61 PINE ST BLDG 2, =_1717"
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Lib & FIRE �PREVENTION
X
Serving Brier, Edmonas, ana 12425 Meridian Ave S INSPECTION REPORT
_;SN0F101%11SH Co. 0 EDMONDS
-Moiintlake Terrace Everett, WA 98208 OBRIER
Flimm Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DIO-.,,r.,PLL www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
" FREQUENCY STATION 1, SHIFT
61 Pine Street 98020
Annual 17-C
I
LOCATION:
I
Pt Edwards Condos Bldg 2
SCHEDULED Apr 2017
BUSINESS NAME:
PHONE:
DATE DUE 1'
424
MAILING 61 Pine Street, Edmonds, WA 98020
ADDRESS:
UFIR
Copeland Grp (Mgr)
BUSINESS OWNER:
HOME PHONE:
Hendrickson, D/Maint
2064234433
PHONE:
EMERGENCY-1:
KEY ACCESS-2:.
HOME
17
HOME PHONE:
CURRENT YES NO
CITY
BUSINESS F
EMA ' IL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTAdTED:
1-7 -
NAME OF INSPECTOR:
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Date Last Serviced- I Sl'-L
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rHAZARDS FOUND AND L CATI NS/C MMU ATIONS
2.
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3
4
5
6
7
1
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3
4
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
'Ist RE -INSPECTION
2nd RE -INSPECTION
: FINAL RE
EXTENSION -INSPECTION VIOLATIONS
DATE DUE,
DATE DUE,
GRANTEDTO: DATE DUE' CITED:
PERSON
PERSON
PERSON i
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR
INSPECTOR
2
INSPECTOR,
DATE:
DATE:
DATE 3
VIOLATIONS
VIOLATIONS
CITATION ISSUED
PRE -CITATION
5
5
LETTER SENT NUMBER
CODE 11
2
2 6
DATE, SECTiON
X4
RETURN RECEIPT
7
3 17
RECEIVED
DISPOSITION
4 8
7
DATE
LETTERNEEDED YES NO
LETTER NEEDED C] YES NO
8
FIRE PREVENTION..,._
Serving Brier, Ednionds, and 12425 Meridian Ave S INSPECTION REPORT
OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION:
J
61 PineStreet 98020
Annua
17-B
BUSINESS NAME:
Pt Edwards Condos Bldg 2
PHONE:
SCHEDULED
DATE DUE 0 Apr 2016
MAILING
04
FR 24
ADDRESS:
61 Pine Street, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
Copeland Grp (Mgr)
EMERGENCY-1:
HOME PHONE:
CURRENT
_7
KEY ACCESS-2:
Hendrickson, D/Maint
HOME PHONE:
206.4234433
CITY
YES No
EMAIL:
BUSINESS
LICENSE
0oo
PERSON CONTACTED:
INITIAL INSPECTION DATE V
NAME OF INSPECTOR: _Tv
FIRE SYSTEMS:
AS 10/14 FA 10/14 FE 1/15 FD Lk Box SP 8/12
EATIOit /COMMUNICATIONS
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2
2
3
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4
4
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1 St RE -INSPECTION.
2nd RE -INSPECTION
C-1EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON iWIC
PERSON
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CONTACTED:
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VIOLATIONS
5
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PRE -CITATION
LETTER SENT
CI . TATION ISSUED
NUMBER:
4
DATE:
CODE
SECTION:
5
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3
7
3 7
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RECEIVED
DATE:
DISPOSITION:
EEDED C] YES NO
8
LETTER NEEDED 0 YES C1 NO
4
LETTER N
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FIRE PREVENTION
SNOH0 0:'�
Serving Bilei; Edinonds. ah'd
4.24 5 Meridian Ave S
INSPECTION REPORT
tT Mountlake Terrace
Everett, WA 98208
OEDMONDS
0 BRIER
DISTRI
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
[1 UNINCORPORATED
vmvii�FireDistrictl.org,
Fax (425) 551-1272
FREQUENCY
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LOCATION: 61 Pine Street 98020
Annua
17-A
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BUSINESS NAME: Pt Edwards Condos Bldg 2
PHONE:
SCHEDULEApr 2015
DATE DUE
424
MAILING
61 Pine Street, Edmonds, WA 98020
UFIR
ADDRESS:
Copeland Grp (Mgr)
BUSINESS OWNER:
HOME PHONE:
Hendrickson, D/Maint
EMERGENCY-1:
2064234433
HOME PHONE:
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: t 01)(A
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
X
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
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
D E DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
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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 6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
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DISPOSITION:
7
04
8
4
8
DATE:
. 1�1 LETTER NEEDED [] YES NO
LETTER NEEDED F] YES El NO
FIRE DEPARTMENT COPY
FIRE PREVENTION
&,rving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
CO
0 EDMONDS
FIRSNOHOMISH
Mountlake Terrace
Everett, WA 98208
BRIER
STRT
Phone (425) 551-1200
El MOUNTLAKE TERRACE
[3 UNINCORPORATED
wwwFireDistrictLorg
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION: 61 RneStreet OMM
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17-D
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BUSINESS NAME: PLbdhsrdbCbrichyAI3IJg 2
PHONE:
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DATE DUE
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ADDRESS: fill R ric Mmc� EdmarmikONA DBD20
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HOME PHONE:
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HOME PHONE:
CITY YES NO
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INITIAL INSPECTION DATE
NAME OF INSPECTOR:
144—RN'SEN& ASOOMFAtgR7FEMOL)-F[3LkBo-xSPS/12,Aif
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
3
4
4
5
6
5
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE;
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTEDTO-
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
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
1
14
13
4
8
DATE:
DISPOSITION:
LETTER NEEDED [-] YES El No
LETTER NEEDED [:1 YES NO
FIRE DEPARTMENT COPY
Serving Briet; Edmonds
SNOHOMISH CO.
FIREMountlake Terraceand
e Town of Woodway
DISTh T t�'W%FireDistrictl.org
LOCATION: 61 Pine St
BUSINESS NAME: Pt Edwards Condos Bldg 2
MAILING
ADDRESS:
BUSINESS OWNER: Pinky lives here
EMERGENCY-1: Copeland Grp(Prop Mgr)
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: RA V.,,, ei,-
FIRE AS 9/11 FA 9/11 SP 8/12 FD LkBX
SYSTEMS: 10 // 2- 1 n 11-L
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
HOME PHONE:
HOMEPHONE: 2063380180
HOMEPHONE: 2064234433
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFT�
365 17 C
SCHEDULED
DATE DUE 11' 04/01/13
LIFIR � 424 4152
CURRENT
CITY YES NO
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LICENSE
INITIAL INSPECTION DATE
`7 f 3
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ANNUAL
HAZARDS FOUND AN6 LFGATIONS CMMMICATIONS
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:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR-
INSPECTOR:
INSPECTOR'
2
DATE:
D E:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
7
4
8
4
8
DATE:
LETTER NEEDED C] YES NO
LETTER NEEDED YES NO
8
FIRE DEPARTMENT COPY
0, �_hr_
'Ed
Servi�g Btlei; Mon S
SNOHOMISH CO.
Mountlake Terraceand
TIRE a�_,E the Town of Woodway
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STRIT www.Fire4istrictl.org
LOCATION: 61 Pine St
BUSINESS NAME: Pt Edwards Condos Bldg 2
MAILING
ADDRESS:
BUSINESS OWNER: Pinky lives here
EMERGENCY-1: Copeland Grp(Prop Mgf)
KEY ACCESS-2:
Hill, Jasont/Maint.
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PERSON CONTACTED: / " )khAln -^J A/ -I C,6
NAME OF INSPECTOR: (%v
FIRE AS 9/11 FA 9/11 FD LkBx
S,(STEMS: q /(( 9/1) —
1-2414"'6'."idian Ave S
Evereti,* WA 98208
Phone (4�5) 551-1200
Fax,(425) 551-1272
PHONE:
HOME PHONE:
HOME PHONE: 2063880180
HOME PHONE: 2064234433
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
OWOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION 9 SHIFT`*)
365 17 6
SCHEDULED
DATE DUE 0 04/01/12
LIFIR � 424 4152
CURRENT
CITY YES NO
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LICENSE 1:1 1:1
INITIAL INSPECTION DATE
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1st RE -INSPECTION
DATE DUE:
2nd RE-INSPECTIO,N
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:
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
I., LETTER NEEDED [] YES NO
LETTER NEEDED C] YES I-] NO
8
FIRE DEPARTMENT COPY
Revised Date 6/16/09
SMITH FIRE SYSTEMS MANAGEMENT, LLC
—5 DATE q-Zl-ft
AUTOMATIC SPRINKLER SYSTEM JOB# qYSY q
1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION
Phone: (253)248-2000 Fax: (253)248-2360
SiteName POINT EDWARDS CONDOMINIUMS —BUILDING 2
Address: 61 PINE STREET, EDMONDS, WA 98020
Contact Person TOYAN COPELAND
Telephone # (206) 388-0180
System # I Type WET
Area Covered
System # 2 Type DRY
Area Covered
System # Type
Area Covered
System # Type
Area Covered
System # Type
Area Covered
Type of Occupancy (CIRCLE): Other
Assembly Storage Industrial
Offices Retail Apartments Condominiums Residential
A. - 0 WNERS SECTION
1. Has there been any fire protection modifications since the last inspection?: Yes El No 0 Describe below:
2. Describe any fire(s) since last inspection:
3. Date (approximate if unknown) sprinkler system was installed: 2005
4. Name of installation company:
B. INSPECTOR'S SECTION (All responses reference current Inspection)
I . GENERAL YES NO N/A
a. Does the system have a hydraulic plaque?
b. Are the risers labeled and what are the specifics?
Discharge density .65 Per 4 HDS Sq. Ft. residual pressure at riser 84 psi.
Gallons per minute 70
c.. Is the building fully sprinklered?
d. Is the entire sprinkler system in service? )a
e. Record water pressure at riser. J� F)s PSI
2. CONTROL VALVES YES NO N/A
a. Are all sprinkler system control valves and all other valves in the appropriate
open or closed position?
b. All control valves operated through full range of motion and returned to normal posifion? -%00
c. Are all control valves in the open position?
Locked El Sealed Rj Tampered Qt '110
d. -Are all control valves properly signed? )0
POINT EDWARDS CONDOMINIUMS ~ BUILDING 2 Page 1 of 4
Revised Date 6/16/09
3. FIRE DEPARTMENT CONNECTIONS
a. Are fire department connections in satisfactory condition (Unobstructed view,
couplings rotate freely, caps are in place)?
b. FDC backflushed in 2005 . (Required every 5 Years)
4. WET SYSTEMS
a. Have antifreeze system solutions been tested? Solution %
b. Were the antifreeze test results satisfactory'? Specific Gravity Read ing(s) _Deg
c. Does the building appear to be adequately heated at time of inspection?
a. Internal exam of piping conducted in CPVC (Required every 5 Years)
5. DRY SYSTEMS
a. Is the air pressure and priming water level in accordance with manufacturer's instructions? )-C—
b. Has the operation of the air or nitrogen supply been tested? y-
Is it in service?
c. Were the low points drained during this inspection? How Many? 3
d. Did quick -opening devices operate satisfactorily?
e. Did the heating equipment in the dry pipe valve room operate at the time of inspection?
f. Was the dry valve tripped during this inspecfion?
DRY PIPE
OPERATING
TEST
DRY VALVE
Q.0.0.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
TYCO 4"
-
DPV-1
I
I
O.O.D. TRIP
OK
TIME TO TRIP
THRU TEST PIPE
WATER
PRESSURE
INITIAL AIR
PRESSURE
TRIP POINT
PRESSURE
TIME WATER REACHED
TEST OUTLET
ALARM
OPERATED
LOCAL
ALARM
OPERATED
REMOTE
MIN;__
SECa
psi
PSI
PSI
MIN.
SEC.
'Z4'i
20
g. Date dry pipe valve trip tested (contral valve fully open).
h. Intemalexam of piping conducted in 2005 (Required every 5 Years)
6.ALARMS
a. Did water motor gong test satisfactorily?
b. Did electrical bell test satisfactorily?
c. Is the system supervised with alarm? Who? SFSM@AVANTGUARD-89-6946
Operator #
d. Did alarm monitoring service test satisfactorir.
e. Waterflow alarm?
f. Valve tamper monitoring?
g. HVLo Air Switch
200512009
ME
POINT EDWARDS CONDOMINIUMS — BUILDING 2 Page 2 of 4
Revised Date 6/16/09
7. SPRINKLERS, GAUGES & MIC TESTING
a. Are all sprinklers free from corrosion, foreign material, or paint?
b. Are there any non -dry sprinkler heads manufactured prior to 1920?
c. Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing:
d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing:
e. Are all dry type sprinkler heads less than 10 years old? Date of last sample testing: 2004
f. Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing:
g. Is there fluid in the glass bulbs?
h. Is a head wrench, stock of spare sprinklers and Teflon tape available?
1. Does the exterior condition of the sprinkler system appear to be satisfactory?
j. Date of last MIC testing?
8. WATERFLOW TEST AT MAIN DRAIN MADE AT SPRINKLER RISERS
2004
UNKNOWN
TEST PIPE
DATE
TEST PIPE
LOCATION
SIZE
T TEST PIPE
STATIC
PRESSURE
RESIDUAL (FLOW)
PRESSURE
RISER
ill
90
2
RISER
2-
3
4
5
9. Explain any "No" answers and comments: A -So -9- 1) A..&4 e A. AAPn AS
POINT EDWARDS CONDOMINIUMS - BUILDING 2 Page 3 of 4
Revised Date 6116/09
10. Adjustments or corrections made during this inspection:
Although these comments are not the result of any engineering review, the following desirable improvements are recommended:
System 1 F-1 Is operational is operational with defects M is not operabonal
System 2 F] is operational is operational with defects n is not operational
System 3 F� is operational is operational with defects n is not operational
System 4 is operational is operational with defects n is not operational
System 5 is operational is operational with defects n is not operational
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253)248-2000 Fax: (253)248-2360
A I A,�-- lrl�- &4 1 1 1!J A 0-7
iignature 7 or Print Name WA SFMO ITT 9 Date
[�re oAOwner or Representative !Print Name Date
POINT EDWARDS CONDOMINIUMS — BUILDING 2 Page 4 of 4
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE
CONFIDENCE TESTING FIRE ALARM JOB # "5,641
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
SITE NAME POINT EDWARDS CONDOMINIUMS— BLDG 2-EXPANDER PANEL
ADDRESS 61 PINE STREET, EDMONDS, WA 98020
CONTACT TOYAN COPELAND PHONE (206) 388-0180
NAME OF TESTER ?> CERTIFICATION NO. 11*410-7
DATE OF INSPECTION TYPE OF INSPECTION— 4 y, y, P4A
CONTROL PANEL MANUFACTURER SILENT KNIGHT MODEL NO. 5820
NUMBER OF INITIATING CIRCUITS ADDR NO, OF SIGNAL CIRCUITS 7
BATTERY VOLTAGE VOLTS CHARGE CIRCUIT VOLTAGE VOLTS
BATTERY VOLTAGE UNDER FULL LOAD
=V%, W-i
VOLTS (SIGNALS OPERATING)
Atj
I
Trouble signal with AC power off
YES
[&
NO
N/A
2.
System operates satisfactory on standby power
YES
[�k
NO
E]
N/A
3.
All signals operate on AC power
YES
�b
NO
N/A
4.
Have all alarm notification appliances been checked for proper operafion?
YES
El
NO
R
N/A
0
5.
All circuits checked for electrical supervision
YES
NO
D
N/A
F-1
6.
Control panel checks made per manufacturer's instructions
YES
�L
NO
El
N/A
0
7.
All auxiliary equipment operates (Elevators, fans, dampers)
YES
NO
El
N/A
1-1
8.
Central station or remote connection
YES
�9
NO
El
N/A
1:1
Name of Monftoring Company
SFSM @ AVANTGUARD 89-6946
9.
Key to panel available
YES
$a
NO
F1
N/A
[:]
10.
Operating instructions at panel?
YES
No
El
N/A
El
11.
Service Label or Tag (SFC: Appendix III-B)
YES
NO
E]
N/A
[:]
12.
Did you sign off Item 8 on the Elevator Log
YES
'Q!�
NO
El
N/A
El
POINT EDWARDS CONDOMINIUMS- BLDG 2 1 of 2
EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBERS OF
UNITS TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
N-O--T
N/A
Bells, Homs, Chimes
Voice Alarm Speakers
)c
X
51
26
I
Visual Alarm Device
Trouble Indicators
Super. Switch (Auto. Spr.)
x
5
Auto Spr. Flow Switches
2
Smoke Detectoqs)
32
Heat Detector(s)
Manual Pull Stations
11
Ventilation Controls Operate
Central Station
I
I
I
Annunciators
Elevator Call Down
Fire Damper/Smoke Dampers
Phone Jacks
2
I
Auto. Door Unlocks - (Failsafe)
Auto. Door Release
Other
PROBLEMS FOUND: A)- ote, ej, 4 .1
- Lj-lft< a0g. alc� 1 2-ki 1 -207- jQ01 a[-),, /na
CORRECTIONS MADE:
DATE CORRECTED
BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
Inspector
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
Name
Date
POINT EDWARDS CONDOMINIUMS- BLDG 2 2 of 2
Revised Date 6/16109
MSMITH FIRE SYSTEMS MANAGEMENT, LLC
X, DATE
Vo&WWhkt - 01MMYTIM AUTOMATIC SPRINKLER SYSTEM JOB #
1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION
Phone: (253) 248-2000 Fax: (253) 248-2360
Site Name POINT EDWARDS CONDOMINIUMS - BUILDING 2
Address: 61 PINE STREET, EDMONDS, WA 98020
Contact Person TOYAN COPELAND Telephone # (206) 388-0180
System # 1 Type WET Area Covered
System # 2 Type DRY Area Covered
System # Type Area Covered
System# Type Area Covered
System# Type Area Covered
Type of Occupancy (CIRCLE): Other
Assembly Storage Industrial Offices Retail Apartments Condominiums
Residential
A. 'OWNER'S SECTION
1. Has there been any fire protection modifications since the last inspection?: Yes No
Describe below.
2. Describe any fire(s) since last inspection:
3. Date (approximate if unknown) sprinkler system was installed: 2005
4. Name of installation company.
B. INSPECTOR'S SECTION (All responses reference current Inspection)
I . GENERAL
YES No NIA
a. Does the system have a hydraulic plaque?
X
b. Are the risers labeled and what are the specifics?
X
Discharge density .65 Per 4 HDS Sq. Ft residual pressure at riser 84
psi.
Gallons per minute 70
c. Is the building fully sprinklered?
d. Is the entire sprinkler system in service?
e. Record water pressure at riser.
1/0 Psi
2. CONTROL VALVES
YES NO N/A
a. Are all sprinkler system control valves and all other valves in the appropriate
open or closed position?
b. All control valves operated through full range of motion and returned to normal position?
114C
c. Are all control valves in the open position?
);9)
Locked El Sealed YL::r Tampered
d. Are 611 control valves properly signed?
POINT EDWARDS CONDOMINIUMS - BUILDING. 2
Pagel of 4
Revised Date 6116/09
3. FIRE DEPARTMENT CONNECTIONS
a. Are fire department connections in satisfactory condition (Unobstructed view,
couplings rotate freely, caps are in place)?
b. FDC backflushed in 2005 . (Required every 5 Years)
4. WET SYSTEMS
a. Have antifreeze system solutions been tested? Solution %
b. Were the antifreeze test results satisfactory? Specific Gravity Reading(s)
c. Does the building appear to be adequately heated at time of inspection?
e. Internal exam of piping conducted in CPVC (Required every 5 Years)
5. DRY SYSTEMS
a. Is the air pressure and priming water level in accordance with manufacturers instructions?
b. Has the operation of the air or nitrogen supply been tested?
Is it in service?
c. Were the low points drained during this inspection? How Many? 3
d. Did quick -opening devices operate satisfactorily?
e. Did the heating equipment in the dry pipe valve room operate at the fime of inspection?
f. Was the dry valve tripped during this inspection?
Deg
X
x
Y-1,
X
A
DRY PIPE
OPERATING
TEST
DRY VALVE
Q.O.D.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
TYCO' 4"
DPV-1
I
I
Q.O.D TRIP
O*K
TIME TO TRIP
THRU TEST PIPE
WATER
PRESSURE
INITIAL AIR
PRESSURE
TRIP POINT
PRESSURE
TIME WATER REACHED
TEST OUTLET
ALARM
OPERATED
LOCAL
ALARM
OPERATED
REMOTE
MIN.
SEC.
PSI
PSI
PSI
MIN.
SEC.
-30 - 10
A"
.j L04
ue4
g. Date dry pipe valve trip tested (control valve fully open).
h. Internal exam of piping conducted in 2005 (Required every 6 Years)
6. ALARMS
a. Did water motor gong test satisfactorily?
b. Did electrical bell test satisfactorily?
c. Is the system supervised with alarm? Who? SFSM @ A VANTGUARD- 89-6946
Operator #
d. Did alarm monitoring service test satisfactorily?
e. Waterflow alarm?
f. Valve tamper monitoring?.
g. Hi/Lo Air Switch .
POINT EDWARDS. CONDOMINIUMS,;- BUILDING 2
200512009
Page. 2 of: 4
Revised Date 6/16/09
7. SPRINKLERS, GAUGES & MIC TESTING
a. Are all sprinklers free from corrosion, foreign material, or paint?
b. Are there any non -dry sprinkler heads manufactured prior to 1920?
c. Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing:
d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing:
e. Are all dry type sprinkler heads less than 10 years old? Date of last sample testing: 2004
f. Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing: 2004
g. Is there fluid in the glass bulbs?
h. Is a head wrench, stock of spare sprinklers and Teflon tape available?
1. Does the exterior condition of the sprinkler system appear to be satisfactory?
j. Date of last MIC testing?
8. WATERFLOW TEST AT MAIN DRAIN MADE AT SPRINKLER RISERS
All
20--
UNKNOWN
TEST PIPE
DATE
TEST PIPE
LOCATION
SIZE
TEST PIPE
STATIC
PRESSURE
RESIDUAL (FLOW)
PRESSURE
9-30-to
RISER
11.
2
Ig-
RISER
2"
3
4
5
9. Explain any "No" answers and comments:
Revised Date 6/16/09
10. Adjustments or corrections made during this inspection:
1. Although these comments are not the result of any engineering review, the following desirable improvements are recommended:
System I
is operational
System 2
is operational
System 3
is operational
System 4
is operational
System 5
is operational
is operational with defects
is operational with defects
is operational with defects
E]
is operational with defects
[:]
is operational with defects
E)
is not operational
E]
is not operational
is not operational
is not operational
El
is not operational
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (2531248-2360
J'fJVU--b/'a 1-1 1-007 1 1
Print Name WA SFMO 1Tr # Date : 11
Mate
POINT EDWAkDS CONDOMINIUMS BUILDiNG.2. 4 of *4'
.:-Page
- _Hf: Fl� 4 -8t 5�7�4,,
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE
CONFIDENCE TESTING FIRE ALARM JOB #
SITE NAME POINT EDWARDS CONDOMINIUMS- BLDG 2-EXPANDER PANEL
ADDRESS 61 PINE STREET, EDMONDS, WA 98020
CONTACT TOYAN COPELAND PHONE (206)388-0180
NAME OF TESTER C& V-h'" CERTIFICATION NO. (14qO-7
'-) e:6� ?) —
DATE OF INSPECTION q--90
-tt
TYPE OF INSPECTION
P -1 nv"�
CONTROL PANEL MANUFACTURER
SILENT KNIGHT
MODEL NO. 5820
NUMBER OF INITIATING CIRCUITS ADDR
BATTERY VOLTAGE 2(,. -/-,C> VOLTS
BATTERY VOLTAGE UNDER FULL LOAD 0 ('�'o
NO. OF SIGNAL CIRCUITS 7
CHARGE CIRCUIT VOLTAGE ;a.a�2 VOLTS
—VOLTS (SIGNALS OPERATING)
1. Trouble signal with AC power off
YES
NO
E]
2. System operates satisfactory on standby power
YES
NO
3. All signals operate on AC power
YES
NO
4. Have all alarm notification appliances been checked for proper operation?
YES
X1
No
E3
5. All circuits checked for electrical supervision
YES
1)5
NO
El
6. Control panel checks made per manufacturers instructions
YES
NO
7. All auxiliary equipment operates (Elevators, fans, dampers)
YES
JR
NO
E:1
8. Central station or remote connection
YES
X
NO
1:1
Name of Monitoring Company
9. Key to panel available
10. Operating instructions at panel?
11. Service Label or Tag (SFC Appendix 111-13)
12. Did you sign off Item 8 on the Elevator . Log
N/A
N/A
N/A
N/A El
N/A El.
N/A
N/A
N/A
SFSM @A VANTGUARD 89-6946
YES
q4
NO
El
N/A
El
YES
29
No
El
NIA
0
YES
C&
NO
0
N/A
El
YES
la'
NO
El
N/A
[:1
POINT EDWARDS �CONDOMINIUMS- BLbG 2
I of :2*
EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBERS OF
UNITS TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
NO
N/A
Bells, Horns, Chimes
Voice Alarm Speakers
51
X,
51
Visual Alarm Device
26
26
Trouble Indicators
1
1
Super. Switch (Auto. Spr.)
5
6
Auto Spr. Flow Switches
2
2
Smoke Detector(s)
32
32
Heat Detector(s)
Manual Pull Stations
I 1
11
Ventilation Controls Operate
Central Station
I
I
Annunciators
I
I
Elevator Call Down
I
X_
I
Fire Damper/Smoke Dampers
Phone Jacks
2
2
Auto. Door Unlocks - (Failsafe)
I
I
Auto. Door Release
,Other
PROBLEMS FOUND: 18.4
CORRECTIONS MADE:
r
-eej
q X /4 V -7
DATE CORRECTED BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone* (253) 248-2000 Fax: (253) 248-2360
AA V" .$I te--
SIgna,t Inspector Print Name Date
ISIgnature of Owner or Representatiye lPdnt Name Date
POINT EDWARDS CONDOMINIUMS- BLDG 2 -2of 2
5 SMITH FIRE SYSTEMS MANAGEMENT, LLG
Correction RePOrt
1106 54th Avenue Fast. Tecorna. WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
SiteName: POINT EDWARDS. CONDOMINIUMS -BLDG 2
Address: 61PINESTREET-EDMO Ds. k98020
Date of Corrections: 1/1012011
Job Number: 38859
Proposal Number: 10-0938
Corrections Made: (1) PAINTED SPRINKLER HEAD IN UNIT 10S FRONT ENTRY& (1) 14 UNIT
218 BATH.
2. REPLACED 12) WATER & (1) AIR GAUGE.
3. REPLACED I �) BATrERIES
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 541h Avenue East, Tacoma, WA 98424
Phone- (253) 248-2000 Fax: (2���
SFIVID ITT
L A16
SMITH FIRE SYSTEMS MANAGEMENT, LLC
INSPECTION PROFILE
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 926-0726
Job Name: POINT EDWARDS CONDOMINIUMS— BLDG 2— Contact: TOYAN COPELAND
Address: 61 PINE STREET -
'Phone: SITE (206) 388-0180
EDMONDS, WA 98020
System #1 -Type: WET— 1.6" SHOTGUN
#Lo-Point Drains
FIRE DEPARTMENT CONNECTION.
System covers: MAIN BUILDING
Comments:
CHECK VALVE
System #2 - Type: DRY— 4" TYCO. DPV-1
#Lo-Point Drains 3
SIZE
System covers: GARAGE
4"
Comments:
FLGXFLG OR GRV
System #3 - Type:
#Lo-Point Drains
IN VAULT -OR RISER ROOM
System covers:
Comments:
HOW MANY OPENINGS
System #4 - Type:
#Lo-Point Drains
System Covers:
Comments:
FDC SNOOT LOCATION
System #5 - Type:
#Lo-Point Drains
System Covers:
WALL El
Comments:
YARD E]
DISTANCE
20'
System Monitored By: SFSM @ AVANTGUARD 800-424-8726
Panel Brand SILENT KNIGHT
System Account #: 89-6946
Panel Model 5820XL
System Password #: TECH ID
Type of Battery: BOLT / LEAD SPADE
Panel Location IN BLDG I ELECTRICAL ROOM
How Many Batteries
Sequence to test or disarm alarms/problems with alarms: BLDG I & 2 SHARE THE SAME PANEL
Time Restriction:
Does inspection require advance notice?
Riser room/drain valves accessible?
Does inspection require special tools?
How many persons does inspection require?
Miscellaneous Notes-
SMITH FIRE SYSTEMS MANAGEMENT, LLC
Low Point Drain Locations DATE: 8/25/09
1106 54th Avenue East, Tacoma, WA 98424 JOB 26697
Phone: (253) 248-2000 Fax: (253) 926-0726
Name -POINT EDWARDS CONDOMINIUMS — BLDG 2
Address 61 PINE STREET, EDMONDS, WA 98020
Alarm 5 acct #
Tech S vjj/�' IA��'I-).
Low point#
I Low Point Location
Date Drain]
Intials
I
AIR COMPRESSOR TANK & CHECK OIL LEVEL
2
PRIME LEVEL
RAI
3
MAIN DRAIN
4
I.T. AT THE END OF THE SYSTEM
5
STALL67
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Revised Date 6116/09
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE 8/26/09
AUTOMATIC SPRINKLER SYSTEM JOB # 26699
1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION ANNUAL
Phone: (253) 248-2000 Fax: (253) 248-2360
Site Name POINT EDWARDS CONDOMINIUMS— BLDG Ay2
Address: 65 PINE STREET, EDMONDS,WA 98020
Contact Person TOYAN COPELAND
Telephone # (206) 388-0180
System # 1 Type WET Area Covered
System # 2 Type DRY Area Covered
System # Type Area Covered
System # Type Area Covered
System # Type Area Covered
Type of Occupancy (CIRCLE): Other:
Assembly Storage Industrial Offices
Retail Apartments Condominiums Residential
A. OWNERS SECTION
1 . Has.there been any fire protection modifications since the last inspection?: Yes No E]
Describe below:
2. Describe any fire(s) since last inspection:
3. Date. (approximate if unknown) sprinkler system was installed:
2005
4. Name of installation company:
B. INSPECTOR'S SECTION
(All respo�hses reference current Inspection)
1. GENERAL
YES NO N/A
a. Does the system have a hydraulic plaque?
b. Are the risers labeled and what are the specifics?
Discharge density .65 Per —4 HDS
Sq. Ft. residual pressure at riser 60.7
psi.
Gallons per minute 73.4 (WET)
c. Is the building fully sprinklered?.
d. Is the entire sprinkler system in service?
e. Record water pressure at riser:
PSI
2. CONTROL VALVES YES NO N/A
a. Are all sprinkler system control valves and all other valves in the appropriate
open or closed position?
b. All control valves operated through full range of motion and returned to normal position?
c. Are all control valves in the o
- j;ian posi
Locked 0 Sealed 1!!d' Tampered
d. Are all control valves properly signed?
POINT EDWARDS CONDOMINIUMS— BLDG 4 Page 1 of 4
Revised Date 6/16/09
3. FIRE.DEPARTMENT CONNECTIONS
a. Are fire department connections in satisfactory condition (Unobstructed view,
couplings rotate freely, caps are in place)?
b. FDC backflushed in 2005 . (Required every 5 Years)
4. WET SYSTEMS
a. Have antifreeze system solutions been tested? Solution %
b. Were the antifreeze test results satisfactory? Specific Gravity Reading(s)
c. Does the building appear to be adequately heated at time of inspection?
e. Internal exam of piping conducted in CPVC -(Required every 5 Years)
5. DRY SYSTEMS
a. Is the air pressure and priming water level in accordance with manufacturees instructions?
b. Has the operation of the air or nitrogen supply been tested?
Is it in service?
c. Were the low points drained during this inspection? How Many?
d. Did quick -opening devices operate satisfactorily?
e. Did the heating equipment in the dry pipe valve room operate at the time of inspection?
f. Was the dry valve tripped during this inspection?
Deg
ell
DRY PIPE
OPEFLATING
TEST
DRY VALVE
Q.0.13.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
TYCO
I DPV-1
I
I
O.O.D. TRIP
OK
TIME TO TRIP
THRU TEST PIPE
WATER
PRESSURE
INITIAL AIR
PRESSURE
TRIP POINT
PRESSURE
TIME WATER REACHED
TEST OUTLET
ALARM
OPERATED.
LOCAL
ALARM
OPERATED
REMOTEE
MIN.
SEC.
PSI
PSI
PSI
MIN.
SEC.
go
fo
g. Date dry pipe valve trip tested (control valve fully open).
h. Internal exam of piping conducted in 2005 (Required every 5 Years)
6. ALARMS
a. Did water motor gong test satisfactorily?
b. Did electrical bell test satisfactorily?
c. Is the system supervised with alarm? Who? SFSM @A VANTGUARD— 89-6949
Operator #
d. Did alarm monitoring service test satisfactorily?
e. Waterflow alarm?
f. Valve tamper monitoring?
g. Hi/Lo Air Switch
2005 /,,900!2
'loon
.000,
111**
POINT EDWARDS CONDOMINIUMS- BLDG 4 Page 2 of 4
Revised Date 6116/09
7. SPRINKLERS, GAUGES & MIC TESTING
a. Are all sprinklers free from corrosion, foreign material, or paint?
b. Are.there any non -dry sprinkler heads manufactured prior to 1920?
c. Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing:
d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing:
e. Are all dry type sprinkler heads less than 10 years old? Date of last sample testing: 2001Y
f. Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing: OC2 9
g. Is there fluid in the glass bulbs?
h. Is a head wrench, stock of spare sprinklers and Teflon tape available?
1. Does the exterior condition of the sprinkler system appear to be satisfactory?
j. Date of last MIC testing?
8. WATERFLOW TEST AT MAIN DRAINMADE AT SPRINKLER RISERS
e0l
P-Idlkh -a t,. A-%
TEST PIPE
DATE
TEST PIPE
LOCATION
SIZE
TEST PIPE
STATIC
PRESSURE.
RESIDUAL (FLOW)
PRESSURE
ol
RISER
III
2
RISER
2-1
3
5
9. Explain any "No". answers and comments: /"*-
, e) 4eirerj 4-a 50? W6,e. Wa 1. W / 7. /0 CY 4 /0 -7
/, dq - kol*/—f—�6b J—
( I jj—r L'T,
111n4e: 2a A&.,l 6, rhise- -j-. r-a.41". 0 J. "L. I-A'-J, .3-- h". 0/ XMI.--r.
POINT EDWARDS CONDOMINIUMS— BLDG 4 Page 3 of 4
Revised Date 6/16109
10. Adjustments or corrections made during this inspection:
11. Although these comments are not the result of any engineering review, the following desirable improvements are recommended:
System 1
Fj
is operational
FT- is operational with defects
System 2
is operational
E]
is operational with defects
System 3
F-1
is operational
0
is operational with defects
System 4
is operational
El
is operational with defects
System 5
is operational
El
is operational with defects
El
is not operational
El
is not operational
[--I
is not operational
El
is not operational
F1
is not operational
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
Print Name
k SFMO 17-T # Date
POINT EDWARDS CONDOMINIUMS- BLDG 4 Page 4 of 4
SMITH FIRE SYSTEMS MANAGEMENT, LLC
DATE 8126/09
26699
CONFIDENCE TESTING FIRE ALARM JOB #
1106 54th Ave nue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
SITE NAME POINT EDWARDS CONDOMINIUMS- BLDG t
ADDRESS 65 PINE STREET, EDMONDS, A�98020
CONTACT TOYAN COPELAND PHONE (206) 388-0180
NAME OF TESTER A, i4-"A CERTIFICATION NO. d`17-7
DATE OF INSPECTION August 25,2009 TYPE OF INSPECTION ANNUAL
CONTROL PANEL MANUFACTURER SILENT KNIGHT MODEL NO. 5820
NUMBER OF INITIATING CIRCUITS ADDR NO. OF SIGNAL CIRCUITS 6
BATTERY VOLTAGE VOLTS CHARGE CIRCUIT VOLTAGE VOLTS
BATTERY VOLTAGE UNDER FULL LOAD VOLTS (SIGNALS OPERATING)
1.
Trouble signal with AC power off
YES [:] NO
E]
2.
System operates satisfactory on standby power
YES NO
F-1
3.
All signals operate on AC power
YES NO
4.
Have all alarm notification appliances been checked for proper operation?
YES NO
5.
All circuits checked for electrical supervision
YES NO
6.
Control panel checks made per manufacturer's instructions
YES ,2- NO
El
7. All auxiliary equipment operates (Elevators, fans, dampers) YES NO E:1
8. Central station or remote connection YES eel' NO 1:1
Name of Monitoring Company
9. Key to panel available
10. Operating instructions at panel?
11. Service Label or Tag (SFC Appendix III-B),
12. Did you sign off Item 8 on the Elevator Log
N/A
N/A
N/A Ej
N/A
N/A
N/A
N/A
N/A E:1
SFSM@AVANTGUARD 89-69,49
YES 0' No
El
N/A [:1
YES El NO
El
N/A 12—
YES 0
-[:] N4
N/A J�j—
YES J-fr NO
N/A Cl
POINT EDWARDS CONDOMINIUMS— BLDG 4 1 of 2
EQUIPMENT TESTED
TYPE OF EQUIPMENT
NUMBERS OF
UNITS TESTED
SATISFACTORY
NO. OF UNITS
IN BUILDING
YES
NO
N/A
Bells, Horns, Chimes
Voice Alarm Speakers
65
65
Visual Alarm Device
16
Trouble Indicators
1
1
Super. Switch (Auto. Spr.)
6
5
Auto Spr. Flow Switches
4
4
Smoke Detecto�(s)
20
.20
Heat Detector(s)
Manual Pull Stations
10
10
Ventilation Controls Operate
ALL
ALL
Central Station
Annunciators
Elevator Call Down
Fire Damper/Smoke Dampers
ALL
ALL
Phone Jacks
Auto. Door Unlocks - (Failsafe)
Auto. Door Release
Other
PROBLEMS FOUND: IVO 4, d—O 1 2 L -Z 42 51 J- 10 Z
CORRECTIONS MADE:
DATE CORRECTED
BY
THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR
RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT.
4
SMITH FIRE SYSTEMS MANAGEMENT, LLC
1106 54th Avenue East, Tacoma, WA 98424
Phone: (253) 248-2000 Fax: (253) 248-2360
� 1/ 3 P P, 1-1 ()
Name
Date
.0
01
POINT EDWARDS CONDOMINIUMS- BLDG 4
2 of 2
i/v1c.bF9RS
Fire fficident Report
Edmonds Fire Department
Incident Number: EF06002823 Exposure: 0 Incident Date: 8/25/2006
Jurisdictional Stati.o.n:,,-1.7--,,,.-.Location Type: Streetaddress
Address� 61 N
P-I.NE ST nwavk.'
City: Edmonds State: WA Zip: 98020
Incident Type: Alarm system sounded due to malfunction
Shift: A Alarms: 1 Grid: EF152
Aid Type: None
Alarm Time: 08:15:10 8/25/2006
Arrival Time: 08:20:46 8/25/2006
Last Unit Cleared Time: 08:40:20 8/25/2006
Actions Taken: Information, investigation & enforcement, other
HazMat Released: None
Property Value: 0 Contents Value: 0
Property Loss: 0 Contents Lo ss: 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: Multifamily dwellings
;Vi M,
MM'f 1111i3l,_1111
Fire Incident Report
Edmonds Fire Department
Incident Number: EF06002823 Exposure: 0 Incident Date: 8/25/2006
Narrative
E17 responded on an AFA at 61 Pine St. the Point Edwards Condo's. We arrived to find strobe
lights flashing from the 3 story multi -family dwelling, occupants evacuating, but no smoke
visible. The alarm panel showed "smoke detector" activation on the 2nd floor. Investigation
found no detectors activated on that floor and no signs of smoke. We checked the sprinkler
system and verified that it had not tripped. The alarm system was reset and confirmed with
the alarm company. An apparent malfunction/false alarm. Onsite building maintenance
personnel were instructed to follow-up with the alarm company. E17 returned in service.
FF DAVID KRUGMIRE