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1115 4TH AVE Sh 'A(j S FIRE PREVENTION S N- Serving Brier, Edinonas, and 12425 Meridian Ave S IN5PECTION REPORT 0HOA11 irc�T -'r - , . 4 ' ' " UEDIVIONDi"' Mozlntl�ke Terrac�'- Everett, WA 98208 0 BRIER FIR� 0 MdUNTLAKE TERRACE Phone (425) 551-1200 0 UMNCORPORATED ��STR www.FireDistrictl.org Fax (425) 551-1272 LOCATION: 1115 4 th Avenue S 98020 BUSINESS NAME: Calais Condos MAILING ADDRESS: 1115 4th Avenue S, Edmonds, WA 98020 BUSINESS OWNER: McGuire, Joe FREQUENCY ] STATION& SHIFT Annual 17-D PHONE: SCHEDULED Nov 2016 DATE DUE 1' UFIR 1,, 425 152 HOME PHONE: EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY NJ9/Vl— NO EMAIL: BUSINES9----[� LICENSE INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: FIRE SYSTEMS: FA 6/16 FE 8/15 Date Last Serviced: 6 1 HAZARDS FOUND AND LOCATIO�S / COMMUNICATIONS ti A-i o 1 1Q0 3 4 5 b 6 7 7 I [AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X DATE DUE: DATE DUE: UHAN I LU I U: DATE DUE :CITED: PERSON PERSON IPERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR, INSPECTOR: 2 INSPECTOR. DATE: DATE. DATE: 3 VIOLATIONS VIOLATIONS PRE-Cl CITATION ISSUED PRE -CITATION E 1 5 1 5 LETTER SENT NUMBER* 4 CODE 2 6 2 6 DATE SECTION RETURN RECEIPT 3 7 3 7 RECEIVED DISPOSITION 8 ; 4 8 DATE 7 LETTER NEEDED C] YES [3 NO LETTER NEEDED ❑ YES ❑ NO 8 r y Serving Brier, Edmonds, and SNOHOMISH CO.- FIREMountlake Terrace DIST www.FireDistrictl.org LOCATION: t 1115 4 th Avenue S 98020 BUSINESS NAME: Calais Condos 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: MAILING ADDRESS: 1115 4th Avenue S, Edmonds, WA 98020 BUSINESS OWNER: McGuire, Joe HOME PHONE: FIRE -PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT Annual 17-C SCHEDULED NOV 2015 DATE DUE ► uFIR ► 425 152 EMERGENCY 1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: i CITY YES, NO EMAIL: BUSINESS LICENSE ' PERSON CONTACTED: INITIAL INSPECTION DATE 5-5 -Ito. NAME OF INSPECTOR: vh-�Fi✓ �-rad+ri(1csp1.. AILS/ FIRE SYSTEMS: FA 2/15 FE 9/13 Date Last Serviced:. 2$t57 I $1 ! S HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS Z I-, S IL'B, Y¢�,,va.� i,. { cu-.p.. — was Q �2 _..._.. _. _ Zo I (0 1 -�vree ._S�c,•r-l--1_ . __Son- �IG6- 38 o µ- _ N . - _ .. .. 2 2 3 3 5 5 6- 6 7 7 s I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X a__ 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE-INSPECTI N VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: INSPECTOR: INSPECTOR: __.._. ....... ` ..._. INSPECTOR: 2 3--_----' DATE: .� DATE: DATE: VIOLATIONS �. VIOLATIONS`-' PRE -CITATION CITATION ISSUEb 1 5 1 5 LETTER SENT NUMBER: 4 2 6 2 6 DATE: CODE -''f SECTION: 5 RETURN RECEIPT 6 3 7 3 7 RECEIVED ' DISPOSITION: 4 8 4 8 .' DATE: _ ^ — 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 EVERGREEN FIRE PROTECTJON BUREAU — FIRE AND LIFE SAFETY INSPECTIONS "Security Systems PO Box 4A00 Olympia, WA 98504-2600 (360)596-3900FAX:(360)596.3934 FIRE ALARM SYSTEM INSPECTION REPORT RETAIN COPY ON PREMISES FACILITY NAME Calais Condominiums DATE 02/05/2015 BUILDING NAME OR NUMBER OCCUPANCY CLASSIFICATION Commercial ADDRESS 111.E S i Auenue South, Edmonds LOCAL FIRE AUTHORITY Snohomish County Fire District #1 TEST DESCRIPTION ❑ MONTHLY El QUARTERLY ANNUALLY CONSTRUCTION ACCEPTANCE EQUIPMENT TYPE NUMBER OF UNITS TESTED TEST DATE SATISFACTORY CHECK O NIA YES NO, TYPE AND MANUFACTURER CONTROL PANELS I� �� e� MANUAL STATIONS HEAT DETECTORS SMOKE DETECTORS AUDIBLE ALARMS (• L SMOKE DETECTOR SENSITIVITY VISUAL ALARMS J AUTO DOOR RELEASES TROUBLE INDICATORS I f 5 MASTER ALARM BOX BATTERIES DATE INSTALLEDL7 t z r CHARGER 1 r GENERATOR EQUIPMENT TEST VENTILATION CONTROLS FIRE DEPARMTENT INTERCONNECTION EXTERIOR SPRINKLER ELECTRIC ALARM BELL SPRINKLER WATERFLOW SWITCH SPRINKLER GATE VALVE TAMPER SWITCH ANNUNCIATORS ELEVATOR RECALL DUCT DETECTORS SMOKE/FIRE DAMPERS SPECIAL EGRESS CONTROL DEVICES PHONEJACKS v TIME TEST TRANSMISSION RECEIVED BY CENTRAL STATION IME ❑ AM ❑ PM FIRE ALARM SYSTEM LEFT IN SERVICE AT THE COMPLETION OF INSPECTION YES NO TIME FIRE ALARM RESET pp'' I E ❑ AM PM TEST OF ALARM SYSTEM ON EMERGENCY POWER IS SATISFACTORY YES NO COMMENTS EXPLAINATION OF UNSATISFACTORY RESULTS AND CORRECTIVE ACTIONS TAKEN: P044-- THIS IS TO CERTIFY THAT THIS AUTOMATIC FIRE ALARM SYSTEM HAS BEEN INSPECTED IN ACCORDANCE WITH THE INTERNATIONAL FIRE CODE, AS ADOPTED BY THE WASHINGTON STATE FIRE MARSHAL. FIRST NAME Tony Pearce, Evergreen Security Systems, Inc. PHONE 425-348-3850 ADDRESS 8115 Broadway Suite 101, Everett WA 98203 SIGNATURE ELECTRICAL CONTRACTOR'S LICENSE NO. EVERGSI 112E SPECIALTY ELECTRICIANS LICENSE NO. PEARCT*088RE OFFICAL SIGNATURE FIRM , PROPERTY OW ERIREPRESE AT VE SIGNATURE u�. $ y, •^ FIRE PREVENTION INSPECTION REPORT i Serving Brier Edmonds, g and 12425 Meridian Ave S SNOHOMI$H.CO. > ❑ EDMONDS FIRE Mountlake Terrace Everett, WA 98208 ❑ BRIER DISTRT Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE ❑UNINCORPORATED lVm4t FireDistrZctl.org Fax (425) 551-1272 �. FREQUENCY STATION & SHIFT LOCATION: I I for Nth A1lE!nue S 9=0 Atitlllr7l 17-A I BUSINESS NAME: Caja15 Candma PHONE: 42,57751'348 SCHEDULED DATE DUE �NOV 2013 MAILING UFIR ► 2_', ADDRESS: 1115 4(h Avcri c S, Edman i, bVA W020 BUSINESS OWNER: (:k)tlttrjtl, Kk)tlt HOME PHONE: EMERGENCY-1: 'JUUSti)+l, hAui-ite I HOME PHONE: 4:}5T751y3*3 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS J EMAIL: LICENSE PERSON CONTACTED: � V A. ` 1 INITIAL INSPECTION DATE NAME OF INSPECTOR: -D ;-1 qi:./ S ! FIRE 1YSTE91j; .b Fit �l13 FEq IPaf r,4 I HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS �r 1 �, - 2 2 4 3 3 4 4 5 5 6 6 7 7 1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTEDTO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: I INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3 7 RECEIVED 6 DISPOSITION: 7 4 8 4 8 DATE: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO e FIRE DEPARTMENT COPY , 4: N - I - N 19013 38"Av. .1 znt. E. Lyiziwaod WA32,036 (1.^..A4 [.QSj 771.116G Fee: 44?3) 771-s4 ' :.....:•:; : ;• :,:; ..:,:,: Occupancy Name: Building Owner: Owner Agent: Certification Given RED YELLOW I WHITE CONFIDENCE TEST ✓ REPAIRS FIDE ALARM SYSTEMS (One System per Report) Mont: clouston Occupancy Address: 1115 4th Ave S, Edimatids��" Monte t_ IOUNE13n Date of Inspection: 09-'23'2013 Testers Name: Phone Number Phone Number: Inspection Type: d Annual {quarterly SFD Certification Number: SCP-I&,2-2 Monitoring: WA Phone #: -N/A Account #: N/A FACP Manufacturer. silent Kitigl,r Model #: 9K-2 Location: # of Initiating Circuits: z # of Signal Circuits: 1 Notes: ALARM SYSTEM FUNCTIONALITY Yes No NIA Ali notification circuits operational? All circuits checked for electrical supervision? Ad auxiliary equipment operates (elevators, fans, dampers)? Keyto panel available? Operating instructions at panel? Trouble indicators fraiction properly? Test record posted at panel? Signals received at central station? Operator L I Problems Found: NON Q Corrected By: Corrections Made: Date Corrected: SFD Certification #: v A16A)e This certifies that this fire and life safety system has been properly inspected for reliability to cover the items rated in this report and is consistent with Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Managerfor corre "ve action. Signature of Tester: Phone #:.40U 3 5 ( silo 03 Signature of Owner: SYSTEM DEVICES MODEL # TOTAL TESTED SATISFACTORY? Yes No NIA HorniStrobes Strobe Only Horn Only ITems Iz SpeakerlStrobes Speaker Only Sounder Base Bans Manual Pulls 7 Photo smoka Detectors > Ion Smoke Detectors Combination SmokelHeat 135° Rate of Rise Heat 4 2 200' Rate of Rise Heat 135' Fixed Temp Heat 207 Fixed Tamp Heat Duct Smoke Datectors Detector Remote Ind cators Remote Annunciators Elevator Recall Output Fan Pressurization Door Holders Door Unlock CurtainslRoll-down Doors Fire Fighter Phones 'C Main FACP Panel Type: Trouble with AC off? No Battery backup operational? a No Battery voltage (no load) qLAvolts Batteryvoltage ( Ufl load) 2S -Y volts Charge circuit voltage Z,2 1 volts Battery Siza "1 Panel Type: Trouble with AC off? Yes No Battery backup operational? Yes No Battery voltage (no load volts Battery voltage (full load) volts Charge circuit voltage volts Battery Size Trouble with AC off? Yes No Battery backup operational? Yes No Battery voltage (no load) volts Battery voltage Mull load) volts Charge circuit voltage volts Battery Size Panel Type: Trouble with AC off7 Yes No Battery backup operational? Yes No Battery voltage (no load volts Battery voltage (full load) volts Charge circuit voltage volts Battery Size Ed JIM N Serving Brier Edmonds soobs N H M HC& FIREfTWwW.FireDistrict1.or Mountlake Terrace,and '" thTown of Woodway DISTRg Il LOCATION: 1115 4fh*Avenue S BUSINESS NAME: Calais Condos MAILING 714 Birch PI r FIRE PREVENTION 12,425 Meridian Ave S INSPECTION REPORT Everett, ' 98208 ❑ EDMONDS ❑ BRIER Phone (425) 551-1200 ❑ WOODWAY ❑ MOUNTLAKE TERRACE Fax (425) 551-1272 ❑ UNINCORPORATED FREQUENCY STATION &,''SHIFT ' 366 17 'O PHONE: 4257751948 SCHEDULED DATE DUE 11l01;12 -i IUFIR ► 425 \ 1'152 .' e. ADDRESS: Edibonds 98020 BUSINESS OWNER: °CIoUSfd?il, I�iOrite -° HOME PHONE: 4257751938 ACTIVE +i EMERGENCY-1: "CloUston, Monte' HOME PHONE: 2065466395 CURRENT YES ". NO KEY ACCESS-2: HOME PHONE: CITY BUSINESS LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE Fri 9111 FE SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 2 t' 2 . r 3 3 r 4 4 �. 5 5 16 6 1 7 7 I• I... I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 3 DATE: DATE: DATE: VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED' 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 ,. _ 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3j 7 RECEIVED 6 (4 DISPOSITION: 4 61 k 8 DATE: LETTER NEEDED ❑ YES ❑ NO . LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY SNOHOMISH CO. Serving Brier, Edmonds FIRE Mountlake Terrace, and the Town of Woodway DINTR T www.FireDistrictl.org org LOCATION: 1115 4th Avenue BUSINESS NAME: Calais Condos MAILING 714 Birch PI ADDRESS: Edmonds S 98020 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: 4257751948 tlHt PHhVhN I ION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ WOODWAY ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT 366 17 C SCHEDULED DATE DUE 11/01/11 UFIR ► 425 1152 BUSINESS OWNER: ■CIouston, {Montt, L.w HOME PHONE: 4257751938 ACTIVE EMERGENCY-1: °C.louston, (Monte° HOME PHONE: 2065466395 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS LICENSE PERSON CONTACTED: 3 7-'-N I IWtAL INSPECTION ` NAME OF INSPECTOR: t --t..e V- `1 616 k�l , S`, , ; 4 1. 916 0,0,0 c 3' l 3 FIRE FA 5/08 FE 16 t It SYSTEMS: _ ANNUA,L..... HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ! / 1 _ ��_ _--�v 0.C.t-.I8'i�i Y`e Q:lo�-f"t"` t,.c. W f Wit//c f-r�vi~ c73� 1 "'-t r S'c ; __ __, .. Y ct x r.. i� �u AI Cf. . ____.___.___.,___ __._._.. _ W1y w 2 4 0 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X In our continuning 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. 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 standrads adopted by the above jurisdictions. Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation. If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425) 775-7720; for Mountlake Terrace or Brier, call (425) 754-0434. BUSINESS COPY (Za AA I _ sy-Al� # KJ $I N CNAe-#-' 7*1t y r ► s- Aug- 4-so-so- VVLJ owood _ _ �f��� �„ _ . o flattery bauku ok retsorial? .. � . �" µN (I valts Battery Volt a (tuo load) � �> vets' harset aircult Voltagetan � ........» v��� it : f i „ ---- ----- L.1... F .. FIRE PREVENTION fW Sensing Brier, Edrnonds�,. 7+2425 Meridian Ave SINSPECTION REPORT SNOHOMISH CO. ❑EDMONDS FIREMountlake Terraceand. Everett, WA 98208 ❑BRIER he Town of Woodway Phone (425) 551-1200 ❑ WOODWAY DISTR❑ MOUNTLAKE TERRACE www FireDistrictl. org Fax (425) 551-1272 ❑ UNINCORPORATED FREQUENCY STATION & SHIFT LOCATION., 1115 4th Avenue S 366 17 C a BUSINESS NAME: Calais Condo y '" PHONE: 4257751948 SCHEDULED DATE DUE ► 11/01/11 MAILING 714 Birch FBI UFIR ► 425 1152 ADDRESS: Edmonds 918020 BUSINESS OWNER: BCIouston, Monte I_-° HOME PHONE: 4257751938 ACTIVE EMERGENCY-1: "Clouston, Monte1° HOME PHONE: 2065466395 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS LICENSE PERSON CONTACTED: M3 D INITIAL INSPECTION DATE NAME OF INSPECTOR: 0-v 4� ! !'to str i T 9to ­7 A r Ge v S ^o /,' c-j - i 3 /-z—> f Z ' FIRE FA 5108 FE _! If SYSTEMS: Q ,(/ ANNUAL I HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS J/ r 1 to A (JLLC.!' � G.16+�4'�` Gt.rn� I �% t71//�F' i'UG'� © j �'t f SC . „• JA A -,m C.Z. . 2 i� t2 2 3 D_,I)6CS % 1,,1 AJ A- G f X CG 3 l) 4 4,4 5 5 6 I, t 6 7 7 1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE. DATE DUE. GRANTED TO' DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: wc. CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 4 1 5 1 5 LETTER SENT NUMBER: 2 6 2 6 DATE: CODE SECTION: 5 RETURN RECEIPT 6 3 7 3 7 RECEIVED DISPOSITION: 4 8 4 8 DATE: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 COPY FIRE DEPARTMENT : . yLtt d �t y t tttt-ky t p � u: t 19023 366 Avo W, SuiLe E, Lyrnwaed, WA 98036 U.S.A. (4z5) 71-116ti Fae(42.5J771-1A22 gK..'A •_,.::a:.:t;ss:. s::s 1Occupancy Name: ►No,-W OMISIon Building Owner: Mot= C:louetou Owner Agent: Date of 1wipection: +.► /01rN11 Testers Name: Daniel flings Monitoring: WX FRCP IManufacturer:5itcntKtdL}it # of Initiating Circuits: Z Certification Given FIRE ALARM SYSTEMS (One System per Report) YELLOW RIFE CONFIDENCE TESTT T_ 'i..i. �, ! Mcupancy Address: W S 4ti1 Av- S, Edmands Pbw �-- . +hone Number: Phone Number: Inspection Type: V Annual Quarterly SFD Certification Number: SCP- { -y% 19 Phone #:_P/ i - Accou nt #: f4,JA- IModel #: 5 K - Z Location: # of Signal Circuits: Notes: ALARM SYSTEM FUNCTIONALITY ye"3 No NIA All notification circuits operational?All clrcttlts checked fLorr €tlar trical .supervision? All auxiliary equipment operates (elevators, fans, dampers)? Key to panel available? operating instructicns at pahel? i --- -- -- Trouble indicators function properly? Test record posted at panel? v -- --- -- ---_-- Signals received at centra0 station? ®perator # � .-- Problems Found: Corrections (Made: Date Corrected: Corrected By: SFD Certification #: This certifies that this fire and life safetlr system has been Pro edy inspected frarreea-ahilfth, to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the bWiding Owner/Manager ectwe acts _ Signature of Tester: ' _ _ Phone #: 2bG 35-L-4 (.6S- Signature of Owne :� . SYSTEM DEVICES MODEL# TOTAL TESTED SATISFACTORY? Yee No N/A Ham/Strobes Strobe Only Ham Only i 2 11 X Speaker/Strobes Speaker Only Sounder Ras© Bells Manual Pulls -' % Photo Smoke Detectors Lj X Ion Smoke Detectors Combination Smoke/Heat 135' Rate of Rise Heat l 200' Rate of Rise Heat 135' Fixed Temp Heat 2009 Fixed Temp Heat Duct Smoke Detectors Detector Remote Indicators Remote Annunciators Elevator Recall Output Fan Pressurization Door Holders Door Unlock Curtains/Roll-down Doors Fire Fighter Phones Main FACP Trouble with AC off? No Battery backup operational? e - No SattM voltage (no load) volts Battery voltage (full load)_ volts Charge circuit voltage l (O, —volts Its Size Zoog t2✓ 74 Panel Tvvee Trouble with AC off? Yes No Battery backup operational? Yes No Battery voltage (no load) volts Battory voltagn (full load) Charge circuit voltage volts Battcr-y Siz4 Pane! Type: Trouble with AC off? Yon No Battery backup operational? Yes No RattwN voltage (no load) volts Battery voltage (full load) _ volts Charge circuit voltage volts 138acry Sian Panel Ty : Trouble with AC off? Yes No Battery backup oporational? Yes No Battery voltage (no load) Battory voltage (full load) -- volts =volts Charge circuit voltage volts Battery Size -ter - CITY OF EDMONDS 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215 FIRE DEPARTMENT �St. 1890 1 LOCATION: 1115 4th Avenue S BUSINESS NAME: Calais Condos MAILING 714 Birch PI r� FIRE PREVENTION SAFETY SURVEY PHONE: 4257751948 ADDRESS: Edmonds 98020 BUSINESS OWNER: 'Clouston, Monte L.° HOME PHONE: 4257751938 EMERGENCY-1: "CIouston, Monte® HOME PHONE: 2065466395 KEY ACCESS-2: HOME PHONE: FREQUENCY STATION & SHIFT 366 17 B SCHDATEEDUEE ► 1.1/01110 UFIR ► 425 1152 ACTIVE INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: FIRE FA 5108 FE ! SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 ^, � i�rN` t'vvnf J V !-•s / C.4�rv/1.J ENTER CODE ONLY ONCE ► VIOLATION CODE 1 t 3 _ _ 3 4 51 4 5 7 7 8 8 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE:. EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE:aar= , ' t VIOLATIONS ;t• f" •' 'CITED: PERSON CONTACTED PERSON CONTACTED PERSON, CONTACTED"- d:: INSPECTOR INSPECTOR INSPECTOR _ _ DATE: w � PRE -CITATION CITATION ISSUED LETTER SENT NUMBER: CODE DATE: SECTION: RETURN RECEIPT I RECEIVED __ _ _._..... DISPOSITION:µ DATE: w _ ? DATE: DATE: VIOLATIONS 1 5 _ 2 6 3 • VIOLATIONS 1 5 4 5 2 6 3 7 3 7 6 7 4 8 4 8 8 LETTER NEEDED I J YES ] NO LETTER NEEDED [7 YES F1 NO FIRE DEPARTMENT COPY �l