23616 79TH AVE W: SNOHOMISH CO.
z 3& .7 1 ()c
Seryqig Brie, ...-nds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
-1272
I T eDistrictl.org Fax (425) 551
LOCATION: 23616 79 th Aven ue W IISM6
BUSINESS NAME: La Mirada Conftb PHONE: 42571441261
FIRE PREVENTION
INSPECTION REPORT
EDMONDS
BRIER
MOUNTLAKE TERRACE
UNINCORPORATED
MAILING
LIFIR 4'M"'
ADDRESS:
23filb 701h Avcnuc W, Edmonds, %jVA 0802E
BUSINESS OWNER:
Lyng, Jrim tf HOME PHONE:
EMERGENCY-1:
JanifxWihiun 44 HOME PHONE:
42574412fat
eCURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
S —3
dY
S�s
FE .5
Irl
I q
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
2nd RE-INSPECTION�
FINAL RE -INSPECTION
EXTENSION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
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
7
RECEIVED
6
-3
DISPOSITION:
.4
18
4 18
DATE:
7
LETTER NEEDED C] YES [I NO
fLETTER NEEDED'iE] YES Cl NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briei: Edmonds, and
12425 Meridian Ai,e S
INSPEC - TION REPORT
FIRESNOHOMISH Co.
a :,
Mountlake Terrace
Everett, WA 98208
E3 ED"MOkG
El BRIER -
DISTR
Phone (425) 551-12 00—
0 MOUNTLAKE TERRACE
El UNINCORPORATED
wwwFireDistrictl.org
Fax (425) 551-1272
lr 1
0' FREQUENCY
STATION & SHIFT-**'
LOCATION:
23616 70th Avenue W 98026
AnnuBI
20-8
BUSINESS NAME:
La Mirada rondas
PHONE:
4257441266
SCHEDULED
0 Odt2013
-
DATE DUE
MAILING
LIFIR � 422
ADDRESS:
23616 79th Avenue W, Edmonds, WA 98026
BUSINESS OWNER:
Lyng, Joan #1
HOME PHONE:
EMERGENCY-1:
Janice Wilson #4
HOME PHONE:
4257441260
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY , YES
NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:
FE,<
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
3
2
3
4
4
5
6
5
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
E DUE.
EXTENSION
GRANTEDTO-
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED.
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
P R*E-CITATION
LETTER SENT
CITATION ISSUED
-NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
5
3
3
7
RETURN RECEIPT
RECEIVED
6
.4
8
dNO
4
8
dNO
DATE:
DISPOSITION:
LETTER NEEDED 0 YES 0
LETTER NEEDED E] YES
a
FIRE DEPARTMENT COPY
FIRE PREVENTION
Sei -ving Briei: Edinonds
12425 Mei -idian Ave S
INSPECTION REPORT
SNOHOMISH CO
I
,TIR
Mountlake Terraceand
Everett, WA 98208
0 EDMONDS
0 BRIER
f W
e Town q bodway
Phone (425) 551-1200
E]WOODWAY
DISTR
T
[1 MOUNTLAKE TERRACE
w/ww. FireDistrict]. org
Fax (425) 551-1272
0 UNINCORPORAfED
FREQUENCY
STATION & SHIFT,**)
LOCATION:
23616 79th Avenue
W
365
20 D
I
BUSINESS NAME:
La Mirada Condos
PHONE: 4257441266
SCHEDULED
DATE DUE
MAILING
23616 79th Ave W #4
LIFIR 1, 422 1(006
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Janice Wilson #4
HOME PHONE: 4257441266
ACTIVE
EMERGENCY-1:
"Lyng, Joan #1"
4257759556
HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
FCURRENT
CITY YES NO
BUSINESS
1:1 0
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE
SYSTEMS:
ANNUAL
� "",j
HAZARDS FOUND AND LOCATIOqS / COMMUNICATIONS
V
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.
I
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
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
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES Cl NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
CIVIC CENTER - EDMONDS, WA 98020 - (206) 771-0215 - FAX (206) 771-0208
FIRE DEPARTMENT
, 890 - 199
'14
LAURA M. HALL
MAYOR
7— c7s—
a cicb,-e-s-s q-o
DAT E: June 8, 1995 J_�a �-) ol c e. i�J i
MIRADA 00,r)c)b-
TO: Attn-Joan Lyng
LaMiranda Condominium Alp.
23616-79th Avenue W., #1
Edmonds, WA 98026
SUBJECT: LA MIRANDA CONDORINIUM—
PERSON CONTACTED:
In our continuing effort to promote Fire Safety and Prevention within
the community, your Fire Department conducts regularly scheduled "Fire
Safety Inspections" of all businesses and multi -family occupancies in
the City of Edmonds.
You are to be congratulated on the relative good condition of your oc-
cupancy in regards tolfire safety. Attached 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 City of
Edmonds.
A re -inspection will be conducted after 30 days to confirm that the
listed-item,(s).-have been corrected.
Any overlooked hazard or violation of the fire regulations does not
imply approval of such condition or violation. If you require addi-
tional information or -assistance, please contact this office by call-
ing 771-0215, Ext. 30i, between the hours of 8 a.m. and 5 p.m., Monday
through Friday.
With your cooperation, we can have a safer community through fire pre-
vention.
el
��Westf �11
John'J,
Senior nspector...-'�
Enclosure
RIECIEWED
JUL 06 1995
EDMOND9TIRE DEPT.-
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan