401 HOWELL WAY (2)4r -v
�ISZIIOM' ISH Co.
401' HUW4f-L KA-17
Serving Brier, Ldinonds, and 12425 Meridian Ave S
Mountlake Terrace. Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 401 Howell Way 98020
BUSINESS NAME: Edmonds Autobody
MAILING 401 Howell Way, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER: Taylor, Robert,
EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED: Rc� e)Q-1 "r JLJ
NAME OF INSPECTOR,_ 0,-.ZnL-xj i
Date Last Serviced:
4257717109
PHONE:
fIRE PREVENTION
INSPECTION REPORT
)(0 EDMONDS
.0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
5P&,CWfNCY STTfy SHIFT
SCHEDULED Sep 2016
DATE DUE
UFIR
HOME PHONE-4-�5-71 Z - ()7�551
HOME PHONE: CURRENT
HOME PHONE: CITY YES NO
BUSINESS \ 17,1'
LICENSE AD El
INITIAL INSPECTION DATE
'� / -Z -, -I �
SNOHOMISH CO.
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION: 401 Howell Way 98020
BUSINESS NAME: Edmonds Autobody
MAILING
ADDRESS: 401 Howell Way, Edmonds, WA 98020
BUSIN ESS OWNER: Taylor, Robert
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:&u, /c, Z��Clk—
f
NAME OF INSPECTOR:
FIRE SYSTEMS: AS 9/13 FE 113 Spray Booth'�
nntp I nqt Rprvinprl- lo
FIRE -PREVENTION
12425 MeridianAve S
INSPECTION REPORT
Everett, WA 98208
0 EDMONDS
OBRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
Fax (425) 551-1272
FREQUENCY STATION 1, SHI�Fj
2015 17-A
I
SCHEDULED
PHONE: 4257717109 DATE DUE � Sep 2015
UFIR 1' 513
+Ie�PHONEzg! 711--*2 cl-?r 7
HOME PHONE: "'CURRENT
HOME PHONE: CITY YES NO
BUSINESS
LICENSE
PE
INITIAL INS 7, TION DATE
/ C� YO
HAZARDS FOUND AND LOCATIONS /COMMUNICATIONS
2 /'�' 4�kP_
2
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all.businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during, our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
rA
Snohomish County Fire District #1
Confidence Test Report
23422 57" Ave SE
Woodinville WA 98072
425-956-3434 Office 425-956-3723 Fax
LIC# BRIMSFS918KO
SPRINKLER -DRY SYSTEM
F_ Certification Given
(One System per Report)
= YELLOW
WHITE
CONFIDENCE TEST 0 1 REPAIRS
Occupancy Address: 401 Howell Way
Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address
Date of Inspection: 9/17/15
Inspection Annual
Frequency/Type:
Testers Name
(Please Print): Matt Deckard
SFD Certification
Number: SCP — d07231
Central station monitoring? Yes 0 No 13
Monitoring
Monitoring Required? Yes 0 No 0
Company Name: NW Alarms
System Make: Grinnell
System Model: E-2
System Size: 4
System Location: Back of Bldg
Identification Number: 1
PROBLEIVIs FOUND: (if additional room is needed, please add
a separate sheet)
Due for 5yr (gauges x2,internal pipe, FDC)
CORRECTIONS MADE: ' Date Corrected:
Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire
Department Fire Code standards, and that
discrepancies are noted and have been reported to the building
Owner/Manager for corrective action.
Signature of Tester: Phone #
Testing Agency:
Mailing Address:
Building Representative (signature)
Sprinklers - Dry Page 1 of 2
a.
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 Snohomish County Fire
District Fire Code for inspecting and testing requirements.
General
1. Trip test conducted? Yes
2. System tripped in 16 seconds.
3. Flow test conducted? Yes
4. Static pressure: 115 psi Flow pressure: 100 psi
5. Number of Sprinkler Heads? 100+
6.
2-inch drain?
Other
Yes RI
7.
Flow switches, supervisory switches and alarm bells tested?
N/A
Yes
8.
Alarm bell operates?
N/A
Yes
9.
Air compressor refills system in 30 minutes or less?
Yes
10.
Heat actuation devices tested on pre -action and deluge
N/A
Yes
�YZZKM I Ib -
11. System inspected and lubricated?
12. Valves are sea -led or supervised?
13. Signs are provided on valves?
14. Pumper conn6ctions and clapper valves unobstructed and turn freely?
15. Sprinkler heads replaced or successfully sample tested in last 10 years?
16. Sprinkler coverage is acceptable?
17. Proper number of spare sprinkler heads available with appropriate wrench
for each?
18. System left in service?
19. System gauges replaced or calibrated within the last 5 years?
20. Sprinkler heads free of corrosion, paint, obstructions and/or physical
damage?
21. System drained and restored to normal operation?
22. Was debris found in the Fire Department Connection (FDC)?
23. Was the Fire Department Connection (FDC) back flushed in the last 5
years?
14 Wne n ci nni r raiwati nt thn rianfrml Cfnfinn rn^nH-r% i
Yes 0
Yes
Yes
Yes
Yes
Yes
No M
170VE-i
No 13
No
No
No
No 13
No 13
No
No
No
No
No
Yes RI
No
Yes RI
No
Yes 13
No
Yes
No 13
Yes
No
Yes
No
Yes 13
N/A C3 Yes 21
company?
25. Was an internal pipe and valve inspection performed within the last 5
years? Date Performed
No
No
Yes M No RI
.4
Sprinklers - Dry Page 2 of 2
rrimffrano
Snohomish County Fire District #1
Confidence Test Report
2342257 th Ave SE
Woodinville WA 98072
425-956-3434 Office 425-956-3723 Fax
LIC# BRIMSFS918KO
SPRINKLER - WET SYSTEM
Certification Given
(One System per Report)
YELLOW 2
1 WHITE C3
CONFIDENCE TEST 0 1 REPAIRS C3
Occupancy Address: 401 Howell Way Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments Phone Number: 543-7441
Responsible Person Responsible Party
Address, City, State, Zip: E—Mail Address
Date of Inspection: Inspection Annual
9/17/15 Frequency/Type:
Testers Name SFD Certification
(Please Print): Matt Deckard Number: SCP — D07231
Central station monitoring? Yes 0 No C3 Monitoring
Monitoring Required? Yes C3 No 0 Company Name: NW Alarm
System Make: Grinnell System Model: A
System Size: 8 System Location: Back side of Bldg
Identification Number: 1
PROBLEms FOUND: (if additional room is needed, please add a separate sheet)
Due for 5yr (gauges x2, internal pipe, FDC)
CORRECTIONS MADE: Date Corrected: Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
PIZ
Testing Agency:
Mailing Address:
Building Representative (signature)
Sprinklers - Wet Page 1 of 2
4-
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 Snohomish County Fire
District Fire Code for inspecting and testing requirements.
General
1. Flow test conducted? Yes No
2. Static pressure: 115p.s.i. Flow pressure: 100 p.s.i.
3.
Number of Sprinkler Heads: —100+
4.
2-inch drain? Other
Yes
No
5.
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No [I
6.
Pressure regulating valves tested? N/A
Yes
No M
7.
Alarm bell operates? N/A
Yes
No
8.
System inspected and lubricated?
Yes
No
9.
Valves are sealed or supervised?
Yes
No
10.Signs
are provided on valves?
Yes
No
11.
Pumper connections and clapper valves unobstructed and turn freely?
Yes
No
12.Sprinkler
coverage is acceptable?
Yes
No
13.
Have the sprinkl-_Or heads been replaced or successfully sample test in the
last 50 years?
Yes
No
14.
Proper number of spare sprinkler heads available with appropriate wrenches
Yes
for each?
No
15.
System left in service?
Yes
No
16.
System gauges replaced or calibrated within the last 5 years?
Yes
No
17.
Sprinkler heads free of corrosion, paint, obstructions and/or physical
Yes
damage?
No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5
years? Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years? Yes No
Date Performed
21. Was a signal reqpived at the Central Station monitoring N/A U Yes 2 No 0
company?
Sprinklers - Wet Page 2 of 2
111.11r___ 1\ Snohomish County Fire District #1
rimlarone Confidence Test Report
PO Box 6683
Bellevue WA 98008
425-956-3434 Office
LIC# BRIMSFS918KO
425-956-3723 Fax
SPRINKLER - WET SYSTEM
Certification Given
(One System per Report)
YELLOW C3
I WHITE 0
CONFIDENCE TEST 0 1 REPAIRS
Occupancy Address: 401 Howell Way
Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address
Date of Inspection: 9/4/13
Inspection Annual
Frequency/Type:
Testers Name
(Please Print): Tim Gehlhausen
SFD Certification
Number: SCP — G04398
Central station monitoring? Yes lZ No C3
Monitoring
Monitoring Required? Yes C3 No IZ
Company Name: NW Alarm
System Make: Grinnell
System Model: A
System Size: 8
System Location: Back side of Bldg
Identification Number: 1
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: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester:
Phone #
Testing Agency:
Mailing Address:
Building Representative (signature)
Sprinklers -Wet Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
General
1. Flow test conducted? Yes No
2. Static pressure: 106 p.s.i. Flow pressure: 98 p.s.i.
3.
Number of Sprinkler Heads:
4.
2-inch drain? Other
Yes
No C3
5.
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No 0
6.
Pressure regulating valves tested? N /A
Yes
No
7.
Alarm bell operates? N/A
Yes
No
8.
System inspected and lubricated?
Yes
No
9.
Valves are sealed or supervised?
Yes
No
10.
Signs are provided on valves?
Yes
No
11.
Pumper connections and clapper valves unobstructed and turn freely?
Yes
No
12.Sprinkler
coverage is acceptable?
Yes
No
13.
Have the sprinkl6r heads been replaced or successfully sample test in the
Yes
0
NoC3
last 50 years?
14.
Proper number of spare sprinkler heads available with appropriate wrenches
Yes
No
for each?
15.
System left in service?
Yes
No
16.
System gauges replaced or calibrated within the last 5 years?
Yes
No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical
damage? i Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No 21
19. Was the Fire Department Connection (FDC) back flushed within the last 5
Yes No
years? I
20. Was an internal pipe and valve inspection performed within the last 5 years? Yes No
Date Performed
21. Was a signal received at the Central Station monitoring
N/A LJ Yes RI No 0
company?
Sprinklers - Wet Page 2 of 2
PO Box 6683
Bellevue WA 98008
425-956-3434 Office
LIC# BRIMSFS918KO
425-956-3723 Fax
Snohomish County Fire District #1
Confidence Test Report
SPRINKLER - DRY SYSTEM
Certification Given
(One System per Report)
70
M YELLOW C3
F wHITE 2
CONFIDENCE TEST 10 1 REPAIRS
Occupancy Address: 401 Howell Way
Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address
Date of Inspection: 9/4/13
Inspection Annual
Frequency/Type:
Testers Name
(Please Print): Geh1hausen
SFD Certification
Number: SCP — G04398
Central station monitoring? Yes 13 No 0
Monitoring
Monitoring Required? Yes C3 No 0
Company Name:
System Make: Grinnell
System Model: E-2
System Size: 4
System Location: Back of Bldg
Identification Number: 1
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: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester:
Phone #
Testing Agency:
Mailing Address:
Building Representative (signature)
Sprinklers - Dry Page 1 of'2,
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
General
1. Trip test conducted? Yes
2. System tripped in 20 seconds.
3. Flow test conducte d? Yes
4. Static pressure: 114 psi Flow pressure: 101 psi
5. Number of Sprinkler Heads?
6.
2-inch drain?
Other C3
Yes
7.
Flow switches, supervisory switches and alarm bells tested?
N/A
Yes
8.
Alarm bell operates?
N/A
Yes
9.
Air compressor refills system in 30 minutes or less?
Yes
10.
Heat actuatioh devices tested on pre -action and deluge
N/A
Yes
byb= I Ib r
11.
System inspected and lubricated?
Yes
12.
Valves are se6led or supervised?
Yes
13.
Signs are provided on valves?
Yes
14.
Pumper conn i'dions and clapper valves unobstructed and turn freely?
Yes
15.
Sprinkler heads replaced or succe ssfully sample tested in last 10 years?
Yes
16.
Sprinkler coverage is acceptable?
Yes
17.
Proper number of spare sprinkler heads available with appropriate wrench
Yes
for each?
18.
System left in, service?
Yes
19.
System gauges replaced or calibrated within the last 5 years?
Yes
20.
Sprinkler heads free of corrosion, paint, obstructions and/or physical
Yes
damage?
21. System drained and restored to normal operation? Yes
22. Was debris found in the Fire Department Connection (FDC)? Yes
23. Was the Fire Department Connection (FDC) back flushed in the last 5 Yes
years?
24. Wa -signal r6ceived at the Central Station monitoring
N/A Yes
.Qmpany?
25. Was an internal pipe and valve inspection performed within the last 5 Yes
years? Date Performed
Sprinklers - Dry
No 0
7 ON M-1
No 0
No C3
No
No
No C3
No 13
No
No
No
No
No
No
No
No
No
No
No
No
No
No 21
Page 2 of 2
FIRE PREVENTION
Serving Brier, EdNQhds
�'.12425, Meridian Ave S
INS PECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand-
FIR
Ever'e'tt, XA 98208
0 EDMONDS
OBRIER
e Town of Woodway
DISTR - T
Phone (425) 551-1200
OWOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFT"'
LOCATION: 40-1 Howell Way
365 17 6
I
BUSINESS NAME: Edmonds Autobody
PHONE: 4257717109
SCHEDULED
DATE DUE 1' 09/01/12
MAILING 401 Howell Way
LIFIR � 573 9152
ADDRESS: Edmonds
98020
BUSINESS OWNER: Taylor, Robert
HOMEPHONE: 4257720357
PREFIRE
EMERGENCY-1: Wilson Investments
HOME PHONE: 4256721100
CURRENT
KEY ACCESS-2: Taylor, Michelle
HOMEPHONE: 4255081482
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
/S_
FIRE
FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd-. RE -INSPECTION
FINAL RE
I
o
EXTENSIO N
-INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 15
1 5
LETTER SENT
NUMBER:
4
CODE
5
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
7
.4
.8
4
18
DATE:
LETTERNEEDED [] YES El NO
LETTERNEEDED C] YES [I NO
8
FIRE DEPARTMENT COPY
Serving Briet; Edmonds
SNOHOMISH CO.
"Ewa Mountlake Terraeeand
IRE 941INW-poi4�
'�'4io)IT the Town of Woodway
STR' "I www.FireDistrictl.org
LOCATION: 401 HowellWay
BUSINESS NAME: Edmonds Autobody
MAILING 401 Howell Way
ADDRESS: Edmonds
13USINESS OWNER: Taylor, Robert
EMERGENCY-1: Wilson Investments
KEY ACCESS-2: Taylor, Michelle
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257717109
98020
HOME PHONE: 4257720357
HOMEPHONE: 4256721100
HOME PHONE: 4255081482
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[] MOUNTLAKE TERRACE
El UNINCORPORATED
FREQUENCY I STATION& SHIFF**'
365 17 A
SCHEDULED
DATE DUE 11' 09/01/11
UFIR � 573 9152
PREFIRE
e'CURRENT
CITY YES NO
BU13INESS
LICENSE Ej 0
INITIAL INSPECTION DATE
W-p— 61— V_
FE/0 I It
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
14
18
4
8
DISPOSITION:
7
LETTER NEEDED E] YES El No
rLETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
Pisw- N"iFa--rM
PO Box 6683
Bellevue WA 98008
425-956-3434 Office
LIC# BRIMSFS918KO
425-�956-3723 Fax
Snohomish County Fire District #1
Confldence Test Report
SPRINKLER - DRY SYSTEM
Certification Given
(One System per Report)
YELLOW WHITE
CONFIDENCE TEST 0 1 REPAIRS
Occupancy Address: 401 Howell Way
Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Responsible Party
Address, City, State, Zip:
E—Mail Address
Date of Inspection: 9/11/12
Inspection Annual
Frequency/Type:
Testers Name
�Please Print): Gehlhausen
SFD Certification
Number: SCP — G04398
Central station monitoring? Yes C3 No 0
Monitoring
Monitoring Required? Yes C3 No 0
Company Name:
System Make: Grinnell
System Model: E-2
System Size: 4
System Location: Back of Bldg
Identification Number: 1
PROBILEms 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: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire
Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester:
Phone #
Testing Agency:
,-Mailing Address:
Building Representative (signature)
bprinklers - Dry
Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
'General
1.
Trip test conducted?
Yes
No
2.
System tripped in 20 seconds.
3.
Flow test conducted?
Yes
No
4.
Static pressure: 112 psi Flow pressure: 100 psi
5.
Number of Sprinkler Heads?
6.
2-inch drain? Other
Yes
No
..7.
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No
8.
Alarm bell operates? N/A
Yes
No
9.
Air compressor refills system in 30 minutes or less?
Yes
No
10.
Heat; actuation devices tested on pre -action and deluge N/A
Yes
No
systems?
:11.
System inspected and lubricated?
Yes
No
12.
Valves are sealed or supervised?
Yes
No
13.
Signs are provided on valves?
Yes
No
14.
Pumper connections and clapper valves unobstructed and turn freely?
Yes
No
15.
Sprinkler heads replaced or successfully sample tested in last 10 years?
Yes
No
16.
Sprinkler coverage is acceptable?
Yes
No
,117.
Proper number of spare sprinkler heads available with appropriate wrench
Yes
No
for each?
System left in service?
Yes
No
'19.
System gauges replaced or calibrated within the last 5 years?
Yes
No
Sprinkler heads free �of corrosion, paint, obstructions and/or physical
Yes
No
damage?
21.
System drained and restored to normal operation?
Yes
No
22.
Was debris found in the Fire Department Connection (FDC)?
Yes
No
23.
Was the Fire Department Connection (FDC) back flushed in the last 5
Yes
No
years?
24.. Was.a, signal received at the Central- Station monitoring
N/A Yes No
omp-E[nye
,25. Was an internal pipe and valve inspection performed within the last 5
Yes No
years? Date Performed
,�Sprinklers - Dry Page 2 of 2
pir-a-- Has fk-- pu "dia"""da-l"
PO Box 6683
Bellevue WA 98008
'425-956-3434 Office
UC# BRIMSFS918KO
425-956-3723 Fax
Snohomish County Fire District #1
Confidence Test Report
'SPRINKLER - WET SYSTEM
Certification Given
(One System per Report)
70
R,611DOM YELLOW C3 I WHITE
CONFIDENCETEST REPAIRS
Occupancy Address: 401 HowellWay
Occupancy Name: Edmonds Center Bldg
y
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Responsible Party
Address, City, State, Zip:
E—Mail Address
t
Date of Inspection: 9/11/12
Inspection
Annual
Frequency/Type:
A 'I
testers Name
SFD Certification
(Please Print): Tim Gehlhausen
Number: SCP — G04398
Qe ntral station monitoring? Yes 0 No C3
Monitoring
Monitoring Required? Yes C3 No 0
Company Name:
Make. Grinnell
System Model: A
-S -.ystem
stem Size: 8
System Location: Back side of Bldg
Identification Number:
PROBLEms FoUND: (if additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected:
Corrected By:
(If6additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire
Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester:
Phone#
Testing Agency:
Mailing Address:
-.41
Building Representative (signature)
�S'� knklers - Wet Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
3.
Number of Sprinkler Heads:
4.
2-inch drain? Other
Yes
No
5.
I
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No 11
-T
. ...... . . .
Pressure regulating valves tested? N/A
Yes
No
T
Alarm bell operates? N/A
Yes
No
System inspected and lubricated?
Yes
No
Valves are sealed or supervised?
Yes
No
1-0.
Signs are provided on valves?
Yes
No
,11.
Pumper connections and clapper valves unobstructed and turn freely?
Yes
No
12.Sprinkler
coverage is acceptable?
Yes
No
13.
Have the,zprinkler heads been �,replaced or -,successfully sample test in the
Yes
No
.
last,50,years,? :
...... .... ... ... .. ... .. . .... .. . .. . . . . . . ......... ....
�-14.
Proper number of spare sprinkler heads available with appropriate wrenches
Yes
No
for each?
System left in service?
System gauges replaced or calibrated within the last 5 years?
Sprinkler heads free of corrosion, paint, obstructions and/or physical
damage?
8. Was debris found in the Fire Department Connection (FDC)?
19. Was,the Fire, Department Connection (FDC) back flushed within the last 5
years?
20. Was an internal pipe and val ve inspectio n performed wi thi n th e I ast 5 y ea rs?
Date Performed
Yes No C3
Yes No C3
Yes 2 No 0
Yes No
Yes No
Yes [I No RI
. ... .. . ....... . ... .
?,l. Wasa-sidn'al -received at the Central Station monitoring N/A LJ Yes 2 No C3
compan ?
y
ME
isprinklers - wet Page 2 of 2
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
Edmonds Autobody
Edmonds Location :
401 Howell Way
In conformity with the
terms of the International
%.JI - application is - -
Fire Code,
Storage and- handling -of class- 1,11 -and III flammable
hereby made to store, use
and/or combustible liquids, repair garage, spray booth
or maintain the following
and welding operation.
activity, storage or pro-
cesses:
c/o Details Unlimited Inc.
Mailing Address:
PFSE
Everett, WA 982
EFD LIFIR #:
(for office use)
57300009B152
Your Signature
Your Name (print)
Your Title
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
5 1 Is—/12,-
Check#
`7 05_�_
PO Box 6683
Bellevue WA 98008
425-956-3434 Office
LIC# BRIMSFS918KO
Snohomish County Fire District #1
arapno Confidence Test Report
425-956-3723 Fax
SPRINKLER -WET SYSTEM
Certification Given
(One System per Report)
YELLOW
WHITE
_T
CONFIDENCE TESTT-0 REPAIRS
Occupancy Address: 401 HowellWay
Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Address, City, State, Zip:
Responsible Party
E—Mail Address
Date of Inspection: 10/4/11
Inspection Annual
Frequency/Type:
Testers Name
(Please Print): Tim Gehlhausen
SFID Certification
Number: SCP - G04398
Central station monitoring? Yes C3 No 0
Monitoring
Monitoring Required? Yes 13 No El
Company Name:
System Make: Grinnell
System Model: A
System Size: 8
System Location: Back side of Bldg
Identification Number: 1
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: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester:
Phone #
Testing Agency:
Mailing Address:
Building Representative (signature)
Sprinklers - Wet Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
General
1.
Flow test conducted?
Yes
No
2.
Static pressure: 115p.s.i. Flow pressure: 98 p.s.i.
3.
Number of Sprinkler Heads:
4.
2-inch drain? Other
Yes
No
5.-
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No El
6.
Pressure regulating valves tested? N/A
Yes
No
7.
Alarm bell operates? N/A
Yes
No
8.
System inspected and lubricated?
Yes
No
9.
Valves are sealed or supervised?
Yes
No
10.
Signs are provided on valves?
Yes
No
11.
Pumper connections and clapper valves unobstructed and turn freely?
Yes
No
12.
Sprinkler coverage is acceptable?
Yes
No
13.,
Have the sprinkler heads been replaced or successfully sample test in the
'last
Yes
No
50 ye"a-irs?
14.
Proper number of spare sprinkler heads available with appropriate wrenches
Yes
No
for each?
15.
System left in service?
Yes
No
16.
System gauges replaced or calibrated within the last 5 years?
Yes
No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical Yes No
damage?
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 Yes No
years?
20. Was an internal pipe and valve inspection performed within the last 5 years? Yes No
Date Performed
211. Was, a slignal received at the Central Station monitoring N/A Yes No
company?
Sprinklers - Wet Page 2 of 2
194r-
1%arimar"no
"SW N43F40CM
PO Box 6683
Bellevue WA 98008
425-956-3434 Office
LIC# BRIMSFS918KO
425-956-3723 Fax
Snohomish County Fire District #1
Confidence Test Report
SPRINKLER -DRY SYSTEM
F_ Certification Given
(One System per Report)
YELLOW
WHITE R1
CONFIDENCE TEST I El � REPAIRS T old
Occupancy Address: 401 Howell Way
Occupancy Name: Edmonds Center Bldg
Responsible Person
First & Last Name: Wilson Investments
Phone Number: 543-7441
Responsible Person
Address, City, State, Zip:
Responsible Party
E-Mail Address
Date of Inspection: 10/4/11
Inspection Annual
Frequency/Type:
Testers Name
(Please Print): Gehlhausen
SFD Certification
Number: SCP - G04398
Central station monitoring? Yes 13 No 0
Monitoring
Monitoring Required? Yes C3 No 0
Company Name:
System Make: Grinnell
System Model: E-2
System Size: 4
System Location: Back of Bldg
Identification Number: 1
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: SCP -
This certifies that this fire and life safety system has been properly inspected for reliability to cover the
Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that
discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester:
Phone #
Testing Agency:
Mailing Address:
Building Representative (signature)
Sprinklers - Dry Page 1 of 2
The items on the checklists below shall be inspected and tested. This list does not constitute all of the
required inspecting and testing of the fire and life safety system. Refer to the Seattle Fire Department
Fire Code for inspecting and testing requirements.
General
1.
Trip test conducted?
Yes
No
2.
System tripped in 22 seconds.
3.
Flow test conducted?
Yes
No
4.
Static pressure: 110 psi Flow pressure: 100 psi
5.
Number of Sprinkler Heads?
6.
2-inch drain? Other
Yes
No
7.
Flow switches, supervisory switches and alarm bells tested? N/A
Yes
No
8.
Alarm bell operates? N/A
Yes
No
9.
Air compressor refills system in 30 minutes or less?
Yes
No
10.
Heat actuation devices tested on pre -action and deluge N/A
Yes
No
systems?
11.
System inspected and lubricated?
Yes
No
12.
Valves are sealed or supervised?
Yes
No
13.
Signs are provided on valves?
Yes
No
14.
Pumper connections and clapper valves unobstructed and turn freely?
Yes
No
15.
Sprinkler heads replaced or successfully sample tested in last 10 years?
Yes
No
16.
Sprinkler coverage is acceptable?
Yes
-No
17.
Proper number of spare sprinkler heads available with appropriate wrench
Yes
No
for each?
18.
System left in service?
Yes
No
19.
System gauges replaced or calibrated within the last 5 years?
Yes
No
20.
Sprinkler heads free of corrosion, paint, obstructions and/or physical
Yes
No
damage?
21.
System drained and restored to normal operation?
Yes
No
22.
Was debris found in the Fire Department Connection (FDC)?
Yes
No
23.
Was the Fire Department Connection (FDC) back flushed in the last 5
Yes
No
years?
24.
Was a signal received at the Central Station monitoring N/A
Yes
No
company?
25.
Was an internal pipe and valve inspection performed within the last 5
Yes
No
years? Date Performed
Sprinklers - Dry Page 2 of 2
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
Name of Company; DBA
Edmonds Autobody
Edmonds Location
401 Howell Way
In conformity with the terms of
Storage and handling of class 1,11 and III flammable and/or
the International Fire Code,
combustible liquids,
repair garage, spray booth and welding
application is hereby made to
operation.
store, use or maintain Ahe
following activity, storage or
processes:
Mailing Address:
tails U d Inc.
11�
!
e
"m
>6 PI SE
"A�pl
verett WA
A&502257161441
EFID LIFIR #:
57300009B152
(for office use)
Your Signature
P
11:1
0000,
Your Name (print)
Your Title
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
1
[-MAR 3 0 PAID
EDMONDS FIRE DEPT.
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 573-000-0913-1152 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I Edmonds Autobody I
located at: 1401 Howell Way Edmonds, WA
To engage in the business, occupation or process of: T
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Storage and handling of class 1,11 and III flammable and/or combustible liquids, repair
garage, spray booth and welding operation.
I Allowed Occupant Load: I
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
CITY OF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98M - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 401 Howell Wy/5th Ave S
BUSINESS NAME: Edmonds Business Center/Bldg.
MAILING 403 Howell Way
FIRE PREVENTION
SAFETY SURVEY
401-550
PHONE: 4256721100
ADDRESS: Edmonds 98020
BUSINESS OWNER: Wilson Investments HOMEPHONE: 4256721100
EMERGENCY-1: Wilson, Bill HOME PHONE: 2065463773
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE AS 10/0�!`D
SYSTEMS: - .1
/0//o
HAZARDS FOUND AND LOCATIONS / CON
FREQUENCY
STATION 11 SHIFT
365
17 D
I
SCHEDULED
0911011,10
DATE DUE 11
UFIR 1- 509
9152
INITIAL INSPFCTION b
ANNUAL
MUNICATIONS
ENTER CODE ONLY ONCE 111
VIOLATION CODE
2
2
3
3
4
4
5
5
.6
6
7
/7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR,
INSPECTOR,
INSPECTOR-
2
DATE:
DATE:
DATE:
3
VIOLATIONS
5
VIOLATIONS
1- 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
2
6
DATE:
CODE
SECTION:
5
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
1 DATE:
DISPOSITION:
8
�, LETTER NEEDED E] YES NO
LETTER NEEDED ] YES NO
1
FIRE DEPARTMENT COPY
§ §
February 13, 2004
Fire Marshall
Edmonds Fire Department
5 th A
1221 Avenue North
Edmonds, WA 98020
Dear Mr. Westfall:
D LECERfE
2004
FEB 1, 7
EDMONDS FIR'E DEPTI
We have not yet received your form for renewal of Application for Permit for Materials or
Processes. Our current Permit expired December 31', 2003.
If you have any questions, please feel free to contact us. We thank you for your
assistance in this matter and look forward to hearing from you soon.
Sincerely,
Cynthia Handley
Customer Service
Edmonds C6nt6r
C4'at)
ftell Way, Edffonds,-WA 98020
425.774.9292 Far 425.774.2050-�T.877.774.9292
CIVIC CENTER - EDMONDS, WA 98020 (206) 775-2525
FIRE DEPARTMENT
CITY OF EDMONDS
89 0 9 C)
August 13, 1991
Mr. Bill Wilson
Wilson Investments
1110 North 175th, #220
Seattle, WA 98133
Dear Mr. Wilson,
LARRY S. NAUGHTEN
MAYOR
The sprinkler system for your building at Howell Way in
Edmonds has been extended to cover all areas which we required
last December. We would like to thank you for your coopera-
tion and for your concern with fire safety.
If we can be of any assistance to you in fire or life
safety in the future, please do not hesitate to call.
TV: be
Sincerely,
I �� 1//�w Adwz"4L'I
Tom VonSchuessler
Senior Inspector
0 Incorporated August 11, 1890 e
Sister Cities International — Hekinan, Japan
ri
Irk.
WILSON INVESTMENTS
1110 NORTH 175th Suite 220
SEATTLE, WASHINGTON 98133
(206) 542-7441
January 29, 1991
Mr. Tan VonSchuessler, Senior Inspector
c/o City of Edmonds Fire Dept.
Edmonds, VM 98020
Re: Edmonds Center
5th and Howell, Edmonds, WA
Dear Tan,
Thank you for the opportunity to reinspect the building with you.
Since our walk-through I have spoken with Stelte (403 Howell) and
Turner (409 Howell) regarding the spray booth and installing addition-
al sprinkler heads. Subsequently, Stelte advised me that he will be
moving his business in March and will be taking the spray booth
with him. Turner how hopes to move into Stelte's space.
If it is okay with you, could we wait until these tenants move to
conplete the installation of additional sprinkler heads? If not,
please advise.
Sincerely,
Bill �Iilson
Property Manager
13W/pf
RECEIVED
..: �� u 1991
EIPMONDS FIRE DAM,
RECEIVED
0 11991
SPAN11S F-IM M-M
I 1b
CITY OF EDMONDS
CIVIC CENTER EDMONDS. WA 98020 (206) 775-2525
i, _ -4 2
FIRE DEPARTMENT
"-e7v,
8 9 0 . 19 C)
Mr. Bill Wilson �4 .2- -7+#)
Wilson Investments
1110 North 175th, #220
Seattle, WA 98133
Dear Mr. Wilson,
Sol
December 10, 1990
LARRY S. NAUGHTEN
MAYOR
The National Fire Code states all sprinkler systems shall
be maintained in an operative condition at all times and shall
be replaced or repaired where defective. Sprinkler coverage.,
spacing and specification shall be maintained in accordance
with nationally recognized standards at ail times. Sprinkler
systems shall be extended, altered or augmented as necessary
to maintain and continue protection whenever any building is
altered remodeled or added to.
The Grinnell Fire Protection Systems Company recently
conducted an annual inspection of the sprinkler system which
serves your building. The following items requite your immedi-
ate attention to bring them into compliance:
Stp M Company, Inc. - 463 Howell Way
0. Replace ceiling tile(s).
_50-2. Remove the duct hanging from the sprinkler pipe.
v
.);,3. Pro*ide sprinkler head coverage in the spray
booth.
Turner Exhibits - 409 Howell Way
Provide two sprinkler heads to office area.
Remove curtains and other items hanging from the
sprinkler main and sprinkler pipes.
Reposition the sprinkler head or duct which is
blocking the sprinkler head.
V4 P o id sz*TMler coverage in paint and chemical
closet, m A .
--Replace mis. on ceiling tile.
lean or replace painted sprinkler heads.
Fam Grocer - 550-5th Avenue South
Storage shall be no closer than 18" below sprin-
kler heads.
Provide additional sprinkler head protection
tinder duct. work, upstairs near the women's bath-
room.
0 Incorporated August 11, 1890 0
Wilson Investments
December 10, 1990
Page 2
Fifth Avenue Cleaners - 540-5th Avenue South
--- 1. Provide sprinkler coverage in bathroom.
2. Provide sprinkler coverage behind dry cleaning
machine
Please contact my office to present- a time schedule for
the necessary repairs and alterations to your sprinkler system.
Please feel free to contact me if I can provide any assis-
tance in this matter.
Sincerely,
Tom VonSchuessler
Senior Inspector
TV:be
I
I
INSPECTION REPORT
No. ................................
CONFERRED WITH
REPORT TO
STREET
CITY & STATE
ATT.
1.
REPORT OF INSPECTION
ZIP
INSPECTION CONTRACT
NO.
BUREAU FILE ................
NO. ................................
SET 1 OF 2
BUILDING OR LOCATION INSPECTED
INSPECTOR
GRINNELLOFFICE U'l-11=3 PHONE NO =.4--6(Z2
DATE 119 —.4.1 —!�a
GENERAL
A. (To be answered by the Owner or Owner's representative)
a. Have there been any changes in the occupancy classification, machinery or operations since the last inspection?
b. Have there been any changes or repairs to the fire protection systems since the last inspection?
c. If a fire has occurred since the last inspection, have all damagea sprinkler system components been replaced?
d. Has the piping in all dry systems been checked for proper pitch within the past five years?
Date last checked (checking is recommended at'least every 5 years)
e. Has the piping in all systems been checked for obstructive materials?
Date last checked (checking is recommended at least every 5 years)
I. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months?
g. Are gravity, surface or pressure tanks protected from freezing?
h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers)
i. Are any extra high temperature solder sprinklers regularly exposed to termperatures near 300OF?
B. (To be answered by the inspector)
a. Have the sprinkler systems been extended to all visible areas of the building?
b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector?
c. Are the building areas protected by a wet system, heated, including its blind attics and perimeter areas, where accessible?
d. Are all visible exterior openings protected against the entrance of cold air?
2. CONTROL VALVES
a. Are all sprinkler system main control valves and all dther valves in the appropriate open or closed position?
b. Are all control valves sealed or supervised in the open position? Ab!, <'j-;;Q�--n/0
Control
Valves
No.
of
Valves
Type
Easily
Accessible
Signs
Valve
Open
Secured?
(Sealed?)
If yes, how?
(Locked?)
Yes I No (Supvd.?)
Supervision
Operational
Yes
No
Yes
No
Yes
No
Yes
No
CITY CONNECTION
TANK
PUMP
SECTIONAL
SYSTEM
A) A
ALARM LINE
3. WATER SUPPUES Pressure Fire Pump & Tank /V,&
a. Water supply source? Cityt�7p.4,-/, Gravity Tank '44= Pressure Fire Pump & City 44,4
Waterflow Test Results Made During This Inspection Pressure Fire Pump & Pond
Test
Pipe
Located
Size
Test
Pipe
Static
Pressure
Before
Flow
Pressure
Static
Pressure
After
Test
Pipe
Location
Size
Test
Pipe
Static
Pressure
Before
Flow
Pressure
Static
Pressure
After
4. TANKS, PUMPS, RRE DEPT. CONNECTIONS
a. Do fire pumps, gravity, surface or pressure tanks appear to be in good external condition?
b. Are gravity, surface and pressure tanks at the proper pressure and/or water levels?
c. Are fire dept. connections in satisfactory condition, couplings free, caps or plugs in place and check valves tight?
d. Are fire dept. connections visible and accessible?
S. WET SYSTEMS
a. No. of systems Make& Model -4: ,g2 g)
b. Are cold weather valves in the appropriate open or dosed position?
If closed, has piping been drained?
c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA?
d. Have all the antifreeze systems been tested?
e. Date antifreeze systems were test
f. The antifreeze tests indicate protection to:
system 1 4- 5 temperature
g. Did alarm valves, waterflow alarm indicators and retards test satisfactorily?
G4550-1
INSURANCE BUREAU COPY
No*
$Not Applicable
*Explain (No) Answers on Back of Steet 2
GMNELL ME PBM=ON REM COMPANX ING
EXECUTIVE OFFICES 9 PROVIDENCE, R.I. INSPECTION CONTRACT
NO.
INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE
No. . ... .. NO.
SET 2 OF 2
6. DRY SYSTEMS
a. No. of systems Make & Model
Date last trip tested 2/'
b. is the air pressure and priming water levels normal?
c. Did the air compressor operate satisfactorily?
d. Were all low points drained during this inspection?
e. Did all quick opening devices operate satisfactorily?
f. Did all the dry valves operate satisfactorily during this inspection?
g. Do dry valves appear to be protected from freezing?
h. is the dry valve house heated?
7. SPECIAL SYSTEMS
a. No. of systems Al Make & Model
Type
b. Were valves tested as required?
c. Did all heat responsive systems operate satisfactorily?
d. Did the supervisory features operate during testing?
Heat Responsive Devices: Type Type of test
Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 ...... Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 ......
Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 ...... Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 .......
Valve No. 1 ...... 2 3 ...... 4 ...... 5 ...... 6 ...... Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 ......
Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 ....... Valve No. 1 ...... 2 ...... 3 ...... 4 ...... 5 ...... 6 ......
Auxiliary equipment: No. Type
Location
Test results
No*
& ALARMS I N.A.t I No*
Y�;
a. Did the water motors and gong operate during testing? 7
b. Did the electric alarms operate during testing? ---
c. Did the supervisory alarms operate during testing?
9. SPRINKLERS — PIPING
a. Do sprinkle rs generally appear to be in good external condition?
b. Do sprinklers generally appear to be free of corrosion, paint, or loading and visible obstructions?
c. Are extra sprinklers available on the premises?
d. Does the exterior condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinklers
and strainers appear to be satisfactory?
e. Does the hand hose on the sprinkler system appear to be in satisfactory condition?
10. EXPLANATION OF "NO" ANSWERS (For Sections IB thru 9):
41 — /
A
11. THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS. HOWEVER, THESE SUGGESTIONS ARE NOT THE RESULT Of AN ENGINEERING SURVEY:
r;
7
12. ADJUSTMENTS OR CORRECTIONS MADE:
13. LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT, AS ADVISED BY THE OWNER IN SECTION 1A:
14. INSPECTION AND SUGGESTED IMPROVEMENTS WERE DISCUSSED W6H THE UNDERSIGNED OWNER OR OWNER'S REPRESENTAinki
Signature of owner or owner's representative Date L
DUPLICATE TO:
STREET
CITY & STATE ZIP
ATT. tNot Applicable
G4550 (Rev. 6/62) *Explain (No) Answers on Back of Sheet
MURAMCE BUREAU CDPV
0.
G4Z74RI
FOR
DRY PIPE VALVE TRIP TEST REPORT
(&ANY
GHMM FERE PRM=ON SYSTEMS COMP
INSPECTION NO,
STREET 4/0 t ffot!4�CITY STATE CONTRACT NO.
DATE OF TRIP TEST INSPECTOR 942-' DAY WORK NO.
NOTE: BEFORE ANY DRY PIPE VALVE IS TRIP TESTED. THE WATER SUPPLY LINE TO IT SHOULD BE THOROUGHLY FLUSHED. THE TWO INCH
DRAIN BELOW THE VALVE SHOULD BE OPENED WIDE. AND WATER AT FULL PRESSURE SHOULD BE DISCHARGED LONG ENOUGH TO
CLEAR THE PIPE OF ANY ACCUMULATION OF SCALE OR FOREIGN MATERIAL. IF THERE IS A HYDRANT ON THE SUPPLY LINE, THIS
HYDRANT SHOULD BE FLUSHED BEFORE THE TWO INCH DRAIN IS OPENED. THE DRIP VALVE ON THE DRY PIPE VALVE SHOULDBE
CHECKED BEFORE TRIPPING THE DRY POPE VALVE, TO SEE THAT IT IS IN OPERATING CONDITION.
DRY PIPE VALVE$
SYSTEM NO.
SYSTEM NO.
SYSTEM NO.
SYSTEM NO.
VALVE SERIAL NUMBER
1-,-, , (,- 0 E
MANUFACTURER (NAME)
6'rllwr
VALVE MODEL
VALVE SIZE
4- INCH
INCH
INCH
INCH
CONTROLLING SPRINKLERS
I (LOCATION)
(NUMBER)
(APPROX)
(APPROX)
(APPROX)
(APPROx)
DATE LAST TRIP TESTEDT
DATE LAST OPERATED?
AIR
L as
LOS
LOS
LOS
PRESSURE BEFORE TEST
WATER
LOS
LOS
L93
LOS
SIZE AND LOCATION OF TEST VALVE
WAS GATE VALVE BELOW DRY VALVE OPEN
WIDE AT TEST? OF NOT. H W MANY TURNST
.3
VALVE TRIPPED AT
AIR PRESSURE
LOS
LOS
LOS
LOS
WATER PRESSURE
WL LOS
LOS
LOS
LOS
TIME
I-, MIN /-3-SEC
MIN SEC
MIN SEC
MIN SEC
IF SYSTEM FLOODED, LIST TIME WATER
REACHED TEST OPENING
NA MIN SEC
MIN SEC
MIN SEC
MIN SEC_
PERFORMANCE
INTERIOR OF BODY
VALVE CONDITION
MOVING PARTS
RUBBER FACING
SEATS
RESET?
DID ALARMS OPERATE AT TRIP TESTI
YC �7
ALL LOW POINT DRAINS BLOWN OUT?
c__s-
WATER CONTROL VALVE LEFT
OPEN AND SEALED?
' 7/0
ALARM CONTROL VALVE LEFT
OPEN AND SEALED?
QUICK OPENING DEVICES
SYSTEM NO.
SYSTEM NO.
SYSTEM NO.
SYSTEM NO.
DEVICE SERIAL NUMBER
A) A
MANUFACTURER (NAME)
TYPE AND MODEL
AIR PRESSURE IN UPPER CHAMBER
LOS
LOS
LOS
QUICK OPENING DEVICE TRIPPED AT
SEC LOS
SEC LOS
SEC LOS
SEC LOS
PERFORMANCE
QUICK OPENING DEVICE LEFT IN SERVICE
AND CONTROL OPEN AND SEALED?
LIST ANY UNSATISFACTORY CONDITIONS:
REMARKS: C,- 41
4,7
INSURANCE BUREAU COPY
11
Grinneff
FIRE PROTECTION SYSTEMS COMPANY
1106 54th Avenue East
Tacoma, WA 98424-2733
Contractor's Lic. No. GRINNFP137LE
206-922-6644
Seattle Line 874-5011
Fax # 206-922-3118
Edmonds Fire Department
250 5th Avenue North
Edmonds, WA 98020
Reference:
Gentlemen:
November 12, 1990
Family Grocer
401 Howell Way
Edmonds, WA
Enclosed please find copies of the Report of Inspection and the
Dry Pipe Valve Trip Test Report for your records on the above
referenced project. The following is an additional list of de-
ficiencies found:
1) Replace all missing tile
2) Numerous heads too far from wall
3) Debris hanging-'fr*om pipe
4) Heads need to be added in olfice, spray booth, paint and chem-
ical closet, bathroom, under stairs, under duct work upstairs
near womans' restroom
5) Replace painted heads
6) Storage too high
Thank you,
GRINNELL FIRE.PROTECTION
SYSTEMS COMPANY
Santia R. La
Service Manager
SRL; kab
Enclosures
cc: Wilson Investments
R EC E IV ED
NOV 14 1990
.A �x .
S I DEPT
3.
DIVISION OF GRINNELL CORPORATION
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