323 3RD AVE N (2)13ZE
SNOHONIISH Co. Serving Brier, rufrtu,,u,;, and 12425 Meridian Ave S
Mountlake Teri -ace Everett, WA 98208
F1 Ell Phone (425) 551-4200
DISTR T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 323 3 rd Avenue N 98020
BUSINESS NAME: Bayside Condos PHONE: 4257718383
MAILING
ADDRESS: 323 3rd Avenue N, Edmonds, WA 98020
BUSINESS OWNER: Building Depart HOME PHONE:
EMERGENCY-1:Dracolby, Fred HOMEPHONE: 4257751379
KEY ACCESS-2: - C.- J P__ CA V% 5SUC'V4 T+') - C HOME PHONE: 17
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
"FIRE. PREVENTION,
INS�gECTION REPORT
,Z�MMONDS
El BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
r FREQUENCY STATION & SHIFT
Annual I 17-D
SCHEDULED Sep 2017
DATE DUE
UFIR � 423202
CURRENT "00--
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
�- L, (-7
`,Y- -�7 7 -7, 1
FIRE PREVENTION
-Edmonds,and 12425 -Meridian Ave S INSPECTION REPORT
Serving Brier,
SNOHON11SH CO.
EDMONDS
Moiintlake Terrace Everett, WA 98208 0 BRIER
FIJL16jvj 0 MOUNTLAKE TERRACE
Phone (425) 551-1200
DISTR www.FireDistrictl.o Fax (425) 551-1272 0 UNINCORPORATED
rg
REnQUE Slff
LOCATION: 323 3 rd Avenue N 98020 n aTCY _tA SHIFT
Bayside Condos 4257718383 SCHEDULED bep 2016
BUSINESS NAME: PHONE: DATE DUE I`
423 202
MAILING 323 3rd Avenue N, Edmonds, WA 98020 UFIR
ADDRESS: IS,
BUSINESS OWNER: Building Depart HOME PHONE:
EMERGENC �_,:Dracolby, Fred HOME PHONE: 4257751379 CURRENT
KEY ACCESS-2: HOME PHONE:' CITY YES NO
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: tl h
6 15 A 12/1!
5 �' TS, 5 FE 6/15 A 2:00:00 AM SP 3/14
Date Last Serviced -
HAZARDS FOUND AND LOCATIONS COMMUNIC:ATIONS I
L)
2
2
3 3
4
S *A p"pC 71`L)
5
6
7�
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION I VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO, DATE DUE, CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED 1
INSPECTOR WNiTO/V
INSPECTOR-
INSPECTOR; 2
DATE:
DATE:
3
i DATE;
VI�LATIONS
VIOLATIONS
CITATION ISSUED
PRE -CITATION
i PT
5
4
LETTER SEN.T NUMBER
CODE 5
2 6
2 6
DATE SECTION.
RETURN RECEIPT
3 7
3 7
RECEIVED 6
DISPOSITION:
4
4 �8
7
DATE -
LETTER NEEDED YES NO'l
LETTER NEEDED YES NO
8
Jurisdiction EDMONDS
-rHE
SAFE 7yo
-7
670 South Lucile St. — Seattle, WA 98108
Phone (206) 762-1450 Fax (206) 762-1799
FIRE ALARM SYSTEM
Certification Given
(One System per Report)
RED
0
YELLOW
0
1 WHITE
CONFIDENCE TEST REPORT
Occupancy
Occupancy
Address: 323 3MD AVE N
Name:
Bayside Condominiums
Building Owner: Bayside Condominiums
Phone Number:
4257769500
Responsible Person: Ed Pepin
Phone Number:
4257769500
Building Owner Address: 323 3rd Ave N #204 Edmonds WA 98020
Date of Inspection:
AFrequency/Type:
Inspection
Annual ?'-�Other 11
Quarterly El Area Tested
Testers Name:
SFD Certification
Number:
scP-A. —c7700.5
Central Station
Monitoring? Yes eNo El N/A El
Monitoring
Company Name:
K/,45ff I'A'/!5 --j-6 jjAt4-A
Primary Component: Fire Alarm Panel
Identification:
System Make: 7KC194.)
System Model:
System Location: C 6;�'rm
Software Version
ROB,LEms FoUND: (if additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If addiflonal room is needed, please add a separate sheet)
SFD Certification Number:
This cerlifies that the above listed fire and life safety system has been properly inspected for reliability to cover only the
items listed in this report and is consistent with the local AHJ Fire Code standards, and that discrepancies
found during the inspection are noted and have been reported to the building Owner/Manager for corrective acUon.
Signature of Tester: —:�=
Phone # (206) 762-1450
.
Testing Agency: The SafetgTeam Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108
PO Box 81246
Building Representative (sign ture)
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 NFPA 72 requirements. Refer to the local AM Fire Code for additional inspecting and testing enforced requirements.
Alarm System Functionality
Trouble signal with AC power off? Not
Tested.0 Yes 9'
No D
At breaker ID:' ',--t Loca.tion:
No
Sy stem operates properly on battery backup? Not
Tested D Yes
El
'r argO I vo 3 volts
Battery voltage (no load) I volts
-7
ar
Battery .\ioTt (full,,!Ioad)' volts ($igna.s�oppra ung,
Batteries Size: 141 A AH located:
Batteries date: �t,012_ (remotely
System operat' N/KD� -.'.Not iTe8ted
es �Opprlyon�generator standby power?
El _�i Ybs��
No El
Number of FACP initiating circuits S Number of circuits in use
El Addressable system
-7—T— Number of circuits in use
Nurnber.b'f FACP stg"nal blrddits�
EI'P' .'t, ., I installed
Does alarm system meet audibility standards? (*as approved)
Yes M'O"'
No D
All circUits; checked for supervision at control units?
Yes [#�
No [I
Auxiliary equipment connected? Elevator Recall ��Fans D Dampers 0?
N/A 0 Yes 2,`
No 0
Elevator recall f6irlidions" 'work ed properly?
N/A 0 Yes [4�,
NO' 0
Elevator machine room smoke detector tested and worked properly?
N/A 11 Yes
No El
Remote aftnuriciator(s)? Oty: Location:
N/A 21'�' Yes El
No 11
Trouble indicators function pr��perl
Yes 2,`*'
Noo
Testi,ng. records logged at the FACP?
Yes.?'O""
No 0
Proper signals received at the Central Station monitoring company?
N/A El Yes P"
No D
Fire Alarm Systeni �devices , installed inside residential units? Unknown 0
N/A Yes 0
'Ye's
No 0*
If yes, access granted, visually inspected, and worked properly?
N/A W-' El
No 0
Total Number
Total Number
System Devices
of Units Tested
Units Inoperable
Test Results Accepj2ble
1 - -Bells 9"or Chimes 0
N/A Ei Ye ; s
No El
2. Voice Speakers (Voice Clarity)
N/A Yes
No D
3. .Horns,,(Onl y
N/A Ye's El
No 0'
4. Mini -horns
N/A F�K Yes D
No El
5. Visual Alarm Devices (Strobes),
N/A Fo' Y 0 s' '0
NO-D
6. Horn/Strobe Combos
N/A e Yes El
No El
Heat Detector
N/A 0 Yes
No 0
.7.
8. Duct Dete ctors
N/A e Yes 11
No El
9. Sprinkler Flow Switches
_N/A_11 Yes Rre"..
N ' po
10. Sprinkler Supervisory Switches
N/A P" Yes El
No 0
11. Smoke Detectors
N/A 0 Yes [ir'
No El
12. Manual Pull Stations
N/A Y"" Yes 11
No 11
13. Annunciator (s)
N/A Yes D
No [I
14. Automatic Mag-Door Release
N/A Ei�-� Yes El
No 0
15. Phone Sets
N/A N,` 'Yes El
NOD
16. Fire Phone Jacks
N/A V Yes 0
No El
17. Call -in Signal
N/A P-" Yes Ej
No 11
18. Othe .
N/A [�,� Yes El
No [I
ID
Power Supply Location
Not instal.led Ei
Batteries Date:
Batteries Date:
Batteries Date:
Batteries Date:
Notes/Observations:
CTF- 0 1 Page 2 of 2
JurisdictionEDMONDS
670 South LUcile St. — Seattle, WA 98108
Phone (206) 762-1450 Fax (206) 762-1799
WET SPRINKLER SYSTEM
Certification Given
RED
0
� -YELLOW
I El
I WHITE
(One System per Report)
CONFIDENCE TEST REPORT
Occupancy Address: 323 3RD AVE N
Occupancy Name: Bayside Condominiums
Building Owner: BzlI�side Con-dominiums
Phone Number: 4257769500
Responsible Person: Ed Pegin
Phone Number: 4257769500
Building Owner Address: 323 3rd Ave N #204 Edmonds WA 98020
Date of Inspection: a
Inspection Annual 1;e�
Frequency/Type: Other 11
Testers Name '
.5-7,?5—e, 7_dl�_
(Please Print):
SFD Cert #: ITT #:
Central Station Yes P'�No El N/A El
Monitoring?
Monitoring Company
Name: 2066�4A (4 r&4J AWRi,
Primary Component: Riser
System Make: 4� _r__ 4-jCIAZ
System Model:
f,
Valve Size: U� Valve Year:
System Location:
Identification No.
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
Corrections Made: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet)
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 it consistent with local Fire Department and applicable Fire Code enforced standards, and that
discrepancies apel%oted and hav24?een %?qqed to the building Owner/Manager for corrective action.
Signature of Tester:
Phone # (206) 762 -1450
Testing Agency: --The Safefy—Team Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108, PO Box 81246
Building Representative (signature)
Pagel of2
IThe items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the firqar�d life safety
system. Refer to Local Fire Department Fire Code for inspecbng and testing requireAnents. ao� " I
Inspection Results
�i' F� LW4. -�jr ;ZIV --T&AW' A. , ;P.
�Flibw test condubted?
N, -F
Static pressure: j'15,1�rpsi Flow pressure: &9_psi
all
Numbe6of sprinklerheads in the system:
AA
2-inch drain? Other D" Yes El No [I
Flow switches an6supervisory switches tested and Work, i:iiroPerlY? Ej
NIA YI�s NO
S I ystem control valves are acces sible and: sealed P/1OC ked [I or supervised El ? Yes N--� No . El
f0tes?-_ `iorgo 'Q "be6tri N/A El E41-' No D
M6 r! FACP, c
9
Signs are installed on valves? Yes No El
All exposed sprinkler -heads on system visually inspected? -NFPA 25 Chapter 5 (2011) - Floor Levet Only
yes 14-'�
No El.
System found in service and left it in service?
Yes
No El
Wet type sprinkler heads have been installed, replaced or successfully sample tested":
Yes
No
within the last 50 yeats?4,1-le-ad Date or_'� Test.Dctite
Dry type sprinkler heads have been installed on the system? Qty.
Yes
No El
If yes, have they been replaced or passed the sample testing within last 10
N/A
Yes W--�
No E.]
-years? Head Date or Test Date'-l"'
System gauges installed, replaced, or checked for accuracy within the last 5 years?
Yes 5;#4'0�
No El
InstalledNerified Year 61 A lj� Shut off valves Yet?
Propqr�ni'um'ber and type of spare sprinkler heads available on spare box?',
Yes
No"'IT
Sprinkler wrench available for each type of sprinkler head on system?
Yes
No El
7
Sprinkler heads. are free of corrosion, paint, foreign materials, and/6r p hysical damage. Yes 'No 11
Pumper connections and clapper valves unobstructed and turn freely? N/A El Yes V_ No El
_771*.7�-,7t�T Jr'- '777377111F
-N/kEJ es
?
Fite.DepbrtTiant'.0 1Y N O.U�
mnection �(FDQ -t6 ps are, pr6sefit �and -Una5maged
Q) _Ak M
)12t __ '.1 r ;X 7,
;, . A? � Ay 2
Was the Fire Department Connection (FDC) check valve inspected within the N/A Y No
last 5 years? Date Performed
--.rxempi Ij -;NO L;J
7
Oats. _:Dat6__1
Proper signals received at the Central Station monitoring company? N/A 0 Yes No El
General Information (To be provided by owner/representative) Not Present El
Has the use and/or hazard. remained the same since the last inspection? Yes Ej/ No El
Has the building floor plan and construction remained the same since the last inspection? Yes No El
Is the system (including valve rooms) protected from freezi6g (40 F degrees minimum)? yes NO E!
Has the system been repaired or modified since the last inspection? Yes El No EPX
If any modification to -the -system were-madel-did the Fire Department approved and 0'
inspected those modifications? APVV/"Yes El No El
The above information was provided by: Date
Notes/Observations:
Page 2 of 2
SNOHOMISH CO.
FIRE
D_l_Q,;,r.vL:
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
0" FREQUENCY
STATION & SHIFT
LOCATION: 323 3 rd Avenue N 98020
Annual
17-B
BUSINESS NAME: Bayside Condos
PHONE: 4257718383
SCHEDULED
DATE DUE � Sep 2015
MAILING
UFIR 1 423 202
ADDRESS: 323 3rd Avenue N, Edmonds, WA 98020
BUSINESS OWNER: Building Depart
HOME PHONE:
EMERGENCY-1: Dracolby, Fred
HOME PHONE: 4257751379
'0 CURRENT YES NO
KEY ACCESS-2:
HOME PHONE:
CITY
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRESYSTEMS: AS6/�14FA6/114FE2/74 SP3/14
Date Last Serviced:
--------
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
__3
. .......
_3-
..4
41
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 theabove 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.
AN:21"! Z,� �,9�016194
PERMITS:
I . Obtain a perm it from the Fire Department: I. F.C. 105.1
2. Maintain hazardous materials/processes according to your Department permit
requirements: I.F.C. 105.1
3. Renew expired Fire Department permit: I.F.C. 105.1.2/105.3.1
4, Conspicuously post Fire Department permit in appropriate location: LFC. 105.3.5
5. Obtain business license
6. Obtain permit from Building Department for:
FIRE PROTECTION:
7. Remove all foreign material from the sprinkler heads or replace the sprinkler heads:
I.F.C.901.6.1
8. Nothing shall be placed on or hung from sprinkler piping: I.F.C. 901.6.1
9. Install approved cover(s) on the Fire Department sprinkler connection: I.F.C. 901.6.1
10. Remove all.storage from around sprinkler system control valves: I.F.C. 901.6.1
11. Repair sprinkler system deficiencies: I.F.C. 901.6.1
12. Remove all items that might block access to sprinkler control valves or Fire
Department hose connections: I.F.C. 901.6.1
13. Lower the storage to a minimum of 18" below the sprinkler head deflectors: LFC.
315.3.1
14. Annual confidence test must be performed on sprinkler system(s) by a qualified
person, and documentation must be provided to Fire Marshal: I.F.C. 901.6.1
15. Fusible link or sprinkler head must be replaced on hood and vent extinguishing
system: I.F.C. 904.11.6.3
16. Hood and vent extinguishing system must be serviced semi-annually by a
qualified person: I.F.C. 904.11.6.2
17. Remove all accumulations of grease from the range hood, filters and connecting
grease flue and institute periodic cleaning to prevent such accumulation in the
future: I.F.C.609.3.3.1
18. Spray booth filters shall be maintained and changed in accordance with: I.FC. 1504.3
19. Remove all items or conditions, which might interfere with proper use of fire
hydrant: I.F.C.507.5.4
20. Repair fire alarm system: I.F.C. 907.8.5
21. Fire alarm system shall be tested and maintained annually: NFPA 72
Documentation shall be provided to Fire Marshal: LFC. 907.7.2
22. Install portable fire extinguishers: I.F.C. 906.1
23. The fire extinguisher(s) must be inspected/tagged annually: NFRA 10
24. The fire extinguisher(s) must be serviced/recharged by a qualified person: NFRA
10
25. Fire/life safety systems must be tested and maintained, documentation must be
provided to the Fire Marshal: I.FC. 901.6.1
26. The dry standpipe shall be hydrostatically tested every five years: LFC. 901.6
27. All devices in approved locations: I.F.C. 907.1
EXITING:
28. Maintain. exit pathway lighting: LFC. 1006.1/1006.3
29. Maintain exit sign illumination: I.F.C.1011.2/1011.3
30. Provide approved signs indicating the direction of travel to fire exits: LFC. 1011.1
31. Provide approved signs indicating the fire exit(s): I.F.C. 1011.1
32. Exits shall not be blocked or obstructed in any way, and the required width of
aisles leading to exits shall be maintained: LFC. 1030.2
33. Properly repair the panic hardware on the exit door(s): LF C. 1008.1.10.1
34. Exit doors shall be openable from the inside without the use of a key or any
special knowledge or effort. Exit doors shall not be locked, chained, barred,
latched, or otherwise rendered unusable. All locking devices shall be of an
approved type: I.FC.1008.1.9
35. In group A-3, B, F, M & S occupancies, in all churches main exit door(s) may have
key -locking hardware if an approved sign is posted, stating, "This Door To Remain
Unlocked During Business Hours": LFC. 1008.1.9.3
36. Provide a minimum of 36" of clear aisle width: I.F.C. 1018.2
37. Provide a minimum of 44"of clear aisle width: LFC. 1018.2
38. Every building of three or more stories shall have approved stairway identification
signs posted: I.F.C. 1022.8
39. All assembly occupancies shall have occupant load posted in conspicuous place:
I.F.C. 1004.3
40. Overcrowding of a room or building shall not be permitted: LFC. 107.5
ELECTRICAL:
41. Install approved covers on the open electrical service panel(s) or junction box(es):
I.F.C.605.6
42. A junction box with an approved cover is required at every splice. Therefore,
provide such boxes: I.F.C. 605.6
43 Maintain a minimum of 3'clearance in front of electrical panels: I.F.C. 605.3
44. Provide documentation that electrical wiring, panels, etc., have been inspected
and approved by Washington State electrical inspector: LFC. 605.1
45. Electrical wiring and equipment in any vapor area shall be explosion -proof type
approved for use in such hazardous location: I. FC. 1503.2.1/3403.1/2201.5
46. Extension cords shall not be used as a substitute for permanent wiring: I. FC. 605.5
47. The current capacity of an extension cord shall not be less than the rated capacity
of the appliance or fixture served by that cord: I.F.C. 605.5.2
48 Extension cords shall be maintained in good condition without splices,
deterioration, or damage: I.F.C. 605.5.3
49. Extension cords shall be of the grounded type when serving grounded appliances or
fixtures: 1. FC. 605.5.4
FIRE SEPARATIONS '
50. Discontinue blocking or wedging open fire doors: LFC. 703.2
51. Repair the fire door(s) so they close completely and in proper sequence: LFC.
703.2r7O3.2.3
52. If an open fire door is necessary for ventilation or convenience, a hold open device
approved by the Fire Marshal must be used: I.F.C. 703.2.2/l.B.C. 715.3.7.2
53. All required occupancy separations, area separation walls, and draft stop partitions,
shall be maintained as specified in the International Building Code: LFC. 701.1/703.1
54. Repair the damaged plaster with a fire -resistive material equivalent to the surrounding
surfaces: LFC. 703.1
FLAMMABLE LIQUIDS, GASES, AND HAZARDOUS M,iLTERIALS6
55. Reduce the quantity of flammable liquids: CHAPTER 57
56. Flammable liquids not exceeding 120 gallons may be stored in an approved storage
cabinet. Such cabinet shall be conspicuously labeled in red lefters:'Flammable-Keep
Fire Away": CHAPTER 57
57. Remove the accumulation of combustible residues from the walls, floor and ceiling of
the spray room area: CHAPTER 25
58. Dispensing devices shall be of an approved type. Class I -A flammable liquids shall not
be dispensed from tanks, drums, barrels, or similar containers by gravity. Approved
pumps taking suction from the top of the container shall be used: CHAPTER 57
59. Hose nozzle valves used at self-service stations for dispensing of Class I flammable
liquids shall be listed automatic closing: CHAPTER 23
60, When damage to LP gas systems from vehicular traffic is a possibility, precautions
against such damage shall be taken, therefore provide posts or a protective barrier to
prevent such damage: CHAPTER 61
61. All compressed gas cylinders in service or storage shall be secured to prevent falling or
being knocked over: CHAPTER 57
62. Oil burning equipment shall be of an approved type: I.F.C. 603.1.2
63. Install/repair woodworking refuse removal system: CHAPTER 28
64. Post signs stating location of emergency pump shutoff: CHAPTER 23
65. Post "NO SMOKING" sign(s) on LPG tank: CHAPTER 61 .
66. Remove and safely dispose of damaged or leaking containers of flammable hazardous
material: CHAPTER 57
67. Use, dispensing, storage and handling of hazardous materials shall be in accordance
with LFC. Chapter 57 and your Fire Department permit: CHAPTER 50
68. Provide Material Safety Data Sheets (MSDS): CHAPTER 50
69. Provide Hazardous Material Inventory Statement (HMIS): CHAPTER 50
70. Provide Hazardous Materials Management Plan (HMMP): CHAPTER 50
STORAGE
71. Remove all flammable or combustible storage from the unfinished attic area: LFC.
315.3.4
72. Remove all combustible material from beneath the structure: LFC. 315.3.4
73, Lower the storage to a minimum of 24* below the ceiling: LFC. 315.3.1
74, Lower the storage to a minimum of 18" below the sprinkler head deflectors:
I.F.C.315.3.1
75. Remove all combustible or hazardous material: LFC. 315.1
76. Unlawful.to park or store any fueled equipment in any dwelling unit, office, exit way or
location that would create a fire or life hazard: LFC. 315.1
77. Boiler rooms, mechanical rooms, and electrical panel rooms shall not be used for
storage: LFC. 315.3.3
78. Any exterior door that has been rendered non4unctional in an approved manner by the
Chief shall be posted in an approved manner with the words, "This Door Blocked":
I. FC. 504.2
79. Dumpsters and containers with an individual capacity of 1.5 cubic yards or greater shall
not be placed within 5 feet of combustible walls, openings, or combustible root eave
lines: LFC. 304.3.3
80. Remove and property dispose of the combustible tall grass, brush and other debris:
1. FC. 304.1.2
MISCELLANEOUS:
81. Strictly enforce "NO SMOKING" restrictions: I.F.C. 310
82. Post "NO SMOKING" signs: Washington Clean Air Act of 1985 and LFC. 310.3
83. Discontinue the practice of illegal outdoor burning: LFC. 307.1
84. Secure this vacant building to reduce the fire hazard: I.FC. 311.1
85. All decorative materials are required to be of flame retardant material or treated to
provide flame resistant characteristics: LFC. 806/807
86, Any owner, operator, occupant or other responsible person who shall fail to take
immediate action to abate a fire hazard when ordered or notified to do so by the Fire
Chief, shall be guilty of a misdemeanor: I.F.C. 109
87. Post and maintain the correct street address number in an approved manner: LFC.505
88. Post and maintain the correct suite or unit designator: I.F.C. 505.1
89. Striping and "Fire Lane - No Parking' signs/markings shall clearly indicate where the
approved fire lane is located I. FC. 503.3
90. Provide a key box for emergency access to the building: LFC. 506.1
91. Provide appropriate access to the building: I. FC. Section 503
FIRE PREVENTION
Sel-ving Briet: Edmonds, and
12425 Meridian Ave S
INSPECTION REPOR�V
SNOHOMISH CO.
FIRR
06untlake Terrace
Everett, WA 98208
CEDMONDS
0 BRIER
DISTT,
Phone (425) 551-1200
L
[IMOUr*TAKET'ERRACE
0 UNIaCORPORATED
www FireDis'trict]. org
Fax (425) 551-1272
FREQUENCY
STATION & SHIF'*'
LOCATION:
323 3 r'd A%end-- N 93021)
Ail
17-A
BUSINESS NAME:
'"Baysidc Candus
PHONE: 425771838,',
SCHEDULED
DATE DUE I" Scp 2014
MAILING
UFIR � 4:13 202
ADDRESS:
3233rd Awnuc N, EdmDri&-, WA 08020
BUSINESS OWNER:
PLfiWitlfj Dmpart
HOME PHONE:
EMERGENCY-1:
Dracm1by, Frcd
HOME PHONE: 4,257751370
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
ON
El
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
309
FIRE SYS I EMS:
A58)14FAW14FE SP3114
HAZARDS FOUND AND LOCATIONS /
OMM 7NATIrN
VA-r Fo,"I /,Cj
2
2
3
ff
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
tPERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
-------- -- - -
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECT16i4—
5
3
7
3
7
RETURN RECEIPT
RECEIVED
4
8
4
8
DATE:
DISPOSITION:
7
\� LETTER NEEDED F] YES NO
I LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY
�T
John J. Westfall
From: Eric Beck [install@washingtonalarm.com]
Sent: Monday, March 03, 2014 12:49 PM
To: John J. Westfall
Subject: Bayside condos
Attachments: Bayside Sig nals-2014-021 7-0303.txt
Hello Mr. Westfall,
As requested I am sending you an email to confirm that we are monitoring Bayside Condos located at: 323 3RD AVE N, EDMONDS, WA 98020. The attached
document shows the signal history from the last 2 weeks, it shows we are in communication and receiving regular test timers.
if you have any other questions, or need anything else. Please let me know.
Thanks,
Eric Beck
Installation Coordinator
Washington Alarm, Inc.
Main: 206.328.3288
Direct: 206.436.5332
Fax: 206.322.7214
Proudly Providing Quality, Service & Integrity to the Pacific Northwest Since 1943
Security Rre WA trislon Access CCTV Interactfve 2417
Systems Systems Verified Cootral Systems Selvices Monitoring
Response
CONFIDENTIALITY NOTICE: The information in this mes-�aye, and aoy attactiment. is intendedforthe sole use of the individualand entityto which it is addressed. This information may be privileged,
confidential. andprotectedfrom disclosure. Ifyou are not theintended recipientyou are hereby notified that YOU have receivedthis conin7unication in error and that any review. disclosure. dissemination,
1
Bayside signals-2014-0217-0303
03/03/14 Page: 1
Washington Alarm, Inc.
2030 Airport way S.
Seattle, WA 98134
www.washingtonalarm.com
Account: 3003114
From: 02/17/14 TO: 03/03/14
Alarm Permit #:
BAYSIDE CONDOMINIUMS BAYSIDE CONDOMINIUMS
323 3RD AVE N 323 3RD AVE N
EDMONDS , WA 98020 USA EDMONDS, WA 98020 USA
Date Time S ignal information Account: 3003114
-------- -------- -----------------------------------------------------------
02/17/14 MON
07:32:44 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:32:57 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/18/14 TUE
07:33:03 SIGNAL RECEIVED:. CS07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/19/14 WED
07:32:20 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:32:34 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/20/14 THU
07:32:39 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01".LP EE:"NO
07:32:49 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/21/14 FRI
08:33:00 *L T T* LATE TO TEST, LAST TEST 02/20/14 07:32:49
08:34:59 ALARM ON HOLD - ACCESSING
.08:47:34 ALARM OFF HOLD
08:48:19 CALLED FRED DRACOBLY DIALED (425) 775-1379
CONTACTED
08:50:30 ALARM ON HOLD - WBA SVC
08:55:44 ALARM OFF HOLD
08:55:58 ALARM ON HOLD _ WBA 6923 NEED TO FAX FIRE
11:56:07 ALARM OFF HOLD
11:56:12 ADDED MESSAGES
PAGE: 2
Page 1
I
Bayside signals-2014-0217-0303
02/21/14 FRI
NO FAXING NEEDED BACK'IN COM
11:56:18 ALARM RESOLUTION
COMMUNICATION TROUBLE
08:52:46 OPERATOR ADDED MESSAGES
WBA 7066 NEED TO FAX FIRE EB OUT, JEN
OUT, LM FOR IAN OF DOWN FIRE NEEDING SVC
08:55AM
10:56:52 SIGNAL RECEIVED: (S87
PREVIOUS TRANSMIT FAIL
EE:"NO
11:01:55 CALLED FRED DRACOBLY DIALED (425) 775-1379
CONTACTED
11:07:14 ADDED MESSAGES
NOTIFIED WB26 HE DOESN'T NEED TO
RESPOND. CALLED FRED AND TOLD HIM ALL IS
RESTORED, NO NEED TO RESPOND
11:16:04 ALARM RESOLUTION
COMMUNICATION TROUBLE
10:56:54 SIGNAL RECEIVED: (S73 )
NETWORK/COMM PATH RESTORED PATH:01"LP EE:"NO
PATH:01"LP EE:"NO
11:32:51 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/22/14 SAT
07:32:57 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/23/14 SUN
07:32:29 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:32:44 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/24/14 MON
07:32:48 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:33:02 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH!01"LP EE:"NO
02/25/14 TUE
07:33:05
SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:33:21
SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/26/14
WED
08:33:20
SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/26/14
WED
08:33:23
SIGNAL RECEIVED: (S87
Page 2
PAGE: 3
Bayside signals-2014-0217-0303
08:33:23 PREVIOUS TRANSMIT FAIL
EE:"NO
08:33:32 ADDED MESSAGES
26 08:33 (S73 )3
NETWORK/COMM PATH RESTORED PATH:01"LP
EE:"NO
08:33:34 ALARM RESOLUTION
COMMUNICATION TROUBLE
08:33:25 SIGNAL RECEIVED: (S73 )
NETWORK/COMM PATH RESTORED PATH:01"LP EE:"NO
PATH:01"LP EE:"NO
02/27/14 THU . 1
07:33:24 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
02/28/14 FRI
07:37:40 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
03/01/14 SAT
07:33:19 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
03/02/14 SUN
07:32:35 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:32:48 SIGNAL RECEIVED: (S07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
03/03/14 MON
07:32:52 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
07:33:05 SIGNAL RECEIVED: (s07
AUTOMATIC RECALL TEST OK
ET:0024 PATH:01"LP EE:"NO
Page 3
10
670 South Lucile St. — Seattle, WA. 98108
Phone (206) 762-1450 Fax (206) 762-1799
Jurisdiction Edmonds
Confidence Test Report
(Seattle Fire Dept. Only)
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
YELLOW
El"
w—HrTE
CONFIDENCE TEST REPAIRS El
Occupancy
Occupancy
Address- 323 3rd Ave N
Name:
Bayside Condominium
Building Owner Bayside Condominiums ATTN:
Phone Number:
i / /
Ed Pepin
L425) 776-9500
Responsible Person: Ed Peoin
Phone Number:
(425) 776-9500
Building Owner Address: 323 3rd Ave N Edmonds, WA 98020
Date of Inspection:
Inspection
Annual � Other
co Lqj�p 14-
Frequency/Type:
Quarterly El Floors Tested
L
Testers Name
(Please Print): �57 7koc (A�
V
SFD Certification'
Number:
SCP-, -F- a 2,Z,7 <
Central Station Yes
Monitoring? �q No
Monitoring
Company Name:
4 (a�
Primary Component: Fire Alarm Panel
System Make:
System Model:
F�i rz'a�+-
System Location:
Identificaflon No.
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
CORREMONS 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 thik report and 4 consistent with Seatde Fire Department Fire Code standards, and that
discrepancie! 4 noted andf&e been reported to the building Owner/Manager for corrective acUon.
Signature of Tester: I�Ialy_ S::& - Ad—
Phone # (206) 762-1450
Testing Agency: -The Safetv Team Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108
PO Box 81246
CTF- 01 "--- , -,rn
Building Representative (signature)
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 signal with AC power off? Not Tested 11 Yes K No El
h 7
IYV r
15�� �.. .0 ,
9,0 p1q,
, .9w
,�a �4 "Y
Charge circuit voltage 2_1 -52- volts
�'ta n— a
e'-I-v
t, a y 0
_'
ry it e (f I 0�
_Ba
,t,t
�tem,� er er
All signals operate on AC power? No [I
11
T717
flaf
Number of signal circuits
a d 7 7 �46 T�71'1
s"
All circuits, -checked for electrical supervision? Yes 14 No 0
046 41f 0 41
Ventilation controls operate? N/AK -..-Yes 0 [I
-No
4 .7,
.�p
Operating instructions at panel? Yes No Ej
El No El
n�
Test record posted at panel? Yes No El
Was a signal received at the Central Station monitoring company? N/A Ei Yes No El
Total Number of
Total Number
System Devices
Units Tested
Units Inoperable
Test Results Acceptable
2. Voice Speakers (Voice Clarity)
:'A;
N/A JK Yes D No 0
E, L_ M.
Visual Alarm Devices (Strobes)
N/A A Yes [I No [I
--T— w
6. Heat Detectors
2�
N/A Ei Yes W No El
A
8. Sprinkler Flow Switches
N/A D YesW No D
Q Is,
� fl ... ..' - . , � I , . -
10. Smoke Detectors
N/A Ei Yes No El
St
F
FAN,
12. Annunciator (s)
N/AK Yes 11 No El
M WON Mb7r,§.,;Z Z_I"!
T'-*�
-7
rti,M",
1' A'
-4,
14. Automatic Door Unlocks
N/A Yes 0 No El
7 Z
AWM'ieZZi �i
Total Number of
Total Number
Communication Equip ent
Units Tested
Units Inoperable
Test Results Acceptable
g
N/A Yes El No [I
! -IN
Moi'
17. Fire Phone Jacks
Notes/Observations:
P.-I �f')
J u r i s d i c t i o n CA
Confidence Test Report
(Seattle Fire Dept. Only)
206-386-1448 Confidence Testing Officer
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
SPRINKLERS - WET
Certification Given
(One System per Report)
RED
D
I YELLOW
I El
I WHITE
CONFIDENCE TEST REPAIRSTE]
Occupancy Address: 323 3rd Ave N Occupancy Name: Bayside Condominiums
Building Owner: Bayside Condominiums ATTN: Phone Number:
Ed Pegin (425) 776-9500
Responsible Person: Ed Pepin Phone Number: (425) 776-9500
Building Owner Address: 323 31dAve N Edmonds, WA 98020
Date of Inspection: Inspection Frequency/Type: Annual
_Q.q W I g- Other F1
Testers Name 95.0- (00?'-er-4
(Please Print): F IhAo 1A R-e— L, SFD Cert #: T-022-qr ITT #:
Central Station Yes No El Monitoring Company
Monitoring? Name: -War. tf /AN
Primary Component: Riser System Make: '5("kj2iPe
System Model: Valve Size: Valve Year:
System Location: IQVO 41 Identification No.
P W66-LE iwt F6 qw: (it i_ddit i6_niii 'r—oo--m—Is �e_�d_e d--,- p-1 -ease a- _d_ d a sepa rate - sheet
Z
Corrections 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.ip)this report and i sistent with Seattle Fire Department Fire Code standards, and that
dlscrepan�pj a e noted and bibeen reported to the building Owner/Manager for corrective action.
Signature of Tester: 41� — �-�2 K"�� Phone # (206) 762-1450
Testing Agency: The Safeti-Tearn Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature)
____ . _rn
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
, � 1:11 - .. . ... ..- , - - -; - , .. . , ;11 WrY,
4f Et- 'FZ -
dw tbtt, "d
Static pressure: 1(00 psi
Flowpressure: 100 psi
&
',H 6 A'd
-lbr- S
T tWe k
,,o s �m8b
btd[flyn er
hid -
2-inch drain?
Other Yes 0 No 11
Pressure regulating valves tested?
System inspected and lubricated?
Signs are installed on valves?
WAX Yes [I No
M WIT
Yes No 11
Wet type sprinkler heads have been replaced or successfully sample tested in th
last 50 vears? N fA
Yes No
Yes No
Proper number of spare sprinkler heads available? Yes No
v -.e,.
S, ?
System gauges replaced gr checked for accuracy within the last 5 years? Yes No El
Installed/Verified Year Wi;-cyA Shut off valves
N' 6
P ..".6-Strug or"[-9,` '01, M Likm,
0`501. �efflgsrfj
qormpsjod,,� _,y
n ee e
S� - MONP11% ___ -- ---
T�M 11F M-1 C
Fire Department Connection (FDC) caps are present and undamaged? NAD Yes No El -
Was an internal pipe and valvi inspection performed within the last 5 years? Yes;k No El
Date Performed �5 1,7-0 1
Sprinkler wrench available for each type of sprinkler? Yes X No El
Notes/Observations:
,4(*
Report of Inspection &
Of Fire Protection System
ort of Internal Condition of Sprinkler Piping (! ,
Name of Property- X:)Ll
Address of Property: —,
Owner/Representative:
esting
and/or as
Date of Inspection: 3 / -1� / Previous Inspection:
Authority Having Jurisdiction: 1p�> System Installation Date:
Inspection fteguency: 0 Monthly El Quarterly 0 Annually XOther
Identify systern(s) involved: —KWet 0 Dry El Preaction 11 Deluge El Other
An examination of representative sections of this sprinkler system has been made to determine internal
conditions.
Initial Examination Data:
Number of branch lines examined: % of total branch lines
Number of cross mains examined: % of bulk lines
Other points examined (describe):
Results of Initial Examination:
(Check box which applies)
Rr 1. The interior of the sprinkler piping appears in satisfactory condition
0 2. The sprinkler systems are in need of internal cleaning. Some of the pipes were found to be partially fWl of foreign materials.
(Specify nature of internal stoppage i.e., pipe scale, silt, mud, tuberculation)
Signature and title of person conducting examination Date of examination.
Examination Subsequent to Cleaning System:
Cleaning method used (describe)
Number of lines examined: % of total branch lines
Number of mains examined: % of bulk lines
Other points examined (describe)
Results of Examination Subsequent to Cleaning System:
(Check box which applies)
0 1. The interior of the sprinkler piping appears in satisfactory condition.
0 2. If interior of piping other than satisfactory, describe:
Was Backflush of Dry Portion of Fire Department Connection Conducted:
0 Yes 0 No Date:
Signature and title of person conducting cleaning Date of cleaning
The Safety Team Inc.
670 S. Lucile St. Seattle WA. PO Box 81246
Tel.(2061 762-1450 Fax (2061 762-1799
The Safety Team, Inc.
670 South Lucile Street Seattle WA. 98108
Phone: (206) 762-1450 Fax: (206) 762-1799 670
Jurisdiction T, 6 rn on C�c,-
Report of Inspection & Testing
Of Fire Protection Svstems
Report of Internal / external Condition of Fire Department Connection (5 year and/or as required)
Name of Pi
Address of
Phon-e #: [4) A -
Date of Inspection: --S
- ,,- V Previous Insvection:
Authority Having Jurisdiction: Ck -NNO - 3,� -
_M C (\C�\ IF A� System Installation Date:
Inspection frequency: 11 Monthly El Quarterly 0 Annually 5 Year 0 Other
Identify system(s) involved: VWet 0 Dry 0 Preaction 0 Deluge 0 Other
An examination of the Fire Department Connection piping has been made to determine internal & external conditions.
tia xamination Data:
Camera Inspection:
Qf Other Inspection method (describe):
Results of Initial Examination:
(Check box which applies)
1 1. The interior of the FDC piping appears in satisfactory condition.
0 2. The FDC piping is in need of internal cleaning. Some of the pipes were found to be partially full of foreign materials.
(Specify nature of internal stoppage i.e., pipe scale, silt, mud, tuberculation)
Signature and title of person conducting examination Date of exam
Examination Subsequent to Cleaning System:
Cleaning method used (describe)
0 Camera Inspection:
0 Other Inspection method (describe):
Results of Examination Subsequent to Cleaning System:
(Check box which applies)
0 1. The interior of the FDC piping appears in satisfactory condition.
0 2. If interior of piping other than satisfacto!y, describe:
Was Backflush of Dry Portion of Fire Department Connection Conducted:
0 Yes 0 No Date:
Signature and title of person conducting cleaning Date of cleaning
Jurisdiction Edmonds
Confidence Test Report
(Seattle Fire Dept. On VIN
206-386-1448 ConfideL
206-615-1 D68 (fax)
GRIM
206-233-7219 Red Tag Hotline 1-�. U
110Ai
SPRINKLERS - WET
Certification Given
(One System per Report)
RED
[I
YELLOW
WHrTE
CONFIDENCE TEST REPAIRS L1
Occupancy Address: 323 3rd Ave North Occupancy Name: BaAide Condominiums
Building Owner: Bayside Condominiums Phone Number: 425-776-9500
Responsible Person: Ed Pepin Phone Number: 25-776-9500
Building Owner Address: 323 3rd Ave North, #204, Edmonds. WA, 9802
Annual
Date of Inspection: 13 L3 Inspection Frequency/Type: Other
Testers Name
(Please Print): SFD Cert #: woajj:L ITT #:-qW-) T-MM-1
Central Station Monitoring Company
Monitoring? Yes K No El Name: UN��,4�A Akor wx
%F
Primary Component Riser System Make: uji i k ;,5
System Model C)4CLIJ oA— Valve Size: 1,S-. Valve Year:
System Location: Identification No.
PROBLEms FouND: (If additional room is needed, please add a separate sheet)
Q) a)"�( UACJ13 dlig, rry.- -4-'C4*'ahE. 4S/1;* 811, Fhr fi-9:5rit.- 'X
Corrections Made: Date Corrected: 3 Corrected By:
(If additional roorri is needed, please add a SeDarate sheet) SFD Certification Number:
Wea ava Irrily"'I V./a
1-r'isau"40^ - ink rn
-a
This certifies that this fire and life safety system has been property inspected for reliability to cover the
Items listed In this report and Is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies areozOted and have been reported to the building Owner/Manager for conrective action.
Signature of Tester: Phone # (206) 762-1450
Testing Agency- qT-hrWS a f- -a t:v �Te a Z n c.
Mailing Address: 67n S. Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature)_,
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
1 11 , I I 1111I , - , -
� +, � 7"; -6. _ I ,, 0, - *-.'.
Static pressure: JW psi Flow pressure: psi
Adw,
-Aw
2-inch drain?
Other 1� Yes El No 11
Pressure regulating valves tested?
NAM Yes 11 No El
Z
" - �511 Mir
System inspected and lubricated?
Yes 19 No El
;, Ci !1�1
zI too=
01,
Signs are provided on valves?
Yes N No 11
Wet type sprinkler heads have beeni; ce or successfully sample tested in the
last 50 vears?
Proper number of spare sprinkler heads available?
gauges replaced or calibrated within the last 51 eats?
S Sj!ail
Inst ibration Year 7,001177 Shut.,off valves
Was debris found in the Fire Department Connection (FDC)?
Was an internal pipe and valve inspection performed within the last 5 years?
Date Performed
I Sprinkler wrench available for each type of sprinkler?
Notes/Observations:
A--b
yes R . No El
Yes No
Yes No
N/AE1 Yes El No iZ
Mi
Yes El No Sk
Yes 19 No El
Page 2 of 2
Ov EDAt
10
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH - EDMONDS, WA 98020
STATUS: ISSUED 08/21/2013
Expiration Date: 02/17/2014
Parcel No: 0083 55000 10 100
BAYSIDE CONDO'S WASHINGTON ALARM INC WASHINGTON ALARM INC
323 3RD AVE N UNIT 2030 AIRPORT WAY S 2030 AIRPORT WAY S
EDMONDS, WA 98020-3187 SEATTLE, WA 98134 SEATTLE, WA 98134
(206) 328-3288 (206) 328-3288
LICENSE #: WASHIA1282C3 EXP: 12/05/2013
JOB DESCRIPTION
REPLACE FIRE ALARM TRANSMITTER WITH DIGITAL CELLULAR TRANSMITTER
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 79 - Fire Alarm
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE- 12
OTHER: N — ----- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
I NUMBER OF DWELLING UNITS: 0
LOT #:
EXISTING AREA
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 7�EMENT
PROPOSED AREA
0 1 ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOORi 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONT SETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: j RE7UfRED: PROPOSED:
HEIGHTALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A kRwr UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANP ALL FEES ARE PAID.
Print Name Date
By
t" ATTENTION
WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN NAADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI 09/ IBCI 10/ IRC 110.
uuli
M [I V4
ONLINE APPLICANT ASSESSOR OTHER JN�0'
9 T—
/3
STATUS: ISSUED. BLD20130895
CONDITIONS
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate, city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.*
Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays,
excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must
comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shallhot be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any
ordinance provision.
I INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
. PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
I BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
I PUBLIC WORKS (425) 771-0235. 1 PRE-TREATMENT (425) 672-5755 1 RECYCLING (425) 275-4 01 1
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
being requested, Contact Name and Phone Number, Date Prefereed,.and whether you prefer morning or afternoon. _
. F-Fire Alarm System Acceptance
SECURrTy
S IGNAUN
@ G
LISTED
P L
F D NY
U L Listed Digital Cellular
Communication for
Fire Alarm Control Panels
The 463G/463C. when installed with a DMP
XR1 00/ XR1 OOFC or XR500/XR500FC Panel,
is UL approved as a primary (standalone)
fire communicator with no backup, and is
approved as a fire stave communicator,
compatible with any FACR The 463G/463C
provides a dependable communications link
between your alarm system panel and Central
Station.
• Compared to a diatup communication link,
cellular can save significantly in annual
telecommunication costs
• UL Listed as the Primary Communicator and
Fire Stave Input for the XR1 00/XR500 in Fire
Applications under ANSI/UL 864 Commercial
Fire (Meets NFPA 72)
• Works on digital cellular data networks over a
variety of carriers
• XR1 OON/XR50ON with the 46313/463C approved
as primary communication by the New York
Fire Department (FDNY)
�e'
DIGITAL CELLULAR FIRE COMMUNICATORS
FEATURES
• 463G/463C enhances system security that conforms with 9 46313/463C uses power from panel with low current draw
NFPA and UL requirements for long standby battery life
• Direct reporting to the DMP Central Station receiver, with a Can be equipped with local or remote antenna, offering
no relaying of atarm signals more flexibility when installing
• Fire Stave Input option of the XR1 00/XR500 with e Ability to check signal strength indication at the keypad
463G/463C approved for any FACP Messaging features transmit alarms/alerts to users via
• Modular solution means easily updated for newer SMS text messages. and allow users to remotely control
technologies theiVMCpjjpMds
• Eight -path redundancy With multiple message delivery
available AUG 2 *1 2013
• DMP Adaptive TechnoLogyTM switches communication
paths while maintaining supervision if the current path DEVELOPMENT SE
becomes unavailable
UL LISTED FULLY SUPERVISED ADAPTIVE TECHNOLOGYTM
Install the DMP 46313/463C Digital
Cellular Communicator in an XR100/
XR500 Series panel to create a UL
listed, primary communication path
for commercial fire installations. The
Fire Stave Input option of the XR500
has also been approved under ANSI/
UL 864 (NFPA 72 2007 & 2010). allowing
it to be used as a Stave Communicator
for any FACR
DIRECT REPORTING
The digital cellular communicators
transmit IP data packets directly from
the panel's processor over the wireless
data network. All of the messages
that are capable of being sent by the
control panel are received directly
by the DMP Central Station receiver.
There are no intermediary servers
or network operation centers, and no
retransmission or reinterpretation of
the information. Direct reporting means
faster response, with no concerns about
signals not being property relayed or
intermediate communication links
failing.
ADD -ON TO XR100/XR500
PANEL
The 463G/463C works as an easy-to-
instatt XR100/XR500 expansion card,
with ptug-and-ptay ease of installation.
No extra programming is required.
It provides full data delivery of DMP
Zones, Areas, and Users, with all names
and details included.
The remarkably compact 46310/463C
won't take up a tot of space in your
communications closet. The unit directly
installs in the panel expansion card stot.
which is mounted inside a sturdy UL-
listed metal cabinet. Tamper protection
is also available for added security.
You're kept fully informed of system
status. The unit sends full reporting
messages including Zones, Areas,
and Users, with all names and details
included. Full supervision ensures that
the cellular communication path is
intact and functional.
EIGHT -PATH REDUNDANCY
Feet more secure with up to eight
paths of communication redundancy.
Select from TCR UDR RS232, GPRS,
COMA, Single Line Dialer. Dual Line
Dialer with multiple IP numbers, and
multiple telephone numbers. You
identify and configure your redun ant
communication links via Remote Li k.
A DACT (digital ala�rrn communicator
transmitter) system may be
configured as:
• Path 1 Type DO Primary and Path 2
Type DD Backup
• Path I Type DO Primary and Path 2
Type CELL Backup
• Path 1 Type DO Primary and Path 2
Type NET Backup
A NET or CELL system may be
configured as:
• Path 1 Type NET Primary with no
Backup
• Path 1 Type CELL Primary with no
Backup
• Path 1 Type NET Primary and Path 2
Type DD Backup
• Path I Type NET Primary and Path 2
Type CELL Backup
• Path 1 Type CELL Primary and Path 2
Type NET Backup
If the primary communication path is
compromised or becomes unavailable,
Adaptive Technology almost instantly
switches to a designated backup path.
Where multiple backups are available.
communications can be programmed
to switch to another path 'as necessary
Thecheckin frequencyand programming
for a backup path adapt to the checkin
prog ramming of the primary path.
When the primary path becomes
available, normal communications are
restored. Adaptive Technology provides
additional confidence in the integrity of
your system. while protecting you from
unexpected cellular service charges.
REDUCED EQUIPMENT NEEDS
With other cellular backup equipment,
you need to purchase additional
enclosures. power supplies. batteries,
cabling. and conduit connections. The
46313/463C reduces the numberof pieces
of equipment you have to purchase.
It comes ready to mount, reducing
your initial costs and simplifying both
installation and ongoing operation.
REDUCED COMMUNICATION
COSTS
Adding the cellular communicator to the
OMP XR100/XR500 fire alarm control
panel can lower costs significantly
compared to dial -up connections.
Fire syste.rns typically require two
diat-up lines that can be eliminated
and replaced with a single cellular
connection.
ANTENNA PLACEMENT
The unit includes both local and remote
SMA (S-band multiple access) antenna
connections, giving you added freedom
and flexibility during installation.
LOW CURRENT DRAIN
With its extremeLy,low current drain
and long standby battery life, the
463G/463C will continue to provide a
communications link for an extended
period of time, even during a power
failure. It draws half the current of other
comparable units.*
C(�
_cj)PEC SHEE
SIMPLE TO INSTALL AND
PROGRAM
Connect the 463G or 463C to your panel,
attach the antenna and power, and
installation is complete. Programming
the 463G/463C is fast and simple,
accomplished within the panel itself.
After programming the 463G/463C
cellular communications path via
Remote Link. you witI, be presented with
the Activate SIM/MEID windowto activate
your cellular plan. Once activated,
the wireless backup connection is
immediately online protecting your
communications link. No separate
programming utility is required.
SECURECOM CELLULAR
SERVICES
The 463G comes standard with a SIM
(Subscriber Identity Module) card ready
to use SecureCom Wireless Cellular
Service from DMR The 463C does not
include a SIM Card and is activated with
the MEID number. With the 463G/463C
and SecureCom, you have a one -stop
resource for both hardware and cellular
service.
ENHANCED FIRE PROTECTION
Compared to diat-up co nnections, a
digital cellular communication link
provides greater retiabilit)6 protection
from sabotage, and is less prone
to being knocked out by weather.
Unlike mobile cellular connections,
the 463G/463C creates a fixed network
connection that minimizes hand-offs
and the chance for dropped connections.
When trouble conditions occur. they can
be more quickly diagnosed and often
corrected remotely.
The NFPA 72 code requires a test of
the entire communications path every
fi%ta miniifac Tka nmp m4ai Ypinn/
UPDATEABLE
In addition to being able to change
cellular carriers, you wit[ also be
ready -to take advantage of technical
improvements as they occur. The unit's
modular architecture enables seamless
upgrades as improved technology
becomes available.
MOBILE PLATFORMS
DMP mobile platforms provide you
with the toots
you need to build strong connections
with your customers.
o MyAcceSSTm enables end users to
monitor and manage their systems
remotely from any mobile phone using
simple SMS texting.
o The Virtual KeypadTm App puts a
keypad on the user's Apple iPhone@,
1PadTM. or Android compatible devices.
0 The ePadTM puts a Mobile Keypad on
any browser or mobile device.
Dealers can offer these much -
appreciated services to their customers
and realize the benefits of additional
recurring revenue.
MYACCESS
Your customers can send many of the
most common system commands to
their residential or commercial systems
via text messages. They can also choose
to have alerts sent to them each time
there's an arm/disarm, an alarm, or
other selected events.
Alerts can be transmitted by the panel
as text messages to up to three phones.
Users can also use MyAccess to interact
with any Z-Wave devices programmed
through their DMP panel, enabling them
to control tights, thermostats, and more
via text commands.
THE VIRTUAL KEYPAD APP
Dealers can invite their customers to
begin using their APP to give them
control of their security system. The
Virtual Keypad allows them to arm or
disarm, and to check the status of their
cellular connected DMP security system
from anywhere they have cell service.
They can also access any Z-Wave home
control devices programmed through
their DMP panel and DMP cameras.
EPAD
This technology delivers the full function
and feet of a traditional LCD keypad
connected to any DMP panel.
Cn
C9 C-
mgow uwua ff Cc ca MIRM nag ncD' 10-
C_'_ES FOR ANSI/UL 864 COMMERCIAL FIRE
Complete your fire system with other DMP wireless devices that are ANSI/UL 864 Listed for Fire Protective Signaling Systems.
TWO-WAY COMMUNICATION
Superior to traditional wireless
devices that just broadcast until the
zone is restored, DMP 1100 Series
require an acknowledgement from
the 1100 Series Receiver, indicating
successful communication. This smart
technology ensures that each and
every communication is received and
efficiently processed at the panel.
With the 90OMHz frequency -hopping
spread -spectrum technology. clear
and accurate signal transmissions
without interference in practically any
environment is to be expected.
1100 SERIES RECEIVERS
1103 UNIVERSAL TRANSMITTER
Model 1103 Universal Transmitter is
typically used in.commercial fire or
burglary door/ window applications. It
offers the same took and features as
the 1101 transmitter, with the addition
of a 470k end -of -line resistor and wall
tamper switch.
V,
A
11 65/1165H/I 165HS COMMERCIAL
SMOKE DETECTORS
The 1100 Series Receivers: 110OXand
11 OOXH allow you to add
up to 500 transmitters
and is required for
wireless capability in
both regular and harsh
environments.
SPECIFICATIONS
Primary Power 12 VDC from panel
Current Draw (463G)
Standby 22 mA
Alarm 45 mA
Current Draw (463C)
Standby 22 mA
Alarm 22 mA
The Model 1165 Smoke Detector. 11 65H
Smoke/Heat Detector, and. 11 65HS
Smoke/ Heat Detector
with Sounder include
a tamper switch that
4 4-sends a trouble signal if
the detector is removed
from the mounting
base.
COMPATIBILITY
DMP XR1 00/XR500 Series using Software Version 202
or higher
ORDERING INFORMATION
463G 2G Digital Cellular Communicator (AT&T T-Mobite.
Rogers)
463C 3G CDMA Cellular Communicator (Verizon)
ACCESSORIES
380-400
Replacement Level 400 SIM Card
381-12
12' Coax Extension
381-25
25' Coax Extension
383
Rubber Duck Antenna
386
Walt Mount Antenna Bracket
_31�7-1
3dB Fiberglass Antenna w/bracket
387-2
_--20-Attack Enclosure Antenna
�Mp
1181 POST INDICATOR VALVE
The model 1181 PIV is a weather proof
and tamper resistant wireless switch
for monitoring the open position of fire
sprinkler control values of the post
indicator, butterfly and other types.
L3
1182 OS&Y
The 1182 OS&YSwitch is used to monitor
the open position of an OS&Y (Outside
Screw and Yoke) type gate valve. The
1182 mounts conveniently to most OS&Y
valves ranging in size from V2" to 12". The
switch operates the external contacts of
the wireless transmitter when the valve
position is altered from an open state.
ACCESSORIES CONT.
387-3 3dB MEG Antenna.
387-25 SMATO N CABLE. 25FT LMR195
387-5a SMATO N CABLE. 50FT LMR195
LISTINGS AND APPROVALS
463G
FCC ID: MIVGSM0308
Industry Canada: 416OA-GSM0308'
Underwriters Laboratories Canada (ULQ Listed
ULC Subject-Cl 023 Household Burglar
ULC/0RD-C1076 Proprietary Burglar
ULC 5304 Central Station Burglar
ULC S545 Household Fire
63C
FCC ID: MIVCNNO301
Industry Canada: 416OA-CNNO301
463G/463C
California State Fire Marshal. (CSFM)
New York City (FDNY COA #6123)
Underwriters Laboratories (UL) Listed
ANSI/UL 365 Police Station Connect Burglar Alarm Systems
ANSI/UL 985 Household Fire Warning System Units
ANSI/UL 1023 Household Burglar Alarm System Units
ANSI/UL 1076 Proprietary Burglar Alarm Units & Systems
ANSI/UL 1610 Central Station Burglar Alarm Units
ANSI/UL 864 Control Units for Fire -Protective Signaling Systems
C4
J
cn
.r_
0
CD
151'
2500,North Partne rship'Bo'uievar&' 8bO.641.4282 I dmp.com
Springfietd-Missour[65803-8877 !made in the USA
Jurisdiction Edmonds
Confidence Test Report
(Seattle Fire Dept. Only)
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
0
1 YELLOW
I El
I WHITE
E
CONFIDENCE TEST R REPA1=RS:jd
Occupancy
Occupancy
Address: 323 3rd Ave North
Name: Bayside Condominiums
Building Owner Bayside Condominiums
Phone Number: 425-776-9500
Responsible Person: Ed Pepin
Phone Number: 425-776-9500
Building Owner Address: 323 3rd Ave N, 3204, Edmonds, WA, 98020
Date of Inspection:
Inspection Annual N Other
Frequency/Type: Quarterly El Floors Tested
Testers Name
(Please Print):
SFD Certification
Number: SCP-- WO-1 2-2-1
Central Station
Monitoring? Yes X No El
Monitoring
Company Name: LA�r-vsv i W,!A Ltl\ 111 Ct 0, W'X
Primary Component: Fire Alarm Panel
j
System Make: —No �- V\
System Model: qrc,!a Uej zzv�
System Location:
Identificatioln' No.
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
CORREMONS 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_poted;bnd have been reported to the building Owner/Manager for corrective acUon.
Signature of Tester:
Phone # (206) 762-1450
Testing Agency: Th-e-gafetv Team Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature)
CTF- 0 1 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 signal with AC power off? Not
Tested 11
Yes
No Ei
System operates properly on batterybackup? 05T!�s
ed El-
4�
N,6,-[]
Battery voltage (no load) 2,6 .,-1 -LI volts
Battery voltage (full load) � vo!t§ (signid"Is--iope'rating)
Charge circuit voltage Z- -7 .5 2, volts
System operates p-r'.9ppn on generator standby power? Not
y_
-Tested 9
"-Yes 0,,.
No -0
All signals operate on AC power?
Yes W
No Ei
Number of. initiating,'.ditcu its �4
ll-er of signal circuits
4systehilmi�et-;audibilit gin
y.st�
El,
_d__,_
All circuits checked for electrical supervision?
Yes 19
No 0-,
_jjdampers)?
All auA nt or)erates (Ele at�rsjj;�bs
Maryeguipm,0,f
N/A Ei ,
Y
ventilation controls operate?
N/A ig
Yes 11
No ii
Y
�gq
'N 6'E]
Operating instructions at panel?
Yes 9
No El
Trouble-"i'n" dicators,�`frlp," ir
n6ti'dii, p�,dperW?'
Remote Annunciator Panels function properly?
N/A A
Yes 11
No El
Elevator Call D 6W'hi nction- s* properly?___
MA 0
Yki§
',No'0
.
Test record posted at panel?
Yes A
No El
General -alatm:ayfo-� '.'u
ji:latic,,time dela. in tes)
Ay�
N/A IN
71
Was a signal received at the Central Station monitoring company?
N/A 0
Yes 19
No [I
Total Number of
Total Number
System Devices
Units Tested
Units Inoperable
Test Results Acceptable
"C"Amd $�J" "
�&
MA 11
��#
y
'sI , I -
2. Voice Speakers (Voice Clarity)
N/A fA
Yes El
No El
3 *Ms,( y 4-,- � I..
I ------ -- ---
___ -
N/A 59
- r' , - - I- '.
, $�[] __: �
y
4. Visual Alarm Devices (Strobes)
N/A S
Yes 11
No 11
5. Hp,'�nj$-Xo, -�@ornbbs
N /A
' E]
D
6. Heat Detectors
N/A El
Yes M
No El
7. Dvccl?p� OV.
NIA 0�
Y Ej
E)
8. Sprinkler Flow Switches
0
N/A 11
Yes 9
No El
'o ry Switches
.9. Sprinkler Su , rv, s
pg
N/A W
'Y
"El
.
10. Smoke Detectors
N/A ii
Yes W
No El
11. Manual,Pull Stations
f9
-es El
Y
No 11
12. Annunciator (s)
N/A IS
Yes El
No El
,13 �11 I I ..e, . ;tgr �s�
.,e
1 4. Automatic Door Unlocks
N/AZ
Yes 11
No El
Total Number
Total Number of
Communication E uipment
Units Tested
Units Ino erable
Test Results Acceitable
M���IMNJMKN�ffio
N/A 1�
Yes 11
No El
17. Fire Phone Jacks
"LsVjfl
oNp QJ,
Notes/Observations: N
- " acc_1�6 ;116 o"Z6
CTF- 01 Page 2 of 2
Jurisdiction Edmonds
Confidence Test Report
(Seattle Fire Dept. Only)
206-386-1448 Confidence Testing Officer
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
SPRINKLERS - WET
Certification Given
RED7
0
1 YELLOW
I [�
I WHITE
I
(One System per Report)
CONFIDENCE TEST I El I REPAIRS 0
Occupancy Address: 323 3rd Ave North Occupancy Name: Bayside Condominiums
Building Owner: Bayside Condominiums Phone Number:, 425-776-9500
Responsible Person: Ed Pepi n- Phone Number 425-7A -§5oo
Building Owner Address: 323 3rd Ave North, #204, Edmonds, WA, 98020
Annual
Date of Inspection: 13 113 Inspection Frequency/Type: Other D
Testers Name
(Please Print): SFD Cert #: t-jo-j7--zj ITT
Central Station Yes No El Monitoring Company
Monitoring? Name: .&Irvx
Primary Component: Riser System Make: oi i k ;,n,
System Model: - Alee--'i Valve Size: Valve Year: .2(:V3
System Location: Identification No.
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
I J,
-�j
Corrections 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 Drkoted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone # (206) 762-1450
Testing Agency: Th'TSafety Team Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108 PO Box 81246
.Building Representative (signature)
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
Flow test conducted?
es -:No El
'Y
Static pressure: )W psi Flow pressure: DS I
Total Number of System Sprinkler Heads:
2-inch drain? Other 1� Yes El No El
FlowsQt6fig, su�o'"6r'yswitchles and. alghii,bells tested?
Pressure regulating valves tested? N/AM Yes El No El
Alarm I �wa.tes�?
N/All A �Ao 0
System inspected and lubricated? Yes 19 No El
Valves are sealvi, eryised?
-e
Signs are provided on valves? Yes 1� No 0
Pumper,connection s and clapper valves unobstructedapd *turn -freely? N/AEI Yes 1 9 NoT]
Wet type sprinkler heads have been replaced or successfully sample tested in the Yes M No El
last 50 years?
S� oti I n, kl� ercove rag'e -is acceptable? *NFPA25;'2002-Sec 5.2.1.1 (Flo`ob7rILe4_Wl 0al �e
y
Proper number of spare sprinkler heads available? Yes 9 No El
Sy A'. 46ft 9
In-servi
s em, de i.
Yes b
System gauges replaced or calibrated within the last 5 'ears?
0 Yes 9 No El
:](n�s:i:aj�alibration Year ?M47 Shut off valves
a
S0J6nRlbe-h65d_8Jre6_,.6f corrosion,. paint, obstructions a
Was debris found in the Fire Department Connection (FDC)? N/AE1 Yes El No iZ
Was an internal pipe and valve inspection performed within the last 5 years? Yes F1 No Sk
Date Performed
Sprinkler wrench available for each type of sprinkler? Yes [9 No El
Notes/Observations:
Page 2 of 2
AM-74
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
I Ral E
Everett, WA 98208
OEDMONDS
OBRIER
0,061 -
the Town of Woodway
DISTR - T
Phone (425) 551-1200
0 WOODWAY
1 0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFT�
LOCATION: 323 3rd Avenue
N
366 17 E3
BUSINESS NAME: Bayside Condos
PHONE: 4257718333
SCHEDULED
DATE DUE 1' 09/01/12
MAILING 323 3rd Ave N #203
UFIR 11, 423 9252
ADDRESS: Edmonds
93020
-BUSINESS OWNER: Dracolby, Fred
HOMEPHONE: 4257751379
ACTIVE
EMERGENCY-1: Pepin, Ed'#204.,,
HOME PHONE: 4257769500
" CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS E]
LICENSE
PERSON ONTACTED: AIC, (L"�e=.C-7—
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
g=A
FIRE AS&I , 6 2
FE IL
SYSTEMS:
A�NUAL-
HAZARDS FOUND AND LqCATIONS / COMMUNICATIONS
P
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
I st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DU E.,
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS::
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
3
7
RETURN RECEIPT
RECEIVED
6
14
18
4
18
DATE*
DISPOSITION:
7
LETTERNEEDED [0] YES Nod
�LETTERNEEDED [:] YES NO
r
8
FIRE DEPARTMENT COPY
2,o q 17 T/ 12
Jurisdiction EDMONDS
-rH E SAFET Y
Confidence Test Report
EAMINr-.
(Seattle Fire Dept. Only)
206-386-1448 Confidence Testing Officer
—
670 South Lucile St. - Seattle, WA. 98108
Phone (206) 762-1450 Fax (206) 762-1799
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
FIREALARM SYSTEM
Certification Given
(One System per Report)
RED
El
I YELI
CONFIDENCE TEST I X I REPAIRS I El
Occupancy 3233 RD AVE N
Address:
Occupancy
Name: BAYSIDE CONDOS
Building Owner BAYSIDE CONDOS
Phone Number: 425-776-9500
Responsible Person: ED PEPIN
Phone Number: 425-776-9500
Building Owner Address: 323 3 RD AVE N #204, EDMONDS, WA 98020
Date of Inspection:
(�p 14 12,0 i Z-
Inspection Annual D( Other 0
Frequency/Type: Quarterly [I Floors Tested
Testers Name
(Please Print): Fae- -9-vouo
SFD Certification
Number: SCP-T-02-2-W
Central Station �U
Monitoring? Yes A No El
Monitoring
Company Name: Wo6k. A[o-r-y-^
Primary Component: Fire Alarm Panel
System Make: noryl
System Model:
System Location: elexl+n C101-1
v
lzm Identification No.
PROBLEms FoUND: (if additional room is needed, please a a separate sheet)
ivi -�tnf- 0ap&-m P21 old
CORRECTIONS MADE: Date Corrected: (Otq J.ZoI7- Corrected By:
(If additional room is needed, please add a separate sheet)
SFD Certification Number: --/-2
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed ir�this report anp is consistent with Seattle Fire Department Fire Code standards, and that
discrepancieiflare noted an011ipave been reported to the building Owner/Manager for corrective action.
Signature of Tester: —<-�&Au—
Phone # (206) 762-1450
Testing Agency: The Saf6't-v' Team Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108 PO Box 81246
Building epresentative (signature)
CTF- 01 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 signal with AC power off?
Not Tested [I
YesX
No El
System operates properly on battery backup?
-Alt
A
ffb` 0
Battery voltage (no load) 05, (.5 volts
Battery voltage (full: load) volts (signgl§op�erdtinig)�
Charge circuit voltage 0-1-. 47- volts
Syst e*m op erate's p,*-'
,grl.y.on,!Renerator standby power?
)L.Tested
YA'� 0
No 0
All signals operate on AC power?
Yes
No 0
64 It,
_,r
�,p g, 4
Number of signal circuits
b o es a r m s e6t:,audibility, standards?
y 01, No- L1,
All circuits checked for electrical supervision?
YesA
No 0
u
All -a'"g-MIW�tqof 4140perates (Elevators,IbW� ;,."dampers)?
MAP
MA Ei
YOX,7-e-,N
Ventilation controls operate?
N/A)(
Yes 0
No 0
Key to_�pan =0 Ml
e -�avai Cble,.
T"0Q!V%.V,; -IRA,
Yk
No_�q
I
Operating instructions at panel?
Yes X
No 0
Troubl'e"'�indic-ators--fU�nct'io�n propefl--?-,'
Remote Annunciator Panels function properly?
N/A
Yes 0
No El
Elevator �Gall- 0.8 d-&6l69'(Pr9peely�
N/A 0
�:Ygp
9
Test record posted at panel?
Yes)(
No
Gen6r-'M�rim �'cifi'&Iiri6 delay (minutes)
N/AX
_
Was a signal received at the Central Station monitoring company? N/A [I
Yes
No El
194, alf In
N =/A
System Devices
Total Number of
Total Number
Units Tested
Units Inoperable
Test Results
Acceptable
1. 8,611- "H i__ I
lorns,,ghimes,
N/A 0 `Y
2. Voice Speakers (Voice Clarity)
NIAX
Yes El
No D
3.
MA 0
El
4. Hea-t Detectors
N/A El
Yes;K
No El
5. S6 to r
MAX,
6. Sprinkler Flow Switches
(6
N/A El
Yes)6
No 11
7. Sprinkler Supdrvisor�- Switches
N/A
Y lb!s�*[]
-,No 0
8. Visual Alarm Devices
N/A
Yes El
No 11
9. Manual -Pull-Stl4tiod s
N/A)(
�Yes .0
No 0
10. Annunciator (s)
N/A 9
Yes El
No [I
IN
12. Automatic Door Unlocks
N/A
Yes Ej
No 11
Communication Equipment
Total Number of
Units Tested
Total Number
Units Inoperable
Test Results Acceptable
gp
15. Fire Phone Jacks
N/A
Yes 0
No 0
7
i?,R M in! CS-i @ n!a 11
V [Ij I I By M, �,Z
Notes/Observations:
-* �)C, -14c, OM COvj�
CTF- 01 Page 2 of 2
670 South Lucile St. - Seattle, WA. 98108
Phone (206) 762-1450 Fax (206) 762-1799
Jurisdiction EDMONDS
Confidence Test Report
(Seattle Fire Dept. Only)
206-386-1448 Confidence Testing Officer
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
SPRINKLERS - WET
Certification Given
RED
YELLOW
I El
I WHITE
(One System per Report)
CONFIDENCE TEST
I � I REPAIRS 11
Occupancy Addre cc*
3233 RD AVE N Occupancy Name:
BAYSIDE CONDOS
Building Owner:
BAYSIDE CONDOS Phone Number: 425-776-9500
Responsible Person:
ED PEPIN Phone Number: 425-776-9500
Building Owner Address:
323 3 RD AVE N #204, EDMONDS, WA 98020
Annual
Date of Inspection:
Inspection Frequency/Type:
Lj 2-01 Z- Other El
1
Testers Name
(Please Print):
1,540 -1-T-- IW�
-0AU-0 SFDCert#: -f-02,2-011 ITT #:
Central Station
Monitoring?
Yesl No 0 Monitoring Company
Name:
Primary Component:
Riser System Make:
System Model:
I 01� Valve Year:
0150.XL Valve Size:
System Location:
Tw6e411,W4 Le'vej -1-X Sprie-VOer IZVV\ identification No.
PROBLEMs FOUND: (if additional room is needed, please add a separate sheet)
Corrections Made:
Date Corrected: Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number:
This ce fies tha his fire and life safety system has been properly inspected for reliability to cover the
Items listed in t report and igconsistent with Seattle Fire Department Fire Code standards, and that
I t�
discrepancieV e noted an4##4e been reported to the building Owner/Manager for corrective action.
Signature of Tester:
A�= Z:20 - Phone # (206) 762-1450
Testing Agency:
The Safefy Team Inc.
Mailing Address:
670 S. Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature
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
Flow test conducted.?
Static pressure: 12-0 psi Flow pressure: C10 psi
Total Number of System Sprinkler Heads:
2-inch drain?
Other
Yes [I
No 0
low switches. sup- rvisory switches and alarm -belV� teste,"d?
Y
0%
U U1
Pressure regulating valves tested?
NAM
Yes 11
No El
v
AIarMi,1KII*Q,'p0t
N/A
Yei�x
JN60
System inspected and lubricated?
Yes
No 11
Valves% 6AWdA,r su p'-ervised?
Signs are provided on valves?
Yes 9
No 11
Pump& connection's �QO clapper valves unobstructed an,d turn freely? NAK
Yes n
NoD
Wet type sprinkler heads have been replaced or successfully sample tested in the
last 50 years?
Yes
No El
Sprinkle-r-covera.ge,is acceptable? *NFPA25-2002-Sec 5.2.1.1 (Floor Level Only)
Yes Kit -�Nb
Proper number of spare sprinkler heads available?
Yes
No El
Systemfleft in serv@je'�9, -
Yesk
System gauges replaced oi� calibrated within the last 5 years?
IVF-!5
Yes
No El
Install/Calibration Year -i�jzocA Shut off valves
Sprinkler.heads-fte6of corrosion, paint, obstructions and/or physical damage?
Yes.,
Mo; -1�
Was debris found in the Fire Department Connection (FDC)? NAX
Yes El
No El
Was an internal pipe and valve inspection performed within the last 5 years? Yes El No El
--Date Performed
401 ...
G dilt r a i HS t a-ti:ot �M
Sprinkler wrench available for each type of sprinkler? Yes X No El
Notes/Observations:
LxVlk)AOWV\ _MT�rMm�-iQyl
mwve5 ivAb all —ca"!s- -far- --,vn;ikJer- inqz__r�l-,on
I I
Page 2 of 2
670 South Lucile St. — Seattle, WA. 98108
Phone (206) 762-1450 Fax (206) 762-1799
Jurisdiction EDMONDS
Confidence Test Report
(Seattle Fire Dept. Only)
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
I El
I YELLOW
10
1 WHITE
CONFIDENCE TEST
REPAIRS 10
Occupancy
Occupancy
Address:
3233 RD AVE N
Name:
BAYSIDE CONDOMINIUMS
Building Owner
BAYSIDE CONDOMINIUMS
Phone Number:
425.776.9500
Responsible Person:
ED PEPIN
Phone Number:
425.776.9500
Building Owner Address: 323 3 RD AVE N #204, EDMONDS WA 98020
Date of Inspection:
Inspection
Frequency/Type:
Annual � Other El
Quarterly El Floors Tested
Testers Name
(Please Print):
SFD Certification
Number:
SCP---r-oz-251'�
Central Station
Monitoring?
Yes No
Monitoring
Company Name:
Primary Component:
Fire Alarm Panel
System Make:
System Model:
System Location:
'deckriccd
1zVV1
Identification No.
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
4
V)
CORREcriONS 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 property inspected for reliability to cover the
Items listed h this report arld is consistent with Seattle Fire Department Fire Code standards, and that
discrepanci4t are noted ar)o Obve been reported to the building Owner/Manager for corredive action.
Signature of Tester:
�&U - ==�/L A'e—
Phone #
(206) 762-1450
Testing Agency:
The Safgjy Team Inc.
Mailing Address:
670 S. Lucile St. Seattle, WA 98108
PO Box 81246
Building Representative
(signature)
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 signal with AC power off? Not Tested 0 Yes 19
No 0
p acup. t Testod[D Ybb.
System o erates properly on batte-y b k No
NdIl
Battery voltage (no load) volts
b-a-tte-i-_yoltag�q ulltoq4 2-640 volts §:!g'qaIop ratih
y
Charge circuit voltage volts
o-perates properly on generator standby pov r� Not
Tested 0 Yes .0 -
No 0
_§)�stem
All signals operate on AC power?
Yes A—,
No- 0
Numbqr-of jinitiatin '!citcpJts
Number of signal circuits
Does �!Iarrn sy em meet audibility standardi?
Y-6slf
e
No 0
N c
All circuits checked for electrical supervision?
Yes
Nc
No 0
All auxiliary ecluiprn,entoperates (Elevators, fans,_ dan�pers)
N/A 0 _ Yes
;NO,O
Ventilation controls operate?
N/A Yes 0
No 0
topan6l
Yes "No'O
_.�ey
Operating instructions at panel?
Yes
No 0
Trouble indicators function prqp��rjy�,'__
Yes
Remote Annunciator Panels function properly?
N/A_%__ Yes
No 0-
Elevator Call.DownlunctionsProperl ?
N/A El Yes
No 0
Test record posted at panel'?
-d-en--eral
_Yejs:�:No
0
matic timeA4�lay� hit�tes)
alarm autol
N/A
Was a signal received at the Central Station monitoring company?
N/A Yes
No 0
WAA;
A N e �sg
� �ffl
Total Number of
Total Number
System Devices
Units Tested
Units InQperable
Test Results Acceptable
1. Bells, Horns, Chimes
N/A 0 Yes)6
N/A Yes 0
No 0
No 0
2. Voice Speakers (Voice Clarity)
"Y____Smoke Detectors
-Heat Detectors
N/A 0 . --
_KejX
N/A 1:1 Yes
N
-o.,[]__
No 0
-bu—ct of
N/A
Nou
6. Sprinkler Flow Switches
N/A 0 Yes X
No El
_T____Sprinkler Superviso -S� �itkes' _7
ry,
N/A, 0
N- [I
0
8. Visual Alarm Devices
N/A X____Yes 0--No
0
9. Manual Pull Stations
N/A Yes'D
No 0
10. Annunciator (s)
N/A�f_' Yes 0
No 0-
11. Beam Detectors
N/A 1Y Yes 0
No El
12. Automatic Door Unlocks
N/A Yes 0
No 0
Automatic Door Release
N/A' Y6s'-,'
Total Number of
Total Number
Communication Equipment
Units Tested
Units Inoperable
Test Results Acceptable
14. Phone Set s_
N/A X Yes 0
'No 13
Fire PhoneJacks___
N/A Yes 0
No 0
,15-.
1 16. Call -in Signal
___
N/A Yes 0
No 0
Notes/Observations:
CTF- 01 Page 2 of 2
670 South Lucile St. — Seattle, WA. 98108
Phone (206) 762-1450 Fax (206) 762-1799
Jurisdiction
Confidence Test Report
EDMONDS
(Seattle Fire Dept. Only)
206-386-1448 Confidence Testing Officer
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
SPRINKLERS - WET
Certification Given
RED
El
I YELLOW
10
1 WHITE
(One System per Report)
CONFIDENCE TEST rM I REPAIRS70
Occupancy Address: 3233 RD AVE N
Occupancy Name: BAYSIDE CONDOMINIUMS
Building Owner: BAYSIDE CONDOMINIUMS
Phone Number: 425.776.9500
Responsible Person: ED PEPIN
Phone Number: 425.776.9500
Building Owner Address: .323 3 RD AVE N #204, EDMONDS WA 98020
Annual
Date of Inspection: Inspection
9-1� �Z-o
Frequency/Type:
Other El
Testers Name
(Please Print):
loows�
SFDCert#: —f-�02-2-51<& ITT #:
Central Station
Monitoring? Yes No
Monitoring Company
Name:
Primary Component: Riser
System Make: L; I a&
System Model: P I ve-'-
Valve Size: Valve Year:
System Location: 7r� 4LXA�
bA Aema4Dr- Identification No.
PROBLEms FOUND: (If additional room is needed, please add a separate sheet)
Corrections Made: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet)
SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listeon this repAo 7d is consistent with Seattle Fire Department Fire Code standards, and that
discrepames are no nd have been reported to the building Owner/Manager for corrective action.
r
Signature of Tester: llk"� 1�7�rhax�—
Phone # (206) 762-1450
Testing Agency: The Safety Team Inc.
Mailing Address: 670 S. Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature)
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
Flow test conducted?
Yes
No'FI
Static pressure: 2-0 psi Flow pressure: psi
Total Number of System Sprinkler He8 s.
2-inch drain? Other
Yes E1__
No
Flow switches, supervisory switches and alarm'bells tested? N/A
Yes IN
No El
Pressure regulating valves tested? N/AM
Yes El
No El
Alarm�,bell operates? N/AM
No.E]
System inspected and lubricated?
Yes
No El
Valves,are sealed-gr supervised?
Yes,,; ,;No,El
Signs are provided on valves?
Yes
No
'Pumper connections and clapper valves unobstructed and turn freely? N/A
Yes
No
Wet type sprinkler heads have been replaced or successfully sample ' tested in the
Yes El
No El
last 50 years?
Sp(inkler coverage is acceptable? *NFPA25-2002-Sec 5.2.1.1 (Floor Level Only)
Yes
0
0
Proper number of spare sprinkler,heads available?
Yes
No El
System left in service?
Yest
No ED
System gauges replaced pr calibrated within the last 5 years?
Yes
No
Install/Calibration Year!J�19,W Shut off valves
Sprinkler heads free of corrosion, paint, obstructions and/or physical damage?
Yes
No El
Was debris found in the Fire Department Connection (FDC)?
Yes
No
as e ;eq paiih,61 C161 )S ).:bad"k,'Ald'sh &`.d:�' W*ithin,thejl6�,V,',5,y4'
W
Was an internal pipe and valve inspection performed within the last 5 years?
Yes El
No El
Date Performed
W -6 s' ,a si a ria, l"re.ceJ d-.;at the -Central Station -moni 1 'Pompany?
tori h9 N
Sprinkler wrench available for each type of sprinkler?
Yes*
No 0_
Notes/Observations:
-�K r� 0 L-4n
. I - 4-is -Coir ,
ro_ xj 'i VN e7_01A.rQ_ k"Ajj 60_X Q rv_ 0 (4
Page 2 of 2
dITY OF EDMONDS
1215THAVENUEN. - EDMONDS, WASHINGTON 98020 - (425)771-0215
FIRE DEPARTMENT A
t 8
LOCATION: 323 3rd Avenue N
FIRE PREVENTION
SAFETY SURVEY
BUSINESS NAME:
Bayside Condos
PHONE:
4257718383
MAILING
323 3rd Ave N #203
ADDRESS:
Edmonds
98020
BUSINESS OWNER: I
Dracolby, Fred
H2OMEPHONE.
4257751379
EMERGENCY-1:
Pepin, Ed #204
HOME PHONE:
4257769500
KEY ACCESS-2:,
HOME PHONE:
FREQUENCY
STATION 1, SHIFT
366
17 D
I
SCHEDULED
01
09/01/10
DATE DUE
LIFIR o. 423
�l
9252
ACTIVE
e- INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR.
to 91/16
FIRE AS 9/07 FA 9/07 FE _�_ZD
SYSTEMS:
ANNUAL'
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE Ilo
VIOLATION CODE
2
/,t.. tz-/
2
V
V
3
3
4
4
5
5
6
6
7
7
8
8
lst 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:
3
VIOLATIONS
1 5
MOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
8
LETTER NEEDED E'] YES NO
LETTER NEEDED E, YES Ej NO
FIRE DEPARTMENT COPY
Jurisdiction Edmonds
Confidence Test Report
(Seattle Fire Dept. Only)
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
I El
I YELLOW
� El
WHITE
%4" - I
CONFIDENCE TEST REPAIRS El
Occupancy
Address: 323 3rd Ave N.
Occupancy
Name: Bayside Condominiums
Building Owner Bayside Condominiums
Phone Number: 425-776-9500
Responsible Person: Ed Pepin
Phone Number: 425-776-9500
Building Owner Address: 323 3rd Ave N #204, Edmonds, WA 98020
Date of Inspection: to
Inspection Annual Other
Frequency/Type: Quarterly FloorsTested
Testers Name
(Please Print): ? ?CI-r-Al f
SFD Certification
Number: SCP_ ?005X
Central Station
Monitoring? Yes No
Monitoring
Company Name:
Primary Component: Fire Alarm Panel
System Make: r yX
System Model: ag_6
System Location: F. A,r&N. jg�n$e Identification No.
PROBLEms FoUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet)
SFD Certification Number:
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items ij*ej in this report aAs c9as4ent with seattle Fire Department Fire Code standards, and that
discreVancpnre noted ahc1,Xavebpe0t�p2tjed tp the building Owner/Manager for corrective action.
Signature of Tester: (_AA� Y<, .
- Phone # (206) 762-1450
Testing Agency: The Safely Team Inc'
Mailing Address: 670 S. Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature)
-
CTF- 01 Paee I of 2
I -
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 signal with AC poweroff?
Not Tested 0
Yes
No 0
System operates properly on battery backup?
Not Tested 0
Y6s'EM
No 0
Battery voltage (no load) Zs-. &0� volts
Battery voltage (fullftioad) ?-,*. 5� 1 , volts (signals operating)
Charge circuit voltage Z-7.570 volts
System operates pro pedy on generator -standby power?
Not Tested 0
Yes 0
No 0
All signals operate on AC power?
Yes
No 0
ia qiTpqits
NUmber,of init Una.(
Number of signal circuits
Does alarm sys-tem4iTieet audibility standard S?
Ycis,O
N 0,0
All circuits checked for electrical supervision?
Yes k
No 0
All aux'�liaf.,y..,equipffi',,-.Opt�0,Viprates (Elevators, fansi Agmpers)?
N/A 0
Yes
Ventilation controls operate?
N/A 19
Yes 0
No 0
-MIRI
Key to.,p,andI;dvaiM IV,
y t X
"o, -�Q
N
Operating instructions at panel?
Yes
No 0
Trouble- indi6ators'f6iriction properly?
Yes CK
No 0
Remote Annunciator Panels function properly?
N/A X
Yes 0
No 0
Elevator Call.;Dowhifiinctions properly?
N/A 0
Yes 0
No 0
Test record posted at panel?
Yes X
No 0
Generalalarm�aulb'pn` delay _ (minutes)
N/A �ff
Was a signal received at the Central Station monitoring company?
N/A El
Yes D<
No 0
Al .TY�@ M�N 0�@
System Devices
Total Number of
Units Tested
Total Number
Units Inoperable
Test Results Acceptable
1. Bells, Horns, Chimes
49-
N/A 0
Yes 4-
'No'O
2. Voice Speakers (Voice Clarity)
N/A
Yes 0
No 0
3. Smoke,Detoctdrs
-0-
!N/A 0
Yes
0
N 0
4. Heat Detectors
N/A 0
Yes
Nod'
6. b6ct betd*ct6rsi�,,
N/A M
Yes U
No;'D
6. Sprinkler Flow Switches
N/A 0
Yes_2Q
No 0
7. Sprinkler.,Supqj*i S_
sory witches
Nh_ -
00
8. Visual Alarm Devices
N/A
Yes El
No 0
NIA
yes,41
0
-N I o . �O
10. Annunciator (s)
N/A
Yes 0'
No 0
11. Beam 136tectof-s
N/k;f%
'Yes 13
No 0
12. Automatic Door Unlocks
N/A
Yes El
No 0
1-3.' Automatic No' Release,
N/A10
NO 0
Communication Equipment
Total Number of
Units Tested
Total Number
Units InoperabJe
Test Results Acceptable
14. 'Phone Sets
N/A
Yes �O
No 0
15. 'Fire Phone Jacks
N/ A
Yes El
No El
16. ib ;all -in Signal
10,
NIA
Yes 0
, No 0
Notes
_5,5 V6A;+!r 4V Ve
4 1 4:�A auoU 1-7; i4q
I I
CTF- 01 Pnor.-. ? nf ?
Jurisdiction Edmonds
Confidence Test Report
(Seattle Fire Dept. Only)
206-386-1448 Confidence Testing Officer
206-615-1068 (fax)
206-233-7219 Red Tag Hotline
SPRINKLERS - WET
Certification
Given
(One System per Report)
RED
El
YELLOW
I El
I WHITE
CONFIDENCE TEST REPAIRS El
Occupancy Address: 323 3rd Ave N.
Occupancy Name:
Bayside Condominiums
Building Owner:--- Bayside Condominiums-
Phone Number:
425-776-9500--
Responsible Person: Ed Pepin
Phone Number:
425-776-9500
Building Owner Address: 323 3rd Ave N #204, Edmonds, WA 98020
Date of Inspection: ICI— 10
Inspection
Frequency/Type:
Annual
Other
Testers Name
(Please Print): jAZjf6m6,.
SFD Certification
Number:
SCP- -POOS-3s
Central Station Yes JX No El
Monitoring?
Monitoring Company
Name:
es L'Alarm
Primary Component: Riser
Sy stem Make:
rzsl&n���
t
System Model: NIA
Valve Size .15
Valve Year
System Location: 04,ej- Identification No.
tJ14
PROBI-Ems-FOUND: (if additional room is needed, please add a separate sheet)
Corrections Made: Date Corrected:
Corrected By:
(if additional room is needed, please add a separate sheet)
SFD Certification
Number:
This certifit s th t thi fire and life safety system has been properly inspected for reliability to cover the
'� 'is
Items list this report and is-consis49A il with Seattle Fire Department Fire Code standards, and that
discrepiFisAare noted anae bkepgPPFtQ4 to the building Owner/Manager for corrective action.
Signature of Tester: (-AAZ,� I <.- EL-�
— Phone #
(206) 762-1450
Testing Agency: The Safety Team Inc.
Mailing Address: 670 S.Lucile St. Seattle, WA 98108 PO Box 81246
Building Representative (signature)
Page I of 2
lt� ,
, k
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
Flow test conducted?
Yes
No - El
Static pressure: /5-o psi Flow pressure: /05"psi
Total Number of S�,,pt�m Sprinkler Heads:
2-inch drain?,
Other
Yes
No El
Flow switches,sup e�rvilsory switches and alarm bellstested?
N/A0
Yes IN
No'!E1
Pressure regulating valves tested?
N/AZ
Yes El
No El
Alarm bell operatei?
N/A-0
Yes-0
NoO
System inspec ted and lubricated?
Yes
No El
Valves--�are,6ea'led,,.'e:,�r",supervised?
Yes
No
Signs are provided on valves?
Yes
No El
Pumper connections and clapper valves unobstructed and turn freely?
N/AE1
Yes 0
No El
Wet type sprinkler heads have been replaced or succe f l,ly sample tested in kthe
last 50 years? _rZjli A @_ 4U-2-, )
Yes El
No El
Sprinkler coverage,is acceptable? *NFPA25-2002-Soc 5.2.1.1 (Floor Level Only)
Yes.E9
No,[]
Proper number of spare sprinkler heads available?
Yes
No El
System,left in servioe?
Yes
No El
System gauges replaced or calibrated within the last 5 years?
jaat.all/Calibration Year 0jZ$oq Shut off valves 1/tS
Yes
N o
Sprin er heads froeli.-of corrosion, -paint, obstructions and/or physical damage? Yes No
Was debris found in the Fire Department Connection (FDC)? N/A El Yes El No
AM "th ihitliMa
7o iriecti6n�(f..,�
q,,,,_nt.'C
D C"
Was an internal pipe and valve inspection performed within the last 5 years?
Date Performed Yes El No El
_-4- rt;'i M
NY [3 - 'I(
hil,
Sprinkler wrench available for each type of sprinkler? Yes No
Notes
I tV\'CLIC4hIS (AAAJZiAQWA— i^�Gr6WI?PA.
P.q Cr P. I A f ?
(Eight Units)
323 3rd Ave. N., Edmond
$185,000 to $225,000
Special Features
• Gated & landscaped courtyard
• Energy efficient units - Gas
heat on upper floors
• Two car secured garage,
parking
• Two bedrooms/two bathrooms
• Fire - sprinkler system
ol- t
• Attractive stucco & vinyl
exterior
• Close -in downtown location
• Sound & views on some units
• Elevator (garage to units)
• Gas fireplaces
edmolds REALTY, INC.
108 Fifth Avenue South Edmonds, Washington 98020 (206)775-3631
094-3009
0' - "R
The
Bayside
Condominium
323 3rd Ave. N.,
Edmonds, WA
Prices from:
$1859000
to $2259000
Top Level Southwesterly View
-*.- Upper Floor Cathedral
Security - Intercom
Vinyl windows - easy care/insulated
Top Level View from N.W. Corner
-*.- Professionally maintained landscaping
-*.- On busline & shopping close by
REALTY, No,
108 Fifth Avenue South Edmonds, Washington 98020 (206)775-3631
Custom Construction by Blueprint
Homes
hisit or call our office
,for inore inforination
PROJECTED SALES PRICES:
A - $195,000 B - $185,000
C - $190,000 D - $190,000
UNIT SQUARE FOOTAGE UP TO 1170 SQ.FT.
(INSIDE MEASUREMENT -APPROXIMATE)
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64**
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C!TY OF EDIIVIOI�DS
tic BUILDING DEPARTMENT
WORK AX,-f ��144-1
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ADDRESS 2—
OWNER
7/1 6- APPROVED DATE:
CiAL
BLDG. OFF1
City
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JOB: S I X P.O. BOX 1543 WOODINVILLE, WA 98072 — .
M 17- - BY: r—w-s
Ave- M DATE 9-2.0-9/
-5-
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N
BOARD OF DIRECTORS
CHAIRMAN
JAMES L. MANSON, C.B.O.
DIRECTOR,
DEPARTMENT OF BUILDINGS
COUNTY OF SPOKANE
SPOKANE , WASHINGTON
FIRST VICE-CHAIRMAN
PHIL M. HERRINGTON, C.B.O.
DIRECTOR, DEPARTMENT OF
BUILDING AND SAFETY
RENO,NEVADA
SECOND VICE-CHAIRMAN
808 FOWLER, RE., AIA, C.B.O.
DIRECTOR OF BUILDING INSPECTION
ABILENE, TEXAS
IMMEDIATE PAST CHAIRMAN
EUGENE J. ZELLER, RE., C.B.O.
SUPERINTENDENT OF BUILDING
AND SAFETY
LONG BEACH, CALIFORNIA
international Conference of Building Officials
REG I ONAL OFFICE: 2122-112TH AVENUE, N.E., SUITE B-300 _ft-�4&V4J�7�%/A&H I 4GTON 911004 (206) 451-9541
nif.
OFFICES OF
JERRY J. BARBERA, P.F.
REGIONAL MANAGER
October 24, 1991
RUEN-MARK CHANG, P.E.
REGIONAL ENGINEER
Plan Check: 6190 JAMES E. PERSING, S.E.
Project: Blueprint 6 Unit Apartments REGIONAL ENGINEER
CHARLES J. WILLIAMS, S.E.
Address: 232 3rd Ave N. REGIONAL ENGINEER
Dick Mumina.
Building Official
4�
250 5th Ave N
Edmonds, WA 98020
Sprinkler Plan Check
RON BULLOCK
CHIEF BUILDING OFFICIAL Dear Mr. Mumma:
SANDY, UTAH
PAUL T. EDGERTON We have reviewed the automatic sprinkler system plans and calculations
MANAGER, BUILDING DIVISION
VANCOUVER, WASHINGTON submitted by Advanced Fire Protection for the above named facility. 'ne
ROBERT J. EPPSTEIN, C.B.O' building is hydraulically calculated to provide sprinkler discharge for 4
DIRECTOR, BUILDING AND SAFETY
FREMONT, CALIFORNIA residential sprinklers in accordance with NFPA 13R. They will generally.
JAN P. GASTERLAND, C.B.O. comply with NFPA 13R when all of the following items in this letter are
BUILDING CODE OFFICER
ST. PAUL, MINNESOTA addressed.
DOUGLAS E. HOOD, C.B.O.
BUILDING OFFICIAL
CHANDLER . ARIZONA
KENNETH G. LARSEN, C.B.O.
DIRECTOR OF BUILDING AND HOUSING
CHULA VISTA, CALIFORNIA
GORDON W. MURDOCH, P.E., C.B.O.
BUILDING OFFICIAL
DANA POINT, CALIFORNIA
ALAN P. OLSON, R.A., C.B.O.
ASSISTANT DEVELOPMENT
SERVICES DIRECTOR
PHOENIX, ARIZONA
RON PERKEREWICZ, C.B.O.
DIRECT OF; OF COMML;N:7Y
DEVELOPMENT
COUNTY OF KITSAP
PORT ORCHARD, WASHINGTON
THOMAS R. THOMPSON, C.B.O.
BUILDING OFFICIAL
BROOMFIELD, COLORADO
ROBERT D. WEBER, P.E., C.B.0
DIRECTOR, DEPARTMENT OF BUILDING
COUNTY OF CLARK
LAS VEGAS. NEVADA
ALLEN 0. ZEPPER, C.B.O.
BUILDING OFFICIAL
STILLWATER. MINNESOTA
PRESIDENT
JAMES E. BIHR, RE.
FAX NUMBERS
Order Department
(213) 692-3853
Plan Rev'ew
(213) 692-3425
ICBO ES . Inc.
(213) 695-4694
Administration
(213) 699-8031
Northern California
(510) 463-3295
Indiana
(317) 879-0966
Missouri
(816) 741-9475
Texas
(512) 343-9116
Washington
(206) 637-8939
L Sprinkler protection has been omitted from attic spaces, small closets
and outside decks in accordance with NFPA 13R. Nevertheless, sprinklers
have also ben omitted from the parking garage below the residential units.
The omission of sprinkJers from the parking level is not allowed by NFPA
13R. Plans say you allow this --is this true? Also, if the sprinklers are
required for allowable area then the garage can't be omitted from coverage.
2. A listed check valve should be installed in the Fire Department
Cocnnect;on !;T,-. An automat:;c drip valve'should be promrided at the lov"est
point of the FDC piping between the check valve and the hose connection.
The drip valve should have adequate drainage.
3. It appears that sprinkler heads located in the upper level suites adjacent
to the "gas log fireplace" may be partially blocked by the fireplace walls (if the
walls are full height). If walls obstruct sprinkler discharge from complete
coverage of room, additional heads and/or relocation of the sprinkler heads
protecting this space will be required.
4. Details of the method used to protect the 1-1/2" CPVC piping located
in the garage level from exposure to temperature below 40 degrees F should
be provided.
Main Office: 5360 South Workman Mill Road * Whittier, California 90601 * (213) 699-0541
PlanCheck 6190
Dick Mumma, Edmonds
October 24, 1991
Page 2
5. A one hour shaft is required around the plastic piping where it penetrates floors. This should
be on the plans and may require retrofitting. UBC Section 1706, exception, 5 does not apply so
exception 6 has to be used which requires metal pipe.
6. Hydraulic calculations should be corrected to include appropriate footage of I" piping
between hydraulic nodes 11 and 12. The footage should be approximately 56' instead of 6'.
7. Hydraulic calculations include hydraulic nodes 43 but the plans do not indicate such a node.
It appears that the calculations are in error and should be corrected to accurately reflect the pipe
and fittings shown on the sprinkler plan.
8. - CPVC piping is shown penetrating 2 hour fire walls. This is not allowed by UBC Section
4304(e). How will the penetration be protected?
1 9. You should verify that water supplies used in hydraulic calculations are available
Static 125 psi
Residual 105 psi
GPM flowing 1712 gpm
10. Details should be provided to show how vertical and lateral sway braces are connected to the
structure and the type and size of connection device.
11. Sprinkler systems should be supervised by an approved central station.
12. The designer should note on the plans "All required acceptance testing shall be performed
by the installer in accordance with NFPA 13 1-11. Systems shall be hydrostatically tested at 200* psi
for two hours in accordance with NFPA 13 1-11-2. The results of this test and all other required
tests shall be recorded on a Contractor's Material and Test Certificate."
Our headquarters accounting department in Whittier, California will send you an invoice for this
plan reviewing service based on 2 hours of professional time ($100).
FIRESTOP SYSTEM SELECTION CHART
LINE I
Type of
Rating
Hilti
Hilt!
UL
#
Penetrating Item
Wall/Floor
Hrs
Materials
Drawing
System
1
Metal Pipe/Conduit
Concrete or
1, 2 & 3
CS 240
101
220,221,
(4" or smaller)
Concrete Block
CB 120
223,316
2
Joints (up to 3" wide)
Concrete or
2
CS 240
104
214
Concrete Block
CB 120
3
Cables (5 or less)
Concrete or
2 & 3
CS 240
110
222,224
Concrete Block
CB 120
4
Telephone Cable
Concrete or
2
CS 240
307
Concrete Block
.111
5
Metal Pipe/Conduit
Concrete or
1
CS 240
112
218,219
and cables*
Concrete Block
CB 120
6
PVC Pipe/Conduit
Concrete or
1 & 2
CS 240
121
226
(4" or smaller)
Concrete Block
CS 2420
7
PB Pipe
Concrete or
2
CS 240
121
226
(2" or smaller)
Concrete Block
CS 2420
8
CPVC Pipe
Concrete or
2
CS 240
121
226
(3" or smaller)
Concrete Block
CS 2420
9
Metal Pipe/Conduit
Concrete or
3
CS 240
121
226
(4" or smaller)
Concrete Block
CS 2420
10
PVC Pipe/Conduit
Concrete or
2 & 3
CS 240
122
300
(4" or smaller)
Concrete Block
CS 2420**
11
PVCipi e/Conduit
Concrete or
2
CS 240
123
300
(6" d a.F
Concrete Block
CS 2420**
12
Insulated Metal Pipe
Concrete or
2
CS 240
130
301
Concrete Block
CS 2420**
13
Insulated Copper
Concrete
2
CS 240
131
310
Pipes*
Floor Only
CS 2420
14
Glass Pipe
Concrete or
2
CS 240
150
302
(4" or smaller)
Concrete Block
15
Blank
Concrete or
2
CS 240
160
311
Concrete Block
16
PVC Pipe/Conduit
Gypsum Wall
2
CS 240
301
228
(2" or smaller)
CS 2420
17
Insulated Metal Pipe
Gypsum Wall
2
CS 240
302
229
(3" or smaller)
CS 2420**
18
PVC Pipe/Conduit
Gypsum Wall
2
CS 240
303
229,314
(4" or smaller)
CS 2420"
19
Metal Pipe/Conduit
Gypsum Wall
2
CS 240
304
1 & 3***
(4" or smaller)
CB 120
20
Cables
Gypsum Wall
2
CS 240
305
2 & 4...
(5 or less)
C13 120
21
PVC Pipe/Conduit
Gypsum Wall
2
CS 240
306
227,313
(4" or smaller)
CS 2420
22
ABS Pipe '
Gypsum Wall
2
CS 240
306
227,313
(2" or smaller)
CS 2420
23
Metal Pipe/Conduit
Wood Floor
2
CS 240
401
306
(4" or smaller)
Assembly
24
Telephone Cable
Wood Floor
2
CS 240
401
304
Assembly
25
PVC Pipe/Cond
��
Wood Floor
2
CS 240
403
303
(4" or smaller)
Assembly
CS 2420**
*Rectangular opening —Retaining Collar System
—Warnock Hersey Designs
P.O. Box 21148, Tulsa, OK 74121 Hilti is an equal opportunity employer.
(918) 252-6000 H-171 3/90'
Hilti is a registered trademark of HILTI, Corp.
@ Copyright 1990 by HILTI, Inc.
THE NEW FIRESTOP SYSTEM
Containing a structure fire to it's area of origin is
the key to minimizing loss of life and property
damage. It buys time for occupants to evacuate
to safety and for fire-fighters to extinguish the
blaze before it rages out of control.
Firestopping plays an important role in fire
containment by preventing the spread of fire
through penetrations and other openings in fire -
rated walls and floors.
Hilti has long been known in the construction
industry for top quality products and a high
degree of technical expertise. Our familiar
fastening systems are backed by a well -trained
team of sales/service specialists and engineers
worldwide. Our ability to train the end user on
each of our products on the jobsite makes Hilti
unique in the industry. Our committment to fire
protection in today's safety -conscious building
community is no exception to our philosophy of
service.
CS 240 FIRESTOP SEALANT
CS 240 is a versatile, high -quality silicone sealant
with excellent fire resistance properties. It cures to a
durable, flexible seal which forms air and watertight
bonds with most common building materials.
CS 240 is designed for firestopping penetrations
such as those made for basic wiring and plumbing for
up to 3 hours. It's excellent extension/compression
properties also make CS 240 ideal for fire -rated
expansion joints and where building or penetrating
item movement is anticipated.
At Hilti, we believe a Firestop system should do
more than just stop fire. A System that does not
prevent the spread of smoke, water. and toxic gases
does not provide full protection. When installed
properly, Hilti Firestop Systems seal out all the
elements of a fire.
In fact, CS 240 is used in every Hilti Firestop System
to insure an air and watertight seal,
FEATURES OF CS 240 FIRESTOP SEALANT
• One -part, ready -to -use sealant
• No solvents, no shrinkage
• Non -sag formulation
• Can be used alone or with backing material
• Can be applied in virtually any outdoor working
temperature (- 35' to 160' F)
• Does not require heat to activate the seal
• Allows ± 40% movement without affecting
adhesion
• Permanently effective-wifl not tear, crack, crumble,
or fall out with age
• Available in ca0 ing tubes and bulk pails
• Meets most government project specifications
• Made in the U.S.A.
• Meets ASTM E-814 (UL 1,179)
for 1, 2 and 3 hour ratings.
CS 2420 INTUMESCENT WRAP
CS 2420 is an intumescent strip designed for
firestopping plastic and insulated pipe penetrations. It
expands up to 10 times its original volume during fire
closing voids left by consumed plastic pipe or pipe
insulation. ft then forms an insulating char which
blocks fire, smoke and water for up to 3 hours.
CS 2420 is also effective in firestopping steel
pipe/conduit penetrations for 3 hours, eliminating the
need for a fibrous backing material.
FEATURES OF CS 2420 INTUMESCENT WRAP
- Meets ASTM E-814 (UL 1479) for up to 6' diameter
plastic pipe penetrations (closed or vented piping
systems)
- Cuts easily with knife or scissors
- Expands up to 10 times original volume
- CS 2420/240 System is compatible with PVC, CPVC,
P6, ABS pipe; no special pipe protection is required
- UL Classified Systems for penetrations in concrete,
concrete block, gypsum, and wood floor assemblies
- No special tools required for installation
- Made in the U.S.A.
INSTALLATION
CS 2420 Intumescent Wrap can be installed
internally (within a floor or wall) or externally depending
on the size of the opening relative to the pipe diameter.
When the opening is too small for the Wrap to fit
internally, install it outside the opening using the Hill
Retaining Collar system. The Retaining Collar is a
prefabricated sheet metal strip designed to direct
expansion of the Wrap material inward. This system is
installed on the underside of floor penetrations and on
both sides of a wall.
SERVICE
In addition to our quality products and jobsite service.
Hild has a qualified technical staff who will work with you to
provide general information and consultation, professional
engineering recommendations for special applications. and
educationat seminars nationwide.
ORDERING INFORMATION
Item #
Description
000246207
CS 240 Firestop Sealant
(10.3 ft. oz. tube)
000246215
CS 240 Firestop Sealant
(case, 12 tubes)
000291369
CS 240 Firestop Sealant
(4.5 gal. pail)
000291377
CS 2420 Inturriescent Wrap (12ft.)
000294108
Retaining Collar (25 ft.)
000297838
Collar Clamps (10)
000297820
WrapTape (150ft.)
000248252
Sealant Dispenser
LISTINGS
CS 240 Fimstop Se�tant
CS 2420 Int—cent Wmp
APPROVALS
Hilti Firestop Systems meet the firestopping requirements
of model building codes including:
Uniform Building Code (lCBO)
Standard Building Code (SBCCI)
Basic Building Code (BOCA)
National Electrical Code (NFPA)
Life Safety Code (NFPA)
A list of approvals is available upon request.
City '.:Of.']wmonds
�;-INTER4FFICRZORRESPONDENC
E
ROW-- DATE
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..........
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IGTON 98OD4 0 (206) 451-9541
JEWA SARKRA, Pz
August 14, 1991
P&SONIAL MANAWA
RIWV�=Hma
R, Ps -
JAM POW09k. Q. 6.L
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Plan Cheala 6111 (Ed=Qvxb
L
Prqjeft Blueprint Humes 6-Unit Ap R
Address: 323 3rd Ave N
Edmonds, WA
Code Infbrmadon: R-1, B-1/V-1 hour
Stories: 2 + basement
Floor Area: 10,200/5,100 BUILDING
0xupant Toact 50
Valuation: $90$,000 AUG 15 jai
1988 Uniform Building Code
Exposure: B
Seismic Zone: 3 RECEIVED
BiWa Wind Sp"d: 80 mph
Dick Mumma
OF
0 - G 15 1991
Buidding Official
L 'EDMONDS FIRE DEM,
RIc� 31-
250 5th Avenue N
Edmonds, WA 98M
Dear W Mumma:
We have reviewed the plaw and Lumated daLta for the pn;jec.t mentioned
Above to sm if it conforms to the Uniform Building Code as vmll as parts of
the Uniform Mechanical Code. We have not reviewed them for requirements
of f6deral, or other state and local regulatory aSencica. In most casm, the
dwignor should modify the plaw and/or spccifications to satisfy these
00mmentL
UENERAL & SITE PLAN
I. Your Public Works Department should review the plans for street
improvements. curb cuts. and storm drainage requirements.
2- Your Fire Department should ensure that the fire hydrants are within
15W of the site. Article 10.301, UFC
3. The legal doscription of the property &hould be reviewed and approved
by your Zoning Department. Section 302(a)2
4. , Your Zoning Department should check the building setbacks and the
access to the street.
5. Drainage plans should be submitted for your review. Section 302(b)
Main Office: 5360 South Workman Mil I Road * Whittier, Caf�ormia 90601 * (213) 699-0541
"I
�;UG-15-1991 15:15 PROM TO 1??95322 P.02
Plan Check 6111
Dick Mumma, Edmonds
August 14,1991
Page 2
TYPE OF CONSTRUMON
1. 1 cannot tell from the plans if this is a two-story with basement or a duwAtory building.
The ground elevations around the perimeter (S' from emlerior wall) should be spedfied on the
grading plan, The floor elevation of the main lavel should also be indicated.
2. Based on scaled dimcnsions� I am assuming that thiswill. be oonside-red as a two-3tory with
basement. Ibis mvicw will bo based on that assumption.
3. The review will be based on the following:
Occupancy R-1/B-1 garage
Type of Construction V-1 hour (>3000 on second floor)
4. 1 don't know the purpose of the "2 hour fire division wall shown on Lhe front Sheet. Since
this is of Type V-I hour construction (allourable area = 21�= so, a one hour wall coWd be used
unietr. the two hourwall is required by a locai ordinance.
S. Mechanical vexitiladQn should be prcrvi&d in the garage ar-ta based on 1.5 CfW per squarc
foot. Section 705. Details should be provided.
6. Floor drains should be provided and be connected to an approved oil separator.
7. 'Me location of the smoke detectors should be. located on the plans. Section 1210
8. The elevator shaft should be of one hour construction and the doors should be listed one
hcmr assemblies. Section 17706
9. Complete dotaN should be subnnitted for the guard rails at the docks. The beight 3hould
be a minimum of 42" (not within unit). Structural attachments no4ded to ro3i3t 20 plf rail
loading should be indicated. Section 1711
10. AW wood expoSed to the exterior should be pressure -treated of equ at.
11. The waterproofing materials used for the deck,;hould be of a type approved by you. The
decks should be sloped to drain.
12. Rre-stopping should be provided in the spaced party wall at IW or- in the horizontal
direction. Section 2516
13. The single TH block shown in Details 7B, Sheet 7, and Dotail 11, Shect 8 (actuallyvcnted)
is not sufficient for firo-stoppint, We would su"ost using a TH block over each Wall and
insulation tightly packed twnwcen the blocks. This should also occur where, the party wall Is
parallel the floor joists.
AUG-157-1991 15:16 FROM
TO 17785322 P.03
Plan Check 6111
Dick Mumma� Edmonds
August 14,1991
Page 3
14. Draft stops should be provided in the mansard area at a ma7timum of 0 oc. The
locations 3hotdd be indicatod ** the plans. Section 2516
15. A Class B dre-retardant roof covering should be provided. Section 3201. 117he type should
be irdicated on the plans.
16. Attic accesses should be provided for the manstard arm Section 3205
17. How is the ventilation for the TJI roof assembly and the mansard areas provided.? 'Me
exact amount of the ventilation should be indicated on the plans. Section 3205(c)
I& The roof should be sloped a minimum of V4" per foot. This should be indicated on the
plans. Section 3207(a)
19. Roof draim should be provided. The locations should be indicated on tho plans. Section
3207(b). Dotails should be provided.
20. In addition, overflow drains or scuppers should be provided on a completely separate
system. Details should be provided.
21. Complete details should be provided for the skylights. The curb should be a minimum of
,V above the roof surface. Section 3404
22- If glass, the glazing for the s4light should have the inuer pane of 12minated gl= 2nd the
outer pane of laminated or tempered glass. Section 3403
23. The factory -built 6rcplace and hearth shoul4 be installcd in accurdaum with their listing.
Section 3705. The chimney should be contained within a one hour sh&fL
24. Complete details should be subtWtted for the one hour floor/ceiling and roof1beifing
assemblies. The TJ1 system requires M�o layers of W" �W W gn3b=d. See NER 200.
25. Typical construction of the one hour exterior wall should be proivided.
26- All beams and headers shown on the mid level floor plan (Sheet 3) that support lold:
from the roof above should be individually firo-protected. Section 4303(b)6. Details should be
provided.
27. All penetrations of the floor/cellingor rooffceiling assemblies should tw. protected. Section
4305. The kitchen exhaust and dryer exftaust should be contained in a one hour shaft to the
exterior of the building. The bathrom exhaust should be provided with a ceiling fire damper.
28. 1 don't know of any floor assembly that pormits 2' of foam plastic insulation directly
beneath and supporting gyperete. This should be justified.
AUG-15-1991 15:16 FROM
-.rO 17?95322 P.O�4
Plan Check 6111
Dick Mumma, Edmonds
August 14,1991
?ago 4
OCCUrANCY
1. 1here should be a two hour occupang separation required between the B-1 prage and
the R-1 apartments. The following should be provided:
a. The walls separating the stairs and elevator area should be of 2 hour fire -resistive
construction.' I cannot tell from the plans if those walls are. wood or concrete.
b- M doon penetrating the 2 hour wallt should be IV2 hour listed userablies.
I. I'm stair3 pv=tratc more than one floor level and, therefbre, should be cDnstructcd as
required for a stair enclosure. Section 3309
2. The doors from the apartment units at the mid I evel and penthouse levels should be 1
hour fire -resistive a=mbfies with a maximum end point temperature of 45011F at 30 minutes.
Section 3309(c)
3. The glazed panels adjacent to these doors are. not permitted and should be deleted.
Section 3309(c)
4. There should be no storage permitted beneath the stairs shown at the garage level.
Section 3309(f)
5. The elevator should be separated rxom the stair enclosure at the prage level.
6. A barrier should be provided within the stair enclosure at grade level to prevent persons
from accidently oontinuing into the basement level. Section 3309(e). A detail should be
provided.
7- The oncnpant load of the penthomp- mitt appear to e=ed 10 (Unit > 2000 sf). Table
33A, item 14. nerefore, two e�dtg should be provided from each unit. If you permit the
deletion of aoowmry areas when determining the oocupent load, the occupant load may he less
than 10. The desiper should justify th,,- actual Q=pallt load.
8. 1be rise and run of the stairways should be spedfiedL At least one handrail should extend
23' beyond the top riser and 12' beyond the bottom riser.
AuG-15-1991 15-:1? FROM TO . i?7e5322 P.05
Plan Che& 6111
Dick Mumma. FAmonds
August 14,1991
Page 5
MECHANICAL AND ENERGY CONSENTS
1. 1he location and size of the heating system should be shown on the plans. I am assuming
that these units are heated by electrical baseboard heaters. The NWEC requires the following
a. ne building er-velope does not comply with the presmiptive standards of Table 6-4.
Tbe actual &A;dag area is greater than 11% (option B) and no uWanaed framing is
provided for the wall& (option A). TA addition, there is a relatively large amount of
skylights in the penthouse unit3 that must be acoounte-d for. Calculations should bc
submitted bascd on the component auab%is (Chapter 5).
b. ne window and door U-values used for the component analysis should be specified
on the plans.
C. The bathroom should be provided with an ezchaust fan havinE a minimum of 50 cfm
and the Idtchen with a fan having a minimum of 100 cfm ducted directly to the
exterior, Ile location of the =haust ducts should be indicated on the pl=.
d. Whole house, fans s;hould be provided with a minimum rating of 30 ofin.
01 Controls for the bath, Ititchen, and whole houso fim should be iia avwrdanct with
NWEC Standard 25, section �.3. The architect should show on the plans the
method of controing fans.
f. A vapor retarder should be provided on the werior wall. Inset stapiing is not
pemitte& If Kraft faced insulation if used, the Kraft flicing should be face stapiedl.
g. Methods of controlling air leakage should be in accordance with Section 502.4.3.
Whether these notes are required on the plam is for your determination.
h. The R-valu/-- of the insulation for the Floor. roo& and walls 3hould be spedfiecL
i. Combustion air inIcts (6 sq. in.) shcmld bo provided directly to the firebox of the
fireplacc. Ibc firoplaces should be proAded Alth t4pt fitting glass dDors.
2. Backdraft dampers should be provided on all exhaust systems.
3. If the water heater has a nonrigid water connection and is over 4' in he.,ght. it should be
anchored or strapped to resist horizontal forces. Section 504 UMC
SMUCTURAL CONSONTS
1. Speoial ixwpecdon should be provided for the following:
&. During plac,,-wexit of thr, concrutc and reinforcing steel.
ClUa-15-i991 15:17 FROM
TO 17785322 P.06
Plan Check 6111
Dick Mumma, Edmonds
August 14,1991
Page 6
b. During stressing of the prestressed co=ete.
2. 1 cannot tell from the plans what type of walls (wood, concrete) are used at the stairways
in the garage- ne 0= ceeza to indicate that there are of wood comtruction. What supportg
the concrete be2m at this location7
3, Ile detail reftrenoe3 on Shoct PT -I should refer to Shoot PT-2, not S-I Additionally, the
lines showing the cxtcrit of the mild steel should be more readable.
4. 7he assumed soil bearing pressure of ZWO psf should be verified by you.
5. A typical dttail should be provided for the footing showing clearances, wall oorunection,
etc.
LATERAL
I. Since, Wpboard shear walls are used, the R. for both directions should be six for
determination of the saismia loads. See Section 2312(o)3 C. 1988 UBC
2. 'Me, allovmblc 3hp-ar value fbr Upboard should be redt=d by 5D% when considering the
effects of the seismic loads. Tablo.47-1, Ebotnote 1
3. Shear walls SWI and SW3 should be provided with 3x ftarning members at all panel edges
and nails staggered. Footnote 5, Table 25-K-1
4. The allowabic values for the shear walls and the attachments (inducling hold-downs)
should be adjusted based on Hem -Fit Erawing-
S. I don't object to using shear wall panels that are not in aligment to be lumpod together
in one shear wall line. Howevc�r, means must bc provided to transfer loads to the individual
sh--ar pancls. Drag struts attached to the shear walls should bc provided for this purpose.
6. In addition, the roof andlot floor diaphragm should be justified for the tributary shear
loads along the fireplace wall of Units 1 and 4.
7. Details should be provided for installation of the shear wall hold-downs. The hold-downs
for the penthouse valls (SW1 and SW2) should be capable of transferring the loads to the walls
of the first ffwr- Actually, the 146's (not KD6 as shown for SWI) are not compatible when
using TJI joistv,.
B. Also, somo of tho EPA 35 tic downs an the first, floor appear to fall within the B"
pmtrmcd slab. The re-quired embedment length sbould be Juseed.
9. SOW blocking should be provided between the TH roof Msts over the exterior walls. See
Detail 7A, Sheet 7 and Detail 2, Sheet 8. The 3/4" plywood rim joist shown is not sufficient.
RUG-15-1991 15:18 FROM
TO 37765322 P.07
Plaa Check 6111
Dick Muntma, Edmonds
Aupst 14,1991
Page 7
PRESSURE -TREATED MAD
I. Spacing of tondons or groups of tendons in one direction shall not exceed clot times the
slab tbickness (4(r max). Section 2618(m)4
2. A minimum of two tendons shall be prcmded in each direction through the critical shear
section over columns. Section 2618(m)4
3. It should be shown how the long walls paraUel to the tensioning direWon are affected by
concreie shortening� How are pe-.pendicular wall& affected at the ends by the shortening of the
slab? Section 2619(c)4
4. The mm'imurn area of bonded reinforcement should be per equation 1". Section
261M)2
Oar headquarters accounting department in WTittier, C.4fiDnlia. will send you an Invoice for this
plan reviewing service based on a valuation of $905,000.
I am returning all data and plans to ycQ If you wish me to do the recheck, please have the
designer revise the plans and specifications, indicate on a separate sheet on which sheet or detail
the corrections may be found and return the check prints. Please feel free to contact me if there
are any questions.
Very truly yours,
Charles J. Williams, P.E' Sm.
Regional Engineer
lih
Enclosures
AUG-15-1991 15:18 FROM TO 17785322 P.08
NO TIE
SLIP MATERIAL
I SLAB
DOWEL &WALL
(b) PERMANENT RELEASE FULL TIE
F GROUT LATER
(d) TE14PORARY RELEASE
COMPRESSIBLE MATERIAL
(e) NON -WAD DEARING
TYPICAL DETAILS OF DIFFERENT WALL/SLAB
CONNECTION TYFES
Figure 2.4
COUPRMIRU BMCKOUT. REMOVE
AND YU rm GRDUT ME
PT SLAB SW SHORTENING
Slip
JOINT
L"Ll
CONCRM
XmNky
UNIT
TE)nRARY HELELSE OVER MASONRY WU
Fizure 2.5
-21-
15:18 FROM TO 17785322 P.09
ol
jc- REBAR z
TAU
INTERIOR SHEAR WALL
FREDAR
------- awl
(b) EXTERIOR SHEAR WALL
CRACK MMGATING REBAR NEKIF TO SHEAR WAUS
Figure 2.14
Ta
REBAR
1%0
REINFORCEMENT AT SILAB CORNM
Figure 2.!5
—30—
TOTAL P.09