530 WALNUT ST (2)SNOHOMISH CO.
b36 jr
Serving Brier, Edmonds, and 12425 Meridian.Ave S
Mountlake Terrace Everett, WA 98208'
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREV!i��'iON
INSPECTION REPORT
EfEDMONDS
0 BRIER
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
LOCATION:
I
530 Walnut Street '98020 Q1 Iflu I I _Lj
BUSINESS NAME: PHONE: SCHEDULETI
DATE DUE �
Cambridge Condos Ang 2016
MAILING UFIR 0
ADDRESS: 422
530 Walnut Street, Suite 301, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
Marques, Ken
.EMERGENCY-1: HOME PHONE: "'CURRENT
KEY ACCESS-2: Maki, Chuck HOME PHONE: 4257742717 CITY YES NO
EMAIL: BUSINESS F-1
LICENSE L—J
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR
FIRE SYSTEMS: AS 5/15 FA 5/15 FE 5/15 FD Lk Box
[DateFb83V8V*Md�CAnONS COMMUNICAnONS
_6V
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
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
w ith 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.
1, 7,
Protection &Communications, Inc.
(800) 774-9099 - Fax (425) 774-6317
www. pro-comm-onfine. com
AW14 7-
CONFIDENCE TESTING
FIRE ALARM SYSTEM
JUN 0,42016
TEST REPORT
NAME - 9F FACILJTY "'OHO
k-AmDr�lf- Co�njq-'s ,
NO
R25) 74- (oM
DATE IVSPEIPTION
512 1 (,j
ADDRES%,so "IJ inAi 5t
T%a
ZIP
OCCUPIED AS
MQUPGREDPY
�%p A lot
Atc�
TYPE OF TEST
MONTHLY 0 QUARTERLY 0 SEMIANNUAL 0 ANNUAL;< ACCEPT [I
PRO-COMM LICENCE
BATTERY VOLTAGE VOLTS
BATTERY UNDER
FULL LOAD �LTS 11�1 I q
CHARGE CIRCUIT VOLTS
1
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 N FPA STANDARDS
X
SYSTEM OPERATES
ON STANDBY POWER
y
CONTROLPANELCHECKED
PER NFPA & MFG INST.
KEY TO PANEL
AVAILABLE
X
SIGNALS OPERATE
ONACPOWER
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
NO
N/A
BELLS, HORNS, CHIMES,
VOICE ALARM, SPEAKERS
nV
6111*.19
ow
0440
ANNUNCIATORS
k
1
)(000,
VISUAL ALARM DEVICES
0
ELEVATOR CALL DOWN
HEAT DETECTORS
DOOR RELEASE
q
SMOKE.DETECTORS
FIRE & SMOKE DAMPERS
MANUAL PULL STATIONS
7
PHONEJACKS
7>(
�PRINKLER
�.SUPERVISORY SWITCHES
AUTO DOOR UNLOCKS
(FAIL-SAFE)
X,
SPRINKLER
FLOW SWITCHES
OTHER
C . ENTRAL STATION
xo,—
OTHER
VENTILATION CONTROLS
OPERATE
OTHER
PANEL AND MODEL
1;11144 kvi.114
OTHER
SERVICE TECHNICIAN NOTES FirdVatch required, threat level 1 2 3 (see reverse for a threat level explaination) .
THIS IS TO CERTIFY THATTHIS FIREALARM 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 DISCREPANCIES. NONE El YES [:1
OWNER OR FACILITY REPRESENTATIVE
DATE
TECHNICIAN
LICENSE NO.
SIGNATURE
WA
FIRE PREVENTION
Sery Brier, Edmonds
IM5' �eridfi'an'Ave, S
INSPECTION REPORT
SNOHOMISH CO.
)4 Mountlake Terraceand
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
STPLtT
Phone (425) 551'1200
OWOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFF"*'
LOCATION: 530fi(ST . Edmonds
I 17-A
BUSINESS NAME: Cambridge Condos
PHONE:
SCHEDULED
DATE DUE � Aug
MAILING
LIFIR 0 422
ADDRESS: 530 Walnut Street 030 1, Edmonds, WA. 198020
BUSINESS OWNER: Marques,,,Ken
HOME PHONE:
Email:
EMERGENCY-1: Maki, Chuck
42-57742717
CURRENT
YES NO
KEY ACCESS-2:
HOME PHONE:
CITY
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
F!,.R. E= SYSTEM S: FE
JeA
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
—
1 Z
v
2
2
3
3
.4
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 3p 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:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
7
4
18
4
'8
DATE:
LETTER NEEDED [—] YES NO
LETTER NEEDED [] YES NO
\�
I
I
8
FIRE DEPARTMIENT COPY
NAME. OF.FACILITY
PHONE NO.
DATE INS TI N,.
ADDRESS
S3
CITY,
STATE
ZIP
OCCUPIEDAS''
MONITORED BY
Ilk.
ACCT #
TYPE OF TEST
MONTHLYEJ QUARTERLY 0 SEMI ANNUAL' '41\INUALN5-'�,�". , ACCEPT Ej,
PRO-COMM LICENCE
BATTERY VOLTAGE VOLTS
. 2>
)BATTERY UNDER VOLTS
00,
FULLLOAD I
CHARGECIRCUIT V9LTS.
I . . :�2
ITEM
YES
NO
N/A
'ITEM
YES
NO:
N/A
b � ITEM 'b' , .'
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 IN ST
KEY TO PANEL
AVAILABLE
SIGNALS OPERATE
ON ACPOWER
AUXILIARY EQUIP.
OPERATES
..,OTHER
SIGNALS OPERATE
STANDBY POWER
OPERATING INSTRUCTIONS
AT PANEL
i.
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'
I N/A
BELLS, HORNS, CHIMES,
VOICE ALARM, SPEAKERS
Aft
A NNUNCIATORS
VISUALALARM DEVICES
0,
ELEVATOR CALL DOWN
HEAT DETECTORS
DOOR RELEASE
SMOKE DETECTORS
Ile SO
FIRE & SMOKE DAMPERS
MANUAL PULL STATIONS
PHONEJACKS
SPRINKLER
SUPERVISORY SWITCHES
AUTO DOOR UNLOCKS
(FAIL-SAFE)
SPRINKLER
FLOW S WITCHES
4 C
OTHER
CENTRAL STATION
OTHER
VENTILATION CONTROLS
OPERATE
OTHER
PANEL AND MODEL
'7
OTHER
SERVICE TECHNICIAN NOTES Fire Watch required, threat level 1 2 3 (see reverse for a threatievei explaination) .
,THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN P ROPERLY TESTED AND INSPECTED FOR RELIABI ! LITY
TO COVER ITEMS,LISTIED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTENA NCE STANDARDS.
OWNERWAS INFORMED ABOUT ANY NEEDED REPAIRS OR DISCREPANCIES. NONE YES
OWNER OR FACILITY REPRESENTATIVE
4 m: 9, 4
DATE.
45�
ENSE NO.,
.#*'SIGNATURE
I
FIRE PREVENTION
Serving Briet; Ednionds
12425 Me.ricii, a*.q Ave. INSPECTION REPORT
OMISH CO.
'Allo'untlake Terraee",and,
41RE
E1EDMO�DS','."`
Everett, WA P8208 :J�EIBRIER�,
the Town o
f Woodway
-S
T T'
0 WOODWA�
Phone (425):551-1200
I ' 0 MOUNTLAKE TERRACE
iD1 www.FireDist'ric-t].org
Fax (425) 551.42-72-- El UNINCORPORATED
I
LOCATION: 530 Walnut St.
" FREQUENCY I STATION& SHIFT�'
365 17 D
BUSINESSNAME: Camb6dge Condos
PHONE: SCHEDULED owovi 1
46� DATE DUE
MAILING 530. Walnut St #301
LIFIR o 422 8203
ADDRESS: Edmonds
93020
BUSINESS 'PWNER: Maki, Chuck
HOME PHONE: 42577427117
EMERGENCY-1: Ped6rsen, James #101
42p7755346
HOME PHONE: 1 1 CURRENT YES NO,
KEY ACCESS -2:
HOME PHONE: CITY-.
BUSINESS
LICENSE
K "7,
P E�SON CONTACT�.&
:an-
�INIIIAL INSPECTION DATE
NAME OF INSPECTOR:"
I �j FIRE AS 301 FA 3/11 FD LkBx
"V FE
SYSTEMS:
ANNIJA
HAZARDS FO
�q�p AND LOCATIONS / COMMUNIG,�X-ONS _xZ e
�s
s
LJ� �4
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:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
C NTACTED:
CONTACTED:
I
INSPECTOR-
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
5
LETTER SENT
4U-MBER:
4
I
�bDE
5
2
V
2
6
DATE
SECTION:
RETURN RECEIPT
6
3
7
RECEIVED
DISPOSITION:____
,4
8
4
18
DATE:
7
LETTER NEEDED
rLETTERNEEDED.F] YES 0
'.'-
I'\ , ' 1 9�'
d,'-(
.[1
'\
� � C'
FIRE DEPARTMENT COPY
CONFIDENCE TESTING
Protection &Communications, Inc. FIRE ALARM SYSTEM
(800)::'77' x (425)- 77
-4:-9099 a 476317. ..TE,$T 9EPORT
-on inei,com
omhiL
NAM E OF FAPL-V
S
NE,Ng,
PHO'
`7
:p
-ADDRESS
CILY_ T_ �TAT
ZIR
9,
OCCUPIED Ab
C. 01-
Mpfq1TORED BY
L-A
AQQ.T_A
(Ow3
TYPE OF TEST
PRO-COMM LICENCE
MONTHLY El QUA,�RTERLY '�--SEMI ANNUAL ANNUALI�_ ACCEPT
BATTERY VO�T4a!t, V
BATTERYUNDER V(
;
IFULLLOAD
CHARGE CIRCUIT 0
- -7 It
__�PTS
ITEM
YES
_NO
. ITEM
YES-
NO
N/A.
ITEM
YES
No:*
N/A
_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 If
e
AVAILABLE
SIGNALS OPERATE
AUXILIARY EQUIP.
ON AC POWER
OPERATES
OTHER
SIGNALS OPERATE
OPERATING INSTRUCTIONS
STANDBY POWER
AT PANEL
OTHER
EQUIPMENTTESTED
NO. OF UNITS
SATISFACTORY
NO. OF UNITS
A SATISFACTORY
TYPE OF EQUIPMENT
IN BLDG.
TESTED
YES
NO
N/A
TYPE OF EQUIPMENT
JN BLDG.
TESTED
YES
I NO
N/A
BELLS, HORNS, CHIMES;
D
VOICE ALARM, SPEAKE FIS
ANNUNCIATORS
VISUAL ALARM DEVICES
ELEVATOR CALL DOW, N
HEAT DETECTORS
DOOR RELEASE
SMOKE DETECTORS
FIRE & SMOKE DAMPERS
_MANUAL PULL STATIONS
7
PHONEJACKS
SPRINKLER
e;L
AUTO DOOR UNLOCKS
J
SUPERVISORY SWITCHES
CAP-1
(FAIL-SAFE)
SPRINKLER
�w�
in.
FLOW SW)ITCHES
OTHER/
CENTRAL,STATION
OTH9R
VENTILATION CONTROLS
OPERATE
OTHER
V_T:
519
QD 7
PANEL AND MODEL
OTHER,,
SERVICE TECHN-ICIAN NOTES Fire Watch required, threat level 1 2 3 ---(see-reverse for a threat 16el explaination)7777-'
c_
THIS IS TO CERTIFY THAT THIS FIRE ALARM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABIUTY
TO COVER ITEMS LISTED IN _THIS REPORT; IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS.
[:1
OWNER WAS INFORMED ABOU�ANY NEEDED REPAIRS OR DISCREPANCIES. NONEEJ YES
OWNER OR FACILITY REPRESENTATIVE
'e"
DAT�
TECHNICIAN
LICENSE NO
_4
1=7
SIGNATURE N4
7T
1--
CONFIDENCE TESTING
Protection & Communications, Inc. FIRE ALARM SYSTEM
(800) 774-9099 - Fax (425) 774-6317 TEST REPORT
www.pro-comm-online.com
NAME OF FACILITY
PHONE'NO.
"/W:Z57—
DATE INSPE�-,TIOV
—3zlk //0
ADDRESS
-s 7-
CITY (�� _PS ISTATE
cc--42
ZIP
9&0�-p
OCCUPIED AS
MONITORED BY
ACCT#
TYPE OF TEST
MONTHLY El
QUARTERLY 0 SEMIANNUALE] ANNUA & ACCEPTE]
PRO-COMM LICENCE
BATTERY VOLTAGE
VOLTS
BATTERY UNDER VOLTS
IFULILLOAD —Aq -9-�
CHARGECIRQUIT VOLTS
:31!r—
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
T6 NFPA STANDARDS
SYSTEM OP ERATES
ON STANDBY POWER
CONTROL PANEL CHECKED
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
B`ELLS, HORNS, CHIMES,
VOICE ALARM, SPEAKERS
ANNUNCIATORS'
AUAL ALARM DEVICES
0
C-)
/0
ELEVATOR CALL DOWN
HPAT DETECTORS,
DOOR RELEASE
SMOKE DETECTORS
is—
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
Z
OTHE R
PANEL AND MODEL
A-,v/'
ey
OTHER
SERVICE TECHNICIAN NOTES
Fire Watdh requirbd, 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 RELIA:BILITY
TO COVER ITEMS LISTED IN THIS REPORT, IS CONSISTENT WITH FIRE ALARM MAINTENANCE STANDARDS.
OWNER WAS INFORMED ABOUT ANY NEEDED REPAIRS OR DISCREPANCIES. NONE)5'-" YES
OWNER OR FACILITY RERRESENTATIVE
DATE,/
TECHNICIAN
LICENSE NO.
7--SIGNATURE�-
. ....... CITY OF EDMON'bs
121 5T- AVENUE N. - E61�16NDS, WASHINGTON 98020; -'(425) �71-0215
FIRE DEPARTMENT
LOCATION: Walnut St.-
BUSINESS NAME: Cambridge Condos PHONE:
MAILING 530 Walnut St-#301
FIRE -PR EVENTION
SAFETY SURVEY
ADDRESS: Edmonds 98020
BUSINESS OWNER: Maki, Chuck HOME PHONE: 4257742717.
EMERGENCY-11:' Pedersen, James #101 HOME PHONE: 4257755,146
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
365
17 C
SCHEDULED
DATE DUE 01
08101flO
UFIR 111. 422
8 203
NO rzai'hA,6-q-- 9- 17 -10
PE'RS'ON CONTACTED: ot) INITIAL INSPECTION DATE
NAME OF INSPECTOR: T:O�LO — 030-7
FIRE AS 3/10 FA-394-FD Lkf3x , FE5 f ( 0
SYSTEMS:, b
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
\j NA-,
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
PERSON
GRANTED TO:,
DATE DUE:
PERSON
CITED:
PERSON
CONTACTED:1—J
CONTACTED:
CONTACTED:
1
INSPECTOR.
INSPECTOR.
INSPECTOR.
2
(0
3
DATE:
DATE:
VIOLATIONS
PRE -CITATION
DATE:
CITATION ISSUED
C&nOLATIONS
1
. 5
..
LETTER SENT
NUMBER:
4
<52
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
7
3
7
RECEIVED
7
DISPOSITION:
8
4
LETTERNEEDED E] YES I-] NO
DATE:
[] YES No
FIRE DEPARTMENT COPY
Mar.24, 2010 10:33AM F�reshield Inc,
IMMIIIIIII]GUMS M-WIT11 9=1 IMF 01
No, 4693 P. I
C"I 11
FIRE31n,
AMC 2534,53-4256 Fag 253-8514M
PABOX 2389 G4i Nrbor, WA 90335
WwAreshiew1moom
WET - AUTOMAITC SPRMKLERS
(One System per Report)
f, -_jj � �M fl
Location of System, -
Or= gin, cy A&lress: ==u' "Ctko7n
P IA4
BuIlding Owner.-
Re"onsible Person: ?20 &MM
Building -Owner Address:
Seatfle Fire Dopartmen, t
Confidence TeO Report
20&366-1448 Confidence Testing �Officer
2WO15-1,0.68 (W)
20&233-7219 Red Tagi Hotline
RED I YELLOW
OcaVancy Harnw. 64MIRDIO.__&�V_�)o
Phone Numbec
Phone Number. '4W-7
Date of In3pa"an: it rhc, Inspec1ion, Type: AcmWnze
Teoters Hame e1C1r_.e91(r- / r-es—zio7
t
Mmmt& Prinfl- ISF11CeriffiNcation umbor: SCFk_j.:2q �/q?
Central vation monitorimt? <W��_ No ' MonftoTing tompany name: TA ek I ed M
,Control portel manufacturer, I&LAT_&jaw Model Number _-7
Problms Found: (if adiftonal coom Le naacled, 019aw add a separale siveq)
9.gEMV.*nv Made Date CorroMd:: Correc"d By:
(9 acKlonal mm is naaftd, please aW a sop=ta shaot) SFD Certification Number.,
This certifles thart this flre and life safety Gystem has been properly ins9wed for milability to cover the
Rents Bated In this repoct;lfld Is con!310,ent wit SsaUle Fire Dep standards, and -that
. Wnent Rm Code
discrepancles are n*Wd and have been reported to tI* building Owneriblanapr for corrwive aefiori.
Signature of Teq n
Tesfing Agency;
Usilk-to Address:
phone#
CV-13 Page 102
Mar, 24. 2010 10:33AM F�reshield Inc,
No. 4693 P. 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.
Flow test conducted?
(,'��es
No
Static pressure: ZPo psi Flow pressure: _ga_psi
2-inch drain?
Yes
No
Flow switches, supervisory switches and alarm bells tested? N/A
(5a
No
Alarm bell operates? NIA
No
System ins ' pected and lubricated?
No
Pressure regulating valves tested?
Yes
No
Valves are sealed or supervised?
(�B
No
Signs are provided on valves?
es
"es
No
Pumper connections and clapper valves unobstructed and turn freely?
No
Wet type sprinkler heads replaced or successfully sample tested in last 50
s
No
years?
Sprinkler coverage is acceptable?
To
e
No
Proper number of spare sprinkler heads available?
es
No
System left in service?
No
System gauges replaced or calibrated every 5 years?
No
Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? 6s
No
Was debris found in the Fire Department Connection (FOC)?
'I
Yes
No
W,�s the Fir6..'Qepartmont; Corihoicticinin (FDC) back, hushed?.'...
(Za Yes:
No
Was an internal pipe and valve inspection performed every 5 years?
No
SprinkleuWrench ay6ilable-lor each t 6 of e
yp - sprinkh r?
_Y-As
CYes
No
CTF-13 Page 2 of 2