19601 82ND PL WFIRE PREVENTION
SNOHOMISH CO. �erving Briet; and 12425 Meridian Ave S
Mountlake Terrace
Everett,,;sWA 98208
'FIRE Phone (425) 551-1200
'DIST-krT www.FireDistrictl.org Fax (425) 551-1272
INSPECTION REPORT
0 EDMONDS
El BRIER
El MOUNTLAKE TERRACE
[3 UNINCORPORATED
" FREQUENCY STATION & SHIF"*1
LOCATION:
10601 82 tid Place W f38026
Annual 16-D
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BUSINESS NAME:
Nelison Amh,
PHONE:
2DE354407E SCHEDULED Ocl. 2014
DATE DUE
MAILING
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ADDRESS:
PO Bnx 433302. Scall.lc, VVA 08133
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
NcItion, M. B.
HOME PHONE:
21MM44071, CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS F-1
EMAIL:
LICENSE L—i
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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FIRE 9YS ILMS:
FE 51� 13
HAZARDS F LIND AND LOCATIONS COMMUNICATIO S
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2
2
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4
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5
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6
6
7
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE.
2n . d RE -INSPECTION.
DATE DUE:
EXTENSION
GRANTEDTO*
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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INSPECTOR:
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2
1 DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
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PRE -CITATION
LETTER SENT
CITATION ISSUED
-NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
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3
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RETURN RECEIPT
RECEIVED
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18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED C] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds, and
li�� 5*4ieridian Ave S INSPECTION REPORT
SNOHOMISH CO
0 EDMONDS
Mountlake Terrace
FIRE. lie
Everett, WA 98208 0 BRIER
DIST R1 T
Q MOLINTb�KE TERRACE
Phone-(425) 551-1200,,.,- ..4 0 UNINCbRPORATED
w wu�FireDistrictl.org
Fax (42-5) 551-1272
FREQUENCY '
STATION & SHIFT
LOCATION: 19601 82nd Place W 98026
"-.�nnual
16-C
BUSINESS NAME:' Nelson Apts
PHONE: 2063644075
SCHEDULED
DATODUE II' Oct 2013
MAILING
UFIR � 422
ADDRESS: PO Box 4$33302, Seattle, WA, 98133
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-11: elson, M. 13.
HOME PHONE: 2063644a75
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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3
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4
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DATE DUE:
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EXTENSION
GRANTEDTO:
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DATE DUE:
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VIOLATIONS
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
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2
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DATE:
CODE
SECTION:
5
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8
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bisposITION:
kLETTER NEEDED [] YES NO
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FIRE DEPARTMENT COPY
0 Amok,
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FIRE PREVENTION
,
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
6�)O& Mountlake Terraceand""
FIRE
Everett, WA 98208
OEDMONDS
0 BRIER
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El UNINCORPORATED
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LOCATION: 19601 82nd Place
W
365
16 C
BUSINESS NAME: Nelson Apts
PHONE: 2063644075
SCHEDULED
DATE DUE 0 10/01/12
MAILING POB #33302
UFIR � 422 11256
ADDRESS: Seaftle
98133
BUSINESS OWNER: nNelson,
HOMEPHONE: 2063644075
ACTIVE
EMERGENCY-1: "Tolletson, Lanny-
HOMEPHONE: 4256724237
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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:
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
7
RETURN RECEIPT
RECEIVED
6
4
18
14
18
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES [I -'NO
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8
FIRE DEPARTMENT COPY
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12425 Meridian Ave S
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PHONE: 2063644075
SCHEDULED
DATE DUE 0 10/01111
MAILING
POB #33302
LIFIR o 422 11256
ADDRESS:
Seattle
98133
BUSINESS OWNEk:
Nelson, M.B.'
HOME PHONE: 2063644075
ACTIVE
EMERGENCY-1:
"Tollelson, Lannyu
HOME PHONE: 4256724237
CURRENT
KEY ACCESS-2:
HOME PHO�E:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: kOA(—
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
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SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMU ICATIONS
7�"Zjz p,
2
2
3
3
4
4
5
5
6
6
7
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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:
I
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
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EOMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 * (206) 775-2525
FIRE DEPARTMENT
April 8, 1982
Attention - Janell Schnackenberg
Nelson Apartments
19601 - �2nd Place West, #5
Edmonds, WA 98020
Dear Ms. Schnackenberg,
SUBJECT: REVISION IN THE FIRE AND LIFE SAFETY CODE
Due to recent changes in the new Edmonds Community Development
Code and the Life Safety Code;, the Fire Marshal's Office will
be enforcing the following requirements.
The following will effect all apartments and condominums within
the limits of the City of Edmonds.
1. Smoke detectors in each living unit. W.A.C. Chapter
212-10
The following will effect all apartments and condominums with
two or more doors that open on a common area/corridor.
2. Self -closures on all living unit/corridor doors.
Life Safety Code 19-3.6.2
3. Fire rating on living unit/corridor door:
a. Minimum 20 minute door (label on hinge side of
the door)
b. 1 3/4" solid bonded woodcore door. Life Safety
Code 19-3.6.3
We request that the above items be checked by you for compliance
and noted on the attached form. Your reply verifying compliance
or current status is to be received by thi; office within thirty
(30) days.
If we may be of any assistance, please contact this office at
775-2525, Ext. 231, between the hours of 8 a.m. and 5 p.m.,
Monday through Friday.
Sincerely,
Stan A. Olsen
Senior Inspector
VERIFICATION OF COMPLIANCE FOPJI
# 422-005-006
This form must be completed and returned to the Edmonds Fire
Department within thirty days.
1. Smoke detector installed .............. Yes No
2. Self -closures installed ............... Yes- No
3. Fire rating on doors:
a. 20 minute label .................. Yes No
b. 1 3/411 solid core ................ Yes No
Apartment Name
Address
Owner's Signature
Phone Number
We wish to thank you for your time and attention in completing
this form.
I/
R E C E I V E D
MAY 6 1982-
VERIFICATION OF COMPLIANCE FOPJ1 1-:DMONDS FIRE DEFT,
# 422-005-006
This form must be completed and returned to the Edmonds Fire
Department within thirty days.
Tk,f,,, i;y 4-
1. Smoke detector installed. . . Yes �/No
2
Self clo sures
i nstalle d ................
Yes 4v—A No
.3.
Fire rating on
doors:
a.
20
minute label ..................
YesffA
No
b.
1
3/411 solid core ................
Yes.A�A-
No
Alfartment Name
Address
�er s� Signature
Phone Number -1vS1,d11Ciy
We wish to thank you for your time and attention in completing
this form.
0