120 W DAYTON ST STE B6 (2)SNOMMISH CO.
j1111111 IZO w D19yrolo S' s' �i3(p FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 BDS
❑BRIERRIER
Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
Z&O A i1,i%.f 1 www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 120 West Dayton Street Suite B6 98020
BUSINESS NAME: NW Country Management
PHONE: 4257759363
MAILING
ADDRESS: 120 West Dayton Street, Suite B6, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
FREQUENCY I STATION 1, SHIFT
2017 17-B
SCHEDULED Sep 2017
DATE DUE
UFIR /
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE: 17
CITY YES NO
BUSINESS
El
El
EMAIL:
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: VJ t?^
FIRE SYSTEMS: FE /
Date Last Serviced:
COMMUNICATIONS
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 VA
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish. County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above yo
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditioXorolation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) or
Mountlake Terrace or Brier, call (425) 744-6231.
Karl Fitterer
From: Jan Conner [nwcinns@hotmail.com]
Sent: Wednesday, February 08, 2017 3:48 PM
To: Karl Fitterer
Subject: Re: Dry Automatic Sprinkler at 120 W Dayton
Karl,
Contract as been awarded to Cintas for the repair. Will advise when complete. jc
Jan Conner
Director of Operations
Northwe na ement
+62�W.�Dayton5tr�eet,B-6
Edmonds, WA 98020
p: 425-774-1511 or direct 425-771-5639
e: nwcinnsOho tmad com
https.//protect-us mimecast.com/s/Dzk2BZtZnw6U4
https://protect-us.mimecast.com/s/8JwmB4cAzLauE
From: Karl Fitterer <kFitterer@firedistrictl.org>
Sent: Tuesday, January 17, 2017 7:11 AM
To: 'nwcinns@hotmail.com'
Subject: Dry Automatic Sprinkler at 120 W Dayton
Jan,
I show a test, report that needed attention from Fire One or Cintas corporation for the Dry sprinkler system. It was in
regards to the 10 year sprinkler head test and (4) 155 degree std response brass heads that would be needed.
Can you tell me if this was done and if not when it will be scheduled to be completed? I know things take time to get
approval.
The report I have is from 11/10/2016 and the contact number for Cintas is 206-575-0311
1 look forward to hearing from you,
Karl Fitterer CFI
Deputy Fire Marshal
Fire Prevention Services
Cities of Brier, Edmonds
and Mountlake Terrace
kfitterer(a)_firedistrict1.org
425-551-1980
425-754-4262
The information in this email is confidential and may be legally privileged. It is intended solely for the addressee. Access or use by any other person to
this intemet email is not authorized and may be unlawful. If you are not the intended recipient, please delete or destroy this email. If you do not wish to
receive future emails from this sender, please reply directly to this email requesting you be removed from any mailing fist.
Fire tine,- Inc. FIREOI*099KW
FIRE PROTECTION SERVICE/SALES 107 Washington Blvd. Algona, WA 98001
(206) 575-0311 FAX (253) 735-4976 Bremerton (360) 478-0428
DRY AUTOMATIC SPRINKLER
(One System Per Report)
CONFIDENCE TEST
REPAIRS
CONFIDENCE TEST REPORT
CATI1
ITC • „EEN
Occupant Name
Port of Edmonds: Harbor Square Building
Property Address
120 W Dayton, Edmonds, WA 98020
Building Owner/Mgmt Co
I
hone No.
425-774-0549
Responsible Person
Travis
E-Mail
Date of Inspection .0
1446
I Inspection Type
Q Annual
❑ Quarterly (High Rise Only
Testing Technician
Eric P
Location of System "A" Section Meter Room
Design Density 0.00/ft (example .495/2000 sq. ft)
Central Station Monitoring? M YES NO 1 Monit—oring Company Name iWashington Alarm
Control Panel Manufacturer/Model Spectronics 640 jAcct. No.
PROBLEMS FOUND: (If additional room is needed, please add a separate sheet)
x ,
14
hr
�1
T, e.'o Q —
CORRECTIONS MADE Date Made Corrected By
(if additional room is needed, please add a separate sheet)
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 noted and have been reported to the building
Owner/Manager for corrective action.
Phone #
206-575-0311
Signature of Tester
Testing Agency
IFIRE ONE INC. 107 WASHI ON BLVD ALGONA
WA 98001
Building Rep. J
.__Signature.. . __-
WWL�
The items on=fie 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.
Trip test conducted?
-.
System `firlpped :In ' - seconds,
Flow tested conducted?
Yes
Yes
❑
El
No
No
Stattc pressure:,µ, - psi Flow�ressure:
psi
_
2-inch drain?
❑ Other
Yes
❑
No
Flaw swttches;superyisory switches acid alarm bells.tested?
❑ N/A
Yes
❑
No
Alarm bell operates?
❑ N/A [3
Yes
❑
No
Air'compressor:refills;system in.34,minates orless?
_ f
.Yes
❑
No
Heat actuation devises tested on pre -action and deluge systems?
N/A ❑
Yes
❑
No
pSfstem ihspected and lubricated?°
Yes .
❑
No
Valves are sealed or supervised?
Yes
❑
No
Signs are provided ot4,valyes?
lies
.El
No
Pumper connections and clapper valves unobstructed and turn free) ?
Yes
❑
No
Dry type spnnkler heads placed:zorsuccessfuily sample tested in last 1 years?
Yes
No
Sprinkler coverage is acceptable?
Z
Yes
❑
No
Proper numbe_r?of;sparegprint ler;heads available?
System left in service?
System _gauges replaced, .callbrated:.every 5 years? . Year -
Unknown
Yes
Yes
Yes
❑
❑
❑
No
No
No
heads free of corrosion, paint, obstructions and/or physical damage?
Yes
❑
No
lSprinkler
S:pTinkier,wre'rfdh avail'ible,folr eaci type.o s drikler?
Yes
❑
No
System drained and restored to normal operation?
Yes
❑
No
Is:thergA—imum_s py,of spare. sprinkler- heads?
&
Yes-
Q
No
Was debris found in the Fire Department Connection (FDC)?
❑
Yes
No
Was an internal pipe and valve inspection performed every 5 years? CPCP 0 Unknown
Year
`Yes
❑
No
IN5PEGTORS COMMENTS
V
FOR OFFICE USE ONLY
Received Repairs Scheduled Complete Sent
Karl Fitterer
From:
Jan Conner [nwcinns@hotmail.com]
Sent:
Monday, January 30, 2017 2:06 PM
To:
Karl Fitterer
Subject:
Re: Dry Automatic Sprinkler at 120 W Dayton
Hi Karl,
The Port is in the process of compiling a contract to get this work done. I will let you know once completed.
tks. jc
Jan Conner
Director of Operations
Northwest Country Management
120 W. Dayton Street, 9-6
Edmonds, WA 98020
p: 425-774-1511 or direct 425-771-5639
e: nwcinnslPho tmad com
h ttps.//protect-us mimecast. com/s/vlRvB55a4xAHw
https://protect-us.mimecast.com/s/nKX6B752ALY54
From: Karl Fitterer <kFitterer@firedistrictl.org>
Sent: Tuesday, January 17, 2017 7:11 AM
To: 'nwcinns@hotmail.com'
Subject: Dry Automatic Sprinkler at 120 W Dayton
Jan,
I show a test report that needed attention from Fire One or Cintas corporation for the Dry sprinkler system. It was in
regards to the 10 year sprinkler head test and (4) 155 degree std response brass heads that would be needed.
Can you tell me if this was done and if not when it will be scheduled to be completed? I know things take time to get
approval.
The report I have is from 11/10/2016 and the contact number for Cintas is 206-575-0311
1 look forward to hearing from you,
Karl Fitterer CFI
Deputy Fire Marshal
Fire Prevention Services
Cities of Brier, Edmonds
and Mountlake Terrace
kfitterer(aD_firedistrict1.org
425-551-1980
425-754-4262
The information in this email is confidential and may be legally privileged. It is intended solely for the addressee. Access or use by any other person to
this intemet email is not authorized and may be unlawful. If you are not the intended recipient, please delete or destroy this email. If you do not wish to
receive future emails from this sender, please reply directly to this email requesting you be removed from any mailing list.
FIRE PREVENTION
�
SerNng Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
Mountlake Terrace
Everett, WA 98208
❑S
❑BRIERand
BRIER
STIK
the Town of Woodway
Phone (425) 551-1200
❑ WOODWAY
❑ AKE TERRACE
wwwFireDistrictl.org
Fax (425) 551-1272
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION:
120 W. Dayton Street
136
731 17 D
BUSINESS NAME:
- Ads_FxecWive-SYCS„_
PHONE: 4257759363,
SCHEDULED
DATE DUE II'
MAILING
120 W. Dayton St #66
UFIR ► 591 9202
ADDRESS:
Edmonds 98020
e
BUSINESS OWNER:
HOME PHONE: 4257762492
..ACTIVE.
EMERGENCY-1:
Canner, Jan
R 4257426069
HOME PHO rr
CURRENT
'CITY YES NO
KEY ACCESS-2:
HOME PHONE:(,
o
BUSINESS
LICENSE
PERSON CONTACTED: J %� L. �/✓i✓cry
INITIAL INSPECTION DATE
i
NAME OF INSPECTOR:
FIRE
FE1l1�
SYSTEMS:
ANNUAL
1 /1
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
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
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
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
I2-o f6C
Westfall, John
From: Smith, Mike
Sent: Tuesday, February 22, 2005 3:37 PM
To: Fire Dept Group
Subject: FW: Harbor Square water main shut down tonight
Buildings 160, 170, 180 and 190 W Dayton will be without water. Public Works will have a worker on site until the line is
fixed and the water restored. The AS to 120 W Dayton will be active.
FYI
-----Original Message -----
From: McConnell, Jeanie
Sent: Tuesday, February 22, 2005 7:54 AM
To: Hawkins, Jaime; Chrisman, Lyle
Cc: Westfall, John; Smith, Mike
Subject: Harbor Square water main shut down tonight
FYI -
Public Works crews will be out at Harbor Square tonight for the water main shut down so the contractor can connect
the new main to the existing.
Work will start at 9:30pm.
Thanks,
,beanie 91,IcConnefC
Engineering Technician
Tuesday -Friday 425-771-0220, ext. 1338
mcconneff6ci edmonds. wa. us
CITY OF EDMONDS
.FIRE PREVENTION
AFILE MEMO/HAZARD FORM
DATE � REPORTED BY
OF i"y G-65, w
Z 0 /6ev ems.
SUBJECT
ADDRESS: / 2� cti br+rry -lit�
CONCERNS/ . / . JC-t/Y7?7 _ /l,�e�,/C, S✓�r/v� c^� l -� S
HAZARDS
SIGNED /
FOLLO —UP i 1
O i .S e ' /}S �N�GvRE0 iQT'. TtncE c�� ►-eNr4L.
N
pa�p . � 3�y > ifo : i IW ter- coy
OF CtW'6-6T iV F^-r4L• Nh-,C.j-jT C&A-1. Cr{"f� S wig A✓6T
ECG .tro�Q��Ei,L�J.
FUµ M-ftL.
.rE N6995 A io_ l0luNT— ",,4� 1 T 9 S 2�"� rn 0 (P"o—j L-0 ors UIj�
NA Veb ?6Zm (T /JLM N-6-� COI`P ,C.?� 0- �o66i-"T ' ?`'nr IG. r� fMPi,1C4AJT—
COY A ►�l OU ��AOV/vT60 A O+--(G1 Pt_ LC'V NACLC't
I-f6 w 1 j_L ��oy�O� A� v Cov �tGz= "S a
SIGNED /ivL