111 MAIN ST (4)FIRE PREVENTION
N�
SNOHdml�h Co.
'ServingBrier, EdMiurtua, uf,,d
.12425 Meridian Ave S
INSPECTION'REPORT
kli* 1 .1
FI E
Mozinflake Terrace
Everett,,WA 98208
0 EDMONDS
[1 BRIER
DIST
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[] UNINCORPORATED
www.FireDistrict].org
Fax (425) 551-1272
I I I Main Street Bldg 98020
E UENICY
e' TnnQua
STTfr SHIFT
LOCATION:
Main Street Plaza Bldg
2063631994
SCHEDULED Oct 2016
BUSINESS NAME:
PHONE:
DATE DUE
MAILING
1212 NW Culbertson Drive, Seattle, WA 98177
bU9 2U2
LIFIR
ADDRESS:
Tynes, Linda
BUSINESS OWNER:
HOME PHONE:
Tynes, Redar/Linda
2064272016
EMERGENCY-1:
HOME PHONE:
URRENT
iy
KEY ACCESS-2:
HOME PHONE:
YES NO
V
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
NAME OF INSPECTOR: ZrX7
a�wl or - A �-T--N
INITIAL INSPECTIONZATE
A
Date Last Serviced: �06
i - i
02-24-2016 EDMONDS, WA I ENTIRE HEATED INTERIOR MAIN STREET PLAZA 80909 SFSM - Sprinkler Evaluation.pdf.0jpg
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE 02
TICKET A 80909
11106 541h A�enue East, Tacoma-, VM 98424-
phme, rnan ?4p-xmn Fmy: (25M 248-23M
Annual
PE"ORMANCE EVALUATION
Work. Type INSPEMON
SitaName MAIN STREET PLAZA
Account # MA10001
Address: 111 MAIN STREET
City EDMONDS, WA
Contact Person REIDAR.TYNES.
Telephone* 206-427-2016
System.# 1 Ty . pe WET
Area Coie ENTIRE HEATED. INTERIOR
System # .2 Type DRY
Arta Cove PARKING. GARAGE
system # TVpe
Area Cove
System * T�pe
Ama Cove
System # Type
Area Cove
Type at Occul�ancy (CHECI(y Other:
C]Assbrhbly []Storage []Industrial grofflces 0 Retell [3APartMehtS dconclorniniums [3 ResIdentlall
L
A. MWER'S SSC270fir
1. Hai; there bm any fire pkybecfion m6clifimlions since the lost inspection?; 0 Yet 4'No 0890be below
2. Dewibe any firb(s) since last inspection:
NONE
3 - Dote (appramate if unknown) sprinkler system was iinstalled; 199S
4. Name of installailion oompany: SMITH FIRE SYSTEM
B. JNSPECTOR'S SECTZON
1. GENERAL
9. Does the system have a hydraulic plaque?
b. Are the ftars labeled and what are the specifies?
Dischargedensty .17
Gallons per minute - 732.18
c. Is the loulloling fully sprinklered?
A. Is the entire sprinkler system in service?
e. Record water Ixessure at riser
Inte
Per 3000 Sq. n.-tesidual pressute at riser. 62.25 psi.
)T—S M NIA
Q( 11 13
do 0
11 El
11 11
125 PSI
02-24-2016 EDMONDS, WA I ENTIRE HEATED INTERIOR MAIN STREET PLAZA 80909 SFSM - Sprinkler Evaluation.pcif. I jpg
2.
CONTROLVALVES
YES
110
NIA
8.
Ate all SprWiler System Cefdroll valves and all othar v&NW in theemioprwa
open or closed position!
b.
AD cordral valves operated through full range of mation and retumedto ronnalp6ttion?
EA
1:1
c.
Ate all cordral volvas In the open poaWan?
Qr
El
13
DLocked Q(Sefiled WT&Verad
d.
Ate 01 corArol valves properly sl4nea?
Qr
0
1:1
3.
FIRE DEPARTMENT COHNECT110111S
YES
HO
NIA
covolhas rolate freelv, ceps are (h place)?
b. Whooli(Whedfn 2014 . (novitted avoil s Yoatal
I -WET SYSIEMS
W
HQ
KIA
a. Playa antifreeze system soltdions been tested? se"10" %
11
0
17
lo. Wore the onll freeze test reskilis Solis fociary? spedfic Grw4y Reowil"100
Deg
W
c. Doas t1w bultIng oWar to be oda(ludely hooted at lima of Irupection?
Qr
0
0
cl. Litt water flow last of inaln drdn "to at :prIrJdor ifters:
a. "einal exall of p1ping conducted In 2014 (RoquIted *veil $Yeats)
I DRY SYSTEM
YES
140
WA
a. Im tho & pressuro arid priming Wator loyd In accordance vvith manufadwees h-.bVW=?
V
1]
13
b. Has the operation of Me air or riltrogen uvp!y been tested?
1:1
[3
Is It In service?
17
cl
c. Were the low Valrds drained dWing this irnpeftn? HOW MW_ S
d- Did cluick-opurting dwices aperEde safi3tadurily?
C. Did 1ho heating eq*mertt in the cky pipe Valve roon. operate at ft 6w of inspectjoin?
f. Was lhe dty valve tripped durft Ift Inspection?
02-24-2016 EDMONDS, WA I ENTIRE HEATED INTERIOR MAIN STREET PLAZA 80909 SFSM - Sprinkler Evaluation.pdf.2jpg
DRY PIPE
OPERATINO
TEST
DRY VALVE
16WE
MOM
SESIAt NO.
MWE
MODEL
SERIAL NO.
GLQDL TRIP OK
TIMETUT41P
THRU TEST PIPE
VATER
PRESSLIAE
041141. AIR
PRESSURE
TF8:' PCUVT
PRESSLIRE
TIME VATER REACHED
TEST OLrrLET
ALARM
OPERATED
LOCAL
ALARM
OPERATED
REMOIE
t4rt
sec.
'139
PSI
PSI
1,4N.
sec.
9. Data dry pipe valve tqp tested (carircii'velve IlLdy,open).
h. Vdeinal exam of p1puVeMduttedin 2014 t"uhed eveig 6 Yeals)
-6. ALARNIS
a. Did wsd& motor gong test saftledoldly?
b. Did electrical bell test saftfeetwity?
c. Is the system suonoted w1h alerm?
Operator #
d. Did alarrn monitoring �ervice test satisfactorily?
e. Waterflow alarmi
f. Valve tamoar monitotfing?
HILo Air SvAch
7. SPRINKLERS. GAUGES
fto? AVANT GUARD
a. Are all sprinklers free: from corrosion, ftweign "Werfal, or palrd?
lo. Are there any non -dry sprinkler heads manufactured prior to 19207.
c. Are all non-&y sprinkler heads less 1han 75 years old? Date of lost sample testing. . 2008
d. Are afl non -dry sprinkler heads ress.than SO years o3d? Date of fast sample testing: 20.08'
C. Are all dry type sprfter heads law fhan I a years old7 Date of last sample testing:
f . Are an FAST RESPONSE siorInkler heads less than.20 years old? Date of lea sermle tesilnor. 2008
g. Is thwe Wid in the glass bulbs?
h. Is a head wrench, stock of spare sprinkLeTe and Tefbn tape aved"?
1. Does the exlerior candtion of the sprinkler system appear to be Satisfactory?
1/26/15
ii cl
YES NO N/A
11 cl d
D El
cl 11
9f E, 1 0
Ad 11 11
cl. 13
(:.] 0
YES NO WA
d 0 El
13 d 0
d. El 11
gr 0 0
9( El D
13 0
cl El
d 0 0
d El 0
02-24-2016 EDMONDS, WA I ENTIRE HEATED INTERIOR MAIN STREET PLAZA 80909 SFSM - Sprinkler Evaluation.pdf3.jpg
8.- W- ATERFLO W- TEFLI AT MAIN DRAIN MADE AT SPRINKLER WgERAS
rEST PIPE
DATE
IEST PFE
LOCATION
SIZE
TEST PIPE
STAIX
PRESSURE
FESIDUALfftOV)
PRESSURE
-----
2/24/16
-------
WET SYSTEM RISER ROOM
2r'
12S
100
2
2/24/16
DRY SYSTEM RISER ROOM
1,25"
..........
12S
los
.........
4
--- - ---------- - --- - -------
cafforents:
02-�24-2016 EDMONDS, WA I ENTIRE HEATED INTERIOR MAIN STREET PLAZA 80909 SFSM - Sprinkler Eva1uation.pdf.4.jpg
systelif I
dis operational
Systont 2
dis operational
Symern 3
[] is oporational
System 4
0 is operational
Sysirem S
0 Is operational
is operational with defects
0 is not operational
is operafional with defOcts
0 is not operational
is operational with defects
[3 is not operational
C] Is operational with defects
is not operational
C] Is operational with defects
is not operational
V
J�' 0110rA A'
==f,
SM11TN FIRE SYSTEMS MANAOEMENT, LLC
1106 54th Avenue East, Tacoma. WA 98424
P one: (253) 248-2MO Faw g qj 246-2360
j0E STUD'ER
7126-0409-E
2/24/2016
'eignet-al, faspectal
Piing Name,
VA SFMO ITT 9
Date
/.-000/
1
Mgmatme of lownop osLF:=9qVm4t1V*
I plifte Name
Del*
02-24-2016 EDMONDS, WA MAIN STREET PLAZA 80909 SFSM - Fire Alarin Confidence Test.pdf O.jpg
SMITH FIRE SYSTEMS, INC. DATE 02-24-2016
SMITH FIRE SYSTEM
CONFIDENCE TESTING FIRM ALARM TICKET # 80909
110S SQh Avenue Ead, lracoma,WA 98424
Phona: (2S3)248-2000 Fax: (253)248-2360 Work Type INSPECTION
SITE NAME MAIN STREET PLAZA ACCT # MAI0001
ADDRESS 111 MAIN STREET' CITY EDMONDS, WA
MNTAi'T REIDAR TYNES Inu KIM 206-4 27-2016
W —
-NAME OF TESTER 30E STUDER CERTIFICATION NO.
STUDE1862313
DATE OF INSPECTION 02-24-2Oi6 Annual
TYPE OF INSPECTION
CONTROL PANEL MANUFACTURER ADEMCO
NUMBER OF INITIATING CIRCUITS 7
BATTERYVOLTAOE 13.23
MODEL NO, VISTA-128FB
No. OF SIGNAL CIRCUITS 0
VOLTS CHAROE CIRCUITVOLTAOE 13.62 VOLTS
BATTERY VOLTAGE UNDER FULL LOAD 12.70 VOLTS (SIGNALS OPERATING)
1.
Trouble signal Qh AC power off
61YES
[I No
0 rYA
2.
System operates satisfactory on standby power
Q(YES
C ]NO
[I NfA
3.
All signals operate on AC power
Q(YES
0 NO
ONIA
4.
Have all alarm notification appliances been chocked (or proper operation?
9fYES
[I NO
[I IWA
6,
All circuits chocked for electdcal supervision
9tYES
G NO
ON(A
6.
Control panel checks made per manufacturees instructiDns
q(YES
El NO
0 MA
7.
All auxiliary equipment operates (Elevators. fans, dampers)
0 YES
NO
PGA
B,
Central station or remote connection
&(YES
NO
[I NIA
Name of Monitoring Company: AVANT GUARD
9.
Ke� to panel available
Q6ES
13 NO
[INA
10.
Operatin g in�truclions at panel?
brtYES
[j NO
OWA
11.
Service Label or Tag (UC Appendix III-B)
4YES
D NO
EIP&A
12.
Did you sign off Item 8 an the Elevator Log
OYES
0 NO
9GA
FID
OV24-2016 EDMONDS, WA MATN STREET PLAZA 80909 SFSM - Fire Alann Confidence Test.pdf.I.jpg
EQUIPMENT TESTED
TYPE OF EOUIPMENT —FUNNUITS
MBERS OF
TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
NO
NIA
Bells, Hams, Chimes
Voice Alarm Speakers
Visual fidarm Device
Tmuble Indicators
............
Super. Switch (Auto. Spr.)
S
Auto Sbr. Flow Svvitches
2
Smoke Detector(s)
Heat Detector(s)
Manual Pull Stations
Venblaton Controls Operate
Central Station
Annunciators
? ----- -----
--------
Elevator Call Dawn
Fire Damper/Smoke Dampers
Phone Jacks
Auto- Door UnIoCks - (FailsA)
Auto. Door Release
Other
NONE
CORRECTIONS MADE:
NONE
DATE CORRECTED BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABIUTY TO COVER THE ITEMS LISTED IN THIS REPORT.
--j
SMffN FIRE SYSTEMS, INC..
1106 54th Avenue East, Tacoma. WA 98424
FIRE S
ffF
JE—MIS ke Phone: Q� 2 8-2000 Fax: M 249-2360
JOE STUDER
2/24/2016
Slobawt bfflffC5e!f
pFbw N
Date
14 at Rwpw*S*QUd%V
Nww
limte
212412016 6:33 am
System Event Report
Sorted by Installer#
Installer# First to Last
CS# 75550211 to 75550211 Site type All
Ernployee# All
Corporate Aect. All System Type All
Date
CS# Op
Zone Event Location/Comment Disposition
Installer 75169 (OL) Guardian
Security
Site Name Public
Hospital District # 2
Sfta Address 21600 Highway 99 (Fire System) Edmonds, WA 98020
2/24/2016 05:02:18
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2124/2016 05:02:20
75550211
11 2371 A:FIRE:FE *Test 2nd Flr W. Hall
2124/2016 05:06:40
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:06:42
75550211
11 CIR1 10 :Restore of Condit *Test 2nd FIr W. Hall
2/2412016 05:06:44
75550211
32 CIE330 System Trouble:% *Test Bell 1
2/24/2016 05:06:46
75550211
33 CIE330 System Trouble:% *Test Bell 2
2/24/2016 05:07:31
75550211
CALLI SG039 Caller ID *Test CalierID: (425) 774 - 2600
2/24/2016 05:07:33
75550211
34 CIE330 System Trouble:% *Test Bell 3
2/24/2016 05:07:35
75550211
35 CIE330 System Trouble:% *Test Bell 4
2/24/2016 05:11:51
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:11:53
75550211
9 2371 A:FIRE:FE *Test
2/24f2O16 05:13:15
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:13:17
75550211
9 CIR110 :Restore of Con& *Test
2/24/2016 05:13:45
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:13:46
75550211
9 2371 A:FIRE:FE *Test
2/24/2016 05:16:38
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:16:40
75550211
9 CIR110:Restore of Condil *Test
212412016 05:16:43
75550211
9 2371 A:FIRE:FE *Test
2/24/2016 05:18:14
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:18:16
75550211
9 CIR110:Restore of Condit *Test
2/2412016 05:18:48
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/2412016 05:18:50
75550211
9 2371 A:FIRE:FE *Test
2/2412016 05:19:20
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:19:22
75550211
9 CIR1 10 :Restore of Condit *Test
2/2412016 05:19:24
75550211
9 2371 A:FIRE:FE 'Test
2/24/2016 05:20:00
755502il
CALLI SG039 Caller ID *Test CaRerID: (425) 774 - 2600
2/24/2016 05:20:02
755502111
9 CIR110 :Restore of Condit *Test
2/24/2016 05:20:04
75550211
9 2371 A:FIRE:FE *Test
2/24/2016 05:20:42
75550211
CALLI SG039 Caller ID 'Test CallerID: (425) 774 - 2600
2/24/2016 05:20:44
75550211
9 CIR110 :Restore of Condit *Test
2/24/2016 05:21:08
75550211
CALLI SG039 Caller ID 'Test CallerID: (425) 774 - 2600
2/24/2016 05:21:10
75550211
9 2371 A:FIRE:FE *Test
2/24/2016 05:21:34
75550211
CALLI SG039 Caller ID 'Test CallerID: (425) 774 - 2600
2/24/2016 05:21:36
75550211
9 CIR110 :Restore of Condi* 'Test
2/24/2016 05:21:38
75550211
'j 2371 A:FIRE:FE 'TPsl
Page I of 2
Dates 2/24/2016 to 2/24/2016
Reporting Group All
Scheduled UserlPhone
Installer 7�,1(3�) (OL) Guardian Secu.,izy Parte I of 2
2/2412016 6:33 am
System Event Report Page 2 of 2
Sorted by Installer#
Installer# First to Last
CS# 75550211 to 75550211 Site Type All Dates 2/24/2016 to 2/24/2016
Employee# All
Corporate Acct. All System Type AD Reporting Group AD
Date
CS# Op
Zone Event Location/Comment Disposition Scheduled User/Phone
Installer 75169 (01.) Guardian
Security
Site Name Public
Hospital District # 2
Site Address 21600 Highway 99 (Fire System) Edmonds, WA 98020
2/24/2016 05:22:18
75550211
CALLI SG039 Caller ID *Test Calleril): (425) 774 - 2600
2/24/2016 05:22:20
75550211
9 CIRIIO:Restore of Condii *Test
2/2412016 05:22:22
75550211
9 2371 A:FIRE:FE *Test
2/24/2016 05:23:13
75550211
CALLI SG039 Caller ID *Test CalterID: (425) 774 - 2600
2/24/2016 05:23:15
755502`11
9 CIR110:Restore of Condil *Test
2/2412016 05:23:42
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2124/2016 05:23:45
75550211
32 CIR330:Restare of Condi 'Test Bell 1
2/24/2016 05:23:47
75550211
33 CIR330:Restore of Condi *TDst Bell 2
2124/2016 05:24:18
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:24:21
75550211
34 CIR330:Restore of Condi *Test Bell 3
212412016 05:24:23
75550211
34 Cl E330 System Trouble A *Test Bell 3
2/2412016 05:24:25
75550211
34 CIR330:Restore of Condi -rest Bell 3
2/24/2016 05:25:11
75550211
CALLI SG039 Caller ID *Tbst CallerID: (425) 774 - 2600
2/24/2016 05:25:13
75550211
35 CIR330 :Restore of Condi *Test Bell 4
2/2412016 05:26:22
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2124/2016 05:26:25
75550211
9 2371 A:FIRE:FE *Test
2/24/2016 05:28:01
75550211
CALLI SG039 Caller ID *Test CallerID: (425) 774 - 2600
2/24/2016 05:28:04
75550211
9 CIR110:Restore of Condil 'liast
Installer 75169 (OL) Gu;i�dian 0,,rjr 2 of 2
SNOHOMISH CO.
FIRE;
DISTR
12425 Meridian�,Ave
Everett, WA 98208 -
,_Phone"(42.5) 551-1200
Fqc, (425) 551-12 72
LOCATI ON: 111 -
Main Street Bldg 98020
BUSINESS NAME: Main Street Plaza Bldg PHONE: 2063631994
MAILING
ADDRESS:
1212 NW Culbertson Drive, Seattle, WA 98177
BUSINESS OWNER: Tynes, Linda HOME PHONE:
EMERGENCY-1: Tynes, Redar/Linda HOME PHONE: 2064272016,
KEY ACCESS-2: HOME PHONE:
EMAIL:
.Serving Brier,. Edmonds, and
�, 0-
Moiintlake Terrace
FireDistrict]. org
-www.
PERSON CONTACTED:
NAME OF il�ISPECTOR;
FIRESYSTEMS: AS1/15FA1/15FE1/13*FDLkBox
Date, Last Servined- A,�, / / / (- - c. f .i I j �t� Q_ , - # j � 4.-
FIRE PREVENTION
INSPECTION, REPORT
'EDMONDS..
El BRIER :'
0 MOUNTLAKE TERRACE
E3 UNINCORPORATED
FREQUENCY STATION & SHIFT
Annual 1.11D
SCHEDULED
DATEDUE i0ct20115
UFIR o 509 202
CURRENT
CITY
YES , 0
BUSINESS
T1.
LICENSE
INITIAL INSPECTION DATE
I I ) — I -Z, —
(.,:S, I
-HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
Q0
2
2
3
3
4
4
5 A
5
. 6
6'
. ..................... ......
7
.. ...... .... ... ..
7
IAGREE TO coRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS.
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
IN SPECTOR:
INSPECTOR:
INSPECTOR.
2
3
DATE:
DATE:
DATE:
VIOLATIO 4S
VIOLATI6N_S__�,___
PRE -CITATION
1 5
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3.
7
3
7
RECEIVED
DISPOSITION:
4
8
4
8
DATE:
7
ETTER NE EDED [:] YES 0 NO
LETTER NEEDED [] YES NO
8
7�
21-26-2015 EDMONDS I ENTIRE TNTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf.O.jpg
r
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE 1-26-2015
TICKET A 72707
A I
1106 541h Ayenue East, Tacoma, WA 98424-
PERFORMANCE EVALUIMON ""UO
Phone: (22 248-2006 Fax (253) 240-2300
Work Type
INSPECTION
SileName MAIN STREET PLAZA
Account# MAIOOO 1
Addiess: Ill MAIN STREET
City EDMONDS
contact Persah RUDER TYNES
Tel8phone*
206-427-2016'
System.# 1 Type WET'
Area Cove ENTIRE INTERIOR
System 1 2 TVpe DRY
Area Cove PARKING -GARAGE
System # .7Vpe
Area Cove
System * Type
Area Cove
System # _ Type
Area Cove
Type aft Occul�anrcy (CHECKX gther-
E] Assembly C]Storage [31ndustrial
groffices [] Retail []Apartments
skondomlnl�,ms C]Reslddntlal
A. OUWER'S- SEC770M
1. Has� there been any fwe.p�qtiection m6dific:dons sincet.he last inspectionl: El yes: Q(No Describe below.
2. Dew IM any fire(s) since la& inspectiom.
NONE
3. Date Cappro�imate N unknown) sp&Mer system vves installed: 199S
4. Nam of instaildlion oompeny7 SMITH FIRE 8YSTEMS
B. EVSPECTOR'S SEC=N
1. GENERAL
IS. RQ NIA
a. Does the system have a hydraulic plaque?
b. Are the risers labeled and whed are the spedfics?
Dischaigedensfy .17
Gallons per minute 732.18
c. Is the loubcfng tdly rprinMered?,
.d- Is the er&a sprinkler. system in service?
e. Record water ptessure at riser
Inte
Per 3000 Sq. Fl. residual presswe at riser 62.2S psi:
do 0
gr 1:1 0
13S PSI
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf. I jpg
2.
CONTROL VALVES
YES
NO
WA
a.
Are at sprWer system conlrol valves and all othet VOves: h the CWwArWite
open or closed position?
b.
All corrivol valves, operatedthrotigh fmll range of motion and rehirned to roormdpo'shm?
c.
Ara ad corfiral valves In the open poaltion?
DUCked W'Seeled [176rVered
Cl.
Are all cordrol valves properly Maned?
.1.
FIRE DEPARTMENT CONNECT101IS
YES
140
11A
a.
Ara fire (tepeament connedlons In soUsladory condItion (Unobe.InKled view,
Cow1hos Wale freely, cops are In place)?
b.
FDC haoliNsIml In 2014 (neq4llcpd Quell 6 Years)
-I.—WET MUMS
K/A
a.
I -love anlifteeze syslem soltdlons been tested? s4mion %
0
11
.7
b.
Wore the onlWeeze loot Ocaus.- solo foctory? specilic Gravity Rewing(C
Deg D
1:1
71
o.
Doon: IIw btWing opporr to bo oda(IMety, heated at time of Impedlon?
cl.
Llal wallar flow Iasi of inoin c1roln modo at aptirwar rizarri
e.
Wainal exam of piping conducted In 2014 (FWqW#*d*vttj I Years)
0
.5. DRY -SYSTEMS
YES
110
ILIA
&
Ia Uw & prensuro end priming walor lovd in a=rdanm wb mnuladwees hthoefinns?
L;(
D
1:1
b.
Hes Lhe apereAlon of ffie ek o� n1trogen supply been teded?
Is Ilt in ser*e?
6.
Werethe IoW points drained fting this kupechon? How 14"W? 4*
Qr
Ej
13
d..
Did quick-opuning davices operatm se.U-3190atily?
e.
Old Me heating equipmarl in the dry p1pe vahm room operate at the hm of hipecbm?
1.
Was lhe city valve tripped duKng Ift Inspection?'
i
: 21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf.2.jpg
DRY PIPE
OPERATINO
TEST
DRY VALVE
O.O.D.
MUE
MODEL
SERIAL NO.
MAKE
MODEL
SERIALNO.
GRINNELL
F3061
QODL TRIP OK
TIMETO TRIP
THRU TEsr PIPE
VATER
PRESSURE
MITLAILAIR
PRES�UFLE
TRF PCAIT
PREBSUF�E
TIME VATER REACHED
TEST OUTLET
ALAF#4
OPERATED
LOCAL
ALARM
OPERATED
REMOTE
MPI
SEC.
psi
PSI
PSI
MIK
SEC.
1-26-2015
N/A
0
0
135
49
12
0
0
YES
g. Data dry pipe valv6trip,teste d (control valve fLdy.open).
h. Intainal exam of pIpM e6mWeted In 2014 (Requilied-e-jeegAVears)
1/26/15
r
11 El
6. ALARMS
YES
NO
NIA
a.
Did waler motor gong test satisfactorily?
i'd
b.
Did electrica bd test saftfactully?
1:1
El
c-
Isthe system suplirvised w1h alarm? Me? AVANT GUARD
Operator #
d.
Did alarm monitoring service test jetisfactorily?
a.
Water -flow agarm?
I.
Vatyetam* mordtortng?
1:1
F-1
g.
HILo Air SvAch
"1
1:1
El
7. SPRINKLERS, GAUGES
�ES
NO
N/A
a.
Ate all sprinklers freff from carroslon, Icreign maderial, or palnt?
1:1
El
b.
Arethere arvV non-dry,sprifnikler heads manufactured prim to 192D?
d
1:1
c.
Are all non -dry sprinkler heads less lhan 75 years oW Date of last sample testing;
-4d
F-1
C1
d.
Are afl non -dry sprinkler heads less than 50 years old? Dde of last sample testing:
-st
0
F-1
e.
Are an dry type spriewer heads law lhan I a yeeirs aid? Date of Iasi sa . mle leang:
El
El
1.
Are an FAST RESPONSE WrInkler heads less than.20 years old? Date of last samfole testing.
1:1
11
g.
Is theTe WxI in the glass bulbs?
Rd
1:1
1:1
In.
Is a head wrench, stock of spare spiinkllens and TO= lope eva�abb?
1:1
El
1.
Do" the exterior conoftion of the sprinkler, systeinjappear to be satisfactory?
El
1:1
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf.3.jpg
8. -WAnRFLQW TEST AT MAIN DRAIN MAIM-AT-SPRINKLEIR RISERS
1T;ST RJyE
DATE
TEST PPE
LOCATION
SIZE
TEST WE
STATIC
PRESSUW
RESIDUALIFLUV)
PRESSURE
1/26/15
WET SYSTEM RISER Robm
2"
135
100
2
....... . .....
1/26/15
................. I ... ------
DRY SYSTEM RISER ROOM
.... . . ........ ........ ........
1.25"
.................................
135
105
. . .........
4
. . ......... .
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.ptif 4.jpg
a.
10. A*StmeM!3 Or mtediont inade durhg His inspectlarr
systent I
grls� operational
sysm.ria 2
dis operational
Sysmot 3
is operational
Systent 4
is operational
Syswii 5
[3 is operational
of e reconmnom
C1 Is operational with defects 0 IS not operational
(:] is operational with defects C] is not operational
C1 is operational with defects [] is not operational
[:) is operational with defects 0 is not operational
C] Is operational with defects Is not operational
17/
SMITH FIRE SYSTEMS MAKAOEMENT, LLC
1106 54th Avenue East, T�com�, WA 98424
Phone: 251 2AS-2000 Fax: 24&2360
JOE STUDER
71�6-13409-E
1/26/2015
4 i a Inspectow
Prior "aam
VA SF1*0 ITT 0
1/215/2015
2emwe of Owner of Rogresgala"Wo
Rini 111"me
om
21-26-2015 EDMONDS MAIN STREET PLAZA 72707 SFSM - Fire Alarm Confidence Test.pff.O.jpg
SMITH FIRE SYSTEMS MA�MGEMENT, LLC DATE 1-26-2015
5F,,7,, CONFIDENCE TESTING FIM ALSLRM 'TICKET # 72707
1106.64th Avenue EaV, Tacorrm,WA 98424
Phone: (2S3) 248-2000 Fax (253) 245-2360 Work Type INSPECHON
SITE NAME MAIN STREET PLAZA ACCT# MA00001
ADDRESS
CONTACT
- 111. MAIN STREET CITy EDMONDS
REIDER TYNES, PHONE 206-42.7-2016
NAMEOFTESTER 30ESTUbER CERTIFICATION NO, STUDS8.62JI3
DATEOFINSPEC71ON TYPE OF INSPECTION Annual
CONTROLPANEL MANUFACTURER ADEMCCI MODEL NO. VISTA-128FB
NUMSER.OF INITIATINO CIRCUITS 7 Nd, OF SIONAL CIRCUITS 0
SATTERYVOLTAOE 121.86 VOLTS CRAR0ECIR6UlTv6LTAOE 13.61 VOLTS
SATTERYVOLTAGE UNDER FULL LOAD 12.60 VOLTS (SIONALS OPERATINO)
1.
Trouble signal with At power of
S(YES
El NO
[3 WA
2.
gystam operates satisfactory on standby power
dYES
NO
[1,WA
3.
All signals operate on AC- power
dYES
El NO
D WA
4,
Have all alarm notification appliances been checked for proper operation?
&fYES
[I NO
[I WA
6,
All circuits checked for electrical supervision
Q(YE9
C1 No
Ci wA
6,
Control panel checks made per manufacturer's instruclions!
Q6ES
1:1 NO
D WA
7.
All auxiliary equipment operates (Elevators, fans, dampets)
D YEs
0 No
P(WA
B.
Central station or remote connection
4YES
NO
[I WA
Name, of Monitoring CoMpany AVANT GUARD
9.
Ke'y to panel available
gfES
VN 0
11 WA
-10.
Opetatin S instructions at panel?
94SS
[I NO
WA
-11-
Service La6el. or Tag (SFC Appendix 111-113).
dyr:8
D No
D WA
'12.
Did you sign aff Itern 8 on the.Elevator Lag
9AES
El NO
EIIWA
FO
21-26-2015 EDMONDS MAIN STREET PLAZA 72707 SFSM - Fire Alarm Confidence Test.pdf. I.jpg
I EOUIPMFENT TESTED
TYPE OF EQUIPMENT
NUMBERS OF
UNITS TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
I NO T-
N/A
Bells, Hams, Chimes
Voice Alarm Speakers
Visual Awn Devke
Trouble Indicators
Super. Switch (Auto, Spr.)
S
Auto Sm. Flow Switches
2
__q/
2
Smoke Detector(s)
Heat Detectur(s)
n(---
Manual Pull Stations
Ventillabon Con#ds Opei-ate
Central Stabon
Annunciators
Elevator Call Dawn
Fire Damper/Smoke Dampers'
.............
. .....
Phone Jacks
Auto. Door Unlocks - (Fails6fe)
-- — — ------- --- — —
— -------
Auto. Door Release
Other
PROBLEMS FOUND:
NOTE: ELEVATOR recall on independent system not monitored
DATE CORRECTED BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
SMITH FIRE SYSTEMS MAKROEMENT, LLC
1106 64th Avenue East, Tacoma. WA 98424
Phone: (253) 2 B-2000 Fax: (253) 2414-238U
JOE STUDER
1/26/2015
signamm
pdm manle
Date
1/26/2015
5ft"ture of Owe" or Reposentsfive
prb" mom
�Dt* -
L
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf.O.jpg
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE 1-26-2015
TICKET k 72707
1106 Wh Avenue 6ast, Tacoma, WA 98424 PEWORMANCE EVALUATION Annual
Phone: (253) 248-20130 Fax (253) 240-ZMO Work Type INSPECRON
SiteName MAIN STREET PLAZA Account# MAI0001
Address: 111 MAIN STREET City EDMONDS
Contact Person REIDER TYNES Telephone* 206-427-2016
System 1 Type WET Area Cove ENTIRE INTERIOR
SYStein 1 2 Type DRY Area Cove PARKING GARAGE
system # Type Area Cove
System # Type Area Cove
Systemf _ Type Area Cove
Type of Occupancy (CHECKY Other'.
E]Assembly C]Storage [Dindustrial 4doffices Retail Apartments doondominlums Residential
A. OBWERS SECTION
1. Has there been any fire protection modifications since the last inspeclion?; El Yes 1,;4(No Describe below.
2- Describe any lire(s) since last inspection.. NONE
3. Date (approximate 0 unknown) spritAler system was installed; 199S
4. Name of installalion oompany: SMITH FIRE SYSTEMS
B. JNSPECTOR'S SEC77ON
1. GENERAL
a. Does the system have a hydraulic plagje?
b. Are the risers labeled and what are the specifics?
Discharge densty 17
Gallons per minute 732.18.
c. Is the buUng fully sprinklered?
d. Is the entire sprinkler system in service*?
e. Record water pressure at riser
Inte
Per 3000 Sq. Ft. residual pressure at clser 62.2S psi.
Y, MON
Q( El El
9d El El
13S PSI
a, ,
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf. I jpg
2.
CONTROL VALVES
YES
H 0
N/A
a.
Are all sprintler system cardral valves and all other VeNe in Wz- Wic;6rAe
open or closed posdlon?
b.
All coritrul valves operated through full range of motbn and retumed to nannal posbon?
c-
Ara all cardral valves in the open poallion?
El
Q(
El
DLocked W'Sealed IlTanvered
d.
Ate ril cordrol valves Iyaperly slaned?
Qr
El
0
.1. RRE DEPARTMENT CONNECTIONS YES NO N/A
Qr El El
coupifts tolm freely, cans are In p4ca)?
b. FOChooli(kisliedfh 2014 . (nequited *veil S Yeats)
4. WET USTEM
=19
HQ
MIA
a. I -love anlifteeza system soltitlons heen tested? sculon %
0
0
Qr
b. Wore the orill(teeze test resuls sallsfoctory? SFWfic CROWY ReWhIK:
Deg 13
a
L7
e. Doe* tho butdIng apimar to be adequalety heated at lime a I 1rupedlon?
17
cl. Lict water glow lozi of inaln diarn mcxlo at :iprlr*lor rkers:
a. Inleinal exam of piping conducted In 2014 (Requited eveig 5 Yeats)
Qr
5. DRY SYSTEMS
YES
JL0
tLIA
a. 12 11w & pro.-ntjro arrJ printing water lavel In accor&rtco with monufadwee: klstra:fims?
Qf
0
El
b. Has [lie operation of ft air or nitrogen supply been tested?
Qr
1:1
Is it In service?
11
E]
c. Were the low points drained Airing this knpection? How Many?— 4
El
IJ
d- Did quidt-cipargrig devices operate setisfactarily?
e. Did the healing equipmert in the dry pipe valve room operate at ft tim of inspection?
f . Was ihe dry valve tripped durfnq Ift Ins*ection?
S
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf.2.jpg
DRY PIPE
OPERATINO
TEST
DRY VALVE
O.G.D.
MAXE
MOIX- L
SERAt NO.
MAKE
MODEL
SESIALNO.
GRINNELL
F3061 I
QaDLYFUPOK
TIME TO TRIP
THRU TEST FIRE
VATER
PRESSL(RE
10141. AIR
PRESSURE
TRPPOTJT
PRESS
TIMEVATERREACWD
TEST OUTLET
ALARWI
OPEPATED
LOCAL
ALARM
OPERATED
SEMOIE
t4N.
SEC.
PSI
PSI
PSI
MR
SEC.
1-26-201S
N/A
0
0
13S
49
12
0
0
YES
g. Date dry pipe valve trip tested (central valve ftfiy open).
1/26/1S
h. Internal exam of piping conducted in 2014 tRequitede-jet9STeatsi
4'
0
6. ALARMS
YES
NO
WA
a. Did wate7 mator gong test satisfactolily?
C1
0
d
b. Did electrical bel test saftfactocrily?
d
El
El
c. Is the system supervised wth alarm? Who? AVANT GUARD
id
0
E:1
Operator #
d. Did alarm monforing service test satisfactaffly?
a. Waterflow a!mm?
Id
El
El
f. Valve tamper monitoring?
gr
El
0
g. HhLo Air Switch
d
0
0
7. SPRINKLERS, GAUGES
YES
NO
�WA
a. Are all sprinklers free from corrosion, foreign maderial, or paint?
d
El
El
b. Are there any non -dry sprimler heads manufactured pft to 1920.7
d
0
c. Are all non.&y sprinkler heads Lass than 75 years oicl? Date of W sample testing;
1:1
C1
d. Are oU non -dry sprinkler heads less than 50 years cad? Dale of last wmplo tesfn_q:
0
11
C. Are 80 dry type sprhkler heads I&u than 10 years dd? Dale of la& seanple lesting:
El
D
f . Are all FAST RESPONSE WrInklar heads less then 20 years old? Date of last semple teslIng
C3
C1
g. Is thexe fkisd in the glen bulbs?
0
0
h. Is a hoed wrench, stock of spare spiinklms and Teflon tape availabb?
1. Does the exterior condfion of the sprinkler systein appear to be satisfactory?
i
21-26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SFSM - Sprinkler Evaluation.pdf.3.jpg
8. WA—IERFLOW TEST —AT MAIN DRAIN MADE AT- SPRINKLER RISERS
TEST PIPE
DATE
TEST PIPE
LOCATION
SIZE
TEST PIPE
STATX
PRESSURE
RESIDUAL IFLOV)
PRESSURE
1/26/15
WET SYSTEM RISER ROOM
2-1
135
100
2
1/26/15
. .. ....................... ................................
DRY SYSTEM RISER ROOM
........ I .......................... .
1.25"
....................................................
13S
.... . ..... ...................
105
3
. . .............. . ................. . . ..... ............ ......
............. ............ ..... . ..........
. .... . .............. .. . ..........
..... ................ ..
---
4
---------------
------------------------------------ ----------------- ---
- - - --------------------------
---------------------- . .. ..... .............
.....
.... — ----- --------------- — ------------------- --- — ---------
------
- -- — --------------------------- -------------
--- --- *-"-,*-,*-* ----------
'J. Explar any 'Wenswets and cwmwds:
2li26-2015 EDMONDS I ENTIRE INTERIOR MAIN STREET PLAZA 72707 SIFSM - Sprinkler Evaluation.pdf.4.jpg
System I tts operational
Clicteni 2 dis operational
systo"I 3 [3 Is Operational
System 4 C) is operational
Systent 5 C] is operational
0 is operational with defects
0 is not operational
0 is operational with defects
0 is not operational
[:] Is operational with defects
0 is not operational
C) Is operational with defects
0 Is not operational
0 is operational with defects
0 is not operational
SMITH FIRE SYSTEMS MANAOEMENT, LLC
1106 54th Avenue East, Tacoma. WA 98424
Phone: (253) 248-MOO Fax: (253) 248-2360
ZIA 00t:::7
JOE STUDER
7126-0409-E
1/26/2015
'r
Ke taspectof
Print Name
VA SFMO ITT 9
Date
signa4ure of ounal or Ropleseatative
piing Name
04to
4L
21-26-2015 EDMONDS MAIN STREET PLAZA 72707 SFSM - Fire Alarm Confidence Test.pdf.Ojpg
&
SMITH FIRE SYSTEMS MANAGEMENT9 LLC DATE 1-26-2015
CONFIDENCE TESTING FIRE ALARM TICKET # 72707
1106 S41h Avenue Eag, Tecorria, WA 98424
Phone, (M)248.2000 Fax! (253)248-2360 Work Type INSPECnON
SITE NAME MAIN STREET PLAZA ACCT # MA00001
ADDRESS 111 MAIN STREET
CONTACT REIDER TYNES
NAME OF TESTER IOE STUDER
DATE OF INSPECTION 1-26-201S
CONTROL PANEL MANUFACTURER
NUMBER OF INITIATING CIRCUITS
BATTERYVOLTAOE 12.80
PHONE
CITy EDMONDS
206-427-2016
CERTIFICATION NO. STUDE1662313
TYPE OF INSPECTION Annual
ADEMCO MODEL NO. VISTA-128FB
7 NO, OF SIGNAL CIRCUITS 0
VOLTS CHARGE CIRCUITVOLTAGE 13.61 VOLTS
BATrERY'VOLTAGE UNDER FULL LOAD 12.60 VOLTS (SIGNALS OPERATING)
1.
Trouble signal with AC power off
91YES
NO
D WA
2.
System operates satisfactory on standby power
@(YES
NO
D WA
3.
All signals operate on AC power
9'YES
D NO
D N(A
4.
Have all alarm notification appliances been checked for proper operation?
@rYES
[I NO
D IWA
5.
All circiuils checked for electrical supervision
QrYES
[I NO
D WA
6,
Control panel checks made per manufacturees instructions
Q?YES
D NO
D WA
7.
All auxiliary equipment operates (Elevators. fans, dampers)
D YES
C1 NO
gtrWA
8.
Central station or remote connection
dYES
[:1 No
DNA
Name of Monitoring Company: AVANT GUARD
9.
Key to panel available
;4ES
Q(N 0
DW
10.
Operating instructions at panel?
IYYES
C1 NO
DNIA
11.
Service Label or Tag (SFC Appendix III-B)
96ES
[:1 NO
EirwA
12.
Did you sign off Item 8 on the Elevator Log
96ES
El NO
[INA
FID
21-26-2015 EDMONDS MAIN STREET PLAZA 72707 SFSM - Fire Alarm Confidence Test.pdf. I.jpg
EQUIPMENT TESTED
TYPE OF EOUIPMENT
NUMBERS OF
UNITS TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
NO
Bells, Horns, Chimes
.....................
Voice Alarm Speakers
...........
Visual Alarm Device
......... .........
. . ...............
..
....... .........
Trouble Indicators
1
............. -1 --------
%(
.............
1
Super. Switch (Auto. Spr.)
S
. ...... ...
%*/
S
Auto Spr. Flow Switches
2
................
.......
I
2
Smoke Detector(s)
4
...................
............
4
Heat Detector(s)
Manual Pull Stations
Ventilation Controls Operate
-- ---------------------------
---------
---- ----- --------
4/
- - -- ... . ......
.....
Central Stabon
1
........... ...
1
AnnunciatDrs
..............
I
........ ------------
Elevator Call Dwm
I/
Fire Damper/Smoke Dampers
.............
" ........
Phone Jacks
..............
f
AutD. Door Unlocks - (Failsafe)
Auto. Door Release
Other
NOTE: ELEVATOR recall on independent system not monitored
DATE CORRECTED BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT,
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma. WA 98424
Phone: (253) 2 &2000 Fax: 22 248-2360
JOE STUDER
1/26/201S
Signature of
PFkd Maine
Date
1/26/2015
Signature oF Or RepmSemative
Print "aaw
floam
1 10 13 Edmonds, WA Main Strcct Plu7a 55860 SFSM - Perfor=ncc Ev9Iu9tion.pdf.O.jp9
. . ...............
SMITK FIRE SYSTEMS MANAGEMENT, LLC
DATE
TICKET At SSW
ANNUAL
jills 6ft okvwA SW. Tacoma, WA 99424 PERFORMA.MCE EVALUA'n*N
phunw. 126M 248-MID F" L2R) 248-2350
Site NarwMaln treet. Plaza Aqcourd 0
Cijy.Sdrnonds, WA
Addiess', 111 Mah St
s. 2DG-421-2016
ConluclPetion Rlgd@rTr.e$ Telephone
sysvm f —.I—,Tip@ -YAnET Intedbr
"term V. 2. Type DRY Ari.�t 64;Pta�kin - q-oi��.Qe
Systim 0 IVPL- AmaCove
systems Type, Arst Coit—
'0
Syglarn 0 _Type, AM4 4WD
T�m of Oetwency (CHEM lolfter'.
C]AsserntAy []SWape DinducOlal dofficet f] ReMll' [3Apslrrwvnls G(ConflorrdnIums [3Resll9rdfsI
A. OWNER'S SWTMN
1. Hwlh&@ b"n any We ptiftelior m6dtOmWorstnce Ove 1091 ftPedlm?: Yes O(NO E)"CnIbabolow.:
2, Deserm MY Ffe(s) *ce 10d WMWIM: None
3. - Date WOOM W4111WArOd: A "M
4. NArft of In I I lonaouv":- Smith Fire SYStems R-221
B.
RMV=T.0919 99OMN
J.
GENERAL
M.
H2
WA
a..
Does twSylviem hove vh7*l5ulic.plBWA?
gr
0
13
B.
Are the rMrl 1081121 OIV;AM We:ft SPWflt$?
Per Sq. Pt.
62.25 .1331.
aellons Per Mwe. 7`12AS
U.
0
0.
12 the ttlIkk9 WIV vwNdwom
gr
0
11
d.
is the w" 3pM)dv,r-SvM�fn in wV087
St efter."
125
PSI
inte
I-ID-13 Edmondo. WA Main Street Pla?%55960 SFSM. Performince Pvnluatian.pdfA.jp9
ORHOL VALVU
HIA
an sprinhigy "surb car*al veries and -on cow vb'f" hVemwoOrote
apm or clm6d OmAkm?
13
0.
Am.511 c&ftl vbtv@*'In" GPM 00111160
Or
cl
'13 Lickao Qrsboo wfTwoerm
Q(
0
0
d.
3.
PRUM HT f&NHEtTTIOKS
aadhal rdme frOO. ms era In 0OW1
b.
PDt bedWk0ed fn' -2009
4., Wff-sYsums
n
6.
Hays **rme systso nluomfii �emk%stw SOWN%
cl
C).
it
smift"20 ftd roma Nowkwy?
a.
N'n the buk%V oppear ta,66 6,26*01* t4moom.10" ohrPodw
k"Of0exalb of P"V ciam"adh
si
no sysums
le lhb* Prodswe cr�l pilming wvfqrlc�o in
b.
mievrat OPONAIGn of &*:Cwbr MrOW1.11ROPY 50eftId011odr?
FIN MrAm?
6,.
ftratm low polMe 4
[3
0
sr
ij�
DW (juick-upwdng ftvkv�
DW the haetrg dquoftit irk tho'dty..O�OVOIO MR O.Perdbd UM W6 Of- RtOlkwW17
0
0
f .
Vilas fle dry -two tripped dtAV Oft hVMI*n?:
M UGTI�Gyml MV, 118=1 MEM 11.11111�� �IMM
10:26 JAN 18, 2013
FAX NO: 896-1216
#39751 PAGE: 5/13
01-10-13 Edmonds Water Works 55942 SFSM -Performance Evalvation.pdf.l.jpS
, ............
0.
13
44:
rl
0.
t4w 0 #?
I-.. F10 DEPA4MMtC6UWCn4U,:
0:
WA.
*7 AreAte d"Ined coruvMn� in
toake tt-�I.,wm
1n;
YMES
:0:
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10:27 JAN 18, 2013
FAX NO: 896-1216
#39751 PAGE: 6/13
01-10-13 Edmonds WalerWoils55942 SFSM - Performance Evalualion.pcif.2jpg
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A
xmrm IFIRE SYSftW4 MANAGEMENTp LLC
1 10664th Awemve'EW, Tdcckma. WA 9GQ4
anc M262DOO Fax: V0,248-2360
Craig �kbbio
7Z
04PMWO of a Obs 9,11WO p"tapbow
1PAK1 amp
MUM -
Aug 29 2012 10:17RM SMITH FIRE 425-248-2360 p.2
SMITH FIRE SYSTEMS MANAGEMENT, LLC
REPORT OF INTERNAL CON131TION OF 6PRINKLER PIPINO
1106 64th Avenue East, Tacoma, VIVA 98424
Phone: (253) 248-2000 Fax: (253) 240-23eO
InspectIng firm: QVV-rA2A.JII!% AAA AJ Inspection cWract 4:
NarneclPmpeny: TREETPLAZ4 Address: Iff 08020
Inspect Name: Bourn Date; kam-
page I of I
Inspectlon frequengX: LJ Quaq!!qL=. Annually El Dther- 6 YEAR
Li Wet LIJ Dry LJ Preaction Ej Deluge LJ Other
An examinatlon of representative sections of this sprinkler system has been made to
determine Internal conditions.
Initial Examination Data:
Number of branch lines examined: % of total branch 11 nos
Numberof cross rnsins examined: % of bulk Ilnse
Other eginta examined (describe):
Results of Initial Examination:
(Check box whlch appilem)
19 - 1, The Interior of ft oprinkler piping sepears In saflefactory condition
13 2. The sprinkler syatems are in need of Internal cleaning. Some of the pipes were found to be partially full of forelgn matedala,
(specify nature of internal stoppage, I.e., pipe scale, sill, mud, tubarculation)
Examination Subsequent to Cleaning System:
Cleaning method used (describe):
Number of branch linas examlned: % of total branch lines
Number of croas malne examined: % of bulk lines
Was rJp tie placed on system: Color of zip tie:
Other polnts axemlned (describe):
Results of Examination Subsequent of Cleaning:
(Check box whlroh applies)
ED 1. The Interior of the sprinkler piping appears In salisfacto!y condition.
2. If Interior of elping other than satisfactory, describe:
SMITH FIRE SY8TfiMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253)248-a2RZ=F8"X.253)24 -2360
Roman Segura
019natm Inspectar 8123/2012
Print MIMI WA OF MO ITT# Dole
RIC MAtUIPS Of Owmar or Reormsentnil— Print W&rne 11MIA I
ALL QUES7701VS ARE InD BE FULLYANSMRED AND ALL BLANKS TO BE F&Lw
M fr-W-=- Is 1.7 in F1401i P40) Val-1-1 1151! 61 W9 l V MIT. ra rer, �41 me a 9 11 =a, a M I WIP. UIC a 01
Aug 29 2012 10:17nm SMITH FIRE
425-248-23GO P.1
SMITH FIRE SYSTEMS MANAGEMENT, LLC
. . . . . . . . . . . . . . .
1108 04th Avanue East, Tacoma, WA $8424 Correctlon Report
Phanc (253)2413-2000 Fix: (253�248-2300
Slte Name, Main Street Plaza
Address: III Maln St, Edmonds, WA 00011
Data, of Correctlons: .21 3-14
Job Number: w 51897
Proposal Number: N12-0206
Corrections Made: 1. PERFORM WE ON 11) DRY SYGTEM IN GARAGE (SEE AT7ACHED)
WIT-WIMM M
Feb 13 2012 2:51311M SMITH FIRE 425-248-2360 P.1
Rivised Date 611WD9
a Mif FIRE SYSTEM3 MAKAGEMENTj LLC
m
DATE I
Joe 0 -fo7fs-v-
i1l0d WhAvenuo East, Tacwm.Wh 08424 PERPORMIANCE EVALUATION ANNUAL
PhGrW (253)248-20M Fax: (294249-MIN
snowme MAIN STREET PLAZA
Address: 11, MAIN STMET. COMONDS, WA 08010
Cor4act Person 24YOER Telephone# (206)427-2010
ayfftem # TOO WET Area
System 0 Type DRY Arles
System 0 TYPO Area
System # Type Area Covered
Syslem# Type Area CovwW
Type *f0ocWmc((CIRCLt): Other
Amwbly ftmge InclustrIal 2ftff Retell Apartmerft nandmoftwu Residential
A. OWMZR'S aW770N
1. Has thism been any fka prnfection mcdWAdona sinta th* lost (Papeftw: Yes No Describe belovc
2. - DescrIbe firs(s) Once kel Insp
3. DOW (OPPMR mate V WW*wA)aprklklw symm viras Installed; 1990
4. Name o(butiaAallan compartlin SAM F7RE SYS rEA(S
B. INWACTORs
i—GONERA
SBCTZON (AfiffiVarlies-albow
have ai tWdroulla plaque?
a. Dow the irymism
b.
Ara the ft=
101)(110d WW what am the spodk@7
Discharge dot
ally .15 PW 1950 8% Pt rasklual pirsawre at floor B&II
PW-
Gallovis W minuta
42&4 WRY)
C.
10 the Wilding
Uty apdriMerod? ,
/-
d.
Is ft or" el
minider syrAm In a~
a
Record wvW
XWUrG st ffafr
pal
2.
COMTROLIALVES
a..
Ara all sprinkler
wjiftm control %fetv" and all other veffte In tw oppmpftte
open or doaac
poshlon?
b.
All ccr&d val%o
me operated through flull fangs Of R10110n and returned to 10111 PDOW90
a.
Are al cq=oI
Locim L.j
falves M Thypen pgaltlon?
Boaled TamWjd
d.
" al cartral
IV" properly $19ned?
MAIN S�EET PLAZA
Pogo I of 4
�GTAMG M Of I =Is, sm
Feb 13 2012 2:56PM SMITH FIRE 425-240-23GO p.2
a. Arefimcleputraftoonnac no In salelt clary candifon (Unobavc1lou vww,
couplings rc tato freely. cope we in place)?
b. FOC bwduaW In 200 .(ft*fiMdMry5Y"r*)
a. Han ordifira me system solutions been wailed? Soluilon %
b. Wem ft on kmm tw roguft goilgitiMW Spedft Gr*Wty Reading(s) DM
C. D� ths bu'dlftg &PPuar to be adeWetely hosted 91 fte of Inspection?
d. List WMW flCv teal of main drain made at sprinkler risers;
a. Intwel exa� W *kV condudled In .2007 (Rupdad w"ry 6 Items)
al. lbs ft aIr kne wW prImkV walim, lovel In a , nce WIth ManufaCtUrers InoWetlons?
IS. Has 00 opm alM or Me air or n3rogen supply been ?
Is It in servici R
*6 Waire the krA points drailned during No Inspedlon? HQWM9nY7 4
0. Dldqjlck-op nIngdowcosopermosiloftiorly?
o. Did ft heBU 19 oQuIpment In Ow dry pipe valve room operate at" Ome of Inspection?
f. We& Oft dry olve trippowl duemg IhIS Inspection?
DRYPIPE OMMMELL I FIN I
OPERATING I CLOD, TIR11. I TIAMTOTMP I WATPA I imrLq AiR
TEST OK rmnu TEST Pre I PRIBOWW I � PRw3utte
110 lov 1 1 3z I /Z
g. Datedfryplpa I" trip tasted (ODIllmll valve hAy open).
h. Internal @Xam Of plWq conductod In 2W7 (%*tm aft,
8, ALARMS
a. Vic! wow r gong tM saftrocilgrIly?
b. Old aleUrIcall tell tw wtidactorly?
Revised Vale W10109
som
TIVP POW TIME WATER RMWH ED � ALARM I ALARM
PREMKIE 0PERA7E0-j OPEUTED
t R.
C. Is 010 $YVAm I UPONIsed 0h alarm? who? Vsm GAVANTGuARn- a.ins
Operator #
0. Did alarm mon todrig owvim fast ss"doily?
a. Welatflow slam n?
f. Valve lemper n ionliorino?
a. HULO Ak swild I
.MAIN 811`�EET KAZA
20YU
Page 2 of 4
-., ON= 0 Mira I =1 4MSM- w4s��
Feb I� 2012 2:56PM SMITH FIRE 425-248-2360 p.3
Nvised 0210 W I NOR
s. Are all spr1ri don Ime ftm oomoollon, forelIgn metaft, or point?
b. Are there or V non-ft spri"r heads menufaeWrod prior tD 19207
a Am al) non -dry epdnlder heads Me than 711 years old7 Data of last sample basling:
d. Am all non-< ry soMitler heads low then 50 years old? Date of last sample timing:
a. Are all dry 11 ps, sprinkler hesdo lose Own 10 years *W? Ddo, of laot compile teating: I =rzw
f. Are 94 FASIAESPONSEopffliclerhoodslime ftn 20 years old? DAM of Isall sample bdng:
g. Is there fluid In the glass bulbs?
h. Is a head wr wvh, stock of opus o~ and TaIllon Ups avollable?
1. Dooeft
s7talc tow"?
TMPIPE�
DATE
I TEBT PIPE
LOCATION
SIZE
TEST PIPE
STATIC
PRESSURE
RE131DUAL (FLOM
PIREaSURE
X-10-7,
I
2"
I T'S
RWER
1.25"
4
Feb 13 2012 2:513PM SMITH FIRE 425-248-23GO p.4
Revised Onto St ISM 9
0. Adjustmeno or oweallons made dudng M lrup6Wen-
11. AM=gh ths�* comments we nal the moultof my angilripeoring review, ft Ulowirg desirable Improvements am recommended:
Sylotom 1 �!3
is operational
ED
Is opeo tilonal with dalbcts
El
Is not operallonal
System 2
Is operalonel
Is Opervilonal Wfth des*
E]
Is not operaillonal
Sym'sm 3
Is aperasonal
Is oporgmal Wth defects
Is not opembonal
System 4
Is epenstional
C]
is openational with deftets
Is not operational
System 5
Is Operational
ED
is operational Wth deftots
Is operational
*MrrH FIRE SYB'TEMS MANAGEMENT, LLC
1108 54th Avenue Fad, Tworria, WA 98424
J
Ph no: (263) 249-20DO Ftx: (263) 248-2300
Pd WA. WMQ JTr 0 onto
ojft_
MAIN T *RIEET PLAZA
8
Page 4 of 4 1 J
Feb -Ii 2012 2:56PM SMITH FIRE 425-248-23GO p.5
SNUTH FIRE SYSTIMS KAHAOMENT, LILO )ATE W
GONFIDENCE T=TIK6 FIRE ALARM JOB 0 V.7
108 64th A�mw Earl. TWW8, WA 28424
Phom: (2531248-1= Fax: (233) 248-2390
SITE NAME MAIN STREET PLAZA
ADDRESS 111111 MA1N8TREUr,RDMOND8,WAU02*
CONTACT RYDER i 9 0 A PHONE (206142T-2010
NAMEOF'rESTER ldfiff"I UAneIA- CERTIFICATION NO.
I
DATE OF INSPECTION
CONTROL
NUMBER OF
RATTERYVOLTAGE
SATTERYVOILTAGE
f Af// 9— TYPE OF INSPECTION
PANEL MANUFACTURER ADEMOO, MODELNO.
INITIATING CIRCLIMS 4 NO. OF SIGNAL CIRCUITS
VOLTS CHARGE CIRcurr VOLTAGE
UNDER FULL LOAD ItAl VOLTS (SIGNALS OPERATING)
ANNUAL
VIVA 100
0
AdS VOLTS
1.
Troult4e
*nsl with AC power off
YES
/Z
NO
NIA
C:1
2.
SysUrn
ape robs sag R ra a tri ry an standby pmver
YES
Wf
NO
0
IVA
C1
3.
AN all
inals operate an AC pow
YES
NO
NIA
4.
Have
YES
all allarin notification appillames been ohooked fbr proper operation?
NO
N/A
6,
All dr
�ub *adwd fbr electrical supervision
YES
NO
NIA
S.
ContrW
panel diecks mods per manufacturer's Instrudlons
YES
NO
N/A
T.
All audliary
equipment operafte (Elevators, fans, c1mvers)
YES
NO
NIA
8.
Central
station orraino connection
YES
NO
Ej
WA
Norm
of Monitodng Comparry
BFIM d2
AVANTGUIARD- 80-1228
0.
Key Id
panel available
Yo
NO
0
NIA
0
10,
Opera
Ung Irvatructlane at pand?
YES
NO
WA
11.
Swvf
eLabelorTag (SFCAppendbclll.B)
YES
NO
WA
12.
Did �u
sign off Item 8 an the Elevator Log
YES
[3
NO
0
WA
KWN STREET PLA7A I ot 2
101r; 0:154 =16M W=
Feb 13 2012 2:56PM SMITH FIRE 425-240-23GO G*-.
EQIJIPM�NT TEGTED
P PE OF EQUIPMENT
NUMBERBOF
UNITS TESTED
SATISFACTO
NO. OF UNIT3
IN BUILDING
YES
NO
WA
Belig, Ho
Vobe Ale
a. ChIrnes ELECTRIC ONLY
Sneakers
Visual Al
rmrn Devloe
Tro 9 1
dlwtom
I
Super. S�fth
(Auto. Spr.)
Au(o SDr.
Flow Swltohao
2
Smoke D
iteotode)
Host D
ctor(s)
Manual P
A Stations
Ventl1aflo
Contml$ 0130row
Control S�tjon
Annunclat6m
Elevator 6aH
Down
Fire Dam;
or/Snwke Dampers
Phone Jag
ke
I
Auto. Doo
- Unlocks - (Fallsafg)
AtAo, Doo,
Release
10ther
I I
FOUND:
0ORRECTiONS MADE: &ngsze;
DATE COR"CTED BY
THIS 15 TOICERTIFYT14AT THE FIRE ALARM SYSTEM HAa BEEN PROPERLY TESTED AND INSPErTED FOR
RELIABILIrf TO COVER THE ITEMS LISTED IN THIS REPORT,
SMITH IFIRE SYSTEMS MAKA01111MENT, LLC
1108 S41h Avenue EAM. T000rne, WA 98424
W, 0, 4 im, wozon'�' M.. R. 0 WN I NE If, C, Me,
MAIN STREET PLA7A 2 of 2
, 6g
SNOHOMISH CO.
FIRE
DISTRtf:1T
Serving the cities ofBrier, Edmonds, Mountlake Terrace, and town of Woodway
February 6, 2012
Mr. Harold Huston
111 Main Street #201
Edmonds, WA 98020
Mr. Huston:
Thank you for your question on mounting height of carbon monoxide (CO) detectors.
According to the National Fire Protection Association (NFPA 720), the location for
effective performance is not generally dependent on mounting height. The density of
carbon monoxide is similar to that of air at room temperature, and carbon monoxide
generally mixes readily with air. The manufacturer's installation instruction should also
be followed.
Your Kidde Nighthawk CO alarm (KN-COPP-3) provides for direct plug in to a wall outlet
as you mention, around 18" above finished floor, or electrical outlet height. This unit also
provides an outlet cord so you may raise the device for a wall mount at eye -level that will
allow you to easily read the screen on the alarm for testing and display purposes. This is
my direction for installation height: either or both will work.
Avoid mounting height above 6" below ceiling, or below 6" above floor, or less than 6"
distant to an adjoining wall. The air space does not mix well in these corner areas.
Please call me at (425) 771-0213, Monday through Friday 8-5, and when you have
q questi s. As always it is a pleasure to serve your safety needs.
ues' s. S a ay 's a I
Sin r
-7
ohn J. estfall
AEdmonds Fire S rvices
12425 Meridian Avenue South - Everett WA 98208 - 425-551-1238 - (0 425-551-1226
www.firedistrictl.org 1�
A
FIRE PREVENTION
Serving Briet; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
OMISH CO.
OEDMONDS
Mountlake Terrace, and
�FIRE
Everett, WA 98208
0 BRIER
e Town of Woodway
ST R., T ttwFireDistrictLorg
Phone (425) 551-1200
OWOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIF')
LOCATION: ill Main Street
365
17 D
I
BUSINESS NAME:
J Main St Plaza Bldg
PHONE: 2063631994
SCHEDULED
DATE DUE 1' 10/01/11
MAILING 1212 NW Culbertson Dr
LIFIR � 509 l(202
ADDRESS: Seattle
98177
BUSINESS OWNER:
Tynes, Redar/Linda
HOME PHONE: 2063631994
ACTIVE
EMERGENCY-1: Tynes, Linda
HOME PHONE: 2063631994
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
El 1:1
LICENSE
N CONTACTED:
INITIAL INSPECTION DATE
INSPECTOR:
�-e2,
FIRE AS 1/11 FA 1111 FD LkBx
FE i
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 .
\1 (3,( 6
2
2
3
3
4
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd 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:
D E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [I NO
LETTER NEEDED E] YES El NO
8
FIRE DEPARTMENT COPY
Revised Date W116/0
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE -/0
JOB #
1106 541h Avenue Cost, Tacoma, WA 98424 PERFORMANCE EVALUATION ANNUAL
Phone: (253) 248-2000 Fax: (253) 246-2360
Site Name MAIN STREET PI A7A
Address: I I I MAIN STREET, EDMONDS, WA 98020
C*ntact Person RYDER Telephone;N (206) 427-2016
System 0
f Type WFr
System #
2 Type DRY
System #
Type
System #
Type
System #
Type
TypeofO( wancy(CIRCLE): Other:
Area Covered
Area Covered
Area Covered
Area Covered
Ama Covered
Assembly Storage Industrial Oftes Retail Apartments Londomintums Residential
A. OWNERS SEC17ON
1. Has them been any fire protection modification$ since the lost inspectlon?: Yes. No E] Describe below:
2. Describe any firs(s) zincB last inspeCtlow
3. Date (approximate N unknown) sprinkler system was installed: 1996
4. Narrie of installation company: SAFffN RRE SYSTEMS
B. IAMPECTOR'S SECTION (Aft rvSponSW Wal voice CUMM #010ecilcm)
1. GENERAL
a. Does the system have a hydraulic plaqu97
b. Ara the risers labeled and what are the specifics?
Discharge density
.15 —
Gallons per minute 428A
c. Is the building fully sprinklered?
d. Is the entire sprinkler system in service?
e. Record water pressure at Hser
Per 1956 Sq- Ft residual pressure at r1ser
(DRY)
2. CONTROL VALVES
a. Are all sprinkler systgrn control valves and all other valves in the appropriate
open or closed position?
b. All Control valves operated through full range of motion and returned to normal posloon?
c- Are all control valves In the open position?
Locked E] Sealed Z Tampered el
d. Are all Control valves property signed?
XES 0 NIA
85.27 psi.
1 ZS7 PSI
YES &0 N/A
MAIN STREET PLAZA Page I of 4
10 ii F sm"211P
I�Gyvml IV-Irs it 6=1 GMEE- 10- 1 -
Revised Dole 6116109
3. FIRE DEPARTMENT CONNECTI
a. Are fire department connections in satisfactory condition (Unobstructed view,
couplings rotate freely, caps are in place)?
b. FDC backflushed In 2009 . (Required every A Yeam)
4. WET SYSTEMS
a. Have antifreeze systarn soluVons. been tested? Solution %
b. Were the antifreeZe test results satisfactory? Specific Gravity Reading(s) Dag
c. Does the building appear to be adequately heated at time of Inspection?
d. List water flow test of main drain made at sprinkler risers:
e. Internal exam of piping conducted in 2007 (Required every 6 Y@aM)
5. DRY SYSTEMS
a . Is the air pressure and priming water level in accordance with manufactureesinstructions?
b. Has the operaVon of the air or nitrogen supply been tasted?
is it in service?
C, Were the low points drained during this Inspection? How Many7 �Z_
d. Did quick -opening devices operate satisfactorily?
e. Did the heating equipment in the dry pipe valve mom operate at the time of Inspection?
f Wan tha dry valve fitoned durino this inSDectlon?
DRY PIPE
OPERATING
TEST
DRY VALVE
Q.0.0.
-
MAKE
MODEL
F —SERIAL NO.
MAKE
MODjEL
N
NO.
GRINNIFILL r3oal
TIME TO TRIP WATER INITIAL AIR
0,0.0. TRIP
OK THRU TEST PIPE PRESSURE PRESSURE
MIN. SEC. PSI PSI
TRIP POINT TIME WA7TERREACHED
7
;T OUTLE:
PRESSURE TEST OUTLET
PSI MIN. SEC .
ESERIAL
ALARM ALARM
OPERATED OPERATED
0
CAL REMOTE
MOT
SYS 02
-Z
g. Date dry pipe Valve trip tested (control valve fully open).
h. internal exam of piping conducted In 2007 (Requfmd evM 9 YeaM)
6. ALARMS
a. Did water motor gong test satisfactorily?
b. Did allectilicall beff test satisfactorily?
c. Is the system supervised with alarm?
Operator
d . Did alarm monitoring service test satisfactorily?
e. Waterillow alarm?
1. Volvo lampew monitoring?
g. Hilo Air Swillch
Who? SFSM QA VANTGUARD- 89-1228
PW -zoal in
01-1
N—
MAIN STREET PLAZA Page 2 of 4
m7for-MMM oil IIMn- �IWA
Revised Data 6/16/09
7. SPRINKLERS, GAUGES & MIC TESTING
a. Are all sprinklers free from corrosion, foreign materiel, or paint?
b. Are there any non -dry sprinkler heads manufactured prior to 19207
c. Are all non -dry sprinkler heads less than 75 years aid? D2tJ9 of last sample testing:
d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing:
e. Are all dry type sprinkler heads less than 10 years old? Date of lost sample testing:
C Are all FAST RESPONSE sprinkler heads less then 20 years old? Date of last sample testing:
g, Is there fluid in the glass bulbs?
h. Is a head wrench, atack of spare sprinklers and Teflon tape available?
1, Does the exterior condition of the sprinkler system appear to be satisfactory?
1. Date of lost MIC testing?
8. WATERFL. TEST AT MAIN DRAIN MADE 41 SPRINKLER R1513RS
TEST PIPE
DATE
TEST PIPE
LOCA11ON
SIZE
TEST PIPE
STATIC
PRESSURE
RESIDUAL (FLOW)
PRESSURE
3
RISER
RISER
1.25"
too
4
9, Explain any'No" answers and comments:
MAIN STREET PLAZA Page 3 of 4
�111619=700 il =@I OMEW 9�111.111
SMITH FIRG SYSTEMS MANAGEMENT, LLC
DATE
CONFICENCE TESTINQ FIRE ALAW JOB 0
1106 541h Avenua East Ta=na, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
SITE NAME MAIN STREET PLAZA
ADDRESS I I I MAIN STREET, EDMONDSt WA 98020
CONTACT RYDER PHONE (206) 427-2016
FG -
CERTIFICATION NO.
NAME OF TESTER
DATE OF INSPECTION
CONTROL PANEL MANUFACTURER ADEMCO
TYPE OF INSPECTION ANNUAL
MODELNO. VISTA 100
NUL48ER OF INrTLATING CtRCUITS 4 NO. OF SIGNAL CIRCUITS 0
BATTERY VOLTAGE VOLTS CHARGE CIRCUIT VOLTAGE VOLTS
BATTERY VOLTAGE UNDER FULL LOAD VOLTS (SIGNALS OPERATING)
1 . Trouble signal with AC power off
2. System operates satisfactory on standby power
3. All signals operate on AC power
4. Have all alarm notification appliances been checked for proper operation?
5. All circuits checked for electrical supervision
6. Control panel checks made per manufacturers instructions
7. All auxiliary equipment operates (Elevators, fans, dampers)
8. Central station or remote connection
Name of Monitoring Company
9. Key to panel available
10. Operating instructions at panel?
11. Service Label or Tag (SFC Appendix 111-13)
12. Did you sign off Item 8 on the Elevator Log
YES [a NO [I NIA D
YES
NO
NIA
YES
NO
NIA
YES,
NO
NIA
YES .0 NO C-] N/A [I
YES
D2
NO
N/A
[I
YES
0
NO
N/A
94
YES
[Pr
NO
NIA
C3
SFSM A AVANTGUARD— 894228
YES
No
0
N/A
YES
NO
El
N/A
YES
NO
[I
N/A
YES
NO
0
N/A
MAIN STREET PLAZA I of 2
M7.0-W=- i N i F. L V- ��� [Wme M1011 1=1 imsm- 0
Revised Date 6116/09
10. Adjustments or correclions made during this Inspection:
11. Although these COMMerits are not the result of any engineering review. the following desirable improvements are r000mmendod:
System 1
21
is operational
System 2
is operational
System 3
is operational
System 4 is operational
system s is operational
Ar
0
is operational with defects
C]
is operational with defect
C1
is operational wb defects
0
is. operabonal with defects
[]
is operational with defecls
E]
is not operational
L]
is not operational
is not operational
is not operational
E]
Is not operationa I
SMITH FIRE SYSTEMS MANAGEMENT, LlILC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax-. (253) 248-2360
7. -- 1) -,
tqFmo rrr a [law
MAIN,STREET PLAZA Page 4 of 4
MIMM WIN �gNlf- M.1 M-r@T&�GTW*T01ri R =sj @MZW- M-11
EQUIPMENT TESTED
PROBLEMS FOUND: -
CORRECTIONS MADE:
DATE CORRECTED BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
SMITH FIRE SYSTEMS MANAGEMENTy LLC
11 06.54th Avenue East Tacoma, WA 98424
Phone: (253) 248-2000 Fax: j253) 248-2360
Dow
2 of 2
MAIN STREET PLAZA
% I r Revised Date 6/16/09
SMITH FIRE SYSTEMS MANAGEMENT LLC
DATE 2/3/10
'comma=" _Xamam", JOB # 30721
1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION ANNUAL
Phone: (253) 248-2000 Fax: (253) 248-2360
Site Name MAIN STREET PLAZA
Address: I I I MAIN STREET, EDMONDS, WA 98020
Contact Person RYDER Tzlephone # (206) 427-2016
System # I Type WET Area -Covered
System # 2 Type DRY Area Covered
System # Type Area Covered
System # Type Area Covered
System # Type Area Covered
Type of Occupancy (CIRCLE): Other:
Assembly Storage Industrial Offices Retail Apartments Condominiums
Residential
A. OWNER'S SECTION
1. Has there been any fire protection modifications since the last inspection?: Yes 0 No
Describe below:
2. Describe any fire(s) since last inspection:
3. Date (approximate if unknown) sprinkler system was installed: 1996
4. Name of installation company: SMITH FIRE SYSTEMS
B. INSPECTOW82-SECTION (AH responses reference current Inspection)
1. GENERAL
YES NO NIA
a. Does the system have a hydraulic plaque?
b. Are the risers labeled and what are the specifics?
Discharge density
.15
Gallons per minute 428.4
.�z '_
c. Is the building fully,,.sofinklered?
d. Is the entire sprin. r system in service?
.e. Record water pressure at riser:
Per 1956 Sq. Ft. residual pressure at riser
(DRY)
2. CONTROL VALVES
a. Are all sprinkler system control valves and all other valves.in the appropriate
open or closed position?
b. All control valv6s operated through full range of motion and returned to normal position?
c. Are all control valves in t�e
Xen position?__/'
Locked El Sealed .4 Tampered V1 .
d. Are all control valves properly signed?
MS�
M,
MAIN STREETPU45��
" A
85.27 psi.
YES NO W/k
Page 1 of 4
Revised Date 6/16/09
3. FIRE DEPARTMENT CONNECTIONS
a. Are fire department connections in satisfactory condition (Unobstructed view,
couplings rotate freely, caps are in place)?
b. FDC backflushed in 2009 . (Required every 6 Years)
4. WET SYSTEMS
a. Have antifreeze system solutions been tested? Solution %
b. Were the antifreeze test results satisfactory? Specific Gravity Reading(s)
c. Does the building appear to be adequately heated at time of inspection?
d. List water flow test of main drain made at sprinkler risers:
e. Internal exam of piping conducted in 2007 (Required every 5 Years)
5. DRY SYSTEMS
a. Is the air pressure and priming water level in accordance with manufacturers instructions?
b. Has the operation of the air or nitroaen supply been tested?
Is it in service?
c. Were the low points drained during this inspection? How Many?
d. Did quick -opening devices operate satisfactorily?
e. Did the heating equipment in the dry pipe valve room operate at the time of inspection?
f. Was the dry valvetripped during this inspection?
Deg
DRY PIPE
OPERATING
TEST
DRY VALVE
Q.O.D.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
GRINNELL
F3061
Q.O.D. TRIP
OK
TIME TO TRIP
THRU TEST PIPE
WATER
PRESSURE
INITIAL AIR
PRESSURE,
TRIP POINT
-PRESSURE
TIME WATER REACHED
TEST OUTLET
ALARM
OPERATED
LOCAL
ALARM
OPERATED
REMOTE
MIN.
SEC.
PSI
PSI
MIN.
SEC.
SYS #2
4 S
wei
vev
g. Date dry pipe valve trip tested (control valve fully open).
h. Internal exam of piping conducted in 2007 (Required every 5 Years)
6.- ALARMS
a. Did water motor gong test satisfactorily?
b. Did electrical bell test satisfactorily?
c. Is the system supervised with alarm? Who? SFSM. @A VANTGUARD- 89-1228
Operator #
d. Did alarm monitoring service test satisfactorily?
e. Waterflow alarm?
f. Valve tamper monitoring?
g. Hi/Lo Air Switch
2006
MAIN STREET PLAZA Page 2 of 4
Revised Date 6/16/09
7. SPRINKLERS. GAUGES & MIC TESTING
a.
Are all sprinklers free from corrosion, foreign material, or paint?
b.
Are there any non -dry sprinkler heads manufactured prior to 1920?
c.
Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing:
d.
Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing:
e.
Are all dry type sprinkler heads less than 10 years old? Date of last sample testing:
f.
Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing:
g.
Is there fluid in the glass bulbs?
h.
Is a head wrench, stock of spare sprinklers and Teflon tape available?
1.
Does the exterior condition of the sprinkler system appear to be satisfactory?
j.
Date of last MIC testing?
8. WATERFLOW TEST AT MAIN DRAIN MADE AT SPRINKLER RISERS
ST PIPE
DATE
TEST PIPE
LOCATION
SIZE
TEST PIPE
STATIC
PRESSURE
RESIDUAL (FLOW)
PRESSURE
1
7,5' k1D
RISER
21'
2
RISER
1.25"
3
9. Exi)lain any "No" answers and comments:
MAIN STREET PLAZA Page 3 of 4
Revised Date 6/16/09
10. Adjustments or corrections made during this inspection:
1. Although these comments are not the result of any engineering revie w, the following desirable improvements are recommended:
System 1
System 2
System 3
System 4
System 5
is operational
01-�is operational
F� is operational
is operational
is operational
E]
F-I
EJ
operational with defects
is operational with defects
is operational with defects
is operational with defects
is operational with defects
E]
E]
is not operational
is not operational
is not operational
is not operational
is not operational
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
Name
ar
AM-70-1 17, - 2> -
WA SFIVIO ITT # Date
MAIN STREET PLAZA Page 4 of 4 -
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE 2/3110
CONFIDENCE rESTING FIRE ALARM JOB # 30721
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
SITE NAME MAIN STREET PLAZA
ADDRESS I I I MAIN STREET, EDMONDS, WA 98020
CONTACT RYDER PHONE (206) 427-2016
NAME OF TESTER e4u., Pzmm m,.� CERTIFICATION NO. jj�� 4-7 Z_
DATE OF INSPECTION February 3, 2010 TYPE OF INSPECTION ANNUAL
CONTROL PANEL MANUFACTURER ADEMCO MODEL NO. VISTA 100
NUMBER OF INITIATING CIRCUITS 4 NO. OF SIGNAL CIRCUITS 0
BATTERY VOLTAGE I __� .0 2- VOLTS CHARGE CIRCUIT VOLTAGE (pt4
BATTERY VOLTAGE UNDER FULL LOAD t7,. U'Z
> VOLTS (SIGNALS OPERATING)
1. Trouble signal with AC power off
2. System operates satisfactory on standby power
3. All signals operate on AC power
4. Have.all alarm notification appliances been checked for proper operation?
5. All circuits checked for electrical supervision
6. Control panel checks made per manufacturers instructions
7. All auxili ary equipment operates (Elevators, fans, darripers)
8. Central station or remote connection
. Name of Monitoring Company
9. Key to panel available
10. Operating instructions at, panel?
11. Service Label or Tag (SFC Appendix III-B)
12. Did you sign off Item 8 on the Elevator Log
VOLTS
YES
NO
N/A
YES
NO
N/A
YES,
NO
N/A
YES
NO
N/A
YES
Ce_r
NO'
F1
N/A
YES
0'
NO
[:1
N/A
Ej
YES
F1 .
NO
NIA
YES
P-"
NO
[:1
N/A
Ej
SFSM (a) AVANTGUARD- 89-1228
YES NO.
N/A
YES NO
N/A
YES ET' No
El
N/A
0
YES . ;?I"' No
[:] r
N/A
El
MAIN STREET PLAZA 1 of 2
EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBERS OF
UNITS TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
NO
N/A
Bells, Horns, Chimes
Voice Alarm Speakers
Visual Alarm Device
Trouble Indicators
Super. Switch (Auto. Spr.)
5
Auto Spr. Flow Switches
2
Smoke Detector(s)
Heat Detector(s)
Manual Pull Stations
Ventilation Controls Operate
Central Station
Annunciators
Elevator Call Down
Fire Damper/Smoke Dampers
Phone Jacks
7,
2
Auto. Door Unlocks (Failsafe)
Auto. Door Release
1 Other
BLEMS FOUND:
r
rine-
CORRECTIONS MADE:
DATE CORRECTED
BY
pjp' 'Vt*-r"-r'rj 'e
'V, L 'CA
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
Inspector
Lr
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
Name
7--3-)
Date
MAIN STREET PLAZA 2 of 2
Westfall, John
From: Westfall, John
Sent: Tuesday, November 14, 2006 4:37 PM
To: Smith, Mike
Subject: 111 Main Street Tynes
SW vehicle gate code 9-9-1 -1 placed in FID lockbox #E 1 -92 located on north side of building.
Cc: File
Fire Incident Report
Edmonds Fire Department
Incident Number: EF05003773 Exposure: 0 incident Date.
3urisdictional Station: 17 Location Type: Street address
AAAr�acs 111 MAIN ST
City: Edmonds State: WA Zip: 98020
Incident Type: False alarm or false call, other
Shift: A Alarms: 1 Grid: EF202
Aid Type: None
Alarm Time: 17:28:51 11/10/2005
Arrival Time: 17:32:36 11/10/2005
Last Unit Cleared Time: 17:44:35 11/10/2005
Actions Taken- Notify other agencies.
HazMat Released: None
Property Value: 0 Contents Value: 0
Property Loss: 0 Contents Loss: 0
Fi re Service Deaths: 0 Civilian Deaths: 0
Fire Service Injuries: 0 Civilian Injuries: 0
Detector:
Officer In Charge: DONALD WHITE Assignment: Command
Mixed Property Use: Business and residential use
Property Use: General retail, other
"r
ft''
'webFIRS-
Fire Incident Report
Edmonds Fire Department
Person('s) Involved
Role: Owner
Name: Reider Tynes Phone Number: 2064272016
Address: 111 MAIN ST Edmonds, WA 98020
Apparatus and Personnel
Apparatus ID Personnel ID('s)
B16 EF0232
E16 EF0991 EF1538 EF2207
E17 EF1126 EF1539 EF2263
NO
webFIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF05003773 Exposure: 0 Incident Date: 11/10/2005
Narrative
E17 responded to a sprinkler water flow alarm at the listed location. E17 found no indication of
a water flow at the water motor gong or the alarm panel. Reider Tynes, the owner of the
building was contacted, and advised to call alarm company. Previous calls to "Smith Fire
Systems" have determined that errors exist in the dispatch center, and hot in the system
itself. 1
. 7�kk . -�(
Lt DONALD WHITE
fte.
'11/fO/05 20:38:26 PRINT REQUESTED BY TERMINAL EFPC09
Incident History for: 4EF05003773
Case Numbers: $EF05004350 $S205010476
Entered 11/10/05 17:28:45 BY SCPC01 SC718
.. spatched 11/10/05 17:28:51 BY SCPCO2 SC710
..iroute 11/10/05 17:30:53
Onscene 11/10/05 17:32:36
Closed 11/10/05 17:44:35
Initial Type: SWFA Initial Alarm Level: 1 Final Alarm Level: 1
Final Type: SWFA (SPRINKLER WATERFLOW ALARM) Pri: 2 Dispo:
Police BLK: E040 Fire BLK: EF202 Map Page: 454F-5 Group: EF1 Beat: MD17 Sr
Loc: 111 MAIN ST EDM btwn SUNSET AV S & 2 AV S (V)
Loc Info: MAIN ST PLAZA
Name: SMITH FIRE SYSTEMS/68 Addr: Phone: 8004248276
/1728 (SC718
ENTRY
/1728 (SC710
DISP
E17
/1728
$ASNCAS
E17
/1728
ASST
E16
/1728
ASST
TAC21
/1728
$ASNCAS
TAC21
/1729
AIQ
TAC21
/1730
ENROUT
E17
/1731
ENROUT
E16
731
ASSTER
B16
/1732
ONSCNE
E17
/1734
CLEAR
E16
/1734
CLEAR
B16
/1744
AOR
E17
/1744
CLOSE
E17
,WATER FLOW
#EF1539 WHITE, DON - HAZMAT TECH
#EF1126 SOUCY,JOSEPH HAZMAT TECH
#EF2263 DELISLE, ART - PARAMEDIC
$EF05004350
#EF0991 DAHL,DOUGLAS
#EF1538 STEINBACH, J HAZMAT TECH
#EF2207 BEARD, MELISSA
$S205010476
[111 MAIN ST EDMI
#EF0232 SCHMITT,ROBERT - BC
2 STORY MASONRY, COMMERCIAL COMPLEX, NVI
Wesffall, John
From: Bullock, Steve
Sent: Monday, October 10, 2005 3:07 PIVI
To: Westfall, John
Subject: RE: Request to install fencing/gates at building acces-sXlElEllMgi-nyStxmw"El-Il-
Thanks John, I have no comments.
Steve
----- Original Message -----
From: Westfall, John
Sent: Monday, October 10, 2005 3:01 PM
To: Bullock, Steve
Subject: FW: Request to install fencing/gates at building access 111 Main St
Steve:
Copy for you.
John
----- Original Message -----
From: Westfall, John
Sent: Monday, October 10, 2005 3:00 PM
To: McConnell, Jeanie
Subject: RE: Request to install fencing/gates at building access 111 Main St
Thanks, Jeanie. The building is within access requirements (150') from Main and 2nd, the access remains to parking
garage on Main, and they have a lockbox already installed.
Fire Department does not consider alley access for the purposes of FD response. I'm good with his proposal.
John
----- Original Message -----
From: McConnell, Jeanie
Sent: Monday, October 10, 2005 12:47 PM
To: Bullock, Steve; Westfall, John
Subject: Request to install fencing/gates at building access
Hi Steve & John,
Alan Young of 111 Main Street came into the counter wanting to know if he could gate off the parking area for their
building. They are right on a corner and have two entrances to the parking garage, one off Main St. and one off
the alley. Darrell is okay with them just using one access, but would like the closure of the other access to be
visible through for sight distance issues. I do not know what type of gate he is proposing, so I will need to discuss
parking stall dimensions with him as well.
Do either of you have any general comments/concerns that we should inform Mr. Young of at this time? ADB?
Locks/Key pad codes?
If you would like to discuss with him, he can be reached at 425-210-8409 or 425-670-2356. 1 have not yet called
him with Darrell's response, so I would be happy to pass on any comments you might have.
Thanks!
Jeanie WcConneff
Engineering Technician
mcconneff0ciedmonds.wa.us
CITY OF EDMONDS BARBARA FAHEY
MAYOR
CIVIC CENTER - EDMONDS, WA 98020 - (206) 771-0215 - FAX (206) 771-0208
FIRE DEPARTMENT
1-12 C . 1 B,),3
EDMONDS FIRE DEPARTMENT
LOCK BOX AUTHORIZATION LET7ER
EVE R, ED
This is to authorize ............... M.r ........ Tynes
.. . .. ................................................................................ for
the: (agent)
JyRes Building ....................... ....... at 111 Main Street
. ........................... ...................................................................
(Building Name) (Building Address)
to purchase a Lock Box for Fire Department use for emergency access.
1. AssignedKey
2. Location of Supra Box dA/ .. Al T. H .... �5. i ...... 15 L.E. 4M. 0 yo .... -'Z )6 6 n'
Give a brief description of where the Lock Box will be mounted in relation to the main entrance.
The Fire Department recommends that the box be located just to the right of the main door, if possible.
3. Key(s) identification/acc ess to ..... 04.4L CC). M .. W K L P-- t?—
..........
..... Kk"'-SAF..v . ...........................................................................................
Identify each key with a brief description of what the key will unlock. Keep a minimal number
of keys in the box. The Fire Department should have eas y access to:
Main Entrance
Electrical Room
Mechanical Room
Sprinkler Room
Alarm Panel
. . .. .. .......
Fire e rtment
Authon d Signature
NOTE:
A copy of this authorization, noting the assigned key number, must be returned to the Edmonds Fire
Deparment.
I
AVor&Lockbox 9/9/97md
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
Gary L McComas, Fire Marshal
Edmonds Fire Department
250 5th AVE. N.
Edmonds, WA. 98020
October 7, 1996
Mr. Tim Jameson
PO Box 2258
Woodinville, WA 98072-2258
Dear: Mr. Tim Jameson
The City of Edmonds Fire Department has no record of environmental contamination at I I I Main street
in Edmonds.
Sincerely,
Cc: file
The Jameson Group, Inc.
14040 NE 181st Street
PO Box 2258
Woodinville, WA 98072-2258
Fax Cover Sheet
DATE: October 7, 1996
TIME:
9:06 AM
TO: Jim Jameson
PHONE:
(206) 487-2100
The Jameson Company
FAX:
(206) 481-5218
FROM: Gary L. McComas
PHONE:
(206) 771-0213
Edmonds Fire Dept.
FAX:
(206) 771-0208
RE: Environmental Hazards at
111 Main Street, Edmonds WA.
Message
The City of Edmonds Fire Department has no record of environmental contamination at this site.
Number of pages including cover sheet: I
6uk �:W,'
CC: file
JAMESON GROUP INC.
TEL Nb.206-481-5218
Oct 2,96 11:02 No.006 P.01
Woodinville Spokane
�_j
The Jameson Group, Inc.
14040 N.E. 181st Street
P.O. Box 2268
Woodinville, NNYA 98072-2256
(206) 48 7.2 100 - FAX (2 06) 481-52 18
Toll Free 1-800-82.7-5097
FAX Cover Letter N
G4vly �4 c, C o-y,,L A_ j
Message: V
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Date Time
Total Pages (including cover)--...
Company: d-v o* Cd*-ne--nc1,5 c ftisk,;
F&X- ber: d06 - 7-7/ - 0,209
TIN -r-
JAMESON GROUP INC. TEL No.206-481-5218 Oct 2,96 11:02 N0.006 P.02
Z"pon TYPE B PROJECT
�,JNDOMINIUM APPROVAL REOUES"
Pr01W Namr. ma ir, s7free da�h' >'7 I,
Oustomer Name: 'T'q Me's 5-�i
V
WMS5 Loan
SUBMITTED BY: e-,5 o--),7
HLC I BRANCM & MAILSTOP.
CONDO CERTIFICATE - TYPE B
T 9 Cottlicallm Uniform Pro" Ovestlonstre.
.!fO— Number of units tolk,
so U sold (mum be at least 70% for TW B)
A I I - v. owner oc=pied (mum be s, team 7o%)
No single ently may own more then 10% of the total unilS (WA for dovelopej.
Q84009T (Pir"Osed or Curfent)
Information is current
tmtuow a woritin
.V capital fund for repair and maintenance of thy common areas at Wast equal to two months Home Owner's
Associallon (HOA) dun lay each unit. (Fund Should be appropriate to the age of the project and the potential repairs required, such
as root or heating Systems on older buil"). Ourrem balance in tasems account
1
.07- BYLAWS/ARTICLES OF INCORPORATION (May not be recorded)
owline voring rights oi unit owners.
Allowtor election and removal of offitarl; ants directors.
EMpowar Board 01 D"MOIS W 10Vy End 001180 SMSSIMMS.
D*CLAytATiON. COVENANTS, CONDITIONS AND RESTRICTIONS (CCRO) (ReCorded)
Amenities, Wroluding pwhin;i, vommon argov end raoi9stional fectlities are owned by the Home Owneft Association and are nol
subject to a lease.
AJIOWS 101 Monthly Collection Of 838081IMSMS.
0 Usim for delinquent 8*60"ments will be subordinate to the first mongagi.
in cas� of forsolothirs, ussailments owing prior to the foreclosu, sale will be removed. Mortgagee ia liable for only those
assadAmsfda sarong after Ing "to (Oregon and Idaho).
Notice of changes 10 the project, Bylaws, CGRs, Assegirmenle or ownership percentages should be sent to the mortgages.
Ali unit owner$ hove wirestriaft rights; of ingress and 9
'greas.
unit owners, righta to sett or mortgage their unit is not nistricisa.
0 MOA "M reasonstils, right of entry for repair 01 rneiftnahev Of the units
0 H, DA has right to gram pe"s or easements over common MIRS 93 nIC29UFY 10 maintain OpOrallOn,
0 Mortg&M has th �Ancc ' bi .1 1 L+
jyr � f-
-.nw�ob
ENVIRONMENTAL HAZARD INSPECTION -0 pe�'ij'z� ISS
4-
Prepared by an acceptable environmental consuffard.
11*12111 Ag; M., y
�ry (2- 0 X, 3 - S*'Y J
Deductible don not Nosed the lesser of:
$10 000 of I petrOam of the face amount of the MaNgr pollcy.
.$ 1,WO or I percent 61 units f9placomeni coo. per unn.
(Funds to cover these deductible amounts ShcjAd be included in the HOA Budget Reserve.)
; 05 LO"Llabililly bust Maoist million.
icJS [OrLA"payee In MOA saYfustaw for unit owners and mongagees. WL,*k 144>A 14
,j 1A, 0 on proispe oi 2D unto at more, fidelity coverage equal to the lasser of 3 M0111115 HOA 8849114111611111, Or the Maximum amount of
funft to be Controlled by the HOA.
REVIEWED BY.. DATE:
In APPWRO BY: BATE:
COMMENMADOMONAL NOTES:
....... . ..... ..
Date: June 7, 1996
To: Jerry Satedie, Building Inspector
From- � John Westfall, Fire Inspector
Subject: Final Inspection: I I I Main Street, Tynes Buildina
As I'll be away next week and Tynes project will be seeking final, I hope you can
inspect for Fire Department the following items:
1) Exit and emergency lighting as called out and operable
2) "Sprinkler room" signage on door to riser next to parking area
3) Confirm plastic sprinkler drops at north end of office area have been
secured from vertical movement
4) Sprinkler head replaced in basement storage directly east of "sprinkler
room"
5) Fire extinguishers mounted in place as called out
6) Sprinkler escutcheon rings in place and clear of sprinkler head
deflectors (main floor only).
On June 6, 1 witnessed wet pipe (main & second floor) hydrostatic test. I approved
ceiling closure for Fire Department pending completion of 3) above.
Sprinkler representative performed a dry -side sprinkler trip test. Also performed was a
surge -delay test of local alarm f4'esy'slem activation. System performed satisfactorily.
Sprinkler system is monitored and tests were confirmed as received by monitoring
company.
No 0C;K6Tb4— AT tb�- -tf— 54-M_�
/V13 qg(� -
�0� plvj�
City of Edmonds Sb Office of Fire Prevention
DLPartnicnt of La�K)r & indu!�.uies
Con3wla!ion and Comp!ia-nce Servi,,,-s FINAL ACCEPTANCE
zr
Revawr stxtion
PO Box 44480 V$
Olympia WA 9850-14480 OW) 902-61'W Coll veyanc e(s)
Conveyance Location
..... .... .... ....
. . .. ... . .. .................. .... ........ ....
... ............. . .. ... .. . ........ ..... ......... .
6
... ..... ..... .......................... ......... .......... . .... .. ... .........
Atte,61ion: BUilding Owner or Manager ............. .................
The abc)veconveyance(s) has been inspectedand all aC-C(pL9j1CC teSts fx:rJ'0n)jW with no apparent deficiencies. Tito-, re fore, ij
has be -en issued a 30 DAY TEMPORARY PERNIM
IMPORTANT: You must PURCHASE and POST artANNUAL OPERATING PERMIT
the 30 Dey P-��.,rrn it EXPIRES! This firstannual fez has been prorated to (aiondi/yeir)
when othcr conveyances in yourareaare next scheduled for Inspeclirm.
Failure to -make this timely payt�zent will subjec; y,)jjo a civil pei)al;y qf $150.00 per conveyaticc (WAC 296-81-991).
OPerating permit must No posted where Nrsons using the conveyance can see it. RCNV. 70.87.090).
Special lastructions (if any):
......................................... .......... . .. — I . . ...... .. .. . .. ............ ... ... .. . ......... ..... ... ........ . - .. .. ... .... ..
ipany... . ..... .. . ... * . . ...... ..... . ......
........... .. .. .... . ..... *,-* . .... . ..... . i"
ione Numbtr
Whito - Owner L-) e- 2Y -
Canwy - Contractor anle)
Co-rnpally Represeffla Live
Pink L
. . ............. -
T: C ... ......
F621-034-000 linal ac -96
.'ce��ince 4 wner7t lanager
4
q5-O741
REPORTED BY
I J, 14 JA M zT.A I z I q i M
DATE I.D.
9&ff OF
SU13JECT
ADDRESS: H
CONCERNS/
go
HAZARDS: fill-1-0
Al
SIGNED
FOLLOW-UP: t
'6 /& - /zoo pjv-�'
dr
1�-h54-0 9,ePt-'<�.C5b IAl
15L)Pe0—T 6yP_ OA) C?VC, -jAJ
f-,60 /?�'—
A tic, f
C<r-7 C& A&%Cr-H 6111-J
SIGNED
City of Edmonds * Office of Fire Prevention
u P
5-10-1996 8:1SAM FROM WASHINGTON ALARM-INC 206 322 721d P.1
Washington Alarm, Inc.
G7
]PAX TMSHISSION
Date Time 15
To
Attention 0 ws..s-F-F-�
FAX No 1 -'0 -1-0s Number of pages
From 1 1475`V-4aCX-(
e
C_7T
Merwage- 7 1 tr__
faxcvc.f
UL LISTED AND FM APPROVED CENTRAL STATION LICENSED AND BONDED ELECTRICAL CONTRACTOR
WASEMGTON ALARK INC. - 1263 South Jackson Suvat - Seattle, Washington 98144
(206) 328-3288 Sales - (206) 328-1800 Central Station - (206) 322-7214 FAX
5-10-1996 8:16AM
72-26
FROM WASHINGTON ALARKINC 206 322 721d
NNUIONAt. ME AUUM (XI01:
C;ertificate of Completion
Name of Protected Property:
Address- —111 &A A I r'J C>—'L)S C3 o Z- L;�
Rep. of Protected Prop. (namc/pbone): r L.;
Authority Having jurisdiction:
Addrem/Phone Number:
1. Type(s) of System or Service-
- NFPA 72, Chapter 5 — LA)cal
if alarm is transinitted to location(s) oil* premise, list where received;
NFPA 72, Chapter 5 — Emergency VoicetAlarin Service
Ouantity of voice/alarm channels: Single; Multiple:
Quantity of speakers installed: Quantity of speaker zone.%:
Quantity of mcphones or telephone jacks included insystem:
NFPA 72. Chapter 4 — Auxiliary
Indicate type of connection:
Local'citergy Shunt, Parallel telephone
Location and tacphime number fbir receipt of signals:
NFPA 72. Chapter 4 — Remote Station
Alarm:
P. 2
Supervisory:
NFFA 72, Chapter 4 — Proprietary
if alarms are retransmitted to public fire service communications center or others, indicate location and telephone
number of tlic organization receiving alarm:
indicate how alarm is retransmitted:
NFPA 72. Chapticr 4 — Central Station
The Prime Contractor:
PA L-
Central Stativa Lo6tion: UJ t -ro(,-> Ai- p4z" I to C i ? S -5
MeanstAtransmission of signals rrom the protected prcmi3c to the central station:
McCulloh Multiplex One -Way Radio
�:L Digital Alarm Communicator Two -Way Radio Others
Means of transmission of alarmi to the public rtrc service communications center:
2.
System lAwation:
rganization Na dl'hone Representative Namelphone
installer Za .
Supplier kMA& N"
A.
6-10-1996 8:16AM FROM WASHINGTON ALARKINC 206 322 721A P.3
FUNDAMENTAU OF FIRE ALARM SY5TVMS 72-27
LoGgion of Record (As -Built) Drawings;
Location of Owners Manuah:
WA5W " &T-Z>V--N 4k
Location offest Reports:
A contract, dated 7. 1_5� for testmid inspection in accordance with NFIIA standard(s) No.(%)
'11- gOOL3 dated — is in ffc,.
2. Certification of System InstallAtmn
(Fill out after installation is COMPICtC And wiring checked foi- opens, shorts, ground faults, and improper branching, but
prior to conducting operational acceptance test5.)
This cs sic h been installed it) accordance with the NFTA manclards as listed below, was in-% d by
I
on 4. u es the donices listed below and has been in service since M X_
t
NFPA72,Chapters 1 3 40_16 7 (circle all thatapply)
91
NFPA70.Na6owlE1rc ' [Code, Article 760
Manufacturer's Instructions
Or er ( pedl* ) ___1_7
Signed. O's Date:
Organization: L-31%sihaLmisl UAV-*N,
3. Certification of System Operation
All operational features and functions of this system were tested hy lfa2AS,"O on (0 (U let L* and
found to be operating properly in accordance with the requirements of"
NFPA 72, Chapters 1 3 * 4 Q-6 e (circleall that apply)
NFPA 70. National Ekctyical 04-r, Article 760
X Manufacturer's Instructions
— O,t er �ped );
'Signed. Date:
Organization:
4.. Alarm Initiating Dcvi�cs and Circuits (Use Wanks to indicate quantity of devices.)
MANUAL
a) Manual Station3 — Noncodcd. Activating Transmitters Coded
b) Combination M211ual F;rc Alarm and Gxiard'sTonr UodtA Stations
AUTOMATIC
Coverage: . Compicte: Partial:
a ) — Smoke Detectors — loll Photo
b) Duct Detectors — loll Photo
c) Heat Detectors — Fl, RR RC
d) Sprinkler Water Flow Switc1m; — Noncotled, activating Transmitters
e) Other (list).
5. 'Supervisory Signal Initiating Devices and Circuits (Use blanks it) indicate quantity of devices.)
GUARD'S TOUR
a) Coded Stations
b) Noncoded Station.-t Activating — Transmitters
c) Compulsory Cuard Tour System Comprised of Traitsinincr Stations and intermediate Stations
Note: CombWation devices recorded undcr 4(b) and 5(a).
S'
a) _rL tacbmenu
.;Val',, Stirperisoy.Sign�linl;
S,� �
rv.. 'S,�itch i�
b) — Building'Femperature Points
c) — Site Water Temperature Points
d) ..Sirr W2tFr.%innIv I.Pvpl Painyt
$-10-1996 8:17AM FROM WASHINGTON ALARM.INC 206 322 721d P.4
72-28
Electric Fire Purnp:
e) — Firc.Pump Power
J) — Fire Pump Running
g) — Phase Reversal
Engine -Driven Fire Pump:
h) Selector it) Auto P05itiun
i) Engine or Control Panel -Frouble
Fire Pump, Running
Engine -Driven Gencridtor:
k) Selector in Auto Position
Control Panel'l'rouble
-1"rallsfitr Switches
Fngine Running
Other Supervisory Function(s) (specif�):
NMIONAI. FIRE AIARM CODY
6. Alarm Notificatiun Appliances and Circiiits In d
q1jalitity of ill(licatiiig;ii)i)liancecirctsits ronnected to tile Ystc _T_
1-ypes and qualititics ofularl" indicating applia"C04 illstalkd:
a) Bells Inch
Speaker-s
b) Hortis
C) Chimes
(1) Other:
e) Visual Signals l,ype: w/o audible
— with jodible
f) — Local Annunciator
7- Signaling Line Circuits:
Quantity and Style (See NFrA 72, Table 3-6. 1) of signaling linc� iLintaits corincrted to systrim
Quantity, Style: —
8. System Power Supplics %At Ct . in -cm Rating;
a) Primary (Main): Nominal Voltage:
CAUSM 1111-0 Current Rating: k
Owrcurivilt ProtectiOn' 1-ype:
Location: Al� kVt
b) !rlary (Standby):
Sturage BajLcry. Arnp*Hour Rating
-: 7X_ 24 60
(:alculated capacity to drive syste.ni, in hours
Engisic-driven gcim-ator dedicalcd tio fire alarm system,
Lmation of fiml storagc: )�jcktjp tf) pli,nary 1,I)wcr Stipply, iiistead of using a Secondary Power Supply:
c) Emergency or Standby SYS-tc"I t"W(l as I
t'jilergeliq System described in NYPA 70, Article 7UO
I.cgally Required Standby Sy5trin demrik-d iii NFIIA 70. Article 701
()i)lional Standby Systeni described in N F11A 70. Article 702, which alw inects the performance rcquirements of
Ankle 700 or 701
9. 'SYSIC111 Sol-twary
;I) Open. ting systern Software Revision l.e%-cl(s)-
b) Application Sofi%vare Revision lcvcl(-):
c) Revision C.ompleted by.
(firm)
10. Comments:
(.i—mil ffir Crailral Station 4)], Alarm 'k.rvice Company (date)
6-10-1996 8:17AM
11OUSEHOLD FM WARNING EQUIPINIPArl- 72-29
cqucncy of routine tc3t5 and inspections. il'0111Cr than in accordance with the rekrenced N FIIA swandards(s):
System deviations from the referenced NFIIA standard(s) are: UOKV-
(signed) for Central Station or Alarm Servirm Company (title) JdAe)
Upon completion of the system(s) satisfactory test(s) witnessed (ifrquired by the authority having.jurisdiction);
(signed) representative of the authority havinkjurisdiction (title) (date)
Figure 1.7.2.9 Cerlificate of Compled". (conL)
lFripai NFI'e% 72 - IW-XI. 2-2.2 PamK6IW,;AttdINVPA 71. 1.4.3 imWified)
6�-07-1996 11:ddAM FROM P.1
WASHINGTONALAjW
jNC. *ECEI-Vi'U
r
1253 SOUTH JACKSON ST
SEATTLE, WA 98144 )JUN 07 1996
r5-01140NDS FIRE DFP
F A X C 0 V E R* E E- T
CATE: [a 11MIE: j lqs-
TO. 1A A e F"S 7q
n—
A'ffN:
Number of pages induding coversheet _a
Mmuge
UL LISTED AND FM APPROVED CENTRAL STATION LICENSED AND BONDED ELECTRICAL CONTRACTOR
WASMGTON ALAM, INC. - 1253 South Jackson Street - Seattle, Washington 98144-2o 1 a
it-07-1996 1 1 : ASAM FROM P. 2
ME I
WASHI*TON A"
06/06/96 07:16m - 06/916 03:w"
ACTIVITY REPORT
AMWT #1010875
TYNES BUILDING
111 MAIN ST
EDMONDS, WA 9M
712-9183
TIME ZONE- PACIFIC
DAY DATE TIME REPORT ZW DESCRIPTION
---- --------
THURSDAY 06/06/96 07:10:18AN BEGIN NO/ACT N
08:21:32AM
RESTORAL
3
09:26:18AM
SUPERVISORY
3
VALVE CLOSURE (a
BUTTERFLY VLVS IN SWR
FM)
12:46:17PH
SUPERVISORY
el
VALVE CLOSURE Q INSIDE
Ostys, LOWER LEVEL)
12:46. ISM
RESTORAL
5
12:50'.17PH
RESTORAL,
3
01:04.3WA
FIRE ALARM
2
SPRINKLER WRTLRFLOW (DRY)
01:64:3FM
SUPERVISORY
3
VALVE CLOSURE Q
BUTTERFLY YLVS IN MKR
RM)
01:04:31PN
SUPERVISORY
4
LOW AIR PRESSURE
01:84:32PN
RESTORAL
4
01:06:09PM
SUPERVISORY
4
LOW AIR PRESSURE
01:07-.69PR
RESTORAL
2
01:14;M
M NO/ACT
@
#72190 REVISING NA,
PUSET NEST WORKING HERE.
FINALIZED
01: 14:06PN
BEGIN NO/ACT
N
0 1 : 20: 12"
FIRE ALARM
I
SPRINKLER WATERFLOW (WET)
01:20:13PM
RESTORAL
I
01:21:12PN
FIRE ALARM
I
SPRINKLER WATERFLOW (WET)
01:21:13PM
RESTORRL
I
FIRE ALARM
I
SPRINKLER WATERFLOW (WET)
01:22,13PN
RESTORAL
I
0167.1OPM
RESTORAL
4
R.U.-OSPN
RESTORAL
3
02:65.16PN
TROUBLE
8
PPML TAMPER
02:05:17PN
RESTORAL
a
0�
N 0 T I C E
'- 8 C)
q 0 - 19
Z�TO PERMITTEE ANDIOR OWNER
PARTIAL APPROVAL
F-1 VIOLATION
L] CORRECTIONS REQUIRED
Permit Number 95-0 7 q Owner --nA-6�� 9LtV6L_
Job Address f I I /_� IN/
No PERMIT -STOP WORK -REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY
WITH ALL APPLICABLE CITY CODES.
CONSTRUCTION Is NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT - STOP WORK.
MAKE WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE.
F-1 STOP WORK - UNTIL AUTHORIZED To CONTINUE By CITY INSPECTOR.
F-1 CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE
NEXT PHASE IS STARTED; To AVOID POSTING OF A STOP WORK ORDER, ORDER To
CORRECT, OR ABATEMENT PROCESS.
F__j JOB CARD MUST BE POSTED ON SITE AND BE VISIBLE FROM STREET.
71 APPROVED PLANS MUST BE AVAILABLE To INSPECTOR ON SITE.
WORK DESCRIBED BELOW HAS BEEN INSPECTED AND Is APPROVED.
71 CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT.
F-1 RECALL FOR INSPECTION.
4L�24,$M
C_ -TL� 7-
5�041'6v-L 6le-- -"- Y f7rt�
22- 0 /5-/ Fevc 7- #e<
DR-/
-57J A�—:
Of —r10 611f,&
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN
DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTIONS CALL ' 771-0220.
Building Division Planning Department F—lEngineering Department UJIFire Department
n � CITY OF EDMONDS
Inspector _ � ��51 f � Date
MEMORANDUM
Date: January 26,1996
To: File
From: Gary L. McComas, Fire Marshal
Subject: Sprinkler Supply, Underground
T
Tynes Building, 2nd & Main Street -,AJ-
I was notified by Smith Fire Systems that the underground piping has been tested, flushed and
accepted by the Water Department. I advised them that was adequate for the underground and that
we will witness the test on the system.
E 17 E R E 0
EDMONDS FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
MEMORANDUM
DATE I ?-Ig- /
REPORTED BY /"AA-e— OF
-MA4C-71-
SUBJECT 0
ADDRESS: F T
CONCERNS/ jSt_0pl^,-6_ C9, F
HAZARDS:
/+-0 16 i j T-Lf
T-3 n 12-
jV Cp3,e�,d SIGNED &f
FOLLOW-UP:
L) r--C, I VC) -7. -za.. 6
r
-7-x44,.,j F-v< t9wf-t-"P,-�T
C-1) C- I'll - -73-� 1757 9.-
CA.L,,j�-V 1-14A-t�- LJ7
SIGNED
V
City of Edmonds Sj Office of Fire Prevention
I.D.
I.D.
CITY OF EDMONDS
FIRE PREVENTION
FILE MEMO/HAZARD FORM
DATE '7/2�%&� REPORTED BY
OF L 67
SUBJECT
ADDRESS: tA,4n
CONCERNS/ Ae5_5- o'3— Z At/ -
HAZARDS:
FOLLOW-UP:
4
kv4Ag_,-
, z:�4,j
SIGNED
SIGNED