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523 MAPLE STSNOHOMISH CO. I FIRE, DIST"W'' I Ir Serving Brier, Edmonds, and 12425 Meridian Ave S Mountla.ke Terrace Everett, WA 98208 Phone'(425) 551-1206 www.FireDis".trictl. om:­-, Fax (425) 551-1272 LOCATION: �523 Maple Street 98020 BUSINESS NAME: Laurintine Condos MAILING ADDRESS: 523 Maple Street, Edmonds, WA 98020 BUSINESS OWNER: EMERGENCY -I! KEY ACCESS-2. . Kelly, Bob #102 EMAIL: PERSON CONTACTED: r NAME OF INSPECTOR: I I ut, FIRE SYSTEMS: FA F E -7 /1 14— PHONE: 4257747214 FIRE PREVENTION INSPECTION REPORT 0 EDMONDS [3 BRIER D MOUNTLAKE TERRACE [I UNINCORPORATED 0' FREQUENCY STATION & SHIFT AIIII is! 417 r_ SCHEDULED DATE DUE 0 jun 2016 UFIR 0 424 HOME PHONE: HOME PHONE: CURRENT HOME PHONE: 42577472W: C11-y YES NO BUSINESS M El LICENSE I I INITIAL INSPECTION DATE, [JM&P§§P_Vt&#f&WCATIONS COMMUNICATION9 2 2 3 3 4 4 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 D"S X 1st RE -INSPECTION 2nd RE -INSPECTION FINAL RE -INSPECTION EXTENSION VIOLATIONS DATE DUE: 'RATE DUE: GRANTEDTO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: INSPECTOR: INSPECTOR: 2 :, 9R, DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONSi;1', PRE -CITATION --dITATION ISSUED 5_ L ER SENT NUMBER, 4 CODE SECTION: 2 2 DATE: 5 RETURN RECEIPT 3 7 3 7 RECEIVED 6 DISPOSITION: 4 8 4 '8 DATE: ETTER NEEDED [] YES NO LETTER NEEDED 0 YES [I NO \1 8 I,/AV V IN, Building Owner/Representative: TBE LAURENTINE CONDONUNRiMs 11C1111", Uf f-cit'lifty. JLFM J_tlux�-ZINIJUNZ %-AJ1NLJ%,-,11VJLi--41U1VL0 Occupied As: RESIDENTS i I Address: 523 MAPLE STREET CountT KING zip: 98020 buoding Uesignation (a more tnan one builaing): )tWection by, LONDON CARTER Date of Inspection: 07/18/16 Suite 103 For Service Call: (425) 486-2600 Fire Alarm System Report of Inspection Phone #: city: Telephone EDMONDS Cert #: C-08282 Low Vol. Lic. #: CARTELE875CM Other F-1 2. Type of system: Addressable F-1 Conventional Other L--j 3. Local Fire Department: EDMONDS Monitored? Yes Z No N 5. Test Received at. Monitoring Agency? Yes NoE Monitoring Account: 6. No. of Initiating Circuits: 2 No. of Signaling Circuits: I WAIMMT Ir-01 UU"11UN. JL:) WHIN * I I 14U 1 tz) 7. Static Battery Voltage 26.24 8. Battery Voltage Under Load w/Signal Devices Operating 21.46 CONTROL PANEL CHECKS 10. Trouble Signal w/AC Power Off SATISFACTORY CHECK NOTES Yes No N/A Z E El ff. I'M %afftluftb VPv,dtt: admitaututy un otanuay tnaueryj i-ower LN I L-i L-i 12, All Circuits Operate Satisfactory on AC Power Z 0 D 13. All Circuits Checked for Electrical Supervision r--A �N M 14. Control Panel Checks Made Per Manufacturers Instructions 0 EJ Z 16, Alarm Delay Function (ff installed) Operates Properly z 17. Panel Key Available El F 17 1 18. Operating Instructions at Panel El 0 1 Name & adress of Facility: THE LALTRENTINE C01\D0NffNjUMS EQUIPMENT TESTED Date: 07/18/16 TYPE OF EQUIPMENT MANUFACTURING & MODEL# OF UNITS TESTED OF UNITS IN BLDG Yes No N/A Control Panel AEP A19824-1Z I , zi F__, L-i I L_j I I Com nicators F-1 J. Anni inri2fnm I I I I'vi I I oupervisory Trouble Indicators AEP 01 F] 11 Smoke Detectors Duct Detectors - I Lj I Li M I Detectors IXA, I I .� I -. . I _­ — —1 � 1 1. —1— — I — I = I .- I Manual Pull Stations VAMOUS 4 El I F� 4 Audible Devices AT PIZO 12 Ej I EY 12 Visual Dev"s Audio/Visual Devices I El I M I Public Address System I I I I rA\ I I I " 1111 1 V Elevator Recall F] Booster Panels Auto Door Release _j I L-i VIIJ Fail Safe Door Unlock Ventilation Controls i I �01 101 OLUI 0 Sprinkler Flow Switches Sprinkler Tamper Switches Sprinkler Supervismy Switches Electric Alarm BeII/Motor Gong 5 Z El Z 5 I t irnor I THIS IS TO CERIFY THAT THIS FIRE ALARM SYSTEM HAS BEEN PROPERLY INSPECTED FOR RELIABILITY 10 COVER THE ITEMS LISTED IN THIS REPORT AID IS CONSISTENT WTH FIRE ALARM MAiNTENANCE STANDARDS. �IVI IOLUI �. V1 �_�M IVI V1 I NUF11 U�Ul ILGLIVU, Signature of Fire Alarm Representafive 1 Tolle Corrections Made: IN Date Corrected: N/A By: N/A PAGE 2 ()F Cert # N/A J tit AAA FIRE & SAFETY, INC. Ann 3013 3RD AVE NORTH (800) 223-3473 SEATTLE, INA 98109 INFOOAAAFRE.COM EDMONDS FIRE DEPART ENT _7 JUN 0 12015 "THE NORTHWESTS MOST TRUSTED NAME IN FIRE PROTECTION" FIRE ALARM SYSTEM Status Given (One System per Report) RED YELLOW FX ] I WHITE CONFIDENCE TEST Z_\j REPAIRS Sprinkler Monitoring Panel? El Occupancy Address: 523 MAPLE ST Occupancy Name: LAURENTINE CONDOS Responsible Person Dee Kelley LAURENTINE First & Last Name: Phone Number: Responsible Person Responsible Party Address, City, State, Zip: E-Mail Address Date of Inspection: Inspection Annual 05/06/2015 Frequency/Type: Quarterly F I Testers Name Seth Sample Nicet (Please Print): Number: - 8620-0609-E Identification Number: S-08260 System Location LOBBY Central station monitoring? Yes No Monitoring Monitoring Required? Yes D No El Company Name: id"M. AIP A19824-11Z System Make. System Model: FIRE CODE VIOLATIONs FOUND: (If additional room is needed, please add a separate sheet) TWO ANNUNCIATING CIRCUITS T-TAPPED OFF OF SINGLE ZONE ON FACP. ZONES NOT PROPERLY SUPERVIZED. CORRECTIONS MADE: Date Corrected: Corrected By: (if additional room is needed, please add a separate sheet) Nicet Certification Number: This certifies that this fire and life safety system has been properly inspected for reliability to cover the Items listed in this report and is consistent with Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Signature of Tester: 5 1�a4_" Phone # (206) 284-1721 Building Representative (signature) Fire Alarm Systems Page 1 of 2 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 Fire Code for inspecting and testing requirements. Alarm System Functionality -1 1. Trouble signal with AC power off? Yes X Yes No NoH 2. System operates properly on battery backup? 3. Battery voltage (no load) 25.57 volts 4. Battery voltage (full load) 25.33 volts (signals operating) 5. Charge circuit voltage 27-45 volts Yes 6. System operates properly on standby power? 7. All signals operate on AC power? Yes No 8. Number of initiating circuits 9. 10. Number of signal circuits Does alarm. system meet audibility standards as accepted? Yes LCM NOR 11. All circuits checked for electrical supervision? Yes No 12. All auxiliary equipment operates (Elevators, fans, dampers)? N/A Yes No 1.3. Ventilation controls operate? N/A Yes No 14. Key to panel available? N/A:Ej 'Yes-[:] Noz 15. Materials and equipment needed to restore pull stations are available at the N/A0 Yes Z No[:] main pane ' 1, e.g. glass rods, and _plates; keys and allen wrenches, etc? Yes No 16. Operating instructions at panel? ? YesFX� No 17. 18. Trouble indicators function proper[ Remote A nnunciator Panels function properly? N/A Yes No[:] 19. ' Elevator Call Down functions properly? N/A Z Yes 1:1 No 20. Test reco ro posted at panel? Yes [X 1 NoH 21. General alarm automatic time delay NA (minutes) 22. Was asignal receiv I e . d - a - t the .. Cen I t I r I al Station monitoring company? N/AFX� Yes No[:] 23. Other Devices (Specify)' Yes NON I System Devices Total Number of Units in Building Total Number Units Tested Test Results Acceptabl 24. Bells, Horns, Chimes 12 12 N/A Yes E9 No El 25. Voice Speakers (Voice Clarity) N/A Yes NOR 26. Visual Alarm Devices N/A Yes N oE:1 27 Smoke Detectors N/A Yes No 28 Heat Detectors 13 12 N/A E:1 YesFx-1 No [:1 29. Duct Detectors N/A Yes No El 30. Sprinkler Flow Switches N/A Yes No 31. Sprinkler Supervisory Switches N/A FX1 Yes No [I 32. Manual Pull Stations 4 4 N/A F1 Yes Z NOE] 33. Annunciator(s) N/A Yes No 34. Beam Detectors N/A Yes No 35. Automatic Door Unlocks N/A Yes No 36. Automatic Door Release N/A Yes No 37. Fire Dampers N/A Yes No Communication Equipment Total Number of Units in Building Total Number Units Tested Test Results Acceptable 38. Phone Sets N/A MX Yes No 39. Phone Jacks N/A MX Yes No 40. Call -in Signal N/A E9 Yes Fire Alarm Systems Page 2 of 2 John J. Wesdall From: John J. Wesdall Sent: Tuesday, May 12,2015 3:11 PM To: Uller, Chucle Cc: Kevin Zwober Subject: 523 Maple Laurentino Condos Chuck: Called George back from that phone message. He needs FA permit for swapping old for new, because the FACP is the heart and mind of the system, we also need go inspect and accept. in this case, he'll add a smoke above the FACP because there was none and required to "protect" the panel. Additionally, although a small system (S heats, 1 smoke, 4 pull stations), the new panel provides "re-scopeso he'll need to provide monitoring for the alarm as well. 3ohn 3. WaftO Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile IAJ IJ 4 F F D reD ct) FIRE DEPARTMIE 1 "" AAA Fire and Safety NT 3 013 P Ave. No. MW, 20 2 41 tConjf1dence Testing ACCOUNT# c�?_R'Qa Seattle, WA. 98109 DATE FIRE AILARM (800).223-.3473 FFInance Address C S�a_ a. - ity 4*n9,1Vj zip- q�A=7 No. of Initiating Circuits Battery Voltage under Load Phone # city Zip Type of inspection Annual Tester's Name: Michelle Huber -)T Model # / T-10 SFD Certificate # SCP-H-04401 No. of Signal Circuits BatteryAltEye c��, 5 7— (signals operating) Charge Voltage 6�1' 1 . Trouble signal with A/C power off c/'YF_8 N , 0 N/A 2. System operates satisfactorily on standby power <Y�� NO Nn 3. All auxiliary equipment operates (elevators, fans, dampers, etc.) YES 4. Ail -sig-haig--operate—Orf-)k/C-P-OWer 5. All notification appliances checked for proper operation NO N/A 6. All circuits checked for electrical supervision ENO NO N/A 7. Control panel checks per manufacturer's instructions WA 8. Central station or remote connection / or (!I=/A 9. Name of monitoring company AM 10. Key to panel available YF.SJ NO N/A .Type OF Equip # Devices Tested Satisfactory YES No N/A Total # Devices Bells, Horns, Chimes Voice Alarm Speaker Visual Alarm Devices 0 Trouble Indicators Flow Switches Supervisory Switches Smoke Detectors Heat Detectors Manual Pull Stations Ventilation Control Ops. Central Station Annunciators Elevator Call Down Fire and Smoke Damper Phone Jacks Door Unlocks (fail safe) Door Release Chemical Release Other Problems found NQ 6e, Corrections Made: Date Corrected By: -Signature:( RA AIU-& Electrical -License HUBERMJ931KB AAA Fire and Safety 3013 3 d Ave. No. Seattle, WA. 98109 (800) .223-.347-3 Address FIRE DEPARTME NT Confidence Testing FIRE ALARM INVOfCE # 13 C;41/- !I ACCOUNT# DATE Occupied a 170j s- QVW1 _05 Building Phone #r 7W- TOT Address City zip - Date of Inspecti on Type of inspection Annual Tester's Name: Michelle Huber Control Panel Model # jf�-12SFD Certificate # SCIP-H-04401. No. of Initiating Circuits No. of Signal Circuits I Battery Voltage 97, Battery Voltage� under Load (signals operating) Charge Voltage _k9-1, (a 1. Trouble signal with A/C power off (Z U.,W N 0 N/A 2. System operates satisfactorily on standby power (Y-E 9 NO N/A 3. All auxiliary equipment operates (elevators, fans, d ampers, etc.) Y S NO 4. All signals operate on A/C power 0—P NO N/A 5. All notification appliances checked for proper operation (Y� NO "N/A 6. All circuits checked for electrical supervision &LS) NO N/A 7. Control panel checks per manufacturer's instructions govp( NO 2) _WjA 8. Central station or remote connection YES NO 'W6 9. 10. Name of monitoring company ca Kev to r)anel available 6E;V NO N/A Type OF EqUi p # Devices Tested Satisfactory YES NO NIA Total # Devices Bells, Horns, Chimes Voice Alarm Speaker A Visual Alarm Devices Maw. Trouble Indicators V11, Flow Switches Supervisory Switches Smoke Detectors Heat Detectors Manual Pull Stations Ventilation Control Ops. Central Station Annunciators Elevator Call Down Fire and Smoke Damper Phone Jacks Door Unlocks (fAil safe) oor lease I Chemical Release Other Problems found 0 1pnj�L�s 4P4 Corrections Made - Date Corrected 0 .Signature: ( WN UAA.U- I Electrical License HUBERMJ9'IIKB AAA Fire & Safety, 3013 3" Ave: N Seattle, Wa'! 98109 206-284-1721 info(a)aaafire.com In c XA JAW Account Inv # 1OW33 FIRE' ALARM SYSTEM Certification Given ;= (One System per Report) YELLOW WHITE CONFIDENCE TEST REPAIRS C3 Occupancy Address: Occupancy Name: City, State, Zip &=0721104 40 YLOM Responsible Person 0/� First & Last Name: 09& Phone Number: Responsible Person Responsible Party Address, City, State, Zip: cling E—Mail Address I Inspection Quarterly CT(High-rise Only) Date of Inspection: Frequency/Type: 0q- Annual Testers Name SFD Certification (Please Print): Number: SCP_ Central SLCILIUI I I I 1U1 11LU1 Ing? Yes C3 NoN Monitoring Monitoring Required? Yes C3 Noo Company Name: System MaKe: ! Aho System Model: A I (?oocQ I Z System Location &Awoz rlw, &1y Identification Number: PROB�Ems F06ND: (If additional room is eeded, pleale add a separate sheet) -9 -1 CORRECTIONS: MADE: Date Corrected: Corrected By: W t A, I (If additional room is,needed, please add a separate sheet) SFD Certification Number: SCP - J201 Aadla& M-0 AA�U j - 2K 11A A(,;� hA& CIO& A"i-Y z=x"'gamV - 94a4a8&� PVjj 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 # cQdla - 6_5 9- - 2IJ 3 1/ 0--ird Testing Agency: ire�& S�afety, Inc C - - Mailing Address: 3013 3rd Ave N Seattle, Wa 98109 Building Representative (signature) Fire Alarm Syste rs Page 1 of 2 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. Alarm System Functionality 1. Trouble signal with AC power off? Yes No C3 2. Sy§tem',opqeat&-s properly on battery backup? Yes*, No 3. 'Battery voltage (no load) volts 4. Battery voltag44(full load) �QL.5 (0 volts (signals operating) 5. Charge circuit voltage volts 6. S ystem operqt properly on standby power? Yes, 0 No 0 7. All signals operate on AC power? Yes R No 13 8. Number of initi ' ing circuits 9. Number of signal circuits 10. Does alarm sy4'em meet audibility standards as accepted? Yes Q No C3 11. All circuits checked for electrical supervision? Yes 0 No C3 12. All auxiliary equipment operates (Elevators, fans, dampers)? N/A Yes 0 No C3 13. Ventilation controls operate? N/A Yes C3 No C3 14. Key to panel available? Yes 0 No 13 instructions at panel? Yes ML No C3 -15. -Operating 16. Trouble indic s function properly? No 0 17. 'Remote Annunciator Panels function properly? N/A 92 Yes C3 No C3 18. Elevator Call 0,7wn functions prop erly? N/A Yd C3 S' No C3 19. Test record posted at panel? Yes No C3 20. General alarm automatic time delay (minutes) N/A 0 21. Was a signal received at the Central Station monitoring company? N/A0 Yes C3 No 0 22. --Othef-'�Devicofi I - 'specify) . - -Ye'Q $,�. 1 Nd Ell I Total Total Number Number of Units in Units Syste m Devices Building Tested Test Results Acceptable ' 23. Bells, Horns, Chimes 17 N/A C3 Yes 43 No C3 24. Voice Speakers (Voice Clarity) N/A 0 Ye� No C3 25. Smoke Detectors N/A 0 Yes 173 No 0 26. Heat Detectors N/A 0 Yes /0- No 13 27. Duct Detectors, N/A 0 Yes 0 No C3 28. Sprinkler Flow Switches N/A C3 Yes C3 No C3 29. Sprinkler Supejyisory Switches N/A C3 Yes 0 No C3 30. Visual Alarm Devic0es N/A 13 Yes No C3 31. Manual Pull Stations N/A C3 Yes� No C3 32. Annunciator(s) N/A C3 Yes C3 No C3 33. Beam Detectors N/A 13 Yes C3 No C3 34. Automatic Door Unlocks N/A C3 Yes 0 No C3 35. Automatic Door Release N/A C3 Yes 0 No C3 36. Fire Dampers, every 4 yrs. N/A 173 Yes 0 No C3 Total Number of Total Number Communication Equipment Units in Buildinq Units Tested Test Results Acceptable 37. Phone Sets N/A 0 Yes C3 No C3 38. Phone Jacks N/A 173 Yes 0 No 0 39. Call -in Signal N/A C3 Yes 0 No C3 Fire Alarm Systems Page 2 of 2 FIRE PREVENTION Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION REPORT SNOHOMISH CO. Mountlake Terraceand FIR Everett, WA 98208 WEDMONDS 'ObRIER Moo'! the Town of Woodway DISTRII T Phone (425) 551-1200 E]WOODWAY 0 MOUNTLAKE TERRACE www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED e FREQUENCY STATION & SHIFT_`� LOCATION: 523 Maple Street 365 17 B BUSINESS NAME: Laurintine Condor, PHONE: 4257747214 SCHEDULED DATE DUE 1` 06/01/11 MAILING 523 Maple St UFIR 1, 424 6203 ADDRESS: Edmonds 98020 BUSINESS OWNER: Kelly, Bob #102 HOME PHONE: 4257747214 ACTIVE EMERGENCY-1: Martinis, Andy #301 HOME PHONE: 4257753507 e-CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS LICENSE PERSON CONTACTED: INITIAL IN ION DATE NAME OF INSPECTOR: Z FIRE FA 4/11 FE�V/ _L SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIONS COMMUNICATIONS Ll /0- 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 In our continuning 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 standrads adopted by the above jurisdictions. Any overlooked hazards or violations of the fire regulations does not imply approval of su ch conditions or violation. If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425) 775-7720; for Mountlake Terrace or Brier, call (425) 754-0434. BUSINESS COPY A I I Rv I bibil I L, FIRE PREVENTION CITY OF EDMOF40S SAFETY SURVEY 121 5TH AVENUE N. EDMONDS, WASHINGTON 98020 - (425) 771-0215 FIRE DEPARTMENT 4S' LOCATION: 523 Maple Street BUSINESS NAME: Laurintine Condos MAILING 523 Maple St ADDRESS: Edmonds 13USINESS OWNER: Kelly, 6ob,#1 02 EMERGENCY-1: Martinis, Andy #301 KEY ACCESS-2:, PHONE: 4257747214 98020 HOMEPHONE: 4257747214 HOMEPHONE: 4257753507 HOME PHONE: ..FREQUENCY STATION& SHIFT 365 17 A SCHEDULED DATE DUE 0' 0.6/01/10 UFIR 1- 424 6203 AC-nVE lo INITIA INSPECTION DATE PERSON CONTACTED: i NAME OF INSPECTOR: IVAVA44-C4 FIRE FA 2/09 FE I SYSTEMS:' ANNUAL HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 'A 'ENTER CODE ONLY ONCE I� VIOLATION CODE 2 2 3 3- 4 4 5 5 6 6 7 7 8 8 11st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR:, 2 DATE: E: DATE: 3 VIOLATIONS 1 5 VIOLATIONS PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 -5 6 DATE: CODE SECTION: 5 3 7 3 RETURN RECEIPT RECEIVED 6 7 14 8 .7 4 8 ILETTERNEEDED 0 YES NO DATE: DISPOSITION: 8 .10 LETTER NEEDED C] YES NO FIRE DEPARTMENT COPY AAA Fire & Safety, Inc 11 A 3013 3 Mve N Seattle, Wa 98109 206-284-1721 info@aaafire.com ANOLo Fire Department Confidence Test Report 0 ')06-386-1448 Confidence Testing 0 ff icer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline FIRE ALARM SYSTEM Certification Given (One System per Report) YELLOW WHITE CONFIDENCE TEST REPAIRS Occupancy Address: 5"2�B XaP4,:�—: 67-Occupancy Name: City, State, Zip Responsible, Person First & Last Name: Z_L Phone Number: qZ5— 7?7/2� - 7 2, Responsible Person Responsible Party Address, City, State, Zip: E—Mail Address Date of Inspection: Inspection Quarterly (High-rise Only) Frequency/Type: Annual Testers Name, SFD Certification (Please Print):'� AWT 6hAY___ Number: SCP_ Central station monitoring? Yes 0 Nox Monitoring Monitoring Required? Yes C3 No Company Name: System Ma�6: System Model: System Location 1,14 LL U)4�� -�- 5—' Identification Number: 77Z �E( F9.Q_9LFlVls FoUND: (If room nrodccl, ple...-se 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 yb�F�4h /rported to the building Owner/Manager for corrective action. Signature of Tester: Phone # Testing Agency: ;kW- FdreK Safety, Inc Mailing Address: 3013 3rd Ave N Seattle, Wa 98109 Building Representative (signature) C7:-- A I— C. - 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. Alarm System Functionality 1. Trouble signal with AC power off? 'd * Ye s No [I System perat s. peoo 2. o , .e e y ery. backup? on:'batt I Yes No 3. Battery voltage (no load) volts Battery voltage (full.- load) .4. volts (signals operating 5. Charge circuit voltage ;z volts 6,.' S t ys,em, operates, properly� on standby power?-� YeSr Iq - No 171 7. All signals operate on AC power? Yes No 0 8i Numberofihitiatirigz tit ,cul S.:. 9. Number of signal circuits y s: ar y standaeds:'b% acce'AeO .,,.Qoes.al m.:,s stern.meet audibilit P. 0 11. All circuits checked for electrical supervision? Yes No ...12. All auxiliary,equioment: opera"t6s (Elevator fansi: d6m' S) per N/k, l7j; y6' s:R: � N . 10 13. Ventilation controls operate? N/A YWIj No" 14Ae**yA 'panera ailable?.:�. Yes.A. No. 15. Operating instructions at panel? Yes No 173 Trouble indicators function* properly? Yes 17. Remote Annunciator Panels function properly? z18. N/A Yes 'No, No 0 Elevator Call Down functions properly? N/A 173. e Y s No. 171. 19. Test record posted at panel? Yes . No 2,*0.'* Genera 1::a la rm. a utoma tic: time:delay i::: -,,,,.I.(m'inu'te` N/A. .; 211.1 Was a si9nalreceived at the Central Station monitoring company? N/A Yes 173 No 0 22. Other, Devices (Soecify) Yes.0 N Total Total Number Number S.y.s.' tem Devices of Units in Building Units Tested Test Results Acceptable 23., 841s..H e s. . oehs�,.Chimes MIA M N­ .24. Voice Speakers (Voice Clarity) N/A Yes 173 No 0 25; SmOke:bete:`c�tors N/A JR. Yes M No [j 26. Heat Detectors N/A 171 Yes No 0 27. Duct Detectors N/� Yes M. No 0 28. Sprinkler Flow Switche's N/A Yes 0 No 0 29. Sprinkler Supervisory Switches N/A Yes C3 No 171. 30. Visual Alarm DevicCles 3 1 1 Manual Pull .. Stations N/A Yes 0 No 171 N�A Yes No 32. Annunciator(s) N/A Yes No 33. Beam Detectors N/A Yes 173 No 34. Automatic Door Unlocks N/A CY, Yes 13 No 35. Automatic Door Release N/A� Yes 0 No 10 36. Fire Dam.pers, every 4 yrs. �N/A s �No 171 0 Communication Equipment Total Number of Units in Building Total Number Units Tested Test Results Acceptable 37. Phone Sets - N/A Yes 171 No 171 38. Phone Jacks N/A Yes 11 No 0 39. Call -in Signal N/A Yes 0 No 0 Fire Alarm Svstpm,-, AAA Fire and Safety, Inc. Edmonds FIRE DEPARTMIENT INVOICE# 99290 3013 Yd Ave. No. Confidence Tesfing ACCOUNT# 28467 Seattle, WA- 98109 FUZE ALARM DATE: 2-23-10 800.223.3473 Address: 523 Maple st. City: Edmonds Zip 98020 Occupied as:, Laurentine Condos Building Owner: samePhone # 425-744-7214 Address Same City Same Zip Same Date of Inspection: 2-23-10 Type of inspection Annual Tester's Name Chris Matt Control Panel: AIP Model # SFD Certificate # SCPM -04289 No. of Initiating Circuits: 3 No. of Signal Circuits 2 Battery Voltage 25.4 Battery Voltage Under Load 24.7, (signals operating)' Charge Voltage 27.3 1 . Trouble signal with A/C power off YES 2. System operates satisfactorily on standby power YES 3. All auxiliary equipment operates (elevators, fans, dampers, etc.) YES 4. All signals operate on A/C power YES 5. All notification appliances checked for proper operation YES 6. All circuits checked for electrical supervision YES 7. Control panel checks per manufacturer's instructions YES 8. Central station or remote connection YES 9. Name of monitoring company Washinaton Alarm. 10. Key to panel available YES TYPE EQUIPMENT # OF UNITS TESTED SATISFACTORY # OF TOTAL UNITS Bells, Homs, Chimes 25 YES 25 Voice Alarm Speaker N/A Visual Alarm Devices Panel YES Panel Trouble Indicators Panel YES Panel Flow Switches N/A Supervisory Switches N/A Smoke Detectors N/A Heat Detectors 24 YES 24 Manual Pull Stations 4 YES 4 Ventilation Control Ops. N/A Central Station N/A Annunciators N/A Elevator Call Down 1 YES 1 Fire and Smoke Damper N/A Phone Jacks ' N/A 2 Door Unlocks (fail safe) N/A Door Re ease N/A Chemical Release N/A Water flow N/A Problems found' None Corrections Made: None Date Corrected FrEMS LISTED IN THIS REPORTS: L0 License M-04289 TTJ q 7'� EC E i.V ED NOV 5 1987 1 J, . i 10-MONDSFIRE DEM 41P�, 4:um CiR, B ) .�19 ra MINI - 4ot-N ALARM t4 DUSTRY PRODUCTS rRrli CONTROL PANELS • For One or Two Zone, Low Voltage Systems • Two Models: A 19812 — 12 Volt Panel AI9824 — 24 Volt Panel • Field Programmable Features N U.L. Listed DESCRIPTION AIP control panels are for use in buildings that require a supervised, zoned fire alarm system. The surface mounted cabinets have a cream finish, and are attractively styled to blend with any decor. The panelsare U.L. listed, and meetorexceed all perform- ance and operational requirements of U.L. Standard 864 and N.F.P.A. Standards 72A, 72B, and 72C. The panel is supplied complete with back box, removable hinged door, control switches, indicator lamps, and primary power supply. FEATURES • POWER LIMITED ALARM INITIATING CIRCUITS. • ZONED VISUAL ALARM AND TROUBLE INDICATORS. 4 OONNECT10N,1; 1:011 TWO 4-Wllll_� A ALARM INITIATING CIRCUITS. 0 CONNECTIONS FOR ONE FOUR WIRE CLASS A SIGNALING CIRCUIT. 0 DISABLE SWITCHES FOR BOTH ALARM INITIATING CIRCUITS. • CONTINUOUS SIGNAL DunING ALAnm. • BUILT-IN BATTERY CHARGER. • LOW/NO AC POWER AND BATTERY DETECTION. • AUTOMATIC LOADING AND TESTING OF BATTERY. • BATTERY LEAD REVERSAL PROTECTION. • LIGHTNING PROTECTION. • GROUND DETECTION. • AUXILIARY POWER OUTPUTS (1 2VDC ON A19812; 24VDC ON A19824) — BOTH UNFILTERED AND FILTERED. FILTERED POWER SOURCE IS RESET - TABLE FOR USE WITH FOUR -WIRE SMOKE DETECTORS. e PROVISION TO ACCEPT CITY -TIE MODULE WITH PLACEMENT SUPERVISION. • AUXILIARY ALARM AND TROUBLE CONTACTS. • SOLID STATE TECHNOLOGY AND PRECISE WORKMANSHIP —assures uniformity and reliability of high quality, rugged components. 9 EXPERTLY ENGINEERED —provides the capabil- ity of easily adding the most wanted optional features. 0 LONG LASTING LIGHT EMITTING DIODES FIELD PROGRAMMABLE FEATURES 0 ALARM INITIATING CIRCUITS MAY BE CON- VERTED FROM CLASS A TO CLASS B. 0 THE SIGNALING CIRCUIT MAY BE CONVERTED FROM CLASS A TO CLASS B. o SIGNAL OPERATION MAY BE CONVERTED FROM CONTINUOUS TO PULSING (120 PPM). ALARM DISABLESWITCHES MAY BE CONVERTED TO ALARM TEST SWITCHES, AND FROM TWO - POSITION TO MOMENTARY. OPTIONAL FEATURES 0 REMOTE STATION OR MUNICIPAL TIE WITH DISCONNECT. • FLUSH MOUNTING TRIM. • SECONDARY POWER BATTERY PACK. ALARM INDUSTRY PRODUCTS - 195 FARMINGTON AVENUE * FARMINGTON CT 66032 OCOPYRIGHT 1986 AIP-13-2 (4/86) ERARM NDUSTRY PIPRODUCTS CONTROL PANELS OPERATION There are three modes of operation In an electrically supervised Fire Alarm Control Panel: 1. SUPERVISORY MODE —This is the normal mode of operation. All power to the system is turned on. The POWER -ON lamp is lit. No alarms are in progress. The trouble signal is silent, and the TROUBLE lamp is off. 2. ALARM MODE — Operation of any initiating device will cause the alarms signals to sound. Alarm tone sounds at the panel. A red zone lamp illuminates atthepanel, indicating the location (zone)fromwhich the alarm originated. 3. TROUBLE MODE — When a fault, such as open develops in the initiating circuit, or an open or short develops in the signaling circuit, the system trouble tone pulses, the system common trouble lamp illumi- nates, and the common trouble contacts operate. WHEN MAIN POWER FAILURE OCCURS, the sys- tem automatically transfers to standby battery power, the common trouble lamp illuminates, the tone pulses, and the POWER ON lamp extinguishes. OPTIONS SECONDARY POWER BATTERY PACK (optional) Sealed lead acid battery for standby power operation. Imaludoe battary tkaeombly hn(l nocontimy Intellcoll- necting cable. Please refer to tho SYSTEMS MANUAL for proper battery selection. CAT. NO. AI9812-24, 2.6AH, 12 volt CAT. NO. A19812-60,4.OAH, 12 volt CAT, NO, A19624-24, 2:6AH, 24 volt CAY. NO. A19024-60,4.OAH, 24 volt OPTIONAL CAT. NO. AI9824-Cl MUNICIPAL TIE MODULE REMOTE STATION TYPE REMOTE STATION MODULES Each AIP9812 and AIP9824 FACP provides for the connection of one of the three optional municipal tie module. Select one of the following modules (if required): CAT. NO. A19812-Cl (for AI98112) CAT. NO. A19824-Cl (for AI9824) REMOTE STATION MODULE Poovidon mixIlItify 19-110T, nlnrttl aparnlad awitnal, Marmal disconnect switch Is provided on the FACP. CAT. NO. A19812-C1 (for A19812) CAT. NO. A19824-C2 (for A19824) RIFMOTF . . _ @TATION, R19VEROE POLARITY MOOUL9 1'ransmits reverse polarity alarm to remote station. Conforms to NEMA standard SB3-1969. Provides auxiliary, SPDT alarm operated contacts. Manualdis- connoct switch Is provided on the FACP. CAT. NO. A19812-C3 (for A19812) CAT. NO. A119824-103 (for A119111124) MUNICIPAL TIE MODULE For use with shunt or local energy type master box. Provides auxiliary SPDT alarm operated contactwhen used with local energy box. Manual disconnect switch is provided on the FACP. ACCESSORIES CAT. NO. AI9824-1 FLUSH TRIM Forflush mounting oneA19812 OR A19824 Firealarm control panel. \\_j ALARM INDUSTRY PRODUCTS - 195 FARMINGTON AVENUE - FARMINGTON CT 06032, GCOPYRIGHT 1986 AIP-14-2 (4/86) a ALARM MDUSTRY PRODUCTS ir, FIRE ALARM STATIONS • Non -Coded • Pull Lever, Break Glass Type • Simple, Positive Operation • Single or Double Pole • Single Action • UL Listed DESCRIPTION AIP Non -Coded Fire Alarm Stations are rugged, attractive units that are designed for easy and eco- nomical installation. All stations can be either flush or surface mounted. For flush mounting, a 4 inch square box with a single gang plaster cover should be used. For surface mounting a Cat. No. A139250 steel box should be ordered. FEATURES 0 Easily Rocognizablo - All Shitionn aro Iminh)(1 hi durable AIP firo rod. • Single Action, Break Glass Initiating Station. • Choice of Field Connections — Cat. No. A1270 series have screw terminals. Cat. No. A1270A series have 6 inch wire leads. SPECIFICATIONS Cat. No. Switch Contacts All Normally -Open Field Connections Screw Term. I Wire Leads A1270-UPO A1270-SPO Double Pole..- .- _X X S111010 Polo W070A.61`0 Double Pole X A1270A-SPO Single Pole X A139250 Steel Box for surface mounting A1270-GLR Glass Replacement Rod (20 per box) 1\1j ALARM INDUSTRY PRODUCTS* 195 FARMINGTON AVENUE* FARMINGTON, CT 06032 OCOPYRIGHT 1983 AIP-4 (11/83) FIRE ALARM BELLS AI MODELS AFB=6 uth & AFB=10 GENERAL The mechanical design of Models AFB-6 and AFB-10 Fire Alarm bells employs a single electromechanical assembly for both sizes, permitting the substitution of one gong shell size for another If demanded by changes in ambient noise levels. 06ng shells are manufactured from carefully selected material to providea loud,resonant tone, and the continuous - duty rated mechanism is mounted in a tough enclosed housing to prevent impairment through dust accumulation. The gong shells are finished in vermillion red baked enamel, their under -dome design requiring a minimum of depth when flush mounted, and providing a more attractive appearance when surface mounted. APPLICATION These bells are designed for installation in areas of normal occupational ambient noise levels, but the proper size must be selected to ensure audibility over the ambient noise level expected. The following guidelines are acceptable to most fire prevention authorities. In institutions,or wheresleeping accommodation is provided, bells must be of minimum 6 inches in diameter, with no area served by the ala.rm at a greater distance than 35 feet from the bell. In business and commercial structures with open areas of average noise level, one 6-inch bell is required per 5,500 square feet of floor area, and one 10-inch bell per 10,000 square feet. Bolls should be Installed at l000t 8 toot abovo floor lovol io protect them from tampering. CHARACTERISTICS The Model AFB-6 has a 6-inch diameter gong and a heavy duty polarized vibrating typo mochnnism. Its SOLold 01111)111 is 91 db at 10 feet. The Model AFB-10 is similar in all re- spects, except that it has a 10-inch diameter gong and a sound output of 96 db at 10 feet. Both bells operate f rom 24VDC and draw 65 mA. ACCESSORIES C111111oullu Nimilim Unillitiptilm bioloo0iijos 243210 6" Wall Back -box 10" x 10" x 4-1/2"D 243220 10" Wall Back -box 13-1/2" x 13-1/4" x 4-1/2"D 243230 6" or 10" Ceiling Box 13-1/2" x 13-1/2" x 14" 243240 Painted Grille for 74321 12" x 12" 243250 Painted Grille for 74322 & 74323 1 14-1/4" x 14-1/4" BB316 Universal mounting Adaptor Plate 6" x 6" 243200 4" Square Surface Box, Red — FA— 09 FIRE ALARM SYSTEM �Au+ FIRE ALARM HORN MODEL 243100 Model 243100'is a compact fire alarm horn enclosed in a rugged metal casting with a red baked enamel finish. ts sii- 11-1h !'Die0h 1" �' ma ',� -ne-at appurance the unit provides a powerful audible signal of 11011clb at 10 feet, and is suitable for wide area coverage where neatness of appearance pre- -�'dudes the , uw- of:,-4arger conventional horns. The unit operates'from'24VDC 'and draws only 63 mA of current. 5 inches high by 5 inches wide, the 243100 is 2-1/4 inches deep and is supplied with a mounting plate for attachment to a standard 4-inch square or octagonal electrical box. FIRE ALARM STROBE HORN MODEL 242110 Consists of 24VDC vibrating horn mounted with 24VDC Arobe light. The strobe light, using a xenon flashtube, has a -,�Iash rate of 1-3 flashes per second and a peak light intensity of 8000 candlepower. The assembly is sealed in silicone and protected by a white, translucent, Lexan lens marked FIRE. Operating current is 63mA. FIRE ALARM MINI-1-10111\1 MODEL 242010 Model 242010 uses a piezoelectric transducer to provide a loud 93clb at 3 feet, with 24VDC applied power, sufficient intensity for fire alarm use in small areas such as private homes, motel rooms, apartments etc. It will opeiato ovor a wide range of voltages,from about 4VDC to 24VDC, drawing only 20mA of current at the upper voltage level. Reliability is inherent through its solid state circuit design, and the use of a stainless steel, single -gang mounting plate in its con- structiori 'simplifies installation. The recommended range of operating temperature is . from -250C to +700C. I � 11 1 . AUDIBLE SIGNAL DEVICES MODELS 243100 & 242010 (V /Z V.- FA-10 Heat Detectors 781A 280A SERIES RATE -OF -RISE AND FIXED TEMPERATURE -FEATURES WHITE —blends with ceiling. 9 LOW PROFILE —with bape 99vering mounting plate and box. e POSI- TIVE OPERATINi3 INDICATION —when fixed tempera- ture element is activated center disc falls free from detector. (Detector replacement is required) e REG- ULAR TESTING— rate -of -rise feature is automatically self -restoring permitting regular testing of this fea- ture. 0 EASY INSTALLATION —twist and it locks in place; same mounting plate for 31/4 or 4 inch octag- onal box, or open mounting. Terminals clearly marked. 9 WIDE SPACING-50 foot centers on rate - of -rise units, 25 foot centers on fixed temperature units. (See Specification Table for details) o APPROV- ALS—UL, FM, ULC. TO INSTALL DETECTOR — MATCH ARROWS ON DETECTOR AND MOUNTING ELECTRICAL BOX PLATE. PUSH UP AND TURN (Nor SUDPlied) CLOCKWISE =4 __7 Iva FOR EXPOSED WIRING (351 4 LEGS BENT UP 90'ON METAL MOUNTING PLATE MOUNT USING LIMITED TO REMOVE DETECTOR— 43/4 1 LIFT MI!TAL FINGER WITH ENERGY CABLE PLAST C Is 'CREW DRIViR TIP AND (1201 MOUNTING PLATE IS TURN DETECTOR COUNTER. MOLDED TO CLOCKWISE Surh� Mount ACCOMMODATE Flush Mount Con"t wirms, E.posed WirkN9 EXPOSED WIRING MOUNT U.L. Max. U.L. Ambient Number Rate -of- ise Temp. Temp. at of Normal I Ole 4) or Rating Ceiling Circuits Circuit Ixed a 0 F OF _Qpen . .90 R & Fixed 135 inn �01! & L! of I it) 'mo ' __1 OCIen 1-83A Fixed 135 1 00-_ 284A 1 -_ Open Fixed 194 150 DESCRIPTION This series of EDWARDS Heat Detectors provides high quality, reliability, and the ultimate in design and decor. The low silhouette and pure white finish blend with practically all ceiling designs to provide an un- obtrusive unit. IMPORTANT NOTE: Independent studies indicate that Heat Detectors should b4 used when property - protection alone Is Involved. -In'casoa whore 11tot-, soliety Is a factor, SmoPo Detector ' a ' should be used, Heat Detectors are available.in the 135 and 194 de- c gree Fahrenheit ratings; in fixed, or fixed and rate-of- riso crittrigpiries; with normally opon contacts, The Heat Detector is available with either a metal or a white plastic mounting plate. The metal plate can be used for either flush or surface mounting whereas the plastic plate is designed specifically for surface mounting of the detector. The plastic plate mold in- cludes the white skirt which covers the space be- tween detector base and.the mounting surface. IMPORTANT NOTE: The rate -of -rise feature on.heat detectors may be subject to reduced sensitivity over time. Therefore, the manufacturer recommends test- ing the rate-ot-rise feature at least once per year by qualified fire protection specialists. Contact ratings on all models are 3 amps @ 6 to 125 VAC, 1.0 amps @ 6 to 28 VDC, 0.3 amps @ 125 VDC, and .01 amps @ 250 VDC. 4117 I'M MfIXIIIIIIIII Coviolhuh (Nola 2) Nolit Max, - I - , 1,01 -PL Distance 2 Ma from Wall t' ' me , �q. Et. Spacing Q!�te.3) ;' wno .1 Ma 625 25' 112, 4. FIXED TEMPERATURE —Call. Nos. 445,446 249 445 Adaptor - � CIS', 11 751, 1, Plate FEATURES: UL listed e Fully alltomatic Self-con- tained e Easy to install - Self -restoring e Four termi- ­naI6��­ Hermetically sealed gold plated contacts * ...No. 445 for general use (1351) - No. 446 for high tem- peralure (1900) areas -. Protects unobstructed area 301 x 301(9.14 x 9.14 metre . sy IMPORTANT; NOTE: Independent- studies indicate that Heat Detectors shotild be used when property "0" �- '11A.t.1 Mounfling Piate KNOCKOUT (For Exoosed Wiring) Plastic Mounting Pisto 4 while Ozislic mounlln� plate In place of ulandaft1l metal plate slid &u!IIK to Cal. No. (e.g. 281A- I.) ximum detector coverage has been determined by I.I.L. to provide detection qual In �prinklor devices spaced at 10 It, Intervals (100 square it, area) on oth calling 15 it. 9 inches high. Mother ceilings can adversely affect titiec- lain In !iotne. lnttffnca� earlier defection may be obtained by rpthocl-V the if) bulyVwl 00�0ef§ '111111ro 11104111ol, fillowil Ih 1111111 any wall 1,4111111111 (is 00111110 Inolol,11111, of 0 down rociie than 12 inclits, te-ol-Rise is 150F/Min.-Self Restoring protection alone /a Involved. In cases whore Jife safety Is a factor, Smoke Detectors should be used. ADAPTOR PLATE for use with 445 and 446 detectors Cat. No. 249 Adaptor plate required only w hen % outlet box mount- ing is desired. The plate is designed for mounting directly on 31/4 " or 4.11 octagonal box. #6-32 .' xz.- screws furnished with plate. UiTe. P. Cant - - act Ratings C at. No. Type . at, a . Amps Volts Dimensions 445 Fixed Temp. 135OF'' 1 125 AC or 0.5 24 DC 23/9"bi'a. (60.3), 446 Fixed Temp. * 190OF EDWARDS 0 A UNIT OF GENERAL SIGNAL 0 FARMINGTON, CT 06032 E5 OCOPYRIGHT 1983 EDWARDS