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Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Vineyard Park at Bothell Landing
10519 E RIVERSIDE DR,
Bothell, WA 98011
Provider Number
Approval Status
Facility Type
1734
Approved
Residential Care
On 1/27/2020 the Office of the State Fire Marshal conducted an inspection at your facility.
All violations noted during previous related inspection(s) have been corrected.
Own^or Owner'^ReRfesentative
^OAJ ^o7T //.^.^ture ^ Print Name and Title
Deputy State Fire Marshal Brendan Magee2803 156AVESEBellevueWA 98Q£(425)401-7735,
Signature
Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12.
1 of 1 Initials of Authorized Facility Representative:
This
docu
men
t was
pre
pare
d by
Res
iden
tial C
are
Serv
ices
for t
he L
ocat
or w
ebsit
e.
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Vineyard Park at Bothelt Landing
10519 E RIVERSIDE DR,
Bothell, WA 98011
Provider Number
Approval Status
Facility Type
1734
Disapproved
Residential Care
On 12/17/2019 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
1 Door Operation
Swinging fire doors shall close from the full-open position andlatch automatically. The door closer shall exert enough force toclose and latch the door from any partially open position.
(IFC 703.2.3)
The following violations were observed:
The cross-corridor fire doors, near resident room #304, failedto fully close and latch when tested, ff*-
The cross-corridor fire doors, near the 1st floor med room, didnot have enough self closure force to full close and latch. °^
2 Means of Egress Continuity
The path of egress travel along a means of egress shall not beinterrupted by any building element other than a means ofegress component as specified in this chapter. Obstructionsshall not be placed in the minimum width or required capacity ofa means of egress component except projections permitted bythis chapter. The minimum width or required capacity of ameans of egress system shall not be diminished along the pathof egress travel.
(IFC 1003.6)
The following violation was observed:
The Business Manager office, on the 1st floor, is equipped witha exit door to the outside and is identified with an exit signabove the door. The exit door is obstructed with an office deskand filing cabinet. 6i«-
1 of 2 Initials of Authorized Facility Representative:
This
docu
men
t was
pre
pare
d by
Res
iden
tial C
are
Serv
ices
for t
he L
ocat
or w
ebsit
e.
Washington State PatrolFire Protection Bureau
Phone: (360)596-3900
Business Name
Address
City, State, Zip
Vineyard Park at Bothell Landing
10519 E RIVERSIDE DR,
Bothetl, WA 98011
Provider Number
Approval Status
Facility Type
1734
Disapproved
Residential Care
On 12/17/2019 the Office of the State Fire Marshal conducted an inspection at your facility.
Code Requirement Statement of Violation
Next inspection scheduled on or after: 01/16/2020
Right of appeal. Any person may appeal any decision made by the Fire Protection Bureau in accordance with WAC 212-12.
Ownew Authorized Representative-A
J^SO/^ ^CQTT ^-DSigr^ture
Deputy State Fire Ma2803 156AVESE,BellevueWA 980((425) 401-7735
Print Name and Title
I Brendan Magee
Signature
2 of 2 Initials of Authorized Facility Representative:
This
docu
men
t was
pre
pare
d by
Res
iden
tial C
are
Serv
ices
for t
he L
ocat
or w
ebsit
e.