316 WALNUT ST (2)pu
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'12425 Meridian Ave S
ServingBrier Edtnon4 anti
SNPHONII.S11
-race Everett, WA 98208-.:.-.
Mozintlake Tet
F1 jVj Phone (425) 551-1200
DISTRIC. rg
T www.FireDistrictl.o Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT.:
OEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
" WnEQU CY STAfftA SHIFT
316 Walnut Street 98020 ME@
LOCATION:
316 Walnut Condos 0 SCHEDULED mar 2U1 7
BUSINESS NAME: PHONE:
DATE DUE
4122
31 . 6 Walnut Street, Edmonds, WA 98020 UFIR
MAILING
ADDRESS:
BUSINESS OWNER:
Gish, Tom
EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED: ao�z a
INSPECTOR:
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
JL
2
3
4
5
6
7
HOME PHONE:
0
HOME PHONE:
HOME PHONE-
Q /01
-Sol, <e,,
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X.
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE
EXTENSION -INSPECTION
DATE DUE:
DATE DUE'
GRANTEDTO:
DATE DUE:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED;
INSPECTOR;
INSPECTOR:
INSPECTOR:
DATE:
DATE:
DATE:
VIOLATIONS
VIOLATIONS
CITATION ISSUED
PRE CITATION
1 5
1 5
LETTER SENT NUMBER*
CODE
2 6
2 6
DATE: SECTION
RETURN RECEIPT
3 7
3 7
RECEIVED
DISPOSITION
4 8
4 8
DATE*
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
2
3
4
5
6
7
VIOLATIONS
CITED:
CONFIDENCE TESTING
FEB 0 6 2015 FIRE ALARM SYSTEM
TEST REPORT
NAME OF FACILITY
WALwL-f '7 It-bA
PHONE NO.
wr-3315 _11KC)
DATE INVEC ON
11121
ADDRESS
-31d
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CITY
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STATE
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ZIP
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OCCUPIED AS
MONITORED BY
t A 12
ACCT#
1 _)_� d
TYPE OF TEST
MONTHLY
QUARTERLY
SEMIANNUAL
ANNUAL
ACCEPT 0
PRO-COMM LICENCE
BATTERY VOLTAGE
VOLTS
(:2-111-7
BATTERY UNDER
IFULLILOAD
VOLTS
�2 Y
CHARGE CIRCUIT VOLTS
1 ';71. / I
ITEM
YES
NO
N/A
ITEM
- YES
NO
IN/A
ITIffM
YES
NO
N/A
TROUBLE AC OFF
CIRCUITS CHECKED
FOR SUPERVISION
SYSTEM WIRING CONFORMS
TO NFPA STANDARDS
SYSTEM OPERATES
ON STANDBY POWER
CON TROLPANELCHECKED
PER NFPA & MFG INST.
KEY TO PANEL
AVAILABLE
SIGNALS OPERATE
ONAGPOWER
AUXILIARY EQUIP.
OPERATES
OTHER
SIGNALS OPERATE
STANDBY POWER
�OPE RATING INSTRUCTIONS
AT PANEL
OTHER
EQUIPMENTTESTED
NO. OF UNITS
SATISFACTORY
NO. OF UNITS
SATISFACTORY
TYPE OF EQUIPMENT
IN BLDG.
TESTED
YES
NO
N/A
TYPE OF EQUIPMENT
IN BLDG.
TESTED
YES
NO
BELLS, HORNS, CHIMES,
VOICE ALARM, SPEAKERS
ANNUNCIATORS
VISUAL ALARM DEVICES
S_
ELEVATOR CALL DOWN
HEAT DETECTORS
DOOR RELEASE
SMOKE DETECTORS
6
61
FIRE & SMOKE DAMPERS
MANUAL PULL STATIONS
D_
PHONEJACKS
SPRINKLER
SUPERVISORY SWITCHES
AUTO DOOR UNLOCKS
(FAIL-SAFE)
SPRINKLER
FLOW SWITCHES
IOTHER
CENTRAL STATION
r
OTHER
VENTILATION CONTROLS
OPERATE
OTHER
PANEL AND MODEL
OTHER
SERVICE TECHNICIAN NOTES Fire Watch required, threat level
1 2 3 (see reverse for I threat level explaination)
THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY
TO COVER ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS.
OWNER WAS INFORMED ABOUT ANY NEEDED REPAIRS OR DISCREPANCIES. NONE El YES El
OWNER OR FACILITY REPRESOTATIVE
DATE
TECHNICIAN
;��.SIGNATURE
LICENSE NO
op J3 a 6/4
m
j�_' L 4 7
-Sei-i,iiigBi-iei;Ediiiotids,atid -11-2425 Meridian Ave S
SNOHOMISH CO.
Mountlake Terrace Everett, WA 98208
FIRE Phone (425) 551-1200
DISTR T www.FireDistrictl.org Fax (425) 551-1272
FIRE*PREVENTION
IN,"ECTION REPORT
VEDWNDS
El 13PICIR
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
e' FREQUENCY
STATION& SHIFT
LOCATION:
3,16 Walnutstreet Daub
Amival
17-D
BUSINESS NAME:
31E WalriuL CandIns
PHONE: 0
SCHEDULED mor 2014
DATE DUE
MAILING
UFIR4L"'-'
ADDRESS:
31L Walnut SLrcc� EdrTmn&-, WA 080.20
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
Usti, iam
HOME PHONE: 13
CURREN T."
f,,NO
KEY ACCESS-2:
EMAIL:
HOME PHONE:
CITY / YES.
"'BUSINESS - 4
F
LICENSE
PERSON CONTACTED:
X
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
ASS113FABI13FES113 F13LkBow 0,0-tYy63 07TI-0/Z014
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
1 2
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0 :7:A,0j 2 0 /1/ A-j 0 V4, lt4 ra
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3
4
4
5
5
6
6
7
7
11AGREPTO CORRECT THE-:ABOV.E..VIOLATION(,§),IN.,,,TH.E NEXT 30 DAYS X
lst RE -INSPECTION
DATE DU E:
2nd RE -INSPECTION
DATE DUE:
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
'4CITATION
P)6 � E
L R SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
-8
4
8
DATE:
DISPOSITION:
LETTER NEEDED C] YES [I NO
LETTER NEEDED F] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet; Edinonds 12425 Meridian Ave S INSPECTION REPORT
SNOHOMISH CO. 0 EDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
FIRE E]WOODWAY
the Town of Woodway Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
DISTR11'
FREQUENCY I STATION & SHIF'*'
LOCATION: 316 Walnut St 365 17 C
SCHEDULED
BUSINESS NAME: 316 Walnut Condos PHONE: DATE DUE 1' 03/01/13
MAILING UFIR � 422 3202
ADDRESS:
BUSINESS OWNER: VA 'Ict.
HOME PHONE. 9 9
EMERGENCY-1: Galipeau, Bill Prop Mgr HOMEPHONE: 4252385450 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS F] F
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FA & AS 2/11 FD LkBx FE —I—
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 C&4
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
�DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR-
INSPECTOR:
INSPECTOR*
2
DATE:
2ATE:
DATE:
3
VIOLATIONS
5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
7
3
7
RETURN RECEIPT
RECEIVED
6
14
8
4
8
dE]
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES No
rLETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
Plan Check #
Project Name/Address
City of Edmonds
Plan Review Corrections
Date
Contact Person/Address
Department: Building Engineering Planning Fire Public Works
Reviewer
I
Submit 2 sets of revised
ments to the Permit Coordinator.
Corrections may be made by red lining plans/documents on file with the City.
DATEFAXED (Attach fax transmittal) PAGE -OF