FIR2021-0149+Application+12.20.2021_11.37.08_AM+2582687CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1067004 - Virginia Mason Cardiology Suite
Applicant
First Name Last Name
Company Name
Jim Stewart
Western States Fire Protection Co.
Number Street
Apartment or Suite Number E-mail Address
14690 NE 95th Street
101 jim.stewart(@wsfp.us
City State Zip
Phone Number Extension
Redmond WA 98052
4258810100
Contractor
Company Name
WESTERN STATES FIRE PRTCTN CO
Number Street
Apartment or Suite Number
14690 NE 95TH ST
101
City State Zip
Phone Number Extension
Redmond WA 98052
(425) 881-0100
State License Number License Expiration Date
UBI # E-mail Address
WESTESF136QF 1/19/2023
601049394 jim.stewart(a)_wsfp.us
Project Location
Number Street
Floor Number Suite or Room Number
7315 212TH ST SW
2 2421
City Zip Code
County Parcel Number
EDMONDS 98026
00566900500600
Associated Building Permit Number
Tenant Name
Virqinia Mason Cardiology Suite
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
GAHC4 EDMONDS WA MOB LLC
Number Street Apartment or Suite Number
18191 VON KARMAN AVE
City State Zip
IRVINE CA 92612
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: 12/20/2021 Submitted By: Jim Stewart
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CITY OF EDMONDS M BuildingPerrnit.cam
Fire Application #1067004 - Virginia Mason Cardiology Suite
Project Contact
Company Name: Western States Fire Protection Co.
Name: Jim Stewart Email: jim.stewart@wsfp.us
Address: 14690 NE 95th Street 101 Phone #: 4258810100
Redmond WA 98052
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Sprinkler Systems
Project Name: Virginia Mason Cardiology Suite
Description of Work: Add one and relocate five sprinklers to accommodate the new tenant walls.
Project Details
Fire System Type
NFPA 13
Fire System Counts
Number of Heads Added
1
Number of Heads Relocated
5
Number of Risers
1
Valuation
Fair Market Value of Work
$4,700
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