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114 2ND AVE S BLDG�x FIRE PREVENTION Serving B�ie"r,'*r-utfiufitt.3', and 12425 Meridian Ave S INSPECTION REPORT. SNOHONIISH CO. FI Mountlake Teri -ace Everett, WA 98208 0 EDMONDS ❑0 BRIER Phone (425) 551-1200 0 MOUNTLAKE TERRACE DISTR 'T 0 UNINCORPOR ATED www.FireDistrictl.org Fax (425) 551-1272 LOCATION: 114 2 nd Avenue S Bldg 98020 BUSINESS NAME: Mariner Plaza Bldg PHONE: 4257783189 MAILING ADDRESS: 114 2nd Avenue S, Suite 103, Edmonds, WA 98020 BUSINESS OWNER: Hansen-, Jan HOME PHONE: FREQUENCY STATION & SHIFT Annual 17-A SCHEDULED Nov 2016 DATE DUE ► UFIR ► 509 202 EMERGENCY-1: Hansen, J HOME PHONE: 2067905460 CURRENT YES NO KEY ACCESS-2: HOME PHONE: CITY BUSINESfj71 EMAIL: LICENSES INITIAL INSPECTION DATE PERSON CONTACTED: p NAME OF INSPECTOR: 5—tk�VY/1' FIRE SYSTEMS: FA 6/16 FE I .Serving Brier, Edmonds, and 12425 Meridian Ave S Mountlake Terrace Everett, WA 98208 Phone (425) 551-1200 www.FireDistrictl.org �`'' Fax (425) 551-1272 FIRE PREVENTION IN REPORT EDMONDS ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED hMtUUENGY STATION & SHIFT LOCATION: 114 2• nd Avenue S Bldg 98020 Annual 17-D BuslNEss NAME: Mariner Plaza Bldg SCHEDULPHONE: 4257783189 DATE DUE I,, Nov 2015 MAILING UFIR / 509 202 ADDRESS: 114 2nd Avenue S, Suite 103, Edmonds, WA 98020 BUSINESS OWNER: VY HOME.�fNt:?- r ff A� dCHOMEPHO tell 2cXn-`130— �2c)y EMERGENCY 1: _Hans��- {,• S�NE: CURRENTYES NO KEY ACCESS-2: HONE: £�, CITYEMAIL: A/115_�1NSf PMS0j� �cX,- �`lo-S-ibo BUS ❑ ❑ . t INITIAL INSPECTION DATE PERSON CONTACTED: /� �1 S A-,(3 5 r NAME OF INSPECTORS( ,� 1--(f (� J Z J l -t K- t FIRE SYSTEMS: RFA 7/15 FE "�( / 15 FD Lk Box6a:4 — Lccn i^S k r r P� PArJ tL - G l ( C^ ��- DatP I aSt SPtvir_Pri HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 2 tlf.i V°"ttB AT T\1�)- t �r„ 2 l W 4 4 5 5 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X tst RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: ' PERSON CONTACTED: PERSON CONTACTED: - PERSON CONTACTED: INSPECTOR: INSPECTOR: •INSPECTOR: 2 ' DATE: DATE: : DATE: 3 VIOLATIONS 1 5 VIOLATIONS:-k` PRE -CITATION CITATION ISSUED 4 5 ......._ LETTER SENT .__ NUMBER: ___,__._..._._. _ .,............. 2 6 2 6 _ DATE: CODE SECTION: 5.. RETURN RECEIPT 6 3 7 3 7 -'''• RECEIVED J. DISPOSITION: ` 4 8 4 g DATE: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO s titAAA FIRE &SAFETY, INC.. - .- .3013 3RD AVE NORTH isoo}u3 4r. SEATTLE,.WA 98109 EDMONDS FIRE DEPARTMENT "THE W RTHIN£STS MOST TRUSTED NAME IN FIRE PROTEC77ON" FIRE ALARM SYSTEM Status Given RED YELLOW WHITE . One System per Report) CONFIDENCE TEST I X . REPAIRS LO Sprinkler Monitoring Panel? 0 Occupancy Address:: 11.4,2ND AVE S Occupancy Name: MARINER PLAZA Responsible Person First::& Last Name; Hanson Mrs. Phone Number: Responsible. Person Address .City,. ' e, Zip: Responsibl.e.Party . dalej@hansert riiclaughlin-johns E Mast Address' Date of Inspeefion:. 06/07I2016 11:30am PDT Inspection Annual Frequency/Type . Quarterly Testers Name Mark Ha en; Bryce Coopper (Please Print? ' Nicet' bH00040er. - Identification Number-; System Location Elevator room Central §tation mon toiin'g? Yes-[] No [Fj, Monitoring Monitoring Required? Yes, No[] Company Name, None System Make: 1.20 vac:smokas W/elevator recall :System Model: FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a;separate sheet). CORRECTIONS MAoE: Date Corrected: Corrected By: (If additional room is needed, please add a separate sheet) Nicet Certification Number: - This. certifies that this fire and life safety system has been properly inspected for reliability to cover the Items listed in th*report and is consiste t with Fire Department Fire Code standards,and that discrepancies arand h been ported to the building Owner/Manager for corrective action. Signature of Tester1 Phone # (206) 284-.1.721 Building Representative (signature) _ V Fire Alarm Systems Page 1 of 2 The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Refer to the Fire Code for inspecting and testing requirements. Alarm System Functionality 1. Trouble signal with AC power off? 2. System operates properly on battery backup? 3. Battery voltage (no load) volts 4. , Battery voltage (full load) volts (signals`operating) 5. Charge circuit voltage volts 6. System operates properly on. standby power?__ .7. All signals operate on AC power? 8. Number of -initiating circuits 4 9. Number of signal. circuits 10. Does alarm:system meet audibility standards as accepted? 11. All circuits checked for electrical supervision? 12. All auxiliary equip_ment_operates;(Elevators, fans,. dampers)? . N/A ❑ 13. Ventilation controls operate? N/A 14. Key to panel available? N/A X 15. Materials and equipment needed to restore pull stations are available at the N/A X❑ main panel, e.g. glass rods, and plates; keys and allen wrenches, etc? 16. Operating;mstructions.at 17. Trouble indicators function properly? Yes INo Yes ❑ No Yes ❑ No ❑ Yes © No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes. No ❑ Yes ❑ No ❑ Yes ❑. No❑` Yes ❑ No ❑ 18, Remote Annunciator Panels function properly? ___ ._....:,s N/A ❑X 19. Elevator Call Down functions properly? _ N/A ❑ 20. Test record postedzat panel?-. 21. General alarm automatic time delay (minutes) N/A , r _ awe- 22.< Was a signal recelyed, at the; Central Station morntonng company? ° N/A ❑X 23. Other Devices (Specify) Yes ❑X No ❑ Yes ® No ❑ Yes ❑ No❑ Yes X❑ No ❑ Yes ❑X No ❑ Yes El No 1:1 System Devices Total Number of Units in Building Total Number Units Tested Test Results Acceptable 24. Bells, Horns, Chimes N/A Q Yes ❑ No ❑ 25. Voice Speakers (Voice Clarity) N/A © Yes❑ No❑ 26. Visual Alarm Devices N/A ❑X Yes ❑ No ❑ 27. Smoke Detectors 4 4 N/A ❑ Yes X❑ No ❑ 28. Heat Detectors N/A ❑X Yes ❑ No ❑ 29. Duct Detectors N/A ❑X Yes ❑ No ❑ 30. Sprinkler Flow Switches N/A ❑X Yes ❑ No ❑ 31. Sprinkler Supervisory Switches N/A © Yes ❑ No ❑ 32. Manual PulijStations N/A 0 Yes ❑ No ❑ 33. Annunciator(s) N/A FXJ Yes ❑ No ❑ 34. Beam Detectors N/A 0 Yes ❑ No ❑ 35. Automatic Door Unlocks N/A ❑X Yes ❑ No ❑ 36. Automatic Door Release , 2 2 N/A X❑ Yes ❑ , No ❑ 37. Fire Dampers N/A 0 Yes ❑ No ❑ Communication Equipment Total Number of Units in Building Total Number Units Tested Test Results Acceptable 38. Phone Sets N/A ❑X Yes ❑ No ❑ 39. Phone Jacks N/A ❑X Yes ❑ No ❑ 40. Call -in Signal N/A ❑X Yes ❑ No ❑ Fire Alarm Systems Page 2 of 2 AAA r"�c � wan ux.• (800) 223-3473 INFO®AAAF RE.COM AAA FIRE & SAFETY, INC. 3013 3RD AVE NORTH SEAME, WA 98109 EDMONDS FIRE DEPARTMENT "THE NORTHWESTS MOST TRUSTED NAME IN FIRE PROTECTION" FIRE ALARM SYSTEM Status Given (One System per Report) RED YELLOW WHITE A CONFIDENCE TEST X REPAIRS Sprinkler Monitoring Panel? ❑ Occupancy Address: 114 2ND AVE S Occupancy Name: MARINER PLAZA Responsible Person First & Last Name: RON HANSON Phone Number: 425-778-3189 Responsible Person Address, City, State, Zip: Responsible Party dalej@hansen-McLaughlin-Johr E-Mail Address Date of Inspection: 07/21/2015 11:30am PDT Inspection Annual z Frequency/Type: Quarterly Testers Name Mark Hagen (Please Print): Nlcet H00040 Number: - Identification Number: System Location Elevator room Central station monitoring? Yes ❑ No El Monitoring Monitoring Required? Yes ❑ No ❑ Company Name: None System Make: Reset for S/D's W-elev. recall System Model: No panel here FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet) CORRECTIONS MADE: Date Corrected: Corrected By: (If additional room is needed, please add a separate sheet) Nicet Certification Number: - This certifies that this fire and life safety system has been properly inspected for reliability to cover the Items listed in this report and is consistent with Fire Department Fire Code standards, and that discrepancies are note and have en report d to the building Owner/Manager for corrective action. Signature of Tester: hone # (206) 284-1721 Building Representative (signature) Fire Alarm Systems Page 1 of 2 The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Refer to the Fire Code for inspecting and testing requirements. Alarm Svstem Functionali 1. Trouble signal with AC power off? Yes No 2. System operates properly on battery backup? YesH No 3. Battery voltage (no load) N/a volts 4. Battery voltage (full load) volts (signals operating) 5. Charge circuit voltage volts 6. System operates properly on standby power? Yes ❑ No ❑ 7. All signals operate on AC power? Yes 0 No❑ 8. Number of initiating circuits 4 9. Number of signal circuits 0 10. Does alarm system meet audibility standards as accepted? Yes ❑ No ❑ 11. All circuits checked for electrical supervision? Yes ❑ No ❑ 12. All auxiliary equipment operates (Elevators, fans, dampers)? N/A ❑ Yes ❑X No❑ 13. Ventilation controls operate? N/A ❑X Yes ❑ No❑ 14. Key to panel available? N/A ❑X Yes ❑ No❑ 15. Materials and equipment needed to restore pull stations are available at the N/A ❑X Yes ❑ No[:] main panel, e.g. glass rods, and plates; keys and alien wrenches, etc? 16. Operating instructions at panel? Yes ❑ No ❑ 17. Trouble indicators function properly? Yes ❑ No❑ 18. Remote Annunciator Panels function properly? N/A X❑ Yes ❑ No[--] 19. Elevator Call Down functions properly? N/A ❑ Yes❑X No 20. Test record posted at panel? Yes ❑X No � 21. General alarm automatic time delay (minutes) N/A 22. Was a signal received at the Central Station monitoring company? N/A ❑X Yes ❑ No❑ 23. Other Devices (Specify) YesEl NoEl System Devices Total Number of Units in Building Total Number Units Tested Test Results Acceptable 24. Bells, Horns, Chimes N/A ❑X Yes ❑ No ❑ 25. Voice Speakers (Voice Clarity) N/A X❑ Yes❑ No❑ 26. Visual Alarm Devices N/A ❑X Yes❑ No❑ 27. Smoke Detectors 4 4 N/A ❑ Yes ❑X No ❑ 28. Heat Detectors N/A ❑X Yes ❑ No ❑ 29. Duct Detectors N/A ❑X Yes ❑ No ❑ 30. Sprinkler Flow Switches N/A Yes ❑ No ❑ 31. Sprinkler Supervisory Switches N/A X❑ Yes ❑ No ❑ 32. Manual Pull Stations N/A ❑X Yes ❑ No ❑ 33. Annunciator(s) N/A ❑X Yes ❑ No ❑ 34. Beam Detectors N/A ❑X Yes ❑ No ❑ 35. Automatic Door Unlocks N/A ❑X Yes ❑ No ❑ 36. Automatic Door Release 2 2 N/A ❑ Yes ❑X No ❑ 37. Fire Dampers N/A ❑X Yes ❑ No ❑ Communication Equipment Total Number of Units in Building Total Number Units Tested Test Results Acceptable 38. Phone Sets N/A ❑X Yes ❑ No ❑ 39. Phone Jacks N/A ❑X Yes ❑ No ❑ 40. Call -in Signal N/A X❑ Yes ❑ No ❑� Fire Alarm Systems Page 2 of 2 R 7t 7t 3013 3rd AVE NORTH "M-6 FIRE DEPARTMENT 98109. INVOICE # (06 284-172A Confidence TCSll12g ACCOUNT # �g (800) 223-ME . (206) 284-1769 FAX FIRE ALARM FUZE a SAFETY M • DATE 5.)-7"j AAA.FIRE.C(d � �-� � `'^ City. Zip Code Address Occupied as: Building Owner: �d�'^'-� Ph. #qU Address:`''— City: ����SS ate. Zip Code: Date of Inspection: 5"a1 -� Type of IInssppection: Quarterly Annual Acceptance . Other # Tester's Name (PLEASE PRINT) SFD Certification Control Panel % ' \�G S �� W� ' n Model # No. of Initiating Circuits No. of Signal Circuits Battery Voltage Volts Charge Circuit Vol Volts Battery Voltage Under Fu ad Volts (signals operatin 1. Trouble Signal With A/C Power Off Yes No N/A 2. System Operates Satisfactorily on Standby Power Y P 3. All auxiliary equipment operates: ato fans, dampers) o N/A Yesno Yeso N/A , 4. All Signals Operate On AC Power Yes 5. Have All Alarm Notification Appliances been checked for proper operation Yes o 6. All Circuits Checked For Electrical Supervision Yes' No N/A ....__..___.,,_7.__- Control_ pan el_ checks made per_ manufacturer's instructions Yes No . N/A 8. Central station or remote connection +n. Yes No N/A Name of monitoring company 9. Key to panel available Yes No N/A ✓ TYPE OF EQUIPMENT # OF UNITS TESTED SATISFACTORY # OF;.UNITS IN BLDG YES NO N/A BELLS, HORNS, CHIMES ! ' VOICE ALARM SPEAKERS i VISUAL ALARM DEVICES / TROUBLE INDICATORS SUPER SWITCHES (AUTO SPR.) SMOKE DETECTORS(S)F HEAT DETECTORS) MANUAL PULL STATIONS VENTILATION CONTROLS OPERATE CENTRAL STATION ANNUNCIATORS ELEVATOR CALL DOWN FIRE DAMPER/SMOKE DAMPERS PHONE JACKS AUTO, DOOR UNLOCKS (FAIL SAFE) AUTO, DOOR RELEASE OTHER, 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: n SIGNATURE OF TESTER�� ELECTRICAL LICENSE AAA Fire & Safety, Inc 3013 3" Ave v Seattle, Wa 98109 206-284-1721 info@aaafire.com j 05(p'b9 CUA E0ftNa1DS Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline (SIRE ALARM SYSTEM Certification Given (One System per Report) \ ,�.1���. �: YELLOW ' ❑ WHITE CONFIDENCE TEST REPAIRS Occupancy Address: 11c ZN �� 5� Occupancy Name: City, State, Zip Responsible Person First & Last Name: QV,0, �5sz_ V­, Phone Number: Responsible Person Address, City, State, Zip: Date of Inspection - - �3 Testers Name (Please Print): h--4` ,aK LA Central station inonitoririg? Yes O No .6 Monitoring Required? —,Yes O _ No . System Make: ���C- SI0 W f 9R-0, System Location Responsible Party E—Mail Address Inspection Frequency/Type: Quarterly ® (High- e Only) Annual SFD Certification Number: SCP lT�7- ( Monitoring . Company Name: W System Model: 21-21,Z) - 01"'- Identification Number :':hAc P,ic iKire„ Iif .4-i; ::..: CORRECTIONS MADE: Date Corrected: Corrected By: (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - This certifies_ that this fire and life safety system has been properly inspected for reliability to cover the Items listed in this report and is consistent with -Seattle Fire Department Fire Code standards, and that disc"repancies'are noted a�ndd have been reported to the building Owner/Manager for corrective action. Signature of'Tester: u " �'Phone Testing Agency: AAA Fire & Safety, Inc Mailing Address- 3013 3rd Ave N Seattle Wa 98109 LBuilding Representative (signature) r rfl The items on the checklists below shall'6e inspected and tested. T his list does not constitute all of the required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. Alarm System Functionality 1. ' Trouble signal with AC power off? V�1/ Yes ❑ No ❑ S stem: erates =on b tte " backup? Y P properly, rY P {nl Jr Yes; Ell, No 3. Battery voltage (no load) volts A. , Battery. voltage (full -load) voltts (signals operating) 5. Charge circuit voltage volts . 6 ,' Sy§te(ft operates properly onatandby"power? "' o,/ Yes_O. No 7. All signals operate on AC power? " Yes No ❑ 8. Number of initiating circuits 9. Number of signal circuits- 10,< Does,'alarrn system ;meet audibility, standards,asaccepted? V�. L Yes:.❑,, No. 11. All circuits checked for electrical supervision? Yes No ❑ 12"`All auxilia e ui "ment o grates Elevators; fans dam ers ? rY ,.,q P . ,. P, p. ) N/A ❑ : Yes; C No O: 13. Ventilation controls operate? N/A Yes ❑ No ❑ 14. Key to` panelavaila:ble? ., hl l Y0. 15 Operating instructions at panel? - / Yes L'9� No O 16 Trouble indicators' function properly? Ye s ❑ No ❑ 17. Remote Annunciator Panels function properly? N/A Yes ❑ No ❑ Elevator Call Down functions properly? N/A, Q... Yes � No ❑ >: 19 Test record posted at panel? Yes L7 No ❑ 20. General alarm automatic..time delay'. • ' Y (minutes) 21. Was a signal received at the Central Station monitoring company? 22. Other Devices (Specify) N/A C3' Y es ❑ No ❑ Yes,; 3 ^� Total Number of Total Number Communication Equipment Units in Building Units Tested Test Results Acceptable 37. Phone Sets: N/A / Yes ❑ No ❑ 38. Phone Jacks N/A Q Yes ❑ No ❑ 39. Call -in Signal N/A Yes ❑ No ❑ Fire Alarm Svstems AAA Fire & Safety, Inc 3013 3" Ave N Seattle, Wa 98109 206-284-1721 info@aaafire.com i�D16-16M25 S Fire Department Account a383CVK Confidence Test Report Inv # 1139.1rW 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline FIRE ALARM SYSTEM Certification Given (One System per Report) YELLOW ❑ WHITE to CONFIDENCE TEST P, REPAIRS ❑ Occupancy Address: Rq V 2 R"� %r-s44--, Occupancy Name: City, State, Zip 'B.vv'4VzS tea. yxc)c'�Z� Responsible Person First & Last Name:o h' ,1 �'C�`r�2 V\� Phone Number Responsible Person Responsible Party Address, City, State, Zip:1`^'re-- E—Mail Address Date of Inspection: . Inspection Frequency/Type: Testers Name - SFD Certification (Please Print): Number: Central station monitoring? Yes O No �) Monitoring Monitoring Required? Yes O NoA Company Name: System Make: W/ E<eV .-coWSystern Model: System Location QN\, Identification Number: PROBLEMS FOUND: (If additional room is needed, please add a separate sheet) CORRECTIONS MADE: Date Corrected: Corrected By: (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - y zT--ng- 318 Quarterly ❑ (High-rise Only) Annual co SCP-,_�� This certifies that this fire and life safety system has been properly inspected for reliability 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 building Owner/Manager for corrective action. l Signature of Tester: _ Phone # n'a I Testing Agency: AAA Fire & Safety, c Mailing Address: 3013 3rd Ave N Seattle, Wa 98109 Buildina Representative (siqnature) )0 Fire Alarm Systems Page 1 of 2 The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. Alarm System Functionality 1. Trouble signal with AC power off? Yes ❑ ❑ No ❑ No ❑ 2. System operateproperly on battery backup? es 3. Battery voltage (no load) oits 4. Battery voltage (full load) volts (signals operating) 5. Charge circuit voltage volts 6. System operate'sproperly on standby power? Yes: No❑ 7. All signals operate on AC power? Yes f No 13 8. Number of initiating circuits 9. Number of signal circuits 10. Does alarm system meet audibility standards as accepted? Yes ❑ No-❑ . 11. All circuits checked for electrical supervision? 12. All auxiliary equipment operates (E afor fans, dampers)? N/A ❑ ' Yes 13 Yes 7 No ❑ No ❑ 13. Ventilation controls operate? N A ❑ Yes ❑ No ❑ 14. Key to panel available? YfiA Yes ❑ Yes � No ❑ No ❑ 15. Operating instructions at panel? � / C� Yes, ❑ No ❑ 16. Trouble indicators function properly? y{�P+ N/A C3 Yes ❑ No ❑ 17. Remote Annunciator Panels function properly? N/A ❑ Yes No ❑ 18. Elevator Call Dd&Wn functions properly? No 13 19. Test record posted at panel? Yes 20. General alarm automatic time delay (minutes) N/A N/A Yes ❑ Notes❑ 21. Was a signal received at the Central Station monitoring company? S eci 22. Other Devices rp fy) Units in Units System Devices Building Tested Test Results Acceptable 23. Bells, Horns, Chimes N/A Yes ❑ No ❑ Voice Clarity) 24. Voice Speakers ( tY) N/A N/A ❑ Yes ❑ Yes No ❑ No ❑ 25. Smoke Detectors N/A Yes-0 No ❑ 26. Heat Detectors N/A Q Yes Q No ❑ 27. Duct Detectors N/A Yes ❑ No ❑ 28. Sprinkler Flow Switches N/A f$ Yes ❑ No ❑ 29. Sprinkler Supervisory Switches N/A 13 Yes ❑ No ❑ 30. Visual Alarm DevicOes N/A fQ Yes ❑ No ❑ 31. Manual Pull Stations N/A % Yes ❑ No ❑ 32. Annunciator(s) N/A q Yes ❑ No ❑ 33. Beam Detectors N/A 1P Yes ❑ No ❑ 34. Automatic Door Unlocks Door Release N/A ❑ Yes No ❑ 35. Automatic 36. Fire Dampers,�every 4 yrs. N/A Yes O No ❑ Total Number of Total Number Communication Equipment Units in Building Units Tested Test Results Acce table 37. Phone Sets N/A Yes ❑ Yes ❑ No ❑ No ❑ 38. Phone Jacks N/A N/A Yes ❑ No ❑ 39. Call -in Signal Fire Alarm Systems Page 2 of 2 AAA, Fire & Safety, Inc 3013 3rd Ave. N Seattle, Wa 98109 206-284-1721 info@aaafire.com ?3'939 Fire Department'"")"' 8� Confidence Test Report 8 Confidence Testing Officer (fax) Red Tag Hotline FIRE ALARM SYSTEM certification Given (One System per Report) YELLOW ❑. WHITE tg CONFIDENCE TEST Occupancy Address City, State, Zip Responsible Person First & Last Name: Responsible Person Address, City, State, Zip: REPAIRS I ❑ WA Z^'" l�v�- - Occupancy Name: _ t� �c;u� C� ,-� Phone Number Responsible Party E—Mail Address Date of Inspection: Inspection Fj -q -Frequency/Type: Testers Name SFD Certification (Please Print):Number: Central station monitoring? Yes 0 No VP Monitoring Monitoring Required? Yes o No �1 Company Name: System Make: System Model: System Location �_l2� , Identification Number: PROBLEMS FOUND: (if ^.ddi' or,^I ^nr i'- needed, sE CORRECTIONS MADE: Date Corrected: Corrected By: (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - Quarterly ❑.(High-riseOnly) Annual V SCP- ��'OM47j�) This certifies that this fire and life safety system has been properly inspected for reliability 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 building Owner/Manager for corrective action. Signature of Tester: Testing Agency: Mailing Address: Buildinq Representative Phone # 2_6l� AAA Fire & S. ty, Inc 3013 3rd Ave N Seattle Wa 98109 (signature) Giro A I., ..., Q„ +....... { The'items on the checklists below shal and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. Alarm Svstem Functionality& -- ---`II* i. i rouoie signal wiun H- power ott? 2. Systemoperatesproperly on tattery backup? 3. Battery voltage (no load) volts 4. Batteryvoltage (full load) volts (signals. operating) 5: Charge circuit voltage volts 6. System. operates properly on standby power? . 7. All signals operate on AC power? 8 .. Number of initiating; circuits .9..., Number of signal circuits NR 14V`� des ❑ No ❑ N IN . Yes' ❑.. , No Q V) Yes. ❑ No ❑ Yes W No ❑ 10: Does alarm system: meet audibili tystandards as accepted. Wes O No O il. All circuits checked for electrical sum ? 1(11 Yes ❑ No ❑ 12. All auxiliary equipment operates vato pe.rs )... NN/A. N13. Ventilation controls operate? ` Yes o ❑ ❑ No ❑ 14. Key to panel available? . 15. Operating instructions at panel? OP. Yes O No O. YesA No ❑ 16. Trouble indicators function:properly? 17. Remote Annunciator Panels function properly? V� I� , , Yes O ; No ❑ N/A Yes ❑ No ❑ 18. Elevator Call Down functions properly? 19. Test record posted at panel? N/A ❑ Yes: No. O 20: General alarm automatic.time delay (minutes Y 0 / ... .. es N ❑ NA 1. Was a signal received at the Central Station monitoring company? N/F\ Yes ❑ No ❑ 22. Other Devices (Specify) , Ye Total Total Number Number S stem Devices of Units in Build, Units 23 Bells,.Horns, Chimes Tested Test Results Acceptable -- 24 Voice Speakers (Voice Clarity) _._ N/A Vol f_j N n ... 25 Smoke DetectorsT. /A N/A ❑' Yes 13 No ❑ 26. Heat Detectors Yes" No Q N/A � Yes ❑ No ❑ 27.+ Duct_Detectors: Yes ❑. NoN/A 28. Sprinkler Flow Switches Yes ❑ No ❑ 29. Sprinkler Supervisory Switches _ N/A ,� Gml Yes ❑ No ❑. 30. Visual Alarm DevicOes N/A 0 Yes ❑ No ❑ 31: Mahual,Pull Stations,*N/A Yes ❑ No ❑ 32. Annunciator(s) N/A Yes ❑ No ❑ 33. Beam Detectors N/A � Yes ❑ No El34. Automatic Door Unlocks N/A Yes ❑ No ❑ 35. Automatic Door. Release Z_ :.:..:: �_ N/A ❑ N/A Yes Yes 0 No ❑ No ❑ 36. Fire Dampers, every 4 yrs. Communication Equipment Total Number of Units Total Number in Buildin Units Tested Test Results Acceptable 37. Phone Sets.: '^ N/A Yes ❑ No ❑ 38. Phone Jacks N/A Yes Q No ❑ 39.' Call -in Signal N/A- Yes ❑ No ❑ Fire Alarm Svstems �___a__FIRE PREVENTION _ CITY _ O F -E D M O N DS_ SAFETY SURVEY 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215 y FIRE DEPARTMENT 0 } LOCATION: 114 :2nd Avenue S BUSINESS NAME: Mariner Plaza Bldg PHONE: 4257783189 MAILING 114 2nd Ave S #103 ADDRESS: Edmonds 98020 f1 li FREQUENCY STATION & SHIFT ass 17 C I SCHDATEEDUEE 11,01,10 ► UFIR ► 509 4221202 .1 BUSINESS OWNER: Hansen, R HOME PHONE: 2065465417 AC_nVE EMERGENCY-1: HOME PHONE: KEY ACCESS-2: Hansen, R HOME PHONE: 2069935262 PERSON CONTACTED: INITIAL INSPECTION DATE O �,.J � / 7 // / NAME OF INSPECTOR: U �¢� rL� FIRE FD LkBx FA 5110 SYSTEMS: FE SS/ ANNUAL HAZARDS FOUND AND LOCATIONSy/OMMUNICATIONS ENTER CODE ONLY ONCE ► VIOLATION CODE 2 2 3 3 4 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 CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT ORATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 7 4 8 4 8 DATE: DISPOSITION: 8 LETTER NEEDED ❑ YES NO LETTER NEEDED ❑ YES NO FIRE DEPARTMENT COPY AAA Fire & Safety, 3013 3rd Awe N Seattle, Wa 98109 206-284-1721 info@aaafire.com Inc SEWe Fire Department Confidence Test Report Confidence Testing Officer -1100 V�� �68 (fax) `Z067-73-37-72T9 Red Tag Hotline FIRE ALARM SYSTEM certification Given (One System per Report) YELLOW ❑ WHITE CONFIDENCE TEST REPAIRS ❑ Occupancy Address: kq, 2,3 PW- srx��a Occupancy Name: P( 0_ City, State, Zip Responsible Person First & Last Name: Phone Number: Responsible Person Responsible Party Address, City, State, Zip: 5k ' -'Q— I E-Mail Address Date of Inspection: Inspection Quarterly ❑ (High-rise Only) 5-k�-2_o �c� Frequency/Type: Annual Testers Name SFD Certification (Please Print): !1A4411 Number: SCP- Pt - Central station monitoring? Yes O No � Monitoring Monitoring Required? Yes O No Company Name: V1 IA-, System Make: System Model: lZo System Location 0't.-e.0 (4VVV- Identification Number: ---r PROBLEMS FOUND: (, addi';;aral room-iz needed,- f �. �E; arate s. e�tj• CORRECTIONS MADE: Date Corrected: Corrected By: (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - This certifies that this fire and life safety system has been properly inspected for reliability 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 building Owner/Manager for corrective action. Signature of Tester:�� Phone # Testing Agency: AAA Fire & Safety, Inc Mailing Address: 3013 3rd Ave N Seattle Wa 98109 Building Representative (signature) MAl­ c.,...,.,..,,. The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. Alarm System Functional 1. Trouble signal with AC power off? 2. System operates properly on battery backup? ; 3. Battery voltage (no load) volts 4 Batteryvolta e full load 9 ( ) volts (signals operating) . 5. Charge circuit voltage volts 6. System operates, properly on standby power? 7. All signals operate on AC power? 0 - N 8. Number, of. initiating circuits,.-:- 9. Number of signal circuits Yes D No ❑ Yes O ... No. i, Yes ❑. ., No>❑, .:: Yes No ❑ _..10 :: Does alarm system:meet-audibilitystandards as accepted? es ❑ Non. 11. All circuits checked for electrical supe ion? 1.2 All equipment =levator- . Yes ❑ No n avxiliaryy operates fails moo dars ? �, . P ...� N A . ❑ Yes No :' 13. Ventilation controls operate? '.Key N/A Yes ❑ .0 . No ❑ � 14 to panel available? 7 .. 15. P instructions a Op 4t��%� g pP4,: Yes ❑ . Yes _, .. No. I!.:, 16. Trouble rol erl� P P Y? h_{- Yes ❑ No ❑ No::❑' 17. Remote Annunciator Panels function properly? N/A Yes ❑ .'. No ❑ ° 18. Elevator Call Down functions properly? N/A ❑ Yes No_ ❑ :: 19. Test record posted at panel? Yes' No ❑ 20..General .alarm automatic.time dela y - : (minutes) N/A 21 Was a signal received at the Central Station monitoring company? N/A o ❑ 22 .Other Devices (Specify) Yes No ❑ Yes �1 —� `F Total Total Number Number System. Devices of Units in Units Building Tested Test Results Acce table 23 Bells, Horns, Chimes M,1A M - Yes ❑ 24 Voice Speakers (Voice Clarity) _.: 25 Smoke Detectors' N/A / N/A '` Yes ❑ Yes` No ❑ 26. Heat Detectors N/A ail Yes ❑ No O No ❑ 27. Duct Detectors N/A RI Yes ❑. No Q 28. Sprinkler Flow Switches N/A M Yes ❑ No ❑ 29. Sprinkler Supervisory Switches N/A G$ Yes ❑ No ❑ 30. Visual Alarm DevicOes N/A ® Yes ❑ No ❑ 31. Manual Pull Stations—.N/A Yes ❑ No ❑ 32. Annunciator(s) N/A Yes ❑ No El33. Beam Detectors N/A �1 Yes ❑ No [I34. Automatic Door Unlocks N/A Yes ❑ No ❑ 35. Automatic Door Release �- N/A ❑ Yes Pf No 36. Fire Dampers, every 4 yrs. N/A Yes ❑ No ❑ Communication Equipment Total Number of Units Total Number in Building Units Tested Test Results Acceptable 37: Phone Sets.. N/A Yes ❑ No ❑. 38. Phone Jacks 39. Call -in Signal Z� N/A N/A Yes ❑ Yes ❑ No ❑ No ❑ ::ire Alarm Svstems CITY OF EDMONDS CIVIC CENTER • EDMONDS, WA 98020 (206) 771-0215 • FAX (206) 771-0208 FIRE DEPARTMENT Fst. 1890 Mr. Dick Tucker Mariner Plaza Homeowner's Association 114 2nd Avenue S. #201 Edmonds, WA 98020 Dear Mr. Tucker: October 8, 1996 BARBARA FAHEY MAYOR Per your request, I have enclosed a copy of the hazard letter sent to responsible parties at Mariner Plaza. Emergency lighting on the third floor and stairwell also is required to be repaired and functional, I believe this would fall to the responsibility of the homeowners(?). Thank you for your assistance and concerns for fire safety in your building. Please II me at 771-0215 (ext. 301) if you have questions or concerns. �. end Sinde elan_ ----A-...//., John J Senior • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan oj SUBJECTS r � �J­­,A7 '• r� : t. ��� �.� . to CIL "Ov", i FA'k*.WN, 69MOU�. International Conference of Building Officials REGIONAL OFFICE: 2122-112TIA AVENUE, N.E., SUITE 8-300 • BELLEVUE, WASIIINGTON 98004 • (200) 451-9541 lilf;�lii NlTG BOARD OF DIRECTORS CHAIRMAN WILLIAM E. SCHLECHT, C.B.O. BUILDING OFFICIAL COUNTY OF WASHINGTON HILLSBORO, OREGON FIRST VICE-CHAIRMAN BRENT SNYDER, C.B.O. BUILDING OFFICIAL PACIFICA, CALIFORNIA SECOND VICE-CHAIRMAN EUGENE J. ZELLER, P.E., C.B.O. SUPERINTENDENT OF BUILDING AND SAFETY LONG BEACH, CALIFORNIA IMMEDIATE PAST CHAIRMAN CHARLES L CLAWSON DIRECTOR OF COMMUNITY DEVELOPMENT ARLINGTON, TEXAS ROBERT J. EPPSTEIN, C.B.O. CHIEF BUILDING OFFICIAL FREMONT, CALIFORNIA BOB FOWLER, P.E. A.I.A., C.B.O. DIRECTOR OF BUILDING INSPECTION ABILENE, TEXAS JAN P. GASTERLAND, C.B.O. BUILDING CODE OFFICER ST. PAUL, MINNESOTA PHILLIP M. HERRINGTON, C.B.O. DIRECTOR, DEPARTMENT OF BUILDING AND SAFETY RENO,NEVADA DOUGLAS E. HOOD, C.B.O. BUILDING OFFICIAL COLORADO RIVER INDIAN TRIBES PARKER, ARIZONA JAMES L MANSON, C.B.O. DIRECTOR, DEPARTMENT OF BUILDING AND SAFETY COUNTY OF SPOKANE SPOKANE, WASHINGTON GORDON W. MURDOCH, P.E. DIRECTOR BUILDING INSPECTION DEPARTMENT SAN DIEGO, CALIFORNIA MICHAEL J. NOLTE, C.B.O. BUILDING OFFICIAL CRESWELL,OREGON RON PERKEREWICZ, C.B.O. DIRECTOR OF COMMUNITY DEVELOPMENT COUNTY OF KITSAP PORT ORCHARD, WASHINGTON JAMES R. SINGLETON, C.B.O. BUILDING SAFETY ADMINISTRATOR TUCSON. ARIZONA RONALD R. TREMBLAY, C.B.O. BUILDING OFFICIAL ASSARIA, KANSAS ROBERT D. WEBER, P.E., C.B.O. DIRECTOR, DEPARTMENT OF BUILDING COUNTY OF CLARK LAS VEGAS. NEVADA PRESIDENT JAMES E. BIHR, P.E. in 1 01989 July 6, 1989 Harold Reeves Building Official 250 5th Avenue North Edmonds, WA 98020 Dear Mr. Reeves: OFFICES OF JERRY J. BARBERA, P.E. REGIONAL MANAGER JUAN C. INCHAUSTE, P.E. REGIONAL ENGINEER FRANK S. NATSUHARA, P.E., S.E. REGIONAL ENGINEER CHARLES J. WILLIAMS, P.E. Plan Check: 2419 REGIONAL ENGINEER Project: Hansen Partnership Address: 2nd Avenue Edmonds, WA Code Information: B1/B2/R1 Type V-1 HR Stories: 2 + Basement Floor Area: 11,136 131/10,235 B2/ 9,936 RI Occupant Load: 56/93/39 Valuation: $1, 362, 000 1985 Uniform Building Code Seismic Zone: 3 Basic Wind Speed: 80 mph Exposure: B We have reviewed the plans and associated data for the project mentioned above to see if it conforms to the Uniform Building Code as well as parts of the Uniform Mechanical Code. We have not reviewed them for requirements of federal, or other state and local regulatory agencies. In most cases, the designer should modify the plans and/or specifications to satisfy these comments. GENERAL COMMENTS 1. You should ensure that all involved city agencies, such as Planning, Zoning, Public Works and Fire Department, etc., approve of the project. Main Office: 5300 South Workman Mill Road • Whittier, California 90601 • (? 13) 699-0541 Plan Check 2419 Harold Reeves, Edmonds July 6, 1989 Page Two 2. Your Fire Department should approve: a. The access to the building for Fire Department apparatus. Section 10.207 UFC. b. The hydrant location and portable fire extinguisher installations. Section 10.301 UFC and UFC Standard 10-1. 3. See the attached sheets for details required to have the plans comply with the Washington State Barrier Free and Washington State Energy regulations. You should ensure that they comply. 4. You should carefully review the soils report for this project. There is extensive excavation of the existing site adjacent to the north and south property lines and adjacent to Second Avenue. All property owners should be notified and proper permits obtained, including -any that may be required by other departments of the city. TYPE OF CONSTRUCTION 1. It would appear, based on the existing elevations shown on sheet AO, that the building is a two-story with basement. You should verify the final elevations. 2. The opening in the south property line wall in the master bedroom and bathroom should be protected at the wall line, if constructed as shown in detail 2/A9, Section 504(b). 3. An alternate would be to move the rc=:,f line of the cut-out area back to within 12" of the wall where the window is located. Note that projections cannot extend more than 12" into areas where openings are prohibited. Section 1710. 4. The 1-hour wall along lines should be extended (full height) to the ends of the decks on both the east and west ends. See Sheet A04. 5. For the purposes of determining the exterior wall and opening protection along the north and west walls, the center line of the alleys should be -used, Section 504. These appear to be 16' in width. Based on this, an opening along these elevations in the B-1 and B-2 occupancies within 10' of the center line of the alleys should be protected, including the garage openings. A parapet should also be provided. 6. This would also apply to the openings from the stairs enclosure on the north elevation. Plan Check 2419 Harold Reeves, Edmonds July 6, 1989 Page Three 7. A parapet is required along the entire length of the south property line wall. The upper 18" of the parapet, on the roof side, should be of noncombustible construction. Section 1709. 8. The floors of the restroom on the first floor (B-2 occ) should have floors or a smooth, hard, nonabsorbent surface such as ceramic tile. Section 510(b) . The walls within the water closet compartments, to a height of 4', should be of a similar finish. 9. The B-1 garage should be provided with a mechanical ventilation system capable of exhausting a minimum of 1.5 cfm per square feet of floor area (approximately 16,700 cfm total). Section 705 10. Floor drains in the garage floor should be provided with an approved oil separator. Section 702(b). 11. The escape window of bedroom 2 of the center unit on the second floor should exit directly to the exterior. Section 1204. This appears to enter an "exit court(?)" and then into the interior corridor. This should be resolved. 12. The wall adjacent to the bathroom for the shaft enclosure or stairway 2 should be a one hour rated assembly. The 5/8" type "X" gypboard should be provided on the interior face of the plumbing wall. See detail 6/A8. 13. This would also apply to the shaft wall around the elevator. The wall beneath the stairs should be protected on both sides with 5/8" type "X" gypboard. See detail 3, sheet A7. 14. The approximate location of the draft stops in the floor/ceiling and roof/ceiling assemblies should be shown on the plans. Section 2516(f) . 15. Draft stops should be provided over the walls separating the dwelling units from each other and from the corridors. Section 2516(f) 4B. 16. Fire stops should be provided in the party wall at 10' o.c. horizontally. Section 2516(f). 17. How is the roof drained? Details should be provided for the roof drains and overflows. Section 3207(b) & (c) . 18. How is the cross ventilation of the attic space provided? Section 3205(c) . The exact amount of the required ventilation should be shown on the plans. Plan Check 2419 Harold Reeves, Edmonds July 6, 1989 Page Four 19. The TS steel columns should be protected as required for 1-hour construction. Section 4302. This would normally require 2 layers of 5/8" type "X" gybboard. A detail should be provided. 20. The glu-lam beams on the second floor framing plan supporting the floor joists and roof bearing walls should be individually protected with 1-hour fire resistive construction. Section 4303(b)6. A detail should be provided. 21. The location of the kitchen, bathroom and laundry room exhaust ducts should be shown on the plans. The roof/ceiling assembly should be protected with 1-hour construction where the kitchen exhaust penetrates the assembly. Section 4305. A detail should be provided. 22. The bathroom and laundry room exhaust should be protected with ceiling fire dampers or enclosed in a shaft. Section 4305(b)6. 23. The 1-hour floor/ceiling assembly using the TJI joists should be exactly in accordance with NER 200. The channels should be a 16" o.c., and the gyspum board should be USG type "C" fire code. The plans should be revised. 24. The gypsum board for the roof/ceiling assembly should be specified as type "X." 25. Details should be provided for installation of the dropped ceiling. Section 4701(e). A compression strut should be provided at the intersection of the bracing wires. 26. A fence and .canopy should be provided at the east elevation during construction. Fences should be provided at the other elevations. Table 44-A. 27. All glazing within doors and within 12" of all doors, sliding doors, shower and bath enclosures, should be labeled impact type per UBC Standard 54-2. Section 5406. This would include the window adjacent to the tub in the south dwelling unit and also the 3 windows shown adjacent to the main entrance. The glazing should be identified on the plans. EXITS 1. All three residential units on the second floor each exceed 2,000 square feet, therefore, 2 exits are required from each unit. The following should be corrected: a, A swinging door should be provided at the rear (living room) exit. Sliders can only be used where the exit door serves an area with an occupant load of less than 10. Section 3304(a) . Plan Check 2419 Harold Reeves, Edmonds July 6, 1989 Page Five b. Since each unit is required to have two exits, the tributary occupant load to the exit balcony at the rear is greater than 10. Therefore, a "dead end" condition exists for the occupants of the center and upper units. Section 3305(e) . It would appear that a second stairway should be required for this exit balcony. 2. Since 2 exits are required from the second floor, they should be spaced a minimum of Z the diagonal of the area served (approximately 72') . Section 3303(c) . The actual separation is approximately 42' at the closest point. 3. This also applies to the office area on the first floor. The actual separation is approximately 601. 4. Technically the rated corridors on the first and second floors should be separated from the lobby area. Section 3305. However, since an opening is permitted between one adjacent floor level, it is our opinion that the condition as shown is acceptable. The glazed openings from the dwelling units near the entry doors should be ill wired glass set in steel frames. The doors should be provided with self closers and smoke and draft gaskets. 5. The angled stairway at the north entry to the plaza area is, in our opinion, a non -complying stairway. Section 3306(c). A handrail should be provided near the south end of the stairs (see sheet A3 immediately below and parallel to the 7/A8 section line) . 6. Doors 6 and 107 should have a maximum temperature end point of 4500F. Section 3309(c) . MECHANICAL COMMENTS 1. If the water heater has a non -rigid water connection and is over 4' in height, it should be anchored or strapped to resist horizontal forces. Section 504 UMC. 2. The bathroom and laundry areas should be provided with a mechanical ventilating system capable of supplying 5 air changes per hour. Section 1205(a). 3. The heating and cooling load calculations should be submitted prior to the issuance of a building permit. The size of the HVAC equipment should be shown on the plans. Section 407 WEC. 4. If the furnace and water heater located in the utility room are gas fired, then the method for obtaining the combustion air should be shown on the plans. Section 601 UMC. Plan Check 2419 Harold Reeves, Edmonds July 6, 1989 Page Six STRUCTURAL COMMENTS 1. Roof trusses: a. The truss shop drawings and calculations should be submitted for our review prior to fabrication. Section 302(b). b. The truss fabricator should be one you approve of and their trusses should be manufactured under a quality control program of an independent third party. The trusses should bear their quality control mark. Section 2510(h). c. The non -bearing walls should be held down from the truss bottom chord with an approved fastener (such as Simpson STC) to ensure that the truss bottom chord will not bear on the wall. 2. Special inspection should be provided for the following: a. Placement of the reinforced concrete. Section 306(a)I. b. Placement of the reinforcing steel. Section 306(a)2B. c. During stressing and grouting of the prestressing. Section 306(a)2A. d. During special grading, excavation and filling. Section 306(a)11. e. During installation of the expansion anchor bolts. f. During all on -site structural welding. 3. Since gypboard shear walls are being used for lateral resistance, the K factor should be 1.33 instead of 1. The K of 1.33 should be used in both directions. 4. Based on this, the following shear walls appear to be overstressed: a. first floor - near line B b. second floor - near line E (exterior wall) 5. Shear wall SW-6 and SW-7 should be provided with 3x members at panel joints with the nails staggered. 6. Drag struts should be provided over the north -south shear walls on the first floor. Plan Check 2419 Harold Reeves, Edmonds July 6, 1989 Page Seven 7. As a point of future interest, the 1988 UBC will require that gypboard shear wall allowable loads be reduced by 50% in seismic zones 3 and 4. 8. 1 do not quite understand detail 10/S8. This appears to be okay for uplift considerations, however, the lateral forces are applied in both - directions. This should be justified for the downward overturning loads. 9. You should review the method of underpinning the foundation of the existing building (adjacent property) near line 5. Section sheet S-3. 10. You should also notify, in writing, the adjacent property owners that the underpinning of their building will be required. 11. One-way, unbonded, post -tensioned slabs and beams should be designed to carry the dead load plus 25% of the unreduced live load by some other method other than the primary post -tensioned reinforcement. • Section 2618(j)2B. This should be justified. 12. Blocking should be provided beneath all bearing walls on the second floor. 13. The footings and walls should be justified where supporting end reactions from the prestressed beam. This is particularly important at lines 2/A.2 and A/4. 14. The prestressed beam should be justified along line 2 between line A and A.2. This cantilevered portion of the beam supports a column load of approximately 40k at line A. Our headquarters accounting department in Whittier, California will send you an invoice for this plan reviewing service based on'a valuation of $1,362,000.00. I am returning all data and plans to you. If you wish me to do the recheck, please have the designer revise the plans and specifications, indicate on a separate sheet on which sheet or detail the corrections may be found and return the check prints. Please feel free to contact me if there are any questions. Very truly yours, Charles J. Williams, P.E. Regional Engineer jwb Enclosures WASHINGTON STATE REGULATIONS FOR BARRIER -FREE DESIGN f L.4- (Please do circled items only. Code sections cited refer to the amendments in WAC51-10 dated 2-15-85.) 1. Site accessibility: a. 12'-6" wide HC parking spaces should be provided. Section 7503(a,c). spaces are required. b. Handicap parking spaces should be located so that the accessible routes of travel from it do not enter the parking lot or driveway. A revision is required and curb cuts and sidewalks adjacent to the spaces should be shown. Section 7503(b). �c The sidewalks should be widened or set back at the curb cuts so the ramps are not between parking spaces, do not obstruct the sidewalk and have a landing at top. Section 7502(e,;.). d. An accessible route of travel should be provided between the accessible buildings on the site and from the public sidewalks to the buildings. Section 402, definition of ACCESSIBLE SITE. e. A maximum slope of 2% should be shown in the HC spaces and among the accessible routes of travel from the HC parking and public sidewalks to the primary entrance(s) to the buildings. Section 7502(e), 7503(d). f. Slopes steeper than 2% should be considered as ramps and should be provided with complying landings top and bottom. If ramp slopes exceed 1:20, handrails should be provided. Section 7502(e,k). g. The side slopes of the ramp appear to exceed a 1:6 ratio and should be modified. h. Walks and ramps should be of firm, stable, smooth material with a nonslip surface and at least 44" wide. Section 7502(d,i). 3i. ach HC space should be shown as having a ground sign 4'-5' high centered at the head of the space and bearing the words, "State Disabled Parking Permit Required". Section 7503(e). j. Signs should be shown at every primary public site entrance and at the major junctions leading to the HC spaces and primary public building entrances, displaying the International Symbol of Access and indicating the direction of travel. Section 7502(m). f k) Site lighting of 1 foot-candle at grade level should be provided along the accessible routes of travel and at the parking spaces. Sectton 7502(I). I. The passenger drop off space should be 12' wide x 25' long (parallel to the accessible route of travel). A curb cut (is/is not) required. Section 7504(c). m. The passenger loading spaces should be 4' wide x 20' long and parallel to vehicle space and accessible route. of travel. Section 7504(d). V Accessible toilet room facilities: 1 a. A 44" x 48" minimum unobstructed floor space inside and outside the doors leading to the HC baths and a minimum 48" wide aisle to the accessible water closet compartments should be provided. Section 511(a). b. A 60" minimum diameter unobstructed floor space should be provided within the toilet rooms (with 12" maximum door encroachment). Section 511(a). c. Accessible water closet compartments should have a minimum clearwidth of 4'6" and a depth of W-8" and a 32" minimum clear entry width. Section 511(a). d. The details of grab bars to be provided at the front and sides of the toilet should be shown. Section 511(a). e. The lavatories should have a rim height of 33"-34" and a 29" minimum clearance underneath. Section 511(b). f. Lever -type faucet handles should be provided no more than 17" from the front of the lavatory. The water heater serving the lavatories should deliver water at a maximum temperature of 1200 F unless the drain pipes and hot water pipes are recessed, insulated or guarded to prevent contact. Section 511(b). g. Where towel bars, dispensers, mirrors, shelves, dryers, etc. are provided, at least one of each should be within 40" of the floor. Section 511(b). h. At least one urinal in the men's toilet room should have an elongated lip with the opening of the basin within 17" of the floor. i. Accessible urinal(s) should have a minimum 30" wide by 48" long unobstructed floor space in front of them. Section 511(a). 3. General requirements: a. All areas in this building should be interconnected with HC accessible routes of travel (except storage and mechanical rooms). Note that stairs do not comply. Section 402, definitions of ACCESSIBLE BUILDING and ACCESSIBLE ROUTE OF TRAVEL, and amended Table 33-A. b. Elevators should be provided for access to floors above the first story. Section 5106 and amended Table 33-A. See Washington Department of Labor t Industries for these requirements. c. Omission of an elevator to the second floor is subject to your approval. Section 003. Exception 4 and amended Table 33-A. d. Access to R-1 accessible/adaptable dwelling units above the first story may alternately be made by complying ramps or grade -level accessible routes of travel. Section 5106. e. Accessible openings should have a 32" minimum clearwidth. Section 402, definition of ACCESSIBLE OPENING. (Note: 2'-8" doors may not achieve this.) f. All doors in the building which have a latch set or lock set should have lever -type operating hardware, except doors to mechanical, electrical, janitor and similar rooms which should have knurled operating hardware. Section 5501. g. Accessible doors should have an 18" unobstructed floor space beyond the strike jamb on the door swing side. Section 402, definition of ACCESSIBLE OPENING. Doors do not comply. (OVER) -L- h. A 12" unobstructed floor space beyond the strike jamb should be provided on the side opposite the door swing where accessible doors are equipped with a closer and latch. Section 402, definition of ACCESSIBLE OPENING. Doors do not comply. i. Stairways should have at least one handrail which extends 23" beyond the bottom and 12" beyond the top risers of each stair run. HC Amended Section 3306(j). The other handrail should extend 6" beyond the top and bottom. j. Stairways should have rounded non -slip nosings and have either the undersides of the treads sloped at 60° from the horizontal or sloped risers. Amended Section 3306(m,n). k. Ramp should have handrails installed as described in (i). I. The international symbol of access should be displayed at the public building entrances, accessible public toilet rooms and required accessible exits. Section 5503(a). m. Signs for the visually impaired should be provided to identify public toilet and reception rooms, stairs, elevators and all hazardous rooms such as mechanical, electrical and storage. Section 5503(b). 4. Specific requirements: Non -slip floor finishes should be specified in the toilet rooms, shower rooms, and along the accessible route of travel. Section 5502(c). b. At least one shower in the common shower rooms should be accessible --it should have a seat or to be enlarged to 60" wide, have lever -operating handles, a hand-held shower spray on 60" long hose mounted at a maximum of 40" above the floor, a 31111 long horizontal grab bar at the rear and side, etc. Section 511 (e) . Thresholds should be flush or beveled with a maximum edge height of }". c. Water fountains and public telephones should be revised and/or detailed so that compliance with Section 511(c,d) can be verified. d. The manual fire alarm should be mounted no more than 54" above the floor. Section Sllfbl. e. A door or gate large enough to accommodate the disabled should be installed adjacent to turnstiles. Section 3304(g). f. The bottom of the vision panels in doors should be within 40" of the floor. Section 3304(i). g. Corridor is on the accessible route of travel and should have a turnaround area of 44" x 48" within it. $--ction 3305 b). h. Corridor . is over SO' long and should have a 60" x 60" turnaround area within its middle third. Section 3305 b). i. Corridor is over 200' long and should have 60" x 60" turnarounds. Section 3305(b). j. Ramp should have a landing at the (top/bottom). Section 3307(d). k. Ramp is over 30" in rise and requires an intermediate landing. Section 3307(d). I. Ramp changes direction and should have a 5' x 5' landing there. m. Door reduces the required width of the ramp and should be modified. Section 3307(d). n. Room requires levelspacers 32" wide x 42" deep. Secti.on 3316(c). They have tc be located so that they have an unobstructed sight line and have to be distributed throughout the seating plan. o. The maximum ramp slope in this room should be modified such that the access and egress to the wheelchair spaces is 1:12 or flatter. P. Power operated door should be designed and specified to remain open 6 seconds before closing. Section 5501. 5. (Accessible/adaptable) dwelling units and guest rooms: a• units are required for this building. They should be divided approximately equally between the 1 bedroom and multi -bedroom units. Section 1213. b. Comments circled in item 2, 3, and/or 4 apply in general within these units. c. Two-story (accessible/adaptable) dwelling units do not comply unless they have an elevator or all the required accessible rooms are in an accessible level. Section 003. d. Structural supports and/or grab bars should be dimensionally located on the plans. Section 1213, exception. Note that two grab bars are required at the water closet, three at the bathtubs. Section 511(f). e. The showers in the HC units should have lever type faucets and hand held shower spray nozzles. Section 511 (e, f) . f. The kitchens of the HC units should have a S' s ware minimum unobstructed floor space. Section 1213. (Please see the Illustrated Handbook for Barrier Free Design if you want ideas.) g. In the adaptable units if cabinetry or shelving is installed below the bathroom lavatories or kitchen counters, they should be installed with screws, nuts or bolts in such a way that they are easily removed. Section 1213. h. A counter should be provided in the kitchen with a maximum height of 304", with a space beneath at least 29" in height, 30" wide and 24" deep. Section 1213. i. Door and drawer pulls, electrical outlets, etc. in the HC units should be detailed so that compliance with Section 5501 can be verified. j. A non -slip floor finish should be provided in the bathroom. Section 5502(c). 1986 WASHINGTON ENERGY CODE REGULATIONS Plan Check # Z+ 5 COMMERCIAL PLAN CHECK (Do circled items only) Jurisdiction �_-_McJP 1. Insulation: a. The design of the envelope should be submitted for review so that compliance with Table Zone _ can be verified. Sec 402(a), 403(a) or 404(a). b. Slab insulation is required and should either extend down between the slab and the foundation wall and be at least 2' long or should extend outside of the foundation across from the slab to thetop of the footing or to the frost line (6" minimum). Sec 403(c) or 404(c) C. A vapor retarder is required on _ Sec 402(f ) d. A 4 mil ground cover should be laid over the ground to the foundations within the crawl space and should be overlapped at least 12" at joints. Outdoor air is required for this building. Sec 305. It•should be no less than 5 111 cfm/occupant but should be justified for the occupancy used so that compliance with Table 3-1 can be verified. 3. The methods of limiting air infiltration should be detailed and/or described on the plans. Sec 405 4. Mechanical systems: a. The size of the HVAC system should be justified to be within 150% of the heat loss, infiltration and ventilation requirements of the building. Sec 407(a) ab The heating/cooling equipment should have a minimum rating. Sec 411 C. An economizer cycle is required. Sec 414 d. A temperature control system is required.. Sec 415(a) e. A 10 degree temperature band between cooling and heating should be provided on the thermostat. Sec 415(a) f. A manually adjusted or fully automatic timing system should be provided for the thermostat. Sec 415(c)5 g. The ductwork should be insulated with Sec 417 h. The piping should be insulated with Sec 418 The water heater should be labeled to show that it complies. with ASHRAE Standard OA-80 and should have automatic temperature controls. Sec 420(a,b) J. The water heater is within an unheated space and should be placed on a floor insulated to at least R-10. Sec 420(a)l k. The swimming pool should be equipped with a pool cover. The heater should have a label indicating recommended healthful pool temperatures. The filter system should be on a timer set to operate at the minimum number of hours for healthful use. Sec 420(a)3 1. The public lavatories should have outlet control devices to limit the flow to 1/2 gallon per minute or be equipped with self -closing valves. Sec 423(b) M. The shower heads should be equipped with a flow constriction device of 3 gallons per minute or less. Sec 423(a) 5. Lighting: a. The maximum lighting power controlled by a single switch should be limited to 16 amps (on a 20 amp switch). Sec 425(b) b. Each full height partitioned space less than 400 sf, rooms should have individual lighting controls. Sec 425(c) { c:J All the rooms over 400 sf should have dual level switches. Sec 425(d) d. The rooms which have natural lighting should have switches to control the luminaires near the window wall. e. The display lighting should have individual controls. Sec 425(f) f. All exterior lighting except for signs and security lights should be on automatic controls to reduce or turn them off during daylight hours and period of nonuse of the building. The building lighting should be limited to __ watts exterior and watts i erior. Sec 426 and Table 4-18. The actual wattage used should be calculated to show t is below this amount. 1906 WASHINGTON STATE ENERGY CODE RESIDENTIAL ENERGY CONSERVATION SPECIFICATIO14S Chapter 6--Huildin9 Envelope RequirrmEnts--Prescriptivu Method Cliunto zone I (Do :,,clod Stoma only) A) Walls - All atud walla oxpouod R-19 value. Sue 601(a) to urnhoatad apaeu should hove ianLullod losulaLlon with as B) Ceiling - Ceiling insulation should be as follows, Sae G01(b): klectrical Resistance cleating - R-30V Other forms of 1koating - R-30 (R-30 way be used in vaulted ceilings) C) Floors - Floor insulation should be a minimum of R-10. Sac 601(02 D) Slab - Perimeter alab insulation should be A minimum o1 R-8. Sec 601(c)l. It should attend between the slab of foundation and be 2'0" long or lougor; or should be instulled outside of the foundation to the frost line. E) Glazing including skylights - Glazing percentage of gross floor area (Class 00 skylight areas should be doubled.) and class number should be as follows, Sec G01(d): Elect. Resist - 21% GFA - Class 60 glazing Beat pump - 21% GFA - Class 75 glazing COP-2.5 BSPF-5.60 - 21% GFA-- Class 90 glazing COP-2.7 IISPF-6.35 Fuel fired - 21% GFA - Class 75 glazing Ay"-.65 - 21% GFA - Class 90 glazing. AFUE-,74 *(Class 90 Skylight areas should be doubled.) F) Air leakage - All windows should be no constructed as to limit air infiltration to 0.5 cfm per lineal foot of operable sash crack. All doors should be no constructed and installed as to limit air infiltration to 0.5 cfm per aquarb foot of door area. Details should be shown to limit air leakage: Exterior joints around windows and door frames, openings between walls and foundations, between walls and roof and between wall Panels; openings at ponatruLionn of utility services through walls, floors and roof; and all other such opelings III the building envelope should be sealed, cuulkcd, gi:skutod or w-atherstripped. Sec 601(a) G) olsture control - Vapor retarders having a perm ratio of one or less should be in:tallod e warm side at the following locations, Sec 601(f): 1) All walls separating conditioned space from unconditioned space. Ius'ot batty with facing stapled at not more than 8" OC and gaps between tho facing and the framing that do not exceed (1/16) of an inch, meet the intent of this section. 2) Roof/ceiling assemblies if the average ventilation space above the insulation is less than 12" or where part of the required insulation is installed above and part is installed below the structural roof decking. 3) A ground cover of 4 mil polyethylene or equal should be laid over the ground within crawl spaces and overlapped a minimum of 12" at all joints. B) General - Blown or poured insulation in the attic may be used where the slope of the - ceiling is not more than 3/12 and where there is at least 30" of clear space. Wherc cave vents occur, baffling of the vent openings should be provided so us to deflect the Incoming air above the surface of the insulation. Proper protection shall be provided around recessed light fixtures no that the fixture will not become overheated. I) Beating devices: 1) Fireplaces - Masonry fireplaces should be provided with a tightly fitting flue damper with a readily accessible manual control and with an outside source of combustion air. The duct shall be at least 6 square inches in urea and shall Provided with a readily operable damper. Sec 602(a)3 be The heating system should be justified to be within 150% of the calculated heat 1 2) The of the building. Sac G02(a)4 3) Temperature control - The heating system should be provided with a day -night thermostat and a shut-off. In addition, a readily accessible muiuul mount shall be provided to restrict or shut off unused rooms or portions of the building. auction G02(b) 4) Duct insulation - All ducts, plonums and enclosure should be thermally insulated except those installed between walls or in a space not uxpoaed to outside air. Details should be given no that compllanco with fable 4-1G Sec 602(c)4 NliC can be verified. 5) Heated awimming pools should be equipped with a pool cover over the surface of the water and have a label describing maximum rocoawndod to-iporaturaa. Sac 603(b) J Service water heating: 1) Temperature cont 1 - S ro orvloa water heating nhould be equipped with adjuatubla automatic temperature oontrols. Soo 003(a) 2) Showers - Showers should be equippod with flow control devices to limit total flow to a msx1mlua of 3 gpm per nhowor head. Sao 604(a) 3) Water heaters - Water heatern nhnll he l.nhulo(i 21uD 19 vr-.- J' �I TE-/0 3 ' CITY OF EDMONDS BUSINESS LICENSE APPLICATION — Co Building COMMERCIAL r ❑ Engineering FEE: $125.00 ❑ Fire ❑ Planning CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION ❑ Police r'O ^i4 1,31 r;TH A%/CNI IF NORTH FDMONDS. WA 98020 PHONE 425.775.2525 • OFFICE USE ONLY BL# Customer # SIC Ye r Class Date Paid TR# Fee Mailed Deleted b7 � � u051 Yj7'l�D� ? •� INSTRUCTIONS: Please complete the application in full and attach the required floor plan. Miame Initial or name requunu u• Y1, ra•.•`� ��••�-••• - - middle name, please indicate by writing NMN. Sign and return application with fee. Please advise of any change in status. New license required if business changes location or ownership. Notification to City of Edmonds required if business closes. License expires December 31 each year. Renewal must be submitted prior to January 31'' to avoid late fees. BUSINESS NAME J- -3%i 1 C s o n I CyL! Su BUSINESS ADDRESS L L LL a I114 190 t� C! I Suite # City, State, Zip Code Street PO 9 60 6,0/-e70/I!D'5 cui9 9Bozo MAILING ADDRESS_.. o City, State, ZIP Code Street or PO ox # Suite # BUSINESS PHONEI 010 BUSINESS EMAIL 1 Cl Y4T-101 BUSINESS OWNER / MAIN CONTACT lz SDh It (3pton PROPERTY OWNER Name WA STATE TAX ID # (UBI) i & oI g �i �1 0 BUSINESS WEBSITE EMERGENCY NOTIFICATION (For Premise Access In Emergency): tct Name / mi I;1 Last Name First Nar tF r3&t.k I0 NATURE OF BUSINESS (Provide a Detailed Description of Business Activities, Products Phone Number 1ao�n1 - t Phone Number 1 OC � In 1 5 l�% •" � �/ �T Phone Number �G �0011 Number SPACE ALTERATIONS TO BE MADE: YE x NO-ADESCRIPTION —/ 0/91117in16 11 t?Pct+ Ci0c&Z C1.5 @P:ic%")LLihi.l PREVIOUS BUSINESS AT THIS ADDRESS M LC FIX -► I r r i �M L-r � 1 ,. ' NUMBER OF EMPLOYEES_ SQUARE FOOTAGE OF BUSINESS TYPE OF BUSINESS - PLEASE CHECK APPROPRIATE CATEGORY: ❑ CONSTRUCTION ❑ FINANCE, INSURANCE, REAL ESTATE ❑ LANDSCAPE, HORTICULTURAL ❑ MANUFACTURING ❑ NON-PROFIT ❑ RETAIL ❑ SECONDHAND DEALER' IS6 a t7hj O� SERVICES ❑ WHOLESALE ❑ OTHER c. /�r h es) .1 , PROPOSED OPENING DATE: / BUSINESS HOURS: I n )7'► DAYS OPEN: ❑ SUNDAY )k WEDNESDAY *MONDAY -,,d-THURSDAY -. TUESDAY '* FRIDAY ❑ SATURDAY AMUSEMENT DEVICES ON PREMISES? YES NOIF YES, TOTAL NUMBER LIQUOR SOLD ON PREMISES? YES NO� GAMBLING? YES_ NOCIGARETTES SOLD ON PREMISES? YES NO FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED? YES NO IF YES, PLEASE PROVIDE A LIST OF MATERIALS AND QUANTITIES: PARKING SPACES ON SITE: TOTAL SPACES Lb 4-' rQ1 1 ACCESSIBLE SPACES FOR HANDICAP PARKING i n DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? YES NO Printed Name DATE SOLE PROPRIETORSHIP NAME LAST FIRST MIDDLE INITIAL ADDRESS STREET SUITE/APTfUNIT# CITYlSTATEIZIP CODE HOME PHONE( DRIVERS LICENSE OR ID # & STATE DATE OF BIRTH CITY/STATE OF BIRTH COUNTRY OF BIRTH rMRII�Gr�. �i�r �re�•��� NAME LAST FIRST MIDDLE INITIAL ADDRESS STREET SUITEIAPTlUNIT # CiTYlSTATEIZIP CODE HOME PHONE( ) DRIVERS LICENSE OR ID # & STATE DATE OF BIRTH CITYISFATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP — PARTNER 2 NAME LAST FIRST MIDDLE INITIAL ADDRESS STREET SUITEIAPTlUNIT # CITY/STATE/ZIP CODE HOME PHONE( i DRIVER'S LICENSE OR ID # & STATE OF GMORPORATnIVN/ LLG or rLL� �}/'� `_Q NAME OFCORPORATION, j 5t'7gG50')'1 daft! Kim, /'l L� FEDERAl7AXL7# ll./ Ljqof � > L CORP.ADDRESS I I`! aV/ 11 � �'i )MCA Yell -sCC - 16.t 1 G e4rw { Y�ts r�if�%oi� (vy�C �� y p - I I Street Suite, Apt. Unit # City, State and Zip Code Phone Number n'te(I L I N fir- QC7 r3t)yc a t-0, ei%ss� e 71 e,�, cd f '7 CORPORATE OFFICERS: Lest Name First Name MI Title Dateof8 D iver's License or Other 10# 1State 17 Is ctac s 11 a f'R J� 1r- P,�s 1'rlo I,� e aG-39, ! �4 1(114 LOCAL CONTACT �� a S 1I Last Name First Name MI Title Dateof Birth CITY USE ONLY: BUILDING DEPT. 0 APPROVE DISAPPROVE DATE SIGNATURE OCCUPANT LOAD BUILDING PERMIT OCCUPANCY GROUP COMMENTS ENGINEERING 0 APPROVE 0 DISAPPROVE DATE SIGNATURE FIRE DEPT. 0 APPROVE DISAPPROVE DATE SIGNATURE U. COMMENTS PLANNING DEPT. Q APPROVE Q DISAPPROVE DATE SIGNATURE ZONING CODE CONDITIONAL USE PERMIT COMMENTS POLICE DEPT. 0 APPROVE DISAPPROVE DATE SIGNATURE COMMENTS s ; t u3 ., ggCIS � 7�x i4t`C'Gtilrc�ry�G--� Sample Commercial Floor Plan claw 'for minimum dimensions see attached barrier five restroom Business Name: detail Type of Business: Last Revised: IVV02 L:ltemp+buldmglhandeuttnommeraalr pian.vsd Total Area of Tenant Space: Previous Business Use: SNOHOMISH CO. Serving Brier; Edmonds, and Mountlake Terrace www Fi reDistri ctl. org 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 FIRE PREVENTION INSPECTION REPORT EDMONDS BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY I STATION & SHIFT LOCATION 14 2tld Avowe S Suite 1W QS M0 At/tIL 17-B EDBUSINESS NAMflnCf Plaza Bldg PHONE:42MB31$9 DATE DU3W 2013 MAILING l ADDRESsi14 2r d Avcnuc S, Suilc 103, Edmarxll;, USA 08020 BUSINESS OWNEFL-qwwr, Q HOME PHONE: Zd(o - 54� .SW EMERG ENCY-j-.JLjt r;ty F? HOME PHONEW654 17 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS EMAIL: LICENSE INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: D,Z, ZQ I Z, 'fie 4( 11 A. w UIRE SYSTEM S: Fit 5113 FE 9s_1i3_ FLU Lk Buy HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS �1 2 1 J 2t;� No 3 R 1.�C-�' ��iiNCTr �fJ �OY. �Qj P( ''/ ' P4 5m(L64C/y Q--W wN 3 CL 4 r' At-4 ! CTn., C ac� o /I,-- 4 5 A 5 ' 6 nn Li I �� 6 Ov _4alv�rtp?nl 1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: 4 GRANTED TO: :DATE DUE: CITED: PERSON PERSON PERSON t CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 4 1 5 1 5 LETTER SENT NUMBER: CODE 6 2 8 2 8 DATE: SECTION: RETURN RECEIPT 6 3 7 3 7 RECEIVED DISPOSITION: 7 4 8 4 8 DATE: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY FIRE PREVENTION Serving Brier, Edmonds, and 12425 Meridian Ave S I SPECTION REPORT SNOHOMISH CO. EDMONDS Mountlake Terrace Everett, WA 98208 BRIER FIRE TIO�Rd�rp Phone (425) 551-1200 ❑ AKE TERRACE ❑ UNINCORPORATED www FireDistrict]. org Fax (425) 551-1272 LOCATION! 11 21W Avenue S Suite 103 QW20 6) 9 3 1 - c- BUSINESS NAMq:Larmen, McLaughlin 01 Jahman "" + PHONE:4,t,1577831$J MAILING ow ADDRESS114 2nd Avcnuc S, Suft 103, EdrnOndb, VVA W020 FREQUENCY STATION & SHIFT 2 item ! 3 17-B SCHEDl p 2013 DATE D BUSINESS OWNE+4Waa04r44N" jotd Nioiu1 HOME PHONE: NX) 9(41 — 3Y'67 I EMERG ENCY->juhp�Un, ,furl HOME PHONE: CURRENT YES NO KEY ACCESS 2: HOME PHONE: CITY \ % BUSINESS JjS�jj` EMAIL: LICENSE , PERSON CONTACTED: INITIAL INSPECTION DATE , NAME OF INSPECTOR: 111M �R �\ t .�iA i i1r711 I y C' OIL' E FIRE SYSTEMS; FE ,65- 1� HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 2 2 3 3 4 # 4 5 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: DATE: 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 5 q 8 4 8 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY 4) �6� S � CITY OF EDMONDS RECEIVED BUSINESS LICENSE APPLICATION— COMMERCIAL FEE: $125.00 APR 18 2011 CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION 89,� 121 5' AVENUE NORTH, EDMONDS, WA 98020 PHONE: 425.775.2525EDMONDS MY CLERK OFFICE USE ONLY BL# .. C�tml- SiC Year Gass SHO Date Paid ( ,. TR# Fee P� Mailed Delete INSTRUCTIONS: Please complete the application in full and attach the required floor plan. Middle initial or name required of all parties concerned. If no middle name, please indicate by writing NMN. Sign and return application with fee. Please advise of any change In status. New license required if business changes location or ownership. Notification to City of Edmonds required if business closes. BUSINESS NAME C Lauo►1t1i/t 4 VOhhSon I "IDS BUSINESS ADDRESS LI Z hd 0 20 Strect Suitc No. /� Zip Code ai / � vie MAILING ADDRESS (� Li 2 Kv uJ4b 102, Ed wiC) /ld 3, LUA Q 1 V V 2-0 Street or PO Box �7 Suite No. City, Slate and Zip Code BUSINESS PHONE NO.)1 WA STATE TAX�(DrINaO. (UBI NyO.) O BUSINESS E-MAIL .a a �t J vla PIS '-,I . YVL C. `a �:►�— g SINESSUBSITE PROPERTY OWNER I)j_Cll✓AG Q L�LI;✓!EI✓ MAR iNEa PLAZA4 ( Name Phone Number EMERGENCY NOTIFICATION (For Premise Access in Emergency): `_UhVi �a,ye C (47_5' 779, 4,37 Last Name First Name' MI Phone No. He n Sgn -- - - - Ron ld — --- ---(-20G�� 64 G Last Name First Name MI Phone No. NATURE OF BUSINESS 64(a/7f�l C Aw6 • TA X PXICPAoeA rrCti/ NUMBER OF EMPLOYEES SQUARE FOOTAGE OF BUSINESS SPACE (,! 00' TYPE OF BUSINESS - PLEASE CHECK THE APPROPRIATE CATEGORY: O CONSTRIK.-noN FINANCE, INSURANCE. REAL ESTATE O LANDSCAPE, HORTICULTURAL O MANUFACTURING O NON-PROFIT Cl RETAIL O SECONDHAND DEALER AERVIGES O WHOLESALE O OTHER AMUSEMENT DEVICES ON -PREMISES? OYES WINO. IF YES. TOTAL NUMBER LIQUOR SOLD ON PREMISES?: (3 YES Bfi O - GAMBLING? Cl YES tg NO CIGARETTES SOLD -ON PREMISES? O YES AD FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: O YESVNO IF YES, PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES: t PROPOSED OPENING DAY -OF BUSINESS BUSINESS HOURS DAYS OPEN O SUNDAY AONDAY *UESDAY KWEDNESDAY )) THUR$DAY )Q FRIDAY • O SATURDAY PARKING SPACES ON SITE: TOTAL 2 v ACCESSIBLE FOR PERSONS WITH DISABILITIES DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? ® YES O NO 1 PREVIOUS BUSINESS'USE AT THIS ADDRESS —i SOLE PROPRIETORSHIP NAME MI Last First ADDRESS street Apt. No., Unit No. City, State and Zip Code HOME PHONE NO. (_J DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO DATE OF BIRTH CITY AND STA fE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP - PARTNER 1 NAME Last First MI ADDRESS Street Apt. No., Unit No. City, State and Zip Code HOME PHONE NO.(_ ) DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO. DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP - PARTNER 2 NAME Last -First MI ADDRESS Street Apt. No.; Unit No. City, Slate and Zip Code HOME PHONE NO.(_) DOL NO. (DRIVERS LICENSE NO.) OR OTHER•ID NO. DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH I CORPORATION / ps NAME OF CORPORATION f T r'�� �� G r1 �Sh �r /`Z °I' J D n lit o�y FEDERAL TAX �IDVNO. CORP. ADDRESS % . A d AVic— .30 U%l J-u / re: jQ3 rb1nomA.( . W11. _(v OZ" PHONE NO.(gzs, 7 76-3 It? Street Suite. Apt.. Unit No. City.-Sfato and Zip Code CORPORATE OFFICERS: Last Name First Name MI Title Gate of Birth OOL No. (Drivers Lioanse No.) or Other ID No. 'ToL�.AEE C kR 10rwr i I)d0f8l LOCAL CONTACT �0 N NS o 0 I e C l�R�sGE,. czi2Sj : »00- 3i8 j Last Name First Name MI Tide. Phone No. DOL No. (Drivers Lic. No.) or Other ID.Ra. APPUCANT t)A.0 Name =Printed •'Sig j Title Date PLANNING'DEPT. O•APPROVE ' O'DISAPPROVE OAfE SIGNATURt i, ZONING CODE CONDITIONAL USE PERMIT' •• COMNIENTS� •• BUILDING•DEPT. C'APPROVE O DISAPPROVE DATE SIGNATURE . OCCUPANT LORD BUILDING PERMIT OCCUPANCY GROUP_ COAiMENTS FIRE DEPT. O APPROVE O DISAPPROVE DATE SIGNATURE . U,F.I.R. COMMENTS POLICE DEPT. O APPROVE O DISAPPROVE DATE SIGNATURE COMMENTS Olsen, Huda From: Chase, Sandy Sent: Tuesday, April 12, 2011 3:38 PM To: Olsen, Huda; Donnelly, Gail Subject: Unusual Business License Situation Hansen & McLaughlin PS has had a business license for many years (BL000365). They are located at 114 2nd Ave. S, Suite 103. Cindy Isaacson has a business license at this same address as she works out of the same offices, but has a separate business license. Now, we should expect a third business license application under the name "Hansen, McLaughlin & Johnson, PS". This is in addition to the original business license listed above. It will have the same address and suite number, as they are all located in the same offices, no changes. They are CPAs ... the original Mr. Hansen is looking towards retirement and is setting up his employees in their own businesses (if that makes sense and I understood correctly). No new floor plans should be needed for this third application. I spoke with Jan Hansen (778-3189) on April 12, and she explained this situation to me as she knew it may be confusing to our office. Please let me know if you have any questions, Sandy Chase City Clerk City of Edmonds — City Clerk's Office 121 5th Avenue North, Edmonds, WA 98020 Phone: 425.775.2525 Fax: 425.771.0266 dhase@ci.edmonds.wa.us ci.edmonds.wa.us J CITY OF EDMONDS 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215 FIRE DEPARTMENT �St 1ag0 _ FIRE PREVENTION SAFETY SURVEY 1 5 LOCATION: 114 2nd Avenue S 103 1 BUSINESS NAME: hansen & MClsughlln PHONE: 24160M444- yas 711g-3rij'y MAILING 114 2nd Ave S #103 ADDRESS: Edmonds 98020 `— ao6 7 y BUSINESS OWNER: Hansen, Ron HOME PHONE: QMIRN4�t EMERGENCY-1: Z@Rfte, _ -�• �"� HOME PHONE: KEY ACCESS-2: 114,)3 a„Jj Jt)"j HOME PHONE: 906-930' 7,70 y FREQUENCY STATION & SHIFT 731 17 C I SCHEDULED 11101/10 DATE DUE ► UFIR ► 591 1'202 ACTIVE INITIAL INSPECTION DATE PERSON CONTACTED: , Or,J NAME OF INSPECTOR: FIRE FE _�/ Zl SYSTEMS: AN N IJAC HAZARDS FOUND AND LOCA IONS / GOrMUNICATIONS / 1 VIP V 9000cJQ ENTER CODE ONLY ONCE ► VIOLATION CODE 1 2 2 3 3 4 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 CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: 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 8 LETTER NEEDED YES NO LETTER NEEDED ❑ YES ❑ NO FIRE DEPARTMENT COPY