630 5TH AVE S STE 204FIRE PREVENTION
rvii?g Brier, Edinotids, atid 12425 Meridiati A
IN
Se ve S $PECTION REPORT
SNOHO&IIS
effEDMONDS
Moziwlake Te�race Everett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200 0 MOUNTLAKE TERR , ACE
0 UNINCORPORATED
DISTR T www.FireDistrict].org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 630 5 th Avenue S 98020 Annual 17-D
BUSINESS NAME: Edelweiss Condos PHONE: 2065424352, SCHEDULED Nov 2016
DATE DUE
427152
MAILING LIFIR 0
ADDRESS: 630 5th Avenue S, Suite 204, Edmonds,.WA 98020
BUSINESS OWNER: Hammerich, Gregory HOME PHONE:
EMERGENCY- 1: Ham merich, Gregory HOME PHONE: 206300633
CURRENT. NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
EMAIL: LICENSE
PERSON CONTACTED-' INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRESYSTEMS: FA2/16FE10/15 12:00:00 AM SP 10/15
Date Last Serviced: allkf lot 15 -VP-)
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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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: GRANTEDTO:
DATE DUE:
CITED:
PERSON PERSON
PERSON
CONTACTED. CONTACTED CONTACTED
INSPECTOR. INSPECTOR: 2
�ISS.PECTOR
3
DATE: DATE:
DATE:
VI&LATIONS VIOLATIONS CITATION iS§16ED
PRE -CITATION 4
5 5 LETTER SENT NUMBER
2 6 2 6 DATE CODE 5
SECTION
RETURN RECEIPT
7 3 7 RECEIVED 6
DISPOSITION
7
4 8 4 8 DATE
YES -
LETTER NEEDED LETTER NEEDED E] YES [:1 NO
8
411
E;&OHOrVITSH Co.
Serving Brier, Edmonds., and
Mountlake Terrace
wwwFireDistrictLor-a
LOCATION: 630 5 th AV . enue S 98020
BUSINESS NAME: Edelweiss Condos
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
C
FIRE'PREVENTION
INSPECTION REPORT
d(EDMO*NDS
0 BRIER
0 MOUNTLAKE TERRACE
E3 UNINCORPORATED
FREQUENCY STATION & SHIFT
Annual '1,7-C-----TF�1
SCHEDULED
DATE DUE I, Nov 2015
MAILING 152
ADDRESS: 630 5th Avenue S, Suite 204, Edmonds, WA 98020
BUSINESS OWNER: Hammerich, Gregory
HOME PHONE.
EMERGENCY-1:'
Hammerich, Gregory HOME PHONE: 2063006338 CUARENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
EMAIL: BUSINESS
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRESYSTEMS: FA10/1 FE11/1 FDLkBo SP10/12
Date Last Serviced: 7-11(l ito(K �". ov— 1 (011-1
HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
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PHONE: 2065424352
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION FINAL RE -INSPECTION VIOLATIONS
,P,f��E DUE:
DATE DUE:
GRANTEDTO: DATE DUE CITED:
PERSON
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INSPECTOR:
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DATE:
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DATE: 13
VIOLATIONi��7'
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PRE-61TAT'ON i
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DISPOSITION:
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LETTER NEEDED YES 0
LETTERNEEDED YES tj
No
8
SNOHOMISH CO. Serving Brier Edmonds, and
FIREMountlake Terrace
DISTRT www.FireDistrictl.org
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPOR
0 EDMONDS
Everett, WA 98208 0 BRIER
Phone, (425) 551-12.001 0 MOUNTLAKE TERRACE
. . I I . 0 UNINCORPORATED
Fax (425) 551-1.27-2
FREQUENCY I STATION& SHIF")
I LOCATION: 630 Sth A\mriue S Suite 204 98020 AntiLlal 17-A
BUSINESS NAME: EdejWrjE8 jCC)fjdM PHONE: 2065424352 SCHEDULED Nuv2013
DATE DUE
MAILING UFIR 11427
ADDRESS: E30 01 Avuluc S. SuRc 204, Edmonds, WA 08020
BUSINESS OWNER: Haniryietrinh, f-A-i-flnry HOME PHONE:
EMERGENCY-1: H�imrvierif;h, Gre( HOME PHONE: %106300b338 URRENT
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KEY ACCESS-2: HOME PHONE: Ty YES NO
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INITIAL INSPECTION DATE
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO'
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 C] YES NO
LETTER NEEDED [:] YES NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO. ServingBrieP,-Edmon&---. W-2425 Meridian Ave S
Mountlake Terraceand Everett, WA 98208
�TIRE'
DISIm- the Town of Woodway Phone (425) 551-1200
um T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 630 5th Avenue S
BUSINESS NAME: Edetweiss Condos PHONE: 2065424352
MAILING 630 5th Ave S #204
ADDRESS:
Edmonds 98020
BUSINESS OWNER: HOME PHONE: 2063006338
FIRE PREVENTION
INSPECTION REPORT
ElEDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
e FREQUENCY STATION & SHIFT
366 17 C
SCHEDULED
DATE DUE II' "a'/" 1
LIFIR 1,, 427 1152
ACTIVE
EMERGENCY-1: Hammrich, Gregory #204 HOME PHONE: 4256407352 CURRENT
KEY ACCESS-2: Samaras Associates HOME PHONE: 4257715756 CITY YES NO
BUSINESS
LICENSE El 1:1
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: 4y oto
FIRE FA 10/07/SP 2/08[D LkBx' FE 101
SYSTEMS: to ANNUAL
In -LI
HAZARDS FOUND AND LOCATIO�S COMMUNICATIONS
0a "-z_d_4c,
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
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE;
EXTENSION
GRANTED TO,
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED.
PERSON
CONTACTED:
PERSON It
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LE17ER 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 E] YES I-] NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
A
CITY OF EDMONDS
CIVIC CENTER - EDMONDS, WA 98020 - (206) 771-0215 FAX (206) 771-0208
FIRE DEPARTMENT
C. EDMONDS FIRE DEPARTN4ENT
LOCK BOX AUTHORIZATION LETTER
This is to authorize ............... B ... e.t ... t. y
.... 1�i.s.h.e.r.—.N.e.va.r.e.z ............................................. for
the:
BARBARA FAHEY
MAYOR
....... Ed.e.kwe.i.s.s .... C o. n.d.o ........................ at ................ 630-5th Avenue South, #108
.... .. .. .... .. .. . .... .. .. .. ...................................................
(Building Name) (Building Address)
to purchase a Lock Box for Fire Department use for emergency access.
1. AssignedKey
2. Location of Supra Box ..........................................................................................................
Give a brief description of where the Lock Box will be mounted in relation to the main entrance.
The Fire Department recommends that the box be located just to the right of the main door, if possible.
3. Key(s) identification/access to ...............................................................................................
..............................................................................................................................................
Identify each key with a brief description of what the key will unlock. Keep a minimal number
of keys in the box. The Fire Department should have easy access to:
Main Entrance
Electrical Room
Mechanical Room
Sprinkler Room
Alarm Panel
This application is unique in that it is not consistant with Edmonds Fire Department
operation. Key Boxes provide access to restricted access buildings, not individual units.
Because this situation is unique, I cannot guarantee that your key box would be utilized
during an emergency.
Aak"� -;Z, --cm Qa��-
Fire De —pa' ment
Authorized Signature
NOTE:
A copy of this authorization, noting the assigned key number, must be returned to the Edmonds Fire
Department.
kWord'Lockbox 10/22/97rnd
Incorporated August 11, 1890
ter Cities International — Hekinan, Japan