22130 HWY 997
ZZ130 3fk WA FIRE PREVENtION
Servitigbi ict, 1!1-2011ds, and 124 3 25 Meridian Alve S INSPECTI ON REPORT
&DMONDS
Moiintlake Terrace Everett, WA 98208 0 BRIER
Phom (425) 551 -1200 [1 MOUNTLAKE TERRACE,
UNINCORPORATED
www.FireDistrict].org Fax (425) 551-1272 1
221
LOCATION: 30 Highway 99 98026
e' FREQUENCY
2017
I *STATION &.SHIFT
20-B
BUSINESS NAME: Doug's Lynn Mazda Sales
4257743551
SCHEDULED Feb 2017
PHONE:
DATE DUE
574
MAILING
ADDRESS: 22130 Highway 99, Edmonds, WA 98026
UFIR 0
BUSINESS OWNER: Ikegami, Douglas
HOME PHONE:
EMERGENCY-1: Adzam, Inc
HOME PHONE: jAZ.4;,53,D (,(30
CURRENT
KEYACCESS-2: -Iota kv-vU�41
HOME PHONE:
CITY YES NO
EMAIL:
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INITIAL INSPE 0 N DATE
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FIRE SYSTEMS: FEJ � 1-7
Date Last Serviced:
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FIRE -PREVENTION
INSPECTION REPORT
Serving Brier, E&onds, and 12425 Meridian Ave S
SN(XiONTISH CO. I I I EDMOND;
Mo
MI 'I' untlake Terrq:ce Everett, WA 98208 IBRIER
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IFIRE 0 MOUNTLAKE TERRACE
Phone (425) 551-1200 0 UNINCORPORATED
DIST www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY STY&�&SHIFT'�
LOCATION: 22130 Highway 99 . DETL 98026 2017
BUSINESS NAME: Doug's Lynn Mazda Detail PHONE: 4257758651 SCHEDULED Feb 2017
DATE DUE I`
578
MAILING UFIR I,
ADDRESS:22130 Highway 99, Edmonds, WA 98026 \1 . J
BUSINESS OWNER: lkegami Douglas HOME PHONE:
EMERGENCY-1: -10t-N V-VA 04 1 HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
AEMAIL: BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON�PNTACTED:
KIARAC nC 1K1C2DCrTr)0
FIRE SYSTEMS: FE 1434--1/17
bate Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30
1st RE -INSPECTION
2nd RE -INSPECTION
DATE DUE:
DATE DUE:
PERSON
PERSON
CONTACTED-
CONTACTED-
INSPECTOR-
INSPECTOR -
DATE:
DATE,
VIOLATIONS
VIOLATIONS
1 �5
5
2 6
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3_ 7
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LETTER NEEDED [] YES NO
LETTER NEEDED E] YES NO
1 44- U7
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3
DATE'
CITATION ISSUED
PRE -CITATION
4
LETTER SENT NUMBER,
CODE
DATE SECTION:
RETURN RECEIPT
RECEIVED 6
DISPOSITION
7
DAT E
SNOHOMISH CO. Serving Briei; Ednionds, and 12425 MeridianAve S
Mountlake Terrace Everett, WA 98208
FIR Phone (425) 551-1200
". I) I S T R, f�,T mwwFireDistrictl.oig Fax (425) 551-1272
LOCATION: 22130 Highway 99 98026
BUSINESS NAME: Doug's Lynn Mazzda Sales PHONE: 425774355'
MAILING
ADDRESS: 221300 Highwdy 99, Edmonds, WA 98026,
BUSINESS OWNER: lkeqami, Douplas HOME PHONE:
EMERGENCY-1: Adzam,Inc HOME PHONE:
KEY ACCESS-2: HOME PHONE:
EMAIL:,, (�� CkVd 5 Cj
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: F E
FIRE PREVENTION
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0 EDMONDS
El BRIER
El MOUNTLAKE TERRACE
[:1 UNINCORPORATED
FREQUENCY STATION & SHIF'**'
Annual 20-C
SCHEDULED Feb 2014
DATE DUE
UFIRV, 4
CURRENT
CITY ' ' YES NO
BUSINESS
LICENSE
INITIAL INSPECTION --DATE
T—
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
3
...... ... . ....
..
2
3
4
4
5
5
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
D E DUE*
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED -
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR
2
DATE:
DAft-,
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1
2 -
3
-5
6
7
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
'2
6
D�TE:
CODE
SECTION:
5
3
4
7
18
RETURN RECEIPT
RECEIVED
6
4
8
DATE:
DISPOSITION:
LETTER NEEDED [-] YES El No
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edinonds
12425 Meridian �ve S
INSPECTION REPORT
SNOHOMISH CO.
kou'n'ilake *T�rr a* c*e, and
'FIRE
�v'e'rett,' WA 98208
OEDMONDS
0 BRIER
t 10*1' e Town of Woodway
DISTR*47
T
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
wt`ww.FireDistrict1.org
N Fax (425) 551-1272
[] UNINCORPORATED
22130 Highway 99
FREQUENCY
365
3
I STA28N &
LOCATION:
BUSINESS NAME: Doug!s Lynn Mazda Sales
PHONE: 4257743551
SCHEDULED (]Z/()1/12
DATE DUE 1'
MAILING 22130 Highway 99
LIFIR 0 574 2107
ADDRESS: Edmonds
98026
BUSINESS OWNER: Adzam, Inc
HOME PHONE:
ACTIVE
EMERGENCY-1: Ikegami, F Douglas
HOME PHONE- 4257784304
KEY ACCESS-2: -A
HOME PHONE -425766-3(MO
rCURRENT
CITY YES NO
q�.5-_ S30
BUSINESS -,M
0
LICENSE
PERSON CONTACTED: J()t,4
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
\0
FIRE
F I=
SYSTEMS:
ANNUAL
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
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
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
14
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES El NO
LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
Doug's Lynnwood Mazda
Edmonds Location :
22130 Highway 99
In conformity with the
terms of the -International
Fire Code, application is
Storage and handling of class 1,11 and III flammable
hereby made to store, use
and/or combustible liquids, repair garage, and welding
or maintain the following
operation.
activity, storage or pro-
cesses:
Mailing Address:
22130 Hwy 99
Edmonds, WA 98026
EFD UFIR #:
(for office use)
57400002BI07
Your Signature
Your Name (print)
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
FOR OFFICE USE ONLY
Rec'd -?- (-L- t (Z
Check# ZAZ5�
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
March 7, 2011
Please verify and correct the following information:
Name of Company; DBA
Doug's Lynnwood Mazda
Edmonds Location
22130 Highway 99
In conformity with the terms of
Storage and handling of class 1,11 and III flammable and/or
the International Fire Code,
combustible liquids, repair garage, and welding operation.
application is hereby made to
store, use or maintain the
following activity, storage or
processes:
Mailing Address:
22130 Hwy 99
1
Edmonds WA 98026
EFD LIFIR #:
57400002B107
(for office use)
Your Signature
Your Name (print)
Your Title
nZ
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
i
CITY OF EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
January 1, 2011 574-000-0213-107 December 31, 2011
Date of Issue UFIR Number Date of Expiration
This PERMIT is issued to: I Doug's Lynnwood Mazda
located at: 122130 Highway 99 Edmonds, WA
To engage in the business, occupation or pr cess 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:
Storage and handling of class 1,11 and III flammable and/or combustible liquids, repair
garage, and welding operation.
I Allowed Occupant Load: I --
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
..... .. ....
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 22130 Highway 99
BUSINESS NAME: Doug's Lynn Mazda Sales
MAILING 22130 Highway 99
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257743551
ADDRESS: Edmonds 98026
BUSINESS OWNER: Adzam, Inc HOME PHONE:
EMERGENCY-1: Ikegami, F Douglas HOME PHONE: 4257784304
KEY ACCESS-2: Astengo, Paul HOMEPHONE: 4257663000
FREQUENCY STATION 1, SHIFT
365 20 D
SCHEDULED
DATEDUE 0'
UFIR lo 574 2107
ACTIVE
PERSON CONTACTED: 7�y t^^-, INITIAL INSPECTION DATE
4,
NAME OF INSPECTOR:
FIRE FE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 11�
VIOLATION CODE
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Ist RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONIACTED
CONTACTED:
CONTACTED:
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VIOLATIONS
PRE -CITATION
CITATION ISSUED
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........ ..... ..... . ....
LETTER SENT
.. ... ... ......
NUMBER:
�6
CODE
2 16
2
-DATE:
SECTION:
11
1 RETURN RECEIPT
RECEIVED
6
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DISPOSITION:
7
4 �8
4 t8
'DATE:
LETTER NEEDED YES NO
. . .............. ....... . .... "'N
LETTER NEEDED : YES
8
FIRE DEPARTMENT COPY
k
4
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE PREVENTION
SAFETY SURVEY
FIRE DEPARTMENT
41 8 t 1 8 9 z
LOCATION: 22130 Highway 99
BUSINESS NAME: Doug's Lynn Mazda Sales PHONE: 4257743551
MAILING 22130 Highway 99
ADDRESS: Edmonds 98026
FREQUENCY
STATION & SHIFT
3��6
20 C
SCHEDULED
DATE DUE I`
LIFIR 11, 574
2107
BUSINESS OWNER:
Adzam, Inc
HOME PHONE:
A(:71VE
EMERGENCY-1:
lkegami, F Douglas
HOME PHONE:
4257784-304
KEY ACCESS-2:
Astengo, Paul
HOME PHONE:
4257663000
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: Q19—:5 S. ii, /Q42,6A141�- C'4JIf-et I-\ 6e I;.
FIRE FECA
STEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS 1 tOMMUNICATIONS ENTER CODE ONLY ONCE I� VIOLATION CODE
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4 4
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1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS
nAE DYE* DATE DUE: GRANTED TO: DATE DUE: CITED:
PERSON PERSON PERSON
CONTACTED: CONTACTED: 1
INSPECTOR: INSPECTOR: INSPECTOR: 2
RATE
DATE. 3
DATE:
,0/<< VO VIOLATIONS CITATION ISSUED
PRE -CITATION
1 5 LETTER SENT NUMBER: 4
CODE
2 2 6 DATE: SECTION: 5
RETURN RECEIPT 6
7 3 7 RECEIVED
DISPOSITION: 7
8 RATE:
LETTER NEEDED f3 YES NO LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY
CITY,OF -EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT,
t 1 S CJ
LOCATION: 22130 Highway 99
BUSINESS NAME: Doug's Lynn Mazda Sales
MAILING 22130 Highway 99,
FIRE PREYENTION
SAFETY SURVEY
PHONE: 4257743551
ADDRESS: Edmonds 98026
BUSINESS OWNER: Adzam, Inc HOME PHONE:
4257784304
EMERGENCY-1: kelguanni, F D00uglas HOME PHONE:
KEY ACCESS-2: Astengo, Paul HOMEPHONE: 4257663000
FREQUENCY I STATION & SHIFT-"*'
365 20 A
SCHEDULED
DATE DUE 0 02/01/03
UFIR P� 574 2107
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION DATE
2
NAME OF INSPECTOR,: 4
FIRE FE / f
SYSTEMS: ANNUAL.
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LETTER SENT
CITATION ISSUED
NUMBER:
4
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2
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DATE:
CODE
SECTION:
3
7
3
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RETURN RECEIPT
RECEIVED
6
7
4
8
4
.8
DATE:
DISPOSITION:
8
LETTER NEED D [] YES [] No
[LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY