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54 7 A Tol <br />W�6j <br />TESTING AND CX <br />SERVICES <br />16929 Maplewood Ln <br />Bow, WA 98232 <br />Phone: 360-255-5306 <br />License No: TESTICS895DT <br />Confidence Test Report (use one form per system) <br />SHAFT PRESSURIZATION TEST <br />SYSTEM: SPF-2 <br />Certification Given <br />AREA SERVED: STAIR #2 <br />RED ❑ <br />YELLOW ❑ <br />WHITE El <br />CONFIDENCE TEST <br />❑x <br />REPAIRS <br />❑ <br />Occupancy Address: <br />8102 EVERGREEN WAY, <br />Occupancy Name: <br />FOUR CORNERS <br />EVERETT, WA 98203 <br />APARTMENTS — BLDG. D <br />SOUND HEATING & AIR <br />Responsible Person First <br />CONDITIONING, INC. <br />Phone Number: <br />253-495-6746 <br />& Last Name: <br />DAVID JOHNSON <br />Responsible Person <br />5526 184TH ST E, SUITE A <br />Responsible Party <br />Address, City, State, Zip: <br />PUYALLUP, WA 98375 <br />E—Mail Address <br />david@soundheating.com <br />Date of Inspection: <br />02/15/2024 <br />Inspection <br />Frequency/Type: <br />Annual (New Construction) <br />Testers Name <br />(Please Print): <br />ROB COALLIER <br />Testers E-Mail <br />rob@tacservicesnw.com <br />Address: <br />FIREFIGHTERS SMOKE <br />FIRE ROOM 004 <br />Identification Number: <br />CONTROL PANEL <br />System Location: <br />Central station <br />Yes 0 <br />No O <br />Monitoring Company <br />ALARM MONITORING <br />monitoring? <br />Yes 0 <br />No O <br />Name /Number: <br />SERVICES, INC. / 800-228- <br />MonitoringRequired? <br />4134 <br />System Make: <br />KIDDIE <br />System Model: <br />VM-1 <br />FIRE CODE VIOLATIONS FOUND: (If additional room is needed, please add a separate sheet) <br />CORRECTIONS MADE: Date Corrected: Corrected By: <br />(If additional room is needed, please add a separate sheet) Certification Number: <br />This certifies that this fire and life safety system has been properly inspected for reliability to cover the <br />Items listed in this report and is consistent with Fire Department Fire Code standards, and that <br />discrepancies are noted and have been reported to the building Owner/Manager for corrective action. <br />Tester Signature <br />Phone No. <br />360 224-8555 <br />Shaft Pressurization Page 3 of 4 <br />