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Washington State Patrol Fire 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 Magee 2803 156AVESE BellevueWA 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 document was prepared by Residential Care Services for the Locator website.

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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:

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  • 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:

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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,

    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

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    ebsit

    e.