21005 83RD AVE W (3)FIRE PREVENTION
SNOHOM'ISH CO.
Serving Brier, Edn&ds, and 12425 Meridian Ave S
INSPECTION REPORT
FIRE..
Mountlake Terrace.
Everett, WA 98208
EDMONDS
0 BRIER
ST r
R:
Phone (425) 551-1200
[1 MOUNTLAKE TERRACE
D UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFF**'
LOCATION: 21005 83 rd
Avenue W 9802 1 6
Annual
16-B
�BUSINESS NAME:
Wood la ke Apts
(& 2100 1
PHONE: 4257765708
SCHEDULED
DATE DUE 0 Feb 2016
MAILING
LIFIR 1' 428 206
ADDRESS:
21005 83rd Avenue W, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1: Westlake Assoc/Jack Robert
KEY ACCESS-2:
HOME PHONE: 4257765708
HOME PHONE:
e CURRENT; YES NO,
CITY
EMAIL:
BUSINESS El
LICENSE
PER ON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
r7-4
I
I
ki'�V'ing Brier Edmonds, and 12425 Meridian Ave S
,2r4HO�M H CO.
�IS
Alowitlake Terrace Everett, WA 98208
FIRE Phone (425) 551-1200
DIST R.1%. T :u,w-wFireDistr1ct1.qr' Ta 142, 72
. ig�'. Fax (425) 551Y �
21005 83 rd Avenue W 98026
LOCATION:
Woodlake Apts (& 21001)
4257765708
BUSINESS NAME:
ONE:
MAILING
21005 83rd Avenue W, Edmonds, WA 98026
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
Westlake Assoc/Jack Robert 4257765708
EMERGENCY-1:
HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
EMAIL:
PERSON CONTACTED:
_NA1 �K 5�F I �S CTOR:
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FIRE PREVENTION
INSPECTION REPORT
EDMONDS
BRIER
MOUNTLAKE TERRACE
UNINCORPORATED
r F REQUENCY STATION 9 SHIF_*1
Annual 16-A
SCHEDULED Feb 2015
DATE DUE �
428206
UFIR
CURRENT
CITY YES NO
BUSINESS Ej
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOPATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRE�qT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Ist RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED - -
6
DISPOSITION:
7
4
18
4
18
DATE:
QLE17ER NEEDED [] YES NO
LETTER NEEDEiC[] YES NO
8
FIRE. DEPARTMENT COPY
ISO,
S6rving Briet: Edmonds, and
Mountlake Terrace
T14"w"wFireDistrictLorg
FIRE PREVENTION
12425 Meridian Ave'S INSPECTION REPORT
EIEDMONDS
Everett, WA 98208 El BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
El UNINCORPORATED
Fax (425) 551-1272
FREQUENCY I STATION& SHIFT
LOCATION:
21005 83 rd Avenue W 98026
pr4i sal
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE 0
Woodlake Apts (& 21001)
42577615708 Feb
2014
MAILING
LIFIR 0
ADDRESS:
428 206
21005 83rd Avenue W, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS-2:
Westlake Assoc/Jack Robert
HOME PHONE:
4257765709 CITY
YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
DO W L) 6'
FIRE SYSTEMS:
FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
GRANTEDTO,
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
�9�ETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
\. LETTER NEEDED C] YES El NO
LETTER NEEDED F] YES NO
8
FIRE DEPARTMENT COPY
Serving Brier, Edmonds
SNOHOMISH CO.
IRE_
Mountlake Terraceand
I-—
IS T I
the Town of Woodway
IT
.
www.FireDistrictl.org
LOCATION:
21005 83rd Avenue
r" i BUSINESS NAME:
Woodlake Apts (& 21001)
t MAILING
2819 Eastlake Av E
ADDRESS:
AD,
Seattle
BUSINESS OWNER:
BUSINESS 0
Westlake Assoc/Jack Robert
Lm
MERGENCY-1:
E EmERGE
Albano, Ray Mgr
EY ACCESS-2:
K KEY Acc
DERSON CONTACTED:
NAME OF INSPECTOR: C&Li4ga';r
FIRE
W
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257765708
98102
HOMEPHONE: 4257765708
4257765208
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS 4
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREOUENCY STATION& SHIFT**'
.'�365 '16 C
SCHEDULED
DATE DUE 02/01/13
LIFIR o 428 2206
PREFIRE
CURRENT
CITY
YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
5- ; 3
FE qf
iZ) T 0 1 t:rW 0.
HAZARDS FOUND AND LOCATIONS I COMMUNICATIONS
L-L
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:
2nd RE -INSPECTION
DATE DUE:
1
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
5
VIOLATIONS
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
8
8
DATE:
DISPOSITION:
LETTER NEEDED [] YES NO
LETTER NEEDED F] YES [I NO
8
FIRE DEPARTMENT COPY
CITIY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
t I .
FIRE DEPARTMENT
f
46' t Is
LOCATION: il 005 33rd Avenue w
FIRE PREVENTION__�
SAFETY SURVEY
BUSINESSNAME: WoodlakeApts(&21001) PHONE: 4257765708
MAILING 2810 Eastlake Av E
A kSS:
DD Seattle 93102
BUSINESS'OWNER: Westlake Assoc/Jack Robert HOMEPHbNE: 4257765708
4257765208
EMER�ENCY-j: Albano, Ray Mgr HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
365
16 A
SCHEDULED
02/0'f /11
DATE DUE 11
LIFIR � 428
2206
PREFIRE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE f FE 10 1 A0
'SYSTEMS:
ANNUAL A
HAZARDS F AND LOCATIONS COMMUNICATIONS
Rp
ENTER CODE ONLY ONCE 11�
VIOLATION CODE4
2
2
3
3
4
4
5
5.
6
6
7
7
8
8
'Ist 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
5
VIOLATIONS
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
18
DATE:
DISPOSITION:
7
8
LETTER NEEDED Ej YES NO
LETTER NEEDED [::, YES NO
FIRE DEPARTMENT COPY
CITY OF E6MONDS
121 5T� AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771,-0215
FIRE DEPARTMENT'
2innr, RArfi Aluan"a w
FIRE PREVENTION
SAFETY SURVEY
LOCATION:
%
BUSINESS NAME:
Woodlake Apts (& 21001)
PHONE:
4257765708
MAILING
2810 Eastlake Av E
ADDRESS:
Seattle
98102
BUSINESS OWNER:
Westlake Assoc/Jack Robert
HOMEPHONE:
4257765708
Albano, Ray Mgr
4257765208
EMERGENCY-1:
HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
FREQUENCY
STATION& SHIFT
365
16 D
SCHEDULED
0,
02101110
DATE DUE
LIFIR 11, 428
2206
PREFIRE
INITIAL INSPECTION DATE
PERSON CONTACTED: 'yc,> C2 OV& VAVA 1 Y2116:—. 7; 7-
NAME OF INSPECTOR:
FIRE IFE � u /_�ej
S,YSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
A V
8
. . ........ .
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1st RE -INSPECTION
DATE DUE:
2nd RE-INSPECT10%
E DUE:
VXTENSION
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
7
4
18
4
8
DATE:
DISPOSITION:
1 8
� LETTER NEEDED [] YES NO
LETTER NEEDED F] YES E] NO
FIRE DEPARTMENT COPY
,I (OWA '5 "-*') "wc
EDMONDS FIRE DEPARTMENT MEMORANDUM
Date: April 27, 2001
To: Lieutenant Doug Dahl, Firefighters Devin Haas and Bob Nichols
From: Thomas J. Tomberg, Fire Chief
Subject: Dumpster Fire at Woodlake Townhouses
Enclosed is the response from the management representative from Woodlake
Townhouses to the dumpster fire on April 8. The two fire safety pamphlets are not
included. Clearly, the fire had some extension potential had it not been for your quick
suppression actions. It is also encouraging to see a property owner taking mitigating
actions before a problem develops. Thank you for your prompt action in this incident,
and keep up the good work.
It is my intention to place a copy of this memo, enclosed letter and tenant handout in
your Human Resources file. Thanks. TT
Enclosures
C: Woodlake Townhouses File
OFFICE OF THE FIRE CHIEF
2411 — 35h Ave. SE
Puyallup, WA 98374
24 April 2001
John Westfaff, Fire Marshall
City of Edmonds
'125 — 5 Ih Ave. N.
Edmonds, WA 98020
Dear Mr. Westfall,
V [E
D
ALP R 12' 5 2 0
1 -- _ '? Od
EDMON iT14 DEPT.
FoHowing our recent telephone conversation, I am sending you a copy of the notice sent
to the residents of our apartment after a dumpster fire. Woodlake Townhouses is located
at 21001, 21003 and 21005 on 83rd Ave. W in Edmonds, near Five Comers. Total
number of units in the complex is 21.
Enclosed also are two pamphlets that I included in the mailing to the Woodlake residents.
The pamphlet from the National Fire Protection Association I got from a fire station in
Puyallup. The card for emergency phone numbers is from a fire station in Edgewood, so
I cut off the Pierce County Fire District identification from that one. (There would be no
point in giving Pierce County phone numbers to people in Edmonds!)
Thank you for your interest.
Sincerely,
Myrt
* . . 4
FIRE at Woodlake!
Big Fires Start Small.
Thanks to the Edmonds Fire Department
Fire Station #I 6----m"A" Shift
for extinguishing the dumpster fire.
April 8, 2001 at 11: 15 PM.
What started the-fi e?
Warm ashesftom afireplace?
Warm briquetsftom a BBQ?
Please think fire safety inside your apartment.
Keep furniture, clothing, bedding away from baseboard heaters
Be responsible with matches, candles, fireplace and BBQ.
Be careful with electrical appliances.
Cook safely.
Do y2u have renter's insurance for your personal property?
j q a
04/25/01 10:29:50 PRINT REQUESTED BY TERMINAL EFPCll
Incident History for: #EF01000989
Case Numbers: $EF01001123
Received 04/08/01 23:14:34 BY SCPCO2 SC719
Entered 04/08/01 23:15:08 BY SCPCO2 SC719
Dispatched 04/08/01 23:15:22 BY SCPC04 SC744
Enroute 04/08/01 23:17:33
Onscene 04/08/01 23:19:35
Closed 04/08/01 23:33:48
Initial Type: DUMP Initial Alarm Level; 1 Final Alarm Level: 1
Final Type: DUMP (DUMPSTER FIRE) Pri: 2 Dispo:
Police BLK: E032 Fire BLK: EF206 Map Page: 454 Group: EF1 Beat: MD17 Src: 9
Loc: 8303 212 ST SW #5 EDM high xst: BOWDOIN WY (V)
Loc Info: REAR OF RP
Name: NP STEPHENS R G
/2315 (SC719 ENTRY
/2315 (SC744 DISP E16
/2315 $ASNCAS E16
/2315 (SC719 SUPP
/2317 (SC744 ENROUT E16
/2319 (SC719 ONSCNE E16
/2321 (SC744 MISC E16
/2333 AOR E16
/2333 CLOSE E16
Addr: 8303 212 SW 45 EDM Phone: 4256409822
,ACCESS OFF 5 CORNERS
#EF0991 DAHL,DOUGLAS
4EF1541 HAAS, DEVIN
4EF1343 NICHOLS, BOB
$EF01001123
TXT: RP SEES FIRE IN DUMPSTER AREA - NEAR CARS
IS AWAY FROM BLDG
, INVESTIGATING
,DUMPSTER FIRE WINO EXPOSURE
,FIRE IS OUT
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER * EDMONDS, WASHINGTON 98020 * (206) 775-2525
FIRE DEPARTMENT
June 29, 1982
United Marketing, Inc.
Woodlake Apartments
P 0 Box 3080
Bellevue, WA 98009
Dear Sir,
SUBJECT: REVISION IN THE FIRE AND LIFE SAFETY CODE
Due to'recent changes in the new Edmonds Community DeveloDment
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 limitsof 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 vou for compliance
and noted on the attached form. Your reply ver-ifying compliance
or current status is to be received by this 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,
61
Stan A. Olsen
Senior Inspector
VERIFICATION OF COMPLIANCE FOP11
# 424-021-004
This forr. must be completed and returned to the Edmonds Fire
Department within thirty days.
1. Smoke detector installed .............. Yes X 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 4ps a5ignatur�e,,�5&,�e2_
,2�0,5- -,Y,5 Z2 - �;/O .0 z
Address hone Number
We wish to thank you for your time and attention in completing
this form.
R E C E I V E D
JUL G 1982
JEDMONDS FIRE DEPT.