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522 ALDER STz z 0 �FIRE:PREVENTION Serving Brier, Edinonas, and 12425 Meridian Ave S 'INSPECTION REPORT SNORONIISH F1 Mountlake Terrace Everett, WA 98208 OEDMONDS [1 BRIER DIOry Phone (425) 551-1200 '(425) 0 MOUNTLAKE TERRACE [I UNINCORPORATED &0 a www.FireDistrict].org Fax 551-12 72 EQUENCY I STTfV SHIFT 522 Alder Street 98020 Tnnua LOCATION: Alderra Condos 2068546380 SCHEDULED JUR2017 BUSINESS NAME: PHONE: DATE DUE 422 MAILING UFIR lo ADDRESS: 522 Alder Street, Edmonds, WA 98020 Klan, Billie (#202) BUSINESS OWNER: HOME PHONE�. O'Brien, Terry 4257748243 e-- EMERGENCY-1: HOME.PHONE: 17 CURRENT YES NO KEY ACCESS-2: HOME PHONE: CITY BUSINESS F__j EMAIL: f 4-A LICENSE I 1 11 PERSON CONTACTED: INITIAL INSPECTION DATE 41 - /� ./ -7 NAME OF INSPECTOR: I­v'j A;r t I J11 Sc, Date Last Serviced: HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 41AMVtj +e5i, e�� 4-L;<- I—' ,+L (ra-v c-v t, !r- tt 4-e4.,, 2 2 .3 ............. 3 4 4 5 1 5 6 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 -INSPECTION EXTENSION VIOLATIONS DATE DUE. DATE DUE. GRANTEDTO- DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED - CONTACTED. INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE 3 DAT E: VIOLATIONS VIOLATIONS CITATION ISSUED PRE -CITATION 5 5 LETTER SENT NUMBER: 4 2 6 2 6 CODE DATE: SECTION 5 3 7 4 8 LETTER NEEDED [] YES El NO RETURN RECEIPT 3 7 RECEIVED 4 8 DATE. LETTER NEEDED [:] YES (I NO DISPOSITION 6 A CONFIDENCE TESTING C7= r7= 4�_ Protection Communications, Inc.. OCT 0 7 2016 FIRE ALARM SYSTEM (800) 774-9099 9 Fax (425) 774:-6317--- TEST REPORT www. prp'-POMM-Opline.,b��rp/�. C' NAME OF FA LITLY, A VJ -6 H 0 PHONTEiNq. 0 DATE INSPECTION ADDRESS;, 1 t ;� ), , All k Si CITY j ZIP % T()2fj OCCUPIEDAS �L-0-0� MONITX[D,,BY ACCT # L0 jrV' I 'A r C�r % — .3 TYPEOFTEST'f-,. ' ' /r PRO-COIV M LICENCE MONTHC�)[:] ""QUARTERLY SEMI ANNUALLr, ACCEPT El ANNUAL C,6 L( BATTERY VOLTAGE V TS BATTERY UNDER"' VOLTS IFULLILOAD CHARGE CIRCUIT _A VOLTS I 4; q ­ T U 7 ITEM YES -NO N/A ITEM YES NO N/A ITEM YES NO N/A CIRCUITS CHECKED SYSTEM WIRING CONFORMS ACJOFF_�t:� _,-_-_�-_­TP8,SUP_E8VISJON_ , §; 0000��L_JROUBLE SYSTEMOPERATES CONTROLPANELCHECKED" KEY TO PANEL ON STANDBY POWER PER NFPA & MFG INST. AVAILABLE' SIGNALS OPERATE 'AUXILIARY EQUIP. ONACIPOWER OPERATES OTHER SIGNALS OPERATE OPERATING INSTRUCTION�_ 7 kSTANDBY POWER AT PANEL OTHER EQUIPMENT TESTED NO. OF UNITS SATISFACTORY ANO.0 UNITS SATISFACTORY TYPE OF EQUIPMENT IN BLDG. TESTED YES NON4 I N/A TYPE OF EQUIPME-N-T IN B TESVED N/A BELLS, HORNk, CHIMES,- 1� . . I - . I e — — B VOICE ALARM, SPEAKERS io 1ANNEN I�AORS X1 p i VISUALAILARI M DEVICES' ELEVATOR CALL D WN 0 V. HEAT DETECTORS f DOOR RELEASE SMOKE DETECTORS 1-ioz-1r, FIRE & SMOKE DAMPERS MAN UAL P'd Ll��fTA68N S PHONEJACKS "e-1 SPRINKLER ' < - 4�^ AUTO DOOR UNLOCKS SUPERVISORY �WITCHES..,-- (FAIL-SAFE) SPRINKLER FLOW SW ITCHES OTHER -W CENTRAL STATION VENTILATIOWCONT-ROLS OTHER _QP_EpATE_ 0:17 PANEL AND MODEL OTHER SERVICE TECHNICIAN NOTES FireWatch rdj�ired, threat level �!2_ 3 (see reverse for a threat level expliinatjob)' I_ J, [\/U V THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE:ALARM MAINTENANCE STANDARDS,-,(-,'; OWNER WAS INFORM�D ABOUT ANY NEEDED REPAIRS OR DISCREPANCIES. N ON`E YES El OWNER OR FACILITY $pRFSENTffIVE V I DATE zM SIGNATURE SNOHOMISH CO. FIRE ST Serving Brier, Edmonds, and Mountlake T�rrace www.FireDistrictl.org 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 FIRE PREVENTION ��SPECTION REPORT EDMONDS BRIER 0 MOUNTLAKE TERRACE [3 UNINCORPORATED FREQUENCY STATION & SHIFT LOCATION: 522 Alder Street 98020 Ann in! !7-R BUSINESS NAME: PHONE: SCHEDULED DATE DUE Alderra Condos 2068546380 dan 2816- MAILING LIFIR ADDRESS: 422 522 Alder Street, Edmonds, WA 98020 BUSINESS OWNER: HOME PHONE: Klan, Billie (#202) .EMERGENCY-1: HOME PHONE: "CURRENT KEY ACCESS-2: O'Brien, Terry HOME PHONE: 4257748243 CITY YES NO BUSINESS r__J 1:1 EMAIL: LICENSE - I 1 INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: ""litb3 -TD/iL -/10/16 FIRESYSTEMS: AS10/14FA11/15FE10/14 FDLkBox &ftADastc(BwyftadocATiONS COMMUNICATIONS 2 2 3 4 . ... . .... ............ ------ 3 4 5 5 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X In our continuing effort to promote fire safety and prevention within the community, your fire department conducts regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities covered by Snohomish County Fire District 1. You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you will find the item(s) that were noted during, our inspection which require attention to bring them into compliance with the minimum standards adopted by the above jurisdictions. Any overlooked hazards or violations. of the fire regulations does not imply approval of such conditions or violation. If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for Mountlake Terrace or Brier, call (425) 744-6231. Leridian FIRE PREVENTION INSPECTION REPORT Serving Bviei: Edin 6nds, and 12�2�5 ve SNOF-�10fliUliM CO. Mozintlake Terrace FIRE Everett, WA 98208 0 EDMONDS 0 BRIER DIST R1, IT Phone (425) 551-1�00 Fax 0 MOUNTLAKE TERRACE [I UNINCORPORATED www.FireDistrictl.org (425) 551-1272 522 AlderStreet 98020 " FREQUENCY Annual STATION & SHIF'**' 17-A LOCATION: I Alderra Condos SCHEDULEBJun 2015 BUSINESS NAME: PHONE: DATE DUE MAILING 522 Alder Street, Edmonds, WA 98020 422 UFIR 0 ADDRESS: Klan, Billie (#202) BUSINESS OWNER: HOME PHONE: O'Brien, Terry 4257748243 EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS EMAIL: LICENSE C7 PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: < (A_ A HAZARDS FOUND IND LOCATIONS/ COMMUNICATIONS 1 E (1). \) ('21 1:_� " d k LAS kit, S: 1 2 2 3 3 4 4 5 5 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION D�TE DUE: EXTENSION GRANTEDTO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: D E: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT 3TA-50514 ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 7 3 7 RETURN RECEIPT RECEIVED 6 4 8 4 8 DATE* DISPOSITION: 7 LETTER NEEDED [-] YES El NO LETTERNEEDED E] YES El NO 1 8 FIRE DEPARTMENT COPY W L 7 Protection &Communications, Inc. 1,�NOV 0 6 20 (800) 774-9099 * Fax (425) 774-6317 www.pro- r comm-ohline.com CONFIDENCE TESTING FIRE ALARM SYSTEM \_N TEST REPORT NAME OF FACILITY A D r�. JR 00 A /Z PHONE NO. /,Z::r 7 /96_0 � DATE INSPECTION ADDRESS CITY STATE ZIP OCCUPIED AS A& MONITORED BY ACCT# 3# z_ TYPE OF TEST MONTHLY El QUARTERLY El SEMIANNUAL 0 ANNUAL'2 ACCEPTE] � PRO-COMM LICENCE BATTERY VOLTAGE VOLTS . I B -It, BATTERY UNDER VOLTS FULL LOAD 1 .1 0?5 CHARGE CIRCUIT VOLTS 27,13 ITEM YES NO N/A ITEM YES NO N/A ITEM YES NO N/A TROUBLE AC OFF CIRCUITS CHECKED FOR SUPERVISION' SYSTEM WIRING CONFORMS TO'NFPASTANbARDS SYSTEM OPERATES _QN STANDBY POWER CONTROLPANELCHECKED PER NFPA & MFG INST. KEY TO PANEL AVAILABLE. SIGNALS OPERATE ONACIPOWER AUXILIARY EQUIP. OPERATES OTHER SIGNALS OPERATE STANDBY POWER OPERATING INSTRUCTIONS AT PANEL OTHER EQUIPMENTTESTED NO. OF UNITS S ISFACTORY NO. OF UNITS SATISFACTORY TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A BELLS, HORNS, CHIMES, VOICE ALARM, SPEAKERS ANNUNCIATORS VISUAL ALARM DEVICES ELEVATOR CALL DOWN HEAT DETECTORS DOOR RELEASE 3 SMOKE DETECTORS FIRE & SMOKE DAMPERS MANUAL PULL STATIONS PHONEJACKS SPRINKLER SUPERVISORY SWITCHES AUTO DOOR UNLOCKS (FAIL-SAFE) SPRINKLER FLOW SWITCH ES z OTHER CENTRAL STATION OTHER VENTILATION CONTROLS OPERATE OTHER PANEL -AND- MODEL OTHER - ---- SERVICE TECHNICIAN NOTES Fire Watch required, threat level 1 2 3 (see reverse for .1 threat level explaination) Z - Z-4 Zt4 �t_ A Lo THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED.AND INSPECTED FOR RELIABILITY TO COVER ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIREAt!kRM MAINTENANCE STANDARDS. OWNER WAS INFORMEDABOUT_ANY-NEEDED REPAIRS OR DISCJREPANCIES. NONE YES OWNER OR FAGIC IT PRE NTAJIVE 5ATE TECHNICIAN LICENSE NO. Ex r i=_ &2 k 15e �K y SIGNATURE - — , - f 4 1 1111 !'', CONFIDENCE TESTING SEP 2 9 2014 FIRE ALARM SYSTEM TEST REPORT NAME 01�,'&�CILITY PHONE NO ADDRESS -5�;?- 2 C 0 I'R CITY i�pmup-ol z I pqd:�v 2-0 OCCUPIEDAS MONITORED BY A L 0-d ACCT# 'Fr - 3 IY4 TYPE OF TEST MONTHLY 0 QUARTERLY 0 SEMIANNUAL 0 ANNUAL [9' ACCEPTE] � PRO-COMM LICENCE BATTERY VOLTAGE VOLTS BATTERY UNDER VOL, IFULLLOAD (A CHARGE CIRCUIT VOLTS ITEM YES NO N/A ITEM YES NO N/A ITEM YES NO N/A TROUBLE AC OFF CIRCUITS CHECKED FOR SUPERVISION SYSTEM WIRING CONFORMS TO NFPA STANDARDS SYSTEM OPERATES ON STANDBY POWER CONTROLPANELCHECKED PER NFPA & MFG INST. KEY TO PANEL AVAILABLE SIGNALS OPERATE ON AC POWER AUXILIARY EQUIP. OPERATES OTHER SIGNALS OPERAT STANDBY POWER OPERATING INSTRUCTIONS AT PANEL OTHER T- EQUIPMENTTESTED NO. OF UNITS SATISFACTORY NO. OF UNITS SATISFACTORY I TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A BELLS, HORNS, CHIMES, VOICE ALARM, SPEAKERS ANNUNCIATORS VISUALALARM DEVICES ELEVATOR CALL DOWN HEAT DETECTORS DOOR RELEASE 3 3 SMOKE DETECTORS FIRE & SMOKE DAMPERS MANUAL PULL STATIONS PHONEJACKS SPRINKLER SUPERVISORY SWITCHES AUTO DOOR UNLOCKS (FAIL-SAFE) SPRINKLER FLOW SWITCHES OTHER CENTRAL STATION OTHER VENTILATION CONTROLS -bPERATE OTHER -PANEL AND MODEL OTHER SERVICE TECHNICIAN NOTES Fire Watch required, threat level 1 2 3 (see reverse for a threat level explaination) THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER ITEMS LISTED IN >S-REPORT; IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS. OWNER WAS INFORM�p WUT ANY&EEDED-REPAIRS OR DISCREPANCIES. NONE El YES [:1 OWNER OR FACILIP(RRP DATE TECHNICIAN LICENSE NO. SIGNATURE w T -ving Briej: Edmonds, and SNOHOMISH CQ. S�i Mountlake Terrace FIR DISwwwFireDistrictl.org, LOCATION: 53" Alder Street 28020 BUSINESS NAME: Ald&ra Candas MAILING ADDRESS: E22 Alder Slrcct, Edrmrids, VVA 03020 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551.41272 PHONE: BUSINESS OWNER: KLqti, Sillit- ilt2l)2) HOME PHONE: V FIRE PREVENTION IN_5PECTION REPORT 01EDMONDS 0 BRIER El MOUNTLAKE TERRACE [I UNINCORPORATED FREQUENCY STATION & SHIFT Antival 1 17-13 SCHEDULED Jun 2014 DATE DUE 1' . UFIR o 4211 EMERGENCY-1: CYBricn, 1 erry HOME PHONE: 425,77432143 " CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS —1 'E] EMAIL: F PERSON CONTACTED: I N ITI��,IS PECTIONPATE NAME OF INSPECTOR: Ifiq I HE SYS I E IVIS: AS I W I a FA-<1 113 F 1 .3 FD HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS &�o V,,ctqcAd_1!,) Qc�� f c. 2 2 3 3. 4 4 5 5 .6 6 7 7 1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS'X 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTEDTO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: I INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION /'LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 18 4 8 DATE: DISPOSITION: 7 LETTER NEEDED E] YES F1 NO LETTER NEEDED [] YES El NO 8 FIRE DEPARTMENT COPY CONFIDENCE TESTING FIRE ALARM SYSTEM TEST REPORT NAME OF FACILITY At PHONE NO. — -) q y�. f — '? - y4'('f DATE INSPg�CTION / �z (//I ADDRESS 2- A(o-e4 ST CITY STATE U4 "C7 OCCUPIEDAS MONITORED BY ACCT# S7-g-_.3 k/ 2s- TYPE OF TEST MONTHLY 0 QUARTERLY [:1 SEMIANNUALE] ANNUALiz— ACCEPTE] � PRO-COMM LICENCE BATTERY VOLTAGE VOLTS 3 !� t BATTERY UNDER VOLTS IFULILLOAD r Ir CHARGE CIRCUIT VOLTS I I ITEM YES NO N/A ITEM YES NO N/A ITEM YES NO N/A TROUBLE AC OFF CIRCUITS CHECKED FOR SUPERVISION SYSTEM WIRING CONFORMS TO NFP'A STANDARDS _�77�_TDTOPERATES_ ON STANDBY POWER -CONTROLPANELCHECKED— PER NFPA & MFG INST. KEYTOPANEL:----7---- AVAILABLE SIGNALS OPERATE ONACIPOWER AUXILIARY EQUIP. OPERATES OTHER SIGNALS OPERATE STANDBY POWER OPERATING INSTRUCTIONS AT PANEL . OTHER EQUIPMENTTESTED NO. OF UNITS SATISFACTORY NO. OF UNITS SATISFACTORY TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A TYPE OF EQUIPMENT IN BLDG. TESTED YES I NO N/A BELLS, HORNS, CHIMES, VOICE ALARM, SPEAKERS k/ 0 ANNUNCIATORS VISUAL ALARM DEVICES 16 ELEVATOR CALL DOWN HEAT DETECTORS DOOR RELEASE SMOKE DETECTORS FIRE & SMOKE DAMPERS MANUAL PULL STATIONS PHONEJACKS SPRINKLER SUPERVISORY SWITCHES AUTO DOOR UNLOCKS (FAIL-SAFE) SPRINKLER FLOW SWITCHES OTHER CENTRAL STATION OTHER VENTILATION CONTROLS OPERATE OTHER PANEL AND MODEL OTHER SERVICE TECHNICIAN NOTES Fire Watch required, threat level 1 2 3 (see reverse for a threat level explaination) f2-r THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS. OWNER WAS INFORMED ABOUT ANY -,NEEDED REE�IRS OR DISCREPANCIES. NONEE] YES [I OWNER OR FACILITY REPRESENTTIYE C, )cx::7 DATE �NICIAN LICENSE NO. 5 SIGNATURE SNOHOMISH,CO. Serving Brier, Edmonds Mountlake Terraceand the Town of Woodway www.FireDistrictl.org 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 LOCATION: 522 Alder St BUSINESS NAME: Alderra Condos PHONE: MAILING 522 Alder St ADDRESS: Edmonds BUSINESS OWNER: O'Brien, Terry 4)o I HOME PHONE: 0,2�3 EMERGENCY-1: t4 z,;-- 9' HOME PHONE: KEY ACCESS-2: HOME PHONE: PERSON CONTACTED: .0—yr-f 0 (2�,r- QA^ i 0 fe NAME OF INSFrbCTOR: FIRE�. FA 9112 AS8/b3jFD LI(Bx' ---RYgfEM S: cr /o . I q i 0 - h Ll FIRE PREVENTION INSPECTION REPORT 0 EDMONDS 0 BRIER 0 WOODWAY 0 MOUNTLAKE TERRACE 0 UNINCORPORATED FREQUENCY I STATION & SHIFT_*1 365 17 C SCHEDULED DATE DUE 0 06/01/13 UFIR 0 422 6203 CURRENT CITY YES NO BUSINESS —1 —1 LICENSE E E INITIAL INSPECTION DATE 10((0113 - FE 3_LI:4� ANNUAL H�AZTA !S FOUND AND LOCATIONS COMMUNICATIONS 4,� v 7 2 3 C, 0 A-11 u.- e- V- 3(q 4 A41 I 41-C14- 5 &Cfea_1V' Lk,, c,,5 C Lo j C23—^ I r-e 0 0 0 7 1 t^ tAA Q_A k^ 59 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE. 2nd RE -INSPECTION DATE DUE. EXTENSION GRANTED TO- hNAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 I'DATE: DATE: DATE: 3 f Vic S 15 VIOLATIONS 1 15 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 z 2 6 DATE: CODE SECTION: 5 3 3 7 RETURN RECEIPT RECEIVED 6 4 8 4 8 DATE: DISPOSITION: LETTER NEEDED [] YES NO LETTER NEEDED C] YES [I NO 1 8 FIRE DEPARTMENT COPY M7.100M as 015 11 9=1 OMMM- Alder Street Condos - Fire 522 Alder Street Edmonds Snohomish Washington 98020 Data and Tim, Zaim and Resion, rim. 613/2013 03:15:48AM 6/3/2013 03:15:48AM 6/3/2013 03:16:46AM 6/3/2013 03:16:56AM 6/3/2013 03:17:28AM 6/3/2013 03:17:28AM 6/3/2013 03:17:31AM 6/3/2013 03:17:32AM All Events Report Report for pedod: 61312013 12:01:OOAM to 61312013 03:17:OOAM 85,3428 Event,Actions Taken, Completion Tine and Operator Trans Test O'due (1) AINI Trans Test O'due (1) TA A: 1 Actioned Al (Done) DJW Actioned N1 (Done) DJW FTF - Faxed Ticket to Fire Marshal DJW Follow up alarm DjW LFD - Left for Dayshift to Notify DJW Released alarm DJW Actions Legend: P = Police, K = Keyholder Group, S - Site, A - Special Action, F = Fire, G = Gen Agency, I = Installer, M = Medical Alarm Center Inc. 1-800-752-2490 17 trf, CONFIDENCE TESTING Protection &'Communications, Inc. FIRE ALARM SYSTEM (800) 774-9099 Fax (425) 774-6317 TEST REPORT www. pro-comm-onfi,ne. com NAME OF FACILITY f9k 4 60A110d J PHONE NO DATE INSPECTIO ADDRESS A p tz, 5T CITY STATE M 6 OCCUPIED AS MONITORED BY ACCT# TYPEOFTEST MONTHLY El QUARTERLY F-1 SM!"NUAL'O �;.�NNUAL CE ACCEPT 07 PR MM LICENCE BATTERY VOLTAGE VOLTS 5._j I BATTERY UNDER VOLTS - - D­'�;­*,_ ',;2 Y. 7FLYErMA . CHARGE CIRCUIT VOLTS'' ITEM YES NO N/A ITEM YES, NO N/A ITEM YES NO' N/A TROUBLE Ali OFF CIRCUITS;CHECKED FOR SUPERVISION SYSTEM WIRING CONFORMS TO NFPA STANDARDS .SYSTEM OPERATES ON STANDBY POWER CONTROLPANELCHECKED PER NFPA&MFG-.INST,.' KEY TO PANEL AVAILABLE SIGNALS OPERATE ON AC POWER AUXILIARY EQUIP. OPERATES OTHER SIGNALS OPERATE STANDBY POWER j �el] j j OPERATING INSTRLICTION§7_r___':�� AT PANEL OTHER EQUIPMENTTESTED NO. OF UNITS SATISFACTORY NO. OF UNITS SATISFACTORY TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A' TYPE OF EQUIPMENT IN'BLDG. TESTED YES NO N/A BELLS, HORNS, CHIMES, V - OICE ALARM, SPEAKERS 16 ANNUNCIATORS VISUALALARM DEVICES ELEVATOR CALL DOWN HEAT DETECTORS DOOR RELEASE 3; - SMOKE DETECTORS FIRE & SMOKE DAMPERS MANUAL PULL STATIONS' PHONE�JACKS SPRINKLER SUPERVISORY SWITCHES AUTO DOOR UNLOCKS (FAIL-SAFE) SPRINKLER FLOW SWITCHES OTHER. CENTRAL STATION OTHER VENTILATION CONTROLS . OPERATE OTHER - PANEL AND MODEL' .0 THER, �SERVICE TECHNICIAN NOTES Fire'Watch required; threat, I - eye.1 1, 2 3, (seerev'eirse f.or a threat level explaination) �A' THIS IS TO CERTIFY THAT THISFIhE ALARM HAS 'BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER ITEMS LISTED. IN jHIS,,REPQUJS-00NSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS. OWNER WAS INFORMED A40_UTANf_NE(j6ED *REPAIRS OR DISCREPANCIES. NONE YES . OWNER OR I FACILY IVEg' DATE, TECHNICIAN 41244. LICENSE NO. S46NATURE i Se P. 24, 2010 11:10AM F�reshield Inc. No. 6894 P. I OFIRESHIELD Phone: 253-853-4256 Fax: 253-851-9782 P.0.90X 2399 Gig Harbor, WA 98335 www.fireshieldinc.corn WA CQnVvcltory Llc 0 FIRES11924CS ANNUAL WET SPRINKLER INSPECTION REPORT TODAYS DATE: A If 16 It 0 1 CONFIDENCE TEST U9 REPAIRS I I YELLOW U White SYSTEM LOCATION: k OCCUPANT INFORMATION RESPONSIBLE PERSON BLDG. NAME: A I a kA o pc NAME: ADDRESS: 1;'Lll, A 1A -i,- ADDRESS: PHONE: E-MAIL: INSPECTION AND TESTING CONTRACTOR INFORMATION CONTRACTOR INFORMATION INSPECTOR/TESTER INFORMATION COMPANY NAME., FIRESHIELD, INC. NAME: -rTOS�A rrsf AJT-�tA- PHONE! (253) 853-4256 PHONE: -vL's'% '�DDRESS: PO 13OX 2389 GIG HARBOR, WA 98335 CERTIFICATION TYPE CERTIFICATION NUMBER NATIONAUNICET STATE E-MAIL SERVICE(& FIRESHIELDI NC.COM LOCAL CONTRACTOR LICENSEM FIRESI*024CS OTHER LICENSE If: FIRE ALARM MONITORING INFORMATION CENTRAL STATION MONITORING?K] Y [:) N MONITORING REdUIRED Id(Y I j N MONITORING COMPANY: Prk&--v, (4^--,4c4,-- PHONE: I POO 57-L- -?-'4 1 ;D SYSTEM MAKE: 11 �- 4- SYSTEM MODEL: � --1 - 1-01 DEFICIENCY/C RRECTION DETAILS ANY DEFICIENCIES FOUND? N ANY DEFICIENCIES REMAINING?TT-Yr� —N DEFICIENCY FOUND CORRECTED? CORRECTION DATE CORRECTED BY Eth4= I t- CL Am, 777 N GV.-,,A - A (A to -1� V- [-] Y [:] N Y N ElY D N I I Y Lj N I _L_JY_Lj N 1___ NOTES: 0=2 ism 711MM41) Ail Sep. 24. 2010 11:11AM Fireshi'eld Inc, No. 6894 P. 2 1% JDFIRESHIELD Phone: 253-093-4256 Fax: 253-851-9782 P.O.BOX 2289 Gig Harbor, WA 98335 wwww.fire!shieldinc-com WACqn%ract9rvL1c*nRKSz-024Cs SYSTEM FUNCTIONALITY SYSTEM HYDRAULIC NAMEPLATE INSTALLED AND VISIBLE ON RISER? 77YES 17 —NO PTF WHAT IS THE DESIGN DENSITY? GPM PER SQ. FT.: INDICATE PIPE SCHEDULE ffLIGHTEj ORD! NXRY [-]EXTRA Ll N/A MAIN DRAIN FLOW TEST CONDUCTED? K YES [:] NO MAIN DRAIN TEST PIPE SIZE? INCHES: '?, STATIC PRESSURE; PSI: Lto RESIDUAL PRESSURE: M e S- TRIP TEST CONDUCTED? A r V] PARTIAL Lj FULL [-] N/A DATE OF LAST FULL TRIP: -/V", SYSTEM TRIPPED IN: SEC: FLOW SWITCHED, SUPERVISORY ALARMS, AND AIR MAINT. DEVICES TESTED? 0 YES Lj NO ELECTRIC BELL - OPERATES PROPERLY? LPq YES NO N/A WATER MOTOR 5ONG - OPERATES PROPERLY-0 YES Lj NO Ld N/A CENTRAL STATION MONITORING COMPANY RECEIVED SIGNAL? OYES"NO 1:� YES Lj NO N/A SYSTEM INSPECTED AND LUBRICATED? PIPE AND VALVES INTERNALLY INSPECTED FOR OBSTRUCTION? YES NO N/A SYSTEM GAUGES REPLACED OR CALIBRATED (S YEAR)? YES 4 NO IN/A WAS ANTIFREEZE SOLUTION CHECKED AND DOES SYSTEM OPERATE PROPERLY? YES Lj NO N/A VALVES PRESSURE REGULATING VALVES TESTED? YESE]NO N/A VALVES ARE SEALED, LOCKED OR SUPERVISED? YES " NO CONTROL VALVES HAVE PROPER SIGNAGE? YES NO INTERIOR OF SYSTEM VALVE INSPECTED AND CLEANED THOROUGHLY? YES NO N/A SPRINKLERS NUMBER OF KNOWN SPRINKLER HEADS? PROPER NUMBER OF SPARE SPRINKLER HEADS AVAILABLE? YES L-1 NO SPRINKLER WRENCH AVAILABLE FOR EACH TYPE OF SPRINKLER? YES F] NO SPRINKLER HEADS FREE OF CORROSION, PAINP YES" NO OBSTRUCTIONS AND/OR PHYSICAL DAMAGE? SYSTEM IS FREE OF ANY RECALLED HEADS? MYES[:3NO YES NO SPRINKLER COVERAGE IS ACCEPTABLE? YES NO MINIMUM CLEARANCE ABOVE TOP OF STORAGE TO SPRINKLER DEFLECTOR? YES YES NO SPRINKLER HEADS (STANDARD RESPONSE) ARE LESS THAN 50 YEARS OLD? YES[ INO N/A SPRINKLER HEADS (QUICK RESPONSE) ARE LESS THAN 20 YEARS OLD? YES L1 NO N/A SPRINKLER HEADS (DRY TYPE) ARE LESS THAN 10 YEARS OLD? YES F-1 NO N/A SPRINKLER HEADS (EXTRA H113H TEMP) ARE LESS THAN 5 YEARS OLD? YES FF I NO N/A SPRINKLER HEAD SAMPLE HAS BEEN SUCCESSFULLY TESTED WITHIN LAST 10 YRS? YES L_j NO )IJ I& -r mt- �-Mfm dMI NO 0=1 k S e P. 2 4. 2 0 10 11 : I I A M F � r e s h i e I d I n c. No. 6894 P. 3 WIRESHIELD ,ho Phone: 253-853-4256 Fax: 233-851-9782 P P.O. .0.00X 2389 Gig Harbor, WA 99325 imnAnmiAlreShieldinC.Com WA Contnicturm Lk 0 FIRM'024CS FIRE DEPARTMENT CONNECTION ZIYESONO FDC VISIBLE AND ACCESSIBLE? YES NO FDC COUPLINGS OR SWIVELS ARE UNDAMAGED AND ROTATE SMOOTHLY7 j YES NO FDC PLUGS OR CAPS ARE UNDAMAGED AND IN PLACE? _V]_YES NO FDC GASKETS ARE IN PLACE AND IN GOOD CONDITION? YES [j NO FDC IDENTIFICATION SIGNS ARE IN PLACE AND READABLE? YES F-1 NO FDC CHECK VALVE IS NO LEAKING AND IN GOOD CONDITION? YES U NO FDC AUTOMATIC DRAIN VALVE IS IN PLACE AND OPERATES PROPERLY? YES Lj NO FDC CLAPPER 15 IN PLACE AND OPERATING PROPERLY? YES NO INTERNAL FOC INSPECTION FOR OBSTRUCTIONS CONDUCTED? YES NO N/A INSPECTION COMPLETION FULL WALK THROUGH PERFORMED? YES I I NO BUILDING FULLY SPRINKLED? YES I NO BUILDING ADEQUATELY HEATED? YES NO SYSTEM LEFT IN SERVICE? YES NO INSPECTION TAG POSTED AT MAIN VALVE? YES ,IN NO INFORMED OWNER OF INSPECTION AND TESTING RESULTS AND ALL SYSTEM DEFICIENCIES? YES 0 NO INSPECTOR'S DECLARATION BY SIGNING BELOW YOU ARE CERTIFYING, UNDER PENALTY OF PERJURY, THATYOU ARE AVALID, AGENT OF YOUR COMPANY REPRESENTING THAT YOU MAINTAIN ALL THE NECESSARY LICENSES AND/OR CERTIFICATIONS TO PERFORM THIS SERVICE FOR THIS SYSTEM IN THIS JURISDICTION AND THAT THIS FIRE AND LIFE SAFETY SYSTEM HAS BEEN PROPERLY INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THE REPORT AND IS CONSISTENT WITH STATE AND LOCATION STANDARDS AND THAT THE SYSTEM HAS BEEN PROPERLY TAGGED AND LABELED AND ALL DISCREPANCIES ARE NOTED AND HAVE BEEN REPORTED TO THE BUILDING OWNER OR RESPONSIBLE PERSON FOR CORRECTIVE ACTION. TESTERS SIGNATUIRE:_,:=— PRINT NAME: 4 BUILDING REPRESENTATIVE: PRINTNAME: TITLE: DATE: -1 1 1 (' I to DATE: 7 CONFIDENCE TESTING Protection &Communications, Inc. FIRE ALARM SYSTEM (8100):,7.74-.90 99 -Tax (425) 774-631.7 TEST RPIPORT www.,,pro,,-Q �p om, -online C, p . yh' 'T !NAMEM�F ACILITV"�'..' PH NE N o o iD'T* C 4��-.­.�t-. cl� DFIESS� CITY: E Z F3,r' -1, 'OCCUPIED AS MON(4RED �BYI.- AC TA %Z TYPE OF TEST PRO;C�O MM LICENCE MONTHLY, El QUAATERLY.E] SEMI ANNUAL'E] ANNUAI_13�L ACCEPT. El BATTERY VOLTAGE VOLIZ- BATTERY UNDER LTS IFULLLOAD VQ. Z 0 P\ CHARGE CIRCUIT VOLTS ITEM 'YES NO N/A ITEM YES NO N/A ITEM YES NO N/A CIRCUITS CHECKED SYSTEM WIRING CONFORMS TROUBLE AC OFF FOR SUPERVISION TO NFPA STANDARDS SYSTEM OPERATES CONTROLPANELCHECKED KEY TO PANEL ON STANDBY POWER PER NFPA & MFG INST AVAILABLE SIGNALS OPERATE AUXILIARY EQUIP. ONACPOWER OPERATES OTHER SIGNALS OPERATE OPERATING INSTRUCT15N—S STANDBY POWER ATT OA'NE" L OTHER EQUIPMENTTESTED NO. OF UNITS SATISFACTORY NO. OF UNITS SATISFACTORY TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A BELLS, HORNS, CHIMES, En X VOICE ALARM, SPEAKERS 7 ANNUNCIATORS VISUALALARM DEVICES ELEVATOR CALL DOWN HEAT DETECTORS, /x DOOR RELEASE X SMOKE DETECTORS FIRE &,SMOKE DAMPERS C3 MANUAL PULL STATIONS PHONEJACKS SPRINKLER AUTO DOOR UNLOCKS SUPERVISORY SWITCHES (FAIL-SAFE) SPRINKLER FLOW SWITCHES 0 OTHER CENTRAL STATION OTHER VENTILATION CONTROLS 0 OPERATE OTHER PANEL AND MODEL 5-2_�`-7 OTHER SERVICE TECHNICIAN NOTES Fire Watch required, threat level 1 2 3 (see reverse for a threat level explaination) 0_w9 (C/1 V THIS IS TOCERTIFYTHAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH,FIRE ALARM -MAINTENANCE STANDARDS. OWNER WAS INFORMED ABOUT ANY NEEDED REPAIRS OR DISCRE�kal!ES� NONE YES 0 OWNER OR FACILITY REPRESENTATIVE___)l I DATE J TECHNICIA N 4,p, � LICENSE N, ��(f f� - Q, lr_� SIGNATURE A . f - - 1C. — Wesffall, John From: Smith, Mike Sent: Wednesday, August 06, 2003 4:51- PM To: Bullis, Ann; Westfall, John-- noQ<-- Mike Subj ect: Alderra Condosl uagwgwolv Acceptance tests were done on the fire alarm, fire sprinkler and elevator today. All passed. Expect the building final in about 20 days. O'� T W-MEMORANDUM Date: May 29, 2001 To: Building Department From: John Westfall, Fire Marsha Subject: Plan Check #01-003: Michel 6-unit MFR 522 Alder St. The Fire Department provides the following comments and corrections. No resubmittal will be required: 1) In areas other than single-family residential, public fire hydrants shall be spaced an average of 300 feet apart. Provide fire hydrant so that spacing meets criteria in accordance with the Edmonds Community Development Code (ECDC 19.75.140D). 2) Sheet P-1 #38 Required permits and submittals: Automatic sprinkler system, Fire Connection permit, Fire Alarm permit for audibility/monitoring, Fire Emergency Guide (UFC 1303.3.5.3), Fire Protection Footprint. 3) Provide submittal for automatic fire alarm system installation permit. Include three copies of plans, battery calculations and specifications for all equipment for review. 97 UFC 1001.3 a) Provide manual -initiating devices at common exits. Provide smoke detection in interior corridors and stairwells. Provide audibility throughout. UFC Standard 10-2. b) Fire Alarm shall be monitored by an approved. central station service. .97 UFC 1007.3.3.6.1 c) Sheet A-2 Locate Fire Alarm Control Panel in Sprinkler Room. Provide annunciator at main building entry. UFC Standard 10-2 1-5.7.1.1 d) Sheet A73 Delete 120 VDC single -station smoke detectors in interior 1-hour construction space. Fire alarm system detection will be provided in these areas for smoke detection and auto -closing fire assemblies' control. 4) Make submittal for fire sprinkler system installation permit. Provide three copies of plans, hydraulic calculations and specifications for pipe, sprinklers, hangers, and system appurtenances for review. 97 UFC 1001.3 a) Sheet P-1 #35 It appears that this structure is 1) within allowable area without sprinkler exception; 2) 4 stories or less; and 3) has been provided AEAs for accessibility. UBC Standard 9-3 system design may be used less any other modifications requiring a 9-1 sprinkler system. The garage area portion of the fire protection system shall be designed in accordance with the criteria for "Outside Dwelling Unit" UBC Standard 9-3.2-5.2. City of Edmonds Sb Office of Fire Marshal b) Interior overhead garage doors horizontally obstruct sprinkler protection from ceiling configured sprinklers. Provide automatic protection accommodation for these covered areas. 5) Fire connection permit is required. Underground design must be stamped by registered PE or a Level III (WA) fire sprinkler contractor AND the installer must also stamp the plans. The installer may be Level III or Level "U" fire sprinkler contractor licensed by the Stat6. RCW 18.160.070 6) Provide a fire emergency guide 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 also include an emergency evacuation plan for each dwelling unit. This requirement may be deferred. Contact Fire Marshal at (425) 771-0213 for example guide. 97 UFC 1303.3.5.3 7) Provide Fire Protection Footprint as prescribed by Building Department detail. 8) Sheet A-2 Provide smoke- and draft -control assemblies in lobbies & 1 hour construction areas., Assemblies shall have a fire protection rating of not less than 20 minutes and bear an approved label identifying the rating of the assembly, followed by the letter "S". Doors shall be maintained self -closing or be automatic closing by actuation of a smoke detector. (Typical for sheets A-2, 3, 4, 5) UBC 1004.3.4.3.2.1 9) Sheets A-4 & A-5 Provide two-way communications and identification signage for areas of evacuation assistance. 97 UBC 1104.2 10) Provide illuminated exit sign as follows: ar) Sheet A-2 -at garage entry adjacent to parking space #101. b) Sheet A-2 -at lobby entry. c) Sheet A-2 -at stairway door. d) Sheet A-3 -South wall of entry. e) Sheet A-3 -North wall of stairs (directional). 11) Sheet A-3 Identify West corridor door to interior stairs as "NO EXIT". 12) Provide portable fire extinguishers at following locations a) Sheet A-3 -first floor East stairs landing. b) Sheets A-4 & A-5 -West (interior) stair landings. 13) Sheets A-3, A-4, A-5 Relocate dwelling entry smoke detectors midway between bedroom doors in units 102, 202 & 302. 14) Sheet P-1 #51 Access to, or within a structure or area appears unduly difficult because of secured openings. Provide key access to common and utility spaces at your facility. Coordinate with Fire Department (425) 775-7720 for a "Lockbox Authorization Letter"and instructions to obtain and install lockbox at your facility. 97 UFC 902.4 Cc: Mr. Rob Michel fax 425 778-9086 Lyle Chrisman, Development Services Engineer El Fire Department Pre -application Review Plans#O/-003 Address 52'Z /1 "5 '-- -`;`7__ Name Fire -Flow (UFC Appendix III -A) Building type: V- I w-, Fire area: 2-qlqC> square feet 4-hour area separation wall? Type I or Type 11-FR Construction? Fire -flow is �1 75'4> gpm for 'ZI hours. Modifications: Increase or Decrease? R3 dwelling reduced %for auto sprinkler? (min. 1000 gpm) All other use reduced Sz�' % for auto sprinkler? (min. 1500 gpm) Total fire -flow: /5-<nrD _gprnfor 2—hours. Fire Hydrant Locations and Distribution (UFC Appendix 111-13 & 19.75.150ECDC) Min. # of hydrants: Ave. spacing: Max distance to frontage: No A�o Dead-end road? Highway dividerlobstructions? Single-family residentially zoned area? (600'apart): Other zoned area<F D Existing hydrant distance to frontage: North feet. South feet. 3 �6-0 feet. East West feet. # of hydrants required and text location(s) P 6 e, 6c- d c- A - 7 - - f - .4 6,:_� . 146111_� Fire Protection/Detection system & other rqrmts (UFC & ECDC 19.75) /* Z65-1A Reviewer: VJ612:�r� Review Date: -3 5-� 7 q V 4-1 7- 5-9-790 41 6,3_T7pr A / - G Czz3id 573 7m-,� .2-qt 4o PATUM FT: 121.14'--,� Alder 5troet [PON FIFE 5ETWEEN 521 & 523 ALPEP, FF\OFEF,TY COPUIER Ile Q� 1130 ur (o rvf- CONNECT TO EX15TING CD O-�-Oo INTEf�5EUION OF ALLEY OF KIGHT-OF-WAY V 792 D I , -) - 26 31 Ur-VELOPMENT SERVICES CTR. C;TY OF EDMONDS HEIGHT CALCULATIONS A 120.Z,9' b 121.64' C 137.24' E) 130.72' 127.50'= AVEPAGE GPAPE ---- EXISTING TOPO FKOFOSED TOFO sALL FAKKING UNDEF, COVEK-NO QUAL11-Y REQU PLOT/ DRAINAGE PLAN SCALE: 1"=30'-O"