FIR2021-0032_Application_3.31.2021_2.12.16_PM_2121025CITY OF EDMONDS M BuildingPermit.com
Fire Application #932477 - Side Door
Applicant
First Name Last Name Company Name
Rachel Brambila Siemens
Number Street Apartment or Suite Number E-mail Address
15900 SE EASTGATE Way 200 seattlefireengineering.us@siemens.com
City State Zip Phone Number Extension
BELLEVUE WA 98008 4252709678
Contractor
Company Name
Siemens Industry Inc
Number Street Apartment or Suite Number
22010 SE 51 st St.
City State Zip Phone Number Extension
Issaquah WA 98029 425-270-9678
State License Number License Expiration Date UBI # E-mail Address
SIEMEII915P1 6/23/2022 R61 gBR56.,i seattlefireengineering.us@siemens.com
Project Location
Number Street Floor Number Suite or Room Number
750 EDMONDS WAY 1 NONE
City Zip Code County Parcel Number
EDMONDS 98020 27032500306200
Associated Building Permit Number Tenant Name
Sunrise Senior Living
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
HCP INC PROPERTY TAX DEPT
Number Street Apartment or Suite Number
1920 MAIN ST 1200
City State Zip
I RVI N E CA 92614
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 3/31/2021 Submitted By: Rachel Brambila
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #932477 - Side Door
Project Contact
Company Siemens
Name:
Name: Rachel Brambila Email: seattlefireengineering.us@siemens.com
Address: 15900 SE EASTGATE Phone #: 4252709678
Way 200
BELLEVUE WA 98008
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Alarm
Project Name: Side Door
Description of Work: Site is adding a wanderguard system to side door; adding 1 relay to FA system so
door will open on alarm event
Project Details
Fire System Counts
Number of Devices 1
Valuation
Fair Market Value of Work $4,934
Panel or Power Supply
The work does not involve a new fire alarm panel or
power supply
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