18614 76TH AVE W (2)�4d
<-
FIRE PREVENTION
J.,
:'A. . . : Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terrace
FI E
Everett, WA 98208
0 EDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
DISTT
0 UNINCORPORATED
www.FireDistrictl.org
Fa� (425) 551-1272
1861476th AvenueW 98026
FREQUENCY
Annual
STATION & SHIFT
16-D
LOCATION:
Perrin Village 18614-24,18710-30"
BUSINESS NAME:
.2063290085
SCHEDULED Dec 2016
PHONE:
DATE DUE 0
427356
MAILING
ADDRESS: 2633 Eastlake Avenue E307, Seattle, WA 98102
UFIR 0
BUSINESS OWNER: Hensley, Lucinda
HOME PHONE:
EMERGENCY-1: Cornell &Assoc
2063290085
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
1:1 1:1
LICENSE
PERSON CONTACTED: A
INITIAL INSPECTION DATE
INSPECTOR: 10,,
NAME OF J z
z1RE SYST=-.—FE 10/15
SNOHOMISH CO.
FIRE
DIST:
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
E3 EDMONDS
[3 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY
STATION & SHIF*'�
LOCATION:
18614 76 th Avenue W 98026
Annual
16-C
BUSINESS NAME:
Perrin Village 18614-24,18710-30" PHONE:
2063290085
SCHEDULED
DATE DUE 0 Dec 2015
MAILING
UFIR 0 427 356
ADDRESS:
2633 Eastlake Avenue E307, *Seattle, WA 98102
BUSINESS OWNER:
Hensley, Lucinda HOME PHONE:
.EMERGENCY-1:
Cornell & Assoc HOME PHONE:
2063290085
.
CURRENT
KEY ACCESS-2:
HOME PHONE:
YES NO
CITY
BUSINESS
EMAIL:
LICENSE
INITIAL RSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: W'6'AA_'-Ltj ci, I 1!�_
2-2 — L(r
FIRE SYSTEMS:
FE 10/14
not= I met Qnr%tinnti-
10-19—
HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
0
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
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.
Vio lor
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions iol tion.
If you require additional information or to schedule a re -inspection for. Edmonds, call (425) 775-7X720; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
INSPECTION REOORT
SNOHOMISH CO. Seriving Brier, Edn�onds, and 12425 Meridian Ave S
OEDMONDS
Mountlake Terrace Everett, WA 98208 [3 BRILA
FIR FIR t Ph I one (425) 551-1200 [3 MOUNTLAKE TERRACE
DRwrr 0 UNINCORPORATED
3 JL AJ www.FireDistrictl.org, Fax (42-5) 551-1272
LOCATION: FREQUENCY — FSTATION & SHIFT
16_
18614 76 th Avenue W 98026 Annual 16-C
BUSINESS NAME: PHONE: SCHEDULED
Perrin Village 18614-24,18710-30" 2063290085 DATE DUE � Dec 2015
MAILING
UFIR 1" 427 356
ADDRESS:
2633 Eastlake Avenue E307, Seattle, WA 98102
BUSINESS OWNER
HOME PHONE:
Hensley, Lucinda
�EMERGENCY-11:
Cornell & Assoc HOME PHONE: 2063�90085
eCURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS F--j
El
LICENSE L_j
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 10/14
nntp 1 P-d _Rpr%i4ri6H- 1 V - 1 5
HAZARDSFOUND ANDLOCATIONS COMMUNICATIONS
-1"j
2
2
3
3
4
4
5
6
5
6
7
7
I
---
I AG�EE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30.DAYS X
I st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
DATE:
CITAfi-Ci-W—ISSUED
NUMBER:
CODE
SECTION:
DISPOSITION:
2
DATE:
DATE:
3
4
5
7
VIOLATIONS
VIOLATIONS:,,`
PRE -CITATION
LETTER SENT
DATE:
RETURN RECEIPT
RECEIVED
DATE:
2
2
6
3
7
3
7
4
18
4
18
%.,LETTER NEEDED - [] YES NO
LETTER NEEDED F] YES NO
FIRE PREVENTION
Serving Briet; Edmonds, and
12425 Meridian Ave S INSPECTION REPORT
SNOHOMISH CO.
OEDMONDS
F I R E
4 Wountlake Terrace
Everett, WA 98208
0 BRIER
I
DIST1R.
I
T
Phond (425) 551-1200
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY
STATION & SHIF"'
LOCATION:
I M 1.176 th A,�e t i u.e W
16-B
I
BUSINESS NAME:
PerrinVilla9c ISL14-24,18710-3[r
PHONE: =2908&
SCHEDULED L)m 2014
DATE DUE
MAILING
LIFIR 0 *V s,%
ADDRESS:
203 Eabttakc A�mnua 1=307, ScaUlc, WA 981L
'12
BUSINESS OWNER:
Ht-res.4-y, Wrinfla
HOME PHONE:
EMERGENCY-1:
Camel I & Asbar.
HOME PHONE: 201532901-185
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
>/ 19 VIVI goo-
-7- --5,
FIRE SYS I LINIS:
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATi6N(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE.
GRANTEDTO,
DATE DUE:
CITED:
PERSON
PERSON
PERSON
1
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
4
1 5
1 5
LETTER SENT
NUMBER:
i
12
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
6
7
3
7
RECEIVED
DISPOSITION:
7
4
18
4
8
DATE:
�i LETTER NEEDED F] YES NO
I LETTER NEEDED E] YES NO
1
8
1 � FIRE DEPARTMENT COPY
SNO
F
D
FIRE PREVENTION
S ing Briei; Edmond�, and 12425 Aferidian Ave S INSPECTION REPORT
Aiountlake Terrace Everett, WA 98208 WZDMONDS
El 9NIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY
STATION & SHIFF")
LOCATION:
18614 76th Avenue W @8026
Annual
1 &A
BUSINESS NAME:
Perhn Village 18614-24.1871G-30"
PHONE:
2063:290,385
SCHEDULED
Dec 2013
DATE DUE
MAILING
UFIR
427
ADDRESS:
2633 Eastlake Avenue E307. Seattle,
WA 98102
BUSINESS OWNER:
Henslev, Lurinda
HOME PHONE:
Erna;l:
EMERGENCY-1:
Comell &.Assoc
HOME PHONE:
20632190085
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
ze�& _r�'
I o
FIRE SYSTEMS:
FE
HAZARDS FOUND AND LOCATIONS CJDMMUNICATIONS
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
I st RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTO R:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
'8
4
13
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [I NO
I LETTER NEEDED YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serv,ing Briei: Edmonds
12425 Meridian Ave S
INSFtCTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
F I R E
Everett, WA 98208
DEDMONDS
OBRIER
e Town of Woodway
STR - T
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
w"wwTireDistrial.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION & SHIFT_"�
LOCATION: 18614 76th Avenue
W
365 16 C
BUSINESS NAME:. Perrin Village 18614-24,18710-30"
PHONE: 2063290085
SCHEDULED
DATE DUE 12,10111-1
r
MAILING 2633 Eastlake Av E #307
[UFIR � 427 12356
ADDRESS: Seattle
98102
e ftj
BUSINESS OWNER: Cornell & Assoc
HOMEPHONE: 2063290085
ACTIVE
EMERGENCY-1: Adam Landry/Prop Mgr
HOME PHONE:
CURRENT
KEY ACCESS-2: Sharron & Bill Benson
HOME PHONE: 4257129443
CITY YES NO
BUSINESS F]
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE — f 'T
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
C_ Ck
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:
E)(TENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
,4
8
4
8
IDATE�
DISPOSITION:
LETTER NEEDED [:] YES El NO
LETTER NEEDED YES NO
E]
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Set-ving Briei-, Edmonds
12425 Mei-idian Ave S
INSPECTION REPORT
SNOHOMISH Cd.
Mountlake Terraceand
FIRE
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
-STR T
Phone (425) 551-1200
0 WOODWAY
0 MdUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
LOCATION: 18614 76th Avenue
W
" FREQUENCY
365
I STATION &SHIFT
16 6
BUSINESS NAME: Perrin Village 18614-24,18710-30"
PHONE: 2063290085
SCHEDULED 12/(31/11
DATE DUE 1'
MAILING 2633 Eastlake Av E 42.07
UFIR � 427 1;356
ADDRESS: Seaftle
98102
1., —.1
BUSINESS OWNER: Comell & Assoc
HOME PHONE: 2063290085
ACTIVE
EMERGENCY-1 : Adarn Landry/Prop Mgr
HOME PHONE:
"'CURRENT
KEY ACCESS-2: -Sharron & Bill Benson
HOME PHONE: 4257129443
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
7--
NAME OF INSPECTOR: o -L
FIRE
�E If I 111
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
_yk a 4— :�N
2
2
3
3
4
4
N
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION($) 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:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
,4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
1)
FIRE PREVENTION.
CITY OF EDMONDS SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
18614 76th Avenue w
LOCATION:
BUSINESS NAME: Perrin Village 18614-24,13710-30" PHONE: 2063290085
MAILING 2633 Eastlake Av E #307
& rIFT �
SCHEDULED 12101110
DATE DUE
UFIR o. 427 1,2256
ADDRESS: Seattle 98102
BUSINESS OWNER: Cornell & Assoc HOME PHONE: 2063290085 ACTIVE
EMERGENCY-1: Adam Landry!Prop Mgr HOME PHONE: 4257129443
KEY ACCESS-2: Sharron & Bill Benson HOME PHONE:
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: R'66 N�A ) 8< s ) c,,/ IJkrr-t
FIRE I FE 1/ )'/0
SYSTEMS.- ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUN ONS
0,1 rt) j
ENTER CODE ONLY ONCE 10
VIOLATION CODE
2
2
3
3
4
4
5
5
6
.6
7
7
8
8
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:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
PRE-CITAIION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2-
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
LETTER NEEDED F] YES N
17TTER NEEDED El YES NO
FIRE DEPARTMENT COPY
January 16, 1986
MEMO TO: Hal Reeves
Building Official
FROM: Gary L. McComas
Fire Marshal
SUBJECT: FIVE - 2 BEDROOM FOURPLEXES @ 18614-24 AND
18710-20-30 - 76TH AVENUE WEST, PERRINVILLAGE
After review, the fire department has the following comment:
Each of the buildings shall have two ' fire extinguishers
per building. The extinguishers shall be located on
the first and second floor landings. They should be
placed in metal boxes with break glass fronts.
Minimum size is 2,A-10,B:C, dry chemical types.
GLM: be