTI~~1E AIRE N0.460 P. 1 CAPTIVE~AIRE SYST'E 801 W. STATE SPR NGS, FL..I32714 3 ALTAMONT~ PH: (407) 682-0317; FA~~ -(407) 7~2-0623 1-500-948'-7124 TO: rOHN DOLMAN - FIRST SERVICES OF IDAHO FROM: FAT DICK,SOI~T - RECrIONAL SALES ADMINISTRATOR. DATE: ARIL 29, 2045 RE: pINEAPPL$ CrRILL, 383 S. SEC DND i n~~D o ~Gar2~~os 440 P.p. #34114366 HOO MESSAGE: WE ARE SENDING'YOUR COIVIpANYO PvRASE ~ ~~T~R THE ABOVE MENTIOl~'ED PROJECT. W'OU'LD Y DOCUMENTS, SIGN THE PURCI~ASE ORDER AND ~s I~ YOU ACCE~'T T Og;pElt BACr~. TO ME AT 407-772-0623 WITHIN 2 70B, Ir A PERMIT IS REQUIRED, PLEASE .ADD I~"S COST PPL EASE pUT.OTIIE CESS T~ pERMYT TO THE pT TRC~IASE ORDER AMOUNT PERMIT EviYv1EDIATELX. XF AN AIR TEST IS REQUIRED B~ A LOCAL OOPI~CER ~OrJNT ADD 5100.00 TO CONDUCT THE TEST TO THE PURCIiASE ~TgR FAXING BACK THE SIGNED PURCH rOBSOITE POl~ SCHEDULING. CONTACT AND STAY' IN TO~[JCH WITH THE IF YOU I'1AVE ANY QUESTIONS, PLEASE CALL ME. TI~ANI~ YOU, PA,TRICIA AICKSON P.S. WREN' INVOICINQ FOR TINS IOYMENT: SE TNCLUD'E TAE gOLI.OWING VI~T~ YQ'tJR INW'OICL~ TO AV'OlD DET,AXS Ii~T PA *r~ DXSTRIBU"I'OR'S CLRTTFICATiON Ti'ORM (~~ N TEST ~Q•UI~D) $'~S'x rOItM'WITXI Ii~SPT3CTOR'S SIGNATUit~ ( Cp~Y dr PE]tM~T * COPY' O~ Y'ERMIT RECEIPT (WHEN P~ItMIT RLQ't7IRED) AND ~ ~