1110 5TH AVE Sco
Serving Brier, Lamoriuy,'and
Mountlake Terrace
www.FireDistrictl.org
LOCATION: 1110 5 th Avenue S 98020
BUSINESS NAME: Edgewood Condos
5-+Ik (-IUF, S
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INS
,"YECTION REPORT
ML) ONDS
RIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY I STATION& SHIFT
Annual 17-D
PHONE: 20669310531 SCHEDULED Nov 2016
DATE DUE 0
MAILING FIR � 427 152
ADDRESS: 1110 5th Avenue S, Suite 303, Edmonds, WA 98020 L
BUSINESS OWNER: Olver, Jan/Rautenberg, Karen HOME PHONE: o�) a7g
E44EROENe,& s, e 6*4 HOME PHONE: 4259494581 CURRENT
N 0
KEY ACCESSzg:.A2-54�5+8 HOME PHONE: CITY
BUSINESS
f LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: I I __1Z_ I (P
FIRE SYSTEMS: FA 8/14 FE 8/15 12:00:00 AM SP 5/16 � t C_. %_�
Date Last Serviced: 8115 81 I's 5 1 L-,O rJ
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
16 Yhl%A ....................
2 TfIr �7-3 5 -7 3 -7 2 21
L20
D IV
4 ao I L)k tv _wow rwf 4
To— , 5
— -a _1P
6 /'1 A P�V It& f U4d U" .4 kC.40 6
t.�J fa-af, WWr)U44_61UWr AVWJ�C111V4_Ak
7 a,0jPc%_ 1,0 tToks -S 67" It cf90 7
-21- 1 49' 0 M,,/ L'I
dla-=4w t-J ' ',6:76 S
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X_
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered.by Snohomish County Fire District 1. -T/91 Keo —71-el --"kk
4 � rs, 0 o em
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or ��n.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775- r
Mountlake Terrace or Brier, call (425) 744-6231. �ANO
M11
7661 159th Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
Fire Alarm
Confidence Testing Report
Fx Annual E] Semi- 0
Annual
Customer Continental Apts Inspection Date 10.9.14
Address 11035thAve.S Phone (425) 478-1103
City Edmonds State WA Zip Code 98020 Cell
Contact Nancy Krogh Fax
System Information
Monitored By N/A Phone Number Account Number Operator#
Panel Manufacturer Pyrotronics Model System 3 Location 1st floor laundry room Operator#
Battery Quantity 2 Voltage 12 AH 8 Installed 5.14
Devices Qty Tested
Smoke Detector 3S 3S
Heat Detector 6 6
Duct Detectors
Horns 8 8
Strobes
Horn/Strobes
Devices
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
Qty Tested
8 8
Devices
Tamper Switch
Flow Switch
Elevator Recall
HVAC
j esiea
Auxiliary Power Supplies and Quantities I
# Battery Clty Voltage AH Installed # Battery Qty Voltage AH Installed
# Battery Qty Voltage AH Installed # Battery Qty Voltage AH Installed
Battery Testing Results
Main Alarm Panel
Charging Circuit Voltage 27.7
Battery Voltage 25.1
Battery Voltage under Full Load 24.7
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Procedure Checklist
1. System Operated on AC and Standby power
yes
no [:]
n/a [:]
2. Auxiliary Devices were Tested
yes
no Ej
n/a ED
3. Elevator Recall Tested and L&I Log book has been signed
yes
no
n/a
4. Copy of Inspection Reports left onsite
yes
no
n/a
5. Monitoring has been contacted (all signals have been verified as received)
yes
no
n/a
r7l�f- Were there any deficiencies noted during the inspection
yes
no
n/a
fi .
d�eciencies were noted, was a copy of the "Deficiency Detail Report" left with the Owner or a Representative
yes
no
n/a
Technician Performing Work (print) MichaelWalsh Lic# W06946
Customer's Authorized Agent (print) Date 10.9.14
Customer's Signature
-%.S�rving Briqe, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org .
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION: 1110 5 th Avenue S 98020
BUSINESS NAME: Edgewood Condos PHONE:
MAILING
ADDRESS: 1110 5th Avenue S, Suite 303, Edmonds, WA 98020
BUSINESS OWNER: Rautenberg, K aren HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
El BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY I STATION& SHIFT-'*'
Annual 17-C
SCHEDULED
DATE DUE o Nov 2015
LIFIR o 427 152
EMERGENCY-1: Blake, Varney —FZ A1*)4&d-0f6,T HOME PHONE: 2069309658
"—CURRENT-
HOME PHONE:
KEY ACCESS-2: 7MK4
CITY YES NO
.36zAQ_S
'EMAI its- 17 lef- 1�15_9 / 9,zS_ 1195% /A�v
BUSINESS
El El
LICENSE
PERSON CONTACTEM, L012,4 rgf�-- OL_
INITIAL INSPECTION DATE
NAME OF INSPECTOR:(
q-z-7-1
.f
FIRE SYSTEMS: FA /14
FE 4/13
FD Lk Bo
SP 4JI 3
Date Last Serviced:,
HAZARDS FOUNDIND LOCATIONS/ ',OMMUNICATIONS
"'V 44A AA 0, V "
. ... ......
Z-8
6" Le eo� 5, 'Irea-f-c.
Z11:6
2 44u._Jp#Ae tA
2
3
3
4
4
5
5
6
6
— -- - - ------ ...... .
7
7
I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st R.E-INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR: A) 1,TVAj
INSPECTOR:
INSPECTOR:
2
DATE:
2ATE:
DATE:
3
VIOLATIONS
VIOLATIONS"-"
1 5
PRE -CITATION
LE ER SENT
CITATION ISSUED
NUMBER:
4
L--f _/0)
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
6
3
7
3
7
RECEIVED
DISPOSITION:
7
4
R�TE,
LETTER NEEDED [] YES NO
LETTER NEEDED [3 YES El NO
8
i - , 4
This is a Federal Building C3
AAA Fire & Safety,.Inc.
30133 rd Ave N
kkkSeattle, Wa 98109
206-284-1721
man infb@ aafi
,,,a tre.com
Edmunds
Fire Department
Confidence Test Report Acct
Inv
STANDPIPE TYPE I M 1113 1110 / AuToMATIC (3 MANUAL 13 / DRY 0 WET 13 / COMBINED 0
Status
CONFIDENCE TEST REACCEPTANCE TEST RED YELLOW WHITE
Occupancy Address: 1110 Sth Avenue South
Occupancy Name: Edgewood Condos
Responsible Person
Phone
First & Last Name: Jan olver
Number- (206) 693-1053
Responsible Person
Address, City, State, Zip:
FOC Location: 9,D7r.tr@gmail.com
Technician's Name Morgan Brassfield
(Please Print legibly)
Certification No. SCP-00431
Date of Test: 05/2412016 10:15pm PDT
Test Frequency: 5;.Year
Riser Valve Make: N/A
Riser Valve Model: N/A
System Identification No..-
System Location: North and south stairwell
ID No.-
FDC Location: Front carport
Central station manitodng? Yes El No E
Monitoring, Company
Monitoring Required? Yes (3 No N
Name
DEFICIENCIES FOUND? Yes 0 No 19 List items that were not corrected at the time of the confidence test. Use
the Deficiencies section or attach itemized sheet
REPAIRS: All deficiencies have been corrected (3
Corrected By: Certificabon Number:
System Status changed to White (includingthe tag on the system). 13
This certifies that this fire and life safety system has been properly inspected for functional operation in NFPA Standards.
The discrepancies found are noted in the report and have been reported to the building Owner/Manaoer for correcdve ac
Signature of Technician Phone # 206-551-5681
Name of Testing Company AAA FIRE & SAFETY INC
Building Representative (signature) —Date
Print Name and Title Direct Phone #
Building Rep unavailable N Building Rep declined to sign report 0
Standpipes
9-2012 Ver.1.3 Page 1 of 7
� - I
This is a Federal Building 0
The items on the checklists below shall be inspected and tested. This list may not constitute all of the required
inspecting and lesfing of the fire and life safety system.
PRE -TEST CHECKS
1 . The Fire Alarm was put into test mode and/or other precaubons were NIA 0 Yes 13 No 0
taken to avoid preventable alarms.
2. This is the only Standpipe System at this address. Yes N No 0
If "No"What is the unique ID number?
3. AM signs, placards, and labels are provided on doors and system controls. Yes M No
I TESTING AND INSPECTION CHECKLIST I
4. The bldg. is: Fully Sprinklered 0 Partially Sprinklered (i.e. basement or egress sys.) 0 Not Sprinklered M
5. The standpipe is located in areas that could be damaged by water if a leak
occurs, and passed the air pressure test at 25 psi (1.7 bar) prior to NIA 0 Yes 0 No 13
introducing water to the system.
6. The standpipe passed the hydrostatic test In accordance with 2008 NFPA 25 NIA 0 Yes a No 0
Sec. 6.3.2
The inspector did not find recalled devices during the visual inspection.
Note: This inspection is a cursory visual assessment from the floor level N/A 9 Yes 0 No 11
in accessible areas.
TESTS
7. The req flow for this standpipe is: 0 500 gpm @ 65 psi (installed prior to 1980)
- )05)
0 300 gpm @ 150 psi 25 psi (Installed 1980 2005)
0 300 gpm @ 175 psi 25 psi (installed after 2
0 50 gpm @ 35 psi minimum (Class 11)
8. The standpipe passed the Flow sidual sure: Yes 13
Static pressure: - p.s.i. R _ p.s.i. Flowgpm
9, For automatic standpipes: The system passe main drain test, d in
accordance with 2008 NFPA 25 Chapter 13.
Note: This 5-year test is satisfied for combination s es, when it is NIA CI Yes 0
done for the automatic sprinkler system and notneed
repeated to satisfy this requirement.
10. Pressure regulating valves (PRV) pr . acceptable flow and pressure.
(Document results on separat e)
11. The flow switch(es) o as properly.
12. The �flow(s) operates properly.
re cumotsl sl
'j,3,.4 re purrip(s) started from roof flow.
0 Yes 0
No 0
No 0
NoO
0 N I
___�as 0 '
NIA 0 as (3 No 0
NIA 11 Yes 0 No 13
0
NIA (3 Yes 0 No
OBSTRUCTION INVESTIGATION
14. The 5-year obstruction investigation of Fire Department Connection (FDC) piping is up-to-
date in accordance wfth 2008 NFPA 25 Chap. 14. Jeff. 10/2112012)
Date for next FDC obstruction investigafion 5-2021 Yes M No 0
Note: This test is satisfied for combination standpipes when it is done for the
automatic sprinkler system.
15. The 5-year obstruction investigation for the FDC(s) included testing and
operation of the check valve and auto drain in accordance with 2008 NFPA 25 N/A 173 Yes B No L73
Sec. 13.4.2
GAUGES
Standpipes
9- 2012 Ver. 1. 3 Page 2 of 7
T% - ;�
This is a Federal Building 0
16. The maintenance on the system gauges is up-to-date.
Due date for the next comparison test: NIA 01 Yes 0 NIA 0
Note: The system gauges are to be compared with a calibrated gauge
every five (5) years. If a gauge Is not within +/- 3% of the calibrated
gauge it must be replaced or recalibrated. This check can be done for
multiple floors at static pressure using one calibrated naune and
VALVES AND HOSE CONNECTIONS
17. The water supply control valves are secured or electronically supervised N/A 2
Yes 0
No 0
18. The Fire Department Connection(s)(FDC) is clear of bushes, guards, or other debris and is
Yes 2
No 0
visible from the street
19. AJI FDCs have protective plugs or covers.
Yes E
No 0
20. If a plug or cover was missing from a FDC the piping was inspected for debris N/A 13
Yes 0
No 0
in accordance with 2011 NFPA 25 Sec. 13.7.2,13.7,4, and Table 13.8.1
21. AJI swivels turn freely
Yes S
No 0
22. AJI hose connection valvestports have a protective cap with a 1/8" relief hole
Yes M
No 0
23. AJI caps and plugs have at least 12' clearance for operating wrenches.
Yes a
No 0
MONITORING
24. A signal was received at the Central Station monitoring company. N/A E Yes 0 No 0
RECALLS
25. The inspector did not find recalled devices during the visual inspection.
Note: the inspector's inspection is a visual cursory Inspection from Unk 2 Yes 0 No C3
the floor level in accessible areas
26. The hose cabinet(s) isirreeceatable condition in accordance with 2008
Yes 0 No 11
NFPA 25 Tables 6.1 and 6.2.2.
27. The hose storage device(s) is in acceptable con-aVion-axuccoulapee-WiF
Yes 0 No 11
2008 NFPA 25 Tables 6.1 and 6.2.2. ------7
28. The hose is in acceptable conditio r ance with 2008 NFPA 25 ::���Yes
0 No 0
Tables 6.1 and 6.2.2
29. The noz �* �acceptable conciftion in accordance with 2008 NFPA 25
�7
Yes 6
6.1 and 6.2.2,
FINAL CHECKS
30. The Fire Alarm was removed from test mode and/or other precautionary
measures were removed to restore fire alarm system to normal N/A 2
Yes 0
No 0
operation (includes removal of temporary protcepti
iyq_coverings).-,----
31. The standpipe was left in service.
Yes 2
No 0
32. If "No", why.
33. The confidence test report was given to the owner and a current status tag was posted as
Yes 2
No C3
proscribed in SFD Administrative Rule 09.02.09.
34. The confidence test report was sent to the fire marshal's office.
Yes 2
No 11
DEFICIENCIES:
Standpipes
9- 2012 Ver. 1. 3 Page 3 of 7
0! - a
This is a Federal Building 1:1
* Inlet Static and Residual pressures from the top standpipe gauge and fire pump discharge gauge shall be reported on this I
Standpipes
9-2012 Ver.1.3 Page 4 of 7
I L-L--FIRE DEPARTMENT -
Viking Electric Sales & Service, Inc. 63 >
20324 19th Ave. NE Suite A CONFIDENCE TESTING
Seattle, WA 98155-1261
FIRE ALARM
CP
Address Avc, I,. I i1i, 6�de
Occupied'as
e �,j
Building Owner Phone:
NAME OF TESTER CERTIFICATION NO. 6�f Pll:f-OIWJ
Date of Inspection Type Of Inspection: Quarterly El Annual Acceptance El Other 0
Control panel manufacturer M/-�-Avup—
Model No. _7�
No.ofinftiatingcircufts No. of signal circuits __7 L-"�o
Battery voltage volts Charge circuit voltage Volts
Battery voltage under full load volts (signals operat_iRg)
1 . Trouble signal with AC power off: ...................................... Yes ONo 0 N/A El
2. System operates satisfactory on standby power: ........................ Yes ENNo 0 N/A El
3. All signals operate on AC power: ................................. Yes ETNo EJ
4. 'Have all -alarm notification appliances been checked for proper operation? Yes"[2-N6 0
5. All circuits checked for electrical supervision: .......................... Yes 0-No El N/'A El
IN/A 0
6. b6ntrol panel checks made per manufacturer's instructions: .............. Yes -EKoU
7. All auxiliary equipment operates: (Elevators, fans, dampers) ....... YesE]NoE]N/A
--'No EIN/A 2'
8. Central stati n or rernote connectiem: ....................... ......... Yes E_j
.0—
Name of Monftoring Company
9. Key to panel available: .................. .......................... yes ONo EIN/A El
10. Operating Instructions at panel? .................................... YesDiTo El N/A 1-1
Service Label or Tag (SFC Appe'ndix III-B) ............................ Yes ETN�o EJ
CTF-8
r2m5) (tumble)
RE: FIRE ALARM TEST (continued): EQUIPMENT TESTED
JYPE OF EQUIPMENT
NUMBER OF
UNrrS TESTED
SATISFACTORY
NO. OF UNIT!
IN BUILDING
YES
NO
N/A
Bells. Horns, Chimes
Voice Alarm Speakers
Visual Alzirm Devices
Trouble Indicators
PA,,IL
Super.$Mches (auto. spr.)
ALdo Spr. Flow Swftches
Smoke Detector(s)
Heat Detector(s)
Manual Pull Stations
Ventilation Controls Operate
Central Station
Annunciators
Elevator Call Down
-Fire Dampers/Smoke Dampers
-Phone Jacks
Auto.'Door Unlocks
(Failsafe)
Auto. Door Release
Other
Problems
found:
IF MORE SPACE IS NEEDED, ATTACH SEPARATE SHEET.
Corrections made:
Date corrected
-0
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED F
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.'
SIGNATURE OF OWNER OR REPRE6ENTATIVE
r,
SIGNATURE OF TESTER LN6��,MF C"(:f1e Electrical License No. VIKINES082f�_
AGENCY VIKING tLECTRI4 SAIES & SERV INCPHONE 206 367-0314
MAILINGADDRESS. 20324 19th Ave, '#A. -Sparrig-_ WA c)RISS-1911
Viking Electric Sales & Service, Inc.
20324 19th Ave. NE Suite A
Seattle, WA 98155-1261
Address 0
Occupied as
E
FIRE. DEPARTMENT -
CONFIDENCE TESTING
FIRE ALARM
nn C( 5
WOOD c-,0 ,I
Building Owner Phone:
NAME OF TESTER Iq 4"Ke CERTIFICATION
NO. 5ceg
Date of Inspection 41" ?-3/1-3 Ty e Of Inspection: Quart&ly E) Annual El Acceptance El Other f-1
Control panel manufacturer �pm-e— Model No. Z7—co
No. of initiating circuits No. of signal -circuits
Battery voltage Volts Charge circuit voltage Volts
Battery voltage under full load S�k(o volts (signals operat-inQ)
I Trouble signal with AC power off: .............................
........ Yes D No El N/A El
2.
System operates satisfactory on standby power: .........................
Yes O'No ON/A El
3.
All signals operate on AC power: * ......................... .....
Yes Eli�o D
4.
Have all alarm notificati on appliances been checked for proper operation? ...
Yes Eli�o El
5.
All circuits checked for electrical supervision: ...........................
Yes El�o EIN/AE]
6.
Control panel checks made per manufacturer's instructions: ...............
Yes EfNoEIN/A EI
7.
All auxiliary equipment operates: (Elevators, fans, dampers)
YesE]NoE] N/A Er
8.
Central -station or remote connection: ......................
Yes 0 N El N/A 0"
..........
o
Name of Monkoring'Company
9.
Key to panel available: ............ .
...............................
Yes ONO 0 N/A El
10.
Operating Instructions at panel? ....................................
YesE3No El N/A El
4-1.
Service Label or Tag (SFC Appendix 111-8) .............................
YesETNo El
CrF-e
(tumble)
RE: FIRE ALARM TEST (continued): EQUIPMENT TIESTED
TYPE OF EQUIPMENT
NUMBER OF
UNrrS TESTED
SATISFACTORY
NO. OF UNIT!
IN BUILDING
YES
NO
N/A
Bells, Horns, Chimes
-Voice Alarm Speakers
v_/
"90
-Visual Alarm Devices
-Trouble Indicators
-Super.Swhches (auto. spr.)
Auto Spr. Flow Switches
Smoke Detector(s)
Heat Detector(s)
Manual Pull Stations
Ventilation Controls O�6rato
Central Station
Annunciators
Elevator Call Down
Fire Dampers/Smoke Dampers
Phone Jacks
Auto. Door Unlocks
(Failsafe)
Auto- Door Release
Other
Problems
found:
IF MORE SPACE IS NEEDED, ATTACH SEPARATE SHEET.
Corrections madb'::
Date corrected
Z_
THIS IS TO CERTIFY. THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED F
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.'
SIGNATURE OF OWNER OR RE��RESENTA
SIGNATURE OF TESTER 11111�1,0v�c
r,
Electrical License No. VIKINES082C6
AGENCY VIKING ELECTRIC SALES & SERV -INCPHONE 206 367-0314
MAILINGADDRESS 20324. 19th Ave.
�;p;j r r I p w A qg IS S_ I? I I
SEATT-tFE FIRE. DEPARTME-N-1-
Viking, tlectric Sal�,i & Service, Inc.
2032-1 19th Ave. NE Suite A CONFIDENCE TESTING
Seattle, WA 98155-1261
FIRE ALARM
Address //to A-vue 6o
Occupied as t? 1, j 0 0
Building Owner Phone:
NAME OF TESTER CERTIFICATION NO. �5cpIZ-01qq4i
Date of Inspection Type Of Inspection: Quarterly El Annual krAcceptance El Other 0
4LV ?- 01 Z
Control panel manufacturer 1-4,ta 16-�e- Mode I No. -7 0 -7 C9
No. of initiating circuits - No. of signal circuits -7,
Battery voltage 12 1 -4- volts Charge circuit voltage. volts
Battery voltage under full load d,
volts (signals operatiRg)
1 Trouble signal with AC power off: .................................... Yes ONo- -E1 N-/A--El-
2. System operates satisfactory on standby power: .......
................ Yes E?�No 0 N/A El
3. All signals operate on AC power: .................................... Yes [*No El
4. Have all a I larm notification appliances been checked for proper operation?' Yes RNo EJ
5. All circuits ch . ecked for electrical supervision: ..................... ..... Yes &No EI N/A E]
6. Control panel checks made per manufacturer's instructions: ............... Yes &No ON/A El
7. All auxiliary equipment operate s: (Elevators, fans, dampers) .... Yes E]No ON/A
8. Central station or remote connection: .... I ............................. Yes EINIo DIN/A D'
Name of Monitoring Company
9. Key to panel available: ..........
................................. Yes ONo EIN/A El
10. Operating Instructions at panel? ....................................... Yes EfNo El N/A El
4-1. Service Label or Tag (SFC Appendix III-B) ............................ Yes O'No
(tumble)
RE: FIRE ALkRM TEST (continued): EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBER OF
UNITS TESTED
SATISFACTORY
NO. OF UNIT!
IN BUILDING
YES
NO
N/A
Bells. Horns. Chimes
Voice Alarm Speakers
7-0
Visual Alarm Devices
LIZ
Trouble Indicators
PA,
Super.Switches (auto. spf.)
Auto Spr. Flow Switches
Smoke Detector(s)
Heat Detector(s)
Manual Pull Stations
Ventilation Controls O��rale
Central Station
Annunciators
Elevator Call Down
Fire Da mpers/Smoke Dampers
Phone Jacks
Auto. Door Unlocks
(Failsafe)
Auto. Door Release
Other
Problems
found:
IF MORE SPACE IS NEEDED, ATTACH SEPARATE SHEET.
Corrections made: jf&vvj-0jjgj inin nAlp L' -'7 fe
EM
Date corrected- *1 Y Z IZ— By IAI-J�
THIS IS TO,CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED f
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
SIGNATURE OF OWNER OR REPRESENTATIVE
SIGNATURE OF TESTER Electrical License No. VIKINES082C6
AGENCY VIKING ELECTRIC SALES & SERV INCPHONE 206 367-0314
MAILINGADDRESS ?0324 19th Ave. WA QA1SS-1?LL-
Viking Electric Sales & Service, Inc.
20324 19th Ave. NE Suite A
Seattle, WA 98155-1261
Address — 1110
Occupied as
Sg*T-T� FIRE DEPARTMENT-
tF-,A vk7 ovi *0 �*
CONFIDENCE TESTING
FIRE ALARM
6
a -
c�Z
IL
') _ IC) q0
Building Owner Phone:
NAME OF TESTER CERTIFICATION No. 5CP111_,_01qyy
Date of Inspection . 12 i Q Type Of Inspection: Quarierly 1:1 Annual
Acceptance El Other E1
Control panel manufacturer -AL (D A. / a Model No. -7 0 -2 D 7
No. of initiating circuits No. of signal circuits -�2
Batt . ery voltage volts Charge circuit I voltage Volts
Battery voltage under full load Its (signals operat-ing)
1
Troub le signal with AC power off: .....................................
Yes eNo El N/A El
2.
System operates satisfactory on standby power: .........................
Yes El�o EJ NIA El
3.
All signals operate on AC power: ......... I ..........................
Yes 13-No D
4.
Have all alarm notification appliances be en checked for proper operation? ...
Yes EINO M
5.
All circuits checked for electrical supervision: ...........................
Yes DNoEl N/AE1
6.
Control panel �checks made per manufacturer's instructions: ...............
Yesg-Ko El N/A El
7.
All -auxiliary equipment operates: (Elevators, fans, dampers)
El No E
yes -1 N/A
8.
Central station or remote connect*
ion: ..............................
YesEl No 0 N/A F�
Name of Monftoring C ompany
9.
Key to panel available: ............ ...............................
Yes ONoEl N/A 11
10.
Operating Instructions at panel? ........... .........................
Yes BNoEl N/AE3
4_11. Service Label or Tag (SFC Appendix III-B) ............................ Yes D<o El
CrF-8
RM (tumble)
RE: FIRE ALARM TEST (continued): EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBER OF
UNITS TESTED
SATISFACTORY
NO. OF UNM
IN BUILDING
YES
NO
N/A
Bells. Horns, Chimes
Voice Alarm Speakers
Visual Alarm Devices
Trouble Indicators
Super.Swhches (auto. spr.)
Auto S�r. Flow Switches
Smoke Detector(s)
Heat Detector(s)
Manual Pull Stations
Ventilation Controls Operate
Central Station
4
Annunciators
Elevator Call Down
Fire Dampers/Smoke Dampers
Phone Jacks
Auto. Door Unlocks
(Failsafe)
Auto. Door Release
Other
Problems
found:
EM
IF MORE SPACE IS NEEDED, A17ACH SEPARATE SHEET.
RE
Corrections made: Repla'f'x 4 lba'�� a"e '."' yl�k g'>CYr'fi'/w-
M..
Date corrected 1?::4 �5-4 '(0 oy
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED F
RELIABILITYTO COVER THE ITEMS LISTED IN THIS REPORT.
SIGNATURE OF OWNER OR REPRESENTATIVE
SIGNATURE OF TESTER Electrical License No. VIKINES082C6
AGENCY VIKING ELECTRIC SALES & S V INCPHONE 206 367-0314
MAILINGADDRESS 20324 19th Ave. #A. p a r r I p wA qgjss-j?jj
------------
FIRE DEPARTMENT
CONFIDENCE TESTING - STANDPIPES
FIRE SAFETY INC.-
INVOICE# 7 7
ACCOUNTWI!��
DATE
3013 AVENUE NORTH SEATTLE, WASHINGTON' 98109 206-284-1721
FAX 206-284-1769
ADDRESS: CITV:
ZIP CODE-F��W
OCCUPIED AS4e�e6,��ZM PHONE
INSPECTED BY: 'o ORGANIZATION: #00431
DATE OF INSPECTION: TYPE OF TEST: ANNUAL 5,-VEAR ACCEPTANCE
C;CLjA&I S =YEA
_TES
'T
.0-TESTED1.1755PPSI OR50PSI GREATER THAN HEAD PRESSURE FOR 2 HOURS
I VES NO
ALL OUTLET VALVES AND HOSE THREADS CHECKED?
WAS 25 PSI AIR TEST CONDUCTED?
ARE PUMPER CONNECTION CLAPPER VALVES FREE OF OBSTRUCTION?
v___
CLASS 11 (5 YEARj
ARE ALL HOSES, VALVES, AND CONTROLLING NOZZLES IN GOOD CONDITION?
I I AVE �TS BEEN CONDUCTED AT HIGHEST LEVEL FOR AT LEAST 30 SECONDS TO
-MAKE SURE NOZZ WORK AT PRESSURE AVAILABLE (50CPM AT 35PSI)?
HAVE CONTROLLING VALVES BEEN TO V I ERIFY THAT PRESSURE REGULATI LVES
OPERATE PROPERLY (NOT TO EXCEED 00 PSI URE)?
CLASS 111 (5 YEAR)
'HYDRO -TESTED AT 175 PSI OR 50 PSI GREATER THAN HIGHEST PRESSURE?
WAS 25 PSI AIR TF-W CONDUCTED?
ALL OUTLET VALVES AND HREADS CHECKED?
FLOW T_UTS-CITN_Duc'rED TO VERIFY OPERATING PRESSURE OF,PRESSURE REGULATING
VAL-M (NOT TO EXCEED 175 PSI FLOWING)?
GENERAL
ALL FIRE DEPARTMENT INLETS AND OUTLETS EQUIPPED WITH A�PROVED PLUGS OR CAPS
(1/8 INC[ . I PRESSURE RELIEF HOLE IN CAPS)?
CLASS 1 & 11 STANDPIPES IIAVE'12"WRENCII CLEARANCE?
PIPING BETWEEN FIRE DEPARTMENT CONNECTION AND CHECK VALVE IIYDRO-TEsTED?
VERIFY THAT WATER FLOW SWITCHES OPERATE
N/A ll_�
PUMPER CONNECTIONS ARE NOT OBSTRUCTED N/A
ALL CONTROL VALVES LEFT IN OPEN POSITION (EXCEPT NORMALLY NIA
CLOSED VALVES)
PROBLEMS FOUND:
CORRECTIONS MADE:
TH is IS TO CERTtFYiHATTHE
Rke* SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVERTHE ITEMS LISTED IN THIS REPORT, THAT IT IS CONSISTENT WITH MANUFACTURER'S REQUIREMENTS,AND
THAT AI,LlCORRFCnONS HAVE BEEN MADEp
._Z�7- -57
le�goll L '/Z
SIGNATURE ER,-/, x-fIlle.1c—
OF TEST ol __ - fHONE 2 n r, 2 p 4*1 '7 2 1
f
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DOPARTMENT
LOCATION: 1110 5th Avenue S
BUSINESS NAME: Edgewood Condos
I MAILING 1110 5th Ave'S
PHONE:
FIRE PREVENTION
SAFETY SURVEY
ADDRESS:
Edmonds 98020
BUSINESS OWNER: Wangen, George =3 HOMEPHONE: 2063233200
EMERGENCY-1: Cook, April HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREQUENCY'
STATION& SHIFT
365
17 6
SCHEDULED
DATE DUE I�
11/01/10
LIFIR 1� 427
1'152
ACTIVE
0 PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: ��,C A'1 (06116
FIRE FA 4/10 SP-2J02 I'D LkBx FLt)S'/ 69
SYSTEMS:
^;z ho
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE*
VIOLATION CODE
2 IqA)e) �'PC
< AJd�-b 5
/Z -TCeUi(,x_
2SA
3 In C1_6 E--A c
I(. j/�(, OJ—F
6F ��Ro)cS' 71,jb
3
4
CA,11 (tZ 6
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
jrCONTACTED:
PERSON
CONTACTED:
PERSON,
CONTACTED:
1
NSPECTOR
INSPECTOR:
INSPECTOR:
2
DATE
DATE:
DATE:
3
VIOLATIONS
5
6
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
DATE:
CODE
SECTION:
5
3 06--
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
8
FLETTER
18
DATE:
DISPOSITION:
8
LETTER NEEDED YES NO
NEEDED E] YES E] NO
FIRE DEPARTMENT COPY
&_4wia riso
�S@Aq�'F_LE FIRE DEPARTMENT -
Viking Electric Sales & Service, Inc. CONFIDENCE TESTING
20324 19th Ave. NE Suite A
Seattle, WA 98155-1261
FIRE ALARM
Address e 's 0 L)-�,
Occupied as
(:�a
-2
Building Owner Phone:
NAME OF TESTER /2, 6-1
Z// CO/M CERWICATION NO.
Date of Inspection Type Of Inspection: Quarterly 0 Annual Acceptance El Other 171
Control panel manufacturer .&IJ& a- r6 /I e, Model No. 7Q7D-7
No. of initiating -circuits- --No. of signal circuits
Battery voltage 2,C04 Volts Charge circuit voltage Volts
Battery voltage under full load OS. S' __ volts (signals operating)
1 Trouble signal with AC power off: ..................................... YesgiTo EIN/A 0
2. System operates satisfactory on standby power: .................. I ...... YesEl�o EIN/A 0
3. All signals operate on AC power: .................................... Yes DN. El
4. Have all alarm notification appliances been checked for proper operation? ... Yes EINoEl
5. All circuits checked for electrical supervision: ................... "o EIN/A 0
....... Yes EN
6. Control panel checks made per manufacturer's instructions: .......... : ... Yes ID*NoE] N/AE1
7. All auxiliary equipment operates: (Elevators, fans, dampers) ....... .... Yes OWEIN/AET'
--'No El N/A
S. Central station or rernote connection: ....................... ..... Yes r
Name of Monkoring Company
9. Key to panel available: ............................................ Yes �o El N/AE1
10. Operating Instructions at panel? .................................... Yes ffNo EIN/A El
1-1 - Service Label or Tag (SFC Appendbc III-B) ............................. Yes No
CTF-8
(2/95) (tumble)
RE: FIRE ALARM TEST (continued): EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBER OF
UNITS TESTED
SAMFACTORY
NO. OF UNrP
BUILDING
YES
NO
N/A
Bells. Horns, Chimes
Voice Alarm Speakers
—IN
0
Visual Alarm Devices
P/v(_
Trouble Indicators
Super.Switches (auto. spr.)
Auto Spr. Flow Switches
Smoke Deteclor(s)
Heat Detector(s)
Manual Pull Stations
Ventilation Controls Operate
Central Station
Annunciators
Elevator Call Down
Fire Dampers/Smoke Dampers
Phone Jacks
Auto. Door Unlocks
(Failsafe)
Auto. Door Release
Other
Problems
found:
IF MORE SPACE IS NEEDED, ATTACH SEPARATE SHEET.
Corrections made:
Date corrected
z
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED 1
RELIAB ILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
SIGNATURE OF OWNER OR REP
SIGNATURE OF TESTER
NTATFVE
Electrical License No. VIKINES082C6
AGENCY VIKING ELECTRIC SALES & SERV�—�CPHONE 206 367-0314
MAILINGADDRESS. 20324 19th Ave, #A. .qpqrrlp WA QRISS-1?11
;,oq I
i/�lebFIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06001783 Exposure: 0 Incident Date: 6/2/2006
Jurisdictional Station: 17 Location--T-ype:—Stre.et address
Address: �11-1 �O� 5—AVE--S---#-406----
City: Edmonds State: WA Zip; 98020
Incident Type: Service Call, other
Shift: A Alarms: 1 Grid: EF152
Aid Type: None
Alarm Time: 10:05:44 6/2/2006
Arrival Time: 10:10:02 6/2/2006
Last Unit Cleared Time: 10:21:26 6/2/2006
Actions Taken: Systems and services, other- -
HazMat Released: None
Property Value: 0
Property Loss: 0
Fire Service Deaths: 0
Fire Service Injuries: 0
Contents Value: 0
Contents Loss: 0
Civilian Deaths: 0
Civilian Injuries: 0
Detector:
Officer In Charge: DONALD WHITE Assignment: Command
Mixed Property Use: Not mixed use
Property Use: Multifamily dwellings
i/v�cbFIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06001783 Exposure: 0 Incident Date: 6/2/2006
Jurisdictional Station: 17 Location Type: Street address
Address: 1110 5
AVE S #406
City: Edmonds State:
WA Zip: 98020
Incident Type: Service Call,
other
Shift: A Alarms: 1
Grid: EF152
Aid Type: None
Alarm Time:
10:05:44 6/2/2006
Arrival Time:
10:10:02 6/2/2006
Last Unit Cleared Time:
10:21:26 6/2/2006
Actions Taken: Systems and
services, other
HazMat Released: None
Property Value: 0
Contents Value: 0
Property Loss: 0
Contents Loss: 0
Fire Service Deaths: 0
Civilian Deaths: 0
Fire Service Injuries: 0
Civilian Injuries: 0
Detector:
Officer In Charge: DONALD WHITE Assignment: Command
Mixed Property Use: Not mixed use
Property Use: Multifamily dwellings
, i/ vie CTIRS
Fire Incident Report
Edmonds Fire Department
Person('s) Involved
Role:- Owner
Name: Maxine Attebery Phone Number:
Address: 1110 5 AVE S #406 Edmonds, WA 98020
Apparatus and Personnel
Apparatus ID Personnel ID('s)
E17 EF1539 EF2218 EF2271
i/vlebFIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06001783 Exposure: 0 Incident Date: 6/2/2006
Narrative
E17 responded to the report of an AFA at 1110 5 Ave S. The panel showed "Trouble". A circuit
breaker for the hall section of the residence had tripped, and the backup batteries were in
need of replacement. The Trouble alarm was silenced, the breaker reset, and alarm company
notified'to send technician. Property owner confirmed tech. enroute, and E17 returned to
service.
-14-W os--2?
Lt DONALD WHITE
06/02/06 19:28:43 PRINT REQUESTED BY TERMINAL EFPC09
Incident History for: #EF06001783
Case Numbers: $EF06002041 $S206009706
Received 06/02/06 10:05:18 BY SCPC04 SC754
Entered 06/02/06 10:05:35 BY SCPC04 SC754
Dispatched 06/02/06 10:05:44 BY SCPC06 SC752
Enroute 06/02/06 10:07:37
Onscene 06/02/06 10:10:02
Closed 06/02/06 10:21:26
Initial Type:
PREF Initial
Alarm Level: 1 Final Alarm Level:
1
Final
Type:
AFA (AUTOMATIC FIRE ALARM) Pri: 2 Dispo:
Police
BLK:
E025 Fire
BLK:
EF152 Map Page: 454F-7 Group: EF1
Beat: MD17 Sr
Loc:
1110 5 AV S #406 EDM --
EDGEWOOD APTS btwn PINE ST & ELM WY
(V)
Loc Info:
-
Name:
ATTEBERY MAXINE N
Addr: 1110 5 AV S #406 EDM Phone:
4257780982
/1005
(SC754
) ENTRY
SMELL OF HOT WIRES
/1005
(SC752
) DISP
E17
#EF1539 WHITE, DON - HAZMAT TECH
#EF2218 DICKINSON, JASON
#EF2271 FORD, JAY
/1005
$ASNCAS
E17
$EF06002041
/1005
ASST
TAC21
/1005
$ASNCAS
TAC21
$S206009706
/1006
(SC754
CHANGE
TYP: PREF AFA,
TXT: NO SMOKE OR FLAMES - AFA IS GOING
OFF - HEA
RS THE BELLS -
/1006
CHANGE
TXT: HEAR IT FROM HALL WAY NEAR THE
"METOR" ROOM
/1007
(SC752
AIQ
TAC21
/1007
(SC754
CHANGE
-
. TXT: NOT EVACUATING -
/1007
(SC752
ENROUT
E17
/1010
ONSCNE
E17
/1010
MISC
E17
3STORY WF APT COMPLEX NVI
/1021
AOR
E17
/1021
CLOSE
E17
I -- 4
Eckjo- (,,)0rd
Ap.Trtffent Nam�e.
# of Stories of Units per Bldg.
ALARMS Yes No
Required?
VT
I
Installed?
Audible throughout?
EMERGENCY LIGHTING
Required?
Installed?
SMOKE DETECTORS
Installed?
t)
UO-IA-R
-�� 1-7,8L-
61"-25
7-2k
Aof
-4bltl
.,ea �wz . &,r4ac-7, &A
"A
-70 cljmel''Alne�ofz_
Address
u.F.i.R. #
SELF -CLOSING DOORS Yes No
Required?
Installed?
v
EXIT SIGNS
Required?
v
Installed?
HALLWAY LIGHTING
Required?
Installed?
- 5-2-2-5,470
1.0
-2-6-kZ 0��Je /I
2-
M-. 92
7-9�2
1,7- A)
)21-1,�-92
AAP-24
12 - 12 -gz
ALARM AUDIBILITY TEST
C,6 C�c tj 0 06 c o Am o '-123-07-0-001
Apartment/Condominum U.F.I.R. #
u r�:
Address Date
Apartment Owner Adress
'60'a OLSC-A) J(j)0,050"d
Person Contacted Person(g) Conducting
Test
Location(s) of Decibal
Recording (s)
ALARM PANEL:
Yes No
Functions properly
Battery Back-up
Batteries Functional
Comments:
Ambient Decibals
Decibals during
Alarm Test
ALARM ACTIVATED BY:
Smoke Detector
Location
7_Z2
Pull station0<
R E C E I V E D
VERIFICATION OF MTLIAN,CE FOPJ1 NOV 1 131982
# 423-020-001 EDMONDS FIRE DEP-1.
This forr. must be completed and returned to the Edmonds Fire
Department within thirty days.
1.
Smoke detector
installed ..............
Yes V/ No
2.
self -closures
installed ...............
Yes No
3-.-Fire
rating on
doors:
a. 20 minute
label ..................
Yes V//No
b. 1 3/4" solid
core ................
Yes No
Au,�Korized
Signa-tAre Z?---
Apt(fCon-d-o
Name
,L-
4z, e- 129 �Q
Address Phone Number
We wish to thank you for your time and attention in completing
this form.
0 Ili � - -7 �'_ Ile,? ,
'0� __;' 2Y3 - 7 V S--
N�.
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER * EDMONDS, WASHINGTON 98020 - (206) 775-2525
FIRE DEPARTMENT
November 10, 1982
Attention -Mrs. Eloise Bowen
Edgewood Condominium
1110-5th Ave. South
Edmonds, WA 98020
Dear Mrs. Bowen,
A letter was sent to all multi -family residential buildings
informing the owners that a revision in the Community Development
Code has been adopted. You were informed that all dwelling units
would be required to have an approved smoke detector installed
prior to July 1, 1982.
On October 14, 1982 a "Request for Verification of Compli-
ance" form was sent to you requesting the current status on three
items.
1. Installation of smoke detectors in each living unit.
The following will effect,all apartments and condominiums with
two or more doors that open on a common area/corridor, balcony
or stairway.
2. Self -closures on all living unit doors.
3. Fire rated doors on all living units.
Todate we have-not received a reply to the October 14, 1982 letter.
The completed form will be a signed document stating that all
units in your building comply with the City of Edmonds Fire and
Life Safety Code regarding the three items listed. This letter is
being sent rather than inconvenience all the residents of your
building to a unit by unit inspection. We are required by Ordin-
ance #2290 to enforce the revision in the Fire and Life Safety
Code. Please return the completed form by November 30, 1982.
If we may be of any
calling 775-2525 between
through Friday.
GLM: be
assistance, please contact this office by
the hours of 8 a.m. and 5 p.m., Monday
Sincerely,
&A
_,ta% "'e. -tP4j_&k4A
Gary L. McComas
Fire Marshal
VERIFICATION OF COMPLIANCE FOM
# 423-020-001
This forr. must be completed and returned to the Edmonds Fire
Department within thirty days.
1. Smoke detector installed .............. Yes No
2. Self -closures installed ............... Yes No
3. Fire rating on doors:
a. 20 minute label .................. Yes No
b. 1 3/4" solid core ................ Yes No
Apt/Condo Name
Address
Authorized Signature
PHone Number
We wish to thank you for your time and attention in COMDleting
this form.
L000c�
Attention -- Gary L. McComas
City of Edmonds Fire Marshall
P.O. Box 459
Edmonds,, WA 98020
Dear Mr. McComas., '
October 12Y 1982
Aflt E D
MTV 1982
EDMONDS FIRE DEPT.
We, the Edgewood Board.,'held an emergency meeting Tuesday., October 12th
to consider all that must be decided concerning the alarm system and the
emergency lighting system.
In accordance with our By-Lawswe must hold a general membership
neeting with 10 days noticep present our proposalsp and set & collect
assessments before any work can be done. We have scheduled such a
meeting for Sunday, October 24th at 2:00 P.M.
We are concerned about our progress in this matter and are working
as quickly as we canp now that all board members are back in town. Any
future comments or questions should be directed to our presidenty Eloise
Bowen (776-8180).
Sincerely.,
Janet Mansfield
(secretary)
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER * EDMONDS, WASHINGTON 98020 - (206) 775-2525
FIRE DEPARTMENT
October 14, 1982
Attention -Janet Mansfield
Edgewood Condominium
1110-5th Avenue South
Edmonds, WA 98020
Dear Ms. Mansfield,
Enclosed is a "Verification of Compliance" form. We are re-
questing that you complete and return this form.
The completed form will be a signed document stating that
all units in your building comply with the City of Edmonds
Fire and Life Safety Code regarding the three items listed.
We are sending this letter rather than inconvenience all of
the residents of your building to an inspection.
If we may be of any assistance, please contact this office
by calling 775-2525 between the hours of 8 a.m. and 5 p.m.,
Monday through Friday.
Sincerely,
Gar�y. McComas
Fire Marshal
GLM: be
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER * EDMONDS, WASHINGTON 98020 9 (206) 775-2525
FIRE DEPARTMENT
September 20, 1982
Attention -Janet Mansfield
Secretary of Edgewood Condominium
1110-5th Avenue South
Edmonds, WA 98020
Dear Ms. Mansfield,
SUBJECT: EDGEWOOD CONDOMINIUM; ALARM SYSTEM, EMERGENCY LIGHTING
AND DOOR CLOSURES
On May 6, 1982 a letter was sent to Mrs. E. M. Bowen in-
forming you of a revision to the City of Edmonds Code that
pertains to Fire and Life Safety. The letter, subsequent tele-
phone conversations and -meetings provided a specific date of
compliance. Section 19.75.000 of the amended Community Develop-
ment Code states that the fire alarm system was to be installed
by July 1, 1982 and the emergency lighting and door closures
were td have been installed as soon as possible.
Since our initial contact by letter dated May 6, 1982 and
the meeting with Mr. Jim Stutz on June 4, 1982, there has been
little progress made toward completion of the required items.
The progress made on the installation of door closures is noted
and appreciated.
We will schedule an inspection on or about October 22, 1982
to determine compliance with our requirements. If, at that time,
there is not significant progress, there will be no choice but
to refer the matter to the city attorney.
If we may be any assistance, please contact this office by
calling 775-2525 between the hours of 8 a.m. and 5 p.m., Monday
through Friday.
Sincerely,
Gar
Fire Marshal
GLM: be
1110 5th Ave. S. #401
Edmonds, Washington 98020
Sept. 17, 1982
Dear Gary L. McComas,
In regards to your letter of September 10 concerning our
progress towards compliance with the revision in the fire and
life safety code, we plan to meet Thursday, October 21, 1982.
We have redeived three bids on the alarm and emergency
lighting systems and they vary in such a degree (33000 to $9000)
that we hope to get other bids before the October 21st meeting.
We will evaluate bids at this meeting and hopefully a decision
can be made.
You mentioned in your letter that several apartments and
condominiums have met compliance. We would be very much inter-
ested in knowing of these buildings so that we could communicate with
them about what was done, who had done it, and how s#tisfied they
are with the job done. Is there any reason why we shouldn-l't or
couldn't have such a list immediately so we could pursue our letting
of a contract in the near future?
Another matter of concern is with the self closing doors.
Nearly all units have complied with new hinges. I am enclosing a
list of owners and have circled those which have not yet notified
me of compliance.
Sincerely
Ar-re"t",�`M"'ansf ield
Secretary of Edgewood Condo
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
FIRE DEPARTMENT
September 10, 1982
Attention* -Janet Mansfield
Secretary of Edgewood Comd.oninium
1110-5th Avenue South
Edmonds, WA 98020
Dear Ms. Mansfield,
SUBJECT: REVISION IN THE FIRE AND LIFE SAFETY CODE
Thank you for your letter dated July 30, 1982. Essentially
the associatior�s interpretation of the Fire Department's position
is correct. However, there is a limit to the lee way that we are
permitted to exercise. Several apartments and condominiums have
met compliance and the remaining buildings that fall under the
revision of the code have the work.in progress.
In your letter of July 30, 1982, it was stated that a board
meeting would be held in the fall to let out the alarm and emer-
gency lighting contracts. Would the Association Board please
respond in writing by September 17, 1982, stating a specific
date when the board will need -.and the contracts will be let?
If we may be of any assistance, please contact this office
by calling 775-2525 between the hours of 8 a.m. and 5 p.m.,
Monday through Friday.
Sincerely,
a� -McComas
Fire Marshal
GLM: b e
EDGLWOOD CONDOMINIUM OWNERS ROSTER
Dr. & Mrs. Fred Ehrlich
18102 86th Place S.W.
Edmondsy WA-98020
I '-
778-6383
102 Cora K. Schaill
546 Alder*Street #203
Edmondss WA 98020
771-3759
*XO 3
Mr. & Mrs. James A. Stutz
18102 85th Place W.
54g^
Edmonds, WA 98020
774-7809
104
Lo' raine Mur
r ph�r
F
3
illo 5th Ave. S. #10
Edmondsy WA 98020
774-67o6
201
Mr. & Mrs. E. Busselle
1110 5th,Ave. S. #201
Edmondsy IWA 98020
775-6970
202 Mrs. Gudrun Jangaard
1110 5th Ave. S. #202
Edmonds, WA 98020
776-6039
203 Meryl A. Gravelle
1110 5th Ave. S. #204
Edmonds, WA 980�O
776-9414
204 Meryl A. Gravelle
301 Peterson Bros., Inc.
330 Pine
Edmonds, 14A 98020
771-7124
y 302 Mr. & Mrs. John A. Walker
4570 w. 5 Avenue
Vancouver., B.C. V6R�lS7
Managed by:
Management Investment
(Jo Berkley)
P.O. Box 33358
Seattle, WA 98133
303 Mr. & Mrs. Charles Kvale
906 Hindley Lane
Edmonds., WA 98020
778-6624
3o4 Mr!'
10718 229th Pl-, 5.W.
Edmonds WA 98020
542-8088
305 Judy A. Pennington
1110 5th Ave.. S. #305
Edmondsp WA 98020
778-9047
306 Mr. & Mrs. James Stutz
401 Janet E. Mansfield
1110 5th Ave.'S. #401
Edmonds? WA 98020
A402 Mr. & Mrs. Wil Hendren
3905 Shelby Road
Lynnwood, WA 98036
`9
.74 - 005
403 Mr. & Mrs. Wil Hendren
)k404 Dr. & Mrs. John Ft. Davies
138 N.W. 161st
Seattle., WA 98117 A"j-41
546-5202
Managed by James A. Smith //405
L05 M� James A. Smith
1-8 00-Olympid Vie'w-Drive
Edmonds, WA. 98020
778-5131
406 Mrs.'haoise Bowen
1110 5th.Ave. S. #406
Edmonds) WA 96020
776-8180
HARVE HAR
rd ITT� q TF 4 Pd* PdA R FS HARYK ARRJ�N
CIVIC CENTER * EDMONDS, WASHINGTON 98020 * (206) 775-2525 MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 * (206) 775-2525
FIRE DEPARTMENT
3, 1982
Attention -Janet Mansfield
Association President
Edgewood Condominium
1110-5th Avenue South
Edmonds, WA 98020
Dear Ms. Mansfield,
SUBJECT: REVISION IN THE FIRE AND LIFE SAFETY CODE
Due to recent changes in the new Edmonds Community Development
Code and the Life Safety Code, the Fire Marshal's Office will
be enforcing the following requirements. .
The following will effect all apartments and condominiums with-
in the limits of the City of Edmonds.
1. Smoke detectors in each dwelling unit. W.A.C.
Chapter 212-10
The following will effect all apartments and condominiums with
two or more doors that open on a common area/corridor.
2. Self -closures on all living unit/corridor doors.
Life Safety Code 19-3.6.2
3. Fire rating on living unit/corridor door:
a. Minimum 20 minute door (label on hinge side of
the door)
b. 1 3/4 solid bonded woodcore door. Life Safety
Code 19-3.6.3
We request that the above items be checked by you for compliance
and noted on the attached form. Your reply verifying compliance
or current status is to be received by this office within thirty
(30) days.
If we may be of any assistance, please contact this office at
775-2525, Ext. 231, between the hours of 8 a.m. and 5 p.m.,
Monday through Friday.
Sincerely,
-75�2e., e�- &7Aj,*-
Stan A. Olsen
Senior Inspector
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
VERIFICATION OF COMPLIANCE FOPJ1
# 423-020-001
This form must be completed and returned to the Edmonds Fire
Department within thirty days.
1. Smoke detector installed .............. Yes No
2. Self -closures installed ............... Yes- No
3. Fire rating on doors:
a. 20 minute label ................... Yes No
b. 1 3/411 solid core ................ Yes- No
Apartment Name Owner's Signature
Address Pfione Number
We wish to thank you for your time and attention in completing
this form.
NOTE: Please respond on this letter informing us of the progress
made regarding the alarm system and emergency lighting for
your building. Please include the names of the bidders.
Enclosed are the codes that concern alarm systems and emer-
gency lighting.
Peter Knutson
Edmonds Fire Dept.
25o 5th Ave. N.
Edmonday WA 98020
Dear Mr. Knutson#
Edgewood Condominium
1110 5th Avenue South #401
Edmonds,, WA 98020
July 30-p 1982
. ..R.E.CEIVED
S 1982
]EDMONDS FIRE DEP-L
This letter is a clarification of our understanding concerning the
installation of a pull fire alarm system in ouk condominium.
Initally we were informed of the -new fire safety regulations in May.
Our condominium Board met early in June to discuss the implementation cd
these new regulations.
Jim Stutz was delegated the responsibility of speaking with the fire
marshall as to how these new regulations should be met in our building.
At a later June meeting Jim informed the rest of the Board that the fire
marshall would not insist that the fire alarm system be installed by Julyp
but that we show as honest effort in seeking bids in preparation for a
future decision t� be made in the fall when all Board members would be
back home from summer vacations. (Nowp this is my interpretationof what
Jim said. If it is in error# please contact Mr. Autz at 774-4809.)
I was then given the responsibility of getting bids on the job. So
far I have received two: Eylander Electric's bid is close to 09200.001
Viking Electric's bid is close to $3700-00* Quality Security Systems
will be sending their bid to me as soon as they've worked it up. They
now have our building plans and intend to speak with the fire marshall.
about the code and how it pertains to this building P al
. jaZ. I so plan
to get a bid from Absco Alarm. These bids are for the pull fire alarm -
system and the emergency lighting system.
After a decision by the Board has been madej, the treasurer will have
to send out assessment notices to all owners. Andp the necessary funds
will have to be collected before the job can even be started.
All of this takes time. I don't believe the City Council (or whoever
passed these new regulations) set a realistic time in which -to mee'ttthese
new regulations. We will work as quickly and efficiently as we are Ale
to meet these.new fire safety regulations.
Sincerely yoursp
Janet Mansfield
Secretary of Edgewood Condominium
ALI -
aw-end
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MAN
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 * (206) 775-2525
FIRE DEPARTMENT
May 6, 1982
Attention - Mrs. E. M. Bowen
Edgewood Condominium
1110-5th Avenue South
Edmonds, WA 98020
Dear Mrs., Bowen
SUBJECT: RE -VISION IN THE FIRE AND LIFE SAFETY CODE
Due to recent changes in the new Edmonds Community Development Code
and Life Safety Code,, the Fire Marshal's Office will be enforcing
the following requirement(s).
1. An approved fire alarm system with manual pull stations
strategically located throughout the building.
2. Approved emergency lighting facilities for means of egress
(stairwells and corridors).
3. Approved self -closing devices on all living unit entry
doors (solid core doors).
Please make arrangements to meet with a representative of the Fire
Marshal's Office for further explanation of the change(s) required.
If we have not heard from you within 30 days, a representative from
the Fire Marshal's Office will be out to reinspect for compliance.
If we may be of any assistance, please contact this office by calling
775-2525 between the hours of 8 a.m. and 5 p.m., Monday through
Friday.
Yours for a safer community through fire prevention,
GarZ. McComas
Fire Marshal
cc: Ms. Janet Mansfield
CITY OF EOMONOB
CIVIC CENTER 9 EDMONDS, WASHINGTON 98020 o (206) 775-2525
FIRE DEPARTMENT
REVISIONS IN FIRE AND LIFE SAFETY CODES
APT./CONDO NAME: FILE CODE:
ADDRESS: \ k �() !�- I
F177
PERSON CONTACTED:(A eU
INSPECTED BY: DATE:
REINSPECTION DATE TENATIVE: ACTUAL:
a, &U-M+
HARVE H. HARRISON
MAYOP
MS : lvlO / 79
PACE OF
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CITY OF EDIVIONDS
CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525
FIRE DEPARTMENT
December 21, 1978
Mr. Taylor Anderson
Royal Globe Insurance Company
900 Fourth Avenue, Suite 610
Seattle, Washington 98164
Dear Mr —Anderson:
0
HARVE H. HARRISON
MAYOR
It deeply concerns me that the electrical problems have not
been corrected at the Edgewood Condcminium in Edmonds. on
several occasionss I have been assured that the problems were
being corrected. Thefollowing represent some of my efforts:
8/7/78 1 made personal contact with Mr. Jangard and
discussed the hazard.
8/18/78 1 had phone contact wi'th Mr. Jangard and he
assured me that corrections were being made.
9/25/78 1 made contact with Mel's Electric who suppos-
edly had parts ordered and would install as soon
as they arrived.
11/8/78 1 contacted Mr. Anderson by phone and discussed
the ongoing pro ' blem in the electrical meter room.
He assured me at the time of our conversation that
the problem would be corrected. He requested that
copies of previous letters pertaining to this mat-
ter be forwarded to him, which I did..
On December 21, 1978, 1 made -another inspection of the building.
The electrical problems still existed at the time of' this in-
spection.
I have.located a supplier who has a limited stock of the Federal
Pacific circuit breakers, Cat. No. 2P100,:
Eylander Electric
2416 California Avenue
Everett, Washington
Cost per unit: $32.80 Retail
$26.24 Wholesale
Mr. Taylor Anderson
December 21, 1978
Page 2
I sincerely hope that this information will,serve to expedite
the required repairs.
I ' will inspect the building again on January 19, 1978 to ascer-
tain the level of compliance. If at the time of this inspection,
the electrical problems have not.been brought up to code, the
whole matterwill be turned over to the City Attorney.
Sincerely,
Jack F. Cooper
Fire Chief
�hy McCcmas
Fire Marshal
GLM/amm
December 28, 1978
Mr. Donald Jangard
17529 - 10th.Ave. N.W.
Seattle, Washington
RE: Power Panel Repair
Dear Don:
I have received the attached,letter from the City of Edmonds
regarding the replacement of the power panel circuit breaker.
In as much as this item is your responsibility, I am forwarding
it to you. I have taken the liberty of advising Mel's Electric
of the availability of the replacement breakers.
I am sure we can expect the repairs to be completed well
within the'time limit set by Mr. McComas.
Sincerely,,,,�
las
cc: Mr. McComas
Fire Marshall
City of Edmonds
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ewood Condominium
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CITY OF EOMONDS
CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525
FIRE DEPARTMENT
July 31, 1978
Mr. Warren K. Holt, Manager
Edgewood Apartments
1110 Fifth Avenue South
Edmonds, Washington 98020
RE: EDGEWOOD APARTMENTS - FILE CODE 432-02'0-001
Dear Mr. Holt:
HARVE H. HARRISON
MAYOR
On July 31, 1978, an inspection was made of your building
by the State Electrical Inspector and me. A severe
problem was discovered during this inspection in relation
to the building's electrical system.
The electrical panels have had shorting in -the past
which has done damage to the wires and -circuit breakers.
Also, someone has apparently attempted to make some
repairs without the adequate knowledge -or equipment to
do a proper job.
This situation presents an extreme fire hazard to the
occupants of your building.
The Fire Department requires that repairs be made to bring
the electrical system up to State Electrical Code Require-
ments prior to August 7, 1978.
Sincerely,
Jack F. Cooper
Fire Chief
Gary �1. McComas
Fire Ma;shal
GLM/amm
cc: State Electrical Inspector
D. A. Jangard
ej� �Z.4r
IV e,. TA0
0
CITY OF EOM13PJOS HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525
FIRE DEPARTMENT
July 31, 1978
Mr. Warren K. Holt, Manager
Edgewood Apartments
1110 Fifth Avenue South
Edmonds, Washington 98020
RE: EDGEWOOD APARTMENTS - FILE CODE 432-020-001
Dear Mr. Holt:
On July 31, 1978, an inspection was made of your building
by the State Electrical Inspector and me. A severe
problem was discovered during this inspection in relation
to the building'.s electrical system.
The electrical panels have had shorting in the past
which has done damage to the wires and circuit breakers.
Also, someone has apparently attempted to make some
repairs without the adequate knowledge -or equipment to
do a proper job.
This situation presents an extreme fire hazard to the
occupants of your.building.
The Fire Department requires that repairs be made to bring
the electrical system up to State Electrical Code Require-
ments prior to August 7, 1.978.
Sincerely,
Jack F. Cooper
Fire Chief
Gar7/ �Wc&lnvo
L
. McComas
Fire MaLshal
GLM/amm
cc: State Electrical Inspector,
D. A. Jangard
Physicians and Dentists Credit, Bureau, Inc.
E. KELLY, Manager
YOU PAY THE LOWEST COLLECTION RATES
Owned By King County Medical Society and Seattle King County Dental Society
'15, Medical Dental Building (Seattle)
Phone 624-1661
305 Vogt Harry F 774-4215
404 Schmidt Anna C Mrs 778-7674
306 Searle Larry J 778-8305
405 Hamilton W D
307 Spear Norman R 776-8233
406 Anderson R F 774-5940
A 7744564,
308 Larson Gladys F 775-2930
407 Coleman R G 776-7705
309 Sheets Don 0 778-5763
408*Buehler Diane
310 Anderson Geo H 774-1379
409 Neale Fred W 778-9832
is
1110 Edgewood Apartments 774-5732
410 Tillack Helen C 775-2214
e 778-7794
101*Teachman Tony
411*Jeffrey H C
Mrs 778-2268
102 Sorenson Ronald F 776-2279
412*Whitney Inez 776-5849
774"9368
103 Molzan Esther Mrs
413 Cackette Sidney T 776-4588
Mrs 774-3074
104 Pederson Jeanette 776-6291
414 Latimer Anne
Mrs 778-9212
201 Brackett Geo S 778-0362
Building B
202 Rae Jacqueline L 776-1751
11 Cook Lester E 776-4284
203 Bennett Dorothy. 774-0942
20 Baxter J R 776-6820
I.aaken 774-5060,
204 Jones Hubert M 774-6495
21*Hipps Ardith M
v 774-8790
301*Fleming Margt
22*Karman Joseph
'D 778-1596
302 Elgert Pauline Mrs 776-9287
24 Pfeiffer Wm C 774-3222
303*Cox Thos
(m
26 Granger Glen W 776-5027
7764567
304*Giske Howard
28*Hews R J
,artments,.7784225
305 Holt W K 774-5732
29 Monken Michl E 776-4733
306 ZyIstra J K 778-6650
30*Barrett Mary
401*Patneau de Florence 774-1034
31*Hanna E A
4 * twertnik A E
02 S
32*Waldal E W
403 Billings S 1 776-9683
33 Cyr Bert J 774-0371
778-3078
404 Brandt Edna J 776-7834
34 Arms J R
,9 778 -2467
.405 Martin Eliz C 774-0991
35 Caldwell Betty A 778 -2832
!, Mrs 778-6267
'406 Hoover Jake W 778-1971
36 Hohrine Tyrone P 778-7577
Mrs 778-4225
Kunz E Jeannette Mrs @ 77872643,;'-,
37 Peterson L P 774-1314
'78-6916
1116 Under Constnt
38 Frederick Hap 778-9811
ley A 776-6272
1.123 Laurel Apartments 776-6292
39 Williamson Thos 775-1075
1*Smith Helen
40 Warner B Gary 778-0377
1 776-3246
2 Vacant
41 Akers L K
Ira 778-5644
3 Swanson Fred 776-5526
42 Foster Shirley M 778-8509
ance Mrs 776-7102
4 Alexander Arline L Mrs 778-9562
43 Wolfe Wrn M 776-5973
5*Luchs Ted
44 Wiley Frank 774-3617
Mrs'-@ 778-1532
6 Jamieson Audree
45 Lundquist Patricia 774-1647
:RSECTS
7 Morris Evelyn K 774-3301
46*Eustis Gordon
tments 776-1711
8 Blodgett Roberta
47*Miller N Sunde
9*Chappell B R
48*Fernadez A J
1 774-9443
10 Motes Carl F Painting Co.contra
49 Barclay Florence Mrs 778-3748
775-1026
776-7586 1
E
10 Motes Carl F 776-7586
803
774-8106
11 Mc Cauley Wrn T 776-6292
6TH AV N (EDMONDS�—FROM 550,
-1 Mrs 778-1514
1130 Buchmeier Thos R 7783418
MAIN ST NORTH
T 776-3351.,
1161 Highland Park Apartments 778-3013
774-3881
Building A
ZIP CODE 98020
M 778-4409
101 Purdin Wes 778-3013
BELL ST INTERSECTS
an Mrs 776-6584
102*Pond Bert C 775-6242
200 Church Of The Open Bible 778-7011
) 77&3908
103*Exner Linda
210 Sutton David M Rev 778-7011
;oan E 778-7678
104 Yock Earl
EDMONDS ST INTERSECTS
"arver E 778-3070.,
105*0'Hearn Robt
300 Edmonds Boy's Club 774-0630
778-5924
106 Ross B H
SPRAGUE ST INTERSECTS
T 774-5369
107 Caton Mary
416 Becker Bertha 774-3046
Mrs 778-9406
108 Allison David E 778-0720
420 Grand Harold @ 778-2724
Mrs 778-7232
201*Eldridge Marjorie
DALEY ST INTERSECTS
776-9845
202*1,agerstrom J A 775-6827
GLEN ST INTERSECTS
778 -7290
203 Owen Margt
600 Needle Trades Technical Cener
T
1, 778-0806
204 Thompson Pauline
776-4444
,a A Mrs @ 776-3378
205*Donohoe R P
601 Chelsea House apts 776-0937
206*Krause M J 776-8002
1 Hebbelwaite Lee
K 778-3736.,
207 Larson Harold G 776-2578
2 Vacant
208 Mc Farland Thos
3 Henderson L A 774-0298
apts 776-5700
209 Kurdy Frank L 778-1830
4*Parker Theresa
E
210 Short Gordon 775-1156
5 Andrews Becky
A 778-2479
211*Hamilton D D 774-4960
6 Robinson S W
larence H 77"700 1,
212 Schulstad Marie 778-5560
7*Ament S E
J 775-1252
.213 Epp Elsie E 774-3975
8*Sighrs Marylou
n 778-1944
214 Kemper Faye M 778-7827
614 Sound View Apartments 778-1625
'de 774-7178
301 Mc Carthy Neil D 774-1046
1*Evans Raymond
,Ian K. 774-0229
302*Moss Linda
2 Ladner Louise 774-1635
-0 M
303 Requa R A 774-4719
3*Van Mai Minh
304 Anderson Harold E 776-7714
4 Cyr Florence Mrs 778-7627
vard M 778-0384
305 Anderson Wilfred M 778-4949
5 Holtorp Janet M Mrs 774-7880
y D 778-0568
306 Palmer Paul R 774-2079
6 Anderson Millie
307 Scurry John B 778-6233
7 Swerk Bob
ilin E 776-8704
308 Clodius E M
8 Gilbertson Ann Mrs 776-9037
309 Barros Morton W 774-1876
9*Nosler Carol
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CITY OF EOMOIMDS HARVE H. HARRISON
CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525 MAYOR
FIRE DEPARTMENT
October 18, 1978
Mr. Warren K. Holt, Manager
Edgewood Apartments
1110 Fifth Avenue South
Edmonds, WA 98020
RE: EDGEWOOD APARTMENTS FILE CODE 432-020-001
Dear Mr. Holt -
On October 11, 1978, it was noticed by members of the Edmonds.
Fire Prevention -Bureau that your dumpster is being kept
under the covered a'rea of your building.
This must be removed from that area as it is an extreme
fire hazard.
Yours for a safer community through fire prevention,
Jack F. Cooper
Fire Chief
Inspector,
TNT/amm