21110 76TH AVE W (2)A
'.-FIRE PREVENTION
ServingBrier, Edmonds, and .12425 Meridian Ave S INSPECTION REPORT
SNO'HOM19H-Z-0, 'j.." OEDMONDS
Mwintlake Terrace Everett, WA 98208 0 BRIER
FI Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
T www.FireDistrictl.org Fax (425) 551-1272
21110 76 th Avenue W Suite B 98026
LOCATION:
Spa Ten20
BUSINESS NAME:
PHONE:
MAILING 21110 76th Avenue W, Suite B, Edmonds, WA 98026
ADDRESS:
Nguyen, GNiDC-Dung
BUSINESS OWNER: HOME PHONE:
4256729100
EMERGENCY-1: Dung, Tran HOME PHONE. 2067219850
' 16
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
Ja'�-A
FREJUENCY
20 7
STAT11��A SHIFT
1
SCHEDULED
Apr 2017
DATE DUE �
559206
UFIR
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
Y — z el— /
'b. '.rs
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
e FREQUENCY
& SHIFT
LOCATION:
7STATION
.21110 76 th Avenue W 98026
Ann al
16. Q
BUSINESS NAME:
PHONE:
SCHEDULED
Romeo's Restaurant Pizzeria
4257717955
DATE DUE I' Apr 2016
MAILING
UFIR 0
1.61 206
ADDRESS:
21110 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Trina
EMERGENCY-1:
HOME PHONE:
'CURRENT
KEY ACCESS-2:
Milos Island
HOME PHONE:
4257717955
CITY YES NO
EMAIL:
BUSINESS
M
[:]
LICENSE
V-Vi
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
FE 6/14 HD 7/14
YMAbAVd9f4bvAf&V0CATIONS / COMMUNICATIONS
L
24
3
.3
4
4
----------
. ......
5
6__
6
7
7
'.-ep
I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INS PECTION
EXTENSION
FINITNE-INSPECTION
VIOLATIONS
2ATE DU�.*
RAT�.RIJE
GRANTEDTO:
DATE DUE-
CITED:
PERSON
fONTACTED
PERSON
CONTACTED:
PERSON
CONTACTED:
------
LNSPECTOR,._ Ujilis7w
INSPECTOR:
2
— — - ------
_LNSPECTOR.
DATE:
DATE:
DATE,
3
VIOLATIO NS
1 L'4
VIO IONS,'-.,
PRE-CITATI ON
4
LETTER SENT
NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
DISPOSITION:
7
4
8
4
8
I
DATE:
\,,LETTER NE EDED [] YES NO
LETTER NEEDED [] YES NO
1
8
�erying Briet; Edmonds, and
SNOHOMISH CO.
ountlak Ter.race
I t�l
-FIRE.
DISTRTwww.FireDistrictl.org
LOCATION: 211 ID 76 th AwtiueW W-M
BUSINESS NAME: ja
'MAILING - - 1
ADDRESS:, 211 lf) 7fidi Awrium W I7_drmncb,- WX =E
BUSINESS OWNER: Trit'169
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4ZTf'170X
HOME PHONE:
FIRE PREV ENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
" FREQUENCY I STATION 8, SHIFT
Arliml 16-B
SCH"uL
DATE DUEWpr 2014
UFIA41 20b
EMERGENCY-1: Miky,,Obbfid HOME PHONE: -4ZT7173&r-, CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
EMAIL: LIQENSE VLE],
PERSON CONTACTED: -7/1 INITIAL INSPECTION DATE
NAME OF INSPECTOR:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 A tJMLA4rC !rjift-
&--r LA ;ra
e��L
1
2 'A'ej ti k,&"A L L462f� 0) V Aes
_s� t) c if _g
2 1(,o
3 ?zep vi toe 2A
Ing(, 4��//J6
C,& 5L6�;;e 1,
3
4
4
5
14
5
6
6
7
ba
7
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
CONTACTED-.Si,-145
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTO2�,-Ja
INSPECTOR:---
INSPECTOR:
2
DATE:
DATE:
DATE:
CITATION ISSUI
=VIOLxfiONS
VIOLATIONS
PRE -CITATION
1 0- 5
1 15
LETTER SENT
NUMBER:
CODE-
SECTION:
m CL m 0 -1
(D
2
6
2
6
DATE:
RETURN RECEIPT
3 a)
7
3
7
RECEIVED
DISPOSITION:
:3
5.
4
8
4
8
DATE�
0 cl
LETTERNEEDED YES N
LETTER NEEDED YES NO
FIRE DEPARTMENT COPY
I -r
Ser-Ong Briet: Edinonds
OMISH CO.
Mountlake Terraceand
,�eq
)4,
FIRE` Y;h;'e,tbwn of Woodway
DIST6 T www.FireDistric*tl.org
LOCATION: 21110 76th A*'venue
BUSINESS NAME: Romeo's Restaurant Pizzeria
MAILING 21110 76th Ave W
NA
12425 Meridian Ave-S
Everett, WA 98208.,
Phone (425) 551-1200,1,
Fax (425) 551-1272
PHONE: 4257717955
muurimao: Edmonds 98026
BUSINESS OWNER: Milos Island HOME PHONE: 4257717955
EMERGENCY-1: Jene (Mgr) HOMEPHONE: 4253384615
KEY ACCESS-2: Santopolo, Trina HOMEPHONE: 20652506490
i x [ A
PERSON CONTACTED: /A
NAME OF INSPECTOR:
FIRE HD 5/09
SYSTEMS:
FIRE PREVENTI�,,
INSPECTION REPL,
-E?DMONDS
BRIER
EIWOODWAY
[I MOUNTLAKE TERRACE.
[I UNINCORPORATED
DUENCY STATION & SHFT_"�
65 16 A
ULED
WE 0 04/01,113
161 4206
ACTIVE .35
CURRENT
CITY YES NO
BUSINESS \2
LICENSE
INITIAL INSPECTION DATE
CIIIS11-3
FE
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
10
2 Aff
17aA
dell
41Z 6�w
42M
A/
2 'Af-7
3 4QdA-L 1500el-Ity
k5<y7-
7
3
4-
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYSKX&L,_/�?/r,�,_/,":�'!
1st RE -INSPECTION
DATE DUE'
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE-INSkChON
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPE TOR�
INSPECTOR:
INSPECTOR:
2
ATE:
D L/2-/5
DATE. �941_22
�b /I
DATE:
3
VIOLATIONS
5
VIOLATIONS
15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2 iJg-
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETUR�,RkEIPT
RECEIVED
6
4
4
.8
DATE:
DISPOSITION:
7
LETTERNEEDED YES P10
LETTERNEEDED [] IES fNO
C FIAE DEPARTMENT COPY
j; 0:
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 12, 2012
Please verify and correct the following information:
Name of Company (DBA):
Romeo's Restaurant Pizzeria
Edmonds Location
21110 76th Avenue W #A
In conformity with the
terms -of the nternational
Fire Code, application is
hereby made to store, use
Places of Assembly - Occupant Load: 85
or maintain the following
activity, storage or pro-
cesses:
c/o Farros Corporation
Mailing Address:
21110 76th Ave. W. #A
Edmonds, WA 98026
EFD UFIR #:
1610850413206
(for office use)
Your Signature
Your Name (print)
F r � ra�
Your Title
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 1h Avenue North
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Check# 4o
FIRE PREVENTION
CITY OF EDMONDS SA.FETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 7711-021�
FIRE DEPARTMENT
FREQUENCY STATION & SHIFT
LOCATION: 21110 76th Avenue w 365 16 C
BUSINESS NAME: Romeds Restaurant Pizzeria PHONE: 4257717955 SCHEDULED
DATE DUE 1� 04/01/11
MAILING 21110 76th Ave W UFIR 161 4206
ADDRESS: Edmonds 98026
B USINESS OWNER: Milos Island HOME PHONE: 4257717955 ACTIVE 85
4253384616
EMERGENCY�',1: — Jene (Mgr�) HOME PHONE:
KEY ACCESS-2: Rantop9lo, Trina HOME PHONE: 2062506490
INITIAL INSPECTION DATE
PERSON CONTACTED: 11 //
NAME OF INSPECTOR: q11
FIRE HD 5 FEZ_l 0
119 19 _L
P-;� ANNUAL
SYSTEMS: -7 c 7
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 IA�
ENTER CODE ONLY ONCE 10
VIOLATION CODE
'j.
"'A
2
2
3
3,
4
4
5
5
61
6
7
7
8
8
11st 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
CfTATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
8
\. LETTER NEEDED [] YES El NO
LETTER NEEDED [:) YES E] NO
FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
JfAPR2 pAID
EDMONDS FIRE DEPT.
Name of Company; DBA
Romeo's Restaurant Pizzeria
Edmonds Location
21110 76th Avenue
In conformity with the terms of
Places of Assembly - Occupant Load: 85
the International Fire Code,
application is hereby made to
--store,use-or-maintain the----.
following activity, storage or
processes:
Mailing Address:
Farres Gerrpem.Oe- L� L-C-
21110 76th Ave. W. #A
Edmonds WA 98026
EFD LIFIR #:
116108504113206
(for office use)
Your Signature
Your Name (print)
Ty- i n , Lz ak-as
Your Title
Please make corrections, attach $40 payable to the City of Edmonds, and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North
Edmonds, WA 98020
0
8
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 1611-085-0413-206 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I
This PERMIT is issued to: I Romeo's Restaurant Pizzeria
I located at: 121110 76th Avenue W I Edmonds, WA
FTo engage in the business, occupation or process of:
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: 85
I Allowed Occupant Load: 1 85 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.
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
OF EDMONDS
CITY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t k' 189
LOCATION: 21110 76th Avenue
BUSINESS NAME: Romeo's Restaurant Pizzeria
MAILING 21110 76th Ave W
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257717955
MUUMMOO: Edmonds 98026
BUSINESS OWNER: Milos Island HOMEPHONE: 4257717955
EMERGENCY-1: Jene (Mgr) HOMEPHONE: 4253384615
KEY ACCESS-2: Santopolo, Trina HOMEPHONE: 2062506490
FREQUENCY
STATION 1, SHIFT"
365
16 13
SCHEDULED
DATE DUE 10 04/01/10
UFIR lo 161
4206
ACTIVE - 85
PERSON CONTACTED: INITIAL INS ECTION DATE
NAME OF INSPECTOR: 4519 2-
FIRE HD 5/09'UL 300 FE I
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
A
ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E 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
5
VIOLATIONS
1 5
PRE -CITATION
TTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
\ LETTER NEEDED 0 YES C] NO
LETTER NEEDED 0 YES NO
_T8
FIRE DEPARTMENT COPY