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110 4TH AVE N (2)_Redacted. �� ;j IIII��III Ito L44h n-vo ti FIRE PREVENTION Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT SNOHOMISH CO. "0 FIREE"0❑ Mountlake Terrace verett, WA 98208 BRIER EDMONDS DISTR T FireDistrict.l. Phone (425) 551-1200 ❑ UNINCOMOUNTLAKE TERRACE ❑RPORATED www. org Fax'(425) 551-1272 FREQUENCY STATION &SHIFT-") T( LOCATION: 0 4 th Avenue N 98020 2016 17-A BUSINESS NAME RE/MAX Direct Realty PHONE: 2067149823 SCHEDULED DATE DUE ► Jan 2016 MAILING LIFIR 544 202 ADDRESS: 110 4th Avenue N, Edmonds, WA 98020 BUSINESS OWNER: Schiffman, Leonard HOME PHONE: EMERGENCY-1 HOME PHONE: eCURRENT KEY ACCESS-2: HOME PHONE: CITY NO EMAIL: (? P-C-1aa A-2chLILOwn. ryl Czm BUSINESS,/ LICENSE El PERSON CONTACTED: INITIAL INqPECTION DATE A( NAME OF INSPECTOR: FIRE SYSTEMS: 11/13 .'y ,Date Last ServicedEN, OAZAS FOUND AND LOCAT PNS COMMUNICATIONS 2 2 3 -.3 4 4 _'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 Uwe MR) t­ PERSON PERSON CONTACTED: CONTACTED: CONTACTED: INSPECTOR: 2 INSPECTOR: Li (p)STVrj INSPECTOR: DATE: DATE: DATE: 3 VIOLATIONS PRE -CITATION VIOLATFO-N-S7-' CITATION ISSUED 4 _3 1 5 LETTER NUMBER: 2 6 DATE: CODE SECTION: 5 6 RETURN RECEIPT 6 7 3 7 RECEIVED DiSPO91f16N-. 4 8 4 8 DATE: 7 �LETTER NEEDED 0 YES [:1 NO LETTER NEEDED [] YES ❑ NO 8 I CITY OF EDMONDS BUSINESS LICENSE APPLICATION— COMMERCIAL FEE: $125.00 CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION 121 5'x AVENUE NORTH, EDMONDS, WA 98020 PHONE: 425.775.2525 OFFICE USE ONLY BL# Customer# SIC Year Class I SHD I Date Paid Tft# Fee Paid Mailed Delete INSTRUCTIONS: Please complete the application in full and attach the required floor plan_ Middle initial or name required of all parties concerned. If no middle name, please indicate by writing NMN. Sign and return application with fee. Please advise of any change in status. New license required if business changes location or ownership. Notification to City of Edmonds required if business closes. rk1 U BUSINESS NAME tT TY A OF{. ids. /Nt, BUSINESS ADDRESS I^ NX I � ,o mZ&O S q $O Z (a street Suite No. Zip Code MAILING ADDRESS Street or PO Box Suite No. City, State,, and Zip Code T 'N BUSINESS PHONE NO. (wn 0 � ) �;• yE" -,`� � �� WA STATE TAX ID NO. (UBI NO.) i �62_ •57 `l Tl-7 ! BUSINESS E-MAIL t4EA�/IrLOpL!_'mN c,,.f BUSINESS WEBSITEi$orvihGp rx_yfy,cs•�i1n%_ c.L.j_I PROPERTY OWNER N -T`LJ/UV/L.-r ! Name Phone Number Q EMERGENCY NOTIFICATION (For Premise Access in Emergency): !� Last Name Name NATURE OF BUSINESS First Name S�T�.i NUMBER OF EMPLOYEES % SQUARE FOOTAGE OF BUSINESS SPACE M TYPE OF BUSINESS - PLEASE CHECK.THE APPROPRIATE CATEGORY- 0 CONSTRUCTION ff FINANCE. INSURANCE, REAL ESTATE 13 LANDSCAPE, HORTICULTURAL O MANUFACTURING 0 NON- OFI .0 RETAIL SECONDHAND DEALER 0 SERVICES Cl WHOLESALE O.OTHER AMUSEMENT DEViCES'ON'PREMISES? OYES LMgO . 1F YES. TOTAL NUMBER LIQUOR SOLD ON PREMISES?> Q YES . >? NO. CsAMBLING? L7 YES tglGO CIGARETTES SOLd ON PREMISES? 0 YES NQ FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: n YES CIO IF YES, PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES``: PROPOSED OPENING DAY OF BUSINESS 5- 1-3 _ � BUSINESS HOURS � r DAYS OPEN Cl SUNDAY KMONDAY N I UESOAY 'e<NEDNESDAY g ' IURSDAY OrAFRIDAY Ltr9 TURDAY PARKING SPACES ON SITE: TOTAL ACCESSIBLE FOR PERSONS WITH DISABILITIES ya DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? . &,�E- S O NO PREVIOUS BUSINESS USE AT THIS ADDRESS t AooRes _. I APtxy were ory.sMbamWPt'ua MW,EcwaxExo.l T _DGLam.ucEas�xD.i DR OTxPWmxD. DATE CFDIRTH C AM STATE MDWr - CgxMxYUF&gTx NANE 1JN AODREBS PMTMWISNP-PMINFxT FM M SLWI N NO. C✓b.SYbaNZPfm, - HOMEPHONEWOI I Od.NO, (pWNERSIKENBE N0.100.0THERPNO DATE OF BIITIH ODMAM STAIEOFSIRWI CIXxxRYOFSBi1H ' PAxTxEWBw.pmT 2 NAME Flrsl M. MDRE95 S APLN,. W ILz LxY.BbM an Dp CaW HgVWPNpNENOf I' 00.1K),IpItIVENS LM,EiSENO.)IXt OTHERmNp MTE OFSIATN f,RYA1p BTATEOFBWNI CCUHTRy OFB1iYM i allleoLP l' ! TNb - Dab .. vi*ftNOSNf. EAP,PhOVF OD1911PPxWE DATE SIfiHA11xE' . ZMNG CODE .IXfB11HilS CONgL10.WlUSEPEWMrt I: awom O94 BIf�IATIISE OAPPROVE OOlSAFARWE DATE OpN>Wwl'LOM - S=Wr PERMW � .. ODOIPIWCY GROUP_ PII�OfiPT. OAPPMVE OORPPPADyE PATE .. 9GNATIAVE. COM.BlIS . - POYCEt✓ETT. O'PPPxOVE. OOWPipgpyE DATE ,^SIC3,ATIIRE FLOORPLAN SKETCH Borrower: _ _ File No.: DIRECT REALTY4 Property Address: EXISTING FLOOR PLAW110 4TH AVE N., EDMONDS, WA 980 Case No.: _ 26.40' t0.0----f-- 16.4 Office Lobby � i I 9.5 Office 8.0 Copts, Counts cneoe Cl! o � -" Desk Space cU13, Counter Q — i i ' Conference CflWet Bar Bath �"—'—'-13.90 3.0 -f""-5.25 4.15 jj- 26.40t �_ Comments AREA CALCULATIONS SUMMARY Code Dwnpdon Siza Net Totals . . GLA1 F, rat Floor 937.2000 937.2000 TOTAL LIVABLE (founded) 937 131t5004 LIVING AREA BREAKDOWN .. Breakdown subtotals . . Firvt Floor 26A0 r 35.50 37.2000 I Cakutation Total (rounded) 937 CITY OF EDMONDS 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215 FIRE DEPARTMENT LOCATION: 110 4th Avenue N BUSINESS NAME: IzemenfiCs dPIRery LLC MAILING 110 tall Ave N FIRE PREVENTION ...... SAFETY SURVEY PHONE: yzs - ADDRESS: Edmonds 98020 BUSINESS OWNER: Jeffers, Larry HOME PHONE: 206351/252 EMERGENCY-1: Brown, Melissa HOME PHONE: 2064123703 KEY ACCESS-2: HOME PHONE: FREQUENCY STATION & SHIFT 731 17 C DATE DUES ► 01i01110 UFIR ► 563 1202 A.Cl1VE PERSON CONTACTED: INITIAL INSPECTION DATE NAME OF INSPECTOR: FIRE FE !f JYJT ms: ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE• ► VIOLATION CODE 1 2 Vi Ocl , l ✓'v 1 G ex '`7\ 2 l 3 3 4 4 5 5 6 6" 7 7 8 8 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION ly 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 7 4 18 4 8 DATE: DISPOSITION: 8 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES [] NO .- FIRE DEPARTMENT COPY 71 CITY OF EDMONDS 121 5TM AVENUE N. • EDMONDS, WASHINGTON 98020 (425) 771-0215 FIRE DEPARTMENT 0 S It 1 8 g LOCATION: 110 4th Avenue N BUSINESS NAME: Semantics Gallery LLC MAILING 110 4th Ave ICI FIRE PREVENTION SAFETY SURVEY PHONE: 4254831039 ADDRESS: Edartonds 98020 � FREQUENCY I STATION & SHIFT 1 731 17 A SCHEDULED DATE DUE ► 01/01/08 UFIR ► '363 1202 BUSINESS OWNER: Jeffers, Larry HOME PHONE: 2063511252 ACTIVE EMERGENCY-1: Brown, Melissa HOME PHONE: 2064123703 KEY ACCESS-2: HOME PHONE: 01 PERSON CONTACTED: INITIAL INSPECTION DATE d_- I NAME OF INSPECTOR: A FIRE SYSTEMS: ANNUAL HAZARDS FOUND AND LOCATIO' S / COMMUNICATIONS ,r 1 ENTER CODE ONLY ONCE ► VIOLATION CODE 1 i / I 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 RETURN RECEIPT RECEIVED _ 6 7 4 18 4 8 DATE: DISPOSITION: 8 LETTER NEEDED Q YES ® NO LETTER NEEDED © YES ® NO FIRE DEPARTMENT COPY