510 FORSYTH LN (2)SNOHOMISH CO.
FIRE
ST
F-0 Pf L/ M Z-tj
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 510 Forsyth Lane 98020
BUSINESS NAME: Edmonds Camelot Condos
MAILING
ADDRESS: 510 Forsyth Lane, Edmonds, WA 98020
BUSINESS OWNER:
PHONE: 4257780410
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
9EDMONDS
Ll BRIER
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY STATION & SHIFT
Annual 17-B
SCHEDULED
DATEDUE I, Dec2015
UFIR � 428
EMERGENCY-1: Bradshaw, George HOME PHONE: 4257787210 CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS M
EMAIL: LICENSE 11-1 1:1
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: (F�l 1/ 5 F F D Lk Box SP 5/01
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
rJb C-
2
2
3
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5
3
4
5
6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire s�fety. Ab6ve'you
will find the item(s) that were noted during. our inspection which require attention to bring them into,compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations, of the fire regulations does not imply approval of such co/nditions or violation*.
I/
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
Aj
FIREiPREVENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION: REPORT
SNOI-10101SH CO� .9 .
FI RE
-
Mountlake Terrace
Everett, WA 98208
0 EDMONDS
0 BRIER
"777-'
Orr
RkrT
-
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[]UNINCORPORATED
16-3 J L
www.Fi.reDistrictl.org
Fax (425) 551-1272
LOCATION: .510 Forsyth Lane 98020
Edmonds Camelot Condos
BUSINESS NAME:
MAILING 510 Forsyth Lane, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER:
Bradshaw, George
EMERGENCY-1:
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
Date Last Serviced:\
rA 11) t 4t-T!3 X/-: U U: u U
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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4257780410
PHONE:
HOME PHONE:
4257787210
HOME PHONE:
HOME PHONE:
XE ETCY STYftA SHIF_')
n no uu a
SCHEDULED Dec 2016
DATE DUE II'
UFIR 10
CURRENT
CITY YES NO
BUSINESS F__j
LICENSE I I
INITIAL INSPECTION DATE
" �(,// 7
1
2
3
4
5
6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION VIOLATIONS
DATE DUE:
DATE DUE,
GRANTECTO,
DATE DUE: CITED:
PERSON
PERSON
PERSON
CONTACTED-
CONTACTED:
CONTACTED:
2
INSPECTOR,
INSPECTOR-
INSPECTOR:
DATE:
DATE:
3
DATE:
VIOLATIONS
VIOLATIONS
CITATION ISSUED
PRE -CITATION
1 ..5
1 5
4
LETTER SENT NUMBER,
CODE 5
2 6
2 6
DATE* SECTION*
RETURN RECEIPT
3 .7
3 7
RECEIVED 6
DISPOSITION.
7
4 8
4 8
DATE:
LETTER NEEDED [3 YES NO
LETTER NEEDED [] YES NO
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
S 7:
FREQUENCY STATION & SHIFT
LOCATION: 510 Forsyth Lane 36' '17 D
10 SCHEDULED
PHONE:
BUSINESS NAME: Edmonds Camelot Condos 42577804 DATE DUE 12/01110
MAILING 510 Forsyth Ln #406 UFIR P. 423 1,453
ADDRESS: Edmonds 98020
BUSINESS OWNER: Carlson, Sherrill HOME PHONE: 4257715626 PREFIrE
4257788281 A:._
EMERGENCY-1: Patrick HOME PHONE:
KEY ACCESS-2: HOME PHONE:
&PIERSON CONTACTED: INITIAL INISPECTION DATE
NAME OF INSPECTOF. 42
C' mo'4
FIRE FA 11/05 SP 5/01 FD,T-kf3x FE
T
SYSTEMS: ANNLNL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
A,
2 -/-v
2
3
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4
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1st RE -INSPECT
PATE DUE:
DN
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR.
INSPECTOR:
2
DATE:
DATE:
DATE:
3
�AOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
4
DATE:
D ISPOSITION:
7
8
LETTER NEEDED [-] YES E] NO
LETTER NEEDED YES NO
FIRE DEPARTMENT COPY
4i
11
C2MB
I N C:-
P.O. Box 5688, Lynnwood, WA 98046-5688 USA
(206) 367-1166 * FAX: (206) 771-4422
John We"I
City of Fidmonds Fire—Depasuitut!'.
5'h Ave N
Edwond.s, WA 98020
Re: Fire Alarm Panel V te-iAacxincatat TYL'o Chnie'10t.
Dear Sir:
RECEIVED
MAR -5 1997
EDMONDS FIRE DEPT.,
Miarch 4,1997
This letter is toinform you of the recessmy repia.cement of Lhe S.--jre.�dann.control panel. 71'hi.s action is.
due to a malftwaioning battefy cl--argJag circuzit Nvithin the p2ae!. We plar. to install a FCI FC12-2. T$ere
are no compatibility issues NvAb we new'Iyand of contir,! rp,,;viel. ITLe produc: bulletin for the new pariel is
attached to this ketter.
This facil ity is tocAted at �yt, -L-� ali, a ni6q ds, W?4!, I R 02, 0. 'ily; "', S1 P'Le el CoVi Cal pxrm i" A t tirkh-.-� r
for this work i., 90651.2.
We plan to inftall the pario -0-t the ss-attle 'o..,atioras tb-o vxistil'ig panel, if yTa have any qicstions.,
picase caH meat 711-1166.
Respectfull.y.
vil�
SkiD C-
sterns -"06a)'ist
7 .1z
C.
;,i
9
TM
RRE CGEROL
DESCRIPTION
The FC-72 Series Fire Alarm Control is a
proven, versatile, modular control which meets the
requirements of NFPA Standard 72 for Central
Station, Local, Auxiliary, Remote Station and
Proprietary Signaling Systems. It is Listed to UL
Standard 864, inherently power limited, meets all
UL transient immunity requirements, and is
suitable for releasing device service.
The control is housed in a heavy duty 16 gauge
steel enclosure finished in textured beige or op-
tional red with back lighted panels displaying the
status of vital functions. The surface mounted
enclosure, with its slim appearance (4-inch depth)
is designed to blend with any environment.
The many features of the FC-72 series control
provide a cost effective approach to systems
design, and allow a great degree of flexibility in one
enclosure. Many of these features include full su-
pervision, Style B (Class "B"), Style D (Class "A")
initiating circuits, with Style Y (Class "B") and
Style Z (Class "A") notification appliance circuits.
The modular concept offers total freedom of
systems configuration, ease of expansion, and com-
plete interchangeability of all standard modules.
Field expansion of an existing system is ac-
complished by the addition of plug-in modules for
initiating circuits, zone coding, "walk test", time
limit cutoff, system or zone verification, releasing
and additional notification appliance circuits. UL
Listed zone capacity is unlimited.
Supervision of vital components, plug-in
modules, functional switches and standby batteries
is provided. In addition, supervised outputs are
available for LED or incandescent remote alarm
annunciation and supervised remote system
trouble annunciation.
The FC-72 control is factory assembled and
tested.
APPROVALS
U.L. (Std 864)
S1869
FM
1KOA8.AY
NYC BS&A
960-81-SA
CSFM
7165-694:1
City of Chicago
2057E
OPERATING CHARACTERISTICS
Operating temperature 32 - 1200 F (0 - 490 Q
Relative humidity 85% (non -condensing)
BULLETIN 72-100/02-93
FC-72 SEMES
FIRE ALARM CONTROL
[2 1
in j-,11 p J� I;
FJ
1:u
FEATURES
• Suitable for releasing device service
• Inherently power limited
• Rugged reliability
• Plug-in modules
• Simple field expansion
• Field programmable configuration
• Unlimited zone capacity per UL
• 'Walk Test" capability (option)
• Alarm verification by system or zone
(option)
• Versatile performance
• Factory assembled
• Factory tested
269 GROVE ST NEWTON, MA. USA 02166-2295, TEL: (617) 965-2010 TELEX: 94-8212 FAX: (617) 965-0659
9020-0002
9 1:-
0
0
1-24 Zone
Ln 1-12 Zone
04
Cd
Capacity
00
m 11 .4 Zo�e
06 Capacity
N
0; Capacity
NOTE: Drawings
16—
are not to scale. ��4.10 0
;:;=21.00::Y14*0o
4*00
1-- ?1.00 —,)/
Cabinet Sizes
1-32 Zone
or
33-72 Zone
Capacity
-.e 4.00
30.00 r,
MODULE
DESCRIPTION
SUPV.
CURRENT
ALARM
CURRENT
BULLETIN
FC-72-1
1 - Zone Control Panel (1)
.063 A.
.370 A.
72-100
ADAM-6-1
AuxiliM D.C. Actuation Module
.013 A.
.073 A.
72-265
ADAM-6-2
Auxil iary D.C. Actuat-io n mo Idule
.026 A.
.133 A.
72-265
APS-6
Auxillmy Power Supply, 24 VDC/4A.
.020 A.
---
72-141
AVM
Alarm Verification Module
.012 A.
.030 A.
72-300
BCM-6
Notif ication Appliance Circuit Module
(2)
(2)
72-221
BMC-6
Master Coder Module
(2)
(2)
72-221
BMFC-6
Basic Master Fire Card
(1)
(1)
72-120
CCM-6
Common Coder Module
(2)
(2)
72-221
DMM
Diode Matrix Module
---
---
72-650
PNIS
Zone Coder Module
.012 A.
.150 A.
72-230
PS-6
Power Supply, 24 VDC/4A
---
72-140
RB-6
Auxiliary helay Module
---
.070 A. (4)
72-605
RDF
Releasing Device Interface
.002 A.
.047 A.
72-240
-RRT
Remote Reset Capability
(3)
(3)
72-120
RTI
Remote Trouble Indicator
.002 A.
.002 A.
72-500
-RZA
Remote Zone Annunciator (LED)
---
---
72-500
SAM
Subsequent Alar rn Module
---
---
72-250
SRB-6
Supervised Auxiliary Relay Module
.019 A.
.079 A. (4)
72-605
-SSM
Sprinkler Module
.027 A.
.069 A. (4)
72-200
-TBZ
Trouble By Zone Module.
003 A.
.021 A./Zone
72-620
TDS-438
-Time-Delay-Switch--
--.001-A-.------72-700
-VZM
Verification Zone Module
.010 A.
.175 A.
72-190
WTM
Walk -Test Module
---
.040 A.
72-305
ZDM
Zone Detector Module
(each additional Zone)
.006 A.
.163 A.
72-180
ZDM-D
Dual -Density Zone Detector Module
.018 A.
.298 A. (4)
72-182
ZMC-6
Zone Mother Card
---
---
72-160
NUTES:
(1) A Basic FC-72 system contains one (1) each of the BMFC-6, PS-6, ZDM, and one (1) each of the
BCM-6, BMC-6, or CCM-6.
(2) Included in BMFC-6 and/or ADAM-6 power requirements shown.
(3) Consult factory.
(4) With both circuits in alarm.
(5) Add 4" to height and width for trim dimensions of flush mounted enclosures.
Specifications are provided for Information only and are believed to be accurate. However, no responsibility Is assumed by Fire Control Instruments, Inc. for their use.
1-1
9020-0002
2