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300 ADMIRAL WAY STE 2113a FIRE PRtVE* N*TION .k INSPECTION REPORT Ser� ... —.r, Edinonds, and 12425 Meridian Ave S SNOHO Co. 0EbmONDS Mow7dake Terrace Everett, WA 98208 0 BRIER FIRE Phone (425),551-1200 0 MOUNTLAKE.TERRACE [I UNINCORPORATED DIa.-jr.LPR k--'�;T WWW.'Fire'District].org Fax (425) 551-1272 LOCATION: 300 Admiral Way Suite 211 98020 BUSINESS NAME: Arnie's At The Landing PHONE: 4257715688 MAILING ADDRESS: 300 Admiral Way, Suite 211, Edmonds, WA 98020 BUSINESS OWNER: Lumm, Fran EMERGENCY-1: 4— LUC- KEY ACCESS-2: EMAIL: PERSON CONTACTED: '1� I et NAME OF INSPECTOR: FIRE SYSTEMS: FE 10/15 HD UL300 10/16 FREQUENCY 'I STATION& SHIFT Annual 17-A SCHEDULED Jan 2017 DATE DUE I` UFIR � 161 C HOME PHONE: HOME PHONE: 20233-tt52IJ-- HOME PHONE: 17 CURRENT. city S NO BUSINESS LICENSE A E INITIAL INSPECTION DATE I - ;z & - /�, FIRE PREVENTION SNOHOMISH CO. Servipg Brier, Edmonds, and 12425 Meridian Ave S 11�$PECTION REPORT 4flEDMONDS 'Wountlake Terrace Everett, WA 98208 13BRIER FIRE Phone (425) 551-1200 0 MOUNTLAKE TERRACE DISTR 11111 www.FireDistrictl.org Fa� (425) 551-1272 [3 UNINCORPORATED FREQUENCY STgIONA SHIFT LOCATION: 300 Admira . I Way Suite 211 98020 BUSINESS NAME: Arnie's AQ;he Landing PHONE: "4257715688 MAILING ADDRESS: 300 Admiral Way, Suite 211, Edmonds, WA 98020 BUSINESS OWNER . Lumm, FranL/ HOME PHONE: Annual i—I 7-D SCHEDULED DATE DUE � Jan 2016 U FIR � 161 EMERGENCY-1: Rennington, Bill HOME PHONE: 2063311531 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO' EMAIL: 4) IJ�J in r n f Cc�\",- BUSINESS T-1 LICENSE K-J PERSON CONTACTED:, 2t KeN I INITIAL INSPECTION DATE NAME OF INSPECTOR: (V NRE SYSTEMS: FE 9/13 nqtp I qczt Sprvirpri- HD UL300 10/15 .LQAZARDS FOUND AND LOCATIONS COMMUNICATIONS 2 2 3 3 4 5 6 -4 6 7 7 I AGREE To cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1 st RE -INSPECTION DATE DUE: 2nd RE-INSPECTIOR DATE DUE: EXTENSION GRANTEDTO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED:A PERSON CONTACTED: PERSON I CONTACTED: I INSPECTOR: 0 W)- I/V INSPECTOR: INSPECTOR: 2 DATE: DATE DATE: VIOLATIONS 5 6 VIOLATIONS-- 3 5 6 17 ___ --I PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 5 DATE: CODE SECTION: 7 RETURN RECEIPT RECEIVED __F8 4 RA DISPOSffi1ON. 7 8 LETTER NEEDED [] YES NO LETTER NEEDED [] YES 0 NO Certification Given: RED El YELLOW� WHITE E7:1 V COMPLETE FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TEST REPORT &THood and Duct Services, Inc. Fire Suppression Installation & Service CONFIDENCE TEST 51"AiPAIRS—EM 6100 12th Ave. S. Phone (206) 726-0940 Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Seattle,WX 98108 Fax (206) 767-2607 Filter Sales & Service DATE: Loll -9 /1/- Occupancy Name: ArA il e I 's J -F-r- Occupancy Address: �1316n 1QM;r11y tk)OA-e- fft/1 CltyState,Zip: &V1MChj-5 el 2-jo Responsible Person: Cj Phone Number: 'Y15-77Z-,569,T Building Owner: Building Owner Address: Testers Name (Please Print): 1&4 Eh4uK I System Alarm? YesPj---No El Control Panel manufacturer: Extinguishing System Manufacturer Location / Height of Range hood: Central station monitoring? Yes F] No F] Model Number:— L. Phone Number: City, State, Zip: 14 4 SFD Certification Number: SCP- R-a6SY7 Monitoring company name: Location of Alarm Panel: �o - I.I.L. 300 Compliant? Yes F� No E��Chemical Type: Wet 2<0 Is pressure gauge indicator in operable range? --r--- - Yes;,V,�fi-. L] - 12 year hydro date of cylinder. Is there chemical inside of the cylinder*? Ye No 1 (7 k9 k OZ- Were hand portable extinguishers properly serviced? NA El Were If full Yes [��- No Yes 01' No [j Weigh CO2 or nitrogen cartridge. NA [:] -;& all cooking surfaces protected? not, give owner No visible signs of a system fire or system tampering (if signs check no). s r-;��No—F Check all piping and conduit. Are all piping and conduit immobilized with Yes Eq--No E] information. Was operating procedure verbally given to restaurant personnel? Yes E�-/No E] proper hangers and brackets? Was UL 300 compliance explained to owner or manager? Yes U�No F Are all protective covers present on nozzles? Yes E�" No E] Gas shuts down upon system activation? NAE] Ye N o 10 Are all nozzles checked in the proper position? Yes No C] Electric power shuts down upon system activation? NAW /,I*es [:] NoF Does system have adequate volume and/or nozzle coverage? Yes ET' No Ej Range hood tied to building alarm panel? NAQ� �jsF No L] Are all appliances inside of the hood protection area? Yes 0--' No E] Range hood activation signal received at building alarm panel? N A VU j-Yes F-1 No El Have fuse links been replaced? YesE�' No Ej Class K extinguisher present? Yes R No Was system operational from terminal link? Ye&F!r No E] Grease buildup i group: H�a�ecommend Was system operational from manual remote? Was system and micro switch operational? Yes No NA <,ff NoF Light Medium— cle 9— Date of last cleaning C*,c Is system visible and free from obstruction? Yes 21' No E] Are cleaning intervals within NFPA standards? AJ-, Y� Ejo 1:1 L Is the inspection and service tag on the cylinder? Yes Rr' Noo Previous Confidence Test Company & Technician-f,?-T- . I r-t I I.; — IN INS in; mom N on MEE N Found: (if additional room isjeeded, pie s!5rte sheet) I - Customer has declined repairs X Corrections Made: Date Corrected: Corrected By: r SFD Certification Number: I I in I Wed —11cl 6), 1,01,30 ArA This certifies that this fire and life safety -t— h.. h— -hpear I �iectecl for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies are n ne Responsible Person for corrective action. Signature of Tester: - - Phone # (206) 726-0940 Testing Agency: R&T Hood andZucL-QeP,;4-r. 11; Mailing Address: - 6100 12th Ave. S., Seattle, WA 98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the mont y inspections is to kept reflecting the date in?pecte inititals of r, d 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing th inspection and orrections requi ea. 4. Observe system, checking that no obvious physical damage or condition exists 1011A,71 (-p that might prevent operation. AUTHORIZE 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATUREZ-- t-ffs FIRE DEPARTMENT COPY 871400d and Duct Services, Inc. 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 Occupancy Nern '01!1' le Occupancy Add.L.: Adh7j,pa Responsible Person: 1#—,� Building Owner: Building Owner Address, I I I I I I Testers Name (Please Print): /74"e"k 'e�,j -ML, ii COMPLETE r��ication ' Given:REDEJ YELLOWD WHITE FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TEST REPORT Fire Suppression Installation & Service CONFIDENCE TEST 0 REPAIRS Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service DATE:jf0/ Q)AZI City, State, Zip: 1Vj0,26:?"1A, d:y- Phone Number: W.25 - 7171 , `S-A�M System Alarm? Yes �;�cE] Central station monitoring? Yee,45--No El Control Panel manufacturer: Model Number: — Phone Number: City, State, Zip: 11! SFD Certification Number: SCP- L7, - 4:2Z2 Monitoring company name: - Location of Alarm Extinguishing System Manufacturer A NJR 1,2- System Sizaf'--3� LI.L. 300 System? Yes ��- I.I.L. 300 Compliant? Yes [4ffof] Chemical Type: Wet �ry [I Location / Height of Range hood: Is pressure gauge indicator in open Is there chemical inside of the cylin Weigh CO2 or nitrogen cartridge. No visible signs of a system fire or! Check all piping and conduit. Are al proper hangers and brackets? Are all protective covers presen o t � Are all nozzles checked in the pro NAE1 tampering (it signs check no). and conduit immobilized with - position? Does system have adequate volu e and/or nozzle coverage? pr, 0 it, Are all appliances inside of the hrod ction area? Have fuse links been re I d-1/ . �face ti Was system operationa rom minal link? Was system op nual remote? Was system an 1.1erational? Is system visible and free from obstruction? Is the inspection and service tag on the cylinder? Problems Found: (if additional room is needed, please add a separate sheet) 12 year hydro date of cylinder. Were hand portable extinguishers Were all cooking surfaces protect information. Was operating procedure verbally Was UL 300 compliance explainei Gas shuts down upon system acti Electric power shuts down upon s� Range hood tied to building alarm Range hood activation signal rece Class K extinguisher present? Grease buildup in group: Light — Mediu Date of last cleaning — Are cleaning intervals within NFP) I Previous Confidence Test CompEl liven to restaurant personnel? to owner or manager? ation? NAF-1 tem activation? NAE] anel? NAn ed at building alarm panel? NAD — //1 YesF-1 No[] Yes [:] No E] Customer �as declined repairs X ' L Corrections Made- Date orrecied: 10.1 L?J 1,6 Cor,ected y: SFE) �ertification Number: q 0 V:� U This certifies that this fir`e-and life safety system.4as bee../poperly inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies are noted and have wner/Responsible Person for corrective action. Signature of Tester: Phone # (206) 726-0940 Testing Agenc Mailing Address: 6100 12th Ave. S., Seattle, WA 98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verity the following: 1. The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged a nd tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monthly, inspections is to be Apt reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing the spection and ections required. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE FIRE DEPARTMENT COPY R &THood and Duct Services, Inc. NO 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 Occupancy Name: — Occupancy Address: Responsible Person: Building Owner: COMPLETE Certification Given: RED E�'YEILILOW E] WHITEE] FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TEST REPORT Fire Suppression Installation & Service F-CONFIDENCE TEST REPAIRS EI] Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service DATE: City, State, Zip: Phone Number: Phone Number: ;7/ — !T6 Building Owner Address: City, State, Zip: Testers Name (Please Print): flok, 6-, e., SFD Certification Number: SCP- :5 System Alarm? Yes 2� No E] Central station monitoring? Yes E] No F-1 Monitoring company name: C6ntrol Panel manufacturer: Model Number: Location of Alarm Panel:- %!e-ely 1! r, Extinguishing System Manufacture System Sizilte li,3 U. L. 300 System? Yes —1 No Ell, [I'No[:] I.I.L. 300 Compliant? Yes Chemical Type: Wet 2t<E] Location / Height of Range hood: a,11 A Is preissuria,gauge indicator in operable range? VE- inside Yes LJ No LJ Yes ff� No Is there chemical of the cylinder? Weig,h,'CO'2 or rutrqgqr� paqridge. NAE:[ No visib le signs of a system fire system tampering (if signs check no). YesE�"NOEI -or Check'all. piping and -conduit. Are all piping and conduit immobilized with Yesl�_ NoLf proper hangers and brackets? - YesD-`� 'o F� Are all protective covers present on nozzles? Arb�,all`nozzljes �heckecl,in_the proper position? Yes g--'N . M Does sys tem have adequate volume and/or nozzle coverage? Yes L,_-'__No_Fj Ar,e,a - 11,Appli-ance,s,inside'eof�ttre,hood protection area? Yes[?" No[—] Have fuse links been replaced? Yes NoF_1 We w s s ste m,opefational, from terminal link? -Yes No E.-- 'y Was system operational from manual remote? Yes [�?No Was systern,a-nd r,hicro svvritch'operational? NA Yes&—Nou Is system visible and free from obstruction? Yes [-]I- No Is the�in`spection� and I se I rvice tag on the cylinder? Yest;4-NoEl 12 year hydro date of cylinder. Were an d- portable extinguishers pr op AD _90y serviced? Yes � No Were all cooking surfaces protected? If not, give owner full Yes E?r'— No El information. Was op era ting procedure verbally give n t o res taurant person net? Yes F�J­ No Was UL 300 compliance explained to owner or manager? Yes [�J" No E] Gas -shuts down upon system activatidni-1. NAE] 2— No El Elect ric power shuts down upon system- activation? NAg� ,;,Yes Yes L;;'- No E] - Range hood tied to building alarm,panel? NA Yes [�j' No Range hood activation signal received at building alarm panel? NAF� Yeaqj- No �Class K extinguisher, present? 4,11100" , Ye f-�r' No.[] S_ Grease buildup in group. Light diurl). H vy, recommend cleaning Date of last cleaning, V /-/,M; ve_j'q!� IF Are cleaning intervals within NFPA standards? Yes [�J' No E] Previous Confidence Test Company,kTechnicia,n MINIM SEEN IN ME MEN M N 0 mom Elm Problems Found: (If additio I a rooLn is needed, please add a separate h t) 10, 'ILO3,C> T;P, ', ha, Ilk Corrections Made: Date Corrected: Corrected By: f4 5& al�t C0 d, CIA rr 4!4,,1n0_ fo!-Cgd, /0 "Al )9 r-, cp--�Wrriew- 134'6t- 6,ta� 4�m - 4 Customer has declined repairs X SFD Certification NAer.0 This certifies that this fire and fe saf ty t has been prcnerly inspft Ry peHm reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. IDiscrepanc ar � :nds ;;�eenmported t the bui ng Owner/Responsible Person for corrective action. Signature of Tester: ipdm I f, 7-" = -.1 Phone # (206) 726-0940 Testing Agency: _A&f_H6odin`dbuctServ16e/s'Tnc. -- - MailingAddress: 610012thAve.S.,Seaftle,WA98108 The owner is to perform and keep a written *record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seats are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monthly inspections is to be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing the inspection and any corrections required. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE FIRE DEPARTMENT 9�0_ COMPLETE FIRE PROTECTION R High Pressure Hood Cleaning &THood and Duct Services, Inc. Fire Suppression Installation & Service Fire Extinguisher Sales & Service 6100 12th Ave. S. Phone (206) 726-0940 Range Hood and Fan Service & Repair Seattle,WA 98108 Fax (206) 767-2607 Filter Sales & Service A - I I Occupancy Name: ex 11 V1 I C. Occupancy Address: Vi Responsible Person: Fir ov Building Owner: Certification Given: REDO YELLOWE] WHITE CONFIDENCE TESTING RANGEHOOD SYSTEM TEST REPORT FC_0NFlDENCE:rESTZr: REPAIRS:[:]] D ATE: -3 A? /h �' City, State, Zip: Phone Number: Phone Number: Building Owner Address: City, State, Zip: P, � n SFD Certification Number: SCP_ Testers Name (Please Print): iell'& System Alarm? Yes,�No E] Central station monitoring? Yes Ej No E] Monitoring company name: Control Panel manufacturer: Model Number: Location of Alarm Panel: Extinguishing System Manufacturer AA Sy§tem Size,3450 LI.L. 300 System? Yes [?rNo E] LI.L. 300 Compliant? Yes 2<o E] Chemical Type: Wet (!I < EJ Location / Height of Range hood: A DKt-- wall d -rl PL Is pressure�gauge'indicator in operable -range? j4- CIL- -- - - -- - [3 -- Yes No 12 year hydro date of cylinder. 0 Is there chemical inside of the cylinder? _-i Yes No _ -a- _NA0 V hand portable.extinguishers properly serviced? V s O_ Y6 O'N [I n ro NA­0_ Weigh d6jor it gen.cartridge.- I ' 7 1 Were all cooking surfaces protected? If not, give owner full - Yes ff No E] No visible signs of a system fire or system tampering (if signs check no). , - `I Yes No E] information. Was verbally tolestaurantpersonnel?. Yes No �_ - -1 9, ­ 'A' con�u�iitfgrea I,pipi 'g:ard�c9qduitjmnnobiIized with Ch eck-all�pipingsdn'5 d - 'A P &n .j . Yes R No C] o perating procedure given . . Yes Ej No E] foperAm�$eAft'Md t�racRets? Are all protective covers present on nozzles? Yes KNor-1 Was LIL 300 compliance explained to owner or manager? Gas shuts down upon system activation? NA Ye . s Fo No n Are,all rioi-zles,,checkdd�in..the�proper position? Yes No Electric power shuts down upon system activation? N A[] Yes F� No rj Does system have adequate volume and/or nozzle coverage? Yes rl"O No E] _Range­h__o­o_d,_ti,e_d to bui-Iding alarm panel? _NA Yes Noo Are all,appliances inside.,of,the hoodprotection area?. Yes 1�' Noo 1 Yes No E] 1 Rang e hood activation signal r eceived at build - in - g alarm panel.? NAE3 Class'K Ye97 No El No-0 Have fuse links been replaced? link? Yes No extinguisher present? _-,..'Yes[! Grease bui in .Was system operational,frorfi�terminal Was system operational from manual remote? Yes Noo 'Yes group: Light- �IM a d i H a reconrmend cleaning Wa�,sysi,�mand,��icro'switchop.e-rati.o.nal? NA[j NgFj__� te.of,las't clean Pa ... iing intervals NFPA Yes 1;;��No El Is system visible and free from obstruction? I Yes E� No E] Are cleaning within standards? Technician Is the inspectionran d service tag on the cylinder? Yes No Previous Confidence Test Company & ME 0 moms Nis 01 MEMO MEE m IN Problems Found: (if additional room is needed, please add a separate sheet) Corrections Made: Date Corrected: Corrected By: Customer has declined repairs X SFD Certification Number: This certifies that this fire and life f ty y t h is beerthropperins acted for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies are t d h I i(od tc r e lilding Owner/Responsible Person for corrective action. -0940 Signature of Tester: A-11- jr I— Phone # (206)726 Testing Agency: R&T Ho6crand-Duct Si9rces, lfic7 MailingAddress: 610012thAve.S.,Seaftle.WA98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the m onthly inspections is to b ke t fl ' ting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing theyspection an ar �' �rpctrieoriescrequired. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE FIRE DEPARTMENT COPY SNOHOMISH CO. ervii.ig Briei: Edmond,�rand 12425 Meridian Ave'S Younilake Teirace Everett, WA 98208 FIRE PIS . Phone (425) 551-1200 T, I V 11,11'. FireD is tric t 1. o rg .,Fa.y (425) 551-1272 LOCATION: 300 Admiral Way Suite 211 Q8W0 BUSINESS NAME: Arnic*ti AL Ihc Landing PHONE;,, 4257715M FIRE PREVENTION 'INSPECTION REPORT 'NEDMONDS 0 BRIER 0 MOUNTLAKE TERRACE [I UNINCORPORATED MAILING LIFIR ADDRESS: 31013 Ad mi raJ Way, Sui Ic 211. Edrm nds-, 03110.20 BUSINESS OWNER: Ltjmn� Fran HOME PHONE: 06— 5'�2_jj34 L 2_6�- -715 EMERGENCY-1: Arnit's Rrsuiurant A' H M�P H 1�0 E: 4,)5r, i &jbtj _-Z 'CURRENT CITY NO I KEY ACCESS-2: i;;�tk f-e_i%.(t4s4&^ '.P� �,_ HO NE:�2 EMAIL: BUSINESS LICENSE El PERSON CONTACTED: IN INITIAL./PEC/�ION DATE NAME OF INSPECTOR: e, FIRE SYSTEMS; FE 6)1 0JHD UL300W-13 HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1411z E79 2 2 3 3 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 D E DUE: EXTENSION GRANTEDTO- 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 2 6 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 8 4 8 DATE: DISPOSITION: 7 \1 LETTER NEEDED [] YES NO LETTER NEEDED F] YES F-1 NO I . FiRE-bt0AkfMENT'CO0Y R &THood and Duct Services, Inc. 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 �-!f Occupancy Name: - Occupancy Address: Responsible Person: Building Owner: — Certification Given: RED[] YELLOWD WHITE COMPLETE Z" FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TEST REPORT Fire Suppression Installation & Service F-CONFIDENCE TEST 2' RE Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service DATE: A R A City, State, Zip: r �-�O,Apts .11*1 9 0 ;Id Phone Number: 6 Ff Er Phone Number: Building Owner Address: A �5!!R City, State, Zip: _e A' Testers Name (Please Print): ?M I SFD Certification Number: SCP_ SystemAlarm? Ye&' NoEJ Central station monitoring? Ye No F1 Monitoring company name: Control Panel manufacturer: Model Number: ___Sys____Siz­e3qy__W___ ----- - Location of Alarm Panel: �D Extinguishing System Manufacture-AW9VI am 1.300 Y,tem?YesE�'N.Cj I.I.L. 300 Compliant? Yes Er_N'. Chemical Type: Wet EJ Location / Height of Range hood: ...... a,11 s pressure gauge indicator in operable range? as[ /cC Ye 12 year hydro date of cylinder. 09 _C3 Is there chemical inside of the cylinder? YesEr oFj Lrj�q� 9 hand pvqable extinguishers pop rvke_d_?__­NJA __ix _pryse 16es a-kio Weigh C-02 o-r--n-itr-o--e-n-c-a-rtrid-g-e-.- 9 NkEf 1-7-7 �Yo_ Were all cooking surfaces protected? If not, give owner full Yes E?' No E) No visible signs of a system fire or system tampering (if signs check no). es No [3 Check all piping and conduit. Are all piping and conduit immobilized with Yes E!1� No 0 information. Was oqerating ure verball given to restauran perscin�el? _pjqqe�d -Was Yes NoM proper hangers and brackets? I LIL 300 compliance explained to owner or manager? Yes E?No El Are all protective covers present on nozzles? Yes NoE] Gas shuts down upon system activation? Ye� 0.0_� Are all nozzles checked in the proper pqsiiion? ­ . !,- ----- ­ __:Kes __ __ Electric power shuts down upon system activation? NAF_j Yes E5 No E] -_ - - ___ -_ ____ _ - . -, --- Does system have adequate volume and/or nozzle coverage? Yes No Ej 1 �angeh-oo'*d-tie-d-t-o--b-u-i-ld-i-n--g-a-la-r-m'-pan-el-?-_--- NA -Li Yes No I Fallappliances inside of t.he-ho.od p!otection area? IG Yes Range hood activation signal received at building alarm panel? NAE] Yes, No Ej Have fuse links been replaced? Yes E�� No F] I _Pia s t)Lingui her present? Yes wo �W�s s Ltemrnin�FlWkY ---------------- :y from -Y-es - �00 1 --Y-es- Y-w Grease buildup in group: Light bledium H repornmend cleaning Was system operational from manual remote? o _ �aavy, —da-te—oi--I�-st-c*iez�ni�-�7-91/,T-,1-5 F &h4 i4lr LWas_�y�tem and T:ic�qswitch o erational? �L_ _ �_ NA ::�Y� Is system visible and free from obstruction? Yes E?- No E] Are cleaning intervals within NFPA standards? �,s E�t-<o 1 1� 4" ;--ii— —fl-4.17 revioUs Confidence, Test Company & Technician k Problems Found: (if additional room is needed, please add a separate sheet) Corrections Made: Date Corrected: Corrected By: Customer has declined repairs X SFD Certification Number: A f I This certifies that this fire gand , safety system has be � cted for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code ns 'in 01 or prc standards. Discrepancie oted an een ire C. d t , e b�, III d ,raveT ing Owner/Responsible Person for corrective action. Ze Signature of Tester: Phone # (206) 726-0940 T 00 �R T Hoo an, 51A v- Testing Agency: id DuctS#Fvices, Ind. MailingAddress: 610012thAve.S.,Seaftle,WA98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: I . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monthly inspections is to be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing the ingpection ajaOwy corrections required. 4. Observe system, checking that no obvious physical damage oi� condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATIL FIRE DEPARTMENT COPY AWR�___ FIRE PREVENTION- '&rving BrierEdinonds 12425 Meridian Ave S INSPECTION REPORT SNOHOMISH CO. L_ []�DMONDS ,�V7 Mountlake Terrace,and Everett, WA 98208 0 BRIER /F1REjTj*4fte** th Town of Woodway �-DIST T Phone (425) 551-1200 OWOODWAY 0 MOUNTLAKE TERRACE www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED I e- FREQUENCY STATION & SHIF"� LOCATION: 300 Admg,?al Way 211 365 17 D BUSINESS NAME: Arnie!s,"' Landing PHONE: 4257715688 SCHEDULED DATE DUE 1' 01/01/12 MAILING 300 Admiral Wy #105 LIFIR 10 161 1201 ADDRESS: Edmonds 98020 BUSINESS OWNER: Amie's Restaurant HOME PHONE: 4257715688 OCC LOAD 202 EMERGENCY-1: Lumm, Fran HOME PHONE: 2067158311 CURRENT KEY ACCESS-2- HOME PHONE: CITY YES NO BUSINESS LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE HD 10/11 FE SYSTEMS: �e - �NNYAL I I 11) HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 27S A, "� f_- 44:z:!) 2 2 -77 3 3 4 4 5 5 6 6 7 7 r— 11 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-INSPECT16N DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTA6,TED: PERSON CONTACTED: 1 INSPECTOR: INSPECTO R: INSPECTOR: 2* DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 2 6 2 6 DATE: CODE SECTION: 5 7 3 7 RETURN RECEIPT RECEIVED 6 -3 �4 18 4 8 DATE: DISPOSITION: LETTER NEEDE D [] YES NO LETTERNEEDED [-] YES NO 8 FIRE DEPARTMENT C01py COMPLETE FIRE PROTECTION High Pressure Hood Cleaning Hood and Duct Services, Inc. Fire Suppression Installation & Service. Fire Extinguisher Sales & Service 6100 12th Ave. S. Phone (206) 726-0940 Range Hood and Fan Service & Repair Seattle,WA 98108 Fax (206) 767-2607 Filter Sales & Service Certification Given: RED E] YELLOW,,K WHITED] CONFIDENCE TESTING RANGEHOOD SYSTEM TEST REPORT CONFIDENCE TEST2!r REPAIRSE] D ATE: /0 —,? -12-, Occupancy Name: AeA8E_---r Occupancy Address: 300 mw& A* City, State, Zip: ff,0,70 Responsible Person: Phone Number: Building Owner: Building Owner Address: Testers Name (Please Print): _d. 629"1_6<9 System Alarm? Yes ff No r_1 central station monitoring? Yes Z No Control Panel mandfa�turer: Model Number": Phone Number: City, State, Zip: SFD Certification Number: SCIP- -07=3 Monitoring company name: Location of Alarm Panel: Extinguishing System Manufacturer 260T �Z_ System Size-37'3"-3 U.L. 300 System? Ye 59 NoF� I.I.L. 300 Compliant? Ye5&�NoX Chemical Type: Weo Dry E] Location / Height of Range hood: 6,orle Is pressure gauge indicator in operable range? Is there chemical inside of the cylinder? Weigh,CO2_or nitrogen cartridge. - - 117. - YY - N No visible signs of a system fire or system tampering (if signs check Check all pipipg4and conduit. Are all pip , ing and concluitimmobilized proper hangers,and brackets? Are all protective covers presentonnozzles? Are all nozzle�s_oeckecl in the -proper _posi!ion?, Does system have adequate volume and/or nozzle coverage? Are all appliances inside of the hood p-rotection-airew? Have fuse links been replaced? Was system operational from terminal link? Was system operational from manual remote? Wass stem and micro switch operational? INA I Y. Is - system visible and free from obstruction? - Is the inspection and service tag on the cylinder? Yes��NoLj s o F-1 12 year hydro - date of cylin - der. -Were handportable extingui shers properly_serviced? N 0 Yesz Noo LYe . Were all cooking surfaces protected? If not, give owner full Yes No E] io). Yeso No El info - rm - ation. vith ­ *Y . esZ NoF Was operating procedure verbally given to restaurant personnel? YesZ Noo Was LIL 300 compliance explained to owner or manager? Yes Z No E] Yes -No E] pas qhqts down upon system _activation? ImA�F] Ye SO No ri YesZ NoD_; Electric power shuts down upon system activation? NAE] Yes WO— No Ej Yes FZ NoE] __Tlaqgq�hpod tied to build-Ing alarm panel?-- NA[] YesT4 N60 Yeso No [D Range hood activation signal received at building alarm panel? NA El YesV- NoF_1 YesZ No ED Class K extinguisher present? Yesz Non-, YesW___N0_0__j Grease buildup in group: Yes No Light Medium g Heavy, recommend cleaning Yes No 0- Date of last - cleaning _4 Yeso NoE] Are cleaning intervals within IN, %landa'rds? s Ye ;2f' Noo YesPf' -Noo -Previous Confidence Test Company & Technician -0- 0, I f I LLLI-It"k, 7 Problems Found: (If additional room is needed, please add a separate sheet) �46 V07_ Zj lf-A)VC Customer has declined repairs X Corrections Made: Date Corrected: Corrected By: 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 Seattle Fire Department Fire Code standards. Discrepancies are noteSPO, ha!sJjw-en reocided to the building Owner/Responsible Person for corrective action. Signature of Tester: Phone # (206) 726-0940 Testing Agency: — R&T Hool—nd Strct TervicFs7inc. Mailing Address: 6100 12th Ave. S., Seattle, WA 98108 The owner is ti� perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monjhly inspections is to be Wt reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing.Te inspection and a ctions required. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZN 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE FIRE DEPARTMENT COPY � &THood and Duct Services, Inc. 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 rill Occupancy Name: - Occupancy Address: Responsible Person: Building Owner: COMPLETE Certification Given: REDO YELLOWD WHITE FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TEST REPORT Fire, Suppression Installation & Service FCONFIDENCE TEST REPAIRS Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service DATE: / -0 AD 1�6_�- - City, State, Zip: Building Owner Address: & F I I I / f Testers Name (Please Print): /-KAcYh/',d 17f,-jah,J System Alarm? YeTff—NoF-1 Central station monitoring? Yes M No Control Panel manufacturer: Model Number: Phone Number: Phone Number: City, State, Zip: SFD Certification Number: scpjy� Monitoring company name: Location of Alarm Panel: Extinguishing System Manufacturer 147 S� L Chemical Type: Wet2_15W 1:1 lejo�&stemSize14?�L7? LI.L. 300 System? Yes4���(J.L. 300 Compliant? Yes RN.-cy V - 1,- 0---777, - " Location / Height of Range hood: j J 42 " X Ks p!mu're gauge indicator in operable range? -Yes 12 year hydro date of cylinder. Is there chemical inside of the cylinder? Yes F] NoF portable extinguishers rty serviced? n' Were NAD __�es F_ No '[Weigh CO2-or nitrogen cartridge. �A . _ . Were all cooking surfaces protected? If ot, give owner full ,e V If 0 t' Yes No F] No visible signs of a syste m fire or system t ampering (if signs che ri�o). -and Yes n N o in - format . io . n. --------------- verbally o restauranl: Was 0 o Fdhec�allphpin­g co-n-d-u-ItAre- ali piping and conduit immobilize with Yes Non ,ivpn personnel? operating p�ocedure given Yes Lproper hangers and brackets? .d Was UL 300 compliance explained to o ner, or manager? to 0 ne Yes E] No F] Are all protective covers present on nozzles? Yes n No E] v 10 at Gas shuts down upon system activatio - - .. ? NA ... e N., nj !.Are all nozzles checked in the proper position? . ...... Yes E] No [j_ ys e Electric power shuts down upon syste c activation? NAE] a 1" Yes E] No F] Does system have adequate volume and/or nozzle coverage? Yes E] No E] pan I? Range - hood tied to'6uilding�alir`m pan P- NA F1_ Yes N-0 M_ Are all appliances inside of the hood protection area? Yes No E3 ,v . u t 1 Range hood activation signal receive at building alarm panel? NAD Yes n No [I Have fuse links been replaced? Yes El No El Class K extinguisher present? Yes F] No 011 tional from terminal link? Yes El No [3__j Grease buildup in group: Was system operational from manual remote? Yes E] Non Light Mediu - m H . ea vy, recom me . nd cleaning __ I_Was system and micro switch operational? NAF Yes n No [:3 Date of last clearij _ng Is system visible and free from obstruction? Yes n Non Are cleaning intervals within NFPA standards? Yes Ej No E] I Is the in pectign and serviic@ tagon the c linder? y yoso N oQ_ Previou s Co nfidence Test C ompany & Technician ------------ Problems Found: (if additional room is needed, please add a s eparate sheet) Correct de: Date Corrected: 1600/12— Corrected By- 4 ; _j �% r_r4 4- SFD Certification Number: H-0= /,,v ., rj�, -,: V (;, ) JAI FILI&A.- rc1.j.,.r9%iAJ IV. W-) This certifies that this fire and life safety system has W, n properly inspected for reliability.to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies are ­__ _R9 ARVA ner/Responsible -Person for corrective action. Signature of Tester: 7019��� Phone # (206) 726-0940 Mailing Address: 6100 12th Ave. S., Seattle, WA 98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are foundi appropriate corrective action shall be taken immediately. intended use. 9. A record of the mo hly inspections is to bA kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing e inspection ai d an I orrections required. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZk 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE LIU J14 FIRE DEPARTMENT COPY R &THood and Duct Services, Inc. 6 100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 Occupancy Name: — Occupancy Address: Responsible Person: F=- &4^j Building Owner: Building Owner Address: - Testers Name (Please Print): COMPLETE FIRE PROTECTION High Pressure Hood Cleaning Fire Suppression Installation & Service Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service �,- W 4 V -a System Alarrn? Yes No F-1 Central station monitoring? Yes No X Control Panel manu(gctlirer: Model Number: — Certification Given: REDO YELLOWE] WHITE71 CONFIDENCE TESTING RANGEHOOD SYSTEM TEST REPORT CONFIDENCE TEST E] REPAIRAI. City, State, Zip: Phone Number: Phone Number: DATE: City, State, Zip: SIFD Certification Number: SCp- A 0-7001- Monitoring company name: Location of Alarm Panel: Extinguishing System Manufacturer 14pj S LA (_ System Size-2-L t- 3 +31J.L. 300 System? Y.s&;416E] LI.L. 300 Compliant? Yes E] NoE] Chemical Type: WetZDryo Location / Height of Range hood: Is pressure gauge -indicator in operable range? Yes Noo- 12 year hydro date of cylinder. Is there chemical inside of the cylinder? Yes Ej No E] -Were hand portable extinguishers proper I ly sery . ic I ad? NAD Yes E] No Weigh CO2 or nitrogen cartridge. NAO Were all cooking surfaces protected? If not, give owner full Yes E) No No visible signs of a system fire or system tampering (if signs check no). Yes F1 No F-1 information. operating verbally to restaurant Yes E] No Cj Check,all piping and conduit. Are all, piping and conduit immobilized with 'brackbts? Yes Non Was proce - dure - given personnel? roper rsand, p ' 'hange Was LIL 30-0 compliance explained to owner or manager? Yes Non Are all protective covers present on nozzles? .-Gas shuts down upon system activation? NA[j Yes No 971550REU-in-the properposition? Yes Does system have adequate volume and/or nozzle coverage? Yes Are all appliances inside of the hood protection area? Yeg Was system operationa-Iftorn"terminal link? Yes Was system operational fro YesF-1 Was system and,micro swit h rational? NA Yes Is system visible and free f bstruction? e n Is the inspectionand , ry 17 Yes Yes.2 No Electric power shuts down upon system activation? NAE] Yes No Ej No El Range hood tied to building alarm panel? NAE] Yes NoF No �F-j Range hood activation signal received at building alarm panel? NAD Yes Ej No r-� Class K extingui sher I presen - t? Yes Noo : Grease buildup in group: No F� Light— Medium— Heavy, recommend cleaning No Fj- _Datie�qtlasl cleaning - No E] - Are cleaning intervals within NFPA standards? I I . . . - - - - Yes Ej No No P r e viou s Co n fid an ce Test Com paKy & Technician Elm MEN ism Problems Found: (if additional room is needed, please add a separate sheet) Customer has declined repairs X Corrections Made: Date Corrected: Corrected By: -A!57. 4XtL&-,ne: - SFD Certification Number: 6 7 00 L This certifies that this fire qag4oseatety syste Das been properly inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies noteclandh �blfen rogp.0 to the building Owner/Responsible Person for corrective action. -0940 Signature of Tester: "e Phone # (206)726 Testing Agency: R&TT[6od;ihdV-ucnerv!ces, Inc. MailingAddress: 6100 12th Ave. S., Seattle, WA98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately intended use. 9. A record of the 610 hl s is to be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person perform required. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE -r- FIRE DEPARTMENT COPY ; Certification Given: RED[:] YELLOWrVt WHITEE]l COMPLETE L-NL FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD R AAA" High Pressure Hood Cleaning — SYSTEM TEST REPORT aTHood and Duct Services, Inc. Fire Suppression Installation & Service FCONFIDENCE TEST NQ REPAIRS El Fire Extinguisher Sales & Service 6100 12th Ave. S. Phone (206) 726-0940 P nge Hood and Fan Service & Repair 'a Seattle, W'A 98108 Fax (206) 767-2607 Filter Sales & Service DATE: Occupancy Name: S Occupancy Address: -Sc) Q iM CA V�.A � Vics-111 W (AhA —7—'4 Responsible Person: Ckj-.A Building Owner: Building Owner Address: Testers Name (Please Print): Cjo\,ic3\-je.Y' System Alarm? Yes X No[-] Central station monitoring? Yes X No Control Panel manufacturer: Model Number— P17e-4r- Extinguishing System Manufacturer P\\AS\31 S,stem' —S-' U. L. kc Location / Height of Range hood: City, State, Zip: Phone Number: Phone Number: S City, State, Zip: SFD Certification Number: scp- C, - 01 S (19 Monitoring company name: (N��Lpa ON-e43, N 1;140-, Location of Alarm Panel:AZ 6n VA-n---n I !rN6w5Z System? Ye-XwoEl U.L. 300 Compliant? Yes E] No X Chemical Type: Wet K Dry[] s pressure gauge indica�to�-,indoe.rable.range? No L3 12 year hydro date of cylinder. - Is there chemical inside of the cylinder? ­ Yes?,Non W hand,portableigxtinguishers properly serviced? NAO Tkire full Yes Yes E] NoU No E?S. Wei h 0" nk' 9 C 2-or rogen1cartridge._, were all cooking surfaces protected? If not, give owner No visible signs of a system fire or system tampering (if signs check no). g, nd conduit. Are a I piping and conduit immobilized with Check all pipin A Yes[Z Yes No F-1 No information. Was o erating procedure verbally given to restaurant personnel? __p Yes_U No [D proper hangers and brackets?, -- ----- Was UL 300 compliance explained to owner or manager? Yes L& No E] Are all protective covers present on nozzles? Yes [Z No uts upon system activation?'--- ---das-s-6 clown NA No �op�r position? Are all nozzles -checked in,thpjp- YesM_ NoN Electric power shuts down upon system activation? NA Yes NoF Does system have adequate volume and/or nozzle coverage? Yes [W No E] L., Range hood tied t building alarm panel?, NA F-1 ye s2, No Are all appliances.intide of'the'hood protection area? YesE2___Nq[]__' Range hood activation signal received at building alarm panel? NA Yes 2 No Ej -No[:)- Have fuse links been r eplaced? Yes EZ No F� extin guisher p resent? Was system operitional4rom,termihal link? -,-.Yes,[Z_ Grease builtp in group: Was system operational from manual remote? Yes 2 No E] Medium— Heavy, recommend cleaning Was system and micro jWitch o rational? NA pe - ----- Is system visible and free from obstruction? Yes M Yes No r! No Dateof last cleaning A Z- - Are cleaning intervals within NFPA standards'? Yes 25 No EJ Is the inspection and servic e-tag on the cylinder9 Yes NOM Previous Confidence Test C o mpan y iCT"c niicianp"� T t r I t I F- L vl— J -- - - H11- 4 7", Corrections Made: Dat C cted: Corrected By: N — SFD Certification Number: I . 'V E!, -Wp, . , G-L awa, V\.AG kA v ]ll <5 u This certifies that thispb-,and life safety system been properly inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepan es are "t Ind haye b en g rt d t Responsible Person for corrective action. Signature c - - - � 16., A., �ng Owner/ Phone # — (206) 726-0940 Testing Agency: —R&Y Hood and Duct Sei�lces, Inc. Mailing Address: 6100 12th Ave. S., Seattle, WA 98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monthly inspections is to be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing the inspection and any corrections required. 4. Observe system, checking that no obvious physical damage or condition exists thnt minht nrpvpnt nnprntinn AUTHORIZED Certification Given: REDO YELLOWM COMPLETE I FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD R AAA" High Pressure Hood Cleaning SYSTEM TEST REPORT &THood and Duct Seirvices, Inc. Fire Suppression Installation & Service FCONFIDENCE TESTM RE Fire Extinguisher Sales & Service 6100 12th Ave. S. Phone (206) 726-0940 Range Hood and Fan Service & Repair Seattle,WA 98108 Fax (206) 767-2607 Filter Sales & Service DATE: 101 10111— Occupancy Name: Y-1 ry-�t -e, Occupancy Address: 1A00 Responsible Person: Gm� Building Owner: Building Owner Address: Testers Name (Please Print): SystemAlarm? Yesf& NoE] Central station monitoring? Yes& NoE] Control Panel manufacturer: Model Number — Extinguishing System Manufacturer Location / Height of Range hood: City, State, Zip: Phone Number: Phone Number: �=M� City, State, Zip: SIFID Certification Number: scp- ItA-M&15 Monitoring company name: Location of Alarm Panel: *15Vo El I.I.L. 300 Compliant? Yes E] NoN Chemical Type: wetNDry El U.L. 300 System? Yes ls�pressurk�gqqge�incli6atorin operable range? YeZJA No, 12 year hydro date of cylinder. 04 x — Is there chemical inside of the cylinder? �N Yes NAO. No F-1 �Viere.hand pqirta�bleextingqi�hers properly serviced? Were If not, owner full ---Y, Ye- (NL�,j Yes& - NoO d 9 (.j2';o'r'nitrogpn cartri ge. all cooking surfaces protected? give No visible signs of a system fire or system tampering (if signs check no). YesjS Che6k.'ail,pipinig' aindcon,cluit Are all piping and conduit immobilized with Yes`E� No 1144 information. P Was operating procedure verbally given to restaurantpersonne . YbsN NOE] 'pro I pjar-hangers-and brackets? Was UL 300 compliance explained to owner or manager? YesSQ N o F-1 Are all protective covers present on nozzles? Yes& Noo wo Gas shuts down uDon systern activation? A0­_ Electric down NAF-1 *�� Ye�gr Noo.j No El Arel�all-,nozzles�checkecl.in theproper position? Yes& power shuts upon system activation? Does system have adequate volume and/or nozzle coverage? Yes 0 No a NAF 0�rig -hoo6-tied-to--,-bUi'ldin-g-plaCr'm*p-an--e-l?- (espK No A , relail�appliances�inside�ofthe, hood protection.area? Ye§SL No Range hood activation signal received at building alarm panel? NA YesM No E] Have fuse links been replaced? Ye SN& NoF Class K extinguisher present? Yes*F,] _ No0_1 Was systemoperational from terminal link?_ Yek -NoE] Grease b4jidup in group: Medium Heavy, Was system operational from manual remote? Yes No recommend cleaning W4-.'system'6T-0,-T- icro switch operational? NAn Ye4Mr No last cleaning tar�ds! Is system visible and free from obstruction? Yesj;Q No cleaning intervals within NFPAit!an - - YesN No Ej I - - - -1. - - Is the inspection and service tag on the cylinder9 I Previous Confidence Test CompAny ic an _je9hnican­.------­.-­-- MEN mom I Problems Found: (If additional room is needed, please add a separate sheet) rz\ jkusup Ww\p\-\ I . . - t I A - - --a � Corrections Made: Date Corrected: Corrected By: Customer has declined rep4fqP0­ SFD Certification Number: This certifies that this f e an Ii e 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. Discrepan . e ar ted an ported to the building Owner/Responsible Person for corrective action. Signature of Tester: -UB Phone # (206) 726-0940 Testing Agency: R&T Hood and Duct Services, Inc. MailingAddress: 6100 12th Ave. S., Seattle, WA98108 The owner Is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monthly inspections is to be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing th ninspection and any corE2Aions required. 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE John J. Westfall From: John J. Westfall Sent: Friday, February 03, 2012 8:22 AM To: controller@arniesrestaurant.com' Subject: Arnie's Edmonds Occupant Load Breakout Attachments: 20120203081329.pdf Dana: I've identified the break out for the Edmonds' Arnie's occupant load in the electronic attachment. With this you may finalize your cable company contract. Please follow directions in mailed annual bill from City of Edmonds and I'll send a hard copy to Fran for posting. Let me know if I can be of further assistance. John I Westfall Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile FIRE,, DISTRWT 1 APPLICATION FOR PERMIT FOR MATERIALS OR PROCES ECE March 7, 2011 MAR 2 PA/ Please verify and correct the following information: EDm ONDS EPT. Name of Company; DBA Arnie's At The Landing Edmonds Location 300 Admiral Way In conformity with the terms of Places of Assembly - Occupant Load: 202 the International Fire Code, application is hereby made to store, use or maintain the -following activity, storage or processes: Mailing Address: Arnie's Restaurant N. W., Inc. 714 Second St Mukilteo WA 98257 EFID UFIR 1612020113201 (for office use) Your Signature Your Name (print) Your Titie Please make corrections, attach $40 payable to the City of Edmonds, and mail to: Fire Marshal Department of Fire Prevention th 121-5 Avenue North Edmonds, WA 98020 CITY OF EDMONDS DEPARTMENT OF FIRE PREVENTION PERMIT January 1, 2011 161-202-01 B-201 December 31, 2011 Date of Issue UFIR Number Date of Expiration I This PERMIT is issued to: I Arnie's At The Landing [ located at: 1300 Admiral Way - I Edmonds, WA I I To engage in the business, occupation or pr cess of: I I 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: Places of Assembly - Occupant Load: 202 I Allowed Occupant Load: 1 20 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. Firi De This Permit Must Be Posted At All Times in The Premises Identified Above City of Edmonds Community Development Code 19.25.020 R AAA" aTHood and Duct Services, Inc. 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 Occupancy Name: — Occupancy Address: Responsible Person: Building Owner: — Building Owner Address: Testers Name (Please Print): VNJ�a� V\CTW ns System Alarm? Y-s's, No M Central station monitoring? Yes`&, No E] Monitoring company name: Control Panel manufacturer: Model Number: Location of Alarm U.L. 300 System? Ye3'�No El U.L. 300 Compliant? Yes El N.'CSI Chemical Type: W.r&,Dy El COMPLETE FIRE PROTECTION High Pressure Hood Cleaning Fire Suppression Installation & Service Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service Certification Given: REDE] YELLO WHITEEJ] CONFIDENCE TESTING RhAGEHOOD SYSTEM TEST REPORT City,State,Zip: Phone Number: U2L I CONFIDENCE TEST N REPAIRS I I I Extinguishing System Manufacturer Phone Number: City, State, Zip: SFD Certification Number: Location / Height of Range hood: QNACX-- V-VWN. C) I og Islare es�sure qa-u:g­e:tn—qicjt& �io-eratiiea� 12 year hydro date of cylinder. Is there chemical inside of the cylinder? Yesl�Q NoF-1 WerehandpprAt xtinguishers pop d rviced? N AD _Yes' 7, ,W-66�:Cqq --- . _ P!t-e_ —_L-e_ys_e__ _5,--No.0 ME] were all cooking surfaces protected? If not, give owner full Yes'&, NoM No visible signs of a system fire or system tampering (if signs check no). Yes No F-1 information. W ti procedure verbally given to restaurant personne . Ye s& Noo.; Check all �piping, andcon"duit."Arig all piping and conduit immobilized with, YesS No 0 as opera. ing proper hangeirsAqd_Prqpkats�? Was UL 300 compliance explained to owner or manager? Yes`f�j, No Are all protective covers present on nozzles? as No Gas shuts down upon system activation? NA Ej No 0 Are all nozzles checkedin the prope�position? No F� Electric power shuts down upon system activation? NAn YW No Does system have adequate volume and/or nozzle coverage? Ye sN No E:) Range hood tied to building alarm panel? 1,140 _yd&TV No,13 Are all appliances inside of the hood protection area? s sz 0 Range hood activation signal received at building alarm panel? NAD YJ _T!Z No E] Have fuse links been replaced? YesS, No Class K extinguisher present? s No wa�s- Grease buildup in group: systern cippratio'nal from terminal link? YeST!�— 0 Was system operational from manual remote? YesT& No F] Light Medium Heavy recommend cleaning sy�t�T- and -micro -switch- opo-, ratio-nal?- Dat_ of fast cleari6g:3 ygoW, N F — !:�a-q -- � .-- - - L Is system visible' and free from obstruction? Yes n, _ NoF -No Are cleaning intervals within NFPA standards'? �es� Q nspectiq�� an P - C infidence Test Company 171. 's rvice,ta onthec irlder7 Ye N eVOu &T h - , I .- . Is the i _j Launician =I _q_se�_.g __yjL MEMO NO M M I MMMIN =III M M WIN T L R wal; 195 �40 I FNTRIIWIMR , NWTSINTRIMO %WWRINS Corrections Made: Date Corrected: Corrected By: Customer has declined repairs X SFD Certification Number: This certifies that this fire and life safety s t h been properly inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepantadh rted hav een reported to the building Owner/Responsible Person for corrective action. Signature of Tester: 16 A/ ; Phone # (206) 726-0940 Testing Agency: Ft&rHobd and Duct Services, Inc. MailingAddress: 610012thAve.S.,Seaftle,WA98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately intended use. 9. A record of the monthly inspections is to be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person grformi the inspection a ny correctigns required. 4. Observe system, checking that no obvious physical damage or condition exists I that might prevent operation. AUTHORIZ 6 � 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATUR FIRE DEPARTMENT COPY R AAA" &THood and Duct Services, Inc. 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 Occupancy Name: - Occupancy Address: Responsible Person: Building Owner: COMPLETE Certification Given: REDD YELLOW E?I' WHITE[—] FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TE5T REPORT Fire Suppression Installation & Service CONFIDENCE TEST Z" RE�PAIRSEJ Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service DATE: 0 Building Owner Address: Testers Name (Please Print): re,10'r- System Alarm? Yes 2r No El Central station monitoring? WV Non Control Panel manufacturer: Model N mber: I Extinguishing Sys I tem Me n - uf acturer System 5' Tom, t; Location / Height of Range hood: F. W CL I ow " A -w Phone Number: City, State, Zip: SFD Certification Number: SC12-:�R1.2- Monitoring company name: Location of Alarm Panel: 10`75-e-li, /-0oA4 System? Yes ��N._E3 I.I.L. 300- Compliant? Yes E'] No 2r, Chernical-Type: Wet ;'is pre IVA s essurp-g aug �in Y U_ qr�� ,e Is there chemical inside of the cylinder? s es s Y Ej 12 year hydro date of cylinder. oil —Yes No-D d p edlij:_ NA _pqable extingui Weigh CO2 or nft�ogen cartridge. NA 0-.-, �7L Were all cooking surfaces protected? If not, give owner full Yes Ej No C�� _ _ _ _ __ __ __ ___ _ __ _ No visible signs of a system fire or system tampering (if signs check no) �cqriduit. Yes1?r1­No`_[j information. W as operating procedure verbally givento restaurant personnel? Yes []�r N om h k all Are all,piping and conduit immobi ized with C e-c 11 , -,,piping, and brackets? Yes No Ej Was UL 300 compliance explained to owner or manager? _ s F Ye !1' No pro erhangers�and Are Yes [!I�Nlo --t- __NA Gas down ion? Yes E�r n all protective covers present on nozzles? Are all nozzles checked in the proper position? shuts uponsystem active Electric power shuts down upon system activation? NAF -1 No Yes ET' No F1 Yes No r3o, Does system have adequate volume and/or nozzle coverage-? No ]eo_ -Rangehood bed-to-bul-lifing a- larmpariel_? Yes NAD� Yes Ee No[:] Are all appliances -inside of the hood protection area? Yes No Range hood activation signal received at building alarm panel? NAO Yv%kr No E] Have fuse links been replaced? Yes No F-1 Class K a - x - tingui - sher present? Yes C�!'No El Was system operational from terminal link? _jo Grease b 'Id !!2"g'oup: Was system operational from manual remote? Yes E�i" Nor-i Light M c1iva__.,_j eavy, recommend cleaning - - --------- D t, of lastcleaning- 0 e let4i stem icro switch operational? NA No __a ------ ____Yqs [ � �EL__ Is system visible and free from obstruction? Yes E�� No[] Are cleaning intervals within NFPA standards? e+ --Y.—s f -Yes __NoQ Is t-he-ins-p-e-ic6io rjaqd s�ryicqjag on the cylinder? [;?o'N_o Previous Confidence Test CompanyA _jqq!jq19ian MEMO 01M M M=MMMMKM Problems Found: (if additional room is needed, pleas ddaseparate h t) A�irce_prt lkew�fe, soml� cDve 0-Vey Aro a, L 30 0 t- e_� q ke,,5 _,tl ;�o 7) iffoxtle-, coomenteg 7to JoWilpf-gs.5ate, _P.V1 ­2Af) ­&-. . - - - +_ A 1. - - - L . -1 .1.. , - .. I fl - � _F_- el ; . -0, Corrections Made: Date Corrected: Corrected By: Customer has declined repairs X SFD Certification Number: This certifies that this fire n ife safqti� system h been perly inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepande &aed ah e beerepok e building Owner/Responsible Person for corrective action. Signature of Tester: )15'1� I Phone # (206) 726-0940 Testing Agency: R&T Hood and McA%emrvicies, Inc. MailingAddress: 610012thAve.S..Seaftle,WA98108 The owner is to perform and keep a written record of the following "quick check" fire system inspection to verity the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the monthly irlspectip� to be k6pt'reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing t re 4. Observe system, checking that no obvious physical damage or condition exists that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE FIRE DEPARTMENT COPY COMPLETE Certification Given: RED[] YELLOW M�" WHITE[:] FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD R High Pressure Hood Cleaning — SYSTEM TEST REPORT &THood and Duct Services, Inc. Fire Suppi-ession Installation & Service FCONFIDENCE TEST [:?- REPAIRS Fire Extinguisher Sales & Service 6100 12th Ave. S. Phone (206) 726-0940 Range Hood and Fan Service & Repair Seattle,WA 98108 Fax (206) 767-2607 Filter Sales & Service DATE: 0 Occupancy N me: Ar 14 Tf!�,5 A Occupancy A:dress: DO AJ M."r CL I WV City, State, Zip: W R62 0 Responsible Person: Phone Number: Lif -7 1 — 5b F 8' Building Owner: Phone Number: Building Owner Address: o­ City, State, Zip: Testers Name (Please Print): I fd;;�7— V, lkn SIFD Certification Nurnber:* SCP- System Alarm? Yes El Central station monitoring? Yes F� NoE] Monitoring company name: Control Panel manufacturer: o a umber: Location of Alarm Panel: Gfj1;r/-,9-eV' kfil� Extinguishing System ManufacturerA'145K Pystem Si3frek"I 116P 306 System? Yes No E] U.L. 300 Compliant? Yes No 0' Chemical Type: WetEKEJ Location / Height of Range hood: h I/ X A, pressure �gauga indicator in erab ble range? 1% t10 12 year hydro date of cylinder. 0 Is there chemical inside of the cylinder? es No ere hand p n I I serviced? __We� -_ortable-exti gu_ishers_p opery Weigh CO2 or nitrogen cartridge NAO Were all cooking surfaces protected? If not, give owner full Yes No No visible signs of a system fire or system tampering (if 0, signs check no). Yes No [j informati . on. ------------- -------- Check all pipihg�and conduit. Are all piping and conduit immobilized with Yes Nof ___kas o erating procedure verbally given to restaurant personnel? p Yes No ,proper hangers and brackets? Was UL 300 compliance explained to owner or manager? Yes No E] Are all protective covers present on nozzles? Yes [:�--No F-1 Gas shuts down upon s stem activation? NAD Yesr-j� o N Are all nozzles checked in the proper "o ition?_ YeSD -No[;�-� Electric power shuts down upon system activation? NAD Y^9 Vj No F-1 Does system have adequate volume and/or nozzle coverage? Yes No IF�Ne hood tied tcobuilding alarm,panel?_ NA El YeAF ff NoE] re a[ A I appliances inside of the hood protection area? Yes No Range hood activation signal received at building alarm panel? NA El Ye No AEr El Have fuse links been replaced? Yes2NoF-j —Plass K extinguisher pireserit? [�' I- Was system operati on al f rom terming I link? Gre ase buildup in group: -Yes _No-[:].,.-. Was system operational from manual remote? Yes E?- No El Light Medium— Heavy, recommend cleaning systgaland micro switch operational? NA - Yi99 No D ale of last cleaning Is system visible and free from obstruction? ' th- Is a inspection and service tag_qn the cylinder? Yes No s Are cleaning intervals within NFPA standards? Yes F-1 No Previous ConfidenceTes Company & MEN 0 MEN SON MEN SON M= 5. MEN IN smom N MEN MIN 0 MEN IN ON MIEN! N INEENNINEE No 0 Emommmmmmmmm LOSS SOON Nis 0 N MEMMMOMEMM�m MINES Problems Found: (if additional room.is needed, plege Add a separates r.t5vv k W MLVffV&rd 11,691, W101 N IVVWMT�W I r-M mi --- Corrections Made: Date Corrected: Corrected By: Customer has declined SFD Certification Number: A This certifies that this fire and life afe syyem has been p ped d for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies aA nopaind hr be re orteUt. the Efuilding Owi3er/Responsible Person for corrective action. 0 Signature of Tester: I \) L--/ I . ArIA& Phone # (206) 726-0940 Testing Agency: RVII�Wcrand DFuct Sertigs, Inc. MailingAddress: 6100 12th Ave. S., Seattle, WA98108 The owner Is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1. The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, appropriate corrective action shall be taken immediately. intended use. 9. A record of the mont�ly inspe�tions is t be kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing We Inspection Vdjtnv corrections required. 4. Observe system, checking that no obvious physical damage or condition exists I that might prevent operation. AIUTHOR[ZkD ILA 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURVIt-, --L�y A FIRE DEPARTMENT COPY