21229 84TH AVE W STE AfIRE PREVENTION
INSPECTION REPORT,
Servingbrier, P-drhonds, and- 12425 Meridian Ave S
SNOHOMISli CO.
EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DISJOITL T www.FireDistrict].org Fax (425) 551-1272 [1 UNINCORPORATED
LOCATION: 21229 84 th Avenue W Suites A &B 98026
Northwest Foot And Ankle
BUSINESS NAME: PHONE:
MAILING 21229 84th Avenue W, Suites A &B, Edmonds, WA 98026
ADDRESS:
4257751505
E UENCY
n I STffb& SHIFT
nua I
SCHEDULED Jun 2017
DATE DUE � .
b93 1b6
U
FIR
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Kuzel, Mark HOME PHONE- 425M-"� 'CURRENT
KEY ACCESS-2: HOME PHONE: 20 CITY YES NO
EMAIL: C -1 .0 4 ��CF".CJC? tlk_le f C C) (1-1 BUSINESS
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: � - �'� n
Date Last Serviced:
FIRE PREVENTION
INSPECTION
SNOIHOMISH-60.
Serving Brier, Edmonds, and
12425 Meridian Ave S
REPORT
Mountlake Terrace
Everett, WA 98208
. 1
OEDMONDS
0 BRIER
T
'w'ww.FireDistrict1.org
Phone (425) 551-12 0 0,'
0 MOUNTLAKE TERRACE
E3 UNINCORPORATED
-DISTFIRE
Fax (425) 551-1272
LOCATION:
.21229 84 th Avenue W Suites A &B 98026
BUSINESS NAME:
PHONE:
Northwest Foot And Ankle 425,7751505
MAILING
ADDRESS:
21229 84th Avenue W, Suites A &B, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
CRA Q
FREQUENCY STATION & SHIFT
A AR, -;;1 1:29 G
SCHEDULED
DATE DUE 1'
hin 9171113
FIR
593156.
C 1- 1: HOME PHONE: I I CURRENT, YES NO
KEY , ACCESS-2: Kuzel, Mark HOME PHONE: 4253384628 CITY
EMAIL: BUSINESS
LICENSE A-11 El
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
e.
FIRE SYSTEMS:, TA 2/16 FE _.,,FD Lk Box
-IBM&U0300MOCATIONS / COMMUNICATIONS,
2
_7
2
3.
3
4
4
5
5
6
6
'7.
7 ........ . .
7
:,.I'.AGRE,E TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
11
—
t" -
.1st RE -INSPECTION
9nd RE -INSPECTION
FINAL AE-INSPECTION
EXTENSION
VIOLATIONS
D ATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
RRSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
.INSPECTOR:
INSPECTOR:
.
INSPECTOR: f
2
DATE:
... ...........
DATE:
DATE:
VFOLATIONS
VIOLATIONS;�'
PRE-CITATf0N
CITATION ISSUED
5-
LETTE
SENT
MBE�
4
CODE
SECTION.
2 6
2 6
DATE:
RETURN RECEIPT
7
3
7
RECEIVED
6
DISPOSITION:
4
8
4
.8
DATE:
7'
LETTER NEEDED [:] YES NO
r"L ETTER NEEDED 0 YES 0 NO'
I 1
8
Certification Given
..... .. .. ... . ... ...
RED YELLOW WHITE
CONFIDENCE TEST
1023.30h AvuWquiW-r-.,T.ynnwiwwt,WA M34 11A.A. REPAIRS
(425)771-1166 Fav(44)771-4422
FIRE ALARM SYSTEMS
(One System per Report)
Occupancy Name: Noiihwcaf. FtKl al"i -Aj Occupancy Address: 21229 841h Ave W, Edmonds
Building Owner: Ntmiliwra Foot and Ankle- Clinic. (Af PhoneNumber: (425)775.1:5305
Owner Agent;
Pcnny Phone Number: (42S) 775-ISOS
Date of Inspection: 02/24/21016
Testers Name:
Monitoring: AC-1
Inspection Type: V Annual Quarterly
SFD Certification Number: SCP-bAC,
Phone M 18LW.)-752-2490 Account#: 505-
FACP Manufacturer: FCI Model #: F402 Location: Receplim
# of Initiating Circuits: I # of Signal Circ Notes:
ALARM SYSTEM FUNCTIONALITY
yes
No
N/A
All notification circuits operational?
All circuits checked for electrical supervision?
All avxillary equipment operates (elevators, fans, dampers)?
Key to panel available?
Operating instructions at panel?
Trouble indicators function property?
Test record posted at panel?
Signals received at central station? Operat*r -TPAh
- . i.'-.
I I
Problems Found:
NIN)'t
Corrections Made:
Date Corrected:
I LAW I
Corrected By:
SFD Certification #:
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 Seattle Fire Department Fire
Code standards, and that discrepancies are noted and have been reported to the building
Owner/Manager for correftive, actIorV--\
Signature of T I "
Signature of 0=.
"i
SYSTEM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
NIA
HornlStrobes
1100111(i Al�-MJI-24
Strobe Only
Ham Only
4
Y
Speaker/Strobes
Speaker Only
Sounder Base
Bells
Manual Pulls
Wl MS-6
2
Photo Smoke Detectors
110C111K] SLG-24F&IRa,#
Ion Smoke Detectors
Combination Smoke/Heat
13S, Rate of Rise Heat
FC1 FL-135
200* Rate of Rise Heat
1350 Fixed Temp Heat
3
200' Fixed Temp Heat
Duct Smoke Detectors
Detector Rernate Indicators
Rem,ote Annunciators
IN PANEL
I
Elevator Recall Output
Fen Pressurization
Door Holders
Door Unlock
Curtains/Roll-down Doors
Fire Fighter Phones
Main FACP
Trouble with AC off?
No
Battery backup operational?
Battery voltage (no load)
ala/401ts
Battery voltage (full load)
volts
Charge circuit voltage
voft
Battery Size 126/S
74-iQ
PanelType:
Trouble with AC off?
Yes No
13&ttM backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit Voltage
-Vohs
Battery Size
PanelType:
Trouble with AC off7
Yes No
Battery backup operatlona17
Yes No
Battery voltage (no lead)
volts
Battery voltage (full load)
Volts,
Charge circuit voltage
volts
Battery Size
PanelType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery Size
OV EDAf
0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED
Expiration Date: 09/19/2015
Parcel No: 00467400000800
APPLICANT CONTRACTOR
NORTHWEST FOOT & ANKLE CLINIC ABSCO ALARMS INC ABSCO ALARMS INC
C/O MARK & PENNY KUZEL 19023 36TH AVE W 19023 36TH AVE W
21229 84TH AVE W STE A LYNNWOOD, WA 98036 LYNNWOOD, WA 98036
EDMONDS, WA 98026
(425) 771-1166 (425) 771-1166
LICENSE #: ABSCOA122 I BJ EXP: 12/3 1/2015
JOB DESCRIPTION
INSTALLISMOKE DETECTORS REPLACEMENT OF FIREALARM PANEL
SUBJECT TO FIELD INSPECTION
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 79 - Fire Alarm
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE: 2012
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
E-XIS'IING AREN
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSFD ARE%
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3 RD FLOOR: 0 GARAGE: 0 DECK: 0— OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONT S ETBACK SIDESETBACK REAR SETBACK
REQUIRED: PROPOSED: ���REQUIRED: PROPOSED: IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
(Z4 "- ffallO Itq tu (Vtr- -3 b q LIMa 7hoMog& Rqich /4 2015
SiVure Print Name Date Released By Date
OIDV
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN FDEITnA WrAL14A XATE I
OCCUPANCY HAS BEEN GRANTED. UBCI 09/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER �'—jo
1� v
STATUS: ISSUIED BLD2015665
CONDITIONS
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request foraltemate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council,and shall be paid upon submittal and are non-reftiridable.
Approval of any plat or plan containing provisi ons which do not comply with city code and for which a variance has not been
specificaUy identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
Sound[Noise originating from temporary. construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pin on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction s ites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Appficant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to inderrinify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor firnit in any way the City's ability to enforce any ordinance
provision.
I INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMITTIME LIMIT. SEE ECDC 19.00.005(A)(6)
-0220 EXT. 1333 1 014GUIEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS (4-25) 771-0235 PRE-TREATMENT (425) 672-5755 1 RECYCLING(425 2775�4801
When calling for an inspection please leave the follovAng information: Permit Number, JobSite Address, Type of Inspection being
reques ted, Contact Name and Phone Number, Date Prefereed, and wbethe r you prefer morning or afternoon.
0 F-Fire Alan-n System Acceptance
-073(v
RECEIVED
�'P SERIES - NP7-12 MAR 19 2015
DEVELOPMENT SEM IC
Reliability is your Security COUNTER
Utilizing the latest advance design Oxygen
Recombination Technology, Yuasa have applied their
80 years of experience in the lead acid battery field to
produce the optimum design of Sealed Lead -Acid -- -
batteries. ALL WORK SUBJECT
FEATURES, I TO FIELD
• Superb recovery from deep discha �ge. INSPECTION FOR -
• '=,or-trn1vfP Q"Qnension system
• Gas Recombination. CODE
• Multipurpose: Float or Cyclic ust.
• Usable in any orientation
• Superior energy density.
• Lead calcium grids for extended life.
• Manufactured World wide.
• Application specific designs.
Technical Features
Sealed Construction
Yuasa's unique construction and sealing technique
ensures no electrolyte leakage from case or terminals.
Electrolyte Suspension System
All NP batteries utilize Yuasa's unique electrolyte suspension
system incorporating a microfine glass mat to retain the
maximum amount of electrolyte in the cells. The electrolyte is
retained in the separator material and there is no free
electrolyte to escape from the cells. No gels or other
contaminants are added.
Control of Gas Generation
The design of Yuasa's NP batteries incorporates the very latest
oxygen recombination technology to effectively control the
generation of gas during normal use;
Low Maintenance Operation
Due to the perfectly sealed construction and the
recombination of gasses within the cell, the battery is
almost maintenance free.
Termina-Is
"Wad
Trr
,V11ASA
Fb
NP1b5"n are manufactured using a range of terminals
WRMW —vary in size and type. Please refer to details as
shown. wn
Operation in any Orientation NONE
The combination of sealed construction and Yuasa's
unique electrolyte suspension system allows operation in
any orientation, with no loss of perforTnance or fear of
electrolyte leakage.
Valve Regulated Design
The batteries are equipped with a simple, safe low
pressure venting system which releases excess gas and
automatically reseals should there be a build up of gas
within the battery due to severe overcharge. Note. On no
account should the battery be charged in a sealed
container.
General Specificafions
Layout
4
,E)
Fanton tab: 187 A Faston tab- 250 D
4 INCH = MM INCH = MM
- .250 6.35 ;-S1 0 7.90
.185 4.70 .250 6.35
.124 3AS .16 4.0
f 1. 1 T
.098 2.5c)
.031 0.8
.059 1'.5a .020 0.5
0,20
i
.004 OAG
Nominal Capacity (Ah)
N137-12
------------
7
Kilo
6.4
1 " to
5.9
11111TAR011rd
1 4.2
11&01125-e��Illlllllj
12
eas
91
L �peclffc]Ene
32
lififfiRTsi ncwe
25
MUM m is � a, e
40/75
FSRWITC-Mcwul�t��
210
Dimensions (mm)
51,
151
65
111. ER
97.5
ig 9
2.65
AID
.0
4
aliounin
NP SERIES - NP7-12
Lead Calcium Grids
The heavy duty lead calcium alloy grids provide an extra margin of
performance and life in both cyclic and float applications and give
unparalleled recovery from deep discharge.
Long Cycle Service Life
Depending upon the average depth of discharge, over a thousand
discharge/charge cycles can be expected.
Float Service Life
The expected service life is five years in float standby applications
Separators
The use of the special separator material provides a very efficient
insulation between plates prevenfing inter -plate short circuits and
prohibiting the shedding of active materials.
CYCLIC RECHARGE REGIME
17
Tk- I Tk-.to2
126
CI1W I"—
O-W *W"
13
C,a up pd.
0
L
0.07C An"kV",
12
"0'
NP DISCHARGE CHARACTERISTICS
CURVES AT 259C (7702F)
M M N�;C M.., IV W 9�d VI eauh banwy in M
FOR 12V FOR 6V
BATTERY BATTERY
13.0- 0.5 NP =-Zz AT 2M (rrF)
12.0- 6.0
11.0. 5.5
Jc;
10.0- 5 INA-
9.01 4.5
8.0 4.0
MINUTES DISCHARGrTWE HOURS
FLOAT SERVICE LIFE NP RANGE
(AH%) TESTING CONDITIONS: FLOATING VOLTAGE: 2.27SVPC
AWMIENT TEMPERATURE: 2(rC (6rF TO 7rF)
0
W
�R - I -
HZ'
0-
cc
W
Q. 2 3 4 S 5.5
LIFE (YEARS)
2901 Montrose Ave
Laureldale, PA 19605
www.yuasabafteries.com
Long shelf Life
The extremely low self discharge rate allows the battery to be
stored for extended periods up to one year at normal ambient
temperatures with no permanent loss of capacity.
Operating Temperature Range
The batteries can be used over a broad temperature range
permitting considerable flexibility in system design and
location.
Charge — 150C to 500C
Discharge — 20*C to 60'C
Storage — 20*C to 50*C (fully charged battery)
SELF DISCHARGE CHARACTERISTICS
Long shelf Life
The extremely low self discharge rate allows the battery to be
stored for extended periods up to one year at normal ambient
temperatures with no permanent loss of capacity.
Operating Temperature Range
The batteries can be used over a broad temperature range
permitting considerable flexibility in system design and
location.
Charge — 150C to 500C
Discharge — 20*C to 60'C
Storage — 20*C to 50*C (fully charged battery)
SELF DISCHARGE CHARACTERISTICS
(%)100
O*C (32n
a 60
40-C (104'
(86*n
0
3 6 9 1 2
STORAGE TIME (MONTHS)
FLOAT CHARGE CHARACTERISTICS
0.2SCA 2.275VPC CONSTANT VOLTAGE CHARGWG
N
(.CA) IV)
AT 20'C ISM
M
012S
15.0
1W om
7'W
CHARGE VOLTAGE
14A
W
405
0.60
AFTER 100% DISCHARGE
A`G.
13'0
0.10
AFTER W% D=HAF4*6
40 8.00
20
-
0 0 L
CUAIIEW
- - - - - - - - - - -
I
1
4 * 'IQ..
C.I., Z..."
TYPICAL DISCHARGE CHARAC-
TERISTICS NP RANGE
CYCLE SERVICE LIFE IN RELATION
TO DEPTH OF DISCHARGE
TESTING CONDITIONS: DISCHARGE CURRENT. 0.17C A�,p. IRV 1.7110CELL
CHARGING CURRENII. 0.09C Ap.
CHARGING VOLUME: 125% OF DISCHARGED CAPACITY
(AMH I AMBIENT TEMPERATURE: 20*C TO 25-C (69-F TO 7rF)
100%
DOG OFD .' I;..
_j
2
I
Yuasa Battery Inc Distributed by
)11 frr
YUASA
Registered number 1548820
Cat.Nol NP7-12 January 081
Models Available
Two -Wire Models
12W-B
2WT-B
2-wire standard
2-wire standard with thermal
Four -Wire Models
4W-B
4-wire standard
4WT-B
4-wire standard with thermal
Accessories
2W-MOD2
2-wire loop test/ mai ntenanc e module
SENS-RDR
Sensitivity reader
RT
Removal/ replacement tool
A77-AB2
Retrofit adapter bracket
Product Overview
Plug-in detector line - mounting base
System Sensor's i3- series smoke detectors represent a significant advancement in
Included
conventional detection. The 13 family Is founded on three principles: Installation
ease, Intelligence, and Instant Inspection.
Large wire entry port
Installation ease. The i3 line redefines installation ease with its plug-in design.
In -line terminals with SEMS screws
This allows an installer to pre -wire the bases included with the heads. The large
Mounts to octagonal and single -gang
wire entry port and in -line terminals provide ample room for neatly routing the
backboxes, 4-square backboxes, or
wiring inside the base. The base accommodates a variety of back box mounting
direct to ceiling
methods as well as direct mounting with drywall anchors. To complete the
installation, i3 heads plug-in to the base with a simple Stop -Drop 'N Lock
Stop -Drop 'N Lock'" attachment to base
action.
Removable detector cover and chamber Intelligence. i3 detectors offer a number of intelligent features to simplify
for easy cleaning testing and maintenance. Drift compensation and smoothing algorithms are
standard with the i3 line, to minimize nuisance alarms. When connected to the
Built-in remote maintenance signaling 2W-MOD2 loop test/maintenance module, or a panel equipped with the i3
protocol, 2-wire i3 detectors are capable of generating a remote maintenance
Drift compensation and smoothing signal when they are in need of cleaning. This signal is indicated via an LED
algorithms located at the module and the panel. To read the sensitivity of i3 detectors, the
Simplified sensitivity measurement SENS-RDR is a wireless device that displays the sensitivity in terms of percent
per foot obscuration.
Wide angle, dual color LED indication
Instant inspection. The i3 series provides wide angle red and green LED indica-
tors for instant inspection of the detector condition, indicating: normal standby,
Loop testing via EZ Walk feature
out -of -sensitivity, alarm, or freeze trouble conditions. When connected to the
Built-in test switch
2W-MOD2 loop test/maintenance module or a panel with the i3 protocol,
the EZ Walk loop test feature is available on 2-wire j3 detectors. This feature
MFA MSFM
verifies the initiating loop wiring by providing LED status indication at each
detector.
LISTED approved approved
Arch Itect/ Engineer Specifications
Smoke detector shall be a System Sensor i3
Series model number-, listed to
Underwriters Laboratories UL 268 for Fire
Protection Signaling Systems. The detector
shall be a photoelectric type (model 2W-B,
4W-B) or a combination photoelectric/ther-
mal (model 2WT-B, 4WT-B) with thermal
sensor rated at 135*F (57.2*Q. The detec-
tor shall include a mounting base for
mounting to 3X-inch and 4-inch octagonal,
single gang, and 4-inch square back boxes
Electrical Specifications
with a plaster ring, or direct mount to the
ceiling using drywall anchors. Wiring con-
nections shall be made by means of SEMS
screws. The detector shall allow pre -wiring
of the base and the head shall be a plug-in
type. The detector shall have a nominal
sensitivity of 2.5% per foot nominal as
measured in the UL smoke box. The detec-
tor shall be capable of automatically adjust-
ing its sensitivity by means of drift compen-
sation and smoothing algorithms. The
detector shall provide dual color LED indi-
cation which blinks to indicate power up,
normal standby, out of sensitivity, alarm,
and freeze trouble (model 2WF-B, 4WT-B)
conditions. When used in conjunction with
the 2W-MOD2 module, 2-wire models
shall include a maintenance signal to indi-
cate the need for maintenance at the alarm
control panel, and shall provide a loop test-
ing capability to verify the circuit without
testing each detector individually.
Operating Voltage
Nominal: 12/24 V non -polarized
Min.: 8.5 V
M ex.: 35 V
Maximum Ripple Voltage
30% peak to peak of applied voltage
LED Modes
Standby Current Peak Standby Current
2-wire: 50 pA maximum average 2-wire: 100 pA
4-wire: 50,uA maximum average 4-wire: n/a
Maximum Alarm Current Alarm Contact Ratings
2-wire: 130 mA limited by control panel 2-wire: n/a
4-wire: 20 mA @12V, 23mA 0 24V 4-wire: 0.5 A @ 30V AC/DC
Power Up Sequence for LED Indication
LED Mode Green LED
Red LED Condition
Duration
Powerup Blink every 10 seconds
Blink every 10 seconds Initial LED status indication 80 seconds
Normal (standby) Blink every 5 seconds
off
Out of sensitivity off
Blink every 5 seconds
Freeze trouble off
Blink every 10 seconds
Alarm off
Solid
Physical Specifications
Operating Temperature Range
Sensitivity
Mounting
2W-B and 4W-B: 32*F-120*F (O*C-49'C)
2.5%/ft. nominal
3W-inch octagonal back box
2WT-B and 4WT-B: 32*F-100*F (O*C-37.8*C)
4-inch octagonal back box
Input Terminals
Single gang back box
Operating Humidity Range
14-22 AWG
4-inch square back box with a plaster ring
0 to 95% RH non -condensing
Dimensions (including base)
Direct mount to ceiling
Thermal Sensor
5.3 inches (127 mm) diameter
135*F (57.2*C) fixed
2.0 inches (51 mm) height
Freeze Trouble
Weight
2WT-B and 4WT-B only: 41*F (5*C)
6.3 oz. (178 grams)
Ordering Information
Model
Thermal
Wiring
I Alarm Current
2W-8
No
2-wire
130 mA max. limited by control panel
2WT-13
Yes
2-wire
130 mA max. limited by control panel
4W-B
No
4-wire
20 mA @ 12V, 23mA @ 24V
4WT-B
Yes
4-wire
20 mA @ 12V, 23mA @ 24V
Model
Description
2W-MOD2
2-wire loop test / maintenance module
SENS-RDR
Sensitivity reader
FIT
Removal / replacement tool
A77-AB2
Retrofit adapter bracket, 6.6 in. (16.76 cm) diameter
System Sensor Sales and Service
System Sensor Headquarters
System Sensor Canada
3825 Ohio Avenue
Ph: 905.812.0767
St. Charles, IL 60174
Fx: 905.812.0771
Ph:80O/SENSOR2
System Sensor Europe
Fx: 630/377-6495
Ph: 44.1403.276500
Documents -on -Demand
Fx: 44.1403.276501
800/736-7672 x3
System Sensor In China System Sensor — Far East System Sensor — India
Ph: 86.29.524.6253 Ph: 85.22.191.9003 Ph: 91.124.637.1770 x.2700
Fx: 86.29.524.6259 Fx: 85.22.736.6580 Fx: 91.124.637.3118
System Sensor In Singapore System Sensor — Australia
Ph: 65.6273.2230 Ph: 613.54.281.142
Fx: 65.6273.2610 Fx: 613.54.281.172
www.systemsensor.com
RSK 602
Two -Zone Mrs Marm Contrd PanM
Description
The Gamewell Flex 402 Fire Alarm
Control Panel brings the latest in mi-
croprocessor technology to conven-
tional fire controls. The Flex 402 is
compatible with the new P Tm smoke
detectors from System Sensor, and
provides advanced features including
drift compensation, maintenance alert,
and freeze warning. Automatic synchro-
nization of audio/visual devices is pro-
vided, selectable for three manufactur-
ers' protocols. The NAC protocol in-
civaes ine aD111ty, using a singie pair of wires, to silence audible devices while
strobes continue to flash.
The Flex 402 is also compatible with conventional input devices such as two -
and four -wire smoke detectors, pull stations, waterflow devices, tamper switches
and other normally -open contact devices.
Operation
The activation of a compatible smoke detector or any normally -open fire alarm
initiating device will: activate audible and visual signaling devices, illuminate an
indicating LED, sound the piezo sounder at the FACP, activate the FACP alarm
relay, and operate an optional module which notifies a remote station or initiates
an auxiliary control function.
P TIVI Technology Features
- Drift compensation automatically adjusts detector sensitivity and increases
resistance to false alarms caused by dust accumulation.
The maintenance alert LEDs (per zone) warn of excessive dirt accumulation,
preventing false alarms.
• Detector sensitivity is automatically measured. The twice -yearly test require-
ments of NFPA 72 (7-3.2.1) are met without using a ladder or test meter.
• The wireless handheld sensitivity meter eliminates the need for voltmeters,
magnets, or a physical connection to the detector. The reader displays sensi-
tivity in terms of percent -per -foot obscuration and provides text status indica-
tion.
- The supervisory LED (per zone) provides a warning if a detector senses tem-
peratures approaching freezing.
Special test protocol and LED indication allow a quick test of all detectors
without a ladder.
Features
- Two Style B (Class B) Initiating Device
Circuits (IDCs).
- One Sloe Y (Class 9) Notification Appliance
Circuit (NAC).
- 24 VDC.
. NA C synchronization features.
- Provides synchronization of standard ANSI
audible signals as required by NFPA72
(3-8.4.1.2.3).
- Provides synchronization of ADA compliant
strobes per NFPA72 (44.4.1).
- Selectable for System Sensor, Wheelock,
and Gentex protocols.
- Selective Silence feature allows manual
silencing of homs while strobes continue to
flash on the same NAC.
. Silent orAudible Walk Test operation mode
commanded from the front keypad, with
automatic return to normal after one hour of
inactivity.
- Alarm verification selectable per zone.
. Each zone may be programmed for
supervisory or fire; each zone has separate
red and yellow LEDs.
. Disable switches provided for each zone.
. NACs programmable for Silence Inhibit, Auto
Silence, Strobe Synchronization, Selective
Silence (hom/strobe mute), Temporal or
Steady signal, Silenceable or
Nonsilenceable.
. Form-C Alarm and Trouble relays.
. 3.0 amps total usable current
. Optional dress panel (P/N DP -FLEX).
. Piezo sounder for alarm, trouble, supervisory,
and maintenance.
. Control buttons:ACK (Acknowledge), Alarm
Silence, Reset Walktest,
Zone EnablelDisable (one per zone).
. LED indicators: FireAlarm (one per zone),
Supervisory (one per zone), Trouble (one
per zone), Maintenance (one per zone),
AC Power, NAC Disable, Zone Disable,
NAC Fault System Trouble, Power Trouble,
Walktest, Alarm Silence, Earth Fault (on
circuit board), Battery Fault (on circuit board),
Charger Fault (on circuit board).
Listings
Listings and approvals below apply to the
basic Flex 402 panel. In some cases, certain
modules may not be listed by certain
approval agencies, or listing may be in
process. Consult factory for latest listing
status.
UL Listed: file S521.
CSFM approved: file 7165-1288-180.
MEA approved: file 366-04-E.
- Electronic heat -sensing element provides thermal detection in addition to pho-
toelectronic smoke detection.
A 150-Year Tradition
Flex 402 Two -Zone FACP CS-2402 09/01/06 Page 1 of 2
by Honeywell
ot
Backbox Mounting
The cabinet can be surface -mounted. The door is removable during installa-
tion by opening and lifting it off the hinges. The cabinet mounts using two
key slots at the top of the backbox and two additional 0.250" diameter holes
at the bottom.
Ordering Information
F402
Two -zone conventional FACR
BB-17F
Battery box, required to house two batteries greater than 7
AH, to a maximum of 18 AH.
DP -FLEX
Dress panel.
TR-1 A
Trim ring for semi -flush mounting.
52194
Flex 402 Installation and Maintenance Manual.
i3TM is a trademark and Gamewell@ is a registered trademark of Honeywell International Inc.
1. n
Gamewel
A ISO -Year Tradition
by Honeywell
Gamewell-FCI
12 Clintonville Road
Northford, CT 06472-1610
Phone: 203-484-7161
Fax: 203-484-7118
www.gamewell-fci.com
A Honeywell Company
C 2006 Gamewell-FCI
Specifications
AC power, TB8
120 VAC, 50/60 Hz, 2.3 A.
Wire size: minimum 14 AWG (2.0 MM2)
with 600 V insulation.
Battery (sealed lead -acid only), J8
Maximum charging circuit. normal flat
charge 27.6 VDC @ 0.8 A.
Maximum battery charger capacity:
18 AH battery. Two 7 AH batteries can
be housed in the FACP cabinet. Larger
batteries require a separate battery
box such as the BB-117F.
Initiating device circuits, TB3
AJarm zones 1&2. Power -limited circuitry.
Operation: all zones Style B (Class B).
Normal operating voltage: nominal 22
VDC. Alarm current 15 mA minimum.
Standby current 4 mA.
Short circuit current.- 40 mA maximum.
Maximum loop resistance: 100 ohms.
End -of -fine resistor., 4.7K ohm, 1/2
waft (P/N 71252).
Notification appliance circuits, TB2
One NAC on Flex 402. Power -limited
circuitry.
Normal operating voftage: nominal 24
VDC.
Maximum signaling current. 2.5 A total
with standard transform.
End -of -fine resistor: 4.7K ohm, 1/2
watt (P/N 71252).
Form-C relays
Trouble relay T135 (fail-safe). Alarm
relay TB6.
Contact ratings: 2.0 A @ 30 VAC
(resistive).
Auxiliary outputs
Resettable power, TBI
Power -limiting circuitry.
Operating voltage: nominal 24 VDC.
Maximum available current: 500 mA,
appropriate for powering four -wire
smoke detectors. Note: Total current
for resettable power and one NAC
must not exceed 3 A for the Flex 402.
Cabinet dimensions
Door 15.342" (38.97 cm) high x 14.677"
(37.28 cm) wide x 0.375" (0.95 cm)
deep. Backbox: 15.0" (38.10 cm) high
x 14.5" (36.83 cm) wide x 3.0" (7.62 cm)
deep.
Specifications and wiring information are provided for information only and are
believed to be accurate. GameweH-FCI assumes no responsibility for their use.
Data and design are subject to change without notice. Installation and wiring
instructions shipped with the product shall always be used for actual installation.
For more information, contact Gamewell-FC1.
Page 2 of 2 Flex 402 Two -Zone FACP CS-2402 09/01/06
@&I's-IT --I
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RE.: P.,w �S��L
1:� I iV - 114; tIx (41 f Tj 1-4422
FORE ALARM SYSTFEMS
(Omn� 8yotem pev Report)
Occupancy Hame. Norlh-v�t Foot �-,Xid �'u Oecupaney AddreGG: 21229 84th Ave VV, Edmonds
Smi3ding OvvneT: Phone KUMbor:
±� 2 i) 77�i- 1'415
OvvnGr Ageant; Kmal- Phone Murnbver, (425 - ';
Date of 5n5pootion; 03/tW2015 in�pecVon Type: v Arinuag Quanaey
yest2lra Moms: Kcn Do, SFU 0:?rVificn-flon Mumber: ��CP-T>OG2.23
P,,fionfti-ong: ACT Phone 4� fiCh-77-i2-71490 ACCOUntg' �M4�6150
FACP Manufacturer: Farajay modeg tI.: —4�,'2 Location' reception
V 07 MiMizing cgmulw: I ;� Oq Sionag CDvCU0W:-,2 -- 140205,
JQSLARM SYSTEM FUNCHOMALITY
Y0B
Ali notification r4ramito opeFavoneq?
All circults checked 9or4Aectr1W supervision?
�AH ammigiairy aquipmant opoplatos, (eleva4ova, fan.a. daMparctq?
mey W panc� avaflzibW
operzilbig ImMiC.U0110 CA Panrl?
Troub5e bndicatorn fumlion proj3wgV?
Test racord pozL-d c4 pz=5?
Sionags rersivanI at cantr&3 stzBon? Op-nwtor t�
Found:
Bv: Au
Corrections fflade: Date Corrected: SFD -CorMcation
eA-44e,- - A)
CX)
This ceMNea that tWz Vim and 95fe safeRy sysRsm hnnis been properly Inspec2ed ?or m0labtlft
to eavor tho ilom-- I �Stvd Inthis ropavt and is cansi13.terit vAth SQWWo Fire Dopar2m�mt FIro
Coda zRandaircls, and that dleclrepanCiez3 ave noted and heve been reported to the building
owngrMlaflaqw. ?or Congr-q- Dflilre OCU
ftnatuva o2 Tcz;ter: — Z' --
Signatum of Owner: 0
SYSTEM DEVICES MODEL $P
TOTAL TESTED
SA"SFACTORY'?
HorniStrobes CA ?+H.t�*
Stvobo Only
Horn Only
F
Speaker Orly
SOUnder Base
65115
rinnual PkAls NIS-6
I Photo Smoka Datoctors H(X-HIKI SL(3-24F.%L
ion Srnolz;c) Dotcctorr,
1135' Rmts of Rise Hoat F(l FL�135-
2000 Rate of Rise Heat
351 FxGd Temp Haot
200* Flnod emp meet
Detector Romoto Indicators
Remoto Annunciatom
Elavalor Roca!] Output
Fan Pressurization
Daor Holdors,
Door Unlock
CurlainslRofl-dawn Doors
Fire Fightor Phones
l4aln FACP 1,
TrOU hie, With AC off?
NO
Bnttery backup openotional?
Nn I
Sattiary voltagfl (no Road)
volm
Battery vcAtage (fu'l load)
77, 0
Baftery Size
7 0
Panf-4 Type:
TrvuWewith AC uH-?
Yw, No
E�attory backup opvrationJ-7
Yus No
Gattiary voitago (no loacl)
vofts
Battery voiiago (full load)
Cht-irgv CIFCUlt V01=91D
Vohs
Battery S !me
Panel pe,-
. . ..... ......
T.,aubC= with AC aff?
Batte7y backup oper,-,,4oma§?
—1f.-S Fla I
Rattery voltage (ma fond)
vaits
Gattory valiagm (t`uU lozd)
Charge circuht voRt--ga
velts
Gattr-,ry Size
PanelType;
TroubPe with AV tiff?
vet3 9140
Rmwry bmckup oporntional?
yv& No
Battery voftago (no Boad)
volta
ory vveaagiu (Ml lood)
vdis
Oh,wam clrcmh vcglzigo,
vot's
Bottary Gizu
IL ib
19073 36*Av. Ut Cmt@ E, L)U�MacA WASIM36 U C-A
1425) 771-1 MG Fie: �43J) 771-44 11
Occupancy I ame:
Building Owner
Owner Agent:
Certification Giyen
RED
FYELLOW V
I WHI
CONFIDENCE TEST V
REPAIRS
FIRE ALARM SYSTEMS
(One System per Report)
N-W road A Anuc Occupancy Address: 21228 64th Ava W. Edmarnb
Northwe*t Faw and Ankle Clirde Phone Number. (4251773- 005
Phone Number. (425) 775-ISOS
Date of Inspection: 024812014 Inspection Type: ( Annual Quarterly
Testers Name: -Ki.-n Day SFD Certification Numben SCP-'1> C�- 2;�
Monitoring: Art
Phone #: 18W752-2490
FACP Manufacturer-.11ra&Y Modal#: 832
# of Initiating Circuits: I # of Signal Circuits:
Account t. 50',6350
LocationL.aLwckrion
Notes:
ALARM SYSTEM FUNCMONALITY
yeg
No
NIA
AN notification circuits oparational?
V0,
AN circuits chocked for electrical supervision?
AN auxiliary equipment operates (davators, fans, dampers)?
Kayto panel avallame?
a perating Instructions at panel?
Trouble indicators function properly?
Test record posted at panel?
Signals received at central station? Operator 8_
T�
F"F
Corrections Made:
Date Coffected:
Corrected
SFD Certificiation
We cerdfles that this fire and life safety system has been properly Inspezted for reliability
to cover the Items Noted in this report and is consistent with Seattle Fire Department Fire
Code standards, and that discr=epanct noted and have been reported to the building
Ownerffillanager for corrqcdve 077
Signature of Tedar:.
Signature at Owner;
Phone #: -2,04, -3 -57(o zl(,o 3
SYSTEM DEACES
MODEL#
TOTAL
TESTED
SA-nSFACTORY?
Yes
No
NA
HomiStrobas
ROCKM AL-NIH-24
Strobe Only
Ham Only
4
)e
SpeakeriStrabes
Speaker Orly
Sounder Base
Bells
Manuel PLdla
Fri \4%.6
2
Photo Smoke Detectors
lif)CHIKI N'U"v24F &I Ra
Ion Smoke Detectors
Combination SmakelHeat
135" Rate of Rea Heat
VC1 FL-135
I
200' Rate of Fdso Heat
)<
I W Fixed Tamp Heat
20W Fixed Temp Had
2
Ouct Smoke Detectors
Detector PArnots Ind cators
y
Remote Annunciators
IN P NNFT.
y
Savator Recall Output
Fan Pressurization
Door Holders
Door Unlock
Curtaineff4oll-down Doom
rF—Ire Fighter Phones
Nbin FACP
Trouble with AC off?
No
Battery backup operational?
69 NO
Battery voltage in* load)
P;3�� volts
Battery voltage ffLA load)
2--"Volts
Charge circLit voltage
—2—volts
Battery Size
Panel Tvpa:
Trouble vft Ar- off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage fYLd load)
volts
Charge circuit voltage
volts
Battery 6120
Panel Tvpe: (aolv ) -Panel Tvpe:
Trouble with AC oM
Yes No
Battery backup operadonal7
Yes No
Elattery voltage (no lead)
volts
&Mary voltage ILA load)
Vohs
Charge circuit voltage
volts
Battery Size
Trouble with AC aM
Yes No
Betery backup operational?
Yes No
Battery voltage Ina load)
volts
Beftery voltage (full load)
volts
Chugs circuit v�ltaqs
volts
Battery Size
.............
�i kxi 0.X", . ...... .
VW
X
wu— Rol
19023 3& Ave W, SaUz E, Lymmood, WA 96036 U.S.A.
(425) 771 -11 M Fax (42.5) 771-442 2 * . .... ...
--*.1WjMW..V.. .--j
Ocx.upanc;y Name:
Building Owner
Owner Agent:
Certification GIVeh
RED YELLOW I WHITE
CONFIDENcE TEST I V
I
FIRE ALARM SYSTEMS
(One System per Report)
NW Foot & AnIrlo Occupancy Address: 21229 840) Ave W, Edt)londs
Norftw*t 1p(.Ujt anti A.WQ CUBIC lahnnia N"rnhftra (42 775-1.101
Date of Inspection: 10/26M 12
Testers Name: kyj
Phone Number: (425) 775-1505
Inspection Type: V Annual Quarterly
SFD Certification Number: SCP-�Dpt' zz:�'
Account #: 505-6350
Location: By RwVtian
# of Initiating Circuits: I # of Signal Circuits: 2 Notes:
Monitoring: ACT
Phone#: 1800-752-2490
FACP Manufacturer: Fuiiday Model #: 952
ALARM SYSTEM FUNCTIONALITY
Yes
No
N/A
All notification circuits operational?
All circuits checked for electrical supervision?
All auxiliary equipment operates (elevators, fans, dampers)?
Key to panel available7
operating instructions at panel?
Trouble indicators function properly?
Test record posted at panel?
Signals received at central station? Operator
Problems Found:
Corrected By:
Corrections Made: Date Corrected: SFD Certification 4:
AJ&Al-(
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 Seattle Fire Department Fire
Code standards, and th di and have been reported to the building
rViscrep!,"VeS,4re noted
Owner/Manager for W tive apuion. , -
Signature of Tester;'�U, Phone M -cA -?5k �/h
8 i g n at u re of Ow n e r "C. " M-7�lqel—
SYSTEM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
yes
No
N/A
Ham/Strobes
IIUCIIIKI ALAIII-24
Strobe Only
Ham Only
4
gpoakoF/Strobo#
speaker only
Sounder Base
Bells
Manual Pulls
FCT M9-6
2
Photo Smoke Detectors
ROCIUKI %L("x-24F & I Ra
5
Ion Smoke Detectors
Combination Smoke/Heat
135* Rate of Rise Heat
FCI FT,- 135
1
2009 Rate of Rise Heat
135* Fixed Temp Heat
20011 Fixed Temp Heat
2
Duct Smoke Detectors
Detector Remote Indioators
Remote Annunciators
IN PANFI.
Elevator Recall Output
Fan Pressurization
Y
Door Holders
Door Unlock
Curtains/Rall-down Doors
X
Fire Fighter Phones
IV I
Main FACP
Trouble with AC off?
No
Battery backup operational?
a No
Battery voltage (no load)
U.L volts
Battery voltage (full load)
5i� volts
Charge circuit voltage
-volts
Battery Size
Panel Tvm: I
Trouble with AC off?
Yes No
Battery bacWp operationaI7
Yes No
Battery voltage (no load)
Volta
7attery voltage (full load)
volts
Charge circuit voltage
volts
Battery Size
PanelType:
Trouble with Ac off?
Yet No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery size
PanalType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battwj voltage (no load)
volts
Battory Vdtaga (full load)
volts
Charge circuit voltage
volts
Battery Size
SNOHOMISH CC
FIRE
DIST
Serving Brier, Edmonds
Mbuntlak,� Terr6c'eand
the Town of Woodway
www.FireDistrictl.org
LOCATION:
21229 84th Avenue
BUSINESS NAME:
Northwest Foot And Ankle
MAILING
21229 84th Ave W
ADDRESS:
Edmonds
BUSINESS OWNER:
'Kuzel, Mark"
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED: \7
NAME OF INSPECTOR:
i
FIRE FA 'Ift
SYSTEMS:
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORT
Ev�i-�ft,'WA 98208
0 EDMONDS
0 BRIER
Phone (425) 551-1200
E]WOODWAY
[I MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
W A&B
PHONE: 4257751505
98026
HOMEPHONE: 4253384628
HOMEPHONE: 4257745458
HOME PHONE:
FREQUENCY
STATION & SHIFF**�
730
16 C
I
SCHEDULED
DATE DUE 1' 06/01,112
LIFIR 0 593
6156
AC-71VE
CURRENT
CITY YES NO
BUSINESS
LICENSE El El
INITIAL INSPECTION DATE
FE -71 i-L
ANNUAL
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:
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
18
4
8
DATE:
DISPOSITION:
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
CITY OF EDMONDS
'FIRE PREVENTION
SAFETY SURVEY
FREQUENCY
STATION 1, SHIFT
LOCATION:
21229 84th Avenue
W A&B
730
16 A
BUSINESS NAME:
Northwest Foot And Ankle
PHONE:
4257751505
SCHEDULED
DATE DUE 0 06/01/10
MAILING
21229 84th Ave W #6
FIR 0 593 6156
�u
ADDRESS:
Edmonds
980i6
BUSINESS OWNER:
'Kuzel, Mark"
HOMEPHONE:
4253384628
AC-nVE
EMERGENCY-1:
MacDonald, Susan
HOME PHONE
�4, 2p 7,74, 5458
KEY ACCESS-2:
HOME PHONE:
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE FA 10/07
FE
SYSTEMS:
—1
ANN-UAL.
HAZARDS FOUND AND LOCATIONS / COMM
,,�UNICATIONS
1 k" 7- r e2 -,..r —
ENTER GODEONLY ONCE 0,
4
VIOLATION CODE
2 ZZ�, 44 x/-,
&41
2
S1
3 _WA�J
3
4
4
5
5
— - - - ------------
6
6
7
7
8
8
1 St kt-INSPEcTi6N
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE-INSPECTIO14
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE;
DATE:
3
IONS
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
18
DATE:
DISPOSITION:
8 10
�, LETTER NEEDED [] YES N
TTER NEEDED [] YES
FIRE DEPARTMENT COPY
0071"NUMM IN
FIRE DEPARTMENT NOTIFICATION
360-456-1441
360-438-4245 FAx
Date: 6/2/2010
Alarm Center Contact Person Manamc
Alarm Install/Service Company Absco Alanns, 1k.
phoue # 425-771-1166 fax # 14257714422
I
Customer
Name N W Foot & A nkle U i n ic
Customer Address *01,1229 84th Ave W
City FAInionds
state WA
Postcode 98026
pholle 0 425-775-1505
Contact Person Absco Alanns An -,Svc
Comments Missul Daily Communication Test.
—,C
0 CPrL./C-(1("(,) / I P, S
WC)f-V(6-[1,VL, &AI F1w6C-m,7--^-
IUC,
ID
4
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