21300 HWY 99_2 (2)[Z-13-00---1-1X6,qQ-ay-
f
Evergreen Fire and Safety Inc.
3618 164th St SW
Lynnwood, WA 98087-7016
425-742-5668
Bill To
MAGIC TOYOTA SCION
21300 HWY 99
EDMONDS, WA. 98026
Invoice
Date
Invoice #
11/15/2016
78975
Ship To
21300 HWY. 99 NEW CARS
7029 212TH ST SW MAIN SHOP
2 1000 HWY. 99 USED CARS
KEVIN NELSON
206-793-3086
COV
G
P.O. No.
Terms
Due Date
Rep
Ship Via
FOS
Work Order #
VERBAL
NET 20
12/5/20116
RYAN
OURTRUCK
63913
Item
Qty
Ship
Description
Rate
Amount
TRUCK AND TRAVEL. THREE LOCATIONS
39.50
39.50T
21300 HWY. 99 NEW CARS
AC
19
FIRE EXTINGUISHER ANNUAL
5.75
109.25T
CERTIFICATION PER CODE.
5DCI-I
2
5 LB DRY 12 YEAR HYDRO TEST/MAINT./
26.75
53.50T
CERT.
7029 212TH ST SW MAIN SHOP
AC
6
FIRE EXTINGUISHER ANNUAL
5.75
34.50T
CERTIFICATION PER CODE.
5DCR
1
5 LB DRY RECHARGED/CERT.
18.50
18.50T
21000HWY.99 USEDCARS
AC
16
FIRE EXTINGUISHER ANNUAL
5.75
92,OOT
CERTIFICATION PER CODE.
API
ALL PARTS INCLUDED,
0.00
O.00T
ORDER COMPLETE. THANK YOU!
Subtotal $347.25
A 1.5% per month late charge will be billed on all past due accounts. Please pay from this
invoice.
Sales Tax (9.8%) $34.03
Total $381.28
Balance Due $381.28
__7
Serving Brier, Edmonds, and 12425 Meridian Ave S
SNOHONIISH CO.
F1Mowitlake Terrace Everett, WA 98208
Phone (425) 551-1200
T www.FireDistrict].org Fax (425) 551-1272
'LOCATION:21300 Highway99 98026
BUSINESS NAME: Magic Toyota Sales PHONE: 4257754422'
1 4
MAILING
ADDRESS:21300 Highway 99, Edmonds, WA 9802E
BUSINESS OWNER: Broadus, David
EMERGENCY-0elson, Kevin
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF'INSPECTOR: 14
FIRE SYSTEMS: FE 7/15
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
HOME PHONE:
HOME PHONE: 2067933006
HOME PHONE:
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DISPOSITION
4 8 4 8 DATE:
LETTERNEEDED YES NO LETTER NEEDED 'Ej' YES NO
8
Serving Brier, Edmonds, and 12425 Meridian Ave S
11SH CO
SNOHONEM
Mountlake, Terrace Everett, WA 98208
F11
Phone (425) 551-1200
D I ct, njm.R TI Rv#9%FVD93trAW26r9 Fax (425) 551-1272
LOCATION: Magic Toyota Parking Garage
'4�, 425;
lKI KI LA
FIRE'PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUEN 61YION & SHIFJT+
44-22 CyAn[i a
:HEDULED Sep 20161
DATE DUE I"
Duo too A L;: 1.310 Highway 99, Edmonds, WA 98026
MAILING UFIR k
ADDRESS:
Magic Toyota
BUSINESS OWNER:
HOME PHONE:
425745,
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HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
EMAIL:
r PERUATAM&.:
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DATE DUE.
DATE DUE.
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DATE DUE: CITED:
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CITATION ISSUED
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Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
,U'EDMONDS
IEBRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 21300 Highway 99 98026
Annual
16-A
BUSINESS NAME: Magic Toyota Sales
PHONE:
4257754422
SCHEDULED
DATE DUE I` Sep 2015
MAILING
LIFIR 0 556
ADDRESS: 21300 Highway 99, Edmonds, WA 98026
BUSIN ESS OWNER: Broadus, David
HOME PHONE:
EMERGENCy_1:A�_V,,,,) ZoG - 31C�6
HOME PHONE:
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
F-I
EMAIL:
LICENSE
PERSON CONTACTED: &Z
INITIAL INSRECTIO DATE
NAME OF INSPECTOR:
��*567(—
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FIRE SYSTEMS: FE 7/14
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
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4
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6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of allbusinesses 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
w ith 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 violation.
If you require additional information or to schedule a re -inspection for Edmonds, call- (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
Serving Brib; Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
0 EDMONDS
FIRE
Mountlake Terrace
Everett, WA 98208
0 BRIER
Phone (425) 551-1200
El MOUNTLAKE TERRACE
DISTiik1140*rT.
*ww.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT-'
LOCATION:
213M Hiqhway 20 92026
Annual
16-D
BUSINESS NAME:
Magic I uVatia Sa Lt-�
PHONE: 4257754421
SCHEDULED cp 2014
DATE DUE 1' S
MAILING
UFIR 0
ADDRESS:
21300 1 lighway M, Ldrymrk&,VVA 6802E
BUSINESS OWNER:
Emadus., Da,,Ad
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS�-2:
HOME PHONE:
CITY YES NO
BUSINESS -1
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LICENSE
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FE 7113
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EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
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FIRE DEPARTMENT COPY
1 0 117 )
Serving Brier, Edmonds 12425 Meridian Ave S
SNOHOMISH CO.
M-ountlake Terraceand Everett, WA 98208
F1 the Town of Woodway, Phone (425) 551-1200
STU Twww.FireDistrictl.org Fax (425) 551-1272
LOCATIONq 21300 Highway 99 98026
BUSINESS NAME: Magic Toyota Sales PHONE: 425775442,
MAILING
ADDRESS: 21300 Highway 99, Edmonds, WA 98026
BUSINESS OWNER: Broadus, David �-O&- 745 H04 PHONE:
Email:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME'OF INSPECTOR:
FIRE SYSTEMS:
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FE '7 1 1 *5 FD Lk Box
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
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e-FREQUENCY STATION & SHIFT
Annual 16-C
SCHEDULED Sep
DATE DUE
UFIR 428
CURRENT
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YES NO
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LICENSE
INITIAL INSPECTION DATE
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1st RE -INSPECTION
2nd RE -INSPECTION
-
Ex TENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
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CONTACTED:
CONTACTED:
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INSPECTOR:
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DATE:
DATE:
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VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
4
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LETTER SENT
NUMBER:
CODE
5
2
6
2
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DATE:
SECTION:
RETURN RECEIPT
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RECEIVED
DISPOSITION:
7
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4
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DATE:
LEE =,[] YES F-1 No
LETTER NEEDED [] YES NO
1
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FIRE DEPARTMENT COPY
Kevin Zweber
;;, . on
From: Kevin Zweber
Sent: Friday, February 07, 2014 7:53 AM
To: 'tracie@magictoyota.com'
Subject: Fire Inspection
Tracie,
Thanks for calling earlier this week. I stopped by Magic Toyota on 1/31/14 to check on the issues that were noted
during a fire inspection that was conducted in late September 2013.
Noted on the inspection was the extensive use of extension cords in the place of permanent wiring (specifically: sales
desk, key making desk, parts storage area and shipping desk near meter machine). The fire code only allows the use of
extension cords on a temporary basis, which is defined at 90 days. The reason for this is the potential heating and
overloading of extension cords and the fire hazards created. One specific note was that an extension cord was being
used for an air compressor. This has high potential for fire in that compressors draw a lot of power. The fire code also
states that "power taps" also known as strip cords must be plugged directly into a receptacle, meaning they can't be
plugged into each other to create more plugs.
One other note on the inspection was the need to replace some missing ceiling tiles in the storage room. This is a
maintenance issue but is important to stop the spread of smoke and heat in the event of fire.
Sometimes these issues require an electrician to wire additional receptacles and other times it just a matter of moving
things to negate the need for extension cords.
I also wanted to express my appreciation for the timely certification of your Fire Alarm System, Automatic Sprinkler
System and Fire Extinguishers.
Your attention to this matter is greatly appreciated. If you have further questions don't hesitate to contact me. Please
inform me when these issue are taken care of.
Thanks,
Kevin Zweber, CH
Captain/Deputy Fire Marshal
Fire Prevention Services
Snohomish County Fire District #1/
City of Edrhonds
Office 425-775-7720
Fax 425-775-7721
SNOHOMISH CO. Serv,ing Brier, Ednionds
FIREMountlake Terraceand
the Town of Woodway
D I S T. R., f*`w 0:,Twww.FireDistrict1.org
LOCATION: 21300 Highway 99
BUSINESS NAME: Magic Toyota Sales
MAILING 213OLI Highway 99
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257754422
Edmonds 98026
BUSINESS OWNER: Inxs Inc. HOMEPHONE: 4257454422
EMERGENCY-1: ' "Broadus, David 6' HOMEPHONE: 4256708920
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
RRE
SYSTEMS:
FIRE PREVENTION
INSPECTION REPORT'
EDMONDS
0 BRIER
WOODWAY
MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION &'SHIF7-"I
366 16 6
SCHEDULED
DATE DUE 11' 09/01/12
UFIR II, ' 574 9157
ACTIVE
"-CURRENT
CITY
YES NO
BUSINESS
L 1-1
LICENSE
INITIAL INSPECTION DATE
-B6 --
I Z_
FE
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:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
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:
LETTER NEEDED E] YES F-1 NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
13
Emerald' Tire
Fire Spfinkler Specialists -
11021 Cramer Rd. KPN - Gig Harbor, WA 98329
Office (253) 857-2056 - Fax (253) 857-2312 - Local 699 Contractor
AUTOMATIC SPRINKLER SYSTEMS
(One System per Report)
xf�00 NWY. Tf
Occupancy Address:.- E.(.AAot.,J_s 166, 9M Occupancy Name
Responsible Perso
Phone Number:
X
Building Owner: Phone Number:
Date of Inspection: 2:2,.X-12 Type of Inspection: Quarterly F� Annual VOther
Testers Name (Please Print):.
WAStateFSCC# 0633-IT-051-809
DRY SYSTEM/PRE-ACTION SYSTEM:
1. Trip test (dry trip o42P conducted: .................................................. Yes D44 No
System tripped in 4f k seconds.
2. All flow switches, supervisory switches and alarm bells tested: ..................... Yes V No E] N/A E]
3. Alarm bell operates: .............................................................................. Yes'V No E] N/A Ej
4. Flow tests conducted: ........................................................................... Yes 5?( No F-1
Flow pressure: TO psi 2-inch drain? ....................................... Yes V No F-1
5. Systems inspected and lubricated: .......................................................... Yes U?" No F� N/A F�
6. Air compressor refills system in 30 minutes: ............................................... Yes [!� No R
7. System drained and restored to normal operation: ..................................... Yes P�' No E]
8. Were the heat actuation devices tested on pre -action and deluge system? ..... Yes[] NoEl' N/Am,
WET SYSTEM/ANTI-FREEZE SYSTIEW.Tested a
1. Trip test conducted: ........................... .......................... ... . ... Yes
'E T
e
s-te
Static pressure: p s 7
—psi Flow pres re: _,,psi 2 inch drain? ....... Yes
2. Flow switches, supervisory sw ch d alar ells tested: ..................... Yes E]
3. Alarm bell operates: ........................ ... YesE]
4. Systems inspected and lubrica
.......................................................... Yes R
No E]
No El N/A El
No E] N/A El
No E] N/A Ej
Non
5.. Pressure regulating valveVd�stecl: ............................................................ Yes El No E] N/A Ej
AUTOMATIC SPRINKLER SYSTEMS (continued)
General:
1 Central Station Monitoring? ........................................................................... Yes Q( NoF
Monitoring company name
2. Location of Sprinklers
100% ......... V Parking ......... Ej Basement ......... E] Hallways ......... E] Other ......... El
3. Pumper connections and clapper valves unobstructed ....................................... Yes d No F
4. Sprinkler heads less than 50 years old ............................................................. Yes R( No Ej
5. Sprinkler coverage is acceptable .....................................................................
6. - Spare sprinkler heads are available ..................................................................
7. Systems left in service ..................................................................................
8. Valves are sealed or supervised .......................................................................
9. Signs are provided on valves .........................................................................
10. City static water pressure psi.
Problems Found:
140 &V
Yes[�( No-Fj
Yes No F�
Yes No F-1
Yes No M
Yes I/ No F-1
Corrections Made: Date Corrected: 77:2,-j-1 Corrected By: 7:;�
b ny� Lo4 i2ien�t je i V avw.,� -rWW, crj--k 'P,
-z- -AG Nr�,� tocj< 4,0 pt y
SIGNATURE OF TESTER:
AGENCY -
PHONE: 253-857-2056
MAILING ADDRESS: 11021 Cramer Road KPN, Gig Harbor, WA 98329
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the. following information:
Name of Company (DBA):
Magic Toyota - Hwy 99
Edmonds Location :
21300 Highway 99
In conformity with the
terms of the International
Fire Code, application is
Storage and handling of class 1,11 and III flammabie
hereby made to store, use
and/or combustible liquids, compressed gases, repair
or maintain the following
garage, and welding operation.
activity, storage or pro-
cesses:
Mailing Address:
21300 Highway 99
Edmonds, WA 98026
EFD UFIR #:
(for office use)
5730000913157
Your Signature
Your Name (print)
Your Title
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Z4 _Z�- .1 117-,
Check#
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FIRE PREVENTION
Serving Briet: Edmonds
1_2425 Meridian A�e' S
INSPECTION REPORT
CO.
It,
0 EDMONDS
FIRRSNOHOMISH
'
Mountlake Terrace, and
Everett, W� 9-8208..
0 BRIER
the Town of Woodway
Phone (425) 551-1200
E]WOODWAY
DISTRI
T
[] MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT
L6pATiON:
21310 Highway 99
365
16 A
BUSINESS NAME:
Magic Toyota Parking Garage,
PHONE: 4257754422
SCHEDULED
DATEDUE 1' 09/01/11
MAILING
21300 Hwy 99
LIFIR � 882 9157
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
MagiCToyota
HOME -PHONE: 4257454422
ACTIVE
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DAfE
NAME OF INSPECTOR:
q/ 7// / I
FIRE FS 5.110 FA 5110 Fb LkI3x
FE-'3 ///
SYSTEMS:
A�_NUCL
HAZARDS FJOUND AND LOCAT ONS COMMUNICATION
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:
IN PECTOR:
INSPECTOR:
2
DATE:
2 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
7
RETURN RECEIPT
RECEIVED
6
4
8
4
.8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El NO
LETTERNEEDED [] YES NO
F
8
FIRE DEPARTMENT COPY
In
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 21300 Highway 99
BUSINESS NAME: Magic Toyota Sales
MAILING 21300 Highway 99
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257754422
ADDRESS: Edmonds 98026
BUSINESS OWNER: Inxs Inc. HOMEPHONE: 4257454422
EMERGENCY- 1: ' "Broadus, David 13" HOME PHONE: 4256708920,
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
366
16 D
SCHEDULED
09101/10
DATE DUE 01
LIFIR o 574
9157
ACTIVE
r- INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FE12_1
_L.�5
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 0
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
',DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
P�RSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
12
DATE,
DATE'
DATE,
3
VIOLATIONS
5
VIOLATIONS
1— 15
PRE -CITATION
LETTER SENT
CITATION ISSUED
4
6
2
6
DATE:
_NUMB_ER:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
1 8
� LETTER NEEDED E] YES N
[_�TTER NEEDED E-1 YES NO
In FIRE DEPARTMENT COPY
;i
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
MAR I b PAID
EDMONDS FIRE DEPT.
Name of Company; DBA
Magic Toyota - Hwy 99
Edmonds Location
21300 Highway 99
In conformity with the terms of
Storage and handling of class 1,11 and III flammable and/or
the International Fire Code,
combustible liquids, compressed gases, repair garage, and
application is hereby made to
welding operation.
store, use or maintain the
following activity, storage or
processes:
Mailing Address:
21300 Highway 99
Edmonds WA 98026
EFID LIFIR #:
5730000913157
(for office use)
Your Signature
YourName(print)
Your Title
F7-Ft CG- eA Ak)Ntx&/?_'
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121-5 1h Avenue North
Edmonds, WA 98020
i
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 573-000-0913-157 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I Magic Toyota - Hwy 99 . I :
I located at: 121300 Highway 99 1 Edmonds, WA . I
To engage in the business, occupation or pr cess of: T-
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Storage and handling of class 1,11 and III flammable and/or combustible liquids,
compressed gases, repair garage, and welding operation.
Allowed Occupant Load:
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
Emerald Pire
Fire Sprinkler Specialists
11021 Cramer Rd. KPN - Gig Harbor, WA 98329
Office (253) 857-2056 - Fax (253) 857-2312 - Local 699 Contractor
Occupancy Address:
Responsible Person:
Building Owner:
AUTOMATIC SPRINKLER SYSTEMS
(One System per Report)
Occupancy Name: C -, re CA_
Phone Number:
Phone N umber:
Date of Inspection: -(0 — Type of Inspection: Quarterly E] Annual [P Other F-1
Testers Name (Please Pri
WAStateFSCC# 0633-IT-05180 I
DRY SYSTEM/PIRE-ACTION SYSTEM:
1
Trip test Ka�or full flow) conducted: .............. ...... I ...............................
Yes
No F]
System tripped in seconds.
2.
All flow switches, supervisor'y switches and alarm bells tested: .....................
Yes
No E]
N/A
3.
Alarm bell operates: .............................................................................
Yes 1P
Non
N/A El
4.
Flow tests conducted: ...........................................................................
Yes
Non
Flow pressure: ? -0 psi 2-inch drain? .......................................
Yes
No E]
5.
Systems inspected and lubricated: ..........................................................
Yes
No E]
N/A Ej
6.
Air compressor refills system in 30 minutes: ..............................................
Yes
No E]
7.
System drained and restored to normal operation: .....................................
Yes S�
Non
8.
Were the heat actuation devices tested on pre -action and deluge system? .....
Yes E]
No n
N/AK
WET SYSTEM/ANTI-FREEZE SYSTEM: Telte'd at
1. Trip test conducted: ........................................................ .................. Yes E] No E]
Static pressure: psi w ressure: si 2 inch drain? ....... Yes F-1 No E] N/A E]
2. Flow switches, supervisory wit esandal ells tested: ..................... Yes Ej No F] N/A E]
3. Alarm bell operates: ................... ........... .... ....................................... Yes E] No n N/A F]
4. Systems inspected and lubri >ted: .......... . ....... Yes F-1 No Ej
5. Pressure regulating>tafves tested: ........................................................... Yes E] No E] N/A E]
AUTOMATIC SPRINKLER SYSTEMS (continued)
General:
I
Central Station Monitoring? ..........................................................................
Yes ge
No El
Monitoring company name F_W__J�
2.
� Location of Sprinklers
100% ......... g� Parking ......... E] Basement ......... E] Hallways ......... El Other...
3.
Pumper connections and clapper valves unobstructed .......................................
Yes
No
4.
Sprinkler heads less than 50 years old .............................................................
Yes
No
5.
Sprinkler coverage is acceptable ....................................................................
Yes
No
6.
Spare sprinkler heads are available .................................................................
Yes
No E]
7.
Systems left in service ..................................................................................
Yes E�
No E]
8.
Valves are sealed or supervised ......................................................................
Yes [g
No E]
9..
Signs are provided on valves .........................................................................
Y
No E]
10.
City static water pressure -psi.
Problems Found:
/1/0
Corrections Made: Date Corrected: Corrected By:
SIGNATURE OF TESTER:
AGENCY: Emerald Fire PHONE: 253-857-2056
MAILING ADDRESS: 11021 Cramer Road KPN, Gig Harbor, WA 98329
L-FIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06000177 Exposure: 0 Incident Date: 4 '1 71
�L�006
Jurisdictional Station: 16 Location Type: Street address
Address: 21300 99 HWY
City: Edmonds State: WA Zip: 98026
Incident Type: Chemical spill or leak
Shift: B Alarms: 1 Grid: EF157N
Aid Type: None
Alarm Time: 06:15:08 1/17/2006
Arrival Time: .06:21:36 1/17/2006
Last Unit Cleared Time: 06:53:34 1/17/2006
Actions Taken: Investigate
Hazmat detection, monitoring, sampling, & analysis
Remove hazard
HazMat Released: None
Property Value: 0 Contents Value: 0
Property Loss: 0 Contents Loss: 0
Fire Service Deaths: 0 Civilian Deaths: 0
Fire Service Injuries: 0 Civilian Injuries: 0
Detector:
Officer In Charge: STEVEN NESS Assignment: Command
Mixed Property Use: Not mixed use
Property Use: Motor vehicle or boat sales, services, repair
we6FIRS
Fire Incident Report
Edmonds Fire Department 1.
Incident Number: EF06000177 Exposure: 0 Incident Date: 1/17/2006
Apparatus and Personnel
Apparatus ID Personnel ID('s)
E14 LF0522 LF0807 LF1471
E16 EF1354 EF1126 EF0510 EF2267
i.
a.
we,6FIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06000177 Exposure: 0 Incident Date: 1/17/2006
Narrative
Engine 16 and Engine 14 were dispatched to a reported natural gas leak at the Toyota
dealership at 21300 Hwy 99. Upon arrival, we met with an employee who stated that she went
in to work and smelled a bad smell she thought was natural gas. She further stated that it was
the strongest in the service area. We made entry with a gas monitor and immediately noted
the smell of Hydrogen Sulfide gas( rotten eggs). The crew donned their SCBA and continued in
with monitoring. They found 7-10 pprn H2S in the general repair area. I instructed E14 to take
a secondary reading with their PID monitor which confirmed the presence of H2S gas. We then
began a search for the source. E14 located a vehicle with a battery charger on that did not
turn off by the timer and had been charging at 20 amps all night. The battery was vigerously
off-gasing H2S. They monitored a level of fooppm of H2S( IDLH) in that area. We then
disconnected the charger and opened all the doors and began to ventilate the structure. The
remainder of E16 crew took the gas monitor and checked the rest of the building and found no
traces of F12S. After about 15 minutes, we rechecked and found Oppm H2S in the service area
with a spot check right at the battery giving 2ppm. The PEL of H2S is loppm. With that result,
I instructed the staff that reentry was OK and to leave the doors open for a little while longer
to get the odor fully evacuated from the building. By this time, the battery had stopped
off-gasing and there was no further production of gas. All units returned to service.
Lt STEVEN NESS
01/17/06 07:09:00 PRINT REQUESTED BY TERMINAL EFPC23
Incident History for: #EF06000177
Case Numbers: $EF06000217 $LF06000326 $S206001079
Entered 01/17/06 06:14:55 BY SCPC07 SC741
Dispatched 01/17/06 06:15:08 BY SCPC06 SC733
Enroute 01/17/06 06:17:59
Onscene 01/17/06 06:21:36
Closed 01/17/06 06:53:34
Initial Type: NGASIC Initial Alarm Level: 1 Final Alarm Level: 1
Final Type: NGASIC (NATL GAS LEAK/ODOR-COMML STRUC) Pri: 1 Dispo:
Police BLK: E009 Fire BLK: EF157N Map Page: 455B-6 Group: EF1 Beat: EF16 S
Loc: 21300 HWY 99 EDM -- MAGIC TOYOTA btwn 212 ST SW & 216 ST SW (V)
Loc Info:
Name: DEBBIE/EMP
/0614 (SC741 ENTRY
/0615 (SC733 DISP
/0615
/0615
E16
$ASNCAS E16
ASST E14
/0615
$ASNCAS
E14
/0615
ASST
TAC21
/0615
$ASNCAS
TAC21
/0617
ENROUT
E16
/0618
AIQ
TAC21
/0618
ENROUT
E14
/0621
ONSCNE
E16
/0621
ONSCNE
E14
/0653 (SC741
AOR
E16
/0653
AOR
E14
/0653
CLOSE
E14
Addr:
Phone: 4259318090
,ODOR OF NAT GAS INSIDE COM STRUCTURE
#EF1354 NESS, STEVEN - RESCUE TECH
#EF1126 SOUCY,JOSEPH HAZMAT TECH
#EF0510 MARTIN, JAMES
#EF2267 TIMM, ERIC - PARAMEDIC
$EF06000217
#LF0522 OGURKOW,CD -LT/HAZMAT
#LF0807 MILLER, KEVIN -HAZMAT TECH
#LF1471 WARNER, JACK
$LF06000326
$S206001079
2 ST MAS AUTO DEALERSHIP EMPL STANDING OUTSIDE
NVI
)5/07/96 11:23:26 PRINT REQUESTED BY TERMINAL EFT001
Incident History
for:
#EF96000869 Xref: #EP96009110
Case Numbers:
$EF96001129 $LF96001550
Received
05/03/96
06:28:07 BY SCT001 SC729
Entered
05/03/96
06:29:02 BY SCT001 SC729
Dispatched
05/03/96
06:�9:36 BY SCT004-SC728
Enroute
05/03/96
06:32:12
Onscene
05/03/96
06:35:17
Closed
05/03/96
07:40:48
Initial Type: COMFIR Initia.1 Alarm Level:*.l Final Al arm Level
Final Type: COMFIR (COMMERCIAL STRUCTURE FIRE) Pri: I D.ispo:
Police BLK: E009 Fire BLK: EF157 Map Page: 455B-6 Group: EF1
9
Loc: a L-�300 09010994 EDM -- AURORA TOYOTA high kst: SR 99 (V)
Loc Jnfo: AURORA TOYOTA, edm
ki 0
1
Beat: MD01.Sr
cxm a : ^�Vlraw" N^MCN Addr: 21300 HWY 99 EDM Phone: 775-4422
'0629 (SC729
ENTRY
'0629 (SC728
DISP
E6
0629
$ASNCAS
E6
'0629
ASST
E7
0629
ASST
T7
0629
ASST
E4
0629
.$ASNCAS
E4
0629
ASST
A5
0629
ASST
EDC
0629 (SC729
SUPP
(SC726 .) $CROSS
(SC728 ENROUT
A5
ENROUT
E4
ENROUT
T7
ENROUT
E6
ASSTER
E10
ONSCNE
E6
ONSCNE
E4
ONSCNE
E10
ONSCNE
E6
CLEAR
E7
ASSTER
EDM2
MISC
E6
MISC
E6
NEWLOC EDM2
nkic r1ki a _r 17
.BUSINESS CHARGED WISMOKE
#EF0117 OFTEDAHL.DENNIS
#EF0510 MARTIN,JAMES
#EF1537 WRIGHT, JERRY
$EF96001129
#EF0232 SCHMITT,ROBERT
#EF1531 KINDIG, WAYNE
#EF1540 TURNER, AMY
#EF0232 SCHMITT.ROBERT
#EF1531 KINDIG, WAYNE
#EF1540 TURNER. AMY
.*WARNING OVERRIDE* W/CHECK FOR MANNING
#LF0053 WALKER.PE
#LF0282 WERNER,RJ
#LF0651 DAVIS, BILL
$LF96001550
#LF0216 JESKE,RC
#LF0623 JOHNSTON.MA
#LF0746 KAMP. WILLI-AM
TXT: RP IS THE ONLY OCCUPANT - WILL EVACUATE - S
AYS IT SMELLS ELECTRICAL - SMO KE IS BLUEISH
#EP96009110
#EF0447 HERYLA,MICHAEL
#EF1530 YOAKUM. ANDRE
#EF1126 SOUCY.JOSEPH
NVI
STANDING NE CORNER
NORTH OF LOCATION
BACKSIDE OF BLDG
C21300 HWY 99 EDM]
#EF0163 WHITMAN.TIM
,ALL UNITS STAGE ON 212/99 PARKING LOT OF C
TORE
,ACCESS TO WEST SIDE OF BLDG--NO FIRE VIST
OR OF ELECTRICAL
CTOYT COMMAND]
w
___111
CITY OF EDMONDS 0
CONSTRUCTION PERMIT APPLICATION i�_
Joe
r, OWNER NAME /NAME OF BUSINESS [ADDRESS
PERMIT
NUMBER 930/4-35
0) (/*//t*'—' I/ e.0 ) 10 k/
MA L NU AULI 5
I I HF5 W — I ,
CITY- ZIP TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
I
4:�5_ 0? L) EXISTING - REOUIRED DEDICATION
PROPOSED
NAMt
NU
ADDRESS
3161
ZIP
'A I TEfHONE NUMBER
GYY -
STATE LICENSE NUMBER EXPIRATION DATE
(D
_ iie;-rT,&7n-Zx Q_�_ I I /�b/ q -A
Legal Description of Property - Include all easements-
Frupuny
Tax Account
Parcel No.
55()� —6CQ-6t6-0563_
11 NEW
RESIDENTIAL
0 PLUMBING
FIADDITION
COMMERCIAL
MECHANICAL
APT.BLDG.
REMODEL
SIGN
REPAIR
GAADING
CYDS.
FENCE
—
WOODSTOVE
( x _FT)
DEMOLISH
INSERT
SWIM POOL
HOT TUB/SPA
GARAGE
CA
RETAINING WALL/
ROCKERY
RENEWAL
rYPE OF USE. BUSINESS OR ACTIYITY) EXPLAIN:
NUMBER
NUMBE6_0F
CRITIC�L
OF
DWELLING
AREAS Ic
INUMBER
STORIES
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Lp"p 0, 01\1 Alm
I
(ne-j-
DATED
METER SIZE
TESCP Approved 0
RW Permit Required a
Street Use Permit Req'd 0
InIlooction Required 13
Sidewalk Required 13
OF
0
M
W
REMARKS
SIGN AREA
SEPA REVIEW
AOB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
I
I
SHUR—ELINEo
I
EXP
VARIANCE OR CU
PLAN205IEW BY 1
D4TE
7
—
I
71/0-,5
/I
SETBACKS — FEET
HEIGHT
-
LOT C&ERA Z
FRONT —SIDE REAR
i
I Z
REMARKS
..
—1�
7_12
RECEIVE1
'e,,O
UL � .1 i�
7�
HECKED
C CH ECKED BY
TYPE OF CONSTRUCTION
CODE
EDMJfft--
FIRE E
S 1; C
PECIAL C INSPECTOR
AEOUIRED
AREA
OCCUPANCY
GROUP
OCCUPANT
13 YES
LOAD
M Ka
P �01
PROGRESS INSPECTIONS PER LISC 305
Z
FINAL INSPECTION REOUIRED
PLAN CMECK FEE
BUILDING
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property Oi7LY.
GRADINGMILL
Any construction on the public domain (curbs, aldewelks,
STATESURCNAAGE
driveways, marquees, etc.) will require separate permission.
Permit.Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors In Interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its, officials,
2
employees, and agents from any and all claims for damages of
ix
<
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify. waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
0
x
nor limit In any way the City's ability to enforce any ordinance
provision."
I hereby acknowl;dge that I have read this application; that the
information given Is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz.
THIS PERMIT
AUTHOR12ES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa.
WORK NOTED
A= Insurance.
SIGNAT�UE (OWNER OR AGENT) DA ONED
I NSPECTION
DICE PA RT M E N T
ITY OF
0 Lk
EDMONDS
ATTENVON
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
IMAT
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt Is
acknowledged In space provided.
OFFICIAL' IG t�l URE DATE
V C1.
c7s( 41/P4� -722L-9
RELEASED BY: DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor