503 6TH AVE Si. N
570 3 (0 �11 /9 dr, S
SNO
F
D
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl-org Fax (425) 551-1272
LOCATION:
503 6 th Avenue S 98020
BUSINESS NAME:
503 6th Av S Condos
MAILING
ADDRESS:
503 6th Avenue S, Edmonds, WA 98020
BUSINESS OWNER:
.EMERGENCY-1:
KEY ACCESS-2: Jerry Deweese #5
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 9/12
R1
PHONE:
4257745706
HOME PHONE:
HOME PHONE:
HOMEPHONE: 4257745706
FIRE PREVENTION
INSPECTION REPORT
EDMONDS
BRIER
MOUNTLAKE TERRACE
[3 UNINCORPORATED
r- FREQUENCY STATION & SHIF"�
Ammial E)
SCHEDULED
DATE DUE �
Aug 2046
UFIR
424203
CURRENT
CITY YES NO
BUSINESS M
LICENSE L--J E]
INITIAL INSPECTION DATE
qlb* Cf—i _U
LhMi%MWcWaDAQe(d0CATIONS
COMMUNICATIONS
e, .7.
2
. . . ba.t-1.
2
... .. . .. ...... .
4
4,1
3
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
w ith the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations, of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425 )744-6231.
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
0 EDMONDS
FIRE
Mountlake Terraceand
Everett, WA 98208
0 BRIER
T
the Town of Woodway
Phone (425) 551-1200
0 WOODWAY
0 MOUNTLAKE TERRACE
ST
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFF**�
LOCATION: 503 6th Ave S , Edmonds 98020
Annual
17-A
I
BUSINESS NAME: 503 6th Av S
Condos
PHONE: 4257745706
SCHEDULED
DATE DUE Aug
MAILING
UFIR 10 567
ADDRESS: 503 6th Avenue S. Edmonds, WA
BUSINESS OWNER:
HOME PHONE:
Email:
EMERGENCY-1: �" DeWeeSe #5
HOME PHONE: 4215774��7 1
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
1:1 El
LICENSE
PERSON CONTACTED: 1—fr
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE222/2�7&
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
A)6
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.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or Brier, call (425) 754-0434. .
BUSINESS COPY
FIRE PREVENTION
INSPECTION REPORT
Serving. Brier; Edmondg
2425 M&idian Ave S
SNOHOMISH CO.
)EJ EDMONDS
FIRE
Mountlake Terraceand
Everett, WA 98208
0 BRIER'
Im I
DIS.Ir hffT
I � w:,5401� the Town of Woodway
Phone(425)551- ' 1200
"Fax
OWOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
(425) 551-1272
0 UNINCORPORATED
FREQUENCY STATION& SHIFT_�
LOCATION:
23800 104th Avenue W
730 20 A
I
BUSINESS NAME:
Restlawn Memorial Cemetary
PHONE: 4257711224
SCHEDULED
DATE DUE 06/01/13
MAILING
405 15th Av S
LIFIR 1 934 8086003
ADDRESS:
Edmonds 98020
BUSINESS OWNER:
Becles Funeral Home
HOMEPHONE: 4257711234
ACTIVE
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:.
INITIAL INSPECTION DATE
/Z—) / �
NAME OF INSPECTOR:
V4,) F� �,3
FIRE
FE — I —
SYSTEMS:
A,NNIJAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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2
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3
3
4
4
5
4 ol 0 r—_
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS x TT —re,
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
I
WENSION-
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE�
DATE:
DATE:
3
1
1 T1 N
15
W
1 5
PRE -CITATION
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
1
DISPOSITION:
7
11 LETTER NEEDED [] YES NO
, LETTER NEEDED El YES [I NO
8
FIRE DEPARTMENT COPY
-ving Brier, Edmonds
Set
SNOHOMISH CO.
FIRMountlake Terraceand
the Town of Woodway
STRILU www.FireDistrictl.org
LOCATION: 503 6th Ave S Edmonds 96020
BUSINESS NAME: 503 6th Av S Condos
MAILING
ADDRESS: 503 6th Avenue S, Edmonds, WA
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHOkff-_42577,22706
FIRE"PREVENTIONk,.
1NSPEIbT*1ON REPORT
0 EDMONDS
0 BRIER
0 WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
I` FREQUENCY I STATION 1, SHIFT�
Annual -1 7-A
SCHEDULED
DATE DUE ii, Aug
LIFIR 567
BUSINESS OWNER: HOME PHONE:
Email:
EMERGE�NCY-1: Jerry Deweese #5 HOMEPHONE: 4257745706 _e"CURRENT
KE�Y,ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE El R
INITIAL INSPECTION DATE
PERSON CONTACTED: MW
NAME OF INSPECTOR: L
FIRE SYSTEMS: FE
7--
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
A)4
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
GRANTED TO:
FINAL RE-INSPECTi6N
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
8
4
'8
DATE:
DISPOSITION:
7
LETTERNEEDED [] YES NO
LETTERNEEDED [] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
-MONDS
IRE
Mountlake Terrace, and
Everett, WA 98208
0 BRIER
e Town of Woodway
Phone (425) 551-1200
0 WOODWAY
DISTR4400*1
T thwwFireDistrictLorg
0 MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT_'�
LOCATION:
503 6th Avenue
366
17 C
BUSINESSNAME:
5036thAvS Condos
PHONE: 4257745706
SCHEDULED
DATE DUE � 08/01/11
MAILING
503 6th Ave S #5
LIFIR 1,, 422 8153
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Jeny Deweese #6
HOME PHONE: 4257745706
ACTIVE
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
A-11-7 -11 1
FIRE
FE
SYST E M S:
ANNUAL
HAZARDS,FOUND AND LOCATIONS / COMMUNICATIONS
1 d �' r)
2
2
3
3
4
4
5
5
6
6
7
7
1 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:
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
DATE:
DISPOSITION:
7
LETTER NEEDED [3 YES El NO
LETTER NEEDED El YES El NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
4S' S t 189 z
LOCATION: 503 6th Avenue
BUSINESS NAME: 503 6th Av S Condos
MAILING 503 6th Ave S #5
ADDRESS: Edmonds
BUSINESS OWNER: Jeny Deweese #5
EMERGENCY-1:
KEY ACCESS-2:
S
FIRE PREVENTION
SAFETY SURVEY
Mm*Tlml� �11_�'_;_M
98020
HOME PHONE: 42&-A�&
HOME PHONE:
HOME PHONE:
FREQUENCY
STATION& SHIFT
366
17 5
SCHEDULED
DATE DUE 0-
08/01/10
UFIR ll� 422 8153
ACTIVE
I- INITIAL INSPECTION DATE
PERSON CONTACTED: J,
NAME OF INSPECTOR:
;:ipr- FE 1 41wV;<
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
V, d, Alm—
2
W�9-<1VIViL
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
2
3
3.
4
4
5
6
. ... ....
. . ....................... ...... ... ...
5
6
7
8
7
8
lst RE -INSPECTION
DATE DUE*
2nd RE -INSPECTION
DATE DUE:
PERSON
CONTACTED:
INSPECTOR:
DATE:
VIOLATIONS
1
2 6
3 7
LETTER NEEDED [] YES NO.J
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
PERSON
CONTACTED:
INSPECTOR:
VIOLATIONS
CITED:
1
2
PERSON
CONTACTED:
INSPECTOR:
DATE:
PRE -CITATION
LETTER SENT
DATE:
CITATION ISSUED
NUMBER:
3
VIOLATIONS
1 5
4
2
6
DATE:
RETURN RECEIPT
RECEIVED
DATE:
CODE
SECTION:
DISPOSITION:
5
6
3
7
7
4
8
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
OCCUPANCY APPROVAL FORM
DATE SENT:
FROM: Permit Coordinator, Building Division
TO: FIRE DEPARTMENT.- Gary McComas
ENGINEERING DIVISION --Lyle Chrisman
PLANNING DIVISION - Edward Somers
SUBJECT ADDRESS -503 &
PERMIT# ADB# OWNER
Please conduct a field inspection to determine compliance with approved
plans. Final approval denotes there are no objections to the granting of
occupancy for the building and that -the performance bonds may be released.
I
PASSED FIRST INSPECTION - CONDITIONS ROTED
1.
I
.FAILED INSPECTION - OUTSTANDING REQUIREMENTS - RECALL.FOR INSPECTION
1
1
3.
4- 5C PIC- A Pz\-
IZ/0
OCCUPANCY APPROVAL. DATE ol _7 BY
RE -INSPECTED - APPROVED
. RE -INSPECTED - FAILED
DATE BY
DATE
RE -INSPECTED APPROVED DATE
FEES
B . Y
RECEIPT#
OCCAPRVL/TXTRECEP/August 15, 1990