21018 HWY 99.
&14 40 A Y
FIRE P REVENTION
Sery ingBrier, Edinonds, and.
SNOHOMIS11 C07
12425 Meridian Ave S
INSPECTION REPORT
.Moyntlake Terrace
FIR
Everett, WA 98208
OEDMONDS
[3 BRIER
DIST
1 Phone (425) 551-1200
El MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-12 72
e FREQUENCY
STATION & SHIFT
LOCATION:
.21018 Highway 99 98026
Al
11 Itin!
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE 0
PILID #1 Of SnohdrniS';h'-Co:.
4256703200
J. 2016
MAILING
UFIR 0
ADDRESS:
594
2320 California St, Everett, WA 98201
BUSINESS OWNER:
HOME PHONE:
PUD of Sno Co
EMERGENCY-1:
HOME PHONE-
"CURRENT
KEY ACCESS-2: Billeft, Jim/Facilities
HOME PHONE: 4254181212
CITy YES NO
EMAIL:
BUSINESS M
I I EJ
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: y 04A::-_Ve74
17, 0114o
FIRE SYSTEMS: FA 6/15FE 4/14 FD,Lk Box CAS 6/15
DmAmRuaAC&apAtqadocATiONS COMMUNICATIONS
2
2
CA7 N 7
3
3
4
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO.
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS;-.
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6.
DATE:
CODE
SECTION:
5
3
7
3
7-
RETURN RECEIPT
RECEIVED
6
4
8
DATE:
DISPOSITION:
7
\,LETTER NEEDED YES NO
LETTER NEEDED 0 YES 0 NO
8
P . ..�j
V_ FIRE PREVENTION DIVISION
Fire Alarm Checklist
Name of Build'ing or complex �-C Date
Perm/ it number V 0:20,j —I-0—"
Address— 0
Fire alarm system complete and Fire alarm system pre -testing complete
Building occupants (if applicable) notified -of fire alarrh testing
[ ] System is in test mode [ ] SnoCom has been notified [ ] Knox box has been provided
'd
Remote annunciator is� properly located, accessible, not obstructed and conforms to
approved plans
[ ] Fire alarm control panel is properly located, accessible, and not obstructed and conform to
approved plans.
[ ] Approved signage has been provided. This includes signage to specific locations and specific
features. ( ie. Dry Standpipe and FDQ
[ ] Provide the alarm monitoring company's name and 24 hr number on the control
panel. Monitoring company's name -AAA CL"
Provide a manual pull station reset key(s) as needed for the Knox box.
System loss of ac power, verify operation standby power
AES check list completed (on reverse side)
Fire alarm control panel circuit breaker shall be labeled FACP, painted
red, and locked in the ON position.
[ ] Fire alarm panel shall indicate what circuit breaker supplies power and the
location of the panel where that circuit is located.
],Check a random selection of initiating devices (minimum of 25%)
] Activation of audible, visual and audible / visual devices. Verify visual synchronization
H Outs ide horn / strobe activation and location
Verify alarm, supervisory, and trouble retransmission signals to monitoring station
Require Certificate of completion from installer
Signature of Fire Official
I 't
C-le, " -1
Wireless Mesh Networj� ES) Installation Inspection Checklist
All AES radio transmitters shall be installed and inspected according to NFPA 70, NFPA 72, WAC,
manufacturer requirements/recommendations.
�X I 649V
The Apt Radio is mounted near the FACP in a temperature controlled environment. If it is
mounted on the interior side of an exterior metal, concrete, or block wall it is mounted on an
insulating board to prevent direct contact with moisture or temperature extremes. Alternate
locations, if approved by the fire marshal may require the A9 Radio to be located inside a
lockable NEMA 4X enclosure with smoke detector and thertnostatically controlled heater.
a�
ul' AES routing table shows a minimum of two (2) "good" paths with a net -con of 0-5 prior to
connecting to FACP.
VAES is protected by a smoke detector.
A/C transformer to A Vis protected inside a secured transformer enclosure.
o The A/C transformer is one of the following 3 models; AMSECO model �F1640, Elk Products
model TRG1640, or MG Electronics model MGT1640. �VX.,j W P-
W"Wires from A/C transformer enclosure to A sure are in
,ee n I conduit.
V--"AES is powered via dedicated A/C circuit or shared with a dedicated circuit to FACP.
iD A/C breaker to A circuit is labeled and provided with a lock -on device.
V All exposed wiring below seven feet (71 AFF is protected in conduit.
/'Coaxial cable outside the Ap�eqclosure is installed in conduit.
Ice
Ext-grior antennas are protected by a lightening arrester. Arrester is located a minimum 6'from
AO'radio and grounded to earth with a minimum 6 AWG copper wire.
,All bends in the coaxial cable outside of the A enclosure (if applicable) have a minimum six
inch (6'1 ra
dius. �C�,6y
ND IntelliPro Fire or FireTap (if installed) is locally supervised at the protected premises
oth audibly and visibly) in an approved manner for antenna cut, low battery, communication
troubles, and charger fault as a separate zone or address on the FACP. (34 outputs)
o General alarm (zone 1), general trouble (zone 2), and supervisory (zone 3) outputs from the
FACP are connected to supervised input zones on the
'Oeq ,AE<f�
o A
/��programming: Trouble Pkt is set to "Y", zone inputs in use are set to "F" w/ EOLs.
o All zones, signals, or addresses capable of being transmitted by the FACP are transmitted to the
central station. This may require an IntelliPro Fire or FireTap.
o A current Routing Table showing the NetCon, Link Layer, and Signal Strength (minimum 2
"Good" paths with a minimum NetCon of 5 or less) is to be provided to the Fire Inspector at time
of final inspection.
,2,0
"� c 7
03/10/17 FRI
03/10/17
MERIDIAN SECURITY & ELECTRIC
28624 164TH PL SE
KENT, WA 98042
MAGIC TOYOTA PUD
21018 HWY 99
EDMUNDS , WA 98026 USA
e-mail1703100952
MAGIC TOYOTA PUD
21018 HWY 99
EDMUNDS, WA 98026 USA
ACcount: L82844
Dealer: 1985
From: 03/10/17 at 08:38
TO: 03/10/17 at 09:50
Page: 1
Date Time
-------- --------
Signal
-----------------------------------------------------------
Information
ACcount:
L82844
08:38:38
TESTING OF ENTIRE
SYSTEM - ADDED
MS1
TESTING STARTS
03/10/17 08:38
TESTING ENDS
03/10/17 16:38
VALID ALL DAYS
OF THE WEEK
MS1 put on test
from vivid.
09:26:12
SIGNAL RECEIVED:
(E373 ) E373
2
00
DIS
FIRE LOOP TROUBLE
AREA 00
09:28:22
SIGNAL RECEIVED:
(E110 ) E110
1
00
DIS
COMMERCIAL FIRE ALARM
COMMERCIAL
FIRE
AREA 00
09:28:26
SIGNAL RECEIVED:
(R110 ) R110
1
00
DIS
RESTORE FIRE ALARM
AREA 00
09:28:32
SIGNAL RECEIVED:
(R373 ) R373
2
00
DIS
RESTORE FIRE LOOP
TROUBLE(RTR) AREA 00
09:28:36
SIGNAL RECEIVED:
(E373 ) E373
2
00
DIS
FIRE LOOP TROUBLE
AREA 00
09:29:13
SIGNAL RECEIVED:
(E373 ) E373
4
00
DIS
FIRE LOOP TROUBLE
AREA 00 FM 200
09:29:33
SIGNAL RECEIVED:
(R373 ) R373
4
00
DIS
RESTORE FIRE LOOP
TROUBLE(RTR) FM
200
AREA 00
09:31:14
SIGNAL RECEIVED:
(R373 ) R373
2
00
DIS
RESTORE FIRE LOOP
TROUBLE(RTR) AREA 00
09:50:29
ACCOUNT INQUIRY
LLt
09:50:30
STEVE DELIMONT -
PASSCODE VERIFIED
LLC
Page 1
F0
Serving Briei: Edinonds, and.
Mountlake Terrace
TwwwFir'eDistrictl. org
LOCATION: 21018 Highway99 98026
BUSINESS NAME: PILID #1 Of Snohomish Co
MAILING
ADDRESS: 2320 California St, Everett, WA 98201
BUSINESS OWNER: PUD of Sno Co
EMERGENCY-11:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED: _,_57Z�WttLx�.�
NAME OF INSPECTOR:
F:IPP -qV-qTPKA-q- C:A I)/I'Z CC: A11A Cn 1 1, 0— f'A(Z rZ11A
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4256703200
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
EDMONDS
BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
" FREQUENCY STATION & SHIFT
Annual I 16-A
SCHEDULEDJul 2015
DATE DUE
594
LIFIR
HOME PHONE: CURRENT
HOME PHONE: CITY YES NO
BUSINESS
LICENSE X 0
INITIAL INSPECTION DATE
ID ANED LOCATIONS / COMMUNICATIONS
'6000 erVICqav
1 22
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
I st RE -INSPECTION
DATE DUE:
.1
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
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
T_
6
4
'8
4
8
DATE:
DISPOSITION:
7
LETTERNEEDED [] YES El NO
LETTER NEEDED E) YES [I NO
8
FIRE DEPARTMENT COPY
7661 159th Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
Clean Agent System
Confidence Testing Report
2) Annual 0 Semi -
Annual
Customer Snohomish PUD-South County Inspection Date 06-11-2015
Address 21018Highway99 FCE Work Order #
City Edmonds State WA Zip Code 98026 Building Audible yes[:] noE] n/a[]
Contact Matt Bloom Phone (425) 344-7100 Cell I
System Information
Monitored By Sonitrol Phone Number (425) 258-3655 Account Number 2076 Operator#
Panel Manufacturer Fike Model SHP-PRO Location Downstairs, In comm. room Operator#
Battery Quantity 2 Voltage 12 AH 8 Installed 9/10
rlavirnc
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Horn/Strobes
Battery Testing
Qty Tested
. I
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
Qty
Tested
1 Tamper Switch
1 Flow Switch
Elevator Recall
2 HVAC
Abort
Qty
Tested
2
2
1
1
2
1
1
1
1
Results
Main Alarm Panel Charging Circuit Voltage 27.5 Battery Voltage 26.0 Battery Voltage under Full Load 25.6
Cylinder Information
Mfg Serial # Full Wt Agent Wt Pressure LL Hydro Mfg Serial # Full Wt Agent Wt Pressure LL Hyd ro
Me
70088
203
105
ok
42
95
Procedure Checklist
1 . Tank bracket and piping properly secured
yes 2]
no C:]
n/a [3
2. Nozzles checked for proper positioning and bracing
yes Z
no E]
n/a E]
3. System operated on AC and standby power
yes
no
n/a E]
4. Tested initiating devices
yes
no
n/a C]
5. Tested pre -alarm bell
) device
yes
no
n/a E3
6. Tested pre -discharge horn
) device
yes
no
n/a [:]
7. Tested discharge strobe
) device
yes
no [3
n/a C]
8. Tested system time delay 30
)second5
yes 0
no E]
n/a [-]
9. Tested manual pull and abort station
yes 2
no[3
n/a E]
10. Tested agent releasing circuit
yes[E
no
n/a
11. Tested auxiliary devices
yes Z
no
n/a
12. Pre -action solenoid tested
yes E]
no C-]
n/a 2]
13. Monitoring has been contacted (all signals have been verified as received) system is reset and back on line
yes [E]
no E]
n/a
Technician Performing Work J. conner LIc# C2165
Customer's Authorized Agent Date 06-11-2015
AN=; Ut IJZ;d jj 14 14 AF
Iff
7661 159th Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
Fire Alarm
Confidence Testing Report
Z Annual [:] Serni-
Annual
Customer Snohomish PUD-South County Inspection Date 06-11-2015
Address 21018HIghway99 Phone
City Edmonds State WA Zip Code 98026 Cell
Contact Matt Bloom Fax
.ystem Information
Monitored By Sonitrol Phone Number (425) 258-3655 Account Number 2076 Operator#
Panel Manufacturer Firel-ite Model MS5024UD Location Downstairs in comm. room Operator#
Battery Quantity 2 Voltage 12 AH 8 Installed 6/2009
Devices
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Horn/Strobes
Qty Tested Devices
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
070
Devices
Tamper Switch
Flow Switch
Elevator Recall
HVAC
Qty I ested
Auxiliary Power Supplies and Quantities
#— BatteryQty Voltage AH Installed # Battery City Voltage AH Installed
# Battery Qty Voltage AH Installed #— Battery Qty Voltage AH Installed
t5arEery iesTing Kesuits
Main Alarm Panel
Charging Circuit Voltage 27.3
Battery Voltage 25.4
Battery Voltage under Full Load 24.5
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Procedure Checklist
1 . System Operated on AC and Standby power
yes
no
n/a
2. Auxiliary Devices were Tested
yes
no
n/a
3. Elevator Recall Tested and L&I Log book has been signed
yes
no 0
n/a E]
4. Copy of Inspection Reports left onsite
yes 2)
no 0
n/a C]
5. Monitoring has been contacted (all signals have been verified as received)
yes [D
no C]
n/a_
6. Were there any deficiencies noted during the inspection
yes E]
no Z
n/a
7. If deficiencies were noted, was a copy of the "Deficiency Detail Report" left with the Owner or a Representative
yes []
no C]
n/a E]
Technician Performing Work (print) T. Wold LIc# 16270208EH
Customer's Authorized Agent (print) Date 06-11-2015
Customer's Signature
FIRE PREVENTION
ServingBriei;Edmonds,and
-.12425MeridianAve-S—
INSPECTION REPORT
SNOHOMISH CO.
0 EDMONDS
FIRE
Mountlake Terrace
Everett, WA 98208
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
DISTR�4%0
IT
0 UNINCORPORATED
wwwFreDstricti.org
Fax (425) 551-1272
I
" FREQUENCY
STATION & SHIFF"')
LOCATION:
21018 Hiqhwaygg 08026
1
16-D
BUSINESS NAME:
PUL) 41 Cff Sriuhua�sh Ca
PHONE: 42-r;E70321DIC.
SCHEDULED
DATE DUE 1` Ju121314
MAILING
LIFIR 0 ta4
ADDRESS:
2321D Calilarnia S� EvueLL, WA 082.01
BUSINESS OWNER:
P1 ID rif 'Slill fri
HOME PHONE:
EMERGENCY-1:
i3illclL JiITIIFadliUCI:�
HOME PHONE: 4254131212
ell CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
El 0
EMAIL:
LICENSE
PERSON CONTACTED:
p 7- F_
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
2- 0
�-IHE SYS [EMS:
FA 6113 FE 5113 FD Lk, Elaw CAS 7112
I -I I'd -I III ull-
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
A�'
2 N 0 �A7) 0A)5
2
3
zi
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
D E DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
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
I LETTER NEEDED E] YES El NO
1
8
FIRE DEPARTMENT COPY
p 0
I
r
Serv,ing Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrictl.org
LOCATION: 21013 Highway 99
BUSINESS NAME: PUD #1 Of Snohomish Co
MAILING 2320 California St'
ADDRESS:
Everett
BUSINESS OWNER:
PUD #1 Of Snohomish County
EMERGENCY-1: Billett, Jim/ Facilities
KEY ACCESS-2:
Herding, Jim/ Risk Mgr
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
F/A 12j(l 1 CAS 7/12 FD I"
(0 j Ll I 1.-� OL-
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT,
0 EDMONDS
E�e`ie�ti, WA 98208 0 BRIER
Phone (425) 551-1200 0WOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551-1272 0 UNINCORPORATED.
PHONE: 4256703200
98201
HOMEPHONE: 4257835040
HOMEPHONE: 4254181212
HOME PHONE: 4253468814
FREQUENCY —
& SHIFT"'
366
7STATION
'16 C
SCHEDULED
DATE DUE 07/01/13
LIFIR II,
594
5917207
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE E-1
ANNUAL
HAZARDS,FOUND AND LOCATIONS COMMUNICATIONS
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:
I
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 El NO
LETTERNEEDED [-] YES NO
.8
FIRE DEPARTMENT COPY
r
Serv'l . ng Briet; Edmonds
Q04
SNOHOMISH CO.
Mountlake Terraceand
FIRE
S I 700EL
r
I , e Town of Woodway
TR T "twTireDistrictLorg
LOCATION: 21018 Highway 99
BUSINESS NAME: PUD #1 Of Snohomish Co
MAILING 2320 Califomia St
ADDRESS: Everett
BUSINESS OWNER: PUD #1 Of Snohomish County
EMERGENCY-1: Billett, Jim/ Facilities
KEY ACCESS-2: Herding, Jim/ Risk Mgr
FIRE PREVENTION'
1242'5 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 WOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551-1272 0 UNINCORPORATED
PHONE: 4256703200
98201
HOMEPHONE: 4257835040
4254181212
HOME PHONE:
HOMEPHONE: 4253468814
FREQUENCY
STATION & SHIFT
366
1 16 6
SCHEDULED 07/01/12
DATE DUE
LIFIR � 594 5917207 .1
ACTIVE
CURRENT
CITY YES NO
BUSINESS F71
LICENSE 0 Bj
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE F/Al2/11'CAS1Z/11FDLk[3X FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
0
7
2
2
3 7-PfL K617 6) W 17;t C�
3
4 A710
4
5
5
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
13
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
'I" LETTER NEEDED E] YES [I No
LETTER NEEDED YES NO
8
FIRE DEPARTMENT COPY
7661 159th Place NE Tel425.-64.Ir2Ii?7
kedmond,'WA. 98052. Fax-, 4125.5.62:6662
Clean Agent Systern
Confidence Testing Report
Semi-.
E] Annual [�. Anhual EI
inspection uaie.,_,jj47/ 14
F_C`u,'j�_mer Sndhornlsh PUD-South County
KE Work Order- 0
Address 21018.Highway 99 - . ...........
Building Audible ye5m noE] nh 0
City Edmonds State WA Zip Code 98026 Lei
Cell
Phone
Contact _&tC-A .-. —
& A4
System Information
. . . ......... . Account Number 206 Operator#
'Nonitored By Sonitrol Phone Number (425).25.8-:3655
Location Downstairs, in c6mm.. room Operator#
Panel.Manufacturer Fike Model SHP-PRO
AH 8 installed 2pl
:Battery Quantity 2 Voltage 12
Smoke Detector 2
Heat D etector
Duct Detectors
Horns
Strobes
..Horn/Strob.,es 1
Ba"ery Testing
Main AWM_P�n,el
Cylinder Informa,
Mfg Serial #
rv- TI I kA^:2 -Z
Lily llesi.�:q - - �,j
Sells
Pull St6tions
Annunciator
Fire Dampers 2
Door Mags
voice Evac
Charging CircOft Voltage
1attery Voiuige
n.
FUIIWt AqentWt Pressure LL Hydro Mfg
Procedure Chatkii.st
!1. Tank bracket and pl pin g:pr.operly secured
Nozzles checked for proper positioning and bracing
I esteu
Tamper Switch
Flow Switch
Elevator Recall
HVAC
AhArt
Batloqvoltage-under 1`01 Lo
Serial 0 Full.Wt.AgentWli Pressure LL
3. System operated on AC and standby power
14. Tested lnitiating,devices
Tested pre -alarm
device
TQed prc—dlscharge
;:7. Tested d1scharo
).devite
device
Tested system time delay A0
wconds
9. Tested manual pull and abort -station
110. Tested agent r�leaslng circuit
ii i. *rested atixiliary devices
12. Pre -action solenold tested
13, Monitoring has been contacted (all signals have bt�en verIfiedas received) systern is reset and back on line
Jechnician Performing Work -A , y
i Customer's Authorized.Agent
Date
yesfYJ noEl h/A0
yes
F�0.0
n/a.0
yes
no
yes.%
no
n1a
yes
El
n/a 13
. yes
no [.'j
njii n
. yes
60 0
n1a El
YeSM
n.6 El
n/8-0
yes%
no 0
n/a [I
yes�M:
no E]
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Y6
no
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John J. Westfall
, �rom:
John J. Westfall
Sent:
Thursday, August 09, 2012 11:26 AM
'To:
Don Navarre
Cc:
Michael J. Smith
Subject:
PUD 6120 212th ST SW MLT
Don:
I replaced the electronic fob in the keybox per Capt Rice inspection. You may close out the item for the reinspect.
Also replaced at PUD office 21018 Highway 99 EDIVI.
John I Westfaill
Fire Marshal
Fire Prevention Services
4�5-771-0213 Desk
125-775-7721 Fax
'425-231-3644 Mobile
FIRE 1-21 V"
-D Ir S, %'T
rFIRE
CHIEF
17-7j
EOUIP
_J,
r
7661 159th Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax. 425-562-6662
Fire Alarm
Confidence Testing Report
Semi -
Annual [-] Annual
Customer C InspectionDate
- mck PUA 1 $
Address 2JOI& Phone
A01b 1W ffl
city State IM Zip Code %Cj
gt Cell
-&6"s' - I 0.__
Contact Geo"C' Fax
.2y3W111
Vonitored By C Phone Number 4m,�M�4,jbAccount Number Lo"X Operator#
�anel Manufacturer Model Location SC&W—W4 Operator#
�attery Quantity Voltage AH Installed 2010
Devices
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Horn/Strobes
I estea
Auxiliary Power Sur)t)lies and Quantities
Devices
Bells
Pull Stations
Annunciator
Fire Dampers
DoorMags
Voice Evac
ON Tested
Devices
Tamper Switch
Flow Switch
Elevator Recall
HVAC
Qty Tested
I Battery Qry
Voltage
AH
Installed
# Battery Qty
Voltage
AH
Installed
f Battery Qty
Voltage
AH
Installed
# Battery Qty
Voltage
AH
Installed
1�
Battery Testing Results
Main Alarm Panel
Charging Circuit Voltage 27,1
BatteryVolta! e
Battery Voltage under Full LoadX2-
Auxiliary Panel #
Charging Circuit Voltage
Battery Volt2 I i ge
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Procedure Checklist
1. System Operated on AC and Standby power
yes 19
no E]
n/a 0
2. Auxiliary Devices were Tested
yes
no
n/a
3. Elevator Recall Tested and L&I Log book has been signed
yes
no
n/a
4. Copy of Inspection Reports left onsite
yes
no
n/a
5. Monitoring has been contacted (all signals have been verified as received)
yes
no
n/a
6. Were there any deficiencies noted during the inspection
yes
no [A
n/a E]
7. If deficiencies were noted, was a copy of the "Deficiency Detail Report" left with the Owner or a Representative
yes Ej
no [:]
n/a Pq
rechnician Performing Work (print) Lic# jMC>(dM
:ustomer's Authorized Agent (print) Date
:ustomer's Signature
=3[
7661 159th Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
Clean Agent System
Confidence Testing Report
Semi-
E] Annual 0 Annual El
Customer Snohomish PUD-South County Inspection Date Dec 13,2011
Address 21018 Highway 99 FCE Work Order #
Cjty Edmonds State WA Zip Code 98026 Building Audible yes no n/a
Contact George Hespe Phone (425) 367-1092 Cell
System Information � I
Aonitored By Sonitrol Phone Number (425) 258-365� Account Number 2076 Operator#
lanel Manufacturer Fike Model SHP-PRO Location Downstairs, in comm. room Operator#
lattery Quantity 2 Voltage 12 AH 8 Installed §/10
UOUIra-C rlawie n i
Qty Tested
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Hom/Strobes
�v �aa
Tamper Switch
Plow Switch
Elevator Recall
HVAC
Abort
Battery Testing Results
Main Alarm Panel Charging Circuit Voltage Battery Voltage Ifi. (p Battery Voltage under Full Load
Cylinder Information
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
. I
Mfg Serial # Full Wt Agent Wt Pressure LL Hydro Mfg' Serial # Full Wt Agent W.t Pressure LL Hydro
FKC U13
HUM 2AS 15
Procedure Checklist
1. Tank bracket and piping property secured
yes%
no E]
n/a
2. Nozzles checked for proper positioning and bracing
yes1A
no E]
n/a E]
3. System operated on AC and standby power
yes rX
no E]
n/a E]
4. Tested initiating devices
yes ag
no [-]
n/a E]
5. Tested pre -alarm device
yes 14
no E]
n/a
6. Tested pre -discharge device
yes IX
no
n/a [j
7. Tested discharge device
yes C9
no
n/a
8. Tested system time delay )seconds
yes 51
no E]
n/a E]
9. Tested manual pull and abort station
yes 151
no E]
n/a
10. Tested agent releasing circuit
yes Is
no E]
n/a E]
11. Tested auxiliary devices
yes E]
no E]
n/a K
12. Pre -action solenoid tested
yes El
no
in/a
13. Monitoring has been contacted (all signals have been verified as received) system is reset and back on line
yes D9
no
=/a
El
-echnician Performing Work Anthony Macey Lic# M06922
ustomer's Authorized Agent Date
FIRE PREVENTION
Set -ving Briet: Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
)TIRE
Everett, WA 98208
[]EDMONDS
0 BRIER
e Town o bodway
f W
DISTR' T thww. FireDistrict].
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
org
Fay.(425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT-'
LOCATION: 21018 Highway 99
366
16 A
BUSINESS NAME:
PUD 41 Of Snohomish Co
PHONE: 4256703200
SCHEDULED
DATEDUE 1 07/01/11
MAILING 2320 California St
LIFIR " 594 5917207
ADDRESS:
Everett
98201
BUSINESS OWNER: PUD #1 Of Snohomish County
HOME PHONE: 4257835040
ACTIVE
EMERGENCY-1: Billett, Jim/ Facilities
HOME PHONE: 4254181212
ee-CURRENT
KEY ACCESS-2:
Herding, Jim/ Risk Mgr
HOME PHONE: 4253468814
CITY YES NO
BUSINESS
El
LICENSEE]
PERSON CONTACTED: e-
INITIAL INSPECTION DATE
NAME OF INSPECTOR: tzt'--j)l0p_l
_j
1' 1'
FIRE F/A 11 /10 CAS '1/ 0 F LkBx
FE? I,&
SYSTEMS: (0/11 —
ANNUAL
HAZARDS FO... LOCATIONS COMMUNICATIONS
0 0 x re b
e- 0�
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 '�A
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
1
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
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTERNEEDED [-] YES NO 1
8
FIRE DEPARTMENT COPY
W: I 14
7661 1591h Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
Fire Alarm
Confidence Testing Report
Annual El Semi -Annual 0
Customer SiQ0irAC>v--k\S�A PQ�'_)-S.00UIQT!!j Inspection Date:
Address 2-101,g Aw� 99 Phone:
Ezmor,3os , W A Cell:
Contact JIM EZ�CvLSONJ Fax:
Svstem Information
Operator#
Phone Number: 44 If; - ZS8 - 3 (05S Account Number: 0 7 (1 Operator#
MonitoredBy: op-airlZoL_
Panel Manufacturer: 'EmELI TF_ —Model: Location:DoQessTP,%iLs,, toj
Battery Quantity _.gL_ Voltage I Z AH _2L_ Installed Oci
Devices
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Horn/Strobes
Qtv Tested
Devices
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
Devices
Tamper Switch
Flow Switch
Elevator Recall
HVAC
i estea
Auxiliary Power Supplies and Quantities:
# Battery Qty Voltage AH Installed # Battery Oty _ Voltage _AH Installed
# Battery Qtj Voltage AH Installed # Battery Qty _ Voltage A H Installed
Kesurrs
Main Alarm Panel
Charging Circuit Voltage Z7 - S
BatteryVoltage
Battery Voltage under Full Load- 2_q .9
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full -Load
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load-..
Auxiliary Panel #
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Auxiliary Panel#
Charging Circuit Voltage
Battery Voltage
Battery Voltage under Full Load
Procedure Checklist
1. Syste Operated on AC and Standby power
yes *Ono o n/a o
2. Auxiliary Devices were Tested
yes'o no o n/a MO
3. Elevator Recall Tested and L&I Lon book has been signed off
yes o no o n/a W
4. Copy of Inspection Reports left onsite
ves hPno o n/a o
5. Monitoring has been contacted (all signals have been verified as received)
yes k2no, o n/a o
6. Were there any deficiencies noted durina the inspection
yes o notoOn/a o
7. If deficiencies were noted was a copy of the "Deficiencv Detail Report" left with the Owner or a Representative
ves o no o n/a
Tech nician Performing Work G rcz-o'm Lj Lic# G- C>(=,,SfS!5
printed Aalne
Customer's Authorized Agent printed name Date
Customers
ii M17
7661 159411-ace'NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
EkAh Agefit-System —,
Confidence Testing Report
0 Annual 0 Semi -Annual El
--Pup- --=�-.COUK-rr
4� Inspection'b6 e
Customer t
Address zi olk FCE Work Order'# 4,-:; (at
Building Audible yes no 0 n/a 0
Contact Phone Cell
System Information
Oppratow
Monitored By: SOr-avr(LOL- Phone Number:. L4 7-,';. 2-S.'R - AccountNumber: Z0 VL 4e, Operator#fl—
Panel Manufacturer: L,-'F— Model: S4P --Pac� Location: DowrisTA,%nz� Is-% crls""Zvnnt4
Battery Quantity _Z_ Voltage I?- AH !L_ Installed 9110
Devices
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Horn/Strobes
Results
Devices
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
Qty Tested
2-
Devices Qty Tested
Tamper Switch
Flow Switch
Elevator Recall
HVAC
AGort-r 1 11
Main Alarm Panel Charging Circuit Voltage 'Battery voltage (q(a Battery Voltage under Full Load 7-(.o..&
CvIinder Information
Mfg
Serial #
Full Wt '-AdentWt Pressure
LL Hyd ro Mfg Serial # FullWt AgentWt Pressure CL Hydr I o
Procedure Checklist
1. Tank bracket and pipin properly secured
yes Id no. 0 n/a 11
as-FKDno 0-.-n!a!D, -
3. System operated on AC and standby power
yes A no D n/a 0
4. Tested initiating devices
yes bd no 0 n/a 0
5. Tested pre -alarm RELA-
device
yes KP no El n/a El
6. Tested ve-dischar-ge 14 I'S
device
yes 9) no 0 n/a 11
7. Tested dischar-ge '9rTizo(�E'
device
yes no 0 -n/a El
8. Tested system time delay
)seconds
yes no 11 n/a
9. Tested manual pull and abort station
yes A no El n/a 11
10. Tested agent releasing circuit
yes jQno Ej n/a El
11. Tested allxiliary devices-
yes 1-1 no,& n/a 11
12. Pre -action solenoid tested
yes D, no El n/a-0
13. Monitoring has been contacted (all signals have been verified as received) system is reset and back on line
yesO no 0 n/a El
Technician Performing Work A. �AACE'l Lic#
Customer's Authorized Agent Date
CITY,OF EDMONDS
121 5- AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t
LOCATION: 21�18 H, ighway 99'.*'
BUSINESS NAME: PUD *6 Of Snohomish Co
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4256703200
MIAIUM.3 2320 California St
ADDRESS:
Everett 98201
BUSINESS OWNER: PUD #1 Of Snohomish County HOME PHONE: 4257835040
EMERGENCY-1: Billeft, Jim/ Facilities HOME PHONE: 4254181212
KEY ACCESS-2: Herding, Jim/ Risk Mgr HOME PHONE: 4253468814
FREQUENCY
STATION& SHIFT
366
16 D
SCHEDULED
DATE DUE ll�
07/01/10
UFIR 1� 594 591 37207
ACTIVE
PERSON CONTACTED: INITIAL INS , PECTION DATE
.12
NAME OF INSPECTOR: VA 4� 4
FIRE F/A 12/08 CAS10/06 I'D Lkf3x, FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
I A �.. � -
V/ 6 AVIV,,,,,d 4c-
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
11"'i
1
2 /j4_feAA4,lV/_
2
3
3
4
4
5
5
6
/7
OPI
6
7
7
8
8
lst RIE-INSPECTION
DATE DUE:
7
2nd RE-INSPECTIO
DATE DUE:
EXTENSION
GRANTED TO.
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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
18
4
14
DATE:
DISPOSITION:
7
8
LETTER NEEDED [] YES E3 NO
LETTER NEEDED YES NO:
FIRE DEPARTMENT COPY
7661 1591h Place NE Tel: 425-641-2127
Redmond, WA 98052 Fax: 425-562-6662
Clean Agent System
Confidence Testing Report
0 Annual Sff Semi -Annual F1
Customer InspectionDate t, - -2�010
Address 7— 1 r) I—LIq 99 FCEWorkOrder#
—5, Building Audible yes A no 11 n/a El
Contact Phone Cell
System Information
Operator#
MonitoredBy: SooicclRof Phone Number:. AccountNumber: 7-074,* Operator#
Panel Manufacturer: - 'Fi v-r Model: <,j4j2j>(ZQ _Location:DOIALISTAIRS in"". 2cx)bl
Battery Quantity _2 Voltage AH
*�. Installed
Devices
Smoke Detector
Heat Detector
Duct Detectors
Horns
Strobes
Horn/Strobes
i estea
Devices
Bells
Pull Stations
Annunciator
Fire Dampers
Door Mags
Voice Evac
i estea
Devices
Tamper Switch
Flow Switch
Elevator Recall
HVAC
Amer
Battery Testing Results
Main Alarm Panel -I-_ Charging Circuit Voltage Battery Voltage Battery Voltage under Full Load
Cylinder Information
i esiea
I
filfg Seridr* Full '11t AgeM-Ht Pressure LL Hydro Mfg Serial # FullWt AgentWt Pressure LL Hydro —
Procedure Checklist
1. Tank bracket and piping properly secured
ve El n/a 0
2. Nozzles checked for proper Positioning and bracing
�hao
yes.W no El n/a El
3. System operated on AC and standby power
yes M) n o0 n/a 0
4. Tested initiating devices
ves.)?jno El n/a 0
5. Tested pre -alarm MLL.
) device
yes X) no Ej n/a El
6. Tested pre -discharge 1!5
) device
yes-ia no 0 n/a El
7. Tested discharge a�,Lj 1411c�
) device
yes RP no 0 n/a El
8. Tested system time delay A6
) seconds
yes V no 1:1 n/a 11
9. Tested manual pull and abort station
yes Ono 0 n/a [I
10. Tested agent releasing circuit
yesW no El n/a El
11. Tested auxiliary devices
yes El no 0 n/a 0
12. Pre -action solenoid tested
yes 0, no 0 n/a
13. Monitoring has been contacted (all signals have been verified as received) system is reset and back on line
vesX no 11 n/a El
Technician Performing Work A t4 A C F_ s/ Lic# t7l, - 15(.9 2-7—
Customer's Authorized Agent
Wesffall, John
From: Smith, Mike
Sent: Tuesday, September 20, 2005 6:21 AM
To: Fire Dept Group
Subject: Key Fobs in Lock Boxes
PUD @ 210th and Hwy 99 has installed a new electronic lock system. A key fob has been placed in the Fire Dept Lock
Box which will open the front door and any other electronic locks for the building. Keys are also in the box for the other
conventional locks at the premise.
If you come across a key fob in one of our lock boxes try it on the front door first. It will probably get you in.
As a side note all the new electronic locks have a battery back up which lasts from one to three days. The more
sophisticated systems may last up to several weeks.
Any questions give me a call.