430 3RD AVE S (2)Serving Brier, Edmonds, and
Mountlake Teri -ace
JLFJLk_2 JL-JMJL%j JL www.FireDistrictl.org
430 3 rd Avenue S 98020
LOCATION:
3rd Ave Condos
BUSINESS NAME:
MAILING POB 58974, Seattle, WA 98138
ADDRESS:
Hall, Gina
BUSINESS OWNER:
EME'RGENCY-1: City Park Condo Assoc
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
-STEMSO E-TTTT57-,—!
. ' . ct� j
Date Last Serviced: Nl"�
FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
,GR'r-DMONDS
Everett, WA 98208 --*'[] BRIER
Phone (425) 551-,1200 0 MOUNTLAKE TERRACE
Fax (425) 551-1272 [1 UNI�CORPORATED
PHONE:
HOME PHONE:
4257751953
HOME PHONE: 17
HOME PHONE:
WnEQUE STAff
nUajCY I _V SHIFT
SCHEDULED Apr 2017
DATE DUE �
428 152
LIFIR 0
CURRENT
C17 /V/YAJ(f/� NO
BUSINESS
LICENSE .-L�
INITIAL INSPECTION DATE
SNO
F
D
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION:
430 3 rd Avenue S 98020
BUSINESS NAME: -A. r_- d-& (428, 430 432)
W11r1f_" --n— I
MAILING
ADDRESS:
POB 58974, Seattle, WA 98138
BUSINESS OWNER:
Hall, Gina
.EMERGENCY-1:
KEY ACCESS-2: City Park Condo Assoc
EMAIL:
PERSON CONTACTED: �Lvfe__d.
NAME OF INSPECTOR:
FIRE SYSTEMS: FE It /15
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
HOME PHONE:
HOME PHONE: 4257751953
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
0 BRIER
[I MOUNTLAKE TERRACE
[3 UNINCORPORATED
r FREQUENCY I STATION 11 SHIFT
Annual 17-C
SCHEDULED
DATE DUE � Apr 2016
UFIR 0 428152
CURRENT YES NO
CITY
BUSINESS D
LICENSE
INITIAL INSPECTION DATE
,�__ -57 - (�,
"M
H
' -
RA"O PMAPMCATIONS /COMMUNICATIONS
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 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
w I ith 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.
SNOHOMISH CI
FIRI
ST
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208 -
Phone (425) 551-1260
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
4303rd AvenueS 98020
BUSINESS NAME:
.6,11 F R-80t G—endes (428, 430, 432)
MAIb1N'G A9L.
ADDRESS:..
POB 58974, Seattle, WA 98138
BUSINESS OWNER:
Hall, Gina
EMERGENCY-1:
KEY ACCESS-2: City Park Condo Assoc
EMAIL:
PERSON CONTACTED: L'k
NAME OF INSPECTOR:
FIRE -SYSTEMS: - FE /11�
PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
0 BRIER
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
?
FREQUENCY STATION&_S_H_jF_T_`�
An 17-C
SCHEDULED
DATE DUE 0 Apr 2016
ER
0428152
HOME PHONE: 4257751953 CURRENT YES NO
HOME PHONE: CITY
BUSINESS
LICENSE 1:1 . Ej
INITIAL INSPECTION DATE
PAWtOZ�MRR`063ATIONS
COMMUNICATIONS
---- ---------
2
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
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE )UE:
DATE DUE:
_�ERSC�N
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
CONTACTED.
. . ........
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
2
_LN�PEC�DR'_
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS'
PRE -CITATION
CITATION ISSUED
15
5
ERER SENT
N �M�E R
4
CODE
2 6
DATE:
SECTION:
RETURN RECEIPT
3
7
RECEIVED
6
DISP6SIf1O
4
8
4
8
DATE:
7
\,LETTER NEEDED C] YES [I go
LETTERNEEDED YES NO
8
CITY,'OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t 9'q0l
LOCATION: 430 3rd Avenue
BUSINESS NAME: CityParkCondos (428,430,432,434)
MAILING Pf)R Ar%RQ7A
PHONE:
FIRE PREVE
SAFETY SU
ADDRESS: Seaffle 98138
BUSINESS OWNER: City Park Condo Assoc HOMEPHONE: 4257751953
EMERGENCY-1: Hall, Gina #202 HOMEPHONE: 4257755865
KEY ACCESS-2: HOME PHONE:
FREQUE�NCY
STATION& SHIFT
366
17 13
SCHEDULED
DATE DUE 11-
04/01/11
LIFIR 1- 423
4152
PREFIRE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: rj fxg-5,rd 40 7/0 F/ za I t
FIRE FE I
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE VIOLATION CODE
I , ,
<L
2 2
3 3
4 4
5 5
6 6
7 7
8 8
1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS
GRANTED TO:
DATE DUE: DATE DUE- CITED:
PERSON PERSON PERSON
CONTACTED- CONTACTED CONTACTED:
INSPECTOR:
_J
INSPECTOR:
DATE:
VIOLATIONS
1 5
2 6
4
LETTER NEEDED F7 '.� �ES 1� NO
_J
PRE-CITAMON
LETTER SENT
DATE:____
RETURN RECEIPT
RECEIVED
INSPECTOR:
DATE:
CITATION ISSUED
NUMBER:
Cr)nF
SECTION:
POSITION:
2
DATE:
3
�AOLATIONS
5
4
5
2
6
3
4
18
7
8
%, LETTER NEEDED D YES NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 430 3rd Avenue
BUSINESS NAME: City Park Condos (428,430,432,434)
MAILING POB #58974
ADDRESS: Seattle
BUSINESS OWNER: City Park Condo Assoc
EMERGENCY-1: Hall, Gina #202
KEY ACCESS-2:
1�
PHONE:
FIRE PREVENTION
SAFETY SURVEY
98138
HOMEPHONE: 4257751953
HOMEPHONE: 4257755865
HOME PHONE:
FREQUENCY
STATION & SHIFT"'
366
17 A
SCHEDULED
DATE DUE 1' 04/01/10
LIFIR I� 428
4152
PREFIRE
e- , INITIAL INSPECTION DATE
PERSON CONTACTED: C) 1'4 Fo V-4 - ID- 10
NAME OF INSPECTOR: 6
FIRE FEY 10
SYSTEMS:
ANNUAL
HAZARDS FOUND ANIDTA�IONS CCIMMUNIC�IONS
vwj
ENTER CODE ONLY ONCE 00
VIOLATION CODE
2
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
1 5
PRE -CITATION
LETTER SENT
--_--------------
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
18
RETURN RECEIPT
RECEIVED
6
4
18
4
DATE,
DISPOSITION:
7
8
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY