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135 2ND AVE N (2)SNORO nSH CO. Serving Brier, r-urriurids, and N Mountlake Terrace www.FireDistrict].org LOCATION: 135 2 nd Avenue N 98020 Bell Vista Condos BUSINESS NAME: MAILING 035 2nd Avenue N, Edmonds, WA 98020 ADDRESS: BUSINESS OWNER: Molvik, Halton EMERGENCY-1: Darlington, Paul KEY ACCESS-2: EMAIL: PERSON CONTACTED: NAME OF INSPECTOR: 02-- FIRE PREVENTION 12425 Meridian Ave S INSPECTION REPORT EDMOND Everett, WA 98208 0 [3 BRIER S Phone (425) 551-1200 0 MOUNTLAKE TERRACE 0 UNINCORPORATED Fax (425) 551-1272 4257717258 PHONE: HOME PHONE: HOME PHONE: 4257758991 HOME PHONE: e' FREQUENCY I STATION & SHIFT Annual 17-A SCHEDULED Oct 2016 DATE DUE � 422202 UFIR CURRENT CITY YES NO BUSINESS LICENSE INITIAL INSPECTION DATE I ,9,UARDIAN SECURMY �l Seattle ❑ Silverdale ❑ Bellingham e` 1743 Fist Avenue South 943S Provost Rd 9204 1501 Kentucky Street Seattle, WA e6134 Silverdale, WA 99383 Bellingham, WA 98229 1-800-282-6996 360-392-3738 360-647.Oma Lic. # GUARDSS233KS 1-800-396-1005 Facility -Bel I " 1 Address t J� E_dMnv1 S Fire Department CONFIDENCE TESTING FIRE ALARM SYSTEM (CTF-8) Date of Inspection Z/V201160 Building Owner ­04,41 1 [— Phone# G f '-J 1 / / / - / 4-J L) MAIN FIRE CONTROL PAN HECKSAnnual �....... , . ' ❑ Semi Annual ❑ Qua ❑ BI Monthly JJ� ' ❑ Monthly 1. Control Panel Manufacturer. . r ". Model ;:aAiJ�-` "- r 2: No. of Initiating Circuits No. of Signal; ng , 3 Stafic Battery.Vouages #1 ?p i 42 tf3 e, 4. Battery Voltages Under Load w/S' nal D vixs Operating: #1 #2 #3 ..O ' � #4 S C6ka a Circuit Voltage: • : ` Battery Test Dura ion: B Trouble Signal w/AC Power Off: Yes P. No ❑ WA Explain 7. At Circuits Operate Sadstadory On Stsndby (Battery) Power. '':• _:: , : yes:. ONO Ohm .. 8. All Circuits Operate Satisfactory On AC Power: es 9. Ali Circuits Checked For'Elect6:6 l Supervision: _ .. ... .... ., , , es, ` _ci46": ❑ No ❑ NIA E>�ain ❑ WA ....r' Explain ���111 10. Control Panel Checks Made Per Manufacturers Instructions Id Yes ❑ No ❑ N/A Explain T 11 All Auxiliary Equipment Operates (Elevators; HVAC Fan shuFdovrri; Door cosureS: Vent dampers, Etc.): , Yes : ❑No .❑ WA „Ezplaln. '• '`� 12: Does Alarm System Meet Audibility Standards:., .... _ .. `_' ..:;.❑Yes'•:',; ] No : �*irA Exptaln;5'" ' M' . 13. Monitoring Station Alarm Cireuit(s): ❑ Yes ❑ No (�)9s;p'A Explain i4, Alarm. Delay Function (f installed)Operates Properly .. ,. , „ „• ,, :❑ Yet •>' `❑ No:les�la .,, ; Eltplaln `'" 15. Panel Key Available: ",yes ❑ No ❑NIA Explain• t.S..Opereting InStruCdonS et Panel: • : , :• Yes , i ❑ No. ❑ WA. - , ` Explalrri " 17. Test/Service Record at Fire Alarm Control Panel: Yes ❑ No If no, where feed? EQUIPMENT TYPE NO. OF UNITS RESULTS NO. OF UNITS -. ... .- . .. . . -.. .... ..... r:.: ='..:...•. - - - ,.•. .'.. e..:TESTED:...".. _ n: _ :. - .:..... ..:• I IN BUILD NG_, Audio (Bells, Horns, Chimes, Voice Alarm Speakers) Yes _ No _ Visual Alarm Devices `. AudioNlsual Devices Yes No ._ , 5ingke Detectors.".<., .. z : ... Heal Detectors Yes _ No Manuel Pull Stations ; . ;i:. _. ,.. r �'. Yes :. ;. Trouble Indicators Yes TiC No Annunaafors' - Yes _ . w No. Auto Door Unlocks (Fail Safe Operation) Yes _ No Auto Door Re lease ",`. L' _, r _ eS '" Fire/Smoke Dampers (Ventilation Controls) Yes _ No Dud DeteGor§` •.. FiremanS Phones Yes — No — PutiliaAddress System :__ Yes -_ Elevator Capture Phase at Yes _ No .. .i.: .,_.. ..,PhaSa#2� ...:.... ... .. .: ..•'. .'. ..' ... Yes - No .. Generator Starts � � t Yes No t _ .. " ,. :Automatic 5'rinkler,Flow Switches P Yeses. : :Nd� Automatic Sprinkler Supervisory Switches yes _ No AutomaticiSprinkterValveTamperSwitches, Control Valve Supervisory Switches Yes _ No — norWat Motor-9e9lyGon ..:-:_ . .. Yes � ,�. No .. Fire Department Monitoring Yes — No Monitoring Station Signal.recewed _ .'.. ':; . ...:' ' .:;..: Yes.—: : No Name of Alann Monitoring Company Other. 4 es No This Certifies that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, is consistent with fire alarm maintenance standards, discrepancies are noted and have been reported to the building O ner/Manager for corrective Action. Signature of... Facility Owner/Manages Signature ot. SCP Technician Electrical License n _ Technician Certification # Problems Found: Proprietary and Confidential SNOHOMISH CO. ..... . . . . . . A erving Brier, Edmonds, and 12425 Meridian Avg,S .Mountlake Terrace Everett, WA 98208 T Phone (425) 551-1200 DISTR ww"w.FireDistrictl.org Fax (425) 551-1272 LOCATION: 135 2 nd Avenue N 98020 Bel" BUSINESS NAME: Vista CondOS r PHONE:- MAILING ADDRESS: \ADDRESS: �035.2n'd Avenue N, Edmonds, WA 98020 FIRE PREVENTION 'JNSPECTION REPORT -5 EDMONDS [I BRIER 0 MOUNTLAKE TERRACE [3 UNINCORPORATED FREQUENCY STATION & SHIFT-. Annual 17-D T SCHEDULED DATE DUE Ii, Oct 2015 UFIR ► 422 202 -.,c'6'HOME PHONE: Molvik, Halton--� 1v BUSINESS�PWNER: 00 S- EMERGENCY-1- 'D -rlington, Paul 4257758991 - a HOME PHONE KEY ACCESS: 2: HOME PHONE: EMAIL: PERSON CONTACTED: NAME'OF,1NSPECTOR-. k� FIRE SYSTEMS: FA 1/15 F E 1/13 Date Last Serviced:. 00 7-, CURRENT i.. CITY YES No: BUSINESS LICENSE INITIAL INSPECTION DATE HAZARDS FOUND AND LOCATIONS COMMUNICATIONS .2 2 ------ 3 3-- 4 4' 5' 5 6 6 ... . . ... ... 7 4 7 I AGREE TO CORRECT THE ABOVE VOLATION(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 CONTACTED: CONTACTED: PERSON CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 3 DATE: -- DATE: . ...... ...... ...... . DATE' VIOLATIONS VIOLATIONS;-�' PRE -CITATION TM CITATION ISSUED LETTER SENT_ NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 RETURN RECEIPT 3 7 3 7 RECE LVED 6 N. 1 DISPOSITION: 4 8 4� 8DATE: 7 LETTER NEEDED [I" YES [:1 NO; CUTER NEEDED El YES O'NO GUARDIAM SECURITY ❑ Seattle ❑ Silverdale ❑ Bellingham 1743 First Avenue South 9435 Provost Rd #204 1501 Kentucky Street Seattle, WA 98134 Silverdale, WA 98383 Bellingham, WA 98229 1-800-282-6998 36"92-3738 360-G47-0110 Lic. # GUAROSS233K5 1-800a66-1005 r�e,* t4VA--1� is Fire Department CONFIDENCE TESTING FIRE AL R SYSTEM (CTF-8) Date of Inspection ! [ S r Facility Address Zy1.A a,": /' 3Y -: Building Owner a �'�'�'t` Phone# �Ye y� J� MAIN FIRE CONTROL PANEL 9PECKS Annual :1, Control Panel Manufacturer Cx ❑ Semi -Annual ❑ Quarterly ❑ Bi-Monthly ❑ Monthly Model i d3 G7 2. No. of Initiating Circuits No. of Signaling 3, Static Battery Voltages . #1;'_Z& 4 #2 #3 #4 4 Battery Voltages Under Load wl i nal Devices Operating: #1 '�Co r / #2 #3 94 5 Charge Circuit Voltage:. r Battery Test Duration: — mins.:- 6. Trouble.Signal w/AC Power Off: ID-les ❑ No ❑ NIA Explain: 7. AILCircuits Operate Satisfactory On Standby (Battery) Power ❑Xs ❑ No ❑ NIA Explain: 8. All Circuits Operate Satisfactory On AC Power: ❑+ties ❑ No ❑ NIA Explain: 9 All Circuits Checked For Electrical Supervision: Qdres ❑ No ON/A' Explain: 10. Control Panel Checks Made Per Manufacturers Instructions: ❑Xes ❑ No Cl N/A Explain: 11. All Auxiliary Equipment Operates .(Elevators, HVAC Fan -shut down, Door,closures,.Vent dampers, Etc) ter Yes []No ❑ NIA Explain: 12 .Does Alarm. System Meet Audibility Standards. 13. Monitoring Station Alarm Circuit(s): 14 Alarm Delay Function (if installed) Operates Properly 15. Panel Key Available: 16. Operating Instructions at Panel: 17. TestlService Record at Fire Alarm Control Panel: EQUIPMENT TYPE Audio (Bells, Horns, Chimes, Voice Alarm Speakers) Visual Alarm Devices AudioNisual Devices Smoke Detectors Heat Detectors Manual Pull Stations Trouble Indicators Annunciators Auto Door Unlocks (Fail Safe Operation) Auto Door Release FirelSmoke Dampers (Ventilation Controls) Duct Detectors Firemans Phones Public Address System Elevator Capture Phase #1, Phase #2 Generator Starts 'Automatic Sprinkler Flow Switches' Automatic Sprinkler Supervisory Switches Automatic Sprinkler Valve,Tainper Switches Control Valve Supervisory Switches Exterior Water Motor-BeIVGong Fire Department Monitoring Monitoring Station -Signal received Name of Alarm Monitoring Company Other.'. ❑ Yes ❑ No (*A Explain: ❑ Yes ❑ No 21TA Explain: Li Yeses - ❑ No 53714' .. Explain: Li YGs ❑ No ❑ NIA Explain: B - - [ Yes - ❑ No ❑ N/A Explain: 'a fir• ' ®'Yes ❑ No If no, where filed? NO. OF UNITS RESULTS NO OF UNITS TESTED IN BUILDING Yes _ No - - - Yes _ No Yes _ No Yes !,o� No, Yes _ No Yes No Yes _ — No . Yes.__ No _-- _--- — Yes No Yes _ No Yes No Yes — No. .. ... Yes No _• ...,: •: ... : ;. ._ Yes — No...: .. .. . ; - Yes r No No - Yes — No Yes No Yes ^ No Yes — .. No Yes _ No Yes — No Yes No Yes No .• _ . Yes.,_ .No This Ce-iN�s that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, is consistent with fire alarm maintenance`§tendards ancies are noted and have been reported to theibuilling OwnerlMa : ge for corrective Action. A P2 A,.L, l S "N50f. acility 6wnbdWna56r Signature o . `spectorlTechnician .z Technician Electrical License # Technician Certification If Problems Found: Correction Made: Date Corrected By: Rev. 06/11/02 Proprietary and Confidential FIRE PREVENTION SNOHOMIS •sSeiving BPiei; Edmonds, and O. 12425 Meridian Ave •S 'i I INSPECTION REPORT EDMONDS FIRE Mountlake Terrace Everett, WA 98208 9BRIER DISTRT Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE [I UNINCORPORATED ! wwwFireDistrict].org Fax (425) 551-1272 FREQUENCY STATION & SHIFT LOCATION: 135 and Avenue N 98020 Annual 17-13 I BUSINESS NAME: Bell Vista Condos PHONE: 42577t7258 SCHEDULED Oct 2013 DATE DUE 1' MAILING UFIR ► 422 ADDRESS: 035 2nd Avenue N, Edmonds, VVA 98020 BUSINESS OWNER: Molvik, Halton HOME PHONE: EMERGENCY-1: CURRENT Dar'lingt PaLdl HOME PHONE: 4257758991 KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS © ❑ EMAIL: LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE SYSTEMS: FE (_.<&.!L k HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 x /� i^►� / �7 "-r c T `IG � 1 �XI— Ll6 MAIL cs3Cv5 2 116 2 3 1� F}1 !� ! / f i1% �% 3 �. �- 4 A ��I-3 5 5 6 _ _ r 6 1 \ 7 1" 7 f 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: GRANTEDTO: DATE DUE: CITED: PERSON PERSON PERSON 1 CONTACTED: 4' 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 5 6 2 6 DATE: SECTION: �2 RETURN RECEIPT 5 3 7 3 7 RECEIVED DISPOSITION: 7 4 8 4 18 DATE: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY J FIRE PRE VENTION -lying Brier; Edmonds Meridian Ave INSPECTION REPORT Sei 12425 Mei S SNOHOMISH CO. EDMONDS Mountlake Teirace.,and Everett, WA 98208 0 BRIER FIREthe Town of Woodway Phone (425) 551-1200 OWOODWAY DIS ALL [I rvin I MOUNTLAKE TERRACE T wwwFireDistrictl.org Fax (425) 551-1272� 0 UNINCORPORATED FREQUENCY I STATION- &SHIFT� LOCATION: 135 2nd Avenue N 366 BUSINESS NAME: Bell Vista Condos PHONE: 4257717258 SCHEDULED DATE DUE 11' 10/01/11 MAILING 135 2nd Ave N UFIR 11, 422 1f202 ADDRESS:- Edmonds 98020 BUSINESS OWNER: HOME PHONE: 4257717253 ACTIVE EMERGENCY-1: Darlington, Paul HOME PHONE: 4257758991 CURRENT YES NO KEY ACCESS -2: Cell #425-345-3486 HOME PHONE: CITY BUSINESS LICENSE 1:1 El PERSON CONTACTED: INITIAL IN7SPTION DATE NAME OF INSPECTOR: -T 2-- FIRE FEI SYSTEMS:,, ANAL —4 HAZARDS FOUND AND LOCATI S / CC�MUNICATIONS 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: r 2nd RE. -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED. PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 3 6 7 DATE: CODE SECTION.,_ 5 3 7 RETURN RECEIPT RECEIVED 6 4 8 4 8 DATE: DISPOSITION: 7 LETTER NEEDED [] YES El NO LETTER NEEDED [] YES El NO 8 FIRE DEPARTMENT COPY CITY OF EDMON.DS 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215 FIRE DEPARTMENT Est, 1890 1 135 2nd Avenue N LOCATION: -IFIRE PREVENTION 1 `SAFETY SURVEY BUSINESS NAME: Bell Vista Condos PHONE: 4257717258 MAILING •135 2nd Ave N 1 ADDRESS: Edmonds 98020 BUSINESS OWNER: HOME PHONE: 4257717258 EMERGENCY-1: KEY ACCESS-2: Darlington Paul Cell # 425-345-3436 HOME PHONE: HOME PHONE: 425775899/ FRWANCY STAT?y & tdIFT SCHEDULED 10f01(10 DATE DUE ► UFIR ► 422 1120� ACTIVE 1 " INITIAL INSPECTION DATE PERSON CONTACTED: H E/J P Y NAME OF INSPECTOR: NTE-Pt , .:14�6� IG O—% FIRE F 1 ! O SYSTEMS: a t I t ANNUAL r HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 S �nJCTI.G S`TT/o.✓ E ENTER CODE ONLY ONCE ► VIOLATION CODE i ALZ 2 /ZCPAI{2- W wo(Z-T-14 s-tAr2wEu— 2EX�5 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 { A CONTACTED: lJ PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR:,/ 4 t� INSPECTOR: INSPECTOR: 2 DATE: DATE: 3 VIOLATIONS 1 O\� 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 8 4 8 4 8 DATE: DISPOSITION: 7 8 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO FIRE DEPARTMENT COPY 'tom