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22740 HWY 99 STE B7,Z-7qD t4r&'4WAY qq FIRE PREVENTION ServingBrier Edmonds, and 12425 Meridian Ave S INSPECTION REPORT S&OHOMISH Co. Mountlake Terrace F11ft Everett, WA 98208 0 EDMONDS 0 BRIER T Phone (425) 551-1200 0 MOUNTLAKE TERRACE [3 UNINCORPORATED .STR www.FireDistrictl.org Fax (425) 551-1272 FREQUENCY STATION & SHIFT LOCATION: 22740",' Highway 99 SuiteB98026 2016* 20'-A BUSINESS NAME: Samuel H. Lim, CPA PHONE: 4256732720 SCHEDULED DATE DUE o Mar 2016 MAILING LIFIR 0 591 ADDRESS: 22740 Highway 99, Suite B, Edmonds, WA 98026 __j BUSINESS OWNER: Kwon, John HOME PHONE: EMERGENCY-1: Lim, Ja-Kyung HOME PHONE: 4254931065 "CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO EMAIL: BUSINESS p LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE SYSTEMS: FEO 7 —0 nntp I n'zt.qpnjirpr1- HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 ... F 112c' COW 42 C_S /y 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 I 2nd RE -INSPECTION EXTENSION HNAL �91NSPECTION VIOLATIONS DATE DUE: fttC— DATE DUE: GRANTEDTO: DATE DUE: CITED: PERSON CONTACTED: —PERSON CONTACTED: PERSON CONTACTED: COAPtOY6t 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 .�.ATE DATE: PRE -CITATION LETTER SENT DATE: CITATION ISSUED NUMBER: 3 VIO IONS.- /A) VIOLATIOW., 5 5 4 2 t6 DATE: CODE SECTION: 2 6 5 RETURN RECEIPT 3 7 3 RECEIVED 4 8 DISPOSITION: LETTER NEEDED YES 8 LETTER NEEDED [I YES,` NO Contractor's Material and Test Certificate forAboveground Piping Fand PROCEDURE Upon complefion of work, inspection and tests $hall be made by the contraclor's repre9entalivG and witnessed by an evinces representative. All defects shall be corrected c system left in service before contractor's personnel finally leave the job. A cenificate shal be filled out and signed by both representatives. Copies sball Ioe prepared for approving authorities, owners and the contractor. it is understood the owners representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving autharides; requirement- or tocal-ordInances. Property Name Date E DMON DS PAD 08-09-2016 -T Property Address 21940 HIGHWAY 99 city EDMONDS Staw WA zip 198206 Accepted by approving aullibritieS(II-Smes) JJ DOWLING ACTIO NG DEPUTY FIRE MARSHAL I Address 121 5TH AVE. EDMONDS WA 98020 425-776-7720 PLANS Installation conforms to accepted plans Yes Equipment used ts approved? Yes 0 No If no. explain deviafions Has person in chwgo of fire equipment been instructed as to location of conlial valves and care and momteriance of this new equipment? E) Yes 0 No rINSTRUCTIONS If no, explain Have copies of the follaWing been left an the prernisas? 1. System Components Instructions Yes 13 No 2. Care and Mainternance In4liructions El Yes [3 No 3. NFPA 25 Yes No OF SYSTEM Supplies buildingsPad Building FLOCATION Make model Year of Manufacture Orifice Size Ovamity Temperature Rating GLOBE GL561 5 ?%316 112" 5.6K 69 zoo GLOBE CL5601 2016 1 t2' 5.116K 1 200 SPRINKLERS PIPE AND Type of pipe SCHED #109 SCHr�O #4011LACK KIPS 9ZR,%FPA 13 Type of fittir s FITTINGS ALARM VALVE ALARM DEVICtS Maximum tirne to operate thr ch test connection Type MaXe Model Minutes Seiwmrtdr FLOW SWITCH POTTER VSR OR FLOW INDICATOR DRY VALVE Q,O,D. Make Model SeCiall No. Make Model Serial No. ---NIA N/A Time to trip through test connection" Water Pressure Air Pressure Trip Point Air Pressure Time water reached test outlet"' Alarm operated propelly DRY PIPE OPERATING WA Minutes SeCM0 S psi psi . psi Mlnu�ms Seconds Yes No TEST Without O.O.D. Withi O.O.D. It no, explain Operation [:3 Pneumatic [3 Electric [3 Hydraulic Piping super-Ased [:] Yes 0 No Detection media supervised [3 Yes 0 No Does valve operate from the manual tdp, remote, or both control stations - ? Ll Yes Ll No Is there an accessible facility in each clicult I It no. explain DELUGE & PREACTION VALVES for te"ng? 0 Yes 0 No Does each circuit operate Does each circuit opemte valve Maximurn time to operate release? Make Madel supervision loss starm? releasel Yes No Yes No Minutes Seconds Measurea from time inspector's test Connection i's opened. 'NFPA 13 only requires the tio-seconc tim�tatron in spacnic sections Contractor's Material and Test Certiflicats for Aboveground Piping Page I of 2 PRESSURE Location 0low Niako & model Setting STATIC PRESSURE RESIDUAL PRESSURE (flowing) FLOw RATE REDUCING Inlet fpt=lpoullet (psi) Inlet (psi) Outla! (psi) Flow (GPM) I VALVE TEST HYDROSTATIC: Hydrostatic tests shall be made id not less ban 200 0 (13.6 bars� for two hours or 50 psi (3,4 bars) above static pressuru in TEST excess of 150 psi (I D.2 bars) for two hours- Differential Dry-fto Valve clappers shall be tell open during test to prevent damage. All aboveground DESCRIPTION Piping leakage shall be stopped. PNEUMATIC: Establish 40 psi (2.7 bars) aft pressure one measure drop, writch shall not exceed 1-112 psi (G. I bars) in 24 hours. Test PraSSLIO tanks at normal water level and air pressure and measure air pressure drop, which sha'I not exceed 1-1/2 M (0. 1 bars) in 24 hours, All p1pe hydraulically tested at: 200 P51 ( bar) for 2.0 hrg If no, sta;e reason Dry Pipe pnournatically, tested 0 yes No Equipment operates properly 0 Yes No Do you certify as the sprinkler contractor that addlliyas and corrosive cherruca:s, sodium silicate or derivatives of sodium silicate, brine. or other coff asivo chemicals were not used for testing systems or stopping loaks? ED Yes El No DRAIN I Reading of gage located near Residual plessuro VAD) Volvo TESTS TEST 9U water supply test connection*. bar) 80 I In test connection open wide, psi f— bar) Underground mains and lead in connections to system risers flushed before connection made to $prnkler piping Verified by copy ol the Contractor's Material & Test Ej Yes [3 No Mar, expia-'n Certificate for Underground PIping. Flushed by installer of underground sprinkler pitiling. El Yes No It povider driven fasteners are used In concrete, has representative sample testing boon saustactorily completed? 0yes []I If no, explain BLANK TESTING Number used Locations Number removed GASKETS N!A I Welded piping Elyas 0 No 11yes— Do you cerlity as the sprinkler contractor that welding pf wedures comply with the reqkfirements of WELDING at least AWS B2.11? M Yes 0 No Do you certify that the welding was performed by welders qualified In compliance Wth the requirements of at least AWS B2. 17 0 Yes 0 No Do you certify that the welding was carned out in compbanco with a documantod quality control procildure to ensure that all discs are retrieved, that openings in pip!ng are smooth, that sJsg and Wher welding residue are removed, and trial the Internal diameters of piping are not penetrated? 0 Yes 0 No CUTOUTS Do yim certify that you have a control feature to ensure that all cutouts (disks) are retrieved? Yes 0 No (DISCS) HYDRAULIC Nameplate provided? If no, explain DATA [D Yes 0 No NAMEPLATE DATE left in service with all control valves REMARKS Name of sprinkler contractor COLUMBIA FIRE INC Contractor's Address city Slow Zip 2110SOUTH FINDLAY STREET ISEATTLE IWA 198208 Signature Tests witnessed kry For property owner (signed) Tide Date Forajpdn erociractor (signed) Title Date rZ/ q— q,— Additional explanation anurnaies Contractor's Material and Test Certlflcate for Aboveground Piping Page 2 of 2