22800 76TH AVE W STE 4 (2)-.7
ZL3 ap-rh 8L)L:. tj aw.6' I
F RE PREVENTION
INSPECTION REPORT
4ServingBrier, Edmonas, and 12425 Meridian Ave S
11 0 EDMONDS
Mozintlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
0 UNINCORPORATED
..www.FireDistrictl.org Fax (425) 551-1272
FREQUENCY I STATION & SHIFT
LOCATION: 22800 76 th Avenue W Suite 4 98026 Annual 20-A
BU SINESS NAME: Vacant PHONE: 2069105135 SCHEDULED Apr 2017.
MAILING
ADDRESS: 22800 76th Avpnue W, Suite 4, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
LIFIR � 841 56
EMERGENCY-11: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: 20 CITY YES NO
BUSINESS F--j
EMAIL: LICENSE L-j 1:1
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR -
FIRE SYSTEMS: FE
Date Last Serviced:
SNO
F
D
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
22800 76 t enue,W Sui 8026
BUSINESS NAME: r otio Suppl. PHONE:
Pr otiona�l Su I* s 2069105135
MAILING 81q_<-4V11_5S OX Iva"
AD . DRESS: 22800 76th Ave W, uite 4, Edrno�, A9E 026
BUSIN ESS OWNER: HOME PHONE:
Ow r
Bowen, ark
EMERGENCY-1- Cl HOME PHONE:
KEY ACCESS-2: wen, Clark., HOME PHONE: 2069105135
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
FIRE PREVENTION
INSPECTION REPORT
IDMONDS
!BRIER
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY - FSTA
:T13N & SHIFT
Annual 20-D
SCHEDULED
DATE DUE � Apr 2016
UFIR 0 841 56
CURRENT
CITY YES NO
BUSINESS M
LICENSE I I F1
INITIAL INSPECTION DATE
R-6
-WMFTD
1 6 00"M&ATIONS/ COMMUNICATIONS
6o'rM A�
2
2
3
—4
5
3
4
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 occ.upancy 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, ball (425) 744-6231.
4-h 1-1 E
FIRE PREVENTION
'CITY, RF EDMONDS SAFETY SURVEY
121 5� AVENUE N. EDMONDS; WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
t
LOCATIOW 22800 76th Ave W #4
BUSINESS NAME: .13tomotional I Supplies PHONE: 2069105135
MAILING 130 Box 5072
ADDRESS: I unnwwnnti qRf1AA
FREQUENCY I STATIONI&SHIFT
20 C
SCHEDULED
DATE DUE 0 04/01111
UFIR 0, 841 4056
BUSINESS OWNER: Bowen, Clark HOMEPHONE: 2069105135 Compressed
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: Ki es 1-7
FIRE FE !
/11 . A14NUZ
SYSTEMS:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE'ONLY ONCE
VIOLATION CODE
C 0 U
M 01—
L 6
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
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
4
18
4
18
DATE:
DISPOSITION:
7
k, LETTER NEEDED [] YES NO
LETTER NEEDED 0 YES NO
FIRE DEPARTMENT COPY
q 0 C)
N 0 T I C E
TO PERMITTEE AND/OR OWNER
PARTIAL APPROVAL
VIOLATION
JZ CORRECTIONS REQUIRED
,o�-Pd 7-0 /�' 1,/,S 7- d6A-?':;7
Apq(00 -T�D Fes J 06A,-6
Permit Number Owner C_&A-jZj< 6,0 jleglV
Job Address '2_7,&o 0 /2 Gt,-- &-44
No PERMIT -STOP WORK -REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY
Lj WITH ALL APPLICABLE CITY CODES.
F-1 CONSTRUCTION Is NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT - STOP WORK.
MAKE WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE.
LjSTOP WORK - UNTIL AUTHORIZED To CONTINUE By CITY INSPECTOR.
71 CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE
NEXT PHASE IS STARTED; To AVOID POSTING OF A STOP WORK ORDER, ORDER To
CORRECT, OR ABATEMENT PROCESS.
LjJOB CARD MUST BE POSTED ON SITE AND BE VISIBLE FROM STREET.
F-1 APPROVED PLANS MUST BE AVAILABLE To INSPECTOR ON SITE.
F-1 WORK DEscRIBED.BELOw HAS BEEN INSPECTED AND Is APPROVED. C)
F-1 CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT.
RECALL FOR INSPECTION.
V/ 29 Cf
3A�_10'_E C300 C-r- st
04- I'ZL11.4 PX PZ,1+-CAZZ-0 Q,0V 90 LL - 0 P 4'20 OR
1 Z5_-n!�'T.j i-- A) 7-76/y A-P t j P-7-tf
ff�A Z7 Lj aer--Q
6 c-
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN
_�LQ DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTIONS CALL474vMM.
'7'7 S-- 7;rz,�9
FABuilding Division Planning Department Lj Engineering Department Fire Department
CITY OF EDMONDS
Al, Id-2-4 Inspector Date