700 MAIN ST.0 -PREVENTION
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SNOHO J ServingBrier,,Edtnonds, ana -1-2425-Meridian Ave S INSPECTION REPORT
0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
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DISTRwww.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
700 Main Street Bldg 98020 %E%fajCY STAf?V SHIFT
LOCATION:
BUSINESS NAME: Frances Anderson Center PHONE: 4257710230 SCHEDULED Dec 210115
DATE DUE
121 203
MAILING 700 Main Street, Edmonds, WA 98020 LIFIR 0
ADDRESS:
City Of Edmonds
BUSINESS OWNER: HOME PHONE:
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EMERGENCY-1: HOME PHONE: URRENT
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1st RE -INSPECTION
2nd RE -INSPECTION FINAL RE -INSPECT
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EXTENSION VIOLATIONS
DATE DUE: qRANTEDTb:
DATE DUE:, DATE DUE: CITED:
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DATE: Z_ DATE DATE: 3
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RETURN RECEIPT
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DISPOSITION
4 4 8 DATE:
LETTERNE�gDI�D F=1-YES []*NO LETTER NEEDED YES NO
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12425 Meridian Ave S
kverett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION,
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
700 Main Street Bldg 98020
Annual
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BUSINESS NAME:
Frances Anderson C -enter
PHONE: 4257710230
SCHEDULED
DATE DUE o Dec 2015
MAILING
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ADDRESS:
700 Main S�treet, Edmonds, WA 98020
BUSINESS -OWNER:
City Of Edmonds
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1. John J. Dowling
From: Kevin Zweber
Sent: Tuesday, November 08, 2016 7:31 AM
To: 'Sullivan, Thom'
Cc: John J. Dowling;'McRae, Renee'
Subject: RE: Francis Anderson Center Fire Inspections
Thom, I trust what your telling me is true, a re -inspection will not be required. We will document at our end that the
corrections have been made.
Thanks,
Kevin Zweber
Deputy Chief - Fire Marshal
Fire Prevention Services
Snohomish County Fire District I
Proudly serving the Cities of Brier,
Edmonds, and Mountlake Terrace
425-771-0213 Office
425-231-3644 cell
From: Sullivan, Thom [mailto:Thom.SuIIivan@edmondswa.gov]
Sent: Thursday, November 03, 2016 3:17 PM
To: Kevin Zweber
Cc: John 1. Dowling
Subject: RE: Francis Anderson Center Fire Inspections
Hi Kevin,
James our City Electrician has notified me that we are ready for re -inspection at the Frances Anderson Center.
Thanks for your patience on this,
Thom Sullivan
Facilities Manager
City of Edmonds
425-27S-4515 x 1379
From: Zweber, Kevin (Fire District Address)
Sent: Thursday, October 13, 2016 7:52 AM
To: Sullivan, Thom
Cc: Dowling, John (Fire District Address)
Subject: RE: Francis Anderson Center Fire Inspections
Thanks Thom. That sounds like a workable plan for us. Yes, please let us know when it is complete.
Kevin Zweber
Deputy Chief - Fire Marshal
Fire Prevention Services
Snohomish County Fire District I
Proudly serving the Cities of Brier,
Edmonds, and Mountlake Terrace
425-771-0213 Office
425-231-3644 cell
From: Sullivan, Thom [mai Ito: Thom. Sul liva n Oed mondswa. gov]
Sent: Thursday, October 13, 2016 7:46 AM
To: Kevin Zweber
Subject: RE: Francis Anderson Center Fire Inspections
Hi Kevin,
Yes we are hoping to have all of the emergency lighting operational (new and existing) by 11/30/16. Do you want me to
reach out to you when it is complete for reinspection?
Let me know, Thanks,
Thom
From: Zweber, Kevin (Fire District Address)
Sent: Thursday, October 13, 2016 6:43 AM
To: Sullivan, Thom
Subject: RE: Francis Anderson Center Fire Inspections
Thom,
Does your reply confirm that you will be correcting the issues shortly?
Kevin Zweber
Deputy Chief - Fire Marshal
Fire Prevention Services
Snohomish County Fire District 1
Proudly serving the Cities of Brier,
Edmonds, and Mountlake Terrace
425-771-0213 Office
425-231-3644 cell
From: Sullivan, Thom (maiIto:Thom.Su11ivanC@edmondswa.gov]
Sent: Tuesday, October 11, 2016 1:58 PM
To: Kevin Zweber
Subject: RE: Francis Anderson Center Fire Inspections
Hi Kevin,
Thanks for the clarification.
Thom
From: Zweber, Kevin (Fire District Address)
Sent: Tuesday, October 11, 2016 8:24 AM
To: Sullivan, Thom
Cc: Williams, Phil; Rolfe, James
Subject: RE: Francis Anderson Center Fire Inspections
Thom,
2
-No standard has changed on exit and egress lighting. I am just requesting that anything currently in place be operating
properly.
Thanks,
Kevin Zweber
Deputy Chief - Fire Marshal
Fire Prevention Services
Snohomish County Fire District 1
Proudly serving the Cities of Brier,
Edmonds, and Mountlake Terrace
425-771-0213 Office
425-231-3644 cell
From: Sullivan, Thom [mailto:Thom.Suilivan@)edmondswa.ciov]
Sent: Tuesday, October 04, 2016 9:49 AM
To: Kevin Zweber
Cc: Williams, Phil; Rolfe, James
Subject: Re: Francis Anderson Center Fire Inspections
Hi Kevin,
We have been making some progress on this new egress and exit lighting standard that was set after that last
inspection. Unfortunately this type of work is very labor intensive and requires power to areas without existing supply.
We have done 1S or so thus far and have a contractor quote to install the rest over the next three months. We would be
happy to give you progress reports as we get moving with the contractor in the next couple weeks. I apologize for the
delay but and I am completely aware of the importance of egress lighting.
Thank you for your support, and let me know if you have any questions.
Thom
Sent from my iPhone
On Oct 4, 2016, at 9:28 AM, Zweber, Kevin (Fire District Address) <kzweber@firedistrictl.org> wrote:
Hi Thom,
One of our Deputy Fire Marshal's was following up on the inspections conducted at Francis Anderson.
The exit and egress lighting needs to be maintained. The original inspection was conducted quite some
time ago, with follow up. Normally we allow 30 days for compliance but I suspect you weren't aware of
the issues until recently.
Exit and Egress lighting if vitally important in all occupancies but specifically in an Assembly with large
occupant loads and visitors of all ages.
Could you please take care of the issues.
Thanks,
Kevin Zweber
Deputy Chief - Fire Marshal
Fire Prevention Services
Snohomish County Fire District 1
Proudly serving the Cities of Brier,
Edmonds, and Mountlake Terrace
425-771-0213 Office
425-231-3644 cell
Fire Protection Con tract6r;.."Oince 1930
VIKING AUTOMATIC SPRINKLER COMPANY 3434 FIrst'A"; So., Seattle, - WA 9'P'13J'4*, 206.622.4656
WA.: VI-KI-NA-S373NT LEVEL M 602 California Way, Longview, WA 98632,360,425.7620
Fire Sprinkler Inspection Report Page: 1 of 2
REPORT TO:1%��Irc� S JOB NO. 11U16-1 45 IV S D AT E
STREET: -74%0 mAZA) 5T BLDG. / LOCATION: 90, IA-,e;7
CITY/STATE: 9Z[VVA10_S INSPECTOR: k�;Ij
I.GENERAL
a. Is the building occupied ? . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . 7
b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . .
C. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .
d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . .
a. Is the building completely sprinklered ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---- -
f. Are all now additions and building changes properly protected ? - - - - - - - - - . . . . . . ... . . . . . .. . . . . .
g. Is all stock or storage properly below sprinkler piping ? . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .
h. Was property free of fires since Iasi Inspection ? (Explain any fire on Page 2) ... . . . ... . . . . . . .
. . . . . . . . . .
1. In areas protected by wet systems,'Is building pro . perly heated, I.e.: blind afts, perimeter areas, and are all exterior openings protected against the cold ?
2. CONTROL VALVE (See Section 17)
a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . . . . . . . . . . . . ... ... .. . .
b. Are all other control. valves In proper position ? . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .. . . . .
c. Are all control valves In good condition and sealed or supervised ? . . . . . . . . . . . . . . . . . . . . . . . .
3. WATER SUPPLIES (See Section 18)
a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . ... . . . . . . . . . . . . . . ... . .
4. TANKS, PUMPS. & FIRE DEPARTMENT CONNECTIONS
-a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condftlo I n and properly maintained ? .. . . . . . . . . . . .
b. . Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight 7T105ffQ ��l
WET SYSTEMS. (See Section 13)
a. Are cold weather valves open or closed as necessary ? - - - - - - - - - -- - - - - - - - - - - - - - - ---
b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? . . . . . . . . . . . .. .
c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . . . .. . . . . . . . . . . .
6. DRY SYSTEMS (See Section 14)
a. Are dry valve(s) In service and'in good condition.? . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Are pressure and priming water levels normal ? - - - - - - - - - - - -- - - - - - - - - - - --- - - - . . . . . . .
c. Is air compressor In good condition ? . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . .
d. Were low points drained during fall and winter Inspections ? - - - - -- - - - - - - - - - - - - - - - - --- -- -
a. Are Quick- opening devices In service ? . . . . ... . . . . . . . . . . . . . . . . . . . . . . .... . . . .
Has piping been checked for stoppage within the past ten (10) years ? . . . . . . . . . . . . . . . . . ... . ... . . . .
g. Has pipi ng been checked for proper pitch within the past five (5) years ? . . . . . . . . . . . . . ... . . . . . . . ... .
h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - -- I - - - - - - - - - -
1. Are dry valves adequately protected from freezing ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - - - - - - - - - ---- - - - - -----
7. SPECIAL SYSTEMS (See Section 16)
a. Were valves tested as required ? -- - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - -- - I
b. Were all heat -responsive systems tested and were the results satisfactory ? _* - - - --- - - - - - - - - - - - - - - - - - -
c. Were supervisory features tested and were the results satisfactory ? - - --- - - - - - - - - - - - - - - - - - - - -
8. ALARMS
a. Is the water motor and gong test satisfactory ? . . . . .. . . . . . . . . . . . .
. . . . . . . . . . . . . . . . .
b. Is the electric alarm test satisfactory ? . . . . . . . . . . . . . . . . ode:
c. Is the supervisory alarm service test satisfactory ? Monitoring Co. Ph.: 1W- 'C
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, n ot obstructed. and free from corrosion or loading ? - - - - - - - - - - - - - -- - - - -
b. Are all sprinkler heads less . than fifty.(50) years old? Head Manufacturer: Date of head
WHFTE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMEW COPY -GO,LD: BUILDING.COPY
.. ! .!! ;r- I '�.V' "� 4'.
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Fire Protection Cont
rx AUTOMATIC SPRINKLER COMPANY 3434 RWAva So., Seaffle, W98
WA.: VWJ-JUq37ZVT; LEVEL I/V 602 Caftmig WW .- LongvIeW WA
Fire !Snrinkler Insn tion Ranort
Iors since 1930
i34,206. 622.4656
OW, JISO. 425. 7620
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9.
SPRINKLER / PIPING (Continued)
YES
NA.
NO
c. Are extra sprinkler heads readily available ? .. . . . . . . —2b% . . . . . . . . . . . . . . . . . . . . . . . .
d. Is condition of piping, drain valves, check valves, hangers, ;;r;e;aaU:—open sprinklers, and strainers sattlaclIM ?
.
.
a. Are all sprinklers of proper temperature rating? . .
'..,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
f. Are portable fire extinguishers In good condition ? . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
I
g. Is hand hose on sprinkler systems satisfactory ? . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
F
10.
Date Dry System Piping last checked for stoppage .. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
11.
Date Dry System Piping last checked for proper pitch - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
12.
Date Dry Pipe Valve last trip tested -- - - - - - -
- - - - - - - - - - - - - ---- - - - - - - - - - - - - - - -
- fly kP-
ZAA Ot I 14 IQA;D
13.
Wet systems: Number. Make Model Year !9
-"J0
14.
Dry Systems: Number: Make Model Year
15.
Accelerator: Make / Model I Year:
16.
SpecialSystems: Number: —Type:
Make I Model / Year
Condition-:
17. CONTROL VALVES
a. City Connection Control Valves - - - - - -
b. Tank Control Valves - - - - - - - - -
c. Pump Control Valves - - - - - - - - -
d. Sectional Control Valves - . . . . . . .
9. System Control Valves - - - - - - - -
I& WATERFLOWTEST
a. Water Pressure Source: VC[ty, 13 Tank 13 Fire Pump, Water Fl ow Test taken ? -Y� If not, reason:
Test Pipe Location
Size Test Pipe
Pressure Before
Flow Press ure
Pressure After
AT
I
. 19. Explanation of any "No" answers:
1
20. Recent changes In building occupancy or fire protection equipment:
21. Adjustments or corrections made:
22. Desirable Improvements:
23. Has building owner / representative been notified of any deficiency to the fire protection system? 0 Yes 0 No, Person notified:
If answer Is "No",explain:
24. Inspector's Signatur Witness (property owner lessee) and date:
WHrrE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT.COPY GOLD: BUILDING COPY
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W Wesffall, John
From: Westfall, John
Sent: Thursday, January 31, 2013 6:38 PM
To: l3jorback, Leif
Subject: RE: Main Street Kids
Leif:
Because this is a licensed daycare facility, I'm confident that an emergency plan is in place for the caregivers
who are responsible for the welfare of the kids. The exit is solely dedicated to the daycare and the gate does
prevent the kids from running out in the street when the door opens and until the parents arrive to pick the
child.
I approved a similar "routing" arrangement at Edmonds Elementary where they closed some exterior gates to
direct the kids in orderly fashion to the bus waiting area. The exiting paths were still provided even though the
path was obviously longer. This was a school -initiated process and I was confident that proper care and
awareness was being conducted from principal.
John Westfall
Edmonds Fire Marshal
----- Original Message -----
From: Westfall, John
Sent: Thursday, January 31, 2013 1:15 PM
To: l3jorback, Leif
Subject: RE: Main Street Kids
Leif:
Let me stew upon. I'm not so immediately concerned due to the caregivers that are running the day to day
operations at daycare.
John Westfaill
Edmonds Fire Marshal
----- Original Message -----
From: l3jorback, Leif
Sent: Thursday, January 31, 2013 10:23 AM
To: Westfall, John; Smith, Mike
Cc: Yarberry, Leonard
Subject: FW: Main Street Kids
John and Mike,
You may want to weigh in after looking at the attached photo.
Leif Bjorback
Assistant Building Official
City of Edmonds
(425) 771-0220 x1 380
From: Zulauf, JoAnne
Sent: Thursday, January 31, 2013 9:31 AM
To: Machuga, Jen; Bjorback, Leif
Subject: FW: Main Street Kids
The photo is attached here.
From: McRae, Renee
Sent: Wednesday, January 30, 2013 5:33 PM
To: Zulauf, JoAnne
Subject: Main Street Kids
JoAnne
Phil suggested that I start my conversation with you, so if that is incorrect please forward me on.
Main Street Kids is a tenant at the FAC. Their main entrance/exit door is off Dayton Street. After the
Newtown shootings they paid for us to beef up the access to their area by adding keypads. They would
like an awning over this door. Jim Stevens and I looked at the area and also looked at the other awnings
on the FAC. It doesn't appear that they have a lot of room for this, but we would like to accommodate
this request if possible. I need an opinion about what could be done and what is needed from me to
move forward. I have attached a picture of the back door.
Thanks.
<< File: MSK entrance.jpg >>
Ren6e McRae
Recreation Manager
City of Edmonds 1 700 Main Street I Edmonds WA 98020
425.771.0232 1 425.771.0253 (F) I renee.mcrae@edmondswa.gov
Register online anytime at www.reczone.o
Check out our Proc
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FIRE PREVENTION
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INSPECTION REPORT
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APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
COE Frances Anderson Center
Edmonds Location :
700 Main Street
In conformity with the
terms of the -International
Fire Code, application is
hereby made to store, use
Places of Assembly - Occupant Load: 998
or maintain the following
activity, storage or pro-
cesses:
c/o City Of Edmonds
Mailing Address:
Director of Parks and Rec
Edmonds, WA 98020
EFD UFIR #:
(for office use)
2099981213203
Your Signature
'Q
Your Name (print)
dj_)4� S. (,j
Your Title
I �'725- S PkAA�, 44 4,
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121 _5th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Check#
77-
FIRE PREVENTION
INSPECTION REPORT
'25 M
Serving Brier, Edmonds 1 12-4 eridian Ave S
SNOHbMf.SH CO. OEDMONDS
untlake Terraceand E�erett, WA 98208. 0 BRIER
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the Town of Woodway Phone (42-5) 551-1200 [1 MOUNTLAKE TERRACE
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FREQUENCY I STATION & SHIFF"�
LOCATION: 700 Main'Street 365 17 C
BUSINESS NAME: Frances Anderson Center PHONE: 4257710230 SCHEDULED
DATE DUE 1` 12101111
MAILING 700 Main St UFIR � 121 1203
ADDRESS: Edmonds 98020
BUSINESS OWNER: City Of Edmonds HOME PHONE: 4257752525 OCC LD 993
EMERGENCY-1: HOME PHONE: 4257423370 CURRENT
KEY ACCESS-2- HOME PHONE: — CITY YES NO
BUSINESS El 0
LICENSE
K PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE AS 6/11 FA 8/10 FD L�13x FE '7L I I
SYSTEMS: otd, .042— ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
1 AG�EE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E 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
15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES No
-8
LETTER NEEDED C] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT -� T,
January 1, 2011 209-998-1213-203 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I COE Frances Anderson Center
located at: 1700 Main Street Edmonds, WA
I To engage in the business, occupation or pr cess of: I I
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Places of Assembly - Occupant Load: 998
I Allowed Occupant Load: 1 99
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
of Fire Pr6ention
This Permit Must Be Posted AtAll Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
Uri&Fire Protection Contractors since 1930
VIKING AUTOMATIC SPRINKLER COMPANjY, 3434 First A". So., Seattle, WA 98134, 206.622.4656
'11 WA.: VI-KI-NA-S373NT LEVEL I// , tl� - 602 California Way, Longview, WA 98632,360,425.7620
Fire Sprinkler Inspection Report Page:lof2
REPORT TO: JA Id 4 rd� 10. NO. DATE:
STREET: _7/'y".0 W1. i., BLDG. / LOCATION:-*Z
CITY/ STATE,: INSPECTOR:
00-
I.GENERAL YES N.A. NO
a. Is the building occupied ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
_e_ -
b. Is occupancy the same as previous Inspection ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
c. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Are all fire protection systems the same as last Inspection ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
a. Is the building completely sprinklered ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Are all new additions and building changes properly protected ? - - - - - - - - - - - - - - - - - - - - - - - - - - - -
g. Is all stock or storage properly below sprinkler piping ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) - - - - - - - - - - - - - - - --- - - - - - - -
L In areas protected by wet systems, Is building properly heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ? 2�
2. CONTROL VALVES (See Section 17)
';X
a. Are all sprinkler system main control valves open ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Are all other control valves In proper position ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
c. Are all control valves In good condition and sealed or supervised ? - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3. WATER SUPPLIES (See Section 18)
a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS
a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? - - - - -
b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight ? 25
5. WET SYSTEMS (See Section 13)
a. Are cold weather valves open or closed as necessary ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? - - - - - - - - - - - - - - - - - - -
c. Are alarm valves, water ft ' ow Indicators and retard chambers In satisfactory condition ? - - - - - - - - - - - - - - - - - - - - -
6. DRY SYSTEMS (See Section 14)
a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Are pressure and priming water levels normal ? - - - - - - - - - - - - - - - -
. . . . . . . . . . . . . . . . . .
c. Is air compressor In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Were low points drained during fall and winter Inspections ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Are Quick- opening devices In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Has piping been checked for stoppage within the past ten (10) years ? - - - - - - - - - - - - - - - - - - - - - - - - - -
g. Has piping been checked for proper pitch within the past live (5) years ? - - - - - - - - - - - - - - - - - - - - - - - - -
h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1. Are dry valves adequately protected from freezing ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Are.valve house and heater conditions satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. SPECIAL SYSTEMS (See Section 16)
a. Were valves tested as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Were all heat -responsive systems tested and were the results satisfactory ? - - - - - - - - - - - - - - - - - -
c. Were supervisory features tested and were the results satisfactory ? - - - -- - - - - - - - - - - - - - - - - - - - - - - -
8. ALARMS I NNW
a. Is the water motor and gong test satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
b. Is the electric alarm test satisfactory ? . . . . . . . . . r - - - - - - - - - - - - - - - X
Code:
c. Is the supervisory alarm service test satisfactory? MonitoringCo. P'&4je-_VIQ^ Ph.:"*2.1
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loading ?
b. Are all sprinkler heads less than fifty (50) years old? Head Manufacturer:- e"ej'fW_d - - - D_ataof_haad_:_' )391
WHITE: VIKING COPY YELLOW: INVOICE COPY PINK: FIFIEDEPARTIVIENT, COPY GOLD: BUILDING COPY
Fire Protection Contractors since 1936.�,,',
'N� 3434RtWA Sd.SeaftWA98134,206. 622.4656
602CaftwifeW 111,350.425.7601
V, LongvhW IYA Il F F,
Fire Sprink,ler Inspection Report, i,,
Page:W2
4
9. SPRINKLER PIPING (Continued) 44
YES
N.A.
NO
c. Are extra sprinkler has ds readily available ? - - - - - - - - - - - - - - - - - --- - - - -
---
d. Is condition of piping, drain valves, check valves, hangars, p ure gauges open sprinklers, and strainers iaittact6ry ?
Ic';
a. Are all sprinklers of proper temperature rating? . . . . . I . t ', '_ � .
- - - - - --- - - -
-
Ile
f. Are portable fire extinguishers In good condition ? . . . . . ..... . . .
g. Is hand hose on sprinkler systems satisfactory ? - - - - - - - - - - - - - - -- - - - - - I -- - - - - - - - - -
-
I
I >C1
10. Date Dry System Piping last cl6cked for stoppage .. . . . . . . . . . . . . . — ---- - - - - - - - - -
- & 4F,
11. Date Dry System Piping last chocked for proper plich -- - - - - - - - - - - - - . . ... . . . . .
. .
12. Date Dry Pipe Valve last trip tested .. . . . . . . . ... . . . . . - - - - - - - - -
-
13. Wet systems: Number Make Model I Year
OF
14. Dry Systems: Number: Make Model I Year:
15. Accelerator: Make / Model / Year:
16.. Special Systems: Number: -Type:
Make / Model / Year: Condition
17. CONTROL VALVES
a. City Connection Control Valves - - - - - -
b.Tank Control Valves - - - - - - - - -
c. Pump Control, Va lves:�,,
'd.. Sectional Control Valves - - - - - - - - -
a. System Control Valves - _� - - - - - - -
Number
Type
pen
Ye.0 No
Secured
Yes No
Closed
Yes No
;n
Vass" No
Condftlon!
I& WATER FLOW TEST
a. Water Pressure Source vqcIty, DTank, 0 FIrePump, Water Flow Test taken? A4eslf not, reason:
Test Pipe Location
Sbe Test Pipe,..,,
Pressure Before
Flow Pros ure
Pressure After
7- F;
ZJ#/
:2
75�
19. Explanation of any "No" answers:
20. Recent changes In building occupancy or fire protection equipment:
21. Adjustments or corrections made:
22. Desirable Improvements:
23.. Has building owner / representative been notified of any deficiency to the fire protection system? 0 Yes 0 No, Person notified:
If answer is "No",explain:
24. Inspector's Signature:
?:fR;Z - Witness (property owner / lessee) and date:
COPY YELLOW: INVOICE Copy PINK: FIRE.DEPARTMENT COPY GOLD: BjUII81N9.COPY
Fire Protection Contractors since 1930
VIKING AUTOMATIC SPRINKLER COMPANYj'jj 3434 First �4ve. So., Seattle, WA 98134,206,622.4656
WA: VF-K1-NA-W73AfT LEVEL N 602California Way, Longview, WA 98632,360,425.7620
Fire Sprin r-Inspecition Report
Page:.1 of 2'
REPORTTO:
—JOB
NO. DATE:
STREET:
BLDG./ LOCATION; AV&,�,er7-
MAI
CITY/STATE:
INSPECTOR:
Ivic I u A T—unl
a. Is the building occupied ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Is occupancy the same as previous Inspection ? . . . . . . . . . ... . . . . . . . . . . .... . . . . . . . . .
C. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . ... . . .. . . . . .
a. Is the building completely sprinklered ? . . . . . . . . . . . . ... . . . . . . . . . . .
f. Areell new additions and building changes properly protected ? . . . . . . . . . . . . ... . .
g. Is all stock or storage properly below sprinkler piping ? . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) . . . . . . . . . . . .
1. In areas protected by wet systems, Is building properly heated, Le.: blind attics, perimeter areas, and are all exterior r inn protects r' against the cold?
2. CONTROL VALVES (See Section 17)
a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . . . ... . . .. . . . . . . ... . .
b. Are all other control valves In proper position ? ... . . . . . . . . . . .
c. Are all control valves In good condition and sealed or supervised ? . . . .
. . . . . . . . . . . . . . . . . . . . . . ..
3. WATER SUPPLIES (See Section 18)
a. Was a water. flow test preformed and were the results satisfactory? . . . . . . . . . . . . . . . . . . . . . . . .
4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS
a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ?. . .
b. Are Fire Departm eck valves tight ?.7�4
ant Connections In satisfactory condition, couplings free, caps In place and ch . . .
5. WET SYSTEMS (See Section 13)
a. Are cold weather valves open or closed as necessary ? . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . .
b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? . . . . . . . . . . . . . . . . . . .
c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . . . . .
6. DRY SYSTEMS (See Section 14)
a. Are dry valve(s) In service and In good condition ? . . . . . . . . . .
. . . . . . . . . . . ... . . . . . . . . . .
b. Are pressure and priming water levels normal ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Is air compressor In good condition ? . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Were low points drained during fall and winter Inspections ? . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
a. Are Quick- opening devices In service ? . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .
f. Has piping been checked for stoppage within the past ten (10) years ? . . . . . . . . . . . . . . . .
. . . . . . . . . . .
g. Has piping been checked for proper pitch within the post five (5) years ? . . . . . . . . . . . . . . . . . . . . . .
h. Have dry valves been trip tested satisfactorily as required ? . . . . . . . . . . . . .
. . . . w . . . . . . . . . . .
1. Are dry valves adequately protected from freezing ? . . . . . . . . . . . . . . . . . .
Are valve house and heater conditions satisfactory ? . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
7. SPECIAL SYSTEMS (See Section 16)
a. Were valves tested as required ? . . . . . . . . . . . ... . . . . . . . ... . . . . . . . . . . . . . .
b. Were all heat -responsive syst . ems tested and were the results satisfa4tory 7 . . . . . . .
. . . . . . . . . . . . . . .
c. Were supervisory features tested and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . .
8. ALARMS
a. Is the water motor and gong test satisfactory ? . . . . . . . . . ... . . . . . . . . . . . . . . . . .
b. Is the electric alarm test satisfactory ? . . . . . . . . . P . . . . . . . . r . . . . . . . . .
R
c. Is the supervisory alarm service test satisfactor y ? Monitoring Co. Ph.: *0 'ZJ 9A4 Code: 2SZ_:�M
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loading ?
. . . . . . . . . . . . . .
b. Are all sprinkler heads less than fifty (SO) y#are.old? Head Manufacturer:— elzleot��l Date of head
WHITE: VIKI'G 6OPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: B
UILDING COPY
VIKING AUTOMATIC SPRINKLER COMPA
WA.: VWJ-NA-SMNT LEVEL Iff,
Fire SDrinkler, i
�.V_ ".
51 �Ie Fire Protection Contractors since 1930
MkRtait Am Sm, SeeM WA 98134, k*-. M. 4W
6W Qfta& WW, Laxp*w, WA ,3W.425.-7=
ction Report Paiae: 2of 2
9. SPRINKLER / PIPING (Continued)
YES N.A. NO
c. Are extra sprinkler heads readily available ?
d. Is condition of piping, drain valves, check valves,
lfressure gauW' open sprinklers, and strainers satifectory ? Z*4z ><
a. Are ell sprinklers of proper temperature rating? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ><
f. Are portable fire extinguishers In good condition ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
g. Is hand hose on sprinkler systems satisfactory ? .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Date Dry System Piping last checked for stoppage .. . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .
11. Date Dry System Piping last checked for proper pftch ----------------------------------- 4Q,,=7*_
12. Date Dry Pipe Valve last trip tested -- - - - - - --- - -- . . . . . . . . . .
13. Wet systems: Number Make I Model / Year 40/
14. Dry Systems: Number: Make / Model / Year
IS. Accelerator: Make / Model Year:
16. SpeiialSystems: Number: -Type -
Make / Model / Year: Condition
17. CONTROL VALVES
8.� ty Connection Control Vsives - - - - -
b. Tank Control Valves - - - - - - - - -
c. Pump Control Valves - - - - - - -- - -
d. Sectional Control Valves . . . . . . . . .
a. System Control Valves - - - - - - - - -
I& WATER FLOW TEST
a. Water Pressure 4.UrCO *j3:CIty, 13 Tank, 0 Fire Pump, Water Flow Test taken ? te��" not, reason:
r,A
4est Pipe Location
Size Test Pipe
Pressure Before
Flow Pros ure
Pressure After
Z�
17
-7;,19. Explanation of any "No" answers:
20. Recent changes In building occupancy or flre'protection equipment:
21. Adjustments or corrections made:
22. Desirable Improvements:
23. Has building owner / representative been notified of any deficiency to the fire protection system? 0 Yes 0 No, Person notified:
If answer Is "No",explain.,:
24. Inspector's Signature: %. )
Witness (property owner / lessee) and date:
WHITE: VIKING COPY , YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD:,BUILDING COPY
SNOHOMISH CO.,
FIRE.
DISTY
ionds, and
LOCATION: 700 Main Street eldg 98020
BUSINESS NAME: Frances Anderson Center
MAILING
ADDRESS-.'Z;/" 700 Main Streq'lEdmonds. WA 98020
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORTt,
Everett, WA -98208, t
EDMONDS
0 BR.l,ER
Phone (425j'_53d§13�1'200
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
Fax (425) 551-1272
0' FREQUENCY STATION & SHIFTls
Annual 17-FP
PHONE: 4257710230
SCHEDULED Dec 20133
DATE DUE
UFIR 10 121
L
BUSINESS OWNER:
City Of Edmonds
HOME PHONE:
Emai!:
EMERGENCY-1:
KEY ACCESS-2:
HOME PHONE-
E �PHONE..;
HOM 9 _y
& Q
CURRENT YES NO
CITY
BUSINESS
EMAIL:
LICENSE
PERS N CONTACTED:
-A e- aL_
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE,,SYSTEMS:
AS W13 FA 0 FE
FD Lk Box L/
_j
Libu;
HAZARDS F M NId IONS
.PUND AND LOCATIONS / COm
s
2
2
7"�
3 t
3
4
4
5-
5
6
6
7
7
I AGREEJO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
IN SPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
5
5
LETTER SENT
NUMBER:
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
3
3
7
RECEIVED
DISPOSITION:
j4
8
4
8
1
DATE:
7
CETTERNEEDE�.F] YES [I NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
0. Fire Protection Contractors since 1930
oil,
VIKING AUTOMATIC SPRINKLER COMPANY� 3434 First Ave. So., Seattle, WA 98134, 206.622.4656
WA.: VI-KI-NA-S373NT LEVEL M 602 California Way, Longview, WA 98632,360,425.7620
Fire Sprinkler Inspection Report Page:lof2
d11f1A4-"1 /Pool ?#51008 IV5Z 2117
REPORT TO:41JP" '60AJ V1 4 il J4 NO.
DATE:.
STREET: BLDG. / LOCATION:#/
Zi
CITY / STATE: INSPECTOR:
I.GENERAL
1i --
YES
N.A.
NO
a. Is the building occupied ? - - - - - - - - - - - - - - - - -- - - - - - - - - li� - - - - ---
- - - - - - - - -
X
b. Is occupancy the same as previous Inspection ? - - - - - - - - - - - - - - - - - - - - - - -- -
- - - - - - - - - -
X
c. Are all systems In service ? - - - - - - - - - - - - - - - - - - --- --- - - - - - - - -
- - - - - -- - - - -
d..'Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . ... . .
. . . . . . . . . .
. X
a. Is the building completely sprinklered ? . .. . . . . . . . . . . . .
f. Are all now additions and bu s propeiij protected ? - - - - - - - - - - ---
I ]Ing change.
- - - - - - - - -
g. Is all stock or storage properly below sprinkler piping ? . . . . . . . . . . . . . . ... ... . . .
. . . . . . . . . .
IX
h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) . . . .. . . . .. . -- - - - -
- - - - - - - - - -
-
1. In areas protected by wet syste me, Is building properly heated, I.e.: blind, attics, perimeter areas, and are all exterior openings protected against the cold ?
2. CONTROL VALVES (See Section 17)
a. Are all sprinkler system main control valves open ? - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - -
IX
b. Are all other control valves In proper position ? - - - - - - - - - - - - - - - - - - - - - - - -
- I . . . . . . . . .
c. Are all control valves In good condition and sealed or supervised ? - - - - - - - - - - - - - - - - -
- - - - - - - - - -
3. WATER SUPPLIES (See Section 18)
a. Was a water flow test preformed and were the results satisfactory ? - - - - - - - - - - - - - - - - -
- - - - - - - - - -
4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS
a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? - - -
b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight
5. WET SYSTEMS (See Section 13)
a. Are cold weather valves open or closed as necessary ? - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - -
X
b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? - - - - - - - - -
- - - - - - - - - -
c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . I . . . .
. . . . . . . . . .
6. DRY SYSTEMS (See Section 14)
a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .
b. Are pressure and priming water levels normal ? - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - -
c. Is air compressor In good condition.1 . . . . . -- - - - - - - - - --- ---
- - --- - -
t
d. Were low points drained durIng1 fall and winter Inspections ? - - - - - - - - - - - - - - - - -
- - - - - - - - - -
e. Are Oulck- opening devices In service ? - - - - - - - - - - - - - - - - - - - - - - - - - -
- -- - - - - - - - -
I. Has piping been checked for stoppage within the past ten (10) years ? - - - - - - - - - - - - - - - -
- - - - - - - - - -
g. Has piping been checked for proper pitch within the past five (5) years ? - - - - - - - -- - - - - - - -
- - - - - - - - ---
7_1
h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - -
1. Are dry valves adequately protected from freezing ? - - - - - - - --- - - - - - - - - - - --- -
- - - - - - - - - -
Are valve house an d heater conditions satisfactory ? - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - -
7. SPECIAL SYSTEMS (See Section 16)
a. Were valves tested as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - -
b. Were all heat -responsive systems tested and were the results satisfactory ? - - - - - - - - - - - - ---
- - - - - - - - - -
c. Were supervisory features tested and were the results satisfactory ? - - - - - - - - - - - - - - - - -
- - - - - - - - - -
8. ALARMS
a. Is the water motor and gong test satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Is the electric alarm test satisfactory ? . . .. . . . . . o.
I, �' ;4 - - - - - - --- - - - - - - - - - - - - - - -
c. Is the supervisory alarm service test satisfactory ? Monitoring C Ph.: 20- 730 -9/14 Code: 211 'V-72-
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loading ? - - - - - - - - - - - - - - - -
6'e
b. Are all sprinkler heads less thin fifty (56) years old ? Head Manufacturer Date of head Z 4--
WHITE: VIKING COPY YELLOW: INVOICE COPY . PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPY
Y"
lleA
p-
Fire Frotectio'n Contractors' since 1930
viKING Auirommc SPRINKLER 60MOAN�J
34w, RrwAve. SaL, Seatft WA 98130,206. 622-4656
WA.: VI-KI-NA-S373NT LEVEL N
602 CaNkmia Way, Longview, WA 360.425.7620.
Fire Sprinkler Inspection Report
Page:.2of 2
9. SPRINKLER I PIPING (Continued)
YES
N.A.
NO
c. Are extra sprinkler heads readily available ? - - - - - -
d. Is condition of piping, drain valves, check in open sprinklers, and strainers sattfactory ?
3hres, hangers,
IEU—M---Pu
1; a. Are all sprinklers of proper temperature rating? . . . . . . . . . . .
. . . . . . . . . . . . .... * ... . . . . . .
.
I. Am portable tire extinguishers In good condition 1 . . . . . . . . . . .
. . . . ...... . . - - - - - - - -
-
g. Is hand hose on sprinkler systems satisfactory ? . . . . . . . . . . .
. ... . --- ----- - - - - - - -
10. Date Dry System Piping last checked for stoppage. - . . . ... . .
. . . . . - - - - - - - - - - - -
11. Date Dry System Piping last chocked for proper pfth -- - - - - - - - - -
- - - - - -- k --- - - - - --- -
12. Date Dry Pipe Valve last t I tested --------------- -
7
------------------
13., Wet systems: Number: Make Model Year
/*Kz
14.: Dry Systems: Number: Make Model Year:
15. Accelerator: Make Model Year:
.16. Special Systemin, Number: Type:.'
Make / Model Year:
Condition:
17. CONTROL VALVES !N6
a! City Connebtion Control Valves - - - - - -
b. Tank'Co'ntro1\Valves -� . . . . ... . .
c. Pump Control Valves - - - - - - - - -
d. Sectlonal Control Valves - - - - * --- - - - -
a. System Control Valves - ; - - - - - - -
Or
I& WATER FLOW TEST
a. Water Pressure Source 0 Tank 0 Fire Pump, Water Flow Test taken'il!i;� If not, reason:
Test Pipe Location
Size Test Pipe
Pressure Before
Flow Pressure
Pressure Aftei�
7- k1t.
19. Explanation of any."No" answers:
-/0
20. Recent changes In building occupanc y or fire protection equipment: 41
21. Adjustments or corrections made:
22. Desirable Improvements:
Has building owner / representative been notified of any deficiency to the fire protection system? 0 Yes, 0 No, Person notified:
If answer is "No",explain:
24. Inspector's Signature: Witness (property owner / lessee) and date:
W161111KINA011 YELLOW: INVOICE COPY * PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPyi
W
Fire Protection Contractors since 1930
VIKING A�TOMATIC SPRINKLER c6MPA'NY 3434* First A". So., Seattle, WA 98134, 206.622.4656
WA.: VI-KI-NA-W.73NT LEVEL N 602 California Way, Longview, WA 98632,360,425.7620
Fire Sprinkler -inspection Report Page:W2
REPORTTO: 'Okloew 5 JOB NO. 13"11 DATE:
STREET: loo 14u/W Tr, BLDG./ LOCATION: y Cis
Yk,17) INSPECTOR:
CITY/ STATE < COAL
I.GENERAL
a. Is the building occupied ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Are all systems in service ? -- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - --
d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Is the building completely sprinki.red ? - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - --- - - - -
f. Are all new additions and building changes properly protected ? - - - - - - - - - - - - - - - - - - - - - - - - - - - -
g. Is all stock or storage properly below sprink! I er piping ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
h. Was property free of fires since last Inspectionk? I (Explain any fire on Page 2) . . . . . . . . . . . . . . . . .
1. In areas protected by wet systems, Is building property hosted, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ?
2. CONTROL VALVES (See Section 17)
si� Are all sprinkler system main control valves open ? - ---- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Are all other control valves In proper pos ItIon ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
c. Are all control valves In good condition anV,sealedmr supervised ? - - - - - - - ---- - - - - - - - - - - - - - - - - - -
3. WATER SUPPLIES (See Section 18)
a. Was a water flow test preformed and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - -
.4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS
a. Are fire pumps, gravity tanks, resevoirs and pressure tanks In good condition and properly maintained ? - - - - - - - - -
b� Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight ?_ r
5. WET SYSTEM (See Section 13)
a. Are cold weather valves open or closed as n�c6ssary ? - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Have antifreeze systems been tested, and left in satisfactory condition ? Temp.? - - - - - - - - - - -- - - - - - - - -
c. Are alarmvalves, water flow Indicators and . retard chambers In satisfactory conditio . n? - - - - - - - - - - - - - - - - - -
6. DRY SYSTEMS (See Section 14)
a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Are pressure and priming water levels normal.? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
c. Is air compressor In good condition ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -
d. Were low points drained during fall and winter Inspections ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
a. Are Quick- opening devices In service ? - - - - I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
f. Has piping been checked for stoppage within the past ton (10) years ? - - - - - - - - - - - - - - - - - - - - - - - - - -
g. Has piping been checked for proper pitch with -in the past five (5) years ? - - - - - - - - - - - - - - - - - - - - - - - - -
h. Have dry valves been trip tested satisfactorily as required ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1. Are dry valves adequately protected from freezing ? - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -
1. Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
7. SPECIAL SYSTEMS (See Section 16)
a. Were valves tested as required ? - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
b. Were all heat -responsive systems tested and were the results satisfactory ? - - - - - - - - - - - - - - - - - - - - - -
c. Were supervisory features tested and were the results satisfactory ? - -- - - - - - --- - - - - - - - - - - - - - - - - - -
.&ALARMS
a. Is the water motor and gong test satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .
b. Is the electric alarm test satisfactory ? . . . ... . . . . .
c. Is the supervisory alarm service test satisfactory ?. Monitoring Co. I d'V fe P h.: '5"- 2 Z_2 Z C o d a: 7, 1
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, not obstructed and free from corrosion or loading ? --- - - - - - - - - - - - - - - - -
b. Are all sprinkler heads less than fifty (50) yearsold ? Head Manufacturer: Date of head
WHITE: VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: BUILDING COPY
Fire Protection Contractors since 1930
VIKING AUTOMATIC SPRINKLER COMPANY 3434 First Ave. So., Seattle, WA 98134, 206. 622. 4656
WA.: VI-KI-NA-S373NT LEVEL //1 602 Caffibmia Way, Longview, WA 96M, 360. 425. 7620
Fire,�prinkler Inspection Report Page:W2
9. SPRINKLER / PIPING (Continued) YES N.A. NO
c. Are extra sprinkler heads readily available ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
d. Is condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinklers, and strainers satifactory ?
a. Are all sprinklers of proper temperature rating? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
f. Are portable fire extinguishers in good condition ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
g. Is hand hose on sprinkler systems satisfactory ? - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - -
10. Date Dry System Piping last checked for stoppage -- - - - - - - - - - - - - - - - - - - - - - - - - - - -
11. Date Dry System Piping last checked for proper pitch - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
12. Date Dry Pipe Valve last trip tested -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
13. Wet systems: Number: Make Model / Yea'r: _/_-2z/A_AUL .&&a
14. Dry Systems: Number: Make Model / Year:
15. Accelerator: Make / Model / Year:
16: SpeclalSystems: Number: -Type:
Make / Model / Year: Condition
17. CONTROL VALVES
a. City Connection Control Valves - - - - - -
b. Tank Control Valves - - - - - - - - -
c. Pump Control Valves - - - - - - - - -
d. Sectional Control Valves - - - - - - - - -
e. System Control Valves - - - - - - - - -
18. WATERFLOWTEST
a. Water Pressure Source: 0 City, 13Tank, 0 Fire Pump, Water Flow Test taken? -If not, reason:
9
Test Pipe Location
Size Test Pipe
Pressure Before
Flow Pressure
Pressure After
5__
-7
19. Explanation of any "No" answers:
20. Recent changes In building occupancy or fire protection equipment:
Ze 44:e( e:9 f
21. Adjustments or corrections made: &Zkld,5�92 b e, 9 'ell e4 07751f )SOC,
:7:WTWad41 A4f�_-b 3:3� ZM�4222�,Q
/ 06*0 5 --nro
22. Desirable Improvements:
23. Has building owner / representative been notified of any deficiency to the fire protection system? laAle"s 0 No, Person notified:
If answer is "No",explain:
24.
FIRE DEPARTMENT COPY
!"*Flre Protection Contractors since 1930
VIKING AUTOMATIC SPRINKLIiR COMPANi 3434 First A". So., Seattle, WA 98134, 206.622.4656
WA.: VI-KI-NA-S373NT EVEL 602 California Way, Longview, WA 98632,360,425.7620
Fire Sprinkler Inspection R Dort Page:102
REPORT TO: JOBNO. W!�rlvlllo DATE:
STREET: BLDG./ LOCATION:
CITY/STATE: 1AA INSPECTOR:
ar
I.GENERAL
a. Is the building occupied ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Is occupancy the same as previous Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .
c. Are all systems In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Are all fire protection systems the same as last Inspection ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Is the building completely sprinklered ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I. Are all now additions and building changes properly protected ? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Is all stock or storage properly below sprinkler piping ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Was property free of fires since last Inspection ? (Explain any fire on Page 2) . . . ... . . . . . . . . . . . . . . . . . . .
1. In areas protected by wet syste me, Is building properly heated, I.e.: blind attics, perimeter areas, and are all exterior openings protected against the cold ?
2. CONTROL VALVES (See Section 17)
a. Are all sprinkler system main control valves open ? . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . .
b. Are all other control valves In proper position ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Are all control valves In good condition and sealed or supervised ? . . . . . . . . . . . . . . ... . . . . . . . . . . .
3. WATER SUPPLIES (See Section 18)
a. Was a water flow test preformed and were the results satisfactory ? . . . . . . . . . . . . . . . . . . ... . . . . .
4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS
a. Are fire pumps, gravity tanks, resevolre and pressure tanks In good condition and properly maintained ? . . . . . . . . . . . . . . .
b. Are Fire Department Connections In satisfactory condition, couplings free, caps In place and check valves tight ? . . . . . . . . . . . .
5. WET SYSTEM (See Section 13)
a. Are cold weather valves open or closed as necessary ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Have antifreeze systems been tested and left In satisfactory condition ? Temp. ? . . . . . . . . . .. . . . .. . . . . .
c. Are alarm valves, water flow Indicators and retard chambers In satisfactory condition ? . . . . . . . . . . . . . . . . . . . . .
6. DRY SYSTEMS (See Section 14)
a. Are dry valve(s) In service and In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Are pressure and priming water levels normal ? . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Is air compressor In good condition ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Were low points drained during fall and winter Inspections ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Are Oulck- opening devices In service ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .
I. Has piping been chocked for stoppage within the past ton (10) years ? . . . . . . . . . . . . . . . . . . ... . . . . . .
g. Has piping been chocked for proper pitch within the past five (5) years ? .... . . . . . . . . . . . . . . . . . . . . . . .
h. Have dry valves been trip tested satisfactorily as required ? -- - - - - - - - - - -
1. Are dry valves adequately protected from freezing ? . . .
. ... . . . . . . . . . . . . . . . . . . . . . .
1. Are valve house and heater conditions satisfactory ? . . . . . . . . .. ... . . . . . . . . . . . . . . . . . . . . .
7. SPECIAL SYSTEMS (See Section 16)
a. Were valves tested as required ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Were all heat -responsive systems tested and were the results satisfactory ? . . . . ... . . . . . . . . . .. . . . . . . . .
c. Were supervisory features tested and were the results satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. ALARMS
a. Is the water motor and gong test satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Is the electric alarm test satisfactory ? - - - - - - - - -
c. Is the supervisory alarm service test satisfactory ? Monitoring Co. lit" , AA,f,_ Ph.:. 'code:
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, not obstructed and f roe from corrosion or 108 Ing ? - . . . . . . .
rer /4, 111��
b. Are all sprinkler heads less than fifty (50) years old ? Head Manufactu Date of head .
WHITE: VIKING COPY YELLOW: INVOICE COPY -PINK: FIRE DEPARTMENT COPY GOLD: BUILDINGQOPY,---
Ira '...�4i;
Fire Protection Contractors since 1930
VIKING AUTOMATIC SPRINKLER COMPANY1, 34M FbWAm- Sa, SwM WA 96134,206. 622.4656
WA.: VAXi-M-S373NT �EWL Hi * 602 CAW01111116 MY, L0910111111% WA 98M, 360.425. 7620
Fire Sprinkler Inspection Report Page:W2
9. SPRINkLER PPIPING (Continued) YES NA. NO
c. Are extra sprinkler hiods modify available ? . . . . . . . . . . . . . . . . . . . ... .... . . . . . . . . . . . . X
d. Is condition of piping, drain valves, check valves, hangers, pressure gouges, open sprinklers, and strainers sattlactory ? . . . . . . . . . X
a. Are all sprinklers of proper temperature rating? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I. Are portabWfIre extinguishers In good condition ? . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . IX
g. Is hand hose on sprinkler systems - satisfactory ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Date Dry System Piping last chocked for stoppage .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
-7—
It. Date Dry System Piping last chocked for proper pitch .. . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - A/ -X
12. Date Dry'Pipe Ve Ive last tri tested .. . . . . . . .. . I . --- / - - , - - /w/ - - ; /" / —,c 7
13. Wet systems: Number Make Model Year
14. Dry Systems: Number: Make Model Year:
15. Accelerator: Make i Model / Year:
16. SpecialSystems: Number: —Type:
Make / Model / Year: Condition:
17. CONTROL VALVES
a. City Connection Control Valves - - - - - -
b. Tank Control Valves - - - - - - - - -
c. Pump Control Valves - - - - - - - - -
d. Sectional Control Valves . . . . . . . . .
a. System Control Valves - ; . . . . . . .
WMEAWN
mmmmmmm=��W
I& WATER FLOW TEST
a. Water Pressure Source: O!Chy, 137ank, 13 Fire Pump, Water Flow Test taken ? J�dif not, mason:
Test Pipe Location
Size Test Pipe
Pressure Before
Flow Pressure
Pressure After
A 7-
73
/110
7-7
i
i
19. Explanation of any "No" answers: A,
A4 A-zol /,7
20. Recent changes In building occupancy or fire protection equipment:
21. Adjustments or corrections made:
22. Desirable Improvements:
23. Has building owner / representative been notified of any deficiency to the fire protection system? 13Yes 0 No,Person notified
If answer Is "No",explain-
24. Inspector's Signature: AO" I r ->e==!= Witness (property owner / lessee) and date:
W44 - //
VIKING COPY YELLOW: INVOICE COPY PINK: FIRE DEPARTMENT COPY GOLD: BYILDING COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 96020 - (425) 771-0215
1
FIRE DEPARTMENT
S
700 Main Street
LOCATION:
BUSINESS NAME: Frances Anderson Center
MAILING 700 Main St
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257710230
ADDRESS: Edmonds 98020
4257752525
BUSINESS OV�NER: City Of Edmonds HOME PHONE:
Mcintosh, Brian HOME PHONE: 4257423370
EMERGENCY-1: 1,
I
KEY ACCESS-2!.
HOME PHONE:
'_ FIR SO NC Y
I STATff & glIFT
SCHEDULED
DATE DUE 01
lZ101/10
LIFIR 0- 12 1
1;203
OCC LD 998
r __ INITIAL INSPECTION �ATE
PERSONCONT,�CTED:
NAME OF INSPE e5lt'97- 7.
FIRE 07 FD Lktjx FE _tKJ'Zj!:>
SYSTEI S: S— ;tr"uk.
ANNFU�I_
HAZARDS FOUND AND LOCATIONS COMMUNICA71ONS
ENTER CODE ONLY ONCE 001-
VIOLATION CODE
2
2
^j
ve'r
3
3
4
4
5,
5
6
6
7
7
�4
8
8
lst RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
2
INSPECTOR:
DATE:
DATE:
3
DATE.
MOLATIONS
PRE -CITATION
CITATION ISSUED
VIOLATIONS
1 5
1
5
LETTER SENT
NUMBER:
4
CODE
5
2, 6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
7
3
7
RECEIVED
.7
DISPOSITION:
4
18
4
18
DATE:
8 j
� �TTEWNEEDED E] YES NIT
LETTER NEEDED F] YES NO
FIRE DEPARTMENT COPY
N'.
. VIturic .
tr Fire Protection Contractors since 1930
VIKING AUTOMATIC SPRINKLER COMPANY 3434 First Ave. So., Seattle, WA 98134, 206.622.4656
WA: WKI-NA.W73W LEVEL 111 602 Calffornia Way, Longview, WA 98632,3601.425.7620
Fire Sprinkler Inspection Report
nFPn%rrTh- r/-. ""x 0, < A, JhR Un W - 5 Z"?J' 4117 nffvt:-
STREET: -7406 WZ' 1*1^- /_ BLDMILOCATION:
CITY/STATE: e�'x Z"/ HiSPECTOR:
I
Page�. 1 of 2
I.GENERAL
.a. Is the building occupled ? - - - - - - - - - - - - - - - - -- - --- - - --- - - - - - -
b. Is occupancy the same as previous inspection, ?. - - - --- - - - - - -- - - - - - - - - - - - - - -
c; Are all systems In service ? - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - -
d.. Are all fire protection systems the same as last Inspection ? - - - - - - - - - -- - - - - -- - --- - - - - - --- - - - - - -
a. !a the building complatilysprinklerid ? - - - -- - - - - --- - -- - - - - - - --- - - -
f. Are all new additions and building changes properly protected ? . . ... . . . . . . . . . . . . . . . . . . ..
g. Is all,stock or storage properly below sprinkler piping ? -- - - - - - --- - -- - - - - - - - --- - - - -
h. Was property free of fireii since last Inspection? (Expfain any fire an Page. 2) - - - - - - - W - - - - - - - -
1. In area protected by wet systernk Is building properly hesteck Le-- blind aWca, perimeter areas and are all e3derlor openings protected g I the cold ?
2. CONTROL VALVES. (See Section* 17)
a. Are all sprinkler system main control,valves open ? - - - - - - --- ---- - -- - - - - - - - - - - -- - - - - - - - - - -
b. Are all other control valves In proper position ? . . . . . . . . a - - - - - - - - - - - - - - - - - - - - - - - - -
c. Are all control valves In good condition and sealed or supervised ? - - - - - - - - - - - - - - - - - - - - - - - - - - -
3.WAfERSUPPWES; iSeeSection 18)
a. Was a water flow test preformed and were the results satisfactory ? -- - - - - - - - - - - - - - - - - - -
4. TANKS, PUMPS, & FIRE DEPARTMENT CONNECTIONS
a. Are fire pumps, gravity tanics, resevolre and pressure tanks In good
pondition.and properly maintained ? - -- - - - - - - - - - - - - -
b.. Are Fire Department Connections In satisfactory condition. coijpllngs freo� caps In Olace and check valves tight Z
s. WET SYSTEMS (See, Section 13)
a. Are cold weather valves open or closed as necessary ? - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -
b. Have antifreeze systems been tested and left In satisfactory condition ? Tlemp.?_ - -- - - - - - - - - - - ---
6. Are alarm valves, Water flow Indicators and retard chambers In satisfactory condmon ? -- - - - - - - -
6. DRY� SYSTEMS (See Section 14)
a. Are dry val.ve(p) In service and In good condition?..
. . ... . . . . . .. . . . . . . . . . . . . . . . . . .
b. Are pressure and priming wate�leveli normal ? - - -- - - - - - - - - - - - - - -
c. Is air compressor In good condition .? ... . . . . . . . . . . . ... ... . . . .. . . . . . . . . . . . . . . . . .
d. Were low points drained during fall and winter. ln�pectlons ? - - - - - - - - -- -
- - - -- - - - -- - - - - - - -- - -
.a. Are Quick- opening deviceii In s6mce ? - -- - - - - - - -
1. Has piping been checked for stoppagowlthl n.the past ton (IQ) years - - - - - - - - - - - - - -
g. Has piping been checked for proper pitch within the past.five (5) years ? - - - - - - - - - - - -- - - - - - - - - - - -- - -
h. Have dry valves been trip tesied sail . sfactorily as required ? - - - - - - - --- - - - - - - - - - - - - - - - - - - - --
1. Are dry valves ad6quately protected from freezing ? . . . . . . . . . . . . . . . . . .
1. Are valve house and heater conditions satisfactory ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
7.SPECtA,LsYs'itms (see qecI1on.1§)
a. Were valves tested as required ? - - - - - - - - - - - - - -
b. Were all host -responsive systems tested and were the results satisfactory T - - - - - - - - - - - - - - - -
c. Were supervisory fbatur.e.stest.ed and were the results satisfactory ? I - - - - - - - -- - - - - - - - -
S.ALARIVIS
9. Is the water motor and gong testsallsfactory ? - - - - - - - . . . . . . .
b. Is the electric alarm test satisfactory ? . . . . . - - - - - - - - - - - - - - - - --- - -
c. [a the supervisory alarm service testsallsfactory ? ManitoringCo. PiL: 3?40-2'J*,91X code. 417
9. SPRINKLERS - PIPING
a. Are all sprinkler heads In good condition, not obstructed and free-from.corrosion or Wading ? - - - - - - - - - - - - - - - -
b. Are all sprinkler heads less than fifty (50) years old? Head Manufacturer:— Z"./,./ --Date of hand :A21-1) /3r/./
-_7
IT-11-7
Fire Protectioh Contractors sin.ce 1930
VIIGNG AUTOMATIC SPRINKLERCOMPANY 3434RnftAm So., Seeffl%WA,98134,206. 622.4656
WA:'VHGM-S373JVT LEVEL III .602CaWonifa*,Lmgvks�WA-qS�32,3L'ib.425.7=
Fire Sprinkler Inspection Report Pagir. 2of 2 .
9 SPRINKLER I PIPING (Continued)
. . . ..... YES NA NO j
d-, -'c..Are extra sprinkler hbadwreadily ay�dlable ?. L,,—;
Is". c"'a n, d, It o n- I
pIe1!ig,:dr6IivaIves,'checkvaIv '.ban
ger�,P"umgau
'a. An
mparaturespil
7.
fib Hre ditto
g. Is hand hose on sprinkler systems satisfactory ? - - - - - - - - --- - - - - - - -- -
10. Datb Dry System. Piping list checked for stoppage.
. . . . 1A)
111. Date Dry System Piping [ad checked for proper pitch . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . "AE7
12. Date Dry Pipe Valve list trip tested. . . . . . . 1A
odel I Year.
13. Wet systems: Number, ----L--.,Uake I M -j&z — - - - - - -
.14. Dry Systems: Number:— Makel Model /Year
19. Accelerator: Make /,Model /Year.
46..- Special Sydt6ma�.."tpl;W, -Typ
Make/ Model/ Year:
Condition
1-7. CONTROL VALVES
a. City Connection Control Valves . . . . . .
b. Tank Control Valves - - - - - - - - -
c. Pump. Control Valves - - - - - - - - -
d. Sectional Control Valvei. . . . . . . .
-�,G. �ys am Control Valves - -- - - -
18. WATER FLOW TEST
`;RPRIN qT6nkj3,FI_ Pu p �`
re m :Water Flow'yopilli niisini,
.70501119 L 66
To �Plpe
...,ressure Before
t ow
AT
7z
4Z
7Z
19. Explanation of 9ny "No-,pqswers(ZLJ I'Al", 1W "./A / 4v,.- -1 1VOW1 //J Ap-t.,,t 3 rl 4
20. Recent changes In building occupancy*or ilie protection equipment:
21. Adjustments or corrections made,
besirable:.Irfigrid�a
N.
L A&I
I' , Ao.—;
23. Has'building owner/ representative been notified . of an def r Iclency to the I I Ire protec I - Ion system? 13
�y Yqs 0 No, Person notified:
It answer Is "No",explaln:
24. Inspector's Signature: Witness (property owner I lessee) and date:
VIKING AUTOMATIC.SPRINKLER COMPANY
pi�� Fire i-rotection 3434 FirstMenue South, 602 dalifomia Way Sufte #1
Since 1930 Seattle, WA 98134 Longview, WA 98632
(206) 622-4656. (360) 425-7620
FOREMAN'S REPQRT WEEK ENDJNG�
6- - 174"', VIKING 40B * t, , —,,) , �. t -I- " 4 // -.2
JSUndaYs DaW)
EMPI.ovee Name*
(print nnw - ano person par dm6 silp)
Mon Tue Wed Thur Fri, Saf 'Sun
Job Name:
Job Address: 2
Building Area:
Parking
$
Ferry
$
Travel Expense (Miles)
#
Subsi , stence (Days)
9
IMisceliaheous Expense
�p
$
ForemaWs'Sianature: IT)-
4"
Customer Po#:
Hours on Job -
Travel Time:
Provide a brief description of work orsOrvices
7,
�Commenton status of the'j.ob (future work;to. be comple . led., parts needed, desirable improvements):.
7,
Is job complete*?' Yes No.
Was sprinkler system shut-off by others! Yes 'No
Was sprinkler system restored by Vikin Val . ve,geal* Y6S No
_g?
Are -all shutoff 'valves open? Yes (>f) No (r4,
Is system lobe restorp! by,others? If. yes, 0y.Whqm Yes (-!!P) No
Is system connected to �central signat service? Yes No
If yev, Monitor Co: Monitor Phone # and Code:.
Viking Employee Report -of Safety (must be compleied)
Work area inspected for safety prior to sfarfing worki Yes '[A No
# of,Vikiri� Ernoloyee'�.QhJOV Nu'mber'o'f' V'ik*in
g Employee's in attendance:
Issues Found:,
Suggestions Offered:
AUTHORIZATION TOTERFORM WORK AND ACKNOWLEDGEM.ENT- OF SERVICE
Sign6t&d of Owner;
or ReoresehtatiVe' Date:
----------
Print Name, and Title:. rev 12-08
White - Vt)dng Copy Pink - Sal* (retum to office) Yefibw - Customer Copy
Page 1. Page 2. Page 3
B
7 T 7!-H,, & MAIN ST.
EDMONDS ELE-M-ENTARY
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R E C E I V E D
D G T 19 81
EDMONDS FIRE DEPT.
October 7, 1981
MEMO TO: Jim Jessel
FROM: -Steve Simpson
SUBJECT: ANDERSON CENTER STAGE CURTAINS
We know the stage curtains have not been�-treated for at
least seven years. Edmonds School District has nothing
to show the curtains ;;ere firepr6ofed, though their
maintenance people suspect they were.
Gary McComas can flame test a,piece of the curtain, but
he says that won't prove'too,much.
I have the name of the firm the.School District used to
fireproof their curtains.
I suggest we ' meet with Gary McComas, Art Housler, and a
representative from the insurance company to discuss
what actions to take.
SOS/mw
cc: Gary -McComas
CITY OF EDMONDS HARVE H. HARRISON
MAYOP
CIVIC CENTER * EDMONDS, WASHINGTON 98020 a (206) 775-2525
FIRE DEPARTMENT
January 26, 1981
Mr. Thomas Ryan
Arai/Jackson Architects
1100-19th Avenue East
Seattle, WA 98112
Dear Mr. Ryan:
The proposed relocation of the automatic fire sprinkler
pumper connection is acceptable to the Edmonds Fire Department.
The new pipe which extends 22 feet from its present location
must be installed with adequate pitch so that it will drain
and not accumulate water.
If you have any questions or if we can be of any assistance
to you, please contact this office by calling 775-2525, Ext. 233,
between the hours of 8 a.m. and 5 p.m., Monday through Friday.
Sincerely,
S " G %v
ary McComas
Fire Marshal
G124: sr
filh
Arai/Jackson
Architects & Designers
January 21, 1981
Mr. Gary McComus
Edmonds Fire Marshal
250 Fifth Avenue
Edmonds, Washington 98020
R E C E I V E D
JAN 2 6 1981
EDMONDS FIRE DEPT.,
Gary, jZe: MZA'NCM� A-NQF-� CAE-ATr--R T_MM6\/EMr=N1Z'>
Here is the proposed relocation of the Automatic Fire Sprinkler
pumper connection. Please send me confirmation if the reloca-
tion is acceptable.
Sincerely,
71P
Thomas Ryan
Enclosure
1100-19th Avenue East Seattle, Washington 98112 (206) 323-8800
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