21822 76TH AVE W82- Z -7 to A 0 Or, W
FIRE PREVENTION DIVISION
Fire Alarm Checklist
Name of Building or complex FGA0,qIc/41 Date
Address Ak,?AV, 26-y"A ve Permit number je L-1- ;Z 0 1
Fire alarm system complete and[] Fire alarm system pre -testing complete
Building occupants (if applicable) notified of fire alarm testing
System is in test mode [ I SnoCom has been notified [ ] Knox box has been provided
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 compan I name and 24 hr number on the control
panel. Monitoring company's name NIZ2 her-7-0-Aw rJ I-e-
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
Outside horn / strobe activation and location
Verify alarm, supervisory, and trouble retransmission signals to monitoring station
Require Certificate of completion from insta"r
Signature of Fire Official
-C�
Wireless Mesh Network (AES) Installation Inspection Checklist
All AES radio transmitters shall be installed and inspected according to NFPA 70, NFPA 72, WAC,
manufacturer requirements/recommendations.
/'The AES 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 AES Radio to be located inside a
lockable NEMA 4X enclosure with smoke detector and thermostatically controlled heater.
9/_AES routing table shows a minimum of two (2) "good" paths with a net -con of 0-5 prior to
connecting to FACP.
p--'AES is protected by a smoke detector.
V"AIC transformer to AES is protected inside a secured transformer enclosure.
t/The A/C transformer is one of the following 3 models; AMSECO model XF1640, Elk Products
model TRG1640, or MG Electronics model MGT1640.
6,-,'Wires from A/C transformer enclosure to AES enclosure are in conduit.
tAAES is powered via dedicated A/C circuit or shared with a dedicated circuit to FACP.
V'AIC breaker to AES circuit is labeled and provided with a lock -on device.
,"'All exposed wiring below seven feet (7� AFF is protected in conduit.
Coaxial cable outside the AES enclosure is installed in conduit.
00
A//WExterior antennas are protected by a lightening arrester. Arrester is located a minimum 6'from
AES radio and grounded to earth with a minimum 6 AWG copper wire.
All bends in the coaxial cable outside of the AES enclosure (if applicable) have a minimum six
inch (6'1 radius.
Mljvl�AES AND IntelliPro Fire or FireTap (if installed) is locally supervised at the protected premises
(both 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. (14 outputs)
General alarm (zone 1), general trouble (zone 2), and supervisory (zone 3) outputs from the
FACP are connected to supervised input zones on the AES.
�/AES programming: Trouble Pkt is set to "Y", zone inputs in use are set to "F" w/ EOLs.
VIAll zones, signals, or addresses capable of being transmitted by the FACP are transmitted to the
/c c ntral station. This may require an IntelliPro Fire or FireTap.
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.
Event History
S stem # 200652942
y
Seq # 2498987602
CS # Emp #
Event Date: 2/24/2017 10:52 AM
Event ID: PF1656 User ID:
Area: 0
Zone ID: 1
Event Description: Fire (DISP
Match: l.CID.El. 1 l.Task*.738.,---
2
FD-1,
k - � .1
Karl Fifterer
From:
KARL FITTERER [kjfitt@msn.com]
Sent:
Friday, February 24, 2017 11:17 AM
To:
Karl Fitterer
Subject:
BLD20170175
tuca
Integrated Security
Fire Alarm System Discontinuance Letter
9931UEOO
Tyco Integrated Security
Edmonds Fire Department 14200 E Exposition Ave
Aftn: 121 5th Ave N Aurora, CO 80012
Edmonds, WA 98020
Tel:
Fax:
Check Type of Letter Toll Free: 888-989-2647
One www.tycols.com
X This letter will serve as formal notification that the fire alarm system
at the business location listed below will no longer be monitored by
Tyco Integrated Security effective.
This letter will serve as a formal request that the fire alarm system at
13 the business location listed below shall be removed from the local
alarm board following your approval. 425-775-7166
Business Name: Sound Urology
1822 76th Ave W
Business Address: (��
City, State, ZIP Code: Edmonds, WA 98026-7900
Reason for Discontinuance
Customer Changein [3 Reason Not
0 Moved/ X Service 0 Non-payment
Closed Provider Provided
Type of Discontinuance
Full Maintenance
X (Monitoring/ 0 Monitoring Only 0 Only
Maintenance)
Date Effective : 2 16 / 17
Please do not hesitate to contact me at 888-989-2647 with any questions you may
have.
Thank you, Brent Duncan 303-306-5585
Tyco Integrated Security
OIL
FIRE PREVENTION
INSPECTION REPORT
.$erving Bri�r, Edmonds, and ",12425 Meridian Ave S
SNOHONIISII Co. If A 98208 *DMONDS
Etg. Mollntlak�" Terrace Everett, W 0 BRIER
F11 0 MOUNTLAKE TERRACE
Phone (425) 551-1200
0 UNINCORPORATED
DES., r Lln R www..FireDistrict].org Fax (425) 551-1272
FREQUENCY I STATION& SHIFT*�
LOCATION: 21822 76 th Avenue W 98026 2016 20-D
BUSINESS NAME: Sound U rologica (Associates PHONE: 4257757166 SCHEDULED Nov 2016
DATE DUE
MAILING LIFIR � 593 156
ADDRESS: 21822 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER: Roddy, Timothy HOME PHONE:
EMERGENCY-1: Sound Urological Assoc. L::A HOME PHONE: 4257757166
KEY ACCESS-2: HOME PHONE:
EMAIL: —6:AA1TAl#4W 6.�amjD "iwc,96Y, t�oni
PERSON CONTACTED
INAME OF INSPECTOR: Vjltj�100
FIRE SYSTEMS: 13-Jul FE 91 IT. AS -*lp I Fh 2V/-;
-- SF�CK rto6v 1
Date Last Serviced: S,45;r A�&a,"S
CURRENT
CITY -,, YES NO
BUSINESS
LICENSE El R
INITIAL INSPECTION'DATE.
11-23
�A
-2
,MT ). 2013 10:52AM
.tqqo
Integrated Security
Fire Alarm Inspection and Testing Report
Date:�2 9— o 1,::k Tirnw.
SERVICE ORGANIZATION
Name: Two Intearated Securi
&
Representative:
License No*
Telephone:
No. 6582 P. I
8833UEOO
Inspection Job N: _1�t�ba
PROPERMAME (U ER)
Wn, e Li JG0 i L) onA
AddraEs: ZIP-2-0
Owner Contact;
Telephone: —7
MONITORING ENTITY
contacE -IYW :I; C��)
Telephone; 1500 9_99 2_(,A-�—
I -
Monitoring Account Ref No (CS#):
APPROVING AGgkcy
Contact:
Telephone:
TYPE TRANSMISSION
SERVICE
El McCulloh AlarmNat
[J Weekly
Multiplex Telular
E] monthly
Digital AAG&rd
Bimonthly
ri Retarve.1'riority
Ounneriy
n RF
Semiannually
Other (Specify):
*Annually
E] Other (Specify):.
Control Unit Manufacturer: ht>-r-
Circuit Styles:
Model No:
Number of6ircuits., 5
Software Rev.: "62—
Last Date System HadAny Service Pedormed:
Last Date that Any Software or Configuration Was Revised;
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity of Devices cIrcultatyla Quantity of Devices
Installed B Tested
3
Manual Fire Alarm Boxes
Ion Detectors
Photo Detectors
Duct Detectors
—C
He at Detectors
:L7--
Waterflow Switches
Supervisory Switches
Olher(Specifv),
Alarm verification feature is:. Disabled F-1 Enabled
Reprintedwiih permission from NFPA 72 0 2001. National Fire Alarm Cod4, CopyrIghtO 2007, National Pro Prolection Aeaociation, Ouincy, MA 02169, This reprinted material Is 1p. 10141
,1011hc complete and Official position oftheNFPAon the referenced subject which Is represented only by thestandard In litemiretv.
M t - �__ 51 — rteicoii�GTM# ADS i =ea vMWIM-
Jul.25. 2013 10:52AM
tq00 .'
Integrated Security
ALARM NOTIFICATION APPLIANCES and CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Appliances Installed Appliances Tested
Bells
Horns
Chimes
Strobes
No. of alarm notification appliance circuits:
Are circuits monitored for integrity? Wry"
E] No
Speakers
Olher(Spaelfy):
No. 6582 - P. 2
8833UEOD
SUP&Q,VISORY SIGNAL -INITIATING DEVICES and CIRCUIT INFORMATION
QtyofDevIcQ_9'-"CircuIt'9W8 Qtyofnovicos QtyofDevices Circultstyle QtyofDevicas
Installed Tested Installed Totted
Build[AgTornp. Fire Pump/Pump Controller TrbI
Site Water Tomp. Fire Pump Low Fuel
Sho 'h evel Generator In Auto Position
ave'
Fire Pump Power Generator or Controller Trouble
Fire Pump Running Switch Transfer
mp
Fire Pump Auto Position Generator Engine Running
Other (specify):
SIGNALING LINE CIRCUITS Sao NFPA 72 section for Protected Premises Fire Alarm Systems, Performance of Signaling Line
Quantity and style of signaling line circuits connected to system.,. Circuits (SLC), table for Performance of Signaling Line Circuits for Class and Style
Quantitr, Style(s):
SYSTEM POWER SUPPLIES
(a) Primary (Main): NaminalVoltage:_170 VAt _ - Amps:
OvercurrentProtectiom Type: _Znea� — Amps;
Location (of Primary Supply Panelboard): &�r_ rUA� P.
Disconnecting Means Locations:
Jb) Secondary (Standby); StoraaeBatterV:Amj'.-Hr.Ftafing:
Calculated capacity in Arnp+frs to operate system for hours
Engine -driven generator dedicated to fire alarm system;
Location of fuel storage:
BATTERYTYPE
DryCall [] Nickel -Cadmium Ea SealedLead-Acid E] Lead -Acid E] Other(Specify):
(c) Emergency or standby system used as a backup to primary power supply. instead of using a secondary power supply:
Emergency system described in NFPA 70, Anicle 700; 4 Legally required standby described in NrPA 70, Article 701:
Optional standby system described in NFPA 70, Article 702. which also meeia the performance requirements of Article 700 or 701:
fl,�Printad %ith permission from NFPA 72 0 2007, National Fire Alarm CodeT. CopyyightO 20ol, National Fire Protection AssociaUon, QuineV, MA 02 188. This reptinted material Is 1p, 2 014)
oot the complete and dfflCiAl DDOitiOrk Of 1haNFPAnnVh.,.fAranPAdaijh1-,t -4,i,k
Jul 25 2013 10:52AM
Integrated Security
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE
Monitoring Entity
Building Occupants
Building Management
Olher(Spec4)
AHJ Notified of Any Impairments
yar;
El
No
El
El
D
R
E)
No. 6582P. 3-
8833UEOO
Who Time
SYSTEM TESTS and INSPECTIONS
TVp0 Visual Functional Comments
Control Unit X Ay, J*
Interface Equipment Ar 94 —OL
Lamps/LEDs El 0
Fuses 0 0
Primary Power Supply UQ
Trouble signals wr
Disconnect SwAtches
Ground-Faul I Monitoring
SECONDARY POWER
Type Visual Functional Comments
Battery Condition 49 (+--
LeadVoliage D(
DischargaTest Cl
Charger Test El
Specific Gravity
TRANSIENT SUPPRESSORS
REMOTE ANNUNCIATORS
NOTIFICATION APPLIANCES
Type Visual Functional Comments
Audible Cl 1116 r-Y)
Visible El
Speakers
Voice clarity
INITIATING and SUPERVISORY DEVICE TESTS and INSPECTIONS
Loc. & S/N DaviceType, Visual functional Factory Setting Measured 811fting Pass Fall
240b �Smk cid C1
�4 PA '6 11
El El 11 0
11 13 El 0
El El El El
Cornment(;:--
--- I ry�— t , — M) �
Relprinted with permlssion from NFPA 12 0 2007, National Fife Alarm Codat), CopyrightC 2007,Nabonal Fire ProlactionAssodalion. Quincy, MA 02 160. This repyinted material is (P. a of 41
,101 the complete and official position of the NFPA on the referenced subject, which is represented only by1he standard in its entiyary.
IIIIIII -80-WOM k 0 1 Fq R.4 IIIIII'MME
Jul 25 2013 10:52AM No,6582 P. 4
Integrated Security
Fire Alarm In--mpt-tinn anel Tactinri Pnnnp+ 8833UEOO
EMERGENCY COMMUNICATIONS EQUIPMENT
Visual
Functional
Comments
Phone set
PhoneJacks
Ofl-Hook Indicator
Amplifier(a)
El
El
Tone Generator(s)
Call -in Signal
i
System Performance
AL
COMBINATION SYSTEMS
Firelixiln =uisherMonitorIngDavica/Systern
Carbc Monox 81� /system
(Specify)
INTERFACE FOUIPMENT
--1
Visual
(Specify)
0
(Specify)
11
(specify)
0
Special Procedure;
Commenw
SUPERVISING STATION MONITORING
AlarmSignal
Alarm Restoration
Trouble Signal
Supervisory Signal
Supervisory Restoration
Device
Simulated
Visual
Operation
Operation
Cl
El
11
El
Cl
11
11
Cl
0
Device 91mulated SPECIAL HAZARD SYSTEMS
pF4,afion operation
I
NOTIFICATIONS THAT TESTING IS COMPLETE
Building Management
Monitoring Agency
Building Occupants
Other (Specify)
The follovAng did not operate correctly (See ServiceJob).,
ServicaJob#:—
(specify)
Yes No
El
El
El
r-1
L-i Lj
yes No
El 0
R-MV
IV4
Device
Simulated
Visual
Operation
Operation
El
1:1
El
11
El
El
El
1:1
1:1
Time I Co mens
Time
Ali.
Who
System restored to normal operation* Data: Time;
On monitored alarm systems, I tested, 4nd it necessary. connected the telephone line sellufa feature lo ensure ilia working correctly.
THISTESTINGWAS, ERF(�PMEDINAC FID ITH APPLICABLE NFPA STANDARDS.
Name of Inspector: Date XV2613Time:—
Signature.
NamaofOwner Re esentative:a�*1�0014-';`--, jk&D Date:-L' a5l( 5- Tim.;- (L "06
Signature!
[-] YesE]No
R-iPrInted with permission [rum NFPA 72 V 2007, National Fire Alarm Codalk Copyright 0 2007, National Fire, Projection Association, Quincy, MA 02 190. ThIls reprinted matorialis 1p.4041)
--it the complete and offiejal position of the NFPA on the referenced subject, which is represented only by the standard in ite entirety.
-1 Adlh
SNOHOMISH CO. i, Serving #riet; Edinonds
FIRE1D Mountlake Terraceand
Tthe Town of Woodway
wwwFireDistrictl.org
LOCATION: 21822 76th Ave W
BUSINESS NAME: Sound Urological Associates
MAILING 21822 76th Ave W
ADDRESS: Edmonds
BUSINESS OWNER: Sound Urological Assoc.
EMERGENCY-1: __99d*;fTq_Rw"_
KEY ACCESS-2: Grier, Douglas
FIRE PREVENTION
12425 Meridian Ave S.
INSPECTION REPORT
Everett, WA 98208
0 EDMONDS
0 BRIER
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFF**)
730 16 D
PHONE: 42577557166
SCHEDULED
DATE DUE � 11/01/12
UFIR � 593 1156
98026
HOMEPHONE: 4257757166
4257418858
HOMEPHONE:
CURRENT
OMEPHONE: 4257422774
YES NO
CITY
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FA 10/11 AS in gas room/ FE LQJL�7
SYSTEMS: " -E I �_ 014, ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
J L-)IA
3
3
(2� cT P_
LI)
4
4
5
5
Ce
6
6
j 7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE.
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON�
PERSON
1
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
4
5
1
LETTER SENT
NUMBER:
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
3
7
7
RECEIVED
DISPOSITION:
14
18
4
18
DATE:
7
I \. LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
m7MMMM 4115 In. We �IMWGTAV if 6=1 IMNM-
,NfAN o v . 5. 2012 2: 2 1 PM -No 2377—P
ow 111111161 U.0 I&"
Integrated Security
Fire Alarm Inspection and Testing Report 8833UEOO
Date: Time: Inspection Job 0: A
SERVICE ORGANIZATION ��WOPERTY NAME (USER) -�M3 1
Name:_._.. Tycq Inj��qrated Securi -ty
Address: HrAVLAJ
Address—tkw.
Representative: ownerContact:
License No:
#t-lnk- 15XIe-w Telephone:
Telephone:
MONITORING E14TITY APPROVING AGENCY
Contact;
Contact:
Telephone: mj
—bim— Telephone:
Monitoring Account Ref No (CS#):
..
TYPE TRANSMISSION SERVICE
F� IvIcCulloh AlatmNei Weekly
F� Multiplex Telular Monthly
Digital AAGad Bimonthly
Reserve Priority F1 Quarterly
RF E] Semiannually
Other (Specify)�
Annually
Other lSpecify):-
Control Unit Manufacturer:
Circuit Styles: Model No:
NumberofCirCuil$:
SoftwareRev.:
Last Date System Had Any Serv;cg Performed:
Last Date that Any Software or Configuration Was Revised:
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity of Devices Circuit Style Quantity of Devices
Tested
Manual Fire Alarm Boxes
Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Waterflow Switches
Supervisory Switches
Other (Spachfy):
Alarm verification feature is: El Di9abled Enabled
Reprinted with DOrMissiontrorn NFPA 72 T 2007, National Fire Alarm CodcT, Copyright 0 2007, National Fire Pr9terctionAsaociation, Quincy. NIA 021139. Thi5renrintedrnaterielis 4)
-10% the complete and offiriel position of the NFPA on the referenced subject, which is represented only by the standard In its entirety.
TYCID
TLNov- 5. 2012 2:21PM N - 2377 P 2
Integrated Security
Fire-Marm Innnentinn and Tp-qtinn Rannrt 8833UEOO
ALARM NOTIFICATION APPLIANCES and CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Appliances Installed Appliances Tested
Bells
Horns
Chimes
Strobes
Sneakara
Other (Specify):
No. of alarm notification appliance circuits:
Are circuits monitored for integrity? 9 Yes F] No
SUPERVISORY SIGNAL -INITIATING DEVICES and CIRCUIT INFORMATION
QtV of Devices Circuit Style Qtv of Devices Oty of Devices Circuit Style QtV of Devices
Installed Tested Installed Tested
D JX V
U ng emp.
Fire PUMP/Pump Controller Trbl
NalarTemp.
Fire Pump Low Fuel
Generator in Auto Position
Fire Pump Power
Generator or Controller Trouble
Fire Pump Running
Switch Transfer
Fire Pump Auto Position
Ge
Generator Engine Running
Other (Speclfy)�
SIGNALING LINE CIRCUITS See NFPA 72 section for Protected Premises Fire Alarm Systems. Performance of Signaling Line
Quantity and style of signaling line circuits connected to system.* Circuits (SLC), table for Performance of Signaling Line Circuits for Class and Style
Quantity: ., Silyle($):
SYSTEM POWER SUPPLIES
(a) Primary (Main): Nominal Voltage:... WVA;r,,
Amps:
Overcurrem Protection: Type: _-LxU*W--
Amps:
Location (of Primary Supply Panelboard): _,. At- &L
R��-
Disconnecting Means Locations:. 1�1
-z -iJ111-A .
..
(b) Secondary (Standby):
Storage Elattery:Amp-l-Ir. Rating:_
Calculated capacity in Arnp-Hrs to operate system for hours.
Engine -driven generator dedicated to fire alarm system:
Location of fuel storage:
BATIFERY TYPE
n Dry Cell [:] Nickel -Cadmium Sealed Lead -Acid [:] Lead -Acid E] Olher(Specify):
(�t) Emergency or standby system used as a backup to primary Power supply, inswad of using a secondary power su pply:
Emergency systern described in NFPA 70, Article 700: A Legally required standby described in NFPA 70, Article 70 1:
Optional standby system described in NFPA 70, Article 702, which also monts the performance requirements of Article 700 or 70 1:
Reprirtedwiih prumis5ionfrorn NFPA 72 9 2007. National Firs Alarm CodeT, Copyright 0 20()7, Notional Fire ProttrctionAssoclation, Qvincy. MA 02 1189. Thi3rVprint@drn;nCrj9Ii3 lo. Z or 41
not 'he complete and 0*41 pochion of the NPPA an the referenced svbject. which 13 represented only by the standard in Its entirety.
TYCO
71. r-zk"-3=- Is Ro-worl, 1=1 IN!!= In-
N
LANov, 5. 2012 2 : 22PM No 2377 P 3
Integrated Security
Fire Alarm Inspectean and Testina Rpnnrt 8833UEOO
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE
yes
No Who Time
Monitoring Entity
Building Occupants
Building Management
E]
0
Other (Specify)
E]
R
AHJ Notified of Any Impairments
1:1
R
SYSTEM TESTS and INSPIECTIONS
Type
Visual
Functional
Comments
ContFol Unit
CA
Interface Equipment
%
9
Lamps/LEDs
Fuses
Primary Power Supply
T'rouble Signals
Disconnect Switches
Ground -Fault Monitoring
SECONDARY POWER
Type
Bartery Condition
Visual
Functional
I* Comments
Lead Voltage
Discharge Test
Charger Test
Specific Gravity
F7
TRANSIENT SUPPRESSORS
REMOTE ANNUNCIATORS
NOTIFICATION APPLIANCES
Type
Audible
Visual
Functional
1:1
Comments
Visible
El
Speakers
n
VoiceClarity
El
INITIATING and SUPERVISORY DEVICE TESTS and INSPECTIONS
Loc. & S/N
X,
1i J`--
Device Typo Visual Functional
Factory Sorting Measured setting Pass
Fail
--
-N
El
C1
El
El
El
Comments:
77'
Rep,;ntedwilh par-imionfrorn NFPA 72 & 2007, Notional Fire Alarm CodeQo, CopVrigh 10 2007, Notional Fire Projection Association. 01.11ncv. MAO 2 169, This reprinted material is (P. 3 of 4)
not the c ornplate and official Position of the NFPA am the referenced subject. which is ropre sented only by'the standard in it., ontitely,
TYCO
WIM �_Mqn r1=1101 WN VA 91 Kyj 1; F. MIT. I We I�Gywvy S 5 11 9=1 IM I=- I M a]
LgNov. 5. 2012 2 : 22PM N0112377— 4
Integiated SecuritV 11111
Eire Alarm luspecteon all stona Rerwrt 8833UEOO
EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional
Comments
Phone Set
PhoneJacka
Off -Hook Indicator
Amplffiqr(a) 0 0
Tone Generator(s)
Call -in Signal
System Performance
COMBINATION SYSTEMS Device Simulated
Vi3u8l Operation Operation
Fire E;ilngyjsher Monitoring Device/SVstem D El
'�;'*Qe
Carbon Mono plector/Syslem El F1
(Specify)
INTERFACE EQUIPMENT Device Simulated SPECIAL HAZARD SVSTEMS Device Simularted
Visual oration Operation Visual Operation Operation
(specify) El (Specify) El 13 11
(Specify) (specify) El
(Specify) El El (Specify) El El Cl
Special Procedure:
Commentv
SUPERVISING STATION MONITORING
Yes No Time rnments
Alarm Signal
rg El 14'3011�
Alarm Restoration El
Trouble Signal k
Supervisory Signal
Supervisory Re3toration 7]
NOTIFICATIONS THAT TESTING IS COMPLETE Yes No Time Who
Building Management E] El
Monitoring Agency 11 n — — —
Building Occupants
Other (Specify)
El
The following did not operate correctly (See Service Job):
Service J o b#:
System reSloredto normal ClPevsti0h: Dato:_ Time: -
On monitored alarrin systems, I tested, and if necessary, connected the telephone line seiture feature to onaure it is working correctly. E]Yes (]No
THISTESTING WAS P "UMIDINACCPDA. E ITH APPLICAI LEN FFA STAN DARDS.
Date'oq_40 D12 Time:
4
Name of Inspector: ____1
Signature: 4KC
Name of Owner epraseintative.
C-el ate: Time:
Signa
Reprinted .0 Parm;33ion from NFPA 72 S) 2007, National Fire Alarm COdeT, Copyright C 2007, National Fire Protection Association, Quincy. MA02 169. This reprinted-aterial 13 4- 4 or 4)
noi the complete kind official position of the NFPA on the referencrd subject. which is represented only by the standard in its, entirety.
TYCO
FIRE PREVENTION
Servink Brier, Edmonds
SNOHOMISH CO.
12425 Meridian Ave S INSPECTION REPORT
J." / " d" '0
j Moun�lake Terraceand
FIRE
.
Ev��r�tt, WA 98208
EDMONDS
EI BRIER
the Town of Woodway
DIST T www.FireDistrictl.org
Phone (425) 551-1200
Fax (425) 551-1272
OWOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
STATION & SHIFT-')
e FREQUENCY
LOCATION: 21822 76th Ave W
730
16 C
BUSINESS NAME: Sound Urological'Associates
PHONE: 4257757166
SCHEDULED 11/01/11
DATE DUE
MAILING 21822 76th Ave W
UFIR 1, 593 1'156
ADDRESS: Edmonds
98026
BUSINESS OWNER: Sound Urological Assoc.
HOME PHONE: 4257757166
EMERGENCY-1: Roddy, Timothy
HOME PHONE: 4257418858
CURRENT
KEY ACCESS-2: Grier, Douglas
HOME PHONE. 4257422774
CITY YES NO
BUSINESS
1:1
E]
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: 'Vj N f- g- f _7 ^_j cl
FIRE FA 10/06 AS in gas room/
FE 12-01
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
cA r kovi e C
3 V-
x
ip
4.
2
2
3
3
4
4
5
5
6
6
7
7
!I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
I
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
t ATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
2
INSPECTO
INSPECTOR:
INSPECTOR:
3
DATE:
DATE:
DATE:
V I N
VIOLATIONS
PRE -CITATION
CITATION ISSUED
15
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
8
4
8
DATE:
7
D , [] YES C3 Nod
LETTER NEEDED [] YES NO
.
8
FIRE DEPARTMENT COPY
Fie Alarm Inspection and Testing Report
C?2-20
Date: 20 t I Tinio: Inspection Job#:.5n - -t
SERVICE ORGANIZATION ,.PROPERTY NAME (USER)
SECURITY SERVICES Name:
49
Add few Adareys5� _2ef� —A j �j
Wle
Rr;presentative� O�fner Contact;
License No: Telephone:
Telephone: =A-).- b� 149,
MONITORING ENTITY Ali3OROVING AGENCY
Contact: AD= Contact: r,.d ?,.
Telephone: ':ZO=42a�: Telephone:
.1 3M I � 1 9
MonItorIng Account Ref No (C$#): !Spu 00 Logm-
TYPE TRANSMISSION
E]
McCulloh
AlermNef
multiplex
Talular
018ital
AAGard
L]
Reserve Priority
0
RF
L]
Other ($P(jclfy):
Control Unit Manufacturer:
Circuit Styles*.
Number of Circuits:
Software Rev.:
Last Date System Had Any Scirvice Performed:
Last Date that Any $ol'lware or Configuration WS5 Revised:
SERVICE
C] Weekly
Monthly
l3imonthly
Quarterly
Semiannually
z' Annually
6ther ($pocify)�
Model No:
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Oevices Installed Uevi Tested
Manuel Fire Alarm Boxe6
M.
Alarm verification feature is: F-1 Disabled
____L(e
— Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Waterflow Switches
Supervisory SwItchas
Other(Specify):
71 Enabled
Keprinted wim parmicnifin (funj NFPA 72 0 2007, N&nionfij Fled Alurryi CodoQ, CoPYAMV 2UO7. Nellonal I'll'6171018001-AfidoC10110A. 0uhley. MA 02169. Tfti�;
al Ii nol IIi#,:,)p1PI6I6 411d 01001;J1 potiitlon of Illo NFPA of, the rofamnced eubjec;, wnich Is represented only by 11to standard lil Its undruty.
roprintud matark (p. 11 of 4)
Efts W =111di 1111IFUN—TWE?XXIIIIIIIIII
111111117.0, V re 0 r 111
F501 1-04
Fire Alarm Inspection and Testinq Report
Date; Time� — (Y InapectionJobM
SERVICE ORGANIZATION
Name; ADT SECURITY',SERVICES
Address:
Representative:. S-4&
License No:
Telephone,
PROPERTY NAME (USER)
Name:
Address: 2-032-2-
Owner Contact
Telephone:
MONITORING ENTITY APPROVING AGENCY
Contact: Conloct:
Telephone!
Telephone!
Monitoring Account Ref No (CSN):
TYPE TRANSMISSION
McCulloh
[7 AlarmNet
MUKIPIOX
E] Telular
Digital
E] AAGard
C3
Reserve Priority
M
RIF
E]
Other (Specify):_
Control Unit Manufacturer. "D
Circuit Styles.,
.. . ....... ..
Number of Circuits:
Software Rev,:
Last Dmte System Had Any Service Performed:
Last Date that Any Software Of COnfigUration Was Revised:
SERVICE
Weekly
Monthly
Bimonthly
Quarterly
Ej
Sernlannually
Z,,Annually
[]
Other (Specjfy):_,.
Model No:
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Devices Installed Devices Tested
. ... ....... Manuel Fire Alarm Boxes
Ion Detectors
Photo Detectors
Duct Detectlors
Heat Detectors
Walcrflow Switches
Supervisory Switches
Other(Specify);
Alarm varification feature is; F1 Disabled F-Mabled
Nprintorl wIlli pornileMn fto in NFPA 72 0 2007, Nallowil rfrn Al-.%rm rnd,.4, C,;oyr1ghj 0> 2007, Nallon.dil Firn Protection A890clation. Quincy. MA 02 159. rhi, I of 4)
roprimtrid rnwortni In not ll rorriplutq ano oMcIn) position ot (lie NFPA an thri rfvfr.rnncnd mittl9ri, "ICII 13 Mprn�Antqd only by thq standard In Ila enfirdly.
0
Ff re Alarm Inspection and Testing Report
Date: ax 20 Time: inspection Job*
SERVICE ORGANIZATION .P.ROPERT-Y NAME (USER)
Name. ADT SECURITY SERVICES Name:
Address: AdUrebb;
-A
Rc;prewtative; Owner Contact; 14 4(_�'
License NO: 2*�Q"v C.
Telephone:
Telephone:
MONITORING ENTITY A�OROVING AGENCY
Contact: Contact:
'relephone: Telephone:
Monitorinq Account Raf No (C$#):
TYPE TRANSMISSION
SERVICE
n McCulloh
Fj AlerrnNet
C] Weekly
0 MUI(iplax
CD Talular
0 Monthly
Digital
E] AAGard
0 Bimonthly
0 Reserve Priority
El Quarterly
0 RIF
Semiannually
E) Other (Speolty):
Annually
Other (Specify).
Control Unit Manufacturer:
. . .........
Circuit Styles, Model No:
Number of Circuits:
Software Rev.:
Last Date System Had Any Scirvicc, Performed:
Last Date that Any Sollware or Configuration Was Revised:
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Devices Installed Devil� sted
'�P' — — - --- Manuel Fire Alarm Boxes
Alarm verification feature is: E] Disabled
—Le
— Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Watorflow Switches
Supervisory SwItches
Other(Specify):
71 Friabieci
Keprinted wim pannicuifin huffl NFPA 72 0 20V, Nallonal Rea Alarm C000, Copydahl 0 2U07, Wonal Fbi, Rolealoi. Amodallon. Quhwy, MA 02169. Thi�
I la n0l 1110 0111PIOW alld Uffl�ljl potiillon 011110 NFPA or, thu tofor4nced oubjeci, vvnich Is reprojentA only by th(i Slail&rd ii) III Unt1ruly. ip. I of.')
roprintad rnater�j
F501 1-04
Rre Alarm Inspection and TestnReport, cont.
ALARM NOTIFICATION APPLIANCES and CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Appliances Installed Appliances Tested
Bells
Horns
Chimes
Strobes
Sproakers
Other($pKify)*
No. of alarm notification appliance circuits:
Are circuits monitort;d for Integrity? 15� Yes No
v"__1
SUPERVISORY SIGNAL -INITIATING DEVICES and CIRCUIT INFORMATION
Oty of Devicut; Circuit Style Oty of Devices Qty of Devices Circuit Style Qty of DeVIC06
Installed Tested Installed Tested Fire Pump/Pump Controller Trbl
Building Temp.
Site Water Temp, Fire Pump Low Fuel
Water Level Generator In Auto Position
S_
"a r
T
emp'
Water Level
Fire Pump r Generator or Controller Trouble
.. .... Fire Pump Running Switch Transfer
Fire Pump Auto Posillion Generator Engine Running
Othar (Specify);
See NFPA 72 section for Protectod Premises arm Systems, Performance of Signaling
SIGNALING LINE CIRCUITS �s - �_l
Line Circuits (SLC). table for Performance of SignaliMI-ine Circuits for Class and Style
Quantity and 6tyle ol'5ignaling line circuits connected to system,.
Quantity; Style(s):
SYSTEM POWER SUPPLIES
(a) Primary (Main): Nominal Voltage- Amps:
Overcurreilt Protoctlon: Type; Amps.,
Location (of Primary Supply Panalboard): T, -)Vl
DisconnectIng Means Locations!
(b) Siiiconclary (Standby): 12t/Ac, Storage Oa(tery; Amp-Hr, Rating: _IX-111
Calculated capacity In __ Amp-Hirs to operate system for hours
Engine-drivon generator dedicalod to fire alarm systern:
Location of fuel storage:
BATTERY TYPE
0 Dry Coll [:] Nickal-Cadmium Scaled Lead -Add Lead -Acid Other (Specify):
(c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply:
Emergency systGm described in NFPA 70, Article 700: Legally required standby described in NFPA 70, Article 7U I.*
2: Optional standby system described in NFPA 70. Artich; 702. which also meets the performance raqulrornent6 of Article 700 or 701:
R4printudwito pormlasloii (turf, NFPA 7202U07, lll.flan4l FlroAiulm CockW. Copyjl9I1lltQ2G07.l%1luiia1 Fira NotoctIon A�zncizflon. QuIncy, MA02100. Thi�
wpdul-d aijuirial is ool the cumpl-ituand official p0811101% of the NFPA 01) 1110 iulorcricold gubject, whl�lj 14 l'ot)nz:jutdtjd only by the olandard in Its eilftly. (ij. 2 of 41
ell .—
�.0
F6011-04
Fire Alarm Inspection and Testinq Report
Date; Time: Inspoction Job#:
SERVICE ORGANIZATION PROPERTY NAME (USER)
Name: ADT SECURITY SERVICES Name:
74n��
MA� �ek- QLA-A Addtass: jR L
Address: AA 0 —� —t. X,? --- - i
Representative: �jj Owner Contact:
L Telephone: _.. 71— 5 lltai(4
.425 1-,-
Telephone, Lam -05��
MONITORING ENTITY APPROVING AGENCY
Contact! Contact: FAMA!5nd-C, - t , b.
Telephone; Telephone;_...,- 911
Monitoring Account Ref No (CS#);
TYPE TRANSMISSION SERVICE
C] McCulloh AlarmNat Weekly
multiplex Telular monthly
Digital E] AAGard Bimonthly
n Reserve Priority C3 Quarterly
0 RF C] Semiannually
E] Other (Specify): Annually
Other (Specify);
Centrol Unit Manufacturer! . .... . T� . ......
circuit Styles: _—. k1b Model No:
Number of Circuits;
Software Rev.:
Last Date System Had Any Service Performed'
Last Date that Any Software or Configuration Was Ravlood:
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity of Circuit Style Quantity of
Devicer, Installed Devices Tested
Manual Fire Alarm Boxes
Ion Detectors
Photo Detectors
Duct Detectoriii
Heat Detectors
Waterflow Switches
Supervisory Switches
Other(Specify):
Alarm verification feature Is: 0 Disabled Enabled
Koprintud with parmiobion from NFPA 72 0 20011, Naliabbl Fire Alorm Cfid,11U. copyright 0 2007. NjIloribi Flia ProtorAiutl Assocl ition, ou5icy, MA 02169 . Thh� (p. I of 4)
rupriuWa material is not thu Coff-Plate and official peidillon of IN N17PA on Ing Forural red Ubiciv, whiel:4 is roorvzoplud only by thu dtaildwd in Ili wthety.
CUSTOMER FILE
01-- 000001HI. M-1 - III - - . ��=K=ar-ym- 31-10
F601-04
Fire Alarm Inspection and Testinq Report, cont.
ALARM NOTIFICATION APPLIANCES and CIRCUIT INFORMATION
Quantity of Circuit ftle Quantity of
Appliances Installed Appliances Tested
13011S
Homs
Chimes
Strobes
Speakers
Other(Specily):
No, of alarm notification appliance circuits: �11-
Ara circuits monitored for integrity? KYes No
SUPERVISORY SIGNAL -INITIATING DEVICES and CIRCUIT INFORMATION
Qty of Devices Circuit Style Qty of Devices Oty of Devices Circuit Style Oty of Devices
Installed Tested Intitalled Tested
Building Temp. Fire Pump/PUMP Controller Trbl
Site Water Temp. Fire Pump Low Fuel
Site Water Level Generator In Auto Position
Fire Power Generator or Controller Trouble
Fire Pump Running Switch Transfer
Fire Pump Auto Position Generator Engine Running
Other (Specify);
See NFPA 72 section to( Protected Premises Fire Alarm Systems. Performance of Signaling
SIGNALING LINE CIRCUITS Lino Circuits (SLC), table for Performance of Signaling Line Circuits for Class and Style
Cluantity and style of signaling line circuits connected to system. -
Quantity; Slyle(s):
SYSTEM POWER SUPPLIES
(a) Primary (Main): Nominel Voltage: 12nukc, Amps;
Overcurrent Protection, Type: by-eAmUAe, Amps,
Location (of Primary Supply Painelboard): 423
Disconnecting Means Locations: .. cia * !R
(b) Secondary (Standby); Q Me, x ��. Storage Battery: Amp-Hr. Rating:
Calculated capacity In _ Amp-Hrs to operate system for 24 hours
Engine-drIven generator dedicated to f1ria alarm system:
Location of fuel storage' ......
BATTERY TYPE
C] Dry Cell Ej Nickel-Cadmluin Sealed Lead -Acid C] Lead-ACid [3 Other (Specify):
(c) Emergency or standby sy5tern used as a backup to primary power supply, instead ofuuing a soconclary power supply:
9 Emergency system described in NFPA 70. Article TOO: 9 Legally required standby described in NFPA VO, Article 701:
15( Optional standby system described In NFPA 70, Article 702. which also meets the Performance requirements of Article 700 or 701:
r<oprintod wiji, pajjj)jsWC�A 11orn N�!PA 72 0 2007. NetlonvJ Fim Mimi codow. Copyriglit 0 207. Nationai Fit%, Protection k�wLij0011, Quincy, MA D216�. Thit;
NIqlAl.womprial in nnl Ihm crvttirlPla and official uositlon of the NFPA on the refufurtwd g0ject, which ib; iulimsorlied only by 010 stancland In 116 entliety. (p. 2 of 4)
in o4'rr-mr-P Fit I -
Wall IN= 0.11111111
F6D1 1-04
.Fire Alarm Inspection and Testing Report, cont.
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE Yes No Who Time
Monitoring Entity 4 0 Avr—,.-
Building Occupants El
Building Management El 1:1
Other (Specify)
AHJ Notified of Any Impairments
SYSTEM TESTS and INSPECTIONS
Type Visual Functional Comments
Control Unit IX
interface Equipment ZL
Lamps/LEDs 13 El
Fuses 11
Primary Power Supply
Trouble Signals
Disconnect Switches 0
Ground -Fault Monitoring
SECONDARY POWER
Type Visual Functional Comments
Battery Condition
Lead Voltage
Discharge Test
Charger Test
Specific Gravity M
TRANSIENT SUPPRESSORS C3
REMOTE ANNUNCIATORS
NOTIFICATION APPLIANCES
Type Visual Functional Comments
Audible
visible
speakers
Voice Clarity
INITIATING and SUPERVISORY DEVICE TESTS and INSPECTIONS
Loc. & SIN Device Type Vllsual Functional Factory Setting Measured Setting Pass Fail
Iowa —<,Ml/ &t— q Ig El
bid'i IN06t &t— '0 Cl 1 0
CK 0
El
CommeAM
""7
Reprhitallwith parml—la.i I(OMNFPA 72020DI. Nation;1I Rra Alarm CGOL4W, Copyright 0 2007, NadonsiFiroPrt)tecOonAutweiation, Quincy, MA02189. TM6 (P. 3 ot 4)
talviniwri maietlai is not tho complete end olficial position of Pis NFPA a n Ole roferoncod �wbjbct, which i;; 1,iprallenjod cxiiy oy tho tit; d&O In it* brd1,btY-
rm r
FSDII-04
isFire Alarm Inspection and Testing Report. cont.
EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Comments
Phone Set 0 El
Phone Jacks P(
Off -Hook Indicator C1
Amplifier(s) 0
Tone Gonerator(3) 0
Call -In Signal 19
system Performance K
Device Simulated
COMBINATION SYSTEMS visual operation Operation
I
Fire Extinguisher Mon�kori vice/Systern El
Carbon Monoxide DatectorlSyste 0
(specify) 0 D 0
INTERFACE EQUIPMENT vice Simulated SPECIAL HAZARD SYSTEMS Device Simulated
Visual Oper n Operation Visual Operation Operation
(Specify) 11 0 (Specify) ID 11
(specify) 0 11 (specify) 11 C1
(specify) 0 Specify)
Special Procedure;
Comments:
SUPERVISING STATION MONITORING yes No, Time Comments
E] 0 �_'
Alarm Signal
Alarm Restoration
Trouble Signal 0
Supervisory Signal
Supervisory R06toration F1
NOTIFICATIONS THAT TESTING IS COMPLETE Yes No Time Who
0 Cl
Building Management
Monitoring AgOnCy Ix C1
Building Occupant$ El
Other(Spacity) E] 0
The following did not operate correctly (SeS Service Job);
System restored to normal operatiow Daw Time:..
Service Job#:
on monitar0d alarm systoms. I tested. and If nOcOssarY. connectod the telephone line %uUuro featuru to ensuro it is working correctly, []Yes [:]No
THIS TESTING WAS PERF0 ",M IN ACCORDVaITH APPLICA13LE NFPA STANDARDS. Time;
Name of Insoector. Date:
Signature!
Date; Ti,,:
e n tive:
Name of Owner or
Signature:
1b. Corjvflahl 0 2007, NatiOnal Flm P(oteation Aajoelg6on, ouIncy, MA 02169, Thlu
=1� Al-.. r.ndAL (D. A W 4)
—, , .. '- - - - - - _- - . 6 Wo a 11 1-
,prigod mgtoriji IS lot the compittI, end olikiiiI p0tbn ()f Iho NFPA on tho raf&rwcod wbjuct, whlch 6 fdw son r y uy tu
rIAS'1 OMER FILE
Wesffall, John
From: Turner, Amy
Sent: Wednesday, January 12, 2005 1:15 PM
To: Westfall, John
Subject: Medical facility would like in-service training
John: We were prefiring the facility at Sound Urological Associates WERE =Bt QN. A couple of the staff members
M-)
including the administrator, Hope Dumais (425-670-8950), asked wketh-e—r sofnewn—e from the department would come to
their facility to provide "emergency situation" training to the staff, "for instance, if a car drove off 76th and into the side of
the building."
I told her I would try to find out if we had anyone who did that type of thing. Could you follow up with Hope? Thanks.
Amy
VS I.--
A-l"I TV+, A-45
Te
�C, U
,�-, Wesffall, John
From: Westfall, John
Sent: Tuesday, March 08, 2005 4:43 PM
To: 'hdumais@soundurology.com'
Subject: Emergency Guide by the Numbers
Hope:
1) Sculpt away everything that doesn't belong or apply to the Life Safety Plan. You'll be left with a fire safety guide for your
building.
2) When complete, give me a call and the 3 of us can cover some basic emergency procedures for you to write down.
3) When the Guide & procedures are complete, we can have inservice for your staff.
4) How's that? Don't be insulted -I've been reducing all my efforts to step-by-step procedures.
John 425.771.0213
r _7N
Jm
lifesafetyplan.doc
(259 KB)
STA
0
188
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
DIVISION OF RADIATION PROTECTION
I
APR 10 2003
OFFICE OF THE MAYOR
7171 Cleanwater Lane, Bldg. 5 o P.O. Box 47827 * Olympia, Washington 98504-7827
TDD Relay 1-800-833-6388
April 7, 2003
The Honorable Gary Haakenson
Mayor of City of Edmonds
1215 th Avenue North, Third Floor
Edmonds, Washington 98020
Dear Mayor Haakenson:
The Department of Health, Division of Radiation Protection is required by law (RCW
70.98.080.(2)) to notify the'appropriate local government officials whenever a radioactive
materials license application is received. Specifically, the Division must notify either: the Chief
Executive Officer, if the applicant is located in a city; or the county legislative authority, if
located in the county.
This is your, official notification of the specific use and possession of radioactive material as
described in paragraph four below. We urge that you forward a copy to the appropriate fire
department for their review.
The Division of Radiation Protection will delay the issuance of a license at least 20 days from the
date of this notice. During this time period, if you deem appropriate, you may file written
object -Ions against the applicant or the activity for which the license is sought. The law states that
all written objections shall include a statement of facts upon which such objections are based.
Upon filing written objections you may request, and the Division of Radiation Protection may at
its discretion, hold a formal hearing concerning the applicant or activity.
On April 4, 2003, Sound Urological Associates, P.S. submitted an-appiicat on requesting to be
th
licensed to receive and use radioactive materials A 21822 76 Avenue West', Edmonds,
Washington. The applicant states that the radioactive materials will be used for interstitial
treatment of cancer.
0 -Z.J� 18 a
0
Page Two
The Honorable Gary Haakenson
April 7, 2003
If you have comments, they should be submitted to this office by April 28, 2003. Please submit
comments to:
RADIOACTIVE MATERIALS SECTION
DOH DIV OF RADIATION PROTECTION
7171 CLEANWATER LANE BLDG 5
PO BOX 47827
OLYMPIA, WA 98504-7827
If you have further questions regarding this notice or the application (cover page enclosed)
described herein, please feel free to contact this office at 360-236-3220.
Sincerely,
Dorrie B. Dodson, 7Sfe-cretary
Radioactive Materials Section
Enclosure
cc: Bob Pekich
Snohomish Health District
0
RECEIVED
APR 0 4 2003
61, APPLICATION FOR
RADIOACTIVE MATERIALS SECTIOP
Radiation Frotecton Division RADIOACTIVE MATERIAL LICENSE MEDICAL
INSTRUCTIONS — complete ail items in this application to apply for a new license or the renewal of an e),Jsting lirense. Use supplemental sheets
where necessary. Item 31 must be completed on all applicabons. Mail to: Washington State Deparb-nent of Health, Division of Radiation Protection, P
0 Box 47827. Olympia, Washington 98504-7827 Upon approval of this applic�ation. the applicant will r&.,,eiv& a State of Washington Radioactive
Matenal License issued in accordan,-,e with the general requirements contained in Washrigton State Department of Health, Radiabon Protection
Regulations, and the Washinglion Energy and Radiation Control Act. Chapter 70.�8 RCW
Ia NAME AND MAILING ADDRESS OF APPLICANT
Iffistilution. Firm, Clinic. Phvisician. etc.) INCLUDE ZIP CODE
Sound Urological Associates, P.S.
2182276 111 Avenue W.
Edmonds, WA 98026
Khai Lai
Ib. STREET ADDRESS(ES) AT WHICH RADIOACTIVE MATERIAL WILL BE
USED 6fdifferent than Ia.) INCLUDE ZIP CODE.
Sound Urological Associates, P.S.
2182276 111 Avenue W.
Edmonds, WA 98026
N1161mmilyX
3, THIS ISAN APPLICATION FOR: �Check appropriate iterro
A 14 NEW LICENSE B. C3 AMENDMENT TO LICENSE NO- WN-M ...... C. 0 RENEWAL -OF LICENSE NO. 32�m .......
4. INDIVIDUAL USERS Of more than one individual will be named, corMlele 5. RADIATION SAFETY OFFICER (RSD)
Authorized Use- Form.) I (Narrie of person designated as Radiji'*n Safety Officer.)
See List
6a, RADIOACTIVE MATERIAL FOR MEDICAL USE
Radioactme Materials as defined in,
WAC 246-2' .5,120 Schedule A
ITE PAS
DESIRED
MARK
�111
K4A>IPAUPA
POSSESSION
LIMITS
(in Curies
Group I
As Needed
Group 11
As Needed
Group III
Group IV
As Neede�d
Group V
As Needed
Group Vi
As W&Jed
XENON — 133 asgasorgas in soine ror bt�.,d
flow studies and pulmonary function studies
TECHNETIUPA�9m—AEROSOL
As Needed
Khai Lai
ITEMS
MAXIMUM
Particular procedure desired where
DESIRED
POSSESSION
Groups IV andfor V are NOT checked,
MAPK
LIPATS
X
(in curies)
IODINE — 131 AS IODIDE FORTREATMENT OF
HYPERTHYROOISM
PHOSPHORUS— 32AS SOLUBLE PHOSPHATE
FORTPEATMENTOF POLY CY THE PAAVEPA,
LEUKEMIAAND BONE METASTASES
PHOSPHORUS —32AS COLLOIDAL CHROMIC
PHOSPHATE FORINTRACAVITAW TREATMENT
OFMALIGNANTEFRiSIONS.
IODINE —131 ASIODINE FORTREATMENT OF
THYRODCARCINOMA
STF;tOP4TIUPA— �9AS'OHLMDEFORTREATMENT
OFPAINFP.t-*AC,4N(;EP.METAS'TASES
6b. RADIOACTIVE MATERIAL FOR USES NOT LISTED IN ITEM 6a. (Sealed Sources up N; 3 Ind. used for caliotatic4, and feter&nce staroarcs are aultoraed under WAC 246-235-
080 (3) (C) and up to 22 mci for Colialt-57 used for calibration and reference standards NEED P40T BE LISTED.)
ELEMENT AND MASS NUMBER
CHEMICAL
AND/OR
PHYSICAL FORM
MkXMUM?1AABER
OFMLLICLF4ES0R
Bfic��
DESCRIBE PURPOSE OF USE
Palladium-103
Solid
As Needed
Interstitial treatment of
(sealed)
cancer
DOH322-W6 (Rev 196)
* LICENSE FEE F�EOLqF�ED(-�,)troetetten)*,9,)
P02P 1 RHF - I ?A
'10am-e— FL-4t--,
-71
CITY OF EDMONDS
121 5TH AVENUE NORTH * EDMONDS, WA 98020 - (425) 771-0215 - FAX (425) 775-7721
FIRE DEPARTMENT www.edmondsfire.org
.,I? '. 1 S 9 13
Ms. Hope Dumais
Administrator
Sound Urological Associates
2182276 th Ave W
Edmonds, WA 98026
Re: Proposed Fire Alarm Modifications
Dear Ms. Dumais:
August 11, 2003
GARY HAAKENSON
MAYOR
The Fire Department approves the proposed changes (below) to the existing fire alarm
th
system at Sound Urological Associate=WWNWRE:��
1. Relocate manual pull station at north end of hallway to new location below alarm
keypad and light switch. Manual fire alarm shall be no higher than 54", nor lower
than 36", in accordance with WAC 51-30-1106.15.
2. Relocate horn -strobe in recovery room at south wall to the recovery room west
wall, left of the door. Horn -strobe shall be located not less than 80" above floor
level, or 6" below the ceiling, whichever is lower, in accordance with WAC 51-
1106.15.
No permit will be required for these modifications. Please contact my office at (425)
771-0213 for a verification inspection when your work is complete. No other fire alarm
modifications are authorized.
I recommend that you make contact with the State agency that holds authority over your
Outpatient Surgical Room status to seek their approval for your proposal prior to making
those changes.
Sincerel
John J. W
Fi re Mars�
Cc: Mr. Jantzen Ramento, ADT, 841 Powell Ave SW #101, Renton, WA 98055
Ce 1( 9 U� -7 30 - 2-66.5'_
10 Incorporated August 11, 1890 *
Westfall, John
From:
Westfall, John
Sent:
Wednesday, April 23, 2003 12:34 PM
To:
Battalion Chiefs
Cc:
Smith, Mike; Tomberg, Thomas; Martin, Jpmeg--,---
T
Subject:
Radiological Elements at Sound Urologick L21822 76th Av;e)
The State Dept of Health has notified the City that they have made application to use and store lodine-1 25 and Palladium-
103, radiological elements used in the treatment of prostate cancer.
Mr. Khai Lai (206) 713-2022 is the Shoreline consultant who helps to develop patient pre -operative plans when the
radiological treatment is prescribed. The individual Rx remains no longer than 2 days. Each Rx is packed, delivered, and
stored on -site in a lead -lined container. The radiation "seeds" are inserted into the prostate during an operative procedure.
Any leftover elements are repackaged and sent back to manufacturer.
Fire Prevention will be obtaining a permit from Sound Urological for the use/storage of the elements. The exempt amount
for radioactive elements in lined storage is 1 millicurie. Each patient is estimated to require 100 seeds, approximately 100
millicurie. The frequency of procedure is estimated at two persons every other other Wednesday.
Mr. Lai has offered to provide awareness, hazards, or procedural training regarding the elements in our jurisdiction.
Please coordinate with each other and FF Martin if you are interested.
FM
MEMORANDUM
DATE 10 It 6-/ qq
REPORTED BY OF
SUBJECT
ADDRESS:
CONCERNSI
HAZARDS:
FoLLow-up:
SIGNED
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SIGNED
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City of Edmonds * Office of Fire Prevention
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OCT-18-99 03:27 PM COMMUNIQUE
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'Jul-14-99 09:33A CARLETTI ARCHITECTS 360 424 5726 P.01
CARLETTI ARCHITECTS, PS.
architecture & planning
FACSIMILE TRANSMITTALSHEET
TO: FROM:
Mike Smith Peter Carletti
COMPANY: DATE:
City of Edmonds Fire Department 07/14/99
FAX NUMBER: PHONE NUMBER:
RE: NUMBER OF PAGES INCLUDING COVER SHEET:
Sound Urological Associates
98-162 76'h Ave West
Fire Sprink[er at Medical Ga es Roorn
Q UKGJ;N1 0 FOR RE-VIEM 0 PLEASE COMMENT 0 PLEASE REPLY C1 FOR YOUR USE
NOTES/COMMENTS:
Mike:
The following is to Confirm our telephone discussion of the sprinkler head requirement for the medical gases room. In
discussions you have lield with Public Works they have agreed to allow a side wall head within the medical gases room, The
head must be fed by a minimum of a 1/4" copper line, The Y." line must be a loop directly off of the main supply that comes
into the building. It cannot be reduced in size and must maintain -ys" size up to the head.
In addition, you stated that you want to inspect the line to the head prior to final cover.
Unless I hear from you otherwise I assume that all issues have been resolved and you and or Mr. Westfall can sign off on the
permit.
Thanks for all your efforts and help on this issue
Peter Carletti
Carletti Architects, P.S
Cc: Bob Wilcox, Wilcox Construction
Tom Cherpeski, Nardone Mechanical
Tom Harrylock, HV Engineering
C,arletti Arckicclv. P.S. 2204 RiverUde Drive, Sude 270 Mount Vernwi, WA 98273 (360) 424 - 0394 F,4X(360) 424 - S726
(�ARLETTI ARCHITECTS, P.-S.
architecture & planning
July,12,.1999
o6
John Westfall,Fire Marshall
City of Edmonds Office of Fiie Marshall
121 Fifth Avenue North
'Edmonds, WA 98020
RE: Plan Check #98-162
Sound Urologic�l 2
21826 — 76"' Avenue West
Dear. Mr. Westfall:
The. following is in response to your Correction Checklist, dated July 9, 1999, for the above referenced
�roj ect. Listed below are our itemized responses.
Please refer to Sheet C-4 of the Civil Drawings, Which show a new fire hydrant installed on theeast side
1h
df.76 AvenueWest -This., is per the, agreement reached in the Pre -Application meeting of February 12,
1999.
I em,2
Please sheet S�eet C-4, which has been reviewed by engineering, that shows the installation and details
th
for anew firehydrant to be installed on the east side bf 16 Ave mie West, per Public Works and
Engineering specifications.
Item 3
There Is ric full fire s ri.--kler system for th6 project. We are installin,2 one head within the medical
I .:.p
gasses room, Room #148. Per discussions I have held with Mike Smith, of your department, and with
Jim Wait of Public Works, we areagreeing to tap off the existing domestic system and have a Wet head
Jocated within this room. The only requirement for public.works wili be for a reduced -pressure back -
flow preventer off of the main in to the building.
W,xj,
e.will be providing a deferred submittal for the voluntary manual and automatic fire alarm'system,
permit. We will include in that submittal three copies of plans, battery calculations, and specifications
of all, 0 uipment for review. . t,
q
We. agree to provide heat detection in the one -hour interior room, in lieu of a watei full alarm to alert the
building occupants, for the'sprinkler head that is being installed in Room # 148.
S:\Arch\98\Documents\1'62\FireMarshalI 07-12-99.doc
2204 Riverside Drive, Suite�;270 Mount Vernon, WA 98273 (3 6 0) 4 2 4 - 0 3 9 4 FAX (360) 424-5726
John Westfall, Fire Marshall
City §f Edmonds Office of the Fire Marshall
Plan Check #98-162
Sound Urological
21826 — 76th Avenue West
July, 12, 1999
m 6
e 4gree that the fire alai-m design and installation shall be per LTFC, 1007.2.12. 10, UFC 1007.3, and
LJFC standards 10-2 and,1.0-3.
1jefn 7
/We agree that ihe medical gas installers shall be certified and/or licen�ed to perform medical gas
installation. In addition, -as a requirement of the Building Department, the medical gas installation is
going tdrequire special inspection by a WABO Certified, inspector tocertify that the medical gasses are
installed per Code.
rhave a total -of one.tank of nitious with -one back-up-and-tNNo-t-anl,�,s-of-oxygen w1th�tvoback-up-tdn_ks
to -be stored in Room #148.
Ittpo I—
Xeagree to provide mechanical exhaust at a rate of one cubi c foot per minute per square foot of the
room. In addition, we will provide make-up air from -the exterior, per the Mechanical Code and UFC
7404.2.13'
/We are going to be providing a deferred, sub�mittal for the specification.s on the emergency generator
-equipment, including fuel type and tank capacity. Our sub -contractors, Nardohe Mechanical and Ewing,'
Electric, are. putting together'this submittal and will be providing, it to your department for your review
and approval prior to installation.
Ijr.ust that these answers are, satisfactory in answering any of your comments or. questions. I appreciate
your as sistance in reviewing this permit package. We will be submitting deferred submittals for the fire
alarm and for the generator in the future.
If you have any further questions, please don't hesitate to call:
Carl6tti
cc: Bob Wilcox, Wilcox Construction
Tim Roddy, Owner
Lara Knaack, City of Edmonds
S:\Arch\98\Do6uments\162\Fire Marshall'07-12-99.doc
MEMORANDUM
Date: July 9, 1999
To: Building Department
From: John Westfall, Fire M hal
,q_yjr�
C,A,t,%_ CA44,6-rT-(
C.�fc� 1T6:"-1_5
Subject: ' Plan Check #98-162: Sound Urological 21826 76 th Ave W
The Fire Department has the following comments:
1 . Fire -flow calculations and distances indicate that an additional hydrant will be
required for fire protection needs. 97 UFC Appendix 111-A & -13
2. Provide fire hydrant at frontage per Public Works and Engineering specifications.
19.75.140 ECDC
3. Provide submittal for fire sprinkler system installation permit. Provide three copies of
plans, hydraulic calculations and specifications for pipe, sprinklers, hangers, and
system appurtenances for review. Contact Mike Smith (425) 775-7720, for
information regarding multi -purpose water supply and pipe* routing for sprinkler
service. 97 UFC 1001.3
4. Provide submittal for (voluntary) manual and automatic fire alarm. system installation
permit. Include three copies of plans, battery calculations and specifications of all
equipment for review. 97 UFC 1001.3
5. Provide heat detection in one -hour interior room in lieu of waterflow alarm to alert
building occupants if looped multipurpose system is approved by Water Dept.
6. Fire alarm design and installation shall be per UFC 1007.2.12.10 (WAC 51-44 UFC),
UFC 1007.3 and UFC Standards 10-2 & 10-3.
7. Medical gas installer shall be certified and/or licensed to perform medical gas
installation.
Provide type and amount of medical gas to be stored in one -hour interior room. 9� UFC
Table 105-A, Article 80
9. One -hour interior room shall be exhausted mechanically to the exterior at a min. rate
of 1 cubic foot per minute per square foot of the room. Makeup air from the exterior
shall be provided per Mechanical Code. 97 UFC 7404.2.1.3
lo. Provide specifications for emergency generator equipment including fuel type and
tank and capacity.
Cc: Carletti Architects 360.424.5726
City of Edmonds :5b Office of Fire Marshal
_�l
q7A 0 314
TV
Jun-29-99 08:59A CARLETTI ARCHITECTS 360 424 5726 P.01
CARLETTI ARCHITECTS, PS.
architecture & p�anning
FA CSIMIL E TRA NSMITTA L SHEE T
TO: FROM:
Mike Smith Peter Carletti
COMPANY; DATE:
City of Edmonds Fire Department 06128/99
FAX NUMBER: PHONE NUMBER:
RE: NUMBER OF PAGES INCLUDING COVER SHEET:
Sound Urological Associates 1
98-162 76'h Ave West
Fire Alarm
oURGIN'l n FOR RINIEW oPLEASE(UMMENT 0 PLEASE REPLY 0 FOR YOUR USE
NOTES/COMNIFINTS
Mr. Smith:
This is to confirm our phone conversation this morning regarding the above referenced project. Per the UBC and UFC for a
B occupancy a fire alarm system is not required. However, per Medicare standards it is required to be installed in the surgery
suite. You stated that if we begin an installation of a fire alarrn system you want the system installed throughout the building.
You want pull stations at all the exits and horns and strobes.
We also discussed the medical gases room. Per the UBC it is required to be sprinkled and mechanically ventilated. You
stated you would allow us to tap off of the domestic system for the bead. This head would then have to be ties into the fire
alarm system with a flow device. You also said you would accept a reduced pressure backflow device for the head.
However, you cautioned rne to contact the water department and verify that they would not require a double check valve
detector for the bead.
We are proceeding with this information please call me if any of it is incorrect.
C,
Cc: Bob Wilcox, Wilcox Construction
. Michael Case, Engineered Electrical Systems
Peter Cartetti
Carletti Architects, P.S.
(.'adelriArcbilecls. fl.,5. 2204 Riverside Drive, Suke 270 Mount Vernon. WA 98273 (360) 424 — 0394 1-.4X (360) 424 - 5726
MEMORANDUM
V
Date: July 9, 1999
To: Building Department
From: John Westfall, Fire Marshal
Subject: Plan Check #98-162: Sound Urological 21826 76 1h Ave W
The Fire Department has the following comments:
1 . Fire -flow calculations and distances indicate that an additional hydrant will be
required for fire protection needs. 97 UFC Appendix 111-A & -13
2. Provide fire hydrant at frontage per Public Works and Engineering specifications.
19.75.140 ECDC
3. Provide submittal for fire sprinkler system installation permit. Provide three copies of
plans, hydraulic calculations and specifications for pipe, sprinklers, hangers, and
system appurtenances for review. Contact Mike Smith (425) 775-7720, for
information regarding multi -purpose water supply and pipe routing for sprinkler
service. 97 UFC 1001.3
4. Provide submittal for (voluntary) manual and automatic fire alarm system installation
permit. Include three copies of plans, battery calculations and specifications of all
equipment for review. 97 UFC 1001.3
5. Provide heat detection in one -hour interior room in lieu of waterflow alarm to alert
building occupants if looped multipurpose system is approved by Water Dept.
6. Fire alarm design and installation shall be per UFC 1007.2.12.10 (WAC 51-44 UFC),
UFC 1007.3 and UFC Standards 10-2 & 10-3.
7. Medical gas installer shall be certified and/or licensed to perform medical gas
installation.
8. Provide type and amount of medical gas to be stored in one -hour interior room. 97 UFC
Table 105-A, Article 80
9. One -hour interior room shall be exhausted mechanically to the exterior at a min. rate
of 1 cubic foot per minute per square foot of the room. Makeup air from the exterior
shall be provided per Mechanical Code. 97 UFC 7404.2.1.3
lo. Provide specifications for emergency generator equipment including fuel type and
tank and capacity.
Cc: Carletti Architects 360.424.5726
City of Edmonds Sb Office of Fire Marshal
2�087Z 7GTt,�_ I+V'C,,-)
W6-�-�L Z10/91
Fire -Flow (UFC Appendix 111-A)
Building type: V- a
Fire a'rea: square feet
4-hour area separation wall? Type I or Type 11-FR Construction?
Fire -flow is gpm for ',7 hours.
Modifications: Increase or Decrease?
R3 dwelling reduced %for auto sprinkler? (min. 1000 gpm)
All other use reduced % for auto sprinkler? (min. 1500 gpm)
Total fire -flow: —7 gpm for Z_ hours.
Fire Hydrant Locations and Distribution (UFC Appendix III -a)
5bo (10 /1,
Min. # of hydrants: Ave. spacing: Max distance to frontage: 7_5Z)
Dead-end road? Highway dividerlobstructions? ec-o C_ 1900
Residentially zoned area?:
Existing hydrant distance to frontage
North 7--')0— feet.
South 4-feet.
East feet.
West feet.
# of hydrants required and text location(s) Mg*W OA/,!�_ -
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COMMERCIAL & MULTI -FAMILY
WORKSHEET
PROJECT INFORMATION
PROJECT ADDRESS. E9>2_(" 704- "LAN CHECK# -I
OWNER/APPLICANT
PROJECT ARCMTECt/DESIGNER, M,
PROJECT STRUCTURAL ENGINEE
PROJECT GEOTECHMCAL, ENGINEE U>
RELATED PERAffTS/APPLICATIONS
BUELDING LIMITATIONS
TYPE OF CONSTRUCTION_Yfi CCUPANCY(IES)
V�L_O
Floor Occupancy
Floor Occunant V.-vife
TOTAL ALLOWABLE AREA (TABLE 5-B)-,,- 11F mr)
ALLOWABLE
HEIGHT/STO
OCCUPANT LOAD CALCULATIONS
OCCUPANCY SEPARATIONS
7D
011-5 P5 14055 7*4tV
31?, co f . -ev
:7-00 on 94r
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,jun - e!i - !:st:* xx-� ersiA - utAmL-r- i i -L -mmL-t-1 jL 1 r— 1 - -'� %J %J -* C- -P ;.a I C- W-j � �
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RIeEC E IV ED
CARLETTI ARCHITECTS, RS. JUN 2 9 "S.'"
architecture & planning DEVELOPMENT SERVICES CTR
CITY OF EDMONDS
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
Jeanine Graf Peter Carletti
COMPANY: DATE:
City of Edmonds June 29, 1999
FAX NUMBER: PHONE NUMBER:
(425) 771-0221
RE: NUMBER OF PAGES INCLUDING COVER SHEET:
Edmonds Sound Urological 5
1) I)R('i[:N*I' -IFORRINIEW 0 PLEASE. COMM Wl' 0 PI.EASE REPLY 0 FOR YOUR USE
NOTES/COMMENTS-
Jeanine:
Please find attached our responses to the Correction Checklist. Please call to discuss.
Thank you
Peter Carletti
CeirlettiArchilects. P.S. 2204Riverside Drive, Suite 270 Afount Vernon, WA 98273 (.360)424-0394 FIIX(3(jO)424- 5726
o u n - z!:# -!o �:s L iL U " I I r_ U I =/40
CARLETTi ARCHITECTS, P.S.
ardiiicrime &
June 28, 1999
Jeannine Graf, Building Official
City of Edmonds
121 — 5"' Avenue North
Edmonds, WA 98020
RE: Plan Review #99066
Edmonds Sound Urological
Dear Ms. Graf -
REC:FIVED
JUN-2 9 1999
DEVELOPMENT SERVICES CJR-
CITy OF EDMONDS
I- . U4
The following is in response to your Correction Checklist, dated June 18, 1999, for the above referenced
project. Listed below are our itemized responses.
NON-STRUCTURAL
Item I
Please see notes on the upper comer of Sheet A-2.0 that state that the south and the west walls are to be
of one -hour construction. Also, please see the note on Wall Section 1, Sheet A-5.0 that states that the
south and west walls are to be of onc-hour construction.
Item 2
Per a pre -application phone conference call with you, it was determined that the building is a B
Occupancy, as there are less than five patients that are incapable of self-preservation.
Item 3
Per a pre -application meeting with the City of Edmonds and discussions with you, the area above the
reception area is not for storage, but is a mechanic al.pl atform, and therefore does not need to have a
complying stairway. We are utilizing a com mercial disappearing stair with a onc-hour rated opening.
Per all discussions I have held with City staff, this is an acceptable solution to accessing the mechanical
platform.
In addition, per 1003.3.3. 1, it states stairs or ladders used to attend equipment are exempt from
requirements of this section; and, per 1103. 1. 1., it states non-occupiabic space accessed by ladders, such
as mechanical and electrical equipment rooms, are exempt,
Item 4
There is a complying landing. Please refer to the Site Plan, Sheet A- 1.0, which shows that there is a
concrete landing on the e,xterior of Door 430 that leads directly to the sidewalk and there are no steps or
barriers.
S:\Arch\98',,DuL:LLMCn(5\162'�Williams 06-28-99.doc'
04
Kivt�rsidr Drivi-. Suilc _'?0 Mouni Vernon, WA 992":1 :360) 4214-0394 FAX �161)i 424-1726
AA_
,jun — e- to — !:o to -.L xt etotAt_tAmL_ r- i i L �-%mt_n L i r-%— i _s
Jeannine Graf., Building Official
City of Edmonds
Plan Review #99066
Edmonds Sound Urological
C_ -+ L'A I C_ %a F_ .
RECEIVED
JUN! .2 9 1999
DEVELOPMENT SERVICES CTR.
CITY OF EDIVIONDS
Item 5
It is agreed that the maximum live load for the mechanical platform shall be posted. We will post this as
125 ounds per square foot. This is noted on Sheet S-3 of the Structural Plans.
(,j:0Kj !11:11111d #0 A-2.5,
fit m is 110 uir ge room to be placed on an exterior
ion 4'10, there q
Per Section 410, there is no requirement for the medical gas'stora
wall. We will change Door #27 into the room to be a one -hour smoke and, draft assembly rather than 1/4
hour rated. (Please note this on the plans.)
Item 7
We are agreeing to provide medical gasses Room #148 with automatic sprinklers and mechanical
ventilation in accordance with the Exception of Section 410. (Please note this on the plans.)
Item 8
We agree that all smoke and draft doors shall comply with the 1997 UBC, Standard 7-2. This revision
requires that all smoke and draft assemblies be tested for a maximum allowable leakage of three CFM
per square foot and be labeled with an S rating. Please indicate this on the Cover Sheet of the plans.
Please mark this revision in rate on the Cover Sheet.
Item 9
We agree that all other fire resistant door assemblies shall be tested to the new provisions of UBC
Standard 7-2.1, for fire resistant assemblies.
Item 10
There is no requirement, per the UBC, for protection of any through wall penetrations of any fire
resistant wall assemblies. The only fire resistant walls required by the LJBC are the south and east walls.
The only penetrations that will be occurring on the south and east walls are for one hose bib on each
side. Each hose bib will be fire stopped with an assembly with an F Rating equivalent to the wall that it
penetrates.
Item 11
We do not have any insulation facing that is exposed to the interior. However, we agree that if there is
any it shall have a flame spread rating of 25, per Section 707.
Item 12
We -agree that the masonry veneer anchors should support no more than square feet of veneer area.
(Please revise Detail .1 on Sheet A-5.0. with red markings for this comment.)
Item 13
The size of the vertical strut for bracing the suspended ceiling sh all be 3 Y2" 20 gauge steel stud. (Please
note in redami4c-pl-ahs-tt-aT-ir���apa���ing an actual compression load of 200
pounds.) �� Av�a RjAe4 -6 cWtIS 1:5/15 sIck A-
S:\Arch\98',Documeiits'%162'.Williams 06-28-99.doc
'Juri—ew—t.1to JLX ; Z:_W1A_ 'k-1AML-r- I I X PAM%-rll.L I F-%- 1 -3.
Jeannine Graf, Building Official
City oJ* Edmonds
Plan Review 499066
Edmonds Sound Urological
MECHANICAL
Item I
We arc submitting mechanical as a deferred submittal. (Please note this on the Cover Sheet.)
Item 2
We agree that if the water heaters have non -rigid water connections and are over four feet in height they
should be anchored or strapped to resist earthquake motion, per Section 303.4 of the UBC.
1997 WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Item I
Please add a note in red to Sheet A-2.4 that all glazing shall be certified and labeled with its U factor and
solar heat gain coefficient by an independent agency licensed by the NREC.
Item 2,
We agree that the slab insulation shall comply to complete the then-nal break. It has been my experience
that Plans Examiners for NREC, as well as Site Inspectors, have allowed the insulation to be cut down
from the top o f the sl ab due to spauling of concrete and other Issues that arise with floor coverings.
When the Code was written it did not take into account the constructability of such a detail. All
inspectors we have worked with to date in the greater Seattle/Bellevue area have been allowing this
exception. Please advise if not acceptable. We will revise and get a complete thermal break.
Item 3
We agree to comply with outdoor air being required in the building, per the Washington State
Vent 11 ati on/indoor Air Quality Control, WAC 51-13. As previously mentioned, we arc doing a deferred
submittal for mechanical. Calculations will be submitted to Justify the quantities.
Item 4
We agree that any full partition height space shall have individual lighting controls.
Item 5
We agree that daylight zones in the room shall be shown to have switches, occupant sensors, or daylight
sensors to control luminares near the window wall independent of the general lighting.
Item 6
The attic access door does come with insulation and is weather stripped, as it is a one -hour smoke and
fire draft assembly.
1995 WASHINGTON STATE REGULATIONS FOR BARRIER FREE DESIGN
Item I
Per prior discussions with Karissa Kawamota, due to conflicts with planning issues and availability in
requirements for parking, she agreed to allow a five foot access aisle in lieu of the eight foot access aisle
for a van accessible stall.
S:"Archl,.98".Documents'%162\Williams 06-28-99.doc
Jeannine Graf, Building Official
City of Edmonds
Plan Review ft99066
Edmonds Sound Urological
Item 2
As previously mentioned in Item I above, this requiNment was waived by Karissa Kawamota.
Item 3
Please refer to Detail 9 on Sheet A-L 1. The side slopes shown are 1:10, which are acceptable, as the top
width of the sidewalk is 48 inches or greater.
Item 4
Please see Detail 9 on Sheet A-1. 1. We have noted that the slope of the ramp is 1: 12 maximum.
STRUCTURAL
Item I — Item 6
Please refer to the attached letter, dated June 28, 1999, from DC1 Engineers, which addresses these
items.
I trust that these responses are acceptable to satisfy the corrections for the project. We appreciate you
reviewing the project. If you have any questions, please don't hesitate to call.
S1
it
tects, P.S.
cc: Bob Wilcox, Wilcox Construction
Tim Roddy, Sound Urological Associates
S:\Archl,98',,Documents'�.162\Williams 06-28-99.doc
TO:
Jeannine Graf
=0 f e_ 0 P 01
CARLETTI ARCHITECTS, PS.
architecture & planning
FACSIMILE TRANSMITTAL SHEET
FROM:
Peter Carletti
COMPANY: DATE:
City of Edmonds 02111/99
FAX NUMBER:
PHONE NUMBER:
RE: NUMBER OF PAGES INCLUDING COVER SHEET:
Sound Urological Clinic I
98-162
C URGENT 13 FOR REVIEW C3 PLEASE COMMEN7 r3 PLEASE REPLY 0 FOR YOUR USE
NOTES/COMMENTS:
Jeannine;
The following memo is to confirm our phone conversation of February 10, 1999 regarding the above referenced project and
our pre -application plans that were submitted for review. We discussed the following issues:
I If we have an x-ray room the walls need to be lead firked
2. it was agreed that this is a B-occupancy type V-N construction
3. You stated that you need the quantity of gases that will be kept in the building
4. Our interior lighting is exempt and you will not require NREC. However, you will need an outside lighting plan and
budget per NREC.
S. Demolition permits will be required.
6. 1 need to speak to the planning depicitrient regarding the lot line adjustment or lot aggregation that needs to take
place.
7. 1 -hour walls will be required at the south and the cast walls due to less than 20' from the property line. However,
parapets won't be required, as we can have unprotected openings'. Overhang is 30" and is not rated due to
unprotected opening. 71= 518" 'x' Swb can stop at the top of the wall plate,
8. We have no rated corridors. All pasuges are non -rated hallways.
9. You stated we should check the dimension of our egress exits for'half the distance of the diagonal.
We are proceeding with this information for design purposes. If any of it is incorrect please notify us irnmediately.
Tlianks,
Petc Carletti
Carletti Architects
Carteld Architects, P.S. 2204 Riverside Drive, Suite 270 Mount Vernon, WA 98273 (360) 424 — 0394 FAX(360) 424 - 3726
M
CWA CONSULTANTS
STRUCTURAL ENGINEERING
BUILDING CODE CONSULTANTS
22421 N.E. 20n' Stmet, Redmond, WA 98053 (425) 836-2833 FAX: (425) 836-3707 E-Mail. chuckw@gte.net
June 18, 1999
Jeannine Graf
Building Official
City of Edmonds
121 5tAvenue North
Edmonds, 98020
Dear Ms. Graf;
CITY COPY
Plan Review #99066: Edmonds Sound Urological
1997 Uniform Building Codes
Type of Construction; V-N
Occupancy — B
Stories: 1
Seismic Zone: 3
Wind Speed: 80 R E C E I V F,-
Wind Exposure: B -JUN 2 9
DEVELOPMENT SEW, -
CITY OF EDMON.,
We have completed our review of the Edmonds Sound Urological. The plans have
been reviewed for compliance to the 1997 Uniform Building Code, 1997 Uniform
Mechanical Code and the Washington State Accessibility.
NONSTRUCTURAL
For your information the entire building is of Type V-N construction. However the
south wall is required to be of one -hour construction since it is located less then 20'
from the property line. The Sheet A-2.0
'zyou should verify to your satisfaction that the actual use of this building does not
require an 1-1.2 occupancy classification. The architect has indicated that the
building is a B occupancy since the building serves less then 5 patients. This is for
your determination.
There appears to be a storage area located above the reception area. This should
be provided with a complying stairway. The details for the pull -down stairs shown on
Sheet A-6.2 do not comply with Chapter 10.
/4. A complying landing should be shown at the exterior of door 30.
JUN_ei_1t$t$1j 11:.�b �'Kuill;
I U � ItCZ) I I luccl r. UUC, UUlt
Edmonds Sound Urological
PC 99066
June 18, 1999
Page 2 of 4
,/The maximum live load for the storage area should be posted Section 1607.3.5.
The medical gas storage room should be placed on an exterior wall. The door (#27)
X81"T
into the room should be a 1whour smoke and draft assembly. The exterior wall
should be vented with a high and low vent of 36 in 2 each. Section 410.
/7/Alternately the room could be provided with automatic sprinklers and mechanical
ventilation in accordance with the exception to Section 410.
All smoke and draft doors should comply with the 1997 UBC Standard 7-2. This
zz"")
revision requires that all smoke and draft assemblies be tested for a maximum
allowable leakage rating of 3 cfm per square foot and be labeled with an "S" rating.
This should be indicated on the plans.
Z,P�A I other fire resistive door assemblies should be tested to the new provisions of
I
U BC Standards 7-2, Part 1 for fire resistive assemblies. This revision to the
Standards now requires that the doors be labeled with a temperature rating and that
the doors pass a much more stringent fire test procedure.
�"�etails should be provided for protection of all the theough-penetrations and
membrane penetrations of all fire resistive wall assemblies. Section 710. These
should be listed assemblies with an F rating equivalent to the wall penetra ' ted. Note
that a T rating is no longer required in the 1997 UBC for wall penetrations.
y"'I'nsulation facing that is exposed to the interior should be provided -with a maximum
fl me spread rating of 25. Section 707.
(X2. The masonry veneer ties should support no more than 2 square feet (not 2' oc) of
v neer area. Detail 9, Sheet A-6.0 should be revised
.The size of the vertical strut for bracing the suspended ceiling system should be
/1�t
specified. It should be capable of supporting an axial compression load of 200#.
MECHANICAL
No mechanical plans were submitted, These should be listed on the plans as a
deferred submittal.
I f the water heaters have nonrigid water connections and are over 4' in height, they
should be shown anchored or strapped to resist earthquake motion. Section 303.4,
UIVIC
JUN-21-1999 11:36 FROM:
I U: 14d�) ((I uddi t. UU4
Edmonds Sound Urological
PC 99066
June 18, 1999
Page 3 of 4
1995 WASHINGTON STATE RESIDENTIAL ENERGY CODE (WAC 51)
The designer should note on the plans that all glazing shall be certified and labeled
with its U-factor and solar heat gain coefficient by an independent agency licensed
by the NFRC. Section 1312.1
/2�_Fhe slab edge insulation shown in Detail 2/A-6.0 should provide a complete thermal
break.
Z_��Outdoor air is required for this building per the Washington State Ventilation and
indoor Air Quality Code (WAC 51-13). The quantities of outdoor air supplied to each
area should be listed on the plans per Table 3-4 of that code, Calculations should
be submitted to justify the listed quantities.
Each full -height partitioned space should have individual lighting controls. Section
1513.1 Cth5�_
"'�The daylight zones in rooms should be shown to have switches, occupant sensors,
or daylight sensors to control the luminaries near the window wall, independent of
the general area lighting. Section 1513.3, Section 1210.
,/"�Tlhe attic access doors should be shown with insulation and should be weather-
s st
ripped. Section 502.1.4.4
1995 WASHINGTON STATE REGULATIONS FOR BARRIER -FREE DESIGN
/. one accessible parking space should be provided, which should be van -accessible.
Sections 1107.1.1, 1107.1.5, Table 11 -F
Van -accessible parking spaces should be 8'wide, with adjacent 8' wide access
aisles (which may be shared with an adjoining space). Sec;tion 1107.2.2
The maximum side slope for curb cut ramps should be shown as 1:12, where the
width of the sidewalk at the top of the ramp is less than 48". Section 1106.4.7.3
X,"The slope of all ramps should be shown on the plans (1:12 maximum). Section
1106.8.2
STRUCTURAL
/�All deferred submittals should be listed on the plans. Section 106.3.4.2.
JUN-tl-l*=�'Z) 11;-)tD rmUll;
I U - : I I YJCC I r, . Y-)Y-)-t I YJU-t
Edmonds Sound Urological
PC 99066
June 18, 1999
Page 4 of 4
zzl_�T 'he non -bearing walls should be held down from the truss bottom chord with an
approved fastener (such as Simpson STC) to insure that the truss bottom chord will
not bear on the wall.
A
",_�Ipproved hangers should be used at all connections of rafters, jack or hip trusses to
t�,
the main girder truss. The type should be specified on the plans.
All shear walls with an allowable shear of more than 350 plf should be provided with
."�l
3x members at adjoining panel edges and at the foundation sill plate. Note 9 of
the shear wall table should be revised. This would apply to both SW 3 and 4.
/15�All anchor bolts should be provided with ZxZx3/16" plate washers.
he use of PT Doug -Fir for the foundation sill should be justified. I don't believe that
'n DF species.
pressure treated material is available i
I am retaining all plans and data and anticipate that I will be rechecking any plans as
necessary. I will gladly accept telephone inquiries from the designer. I will also send a
copy of this plan check list directly to the designer. Please instruct the designer to
indicate on a separate letter which sheet or detail the corrections may be found and to
REVISE AND RESUBMIT THE PLANS. Please feel free to contact me if there are any
questions,
Sincerely;
Chuck Williams SE
CWA Consultants
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LANDSCAPE PLANT MATERIALS LIST
SYMBOLI
NAME
size
DESCRIPTION OF' PLANT
le— 1-1111EIA
VCAL
1111- III= TIEC WIT. -I!. BRANCHING
(D
PAPER BIRCH
HABIT AND LACY FOLIAGE
CHAMAEC PARIS ObTUSA
6.&- PT
SL NOES SMALL EVERGREEN T EE WITH
HlNoKI CYPRESS
OPEN BRANCHING. DROUGHT RESISTANT
PRUMUS YEDOENS18
2 IN
GReEAT MEDIUM-BIZE SHADE TRCE WITH
YOSHING FLWQ. CHERRY
CL AN HABIT AND GHOWT BLOOMS
RHUS YTp.HINA
6-10 PT
SHIPW TREELIKE SHRUB WITH BRILLIANT
STAG RN BWAC
FALL CMOR AND INTERESTING WINTER LOOK
ENKI THUS CAMPANULATUS
50' HT.
SMALL SHRUB WTTH GLOSSY EVERGReCN
ReDVEIN ENKIANTHUS
LCAVCS -- OPEN BRANCHING
0
eftICA CAANe"c�uN^ Vua.G.
I GAL
REVIEW LIST OF PROPOSED VARIETIES WITH
MEATHS AND HEATHERS
LANDSCAPE ARCH. BEFORE INSTALLATION
0
RHODODENDRON
50 IN.
DARK GREEN LOW $HR.. WITH
NO- ZEMBLA RH....
RCO BLOOMS AND CLEAN FOLIAGE
0
RHODOD MORON SP.
5* I�
GWAAF MAROON —NOD FOLIAG AND
PJM RHODOOeNDRON
EARLY LAVENDER -PINK BLOOMS
0
ARCOCOC A RUSCIFOLIA
I —
SM LL CVCRGKCCN SHRUB WITH FRAGRANT
SW �T SARCOCOCCA
CARLY BLOOMS -- LOVeS SHADE
(D
THUJA 0 ClOeNTALIS
. P'.
FULL AND BUSHY. WELL MATCHED
EMS. DIC.. PYRAMIDALIS
,�6
JUNIPeRUS CONFER A
2 GAL
LOW SPREADING GROUNDC.VtR WIT. SOFT
—1.
BRIGHT GREEN NeeDLES
COTONCA3Teft TIAMNeRr
I GAL
LOW GLOSSY-LeAF ZnOuNocovex spAcE
BEARBERRY COTONEASTeR
18 IN. ON CENTER
CLeNATIS ARMANDII
I GAL
TRAIN ONTO FENCE
eVERGReCM MENATIS
LANDSCAPE NOTES
1. THE SU5GRADe OF ALL LANDSCAPE AREAS SHALL Be SCARIFIrD
AND LARGE! ROCKS. ROOTS. AND CONSTRUCTION DEBRIS SHALL BE
REMOVED PRIOR TO PLACEMENT OF TOPSOIL.
2. A MINIMUM DEPTH OF SIX INCHES ICOMPACTrDI BLENDED
MANUFACTURED TOPSOIL SHALL be INSTALLED IN ALL LANDSCAPE
BEDS.
21 LAWN AREAS SHALL BE PLANTED WITH NUMBER ONE GRADE
R�LLI!D SOD. STAGGERING JOINTS TO AVOID SEAMS.
4. ALL TREES SHALL BE STAKED AS NECESSARY TO PREVENT
LEANING OR DAMAGE TO THE ROOTBALL AS SHOWN ON DETAIL
SHEET L3.1. ALL TREES. SHRUBS. AND GROUNDCOVrRS SHALL BE
FERTILIZrD AS NECESSARY TO ACCOMMODATE SIZE AND CURRENT
GROWI NG SEASON.
S. A TH Rrr'INCH LAYER OF FINELY GROUND BARK MULCH SHALL BE
INSTALLED IN ALL PLANTED 5eDS. CASORON OR OTHER CHEMICAL
WEED CONTROL MAY Be APPLIED. BUT CONTRACTOR ASSUMES ALL
RISK FOR ADVER Se ePP7CTS ON PLANTS. SOD. AND/OR SOIL.
6. THE ENTIRE PROJECT SHALL Be LEFT IN A SPOTLESS CONDITION
AT COMPLETION. THE OWNER SHALL BE FURNISHED WITH A FULL
SET Of' INSTRUCTIONS FOR MAINTENANCE OF THE PLANTINGS AND
I C
IRRIGAT ON SYSTEM. ALON , WITH ALL TOOLS . KEYS.ANO OTHER
eOUIPMeNT NECESSARY TO OPERATE AND MAINTAIN THE IRRIGATION
SYSTEM.
7. THE CONTRACTOR SHALL COORDINATE WITH THE GENERAL
CONTRACTOR AND THE OWNER TO DETERMINE THE BEST LOCATION
FOR THE! AUTOMATIC IRRIGATION CONTROLLER.
I'- THE LANDSCAPE ARCHITECT RESERVES THE RIGHT TO REQUIRE
SUBMITTALS REGARDING THE SELECTION OF' IRRIGATION CONTROLLER.
TOPSOIL AND BARK PRODUCTS. PERENNIAL FLOWER SELECTIONS. AND
PROPOSED PLANT MATERIAL SUBSTITUTIONS.
0. THE LANDSCAPE CONTRACTOR SHALL FURNISH A ONe-YEAR
WARRANTY ON ALL WORKMANSHIP AND MATERIALS RELATING TO THE
LANDSCAPING AND IRRIGATION OF THE PROJECT. ANY ITEMS FAILING
DURING THIS PERIOD SHALL BE REPLACED WITH eQUAL OR BETTER
AT NO COST To OWNER.
040
STATE OF 0 5 10 2.0
SCALE
LAURIE A. FREEMAN
CERTIFICATE NO. 626
COPYRIGHT 1000 -- ALL RIGHTS RESERVED ATTACHM
aL
Pre -application meetin
February 12, 1999 — 9:00 a.m.
Applicant: Carletti Architects
Site Address: 21822 and 21830-76h Avenue West
Medical Building
Attending: Representing Ci1y Sta Gordy Hyde, Rob Chave, John Westfall, Conni Curtis.
Representing Applican : Peter Carletti, Carletti Architects; Kathryn Emory, R E C E I V E D
TCI Engineers MAR 191999
Rob asked Applicant to explain his project. EDMONDS FIRE DEPT
Applican : There are two existing residences on the site (21822 and 21830-76fl' Avenue West). What
we're proposing to do is remove the two residences and construct a new medical clinic (approximately
4,683 ST) for a group of urologists. Currently the property is zoned RM2.4. We have filed for a
Conditional Use Permit on the property and for SEPA. A DNS has been issued, and our hearing is
scheduled for March 4 at 9:30 a.m. I've had conversations with Karissa and Brian of the Planning
Division and with Jeannine Graf of the Building Division. We are -going to file for ADB today.
The Applicant went over the plans, noting setbacks, square footage of building, indicated 23 parking stalls
— one barrier free. Applicant provided landscape plan showing trees to be removed and location and type
of trees to be added. He also provided an irrigation plan. This will be submitted with ADB. In addition
will be submitting the application for a free-standing monument sign. Sign will use ground lighting and
the base will be landscaped. Will be a one-story building with metal weathered copper roofing, brick
wainscot, approximately 3'4" high, wraps entire perimeter of building with a pre -cast concrete steel cap.
Dark bronze aluminum store -front windows, "stucco" -type natural white finish. No rooftop mounted
mechanical units — all mechanical units will be in second -floor attic space. Two pole lights, couple of
ground lights at the side, and some ball packs around the building. Building Division was unable to
attend meeting, but Applicant had spoken with Jeannine prior to today. They discussed height calcs, and
datum points are indicated on the plans.
The Applicant then addressed drainage. Most of site drains onto 76h Avenue West; parking lot will just
drain into catch basins as shown; 48" diameter underground storage, orifice release into the existing storm
drainage system in the street. Need a lateral sewer connection and will replace the driveway. Applicant
asked if City is aware of any downstream drainage issues.
Engineering (Go : We have reviewed primarily traffic and stormwater design. Water quality
amendments are required for the outside parking lot areas. Our ordinance provides for bioswales, but
there are alternatives that are also approved — a wet pipe can be used, filtered systems .... for specifics on
this issue, contact Don Fiene, our Hydraulics Engineer. Provide all information required on checklist for
ADB application (site cross -sections, driveway slopes, etc.) With the number of stalls you are creating,
you are right on the cusp of requiring what we call a high -traffic load driveway, and it looks like you are
designing a standard residential driveway. A high -traffic load driveway is merely a drop curb situation
where you'd have a wheel chair ramp on each side — I have typically required a high traffic load driveway
anytime you're providing more than 20 parking stalls. Because you're right on the cusp and are this far
along in the design, we may not require it — I will let you know. Driveway dimension is 24' minimum —
it looks like you have all your dimensions on these plans as to traffic stalls, etc. We do have a need for a
traffic report for SEPA. The Traffic Engineer has asked for the following information: trip generation,
traffic distribution, level of service analysis of the following intersections:
76fl'Avenue West/22Wh Street SW 76hAvenue West/Highway 99
76thAvenue West/216 h Street SW 220th Street SW/84h Avenue West
76'hAvenue West/212th Street SW 22Wh Street SW/Highway 99
Page I
Pre -Application Meeting
February 12, 1999
Carletti Architects/Medical Building
Applicant indicated the traffic report had been completed and submitted with SEPA and that they have
been provided with projected amount of impact fee.
Per Applicant, Jeannine had called him two days ago indicating that she would not be in attendance today,
so he sent her a memo confirming their conversation. She didn't have any issues, and he had no more
questions regarding building issues. John asked if Jeannine agreed with the B-Occupancy.
Applicant: The Applicant stated he could meet UBC 304.1 #8 and allowable area per table 5B. We
talked about the fact that we're okay in allowable area. For 5-N, when you're less than 20 feet, bearing
walls haveto be one -hour, so we have the two indicated on our plans. We talked about the fact that
parapets wouldn't be required since we're greater than 10 feet, you can have unprotected openings;
therefore no parapets required. We talked about the overhangs and the fact that in the code overhead
projections all the way up to 30", so since you could have unprotected openings, those don't need
protecting. Note: Ais is subject to UBC 503.2. 1, the 30 " overhang is an ECDC code, not UBC
Fire/Building �Lohn) John indicated a fire alarm requirement for corridors and office uses required by
building code in lieu of one -hour corridor construction — is that a trade-off there? Applicant indicated no
— we don't need it because in the new UBC, all the rooms only require one exit, so every exit exits out
into this hallway — under the new UBC, a hallway is considered an intervening room. Lobbies aren't
considered as intervening rooms, so since the doors are all going through intervening room, you have no
rated com'dors. Per Applicant, Jeannine agreed with the conceptual design, but means of egress will be
checked during pen -nit review. John asked then if no second exit required. Applicant pointed out two
exits. Per, Applicant, Jeannine indicated that the distance appeared to be adequate, but the architect
should check the half -diagonal rule for spacing of exits. John asked if Jeannine had discussed med. gas
with him. Applicant said yes, she needs to know quantity of gasses that are there. John asked if
Applicant had certified installer — to provide Building Division with that information. Applicant
indicated a requirement from Medicare regarding one -hour separation walls in various other rooms. Per
John, one hydrant will be required spaced at 300'. Applicant indicated they will place the hydrant on the
side of the street where the water main is. Fire extinguishers are indicated throughout. Per Applicant,
there will be an emergency generator backup because of a Medicare requirement.
Applicant indicated that in talking with Jeannine, the issue was brought up regarding the two separate
properties and property lines — dowe need to do a lot line adjustment, a lot aggregation? Rob said that a
lot line adjustment will be required.
Applicant asked what happens about these trees? Do we have an ordinance for removing these trees or do
we evaluate that with the landscaping plan? Per Rob, it's evaluated with the landscaping plan for ADB.
CAMy Documents\Engscc\DEVELOP\Pre-AppMtgs\PreApp2.12.99. Ldm Page 2
i/.viebFIRS
Fire Incident Report
Edmonds Fire Department
incident Number: EF07000998 Exposure: 0 Incident Date: 3/23/2007
3urisdictional Station: 20 Location Type: Street address
Address: 21822 76
AVE W
City: Edmonds State:
WA Zip: 98026
Incident Type: Alarm system sounded, no fire - unintentional
Shift: A Alarms: 1
Grid: EF156
Aid Type: None
Alarm Time:
(17:00:19) 3/23/2007
Arrival Time:
(17:05:28) 3/23/2007
Last Unit Cleared Time:
(17:19:56) 3/23/2007
Actions Taken: Investigate
HazMat Released: None
Property Value: 0
Property Loss: 0
Fire Service Deaths:
Fire Service Injuries:
0
Contents Value: 0
Contents Loss: 0
Civilian Deaths:
Civilian Injuries:
0
Detector:
Officer In Charge: PATRICK HEPLER Assignment: Command
Mixed Property Use: Not mixed use
Property Use: Clinics, Doctors offices, hemodialysis centers
wc[TIRS
Fire Incident Report
Edmonds Fire Department
Person('s) Involved
Business name: Manager Role: Other
Name: Hope Durnais Phone Number: 4256708950
Address:
Apparatus and Personnel
Apparatus ID Personnel ID('s)
L20 EF0128 EF2208 EF2400
YL
wc[TIRS
Fire Incident Report
Edmonds Fire Department
Incident Number: EF07000998 Exposure: 0 Incident Date: 3/23/2007
Narrative
Ladder 20 was dispatched to a Commercial Fire Alarm at 21822 76 Ave W, and Sound
Urological. On arrival at the one story, wood framed, medical office clinic, with no visible
problem from the exterior, no bells or strobes, L20 was met by the manager of the clinic, Ms
Hope Dumais. She stated that is was a false alarm. She followed up by saying that an employee
opened the autoclave, and when she did it burped out steam and heat, setting off the
smoke/rate of rise detector right above the unit. Ms Dumais reset the system prior to our
arrival. On investigation, Ms Dumais showed 1-20's crew the autoclave in a small back room,
with a detector right ablve the unit, and no problem was found. The unit was a Tuttnauer
Auotclave Steam Sterilizer- MN-3870E, SN-9606177. No one was hurt in the incident either. Ns
Dumais stated that it has happened before, and I recommended that the unit be moved to a
location that is not near a detector, due to the nature of the unit to expell heat and steam
upon opening it. L20 then went in service.
Lt PATRICK HEPLER
incident Hillpry'W"
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SUPP LOCK SOUND UROLOGICAL ASSOCIATES,,
NAM: HOPIFI'l
ADR: 21822 76 AV W IEDM,
PHOr 42577571667
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