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71 PINE ST BLDG 1.pdfl�I 71Pr&) -. �ii FIRE PREVENTION ServingBrier, Edmonas, aneranAveINSPECTION REPORT `"° 5IV4)HCi�2lSii CC). 4 d 12425 MidiAS❑ EDMONDS �. Mountlake Terrace Everett, WA 98208 El BRIER F1 E a Phone 425 551-1200 ❑ MOUNTLAKE TERRACE �� ❑ UNINCORPORATED www.FireDistrict].org Fax (425) 551-1272 o FREQUENCY STATION & SHIFT LOCATION: 71 ine Street 98020 Annual 17-C Pt Edwards Condos Bldg 1 SCHEDULED Apr 2017 BUSINESS NAME: PHONE: DATE DUE 424 MAILING UFIR 1 ADDRESS: 71 Pine Street, Edmonds, WA 98020 BUSINESS OWNER: HOME PHONE: EMERGENCY-1: HOME PHONE: CURRENT KEIgACCESS-2: HOME PHONE: 17 CITY YES NO ...,,�..... BUSINESS ❑ El LICENSE PERSON CONTACTED: i INITIAAL] INSPECTION DATE NAME OF INSPECTOR: FIRE SYSTEMS: AS 11/15 FA 11/15 FE 11/15 12:00: 0 AM .SP 10/14 A Date Last Serviced: HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 1 2 2 's. 3 3 4 4 5 15 6 16 7. 1 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION ;FINAL RE -INSPECTION EXTENSION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: CONTACTED: CONTACTED: ' 2 INSPEaTOR:: INSPECTOR: INSPECTOR: DATE' - DATE, DATE: ' 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED. - 1 •. 5 1 ,: 5 4 LETTER SENT NUMBER. . CODE " 8 . 2 , 6 2 .6 - DATE. SECTION- - RETURN RECEIPT 3 7 3 7 RECEIVED 6 - - - DISPOSITION: 7 4 8 4 8 DATE, LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE PREVENTION r Serving Brier, Edrnortds,'and' g , 12425 Meridian Ave S INSPECTION REPORT SIVOFIOi�iISii CO. ❑ EDMONDS FIREp Mountlake Terrace. Everett, WA 98208 ❑ BRIER ' modT) Phone 42S SSI -1200 ❑ 1 OUNTLAKE TERRACE ❑UNINCORPORATED www.FireDistr•ictl.org � Fax (42S) 55I-1272 71 Main Street 98020 F EOUE CY ST SHIFT nnuaj ��_t LOCATION: Edmonds Ferry Dock & Pass Terminal 4257120228 SCHEDULED aY BUSINESS NAME: PHONE: ► DATE DUE If 20 MAILING 71 Main Street, Edmonds, WA 98020 uFIR II,ADDRESS: 35, 1 BUSINESS OWNER: wtl �( Fj� k; � I T-ce f-d Oj r•, HOME PHONE: WA State DOT — OK G&A)7r- _ 9(, Sr S - 3 q5;(0 42sip-M GO EMERGENCY-1: HOME PHONE: FBNESS NT KEY ACCESS-2: ll HOME PHONE: YES NO EMAIL: avr ��. t� Q W flj�'� • '^�4 Sn✓ ❑ ❑ E PERSON CONTACTED: INITIAL INSPECTION DATE NAME OFINSPECTOR�•.�c,y��•-.rsy' � `��� A Tn�K��.7,.".. 2Z -- 1 -7 Date Last Service - 16 ,1 OkA K,-k "K k GtiaeS NJ+ "L_ HAZARDS FOUND AND L'OC4TLION COMMUNICATIONS 1 r iV: 5'�rrW. Y S�Sh r~i7N ovt -�45f AMA f 2 .�� (A.tY Q­U \ r /�1.9� (np avf/ %ei �YbOY+S� 'I �i ii1 T s 0fA Ps'k4 ifs 2 3 K.tox r'• �='`i. CIDdf hv3 4 5 6 7 6 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION ;FINAL RE -INSPECTION I EXTENSION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: ;DATE DUE: CITED: PERSON PERSON : PERSON CONTACTED, CONTACTED ;CONTACTED: INSPECTOR: INSPECTOR: ?INSPECTOR: ! 2 DATE: DATE: € DATE: 3 VIOLATIONS VIOLATIONS ' CITATION ISSUED ff 1 . S 1 . 5 LETTER SENT NUMBER' E 4 .. CODE .. _ .`.5._._.. ... ._.. 2 • 6 2 6 DATE SECTION. RETURN RECEIPT ` 3 7 3 7 RECEIVED 6 DISPOSITION: 7 4 8 4 8 DATE* LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO8 x �y OF EDAI0 ---"ITY OFEDMO'-NTDS 1215TH AVENUE NORTH - EDMONDS, WA 98020 lne. 1890 PHONE. (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 10/13/2016 Permit #: BLD20161365 BUILDING ' Expiration Date: 04/13/2017 Project Address: 71 PINE ST #207, EDMONDS Parcel No: 01022607120700 P.O1. SUE M MCCONNELL MCLEOD CONSTRUCTION MCLEOD CONSTRUCTION 41 PINE STREET # 212 1 115 N 140TH ST 1115 N 140TH ST EDMONDS, WA 98020 SEATTLE, WA 98133 SEATTLE, WA 98133 (206)545-7837 (206)545-7837 LICENSE #: MCLEOCL95IDD EXP-03/08/2017 DESCRIPTIONJOB FIRE SPRINKLER ALTER VALUATION: $0.00 PERMIT TYPE: Commercial PERMIT GROUP: 30 - Fire Sprinkler GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: OCCUPANT GROUP: OCCUPANT LOAD: FENCE: 0 X 0 FT. CODE: 2015 OTHER: ------- OTHER DESC: ZONE: NUMBER OF STORIES: 0 IVESTEDDATE: NUMBER OF DWELLING UNITS: 0 ILOT #: BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER. 0 BEDROOMS:0 BATHROOMS:O BEDROOMS0 BATHROOMS:0 FRONTSETBACK SIDESL-1-BACK REQUIRED: PROPOSED: REQUIRED: PROPOSED JREQrJIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO ORKMEN'S N INSURANCE AND RCW 18:27. THIS APPLICATIO PERMIT THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. `-�\ r� Print Name Date Released ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10. ONLINE � APPLICANT � ASSESSOR � '�,� � OTHER STATUS: ISSUED BLD20161365 CONDITIONS • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job 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") from 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. • Sound/Noise originating fromtemporary construction sites 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 inderrmify 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 ofthis permit 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. INS PECTIONS 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 TIME LIMIT. SEE ECDC 19.00.005(A)(6) PUBLIC WORKS (425) 771-0235 1 PR&TREATMENT (425) 672-5755 RECYCLING 425 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Prefereed, andwhether you prefer morning or afternoon. • F-Fire Sprinkler Acceptance • F-Fire Final Serving Brier, Edmonds, and 12425 Meridian Ave S Mountlake Terrace Everett, WA 98208 Phone (425) 551-1200 wwwFireDistrictl.org Fax (425) 551-1272 LOCATION: 71 Pine Street 98020 BUSINESS NAME: PHONE: Pt Edwards Condos Bldg 1 MAILING ADDRESS: 71 Pine Street, Edmonds, WA 98020 FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT Annual 17-B SCHEDULED DATE DUE ► Apr 2016 LIFIR ► 424 __j BUSINESS OWNER: HOME PHONE: EMERGENCY 1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO EMAIL: BUSINESS LICENSE PERSON CONTACTED: • C I C INITIAL INSPECTION DATE NAMEOF,INSPECTOR: C • S 11/T.q' C/ 1p OI !, FIRE SYSTEMS: AS 10/14 FA 10/14 FE 1/15 FD Lk Bo/SP 10/14 �i� //��-rj /l//S /4' /4 V/5 CATIONS % COMMUNICATIONS 2 .2 _ 3 -. 3 4 4 •6 6 7' I AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTEDTO: DATE DUE: ' CITED: PERSON PERSON PERSON CONTACTED: »..�-_..._ - .......__.............__._�. CONTACTED: ...._.... .._..—. CONTACTED: INSPECTOR, 2 t INSPECTOR: INSPECTOR: DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS,'-,` PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 2 6 2 6 DATE: RETURN RECEIPT CODE SECTION: 5 3 7 3 7_ RECEIVED 6 — DISPOSITION: 4 8 4 8 DATE: 7 LETTER NEEDED "❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 Serving Brier; Edmonds, and '1425 Meridian Ave S H7itit�I�I-RE co. Mountlake Terrace Everett, WA 98208 i Phone (425) 551-1200 ►ISTR Tvmnv.Fh-eDisti-ict1.org Fax (425) 551-1272 LOCATION: 71 Pine Street 98020 BUSINESS NAME: Pt Edwards Condos Bldg 1 PHONE: MAILING ADDRESS: '71,Pine Street, Edmonds, WA 98020 FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS 1 r ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY I STATION & SHIFT Annual 17-A SCHEDULED417r 2015 DATE DUE 424 UFIR / BUSINESS OWNER: HOME PHONE: EMERGENCY-1: HOME PHONE: CURRENT E NO KEY ACCESS-2: (� HOME PHONE: - } CITY BUSINESS - EMAIL: ���� W �. J� i�1 { .LICENSE � PERSON CONTACTED: INITIAL INSPEC ON DATE NAME OF INSPECTOR: FIRE SYSTEMS: AS''0/13 FA 10/13 FE1 /13 FD Lk box SP 8/12 �ti 15 0� I HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 1 2 V 3 3 4 4 5o1F C Y - -- 5 —_— — r 6 6 r I ACRE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON CONTACTED: .._ CONTACTED: CONTACTED: INSPECTOR: DATE: 1 2 3 INSPECTOR: INSPECTOR: DATE: DATE: VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 6 2 6 DATE: - RETURN RECEIPT SECTION: 3 7 3 7 RECEIVED 6 DISPOSITION: 7 4 8 4 8 LETTER NEEDED ❑ YES ❑ NO DATE: LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY FIRE PREVENTION S&ving Brier,Ednronds, and 12425 Meridian Ave S INSPECTION REPORT SNOHOMISH CO.Dz)r .®EDMONDS FIRE Mountlake Terrace Everett, WA 98208 ❑ BRIER DISTRivw FireDistrictl. Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE ❑UNINCORPORATED org Fax (425) 551-1272 FREQUENCY STATION & SHIFT I LOCATION: 71 RtieStrset QWM AnixR1 17-0 BUSINESS NAME: P1t_dmrdb{`..txni3b13kb 1 PHONE: SCHEDULEDIlpi-2014 DATE DUE ► a MAILING ADDRESS: 71 Rrr.S1rcc4I=dfTH3rKt:0VA W02 UFIR ►`4 BUSINESS OWNER: HOME PHONE: EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO EMAIL: BUSINESS ❑ LICENSE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR:- t ,0 i� /,2i — ��51�a11=N5:. AS4'FA t14'FErA&F 3 Lk bflx SP R112 --- ?51r _ HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 2 '^ / 2 3 1 © ► i 3 4 4 5 5 6 6 7 7 1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 5 4 8 4 8 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY ServingBrier Edmonds SNOHOMISH CO. FIRE Mountlake Terrace,and DISTR T the Town of Woodway FireDistrictl. www.org i LOCATION: 71 Pine St, BUSINESS NAME: Pt Edwards Condos Bldg 1 MAILING ADDRESS: BUSINESS OWNER: EMERGENCY-1: Copeland Gfp(Prop Mgr) KEY ACCESS-2: { PERSON CONTACTED: V 4_4-1„ / , E- ` C NAME OF INSPECTOR: 1e FIRE FA 9/11 AS /11 SSP 8/12 Fa LkBx SYSTEMS: ' A0/1 Zr / 0// Z `7 // 9 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: HOME PHONE: HOMEPHONE: 2063880180 HOMEPHONE: 2064234433 FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ WOODWAY ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT 365 17 C SCHEDULED DATE DUE ► 04/01/13 UFIR ► 424 4 152 CURRENT YES NO CITY BUSINESS LICENSE INITIAL INSPECTION DATE 7'IZ �- / J ANNUAL HAZARDS FOUND AND LO ATIONS / COMM NICATIONS 1 S 1 2 2 3 3 4 4 5 5 %6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 i INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 6 4 8 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY SNOSOMISH CO. SerVWng Brier, Edmonds SIRE Mountlake Terrace;and )ISTR T the Town of Woodway www FireDistrictl. org LOCATION: 71 Pine St BUSINESS NAME: Pt Edwards Condos Bldg 1 MAILING ADDRESS: BUSINESS OWNER: EMERGENCY-1: Copeland Grp(Prop Mgr) KEY ACCESS-2: Hill, Jaserd/Maint. PERSON CONTACTED: �-V06 "V 4A) ("(_7 � _"'teM r NAME OF INSPECTOR: 51t, 1 0:�2' FIRE FA 9/11 AS 9/11 FD LkBx SYSTEMS: q/„ 9/1, n t� I1,4.25, Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax,;(425) 551-1272 PHONE: HOME PHONE: HOME PHONE: 2063880180 HOME PHONE: 2064234433 FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ WOODWAY ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT 365 17 B SCHEDULED DATE DUE ► 04101/12 UFIR ► 424 4 152 CURRENT CITY YES NO BUSINESS LICENSE 1:1 El INITIAL INSPECTION DATE FEI/ Iit ANNUAL-, HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 3 3 4 4 5 5 6 6 7 7 r1 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: .f PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 3 7 RETURN RECEIPT RECEIVED 6 4 8 4 8 DATE: DISPOSITION: LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO g FIRE DEPARTMENT COPY - Revised Date 6/16/09 SMITH FIRE SYSTEMS MANAGEMENT LLC DATE 0— jq -11 �eatioea+twwu AUTOMATIC SPRINKLER SYSTEM JOB # 4q S(o3 1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION Phone: (253) 248-2000 Fax: (253) 24&2360 Site Name POINT EDWARDS CONDOMINIUMS BUILDING 1 Address: 71 PINE STREET, EDMONDS, WA 98020 Contact Person TOYAN COPELAND Telephone # (206) 388-0180 System # 1 Type WET Area Covered System # 2 Type DRY Area Covered System # Type Area Covered System # Type Area Covered System # Type Area Covered Type of Occupancy (CIRCLE): Other Assembly Storage Industrial Offices Retail Apartments Condominfums Residential A. OWNER'S SECTION 1. Has there been any fire protection modifications since the last inspection?: Yes ❑ No ❑ Describe below: 2. Describe any fire(s) since last inspection: 3. Date (approximate if unknown) sprinkler system was installed: 2005 4. Name of installation company: B. INSPECTOR'S SECTION (All responses reference current Inspection) 1. GENERAL a. Does the system have a hydraulic plaque? b. Are the risers labeled and what are the specifies? Discharge density .55 Per 1950 Sq. Ft. residual pressure at riser Gallons per minute 342 c. Is the building fully sprinklered? d. Is the entire sprinkler system in service?. e. Record water pressure at riser. 2. CONTROL VALVES a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? b: All control valves operated through full range of motion and returned to normal position? c. Are all control valves in tteopen position? Locked ❑ Sealed Tampered d. Are all control valves property signed? POINT EDWARDS CONDOMINIUMS — BUILDING 1 YES NO N/A x kJ 96 psi. PSI YES NO N/A Page 1 of 4 Revised Date 6/16109 S. FIRE DEPARTMENT CONNECTIONS a. Are fire department connections in satisfactory condition (Unobstructed view, couplings rotate freely, caps are in place)? b. FDC backflushed in NEW 2005 . (Required every 5 Years) 4. WET SYSTEMS a. Have antifreeze system solutions been tested? Solution % b. Were the antifreeze test results satisfactory? Specific Gravity Reading(s) c. Does the building appear to be adequately heated at time of inspection? e. Internal exam of piping conducted in CPVC (Required every 5 Years) 5. DRY SYSTEMS a. Is the air pressure and priming water level in accordance with manufacturer's instructions? b. Has the operation of the air or nitrogen supply been tested? Is it in service? c. Were the low points drained during this inspection? How Many? 3 d. Did quick -opening devices operate satisfactorily? e. Did the heating equipment in the dry pipe valve room operate at the time of inspection? f. Was the dry valve tripped during this inspection? Q] 76 X Deg_ X Y DRY PIPE OPERATING "' TEST DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. rYCO DPV-1 O O.D. TRIP OK TIME TO TRIP THRU TEST PIPE WATER PRESSURE INITIAL AIR PRESSURE TRIP POINT PRESSURE TIME WATER REACHED TEST OUTLET ALARM OPERATED LOCAL ALARM OPERATED REMOTE MIN. SEC. PSI PSI PSI MIN. SEC. ., 10 Ito Lk g. Date dry pipe valve trip tested (control valve fully open). h. Internal exam of piping conducted in NEW 2005 (Required every 5 Years) 6. ALARMS a. Did water motor gong test satisfactorily? b. Did electrical bell test satisfactorily? c. Is the system supervised with alarm? Operator # d. Did alarm monitoring service test satisfactorily? e. Waterflow alarm? f. Valve tamper monitoring? g. HULo Air Switch Who? SFSM @ AVANTGUARD— 89-6946 2009 _X k 'X POINT EDWARDS CONDOMINIUMS — BUILDING 1 Page 2 of 4 Revised Date 6/16/09 f -- 7. SPRINKLERS, GAUGES & MIC TESTING a. Are all sprinklers free from corrosion, foreign material, or paint? b. Are there any non -dry sprinkler heads manufactured prior to 1920? c. Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing: d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing: e. Are all dry type sprinkler heads less than 10 years old? Date of last sample testing: 200's- f. Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing: 2DO5' g. Is there fluid in the glass bulbs? h. Is a head wrench, stock of spare sprinklers and Teflon tape available? I. Does the exterior condition of the sprinkler system appear to be satisfactory? j. Date of last MIC testing? 8. WATERFLOW TEST AT MAIN DRAIN MADE AT SPRINKLER RISERS TEST PIPE DATE TEST PIPE LOCATION SIZE TEST PIPE STATIC PRESSURE RESIDUAL (FLOW) PRESSURE 1 O►-Ib RISER 2" 1 r o 90 2 Ot_1 RISER 1" i 10 qs 3 4 5 9. Explain any "No" answers and comments: POINT EDWARDS CONDOMINIUMS -- BUILDING 1 Page 3 of 4 Revised Date 6/16/09 10. Adjustments or corrections made during this inspection: i 11. Although these comments are not the result of any engineering review, the following desirable improvements are recommended: System 1 ❑ is operational 9 is operational with defects ❑ is not operational System 2 ❑ is operational �Rp is operational with defects ❑ is not operational System 3 ❑ is operational ❑ is operational with defects ❑ is not operational System 4 ❑ is operational ❑ is operational with defects ❑ is not operational System 5 ❑ is operational ❑ is operational with defects ❑ is not operational Inspector SMITH FIRE SYSTEMS MANAGEMENT, LLC 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 248-2360 Jm tName SFMOrrr# Date POINT EDWARDS CONDOMINIUMS - BUILDING 1 Page 4 of 4 SMITH FIRE SYSTEMS MANAGEMENT, LLC A'6 DATE G}_ Z t7 -w CONFIDENCE TESTING FIRE ALARM JOB # 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 248-2360 SITE NAME POINT EDWARDS CONDOMINIUMS -- BUILDING 1 ADDRESS 71 PINE STREET, EDMONDS, WA 98020 CONTACT TOYAN COPELAND PHONE (206) 388-0180 NAME OF TESTER —T&gg c_ ' i3 ru �,,,,,,,,�,r CERTIFICATION NO. /14(9o7 DATE OF INSPECTION-Zi • 1/ TYPE OF INSPECTION CONTROL PANEL MANUFACTURER SILENT KNIGHT MODEL NO. 5820 NUMBER OF INITIATING CIRCUITS ADDR NO. OF SIGNAL CIRCUITS 6 BATTERY VOLTAGE onto 7 aft VOLTS CHARGE CIRCUIT VOLTAGE 2M o? 7,3) VOLTS BATTERY VOLTAGE UNDER FULL LOAD ) 5, I o ilk VOLTS (SIGNALS OPERATING) . 1. Trouble signal with AC power off YES gl 2. System operates satisfactory on standby power YES 3. All signals operate on AC power YES 4. Have all alarm notification appliances been checked for proper operation? YES ❑ 5. All circuits checked for electrical supervision YES 6. Control panel checks made per manufacturer's instructions YES 7. All auxiliary equipment operates (Elevators, fans, dampers) YES 8. Central station or remote connection YES Name of Monitoring Company 9. Key to panel available 10. Operating instructions at panel? 11. Service Label or Tag (SFC Appendix III-B) 12. Did you sign off Item 8 on the Elevator Log NO ❑ N/A ❑ NO ❑ N/A ❑ NO ❑ N/A ❑ NO R N/A ❑ NO ❑ WA ❑ NO ❑ N/A ❑ NO ❑ WA ❑ NO ❑ N/A ❑ SFSM(&AVANTGUARD 89-6946 YES NO ❑ N/A ❑ YES NO ❑ N/A ❑ YES B NO ❑ N/A ❑ YES t& NO ❑ N/A ❑ POINT EDWARDS CONDOMINIUMS— BLDG 1 1 of 2 r �I EQUIPMENT TESTED TYPE OF EQUIPMENT NUMBERS OF UNITS TESTED SATISFACTORY NO. OF UNITS IN BUILDING YES NO N/A Bells, Horns, Chimes Voice Alarm Speakers 33 41 20 1 Visual Alarm Device p Trouble Indicators_ _ Super. Switch Auto. S r.) k 5 2 Auto S r. Flow Switches Z Smoke Detectors RIO x 16 Heat Detector(s) Manual Pull Stations g )c 8 Ventilation Controls Operate Central Station k 1 1 Annunciators Elevator Call Down 1 Fire Damper/Smoke Dampers Phone Jacks )C X 2 1 Auto. Door Unlocks - Failsafe i Auto. Door Release Other PROBLEMS FOUND: A) a eu 7b u s.,fi-S &3 -10`f �d Z. p 3D3 CORRECTIONS MADE: DATE CORRECTED BY THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT. POINT EDWARDS CONDOMINIUMS- BLDG 1 2 of 2 n Revised Date 6/16/09 SMITH FIRE SYSTEMS MANAGEMENT, LLC _.�... .1 DATE AUTOMATIC SPRINKLER SYSTEM JOB # 1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION Phone: (253) 248-2000 Fax: (253) 248-2360 Site Name POINT EDWARDS CONDOMINIUMS — BUILDING 1 Address: 71 PINE STREET, EDMONDS, WA 98020 Contact Person TOYAN COPELAND Telephone # (206) 388-0180 System # 1 Type WET Area Covered System # 2 Type DRY Area Covered System # Type Area Covered System # Type Area Covered System # Type Area Covered Type of Occupancy (CIRCLE): Other: Assembly Storage Industrial Offices Retail Apartments Condominiums Residential A. OWNER'S SECTION 1. Has there been any fire protection modifications since the last inspection?: Yes ❑ No ❑ Describe below: 2. Describe any fire(s) since last inspection: 3. Date (approximate if unknown) sprinkler system was installed: 4. Name of installation company: B. INSPECTOR'S SECTION 1. GENERAL a. Does the system have a hydraulic plaque? b. Are the risers labeled and what are the specifics? Discharge density .55 Per Gallons per minute 342 c. Is the building fully sprinklered? d. Is the entire sprinkler system in service? e. Record water pressure at riser. 1950 2005 (All responses reference current lnspectfon) Sq. Ft. residual pressure at riser 2. CONTROL VALVES a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? b. All control valves operated through full range of motion and returned to normal position? c.. Are all control valves in the open position? .Locked ❑ Sealed VL Tampered d. Are all control valves properly. signed? 96 psi. YES NO N/A �c► M W= ko PSI YES NO N/A T rL--' d -t Revised Date 6/16/09 3. FIRE DEPARTMENT CONNECTIONS a. Are fire department connections in satisfactory condition (Unobstructed view, couplings rotate freely, caps are in place)? b. FDC backflushed in NEW 2005 .(Required every 5 Years) 4. WET SYSTEMS a. Have antifreeze system solutions been tested? Solution % b. Were the antifreeze test results satisfactory? Specific Gravity Reading(s) c. Does the building appear to be adequately heated at time of inspection? e. Internal exam of piping conducted in CPVC (Required every 5 Years) 5. DRY SYSTEMS a. Is the air pressure and priming water level in accordance with manufacturer's instructions? b. Has the operation of the air or nitrogen supply been tested? Is it in service? c. Were the low points drained during this inspection? How Many? 3 d. Did quick -opening devices operate satisfactorily? e. Did the heating equipment in the dry pipe valve room operate at the time of inspection? f. Was the dry valve tripped during this inspection? M Deg DRY PIPE OPERATING TEST DRY VALVE Q.O.O. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TYCO DPV-1 O O.D. TRIP OK TIME TO TRIP THRU TEST PIPE WATER PRESSURE INITIAL AIR PRESSURE TRIP POINT PRESSURE TIME WATER REACHED TEST OUTLET ALARM OPERATED LOCAL ALARM OPERATED REMOTE MIN. SEC. PSI PSI PSI MIN. SEC. g. Date dry pipe valve trip tested (control valve fully open). h. Internal exam of piping conducted in NEW 2005 (Required every 5 Years) 6. ALARMS a. Did water motor gong test satisfactorily? b. Did electrical bell test satisfactorily? c. Is the system supervised with alarm? Operator # Who? SFSM @ AVANTGUARD— 89-6946 d. Did alarm monitoring service test satisfactorily? e. Waterflow alarm? f. Valve tamper monitoring? g. Hi/Lo Air Switch PfMh[T Fr11A/Agr1S f'f1K1r V'1"1Arri IUC Qi w rvwu-- 2009 Revised Date 6/16/09 L/ 7. SPRINKLERS. GAUGES & MIC TESTING a. Are all sprinklers free from corrosion, foreign material, or paint? PC b. Are there any non -dry sprinkler heads manufactured prior to 1920? c. Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing: ,< d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing: e. Are all dry type sprinkler heads less than 10 years old? Date of last sample testing: f. Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing:_ g. Is there fluid in the glass bulbs? J� h. Is a head wrench, stock of spare sprinklers and Teflon tape available? 1. Does the exterior condition of the sprinkler system appear to be satisfactory? j. Date of last MIC testing? 8. WATERFLOW TEST AT MAIN DRAIN MADE AT SPRINKLER RISERS TEST PIPE DATE TEST PIPE LOCATION SIZE TEST PIPE STATIC PRESSURE RESIDUAL (FLOW) PRESSURE $- 1-0 RISER 2" to S g�' 2 RISER 1" 3 4 5 9. Explain any "No" answers and comments: Mla1T Cnf</A 11l1G�"M��Mat��tl� la lea eaa ��� call asa � � � � � Revised Date 6/16/09 10. Adjustments or corr ctions made during this inspection• 1� �� LL,---,1 Lam'` 11. Although these comments are not the result of any engineering review, the following desirable improvements are recommended: System 1 ❑ is operational is operational with defects ❑ is not operational System 2 ❑ is operational is operational with defects ❑ is not operational System 3 ❑ is operational ❑ is operational with defects ❑ is not operational System 4 ❑ is operational ❑ is operational with defects ❑ is not operational System 5 ❑ is operational ❑ is operational with defects ❑ is not operational SMITH FIRE SYSTEMS MANAGEMENT, LLC 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 248-2360 Sign Inspector Print Name Print Name WA SFMO ITT # Date Date ignature of Owner or Representative !FMt H6SMITH FIRE SYSTEMS MANAGEMENT, LLC Fro,, '" " DATE �''�°"'' CONFIDENCE TESTING FIRE ALARM JOB # 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 248-2360 SITE NAME POINT EDWARDS CONDOMINIUMS - BUILDING 1 ADDRESS 71 PINE STREET, EDMONDS, WA 98020 CONTACT TOYAN COPELAND PHONE (206) 388-0180 NAME OF TESTER121 CERTIFICATION NO. U 9J1-1 7�- DATE OF INSPECTION $ * 3n 0 TYPE OF INSPECTION A nnt)a ` CONTROL PANEL MANUFACTURER SILENT KNIGHT MODEL NO. 5820 NUMBER OF INITIATING CIRCUITS ADDR NO. OF SIGNAL CIRCUITS 6 BATTERY VOLTAGE VOLTS CHARGE CIRCUIT VOLTAGE W7. ? VOLTS BATTERY VOLTAGE UNDER FULL LOAD ��_ VOLTS (SIGNALS OPERATING) 1. Trouble signal with AC power off YES ,ba 2. System operates satisfactory on standby power YES (a 3. All signals operate on AC power YES 4. Have all alarm notification appliances been checked for proper operation? YES 5. All circuits checked for electrical supervision YES 6. Control panel checks made per manufacturer's instructions YES 7. All auxiliary equipment operates (Elevators, fans, dampers) YES 8. Central station or remote connection YES Name of Monitoring Company 9. Key to panel available 10. Operating instructions at panel? 11. Service Label or Tag (SFC Appendix III-B) 12. Did you sign off Item 8 on the Elevator Log NO ❑ N/A ❑ NO ❑ N/A ❑ NO ❑ N/A ❑ NO ❑ N/A ❑ NO ❑ N/A ❑ NO N/A ❑ NO ❑ N/A ❑ NO ❑ N/A ❑ SFSMOAVANTGUARD 89-6946 YES M NO ❑ N/A ❑ YES NO ❑ N/A ❑ YES NO ❑ N/A ❑ YES NO ❑ N/A ❑ EQUIPMENT TESTED TYPE OF EQUIPMENT NUMBERS OF UNITS TESTED SATISFACTORY NO. OF UNITS IN BUILDING YES NO N/A Bells, Horns, Chimes Voice Alarm Speakers 41 41 Visual Alarm Device 20 20 Trouble Indicators _ 1 Super. Switch Auto. S r. _1 5 5 Auto S r. Flow Switches 2 2 Smoke Detectors 16 16 Heat Detector(s) Manual Pull Stations 8 8 Ventilation Controls Operate Central Station 1 1 Annunciators 1 1 Elevator Call Down 1 1 Fire Damper/Smoke Dampers Phone Jacks Auto. Door Unlocks - Failsafe 1 1 Auto. Door Release Other PROBLEMS FOUND: CORRECTIONS MADE: DATE CORRECTED BY THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT. SMITH FIRE SYSTEMS MANAGEMENT, LLC 4QWM€ VA.R- INSPECTION PROFILE 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 926-0726 Job Name: POINT EDWARDS CONDOMINIUMS- BLDG 1 Contact: TOYAN COPELAND Address: 71 PINE STREET Phone: SITE 206 388-0180 EDMONDS, WA 98020 System #1 - Type: WET— 1.5" SHOTGUN CPVC #Lo-Point Drains FIRE DEPARTMENT CONNECTION System covers: Comments: CHECK VALVE System #2 - Type: DRY-- 4" TYCO DPV-1 #Lo-Point Drains SIZE System covers: 4" Comments: FLG X FLG OR GRV System #3 - Type: #Lo-Point Drains IN VAULT OR RISER ROOM System covers: Comments: HOW MANY OPENINGS System #4 - Type: #Lo-Point Drains System Covers: Comments: FDC SNOOT LOCATION System #5 - Type: #Lo-Point Drains System Covers: WALL ❑ Comments: YARD DISTANCE 20' System Monitored By: SFSM @ AVANTGUARD 800-424-8276 Panel Brand SILENT KNIGHT System Account #: 89-6946 Panel Model 5820XL System Password #: TECH ID Type of Battery: BOLT / LEAD / SPADE Panel Location GARAGE ELECTRICAL ROOM How Many Batteries Sequence to test or disarm alarms/problems with alarms: REMOVE MARKED WIRES Time Restriction: YES, 8:30 Does inspection require advance notice? YES Riser room/drain valves accessible? Does inspection require special tools? How many persons does inspection require? Miscellaneous Notes: lzpg31L.I W oUS' Revised Date 6/16/09 SMITH FIRE SYSTEMS MANAGEMENT, LLC DATE 8/25/09 ^s AUTOMATIC SPRINKLER SYSTEM JOB # 26696 1106 54th Avenue East, Tacoma, WA 98424 PERFORMANCE EVALUATION ANNUAL Phone: (253)248-2000 Fax: (253)248-2360,_. Site Name POINT EDWARDS CONDOMINIUMS — BUILDING 1 Address: 71 PINE STREET, EDMONDS, WA 98020 Contact Person TOYAN COPELAND Telephone # (206) 388-0180 System # 1 Type WET Area Covered System # 2 Type DRY Area Covered System # Type Area Covered System # Type Area Covered System # Type Area Covered Type of Occupancy (CIRCLE): Other: Assembly Storage Industrial Offices Retail Apartments Condominiums Residential A. OWNER'S SECTION 1. Has there been any fire protection modifications since the last inspection?: Yes ❑ No ❑ Describe below: 2. Describe any fire(s) since last inspection: 3. Date (approximate if unknown) sprinkler system was installed: 2005 4. Name of installation company: B. INSPECTOR'S SECTION 1. GENERAL a. Does the system have a hydraulic plaque? b. Are the risers labeled and what are the specifics? Discharge density .55 Per Gallons per minute 342 c. Is the building fully sprinklered? d. Is the entire sprinkler system in service? e. Record water pressure at riser: 1950 (All responses reference current Inspection) Sq. Ft. residual pressure at riser 96 psi. 2. CONTROL VALVES a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? b. All control valves operated through full range of motion.and returned to normal position? c. Are all control valves in the open position? Locked ❑ Sealed ❑ Tampered RL. d. Are all control valves properly signed? YES NO NIA YES NO N/A POINT EDWARDS CONDOMINIUMS - BUILDING 1 Page 1 of 4 3. FIRE DEPARTMENT CONNECTIONS a. Are fire department connections in satisfactory condition (Unobstructed view, couplings rotate freely, caps are in place)? b. FDC backflushed in 2005 .(Required every 5 Years) 7iJ17J 4. WET SYSTEMS a. Have antifreeze system solutions been tested? Solution % b. Were the antifreeze test results satisfactory? Specific Gravity Reading(s) Deg c. Does the building appear to be adequately heated at time of inspection? e. Internal exam of piping conducted in CPVC (Required every 5 Years) 5. DRY SYSTEMS a. Is the air pressure and priming water level in accordance with manufacturer's instructions? b. Has the operation of the air or nitrogen supply been tested? Is it in service? �2 c. Were the low points drained during this inspection? How Many? J d. Did quick -opening devices operate satisfactorily? e. Did the heating equipment in the dry pipe valve room operate at the time of inspection? f. Was the dry valve tripped during this inspection? Revised Date 6/16/09 c(, N_ Vt.. V DRY PIPE OPERATING TEST DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TYCO DPV-1 Q.O.00.KRIP TIME TO TRIP THRU TEST PIPE WATER PRESSURE INITIAL AIR PRESSURE TRIP POINT PRESSURE TIME WATER REACHED TEST OUTLET ALARM OPERATED LOCAL ALARM OPERATED REMOTE MIN. SEC. PSI PSI PSI MIN. SEC. hl 0 11 1 s 22 g. Date dry pipe valve trip tested (control valve fully open). h. Internal exam of piping conducted in 2005 (Required every 5 Years) _*t� ?nt_ 6. ALARMS a. Did water motor gong test satisfactorily? b. Did electrical bell test satisfactorily? c. Is the system supervised with alarm? Operator # d. Did alarm monitoring service test satisfactorily? e. Waterflow alarm? f. Valve tamper monitoring? g. Hi/Lo Air Switch Who? SFSM @ AVANTGUARD— 89-6946 POINT EDWARDS CONDOMINIUMS - BUILDING 1 Page 2 of 4 7. SPRINKLERS, GAUGES & MIC TESTING a. Are all sprinklers free from corrosion, foreign material, or paint? b. Are there any non -dry sprinkler heads manufactured prior to 1920? c. Are all non -dry sprinkler heads less than 75 years old? Date of last sample testing: d. Are all non -dry sprinkler heads less than 50 years old? Date of last sample testing: e. Are all dry type sprinkler heads less than 10 years old? Date of last sample testing: f. Are all FAST RESPONSE sprinkler heads less than 20 years old? Date of last sample testing: g. Is there fluid in the glass bulbs? h. Is a head wrench, stock of spare sprinklers and Teflon tape available? I. Does the exterior condition of the sprinkler system appear to be satisfactory? j. Date of last MIC testing? 8. WATERFLOW TEST AT MAIN DRAIN MADE AT SPRINKLER RISERS Revised Date 6/16/09 K, W. 1� TEST PIPE DATE TEST PIPE LOCATION SIZE TEST PIPE STATIC PRESSURE RESIDUAL (FLOW) PRESSURE D RISER 21' �O 2 �� RISER 1" O CO 3 4 5 9. Explain any "No" answers and comments: POINT EDWARDS CONDOMINIUMS - BUILDING 1 Page 3 of 4 . I , Revised Date 6/16/09 10. Adjustments or corrections made during this inspection: 11. Although these comments are not the result of any engineering review, the following desirable improvements are recommended: System 1 is operational System 2 is operational System 3 ❑ is operational System 4 ❑ is operational System 5 ❑ is operational ❑ is operational with defects ❑ is operational with defects ❑ is operational with defects ❑ is operational with defects ❑ is operational with defects ❑ is not operational ❑ is not operational ❑ is not operational ❑ is not operational ❑ is not operational SMITH FIRE SYSTEMS MANAGEMENT, LLC - 1106 54th Avenue East, Tacoma, WA 98424 �rarRrfaa : t�sr.e, Phone: (253) 248-2000 Fax: (253) 248-2360 217 Name 6.Z507 Date POINT EDWARDS CONDOMINIUMS — BUILDING 1 Page 4 of 4 SMITH FIRE SYSTEMS MANAGEMENT, LLC ' DATE 8/25/09 car+€se�s Rt�e CONFIDENCE TESTING FIRE ALARM JOB # 26696 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 248-2360 SITE NAME POINT EDWARDS CONDOMINIUMS -- BUILDING 1 ADDRESS 71 PINE STREET, EDMONDS, WA 98020 CONTACT TOYAN COPELAND PHONE (206) 388-0180 NAME OF TESTER 9A:>__( lf�. V/AVz- CERTIFICATION NO. sC VV - C,2z4 Sc DATE OF INSPECTION August 25, 2009 TYPE OF INSPECTION ANNUAL CONTROL PANEL MANUFACTURER SILENT KNIGHT MODEL NO. 5820 NUMBER OF INITIATING CIRCUITS ADDR BATTERY VOLTAGE Z6 , Co NO. OF SIGNAL CIRCUITS 6 VOLTS CHARGE CIRCUIT VOLTAGE 2 '7 • Z- VOLTS BATTERY VOLTAGE UNDER FULL LOAD Z r— - 0 VOLTS (SIGNALS OPERATING) 1. Trouble signal with AC power off YES NO ❑ N/A ❑ 2. System operates satisfactory on standby power YES NO ❑ N/A ❑ 3. All signals operate on AC power YES J] NO ❑ N/A ❑ 4. Have all alarm notification appliances been checked for proper operation? YES NO ❑ N/A ❑ 5. All circuits checked for electrical supervision YES NO ❑ N/A ❑ 6. Control panel checks made per manufacturer's instructions YES NO ❑ N/A ❑ 7. All auxiliary equipment operates (Elevators, fans, dampers) YES NO ❑ N/A ❑ 8. Central station or remote connection YES NO ❑ N/A ❑ Name of Monitoring Company SFSM a(� 4VANTGUARD 89-6946 9. Key to panel available YES UK NO ❑ NIA ❑ 10. Operating instructions at panel? YES ❑ NO Cj� N/A ❑ 11. Service Label or Tag (SFC Appendix III-B) YES [K NO ❑ N/A ❑ 12. Did you sign off Item 8 on the Elevator Log YES _' NO ❑ N/A ❑ POINT EDWARDS CONDOMINIUMS— BLDG 1 1 of 2 - EQUIPMENT TESTED TYPE OF EQUIPMENT NUMBERS OF UNITS TESTED SATISFACTORY NO. OF UNITS IN BUILDING YES NO N/A Bells, Horns, Chimes Voice Alarm Speakers 41 41 Visual Alarm Device 20 20 Trouble Indicators 1 1 Super. Switch Auto. S r. 6 6 Auto S r. Flow Switches 2 % 2 Smoke Detector, s 16 16 Heat Detector(s) Manual Pull Stations 8 8 Ventilation Controls Operate Central Station 1 1 Annunciators 1 1 Elevator Call Down 1 1 Fire Damper/Smoke Dampers Phone Jacks 2 2 Auto. Door Unlocks - Failsafe 1 1 Auto. Door Release Other PROBLEMS FOUND: N ON C-77 CORRECTIONS MADE: DATE CORRECTED BY THIS IS TO CERTIFY THAT THE FIRE ALARM SYSTEM HAS BEEN PROPERLY TESTED AND INSPECTED FOR RELIABILITY TO COVER THE ITEMS LISTED IN THIS REPORT. nature w SMITH FIRE SYSTEMS MANAGEMENT, LLC 1106 54th Avenue East, Tacoma, WA 98424 Phone: (253) 248-2000 Fax: (253) 248-2360 Print Name S-uzs,-Q Date or POINT EDWARDS CONDOMINIUMS- BLDG 1 2 of 2 CITY OF EDMONDS 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215 FIRE DEPARTMENT 41 0 st. 189 LOCATION: 75 Pine S$ BUSINESS NAME: Pt Edwards Condos Bldg is MAILING ADDRESS: BUSINESS OWNER: EMERGENCY-1: Copeland Grp(Pfop Mgr) KEY ACCESS-2: Copeland, Toyan FIRE PREVENTION SAFETY SURVEY PHONE: HOME PHONE: HOMEPHONE: 2063830180 HOME PHONE: FREQUENCY STATION & SHIFT 365 17 SCHEDULED DATE DUE ► 04/01/10 UFIR ► 424 4 152 PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: ,,,�� got(' Gv/r�sLy (7 Qk5AJ 0006, FIRE AS 9/07 FA 9/07 FCC LkBx FE Z/P SYSTEMS: yb s (07 1 S f ZS (0'� 1 v K ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONSe ENTER CODE ONLY ONCE ► VIOLATION CODE 2 2 3 3 4 4 I 5 5 6 6 7 7 8 _ 8 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: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 7 4 18 4 8 DATE: DISPOSITION: 8 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 71 FIRE DEPARTMENT COPY lNesffall, John From: Soucy, Joseph Sent: Wednesday, August 23, 2006 6:22 PM To: Fire Dept Group Subject: Point Edwards access El went on a SWFA at the 71 building to find that the door keys do not work. The buildings were re -keyed about 10 days ago and the Supra box supply was overlooked. The maintenance man will be in contact with FM16 Thursday to address the issue as well as restore the system properly. Just a reminder, if you go in the stairwells block the doors or it's a one way trip to the garage and hope nothing is happening down there. Joe �i YY S .• • hr webFIRS Fire Incident Report Edmonds Fire Department Incident Number: EF06002808 Exposure: 0 Incident Date:% 23/-200 Jurisdictional Station: 17 Location Type: Street address Address: 71 PINE ST City: Edmonds State: WA Zip: 98020 Incident Type: Sprinkler activation, no fire - unintentional Shift: B Alarms: 1 Grid: EF152 Aid Type: None Alarm Time: 17:05:17 8/23/2006 Arrival Time: 17:10:41 8/23/2006 Last Unit Cleared Time: 18:04:51 8/23/2006 Actions Taken: Systems and services, other HazMat Released: None Property Value: 0 Contents Value: 0 Property Loss: 0 Contents Loss: 0 Fire Service Deaths: 0 Civilian Deaths: 0 Fire Service Injuries: 0 Civilian Injuries: 0 Detector: Officer In Charge: JOSEPH SOUCY Assignment: Suppr ess Mixed Property Use: Not mixed use Property Use: Multifamily dwellings wf6FIRSa Fire Incident Report Edmonds Fire Department Person('s) Involved Role: Other Name: Sean (maintanence) Phone Number: 2062613533 Address: 71 PINE Edmonds, WA 98020 ST Apparatus and Personnel Apparatus ID Personnel ID('s) B16 EF0729 E17 EF1126 EF2206 EF2400 L20 EF0519 EF1602 EF2328 web -FIRS Fire Incident, Report Edmonds Fire Department Incident Number: EF06002808 Exposure: 0 Incident Date: 8/23/2006 Narrative E17 responded with L20 and B16 to a SWFA at 71 Pine St., Point Edwards Condos. On arrival E17 found audible and visible alarms activated. Crew walked the building to find no problem. There was water flowing in the system drain and the panel showed that the "dry" system had gone "wet". Crew was able to silence the alarms but not reset until the system is serviced. E17 made contact phone contact with Sean who works maintenance on the buildings who asked if this could be service in the morning. E17 contacted FM16 who stated it could wait. Cause of the alarm may have been set off from a contractor's water truck that had been filling up in the area to clean the roads off around the site. E17 returned. 40161 4:1.1C36P161 .0'8/23/06 18:17:23 PRINT REQUESTED BY TERMINAL EFPC09 Incident History for: #EF06002808 Case Numbers: $EF06003197 $5206015322 Entered 08/23/06 17:05:07 BY SCPC04 SC770 Dispatched 08/23/06 17:05:17 BY SCPC07 SC710 Enroute• 08/23/06 17:07:31 Onscene 08/23/06 17:10:41 Closed 08/23/06 18:04:51 A Initial Type: FAS Initial Alarm Level: 1 Final Alarm Level: 1 Final Type: FAS (FIRE ALARM -SPRINKLER WATERFLOW) Pri: 2 Dispo: Police BLK: E027 Fire BLK: EF152 Map Page:-454F-6 Group: EF1 Beat: MD17 Sr Loc: 61 PINE ST ,EDM (no xsts) (V) Loc Info: POINT EDWARDS - NO INSIDE # Name: 151/INTERSHIP CONTROL Addr: 1702 1703 1705 Phone: 8778700910 /1705 (SC770 ) ENTRY ,NOT RESET - WATER FLOW ALM /1705 (SC710 ) DISP. B16 #EF0729 ALLISON,STEVE - BC /1705 $ASNCAS B16 $EF06003197 /1705 ASST E17 #EF1126 SOUCY,JOSEPH HAZMAT TECH #EF2400 ANDERSON, BLAKE #EF2206 STEVENS, DAVID /1705 ASST E20 #EF0519 WOODS,JOEL #EF2328 CHAO, ROBERT #EF1602 MCALLISTER, B -RESCUE TECH /1705 ASST TAC21 /1705 $ASNCAS TAC21 $S206015322 /1705 (SC770 ) CHANGE LOCI:. --> POINT EDWARDS - NO INSIDE #, ADR: --> 1702 1703 1705, PHO: --> 8778700910, TXT: NOT CALLED IN - SUB INFO PEND /1705 (SC710 ) AVL E20 /1707 AIQ TAC21 /1707 ENROUT E17 /1707 ENROUT E20 /1708 ENROUT B16 /1710 ONSCNE E17 2 STORY WF CONDOMINUM COMPLEX - ALARM AT 71 PI NE /1711 (EF0729) *ONSCNE B16 /1712. (SC710 ) ONSCNE E20 /1722. CLEAR E20 /1723 (EF0729) AOR B16 /1735 (SC710 ) CHANGE ,640-9500 /1739 CHANGE ,COLLEEN SCHMIDT 771-0883 /1742 CHANGE ,JOAN MACLEAN 640-6461 /1742 CHANGE ,JOAN CELL PHONE (206) 226-6960 /1742 CHANGE ,JOAN CELL PHONE (206) 226-6920 /1804 (SC746 ) AOR E17 ,SPRINKLER AT 71 OOS, WILL REMAIN IN TRBL MAINT CONTACT/FIX TOMORROW,FM16 ALSO AWARE /1804 CLOSE E17