515 WALNUT STSNOHOMISH CO.
W
(,JILA)L�Ir S7_
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
www.FireDistrictl.org
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
AgDMONDS
BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
515 Walnut Street 98020
iT_M
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE 0
Seawynds Condos
Atig 261 _6
MAILING
UFIR 0
ADDRESS:
423
515 Walnut Street, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
Wilson, Judy
.EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
Ronnie Quaaley #3
HOME PHONE: 4257749591
CITY YES NO
BUSINESS F-1
EMAIL:
LICENSE L-J
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: ljj&ly4l�l; 960,6
/0-/
F.lRE SYSTEMS: FE 10/12
[PstmbasbEk COMMUNICATIONS
2
2
3
3
- --- - - ------
4
4
5
5
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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 itern(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, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
am Serving Brier, Edmonds
SNOHOMISH CO.
FIREMountlake Terraceand
(0*�Jfto)ffoll the Town of Woodway
DISTmiLuT www.FireDistrictl.org
wodlliz_r 5t-,
LOCATION: I
515,ZST Edmonds 98020
BUSINESS NAME: Seawynds Condos
51 57 M.,qpJL4 r— �'FIRE PREVENTION
12 - meridian Ave S' INSPECTION REPORT
0 EDMONDS
Everett,' WA'98208 0 BRIER
Phone (425) 551-1200 OWOODWAY
[I MOUNTLAKE TERRACE
Fax (425) 551-1272 0 UNINCORPORATED
PHONE:
FREQUENCY STATION & SHIFC)
2 Year 13 17-A
SCHEDULED
DATE DUE 1' Aug
MAILING UFIR 593
ADDRESS: 515 Walnut Street, , J.
HOME PHONE:
BUSINESS OWNER: Wilson, Judy
Email:
EMERGENCY-11: RonnieQuaaley #G HOME-PTiONE: 4257749591 'CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: ZL INITIAL INSPECTION D ATE
NAME OF INSPECTOR: 4 <; _j
FIRESYSTEMS: FELO-1-as
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:
1
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
11 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 [E] YES Nod
rLETTER NEEDED F] YES NO
1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet: Ednionds
12425 Meridian Ave S
INSPECTION REPORT
S f�ok
NOHOMISH CO.
FIRE'j Mountlake Terraceand
Everett, WA 98208
EIEDMONDS
0 BRIER ..
ff the Town of Woodway
DISTR - T
Phone (425) 551-1200
E]WOODWAY
[1 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION& SHIFF)
LOCATION: 15 15 Walnut Street
366
17 D
I
BUSINESS NAME: Seawynds Condos
PHONE:
SCHEDULED
DATE DUE 1' 018/01/12
MAILING 515 Walnut St #3
LIFIR 11, 422 3203
ADDRESS: Edmonds
98020
BUSINESS OWNER: Ronnie Quaaley #3
HOME PHONE: 4257749591
ACTIVE
EMERGENCY-1: Francine Cohen
HOME PHONE: 4256737320
CURRENT
KEY ACCESS-2:
HOME PHONE: -
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: ly"4j'� 'q
FIRE
FE45
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
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 -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
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
\1 LETTER NEEDED [-] YES El NO
I LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
. Serving Briet; Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH C 0.
Mountlake Terraceand
FIRE
flaro'�
Everett, WA 98208
-B-EDMONDS
0 BRIER,
the Town of Woodway
S T I' IT
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
. www.FireDistrictl.org
Fax (425) 551-1272
El UNINCORPORATED
LOCATION: 515 Walnut Street
FREQUENCY I
366
STATION & SHIF`�
17 C
BUSINESS NAME: Seawynds Condos
PHONE:
SCHEDULED
DATE DUE 1' 10
MAILING 515 Walnut St #3
LIFIR 1, 422 8203
ADDRESS: Edmonds
98020
BUSINESS OWNER: Ronnie Quaaley #3
HOME PHONE: 4257749591
ACTIVE
EMERGENCY-1: Francine Cohen
HOME PHONE: 4256737320
KEY ACCESS-2:
HOME PHONE:
FCURRENT
CITY YES NO
BUSINESS El El
LICENSE
PERSON CONTACTED:
INITIAL INSRECTION
DATE
NAME OF INSPECTOR:
FIRE
FE & I_p
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COM ICATIONS
C'
2
2
3
3
4
4
5
5
A
6
6
-17
7
r
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
\.or
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
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [:] YES No
LETTER NEEDED E] YES [1] NO
8
FIRE DEPARTMENT COPY
, 'Z�ry
CITY OF EDMONDS
121 51H AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION:
515 Walnut Street
13USINESS NAME:
Seawynds Condos PHONE:
MAILING
15 15 Walnut St #3
FIRE PREVENTION
SAFETY SURVEY
ADDRESS: Edmonds 98020
BUSINESS OWNER: Ronnie Quaaley #3 HOMEPHONE: 4257749591
EMERGENCY-1: Francine Cohen HOME PHONE: 4256737320
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION & SHIFT"
366
17 6
SCHEDULED
DATE DUE I� 08/01/10
.UFIR P� 422
8203
ACTIVE
e- INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: AIAVAX&
FIRE FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
3
4
4
5
5
6
6
7
7
8
8
'Ist RE -INSPECTION
DATE DUE-
2nd RE -INSPECTION
E 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
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
8
\1 LETTER NEEDED 0 YES NO
LETTER NEEDED [] YES NO
1
FIRE DEPARTMENT COPY
f
Binder No.
NAME AND ADDRESS OF AGENCY
CITY INSU . RANCE CENTER, INC.
North Pacific Ins Co
Effectivi 2 0 1 a m 10-8-90 119
743 NORTH 35TH STREET
SEATTLE, WASHINGTON 98103
Expires - [;0 12:01 am Noorl — 119
El This binder is issued to extend coverage in the above named
company per expiring policy #
(except as noted belo.)
Description of Operation/Vehicles/ Property
NAME AND MAILING ADDRESS OF INSURED
515 Walnut Condominium I)n*t Owners'
Four unit condominium
Association
located at:
c/o Patrick Arnim
515 Walnut
221 3rd Ave South #8
Edmonds, Washington
Edmonds.. 8020
Type and Location of Property
Coverage/ Peri Is/ Forms
Amt of Insurance
Ded
Coins.
Frame, four unit condominium
Business owners package
P
R
owner occupied
special form, incid replacem
nt
0
located as indicated above
cost of building ...........
$300,000
250
90
P
E
R
T
y
Type of Insurance
Coverage/Forms
of Liability
—Limits
Each Occurrence
Aggregate
L
I
��XScheduled Form El Comprehensive Form
Bodily Injury
$
A
B
17�. Premises/Operat ions
I
Products/Completed Operations
i Property Damage
L
I
Contractual
JBodily injury
T
y
F1 Other (specify below)
L>_Z'Med.
Property Damage
I Combined
1 1 000, 0001 1,000,000
$
Pay. Pe� Per
1
Personal Injury Pe,son Accident
1:1 A El B L] c
I Personal Injury
Limits of Liability
A 1
U
Liability J i Ncin-owned F Hired
Bodily Injury P-rson)
t-)dily
T
0
Comprehensive -Deductible 3
lnjuryfil_ar�i Accid,�nt�
M
Collision-D,d,ctibl,
0
L-i Medical Payments
Property Damage $
Uninsured Motorist S
L
E
No Fault (specif��-
60c,!iv lnjUry S. Prope,,ty Darnage
Other (specity):
Combined
WORKERS Limit-,
Lf —1, L
SPECIAL COND:TIONSIOTHER COVERAGES
Additional Insureds, as Their Interest
May Appear: Patrick R. and Carol" L. Arnim and
Woody R. Wells and Carol Wells.
Premium: $938.00
NA;oE 4r,,D ADL)r1F, r F
Family Savings and Loan Association LOANNUIII��B�R
Its Successors and/or Assigns
1109 N205th
Seattle, Wa 98133
�7?k
ACORD 75 (11177-c)
Wim; 1o1V4
Wave