100 2ND AVE S STE 250illl��lll o o z�� A�` s sT-e25 0
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
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Ire LOCATION:
100 2nd Avenue S
BUSINESS NAME:
Russell G. Smith CPA
MAILING
100 2nd Ave S # 250
ADDRESS:
Edmunds
BUSINESS OWNER:
Smith, Russell
EMERGENCY-1:
McClintock, Ean
KEY ACCESS-2:
250
PHONE: 4256735700
98020
HOMEPHONE: 4259710757
HOMEPHONE: 4252326540
HOME PHONE:
FREQUENCY I STATION 8 SHIFT
731 17 D
SCHDATEEDUEE ► 11 /01 /10
UFIR ► 591 1202
ACTIVE
PERSON CONTACTED: INITIAL INSPEC
TION DATE
NAME OF INSPECTOR: T �1�. i � Lo
FIRE FE _I_
STSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE ►
VIOLATION CODE
2
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
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
5SECTION:
3
7
3
7
RETURN RECEIPT
RECEIVED
_
6
4
18
4
8
DATE:
DISPOSITION:
7
6
LETTER NEEDED [ 'YES ❑ NO
LETTER NEEDED ❑ YES NO
FIRE DEPARTMENT COPY
`Westfall, John
From:
Westfall, John
Sent:
Monday, May 19, 2003 10:23 AM
To:
Snook, Mike
Cc:
Smith, Mike
Subject:
TI Harbor Building 100 2nd Av SZ5-�
Mike:
I signed off for Fire but please pickup the installation of a 2A:10B:C FE that I added to your correction notice.
The wall installation does not affect the fire alarm system coverage that is existing.
John
s
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PE 0 'I' ING DIVISION
FROM: FIRE DEPARTMENT DATE .S 6 9 /03.
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
"AM SM
PROJECT
SITE ADDRESS `Do 2 `='� �✓ S _ Z l2.7.Q
PERMIT # 03 040 ADB# DATE INSPECTED S// 9 /0 3
DESCRIPTION OF WORK TO BE INSPECTED % 1 - 2
I
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:'
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date
Sign
ocaprvLdoc.l:temp:bldg:forms 10/O 1