RFQQ 2631 Attach D Answers UWMC NWH Rep.pdf
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- Attached to
- FIRE SPRINKLER SYSTEM TESTING AND INSPECTION
- Solicitation number
- UWM 2631
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
This document is a Request for Qualifications and Quotations (RFQQ) issued by UW Medicine to establish a pool of qualified and experienced Bidders to provide Automatic Fire Sprinkler System Testing & Inspection at Harborview Medical Center (HMC), UWMC Montlake and UWMC Northwest and its campus buildings, as well as other related Fire Sprinkler Services on an as needed basis. The contract term is unspecified, but the RFQQ requires that Bidders follow the proposal due date provided in the RFQQ document, which supersedes the closing date on WEBS. The RFQQ covers several counties and jurisdictions within the state of Washington.
The RFQQ does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or contract amounts. It also does not specify any legal language, contract clauses, or other non-essential information. Bidders are expected to submit their qualifications and quotations in response to the RFQQ.
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Text version
Sprinklers - Wet Page 1 of 2
Seattle Fire Department Confidence Test Report
206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline
SPRINKLER – WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number: System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
Building Representative (signature) ___________________________________________________ wet system make: wet system model:
Sprinklers - Wet Page 2 of 2
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Other Yes No
N/A Yes No
N/A Yes No
N/A Yes No
Yes No
Yes No
1. Main Drain and Inspector’s Drain flow test conducted?
2. Static pressure: Flow pressure:
3. Number of Sprinkler Heads:
4. 2-inch drain?
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves? Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the last 50 years? Date of last test: ___________
14. Proper number of spare sprinkler heads available with appropriate wrenches for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush:____________ Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years?
Yes No
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
22. Was a signal received at the Central Station monitoring company? N/A Yes No
Sprinklers - Dry Page 1 of 2
Confidence Test Report
Phone 206-386-1448 Confidence Testing Officer 206-615-1068 (fax)
206-233-7219 Red Tag Hotline
SPRINKLER – PREACTION Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type: Annual
Testers Name (Please Print):
SFD Certification Number: SCP-
Identification Number (Required): System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: ______________________ System Model: _____________________
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: Corrected By:
(If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
Job Number:
Sprinklers - Dry Page 2 of 2
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Yes No
Other Yes No
N/A Yes No
N/A Yes No
Yes No
N/A Yes No
Yes No
Yes
Yes
Yes No
Yes No
1. Trip test conducted?
2. System tripped in DT seconds.
3. Main Drain and Inspector’s Drain flow test conducted?
4. Static pressure:
5. Number of Sprinkler Heads?
6. 2-inch drain?
7. Flow switches, supervisory switches and alarm bells tested?
8. Alarm bell operates?
9. Air compressor refills system in 30 minutes or less?
10. Heat actuation devices tested on pre-action and deluge systems?
11. System inspected and lubricated?
12. Valves are sealed or supervised?
13. Signs are provided on valves?
14. Pumper connections and clapper valves unobstructed and turn freely?
15. Sprinkler heads replaced or successfully sample tested in last 10 years?Date of last test: ______________
16. Sprinkler coverage is acceptable? Yes No
17. Proper number of spare sprinkler heads available with appropriate wrench for each?
Yes No
18. System left in service? Yes No
19. System gauges replaced or calibrated within the last 5 years? Yes No
20. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
21. System drained and restored to normal operation? Yes No
22. Was debris found in the Fire Department Connection (FDC)? Yes No
23. Was the Fire Department Connection (FDC) back flushed in the last 5 years? Yes No
24. Was a signal received at the Central Station monitoring company? N/A Yes No
25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7)
Yes No
26. Was an internal pipe and valve inspection performed within the last 5 years? Date Yes No
No
No
Confidence Test Report
206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline
SPRINKLER – WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number: System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Other Yes No
N/A Yes No
N/A Yes No
N/A Yes No
Yes No
Yes No
1. Main Drain and Inspector’s Drain flow test conducted?
2. Static pressure: Flow pressure:
3. Number of Sprinkler Heads:
4. 2-inch drain?
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves? Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the last 50 years? Date of last test: ___________
14. Proper number of spare sprinkler heads available with appropriate wrenches for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush:____________ Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years?
Yes No
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
Confidence Test Report
206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline
SPRINKLER – WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number: System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Other Yes No
N/A Yes No
N/A Yes No
N/A Yes No
Yes No
Yes No
1. Main Drain and Inspector’s Drain flow test conducted?
2. Static pressure: Flow pressure:
3. Number of Sprinkler Heads:
4. 2-inch drain?
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves? Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the last 50 years? Date of last test: ___________
14. Proper number of spare sprinkler heads available with appropriate wrenches for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush:____________ Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years?
Yes No
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
Confidence Test Report
206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline
SPRINKLER – WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number: System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Other Yes No
N/A Yes No
N/A Yes No
N/A Yes No
Yes No
Yes No
1. Main Drain and Inspector’s Drain flow test conducted?
2. Static pressure: Flow pressure:
3. Number of Sprinkler Heads:
4. 2-inch drain?
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves? Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the last 50 years? Date of last test: ___________
14. Proper number of spare sprinkler heads available with appropriate wrenches for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush:____________ Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years?
Yes No
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
Confidence Test Report
206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline
SPRINKLER – WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number: System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Other Yes No
N/A Yes No
N/A Yes No
N/A Yes No
Yes No
Yes No
1. Main Drain and Inspector’s Drain flow test conducted?
2. Static pressure: Flow pressure:
3. Number of Sprinkler Heads:
4. 2-inch drain?
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves? Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the last 50 years? Date of last test: ___________
14. Proper number of spare sprinkler heads available with appropriate wrenches for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush:____________ Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years?
Yes No
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
FLOWS
Building :
Address:
Phone:
Contact: Date:
STAIRS FLOOR SUPERVISORY
WATER
FLOW TIME STAIRS FLOOR SUPERVISORY
WATER
FLOW TIME COMMENTS
Confidence Test Report
SPRINKLER – DRY SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number (Required): System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
Building Representative (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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General Yes No
Yes No
Other Yes No N/A Yes No N/A Yes No
Yes No
N/A Yes No
Yes No Yes No Yes No Yes No
1. Trip test conducted?
2. System tripped in seconds.
3. Main Drain and Inspector’s Drain flow test conducted?
4. Static pressure: psi
5. Number of Sprinkler Heads? ____
6. 2-inch drain?
7. Flow switches, supervisory switches and alarm bells tested?
8. Alarm bell operates?
9. Air compressor refills system in 30 minutes or less?
10. Heat actuation devices tested on pre-action and deluge systems?
11. System inspected and lubricated?
12. Valves are sealed or supervised?
13. Signs are provided on valves?
14. Pumper connections and clapper valves unobstructed and turn freely?
15. Sprinkler heads replaced or successfully sample tested in last 10 years?
Date of last test: ______________ Yes No
16. Sprinkler coverage is acceptable? Yes No
17. Proper number of spare sprinkler heads available with appropriate wrench for each? Yes No
18. System left in service? Yes No
19. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
20. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
21. System drained and restored to normal operation? Yes No
22. Was debris found in the Fire Department Connection (FDC)? Yes No
23. Was the Fire Department Connection (FDC) back flushed in the last 5 years?
Date of last back flush: Yes No
24. Was a signal received at the Central Station monitoring company? N/A Yes No
25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
26. Was an internal pipe and valve inspection performed within the last 5 years? Date Performed: Yes No
SPRINKLER – DRY SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number (Required): System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
Building Representative (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. Refer to the Seattle Fire Department Fire Code for inspecting
Yes No
Yes No
Other Yes No N/A Yes No N/A Yes No
Yes No
N/A Yes No
Yes No Yes No Yes No Yes No
1. Trip test conducted?
2. System tripped in seconds.
3. Main Drain and Inspector’s Drain flow test conducted?
4. Static pressure: psi
5. Number of Sprinkler Heads? ____
6. 2-inch drain?
7. Flow switches, supervisory switches and alarm bells tested?
8. Alarm bell operates?
9. Air compressor refills system in 30 minutes or less?
10. Heat actuation devices tested on pre-action and deluge systems?
11. System inspected and lubricated?
12. Valves are sealed or supervised?
13. Signs are provided on valves?
14. Pumper connections and clapper valves unobstructed and turn freely?
15. Sprinkler heads replaced or successfully sample tested in last 10 years?
Date of last test: ______________ Yes No
16. Sprinkler coverage is acceptable? Yes No
17. Proper number of spare sprinkler heads available with appropriate wrench for each? Yes No
18. System left in service? Yes No
19. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
20. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
21. System drained and restored to normal operation? Yes No
22. Was debris found in the Fire Department Connection (FDC)? Yes No
23. Was the Fire Department Connection (FDC) back flushed in the last 5 years?
Date of last back flush: Yes No
24. Was a signal received at the Central Station monitoring company? N/A Yes No
25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
Confidence Test Report
206-386-1448 Confidence Testing Officer 206-615-1068 (fax) 206-233-7219 Red Tag Hotline
SPRINKLER – WET SYSTEM Certification Given (One System per Report) RED YELLOW WHITE
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number: System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
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. Refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
General
Yes No
Other Yes No
N/A Yes No
N/A Yes No
N/A Yes No
Yes No
Yes No
1. Main Drain and Inspector’s Drain flow test conducted?
2. Static pressure: Flow pressure:
3. Number of Sprinkler Heads:
4. 2-inch drain?
5. Flow switches, supervisory switches and alarm bells tested?
6. Pressure regulating valves tested?
7. Alarm bell operates?
8. System inspected and lubricated?
9. Valves are sealed or supervised?
10. Signs are provided on valves? Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
11. Pumper connections and clapper valves unobstructed and turn freely?
12. Sprinkler coverage is acceptable?
13. Have the sprinkler heads been replaced or successfully sample test in the last 50 years? Date of last test: ___________
14. Proper number of spare sprinkler heads available with appropriate wrenches for each?
15. System left in service?
16. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
18. Was debris found in the Fire Department Connection (FDC)? Yes No
19. Was the Fire Department Connection (FDC) back flushed within the last 5 years? Date of last back flush:____________ Yes No
20. Was an internal pipe and valve inspection performed within the last 5 years?
Yes No
21. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number (Required): System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
Building Representative (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. Refer to the Seattle Fire Department Fire Code for inspecting
Yes No
Yes No
Other Yes No N/A Yes No N/A Yes No
Yes No
N/A Yes No
Yes No Yes No Yes No Yes No
1. Trip test conducted?
2. System tripped in seconds.
3. Main Drain and Inspector’s Drain flow test conducted?
4. Static pressure: psi
5. Number of Sprinkler Heads? ____
6. 2-inch drain?
7. Flow switches, supervisory switches and alarm bells tested?
8. Alarm bell operates?
9. Air compressor refills system in 30 minutes or less?
10. Heat actuation devices tested on pre-action and deluge systems?
11. System inspected and lubricated?
12. Valves are sealed or supervised?
13. Signs are provided on valves?
14. Pumper connections and clapper valves unobstructed and turn freely?
15. Sprinkler heads replaced or successfully sample tested in last 10 years?
Date of last test: ______________ Yes No
16. Sprinkler coverage is acceptable? Yes No
17. Proper number of spare sprinkler heads available with appropriate wrench for each? Yes No
18. System left in service? Yes No
19. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
20. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
21. System drained and restored to normal operation? Yes No
22. Was debris found in the Fire Department Connection (FDC)? Yes No
23. Was the Fire Department Connection (FDC) back flushed in the last 5 years?
Date of last back flush: Yes No
24. Was a signal received at the Central Station monitoring company? N/A Yes No
25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
CONFIDENCE TEST REPAIRS
Occupancy Address: Occupancy Name:
Responsible Person First & Last Name: Phone Number:
Responsible Person Address, City, State, Zip:
Responsible Party E–Mail Address
Date of Inspection: Inspection Frequency/Type:
Testers Name (Please Print):
SFD Certification Number:
Identification Number (Required): System Location:
Central station monitoring?
Monitoring Required?
Yes Yes
No No
Monitoring Company Name:
System Make: System Model:
SEATTLE FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet)
CORRECTIONS MADE: Date Corrected: __________ Corrected By: ___________________________ (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP -
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 Seattle Fire Department Fire Code standards, and that discrepancies are noted and have been reported to the building Owner/Manager for corrective action.
Signature of Tester: Phone #
Building Representative (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. Refer to the Seattle Fire Department Fire Code for inspecting
Yes No
Yes No
Other Yes No N/A Yes No N/A Yes No
Yes No
N/A Yes No
Yes No Yes No Yes No Yes No
1. Trip test conducted?
2. System tripped in seconds.
3. Main Drain and Inspector’s Drain flow test conducted?
4. Static pressure: psi
5. Number of Sprinkler Heads? ____
6. 2-inch drain?
7. Flow switches, supervisory switches and alarm bells tested?
8. Alarm bell operates?
9. Air compressor refills system in 30 minutes or less?
10. Heat actuation devices tested on pre-action and deluge systems?
11. System inspected and lubricated?
12. Valves are sealed or supervised?
13. Signs are provided on valves?
14. Pumper connections and clapper valves unobstructed and turn freely?
15. Sprinkler heads replaced or successfully sample tested in last 10 years?
Date of last test: ______________ Yes No
16. Sprinkler coverage is acceptable? Yes No
17. Proper number of spare sprinkler heads available with appropriate wrench for each? Yes No
18. System left in service? Yes No
19. System gauges replaced or calibrated within the last 5 years?
Year changed: Yes No
20. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? Yes No
21. System drained and restored to normal operation? Yes No
22. Was debris found in the Fire Department Connection (FDC)? Yes No
23. Was the Fire Department Connection (FDC) back flushed in the last 5 years?
Date of last back flush: Yes No
24. Was a signal received at the Central Station monitoring company? N/A Yes No
25. Is the hydraulic nameplate installed and visible on riser, if No then Yellow Tag.
(Ref: NFPA 25 5.2.7) Yes No
| 1560 N 115th - Q2 - 4.23.2024 (1)_Redacted.pdf |
| Sprinkler – Wet System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Main Drain and Inspector’s Drain flow test conducted? |
| 2. Static pressure: 70. Flow pressure: 60 . |
| 3. Number of Sprinkler Heads: unknown |
| 5. Flow switches, supervisory switches and alarm bells tested? |
| 8. System inspected and lubricated? |
| 10. Signs are provided on valves? |
| 16. System gauges replaced or calibrated within the last 5 years? Year changed: 2012 |
| 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? |
| 1550 N 115th - Q2 - 4.23.2024_Redacted.pdf |
| Sprinkler – Wet System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Main Drain and Inspector’s Drain flow test conducted? |
| 2. Static pressure: 70. Flow pressure: 60 . |
| 3. Number of Sprinkler Heads: unknown |
| 5. Flow switches, supervisory switches and alarm bells tested? |
| 8. System inspected and lubricated? |
| 10. Signs are provided on valves? |
| 16. System gauges replaced or calibrated within the last 5 years? Year changed: 2012 |
| 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? |
| Sprinkler – Wet System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Main Drain and Inspector’s Drain flow test conducted? |
| 2. Static pressure: 70. Flow pressure: 60 . |
| 3. Number of Sprinkler Heads: unknown |
| 5. Flow switches, supervisory switches and alarm bells tested? |
| 8. System inspected and lubricated? |
| 10. Signs are provided on valves? |
| 16. System gauges replaced or calibrated within the last 5 years? Year changed: 2012 |
| 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? |
| Sprinkler – Wet System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Main Drain and Inspector’s Drain flow test conducted? |
| 2. Static pressure: 70. Flow pressure: 60 . |
| 3. Number of Sprinkler Heads: unknown |
| 5. Flow switches, supervisory switches and alarm bells tested? |
| 8. System inspected and lubricated? |
| 10. Signs are provided on valves? |
| 16. System gauges replaced or calibrated within the last 5 years? Year changed: 2012 |
| 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? |
| Sprinkler – Wet System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Main Drain and Inspector’s Drain flow test conducted? |
| 2. Static pressure: 70. Flow pressure: 60 . |
| 3. Number of Sprinkler Heads: unknown |
| 5. Flow switches, supervisory switches and alarm bells tested? |
| 8. System inspected and lubricated? |
| 10. Signs are provided on valves? |
| 16. System gauges replaced or calibrated within the last 5 years? Year changed: 2012 |
| 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? |
| Sprinkler – Dry System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Trip test conducted? |
| 3. Main Drain and Inspector’s Drain flow test conducted? |
| 4. Static pressure: psi |
| 19. System gauges replaced or calibrated within the last 5 years? Year changed: |
| Sprinkler – Dry System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Trip test conducted? |
| 3. Main Drain and Inspector’s Drain flow test conducted? |
| 4. Static pressure: psi |
| 19. System gauges replaced or calibrated within the last 5 years? Year changed: |
| 10330 Meridian - Q2 - 4.23.2024_Redacted.pdf |
| Sprinkler – Wet System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Main Drain and Inspector’s Drain flow test conducted? |
| 2. Static pressure: 70. Flow pressure: 60 . |
| 3. Number of Sprinkler Heads: unknown |
| 5. Flow switches, supervisory switches and alarm bells tested? |
| 8. System inspected and lubricated? |
| 10. Signs are provided on valves? |
| 16. System gauges replaced or calibrated within the last 5 years? Year changed: 2012 |
| 17. Sprinkler heads free of corrosion, paint, obstructions and/or physical damage? |
| Sprinkler – Dry System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Trip test conducted? |
| 3. Main Drain and Inspector’s Drain flow test conducted? |
| 4. Static pressure: psi |
| 19. System gauges replaced or calibrated within the last 5 years? Year changed: |
| Sprinkler – Dry System |
| Certification Given |
| WHITE |
| CONFIDENCE TEST |
| YELLOW |
| RED |
| REPAIRS |
| Seattle Fire Code Violations Found: (If additional room is needed, please add a separate sheet) |
| Corrections Made: |
| Date Corrected: __________ |
| Corrected By: ___________________________ |
| (If additional room is needed, please add a separate sheet) SFD Certification Number: SCP - |
| 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 Seattle Fire Department Fire Code standards, and that |
| discrepancies are noted and have been reported to the building Owner/Manager for corrective action. |
| General |
| 1. Trip test conducted? |
| 3. Main Drain and Inspector’s Drain flow test conducted? |
| 4. Static pressure: psi |
| 19. System gauges replaced or calibrated within the last 5 years? Year changed: |
| servicetrade_job_assets-wet_sprinkler-1-make: Gem |
| servicetrade_job_assets-wet_sprinkler-1-model: f2001 |
| servicetrade_job_assets-pre_action_valve-1-make: Reliable DDX Single |
| servicetrade_job_assets-pre_action_valve-1-model: Interlock |
| 1: |
| servicetrade_location_street: 1560 N 115th St |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow1: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow2: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow3: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow4: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow5: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row1: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row2: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row3: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row4: |
| servicetrade_location_city: Seattle |
| servicetrade_location_postal_code: 98145 |
| servicetrade_job_dates: 04/23/2024 08:00am PDT |
| servicetrade_location_name: UW Medical Office NW |
| servicetrade_customer_phone: |
| Text16: P-07865 |
| servicetrade_job_assets-wet_sprinkler-1-location_in_site: E Wing |
| servicetrade_job_assets-wet_sprinkler-1-monitoring_company_name: |
| Check Box20: Off |
| Check Box21: Off |
| Check Box22: Off |
| Check Box23: Yes |
| Check Box24: Yes |
| Check Box25: Yes |
| Check Box26: Off |
| servicetrade_job_number: 34363635 |
| Check Box269: Yes |
| Check Box271: Off |
| servicetrade_job_assets-wet_sprinkler-1-make: Reliable |
| servicetrade_job_assets-wet_sprinkler-1-model: Alam |
| Date of last back flush: 1/22 |
| Text28: 80 |
| Text29: 65 |
| servicetrade_job_assets-wet_sprinkler-1-head_qty: |
| Text31: |
| Text32: |
| Text33: |
| Check Box34: Off |
| Check Box35: Yes |
| Check Box36: Off |
| Check Box37: Yes |
| Check Box38: Off |
| Check Box39: Yes |
| Check Box40: Off |
| Check Box41: Yes |
| Check Box42: Off |
| Check Box43: Yes |
| Check Box44: Off |
| Check Box45: Yes |
| Check Box46: Off |
| Check Box47: Yes |
| Check Box48: Off |
| Check Box49: Yes |
| Check Box50: Off |
| Check Box51: Off |
| Check Box52: Yes |
| Check Box53: Yes |
| Check Box54: Off |
| Check Box55: Off |
| Check Box56: Yes |
| Check Box57: Off |
| Check Box58: Off |
| Check Box59: Yes |
| Check Box60: Yes |
| Check Box61: Off |
| Check Box62: Yes |
| Check Box63: Off |
| Check Box64: Yes |
| Check Box65: Off |
| Check Box66: Yes |
| Check Box67: Off |
| Check Box68: Off |
| Check Box69: Yes |
| Check Box70: Yes |
| Text79: 1/22 |
| CORRECTIONS MADE Date Corrected: |
| Corrected By: |
| servicetrade_location_state: WA |
| servicetrade_location_email: |
| Check Box71: Off |
| Check Box72: Yes |
| Check Box73: Off |
| Check Box74: Yes |
| Check Box75: Off |
| Check Box76: Off |
| Check Box77: Yes |
| Check Box78: Off |
| Text1: Qt |
| Check Box19: Off |
| Check Box27: Off |
| servicetrade_contact_phone: (206) 598-2950 |
| servicetrade_contact_email: clintms@uw.edu |
| Text39: P-07865 |
| servicetrade_job_assets-pre_action_valve-1-location_in_site: MRI room |
| Text41: |
| Check Box2: Yes |
| Check Box3: Off |
| Check Box4: Yes |
| Check Box5: Off |
| Check Box6: Yes |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Yes |
| Check Box12: Yes |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Yes |
| Check Box16: Off |
| Check Box17: Yes |
| Check Box18: Off |
| Check Box28: Off |
| Check Box29: Yes |
| Check Box30: Off |
| Check Box31: Yes |
| Check Box32: Off |
| Check Box33: Yes |
| Text63: 3 |
| Text64: 90 |
| Text65: |
| Text67: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow1: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow2: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow3: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow4: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow5: |
| CORRECTIONS MADE Date Corrected: |
| Corrected By: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row1: 27 sec waterflow |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row2: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row3: |
| CORRECTIONS MADE Date Corrected Corrected By If additional room is needed please add a separate sheet SFD Certification Number SCP Row4: |
| servicetrade_location_street: 1560 N 115th St |
| servicetrade_location_city: Seattle |
| servicetrade_location_state: WA |
| servicetrade_location_postal_code: 98145 |
| servicetrade_job_dates: 04/23/2024 08:00am PDT |
| servicetrade_location_name: UW Medical Office NW |
| servicetrade_customer_phone: |
| servicetrade_location_email: |
| Text16: P-07865 |
| servicetrade_job_assets-wet_sprinkler-1-location_in_site: basement |
| servicetrade_job_assets-wet_sprinkler-1-monitoring_company_name: |
| Check Box20: Off |
| Check Box21: Off |
| Check Box22: Yes |
| Check Box23: Yes |
| Check Box24: Off |
| Check Box25: Yes |
| Check Box26: Off |
| servicetrade_job_number: 34363635 |
| Text1: Qt |
| Check Box269: Off |
| Check Box271: Off |
| Date of last back flush: 1/22 |
| Text28: 99 |
| Text29: 65 |
| servicetrade_job_assets-wet_sprinkler-1-head_qty: |
| Text31: |
| Text32: |
| Text33: |
| Check Box34: Yes |
| Check Box35: Off |
| Check Box36: Off |
| Check Box37: Off |
| Check Box38: Yes |
| Check Box39: Off |
| Check Box40: Yes |
| Check Box41: Off |
| Check Box42: Yes |
| Check Box43: Off |
| Check Box44: Off |
| Check Box45: Off |
| Check Box46: Yes |
| Check Box47: Off |
| Check Box48: Yes |
| Check Box49: Off |
| Check Box50: Yes |
| Check Box51: Off |
| Check Box52: Yes |
| Check Box53: Off |
| Check Box54: Yes |
| Check Box55: Off |
| Check Box56: Yes |
| Check Box57: Off |
| Check Box58: Yes |
| Check Box59: Off |
| Check Box60: Yes |
| Check Box61: Off |
| Check Box62: Yes |
| Check Box63: Off |
| Check Box64: Yes |
| Check Box65: Off |
| Check Box66: Yes |
| Check Box67: Off |
| Check Box68: Off |
| Check Box69: Yes |
| Check Box70: Yes |
| Check Box71: Off |
| Check Box72: Yes |
| Check Box73: Off |
| Check Box74: Yes |
| Check Box75: Off |
| Check Box76: Off |
| Check Box77: Yes |
| Check Box78: Off |
| Text79: 1/22 |
| 2: |
| SEATTLE FIRE CODE VIOLATIONS FOUND If additional room is needed please add a separate sheetRow5: |
| servicetrade_customer_phone: |
| Text16: P-07865 |
| servicetrade_job_assets-wet_sprinkler-1-location_in_site: Easy street |
| servicetrade_job_assets-wet_sprinkler-1-monitoring_company_name: |
| Check Box20: Off |
| Check Box21: Off |
| Check Box22: Yes |
| Check Box23: Yes |
| Check Box24: Off |
| Check Box25: Yes |
| Check Box26: Off |
| Check Box269: Yes |
| Check Box271: Off |
| servicetrade_job_assets-wet_sprinkler-1-make: Central |
| servicetrade_job_assets-wet_sprinkler-1-model: Alam |
| Date of last back flush: 1/22 |
| Text28: 80 |
| Text29: 65 |
| servicetrade_job_assets-wet_sprinkler-1-head_qty: |
| Text31: |
| Text32: |
| Text33: |
| Check Box34: Yes |
| Check Box35: Off |
| Check Box36: Off |
| Check Box37: Off |
| Check Box38: Yes |
| Check Box39: Off |
| Check Box40: Yes |
| Check Box41: Off |
| Check Box42: Yes |
| Check Box43: Off |
| Check Box44: Off |
| Check Box45: Off |
| Check Box46: Yes |
| Check Box47: Off |
| Check Box48: Yes |
| Check Box49: Off |
| Check Box50: Yes |
| Check Box51: Off |
| Check Box52: Yes |
| Check Box53: Off |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .