8102 EVERGREEN WAY EVERETT 4 CORNERS - BLDG E 2025-08-06

TESTING AND CX SERVICES 16929 Maplewood Ln Bow, WA 98232 Phone: 360-255-5306 License No: TESTICS895DT Confidence Test Report (use one form per system) SHAFT PRESSURIZATION TEST SYSTEM: SPF-1 Certification Given AREA SERVED: STAIR #1 RED ❑ YELLOW ❑ WHITE ❑X CONFIDENCE TEST 191REPAIRS ❑ Occupancy Address: 8102 EVERGREEN WAY, Occupancy Name: FOUR CORNERS EVERETT, WA 98203 APARTMENTS — BLDG. E SOUND HEATING &AIR Responsible Person First CONDITIONING, INC. Phone Number: 253-495-6746 & Last Name: DAVI D JOH NSON Responsible Person 5526 184TH ST E, SUITE A Responsible Party - david@soundheating.com City, State, Zip: PUYALLUP, WA 98375 E—Mail Address Date of Inspection: Date 06/11/2024 Inspection Frequency/Type- Annual (New Construction) Testers Name (Please Print): BRUCE HURLBUT Testers E-Mail bruce@tacservicesnw.com Address. FIREFIGHTERS SMOKE FIRE ROOM 008 Identification Number: CONTROL PANEL System Location: Central station monitoring? Yes ® No 0 Monitoring Company g p y ALARM MONITORING SERVICES, INC. / 800-228- MonitoringRequired.? Yes ® No 0 Name /Number: 4134 System Make: KIDDIE System Model: VM-1 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) Certification Number: 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. Tester Signature Phone No. 360 224-8555 Shaft Pressurization Page 1 of 4