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546 WALNUT ST STE 7SNOHOMfSH CO." FIR 71- -7 no Lj/ Serving Brier, Edmonds, and 12425 Meridian,AVe' S Mountlake Terrace Everett, WA 98208 Phone (425) 551-1200 JLPJL&-.V A JL%.# A www.FireDistrictl.org Fax (425) 551-1272 FIRE PREVENTION INSPECTION REPORT DEDMONDS D BRIER 0 MOUNTLAKE TERRACE [I UNINCORPORATED - FREQUENCY & SHIFT LOCATION: 546 Walnut Street, Suite 102 98020 Annual [STATION 17-C BUSINESS NAME: Erin Place Condo's PHONE: SCHEDULED Aug 2015 DATE DUE MAILING FIR o 428 �u ADDRESS: 546 Walnut Street, Suite 102, Edmonds, WA 98020 __j BUSINESS OWNER: HOME PHONE: EMERGENCY-1: 0 5 5 D I /%AAA I C, 14 HOMEPHON E: 1�� 65 1 CURRENT, KEY ACCESS-2: HOME PHONE: 41,",) 7/04, CITY YES NO I EMAIL: BUSINESS LICENSE PERSON CONTA I CTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE SYSTEMS: �FA-91_1_47FEA 71-1-5-7 Date Last Serviced - HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 2 2 3 ................ ..... 4 5 6 ................ _3 4 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X_ I st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: .11­11 .. . ....... PERSON CONTACTED: I INSPECTOR: INSPE CTOR: INSPECTOI!_.1______._,,,, 2 3 4 5 8 DATE: DATE: DATE: VIOLATIONS 2 6 2__ VIOLATIONS:- 2 3 .... . . ........... ....... ..... 4 6 8 PRE -CITATION CFTA:5_0_N_1§SUEfb__' UMB�F CODE I�CTIO DISPOSITION- ___LETTEaS DATE: RETURN RECEIPT RECEIVED_ DATE, QETTER NEEDED [] YES NO LETTER NEEDED [] YES tj NO' Washington State Patrol Fire Protection Bureau General Administration Building Post Offlice Box 42638 Olympia, WA 98504-2638 Fire Alarm System Report of Inspection Inspection Contract No. File Number Date: R_ W - k U Name of Facility: co�'�O 5 Occupied as: Address:--"3-'--\Q -UAVA"4\3'�_ -- 07K -city: G2�tApu0s County: Zip: Telephone: 5"bS7 -'L� j()Lp Building Designation (if more than one building) Inspected By: NM Y4, I (LA cx< - Title: Date of Inspection: q_� �0 - \b - 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 Annuk/ 2. Type of System: Noncodedt Commor7Coded 0 Selective Coded 0 Dual Coded 0 3. Local Fire Department:- 4. Fire Department Official 5. Test Received at Fire Department: Yes 0 6. Master Box Reset A.M. No 0 tSW4 7. Comments, explanation of unsatisfactory results, action taken, etc P.M. Equipment Tested Type of Equipment Number of Units Tested Test Daft Satisfactory Check Type and Manufacturer Yes No N/A 8. Control Panel Ll 9. Man ual Station X 10. Heat Detectors I I Smoke Detectors 2,i-I D 0 12. Audible Alarms WWj6VL,0Ly 13. Visual Alarms 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 1'2- Q �i� 19. Charger 20. Generator 21. Ventilation Control 22. Fire Department Interconnection 23 Central Station Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tam Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None histalledw 29. Test of alarm system on emergency power satisfactory? Yes No 0 30. This -is -to certify that this -fire -alarm -system has NFPA Fire Alarm Maintenance Standards. A- Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm reliability covering the timesliswd in this report, and -is consistent with D. Mailing Address LACM 2U P4 1� Z - E. Electrical Contractors License # F. Specialty Electricians License SFM 222, Rev. 8/95 SNOHOMISH CO. Serving Brier, Edmonds, and Mountlake Terrace www.FireDistrictl.org 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 FIRE PREVENTION INSPECTION REPORT OEDMONDS OBRIER 0 MOUNTLAKE TERRACE OUNINCORPORATED FREQUENCY STATION & SHIFT LOCATION: 546 Walnut Street Suite 102 98020 Amm a! E) BUSINESS NAME: PHONE: SCHEDULED DATE DUE � Erin Place Condo's Aug 2016 MAILING LIFIR ADDRESS: 428 546 Walnut Street, Suite 102, Edmonds, WA 98020 BUSINESS OWNER: HOME PHONE: EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO EMAIL: BUSINESS LICENSE PERSON CONTACTED: R,:;15S INIX INSPECTION DATE NAME OF INSPECTOR: FIRE SYSTEMS: FA 9/15 FE _i/6� DataMEBstc6sDAcedocATIONS COMMUNICATIONS -J t-�, 2 2 3 4 5 3 4 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. Confidence Testing Company: 'A --..A'DV-,4NCED P.O. Box 1543 - Woodinville, WA 98072 Ph.: 425.483.5657 SPRINKLERS - WET (ONE SYSTEM PER REPORT) CONFIDENCE TEST: �-a- I R E P A I R S: I U - �b ke Fire Department Confidence Test Report 206.386.1448 Confidence Testing Officer 206.615.1068 (fax) 206.233.7219Red Tag Hotline Certification Given RED 0 1 YELLOW (j I WHITE—B— Occupancy Address: Occupancy Name: F-0/l/P/ 6C4-: Building Owner: Responsible Person: ' -AEM'�72OWL; Building Owner Address: Date of Inspection://- 2 /C' Tester's Name (print): 64jen-'P Central Station monitoring? Ye-s-0-- No El - 2 .// I lf'P Primary Component-2 Ll- �2�721— IP/ 5?-15 S y s t e rn M o d e 1: System Location: 1514 Problems Found: -(Ifaddifional room is required, please add a separate sheet.) Phone Number: Phone Number: Inspection Frequency / Type: -,��.ua I SFD Certification Number: SCP- Monitoring Co. Name: >446pl�-7 C/X- System Make: r),�V —7ehL Identification Number: Corrections Made: Date Corrected: Corrected by: 41fadi2onal room is required, please add a separate sheet.) SFD Certification Number: SCP-j � --- - , I This certifies that this Fire and Life Safety system has been properly inspected for reliability to cove . r the items listed in this report and is consistent with the Seattle Fire Department Fire Code standards, and all discrepancies are noted and have be,�.n-reported to the- building Owner/Manager for corrective action. Signature of Tester: Phone #: 425.483.5657 Testing- Agency: Advanced Fire Protection, Inc. Mailing Address: P.O. Box 1543 - W.odCdjnviIIe-,,WA,98072 Building Representative(signature)**--' Sprinklers - WET Page: 1 of � The below items- on the checklist shall be inspected and tested. T his list does not constitute all of.the Z> required inspecting and testing of the Fire and Life Safety system. Refer to the Seattle Fire Department I Fire Code for inspecting and testing requirements. General 1. Flow Test conducted? ........................................................................................................................................ Yes D No C3 2. Static Pressure: psi Flow Pressure: psi 3. Total number of sprinkler heads on this system? 4. Was 2", Main Drain checked? .......................... 0- No- 0 Yes 5. Flow Switches, Supervisory Switches and Alarm Bells tested? ..................................... N/A L] Yesoa No El 6. Pressure regulating valves tested? .................. 7. Alarm Bell operate? ........................................... .......................................................... NlAlo� Yes LJ .......................................................... N/A Q Yes-U No Ll No Cl 8. System inspected and lubricated ? .................................................................................. Yes -a- No C3 9. Valve&sealed,or supervised? ........................................................................................................... Yes_Q No Q 10. Provided on all valves? ............................................................................................................. Yes-1f) No [) I 1� 7Pumper Connections and Clapper valves unobstructed and turn freely ? ............................... 6 .............. Yes-E) No 0 12. Sprinkler coverage acceptable? ................................................................... .......................... Yea-d No 0 13. Have the sprinkler heads been replaced or successfully sample tested in the last 50 years? Y e s-tJ No U 14. Proper number spare sprinkler heads available with appropriate wrenchs for each? .............. Yes -a- No C3 15. System left in service? ............................................................................................................ Yes-0- No (3 116.,,5ystem gauges been replaced or calib' rated within the past 5 years? ............................................. Yes [I No 0; 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? ..................... Y e s-El- N o 18. Was debris found in the Fire Department Connection (FDC)? .............. ............ Yes C1 NvU- 'A 19. Was the Fire D I epartment Connection (FDC) back flushed within the last 5 years7i "..z--Y�esQ No Q 20. Was an internal pipp and valve inspection performed Within the last 5 years? ................. Yes-5—No (3 .Date Performed: 21. Was a signal received at the Central Station monitoring company? .................... N/A Ej Yes-E]�-- No El Sprinklers - WET Page: 2 of 2 Washington State Patrol Fire Protection Bureau General Administration Building Post Office Box 42638 Olympia, WA 98504-2638 Fire Alarrn System Report of Irispection Inspection Contract No. File Number Date: Name of Facility: P["" V/c Occupied as: --,kddr-ess:-- County: V�' wv' �5 Zip: Telephone: - Building Designation (if more than one building) Inspected By YVI, L'_"On Title: Date of Inspection:_q 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 Annual E�- 2. Type of System: Noncoded 9 Common Coded 0 Selective Coded 0 Dual Coded 0 Local Fire Department: 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes 0 No 0 IC' 4 6. Master Box Reset A.M. 7. Comm. ents, explanation of unsatisfactory results, action taken, etc.. OUL�L-" I, &M La- P.M. -1 es-L Dau sausLumiry ChecL I yfy- and Manuxactum. -1 v.ne a[Equipmem Number oj'urtiL� -1 CSLC� Yes No N/A X. Conaul I-anel Manual Station K. Heat I)cl= or, 'v'van, Ajar-rr.- 1.2. CJI(k� 7, �kuw onor rcica.,:V. I roubiz, indicator-. 11; lviamc� Aiarm ho) '--n a r f, c: 2 0 (rencratm 21. Vennianon Conv6 Fire Derfarunen' interconne cuor, 23 C�enfralStaum lmerconnemion 24.-xteno, Surinkie,� Aiami hel) SrmnLic- War--7 --Fiow Swaci, 26. Snrinkic7 Cirau T c iarme, Svil i� Annunciator. 2�1'. Automatic Time Dcia.v of'Gencral Alam: ]viinuz--- Non: immalied�L 2c. I wa of ai= s.vsLem oft emerpency Dowe7-sau:;;amor.,.,- ',:.cs5x" 3C. Tim is to ccriij�j dix tiii.-. firc� aiarm s.vs= hw, been.vTo jy uispcc3�d fo-, reiia-bimn: covcrm,- tnc urn--; jisLed in thr repor- wid is consiateni wiL,; NF"A Firt Ajarm Niaintenan= SLandar=. Signarurc of'Owner or RePresenLativ, Si.mufwrc CFir- Ajarm Firm kmrcscnLaL]%'-. Name ofFirm Teiertnone D. Maiiing Ai.,.., AdJ-'�c'L'cv-e;-W4"' Fie=cal Contr=ors Lictem-c ALAM 'j (i�: 0515 au SPeciall", 7icc-mciam 1 c S,;7N' 2::--. Rev. V9� Washington State Patrol Fire Protection Bureau General Administration Building Post Office Box 42638 Olympia, WA 98504-2638 Fire Alarm System Report of Inspection Inspection Contract No. File Number Date: Name of Facility:- C(_ Occupied as: Address:- PA V.- T 5+ City:. C/6 -3 County:— 5/to I-Vo W) 1"s I-) Zip: � '6 c) 2 Telephone:�S_05 Building Desimiation.(if more than one building) Inspected By: Title: /s-,2S Date of Inspection: -7 Z 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 AnnuaPi�' 2. Type of System: NoncodeWCommon Coded 0 Selective Coded 0 Dual Coded Local Fire Department: E_ 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes 0 6. Master Box Reset A.M. M141 7. Comm. ents, explanation of unsatisfactory results,. action taken, etc, _T o rA \ \ . ,, '! P.M. Equimnent Tested Type of Equipment Number of Units Tested Test Date I Saaactory Check Yes No N/A Type and Manufacturer 8. Control Panel /h/'N X, 9. Man" Station 10. Heat Detectors I I Smoke Dctectors 12. Audible AJarms A 13. Visual Alarms 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Chareer 20. Generator 2 1, Ventilation Control 22. Fire Department Interconnection 23 Central Station Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tamper Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Install 29. Test of alarm system on emergency power satisfactory? Y-f No 0 30. This is -to certify.that this fire. alarm system.has been properly -inspected for reiiability covering the times-ligted in this report, and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative L:� B. Signature of Fire Alarm Firm Representative C. Name of Finn D. Mailing Address PO &r�i` -3-36 -3a'y--7t Telephone E. Electrical Contractors Ucense #j9L-Aa1C'Z -S -7 F. Specialty Electricians Ucense # 4 L, To 616 SFM 222, Rev. 8/95 ..... . . ... Serving Brier, Edmonds SNOHOMISH CO. Mount . lake Terrace, and IRE ,.'DIST- 11M the Town of Woodway K, T www.FireDistric,tl.org r LOCATION: 546 Edmonds 98020 BUSINESS NAME: ffrin Place Condo's MAILING ADDRESS: 5�6 Walnut ST #102, Edmonds. WA 98020 1 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: FIRE PREVENTION INSPECTION REPORT 0 EDMONDS 0 BRIER OWOODWAY [I MOUNTLAKE TERRACE OUNINCORPORATED I` FREQUENCY I STATION& SHIF'.'*':' Annual 17-A SCHEDULED DATE DUE � Aug UFIR 428 BUSINESS OWNER: HOME PHONE: Ernail: EMERGENCY-1: —ROVIEPRONE CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS 1:1 1:1 LICENSE � PERSON CONTACTED: -e- INITIAL INSPECTION DATE NAME OF INSPECTOR: A 77— /,7,-, FIRE SYSTEMS: FE HAZARDS FOUND AND LOCATIONS COMMUNIC7!NS 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 GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 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 4 8 8 DATE: DISPOSITION: 7 �LET-e!ER NEEDED [] YES NO I LETTER NEEDED E] YES [I NO 8 FIRE DEPARTMENT COPY Washington State Patrol Fire Protection Bureau General Administration Building Post Office Box 42638 Olympia, WA 98504-2638 Fire Alarm System Report of Inspection Name of Facility: Occupied as: 101 Inspection Contract No. File Number Date: Address:- 'I) L ro� city: County: --)6AA�, kg, ift Zit): 1'�S (Z) ')-b TeleDhone: 565 L/(,':S Building Designation (if more than one building) Inspected By: Title: L �Jl Date of Inspection: 'L-> 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 Annu&ffl� 2. Type of System: Noncoded 'P'cCommon Coded 0 Selective Coded 0 Dual Coded 0 3 .3. Local Fire Department 4. Fire Department Offici 5. Test Received at Fire Department 6. Master Box Reset 7. Comments, explanati Yes 0 No /�O A.M. P.M. of unsatisfactory results, action taken, etc.. L-�( 1'91� Y-,cj- Equipment Tested Type of Equipment Number of Units Tested Tea Date Satidactory Check Type and MatuLL-cumer Yes No N/A 8. Control Panel 9. Manual Station 10. Heat Detectors I I Smoke Detectors LO L/ 12. Audible Alarms 13. Visual Alarms -7C J." 11 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Charger "C 20. Generator X 2 1. Ventilation Control 22. Fire Department Interconnection 23 Central Station Interconnection It/, 24. Exterior Sprinkler -4-1 Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tamm Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None lnstalld�;,/ 29. Test of alarm system on emergency power satisfactory? Y711", No 0 30. This is to cmufy that iliff ae alarm system has been properly inspectid-f6r relCabi* covering the times lined in this report, and is consistent with NFPA Fire Alarm Maintenance Standards. A- Signature of Owner or ReprescntaLive7//k"7,V11'1V B. Signature of Fire Alarm Firm Representative C. Name of Firm D. Mailing Address E. Electrical Contractors License cj F. Specialty Electricians License W4Lr7L, 7s� 1� 'S SFM 222, Rev. 8/95 Washington State Patrol 4ire Protection Bureau General Administration Building Post Office Box 42638 Olympia, WA 98504-2638 Fire Alarm System Report of Inspection Name of Facility: Ey- I V0 Occupied as: Ct'--t� S Inspection Contract No. File Number Date: 10 --Z-2S - / Z- Address: tJ0 1�7- City: County: 6--oct",&et I Zip:q90Z0 , Telephone: ZZ 7 z1 Building Designation (if more than one building) Inspected By: Title: -7-e-Ck Date of Inspection: 10 - Z,; - I ?- 1. Type of Test: Monthly 0 Quarterly 0 Serni-Annual 0 Annu4i--' 2. Type of System: Noncoded-S� Common Coded 0 Selective Coded 0 Dual Coded 0 3 .3. Local Fire Department: 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes 0 No 0 vo� k-C4- 6. Master Box Reset A.M. A� P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc.. Equipment Tested Type of Equipment Number ofUnits Tested Test Date Satisfactory Check Yes No N/A Type and Mantifiactum 8. Control Panel J-5< 5ZO-7 9. Manual Station q 10. Heat Detectors I I Smoke Detectors Bev- 12. Audible Alarms -7 13. Visual Alarms -K 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Chareff SZ6 --7 20. Generator 21. Ventilation Control 22. Fire Department Interconnection 23 Central Station Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch re, 26. Sprinkler Gate Valve Tamper Switch ILL7. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None liLstallagiz-- 29. Test of alarm system on emergency power satisfactory? Y4fg— N.0 30. This is to certify that this fire alarm system has been properly 1�r��r reliability covering the times listed in this report, and is consistent with NFPA Fire Alarm Maintenance Standards. A, Signature of Owner or Representative V B. Signature of Fire Alarm Firm Representative C. Name of Firm At,9- D. Mailing Address TeiephoneL--Lb 9 Q -7,4a f67�; S E. Electrical Contractors License F. Specialty Electricians License# 6,71ZL�� OP1,0 S M A,9qo PP SFM 222, Rev. 8/95 A MA -,FIRE PREVENTION MT Serving Brier, Edmonds 12425 Meridian Ave S INSPECTION REPORT 6NOHOMISH CO. DEDMONDS FIRKMountlake Terraceand Everett, WA 98208 El BRIER the Town of Woodway STR - Phone (425) 551-1200 E]WOODWAY [I MOUNTLAKE TERRACE www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED FREQUENCY STATION & SHIFF`� LOCATION: 546 Walnut Street 366 17 D BUSINESS NAME: Erin Place Condos PHONE: SCHEDULED DATE DUE 0 108/01112 MAILING 546 Walnut St #102 LIFIR � 423 8203 ADDRESS: Edmonds 98020 BUSINESS OWNER: HOME PHONE: ACTIVE EMERGENCY-1: HOME PHONE: eCURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS El El LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: I FIRE AS 11/11 FA 10/11 FE f SYSTEMS: ANIN_U�._L HAZARDS FOUND AND LOCATIONS COMMUNICATIONS 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 GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: I INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: E: 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 ,4 18 4 8 DATE: DISPOSITION: 7 LETTERNEEDED F] YES El NO LETTERNEEDED [_-] YES C3 NO 8 FIRE DEPARTMENT COPY FIRE PREVENTION Serving Briet; Edinonds 12425 Meridian Ave S INSPECTION REPORT. SNOHOMISH Co. Mountlake Terrace, and FIRE Everett, WA 98208 0 EDMONDS 0 BRIER the Town of Woodway DISTR T Phone (425) 551-1200 C1 WOODWAY [I MOUNTLAKE TERRACE www.FireDistrictl.org Fay (425) 551-1272 0 UNINCORPORATED 546 Walnut Street FREQUENCY 366 TATION & SHIFT") 17 C LOCATION: BUSINESS NAME: Erin Place Condos PHONE: SCHEDULED DATE DUE MAILING 546 Walnut St #102 � 423 8203 ADDRESS: Edmonds 98020 �UFIR BUSINESS OWNER: HOME PHONE: ACTIV� EMERGENCY-1: HOME PHONE: "CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS El E:].,-' LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE A�55/WT FeIA17 FE 'S I k1 OTT STEMS: ANNUAL HAZARDS FOUND AND LOCATIONS /COMMUNICATIONS 1_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 1st RE -INSPECTION DATE DUE: I 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 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 '8 4 8 DATE, DISPOSITION: 7 LETTER NEEDED E] YES [I NO I LETTER NEEDED E] YES NO 8 FIRE DEPARTMENT COPY Washington State Patrol Fire Protection Bureau General Administration Building Post Office Box 42638 Olympia, WA 98504-2638 Fire Alarm System, Report of Inspection NameofFacility: Occupied as: Inspection Contract No. File Number Date: 0/1 ZI/I Address: Wrdtg,-� �75-� city: County: Zip: 0 Z-0 Telephone: -77/. Building Designation (if more than one building) Inspected By: �6_6'0.1 A— '. v) I- A� Title: Date of Inspection: 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 AnnuaA 2. Type of System: Noncoded,&� Common Coded 0 Selective Coded 0 Dual Coded 0 3. Local Fire Department: 6AOV',v�P' 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes 0 NO'D 1 7-d 6. Master Box Reset A.M. 7. Comm. en exp anation of unsatisfactory results, P.M. Equipment Tested Type of Equipment Number of Units Tested Test Date Satisfactory Check Yes No N/A I.. Type and Manufacturer 8. Control Panel 51'.1. L ! 9. Manual Station 19 A 10. Heat Detectors I I Smoke Detectors L ?N 12. AudibleAlarms 13. Visual Alarms 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries &L 19. Charger 20. Generator 2 1. Ventilation Control 22. Fire Department InteTconnection 23 Central Station Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tamper Switch JL27. ��unciaton 28. Automatic Time Delay of General Alarm 014--Minutes. None Install.09 29. Test of alarm system on emergency power satisfactory? y7t No 0 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the times.lisud-in this repoM and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Finn RepresTlalive L==&j-:� C. Name of Firm D. Mailing Address E. Electrical ContractorsUcense F. Specialty Electricians Ucense # 4,J ffi Tel-pl--P�,— �-� SFM 222, Rev. 8195 CITY OF EDMONDS 121 5T11 AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215 FIRE DEPARTMENT LOCATION: 546 Walnut Street BUSINESS NAME: Erin Place Condos MAILING 546 Walnut St #102 PHONE: Avuhrzoo: Edmonds 98020 BUSINESS OWNER: HOME PHONE: EMERGENCY-11: HOME PHONE: KEY ACCESS-2: HOME PHONE: FIRE PREVEN71ON SAFETY SURVEY FREQUENCY STATION& SHIFT 366 17 B SCHEDULED DATE DUE 0 08/01/10 UFIR 0, 423 8203 ACTIVE r INITIAL INSPECTION DATE PERSON CONTACTED: NAME OF INSPECTOR: FIRE AS 5/07 FA 11/07 FE I SYSTEMS: ANNUAL HAZARDS FWND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE VIOLATION CODE 2 �70 <_ 3 C 4 4 5 6 7 7 8 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 City of Edmonds. 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 City of Edmonds. Please call (425) 775-7720 within 30 days to schedule a reinspection. Any overlooked hazards or violations of the fire regulations does not Imply approval of such condition or violation. If you require additional information or assistance, please contact this office by calling (425) 775-7720 between the hours of 8 a.m. and 5 p.m., Monday through Friday. BUSINESS COPY City eM-Wffile Fire Department _..Ido�DVANCED CONFIDENCE TEST REPORT Seattle Fire Department Confidence Testing Officer: 206.386.1448, Fax:206.615.1068 WET - AUTOMATIC SPRINKLERS Certification Given (NOTE: ONE SYSTEM PER REPORT) RED El I YELLOW-0.1,:WHITE -9 Date of Inspection: /0 — CONFIDENCE TEST. AnnuaHR- Quarterly 0 Acceptance El'[REPAIRS:0 Tester's Name (print): SFD Certification Number. SCP - Occupancy Name: _5-0; a " Occupancy Address: N111 57— E-P zv/fm/zlis 4L&�� Responsible Person: Phone Number: Building Owner's Name:��AZJZ_ X14�4 Building Owner's Address: Contact Person: Phone Number: Central Station monitoring? Yes4a-*- No El Control Panel Manufaci.l.irer: Monitoring Co. Name: Model Number: ProblemsFound: (if additional room is required, please add a separate sheet) Corrections Made: (if additional room is required, please acW a separate ova) DateCorrected: s §d by: The below items on the check list shall be inspected and tested. This list does not consMft all the required inspecting and testing Of the Fire and Life Safety system. Please refer to the Seattle Fire Department Fire Code for inspecting and testing requirements. 80. Was a Flow Test conoycted? 70 Yes-@- No C) 81. Static Pessure: - psi Flow Pessure: —psi Yes-@- No E] 82. Was 2" Main Drain checked? OtherCl Yes-9- No C] 83. Were all Flow Switches, Supervisory Switches and Alarm Bells tested? N/A C] Yes-8- No Ej 84. Does the Alarm Bell operate ? N/A C3 Yes -El- No C] 85. Were all valves inspected and lubricated ? YesQ_ No El 86. Were Pressure Regulating valves tested? Yes C] No-5- 87. Were all valves "sealed" or supervised? Yes-8- No C) 88. Are signs provided on all valves? Yes -El-' No E] 89. Are the Pumper Connections and Clapper valves unobstructed ? Yes-9- No E] 90. Are the sprinkler heads less than 50 years old? Y e s -F=I- No El 91. Is the sprinkler head coverage acceptable? Yes -Ea- No C1 92. Are spare sprinkler heads available? Yes -E5- No El 93. Was the system left in service? Yes-Ej-' No,,C] 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'the Seattle Fire Department Fire Code standards and discrepancies are noted and have been reported to the building Owner/Manager for corrective action. 11 Testing Agency: Advanaed Fire Protection,, Inc."" Phone: 425.483.5657 Mailing Address: P.O. Box 1543 , Woodinville, WA 98072 3Vashington State Patrol Fire Protection.Bureau. General Administration Building Post Office Box 42600 OlyWpia, WA 98504-2600 Inspection Contract No. File Number Fire Alarm System Report of Inspection Date:9-a),19� -7 Name of Facility: ZL'l r, L ) CQ r, cla Occupied as: r Address: 4- City. Edruorc-(s County: -.21) 120 �0 T-r7 /--�;J-7 Zip:':'l SaZ-<?L Telephone: '/-1 G- - 7) Z?-:�L 7— Building Designation (if more than one. building) Inspected By: i',-L Title: 77.-,,-� Date of Inspection: gZ 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 AnnuaLf 2. Type of System: Noncoded 0 Common Coded. 11 Selective Coded 0 Dual Coded 0 3. Local Fire Department: 4. Fire Department Official Contacted: 5. Test.Received at Fire Department: Yes 0 No$ 6. Master Box Reset A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc.. Eguioment Tested Type of Equipment Number of Units Tested Test Date Satisfactory Check Yes No N/A Type and Manufacturer 8. Control Panel C:j -S V, -7- 9. Manual Station A 10. Heat Detectors 11 Smoke Detectors 12. Audible Alarms 13. Visual Alarms 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Charger 20. Generator 21. Ventilation Control 22. Fire Department 23 Central Station Interconnection 2d 24. Exterior Sprinkler Electric Alarm. Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tamper Switch 27. AnnunciatoT_____I_ 28. Automatic Time Delay of General Alarm _ Minutes. None Installed 29. Test of alarm system on emergency power satisfactoTy?- y9p No 0 30.This is to certify that this fire alarm system has been properly inspected for reliability covering the times listed in this report, and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Rcpresentativ, C. Name ofFirm.Ac- c, F�r&- D. Mailing Address I 3c!) X L—nc-Q4,:� Telephone (50ffi'!ZA�VS-3 E. Electrical Contractors License # ALARM C- F. Specialty Electricians License # ' -q 6� RQ (A &79 8 MAINTAIN. THIS REPORT AT THE FACILITY DO NOT MAIL TO FIRE PROTECTION BUREAU SFM n2, R=. WS Washington State Patrol Fire Protection Bureau. General Administration Building Post Office Box 42600 Olympia, WA 98504-2600 Inspection Contract.N.o. File Number Fire Alarm System Report of Inspection Date: Name of Facility: f-I 0 Occupied as: Address: 14 City. /71010 4 J County: 0 Lrl- I 1� zip: �T-T 2-0 Telephone: 70C, Building Designation ff,more than one. building) ]77- Title: Inspected By: Date of Inspection: 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 Annual 2. Type of System: Noncoded)� Common Coded. 0 Selective Coded 0 Dual Coded 0 3. Local Fire Department: 4. Fire Department Official Contacted: �j 5. Test.Received at Fire Department: Yes 0 No 0 6. Master Box Reset A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc.._ 4) �Uf Fauipmen Tested Type of Equipment Number of Units Tested Test Date Satisfactory Check Type and Manufacturer Yes No NIA 8. Control Panel C/ -2-3- 9. Manual Station 10. Heat Detectors I I Smoke Detectors V 12. Audible Alarms 12� !�—Jz- 13. Visual Ala= 14. Code Transmitters 15. Auto door releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 7-2—A iL 19. Charger 907 20. Generator 21. Ventilation Control 22. Fire Department Interconnection. 23 Central Station 7 Interconnection 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tamper Switch t 27. Annunciators 28. Automatic rime Delay of General Alarm _ Minutes. None Installed 0 29. Test of alan n.systern on emergency power satisfactory? Yes 0 No 0 30. This is to ccr* that this fire alarm system has been properly i e d for reliability with NFPA Fire Alarm Maintenance Standards. - k Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative A — I" the times listed in this report, and is consistent ?t�� C-�� . C. Name of Firm I't Z- C, 1-1 rc- -4- D. Mailing Address Po 004 Lee,i f0cy qY �W Tclephone.0:� E. Electrical Contractors License # F. Specialty Electricians License # I'W MAINTAIN THIS REPORT AT THE FACILITY DO NOT MAIL TO FIRE PROTECTION BUREAU SFM 222. Rcv. V95 Washington State Patrol Fire Protection Bureau, General Administration Building Post Office Box 42600 . Olynip ia, WA 98504-2600 Inspection Contract No. File Number Fire Alarm System Report of Inspection Date: IQ-,( '0_ Name of Facility: �J (�ennjm_s Occupied as. Address:_'.124�, .-,L�Cvl r7 City: Zip: q80.'Z_L Telephone: 4',7 9_� 7 1 'Z-- -3 County: - Building Designa�ion (if more than one.building) Inspected 13y: VIVV-ew�.+ 44?610 —Title: Date of Inspection: 1. Type of Test: Monthly 0 Quarterly 0 Semi -Annual 0 Annua�� 2. Type of System: Noncoded q4�?Ommon Coded. 0 Selective Coded 0 . Dual Coded 0 3. Local Fire Department: L�-, al m, 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes 0 No 0 )J IA- 6. Master Box Reset tll� P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc... Equinment Tested Type of Equipment Number of Units Tested Test Date Satisfactory Check Yes No N/A Type and Manufacturer S. Control Panel 9. Manual Station aim-, 10. Heat Detectors ------ — — I I Smoke Detectors "'AIR 12. Audible Alarms '711 13. Visual Alarms 14. Code Transmitters 15. Auto door releases 74� 16. Trouble Indicators 17. Master Alarm Box > 18. Batteries 19. Charger 5 2- 20. Generator 21. Ventilation Control 22, Fire Department Interconnection 23 Central Station Interconnection 0'7 24. Exterior Sprinkler Electric Alarm Bell 25. Sprinkler Water Flow Switch 26. Sprinkler Gate Valve Tamper Switch 27. Annunciators 0'7 28. Automatic Time Delay of General Alarm _ Minutes. None Installed 0 29. Test of alarm system on emergency power satisfactory? YdideNo 0 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the times listed in this report, and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative V C. Name of Firm,4 D. Mailing Address 0, tA),A fpl� Telcphon E. Electrical Contractors License # F. Specialty Electricians License # MAINTAIN THIS REPORT AT THE FACILITY DO NOT MAIL TO FIRE PROTECTION BUREAU SFM 222, Rev. 9/95 �� 0-7 - CPR ( wcf)FIRS, Fire Incident Report Edmonds Fire Department Incident Number: EF07000769 Exposure: 0 Incident Date: 3/5/2007 Jurisdictional Station: 17 Location Type: Street address Address:— 1048—WALNUT-- ---ST----- City: Edrii-o�ds —State-WA Zip- "98020 Incident Type: Smoke detector activation, no fire - unintentional Shift: C Alarms: 1 Grid: EF204 Aid Type: None Alarm Time: (06:49:51) 3/5/2007 Arrival Time: (06:55:26) 3/5/2007 Last Unit Cleared Time: (07:19:58) 3/5/2007 Actions Taken: Information, investigation & enforcement, other HazMat Released: None Property Value: 0 Contents Value: 0 Property Loss: 0 Contents Loss: 0 Fire Service Deaths: 0 Civilian Deaths: 0 Fire Service Injuries: 0 Civilian Injuries: 0 Detector: Officer In Charge: DAVID KRUGMIRE Assignment: Command Mixed Property Use: Not mixed use Property Use: Utility or Distribution system, other 0 * 14 we, 6 F I R k1b Fire Incident Report Edmonds Fire Department Incident Number: EF07000769 Exposure: 0 Incident Date: 3/5/2007 Apparatus and Personnel Apparatus ID Personnel ID('s) E17 EF1035 EF1532 EF2205 wr6FIR! Fire Incident Report Edmonds Fire Department incident Number: EF07000769 Exposure: 0 Incident Date: 3/5/2007 Narrative E17 responded to 1048 Walnut St. for an AFA. We found nothing showing upon arrival, but could hear an alarm inside the structure. Having no access key and being unable to find an unlocked door/window we forced the main door for access. Damage to this door was minimal minor bending of the jamb just above the bolt. Once inside we found no smoke condition and no excessive heat. The alarm panel indicated zone 1. We found a smoke detector near the access door to the generator room had tripped. We reset the system and confirmed this with the alarm company. I contacted a Verizon feild supervisor, Brian, and informed him of the situation. He will contact an alarm tech for service. We resecurred the building locking the front door and returned in service. FF DAVID KRUGMIRE Incident History tor: #EF07000769 Case Numbers: $EF07000881 $S207004313 Entered 03/05/07 06:49:49 BY SCPC05 SC746 Dispatched 03/05/07 06:49:51 BY SCPC05 SC746 Enroute 03/05/07 06:51:58 Onscene 03/05/07 06:55:26 Closed 03/05/07 07:19:58 Initial Type: FAC Initial Alarm Level: 1 Final Alarm Level: 1 Final Type: FAC (FIRE ALARM - COMMERCIAL) Pri: 2 Dispo: Police BLK: E030 Fire BLK: EF204 Map Page: 454G-6 Group: EF1 Beat: MD17 Sr c: T L6c: 1048 WALNUT ST EDM btwn 10 AV S & 96 AV W (V) Loc Info: VERIZON CO OFFICE BUILDING 425 672 0007 Name: VERIZON ALM/PO Addr: 0846 0848 Phone: 9726158332 /0649 (SC746 ENTRY COVERS FIRE/SMOKE /0649 DISP E17 #EF1532 KRUGMIRE,D-F (L) [E,MI #EF2205 SMITH,C-F [M,E] #EF1035 BOYLE,W-F [E,MI /0649 $ASNCAS E17 $EF07000881 /0649 ASST TAC21 /0649 $ASNCAS TAC21 $S207004313 /0650 AIQ TAC21 /0651 ENROUT E17 /0655 ONSCNE E17 SMALL SS WF NVI /0700 MISC E17 NV FROM EXT AUDIBLE FROM INTERIOR CONTACT 4? /0701 MISC E17 NEED TO MAKE ENTRY /0706 MISC E17 HAVE GAINED ACCESS - INV /0706 MISC E17 ALM CO HAS A SUB ENRT, UNK ETA /0712 MISC E17 CHECK FOR RESET /0713 MISC E17 RESET RCVD /071"9 AOR E17 VERIZON SUP'S NOTIFIED /0719 CLOSE E17 John Westfall To: Ann Bullis Subject: RE: 546 Walnut Street - 7 Unit Condo Ann: I think there may be some confusion regarding the definition of "throughout". I'm sending down information re: UBC Standard 9-3. (ref: UBC 904.1.2, Exception #3). The referenced UBC Standard 9-3 (or NFPA 13-R) does not call for sprinkler coverage throughout every space in the building. Throughout means "life -protection" within every living space of the building. I think when ICBO returns the plans from review you'll find they do not seek wall to wall sprinkler coverage for a 9-3 system requirement. I may be agreeable to sprinklering (combined &) open garage (storage) spaces, however, FD problems may result when once approved insulation wears away and wet pipes freeze. An alternative would be dry pipe systems which require a t because heads must be positioned upright. Please rsvp 1-1 ' ( 1,"r :\, "'S ft Lk 'A- LA-' I ( ----- Original Message ----- From: Ann Bullis Sent: Friday, March 13, 1998 1:00 PM To: John Westfall Subject: 546 Walnut Street - 7 Unit Condo DATE: March 13, 1998 TO: John Westfall, Acting Fire Marshall FROM: Ann Bullis, Plans Examiner RE: 546 Walnut Street - 7 Unit Condo At this time the above permit application is still under review, but as a reminder for your file, this is a 3 story building and is required to be sprinklered throughout with a Standard 9-3 sprinkler system per the UBC 904.2.8 (ICIBO concurs that this means throughout the entire building - no exceptions). On projects where the City Code requires a building to be sprinklered, the fire marshall has not required sprinklering in the parking garage, storage areas, closets, bathrooms, and similar type uses. However, since this is a minimum UBC requirement, the building must be sprinklered throughout. Thanks, Ann John Wesffall To: Ann Bullis Subject: RE: 546 Walnut Street - 7 Unit Condo OK Filed and forwarded,to Mike Smith. ----- Original Message ----- From: Ann Bullis Sent: Friday, March 13, 1998 1:00 PM To: John Westfall Subject: 546 Walnut Street - 7 Unit Condo DATE: March 13, 1998 TO: John Westfall, Acting Fire Marshall FROM: Ann Bullis, Plans,Examiner RE: 546 Walnut Street - 7 Unit Condo At this time the above permit application is still under review, but as a reminder for your file, this is a 3 story building and is required to be sprinklered throughout with a Standard 9-3 sprinkler system per the UBC 904.2.8 (ICBO concurs that this means throughout the entire building - no exceptions). On projects where the City Code requires a building to be sprinklered, the fire marshall has not required sprinklering in the parking garage, storage areas, closets, bathrooms, and similar type uses. However, since this is a minimum UBC requirement, the building must be sprinklered throughout. Thanks, Ann 1 MEMORANDUM Date: July 24,1997 To: Jeannine Graf, Building Official From: Gary L. McComas, Fire Marshal Subject: Michel condo, 546 Walnut (-7 V1v I r-) Fire Department Comment: • Portable fire extinguisher locations are marked on the reviewed plans. • Automatic fire sprinkler plans must be reviewed prior to construction. EDMONDS FIRE DEPARTMENT OFFICE OF THE FIRE MARSHAL 'i IMICHEL CONS,TWOCTION, INC 8022.APWT� ST,$.W. 9 EDMONDS, WA 98026 lo VOX), C� 3N\ December 3, 1998 Mr. Mike Smith Fire Inspector, City of Edmonds 121 - 5th Avenue North Edmonds, Washington 98020 Re: 546 Walnut Street Condominiums Test Report Dear Mr. Smith: Enclosed please find the original Contractors Material & Test Report for Underground Piping, which has been executed by Michael Balsley of Advanced Fire Protection, Inc., and is dated November 9, 1998. Please let us know if you have any questions or require any additional information. V truly y u rul 0. A td vb Enclosure Valerie Bruce for Rob Michel 'OK ""e - j #MICHECMD5 WASHINGTON STATE FIRE MARSHAL'S OFFICE FIRE SPRINKLER ADVISO �-Y ­BOAF- CONTRACTORS MATERIAL & TEST REPORT FOR UNDERGROUND PIPING ?ROCEDURE Upon complelion of odk Ins pection and I soft "I be made by the conlractoes nipmosirmal" " wrtnombed by an o%%noes rep re*orta&o. All do4ods 0% all be corrected and "am left In sorjeo before contracioes pefsonrow finairy la�a the job. A canftale "I be Ailed out and %.;r6d by bon roprosentmalses. Copies shall b'o properod for approving tsu;Montlag, oNrwi, and contrador. it Is undo, ths c-noes rvpn,"ntLiK%'s sign=, In no vmy prejudimc" any claim agiumm contracto( for faulty mwvrw, poor voono'naxiship, or failure to oornpiry wrth "PrOlAng &LAhodrys requirements or local ordinahcm PROPERTY NAME '79 WAW L PROPERTY ADDRESS L-)6NJ LIt rT- C�06f-r- "P-00-t.' Ll a -S ACCEPTED BY APPROVING AUTHORITIES (NAME) ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS LJ NO -?YES EQUIPMENT USED IS APPROVED 2YES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION .,1dYEs LJ NO OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAJN INSTRUCTIONS HAVE COPIES OF THE APPROPRIATE INSTRUCTIONS AND CARE AND "NTENANCE CHA!RTS LJ YES _��N 0 BEEN LEFT ON PREMISES? IF NO, EXPLAJN A-r- —I-A� -9,49 c,,� LOCATION SUPPUES BUILDINGS IFACTt PIPE TYPES AND CLASS Ty PE JOINT Y, PIPE CONFORMS TO $41'P4 STANDARD U Y—E—S--T I 'NO FITTINGS CONFORM TO ,-Wf 14 STANDARD OYES ONO .UNDERGROUND IF NO, EXPLAIN PIPES AND JOINTS JOINTS NEEDING ANCHORAGE CLAMPED, STRAPP�E-D.'OR BLOCKED IN —4=-fYES ACCORDANCE WITH WPA Z4-STANDARD IF NO, EXPLAIN FLUSHING Flov Iry required ra:bs until vAjw is dew as Indcadod by no colloc . bon � forw;gn maiorlal In buriap bags ad outirts aLch as hydrhrts and biow-offs. Flush of fk>w% rwol lsaai than WO GPM for 44mh pipe, MO GPM low 6-4neh pipe. 15W GPM fo(b-Inch pipe, 2440 GPM for 104nch pipe, swrid 3120 GPM for I. -Inch pq When burpoty cannot pmduce etipuudod nc� nuse, oown �.mum sr—iLmibl.. HYDROSTATIG "ydmo(mmc Is -of "I be nude W not less than 2W pal lot tvo hours or 50 pal abow static pr**s- to In exceas of 150 pal lor TEST two hours DESCRIPTION IFA �GF N� pipe L".Ah nibber V-1md Ont. Who.111, It the �omaranahlp Is Ladimfoc". have little or no loaloge or no )oIr1IL 11`10 arnourg of 1--k- sithe )OW"sh&A not "o"d 2 als. Pow hour per 100joirvoi—spe-ake dplpe 6^mogot. The lojgo shm.1; b,* distribuldowwall joints. Kskxh ioak" occurs ma a Fow)oi the Inads.11.a2�on "I be corw-d��d �&"&oory and necom"ry repaint "wbos. The armourt of aJ§cwLtm;o loakAge spectfied aboos "wy be incrs&�d by I it oz por ir V&Jl,e dLLn1,o1W por hour for each ftwisj sealed %)vo isclating the lowl bection. If dry b" hydrivrils are besiod wth ths, miun vLhv opron, so the PV~to are undw pcoesure, am acidmiw%al 5 cz pot minuts 'm -k- 9- a po�nrnisd for &amh hydnw-A. NEW UNDERGROUND PIPING FLUSHED ACCORDING TO 9W#4 Z4 STANDARD _,J11`1"E� LJ NO BY (COMPANY) IF NO, EXPLAJN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING FLUSHING WATER CITANK OR RESERVOIR 0 FIRE PUMP E]HYDRANTBurT 2tPENPIPE I TESTS -,a'PUBLIC Z,'?- F," IH65A LEAD-INS FLUSHED ACCORDING TO STANDARD LJYES LJNO BY (COMPANY) IF NO, EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING [--IPUBLICWATER OTANK OR RES ERvoiR EIFIREPUMP OY CONN.TO FLANGE& SPIGOT 0 OPEN PIPE ov)c) (Uvth, ALL NEW UNDERGROUND PIPING HYDROSTATICALLY TESTED A HYDROSTATIC Psi FOR TEST —HOURS TOTAL AMOUNT OF LEAKAGE MEASURED LEAKAGE GALS. HOURS TEST ALLOWABLE LEAKAGE GALS. HOURS HYDRANTS NUM BER INSTALLED > TYPE AND MAKE WATER CONTROL VALVES LEFT WIDE OPEN CONTROL IF NO, STATE REASON VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRA WITH THOSE OF RRE DEPARTMENT ANSWERING ALARM DATE LEFT IN SERVICE REMARKS SIGNATURES 11 CERTIFY THAT THE ANCE WITH RCW 18- THE STATE FIRE MAF CERTIFICATION CERTIFICATE REGIS iD NOTES 858 BACK S �-fiosll�ll 0YES _.2<0 mo UR _UCENSE :,ft 11 M, UA—TE TITLE DATE IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS liTSTALLED IN �ACCORD- OPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY YK A NAME OF HOLDER (PfCN'T OR TYPE) NATU OF CTEQtnZETENCY DATE