413 BELL ST13 8�711 FiR'E''P'REVENTION
Serving Brier, EdMunus, und 12425 Meridian Ave S INSPECTION REPORT
*MOTION11SH CO. EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
[I UNINCORPORATED
DISTR' www.FireDistrict]. 0"rg Fax (425) 551-1272
413 Bell Street 98020
r-FREQUENCY
Annual
STATION & SHIFT
I 17-C
LOCATION:
Barclay -Shelton Dance Ctr
4257768111
SCHEDULED Apr 2017
BUSINESS NAME:
PHONE:
DATE DUE �
233
MAILING 413 Bell Street, Edmonds, WA 98020
UFIR
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
Shelton,Leanne
4257781978
EMERGENCY-1:
HOME PHONE.
URRENT
KEY ACCESS-2:
HOME PHONE:
YES NO
Ty
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPE CTOFI:
14-213,1-7
Date Last Serviced: 3111
Certification Given
Absco So. tians RED YELLOW WHITE
... CONFIDENCE TEST
1402.1.161h Ave WSuftcF, Lyntiwitfut, WA VXM6 US .A. REPAIRS
i425) 771-1166 Fax (425) 771-4422 v v.
Occupancy Name:
Building Owner:
Owner Agent:
Date of Inspection:
Testers Name:
Monitoring: N/A
FIRE ALARM SYSTEMS
(One System per Report)
.B=Iay - Shchon Diuu Occupancy Address: 413 Bell St, Edmonds
Barday-Slieftan Dance PhoneNumber: (425)77&HI11
Mrs, Fikins
0.1 / 10/2016
FACP Manufacturer: W1 2224
#of Initiating Circuits: I
Phone #: N/A
Phone Number: (425) 776-8111
Inspection Type: V Annual Quarterly
SFD Certification Number: SCP- b ooaz�
Account M NIA
Model #: 70605 CAL Location: Lowrt.qtair landing
# of Signal Circuits: I Notes:
ALARM SYSTEM FUNCTIONALITY
yes
No
NIA
All notIficatlon circuits operational?
All circuits checked for electiical supervision?
All auxiliary equipment operates (elevators, fens, dampers)?
Key to panel available?
Operating Instructions at panel?
4L
'S
44111
Trouble Indicators function properly?
Test record posted at panel?
Signals received at central station? Operator
Problems Found:
ae 1A -
du R I p. A-,,.,.
!!C�4' CCr-&C_'JP I AQ Al IJJ Phi-diNfrm- IS
F i Corr'e-)cted By:
Corrections Made: Date Corrected: SFD Certification #:
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 corra)mtive actlon,,-�
Signature of Tester:
Signature of Owner:
Phone M 2.64P 1 C�'
SYSTEM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
N/A
Horn/Strobes
Strobe Only
I
Hom Only
Wheclock/Fri
.1
Speaker/Strobes
Speaker Only
Sounder Base
K
Bells
Manual Pull*
2
t
Photo Smoke Detectors
I
Ion Smoke Detectors
Combination Smoke/Meet
1350 Rate of Rise Heat
Y
2000 Rate of Rise Heat
1359 Fixed Temp Neat
200' Fixed Ternp Heat
Duct Smoke Detectors
Detector Remote Indicators
Remote Annunciators
TH panel
Elevator Recall Output
Fen Pressurization
Door Holders
Door Unlock
Curtains/Roll-down Doors
Fire Fighter Phones
Main FACP
Trouble with AC off?
No
BattM backup operational?
No
Battery voltage (no lead)
volts
Battery voltage (full load)
2L16voft
Charge circuit voltage
V—,6 volts
Battery Size 1611
1
PanelType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
_voks
Battery voltsae (full load)
volts
Charge circu It Voltage
volts
Battery Size
PanelType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no lead)
volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery Size
PanelType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circult voltage
volts
Battery Size
SNOH6MISli CO.
FIRE
LOCATION:
413 Bell Street 98020
BUSINESS NAME:
Barclay -Shelton Dance Ctr
MAILING
ADDRESS:
413 Bell Street, Edmonds, WA 98020
BUSINESS OWNER
_McMno7ffa , N
EMERGENCY-1:
KEY ACCESS-2: Shelton, Leanne
EMAIL: (� A- f'>O e 1 6 4,X e
PERSON CONTACTED: V ' AT \14 k 't-s I I ^J V] - 0 C-- V
NAME OF INSPECTOR : q 11 q/// /.50S
FIRE SYSTEMS( FA
Q0Z§zPbb-0)%'ftbCATIONS COMMUNICATIONS
10.0 of, 5TIIQ k"/z S _oas
k
&I #a
�ving Brier, Edmonds, and 12425 Mer idian Ave' S
MMUntlake Terrace -Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY I STATION& SHIFT
Annual 17-B
SCHEDULED
PATE DUE I" Apr 2016
L�QFIR 1, 233
PHONE:
4257768111
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
EDMONDS
BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
HOME PHONE:
HOME PHONE: 4257781978
"'CURRENT
CITY,
YES NO
BUSINESS
El
LICENSE
INITIAL INSPECTION DATE
6
0
_6
I AGREE To.cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION VIOLATIONS.
DATE DUE:
GRANTEDTO: T DATE DUE, CITED
PERSON
CONTACTED:
PERSON
CONTACTED:
_�EW�ON
INSPECTOR:
. . ......
CONTACTED:
INSPECTOR:
INSPECTOR:
DATE:
DATE:
DATE,
vib1AiT6_Ns
5
VIOLATIONS
PRE-C ITATION CITATION ISSUED
4
1 15
LErrER NUMBER,
16
2 16
CODE
DAT SEC [ON: 5
17
RETURN RECEIPT
RECEIVED
t;ii—SPOS ITION:
18
7
NEEDED C] YES [I NO
LETTER NEEDED 0 YE S [I NO
,—LETTER
8
(is) �S- ITI 01
Certification Given
RED YELLOW WHITE
CONFIDENCE TE T
190-23 A.�v W. 13vilv E. Ly=�vvd.1VA 9�*36 U.S.A. REPAI
-'42-';, 77 1-11 rr, (425) 77 1-4-4V- , �,i,
FIRE ALARM SYSTEMS
(One System per Report)
Occupancy Name: Etarrhiv -551wilon Drin(dccupancy Address: 413 Bell St, Edmonds
BUilding Owner: noreby-sitorot, rmiirc Phone N um ber; f425) 7' , 6-8 111
Owner Agena: MTS' Flik-i115 PhoneNumber-
Date of Inspection: 02r27/'-)01'5 Inspection Type: v Annual Quarterly
Testers Name: K
SFD Certification Number: SCP- N2-Zl
Monitoring: AJ1 A Phone /Jks� Account M /_V
FACP Manufticturer: FCJ112-4 Model#: 70605 CA r. Lo4oation: W-Urswirfuntlill-u,
#of Initiating Circuits: I #of Signal Circuits: I Notes.
ALARM SYSTEM FUNCTIONALITY
Yes
140
N"A
All notification circuits operational?
K
All circuits cher-ked for electrical supervision?
All auxiliary equipment operates (elevators, fans, dampers)?
to panel available?
Operating Instructions at panel?
Trouble indicators function properly?
Test record po3ted at pond?
Signals received at central station? Operator
Problems Found:
Corrections Made-,
001-
Date Corrected,
Corrected By:
SFD Certification
This certifies that this fire and life safety system has been properly inspected for reliability
to cover the Items I isted in this report and Is consistent with Seattle Fire Department Fire
Code standards, and that 4iscrepy;4c-�ip are noted,and have been reported to the building
Owner/Manager for corre Ive a Ion.
Signature of Tester: Phone #-
gignaiure of Owner-
SYSTEM DEVOCES
MODEL #
TOTAL
TESTED
SATISFACTORY?
Yes
No
N/A
Hom/Strobes
Strobe Only
Horn Only
Spemkor/Strobes
SpeakGr Only
Sounder Base
Bells
Manual Pull$
virelite
2
Photo Smoke Detectors
Ion Smoke Detectors
Combination Smokeffleat
135* Rate of Rise Heat
2000 Rate of Rise Heat
135' FiXGd Temp Heat
200* Fixed Temp Heat
Duct Smoke Detectors
Defector Remote indicators
Reiroto Annunciators
Elavator Recall Output
Fan Pressurization
Tv -
Door Holders
Door Unlock
Curtains/Roff-down Doors
Main FACP
Trouble with AC off? Y No
Battery backup operational?
c(c>1 N &
Battery volts6e (no load)
Z!tl- volts
Battery voltzge (full load)
A--ZO(e Volts
Charge circuit voltage
o
Battery Size )�,o 11
b
PanolTyp
Tro u ble. with AC off?
Yes 'No
Battery backup operationa]17
yez No
Battery voltage (ftil loe4)
volts
Charge circuit voltage
volt!3
Battery Size
I
Pan,el Type:
Trouble with AC: off
y6s No
Battery backup opi�.,ratlonal?
Yes No
BatLery vollase (no load)
volts
Battery voltage (full load)
vcdts
Charge circuit voltage
Volts
Battery Size
-PanelType:
TroubBe vAth AC otr?
yes� No
Battery backup opamtlallel?
Yes. No
izu Au4uj
vz;lTy-
i3attery vollage (ful! 14ad)
velm
Charge circuit voltage
vote
Battmry Size
HCMISH, 0. -Sefvi,�'ig Briel:Lnond's, andi �,-,4?42�'Akridiail Ave S
Mountlake Tcrra�e� yiqett, WA 98208
FIL-1114LE
Phone (425) 551-1200
72
DISTR T wwwFireDistrictl.org Fax (425)'551-12
LOCATION: 443 BeIlStreet WKM
BUSINESS NAME: 8Wr-Iq),,,-6hc:ILan OtamcCir PHONE: 42Y.770 I 11
MAILING
ADDRESS: �413 IISLrrc1,1-_diTmndb,\tVA Offl,20"I 4
FIRE PREVENTION.
INSPECTION REPORT
EDMONDS
BRIER
MOUNTLAKE TERRACE
UNINCORPORATED
FREQUENCY STATION & SHIF')
Aniuml 17-D
SCHEDULED
r ZM4
DATE DUE
UFIR'M
_BLISIN ESS OWNER:.. H�RE 'PHONE:'
EMERGENCY-1: ShrltDrl, LrafglC HOME PHONE: 42M.01078
CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
P:RAAII & BUSINESS F_� F-1
INITIAL INSPECTION DATE
PERSON CONTACTED: M\) I )
0 6"0 6711
NAME OF INSPECTOR: SPt L
f -JI
�44--SVSEkS. AS41111"FA5113FE I FDt0bx7
; 0 D'�AND LOC
HAZARDS F UN I ITICINS / COMMUNICATIONS
2
2
3
. .. .... . . ...... .. ... .... ......
4
4
5
5
6
7
bf �f
7
IAGREETo cbRRECT THE ABOV9'VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
9n,d RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
CONTACTED:
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
4
-1 15
1 15
LETTER SENT,
NUMBER:
6
2
6
DATE:
CODE
SECTION:
RETURN RECEIPT
7
3
7
RECEIVED
DISPOSITION:
7
4
8
4 8
FETTER NEEDED YES El NO
1 DATE:
LETTER NEEDED [:] YES No
F
8
FIRE DEPARTMENT COPY
...........
19013 Yj'h Ave V,� Gate E. L�Ivm a aA WA58036 U r..A-
1425)771-11a F=f;4'-'-%)771-4422
Occupancy Name:
Building Owner.
Owner Agent:
Certification Given -
RED
YELLOW
I WHITE
CONFIDENCE TEST
REPAIRS
FIRE ALARM SYSTEMS
(One System per Report)
Barchly - SkAton Occupancy Address: 413 Ball St. EdMW&
Ran;lay-Shelton PhoneNumbef- (4-25.1716-8111
Mi1rcils Phone N tanber - (4-25) 7 76-8 111
Date of Inspection: 05-131013 Inspection Type: ,/ Annual
Testers Name: Kui Day SFO Certification Number:
Monitoring: NJA
Phone#: -N/A Account#., N/A
Quarterly
SCK DQ(UZ�
FACP Manufacturer FC-1 22-114 Model #: 70603 CA L Location: Uwxmair hinding
W of Initiating Circuits: I *of Signal Circuits: I Notes:
ALARM SYSTEM FUNCTIONALITY
Yes
No
NIA
AN notification circuits operationaJ7
x
AD circuits checked for electrical supervision?
All auxiliary equipment operates (elevators, fans, dampers)7
;Key to panel avallable7
x
operating IhAVUCtlohr, at pah&17
x
Trouble indicators futiction propwly7
Test record posted at pane17
Signals received at central station? Operator 9�_
Problems Found:
— 1A I
Corrected By. ktu hAm
Corrections Made: Date Corrected: SFD Certification * -1.1;
D- �A A A A . t- "1 1,
This certifies that this fire and life safety system f�is been properly inspected for reliability
to cover the Items Noted In this report and is consistent with Seattle Fire Department Fire
Code standards, and that diAcrepancies ad and have been reported to the building
Owner/Manager for co
I er: ere tio
Signature of Test --- Phone#: �206 3-5 (o �W,3
Signature of Owner:
. , I
SYSTEM DEMCES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
NIA
HorniStrobes
Strobe Only
Ham Only
12,
SpeakeriStrobes
Speaker Only
Sounder Base
Balls
Manual Pulla
Firel4e.
2
2—
Photo smoke Detectors
Ion Smoke Detectors
Combination Smakell-leat
135' Rate of Rise Heat
7-
20T Rate of Rise Heat
135' Fixed Tamp Heat
207 Fixed Tamp Heat
Duct Smoke Detectors
Detector Remote Indicators
Remote Annunciators
In pancl
Elevator Recidl Output
Fan Pressuri2ation
Door Holders
-x
Door Unlock
CurtainslRoll-down Doom
Fire Fighter Phones
I
Nbin FACP
Trouble with AC off?
No
Battery backup operationaI7
No
Battery voltage (no load)
-a�olts
Battery voltage (full load)
X4!x,`Vofts
Charge circuit voltage
vc4ts
Battery Giza
A-1 Y)
PanelTVpe:
Trouble with AC off?
Yes No
Battery backup operationa17
Yes No
Battery voltage (no load)
volts
Battery voltage (fuff load)
volts
Charge circuit voltage
volts
[Battery Si za
1 -1
PanelType:
Trouble AC ofr?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage ftdi load)
volts
Charge circuit voltage
volts
Battery size
PanelTvpe:
Trouble with AC off7
Yes No
Battery backup operationa17
Yes No
Battery voltage (no lead)
volts
Battery voltage gull load)
volts
Charge circuit voltage
Volts
Battery Size
. . ...... .... ...
wo.
. . . . . . . . . . . .
...........
19023 36'k Ave W, SwLe E, Lptivicc4i, W.k!)8036 U.S.A.
(425)771-lidd Fax(425)771-4422
Occupancy Narne:
Building Owner -
Owner Agent -
Date of Inspection:
Testers Narne:
Monitoring:
Certification Given
RED YELLOW I WHITE
CONFIDENCE TEST I V
FIRE ALARM SYSTEMS
(One System per Report)
F:T*9TT Mz'
Rarclay - 1'shelton Occupancy Address: 413 Bell St, Ednionds
Bavidy-511otork alaw Phone Number: (42.1) 7715-8111
MA9('(z - PhoneNumber: (425)776,S111 1-49G-71-3`3-
03/17/2010
N6&jC'-
FACP Manufacturer: FC1 2224
# of Initiating Circuits: I
Inspection Type: I Annual Quarterly
SFD Certification Number: SCP-J-0qqj
Phone#: Account M
Model #: 70605 CAL Location 60
#,of,Signal Circuits: I Notes:
ALARM SYSTEM FUNCTIONAUTY
Yes
No
N/A
All notification circuits operational?
All circuits checked for electrical supervision?
All auxiliary equipment operates (elevatom, fans, dampers)?
Key to panel available?
OpGratiha 1h5trUctiahz at panel?
Trouble indicators function properly?
Test record posted at panel?
Signals received at central station? Operator #
Problems Found:
Corrections Made:
Date Corrected:
SFD Certification M
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 i
Signature of Tester:
Signature of Owner:
W
SYSTEM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
N/A
Ham/Strobes
Strobe Only
Ham Only
Wheelock/W)
3
Speaker/Strobes
Speaker Only
Sounder Base
Bells
Manual Pulls
Photo Smoke Detectors
Ion Smoke Detectors
Combination SmakeMeat
135' Rate of Rise Heat
2000 Rate of Rise Heat
135' Fixed Temp Heat
200' Fixed Temp Heat
Duct Smoke Detectors
Detector Remote Indicators
X
Remote Annunciators
In pancl
1
-4
Elevator Recall Output
Fan Pressurization
Door Holders
Door Unlock
Curtains/Rall-down Doors
Fire Fighter Phones
Main FACP
Trouble ,Mth AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit voltage
ZlIZ-V-101ts
Battery Size
a-p( 64#q
PanelTypa:
Trouble with AC off ?
Yes No
Battery backup operatiohal7
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
VG[ts
Charge circuit voltage
volts
Battery Size
PanelType:
Trouble with Ac off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
—volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
attery Si2e
PanelType:
Trouble with AC off?
Yes N o
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery Size
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
Barclay -Shelton Dance Center, Inc
Edmonds Location :
413 Bell Street
In conformity with the
terms of the International
-Fire Code, application -is -
hereby made to store, use
Places of Assembly - Occupant Load: 75
or maintain the following
activity, storage or pro-
cesses:
Mailing Address:
715 Walnut St
Edmonds, WA 98020
EFD LIFIR #:
2330750413203
(for office use)
Your Signature
Your Name (print)
Zed,
Your Title
Ae'5-�
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
Check#
Certification Given
....... ......
19023 3e Ali. W, Suit. E, Lyrm...L WA 98036 U.S.A.
(42S) 771 .1166 F2x (42.S) 771-422 5Mr_N ..V=
RED YELLOW I WHITE /
CONFIDENCE TEST V
REPAIRS
FIRE ALARM SYSTEMS
(One System per Report)
OccupancyNarne: Rar0ay-shchon Occupancy Address: 413 Bt�l St, Edmotids
Building Owner BamlaY-Shclton Danoc Studio PhoneNumber: (425)776-8111
Owner Agent: h4amus Phone Number (425) 776,4111
Date of Inspection: 04/19/2012 Inspection Type: V Annual Quarterly
Testers Name: Kca Dity SFD Certification Number: SCP- D-062-13
Monitoring:_ VIA, Phone M Account M
FACP Manufacturer: �(� 2224 Model #: 70605 CA L Location: Lowei Stair laading
# of Initiating Circuits: I #of Signal Circuits: I Notes:
ALARM SYSTEM FUNCTIONAUTY
yes
No
NIA
All notification circuits operational?
V",
All circults char-ked for dectrical supervIsion?
All auxiliary equipment operates (elevators, fans, dampers)?
Key to panel available?
OpOratiho ingtrUCtiOng at Panel?
Trouble indicators function properly?
Test record posted at panel?
Signals received at central station? Operator It_
Problems Found:
Corrections Made:
Date Corrected:
Corrected By: -
SFD Certification M
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
Codestandards, and tha"iscrepanci noted and have been reported to the building
Owner/Manageir for r ive a j
Signature of Tester: Phone#: 26�, lq�14603
Signature of Owner.
SY,fir-EM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
NIA
Hom/Strobes
Strobe Only
Ham Only
Wheelock/Frl
-25— -3
Speaker/Strobes
Speaker Only
Sounder Bass
Balls
Manual Pulls
Photo Smoke Detectors
Ion Smoke Detectors
Combination SmakeMeat
135' Rate of Rise Heat
2000 Rate of Rise Heat
135' Fixed Tamp Heat
200* Fixed Tamp Heat
Duct Smoke Detectors
Detector Remote Indicators
Remote Annunciators
In pactul
Elevator Recall Output
-2--
Fan Pressurization
Door Holders
Door Unlock
Curtains/RalWown Doors
Fire Fighter Phones
Main FACP
Trouble with AC off?
NO
Battery backup operational?
a No
Battery voltage (no load)
Z7, --. V Oita
Battery voltage (full load)
2-IL3 Volts
Charge circuit voltage
al-1 valtz.
Battery Size
-C..— " I
PanelType:
Trouble with AC off 7
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
vo Its
Battery voltage (full load)
Volts
Charge circuit voltage
Volts
Battery Size
PanelType: I
Trouble with AC Off`7
Yet No
Battery backup operational?
Yes No
Battery voltage (no load)
—vofts
Battery voltage (full load)
Vohs
Charge circuit voltage
Volts
L.Battery Size
PanelType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
Volts
Battery voltage (full load)
Volts
Charge circuit voltage
Vohs
Battery Size
I L, URI S f. In 1 -'01 .1 11,
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
DIEC - *
MAP, -1 7FA!_D
EDMONDS FIRE, DEPT.
Name of Company; DBA
Barclay -Shelton Dance Center, Inc
Edmonds Location
413 Bell Street
In conformity with the terms of
Places of Assembly - Occupant Load: 75
the International Fire Code,
application is hereby made to
store,- use -or maintain the
following activity, storage or
processes:
Mailing Address:
715 Walnut St
Edmonds WA 98020
EFD LIFIR
2330750413203
(for office use)
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
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 233-075-0413-203 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I Barclay -Shelton Dance Center, Inc I
I located at: 1413 Bell Street I Edmonds, WA I
I To engage in the business, occupation or pr cess of: T- I
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Places of Assembly - Occupant Load: 75
I Allowed Occupant Load: 1 75 1
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 anew
permit.
Fi
Di
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
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'X RED
19023 3e AV. W, Suits E, Lythlulad, WA.W036 U.S.A.
(42S) 7?1-1166 Fax (425) 771-4422
Occupancy Name:
flunaing owner.
Owner Agent:
Date of Inspection:
Testers Narne:
Certification Given
FIRE ALARM SYSTEMS
(One System per Report)
Rarolay - Shchon
1KUV1Hy-0RC1KM V=QQ
YELLOW I WHIT
CONFIDENCE TEST
REPAIRS
Occupancy Address: 413 Eiall st, Ednuvida
rhoneNumber: t,#1zt)"b-bill
Phone Number: (425) 776-8111
05A)5/201 I Inspection Type: V Annual Quarterly
SFD Certification Number: SCP- A 041
Monitoring:
FACP Manufacturer: FLI 2224
# of Initiating Circuits: I
Phone 8:
Model #: 70605 irAL
# of Signal Circuits: I
Account #:
Location: b9AW-SAX IA-W. Ili
Notes:
ALARM SYSTEM FUNCTIONALITY
yes
No
NIA
All notification circuits operational?
All c1rcults r-her-ked for electrical supervision?
All auxiliary equipment operates (elavators, fans, dampers)?
Key to panel avallabW
Operat1ha IhstMetichs at Panel?
Trouble indicators function properly?
Test record posted at panel?
V",
Signals received at central station? Operator
Problems Found:
Corrections Made:
Date Corrected:
Corrected By:
SFD Certification
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 corWolve aA!on./
Signature of Testen Izz - Phone #: 7-ale - -3 f-6 -
Signature of Owner: VkUtu, -Y
I I
SYSTEM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
N/A
HorniStrobes
Guntux GX904W
23
Strobe Only
Hom Only
S -itemSensorSyne
y
25
Speaker/Strobes
Speaker Only
Sounder Base
Baits
Manual Pulls
SilentKnight SAW
10
Photo Smoke Detectors
Rachiki %LK24F
I I
Ion Smoke Detectors
Combination SmokelHeat
135* Rate of Rise Heat
20V Rate of Rise Heat
135* Fixed Tamp Heat
20V Fixed Temp Heat
Duct Smoke Detectors
Detector Remote Indicators
Remote Annunciators
Silva Kniet .5230
1
Elevator Recall Output
2
Fan Pressurization
Door Holders
5
S7—
Door Unlock
Curtains/Rall-down Doors
Fire Fighter Phones
Main FACP OkAI'JA,�— 7
Trouble with Ac off?
No
Battery backup operational?
one N o
Battery voltage (no load)
1(,-S70 volts
Battery voltage (full load)
7:4-1, J2,.Ita
Charge circuit voltage
5-21a volts
Battery Size
I 7A,,, RL
Panel Type:
Trouble with AC off?
a No
Battery backup operational?
No
Battery voltage (no load)
'7 Volta
Battery voltage (full load)
st -06volts
Charge circuit voltage
-2-2-LI volts
[Battery Size
-7 " NA
Panel Type:
Trouble with AC off7
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
voltage (full load)
volts
.Battery
Charge circuit voltage
volts
Battety size
PanalType:
Trouble vAth AC off?
Yes No
Battery backup operatlanal?
Yes No
Battety voltage (no lead)
Volta
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery Size
0o
June 4, 1982
MEMO TO: Hal Reeves
Building Official
FROM: Gary L. McComas
Fire Marshal
SUBJECT: FIRE ALARM REQUIREMENT FOR BARCLAY '-'SHELTON
To comply with Section 809 of the 1979 Uniform Building Code,
the following items must be provided and installed:
1. Manual pull stations located near each grade level
exit.
2. Heat detection in the mechanical rooms.
3. Audible devices located in the building that will
produce a minimum audibility level of 60 dba.
4. One audible device must be located on the exterior
of the building.
5. A battery back up that is capable of powering the
system for 24 hours with a 5 minute ring -off must
be provided.
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,� 3 7 -600 -Cep 7
April 22, 1982
MEMO TO: Hal Reeves
Building Official
FROM: Gary L. McComas
Fire Marshal
SUBJECT: COMMERCIAL REMODEL AT 413 BELL 9AUIJA-�� Dfvay'-
The following are fire department requirements:
1. Change exit door swing. All exit doors serving an
occupant load of more than 50 must swing in the
direction of exit travel.
2. Storage is not permitted under the stairs.
3. Winding stairs are not allowed.
4. Provide two fire extinguishers as indicated, minimum
rating 2;A-10,B:C dry chemical types.
5. Panic hardware must be provided on the exit doors.
6. Emergency lighting shall be provided:
a. In all interior stairs and corridors
7. Provide exit sign to north exit from Studio "A".
8. Interior finish shall be Class A in stairways and
Class A or B in corridors and lobbies, and Class A,
B or C elsewhere.
9. Furnace room must be onehour construction.
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