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FIR2021-0011+Application+1.27.2021_7.53.19_AM+2012269CITY OF EDMONDS MyBuildingPermit.com Fire Application #914162 - Demetris Woodstone Tavern Building Applicant First Name Last Name Company Name david mow Fire Protection Inc Number Street Apartment or Suite Number E-mail Address 17410 Ash Way Ste 8 david (�D_fpiseattle.corn City State Zip Phone Number Extension Lynnwood WA 98037 4252909600 Contractor Company Name Fire Protection Inc Number Street Apartment or Suite Number 17410 Ash Way 8 City State Zip Phone Number Extension Lynnwood WA 98037 (425) 290-9600 State License Number License Expiration Date UBI # E-mail Address FIREPI*021 ML 7/13/2022 601848346 david(cD_fpiseattle.com Project Location Number Street Floor Number Suite or Room Number 101 MAIN ST Main Floor Tavern and City Zip Code County Parcel Number EDMONDS 98020 00434401300101 Associated Building Permit Number Tenant Name n/a Demetri's Woodstone Tavern Buildinq Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name * KAFE NEO-ALDERWOOD LLC Number Street Apartment or Suite Number 101 MAIN ST City State Zip EDMONDS WA 98020 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: 1/27/2021 Submitted By: david mow Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Fire Application #914162 - Demetris Woodstone Tavern Building Project Contact Company Name: Fire Protection Inc Name: david mow Email: david@fpiseattle.com Address: 17410 Ash Way Ste 8 Phone #: 4252909600 Lynnwood WA 98037 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Alarm Project Demetris Woodstone Tavern Building Name: Installation of a Full Coverage Automatic and Manual Fire Alarm System in an Existing Non Sprinkled Building. The Fire Alarm system will provide Automatic Detection, Manual Activation and Occupant Notification throughout the existing building as per the City of Edmonds and South Description County Fires requirements. The Fire Alarm System will monitor the existing CLASS 1 Ansul of Work: Kitchen Hood for activation. Scope of work includes Installation of a new Fully Addressable Fire Alarm Control Panel, 1 Addressable FACP Smoke Detector, 1 Addressable FACP Pull -Station, 13 Addressable Heat Detectors, 1 Addressable Monitor Module, 13 Occupant Notification Devices, 1AES Radio Communicator, 2 Conventional Relays and 1 FA Document Cabinet. Project Details Fire System Counts Number of Devices 29 Valuation Fair Market Value of Work $4,500 Panel or Power Supply The work involves a new fire alarm panel or power supply Page 2 of 2