21616 76TH AVE W STE 1050
SNOHOMISH C 0.
FIRE
DIST]
&J S-rZIo5- FIRE PREVENTION
INSPECTION REPORT'
Serving Brh 12425 Meridian Ave S 0 EDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
the Town of Woodway Phone (425) 551-1200 E]WOODWAY
[I MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION:
21616 76" Avenue W Suite I Q5 98026 2 Year 13 '110-13
BUSINESS NAME: PHONE: SCHEDULED
DATE DUE �
Vacant 4257747723 Sep
MAILING LIFIR
593
ADDRESS- 2161 IB 76th Avenue W Suite 105 Edmonds WA 98026
BUSINESS OWNER: HOME PHONE:
Email:
EMERGENCY-1. Sete, Samuel, H. 0 4256700964 CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS E]
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: MqACMI(c< 10 1% �1-;5
FIRESYSTEMS: FE_/_
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
onia t-=-,A
2
2
3
3
L/
4
4
5
5
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:
1
EXTENSION
GRANTED TO:
FIN REANSPECTION
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
18
4
18
DATE'
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
SNOHOMISH CO. Serving Brier Edmonds
12425 Meridian Ave S
IV CTION REPORT
FIRE
4*4':'
Mountlake Terraceand
Everett, WA 98208
�gEDMONDS
LJ BRIER
DISTRI I
�0 I the Town of Woodway
' T
Phone (425) 551-1200
[IWOODWAY
[1 MOUNTLAKE TERRACE
www.Fi�eDistrictl.org
Fax (425) 551-1272
[:] UNINCORPORATED
I
" FREQUENCY
STATION & SHIFT"
LOCATION:
21,616 __._76th Avenue W
105
730
16 A
I
BUSINESS NAME:
Vacant
PHONE: 4257747723
SCHEDULED
DATE DUE 1` 09/01112
MAILING
21616 76th Ave W #105
LIFIR � 593 9156
ADDRESS:
i98O26
I xd
BUSINESS OWNER:
Seto, Samuel, MD
HOME PHONE:
ACTIVE
EMERGENCY-1:
J)
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE, ,
PERSON CON CTED:
KZ
INITIAL INSPEC_f1dN_DATE
ha
NAME OF INSPECTOW
FIRE
SYSTEMS:
ANNUAL
I 'Ir
HAZARDS FOUND AND LOCATIONS fCOMMUNICATIONS
2
2
VJA
K&r17
3
3
4__
4,
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
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
c6DE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITIDN:
7
4
18
18
DATE:
\. LETTER NEEDED [] YES El NO
LETTER NEEDED, [] YES NO
8
FIRE DEPARTMENT COPY
A69'420-99 10:56A Nor-th Star- Electr-ic,lnc. 206 329-9437 P.01
NO MV s'r A R
I N C 0 R P 0 It A/TE 1)
To: JOHN WESTFALL
Company: EDMONDS FIRE DEPT
Phone: 425-771-0213
Fax: 425-775-7721
From: DENNIS CALDWELL
Company: North Star Electric
Phone: 329-1596
Fax: 329-9437
Date: 08/20/99 12;16 PM
Message: JOHN,
I MADE THE CHANGES YOU REQUESTED,
SENDING LETER FOR YOUR FILES. ANY
QUESTION PLEASE CALL,
THANKS,
DENNIS CALDWELL
Z / 6 / 6 11V k) �97/O--�-
A09-220-99 10:56A Noi-th Star- Electv-ic,Inc. 206 329-9437 P.02
IN(-0RP0Jt/YTED
Commercial 0 Industrial 0 Contracting 0 Service
FIRE ALARM SYSTEM
EYE CLINIC OF EDMONDS
21616 76TH AVE WEST
E1DM0NL)S,WA98026
FIR8 ALARM SYSTEM: 9/20/99
EXISTING FIRE ALARM PANEL
NOTIFIER AFP-200
PULLS & SMOKES THROVGHOUT PUBLIC HALLS
SPRrNKLER SYSTEM:
NONE
ExiG,rrN(.,7 SPACE 104 & 105 HAS 21 HEAT DETECTORS TOTAL ABOVE AND BELOW
GRID CEILING, AND 2 HORNS.
NORTH STAR ELECTRIC WILL RELOCATE HEAT DETECTORS FOR APPROPRIATE
COVERAGE WERE REQUIRED. BOTH HORNS WILL RELOCATE TO NEW WALLS.
PER JOHN WESTFALL EDMONDS FIRE DEPT.
NORTH STAR WILL CHANGE 3 HEAT DETECTORS TO SMOKE DETECTORS BELOW THE
CEILING GRID IN THE HALLWAY,
1905 South Jackson -Seattle, WA 98144 (206) 329-1596 fax 329-9437
:,A-ug-18-99 01: 22P Noirth Star- Electvic,Inc. 206 329-9437
P..O:L
-E. C)� -1 V E D
;AUG 161 1999
XWONDS-BRE DEF
I&
To: JOHN WESTFALL
Company: EDMONDS FIRE DEPT
Phone: 425-771-0213
. Fax: 425-775-7721
From: DENNIS CALDWELL
Company: North Star Electric
Phone: 329-1596
Fax: 329-9437
Date: 08/18/99 02:25 PM
Message: JOHN,
HERE IS THE INFO YOU REQUESTED.
THANK YOU VERY MUCH FOR YOUR TIME AND
HELP. ANY QUESTION PLEASE CALL,
THANKS,
DENNIS CALDWELL
P. 02
. INTO�RTOVT E D
Commercial 0 Industrial 0 Contracting 0 Service
FIRE ALARM SYSTEM
EYE CLINIC OF EDMONDS
21616 76"H AVE WEST
EDMONMS,WA98026
FIRE ALAXM SYSTEM:
EXISTING FIRE ALARM PANEL
NOTIFIER AFP-200
PULLS & SMOKES THROUGHOUT PUBLIC HALLS
SPRINKLER SYSTEM:
NONE
j
EXISTING SPACE 104 & 10S HAS 21 HEAT DETECTORS TOTAL ABOVE AND BELOW
GRID CEILING, AND 2 HORNS,
NORTH STAR ELECTRIC WTLL RELOCATE HEAT DETECTORS FOR APPROPRrATF -
COVERAGE WERE REQUIR8D. BOTH HORNS WILL RELOCATE TO NEW WALLS,
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CITY OF E93MI17WOB HARVE H HARRISON
MAYOR
CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525
FIRE DEPARTMENT
July 20, 1978
Mr. Stephen Johnson
Johnson's Prescription Pharmacy
21616 - 76th Avenue West
Edmonds, WA 98020
RE: JOHNSON'S PRESCRIPTION PHARMACY FILE CODE 543-000-003
Dear Mr. Johnson:
on -July 19, 1978, your store was inspected by members of
the Edmonds Fire Prevention Bureau.
We request the following corrections:
1. Replace ' combustible waste container in bathroom
with approved noncombustible type. Plastic liners
may be used.in approved containers.
The Fire Department, will reinspect your building after
thirty days.
If we may be of further assistance, please contact -this
office (775-2,525,'Ext. 247) during business hours, 9:00 A.M.
to 5:00 P.M.
Yours for a safer community through fire prevention,
Jack F. Cooper
Fire Chief
Gerald Ehtee
Inspector
GE/amm