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HomeMy WebLinkAboutF15-0003 letter DFS 115E ONLY G���rada �ev�sio� ��' Ffre �a��ty
[�ate Receaved Plan Review�►pplication—Suppression Permit
Entered Into Database? Y ❑ N❑
DFS Fire Suppression Program
Billing ID# Billed?Y❑ N❑ 690 Kipling, Suite 2000
Date Reviewed Denver, CO 80215
Phone: 303-239-4600 Fax: 303-239-5887
Date of Final Archive❑ Email: steve.gasowski@cdps.state.co.us
Suuaression Contractor Information BUlICI111Q D@tallS(if known)
DFS Reg. Number b�� (Must be currenf for review) Residential� Commercial ❑
Contractor f��-�-�-���tT� F`i�� Y'�o'i��t��v Total Sq. Ft. �--Z� 3C3 c�,
Mailing Address �el.S� � 7�� /���- ��2. Construction Type '�`' �
CC�r''�'M�/i'�'� � «-�`! C� �e�Z� Stories 3 Basement? Y ❑N�
Telephone� `Z��3��/Email St{f3�1 lry-►7"�-,� �.- Primary Use �����'V'�'%�
Type of Plan Submittal �L'�"��`������
� Cc� � Mixed Use N/A ❑
First Submittal� Resubmittal ❑ Water Supply Type
Sprinkler: Wet�Dry ❑ Alarm ❑ Underground ❑ Other ❑ Healthcare Facility? Y❑ N❑
Sprinkler Type: 13❑ 13R� 13D❑ Multipurpose ❑ If yes,a/so submit an electronic set of plans to
Checklist:3 Sets of P/ans Hydraulic Calcs �oduct Specs� Colorado Department of Health lor review.
�POI@Ct D@t�llS
ProjecUSite Name �.-I[�I�-�" IZ i��i� �f�'/`�-l���°�� (i�t-r'�4.�i,
Physicai Address f Z�+a /�? F/2vN`T-��� /�1� b`1 City �-%�—
County Building Jurisdiction V�11 L°- �3� Permit#
Fire Department Jurisdiction �f��r-- �l�
Project Installer/Supervisor J�I���� � nl�f� On-Site Phone �1'?C�' �ft7C-�w�°1�17'����-y
Scope of Project I��l�t L-c- �}-T7 c�� l�F �t1't�J ��i� i 3 2.. �N"s��
Installation Type: New Install� Retrofit ❑ Tenant Finish ❑ Alteration/Addition ❑
Plan Design Reviewed By �.1�i� �l..�Ctt�PE# NICET#�tf>��
Project General Contractor �(�� l�}N fi+C-6M I�A'�Y Telephone�D���=�322�
Comments
Proiect Insaection Record ��FS use on�y�
Plan Revlew Approved? Y❑ N❑ Approved with Correc#ions O(see plan review report)
Date Plan Examiner Certficatii�n# �
Underground Test Passed? Y ❑ N ❑
Date Witnesssd By Title
Rough-In Inspectte�n ,4pproved ❑ Not Approved ❑ (Use back for multip/e/phased inspections)
Date Inspector Certification#
Re-Inspection I�e�e�ed? Y ❑ N ❑ Reason
Flnal Inspectlon Approved ❑ Not Approved ❑
Date Inspector Certification#