655 MAIN ST (2)T ED
CITY OF EDMONDS
121 5TH A Va4UE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220- FAX: (425) 771-0221
STATUS: ISS Pennit#- BLD20160618
BUILDING PERMIT
Expiration Date: 03/22/2017 Project Address: 655 MAIN ST, EDMONDS
Parcel No: 00596800010100
I'A*I'EATYOWNER API'LICANT CONTRACTOR
CARMEL CONDOS SEACOM CABLING INC SEACOM CABLING INC
655 MAIN ST UNIT C/O JACKSON SOUTHWICK C/O JACKSON SOUTHWICK
EDMONDS, WA 98020-3059 1912 EVERETT AVENUE SUITE 120 1912 EVERETT AVENUE SUITE 120
EVERETT, WA 98201 EVERETT, WA 98201
(425) 317-8259 (425) 317-8259
LICENSE #: SEACOC1944DO EXP:03/20/2018
FIRE ALARM REPLACEMENT IN ELEVATOR
VALUATION: $6,000.00
PERMIT TYPE: Commercial
PERMIT GROUP: 79 - Fire Alarm
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD -
FENCE: 0 X 0 FT.)
CODE:
JU I HER: ------- OTHER DESC:
ZONE-
INUMBER OF S ORIES: 0
!VEST�D TE:
INUMBER OF DWELLING UNITS: 0
ENISTING AREA
ILOT #�
BASEMENT:O — ISTFLOOR:0 2ND FLOOR: 0
PROPOSED AREA
=SEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BAT IfROOMS: 0
"JiNION M 101 An ho 0 .V-TM kmzqw�' ��
REQUIRED: PROPOSED: REQUIRED: PROPOSED: IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
TH:EREBY RSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSAT10N INSURANCE AND RCW 18:27.
T ADJUn
1�fp , I OT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Signature / Print Narne — - Date
By Date
2-01(,
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR
0 OTHER
STATUS: ISSUED BLD20160618
CONDITIONS = I
• Final approval on a project or final occupancy approval must be granted by the Budding Official prior to use or occupancy of
the building or structure. Check thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") fi-om
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
SoundNoise originating from temporary construction s ites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this pern-tit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
I INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT 11ME LIMIT. SEE ECDC 19.00.005(A)(6)
I PUBUC WORKS (425) 771-0235 1 PRETREATMENT (425) 672-5755 1 RECYCLJNG (425) 2754 01 1
When calling for an inspection please leave the follo-Aing information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and vvbether you prefer morning or afternoon.
• Monitoring
• F-Fire A larm System Acceptance
• Coverage and Devices
Global Project Values:
Project Name:lCarmel Condos Standby Hours:
Project ID:J :J Alarm Mins:
Prepared By:FDon Wolfe Derating Factor:
Date:15/11/2016 Voltage Drop Warning
Threshold %:
Panel ID: 15808 Model: 5808 Add. Fire Alarm Control Panel Max NAC Current: 3.0 Amps
Location: [Electrical Room Volts: 24 VDC Max Panel Current: 6.0 Amps
Ckt.# Circuit Name aty Current Draw Wire AWG Ohms Per Length(ft) Actual Volts @ %Drop
Standby Alarm & Type 1000 Ft. One -Way Ohms EOL
5808
5808 CTRL Panel
1
0.170
0.365
1
SK
Photo, Photo-T, PhotoR
7
0.002
0.002
SK
Ion
0.000
0.000
SK
Heat, Heat -HT, ROR
0.000
0.000
SK
Beam, Beam-T
0.000
0.000
SK
Duct
0.000
0.000
SK
Acclimate
0.000
0.000
SK
FIRE -CO
0.000
0.000
SK
Control
0.000
0.000
SK
Control-6
0.000
0.000
SK
RelayMon-2
0.000
0.000
SK
Monitor, Minimon
0.000
0.000
SK
Monitor-2
0.000
0.000
SK
Monitor-10
0.000
0.000
SK
Pull -SA, Pull-DA
0.000
0.000
SK
Relay
4
0.001
0.001
SK
Relay-6
0.005
0.000
SK
Zone
0.000
0.000
SK
Zone-6
0.000
0.000
SK
Isolator Module
0.000
0.000
B224BI
Isolator Base
0.000
0.000
B200SR
Sounder Base
0.000
0.000
B200S
Intelligent Sounder Base
0.000
0.000
B200SR-LF
Low Freg Sounder Base
0.000
0.000
820OS-LF
Low Freg Sounder Base
0.000
0.000
B224RB
Relay Base
0.000
0.000
RTS 151
Magnetic Remote Test
0.000
0.000
RTS151KEY
Key Activated Test
0.000
0.000
RA10OZ
Remote LED
0.000
0.000
5860
LCD Remote Annunc
0.000
0.000
5824
Serial/Parallel Module
0.000
0.000
5496
Power Expander
0.000
0.000
5895XL
Power Expander
0.000
0.000
5865-4
LED Annunciator (4G)
0.000
0.000
5865-3
LED Annunciator (3G)
0.000
0.000
5880
LED Driver Module
0.000
0.000
5883
Relay Module
0.000
0.000
1#12 Solid
1.59
0.00
20.40
0.00%
NAC #1
Notification AppI Circuit
O-OOL
0.000
#12 Solid
1.59
0.00
20.40
0.00%
NAC #2
NotifiGation AppI Circuit
0.000
0.000
#12 Solid
1.59
0.00
20.40
0.00%
NAC #3
Notification Appi Circuit
0.000
0.000
#12 Solid
1.59
0.00
20.40
0.00%
NAC #4
TN-otification Appl Circuit
0.000
0.000
JTotal Alarm Current (Amps)
JAIarrn Time In Minutes / 60 (5 Mins)
Total Alarm AH Reauired
Command Shortcuts
r Configure Circuits Print Page
Total Standby Current (Amps)
0.173
0.368
Standby Time In Hours
24
0.083
Total Standby AH Required
4.155
0.031
Total Combined AH Required
4.19
Multiply By The Derating Factor
1.20
Minimum Battery AmpH urs Required
5.02
Z ,17 �MC
oi- , , �X-Vfi ffi I
HIRE COPY MAY 112016
DEVELOPMENT SEFMCES CTFL
CITY OF EDMONDS
3 SILENT lntelliKnightO 5808
KNIGHT Single Loop Addressable
0 Fire Alarm Control System
by Honeywell The convenience of an addressable fire
alarm control panel in a cost-effective
easy to use package.
IntelliKnight Model 5808 is a 127 point class leading single loop addressable fire alarm control/communicator
system. 5808 provides you with the revolutionary value and performance of addressable sensing technology
combined with exclusive, built-in digital communication, distributed intelligent power, easy to use interface.
Powerful features such as drift compensation and maintenance alert are delivered in this powerful FACP from
Silent Knight.
For more information about the IntelliKnight system, or to locate your nearest source, please call
1-800-328-0103.
Description
The basic 5808 system can be enhanced by adding
modules such as 5860 remote annunciator, 5824
serial/parallel printer interface module (for printing system
reports), and 5496 intelligent power module. 5808 supports
SID or SK protocol devices. 5808 also features a powerful
built-in dual line fire communicator that allows for reporting
of all system activity to a remote monitoring location.
Features
• Built-in support for up to 99 SK detectors and 99 SK
modules.
• Built in support for 127 SD devices.
• Up to 125 zones and 125 output groups.
• Uses standard wire —no shielded or twisted pair required
• Built-in digital communicator.
• Central station reporting by point or by zone
• Supports Class B (Style 4) and Class A (Style 6 or 7)
configuration for SLC.
• Distributed, intelligent power.
- Drift compensation.
• 13 pre-programmed output cadences, (including ANSI-
3.41), and 4 programmable outputs.
• Notification circuits can be configured as 2 Class A
(Style Z) or 4 Class B (Style Y), or auxiliary power for
resettable, constant, or door holder power.
• Built-in annunciator with 80-character LCD display.
• RS-485 bus provides communication to system
accessories.
• Built-in RS-232 and USB interface for programming
via a PC.
• Upload or download programming, event history, or
detector status via remote or direct connection.
• Improvements in SKSS deliver five times faster
upload/down loads.
• Built-in synchronization for appliances from AMSECO,
GentexO, Faraday, System SensorO, and WheelockO-
• One Form C trouble relay rated at 2.5A at 27.4 VDC and
two Form C programmable relays rated at 2.5A at 27.4
VDC.
Model 5808
• Plex-2 door option combines a dead front
cabinet door with a clear window, limiting
access to the panel while providing single
button operation of the reset and silence
functions.
• Integrated dead front panel protects operator
from exposure to electrical components.
• The FACP enclosure features a Plexiglass@
viewing window to protect annunciator.
• Acknowledge function allows operator to keep
track of event status.
Installation
The 5800 can be surface or flush mounted.
Compatibility
The 5808 signal line circuit (SLC) supports
multiple device types of the same protocol:
• SK (System Sensor)
• SD
You cannot mix SD and SK SLC devices on a
FACP.
F=
5808
--- ;-�t --.=-
5496
Specifications Protected Premises Unit; & Water Deluge Miscellaneous Accessories
Electrical
Primary AC: 120 VIRMS at 50/60 Hz,
2.75A
Total Accessory Load: 6A @ 27.4
VDC
Notification Power: 6A @ 27.4 VDC,
power -limited
Standby Current: 170 mA
Alarm Current: 325 mA
Notification & Auxiliary Circuits:
3A @ 27.4 VDC per circuit,power-
limited
Battery Charging Capacity:
7.0-35 AH
Battery Size: 18 AH max. allowed in
FACP. Larger capacity batteries can
be housed in an RBB accessory
cabinet
Physical
Flush Mount Dimensions:
14.5" W x 24.75" H x 3.5" D
(36.8 W x 62.9 H x 8.73 D cm)
Overall Dimensions:
16" W x 26.4" H x 4.65" D
(40.6 W x 67 H x 11.8 D cm)
Weight: 28 lbs. (12.8 kg)
Color: Red
Telephone Requirements:
FCC Part 15 and Part 68 approved
Type of Jack: RJ31X (two required)
Approvals
NFPA 13, NFPA 15, NFPA 16, NFPA
70, & NFPA 72: Central Station;
Remote Signalling; Local Protective
Signalling Systems; Auxiliary
Releasing Service. Suitable for automatic, 5660 Silent Knight Software Suite
manual, waterflow, sprinkler supervisory PC -base software for FACP
(DACT non -coded) signalling services.
UL Listed programming. Upload and view panel
CSFM 7165-0559:0142; account information, event history, and
MEA 429-92-E Vol. XIV detector status.
S-BUS Accessories
5860/11 Remote Fire Annunciator
Features the same 80 character backlit
LCD display keypad and firefighter's key
switch as the 5808. 5860 is gray and
5860R is red.
5496 Intelligent Power Module
A 6 amp notification power expander that
provides four additional power -limited
notification appliance circuit outputs.
5880 LED110 Module
Features 40 LED outputs, 8 normally open
dry contact inputs and one piezo output.
5865-3 and 5865-4
Remote LED Annunciator
Features 30 programmable LED (15 red
and 15 yellow) outputs and a piezo
sounder. The 5865-4 adds a silence and
reset switch to the package.
5824 Serial/Parallel Printer
Interface Module
Provides one parallel and one RS-232
serial port for connecting a printer to 5808.
Use to print a real-time log of system
events, detector status reports, and event
history.
5883 Relay Board
Features 10 general purpose Form C
relays. Used with 5880 module.
5670 Silent Knight Software Suite
End -user facility management software
allows viewing of detector status and
event history via modem or direct
connection.
Plex-2 Door
Dead front cabinet door with clear
window to limit access to the FACP.
RBB
Remote Battery Box Accessory
Cabinet. Use if backup batteries are
too large to fit into FACP cabinet.
Dimensions:
16" W x 10" H x 6" D(406 mm W x 254
mm H x 152 mm D)
SD and SK Devices
See the specification sheets listed
below for a complete listing of the SID
and SK devices.
53624 SD Devices data sheet
53623 SK Devices data sheet
IntelliKnight & JumpStart are Registered
Trademarks of Silent Knight Flexput is a
Trademark of Silent Knight
This document is not intended to be used for installation purposes. We try to MADE IN AMERICA
SILENT keep our product information up-to-date and accurate. We cannot cover all
KNIGW specific applications or anticipate all requirements. All specifications are 350386 Rev. J
subject to change without notice. For more information, contact Silent Knight @ 2012 Honeywell International Inc.
by Honeywell 12 Clintonville Road, Northford, CT 06472-1610. Phone: (800) 328-0103,
Fax: (203) 484-7118. www.silentknight.com
ISILENT
3 KNIGHT
by Honeywell
SK-Photo, SK-Photo-T
and
SK-PhotoR
Intelligent Photoelectric Smoke Sensors
The SK-Photo is a photoelectric smoke detector, the SK-Photo-T is a photoelectric smoke detector with thermal
and SK-PhotoR is a photoelectric detector with remote test capability. These plug in smoke detectors, with
integral communication, provide features that surpass conventional detectors and are for use with Silent Knight
IntelliKnight Fire Alarm Control Panels (FACPs).
For more information about the lntelliKnight system, or to locate your nearest source, please call 800-328-0103.
Description
SK-Photo and SK-Photo-T are plug-in
type smoke sensors that combine a
photoelectric sensing chamber with
addressable analog communications.
Point ID capability allows each
detector's address to be set with rotary
address switches, providing exact
detector locations for selective
maintenance when chamber
contamination reaches unacceptable
levels.
SK-Photo and SK-Photo-T have a
unique optical sensing chamber that is
engineered to sense smoke produced
by a wide range of combustion
sources. In the SK-Photo-T, dual
electronic thermistors add 135*F (5711C)
thermal technology to maximize
detection.
The SK-PhotoR is a remote test
capable detector for use with the
DNR/DNRW duct smoke detector. (not
included)
Features
• Sleek, low -profile design
• Base included
• Reliable analog communications for
trouble -free operation
• Age resistant polymer housing
• Dual electronic thermistor design on
the SK-Photo-T
• Superior EMI resistance for reliability
• Simple field cleaning for code
compliance
• Variety of mounting options to meet
any application
• Dual LED indicators for 3601 visibility
• Detector transmits signal to indicate
maintenance is required
• Optional remote LED annunciator
(System Sensor@ PN RA10OZ)
• Plug-in mounting provides ease of
installation
• Tamper -proof feature available on
mounting bases
• Listed for use in duct applications
• Rotary address switches for fast
installation
• UL Listed
• FM Approved
Specifications
Physical
Height: 2.0" (5.0 cm)
Diameter: 4.1" (10.4 cm) installed in
B501 base
Electrical
Operating Voltage: 15-32 VDC
Standby Current:
300 pA @ 24 VDC Maximum
Alarm Current: 6.5 mA @ 24 VDC max
(with LED on)
Environmental
Operating Temperature
SK-Photo: 320 — 120OF (01C — 490C)
SK-Photo-T 321 — 100*F (OOC — 38*C)
Humidity: 10% — 93% non -condensing
Other Ratings
SK-Photo-T Thermal: Fixed
temperature set point 1351F (571C)
Velocity: 0 — 4000 fpm (0 — 20 m/sec)
SK-Photo (Base included)
Installation
The SK-Photo and SK-Photo-T plug
into a compatible IntelliKnight-series
detector base. The SK-PhotoR is a
remote test capable detector head
included within the DNR (W) duct
smoke detector.
Compatibility
SK-Photo, and SK-Photo-T are
compatible with the following detector
bases:
B21 OLP 6" base (included)
B501 2 wire base
B224RB Relay base
B224BI Isolator base
B200SR Sounderbase
The SK-Photo, SK-Photo-T, and SK-
PhotoR are compatible with the
following IntellilKnight FACPs:
5820XL
5820XL-EVS
5808
5700
5600 (Rev 2.0 or higher)
Model SK-Photo, SK-Photo-T and SK-PhotoR
Intelligent Photoelectric Smoke Sensors
Engineering Specifications
The contractor shall furnish and install where indicated on the plans, Intelligent photoelectric smoke sensors
Silent Knight SK-Photo or SK-Photo-T with thermal. The combination detector head, and twist -lock base, shall
be UL listed and compatible with Silent Knight's IntelliKnight fire control panels.
The base shall permit direct interchange with SK-Photo or SK-Photo-T. Base shall be the appropriate twist -lock
base part number B21OLP (included).
The PhotoR is a remote test capable detector for use with DNR(W) duct smoke detectors. (not included).
The smoke detector shall have a flashing status LED for visual supervision. When the detector is actuated, the
flashing LED will latch on steady. The detector may be reset by actuating the control panel reset switch.
The calibration of the detector shall be capable of being selected and measured by the control panel without the
need for external test apparatus.
The vandal -resistant, security locking feature shall be used in those areas as indicated on the drawing. The
locking feature shall be field selectable as required.
The SK-Photo shall automatically perform a functional test of the detector. The test method shall simulate effects
of products of combustion in the chamber to ensure testing of detector circuits.
wiring SK,%ries Detector Mounting Bases
SILEW This document is not intended to be used for installation purposes. We try to
keep our product information up-to-date and accurate. We cannot cover all
YCN I G H T specific applications or anticipate all requirements. All specifications are
subject to change without notice. For more information, contact Silent Knight
by Honeywell 12 Clintonville Road, Northford, CT 06472-1610 Phone: (800) 328-0103,
Fax: (203) 484-7118. For Technical Support, Please call 800-446-6444.
www.silentknight.com
MADE IN AMERICA
FORM# 350118 Rev E
2013 Honeywell International Inc.
0 SILENT
KNIGHT
by Honeywell
SK-Relay
Intelligent Relay Module
The SK-Relay Module is intended for use in intelligent, two -wire systems where the individual address of each
module is selected using the built in rotary switches.
For more information about the IntelliKnight system, or to locate you nearest source, please call 800-328-0103.
Description
The SK-Relay is an addressable relay module for use with
Silent Knight IntelliKnight series fire alarm control panels
(FACPs).
The SK-Relay allows a Silent Knight FACP to switch
discrete contacts by code command. The relay contains two
isolated sets of Form C contacts, which operate as a DPDT
switch. No supervision is provided for the notification
appliance circuit.
The SK-Relay contacts can be used for virtually any
normally open or normally closed application. Each SK-
Relay is programmed with a unique signaling line circuit
(SLC) loop address. When an event occurs that controls the
SK-Relay, the relay is triggered by the FACP.
Features
- Two sets of Form C contacts
- Rotary address switches for fast installation
- Contacts are rated for a variety of amps (see
Specifications)
• Panel controlled status LED that flashes green in normal
state and is solid red in alarm
• Relay programming is completely flexible —can be mapped
to zone conditions
• Polling LED visible through the cover plate
• Attractive ivory cover plate
• SEMS screws for easy wiring
• UL Listed
SK-Relay
Installation
The SK-Relay mounts directly into a 4" square
electrical box. The box must have a minimum
depth of 2-1/8". A surface mount electrical box
(System Sensor@ PN SMB500) is available from
Silent Knight
Compatibility
The SK-Relay is compatible with the following
IntelliKnight FACP's:
5820XL
5820XL-EVS
5808
5700
5600 (Rev 2.0 or higher)
Model SK-Relay
Intelligent Relay Module
To Next Device — 14 If Any Wiring to Terminals 3 - 9 Is Not Power
+ 4 Limited, the CB600 Barrier Is Required. The
CB500 Includes a Non -Power Limited Label,
I"I f-I Which Must Be Placed Over the Power Limited
0 0 (J- (;b Terminal Information on the Name Plate Label.
Relay Common 2 9 0 0
says*
Normally Closed 2 0 2 1
Normally 0 n 2 210. :
'o From Compatible FACP
, mg
Relay C on I + or Previous Device
Normally Closed 1 6 4
Module Does Not Supervise
Controlled Circuits
Specifications
Physical
Height: 4.65"
Width: 4.25"
Depth: 1.1"
Shipping Weight: 6.3 oz (196 g)
Electrical
Operating Voltage: 15 - 32 VDC
Current Draw: 6.5 mA max (LED on)
Operating Current:
230 pA (LED flashing) direct poll
255 pA (LED flashing) group poll
0 J Normally Open I
Wiring the SK-Relay Module
End -of -Line Resistance: not used
Standby Current: 300 pA max @ 24 VDC (one
communication every 5 sec with LED enabled)
LED Current: 5.5 mA (with LED latched on)
SLC Loop Resistance: 4092 max.
Relay Contact Ratings
3.OA @ 30 VDC resistive
0.9A @ 110 VDC resistive
0.9A @ 125 VAC resistive
0.5A @ 125 VAC inductive (PF = .35)
0.7A @ 75 VAC inductive (PF = .35)
SILENT This document is not intended -to be used for installation purposes. We try MADE IN AMERICA
KNIGW to keep our product information up-to-date and accurate. We cannot cover
all specific applications or anticipate all requirements. All specifications are FORM# 350127 Rev D
subject to change without notice. For more information, contact Silent
by Honeywell Knight 12 Clintonville Road, Northford, CT 06472-1610 Phone: @ 2013 Honeywell International Inc.
(800) 328-0103, Fax: (203) 484-7118. For Technical Support, Please Call
800-446-6444. www.silentknight.com
�1. 79W 71
FIRE PREVENTION
Serving Biijei; Edin6nds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHQ.M"—CO.
Mountlake Terrace
FIR
Everett, WA 98208
OEDMONDS
[1 BRIER
S;rhwT
Phone (425) 551-1200
[] MOUNTLAKE TERRACE
[1 UNINCORPORATED
www.FireDistrictl.org
RLY (425) 551-1272
f.
655 Main Street 98020
r FREQUENCY
Annual
I STATION I, SHIFT-'
17-C
LOCATION:
Carmel Condos
BUSINESS NAME:
PHONE:
SCHEDULEDJun 2015
DATE DUE II'
593203
MAILING
655 Main Street, Edmonds, WA 98020
UFIR �
ADDRESS:
Sexton, Charles
BUSINESS OWNER:
HOME PHONE:
Holsbo, Janice #304
4256405775
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
ITY YES NO
FLICENSE
EMAIL:
BUSINESS
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
HAZARDS FOUND AND kOIATIONS
CPMMU�I\ATIONS
ov,
2
2
3
3
4
z
4
zz
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE,
E:
DATE:
3
VIOLATIONS
1 15
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:
\"LETTER NEEDED YES NO
LETTER NEEDED YES C3 NO
8
FIRE DEPARTMENT COPY
COMMERCIAL FIRE PROTECTION
P.O. BOX 128
MOUNT VERNON, WA. 98273
360 848-9093
STANDPIPE SYSTEM INSPECTION REPORT
NAME OF PROPERTY:
ADDRESS. Al 54- lf�(�MQ n J/4- 019 0 Z-C-f>
INSPECTOR:
vv%
1/ 43 -3
INSPECTED ON A: MONTHLY
v
QUARTERLY — OR ANNUAL
BASIS
INSPECTIONDATE: vz-jg-2-cl,4
CLASS OF STANDPIPE: I --/ 11
— III — WET
DRY
SUPPLY WATER PRESSURE: I)IA—
HEIGHT OF STANDPIPE: H
g Ap�-
I
SIZE OF STANDPIPE:
P11
SIZE OF HOSE VALVES:
PRESSURE REGULATING VALVE: YES
— NO
ORIFICE PLATES: YES
NO 04 —
SYSTEM IN SERVICE ON INSPECTION?
SYSTEM EQUIPPED WITH FLOW SWITCH?
SYSTEM EQUIPPED WITH ALARM VALVE?
CONTROL VALVES OPEN AND PROPERLY SUPERVISED?
BACKFLOW VALVES OPEN AND PROPERLY SUPERVISED'
VALVE AREA ACCESSIBLE AND UNOBSTRUCTED?
ROOF MANIFOLD CONTROL VALVE CLOSED?
ROOF MANIFOLD BALL DRIP OPERATIONAL?
ROOF MANIFOLD & CONTROL VALVE ACCESSIBLE & UNOBSTRUCTED?
EXTERIOR FITTINGS FREE OF LEAKAGE?
HOSE VALVES FREE OF PHYSICAL DAMAGE?
ALL PROTECTIVE COVERS AND CAPS IN PLACE?
HOSE VALVE THREADS IN GOOD CONDITION?
SYSTEM FREE OF VISIBLE WATER LEAKAGE?
FDC ACCESSIBLE AND UNOBSTRUCTED?
FDC PLAINLY VISIBLE?
FDC CAPS IN PLACE?
FDC PROPERLY IDENTIFIED?
FDC CAPS IN PLACE?
FDC SWIVEL ROTATION NONBINDING?
PIPING FREE OF PHYSICAL DAMAGE?
CORRECTIONS TO BE MADE
r.,*-w �N-4 Z W-i A 10% LA-V'-1 A,
GENERAL COMMENTS
YES
NO
N/A
—
YES
NO
N/A
p4,
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
YES
NO
NO
N/A
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO X N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
6Q
1,0 cc, I
Pr4 C., e�c
Serving Brier, Edmonds
Mountlake Terrace and
the Town of Woodwqy'
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION: 655 Main Street
BUSINESS NAME: Carmel Condos PHONE:
MAILING 655 Main St #1 DI
ADDRESS:
Edmonds 98020
BUSINESS OWNER: HOME PHONE:
_13"RuhEl"Ne I c- e
EMERGENCY-1: Ho(Sbo I 1�. 3,04 HOME PHONE:
KEY ACCESS-2: C" HOME PHONE:
5 elk� 411�_
PERSON CONTACTED:
NAME OF INSPECTOR: M,,L,- 90fL crilo
FIRE SP I pl�FD LkBx
SYSTEMS: 11- 1 0.-.y I to ILI
FIRE PREVENTION
INSPECTION REPORT
DEDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFF"
365 17 C
SCHEDULED
DATE DUE II'
UFIR � 427 7203
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
S(f f 13
FE LL-41�3
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 *444 P-e-rFov-t.,
2
2
V,_
2— -;�'�75 5c�,Ulj
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
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
f VIOLATIONS
1 15
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATI5M9§UED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
18
DATE:
DISPOSITION:
7
\,,LETTER NEEDED 0 YES [:1 NO
LET7ER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
Ser�g�ng Brier, Edmon&
SNOHOMISH CO.' 1
Mountlake Terraceand
FIRE e Town of Woodway
DIST,R,14fw:,T'w"ww.FireDistrictl.orr,
LOCATION: 655 Main Street
BUSINESS NAME: Carmel co dos
MAILING 655 M rSf #101
ADDRESS: Edmo ds
C
BUSINESS OWNER: Bunch,Ja ie
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SP 12/01 FD LkBx
SYSTEMS:
FIRE PREVENTION
12425.yqridian Ave S
INSPECTION REPORT
-
Evered, -WA.-982.08
OEDMONDS
El BRIER
Phone (425) 551-1200
0 WOODWAY
[I MOUNTLAKE TERRACE
Fax (425) 5514272
0 UNINCORPORATED.,
PHONE:
98020
HOMEPHONE: 4257741718
r
HOME PHONE:
HOME PHONE:
.11) ('40-
FREQUENCY 7STATION & SHIFT1
365 .17 B.
SCHEDULED 07/01/12
DATE DUE II'
UFIR 1,, 427 7203
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1 K A ��
INITIAL INSPECTION DATE
—1 17-(. /,-Z- I
FE 8 111
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
�400 Ifl, CIO _5
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
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:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 A V — 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 18
DATE:
DISPOSITION:
7
LETTERNEEDED [] YES NO
LETTERNEEDED [] YES NO
8
FIRE DEPARTMENT COPY