1140 5TH AVE S..
•.
r; \
IIII��III
�
. _,,;.••fir-.... .. y.,., •• _ •_, .; •
�'I O J th'^ �Ve- S
- . ... , ;...: .
f'
,q
Serving Brier, Edmonas, and
12425 Meridian Ave S
FIRE PREVENTION
INSPECTION REPORT
SNOfiO1v2ISA'66-
FIRE
Mountlake Terrace
Everett, WA 98208
E
❑ BRIER NDS
��°°'
DISTR
T*www.
Phone (425) .551-1200
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FireDistrict]. org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION: 1140 5 th Avenue S 98020
Annual
17-D
BUSINESS NAME: Edmonds View
PHONE: 2064066619
Nov 2016
.DATE DUEED
MAILING
422 152
UFIR /
ADDRESS: 1023 0 Slater Avenue NE, Kirkland, WA 98033
z
BUSINESS OWNER: O'Connell, Janis
HOME PHONE:
fi
EMERGENCY 1:GooS, Tom
HOME PHONE: 2064066619
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY ES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FA 5/16 FE 3/16 12:00:00 AM
..
SNOHOMISH CO.
FIRE
DIST]
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
1140 5 th Avenue S 98020
Annual
17-C
I
BUSINESS NAME:
Edmonds View A f+5.
PHONE:
2064066619
SCHEDULED
DATE DUE ►Nov 2015
MAILING
UFIR ► 422 152
ADDRESS:
10230 Slater Avenue NE, Kirkland, WA 98033
I
BUSINESS OWNER:
f c 6 f�J
I
HOME PHONE:
EMERGENCY 1:
GOQs, Tom
HOME PHONE:
2064066619
CURRENT
KEY ACCESS-2:
m�o Pa�yc(A h S044V
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
.\ •cc,.,
LICENSE
PERSON CONTACTED: bk-g-
INITIAL INSPECTION DATE
NAME OF INSPECTOR:,.
Z-7 — L
FIRE SYSTEMS:
FAp9/09 FE /
Date Last Serviced:
HAZA FOUND AND LOCATIONS / COMMUNICATIONS Ll 1
�f f
2 r1 .�,, .S
c NN�G✓�
2
5 _
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during, our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations. of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
December 8, 1986
MEMO TO: Hal Reeves
Building Official
FROM: Gary L. McComas
Fire Marshal
SUBJECT: MODIFICATION .TO CLOUSTON ='6 UNIT PLAN
AT 0-5TH AVENUE SOUTH
After review, the fire department has the following comments:
1. It appears that the proposed storage area is on
the second floor and, if it is separated properly,
is approved.
However, I need a determination from you; if this is a three
story building, it requires a complete fire alarm system. I
asked Mr. Clouston for this information on December 2nd but
he has not supplied it yet.
%
l'
GLM:be
11
1WO-0HWE-STT eb-M'1WINICAT16NS; 1NC�
20919 - 28TH . AVE. W.
P.O. BOX 6277
LYNNWOOD, WA 98036
Fire Alarm
Control Panel
Model FASA
ON iT APA,,R71nE7uT
1/9 O 6-7'l' A v& S .
SPECTRON/CS
EC
MAR 10198
FIRE
r
,*A/0�0" &1/ A"O., W&AW 604W Fire Alm Pa1s
m ne
Xl�T Att /llQ�aM t3'Ta�s/cor.� •r ��
S The FASA Operates at 24 ,pits DC
5 Single Class "A"/Class "B" Input Circuit
S 2-wire Smoke Detector Compatible
5 Master Box .Municipal Connection
5 Remote Station Trouble & Alarm Transmitter
S Auxiliary Alarm & Trouble SPDT Dry Contacts
S Polarized Class "A"/Class "B" Alarm Output Circuit
5 Float Type Power Supply/Battery Charger
s Battery Supervision
5 Built in Trouble Buzzer Sounds for any System Fault
5 Drill Switch Sounds Only Audible Alarms Without
Activating Other Outputs
S Ground Fault Detection
SW Lamp Test Feature
S Cabinet provides Space for Emergency Batteries
5 Complies with U.L. 864 & NFPA 72A, 72B & 72C
Catalog Sheet No. FAP-2-85
Mechanical Specifications .
Control panels are fabricated in 10.0" H x 8.0" W x 5.5" D surface mount red cabinets. Cabinet is 16 gauge steel with
hinged and locked door. Conduit knock outs are provided at top and bottom of cabinet. Space is provided in bottom of
panel for emergency batteries.
g t
Engineers Specifications
Provide a single circuit non -coded fire alarm panel arranged for surface mounting and located as shown on plans. The control panel
shall be listed by Underwriters Laboratories, Inc. for use per NFPA Standards 72A, 72B and 72C. The control panel shall be con-
structed within a surface steel cabinet with a hinged and locked door, finished in red enamel.
Operation of any signal initiating device shall cause the circuit alarm lamp to light, the audible and/or visual alarm devices to indicate
and the reverse polarity transmitter to be operated. The control panel shall lock into alarm and be reset only after the initiating
devices causing the alarm have been restored to normal and panel reset switch operated. The simultaneous operation of the reset
and silence switches shall be required to reset two wire smoke detectors.
The control panel shall have a single Class "A" four wire return loop or class "B" two wire, end of line resistor, detection circuit
capable of operating circuit powered smoke detectors, manual stations and automatic heat detectors, a polarized alarm circuit which
supervises entire length of circuit wiring, an internal reverse polarity alarm and trouble transmitter with terminals for telephone line
connection, and an internal trouble buzzer. Momentary silence and reset switches shall be provided and the silence shall be
automatic self -restoring. A drill switch shall be provided that is internal to the control panel for periodic testing. A lamp test function
shall be provided by the operation of a switch. A ground fault indicator shall be provided and shall light upon the occurrence of a
ground in the field wiring. A trouble condition shall also be indicated.
The internal power supply shall operate entire system and maintain emergency batteries in fully charged condition. Occurrence of a
commercial power failure shall cause system to automatically operate from the emergency batteries and shall be capable of
operating in a non -alarm status for a minimum of: 24 hours (NFPA-72A), 60 hours (NFPA-72B or 72C).
Typical Input Field Wiring Details
TERMINAL STRIP INPUT TERMINALS
TA'OF FASA
"TA"
I2 la o—CLASS "A"
CLASS "B"
- - I
I I
I I
I 2 I I
I '
1 I I I E.L.R. 4.7K
I III
90$14.84
I
I q
I SERIES 30_924C OR 70_924C �J
WITH MODEL 92 BASE
SUPERVISED SMOKE DETECTOR CIRCUIT, NON -CODED
FOR USE WITH FASA
30 _924C 20 DETECTOR MAX
70 _924C 30 DETECTOR MAX
I
---j
SPECTRONICS
r RECHARGEABLE
BATTERIES
Model CF Series Power Supplies & Batteries
MAINTENANCE FREE
Sealed rechargeable lead -acid batteries eliminates routine maintenance.
ECONOMICAL
Combines the advantages of dry cells with the economics of rechargeable batteries.
NO MEMORY CONDITIONING
Batteries will deliver complete charge upon demand and will not become conditioned
to low discharge currents.
DURABLE AND SAFE
Spill -proof high impact polystyrene case.
LONG LIFE
Up to five year life when used with proper Spectronics power supply or charger.
AVAILABLE IN VARIOUS CAPACITIES
1.5 through 20 ampere -hour ratings will satisfy most requirements.
WIDE OPERATING TEMPERATURE RANGE
allows use in most locations.
Catalog Sheet No. PSB-1-77
SPECIFICATIONS
c�
a
rQ
U
H ,
•~ice ?4
6
JQ �� Q W y 41
° Q r��° r�rV H Ur r
° �Q Q� U� UU y z Ur U
Q� Qv TAr (J = W� Q c z �? k
o 2 �z �° Qy co ~ Z �_ ��i r
(f 1
= 0 23° 2 N '��c° Q c°i �� ��'� 3 zW 3iv m
CF12V1.5 13.0 11.9 1.5 .2A 7.02 1.33 2.58 1.5
CF12V2.6 13.0 11.9 2.6 .35A 5.30 2.72 2.54 2.8
CF12V5-L 13.0 11.9 5.2 .7A 6.12 2.42 4.12 4.75
CF12V8 12.6 11.9 8.0 1.2A 6.00 4.00 3.97 7.5
CF12V20 13.0 11.9 22.0 2.OA 6.48 4.91 6.67 17.0
CF6V8 6.3 5.95 8.0 4 1.2A 6.00 2.00 3.97 3.97
NOTES:
Q Float Charging -Constant potential source of 13.5 to 13.8 volts continuously.
® Float Charging -Constant potential source of 6.75 to 6.9 volts continuously.
® Routine Charging -Constant potential tapered source of 14.7 to 15.0 volts.
® Routine Charging -Constant potential tapered source of 7.35 to 7.5 volts.
® Terminal Size-.031" stock by .187" wide.
® Terminal Size-.032" stock by .25" wide.
Case material is black colored high impact polystyrene.
Operating temperature range:
Discharge -60O F to +140° F
Charge 0° F to +120° F `
The float charge method is used in Spectronics' equipment.
Availaule from: SPECTRONICE
CORPORAT70N
4645 Hartley, Lincoln, NE 68504
Phone (402) 467-3651
Manual
Fire Alarm
Station
Model S270 Series
t
Break Glass Type Non
Coded
Contacts remain actuated
until reset.
SPECTPONICS
Signal Initiating Device
is Semi -Flush or Surface Mounting.
Unit can be used in either semi -flush or surface
applications.
Highly Visible
silver raised lettering on a red background makes the
Local Alarm very noticeable.
S Single or Double Contact Toggle Switch
provides positive action when lever is pulled. Available
with pigtail leads or terminals.
S Sturdy Construction.
Station is made of an attractive cast metal design.
Catalog Sheet No. SID-13-85
General
The model S270 Series manual fire alarm station is of the non coded break glass type. The S270 Series is
ideally suited to meet a wide variety of applications. Constructed of a sturdy yet attractive cast metal, finish-
ed in a highly visible bright red with silver raised lettering. The model S270 Series use very reliable toggle
type normally open switches. The switch is activated by simply pulling on the lever located on the front of
the unit. Resetting the switch can only be accomplished by opening the station. Opening the station is ac-
complished by turning (in a counter clock wise direction) the slotted latch assembly on the top of the unit.
The S270 Series manual stations can be semi -flush or surface mounted.
Specifications
The S270 Series use toggle type switches and are rated at 1.5 A @ 125 V and 0.5 A Q 250 V.
Mechanical Specifications
The model S270 Series manual fire alarm station is constructed of a sturdy cast aluminum alloy which has a
glossy red finish with silver raised lettering. The back mounting plate is 16 ga. plated. steel. The cover of the
station is hinged to the back mounting plate.
Surface mounted
Ordering Information
Part No.
90-460-83
90-462-83
90-461-83
90-463-83
90-437-83
90-469-81
Available from:
Box
miict have
Door release
for test and
replacement
of Glass
Semi -flush mounting
Model
Description
S270S
Station with SPST N.O. Contacts & Terminals
S270D
Station with DPST N.O. Contacts & Terminals
S270AS
Station with SPST N.O. Contacts & Pigtails
S270AD
Station with DPST N.O. Contacts & Pigtails
P-039250
Surface steel backbox for above stations
270-GLR Replacement break glass for above stations
SPECTRONICS
CORPORATION
4645 Hartley, Lincoln, NE 68504
Phone (402) 467-3651
Combination
Rate of Rise &
Fixed Temperature
Heat Detector
Series 6001620
SPECTRONICS
Signal Initiating Device
PI 0
r
r
u 4��$cx tF''A/pt
.�^
CSC �5;�Y"A)rN g� } ♦�
h
Series 600/620 Spot Fire
Lowecator Thermal Fire
Detector
The Series 600/620 Spot Fire alloy. When activated, the external
Lowecator is ultrasensitive, attrac- heat collector drops away to pro-
tive, durable and features combina- vide quick visual confirmation that
tion rate -of -rise and fixed tempera- the element has operated.
ture detectors. Rate -of -rise detects The units protrude only 1 %" from
intense fires by quickly responding the ceiling surface with smooth,
to rapid temperature increases. pleasing contours and an all -white
Fixed temperature reacts to smol- finish that easily conforms to ceiling
dering fires by rbsponding to a spe- aesthetics.
cific temperature setting. Materials for Series 600/620 are
Series 600/620 uses the same carefully selected for high strength,
reliable pneumatic rate -of -rise ele- corrosion resistance, and integrity
ment as in former models, but with at points of hermetic sealing. No
added aesthetic appeal. The fixed field maintenance is required, and
temperature element uses a fusible only normal periodic testing.
Catalog Sheet No. SID-8-80
Series 600/620
Spot Fire Lowecator
Thermal Fire Detector
Installation
Each detector includes a patented Identification on
reversible mounting plate. In one Heat Collector
position, it easily attaches to 4" None
octagon junction box, 3'/4" octagon
box or plaster'ring.
In reverse, the plate can be used
for open wiring without a junction
box. A t/4" space between detector
and mounting surface allows for 0
wire connections. All mounting
screws are concealed. Gray Ring
The detector simply attaches to .
the mounting plate with a push and
twist motion. No tools required.
Mounting plate is molded of
white self -extinguishing thermo-
plastic rated at 105°C. The plate is
extremely strong yet adapts to un-
even mounting surfaces. Gray Spot
Note: Same dimensions apply to
all 6001620 Series detectors.
Spot Fire Lowecator Testing
Models 601/621 and 602/622 can be
tested by the application of quick
heat from any convenient source.
A portable hair dryer is
recommended.
Models 603/623 and 604/624 can-
not be tested. However, the fusible
alloy element is generally consid-
ered so reliable that testing is not
necessary. .
Electrical Ratings
6-125 Volts A.C., 3.0 Amp
6-28 Volts D.C., 1.0 Amp.
125 Volts D.C., 0.3 Amp.
250 Volts D.C., 0.1 Amp.
Available from:
Gray Spot & Ring
1-Circuit 2-Circuit
Model Model Description Applications
601 621 Rate -of -Rise and Normal temperature
Fixed Temperature, fluctuations and ceiling
135°F (57°C). temperatures not
exceeding 100•F (38•C).
602 622 Rate -of -Rise and
Fixed Temperature,
200°F (94°C).
603 623 Fixed Temperature
Only,135°F (57*C).
604 624 Fixed Temperature
Only, 200•F (949C).
Maximum Spacing
Allowance*
UL FM
50 x 50 ft. 20 x 20 ft.
Normal temperature 50 x 50 ft. 15 x 15 ft,
fluctuations and ceiling
temperatures exceeding
100° (38°C► but not 150"F
(66`C).
Unusually violent 25 x 25 ft. 20 x 20 ft.
temperature fluctua-
tions and ceiling
temperatures not
exceeding 100°F (38°C).
Unusually violent
temperature fluctua-
tions and ceiling
temperatures exceeding
100• (38^C►but not
150•F (66°C).
'50 feet =15.24 meters; 25 feet = 7.62 meters; 20 feet = 6.09 meters; 15 feet = 4.57 meters
Listings/Approvals
• U.L. Listed
• F.M. Approved
• Approved Board of Standards and
Appeals, N.Y.C.
• Approved Fire Marshall —State of
California ,
Ordering Information
Please specify:
Series
Model number
25x25ft. 15x15ft.
The seller makes no warranties,
express or implied including, but
not limited to, the implied war-
ranties of merchantability and
fitness for a particular purpose,
except as expressly stated in
seller's sales contract or sales
acknowledgement form.
SPECTRONlCS
CORPOPAT1ON
4645 Hartley, Lincoln, NE 68504
Phone (402) 467-3651
UDC
7135
789:4
74303 BELL
SURFACE MOUNTED
ACC ESSO R 1 ES
DESCRIPTION: Fire Alarm Bells
Two types of Mirtone Fire Alarm Bells are available; one incor-
porates a heavy-duty polarized, vibrating type mechanism, the
other employs a series type motor which actuates the gong
striker via a geared eccentric. Both types are suitable for use in
supervised Fire Alarm Systems.
INSTALLATION
The bells are designed to surface=mount on a 4" square outlet box,
but may be supplied with an adaptor plate (Model 74316) which is
designed for universal mounting. Installation is simplified by
removing the quickly detachable gong.
For flush mounting, a special box and grille are available. The box
is made of heavy -gauge steel and is equipped with brackets to permit
easy installation of the bell when the wiring has been completed.
The grilles permit maximum sound transmission while providing a
pleasing appearance.
r 74201BUZZER
GRILLE
FOR FLUSH MOUNTING
DESCRIPTION: Electronic Buzzer
The Mirtone Model 74201 Electronic Buzzer, mounted on a stain-
less steel, single gang electrical plate is designed to generate a signal
of sufficient intensity for fire alarm use in small areas such as rooms
in motels, private homes, apartments etc. It is operable over a wide
range of DC voltages, the sound intensity varying as shown by the
table overleaf. The recommended range of operating temperature
is -250C to +700C.
Power
Limited
APPLICATION INCLUDES FIRE SYSTEM
POWER LIMITED FIRE PROTECTIVE CABLES 28
ALL CABLES ON THIS PAGE
ARE LISTED BY CALIFORNIA
�l LISTED STATE FIRE MARSHALL
LISTING SERVICE
POWER LIMITED 105°C-300 VOLT FIRE PROTECTIVE SIGNALING
CIRCUIT CABLES CONSTRUCTED IN ACCORDANCE WITH OUTLINE OF
REQUIREMENTS FOR USE WITH ARTICLE 760 OF NEC.
OPTIONAL USE FOR CLASS 2 AND CLASS 3 CIRCUITS IN
ART ICLE 725 OF NEC. ALL CABLES ARE UL LISTED.
CONDUCTORS Solid f3ar(, Copper
VOLTAGE RA I"ffJG 300 Volt
IEMPFRAIUM it)')' refitt(Ir,irlr..
I'A;SSE:; VW I Vrriln u Ir I I,nc le:,l
INSULAIION to`)' C,"nhgrad, PVC
';IANDARU SPOOL 1,1,1t 10()O feet
Catalog Number of
Number Conductors
AWG and
Stranding
Nominal
Insulation
Nominal
O.D.
Voltage
Colors
�y,�m ^.
=
`' ,f13�
1
Rating
300_
Available
Black, Green
fi
i
Brown, White .
t d�
,=
#
300
Red Orange,
Yellow
CONDUCTORS Solid Bare Copper
VOLTAGE RATING- 300 Volts
IEMPERATURE 105Centhyra(1e
PASSES M 1 Vertu I, Elame Test
INSULATION 105` Cuiitjgrade PVC
POLARITY. Or1e Leq Painted and
Perfect Stripe
STANDARD SPOOL SIZE- 1000 Fret
TWO CONDUCTOR PARALLEL
Catalog
Number of
AWG and Nominal
Nominal
Number
Conductors
Stranding Insulation
Dimensions
Stock Colors
x
0
RED - WHITE - GREEN
IROWN
eWEBLACK
�
KP.
�'
� �3
< WH TE -RED
,
WHITE RED
UL Identification Surface Printed on Jacket
APPLICATION
(, hle:_" are conr,lnicled ui
accordance with outline of
re(:luuernent`, for use With
Article 760
OPTIONAL USL
For Cla!, 2 �lnd Cla',s 3
Clr AJIIb descnlied in Article,
725 of National Electrical
Code
10.302-10.306 UNIFORM FIRE CODE
1907 of the Uniform Building Code shall be maintained in an operable condition
at all times. Unless otherwise required by the chief, quarterly tests of such
systems shall be conducted by qualified persons approved by the chief. A written
record shall be maintained and be made available to the inspection authority.
Vapor Liquid and Liquefied Gas Extinguishers
Sec. 10.303. (a) Prohibited Types. Vaporizing liquid extinguishers containing
carbon tetrachloride or chlorobromomethane shall not be installed or used in any
location for fire protection use.
(b) Halon Types. Liquefied gas extinguishers containing approved haloge-
nated agents Halon 1211 or Halon 1301 may be used in accordance with U.F.C.
Standard No. 10-1.
Sale of Defective Fire Extinguishers
Sec. 10.304. No person shall sell or trade any form, type or kind of fire
extinguisher which is not approved or which is not in proper working order, or the
contents of which do not meet the requirements of this code, provided, however,
this shall not apply to the sale or trade of fire extinguishers to any person or firm
engaged in the business of selling or handling of such extinguishers or the sale or
exchange of obsolete or damaged equipment for junk.
M
Fire Protection in Recreational Vehicle and Mobile Home Parks
Sec. 10.305. All mobile home and recreational vehicle parks shall provide and
maintain hydrants and access roads in accordance with Sections 10.207 and
10.301.
EXCEPTION: Recreational vehicle parks located in remote areas shall be pro-
vided with protection and access roadways as required by the chief.
Fire Alarm System
Sec. 10.306. (a) Apartments and Hotels. An approved automatic fire alarm
system shall be installed in the following occupancies:
l . Apartment houses three or more stories in height or containing more than
15 apartments.
EXCEPTION: An alarm need not be installed in buildings not over two stories in
height when all individual dwelling units are separated by at least one -hour fire -
resistive occupancy separations, including attics and crawl spaces, and each individ-
ual dwelling unit has direct exit to a yard or public way.
2. Hotels either three stories or more in height or containing 20 or more guest
rooms.
The alarm system shall include provisions for smoke detection and manual
operation in interior corridors and automatic detection in storage rooms, laundry
rooms, furnace rooms and similar common areas.
(b) Connection to Other Systems. A signal system or intercommunicating
system shall not be used for any purpose other than fire warning unless it meets the
requirements of this article.
(c) Standard for Installation, Inspection and Maintenance. Installation,
inspection and maintenance of the fire alarm system shall be according to the
standards set forth in U.F.C. Standard No. 10-2.
(d) Location of Stations. Stations for operating any manually operated fire
alarm system shall be placed immediately adjacent to the telephone switchboard
in the building, if there is a switchboard, and at such other locations as may be
required by the chief.
(e) Automatic telephone dialing devices to transmit an emergency alarm shall
not be connected to any fire department telephone number unless approved by the
chief.
Installation of Fixed Fire Protection System
Sec. 10.307. (a) General. All fire -extinguishing systems required in this code a
or the Building Code shall be installed in accordance with the requirements of this
article. s
All fire hose threads used in connection with fire -extinguishing c;v tPmq chill i
PRNEt .W c/; r'�a ilJAi�+ .cofPiJY I I . ( f-- ^ AAM
_-_�
PANEL
3_ pact- s rw no... s/ �p Fs oo.c I I I I I I SAVO
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1 I i r-' I•�_ Hv:; '.i t :, , r ` i.•JI'i • l+L;fiii.'."• --Nv� Ikkk���l � / � / � � ' _____ __ _ .. ... •i • Sb S`✓J i � ,, . .
�� f JjjJjjfjr
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sNoxonrlisx co.
FIRE
,Z1v
Serving _ _ _ _ , dnionds
Mountlake Terraceand
12425 Meridian Ave S
Everett, WA 98208
DISTR'
� the Town of Woodway
Iwww.FireDistrictl.org
Phone (425) 551-1200
Fax (425) 551-1272
it
LOCATION:
210 6th Avenue
N
BUSINESS NAME:
Corpus Chesty Chapel
PHONE: 4257719208
MAILING
210 6th Ave N
ADDRESS:
Edmonds
90820
BUSINESS OWNER:
y
Slalley,',,Veronica
HOME PHONE: 42577/8973
EMERGENCY-1:
CALL FOR APPOINTMENT
HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
PERSON CONTACTED: j-y— A_jel I c`
NAME OF INSPECTOR: '�, (n (� c I e
FIRE
SYSTEMS:
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ WOODWAY
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY I STATION & SHIFT
365 '17 A
SCHEDULED_
DATE DUE ► 04101I13
UFIR ► 131 4203
A-CTIVE 3#39
CURRENT
CITY YES NO
BUSINESS1:1LICENSE 0
INITIAL INSPECTION DATE
FE 13
AN
HAZARDS FOUND AND -LOCATIONS / COMMU
ICATIONS
10A S A
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE.
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO,
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
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LETTER SENT
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RETURN RECEIPT
RECEIVED
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LETTER NEEDED YES ❑ NO
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FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
Corpus Christi Chapel
Edmonds Location :
210 6th Avenueth Avenue N
In conformity with the
terms of the International
Fire Code, application is
_
hereby made to store, use
Places of Assembly - Occupant Load: 389
or maintain the following
activity, storage or pro-
cesses:
Mailing Address:
P.O. Box 636
Edmonds, WA 98020
EFD UFIR #:
13138904C203
(for office use)
Your Signature
Your Name (print)
Your Title
Please make corrections, attach $40 payaJ to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Z (�-
Check#
-lo 46
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
D C C IEVIE
MAR 2 � FAIi�
EDMONDS FIRE DEPT.
Name of Company; DBA
Corpus Christi Chapel
Edmonds Location
210 6th Avenue
In conformity with the terms of
Places of Assembly - Occupant Load: 389
the International Fire Code,
-application is hereby made. to-
- - - - —
store, use or maintain the
following activity, storage or
processes:
Mailing Address:
P.O. Box 636
Edmonds WA.9e624
�$C92E�
EFD UFIR #:
13138904C203
(for office use)
Your Signature
Your Name (print)
COPVC%P�_'
�Le
Your Title
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121-5th Avenue North
Edmonds, WA 98020
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 131-389-04C-203 December 31, 2011
Date of Issue UFIR Number Date of Expiration
This PERMIT is issued to: I Corpus Christi Chapel
located at: 1210 6th Avenue N I Edmonds, WA
To engage in the business, occupation or process of:
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Places of Assembly - Occupant Load: 389
Allowed Occupant Load: 1 389
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
Firq,Marshal,4
Debbrtment of Fire Prevention
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
:':S's'J4.:,:., e. S'J..•s.i: J::J.�: a' �'_r.J'..: J._.:i �.r J � � G'S+.:n.: .;a�:.T.:'..:::'J e:.•• l.3.9 J'.:.C!..: a.'..C.!'i: ^ :19 .^..:] _:'3'.t/.:. _:...".J' ^w.� .�'L'S:.J .^. � .: _'.o .'l@'::-.:'�^N.Y'A '.'✓'9.:.::� :: JAS':C:� :� JET.,.
e
- CITY OF EDMONDS
e
FIRE DEPARTMENT
y
"'`' PERMIT
03-23-00 131-389-04C-203 12-31-00
Date of Issue UFIR Number Date of Expiration
This PERMIT is issued to: I Corpus Christy Chapel
located at 210-61Avenue North Edmonds, WA
To en a e in the business, occupation or process of: 7 Public .Assembly
And shall constitute permission to maintain, store, use or handle materials or to conduct process which
produce conditions hazardous to life or property or to install equipment used in connection with such
activities as follows:
1 Allowed Occupant Load:
Pursuant to the provisions of the Uniform Fire Code. Any violation of the Code may be grounds for
the revocation of this PERMIT.
This permit does not take the place of any license
required by law and is not transferable. Any
change in the use or occupancy of premises shall
require a new permit.
Fire.Marshal
Bureau of Fire Prevention
B
This Permit Must At All Times Be Posted On The Premises Mentioned Above
a
a
Ordinance 43035
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.............
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L
FIRE DEPARTMENT - CITY OF EDMONDS
01-01-92
Date of Issue
PERMIT
131-250-07B-203
Number
12-31-92
Date of Expiration
This PERMIT is issued to ................... Corpus... hris.t.y....Cha.pel..... ...............-......-........
located at.............................................210-6th Avenue North Edmonds, Wa. to engage in the business,
Avenue North
assembl occupation or process of ..................... )? ............................. -----y
.........................................................................................
and shall constitute permission to maintain, store, use or handle materials, or to conduct processes which produce conditions haz-
ardous to life or property, or to install equipment used in connection with such activities as follows: ................................................
..................................................................................................................:........................ Allowed Occupant Load ......-----.....................
pursuant to the provisions of the Uniform Fire Code. Any violation of the Code may be grounds for the revocatoin of this
PERMIT.
This permit does not take the place of any license
required by law and is not transferable. Any change
in the use or occupancy of premises shall require a
new permit.
Wl
Fire Marshal
Bureau of Fire Prevention
This Permit Must At All Times Be Posted On The Premises Mentioned Above
Ord. 2436
I
7:
.. - .. .':
..... .....
ry9�1
4
.,CITY of EDMONDS
iiCivic Center • Edmonds, Washington 98020
DATE TO BE RELEASED: 01-07-85
14HAT EVENT: Fire At 204-6th ave N
C1'ty_.N-ews
Roman Catholic Church -Corpus Christi Chapel
WHERE (LOCATION': 204-6th ave N .
WHEN (DATE; TIME) : 0129hrs , 01-07-85
WHY (REASON FOR EVENT) : Edmonds and Snohomish County Fire Protection District
#1 responded to a structure fire at.the above listed address.Upon
arrival fire was showing from windows on the first and second floor.
The fire was blacked out at 0145hrs then overhall was started wich
took about three hours.
WHO ( PERSON (S) INVOLVED: two Chiefs , and twenty five fire fighters
ANY ADDITIONAL INFORMATION OF INTEREST: CAUSE:has been determined to be accidental.
Rolls of carpet thath-a2±b.eremoved during a remodel were stored in the
basement against two baseboard heaters ,the heat from the direct contact
caused the carpet to ignite.Fire damage was extensive to the first floor
and smoke and heat damage was severe to the second floor.
PERSON_TO_ CONTACT,_I-F NECESSARY__.
Jack D Weinz.Fire Chief
Edmonds fire department
PHONE: 775-2525 ex.237
FIELD INVESTIGATION REPORT
Location:204-6th ave N.,Roman Catholic Church -Corpus Christi Chapel
SNOCOM NO:0138
INCIDENT NO:
On Jan 8,1985 I responded to a reported structure fire at the
above address. Upon arrival Edmonds and Co. fire crews were
in the process of extinguishing spot -fires and beginning
overhaul operations.The outside of the structure indicated
that the most intense portion of fire was located near the SE
corner of the basement and extended up the outside along 2x2
boards attached to the siding.After the fire was extinguished
and ventilated the investigation began inside the building.It
was obvious that the fire began in the basement because of
the amount of damage and the "V" pattern.Further examination
of the burn patterns indicated that the point of origin was
near the SW corner of the common area of the basement.In that
area against the wall was several rolls of carpet.While
examining the wall in that area I noticed two electric
baseboard heaters that were covered by the rolls of
carpet.Upon removing the carpet it was noticed that the
carpet adjacent to the heaters had received the most severe
damage.Inspection of the thermostat indicated that it had
'been left in the on position,but do to the damage I could not
determine to what level it was turned to.The electrical panel
also indicated that the breakers for the heater circuit were
in the tripped position. CONCLUSION:The fire was caused by
rolls of carpet placed on electric heaters,and the heaters
were left in the on position.the subsequent heat raised the
temperature to it's ignition temperature causing the fire.
EVIDENCE TAKEN:NO
PHOTOS TAKEN:YES Date
f. •
CITY OF EDMONDS
CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775-2525
FIRE DEPARTMENT
Pastor Dave Sutton
210 - 6th Avenue N.
Edmonds, WA 98020
Dear Pastor Sutton:
March 2, 1978
HARVE H. HARRISON
MAYOR
RE: Church of the Open Bible
t3 t - dco0 - o lz-
Per your request we have inspected the property at
621 Bell and the following items must be completed for your
desired use. We also noted you were presently occupying
611 Bell for meeting purposes.
1. An application must be made to the Community
Development Department for a Conditional Use
Permit as the properties are presently zoned
for multiple high density use. There will be
a $25 filing fee and necessary hearings before
the Board of Adjustment.
2.
The
upstairs windows must be
operable.
3.
The
existing wall upstairs must
be removed or
the
north classroom exit door
must be removed.
4.
The
front door swing must be
reversed.
5.
Exit
signs must be placed in
the following locations:
a. Rear exit from kitchen.
b. Living room archway.
c. Over front door.
6. Bannister must be installed in stairway.
7. Occupancy load sign must be posted (Maximum
capacity 50).
Thank you for your concern for community safety.
Sincerely,
Jack F. Cooper
Fire Chief
Tom Tysz�
TT:gm Inspector