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330 S Stillaguamish Ave_BLD1445_2026
FIRE ALARM ' PERMIT APPLICATION Department of Community Development City of Arlington - 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX (360)403 3418. THIS APPLACATION MUST BE ACCOMPANIED BY FOUR(4)SETS OF COMPLETE AND SCALED PLANS FOR EACH FIRE ALARM PERMIT APPLICATION.INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO,INCLUDE SPECIFICATION SHEETS, WIRING DIAGRAMS,(POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON EQUIPMENT PROPOSED TO BE INSTALLED PRIOR TO INSTALLATION. Type of permit: (check one) ® New Fire Alarm (EI) Fire Alarm Alteration/Addition Project Address: 330 S. Stillaguamish Parcel ID#: 31051100102900 Number of Zones/Panels: 0 new/1 exist Building Area(Sq Ft): — Valuation: 11,300. Owner: PUBLIC HOSPITAL DISTRICT#3 Phone Number: 206-518-1223 Address: 330 S. Stillaguamish Ave City: Arlington State: WA Zip Code: 98223 Contact Person:SimplexGrinnell/Janet Stebbins (permit) Phone Number: 206-291-1468 Cell Phone: n/a Fax: 206-291-1500 E-mail: jastebbins@simplexgrinnell.com Address: 9520 10th Ave S. Suite 100 City: Seattle State: WA Zip Code: 98108 Contractor: SimplexGrinell Phone Number: 206-291-1400 Address: 9520 10th Ave S. Suite 100 City: Seattle State: WA Zip Code: 98108 Contractor's License Number: SIMPLL"981 SG Expiration: 1/11/2018 Electrical Contractor: Veca Electric Phone Number: 206-436-5200 Address* PO Box 80467 City: Seattle State: WA Zip Code: 98108 Contractor's License Number: VECAE1542MU Expiration: 10/31/2017 1 hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will b responsible for providing a method of safely acce sing roof for inspection. A final inspection and approval shall be obtained whe the re-roofing is complete. Janet Stebbins 4/20/17 Applicants Signature Date Janet Stebbins/SimplexGrinnell Print Applicants Name I ,7 FOR STAFF USE ONLY APR 2 4 2017 Permit# Accept d By Amount Received Receipt# Date Received WEB Form—130 Page 1 of 1 7/10CJY r. CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:330 S Stillaguamish Avenue Permit#:1445 Parcel#:31051100102900 Valuation:11300.00 OWNER APPLICANT CONTRACTOR Name:PUBLIC HOSPITAL DISTRICT#3 Name:SimplexGrinell Name:SIMPLEX GRINNELL Address:330 S STILLAGUAMISH Address:9520 IOth Avenue S,#100 Address:9520 LOTH AVE S SUITE 100 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Seattle,WA 98108 City,State Zip:SEATTLE,WA 98108 Phone: Phone:206-291-1400 Phone:206-291-1400 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Fire Alarm CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT 1S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI IO/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded rlingt #3101, e4 gnat re Print Name Da a Released By [Ya CONDITIONS Adhere to approved plans. For final inspection, see the installation checklist included in the submittal documents. TIUS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 5/30/2017 Building Plan Review Fee $100.00 5/30/2017 Fire Sprinkler Fee $295.25 5/30/2017 ProcessingfTechnology Fee $25.00 Total Due: S420.25 Total Payment: $100.00 Balance Due: S320.25 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON % 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:330 S Stillaguamish Avenue Permit#: 1445 Parcel#:31051100102900 Valuation: 11300.00 OWNER APPLICANT CONTRACTOR Name:PUBLIC HOSPITAL DISTRICT#3 Name:SimplexGrinell Name:SIMPLEX GRINNELL Address:330 S STILLAGUAMISH Address:9520 loth Avenue S,#100 Address:9520 LOTH AVE S SUITE 100 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Seattle,WA 98108 City,State Zip:SEATTLE,WA 98108 Phone: Phone:206-291-1400 Phone:206-291-1400 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Fire Alarm CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Dal CONDITIONS Adhere to approved plans. For final inspection, see the installation checklist included in the submittal documents. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 5/30/2017 Building Plan Review Fee $100.00 5/30/2017 Fire Sprinkler Fee $295.25 5/30/2017 Processing/Technology Fee $25.00 Total Due: $420.25 Total Payment: $100.00 Balance Due: $320.25 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON 1 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:330 S Stillaguamish Avenue Permit#:1445 Parcel#:3 1051100102900 Valuation:11300.00 OWNER APPLICANT CONTRACTOR Name:PUBLIC HOSPITAL DISTRICT#3 Name:SimplexGrinbll Name:SIMPLEX GRINNELL Address:330 S STILLAGUAMISH Address:9520 loth Avenue S,#100 Address:9520 IOTH AVE S SUITE 100 City,State Zip:ARL.INGTON,WA 98223 City,State Zip:Seattle,WA 98108 City,State Zip:SEATTLE,WA 98108 Phone: Phone:206-291-1400 Phone:206-291-1400 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: L1C#: EXP: JOB DESCRIPTION PERMIT TYPE: Fire Alarm CODE YEAR: 2015 STORIES: CONST.TYPE; DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITI I CITY AND STATE LAWS REGULATING CONS"t'RUC"T[ON AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 19,27, THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI I0/IRC110. SALES TA K NOTICE:Sales tax relating to construction and construction materials in the City ofArlington must be reported on your sales tax retum form and coded rlingt #3101. 9m= _ C gnat ve Prinl Name Date Released By Do . CONDITIONS 1 Adhere to approved plans.For final inspection,see the installation checklist included in the submittal documents. THIS PERMIT AUTHORIZE ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 5/30/2017 Building Plan Revlew Fee $100.00 5/30/2017 Fire Sprinkler Fee $295.25 5/30/2017 Processing(Technology Fee $25.00 Total Due: S420.25 Total Payment: $100.00 Balance Due: S320.25 CALL FOR INSPECTIONS BUILDING 1360)403-3417 When calling for an inspection please leave the following information: 1 ; CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:330 S Stillaguamish Avenue Permit#:1445 Parcel#:31051100102900 Valuation: 11300 00 OWNER APPLICANT CONTRACTOR Name:PUBLIC HOSPITAL DISTRICT#3 Name:SimplexGrinell Name:SIMPLEX GRINNELL Address:330 S STILLAGUAMISH Address:9520 10th Avenue S,#100 Address:9520 LOTH AVE S SUITE 100 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Seattle,WA 98108 City,State Zip:SEATTLE,WA 98108 Phone: Phone:206-291-1400 Phone:206-291-1400 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Fire Alarm CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION 14AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Da CONDITIONS Adhere to approved plans. For final inspection, see the installation checklist included in the submittal documents. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 5/30/2017 Building Plan Review Fee $100.00 5/30/2017 Fire Sprinkler Fee $295.25 5/30/2017 Processing/Technology Fee $25.00 Total Due: $420.25 Total Payment: $100.00 Balance Due: $320.25 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon i Permit Information Date 4/28/2017 Permit Number 1445 Project Name Cascade Valley Hospital Applicant Name SimplexGrinell Applicant Address 9520 10th Avenue S,#100 City, State, Zip Seattle,WA 98108 Contact Janet Stebbins Phone 206-291-1400 Email jastebbins@simplexgrinnell.com Permit Type Fire Alarm Site Address 330 S Stillaguamish Avenue Valuation 11300.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Fire Alarm Addition Assigned To Launa Peterson Property_ Information Owner Information Parcel#:31051100102900 PUBLIC HOSPITAL DISTRICT#3 PUBLIC HOSPITAL DISTRICT#3 330 S STILLAGUAMISH 330 S STILLAGUAMISH AVE ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# SIMPLEX GRINNELL 06-291-1400 ,ONTRACTOR Review Date Type Description Target Date ComDleted Date Assigned To Status 4/28/2017 IFire Alarm 0/12/2017 evin Olander n Review /28/2017 Fire Alarm i/12/2017 lRick Karns n Review Fees Fee Description Notes Amount Buildina Plan Review Feel 345.83.00.001 1 $100.00 Totall $100.00 Uploaded Files Upload File Date Fie Uploaded By i .. 1 p� E ALARM City of Arlington •238 N OI RM�T APPLICATION THIS A/'/'LAC Yin ,c depart AT/ONM p Ave_ •grlin on of Community Development ALA P UST BE 9ton, Wq SHEETS WRN APPL/CAT/ONACCO/pjpAN/ED 9g223 ' Phone 360 403 3551 • FAX 360) 403 3418. BE INSTALLED Rl R RO NS (Pp NT��P tEC R/CO R(,q SETS OF ) Type of STALLAT/ON• O/NT W/R/NG LANS WERE COMPLETE AND SCALED PLANS FOR EACH FIRE Permit: (check o AND APPLICABLE. ALSO, INCLUDE SPECIFICATION Pro ne) ALL OTHER INFORMATION ON EQUIPMENT PROPOSED TO Ject Address: 330 S. Stilla (ED Ne Number guamish W Fire Alarm of zones/Panels: 0 nevv11 (p) Fire Alarm Alteration/Addition Owner: PUBLIC exist exist Buildin 31011100102900 Are, ) Parcel ID#: Address: 330 S. Still_ A� DISTRICT#3 9Ar (Sq Ft 11,300. guamish Ave Valuation: Contact Person: SIt77 206-518-1223 plexGrinnell/J city: Arli�gto Phone Number Cep Phone: n/a anet Steb n Stebbins WA 98223 (perrrlit) State: Zip Code: Address.- 9520 10th qve Fa 2 S. Suite 100 " 06-291- Phone Number: 206-291-1468 7500 =ontractor: Slm City: Seattle E-mail: Jastebbins@simplexgrinnell.com plexGrinell ddress: 9520 10th qve State: WA Zip Code: 98108 S• Suite 100 mtractor's Lice nse Number- SIMp«*981 city. Seattle Phone Number: 206-291-1400 ctrical Contractor: Ve SC, WA 98108 Ca Electric State: Zip Code: ress PO BOX 80467 Expiration: 1/11/2018 'ractor's License V Number., ECAEIS Ciry. Seatt/e Phone Number: 206-436-5200 42MO state: WA Zip Code: 98108 by certify the above info tY will be accord rmation is 10/31/2017 n ance with correct Expiration: te, a method of safely acCethe laws rules and thatthe constr`<<I�rj. �s'n9 roof for ins regulations uctf o - Stebbins yam, �� � n pection• q �nal�o the Sate nd the occupancy and the use of the above described A SPectit �f Washington. The applicant will b responsible for >te Pplrcants Signature '`"" a r�d approval shall be obtained when!the re-roofing is bbins/Sim plexGrinnell 4�2p/7 7 Print Applicants Name �ate = FOR STAFF USE OtV L Y Accept d By Amount Received APR 2 4 2017 Page 1 of 1 R ceipt# Date Received 7110CJY 1, V �� ,-i�� - �i� ,��,�= 'i�-�I-lz# ■. _� { Lam., f�� "�� �t,l 06 r Air Ii' rl I v- - 711 _ _t- ■ - tyCO SimplexGrinnell LP 9520 10th Avenue South,Suite 100 SimplexGrihnell Seattle,WA 98108 LETTER OF TRANSMITTAL# SG 0001 Phone: 206-291-1400 Fax: 206-291-1500 DATE: 4/21/2017 Contractor's License:SIMPLL"988BG Electrical License: SIMPLL'981SG TO: Citv of Arlington Dept of Community Development SG PROJECT#: 998905601 238 N Olympic Ave Arlington WA 98223 PROJECT: Cascade Valley Hospital ph:360-403-3551 Fire Alarm -Elevator West Wing WE ARE SENDING YOU. Shop Drawings Letter l Application for: Fire Alarm Permit/# l� Product Data Sheets/Cut Sheets Submittals I— uSprinkler Permit/# Change Order Request ®O&M Manuals JCheck E Other. FedEx return label THESE ARE TRANSMITTED: For Approval u Approved as Submitted I-1 Resubmit copies for approval ©For Your Use Approved as Noted Submit copies for distribution ©As Requested © Returned for Corrections u Return corrected prints � For Review and Comment I— F� Return upon approval: Permit&Approved Drawings DATE QNTY NUMBER DESCRIPTION 4/1712017 4 sets Drawings for Fire Alarm system for above job 4/17/2017 4 sets Data sheets/submittal for above job 4/2012017 1 application Fire alarm permit application 1 label Pre-paid return FedEx label for return of stamped/approved drawings and fire alarm permit for above job (tracking#806268628744) SHIPPED VIA: FEDEX(STANDARD OVERNIGHT or 2Day if unavailable) f— COURIER UPS(GROUND) r- OTHER REMARKS: Questions regarding work for the particular job, please contact: name: Travis Brusso phone: 206-291-1400 email: tbrusso@simplexgrinnell.com Questions pertaining to permit submittal or issuance, please contact: name: Janet Stebbins hone: 206-291-1468 email:jastebbins@simplexgrinnell.com Please give me a call when payment is due either at submittal or issuance and I can provide a VISA number or send a check. Thank you-Janet file Jawet s&e66iws 20c0-22j1-1-¢68 COPY TO: TRANSMITTED BY: If enclosures are not as noted,kindly notify us at once I i 5/30/2017 SIMPLEXGRINNELL LP Infraction no. Satisfied ESHAU00518 RCW/WAC Issue date 19.28.101 RCW 10/11/2011 Violation amount Violation city $500.00 Seattle Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing,whichever occurs first as referenced in WAC 296-468-900(10)(a), effective after 12/30/2008 see WAC 296-46B- 901(10)(a).A inspection request for electrical work permit#1887758P was not obtained. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current 011,629-00 Doing business as SIMPLEXGRINNELL LP Estimated workers reported Quarter 1 of Year 2017"Greater than 100 Workers" L&I account representative T3/STEPHANIE HENDERSON(360)902-5598-Email:HSTE235&ni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 05/21/2014 No violations Inspection no. 317298917 Location 810 Hwy 2 Leavenworth,WA 98826 O� Washington State Dept,of Labor S Industries,Use of this site is subject to the laws of the state of Washington. Heip us 7trt�t'>w�r hftps:/Isecure.ini.wa.gov/verify/Detai I.aspx?U BI=602113334&LIC=SI M PLL"981 SG&SAW= 4/4 5/30/2017 SIM PLEXGRIN N ELL LP Infraction no. ESHAU00665 Satisfied Issue date RCW/WAC 05/08/2012 19.28.101 RCW Violation city Violation amount Seattle $250.00 Type of violation ELECTRICAL CITATION Description Failing to obtain an inspections for permits: 192456212, 1910883P&1931180P. Infraction no. EJEFS00351 Satisfied Issue date RCW/WAC 11/03/2011 19.28.101 RCW Violation city Violation amount Seattle $500.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing,whichever occurs first as referenced in WAC 296-46B-900(10)(a), effective after 12/30/2008 see WAC 296.46B- 901(10)(a). Infraction no. ESHAU00516 Satisfied Issue date RCW/WAC 10/1112011 19.28.101 RCW Violation city Violation amount Snohomish $500.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing,whichever occurs first as referenced in WAC 296-46B-900(10)(a), effective after 12/30/2008 see WAC 296-46B- 901(10)(a).EWP#1896178P. Infraction no. ESHAU00514 Satisfied Issue date RCW/WAC 10/11/2011 19.28.101 RCW Violation city Violation amount Seattle $500.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing,whichever occurs first as referenced in WAC 296-46B-900(10)(a), effective after 12/30/2008 see WAC 296-46B- 901(10)(a). EWP#1896166P. ,iolp us in Prove hfps://secure.)ni.wa.gov/verify/Detail.aspx?U BI=602113334&LIC=SIM PLL*981 SG&SAW= 314 5/30/2017 SIMPLEXGRINNELL LP Savings No savings accounts during the previou- year period. License Violations Infraction no. EBIEA01275 Satisfied Issue date RCW/WAG 08/12/2014 19.28.101 RCW Violation city Violation amount SEATTLE $250.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EBIEA01276 Satisfied Issue date RCW/WAC 08/12/2014 19.28.101 RCW Violation city Violation amount SEATTLE $250.00 Type of violation ELECTRICAL CITATION Description Energizing electrical equipment without an electrical inspection as referenced in WAC 296.46E-901. Infraction no. EHRAL01249 Satisfied Issue date RCW/WAC 06/06/2014 19.28.101 RCW Violation city Violation amount SEATTLE $4,000.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing,whichever occurs first as referenced in WAC 296-46B-901.Failing to request an inspection for Electrical Work permit#2231262P. Infraction no. ESHA000892 Satisfied Issue date RCW/WAC 04/24/2014 19.28.101 RCW Violation city Violation amount Seattle $1,000.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing,whichever occurs first as referenced in WAC 296-46B-901. Failing to request an inspection for EWP 2206095P. improve hftps://secure.Ini.wa.gov/verify/Detai I.aspx?U BI=602113334&LIC=SIM PLL'981 SG&SAW= 214 5/30/2017 SIMPLEXGRINNELL LP Search L&I a=f lwic�. Ib'it) :.V (s Safer,,,,&Health Claims& Insurance Workplace Righls l r3rles Xx UrensinAlft q Washington State Department of "Labor & Industries SIMPLEXGRINNELL LP Owner or tradesperson 9520 10TH AVE S#100 SEATTLE,WA 98108 Principals 206-291-1400 Chauvin JR, Robert F, PARTNERIMEMBER KING County Maxie, Robert C,PARTNER/MEMBER Meisner, Mark H, PARTNER/MEMBER C T Corporation System,AGENT Doing business as SIMPLEXGRINNELL LP WA UBI No. Business type 602 113 334 Limited Liability Company Governing persons BERNARD J DOHERTY JERRY R BOGGESS; MICHAEL BUCHANAN; MICHAELA ROBINSON; PASQUALE J D'ORSI; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY HVAC/RFRG License no. SIMPLL"981SG Effective—expiration 01/07/2002—01/11/2018 Designated administrator Active. MOORE,PHILLIP A Meets current requirements. License type License no. Electrical Administrator MOOREP"995RA Bond FEDERAL INSURANCE CO $4,000.00 Bond account no. 81880909 Received by L&I Effective date 01/07/2002 12/20/2001 Expiration date Until Canceled https://secure.ini.wa.gov/verify/Detai I.aspx?U BI=602113334&LIC=SIM PLL'981 SG&SAW= 1/4 CITY OF ARLINGTON BUILDING DEPARTMENT Sim /exGrinne// APPROVED No CHAIN M AV"4011 tM UNLESS APPRQp1ED BY THS BUILDING IOMKCTOR OFFICE COPY Building Systems Submittal Package CASCADE VALLEY HOSPITAL 330 S. STILLAGUAMISH AVE. ARLINGTON,WA 98223 Fire Alarm System SimplexGrinnell LP Veca Electric 9520 10th Ave. South 5614 7th Ave S. Suite 100 Seattle, WA 98108 Seattle, WA 98108 Josh Goodin Phone: (206) 291-1400 206-818-1223 Fax: (206) 291-1500 www.SimplexGrinnellxorn Received APR 2 4 2017 Fire,Security,Communications,Workforce Solutions,Sales&Service 14 4 Offices&Representatives in Principle Cities throughout the World `\J �r.rrr.r. r .,►rye+,,,.+ C�. ° - `Simp/ex rinne// _MMATAo amPNnAe "oM btl Ira 03Vaft94A C83JM fEQT�3i!�?VVi1CS.JE6�� This Page Left Blank Intentionally Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World � co y SimplexGrinnell Table of Contents Section I: Scheduling/Installation Checklist Section II: Equipment List & Equipment Datasheets Section III: Hardware Warranty Section IV: Manufacturer's Recommendation Section V: Testing Procedure for Devices Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tqco Simp/exGrinne// This Page Left Blank Intentionally Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tqco Simp/exGrinne// Scheduling Thank you for working with SimplexGrinnell on this project. We would like to take this opportunity to introduce you to the project team. Travis Brusso is the SimplexGrinnell Project Manager assigned to this project to help with generic project information. Mark Watkins is the project engineer to assist with drawings/engineering questions. Yvonne Thompson is the project coordinator and is available for scheduling technicians. Office: (206)291-1400 Fax: (206)291-1500 In an effort to assist you in your installation we require you to arrange a Pre-Construction meeting with one of our Technicians. This meeting will allow your field foreman to ask any questions they may have in regards to the installation of your system. Based on the equipment quantities and current scope of work our Technician will need no less than 2.5 business days to complete all necessary programming and commissioning from the time the below checklist is complete prior to any AHJ testing. Please make sure this time is allowed for in the General Construction CPM schedule as it can not be compressed. Change orders,change of scope,etc.may require additional time allotment to field personnel. Installation Checklist SimplexGrinnell is committed to providing the highest quality service available. As part of this service we want to ensure that the installation results in a trouble-free system. Please review the Checklist below and ensure each item is complete prior to our site visit. A Technician will be dispatched only after the below checklist items have been completed. If these items are not completed prior to the visit by our technician,you may incur additional charges not covered by our quotation. Please feel free to contact our office if you have any questions. O Fire Alarm Panel(s)have been mounted and all wiring(power, MAPNET,signal,door-holders, etc.) pulled into panel(s). O All wiring pulled into panel(s)or junction boxes have been permanently marked with wire markers and can easily be identified by a SimplexGrinnell Technician. O System Power is supplied and on a dedicated circuit(Do Not Energize prior to Technician visit). O All peripheral devices have been mounted(Smoke Detectors still covered). O All end-of-line resistors have been installed. O All alarm initiating circuits(smoke detectors,pull stations,etc.)have been checked for shorts, opens and grounds. O All alarm notification circuits(speakers,horns,strobes,etc.)have been checked for shorts,opens and grounds. O All remaining wiring(door-holders, FACP 24VDC,etc.)has been checked. O Flows,Tampers,and Pressure Switches installed,properly wired and adjusted. O All devices are properly protected against construction dust and contamination. O Contact us immediately if there is no digital dialer or system monitoring provisions already in place. The dialer, phone lines and service will be required for system testing. O There are no missing parts or equipment. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World hica Simp/exGrinne// This Page Left Blank Intentionally Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tLica Simp/exGrinneY Equipment List & Equipment Datasheets Fire Alarm System Quantity Product ID Product Description 8 4090-9001 SUPERVISED IAM 3 4098-9714 PHOTO SENSOR 3 4098-9792 SENSOR BASE 7 5623 HEAT DET W/BASE 135F FXD Equipment List subject to change. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tLIP0 Simp/exGdnne// This Page Left Blank Intentionally Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World r- O'simplex Multi-Application Peripherals UL, ULC, CSFM Listed,FM Approved, IDNetTM` and MAPNET II° Communicating Devices, MEA (NYC) Acceptance* Individual Addressable Modules (IAMs) IDNet or MAPNET II addressable communications supply both data and power over a single wire pair Sell II to provide": 4090.90010 • Supervised Class B monitoring of normally open,dry vil Mil Im rust 511 lk U contacts AIF CW( • Total wiring distance from IAM to supervision - resistor(s)of up to 500 ft(152 m) DDDf1Dot10 • Monitored connection is compatible with Simplex® 2081-9044 Overvoltage Protectors for outdoor wiring or electrically noisy applications 4090-9001 Supervised IAM • For use in indoor locations up to 158'F(70'C)such as (shown approximately 3/4 size) attic spaces or similar applications For use with following Simplex control panels: • Model Series 4008,4010,4010ES,4100U and 4100ES fire alarm control panels for IDNet communications • Model Series 4100/4100U/4100ES,4120,4020,and 2120 Communicating Device Transponders(CDTs) equipped with MAPNET II communications Model 4090-9001: • Enclosed design minimizes dust infiltration • Mounts in standard single gang electrical box • Screw terminals for wiring connections • Visible LED flashes to indicate communications • Optional covers are available to allow LED to be 4090-9051 Supervised IAM viewed after installation(requires mounting bracket, (shown approximately 3/4 size) ordered separately) Model 4090-9051: • Encapsulated design for extended exposure to high _ humidity(LED is not present on this model) • • • Color coded 18 AWG leads for wiring Individual addressable modules(IAMs)receive IDNet communications provides current limited both power and communications from a two-wire monitoring: MAPNET II or IDNet circuit.They provide location • Provides monitoring of tamper switch(supervisory) specific addressability to a single initiating device(such and waterflow switch(alarm)on same circuit using as single station smoke detector alarm contacts or heat detector contacts)or multiple devices at the same location one point by monitoring normally open dry contacts and the wiring • Available with IDNet communications only to an end-of-line resistor. Multiple operation modes are available and are selectable at the control panel: Model 4090-9001 is packaged in a thermoplastic • Contact closure status can be tracked housing and provides screw terminal connections and a status indicating LED. • Momentary contact closure conditions can be selected at the panel to be latched or tracked(not available with the Model 4090-9051 is an encapsulated package with wire 2120 CDT) leads.It does not provide a status indicating LED. UL listed to Standard 864 These products have been approved by the California State Fire Marshal(CSFM)pursuant to Section 13144.1 of the California Health and Safety Code.See CSFM Listing 7300-0026:223 for allowable values and/or conditions concerning material presented in this document.It is subject to re-examination,revision,and possible cancellation.Accepted for `— use—City of New York Department of Buildings—MEA35-93E.Additional listings may be applicable;contact your local Simplex product supplier for the latest status.Listings and approvals under Simplex Time Recorder Co.are the property of Tyco Safety Products Westminster, S4090-0001-10 • • - M. - • o • - �• • • Contact Closure.Closure of the monitored contact(s) For use with IDNet communications only,these initiates an alarm or other response as programmed at the IAMB can provide quad-state sensing of normal,open fire alarm control panel.An open in the monitored circuit circuit,short circuit,and current limited conditions. wiring will cause a trouble to be reported. (Program type is"T-sense.")With the proper end-of-line Panel Selections. Selections can be made at the control and current limiting resistors,dual functions such as panel to maintain the alarm condition if the initiating tamper switch and waterflow switch monitoring can be device contacts are momentary,such as from a determined and communicated by a single addressable rate-of-rise heat detector,or to track the device contact point. status(not available with the 2120 CDT). Model Description ■�4090-9001 Supervised IAM, mounted in thermoplastic housing with screw terminals;see applicable options below / 4090-9051 Supervised IAM,encapsulated with wire leads Optional Trim Plates and Mounting Bracket for Model 4090-9001 --- -Model-- Description 4090-9806 For semi-flush mounted box Trim plate with LED viewing window, requires 4090-9810 mounting bracket, 4090-9807 For surface mounted box includes mounting screws;galvanized steel 4090-9810 Mounting bracket,mounts IAM to electrical box and provides screw holes for trim plate, required for optional trim plates End-of-Line Resistor Harnesses(ordered separately as required) Model Reference No. Description 4081-9004 733-886 6.8 kQ, 1/2 W;Standard end-of-line resistor harness for N.O.contact supervision 4081-9003 733-896 4.7 kQ, 1/2 W Use for current limited monitoring applications 4081-9005 733-984 1.8 kQ, 1/2 W Electrical Power and Communications MAPNET II or IDNet,auto selected, 1 address per IAM Input Requirements Normally open,dry contacts 4090-9001 Screw terminals for in/out wiring, 18 to 14 AWG wire Wire Connections (0.82 mm2 to 2.08 mm2) 4090-9051 Color coded wire leads, 18 AWG(0.82 mm2),8"long(203 mm) Reference Documents Installation Instructions 574-331 for 4090-9001;579-572 for 4090-9151 Field Wiring Diagrams 842-073 for IDNet operation;841-804 for MAPNET II operation Wiring Distances Distance from IAM to Contacts 500 ft(152 m)maximum without protectors 400 ft(122 m)maximum with 2081-9044 Overvoltage Protectors Wiring Distance Reference per channel,MAPNET II or 2500 ft(762 m)maximum from fire alarm control panel IDNet Communications 10,000 ft(3048 m)maximum total wiring distance(including T-Taps) Mechanical Dimensions 4090-9001 1-9/16"W x 1-3/4"H x 1-1/4"D(40 mm x 44 mm x 32 mm) 4090-9051 1-9/16"W x 1-9/16"H x 9/16"D(40 mm x 40 mm x 14 mm) Housing Material,4090-9001 Black thermoplastic Encapsulation Material,4090-9051 Epoxy, beige Temperature Range 32°to 158°F(0°to 70°C);intended for indoor operation Humidity Range Up to 93%RH at 100°F(38°C) 2 S4090-0001-10 NIT,=- Z��11111111 4090-9001 IDNet Field wiring shown supervised IAM for reference t�.(Et Iq (Nkt G) /090900i"', tyfhEpW L- auc�aoc LED viewing port u t ou oso Single gang electrical ® box 2-1/2"(64mm) minimum depth (supplied by others) Address setting under resealable label Single gang blank cover plate and mounting screws,for use when LED is not required to be externally viewed(supplied by others) Mounting Reference, Single Gang Blank Cover Plate O O O ° Light pipe for ®� LED viewing �® 4-114" 4-1/2" (108 mm) (114 mm) DISCONNECT POWER DISCONNECT POWER BEFORE SERVICING BEFORE SERVICING 0 @ ° O i 2-1/2" I 2-13/16" (64 mm) � l� (72 mm) 4090-9806,Trim plate for 4090-9807,Trim plate for 4090-9810 Mounting semi-flush mounted box surface mounted box bracket,ordered separately NOTE:These mounting plates require mounting bracket 4090-9810. Optional Trim Plates and Mounting Bracket for Visible LED 3 S4090-0001-10 Address setting is at rear of housing 4090-9051 Encapsulated Supervised IAM Single gang electrical box 2-1/2"(64mm) minimum depth (supplied by others) 4P Single gang blank cover plate and mounting screws(supplied by others) Tyco is a registered trademark of Tyco International Services GmbH and is used under license.Simplex,the Simplex logo,IDNet,and MAPNET II are trademarks of Tyco International Ltd.and its affiliates and are used under license. j; S i m p I Ex Simpl 1rinnell LP Westminster•Westminster,MA•01441-0001•USA S4090-0001-10 www.simplexgrinnell.com ©2011 Tyco.All rights reserved.All specifications and other information shown were current as ofdocument revision date and are subject to change without notice. 6„SimplEx TrueAlarm Analog Sensing UL, ULC, CSFM Listed, FM Approved, TrueAlarm Analog Sensors— Photoelectric MEA (NYC)Acceptance* and Heat; Standard Bases and Accessories TrueAlarm analog sensing provides: C • Digital transmission of analog sensor values via IDNet or MAPNET II two-wire communications For use with the following Simplex®products: • 4007ES,4010,4010ES,4100ES,and 4100U Series J L control panels;and 4008 Series control panels with reduced feature set(refer to data sheet S4008-0001 for details) • 4020,4100,and 4120 Series control panels,Universal 4098-9714 TrueAlarm Photoelectric Transponders,and 2120 TrueAlarm CDTs equipped Sensor Mounted in Base for MAPNET II operation Fire alarm control panel provides: I B _ • Peak value logging allowing accurate analysis of each sensor for individual sensitivity selection Digital Communication of Analog Sensing. • Sensitivity monitoring satisfying NFPA 72 sensitivity TrueAlarm analog sensors provide an analog testing requirements;automatic individual sensor measurement digitally communicated to the host control calibration check verifies sensor integrity panel using Simplex addressable communications.At the • Automatic environmental compensation,multi-stage control panel,the data is analyzed and an average value is alarm operation,and display of sensitivity directly in determined and stored.An alarm or other abnormal percent per foot condition is determined by comparing the sensor's present • Ability to display and print detailed sensor value against its average value and time. information in plain English language Intelligent Data Evaluation.Monitoring each sensor's Photoelectric smoke sensors provide: average value provides a continuously shifting reference • Seven levels of sensitivity from 0.2%to 3.7% point.This software filtering process compensates for (refer to additional information on page 3) environmental factors(dust,dirt,etc.)and component Heat sensors provide: aging,providing an accurate reference for evaluating new • Fixed temperature sensing activity.With this filtering,there is a significant reduction • Rate-of-rise temperature sensing in the probability of false or nuisance alarms caused by • Utility temperature sensing shifts in sensitivity,either up or down. • Listed to UL 521 and ULC-S530 Control Panel Selection.Peak activity per sensor is General features: stored to assist in evaluating specific locations.The alarm • Listed to UL 268 and ULC-S529 set point for each TrueAlarm sensor is determined at the • Louvered smoke sensor design enhances smoke host control panel,selectable as more or less sensitive as capture by directing flow to chamber;entrance areas the individual application requires. are minimally visible when ceiling mounted Timed/Multi-Stage Selection.Sensor alarm set points • Designed for EMI compatibility can be programmed for timed automatic sensitivity • Magnetic test feature is provided selection(such as more sensitive at night,less sensitive • Different bases are available to support a supervised during day).Control panel programming can also provide or unsupervised output relay,and/or a remote LED multi-stage operation per sensor.For example,a 0.2% alarm indicator level may cause a warning to prompt investigation while a Additional base reference: 2.5%level may initiate an alarm. • For isolator bases,refer to data sheet S4098-0025 Sensor Alarm and Trouble LED Indication.Each • For sounder bases,refer to data sheet S4098-0028 sensor base's LED pulses to indicate communications • For photo/heat sensors,refer to data sheet S4098-0024 with the panel.If the control panel determines a sensor is (single address)and S4098-0033(dual address) in alarm,or is dirty or has some other type of trouble,the These products have been approved by the California State Fire Marshal(CSFM)pursuant to details are annunciated at the control panel and that sensor Section 13144.1 of the California Health and Safety Code.See CSFM Listings base's LED will be turned on steadily.During a system 7272-0026:218,7271-0026:231,7270-0026:216,and 7300-0026:217 for allowable values alarm,the panel will control the LEDs such that and/or conditions concerning material presented in this document.Accepted for use—City of e controp New York Department of Buildings—MEA35-93E.Additional listings may be applicable, an LED indicating a trouble will return to pulsing to help contact your local Simplex product supplier for the latest status.Listings and approvals under identify the alarmed sensors. Simplex Time Recorder Co.are the property of Tyco Fire Protection Products. S4098-0019-19 11/2014 TrueAlarm Sensor Bases and Accessories . . . TrueAlarm sensor bases contain integral addressable - electronics that constantly monitor the status of the Base mounted address selection: detachable photoelectric or heat sensors.Each sensor's • Address remains with its programmed location output is digitized and transmitted to the system fire alarm • Accessible from front(DIP switch under sensor) control panel every four seconds. General features: • Automatic identification provides default sensitivity when Since TrueAlarm sensors use the same base,different substituting sensor types sensor types can be easily interchanged to meet specific • Integral red LED for power-on(pulsing),or alarm or trouble location requirements.This feature also allows intentional (steady on) sensor substitution during building construction.When • Locking anti-tamper design mounts on standard outlet box conditions are temporarily dusty,instead of covering the • Magnetically operated functional test smoke sensors(causing them to be disabled),heat sensors may be installed without reprogramming the control • panel.Although the control panel will indicate an 4098-9792, Standard Sensor Base incorrect sensor type,the heat sensor will operate at a default sensitivity providing heat detection for building 4098-9789,Sensor Base with wired connections for: protection at that location. • 2098-9808 Remote LED alarm indicator or 4098-9822 relay (relay is unsupervised and requires separate 24 VDC) • Supervised Relay Bases(not compatible with 2120 CDT): • 4098-9791,4-Wire Sensor Base,use with remote or Electrical Box Requirements:(boxes are by others) locally mounted 2098-9737 relay,requires separate 24 VDC without relay in the box:4"octagonal or 4"square,1-1/2"deep; • 4098-9780,2-Wire Sensor Base,use with remote or single gang,2"deep locally mounted 4098-9860 relay,no separate power with relay in the box:4"octagonal or 4"square,1-1/2"deep, required with 1-1/2"extension ring • Supervised relay operation is programmable and can be 4"(102 mm)Square Box 4"(102 mm)Octagonal Box manually operated from control panel Surface mount referent • Includes wired connections for remote LED alarm indicator or 4098-9822 relay(relay is unsupervised and requires separate 24 VDC) (�\ 0 • M - • • • 1-1/2"(38 mm) 2098-9737, Remote or local mount supervised relay: minimum box depth Flush mount reference,mount even with final • DPDT contacts for resistive/suppressed loads,power limited surface,or with up to 1/4"(6.4 mm)maximum recess rating of 3 A @ 28 VDC;non-power limited rating of 3 A @ 120 VAC(requires external 24 VDC coil power) (mounts in Supervised Relay 4098-9822 Relay(mounts (mounts in base electrical box or in base electrical box) 4098-9860, Remote or local mount supervised relay: remotely) • SPDT dry contacts,power limited rating of 2 A @ 30 VDC, resistive;non-power limited rating of 0.5 A @ 125 VAC, resistive Relay Size: 2-1/2"X 1-1/2"X 1" 4098-9822, LED Annunciation Relay: (3.75 in3)(64 mm x 38 mm X 25.4 mm) • Activates when base LED is on steady,indicating local alarm Or trouble 4098-9860 Supervised Relay(mounts in base electrical box or remotely;2-3/8"X 1-1/4"X 11/32" • DPDT contacts for resistive/suppressed loads,power limited (1 in )(60.4 mm X 31.8 mm X 8.6 mm) iMr rating of 2 A @ 28 VDC;non-power limited rating of 1/2 A @ 120 VAC,(requires external 24 VDC coil power) NOTE:Review total wire count,wire size,and accessories being 4098-9832,Adapter plate: wired to determine required box volume. • Required for surface or semi-flush mounting to 4"square electrical box and for surface mounting to 4"octagonal box 1 6-3/8"(162 mm) • Can be used for cosmetic retrofitting to existing 6-3/8" t 4098-9832 Adapter Plate,required for diameter base product 1/4" mounting to surface mounted boxes 2098-9808, Remote red LED Alarm (6.4 mm) and 4"square Flush box Indicator: I 4-7/8"(124 mm) .� • Mounts on single gang box(shown in illustration to right) "`""" O (za/mm) o TrueAlarm Bases GSimplex 4098-9780,4098-9789,4098-9791,&4098-9792 B 2 S4098-0019-19 11/2014 TrueA/arm Sensors ' • � • Sealed against rear air flow entry TrueAlarm heat sensors are self-restoring and provide rate Interchangeable mounting compensated,fixed temperature sensing,selectable with EMI/RFI shielded electronics or without rate-of-rise temperature sensing.Due to its Heat sensors: small thermal mass,the sensor accurately and quickly • Selectable rate compensated,fixed temperature measures the local temperature for analysis at the fire sensing with or without rate-of-rise operation alarm control panel. • Rated spacing distance between sensors: Rate-of-rise temperature detection is selectable at the control panel for either 15'F(8.3°C)or 20'F(11.1'C) Fixed Temp. UL&ULC FM Spacing,Either Fixed per minute.Fixed temperature sensing is independent of Setting Spacing Temperature Setting rate-of-rise sensing and programmable to operate at 135'F 60 ft x 60 ft 20 ft x 20 ft(6.1 m)for fixed 135'F(57.2°C)or 155'F(68'Q.In a slow developing (57.2°C) (18.3 m) temperature only;RTI=Quick 50 ft x 50 ft(15.2 m)for fixed fire,the temperature may not increase rapidly enough to 155°F 40 ft x 40 ft temperature with either rate-of-rise operate the rate-of-rise feature.However,an alarm will be (68°C) 1 (12.2 m) Iselection;RTI=Ultra Fast initiated when the temperature reaches its rated fixed Smoke Sensors: temperature setting. • Photoelectric technology sensing TrueAlarm heat sensors can be programmed as a utility • 360'smoke entry for optimum response device to monitor for temperature extremes in the range from 32'F to 155'F(0'C to 68'Q.This feature can • Built-in insect screens provide freeze warnings or alert to HVAC system problems.Refer to specific panels for availability. -"7B"(124 mm TrueAlarm photoelectric sensors use a stable,pulsed infrared LED light source and a silicon photodiode II�—LED status indicator receiver to provide consistent and accurate low power 2-3/8" smoke sensing. Seven levels of sensitivity are available (60 mm) for each individual sensor,ranging from 0.2%to 3.7%per foot of smoke obscuration. Sensitivities of 0.2%,0.5%, and 1%are for special applications in clean areas. Standard sensitivities are 1.5%,2.0%,2.5%,3.0%,and 3.7%.Application type and sensitivity are selected and 4098-9733 Heat Sensor with Base then monitored at the fire alarm control panel.* The sensor head design provides 360'smoke entry for WARNING: In most fires, hazardous levels of smoke optimum response to smoke from any direction.Due to its and toxic gas can build up before a heat detection photoelectric operation,air velocity is not normally a device would initiate an alarm.In cases where Life factor,except for impact on area smoke flow. Safety is a factor,the use of smoke detection is highly recommended. 4-7/8"(124 mm G* LED status indicator . . 2-1/8" (54 mm) Sensor locations should be determined only after careful consideration of the physical layout and contents of the area to be protected.Refer to NFPA 72,the National Fire Alarm and Signaling Code.On smooth ceilings,smoke 4098-9714 Photoelectric Sensor with Base sensor spacing of 30 ft(9.1 m)may be used as a guide.* *For detailed application information including sensitivity selection, refer to Installation Instructions 574-709. 3 S4098-0019-19 11/2014 .. • . TrueAlarm Sensor Bases(for use with Sensors 4098-9714 and 4098-9733) (Refer to Application Manual 574-709 and Installation Instructions 574-707 for additional information) Model Description Compatibility Mounting Requirements 4098-9792 Standard Sensor Base No options 4"octagonal or 4"square box, 1-1/2"min. depth;or single gang box,2"min.depth Sensor Base with connections for 2098-9808 Remote Alarm Indicator or 4098-9789 Remote LED Alarm Indicator or 4098-9822 Unsupervised Relay 4"octagonal or 4"square box Unsupervised Relay 4-Wire Sensor Supervised Relay 2098-9737 Supervised Remote Relay Note:Box depth requirements depend on 4098-9791— Base with connections for LED 2098-9808 Remote Alarm Indicator or total wire count and wire size,refer to Indicator or Unsupervised Relay 4098-9822 Unsupervised Relay accessories list below for reference 2-Wire Sensor Supervised Relay 4098-9860 Supervised Remote Relay NOTE:4098-9791 and 4098-9780 are NOT 4098-9780"' Base with connections for LED 2098-9808 Remote Alarm Indicator or compatible with the 2120 CDT Indicator or Unsupervised Relay 4098-9822 Unsupervised Relay TrueAlarm Sensors Model Description Compatibility Mounting Requirements 4098-9714 Photoelectric Smoke Sensor Bases 4098-9792,4098-9789, 4098-9733 Heat Sensor 4098-9791,and 4098-9780 Refer to base requirements TrueAlarm Sensor/Base Accessories Model Description Compatibility Mounting Requirements Supervised Relay,mounts remote or in base For use w Remote Mounting requires 4"octagonal 2098-9737 electrical box with 4098-9791 base or 4"square box, 1-1/2"minimum depth 4098-9860 Supervised Relay,mounts remote or in base For use with 4098-9780 base Base Mounting requires 4"octagonal electrical box box,2-1/8"deep with 1-1/2"extension ring 2098-9808 Remote Red LED Alarm Indicator on single Bases 4098-9789,4098-9791, Single gang box, 1-1/2"minimum depth gang stainless steel plate and 4098-9780 4098-9822 Unsupervised Relay,tracks base LED status; Bases 4098-9789,4098-9791, 4"octagonal box,2-1/8"deep with 1-1/2" Note:Mounts only in base electrical box and 4098-9780 extension ring Bases 4098-9792,4098-9789, Required for surface or semi-flush 4098-9832 Adapter Plate 4098-9791,and 4098-9780 mounted 4"square box and for surface mounted 4"octagonal box General Operating Specifications Communications and Sensor Supervisory Power IDNet or MAPNET II communications,auto-selected, 1 address per base Communications Connections Screw terminals for in/out wiring,18 to 14 AWG(0.82 mm2 to 2.08 mm') Remote LED Alarm Indicator Current 1 mA typical,no impact to alarm current Remote LED Alarm Indicator and Relay Connections Color coded wire leads,18 AWG(0.82 mm2) UL Listed Operating Temperature Range 32°to 100°F(0°to 38°C) Operating Temperature with 4098-9733 Heat Sensor 32'to 122'F(0°to 50'C) Range with 4098-9714 Smoke Sensor 15'to 122'F(-9°to 50'C) Storage Temperature Range 0-F to 140-F(-18°C to 60-C) Humidity Range 10 to 95%RH 4098-9714 Smoke Sensor Air Velocity Rating 0-4000 ft/min(0-1220 m/min) Housing Color Frost White 4098-9791 Base With Supervised Remote Relay 2098-9737(see page 2 for contact ratings) Externally Supplied Relay Coil Voltage 18-32 VDC(nominal 24 VDC) Supervisory Current 270 pA,from 24 VDC supply Alarm Current with 2098-9737 Relay 28 mA,from 24 VDC supply 4098-9780 Base With Supervised Remote Relay 4098-9860(see page 2 for contact ratings) Power I Supplied from communications 4098-9822 Unsupervised Relay,Requirements for Bases 4098-9789.4098-9791,and 4098-9780(see page 2 for contact ratings) Externally Supplied Relay Coil Voltage 18-32 VDC(nominal 24 VDC) Supervisory Current Supplied from communications Alarm Current 13 mA from separate 24 VDC supply TYCO,SIMPLEX,and the product names listed in this material are marks and/or registered marks.Unauthorized use is strictly prohibited.NFPA 72 and National Fire Alarm and Signaling Code are trademarks of the National Fire Protection Association(NFPA). S,5i m plex Tyco Fire Protection Products•Westminster,MA•01441-0001 •USA S4098-0019-19 11/2014 www.simplex-fire.com 0 2014 Tyco Fire Protection Products.All rights resevia All spec#lraflons and other information shown were current as of document revision date and are subject to change without notice. SYSTEM _ SENSOR" ; 5600 Series Mechanical Heat Detectors 5601P ' System Sensors 5600 series mechanical heat detectors f offer a low-cost means for property protection against fire, ti and for non-life-safety installations where smoke detectors are inappropriate. 5621 Features Multiple configurations.The 5600 series offers a full-line of • Multiple configurations for installations: configurations to accommodate a broad range of applications.Both —Single-and dual-circuit models single-and dual-circuit models are available for low-and high- -Fixed temp and combination fixed-temp/rate-of-rise temperature ratings with either fixed temperature or combination fixed temperature/rate-of-rise(ROR)activation.The ROR element of 135°For 194°F ratings. the fixed/ROR models is restorable to accommodate field-testing. • Plain housing for residential installations(Model 5601P) • Easy-to-use terminal screws Installation flexibility.To satisfy a variety of installation needs, • Abroad range of back box mounting options: the 5600 series easily mounts to single-gang and octagonal back —Single gang boxes.And these models accommodate four-square back boxes, —3.5""and 4""Octagonal when used with a square to round plaster ring.The reversible —4"square with square to round plaster ring mounting bracket permits both flush-and surface-mount back box installations. • Reversible mounting bracket Visual identification.The 5600 series provides clear markings on the exterior of the unit to ensure that the proper detector is being used.Alphanumeric characters identify the activation method,as well as the temperature rating,in Fahrenheit and Celsius degrees. Fixed temperature models are identified FX,while combination fixed/ rate-of-rise units are marked FX/ROR.The 5600 series also provides a post-activation indicator in the form of a collector.When the detector is activated,the collector drops from the unit, making it easy to identify the unit in alarm. Agency Listings & FM LISTED APPRM-n (�o 3016008 CS630 7270-1653 0167 Specifications Architectural/Engineering Specifications Mechanical heat detector shall be a System Sensor 5600 series model number listed to Underwriters Laboratories UL 521 for Heat Detectors for Fire Protective Signaling Systems.The detector shall be either a single-circuit or a dual-circuit type,normally open.The detector shall be rated for activation at either 135°F(57°C)or 194oF(90oC),and shall activate by means of a fixed temperature thermal sensor, or a combination fixed temperature/rate-of-rise thermal sensor.The rate-of-rise element shall be activated by a rapid rise in temperature, approximately 15°F(8.3°C)per minute.The detector shall include a reversible mounting bracket for mounting to 3'/2-inch and 4-inch octagonal,single gang,and 4-inch square back boxes with a square to round plaster ring.Wiring connections shall be made by means of SEMS screws that shall accommodate 14-22AWG wire.The detector shall contain alphanumeric markings on the exterior of the housing to identify its temperature rating and activation method.The rate-of-rise element of combination fixed temperature/rate-of-rise models shall be restorable,to allow for field-testing.The detectors shall include an external collector that shall drop upon activation to identify the unit in alarm. Physical/Operating Maximum Installation Temperature 5601 P,5603,5621,and 5623: 100°F(38°C) 5602,5604,5622,and 5624: 150'F(65.6°C) Operating Humidity Range 5 to 95%RH non-condensing Dimensions with mounting bracket Diameter:4.57 inches(11.6cm) Height: 1.69 inches(4.3cm) Alarm Temperature 5601 P,5603,5621,and 5623: 1350F(57°C) 5602,5604,5622,and 5624: 1940F(90°C) Weight 6 oz.(170 grams) Rate-of-Rise Threshold 150F(8.3°C)rise per minute(models 5601 P,5602,5621,and 5622 only) Mounting 31/2-inch octagonal back box 4-inch octagonal back box Single gang back box 4-inch square back box with a square to round plaster ring Electrical Specifications Operating Voltage/Contact 6-125VAC/3A Ratings 6-28VDC/I 125VDC/0.3A 25OVDC/0.1 A Input Terminals 14-22 AWG xvri u lu xe7r O O O O O 5601 P 5602,5622 5603,5623 5604,5624 5621 Ordering Information MethodIdentification Temperature UL Protected Spacing 10 Foot Model Circuit on Exterior Rating Activation Ceiling* 5601 P Single None 135°F(57°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m) 5602 Single Lettering 194°F(90°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m) 5603 Single Lettering 135°F(57°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m) 5604 Single Lettering 194°F(90°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m) 5621 Dual Lettering 135°F(57°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m) ` 5622 Dual Lettering 194°F(90°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m) . •5623 Dual Lettering 135-F(57°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m) 5624 Dual Lettering 194°F(90°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m) "NOTE: Refer to NFPA72 guidelines for spacing reductions when ceiling heights exceed 10 feet. SYSTEM 3825 Ohio Avenue•St.Charles, IL 60174 ©2013 System Sensor. Product specifications subject to change without notice.Visit systemsensorcom Phone:800-SENSOR2•Fax:630-377-6495 l SENSOR for current product information, the latest version of this data sheet. \Y,Y 'v www.systemsensor.com SPDS30DS30o0101•7/13 tqco Simp/exGrinne// HARDWARE WARRANTY 1) SIMPLEXGRINNELL WARRANTY STATEMENT: a) SIMPLEXGRINNELL WARRANTS TO THE PURCHASER OF NEW SIMPLEXGRINNELL PRODUCT(S)THAT THE PRODUCTS SHALL BE FREE FROM DEFECTS IN WORKMANSHIP AND MATERIAL. 2) WARRANTY PERIOD: a) THE WARRANTY PERIOD WILL TERMINATE IMMEDIATELY FOLLOWING THE EARLIEST OCCURRENCE OF EITHER OF THE FOLLOWING: i) 18 MONTHS HAVE ELAPSED FOLLOWING SHIPMENT OF ANY SYSTEM OR SUB- SYSTEM FROM SIMPLEXGRINNELL TO THE CUSTOMER,OR 6) 12 MONTHS HAVE ELAPSED FOLLOWING THE FINAL CONNECTION OPERATION AND BENEFICIAL USE OF ALL OR ANY PART OF THE SYSTEM iii) AS STATED IN THE SPECIFICATIONS AND/OR CONTRACT DRAWINGS 3) SIMPLEXGRINNELL OBLIGATION UNDER THE TERMS OF THE WARRANTY: a) SIMPLEXGRINNELL'S SOLE RESPONSIBILITY SHALL BE TO REPAIR,ADJUST OR REPLACE, AT ITS OPTION,ANY SIMPLEXGRINNELL PRODUCT WHICH FAILS DURING THIS PERIOD PROVIDING PURCHASER HAS PROMPTLY REPORTED SUCH FAILURE TO SIMPLEXGRINNELL IN WRITING. REPLACEMENT PARTS WILL BE WARRANTED ONLY FOR THE BALANCE OF THE EQUIPMENT WARRANTY. SIMPLEXGRINNELL AGREES TO CONTINUE TO HONOR ALL OF THE UNEXPIRED EXPRESSED WARRANTIES SPECIFIED ABOVE ON DEFECTIVE EQUIPMENT AFTER TRANSFER OF THE EQUIPMENT TO PURCHASER'S CUSTOMER, PROVIDED PURCHASER'S CUSTOMER ASSUMES THE PURCHASER'S OBLIGATIONS SPECIFIED BELOW. b) EXCEPT FOR THE EXPRESSED WARRANTIES STATED HEREIN, SIMPLEXGRINNELL DISCLAIMS ALL WARRANTIES ON PRODUCTS FURNISHED HEREUNDER, INCLUDING WITHOUT LIMITATION,ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE,AND THE STATED WARRANTIES ARE IN LIEU OF ALL OBLIGATIONS OR LIABILITIES ON THE PART OF THE SIMPLEXGRINNELL ARISING OUT OF OR IN CONNECTION WITH THE PERFORMANCE OF THE PRODUCTS. THE SELLER SHALL NOT BE LIABLE FOR ANY DIRECT, INCIDENTAL OR CONSEQUENTIAL LOSS OR DAMAGE TO THE PRUCHASER OR USER OF THIS EQUIPMENT ARISING OUT OF THE FAILURE OF THE EQUIPMENT TO OPERATE IN EXCESS OF THE PURCHASE PRICE OF SAID EQUIPMENT. c) SIMPLEXGRINNELL MAKES NO WARRANTY AND NO WARRANTY SHALL BE DEEMED TO EXIST,THAT PURCHASER HOLDS THE GOODS FREE OF THE CLAIM OF ANY THIRD PERSON BYWAY OF PATENT INFRINGEMENT OR THE LIKE. 4) PURCHASER'S OBLIGATIONS UNDER THE TERMS OF THE WARRANTY. a) THIS WARRANTY IS CONTINGENT UPON THE PROPER INSTALLATION AND USE OF THE PRODUCT(S). SUCH WARRANTY SHALL NOT APPLY IF THE PRODUCT FAILURE IS THE RESULT OF ACCIDENT, UNUSUAL PHYSICAL,ELECTRICAL OR ELECTROMECHANICAL STRESS, NEGLECT, MISUSE, USER PROGRAMMING ERRORS, FAILURE OF ELECTRICAL POWER,AIR CONDITIONING OR HUMIDITY CONTROL, CONSTRUCTION DUST, DAMAGING FOREIGN SUBSTANCES,TRANSPORTATION OR CAUSES OTHER THAN MANUFACTURING DEFECT. PURCHASER AGREES TO PROVIDE FULL AND FREE ACCESS TO AUTHORIZED SIMPLEXGRINNELL EMPLOYEES. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tq S WARRANTY SERVICE HOURS: b) SERVICES PROVIDED UNDER THIS WARRANTY WILL BE PERFORMED DURING THE HOURS OF 8:OOA.M.TO 5:OOP.M., MONDAY THROUGH FRIDAY, EXCLUDING LOCALLY OBSERVED SIMPLEXGRINNELL HOLIDAYS. OFF HOURS RESPONSE IS AVAILABLE AS AN EXTRA COST SERVICE OPTION. 5) WARRANTY EXCLUSIONS: a) LABOR,TRAVEL,AND MILEAGE FOR: i) SERVICE OUTSIDE OF SIMPLEXGRINNELL NORMAL BUSINESS HOURS. ii) PROGRAMMING AND/OR LABEL CHANGES. iii) FAILURE DUE TO EXTERNAL CAUSES(LIGHTNING SURGES,CONSTRUCTION DUST, ETC.) OTHER THAN MANUFACTURING DEFECT. b) ELECTRICAL WORK EXTERNAL TO THE EQUIPMENT SUPPLIED BY SIMPLEXGRINNELL OR MAINTENANCE OF ACCESSORIES,ALTERATIONS,ATTACHMENTS OR OTHER DEVICES NOT FURNISHED BY SIMPLEXGRINNELL. c) BATTERIES d) COVERAGE OF EQUIPMENT CLASSED AS A WATER FLOW MONITORING/CONTROL DEVICES INSTALLED IN OR ON WATER PIPING. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tq Situp/exGrinnel/ MANUFACTURER'S RECOMMENDATION 1 CONTRACTOR IS EXPECTED TO PULL AND TERMINATE ALL CONDUCTORS AND INSTALL ALL DEVICES FOR A COMPLETE AND OPERATING SYSTEM. 2. WHERE FAN SHUTDOWN, ELEVATOR RECALL OR SPECIAL AUXILIARY FUNCTIONS ARE REQUIRED,CONTRACTOR IS TO VERIFY WIRING REQUIREMENTS WITH THE SIMPLEXGRINNELL FACTORY TECHNICIAN ASSIGNED TO THE PROJECT(IN MANY CASES, SPECIAL WIRING WILL NOT BE SHOWN ON THE DRAWINGS). 3. WHERE POSSIBLE,THE CONTRACTOR IS TO USE COLOR CODE FOR ALL WIRING. 4. SMOKE DETECTORS ARE NOT TO BE MOUNTED WITHIN 3 FEET OF AIR OUTLETS. 5. CONTRACTOR MUST NOT INSTALL SMOKE DETECTOR HEADS IN BASES OR DUCT HOUSING UNTIL FINAL CHECKOUT TIME TO INSURE THAT DIRT OR DUST DOES NOT CONTAMINATE THE UNITS. DIRTY DETECTORS ARE NOT COVERED BY WARRANTY. 6. DO NOT POWER-UP SYSTEM UNTIL SIMPLEXGRINNELL FACTORY TECHNICIAN IS PRESENT 7. A SEPARATE GROUND(ISOLATION FROM CONDUIT GROUND)MUST BE PULLED TO ALL CABINETS. 8. LOADS GREATER THAN 10 AMPS(FOR AUXILIARY FUNCTIONS)ARE NOT ALLOWED IN THE SAME CONDUIT AS FIRE ALARM. 9. CONTRACTOR IS TO ENSURE THAT ALL WIRING AND SHIELDS ARE FREE OF SHORTS, GROUNDS AND OPENS. 10. UNDERGROUND WIRING MUST MAINTAIN ONE MEGAOHM,20F RESISTANCE TO GROUND. 11. ANY MANUFACTURER'S RECOMMENDATION IN CONFLICT WITH ENGINEERING DRAWINGS OR SPECIFICATIONS SHALL BE BROUGHT TO THE ATTENTION OF THE ENGINEER FOR CLARIFICATION. CONTRACTOR SHALL ADVISE SIMPLEXGRINNELL OF ANY CHANGES. 12. PROTECTIVE COVERS ON SMOKE DETECTORS ARE NOT TO BE REMOVED UNTIL OWNERS ACCEPTANCE OF THE SYSTEM. (PREVENTS CONTAMINATION OF SMOKE CHAMBER). 13. IT IS THE CONTRACTOR'S RESPONSIBILITY TO REQUEST THE STATE OR LOCAL FIRE MARSHAL TO BE ON SITE FOR FINAL ACCEPTANCE AND CHECK OUT IF REQUIRED. 14. IT IS THE CONTRACTOR'S RESPONSIBILITY TO INVENTORY ALL EQUIPMENT RECEIVED FROM SIMPLEXGRINNELL AGAINST THE CONTRACT DOCUMENTS AND REPORT ANY DISCREPANCIES WITHIN THIRTY(30)DAYS OR SIMPLEXGRINNELL WILL ASSUME THE ORDER TO BE ACCURATE AND COMPLETE. a. `NOTE: IN THE EVENT OF DISCREPANCIES IN THE NUMBER OF DEVICES SUPPLIED, THE FOLLOWING SIMPLEXGRINNELL POLICY WILL APPLY: i. TOO FEW DEVICES: IF THE DEVICE IS SHOWN ON THE CONTRACT DOCUMENTS AND HAS NOT BEEN ADDED AS A RESULT OF A POST BID ADDITION OR CHANGE ORDER,SIMPLEXGRINNELL WILL SUPPLY THE DEVICE AT NO CHARGE TO THE CONTRACTOR OR END USER PER SIMPLEXGRINNELL'S CONTRACT OBLIGATIONS. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tqco Simp/exGrinne// ii, TOO MANY DEVICES: IF THE DEVICE SHOWN IS EXTRA, DUE TO A POST BID ADDITION OR CHANGE ORDER; IT REMAINS THE PROPERTY OF THE CONTRACTOR OR END USER. IF THE DEVICE IS EXTRA DUE TO AN ERROR IN QUANTITIES SUPPLIED,THE DEVICE MUST BE RETURNED TO SIMPLEXGRINNELL. NO CREDIT WILL BE ISSUED FOR THE RETURN OF EXTRA EQUIPMENT ABOVE THE QUANTITIES GIVEN IN THE CONTRACT DOCUMENTS. 15. OWNERS PRESENCE FOR FINAL DEMONSTRATION AND ACCEPTANCE. SPECIAL INSTRUCTIONS-SIMPLEXGRINNELL 1 SIMPLEXGRINNELL WILL PROVIDE WIRING INSTRUCTIONS FOR INSTALLATION OF SIMPLEXGRINNELL EQUIPMENT. 2. SIMPLEXGRINNELL WILL PROVIDE A FACTORY TRAINED TECHNICIAN TO ASSIST IN TRAINING: a. OPERATION OF THE CONTROL PANEL AND FUNCTIONS b. ALARM TEST OF ALL SIMPLEXGRINNELL PERIPHERAL DEVICES(SMOKE DETECTOR, MANUAL PULL STATION, ETC.) c. SUPERVISE TEST OF ALL INITIATING,SIGNALING,AND CONTROL CIRCUITS. 3. SIMPLEXGRINNELL WILL PROVIDE(1)INSTRUCTION AT FINAL TEST OF THE SYSTEM TO: a. OWNER REPRESENTATIVE b. FIRE INSPECTOR AND ELECTRICAL INSPECTOR c. ARCHITECT AND ENGINEER 4. UPON COMPLETION OF FINAL TEST, SIMPLEXGRINNELL WILL PROVIDE: a. TEST REPORT b. CERTIFICATION(IF REQUIRED) c. ONE YEAR AIRRANTY Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World tqf;o Simp/exGrinne// TESTING PROCEDURE FOR DEVICES GENERAL: FOR ALL DEVICES(SUPPLIED BY SIMPLEXGRINNELL)VISUALLY VERIFY PROPER LOCATION AND INSTALLATION. SMOKE DETECTOR: ACTIVATE THE DEVICE USING A SMOKE GENERATOR AND VERIFY ALARM CONDITION ON PANEL. RESET PANEL AND VERIFY RESET OF SMOKE DETECTOR AND PANEL. TEST FOR ALARM VERIFICATION IF APPROPRIATE. HEAT DETECTOR: FIXED TEMPERATURE REPLACEMENT ELEMENT-REMOVE ELEMENT ON HEAT DETECTOR TO INITIATE ALARM AND VERIFY ALARM CONDITION AT PANEL. REINSTALL ELEMENT, RESET SYSTEM,AND VERIFY. NON-REPLACEABLE ELEMENT-NON-REPLACEABLE ELEMENT HEAT DETECTORS CAN ONLY BE TESTED FOR CONTINUITY. RATE-OF-RISE DETECTORS-RATE OF RISE DETECTORS ARE TESTED WITH A HEATER OR BLOW DRYER UNTIL THEY INITIATE ALARM,THEN ALLOWED TO COOL. RESET PANEL AND VERIFY. PULL STATIONS: ACTIVATE STATION WITH THE T-HANDLE,VERIFY ALARM AND LABEL FOR LOCATION, RESET STATION, RESET PANEL. DUCT DETECTOR: (PROVIDED BY SIMPLEXGRINNELL)REMOVE DUCT DETECTOR HOUSING COVER AND ACTIVATE DEVICE WITH SMOKE, VERIFY ALARM,TEST ALL INDICATORS OR MANUAL TEST SWITCHES, RESET DETECTOR, RESET PANEL,TEST SAMPLE AND REFERENCE TUBE FOR POSITIVE AIR FLOW. (IF NOT PROVIDED BY SIMPLEXGRINNELL)VERIFY THAT ZONE CIRCUIT IS PRESENT AT THE DEVICE. AUDIBLES AND VISIBLES: ACTIVATE ALARM AND CONFIRM THAT ALL INDICATING APPLIANCES,AUDIBLES AND VISIBLES, ARE OPERATING. DOOR HOLDERS: VERIFY THAT DOORS CLOSE ON ALARM. VALVE SUPERVISORY SWITCHES(TAMPER): (IF PROVIDED BY SIMPLEXGRINNELL)ACTIVATE SWITCH BY MOVING VALVE OFF NORMAL, VERIFY STATUS CHANGE, RESET SWITCH, RESET PANEL. (IF NOT PROVIDED BY SIMPLEXGRINNELL)VERIFY THAT ZONE CIRCUIT IS PRESENT AT THE SWITCH. FLOW SWITCHES AND PRESSURE SWITCHES: (IF PROVIDED BY SIMPLEXGRINNELL)ACTIVATE SWITCH(WITH SPRINKLER CONTRACTOR PRESENT)BY A FLOW OF WATER,VERIFY STATUS CHANGE, RESET SWITCHES, RESET PANEL. (IF NOT PROVIDED BY SIMPLEXGRINNELL)VERIFY THAT ZONE CIRCUIT IS PRESENT AND SUPERVISED AT THE SWITCH. FAN/DAMPER CONTROL CIRCUITS: VERIFY(WITH HVAC CONTRACTOR PRESENT)THAT THE CONTROL CIRCUIT IS OPERATING AND THE DEVICES IS BEING CONTROLLED IN ACCORDANCE WITH THE SPECIFIED SEQUENCE OF OPERATION. ELEVATOR CONTROL CIRCUITS: VERIFY(WITH ELEVATOR CONTRACTOR PRESENT)THAT THE ELEVATOR IS BEING CONTROLLED IN ACCORDANCE WITH THE SPECIFIED SEQUENCE OF OPERATION. TRAINING: SIMPLEXGRINNELL SHALL PROVIDE A ONE TRAINING SESSION TO THE CUSTOMER. WARRANTY: THE SYSTEM SHALL BE PROVIDED WITH A ONE YEAR HARDWARE WARRANTY. Fire,Security,Communications,Workforce Solutions,Sales&Service Offices&Representatives in Principle Cities throughout the World � �: /� � � •♦ . � I� • ' �� ,�.� i� � ' .ti � � iY .1 I _ 1� I !: � Gi ' • Date: 03/16/2026 Permit#: 1445 Permit Date: 04/28/2017 Review Date: 04/28/2017 Permit Type: FIRE ALARM Review Type: FIRE ALARM Target Date: 05/12/2017 Scheduled Time: 00:00 Completed Date: 05/25/2017 Description: See installation checklist with plan submittal package for final inspection. Review Status: Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31051100102900 PUBLIC HOSPITAL DISTRICT#3 PUBLIC HOSPITAL DISTRICT#3 330 S STILLAGUAMISH 330 S STILLAGUAMISH AVE ARLINGTON, WA 98223 Zoning: 651 Medical & Other Health ServicesLot: Block: Permit#: 1445 Permit Date: 04/28/17 Permit Type: FIRE ALARM Project Name: Cascade Valley Hospital Applicant Name: SimplexGrinell Applicant Address: 9520 1 Oth Avenue S, #100 Applicant, City, State, Zip: Seattle,WA 98108 Contact: Janet Stebbins Phone: 206-291-1400 Email:jastebbins@simplexgrinnell.com Scope of Work: Fire Alarm Addition Valuation: 11300.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/31/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051100102900 330 S STILLAGUAMISH PUBLIC HOSPITAL 651 Medical&Other AVE DISTRICT#3 Health Services Contractors Contractor Primary Contact Phone Address Contractor Type License License SIMPLEX GRINNELL 206-291-1400 9520 LOTH AVE S CONSTRUCTION SUITE 100 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 06/22/2017 FA00.FIRE ALARM Alarm system approved 06/22/2017 BUILDING Approved FINAL KO.6/22/17.Need to inspect wall patch in Ihr wall @basement elevator machine room hallway side at later date Plan Reviews Date Review Type Description Assigned To Review Status 04/28/2017 FIRE ALARM See installation checklist with plan submittal package for BUILDING final inspection. 04/28/2017 FIRE ALARM z.Rick Karns Fees Fee Description Notes Amount Building Plan Review Table 4-2 $100.00 Fire Sprinkler System Commercial NFPA 13/13R $295.25 Processing/Technology $25.00 Total $420.25 Attached Letters Date Letter Description 05/30/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 04/28/2017 Janet Stebbins 64460116 cc $100.00 06/01/2017 Janet Stebbins 64958728 cc $320.25 Outstanding Balance $0.00 Notes Date Note Created By: 05/31/2017 Emailed permit for signature.KF Kristin Foster 05/25/2017 See installation checklist with plan submittal package for final inspection. 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DATE REVISION DESCRIPTION DRANTER ENGINEER PRoaEcr g � ° -N n n o 1 12/23/10 DUCT DETECTOR/FSD ADD-RFI-0691-01 C.A.M. C.A.M. 9426316DI L c m N mto ; " m COVER SHEET 9P/exGrinne// O p z O 3o j 12/7/11 AS BUILT LMSC 942831601 .Safer Smarter. Tyco," C Z Z CASCADE VALLEY HOSPITAL AND CLINICS 2 01/14/15 CHIME UPGRADE SGJ MW 982128009 9520 1Oth Avenue South,Suite 100 Seattle,WA 98108 0 330 SOUTH STILLAGUAMISH AVE. 3 04/17/17 ELEVATOR T.I. SSS MW 996905601 SALES: 206-291-1400 O ARLINGTON, WA 98223 SERVICE: 206-291-1411 FAX: 206-291-1500 Q2AL5 RIGHTSxRESERVEDU w amw ### rwrw caw 42'.30' No �Az�N; oQ RMD RTS m %IRT L+ NETWORK/RS232 DAUGHTER CARD 0 R- nv m ^ RTS�p RSRVD —1 ,p RRI CTS RCV F1 L m�..D DV-1 GND x LTS RXii GND ^_ PIL20 RUI Br m PAL O RW B- Z RSRVD CPU DAUGHTER CARD SHLD m z a s c ��� p RUI A- o Z ® n � yk N W @ D B, N SHLO m A` NMI rnDOo Br , to nr M;uN A C)S cn w A+ L-------- --C A B- o 2 A. 0 A v m b x N N ; B m A. 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CAM. 942631601 `a x+^ldt DETAIL SHEET AT I irr. le r�well CD C4 0 12/7/11 AS BUILT LMSC 942631801 Safer. Smarter. Tv- y N m Z CASCADE VALLEY HOSPITAL AND CLINICS 2 0, ,a,5 CHIME UPGRADE BGJ MW 982,28009 / / 9520 10th Avenue South,Suite 100 z Seattle,WA 98108 � g 330 SOUTH STILLAGUAMISH AVE. 3 04/17/17 ELEVATOR T.I. sss MW 998905601 SALES: 206-291-1400 I--' ARLINGTON, WA 98223 SERVICE: 206-291-1411 FAX: 206-291-1500 ZDALL RICHTSKRESENRMEED 42• 30' i I r � � r ,xQ i 33ggo vm�0 2-21y0 Z k:r �z6 n i�w rn % y-zoo.._ ,s� J y C X( C A Z A A �YyN,•'� Iq T— �N �; - a N 21 y -j� N -- --Y N i �- I x x 1, - -- - r 0 � e 41-1 i m ! I I i 2 ❑0 � � 31 rn® 0a p �opppQ o z _ Z 5 3 D $n O m o 6> m o. 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