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4 /q FIRE PREVENTION
Serving Brier, Edinonai, and 12425� Meridian Ave.S INSPECTION REPORT
SNOHONAsli Co OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIREPhone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
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www.FireDistrictl.org org
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109 4 th Avenue N 98020
LOCATION:
The Churchkey Pub
BUSINESS NAME: PHONE:
MAILING 109 4th Avenue N, Edmonds, WA 98020
ADDRESS:
Miller, Trevor
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Miller, Amy HOME PHONE: 0
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
Date Last Serviced:
3602028335
CURRENT
CITY YES NO
BUSINESS F--j
LICENSE L—j
INITAINPE10(J DATE
John J. Westfall
From: John J. Westfall
Sent: Monday, November 09, 2015 10:18 AM
To: 'Ibjorback@edmondswa.gov'
Cc: 'cmiller@edmondswa.gov'; Kevin Zweber
Subject: Churchkey Pub 109 4th Ave N
Leif:
I spoke with Trevor Miller about the rooftop assembly area less than 50 with single exit, we had good discussion. We
spoke to covered assembly above, independent heating appliance (natural gas preferred), dumbwaiter shafts and you
apparently had covered passenger elevators.
I told him FD would like him create separate (horizontal) fire area so we could be assured that the two occupant loads,
above and below could remain independent of each other. He had anticipated increasing the 52 below to 70. He did
not balk at the separation, due to the structural work already anticipated for the rooftop occupancy.
John J. Westfall
Deputy Chief -Fire Marshal
Fire Prevention Services
425-771-0213 Desk
425-775-7721 Fax
425-231-3644 Mobile
000
4 CITY OF EDMONDS
BUSINESS LICENSE APPLICATION-- COMMERCIAL
FEE: $125.00
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OFFICE USE ONLY
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SNOHOMISH CO.
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrict].org
LOCATION: 109 4 th Avenue N 98020
BUSINESS NAME: The Churchkey Pub
MAILING
ADDRESS: 109 4th Avenue N, Edmonds, WA 98020
BUSINESS OWNER: Miller, Trevor
EMERGENCY 1 �y-v l`e�
KEY ACCESS-2:P��l
EMAIL:Co✓-�-
PERSON CONTACTED: 40e— p0•G�_
NAME OF INSPECTOR: `t,:X w� 1 , 6
FIRE SYSTEMS: FE/
rlato I act Coniirorl-
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 3602028335
FI PREVENTION
IN ECTION REPORT
EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
Annual 17-D
SCHEDULED
DATE DUE 0 Mar 2016
UFIR 0 514 202
HOME PHONE: ]�_ao.� ?33T
HOME PHONE: "' CURRENT
HOME PHONE: �j(o7<fs �(jgr CITY YES
BUSINESS
LICENSE
INITIAL INSPECTION DATE
I
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
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, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
FIRE PREVENTION
INSPECTION REPORT
SrzoxOMISx CO. Serving Brier, Edmonds 12425 Meridian Ave S ❑ EDMONDS
Mountlake Terrace,and Everett, WA 98208 ❑BRIER
writ Tthe Town of Woodway Phone (425) 551-1200 ❑ WOODWAY
❑ MOUNTLAKE TERRACE
www FireDistrictl.org Fax (425) 551-1272 ❑ UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 109 4th Ave N 365 7 D
BUSINESS NAME: Jack Murphy131 PHONE: 7139387711 7 11 SCHEDULED DATE DUE ► Q&Y/ 01'12
MAILING 109 4th Ave, N UFIR / 514 3202
ADDRESS: Edmonds 98020
BUSINESS OWNER: Taylor, BrianHOME PHONE: 118938771/
EMERGENCY-1: F9'EfEL'f, Louise HOME PHONE: 7/89866750CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
A PERSON CONTACTED: INITIAL INSPECTION DATE
� � ('"-' ,A
NAME OF INSPECTOR:AF
y:
FIRE
SYSTEMS: ANNUAL
HAZARDS �IFOUND AND LOCATIONS / COMMUNICATIONS
2
3
4
5
-_6 . _ _ _
7 7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
7Y 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS
DATE DUE: DATE DUE: GRANTED TO: DATE DUE: I CITED:
PERSON PERSON'
CONTACTED: CONTACTED: PERSON
CONTACTED:
INSPECTOR: INSPECTOR: INSPECTOR: 2
DATE: DATE: DATE: 9
e VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED
5 1 5 LETTER SENT NUMBER: 4
CODE
2 8 2 8 DATE: SECTION:
RETURN RECEIPT
3 7 3 7 RECEIVED 6
DISPOSITION:��
4 8 4 8 DATE: _�® 7
LETTER NEDE ED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY