FIR2021-0123+Application+11.9.2021_3.43.09_PM+2511713CITY OF EDMONDS
Fire Application #1047499 - Lifestance TI
Applicant
First Name Last Name
Kathi O'Rear
MyBuildingPermit.com
Company Name
Northwest Fire Systems LLC
Number Street Apartment or Suite Number E-mail Address
22645
83rd Ave S Bldq D
City
State Zip
Kent
WA 98032
Contractor
Company Name
Northwest Fire Systems LLC
Number
Street
22645
83rd Ave S Bldq D
City
State Zip
Kent
WA 98032
State License Number
License Expiration Date UBI #
NORTHFS928CR
2/20/2022 602799167
Project Location
Number
Street
21727
76TH AVE W
korear(cD_nwfiresystems.com
Phone Number Extension
(206) 772-7502
Apartment or Suite Number
Phone Number Extension
(206) 772-7502
E-mail Address
korear(a)_nwfiresystems.com
City Zip Code County Parcel Number
EDMONDS 98026 00580700002701
Associated Building Permit Number Tenant Name
Lifestance
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 92129
Last Name or Company Name
HR ACQUISITION I CORPORATION
Floor Number Suite or Room Number
1 C & D
Apartment or Suite Number
City State Zip
SOUTH LAKE TX 76092
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: 11/9/2021 Submitted By: Kathi O'Rear
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1047499 - Lifestance TI
Project Contact
Company Name: Northwest Fire Systems LLC
Name: Kathi O'Rear Email: korear@nwfiresystems.com
Address: 22645 83rd Ave S Bldg D Phone #: (206) 772-7502
Kent WA 98032
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Fire Sprinkler Systems
Project Name: Lifestance TI
Description of Work: Fire Sprinkler TI; providing proper sprinkler coverage for new ceiling and wall layout. 40
sprinkler heads. No change to hydraulic calculations.
Project Details
Fire System Type
NFPA 13
Fire System Counts
Number of Heads Added 40
Valuation
Fair Market Value of Work $10,110
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