HomeMy WebLinkAbout1901 WHARTON WEEMS BLVD_20-0270___________1901 WHARTON WEEMS 100
of La Porte
Establish«! 1892
Date of Inspection: 03/10/2020
Business Name: jAveritt
Fire Marskal's Office
Business Information:
Address: 11901 Wharton Weems #100
Contact person: [Raymond Munoz
Phone Number: 713-689-0603
Inspection Information:
Inspection Type: Above -Ground Fire System
FMOInspector: lGalindo
Inspection Disposition: [Z Passed
Failed J
TCO
Notes:
Cli( Meekim, Fire Marsiul
City of La Porte Fire Marshal's Office
Esta6lisked i8w
Date of Inspection: 03/10/2020
Business Information:
Business Name: JAveritt
Address: 11901 Wharton Weems #100
Contact person: IRaymond Munoz
Phone Number: 713-689-0603
Inspection Information:
Inspection Type: lFireAlamn
FMOInspector: lGalindo
Inspection Disposition: W]Passed^—�
❑ Failed
TCO
Notes:
Cli1 Meekins, Fir* Marshal
uFU* E
MARSHAL
�
F�
POL�r
City of La Porte Fire Marshal's Of. ce
Esta6lishad,1892
Date of Inspection: 03/10/2020
Business Information:
Business Name: Averitt
Address: 11901 Wharton Weems #100
Contact person: Raymond Munoz
Phone Number: 713-689-0603
Inspection Information:
Inspection Type: Final
FMOInspector: IGalindo
Inspection Disposition: Z Passed Cleared for Power
❑ Failed
TCO
Notes:
Cli( M..kins, Fin.Marsal
City of La Porte
604 W Fairmont Pkwy
La Porte, Tx 77571
(281)470-5073 INSPECTION LINE:(281) 470-5130
****BUILDING PERMIT****
----------------------------------------------------------------------------
Application Number . . . 20-00000270 , Date 3/04/20
Property Address . . . . . . 1901 WHARTON WEEMS BLVD 100
HCAD Number: 129-217-004-0004
Alternate Search Method:
Application type description FIRE ALARM
Subdivision Name . . . . . . PORT CROSSING
Property Use . . . . . . . .
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 9500
----------------------------------------------------------------------------
Type of Work
INSTALL FIRE ALARM EQUIPMENT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LIBERTY PROPERTY LIMITED PARTN PRMM FIRE & ALARM LLC
500 CHESTERFIELD PKWY 13727 FM 529
MALVERN PA 193558707 HOUSTON TX 77041
(713) 376-4612
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . NON-COMBUSTIBLE II
Occupancy Type . . . . . . MIXED USE
Flood Zone . . . . . . . . ZONE AE
----------------------------------------------------------------------------
Permit . . . . . . BLDG PERMIT -FIRE ALARM
Additional desc . . FIRE ALARM
Permit pin number . 624817
Permit Fee . . . . 87.50 Plan Check Fee 43.75
Issue Date . . . . 3/04/20 Valuation . . . . 9500
Expiration Date 8/31/20
Qty Unit Charge Per Extension
BASE FEE 20.00
9.00 7.5000 THOU BLDG - 1,001 - 50,000 67.50
----------------------------------------------------------------------------
Special Notes and Comments
March 3, 2020 3:43:24 PM LAPOJLW.
Fire Alarm
1. Call for inspection
2. As per Fire Marshall plan review and
notes
3. This permit is for Fire alarm
4. Contractor/owner responsible for
removal of all construction debris
5. A building permit (and all its
applicable sub permits) may be based on
City of La Porte
604 W Fairmont Pkwy
La Porte, Tx 77571
(281)470-5073
INSPECTION
LINE:(281) 470-5130
--****BUILDING PERMIT****
--------------------------------------------------------
-------------------
Page 2
Application Number . . . . .
----------------------------------------------------------------------------
20-00000270
Date 3/04/20
Special Notes and Comments
the remainder of the work to
be done.
HOWEVER, if the work is not
completed
within the allotted time of
the renewal
period, the building permit
(and all
applicable sub permits) must
be applied
for as a NEW permit, and all
permit fees
will be calculated from the
original
permit valuation.
----------------------------------------------------------------------------
Fee summary Charged
----------------- ----------
Paid
Credited Due
Permit Fee Total 87.50
---------- ----------
87.50
----------
.00 .00
Plan Check Total 43.75
43.75
.00 .00
Grand Total 131.25
131.25
.00 .00
yr UUNTRAUrvx
- o
------------------- 3------LI- - --
D AGENT) DATE
(APPROVED BY BUILDING OFFICIAL OR AUTHORIZED AGENT) DATE
City of La Porte 604 W.Fairmont Pkwy. Planning & Development Departme
FEBB 18 1.470.81.470
La Porte,TX 77571 FIRE PERMIT APPLICATI portetx.gov
1. PROJECT INFORMATION:
DATE OF SUBMITTAL: 1/Y ZO
PROJECT ADDRESS Of existing): /%&/ C,J /')un /fir,t 8/id s/yo
HCAD PARCEL NO(s)13-digit Tax ID(s): 1.) /079 ail Bd'f a&A
2.) n Y /.'1/�-LR- T / A3.') a- /J
PROPERTY LEGAL DESCRIPTION: /?e.5 6/, y !NVY_utLU
9 FIRE ALARM 13 FIRE SUPPRESSION 0 VENT HOOD FIRE SUPPRESSION UNDERGROUND FIRE LINE
Q ABOVE-GROUND FIRE SUPPRESSION 0 FIRE SPRINKLER
DESCRIBE WORK:/1,5*Z f -A'n O4,n QY,rOwzn f'
a C9
BUILDING USE: NO.OF STORIES: TOTAL SQ.FOOTAGE: PROIER VALUATION:$ 7.S(X/.
2. PROPERTY OWNER CONTACT INFORMATION:
OWNER'S NAME: 41/ti '/ n / PHONE:
MAILING ADDRESS: /9o/ 4L)Adr -, CJecjnt Nwl`'
E-MAIL:
3. CONTRACTOR: //������ / ® •HOMEOWNER IS CONTRACTOR
4
CONTRACTOR COMPANY: 191 '7/ 4 7 'c f% nr1
PHONE 1: 7/3-Vl7 - 44/.2 PHONE 2:
E-MAIL: /Y1/11Ure Cpm rh. Corti+ FAX 4:
MAILING ADDRESS: /37,27 FPI ,JY
CONTACT PERSON'S NAME: 4&/l//hurt PHONE: 7/7-,776-YG/Z
4. APPLICATION CHECKLIST&SUPPORTING DOCUMENTATION(Check applicable boxes):
OJ *If Homeowner Is Contractor,
COMPLETE ITEMS 1-4 OF PERMIT APPLICATION
must furnish notarized
®SUBMIT TWO(2)COMPLETE SETS(HARDCOPIES)OF CONSTRUCTION PLANS FOR REVIEW Homestead Affidavit
NOTES TO APPLICANT:
1. CONTRACTOR MUST BE REGISTERED WITH THE CITY
2. TO REGISTER WITH CITY,SUBMIT CURRENT CERTIFICATE OF INSURANCE WITH CITY NAME&ADDRESS AS CERTIFICATE HOLDER
3. NOT A VAUD PERMIT UNTIL OWNER/CONTRACTOR IS NOTIFIED OF APPROVAL AND ALL APPLICABLE FEES ARE PAID IN FULL
APPLICANT PRINTED NAME: C APPLICANT SIGNATURE:
(STAFF USE ONLY): I
Occupancy Type: MV Const.Typpe:l L3 Flood Zone:_ t� N"'Use Zone(Zoning District):IN/ CE: Taxes
:: Ott
FEES: PERMIT FEE:$ $ -J— PLAN CHECK FEE:� �S I J
Special Conditions:
OMust complete all work and pass City Inspection within 10 days of permit issuance to avoid further Code Enforcement Action
PERMIT APPROVAL: Fire Marshal(Commercial Only): i'T.... Date:
Approved for Issuance by: Date:
PERMIT NO. 2 O • ,2Z
��K .'r}� �1SS � 'rJ�.��a,S.a��-..r•�tJ�i.�-i a�"✓. ^1.1 'o�bf.{�-��'fj' a
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1{^aj�7 � i ''S�aj � . {� ffYaa"1�•k�s�" �,y .r•- �9L..`1 �{' r
Ja C: T
- n
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4t f sa _
• yw r :d• c F ti'iEf.
I )
rM
ti
l� A M s f, C(.P'.lR. y '{..sJ'V _ .• 1 J t �i' i..
S<j� .iS�ik`.it i�� Y`aC-f7LX� 1�-•`y 'T'{r�c�
UPORrE
"ME OQ AO
LA PORTE:
a
(i FIRE MARSHAL"S
OFFICE
nx►°
"PLAN REVIEW"
Date
03/02/2020
Business Name
Averitt
Address
1901 Wharton Weems, Suite 100
Type of Review
Fire Alarm
Contractor
PRMM
Reviewed by
ClifMeekins Fire Marshal
City Permit #
20-0270
Approval
I passed Y
The Applicant shall be responsible to eatve the design specifications and plane are complats and In compliance with the rsqulnments sat forth In the 2013
international Fin Code pFC) and Local Amand"m as well as the applicable referenced Standards listed In Chapter 45 of the 2010 IFC. This plan m1m Is not
Intended to be fully Inctuslw as other requirements may be Imposed a srerranted by the Fire Marshal or as deemed necessary during on -sits Inspections by the Fin
Marshal's office.
BE ON THE JOBSITE WITH THE APPROVED SET OF PLANS"
1) A State of Texas licensed Fire Alarm Installer that works for (PRMM) must be onsite for ALL Fire Marshal's
inspection and shall be onsite during all phases of installation.
2) Ensure the system is designed and installed so silencing the Audible devices WILL NOT cancel the Visuals
devices through -out the facility. The strobes shall remain active when the system has been silenced and will
remain active until the system has been reset.
3) NFPA 72-13, 26.3.6.6—Two independent means shall be provided to retransmit an alarm signal to the designated
communications center. One means shall be a dedicated phone line and the second can be a shared voice line.
Phone lines that share data, such as a fax, will not meet this requirement. Cellular phone/signals are permitted.
4) The Fire Marshal's Office must witness a function test of the Fire Alarm system. Contact the Fire Marshal's
Office 24hrs in advance to schedule a Fire Alarm system test.
5) Approved (Stamped) copy of the Fire Alarm plans shall be on the job site and available to the Fire Marshal
Inspector at any time during installation.
CITY
COPY
125 South 3rd Street, La Porte, TX 77571 a Off -ice: 281-867-4603 a Fax: 281-867-4629
FIRE ALARM PERMIT NOTES
1. AS PER APPROVED PLANS AND NOTES FROM THE FMO
2. CALL FOR INSPECTION.
3. THIS PERMIT IS FOR FIRE ALARM
4. CONTRACTOR/OWNER RESPONSIBLE FOR REMOVAL OF ALL
CONSTRUCTION DEBRIS.
5. A BUILDING PERMIT (AND ALL ITS APPLICABLE SUB PERMITS)
MAY BE BASED ON THE REMAINDER OF THE WORK TO BE
DONE. HOWEVER, IF THE WORK IS NOT COMPLETED WITHIN
THE ALLOTTED TIME OF THE RENEWAL PERIOD, THE BUILDING
PERMIT (AND ALL APPLICABLE SUB PERMITS) MUST BE APPLIED
FOR AS A NEW PERMIT, AND ALL PERMIT FEES WILL BE
CALCULATED FROM THE ORIGINAL PERMIT VALUATION.
CITY
COPY
Project Name: Averitt Tl IStand by Hours: 24
Address jlWlWlem,nWft,hsBW Ste 1001a Porte Tx 77571 Alarm Mlm: 5.
Installed By: PRMM Batt Efficiency%: 85%
Battery & Voltage Drop Calculallone Designed By: I Elevated Fire Designs. _
Date: 2.17.2020 NAC Source Voltage: 20.4
Model 9: FCPS-24FS8 Max Panel Current lamps): 8
Panel ID: PSI Max Omit Current (amps): 3
Location: IT Room r mwwa m reapm..onn'r urrnu unw uses m ma wurwwat oa avara
_ prior aaabmitul. 2017
1 FCPS-24FSS PSI l ) 0.065
Panel Standby:
0.0651 10.145 l 0.145
0.065 Panel Alarm: 0.145
NAC Circuits (See NAC
Configuration below)
Standby (amps)
%Crop Afarmlamps)
1
NutlBatlon
NAC1
378
0.00000
15.13%
1.63300
2
Notification
NAC2
450
0.00000
18.68%
L694W
3
Notification
NAC3
378
0.00000
13.34%
1.44000
4
Notification
NAC4
415
0.00000
12.06%
1.38600
Total: 1621 NAC Standby: 0.00000 NAC Alarm: 5.95300
NAC Ckt Draw Chart
4
3
2
l l
1 1 I t
0.00000 050000 1.0000D 150000 2.00000
NAC Cir<ult Current:
0.00000
5.95300
Total Standby:
0.065000 Total Alarm:
6.09800
Standby Hours:
24 Alarm Mlns:
5
Ali Required:
1.56 All Required:
0.51
Total Combined Standby B Atom Amptlours Required:
2.07
Efficiency Factor.
as%
Required Battery AmpHours:
2.44
CITY
copy
ECEIVED
FEB 10 2020
l
BY:
Page 1
NAC Circuit Configuration 8& Voltage Drop FOPS-24FS8 PSI
�..
Wire Type Ohms/1000R Length_ Actual 06ms Max Load lamps)_.__ Volts @-EOL Min Volts Req e
sMser
Circ.iiDevices
Defined
Standby(amps)
S Sensor SCRL Strobe 15ctl 0.000000 O.0DDDDO
Alarm lamps)
0.041000
0.205(100
ser Defined
S s Sensor PZCRL Horn Strobe 7Scd
0.000000 0.000000
0.143000
0.143000
ser Defined
S s Sensor P2CRL Hom Strobe 15cd
0.000000 0.000000
0.071000
0.071000
ser Defined
S Sensor P2RL Horn/Strobe 177cd
0.000000 0.0000DO
O.2S40O0
0.762000
ser Deflned
S s Sensor SCRL Strobe 177ctl
0.000000 0.000000
0.226000
0.452000
12
Total Standbyl
0.00000
Total AI,mn:l
1.63300
Usage:
Description:
Wire Type Ohms/1000f Length1-Way Actual Ohms Max load (amps) Volts ® EOL Min Volts Re q d
ty
a4
Circuit
Lookup Type
Devices Stcamclby
Desc Each
lamps) Alarm lamps)
Total Each
TOW1_1
User Defined
Sys Senior P2RL Horn Strobe 177cd 0.000000
0.000000 0.254000
1.016000
3
User Defined
Sys Sensor SCRL Strobe 177cd DODOOD0
0.000000 O.226O0D
0.678000
7
Total Staindbyl
0.00000 Total Alarm:
1.69400
ECEIVED
1 FEB 18 1010
BY:
Page 2
NAC Circuit Configuration & Voltage Drop (cont'd) Fcps-IOF58 PSI L17.1020
Usage:
Description:
Wire Type__ Ohms/1000h Length LWay_ Actual Ohms._ Max load izmpsi_ Volts@EOL Min Volts Req'd_J
r3 _____Lockupjype-_
User Deflned
_Dew--- __Each-
j Sys Sensor P2RL Hom Strobe 177cd 0.000000
Total Each
0.000000 0.25a000
ToW
OJ62000
A
3
User Deflned
ks Sensor SCRL Strobe 177cd 0.000000
OA00000
0.226000
0.678000
6
Total Standby
0.00000
Total Alarm:
1.44000
Description:
Wire Type Ohms/1000R length LWay Actual Ohms Max load lamps) Volts.0 EOI Min Volts Req'd
Circuit De�kft Standby lamps) Alarm farrips)
s2` User Defined Ss Sensor P21UL Horn/Strobe [177cd- 0.000000 0.000000 0.254000
1 0.508000
3 User Defined S Sensor SCRL Strobe 177cd 0.000000
O.000ODO 0.226000
0.678000
5 Total Stand
0.00000 Total Alarm:
1.18600
ECEIVED
I FEB 18 2020
BY:
Page 3
Project Name: Averitt TI Standby Hours: 124
Address 1901WMnon W..mr Bld St.IWUFon.T.775T1 Alarm Mlns: 5
Installed By: I PRMM Batt Efficiency%: 85%
Battery & Voltage Drop Calculations Designed By: Elevated Fire Designs
Date: 2.17.2020 MAC Source Voltage:
Model#: I FCPS-24FS8 Max Panel Current (amps): 8
panel to: P51 Max Circuit Current (amps): 13
Location: I IT Room
a. www. n.awrm..w w.mm. u. qunmw..w.unn. ur... rnwa m me wwwv.ur..c.wa.
pdw to rubmlrol. 20]]
Standby (amps)
Lath
0.065
local
0.065
Alarm jamrs)
each
--0.145
leta
0.145
ndby:
0.065
Panel Alarm:
0.145
—
MAC Circuits (See MAC
Canfig—uration below)-
Standby (arnps)--
%Drop -- Alarnifamps)
1
1
Notification
NACI
378
0.00000
15.13%
1.63300
2
Notlficatlon
NAC2
450
0.00000
18.68%
1.69400
3
Notification
MAC3
378
0.00000
13.34%
1.44000
4
Notification
NAC4
415
0.00000
12.06%
1.18600
Total: 1621 MAC Standby: 0.00000 MAC Alarm: S.95300
L Battery Calculation Summary
Alarmiamps)
Panel Current; - 0.06500 0.14500
NAC Ckt Draw Chart
MAC Occult Current:
D.DD000
5.95300
l
Total Standby:
0.065000 Total Alarm:
6.09900
4
Standby Hours:
24 Alarm Mim:
5
3
I
AH Required:
1.56 AH Required:
0.51
II
Total Combined Standby 6 Alarm AmpMours Required:
2.07
2
I
Efficiency Fa4tCr:
85%
1
i I �
0.00000 05000D 1.00000 1.50000 2.00000
Required Battery AmpHours:
Battery AmpHoure Provided:
2.44
7
k
J
ECEIVED
i FEB 18 MO
BY:
Page 1
NAC Circuit Configuration & Voltage Drop FCPS-24FSS PSI
Usage:
Description:
Wire Type_ Ohms/1000ft Length I -Way_ _Actual Ohms Max Load (amps)__ Volts @ EOL Min Volts Req dJ
-Circuit
,tY-_ Lookup Type
5, User Defined
Deulces Standby
Des, Each
Sys Sensor SCRL Strobl 15cd 0.000000
(amps) Alarm (amps)
Total Each
0.000000 0.041000
Total
0.205000
1
User Defined
Sys Sensor P2CRL Horn Strobe 75cd 0.000000
0.000000 0.143000
0.143000
I -
Uter Defined
S s5ensor P2[Rl Horn Strobe 15cd 0.00000D
0.0000D0 0.071D00
0.071000
3
User Deflned
Sys Sensor P2RL Horn/Strobe 177ad 0.0000D0
0.000000 0.254000
0.762000
2
User Deflned
Sys Sensor SCRL Strobe 177cd 0.000000
0.000000 0.226000
0.452D00
12
Total Sbndby
0.00o00 Total Alarm:
1.63300
Usage:
OetWptbn:
I rcuit
0ty_ Lookup Type_
4 User Defined
Devices Standby
Desc Each ----
Sys Sensor MI. Hum/Strobee 177cd 0.000000
(amps) Alarm (amps)
Total- - ----Each Total
0.000000 0.254000 1.016000
3
User Defined
Sys Sensor SCR. Strobe 177cd 0.000000
0.000000 0,226000
0.6780D0
7
Total Standby
0.00000 Total Alarm:
1.64<00
ECEIVED
FEB 18 2020
BY:
Page 2
NAC Circuit Configuration & Voltage Drop (cont'd) FCPS-24FSS PSI 1 2172020
usvlge:��� Description:
Wire Type Ohms/100Dft_Length_IrWay _. Actual Ohms Max Load lampsl. _ _. _Volts @ EOL_ Min Volts Req'd_
s. 3
Circuit
User Defined
Dtwices
Sys Sensor P2RLHom7Strdbe 177cd
Standby (amps)
0.000000 - 0.000000
Alar. (amps)
0.254000 0.762000
3.,
User Defined
Sys Sensor SCRL Strobe 177cd
0.000000
0,000000
0.226000
0.678000
6
Total Standby
G.;GoGoj
Total Alarm:
1.44000
Description:
Wire Type Ohms/IOODh Length I -Way Actual Ohms Max Load lamps) Volts @EOL Min Volts Req'd�
IY LookupType
s2
Desc Each—
Sys Sensor nRL Hoin Strobe 177cd 0.000000
Total Each
D.DDDDOD 0.254000
_Total____]
0.508000
User Defined
3 User Defined
S Sensor SCRL Strobe 177cd 0.000000
0.000000 O.2260O0
0.678000
5 Total Sbntlby
0.00000 Total Alarm:.
1.18600
i ECEIVED
FEB 18 2020
BY:
Page 3
SYSTFJW
SENSOR'
Indoor Selectable -
Output Strobes and
Horn Strobes for
Ceiling Applications
System Sensor L-Series audible visible notification
products are rich with features guaranteed to cut
installation times and maximize profits with lower
current draw and modern aesthetic.
Features
• Plug-in design with minimal intrusion into the back box
• Tamper -resistant constriction
• Automatic selection of 12- or 24-volt operation
at 15 and 30 candela
• Reid -selectable candela settings on ceiling units:
15. 30, 75, 95. 115, 150, and 177
• Horn rated at 66+ dBA at 16 volts
• Rotary switch for horn tone and two volume selections
• Universal mounting plate for ceiling units
• Mounting plate shorting spring feature chocks wiring continuity
before device installation
• Electrically Compatible with legacy SpectrAlert and SpectrAlert
Advance devices
• Compatible with MDL3 sync module
t • Listed for ceiling mounting only
Agency Listings
t MRIUM
4iLISM
FM
MrrPvwE accr
nb,6]eM
=2n
SIO
4ILWrnoE�b
IR},sI461
The System Sensor L-Series offers the most versatile and
easy -to -use line -of homs, strobes, and horn strobes in the industry
with lower current draws and modern aesthetics. With white and red
plastic housings, wall and ceiling mounting options, System Sensor
LSedes can meet virtually any application requirement.
The entire L-Series product line of ceiling -mount strobes and horn
strobes include a variety of features that increase their application
versatility while simplifying installation. All devices feature a plug-in
design with minimal intrusion into the back box, making installations
fast and foolproof while virtually eliminating costly and time-
consuming ground faults.
To further simplify installation, the LSeries utilizes a universal
mounting plate so installers can mount them to a wide array of beck
boxes. With an onboard shorting spring, installers can test wiring
continuity before the device is installed.
Installers can also easily adapt devices to a suit a wide range of
application requirements using field -selectable candela settings,
automatic selection of 12- or 24-voft operation, and a rotary switch
for horn tones with two volume selections.
ECEIVED
FEB 18 2020
BY:
L-Series Specifications
General
L-Series ceiling -mount strobes and horn strobes shall mount to a standard 4 x 4 x 1'k-inch back box, 4-inch octagon back box, or double -
gang back box. Two -wire products shall also mount to a single -gang 2 x 4 x 17B-inch back box. A universal mounting plate shall be used
for mounting ceiling and wall products. The notification appliance circuit wiring shall terminate at the universal mounting plate. Also, L-Series
products, when used with the Sync•Circuit- Module accessory, shall be powered from a non -coded notification appliance circuit output
and shall operate on a nominal 12 or 24 volts. When used with the SyncaCircuit Module, 12-volt-rated notification appliance circuit outputs
shall operate between 8.5 and 17.5 volts; 24-volt-rated notification appliance circuit outputs shall operate between 16.5 and 33 volts. Indoor
L-Series products shall operate between 32 and 120 degrees Fahrenheit from a regulated DC or full -wave rectified unfiltered power supply.
Ceiling strobes and horn strobes shall have field -selectable candela settings Including 15, 30, 75, 95, 115, 150, and 177.
Strobe
The strobe shall be a System Sensor L-Series Model _ listed to UL 1971 and shall be approved for fire protective service. The strobe
shall be wired as a primary -signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible
signaling appliances, flashing at 1 Hz over the strobe§ entire operating voltage range. The strobe light shall consist of a xenon flash tube and
associated lens/reflector system.
Horn Strobe combination
The horn strobe shall be a System Sensor L-Series Model _ listed to UL 1971 and UL 464 and shall be approved for fire protective
service. The horn strobe shall be wired as a primary -signaling notification appliance and comply with the Americans with Disabilities Act
requirements for visible signaling appliances, flashing at 1 Hz over the strobes entire operating voltage range. The strobe light shall consist
of a xenon flash tube and associated lens/reflector system. The horn shall have two audibility options and an option to switch between a
temporal three pattern and a non -temporal (continuous) pattern. These options are set by a multiple position switch. The horn on horn strobe
models shall operate on a coded or non -coded power supply.
Synchronbardon Module
The module shall be a System Sensor Sync -Circuit model MDL3 listed to UL 464 and shall be approved for fire protective service. The module
shall synchronize L-Series strobes at 1 Hz and horns at temporal three. Also, while operating the strobes, the module shall silence the horns
on horn strobe models over a single pair of wires. The module shall mount to a 4 1 V16 x 4 1 V16 x 2 1V84nch back box. The module shall also
control two Style Y (class B) circuits or one Style Z. (class A) circuit. The module shall synchronize multiple zones. Daisy chaining two or more
synchronization modules together will synchronize all the zones they control. The module shall not operate on a coded power supply.
PhysicallElectrical Specifications
Standard Operating Temperature 32-F to ( r'
It-]
VDC or regulated 24 DC/FWR'
Operating Voltage Range' 8 to 17.5 V (12 V nominal) or 16 to 33 V (24 V nominal)
Operating Voltage Range (MDL3) 8.5 to 17.5V (12 V nominal) or 16.5 to 33 V (24V nominal)
InputTenninal Wire Gauge 12 to 18 AWG
Calling -Mount Dimensions (Including lens) 6.8' diameter x 2.5' high (173 mm diameter x 64 mm high)
Ceiling -Mount Surface Mount Back Box Skirt Dimensions 6.9' diameter x 3.4' high (175 mm diameter x 86 mm high)
(SBBCRL, SBBCWL)
Notes:
1. Full Wave Rectified (FWR) voltage is a non -regulated, lime -varying power source that is used on some power supply and panel outputs
2. P, S, PC, and SC products will operate at 12 V nominal only for 15 and 30 cd.
` ECEIVED
FEB 18 2020
BY:
M.'-
UL Current Draw Data
Candela
8-17s Volts -
DC
16-33 Volta
DC
FWR
15
87
41
60
30
153
63
86
75
N/A
111
142
95
WA
134
164
115
WA
158
191
150
WA
189
228
177
N/A
226
264
Max. Current Draw (mA
RMS). 2-Wire
StrobeUL
Horn
DC Input
8-17.5 Volts
15ed
30cd
1633 Volts
15cd
30od
75cd
95od
115od
150cd
177cd
Temporal High
103
167
71
90
143
165
187
217
254
Temporal Low
96
165
54
71
137
161
185
211
249
No Temporal High
106
173
71
90
141
165
187
230
273
Non-TempodW Low
95
166
54
71
124
161
170
216
258
3.1 K Temporal High
111
164
69
94
147
163
184
229
257
3.1 K Temporal Low
103
163
54
88
143
155
185
212
252
3.lK Non -Temporal High
111
172
69
94
144
164
202
229
271
3.1K Non -Temporal Low
103
169
54
88
131
155
187
217
259
FWR Input 15cd 300d 75cd 950d 115cd 150cd mod
Temporal Low
78
101
151
172
199
229
262
Non -Temporal High
107
135
179
198
223
254
286
Na Temporlal Low
78
101
151
172
199
229
262
3.1K Temporal High
108
135
179
200
225 -
255
289
3.1 K Temporal Low
79
101
150
171
196
229
260
3.1K NorrTemporal High
108
135
179
200
225
255
289
3.1 K Non -Temporal Low
79
101
150
171
196
229
260
Horn Strobe Tones and Sound Output Data
Horn and Horn Strobe Output (dBA)
6-17.5
Volt
16-33
volts
Stitch Posltlon
Sound Pattm
dB
DC
DC
FWR
1
Temporal
High
84
89
89
2
Temporal
Low
75
83
83
3
Non -Temporal
High
85
90
90
4
Non -Temporal
Low
76
84
84
5
3.1 KHz Temporal
High
83
88
88
6
3.1 KHz Temporal
Low
76
82
82
7
3.1 KHz Non -Temporal
High
84
89
89
8
3.1 KHz Non -Temporal
Low
77
83
83
ECEIVED
FEB 18 2M
BY:
A.
L-Series Dimensions
W 6.E"
2.47
1.37
Calling -Mount Horn Strobes
Ceiling Mount Horn Strobes with Coiling Surface Mount Bads Box
L-Series Ordering Information
r
Coiling Horn Strobes -
PC2RL 2-Wre, Horn Strobe, Red
PC2WL 2-Wire, Horn Strobe, White
2.50
Ceiling Surface Mount Back Box
It ECEIVED
FEB 18 2020
BY:
Ceiling Strobes
SCRL Strobe, Red
SCW_ Strobe, White
SCWL-CLR-ALERT Strobe, White, ALERT
Accessories
TRC-2
Universal Ceiling Trim Ring Red
TRC-ZW
Universal Ceiling Trim Ring White
SSBCRL
Ceiling Surface Mount Back Box, Red
SBBCWL
Calling Surface Mount Back Box, White
=ys7o3025 Ohio Avenue • St. Charles, IL 60174
`eoen owk m..woe7e.�wr`�',cno..Hr.rr,w.vm�
�QYV' �7L6/YY..77 Phone: 000-SENSOR2 • Fax: 630-377-6995 ba.ma rft .0 wal ft rr+.md Kau+.rt
n I•M7
ECEIVED
SD355(A) Series FEB 18 2020
Addressable Photoelectyric _
Smoke Detectors
The SD355(A), SD355T(A), and SD355R(A) addressable,
low -profile plug-in photoelectric detectors use a state-of-the-
art photoelectric sensing chamber with communications to
provide open area protection and are used exclusively with
Fire-Ute's Addressable Fire Alarm Control Panels (FACPs).
The SD355T(A) adds thermal sensors that will alarm at a fixed
temperature of 135•F (57•C). Since these detectors are
addressable, they will help emergency personnel quickly
locate a fire during its early stages, potentially saving precious
rescue time while also reducing property damage. Two LEDs
on each sensor light to provide a local, visible sensor Indica-
tion. Remote LED annunciator capability is available as an
optional accessory, PN RA10OZ(A). The SD355R(A) is a
remote test capable detector for use with D355PL(A) or
DNR(A)/DNRW duct smoke detector housings.
Features
SLC LOOP
• Two -wire loop connection..
• Unit uses base for wiring.
ADDRESSING
Addressable by device.
Rotary, decimal addressing: 01 — 99 with MS-92DOUD(LS),
and 01 — 159 with MS-96DOUD(LS).
ARCHITECTURE
• Unique single -source, dual -chamber design to respond
quickly and dependably to a broad range of fires.
• Sleek, low -profile design.
• Integral communications and built -In type Identification.
• Built-in tamper -resistant feature.
• Removable cover and insect -resistant screen for simple
field cleaning.
OPERATION
• Withstands air velocities up to 4,000 feet -per -minute (20 m/
sec.) without triggering a false alarm.
• Factory preset at 1.5% nominal sensitivity for panel alarm
threshold level.
• Visible LED 'blinks" when the unit is addressed (communi-
cating with the fire panel) and latches on in alarm.
MECHAN/CALS
• Sealed against back pressure.
• Direct surface mounting or electrical box mounting.
• Mounts to: single -gang box, 3.5' (8.89 cm) or 4.0' (10.16
cm) octagonal box, or 4.0' (10.16 cm) square electrical box
(using a plaster ring — Included).
OTHER SYSTEM FEATURES
• Fully coated circuit boards and superior RF/transient pro-
tection.
• 94-VO plastic flammability rating.
• Low standby current.
DF-523B4:D • E-160
8FIre-LiTerALWMS
by Honeywell
Addressable Devices
e
,
SD355(A) in B21OLP(A) Base
OPTIONS
• Remote LED output connection, PN RA10OZ(A).
Applications
Use photoelectric detectors in life -safety applications to pro-
vide a broad range of fire -sensing capability, especially where
smoldering fires are anticipated. Ionization detectors are often
better than photoelectric detectors at sensing fast, gaming
fires.
Construction
These detectors are constructed of off-white fire resistant plas-
tic. SD355(A) series plug-in, low -profile smoke detectors are
designed to commercial standards and offer an attractive
appearance.
Installation
SD355(A) series plug-in detectors use a detachable mounting
base to simplify Installation, service and maintenance.
Mount base (all base types) on an electrical backbox which is
at least 1.5' (3.81 cm) deep. For a chart of compatible Junction
boxes, see OF-60059.
NOTE: Because of the Inherent supervision provided by the SLC
loop, end -of -fine resistors are not required. Wiring T-taps' or
branches are permitted for Style 4 (ClassB) wiring. SD355R(A)
mounts In a 0355PL(A) or DNR(AJVNRW duct defector housing.
Operation
Each SD355(A) series detector uses one of 99 possible
addresses on the MS-92000D(LS) and up to 318 (159 on
each loop) on the MS-96000D(LS) Signaling Line Circuit
(SLC). It responds to regular polls from the system and reports
Its type and status.
The addressable photoelectric sensor in the SD355(A) series
has a unique unipolar chamber that responds quickly and uni-
formly to a broad range of smoke conditions. It can withstand
wind gusts up to 4,D00 feet -per -minute (20 m/sec.) without
sending an alarm level signal. Because of its unipolar cham-
ber, the SD355(A) series is approximately two times more
responsive than most photoelectric sensors. This makes It a
more stable detector.
DF-52384:D - 2t112015 —Pagel of 2
EC-IVED
I FEB 18 2wo
Detector Sensitivity TgE SD355RA: Same as SD355R with ULC Listing for use with a
Each detector can have its sensitivity Tesle re uI a per D355PLA or DNRA duct detector housing; B21OLPA base
tY d I P Included.
NFPA 72, Chapter 14 on Inspection, Testing and Maintenance)
when Installed/connected to a MS-92000D(LS) or MS-
96000D(LS) addressable fire alarm control panel. The results
of the sensitivity test can be printed off the MS-92000D(LS) or
MS-96000D(LS) for record keeping.
Specification
Voltage range: 15-32 VDC (peak).
Standby current: 300 pA 0 24 VDC.
LED current: 6.5 mA o 24 VDC (latched "ON').
Air velocity: 4,000 ftJmin. (20 m/sec.) maximum.
Size: 2.1' (5.33 cm) high; base determines diameter.
- B210LP(A): 6.1' (15.5 cm) diameter.
- B501 (A): 4.1' (10.4 cm) diameter.
- 8200SR(A): 6.875' (17.46 cm) diameter.
- B224RB(A): 6.2' (15.748 cm) dlameter.
Weight: 3.6 oz. (102 g).
Operating temperature range: for SD355(A): 0•C to 49•C
(320F to 1200F); for SD355T(A): o•C to 38•C (32•17 to 100'F).
SD355R(A): Installed in a DNR(A)/DNRW -200C to 70•C (-4•F
to 158•F).
Temperature: 09C - 49•C (32•F - 1200F).
Relative humidity: 10%- 93%, non -condensing.
Listings
Listings and approvals below apply to the SD355(A),
SD355T(A), and SD355RT(A) detectors. In some cases, cer-
tain modules may not be listed by certain approval agencies,
or listing may be in process. Consult factory for latest listing
status.
• UL Listed: S1059.
• ULC Listed: S1059.
• CSFM: 7272-0075:0194.
• MEA: 243-02-E.
• FM approved.
Product Line Information
-- NOTE: A'suffly indicates ULC Listed model.
SD355: Addressable photoelectric detector; B21OLP base
Included.
SD355A: Samos as SD355 with ULC Listing; 821OLPA base
Included.
SD355T: Same as SD355 but with thermal element; B210LP
base Included.
SD35STA: Same as SD355T with ULC Listing; B21OLPA base
Included.
SD355R: Remote test capable addressable photoelectric
detector for use with a D355PL(A) or DNRA(DNRW duct
detector housing; B210LP base included.
INTELLIGENT BASES
NOTE., A* suffix Indicates ULC Listed model.
NOTE., The detector's plug -In base can be changed off for special
applications. For details about intelligent bases and their mount-
ing, see DF-60059.
8210LP(A): Plug-in detector base (included); standard U.S.
flanged low -profile mounting base.
B21 OLPBP: Bulk pack of B210LP; package contains 10.
B501(A): Standard European flangeless mounting base.
B501 BP: Bulk pack of B501; package contains 10.
B200SR(A): Intelligent sounder base capable of producing
sound output with ANSI Temporal 3 or continuous tone.
Replaces 8501 BH series bases in retrofit applications.
B224RB(A): Plug-in System Sensor relay base. Screw termi-
nals: up to 14 AWG (2.0 mm2). Relay type: Form-C. Rating: 2.0
A 0 30 VDC resistive; 0.3 A G 110 VDC Inductive; 1.0 A
30 VDC inductive.
B224BI(A): Plug-in System Sensor Isolator detector base.
Maximum 25 devices between isolator bases (see DF-52389).
ACCESSORIES
F110: Retrofit flange to convert B210LP(A) to match the
B350LP(A) profile, or to convert older high -profile bases to
low -profile.
F110BP: Bulk pack of F110; package contains 15.
F210: Replacement flange for B210LP(A) base.
RA100Z(A): Remote LED annunciator. 3 - 32 VDC. Mounts to
a U.S. single -gang electrical box. For use with B501 (A) and
B21 oLP(A) bases only.
SMB600: Surface mounting kit
M02-04-00:Test magnet.
M02-09-00: Test magnet with telescoping handle.
XR28: Detector removal tool. Allows Installation and/or
removal of detector heads from bases in high calling applica-
tions.
XP4: Extension pole for XR2B. Comes in three 5-foot
(1.524 m) sections.
T55-127-010: Detector removal tool without pole.
BCK-20OB: Black detector covers for use with SD355(A) only;
box of 10.
WCK-20OB: White detector covers for use with S0355(A)
only; box of 10.
RmUteke Alarms Is a registered trademark or Honeywell International Inc.
C2015 by Honeywell International Inc. All rights reserved unauthorized use
of this document is shicey prohibited.
V IY 9001
This document is not Intended to be used for installation purposes.
We try to keep our product Information up-to-date and accurate.
camaxaZZIMI
We cannot aver all specific applications or anticipate all requirements.
BmfEH u E KNUFU I®u
QUALITY S►STERS
All specifications are subject to change without notice.
For more Information, contact RemUte Alarms. Phone: (800) 627-3473, FAX: (877) 699A 105.
www.firelite.axn
Page 2 of 2 - DF-52384:D • 2/11/2015
EC:-IVED
FCPS-24FS8 FEB 18 2020
8-Amp, 24-Volt Power Supply
General
The Fire-Lite FCPS-24FS8(C/E) is a compact, cost-effec-
tive, 8-amp remote power supplies with battery charger. The
FCPS-24FS8C/E) may be connected to any 12 or 24 volt fire
alarm control panel (FACP) or may stand-alone. Primary appli-
cations include notification appliance (bell) circuit (NAC)
expansion (to support ADA requirements and NAC synchroni-
zation) or auxiliary power to support 24 volt system accesso-
ries. The FCPS provides regulated and filtered 24 VDC power
to four notification appliance circuits configured as either two
Class B (Style Y) and Class A (Style Z, with ZNAC-4 option
module) or four class B only. Alternately, the four outputs may
be configured as any combination of resettable/non-resettable
power outputs (optimal for powering four -wire smoke detec-
tors. The FFCPS-24FS8(C/E) also contains a battery charger
capable of charging up to 18.0 Amp hour batteries. FCPS-
24FS8C/E) is ULC-listed.
NOTE. Unless otherwise specified, the term FCPS-24FS8 used in
this document refers to the standard FCPS-24FS8, FCPS-
24FS8C, FCPS-24FSBE
Features
• UL-Listed Notification Appliance Circuit (NAC) synchroniza-
tion using System Sensor, Wheelock, or Gentex "Com-
mander2" appliances.
• Operates as a "sync -follower" or as a "sync -generator'
(default). See note on page 2.
• Contains two fully -isolated input/control circuits - triggered
from FACP NAC (NAC expander mode) or Jumped perma-
nently "ON" (stand-alone mode).
• Two Class B (Style Y) or Class A (Style Z, with ZNAC-4
module) NACs (circuits 1 & 3)
• 8-amp full load output, with 3 amps maximum/circuit, in
NAC expander mode (UL 864).
• 6-amp continuous output in stand-alone mode (UL 1481).
• Compatible with coded inputs; signals passed through.
• Optional power -supervision relay (EOLR-1).
• In stand-alone mode, output power circuits may be config-
ured as: resettable, (reset line from FACP required),
non-resettable, or a mix of two and two.
• Fully regulated and filtered power output - optimal for pow-
ering four -wire smoke detectors, annunciators, and other
system peripherals requiring regulatedtfiltered power.
• Power -limiting technology meets UL power -limiting require-
ments.
• Form-C normally -closed trouble relay.
• Fully supervised power supply, battery, and NACs.
• Selectable earth fault detection.
• AC trouble report selectable for immediate 2-hour delay.
• Works with virtually any UL 864 fire alarm control which uti-
lizes an Industry -standard reverse -polarity notification cir-
cuit (including unfiltered and unregulated bell power).
• Requires input trigger voltage of 9 - 32 VDC.
• Self-contained in compact, locking cabinet - 15"H x 14.5"W
x 2.75"D (cm: 38.1 H x 36.83W x 6.985D).
DF-52310:A2 • D-050
Fire"uTe Alarms
by Honeywell
• Includes Integral battery charger capable of charging up to
18 AH batteries. Cabinet capable of housing 7.0 AH batter-
ies.
• Battery charger may be disabled via DIP switch for applira-
tions requiring larger batteries.
• Fixed, clamp -type terminal blocks accommodate up to 12
AWG (3.1 mm2) wire.
Specifications
Primary (AC) Power:
• FCPS-24FS8: 120 VAC, 60 Hz, 3.2A maximum.
• FCPS-24FS8/E: 240 VAC, 50 Hz, 1.6A maximum.
• Wire Size: minimum 814 AWG (2.Omm2) with 600 V insula-
tion.
Control Input Circuit:
• Trigger Input Voltage: 9 to 32 VDC.
• Trigger Current: 2.0 mA (16 - 32 V); Per Input: 1.0 mA (9
-16 V).
Trouble Contact Rating: 5 A at 24 VDC.
Auxiliary Power Output: Specific application power 500 mA
maximum.
Output Circuits:
• +24 VDC filtered, regulated.
• 3.0 A maximum for any one circuit.
• Total continuous current for all outputs (stand-alone mode):
— FCPS-24FS8: 6.0 A maximum.
• Total short-term current for all outputs (NAG expander mode):
— FCPS-24FS8: 8.0 A maximum.
DF-52310:A2. 5/17/13 — Page 1 of 4
Secondary Power (Battery) Charging Circuit:
• Supports lead -acid batteries only.
• Float -charge voltage: 27.6 VDC.
• Maximum current charge: 250 mA.
• Maximum battery capacity: 7.0 AH.
Applications
Example 1: Expand notification appliance power an additional
8.0 A. Use up to four Class B (Style Y) outputs or four Class A
(Style Z) outputs (using ZNAC-4). For example, the FACP noti-
fication appliance circuits will activate the FCPS when reverse -
polarity activation occurs. Trouble conditions on the FCPS are
sensed by the FACP through the notification appliance circuit.
Example 2: Use the FCPS to expand auxiliary regulated 24-
volt system power up to 6.0 A. Both resettable and non -reset -
table power options are available. Resettable outputs are cre-
ated by connecting the resettable output from the FACP to one
or both of the FCPS inputs.
Example 3: Use addressable control modules to activate the
FCPS Instead of activating it through the FACP notification
appliance circuits. This typically allows for mounting the FCPS
at greater distances' away from the FACP while expanding
system architecture in various applications.
For example, an addressable control module is used to acti-
vate the FCPS, and an addressable monitor module is used to
sense FCPS trouble conditions. Local auxiliary power output
from the FCPS provides power to the addressable control
module.
'NOTE: Addressable FACPs are capable of locating control and
monitor modules at distances of up to 10,000 teat (3,046 motets).
Sync Follower/Generator Note
In some installations, It Is necessary to synchronize the flash
timing of all strobes in the system for ADA compliance.
Strobes accomplish this by monitoring very short timing pulses
on the NAC power which are created by the FACP. When
Installed at the end of a NAC wire run, the FCPS-24FS8 can
track (i.e. *follow") the strobe synchronization timing pulses on
the existing NAC wire run. This maintains the overall system
flash timing of the additional strobes attaches to the FCPS.
When the FCPS-24FS8 is configured (via DIP switch settings)
as a'sync follower, the FCPS's NAC outputs track the strobe
synchronization pulses present at the FCPS's sync input ter-
minal. The pulses originate from an upstream FACP or other
power supply.
When the FCPS-24FS8:is configured (via DIP switch settings)
as a "sync generator, the FCPS's sync Input terminals are not
used. Rather, the FCPS Is the originator of the strobe synchro-
nization pulses on the FCPS's NAC outputs. In "sync genera-
tor" mode, the sync type (System Sensor, Wheelock, or
Gentex) is selectable via -DIP switch settings
Standards and Codes
The FCPS-24FS8 complies with the following standards:
• NFPA 72 National Fire Alarm Code.
• UL 864 Standard for Control Units for Fire Alarm Systems
(NAC expander mode).
• UL 1481 Power Supplies for Fire Alarm Systems.
Pape 2 of 4 — DF-52310A2. 5/17/13
Agency Listings and Approvals
These listings and approvals apply to the modules specified in
this document. In some cases, certain modules or applications
may not be listed by certain approval agencies, or listing may
be in process. Consult factory for latest listing status.
• UL Listed: S2424
• ULC Listed: S2424
• CSFM Approved: 7315-0075:206
• MEA: 219-02E
Ordering Information
FCPS-24FS8: 6.0 A, 120 VAC remote charger power supply.
Includes main printed circuit board, transformers, enclosure
(15"H x 14.5W x 2.75"D [cm: 38.1 H x 36.83W x 6.985D]), and
installation instructions.
FCPS-24FS8 is ULC-Ilsted.
FCPS-24FS8E: 6.0 A. 240 VAC remote charger power supply.
Includes main printed circuit board, transformers, enclosure
(15"H x 14.5"W x 2.75"D [cm: 38.1H x 36.83W x 6.985D)), and
Installation Instructions.
ZNAC-4: Class A (Style Y) NAC option module.
EOLR-1: 12/24 VDC end -of -line relay for monitoring four -wire
smoke detector power.
BAT-1270: Battery, 12-volt, 7.0 AH (two required).
PS-1270: Battery, 12-volt, 7.0 AH (two required).
90286: Optional module mounting kit, is required to install an
addressable module on the power supply main circuit board.
ECEIVED
FEB 18 2UO
BY:
a
NOTE: All NAC outputs can
be converted to Style Z with
Style Y NAC or ZNAC-4 option module. FCPS
Door Holder Trouble
Power Style Y NAC Style Y NAC Style Y NAC Contact
Output #4 Output #3 Output #2 Output #1 Output
24 VDC
Specific
Application
Power
AC MMOO
NAC Control
Power
Input #2
INPUT/OUTPUT
(from FRCP)
FUNCTIONS
are programmable by
NAC Control
SW1 DIP switch settings
Input #1
(from FACP)
Sync Input
FCPS
Battery Charger
Simplified Block Diagram
' ECEIVED
FEB 18 2020
BY:
DF•52310:A2. 5/17/13 —Page 3 of 4
NO
MI
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to
ECEIVED
Board Layout
FEB 18 2020
BY:
System Sensor® and FlreLite® Mama am registered trademarks of
Honeywell International Inc.
02013 by Honeywell International Inc. All rights reserved. Unauthorized use
of this document is strictly prohibited.
IS®
purposes.
ionand
This document is not Intended ro be used for p-to-date
We try to keep our product Information up-to-0ate and accurate.
We cannot cover all specific applications or anticipate all requirements.
EMN B X S MNQEfl01 N
All specifications are subject to change without notice.
QUALITY SYSTEMS
Made in the U.S. A.
For more Information, contact RwUte Alarms. Phone: (600) 627-3473, FAX: (877) 69"105.
www.ikellte.com
Page 4 of 4 — OF-523IO:A2. 5117113
PERM r #: X
CONIlVIERCIAL .
PLAN REVIEW COVER SBEET
(DnTRNAL USE)
ADDRESS: H U 1 k_oh"h x lypp no —#- (00
OWNER'S NAME:
PROJECT TYPE: Fz(/t 1, ` NEW:_ADDN:
HCAD#:
FLOOD ZONE: USE ZONE:
Y/N SUB /DATE RETURNED
USB/CD
ZONING PERMIT
CERT. SITE PLAN APPROVAL
ASBESTOS SURVEY RECEIVED
TAS (ADA) PROOF OF SUBMITTAL
FILL DIRT APPL/PERMIT
CLEARING PERMIT NEEDED?
FLOOD PERMIT NEEDED?:
W/S FEES APPLICABLE?:
(Applicable on Demo, Addn, or Remodel)
(Applicable to Comm. Or Ind:)
(If yes, figure fees. If no, use w/s form to
explain why they are not.)
TAP FEES APPLICABLE
100% MASONRY/GLASS
STORM WATER QUALITY PERMIT
TAXES UP TO DATE?:
DATE OF REVIEW: INSPECTOR:
ITEMS NEEDED FOR ISSUANCE OF PERMIT:
OWNER OR CONTRACTOR NOTIFICATION
DATE TIME NAME OF PERSON CONTACTED
S:ICPSh=\INSPECr1ON DIVISIONUspectionslCOME PLAN REVIEW COVER SHEETAM Rcv. August 15,2018
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Page is too large to OCR.
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