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110 JAMES ST STE 300IIII��III i/a 0 SECURITY Seattle ❑ Silverdale ❑ Bellingham j� 1763 First Avenue South 9439 Provost Rd 0204 1601 Kentucky Street j Seattle, WA 96134 Silverdale, WA 98363 Baltingham, WA 96229 1400-232.6998 380392-3739 360-647-0110 Lic. is GUAROSS233K5 1-e00366-loos Facility Address CI M0 CL Fire Department CONFIDENCE. TESTING FIRE AL RM YSTEM (CTF-8) Date of Inspection Building Owner Phone# MAIN FIRE CONTROL PANEL C CKS p�� iKt Annual ❑ Semi -Annual ❑Quarterly ..:.:t_:I"".rF.eJC ;::' i2%3... .... .... H— _.... L6TOdel'. '" •.i'"i 2. No. of Initiating Circuits _ No. of 3;_�nauc Isatfery vakages rr, � .. —•--- - 4. Battery Voltages Under Load w/Signal Devices Operating ri3 94 t%t rriln;. i t S:Chalge.Grcmtlfoltage h a° Battery:TestDuration Y I Signal w1AC Power Off. Yes ❑ No ❑ NIA6. Trouble Explain .. , ., �-•'�.. , NIA W ' Ex Tein.`.:_ t.. _ °+ t.l , i, s Yes_,.37No:;�l. ..._. �- P ....,:.. �._...._. 8. All Circuits Operate Satisfactory On AC Power: Yes ❑ No ❑NIA 10 Control Panel Checks Made Per Manufacturers Instructions Yes ❑ No ❑ NI Esplet 11 All Auxiliary Equipment Operates es .• , °` (Elevators HVAfi,) arf shut down Dooi closures Vent dampers Etc } w s f �l( Glroo �J -_ }2 Does.A[arm System Mee Ad ibillty'Stardards a ` , a ves U� No p wA < Exptaln s e 1 c 13 Monitoring Station Alarm Circud{s) ] No N1A Ezptam Jd: Alarm.Dafay Fynction jif.mstaQed) Operates Properly Yes' ©No Yes ❑No ❑NIA Expiam 15 Panel Key Available '' f - v Fl N :1- NJA F� Otain. 17 Test/Service Record at Fire Alarm Control Panel,s ❑ No fr no where tiled? ._ .. ........ , _ ... ._ ... .. NO OF UNITS EQUIPMENT TYPE NO OF UNITS RESULTS ,.. _... � . ..,.- i.... , .• ,..,-r-'_---..._: . r ., <.� . 7..�,.. _.: , . ` .,_ ;.4 r„ ....'. , , ...t _.. _ .'YlM eWLO1NG . i 4 Audio (Bells Horns Chimes Voice Alarm Speakers) 7�� Yes _)S.- No ... a a Yes Nri ! :R, k Visuat Alarm Dealces: vss No AudioNisual Devices— �'j` Smoke Detectots _ ... Heat Detectors iMariu2f Ruli Stations:` Yes No ° ._ ..t ,.I No Trouble Indicators iY h Anpuriciators Auto Door Unlocks (Fail Safe Operation) Yes No ut6066 R lease,' c es No Fire/Smoke Dampers (Ventilation Controls) ..,_` . Flremans Phones Yes . ; .: .� No Yes 0 Pubfic_✓sddress'System • _ .. __ . ..... i.:. .... ... .: ., r q, Yes No Elevator Capture Phase #1 4 es: No Phase #2 _, Yes f No Generator Starts s Automatic Spr nkler Flaw SmtctieYes Automatic Sprinkler Supervisory Switches No r Automat c, Spnnklel_Vdly ;.Tampar,Swiichas, . _.�______�'. ...Yes...... No Control Valve Supervisory Switches - �xtenor.Vda(er Palotor Be1ltGong. _- ; Fire Department Monitoring Yes No Ye6� Mon taxing Statlon-S gnatreceived Name of Alarm Monitoring Company _ he This Certifies that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, is consistent wiln Tire Si_gn far 'rtt intenance stand ds, di. crepancies are noted and have been reported to the buildillttAwner/Mar-ager for corrective Action. at(!e, I : cility Owner,'rLlanager Technician Electrical License if Signatu�n�ns�pector/T chnician =c: - _ Technician Certification S Problems Found: Correction Made: Date CorrectedBy: — --.-- Rev. 06111ID2 -UAL® AN SECUR17Y Cc�VV\0V\ Fire Department Battle ❑Silverdale ❑Belingham lit.#GUARDSS233K5 CONFIDENCE TESTING Seaf8eFlrstAvenue1 WA 81345�� Sdverdals. WA 98M Bellingham, WA 982 Streea AUTOMATIC SPRINK ER SYSTEMS (CTF-4) 206-622-654s 30M2.3738 360-647.0110 Date of Inspection Y- -2-2 1-880-282-69.48 1-8 0 366.1005 Address Building No. S)�,V kd Occupied asSystem No. ��- Building Owner Addresses City — Type of inspection: )Annual ❑ Other DRY SYSTEM 1. Trip test (dry trip) conducted: System tripped in seconds. 2. All flow switches, supervisory switch and al m bells tested. 3. Alarm bell operates. 4. Flow tests conducted. Flow -pressure psi . 5. Systems inspected and lubricated 6. Air compressor refills system ' 30 minutes. 7. System drained and restor to normal operation. 8. Were the heat actuation evices tested on pre -action and deluge system. WET SYSTEM 1. Flow test conducted. ❑ Yes ❑ No Static pressure 13o psi 2. Flow switches, supervisory switches and alarm bells tested. 3. Alarm bell operates. 4. Systems inspected and lubricated. 5. Pressure regulating valves tested. GENERAL 1, Location of sprinklers ❑ Basement ❑ Hallways100% 2. Pumper connections and clapper unobstructed. 3. Sprinkler heads less than 50 years old. 4. Sprinkler coverage is acceptable. 5. Spare sprinkler heads are available. 6. Systems left in service. 7. Valves are sealed or supervised. 8. Signs are provided on valves. ❑Yes ❑ No ❑Yes ❑ No Dyes ❑ No Dyes ❑ No Dyes ❑ No Dyes ❑ No ❑Yes ❑ No State L14 ZipCode s `.0 ❑ N/AExplain: • N/AExplain: ❑ N/AExplain: ❑ N/AExplain: ❑ N/A Explain: ❑ N/A Explain: ❑ N/AExplain: ❑Yes ❑ No' ❑ N/AExplain: Flow pressure izo, psi. 2-inch drain? es ❑ No 0 les ❑ No ❑ N/AExplain: ;'❑ No ❑ N/AExplain: Z❑ No ❑�� NN///AExplain: ❑Yes ❑ No C /AExplain: ❑ Other - 278, ❑ No ❑ N/AExplain: N ❑ N/AExplain: No ❑ N/AExplain: No ❑ N/AExplain: ❑ No ❑ N/AExplain: es No es ❑ No ❑ N/AExplain: ❑ WAExP lain: Problems Found: k1-o S2i„�kl "' oir r A, i n �; rtnrs�~ �o� t ca 5 at" i��✓si 2 I f Z`, r t A b s _t (�Ssit12� v3C.i,-e�ia ttoi�tia. r t a�;® v` Correction Made:�Z:��r'v� h i—� C,13'y^i+�� 1 rsx�- i� C��.�^vr�� Ni�c.l , a �'i.�.�41` Qk4-.�J�� y�i ��A�T� yap t�'�"1 ii.+�... t'C`�-1 ` �.0 "\�+ '�ir4�Q.k"t �5 �..C�✓ P�1-iam_S Date Corrected By: This Certifies that this sprinkler system has been properly inspected for reliability to cover the items listed in this report, is consistent with fire alarm maintenance standards, discrepancies are noted and have been reported to the building Owner/ Manager for corrective Action Signature of Tester: ,viv, Certification No.. Rev. 613Pg8 RRIA #AN SECURITY � � �� ! S Fire Department K'- at"e ❑slwereaie ❑sellingham Lic, # GUARDSS233K5 CONFIDENCE TESTING 43LAyenueSouth 9435 Provost Rd. #204 1601Kentucky Sheset AUTOMATIC SPRINKLER SYSTEMS (CTF-4) Seattle, WA 98134 SBverdele, WA 98383 . 13e8ingham, WA 98229 206-622-6545 360.692-3738 360.647-0110 Date of Inspection' 1.900-282-6998 1-800-368-1005 Address o �r�xv`,et.-5 SA-. Building No. so-� Occupied as - LAO'140 System No. Building Owner __Sc.. % Phone# Address City I dam_ State Zip Code Type of inspection: Annual ❑ Other DRY SYSTEM 1. Trip test (dry trip) conducted: System tripped in G seconds. W. No ❑ N/A Explain: 2. All flow switches, supervisory switch and alarm bells tested. Oes ❑ No ❑ N/AExplain: 3. Alarm bell operates. i ( No ❑ N/A Explain: 4. Flow tests conducted. Flow pressure i?a psi. Ze.S'10 No ❑ N/AExplain: 5. Systems inspected and lubricated. No ❑ N/AExplain: 6. Air compressor refills system in 30 minutes. No ❑ N/AExplain: 7. Sy stem drained and restored to normal operation. es ❑ No CDN/AExplain: 8. Were the heat actuation devices tested on pre -action and deluge system. ❑Yes ❑ No �NIAExplain: WET SYSTEM 1. Flow test conducted. ❑ Yes ❑ No Stati ressure psi. Flow pressure psi. 2-inch drain? 0 Y ❑ No 2. Flow switches, supervisory. switches alarm bells tested. ❑Yes ❑ No ❑ N/AExplain: 3. Alarm bell operates. 0-Yes ❑ No ❑ N/AExplain: 4. Systems inspected and lubric d. ❑Yes ❑ No E. N/AExplain: 5. Pressure regulating valves steel. ❑Yes ❑ No ❑ N/AExplain: GENERAL 1. Location of sprinklers El Basement ❑ Hallways ❑ 100% Other �-� � + 2. Pumper connections and clapper unobstructed. . No ❑ IWAExplain: 3. Sprinkler heads less than 50 years old. es No ❑ NIA Explain: 4. Sprinkler coverage is acceptable. eess ❑ No ❑ N/A Explain: 5. Spare sprinkler heads are available. DY/ees ❑ No 0 N/AExplain: 6. Systems left in service. ;WZe No ❑ N/AExplain: 7. Valves are sealed or supervised. ❑ No ❑ N/AExplain: 8. Signs are provided on valves. ❑ No ❑ N/AExplain: Problems Found: Correction Made: Date Corrected By: This Certifies that this sprinkler system has been properly inspected for reliability to cover the items listed In this report, is consistent with fire alarm maintenance standards, discrepancies are noted and have been reported to the building Owner/ Manager for corrective Action. - Signature of Tester: Certification No. tax - I d O Rev. 6130 CITY: OF EDMONDS t. 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215 FIRE DEPARTMENT Es,� 1gg0 . LOCATION: 110 James Street BUSINESS NAME: ICMJ International MAILING POS #877 FIRE PREVENTION SAFETY SURVEY 300 PHONE: 4256403626 ADDRESS: Edmonds 98020 BUSINESS OWNER: - KMJ International HOME PHONE: EMERGENCY-1: Macdonald, William C. HOME PHONE: 4257744769 KEY ACCESS-2: HOME PHONE: r FREQUENCY STATION 8 SHIFT 730 17 C SCHEDULED 1 �,t01,10 DATE DUE ► UFIR ► 591 1202 ACTIVE lo PERSON CONTACTED: (� ( 1^A INITIAL INSPECTION DATE NAME OF INSPECTOR: +{ ii1\Oc{ (�� O o` FIRE FE b/ /6 SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIONS r/ COMMUNICATIONS / ENTER CODE ONLY ONCE ► VIOLATION CODE 2 Yv1 0 2 r: v 4 3 ( 3 4 4 5 5 6 6 7 7 a /— �� itv N��1,✓� 6 1st RE-INSPE DATE DUE: RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: 1_ DATE: DATE: _ 3 VIOL TIONS 1 5 VIOLATIONS 1 15 PRE-CRATION LETTER SENT CITATION ISSUED NUMBER: 4 2 � 6 2 6 DATE: CODE SECTION: _ 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 7 4 6 4 B DATE: DISPOSITION: - 6 LETTER NEEDED [] YES NO LETTER NEEDED C] YES NO FIRE DEPARTMENT COPY