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610 5TH AVE S STE A�4�') -d o9 41q FIR* Jr E PREVENTION Serving Brier, Eurriuriw,'and 12425 Meridian Ave S INSPECTION REPORT 'EDMONDS Mountlake Terrace' Everett, WA 98208 0 BRIER FIAMJVJ El MOUNTLAKE TERRACE Phone (425) 551-1200 UNINCORPORATED DIST T www.FireDiS'trict1.-67,g Fax (425) 551-1272 1. "_ FREQUENCY I STATION& SHIFT LOCATION: 610 5 th Avenue S Suite A 98020' Annual 17-D BUSINESS NAME: Hamburger Harrys PHONE: 4257766666 SCHEDULED Nov 2016 DATE DUE MAILING UFIR� 161 152 ADDRESS: 610.5th Avenue S, Edmonds, WA 98020 BUSINESS OWNER: Mitchel, Bobb HOME PHONE: EMERGENCY-1: Mitchel, Mike HOMEPHONE: 2063549568 "'CURRENT KEY ACCESS-2: HOME PHONE: CITY NO BUSINESS EMAIL: LICENSE INITIAL INSPECTION DATE PERSON CONTACTED: ez, z NAME OF INSPECTOR: FIRE SYSTEMS: FE 4/16 UL300 3/16 Date Last Serviced: fl� I �1'1 I C) HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS w-r af r,) mo C of�s 2 p 3 ex- y-,,& 4 14(,, 2 vg 3 1—) -L 4 11. I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X / / I ­K / /V 1st RE -INSPECTION 2nd RE -INSPECTION V ( t " EXTENSION FINAL RE -INSPECTION A V16(ATIONS GRANTED TO: I DATE DUE: DATE DUE: DATE DUE, //CITED: PERSON PERSON PERSON CONTACTED- CONTACTED: ER'SO D* 2 INSPECTOR: INSPECTOR; INSPE DATE: DATE: DATE.. 3 VIOLATIONS VIOLATIONS CITXI U14-D PRE -CITATION i 4 5 5 LETTER SENT NUMBER CODE 5 2 6 2 6 DATE SE TION RETURN RECEIPT 6 3 7 3 7 RECEIVED DISPOSITION 4 8 4 8 DATE* LETTER NEEDED [] YES NO LETTER NEEDED [:] YES NO 8 &THood and Duct Services, Inc. 6100 12th Ave. S. Phone (206) 726-0940 Seattle,WA 98108 Fax (206) 767-2607 Occupancy Name: / Occupancy Address: Responsible Person: Building Owner: — COMPLETE Certification Given: RED[:] YELLOW[:] WHITEO FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD High Pressure Hood Cleaning SYSTEM TEST REPORT Fire Suppression Installation & Service CONFIDENCE TEST Z REPAIRSE11 Fire Extinguisher Sales & Service Range Hood and Fan Service & Repair Filter Sales & Service DATE: 12-09-16 City, State, Z �17 1p: Mh— 19(79 Phone Number: Phone Number: Building Owner Address: City, State, Zip: Testers Name (Please Print): SlFD Certification Number: SCP- C'S—,'4 &�,j ? Yes System Alarm FeK'No F� Central station monitoring? Yes E] No E] Monitoring company name: Control Panel manufacturer: Model N b Location of Alarm Panel: Extinguishing System Manufacturer System Size )JI.L. 3019 System? Yes E2<o El ��,L. 300 Compliant? Yes.eNo El Chemical Type: Wet 2KDry El Location / Height of Range hood: Is pressure gauge indicator in operable range? Ah&— Yes F] No [j Is there chemical inside of the cylinder? Yes*4,0 E Weigh CO2 or nitrogen cartridge. NAD ,7 No visible signs of a system fire or system tampering (if signs check no). YeS4��J- Non Check all piping and conduit. Are all piping and conduit immobilized with Yese Non proper hangers and brackets? Are all protective covers present on nozzles? Yes E�J' Noo Are all nozzles checked in the proper position? YesE�- No [] Does system have adequate volume and/or nozzle coverage? Yes ffl No E] Are all appliances inside of the hood protection area? Yesf�j No [] Have fuse links been replaced? Yes M- No E] Was system operational from terminal link? Yes E7 No Cj Was system operational from manual remote? Yes ff] No E] Was system and micro switch operational? NA Yes No [:] Is system visible and free from obstruction? Yes Non Is the inspection and service tag on the cylinder? Yes 2 No E] Problems Found: (If additional room is needed, please add a separate sheet) Corrections Made: Date Corrected: Corrected By: 12 year hydro date of cylinder. Were hand portable extinguishers properly serviced? NAF-1 Yes tl No Were all cooking surfaces protected? If not, give owner full Yes [7r No F-1 information. Was operating procedure verbally given to restaurant personnel? Yes [?' Noo Was UL 300 compliance explained to owner or manager? Yes-Rr Noo Gas shuts down upon system activation? NAF� Yes ?I NoM Electric power shuts down upon system activation? NA,2 Yes F] No E] Range hood tied to building alarm panel? NAE5 Yes E] Noo Range hood activation signal received at building alarm panel? NA.Fj Yes F] No Ej Class K extinguisher present? Yes.L2 Noo Grease buildup in group: Light Medium Hea—mcomme cleaning Date of last cleaning Are cleaning intervals within NFPA Aandards' ? I es,;2"' No 0 ' Previous Confidence Test Company & Technician -�'74 Customer has declined SFD Certification Number: This certifies that this fire and e safety system has been propelly,,inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards. Discrepancies ar a, he e been6,,eported to 0 er/Responsible Person for corrective action. -0940 Signature of Tester: L Ilk 4; !A Phone# (206)726 T -9 A= 0 'abuii e6ices, Inc. MailingAddress: 6100 12th Ave. S., Seattle, WA98108 Testing Agency: R T o ;A The owner is to perform and keep a written record of the following "quick check" fire system inspection to verify the following: 1 . The extinguishing system is in its proper location. The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact, undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or certificate is in place and current. 2. The manual pull stations are unobstructed and in clear view and are labeled for 8. If any deficiencies are found, approprjate cDrrective action shall be taken immediately intended use. 9. A record of the monthly inspectionsYs. e kept reflecting the date inspected, inititals of 3. Insure that all tamper seals are intact and that system is in a ready condition. person performing the inspecti, ny corrections re 4. Observe system, checking that no obvious physical damage or condition exists 'Ic - that might prevent operation. AUTHORIZED 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE FIRE DEPARTMENT COPY —LIX, (C X Serving Brier, Edmonds, and 12425 Meridian Ave S Mountla.ke Terrace Everett, WA 98208 Phone (425) 551-1200 www'.FireDistrictl.org Fax (425) 551-1272 LOCATI ON: 611 'e t . h-� . ye S Suite A 98020 BUSINESS NAME: Hamburger Harry's MAILING ADDRESS: 610 Avenue S, Edmonds, WA 98020 BUSINESS OWNER: Mitchel, Bobb EMERGENCY-1- ' VA, (4-1, KEY ACCESS-2: EMAIL: PERSON CONTACTED: NAME OF INSPECTOR: FIRE SYSTEMS: FE 12/1 UL300 7/1 � n.qtp 1 nszt Sprvirpri- tA Qep, j / I&- -%,I( I — FIRE PREVEN ' TION INSPECTION REPORT LgEDMONDS DBRIER 13 MOUNTLAKE TERRACE [3 UNINCORPORATED FREQUENCY STATION & SHIFT Annual 17-C__� SCHEDULED DATE DUE 11' Nov 2015 161 152 HOME PHONE:2�0(0_ ( -7 901 HOME PHONE: T5-tf- 7 "'CURRENT HOME PHONE: CITY YES NO BUSINESS LICENSE INITIAL INSPECTION DATE PHONE: 4257766666 HAZARDS FOUND AND LOCATIONS / CO�MUiTICATIONS T,-��4 10 I_tz,4-r;z-J C—+ .7 cl%- C,�L_f< 2 2 3 3 4 4 5 6 .6 7 7 I AGREE to cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS _RATE DU E DATE DUE- GRANTEDTO: DATE DUE: CITED: PERSON CON TED: (,*glc PERSON CONTACTED:1 jtw PERSON . CONTACTED: INSPECTOR: WiAJ57DA) INSPECTOR: 0 A PI%W 2 DATE: q-274 - INSPECTOR: r Z_ PAT . E: DATE: 3 VIOLATIONS F�/45 - Ap7X- 6(-,) VIOLATIONS."-,': PRE -CITATION CITATIONISSUIED__ 4 5 LETTER SENT NUMBER: DATE: CODE SECTION: 5 2 6 2 6 RETURN RECEIPT 3 7 _.__��C I E�D DISPOSITION: 6 4 4 8- DATE: 7 LETTER N EEDED C] YES 0 NO LETTER NEEDED Q YES NO ., . 0 SNOHOMISH CO. FIRE -SMR .L 11 Serving Brier, Edmonds, and Mountlake Terrace www.FireDistrictl.org LOCATION: 610 5 th Avenue S Suite A 98020 BUSINESS NAME: A2Z Technology 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: 2064127768 MAILING ADDRESS: 610 5th Avenue S, Suite A, Edmonds, WA 98020 BUSINESS OWNER: HOME PHONE: FIRE PREVENTION INSPECTION REPORT JfEDMONDS 0 BRIER 0 MOUNTLAKE TERRACE [3 UNINCORPORATED 0' FREQUENCY I STATION & SHIF`� 2015 17-C SCHEDULED DATE DUE � Nov 2015 UFIR 0 549 152 EMERGENCY-11: Wolfe, Mark HOME PHONE: 2064127768 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO E I MAIL: BUSINESS F-1 LICENSE INITIAL INSPECTION DATE PERSON CONTACTED: iL NAME OF INSPECTOR: FIRE SYSTEMS: FE r);itp 1 ;i.qt.qPrvir.PH- HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS 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 sch * eduled "Fire Safety Survey Inspections" of all.businesses and multi -family occupancies in the Cities covered by: Snohomish County Fire District 1. You are tobe congratulated on the relative good condition of your occupancy in regards to fire safety. Above you will find the itern(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.