190 SUNSET AVE-4
sNoRomlsli Co.
/ qO J t4A)Jr—lr 19af—
Serving Brier, Edmonas, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
190 Sunset Avenue S 98020
LOCATION:
Salish Crossing I Building
BUSINESS NAME:
MAILING 600 108th Ave NE Suite 530, Bellevue, WA 98004
ADDRESS:
Betsy O'Connor
BUSINESS OWNER:
EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
Date Last Serviced: 57-1
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
2
3
4
5
6
7
PHONE.
HOME PHONE:
HOME PHONE:
HOME PHONE:
4256706'7"7
FIRE PREVENTION
IN�YECTION REPORT
ffIEDMONDS
0 BRIER
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
F ENFY STA)I?Nb SHIFT
U
AW a
SCHEDULED Ma
DATE DUE 0
531
UFIR
CURRENT
CITY YES NO
BUSINESS F__J
LICENSE I 1 1:1
INITIAL INSPECTION DATE
1-7
1
2
3
4
5
6
7
I I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X I
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 you
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 conditions or
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-'
Mountlake Terrace or Brier, call (425) 744-6231.
PAN
674281
Fire Protection, Inc.
CONTRA=R *F1Rr_Pro2wL
Fire and Security Alarm Installations
24 Hour Local UL Monitoring
Date:__�4�
AccL#: A,5�_s -?75z�
Work Order #- /.-/--7
(425) 290-9600 - (800) 681-1125
Fax: (425) 353-4546
FIRE ALARM SYSTEM
(One System per Report)
Certification Given
01YEtIOW
WHITE
LCONFIDENCE TEST C3 REPAIRS
Oocupancy Address: S"ta-
Testers Name: A
pit A. (A �Zl I AJO'�
jj aq IN "4 -
s KO wj_r�
rime In: �'j .55 ri Time Out 1 Q I 'I
Central station monitoring? )kyes Q No
System MAe: Sk-
System Location: Loo, � tvc
occupancyName:
Phone Number
Responsible Party
E-mail Address:
Inspection Frequency/Type;
Certification Number:
Monitoring Company Name:
System Model:
) q0 A
L
Q Monthly
Ouarterly
Serni-Annual
Annual
IJ-07 97 3
Fire Protection, tnc..
5=
CORRECTIONs NEEDED:
CORRECTIONS MADE: Date Corrected: Corrected By.
M_
On-line
SV5
riling Fee X:—,.-J
This certifies that this fire and life safety system has been inspected. Discrepancies are noted and
have been reported to the building representative� along with a copy of this report for corrective action.
Signature of Tdster, Tech # Phone # 425-2W9600
Building Representative: (d X C)N --�V
w
Rre AWm Systems I Page I of 2
AM N
Fp; Fire Protection, Inc. Am #: z:,s - 'I Zc� -7
wign AA41"
The items on this checklist have been, Inspected and tested. This list does not constitute all of 7h;"
required inspecting and testing of the fire and Lie safety system. Refer to Fire Department Fire Codes
for inspecting and testing requirements.
Alarm System Functionality
1 . Trouble signal with AC po#er off?
A Yes
El No
2.
System opeml$s proper� ion battery backup?
A
Q
3.
Battery voltage (n o, load) '71, volts
-Yes
-No
4.
Battery vottagw(full foad) volts (signals operating)
5.
Charge c1rcuit voltage volts
6.
System operallm properly standby power?
Yes
!-I No
7.
-'on
All signals operate on AC power?
)(Yes -
0 No
8.
Number of inf*kV circuft S L(
9.
Number of signal circuits Q_
Does alarm syoWn n*et audibility standards as accepted?
Yes
J No-
-10.
ll.
All circuits checked for ele*cal supervision?
Wyes
J No
12.
AN auxiliary eq*ment opbraW (elevators. fairis, dampers)?
V!� N/A
J Yes
J No
13.
Ventilation controls operate?
U. N/A
Yes
0 No
14.
Key to panel s*W[aible?
Yes
j No
15.
Operating instructions at, panel?
Yes
0 No
16.
Trouble indiii hxxijon, property?
Yes
j No
17.
Remote Annunciator Panels function propeV
1`6 N/A
J Yes
LJ No
18.
Elevator Call Down functims properiy7
;' I NIA
J Yes
J No
19.
Test record posted at panel?
Yes
J No
20.
General alai m "ornatic III me delay (minutes)
K N/A
21.
'
Was a siqnal received at the Central Station monitozing company?
0 NI
Yes
U No
22,
Other Devices Po4ev- j7h; P<A] - 1016. rA.mo
F*p
Yes
j No
Tom Aumber of Total Number
System Devices Un'�ts In Buil&rn UnitsTested
Test
R eu its Acceptabie
23,
Wis. Horns. CNmes
J N/A
V�Yes
J No
24.
Wce Speakers (Voice Cli
�L NIA
0 Yes
J No
25.
Smoke DetectM
�_j N/A
Yes
J No
26.
Heat Detectors
OL NIA
Ll Yes
a No
27.
Duct Detectors
J N/A
Yes
J No
28.
Sprinkler Flow Switches Z
WA
Y
es
J No
29.
Sprinkler SupeOli Swithes
j N/A
Yes
_j No
30.
Visual Alarm Devices
:3 NIA
Yes
3 No
31.
Manual Pull StWons
N/A
Yes
J No
32.
Annunclator(s)
N/A
_j Yes
J No
33.
Beam Detectof*
N/A
Yes
No
34.
Autornalic Door Unlocks
NIA
3 Yes
U No
35.
Automatic DooOieWm
N/A
J Yes
j No
36.
Fire Dampers
N/A
0 Yes
0 No
ToW Number of
Total Number
Communications
Lqyip*,(
ip ent
Units in BOdIng
� Units Tested
Test Results Acceptable
31.
Phone Sets
N/A
-1 Yes
j No
38,
Phone Jacks
N/A
J Yes
Q No
39-
Call-inSignal
N/A
:3 Yes
J No
Kre Alarm SWerrs Page 2 M 2
city of Ed-m-1 L4
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BID aounda�y
4.
0 110.21 220.4 Feet Tiiis map is a user generated static output from an Internet mapping siste and is for
— reference only. Data lavers -that appear on this map MaY or may not be accurate,
1 current, or otherwsse reliable.
WGS,_19a4,Web_Mercator_Auxilia.iy_$phere. THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION
C City of Edinonds
W7
-W
Legend
- I
Administrative Boundaries
Parcels
Notes