23510 HWY 99 (2)7
3i�i
FIRE PREVENTION
INSPECTION REPORT
S�rving Brier- Eamonas, and .12425 Meridian Ave S
SNO11O1%11SH CO.
Mountlake Terrace Everett, WA 98208 4 EDMONDS
D BRIER
F1 E Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DIarin [I UNINCORPORATED
P.L Twww.FireDistrict'].org Fa,� (425) 551-1272
F EQUE STIUPV SHIFT
LOCATION: 23510 Highway 99 98026 A nUajCY
Abra Auto �ody Also 8028 234th 4257755609 SCHEDULED May 2017
BUSINESS NAME: PHONE: L
U/%1 r Liur-
MAILING 23510 Highway 99, Edmonds, WA 98026
LIFIR
ADDRESS:
Schmaltz Dave
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-11:
HOME PHONE: "'CURRENT
2Q8 890'9(PI7
YES NO
KEY ACCESS-2:
HOME PHONE:
CITY
BUSINESS
EMAIL:
LICENSE
r-
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: L 70/p>
'SHIF)
-IKtZjy,-jItMZj: AS4 6 FAW1 6
Date Last SeNiced,- r///;P '7/jU
FE 7;45 12:00*00 AM
ill
..,'.ZNOHOM1SH Co.
FIRE
DISTY
-fit
Serving Bri�r, Edmonds, and
Mountlake Terrace
Twww.FireDistrictl.org
LOCATION:
.23510 Highway99 98,026
BUSINESS NAME: -
Abra Auto Body
MAILING
ADDRESS:
23510 Highway 99, Edmonds, WA 98026
BUSINESS OWNER:
Also 8028 234th
EMERGENCY-1: sj,\Y,
KEY ACCESS-2: _11t1aft:1-
12425 Meridian Ave S
Everett, WA 98208 -
Phone (425) 551-1200
Fax (125) 551-.1272
L-11�-779_- 5-60cl-
PHONE:
HOME PHONE:
0 -7
HOME PHONE:
HOME PHONE: 2e6a466259_
L�re,
EMAIL: r L (4- 7 a
PERSON CONTACTED:
� Vp 1-� 4--)
NAME OF INSPECTOR: ) - � n', 1,�_
V-6 (A �� 0� 0 J
FIRE PREVENTION
INSPECTION REPORT
IZEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
r FREQUENCY STATION & SHIFT
Annmal
SCHEDULED
DATE DUE
UFIR 0
\1 573 j
.CURRENT
CITY - YES - No.�Aj
BUSINESS
LICENSE
INITIAL INSPECTION DATE
6 /-� cy //�
FIRE SYSTEMS:. AS 4;12 FK7/15 FE L/�,EB 8 j2) - zq* 16 =1� L.J L
0mJatmst69uAcecbcATIONS COMMUNICATIONS
k!4 i
..... ..
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 RE71NSPECTION
2nd RE -INSPECTION
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE DUE
DATE DUE:
GRANTEDTO:
6�TE DUE:
CITED:
PERSON
PERSON
PERSON
PONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS"-,
PRE -CITATION
CITATION ISSUED
1 5
LETTER SENT
NUMBER:
lk
CODE
5
2
6
2
6
DATE:*
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
8
4
18
DATE:
LETTER NE EDED F] YES NO
LETTER NEEDED [] YES NO
8
C Pak
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 L1
I YELLOW
W
CONFIDENCE TEST
REPAIRS
? Fx1
Sprinkler Monitoring Panel. —
Occupancy Address: 23510 Hwy 99, Edmonds, Wa
Occupancy Name: NA ABRA #6024
Responsible Person
First & Last Name: Jay Pretz
Phone Number: 425-775-5609
Responsible Person
Address, City, State, Zip:
Responsible Party
E—mail Address
Date of Inspection: 7-6-16
on
Inspection Quarterly (High-rise Only)
Frequency/Type: Annual
Testers Name
(Please Print): Mike Magaway
Nicet
Number: 138738, M082d28
Identification
Number:
ar
Far corner of Garage
System Location
Central station monitoring? Yes El No r__1
Monitoring Required? Yes El No F-1
Monitoring Alarm Center
Company Name:
System Make: Silent Knight —Systern
Model'. 5208
FIRE CODE VIOLATIONs FOUND: (if additi nal 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 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 reported to the building Owner/Manager for corrective action.
Signature of Tester: )14etLf�:�
Phone# 253-852-1962
Building Representative (signature)
23510 Hwy 99, Edmonds, Wa
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.
larm System Functionalitv
Trouble signal with AC power oft?
I, ;�V- —- 4 --- __ — — —,-- ____ Yes U9 No El
21L -6 he
j?ackup?
y
3. Battery voltage (no load) 26.16--
volts
B
- Ottery Yo togk(full"10ai 26.21 - -----
5. Charge circuit voltag 27.34 volts (si g*na s ope,rating)
volts
S Tq-
'te"pe 7
;L �n__y pp�(ejf
7. No,
- - _All, sign - als operate on AC power?
8., 'Numb Yes No El
er of in
iing cirqqL4
9. Number of signal circuits
2
O',Do '-steO meet audibility standards as accepted?
PS 4 OEMSY Yes
All circuits -, --19_
checked for electrical supervision?
Yes X No E]
12- t op'orptesfd6vat
tbtt f"n _AqMO.qrS)? 46 f I
Yes
13 Ventilation controls operate?
N A X Yes 1:1 No 1:1
_V
jKeytc�o
/A_
N ,
- 0./,' Y
materials and equipment needed to restore pull stations are available at the N/A E] Yes X No E]
main panel, e.g. glass rods, and plates; keys and allen wrenches etc?
e
_A
9TOOOSW pan I?
'Yes ;No
17. Trouble inclicaton; fi in�eon
"�-Tq Yes A No7
iaterWn, el "flj
ngtipn p
_rqpefl�?
19. Elevator Call Down functions properly?
_7'� No E]
+ ___A�A Yes
2 AWW�VGW,�_� --- — -7,�Z--� FX
PEP_ - 02506?
21. General a-larm automatic time delay ye�s_ Mx
(minutes) N/A
0.
sign req� Central StatOF11- 9 ��qToaRy?
23. Other Devic(
Yes F� No F-I
M Devices
25. Voice a
Spe kers (Voice Clarity)
26. -, Visual Alarm Devices
27. Smoke Detectors
11 __28. �He6t Detectors':
___2_9_ Duct Detectors
30. -Sprinkler flow! Switches
__.__31. Sprinkler Supervisory Switc"
hes
�i'Ma'nu6l_;Pull_'Statlons
33. Annunciator(s)
35. Automatic Door Unlocks
tic,DoorRelease
7. Fire Damc)ers
Total Number of I Total Number
4-
4
_31
3
4
7 .........
N/A LJ
Yes XX
No M
N/A
Yes El
No
N/A
-Yes tX_�
No f-I
N/A
Yes [:1
No El
N/A
Yes
!No
N/A
Yes El
No 0
N/A 0
Yes X
No 111'11�
N/A
Yes
No
NIA Ag
0
N/A X
Yes 0
NoO
N/A
7:
N/A
Yes El
No El
N/A
Ye s
N�O.
N/A [9
Yes El
No F-I
Fire Alarm Systems
Page 2 of 2
'i , V
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
Lj
I YELLOW
U
1__WHITE
CONFIDENCE TEST 0 1 REPAIRS I F�
Occupancy Address: 23510 Hwy 99, Edmonds, WA
Occupancy Name: NA ABRA 6024
Responsible Person
First & Last Name: Dave Schmattz
Phone Number:
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address
Date of Inspection: 4-3-16
Testers Name
(Please Print): Mike Magaway
Inspection Annual
Frequencyfrype:
Nicet
Number: 138738, M08228
Identification
Number:
System Location: North Side Of Old Building
Central station monitoring? Yes No[:]
Monitoring Required? Yes NoD
Monitoring
Company Name: Alarm Center
System Make: Shotgun 2.5"
System Model:
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 have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Abi.-e—
Phone# 253-852-1962
Building Representative (signature)
23510 Hwy 99, Edmonds, WA
�Iij;j; , a -
so -FAV
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 Fire Department Fire Code for inspecting
and testing requirements.
General
1. Main Drain and Inspector's Drain flow test conducted?
2.
3.
4.
Static pressure: 85 p.s.i. Flow pressure
Number of Sprinkler Heads:
2-inch drain?
25 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?
M\7
Other
N/A
M-11
N/A IA I
N/A F
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:
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: 2012
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 2012
20. Was an internal pipe and valve inspection performed within the last 5 years?
Date Performed 2012
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?
23510 Hwy 99, Edmonds, WA
Yes FX NoF
Yes
Yes
Yes
Yes 1^1
Yes FX
Yes FX
Yes 0
Yes rxi
NoF
NoF
No"
NoF
No E]
NoF
NoF
NoD
Yes
W
NoL-J
Yes Z
NoF
Yes FX
NoE]
M\7
Yes 1^1
NoE]
YesM
NoF
Yes-Z
NoEl
Yes
NoFx
Yes 1^1
NoF
M\7
Yes. 1^1
NoF
Yes C Noo
DYes FX NoF
Sprinklers - Wet Page 2 of 2
a . .
R E P P, 0 T E C T I
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
SPRINKLER-' DRY SYSTEM
Certification Given
(One System per Report)
RED
Lj
I YELLOW
WHITE
CONFIDENCE TEST I FX
-11 REPAIRS IF-]
Occupancy Address: 23510 Hwy 99, Edmonds, WA
Occupancy Name: NA ABRA 6024
Responsible Person
First & Last Name: -Dave Schmattz
Phone Number:
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail-Address
Date of Inspection: 4-3-16
Testers Name
(Please Print): Mike Magaway
Inspection Annual
Frequency/Type
Nicet
Number: 138738, M08228
Identification Number
(Required):
System Location: North Corner of New Bldg By FACP
Central station monitoring? Yes No[:]
Monitoring Required? Yes NoF_1
Monitoring
Company Name: Alarm Center
System Make: Viking 4"
System Model: F-1
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 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 have been reported to the building
Owner/Manager for corrective action.
Signature of Tester:
Phone # 253-852-1962
Building Representative (signature)
23510 Hwy 99, Edmonds, WA
APR 2 5 Ulb
Sprinklers - Dry Page 1 of 2
. . a
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. Trip test conducted? Yes N oF]
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
System tripped in 49 seconds. Trip point 10
Main Drain and Inspector's Drain flow test conducted?
Static pressure: 85 Psi Flow pressure: 70 si
Number of Sprinkler Heads?
2-inch drain?
Time to inspectors test Dry
F7
Yes[/\I
Flow switches, supervisory switches and alarm bells tested?
Alarm bell operates?
Air compressor refills system in 30 minutes or less?
Heat actuation devices tested on pre -action, and deluge systems?
System inspected and lubricated?
Valves are sealed or supervised?
Signs are provided on valves?
Other F]
YesFx-1
N/A 1:1
F71
Yes Lf \j
N/A H
Yes I \A
1^1
YesFx-1
N/A 1^1
YesF1
Yes
X
Yes
NX
FT.�l
Yes V 1-1
2-01
NoF1
No 1:1
NoLi
NoF]
No
No
No
Nop
15.
Sprinkler heads replaced or successfully sample tested in last 10 years?
Yeso
No 1:1
Date of last test:
16.
Sprinkler coverage is acceptable?
Yeso
No 1:1
17.
Proper number of spare sprinkler heads available with appropriate wrench for
Yes F-/1
LL\j
NoF]
each?
-1-8-.
-System- left i n- service?--
F71- -
-Y-es-l^1
- - No,R
19.
System gauges replaced or calibrated within the last 5 years?
Yes F71
Lf J\
No
Year changed: 2012
20.
Sprinkler heads free of corrosion, paint, obstructions and/or physical damage?
Yesz
NbR
21.
System drained and restored to normal operation?
F71
Yes 1/\l
NoR
22.
Was debris found in the Fire Department Connection (FDC)?
Yes 1-1
No
23.
Was the Fire Department Connection (FDC) back flushed in the last 5 years?
Yeso
No
Date of last back flush 2012
24.
Was a signal receivecl� at the Central Station . monitoring company? N/A R
Yeso
NoR
25.
Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
Yes F7/1
lZ^j
N oE1
(Ref: NFPA 25 5.2.7)
26. Was an internal pipe and valve inspection performed within the last 5 years? Date Yeso No
Performed '2012
23510 Hwy 99, Edmonds, WA
Sprinklers - Dry Page 2 of 2
CINTA6
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
YELLOW
LJFWHITE
CONFIDENCE TEST R I REPAIRS I F� ,
Occupancy Address: 23510 Hwy 99 Edmonds, Wa.98026 Occupancy Name: Abra
Responsible Person
First & Last Name: Brandon Phone Number: 425-775-5609
Responsible Person Responsible Party
Address, City, State, Zip: E—Mail Address
Date of Inspection: 4-10-15 Inspection Annual
Frequency/Type: D
Testers Name Nicet Certification
(Please Print): Jason Tucker Number: N-1 16973
Identification
Number: System Location: N end of old bldg.
Central station monitoring? Yes Noo Monitoring
Monitoring Required? Yes El Nom Company Name: Elec. Bell only
System Make- Shotgun System Model: 2
FIRE CODE VIOLATIONs FOUND'. (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: Correcteld' 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 Fire Code standards, and that
discrepancies are noted and have been r rt d t the building Owner/Manager for corrective action.
Signature of Tester: � 11A_ 0� Phone # 253-852-1962
U
Building Representative (signature)
23510 Hwy 99 Edmonds, Wa.98026
APR 17 2015 Page 1 of 2
Sprinklers - Wet
r,
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 Code for inspecting
and testing requirements.
General
1.
Main Drain and Inspector's Drain flow test conducted?
Yes M
NoF
2.
Static pressure- 85
. -P.s.i. Flow pressure: 75 p. S. 1.
3.
Number of Sprinkler Heads: 15
4.
Full Flow? 2" Drain
Yes
No
5.
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No
6.
Pressure regulating valves tested? N/A
Yes
No [:]
7.
Alarm bell operates? N/A
Yes
No[]
8.
System inspected and lubricated?
Yes
NoF
9.
Valves are sealed or supervised?
Yes
NoF
10.
Signs are provided on valves?
Yes M
NoF
11.
Pumper connections and clapper valves unobstructed and turn freely?
Yes V\l
NoF
12.
Sprinkler coverage is acceptable?
Yes LL\i
NoF
13.
Have the sprinkler heads been replaced or successfully sample test in the
Yes
NoF
last 50 years? Date of last test:
14.
Proper number of spare sprinkler heads available with appropriate wrenches
Yes
NoF
for each?
15.
System left in service?
Yes
NoF
16.
System gauges replaced or calibrated within the last 5 years?
Yes v\l
NoD
Year changed: 2012
17.
Sprinkler heads free of corrosion, paint, obstructions and/or physical
M
Yes v\l
NoF
damage?
18.
Was debris found in the Fire Department Connection (FDC)?
Yesn-
-Nov\i
19.
Was the Fire Department Connection (FDC) back flushed within the last 5
Yes
NoF
years? Date of last back flush 2012
20.
Was an internal pipe and valve inspection performed within the last 5 years?
2012
Yes
Noo
Date Performed
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag. 1171 NoF
(Ref: NFPA 25 5.2.7) Yes V\l
22. Was a signal received at the Central Station monitoring N/A M Yes D NoD
company?
23510 Hwy 99 Edmonds, Wa.9802(
Sprinklers - Wet Page 2 of 2
CINTA6
Confidence Test Report
1002 CENTRAL AVE NORTH
KENT WA 98032
PHONE: 253-852-1962
FAX: 253-852-2049
SPRINKLER — DRY SYSTEM
Certification Given
(One System per Report)
RED
YELLOW
WHITE
—1
[X
CONFIDENCE TEST N REPAIRS I
Occupancy Address: 23510 Hwy 99 Edmonds, Wa.98026
Occupancy Name: Abra
Responsible Person
First & Last Name: Brandon
Phone Number: 425-775-5609
Responsible Person
Address, City, State Zip:
Responsible Party
E-Mail Address
Date of Inspection: 4-10-15
Testers Name
(Please Print): Jason Tucker
Inspection Annual
Frequency/Type
Nicet Certification N-1 16973
Number:
Identification Number
(Required):
System Location: N end of new bldg.
Central station monitoring? Yes No[:]
Monitoring Required? Yes NoEl
Monitoring
Company Name: Atarakus security
System Make: Viking
System Model: F-1 4 11
SEATTLE 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 Fire Code standards, and that
discrepancies are noted and h Xeplrted to the building
Owner/Manager for corrective action.
Signature of Tester: 7��
Phone # 253-852-1962
Building Representative (signature)
23510 Hwy 99 Edmonds, Wa.9802E
APR 17 2015
Sprinklers - Dry Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the resluired
inspecting and testing of the fire and life safety system. Refer to the Fire Code for inspecting
and testing requirements.
General
-1 NoR
1. Trip test conducted? YesFX
2.
System tripped in 11 seconds. Trip point 17 Time to inspectors test
3.
Main Drain and Inspector's Drain flow test conducted?
Yes 1^1
NoF�
4.
psi Flow pressure: 60
Static pressure: 80 si
5.
Number of Sprinkler Heads? 50+
6.
2-inch drain? OtherE]
YesFX]
NoF]
7.
Flow switches, supervisory switches and alarm bells tested? N/A
YesRx
No
8.
Alarm bell operates? N/A
YesFX]
NoF]
9.
Air compressor refills system in 30 minutes or less?
Yes 1^1
NoF]
10.
Heat actuation devices tested on pre -action and deluge systems? N/A
Yes r_1
No 1:1
11.
System inspected and lubricated?
Yes
NoF]
12.
Valves are sealed or supervised?
Yesm
No
13.
Signs are provided on valves?
YesFX]
NoH
14.
Pumper connections and clapper valves unobstructed and turn freely?
YesRx
NoR
15.
Sprinkler heads replaced or successfully sample tested in last 10 years?
Yes
IN I or—]
Date of last test:
16.
Sprinkler coverage is acceptable?
YesFX_1
NoR
17.
Proper number of spare sprinkler heads available with appropriate wrench for
Yes RX
No E]
each?
18.
System left in service?
Yes 1^1
NoR
19.
System gauges replaced or calibrated within the last 5 years?
2012
Yes
No 1:1
Year changed:
20.
Sprinkler heads free of corrosion, paint, obstructions and/or physical damage?
Yes
No
21.
System drained and restored to normal operation?
Yes 1^1
NoR
22.
Was debris found in the Fire Department Connection (FDC)?
YesF]
N oFX_1
23.
Was the Fire Department Connection (FDC) back flushed in the last 5 years?
2012
YesFX]
No
Date of last back flush
24.
Was a signal received at the Central Station monitoring company? N/A
YesRx.
N oF]
25.
Is the hydraulic nameplate installed and I visible on riser, if No then Yellow Tag.
Yesm
No 1:1
(Ref: NFPA 25 5.2.7)
26. Was an internal pipe and valve inspection performed within the last 5 years? Date F;7
Performed 2012 Yes Z.\j No
23510 Hwy 99 Edmonds, Wa.9802
Sprinklers - Dry 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)
RED
YELLOW 0
1 WHITE
CONFIDENCE TEST
IN
1 REPAIRS
Sprinkler Monitoring Panel? X
Occupancy Address: 23510 Highway 99 Edmonds Occupancy Name: ABRA 6024
Responsible Person
First & Last Name: Phone Number:
Responsible Person Responsible Party
Address,-Cityl--State, Zip: E—Mail Address
Date of Inspection: Inspection -Quarterly ElHigh-rise Only)
7/8/15 Frequency/Type: Annual
Testers Name SFD Certification
(Please Print): DOUG AUSTIN —Number: SCP - A-07115
Identification
Number: System Location Warehouse wall
Central station monitoring? Yes No Monitoring Alarm Center
Monitoring Required? Yes No E] Company Name:
System Make: SILENT KNIGHT System Model: 5208
SEATTLE FIRE CODE VIOLATIONs FOUND: (if additional room is needed, please add a separate sheet)
Batteries due
CORRECTIONS MADE: Date Corrected: Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number.. SCP -
Batteries were replaced
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 #
Building Representative (signature)
23510 Highway 99 Edmonds
Fire Alarm Systems
J U L 1. 7 2 015 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 Svstem Functionali
1.
Trouble signal with AC power off?
Yes UX
No El
2.
System operates properly on battery backup?
Yes FX-1
No
3.
Battery voltage (no load) 26.8 volts
4.
Battery voltage (full load) 26.4 volts (signals operating)
5.
Charge circuit voltage 27.2 volts
6.
System operates properly on standby power?
Yes
No El
7.
All signals operate on AC power?
Yes
No El
8.
Number of initiating circuits 3�
9.
Number of signal circuits 1
10.
Does alarm system meet audibility standards as accepted?
Yes X
No
11.
All circuits checked for electrical supervision?
Yes X
No
12.
All auxiliary equipment operates (Elevators, fans, dampers)?
N/A. X
Yes
No
13.
Ventilation controls operate?
N/A X
Yes
No
14.
Key to panel -available?
X
'Yes"
N05"-
15.
Materials and equipment needed to restore pull stations are available at the
N/A
Yes X
No
main panel, e.g. glass rods, and plates;,�keys and alien wrenches, etc?
16.
0 tr s�atbanel?
peratihg i 4"juc on
Yes'X 1�
No.
17.
Trouble indicators function properly?
Yes X
No
18.
Remote AnnQhclbf6rPan6ls function properly?
06
Yes
��tl\lo
19.
Elevator Call Down functions properly?
N/A X
Yes
No
20.
TTest, record p
Losied� at-pan'.e'l?
Yes X
[Q
21.
General alarm automatic time delay (minutes)
N/A
22.
Was, a, signafl�receiyed; at the Central Station� monitoring com, pany,?
Yes X
No.'
23.
Other Devices (Specify)
Yes
No
System Devices
Total Number of
Units in Buildin2_
Total Number
Units Tested
Test Results Acceptable
24. Bells, Horns, Chimes
4
4
N/A
Yes
No
25. Voice Speakers (Voice Clarity)
N/A
Yes
No
26. Visual Alarm Devices
4
4
N/A.
Yes
No
27. Smoke Detectors
0
0
N/A
XI
Yes I
No
28. Heat Detectors
N/A
Yes
Noz -
29. Duct Detectors
N/A
X
Yes
No -
30. Sprinkler Flow Switches,
2
2
N/A
Yes X
No
31. Sprinkler Supervisory Switches
4
4
N/A
Yes X
No
32'. Manual Pull Stations
N/A
Yes
No'
33. Annunciator(s)
N/A
X
Yes
No
34. Beam Detectors
N/A
Yes
No
35. Automatic Door Unlocks
N/A
X
Yes
No
36. Automatic Door Release
N/A
X
Yes
No
37. Fire Dampers
N/A
X
Yes
No
Communication Equipment
Total Number of Units
in Building
Total Number Units
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 X Yes No
Fire Alarm Systems Page 2 of 2
crr� OF EDMONDS
BUSWESS UCENSE APPUCATION- COMMERCIAL
! FEE: $126-00 44? j,'g.
CITY CLEWS OFrFCE, 611SINESS-UCENSE DIVISION fp
121 e AVENUE NORTK EDMONDS. WA =20 PHONE. 425.7r. gja%
. . . . . T eft)'n
OFFWE USEARLY
T M
rM7-S'R A
Fm PaW j
mww
Delft
'ffieft*MmdflcwplamMi&&MWarnammq&dmdafag
pwoft cdocanwt 9 no nM&e name, pleave Indlidde by vnt0" WN. VW and mb" Wpricaftn vAO fam Mmm adwim of -
my charW In staW& Mw II==w-nxp*wI If budnew cha"m Wcallion or ownerftlIx Naftallim ft Cft of Simnft niWrW
Itbushmm dom&
ABRA AUTO BODY & GLASS
BUS94M NAME
23510 HWY 99 EDMONDS, WA 98026
BUSl*NESS ADDIFESS
stmew zip coft
7225 WORTHLAND DR. #210 BROOKLYN PARK, MN 55428
MMUNGAIDDRESS
Sted or PO Box SuRe No. Clly� State and Zip Code
BLtWNE 7�5-5609*
.SS p"a No. 425 1
WA STATE TAX 10 NO. (IUBI NO.) 603477M
EDM6NDS@ABRAAUTO.COM IRESS ABIiAAUTO.COM
fitismIlEss E4ML Bus wesw.m
PROPERTYOWNER -inwm REnFnRry NIA I
Name CA iw PtKm Nwnber
EMIGENCY NOTFICATON (For Prmbs ing -i*
wv&
WHITE BRANDON 425 775-5609 .
Last Name Fast Ham w Phone No.
PRETZ JOY 425 775-5609
( )
LastNam Fast Nam PA Phone No.
NAItQMOFSUSINESS AUTO REPAIR
mLwandFaW*VrfEES 18 _SQqARE FOOTAGE OF BUSINESS SPACE 9,500
TYPE OF SUMMM - REA% CH9CIKyWAMWRJATE CATEGORVI-t
13CONSTMM(!N' C1FfNNMlkSU0-lWCE.AEA�EWATE-- 113LARDWAF;E�HORTIICULTURAL MANUFACTURING
a
-13
V�RETAI�- 0SM066KANDWALER I3SWnQE8' 0WHOLEMALE. MOTHER
AMUSWNT IDEVIC89-0tPRWISES?. .0 YtS 4*0 IFYM TOTAL NUMBER
LIMM GOLD CM PRI9MSMvt-- 0 �ES. 'fftiO.- GAMBLEW PYES IftO 0C4AETTES BOLDON PRMISM
(3 YES ;9NO
FIAMkASLEORHAZ&JMOUSMATERi�LSUiMbRSMR!M-,PZO AM FYMi-PLEASE PROVIDE UST OFLIA7ERIALS AND QUANWIES:
OFtOP6=OPENMbA:Y-OFBMNE&cPREVIOUSLY- GWAUTOREBUIL11 8AM TO 5PM
----.PLISRVM HOURS
DAYS OPEN 0 SUNDAY DWONQ�Y )0 TUESDAY WilEMESDAY )GTHURPDAY )C9FRlDAY -13SATURDAY
pARMNG SPACES ON SM TOTAL NIA N/A
--------ACCESS9ILE FOR PERSONS WrM DISAEWUTIES
--4�M THE BUSM38 CONTAIN *TW4CE ACCESSISLE TO PERSONS WITH D(SAII311ILMES7. 0 YES 0 NO N/A
AUTO REPAIR
BLIISINESSUSEAT91
7c
op
.............
HOW PHoNfiNQ; -DOL NO. (DRUEM UCM84 NO.) dA oym 0)
DATE OF BLIrN-CffV AND STATE OF 0
DOL NO. (DMVOW UC"i 3T�
------------ ---
RPWAIM
OOFW!AD 7
DOL 06. pivem �kww Na) or Olw-ID HN
3
F
so
V -1—
se
ra
P -'V:
p
T
TV
0 M&WROW DATE
41:
fj
9
g.
al
I
Sig i
Jill 6
got A
ils,
7j
A.9
zh
jj 1�
"M
;I, If lb
all
06 14 2
51 1! 111
Sdj
5b
6 1 sit
eel
- 1.x Ili !o_ lo 01"I OR Jill, ofi aP X,
IV e �h i 1 0 11M -4
19
f
N
LIN
i
3i
t
7
NEW ADDIVON
PIER
TO co
LXCLO SM94
V:-, �l � 10012 Sa FT J73 SO. FT.
in�
ww NO CHANGE
am"w-, mmsa
HUMD I I
7, a
GENEPAL No-m: Is Iwo SO. 2082 50. FT.
'SS 23510 HWY 99 EDMONDS. WA geO26 Ilk
PARCEL N,4 005757OW280
OWNER'. RfDrOPO JO� J BETTY L
TEAKNr - 1W AUTO REBULO
RUILDIN TYPE
ZONE :C C-, (OEWER� COmfRC.L) 1,
USE CO E 64 AUTOMOBJLF REPA & SqVICFS 2062 M IT.
PARCrt Er� VESCRIPIION� S<LrONS LK Mr ALEEP 5 ACRE fRS BLK 000 FZ106.541'
0 1 i
-04 - 7H PTN M 2 L e 67. Y OF SR NO. 2 Z
S ME4S �O N M THOF
207FT A
TY
V 1 1 _`� I -N,11 A P
5= LCT WE. 50 ACRES
60.1LOING SIZE so
NIL -FAPRM
sc�c: C-10
to. i�
NOTE' I
mmo
-E n 11E E-t
PARMC MIL9 COUAT
A 40 X. ".Or M4� 3T X 9,�
qcK- COMM � � .:C�t cw_�
SIANDARD STALLS JJ SMLLS I. W —1 tn M T-t
�IC STALLS 2 STALLS t4 mg, 04L.5uts
SE M W P�C W
T0,AL STALLS J5 STAus
.00� low
Z
CA7577"43 30LDNO 5.586 S FT SCOPE OF WOR
AICA III BE REMOVrD 75 SO, FT -
PR t.000 S
OPOSCr NEW AD01170N tmOOO SOI FT. w E
TOTAL ROGF ARE- WGH PROPOSED 6..� 11 So. FT. It
MO PAM -1 1110 EXIVIC
-E C� TK EMST. NEW BUILDING
-D MZ F`Cu�0
NEW AODMON 1.000 So. Fr. Z04
BUILDING TO BE REVOVED -75 SO. F7. (D 10 M —L .11 (D -11
C�GE I TIC -1. C. tT
925 50, PT. 0 T �E @ M4 I,
ow- C`f? I
GLOBAL FhV1S1I1A`G SOLL"TIONS
�p
E P"K�TT
(2) L)RE E-T- M A7 TD I�T
EQWPMEA7 PLACAIMEA17
I 8�11. C�ED
.FT
E'Xl:.)T1.,V(' FLOOR PIAN
TT —T 14
TK &E� 1� �E�K� . C. "Z'_/=
F1111.1, A.1I-lmIl;%,KIJ?I4 pl"HEMI'll INV 0,11111FAI I
It I— T.
IF licipt. Illim
(D KIM—
SC.m s —
E SDIC 5
21601-66th AYr. W.
�T. LAKE TEQRACE
T k
v'
WASHINGTON 98043
rM 425-771-0926
FAX, 425-776-1917
f-j, t
_q
S_CA,77F By
1*1'41
Mk"AN NOW
IAP..Ro%lm ftl�
ABRA AuTO BODY & GLASS LP
COPORATE OFFICERS
NAW.
DUANE AROUSE
Tlfl-E�
PRESIDENT, CEO
ADDRESS:
8634 FRENCH CORVE
WORK PHONE:
763-585-6228
CITY, STATE, ZIP:
EDEN PRAIRIE, MN 55347
OTHER PHONE:
952-412-6412
NAM E:
R ADELMANN
TITLE:
EVP
ADDRESS:
4545 TRILLIUM DR N
WORK PHONE.-
763-585-6203
CITY, STATE, ZIP:,
MEDINA, MN 55340
OTHER PHONE:
763-208-2929
NAME:
SCOTT-KROHN
TITLE:
EVP
ADDRESS:
3619 LERIVE WAY.
WORK PHONE:
763-585-6421
CITY,.STATE, ZIP:
CHASKA MN 55318
OTHER PHONE:
612-807-8087
NAME:
E3RENTAMOEN
TITLEt
E)�P/<Fq
'ADDRESS:
9335 PRESTON PL
WORK PHONE:
763-585-6208
CITY, STATE, ZIP:
'EDEN PRAIRIE, MN 56347
OTHER PHONEt
952�212-1482
FIN
.......... ...........
t� t -clw
, M�l
M
14
SN
00" 1
the Town of Woodway
Serving Briei; Edmonds
www.FireDistrictl.org
HOMISH CO.
Terraceand
I R E
)ISTRI
LOCATION:
F0
BUSINESS NAME:
MAILING
ADDRESS:
BUSINESS OWNER: &WMOA
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
% 07
HOME PHONE:
�Zs , 7 75- - 5901
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
4EDMONDS
0 BRIER
0 WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT�
St -
SCHEDULED
DATE DUE 0
LIFIR 11�573
CURRENT y
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
q -7 -- 1_5-
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
AATX
1?fmum (rIv-XT- CV.,A
734yk�u4�A
4R��
2 _<,,erVfe;a,
7( '.c, m
2
3 5&VVFV,, r; V ar' XWp,
3
4 4,U-J, (,JjVe.., rm(Aaat aw 4 i^,
4
5 kjfl4X- r-et*� 15,. rn X,,- lb&,,V r
&.r,
oj�k tc,�
L
5
,6 OpgAte6cusaL Rmr���,
"J 6 C,,�ik,
xL W 40"�
7 zv-c �k
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAY_�X�
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D TE DUE:
Y'r
1 :04,
040* EXTENSION //,FtlqALRE-INSPECTION
GRANTED T�e
-
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
LATIONS
1 041c 15
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:
1,
D C] YES [I NO
LETTER NEEDED F] :I:ES: 0 NO
F_
8 U
)y-_O,/,,,FIRF MDPARTME
At(- (W-5 � �t�
-T-c, Cp&j
r Pdino'nds,*and 12425-Meridian Ave S
SNOHOMISH" CO. Sei ving B 1�i,,
Mountlake Terrace Everett, WA 98208
FIRE Phone (425) 551-1200
DI_s
T 'T , 14)M)W FireDistrict]. org Fax (425) 551-1272
LOCATION: 23510 Higt*ay 99 1.18026
BUSINESS NAME: PHONE: 4257755609
A6F-p� AUTO ?X30-1 41 C4LAIS15
MAILING
ADDRESS: 235 Highway 99, Edmonds,'W.A 98026
BUSINESS OWNER: A15o 8028 234th HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
" EDMONDS
InBRIER
[] MOUNTLAKE TERRACE
El UNINCORPORATED
I'- FREQUENCY I STATION & SHIF"�
Annual 20-A
SCHEDULED
DATE DUE p ay 2014
U
FIR 1,573
EMERGENCY-1: HOME PHONE: CURRENT
KEYACCESS-2: HOME PHONE: 7_-jb--?C�jr7 CITY YES 'NO
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PIERS IN CONTACTED:
Vzo/NAME�'OF INSPECTOR:
FI RE SYSTEMS: AS 4/1 �FA 8/0 FE �O 14- IFE) Lk Box ??
kO / 14 1 0-
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 ?NN tQQNJ_
P1LAW__5\1S
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS_,�9_0c�_
1st RE-INSPE`CTION
DATE DUE:,'�*
2nd RE -INSPECTION
DATE DUE:
.100'
EXTE - NS;�
GRANTE 0..
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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
4
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED E] YES [I NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
SI
John J. Wesffall
From: Westfall, John Oohn.westfall@edmondswa.gov]
Sent: Monday, December 22, 2014 8:26 PM
To: Startzman, Jeanne
Subject: RE: Records Request PADGETT re: 23510 Hwy 99
Attachments: City of Edmonds Request—for—Public—Records.pdf
Request Received: Dec 10, 2014
Request (Summary): 23510 Highway 99, Edmonds
Jeanne
The Edmonds Department of Fire Prevention office has address file for 23510 Highway 99, a commercial
building operating as GW Auto Rebuild, a vehicle paint and repair business.
Address file information dates to 1992 when property was in unincorporated Snohomish County jurisdiction.
GW Auto has been this business since that time. Classified at that time as "H-4" according to the Uniform
Building Code for hazardous spray activity, the business has been operating a spray booth on site in order to
mitigate the risk of ignition and explosion due to spray painting activities. In 1995, GW Auto was annexed to
the City of Edmonds. Fire operational permits have been issued annually since then and fire inspections have
been conducted at same frequency. All fire hazards defined by code have been resolved and mitigated since
1992.
Fire operational permits are issued for "Welding operation and repair garage. Storage and use of Class 1, 11, and
III flammable and/or combustible liquids."
Paint booth service records have been on a regular and required periodic basis. The last service noted for the
existing spray booth is April 2012.
The proprietor, John Redding, has a current open permit from the City Edmonds Building Department for a
CTOF (Closed Top -Open Front) type spray booth, BLD20140914, issued 9/24/14. Permitting information can be
obtain from Building Department.
Snohomish Fire District #1 maintains an incident database. I find no emergency response spill or hazardous
release incident information in a search of fire incident records since 1/1/2007, when Edmonds'fire incidents
were included in this reporting system.
This satisfies all available information requested by attached request.
John 1. Westfall
Fire Marshal
Fire Prevention Services
425-771-0213 Desk
425-775-7721 Fax
425-231-3644 Mobile
$Noll ?41811 CO.
F E
Your Name FTIme Spent
�W
�Iohn Westfall F75 inutes
F-
TOTAL175 minutes
From: Startzman, Jeanne
Sent: Thursday, December 11, 2014 8:15 AM
To: Westfall, John; Chave, Rob; Clugston, Michael; Cunningham, Diane; English, Robert; Luttrell, Megan; McConnell,
Jeanie
Subject: Records Request PADGETT re: 23510 Hwy 99
December 11, 2014
Hello Planning, Engineering, & FD1,
Attached is a request from Beth Padgett requesting environmental records concerning 23510 Highway 99. Our first
th
response to her is due Wednesday, Dec. 17 . Please let me know prior to then if you will have records, need a date
extension, or require any clarification(s). Also, is there any other division that I should include in this request other than
Planning, Eng & FD1?
Thanks,
Jeanne S.
Public Disclosure & Records Maintenance Specialist
City of Edmonds 0 425-775-2525 ext. 1244
From: Beth Padgett [mailto:bpadgett(��)farallonconsulting.com]
Sent: Wednesday, December 10, 2014 4:16 PM
To: Records Requests
Subject: Public Record Request 1166-003
Please find my attached public record request.
Ut me know if you have any questions or need anything else.
Thank you,
Beth Padgett, Project Geologist 1h
Farallon Consulting, L.L.C. 1975 5 Avenue Northwest I Issaquah, Washington 98027
bpadgett(i�farallonconsulting.com I Direct: (425) 394-4152
Celebrating 15 Years of Quality Service and Announcing New Web Si
FARALLON Please consider the environment before printing this e-mail.
C 0 N S U 1, T I N G
This correspondence contains confidential or privileged inforination fi-orri Farallon Consulting and inay be "Attorney -Client Privileged" and protected as "Work Product." T
contained herein is intended for the use of the individual or party nanied above. If you are not the intended recipient, note that any copying, distribution, disclosure, or use of
attached docurnent(s) is strictly prohibited. If you have received this correspondence in error, please notify us ininiediately. Thank you.
CITY OF EDMONDS
121 5th Avenue North
Edmonds, WA 98020
425.775.2525 (phone) 425.771.0266 (fax)
Email: prr@edmondswa.gov
(Save completed form to your computer before attaching to email)
REQUEST FOR PUBLIC RECORDS
Date of Request: 10/10/2014
Requester Name, Beth Padge
Requester Address: 975 5th Ave NW
Street SuitelApt
Issaquah WA 98027
city state zip
Email Address'. bpadgett@farallonconsulting.com
Phone Number: 425-295-0800
Tracking No.
Request Made: E] In Person E] In Writing F� Telephone E] Fax R] Email
How would you prefer to be notified when the records are available?
E] In Writing [] Telephone E] Fax 2] Email
DESCRIPTION OF REQUEST:
Be spec and provide as much detail as possible; include address and owner of property, file name
or number; time period; incident location and date; case number; any other names associated with
your request; etc.):
requesting all environmental records regarding hazardous materials, underground
storage tanks, spills, leaks, and cleanups for the property at:
510 Highway 99, Edmonds, WA
sessors Parcel Number: 00576700002804
I agree to pay for any requested copies per the City's adopted fee schedule. Yes 0
Is the information requested a list of individuals to be used for a mailing list for commercial
purposes? Yes F] No [Z If yes, please complete the additional form found on page 3.
"Responses to requests for public records shall be made promptly by agencies, the office of the secretary of the senate, and the
office of the chief clerk of the house of representatives. Within five business days of receiving a public record request, an agency,
the office of the secretary of the senate, or the office of the chief clerk of the house of representatives must respond by either (1)
providing the record; (2) providing an internet address and link on the agency's web site to the specific records requested, except
that if the requester notifies the agency that he or she cannot access the records through the intemet, then the agency must provide
copies of the record or allow the requester to view copies using an agency computer; (3) acknowledging that the agency, the office
of the secretary of the senate, or the office of the chief clerk of the house of representatives has received the request and providing
a reasonable estimate of the time the agency, the office of the secretary of the senate, or the office of the chief clerk of the house of
representatives will require to respond to the request; or (4) denying the public record request In acknowledging receipt of a public
record request that is unclear, an agency may ask the requestor to clarify what information the requestor is seeking. ff the requestor
fails to clarify the request, the agency need not respond to it." RCW 42.56.520 (in part)
Page -1-
SNOHOMISH CO. Serving Brier, Edmonds
FIREMountlake Terracednd
TRIt, www.FireDistrictl.org
T the Town of Woodway
LOCATION: 23510 Flwy 99/3028 234th SW
BUSINESS NAME: GW Auto Rebuild
MAILING 23510 Highway 99
ADDRESS: Edmonds
BUSINESS OWNER: Redford, John
EMERGENCY-1: Redford, John
KEY ACCESS-2: Legg, 6
I )
J��
PERSON CONTACTED: % \—I-. t.,13 ki KA Prt")
NAME OF INSPECTOR: j;
FIRE AS 8/07 FA 8/07
SYSTEMS: f,,, L', I %-L f j\ 10 ho
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257755609
98026
HOME PHONE: 4257755609
HOME PHONE: 2065460259
HOME PHONE: 2066796925
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFT7)
366 20 C
SCHEDULED In /01/12
DATE DUE 1' U5
LIFIR � 573 556
11 11
ACTIVE
CURRENT
CITY . , YES NO
.BUSINESS
LICENSE
INITIAL INSPECTION DATE
FEJDf_4
ANNUAL
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
1st RE -INSPECTION
DATE DUE,
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
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 YES NO
LETTERNEEDED YES NO
FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
G. W. Auto Rebuild
Edmonds Location :
23510 Highway 99
In conformity with the
jerms of the In - ternational---,---
Fire Code, application is
Storage and sale of Class 1, 11, and III flammable and/or
hereby made to store, use
combustible liquids, repair garage, and welding
or maintain the following
operation.
activity, storage or pro-
cesses:
c/o Redford Family Corp.
Mailing Address:
23510 Hwy 99
Edmonds, WA 98026
EFD LIFIR #:
(for office use)
573000051356
Your Signature
Your Name (print)
Your Title
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Z�.
Check#
31-1181
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES D ECENE
March 7, 2011 LMAR 1. 8 PAID
Please verify and correct the following information: EDMONDS R',-'E DEPT,
Name of Company; DBA
G. W. Auto Rebuild
Edmonds Location
23510 Highway 99
In conformity with the terms of
Storage and sale of Class 1, 11, and III flammable and/or
the International Fire Code,
combustible liquids, repair garage, and welding operation.
application is hereby made to
store, use or maintain the
following activity, storage or
processes:
Mailing Address:
Redford Family Corp.
23510 Hwy 99
Edmonds WA 98026
EFD UFIR #:
57300005BO56
(for office use)
Your Signature
Your Name (print)
1
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
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 573-000-0513-056 December 31, 2011
Date of Issue LIFIR Number Date of Expiration
This PERMIT is issued to: I G. W. Auto Rebuild
located at: 123510 Highway 99 Edmonds, WA
To engage in the business, occupation or pr cess 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 sale of Class 1, 11, and III flammable and/or combustible liquids, repair
garage, 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
FIRE PREVENTION
Servi�7g Bt ier, g4tnonds
12.425 Meridian Ave S....
INSPECTION REPORT
SNOUOMISH CO.
M�untlake' Terraceand
TIRE
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
STR - T
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrict].org
Fax (425) 551-1272
0 UNINCORPORATED
e FREQUENCY STATION & SHIFT�
LOCATION: 23510 Hwy 99/3028 234th SVV
366 20* B
BUSINESS NAME: GW Auto Rebuild
PHONE: 4257755609
SCHEDULED
DATEDUE 05/01/11
MAILING 23510 Highway 99
LIFIR " 573 5 56/l/
ADDRESS: Edmonds
98026
BUdINESS OWNER: Redford, John
HOMEPHONE: 4257755609
ACTIVE
EMERGENCY-1: Redford, John
HOMEPHONE: 2065460259
e—CURRENT
KEY ACCESS-2:
Legg, B
HOMEPHONE: 2066796925
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL' INSPECTION DATE
NAME OF INSPECTOR: Za- ke�l
FIRE AS M7 FA 8/07
FE IV
SYSTEMS:'�
ANNUAL
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
lst.RE-INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
I
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
tl�!SPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
5
PRE -CITATION
LETTER SENT
v( - 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'��ERED E3 YES [:1 NO
LETTER NEEDED YES NO
F
1
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4's t 89ci
LOCATION: 23510 Hwy 99/8028 234th SW
BUSINESS NAME: GW Auto Rebuild
MAILING 23510 Highway 99
ADDRESS: Edmonds
BUSINESS OWNER: Redford, John
EMERGENCY-1: Redford, John
KEY ACCESS-2: Legg,131
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257755609
93026
HOMEPHONE: 4257755609
HOMEPHONE: 2065460259
HOMEPHONE: 20636796925
FREQUENCY
STATION 11 SHIFT
366
20 A
SCHEDULED
10
05/01/10
DATE DUE
UFIR o. 573
556
ACTIVE '
INITIAL INSPECTION DATE
PERSON CONTACTED: _-B, /' � (� (�
NAME OF INSPECTOR: i
'D , r-- -j F_ r-3
FIRE AS 8/07 FA 81107 FF:��IjLj'
SYSTEMS: c9log C�. /n (" ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
2
L_ -
3
3
4
.4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE-CITAT10N
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:_
7
8
� LETTER NEEDED [] YES NO
LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY