229 3RD AVE S (2)FIREPREVENtION
INSPECTION. REPORT
ServingBrier, Eamonas, and 12425 Meridian Ave S
S&OROfdISH CO. EDMONDS
Mountlake Terrace Everett, WA 98,208 BRIER
FI E Phone (425) 551-1200 0 MOUNTLAKE TERRACE
D-1— IL-07 TL R T www.FireDistrict].org Fax (425) 551-1272 [1 UNINCORPORATED
e' FREQUENCY ON & SHIFT
LOCATION: 229 3 rd Avenue S 98020 Annual - I sTA1T17-D
BUSINESS NAME: Atrium Condos PHONE: SCHEDULED Apr 2017
DATE DUE �
MAILING LIFIR � 425 202
ADDRESS: , Edmonds, WA 98020
BUSINESS OWNER: Pomeroy, Barbara #302 HOME PHONE:
EMERGENCY-1: HOME PHONE: 4255820997 CURRENT P)/Y
KEY ACCESS-2. HOME PHONE: 17 CITY ES NO
BUSINESS
EMAIL: LICENSE
IRA L92 h-W A
INITIAL INSPECTION DATE
PERSON CONTACTED: -4, av �x,yt�,
NAME OF INSPECTOR: I :,Lll ly - 70
A victy--eAA MrLaay- O"r
FIRE SYSTEMS: AS,9/15 FA 9/15 FE 9/15 12:00:00 AM
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
0 V
2 2
3 3
4 4
N
5 5
6 6
7 7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION 1 FINAL RE -INSPECTION
VIOLATIONS
DATE DUE: DATE DUE: GRANTED TO Ik
DATE DUE CITED,
PERSON PERSON
PERSON
CONTACTED: CONTACTED -
CONTACTED:
2
INSPECTOR: INSPECTOR: INSPECTOR:
DATE: DATE: DATE: 3
VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED
.1 5 1 5 LETTER SENT NUMBER
CODE 5
2 6 2 6 DATE SECTION
RETURN RECEIPT 6
3 7 3 7 RECEIVED,
DISPOSITION-
4 8 4 8 DATE' L7\�
LETTER NEEDED YES NO LETTER NEEDED YES No' 8
_4
FIRE PREVENTION
SNOHOMISH CO. Serving Brier, Edmonds, and 12425 Meridian Ave S 114SPEC; I ION REPORT
Mountlake Terrace Everett, WA 98208 DEDMONDS
0 BRIER
FIRE Phone (425) 551-1200 [3 MOUNTLAKE TERRACE
[I UNINCORPORATED
DISTR T www.FireDistrictl.org Fax (425) 551-1272
0' FREQUENCY
STATION&SHIFT
LOCATION:
.229 3 rd Avenue S 98020.
An ual
17-C
BUSINESS NAME:
Atrium Condos
PHONE:
SCHEDULED
DATE DUE 0 Apr 2016
MAILING
LFIR 0 425202
ADDRESS:
, Edmonds, WA 98020
BU SINESS OWNER :
4
HOME PHONE:
. .
Pomeroy, Barbara
EMERGENCY-11:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE: 425.5820997
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
f-Lon le� Al_,,v, VC1,�Ga-yl-
FIRESYSTEMS:
AS9/1.jFA,9/AFE9`/�lAFDLkBox
L
110
�MtMtRb'AllgtOdA _N'S/COM_aUNl� IONIS
— -- -----_----
2
7
2
3
3
4
5
6
4
5
6
7
7
I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
i
44
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
jl�SPECTOL
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
VIOLATIONS
6
VIOLATIOW-
2
3
6
7
PRE-CITAtION
LETTER SENT
CITATION ISSUED
NUMBER:
CODE
SECTION:
6
DATE:
7
RETURN RECEIPT
RECEIVED
4
DATE:
DISPOSITION:
8
LETTERNEEDED 1:1 YES F_]NO
LETTER NEEDED YES 0 NO
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
FIRE ALARM SYSTEM
(One System per Report)
Certification Given
RED E:1
I YELLOWE]
WHITE Z
CONFIDENCE TEST
Z
I REPAIR�
Sprinkler Monitoring Panel? 0
Occupancy Address: 229 3rd Ave S, Edmonds,WA 98020
Occupancy Name: Atrium Condos
Responsible Person
First & Last Name: Barbara
Phone Number: (425) 582-0997
Responsible Person --
Address, City, State, Zip:
Responsible Party
E-Mail Address
Date of Inspection:
09-22-2015
Inspection Quarterly ElHigh-rise Only)
Frequency/Type: Annual FZ
Testers Name
(Please Print): Richard Narayan —Number:
Identification
Nicet
N-07104
Number:
System Location 1 st f loo r east stairs closet
Central station monitoring? Yes El No Ej
Monitoring Required? Yes FRI No
Monitoring Protection One
Company Name -
System Make: Silent Knight -System
Model: 5207
FIRE CODE VIOLATIONs FOUND: (if additi nal room is needed, please add a separate sheet)
woos
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) Nicet Number-
-
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Authority Having Jurisdiction standards, and that
discrepancies are noted and have been rep h building Owner/Manager for corrective action.
4)
Signature of Tester: F�_�j
Phone # (253) 852-1962
Building Representative (signature)
229 3rd Ave S, Edmonds,WA 98020 OCT 15
Fire Alarm Systems 'Pj�e 1 o f 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and
testing of the fire and life safety system. Refer to the Fire Department Code for inspecting and testing requirements.
Alarm Svstem Functionali
1. Trouble signal with AC power off?
2. System operates properly on battery backup?
3. Battery voltage (no load) 25.3 volts
4. Battery voltage (full load) 24.6 volts (signals operating)
5. Charge circuit voltage 27.1 volts
6. System operates properly on standby power?
7. All signals operate on AC power?
8. Number of initiating circuits 11
9. Number of signal circuits 4
10. Does alarm system meet audibility standards as accepted?
11. All circuits checked for electrical supervision?
12. All auxiliary equipment operates (Elevators, fans, dampers)?
13. Ventilation controls operate?
14. Key to panel available?
15. Materials and equipment needed to restore pull stations are available at the
main panel, e.g. glass rods, and plates; keys and alien wrenches, etc?
16. Operating instructions at panel?
17. Trouble indicators function properly?
18. Remote Annunciator Panels function properly?
19. Elevator Call Down functions properly?
20. Test record, posted at panel?
21. General alarm automatic time delay (minutes)
22. Was a signal received at the Central Station monitoring company?
23. Other Devices (Specify)
N/A
N/A
N/A
N/A
Yes 4
No LJ
Yes ZX
No El
Yes MX
No El
Yes El
No El
Yes EXIII
Yes,'X�
Yes X
Yes F-I
Yes X
Yes X
No
No
No
Nb7
No [�i
No '7
Yes FX No'L__
Yes X;
No 77i
N / A FX
Yes E
No E,
N/A F�
Yes
No771
Yes
RO
N/A
N/A
Yes FX'
No F
Yes'7
No;--':
System Devices
Total Number of
Units in Building
Total Number
Units Tested
Test Results Acceptable
24. Bells, Horns, Chimes
41
1
N/A
Yes
No'L_'
25. Voice Speakers (Voice Clarity)
N/A X
Yes 17
No,:j
26. Visual Alarm Devices
8
8
N/A
Yes X
No LI
27. Smoke Detectors
4
4.
N/A
Yes.X
No. -
28. Heat Detectors
9
9
N/A
Yes rX
No
29. Duct Detectors
N/A 7_�
Yes'-.,
No'7
30. Sprinkler Flow Switches
1
1
N/A
Yes FX
No E
31. Sprinkler Supervisory Switches
N/A Ili
Y e s - 1XIII -
No _j
32. Manual Pull Stations
8
8
N/A 7-
Yes!X.
No'-!---'
33. An ' nunciator(s)
N/A 'X,,
Yes 7
No
34. Beam Detectors
N/A X
Yes 17
No
35. Automatic Door Unlocks
N/A
Yes
No
36. Automatic Door Release
N/A
Yes X
No
37. Fire Dampers
N/A
Yes
No
Total Number of Units
Total Number Units
Communication Equipment
in Building
Tested
Test Results Acceptable
38. Phone Sets
N/A Yes'-' No
39. Phone Jacks
N/A Yes No
40. Call -in Signal
N/A Yes No'_j
Fire Alarm Sy �terns Page 2 of 2
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
SPRINKLER — WET SYSTEM
Certification Given
(One System per Report)
RED
L]
I YELLOW
Lj�
VY
CONFIDENCE TEST I [X7 I- REPAIRS [7
Occupancy Address: 229 3rd Ave S, Edmonds,WA 98020 Occupancy Name- Atrium Condos
Responsible Person
First & Last Name: Barbara Phone Number: (425) 582-0997
Responsible Person Responsible Party
Address, City, State, Zip: E—Mail Address
Date of Inspection: 09-22-2015 Inspection Annual
Testers Name Frequency/Type: El
(Please Print): Richard Narayan Nicet N-07104
Number:
Identification
Number: System Location- Parking garage by gate
Central station monitoring? Yes NoE] Monitoring
Monitoring Required? Yes No Company Name: Protection One
System Make- Shotgun it
System Model: 2
FIRE CODE VIOLATIONs FoUND: (if additional room is needed, please add a separate sheet)
S40- 19M jrVI-_ *C -V%.p%A
-CORRECTIONS MADE:- Date -Corrected* ------Corrected-By,
(if additional room is needed, please add a separate sheet) Nicet Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Authority haveing Jurisdiction Fire Code standards, and that
discrepancies are noted and hav ! epj�7he building Owner/Manager for corrective action.
�n
Signature of Tester- — Phone# (253) 852-1962
Building Representative (signature)
229 3rd Ave S, Edmonds,WA 980
Sprinklers - Wet nprr it, f�pge I of 2
4�
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Fire Department Fire Code for inspecting
and testing requirements.
General
1. Main Drain and Inspector's Drain flow test conducted?
2. Static pressure: 120 P. S. i.
3. Number of Sprinkler Heads:
4. 2-inch drain?
Flow pressure: 100 P. S. i.
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves?
Other
N/A
N/A
N/A El
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the
last 50 years? Date of last test: 1995
14. Proper number of spare sprinkler heads available with appropriate wrenches
for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: 2010
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical
damage?
18. Was debris found in the Fire Department Connection (FDC)?
19. Was the Fire Department Connection (FDC) back flushed within the last 5
years? Date of last back flush 2010
20. Was an internal pipe and valve inspection performed within the last 5 years?
Date Performed
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7)
22. Was a signal received at the Central Station monitoring N/A
company?
229 3rd Ave S, Edmonds,WA 980
r771 -
Yes PSI Noo
Yes F
Yes U �N
Yes ID
Yes FX
Yes M
L/2J
Yes F
M\7
Yes t/\l
M
Yes EN-j
_J71
Yes [/-:sl
No 1:1
NoEl
NoEl
NoEl
NoEl
NoE
NoEl
Noo
NoD
F71/7
Yes t^l
No
r771
Yes L�L\-j
NoEl
M
Yes
No
Yes U-Ni
No
M\7
Yes E-\j
NoF
Yes
I -I
No17X
Yes FX NoEl
Yes F NoF
171/7 No 17
Yes t/\ I
r7177
El Yes 1/\1 NoF
Sprinklers - Wet Page 2 of 2
4
CINTA6
'CC r 17 2014
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
FIRE ALARM SYSTEM
Certification Given
(One System per Report)
RED Ej
I YELLOW [:]
I WHITE
CONFIDENCE TEST
REPAIRS
10,
Sprinkler Monitoring Panel?
Occupancy Address-. 229 3rd Ave S, Edmonds,WA 98020
OccupancyName: Atrium CondoS
Responsible Person
First & Last Name: Barbara
Phone Number- (425) 582-0997
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address -
Date of Inspection:
09-25-2014
Inspection Quarterly ElHigh-rise Only)
Frequency/Type: Annual Fx]
Testers Name
(Please Print): Richard Narayan
Identification
Number-
/INicet
Number: — N-07104
System Location 1 st floor east stairs closet
Central station monitoring? Yes Fx-� No El
Monitoring Required? Yes [H] No ID
Monitoring Protection One
Company Name:
System Make: Silent Knight
System Model: 5207
FIRE CODE VIOLATIONs FOUND: (if additi nal room is needed, please add a separate sheglil')
None
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) Nicet Number.
-
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Authority Having Jurisdiction standards, and that
discrepancies are noted and have been repod'ed to the building Owner/Manager for corrective action.
4) � A�
Signature of Tester:
Phone # (253) 852-1962
Building Representative (signature)
229 3rd Ave S, Edmonds,WA 98020
Fire Alarm Systems
Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and
testing of the fire and life safety system. Refer to the Fire Department Code for inspecting and testing requirements.
Alarm Svstem Functionali
1.
Trouble signal with AC power off?
Yes W
No El
2.
System operates properly on battery backup?
Yes Z
No El
3.
Battery voltage (no load) 25.5 volts
4.
Battery voltage (full load) 24.7 volts (signals operating)
5.
Charge circuit voltage 27.2 volts
6.
System operates properly on standby power?
Yes Z
No El
7.
All signals operate on AC power?
Yes ED
No El
8.
Number of initiating circuits
9.
Number of signal circuits 4
10.
Does alarm system meet audibility standards as accepted?
Yes X
No E:]
11.
All circuits checked for electrical supervision?
Yes FX-1
No 1:1
12.
All auxiliary equipment operates (Elevators, fans, dampers)?
N/A
Yes
NOD
13.
Ventilation controls operate?
N/A
Yes
No [-]
14.
Key to panel available?
N/A D
Yes [Z
No D
15.
Materials and equipment needed to restore pull stations are available at the
N/A E]
Yes FX-1
No
main panel, e.g. glass rods, and plates; keys and alien wrenches, etc?
16.
Operating instructions at panel?
Yes
No
17.
Trouble indicators function properly?
Yes
No
18.
Remote Annunciator Panels function properly?
N/A
Yes
No
19.
Elevator Call Down functions properly?
N/A
Yes FX-1
No El
20.
Test record posted at panel?
Yes
No
21.
General alarm automatic time delay - (minutes)
N/A
22.
Was a signal received at the Central Station monitoring company?
N/A
Yes
No Ej
23. Other Devices (Specify)
Yes
No [:]
System Devices
Total Number of
Units in Building
Total Number
Units Tested
Test Results Acceptable
24. Bells, Horns, Chimes
41
8
N/A
Yes [9
NOD
25. Voice Speakers (Voice Clarity)
N/A X
Yes E:1
No Ej
26. Visual Alarm Devices
8
8
N/A El
Yes X
No [:1
27. Smoke Detectors
4
4
N/A El
Yes X
No [I
28. Heat Detectors
9
9
N/A El
Yes X
No 0
29. Duct Detectors
N/A
Yes
No
- 30. Sprinkler Flow Switches -
1
1
N/A
Yes
No
31. Sprinkler Supervisory Switches
N/A D
Yes X
No Ej
32. Manual Pull Stations
8
8
N/A
Yes
No El
33. Annunciator(s)
N/A X
Yes El
No E:1
34. Beam Detectors
-
N/A [Z
Yes El
NOD
35. Automatic Door Unlocks
N/A X
Yes El
No [:1
36. Automatic Door Release
1
1
N/A [:1
Yes X
No El
37. Fire Dampers
N/A E:1
Yes El
No D
Communication Equipment
Total Number of Units
in Building
Total Number Units
Tested
Test Results Acceptable
38. Phone Sets
N/A Yes No El
39. Phone Jacks
N/A Yes No 0
40. Call -in Signal
N/A Yes NOD
Fire Alarm Systems Page 2 of 2
" 1 17 2014
Confldence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
SPRINKLER — WET SYSTEM
Certification Given
(One System per Report)
RED
Lj
I YELLOW
Lj
T WHITE
CONFIDENCE TEST JFX� I REPAIRS I F�
I
Occupancy Address: 229 3rd Ave S, Edmonds,WA 98020
Occupancy Name: Atrium C.ondos
Responsible Person
First & Last Name: Barbara
Phone Number: (425) 582-0997
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address
Date of Inspection: 09-25-2014
Testers Name
(Please Print): Richard Narayan
Inspection Annual Fx�
Frequency/Type: El
Nicet
Number: N-07104
Identification
Number:
System Location., -Parking garage by gate
Central station monitoring? Yes No
Monitoring Required? Yes El NoEl
Monitoring
Company Name: Protection One
System Make: Shotgun
System Model: 211
FIRE CODE VIOLATIONs FOUND: (if additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet) Nicet Certification
Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Authority haveing Jurisdiction Fire Code standards, and that
discrepancies are noted and hav e he building Owner/Manager for corrective action.
Signature of Tester:
Phone# (253) 852-1962
Building Representative (signature)
229 3rd Ave S, Edmonds,WA 980
Sprinklers - Wet
Page 1 of 2
40 . � -b
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Fire Department Fire Code for inspecting
and testing requirements.
General
1. Main Drain and Inspector's- Drain flow test conducted?
2. Static pressure: 120 P.S.i�
3. Number of Sprinkler Heads:
4. 2-inch drain?
Flow pressure: 100 p. s. i.
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves?
Other
N/A
N/A
N/A
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the
last 50 years? Date of last test: 1995
14. Proper number of spare sprinkler heads available with appropriate wrenches
for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: 2010
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical
damage?
18. Was debris found in the Fire Department Connection (FDC)?
19. Was the Fire Department Connection (FDC) back flushed within the last 5
years? Date of last back flush 2010
20. Was an internal pipe and valve inspection performed within the last 5 years?
Date Performed
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7)
22. Was a signal received at the Central Station monitoring N/A
company?
229 3rd Ave S, Edmonds,WA 980�
M\7
Yes 1^1 NoF
Yes
Yes
Yes
M\7
Yes 1^1
Y e s
Yes
Yes 1^1
M
Yes 1^1
M
Yes 1^1
M\7
Yes 1/\1
NoF
N o E]
Noo
Noo
NoF
N o FX
NoF
No F1
NoF
M01
Yes
No
Yes
NoD
Yes
No
Yes
No
Yes
NoN
Yes
No
r\77
1/\1
Yes F
M
Yes 1^1
M
Yes 1^1 No E]
Sprinklers - Wet Page 2 of 2
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049 SEP 2 6 2013
FIRE ALARM SYSTEM
Certification Given
(One System per Report)
_kED
YELL01
�IHIITE
CONFIDENCE TEST
IN
1 REPAIRS
Sprinkler Monitoring Panel? 0
Occupancy Address: 229 3rd Ave. So.
Occupancy Name: -Atrium Condos
Responsible Person vn�' dc
First & Last Name: Bernie Griffin
Phone Number: 425-776-0396
Responsible Person
Address, City, State, Zip: Same - Suite #203
Responsible Party
E—Mail Address
Date of Inspection: 9/18/13
Inspection QuarterlyF—I(High-rise Only)
Frequency/Type: Annual Z
Testers Name
(Please Print): Gerald Sykes
SFD Certification S-4333 / 9132-IT-020909
Number: SCP —
Identification
Number: P317-1231
. Floor 1 East stair closet
System Location
Central station monitoring? Yes No Ej
Monitoring Required? Yes No
Monitoring Protection One
Company Name:
System Make: Silent Knight
System Model: 5207
SEATTLE FIRE CODE VIOLATIONs FoUND: (if additional room is needed, please add a separate sheet)
Note: Audible circuits are T-tapped at panel. Also, mag door at parking level does not fully shut. door rubs on frame.
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reporte to the building Owner/Manager for corrective action.
Signature of Tester:
Phone 4 253-852-1962
Building Representative (signature)
229 3rd Ave. So.
Fire Alarm Systems Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and
testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
Alarm System Functionality Yes No El
1. Trouble signal with.AC power off.?
Ye's No M
.2., System operates properly. on battery backup? '25.64
3. Battery voltage (no load) Volts.
24.77
4. Battery'voltage (full load) 'Volts (signals oper ting):
5.
Charge circuit voltage 27.28 volts
Ye sN
No E
6.',..,
System ope�rates proo ?
_prlyon Standby power
Yes
No
7.
All signals operate on AC power?
Number'bf initiat ng circuits::
9.
4
Number of signal circuits
10.:
Do6s'al&rh s�st6m m6et.6udibility standards as accepted?,.,
.Yes X.
No
11.
All circuits checked for electrical supervision?
Yes X,
No.
12.
All auxiliary,'equip ment:operates (EleVators,- fans,' -dampers)?,,
N/A
Yes
No
13.
Ventilation controls operate?
N/A X
-Yes
No
14.
6
K y, to parie; availab.e.?,
'equipment
N/A
Yes x'
No
15.
Materials and needed to restore pull stations are available at the
N/A
Yes X
No
panel, e.g. glass rods, and plates; keys and alle-in..w-renches, etcT-
16
_rriiain
Oberatinci instruction t 17
ppne,.
Yes X,
No
17.
Trouble indicators function properly?
Yes,X
No.,
18.,
Remote Annunciator Panels function;Ordperly?. d
N/A.� �X
Yes,:--!
No
19.
Elevator Call Down functions properly?
N/A
Yes X
No.
20.1
Test record posted at pane 1%
Yes
NOI
21.
General alarm automatic time delay (minutes)
N/A
22.
Was a � sig!jaj received at the Central Station monitoring comparl 7
Yes. X
No'
23. Other Devices (Specify)
Yes
No
System Devices
Total Number of
Units in Buildinq
Total Number
Units Tested
Test Results Acceptable
.,.:::'.,�24. Bells' Horns, Chim s,,,
1 .. I
.:41
32
y es� �x
No
. :11 - .
25. Voice S . peakers (V oice Clarity)
N/A
X
Yes.
No
rm Devic s..;,:
2&, Vis6al.: Ala*,
8
Yes X
No
, .. 1. ...
27. Smoke Detectors
4
4
N/A
I
Yes XI
No
28.' Heat Detecto� -s
9',
N/A_
Yes
No!-
29. Duct Detectors
N/A
X
Yes
No
30-.Spi�iri lerfl6w Switches
k
N/X
e `X-
Y s
-No
31. Sprinkler Supervisory Switches
N/A
X
Yes
No
3�. Manual Pull -Stations,
8
8
Yes X.:
No
33. Annunciator(s)
N/A
X
Yes
No
.34., Beam Detector
,N/A�
X,
Yes
No
35. Automatic Door Unlocks
N/A
X
Ye , s -
No
36. tomatic, Door R lea e
N/X�,.
Yes
N I o 1.1
_Xu'
37. Fire Dampers
N/A
X
Yes
No
Total Number of Units
Total Number Units
Communication Equipment
in Building
Tested
Test Results Acceptable
38. Phone Sets
N/A X Yes No
39. Phone Jacks
N/A X Yes No
40. Call -in Signal
N/A Yes
Fire Alarm Systems Page 2 of 2
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049SEP 2 6
SPRINKLER - WET SYSTEM
Certification Given
(One System per Report)
RED
ETI
YELLOW
11
FWHITE
X
CONFIDENCE TEST IFX_j I REPAIRS
Occupancy Address: 229 3rd Ave. So. Occupancy Name: AtriurnCondos
Responsible Person
First & Last Name: Bernie Griffin Phone Number: 425-776-0396
Responsible Person Responsible Party
Address, City, State, Zip: Same --Suite #203 E—Mail Address
Inspection Annual F]
Date of Inspection: 9/18/13 Frequency/Type:
El
Testers Name Gerald Sykes SFD Certification scP_ S-4333 / 9132-IT-020909
(Please Print): Number:
Identification
Number: P317-1232 System Location: -Parking closet by gate
Central station monitoring? Yes MX No E] Monitoring
Monitoring Required? Yes 7X NoEl Company Name: 'Protection One
System Make: shotgun System Model: _2" test and.drain
SEATTLE FIRE CODE VIOLATIONs FOUND: (If additional room is needed, please add a separate sheet)
Need recessed head wrench in head box.
Need 1 spare 165 degree upright brass head in spare box.
CORRECTIONS MADE: Date Corrected: Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone# 253-852-1962
Building Representative (signature)
229 3rd Ave. So.
P317-1232
Sprinklers - Wet Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting
and testing requirements.
General
1 Main Drain and Inspector's Drain flow test con'd6cted? Yes No
2. Static pressure: 120 p. S. i. Flow pressure: 100 p. S. i.
.3;:
Number bf:Sprihkler Heads: 300-� . .. . ....
4.
2-inch drain? Other
r777
L!�\j
Yes 11
NoEl:
,5
w: sw* switches.and alarm be,lls,tested?,, N/V
Flo' itches, supervisory,
11�
Ye S FX
0 El
6.
Pressure regulating valves tested? N/A
Yes
No[:]
7.
t..,
A'a rm. b6l 1: o"p'e ra es,., N A
El
:Yes
N b
8
System i . nspected and I I ubr icated?
Yes
NoEl
?
a ves: are.seale'd:,or. swervised..:�, .
Ae S
10.
Signs are provided on valves?
Yes 12\1
No El
1 1.�.:Pumpet
donnedtio.hs.an.d:..claooer.valves..uhobst�ucti.3d.,:bnd turn freely?,,
Yes, FR�:
1: �No D
12.
Sprinkler cove rage is accep ta ble?
Yes
No
13.,
Havelha-sprinkler heads,been replaced or�.successfqlly samplejest in the:
Yes�
171
0L_k::
last 50..vears?, Date of last test: 1995
14.
Proper number of spare sprinkler heads available with appropriate wrenches
Yes
N o Z\_j
5,
for each?
Syst6nh left in service?: j
No
1,6.,
System gauges replaced or calibrated within the last 5 years?
Yes r7;1
NoEl.
Year changed: 2010
IT
'7 _damage.:.':.
-SprihkI& heads free',of 6brr'bsion;ippint� obstructions and/or. r)hvsical,.
7
:Y6 s�
-No El
?
F77
18. Was debris found in the Fire Department Connection (FDC)? Yes No I/ \1
1 . 9. Was the Fire Department. Connection, (FDC) back flu,shed, within the last 5 F�7 00
N N
Yes l/
fl sh 2010
years?
Date of last back
20. Was an internal pipe and valve inspection performed within the last 5 years? Yes NoEl
Date Performed
2 1. 1§ the hydraulic nameplate Jnstalled and visible on riser, if.No then Yellow Tag., Y
No
es LAI
(Ref: NFPA 25 5.2.7)
22. Was a signal received at the Central Station monitoring N/A E] Yes 0 No
company?
229 3rd Ave. So.
P317-1232
Sprinklers - Wet Page 2 of 2
Serving Briei; Edmonds, and
Molintlake Terrace
wlqp�FireDlistrictl.org
LOCATION: 229 3 rd Avenue S 98020
BUSINESS NAME: Atrium ApeAwRfrts C"'540c'-
MAILING
ADDRESS: ' Edmonds, WA 98020
BUSINESS OWNER: Metter, Ray/Edna
EMERGENCY-1: Barbara? bw�� 5094"
KEY ACCESS-2:
0 -
A
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOBe�,—Tb
12425 Meridian Ave S
Eivrett, WA 98208
Phone (425) 551-1200
Fax (425) 551-12 72
PHONE:
HOME PHONE:
HOME PHONE: 4255820997
HOME PHONE:
FIRE PREVENTION
�d! 4SPECTION REPORT
0 ED MONDS
0 BRIER
El MOUNTLAKE TERRACE
[3 UNINCORPORATED
e FREQUENCY I STATION & SHIF"'�
Annual 17-B
SCHEDULEcApr 2015
DATE DUE I'
425202,
UFIR
CURRENT
CITY NO
B 'I
US; NESS
LICENSE F
INITIAL N8PECTjON DATE
I 'I— 19 1 1
I-IKE byti I Emb: k'��S/14 I;A 9/lAf". M FD Lk Box p�j
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
'/7—
LV
2
------ .....
..
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VICLATION(S) IN THE NEXT 30 DAYS X
1st 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
DATE:
DATE:
DATE:
3
V;10��Tlof4s
LAT
VIOLATIONS
PRE -CITATION
111111111 ION ISSUED
L 15
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
7
RECEIVED
6
DISPOSITION:
8-
4
8
DATE:
7
LETTER NEEDED E] YES
11NO
LETTER NEEDED [] YES No
FIRE DEPARTMENT COPY
SEP 10 2017
0-
.Pj
_4
I WOU'l
Confldence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
SPRINKLER - WET SYSTEM
Certification Given
RED
YELLO
I WHITE
FX
(One System per Report)
CONFIDENCETEST 17X I REPAIRS---[ F]
I -
Occupancy Address: 229 3rd Ave S, Edmonds
Occupancy Name: Atrium Condos
Responsible Person Blake Longsine
First & Last Name:
Phone Number: 425.280.5050
Responsible Person
ResponsibleParty
Address, City, State, Zip:
E—Mail Address
Date of Inspection: 8.17.12
Inspection Annual
Frequency/Type: F]
Testers Name
(Please Print): Michael Walsh
SFD Certification
Number: SCp-W-06946
Identification
Number:
System Location: Garage
Central station monitoring? Yes MR No Fj
Monitoring
Monitoring R equired? Yes M NoEl
Company Name:
System Make: Shotgun
System Model: 211
SEATTLE FIRE CODE VIOLATIONs FOUND: (If additional room is needed, please add a separate sheet)
None.
No access to units.
CORRECTIONS MADE: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire
Department Fire Code standards, and that
discrepancies are noted and ilding Owner/Manager for corrective action.
Signature of Tester:
Phone 4 253.852.1962,
Building Representative (signature)
229 3rd Ave S, Edmonds
Sprinklers - Wet Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting
and testing requirements.
General
Main Drain and Inspector's Drain flow test conducted?
2. Static pressure: 120 s.i. Flow pressure: 105 P.S.i.
_p
1:_,' N6mbelr�of.Sprin'kl'er Heads,."""
Yeso El
4.
2-inch drain? Other
� M\7
j/\ I
Yes
NoE]
.5.
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No
6.
Pressure regulating valves tested? N/A
L!��
YesEl
NoEl
Alar l5ell,operat60: N A
m
No
8.
System inspected and lubricated?
Yes
No
Va'lv'es-�are,s6aled�6r'suobrvised?-.-�.:�,
0,
10.
Signs are provided on valves?
17771
Yes p,/\i
NoE!
if
;4
P,'turn freely?
J.,umperc nnecti6h��and,-dlapoier:Vailvbtuhobstructed.�ah.d:
oi
12.
Sprinkler coverage is acceptable?
Yes
L!2j
No
13. Have the sprinkler heads been replaced or successfully sample test in the
last 50 years? Date of last test: Yes LAJ No7
19. Was the Fire Department Connection (FDC) back flushed within the last 5
yea I rs? Date of last back I flush Yes 0 NoN
20. Was an internal pipe and valve inspection performed within the last 5 years? Yes NJ7'
Date Performed Lnj
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
N o
Yes 1/ 11
(Ref: NFPA 25 5.2.7)
22. Was a signal received at the Central Station monitoring 17771
company? N/A Yes [/\1 No
229 3rd Ave S, Edmonds
Sprinklers - Wet Page 2 of 2
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
FIRE ALARM SYSTEM
Certification Given
(One System per Report)
FiED
YELLOW
D
I WHITE
CONFIDENCE TEST
IN
I REPAIRS
Sprinkler Monitoring Panel? M
Occupancy Address: 229 3rd Ave S, Edmonds
Occupancy Name: Atrium Condos
Responsible Person
First & Last Name: Blake Longsine
Phone Number: 425.280.5050
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address -
Date of Inspection:
8.17.12
Inspection Quarterly ElHigh-rise Only)
Frequency/Type: Annual
Testers Name
(Please Print): Michael Walsh
SFD Certification
Number: SCP - W-06946
Identification
Number:
1 st floor stair closet
System Location
Central station monitoring? Yes FX_1 NoD
Monitoring
Monitoring Required? Yes El . No El
Company Name:
System Make: Silent knight
System Model: 5207
SEATTLE FIRE CODE VIOLATIONs FoUND: (if additional room is needed, please add a separate sheet)
None.
No access to units.
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and i ns' tent with Seattle Fire
Department Fire Code standards, and that
discrepancies are noted and v n p rte o th IA-jUding
Owner/Manager for corrective action.
Signature of Tester:
Phone # 253.852.1962
Building Representative (signature)
229 3rd Ave S, Edmonds
Fire Alarm Systems Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and
testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
[,a
Alarm Svstem Functionali
1. Trouble signal with AC power off?
2. System ODerateS Droperly on batte backup?
Yes L6J No LJ
Yes NoEl
31., Battery voltage (np load) 25.89 volts
.
pptt0jry. vq1tageffull'load 25.53"," Volts (signalSr.opprating)..:-.
5. Charge circuit voltage 27.27 volts
6. System operates properly on standby power?
Yes Z
No El
7. All sig I n I als operate on AC power?
Yes
No El
um . r b initiating circu ts
N be f
9. Number of signal circuits 4
Does:alarm: system', meet: addi bility: standa rds as:accepted?
Yes [Z::� �t-
iNa
11 Al I circ uit s checked for e lectri Cal supervision ?
Yes
No
:12i A!!:auxiliary�'(�quipn��en :bperates (Ele dampers)7::.
t ators,, fans
A,:
S,
No
13. Ventilation controls operate?
N/A
Yes
NoE]
F
Yes
0 El
15. Materials and equipment needed to restore pull stations are available at the
N/AE]
Yes X
No
main panel, e.g. glass rods, and plates; keys and allen wrenches, etc?
�jj' �--- -- -�' - -- --
..
--- -- --
&0
Operating instructions'atp ne....
Y es
17. Trouble indicators function properly?
Yes FX
NoE]
18.! Remote Annunciator P �4� function pr9perly?
9.
No
19. Elevator Call Down functions properly?
N/A L]
Yes X
No L]
,-'20'jfer§6�cc�d LeF
P �to __, --
- -
es
----
JK6 F
21. General alarm automatic time delav (minutes)
N/A
-�22: Was a'sianal r'keived at the C 'ntral Statio' m6niforina co MPPRY
A
Yes
�E]
23. Other Devices (Specify)
YesEl
No X
System Devices
Total Number of
Units in Building_
Total Number
Units Tested
Test Re sults Acceptable
24:. Bellst: Horns Chimes
8:
.
Yds K�
6 E2
.... 25. Voice Speakers I (Voice Clarity)
N/A X
Yes El
No El
...26. Vi§661:Alarm Devices
8 A
NXE:::
..Yesm.
N60
27. Smoke Detectors
4
4
N/A [:1
Yes
No El
28. Heat Detectors
9
5
N/A 0
Yes X.
No 0
29.'Duct Detectors
N/A
Yes F I
No
30. Sprinkler Flow Switches
N/A El'
Yes [9
No
31. Sprinkler Supervisory Switches
N/A X
Yes
No El
32.Manual Pull'Stations
8
8-
N/A E�
Yes X
NoO
33. Annunciator(s)
N/A
Yes El
No E]
34. Beam Detectors
N/A X
Yes 0
No El
35. Automatic Door Unlocks
N/A N
Yes 0
No El
36. Automatic Door Release
N/A El
Yes IX
No,[:]
37. Fire Dampers
N/A
Yes El
No El
Communication Equipment
Total Number of Units
in Building
Total Number Units
Tested
Test Results Acceptable
38:: Phone. Sets i::
:4'.
Y es ET . NOE.,
39. Phone Jacks
N/A Yes El No [I
40.- Call -in Signal.
N/A YesEl ... 0
Fire Alarm Systems Page 2 of 2
SEP 0 8 2011
0 CINTAS FIRE PROTECTION
1002 CENTRAL AVE NORTH
KENT WA 98032
253-852-1962 OFFICE
CIN111111M(D
General Contractor: CINTAFP904DJ
Fire Snrinkler Level III: CINAFP904DJ
SPRINKLERS - WET
Certification Given
RED
YELLOW
WHITE
(One System per Report)
CONFIDENCETESTI X I REPAIRS
Occupancy Address: 229 3rd Ave S, Edmonds WA
Occupancy Name:Atriurn Condo's
Building Owner:
Phone Number:
Responsible Person: Blake
Phone Number: 425-280-5050
Building Owner
Address:
Date of Inspection: 8/18/11
Inspection Annual
Frequency/Type: Quarterly
Testers Name
SFD Certification
(Please Print): Mickey Hilderbrand
Number: SCP-06762
Central Station
Monitoring? Yes No
Monitoring
Company Name: Protection One
Primary Component: Fire Sprinkler
System Make: Shotgun
System Model:
System Location: Sprinkler room in garage
Identification
Number:
PROBLEms; FOUND: (if additional room is needed, please add a separate sheet)
Corrections Made: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet)
SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the
building Owner/Manager for corrective action.
Signature of Tester: &4--f
�INAS&FIVRE
Phone # 253-852-1962
Testing Agency: PROTECTION
Mailing Address: 1002 Cental Ave N Kent Wa 98032
Building Representative (signature)
Atrium Condo's Sprink . ler room in garage Page 1of2
4
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Fire Department Fire
Code for inspecting and testing requirements.
General
Flow test conducted? Yes F91 No
Static pressure: 115 psi Flow pressure: 105 psi
Number of Sprinkler Heads:
2-inch drain? Other X
Yes El
NoE]
Flow switches, supervisory switches and alarm bells tested? N/A El
Yes
X
NoE]
Pressure regulating valves tested? N/A M
Yes
El
NoE]
Alarm bell operates? N/A 0
Yes
X
No 0
System inspected and lubricated?
Yes
X
No
Valves are sealed or supervised?
Yes
No
Signs are provided on valves?
Yes
[g
No E]
Pumper connections and clapper valves unobstructed and turn freely?
Yes
Fx-1
No E]
Wet type sprinkler heads replaced or successfully sample tested in last 50
Yes
Fxj
No F]
years?
Sprinkler coverage is acceptable?
Yes
X
No E]
Have the sprinkler heads been replaced or successfully sample test in the last
Yes
[X-1
NoD
50 years?
Proper number of spare sprinkler heads available?
Yes
X
No
Systern left in service?
Yes
nx
No
System gauges replaced or calibrated within the last 5 years? Yes [g No [:]
Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes X Noo
Was debris found in the Fire Department Connection (FDC)?
Yes
E]
No [g
:Was' the Fire Department Connecti6n:(FDC) back flushed wit in the last 5
Yes
E]..
No E]
years?:-
W . as an internal pipe and valve inspection performed within the last 5 years?
Yes
FRI
No F]
Date Performed
Wa .. s a signal received at the Central Station monitoring company? N/A
Yes
No
Sprinkler wrench available for each type of sprinkler?
Yes
Noo
Atrium Condo's Sprinkler room in garage Page 2 of 2
CINTAS FIRE PROTECTION
Confidence Test Report
1002 CENTRAL AVE NORTH SP 0 8 2011
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
FIREALARM SYSTEM
Certification Given
RED
YELLOW
WHITE
(One System per Report)
CONFIDENCE TEST REPAI
Occupancy Address: 229 3rd Ave S, Edmonds WA
Occupancy Name: Atrium Condo's
Building Owner:
Phone Number:
Responsible Person: Blake
Phone Number: 425-280-5050
Building Owner
Address:
Date of . Inspection: 8/18/11
Inspection Annual X
Frequency/Type: Quarterly E] (High Rise only)
Testers Name
SFD Certification
(Please Print): Mickey Hilderbrand
Number: SCP-06762
Central Station Yes X No El
Monitoring?
Monitoring
Company Name: Protection One
Primary Component: Fire Alarm
System Make: Silent Knight
System Model: 5207
System Location: Fire alarm closet
Identification
Number:
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
L
CORREMONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the
building Owner/Manager for corrective action.
Signature of Tester: Phone # 253-852-1962
Testing Agency: CINTAS ARE PROTECTION
Mailing Address: 1002 Central Ave N Kent Wa 98032
Building Representative (signature)
CTF- 0 1 Atrium Condo's Page I of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Fire
Department Fire
Code
for inspecting and testing requirements.
Alarm System Functionality
Trouble signal with AC power off?
Yes
No
System operates properly on battery backup?
Yes
No
Battery voltage (no load) 27.23 volts.
Battery voltage (full load) 26.91 volts (signals operating)
Charge circuit voltage 27.15 Volts
I
Yes
NoO
System operat es properly on. standby power?
Yes
No
All signals operate on AC power?
Number of initiating circuits 1.1
Number of signalcircuits 4
.
Yes'FX�
N6E1
Does ala rm system meet 6u.clibi-lity standards?
Yes X
No 0
All circuits checked for electrical supervision?
All auxili 4s, fan's, clam' rs)?.
ary equipment operates (Elevat pe
N/A
Yes X
No
Ventilation controls operate?
N/A
Yes
-1
No E]
Key to panel available?
Yes rx
No 1:1
9perating instructions at pa.nel?
Yes
No [j
Trouble indicators function properly?
Yes X
No El
kemotei Ar�nun--ciat-or�Panels fun , cti . on properly?
N/A
X
Yes
No
Elevator Call Down functions properO
Yes X
NO
Tes . t I re I cord post 11 ed . at panel ?
'miri'ute
Yes
No
General . alarm automatic time dela y ( ..— .
Was a signal received at the Central Station monitoring company?
N/A
E]
Yes
No E]
,,Other Devices (Specify)
N/A:
X
Yes
No
To tal Number of
Total Number
System Devices
Units in Buigpg_
units Tested
Test Results Acceptable
1. BeIlls, Horns, Chi.mes
16
16
N/A
E]
Yes X
No
2. Voice Speakers (Voice Clarity)
N/Al
Y.es E:]
No.
3. Smoke Detectors
5
5
NIA:
[:1
Yes X
No E:1
4. Heat . Detec : tors
9
4
N/A
N/A
El
X
Yes FxI
Yes E]
No E]
NO 1:1
5. Duct Detectors
' '
6. Sprinkler Flow Switches
1
1
N/A
Yes
No
7. Sprinkler Supervisory Switches
N/A
Yes
No E]
8. Visual Alarm Devices
16
16
N/A
Yes
No
9. Manual Pull Stations
8
Yes X
No El
10. A nnunci . ator(s)
N/A
X
Yes El
No
11. Beam Detectors
N/A
X
Yes E]
No E]
12. Automatic Door Unlocks
N/A
X
Yes E]
No E]
13. Aut . omatic Door Release
N/A
X
Yes
No E]
Total Number of
Total Number Units
Communication Equipment
Units in Builq!N_-
Tested
Test Results Acceptable
14. Phone Sets
N/A El
Yes E]
No E]
15. Phone lacks
N/A E]
Yes E]
No E:]
16. Call -in Signal
N/A E]
Yes E]
No E]
CTF- 01 Atrium Condo's Page 2 of 2
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
LOCATION: 229 3rd Avenue S
BUSINESS NAME: Atrium Apts
MAILING 229 3rd Ave S #201
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257782167
ADDRESS: Edmonds 98020
BUSINESS OWNER: 'Metter, Ray/Edna" A HOMEPHONE: 4257,782167
4257782167
EMERGENCY-1: Wetter, Ray/Edna" HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION 1, SHIFT
365
17 B
I
SCHEDULED
DATE DUE ll�
04/01/11
LIFIR I� 425
4202
ACTIVE
PERSON CONTACTED: ri 0 0 Nola- INITIAL INSPECTION DATE
NAME OF INSPECTOR: 1-0 , c"" pv�-e (,( 5/1,////
FIRE AS 5108 FA 5108 I'D Lkbx FE 4 1 It)
SSYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
fj 0 J�3b
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DUE:
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
5
PRE -CITATION
LETTER SENT
crrATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
1
2--
7
4
18
4
8
DATE:
DISPOSITION:
\ LETTER NEEDED 0 YES N.
1T'TTER NEEDED � YES F] NO
FIRE DEPARTMENT COPY
SEP 2010
A-1 Fire Equipment Inc.
Confidence Test Report
1002 Central Ave N Kent Wa. 98032
253-852-1962
SPRINKLERS - WET
Certification Given
(One System per Report)
RED
ow WT
WHITE
CONFIDENCE TEST 10 1 REPAIRS
Occupancy Address-. 2293 RD AVE SOUTH
Occupancy Name: ATRIUM CONDO'S
EDMONDS WA 98020
Building Owner: SAME
Phone Number: 425-776-0396
Responsible Person: BERNIE GRIFFIN
Phone Number- SAME
Building Owner
Address: SAME
Date of Inspection:
Inspection Annual 0
9-1-10
Frequency/Type:
Testers Name
SFD Certification SCP-N-04323
(Please Print): Joel Norris
Number:
Central Station Yes E No E]
Monitoring
Monitoring?
Company Name: ALARM CENTER
Primary Component: Fire Sprinkler
System Make: SHOTGUN
System Model:
System Location:
Identification
RISER
Number:
PROBLEMS FOUND: (if additional room is needed, please add a separate sheet)
Corrections Made: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet)
SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the
building Owner/Manager for corrective action.
Signature of Tester: /_�
Phone # 253-852-1962
'00,
Testing Agency: A-1 Fire Equipment Inc.
Mailing Address: 1002 Cental Ave N Kent Wa 98032
Building Representative (signature)
e N
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Fire Department Fire
Code for inspecting and testing requirements.
General
Flow test conducted? Yes 0 No El
Static pressure: io5psi Flow pressure: i oopsi
Mmber of Sprinkler Heads: +450
2-inch drain? Other 0
Yes El
NoEl
Flow switches, s I up'e'r'vis'or'y -swit c* hes and alarm bells tested?'. .:'N/A n
Yes
0
NOQ
Pressure regulating valves tested? N/A 0
Yes
El
Non
Alarm bell operates? N/A El
'Yes
0,
Non
System inspected and lubricated?
Yes
0
No El
...Valves are sealed or supervised?
Yes
0
No El
Signs are provided on valves?'
Yes
0
No 0
Pumper connections and clap . per valves unobstructed and turn fre.e.ly? - -
Yes
0
No 171
wet type sprinkler heads replaced or successfully sample tested in last 50
Yes
[0
No El
years?
coverageis acceptable?
Yes
0
No El
Have the sprinkler heads been replaced or successfully sample test in the last
Yes
0
No El
50 years?
Proper number of spare sprinkler heads available?
Yes
M
No El
:,.System, left in service?
Yes
No El
System gauges replaced or calibrated within the last 5 years?
Yes
No F-1
Sprinkler heads free of corrosion, paint, obstructions and/or physical damage?
Yes
-No
Was debris found in the Fire Department Connection (FDC)?
Yes
El
No 0
Was the Fire De:'part*ment Connection-(FDC) I b I ack flus . h I ed -within.'the last':5 years?.'.
Yes'Z
--No El
was an internal pipe and valve inspection performed within the last 5 years?
Yes
No El
Date Performed
06
Was a signal received at the- Central'Sta.tion monitoring mpany?, N/A
Ye s
Z.
'No F71
Sprinkler wrench available for each type of sprinkler?
Yes
No El
A-1 Fire Equipment Inc.
PC EQUIPMENT,
INC.
Confidence Test Report
1002 Central Ave N Kent Wa 98032 SEP 08 2010
253-852-1962
FIRE ALARM SYSTEM
Certification Given
(One System per Report)
RED
YELLOW El
[ WHITE
CONFIDENCE TEST 1 0 1 REPAIRS E:]
Occupancy Address: 229 3RD AVE SOUTH
EDMONDS WA 98020
Occupancy Name: ATRIUM CONDO'S
Building Owner: SAME
Phone Number: 425-776-0396
Responsible Person: BERNIE GRIFFIN
Phone Number: SAME
Building Owner
Address: -SAME-
Date of Inspection:
9-1-10
Inspection Annual 0
Frequency/Type: Quarterly El (High Pise Only)
Testers Name
SFD Certification
(Please Print): Joel Norris
Number: SCP-N-04323
Central Station Yes 0 No El
Monitoring?
Monitoring
Company Name: ALARM CENTER
Primary Component: Fire Alarm
System Make: SILENT KNIGHT
System Model: 5207
System Location: PHONE ROOM 11' FLOOR
SOUTH STAIRS
Identification
Number:
PROBLEms FOUND: (If additional room is needed, please add a separate sheet)
CORREcrioys MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the
building Owner/Manager for corrective action.
Signature of Tester:
/
Phone # 253-852-1962
,of
Testing Agency: A-1 Fire Equipment Inc.
Mailing Address: 1002 Central Ave N Kent Wa
98032
The items on the checIdists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Fire Department Fire Code
for Inspecting and testing requirements.
Alarm System Functionality
Trouble signal with AC power off?
Yes Z
No- El
��I
iS�*m.operates properly on battery backup?-
Yes ED
No C1
Battery voltage (no load) 26.79voltS
25088. vo .0
oad) lts� (signals: perat ng)
. .......
... .............. . ..
Charge circuit voltage 27.16VOItS
y stern ope rates properly on standby power?
Yes 0
No El
.1. All signals operate on AC power?
Yes 121
No 0
umber of initiating Circuits
Number of signal circuits 4
Does alarm system meet audibility. standards?
Yes 0
No 0
All circuits checked for electrical* supervision?
Yes, 0
No 0
A1.1-auxi.li.ary equipment operates (Elevators, fans, dampers)?
N/A
0
Yes 0.
No
Vent I i . lation controls operate?
N/A
N
Yes El
N.P-Q--.,,.
to panel available?
Yes IZI
No 0
Opera ting i I ns . tructions at panel?
Yes 0
No Q
ji6uble indicators function propedy?
Yes IZI
No 11
R . e mote Annunciator Panels function properly?
N/A
lZ
Yes El
No El
Elevator Call Down functions properly?
N/A
El
Yes 0
No El
T . est record posted at panel?
Yes 0
No 0
General alarm automatic time delay, (minutes)
N/A
Was a si I gnal received at the Central Station monitoring company?
N/A
E],
Yes N
No 0
Other Devices'(S if
N/A
Yes 0
No [Ell
Total Number of
Total Number
stem Devices
Units in Building
Units Tested
Test Results Accep�able
1. Bells, Horns, Chimes
16
16
N/A
9%
on:
2. Voice Speakers (Voice Clarity)
N/A
Z.
Yes El
No [T-,
3. Smoke Detectors
5
6
N/A
F -1
Yes ED
No El
%.' 4. Heat Detectors
3
1
N/A
El
Yes Z
No El
..........
Duct Detectors
N/A
IZ
Yes [I
N 0*
Spri . n . kle r Fl ow Switches
N/A
El
Yes E
............
No El
Sprinkler Supervisory Switches
N/A
9
Yes 0
N
8. Visual Alarm Devices
16
16
N/A
El
Yes Z
No
Manual Pull Stations
8
8
N/A
El
Yes ED
No 0
10. Ann unciator(s)
N/A
Z
Yes El
No El
11. Beam Detectors
N/A
0
Yes El
No 0
12. Automatic Door Unlocks
Y-es El
No El
A3
Y
Total Number of
Total Number Units
Communication Equipment
Units in Buildin
Tested
Test Results, Acceptable
Phone% S I
e . s -, ............
. .......
0
15.: Phone lacks
N/A Z
Yes F-1
. :,
No El
........... - .
........... ... .. .....
N
e s El
-o . ij
FIRE PREVENTION
If Ilry nl= Famlapins SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIR DEPARTMENT
t
LOCATION:
229 3rd Avenue S
BUSINESS NAME:
Atrium Apts PHONE:
4257782167
MAILING
229 3rd Ave S #201
ADDRESS:
Edmonds 98020
BUSINESS OWNER:
"Metter, Ray/Edna" HOMEPHONE:
4257782167
EMERGENCY- 1:
Wetter, Ray/Edna" HOMEPHONE:
4257782167
KEY ACCESS-2:
HOME PHONE:
FREQUENCY STATION & SHIFT
365 17 A
SCHEDULED
DATE DUE l' 04/01/10
UFIR ll� 425 4202
ACTIVE
PERSO i . ". , INITIAL INSPECTION DATE
N CONTACTED: i.. f
NAME OF INSPECTOR: S( a1091 —fO
FIRE AS 5/08 FA 5/08 FD LkBx FE
SYSTEMS:
ANNUAL
HAZARDS FOUND APOCATIONS / MUNICATIONS
1 1071'cms V Nd
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
lst RE -INSPECTION
DATE
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE
VIOLATIONS
CITED:
-DUE;
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR,
INSPECTOR-
INSPECTOR
2
DATE
DATE,
DATE,
3
VIOLATIONS
1 5
VIOLATIONS
5
PRE-CITA11ON
LETTER SENT
crwioN issuEb
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
8
� LETTER NEEDED [] YES NO
LET -TER NEEDED [] YES 0 NO
FIRE DEPARTMENT COPY
Hazardous materials spill', July 16, A -Shift, 7601 Lake Ballinger Way. Motor oilleaking
from 55-gallon drum..
0 Shopping cart fire, July 24, C-Shift, 7618 — 223rd Street W. Arson. $10 loss.
Brush fire, August 25, B-Shift, City shoreline. No loss reported.
Dock fire, August 31, B-Shift, 220th Place and 84th Avenue West, Chase Lake. Arson. No
loss reported. I
nd
Motor vehicle fire, September 18, B-Shift. 21200 — 72 Avenue West. Undetermined.
$5,000 loss.
• Stove fire, October 5, A -Shift, 9231 Olympic View Drive. Combustibles too close to heat
source. $2,500 property loss, $300 contents loss.
• Residential fire, October 7, C-Shift, 22314 — 93rd Place West. Re -ignition of'small fire
extinguished by occupant. $12,500 property loss, $500 contents loss.
• Rescue alarm, October 17, C-Shift, 200 — 2 nd Avenue South, WWTP. Man -down alarm
system malfunctioned.
• Porta-potty fire, November 8, A -Shift, 22901 — 106 th Avenue West, Sherwood
Elementary. Arson. $2,500 property loss.
• Wind and rain'storm, Nov ember 17-21. Multiple storm -related incidents to include fallen
trees, blocked roads, and downed power lines.
• Broken pipes, December 1-15. Multiple responses to tem pe ratu re-ca used water pipes to
burst in residential and commercial occupancies.
• Motor vehicle fire, December 2, B-Shift, 7910 — 224 th Street SW. Equipment failure.
$2,000 property loss, $100 contents loss.
• Fireplace fire, December 6, B-Shift, 24208 — 104 th Place West. Undetermined. $200
property loss.
Garage fire, December 6, B7Shift, 7906 — 21 8th Street SW. Undetermined. $2,500
property loss, $2,000 contents loss.
Burnr fatality; December�,9, 3rd Avenue South #A-. Victim's clothes ignited
while -standing n4-;d: to -stove.
i