24111 HWY 99 STE 201�44k)ALJ PP. jnr 7-01
FIRE PREVENTION
SNOHOMISH CO. Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
Mountla,ke Terrace
Everett, WA 98208
OEDMIONDS
0 BRIER
DIST T
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
www.FireDistrict].org
Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION:
.24111 Highway 99 Suite 201 98026
Annw= G
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE 0
Aurora Antique Pavilion
42574,40566
1, in 91711A
MAILING
FIR 0
ADDRESS:
556
24111 Highway 99, Suite 201, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Ovenell, Christine
EMERGENCY-1:
HOM E PHONE:
CURRENT
KEY ACCESS-2: Ovenell, Jon
HOME PHONE: 4�551131957
CITY YES NO,
EMAIL:
BUSINESS
LICENSE R] El
PERSON CONTACTED: (f M 0�z C'e'
INITIAL INSPECTION DATE
.
NAME OF INSPECTOR: 7-#
A;? 5 A
FIRE. SYSTEMS: FE 12/15
DWP_t§Q9V*N%j&CATIONS /COMMUNICATIONS
2
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3
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4
4
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6
6
7
7
I AGREE To cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
I
PERSON .
LC�N AT�E�D:
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PERSON
CONTACTED:
— '—
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CONTACTED:
INSPECTOR:
2
INSPECTOR:
INSPECTOR: LJIA)&IW
DATE:
DATE:
3
DATE:
VIOLATIONS
1
PRE -CITATION
CITAT16N ISSUED
5
LETTER SENT
NUMBER:
4
2
6
2 to
DATE:
CODE
5
7
6
3
7
3
RETURN RECEIPT
RECEIVED
DISPOSITION:
4
8
4
DATE:
7
\,LETTER NEEDED [] YES 0 NO
LETTER NEEDE D - YES NO
8
1 dowkh
0
FIRE PREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPEC T
SNOHOA1I6A%-.
Mountlake Terrace
FIRE '
Everett, WA 98208
ONDS
0 BRMIER
SThMfIT
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
ww-wFireDistrictl.org
Fax (425) 551-1272
24111 Highway 99 Suite 201 98026/__,"
FREQUENCY
Annual
STATION & SH1F_*1
20-B
LOCATION:
Aurora Antique Pavilion
4257440566
BUSINESS NAME:
PHONE:
SCHEDULEDJun 2015
DATE DUE
556
MAILING 24111 Highway 99, S 201, Edmonds, WA 98026e-"'
ADDRESS:
UFIR
11
Ovenell, Christine
BUSINESS OWNER:
HOME PHONE:
Ovenell, Jon
4255131957
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY Y S
BUSINESS
i��
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTi6N DATE
NAME OF INSPECTOR:
F IRE 5 Y S I EIMSe FE 12/14 Please.try to acquire a Key for knox
box to this Occ
HAZARDS FOUND AND LOCATIONS c6mMUNICATIONS
2
2
3
3
4
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4
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5
5
X
6
Z
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY
0
ServingllrietiEdtnond�:and '"12425 Meridian Ave S
Mouhtlake,Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistr,ict.l..org Fax (425) 551-1272 -
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
El BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT-'
LC�TION: . 24111 Highway 99 J 98026 Annual 20-B
Burlington Coat Factory #19 4257762221 SCHEDULEDjun,2015
BUSINESS NAME: PHONE: �� � ', , I
MAILING
ADDRESS:. 24111 Highway 99, Edmonds, WA 98026
B SLNESS 0 Seiw, Robert HOME PHONE:
WNER: -1
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
EMAIL: -
PERSON CONTACTED:
NAME OF INSPECTOR:
FE 3/14
Lj r_ UU
E 521
R 0
CURRENT
CITY YES NO
BUSINESS
LICENSE El 9___
INITIAL INSPECTION DATE
FA
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ztJ PIZ:
2
2
3
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3
4
4
5
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6
6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
rl N
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1st.RE-INSPECTION
DATE DUE.
2nd RE -INSPECTION
DATE DUE.
EXTENSIO
GRANTED
INALRE.IINS<CTION
DATE DUE:
VIOLATIONS
�blfEb:
PERSON
CONTACTED:
PERSON
CONTACTED:
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PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:*
DATE:
3
VIOLATIONS
1 5
VIOLATIONS',
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
,4
8
4
13
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES El NO
FETTER NEEDED E] YES (I NO
r
8 .......
FIRE DEPARTMENT COPY
SNOHOMISH CO.
FIRE
DIST11
FIRE PREVENTION
ServingBrio--l- Edmonds, and 12425 Meridian -Ave S INSPECTION REPORT
(ZEDMONDS
Mountlake Terrace Everett, WA 98208 O'BRIER
VOW— Phone (425) 551-1200
1
0 MOUNTLAKE TERRACE
m0,-_,Twww.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
FREQUENCY
STATION & SHIFF)
LOCATION:
2,1111 'Hiqh%ayW Suim!20198026
Annual
20�A
I
BUSINESS NAME:
Aurora ALnliquc Pa4iian
PHONE:
425744CurEE
SCHEDULED 'jUrk 2014
DATE DUE I`
MAILING
UFIR 0 -!)!�b
ADDRESS:
24111 1 lighway M, SuiLc 201, EdiTmn&,'vVA 3902L
BUSINESS OWNER:
0vetif-11,
HOME PHONE:
EMERGENCY-1:
Omricll, Jon
HOME PHONE:
42,1,5131 D557 "CURRENT
KEY ACCESS-.2:
HOME PHONE:
CITY YES NO
BUSINESS
1:1
EMAIL:
LICENSE
0
PERSON CONTACTED:
rl)
(py
INITIAL INSPECTION DATE
I
NAME OF INSPECTOR:
Z-A 4- /1
F I HE SYS, I E M&
FE 12113
HAZARDS FOUND AND LOCATIONS COMMU NICATIONS
hkD p 2 1 9 0 > R)u�,j a
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:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIO I NS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
-INSPECTOR:
INSPECTOR:
2
DATE:
0 E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
-1
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
18
DATE:
DISPOSITION:
7
11 LETTER NEEDED [-] YES NO
LETTER NEEDED E] YES El NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
40112=7/4 Servi Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
f�/O/L,
SNOHOMISH CO.- .?19
Mountlake Terraceand
FIRE
Everett, WA 98208
0 EDMONDS
0 BRIER
I INW 1
ffff e Town of Woodway
STR T twhww.FireDistrictl.org
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 24111 Highway 99
. &20 1
366 1 20 C
BUSINESS NAME:
Aurora Antique Pavilion
PHONE:
4257440566
SCHEDULED
DATE DUE 1 07/01/13
MAILING
ADDRESS: 24111 Highway 99 #201
FIR � 531 7006
�u
Edmonds
98026
BUSINESS OWNER:
Ovenell, Jon
HOME PHONE:
4255131957
ACTIVE
EMERGENCY-1: Ovenellth=fnstine
HOMEPHONE: 20632q1 689
------ IN
-CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
-7
FIRE F.A. 5.111
FEJ_)t�c t
SYSTEMS: C�T- 17,
ANNUAL /Y6
HAZARDS FOUND AND LOCATIONSrC0MttWC'9TIONS
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I st 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:
I
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
I
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
LE17ER NEEDED C] YES C3 IN 0,
LETTER NEEDED C] YES [I NO
8
FIRE DEPARTMENT COPY
---------------
SNOHOMISH CO. Serving Brier, Edtno'nds
Mountlake Terraceand
TIRE the Town of Woodway
DISTR' T www.FireDistrictl.org
LOCATION: 2411 .1 Highway 99
BUSINESS NAME: Aurora Antique Pavilion
MAILING 24111 Highway 99 #201
ADDRESS: Edmonds
BUSINESS OWNER: Ovenell, Jon
EMERGENCY-1: Wedgea-,f?—
KEY ACCESS-2: ctk(1-IS-((tjc
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORT
Everett, WA 98208
R'EDMONDS
OIBRIER
(425) 551-1200
E]WOODWAY
.,IPhone
[I MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
201
PHONE: 4257440566
98026
I'- FREQUENCY
STATION & SHIF'�'
366
20 A
I
SCHEDULED
DATE DUE 1` 07/01111
LIFIR " 531
T 006
HOME PHONE: 4255131957 ACTIVE
HOME PHONE: CURRENT
4-"EPHONE:QZc6)T1L Qfi CITY YES NO
C-LA.A- BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED: C, Ait r.) t F_
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NAME OF INSPECTOR: V-,j iA4 , c.A-A0-UZ__, -��ILI�4CkX5
FIRE FA 5/06 INDT (_,cmB (tiw <S"fs FE )2-1-iPI)o
SYSTEMS: 5/wtk ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
Rou D
2
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4
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5
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7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X Zocl",Z�W 11,414
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
F,&dL REWPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
-CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
PATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4 .8
DATE,
DISPOSITION:
�'LETTERNEEDED [] YES NO
LETTER NEEDED [] YES NO
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8
FIRE DEPARTMENT COPY
John J. Westfall
From:
John J. Westfall
Sent:
Wednesday, November 03, 2010 1:04 PM
To:
Don Navarre
Cc:
Michael J. Smith
Subject:
24111 Higway 99 Aurora Antique Pavilion
Don:
Immediate action:
1) Furniture retail area at lower warehouse shall remain closed to public until proper change of use (S2-M),
permits, work, and approvals are made through City of Edmonds Building Dept.
2) Add sign: THESE DOORS TO REMAIN UNLOCKED DURING BUSINESS HOURS at N & S stairway exit doors. This
option is revocable and the next time those are found locked during business hours they will be required to be
removed.
3) Main aisle (loop path) width are designated at 36" and are suggested to be designated on floor with tape to
assure clients do not encroach in aisle width for the entire access distance to each exit.
4) Exit light illumination required for existing fixtures.
30 days:
5) Need a exit plan to align/straighten main aisle (loop path) so exit path is apparent (confusing to north) and
illuminated exit signs every 100' minimum leading to both exits provided from any location on the floor.
6) FE signage visible throughout.
7) Any else?
Call me if you have questions and let me know anything else -I'll follow this one with letter.
John J. Westfall
Fire Marshal
Fire Prevention Services
425-771-0213 Desk
425-775-7721 Fax
425-231-3644 Mobile
W"01W."'114if Ut
DISTR IT
1
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
FIRE PREVENTION
SAFETY SURVEY
LOCATION: 24111 Highway 99 201
BUSINESS NAME: Aurora Antique P avilion PHONE: 4257440566
MAILING 24111 Highway 99 #201
ADDRESS: Edmonds 98026
BUSINESS OWNER: HOMEPHONE: 4255131957
Ovenell, Jon
EMERGENCY-1: Hodges,R HOME PHONE: 425771.5520
KEY ACCESS-2: HOME PHONE:
01 FREQUENCY STATION & SHIFT
366 20 D
SCHEDULED
DATE DUE 11' 07101/10
UFIRO 531 7006
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: 9, _)F� '0
lv_A_ers��r 1?90)1
E7 A r lf"n-_ cc I
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STEMS:
-1— 1
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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ENTER CODE ONLY ONCE 0,
VIOLATION CODE
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lst RE -INSPECTION
DATE DUE:
PERSON
CONTACTED,
INSPECTOR:
DATE:
VIOL IONS
5
2 6
3 7
4 18
\1 LETTER NEEDED [] YES E] No
2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION
DATE -DUE: E GRANTED TO: DATE DUE:
PERSON PERSON
CONTACTED: CONTACTED:
INSPECTOR INSPECTOR:
DATE: DATE:
VIOLATIONS PRE -CITATION CITATION ISSUED
LETTER SENT NUMBER:
CODE
2 6 DATE: SECTION:
RETURN RECEIPT
3 7 RECEIVED
DISPOSITION:
8 IDATE:
ILETTERNEEDED 0 YES NO I
VIOLATIONS
CITED:
1
2
3
4
5
6
7
FIRE DEPARTMENT COPY
tqC01Fire &
Security
INSPECTION AND TESTING FORM
Date:-21 �-J-/-� V -�2 a 0
SERVICE ORGANIZATION
Name: ADT SFr.HRITY.qr=PX/lr-9=Q imr,
Address:
Representative:
License No:
Telephone:
MONITORING ENTITY
Contact:
Telephone:
Monitoring Account Ref No (CS#):
TYPE TRANSMISSION
McCulloh
AlarmNet
Multiplex.
Telular
Digital
E] AAGard
Reserve Priority
RIF
Other (Specify):
Time:
'PROPERTY NAME (USER)
Name:
Address:
Owner Contact:
Telephone:
Contact:
Telephone:
SERVICE
Weekly
Monthly
Binionthly
Quarterly
D
Semiannually
E�r-Annually
Ej
Other (Specify):_
Control Unit Manufacturer: /Z ,)o
Circuit Styles: Model No:
Number of Circuits:
Software Rev.:
Last Date System Had Any Service Performed:
Last Date that Any Software or Configuration Was Revised:
Quantity
ALARM -INITIATING DEVICES AND CIRCUIT INFORMATION
Circuit Style
Manual Fire Alarm Boxes
Ion Detectors
Photo Detectors_.._.
Duct Detectors
Heat Detectors
Waterflow Switche's
Supervisory Switches
Otherl(Specify):
Alarm verification feature is disabled— enabled
IE C IE � Wlk�- 1,f
J U N I b 2 2
10NDS
Fonrn F501 1 -0 1 A Rev. 06/04
(NFPA Inspection and Testing, 1 of 4)
Fire &
Security
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION
Quantity
/'I.'
Circuit Style
Bells
Horns
Chimes
No. of alarm notification appliance circuits: rl<"
Quantity Circuit Style
Strobes
Speakers
Other (Specify):
Are circuits monitored for integrity? Yes No
SUPERVISORY SIGNAL -INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity Circuit Style
Building Temp.
Site Water Temp.
Site Water Level
Fire Pump Power
Fire Pump Running
Fire Pump Auto Position
Quantity Circuit Style
SIGNALING LINE CIRCUITS
Quantity and style of signaling line circuits connected to system (see NFPA 7Z Table 6.6. 1):
Quantity: Style(s):
SYSTEM POWER SUPPLIES
MS.
Fire Pump or Pump Controller Trouble
Generator In Auto Position
Fire Pump Auto Position
Fire Pump or Pump Controller Trouble
Generator.InAL!toP.osiIJon._
Othe,qSpecify):
;z!
(a) Primary (Main): Nominal Voltage: I ,
j
Amps:
Overcurrent Protection: Type: Amps:
Location (of Primary Supply Panelboard):
Disconnecting Means Locations:
(b) Secondary (Standby): v Storage Battery: Amp-Hr. Rating:__k P-'
Calculated capacity to operate system, in hours: 42
60
Engine -driven generator dedicated to fire alarm system:
Location of fuel storage:
BATTERY TYPE
F�
Dry Cell
bNickel
-Cadmium
171
Uili
Sealed Lead -Acid.
Lead -Acid
Other (Specify):
(c) Emergency or standby system used as a backup to primary power supply, instead -of -using a seco
nda�y
pR��er supply:
Emergency system described in NFPA 70, Article 700: y
-----------
Legally required standby described in NFPA 70, Article 701:_ y
Optional standby system described in NFPA 70, Article 702, which a'i.so meets the p'erfor'-fnance requirements of
Article 700 or 701:
Form F501 1 -01 B Rev. 06/04
(NFPA Inspection and Testing, 2 of 4)
tqcolSF re 8it.'
ecuri
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE
Yes
No
Who
Time
Monitoring Entity
Building Occupants
i-T<
Building Management.
El
Other (Specify)
El
AHJ Notified of Any Impairments
R
SYSTEM TESTS AND INSPECTIONS
TYPE
Visual
Functional Comments
Control Unit
Interface Equipment
Lamps/LEDs
Fuses
F]
Primary Power Supply
MV
Trouble Signals
Disconnect Switches
Ground -Fault Monitoring
El
SECONDARY POWER
TYPE
Visual
Functional Comments
'Battery Condition
i4
Lead Voltage
Discharge Test
D
Charger Test
Specific Gravity
Trouble Signals
TRANSIENT SUPPRESSORS
REMOTE ANNUNCIATORS
R
NOTIFICATION APPLIANCES
Audible
F1
Visible
Speakers
F]
Voice, Clarity
r]
INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS
Loc. & S/N Device Type
Visual
Functional
4-4
Check
Tvst Factory Setting —Measured Seftijig
Pass
Fail
T-1
Form F5011-01C Rev. 06/04
(NFPA Inspec(ion and Tes6nq,
3 of 4)
tqC01Fire &
Security
EMERGENCY COMMUNICATIONS EQUIPMENT
Visual
Functional
Phone Set
D
El
Phone Jacks
Off -Hook Indicator
Amplifier(s)
EJ
Tone Generator(s)
R
Call -In Signal
System Performance
INTERFACE EQUIPMENT
Visual
Device
Operation
Simulated
Operation
(Specify)
D
11
(Specify)
El
1:1
(Specify)
El
11
Special Procedure:
Com . ments: ;K, 43LI-_ T-1
SUPERVISING STATION MONITORING
Yes
No
Alarm Signal
.[RI
El
Alarm Restoration
n
Trouble Signal
F]
Supervisory Signal
nK
Supervisory Restoration
Fl
Comments
4 1?
rt"i
Device Simulated
SPECIAL HAZARD SYSTEMS
Visual
operation
Operation
(Specify)
0
El
(Specify)
0
0
(Specify)
D
n
Time Comments
-'0
NOTIFICATIONS THAT TESTING IS COMPLETE
Yes
No Who
Building Management
El
Monitoring Agency
P]
Building Occupants
El
Other (Specify)
F-1
The following did not operate correctly (See Work Order No.):
Time
Work Order No.:
System restored to -no rma Pooe ration: Date Time:-Lj.
t i
THIS TESTING WAS PERFORMED IN ACCORDANCE WITHAPPLICABLE NFPA STANDARDS.
Name of Inspector:
Date 4q
Time:
Signature:
IN ACCORDANCE WITH AND SUBJECT TO Al_i,!Tk� fERMS AND CONDITIONS SET FORTH IN OUR EXISTING CONTRACTAGREEMENT IF ONE IS IN EFFECT,
OTHERWISE AS SET FORTH ON THE REVERSE\,SIbE HEREOF.
Name of Owner or Representative: Date.'
Signature: Time:
Form F501 1 -01 D Rev. 06/04 ij
(NFPA Inspection and Testing. 4 of 4)
2.4m h4-A.)
Vi5 A��
------- ------ ------ ... . . . ......... ........
..... ......
ol
I
January 30, 1990
MEMO TO: Jerry Saterlie
Acting Building Official
FROM: Stan Olsen
Senior Inspector
SUBJECT: DOCE'S BUILDING, 24111 HIGHWAY 99
It was noted on my last visit to the building that there is a new ten-
ant occupying the mezzanine portion of the building. I understand that
there is one principle party and they are engaged in running an antique
mall with spaces for 30 or so dealers.
It was noted that seven foot walls have be installed with electrical
outlets, etc. I asked if there had been any building permits issued
and they said no. They were informed that an application for a permit
and a business license was required by the City of Edmonds.
SO:be
cc: Business License Clerk
MEMOV/TXTBLE32