152 3RD AVE S BLDG (2)',7120 lItJE f FIRE PREVENTION
INSPECTION REPORT
;�SNOH NIISx CO � Serving Brier, EuInw,. ,• and 12425 Meridian Ave S
Mountlake Terrace i Everett, WA 98208 ❑ BRIEIRER
i� `°`i"� Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
DISTRT www.4 FireDistrictl.org Fax (425) SSI -1272 ❑UNINCORPORATED
LOCATION: 152 3 rd Avenue S Bldg 98020
BUSINESS NAME: Harbor View Plaza Bldg
MAILING
ADDRESS,152 3rd Avenue S, Edmonds, WA 98020
BUSINESS OwNER:JohnSon, Scoff
PHONE: 4256729700
HOME PHONE:
FREQUENCY I STATION & SHIFT
Annual 17-C
SCHEDULED Feb 2017
DATE DUE ►
UFIR ► 509 202
EMERGENCY- 1:RatelCo Properties
HOME PHONE: 4256729700
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
�'^� 40 ��'�""`�
BUSINESS
EMAIL:
LICENSE
tt
PERSON CONTACTED: J&r orp (e F� ., 110 Zq
RJaIf r9
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
������
-IRESYSTEMS: FA 8/ 5
E
�;AOo(OIm
date Last Serviced: I 1�
3(i b
k v ►t
HAZARDS FOUND AND LOCATIONS / OMMUNIC IONS
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
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:
'
DATE:
DATE:
DATE:
9
VIOLATIONS
VIOLATIONS
PRE -CITATION
'
CITATION ISSUED
1 5
1 ; 5
LETTER SENT
NUMBER:
2 6
2 16
DATE
CODE
SECTION.
5
_
RETURN RECEIPT
e
3 7
3 7
RECEIVED
DISPOSITIONS.
7
4 8
4 8
DATE:
µLETTER NEEDED ❑ YES ❑ NO
^LETTER NEEDED ❑ YES
[]'No
8
FIRE PREVENTION
r Serving Brier, Edmonds, and 124.25. Meridian Ave S INSPECTION REPORT
FIRESN'dHO1viISH CO. WA 982OS ❑ EDMONDS
Mountlake Terrace Everett, ❑ BRIER
Phone (425) 551 _1200 [3MOUNTLAKE TERRACE
DISTTwww.FireDistrictl.org Fax (425) 551-1272 ❑UNINCORPORATED
LOCATION: 152 3 rd Avenue S.Bldg 98020
a, BUSINESS NAME: Harbor View Plaza Bldg PHONE: 4256729700
MAILING
ADDRESS: 152 3rd Avenue S, Edmonds, WA 98020
BUSINESS OWNER: Johnson, Scott HOME PHONE:
EMERGENCY-1: RateICO PrOpertlQS HOME PHONE: 4256729700
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
v
NAME OF INSPECTOR:
FIRE SYSTEMS: FA.4/13 FE 3/14 FDL k'Bbx
FREQUENCY I STATION 8 SHIFT
Annual 17-B
SCHEDULED
DATE DUE ► Feb 2016
(UUFIR ► 509 202
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
i I
HAZARDS FOUND AND LOCATIONS
COM
/ UNICATIONS
J A-.LSv1174j
c%y►�{�Gf��
'
_AAA
2
p:
3
.4
4
5
5
6
6
7
7
I AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
V
2nd RE -INSPECTION
EXTENSION
FINAL R -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
_
CONTACTED: _
-___.____
-
CONTACTED:
I
INSPECTOR:
2 '
INSPECTOR:
INSPECTOR:-
i
A
�r
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS,`,t
PRE -CITATION
CITATION ISSUED
1 / 15
1 5
LETTER SENT
NUMBER:
CODE
6
2 6
2 6
DATE:
SECTION:
3
7
3
7
RETURN RECEIPT
RECEIVED
r
-
6
DISPOSITION:
4 8
�,......�._..._.._...._
4
:.,� .
DATE:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES
NO'
8
sN $Onr'Co. Servifrg Brier; Edmonds, and
IR'E Mountlake Terrace
DISTRI uvnvii FireDistrictL or
g
t
LOCATION: 152 3 rd Avenue S Bldg 98020
BUSINESS NAME: Harbor View Plaza Bldg
MAILING 152 3rd Avenue S, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: Johnson, Scott
EMERGENCY-1: Ratelco Properties
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
11La
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (4 25) 551-1272
4256729700
PHONE:
HOME PHONE:
HOME PHONE: 4256729700
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
Annual 17-A
SCHEDULEDFeb 2015
DATE DUE ►
509 202
UFIR ►
CURRENT
CITY YES NO-',-
BUSINESS
LICENSE
INITIAL INSPECTION DATE
\' 7 \-\c--. �'
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4
5 r'
5
6
6
7
7
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:
PERSON
CITED:
PERSON
PERSON
CONTACTED:
CONTACTED:
INSPECTOR:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2 6
DATE:
SECTION:
RETURN RECEIPT
3
7
3 7
RECEIVED
5
DISPOSITION:
7
4
6
4 8
DATE:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
e
FIRE DEPARTMENT COPY
Servin g Briei: Edmonds, and 1 _•'425 t 4eridian Ave S
SNOHOMISH CO. .. ,
FIRE
Mountlake Terrace Everett, WA 98208 M
DISTR Twww.FireDistrictl.org Phone (425) 551-1200
Fax (425) 551-1272
LOCATION: 152 3 rd Avenue S Bld�_1 98020
BUSINESS NAME: Harbor View Plaza Bidq PHONE: 425072970(
MAILING
ADDRESS: 152 3rd ,avenue S, Edmonds, VVA 98020
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
Annual 17-D
SCHEDULED Feb 201�t
DATE DUE
UFIR509 202
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Ratelco Properties (5C6� HOME PHONE:
GZ56?2�i700 CURRENT
��,5�
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
.I
BUSINESS
EMAIL:
LICENSE
�+
INITIAL INSPECTION DATE
PERSON CONTACTED:
cJ C.x
NAME OF INSPECTOR:
FIRE SYSTEMS: FA 411" FE _,31_�y FD Lk Box y�
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
2
v
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS
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
8
L
8
4
8
DATE:
DISPOSITION:
7
ETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
Fire Alarm System Description
® 15000 Woodinville — Redmond Road, Suite B-800
• • • 0 s • . -coscWoodinville, WA 98072
. , s • • • e : For Service Call: 800.422.2031 or 425.670.2724
® s• ° Fire Protection LICENSE # FEDERFI186DJ
Fire Alarm System Report of Inspection
Rev 11116r200f,
Building OwnedRepresentative: Scott Johnson
Phone #: 360-620-2636
Name of Facility: Harbor View Plaza
Occupied As: Condo's & Offices
Address: 152 3ro Ave South
City: Edmonds WA
County: Snohomish
Zip:
98020
Telephone: 360-620-2636
Building Designation (if more than one building):
Inspection by: Trisha Sorenson / Justin Griffith
Cert #: S-02093 / G-07703
Date of Inspection: 4-2-13
Low Vol. Lic. #: SORENTf960J2
---------------------------------------------------------------------------------------
1. Type of Test: 100%
Monthly ❑
Quarterly ❑
Semi -Annual ❑ Annual
Other ❑
2. Type of system:
(per chapter 212-14 WAC)
Nonooded ® Common coded ❑
Selective coded ❑ Dual coded ❑
3. Local Fire Department Edmonds
F.D. Monitoring? Yes ❑ No
4. Monitoring Agency: Alarm Center
Telephone: 800-752-2490
5. Test Received at F.D. monitoring Agency?
Yes ® No ❑ Monitoring Account: 85-1412
6. Master Box Reset A.M.
P.M.
7. No. of Initiating Circuits: 6
No. of Signaling Circuits: 2
BATTERY TEST DURATION: 20min
#1
#2
#3
#4
NOTES
8. Static Battery Voltage
26.97
9. Battery Voltage Under Load
26.53
w/Si nal Devices Operating
10. Change Circuit Voltage
27.60
SATISFACTORY
CONTROLPANELCHECKS
CHECK
NOTES
Yes
No
NIA
11. Trouble Signal w/AC Power Off
®
❑
❑
12. All Circuits Operate Satisfactory on Standby (Battery) Power
❑
®
❑
13. Al Circuits Operate Satisfactory on AC Power
❑
®
❑
14. All Circuits Checked for Electrical Supervision
❑
®
❑
15. Control Panel Checks Made Per Manufacturers Instructions
®
❑
❑
16. All auxiliary Equipment Operates
®
❑
❑
17. Alarm Delay Function (if installed) Operates Properly
❑
❑
18. Panel Key Available
®
❑
❑
19.Operating Instructions at Panel
®
❑
❑
20. Test/Service Record at Fire Alarm Control Panel
®
❑
❑
PAGE 1 OF 2
Name of facility: Harbor View Plaza
Date: 4-2-13
EQUIPMENT TESTED
TYPE OF EQUIPMENT
MANUFACTURING
& MODEL #
NUMBER
OF UNITS
TESTED
SATISFACTORY
CHECK
NUMBER
OF UNITS
IN BLDG
Yes
No
I N/A
Control Panel
Thom Firequest 200
1
®
❑
❑
1
Communicators
Silent Night
1
®
❑
�_Ej
1
Annunciators
❑
❑
Master Alarm Box
❑
—Supervisory
Thom
1
❑
❑
1
Trouble Indicators
Thom
1
®1
❑
1
Smoke Detectors
System Sensor
26
1
El❑
26
Duct Detectors
0
Beam Detectors
Heat Detectors
❑
❑
Manual Pull Stations
Edwards
7
®
I
El
❑
7
Audible Devices
Mini Horns
12
❑
❑
12
Visual Devices
System Sensor
5
®
❑�
5
Audio/Visual Devices
System Sensor
24
❑
®
Lj
1 24
Public Address System
Fireman Phones
Elevator Recall - Phase I
Dovor
1
®
❑
❑
1 1
- Phase II
Dover
1
1 1
Auto Door Release
Mag Doors
6
1
El
1 6
Fail Safe Door Unlock
Ventilation Controls
I
❑
121
Generators
Sprinkler Flow Switches
❑
Sprinkler Tamper Switches
❑
Sprinkler Supervisory Switches
Electric Alarm Bell/Motor Gong
1
❑
❑
1 1
Other
Batteries for FACP & Communicator 12V Bah
3
®
❑
❑
3
THIS IS TO CERIFY THAT THIS FIRE ALARM SYSTEM HAS BEEN PROPERLY INSPECTED
FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT AND IS CONSISTENT
WITH FIRE ALARM MAINTENANCE STANDAR S AND ALL C RRECTIONS HAVE BEEN MADE.
Signature of Owner or Representative: _ L
Signature of Fire Alarm Representative:
Discrepancies:
11 Upon arrival NAC circuit 2 was in trouble at the panel.
2)100% of the homistrobes and strobe only inop. Half of the mini homs inop as well This ties back to problem number 1 Furthur investi-gation
will be reouired.
Corrections Made:
Date Corrected: By: Cert #
PAGE 2 OF 2
Sewing Bt-iei: Edinonds
SNOHOMISH CO.
;
Terrace,and
FIREMountlake
~
�ISTR
� the Town of Woodwayw
FireDistrictl.
wworg
LOCATION:
152 3rd Ave S
BUSINESS NAME:
Harbor View Plaza Bldg
r MAILING
152 3rd Ave S # 202
ADDRESS:
Edmonds
1 BUSINESS OWNER:
Ratelco Properties
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
365 17 C
SCHEDULED 02/01/12
DATE DUE
FFIR ► 509 2202
98020
HOME PHONE: 4256729700 ACTIVE
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4256729700
EMERGENCY-1: Johnson, 5.C4tI HOME PHONE: � �4'0
KEY ACCESS-2: LinCe, William HOME PHONE: 2066692702
CURRENT YES NO
CITY
BUSINESS
LICENSE
rr
-
PERSON CONTACTED: 'e-r- v i 1-E 2- �- v� p C-v L. �--
NAME OF INSPECTOR: r� i (p a 9 /l 5�--
INITIAL//INSPECTION DATE
FIRE FA 3/11
SYSTEMS: 3 IZ
FD LkDx FIE 3I►Z
p (L✓ ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 �a 1 SS V !(
1
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:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
,# 0000. cosco
Fire Protection
Fire Alarm System Description
15000 Woodinvitle — Redmond Road, Suite B-800
Woodinville, WA 98072
For Service Call: 800.422.2031 or 425.670.2724
LICENSE # COSCOFP110NM
Fire Alarm System Report of Inspection
Rev. 1111612006
Building Owner/Representative: Ratelco Properties Corp.
Phone #: 425-672-9700
Name of Facility: Harbor View Plaza
Occupied As: Condo's & Offices
Address: 152 3rd Ave South
City: Edmonds
County: Snohomish
Zip:
98020
Telephone: 425-672-9700
Building Designation (if more than one building):
1 nspectlon by: Jayme SeTivanolt
Cert #: S-WB37
Date of Inspection: 3/7/11
Low Vol. Lic. #: SELIVJM93ONB
---------------------------------------------------------------------------------------
1. Type d -vest. Iwo/. 99roT" ❑
(Asastie�iy ❑
� ri-Arnns2h ❑ A,strnyah �
Other ❑
2. Type of system: Noncoded ® Common coded ❑
(per chapter 212-14 WAC)
Selective coded ❑ Dual coded ❑
3. Local Fire Department Edmonds F.D.
F.D. Monitoring? Yes ® No ❑
4. Monitoring Agency. Alarm Center
Telephone: 800-752-2490
5. Tart Racctived at F.D. Ag 1�y?
Yes 0 Ra ❑ Ufavi asiq Anaauxnk. 85-1412
6. Master Box Reset A.M.
P.M.
7. No. of Initiating Circuits: 2
No. of Signaling Circuits: 6
BATTERY TEST DURATION: 10min
#1
#2
#3
#4
NOTES
8. Stabc Mtery Vokage
26.5
26.3
9. Battery Voltage Under Load
25.1
24.9
WSignah Dwms
10. Change Circuit Voltage
27.7
SATISFACTORY
CONTROLPANELCHECKS
CHECK
NOTES
Yes
No
N/A
11. Trouble Signal w/AC Power Off
®
❑
❑
12. AA 0moks Operate or 'f `g `f) Ponces
0
❑
❑
13. All Circuits Operate Satisfactory on AC Power
®
❑
❑
14. All Circuits Checked for Electrical Supervision
®
❑
❑
15. Cortnh Parati Chaeics Made Pef 9,fiarnfiactusys tirstsucticros
0
0
❑
16. All auxiliary Equipment Operates
®
❑
❑
17. Alarm Delay Function (if installed) Operates Property
❑
❑
18. Pandl Way Avail EUe
❑
❑
19.Operating Instructions at Panel
®
❑
❑
20. Test/Service Record at Fire Alarm Control Panel
I
®
❑
❑
PAGE 1 GF 2
-Hatne of facility: Harbor View Plaza Date: 317/11
EQUIPMENT TESTED
TYPE OF EQUIPMENT
MANkYFACi15R114G
&MODEL#
NUMBER
OF UNITS
TESTED
SATISFACTORY
CHECK
NUMBER
OF UNITS
IN BLDG
Yes
No
N/A
Control Panel
Thom
1
®I
❑
El
1
Communicators
Silent Knight
1
1
Annunciators
Master Alarm Box
Supervisory
Thom
1
1
❑
1
Trouble Indicators
Thom
1
1
Smoke Detectors
System Sensor
26
❑
26
Duct Detectors
Beam Detectors
Heat Detectors
❑
Manual Pdl Stations
Edwards
b
b
Audible Devices
Gentex Mini Horns
27
27
Visual devices
System Sensor
11
❑
[]
11
Audio/Visual Devices
I
El
Fireman Phones
EWvator Recaii —Phase)
Dover
?
1
- Phase 11
Dover
1
❑
1
Auta Ow R&aase.
maq Doom
fi
Cl
6
Fail Safe Door Unlock
Ventilation Controls
Generators
❑
Sprinkler Flow Switches
Sprinkler Tamper Switches
Sprinkler Supervisory Switches
I
❑
Electric Alarm BeII/Motor Gong
Other
THIS IS TO CERIFY THAT THIS FIRE ALARM SYSTEM HAS BEEN PROPERLY INSPECTED
FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT AND IS CONSISTENT
WITH FIRE ALARM MAINTENANCE STANDARDS D ALL CORRECTI S HAVE BEEN MADE.
Signature of Owner or Represerrtalrve:
Signature of Fire Alarm Representative:
Discrepancies: None
Corrections Made:
Date Corrected: By: Cert #
PAGE 2 OF 2