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School Buildings Alarm Systems - FIR Inspections - 2/8/2016
SIT I CO PY I I NORTH MASON HIGH \ \ I I SCHOOL 2-4-16 � II � II Pawl � @� oaS / \ F Oki II ,� f r,00gt0a,cSPEct ►•�o'� o� M Ps Exory� w�• \ \ I Bleacher Occupant Load °� o �p Nj Nt 1°�&5 E f 0 t o ��� Ut I I st BLEACHER OCCUPANT LOAD= 470 SEATS PER 1004.4 6 6 I I . 1C I I I Aux Gym Occupant load E ( I AUx GYMNASIUM " when the bleachers are J 700 3,192 SF open. I 50 SF/oc =64°` FIRE TOTAL OCCUPANTS= 470+64= 1 534 OCCUPANTS MARSHAL. C p Required �V 019 ONE HOUR FIRE BARRIER REQUIRED AT (486oc x.15"=72.9") THIS WALL ONLY. — — (76"provided) North Mason High School ELEC MECH' 313 314 ° 2-4-16 8 Er g STAFF I I I 016 15 I 1 1 1 1 1 1 I I A. 2 I I I I I I I BLEACHER OCCUP T LOAD=479 SEATS PER QASI#4 1004.4 48 E I �(J j_ Br P ID- GYM Ej 1 �a� 30o I Bleacher Occupant I ���B��G'� pEs n►1A` �,pE�0 GO ~ 6,743 SF Load 1�G�� d'"s ON � GTOR;oN gr+� I 7 SF/oc ASI#4 �� ems+ NEa1G� P� zf�+� =964 oc 4 1%00e��� o ROB foR� P�N9E � s I Gym occupant load Voss% fk pNs Or o N�E ANv g when bleachers are TOTAL OCCUP TS= �wov�► ZO wO�� I +479 964= I I open. ; 1,913 CCU A TS R I II Bleacher Occupant load. BLEACHER OCCUPANT LOAD=470 SEATS PER I I - 1004.4 I I I I I I I I I I I — C A..15 I I I I I b 8 L .F "AFF TRAINING TRAINING FIRE =FICE 52 OFFICE SKILLS 2 06E A�. 302B 302C As. - MARSHAL 41 254 SF Inspection Contract No. File No. FIRTH ' =--CT10N SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIRE AL W M SYSTEM REPORT OF IWE0TION y Oats Name of Facility: Ala cltlns Occupied as: Address: • S UC?Son Citx 1�e� ✓' County• / /�lSd 5�-Zip � � Telephone Building Designation (if e than one building)-- Inspection by- Date of inspection: 1. -Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual - 2. Type of systems: Noncoded 0 Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: &dt�4� 4. Fire Department Official Contacted: S. Test Received at Fire Department: Yes Na ❑ 6. Master Box Reset /�/ A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. R4�1 & f6coL I �s� ���K I aao8 - a 3 - L00000 L 1� "' ", V, 77, SAP u i933 PERW �CCtC ►��ti " f�AiTGQ SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNED TO STATE FIRE i•1ARSHAL. . EQUIPMENT TESTED SATISFACTORYNUMBER OF ILSV. PE AND TYPE OF EQUIPMENT UNITS TESTED DATE • CHECK MANUFACTURER Yes No N/A 8. Control Panel 9. Manual Station (9 ✓ AA C,C f 10. Heat Detectors �~ 11. Smoke Detectors Audible arm 0 ✓ k/Hcti�O 12. Devices Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15 . Releases 16. Trouble Indicators ! 17. Master Alarm Box - 18. Batteries I )� VtJ` 19. Charcer 1 I I 20. Generator -� 121. Ventilation Control f Fire Department 22. Interconnection Central Station 23. Interconnection �'� "3 Exterior Sprinklerl 24. Electric Alarm Bell pri nk ler Water I �.- 25. Flow Switch prink er Gate VaNe I 26. Suoervision Switch 27. Annunciators ' 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative Z'Q-�� B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone NoA72-2955 E. Electrical Contractors License # DE*14O R3 F. Specialty Electricians License �T yf'O"�a Inspection Contract No. File No. FIRZ '.?' CTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia. WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Oats -2 Name of Facility Ai�&,-e• !S nko Occupied as: Address: Z - `�_y �tQv► Si t �� Citx i3-6'v County• /L7aSG'� Zip. Telephone 2,010mg resignation (if wre than one building) / Title Cdr Inspection by: /1�_/ Date of inspection: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual Q 2. Type of system: Noncoded Q Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to ct apt.tr 212-14 WAC) 3. Local Fire Department: 4. Fire Department Official Contacted:S. Test Received at Fire Department: Yes 6. Master Box Reset xl�x A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. Ecc LLB / S VL , 0%u_= �✓U t� yr f ��o/l'iS 134D��G r y1 L c�...t U q,,• .i -- f b r.a SFM 222, Rev. 5/78 ORIEL AL FORM TO BE RETURNEJ TO STATE FIRE riAASHAL. EQUIPMENT TESTED SATISFACTORY TYPE AND ' TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A S. Control Panel 9. Manual Station 10. Neat Detectors 11. Smoke Detectors Audible A arm / 12. Devices Visual Alarm ` 12. Devices 14. Code Transmitters Automatic Door �� h 15. Releases G 16. Trouble Indicators I do 17. Master Alarm Box 19. Batteries 19. Charver ✓ ��` ��°�� 20. Generator i21. Ventilation Control ✓f o� �'J`��� � � Fire Department 22. Interconnectiort 'Z- Central StatioF �7 23. Interconnectiort Exterior Sprinklerl 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch 1 pw r Sprinkler Gate Valve 26. Suoervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes No 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative !� C. Name of Firm Sound Electconics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License # SOUNDE*14OR3_ _ F. Specialty Electricians License i 0101—& Inspection Contract No. File No. en FIRZ 15RC=TION SERVICES DIVISION 9th & Columbia Bldg. CJi-51, Olympia. WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date Name of Facility: W �,��1 Occupied as: S Address• �y /y /1ls�a�,J �G C i tX County:• Zf�e Zip Telephone .27T Buildinc Designation (if more// than one building) Inspection by: �a2 lam✓ /��- Title e Oate of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded Common coded ❑ Selective comer ❑ Oual �caoa n (as pertaining to chapter Z12-14 WAC) Q � � 3. Local Fire Oepartment: e 4. Fire Department Official Contacted: S. Test Received at Fire Department: Yes j No ❑ "' '�' 6. Master Box Reset A.M. —P.M. 1. Comments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURN EL) TO STATE FIRE OARSHAL. or EQUIPMENT TESTED UM -SATISFACTORY N TYPE OF EQUIPMENT NITS TESTED DATE . CHECK MANUFACTURER Yes No N/A 8. Control Panel w.6/ c".c S' f 9. Manual Station v 10. Heat Detectors Kj 11. Smoke Detectors X udio e A arm 12. Devices Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15 . Releases 16. Trouble Indicators 17. Master Alarm Box 19. Batteries -2 J �7 -� L/ 19. Charoer 20. Generator O iK. Ventilation Control Fire Department ( I 22. Interconnection -7e-n-t—ra-77tation � 23. Interconnection / Exterior Sprinkler 11I I 24 . Electric Alarm Bell Sprinkler Water 25. Flow Switch Sprinkler Gate Valve D 25. Suoervision Switch 127 . Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes X No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consi tent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Finn Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No,472-2955 E. Electrical Contractors License # DE*14O R3 F. Specialty Electricians Licensec- Inspection Contract No. File No. FIRZ ''RQTECTION SERVICES DIVISION 9th & Columbia Bldg. Gii-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date /o f Facility: i t : Nave • Y Occupied as: Address: �a /� SG�coa i` �t C County: /fir �1 Zip z ��' Telephone Buildinc Designation (if more than one building) Inspection by: Lj �AJI2� Date of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual Zf 2. Type of system: Noncoded Z Common coded ❑ Seiective ceded ❑ Dual =cded n (as pertaining to chapter 212-J14 WA`,C,) rtme 3. Local Fire Depant: he-A;" Y 4. Fire Department Official Contacted: !v 5. Test Received at Fire Department: Yes No ❑ 6. Master Box Reset k.J // A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. Q SFM 222. Rev. 5/78 URIGIiiAL FORM TO BE RETURNEJ TO STATE FIRE AARSHAL. v EQUIPMENT TESTED UM Y TYPEN TYPE OF EQUIPMENT NITS TESTED DATE . CHECK MANUFACTURER Yes No N/A S. Control Panel o l 2,*,-A!h (f 9. Manual Station 10. Heat Detectors 11. Smoke Detectors Audible Alarm 12. Devices Visual Alarm / G � 13. Devices 1/ 14. Code Transmitters Automatic Door 15 . Releases � w � 16. Trouble Indicators I ` 17. Master Alarm Box 18. Batteries 2 I I ✓ G�� ��� 19. Charver 1/ 20. Generator )21. Ventilation Control Fire Department I 22. Interconnection Central Station 23. Interconnection Exterior Sprinkler y I I 24. Electric Alarm Bell C� Sprinkler Water f- 25. Flow Switch prink er ate Valve ' 26. Supervision Switch 27. Annunciators - 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consiste with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License # SOUNDF, 140R3 F. Specialty Electricians License #_�� /7, tr"c Inspection Contract No. File No. FIRZ 13RGTZ=0N SERVICES DIVISION 9th & Columbia Bldg. Cii-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION �f Oate �J iit o�sl Name of Faci y Occupied as• 0L5L-01 Address: liilyu 9,3� t2L City `r County: Zip Telephone Building Designation (if a than one building) Inspection by: S Dj✓r- 4 Title 1� Date of inspection: 191';�ZZ2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: Monthly Q Quarterly Q Semi-Annual Q Annual 2. Type of sy5te": honcaded 2' Canon coded Q Selective coded ❑ Dual coded Q (as pertaining to chap"r 212-14 W1C) 3. Local Fire Oepartment: ----4'd/?('/-_- 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes No ❑ � /1�1� ���1 6. Master Box Reset /` A.M. P.M. 7. Cosaaents, e p atio of unsatisfactory results, action taken, etc_ SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNED TO STATE FIRE vIARSHAL. r EQUIPMENT TESTED NU M Y N TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A - 117 8. Control Panel 9. Manual Station 10. Heat Detectors cz_� II. Smoke Detectors u i o e Alarm ✓ �� I2. Devices Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15 . Releases 16. Trouble Indicators 17. Master Alarm Box / 18. Batteries ✓ `/��� Gn 19. Charaer / 60. Generator ✓ 21. Ventilation Control Fire Department 122. Interconnection Central tation 1 ✓ , �23. Interconnection Exterior-Sprinkler 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch prink ler Gate Va ve 26. Suoervision Snitch 127. Annunciators * / I I v1 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑,/�j�_ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is con scent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representati C. Name of Firm Sound Electroni D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License DE',14OR3 F. Specialty Electricians License D Inspection Contract No. File No. FIRE. ZROTF.CTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT Of INSPECTION Date �P 171 Name of Facility: �U v n Occupied as: Address• C - ao �Lzlv� City. Z-/- /� Telephone County: // '�U�� Zip Building Designation (if more than one building) Inspecticn by: r� � � G✓ Tit 1 e_�,�� Oate of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual `P 2. Type of sySte%: Ncncaded o Co n)Coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 3. Local Fire Oepartaent: F ' 4. Fire Department Official Contacted: S. Test Received at Fire Oepart'-nent: Yes�ff Na ❑ - 6. Master Box Reset A.M. 1. Garments, expla ion unsatisfactory results, action taken, etc. .� 44 SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNED TO STATE FIRE MARShAL. T EQUIPMENT TESTED NUMBER -SATISFACTORY N TYPE OF EQUIPMENT ITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel 9. Manual Station 10. Heat Detectors 11. Smoke Detectors ucio a Alarm ✓_ AA 12. Devices Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15 . Releases 1E. Trouble Indicators 17. Master Alarm Box 18. Batteries v 19. Charger 20. Generator 121. Ventilation Control ire Department 22. Interconnection Central tation 23. Interconnection 4�"ILD (:2 Exterior Sprinkler 24. Electric Alarm Bell prinkler water 25. Flow Switch prink er Gate Valve 26. Suoervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes Q No /✓� 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representativ C. Name of Firm Sound Electron 'cs D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License I SOUN D E-',140 R3 F. Specialty Electricians License Inspection Contract No. File NO. NFI:tT� 7'?tQT.�TZCN SERVICES DITISTaN gth & Columbia Bldg. Cui-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date 5 Name of Faci 1 i ty: Occupied as: 'E:)C'q1Yr Address: S� 1���?�►�I r'I�tSIY� 'I �O (�Q City '( County-. M k"X Zip lephone 1 -qq(n. I Building Designation (if more than one building) L '1M - Inspection by: l� `z ll (Su�� A r�Zi 11�'�^ r _Title Oate of inspection: I. Type of Test: Monthly ❑ Quarterly ❑ Semi-,annual ❑ Annual • 2. Type of system: Noncoded ❑ C=wn cade-1. ❑ Selective coded ❑ Cual coded ❑ (as pertaining to C!japter 212-14 WAC) 3. Local Fire Oepartment: - 4. Fire Oepar-t_-nent Official Cantacted:1�1dt\) 7(NL11y V - f�'l�s�� 5. Test Received at ffire-6� Yes �3_ No ❑ 6. Master Box Reset A•M• P"�' nsatisfactory results, action taken, etc. 7. Cotrroents, explanation of u • SFM 222, Rev. 5/78 ORIGINAL FORK 70 BE RETLRNEj 70 STATE FIRE MARSHAL. EQUIPMENT TESTED UM SATISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel C J � 9. Manual Station 10 10. Heat Detectors 11. Smoke Detectors uTTo e arm W 12. Devices Visual alarm 13. Devices 14. Code Transmitters Automatic Door I i/ 15 . Releases 16. Trouble Indicators 117 . Master Alarm Box I I 18. Batteries ov , .R"-i 19. Charaer 20. Generator ( Ventilation Control ' Fire partment �22. Interconnection Central tation 23. Interconnection Exterior SprinKler 24. Electric Alarm Bell orinkler Water 25. Flow Switch I prinx er ate a ve 26. Supervision Switch 127. Annunciators I I _77- 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative �Cz B. Signature of Fire Alarm Firm Representativ40 MA C. Name of Firm Sound Electronics 0. Mailing Address 4621 PaciEic Ave Tacoma , Wa . 98408 Phone No472-2955 E. Electrical Contractors License # SOINDE-;14OR3 F Snecialty Electricians License Inspection Contract No. File No. ' FIB ' NWT---MON MVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 - FIRE ALARM SYSTEM REPORT OF INSPECTION ' Date Name of Facility: H��KINS P'l�� EN occupied as: H I pDLC- Address•_ L �`7'� � �a ��! fzp ci ty� County:• Zip qS�� _ Telephone Building Designation (if more than one building) Inspection by: ( 1� ,{}- F .-, . ULad � Title Oate of inspection: LI 9 4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: Monthly [.,1 Quarterly Q Semi-Annual Q Annual 2. Tyre of syste": Ncncaded Q 1 n coded El Selective coded C Cual coded (as pertaining to �taptsr 212- ) 2. Local Firs Oej3ar ment:�� r I IR, _-- 4. Fire Depar--rent Official Contacted:—HbAIMF 011\�C-'-- M.iy�LozIN(3- Yes Na Q 5. Test Received at 6. !taster Box Reset A.M. 7. C_mwnts, explanation of unsatisfactory results, action taken, etc. [38 j> LIB 0A,)LE I, Li f__ ' -Z ildC SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETLRNE:I TO STATE FIRE MARSHAL. EQUIPMENT TESTED UM SATISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE . CHECK MANUFACTURER Yes No N/A 8. Control Panel -31 Ldc)4 C 9. Manual Station 10. Heat Detectors 62 11. Smoke Detectors 0I -Audible arm 12. Devices 19 Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 1� . Releases 118. Trouble Indicators ) � I 17. Master Alarm Box 18. Batteries �19. Charger 20. Generator `� I f 2 Ventilation Control D i ' Fire Department 122. Interconnection Central tation 23. interconnection epI Exterior Sprink er I Za. Electric Alain Bell prinkler Water 1 25. Flow Switch 1 prinK er Eiate Valve 26. Supervision Switch 127. Annunciators " I Qz 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this re rt and is c sistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representati e C. Name of Firm Sound Electronics / D. Mailing Address. 4621 Pacific Ave Tacoma , Wa . 98408 Phone No:+72-2955 E. Electrical Contractors License # SOUNDE*J40 R3 F_ Soecialty Electricians License #e-L150E-6I0C- — f MASON COUNTY FIRE MARSHAL Mason County Bldg, III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 /� (360)427-9670 U a J - f 01/'�f� CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION August 27, 1996 Bev Jolley North Mason School District E. 50 North Mason School Road Belfair, WA 98528 Ms. Jolley: Pursuant to our fire alarm test on August 22, I wanted to confirm the issues that we discussed. As you recall, the intent of our test was to confirm the proper signal transmission and zoning of the various buildings on the campus and to make necessary corrections. ADMINISTRATION BUILDING There are 4 zones on the fire alarm panel in the Administration Building. They are: 1. Administration Building 2. Administration Building/Storage 3. Boiler Room 4. Kitchen/Portables Each zone annunciates separately on the fire alarm panel. Only one zone is transmitted to the central receiving station. It is designated as ADMINISTRATION BUILDING. SUMMARY: Zone 1&2 are in the same building and can be left as is or combined and transmitted on one zone. Zone 3 should be transmitted as a separate zone. Zone 4 should be broken into 2 separate zones and transmitted as follows: Zone 4-Kitchen Zone 5-Portables HAWKINS MIDDLE SCHOOL There are 8 zones on the fire alarm panel. Three zones are transmitted to the central receiving station. They are: 1. Pump House/Sprinkler 2. Middle School 3. Gymnasium SUMMARY: It is not clear why the pump house/sprinkler system is on the Middle School panel. However, the important issue is that the functions in this building are transmitted in such a way that the central receiving station receives information that can be relayed to the 911 center, and on to the responding fire department. With that thought in mind, the zoning& transmission from the Hawkins Middle School appear to be appropriate. ANNEX There are 12 zones on the fire alarm panel. They are: l 1. 4 fire alarm zones (high school building) 2. 4 water flow zones (high school building) 3. 3 Annex building fire alarm zones 4. 1 trouble zone 5. 1 duct detector zone (high school gymnasium) Three zones are transmitted. They are: 1. Annex 2. High School 3. Water flow-High School SUMMARY: The fire alarm panel in the Annex handles all the alarm signals that emanate from the Annex and the Main High School Building. The zone transmission is not appropriate and should be modified to allow separate transmission of each of the 12 alarm zones, to be designated by individual building and function within each building, as follows: 1. Annex--Transmit each of the 3 alarm zones and identify the location of each zone in the building. 2. High School--Transmit each of the 4 alarm zones and the 4 water flow zones and identify the location of each zone in the building. 3. High School--Transmit the High School Gym duct detector zone. 4. Supervise the trouble zone. The Sound Electronics technician that assisted in the test confirmed that the fire alarm panel in the Annex building is currently capable of transmitting only 8 zones. The panel can be modified to handle enough additional zones to handle both buildings and future expansion. Once the zoning and signal transmission is modified, I would expect Sound Electronics to coordinate the modifications with the Alarm Center to be sure that the zoning designation is clear, and that the correct information is provided from the Alarm Center to the Mason County 911 Center. I want to review the final modifications. Thank you for your interest in fire and life safety. If you have any questions, please contact me. I would be interested in knowing your anticipated schedule for modifying the alarm system. Besty,16g rds, Dav alzer Fire Marshal cc: FD 5 Sound Electronics 06i26i96 1 2:0 3 a 3604304245 Plarm Center P, 02 9oUN1? ELECTRONICS WED AN 26 1996 1104 AM aa■saaaaasaaa isam alazaa as aszaGZ=zziLLG=S22=zxZxL=xLLaFaLZL==LZS3ZxxLLL S===x=SZS=======C=rL=====r2z======G===4 Z=zz zG=zz x rz=L=XX2zLG2 CIRCUIT/BOX t 5211150-1 ..,.......belongs to........... CUSTOMER : 79M03-W HAWKINS MIDDLE SCHOOL HAWKINS MIDNL SCHOOL EAST 50 NORTH MASON SCfM RD EAST 50 NORTH MASON BUM AD 1 BELFAIR, WA 9M BELFAIR, WA �m MASON MASON (360) E75-4461 (360) 275-2W aisacaaiissizceazsass=s=ax=zcx=snsszcs===a==rLx=^=====c==ct=�s�=zzaxrscoc_sa=_===c2avxxn:=t=erscz2serassr:Lasracia=cam==r==c�vG2zsz Signal Processing Tables s xl3asiiiiLSLLX L�Fxrr.TLLL�Li:=�S:SS-�---S-tLtCZGL3-GGr=-GC_.._S-_-.._.--_Sy__SSCSStYCG__r__tY Z2 Q_C-..SG_S_Stct=L___SYCS_x_._Z_-6Y'J SL�AC Sig Type Pr In/Pt Res Sig Type Pr In/Pt Res Sig Type Pr In/Pt Res Sig Type Pr Zn/Pt Res l FA 10 1 Yes 2 BA 20 2 Yes 3 FA 10 3 Yes 4 BA 20 4 Yes S UP 30 5 Yes 6 Sly' 30 6 Yes 7 FA 10 7 Yes 8 FT 40 B Yes 9 RES 70 9 No Circuit/Box format is i RAD65 - RADIONICS 6500 Alternate C/B's and formats are : R21,150-J (RADIONICS 6500) Secondary C/O and format 3 asaaasizzazisaaLzsia=LS Zones and Points For This Circuit/Box afaatiaaiisaziiaiiiiLLLiix�GLLr�=rsaa az=x=zLSx�a2=====C=x=L=====axLZZL====sz==Vc2=ee==xc=r=LGzC2_ZxsC=t=s===erc==2======s==CGZ==r rag ..... All of the listed Zones/Points have the following Circuit/Box values unless narked as having been changed to a new value ..... -------------------------—----_---------------------------------------------------------------------.--------:---------.------------ Service Type t CENTRAL STATION BA Approval : Signal Type r NON-SUPERVISED Certificate : Service Level : Expires On : Inspection Freq. : FA Approval : Service Co. : ON ELECTRONICS Certificate : Board Service : No Expires On : Key Service : NO Warranty Type : Expiration : atasaaaaLaazzasz czar o ==asx==m==Z==zzs==r====cz=a=x==a=a====zexetaexexxexex_e_=ax In/Pt Description Prot Status Date Res Activated Values Changed Value At love/Point Level ------------------ IN 1 FIRE-MIDDLE SCHOOL PP�O t FA A 02/19/94 Yes 62/19/94 IN 2 BURG-*IDDLE SCHOOL BA A 02/19/94 Yes W/19/94 IN 3 FIRE-MIDDLE SD0OL GYM FA A 62/19/54 Yes 02/19/94 IN 4 BURG-MIDDLE SCHOOL ? BA A 02/19/94 Yes B2/19/94 IN S VALVE TAMPER fix ��Inn � SUP A 02/19/94 Yes 02/19/94 IN 6 PUMP START fo( L)U ' SUP A 02/19/94 Yes 02/19/94 IN 7 PUMP HOUSE 81oMR-OM SCNL FA A 02/19/94 Yet 02/19/94 IN B FIRE TROUBLE wW;A low-' FT A W/19/94 Yes W/19/94 IN 9 SYSTEM RESTORAL Ldc" RES A 09/30/94 No 09/30/94 06/26/96 12: 04 a 3604384245 Alarm Cent_�r- 90M ELECTRONICS WED AN h 19% ID 48 AM Liiif�liiC/i.CSZFLG[LLLZFZxZxxxZSZZ GZ[ZZZ====xZZZZZ[ZZZGZ[ZLLZZZT+ZZZZZZZZZZZ=LL L3==CLL:L:.LS:xiLcc=L2==F=:LLYLiS#tCLtICGCLiD6LLLLCCt=rc CIRCUIT/BOX : 5ZI049-1 ..........belongs to........... CUSTOMER : 792*e3-$W NORTH MASON SCHOOL DIST. ADMIN NORTH MASON SCHOOL DIST. ADMIN EAST 50 NORTH MASON SD4OOL RD EAST 50 NORTH MA90N SCHOOL RD BELFAIR, WA 98528 BELFAIR, NA OM MASON MASON 1360) 2752893 ........... Signal Processing Tables L LtL31S LF Z:i3i.TL:.A AFZx LLLLLxLLZZ[ZZZxZ-=--L=xZ:i[SSZ[S.-.xL:.-.Sx Zx Z.^.ZZZZ LLZ=:ZG==�C.ZS=3CLw3LLCC=ELL=:===ELL=LLL2LLLLLL=II=SZS3F L==LS==ELLS Sig Type Pr In/Pt Res Sig Type Pr Zn/Pt Res Sig Type Pr In/Pt Res Sig Type Pr In/Pt Res I FA 18 1 No 7 FT 40 7 No a LB 30 a No 9 RES 70 9 No Circult/Box format is 1 RAD65 - RADIONICS 65e0 Alternate C/O's and formats are 1 R21,149-1 (RADIONICS 65N) Secondary C/B and format i Zones and Points For This Circuit/aux ZttLLL3xtLLtS iSiLLLLCIIxCLL_3II.«.xZZLS_ZZZ=ZSLxxx2tS_xxZxLZZxC__Z_LL=c___G==S_L___==x=xL:x-«-LLL7LLC==ttL3==2LCLGLLL=L=SCLCLLLt.3LIILSLc ..... All of the listed Iones/Points have the following Circuit/Box values unless marked as having been changed to a new value ..... Service Type t CENTRAL STATION BA Approval z Signal Type i NON-SfJPERVISED Certificate I Service Level : Expires On a Inspection Freq. t FA Approval : service Co. t SO11F1D ELECTRONICS Certificate t Suard Service t No Expires On : Key Service t NO Warranty Type : Expiration R!!!l LLtZCtl LLLL..LSa3-xxsZZZ__�..3_L-_.-.x�x��x_..__�x_�_x.�_::x���ZSZ72ZlS-LLxL�x:.L LL32_�__.._..�.«LL::LLL3LGLS�L xi xCLiLCiiIItiiit6tlLSLiStL Zn/Pt Description Prot Status Date Res Activated Values Changed Value At Zone/Point Level ------- ---------------------------- ------ -------- --- -------- ---_-------- ___-------------------_�__ ---___ ____ IN I FIRE-ADMIN BLDB A o K. z,.,Ag' FA A e2/19/94 No 02/19/94 IN 7 FIRE TROUBLE a FT A 02/19/94 No 02/15/94 IN 8 LOW BATTERY LB A $2/19/94 No 02/19/94 IN 9 SYSTEM RESTO#tAl 6K Pw-1vP RES A e9/16/94 No B9/IB/94 (5A Lo� l ne U,t . A 06/26/96 12:05 a 3604384245 Alarm Cer,t_ P. 04 SOUND ELECTRONICS WED AN 26 19% Ili48 AN zaaara an rzxzc=zr=z=rr z=zz=3 ====CZCiSLLrLLfS2 C33L Yr L.L.0 CIRCUIT/BOX 1 521,162-1 ..........belongs to........... CUSTOMER i 7920603-N9 NORTH MASON HIGH SCHOOL NORTH MASON HIGH SCHOOL EAST 50 NORTH MASON SCHOOL RD EAST 50 NORTH MASON SCHOOL RD BELFAIR, WA 98526 BELFAIR, WA MO MASON MASON (368) 275-2811 masersaazarrazzaaaaazrazaz _e::rszs=z=a==Lrsst==rrzrrsrerrrrasssseLc Signal Processing Tables ■s■rzsaasasaaaeaarssaaaxaazzaass:rxs==:xuzssususs<xxssusuGGLccazIIssG=Lx=,=ssxxIISGzsGzrs=ssrLssaszsrrIIzszkrsrzrrxarczxzLrsr=szGL Sig Type Pr In/Pt Res Sig Type Pr In/Pt Res Sig Type Pr 1n/Pt Res Sig Type Pr In/Pt Res 2 FT 40 2 No 3 FA 10 3 Yes 4 FA 10 4 Yes 5 FA 10 5 Yes 9 FR 70 9 No C STR 70 30 No TC ST 38 20 Yes 100 WF I0 I* Yes 200 FT 40 M Yes 300 FA 10 300 Yes 400 FA 10 408 Yes 500 FA 10 SW Yes Circuit/Box foreat is i WS - RADIONICS 6500 Alternate C/B`s and fortats are i R21,162-1 (RADIONICS 6500) Secondary C/O and foraat I aaaaaaaaIIaLCQCLLLaz-LLLIIIIIIIIIIIIrsaS�-.--LrL_SGLz»-SLz..--a�x-___L___z_-___rL=»r»Sr-S_-GCSS»CLzzsz_________LLL..L_==�L==L�rzs»cr r.-....L Lrsr_CLL Iones and Points For This Circuit/Box raasaaaaxaaxz=::sxcrass_xa=szs=s==z�=azsrIIrarsz¢rx=z:azazassasGx»zxxrrsrGGssr=csIIrrx=GarGssazz=srzzzrxcsrsrrLparsszszrsaarearasrrazn ..... All of the listed Zones/Points have the following Circuit/Box values unless narked as having been changed to a new value ..... -------------..--_-----------__---_-------- ""---------_____------------ Service Type : CENTRAL STATION BA Approval 3 Signal Type i NON-SUPERVISED Certificate . Service level I Expires N s Inspection Freq. i FA Approval s Service Co. i SOUND ELECTRONICS Certificate t Guard Service I No Expires On s Key Service s NO Warranty Type : Expiration s aaaaasaaarrraaaasaasaar:sass=GzrsaLxxzxasser===a=zrsxa=xzzau=aeGsrcLz==azss»GssrxGsszxsrr=rGG=GG=❑=au====»zzzzzssr»G=rG==zxrszr== In/Pt Description Prot Status Date Res Activated Values Changed Value At Zone/Point Level IN 2 FIRE TRBL 7FT A 04/26/94 No 02/28/94 IN 3 FIRE-HIGH SCHOOL—(" o b)� `FA A 84/26/94 No 82/28/94 IN 4 FIRE-HIGH SCHOOL -06-,f FA A 94/26/94 No W/28/94 IN 5 FIRE-HIGH SCHOOL t FA A 04/26/94 No 02/28/94 IN 9 FIRE RESTORAL bldi . FR A 84/26/94 No 62/28/94 IN 20 SYSTEM TROUBLE — ST A 03/14/96 No e3/14/96 IN 30 SYSTEM RESTORAL STR A 03/14/96 No 63/14/96 IN 100 FIRE-YTAFLOOIGH SCHOOL. WF A 64/26/94 Yes 03/09/94 IN M FIRE TRBL 4,19), z FT A 04/26/94 Yes 03/09/94 IN 300 FIRE-HIGH --kjAt� "A bid,'FA A 04/26/94 Yes 93/09/94 ZN 480 FIRE- L_ SLDB--HIGH SCHOOL FA A 04/26/94 Yes 03/09/94 IN 5% FIRE-WX-HIGH SCHOOL FA A 04/26/94 Yes 63/89/94 r Fire Protection District 5 Central 11Tason County Afission Statentent: -To prded k heaXN and prnpar yvA*ma"aLrkV the t,4-e i s',ar&ds d wi&)ct and sen+x by po ideQ eX5c-1 ne&por"to C&%for assis�a * June 24, 1996 Marie Pickel, Superintendent North Mason School District C— "o—s P.O. Box 167 Da e A Wuner Kau,emsmiut; Belfair, Wa 98528 Del Grffcy a;A Dear Mrs. Pickel: r"dwd;Kr.�& On June 20 we responded on a reported fire alarm at the North Mason aQ Campus. Please listen to the enclosed tape. I believe it tells the story Afi ,,.s-ndcr better than I ever could. The problem as I see it is that an alarm reported to us like this fails to .{G,chcct.e SoQdar� provide the information we need such ac which hi�ildina. With this type Dmna',iC=k information, or I should say lack of information, we do not even know which road to best come in on nor which building to check first. The alarm receiver should tell us which building it is in and better yet also tell us where in which building. As you can hear on the tape they would tell us nothing. Post Office Box 127 The technology is available to provide the type of intelligence I am All},Washington 98524 advocating; a premise number is assigned to each building and a zone Business: number is assigned to various zones in the building. (360)426.5533 or The other major problem we ran into was when we got the keys out of the (360)275-2889 Knox Box they did not fit the doors. In this case Mr. Marrs was handy and Far: also Mr. Ross, they got there with keys. However if the keys in the Knox (360)426-8959 275-2880or Box are not kept u to date that defeats the whole purpose of the system. (360)275-2880 P P P P Y I would hope we could work with you to correct these problems. - c Ec y, Emergency Ser«ces FIRECOMAn. i s"r" sa^ ....�;: Communications "�? :»,;>:<.;;.,..n ; C � I , a 275-2B69 F I RECDI/ FIRE RND d'EDI CRL HID COWMLINI CRT I ONS 426.5533 FIRE PFID7ECTIOA' DISTRICT 5,. AIRSOA' CDLINTY POST OFFICE BOX 127 RLLYN 41RSHINGTON 96524-0127 Ti TIME OF TONE; 1ST UNIT OIJ RESPONSE TIME: DISPRT HER; DATE: DIST, 14UVBER; IMAP NUMBEp' INCIDENT NUMBER: ALRP,N, NUMBER I1/(/_ vl 1ST TONE: SCENE: 2, 6 96 ��� 541 �— j J TO!J 2tJD TOtJE; �j� ���/� DIST 2 56 '`7 Q D 5 ►,I t � / I (WHAT IS YOUR EMEPGENCY? LDCAT 1014: /1�—�?� j ADDRESS: S� /2 r OI HER AGENCIES: TIME I jfiGE? CONSCIOUS? BREATHING) NAVE AT LDCAT ION; �_ I)SP iCRLL 'AC�1: -HONE !•'U EP; CALLERS NAVE: �71 J� �/0-1 � � CAL FRS LOCAi l0N/hDUP.Lc-S ( IF DIFFERENT) I:CSO ' Z d2 C( � �' V G H j ;UNIT ON TIME OF II ON CODE AT SCENC STATUS EN ROUTE T STATUS RETURNING SECURE !Dlcp 4wp RESPONSE BOARD GREEN j AL VW 51 Ll h i oU z� PUD 2 s' � � 7 � ' 3 � ! 5 1 2 Z �f -7Z7 L[ Z D V ' UNITSRETURI;EO I !�� / i UNIT BY T I-ME I I i I ti /72 (ARRIVAL STATUS: WORK 114G F I RE MINOR FIRE _ SI!OI:E SHOW I NG NOTHING SHOWING OTHER: 1 T1►!E FROM TO MESSAGE TIME FROM TO MESSAGE ZIA i tot -�- VETHDO OF. ALARM:; [ 91l 1 2 2 4 W 6 7 ); ( 1 ELILC HELCUI„ ]: LI C ' Ij5J3' 5:,23 26'c5 SCiu.I:CP, WALK IN CH; UTHCR; i �12 3U 55 "- Inspection Contract No. File No. FIRE13ROTECTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 �r ~ , ~►� '�•'.�+^.v�\ FIRE ALARM SYSTEM REPORT OF INSPECTION Q Date Name of Facility: Occupied as: Address• A0 C i tX 0 7,� wG County: <o✓f Zip O Te1ephone6o6).,Q, 75- / Building Designation (if more than one building) Inspection by: -/ , So-1 Electronic Technician Date of inspection: - Type i. T e of Test: Monthly ❑ Quarterly El Semi-Annual ❑ Annual 2. Type of system: Noncoded Q�_ Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: tAKA 4. Fire Department Official Contacted: C' 5. Test Received at Fire Department: Yes No ❑ 0/ftt_IZ 65n�� -70 al-LAN 6. Master Box Reset A.M. 1 11 06 P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. AAII ti SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNED TO STATE FIRE MARSHAL. EQUIPMENT TESTED NUM OF SATISF .-. TYPE OF EQUIPMENT UNITS TESTED DATE. . CHECK RY MANUFACTURER Yes I No i N/A A S. Control Panel b 9. Manual Station 10. Heat Detectors 2 rFN IVYc 11. Smoke Detectors Audible Alarm „1�2 12. Devices 3 Visual Alarm ✓ , A" r5L &- 13. Devices 1 -7 14. Code Transmitters ✓ Automatic Door / 15. Releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries ✓ to �; L 19. Charger P 20. Generator '21. Ventilation Control Fire Department 22. Interconnection / Central Stationy 23. Interconnection Exterior Sprinkler 24. Electric Alarm Bell prinkler Water 25. Flow Switch Sprinkler Gate Valve 26. Supervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative : - C. Name of Firm 4621 Pacific Av. , Tacoma, Wa. , 98408-7739 472_2955 D. Mailing Address Phone No. E. Electrical Contractors License # SOUNDE* 3 F. Specialty Electricians License 9a Inspection Contract No. ��Q�1119 F i 1 e No. SE��1G�s FIRZ 15RQm-moN SERVICES DIVISION 9th & Columbia Bldg. C4i-5 I, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Oate 6 c L Name of Facility: /A/ AA1, J�Occupied as: S o L I Address: /V/yI�I 'V ��� �, l Ci ty q / County: ly)GS04 Zip l Telephon ' Building Designation (if mart than one building) Inspection by: s� z . 1 Title1 Oate of inspection: �i 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual Er- 2. Type of systems: Noncoded a c-cown coded ❑ Selective coded Q Oual coded Q (as Pertaining to chapter 2I2-I4 WAC) 3. Local Fire Department: ;'"✓- 4. Fire Department Official Contacted: S. Test Received at Fire rtment: Yes 6. Master Box Reset Oep A.M. P•.M- 7. Comments, explanation of upsatisfactory results, action taken, etc. �rvl cs�e /'j'! 'S� rlC ,`✓� /GZ.c/t �� ✓'a o/Y7 /J�' 1�I %a Cic ..-.Sc , r.-< < SFM 222, Rev. 5/78 ORIGINAL FORK 70 BE R£TURNEL1 TO STATE FIRE MARSHAL. EQUIPMENT TESTED UMSATISFACTORY TYPE N esD TYPE OF EQUIPMENT UNITS TESTED DATE � . CHECK N/A MANUFACTURER No I8. Control Panel -3 /<'/1'7—/ 9. Manual Station 10. Heat Detectors 11. Smoke Detectors u ib a Alarm 3 9 W� e/o 12. Devices Visual Alarm 13. Devices 17 14. Code Transmitters Automatic Door L 15. Releases 16. Trouble Indicators I �' 17. Master Alarm Box 18. Batteries 42 19. Charaer 20. Generator 21. Ventilation Control f i v: Fire Department 22. Interconnection -Central Station 23. Interconnection `��'\cs Exterior Sprinkler 24. Electric Alarm Bell prinkler Water I' 25. Flow Switch ! ' prinx I er ate Valve 26. Supervision Switch 127. AnnunciatorsL �� I 28. Automatic Time Delay of General Alarm Minutes. None ,IIn/nstalled 29. Test of alarm system on emergency power, satisfactory? Yes L No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative ' C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave Tacoma , Wa . 98408 Phone No_11M-2955 E. Electrical Contractors License I SOUNDE*14OR3_a . • 1 . -. - I ir•enev $ r-"r_, ,ten u �9GiPG;�C/� �f 1pF Inspection Contract No. File No. FIRZ 35RQTECTION SERVICES DIVISION 9th & Columbia Bldg. GH-5I, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date �?� Name of Facility: (� (I-� �``2 T�p� SCN L�l�7 A D LA 11J GLn t, . Occupied as: ©V✓ i Address: F CS:0 Q , LJ PIZ—� 12—C11 r OI, —c i tx aE LEA I f2 County. M L�aY _Zip ��(,�a`K Telephone �) 6d3 Building Designation (if cadre than one building) Inspection by: �� �I I 1 ScS� � �� �n�)-5re K Title `r Oate of inspection: 'iN 3�c,� i 1. Type of Test: Monthly Q Quarterly ❑ Semi-Annual ❑ Annual 0, 2. Type of systems: Noncoded ❑ Common coded ❑ Selective coded ❑ Cual coded ❑ (as pertaining to chapter 2I2=I4 WAC) 3. Local Fire Department: P_'e`_e k1f2- 4. Fire Department Official Contacted: MC:���T����`� T CP11yTG'< (� 5. Test Received at , Yes No Q 6. !Master Box Reset -A.M. 1. Comments, explanation of unsatisfactory results, action taken, etc. _0\3 LL(III S, o � 67P e CS SFM 222, Rev. 5/78 QRIuIiiAL FOR4 TO BE RETURNEil 70 STATE FIRE r1ARSHAL. EQUIPMENT TESTED UM SATISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel 9. Manual Station I D 10. Heat Detectors 11. Smoke Detectors ucib a Alarm 12. Devices Visual Alarm I �� 13 Devices 14. Code Transmitters T_ -P-)7: Automatic Door I I 15 . Releases 16. Trouble Indicators 17. Master Alarm Box I I I ✓ 18. Batteries 19. Charaer I `L 20. Generator � I i21. Ventilation Control -� Fire Department 1 22 . Interconnection Central Station 23. Interconnection Exterior SprinKlerj 24. Electric Alarm Bell prinkler Water I I 25 . Flow Switch T_ prinK er Gate ValVe 626. Suoervision Switch F27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative S. Signature of Fire Alarm Firm Representative (;��ff� ' C. Name of Firm Sound Electronics 44- 0. Mailing Address 4621 Pacific Ave Tacoma , Wa . 98408 Phone No,172-2955 E. Electrical Contractors License # SOUN DE*140R 3 I- - - __ - I ri �"c 1 i r'Pne p / -:�76E-1 • Inspection Contract No. File Na. FTRX '�RCM=0N SERVICES DIVISTON 9th & Columbia Bldg. GN-5I, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION ti Oate 3 y I Name of Facility: w I N� P 11 �-E 5'o Occupied as: Address: NALL-1 U �C�I�Cx�L_ p city. (3ELF�I(Z County: Zip q�s Telephone Building Designation (if more than one building) Inspection by: c� 1` 1� �� FLaLeLfLI E)(\j Title 7E!�f4 . Oate of inspection:•y '- 19 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual Q Annual z 2. Type of system: lbncoded ❑ Common coded ❑ Selective coded Q Oual coded Q (as pertaining to chapter 2I2-I4 WAC) 3. Local Fire Oeparlment: P l P 4. Fire Department Official Contact2d: 1( IN�7' MONI�tXZ iN lr .� 5. Test Received at ''' Yes Na ❑ 6. Master Box Reset A.M. _P.M. 7. Commnts, explanation of unsatisfactory results, action taken, etc. 61 L;LL--2 tP1 6 ('52 13AD u7 0tQ Q L_ ' L-UL P L M' Zr Cft7Z4� SFM 222, Rev. 5/78 ORIGINAL FORK TO BE RETLRNEJ TO STATE FIRE MARSHAL. EQUIPMENT TESTED UMSATISFACTORY TYPE N TYPE OF EQUIPMENT UNITS TESTED DATE ' CHECK MANUFACTURER Yes No N/A 8. Control Panel - � 9. Manual Station 10. Heat Detectors 11. Smoke Detectors u I b e Alarin 12. Devices 19 Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15. Releases 16. Trouble Indicators 17. Master Alarm Box I 18. Batteries I ITV 19. Charaer 20. Generator 121. Ventilation Control P Fire Department 22. Interconnection Central Station ✓ I 23. Interconnection Exterior Sprinkler ( I I 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch Sprinkler Gate Valve 26. Supervision Switch --� 127. Annunciators ' 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this re rt and is c sistent with NFPA Fire Alarm Maintenance Standards. , A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representati e C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave Tacoma , Wa . 98408 Phone No li72-2955 E. Electrical Contractors License # SOUNDE-`14OR3 .•_ _ __ _i �.. r1 _..+...i vi one I 1("PRGP �i`�� IS 1��1��Q� Inspection Contract No. File No. FIRS 138QT8 =N SERVICES DIVISION 9th & Columbia Bldg. Chi-5I, Olympia. WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Oate f l Name of Facility: HA KIL) -) r� Occupied as: Address' 5p p, , I Nl Au) J ->C a`}� LD City, �'(���1I M�� Zia ���3.=.Telephone ��15 -j-(q1n. courzt�►• . Building Designation (if mart than one building) Inspection by- 1� !� 600 A r �^�Si / Title r f � a Oate of inspection: � I 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual Z 2. Type of system: Noncoded ❑ Common coded ❑ Selective coded ❑ Oual coded ❑ (as pertaining to c:hapt.Er 212-14 ) 3. Local Fire Department: 2 4. Fire Department Official Ccntacted: Ni � 5. Test Received at i Yes No ❑ 6. Master Box Reset A.M. - P.M. 7. Caanents, explanation of unsatisfactory results, action taken, etc. r SFM 222, Rev. 5/78 ORIGINAL FORM 70 BE RETURNEJ T7 STATE FIRE 0ARSkAL. EQUIPMENT TESTED NUMBER OF 7nT-- Y TYPE AND------�• TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel C iI 9. Manual Station 10. Heat Detectors 11. Smoke Detectors Audible ATarm 12. Devices Visual Alarm 13. Devices i 14. Code Transmitters I Automatic Door 15. Releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries I 1dV 19. Chaser 20. Generator i21. Ventilation Control - F ire Department 22. Interconnection - �} ----C�e--ntral Station 23. Interconnection Exterior SprinKleri 24. Electric Alarm Bell orinkler Water 25. Flow Switch I prinx er Gate Valve 26. Supervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative koLx C A f— :�LZ C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No47_S E. Electrical Contractors License # SOUNDE*14OR3 . ♦ , .-• 1 i e-enQ 0 i i7 Inspection Contract No. File No. FIRZ:PRATr.C=oN SERVICES DIVISION 9th & Columbia Bldg. &li-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date it : Nape of Facility: I aao8 - a3 - C000ao Occupied as: it Address: ,� - , Zip 2 �2 Telephone County: Building Designation (if cadre than one building) Title 1 ,,i ��,,��✓�"/2 /ark � Inspection by:'��i Date of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: NoncodedV Common coded ❑ Selective coded ❑ Dual coded ❑ as pertaining to chapte 212-14 WAC) 3. Local Fire Department: 4. Fire Department Official Contacted: A LL 5. Test Received at Fire Department: YeS F No ❑ 6. Master Box Reset A.M. '— P.M. 7, Coaroents, expianation of unsatisfactory results, action taken, etc_ I;kn—JA A/I f SFM 222, Rev. 5/78 ORIGINAL FORK TO BE RETURNED TO STATZ FIRE OARSHAL. Inspection Contract No. File No.. V FnM Tp=,CTj0N SERVICES DIVISION 9th & Columbia Bldg. Chi-51, Olympia, WA 98504-4151 j FIRE ALARM SYSTEM REPORT OF INSPECTION Date r,'ENERM Nacreof Facility: Occupied as:- city Addr,ess: CI- - r Telephone Count —AL�\'-'�--\ Building Designation (if more th n one building) Title Inspection by: Date of inspection: - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: MonthlyC] Quarterly C1 Semi-Annual C3 Annual iz 2. Type of system: Noncoded C1 Common coded C3 Selective coded C1 Dual coded C3 (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: -C�dtAt 4. Fire Department Official COntactted: 117)VC4* V-V-dt! Yes C] Na C] S. Test Received at fir"evartme 6. Master Box Reset A.M. -- . P.M. 7. Convents explanation of unsatisfactory results, action taken, etc. /V-- sFm 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNEil TO STAT-E FIRE OARSHAL. • Inspection Contract No. File No. FIRZ 15Rc=TION SERVICES DIVISION 9th & Columbia Bldg. CH-51, Olympia, WA 98504-4151 FIR£ ALARM SYSTEM REPORT OF INSPECTION Date Name of Facility: Occupied Address:_ C �� / ?/gin sv� Ci t} County: !��o Zip Telephcne Building Designation (if more than one building) Inspection by: rL IC-/,//T 5 Title <� Date of inspection: 1. Type of Test: MCnthly ❑ Quarterly ❑ Semi-annual ❑ Annual 2. Type of system: Noncoded� aia Coon coded ❑ Selective coded ❑ Dual coded Q (as pertaining to chapter 212-14 WA.C) 3. Local Fire Oepartment: jh�l r , 4. Fire Department Official Conta ,.ed: 5. Test Received at Fire Department: Yes No ❑ - �'I 6. Master Box Reset J A.M. P.M. 7. Coamnts, expla ion unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL FORK TO BE RETURNEJ TO STATE FIRE i-IARSHAL. Inspection Contract No. File No. Flpr �PR=Z=ON SERVICES DIVISION 9th & Columbia Bldg. a-51, Olympia, WA 98504-4151 FIR£ ALARM SYSTEM REPORT OF INSPECTION Date Nacre of Faci 1 ty: Occupied as: Address: D0 Citx ?�✓ n T �� ���r County: Zip Telephone Building Designation (if a than one building) T i t 1 Inspection by: Date of inspection: - - 1. Type e of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of systev: Noncoded E� Common coded ❑ Selective coded ❑ Oual coded Cl (as pertaining to chapter 212-14 WX) 3. Local Fire Department: 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes No ❑ ( ' ( � � 6. Master Box Reset A.M. P.M. 7. Cosmnts, e p atio of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETLRNEJ TO STATE FIRE i-1AREHAL. MASON COUNTY FIRE MARSHAL Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION August 27, 1996 Bev Jolley North Mason School District E. 50 North Mason School Road Belfair, WA 98528 Ms. Jolley: Pursuant to our fire alarm test on August 22, I wanted to confirm the issues that we discussed. As you recall, the intent of our test was to confirm the proper signal transmission and zoning of the various buildings on the campus and to make necessary corrections. ADMINISTRATION BUILDING There are 4 zones on the fire alarm panel in the Administration Building. They are: 1. Administration Building 2. Administration Building/Storage 3. Boiler Room 4. Kitchen/Portables Each zone annunciates separately on the fire alarm panel. Only one zone is transmitted to the central receiving station. It is designated as ADMINISTRATION BUILDING. SUMMARY: Zone 1&2 are in the same building and can be left as is or combined and transmitted on one zone. Zone 3 should be transmitted as a separate zone. Zone 4 should be broken into 2 separate zones and transmitted as follows: Zone 4-Kitchen Zone 5-Portables HAWKINS MIDDLE SCHOOL There are 8 zones on the fire alarm panel. Three zones are transmitted to the central receiving station. They are: 1. Pump House/Sprinkler 2. Middle School 3. Gymnasium SUMMARY: It is not clear why the pump house/sprinkler system is on the Middle School panel. However, the important issue is that the functions in this building are transmitted in such a way that the central receiving station receives information that can be relayed to the 911 center, and on to the responding fire department. With that thought in mind, the zoning& transmission from the Hawkins Middle School appear to be appropriate. ANNEX There are 12 zones on the fire alarm panel. They are: 1. 4 fire alarm zones (high school building) 2. 4 water flow zones (high school building) 3. 3 Annex building fire alarm zones 4. 1 trouble zone 5. 1 duct detector zone (high school gymnasium) Three zones are transmitted. They are: 1. Annex 2. High School 3. Water flow-High School SUMMARY: The fire alarm panel in the Annex handles all the alarm signals that emanate from the Annex and the Main High School Building. The zone transmission is not appropriate and should be modified to allow separate transmission of each of the 12 alarm zones, to be designated by individual building and function within each building, as follows: 1. Annex--Transmit each of the 3 alarm zones and identify the location of each zone in the building. 2. High School--Transmit each of the 4 alarm zones and the 4 water flow zones and identify the location of each zone in the building. 3. High School--Transmit the High School Gym duct detector zone. 4. Supervise the trouble zone. The Sound Electronics technician that assisted in the test confirmed that the fire alarm panel in the Annex building is currently capable of transmitting only 8 zones. The panel can be modified to handle enough additional zones to handle both buildings and future expansion. Once the zoning and signal transmission is modified, I would expect Sound Electronics to coordinate the modifications with the Alarm Center to be sure that the zoning designation is clear, and that the correct information is provided from the Alarm Center to the Mason County 911 Center. I want to review the final modifications. Thank you for your interest in fire and life safety. If you have any questions, please contact me. I would be interested in knowing your anticipated schedule for modifying the alarm system. Best g rds, Dav alzer Fire Marshal cc: FD 5 Sound Electronics MASON COUNTY FIRE MARSHAL Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 (360)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION October 17 , 1995 Bev Jolley North Mason School District E. 50 North Mason School Road Belfair, WA 98528 Ms. Jolley: Pursuant to our fire safety inspection of the North Mason School District facilities in August, I wanted to confirm the issues that we discussed. My comments are organized by facility. For future reference, I have enclosed some information regarding the more commonly found fire safety hazards in commercial buildings, and some information on multi-outlet adapters. GENERAL COMMENTS: DECORATIVE MATERIALS ON WALLS The Uniform Fire Code addresses the use of combustible decorative materials in school buildings. The general statement is that all such materials shall be flame resistant. There is another statement that appears to offer a degree of flexibility in applying this requirement. The real issue here is that an excessive amount of flammable decorative material on walls does present a fire hazard. I don't have an answer as to how much is too much. The only value that I can find in the Fire Code is in reference to decorative materials that contain foam plastic. In that case, there is a reference to limiting such materials to 10% of the wall area (10% of each wall surface) . My intent is to bring the issue to your attention, in the hope the staff becomes aware that paper all over the walls in the halls and classrooms may look great, but it is a fire hazard, especially in schools that do not have a sprinkler system. I would ask that an effort be made to limit the amount of such materials and to try to use materials that are fire resistant. CHRISTMAS TREES My suggestion is that live trees not be allowed inside the school buildings. If you do allow them, the following conditions apply: 1. Live trees shall be treated with a fire retardant. 2 . The butt should be cut off of the tree at least 2" above the original cut. 3 . The butt should be kept in water at all times. If the needlet come off of a branch easily, the tree should be removed. 4 . Use only UL listed electrical decorations, and unplug at the end of the school day. WASTEBASKETS Use fire retardant wastebaskets and empty daily. COFFEE MAKERS Plug directly into a wall outlet. Unplug when not in use. EXTENSION CORDS Do not use extension cords in lieu of permanent wiring. Multi- outlet adapters shall not be used unless they are protected by a built-in circuit breaker or fuse. FIRE DOORS We noticed many instances where fire doors in hallways were propped open, particularly classroom doors. I researched this issue extensively. My conclusion is that fire doors need to be kept closed (or be able to close) at all times. The metal "feet" must be removed from doors that are part of a fire-rated assembly. If there is a need to keep these doors open, they must be outf itted with magnetic door holders, which are connected to the fire alarm system. HAWKINS MIDDLE SCHOOL INSPECTION DATE: 8/15/95 1. Provide a minimum clearance of 30" in front of all electrical panels. 2 . Provide an outlet cover in Room 103-Darkroom. 3 . Limit use of extension cords in lieu of permanent wiring in the Computer Room (Room 13) and the kitchen. GYMNASIUM 1. Replace batteries/bulbs in non-functioning exit signs. 2 . Provide a current service tag on the Music Room fire extinguisher. 3 . Provide an outlet/switch cover in the Music Room storage room. 4 . Replace bulbs/batteries in the Foyer exit signs. 5. Keep electrical panels in the Custodial Room clear of aft storage. SCHOOL DISTRICT MAINTENANCE SHOP INSPECTION DATE: 8/17/95 1. Provide an outlet cover on the SE wall adjacent to the door. 2 . Remove extension cords supplying the drop cords. ADMINISTRATION BUILDING INSPECTION DATE: 8/17/95 1. MEAD ROOM--Remove extension cord. Plug multi-outlet adapter directly into outlet. 2 . EXIT SIGN/NORTH END/REAR DOOR-Repair/replace. 3 . ENTRY--emergency light-repair/replace battery/bulbs. 4 . Replace glass breaker bars in pull station adjacent to women's rest room. 5. Remove extension cord in Personnel office. 6. EXIT SIGN--From classrooms/test light doesn't work. 7 . Replace door closers on classroom doors. 8 . Provide current service tag on pressurized water fire extinguisher in the SE corner warehouse area corridor. 9 . Replace glass breaker bars in pull stations. 10. Remove extension cords in Custodial Storage area. 11. Cover exposed insulation in Special Ed Storage Room. 12 . Remove all combustible storage from Phone Room. Keep 30" clearance in front of electrical panels. 13 . Replace exit sign batteries at Main Entrance. ANNEX INSPECTION DATE: 8/17/95 1. Replace door closer in Custodial Room. 2 . Secure panel door to lighting circuit in Computer Room. 3 . Mount fire extinguisher on wall in Science Room. 4 . Replace outlet cover in Phone Room. 5. Replace heat detector in Staff Room. SAND HILL ELEMENTARY SCHOOL INSPECTION DATE: 8/16/95 1. Repair self-closer on Special Ed storage door. 2 . Repair self-closers on storage rooms adjacent to the Gym. 3 . The hood in the Kiln room obstructs the spray pattern of the fire sprinkler system. Consult with a licensed fire sprinkler contractor to determine how to provide protection. 4 . Room 6. The accordion gate is acceptable as long as there is a direct exit from Room 6 to the exterior of the building. If not, gate shall be removed. 5 . Remove storage from under the sprinkler heads in Room 3 . Keep at least 18" clearance below the sprinkler heads. 6 . Locate a fire alarm manual pull station in the entry hall adjacent to the exit door. 7 . Chain and padlock the butterfly valves supplying the pump house sprinkler system. NORTH MASON HIGH SCHOOL INSPECTION DATE: 8/21/95 1. Repair/replace exit signs--MAIN ENTRANCE. 2 . Remove tape from sprinkler heads in MAIN ENTRANCE. 3 . Replace cord and outlet on spot light in Light Room. 4 . Remove storage from Stage Exit Door to outside. 5 . Repair/replace exit light and stage light. 6 . Limit paint storage on stage to 10 gallons. 7 . Replace any painted sprinkler heads over stage. 8 . Repair/replace exit lights at rear stage doors. 9 . Remove all storage from stage exit foyer. 10. Replace heat detector in Band Room. 11. Replace heat detectors in both instrument storage rooms. 12 . Replace heat detectors in Practice Room 1 & 2 . 13 . Remove tape from air vent in Video Production Room. 14 . The use of multi-outlet strips in the Video Production Room is excessive. This constitutes a severe fire hazard. Efforts should be made to provide adequate electrical outlets to allow direction connection of electrical equipment. 15. Repair/replace exit sign adjacent to Room 203 & 205 . 16. Repair/replace emergency light in new Art Room. 17 . Repair/replace exit sign/emergency light in the Woodshop. 18 . Remove all combustible storage from the Paint Room. 19 . Remove extension cord supplying power to the greenhouse. 20. Repair/replace emergency light across from Room 202 . 21. Remove barrel bolts and deadbolts from the double doors in 200 Hall. 22 . Repair/replace exit sign at Door 254 . 23 . Replace glass breaker bar in manual pull station at Door 254 . KITCHEN 1. Remove extension cords from signs & milk cooler. COMMONS 1. Remove barrel bolts and deadbolt from exit doors from Commons. 2 . Repair/replace exit signs from Commons & Gym Foyer, and exit sign from Commons to Main Foyer. GYM 1. Repair/replace exit sign from Gym to Foyer. 2 . Repair/replace exit sign NW corner. 3 . Repair/replace exit sign & emergency light SW corner. 4 . Repair/replace exit sign SE wall. LOWER 300 1 . Remove extension cord supplying pop machine. 2 . Provide a heat detector in the Power Distribution Room. 3 . Repair/replace exit sign SE end of hall. WEIGHT ROOM 1. Repair/replace exit light. 2 . Replace damaged heat detector & replace glass breaker bar in pull station. BOILER ROOM 1. Mount fire extinguisher near an exit door. 2 . The sprinkler coverage has been compromised by the installation of ducting and equipment. Have a licensed fire sprinkler contractor evaluate the coverage at the time of the confidence test. 3 . Repair/replace the exit sign adjacent to Boy's Locker Room. 100 HALL ENTRY 1. Remove barrel bolts and deadbolt. 2 . Repair/replace all emergency lights/exit lights in 100 Hall. 3 . Do not double up multi-outlet strips. LIBRARY 1. Use on multi-outlet strips is excessive and constitutes a fire hazard. Provide circuit extension for adequate outlets. STADIUM PRESS BOX 1. Remove the improperly installed baseboard heater with a UL listed portable heater connected to an adequate outlet. PUMP HOUSE 1. Provide chain & padlock on valve that supplies Pump House sprinkler system. BELFAIR ELEMENTARY SCHOOL INSPECTION DATE: 8/21/95 OFFICE 1. Correct ground fault & system trouble in fire alarm panel. 2 . Provide a fire extinguisher in the kitchen located near an exit. LOWER ENTRANCE/KINDERGARTEN 1. Repair/replace exit light. 2 . Replace outlet cover in Room 2 . 3 . Confirm if elevator is on a RECALL relay upon activation of the fire alarm system. 4 . Provide access to fire extinguisher in Room 11. 5. Repair/replace exit sign, rear exit--PRIMARY. 6. Replace fusible link on Mechanical Room door. 7. Recharge fire extinguisher in Mechanical Room. GYM 1. Provide J-box cover in Storage Room/NW corner. 2 . Replace outlet on East Gym wall/condensation. 3 . Keep attic access clear. KITCHEN 1. Remove extension cord supplying the milk refrigerator. 2 . The overhead rolling door needs to be released in the event of a fire, either though the fire alarm system or by means of a fusible link. ROOM 6 1. Remove the extension cord supplying the refrigerator. ROOM 3 1. Mount a fire extinguisher in the hall adjacent to the door. ROOM 2 1. Remove the extension cord that is wired into an outlet on the movable cabinet. MECHANICAL ROOM/TRIDENT WING 1. Service the fire extinguisher. CONFERENCE ROOM ADJ. TO ROOM 16 1. Remove extension cord. PORTABLE 17 1. Service fire extinguisher. 2 . Provide 30" clearance in front of electrical panels in Storage Room. COMPUTER ROOM 1. Use of multi-outlet strips and extension cords is excessive and constitutes a fire hazard. Provide adequate outlets wired directly to a protected circuit. 2 . Mount a currently serviced fire extinguisher near an exit. I apologize for the delay in summarizing the inspection issues, and I appreciate your assistance in working with my office and FD 2 & 5. Thank you for your interest in fire safety. *Sa s, Fire Marshal cc: FD 2 FD 5 North Mason School District P.O. BOX 167, Belfair, Washington 98528 Dr. Marie G. Pickel Fax. 275-2643 Superintendent 275-2881 October 24 1995 Mason County Fire Marshall OCT 3 P V Box 186 Shelton, WA 98584 � N �SLICES REF: Fire Marshall Inspection Dear Mr. Salzar: Since the referenced inspection school district employees have been correcting or addressing certain issues that were noted. With the exception of the following items, corrections have been made: I. Extension cords: This is an on-going problem that will have to be monitored. In some cases, Maintenance Dept. personnel have provided additional outlets. As time allows, this process will continue. 2. Fire doors: As I indicated to you, we believe that the requirement to remove door stops will result in many protests from staff members. I w -.ilr.J like to diSn,Gss thiS i-c.c uo. with vy u again before :e beriin the removal of the stops. 3. Heat detectors: After the inspection, I contacted Sound Electronics regarding the bent fins on some of the heat detectors. He assured me that this in no way affects the heat sensing abilities of the detectors and also assured me that every detector was checked. He offered to come back to recheck those areas in question. Replacement heat detectors have been ordered as of 10-23-95 and will be installed immediately on receipt. 4. Hood in kiln room (Sand Hill Elementary): The as-built prints of this building clearly show the sprinkler head installed inside the kiln hood. I "Becoming Lifelong Learners" have left a message with the architect asking for an explanation of this discrepancy. However, I have very little hope that they can be held accountable for this oversight. In the meantime, per our conversation today, we have temporarily removed the hood. This allows a free flow of water from the sprinkler. The ventilation system continues to be operable by a switch just inside the door. I will make arrangements to have the sprinkler head re-located and the hood re-installed during a time when the students are not present. 5. Boiler room (High School): Grinnell Fire Protection Systems Company will evaluate the coverage as requested during their next confidence testing. I will call your office to arrange for a meeting with you regarding the fire door/kick stop situation. Sincerely, .+"t ?9�- Beverly Jolley Director of Maintenance cc: Bob King A A Al A A A A I t A A A A A A A A ,A A f1 A A A ,4- -f _ TyC) � OAAAA- we c Jut ^'Sr } r 4R� thw 7 7 „�y� � GAS � y � 66 h4� k it y s Cvvm-, D 5��� r s V r a r �,f z H o H u a z °o U z H (] a a w H o W U o co H W wz W E° w1 � � w w a w a o 1 - FRONT DOOR OPERATION/ CONF'BZENCE ;` T _ PERSONNEL R`QOFf _ SUPER_ ' INTENDENIV REST REST - IROOM ROOM T 1 \ I CLASS _ ROOM SPECIAL PERSONNEL I EDUCATION - 1 SI E D OR CONFERENCE STAFF ROOM DEVEL- -- , 1__ OFFICE OPMENT L STAFF BOARDROOM BUSINESS LOUNGE� BUSINESS _ _ MANAGER OFFICE OFFICE OFFICE UIA LLLL— A Division of Carl T.Madsen Inc. 4621 Pacific Ave.•Tacoma-WA 98408-7739 Tacoma:206.472.2955 Fax:206.472.2974 WA State Contractors License No.SOUNDE•140R3 W10- 1lf12 Job Number Dote _Customer Contact and Phone Number s 62.07-177 7/31/95 ' ' Bev Jo t ley ' " ' 275-28$i Service Address Billing Address North Mason Nigh Srhool North Masan Schoo tat �..� Pt) Box 187 t.. ;i`� (, Belfairr� WA 98528 Beifair WA 98528 Customer Purchase Order Tech 1 Name Rate/Hour Lob H rs Miles 0 Rate/Mile C I ,�..7homas Crater $48.00 c� G o U .45 Tech 2 Name Rate/Hour Labor Hours Miles Rate/Miles C I Code:: 1 ` 0 . 45 Customer Request/Work to be Performed Fire alarm door holders in gym' building aren' t t ie:i into fire alarm. the wires are there. bUt the .doors don' t drop on alarm. Appears to terminate III fire panel . Panel Location •1885 O f f i c<. Notes Response:Work Performed/Corrections Made Materials Used: MR#1 Description Quantity Resale Each MR#2 1) 2) 3) Customer Signature Date Sound Electronics Tec ,cAn 1✓I;' Date , Sound Electronics Technician#2 / Date �J ._ 5i6a:. iiu+ie�ea.: 1i1'L►'� n' — ,r < 4q. l,14 Lw s �Cxz V � K z Y �4 I I o off° Jr- r V k 5 J 7 Y 5 - I, V �� IOD " 1 1 l I I I f Gn` .T-rr MM M p 11 • ,. .sue s+�" "f � bow- Inspection Contract No. File No. 6�993' FIRTH 15RQTZCTION SERVICES DIVISION 9th & Columbia Bldg. Gil-51, Olympia, WA 98504-4151 �•e��G � FIRE ALARM SYSTEM ,, ��; ►� REPORT OF INSPECTION �✓ Date Nave of Facility: Occupied as: Address: -City El-en, County: Zip Telephone Building Designation (if more than one building) Inspection by: _Title 1� Date of inspection: j4la � 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded ❑ Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: PC i Ai f 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes ( No ❑ 6. Master Box Reset A.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNEli TO STATE FIRE i•1ARSHAL. EQUIPMENT TESTED UM —SATISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel �� S 9. Manual Station 10. Heat Detectors 11. Smoke Detectors Audio le A arm 12. Devices Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15. Releases C� 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Charger GZ 120. Generator j21. Ventilation Control Fire Department 22. Interconnection - Central Station 23. Interconnection Exterior SprinKler 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch prink ler Gate Valve 26. Supervision Switch [27. Annunciators J �=� 28, Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License #�OUNDE-�140R3 F. Specialty Electricians License #4- ;c i-5!6 F Inspection Contract No. File No. FIRZ 15ROTECTION SERVICES DIVISION 9th & Columbia Bldg. GN-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date_ .11 2- Name of Facility: Occupied as: Address: O 1�LX (c 1 City County: Zi Telephone ;� - Building Designation (if more than one building) Inspection by: • L.� 1�Gl� Title �( _ 1 Date of inspection: 1 . Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded ❑ Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: A U—`I/y �p 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes No ❑ D1RLt?�(L `� P.M. 6. -blaster Box Reset A.M, 7. Comments, explanation of unsatisfactory results, action taken, etc. R LAC FT� I Pi)_L- 571171 CY -HA-1 13 i2O1<r 1 N 71=� SFM 222, Rev. 5/78 QRIGINAL FORM TO BE RETURNEu TO STATE FIRE i4ARShAL. EQUIPMENT TESTED UMBER OF -TnT7— SAT I SFAcTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel 9. Manual Station '� ,-Q-5 10. Heat Detectors ✓ ED 11. Smoke Detectors �� rL`YU1iwl- L Audible arm WP 12. Devices Visual Alarm �S 13. Devices 14. Code Transmitters �} Automatic Door 15. Releases Vf vVl�l"E2p�� 16. Trouble Indicators �Z 17. Master Alarm Box 18. Batteries �a v 19. Charger ✓ C —� 120. Generator Ir 21. Ventilation Control rw pftlZ Fire Department 22. Interconnection e n t r a I tation CS )I 23. Interconnection Exterior Sprinkler 24. Electric Alarm Bell {--;+- prinkler Water 25. Flow Switch I t? Sprinkler Gate Valve 1 26. Supervision Switch It 127. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency paver, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative S)� L!B. Signature of Fire Alarm Firm Representative 1 C. Name of Firm Sound Electronics D. Mai 1 ing Address 4621 Paci f is Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License # DE*140R3 F. Specialty Electricians License # Inspection Contract No. File No. FIRZ 15ROTF-CTION SERVICES DIVISION 9th & Columbia Bldg. GN-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date Name of Facility:_ ' Occupied as: �D' 40 L_ Address: city County: rn (1'Jy Zip Telephone Building Designation (if more than one building) Inspection by: L� I`)nY Title ( ' Date of inspection: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual L] 2. Type of system: Noncoded ❑ Conw, n coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-14 WIC) 3. Local Fire Department: 'P�LL N'I - 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes No ❑ 6. Master Box Reset q - C A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGIiAAL FORM TO BE RETURNEu TO STATE FIRE i•1ARShAL. EQUIPMENT TESTED UM ATISFAcT YTYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No I!N/A 8. Control Panel CI t��15 1 9. Manual Station 10. Heat Detectors 11 . Smoke Detectors Audible arm 12. Devices Visual Alarm 13. Devices - 14. Code Transmitters Automatic Door 15 . Releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Charger 20. Generator 21. Ventilation Control Fire Department / 22. Interconnection ✓ -Central Station 23. Interconnection Exterior Sprinkler 24. Electric Alarm Bell Sprinkler water I 25. Flow Switch --Sprinkler Gate Valve 26. Supervision Switch 127. Annunciators 28, Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative JA,B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.+72-2955 E. Electrical Contractors License # SOUNDE-,140R3 F. Specialty Electricians License # Inspection Contract No. File No. FIRZ 15RQTZCTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date Name of Facility: ; i `l' 1 t , Occupied as: `�xO d DL- Address: � `0 N- MP5W �C ► City 13 -- -F& County: m 04x`-N) Zip Telephone Building Designation (if more than one building) Inspection by: Title%�-Co . Date of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded ❑ Common coded ❑ Selective coded ❑ Oual coded ❑ (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: ►�l Lv/L.' 4. Fire Department Official Contacted: L.)LA-LC� - 5. Test Received at Fire Department: Yes No ❑ 6. Master Box Reset :� - )0 A.M. ( r•M) 7. Comments, explanation of unsatisfactory results, action taken, etc. /'`l2 1 -1 L - . rr' ' 7- e- LC n�T ��'I�-I 4� C)tRLPfI�JS c SL'Yt,''p v SFM 222, Rev. 5/78 ORIGIiiAL FORM TO BE RETURNEli TO STATE FIRE riARSHAL. EQUIPMENT TESTED UM AISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel In ' o - � 9. Manual Station ctw Ct 10. Heat DetectorsFow 11. Smoke Detectors -Tu—d TED Te-71 arm ✓ � � ` j 12. Devices Visual Alarm 13. Devices 14. Code Transmitters Automatic Door Lti'�11�'�-Q5 15. Releases 16. Trouble Indicators 17. Master Alarm Box 18. Batteries 19. Charver Z 20. Generator Ventilation Control Fire Department �22. Interconnection Central Station 23. Interconnection �� 7 Exterior Sprinkleri 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch Sprinkler Gate Valve 26. Suoervision Switch 127. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed . 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.+72_2955 E. Electrical Contractors License # NDE*140R3 F. Specialty Electricians LicenseI- Inspection Contract No. File No. FIRE 15ROTECTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date ) � ,1 Name of Facility: - Occupied as: Address: City. i-�ca_'r If 112 County: 1 �y Zip Telephone �-^]�- 0 L Building Designation (if more than one building) C"' Title Inspection by: ( �5 Date of inspection: 141 `1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - I. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded ❑ Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-14 WAC) 3. Local Fire Department: 4. Fire Department Official Contacted: iI -�, PA7C1-� 5. Test Received at Fire Department: Yes ❑ No ❑ 6. Master Box Reset I ,4 ;',C A.M. P.M 7. Comments, explanation of unsatisfactory results, action taken, etc. � � (� �►� _L i S 1L�i L=� SFM 222, Rev. 5/78 GRIGIiiAL FORM TO BE RETURNED TO STATE FIRE i4ARSHAL. EQUIPMENT TESTED UM ATISFACT Y: TYPE N TYPE OF EQUIPMENT UNITS TESTED DATE CHECK MANUFACTURER Yes No N/A 8. Control Panel v1 mirc.7`1't.'� ' 9. Manual Station 10. Heat Detectors �Mf�12,n S n 11. Smoke Detectors 3 C Audible arm 12. Devices 7 �t/ Visual Alarm 13. Devices 14. Code Transmitters Automatic Door 15. Releases 15. Trouble Indicators hAAkZ 17. Master Alarm Box 18. Batteries 19. Charver Z0. Generator i21. Ventilation Control Fire Department 22. Interconnection entra tation 23. Interconnection 4 xterior SprinKler 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch Sprinkler Gate Valve 25. Supervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑ 29. Test of alarm system on emergency power, satisfactory? Yes ❑ No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative CLB. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave Tacoma , Wa . 98408 Phone No472-2955 E. Electrical Contractors License # SO NDE-;140R3 F. Specialty Electricians License ���� Inspection Contract No. File No. FIRE15ROTECTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date n Name of Facility: t -� i L L�" Occupied as: "CA) Address: �� 00 city county: - ���� Zip Telephone Building Designation (if more than one building) Inspection by: ( ( ���� Title Date of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual M 2. Type of system: Noncoded 0 Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapterRR212-14 WAC) 3. Local Fire Department: - 4. Fire Department Off ici al Contacted: I c-)QY(CI-I c 5. Test Received at Fire Department: Yes [R,� No ❑ 6. Master Box Reset 9A' A.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURN EJ TO STATE FIRE OARSHAL. EQUIPMENT TESTED UM SATISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE ICHECK MANUFACTURER Yes No N/A 8. Control Panel 9. Manual Station ' V c-'12 10. Meat Detectors 11. Smoke Detectors I uo1b e 7 1 arm 12. Devices Visual Alarm 13. Devices ew 14. Code Transmitters Automatic Door 15 . Releases 116. Trouble Indicators I 0�j 1' �17. Master Alarm Box 18. Batteries lC` 19. Charoer y' �2C. Generator 21. Ventilation Control - Fire Department D� 22. Interconnection t� Central Station 23. Interconnection Exterior Sprinkler 24. Electric Alarm Bell orinkler Water 25. Flow Switch Sprinkler Gate Valve 25. Suoervision Switch 27. Annunciators 28, Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes M, No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative " C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License # SOUNDE-',140R3 F. Specialty Electricians License r MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION July 15, 1993 Bev Jolley North Mason School District P. 0. Box 167 Belfair, Washington 98528 Ms. Jolley: Pursuant to our inspection of your fire alarm system on June 28, 1993 , I wanted to confirm the issues that we discussed. The existing fire alarm system provides a limited amount of information to the Fire District 5 Alarm Center. The digital dialer is wired for 4 zones but only transmits 2 zones- -ALARM and TROUBLE. The annunciator on the ANNEX does provide sufficient information to determine the specific location of the alarm. However, it is important that the responding fire district have as much information as possible at the time of response. Pending a final evaluation by Sound Electronics regarding how many zones the current communicator will transmit, our intent is to achieve the transmission of the following zones : ZONE LOCATION 1 Fire Alarm- -ANNEX 2 Fire Alarm- -MAIN BUILDING 3 Water Flow- -MAIN BUILDING 4 SYSTEMS TROUBLE 1. Evaluate all existing EXIT SIGNS and replace inoperative bulbs. 2 . Clear the exit door behind the stage in the auditorium. Issues that can be addressed at the time of modification of the fire alarm system are: 1. Provide manual pull stations and audibility at all exit doors in the gymnasium. 2 . Provide audibility and pull stations in the auditorium. Please advise your fire alarm contractor to submit plans for approval and issuance of a permit prior to beginning any work on modifying the fire alarm system. I would expect that all corrections would be made prior to the beginning of school this Fall . I will plan on conducting another test of the fire alarm system when the modifications are complete. Thank you for your interest in fire safety. If you have any questions, please contact me. Best Regards, Dave Salzer Fire Marshal CC: Chief Knight, FD 5 5/3/93 MAY 0 41993 GENERAL SERVICEF Dr. Marie Pickel, Superintendent North Mason School District P.O. Box 167 Belfair WA 98528 Dear Dr. Pickel: We are interested in meeting with you, your maintenance supervisor and the County Fire Marshal to discuss some aspects of fire protection at the school complex. Two items that we need to talk about are the valve shutoff on the fire department pumper supply point hydrant, and the alarm system, including testing of the system. Please contact me at your earliest convenience so we can set up a meeting. Sincerely, Richard A. Knight Chief RAK/dc cc: Dave Salzer, Fire Marshal Fire One, Inc. I - 2-3 Cc-M�() FIREOI'099KW FIRE PROTECTION SERVICE/SALES 107 Washington Blvd. Algona,WA 98001 (206)575-0311 FAX(253)735-4976 Bremerton(360)478-0428 FIRE ALARM SYSTEM CONFIDENCE TEST REPORT (One System Per Report) Certification Given CONFIDENCE TEST IREPAIRS ❑ ❑ RED ❑ WHITE ❑ GREEN Sprinkler Monitoring Panel? Occupant Name North Mason School District: Hawkins Middle School Gym Property Address 300 E Campus Dr., Belfair, WA 98528 Building Owner/Mgmt Co JNMSD Phone No. 360-277-2120 Responsible Person ITom IE-Mail Date of Inspection 8/11/2014 Inspection Type ❑Annual ❑Semi Annual ❑ Quarterly(High Rise) Testing Technician Linda Balzer SFD Certification No. SFD- Location of System I Electrical Room Central Station Monitoring? YES ❑ NO I Monitoring CornpanX Name Alarm Center Control Panel Manufacturer/Model Silent Knight 5208 lAcct No. 1 85-1596 FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet) Gym on firewatch 8/11/2014-not communitcatin CORRECTIONS MADE Date Made Corrected By (If additional room is needed, please add a separate sheet) It's communicating This certifies that this fire and life safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with Fire Department Fire Code standards,and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Phone# 206-575-0311 Signature of Tester Testing Agency FIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001 Building Rep. Signature The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Alarm System Functionality Trouble signal with AC power off? ❑ YES ❑ NO System operates on battery backup? YES ❑ NO Battery voltage NO LOAD 26.35 volts Battery voltage FULL LOAD 25.3 volts (Signals Operating) Charge circuit voltage 27.4 volts System operates properly on standby power? ❑ YES ❑ NO All signals operate on AC power? ❑ YES ❑ NO Number of initiating circuits tied into Main Number of signal circuits Bldg FACP Does alarm system meet audibility standards? ❑ YES ❑ NO All circuits checked for electrical supervision? 110v V ❑ YES ❑ NO All auxiliary equipment operates (Elevators, fans, dampers)? O N/A ❑ YES ❑ NO Ventilation controls operate? ❑ NIA ❑ YES ❑ NO Key to panel available? Q YES ❑ NO Materials and equipment needed to restore pull stations are available at the main panel, I.e. glass rods, plates, keys and allen wrenches? ❑ N/A ❑ YES ❑ NO Operating instructions at panel? ❑ YES ❑ NO Trouble indicators function properly? ❑ YES ❑ NO Remote annunciator panels function properly? ❑ N/A ❑ YES ❑ NO Elevator call down functions properly? ❑ N/A ❑ YES ❑ NO Test record posted at panel? C' YES ❑ NO General alarm automatic time delay (minutes) ❑ NIA Was a signal received at the Central Station monitoring company? ❑ N/A ❑ YES ❑ NO Other devices (Specify) ❑ NIA ❑ YES ❑ NO System Devices Total Number of Total Number of Test Results Units in Building Units Tested Acceptable Bells, horns, chimes 6 6 ❑ N/A O YES ❑ NO Voice speakers (voice clarity) 0 0 0 N/A ❑ YES ❑ NO Visual alarm devices 6 6 ❑ N/A El YES ❑ NO Smoke detectors 0 0 0 N/A ❑ YES ❑ NO Heat detectors 0 0 121 N/A ❑ YES ❑ NO Duct detectors 0 0 El N/A ❑ YES ❑ NO Sprinkler flow switches 0 0 El N/A ❑ YES ❑ NO Sprinkler supervisory switches 0 0 El N/A ❑ YES ❑ NO Manual pull stations 9 9 ❑ N/A 0 YES ❑ NO Annunciator(s) 1 1 ❑ N/A I] YES ❑ NO Beam detectors 0 0 121 N/A ❑ YES ❑ NO Automatic door unlocks 0 0 0 N/A ❑ YES ❑ NO Automatic door releases 0 0 0 N/A ❑ YES ❑ NO Fire dampers 0 0 0 N/A ❑ YES ❑ NO Total Number of Total Number of Test Results Communication Equipment Units in Building Units Tested Acceptable Phone sets ❑ N/A ❑ YES O NO Phone jacks ❑ N/A ❑ YES ❑ NO Call-In signal ❑ N/A ❑ YES ❑ NO FOR OFFICE USE ONLY Received Repairs Scheduled Complete Sent s _ C DE TYPE ZONE/LOGAT IDN CC'OMMEN'T'S l /nr�-�eusiotJ _._.`._._ NoT1F Mcsa 013AWMH AtS FlfQ CAR D FIRE 200 A► Aq FARE 300 ARfA (1IPpER) --�i_..---'------'----_--. ---- - xiL wA t , F11vE ALL Z 7 OECT. FI1C �r ALAkrn sysTl Nod"►Fy Ni►%�its - TRouaLE 9 TEs-r v,66AI a7 fTH -S 1H oL .Sgow _ _ 2 75-Z 8l 1 The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Alarm System Functionality Trouble signal with AC power off? YES ❑ NO System operates properly on battery backup? [-] YES ❑ NO Battery voltage NO LOAD 26.35 volts Battery voltage FULL LOAD 25.3 volts (Signals Operating) Charge circuit voltage 27.4 volts System operates properly on standby power? ❑ YES ❑ NO All signals operate on AC power? Imm" ❑ YES ❑ NO Number of initiating circuits tied into Main Number of signal circuits Bldg FACP Does alarm system meet audibility standards? [Z YES ❑ NO All circuits checked for electrical supervision? 110v 0 YES ❑ NO All auxiliary equipment operates (Elevators, fans, dampers)? ❑ N/A ❑ YES ❑ NO Ventilation controls operate? 0 N/A ❑ YES ❑ NO Key to panel available? 0 YES ElNO Materials and equipment needed to restore pull stations are available at the main panel, I.e. glass rods, plates, keys and allen wrenches? 0 N/A ❑ YES ❑ NO Operating instructions at panel? C YES [__] NO Trouble indicators function properly? L1 YES ❑ NO Remote annunciator panels function properly? ❑ N/A Cj YES ❑ NO Elevator call down functions properly? 0 N/A ❑ YES ❑ NO Test record posted at panel? YES ❑ NO General alarm automatic time delay (minutes) ❑ N/A Was a signal received at the Central Station monitoring company? ❑ N/A YES ❑ NO Other devices (Specify) ❑ N/A ❑ YES ❑ NO System Devices Total Number of Total Number of Test Results Units in Building Units Tested Acceptable Bells, horns, chimes 6 6 ❑ N/A ❑ YES ❑ NO Voice speakers (voice clarity) 0 0 0 N/A ❑ YES ❑ NO Visual alarm devices 6 6 ❑ N/A YES ❑ NO Smoke detectors 0 0 0 N/A ❑ YES ❑ NO Heat detectors 0 0 E N/A ❑ YES ❑ NO Duct detectors 0 0 0 N/A ❑ YES ❑ NO Sprinkler flow switches 0 0 0 N/A ❑ YES ❑ NO Sprinkler supervisory switches 0 0 El N/A ❑ YES ❑ NO Manual pull stations 9 9 ❑ N/A YES ❑ NO Annunciator(s) 1 1 ❑ N/A 121 YES ❑ NO Beam detectors 0 0 0 N/A ❑ YES ❑ NO Automatic door unlocks 0 0 0 N/A ❑ YES ❑ NO Automatic door releases 0 0 Z N/A ❑ YES ❑ NO Fire dampers 0 0 El N/A ❑ YES ❑ NO Total Number of Total Number of Test Results Communication Equipment Units in Building Units Tested Acceptable Phone sets ❑ N/A ❑ YES ❑ NO Phone jacks ❑ N/A ❑ YES ❑ NO Call-In signal ❑ N/A ❑ YES ❑ NO FOR OFFICE USE ONLY Received Repairs Scheduled Complete Sent MDE 'TYPE:= ZONE/l._OCATTOki COMMENTS � I l /N1'Rlas�oA) Nonry Mesa 2 FIRE l oo AREA _ Qis �H ffs AEQ CARD 3 FIRE Zoo AeE4 FARE 300 AREA S F/R� _._. _ _ ;p 7K WAi6 ALL ZoACS 7 0g:CT PENTttousF 40uLT rt AL.,QlO n Sys7'EA'r TRoud�E 9 -r s-r VEkiFy wrrw Se oc. ,shoo_ _._ 27S-z8/I a 1 C)DE TYPE ZONE/LOCATION � COMMENTS f lNAC-n uE �lcA2MsYsrFM T�Qi,� ,. AJOTAN EMEt6&JZV ZONE 9 _ FIRE 5 F)RE Z DAIE tD FIRE CO�JF/RNti�.'1�=Sj6+�JR Zo MAJn�8u/CQ/AI(- I.CAkO /J 3-�C�C NMHS l t�� rncti tfcJ/� j--S RESET ;�->V 2757--ZSI! oFFcE (7 INSPECTION CHECKLIST S ��3 Facility : 14 'Ad[W M4 ;. Address: . M 15CF?':I.4,NEOUS (a) Correct address posted (b) Occupancy load posted �l (c) Fite lanes properly posted �p L,92� �,.. ExITs (a) Ample in number (b) Exit Signs (c) Doors operable �� 7 (d) Doors unlocked (e) Hardware (f) Access clear and required width (g) Emergency lighting operable (h) Artificial illumination (i) Fire Exit - do nor block signs 3J.- ELECTRICAL (a) Panel and meter clear/accessible (b) Proper use of extension cords (c) Proper wiring connections (d) Proper size circuits 4. FIRE PROTECTION EQUIPMENT (a) Ample extingLlishers 1. Anneal inspection 2. Proper types (b) Food system 1. Sem.-annual inspection 2. to &cease ac:cum:iation (c) Fire Doors .. . , 1, Closed 2. Operable (d) Sprinklers 1. Valves open and supervised 2. Fire alarm operable 3. Fire department connection (e) Detection system (f) Manual fire alarm (g) Annunciator panel (h) Fire hydrants (i) Other �* �fe�� C,old � rtis INSPECTION CHECKLIST 5. HOUSEKEEPING (a) Proper trash disposal I. Proper clearance from building (b) Proper storage of flamables (c) Proper use of flammables (d) Proper vegetation growth clearance (e) Proper sprinkler/ceiling clearance PERSON INTERVIEWED: signature INSPECTOR: DATE: '-j .� ,�r,�''�` � ,J� /ram"•-- .'�'�. '`_ -.r._ I / G�y � 1 y��� I �- '� •� �� 1 I I t ;�-��\,� 'I' .. .. _.._ �� ii \-,-.. ../ !11• -I_ t4 YA• .` �' ter=�`•�0.^ `' ,\' ` /I' /•• .i �•• I,I� i+r I `••\ �I 1, fit.._ `� �' •�{.f I 01Y r.. II • I 1 ,`,• —" ,%' I! �•"".0 �.ri 1 ...__._.•....ram»...................._........». ..____\.� ._...�_._._..- ._. �. a_i' J- Inspection Contract No. File No. FML 7RIITE=CM SEBPIC= DMSION 9th & Columbia Bldg. 6N-51, Olympia, WA 98504-4151 FIRS ALARM SYSTEM REPORT OF INSPEMON Oats O �' G Name of Facility: Occupied as: Address. r SQ /j1/fs- a) S'C �00 iC� CitY 1� r °� •County: A OSO Zip 9 Telephone Building Designation (if wort than one building) Inspection by: Zc� T i t 1 e � i,.����i+.&J Oate of inspection: 1. Type of Test: Monthly Q Quarterly Q Semi-Annual Q Annual ^ 2. Type of system: Noncoded M Common ceded Q Selective ceded Q Oual ceded Q (as pertaining to chapter /�212-14 NAL) �l 3. Local Fire Oepartment: } ,' y?-- 4. Fire Department Official Contacted: N� f P i57t �� S. Test Received at Fire Department: Yes No Q 6. Master Box Reset A.M. —P.M. 7. Coaeaents, explanation of unsatisfactory rtsults, action taken, etc. Ao SFM 222. Rev. sna URIuIiIAL FORM TO BE RETLRNEJ TO STATE FIRE HARShAL. EQUIPMENT TESTED NUMBER OF T. SATISFACTORY TYPE Afia TYPE OF EQUIPMENT UNITS TESTED DATE ' CHECK MANUFACTURER Yes No N/A S. Control Panel -� 4 _3 9. Manual Station 10. Heat Detectors 11. Smoke Detectors azo a Alarm 12. Oevices Visual Alarm 12. Devices 14. Code Transmitters Automatic Door 1 15 . Releases U L' 16. Trouble Indicators vV 17. Master Alarm Box 19. Batteries I ' I W "" ILee 19. Chaser 20. Generator 121. Ventilation Control ti I Fire Department 22. Interconnection I Central Station 78 23. Interconnection ` txterior SprinKierg 24. Electric Alain Bell prinkler water 25. Flow Switch prinx er Gate Valye �> 26. Supervision Switch 27. Annunciators • t'A U 2E. Automatic Time Delay of Gemral Alarm Minutes. None Installed 29. Test of alarm system on emergency power. satisfactory? Yes Q No Cl 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fiat Alarms Firm Representative C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave-. Tacoma , Va . 98408 Phone No.472-2955 E. Electrical Contractors License # *140R3 F. Specialty Electricians License # _ _ T3T'/7 Inspection Contract No. File No. TIRE '!== ON SERVICES DIVISION 9th & Columbia Bldg. Gri-51, Olympia. WA 98504-4I51 FIRE ALARM SYSTEM REPORT OF IHS icnaM Date �1;2 Name of Facility: K�S Occupied as: Address: CitX County: Zip Telephone Building Designation (if mere than one building) Inspection by: ` ' 12o2lfllff (i C-2OIF14- Title��e�- icl�� Oate of inspection: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual C1 - 2. Type of systems: Noncoded Q =mon coded ❑ Selective coded Q Oual coded ❑ (as pertaining to chapter /212-14 ) 3. Local Fire Oepartaent: , - 4. Fire Department Official Contacted: 5. Test Received at Fire Oepartment: Yes Na 6. Master Box Reset A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. A ,qa — r SFM 222, Rev. 5/78 ORIGLIAL FORM TO BE REiURNEJ TO STATE FIRE AARSHAL. ~ EQUIPMENT TESTED UMBER OF SA► ISFACTORY TYPE ANO TYPE OF EQUIPMENT ITS TESTED DATE CHECK MANUFACTURER Yes I No N/A 8. Control Panel 7 9. Manual Station l� 10. Heat Detectors Jr t� 11. Smoke Detectors J-- �'�`►'"'��� udio e Alarm ✓ � 12. Devices zj� Visual Alarm / j C 4 I A-4- 13. Devices { 14. Code Transmitters I Automatic Door 15 . Releases 16. Trouble Indicators / Gq Oh 17 Master Alarm Box T_ 19. Batteries lz � 19. Charcer 20. Generator ' 121. Ventilation Control Fire Department 22 . Interconnection Central Station 23. Interconnection Exterior Sprinkler I I 24. Electric Alarm Bell orinkler water 25. Flow Switch prinK er Gate Valve 26. SucerVision Switch I 1 I L / 27 . Annunciators ' I I V [ i I 2E. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes 0' No Q 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative / S. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Av . Tacoma , Wa . 98408 Phone No1+72-2955 E. Electrical Cantractors License # DE*140R3 F. Specialty Electricians License Inspection Contract No. Fi le No. FIRTH TRQTF..GTION SERVICES DIVISION 9th & Columbia Bldg. CIH-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date Name of Facility: jq'A /r<L0V3 Occupied as: P L / Addres s:_ O /� ��� �� C i t)C L3 C r County: Zip �g S 2L; Telephone 360 — 27z —23 02- Building Designation (if more than one building) Inspection by: CL) TitIe Cate of inspection: 1. Type of Test: Monthly Q Quarterly Q Semi-Annual Q Annual 2. Type of system: Noncoded a Common coded Q Selective coded Q Oual coded Q (as pertaining to chapter '212-14 WAC) 3. Local Fire Department: - 4. Fire Department Official Contacted: 5. Test Received at Fire Oepartment: Yes C] GLto�C 6. Master Box Reset A.M- P..M- 7. Comments, explanation of unsatisfactory results, action taken, etc. SFTM 222, Rev. 5/78 ORIGINAL FORM TO BE RETLRNEJ 70 STATE FIRE i•tARSHAL. 1 IY EQUIPMENT TESTED U Y TYPE AND TYPE OF EQUIPMENT TE ITS S TED DATE . CHECK MANUFACTURER / Yes No N/A S. Control Panel l Cvudw- ch4s - 9. Manual Station � Cou c(4 !•+-tom/ 10. Heat Detectors 11. Smoke Detectors e arm O 12. Devices u Visual Alarm (() v 13. Devices G✓lEI�G�� s 14. Code Transmitters Automatic Door (/ 15 . Releases 16. Trouble Indicators b� ,4�C-� 17. Master Alarm Box 19. Batteries 19. Charger dhP 4±�Je-/ 20. Generator l/ i21. Ventilation Control Fire Department 22. Interconnection Central Station 23. Interconnection Exterior Sprinkler 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch Sprinkler Gate Valve (� 26. Suoervision Switch / 127. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed ❑� 29. Test of alarm system on emergency power, satisfactory? Yes ❑' No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.47_2-2955 E. Electrical Contractors License # DE*140R3 F. Specialty Electricians License Inspection Contract No. 1V File No. V�11199� FZRZ 'tSROT'r.CilOi`i S-E-MVZCL..S DIVISION 5 � 9th & Columbia Bldg. Cri-51, Olympia. WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION Date Name of Facility: �`7 i�(�✓��L�S �����c� s � z�c �- � Occupied as• / Address:• C � X- f2YA S'pril Sc /�/� Cit-Y County: -ICI L�dh _Zip �U Zg Telephone(360) 2 75 — </ Building Designation (if more than one building) Inspection by: F)1)6"'�c)� Title SEC 14 Oate of inspection: - 2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I. Type of Test: Monthly Q Quarterly Q Semi-Annual Q Annual 2. Type of system: Ncncoded [2 Common coded Q Selective coded ❑ Oual coded Q (as pertaining to chapter 212-14 WVC) 3. Local Fire Oepartasent: 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes Q� Na C3 6. Master Box Reset A.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIuIiiAL FORti TO BE RETURNE:l TO STATE FIRE 14ARSHAL. 1 - Y EQUIPMENT TESTED NUMBER OF TM. -- SATISFACTORY TYPE AND TYPE OF EQUIPMENT UNITS TESTED DATE " CHECK MANUFACTURER Yes No N/A S. Control Panel '�` g COccG Cklf5 (50 9. Manual Station Couc4 10. Neat Detectors II. Smoke Detectors Tv� CA4<< Audible arm 12. Devices Visual Alarm L v fo 12. Devices 14. Code Transmitters Automatic Door 15. Releases 16. Trouble Indicators 17. Master Alarm Box 19. Batteries Z l/ 7 4W 19. Charmer 4,24,1 L� 20. Generator 121. Ventilation Control Fire Department 22. Interconnection entraStation ( c/ A-DL C-0 ;76 23. Interconnection Exterior Sprinkler 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch Sprinkler Gate Valve L/ 26. Suoervision Switch 27. Annunciators I 28. Automatic Time Delay of General Alarm Minutes. None Installed , 29. Test of alarm system on emergency parer, satisfactory? Yes No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative S. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License I DE*140R3 F. Specialty Electricians License Cu �� •t o yyCL 1W GPJNNEU FIRE PROTECTION SYSTEMS COMPANY INSPECTION CONTRACT INSPECTION REPORT N0. ... ............................ CONFERRED WITH REP9,fR?T OF INSPECTION BUREAU FILE ................ /'✓ ? f� NO. ...._... .. ... ............... ..... ......................................I........................ i SET 1 OF 2 REPORT TO 7. BUILDING 0 ATI N IN E STREET INSPECTOR CITY&STATE GM/� ZIP GRINNELL OFFICE PHONE NO. ATT. DATE �%� � ZSj -7 3 7-T 1. GENERAL Yes N.A. No' A. (To be answered by the Owner or Owner's representative) a. Have there been any changes in the occupancy classification,machinery or operations since the last inspection? b. Have there been any changes or repairs to the fire protection systems since the last inspection? c. If a fire has occurred since the last inspection,have all damaged sprinkler system components been replaced? d. Has the piping in all dry systems been checked for proper pitch within the past five years? Date last checked (checking is recommended at least every 5 years) e. Has the piping in all systems been checked for obstructive materials? Date last checked (checking is recommended at least every 5 years) f. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? g. Are gravity,surface or pressure tanks protected from freezing? h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers) i. Are any extra high temperature solder sprinklers regularly exposed to termperatures near 300°F? MERA B. (To be answered by the inspector) a. Have the sprinkler systems been extended to all visible areas of the building? b. Does there appear to be proper clearance between the top of all storage and the sprin er deflector? e- S c. Are the building areas protected by a wet system,heated,including its blind attics and perimeter areas,where accessible? d. Are all visible exterior openings protected against the entrance of cold air? 2. CONTROL VALVES tit a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? b. Are all control valves sealed or supervised in the open position? No. Easily Valve Secured? Supervision Controlof Accessible Si O If es,how? (Sealed?) Operational Valves Valves Type Signs pen y (Locked?) p Yes No Yes No Yes No Yes No (Supvd.?) Yes No CITY CONNECTION TANK PUMP SECTIONAL SYSTEM ALARM LINE 3. WATER SUPPLIES � Pressure Fire Pump&Tank a. Water supply source? City Gravity Tank Pressure Fire Pump&City Waterflow Test Results Made During This Inspection Pressure Fire Pump&Pond Test Size Static Static Test Size Static Static Pipe Test Pressure Flow Pressure Pipe Test Pressure Flow Pressure Located Pipe Before Pressure After Location Pipe Before Pressure After AIQ . 0 Le 4. TANKS,PUMPS,FIRE DEPT.CONNECTIONS Yes N.A.# No' a. Do fire pumps,gravity,surface or pressure tanks appear to be in good external condition? b. Are gravity,surface and pressure tanks at the proper pressure and/or water levels? c. Are fire dept.connections in satisfactory condition,couplings free,caps or plugs in place and check valves tight? d. Are fire dept.connections visible and accessible? S. WET SYSTEMS l ( f �,,_r� 7—, a. No.of systems Make&Model b. Are cold weather valves in the appropriate open or closed position? If closed,has piping been drained? c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? d. Have all the antifreeze systems been tested? e. Date antifreeze systems were tested f. The antifreeze tests indicate protection to: system 1 1 3 4 S temperature g. Did alarm valves,waterflow alarm indicators and retards test satisfactorily? A VICO INTERNATIONAL LTD. COMPANY #Not Applicable Explain(No)Answers on Back of Sheet 2 nalr_wAI NOW MR001 FIRE PROTECTION NTEMS COMPANY INSPECTION CONTRACT NO. INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE No. _ .__. _ .. ... l NO. ................................ �w IdU SET 2 OF 2 6 DRY SYSTEMS Yes N.A.# No' a. No.of systems Make&Model Date last trip tested b. Is the air pressure and priming water levels normal? c. Did the air compressor operate satisfactorily? d. Were all low points drained during this inspection? e. Did all quick opening devices operate satisfactorily? f. Did all the dry valves operate satisfactorily during this inspection? g. Do dry valves appear to be protected from freezing? h. Is the dry valve house Bated? 7. SPECIAL SYSTEMS a. No.of systems Make&Model Type b. Were valves tested as required? c. Did all heat responsive systems operate satisfactorily? d. Did the supervisory features operate during testing? Heat Responsive Devices: Type Type of test Valve No. 1...... 2...... 3...... 4...... 5......6...... Valve No. 1...... 2...... 3...... 4...... 5...... 6...... Valve No. 1...... 2...... 3...... 4...... 5...... 6...... Valve No. 1...... 2...... 3...... 4...... 5...... 6...... Valve No. 1...... 2...... 3......4...... 5...... 6...... Valve No. 1...... 2...... 3...... 4...... 5...... 6...... Valve No. 1...... 2...... 3......4......5...... 6...... Valve No. 1...... 2...... 3......4...... 5......6...... Auxiliary equipment: No. Type Location Test results 8. ALARMS Yes N.A.# No` a. Did the water motors and gong operate during testing? b. Did the electric alarms operate during testing? �� L c. Did the supervisory alarms operate during testing? 9. SPRINKLERS—PIPING a. Do sprinklers generally appear to be in good external condition? b. Do sprinklers generally appear to be free of corrosion,paint,or loading and visible obstructions? c. Are extra sprinklers available on the premises? d. Does the exterior condition of piping,drain valves,check valves,hangers,pressure gauges,open sprinklers and strainers appear to be satisfactory? e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? 10. EXPLANATION OF"NO"ANSWERS(For Sections 16 thru 9): 11. THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS.HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: 12. ADJUSTMENTS OR CORRECTIONS MADE: 13. LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT,AS ADVISED BY THE OWNER IN SECTION 1A: 14. INSPECTION AND SUGGESTED IMPROVEMEN WERE DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE? Signature of owner or owner's representative Date— DUPLICATE TO: STREET CITY&STATE ZIP ATT. Shot Applicable G4550-2 A VICO INTERNATIONAL LTD. COMPANY 'Explain(No)Answers on Back of sheet r)RIC,IMAI Inspection Contract No. File No. FIRE IsROTECTION SERVICES DM SZON 9th & Columbia Bldg. CH-51, Olympia, WA 98504-4151 ' FIRE ALARM SYSTEM REPORT OF INSPECTION �i Date D J6 66 Name of Faci 1 i t Occupied as: ess: 5 y /�� C1���-, Y) C i t}c. &/L'e- AddddCourty:rs /�(4�ti�cxn -Zip /�37ZK Telephone Building Designation (if more than one building) Title Inspection by: / Date of inspection: -30 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded Z Coca n)coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 3. Local Fire Department: 4. Fire Department Official Contacted: 4W 5. Test Received at Fire Oe artment: Yes 0' No ❑ ' 6. Master Box Reset / -A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. AS gsk Dg h ✓ � ao/ t'g��RO/3S`�/10�� T s� f c &424L�7 ;`� }� /Gunk S_FM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNEj TO STATE FIRE OARShAL. EQUIPMENT TESTED UM Y TYPE-AND TYPE OF EQUIPMENT UNITS TESTED DATE " CHECK MANUFACTURER Yes No N/A 8. Control Panel �'L� V� DSO 9. Manual Station /CJ 10. Heat Detectors ✓O �r �/cz/G�S 11. Smoke Detectors u d i o Te—TI arm 12. Devices V Visual Alarm 1 j ✓ �`j�/��G 13. Devices 7 14. Code Transmitters ' Automatic Door 15. Releases L� `7 16. Trouble Indicators 17 . Master Alarm Box I I I 18 Batteries Pr�niGl � 7aXe 19. Charcer 121— venerator i21. Ventilation Control �' h Fire Departmnt 22. Interconnection entrai Cation I ` ✓' 2-1. Interconnection Exterior 'Sprinkler 24. Electric Alarm Bell ' Sprinkler Water / 25. Flow Switch -Sprinkler Gate 'Valve 26. Suoervision Switch 27. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes 0 No Q 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. i A. Signature of Owner or Representative S. Signature of Fire Alarm Firm Representative' / G� C. Name of Firm Sound Electronics -0. Mailing Address i 929 Tacom'A` Ave 5 Tacoma' WA 9 402 _ Phone No.472_2955 E. Electrical Contractors License NDE*140R3 F. Specialty Electricians License # fff jL To �L Inspection Contract No. File No. FIRE15ROTF-CTION SERVICES DIVISION 9th & Columbia Bldg. GN-5I, Olympia, WA 98504-4151 ' FIRE ALARM SYSTEM REPORT OF INSPECTION Date 9,13O dd Name of Facility: / Occupied as: O �2��s h c i tx f AddrtS s: �i � County: U°��fv� Zip ✓�Z Telephone 27.5 Building Designation (if more than one building) G Inspection by: (Q` Title Date of inspection: 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual Q� '' 2. Type of system: Noncoded [9 Common coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 212-1 ) 3. Local Fire Department: ' 4. Fire Department Official Contacted: 5. Test Received at Fire Department: Yes No ❑ 6. Master Box Reset 10 A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. G� �X1Cl �Cil� AOyt au Y9�,h�1,4 e el uGl aN i ti S_FM 222, Rev. 5/78 ORIGINAL FORM TO BE RETURNEil TO STATE FIRE OARSHAL. EQUIPMENT TESTED UMSATISFACTORY TYPE N TYPE OF EQUIPMENT UNITS TESTED DATE . CHECK MANUFACTURER Yes No N/A 8. Control Panel 7�� le 9. Manual Station V`j p�d /' / /� F 10. Heat Detectors 11. Smoke Detectors i Audio le Alarm 12. Devices Visual Alarm 1� Devices / 14. Code Transmitters Automatic Door 15 . Releases 16. Trouble Indicators f R�� 17 . Master Alarm Box 16. Batteries sZ- ✓ !�-✓ Za`' - 19. Charver At"f e 20. venerator n 121. Ventilation Control Fire Departmnt122. Interconnection Central Station ✓ a/ 23. Interconnection Exterior prinK er ( ✓ — 24. Electric Alarm Bell prinkler Water ,� 25. Flow Switch Sprinkler Gate Valve 26. Supervision Switch 27. Annunciators y- 28. Automatic Time Delay of General Alarm Minutes. None Installed L� 29. Test of alarm system on emergency power, satisfactory? Yes 1�1 No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFFA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative S B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics -0. Mailing Address 1929 Tacoma` Ave 5 Tacoma, WA A 402 - Phone No.472-2955 E. Electrical Contractors License # SOUNDE.',140R3 F. Specialty Electricians License 11 Fiffik V�-OEMON RUM COMPANY qq0"S- -- T"Ou. I ? j 1C.�97 I ' 14 S V �. INSPECTION CONTRACT INSPECTION RE1PORl 1 NO 41.2524(B) A7 No. ........................... ........................ `�_ BUREAU FILE ................ CONFERRED WITH a G �� ;€ ORT OF INSPECTION E I'AIT � ���I I([ N NO. ...... ......... .............. .... ............... ...... SET# OF 2 REPORT TO No.Mason Sch.Dist. / Hawkins Middle School BUILDING OR LOCATION JNSPECT Same East 50th & North Mason School Road STREET INSPECTOR _ CITY&STATE Belfair, WA ZIP 98528 GRINNELL OFFICE �"'t PHONE NO. ATT. DATE ` 1. GENERAL JsN. No* A. (To be answered by the Owner or Owner's representative) a. Have there been any changes in the occupancy classification,machinery or operations since the last inspection? b. Have there been any changes or repairs to the fire protection systems since the last inspection? c. If a fire has occurred since the last inspection,have all damaged sprinkler system components been replaced? d. Has the piping in all dry systems been checked for proper pitch within the past five years? Date last checked (checking is recommended at least every 5 years) e. Has the piping in all systems been checked for obstructive materials? '��"� Date last checked (checking is recommended at least every 5 years) I. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? g. Are gravity,surface or pressure tanks protected from freezing? h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers) i. Are any extra high temperature solder sprinklers regularly exposed to termperatures near 300°F? B. (To be answered by the inspector) ,�[ a. Have the sprinkler systems been extended to all visible areas of the building? h"`�"� i ni >Vt�t7 cat b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? c. Are the building areas protected by a wet system,heated,including its blind attics and perimeter areas,where accessible? d. Are all visible exterior openings protected against the entrance of cold air? 2. CONTROL VALVES a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? b. Are all control valves sealed or supervised in the open position? No. Easily Valve Secured? Supervision Control of Type Accessible Signs Open If yes,how? (Sealed?) Operational Valves Valves (Locked?) Yes No Yes No Yes No Yes No (Su vd.?) Yes No CITY CONNECTION TANK PUMP SECTIONAL SYSTEM I Al E,5 ALARM LINE 3. WATER SUrPLIES Pressure Fire Pump&Tank a. Water supply source? City GrZa Pressure Fire Pump&City Waterflow Test Results Made During This Inspection Pressure Fire Pump&Pond Test Size Static Static Test Size Static Static Pipe Test Pressure Flow Pressure Pipe Test Pressure Flow Pressure Located Pipe Before Pressure After Location Pie Before Pressure After L c` 4. TANKS,PL1MrS RRE DENT.CONNECTIONS Yes TN.A.#r No* a. Do fire pumps,gravity,surface or pressure tanks appear to be in good external condition? b. Are gravity,surface and pres>ure tanks at the proper pressure and/or water levels? c. Are fire dept.connections in satisfactory condition,couplings free,caps or plugs in place and check valves tight? d. Are fire dept.connections visible and accessible? S. WET SYSTEMS )�O /f� _ �,J � � mi� l I a. No.of systems Make&Mod I ( J`ZG� dft b. Are cold weather valves in the appropriate open used position? If dosed,has piping been drained? c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? d. Have all the antifreeze systems been tested? e. Date antifreeze systems were tested f. The antifreeze tests indicate protection to: system 1 2 3 4 5 temperature S. Did alarm valves,waterflow alarm indicators and retards test satisfactorily? ORIGINAL !Not Appiicabie G4550-1 •Explain(No)Answers on Back of sheet 2 GOWELL FIRE PROTWflON SYSTIIKS C0NUM INSPECTION CONTRACT NO. _.............._ INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE No. _...................... . SET 2 OF 2 6. DRY SYSTEMS - Yes N. .# No' a. No.of systems Make&Model Date last trip tested b. Is the air pressure and priming water levels normal? c. Did the air compressor operate satisfactorily? d. Were all low points drained during this inspection? e. Did all quick opening devices operate satisfactorily? I. Did all the dry valves operate satisfactorily duri�?— h. ecti:) g. Do dry valves appear to be protected from free Is the dry valve house ate ? 7. SPECIAL SYSTE a. No.of systems a&Model Type b. Were valves tested as req�em, c. Did all heat responsive soperate satisfactori ? d. Did the supervisory f ures operate during testin ? Heat Responsive Devi s: Type Ty of test Valve No. 1...... 2...... 3..... 5...... ........ Valve No. 1...... 2...... 3...... 4...... 5......6...... ......4. 5. Valv 1...... 2...... 3 Valve No. 1...... 2...... 3...... 4...... 5......6...... 4 .....ValveNo 1...... 2...... 3..... ..... 6... Valve No. 1...... 2...... 3...... 4...... 5...... 6...... Valve 1...... 2...... 3...... 4...... 5...... 6...... Valve No. 1...... 2...... 3...... 4...... 5...... 6...... Auxiliary equipment: No. Type Location Test results 8. ALARMS Yes N.A.# No' a. Did the water motors and gong operate during testing? b. Did the electric alarms operate during testing? c. Did the supervisory alarms operate during testing? 9. SPRINKLERS—PIPING a. Do sprinklers generally appear to be in good external condition? a� b. Do sprinklers generally appear to be free of corrosion,paint,or loading and visible obstructions? c. Are extra sprinklers available on the premises? d. Does the exterior condition of piping,drain valves,check valves,hangers,pressure gauges,open sprinklers and strainers appear to be satisfactory? e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? 10. EXPLANATION OF"NO"ANSWERS(For Sections 1B thru 9): 11. THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS.HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: 12. ADJUSTMENTS OR CORRECTIONS MADE: �y 13. LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT,AS ADVISED BY THE OWNER IN SECTION IA: 14. INSPECTION AND SUGGESTED IMPROVEMENT DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S RJ;CRES�jVT,f►TIVE r's repre Signature of owner or ownesentative, Date yy+{ ����'� DUPLICATE TO: STREET CITY&STATE ZIP ATT. tNot Applicable G4550-2 *Explain(No)Answers on Back of Sheet ORIGINAL Fire Protection District 5 Central Mason County Mission Statement: "The protection of life,health, property and the environment." April 3,2001 Commissioners Del G.Griffey David J.Tagye Tommy O.Taylor Chief Dave Salzer Richard A.Knight Mason County Fire Marshal P.O. Box 186 Shelton WA 98584 Assistant Chief Michael J.Snyder Dear Dave: Executive Secretary The alarm companies need this information. Donna M.Clark They sent us to the High School recently when the alarm was actually from the Boys and Girls Club. Post Office Box 127 Please contact have any questions. Allyn, Washington 98524 Business: (360) 426-5533 or D (360) 275-?°" �.2Z Fax: (360) 426-89. (360) 275-28E Internet EMAIL A mason5Qaol.c� Website Address: members.aol.cor, mason5 EMERGENCY SERVIC Fire and Life Safety Fire protection Rescue FIRECOM Dispatch and Communications FIRE MEDIC Paramedic Advanced Life Support And Ambulance Service X PEOPLE SERVING PEOPLE SINCE 1953 (360) 275-2889 Firecom (360) 426-5533 Fire and Medical Communications P.O. Box 127, Allyn, WA 98524-0127 [2nd me of Call Z(o Disp. 1st. On Scene Date Dist. Run Card# Incident Number Alarm Number st. Tone FC 01-p C1', 1st. p Alarm 1 Resp. Time 1 (L4 Map Page# Dist. 01- 2nd. 5 Min. Tone S Mut. 01- 3rd. Nature of Incident Area: R-� Other A encies Address _ ti MCSO calw ETA WSP Call Back# L4 L(& " PUD Age M F Conscious Breathing R/P Name U l s Z � DNR Y/ N Y/ N Pt. Name ALNW Typeof Call C Class/Level R/P Location #cn Resp Unit On Ramp En Route board Cancel Staging On Scene Time Hosp Code Time Arrive Available Returning Secure iuz ti � I1 Sze Time To From Follow-u Info/Messa es Size up Command Name UOps. req. Call Received: 911- 1 2 3 4 5 6 7 RD Ademco ( ) Message FD-3 5532 Units 5533 2888 2889 Plec. Channel ( ) u�rzoo� v Sp-VWICATION OF NEW PRIVATE ROAD NAME OF SEW V OAD: CAMPUS DRIVE LOCATI�= Swoon 0 Township 22 Range 1 Area of County E BELFAIR Nearest Existing Road NORTH MASON SCHOOL ROAD Length of Road 400 pirections to Road: FROM SHELTON: TAKE STATE ROUTE 3 TO ALLYN, GO THRU T NORTH MASON SCHOOL PC)An (JUST BEFQRE THE RAILROAD L'LT1 1 BRID E TURN RIGHT ON NORTH MASON SCHOOL ROAD, THEN TAKE THE 1ST vnetl (lN THE RIGHT THIS IS.CAMPUS DRIVE, PLEASE SEE ATTACHED MAPS - Private Road XXX New Road Revised AGENCIES NOTIFIED: Assessor XX Commissioner 1 Post Office XX E-911 XX A.I.S. XX ,U.S. West XX FPD#_ Comments: THIS PRIVATE ROAD WAS NAMED BECAUSE WE HAD TO MANY SITE LA DRESSES ASSIGNED OFF OF NORTH MASON SCHOOL ROAD TI ES WILL r nw THE INDIVIDUAL SCHOOLS AND BUILDINGS LOCATED AROUND THE eCHOOL TO BE ASSIGNED THERE OWN INDIVIDUAL SITE ADDRESS: THIS WILL SAVE TIME IN THE EVENT OF A EMERGENCY. By Q aE,MC'FARLAND Date 03/13/01 low GPJNNELL FIRE PROTECTION SYSTEMS COMPANY INSPECTION R�P0�21 maV Un l U l INSPEC,JIQf�2CONTRAA� No. ........... ...... . . II NO. ..`}_ .....�.._.......A............ CONFERRED WITH REPORT OF INSPECTION BUREAU FILE ............................................... .. . ... ... .. SET 1 OF 2 REPORT TO No.Mason Sch. Dist. / North Mason High school BUILDING OR LOCATION INSPECTE Same STREET East 50th & North Mason School Road INSPECTOR7`7 04'1L���—r��--�c�'—� L1P CITY&S E, Belfairt WA ZIP 98528 GRINNELL OFFICE PHONE NO.ZyC-_1'Sd"0 ATT. DATE . 1. GENERAL Yes N.A. No* A. (To be answered by the Owner or Owner's representative) a. Have there been any changes in the occupancy classification,machinery or operations since the last inspection? b. Have there been any changes or repairs to the fire protection systems since the last inspection? c. If a fire has occurred since the last inspection,have all damagea sprinkler system components been replaced? d. Has the piping in all dry systems been checked for proper pitch within the past five years? Date last checked (checking is recommended at least every 5 years) e. Has the piping in all systems been checked for obstructive materials? 42Arl Date last checked (checking is recommended at least every 5 years) f. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? g. Are gravity,surface or pressure tanks protected from freezing? Volk h. Are any of the sprinklers So years old or older? (testing and/or replacement is recommended for such sprinklers) i. Are any extra high temperature solder sprinklers regularly exposed to termperatures near 300°F? B. (To be answered by the inspector) a. Have the sprinkler systems been extended to all visible areas of the building? b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? c. Are the building areas protected by a wet system,heated,including its blind attics and perimeter areas,where accessible? d. Are all visible exterior openings protected against the entrance of cold air? 2. CONTROL VALVES a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? b. Are all control valves sealed or supervised in the open position? No. Easily Valve Secured? Supervision Control f T of (Sealed?) Valves YPe Accessibl Signs Open If yes,howl (Locked?) Operational Valves Yes No Yes No Yes No Yes No (Su vd.?) Yes No CITY CONNECTION r. TANK C PUMP L t SECTIONAL SYSTEM Q j i ALARM LINE �1 3. WATER SUPPLIES &A Press re Fire Pump&Task - a. Water supply source? City Gravity Tank Pressure Fire Pump&City Waterflow Test Results Made During This Inspection Pressure Fire Pump&Pond Test Size Static AA-fter . Test Size Static Static Pipe Test Pressure Flow Pipe Test Pressure Flow Pressure Located Pi a Before PressureLocation Pipe Before Pressure After 49 J/ 4. TANKS,PUMPS,FIRE DEPT.CONNECTIONS Yes N.A.t No' a. Do fire pumps,gravity,surface or pressure tanks appear to be in good external condition? b. Are gravity,surface and pressure tanks at the proper pressure and/or water levels? c. Are fire dept.connections in satisfactory condition,couplings free,caps or plugs in place and check valves tight? d. Are fire dept.connections visible and accessible? S. WET SYSTEMS 01 S _> / (( a. No.of systems Make&Model b. Are cold weather valves in the appropriate open or closed position? If dosed,has piping been drained? c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? d. Have all the antifreeze systems been tested? e. Date antifreeze systems were tested f. The antifreeze tests indicate protection to: system 1 2 3 a S temperature S. Did alarm valves,waterflow alarm indicators and retards test satisfactorily? 4 O R I G I N AL Not Lasso-1 •Exd,y„(No)Answers on sack of Sheet 2 gg) GR24NELL FIRE PROTECTION SYSTEMS COMPANY INSPECTION CONTRACT NO. .... _ INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE No. _ .............. ... NO. SET 2OF2 6. DRY SYSTEMS Yes N.A.# No' a. No.of systems Make&Model Date last trip tested b. Is the air pressure and priming water levels normal? c. Did the air compressor operate satisfactorily? d. Were all low points drained during this inspection? e. Did all quick opening devices operate satisfactorily? I. Did all the dry valves operate satisfactorily during this i ection? g. Do dry valves appear to be protected from freezi h. Is the dry valve h ? 7. SPECIAL SY a. No.of systems a &Model Type b. Were valves tested as required? c. Did all heat responsive syste operate satisfactorily? d. Did the supervisory featu s operate during testing? Heat Responsive Devices: ype Type of test Valve No. 1...... 2...... 3......4...... 5 .....6....../Valve - 1...... 2...... 3......4...... 5...... 6...... Valve No. 1...... 2...... 3......4...... ......6...... 1...... 2...... 3...... 4...... 5......6...... Valve Np� 1...... 2...... 3...... 4...... 5......6...... 1...... 2...... 3...... 4...... 5......6...... Valve(,( . 1...... 2...... 3...... 4.....: 5...... 6...... 1...... 2...... 3...... 4...... 5...... 6...... Auxiliary equipment: No. Type Location Test results & ALARMS Yes N.A.# No* a. Did the water motors and gong operate during testing? b. Did the electric alarms operate during testing? c. Did the supervisory alarms operate during testing? 9. SPRINKLERS—PIPING a. Do sprinklers generally appear to be in good external condition? b. Do sprinklers generally appear to be free of corrosion,paint,or loading and visible obstructions? c. Are extra sprinklers available on the premises? d. Does the exterior condition of piping,drain valves,check valves,hangers,pressure gauges,open sprinklers and strainers appear to be satisfactory? e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? 10. EXPLANATION OF"NO"ANSWERS(For Sections 1B thru 9): l L H/( — C 8 U. 11. THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS.HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: 12. ADJUSTMENTS OR CORRECTIONS MADE: 13. LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT,AS ADVISED BY THE OWNER IN SECTION 1A: 14. INSPECTION AND SUGGESTED IMPROVEM TS WERE DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S RE !SE DIVE? Signature of owner or owner's representative Date ;L _` DUPLICATE TO: STREET CITY&STATE ZIP ATT. G4550-2 -Ex Applicable plain(No)Answers on Back of Sheet ORIGINAL Inspection Contract No. File No. FIB t'S�QT"r.G'L2DPi Sr'RTICE-S DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIR£ ALARX SYSTEM REPORT OF IWECTION Gate 7 Zq - Name of Facility: Occupied as: S C 14 / Address: SDAj '� D� /�� city County: Zip g� 5 2 g TeIep one, Z 73--- L9 U 0 Building Designation (if more than one building) Inspection by: � (-'zL c= -owe� Title Oate of inspection: 7 '?8 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of system: Noncoded © Common coded ❑ Selective coded Q Oual coded ❑ (as pertaining to chapter 212-14 kAC) 3. Local Fire Oepartment: - 4. Fire Department Official Contacted: / 5. Test Received at Fire Department: Yes Y 6. Master Sax Reset {``r t A.M. P.M. 7. Umments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL, FORt1 TO BE RETLRNEJ TO STATE FIRE i•tARSHAL. fY EQUIPMENT TESTED NUMBERY TYPE ANO TYPE OF EQUIPMENT ITS TESTED DATE . CHECK MANUFACTURER Yes I No N/A S. Control Panel -7 2- 9. Manual Station 10. Heat Detectors 7 v � t �� rr� 11. Smoke Detectors uai a arm v Cdll�E�ou� 12. Devices Visual Alarm v 14/ � 8� 13. Devices 2- 7 14. Code Transmitters Automatic Door C 2aG�tl 15 . Releases 16. Trouble Indicators 17. Master Alarm Box 19. Batteries 19. Charger 20. Generator l/ l rc� j21. Ventilation Control I PP0J6- k6-/�-6 ' Fire Department 22. Interconnection Central Station 23. Interconnection Exterior Sprinklerl 24. Electric Alarm Bell Sprinkler Water 25. Flow Switch prink er Gate Valve v 25. Suoervision Switch 27. Annunciators ' 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative AL S"_ S. Signature of Fire Alarm Firm Representativ ]==L�� C. Name of Firm Sound Electronics D. Mailing Address 4621 Pacific Ave . Tacoma , Wa . 98408 Phone No.472-2955 E. Electrical Contractors License # SOUNDE*140113_ F. Specialty Electricians License # LuF��� ° oyqcc- Inspection Contract No. File No. FZRZ 'iWTZCTION Se".VICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INSPECTION n, Date 7-2 7-9? Name of Facility• �I ,o Occupied as: D (-fir c�-s 2 �0�2� -8��5 C'424 Address: 50 CitX ICI county--- -174 d- Zip 9� S ZCJ Telephone Building Designation (if mere than one building) J Inspection by: (�c,zDJ�OG-ra�Z� Title /L`l� G Date of inspection: N 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Armual ❑ Annual 2. Type of systew: Noncoded 0 Common coded ❑ Selective coded ❑ Oual coded ❑ (as pertaining to chapter 212/-14 WAC) 3. Local Fire Oeparta+ent: 4. Fire Department Official Contacted: S. Test Received at Fire Oepartmgvt: Yes 8--(b ❑ 6. Master Box Reset A.M. P.M. 7. Czmments, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGIAAL F0R1-1 TO BE RE-M RNEJ TO STATZ FIRE i4ARSHAL. EQUIPMENT TESTED U Y TYPE AND TYPE OF EQUIPMENT ITS TESTED DATE . CHECK MANUFACTURER Yes I No N/A S. Control Panel 7-24?-18 c 57L 9. Manual Station O C`bWr9ROS 10. Neat Detectors 2 11. Smoke Detectors Audible Alarm 12. Devices l Visual Alarm 13. Devices 14. Code Transmitters -� Automatic Door �� v 15. Releases 16. Trouble Indicators CAJ 17. Master Alarm Box �� I 19. Batteries 7 19. Charcer 20. Generator - I i21. Ventilation Control Fire Department 22. Interconnection -�- Central Station v eD 76 23. Interconnection txter i or Sprinklerl 24. Electric Alarm Bell Sprinkler Water v 25. Flow Switch -� Sprinkler Gate Valve 26. Sucervision Switch 27. Annunciators r ( v 2E. Automatic Time Delay of General Alarm Minutes. None Installed L7 29. Test of alarm system on emergency power, satisfactory? Yes C�r No ❑ 0"�°'` "'S � 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics 0. Mai 1 ing Address 4621 Paci Eic Ave . Tacoma , Wa . 98408 Phone No 472-2955 E. Electrical Contractors License # DE*14OR3 F. Specialty Electricians License 4Cup» D YS�Cc Inspection Contract No. File No. FIRE. TRaTr=QN SEBQICES DrnSIOH gth & Co 1 umb i a Bldg. 6ii-51. Olympia. WA 98504-4151 FIRE ALARM SYSTEM REPORT OF INS SMOR Nape of Faci I i Ly: Occupied as: Address• �_ o I�(!�I S Ad, County Zip Telephone Building Designwre than one building) Inspection by: (J C�.KA7�- Title �;Zef Oate of inspection: �1�2 f �"zG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Type of Test: Monthly Q Quarterly Q Semi-Annaal Q Annual 2. Ea- Type of system: Noncoded Q" Coca-n coded Q Selective coded Q Oual coded Q (as pertaining to chapter 212-14 WAC) 3. Lccal Fire Department: 4. Fire Department Official Contacted: S. Test Received at Fin Department: Yes Q MoA11 6. Master Box Reset A.M. P.M. 7. Caaxnents, explanation of unsatisfactory results, action taken, etc. SFM 222, Rev. 5/78 ORIGINAL FORK M BE RETLRNU Tli STATE FIRE ►aAAShAL. EgUIPMEW TESTED NUMBER OF TEST. SATISFACTORY TYPE OF EQUIPMENT LIMITS TESTED BATE ' CHECX MANUFACTURER Yes No N/A 8. Control Panel 9. Manual Station ? 10. Heat Detectors 11. Smoke Detectors o S cio a Alarm 12. Oevices Visual Alarm .27 13. Devicesp 14. Code Transmitters Automatic Ocor 15. Releases 16. Trouble Indicators 17. Master Alarm Box 19. Batteries 19. Charter B 20. Generator i21. Ventilation Control Fire Departmmt 22. Interconnection Central tation 23. Interconnection Exterior SprinKlerl I I I 24. Electric Alarm Bell orinkler Water 25. Flow Switch prinx ier Gate Valye 26. Suoervision Switch 27. Annunciators i ( ( S�`'DE 16!3 2E. Automatic Time Delay of General Alarm Minutes. None Installed Q 29. Test of alarm systen on emergency power, satisfactory? Yes Q No Q 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative ,► C. Name of Firm Sound Electronics 0. Mailing Address 4L621 pacific Ave . Tacoma , Wa . 98408 Phone No1+72-2955 E. Electrical C.antractors License # SOUNOE=140R3 F. Specialty Electricians License # rle *'/77w Inspection Contract No. File No. FIRTH,�RQTF =N S=CIS DMSION 9th & Columbia Bldg. GH-5I, Olympia. WA 98504-4151 FIRE AL.ARH SYSTEM RMRT OF IWECTIOit Date Name of Facility: Occupied as: ��L .0�, _S Address• j x0o C i tx Telephone 7 County: i7��t�cayt,� Zip �� s �'�� Building Designation (i more than one building) Inspection by: //7� Cow�/ Title Oate of inspection: 1. Type of Tes t: Monthly Q quarterly Q Semi-Armu a 1 Q Annu a 1 Q - 2. Type of system: Noncoded E�-�n-caded Q Selective coded Q Oual coded Q (as pertaining to chapter 2I2-I44 WAC) 3. Lccal Fire 0epartment:�X ''i 4. Fire Department Official Contacted: S. Test Received at Fire Oep rtment: Yes s---No L) 6. Master Box Reset A.M. P.M. 7. Czmments, explanation of unsatisfactory results, action taken, etc. 'Ad SFM 222. Rev. 5/78 ORIGINAL FORH M BE RE--iUPNEtl M STATE FIRE kAPSkAL. EQUIPMENT TESTED NUMBER OF TEST. WISFACTORY TYPE OF EQUIPMENT LIN ITS TESTED BATE ' CHECK MANUFACTURER Yes No N/A S. Cantrvl Panei J� ,b 9. Manual Station r^ w o5 10. Heat Detectors 11. Smoke Detectors 4r2 .Ld�✓� % Au a i o 777 arm 12. Devices Visual Alarm 12. Devices v 14. Code Transmitters I Automatic Door 15 . Releases 16. Trouble Indicators ( f� 17. Master Alarm Box def { ( I L 18. Batteries I I /a 10 19. Charcer 20. Generator i21. Ventilation Control �- Fire Department 22. Interconnection Central Station 23. Interconnection / - *�� Exterior SprinKlerg ( I I 24 . Electric Alarm Bell I ! e 2E. Flow Sw « Water c I Sprinkler Gate Valve J 26. Supervision Switch 127. Annunciators 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes Q No Cl 30. This is to certify that this fire alarm system has been properly inspected for reliability cavering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative II S. Signature of Fire Alarm Firm Representative G�J C. Name of Firm Sound Electronics 0. Mailing Address 4621 Pacific Ave . Tacoma , wa . 98408 Phone No.472-2955 E. Electrical Contractors License 1 *140R3 F. Specialty Electricians License # . s FIRE PUMP TEST REPORT: DIESEL Location: North Mason High School/N. Mason School Dist. East 50th North Mason School Road Belfair,Wa_ 98528 Test Date: August 22, 1997 -Conducted by: Dan McLuen Grinnell Fire Protection Systems Co., Inc. Frank Tucker Grinnell Fire Protection Systems Co., Inc. Witnessed by: None EQUIPMENT DATA: Pump: Brand: Fairbanks Morse Type: centrifugal/horizontal split case Rating: 1500 gpm @ 100 psi Model: not indicated Serial No.: K1014815 Listing: UL/FM Size: 10 x 6 Stage: 1 Rated RPM: 3275 BHP Regd.: not indicated Max. BHP: 137 Imp. Dia.: 8.4 in. Rated Max. Pressure: 120 psi Rated Pressure at 150% Capacity: 65 psi Driver: Brand: Cummins Type: diesel/horizontal/in line Listing: UL/FM Model: V378F2 Serial No.: 20247831 v D Rated HP: 137 @ 3300 rpm Rated RPM: 3300 rpm S E P 11 1997 Rated Voltage (electric): NA rA C Operating Voltage(electric): NA ERMIT A:SSISTAKE CENTER Rated Full Load Amps(electric): NA (ENTER Phase(electric): NA Cycles (electric): NA Service Factor(electric): NA ` Controller: Brand: Metron Type: manual/auto Model: FD2JPRS Serial No.: JD8310303 Listing: UL /FM HP Rating(electric): NA Voltage Rating (electric): NA Amperage Rating (electric): NA Phase (electric): NA Cycles (electric): NA Transfer Switch: (electric pump only) Brand: Type: Model: Serial No.: Listing: HP Rating: Voltage Rating: Amperage Rating: Phase: Cycles-. TEST RESULTS / RECOMMENDATIONS (See attached test data) FDU PUMP Overall operation: satisfactory (see below) Specifics: Test run duration: 7 min. Location of air release valve(s): acceptable Arrangement of pressure sensing line: see below Packing flow (horz split-case and vert. in-line): see below Operation of circulation relief valve (electric driver): NA Operation of cooling system (diesel/gas driver): acceptable Operation of battery charging system (diesel/gas driver): acceptable Operation of water jacket heater(diesel driver): acceptable Location/arrangement of pressure relief valve (diesel/gas driver): acceptable Fuel level (diesel/gas driver): see below Water tank level (if applicable): acceptable Arrangement and operation of water tank fill system: acceptable/float controlled well pump(s) Observations/Recommendations: 1. Observation: The pump test performance curve is below the factory performance curve as recorded on the pump data plate (see attached test data sheet). Recommendation: Comparison should be made to previous performance test curves and to the original acceptance test curve to establish whether pump performance has degraded from that previously recorded_ 2. Observation: The measured RPM is considerably less than that indicated as required. Given that net pressure varies with the square of the RPM, a relatively small decrease in RPM can have a substantial effect on the net pressure. This may account, in part, for the lowered performance curve discussed above. Recommendation: Arrange for a recognized Cummins representative to inspect and service the diesel driver such that the minimum required RPM is maintained. 3. Observation: The pressure sensing line is not arranged per the current edition of NFPA 20. The sensing line is equipped with a shutoff valve which is disallowed due to the fact that a closed valve could impair the pump. Recommendation: Revise the sensing line to comply with NFPA 20 by eliminating the shutoff valve. 4. Observation: Packing flow during the testing was sufficient, however, it was apparent that the packing was notably worn due to the fact that the glands had been tightened to the point of bending in an attempt to reduce the packing flow. Recommendation: Replace the packing on both sides of the pump shaft. This work should be performed by a recognized Fairbanks Morse representative. 5. Observation: The diesel fuel tank was half full. Recommendation: Replenish the fuel tank with the diesel grade recommended by the manufacturer. JOCKEY PUMP and CONTROLLER Overall operation: refer to the test report for the electric fire pump / the jockey is common to both the electric and the diesel pumps Specifics: Arrangement of pressure sensing line: Operation of run timer: Installation/location/operation of pressure relief valve: Start Pressure: Stop Pressure: Observations/Recommendations: FIRE PUMP CONTROLLER Overall operation: satisfactory Specifics: Status of power-available light- acceptable Operation of run timer: none installed/ shutdown is manual In-rush current (electric driver): NA Transmission of alarm signals: pump running: received at FACP- phase reversal (electric driver): NA power off: received trouble at FACP Start Pressure: 30 psi Stop Pressure: manual Observations/Recommendations: 1. Observation: The start pressure setting is low given the deadhead pressure produced by the fire pump. A low start pressure for either fire pump is ill- advised due to the potential for major system damage attributable to a pump start induced water surge. A water surge is created by a large delta between the pump deadhead pressure and the start pressure_ Recommendation: Set the start pressure higher. Recommend a start pressure of 105 psi. TRANSFER SWITCH (ELECTRIC DRIVER ONLY) Overall operation: Specifics: Status of power-available light: Observations/Recommendations'. END pmp-nm-d 1J11.- .J Kwl v,ri�wree PUMP ACCEPTANCE TEST DATA Refer to P&P F(A)—512.12&DS 3—7N PROPERTY OF o L INDEX NO. OW.OFF)CE ADDRESS _ TESTED BY DATE Crrr STATE �) PLACO CODE SUBJECT CONFERRED WTTH �SHAFT MANUFACTURER APPROVED SHOP OR SERIAL NO. MODEL OR TYPE PUMP El HORIZONTAL ❑VERTICAL I E]YES ❑NO RATED GPM - RATED HEAD-FT.;pm) RATED RPM SUCTION FR04A TANK SIZE TANK HEIGHT IF VERTICAL STATIC MANUFACTURER SHOP OR SERIAL NO. APPROVED DIST.DISCH. FT ANGLE ❑ YES VERTICAL GAUGE TO TYPE WATER PUMPING GEAR MODEL OR TYPE PERFORMANCE ❑ NO DPJVE LEVEL FT ❑SMOOTH n ROUGH MANUFACTURER A,—ROVEyQ �OL7RASTED ERIAL NO. MODEL OR TYPE RATED H.P. RATED RPM _YES '� NO DRIVER ELECTRIC RATED VOLT. OPERATING V F.L AMPS AMPS AT 1511 1 PHASE 77aS SERVICE FACTOR MOTOR E STEAM ❑ TSGOVERNOR ` INDEPENDENT TURBINE NE ENGINE — ENGINE TURBINE BUILT DIESEL MANUFACTURER APPROVED START psi STOP—psi JOCKEY PUMP CONTROLLER t YES L;NO MANUAL PRESS DROP C MANUAL [] YES ON psi SHOP OR SERIAL NO. MODEL JR TYPE l 1 AUTO ❑WATER FLOW I` AUTO ❑ NO OFF SPEED DISCHARGE! SUCTION NET HEAD STREAMS I GALLONS PERCENT OF RPM PRESSURE PRESSUREPSI �_ SIZE PROT ! PER MINUTE RATED y� PSI PSI I PRESSURE CAPACITY 3271 1134 18 1l� - I - I ¢5 gs 40 32ab1 -�7 I icP I 81 ! 1 j 4 I Il S I �538! 102.5 ' 40 /8SI 74 ►S j s ` ! 4 I 2s ( 221071 1S1 4-6 I I I I i i I i Reaongs marMo I-r in suction colurlln am heads above ar+wsprwo.Tioss marred(-1 an WIS. For wont snarl pumps OrM suction presslxe and net head M*&-ga. 80 180 160 I I I I I i 160 140 lao I I I I Ill i II I I 120 1120 I 10E too I I 80 a so II IIII II 60 I ! i t l i t I I I I I (60 40 I I I I 140 20 ( I I 1 I I I 120 I I Ilf 0 10 20 30 40 50 60 70 8o 90 too 110 120 130 140 150 160 170 180 Percent rated cap" Plot cfed "proswo and net MW asrea W hor�chart Pump-FOr vortYcal arch pump.dot deaw"pnaaure cuno.For aMcvcdrr~pang dot ampere 08"atao. 105(9-Tr)ENGINEERING PRWTED IN USA F4rutn A-t1.24a s(n Pump accopmace test dam 1m Eaton FIRE PUMP TEST REPORT: ELECTRIC Location: North Mason F igh School/N. Mason School Dist. East 50th North Mason School Road Belfair,Wa_ 98528 Test Date: August 22, 1997 Conducted by: Dan McLuen Grinnell Fire Protection Systems Co., Inc. Frank Tucker Grinnell Fire Protection Systems Co., Inc. Witnessed by: None EQUIPMENT DATA: Pump: Brand: Fairbanks Morse Type: centrifugal/ horizontal split case Rating: 1500 gpm @ 100 psi Model: not indicated Serial No.: K1014614 Listing: UL/FM Size: 10 x 6 Stage: 1 Rated RPM: 3495 BHP Regd.: not indicated Max. BHP: 146.2 Imp. Dia.: 7.9 in. Rated Max. Pressure: 120 psi Rated Pressure at 150% Capacity. 85 psi Driver: Brand: Lincoln Type: electric / horizontal /in line Listing: none indicated Model: Frame: 404TS Serial No.: 2737700 Rated HP: 125 Rated RPM: 3495 Rated Voltage(electric): 2001400 vac Operating Voltage(electric): 208 vac Rated Full Load Amps (electric): 326/163 Phase (electric): 3 Cycles(electric): 60 hz Service Factor(electric): 1.15 Controller: Brand: Metron Type: manual/auto/reduced voltage start Model: M430125208B Serial No.: DE8310441I Listing: UL HP Rating (electric): 125 Voltage Rating (electric): 208 vac Amperage Rating (electric): not indicated Phase (electric): 3 Cycles (electric): not indicated Transfer Switch: (electric pump only) NONE INSTALLED Brand: Type: Model: Serial No.: Listing: HP Rating: Voltage Rating: Amperage Rating: Phase: Cycles: TEST RESULTS / RECOMMENDATIONS (See attached test data) FIRE PUMP Overall operation: satisfactory Specifics: Test run duration: 10 min. Location of air release valve(s): acceptable Arrangement of pressure sensing line: acceptable Packing flow (horz split-case and vert. in-line): acceptable Operation of circulation relief valve (electric driver): acceptable Operation of cooling system (diesel/gas driver): NA Operation of battery charging system (diesel/gas driver): NA Operation of water jacket heater(diesel driver): NA Location/arrangement of pressure relief valve (diesel/gas driver): NA Fuel level (diesel/gas driver): NA Water tank level (if applicable): acceptable Arrangement and operation of water tank fill system: acceptable/ float con- trolled well pump(s) Observations/Recommendations: 1. Observation: The pump test performance curve is slightly below the factory performance curve as recorded on the pump data plate(see attached data sheet). Recommendation: Comparison should be made to previous performance test curves and to the original acceptance test curve to establish whether performance has degraded from that previously recorded. JOCKEY PUMP and CONTROLLER Overall operation: satisfactory /jockey is common to both diesel and electric pumps Specifics: Arrangement of pressure sensing line: see below Operation of run timer: indeterminate / set at 0 sec. Installation/location/operation of pressure relief valve: acceptable/ set at 150 psi Start Pressure: 58 psi Stop Pressure: 88 psi Observations/Recommendations: 1. Observation: The pressure sensing line arrangement is not per the current edition of NFPA 20. The sensing line includes a single restriction orifice and a shutoff valve. Recommendation: Revise the pressure sensing line to comply with the current edition of NFPA 20. This would entail eliminating the shutoff valve and installing an additional restriction orifice. 2. Observation: The start/stop pressure settings are low given the deadhead pressures produced by the fire pumps. A low start pressure for either fire pump is ill- advised due to the potential for major system damage attributable to a pump start induced water surge. A water surge is created by a large delta between the pump deadhead pressure and the start pressure. Recommendation: Set the start/stop pressures higher to accomodate higher start/stop pressure settings for the fire pumps. Recommend a start pressure of 130 psi and a stop pressure of 150 psi. FIRE PUMP CONTROLLER Overall operation: satisfactory Specifics: Status of power-available light: acceptable Operation of run timer: acceptable/ set for 10 min. In-rush current (electric driver): 966 amps Transmission of alarm signals: pump running: received at FACP phase reversal (electric driver): indeterminate power off: received trouble at FACP Start Pressure: 20 psi Ston Pressure 130 Observations/Recommendations: 1. Observation: The circuit breaker disconnecting means vibrates audibly when energized. Recommendation: Arrange for a recognized Metron representative to inspect and service the circuit breaker disconnecting means. 2. Observation: The start pressure setting is to low. See the jockey pump discussion above regarding the potential liabilities of low start/stop pressure settings. Recommendation: Set the start pressure higher. Recommend a start pressure of 120 psi_ TRANSFER SWITCH (ELECTRIC DRIVER ONLY) Overall operation: Specifics: Status of power-available light: Observations/Recommendations: END pmp-nm-e Tz- PUMP ACCEPTANCE TEST DATA Rotor to P dr P F(A)— 512.12 dr DS 3—7N ART„OF Sc ooL. INDEX 40. DIST.OFF)CE oR ADDRESS _ TESTED BY DATE -- pTY STATE PLACID CODE SUBJECT CONFERRED WITH SHAFT MANUFACTURER APPROVED SHOP OR SERIAL NO. MODEL OR TYPE PUMP ❑HOAIZONTAL ❑VERTICAL 1 ❑YES ❑NO RATED GPM RATED MEAD F7 psi) RATED RPM SUCTION FROM TANK SIZE TANK HEIGHT VERTICAL STATK: MANUFACTURER SHOP OR SERIAL NO. APPROVED IF GIST.DISCH. A14GLE ❑ YES -' VERTICAL GAUGE TO TYPE WAS PUMPING G.EA NO DFUV MODEL OR TYPE PERFORMANCE ❑ LEVEL JRfVE ❑j SMOOTH ❑ROUGH FT MANUFACTURER A.--ROvQ SHOP OR SERIAL NO. MODEL OR TYPE RATED H.P. RATED RPM —YES NO DRIVER -^ ELECTRIC I RATED VOLT. OPERATING VOLT. RATED FL AMPS AMPS AT 150% PHASE CYCLES SERVICE FACTOR MOTOR DIESEL GASOUNE — GAS ❑ STEAM ❑ PRESS.GOVERNOR ` INDEPENDENT r-' TURBINE ENGINE ❑ ENGINE — ENGINE TURBINE BUILT IN STEAM PRESS MANUFACTURER I APPROVED START psi STOP_psi JOCKEY PUMP CONTROLLER I'. YES L_:NO ❑ MANUAL ❑ PRESS DROP ❑ MANUAL ❑ YES ON psi SHOP OR SERIAL NO. MODEL JR TYPE ❑ AUTO ❑WATER FLOW (_ AUTO ❑ NO OFF psi SPEED I DISCHARGE! SUCTION NET MEAD STREAMS GALLONS PERCENT OF ewo"-F'AE9�F9FlE RPM PRESSURE; PRESSURE P� .r0. SIZE PfTOT PER MINUTE RATED *WW I AMPS PSI I PSI I I PRESSURE ! CAPACITY I 517 11 I �8 1 l 2Ca ' — I I 95 277 12f61 I SO) 3 01 tog I 1S I 'S I �- I ti t I \ST S18 I 2`': I 35o7i 84 I 13 I 7i 4- I 24S ! 224 tso 13a81 365I 3i21 I I i I ► I I I i Raadngs markw r-I in suction cNumn are heads aoove arrwsprwi.Cwsa marxad l-)ars Ines For Hr9Ca1 shill pumps ornn suc9on presw a and net hand raadnq:_ 180 I i I i I I180 I l I I I I I 160 160 I I I I I I I I I I I I 140 I I 1 I I I I I I I I I 1140 c 120 i I I I I I I 1 120 I 1 7 100 m 100 I I I I I I I I I I I I CL ! I ! I I I I I I I ! I I ! ao a wao I I I I I I I I I I I I I I I I I I 60 a so I ( I I I I I f l I I l i I I I I I 140 -- 40I I I I l i l 1 i l i 20 20# I I I I I I I 1 I I I 0 10 20 30 40 50 60 70 So 90 100 110 120 130 140 150 160 170 190 Percent rated capacity - Plot dLd%W90 prosatn and not hftd wr.,"for hor¢ ruw snap pomp.For-rvcal mall WM oa d-r-9e p--—F« PkSM dd a vwe Ms"dw 105(1-M ENGINEERING PRINTED W USA FI"A-11-2.6.3(t) Pump acce4eancs test dais 1 tom!Edtlon n GRNNEI FIRE PROTECTION COMPANY INSPECTION CONTRACT INSPECTION REPORT NO. .............. ............. ... No. ............. .... ............ CONFERRED WITH REPORT OF INSPECTION BUREAU FILE ................ NO. .... ........ ...... .......................I........ ........... ;V ' ' ��,Oot SET 1 OF 2 REPORT TO kool L11 I BUILDING OR LOCATION,4,NSP STREET f U INSPECTOR CITY&STATE 71p n L. GRINNE�LLL OFFICE '��iJ`� PHONE NO. ATT. DATE ?� 1. GENERAL Yes N.A. No' A. (To be answered by the Owner or Owner's representative) a. Have there been any changes in the occupancy classification,machinery or operations since the last inspection? b. Have there been any changes or repairs to the fire protection systems since the last inspection? c. If a fire has occurred since the last inspection,have all damaged sprinkler system components been replaced? d. Has the piping in all dry systems been checked for proper pitch within the past five years? Date last checked (checking is recommended at least every 5 years) e. Has the piping in all systems been checked for obstructive materials? Date last checked (checking is recommended at least every 5 years) f. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? g. Are gravity,surface or pressure tanks protected from freezing? h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers) i. Are any extra high temperature solder sprinklers regularly exposed to termperatures near 300°F? B. (To be answered by the inspector) a. Have the sprinkler systems been extended to all visible areas of the building? b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? c. Are the building areas protected by a wet system,heated,including its blind attics and perimeter areas,where accessible? d. Are all visible exterior openings protected against the entrance of cold air? 2. CONTROL VALVES a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? b. Are all control valves sealed or supervised in the open position? No. EasilyValve Secured? Control Supervision of T e Accessible Signs Open If es,how? (Sealed?) Operational Valves Yp g p y Locked? Valves Yes No Yes No Yes No Yes No (Supvd.?)) Yes No CITY CONNECTION TANK PUMP SECTIONAL SYSTEM ALARM LINE 3. WATER SUPPLIES �� ���� Pressure Fire Pump&Tank a. Water supply source? City Gravity Tank Pressure Fire Pump&City Waterflow Test Results Made During This Inspection Pressure Fire Pump&Pond Test Size Static Static Test Size Static Static Pipe Test Pressure Flow Pressure Pipe Test Pressure Flow Pressure i Located Pipe Before Pressure I After Location Pipe Before Pressure After 1 J 4. TANKS,PUMPS,FIRE DEPT.CONNECTIONS Yes N.A.$ No- a. Do fire pumps,gravity,surface or pressure tanks appear to be in good external condition? b. Are gravity,surface and pressure tanks at the proper pressure and/or water levels? c. Are fire dept.connections in satisfactory condition,couplings free,caps or plugs in place and check valves tight? d. Are fire dept.connections visible and accessible? cffa-02aw-We S. WET SYSTEMS � ey U �-I - a. No.of systems Make&Model b. Are cold weather valves in the appropriate open or closed position? CZ If closed,has piping been drained? c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? d. Have all the antifreeze systems been tested? e. Date antifreeze systems were tested f. The antifreeze tests indicate protection to: system 1 3 4 5 temperature g. Did alarm valves,waterflow alarm indicators and retards test satisfactorily? A UICO INTERNATIONAL LTD. COMPANY *Not Applicable G4Ss0-1 Explain(No)Answers on Back of Sheet 2 �1�f. +r'v `` •t � :ti. ,� �• J�,c, G , pit ,�,*, �! rq'. .� '-,<' WT i =�i,. ,,F� e � i A0r 5 '�, r.�� t1 tk, '°t,� *t a} tY �.i• ,, _, �"' i _ r'�; '; t;, �� �.��. .r �i'�' !•- x _ 'grad+' �}�` '� 3r', 4 f ,'.t .v e� ��5-R <�^ 4 .^. .3 ,t i i9.'•� !�:. A tr .Y:. 1 �+g43:/ Y jY. - 5, .`F t ~�.� "��-• �t- +*2�,�. "�✓ Y }i'. ,�. rf 5 ;.F-�",{_z�. '4;Y%' f 4'�r y �. '-�1- � ,�k'� '{�. ><,'µ2 �4 i•^,){ �t {� f.-X'n'. serf 1 .0 l'jr (r fir• 5 i' y `.: -T- '', ._{,y i , X'• '�A: b.f�' :9" .M1� tt: �, �� �e.� ;�.q *t :Y ,� !J``.:, I',._ 1•':@,.- -f '^ iw i .t �•' v .'sa { :Yr`.. t„ ' '�t' i A 1 4' Aw Sri M' ;'Sys `�•pr��.' K� `,N � r; 3'i':`, '�`.rr,y���`'e. � 4 ����-. • r SM i , � r , r yy , .Y+r � d' .� trtt � - {'�t ii �� �' fir' ,�"�•, � �'� �`>ty' a:: "k.7p _:a �. Jy s�,{ •!� n" 1 t' «rn�... "�v."�. „�r•, ��y i •4 .irj,.y{ � i- �,,. - _'. ` # ;. ., ��.' r.. t� ... �S; .'�.' y' `"} ^v�.+''�'.-- k+iF 'X.Y � ', .� ;•�, -,fix. nij +t1� lip Mo � �:K :'v a• y "v. v. -� t :a•ev {'". % � �i 'tr. ,�` .�,4`' !�`�^��c•{� ,., 1P, .T " 'x. a"'� `3_ ._r�, A'• Y ty .r'. ^ S Pa "F -`A f t f«r,.`r ir. �7 ,,1�. V 4,J ,�' •'�t k ,� � • .� 1. I 2. f t Cf;.� ,��tw.a qM P ;t �^ •E�. � �•- �„ ��+,, M1, 'p. 3 f r?'.` ~�'i ,g, l�,�,.p:`,)„ x ,1+i .a � ;.�l� � '{ (�� '"'�•�, �t s�' .� W ;a `: �� `�� �.�`_.t �. •5ti qt h1, *'.x... tr i i� �'�<, i. '' :`"`fig£}. -' 'is .i�Y �`.`..r xi 1�t,ti. 9b .�: t •r�... �-.. .p�p, 2i. Al ,�a' `+ W t:',i a. `� r� ,`k sr• :i' '�11... ''�` }t � � # k.:- �, ,.p y..���ee [ ,,• �' �'$S � `. ..its'.. „'Ot. 'f +�yp1'�, + ��r �-i r: •t� �.o ..Yi 1�^� .f R } �.-�a+a'R. A�l.� ..L k l�c+��hy'yf � .•� •� �� f!'." y1." ¢g, ,a.,Z" rr, i f`.. i, W ',.y Y�.r +r. ` �¢ 1�r ' j'• t i �i. y�i�x.5 q,.`'. ..�ys:yy ( ���'.+._. ,4u �i(•., "'�Y� 't+ ,.,..J���-e41rc,._ l"a'.�!i:+ ,^-h..rk� 7�8'-,�., _v..�: ._a„ �`� e,.- 7...<- .,�.< `� 1�"��-, r. ,[... ..,h. � d�.rL._�•':V .�- ,�` 's'A:_. � .�:� ,_ ,z..�i... 'k . ,k;. n GRERMI FIRE PROTECTION BEMs COMPANY 0 GNOFo 0 r INSPECTION CONTRACT cJ �� NO. .'LE . ..... ....... .............. .. INSPECTION REPORT REPORT OF INSPECTION BUREAU F No. . NO. .......... . ..... ._......_.. SET 2OF2 6. DRY SYSTEMS Yes N.A.# No' Raw a. No.of systems Make&Model Date last trip tested b. Is the air pressure and priming water levels normal? c. Did the air compressor operate satisfactorily? d. Were all low points drained during this inspection? e. Did all quick opening devices operate satisfactorily? f. Did all the dry valves operate satisfactorily during inspection? g. Do dry valves appear to be protected from fr ing? h. Is the dry valve house heated? 7. SPECIAL SYSTEMS a. No.of systems 5�;�7Make&Model Type b. Were valves tested as quired? c. Did all heat resp sive systems operate satisfactorily? d. Did thZ-n� erDev ry features operate during testing? Heat Respices: TypeTe M test Valve1...... 2...... 3...... 4...... 5......6...... V e No. 1..... 2...... 3...... 4...... 5......6...... Valve No. 1...... 2...... 3......4...... 5.... .6.... Valve No. 1... .. 2...... 3...... 4...... 5......6...... Valve No. 1...... 2...... 3......4...... 5...... ...... Valve No. 1...... 2...... 3...... 4...... 5......6...... Valve No. 1...... 2...... 3...... 4...... 5......6...... Valve No. 1...... 2...... 3...... 4...... 5......6...... Auxiliary equipment: No. Type Location Test results & ALARMS Yes N.A.# No' a. Did the water motors and gong operate during testing? b. Did the electric alarms operate during testing? c. Did the supervisory alarms operate during testing? 9. SPRINKLERS—PIPING a. Do sprinklers generally appear to be in good external condition? b. Do sprinklers generally appear to be free of corrosion,paint,or loading and visible obstructions? c. Are extra sprinklers available on the premises? d. Does the exterior condition of piping,drain valves,check valves,hangers,pressure gauges,open sprinklers and strainers appear to be satisfactory? e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? 10. EXPLANATION OF"NO"ANSWERS(For Sections 18 thru 9): it. THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS.HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: 12. ADJUSTMENTS OR CORRECTIONS MADE: 13. LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT,AS ADVISED BY THE OWNER IN SECTION 1A: 14. INSPECTION AND SUGGESTED IMPROVEMENTS WERE DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE? Signature of owner or owner's representative Date DUPLICATE TO: STREET CITY&STATE ZIP ATT. INot Applicable G4550-2 A ' 100 INTERNATIONAL LTD. COMPANY 'Explain(No)Answers on Back of Sheet (7alr:IHAI $mw 41 Al, .1 -i., I A, I-S 44 �7 ail r5 lit 147 !Al '�'.�,3. �' 'y t� }y �'[ �" ��.s. y�, x+ ^ 'tr '�t �S��Fybr � 4r RPWF X Vw Inspection Contract No. File No. FIRTH 15RCTECTION SERVICES DIVISION 9th & Columbia Bldg. GH-51, Olympia, WA 98504-4151 ' FIRE ALARM SYSTEM REPORT OF INSPECTION Oate - 5=OD — ,�; " Name of Facility: Occupied as: .��5Address: z S fi i1/ /rCiSo C i ty County: AlafSoh T Zip % S elephone0�-�75= Building Designation (if more than one building) �4- 2-A-- Inspection by: �l� 1�G1 �U� Title_ —ee � - Oate of inspection: 9 1. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual 2. Type of systew: Noncoded ❑ 'Common coded ❑ Selective coded ❑ Oual coded ❑ (as pertaining to chapter 21-2-14 WAC) 3. Local Fire Oepartw-vnt: 4. Fire Depart--,*nt Official Contacted: 6,1/4 5. Test Received at Fire Department: Yes [ No ❑ 4-1a'''^ ae � 5. Master Box Reset /1�0� A.M. p•'�- 7. ConT ents, explanation of unsatisfactory results, action taken, etc. SM 222, Rev. 5/78 ORIGINAL FORK TO BE RETURNED? TO STATE FIRE iIARSHAL. EQUIPMENT TESTED UM Y N TYPE OF EQUIPMENT UNITS TESTED DATE . CHECK MANUFACTURER Yes No N/A 8. Control Panel ` cl s `� ✓ GG������5 57�-� 9. Manual Station �/a�S S% 135 , " 10. Heat Detectors v� 11. Smoke Detectors u o i o e AFarm 12. Devices visual Alarm / 13. Devices / 14. Code Transmitters Automatic Door ------- 15. Releases / 16. Trouble Indicators ( ile/ 17 . Master Alarm Box 18. Batteries 19. Charcer 20. venerator ) j21, . Ventilation Control 'Fire Department 22. Interconnection - Central Station 23. Interconnection Exterior SprinKTer 24 . Electric Alarm Bell prinkler Water 25. Flow Switch Sprinkler Gate Valve ,,�✓ c/ 26. Sucervision Switch 27. Annunciators ( �� 28. Automatic Time Delay of General Alarm Minutes. None Inns/talled 29. Test of alarm system on emergency power, satisfactory? Yes U No El 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFPA Fire Alarm Maintenance Standards. IOU A. Signature of Owner or Representative S B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics -0. Mailing Address 1929 Tacoara` Ave S Tacoma WA 9 4 2 Phone No472-2955 E. Electrical Contractors License # SOUN DE*140R3 F. Specialty Electricians License Inspection Contract No.______ File No. FIRE 15ROTF-CTION SERVICES DIVISION 9th & Columbia Bldg. a-5I, Olympia, WA 98504-4151 ' FIR£ ALARM SYSTEM REPORT OF INSPECTION Date 4 �1 Name of Facility: 'gin �► /ulrlf�� , '(9" -- Occupied as. — Address: � ` �fa` JC �� C i ty l'1cei County• %/,lost ZiP � �� Telephone Building Designation (if more than one building) Title Inspection by: 1 Date of inspection: 3L/ ( I. Type of Test: Monthly ❑ Quarterly ❑ Semi-Annual ❑ Annual Ay 2. Type of system: Noncoded 0Commn coded ❑ Selective coded ❑ Dual coded ❑ (as pertaining to chapter 22- ) 3. Local Fire Department: / 4. Fire Department Official Contacted: I'll 5. Test Received at Fire Department: Yes ❑ No ❑ ----- 6. Master Box Reset A.M. P.M. 7. Comments, explanation of unsatisfactory results, action taken, etc. AF e d:ot walk k104 r / & W se l ;s'f- 1=ouN UJ4f SFM 2 W�D 5778 AqV� ORIGINAL FORM TO BE RETURNEL) TO STATE FIRE OARSHAL. EQUIPMENT TESTED UMSATISFACTORY N TYPE OF EQUIPMENT UNITS TESTED DATE Y . CNNo N/A MANUFACTURER 8. Control Panel 9. Manual Station 10. Heat Detectors 11. Smoke Detectors uaio a Alarm 12. Devices Visual Alarm �� 13. Devices 14. Code Transmitters / Automatic Door ; GtGfn�AiG 15 . Releases 16. Trouble Indicators l 17 . Master Alarm Box IR Ba`.'eries Z 741 19 Charcer / 12C. venerator I vent i 1 a L i on Control Fire Department 22. Interconnection Central 2=. Interconnection ( /� Exterior prink er 124. Electric Alarm Bell pr=:nk ler Water G�r 25. Flow Switch Sprinkler ate Valve �f 25. Supervision Switch Z GC JZ7. Annunciators ' I 28. Automatic Time Delay of General Alarm Minutes. None Installed 29. Test of alarm system on emergency power, satisfactory? Yes No ❑ 30. This is to certify that this fire alarm system has been properly inspected for reliability covering the items listed in this report and is consistent with NFFA Fire Alarm Maintenance Standards. A. Signature of Owner or Representative B. Signature of Fire Alarm Firm Representative C. Name of Firm Sound Electronics -0. Mailing Address 1929 Ta onrd Ava Tacoma WA 9 402 Phone NoA72-2955 E. Electrical Contractors License NDE-'=140R3 F. Specialty Electricians License # hf L 7- X LiL '- 13 SEE MAP 09 r A r B r c r D r E r F r 13 u' BECK RD 3 L a ALDER CREEK LN aI„ T23N uI� e S T22N ; ; y c01N 300 T i s 8 MICHAEL DR N 106 O 1 � _ p BWA@ STATE t�t"t - r; :.�.}'R ; ' n PARR� a,•, IN BIRD LN O BECK "'t 1.. -.' 1 ; IJM; - ff N --- .POjPPI`'--/� ,� JUDYLN ' __ - - O'O V - ^ fj y -------- - ------- BRIER L - - ;W E __�_ - V ` {, ' I,^ N1 P P uKw _ ALTA DR $ vI h 19 ® 3 AK ROOK 1r 1 '� ¢ c B R ' LN Ems. _ - - n *TF1 Q �i •11�.71_. " --- a I10 m S 'i •PgNT LN O ` MP ; ESSA j�]�'(� 24 i a �y ys, N 3 1aE neon 1' ■HA INS I Corn" ►L I i ■ AT MA H SCHOOL 3 2' -:'�.+• .=e. ---' ------ - �`------�- ---�- rs•_ ` 302 SKYLARK CT , FWf NA'�` z UNiSET - ----- ----- --------- -- ------------------- w „t1 W EACH "'Q E~EVE D 302 :• -` O RWDOD HEIGHTS LN BAY on 4 CREST LN. SPARROW CT UNCEN4 LN swD�vAILEr {ate Nf RO .TAKE 4 Y i DOLDFINCN LN W WATER ��� i S� V WAIL HILLRD C' --` „ i 1= 4 = 1 THRUSN LN DEVEREALM ------------'_--�.-.r.��----' -=T; ---- ;� e I m __------__ y---- - -_ --------- _ to i 11 � �i11 H----- --------- ------------------�- 1'e��- � e a y. GLE VISTA DR ,E�e'�'•'�`^���E��'�„(� .�b�Q.4 '9�,/S; N C~J BAY 5 c) ~C w STERLING-DR INlfq 1 302 ---- ---- 1 �— C.ec)t+f �� cT o i .^ I�T g ERBER O W,HIgA LN KELAN�Q U� ��Me�c CT 1U yCD s �� T22 N VILLAGE o GOLF CASE 6 t.•Ou! � COURSE 13 l Qr =. ,e � Va F� •31 C7 o g i ?'�` `'' ,e u- G o TRA;S DDR I Lan r n O Lan G A n B 0 A c ;WEE s } c-� D �1 E ,1 F SEEMAP 17 co4..o,°% .A•"T .,,°....... ...,, .p.eG.°..••pY.•tatt... --, Ill. y of tn•c p=n°nt'....r.p.a.o .tl.. Mol•° n put• .•y..•I,..of tn.p•rp••e.1 tno°[.tttt•n p•nb•1•n �pD vo N E?,u I E EA hwL r� .f E x a t J+'p4c ' O&4E• p,� I nOschodL i S-DritJC ri fir✓ I � I ( dao E Gob Cl�+t LA)-.bruu.L p+ Own Cou YT(&f),1 �� ^ N fl �`"Ir - ���I �. oc�L :'i / ro�J � oc ' Cf9m�uS �r�Ut �' �i IeC<SE t1� h�%- 'f h�5 ni 15 Ft& �� I A`��-�r� .�' � .- - - - - - '' �� -t,��hv�.J�H�.f�r�:�c x�n•t..t.C: Ioc�a i�ti�oT -#-i^.�. f &o- r,vA.Sri , rant+r x Es `�- s - Fire One, Inc. - FIRE0I*099KW FIRE PROTECTION SERVICE/SALES 107 Washington Blvd. Algona, WA 98001 (206) 575-0311 FAX (253) 735-4976 Bremerton (360)478-0428 WET AUTOMATIC SPRINKLER CONFIDENCE TEST REPORT (One System Per Report) Certification Given CONFIDENCE TEST LJ REPAIRS RED WHITE GREEN Occupant Name North Mason School District: High School Property Address 200 E Campus Dr., Belfair, WA 98528 Building Owner/Mgmt Co JNMSD Phone No. 360-277-2120 Responsible Person iTorn Mail Date of Inspection 8/29/2014 Inspection Type Annual Semi-Annual Quarterly (High Rise) Testing Technician Eric P Location of System Design Density 0.00/ft(example .495/2000 sq. ft) Central Station Monitoring? YES NO I Monitoring Company Name Alarm Center Control Panel Manufacturer/Model I Notifier Acct. No. 521-162 PROBLEMS FOUND: (If additional room is needed, please add a separate sheet) 5-year backflush due and internal pipe exam due troubleshoot water motor gong chrome 401 skirts missing in hallway to restrooms off of cafeteria, in hall by ASB office and in hall from gym entr FDC caps missing CORRECTIONS MADE Date Made 9/2/2014 Corrected By Richard (If additional room is needed, please add a separate sheet) Performed 5-year backflush and internal pipe exam water motor gong needs replaced added missing FDC Caps added missing 401 skirts replaced outdated gauges This certifies that this fire and life safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Phone# 206-575-0311 Signature of Tester Testing Agency FIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001 Building Rep. Signature The items on the checklists below shall be inspected and tested. This list does not constitute all of thelr�quired ,l inspecting and testing of the fire and life safety system. Flow test conducted? ❑ ❑ Yes No Static pressure psi Flow pressure ❑ ❑ psi U Number of sprinkler heads? 2 inch drain!' YES ❑ O�IER Flow switches, supervisory switches and alarm bells tested? I N/A ❑ Y�j No Pressure regulating valves tested? L N/A ❑ Y6-z� No Alarm bell operates? NA YEQ No System inspected and lubricated? N/A ❑ Y" No Valves are sealed or supervised? Y�'] No Signs are provided on valves? Yes No Pumper connections and clapper valves unobstructed and turn freely? 7 Y No Wet type sprinkler heads replaced or successfully sample tested in last 50 ❑ years? YEAR Y" No Sprinkler coverage is acceptable? U YTJ No Proper number of spare sprinkler heads available? �, Ye-, No System left in service? ❑ Ye-US No System gauges replaced or calibrated every 5 years? YEAR Yes No Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Ll Y(n No Was debris found in the Fire Department Connection (FDC)? ❑ ❑ ❑ Y�-7 No Was the Fire Department Connection (FDC) back flushed within the last 5 years Date Performed ❑ Y(E] No Was an internal pipe and valve inspection performed every 5 yrs? CPCP Unknown Yes No Was a signal received at the Central Station monitoring company? N/A Yes No Sprinkler wrench available for each type of sprinkler? Yes No INSPECTORS COMMENTS FOR OFFICE USE ONLY Received Repairs Scheduled Complete Sent Fire One, Inc. 2 FIRE0I'099KW FIRE PROTECTION SERVICE/SALES 107 Washington Blvd. Algona,WA 98001 (206)575-0311 FAX(253)735-4976 Bremerton(360)478-0428 FIRE ALARM SYSTEM CONFIDENCE TEST REPORT (One System Per Report) Certification Given CONFIDENCE TEST IREPAIRS ❑ ❑ RED ❑ WHITE ❑ GREEN Sprinkler Monitoring Panel? Occupant Name North Mason School District: Hawkins Middle School Property Address 300 E Campus Dr., Belfair, WA 98528 Building Owner/Mgmt Co NMSD Phone No. 360-277-2120 Responsible Person ITorn IE-Mail Date of Inspection 8/12/2014 lInspection Type ❑Annual ❑Semi Annual Quarterly(High Rise) Testing Technician Linda Balzer SFD Certification No. SFD- Location of System I Main Office Central Station Monitoring? U YES U NO I Monitoring CompanX Name Alarm Center Control Panel Manufacturer/Model I Notifier SFP-1024 Acct No. 1 85-1596 FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet) Upon arrival the communicator Firewatch 41 (LID) is showing comminmcation fail and DACT trouble FIREWATCH due to no corn to alarm center, there was digging outback and severed telephone lines 8/11/2011 one broken smoke detector in breakroom 2WB , glass rods missing: one by 308, one by 206, one by lunchroom, and one by door 241 C Miss Bo dstich's Classroom CORRECTIONS MADE Date Made 8/12/214 Corrected By Phone Company (If additional room is needed, please add a separate sheet) Communication trouble has been repaired This certifies that this fire and life safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with Fire Department Fire Code standards,and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Phone# 206-575-0311 Signature of Tester Testing Agency FIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001 Building Rep. Signature The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Alarm System Functionality Trouble signal with AC power off? F] YES ❑ NO System operates properly on battery backup? ❑ YES ❑ NO Battery voltage NO LOAD 29.91 volts Battery voltage FULL LOAD 25.31 volts (Signals Operating) Charge circuit voltage 27.26 volts System operates properly on standby power? O YES ❑ NO All signals operate on AC power? _ ❑ YES ❑ NO Number of initiating circuits 8 w/2-s are) Number of signal circuits 2 A Does alarm system meet audibility standards? El YES ❑ NO All circuits checked for electrical supervision? 110v ' ❑ YES ❑ NO All auxiliary equipment operates (Elevators, fans, dampers)? ❑ N/A ❑ YES ❑ NO Ventilation controls operate? ❑ N/A ❑ YES ❑ NO Key to panel available? p YES ❑ NO Materials and equipment needed to restore pull stations are available at the main panel, Le. glass rods, plates, keys and allen wrenches? ❑ N/A O YES ❑ NO Operating instructions at panel? ❑ YES ❑ NO Trouble indicators function properly? ❑ YES ❑ NO Remote annunciator panels function properly? ❑ N/A J YES ❑ NO Elevator call down functions properly? ❑ N/A ❑ YES ❑ NO Test record posted at panel? ❑ YES ❑ NO General alarm automatic time delay (minutes) ❑ N/A Was a signal received at the Central Station monitoring company? ❑ N/A O YES ❑ NO Other devices (Specify) El N/A ❑ YES ❑ NO System Devices Total Number of Total Number of Test Results Units in Building Units Tested Acceptable Bells, horns, chimes 16 16 ❑ N/A 2 YES ❑ NO Voice speakers (voice clarity) 0 0 Fz1 N/A ❑ YES ❑ NO Visual alarm devices 16 16 ❑ N/A 0 YES ❑ NO Smoke detectors 18 18 ❑ N/A El YES ❑ NO Heat detectors 14 14 O N/A El YES ❑ NO Duct detectors 2 2 ❑ N/A 0 YES ❑ NO Sprinkler flow switches 0 0 El N/A ❑ YES ❑ NO Sprinkler supervisory switches 0 0 0 N/A ❑ YES ❑ NO Manual pull stations 10 10 ❑ N/A E YES ❑ NO Annunciator(s) 1 1 ❑ N/A El YES ❑ NO Beam detectors 0 0 121 N/A ❑ YES ❑ NO Automatic door unlocks 0 0 O N/A ❑ YES ❑ NO Automatic door releases 4 4 ❑ N/A 0 YES ❑ NO Fire dampers 0 0 121 N/A ❑ YES ❑ NO Total Number of Total Number of Test Results Communication Equipment Units in Building Units Tested Acceptable Phone sets ❑ N/A ❑ YES ❑ NO Phone jacks ❑ N/A ❑ YES ❑ NO Call-In signal ❑ N/A ❑ YES ❑ NO FOR OFFICE USE ONLY Received Repairs Scheduled Complete Sent � A)�-3 -�� _ ` FIREOI 099KW � ' -� FIREPROTECYION SERVICE/SALES 107 Washington Blvd. Algona,WA 98001 (206)575-0311 FAX(253)735-4976 Bremerton(360)478-0428 FIRE ALARM SYSTEM CONFIDENCE TEST REPORT (One System Per Report) Certification Given CONFIDENCE TEST 1771 IREPAIRS ❑1 ❑ RED ❑ WHITE ❑ GREEN Sprinkler Monitoring Panel? Occupant Name North Mason School District: Administration Building p�opert Address 71 E Campus Dr., Belfair, WA 98528 Building Owner/Mgmt Co JNMSD Phone No. 360-277-2120 Responsible Person ITom E-Mail Date of Inspection 8/11/2014 Inspection Type Annual ❑Semi Annual Quarterly(High Rise) Testing Technician Linda Balzer SFD Certification No. SFD- Location of System Main Office Central Station Monitorin ? � YES L NO Monitoring Com an Name Alarm Center Control Panel Manufacturer/Model Silent Knight 5208 Acct No. 85-6812 FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet) Panel in trouble upon arrival supervisory zone 7 pump running CORRECTIONS MADE Date Made 8/7/214 Corrected By Linda Balzer (If additional room is needed, please add a separate sheet) Panel cleared at end of testing This certifies that this fire and life safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with Fire Department Fire Code standards,and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action. Phone# 206-575-0311 Signature of Tester Testing Agency FIRE ONE INC. 107 WASHINGTON BLVD ALGONA WA 98001 Building Rep. Signature The items on the checklists below shall be inspected and tested. This list does not constitute all of the required inspecting and testing of the fire and life safety system. Alarm System Functionality Trouble signal with AC power off? Cl YESM NO Systemoperates properly on battery backup? YES ❑ NO Battery voltage NO LOAD 27 volts Battery voltage FULL LOAD 25.6 volts (Signals Operating) Charge circuit voltage m 27.3 volts System operates properly on standby power? F1 YES ❑ NO All signals operate on AC power? El YES�] NO Number of initiating circuits 6 Number of signal circuits 2 Does alarm system meet audibility standards? C YES NO All circuits checked for electrical supervision? 110v ❑ YES ❑ NO All auxiliary equipment operates (Elevators, fans, dampers)? '7 N/A ❑ YES NO Ventilation controls operate? ❑ N/A ❑ YES NO Key to panel available? ❑ YES ,_ NO Materials and equipment needed to restore pull stations are available at the main panel, Le. glass rods, plates, keys and allen wrenches? ❑ N/A 0 YES ❑ NO Operating instructions at panel? ❑ YES _] NO Trouble indicators function properly? L YES ❑ NO Remote annunciator panels function properly? [ N/A [1 YES ❑ NO Elevator call down functions properly? ❑ N/A ❑ YES ❑ NO Test record posted at panel? i_ YES ❑ NO General alarm automatic time delay (minutes) ❑ N/A Was a signal received at the Central Station monitoring company? ❑ N/A [] YES ❑ NO Other devices (Specify) N/A ❑ YES ❑ NO System Devices Total Number of Total Number of Test Results Units in Building Units Tested Acceptable Bells, horns, chimes 7 7 ❑ N/A 0 YES ❑ NO Voice speakers (voice clarity) 0 0 E N/A ❑ YES ❑ NO Visual alarm devices 7 7 ❑ N/A O YES ❑ NO Smoke detectors 8 8 ❑ N/A El YES ❑ NO Heat detectors 1 1 ❑ N/A El YES ❑ NO Duct detectors 0 0 El N/A ❑ YES ❑ NO Sprinkler flow switches 0 0 O N/A ❑ YES ❑ NO Sprinkler supervisory switches 0 0 E N/A ❑ YES ❑ NO Manual pull stations 5 5 ❑ N/A 0 YES ❑ NO Annunciator(s) 1 1 ❑ N/A El YES ❑ NO Beam detectors 0 0 I] N/A ❑ YES ❑ NO Automatic door unlocks 0 0 O N/A ❑ YES ❑ NO Automatic door releases 0 0 O N/A ❑ YES ❑ NO Fire dampers 0 0 El N/A ❑ YES ❑ NO Total Number of Total Number of Test Results Communication Equipment Units in Building Units Tested Acceptable Phone sets ❑ N/A ❑ YES ❑ NO Phone jacks ❑ N/A ❑ YES ❑ NO Call-In signal ❑ N/A ❑ YES ❑ NO FOR OFFICE USE ONLY Received Repairs Scheduled Complete Sent