The URL can be used to link to this page

22327 HWY 99 (2)SNOHOMISH CO. ZZ,3Z7 14r&PWR� 91 Serving Brier, Edmonds, and 12425 Meridian Ave S Mountlake Terrace Everett, WA 98208 Phone (425) 551-1200 www.FireDistrict].org Fax (425) 551-1272 LOCATION: 22327 Highway 99 . 98026 BUSINESS NAM�� PHONE: MAILING ADDRESS: 22327 Highway 99, Edmonds, WA 98026 BUSINESS OWNER: HOME PHONE: North County Al EMERGENCY-1: KEY ACCESS-2: Lingle, Bruce EMAIL: PERSON CONTACTED�,��_;N NAME OF INSPECTOR: FIRESYSTEMS: AS8/15FA11/15FEl/15 HOME PHONE: HOME PHONE: 2067991667 FIRE PREVENTION. INSPECTION REPORT ZIEDMONDS OEIRIER 0 MOUNTLAKE TERRACE [3 UNINCORPORATED " FREQUENCY I STATION& SHIF") Ann al 20-A SCHEDULED DATE DUE 'Apr 2016 UFIR 0 573 CURRENT CITY YES NO BUSINESS 0 LICENSE INITIAL INSPECTION DATE �_ 12A 11 � -R=qffr OWTNTtOCATIONS / COMMUNICATIONS XMIN 2 4,1A 2 3 4 ...... . .. ... ------- . ... ... 3 4 5 5 6 6 7 7 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 all businesses and multi -family occupancies in the Cities covered by Snohomish County Fire District 1. You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. e you :) C will find the item(s) that were noted during. our inspection which require attention to bring them into c iance with the minimum standards adopted by the above jurisdictions. Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or 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 Protection Contractors- since 1930 VIKING AUTOMATIC SPRINKLER COMPANY 3434 First Ave. So., Seattle, WA 98134, 206.622.4656 WE WA: VI-KI-NA-W73NT LEVEL N 602 California Way, Longview, WA 9#632,360.425.7620 Fire Sprinkler Inspection Report Page:102 REPORT TO: JOBNO. 6Ar_1,A_T1j DATE: STREET: 22-12277 . Jj4-,i F9 BLDG. / LOCATION:,&/ INSPECTOR: CITY/STATE: plrdk'oh '14, 1.GENERAL a. Is the building occupied ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. Are all fire protection systems the same as lost Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a. Is the building completely sprinklered ? - - - - - - - - - - - - - ------ - - - - - - - - - - - - - - - - - - - - - - I.. Are all new additions and by!!dlng.changes properly. protected ? - - - - - I - - - - --- - - - -- g. Is all stock or storage properly below sprinkler piping ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - h. Was property free of fires since last Inspection ? (Explain any I Ire on Page 2) . . . . . . . . . . . . . . . . . . . . . . . . 1. In areas protected by wet syste me, Is building properly heated, Le.: blind aMes, perimeter areas, and are all exterior openings protected against the cold ? 2. CONTROL VALVES (See Section 17) a. Are all sprinkler system main control valves open ? . . . . . ... . . . . . . . . . . . . . . . . . . . . . . b. Are all other control valves In proper position ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c. Are all control valves In good condition and sealed or supeMsed ? . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. WATER SUPPLIES (See Section 18) a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? . . . . b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight ? 5. WET SYSTEMS (See Section 13) a. Are cold weather valves open or closed as necessary ? . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . b. Have antifreeze.systems been tested and left In satisfactory condition ? Temp. ? — - - - - - - - - - - - - - - --- - - c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . . . . . . . . . . . . . . . 6. DRY SYSTEMS (See Section 14) , a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Are pressure and priming water levels normal ? - - - - - - - - - - - - - - - t -- - - - - - - - - - - - - - - - - - - c. Is air compressor In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . d. Were low points drained during fall and winter Inspections ? . . . . . . . . . . . . . . . . . ... . . . . . . . . . . a. Are Quick- opening devices In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. Has piping been checked for stoppage within the past ton (10) years ? - - - - - - - - - - - - - - - - - - - - - - - - - - g. Has piping been checked for proper pitch within the. past five (5) years ? . . . . . . . . . . . . . . . . . . . . . . . . . h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Are dry valves adequately protected from freezing ? . . . . . . . . . . . . . . . . . . . . . . ... . . Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - 7. SPECIAL SYSTEMS (See Section 16) a. Were valves tested as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Were all host -responsive systems tested and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . c. Were supervisory features tested and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - - &ALARMS / ' a. Is the water motor and gong test satisfactory . . . . p /C . . . . . . . - - - - - . . . . . . . . . . . . . . . . b. Is the electric alarm test satisfactory ? - - - - - - - - - . . . . - - - - - - . . . - - - - c. Is the supervisory alarm service test satisfactory ? Monitoring Co. YA4A Ph.: /i Code:.W)AMY2 9. SPRINKLERS - PIPING a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or I dino . . . . . . . . . . . . b. Are all sprinkler heads less than fifty (50) years old? Head Manufacturer:— Date of head WHITE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMINT COPY GOLD: BUILDING COPY Fire Protection Contractgrs since 1930 t 0140- VIKING AUTOMATIC SPRINKLER COMPANY MW Rrst Ava Sa, SeMb� WA 98i34, 206. 622. 4656 WA.: VAXI-NA-S3731VT LEVEL M 602 CAW=* WW, Longvian INA 360.425.7620 Fire Sprinkler Inspection Report... Page: 2of 2, 9. SPRINKLER PIPING (Continued) YES N.A. NO c. Am extra sprinkler heads readily available ? - - - - - - - - - - - - - - - - - - d. Is condition of piping, drain valves, check valves he pressure gaugbs, open sprinklers, and strainers sattlactory ? .'f a. Are 611 sprinklers of proper temperature rating? . . . . . . . . . ... . ... . . . . . . . . . . . . . . . . . 0 1K I. Are portable fire extinguishers In good condition,? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. g. Is hand hose on sprinkler systems satisfactory ? - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - 10. Date Dry System Piping last checked for stoppage .. . . . . II. Date Dry System Piping last checked for proper pitch -- - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - 12. Date Dry Pipe Valve last trip tested .. . . . . . . . . . . . . . . . . . . . . . . . . . . /,&P - 13. Wet systems: Number Make Model Year. 0-M I 14. Dry Systems: Number: Make M m Year. 15. Accelerator: MakeJ Model Year: -Special Systems: Number�: �Typqk- -x` Make / Model / Year Condition 17. CONTROL VALVES a. City Connection Control Valves b. Tank Control Valves - - - - - - - - - c. Pump Control Valves - - - --- - - - - d. Sectio" Control Valves . . . . . . . . . a. System Control Valves - -: . . . . . . . It WATER FLOW TEST a. Water Pressure Source : Jr City, 0 Tank 0 Fire Pump, Water Flow Test taken ? If not, reason: Test Pipe Location Size Test Pipe Pressure Before Flow Pressure Pressure After A 7- �767 19. Explanation of any "No" answers: -J h In as In bu Iding occupancy o u 20. Recent c r fire protection eci loment : 21. Adjustments or corrections made: �.: 22. , Desirable Improvements: 2.3. Has building owner / representative been notified of any deficiency to the fire protection system? 0 Yes 11 No, Person notified: If answer is "No",explain: 24. Inspector's Signature: AO' Witness (property owner / lessee) and date: WHITE: VIKING COPY YELI-6W: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPY Fire Prote.-ction, Contracto!'rsl since 1930 lvc9r VIKING AUTOMATIC SPRINKLER COMPANY, 3434 First Ave. So., Seattle, WA,98134 206.622.4656 WA.: VI-KI-NA-S373NT LEVEL N 602 Callibmia Way, Longview', WA'98632,360.425.7620 Fire Sprinkler'Inspection Report Page:IW2 REPORTTO: JOB NO. DATE: 2 Z -32 `2 7 STREET: BLDGi. LOCATION 02 CITY / STATE: A - 4—MI-4 INSPECTOR: _Zzoz 0'r 1.GENERAL YES N.A. NO a. Is the building occupied ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Is occupancy the'same as previous Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a. Is the building completely sprinklered ? . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . X f. Are all now additions.a X �fbulldlng changes,properly"prptect fv - g. Is all stock or storage properly below sprinkler piping ? - - - - - - - - - - - - - - - - - - - - - - - - - - - h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) . . . . . . . . . . . . . . . . . . . . . . . 1. In areas protected by wet syste me, Is building properly heated, Le.: blind attics, perimeter areas, and are all exterior openings protected against the cold 2. CONTROL VALVES (See Section 17) a. Are all sprinkler system main control valves open ? - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - b. Are all other control valves In proper position ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c. Are all control valves In good condition and sealed or supervised ? . . . . . . . . . . . . . . . . . . . . . . . 3. WATER SUPPLIES (See Section 18) 'a. Was a water flow test preformed and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? 7", 3< b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight W -MAW s. WET SYSTEMS (See Section 13) a. Are cold weather valves open or closed as necessary ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? . . . . . . . . . . . ........ . . . . . c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? - - - - - - - - - - - - - - 6. DRY SYSTEMS (See Section 14) a. Are dry v�10s(s)'IN'seirvice and.in good condition ? < - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - iz___ b.. Are pressure and priming water levels normal-? -- - - - - - --- - --- --- - - -- - - - - - - - - - - - - - - - - - - 12S c.. Is,aIr compr sso-r In good condition ? - - - - - - - - f d. Were low points drained during fall and winter Inspecilons ? - - - - - - - - - - - - - - - - - - - - '60onI4,,,dev,Ic9s In service ? ? --- - - - - - - - - - - - a. Are Quick"' f. Has piping be on checked for stoppage within the pastten (10) years? - - - - - -- - - - - - - - - - g. Has piping been checked for proper pitch within the past five (5) years ? . . . . . ... h. Have dry valves been trip tested satisfactorily as required ? - - - - -- - - - - - - - - - - - - - - - - - - - - - 1. Are dry valves adequately protected from freezing ? - - - - - - - - - - - - - - - - - - - -- - - - --- - - - - - - - - Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - ------ - - - - - - --- - - - - - - - - - won 7. SPECIAL SYSTEMS (See Section 16) a. Were valves tested as required ? - --- - - - - - - --- - - - - -- - - - - - - - - actory ? . . . . . . . . . . b. Were all heat -responsive systems tested and were the results satisf c. Ward supervisory features tested and were the res ults satisfactory ? - - - - - - - - - - - - - - --- - - - - - - - --- - - - 8. ALARMS ? a. Is the water motor and gong test satisfactory - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Is the electric alarm test satisfactory ? - - - - - - - - c. Is the su ;& ... . . . . . . pervisory alarm service test satisfactory ? Monitoring Co Ph.:. Cod 9. SPRINKLERS - PIPING a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or I ng? - - - - - - - - - - b. Are all sprinkler heads less than fifty (50) years old? Head Manufacturer: — Date of head WHITE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPY ""Z Boa—t-*2200J�Zl 7y VIKM AUTOMAAC SPRINKLER COMPANY WA: VHGM4U7=r LEVEL IN - Fire Protection, Contractors since 1030 34M,FkW S-06, Seelft WA W13#1 am. W. 4W 6W0AWW*WW,LQVV*"WA 3W.425.76M Fire Sprinkler Inspection Report 9. SPRINKLER / PIPING (Continued) c. Are extra sprinkler heads readily wellable ? . . . . . . . d. Is condition of piping, drain volv4wh check volves, hangar*, open sprinklers. and strainers solifectory ?.,...; a. Are all sprinklers of pro temperature rating? . Par . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t Are portable fire extinguishers In good condition4? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is hand how on VdnWw system satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Daft Dry System Piping last chocked for stoppolle .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Data Dry System Piping led chocked for proper pfth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Oate Dry Pipe Valve last trip tested .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Wet systems: Number. Make / model I Year. f �0" 0 a — Dry Systems: Number: = Make I M Year. jA " — - -*,r 15. Accelerator: Make] Model / Year: 46. special Systems: 4, MakelModel/Year: Condition: 17. CONTROL VALVES a. City Connection Control Valves b. Tank Control Valves. . . c. Pump Control Valves. d. Sectional Control VWm - a. System Control Valves - 1& WATER FLOW TEST Water Pressure Source:JkCity, OTank, 13 Fire Pump, Water Flow Tom taken *kl— N not, reason; Test Pipe Location Sto Too Pipe Pressure Before Flow Pressure Pressure After FJ* 7y Paqe:202 19. Explanation �,f, any "No" answers: '4W� 4W !t:' 7 77 'o P , 20. Recent changes In building occupancy or fir -prot"tion equipment: 21. Adjustments or corrections made: 24, Inspector's Signature: WING Witness (property owner I losses) and date: YELLOW: MOCE COPY PINK: FIRE DEPARTMEW OOPY GOLD: BULDING COPY 77 Z� Fi- a � r Protection Contractors since 1930 GlAUTOWATIC SPRINKLER COMPANY 3W Rmt A va. S%., Sweb, WA es 134, 2va. OM. 4M WA.: Yl-M-M-MMMT LEYEL N WifMT& WV, Lanoyfzw, WA e=, M. 4W. 7w COMPMY. DATE: MY/STATE:—,4—��,AO)' 91- ORY-PPE ULVE -- T E Va0va description a. Big@ b. Doak@ C. DflodaO d. Veav oV P&gg. 2. ConqvoO SpvinkOerz 6v 3. Pressure (Lb)-befova. a. Air b. Water 4. ContFoo va�ve a. Wide open b. No (Ho.01 turns t S. Operated at: a. Air pvassuve (Lb) b. Time (Hin.,Sec.) 63. Operation Ondicated: a. Satisfactory PaFtlao0y satislac FaiOed 7. Reason lov: 18HUve paniaooy satislac, VSOVG reset dry? (yes 9. Condition: a. Onterior ol body b. Water. for q9st pip C. Moving parts d. Seats 9. Rubber lacing 10-Mavms operated? (V(3 11 - Onspector's Test trip tim 12.Quich Opening Devic, a. Make b. ModaO C. Yesir 13.0peration 6ndicqated: a. Satisfactory b. FaHed to shut off 14-Ust ol repairs made: Signature / Me of p ,�Kon performing tout Witnese (owner / leasoe of property ) and date oigned. 2030 Airport Way S, Seattle WA 98144 Certification Given: PH: 206-328-3288 FAX: 206-322-7214 Red WASHINGMNALARM www.washinytL)nal-,irm.coni WhitelzYello-1-1 F WASHIA12820 Fire Alarm Confidence Test Report Central Station Transmitter Test Report SWF Test Report Jurisdiction: Edmonds Name of Facility: Collision Clinic- Fire - Bldg E Central Station Acct #: 4001042 Address'. 22327 Hwy 99 UL Cen Type of Test:r-1 Monthly I I Bi-Monthly F] Qu rly 171 T Semi Annual F] Annually 7 Acceptance F-1 Voltage Battery25.42 volts Charge Circuit27.35 volt, 25.03 Battery Voltage under Full Load Volts Item Yes 0 tern es 0 1 em es 0 Loss ofAC Results in Trouble Signal Fv/1 Ll Circuits Checked for I Electrical Supervision 1:111771 Key to Panel Available 1 V( I F1 L1 System Operates on AC Power - Fv/1 E Control Panel Tested per NFPA & Mgfs Specs F -11 F-1 Operating Instructions at Panel E n System Operates on Standby Power 1771 Auxiliary Equip Operates (Elev/Fans/etc) 1771 17711 7 Test Record Posted at Panel Signals Operate on AC Power 10 [—]_I F-] "Alarm Silence" Results in Trouble -Signal . I . I -1 F,/ Signals Re eived at , Monitoring Stat. Signals Operate on Sia dby Power I Z I El I F-1, Ground Fault Exists on Svstem I * 1 7. F-1, # Smokes Cleaned Fire Alarm Control Panel Mfg: Firelite Model- I MS521OUD # of Initiating Circuits: # 9 2 of Signaling Circuits: Central Station Transmitter Mfg: (if diffe — r) Model: I # of Initiating Circuits: # of Signaling Circuits: TYPE OF EQUIPMENT # of Units S tisfactory TYPE OF EQUIPMENT # of Units Satisfacto In Bldg Tested Yes I No — N/A In Bldg Tested Yes No N/A Bells Sprinkler Waterflow Switches 3 3 P-1 I H, Horn - s � - .: LI Sprinkler Supervisory Switches 5 Strobes Ventilation Controls Operate F] [:1 Horn / Strobes EZ Annunciators FACP 1 F] I Trouble Indicators 17.17-11 Elevator Recall 1 171.1 Heat Detectors Fire & Smoke Dampers IF I Smoke Detectors 17711 Phone Jacks Smoke Beams Auto Door Release Manual Pull Stations F Other This is to certify that this Fire Alarm System / Central Station Transmitter has been properly tested and inspected tor reliability to cover the items listed in this report, is consistent with Fire Alarm Maintenance Standards / Manufacturers Requirements, and all corrections have / have not been made. Testi".,- Agent - Pr;nl--d-, Phong Nyugen Testing Agent - Siignature.-. Phong Nyugen SFD Exam Cert #: N-07970 Date: 11/19/2015 Problems Found: Corrections Made: Date Made: Additional Notes: Panel Location: E Bldg 7323/ break ro I man -I hour _,VK1NC7- I Fire Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER COMPANY 3434 First Ave. So., Seattle, WA 98134, 206.622.4656 WA.: VI-KI-NA-S373NT LEVEL M - . 602 California Way, L 98632,360,425.7620 . Fire Sprinkler Inspection Report 77. Page:lof2 REPORT TO: - 62 J 0 B N 0. DATE: t? STREET: .7. ;P 7 2 BLDG./LOCATIO CITY / STATE: Z4&2m.4 INSPECTOR: I.GENERAL YES N.A. I NO I a. Is the building occupied ? . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X b. Is occupancy the same as previous Inspection ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - c. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a. Is the building completely sprinklered ?. - - - .11 . .1 - - ..I- . - _" - _ - _* - - --- - - - - ---- - - - - - --- f. Are all new additions ind building changes properly protected ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . g. Is all stock or storage properly below sprinkler piping ? - - - - - - - - - - - - - - - - - - - - - - - . . . .. . . . . . h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) --------------------------- 1. In areas protected by wet systems, Is building properly heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? i?_< 2. CONTROL VALVES (See Section 17) a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . b. Are all other control valves In proper position ? - - - - - - - - - - - - - . . . . . . . . . . . . . . .. X c. Are all control valves In good condition and sealed or supervised ? . . . . . . . . . . . . . . . . . ... . . . . . . . . 3. WATER SUPPLIES (See Section 18) a. Was a water flow test preformed and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, 'gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? " b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight 'OW s. WET SYSTEM (See Section 13) A*Wd" *NffA* a. Are cold weather valves open or closed as necessary ? - - - - - - - - - - - - - - - - - - -- --- - - - - - - - - - - b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? — - - - - - - - - - - - - - - - - - - c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? - - - - - - - --- - - - - - - - - - - - - - 6. DRY SYSTEMS (See Section 14) a. Are dry valve(s) In service and In good condition ? - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - b. Are pressure and priming water levels normal ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - C. Is air compressor In good condition ? - - - - - - - - - - - - - - - - - - - - - - d. Were low points drained during fall and winter Inspections ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a. Are Quick- opening devices In service ? - - - - - - - - - --- - - - --- - - - - - - - - - - - - - - - - - - - - I. Has piping been checked for stoppage within the past ten (10) years ? - - - - - - - - - - - - - - - - - - - - - - - - - - g. Has piping been checked for proper pitch within the past five (5) years ? -- - - - - - - - - - - --- - - - - - - - h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Are dry valves adequately protected from freezing ? - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - J. Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - 7. SPECIAL SYSTEMS (See Section 16) a. Were valves tested as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - b. Were all heat -responsive systems tested and were the results satisfactory ? - - - - - - - - - - --- - - - - - - - - - - - - - c. Were supervisory features tested and were the results satisfactory ? . . . . . . . . ... - - - - - - - - - - - - - - - - &ALARMS < a. Is the water motor and gong test satisfactory ? . . . . Al�l & // 'k - - - - - - - - - - - - - - - - - - - - - - - - - - b. Is the electric alarm test satisfactory ? - - - - - --- - - - - - - - - c. Is the supervisory alarm service test satisfactory ? Monitoring Co. A11*10-W-4 -- - - - - - - - - - 2- Ph.:120�iW_Code: 4/1 j 10 9. SPRINKLERS - PIPING a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loadl - - - - - --- - - - - - - - b. Are all sprinkler heads less than fifty (50) years old ? Head Manufacturer F?h Dateolhead:_ 2ts Ix WHITE: VIKING COPY ' YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COFfY GOLD: BUILDING COPY a a i C 7 Fire Protection Contractors since 1930 VIKING AuTomA-nc SPRINKLER COMPANY 34M RWWAWL Sa, Seaft WA 98134,206. 6M. 46M WA.: V1-XZNA-,SiMNT LEVEL X. 1/ 602 CAWM* WW, Longiview, WA 350.425.7620 Rre Sprinklerinspection Report. Page:W2 i" SPRINKLER1 PIPING (Continued) .'0 YES N.A.TNa ;J ekthi.sp nkler 6eads-readily available ? c. Are ri .7 hma ha'r eadfacibly ?; c6nd"Ittim of"p'lping,'draln valves, check va nge ure: au 9,� 6 n.9 d lftrs,,and strainemL as Pe P-h of a I sprinklers proper temp6riium atlng i a. Are.' I ; P . _ . I . . . . . - - - - --- - - - --- 7 7 I. Are portable fire extinguishers In good condition ? - - - - - - -- - - - - - - - - - - - - - - - g. Is hand hose on sprinkler systems satisfactory ? . . . . . . . . . . . . . . . . . . 7 - - - - - - - - - - - - - - 10. Date Dry System Piping last checked for stoppage -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11. Date Dry System Piping last checked for proper pitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Date Dry Pipe Valve last tri tested -- - - - - - - - . . . . - - - - - - - - - - - - - - - - - - 13. 14. 15. 16. Wetsystams: Number. --L—Make/ Model /Year _X ,Z,4 Dry Systems, Number: Make Model yeer akia/Mo-de-i"'! IS, Acceleratb_E�._Mi I / Year: r' Special Systems: Number: —Type: Make / Model / Year: 17. CONTROL VALVES a. City Connection Control Valves I— Condition : b. Tank Control Valves - - - - - - - - - c. Pump c 'ntrol Valves . ... . . . . . . 'd. Section, Valves �e. -System Can Veves trol I", 1&, �WATER FLO a. Water Pmimire If not, mason:, Source:JXQ�, CITank, 13 Fire Pump, Water Flow Test taken ? Test Pipe Location Size Test Pipe Pressure Elefore Flow Pressure Pressure After A 7- 1 19. Explanation of any "No" answers: % 20. Olec"e' , ntjhanges In building occupancy or fire, protectioneg !pT U Rnt: 23. Has building owner/ representative been notified of any deficiency to the fire protection system? 0 Yes 0 No, Person notified: If answer Is "No",expialn: 24. Inspector's Signature: Witness. (property owner lessee) and date: C9P %,',( YELLOW: INVOICE COPY-,, PINK'FIRE DEPARTMENT COPY GOLD:'BUILbiNG 66py'111 �ITE: VIKI�� Fire Protection Cbn'tracto.rs since 1930 VIKING AUTOMATIC SPIINKLER COMPANY 3434 First Ave. So., Seattle, WA 98134, 206.622.'4656 WA.: VI-KI-NA-S373NT LEVEL N 602 California Way, Longview, WA. 98632, 360.425.7620 Fire Sprin r kle Inspection �ep I pr. Paos:1of Riki jo d NO. DATE: "'4 STREET:� 061%f!'O BLOG.11 L N dry VSTATE: —INSPECTOR' 11.13ENERAL YES __7NO N.A I a. Is the building occupied ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - X I I b. is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . . ... . - - - - - - - - - - - - X I I C. X�e all systems In service ? - - - - - - - - - - - - - - - - - - - - - . . . . . . . . . . .. . . . . . . . . IX d. Are all fire protection systems the.same as last Inspection'? 19-the btill�ing'comOlbtdly-.'iipritikierei:r,,X-',- 7_ f. Are all now additions and building'changes properly protected ? - - - -- - - g. Is all stock or storage properly below sprinkler piping ? . . . . . . . . ..... . . . . . . . . . . . - - - - - -- - - - - h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) . . . . . . . . . . ... . .. . . . .. . . . . . . . X 1. In areas protected by wet systems, is building properly heated, Le.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? 2. CONTROL VALVES See Section 17) a. Are all sprinkler system main control valves open - - -- - --- - - - - - --- - - --- - - - - - - - - - - - b. Areal[ other control, valves, In'proper position ? - - - -- - --- - - - 7 -- - - - --- - c. Are ail control j�ivas In good condition ind,sealed or supervised ? 3. WATiR §60PLIES (See Sectloh, a: Was awatir flow test 0 praf rmed -and were the results satisfactory ? .7. 4. TANKS, PUMPS'& FIRE DEPARTMENT CONNECTIONS a. Are f Ire pumps, gravity. tanks, resevoirs and pressure tanks In good condition and properly maintained ? - - --- - b. Are Fire D' Ions In'sa apartment Connect tisfactory condition, couplings free, caps In place and check valves tight s. WET SYSTEMS (See Section 13) a. Are cold weather valves open or closed as necessary ? - - - - - - - - . . . . . . ... . . . . . . . . b. He eze systems been tested and left In satisfactory condition ? mp. ? Y, V IlAe 2 .,04P — - - - - - - - - - --- - — - - - - c. Arealarv�kvalves, water flow Indicators and retard chambers In satisfactory condition ? 6. DRY SYSTEMS (See Section'14) a. Are dry valve(s) In service. and In good condition ? . . . . . - - - - - - - - - - - - - - - - - - - - - - 7 -,6: Are ssur6'an 'di) i I i h I ii i a r i,bYJ a *'n pr mal. o� ? c. Is air compressor In good7conditioti ? - - - - - - - - - - - d. Were low points drained during falland, Winter Inspections ? a. 4rja,,9uIpk, opening devices In'service ? -- - - - - - - - - - - . . . . . . . . . . . . . j .. I. Has '(�Ipin been checked for stoppage within the past ten (10) yeais'? 4 i ffip 9. Has piping been checked for proper pitch within'the past,five (5) years ? h. Have dry valves been trip tested satisfactorily as required ? . . . . . . - - --- - - - - - - - - - - 1. Are -dry valves adequately protected from freezing ? - - - - - - - - ---- - - J: J. Are valve house and heater conditions satisfactory ? . . . . . . . . . . .. . . ... . . . . ..... :4. SPECIAL SYSTEMS jSee Section 16).�',`, !,Were valves tested as require 0.9 sted andwerethe result sat sf' b. Were, all fiek4esponsive sVitirris te. a actory ? ervisory features-tested.and were'the�,�bdulb§ satisfactoiy,,? ei 77-7. a the water motor and gong test:satisfactory. ?_ - - - - - --- - - - b. Is the electric alarm test satisfactory ? - - - - - - - - . . . . . . . . . . . . . . . - - - - - - - - - - - X - - - c. Is the supervisor y alarm service test satisfactory ? Monitoring Co. Ph.: Code: Z_ _,x 9. SPRINKLERS - PIPING a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loacUng ? . . . . . . . . . . . b. Are all sprinkler heads less than fifty (50) years old ? Head Manufacturer ho J Date of head: WHITE: VIKING COPY :' YELLOW.1NVOICE COPY . PINK: FIRE DEPARTMA COPY GOLD: BUILDING _;6p�:.. Fire Prote�ctlon Contractors since 1930 0#1 a VIrJNG AUTOMATIC SPRINKLER COMPANY 3434 Rrit Ave. Sm, Seaft WA 98134, 206. 6M. 46M W2 C&@I=jb Wily, Longmisew, WA 90M, 360.425. 7620 WA.: VWJ-NA-S373NT LEVEL N Inspectio Report Fire Sprinkler n Page:,2of 2 k-,; 9., .,S,PRIN,KLER/olp��6'(c6,�tinued) fE-SN�A1N4j1 �,'Are e.,tI:ira.s'pr( nkler h -dai4eadily available1 - - - 7 7 .17 641 of.pip)ng,.dra!n val,�",,check valves refsure4augp's, open sprinklers,:and strainers sadfadiziry'? d.,.Wcondit! hangers "j, a. Are all'spri klera of,proper temperature rating Are portable fire extinguishers In good condition ? - - - - - - --- - -- - - - - - - - --- - - - g. Is hand hose on sprinkler systems s.atisfactory ? . . . . . . . . . ... . . . . . . . . .. . . . . . . . . . . . . 7 10. Date Dry System Piping last chocked for stoppage .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Dry System Piping last checked for proper pitch - - - - - - - - - - - - - - - - - - - - -- - - - - - - 12. Date Dry Pipe Valve last trip tested -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13. Wet systems: Number. Make Year 14. Dry Systerns: Number: —I— Make Model /Year: 7� Xh 15. Accelerator: Make / Model Year: 16. Special Systems: Number: Type: Make / Model / Year Condition: accureo U 17. CONTROL VALVES Number Type Yesw nNo Yes No Yes Cltv C, y Connection Control Valves&-01,04-4 2 o ic #,,A.-, b.Tank Control Valves - - - - - --- - - c. Pump Coritro[, Valves.. d. Sectional C V664113. a. S i Vstei - ri' I Control 4alves IS.: WATER FLOW TEST a. Water Presa�'ure Source Raty; 0 Tank, 0 Fire Pump, Water Flow Test taken loe.� If not, re . ason: Test Pipe Location Size Test Pipe Pressure Before Sign._ I Condition Flow Pressure Pressure After Ar 19. Explanation of any "No" answers: ----------------- r :Rit' i�bhanges In building occupancy or fire protection,e IP t - ic . A. Adjustments or corrections made,. q.. j, mpTqyemaq!s: j22'. �D69iriiible 01 23. Has building owner representative been notified of.any deficiency to the fire protection system? 0 Yes 0 No,Person notified: If answer Is "No",explain: 24. Inspector's Signature: -0- !27 0-4 Witness (property owner / lessee) and date: AITE: VIKI/G COPY ',�'YELLOW: . INVOICE COPY PINK FIRE DEPARTMENT COPY. ' GOLD: BUILDING COP , Y;, qC Fire Prolection Contractors since 1930 VIKING AUTOMA-nC SPRINKLER COMPANY 3434 FirstAve. So., Seaft, WA 98134,206. 6n. 4W WA.: VWIWA-W73NT LEVEL N OW CSOWde Way, LonqWmv, WA 98M, 3W. 426. 700 COMPANY- ov; JOB NO. DATE: STRECT 2 212"Z P"FITYWAI'VLOCATIC C /,S�TATE- 626 4NSPF-Ci�R.. 'W DRY PIPE VALVE Tt OT DRY VALVES No.1 -PIPE No.2 No.;3 Valve description a. Size b. Make c. Model d. Year of Mfg. K/ C 7 3. Pressure (Lb) before tests: a. Air *3 Jf b.,Water 4. Control Valve a. Wide open b. No (No.of turns to open) 5,Operoted at: A �:Aff' p **iiiri, �11 b�), Operationr, r a. t SLati.sfac oty, b. P:artial,ly satisfactory c. Failed J, 7. Reason for: a. failure 41r-, partially satisfactory 811-VOlve reset, dry? (yos/no)_ 9. Con I I n: �Int f 4 c Mov 8-it s d Seats U Rubber facing rMs operated? (ye s I no" 11. inspector's t6st t'rip:,t 0Aec-) 12.Quick Opening Devices:- �,Q, UIC K, OP'L ENING DEVICES a . Make b. Model 0 I nj d Per# A b�,��Jj�h %,bf f 4, A , -re pai rs, m a 9 A Signatufe�4itie 0;004'son Performing test Witness (owner/ losses of property and data signed. 7_ Servilig ki&`_kNiolids, atid 12425 Meridiaii Ave S SNOHO MI . I FIREI Mmintlake Terrace Everett, WA 98208 r Phone(425) 551-1200 www.FireDistrictl.org Fax ..(425) 551-1272 STRfr 22327 Highway99 98026--� LOCATION: Y BUSINESS NAME: Collision Clinic Carstar',, 4257750333 PHONE: MAILING 22327 Highway 99, Edmonds,,,WA 98026 ADDRESS: North County Al BUSINESS OWNER: HOME PHONE: EMERGENCY-1: Lingle, Bruce HOME PHONE: 2067991667 KEY ACCESS-2- HOME PHONE: h_e\akj6@ EMAIL: PERSONCON CTED: NAME OF INSPECTOR: _e/f FIRE PREVENTION I ,NSPECTION REPORT NCEDMONDS [JBRIER El MOUNTLAKE TERRACE [I UNINCORPORATED FREQUENCY STATION & SHIF'**' Annual 20-D SCHEDULEDApr 2015 DATE DUE 573 LIFIR 0 CURRENT CITY YES NO BUSINESS LICENSE INITIAL INSPECTION DATE HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS - -:4, &e %I Pen �_+ 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 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS -DATE DUE: DATE DUE: GRANTEDTO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 3 DATE: DATE: DATE: VIO ONS VIOLATIONS PRE -CITATION CITATION ISSUED h 5 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: SECTION: U RETURN RECEIPT 6 3 7 1 3 7 RECEIVED DISPOSITION: 4 8 4 8 DATE: 7 LETTER NEEDED E] YES El NO LETTER NEEDED [:] YES NO 8 FIRE DEPARTMENT COPY NA WASHINGTONALARM 2030 Airport Way S, Seattle WA 98144 PH: 206-328-3288 FAX: 206-322-7214 www.washingtonalarm.coin WASHIA12820 Certification Given: W '��ellow 0 Red 0 hite Fire Alarm Confidence Test Report%_49=1' Central Station Transmitter Test Report S;m6a=p SWF Test Report Jurisdiction: E&,,,� Name of Facility: CeWk S-� C>,A C -V, Central Station Acct 9 C) Address. ZZ- 3 2- -1 �4wy T? LIL Cert M Type of Test: Moni Bi-Monthly C] Quarterly El Semi Annual E] Annually Acceptan ce Voltage - Battery 2L'i—Volts Charge Circuit �P_ ;L V.1t, Battery Voltage under Full Load R15—Volts Item Yes No N/A Item Yes No N/A Item Yes No N/A Loss of AC Result ' Trouble Signal&L Pj Circuits Checked for Electrical Supervision N:=) Key to Panel Available System Operates onA�C Power Control Panel Tested per NFPA & Mgfs Specs Operating Instructions at Panel System Operates on Standby Power Auxiliary Equip Operates (Elev/Fans/etc) Test Record Posted at Panel Signals Operate on AC Power "Alarm Silence" Results in Trouble Signal Signals Received at Monitoring Station Signals Operate on Standby Power Ground Fault Exists on System # Smokes Cleaned Fire MaQwcontrol Pall Mfg: , 10 't-W)L, - M del: M.5,5 # of Initiating Circuits: #of Signaling Circuits: _Z. Central Station Transmitter Mfg: (if dfff .. ht) Model: # of Initiating Circuits: # of Signaling Circuits: TYPE OF EQUIPMENT # of nits S tisfactory TYPE OF EQUIPMENT # of Units Satisfacto In Bldg Tested Yes No N/A In Bldg Tested Yes I No N/A Bells Sprinkler Waterflow Switches -3 3 llb-c= Horns Sprinkler Supervisory Switches Strobes Ventilation Controls Operate Horn / Strobes Annunciators Trouble Indicators Elevator Recall Heat Detectors Fire & Smoke Dampers Smoke Detectors PhoneJacks Smoke Beams Auto Door Release r�ian,al Pull Stations Other This is to certify that this Fire Alarm System / Central Station Transmitter has been properly tested and inspected for reliability to cover the items listed in this report, is nnngioent with Firp Aln� Mnintpnnnop v�tnndnrdq / Manufacturem Renidrement.q qnd qll correctionq hqve / have not been made - Testing Agent — Printed: Testing Agent — Signature. SFD Exam Cert #: Date: Problems Found: Corrections Made: Date Made: Additional Notes: Panel Location: 16� Rzalv, 01 .i Fire Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER COMPAY 3434 First A". So., Seattle, WA 98134, 206.622.4656 WA.: VI-KI-NA-S373NT LEVEL /H. 602 California Way, Longview, WA 98632,360,425.7620 Fire Sprinkler Inspection Report Pa9e:1of2 REPORTTO: '6'ad; ria..., A Ie,- � J013 NO. DATE: 9- STREET: _272 12-) Ak,�, F9 -BLDG./ LOCATION: 'r1Aj-_rr '11PIA-27 /Alk CITY/STATE: INSPECTOR: Ag!6* - I.GENERAL a. Is the building occupied ? . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c. Are all systems In service 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . a. Is the building completely sprinklered ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are all new additions and building changes properly protected ? . . . . . . . . . . . . .. . . . . . . g. Is all stock or storage properly below sprinkler piping ? . . . . . . . . . . . . . . . . . . . . . h. Was property tree of fires since last Inspection ? (Explain any fire on Page 2) . . . . . . . . . . . . . . 1. In areas protected by wet systems, Is building properly heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? 2. CONTROL VALVES (See Section 17) a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . . . . . . . . b. Are all other control valves In proper position ? . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . c. Are all control valves In good condition and sealed or supervised ? . . . . . . . . . . . . . . . . . . . . . . . . . 3. WATER SUPPLIES (See Section 18) a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . . . . . . . . . I .. . . . . . . . . 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? L . . . - - -- - - - - b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight 5. WET SYSTEMS (See Section 13) a. Are cold weather valves open or closed as necessary ? . . . . . . . . . . . . . . . . . P . . . . . . . . . . . . . b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? . . . . . . . . . . . . . . . . . . . c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . . . . . . . . . . . ... . . 6. DRY SYSTEMS (See Section 14) a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . b. Are pressure and priming water levels normal ? , . . . . . . . . . . . . . . . . . . . . . . . . I . . .. . . . . . c. Is elf compressor In good condition? . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. Were low points drained during fall and winter Inspections ? . . . . . ... . . . . . . . . . . . . . . . . . . . . . . a. Are Quick- opening devices In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... f. Has piping been chocked for stoppage within the past ton (10) years ? . . . . . . . . . . . . . . . . . . . . . . . . . . g. Has piping been chocked for proper pitch within the past five (5) years ? . . . . . . . . . . . . . ... . . . . . . . . . . h. Have dry valves been trip tested satisfactorily as required ? . . . . . . . . . . . . .. . . . . . . . . . . . ... . . . . 1. Are dry valves adequately protected from freezing ? . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . 1. Are valve house and heater conditions satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. SPECIAL SYSTEMS (See Section 16) a. Were valves tested as required ? . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . b. Were all heat -responsive systems tested and were the results satisfactory ? . . . . . 7 - - - - - - - - - - - c. Were supervisory features tested and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . &ALARMS a. Is the water motor and gong test satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Is the electric alarm test satisfactory ? . . . . . . . . . . . . . . . . . . . . . " ' . -A c. Is the supervisory alarm service test satisfactory ? Monitoring Co. A) Ph.: Code: 9. SPRINKLERS - PIPING a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loading ? . . . . . . . . . . . . ... . . . b. Are all sprinkler heads less than fifty (50) years old ? Head Manufacturer 101h A,#) Date of head WHITE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPAFITIVIENT COPY GOLD: BUILDING COPY VIKING AUTOMATIC SPRINKLER COMPAI WA.: VI-KI-M-S373AfT LEVEL'111 Fire Sprinkler h Fire Protection Contractors since'1930 3434 Fhat Am SaL, Seatift WA 98134, 206. 622. 4656 602 Caftmia Wr/, Longiolkow, WA M.425.715201 It . Piction Report Page:2ol`2 9. SPRINKLER / PIPING (Continued) .6 YES NA. NO c. Are extra sprinkler heads readily available ? . . . . . . . . . . .... - - - - - - - - - - - - - - - - - - - - - - d. Is condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinklers, and strainers y? x a. A re al I sprinklers of proper temperature rating? . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f. Are portable fire extinguishers In good condition ? . . . . . . . . . . . . . . . . . . . . . ---- - - - - - - - g. Is hand hose on sprinkler systems satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Dat� Dry System Piping last chocked for stoppage -- --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11. Date Dry S�st!m Piping last chocked for proper pitch -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ah=57- 12. Date Dry Pipe Valve last trip tested .. . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - 13. Wet systems: Number: Make I Model Year. 14. 'Dry Systems: Number: Make / Model Year. 15. Accelerator: Make / Model / Yean. 16. Special'Systems: Number: —Type: Make / Model / Year Condition: 17. CONTROLVALVES a. City Connection Control Valves . . . . . . b. Tank Control Valves - - - - - - - - - c. Pump Control Valves - - - - - - - - - d. Sectional Control Valves - - - - - - - - - a. System Control Valves - ; . . . . . . . 1& WATER FLOW TEST a.Water Pressure S.ource:fi(Clty, DTank, 0 Fire Pump, Water Flow Test taken ?*L-1— 11 not, reason: Test Pipe Location Size Test Pipe Pressure Before Flow Pressure Pressure After 4#7 0 19. Explanation of any "No" answers: 20. Recent changes In building occupancy or fire protection equipment: 21. Adjustments or corrections made: 22. Desirable Improvements: /Y 23. Has building owner / representative been notified of any deficiency to the 4 hre protection system? 0 Yes 0 No, Person notified: If answer Is "No",explain: 24. Inspector's Signature: VIKING Witness (Property owner / lessee) and date: YELLOW: INVOICE COPY 'PINK: FIRE DEPARTMENT COPY. GOLD: B !yILQING COPY _4 111FIre Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER CC iMPANY 3434 First Ave. So., Seattle, WA 98134, 206.622.4656 WA.: V1-K1-NA-SJl73NT LE�il."111 602 California Way, Longview, WA 98632,360,425.7620 Fire Sprinklerlin"s-'pection Report Page: lof 2 REPORTTO: STREET: 72 Akjt4 95? BLOG./LOCATION: r2 b,- CITY/STATE: AMOil"".04JArl ew' 9'e= -INSPECTOR: 7// I.GENERAL YES N.A. NO a. Is the building occupied ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . X c,. Are all systems In service ? . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . ; .. . . . . . . . . . d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a. Is the building completely sprinklered ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . I. Are all new additions and building changes properly protected ? . . . . . . . . . . . . . . . . . . . . . . . ... . . . g. Is all stock or storage properly below sprinkler piping ? . . . . . .. . . . . . . . . . . . . . . % . . . . ... . .. . . h. Was property free of fire a since last Inspection ? (Explain any f Ire on Page 2) . ' . . . . . . . .. . . . . . . . .. 1. In areas protected by wet systems, Is building property heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? P%0 2. CONTROL VALVES (Seg Section 17) a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. b. Are all other control valves In proper position ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ox c. Are all control valves In good condition and sealed or supervised ? . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. WATER SUPPLIES (See Section 18) a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a,; Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ?. . . b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight S. WET SYSTEM (See Section 13) a. Are cold weather valves open or closed as necessary ? . . . . . . . . . . . . . . . . . T . . .. . . . . . . . . . . X b. Have antifreeze systems been tested and left In satisfactory condition ? Tomp. ? . . . . . . . . . . . . . . . . . . . Ix c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . ... . . . . . . . . 6. DRY SYSTEMS (See Section 14) a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . . . b. Are pressure and priming water levels normal ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c. Is air compressor In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . d. Were low points drained during fall and winter Inspections ? - - - - - - - - a. Are Quick- opening devices In service ? . . . . . . . . . . . . . . . . . . 'X f. Has piping been checked for stoppage within the past ten (10) years ? . . . . . . . . . . . . . . . . g. Has piping been checked for proper pitch within the past five (5) years ? . . . . . . . >< h. Have dry valves been trip tested satisfactorily as required ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X I I 1. Are dry valves adequately protected from freezing ? . . . . . . . . . . . . . . . . . . . . 7 . . . . . . . . . . . J. Are valve house and heater conditions satisfactory ? . . . . . . . . . . . . . . . . I .. . . . . . . . . 7. SPECIAL SYSTEMS (See Section 16) a. Were valves tested as required ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Were all heat -responsive systems tested and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . c. Were supervisory features tested and were the results satisfactory ? . . . . . . . . . . . . . . . . ... . . . . . . . . . 8. ALARMS a. Is the water motor and gong test satisfactory C.- ............. b. Is the electric alarm test satisfactory ? - - - - - - - - -- )< - - - . . . . . . . . . . . . . . . . . . . . . . c. Is the supervisory alarm service test satisfactory ? Monitoring Co P h.: C 0 d a: 9. SPRINKLERS - PIPING MOM a. Are all sprinkler heads In good condition, notobstructed and freefrom corrosilon"'or !gaging ? . . . . . . . . . . . . . . . b. Are all sprinkler heads less than fifty (50) years old ? Head Manufacturer Vateofhead: WHrrE: VIKING COPY YELLOW: INVOICE COPY,�'�", PI K: FIRE DERAP41ENT COPY GOLD: BUILDIN6COPY A,0 7- AT. Fire Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER COMPANY 3434 F11W AW— SOL, SONW, WA 98134, 2U6. 622. 46M WA.: VILKI-NA-W73NT LEVk 602 CaMmin Wqy, Longvh" WA 3W. 4Z. MO Fire Sprinkler Inq"pe'cition Report Page:202 9. SPRINKLER PIPING (Continued) YES N.A. NO c. Are extra sprinkler heads readily available ? - - - - - - . . . . . . ; - - - - - - - - -- - - - - u , atm d. Is condition of piping, drain valves, check valves, hangem e—Ze ga open sprinklers, and strainers sattlectory ? a. Are all sprinklers of proper temperature rating? - - - - = . . . . . . . . . . . . . . . . . . . . . . . . . . . f. Are portable fire extinguishers In good condition ? . . . . . . . . . . . . . . ... . . . . . ..... .. . . . . . . . . . . g. Is hand hose on sprinkler systems satisfactory ? . . . . . . . . . . . . . . . . . .. . . . . . . . . . - -2V 10. Date Dry System Piping last chocked for stoppage .. . . . . . . . . . . . . . . . . . . . . . . . . 11. Date Dry System Piping last chocked for proper pitch .. . . . . . . . . . . . . . . . . . . . . 1* - - - - - &44goo� . . . 12. 1, Date Dry Pipe Valve last trip tested -- - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - 13. Wet systems: Number — Make / Model / Year: 14. �'Dry Systems.' Number: —/—Make/ Model/ Year. 15. Accelerator: Make/ Model /Year: 16. SpecialSystems: Number: —Type: Make / Model / Year: Condition: 17. CONTROL VALVES a. City Connection Control Valves - - - - - - b.Tank Control Valves - - - - - - - - - c. Pump Control Valves - - - - - - - --- d. Sectional Control Valves . . . . . . . . . a. System Control Valves - ; . . . . . . . Ill. WATER FLOW TEST a. Water Pressure Source 1JZCIty, DTank, 0 Fire Pump, Water Flow Test taken ? fee�lf not, mason: Test Pipe Location Size Test Pipe Pressure Before Flow Pressure Pressure After 19. Explanation of any "No" answers: 20. Recent changes in building occupancy or fire protection equipment: 21. Adjustments or corrections made: 2 2. D a 9 1 r a b I a I m p r o v a m a n t a: )V4,�/ '16 rAl W. / -44,-- one, "y- .14 IA- a&./ LwAil hJ I W, . <,-OCoe- e& I - 23. Has building owner / representative been notified of any deficiency to the fire protection system? 0 Yes 0 No, Person notified: If answer Is "No",explain: 24. Inspector's Signature: Witness (property owner / lessee) and date: WHrrF- Vldl' COPY YELLOW: INVOICE COPY,--' PINK: FIRE DEP4RTMENT COPY GOLD: BUILDING COPY CRr Fire Protection Contractors since 1930 VIKING AUT09ATIC SPRINKLER C 34M First A6. So., Seaffils, WA 98134, 205. 622. 4656 WA.: V1-K1-NA-S37M 602 Wftnia Way, LorWim, WA 988V, 360. 425. 76M COMPANY' -.-'JOBNO.: DATE:-7-//-'a/Z'f STREET: PROPERTY NAME LOCATION: CITY/STATE: lull. q5m'7x' INSPECTOR: 'a"s"I'A- DRY MPE VALVE TEST Valve description a. Size b. Make c. Mode -I' d. Year of -MIg. 2. Control Sprinklers in -3. Pressure (Lb) before tests: a. Air b. Water 4. Control Valve a. Wide open b. No (Ho.of turns to open) 5. Operated at: a. Air pressure (Lb) b. Time (Min.,Sec.) 6. Operation Indicated - a. Sal-i'sfactory. b. Parijally satisfactory c. Failed 7. Reason for: a. failure b. partially satisfactory 8. Valve reset dry? (yes/no) 9. Condition: a. Interior of body b. Water for test pipe c. Moving parts d. Seats e. Rubber facing 10.Alavms operated? (yes/no) 11. Inspecqor's Test trip time (Sec.) 12.Quick Opening Devices: a. Make b. Model c. Year 13.Operation Indictated: a. Satisfactory b. Failed to shut off 14-List of repairs made: DRY PIPE VALVES No.1 No.2 Ho.3 QUICK OPENING DEVICES Signature /,;ilfe of pers rierforming test Witness (owner lessee of property ) and date signed. -00 om Serving Atria Edmonds, and SNOHOMISH CO. Mountlake Terrace 'FIRE DIS'Th T www.FireDistrict]. orz LOCATION: 2230 Highwwffl 28026 BUSINESS NAME: CdIi6ian0ini(;Cam-L3r MAILING ADDRESS: 223271 ligInhay 00, I=drmn&, VVA f=Fa BUSINESS OWNER: EMERGENCY-1: Lin&- BrUCr-' Kk'VA'CCESS-2: EMAIL: PERSON CONTACTED: NAME OF INSPECTOR: ASWISFAFJ13FE I 12425 fteridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: 42S WE= HOME PHONE: HOME PHONE: 2ffi7331f17 HOME PHONE: FIRE PREVENTION INSPECTION REPORT 0 EDMONDS 0 BRIER 0 MOUNTLAKE TERRACE [I UNINCORPORATED I'- FREQUENCY I STATION& SHIFT-**) Atimal XC SCHEDULEWr 2014 DATE DUE IU FI R CURRENT CITY YES _,NO BUSINESS LICENSE el� El INITIAL INSPECTION DATE Z-13 HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 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 Ist RE -INSPECTION DATE DUE, I 2nd RE -INSPECTION DATE DUE- I EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED - PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: I INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: E: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 18 4 .8 DATE: DISPOSITION: \1 LETTER NEEDED F] YES NO I LETTER NEEDED E] YES I-] NO 1 8 m FIRE DEPARTMENT COPY Adft�* FIRE PREVENTION � Ra Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION REPORT OMISH CO. Mountlake Terraceand FIRE Everett, WA 98208 OEDMONDS El BRIER the Town of Woodway DIST R - T Phone (425) 551-1200 0WOODWAY [I MOUNTLAKE TERRACE www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED " FREQUENCY STATION & SHIFT"� LOCATION: 22327 Highway 99 366 20 13 I BUSINESS NAME: Collision Clinic Carstar PHONE: 4257750333 SCHEDULED g4 DATE DUE � /01/13 MAILING 22327 Highway 99 UFIR � 573 4107 ADDRESS: Edmonds 93026 BUSINESS OWNER: Lingle, Bruce HOME PHONE: 2067991667 ACTIVE EMERGENCY-1: WA Alann HOME PHONE: 2063281800 CURRENT KEY ACCESS-2: Frederick, Dan HOME PHONE: 2067990660 CITY YES NO BUSINESS F-1 F1 LICENSE PERSON CONTACTED: I \1 --I INITtAL PECTION DATE & 7 A NAME OF INSPECTOR: FIRE Spray Dooth/AS 6/06 / FE� I SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 1 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 I st RE -INSPECTION 2nd RE -INSPECTION FINA7RE-INiPtCTION EXTENSION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: I INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 15 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3 7 RECEIVED 6 DISPOSITION: 7 4 18 4 8 DATE: LETTER NEEDED [] YES NO LETTER NEEDED F] YES NO 8 FIRE DEPARTMENT COPY VIturic Ir Fire Protection Con tracto'fs".!!lnce 1930 VIKING AUTOMATIC SPRINKLER COMPAN)� 3434 First Ave. So., Seattle, WA 981 WA.: VI-KI-NA-S373NT LEVEL M 602 California Way, Longview, WA 9181 Fire Sprinkler Inspection Report 206.622.4656 360.425.7620 Page:IW2 REPORT TO: CoU.,<,itzisa CLo?4 i4c� JOB NO. LIA4 Z) (;P(04 DATE: e�-.20-13 STREET: 2-Z7-,Zl T1 BLDG. / LOCATION: CITY/STATE: INSPECTOR 1.GENERAL a. Is the building occupied ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . c. Are all systems In service ? - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a. Is the building completely sprinklered ? - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - f. Are all new additions and building changes properly protected ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - Is all stock or storage properly below sprinkler piping ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - h. Was property free of firer;'since last Inspection ? (Explain any fire on Page 2) - - - - - - - - - - - - - - - - - - - - - - - - 1. In areas protected by wet systems, Is building properly heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? 2. CONTROL VAL�ES (See Section 17) a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Are all other control valves In proper position ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - c. Are all control valves In good condition and sealed or supervised ? - - - - - - - - - - - - - - - - - - - - - - - - - - - 3. WATER SUPPLIES (See Section 18) to, a. Was a water flow test preformed and were the results satisfactory ? om),IT4 - - - - - - - - - - - - - - - - - - - - - - - - - - 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? - - - - - - - - - - - - - - - b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight ? - - - - - - - - - - - 5. WET SYSTEMS (See Section 13) a. Are cold weather valves open or closed as necessary ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? - - - - - - - - - - - - - - - - - - - - c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? - - - - - - 6. DRY SYSTEMS (See Section 14) a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Are pressure and priming water levels normal ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - c. is air compressor In good condition ? - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - d. Were low points drained during fall and winter Inspections ? - --- - - - - - - - - - - - - - - - - - - - - - - - - - - a. Are Quick- opening devices In service ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - f. Has piping been checked for stoppage within the past ten (10) years ? - - - - - - - - - - - - - - - - - - - - - - - - - - g. Has piping been checked for proper pitch within the past five (5) years ? - - - - - - - -- - - - - - - - - - - - - - - - - - h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I. Are dry valves adequately protected from freezing ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - 7. SPECIAL SYSTEMS (See Section 16) a. Were valves tested as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Were all heat -responsive systems tested and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - c. Were supervisory features tested and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - - &ALARMS a. Is the water motor and gong test satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . b. Is the electric alarm test satisfactory ? - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - c. Is the supervisory alarm service test satisfactory ? Monitoring Co. IA) Ph.::' Code: 9. SPRINKLERS - PIPING a. Are all sprinkler heads In good condition, not obstructed and free from corro I I ding ? - - - - - - - - - - - - - - - - - - n or oa b. Are all. sprinkler heads less than fifty (50) years old? Head Manufacturer: Date of head WHITE- VIKING COPY YELLOW- INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPY .. ........ Fire Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER COMPANY 3434 Rrst Ave. So., Sea*, WA 98134, 206. 622. 4656 WA.: WKI-NAS373NT LEVEL Iff 602 ChIhImnia WW, Longview, WA 96M, 360.425. A20" .t, . Fire Sprinkler Insp tion Repon 4 Page: 20T Z � 9� 'SPRINKLER / PIPING (Continue,d) YES N.A. NO c. Are extra i�_Ankler heads readily available ? - - - - - --- - - - . . . . . . . . ... * - - - - - - - - - - - -- . . . . . 1000 d. Is condition I of piping, drain valves, check valves, hangers, pressure gauges, open sprinklers, and strainers sadfactory ? - - - - - - - - - 70, a. A re all sprinklers of proper temperature rating? . . . . --- - - - - - - - - - - - - --- - - - - - f. Are portable fire extinguishers In good condition ? - . . . . . . . . . . . . . . . ..... . . . . . . g. Is hand hose on sprinkler systems satisfactory ? . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - 10. Date Dry System Piping last checked for stoppage -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - Date Dry System Piping last checked for proper pitch .. . . . . . ... - - - - - - - - - - 12. Date Dry Pipe Valve last trip tested -- - - - - - - - - - --- - - - --- 13. Wet systems: Number: Make Model I Year: U." Dry: Systems: Number: Make Model Year - I V.` 15. Accelerator: . Make / Model Ye ,16. Special Systems: Number.: Type: Make I Model Year Condition 17. CONTROL VALVES a. City Connection Control Valves - - - - - - b.Tank Control Valves - - - -- - - - - - c. Pump Control Valves - - - - - - - - - d. Sectional Control Valves - - - - - - - - - a. System Control Valves - ; . . . . . . . Number Type 0 n Yes No Sec red Yes No C Yes No I Sign Yes No 'Condition IS. WATER FLOW TEST -,-rvez Iwo. C-3 C�J a. Water Pressure Source :Alcolty, 0 Tank, 0 Fire Pump , Water Flow Test taken ? If not, reason: Test Pipe Location Size Test Pipe Pressure Before Flow Pressure Pressure After 7 19. Explanation of any "No" answers: 20. Recent changes In building occupancy or fire protection equipment: 21. Adjustments or corrections made: 22. Desirable Improvements: 0 t) 23. Has building owner representative been notified of any deficiency to the fire I protection � system? 0 Yes 0 No, Person notifi ad: If answer 16 "No",explain- '�"`24. Inspector's Signature: N, Witness (property owner lessee) and date,< WHITE: VIKING COPY YELLOW: INVOICE COPY. P[N,K:,FIRE DEPARTMENT COPY ' GOLD: BUILDING COPY 3434 Fiat Ave. So., Seattle, WA 98134, 206. 622. 4656 Fiie Protection Contractors since 1930 VIKING AuTomA-nc SPRINKLER COMPANY ICA.': VI-KI-NA-S373MT LEVEL X 602 Wifbmia Way, LorWiew, WA 98632, 360. 425. 7620 36( CdMPANY: JOB NO.: DATE: P-1 STREET: PROPERTY NAME LOCATION: CITY / STATE C"!TS AA Q k t> 9 t Z INSPECTOR: 4-wt;- 6.'-6'4 C,.-,2- DRY PIPE VALVE TEST 1. Valve description a. Size b. Make c. Model. d. ' Year.of Mfg. 2. Control Spr.i-nklers. in 3. Press�ure (Lb')�before tests: a. A i r b. Water -4. Control Valve a. Wide open b. No (No.of turns to open) .5. Operated at: a. Air pressure (Lb) b. Time (Min.,Sec.) 6. Operation Indicated: a. Satisfactory b. Partially satisfactory c. Failed 7. Reason for: a. failure b. partially satisfactory 8. Valve reset dry? (yes/no) 9. Condition: a -Interior of body b. Water for test pipe c. Moving parts & Seat s* e. Rubber facing 10. Alarms operated? (yes/no) 11 . I nspector's Test tri p ti me (Sec.) 12.Quick Opening Devices: a. Make b. Model c. Year 13.Operation Indictated: a. Satisfactory b. Failed to shut off 14.1-ist of repairs made: DRY PIPE VALVES No.1 No.2 No.3 &�w I ? tit k '?J4 A/ 4 0 QUICK OPENING DEVICES Signature I Title of person performing test Witness (owner lessee of property and date signed. WASHINGTON ALARM, INC. FOR THE CITY OF dM 0 Vk 2030 Airport Way S Seattle, WA 98134 Ph. (206) 328-1800 * FAX (206) 328-6755 Electrical Contractor's License No'.,WASHIA1282C3 SFD Examination Certificate No. - �=/ �03 Is UL Certificate No. �*-5�IRE ALARM SYSTEM CONFIDENCE TEST REPORT <-�ENTRAL STATION TRANSMITTER REPORT Central Station Account No. '6 0 1 Occupied as (major tenant) k vm C. q Addres.- Ra3 QD qwv Zip Cd. 071C� Phone No. -7-7 Fire Department representative p4wnt No. of initiating circuits t No. of signaling circuits c2L - Type of t est C3 Monthly Quarterly S mi-Annual e�a Annual Accept Fire control panel manufacturer Tir - q I Model No. M S E7, IOU Central Station transmitter manufacturer Model -No. pr Nk Battery voltage volts Battery charger voltage volts Battery voltage under alarm load (with horns/bells sounding) volts Transmitter tripped by which initiating circuit a r=C- W �7' L/a, lue--r o ou" r 114 Smoke detectors cleaned? la .4 FIRE CONTRO LPANEL System operates on AC power es; "Alarm Silence" results in tbl. sig. IJ Yes Loss of AC results in trouble signal tla' Yes System operates on battery f�Yes All circuits checked for elec. supv. Yes Test meets manufacturer's specs. Yes All auxiliary equipment operates Q Yes Key to fire control panel available Yes Operating instructions posted <%+`"Yes Test record posted at control panel 45iar Yes Automatic time delay of general alarm No No No No No No No No No No minutes NA 1'-C�A NA NA NA NA N A NA NA NA Time initiated I o1z 11 Time received by Central Station 10 -1 Z I EQUIPMENT TESTED CENTRAL STATION TRANSMITTER �-�Yes Q No Yes --'�'o (It= -Yes IJ No M�� Yes IJ No Yes No Yes No ('tL Yes Q No TYPE OF EQUIPMENT NO. OF UNITS TESTED SATISFACTORY YES NO NA NO. OF UNITS IN BUILDING JB2.)JEjj��Chimes, Voice Alarms, Speakers, Water Gongs J,�� I I 1�� 1/ 11 Visual Alarm Devices iz, 1 -5-� / Trouble Indicators Heat Detectors Smoke Detectors Smoke Beams Sprinkler Waterflow Alarms Sprinkler Supervisory Switches Manual Pull Stations Ventilation Controls Operate Annunciators /4 -P Elevator Recall Fire Dampers/Smoke Dampers Phone jacks Automatic Door Release Other THIS IS TO CERTIFY THAT THIS FIRE ALARM SYSTEM/CENTRAL STATION TRANSMITTER HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS/MANUFACTURER-S REQUIREMENTS, AND ALL CORRECTIONS HAVE/HAVE NOT BEEN MADE. Signature of lnspector-��- Date q/zo Signature of Owrtgrs Representative Problems Found Corrections Made Date Corrected By FIRE PREVENTION &?H40 Brie' Edinonds I . 2425 . Meri . than Ave S INSPECTION REPORT SNOHOMISH CO. &DMONDS Mountlake Terraceand TIRE Everett, WA 98208 0 BRIER the Town of Woodway DISTR' T Phone (425) 551-1200 OWOODWAY 0 MOUNTLAKE TERRACE www.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED LOCATION: 22327 Highway 99 FREQUENCY I STATION & SHIFF*'� 366 20 A BUSINESS NAME: Collision Clinic Carstar PHONE: 4257750333 SCHEDULED 04/01/12 DATE DUE II' MAILING 22327 Highway 99 UFIR � 573 4107 ADDRESS: Edmonds 98026 BUSINESS OWNER: Lingle, Bruce HOME PHONE: 2067991667 ACTIVE EMERGENCY-1: WA Alarm HOME PHONE: 20632818111) CURRENT KEY ACCESS-2: fiedefick-,Dwr -f-, ?Svkt_e HOME PHONE: -2063%EWA& f CITY YES NO 1%rz�D C�kc\ - kt"� BUSINESS K 1:1 LICENSE PERSON CONTACTED: -12- 1,5-� —1( INITIAL INSPECTION DATE NAME OF INSPECTOR: Y-0 (-k 0 FIRE Spray Booth/AS 6/06 FE LV_jj 9YSTEMS: 4 ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 (2-p 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 1st RE -INSPECTION DATE DUE: I 2nd RE -INSPECTION D TE DUE: I EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 'DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 '8 4 '8 DATE: DISPOSITION: 7 \. LETTER -NEEDED E] YES [_1 NO LETTER NEEDED E] Y�S [_1 NO FIRE DEPARTMENT COPY 7 T. 1�-- -wirw Fire Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER COMPANY 3434 First Ave. So., Seattle, WA 98134, 206.622.4656 WA.: VI-KI-NA-S373NT LEVEL N 602 California Way, Longview, WA 98632,360,425.7620 Fire Sprinkler Inspection Report Page:102 REPORT TO: . ... .. ..... (v j I s I f) "y JOB NO. LJ �11 DATE: STREET: BLDG. / LOCATION: CITY/ STATE: ,)A)n WA INSPECTOR: 1.GENERAL a. Is the building occupied ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b. Is occupancy the same as previous Inspection ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - c. Are all systems In service ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - d. Are all fire protection systems the same as lost Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a. Is the building completely sprinklered ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - f. Are all now additions and building changes properly protected ? . . . . . . . . . . ... . . . . . . . . . . . . . . .. 9- Is all stock or storage properly below sprinkler piping ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) . . . . . . . . . . . . . . . . . . . . . . . . 1. In areas protected by wet syste me, Is building properly heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? 2. CONTROL VALVES (See Section 17) a. Are all sprinkler system main control valves open ? - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - b. Are all other control valves In proper position ? - - - - - - -- - - - - - - - - - - - - - - - --- - - - - - - - - - - c. Are all control valves in good condition and sealed or supervised ? . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. WATER SUPPLIES (See Section 1.8) a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . . - - - - - - - - - - - ------- - - - - 4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition, and properly maintained ? - - - --- - - - - - - - - - b. Are Fire Depqrtment Connections in satisfactory condition, couplings free, caps In place and check valves tight s. WET SYSTEM (See Section 13) a a. Are cold weather valves open or closed as ne6ess ry ? b. Have antifreeze systems been tested and left In.satisfactory condition ? ..Temp. ? .- c. Are I alarm valves;,watei flow Indicators and retard cham . bars In satisfactory condition ? ... . . . . . DRY SYSTEM (See,Secti.on 141)' a. Are dry'val�e(s) In servlce'ihd In good condition. ?_ - - - - - --- - - - - - - - - - - - - - - b. Are Pressure and primin' water levels norrhal 9 c. Is ali'com;pressor In g od I d I condition ? - - - - - - - - - - -- . . . . . . . . 7 d. Were low points drained during fall and winter Inspections ? - - - - - - - - - - - - - - - open e. Are Quick Ing devices in service . . . . . ... .. f. Has pip - Inglicien checked for stoppage within the. past ton (10) years ? 7 -7 - - - - - - - --- g. Has piping been checked, for proper pitch within the. past, five (5), years ? slactorlIV a required rie L 50C 10 h. Have dry'valm been trip tested iatl - - - - 7 Are,dry valves adequately Protected from freezing ? .. . . .. ... . . . . . . . . . ... . . ..... . - -- - - - - Are*valve house and heater'conditions satisfactory ? - - --- - --- - - 7. SPECIAL'SYSTEMS,,(Se.e Section. 16j., a; Were valves,tested'as required ? --- - - - - - 'responsive systems tested. and were the results satisfactory, ? b. Were all heat - - --- - - - --- - --- - - - - - 7 C;L Were supervisory;featuris tested andweirie the results satisfactory T- 7� & ALARMS 0.: a., Is the wider tifotor.and g ng test� satisfactory b.1 Is the electric alarm test.satlsfactory1 c., Is' the'su alarm �ervlcii test sad 6to ? Mon ILI 0 Coda:14-0 k) 4 "7— sla ry itoring C01�-�-4 - 4 Ph.:! I 9. SPRINKLERS - PIPING Are all sprinkler headii.in good, c.on,dition, notobstiucted.and free from.corrosion or loading,?. Are all sprinkler heads less than fifty (50) years old i Head Manufacturer Date of hed�': WHrrE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE.DEPA9TMENT COPY GOLD: BUILDING COPY, 4 Fire Protection Contractors since 1930 VIKING AUTOMATIC SPRINKLER COMPANY 34M RtW Aw- Sm, Selift WA 98 134, 206. 622-46M WA: VWMA-S373NT LEVEL Iff 602 CaMmle Wily, Longvftw, WA 360.425.762D Fire Sprinkler Inspection Report Page:W2 9. SPRINKLER I PIPING (Continued) YES N.A. NO c. Am extra sprinkler heads res dily available ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - d. Is condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinklers, and strainers sadfactory ? - - - - - - - - - -- —4- a. Are all sprinklers of proper temperature rating? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. Are portable fire extinguishers In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g. Is hand hose on sprinkler systems satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10. Date Dry System Piping last c ' hacked for stoppage .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L's ('/ 11. Date Dry System Piping last chocked for proper plich -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12. Date Dry Pipe Valve last trip tested .. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 17-a 4 A,:z 13. Wet SySteMg:-rN I umber. Make / Model / Year. i.A.,-r A IAv A I wAj 5 L.J �'T ir.N 14. Dry Systems: Number: Make I Model I Year. 4 15. Accelerator: Make / Model Year: 16. SpecialSystems: Number: Type: Make / Model / Year Condition: 17. CONTROL VALVES a. City Connection Control Valves - - - - - - b. Tank Control Valves - - - - - - - - - c. Pump Control Valves . . . . . . . . . d. Sectional Co" Valves - - - - - - - - - 9. System Control Valves - ; - - - - - - - Number Type pen Y1110 No I Secured yes No Closed yes No SI n Yes No Condition a< tee Xorlo 0-�, Z-1 I ---F I& WATER FLOW TEST 7ypv�� a. Water Pressure Source: 8 City, 07ank, 0 Fire Pump, Water Flow Test taken ? If not, reason: Test Pipe Location Size Test Pipe Pressure Before Flow Pressure Pressure After Y/ 19. Explanation of any "No" answers: 41 20. Recent changes In building occupancy or fire protection equipment: 21. Adjustments or corrections made: 22. Desirable improvements: 23. Has building owner / representative been notified of any deficiency to the fire protection system? OYes 0 No,Person notified: If answer Is "No",explain: 24. Inspector's Signatu WHITE: VIKING COPY 1—�-Itness (property owner / lessee) and date: YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPY 3 4 Fire P rot e "io "Ltjo: 'n 19 3 0 T4 F it V IiPA�� 3434 st A 1640 AUTOMATIC SPR �NKLER C6 e. So., =, WA L.4 56 WA.: VI-KI-NA-S373NT LEVEL N 602 Caffibmia Way, LwWview, WA 9WX, 360. 425. 7620 COMPANY: r1)4LJQt)AJ CLIA11C, JOB NO.: I%) 516j� DATE STREET: qel PROPERTY NAME/ LOCATION: CITY / STATE INSPECTOR DRY PIPE VALVE T EST DRY PIPE VALVES Valve description a. Size b. Make C. Model d.1,Year of Mfg. 2. Conteo'd Sprinklers in 3. Pressure (Lb) before tests: a. Air b. Water 4. Control Valve a. Wide open b. No (No.of turns to open) 5. Operated at: a. Air pressure (Lb) b. Time (Min.,Sec.) 6. Operation Indicated: a. Satisfactory b. Partially'satisfactory c. Failed 7. Reason for: a. failure b. partially satisfactory 8. Valve reset dry? (yes/no) 9. C.6ndition: a. Interior of body� Water for test pipe c. Moving parts d. Seats e. Rubber facing 10.Alarms operated? (yes/no) 11. Inspector's Test trip time (Sec.), 12.Quick Opening Devices: a. Make b. Model c. Year 13.Operation Indictated: a. Satisfactory b. Failed to shut '0",ff 14.1ist of -repairs made� No.1 No.2 No.3 I,/ � le w 6 r_ - ) 7- 0c) 41 6 545e�� 47 14 -7 C, QUICK OPENING DEVICES t� Signature / Title of person performing test Witness (owner / lessee o�i " property ) and date signed. APPLICATION FOR PERMIT FOR MATERIALS OR PROCESSES January 3, 2012 Please verify and correct the following information: Name of Company (DBA): Collision Clinic CARSTAR Edmonds Location : 22327 Highway 99 In conformity with the terms of the International -Fire- Code, application -is Storage -and handling -of class 1,11 and III flammable hereby made to store, use and/or combustible liquids, repair garage, spraying or maintain the following booth and welding operation. activity, storage or pro- cesses: c/o Mr. Bruce Lingle Mailing Address: 22327 Hwy 99 Edmonds, WA 98026 EFD UFIR #: (for office use) 57300010BI07 Your Signature Your Name (print) 'd2 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 7__ 1 -7 Check# � ( --Z-4 WASHINGTON ALARM, INC. FOR THE CITY OF AA 6 1253 South Jackson Street Seattle, WA 98144 Ph. (206) 328-1800 - FAX (206) 328-6755 11 Electrical Contractor's License No. WASHIAI282C3 SFD Examination Certificate No. UL Certificate No. [:� FIRE ALARM SYSTEM CONFIDENCE TEST REPORT Cd CENTRAL STATION TRANSMITTER TEST REPORT Central Station Account No. Occupied as (major tenant) Address zipcd. eqS061"Aa Phone No. 415,3a.S - 0 3373. Fire Department repre ntative present No. of irdtiating circui No. of signaling circuits Type of test 0 Monthly Quarterly Semi -Annual Annual Accept Fire control panel manufacturer ModelNo. Cf--+. Aff-A-1 XT- on .—sm er manu L Battery voltage *�Lq- 7- volts Battery charger Battery voltage under alarm load (with horns/bells sounding) — Transmitter tripped by which initiating circuit 17t. I volts 3 volts CENTRAL STATION FIRE CONTROL PANEL TRANSMITTER Smoke detectors cleaned? I -A System operates on AC power Yes No NA Yes No "Alarm Silence" results in tbl. sig. Yes 0 No NA 0 Yes (19 No Loss of AC results in trouble signal Yes No NA Yes No System operates on battery Yes Q No ID NA Yes 0 No All circuits checked for elec. supv. Yes 0 No NA Yes ID No Test meets manufacturer's specs. Yes C3 No NA Yes El No All auxiliary equipment operates Yes ID No NA Key to fire control panel available Yes No NA Operating instructions posted Yes No NA Test record posted at control panel A— Yes Q No NA Yes No Automatic time delay of general alarm minutes Time initiated q qq M Time received by Central Station aPLA EQUIPMENT TESTED TYPE OF EQUIPMENT NO. OF UNITS TESTED SATISFACTORY YES NO NA NO. OF UNITS IN BUILDING 42� 6o— Chimes, Voice Alarms, Speaker s, Water Gongs Visual Alarm Devices Trouble Indicators Heat Detectors Smoke Detectors Smoke Beams Sprinkler Waterflow Alarms Sprinkler Supervisory Swit ches Manual Pull Stations Ventilation Controls Operate Annunciators Elevator Recall Fire Dampers/Smoke Dampers Phone jacks Automatic Door Release Other THIS IS TO CERTIFY THAT THIS FIRE ALARM SYSTEM/CENTRAL STATION TRANSMITTER HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANIDARDS/MANUFACTURER*S REQUIREMENTS, AND ALL CORRECTIONS HAVE/HAVE NOT BEEN MADE. Signature of InspectoZ:��n Date Signature of Owner's Representative Problems Found Corrections Mad Date Corrected By APPLICATION FOR PERMIT FOR MATERIALS OR PROCESSES March 7, 2011 f FM A R 2!5) � 7AIDj Please verify and correct the following information: [EDIVIONDS FIRE DEPT. Name of Company; DBA Collision Clinic CARSTAIR Edmonds Location 22327 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, repair garage, spraying booth and welding application is hereby made to operation. store-,- use or maintain the following activity, storage or processes: Mailing Address: Mr. Bruce Lingle 22327 Hwy 99 Edmonds WA 98026 EFID LIFIR #: 5730001OB107 (for office use) Your Signature Your Name (print) Your Title U 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 CITY OF EDMONDS DEPARTMENT OF FIRE PREVENTION PERMIT January 1, 2011 573-000-1013-107 December 31, 2011 Date of Issue UFIR Number Date of Expiration This PERMIT is issued 6�.Collision Clinic CARSTAR located at: 22327 Highway 99 Edmonds, WA To engage in the business, occupation or process of: 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, repair garage, spraying booth and welding operation. I Allowed Occupant Load: I -- 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