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437 5TH AVE S0 L13 7 Serving Brier, Edmonds,'and 12425 Meridian Ave S -SNOHOA,11SH CO Mouiitlake Terrace Everett, WA 98208 FIR Phone (425) 551-'1200 DISTR ww�.'FireDistricti.'arg Far (425) 551-1272 LOCATION 437 5 th Avenue S .98020 BUSINESS NAME: MacGregor Condos PHONE: 0 MAILING. ADDRESS: 437 5th Avenue S, Edmonds, WA 9�020 BUSINESS OWNER: HOME PHONE: FIRE PREVENTION: INSPECTION REPORT 09EDMONDS 0 BRIER 0 MOUNTLAKE TERRACE [3 UNINCORPORATED FREQUENCYTS—TATION & SHIFT Annual 17-C SCHEDULED DATEDUE �Aug2015 (URR P 422 203 ft1,VU5) �YLAOCL'70 990-5�s- EMERGENCY-1: H , umphries; Bob HOME PHONE: . 425&7&7123—,. CU' CURRENT KEY ACCESS-2: HOME PHONE: IV- �- PIU64'w- AIV, CITY FENSE YES NO EMAIL: S&nV)66r BUSINESS LIC LIC PERSON CONTACTED: "r t�,44- tvid 61 INITIAL INSPECTION DATE NAME OF INSPECTOR: d</Vl L14 5"L"_ 1 4 FIRE SYSTEMS: AS2/1 FA2/11�FF=55/113 Date Last Serviced: 1-h(ol 7_1'1� HAZARDS FOUND AND LOCATIONS /'COMMUNICATIONS N!I.. 4z,' Y, 2 2 _ A) < 3 e,0,j,nq-f-1r0 TO,06-rAl Ald?W 6_M&j?6 SI�6- 3 47 //V -7 4 4 5 -6, . .. . .. ..... N.- . ..... 7 _7� i AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS x 1 st. RE -INSPECTION 2nd RE -INSPECTION . . FINAL RE EXTENSION -INSPECTION VICLAT IONS PA�TEPUE: DATE DUE: GRANTEDTO: GATE'DUE- CITED: PERSON �iliS_ON_ PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: 2 S ECTOR, I DATE: �IN 3 DATE: _VIOLATION�_,�__ ___ � DAT�E- � _Z,:p VI IONS �� _. — , .__.L PRE-CITAT ION t_�T 15 4 SENT NUMBER r 16 2 CODE DATE: SECTION: 3 RETURN RECEIPT RECEIVED 6 __L7 DISPOSITION: 18 7 DED b YES' 1j,_N LETTER NEE 0 .4 LETTER NEEDED [] YES NO 8 Froula Alarm 5ystems, Inc. Seattle Fire Department 861 Industry Dr. Con'fidence Test Report. Tukwila, WA 98188, 20677386-1448 Confidence Testing Officer 206-575-1962 offIce 206�615-1068 (fax) 206-575-8-168 fUX 206-233--�219 Red Tag Hotline., Certification Given [.FIRE ALARM -SYSTEM OW JMHITEV�_ KD E=-TYULU CONFIDENCE TE8T,1;6 REPAIRS Occupancy Name: MacGregor Phice Occupancy Address 43 7 5thS.t Edmonds Building Owner: MacGregor PL Customer Phone (.425)673-7123 Person Responsible. BobHumphries. Contact.Phone 425-971-5598: Owner Address Edmonds WA 98020 Inspection Frequenky/Type Annual Quarterly E7 Date of Inspection: Testers Name: SFPCertification #: SCP, Monitoring Company:. Central Station Monitoring: Yes W'No FJ System Type: FIRE ALAIM. System.MakejWdel. Silent Knight SK-5208 System Location: By Ist FIr Restroolm System ED, M Prumens fbm� 40myeeticM AlKb Date Qh�- CbffectedE!y: SFD- Miis catifies diat d-�s fre and life i3afety systernbas beenpropeflympected farrehalmlly toCCRACrthe terrs hsted in rq3mt and is consstent wth SeattleFire Dapartrwt Cbde st arxhaxis, and that dscnTancles are noted and have been, rq"ted to the hilding Om,xvmffiver. fjor com�ctive action SignatLire ofrestw. -Phcone# 206-575-1962 Te-stirg Agemy: 11'6L&AbM3&SterM' TestingAddress 861. In&stry D+.,r- irulmfli WA 98188 a@dingF4pmsatativ,e (Sigl�) The items on the checklists below shall be inspected and tested. This fist does not constitute all of the required inspecting and testing of the fire and life safety systems.. Refer to the Seattle Fire Department fire Code for inspecting and testing requirements. Test Results.Acceptable Alarm System Functionality NIA Yes No I System Operates property on battery backup? E3 2 Battery voltage (no load) votts 3 Battery Voltage (full load) e5i Z6 Vohs 4 Charge circuit voltage d-7,3 .—Volts (3 5 Systemoperates properly on gtan dby,power9 6 All signals operate on AC power9 F137 7 Number of initiating circuits9 .8 Number of signal circuits? F4 9 Does alarm system meet audibility standards as accepted? 13 10 All circuits checked for electrical supervision? E3 11 All awdliary equipirrnt o0e . rates (elevators, fans, dampers)? E3 L3 12 Ventilation controls operate? L3 13 Key to panel available? 14 Operating instructions at panel? L3 15 Trouble indicators function properly? OA E3 16 Remote Anunciator Panels function properly? 'Ej 17 Elevatoicali'down func'tions properly? E3 18 Test record posted at panel? 19 General alai -in autom atic tin ie delay (rifmutes) 20 Was a signal received atthe Central Station monitoring company LI ,A Q 21 Other JE)e v.-ic' e--s- (Specify) L3 TotalNumberof TotalNurnberof Test Results Acceptabli System Devices Units in Building Units Tested N/A Yjs No 2 Bells, Horns, Chirries 29 LI E3 25'Voice Speakers (Clarity) "'1/0 L3 27 Smoke Detectors :7() L3 L3 29 Heat Detectors'. L3* E3 31 Duct Detectors Supervisory Only? 0 U L3 L3 33 Sprinkler Flow Switches 4 L3 I -a- El 35 Sprinkler Supervisory Switches 7 0 . . ;e� El 37 Visual Alarm Devic4 - E3 /9.11 1 1. . U 39 Manual Pull Stations 13 [3 A 13 41 Annunciators I L3 d 43, BeamDetectors' 0 d 45 Automatic Door Unlocks 0 P 47 Automatic Door Release 0 LI El 48 Area of Evac/Elevator/Pool.Phones El L3 Commumcafi6ns Equipment TuTnits TotalNumber,of TotalNumberof. Test Results Acceptable - in Building Units Tested N/A Yes No 51 Phone Sets 52 Phone Jacks Q Ej Q 55 Phone Signal Lj 13 Froula Alarm SysteMs,..Inc.: Seattle Fire Department: 861 Industfy Dr. Cqnfidence.Test Report Tukwila, WA 98188 .206-386-1448 jConfidence Testing Officer 206-575-1962 offlce 206-615-1068 (fax) FRoaAsqa6DD, Fsa43m 206-233-72,19 Red Tag Hotline Certification Given. DRY SPRINKLER SYSTEM MT RkD L,LONN� �,Wffl CONFIDENCE TEST. REPAIPIS Occupancy Name: MacGreior PL ,Occupancy Address: 417SSV Edmonds Building Owner: MaCGregor PL Custom. er Phone (425)673-7123 Person Responsible Bob HU Emaill: bbhumph@Comcast.,net MP Owner Address 437SSt Edmonds WA 98020. Date of Inspection: y/ Annual Quarterly Inspection Frequenc Type Testers Name: 010*41� S . FPC.erti&ati,on#: scP- Identifier: Central Station Monitoring: System Location: Park.Mech Rm Yes No No Mon 0 Aldrnt Center Monitoring Required? W-Yes it. ring.Com,pany System Make Victaidie ..System Model . SIM.: PrcHem IRRArKt Ette Cbffcctc&- GxwctedE.!y: SFD- The items on the checklists below shall be . inspeicted and tested. This fist does not constittle an ofthe required inspecting and testing of the fire.and fife safety systenis. Refer tot.he Seattle Fire Deparhmnt Fire Code for insvecting and'testing requirements. General Test Results A N/A T Yes I Trip test conducted? 2 System tripped in seconds 3 Main drain and Inspectors Drain flow test, conducted? 4 Static Pressure:, /0 si 5 Number of Sprinkl6r.heads? + - 200 6 2- inchdrain? Other . U 7 Flow switches, supervisory'switches land abrin beHs tested? 8 Alarm bell operates? U 9 Air co*npressor r6fills sys�erh in,30 minutes or less? 10 Heat actuation devices tested on pre- action- and deluge systerns? 11 System inspected and lubricated? 12 Valves are sealed or supervised? 13 Signs are provided on valves? 14 Pumper connections and clap�er vhkes unobstructed and turn freely? 15 Sprinkler beads replaced or successfi* sample tested in last 10 years? Date of last test? 200 16 Sprinkler coverage is acceptable. 17 Proper number of spare sprinkleF heads ava.flable with appropriate wrench of each? 18 System left in service? 19 System gauges.replaced or �alib),.raked-rv*hin last fi,ve -years') Year cbanged� 20 Sprinkler heads free of corrosion, pain� obstructions and/of physical damage? 21 System drained and restored. to normal operation? 22 Was debris found in the Fire Departrnent Connection (FDC)?, 23 Was the FDC backflushed in the last five* years? Date of last test? Unlmowh: 24 Was a signal received at the Central Station rnonitoring conipany? 25 Is the hydraulic narneplate installed and visible on riser, ifNO.then Yellow Tag 26 Was an.hiternal pipe, and valve -�pection performed within the last live years? Date Perfomied?'Unknow'n. r FA Awr 1 0 FA Pi El U E3 E3 U 13 Ll Q L] U I Froula Alarm Systems, Inc. 861 Indust7y Dr. - Tukwila, WA 98188 206-575-1962 Ofte FROUL45906DD; FSC14358 Seattle Fire Department Confidence.Test keport 206-386-1448 confidence Testing Officer of 206-61S-1068 (fax) 206-233-7219 Red Tag Hotfine WET SPRINKLER SYSTEM Certification Given i RED IYELLOW WHITE �Z' CONFIDENCE TEST��F REPAIRS= Occupancy Name: MacGregor PL Occupancy Address:, 437SSt Edmonds. Building Owner: MacGregor PL Contact Number-w 425-673-7123 Person Responsible Bob ffumphri& Email: bbhumph@comcastnet Owner Address 437SSt Edmonds WA 98020 nnu I inspection Fre4uency/Type A a Date of Inspection: Quarterly 0 Testers. Name: SFP Certification M: SCP- 12-2,56 System 11D #: Central Station Monitoring: RV Yes El No System Location: Parking mech rm Monitoring Required? Monitoring!Company: Alarm Center R Yes El No System Make NIA, Syatem.Model . Shotgun Flno"em Founik. ONTeCtiUM NIKk 1:7,ft c6ftEcted. Cbd6cted W: 9;D- This catiftes that this fire and He safety systenAm, been gq)edy vispected for mhWxky to cover the tam fisted in this report and is oonsist� v&h"Seattle Re Depaftnut Cbde standmis, mid dia diso�es we noted. and bave been. reported to the building Ov%neeNtmager fo rconectiveactKIL.. ggnature of -rester Phone #. 206-575-1962 Testing AgenW: FibulaAhaTnSysterm, TestingAddress 861. IndListry Ekive, TakyWa-WA 99189 aulding Fqxt--�ie (Silwlam) 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 systems. Refer to the Seattle Fire Department Fire Code for inspecting and testing reqiiffements. General Test Results Acceptable N/A No 1 Main Drain and Inspector's Drain flow test conducted? 2 Stafic.pressure:jfj_S_p.s.L Flowpressure: P.S.L 3 Nunber of Sprinkler Heads: + - 200 4 2-inchdrain? Other U 6 L3 5 Flow switches, supervisory switches and alarm be%. tested? U 6 Pressure regulating valves tested? L) 7 Alann bet Qperates9 L3 8 System inspected and labricated?, C3 9 Valves are sealed or supervised? U 10, Signs are provided on valves? Lj I I Purnper connections and clapper valves unobstructed and turn freeIY9 L) 12 Sprinkler coverage is acceptable? 13 Have the sprinkler heads been replaced or successUly sample tested in E3 the last 50 yrs? Date of last test? 2003 14 Proper nurnber of sparesprinkler heads available with appropriate wrenches for each? L3 15 System left in servi.ce? L3 16 System gauges replaced or calibrated yvd$iuhg�st five years? Year changed? 17 Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? 18 Was debris found in the Fire Department Connectioin (FDC)? L3 "ar 19 Was the FDC back Rushed with the last five years? Date Perfonned? Unknown U 20 Was an internal pipe and valve. in.spection.perforraed with the last five years? Date Perfornied. Unknown Q 21 Is the hydraulic nameplate installed:aind v ' isi616 on riser, ifNo,. then Yellow Tag. 22 Was a signal received at the Central Station monitoring company? Q Froula Alarm Systems, Inc. Seattle Fire Department 861 Industfy Dr Confidence Test R,6port Tukwila, WA. 98188 2d&386-1448 Confidence TesHng Officer of 206-575-1962 offlce 206-615-166� (fax) FROULAS906DD; FSCL4358 206-233-721.9 Red, Tag Hotline ET SPRINKLER SYSTE Occupancy Name: MacGregor PL Occupancy Address: 437SSt Bu - ilding OWner: MacGregor PL Certification Given RED YELLOW WHITE,2!!!5 CONFIDENCE TES REPAIRS Edmonds' Contact Number: 425-673-7123 Person Responsible Bob.Humphries Email: bbhumph@comcast.net OwnerAd�lress 437SSt Edmonds WA Date of Inspection: Inspection Fretluency/Type Testers Name: SFP Certification SCP- 98020.:. Annual 2�fl.7 Quarterly El .System ID #: 2 Central Station Monitoring: F,-*] Y e s El No System Location: Parking mech. rm Monitoring Required? R,Yes El No Monitoring, . Company: Alarm Center sy*stem Make NIA System Model Sh6t9tin (Irrecticins A/" Date Cbnecte& SFD- Mm cettifies diat dvs fff e and I& sa&ty systerrhas beeripmperly inspected forreliabliky tocuve.rthe.k.enz hsted in diistepertarxiiscomis�v.hliSe�ittleFimDqwenvrt Gb&, stmxlatds. ancltb.at disorq3mvies AmnctW ancl have bemrapottedtotbebufldingOmwdUhnaEWfKircouectiveactict.L ggnaft= offester Fhcrie # 206-575-1962 Testing Agavy: Fxpt&ALa��Jljr— Testing Ackhrms 861 Inchistry Dive- Tt&%�� WA 99188 IAx1dbgP&prexrt.-dve (sjgna=) The items on the checklists below shall. be irigpected and tested. This Est does not constitute all ofthe required inspecting and testing of the fire and life. safety systems. Refer to the Seattle Fim Department Fire Code for inspec*and'tes**i6q:W* iernerits. Geneml Test Results Acceptable N/A Yes No I Main Drain and Inspector's Drain flow testconducted? El 2 Static pressure: 10-5 P.,s.i Flow pressure: 7> p.sl 3 Number of Sprinkler Heads: 200 4 2- inch drain? Other 5 Flow switches, sup ervisory switches and -alarni bells -tested? U 6 Pressire.regula* valves.tested? Q Q 7 Alatm bell operates? L3 El 8 System inspected and lubricated? El 9 Valves are sealed or supprvis�ed? 0 10 Sins are providedon valves?' 11 Purriper connections and clapper valves unobstructed and.turn freely9 U. 12 Sprinkler coverage is acceptable? 13 Have the sprinkler heads been replaced or successUly sample tested in El the List 50 yrs? Date of last test.? 2003 14 Proper number of spare spririkler heads available with appropriate wrenches f6r each?, 15 System. left in service?. Lj 16 System gauges replaced or calibrated withialhe last five- years? Year changed?, 4W('20) Y,-, 17 Sprinkler heads free of corrosior4 paint, obstructions and/or physical damage? 18 Was debris found in the.Fire Deparftrient Connectioin (FDC)? Lj -EY, 19 Was the FDq back, flwhed with the last live years? �_U i Date Performed? n mown Ll L3 20 Was an internal pipe and valve inspection Oerfomied with the last five years? Date Perforrned? Unk-hown L3 El 21 Is the hydraulic harnep�late' ins.taIkd.'and visible'on riser, if No, then Yellow Tag. )3 L3 22 Was a Signal received at the Central Station monitoring company?.. U Froula Alarm System5, Inc. Seattle Fire Department 861 Industly Dr.. Confl,dence Test Report Tukwila, WA 98188 206-386-1448 Confidence Testing Officer of 206-575-1962 ofte 206-615-1068 (fax) FROULAS906DD, FSCL435B 206-23377219 Red Tag Hotline WET. SPRINKLER SYSTEM. Certification Given RED, NVHITE QQNFIDENCE TESIA I UPAIRS'= Occupancy Name: MaCGregor PL Occupancy Address: 437S,9t. Edinoildt. Building Owner:. MaCGregor PL Contact.Number: 425-6.73-71231 Person Responsible BobHumphries Email: bbhump4@comcqstndt Owner Addr�ss.'.';.' 437SM Edmonds WA 9802.0., Date of inspe . cti6h: /�3 Inspection Frequency/Type Annual QuarterlyE] A01 SIPP.Certification. #: SCP- A.-250 Testers Name: System ID #: 3 Central Station Monitpri�ng;.., W: Yes 0 No System Location: Parkingmec -r* Monitoring Rquired? W Yes E]No M . onitoring Company: Aldrm Center Syste. Make X/A. . M PmUem Foundk S"t System.Modell gan; (Irrectigm Nb& Ewe 03trected: :f This certifies tbal this Em and He s afety systemfms bem propedy hispected for reliability tp PON!"47 die- kqrri� �iied diis. report ari.d. is. con-siskert WM'Seattle Fir e DTattrut Cbde standards, and that dscrepwicies me rioted. and have bem reported to dw buflding CWi=qVtmger forcorrective actim Signattire of -FeAw. Fhcm# 206-575-1962- y: fbx&A Testing Ag4w —1arrzVS—ys;terrr.. TtstingAddmnss .851 hxkstry Ekim Tdc%NU WA 98188 DAding AVresmt3five (Silglotm) The items on the checklists below, shall be inspe' cted and-t6sted. This list does not constitute all ofthe required inspecting and testing ofthe fire and life� safety systems. Refer to. the.Seattle, Fire Department Fire Code for inspecting and. testing requirements, General Test Results Acceptable INIA Yes NO I Main Drain and Ifispector's Drain flowtest conducted? Ll 2 Static pressure: AL5 S.L p.s.i Flow pressure: P. 3 Number of Sprinkler Heads: + - 200 4 2- inch drain? Offiff U U 5 Flow switches, supervisory swite es and'alarm b Us t6sted?' e. Ll /6. 6 Pressure regulating valves tested? E3 7 Alarm. bell operates? L3 Ll 8 System inspected and lubricated? U 9 Valves are sealed or supervised? 10 Signs are provided on wdlves? Q 11 Pumper connections and clapper valves unobstruc-ted,and turn free.e. U 12 Sprinkler coverage isaccept#le? U 13 Have the sprinkler heads been replaced or succes§B* sample tested in U the last 50 yrs? Date.of last test? 2003 14 Proper number of spare sprinkler heads available with appropriate wrenches foreach? 15 System left in service? 16 System gauges replaced or cahb'r List five years? Year 9hafiged?.. 17 Sprinkler beads free of corrosion,, paint obstructions and/or physical damage? U 18 Was debris.1bun'd in the Fire Department Connectioin (FDC)? 19 Was the FDC back.flushed with the last five years? own: Date Performed? Un4n' 20 Was an�internal pipe and valve� inspecti on , performe I d with the . List five years? �Date Performed? -Unknown Ll Ll 21 Is the hydraulic narne'plate installed and -vis$16 on r'iser, ifNo, then Yellow Tag. U Ll 22 Was a'sigW. received at the. Central Station monito ririg company? L3 GUARDIAN SECURITY LIFE AND PROPERTY PROTECTION Fire Chief 121 5fh Ave N Edmonds, WA 98020 Dear Sir, Seattle - Silverdale - Bellingham 1743 First Avenue South Seattle, WA 98134 Tel: 206.622.6545 Fax: 206.341.9928 Januaryl6th,2015 This letter is to inform you that Guardian Security Systems is no longer monitoring the UL Fire system for MacGregor Place located at 437 5th Ave S in Edmonds Washington. Thank you for your time. If you have any questions or concerns please feel free to contact me at Guardian Security. Thank you, ,4r,v Sarah Shaver Customer Advocate Guardian Security Systems, Inc. (0) 206.622.6545 Ext. 213 sshaver@quardionsecurity.com 1. �f lid SNOHOMISH CO. FIRE STRI FIRE PREVENTION INSPECTION REPORT 0 EDMONDS 0 BRIER OWOODWAY [I MOUNTLAKE TERRACE 0 UNINCORPORATED FREQUENCY STATION & SHIFT_*1 LOCATION: 437 5th Ave S, Edmonds 98020 Annual 17-A BUSINESS NAME: MacGregor Condos PHONE: 0 SCHEDULED DATE DUE Aug MAILING UFIR-10_� 4 '12 ADDRESS: 437 5th Avenue S, BUSINESS OWNER: HOME PHONE: Email: EMERGENCY-1: Humphries, (3ob HOME PHONE: 4256572J-12�_ CURRENT 11 KEY ACCESS-2: HOME PHONE: CITY -YES NO BUSINESS LICENSE 1:1 1:11 PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: 17A_ FIRE SYSTEMS: FE -5:1).3 ,,-- /,,J_ , � y ServingBriei; Edmonds Mo,untlake Terraceand the.. Town of Woodway .,www.FireDistrict1.org 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 HAZARDS FOUND AND rOCATIONS COMNN�NICATIONS 1,44 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 EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE; GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: E: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: SECTION: RETURN RECEIPT 3 7 3 7 RECEIVED 6 DISPOSITION: 7 ,4 8 I 4 8 DATE' LETTER NEEDED E] YES 0 NO LETTER NEEDED [] YES NO r_ 8 FIRE DEPARTMENT COPY FIRE PREVENTION Servin Brier, Ednionds 12425 Meridian A S INSPECTION REPORT SNOHOMISH CO. FIRE '9 :I Mountlake Terrace, and Everett, WA 9820 OEDMCNDS 0 BRIER STRIE 0) the Town of Woodwa"y T Phone (425) 551-1200 E]WOODWAY 0 MOUNTLAKE TERRACE www.FireDistrictl.org Fax (4�5) 551-1272: El UNINCORPORATED 437 5th Avenue FREQUENCY 366 STATION & SHIF"*' 17 D LOCATION: BUSINESS NAME: MacGregor Condos PHONE: SCHEDULED DATE DUE 08/01/12 MAILING 437 5th Ave S-, UFIR � 591 4.238203 ADDRESS: Edmonds 98020 BUSINESS OWNER: HOME PHONE: ACTIVE EMERGENCY-1: Humphries, Bob HOME PHONE: 4256737123 [—�URRENT KEY ACCESS-2: HOME PHONE: ITY YES NO BUSINESS LICENSE El EL PERSON CONTACTED: fj 0 Ajj�j [IN ITIAL INSPECTION DATE NAME OF INSPECTOR: fi?-o Ae_L_-e,4 P-F!5 ipe_^,,r I a c Ft4wovd C//" FIRE AS5/11,,FA5/1PFDlLkBx'-fN0A66 -Hur- FE —I— SYSTEMS: 10/1 ( z 'V/ Z_ ANNUAL HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 1 0,7 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 lst RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: !�Dl EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: /(-(S-( L-- DATE: DATE: 3 YJOLA IONS 15 VIOLATIONS 1 5 PRE -CITATION LE17ER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 14 8 4 8 DISPOSITION: LETTER NEEDED [] YES NO LETTER NEEDED YES NO 8 FIRE DEPAIRTMENVICOPY Froula Alarm Systel-ns, Inc 861 1ndus&y Dr. 7-ukwila WA 98188 205-575-1962 offlce 206-575-8.168 fax FIRE ALARM SYSTE Occupancy Name: MacGregor Place Occupancy Address 43 7 51h St Building Owner: MacGregor PL Person Responsible Bob Humphries Owner Address 437SSt Seattle Fire Department Confidence Test Report k 206-386-1448 Confldence TesUng Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hoiline I Certification Given , RED = [YELLOW= WHITE r-1 CONFIDENCE TEST�;Z REPAIRS Edmonds Customer Phone (425)673-7123 Contact Phone 425-971-5598 Edrnonds WA 98020 Date of Inspection: 7 /30 Inspection Frequency/Type Testers Name: Qrl SFP Certification N: SCP- Central Station Monitoring: Yes R] No F1 Monitoring Company: System Type: FWALA" System Make/Model System Location: Or system ID #: 11mMem 1bumt �s J) OR .7 -4., 0, 1 -:11 oil, Pie .1krit-rela ZT 1W 77, —111� I r Annualo Quarterly F-1 12-2-50 <;k 5 Zo 9 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 fue and life safety systems. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. Alarm System Functionality Test Results Acc; table N/A :Yes No I System Operates properly on battery backup? El U 2 Battery voltage (no load) A e k/I volts Ll Q 3 Battery Voltage (full load) rl 'e LI...' Volts L3 L3 4 Charge circuit voltage /— IZ , -1 —volts 13 LI 5 System operates properly on standby power? 13 13 6 AD signals operate on AC power9 13 E3 7 Number of initiating circuits? 8 Number of signal circuits? EVI U cl 9 Does alarm system meet audibility'standards as accepted? 13 Q 10 AD circuits checked fbr electrical supervision? 13 LI I I All auxiliary equipment operates (elevators, fans, dampersr L3 13 13 12 Ventilation controls operate? 0 U 13 Key to panel available? 13 L3 14 Operating instructions at panel? 0 LI 15 Trouble indicators function property? L3 16 Remote Anunciator Panels function properly? U 17 Elevator call down fitrictions properly? LI L3 18 Test record posted at panel? E3 (3 19 General alarm automatic tirne delay _ (minutes) (3 13 E3 20 Was a signal received at the Central Station mDnitoring company 13 LI Q 21 Other Devices (Specify) U 13 System Devices TotalNumberof TotalNuniberof Test Results Acc�ptable Units in Build- Units Tested N/A Yes No 2 Bells, Homs, Chirnes 7)? Q 13 25 Voice Speakers (Clarity) 13 LI 27 Smoke Detectors 13 13 L3 29 Heat Detectors E3 13 U 31 Duct Detectors Supervisory Only?_ 0 LI 13 L3 33 Sprinkler Flow Switches 0 L] LI 0 35 Sprinkler Supervisory Switches 0 U 0 LI 37 Visual Alarm Devices 0 13 LI U 39 Manual Pull Stations 0 LI Q 13 41 Annunciators 0 LI LI 43 Beam Detectors 0 U L3 45 Automatic Door Lhilocks 0 LI 13 47 Automatic Door Release 0 LI 13 48 Area of Evac/Elevator/Pool Phones 13 Q Communications Equipment Total Number oft TotalNumberof Test Resu Its Acceptable N/A -Yes No I Jnivs in Building I Units Tested 51 Phone Sets U C3 U 52 Phone Jacks LI (3 13 55 Phone Signal LI LI U Froula Alann Systems, Inc. 861 Industy Dr. Tukwila, WA 98188 206-V-1--.tM? ofte r-ROUL45-90WD; FSCL43M ET SPRINKLER SYSTE Occupancy Name: MaCGregor PL Occupancy Address: 437SSt BuildingOwner: MaCGrevorPL Person Responsible Bob Humphries Owner Address 437SSt Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline Certification Given RED �ELLOW = I WHITE CONFIDENCE TEST(;Z I REPAIRS Edmonds Contact Number: 425-673-7123 Email: bbhunWk&omcastnet Ednwnds WA 98020 Date of Inspection: --7 /3,7 //Z- Inspection Frequencyfrype Annual Quarterly 7 Testers Name: - SFP Certification #: SCP- System M #: 3 Central Station Monitoring: Yes No System Location: Parking mech rm Monitoring Required? R Yes El No Monitoring Company: Alarm Center System Make NIA System Model Shotgun FftHmn pr= I f z, : 9 1 18 3, 9 IN 014-:120:"110 is 0 w IVA 10 M; 176= M, I"Ural. o,7L;, its 8-�.Jjr�, I -11 sell I, &_;-;, 1 0-41 a 60. A Tli 'a LL—L7, The items on the checklists below slid be inspected and testedL This Est does not constitiite all of the reqiiired inspecting and testing oftbe fire and ffe safety systems. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. Geneml Test Restilts table N/A Yes No I Main Dram and Inspector's Dram f1ow test corxlucted? L3 2 Stafic pressure: &5- p.s.i Flow pressure: 95 p.s.L 3 Number of Sprinkler Heads: + - 200 4 2- inch drain? Other L3 13 5 Flow switches, supervisory switches and alarm beRs tested? L3 6 Pressure regulating valves tested? Ll 13 7 Alaim bell operates? 13 )2r L] 8 System inspected and lubricated? 9 Valves are sealed or supervised? 10 Signs are provided on valves? L3 I I Pumper connections and clapper valves unobstructed and tam freebO Ll L3 12 Sprinkler coverage is acceptable? C3 13 Have the sprinkler heads been replaced or swmssfiiny sample tested in the last 50 yrs? Date of last test? 2003 14 Proper munber of spare sprinkler heads available with appropriate wrenches fDr each? L3 15 System leiff in service? E3 16 System gatiges replaced or calibrated within the last five years? year changed? 2008 17 Sprinkler heads free ofcorrosion, paint, obstrtictions and/or physical damage? L3 18 Was debris found in the Fire Department Connectioin (FDQ? 19 Was the FDC back flushed with the last five years? Date Performed? Unknown L3 Ll 20 Was an internal pipe and valve inspection performed with the last five years? Date Performed? Unknown - L3 Ll 21 Is the hydraulic nameplate installed and visible on riser, ifNo, then Yellow Tag. 0 22 Was a signal received at the Central Station monitoring conipargO 13 Ll— Froula Alalm Sykems, Inc. 861 Industy Dr. Tukwila, WA 98188 2X-575-1W offim FROUIAS9WDD, FSa43M ET SPRINKLER SYSTE Occupancy Name: MaCGregor PL Occupancy Address: 437SSt Building Owner: MacGre2or PL Person Responsible Bob HUMphries Owner Address 437SSI Date of Inspection: Testers Name: P�u System ID #: 2 Central Station Monitoring: Yes El No Monitoring Required? Yes 0 No System Make NIA fty"effm Found 11L—WIL-1 —fit- SwtUe Fire Depadment Confidence Test Report 206-386-1448 Confidence Testing officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline Certification Given RED IYELLOW WHITE CONFIDENCE TESTGRII REPAIRS Edmonds Contact Number: 425-673-7123 Email: bbhumpk@comcast.net Edmonds WA Inspection Frequency/Type 98026 Annual Z Quarterly D SFP Certification #: SCP- P, -2 57o System Location: Monitoring Company: System Model Pwking mech rm Alarm Center Shotgun I I :go I I Ile 11 ;61IMas. 66 rz, I It ME 10 do, �011 Wff- d.4 The hems on the checklists below shall be inspected and tested. This Est does not consthite all of the required inspecting and testing of the f1re and ffe safety systerns. Refer to the Seattle Fire I Code for insvectim and testin2 reouiremenk Deparhmnt Fire General Test Results Acceptable N/A Yes No I Main Drain and Inspectoes Drain flow test conducted? 2 Static pressure: 105 - p.s.L Flow pressure: ?-5 P.S.I. 3 Number of Sprinkler Heads. + - 200 4 2- inch drain? . Other L3 Li 5 Flow swftcbes, supervisory switches and alarm bells tested? 13 El 6 Pressure regulating valves tested? A L3 0 7 Alarm bell operates? L3 g El 8 System inspected and hibricated? I'd L3 9 Valves are sealed or supervised? A Ll 10 Signs are provided on valves? 4 L3 I I Pumper connections and clapper valves unobstructed and turn fi-I. 0 )6 u 12 Sprinkler coverage is acceptablee? A L) 13 Have the sprinkler heads been replaced or successfik saniple tested in Ll the last 50 yrs? Date of last test? 2003 14 Proper number of spare sprinkler heads available with appropriate wrenches for each? Ll 15 System left in service? Ll 16 System gauges replaced or calibrated wWin the last five years? L3 year c -A? 2008 17 Sprinkler heads free of corrosion, paint, obstructions and/or physical daniage? L3 18 Was debris found in the Fire Department Connectioin (FDC)? 19 Was the FDC back flushed with the last five years? Date perfDMIed? Unknown C3 20 Was an internal pipe and valve inspection perforrned with the last five Years? Date Performed? Unknown — Ll L3 21 Is the hydraulic nameplate installed and visI on riser, ifNo, then Yellow Tag. Ll 22 Was a signal received at the Central Station monitoring con4mny9 13 u I Roula Alaf m Systems, Inc. 861 Indust7y Dr. Tukwila, WA 98188 206-575-1-962 ofte FROUL45YMD; FSa4358 ET SPRINKLER SYSTE Occupancy Name: MacGregor PL Occupancy Address: 437SSt Buildingowner: MacGrezorPL Person Responsible Bob HUmphries Owner Address 437SSt Date of Inspection: ---7 /30 // Z— Testers Name: 1z, 01 -, (�Lrr-e— System ED #: I Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline Certification Given RED IYELLOW = I WIHTE CONFIDENCE TESK�f— - REPAIRS Edmonds Contact Number: 425-673-7123 Email: bbkumph@comcast.net Edmonds WA 98020 Inspection Frequency/Type SFF Certification #: SCP- Annual Quarterly [--I Central Station Monitoring: Sd Yes IJ No System Location: Parking mech rm Monitoring Required? 9 Yes 0 No Monitoring Company- Alarm Center System Make NIA System Model Shotgun PruHims Foundk Will 1 1. T-- V. -;I oil- W ;.*,I elm ZS aq- ,j 'Tilln The item on the checklists below shall be insWcted and tested. Ibis Fist does not constitute all of the required inspecting and testing ofthe fire and life safi�ty systems. Refer to the Seattle Fire Department Fire Code for inspectine and testina reauiren-ent-, I General Test Results Acceptable N/A !Yes No I Main Drain and Inspector's Drain flow test conducted? 2 Static pressure: I '05p.s.i Flowpresstue: p.s.L 3 Number of Sprinkler Heads: + - 200 4 2-inch drain? Other L3 5 Flow switches, supervisory switches and alarm bells tested? 13 6 Pressure regulating valves tested? A L3 7 Alarrn ben operates? L3 id L3 8 System inspected and lubricated? L3 9 Valves are sealed or supervised? El 10 Signs are provided on valves? I I Pimiper comiections and clapper valves unobstructed and tam freer. Q 12 Spri*ler coverage is acceptable? 13 Have the sprh*kr heads been replaced or successfi* sample tested in the last 50 yrs? Date of last test? 2003 14 Proper number of spare sprinider heads available with appropriate wrenches for each? 15 System leiff in service? 16 System gauges replaced or calibrated within the last five years? pr L3 Year changed? 2008 17 Sprhikler heads fi= ofcorrosion, pairt, obstructions and/or physical damage? L3 18 Was debris found in the Fire Department Connectioin (FDC)? 19 Was the FDC back flushed with the LIA five years? U Date Performed? nknown L3 20 Was an internal pipe and valve inspection performed with the last five years? Date Performed? Unknown Q L3 21 Is The hydraulic; nameplate insta.1led and visible on riser, ifNo, then Yellow Tag. id Li 22 Was a signal received at the Central Station monitoring company? Ff vula Alann Sy�ms, Inc. 861 Industf y Dr. Tukwila, WA 98188 206-575-1962 ofte FROUL4S9WDD; FSa43M RY SPRINKLER SYSTE Occupancy Name: MaCGregor PL Occupancy Address: 437SSI Building Owner: MacGregor PL Person Responsible Bob Humphries Owner Address 437SSt Date of Inspection: /�o h-7 - Testers Name: 0�' (� L91 e__ Identifier: Central Station Monitoring: 96 Yes E] No Monitoring Required? System Make W Yes E] No Vkltaulic *—kwzf� Ilk 0 -:toli Lj Seattle Fire Deplaftment ,Confidence Test Report 206-386-1448 Confidexe Testing Officer 20"15-1068 (tax) 2W233-7219 PWd Tag HoUlne Certification Given RED �ELLOW WHITE CONFIDENCE TESTF,;al REPAIRS Edmonds Customer Phone (425)673-7123 Email: bbhumph@comcast.net Edmonds WA 98020 Inspection Frequency/Type SFP Certification N: SCP- A Annual �?] Quarterly -9 -ze C) System Location: Park Mech Rm Monitoring Company: Alarm Center System Model * S1756 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 fife safety systems. Refer'to the Seattle Fire Department Fire Code for inspecting and tes" reauirements. General Test Results Acceptable N/A Yes No I Trip test conducted? L3 2 System tripped in seconds 3 Main drain and Inspector's Drain flow test conducted? A. 4 Static Pressure: _jq5 ___psi 5 Number of Sprinkler heads? +-200 6 2- inch drain? Other Q 7 Flow switches, supervisory switches and alarm bells tested? U U 8 Alarm bell operates? 9 Air con4)ressor reM system in 30 minutes or less? 10 Heat actuation devices tested on pre -action and deluge systems? L3 13 11 System inspected and lubricated? A L3 12 Valves are sealed or supervised? L3 13 Signs are provided on valves? Li 14 Pumper connections and clapper valves unobstructed and turn fieely? 13 15 Sprinkler beads replaced or successB* sample tested in last I o years? L3_ Date of last test? 2003 16 Sprinkler coverage is acceptable? 17 Proper number of spare sprfi*kr heads available with appropriate wrench ofeach? L3 18 System left in service? L3 19 System gauges replaced or calibrated within last five years? . Year changed? 2008 20 Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? 13 21 System drained and'restored to normal operation.9 , z' El 22 Was debris found in the Fire Department Connection (FDC)? U 23 Was the FDC backflushed in the last &e years? Date of last test? Unknown 24 Was a signal received at the Central Station monitoring corripany?. El 25 Is the hydraulic nameplate instal -A and visible on riser, ifNO then Yellow Tag Q 26 Was an internal Pipe and valve inspection performed within. the last five years? U Date Perfi)rmrd? Unb7own Miessaae Pa e I of 2 9 Westfall, John From: Westfall, John Sent: Monday, July 11, 2011 12:18 PM To: Chase,Sandy Cc: Bjorback, Leif Subject: RE: Records Request: Betty Humphries Sandy: I've finished the copying for PDR for Ms Humphries and collected Building Dept documents. I have total 8 construction sized sheets and 90 pp. of documents that I'll leave with Gail at front desk to calculate cost and take payment. I've let Ms Humphries know they will be there. John Westfall Edmonds Fire Marshal ----- Original Message ----- From: Chase, Sandy Sent: Thursday, July 07, 2011 1:42 PM To: Westfall, John; Bjorback, Leif Subject: Records Request: Betty Humphries Hi John and Leif, I ani checking on the status of'responding to this records request. Will longer than 5 business days be I.-CLILUred to respond? lf so, how 111LIC11 t11110 is needed, and.l. will prepare a letter. Thanks, Sandy From: Westfall, John Sent: Friday, July 01, 20115:08 PM To: Chase, Sandy Cc: 6jorback, Leif Subject: FW: Contractors Material and Test Certs for MacGregor Sandy: Request I can partially fill for underground plans & hydraulic calcs. Copied to Building for approved sprinkler plans. John Westfall Edmonds Fire Marshal ----- Original Message ----- 7/11/2011 Message I Page 2 of 2 From: Betty Humphries [mailto:bbhumph@comcast.net] Sent: Friday, July 01, 2011 4:50 PM To: Westfall, John Subject: RE: Contractors Material and Test Certs for MacGregor See attached. Let me know if you need anything further. Betty Humphries MacGregor Place Residential Condominium Association From: Westfall, John [mailto:Westfall@ci.edmonds.wa.us] Sent: Friday, July 01, 2011 3:42 PM To: Betty Humphries Subject: RE: Contractors Material and Test Certs for MacGregor Ms. Humphries: Please fill out a public disclosure request form found on city website (or at City Hall) to City Clerk and I can help you with what I have. I didn't see sprinkler plans but I have underground and calcs. John Westfall Edmonds Fire Marshal 7/11/2011 CITY OF EDMONDS 121 Sth Avenue North Edmonds, WA 98020 www.ci.edznonds.wa.us 425.775.2525 (phone) 425.771.0266 (faxl REQUEST FOR PUBLIC RECORDS PLEASE PRINT CLEARLY Date of Request: C)7 " /61 ' ZI Requester Name: �3 1,4 E77-Y Requester Address: 43 Z— AVIFS street SuitelApt- 4:�'Xwo b5 - IAIA City IState - zip Email Address: UM p C�OMCg_s 4<�p4 Phone Number: 7-ZA-3 Request Made: In Person In Writing Telephone Fax Email How would you prefer to be notified when the records are available? In Writing Telephone Fax A Email DESCRIPTION OF. REQUEST: Be spe and provide as much detail as possible; include address and owner of property, file name or number, time period, incident location and date; case number; any other names associated with your request, etc.): "As eLAW-5' 4-3 -6 ZV 0'q WA Is the information requested a list of individuals to be used for a mailing list for 1commercial purposes? Yes )d- No. if ygs, please co te the additional form found on page 3. 4--307 AX Sigm-t6ne-- of-Virsi"akrng Reguest Page -1 - Westfall, John From: Westfall, John Sent: Friday, July 01, 2011 2:32 PM To: 'bbhumph@comcast.net' Subject: Contractors Material and Test Certs for MacGregor Ms Humphries: Attached as requested. John 20110701142706.p 1 (1 MB) John I Westfall Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile X� 1 06/a/2011 13:43 Page 3/3 Froula Alarm Systems, Inc. 861 Industry Dr. C� "A99-N-11 Tukwila, WA 98188 206-575-1962 office Um 206-575-8168 fax C� 9" 3, , r,_ Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline SPRINKLER — WET SYSTEM' Certification Given (One System per Report) RED C3 I YELLOW WHITE CONFIDENCE TEST ff I REP IRS Lj 3 7 .5 �5 -I Occupancy Address: 5;F626 Responsible Person First & Last Name: Bcb , )1_pkr�r__5 feg ot, PL Occupancy Name:/Nd_;1 92-5 9�51_5,?5,v ce, Phone Number: 1)2.5 67 3 --7/23 �'l Responsible Person Address, City, State , Zip: Responsible Party E-Mail Address Date of Inspection: sc— A, Inspection Annual Frequency/Type: Testers Name (Please Print): Ln4�_ SFD Certification Number: SCP- k-2-5(3 Identification Number.- System Location: Central station monitoring? Yes No 0 Monitoring Required? Yes No 0 Monitoring Company Name: System Make: AIA System Model: '40�4 411', SEATTLE FIRE CODE VIOLATIONs 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 sheei) 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: _�O� Phone # _2_A:2-6 — 5'75— 1 Building Representative (signature) Sprinklers - Wet Page I of 2 M Ok MM=_ Is 11�ame ON I 0=1 4§1111110M M I 06106/20*11 13:43 Page 413 ?,r A 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 Seattle Fire Department Fire Code for inspecting and testing requirements. General 1.1 Mal".. 0- ...inf rain, and In.spettor'sDra.in- flow test conducted?,, �:YOS 2. Static pressure: 05 p.s.i. Flow pressure: 95 p's.i. 3. Number..of. Sprinkler Heaas: - 4. 2-inch drain? Other Yes 5. Flow switches,: supervisory- sWit:h6s:-and alarm b6h.tesie c d, N/A -Yes z B. Pressure regulating valves tested? N/A yes .7. Alarmbell operates? N/A Yes 8. System inspected and lubricated? Yes 9. V61ves a.resealed or'supervised?... Yes 10. Signs are provided on valves? Yes 2r 1-1..P.umper con . nections and clapper valves unobstructed.. and turrifteely? 12. Sprinkler coverage is acceptable? 111. Have the. sprinkler he*ad,s..been replaced orsuccessfully sample.t6st in the last 5Q years? Dateof last'wt6st:. .03 14. Proper number of spare sprinkler heads available with appropriate wrenches for each? 1.5. System left in service! 16. System gauges replaced or calibrated within the last 5 years? Yearchanged: 17. Sprinkler heads free of corrosion, paint, obstr uctions and/or physical damage? 18. Was debris found in the Fire Department Connection (FDC)? 19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush 7 20. Was an internal pipe and valve inspection performed within the last 5 years? Date Performed ? 21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag. (Ref: NFPA 25 5.2.7) Yes Yes. Yes No No -No.01 No 0 No 13 No No.*M No 13 No No No No D Yes. No Yes No Yes No Yes 0 No 2r Yes No Yes No Yes. No zV 22. Was a signal received at the Central Station monitoring N/A C3 YAWn company? OFIT7-q% Froula Alarm Systems, Inc. U;i&, di' z,) 861 Industry Dr. Tukwila, WA 98188 Sprinklers - Wet 206-575-1962 office 206-575-8168 fax No 13 Page 2 of 2 1111111111110 rA=- s N 1 IT 0 MM. 41111811 16reme SM 11 1=1 Imsm- 111-71 W 06/D6/2011 13:43 Page 5/3 Froula Alarm Systems, Inc. 861 Industry Dr. 172 Tukwila, WA 98188 206-575-1962 office 206-575-8168 faXf:� C:; 9 nr _ A A Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline SPRINKLER — WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE CONFIDENCE TEST REPAIRS Y37 5- ,5-4 Occupancy Address: r-) I- Responsible Person First& Last Name: Occupancy Name: 1474c_�"'dqer PL L/ 25 515 V Ce q Phone Number: 4z6 Cn Responsible Person Address, City, State, Zip: Responsible Party E-Mail Address Date of Inspection: 5 Inspection Annual Frequency/Type.- Testers Name (Please Print): SFD Certification Number: SCP- i2-2LO Identification Number: System Location: Central station monitoring? Yes No 0 Monitoring Required? Yes Pf No M System Make: Monitoring Company Name: A rm (le-olell System Model: W-'. SEATTLE FIRE CODE VIOLATIONs FOUND: (if additional room is needed, please add a separate sheet) CORRECTIONS MADE: Date Corrected: Corrected By. (If addtional room is needed, please add a separate sheet) SFID 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# 2—,o6 E7_5-1�G2_ Building Representative (signature) Sprinklers - Wet Page 1 of 2 1111111111111Z - �-- 1541 - �� - -WITIT111rimaw- �1�92 06/0612011 13:43 Page 611. ill- a The items o�'thd.-,Ibhecklists 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 require ments. General I Mai I n0tairl andInsp or's Drain flow test.condiubt6d.? :Ye No: 2. Static pressure: 4Q5—p-s.i. Flow pressure: p-s-i- 3. Number of Sprinkler Heads, -206 4. 2-inch drain? supervis and alarm' bells. tested i 5. Flow switches,,.. ory sw 6. Pressure regulating valves tested? 7. Alarmbell.operates? B. System inspected and lubricated? .9. Valves ate sealed or supervised.? 10. Signs are provided on valves? Other Yes No 13 N/A' Yes,,5. i':.No N/A Yes No N/A Yes.0 No 13 Yes Yes. -a Yes 11. Pumper connections and clapper valves unobstructed and turn freely? Yes/M. 12. Sprinkler coverage is acceptable? Yes 13. Have the sprinkler heads been replaced or successfully sample test.in the last 50yeE . i m? Date of last te st*. 0.3 Yes'o. 14. Proper number of spare sprinkler heads available with appropriate wrenches Yes for each? 15.. System left in service? Yes 16. System gauges replaced or calibrated within the last 5 years? Yes Year changed: CIE-- 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical Yes damage? 18. Was debris found in the Fire Department Connection (FDC)? Yes 19. Was the Fire Department Connection (FDC) back flushed within the la . tt 5 Yes 13 years? Date of last back flush 20. Was an internal pipe and valve inspection performed within the last 5 years? Yes Date Performed 21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag. Yes (Ref: NFPA 25 5.21) 22. Was a signal received at the Central Station monitoring N/A 0 YesS7 company? Froula Alarm Systems, Inc. Ek "A6;:W- 861 Industry Dr Tukwila, WA 98188 Sprinklers - Wet 206-575-1962 office 206-575-8168 fax No No No No No No C3 No No No No C3 No,O No No No No C3 Page 2 of 2 111110 -M-NUM 4 0 1 F 13 J�GTVA Us -re M119 T11MME III I OGIA12011 13:43 Page 7/3 Froula Alarm Systems, Inc. 861 Industry Dr. Tukwila, WA 98188 206-575-1962 office 205-575-8168 fax UWE 1912 Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline SPRINKLER - DRY SYSTEM Certification Given (One System per Report) __kE_D[3 YELLOW WHITE 13 CONFIDENCE TEST REPAIRS Occupancy Address: 7 6 I P - A, 7 n Responsible Person First & Last Name: Ile Occupancy Name: 945 971 Phone Number: llzs 03 -:7/?-3 Responsible Person Address, City, State, Zip: 'q P" Responsible Party E-Mail Address Date of Inspection: sh F Inspection Annual Frequencyrrype: Testers Name Al. (Please Print): SFD Certification Number: SCP- A-Z5(3 Identification Number (Required): System Location: '0-_'rkAq 17el f___' Central station monitoring? Yes 21' No 0 Monitoring Required? .-Y,,es,4 No 13 System Make: V.." Monftoring Company Name: Apir"M System Moclel� S,1754 SEATTLE FIRE CODE VioLATioNs 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: _�O�/ Phone# :?,or ic2l Building Representative (signature) Sprinklers - Dry Page I of 2 -0-To r3=- q 0 V — NIZOU F011111111111111111111 011 z i r. M.IT. Tme I [�Gvvmf B wo I I 4=1 4M = 06106/2011 13:48 Page 3313 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? 2i .System tri in Seconds. 3. Main Drain and Inspector's Drain flow test conducted? 4. Static pressure: si. 5. Number of Sprinkler Heads? 6... 24n& drain? other 7. Flow switches, supervisory switches and alarm bells tested? 81. Alarm bell operates) 9. Air compressor refills system in 30 minutes or less? 10. -'.Heat actuation devices tested: an pr�,e.-action and. deluge systems?... 11. System inspected and lubricated? 12. Valves are sealed or. supervised? 13. Signs are provided on valves? 14. Pumper connections and clapper valves unobstructed and turn freely?. , 15. Sprinkler heads replaced or successfully sample tested in last 10 years? Date of last test: 16. Sprinkler coverage is acceptable? N/A N/A Yes.2r No 13 Yes 0 No 0 I[] Yes 0..:: No 13 YesO No 13 13 Yes,3 No Yes No 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? Cy Yearchanged: 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 theFire Department Connection (FDC)? 23. Was the Fire Department Connection (FDC) back flushed in the last 5 years? Date of last back flush 7 24. Was a signal received at the Central.Station monitoring company? N/A (71 25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag. (Ref: NFPA 25 5.2.7) Yes No Yes No Ye�Z. No Yes No Yes No Yes 0 No 13 Yes No Yes No Yes.0 No Yes a No Yes.0 No Yes CT No 11 Yes No Yes No Yes No YesA 26. Was an intemal pipe and valve inspection performed within the last 5 years? Date Yes C3 Performed 7 J PWTF-% Froula Alarm Systems, Inc. L�01 861 Industry Dr. TukWla, WA 98188 Sprinklers - Dry lljjj�lj 206-575-1962 office 2015-575-8168 fax No No Page 2 of 2 CITY OF EDMONDS 121 5TH AVENUE.N. - EDMONDS, WASHINGTON 98020 (425) 771-0215 FIRE DEPARTMENT 4�' t . 1 8 LOCATION:' 437 5th Avenue BUSINESS'WAM—E: MacGregor Condos MAILING 437 5th Ave S PHONE: ADORE fSS: Edmonds 93020 BUSINESS OWNER: HOME PHONE: EMERGENCY-): HOME PHONE: KE?ACCESS-2: HOME PHONE: FIRE PREVENTION SAFETY SURVEY FREQUENCY STATION 1, SHIFT 17 B I SCHEDULED DATE DUE I� 08/011.10 UFIR o 591 4238203 ACTIVE INITIA INSPECTION DATE PERSON CONTACTED: NAME 0 F INSPECTOR: /61, 1// FIRE AS 5/10 FA 5/10 FD LkBx FE :gff eis, SYSTEMS:, ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 06/ ENTER CODE ONLY ONCE I� VIOLATION CODE 2 3 3 4 4 5 5 6 6 7 7 8 000� 8 lst RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE, DATE, DATE, 3 VIOLATIONS 5 VIOLATIONS 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 18 4 8 DATE: DISPOSITION: 8 \� LETTER NEEDED C] YES C] NO LETTER NEEDED .0 YES NO FIRE DEPARTMENT COPY IIIIIIIEN-W-4= 4AW01 114=1 Immm- 0 06/10120 10 *12: 10 16 Page 1/3 Froula Alarm Systems, Inc. Seattle Fire Department 861 Industry Dr. - Confidence Test Report Tukwila, WA 98188 206-386-1448 Confidence Testing Officer 206-576-1962 office 206-615-1068 (fax) 206-575-8168 fax 81WRIVI 206-233-7219 Red Tag Hotline SPRINKLER — DRY SYSTEM Certification Given (One System per Report) RED —7 YELLOW 13 1 WHITE CONFIDENCE TEST REPAIRS 13 Occupancy Address: Responsible Person First & Last Name: 801 R. - 54J Responsible Person 3-7 A Address, City, State, Zip: m4l.-Ads, L,//j Occupancy Name: 9111"017 4z"; q7 cezzo Phone Number: 4 Responsible Party E-Mail Address Im Date of Inspection: 51zs Inspection Annual Frequencyrrype: Testers Name SFD Certification —L5 0 (Please Print): Number: SCP-P Identification Number (Required): System Location: p4ekTm 17,e.L i Central station monitoring? Yes ;aK No 13 Monitoring Required? Yesz-1, NoO System Make:. Monitoring Company Name: A lep, ,e^ System Model: SEATTLE FIRE CODE VIOLATIONS 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# 206 jg:�75-15�62' Building Representative (signature) Sprinklers - Dry Page 1 of 2 zas M_ 06/10/2010 12:10 0 Page 2/3 1 The items on the checklists below shall be Inspected and tested. This list does not constitute all of the required inspecting and tE!sting of the Fire and life safety system. Refer to the Seattle Fire Department Fire Code for inspecting and testi - ng requirements. General Yes No 1. Trip test conducted? 2. SyAem tnpped 16 seconds. 3. Main .. Drain a I nd Ins : pec . tor's . Drain flow test conducted? Yes -No C3 4. Static� pressu r6 sl 5. Number of Sprlinkler Heads? Zoo — '2711nch drain? Other �O Yes Pr N0.0 7. Flow switches, supervisory switches and alarm bells tested? N/A C3 Yes No C3 .8. 6..Alarm bell operates?' N/A. 0 Yes 0 No 0. 9. .. X rc ompre s so r refill s sys tern in 30 mi nutes or le ss? Yes No 10. Heat actuation devices tested on pre -action and -deluge sy$te rs? N/A Yes.0' 0 N.. 1 . 1. System inspected and lubricated? yes No j2 ervis V61v*es are sealed, or sup i ed? Yesp No 13. Signs are provided on valves? Yes CT No 13 14. Pumper con nizcdons a . nd clapper valves unobstructed and turn freely? Yes No:.O - 15. Sprinkler heads replaced or successfully sample tested in last 10 years? Yes No 13 Date of last test: 16. Sprinkler coverage is acceptable? Yes No 17. Proper number of spare spirinkler heads available with appropriate wrench for Yes No each? 19. System left in service? 19. System gauges replaced or calibrated within the last 5 years? Yearchanged: 20. Sprinkl . er heads free of corrosiori, 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? Date of last back flush Yes 0 . No 0 =I,! Yes 12t Yesz Yes C3 Yes 0 24. Was a signal . received at the Central Station monitoring company? N/A C3 Yes 25. is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag. (Ref: NFPA 25 5.2.7) 26. Was an internal pipe and valve inspection performed within the last 5 years? Date Performed Yes 7 Yes 0 No 0 No No No No No No No 0--r" Froula Alarin Systems, Inc. L� jrz,, 861 Industry Dr. Tukwila. WA 98188 Page 2 of 2 Sprinklers - Dry EA-4,1111 2W575-1962 office zuqu,575-8168 fax '�o 06/101201012:10 IMMMING �IWTVMI Mrs [I = imsm Page 3/3 Froula Alarm Systems, Inc. 861 Industry Dr. Tukwila, WA 98188 206-575-1962 office Um 206-575-8168 fax Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline SPRINKLER —WET SYSTEM Certification Given (One System per Report) RED YELLOW OTWNHITE — CONFIDENCE TEST REPAIRS 0 Occupancy Address: OccupancyName: Responsible Person First & Last Name: 6C.) pte,% , �je CIZ3 9 ed Phone Number: V-7-Sp 623— 'N Z3 �j Lj,7z Responsible Person, Zip: 154 .4 Address, City, State rj M 0,AdS LA./ Date of Inspection.- 512S116 Testers Name RJ' (Please Print): Responsible Party E—Mail Address Inspection Annual Frequency[Type: SFD Certification Number, SCP_ Identification Number: System Location: Central station monitoring? Yes No 0 Monitoring Required? Yes [!I' No 0 Monitoring Company Name- A, �4; rv"- System Make: <L4"" — System Model: du'cic�_ SEATTLE FIRE CODE VIOLATIONs 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 # d4Z Building Representative (signature) F Sprinklers -Wet Page I of 2 06/10/2010 12:10 �,sume n-an u =a, mwm- in- M Page 4/3 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 Seattle Fire Department Fire Code for inspecting and testing requirements. General h flow test doriclupted? 1: Ma.in.Dre"in I.nsp6rtbes:D.rPi. 2. Staticpressure: L�S.s.i. Flowpressure: P.S. i. 3. Number of Sprinkler Heads: Z00 4. 2-inch drain? 5.. Flow . switchesi. supervisory switches and. alarm bells tested.'.) 6. Pressure regulating valves tested? 7. Alarm bell- operates? 8. System inspected and lubricated? 9. Valves are sealed or sup'ervised? Yes No. Other Yes 13 No Ell N A, /A -Y ps M�: No 13 N/A Yes No N/A Yes No Ye s No Yes No roll 10. Signs are provided on valves? Y es LA 1140 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 samPletest -in the* last 50 years? Date of'last,test'. .03 1 . 4. Proper number of spare sprinkler heads available with appropriate wrenches for each? 15. System.left in service? 16. System gauges replaced or calibrated within the last 5 years? Yearchanged: 5�6 17. Sprinkler heads free of.corrosloh, paint, obstructions and/or physical damage? Yes No 13 Yes No C3 Yes No 0 Yes No C3 Yes No 13 18. Was debris found in the Fire Department Connection (FDC)? Yes 19. . Was the Fire Department Connection (FDC) back flushed within the last 5 Yes years? Date of last back flush 20. Was an internal pipe and valve inspection performed within the last 6 years? Yes Date Performed .21. Is the hydraulic namep - late installed and visible on riser, if No then Yellow Tag. Yes (kef: NFPA 25 5.2.7) a 22. Was a signal received at the Central Station monitoring N/A [3 Yes — company? Froula Alarm Systems, Inc. 861 industry Dr. Tukwila, WA 98188 206-575-1962 office Sprinklers - Wet 16M M'6'j" 206-575-8168 fax No No No C3 No 11 No M Page 2 of 2 M 0.1=3 =_ Is Ire H 9=1 ISM= I 06/1012510 12:10 Page 5/3 Froula Alarm Systems, Inc. 861 Industry Dr. Tukwila, WA 98188 206-575-1962 office 206-575-8168 fax Seattle Fire Department Confidence Test Report 206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline SPRINKLER —WET SYSTEM Certification Given - I (One System per Report) — J�ED YELLOW �iHITE JO' CONFIDENCE TEST I Ol REPAIR Occupancy Name: Occupancy Address: Responsible Person 6e First & Last Name: /,)L) e S Phone Number: Y2_5 Responsible Perscn Responsible Party City, State, Zip: A E—Mail Address Address, 29 Inspection Annual Date of Inspection: Frequencyrrype: Testers Name SFD Certification (Please Print): Number'. SCP- Identification Number: System Location: Ark, ,L_5� Gentral station monitoring? Yes.01 No C3 Monitoring Monitoring Required? Yes Er NoO Company Name: A) Cv,. I System Make: S� System Model: SEATTLE FIRE CODE VIOLATIONs 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. Phone # Signature of Tester: V2.11/ 7-5 Building Representative (signature) " A 1� Sprinklers - Wet Page 1 of 2 111111111M �_Mfm �M�� . loll Me 11 8=1 4§1111112111100 W-IN 06110/2010 12:10 Page 618 j 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. �'Main Drain and Inspiectof s Drain flow test: conducted? Ye s* No*0 2. Static pressure: P.S.i. Flow pressure'. p.s.i. 3. Number.of Sprinkler Heads'. 1-k— 20c) 4. 2-inch drain? Other Yes No -.5.'. Flow: switches, supq�vlsory. switches and'alarm: bolls.t6sted? N�A . -yo No 6. Pre . ssure regulating valves tested? N/A Yes No 7. Alarm bell operates? N/A Yes CT 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 an . d clapper valves unobstructed and turn freely? Yes.7 NoO 12. Sprinkler coverage is acceptable? Yes No .13. Have the sprinkler heads: been replaced or successfully. sample test in the Yes No 0 las*t-50years? .. Date of last. test- 14. Proper number of spare sprinkler heads available with appropriate wrenches Yes No for each? 15. System left in service? Yes No C3 16. System gauges replacM or calibrated within the last 5 years? Yes (3 No 13 Yearchanged: 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? Date of last back flush 20 Was an internal pipe and valve inspection performed within the last 5 years? Yes No Date Performed 21. Is the hydraulic nameplate i . nstalled and visible on riser, if No then Yellow Tag. Yes No (Ref: NFPA 25 5.2.7) 22. Was a signal received at the Central Station monitoring N/A Yes No company? Froula Alarm bysteMS, inc. 861 Industry Dr. Tukwila, WA 98188 Sprinklers - Wet 206-575-1962 office 206-575-8168 fax Page 2 of 2 M7.'r_Xk'3=_ 4A �GTAMI 004 1 9=1 W sm- I 06110/2010 12:10 Page 7/3 Froula Alarm Systems, Inc. Seattle Fire Department 861 Industry Dr. ...Confidence Test Report Tukwila, WA 98188 ... 206:-386-1448 Confidence Testing Officer 206-575-1962 office lam 26.6-.m�'1068 (fax) 206-233�7219 Red Tag Hotline 206-575-8168 fax :_ L � SPRINKLER WET SYSTEM Certification Given (One System per Report) RED TWHITE CONFIDENCE TEST REPAIRS Occupancy Address: Occupancy Name: 4 RL L 5 Responsible Person /2� t47 —'712 3 First & Last Name: r-la-5 Phone N'umber: _s�6i 6 - Responsible Person S Re�ponsible Party Address, City, State, Zip: Z,,,,jq I_eA E-mail Address Inspection Annual Date of Inspection: 512-5110 Frequencyrrype: Testers Name SFD Certification (Please Print): Number SCp_ Identification Number: System Location: 2��h� e �01 Central station monitofing? Yes ZY No E3 Monitoring Monitoring Required? Yes er No 0 Company Name: System Make: System Model: SEATTLE FIRE CODE VIOLATIONs FOUND: (if additional room is needed , pi6ase add a separate sheet) CORRECTIONS MADE: Date Corrected: Corrected By: (it additional room is needed, please add a separate sheet) SFD Certification Number: SCP - This certifies that this fire and life safety system has been property inspected for reliability to cover the Items listed in this report and is consistent with Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Signature of Tester: Phone # Zr2C S-�5 — �C' Building Representative (signature) I Sprinklers - Wet Page I.of2 111111116=4 06/ 1 W2010 12: 10 Page 3/3 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 i. mairy brairiand Ihsp6ctor"s' Drain flow test conducted? Yes 2. Static pressure: ICLS-P.s.i- Flow pressure: P.S.i. 3. Number of sprinkler. Heads: zoo 4. 2-inch drain? Other Yes No 5'. Flow . switches, su per . vis o - rysWitches and ale rm beiis� tested? N/A Yes No 6. Pressure regulating valves tested? N/A Yes No 13 7. Alarm bell operates? N�A Yes No 8. Sy . st . em . insp ected and lubricated? Yes No 9. Valves are sealed or supervised? Yes CT NoO* 10. Signs are p rovided on valves? Yes No I.I. Pumpe . r connections and clapper valves uno.bstructed..and turn freely? Yes No 12. Sprinkler coverage is accept able? Yes No i Have the sprinkler head S* been replaced or. successfully sam.ple test in the..:. Yes No last 50. years? Date of last test: 03 14. Proper number of spare sprinkler heads available with appropriate wrenches Yes No 13 for each? 15 system left i . n service? Yes J3 No 13 16. System gauges replaced or calibrated within the last 5 years? Yes No 0 Year changed: 17. Sprinkler heads free of corrosion, . paint, obstructions and/or physical Yes Pr No 13 damage? 18. Was debris found in the Fire Department Connection (FDC)? Yes 13 No 2- 19. Was . the Fire Department Connection (FbC) back flushed within the last 5 Yes No years? Date of last back flush 20. Was an internal pipe and valve inspection performed within the last 5 years? Yes No Date Performed 21. Is the hyd . raulic nameplate. installed and visible. on riser,* if No then Yellow Tag. Yes No 13 . . (Ref: NFPA 25.5.2.7) 17 22. Was a signal received at the Central Station monitoring N/A C1 Yes;3 No 0 — company? Froula Alarm Systems, Inc. ;Pii�167d,21 861 Industry Dr. Tukwila, WA 98188 206-575-1962 office Page 2 of 2 Sprinklers - Wet %wimm"" — 206-575-8168 fax Westfall, John From: Westfall, John Sent: Friday, June 20, 2003 3:33 PM To: Smith, Mike Subject: RE-: 3 new buildings Thanks, Mike ----- Original Message ----- From: Smith, Mike Sent: Friday, June 20, 2003 11:34 AM To: Fire Dept Group Subject: 3 new buildings Listed are three new buildings which are in stages of being occupied. 1 ) Stevens Medical Office Bldg 7320 216th St SW/ Dr.'s offices throughout- surgery 1 st floor, South end one basement and three floors above grade/ fully sprinklered with riser in basement North end/ 4 inch stortz FDC and PIV on North side of building/ annunciator in lobby, addressable system with smoke evac for the atrium/monitored manual controls for smoke evac in the annunciator panel/ main fire alarm panel in basement North side emergency generator, located North side of building, for 1 st floor surgery only two elevators side by side/ roof access from the South stairwell/NOTE if you enter the stairwell from a floor the door will lock behind you. sprinkler control floor valves for all floors/valves located in ceiling and labeled/3rd floor valve in North stairwell. Lockbox located to the right of the main entrance, West side/ compressed gas room SE corner basement with access from the outside only. Portions of the 2nd and 3rd floors are vacant and unfinished. 2) Allister Place Condos 126 3rd Ave N/Mixed Use three floors with garage and 2 business suites on floor one -floors two and three are condos/ Fully sprinklered with riser just inside front door/ wall PIV and 4 inch Stortz just to the left of front door/ Fire alarm panel above mailboxes main entrance -addressable system/monitored lockbox to the right of the front door, West side emergency access for garage gate with key for gate switch in keybox/ elevator 3) Mc , Gregor Place Condos 437'5th Ax�e S/Mixed Use Basement garage-1 st floor business -floors 2 and 3 are condos fully sprinklered with riser in basement SW corner -individual risers for each floor with corresponding flow switches PIV and 4 inch Stortz FDC SW corner of building 2 entrances -condos by garage entrance NW corner -business entrance West side. Lockbox to the right of condo entrance annunciator inside condo ent,rance-addressable system/monitored main fire alarm panel electrical room 1 st floor. elevator Stop by and ask to look around these buildings. And if I missed something let me know. Life Safety Plan (D For ' MacGregor Place 437 Sth Avenue South, Edmonds, WA 98020 Approved by Edmonds Fire Department (425) 775-7720 Date:5'1P103 Initials: The following plan provides life -safety and property protection information for your use. This plan should be updated periodically. All safety systems and equipment must remain accessible, conspicuous, and maintained in proper working order. HN 49 Your local emergency phone number is S441 for emergency medical, fire and police services. Fire Extinguishers Fire extinguishers may be used to put out fires in an early stage. Call 9-1-1 and sound the alarm before you use a fire extinguisher to assure that your help is on the way. Remove the fire extinguisher from its ready location. Pull, or twist the silver pin on the fire extinguisher and remove. Stand 8 feet from the fire, depress the handle, and sweep the stream back and forth starting at the base of the flames until the fire is out. Do not walk on an area that you have extinguished, in case the fire re -ignites, or the extinguisher runs empty! Firefighters will make sure that the fire is completely extinguished and give you assistance. MAINTENANCE. Fire extinguishers must be serviced annually by a trained person with proper knowledge, tools, manuals, and publications. Smoke Detectors Smoke detectors in your home provide early warning in case of fire. A working smoke detector can increase your survival in a fire by 47%. Plan an escape and practice your plan before the fire. Dwelling smoke detectors are located in and near your sleeping areas. They may be battery -operated, hard -wired to the building, or both, depending upon building age and existing requirements when your building was constructed. Dwelling smoke detectors do not sound the alarm for other occupants. When you hear a detector, sound the alarm for all occupants and exit the building. MAINTENANCE: Test your detectors by depressing the test button at least once a month. Change the batteries once a year, if so equipped. Vacuum the face of the detector annually to keep it sensitive to smoke. Detectors should be replaced after 10 years of operation. FIRE., Manual Fire Alarm Activating a fire alarm pull station will alert all building occupants of a fire problem at a location in the building. Pull stations are located near exits from the building. Pull the device down to sound the alarm. When you hear the alarm, exit the building immediately using the closest safe stair or exit. 0 Your building fire alarm activation alerts occupants and an alarm monitoring company for automatic dispatch of Fire Department. MAINTENANCE. Annual test of the entire alarm system is required to be performed and documented by a maintenance technician. Service companies are located in the yellow pages under "Fire Alarm Systems". Automatic Fire Alarm Smoke and high -rising heat conditions in some building areas outside of your dwelling are monitored by a smoke- and heat -detection system. If a fire begins in these areas, the automatic fire alarm will alert all occupants in the building. 0 Your building fire alarm activation alerts occupants and an alarm monitoring company for automatic dispatch of Fire Department. When you hear the alarm, exit the building immediately using the closest safe stair or exit. MAINTENANCE Annual test of the entire alarm system is required to be performed and documented by a maintenance technician. Service companies are located in the yellow pages under "Fire Alarm Systems". Residential Sprinkler System A residential sprinkler system provides life safety protection from fire in dwelling locations where injury or death from fire may occur. Residential fire sprinklers will reduce heat, flames and smoke spread so building occupants may safely exit the building. Sprinklers are heat activated and will open and spray water directly on a fire. A sprinkler system stops and often extinguishes the fire before it has the chance to spread. A fire sprinkler system is a network of individual ceiling sprinkler heads connected by pipes to a water source. Water damage is minimal because only the sprinkler head above the fire will open. A home with an automatic sprinkler system is still required to have smoke detectors. Residential sprinkler systems and Installation of working smoke detectors reduce the r1sk of dyIng In a fire by 97916, Remind your Insurance agent that you are protected by these systems. 0 Your building sprinkler system activation alerts occupants and an alarm monitoring company for automatic dispatch of Fire Department. MAINTENANCE. Do not hang items from the sprinkler heads. Sprinkler heads that have been painted will not operate as designed and must be replaced. Annual test of the residential sprinkler system is required to be performed and documented by a state - certified maintenance technician. Service companies are located in the yellow pages under "Sprinklers - Automatic -Fire". Areas for Evacuation Assistance Washington State requires areas in public accessible buildings to be protected from smoke and located near stairways or other exit systems which are not accessible by mobil ity-im paired persons. These are dedicated for use as Areas for Evacuation Assistance (AEA). AEAs also must have a means of outside communication, typically a telephone, for an impaired person to call for Fire Department or other help, to be assisted from the building during an emergency. MATNTENANCE., Areas for Evacuation Assistance must always remain clear. Fdvlr� Special Populations at Risk Decreased mobility, health, sight, and hearing may limit a person's ability to take the quick action necessary to escape during a fire emergency. Depending on physical limitations, many of the actions an individual can take to protect themselves from the dangers of fire may require help from a caregiver, neighbor, or outside source. Impaired persons should speak to family members, building manager, or neighbors about your fire safety plan and practice it with them. Special Fire Warning Devices People with disabilities should be aware of the special fire warning devices that are available but not necessarily installed in your building. Smoke alarms with vibrating pads or flashing light can be purchased for the deaf and hard of hearing. Additionally, smoke alarms with strobe light outside the dwelling may catch the attention of neighbors. Emergency call systems for summoning help are also commercially sold. Audible alarms are available which will pause with a small window of silence between each successive cycle so that blind or visually impaired people can listen to instructions or voices of others. Know Your Abilities Contact the Fire Department at (425)775-7720 to explain your special needs. Fire -rated Doors Fire doors provide smoke- and/or heat -containment to a fire's area of origin when closed. This slows fire progress to areas unaffected, allowing time for alarm and occupants to escape. Fire doors are typically spring -loaded which close automatically. They must completely latch when not in use. Fire doors improve life safety for occupants and minimize fire property damage by containing the fire to an area prior to Fire Department intervention. Fire doors may include all doors to a corridor, stairwells, and area separations within a building. Front doors to dwellings are provided with gasket material which helps close the gap to limit smoke spread. Propping these doors open provides a route for smoke and hot gases to move into protected areas of your exit system. Some fire -rated doors may be held open with a magnet and will close when a fire condition occurs and the building fire alarm sounds. MAINTENANCE: Keep fire doors closed when not in use. Do not prop open without an approved hold - open device. Repair doors, hardware, or door seals if damaged. Repair or adjust if doors do not completely close and latch. Aow� Attic Draft Stops Draft stops provide smoke- and heat -containment in the concealed areas of common attic spaces. Holes and openings in these wallboard partitions can allow smoke or fire to pass from dwelling to dwelling. This allows fire to burn undetected longer, and will consume the structural supports of your roof. MAMTENANCE: Keep draft stops free of holes and openings. Repair attic draft stops if they are damaged. Check your draft stops periodically with a flashlight from your attic opening. Exit Lights Exit lights and signage show the way to get out of the building. Lights must be illuminated at all times and provided with backup power, which keeps them burning even without building power. Illumination is required to help penetrate layers of smoke that may form at the ceiling when a fire condition should occur. This reduces confusion for visitors and occupants who need to find the way out of the building. MAMTENANCE: Replace bulbs as required to keep illuminated at all times. • Test back up power by depressing test button. Replace batteries as a backup power source if they are not functioning properly.. • Backup power systems can be tested by "brown -out" or by turning off the circuit breaker for the exit lighting circuit. Repair your backup power system if it is not functioning properly. Emergency Illumination Your building must be illuminated at all times by natural or artificial lighting so a visitor or occupant's means of exiting is always lit. Your building has backup, or emergency lighting to illuminate the exit path even without building power. Smoke brings darkness to building spaces when a fire condition occurs. Emergency illumination helps light the exit path through these conditions. This reduces confusion for visitors and occupants who need Illumination to find their way out of the building. MAINTENANCE: Replace bulbs or repair fixture as required to keep illuminated at all times. A "brown- out" (or turning off the circuit breaker for the emergency illumination circuit) can test building lighting systems and their.backup power source. • Emergency illumination fixtures can also be tested by depressing a test button on the fixture. Replace batteries as a backup power source if they are not functioning properly. • Repair your backup power system or fixtures if they are not functioning properly. Elevator Unless instructed by the Fire Department, never use an elevator during a fire. MAINTENANCE Contact the elevator service company identified in the elevator machine room. LIT, Fire Department Access Fire Department vehicles must have clear access to street and driveway approaches to your building. M41N7ENANCE- Keep fire lanes and emergency vehicle access clear at all times. Fire Department Lockbox Where Fire Department concerns for rapid emergency building access exists, a lockbox is provided near a primary building entry. The lockbox contains keys allowing Firefighters entry to building common areas and utility spaces, where systems controls are available and problems may occur. MAINTENANCE.- Replace keys when affected door locking hardware is changed. Keep lockbox clear and accessible. Emergency Procedures Use a mental checklist to make a Fight -or -Flight Decision. Attempt to use an extinguisher only if ALL of the following apply: Re] The building is being evacuated (fire alarm is pulled) F-6 The Fire Department is being called (dial 911). Rel The fire is small, contained and not spreading beyond its starting point. P-1 The exit is clear, there is no imminent peril and you can fight the fire with your back to the exit. Flj- You can stay low and avoid smoke. PI-i The proper extinguisher is immediately at hand. F-ei You have read the instructions and know how to use the extinguisher. IF ANY OF THESE CONDITIONS HAVE NOT BEEN MET, DON'T FIGHT THE FIRE YOURSELF. CALL FOR HELP, PULL THE FIRE ALARM AND LEAVE THE AREA. If you have any doubt about your personal safety, or if you can not extinguish a fire, leave immediately and close off the area (close the doors, but DO NOT lock them). Leave the building but contact a Firefighter to relay whatever information you have about the fire. M 97 UBC 1104.1 Exception "Areas of evacuation assistance are not required in buildings where an approved, automatic fire - extinguishing system is installed in accordance with UBC Standard 9-1, provided that quick -response sprinkler heads are used where allowed by the standard; and that a written fire- and life -safety emergency plan, which specifically addresses the evacuation of persons with disabilities, is approved by the Building Official and the Fire Chief." 97 UFC 1303.3.5.3.1 "A fire emergency guide shall be provided for apartment buildings which describes the location, function and use of all fire -protection equipment and appliances accessible to tenants, including fire alarm systems, single -station smoke detectors and portable fire extinguishers. The guide shall include an emergency evacuation plan for each dwelling unit. Emergency plans shall include the procedure for reporting of emergencies and notifying, relocating and evacuating occupants; staff member duties during emergencies; floor plans identifying the locations of portable fire extinguishers, other manual fire -extinguishing equipment; manual fire alarm pull stations and fire alarm control panels; floor plans identifying the primary and secondary routes of evacuation for each room or portion of the occupancy; floor plans indicating the locations of interior areas of refuge; and site maps identifying the designated exterior assembly area for each evacuation route." 1. The procedure for reporting of emergencies and notifying, relocating and evacuating occupants, staff member (If any) duties during emergencies, 2 Floor plans Identifying the locations of poftable fire extinguishers, other manual fire- extingulshIng equipment, manual fire alarm pull stations and fire alarm control pane15; 3. Floor plans identifying the priwafy and secondafy routes of evacuation for each room or portion of the occupancy; 4 Floor plans Indicating the locations of Interior areas of refuge, and 5 51te maps Identifying the desIgnated exterior assembly area for each evacuation route ATTACH 81/2" x 11" FLOOR PLANS FOR EACH FLOOR OF YOUR BUILDING. q, If you have any doubt about your personal safety, or if you can not extinguish a fire, leave immediately and close off the area (close the doors, but DO NOT lock them). Leave the building but contact a Firefighter to relay whatever. information you have about the fire. a 97 UBC 1104.1 Exception "Areas of evacuation assistance are not required in buildings where an approved, automatic fire - extinguishing system is installed in accordance with UBC Standard 9-1, provided that quick -response sprinkler heads are used where allowed by the standard; and that a written fire- and life -safety emergency plan, which specifically addresses the evacuation of persons with disabilities, is approved by the Building Official and the Fire Chief." 97 UFC 1303.3.5.3.1 "A fire emergency guide shall be provided for apartment buildings which describes the location, function and use of all fire -protection equipment and appliances accessible to tenants, including fire alarm systems, single -station smoke detectors and portable fire extinguishers. The guide shall include an emergency evacuation plan for each dwelling unit. Emergency plans shall include the procedure for reporting of emergencies and notifying, relocating and evacuating occupants; staff member duties during emergencies; floor plans identifying the locations of portable fire extinguishers, other manual fire -extinguishing equipment; manual fire alarm pull stations and fire alarm control panels; floor plans identifying the primary and secondary routes of evacuation for each room or portion of the occupancy; floor plans indicating the locations of interior areas of refuge; and site maps identifying the designated exterior assembly area for each evacuation route." 1. 7he procedure for reporting of emergencies and notifying, relocating and evacuating occupants; staff member (if any) duties during emergencies; 2 Floor plans IdentifyIng the locations of portable fire extinguishers, other manual fire - extinguishing equipment, manual fire alarm pull stations and fire alarm control panels, 3. Floor plans identifying the primary and secondary routes of e vacuatlon for each room or pottion of the occupancy; 4, Floor plans IndIcatIng the locations of Interior areas of refuge; and 5 51te maps Identifying the desIgnated exterlor assembly area for each evacuation route ATTACH 81/2" x 11" FLOOR PLANS FOR EACH FLOOR OF YOUR BUILDING. 5-14-03; 9:41AM;Taylor / Gregory 5th & WALNUT MIXED USE 437 FIFTH AVENUE N. - EDMONDS, WA 98020 &ARA&E FLOOR LIFE AND FIRE PROTEOTION PLAN 5-14-03: 9:41AKA;Taylor Gregory cily SIVEAALK AALNUT 57RM 5th & WALNUT MIXED USE 437 FIFTH AVENUE N. - EDMONDS, WA 98020 FIR5T FLOOR LIFE AND FIRE PROTECTION PLAN .—U� oy �Y- y IN BECK LANE NALNUT 5TREET 5th & WALNUT MIXED USE 437 FIFTH AVENUE N. - EDMONDS, WA 98020 SECOND FLOOR LIFE AND FIRE PROTECTION PLAN 5-14-03; 9:41ANA;Tayior / C-regory Westfall, John From: Westfall, John Sent: Friday, May 16, 2003 3:24 PM To: Snook, Mike Cc: Smith, Mike Subject: RE: 427 5th Ave South - Mixed Use Bldg Mike: I overlooked the installation of a sprinkler in the riser room itself. Smith Fire will be out to install. The Fire Department is still good with the TCO in this case of oversight. John ----- Original Message ----- From: Snook, Mike Sent: Friday, May 16, 200 3 3:12 PM To: Building Work Group; Smith, Mike; Westfall, John; Gilbert, Danielle; McConnell, Jeanie Subject: 427 5th Ave South - Mixed Use Bldg F.Y.l. They received a T.C.O. today. This is good until 5-28-03. Michael Snook Combination Inspector City of Edmonds (425) 771-0220 ext. 1333 Wesffall, John From: Westfall, John - Sent: Wednesday, May 14, 2003 5:25 PM To: Snook, Mike Cc: Bullis, Ann; Smith, Mike Subject: S/F Dampers at 5th & Walnut 437 Wanut St. Mike: I witnessed smoke/fire damper activation when I finaled Fire Alarm System today. For your information, there are 3 dampers missing... one on first floor above ramp next to condenser units and two that protect the supply/return in elevator machine room in garage. I didn't know if these changes from the plans were made due to shaft pressurization. I pointed out to Kevin the correction to discuss with his mechanical installer. John MAY-14-2003 03:35 PM EDMONDSSECURITY 425774024 P.01 I *DMBNDs SECUMTY I I a COMMUNICATIONS, INC. jr"."c.rx"w WOUN op�mws�o A� T44 raw poem ph� no Aw,(,aubl 0 UrVOM 0 p" Rovkm E] pwmw cowwAmd D Pk=o Re* C3 Pie I a" RocyaW - 'D '-'pop- T- e" OWA j2 Foz- Tobtt'v WWW03 4.25 pm System Event Report sorted by DOVA ast CSW 7501516D to ?SD151rD Slis Tlope AN Emph--"fi -VI Corpocala, Sock AM SY-4frit Ivoe AN Q146- Site Mama cS# op Zone Ewnt LocMordCowment Kespoallm Sn&!MM 13z22:t-5 Ar/kCGF(EGQR PLACE T5 15160 CALLP OH2001 Caberil) 'Test K251775-462a 5FIA' IM 13:22.C.5 WCGREGOR PLACE 75 15IBC- 13 2465;SUPERASONY.3EW *Test GARIkGE SMOKEJPULL 5h4r;M 13:23:16 MkCGREGOR PLACE 75 15161 CALLS OF02001 C2Jlc , 10 'Tud (A25) 775 - 4628 SfW.005 J:li:16 R*AC-GREGOR PLACE ?&.-151EC A 2371 A:FFRE:f:F- 'rest IST FLR ELEVATOR LORB b -- 5flW2W ;3--23:45 IJACGREGOR PLACE 75115160 CALLS OH2001 Callor ID 'Ted (425) 775 - 4= 0 5h&l-*W -.3r.23A5 4A(:--REGOR PLACIE 75115160 13 200D RESTORE 'Ter.1 &WAGE SUOKIDIPULL. — en. ih4'WZ; i3-23.4y MAC*Rr:c.�- cJLA-'--!E 761 151C., 4 20DO RESTORE 'Test IST FLR FLEVATOR LjOBB IV tWW.1)0-- i 3-23SI .*AC�;RCr,3r- M4 15itz 4 2371 A:ME -.FE -rest IST FLR ELEVATOR LOSS co !WS; !,W 3:25:02 14ACGRt%iJm vIACE ?cc ISWI CALL0 OK2001 Calles 10 -Test (42S) 775 - 4628 rj 5fl4MW 1325:02 -'.ACGR EGOR PLACE 754 151%s 13 2465 SUPF RVISCRY SEW 'Task GARAGE SWKRPULL &W-2=313-25.29 '4AC GREGUR PLACE 7.r,(:15V,% CALLII 0H2M Callar IV 'Test (4Z51 r75 - 48M WW2W 13:25-29 MAC-3REGM MACE 75115180 13 2000 RESTORE *Test GARAGE SMOKEIPULL SIOU2M 13:25:33 MKC.3REGON RACE 75f 15160 4 2000 RESTORE *Tesi I ST FUR ELFVATOR LOW SM4rWG313:2713 MAC*WGCR PLACE 71A 151RD rALILII OH2001 C�Jlar ID 'Te3l (425)775-462a AS 5"412M3 1-177:13 MACGREGOR PLACE 751 tSIC-,, 5 071- A:flRr: T-E *Test ELEVATOR MECKWCAL c SM4020M 13:27-44 &MC3REGOR PLACE Tif 151W GALLA OH2M Color IV *tasl (425) 7T5 - 4M IL 5n4MM 13:77," IAACGREG� PLACE 75( 1514 n 5 zm FtEsTcAE -Yeal ELEVATOR WCHAWCAL SM4121tm i3:29-w UAC PLAGE 7!;( 95t6D CALUI OH2001 CaDar Ir, -Fesl (425)-.75-4M 5n4rd.= 132M KW-IRZC�)Ft DLAK-*': 751 l3i6D 1 2371 AFRE:FE *Test 3RD FLIR SMOK&PILILL fin4rAW 13:M-33 &W.3R--:;-)F -LAr.� 75,1516D CALLP OIHMI Caliv FO 'Test (425)775 - 462B 5M4&M 13:.M33 WAC-�W-. - )P.; 75( 151 DD 1 2000 RESTORE 'Test 3RD FLR SMOKE.VULI. L 5144= 13:--7;43 IMIAC -'� R�- U-W% I- LAQ- 754 ISIRD tALLJ: OHM Caler ID 'Test (425) 7T5 - 4fin S; &14rdW 13.1-74: w'�:;REGOR PLACE 115C i.r,160 2 7371 A:FIRE *FE 'Tod 2ND FLA RWKEOPLILL CC &WIM 131-.; -(h MA �.-,REGOR PLAEIE 75($5160 CALUI OW00i "or ID 'Test (425)775-46;$ =IP 934f2M MA;-PREWR MALE 75(15160 2 210) RESTORE —cm 2ND FtRSMOKEPULL -'f%fMW W.5511 MA --t;REGOR PLACE 75[ WOO CALLI! OkQD01 Callor 10 —est f425)775-4028 5M4rAM W-5 Of l-*k;,jlREGOR PLAC�- 7�A 1511 SO 1 2371 A:F4RE:FE *Test 3RD FLRS"FOPLILL !Wl4r2= ltff,; 2f -A �.;RIEGOR PLACE 75( 15M CALLIF OH2001 Caltor ID 'Test IC-S) 776 - 4628 IL StUfM3 14--bZZ -A %;�- 4c)Ft PLACE 75C 15160 2EW4 IW4 FMIE TEST 'Test M SI$4rMW IISA, 22- :w k 75C 451W CA--L 0 OH2001 CallW 11) 'Test (425� 775 - 4628 5,'HP2QW IS-:' -- -- ;.iA !�-.REGOR �LAC� 75C W60 DRW4 2000 FW;STORE * FeM 50WAK-1 i5-A 77 MA IR PLAr,,- 751-151fic 3 2371 A**W- :FE 'Test IST FLR RETALIENMY 09 31*020M 15,� -- 2r- UA::--;RUS.)FPLAC�-. 75C ISIGG CALL9 0142001 Calbr ED -fe-qt (425) 775 - 4G28 I SL41! 2C- NIX' GPE'-OR flACE 711Z. 151W 3 2nW RERYORE *Tc-Gl iST rLR RETAILIFMTRY Or 5m� 115*42:34 * 2w- AM ZOR PLACE 750 ISIGO CALU OH2W' C.Wler ID -TC-51 02-5) 775 - 4WO 3) 5MA!Z0-3`J 15:4-_-:-34 Is:,93,V9 WACIjAEGOR PLACE --;ACGREGOR *LACE 751 151C-0 3 2371 A:FIP.---.FE 'Iesl ISTFLR RETAX)ENTRY CA S; -Wl4QflW 75( 151K, CAIIJ. 042001 Calu iD `Tc-A 4425) 7-7-- - 4628 -IL f ;We 5/14.-';M03 16:41--.9 P*je 1 C4 2 Dabs 5n4r2DW to SM4Q= F Gftup AN SchmdtAbd user P30D 1 44 2 '0 1 964*M 4;n,. hiMaMmS Fiwsi io L&A Ernplayeef AN Daft gibe Name SnOMW M43MR MAWREWR PLACE VIAMWIS�44,n UACCOMOOR PLACE fzM4rMW 15:46:28 MACGREWR PLACE 5"OOM ISA&M MP=REGOR PL.ACE Sl4rADW "-A&13 NAMMOOR PLACE 0 5114rAYJ(B 15AS15 MAOCREGOR PLACE 5-VMM WA&M MAWREGOR PLACE rd SlUrAM I&aW "ACORMOR PLACE tO WWrAMM IM024 MCGREGM MACE 0 9M 5M*2M IS024 WAXREGOR PLACE MUMM IS49M AIAGGREGOR PL40E fJw2lDO3 '&Am wcGnEwR riAcE S*UrA= 15SIO3 VAGGHEODR PljkCE Shdf"W 1551:03 MACGREODR PLACE sm4rmw 15517" REGOR PLACE C &"MW n-51-44 MACGRE(iM pj%cE L 0 U X: w W IE y) L Z 0 w 0 cl) Dalft SM4W= 15-51-44 <1 r_ System Event Report pow 2 cd 2 soma by Ow L'S*7MJ5V3D -P M15160 to 5A4Q= CarporMeAcet AJI IyVc, TypaAO RVOGrUMOCOM AM c.5w COP z0ft f.wat Loc ithrilComn -1 UMMr TWISIflu 3 �UVOR MORE 'Ye-.i JST.9P RF' - JEJOTRy Cl CAL I C kH2WI Celkr ID *7e:il lo-9775 4626 751)1510D 3 2371 A.FIRE:-T-E 'Tet I ' 45T FLR RETAILiEWRYCi 750 "1 IM CALLP CH12W i C.Wb, M Te�t A-!5)775-4629 75011�lw 3 2)DDWSTO�-* 'Eut 13 T FLR RETARJEMMY Ot 7501r.im Zill A" W -.i--E 'Test IST FLR RETAMAEWFRV CF 75DIE"D '-'ALLJO 04M. OWlei 10 -rest f425)M-4629 75015180 3 ZWO RLSTORE -rew f5rl FUt RETAILAErnity rA 750151M CALLI O-CM Ca*r ID 'Tes, 075)775-Mg 750' SIM 1.3 2-* 66:S. wr:MISOW!ZM- ly�!s - G^JtAee swOKE4kjkjL 750i5lm f-ILLn CFIMI -.Wer ID ves Wzj*YT5-4s2a 11 MORE %TOR' 'TPL-1, GARAGE SAAOKSPLLL CALUI 0142M 4ralkc ID (A-_%j"5-4wq 3 2371 A.F-RE:FE 'Tabi I ST FLR RETAILIEMNY CA ?Wl,ABO CAF Ll CH2MI;;alw K -.25) P75 - 46M MiMso 3 20)DRE-700a..' TFLRRFTAJuE?#WYCi PwW 2 of 2 OV EDAf NOTIC TO PERMITTEE AND/OR OWNER DO NOT REMOVE El PARTIAL APPROVAL CORRECTON REQUIRED ENFORCEMENT VIOLATION Owner v',"' Permit Number C;''ool Job Address—, 4.� -7 44( Site Contact El WORK DESCRIBED BELOW RAS BEEN INSPECTED AND IS APPROVED 0 APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE El CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE OF WORK IS STARTED El RECALL FOR INSPECTION Ll $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST El STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR LI'NO PERmrr.STOP WORK.REMOVE CONSTRUCTION OR OBTAIN PERMIT'AND MAKE WORK COMPLY WITH ALL APPLICABLE CITY CODES A is -yn (pr THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN -CALENDAR DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220 Building El Planning El Engineering Fire Public Works Inspector Date White: Permit File Pink: Enforcement Buff- Applicant ,V EDA, El NOTIC TO PERMITTEE AND/OR OWNER DO NOT REMOVE 0 PARTIAL APPROVAL XCORRECTON REQUIRED Ej ENFORCEMENT VIOLATION Owner Permit Numbe Job Address— 4 E'_2 S -Site Contact 0 WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED Ll APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE L3 CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/011 THE NEXT PHASE OF WORK IS STARTED L3 RECALL FOR INSPECTION L3 $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR L3 NO PERmrr-STOP WORK.REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH ALL APPLICABLE CITY CODES 9) GJA r J\&O __'\ ( C z ,1(-c IL"i THE-�CTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN CALENDAR DAYS OR PENALTIES MAYBE APPLIED. FOR INSPECTION CALL 425-771-0220 Ll- Building 0 Planning 0 Engineering L) Fire 0 Public Works Date Inspector, White: Permit File Pink. Enforcement Buff- Applicant Westfall, John From: Westfall, John Sent: Friday, May 09, 2003 1:42 PM To: Smith, Mike Subject: 5th & Walnut Bldg 437 5th Ave S Mike: I finaled the sprinkler system. The elevator inspector was in today. FA acceptance still required next week. John 166 Chapter 4 - System Requirements Since dry pipe systems are installed ill Lire as . that are s*ect to freezinL(', any water oil Shollid be CiLlickly drained. Tile use that remains in tile piping after system operati otIll, of aler lo relliain oil the scat'of of pendent sprinklers Would allow a small all' zj'r tile sprinkler. the operating inechanism. This water w0LIld eVC11tUally 1'1-eCZC all(' '111P 1 C, Owever, if a sprinkler ill tile pendent Tile refore. pendent sprinklers are not permitted. 11 -inklers as all position is needed, then Exception No. I allows tile Use of listed dry spi -event water froin accumulating oil tile sprinkler's operatillo option. Dry sprinklers pi es tile firne it takes the Illechanism and in the drop nipple. This arrallge'lle'll 11111111111z systern to be returned to its operating condition. A lirilit is placed oil tile size of tile fitting .='i n o id trapping water on tile operating Used with a dry pendent sprinklei rder to avo C" Id in the drainage of dry pipe systems, 5-14.2.3 reqUireS piping lliechanislil. To fUrther a C! to be installed at a pitch. C01,111L WhCrC llsill'�' dry pipe systerris is Another consideration to be taken into ac the need to minimize tile obstructioll potelltial fronl 111tel-11,11 pipe scale that can break loose while tile pillinE! is being charged with water. The vvaicr velocities. experienced C islodc,0 pipe !;cajc zilla �arry it to the open when tile dry pipe valve opens are likely to d ( I ent Spl-inklel-S oil retUrn 111,11dS is pel-IlliLted bv Excepti )I sprinkler". Tile Use Of pCI)d the retun, bclld� "Dra"ch title . pipin(,. and No. -) as an alternative to dry Sprinklers when :io I" 0a.,11-1-ictions to In it heaLed arza. Tile I�ILII' \,vaterflow caused 1)), ',)Il)e scale t - 0 inipletriont TException No. ther unconinion. '['he conditions necessary is vvith I dry p:111C systern. One exL1111pic i, I cold storaae \\,al Se Ll -esollijbly is 11c"Iled. th�: "pi-lol"Icr pipe In if tile warehOLISC conwined ,in office that I)i C I , that area is also ill a heated area and the i-ell,lfn I)CIWk ,iptioll COUld b�� US I' - wall ';prinklers in dry pipe, preaciloilt Exception No. 3 allows listed horizontal side I it atel and combined dry pipe Preaction systerns. provided they �11-c it"s'alled `0 " L w - is - a'- to avoid not trapped behind thern. if these sprinklers Lire ins.talled in SUch J Marine' ' ale. and sediment, then no compellin-g to restrict the aCCLIMUlatiOn of water, sc their Lise in this applicLitioll is evident. 4-2.3* Size of Systems. A-4-2.3 The capacities of the various sizes of pipe given in Table A-4-2.3 are for convenience I in calculating the capacity of a system. 4-2.3.1* Volume Limitations. Not more than 750 gal (2839 Q system capacity shall be controlled by one . dry pipe valve. Exception: Piping volume shall be permitted to exceed 750 gal (2839 L) for nongridded systenl� if the system design is such that water is delivered to the system test connection in not MOO than 60 seconds, starting at the normal air pressure on the system and at the time of full) opened inspection test connection. I ith capacities of 500 gal (189-" A-4-2.3.1 The 60-second limit does not apply to dry systems W . ed Withl Q or less, nor to dry systems with capacities of 750 gal (2839 Q or less if equipp aick-opening device. 1999 Automatic Sprinkler Systems W . 4-2 * Dry Pipe Systems FWle A-4-2-3 CaPacily of One Foot of Pipe (Based on Actual Internal Pipe Diameter) Nominal Pipe Nominal Pipe Pipe Pipe Diameter Schedule Schedule Diameter Schedule (in.) 40 (gal) Schedule 10 (gal) (in.) 40 (gal) 10 (L'all 3 14 0.028 3 0.383 0.433 1 0.045 0.049 3 V2 0.513 0.576 1 V4 0.078 0.085 4 0.660 0.740 1 V2 0.106 0.115 5 2 0.174 1.040 1.144 0.190 6 1.501 1.649' 2 V2 0.248 0.283 8 a 2.66 2.776c For Sl units, I in. 25.4 mm; I ft 0.3048 , I gal 3.785 L. 'Schedule 30. bO.134 wall pipe. cO.188 wall pipe. The reqUirenneill perillij,' ,III-- [Ile Ll,C ofCjjeCk v;dVes to sub(livicle a sNislem lwo less than 7�O (,,,I z' L') ""' lt:lli0%'UC1 fl-0111 NI"PA 13 ;rl 1987. Conce b. oicl leaking v Crcheck %-�ilvcs a1l,,j (!eIII\ ill,, he Irip tirile 1)' though this prac( rompte(I tills rel,10% I. z� ice is ,�ill iciciltincd lol-Corribilic(I (:11-\ I)II-)e il:l(I 4-4.4. Pl,eaC11011 syster-f, I ])� it is not collsidCn:d f-)r 1)11)e SN slvill-'� I l0WCvCl-, NFI` 110t prollibli tile LISC )I' Cjj��C,1� 'A SLINfivi(le tile sys .111 so th�lt tile J- water C101111TIA, - (I IV( -" o %%� ("' !ilk�: e\CT!:0;'1 it) A-4-1.3. I be nle[. Ile!- walel tCSIS 111LIS1 hi-� C(,jjjtjt-; - W(� -11!V 0al ('839 U. W"Cl CX J;ll 1:1L ("(L,;A%'llL1 %�'jfler �Ic a perloclic basis. it The ith dry ill, nk Ici sysk:?!I� ta-l-le of their LISc. 'I Ills dclav coll,�j�*: ol 1%vo pill'is—the little "'KeS f0l. tile d:-V Valve to operate all(I tile little il [��ikc-,; I* valve operates. '110 . coil-il)CIlsale f (�" "'aler to rc�tcll ille open sprinkler on"C,, ;".-2 SUCh as 11111ilati ()r 111csC (Ielays� NFPA 131 rCOLlireS cCl-llill Ons oil SYSICIll vollillic. tile "I 1.11al lilt ion of olli("k-openillo 4-2-4). tile LISC �Wljjore coj,SCI-��'jt, z:1 8-4.4.5), and a lan, '\�C C factors for hydral.1liCallY CaICLlIaled systert-1:, ccr al -Ca (see 7-2.3.2.6). Dry pipe systellls arc'Iilll,1c(I w 1 10 't illlxilllLllll Voll-lille of 750 gal (2-839 L). JjJS VOILIme lirilitalioll Call I)e CXCee(le(I (ICI,Vel Y to (Ile inspector's test C01111CLAi011 can be achleved in 60 secolicls 0,- less. The 60-second water (Jelivery is lot reqjllrc�l where tile 750-oal (2839-L) V011.1111C filylilal' 1011 is not excee(le(l. Sortle (Iry Pipe systems with capacities less than 750 ,al (�2839 L.) call take Lip to 3 miriLlIeS J() (Jeli%,Cl, to the 'llsl)ector�s test c0l"Icclion. which is consi(lerecl acceptable. For those desioriers wishil, z:� Z7 10 excec(I the 750-oal (2839-1-) lililit. 771c Handbook prolectioll Ell "incerill provi 01-1111.11a Ile ICI)Ltil Q�l 14 Automatic SPrinkler Systems Handbook 1999 167 Westfall, John From: Westfall, John Sent: Wednesday, May 07, 2003 1:26 PM To: Snook, Mike Cc: Smith, Mike; Bullis, Ann Subject: 437 5th Ave S. (Final) Mike: I'm scheduled for FS and FA finals on Friday at 0900. Today I witnessed hydrostatic test for steel pipe on 1 st floor and garage areas. They back flushed the FDC. I have a punch list of sprinkler items (seismic bracing deficiencies, pendant lengths, drain valve access, and unprotected area problems. Sprinkler (hopefully) will have completed by FS/FA 0900 final on Friday. John -,- 1Q n LA - E . 10 NOTIC TO PERMITTEE AND/OR OWNER DO NOT REMOVE W"PARTIAL APPROVAL Of CORRECTON REQUIRED ENFORCEMENT VIOLATION 017 -1 - 7, Owner Permit Number 5;pdf Job Address- sMv A-Y,- 5- Site Contact. :�;/4 17-0, Fi CE El WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED L3 APPROVED PLANS AND JOB CARD MUST BE AVAILA13LE TO INSPECTOR ON SITE Or-Ic'O'RRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE OFWORKISSTARTED V/64t fZ� L40 29 RECALL FOR INSPECTION 0 $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST L3 STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR L3 NO PERmrr-sTop WORK.REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH ALL APPLICABLE CITY CODES &ST6-mc 4 EM- C/v,-:5;K 6-45�-� Lae, --t 6� Fn-L&-v-vvC- LoCx 6 Qr Pre> OV5 E42,1P P40 T&i-D 47�q T-4�iv 4) Pjuv'46 C&v6C46-6 oe— F19P., Fye� EAAA� POO, P-6i6gusr DR-&P L0v-&�nf:� IIJ 0�00,-4-C , 4r, THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN CALENDAR DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220 Building Planning L3 Engineering GI"Fi-re L3 Public Works :TO N'V Tl:�ILL-- #LTI Inspector Foe-r=7 5h �031)ate White: Permit File Pink: Enforcement Buff- Applicant SMITH FIRE SYSTEMS, INC. C-%Py BUS (360)651-7701 3813 - 168th Street NE - Suite 1 U FAX (360) 651-2419 Arlington, WA 98223 Contr. Reg. No. SMITHFS1360T DRY SYSTEM CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROJECT NAME I STH & WALNUT MIXED USE JOB NO. Nlk - 159 PROJECT ADDRESS 4,-�)Ze5TH' AVENUE -SQUTHI� EDMONDS, WASHINGTON 98020 SYSTEM NO. I SERVES PARKING LEVEL PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owner's representative. All defects shall be corrected and systems left in service before contractor's personnel finally leaves the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor. It is understood that owner's representative's signature in no way pre.iudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. AUTHORITY HAVING CITY OF EDMONDS JURISDICTION 121 5TH AVE. NO., EDMONDS, WA. 98020 PIPE AND PIPE CONFORMS TO NFPA 13 - 1996 STANDARD (EYES [__1 NO FITTINGS FITTINGS CONFORM To NFPA 13 - 1996 STANDARD [B YES EINO WELDED Do you certify as the sprinkler contractor that welding procedures comply with the requirements of at least (0 YES El NO AWS DI 0.9, level AR-3? PIPING U) Do you certify that the welding was performed by welders qualified in compliance with the requirements of at [E YES EINO W >_ leastAWS D10.9, level AR-3? E9 YES (_1 NO LL Do you certify that welding was carried out in compliance with a documented quality control procedure to EN YES [:1 NO ensure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? HYDROSTATIC TEST HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi for two hours or 50 psi above static pressure in excess of 150psi for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HOURS? (EYES El NO IF NO, STATE REASON FOR 0 S TEST WITNESSED BY SIGNATURE DATE TITLE PNEUMATIC TEST PNEUMATIC: Establisli 40 psi air prissure and leasure drop which shall not exceed I Y2 psi in 24 hours. Test pressure tanks at normal water level and air pressure and mdasure air pressure drop w ich shall not exceed I % psi in 24 hours. DRY PIPING PNEUMATICALLY TESTED? 9@ YES El NO IF NO, STATE REASON FOR E TEST WITNESSED BY SIGNATURE (",�_.TITLE DATE S FLUSHING Underground mains and lead -In connections to system risers flushed before connection made to sprinkler piping. VERIFICATION VERIFIED BY COPY OF UNDERGROUND PIPING TEST CERTIFICATE? E YES 0 NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER P;PING? YES []NO [] OTHER — EXPLAIN ADDITIVE AND DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, CORROSIVE CHEM- SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS EYES [I NO ICAL VERIFICATION WERE NOT USED FOR TESTING SYSTEM OR STOPPING LEAKS? BLANK TEST GASKETS Number Used: 0 Locations Number Removed- YR.OF TEMP. MANUFACTURER TYPE MODEL MFG. K - FACTOR RATING . F QUANTITY RELIABLE SSU G 2002 5.6 165* 125 RELIABLE HSW G 2002 5.6 165* 1 RELIABLE DRY SSP G3 2002 5.6 165* 12 SPRINKLERS 138 ALARM DEVICE ALARM DEVICE MAX. TO OPERATE THRU TEST PIPE TYPE MAKE MODEL MIN. SEC. PRESSURE SWITCH POTTER ELECTRIC PS10-2 -7 DRY VALVE Q.O.D. DRY PIPE OPERATING MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TEST VICTAULIC 756 N/A NIA N N/A TIME WATER ALARM TIME TO TRIP* WATER AIR PRESSURE TRIP POINT REACHED OPERATED PRESSURE AIR TEST OUTLET, PROPERLY PRESSURE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO Without O.O.D. z With Q.O.D. IF NO, EXPLAIN *MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION VALVE IS OPENED. EQUIPMENT EQUIPMENT OPERATES PROPERLY YES NO OPERATION IF NO, EXPLAIN INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES 91YES El NO AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? 1 . SYSTEM COMPONENTS INSTRUCTIONS [10 YES 0 NO 2. CARE AND MAINTENANCE INSTRUCTIONS (EYES Ej NO 3. NFPA 25 YES @ NO HYDRAULIC DATA NAME PLATE PROVIDED YES [I NO NAMEPLATE IF NO, EXPLAIN CUT OUT (DISC) DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THATALL CUT OUTS (DISCS) ARE EIYES 0 NO RETRIEVED? CERTIFICATION IF NO, EXPLAIN LOCATION & MAKE & PRESSURE FLOOR MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVEINSTALLED [:1 YES 11 NO IF POWDER DRIVEN STUDS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN YES NO POWDER DRIVEN SATISFACTORILY COMPLETED? STUDINSTALLED IF NO, EXPLAIN [I YES M NO IN-SERVICE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN DATE MAIN DRAIN READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE RESIDUAL PRESSURE WITHLVA1,VES IN TEST PIPE TEST STATIC PRESARE: OPEN WIDE: PSI FINAL ACCEPTANCE FOR Cl� F SIGNATURE TITLE DATE TEST WITNESSED BY SM!iTH FIR� ms FOR SIGNATURE TITLE rAjo�� DATE CERTIFICATION I CERTIFY THAT THE INFORMATION HEREIN IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCORDANCE WITH RCE 18-160 AND THE RULES ADOPTED BY THE low. WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY te c"IfIc THE STATE FIRE MARSHALL. 9md 0 CIO fj TOM HINTON TOMMY Hinton i1l: 39171-2369 NAME OF CERTIFICATE OF COMPETENCY HOLDER (PRINT OR PE) on spli SIGNATURE OF CERTItICKrE (5F COMPETENCY HOLDER a8b c CERTIFICATE REGISTRATION # 391-11-2369 PERMIT# 2002-0235 DATE 3 SMITH FIRE SYSTEMS, INC. COPY BUS (360) 651-7701 3813.- 168th Street NE - Suite 1 FAY, (360) 651-2419 Arlington, WA 98223 Contr. Reg. No. SMITHFS1360T WET SYSTEM CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROJECT NAME I ATH P. WAI MIT MIXFD USF JOB NO. N1 r 159 PROJECT ADDRESS 437 5TH AVENUE SOUTH EDMONDS, WASHINGTON 98020 SYSTEM NO. 2 SERVES FIRST FLOOR PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owners representative All defects shall be corrected and systems left in service before contractor's personnel finally leaves the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor. It is understood that owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with app2!�a authority's requirements or local ordinances. AUTHORITY HAVING JURISDICTION CITY OF EDMONDS 121 5TH AVE. NO, EDMONDS, WA. 98020. PIPE AND FITTINGS PIPE CONFORMS TO NFPA 13 - 1996 STANDARD FITTINGS CONFORM TO NFPA 13 - 1996 STANDARD M YES 0 NO EJ YES NO WELDED PIPING [i YES El NO U) W Do you certify as the sprinkler contractor that welding procedures comply with the requirements of at least AWS D 10.9. level AR-37 Do you certify that the welding was performed by welders qualified in compliance with the requirements of at least AWS D 10. 9, level AR-3? Do you certify that welding was carded out in compliance with a documented quality control procedure to ensure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? IM YES NO ffg YES EINO M YES E] NO HYDROSTATIC TEST TEST WITNESSED BY HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi for two hoursor 50 psi above static pressure in excess of 150psi for two hou(s. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSIFOR 2 HOURS? YES [_1 NO IF NO, STATE REASON FOR __17L SIGNATURE TITLE gg �'I� DATE r FLUSHING VERIFICATION Und�rground ma)hs and lea? . -in connections to system risers flushed before connection made to sprinkler piping. VERIFIED BY COP7 OF UNDERGROUND PTING TEST CERTIFICATE? R1 YES NO FLUSHED BY INE ALLER OF UNDI NO SPRINKLER PIPING? 19 YES NO '4 N OTHER — EXPLAIN ADDITIVE AND CORROSIVE CHEM- ICAL VERIFICATION DO YOU CERTIFYAS THE SPRINKLER CONTRACTOR THATADDtTlVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEM OR STOPPING LEAKS? YES NO BLANK TEST GASKETS Number Used 0 Locations Number Removed 0 MANUFACTURER TYPE MODEL YR.OF MFG. K FACTOR TEMP. RATING 'F QUANTIT RELIABLE SSU G 2002 6.6 165* 4 RELIABLE SSP FIFR 2002 5.6 155* 95 RELIABLE HSW F1FR 2002 5.6 156* 11 RELIABLE DRY HSW G3A 2002 5.6 165* 4 SPRINKLERS TOTAL 114 ALARM DEVICE MAX. TO OPERATE THRU TEST PIPE ALARM DEVICE TYPE MAKE MODEL MIN. SEC. WATERFLOW SWITCH POTTER ELECTRIC VSR-F (2> la YES NO EQUIPMENT EQUIPMENT OPERATES PROPERLY OPERATION IF NO, EXPLAIN HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES YES NO AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? INSTRUCTIONS 1. SYSTEM COMPONENTS INSTRUCTIONS YES NO 2. CARE AND MAINTENANCE INSTRUCTIONS YES NO 3. NFPA 25 YES NO HYDRAULIC DATA NAME PLATE PROVIDED YES NO NAMEPLATE IF NO, EXPLAIN CUT OUT (DISC) DO YOU CERTIi:Y THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUT OUTS (CISCS) ARE YES NO RETRIEVED? CERTIFICATION IF NO, EXPLAIN LOCATION & MAKE & PRESSURE FLOOR MODEL SET-TING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVEINSTALLED CIYES N NO IF POWDER DRIVEN STUDS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN YES [I NO POWDER DRIVEN SATISFACTORILY COMPLETED? STUDINSTALLED IF NO, EXPLAIN CIYES 0 NO IN-SERVICE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN 0 DATE MAIN DRAIN READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE RESIDUAL PRESSURE WITH VALVES IN TEST PIPE TEST- STATIC PRESSURE: PSI OPEN WIDE PSI Cj Cb FINAL ACCEPTANCE FOR SIGNATURE %ED 7')' TITLE DATE j TEST WITNESSED BY FOR S I HFI E Y TEMS SIGNATURE TITLE DATE CERTIFICATION I CERTIFY THAT THE INFORMATION HEREIN IS TRUE AN D THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCORDANCE WITH RCE 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY THE STATE FIRE MARSHALL. to& Inc. ceni..cal, e t,..d 0 TOM HINTON NAME OF CERTIFICATE OF COMPETENCY HOLDER (PRINT OR TYPE) Wpm— - Oft m gpow.!� usp IV t4rocleh SIGNATURE OF CERTIFICATE OF COMPETENCY HOLDER Decc vo'o CERTIFICATE REGISTRATION# 391-11-2369 PERMIT # 2002-0235 DATE 03 SMITH FIRE SYSTEMS, INC. 3813 - 168th Street NE - Suite 1 Arlington, WA 98223 COPYBUS (360) 651-7701 FAX (360) 651-2419 Contr. Reg. No. SMITHFS1360T WET SYSTEM CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROJECT NAME I S;TH F. WALNUT MIXED USE JOB NO. NI - 159 PROJECT ADDRESS 437 5TH "ENUE SOUTH EDMONDS, WA. 98020 SYSTEM NO. 3 SERVES SECOND FLOOR PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owner's representative All defects shall be comected and systems left in service before contractor's personnel finally leaves the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor. It is understood that owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship. or failure to comply with approving authority's requirements or local ordinances. AUTHORITY HAVING JURISDICTION CITY OF EDMONDS 121 STH AVE. NO., EDMONDS, WA. 98020 PIPE AND FITTINGS PIPE CONFORMS TO NFPA 13 - 1996 STANDARD FITTINGS CONFORM TO NFPA 13 - 1996 STANDARD EYES El NO YES NO WELDED PIPING YES NO U) W >_ Do you certify as the sprinkler contractor that welding procedures comply with the requirements of at least AWS D1 0.9, level AR-3? Do you certify that the welding was performed by welders qualified in compliance with the requirements of at least AWS D1 0.9, level AR-3? Do you certify that welding was carded out in compliance with a documented quality control procedure to ensure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed. and that the internal diameters of piping are not penetrated? YES NO EYES [I NO EYES []NO HYDROSTATIC TEST TEST WITNESSED BY HYDROSTATIC: Hydrostafic tests shall be made at not less than 200 psi for two hours or 50 psi above static pressure in excess of 150psi for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. AJI aboveground piping leakage shall be stopped. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSIFOR 2 HOURS? M YES C] NO IF NO, STATE REASON FOR D 0 S SIGNATURE M � TITLE DATE !Vj 10_3 FLUSHING VERIFICATION Under0round mainis and le;an connecUons to system risers flushed before connection made to sprinkler piping. VERIFIED BY COPY Of UNDERGROUND PIP G TEST CERTIFICATE? YES [I NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING? YES'[] NO OTHER — EXPLAIN ADDITIVE AND CORROSIVE CHEM- ICAL VERIFICATION DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEM OR STOPPING LEAKS? - YES [:1 No", BLANK TEST GASKETS Number Used 0 Locations Number Removed 0 SPRINKLERS MANUFACTURER TYPE MODEL YR.OF MFG. K FACTOR TEMP. RATING *F QUANTI7 RELIABLE RECESSED SSP F11RES 18 2002 3.9 155* 142 RELIABLE DRY HSW G3A 2002 5.6 165' 9 151 ALARM DEVICE ALARM DEVICE MAX. TO OPERATE THRU TEST PIPE TYPE MAKE MODEL MIN. SEC. WATERIFLOW SWITCH POTTER ELECTRIC VSR-F EQUIPMENT EQUIPMENT OPERATES PROPERLY E YES El NO OPERATION IF NO, EXPLAIN HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES YES [I NO AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? 1. SYSTEM COMPONENTS INSTRUCTIONS N YES 0 NO 2. CARE AND MAINTENANCE INSTRUCTIONS 9 YES [I NO 3. NFPA 25 [1 YES.M NO HYDRAULIC DATA NAME PLATE PROVIDED YES NO NAMEPLATE IF NO, EXPLAIN CUT OUT (DISC) DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE T 1 0 ENSURE THAT ALL CUT OUTS (DI SCS) ARE YES NO RETRIEVED? CERTIFICATION IF NO, EXPLAIN LOCATION & MAKE & PRESSURE FLOOR MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVEINSTALLED 0 YES M NO IF POWDER DRIVEN STUDS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN 0 YES 0 NO POWDER DRIVEN SATISFACTORILY COMPLETED? STUD INSTALLED IF NO, EXPLAIN 0 YES 0 NO IN-SERVICE DATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPE N o3 MAIN DRAIN READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE RESIDUAL PRESSURE WITH VALVES IN TEST PIPE TEST STATIC PRESSURE: PSI OPEN WIDE PSI FINAL ACCEPTANCE FOR 0 SIGNATURE -5 TITLE f r--z 02,C,-� 9 4-tL DATE TEST WITNESSED BY FOR FTO S*STEMS SIGNATURE - TITLE DATE 1 §AL3 CERTIFICATION I CERTIFY THAT THE INFORMATION HEREIN IS TRUEAND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCORDANCE WITH RCE 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY gem& Ift THE STATE FIRE MARSHALL. certl L-d 11 TOM HINTON hk 'ramm) Hinton NAME OF CERTiFICATE OF COMPETENCY HOLDER 391-11-2369 to, 4 (PRINT OR TYPE) VA, sll-l-- V-0 SIGNATURE OF CERIiIFICATE OF COMPETENCY HOLDER CERTIFICATE REGISTRATION# 391-11-2369 PERMIT# 2002-0235 DATE SMITH FIRE SYSTEMS, INC. Copy BUS (360) 651-7701 3813 - 168th Street NE - Suite 1 FAX (360) 651-2419 Arlington,. WA 98223 Contir. Reg. No. SMITHFS1360T WET SYSTEM CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROJECT NAME I CTH k WA I tJI IT Rinym I I-ql= JOB NO. NI - 159 PROJECT ADDRESS 437 6TH "ENUE SOUTH EDMONDS, WA. 98020 SYSTEM NO. 4 SERVES THIRD FLOOR PROCEDURE Upon completion of work, Inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owners representative All defects shall be corrected and systems left in service before contractors personnel finally leaves the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor. It is understood that owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to COMDIV with approving authority's requirements or local ordinances. AUTHORITY HAVING JURISDICTION CITY OF EDMONDS 121 5P AVE. NO., EDMONDS, WX 98020 PIPE AND FITTINGS PIPE CONFORMS TO NFPA 13 - 1996 STANDARD FITTINGS CONFORM TO NFPA 13 - 1996 STANDARD YES 0 NO YES 0 NO WELDED PIPING EH YES 0 NO W >_ Do you certify as the sprinkler contractor that welding procedures comply with the requirements of at least AWS DI 0.9, level AR-3? Do you certify that the welding was performed by welders qualified in compliance with the requirements of at least AWS DI 0.9, level AR-3? Do you certify that welding was carried out in compliance with a documented quality control procedure to ensure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? YES [:]NO (IM YES ONO M YES 0 NO HYDROSTATIC TEST TEST WITNESSED BY HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi for two hours or 50 psi above static pressure in excess of 150psi for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSIFOR 2 HOURS? 91YES 0 NO IF NO, STATE REASON FOR 0 DS SIGNATURE TITLE DATE FLUSHING VERIFICATION Unferground Mains and�adln connections to system risers flushed before connection made to sprinkler piping. VERIFIED BYCOF)YOF UNDERGRO N IPING TEST CERTIFICATE? M YES 0 NO U PI FLUSHED BY INSTALLER ND SPRINKLER PIPING? YES [:1 NO OTHER — EXPLAIN ADDITIVE AND CORROSIVE CHEM- ICAL VERIFICATION DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEM OR STOPPING LEAKS?, 9 YES C] No" BLANK TEST GASKETS Number Used 0 Locations Number Removed 0 SPRINKLERS MANUFACTURER TYPE MODEL YR.OF MFG. K -FACTOR TEMP. RATING *F QUANTIT RELIABLE RECESSED SSP FI/RES18 2002 3.9 155* 142 TOTAL 142 ALARM DEVICE ALARM DEVICE MAX. TO OPERATE THRU TEST PIPE TYPE MAKE MODEL MIN. SEC. WATREFLOW SWITCH POTTER ELECTRIC VSR-F 3.2 EQUIPMENT EQUIPMENT OPERATES PROPERLY 0 YES El NO OPERATION IF NO, EXPLAIN HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES 9 YES Cl NO AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? 1. SYSTEM COMPONENTS INSTRUCTIONS YES NO 2. CARE AND MAINTENANCE INSTRUCTIONS YES NO 3. NFPA 25 YES NO HYDRAULIC DATA NAME PLATE PROVIDED YES NO NAMEPLATE IF NO, EXPLAIN CUT OUT (DISC) DO YOU CERTIFY THATYOU HAVE A CONTROL FEATURE TO ENSURE THATALL CUT OUTS (DISCS) ARE ' ' - " " ' E YES NO RETRIEVED? CERTIFICATION IF NO, EXPLAIN LOCATION & MAKE & PRESSURE FLOOR MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE REDUCING INLET (P UTLET(PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVEINSTALLED YES NO IF POWDER DRIVEN STUDS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN 0 YES 0 NO POWDER DRIVEN SATISFACTORILY COMPLETED? STUDINSTALLED IF NO, EXPLAIN []YES IM NO IN-SERVICE DATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN MAIN DRAIN READING GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE RESIDUAL PRESSURE WITH VALVES IN TEST PIPE TEST STATIC PRESSURE: PSI OPEN WIDE 170 PSI FINAL ACCEPTANCE FOR s Irs m-rf SIGNATURE IOU/ TITLE f; ^-vj4C4tL DATE TEST WITNESSED BY FOR TH VIR TEMS SIGNATURE 10h ne I , j --I TITLE DATE CERTIFICATION I CERTIFY THAT THE INFORMATION HEREIN IS TRUE.AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED IN ACCORDANCE WITH RCE 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY Inc ;41 THE STATE FIRE MARSHALL. ce"I Laid TOM HINTON TOMMY Hinton NAME OF CERTIFICATE OF COMPETENCY HOLDER 391-11-236 42 (PRINT OR TYPE) 12 sip— - spli SIGNATURE OF 6E�IF16A—I'E OF COMPETENCY HOLDER h CERTIFICATEREGISTRATION# 391-11-2369 PERMIT# 2002-0235 DATE SMITH FIRE SYSTEMS, INC. COPY BUS (360) 651-7701 3813 - 168th Street NE - Suite 1 FAX (360) 651-2419 Arlington, WA 98223 Contr. Reg. No. SMITHFS1360T FIRE SPRINKLER SUPPLY LINE CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR UNDERGROUND PIPINq PROJECT NAME FIFTH & WALNUT BUILDING JOBNO- NI - 159 PROJECT ADDRESS 437 Fifth Avenue Edmonds, Washington PROCEDURE Upon completion of work, inspection and tests shall be made by the contractors representatives and witnessed by an AHJ and/or owners representative. All defects shall be corrected and systems left in service before contractors personnel finally leaves the job. A certificate shall be filled out and signed by both representativ�.s. Copies shall be prepared for approving authorities, owners and contractor. It is understood that owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. AUTHORITY FOR Edmonds Fire Department HAVING JURISDICTION PIPE AND FITTINGS PIPE CONFORMS TO NFPA 13 & 24 STANDARD YES 0 NO FITTINGS CONFORM TO NFPA 13 & 24 STANDARD El YES El NO S TYPE & CLASS OF PIPE USED: Ductile Iron - Class 52 sw JOINT TYPES USED: Mega -lug / Mechanical Joint JOIkt FkESTftAINTS ALL PIPE JOINTS ARE RESTRAINED WITH Meaa-lua orF[anaedFiitinas IN ACCORDANCE WITH NFPA 13 & 24 El YES [:] NO IF NO, EXPLAIN FLUSHING Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets, such as hydrants and blow -offs. Flush at flows not less than 390'GPM for 4-inch pipe, 880 GPM for 6-inch pipe, 2440 GPM for 10-inch pipe, �nd 3250 GPM for 12-inch pipe. When supply cannot produce stipulated flow rates, obtain maximum available. UNDERGROUND PIPING WAS FLUSHED IN ACCORDANCE WITH NFPA 13 & 24 STANDARD [EYES El NO IF NO, EXPLAIN WATER FLOW FOR FLUSHING WAS OBTAINED BY PUBLIC WATER MAIN C] TANK OR RESERVOIR 0 FIRE PUMP F:r)p Edmnnd--, Firp Dpnartmpnt FLUSHING WITNESSED BY SIGNATURE _____�TITLE DATE HYDROSTATIC TEST Hydrostatic test shall be made at not less than 200 psi for two hours or at 50 psi above the static pressure in excess of 150 psi for two hours. UNDERGROUND PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HOURS 09 YES E] NO IF NO, EXPLAIN JOINTS COVERED AT TIME OF TEST P(YES ONO IFYES,EXPLAIN CAyt.—,z FOR Edmonds Fire Department HYDROSTATIC TEST WITNESSED BY SIGNATURE TITLEJ�C DATE /"-V _Z LEAKAGE TEST LEAKAGE: NEW PIPE LAID WITH RUBBER GASKETED JOINTS SHALL, IF THE WORKMANSHIP IS SATISFACTORY, HAVE LITTLE OR REQUIRED NO LEAKAGE AT THE JOINTS, THE AMOUNT OF LEAKAGE AT THE JOINTS SHALL NOT EXCEED2 OTS. PER HOUR PER 100 JOINTS IRRESPECTIVE OF PIPE DIAMETER, THE LEAKAGE SHALL BE DISTRIBUTED OVERALL JOINTS. IF SUCH LEAKAGE OCCURS ATA FEW YES 0 NO 0 JOINTS, THE INSTALLATION SHALL BE CONSIDERED -UNSATISFACTORY AND NECESSARY REPAIRS MADE. THE AMOUNT OF ALLOWABLE LEAKAGE SPECIFIED ABOVE MAY BE INCREASE 1 FL. OZ. PER INCH OF VALVE DIAMETER, PER HOUR, FOR EACH METAL SEATED VALVE ISOLATING THE TEST SECTION, IF DRY BARREL HYDRANTS ARE TESTED WITH THE MAIN VALVE OPEN, SO THE HYDRANTS ARE UNDER PRESSURE, AN ADDITIONAL 5 FL. OZ. PER MINUTE LEAKAGE IS PERMITTED FOR EACH HYDRANT. TOTAL AMOUNT OF LEAKAGE MEASURED ALLOWABLE LEAKAGE OTS PER HOUR OTS PER HOUR HYDRANTS OF HYDRANTS INSTALLED ALL OPERATED PROPERLY 0 YES El NO -NUMBER MANUFACTURER MODEL TYPE INSTALLED YES [:1 NO 0 HYDRANT HOSE THREADS ARE INTERCHANGEABLE WITH El YES [I NO THOSE OF FIRE DEPARTMENT ANSWERING ALARM CONTROL VALVES WATER CONTROL VALVES LEFT WIDE OPEN YES NO IF NO, EXPLAIN IN SERVICE DATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN FOREMAN SIGNATURE DAT� REMARKS FINAL ACCEPTANCE 136 FOR SMI=MS CONTRACTOR'SREGI TRATIONNO. SMITHFS136 T SIGNATURE DATE Ale —TITLE FOR Ed-E-1-1 ds ir D I ment T7 - I reVr DATE SIGNATURE __., rv- . & , —TITLE— v- IV CERTIFICATION I CERTIFY THAT INFOR TION REIN IS TRUE AND THAT THIS UNDERGROU D SPRINtKER SY TEM SUPPLY PIPING WAS INSTALLED IN ACCORDANCE WfTlH RCW 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE THE STATE FIRE MARSHAL. Inc CODE AS ADMINISTERED BY slocoo. �tc cer" TOM HINTON Tomml "into NAME OF CERTIFICATE OF COMPETENCY HOLDER 391-h-2,469 (PRINT OR TYPE) SIGNATURE OF CERTIFICATE OF COMPETENCY HOLDER a S Tkot CERTIFICATE REGISTRATION# 391 -11 -2369 oftsh DATE 1 03 PERMIT#,400-2 -OLO 4 S SMITH FIRE SYSTEMS, INC. BUS (360) 651-7701 9TH3813 - 168th Street NE - Suite 1 COPY FAX (360) 651-2419 Arlington, WA 98223 Contr. Reg. No. SMITHFS1360T FIRE DEPARTMENT CONNECTION LINE CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR UNDERGROUND PIPIN9 PROJECT NAME FIFTH & WALNUT BUILDING JOB NO- N1 - 159 PROJECT ADDRESS 437 Fifth Avenue Edmonds, Washington PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representatives and witnessed by an AHJ and/or owner's representative. All defects shall be corrected and systems left in service before contractoes personnel finally leaves the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authodties, owners and contractor. It is understood that owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. AUTHORITY FOR Edmonds Fire Department HAVING JURISDICTION PIPE AND FITTINGS PIPE CONFORMS TO NFPA 13 & 24 FITTINGS CONFORM TO NFPA 13 & 24 YES NO TYPE & CLASS OF PIPE USED: Ductile Iron - Class 52 & Galvanized Schedule 40 Steel Pipe JOINT TYPES USED: Mega -lug & fainged JOINT RESTRAINTS Al I PIPPAOINTR AP9= PRqTPAim;:n WITH Mpn:% - lion A Flannarl IN ACCORDANCE WITH NFPA 13 & 24 E0 YES El NO IF NO, EXPLAIN FLUSHING Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets, such as hydrants and blow -offs. Flush at flows not less than 390 GPM for 4-inch pipe, 880 GPM for 6-inch pipe, 2440 GPM for 1 0-inch pipe, and 3250 GPM for 12-inch pipe. When supply cannot produce stipulated flow rates, obtain maximum available. UNDERGROUND PIPING WAS FLUSHED IN ACCORDANCE WITH NFPA 13 & 24 JN YES El NO IF NO, EXPLAIN FLOW FQR FLUSHINGWkS-OBTA, I.EQ BY PUBLIC WATER MAIN TANK OR RESERVOIR El FIRE PUMP -WATER .0 FOR Ed s F rtment tt FLUSHING WITNESSED BY . SIGNATURE TITLE 6 DATE = HYDROSTATIC TEST Hydrostatic test hall be mVe at no less than 200 psi for two hours or at 50 psi above the static pressure in excess of 150 psi for two hour UNDERGROUND PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HOURS YES [I NO IF NO, EXPLAIN "I JOINTS COVERED AT TIME OF TEST YES Jt`N`O IF YES, EXPLAIN A HYDROSTATIC TEST FOR Ed o 1) ent WITNESSED BY -7L- SIGNATURE TITLE DATE _�d 6-1) FIRF nPPARTMFNT FIRF nFPAPTuFNI r.oNNFrTlInN THRFJ�n.r ARF INTFRr.HANrr-ARI F YF,.; r-1 Nori CONNECTION WITH THOSE OF FIRE DEPARIIMENTAN�SWERING ALARM FINAL ACCEPTANCE FOR SMIT FIRE2WhMS CONTRACTOR'S REGISTRATION NO. SMITHFS1360T A SIGNATURE TITLE hQlk DATE 5)1? lZri me FOR Ed nt S� �J t/fl DATE —126 SIGNATURE TITLE -5 TION I CERTIFY THAT THE INFORMATION HEREIN IS TRUE AND THAT THIS UNDERGROUND SPRINKLER SYSTEM SUPPLY PIPING WAS INSTALLED IN ACCORDANCE WITH RCW 18-160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY THE STATE FIRE MARSHAL. NAME OF CERTIFICATE OF COMPETENCY HOLDER (PRINT OR TYPE) 4M A� SIGNATURE OF CERTIFICATE OF COMPETENCY HOLDER 0 DATE PERMIT# 00al , 0 1 ), "FA6 Inc e cer"ti Tommy Hinton .391-11-2369 0 a sp ask Decs Westfall, John From: Westfall, John Sent: Wednesday, May 07, 2003 1:19 PM To: Smith, Mike Subject: 437 5th Ave S. Ramp Gate Mike: I spoke with Geoffery Neff, owner of Edmonds Security who will be installing the ramp gate. You (maybe) had concerns regarding holding the gate open perhaps during firefighting operations. I suggested that he install the key pad.sequence that opens the gate and leaves it open into the building lockbox. John Fma- IN pott- 0� P.,6vm-orz. FJK� ALARI�A V"C-L t2-0V yj -50&4 13AC-K-U e A-L-VIV411:5- F"s 5mw�- IN IfRowt o� tLoseo -c,-ppq Atp,,ov7&q6c;, R&o* F-L641i PA-N�:L -Ta- Pl'5;-F0'Zf4 C-1-45V 1-0 i�tFUNT - 0-1,�— Vkv, Ck,(� # o C, G 64 p 4WWAf JZO I� I Ai A) 41t El MAA -�-, a FRI PCL-,AL�� PAM PaL 5vv?vq rM RPMEIVED DEC ',' 0 2002 COPYPERMIT COUNTER StAmoe GD�o qS45T" omm mulm L --F- -5*y4r� itJ '�M C; Mv"c.>T- -6A-C� - Ly Aax"E�-- 2D of -- -1.)o cxwm� �lb 06A-LME� L-S�C— CA-2 coeq -.5c- S ittf, Mike V From: Bullis, Ann Sent: Thursday, October 10, 2002 11:06 AM To: Smith, Mike Subject: RE: 5th and Walnut Smoke Control They are changing to hydronic — that's part of my correction too. There is NO communication between Universal Mechanical and the Job Superintendent. Universal keeps calling us wanting their permit and the superintendent has said for the last 2 weeks that they don't want to pick up the mechanical permit because the system will change. Go figure....For obvious reasons, I wish they would stay with additional doors at the elevators instead of launching into a smoke control system at this stage. Ann Bullis Assistant Building Official City of Edmonds (425) 771-0220 Ext. 1380 bullis@ci. edmonds. wa. us ----- Original Message ----- From: Smith, Mike Sent: Thursday, October 10, 2002 11:01 AM To: Bullis, Ann Cc: Westfall, John Subject: RE: 5th and Walnut Smoke Control Here is my response. John is out of the office today 1) NO 2)YES 3) This needs to be discussed at the meeting. 4) Same as above. Something you may not be aware of is the top two floors are possibly being changed from h-vac forced air heating to hydronics. What next? Fake cheese? ----- Original Message ----- From: Bullis, Ann Sent: Thursday, October 10, 2002 8:53 AM To: Westfall, John; Smith, Mike Cc: Snook, Mike Subject: 5th and W.alnut Smoke Control John and Mike, 51h and Walnut Mixed Use will be using the State amendment to UBC 1004.3.4.5 pressurizing the. elevator shaft in lieu of providing an elevator lobby or additional doors. Elevator pressurization requires compliance to UBC 905 (smoke control). This is a design change, as additional doors over the elevator openings were provided in the original design. Currently there are mechanical plans in for review, but I was informed by Kevin of Hammerworks (who has now been hired to supervise construction — superintendent #4) that the mechanical design will now be changing but that they will still be pressurizing the elevator shaft. So that I can guide them to submit the proper infon-nation I have the following questions: 1. Has anyone from the project talked to either of you about this? 2. Do you want to have a meeting with the mechanical engineer and fire alarm designer just as we did for Stevens MOB? 3. Do you want the smoke control system to be activated by smoke detection and flow of the sprinkler system? 4. What type of override or control capability of the system do you want? The Fire Alarm permit has already been issued for this project, therefore plans will need to be revised to coordinate with the smoke control system. I will be out this afternoon, but will be in Friday. Thanks Ann Bullis Assistant Building Official City of Edmonds (425) 771-0220 Ext. 1380 bullis@ci.edmonds.wa.us JQN-18-2001 09:17F FROM:TOM BAREER 7734899456 3 TO:14257757721 P:1/5 MOORE FIRE PROTECTION 18621. SE May Valley Road, Issaquah, Washington 98027 425-271-5598 Date: June 18, 2002 FAX Number of pages including cover sheet: 5 TO: City of Edmonds Fire Marshal AWL Mike Smith Telephone #: 425-771-0215 Facsimile #: 425-775-7721 FROM: Tom Barber Engineer Telephone 425-864-0617 Facsimile #: 773-489-9456 REMARKS: [I Urgent 0 For your review El Reply ASAP 0 Please comment Mike: Thanks for taking the time to answer my questions about the Bell Street Mixed use Project. As per Our conversation I have drawn up four different details showing the proposed location for the fire Department connection. The drawings also include a detail of the proposed underground. The location For the riser room is so close to the property line that we would like to install the underground without A Post indicating valve. To prevent system tamperin&the double check will be supplied with tamper switches on the operating valves. The new location we are proposing for the FDC still allows close proximity to the existing Fire Hydrant and will prevent the need to locate the outlet directly in from of the new commercial space Doorway. Thanks for taking the time to review this. Please give me a call if you have any questions or concerns Regarding the new location. . i I Sincerely yours Tom Barber Moore Fire Protection V, - Mt,�-18-2001 09:20P FROM:TOM SRRBER 7734899456 TO:14257757721 P:4/5 10" CL52 01. UNDERGROUND 3rd AVENUE 10" CL52 DI. UNDG. 3rd AVENUE z "r, a. x 0 0 -j LL Lu 0 13 a 106 ISOMETRIC VIEW NEHR.RATEDEXrrPA AGEWAY NEW 4"X 2-1/2"X 2-1/2" AUTO SPRINKLER CONNECTION T--ff SET AT 361@ Ap�qVE FINISHED R� GRADE OF SI'IJEWALK. a] I E2, 0 r- CA pl) 0 c z ol m 0 c z 0 m z c m u NEW 4"X 2-IrZX I r2" AUTO W 2- SPRINIKLER W14NMTlONSET AT 36' ABOVE FINISHED GRADE. D E TO FACf OUl TO 3RD. �_ I AVFNUl 4 2- rZ'BREAK CAPS V CE P4 ON POR 2 24 SUPPLYRISE GROU C; 400 X EDIN AT COMMERCIAL LEVEL, 21 NEW4"WETTAPI FIRE SPRINKLER RISER ROOM u 2D 9 04 CL52 DI. UND4 C, 4- DO LE GHIE� ASS E MBLY 0 > c < z m 31 Ff- 17 Z c: m SITE PLAN BELL STREET UP PROPEM LNG ANIV 4 02/14/2002 1j:43 3606512419 SMITH FIRE SYSTEMS PAGE 01 i ,MITH FIRE SYSTEMS, INC. 3 - 168th Street NE - Suite 1 41 Arlington, Washington 98223 (360)651-7701 * FAX (360)651-24ig CONTR. REG. NO, SMITHFS1360T FAXI- COVER SHEET DATE: FEB. 14, 2002 FAX #: TO: EDMONDS FIRE DEPT ATTENTION: MIKE S M I T,�� FROM: TOM HINT41N ( E-MAIL THINTON @ SMITHFIRE.COM) REFERENCE: FIFTH & WALNUT BUILDING SFS JOB #: N 1 - 15 9 M E S S A G E PLEASE FIND ATTACHED DATA ON U4PERGROUND PIPE, FITTINGS, UNI-FLANGE, MEGA -LUG RETAINER GLAND, VALVES, POST INDICATOR, Aj"D LINK SEAL. ALL ITEMS SUBJECT TO MANUFACTURER CHANGE, BUT ANY SUBSTiUTION WILL HAVE S �""E QUALITY I APPROVALS. NUMBER OF'IPAGEs 36 (INCLUDING THIS COVER SHEET) 02/14/2002 13;43 3606512419 SMITH FIRE SYSTEMS PAGE 02 mechaii,i*caljohit lqpe 4/ 21141f fDuctfle iron, For *ater and wastewater, .Fire Protectiq''n And Industrial Applications 1992 Edition .'Y % 4 02/14/2002 13:43 3606512419 SMITH FIRE SYSTEMS PAGE 03 0 0 Note U,S. P;pe neither manufactures nor recorrurtends the uBs of mechanical joint retainer glands. AD an aoeomrtiodation to our custornm and 00'Asulting engmem we 44D provide- retainer glands for use where specified. Any warranties for t1wte glands sold b� U.S. Pipe sha be th"e warr&ntiee gi giZd, liy he ulM Inainufacturer of the 'volv� PEPE MAKES NO WARRANTIES, EXPRESS OR UEILMD, CONCERNING THOSE GLANDS, AND U.S. PIPE WILL ASSU.%1E NO LL4BU.M FOR THEM USE. We continue to offer other restrained jaint products, TR FLEX* Pipe and M Qnd-the FIELD tOr Gasket for us:,TA TTTON JODM Pipe 'and Fittings, Where medminical*tretainerglonds an spedfied, responsibilitcy for the perform&nce of the mtr==g means eh" be that of the manuhij*= of the slands. Mechanidal Joint Pipe for Water Mechanical joint pipe is a time -tested product providing a bottle - tight joint under all rated working pressures. Its long life and low annual maintenance cost have been proved beyond question. The joint is based on tbe,sbaffing box principle and consists of a bell with a flange cast integrally with it a cast iron gland; -a rubber gasket and the necessary bolts and nuts. Its design *m-dts considerable deflection as we'll as longitudinal expansion and contraction in the line without leakage. Ductile Iron mechanical joint pipe are centrifugally -cast in metal molds, in Sizes 4" - 24" in accordance with applicable requixementq of ANSI/AWWA 0151/A21.51. GASKETS, GIANDS AND BOLTS FOR MECHANICAL JOINT PIPE AND FITTINGS Accessories conforrn to applicable requirements of ANSI/AWWA CIII/A.21.11- AJ] gaskets Airnished for the mechanical joint are made to accurate dimensions under rigid controls and inspection. Plain tipped rubber gaskets are normally fiamished, however, gaskets for special applications can be fiamished upon request. Glands are made of special high quality gray or ductile iron under rigid metallurgical controls and inspections. USAU.OY@ bolts nonnally fimuBhed for the mechanical joint are low. alloy, high strezgth steel bolts having a minimum yield strength of 45,000 psi, In this use these bolts are cathodic to the pipe which rnin�es any corrosive tendencies. Other types of bolts and bolts for unusual requirements an finmi.phed to meet purchasers' specifications. . Gaskets, glands and bolts are ftwnished in sufficient quantities to provide for each awket opening on pipe and fittings. Note. If spedtzrs and users believe that cmTosive soilB will be enoountered Where ow prodtactia are to be �uizta.Ued. please refer bD ;2 ANSI/AWWA C105/A21.5 "Polyetbylexte Ence.seruent for Ductile Iran Piping for Water and Other Liquids," for pmper protec� pro-d—. W-1 02/14/2002 13.43 3606512419 SMITH FIRE SYSTEMS PAGE 04 Steps in AssembI4 of Mechanical Joi':,t Pipe Installation of mechanical joint pipe �hould be made following the instructions in ANSI/A'A'WA M and ANSI/AWWA CIII/A21.11. These photographs show clearly each 9f the five progressive stel pe W assembling mecharucal joint pipe. 1 . 2. 3. Brush socket, plain end and ga's with soam, water, then slip gland and 2sket over plain end. Small side of gaske t, and lip side of gland, face the socket Insert plain end Wo socket. J"ush into position with fingers, mahing eveyzlv seated. tighten nuts by hand MJ-2 H With ordmary ratche wrench, tighten up �olts* alternately (botto?n then top, and so on, a around). 5. The completed mochanical joint— bottle - tight under alt rated working pressures, flexible, time-sauing, Range of bolt torques to be applied Bolt Size (In.) Range of Torque (R-Lb) 3/4 75-90 02/14/2002 13:43 3606512419 Ductile Iron Mechanical JoinO Pipe Dimemaions of 4" through 24" Mechonical Joint Pipe M it I L � L't I �21! 0-1�" rJIM ' 5411 0 0.1 K7 J A SMITH FIRE SYSTEMS PAGE 05 Bolts Wt..w. Lbs. Size A 13 J 41 K2 L M S Bell Gland Bolts Gasket No, Size TAnOb 4 4.80 2.50 7.50 $06 9.12 .91 .76 .41 4 '/4 N2 13 10 6 6.90 1 2.50 9.50 1406 11,12 1 .94 M .43 6 % V2 18 16 8 9.05 1 2.50 11.76 1 31 13.37 .98 1.00 .45 6 1/4 4 .24 25 10 11.10 2.60 14.00 1j62 15.62 .98 1.00 .47 .3 4/4 4 31 30 12 13.20 2.50 16.26 1 .88 17-88 .98 1.00 .49 8 1/4 4 37 40 14 15-30 3.50 18.75 2,,:25 20-25 1 1.02 1-25 -51 10 41/2 61 1 45 16 17.40 3.50 2 1. (OWDO .50 2260 1 1,08 1-31 .52 12 ;/4 4"A 74 55 18 19-50 8-50 23.25 175 24-75 1,14 1.38 '53 12 8/4 41/2 85 65 20 21.60 3-50 25-50 NOO 27.00 1.20 1.44 .64 14 V4 Vi 98 85 24 25.80 UO 30.00 34.50 31.50 1.26 1.56 .56 .16 3w, 5 m 165 : 1 N=: Ductle iron 81tuxle an kmohed :�i with 4" - 24" Merhwokal Joint ductile imn pipe. mj-3 Dlmenatons In lowbee 02/14/2002 13:43 3606512419 SMITH FIFE SYSTEMS PAGE 06 Thicknesses, Dimebsions and Weights of Ductile Iron Meo"hanical Joint Pipe �11 0 MJ4 SMITH FIRE SYSTEMS PAGE 07 I 02/14/2002 13:43 3606512419 SSS CLASS 330 FITTINGS 23 U TAw Pipe Subsidiary of Tyler Corporation ;ili� MADE IN THE USA Ve.r Pipe/Utilities Division er,�,P.O.Box 2027 9 Tyler, Texas 75710 (903) 882-5511 02/14/2002 13:43 3606512419 Pe sitibsiidiory 61' Tlyler'Ccrporafion SMITH FIRE SYSTEMS t PAGE 08 TYLER DUCTILE [RON MECHA141CAL JOINT RETAINER GLANDS SAMPLE SPECIFICATION Mec6criiccl joint retainer glands shall be cost f. rn vcIi a iron no less than grode 70-50-6 QnJ shall comply wi&'�i Ii applicable Set provisions of AWWA/ANSI C I I O/A21 - 10 an. C I I I /A21 .11. screws shall be 5W NC thread, with forclue,s head, or 5 8" square head 601ts, with knurled cup -point, madb of 41AO steel and shall be hardened to Rockwell "C' scale A5-0. (Either set screw can 6e used on V-1 2" size; 6/8" square head roo.hred for I A"-30".) : . I d Wall ThIckness Note: Installation sioggestion3 0, e based oil use with class 53 ductile iron pipe; results I Ifferent classes or other pipe is used. I LISTINGS All sizes are listed by UL (Underwriters' Labor4lory),- 24M7. 3* throvgb 12' sizes FM approved. PHYSICAL DESCRIPTION Gland weight "tot Screws Sin, Pounds lRequired 0000 Set Screw Tee golfs Tee "Is Sizes Required' Sizes 3 5.0 '/BX2'/2 14 S/SX3 4 4 Vsx2lh 4 '/AX3'/2 6 6 1/sx2lh 6 '/40'/2 8 17.41 9 10 23.0 16 8 '/,txA 12 273 16 8 /,x4 I A AA.5 1 20 5/90/4 10 31AXA'12 16 64.0 'i t; 24 I/vxV/4 12 3/4x4'/2 18 62,0 1! 2A I/exV/A .12 3/,,x4'/2 20 76.0 28 14 /4X4/2 214 103.0 32 16 VtX5 30 180.0 40 3 /4x4 20 1x6 I Made for ductile iron pipe. 2. Specify too Wis and %�;kots when rgqUirod; these not norlillcl%/ supplied as parts of retainer glanoll. APPLICATION DATA Gland Fits Pipe, O.D. Size Inches 3 3.96 4 4.80 6 6.90 8 9.05 10 11.10 12 13.20 14 15.30 16 17.40 18 19.50 20 21.60 2A 25.80 30 32.00 Tyler Pipe/Utilities E Working set Screw Torque, Permissable Pressure Ft. Lbs. (an Class Teo Bolt Deflection PSI 53 Wall or Thicker) Torque, Ft. Liss.] Devoe Per Joint 350 90 AS-60 2'� 350 90 75-VO 20 350 90 75-90 2' 350 90 �5_90 20 250 90 75-90 2� 250 90 75-YO 20 250 90 75,90 10 200 90 75-90 14) 200 90 75-90 1 * 200 110 7S-90 10 150 110 75-90 1 . Ilso 200 75-90 10 3. AWWA recommended ion * P.O. Box 2027 Tyler, To xos 75710 (903) 88 2-5511 2-15-9A is a 02/14/2002 13:43 3606512419 SMITH FIRE SYSTEMS PAGE 09 AECHANICAL JOINT CLASS 350 FITTINGS SAMPtE SPECIFICATIONS 34 THRU 16' MECHANICAL JOINT DUCTIL !RON FtTTiNGS shall 6e produced in accordance wilk all applica6le terms and provisions ol� ANSI/AWWA Cl 53/A21.63 and ANSI/AWWA C I I I /A21 .11. Stando for 18" and larger diameters are pending. The worl�ing pressure rating shall 6e 350 F NOTE: fittings are cement -lined ord seal - coated in accordance with ANSI/AWWA C1 04/A21.4, ILE IRON TyW PIP0 Subsidiary of Tyler Corporation K 1 0 c F 0% K JOINT DIMENSIONS IN INCHES Size A Dia. B C Dic. D PIC. F Dij J Dia. K' Dia. K2 Dic. L M S T X Dio. Siza No- 3 3.96 2.50 A,8A 4.9A A-C 4 4.80 2450 5.92 6.02 4.9 6 6.90 2.60 8.02 8.12 7.0 8 9.05 2.50 10.17 10.27 9.1 10 11. 10� 2.50 12.22 12.3A .11.2 12 13.20 2.50 14.32 14.44 13.3 1A 15.30 3.50 16.40 16.5A 15.4 16 17.40 3.50 18.50 18.64 17.1 19 19,50 150 20,60 20.74 19,4 20 21.60 3.50 22,70 22.84 21.7 2A 25.80 3.50 26.90 27.OA 25.5 _TWI�Kll 90" Bonds 11 /4) 5-600 Dimensions Size T A R Wei 3 .34 4.5 4 ' . 35 5.0 6 .37 6.5 8 .39 7.5 10 .41 9.5 12 .43 10.5 I A .61 12,0 16 .62 13.0 18 .59 15.5 20 .60 17.0 N .62 20.0 2-15-94 A.0 20 4.5 26 6.0 AB 7.0 68 9.0 107 10.0 141 11.5 220 12.5 264 14.0 A10 IS.S 505 18.5 695 Vor F 6.19 7.62 7.69 .59 .62 7.50 V.06 9.12 60 .75 9.50 11.06 11.12 .63 .88 11.75 12.31 13.37 .66 1.00 14.00 15.62 15.62 .70 1.00 16.25 17.88 17.88 .73 1.00 18,75 2D.31 20.25 .79 1,25 21.00 22.56 22.50 .85 1,31 23.25 24.8-3 24.75 1,00 1.38 25.50 27.00 27.00 1.02 1.44 30.00 31.58 31.50 1.02 1.56 450 rids (1 /4) 22'/z" $ends 11 / 16) 5-609 Dimensions A R Dimensions A R .38 .34 31A I/sx3 4 .41 .35 7/, _ 1/4.01/2 4 A3 .37 7/, 3/,x3l/, 6 .45 .39 '/, 3/,0'1� 6 �A7 '41 718 '/4X3'/2 B .49 .43 7/2 3/4x3l 12 8 .66 .51 7/0 11,XA I () .57 .52 7/, 31,x4 12 .68 �59 I /, 3/,xA 12 .69 60 71s 1/4x4 14 .75 , .62 71a '/,xA'/2 16 2.00 3,62 16 1.50 A. 98 16 2.49 4.81 22 1.82 6.66 21 150 7.26 38 2.59 10-50 37 4.00 8.44 59 2.85 11-80 51 5.01 10.88 81 3.35 14.35 67 5.90 13.2S Ill 3.86 16-90 80 5.50 12-06 161 3.93 17.25 ]AS 5.98 13.25 202 3.98 17.50 179 7.50 1.4.50 289 7.50 30.19 292 8,00 16.88 348 8.50 35.19 364 9.0*0 18,12 475 9.00 37,69 A60 Division P P.O. Box 2027 a Tylw� Texas 7S710 *,(9931802-5511 n 111/4- (1/32) 5-611 Dimensions A R 1.25 7.62 15 1.55 10.70 20 1.81 13.26 33 2,06 1 5�80 AS 2.32 18.36 61 2.56 20.90 79 2,59 21.25 131 2.62 21.50 1.59 7.50 60,9A 287 8.50 71.07 346 9.00 76.12 A67 5-3 I 02/14/2002 13:43 3606512419 Tyw"0114117- 60 Subsidiory of Tyler Corporotion I BENDS 'A A � I 90' MJ x 7E Bend (1/4) 5-603 SMITH FIRE SYSTEMS PAGE ..10 2 MECHANICAL JOINT SSB-DUCTILE IRON CLASS 350 FITTINGS 91�1 MJ x Flange Bond 1114) A 5-60OF Dimensions Size T A R F Weight 3 .34 4.5 4.0 5.5 21 4 .35 5.0 4.5 6.5 28 6 .37 6.5 6.0 8.0 A6 9 .39 7,5 7.0 9.0 71 10 .41 9.5 9.0 11.0 121 12 .43 10,5 10,0 12.0 155 14 .51 12.0 11.5 1A.0 227 16 52 13.0 12.5 15.0 280 n Dimonsigrw T A y R Wek 3 .3A 4.5 10.0 A. 0 20 4 .35 5.0 10.5 4.S 25 6 .37 6.5 12.0 6.0 AS 8 .39 7.5 13.0 7-0 65 10 .41 9,6 15.0 9.0 109 12 .43 10.5 16.0 10.0 135 1 A .61 12,0 20.0 11.5 220 16 .52 13.0 21.0 12.5 254 18 .59 15.5 23.5 14.0 405 20 .60 17.0 25.0 15.S "S 2.4 .62 20.0 28.0 19.5 710 A 3. 4. 5. 6, 5. 6. 6. 7. 9. S-A T* P11pe/Wiries GLANDS Glands 5-690 Size Weight Sire We�hf 3 3 12 12 4 4 14 16 6 6 16 20 a 8 18 25 10 10 20 31 24 39 90' Swivel x MJ Hydrant Ell 7 5-698 IF C) Dimensions Size T A 6 c D E F R 'Weight 6 .37 10.5 15.5 7.10 11.2 6.90 8.02 6.0 86 woishl in-clucles Swivel 91ont:13. R y .45* Mj x PE Bend (114) 5-607 1- AA 221/2' MJ x PE Bend (1/16) 5-610 nernions Dimensions y R Weight A y R Weighl 7.5 3.62 16 1.50 7.00 4.98 16 8.0 4.81 22 7.82 7.32 6.66 20 9.0 7.25 37 2.58 8.08 13,60 3A 9.5 8.44 56 2.84 8.34 11.80 50 10.5 1C.88 83 3.35 8.85 14.35 66 11.5 13.25 108 186 9.36 16.90 87 13.5 12.06 165 3.93 11.93 )7.25 152 14.0 13.25 206 3.98 11.98 17.50 181 15.6 14.50 290 7,50 15.50 30.19 290 16.5 .16.88 340 0.50 76.50 35.19 34S 17.0 18,12 A60 9.00 17.00 37.69 AS$ ision - P.C. Box 2027 * T�Ier, Texa-. 75710 (903) 882-6511 El 111/4" M) X PE Bend (1/32) 5-612 Dimensions A y R 1.25 6,75 7.62 15 1.55 7.05 10.70 19 1.80 7.130 13.26 32 2.05 7.55 15-80 44 2.31 7.81 18.36 60 2.56 8.06 20.90 76 2.59 10.59 21.25 137 2.62 10.62 21.50 161 7.50 15.50 60.94 280 8.50 16.50 7).& 35S 9.00 17.00 76.12 450 02/14/2002 13:43 3606512419 SMITH FIRE SYSTEMS PAGE 11 E, Tr 'MECHANICAL JOINT SSB-OUCTILE IRON CLASS 350 FITTINGS TEES T, Jt - HI H . 'T MJ Too 5-620 $iry T T' I DiM4n3iQn* J1 J1 J, 3 .34 .3A 3� 3.50 5.50 ... 4x3 .35 .34 3. 4,00 6.50 Id .35 �35 4.. 4.00 6,50 ... 6x3 .37 .34 3. 5.00 8100 ... 64A 37 35 A. 5.00 8.00 ... 6 .37 .37 S. S.00 8.00 10.50 W .39 .34 A.. 6.50 9,00 8x4 .39 .35 4. 6.50 9100 8X6 39 .37 5. 6,60 9.00 11.50 a .39 .39 6.t 6.50 9.00 11.50 10x3 41 .3A A.q) 7.50 11.00 I OxA 41 .35 4.1) 7,50 11.00 10x6 A] 37 6,4,) 7.50 11.00 13,00 1 0X8 .41 .39 6.4) 7.50 11.00 13-00 10 A] A] 7. 7.50 11,00 17x3 43 .34 4. 8.75 12.00 12xA .43 .35 4. 1 8,75 12.00 - 120 .43 .37' 8.75 12.00 14.25 12x8 .43 39 6.... 8.75 12.00 14,25 12xi 0 43 .41 7.1 8.75 12.00 - 12 A3 A3 8. 8.75 12-00 ... 14x6 .51 .44 6. 10-50 14.00 16,00 1 AxS .51 AS 7.j 10-50 14.00 IWO .51 .46 a. 10.50 14.00 l,dxl 2 .51 .47 9.. 10-50 14.00 14 '51 .51 10.4 10.50 14.00 16x6 .52 .45 6.1: 11.50 15.00 17.00 16x8 S2 -46 11-50 15.00 16x1 0 .52 A7 fl: I].sd 15.00 16x1 2 .52 .48 9. 11.50 IS-00 16xl 4 .52 .51 10. 11.50 1 S.OD 16 .52 .62 1111. 11.50 15.00 2-1 S-PA TYW P111" Subsidia ry of Tyler Corporation CROSS 71 j, ,T, weights 5-620 5-623 5-625t 5-631 26 28 ... 33 32 34 38 35 38 42 47 S1 51 64 62 60 64 77 so 68 72 71 72 64 so 83 89- 1 D8 90. 94 116 120 83 88 83 89 98 93 107 113 118 111111 115 129 138 120 130 - 155 100 104 ... 1 DA 115 123 115 120 128 140 123 1A6 149 162 153 T74 ... 187 178 198 212 183 205 211 210 206 227 231 229 244 ... 255 235 276 269 281 302 ... 344 229 213 248 250 248 260 264 265 287 ... 286 281 312 ... 310 317 3AH 363 323 374 410 Tyler P*/Utili� . i DiAsion 4 P.O. Box 2027 a Tyler, Texas 757TO 0 (903) 982-5511 t Weights Include swivel gland .5-5: 1 02/14/2002 13:43 3606512419 Tyler Pipe Subsidiary of Tyler Corporation TEES (Continued) MJ Tee 5-620 SM17H FIRE SYSTEMS PAGE 12 MECHANICAL JOINT SSIB-DUCTILE IRON CLASS 350 FITTINGS DimensWns Weight* Size T 11 H J) JA J4 5-620 5-623 5-625 18x6 .59 A4 6.60 12.50 15.50 18.00 275 261 278 18x8 .59 �4s 7.50 �1; 12.50 ... 280 18XIO .59 ..47 8.50 12.50 ... 286 18X12 .59 .49 9.50 12.50 ... 370 18X14 '69 .66 10.50 12.50 ... ... d 15 18X16 .59 .57 11.50 12.50 ... 445 18 .59 59 12.50 12-50 20x6 .60 .44 7.00 14-00 17,00 19,50 335 345 358 20x8 .60 AS 0.00 14.00 ... 383 20X10 .60 .47 9.00 14.00 ... 410 20xl 2 .49 10.00 1,4.00 ... A32 20x14 60 .56 11.00 14.00 ... 475 20x 16 .60 .57 12.00 1A.00 ... ... 530 20xl8 .60 .59 13.00 14.00 560 ... 20 .60 .60 1 Id. 00 1A.00 ... ... 605 24x6 .62 .44 7.00 16.00 19.00 21.50 454 440 458 24x8 .62 A5 8.00 16,00 ... 475 24x10 .62 .47 9.00 16-00 505 2Ax1 2 62 '49 10.00 16.00 ... ... 5A5 ... 2Axl4 -62 56 11.00 16.00 ... ... 585 2Ax1 6 .62 .57 12.00 16.00 625 24xl8 .62 .59 13-00 16,00 ... ... ... 675 ... 24x2O .62 .60 15. 00 17.00 ... ... 7AO 24 .62 .62 17.00 17,00 830 t Weights include 1wivel gland. Swivel x Wid Adapter -VARIABLE�j 5-698 F. Size by Woll Laying Length 1hickness 'Weight 6XI3 .37 A7 6xig .37 so 6x24 .37 69 WA Swivel Gland. T�ar PipeAltilities Dik"ston r P.O. Box 2027 e T�er, Texas 75710 * (903) 882-5511 2-15-9d DI a 02/14/2002 13:43 3606512419 SMITH FIRE SYSTEMS PAGE 13 E MECHANICAL JOINT S CLASS 350 FiTTINGS WYES UCTILIE IRON Wyes '5-628 Dimesi3ions Size A y T T1 4-19hh 3 2.0 8.5 .34 .34 36 40 1.8 9,D .35 �34 40 4 2,5 9,5 35 35 A5 6x4 1.5 11.0 .37 .35 67 6 3. D 13.0 .37 .37 93 Bx4 0.5 13.0 .39 .35 �!93 BX6 2.0 145 .39- .37 8 3.5 16.0 .39 .39 .13 ; 36 1 OxA 0�0 15.0 A1 .35 1118 I Ox6 1.0 16.0 All 37 �,36 I oxe 2,5 17.0 41 .39 �.'70 10 3.5 19.0 A i All 99 1 2x4 0,0 16.5 .43 .35 50 120 1.5 18.5 .43 .37 1 2X8 1,5 18,5 .43 .39 186 88 1 2x 10 3.0 20.0 .43 .41 �23 12 4.5 22.5 A3 A3 V2 14x6 0.0 19.S S1 .44 56 1 US L5 21.0 51 .45 :86 1410 3.0 22.5 S1 .46 22 Z 1412 4.5 2A.0 .51 47 14 6.0 25.0 .51 .51 65 1 16x6 0,0 21,0 .52 .45 00 16x8 0.5 22.5 .52 .46 07 16x10 2.0 24.0 .52 A7 A-75 16xl 2 3.5 25.0 .52 AS 4`65 I&M 5.0 26.5 .52 .51 16 6.5 2810 .52 .52 �92 75 Not included in AWWA C1 53. 1 -Ver P�pe Subsidiary of Tyler Corporation REDUCERS L L L L r 1. 1 - --I T. 7 T T T iT mi xw MJ SEB MJ LEB PRxPE 5-63S 5-636 5-637 $-636 Dimensions $.635 S-636 5-637 5-638 Weights T T1 L L L L 5-635 5-636 5-637 5-638 W .35 .3A A.0 9.5 9,5 15.0 18 17 18 17 W .37 .34 5.0 10.5 10.5 16.0 26 25 27 20 6xA .37 .35 4.0 9.5 9.5 15,0 27 26 27 25 8x4 -.39 .35 5.0 10.5 10.5 16.0 36 34 36 33 8x6 .39 .37 4.0 9.5 9.5 15.0 AO 37 39 36 1 Ox4 .41 .35 7.0 12.5 12.5 10.0 47 46 A3 49 1 Ox6 A1 .37 5.0 10,5 10.6 16,0 47 48 52 A8 I US Al 39 4.o 9.5 9.5 15,0 54 52 52 47 12X4 .43 35 9,0 14.5 1A.5 20.0 67 61 68 60 1 2x6 .43 .37 7.0 72.5 12.5 18.0 67 58 66 58 12X8 .43 .39 5.0 10.5 10.5 16.0 6A 62 65 60 IWO .43 .41 4.0 9.S 9.5 15.0 78 62 65 59 146 .51 .44 9.0 17,0 14.6 22.5 108 107 112 109 14x$ .51 .45 7.0 15.0 12.5 20.5 104 107 108 101 14x10 .51 A6 5.0 13.0 10.5 18.5 100 102 100 96 14x1 2 .51 .47 4.0 12.0 9.5 17.5 100 101 100 99 16x6- .52 A5 11.0 19.0 16.5 2A.5 132 131 14A 128 16x8 .52 .46 9.0 17.0 14.5 22.5 132 128 136 132 16x10 .52 A7 7.0 15.0 12.5 20.5 128 12A 128 123 16x12 .52 .49 5.0 13.0 10.5 18.5 125 123 119 113 16x1A .52 .51 4.0 12.0 12.0 20,0 140 139 138 133 18x8 .59 .45 14.0 22.0 19.5 27.5 194 180 195 170 18x10 .59 A7 12,0 20.0 17.5 25,5 196 180, 185 175 18x 12 .59 A9 10.0 18.0 15.$ 23.5 185 170 190 181 l8x1A .59 .56 8.0 16.0 16.0 24.0 190 181 200 185 1 $x1 6 .59 .57 7.0 15.0 15.0 23,0 196 180 190 188 20Y,10 60 .47 14,0 22.0 19.0 27.5 225 210 210 185 20x 12 .60 .49 12,0 20.0 17.5 25.5 210 200 210 195 20x1 A .60 .56 10.0 18.0 18.0 26.0 208 198 205 195 20x16 .60 .57 8.0 16.0 16.0 24.0 225 215 222 212 20x1 8 .60 .59 70 15.0 16.0 23.0 233 220 225 210 24xl 2 .62 .49 16.0 24.0 21.5 29.5 310 300 310 290 2Ax1A .62 66 140 22.0 22.0 30.0 31.5 325 335 310 24x1 6 .62 .57 12.0 20.0 20.0 28.0 325 319 310 304 2418 62 59 10.0 18.0 18.0 26,0 312 310 315 304 24x20 .62 .60 8.0 16,0 16.0 24.0 315 305 307 304 Ver Pipe/utili4s DWision 6 R0. Box ?027 * T*r, Texcis 75710 # 1903) 882-5S I I 5-7 02/14/2002 13:43 3606512419 Tyw PIP4- Subsidiary of Tyler Corporation P LUGS & CAPS IJ T T 3"-12" 140-24" 3"-12" 14"-2 MJ Plus MJ Cup Solid 5-650 solid 5-65 2" Tapt S-652 2'Tapt 5-6 5 Weights Dimensions Mqx. 3-650 & 6-6 Size T Top 5-652 S-6 3 A6 2 - 8 4 .46 4 2 10 '3111' 6 .46 2 18 8 .46 2 26 2 10 .66 2 36 12 36 2 46 4 14 .62 2 79 9 1 i 16 '00 .62 2 00 9 18 .65 2 130 12 20 .66 2 153 1411' 2A .68 2 202 2C)t ADAPTERS L4 T Lz Size I 3 .3, 4 .1 6 .3; 8 .31 10 A 12 .4� MJ x FE FE x PE 14 16 .5 .5� 5-6S8 5-661 0� .. SMITH FIRE SYSTEMS PAGE 14 MECHANICAL JOINT SSB-DUCTILE IRON CLASS 350 FITTINGS SLEEVES T T _J. 1 4 1 t `7 L.2 Short Long 5-644S 5-644L Dimensions Weights $ize T Ll P 5-644S 5-644L 3 .34 7.5 12 13 19 4 35 7.5 12 17 25 6 .37 7.5 12 28 39 a '39 7.5 12 38 53 10 .41 7,5 12 A9 64 12 .43 7.5 12 56 82 14 _56 9.5 Is III IA1 16 .57 9.5 Is 137 172 18 .68 is 200 20 .69 ... is 269 24 .76 15 368 bimensions Ll V Weights 5,659 5-661 6 12 18 1 B 6 12 24 24 6 12 36 33 6 12 52 52 6 12 67 69 6 12 so so 6 12 126 127 6 12 166 149 CUTTING -IN SLEEVE T Size For Pipe Si 'i MJ x F Cutting -in Sleeve 5-645 Dimensions L L' T shippin CI Wt. Assem ed 4 4180-5.00 d.D. 10 9.5 .35 33 6 6.90-7.10 q.D. 10 9.5 .37 so 8 9,05-9.30 . D. 10 9,5 .39 67 0111 .40?' D. lo 9.5 .41 122 L 12 13.20-13,50( D, 10 9,5 = A3 157 Flanged ends are faced and drilled per ANSI/ I C110/A21.10. Mechankal joint ends are designed to receive both standard and':' rsize gray of dv6le iron pipe as I TAPPED TEE MJ 2" Tapped Tee 5-642 Dimensions Weights $izo T L Max. Top 5-642 3 .34 6 2 19 4 .35 6 2 23 6 37 6 2 37 8 .39 6 2 53 10 AI 6 2 68 12 A3 6 2 88 - I A .51 6 2 127 10 .52 6 2 164 shown above. Ver Pipe/1.1tilities, D4 ion 0 RO, Box 2027 a Ty6, Texas 75710 * 1903) 882-5511 2-15-94