551 MAPLE STSNOROWISH CO.
FIRE_-�
IDISTE
FIRE PREVENTION
INSPEC TION REPORT
,61EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREOUENCY STATION & SHIFF'�
LOCATION:
551 Maple,Street 98020. Aaimis' q:7 9
t' BUSINESS NAME: PHONE: SCHEDULED
x1. 1st Church Of Christ Scientist 4257784007 DATE DUE I` Aw-9 29 16
MAILING FIR 0
ADDRESS: 152
1 551 Maple Street, Edmonds, WA 98020
BUSINESS OWNER� HOME PHONE:
7-
Y_ HOME PHONE:
EMERGENC 16 lelJ *�"Z /)")qj CURRENT
KEY A CCESS-2:' HOMEPHONE: CITY'
M BUSINESS
EMAIL: . LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
1)a#AkaBEFtc99DAaedocATiONS COMMUNICATIONS
2 2
3 . ...... . ..........
4 4
5 5
6� J -6
7
-4AGREE TO.CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
v�
I st REANSPECTION 2nd RE -INSPECTION
EXTENSION FINAL RE -INSPECTION VIOLATIONS-
DATE'DUE. DATE DUE: GRANTEDTO: DATE DUE: CITED:
PERSON PERSON ERSON
CONTACTED: CONTACTED: r1p. ONTACTED:
INSPECTOR: INSPECTOR: 2
INSPECTOR:
DATE: DATE: 31
DATE:
VIOLATIONS VIOLATIONS' PRE -CITATION CITATIOWISiS
15 15 LETTER SENT NUMBER: 4
t
CODE 5
2 16 2 DATE: SECTION:
J�
RETURN RECEIPT
3 RE EIVED
4 18 4 DATE: 7
t8 DISPOSITION:
LETTER NEEDED YES NO LETTERNEEDED YES b'NO
Serving Brier, Edt�onds, and
Mountlake Terrace-
www.FireDistricil.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1260
Fax (425).551-1272
SNOHOMIT -I I Co Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
V'�
F1 E Phone (425) 551-1200
R T www.FireDistrictl.org Fax (425) 551-1272
Street 98020
LOC ON: 4t, VMS r4 GF �P�41r
S Churkg*�hrist Scientist 4257784007
BUSINESS NAME: PHONE:
MAILING 551 Maple Street, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER:
EMERGENCY-1: Dimmick, Clyde
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: CI'70 Z_
115y".) 1 trvill):
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
2
3
4
HOME PHONE:
HOME PHONE:
17
HOME PHONE:
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
FIRE PREVENTION
INSPECTION REPORT
,/WDMONDS
0BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
e' Fffiff NCY STA)IgNd SHIFT
SCHEDULED Ma� 2017
DATE DUE �
131 2 3
�UFIR � I
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
0,4-2-q - 1 -1
I
2
3
4
5
-11 .1 1 6 -'-- ''
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 violatio
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720,
Mountlake Terrace or Brier, call (425) 744-6231.
I APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
First Church of Christ Scientist
Name of Company (DBA): I -
Edmonds Location: I OU I IVIOW"
In conformity with the
terms of the International
Fire Code, application is
hereby made to store, use Places of Assembly occupant Load: 110,0
or maintain the following
activity, storage or pro-
cesses:
Mailing Address:
FEFD UFIR #:
(for office use)
Your Signature
551 Maple St.
Edmonds, WA 98020
1311110005C203
!Your Name (Print) /A, eg
f
Your Title Ce, g (q /<
Please make corrections, attach $40 payable to the City of Edmon ds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
:Re c'd 7"6
'5
Check# 2-5-V15
I
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011 gffMjA R 1 6 p
-" -"_�j
LEDUZRT
,S
Please verify and correct the following information: DS 1--frn"E DEPT.
Name of Company; DBA
i
First Church Of Christ Scientist
Edmonds Location
551 Maple Street
In conformity with the terms of
Places of Assembly - Occupant Load: 100
the International Fire Code,
application is hereby made to
store, use: or maintain the
fqllowing activity, storage or
processes:
Mailing Address:
551 Maple St.
Edmonds WA 98020
EFD UFIR #:
13110005C203
(for office use)
Your Signature
Your Name (print)
t,- /
AtO 1.-C—
Your Titie
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121 _5th Avenue North
Edmonds, WA 98020
I
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 131-100-05C-203 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I First Church Of Christ Scientist . . I
I located at: 1551 Maple Street I Edmonds, WA I
I To engage in the business, occupation or pr cess of: T
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or to install equipment used in
connection with such activities as follows:
Places of Assembly - Occupant Load: 100
I Allowed Occupant Load: 1 100 1
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
This permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit. ,
Firq)MarshaI,j k
Debbrtment of Fire Prevention
This Permit Must Be Posted At All Times in The Premises Identified Above.
City of Edmonds Community Development Code 19.25.020
V - .
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
LOCATION:' 551 Maple Street
BUSINESS NAME: 1st Church Of Christ Scientist
MAILING 551 Maple St
FIRE PREVENTION,
SAFETY SURVEY
PHONE: 4257784007
ADDRESS:
Edmonds 98020
BUSINESS OWNER: Dimmick, Clyde HOMEPHONE: 4257787672
EMERGENCY-1: HOME PHONE: 77,1 !V? Y'
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION& SHIFT
365
17 A
SCHEDULED
DATE DUE 11-
05/01/10
i
-
UFIR lo 131
5 20
OCC LOAD 1(1()
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: A1A,1.J,<,ee /1VV/41
FIRE FE
SYSTEMS: ANNUAL
HAZARDS FOUNQ AND LOCATIONS COMMUNICATIONS
Alle
ENTER CODE ONLY ONCE 0'
VIOLATION CODE
2
2
3
4
5
6
7
13
8.__
1,,.t RE -INSPECTION
DPTE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
IIN13PILCTOR:
INSPECTOR:
INSPECTOR:
2
DITE
DATE
DATE
3
VIOLATIONS
5
VIOLATIONS
1
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
-5
6
DATE:
CODE
SECTION:
5
7
3
7
RETURN RECEIPT
RECEIVED
6
7-
4
18
4
a
DATE:
DISPOSITION:
8
k,_LETTER NEEDED 0 YES NO-
LETTER NEEDED 0 YES NO
FIRE DEPARTMENT COPY