21317 76TH AVE W (2)-7 7 U+A LJ
10#1111 2131 FIRE PREVENTION
Serving Brier, P-amonds, and 12425 Meridian Ave S INSPECTION REPORT
Ct'. , * , WDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200 0 MOUNTLAKE TERRACE
4orr [I UNINCORPORATED
L-7 JL T www.FireDistrictl.org Fax (425) 551-1272
r FREQUENCY STATION & SHIFT
LOCATION: 21317 76 th Avenue W 98026 Annual 16-A
2069077958 SCHEDULED Oct 2016
BUSINESS NAME: Rose Ridge Condos PHONE: DATE DUE �
MAILING UFIR � 425157
ADDRESS: 21317 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER: Goodnight, Bruce HOME PHONE:
EMERGENCY-1: Goodnight, Bruce HOME PHONE: 2069077958
"CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
EMAIL: LICENSE 1:1 x
I,- INITIAL INSPECTION DATE
PERSON CONTACTED: A171-1
NAME OF INSPECTOR: L-mc-Ze5, _S�,48 Accs/ 4 /-&
FIRE SYSTEMS: FE 12/14
Date Last Serviced: /1//-5-
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 2
3 3
4 4
5 5
6 6
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.
7(.o4 r; L) q
FIREP REVENTION
SNOHOMIS H
ServingBrier, Ednionds, and
12425 Meridian Ave S.
INSPECTION REPORT
Mountlake Terrace
R
Everett, WA 98208
OEDMONDS
0 BRIER
�F
DIS T,�
Phone (425) 551-1200
E3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
WWW.FireDistrictl.org
Fax (425) 551-1272
e FREQUENCY
STATION & SHIFT
LOCATION
21317 76 th Avenue W"9`8026
Annual
16-D
BUSINESS NAME: Rose Ridge Condos
PHONE: 2069077958
SCHEDULED
DATE DUE � Oct 2015
MAILING
LIFIR 0- 425 157
ADDRESS: 21317 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER: Goodnight, Bruce
HOME PHONE:
EMERGENCY-1: Goodnight, Bruce
HOME PHONE: 2069077958
e—CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON.CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: C) V) L A) 0 o
C)
FIRE SYSTEMS: FE 12/1
n.qtp I nQ'f.qpr%iirpri* I �- �/ �a
HAZARDS FOUND AND LOCATIONS/
dOMMUNICATIONS
2
A)�)
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
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
CONTACTED:
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
E:
DATE:
3
VIOLATIONS
VIOLATIONS`-
PRE -CITATION
CITATION ISSUED
5
5
LETTER SENT
NUMBER:
4
2
6
DATE:*
CODE
SECTION:
5
2 6
RETURN RECEIPT
7
RECEIVED
dNO
DISPOSITIOW
4
8
4
DATE:
7
\,,LETTER NEEDED YES [I
LETTER NEEDED El -YES 0 NO
8
FIRE PREVENTION
INSPECTION REPORT
-ving Briei; Wmonds, and I? 2�MeridianAveS_.
Sei -.4
SNOHOMISH CO. OEDMONDS
Mountlake Terrace Everett, WA 98208 El BRIER
IRE 0 MOUNTLAKE TERRACE
DISTR�% Phone (425) 551-1200 [1 UNINCORPORATED
T www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY I STATION 1, SHIFT
LOCATION: 21317 76 th Averme 1JV OW26 Antlual 16-C
2maTirju SCHEDULED a.- L 2014
BUSINESS NAME: I-bsc Rid= Candm PHONE: DATE DUE 1' 1
MAILING UFIR I, 42t) 1�)7
ADDRESS: 213*17 76ffi AwnucW, Edmandii, WA 98-02E
BUSINESS OWNER: (eiridnight, Snint- HOME PHONE:
EMERGENCY-1: Gaadriiqh� Brucc HOME PHONE: 2i3f,1M77X3 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
EMAIL: LICENSE EJ El
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: V-J A -f"(Z- ;- yj C,
�IRESJYSIEMS: FE 12-11'3
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
)p
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
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:
INS-P-EtTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION -
5
3
7
7
RETURN RECEIPT
RECEIVED
L
6
4
18
4
18
,DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [:1 No
LETTER NEEDED [] YES E:1 NO
8
FIRE DEPARTMENT COPY
_4A
e.
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
Everett, WA 98208
EDMONDS
9EBRIER
*4W:FIRE
STRt the Town of Woodway
' Twww.FireDistrictl.o�g
Phone (425) 551-1200
E]WOODWAY
[1 MOUNTLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
0' FREQUENCY
STATION & SHIFF*'�
LOCATION: 21317 76th Avenue
w
365
16 A
BUSINESS NAME: Rose Ridge Condos
PHONE: 2069077958
SCHEDULED
DATE DUE 0 10,101112
MAILING 21317 76th Ave W #
UFIR � 425 1(157
ADDRESS: Edmonds
98020
BUSINESS OWNER: "Goodnight, Bruce"
HOMEPHONE: 2069077958
ACTIVE
EMERGENCY-1: "Goodnight, Brucen
2065174161
HOME PHONE:
_—N
CURRENT
KEY ACCESS-2:
HOME PHONE:
YES NO
CITY
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECT�!Z
1 1OZ12
FIRE
--f E —f—
SYSTEMS:
ANNUAL
on
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4
5
5
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
'DATE:
DATE:
DATE:
3
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
1
13
7
1
RECEIVED
6
DISPOSITION:
7
14
18
'8
LLETTER
DATE,
LETTER NEEDED Ej YES El Nod
NEEDED F] :YES: 0 NO
r�77 -
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Bt , Ednionds
ler
12425 Met -idian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mouiitlake Terrace, and
'FIRE
Everett, WA 98208
0 EDMONDS
0 BRIER
e Town ofW6odway
DISTR T FireDistrict].
Phone (425) 551-1200
E]WOODWAY
[I MOUNTLAKE TERRACE
wtww. org
Fax (425) 551-1272
0 UNINCORPORATED
e FREQUENCY
STATION & SHIFT'*�
LOCATION: 21317 76th Avenue
W
365
16 D
BUSINESS NAME: Rose Ridge C�ondos
PHONE: 2069077958
SCHEDULED
DATE DUE 11, /11
MAILING 21317 76th Ave W #
UFIR 11, 425 1(157
ADDRESS: Edmonds
98020
BUSINESS OWNER: "Goodnight, Bruce"
HOME PHONE: 2069077958
ACTIVE
EMERGENCY-1: 'Goodnight, Bruce"
HOME PHONE: 2065174961
e-CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
E] El
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
ID
10122-111 j
I - FIRE
Ft JZ /J0
9,(STEMS:
ANNUAL
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
lst 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:
DA E:
DATE:,
3
VIOLATIONS
1 5
VIOLATIONS
5
PRE -CITATION
LETTERSENT
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 NO
LETTER NEEDED [] YES NO
r
8
eIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRtIDEPARTMENT
LOCATION: 21317 76th Avenue w
BUSINESS NAME: Rose Ridge Condos
MAILING 21317 76th Ave W #
FIRE PREVENTION
SAFETY SURVEY
PHONE: 2069077953
ADDRESS: Edmonds 98020
BUSINESS OWNER: "Goodnight, Bruce" HOMEPHONE: 2069077958
EMERGENCY-1: uGoodnight, Brucen HOME PHONE: 2065174961
KEY ACCESS-2: HOME PHONE:
" FR SM NCY
I STATT4 & 6IFT
SCHEDULED
DATE DUE k
_10101110
LIFIR 11, 425
1057
ACTIVE
PERSON CONTACTED: MG INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE FE jZ_ 1_05(
SYSTEMS:
J HAZARDS FOUNE
ANNUAL
AND LOCATIONS / COMMUNICATIONS
A
ENTER CODE ONLY ONCE ll�
VIOLATION CODE
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
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
SECTION:
5
3
7
7
RETURN RECEIPT
1 RECOVED
6
7
4
18
4
8
DATE:
DISPOSITION:
8
\ LETTER NEEDED E] YES NO
LETTER NEEDED ] YES E] NO
1
FIRE DEPARTMENT COPY
MEMORANDUM
DA-M I'?--] q / 9 -�
U7
REPORTEDBYP21.tic' [6*r OF
SUBJECT
ADDRESS: 2 1 L"j
CONCERNS/
HAZARDS:
FOLLOW-UP: 'IV
q 70 TO
ct-?03q6
El I
lip, �-r �
M tj
2- k �� 1 7-13 � 5'
I.D.
2
Gw<,pA-e,5-- 4-cc cTf
SIGNED
City of Edmonds Sb Office of Fire Prevention