307 BELL ST STE 101_1I,,
30. Out' S:-r 101 FIRE PREVENTION
INSPECTION REPORT
S�rving Brier, Edmoitua, 12425 Meridian Ave S
SNOHOA11SH CO. 11 0 EDMONDS
Mountlake Terrace Everett, WA 98208
0 BRIER
F1 Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
DISTR www.FireDistrictl.o Fax (425) 551-1272
rg
E UE sTTPE��
LOCATION: 222 Bell Street 98020 XnnauaTcy
BUSINESS NAME: PHONE: SCHEDULED Sep 2016
DATE DUE II'
4ZU
MAILING 307 Bell Street, Suite 101, Edmonds, WA 98020 LIFIR 0
ADDRESS:
Spee, Douglas
ESS OWNER:
BUSIN HOME PHONE:
_"N
EMERGENCY- 1: r�. AJA,.S HOME PHONE14- 513?w T798 CURRENT
YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
EMAIL: eA wwM_j �. 2.0-zC;, .,A,( C�0(__ LICENSE
PERSON CONTACTED: Spef" INITIAL INSPECTION DATE
NAME OF INSPECTOR:
�-IKLbYbItM.5: AS716FA716FE711.6[AS8/16
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
te-
00 "24-*-4 t40+1rj S
2 2
3
4
5
6
-7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 St RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION VIOLATIONS
DATE DUE.
DATE DUE.
GRANTEDTO DATE DUE, CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED -
INSPECTOR
INSPECTOR:
INSPECTOR: 2
DATE:
DATE,
DATE: 3
VIOLATIONS
VIOLATIONS
PRE -CITATION CITATION ISSUED
5
1 5
LETTER SENT NUMBER 4
CODE 5
2 6
2 6
DATE SECTION'
RETURN RECEIPT
7
3 7
RECEIVED 6
DISPOSITION'
7
4 �8
DATE:
LETTER NEEDED YES NO
LETTER' NEEDED [] YES NO-
8
FIREPREVENTION
ServingBrier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
SN011ON11SH CO
f3.EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE )551 0 MOUNTLAKE TERRACE
I Phone (425 -1200 0 UNINCORPORATED
DIST R T www.FireDistrictl.,Org Fax (425) 551-1272
LOCATION: 307 Bell Street Suite 102 98020
BUSINESS NAME: Masssage & Body Work PHONE: 2064128812
MAILING 307 Bell Street, Suite 102, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: HOME PHONE:
DadGR—,BFenda Oe-jiCe
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE: 4Z5 -?q 1 (.513
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
;Yb 1 EM15: FE
Date Last Serviced:
ff%ENCY STYfh& SHIF"'
—70T
SCHEDULED Sep
DATE DUE 0
I U
FIR
CURRENT
CITY YES NO
BUSINESS V1
LICENSE XL-j
INITIAL INSPECTION DATE
Serving Brier, Edinond
SN0110
Mountlake Terrace
TIRE,
ST0 T www.Fir�Districtl.org
LOCATION: 307 Bell Street Suite 104 98020
. . BUSINESS NAME: One'O' Seven Condos
FIRE PREVENTION
and 12425 Meridian Ave S
INSPECTION REPORT
.-A— EDMONDS
Everett, WA 98208
OBRIER -
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
0 UNINCORPORATED,
Fax (425) 551-1272
MAILING 307 Bell Street, Suite 104, Edmonds, WA 98020
ADDRESS�
BUSINESS OWNER:
EMERGENCY-1: Schwind.., Denice
KEY ACCESS -2-
EMAIL: Del")
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: AS-I-V42MIFA -9144 FIE I_lk_ 12:00:00 AM
Date Last Serviced: cl/14,v-�-It,/
4259673877
=8111:1
HOME PHONE:
4252816959
HOME PHONE: L"'R(111 3171)
HOME PHONE:
REnQuE sTjrf
n aycy I _�& SHIF'*�
SCHEDULED Sep 2016
DATE DUE �
4ZZ
UFIR
CURRENT
CITY YE("
BUSINESS
LICENSE
INITIAL INSPECTION DATE
L
WE*
FIRE'PREVENTION
SNOHOINTISH CO. Serving Brier, Edihonds, and
Mountlake Terrace
FI
DUSTL 'IT ww-w. FireDistrict]. org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
INSPECTION REPORT
EDMONDS
14 BRIER
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
LOCATION: 307 Bell Street Bldg 98020
XEQUE
n nu aTCY
SHIFT
STyJp
Bel Air Building
BUSINESS NAME:
4256408000
PHONE:
SCHEDULED Sep 2016
DATE DUE
MAILING 307 Bell Street, Bldg, Edmonds, WA 98020
t)UU
LIFIR
ADDRESS:
BUSINESS OWNER:
HOME PHONE:.
EMERGENCY-1: �;pee
HOME PHONE: 2oG-'7)9 LlIV4 CURRENT
KEY ACCESS-2:
Pee 'e"N 'C.'
HOME PHONE:
CITY - YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED: _7& k, \-j r�' ICA
INITIAL INSPECTION DATE
NAME OF INSPECTOR: ye I � C1
--Z
FIKI=,5YbILMb: AS,7/15FA4/15FE4/15 12:00:OOAM
Date Last Serviced: q I I � V" %/ lt� V-*'l /I f.
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SNOHOMISH CO,
FIRE
DIST:
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION: 307 Bell Street Bldg 98020
BUSINESS NAME: Bel Air Building
MAILING
ADDRESS: 307 Bell Street, Bldg, Edmonds, WA 98020
BUSINESS OWNER:
.EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: 4 e /2-
FIRE SYSTEMS: FE 10/14
nnta I met _CZorvii-nri-
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4256408000
HOME PHONE:
HOME PHONE:
HOME PHONE:
//" e_
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
OBRIER
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY I STATION 1, SHIFT
Annual 17-A
SCHEDULED
DATE DUE 0 Sep 2015
UFIR 0 509
CURRENT
CITY
YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
10 / go
//�;—
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 S
2
3
3
4
5
5
6
6
7
7
I 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, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
dn Ave S JNSPECTION REPORT
SNOHOMISH CO. Serving Briei: Edmonds, and 12425 A116-idi 0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE" 0 MOUNTLAKE TERRACE
Phone (425) 551-1200 0 UNINCORPORATED
DISTR T wwwFireDistrictl.org Fax (425) 551-1272
0' FREQUENCY STATION & SHIFF)
LOCATION: 307 aell Street Bid.q Q,902D 17-.D
SCHEDULED
BUSINESS NAME: Bd Air BuildIrIq PHONE: 42SE408'30C DATE DUE 0 Sep 2014
MAILING FR, 0 L94
ADDRESS: 307 Bell SLrccl., Bldg, Edmandzi, WA 0810,20
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1:
HOME PHONE:
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY ,
YES NO
EMAIL:
BUSI'NE$S
LICENSE
PERSON CONTACTED:
A 46
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FE/
_0 I_Lf�
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
zo 1-.4
2
2
3
3
4
4
5
5
6
6
7
I AGREE.TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
_ I
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
RECEIVED
6
DISPOSITION:
7
14
18
4
8
DATE:
LETTER NEEDED E] YES [_1 NO
LETTER NEEDED F] YES NO
I
1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
FIRE
J,
'Everett, WA 98208
DEDMONDS
0 BRIER
the Town of Woodway
DISTRI
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
,1f,T www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIF'*1
LOCATION: 307 Bell St
365
17 6
I
BUSINESS NAME: Sel Air Building
PHONE: 4256408000
SCHEDULED
DATE DUE 09/ 01112
MAILING
LIFIR � 509 4239,202
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1: Spee, Douglas
HOME PHONE: 2065464496
CURRENT
KEY ACCESS-2: -1 10\ 1A,%,\1A
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:. t, � e
INITIAL INSPECTION DATE
NAME OF INSPECTOR: ( 0, 1 \ C,
onca
FIRE FA 4/11 AS 4/11 Fb LkBx(2)
__j
FE
SYSTEMS: k— lk
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
1 VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
6
3
7
3
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El NO
LETTER NEEDED [:] YES El NO
8
FIRE DEPARTMENT COPY
ININ
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From:
17
04/15/2011 13:42 #258 P.001/005
Date:
FIRE PROTECTION
TRANSMITTAL
4/15/2011 Time: 2:41 PM
To.- Fire Prevention From: Matthew
Company: Snohomish Co. Fire District I
Fax No.: 425-775-7721
Telephone: 425-775-7720
Project: Be] Aire Apartments (307 Bell Street, Edmonds)
RE: Confidence Tests Pages: 5 (including coversheet)
0 Urgent 1 0 For Review 0 Please Comment 0 Please Reply
0
18621 SE May Valley Road 425-271-5598 State Contractor's License
Issaquah, WA 98027 Fax: 425-271-5506 # MOOREFP I 16NP
1111111111b� - 11=11F. MV We Talmsm- . 01
From
04/15/2011 13:42 #25B P.002/005
Snohomish County Fire Dist. 1
Confidence Test Report
425-775-7720
425-776-7721 (fax)
www,firedistrictl.org
SPRINKLER - DRY SYSTEM
Certification Given
(One System per Report)
RED
YELLOW C3
1 WHITE 0"'
CONFIDENCE TEST C3 1 REPAIRS 13
Occupancy Address: 307 Bell Street, Edmonds
Occupancy Name: Bel Aire Apartments
Responsible Person
First & Last Name: Doug Spee
Phone Number: 206-284-7733
Responsible Person
Address, City, State, Zip: 307 Bell St. Edmonds 98020
Responsible Party
E—Mail Address
Date of Inspection:
Inspection Annual
Frequency/Type.
Testers Name
(Please Print): Don Barber
NICET IT Certification
Number: 130510
Identification
Number: ISTMA 30510
System Location:
Central station monitoring? Yes Or" No 0
Monitoring Required? Yes No C3
System Make: i
Monitoring -6,35 : �6 `6 1 -3 Z
Company Name: 3L 31q(-
System Model:
SEATTLE FIRE CODE VIOLATIONs FOUND: (if additional room is needed, please add a separate sheet)
C2-(t
CORRECTIONS MADE: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and Is consistent with Seattle Fire
Tve brn repo
discrepancies are noted and " ried to the building
Department Fire Code standards, and that
Owner/Manager for corrective action.
Signature of Tester:
Phone# 425-271-5598
Building Representative (signature)
Sprinklers - Dry Q_/ Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting
and testing requirements.
General
1.
Trip test conducted?
Yes
No 173
PCIP
System p in:, - s rids'.
p
7 77:
3.
Main Drain and Inspector's Drain flow test conducted?
Yes
No
4 re:., W__p S
5.
Number of Sprinkler Heads?
ran,
7.
Flow switches, supervisory switches and alarm bells tested?
N/A 0
Yes
No
Alari
VA. f
NOM
9.
Air compressor refills system in 30 minutes or less?
Yes
No
Heat -a ift�ukibb- §ted:on -a d -'�d I qe system�?_,' ' '
'd e V i c"e's �le 0iman' eu
t-
..'I:N/,A
11.
System inspected and lubricated?
Yes
No
IV6'� at e `�eal Od&,1$U �0�
13.
_peryise
Signs are provided on valves?
Yes
No
,14...',
Pu imsia KA:'Uhdbs"� �:d *ah rep,
0 n lap e a'
c hriectii JO y T.,
Y
15.
Sprinkler heads replaced or successfully sample tested in last 10 years?
Yes
No
Date or last test:
46
cov-e .'"" j:__
Sblrihkl�'f ragels,acceO�
YeSTT
:N6
17.
Proper number of spare sprinkler heads available with appropriate wrench for
Yes
No
each?
_"Sy5t10m-"Jeft
ih.service?
Ye�.4
_No
19.
System gauges replaced or calibrated within the last 5 years?
Yes
No
Yearchanged:
prfosi ysiica.,... amaqe.:.
n.
Okler heads -free pfo ton,'-.p ph d.
r es.. -
21.
System drained and restored to normal operation?
Ye!
22-.,- -'-�'-.-'Was.Adbris:f6Urid-
in: the -Fi�e, De ' rtment' nhection 00
pa..
Y S" -
Tq�
0
23.
Was the Fire Department Connection (FDC) back flushed in the last 5 years?
Yes
No
Date of last back flush
-i5 Te , c . eivdd "th monp.
a- h _Wd�q
7'.
25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag. Yes No
(Ref: NFPA 25 5.2.7)
26. Was an internal pipe and valve inspection performed within the last 5 years? Date Yes N o
Performed
Sprinklers - Dry
Page 2 of 2
900/COO'd 99Z# cl7:cl 1.1oz/91./170
Ujoi j
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From
04/15/2011 13:45 #258 P.004/005
i
ffb2rRE
lFnq]FR?E R07111EC-n[211N
18621 SE May Valley Road, Issaquah, WA 98027
425-271-5598 (Office) 425-271-5506 (Fax)
Snohomish County Fire Dist. 1
Confidence Test Report
425-775-7720
425-775-7721 (fax)
www.firedistrictl.org
SPRINKLER — WET SYSTEM
Certification Given
RED
YELLOW
WHITE
(One System per Report)
CONFIDENCE TEST 0 1 REPAIRS 10
Occupancy Address: 307 Bell Street, Edmonds
Occupancy Name: Bel Aire Apartments
Responsible Person
First & Last Name: Doug Spee
Phone Number: 206-284-7733
Responsible Person
Address, City, State, Zip: 307 Bell St. Edmonds 98020
Responsible Party
E—Mail Address
Date of Inspection:
Inspection Annual
Frequency/Type.
Testers Name
(Please Print): Don Barber
SFD Certification
Number: S C P- �0 tTo
Identification
Number: ISTM-130510
System Location:
11'-& -'.
Central station monitoring? Yes 9-1, ' No 0
Monitoring Required? Yes M/ No 13
Monitoring oi53�
Company Name: �/- -Ny (
-System Make:
System Model: ZCY-7�
SEATTLE FIRE CODE VIOLATIONs FOUND: (If additional room is needed, please add a separate sheet)
&2.qe_'
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report ar)&,is consistent with Seattle Fire
Department Fire Code standards, and that
discrepancies are noted ari�d n orted to the building
[ � a v eke,
Owner/Manager for corrective action.
Signature of Tester: UZI(
Phone # 425-271-5598
Building Representative (signature)
Sprinklers - Wet
Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting
and testing requirements.
General
2. Static pressure: -(10—p-s.i. Flow pressure: i(20 P.S.i.
�-4. 2-inch drain?
16. Pressure regulating valves tested?
8. System inspected,and lubricated?
110. Signs are provided on valves?
112. Sprinkler coverage is acceptable?
Other C3 Yes M"� No C3
Yes No
Yes No
Yes No
14. Proper number of spare sprinkler heads available with appropriate wrenches
Yes
for each?
16. System gauges replaced or calibrated within the last 5 years?
Ell"
Yes
Yearchanged:"
1 A-p.r.L.
4 Sp
...
a age.,
18. Was debris found in the Fire Department Connection (FDC)? Yes
7,15K
No
No
77- "-77777.
777" 7
20. Was an internal pipe and valve inspection performed within the last 5 years? Ye s TI/ Y No 0/
Date Performed
`z
-Y
es^
:04
it� 4i ili�e'hyd r--PUj'K'�'b J.16'z;ih�talled,
e
yo
22. Was a signal received at the Central Station monitoring N/A Yes No
company?
Sprinklers - Wet
900/900'd 89Z# gv:cl. LLOVSL/Vo
Page 2 of 2
: Uj0j j
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MEM-0 - MAIN STIAr -M
MA7"r-Xz-=- 4111501 tine i �suirme _1 H 4=1 4§111115110 1 - a I
From
0111012011 14:32 #071 P.001/002
Snohomish County Fire Dist. 1
Confidence Test Report
425-775-7720
425-775-7721 (fax)
www.firedistrictl.org
SPRINKLER — WET SYSTEM
Certification Given
(One System per Report)
RED C3
1 YELLOW 0
1 WHITE 0
CONFIDENCETEST I C31 REPAIRS 1 C3
Occupancy Address: 307 Bell Street, Edmonds
Occupancy Name: Bel Aire Apartments
Responsible Person
First & Last Name: Doug Spee
Phone Number: 206-284-7733
Responsible Person
Address, City, State, Zip: 307 Bell St. Edmonds 98020
Responsible Party
E-Mail Address
Date of Inspection: 1/7/11
Inspection Annual
Frequency/Type:
Testers Name
(Please Print): Don Barber
SFD Certification
Number: SCP_
Identification
Number: ISTM-130510
System Location: Throughout
Central station monitoring? Yes 13 No 13
Monitoring
Monitoring Required? Yes 13 No 0
Company Name: C & R Electric
System Make: Silent Knight
System Model: 5708
Account # 31-3141
1-888-689-9132
SEATTLE FIRE CODE VIOLATIONs FOUND: (if additional room is needed, please add a separate sheet)
1. Gauges need to be changed out.
2. FDC needs backflush.
3. Internal pipe inspection is due.
4. Wet system is not to be flowed directly into garage; need a hose adapter and hose.
CORRECTIONS MADE: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet)
Inspections for backflow, alarm and fire sprinklers to be scheduled in April.
This certifies that this fire and I ' ife safety syste 1has been
properly inspected for reliability to cover the
Items listed in this report and donsiste it eattle Fire Department Fire Code standards, and that
discrepancies are noted and 8v been e or to the building Owner/Manager for corrective action.
C
Signature of Tester:
Phone # 425-271-5598
Building Representative (signature)
Sprinklers - Wet Page I of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting
and testing requirements.
General
ted
"Aci
raiwan - nspec -.,flijw Oc
� g
aip �D r,.S b�rilri ......
2. Static pressure: 5 p.s.i. Flow pressure: 100 p.s.i.
'df_� S
S: 26-
4. 2-inch drain? Other Yes No
6. Pressure regulating valves tested? N/A Yes
No
166
% Xf
8. System inspected and lubricated? Yes
No
U �s d 44; y
!"ry lise
10. Signs are provided on valves? Yes
No
V, P % K6ted 6dJU-t.n-�fr,-Q I' x
C 6
1 &'ipb-Ki5oh nectlohsiahd I va ves-Uno
-0 apperi,
12. Sprinkler coverage is acceptable? Yes No C3
14. Proper number of spare sprinkler heads available with appropriate wrenches Yes No
for each?
'Y
t4ffi� I �,i h
16. System gauges replaced or calibrated within the last 5 years? Yes No
Yearchanged:
IT - bfcorrosion;.,
p jy ica
6,
18. Was debris found in the Fire Department Connection (FDC)? Yes No rx
20. Was an internal pipe and valve inspection performed within the last 5 years? Yes No
Date Performed
Mul
22. Was a signal received at the Central Station monitoring. N/A Yes No
company?
Sprinklers -Wet Page 2 of 2
ZOO/ZOO*d LLO# CUOL ILOZ/OL/10 :W0jj
MMIUM11, U11 - __ M i I 1111MIRM -M
CITY,OF EDMONDS
121_5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4�' t
FIRE PREVENTION
SAFETY.SURVEY
FREQUENCY STATION & SHIFT
LOCATION: 307 Bell St 365 17 D
31
BUSINESS NAME: Bel Air Building PHONE: 4256408000 SCHEDULED og/()1/1()
DATE DUE 10
MAILING UFIR P, 509 4239202
ADDRESS:
BUSINESS OWNER: HOME PHONE:
2065464496
EMERGENCY- 1: Spee, Do.uglas HOME PHONE:
KEY-ACCESS-2: HOME PHONE:
PERSON CONTACTED: too-) INITIAL INSPECTION DATE
NAME OF INSPECTOR: M,
;:Ipr- FA 17/nP J%cZ Q/11117 Fn i iRvoi Fr -
.SYSTEMS: be>
ANNUAL
WARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE Io
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VIOLATION CODE
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FIRE DEPARTMENT COPY
Confidence Testing Company
C & R ElectricF Inc.
919 S.W. 150th St. #A
Surien, WA -98166-182-9
206-937-3654 / 206-932-8538 FAX
. Seattle Fire Department
Confidence Test Report
206-386-1448 Confidence Testing Officer
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
FIRE ALARM SYSTEM
Certification Given
(One System per Report)
RED El
I YELLow El
I WHITE El
CONFIDENCETESTI G I REPAIRS I El
Occupancy Address: 307 Bell St.; Edmonds
Occupancy Name: Bell Air Apartments
Building Owner: Edmonds 2000 LLC
Phone Number: 425-640-8000
Responsible Person:
Phone Number:
Building Owner
Address: 307 Bell St. #101, Edmonds, WA 98020
Date of Inspection:
01/26/10
Inspection Annual G
Frequency/Type: QuarterlyEl (High Rise Only)
Testers Name
SFD Certification
(Please Print): Flwl< &�&,Isal?
Number: SCP- /z-0e4'f/"C)
Central Station Yes G No 0
Monitoring?
Monitoring
Company Name: -N.W. Alarm Monitorinci
System
System Model
Manufacturer: Silent Kniaht
Number: SK-5208
Location of System:
Identification
Number:
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
CORREC-117ONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with 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 # 2— Or— �7s,>—
Testing Agency: �&R Electric, Inc.
Mailing Address: 919 S.W. 150th St. #A, Burien, WA 98166-1829
Building Representative (s ignature�/'
CTF- 0 1 Page I of 2
.The items. on the checklists below shall. be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
Alarm System Functionality
Trouble siqnaLwith AC power off?
Yes No 0
.,System �operates p�o erl on battery, � backup?
Yes
No 0,,_
Battery voltage (qo lload) volts
""Itage ( �ullload)
y"vo gpa operating)
circuit volta e Oq,,,4-q volts
-Charge
`�yster*operates properly on stand 'power?
.;� �teo.
Yes f
_4
No 0
-A signals operate on AC power?
Yes
No 0
Number'of initiating circuits /0,
Number of signal circuits
Does alarm s stem meet audibili standards?
Yes
No,O'
All circuits checked for electrical supervision?
YesV,
No- 0
All,auxiliary_gquipment opgrates (Elevator , fan dampe )?
A', 0 Yes
No-,O
Ventilation controls. operate?
N/A El
Yes
No El
available?
Yes IR
No 0
__Keylo,panel
Operating, instructions at panel?
Trouble indicators function pEoperl ?
Yes �M
Yes
No 0
No 0
Remote Annunciator Panels function properly?
N/A 0
Yes D4
No 0
Elevator Call Down functions pEo erl ?
N/A 0 Yes
No 0
Test record posted at panel?
Yes659,
No 0
General alarm automatic time delay __(qj�inutes)
Was a signal received at the.Central Station monitoring__qom any?
N/A 0
Yes
No 0
7bffiWDevices -(Specify)
Yes 0
No,O
System Devices
Total Number of
Units in Building
Total Number
Units Tested
Test Results Acceptable
1. Bells,__Horns Chimes
0
__N/A
0
Yes 0
No 0
2. Voice. Speakers (Voice Clarity)
N/A 0
N/A 0
Yes 0
Yes 0
No 0
No 0
3. Smoke Detectors
2-
4. Heat Detectors
N/A 0
Yes 0
No 0
5. Duct Detectors
N/ArE] Yes E]
No 0
6. Sprinkler Flow Switches
N/A 0 Yes 0
No 0
7.' Spj�inklerSu erviso Switches
N/A � 0
Yes 0
No 0
8. Visual Alarm Devices
N/A 0 Yes 0
No 0
9. Manual Pull Stations
El
Yes 1:1
No El
10. Annunciators
11. Beam Detectors
12. Automatic Door Unlocks
2-
2-
N/A El
N/A 0
N/A 0
N/A 0
Yes El
Yes 0
Yes 0
Yes 0
No El
No 0
No 0
No 0
13. Automatic Door Release
Communication Equipment
Total Number of
Units in Building
Total Number Units
Tested
Test Results Accepta le
14. Phone Sets
-0
N/A 0
Yes 0
Yes 0
No 0
No 0
15. Phone Jacks
16. Call -in Signal
N/A 0
Yes 0
No 0
CTF- 0 1 Page 2 of 2
Life Safety Plan
ForBEL AIR at Edmonds
307 Bell Street
----------------- Edmonds, WA 98020
Approved by Edmonds Fire Department (425) 775-7720 Date: Initials:
The following plan provides life -safety and property protection information. This plan should be updated
periodically. All safety systems and equipment must remain accessible, conspicuous, and maintained in
proper working order.
Your local emergency phone number is 9,1344for emergency medical, fire and police services.
Fire Extinguishers
Fire extinguishers may be used to put out fires in an early stage. Call 9-1-1 and.sound the alarm before
you use a fire extinguisher to assure that your help is on the way. Remove the fire extinguisher from its
readily accessible location. Pull, or twist the silver pin on the fire extinguisher and remove. Stand 8 feet
from the fire, depress the handle, and sweep the strearn back and forth starting at the base of the flames
until the fire is out. Do not walk on an area that you have extinguished, in case the fire re -ignites, or the
extinguisher runs empty! Firefighters will make sure that the fire is completely extinguished and give you
assistance.
MAINTENANCE: Fire extinguishers must be serviced annually by a trained person with proper
knowledge, tools, manuals, and publications. Sales and service companies are located in the yellow
pages under "Fire Extinguishers".
Smoke Detectors
Smoke detectors in your home provide early warning in case of fire. A working smoke detector can
increase your survival in a fire by 47%. Plan an escape and practice your plan before the fire. Dwelling
smoke detectors are located in and near your sleeping areas. They may be battery -operated, hard -wired
Life Safety Plan
to the building, or both, depending upon building age and existing requirements when your building was
constructed. Dwelling smoke detectors do not sound the alarm for other occupants. When you hear a
detector, sound the alarm for all occupants and exit the building.
MAINTENANCE. Test your detectors by depressing the test button at least once a month. Change the
batteries once a year, if so equipped. Vacuum the face of the detector annually to keep it sensitive to
smoke. Detectors should be replaced after 10 years of operation. The Fire Department will provide
assistance, upon request.
Manual Fire Alarm
Activating a fire alarm pull station will alert all building occupants of a fire problem at a location in the
building. Pull stations are located near exits from the building. Pull the device down to sound the alarm.
When you hear the alarm, exit the building immediately using the closest safe stair or exit.
• Your building fire alarm activation alerts occupants only. Call 9-1-1 for Fire Department dispatch
after exiting the building.
• Your building fire alarm activation alerts occupants and an alarm monitoring company for
automatic dispatch of Fire Department.
MAINTENANCE. Annual test of the entire alarm system is required to be performed and documented by
a maintenance technician. Service companies are located in the yellow pages under "Fire Alarm
Systems".
�_Z
Automatic Fire Alarm
Smoke and high -rising heat conditions in some building areas outside of your dwelling are monitored by a
smoke- and heat -detection system. If a fire begins in these areas, the automatic fire alarm will alert all
occupants in the building.
• Your building fire alarm activation alerts occupants only. Call 9-1-1 for Fire Department dispatch
after exiting the building.
• Your building fire alarm activation alerts occupants and an alarm monitoring company for
automatic dispatch of Fire Department.
When you hear the alarm, exit the building immediately using the closest safe stair or exit.
MAIN7ENANGE- Annual test of the entire alarm system is required to be performed and documented by
a maintenance technician. Service companies are located in the yellow pages under "Fire Alarm Systems".
;,z
Residential Sprinkler System
A residential sprinkler system provides life safety protection from fire in dwelling locations where injury or
death from fire may occur. Residential fire sprinklers will reduce heat, flames and smoke spread so
building occupants may safely exit the building. Sprinklers are heat activated and will open and spray
water directly on a fire. A sprinkler system stops and often extinguishes the fire before it has the chance
to spread..
Life Safety Plan
A fire sprinkler system is a network of individual ceiling sprinkler heads connected by pipes to a water
source. Water damage is minimal because only the sprinkler head above the fire will open. A home with
an automatic sprinkler system is still required to have smoke detectors. Residential sprinkler systems 2nd
Installatlon of working smoke detectors reduce the r1sk of dying In a fire by 979,66. Remind your insurance
agent that you are protected by these systems.
• Your building sprinkler system activation alerts occupants only. Call 9-1-1 for Fire Department
dispatch after exiting the building.
• Your building sprinkler system activation alerts occupants and an alarm monitoring company for
automatic dispatch of Fire Department.
MAJEN7ENANCE. Do not hang items from the sprinkler heads. Sprinkler heads that have been painted will
not operate as designed and must be replaced.
Annual test of the residential sprinkler system is required to be performed and documented by a state -
certified maintenance technician. Service companies are located in the yellow pages under "Sprinklers -
Automatic -Fire".
Areas for Evacuation Assistance
Washington State requires areas in public accessible buildings to be protected from smoke and located
near stairways or other exit systems which are not accessible by mobility -impaired persons. These are
dedicated for use as Areas for Evacuation Assistance (AEA). AEAs also must have a means of outside
communication, typically a telephone, for an impaired person to call for Fire Department or other help, to
be assisted from the building during an emergency. -
MAIN7ENANCE. Areas for Evacuation Assistance must always remain clear.
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Special Populations at Risk
Decreased mobility, health, sight, and hearing may limit a person's ability to take the quick action
necessary to escape during a fire emergency. Depending on physical limitations, many of the actions an
individual can take to protect themselves from the dangers of fire may require help from a caregiver,
neighbor, or outside source. Impaired persons should speak to family members, building manager, or
neighbors about a fire safety plan and practice it with them.
Special Fire Warning Devices
People with disabilities should be aware of the special fire warning devices that are available. Smoke
alarms with vibrating pads or flashing light are available for the deaf and hearing impaired. Additionally,
smoke alarms with strobe light outside the dwelling may catch the attention of neighbors, and emergency
call systems for summoning help are also available.
Audible alarms are available which will pause with a small window of silence between each successive
cycle so that blind or visually impaired people can listen to instructions or voices of others.
Life Safety Plan
Know Your Abilities
Contact the Fire Department at (425)775-7720 to explain your special needs.
Fire -rated Doors
Fire doors provide smoke- and/or heat -containment to a fire's area of origin when closed. This slows fire
progress to areas unaffected, allowing time for alarm and occupants to escape. Fire doors are typically
spring -loaded which close automatically. They must completely latch when not in use. Fire doors
improve life safety for occupants and minimize fire property damage by containing the fire to an area
prior to Fire Department intervention. Fire doors may include all doors to a corridor, stairwells, and area
separations within a building. Front doors to dwellings are provided with gasket material which helps
close the gap to limit smoke spread.
Propping these doors open provides a route for smoke and hot gases to move into protected areas of
your exit system. Some fire -rated doors may be held open with a magnet and will close when a fire
condition occurs and the building fire alarm sounds.
MAINTENANCE. Keep fire doors closed when not in use. Do not prop open without hold -open device an
approved by the Fire Department. Repair doors, hardware, or door seals if damaged. Repair or adjust if
doors do not completely close and latch.
P'OVOOOOS7�--
Attic Dra Stops
Draft stops provide smoke- and heat -containment in the concealed areas of common attic spaces. Holes
and openings in these wallboard partitions can allow smoke or fire to pass from dwelling to dwelling.
This allows fire to burn undetected longer, and will consume the structural supports of your roof.
MAINTENANCE. Keep draft stops free of holes and openings. Repair attic draft stops if they are
damaged. Check your draft stops periodically with a flashlight from your attic opening.
Exit Lights
Exit lights and signage show the way to get out of the building. Lights must be illuminated at all times
and provided with backup power, which keeps them burning even without building power. Illumination is
required to help penetrate layers of smoke that may form at the ceiling when a fire condition should
occur. This reduces confusion for visitors and occupants who need to find the way out of'the building.
MAINTENANCE. Replace bulbs as required to keep illuminated at all times.
• Test back up power by depressing test button. Replace batteries as a backup power source if
they are not functioning properly.
• Backup power systems can be tested by "brown -out" or by turning off the circuit breaker for the
exit lighting circuit. Repair your backup power system if it, is not functioning properly.
Life Safety Plan 4
Emergency Illumination
Your building must be illuminated at all times by natural or artificial lighting so a visitor or occupant's
means of exiting is always lit. Your building has backup, or emergency lighting to illuminate the exit path
even without building power. Smoke brings darkness to building spaces when a fire condition occurs.
Emergency illumination helps light the exit path through these conditions. This reduces confusion for
visitors and occupants who need Illumination to find their way out of the building.
MAIN7FNANGE: Replace bulbs or repair fixture as required to keep illuminated at all times. A "brown-
out" (or turning off the circuit breaker for the emergency illumination circuit) can test building lighting
systems and their backup power source.
• Emergency illumination fixtures can also be tested by depressing a test button on the fixture.
Replace batteries as a backup power source if they are not functioning properly.
• Repair your backup power system or fixtures if they are not functioning properly.
U
U
Elevator
Never use an elevator during a fire unless instructed by the Fire Department,.
Fire Department Access
kill
Fire Department Lockbox
Where Fire Department concerns for rapid emergency building access exists, a lockbox is provided near a
primary building entry. The lockbox contains keys allowing Firefighters entry to building common areas
and utility spaces, where systems controls are available and problems may occur.
MAINTENANCE. Replace keys when affected door locking hardware is changed. Keep lockbox clear and
accessible.
Life Safety Plan
Emergency Procedures
Use a mental checklist to make a Fight -or -Flight Decision. Attempt to use an extinguisher only if ALL of
the following apply:
F-101 The building is being evacuated (fire alarm is pulled)
F-6 The Fire Department is being called (dial 911).
171 The fire is small, contained and not spreading beyond its starting point.
Rej The exit is clear, there is no imminent peril and you can fight the fire with your back to the exit.
Rej You can stay low and avoid smoke.
R/j The proper extinguisher is immediately at hand.
r7j, You have read the 'instructions and know how to use the extinguisher.
IF ANY OF THESE CONDITIONS HAVE NOT BEEN MET, DON'T FIGHT THE FIRE YOURSELF.
CALL FOR HELP, PULL THE FIRE ALARM AND LEAVE THE AREA.
If you have any doubt about your personal safety, or if you can not extinguish a fire, leave immediately
and close off the area (close the doors, but DO NOT lock them). Leave the building but contact a
Firefighter to relay whatever information you have about the fire.
97 UBC 1104.1 Exception
"Areas of evacuation assistance are not required in buildings where an approved, automatic fire -
extinguishing system is installed in accordance with UBC Standard 9-1, provided that quick -response
sprinkler heads are used where allowed by the standard; and that a written fire- and life -safety
emergency plan, which specifically addresses the evacuation of persons with disabilities, is approved by
the Building Official and the Fire Chief."
97 UFC 1303.3.5.3.1
"A fire emergency guide shall be provided for apartment buildings which describes the location, function
and use of all fire -protection equipment and appliances accessible to tenants, including fire alarm
systems, single -station smoke detectors and portable fire extinguishers. The guide shall include an
emergency evacuation plan for each dwelling unit.
Life Safety Plan
( 0
D
Life Safety Plan
Reporting Emergencies:
For any type of emergency requiring medical attention, police action, or
a possible fire in the building, always call 911 and report the problem to
the 911 operator. If there is a fire in the building, then exit immediately
after calling 911 and pull the handle on a red fire alarm pull station on
the way out so that the other tenants know to exit the building.
If the emergency relates to a problem with the building systems, contact
Doug Spee at the office, or on his cell at 206-719-4844 or at home after
hours at 206-546-4496.
If the problem is a plumbing leak then please shut off the water at your
main valve until we can get the problem fixed.
Fire extinguishers, Pull Stations, and Smoke Detectors:
Each floor is equipped with fire extinguishers and manual pull stations
in the common hallways. Please refer to the attached locator map and
familiarize yourself with the nearest fire extinguisher to your unit.
Each apartment has been wired with smoke detectors in the space.
These detectors are powered by the unit's 120 volt electrical panel. The
smoke detectors are also equipped with a battery backup in the event of
a power outage. If you hear a chirping sound coming fforn the detector
it simply is indicating that the 9 volt battery is low. Give us a call to
show you how to replace it.
There are also a number of smoke detectors in the common spaces
throughout the building.
Life Safety Plan 7
Fire Sprinkler System:
For your safety and protection the entire building is protected by a
sprinkler system. This system is designed to only sprinkler an area that
has enough heat build-up to trip the sprinkler head at that location.
There is no other way that the head will release water. Once a head
trips it will run until the building sprinkler system is shut off by the Fire
Department. The Fire Department has inspected and approved our
system. They know the building, and they are prepared in the event of a
problem.
Please note: The smoke alarm in your apartment will only sound in
your apartment. It will not automatically signal the Fire
Department to come to the building. The Fire Department will only
respond to a pull station activation, a smoke detection in the
common areas, or water flow detection in the fire sprinkler system.
If you have a fire in your apartment that is not extinguishable
immediately then call 911 or go to the nearest pull station and pull
the handle.
Building Evacuation:
Please refer to the floor plans on the next page to see the locations of
pull stations and the fire escape routes. There are two main exits. They
are the inside stair by the elevator and the outside stair at the alley. The
inside stair leads to the exit corridor on the first floor, exiting at the
sidewalk on Third Ave. In the event of a fire alarm, the smoke doors on
the elevator will close and the elevator will go to the main floor and
stop. It will not return back to your floor, so plan on using the stairs in
any fire alarm emergency. If for some reason you cannot walk down the
stairs, then stay in your unit until the Fire Department arrives. You are
protected by fire resistive construction between dwellings and
surrounding all exit corridors.
Life Safety Plan 8
0 Your building fire alarm activation alerts occupants and an alarm monitoring company for
automatic dispatch of Fire Department.
Submittal for Life Safety Plan will be made through the Building Department. Submittal can be on 3 1/2"
floppy disk (MS Word format), or in report hard copy format. Hard copy submittal shall be upon medium
yellow paper with black text, except for the floor plan which will be on white paper with black text.
ATrACH 81/2" x 11" FLOOR PLAN FOR EACH FLOOR OF YOUR BUILDING.
Life Safety Plan 9
S7 FIRE PREVENTION
307 3ELLS
INS TION REPORT
Serving Brier, Edmonds, and 12425 Meridian Ave S
rMOONDS
SNOHO Co.
Mountlake Terrace Everett, WA 98208 BRIER
..TIRE -1200 0 MOUNTLAKE TERRACE
Orr Phone(425)551 0 UNINCORPORATED
k3 JL www. FireDistrict]. org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 222 Bell Street 98020 Annual 17-D
BUSINESS NAME: PHONE: SCHEDULED Sep 2017
DATE DUE �
428
MAILING LIFIR 0
ADDRESS: 307 Bell Street, Suite 101, Edmonds, WA 98020
BUSINESS OWNER: Spee, Douglas HOME PHONE:
Adams, Shelby #211 2065889798
EMERGENCY-1: HOME PHONE: "CURRENT
KEY ACCESS-2: HOME PHONE: 17 CITY MS'�65NO
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
=IRESYSTEMS: AS21A6_FA-V.16FE - 7/16 DAS 8/16
Date Last Serviced: '711
HAZARDS FOUND AND LOCATIONS COMMUNI(fATIONS
0 V
2- 2
3
4
5 —' ,W I
3
4
1_5
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION I
E)(TENSION VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO. DATE DUE; CITED:
PERSON
PERSON
P RSON
E
CONTACTED,
CONTACTED
CONTACTED: z
2
INSPECTOR
INSPECTOR
INSPECTOR:
DATE,
DATE
DATE: 3
VIOLATIONS
VIOLATIONS
i CITATION ISSUED
PRE -CITATION i
5
1
LETTER SENT NUMBER: 4
CODE 5
2 6
2 6-
DATE SECTION
RETURN RECEIPT
3 '7
3 7
RECEIVED
DISPOSITION
4 8
4 8
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DATE'
LETTERNEEDED YES NO
LETTER NEEDED. C] YES NO
8