21120 81ST PL W (2)7
FIRE, PREVENTION
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12425 Meridian Ave S
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LOCATION:
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2065751060
SCHEDULED Feb 2017
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PHONE:
DATE DUE
424206
MAILING 21120 81 st Place W, Edmonds, WA 98026
UFIR
ADDRESS:
Davis,. Blain
BUSINESS OWNER:
HOME PHONE:
Guimont, William P-
3606684309
EMERGENCY-1:
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CURRENT
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HOME PHONE:
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SNOHOMISH CO.
FIRE
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Serving Brier, Edmonds, and 12425 Meridian Ave S
..Mountlake Terrace Everett, WA 98208
Phone (425) 551-1M6*
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
21120 81 st Place W 98026
BUSINESS NAME:
5 Corners Apts
MAILING
ADDRESS: 21120 81 st Place W, Edmonds, WA 98026
BUSINESS OWNER: Davis, Blain
EMERGENCY-1: Guimont, William P
KEY ACCESS-2:
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FIRE SYSTEMS: FE 5/14
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HOME PHONE:
FIRE PREVENTION
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0 BRIER
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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:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
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LETTERNEEDED [] YES NO
Sen,ing!Briei; Edmonds, and 12425 Meridian Ave S
SVHJ6MISH CO.
Mountlake Terrace Everett, WA 98208
FIR -
I Phone (425) 551-1200
STR T www.FireD:istrictl.o� Fax (425) 551-1272
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LOCATION: 21120 81 st Place W 98026
BUSINESS NAME: 5 Corners Apts PHONE: 2065751060
MAILING
ADDRESS: 21120 81 st Place W, Edmonds, WA 98026
FIRE PREVENTION
INSP ECTION REPORT
CIEDMONDS
0 BR'IER
0 MOUNTLAKE TERRACE
[I UNIINCORP.ORATED
FREQUENCY
STATION& SHIFT
Annual 16-C
SCHEDULEiFeb 2015
DATE DUE 1'
424206
LIFIR
BUSINESS OWNER: Davis, Blain HOME PHONE:
Guimont, William P' 3606684309
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
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INITIAL INSPECTION DATE
PERSON CONTACTED:
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NAME OF INSPECTOR: i,,
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HAZARDS FOUND AND LOCAIINS iCOMMUNICATIONS
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DATE DUE:
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DATE DUE:
EXTENSION
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NUMBER:
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2
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DATE:
CODE
SECTION:
5
7
3
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RETURN RECEIPT
RECEIVED
6
8
4
18
DATE:
DISPOSITION:
7
[I YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
MISH Co.
FIRE
DIST:
Serving , Brier * Edmonds, and
, M.o,untlake Terrace
%..!f/A www.FireDistrictl.org
12425. Meridian Ave� S I" I
Everett, WA 98208
Phone (425) 551-1,200
Fax (425) 551-1272
FIRE P.R�VENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
LOC . ATI , ON-.,'
21120 61 st Aace W 98026
Annual
I O-B
BUSINESS NAME:
5 Comers Apts PHONE:
2065751060
SCHEDULED
� Feb 2014
DATE DUE
MAILING
UFIF424 206
ADDRESS:
21120 81st Place W, Ednionds, WA 98026
BUSINESS OWNER:
is. Blain HOME PHONE:
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EMERGENCY-1:
Guimont, Wiliam P HOME PHONE:
3606684309
CURRENT
KEY ACCESS-2:
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EMAIL:
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INITIAL I DATE
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 15
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LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
6
3
7
3
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RECEIVED
DISPOSITION:
7
4
4
8
DATE:
.8
LETTER NEEDED [] YES NO
1
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FIRE DEPARTMENT COPY
01 -4A 'k,
Serving Brier, Edmonds
SNOHOMISH CO.
FIREV110.4
` - Mountlake Terrace, and
STP,tt-4,-Uf**',Twww.FireDistrictl.org
the Town of Woodway
LOCATION:
21120 81 st Place
6USINESS NAME:
5 Corners Apts
MAILING.
PO Box 13534
ADDRESS:
Mill Creek
BUSINESS OWNER:
"Guimont, William 130
EMERGENCY-1:
"Davis, Blain"
KEY ACCESS-2:
Guirriont, William
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
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FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORT
)ZEDMONDS
Everett, WA 98208
0 BRIER
(425) 551-1200
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_Phone
[I YOUNTLAKE TERRACE
Fax (425) 551-1272
[1 UNINCORPORATED
PHONE: 2065751060
98082
HOME PHONE: 3606684309
HOME PHONE: 4254811385
HOME PHONE: 4253336130
FREQUENCY
STATION & SHIFT'*�
365
16 A
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SCHEDULED
DATE DUE 0 02,101,113
UFIR o 424
2206
ACTIVE
CURRENT
CITY YES NO
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INITIAL INSPECTION DATE
F I
ANNUAL
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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
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PERSON
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INSPECTOR:
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CITATION ISSUED
NUMBER:
4
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DATE:
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RECEIVED
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18
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18
DATE:
DISPOSITION:
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LETTER NEEDED [] YES NO
LETTER NEEDED YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. EDMONDS, WASHINGTON 98020 (425) 771-0215
t
LOCATION: 21120 8 1 st Place w
BUSINESS NAME: 5 Corners Apts
MAILING PO Box 13534
FIRE PREVENTION
SAFETY SURVEY
PHONE: 2065751060
ADDRESS: Mill Creek 98082
BUSINESS OWNER: uGuimont, Vtfilliam Pa HOMEPHONE: 3606684309
EMERGENCY-1: uDavis, Blain" HOME PHONE: 4254811385
Guimont, William HOMEPHONE: 4253836130
FREQUENCY
- STATION& SHIFT
365
16 C
SCHEDULED
10
02/01/11
DATE DUE
LIFIR o 424
2206
ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED:
I ' I
NAME OF iNSPECTQR:
FIRE FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
'4yi C., Joe C_ 40--
ENTER CODE ONLY ONCE 10
VIOLATION CODE
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1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE-ASPECTION
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
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
�, LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
MEMORANDUM
DATE I.D.
REPORTED BY jb I k__ OF (o 7
SUBJECT
ADDRESS: 11 2�O
CONCERNS/
HAZARDS:
SIGNED
FOLLOW-UP:
q5"-
X� r-0,16-c- viawt S--) vza� L-,/-, t-5
f�,r A-1 t-4_
44s, Guilva-r t�� B6�,�
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SIGNED
144S.
SC-4v L, I
City of Edmonds * Office of Fire Prevention
--AMNF— C)
9 0 - 19
CITY OF EDMONDS
CIVIC CENTER EDMONDS, WA 98020 - (206) 775-2525
FIRE DEPARTMENT
VV
I '�' I I, '�- 0
March 26, 1991
William Guimont .
Five Corners Apartments
912 North 125th Street
Seattle, WA 98133
Dear Mr. Guimont,
LARRY S. NALIGHTEN
MAYOR
During a recent fire inspection at your apartment build-
ing at 21120-81st Place West, Edmonds, it was noted that a
few of your tenants are storing combustible items in the vehi-
cle parking area. We recommend that this practice be discon-
tinued due to the fire hazard it may present.
I am sure you share our concern for fire and life safety
at your building. If I can be of any assistance in this mat-
ter, please call the Fire Department at 775-2525, #231.
TV: be
Sincerely,
I �_ V'W'I'Za4'4��
Tom VonSchuessler
Senior Inspector
0 Incorporated August 11, 1890 e
Sister Cities International — Hekinan, Jar)an
CITY OF EDMONDS
CIVIC CENTER 9 EDMONDS, WASHINGTON 98020 * (206) 775-2525
FIRE DEPARTMENT
June 29, 1982
Attention -David Ness
4/140-0 OHL Townhouses
1200 T.estlake Ave. N., #406
17
Seattle, WA 98101
Dear Mr. Ness,
SUBJECT: REVISION IN THE FIRE AND LIFE SAFETY CODE
HARVE H. HARRISON
MAYOR
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 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 Safetv
Code 19-3.6.3
We request that the above items be checked bv vou for compliance
and noted on the attached form. Your reply ve-rifving compliance
or current status is to be received by this office within thirt.y
(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
R E C E I V E D
JUL 9 1982
VERIFICATION OF COMPLIANCE FOPJ1 EDMONDS FIRE DEP-1.
# 423-009-011
This forrr. 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 3/4 it solid
core ................
Yes-
No
�� t, IV, C-13, 1,31� "N,
Apartment Name
Owner's Sighature
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-2-k k 27- 0 - 'T � 4 ('_ -1 )� � . � - 72--2> -T- -
Address Phone Number
IF— �, . �� 4, 0 �_C)
We wish to thank you for your time and attention in completing
this form.
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