FIR2021-0126+Application+11.16.2021_8.10.17_AM+2521897CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1050366 - SMC Edmonds Basement OR Corridor
Applicant
First Name
Last Name
Company Name
Janet
Stebbins
Johnson Controls
Number Street
Apartment or Suite Number E-mail Address
9520 10th Ave. S
Suite 100 ianet.stebbins(@ici.com
City State
Zip
Phone Number Extension
Seattle WA
98108
2067774828
Contractor
Company Name
JOHNSON CONTROLS FIRE
PRTTN LP
Number Street
Apartment or Suite Number
9520 10th Ave. S
Suite 100
City
State Zip
Phone Number Extension
Seattle
WA 98108
(206) 291-1468
State License Number
License Expiration Date
UBI # E-mail Address
JOHNSCP831 PR
10/6/2023
602113334 ianet.stebbins(aici.com
Project Location
Number Street
Floor Number Suite or Room Number
21601 76TH AVE W
Basement Level OR Clean
City
Zip Code
County Parcel Number
EDMONDS
98026
00580700002500
Associated Building Permit Number
Tenant Name
Swedish Medical Center Edmonds
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO
Number Street Apartment or Suite Number
4710 196TH ST SW
City State Zip
LYNNWOOD WA 98036-5517
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: 11/16/2021 Submitted By: Janet Stebbins
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CITY OF EDMONDS M BuildingPerrnit.com
Fire Application #1050366 - SMC Edmonds Basement OR Corridor
Project Contact
Company Name: Johnson Controls
Name: Janet Stebbins Email: janet.stebbins@jci.com
Address: 9520 10th Ave. S Suite 100 Phone #: 2067774828
Seattle WA 98108
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Alarm
Project Name: SMC Edmonds Basement OR Corridor
Description of Modify existing fire alarm system SMC Edmonds, Basement Level Operating Rooms
Work: Clean Corridor. Add (7) new devices. Joint venture between Johnson Controls Fire
Protection and Cochran, Inc.
Project Details
Fire System Counts
Number of Devices 6
Valuation
Fair Market Value of Work $8,125
Type of Work
Other
Panel or Power Supply
The work does not involve a new fire alarm panel or
power supply
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