611 BELL ST (2)FIRE PREVENTION
Serving Brier, Edmonits, urtu
12425 Meridian Ave S-
INSPECTIOWREPORT
IONIISH
R<DMONDS
FIRE
Mountlake Terrace
Everett, WA 98208
0 BRIER
DIOrPLR T
Phone (425) 551-1200
Fax 551-1272
0 MOUNTLAKE TERRACE
[:1 UNINCORPORATED
www.FireDistrictl.org
(425)
Al I Poll -qtrant QAf)9f)
r
FREQUE
rr�.,�fY
_" SHIFT
STAJ19
LOCATION:
0/;
611 Bell St Condos
-42-5Z76eOW
SCHEDULED Jlu�0117
BUSINESS NAME:
PHONE:
DATE DUE �
MAILING 611 Bell Street, Edmonds, WA 98020
2422
LIFIR
ADDRESS:
Allen, Shirley
BUSINESS OWNER:
HOME PHONE:
Allen, Shirley
.4��75�
"CURRENT
EMERGENCY-1:
HOME PHONE:
17
KEY ACCESS-2:
HOME PHONE:
yaj
CITY s NO
BUSINESS
e—f-1
EMAIL:
LICENSE
r—
PERSON CONTACTED: . .
INITIAL INSPECTION DATE
.. ........
NAME OF INSPECTOR: It_
- -
?—/(). -/
FE--7—
Date Last Serviced: r
tQ\
Serving Brier, Edmonds, and 12425 Meridian Ave S
FIRESNOHOMISH CO. Mountla,ke Terrace Everett,. WA 9820'8
Phone (425) 551-1200
DISTRAU A www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY
STATION & SHITT`�
LOCATION:
.611 Bell -Street 98020
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE 0
611 Bell St Condos
4257750390
Jw! 2916
MAILING
UFIR 0
ADDRESS:
422
61.1 Bell Street, Edmonds,.WA 98020
BUSINESS OWNER:
HOME PHONE:
Allen, Shirley
EMERGENCY-1:
HOME PHONE:
"'CURRENT
�EY ACCESS-2: Allen, Shirley
HOME PHONE: 4257750390
CITY
YES NO
EMAIL:
BUSINESS
M
El
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: 21 14,75—.
A
FIRE S'�STEIVIS: FE
D6ftR%"19VMQd0CATIONS COMMUNICATIONS
2
2'
3
3
4
4
.5
5
6
6
7
7
I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT �O DAYS X
I st RE -INSPECTION
2nd RE-INSPECTIOR
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
_�ATE PYE;
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON.
PERSON
CONTACTED:
CON TED:
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
C I TAT I ON- I rS UE -D
3
vmnoNs_
VIOLATIONS-
PRE -CITATION
1
1
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
3
3
7
RECEIVED
6
1111 ITION:
4
8
18
RATE_
7
LETTER NEEDED 0 YES 0 NO
LETTER NEEDED 0 YES [__1 NO
8
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave,��
INSPECTION REPORT
MISH CO.
FIRE
Mountlake Terraceand
Evereti, WA 98208
;REDMONDS
0 BRIER
DIS Rt T
the Town of Woodway
Phone (425) 551-1j00
E]WOODWAY
[I MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STAT ION & SHIFT
LOCATION:
611
Bell Street
365
I 17 D
BUSINESS NAME:
611 Bell St Condos
PHONE:
SCHEDULED
DATE DUE
07/01/13
MAILING
611 Bell St #3
UFIR
422 7203
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
7Mren_,-S- Vie—y
HOME PHONE:
425775iffibi,,,.�-,
EMERGENCY-1:
HOME PHONE:
b6hRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
07)-2- 3
FIRE
t-SYSTEMS:
ANNUAL
H�ZARDS FOUND AND LOCATIONS / COMMUNICATIONS
A
/V 11,H /,6 C-p-0,4�57
!2
2
3
3
4
5
5
6
6
f7
7
I! AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEX DAYS X
lst RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
!DAIEDUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
�PER90N
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPIECTOR:
INSPECTOR:
INSPECTOR:
2
J
DATE:
DATE:
DATE:
3
i
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:.
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED'
6
DISPOSITION:
7
4
18
4
18
DATE:
LETTER NEEDED [] YES NO
LETTERNEEDED [] YES NO
8
FIRE DEPARTMENT COPY
11 (0173&13 *1
Serving Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrict].org
LOCATION:
611 Bell Street
BUSINESS NAME:
611 Bell St Condos
MAILING
611 Bell St #3
ADDRESS:
Edmonds
BUSINESS OWNER:
Allen, Shirley
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED: k, Juq/v -
NAME OF INSPECTOR:
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
98020
HOME PHONE: 4257750390
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
OEDMONIDS
0 BRIER
OWOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY 7STATION & SHIFT-')
365 17 B
SCHEDULED
DATE DUE � 07/01/11
UFIR � 422 7203
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE
ANNUAL
HAZARDS FOUNI) ANQLOCATIONS COMMUNICATIONS
A/ 07
A 1 4,, 4 A
U /V V LJ/V [a//
(-I
2
V
2
Z Zf�
3
"7
3
4
4 JA
4
5
5
n
-
6
VC-J
/141 7T L /-/-t /C-!�
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuning 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 standrads 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
01RE PREVENTION
. -757 6
CITY OF EDMONDS SAFETY SURVEY
121 5� AVENUE N. - EDMONDS WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 611 Bell Street
BUSINESS NAME: 611 Bell St Condos PHONE:
MAILING 611 Bell St #3
ADDRESS: Pri nindc! QRngn
FREQUENCY
STATION& SHIFT
1 365
17 A
SCHEDULED
DATE DUE I�
07/01/10
LIFIR 1� 422
7203
BUSINESS OWNER: Men, Shirley HOMEPHONE:-4257750390 ACTIVE
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED: INITIAL INSPECTI . ON, DATE
NAME OF INSPECTOR: A 2 0, /,/C>
FIRE -F E —I—
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2 A*_0 V
2
3
3
4
.4,
5
5
6
6
7
7
8
8
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
CFIATION ISSUED
NUMBER:
4
2
6
2
6
DATE
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
7
18
4
18
DATE:
DISPOSITION:
8
LETTER NEEDED [] YES C3 NO
LETTER NEEDED [] YES E] NO
FIRE DEPARTMENT COPY
-OIL,
TANK WISE LLC
Tom Wise
Contractor Lic.#TANKWL*008DG
4455 35th Ave. S.W.
Seattle, WA. 98126 King
April 9, 2002,
To Whom It May Concern:
Telephone (206) 937-3995
Fax (206) 932-1007
This letter is in regard to the heating oil tank removal at 614 Bell St. Edmonds, WA.
Upon removal of the heating oil tank a small amount of contaminated soil was created by
a mishandling of the heating oil tank, and a small amount of ground contamination was
found during excavation of the tank. Tank Wise was called to pump out and pick up tank
for cleaning and disposal. Tank Wise pulled three soil samples for a profile for the
removal of the contaminated soils to be deposed at Rinker materials. The samples came
back at 19,000ppm (parts per million) from the stock pile. The second sample came back
at 14,000ppm and was taken 2 feet from the west end of tank 5 feet below surface grade
The third sample was pulled from the same spot as the second sample but at six feet below
surface grade this swnple came back at <50 ppm.
16.44 tons of contaminated soil was taken to Rinker for treatment. Two more soil
samples were pulled from excavated area around the tank hole. These samples were taken
at 60 inches and 66 inches below surface grade. The results came back for both samples
at <50ppm.
The soil samples results came back at less than 50ppm. so no further clean up is required.
The DOE (Dept. of Ecology) recommends a cleanup if it comes back 2000ppm or higher
for Hydrocarbons. Since these samples showed <50ppm the ground is considered clean
and no further cleanup is necessary.
If you have any further question please call (206) 937-3995.
Tom Wise
TANK WISE
FREEDMAN & BRUYA, INC.
ENVIRONWNTAL CBENUSTS
Date of Report: 03/19/02
Date Received: 03/13/02
Project: John Garb
QUALITY ASSURANCE RESULTS FROM THE ANALYSIS OF SOIL SAMPLES
FOR TOTAL PETROLEUM HYDROCARBONS AS DIESEL EXTENDED
USING METHOD NWTPH-Dx
Laboratory Code:
203069-09 (Duplicate)
Relative Percent
Reporting Sample
Duplicate Difference
Analyte
Units Result
Result (Limit 20)
Diesel Extended
n/g (ppm) 480
510 6
Laboratory Code:
203069-09 (Matrix Spike)
.
Percent Percent
Reporting Spike
Sample Recovery Recovery Acceptance RPD
Analyte
Units Level
Result MS MSD Criteria (Limit 20)
Diesel Extended
4g/g (ppm) 500
480 95 60-187 16
Laboratory Code:
Laboratory Oontrol Sample
Percent
Reporting Spike
Recovery. Acceptance
Analyte
Units Level
LCS Criteria
Diesel Extended
n/g (ppm) 500
107 67-140
A�
AM
& BR
th Avenue West
2854an
SAMPLE CHAIN OF CUSTODY
Send Report 714;-��
Company_ e 4�� 5z-.e ntacL-,
Address_ 3
City, State, ZIP— -c--,nn
Phone #-2-Z PAX #
70flIr W A ISO
INTOrMAM ORTWR #
FA
1rTe%11T
'%CLJ,
REMARKS L.1101'%Jl
Dispose after 30 days
13 Return samples
13 Call for Instructions
T)ntp/Timt- Tvne of f Ad IAb Analyses
Ample #
Reguested
M OMM
W6
A �.
Wig g
FORMS/COC
10/2'2/98
FRIEDMAN & BRUYA, INC.
ENVIRONMENTAL CHEMISTS
Date of Report: 04/16/02
Date Received: 04/09/02
Project: 614 Bell St
Date Extracted: 04/10/02
Date Analyzed: 04/10/02
RESULTS FROM THE ANALYSIS OF THE SOIL SAMPLES
FOR TOTAL PETROLEUM HYDROCARBONS AS DIESEL
USING METHOD NWTPH-Dx
Extended to Include Motor Oil Range Compounds
Results Reported on a Dry Weight Basis
Results Reported as �tg/g (ppm)
Surrogate
Sample ID Diesel Extended (% Recovery)
Laboratory ID (CIO-C36) (Limit 45-147)
14' From Propline <50 86
North Wall 66" BSG
204065-01
16'From Propline <50 100
South Wall 60" BSG
204065-02
Method Blank <50 97
1
FREEDMAN & BRUYA, INC.
ENVIRONMENTAL CHEMISTS
Date of Report: 03/19/02
Date Received: 03/13/02
Project: John Garb
Date Extracted: 03/14/02
Date Analyzed: 03/14/02
RESULTS FROM THE ANALYSIS OF THE SOIL SAMPLES
FOR TOTAL PETROLEUM HYDROCARBONS AS DIESEL
USING METHOD NWTPH-Dx
Extended to Include Motor Oil Range Compounds
Results Reported on a Dry Weight Basis
Results Reported as �tg/g (ppm)
Surrogate
Samvle ID Diesel Extended M Recoveryl
Laboratory ID (CIO-C36) (Limit 45-147)
Surface Pile 19,000 ve ip
Grab
203096-01
2'West West End 14,000 ve ip
5'BSG
203096-02
2'West West End <50 89
6'BSG
203096-03
Method Blank <50 89
ve - The value reported exceeded the calibration range established for the analyte. The reported
concentration is an estimate.
ip - Recovery fell outside of normal control limits. Compounds in the sample matrix interfered with the
quantitation of the analyte.
1
3 0 9/0 2 11 I.P VAX 4257458PU2 GARBE IlIVfLLE,.R
AllfiL.
TE RFC13VED PERMIT EXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNEM ?OAXONME OF susitasa
G0 , � , . - --r,
"Ll'NO ADDRESS
-Al'
CITY zip TELEPHONE
ADDRESS
CITY :CIF
TELEPHONE
NAME
AOORESFJ
c n*y ZAP
TELEPHONE
9YATZ LiCENCE NUMWR EXPIRATION DATE
C ECKED BY
C
�,AOPEWIY TAx ACCOUNT P#,AC[L Na
0 NEW HEJ.'DENTIAL 13 PLUMBING i MOCK
ri AU0111UN C OM Ll ERC LAL 13 GC .0 Amp,u,A N,cF EU go ER
[] REMODEL ApARrMp#T 13 SIGN
C3 n E rm it ORADING FENCE
CY06 ( 9 FT)
OTHER
13 DEMOLISH MOfA NK
IGARAGV o RLTTAIMNG WALL
3 CjkwPOP.T FtC--IK6FIY E3 RENEWAL
�rma OF USE. OUSINvae 0
.5,ACTMT'f, EXPLAIN:
NUMSEA
OF
OF
STIVAIES
DWELILING
UNITS
DEFJCFVSE WOR11 TO Of DONE.
P
x
USE PERMIT
NUMBE14
JOB SUrTrrYAFrr#
ADORESS C��—
PLAT NAMEISUBDIVISION NO,
LOT NO.
LID No.
LID I'VE 5
PUBLIC FWGMT OF WAY PER OFFICLAt. STREET MAJI
rairpr ofpfwai
RW PWmA Ampt4d
ftVar. Use p9ml AWA
C-XISTING _ pnopoafiD
Into&=!) ftqukw
ammak Re*mwd
RWU4RF',) 136131C.4TION- FT
I
Undarwama
OWN FGQ
METER B12J
140. OF 71XTUF49S
PAVIREQUIREO
I
I yes No
RaMARKS
OW7,1EWCONTRACTOR RESPONSIBLE FOR EPOSiON CONTROUDROUNAGE
MARS AL
MUST St GENT FOR
iANK HLL. IREMOVA., ?5R CAP
IN31NEIRING REVIEW101DATE
FIRE RIEVIE'WED BY DATE
VARIANCE OR CU
SHOA&WE OR ADB4
INSPECTION
BOND
REQ-0
POSTED
E3 YES C3 NO
SEPA Ame-W
SICIN AREA
ME113HT
-1- EXEMPT
ALLOW110 PROPOSED
AL LOW SO PROPOSED
FXF ,
,
I - --i
LOT COVERAGE
R60ulRFD SEMACYLS (Fl:)
PROPOE-10 SETRACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FIR ONT L�R SIDE HEAR
PARKING
LOT AREA
PLANNING REVIE-410 By OATIE
REOV I PIRMIDED
REMARKS SEE BACK FOR ADDITIONAL COMMENTS
014ECKFO BY Typ
I L
SPECIAL INSPECTOI
REGUIRED [3 y6f,
RE."RKS
OCCUPANT
,,IUP
A TouCVpA14T
ILoA0
IONS PER UBC lall"INAL INSPECTION RkO'D
VALUATION $
0aserlotlon FEE
Plan Check
jjrAr aou%cE
GLA23NG
I
LOT SLOPE 'A
Plumbing
_ __ -
PLAN CHECK NO:
VI!STIO DATE
MuchanIcall
WORK To
Tma Penurr AvTMAUEB ONLY THE WORK NOTM TMIR PERMIT COVUM WORK TO
BE Mit on Is RIVATX pRopgFM ONLY. Ar4y CONMUCTII*N ON THE PUBLIC
DOLWN I;CWK SILWWALKS, ORrIMWAyS. MAROUKIM, 11TIC.) WILL RGOWIFIR
SaPARATIE PERM1661CIN.
dZ
Grading
Engr. Review
PERNIFTAPPLICATION: ISO DAYS
pmuffUMrr. I YVAR - PROVIDFID WORK a &TAMP WITH)" 180 DAYS
SEE BACK Of FlWK PERMIT FOR MORE INFORMATION
Enjif. Inspecdon
0
Recording Fee
CRY Sumlarge
Stuta Surcnarge
F E E
EM 0�
StATNC-
(;i
FiRE DEPARTMENT
TEMPORARY TANK PERMIT APPLICATION
0 HOME HEATING OIL TANK DECOMMISSIONING
EIINERT FILL
0 STRUCTURAL FOAM EISAND
OPOLY URETHANE FOAM 0 SAND SLURRY
OPULL AND REMOVE
OINSTALL TANK
DABOVE GROUND
DUNDER GROUND - HEATING OIL
APPLICATION FOR PERMIT TO CONDUCT PROCESSES WHICH PRODUCE
CONDITIONS HAZARDOUS TO LIFE OR PROPERTY.
Application is hereby made for the fbllowi�g:
Decommission the Residential Heating Oil Tank Located at:
Property Owner's Name (include middle initial):
List Quantity and Size of Containers, (if applicable):
Start Date:
Time: End Date:
Time:
Conditions, Surroundings, and Arrangements are to be in accordance with the
Uniform Fire Code. NOTE: Field Technician shall have Pump and Rinse Certificate
on Site.
Business Name:
Business Address:
Mailing Address:
Type of Business:
Contact Name (print):
Phone:
IFC1 Certification Number: Expiration Date:
Applicant/ Company must have valid IFCI Certificate
Applicant Signature:
Date:
---------------------------------------------------------------------------------------------------------
Fire Department Use Only
Permit No. Permit T�ype: []Temporary Fee: No Charge Exp.:
Approved by:
Date:
City of SeaTac Fire Department - 2929 South 200th Street - SeaTac, Washington 98198
Fire Department: (206) 824-2726 - Fax: (206) 878-1551
City Hall: (206)241-9100-TDD: (206)241-0091
FRIEDMAN & BRUYA, INC.
ENVIRONMENTAL CHEMISTS
Date of Report: 04/16/02
Date Received: 04/09/02
Project: 614 Bell St
QUALITY ASSURANCE RESULTS FROM THE ANALYSIS OF SOIL SAMPLES
FOR TOTAL PETROLEUM HYDROCARBONS AS DIESEL EXTENDED
USING METHOD. NWTPH-Dx
Laboratory Code: 204058-01 (Duplicate)
Relative Percent
Reporting Sample Duplicate Difference
Analyte Units Result Result (Limit 20)
Diesel Extended �Lg/g �ppml/ -.1,000 8,100 1.1
Laboratory Code: 204058-01 (Matrix Spike)
Percent Percent
Reporting Spike Sample Recovery Recovery Acceptance RPD
Analyte Units Level Result MS MSD Criteria (Limit 20)
Diesel Extended n/g (ppm) 500 9,000 b b 60-187 b
Laboratory Code: Laboratory Control Sample
Percent
Reporting Spike Recovery Acceptance
Analyte Units Level LCS Criteria
Diesel Extended n/g (ppm) 500 92 67-140
b - The analyte was spiked at a level that was less than five times that present in the sample. Matrix
spike recoveries may not be meaningful.
0�
7 - 6> L�-/o 6 <s-
SAM PLE CHAIN OF CUSTODY
Send ReportTo--&'
Company he'
Address 47' '-/ 57 5--,_ ? 5-
City, State, ZIP T-ae? 7>-6
7-eP4
Phone # 93 7-3F,95—� Fax #9S;;t, 1007
SAMPLERS (.,
PROJECT NAME/NO.
.6 / �/ *1,-3-e // ". r
REMARKS
P0 #
Page of
TURNAROUND TIME
0 Standard (2 Weeks)
0 RUSH
Rush charges authorized by:
SAMPLE DISPOSAL
5KIiispose after 30 days
0 Return samples
0 Will call with instructions
ANALYSES
RE UESTED
Date
Sampled
Time
Sampled
Friedman & Bruya, Inc.
3012 16th Avenue West
Seattle, IVA 98119-2029
Ph. (206) 285-8282
I,'= (206) 283-5044
F0RMS\CllECKlN\C0C.D0C
SIGNATURE
PRINT NAME
COMPANY
DATE
TIME
Relinq
e7--
db
R�=aar'--
Relinquished by:
Received by: