Loading...
424 3RD AVE S'FIRE PREVENTION INSPECTION REPORT Serving Brier, Edthutlw, urld 12425 Meridian Ave S SN0110NIISH CO. >Q EDMONDS Mowitlake Terrace Everett, WA 98208 OBRIER FIR Phone (425) 551-1200 El MOUNTLAKE TERRACE D101111M [I UNINCORPORATED —1-0 A T www.FireDistrictl.org Fax (425) 551-12 72 - 424 3 rd Avenue S 98020 LOCATION: Edmonds Park Apts BUSINESS NAME: MAILING pO, Box 19536, Seattle, WA 98109 ADDRESS: Diaz, Michelle BUSINESS OWNER: Metropolitian Mngment EMERGENCY-1: KEY ACCESS-2: EMAIL: PERSON CONTACTED: kj, III - NAME OF INSPECTOR: - Q1'r J� t 6 ('�? 0 � 2062821103 PHONE: HOME PHONE: 4257767577 HOME PHONE: 17 HOME PHONE: FAEnQnUUEayy STAJ?_jj SHIFT SCHEDULED Apr 2U1 f DATE DUE 4,dt$ 1 0Z UFIR CURRENT /—I' CITY YES NO - BUSINESS LICENSE INITIAL INSPECTION DATE' '17 q - 5­_ _2�� _ Date Last Serviced: HAZARDS FOUND AND LOCATIONS COMMUNICATIONS ................... C :�r V ,--I 2 rl^'7 T 2 3 57, 3 4 4 5 1 5 .6 6 7 C­tll q 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 VIOLATIONS DATE DUE: DATE DUE: GRANTEDTO- DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR! 2 INSPECTOR: 3 DATE: DATE: DATE: CITATION ISSUED VIOLATIONS VIOLATIONS 0 PRE -CITATION 4 5 5 ETTER SENT NUMBER, CODE 5 2 6 2 6 SECTION. 6 3 3 :.7 RECEIVED DISPOSITION- 7 4 8 4 8 DATE. LETTER NEEDED YES NO LETTER NEEDED YES NO Serving Brier, Edmonds, and 12425 Meridian Ave S Mountlake Terrace Everett, WA 98208 Phone (425) 551-1200 www.FireDistrict].org Fax (425) 551-1272 FIRE PREVENTION INSPECTION REPORT UEDMONDS 0 BRIER E3 MOUNTLAKE TERRACE [3 UNINCORPORATED FREQUENCY STATION & SHIF"' LOCATION: 424 3 rd Avenue S 98020 Annual 17-C BUSINESS NAME: Edmonds Park Apts PHONE: -20628-2-11403- SCHEDULED DATE DUE I" Apr 2016 MAILING UFIR 0 428152 ADDRESS: PO Box 19536, Seaftle, WA 98109 bUSINESS OWNER: HOME PHONE: Diaz, Michelle EMERGEN CY-1: HOME PHONE: e- CURRENT KEY ACCESS-2: Mefropolitian Mngment HOME PHONE: -206282-1403- CITy YES NO EMAIL: BUSINESS LICENSE PERSON CONTACTED: M i W7 Vvi INITIAL INSPECTION DATE NAME OF INSPECTOR: 1" 1 e K rA _j FIRE SYSTEMS: FA ljq�l I tE 3/14� FD Lk BoXI SIP PLI� SP -7/11, C-,:= ­�,Jjj_ E�Mt"E�q StEtTI81N IC8itU ATIONS"" VAN L C-I fl D, 2 2 3 3 ,Ilk F"07- Wk 5 j r-0- �k""A 64�e'!5�5 tpal . �4(�V 5j S7*71t ^�C� A"t AoV* 6 �C';; r 6 7 0)_1 d e�) LAA 7 I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X I st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTEDTO: DATE DUE: CITED: PERSON CONTACTED: 1JVJ0& PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: 2 INSPECTOR: UJI 05-7�PA) DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS'- PRE -CITATION CITATION ISSUED 4 5 7- OvA,15 5 LETTER SENT NUMBER: 2 6 CODE SECTION: 5 2 F//,&o 6 DATE: 3 7 7 RETURN RECEIPT RECEIVED 6 4 N 07' 00 P& J_ 8 4 DATE: DISPOSITION: 7 '8 LETTER NEEDED YES NO LETTERNEEDED YES 0 NO 8 -.00 C . 'I FIRE ONE, INC. 107 WASHINGTON BLVD ALGONA, WA 98001 Confidence Test Report 206-575-0311 FAX 2�3-735-4976 BREMERTON 360478-0428 FAX 360-782-25U FIREO1*099KW FIRE ALARM SYSTE!�j (One System Per'Report) :1 Certification Given CONFIDENCE TEST El IREPAIRS �E] El RED [D WHITE 0 GREEN I Sprinkler Monitoring Panel? Occupant Name EDMONDS PARK APARTMENTS Property Address 424 3RD AVE S EDMONDS Building Owner/Mgmt Co ICITY CENTER MANAGEMENT Phone No. 1206-282-1103 Responsible Person IJEFF IE-Mail ADMIN(a)METMGMT.NET jDate of Inspection 1 10/12/2015 Inspection Type Annual 0 Quarterly (High Rise Only ITesting Technician IScott Et%vin SFD Certification No. SFD- 11-ocation of System I Central Station Monitoring? Lj YES L�d NO FMonitoring Company Name N/A Control Panel Manutacturer JESL IModel No. 1 1500 rlf%r- %.#UUr- VIUL.M I 11VINO rUU1VU-. (IT aaamonai room is neeaeo, piease aaa a separate r-- -- 2 bad mini homs unit 207 and 301 CORRECTIONS MADE Date Made 10/26/2015 Corrected By Nathan Bennett (if additional room is needed, please add a separate sheet) Replaced minYhoms 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 Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Phone # 206-575-0311 Signature of Tester On file Testing Agency FIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001 Building Rep. ORIGINAL ON FILE 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. Alarm System Functionality Trouble signal with AC power off? YES El NO §ystem operates properly on battery backup? YES 0 NO Battery vol ge NO LOAD 25.8 volts Battery voltage FULL LOAD 24.4 volts (§:ig_qals Opf�rating) Charge circuit voltage 26.6 volts System operates properly on standby power? All _!signals operate on AC power? YES YES 0 0 NO NO Number of initiating circuits Number of signal circuits Does alarm system meet audibil�y standards? 21 YES [:1 NO All circuits checked for electrical su ervision? 110v CD YES 0 NO All _@uxiliary_equipment perates (Elevators, fans, dampers)? ED N/A F1 YES El NO Ventilation controls operate? 21 N/A [I YES [:] NO Key to panel available? F±1 YES El NO Materials and equipment needed to restore pull stations are available at the main p@Lnel, Le. glass rods, plates, k s and alien wrenches? Ej N/A [D YES El NO Operating instructions at panel? D YES NO Trouble indicators function p op L _erl ? [a YES NO Remote annunciator panels function properly? N/A [:] YES El NO Elevator call down functions_pEop�rl ? F±1 N/A R YES (:] NO Test record posted at panel? [A YES El NO General alarm automatic time delay N/A El N/A _(minutes) W m [I NIA El YES El NO Other devices (Specify) [I N/A [I YES El NO System Devices Total Number of Units in Building Total Number of Units Tested Test Results Acceptable Bells, homs, chimes Voice speakers (voice clarity) Visual alarm devices Smoke detectors Heat detectors Duct detectors Sprinkler flow switches Sprinkler supervisory switches Manual pull stations Annunciator(2) Beam detectors Automatic door unlocks Automatic door releases Fire dampers 66 5 12 2 bad 66 5. 12 11 El 21 0 F-I El EI El 0 Fz] RI El El El N/A N/A N/A N/A NIA N/A N/A N/A N/A N/A N/A N/A N/A N/A El El 11 El 2 El 11 El Ej El El 0 11 0 YES YES YES YES YES YES YES YES YES YES YES YES YES YES RI El El EJ El El 1:1 El 0 [I El El El 11 NO NO NO NO NO NO NO NO NO NO NO NO NO NO Communication Equipment Total Number of Units in Building Total Number of Units Tested Test Results Acceptable Phone sets Phonejacks ICall-In signal El El El N/A N/A N/A El El [:] YES YES YES El El D NO NO NO FIRE PREVENTION INSPECTION REPORT Set-ving Bilet; Ednionds, and 1,2425 Mei-idian Ave S, \ SNOHOWISH C9. ........ /C9 EDMONDS Mountlake Tei-i-ace Everett, WA 98208 El BRIER FIRE [:1 MOUNTLAKE TERRACE Phone (425) 551-1200 [1 UNINCORPORATED DISTR T www.FireDistrictl.org Fac (425) 551-1272 FREQUENCY STATION & SHIF*) LOCATION: 424 3 rd Avenue S 98020 Annual I 17-B BUSINESS NAME: Edmonds Park Apts PHONE: 2062821103 SCHEDULEDApr 2015 DATE DUE 1' 428152 MAILING LIFIR ADDRESS: PO Box 19536, Seattle, WA 98109 '�JAA /14 a ^ j &-i— 4— Dillion, Jerry BUSINESS OWNER: HOME PHONE: Edmonds Park Assoc 2062821103 EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS V EMAIL: LICENSE �n­! E] PERSON CONTACTED: Dk.�W_-z 77 & INITIAL INSPECTION DATE -75-77. NAME OF INSPEC;A�.e Sp 91/14 HAZARK FOUND AND,Lop�TIONS /COMMUNICATIONS 1 1 1 ;2o 6 2 oo� 2 3 3 4 4 5 5 6 6 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X LA4 42 1st RE -INSPECTION DATE DUE. 2nd RE -INSPECTION DATE DUE. EXTENSION GRANTEDTO- FINAL RE-INSPECTIO01--, DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: INSPECTOR: INSPECTOR: .1 . INSPECTOR: 2 DATE: E: 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 7 3 7 RETURN RECEIPT RECEIVED 4 8 4 8 DATE: DISPOSITION: 7 \1 LETTER NEEDED [] YES C3 NO LETTER N�EDED E] YES 0 NO 1 8 FIRE DEPARTMENT COPY FIRE PREVENTION -_.Serving Bria Edmonds, and 12425 Meridian Ave S INSPECTION REPORT 3NOHOMISH CO. Mountlake Terrace F I RE. Everett, -WA 98208 OEDMONDS 0 BRIER PhblifK(42�94-55 0 MOUNTLAKE TERRACE im DIS fit1q; www.FireDistrictl.org �.]�J200 Fax (425) 551-12742. 0 UNINCORPORATED OL Ott , t4 c— joel',­4 ne/i tA.,5 rca- / s e;, -5 -FREQUENCY STATION & SHIF_R_'1'), I LOCATION: /-P 424 3 rd Akeme S '9� 4c NulLml 17-A BUSINESS NAME: FAmiorkl Park ApLi PHONE: 21M2821 1M SCHEDULED DATE DUEq)r 2014 MAILING UFIt ADDRESS: P(Max IDEEM, SwRic, NJVA 09100 BUSINESS OWNER- HOME PHONE: EMERGENCY-1 -. EATIonds Rlff k- Aam HOME PHONE: 2C%,2921103 "'CURRENT YES NO KEY ACCESS-2: HOME PHONE: CITY BUSINESS EMAIL: LICENSE PERSON CONTACTED: I A)o h le- INITIAL INSPECTION DATE NAME OF INSPECTOR: _FA A/FD 1"'Im IQ/ 12 FE _17 r'-L 1.0 j, HAZARDS FOUND AND LOCATIONS COUMUNICATIONS /U 2 2 3 4 4 5 5 6 6,- 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X lst RE -INSPECTION 2nd RE -INSPECTION FINAL RE -INSPECTION EXTENSION VIOLATIONS DATE DUE: DATE DUE: GRANTEDTO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3 7 RECEIVED DISPOSITION: 7 14 18 4 18 DATE, LETTER NEEDED [] YES Cl NO LETTER NEEDED E] YES [_1 NO r 8 FIRE DEPARTMENT COPY FIRE ONE, INC. 107 WASHINGTON BLVD ALGONA, WA 98001 206-575-0311 FAX 253-735-4976 BREMERTON 360-478-0428 FAX 360-782-2584 FIRE01*099KW FIRE ALARM SYSTEM Confidence Test Report (One System Per Report) Certification Given CONFIDENCE TEST REPAIRS El RED El WHITE El GREEN I Sprinkler Monitoring Panel? E] I Occupant Name EDMONDS PARK APARTMENTS Property dress 424 3RD AVE S EDMONDS Building Owner/Mgmt Co ICITY CENTER MANAGEMENT Phone No. 1206-282-1103 Responsible Person ILORI JE-Mail ADMIN(@METMGMT.NET Date of Inspection 10/27/20141 Inspection Type7 0 Annual El Quarterly (High Rise Only Testing Technician LINDA BALZER ERIK BARKER SFD Certification No. SFD- B00476 11-ocation of System I Central Station Monitoring? U YES U-1 NO I Monitoring Company Name N/A 1 Control Panel Manufacturer ---TESL I Model No. +- 1500 rimr- tpuwr- VIULA I ium) ruumu; aaamonai room is neeaeo, piease aaa a INO ACCESS TOUNITS 305.314.208.213. & 215 1 CORRECTIONS MADE Date Made 10/29/2013 Corrected By MARK HURELL (if additional room is needed. Dlease add a separate sheet) 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 Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Phone # 206-575-0311 Slanature of Tester Testing Agency TIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001 Building Rep. ORIGINAL ON FILE 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. Alarm System Functionality Trouble sigaal with AC power off ? E] YES 0 NO S stem operates properly on bafte y backup? R] YES El NO Ag,ftey voltage NO LOAD 25.85 volts Batte y yoltage FULLLOAD 25.15 volts (SigE*L0peratingL_ Charge circuit volta e 26 volts System operatqs properly paj!andby power? Q YES 0 NO A��gnals operate on AC power? 21 YES 0 NO Number of initiating circuits Number of signal circuits Does alarm system meet audibility standards? 2 YES 0 NO All circuits checked for electrical supervision? 110v 0 YES 0 NO All au dliary_!�qq!pMent operates (Elevators, fans, dam ers)? Q N/A 0 YES El NO Ventilation controls operate? El N/A El YEq__o NO Key to panel available? F±1 YES El NO Materials and equipment needed to restore pull stations are available at the main anel, Le. glass rods, plates, keys and allen wrenches? R N/A El YES 0 NO Operating instructions at panel? Fz] YES [71- NO Trouble indicators function,pLopprly? El YES Q NO Remote annunciator anels function_p�operly? Elevator call down functions ro erly? El N/A E] N/A__0_jE.5__�NO_ YES El NO Test record Posted at panel? . F] YES 0 NO General alarm automatic time dela N/A (minutes) N/A Was a signal received at the Central Station monitorigg corn an ? [21 N/A El YES 0 NO Other devices (Specify) El N/A 0 YES [I NO System Devices Total Number of Units In Building Total Number of Units Tested Test Results Acceptable Bells, horns, chimes Voice speakers (voice clarity) Visual alarm devices Smoke detectors Heat detectors Duct detectors Sprinkler flow switches Sprinkler supervisory switches Manual pull stations Annunciator(2) Beam detectors Automatic door unlocks Automatic door releases Fire dampers 66 5 12 61 5 12 El El 121 ID 0 F±1 121 El F1 [21 21 F-1 El (21 N/A NIA N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A El El El E-1 El 1:1 0 1:1 [21 El El E] El 1:1 YES YES YES YES YES YES YES YES YES YES YES YES YES YES [21 El El El 0 El 11 El El M E] El El D NO NO NO NO NO NO NO NO NO NO NO NO NO NO Communication Equipment Total Number of Units In Building Total Number of Units Tested Test Results Acceptable Phone sets Phonejacks ,Call -In signal El El El N/A N/A N/A El E] 0 YES El YES El YES [:] NO NO NO FIRE ONE, INC. 0 ALGONA (206) 575-0311 0 BRENERMN (360) 47"28 0 FAX (250) 7354.976. 107 WASHNGTON BLVD ALGONA, WA 98011-9504 FUtE01*099KW F"Im Ahm Coiddeuce Test Report - Building fRupasup 1P we: 'CiAIJA ajar NOA C&Q-A Phone.#. -2, Nam of FadRr.. d& A14.f4"t-r' O=pW As n— ra Addrew 0'- sov Zip: Telephone: 42.S.1 'Ib -7-S -77 Uft DesignaW (d more than am btilklin& Inspection by: L111jd- 2M. tri K- Cert#: -5CF8604-W Date of lrqxcbm* to. M�L Low Vol. Lim t Bpy-2L ap4as .................................... ; ---------------------- ----------------------- I.Type"of Tat Fira #,blf A- MSR -Mooiy Warterly [3 SamWknnuW 0 AT.uWg 2- Type of systern: Conventional Other 3.' Uxal. Fire Depa,ftent 15J UbA46 Monitored? Yes NDX 4. Monitoring Agency* Telephone: Ted Received iL.Vahkofing Agency? t4l P Pr Yes 0. No 0. Monitoring Account 6. No. of InItiallngtinaft No. of Signaling Chmft BATTERY TEST DURATION: #1 #2 #3 #4 NOTES 7. Stft Battery Voltage 6. Baltefy�Voltage Undef Load vdS!grW Device; Operating 9. Change Circtit Voltage SATISFACTORY CONTROL PANEL CHECKS CHECK NOTES Yes No WA 10. Trouble Signal w/AC Pow Off 11. All Circub Operate Satidectory on Standby (Baftery) Pow El 0 12. All Cimft Operate Satisfactory on AC Pow 01 13. All Ciraft Checked for Electrical Supervision 5P .0 0.1 14. Control Panel Checks Made Per-ME;ui�W;;* Instructions 15. AN au)dlia!y Eqtdpmerit Operates 1:1 16. Alamn Delay Function q installed) Operates Properly 0 17. Panel Key Aval" 91 0 El 18. Operating lnsbucfions at Panel 0 El 19. TestfService Record at Fire Alarm Control Panel [1 13 PAGE I OF — Revision doe 9/1312011 Nwne&AddrnsofftdINr.—.fJm,onds FarL A?a(*MXAS Dft: )0-5-2-PQ- 4 2-A 34 ke,. 595uckk Rt"xd.S00A. 9802-b EQUIPMENTTESTED MANUFACTURING & MODEL f. SATISFACTORY. CHECK M iT-71 175, 1; r7i 0 0 V M. T, 1"71 T, r M., r, z L, -1 rm -, T WNW a n4A � M M r-T T m ET I F- 3 7 �7511,,71977,16; �T,477M I IIIIIIIII11f;U7. r. ITIM I �-Tri Nel 17,73 W, M. 71 r, M-77IFT, -M 7 �Ir- M1, I M d r- 7! MMI 71 j-j 1: M 1 THIS IS TO CEF;UFY THAT THIS FIRE ALARM SYSTEM HAS BEEN PROPERLYJNSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT AND IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS. Signature of Owner or RepresentaWe*�, Signature of Fire Alarm Reprmesmentafive: DiEnpancies: —kq:RQA t',OS avlt, ncJ-da-+n,4 Q-V '7 - 0 A4 7Kk'S A k OCA tas& wat gilim, 4VrLi-Pj&,d5 3&--g,4 4,z 6,e 4op U.4acgd- C11-6. I L& akd Corrections Made: PAGE 2 OF Revision date 9/13/2011 John J. Westfall From: John J. Westfall Sent: Thursday, October 21, 2010 3:59 PM To: 'Herring, Mary (MMCC)' Subject: RE: 424 - 3rd Ave. South, Edmonds / Fire Code Compliance Mary: Fire Prevention Services maintains inspections, enforcement, and fire protection service files on buildings in Edmonds. There are no outstanding fire code violations for Edmonds Park Apartments, 424 3 d Ave S, Edmonds, WA 98020. John J. Westfall Fire Marshal Fire Prevention Services 1425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile FIRE'001-' MISTRICT From: Herring, Mary (MMCC) rmailto:Ma!y.Herring(cbmarcusmillichaq.comI Sent: Thursday, October 21, 2010 3:52 PM To: John J. Westfall Subject: 424 - 3rd Ave. South, Edmonds / Fire Code Compliance John, thank you so much for returning my call so quickly. In follow up to our conversation, will you please provide written confirmation that there are currently no known fire code violations at the above -referenced multi -family apartment property? Our Lender providing the refinance for the Owner of this property needs this prior to funding. Thanks very much again. Mary Mary E. Herring ProcessorlCloser Marcus & Millichap Capital Corporation (206) 826-5700 main 1420 Fifth Avenue (206) 826-5767 direct Suite 1600 (206) 826-5652 fax Seattle, WA 98101 ma!y.herrina(@marcusmillichap.com MarCLIS&Millicha Capital Corporation The Most Reliable Financing - The Most Competitive Rates CONFIDENTIALITY NOTICE and DISCLAIMER: This email message is intended only for the person or entity to which it is addressed and may contain conficlential and/or privileged material. Any unauthorized review, use, disclosure or distribution is prohibited. Ifyou are not the intended recipient, please contact the sender by reply email and Oestroy all copies ofthe original message. Ifyou are the intended recipient but do not wish to receive communications through this medium, please so advise the sender Fire One. Inc. Fire Protection Service/Sales 107 Washington Blvd Algona, Wa 98001 Seattle: (206) 575-0311 * Bremerton (360) 478-0428 TO Edmonds Fire DeDartment 121 5th Avenue North Edmonds, WA 98020 Letter of Transmittal Date 7/30/2010 jJob No. Attention RE: Test Reports WE ARE SENDING YOU Attached 11 Under separate cover via the following items: El Shop Drawings Prints El Plans El Test Forms El Specifications 0 copy -of Lebtte_r_____0_ thang—e-0-r—de-r— — Ej---Other COPIES DATE NO. DESCRIPTION 1 07/27/10 424 3rd Ave SJ Edmonds Park Apartments THESE ARE TRANSMITTED as checked below. EJ For Approval For Your Use El As Requested El For Review And Comment REMARKS COPY TO: File (Office), Property or Management Co. SIGNED: Edmonds Fire Department If enclosures are not as noted, kindly notify us at once. 107 WA.SHINGTON BLVD ALGONA, WA 98001 (206) s75.0311 FAX (253) 7354976 BREhMTON (360) 478-0428 FAX (360) 782-2584 (one System per Ripo.k) 0 RE 'dONFIDENCE TEST L_P-CIRS occupancyName: �-p V4 A- 9go 10 Occupancy Address: lei Number: A9� Phone Building Owner. Phone Number" . gesponsible Perwn:.. Quarterly fth Rise Only) jDate of Inspect . ion: Inspection Type: Testers Name (Please Print): R-0 1,0cation of System. entral station monitoring? Yes No El Monitoring company name.: Control . panel manafactre . r: — jE�: (— . Model N=ber. ProblemsFoun (If additional room is needed, please W a sepmzte sheet) �j Corrected Br. Corrections Made: Date Corrected: ----------- (If addi . tional room'� needed, pl�ase add a separate sheet) d -for reliability to.cover the bms fisted in this report This certifies that this fire and life safety system has been properly inspecte F re Depar�tment Fire Code standards, and that discrepancies are noted and have ben reported to the and is consistent-rAth . i. building 0Wner/1YUnager for co"ective action. Sig'nature of Te&-ter-. Phone # 206-57543 . 11 Testing Agency: IF -ire One, Inc Mailing Addrew. 107 Washin.--ton Blvd WA, 98001 Building (Signature) Revresentative OeS not r The items on the cheeklisis below shall be inspected and tested. This list d 'OnStItUte all* 01 WC rrTILJ=A &Ubp&6 fi�w testing of the fire and life safety system Alarm System FunctiongV Trouble signal Wth AC power off? Yesg No System operates properly on b . attery backup? Yesj? No Battery voltage (Ro load) �5.q volts, 2_5)� volts (signals qemfmg) Battery voltage (full load) Charge �circuitv'oltage IfL2—V . olts yesff No[]... System operates properly on stmdby power? All signals operate . on AC power? Yesa': ...NoE] Number of initia6mg circuits Number of signal circuits . NoO' Does alarm system meet audibility standards? All circuits checked for electrical supervision? All auxiliary equipment operates (Elevators, fans, dampers)? N/A;�f, Yes NoQ Yes NoEl Ventilation control's operate? 'No Key- to panel available? Yesff YeZ No [I operating instr=tions at panel? YesZ No Trouble. indicators fimetion properly? Remote Annunciator Panels fimation properly? N/Ao"' Yes NoO Elevator Call Down fimctions properly? N/AE� Yes No Test record posted* at panel? YeS2 No N/A-ff General alarm aiAomatic time delay—. (minutes). -Other Devices (Specify) Yes Nq2' System Devices Total Number of Units in Building Total Number Units Tested Teg F.esults Acceptable I., Bells, Horns, Chimes N/A 0 Yz�ffl' No 0 2. Voice Speakers (Voice Clarity) N/AE!r Yes [3 No 0 3. Smpke.Det:ctors N/A ,Z Yes 0 No 0. 4. 'Heat Detectors* N/A 0 Yes -Er No 0 5. Duct Detectors -NIA,e Yes 13 No 0 6. Sprinkler Flow Swit6es N/AgYes 0 No 0 No 7. Sprinkler Supervisory Switches NIA�ryes 0 0 8. Visual Alarm Devices N/AO Yes D No 0 9. Manual PuB Stations N/A 0 Yese No 0 10. 'Automatic Door Unlocks N/A.Z Yes (3 - No [I 11. Automatic Door Release NIAE!r Yes 0'. No 0 112. Beam Detectors N/AJZ� Yes 0 No 0 Communication Equipment Total Number of Total Number Test Results Units in Building Units Tested A 12. Phone Sets N/A-Z" Yes 0 No 0 13. Phone Jacks N/A 2r Yes 0 No 0. 14. Call -in Signal Y NIA es N No 0 CITY OF EDMONDS 121 5T11 AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215 FIRE DEPARTMENT 4S' t 1 8 9 z LOCATION: 424 3rd Avenue BUSINESS NAME: Edmonds Park Apts MAILING PO Box 19536 FIRE PREVENTION SAFETY SURVEY PHONE: 2062821103 ADDRESS: Seattle 98109 BUSINESS OWNER: Edmonds Park Assoc HOME PHONE: 2062821103 EMERGENCY-1: Dillon, Jerry MGR HOME PHONE: 4257767577 KEY ACCESS-2: Brehm, Shelly HOME PHONE: 42157738081 FREQUENCY STATION 1, SHIFT-' 366 17 A I SCHEDULED DATE DUE 10 94/01,110 LIFIR 1� 428 4152 FREFIRE PERSON CONTACTED: ofx (FoVA INITIAL INSPECTION DATE NAME OF INSPECTOR: — (�:e_ k1 I, cL o 36 i� /D — IQ FIRE FA 4/07 SP 4/09 I'D LkBx FE _1:110q I . SYSTEMS: ANNUAL HAZARDS FPUNID AND LOCATI�N MUNICATIONS 01 a"T M1 CA ENTER CODE ONLY ONCE 0 VIOLATION CODE 2 2 3 3 4 4 5 5 6 6 7 7 8 8 11st 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: I INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: D E: 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 7 3 7 RETURN RECEIPT RECEIVED 6 7 4 IS 4 8 DATE* DISPOSITION: 8 \ LETTER NEEDED [] YES NO LETTER NEEDED 0 YES [3 NO FIRE DEPARTMENT COPY IF "t � v /-� " " K,,-. ') )-,, /P.-/' , "t � v /-� " " K,,-. ') )-,, /P.-/' , se 0 � / �:, (I ('— Old IZ 'rJ.6c7rr " rA (� -.9 o 014 too 0) f 4k -F#4 6)41; L- ' -�S -- Pete r-of