FIR2020-0009Type: FIRE SPRINKLER Subtype: FIRE SPRINKLER MODIFICATION - COM Status: ISSUED
Parcel No: 00434212100100 Site Address: 201 5TH AVE S EDMONDS,WA 98020-3481
Applied: 1/21/2020
Subdivision: 004342 Lot: 0
Issued: 1/21/2020 NED
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $0.00 Occupancy Type: Construction Type:
Expiration Date:1/15/2021
NED
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
CONTACTS
NAME TYPE NAME ADDRESS PHONE EMAIL
APPLICANT
CROWN FIRE PROTECTION
PO BOX 12113, MILL CREEK
(425)481-7669
CRISTIE@CROWNFP.COM
WA 98082-
CONTRACTOR
CROWN FIRE PROTECTION
PO BOX 12113, MILL CREEK
(425)481-7669
CRISTiE@CROWNFP.COM
WA 98082-
OWNER
RH OLD MILL TOWN
PO BOX 5003, BELLEVUE WA
ASSOCIATES LLC
98009-5003
Contractor License Information: WA State Contractor L & I #:CROWNFP044LL City of Edmonds Business License #: 602454996-001-
0001
FEE INFORMATION
DESCRIPTION ACCOUNT AMOUNT.' PAID PAID DATE RECEIPT #
CITY TECHNOLOGY FEE
001.000.321.99.300.00
$40.00
$0.00
CHARGED PER PERMIT
CREDIT CARD TRANSACTION FEE
001,000.341.43.100.00
$8.70
$0.00
FIRE SPRINKLER - COM MOD
001.000.342.40.000.00
$150.00
$0.00
FIRE INSP FEE BY CITY
FIRE SPRINKLER - SUB COM
001.000.322.10.000.00
$100.00
$0.00
MOD BLDG PERMIT FEE
TOTALS: $298.70 $0.00
CONDITIONS
CONDITION TYPE STATUS NOTES
Printed: Tuesday, January 21, 2020 10:45:18 AM 1 of 2
SPRINKLER Permit
PERMIT NUMBER,
City of Edmonds
. ••� iFIRE
121 i 1 i 11'
i
1- HOLD HARMLESS - Applicant on behalf of his or her spouse heirs assigns and
successors in interests, agrees to indemnify defend and hold harmless the City of
Edmonds, Washington, its officials, employees, and agents from any and all
claims for damages of whatever nature, arising directly or indirectly from the
issuance of this permit. Issuance of this permit shall not be deemed to modify,
waive or reduce any requirements of any City ordinance nor limit in any way the
City's ability to enforce any ordinance provision.\r\r\r\r\r
2 - PERMIT DISCLOSURE - Any request for alternate design, modification,
variance or other administrative deviation from adopted codes ordinances or
policies must be specifically requested in writing and be called out and
identified. Processing fees for such requests shall be established by Council and
ALL BUILDING PERMITS
FOR
shall be paid upon submittal and are non refu ndable.\r\r\r\r\r
INFORMATION
3 - SOUND OR NOISE - Sound/Noise originating from temporary construction
sites as a result of construction activity are exempt from the noise limits of ECC
Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and
10:00am to 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all
other times the noise originating from construction sites/activities must comply
with the noise limits of Chapter 5.30, unless a variance has been granted
pursuant to ECC 5.30.120\r\r\r\r\r
4 - OCCUPANCY - Final approval on a project or final occupancy approval must be
granted by the Building Official prior to use or occupancy of the building or
structure. Check the job card for all required City inspections including final
project approval and final occupancy inspections.
INSPECTIONS
SEQID
INSPECTIONTYPE`. ,'
.INSPECTOR.'CONIPLETED. .. 'RESULT.
NOTES'
DATE
FIRE FINAL"
FIRE PRESSURE TEST
FIRE SPRINKLER
ACCEPTANCE
SPRINKLER INSULATION
Printed: Tuesday, January 21, 202010:45:18 AM 2 of 2
v k
`nc. I S91
BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edmondswa.gov.
PLEASE NOTE: Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. If plans are prepared by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call 425-771-0220 to schedule an intake appointment!
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: 201
Parcel:
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Mailing Address:
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? ❑ Yes ❑ No
I own, reside in, or will reside in the completed structure. This
installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange according to RCW
18.27.090.
Owner Signature:
APPLICANT / CONTACT INFORMATION:
Name of Applicant:
Mailing Address: 'I U I oo \ \-::->
City/State/Zip:/))IN -e-�AZ. `k A— (p%
Phone #:
E-mail: Cly l S'i e,o— i('rnu-j.�. ira-)- l
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: QS G►f'%D
Mailing Address:
City/State/Zip:
Phone #:
E-mail
STATE UBI #: 1u�• g rl" 1 is U
CITY OF EDMONDS BUSINESS LICENSE M &9' T) 2'q
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
Office Use Only
TYPE OF Details on Page
❑ Accessory Structure/ ❑ Addition
Detached Garage
❑ Demolition
❑ Mechanical
❑ New Single Family / Duplex
❑ Plumbing
Fire Sprinkler • o• hG
❑ Remodel
❑ New Commercial/ Mixed Use
❑ Re -Roof
❑ Signs
❑ Tank
❑ Tenant Improvement
❑Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT•
I certify that the information I have provided on this form/application is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name:
Signature Date
COMMERCIALGENERAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction:
Fire Sprinklers: Yes ❑ No ❑
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
TI / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
EQUIPMENTMECHANICAL •
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
COUNTSPLUMBING FIXTURE . .. •.
Qty Qty
Clothes Washer
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
Other:
Toilets
Other:
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace Other:
MEDICAL•
.. ..
Qty
Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y / N
PSCAA Case #:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Fill in Place ❑ Fill Material:
Removal ❑
Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes ❑ No ❑
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
CROWN FIRE PROTECTIONS INC.
TO Citv of Edmonds
121- 51" Avenue North
Edmonds, WA 98020
PHONE 425.771.0220
WEARE SENDING YOU THE FOLLOWING ITEMS:
® Attached
❑ Shop Drawings
Plans
❑ Copy of Letter
❑ Hydraulic Calculations
LETTER OF TRANSMITTAL
DATE 1.9.20
ATTENTION Permit Department
RE Prestige Worldwide
Old Mill Town
2015"' Avenue South
Suite 208
Edmonds, WA
COPIES
DATE
NO.
DESCRIPTION
1
Permit Application
1
Copy of State Contractor's License
3
Cut Sheets
3
Fire Sprinkler Plans
THESE ARE TRANSMITTED AS CHECKED BELOW:
❑ For approval
❑ For your use
® As requested
❑ For review and comment
Remarks:
❑ Approved as noted
❑ Returned for corrections
❑ Resubmit
❑ Submit
❑ Retum
copies for approval
copies for distribution
corrected prints
Enclosed are three fire sprinkler plans for your review and approval. If you have any questions or need any additional
information, please do not hesitate to contact our office.
Thanks!
COPY TO
P.O. BOX 12113 MILL CREEK, WA 98082 PH: 425.481.7669 FX: 425.481.8695
Department of Labor and Industries
PO Box 44450
Olympia, WA 98504-4450
191
CROWN FIRE PROTECTION INC
PO BOX 12113
MILL CREEK WA 98082
CROWN FIRE PROTECTION INC
Reg: CC CROVVNFP044LL
UBI: 601-699-980
Registered as provided by Law as:
Construction Contractor
(CCBO) - FIRE PROTECT SYSTEM
Effective Date: 6/13/1996
Expiration Date: 4/10/2021
4a
QUICK RESPONSE
AUTOMATIC SPRINKLERS
GL SERIES
UPRIGHT • PENDENT
VERTICAL SIDEWALL
HORIZONTAL SIDEWALL
CONVENTIONAL (OLD STYLE
DESCRIPTION AND OPERATION
The Globe Quick Response GL Series Sprinklers are a low profile
yet durable design which utilizes a 3mm frangible glass ampule as the
thermosensitive element. This provides sprinkler operation approxi-
mately six times faster than ordinary sprinklers. While the Quick
Response Sprinkler provides an aesthetically pleasing appearance, it
can be installed wherever standard spray sprinklers are specified when
allowed by the applicable standards. It offers the additional feature of
greatly increased safety to life and is available in various styles,
orifices, temperature ratings and finishes to meet many varying design
requirements. Quick Response Sprinklers should be used advisedly
and under the direction of approving authorities having jurisdiction.
The heart of Globe's GL Series sprinkler proven actuating
assembly is a hermetically sealed frangible glass ampule that contains
a precisely measured amount of fluid. When heat is absorbed, the
liquid within the bulb expands increasing the internal pressure. At the
prescribed temperature the internal pressure within the ampule ex-
ceeds the strength of the glass causing the glass to shatter. Thisresults
in water discharge which is distributed in an approved pattern depend-
ing upon the deflector style used.
TECHNICAL DATA
• See reverse side for Approvals and Specifications.
•Temperature Ratings - 135'F (57°C), 155°F (68°C),
175°F (79°C), 200°F (93°C), 286°F (141 °C)
*Water Working Pressure Rating - 175 psi (12 Bars)
*Factory tested hydrostatically to 500 psi (34 Bars)
*Maximum low temperature glass bulb rating is -67'F (-55°C)
QUICK RESPONSE
UPRIGHT CONVENTIONAL
QUICK RESPONSE
PENDENT VERTICAL
SIDEWALL
• Frame - bronze • Deflector - brass • Screw - brass () �% /
•Bulb seat- copper • Spring -nickel alloy • Seal - teflon UICK RESPONSE
*Bulb - glass with alcohol based solution, 3mm size HORIZONTAL SIDEWALL, .
• SPRINKLER TEMPERATURE RATING/CLASSIFICATION and COLOR CODING
4077AIRPARK DRIVE, STANDISH, MICHIGAN 48658 989-846-4583 • FAX989-846-9231
MAY 2011
A-20
BULLETIN GL5615, REV. #7
QUICK RESPONSE
AUTOMATIC SPRINKLERS
GL SERIES
UPRIGHT. PENDENT. VERTICAL SIDEWALL
HORIZONTAL SIDEWALL •CONVENTIONAL (OLD STYLE)
SPECIFICATIONS
NOMINAL "K" FACTOR
THREAD SIZE
LENGTH'
FINISHES
2.8 (39 metric)
1/2" NPT
2 1/4" (5.7 cm)
Factory Bronze
4.2 (59 metric)
1/2" NPT
2 1/4" (5.7 cm)
Bright Chrome
Satin Chrome 2
5.6 (80 metric)
1/2" NPT
2 1/4" (5.7 cm)
White Polyester 3
7.8 (111 metric)
1/2" NPT
2 1/4" (5.7 cm)
Black Polyester 2,3
8.1 (116 metric)
3/4" NPT
2 7/16" (6.2 cm)
Lead Coated 2.3
NOTE: METRIC CONVERSIONS ARE APPROXIMATE.
APPROVALS
'HORIZONTAL SIDEWALL IS 2 9/16".
2 FINISHES AVAILABLE ON SPECIAL ORDER.
'AVAILABLE AS cULus LISTED CORROSION
RESISTANT WHEN SPECIFIED ON ORDER.
STYLE
SIN
K
135°F
155°F
175°F
200°F
286°F
cULus
F.M.
LPC
CE
NYC - DOB ME
MODEL
FACTOR
57°C
68'C
79°C
93°C
141°C
101-92-E
GL2815
2.8
X
X
X
X
X
X
-
-
-
X
GL4215
4.2
X
X
X
X
X
X
-
-
-
X
UPRIGHT
GL5615
5.6
X
X
X
X
X
X
X
X
X
X
GL8115
7.8"
X
X
X
X
X
X
--
-
-
X
GL8118
8.1
X
X
X
X
X
X
X
X
X
X
GL2801
2.8
X
X
X
X
X
X
--
-
-
X
GL4201
4.2
X
X
X
X
X
X
--
-
-
X
PENDENT
GL5601
5.6
X
X
X
X
X
X
X
X
X
X
GL8101
7.8"
X
X
X
X
X
X
X
-
-
X
GL8106
8.1
X
X
X
X
X
X
X
X
X
X
VERTICAL
GL5632
5.6
X
X
X
X
X
X
X
-
-
-
SIDEWALLt
GL8133
8.1
X
X
X
X
X
X
-
-
-
-
GL2826
2.8
X
X
X
X
X
X
-
-
X
HORIZONTAL
GL4226
4.2
X
X
X
X
X
X
-
-
-
X
SIDEWALL §
GL5626
5.6
X
X
X
X
X
X
X
-
-
X
GL8127
8.1
X
X
X
X
X
X
-
-
-
-
CONVENTIONAL
GL5624
5.6
X
X
X
X
X
-
-
X
X
-
(OLD STYLE)
GL8125
8.1
X
X
X
X
X
-
-
X
X
-
ORDERING INFORMATION
SPECIFY
• Quantity • Model Number • Style
• Orifice • Thread Sizes • Temperature
• Finishes desired
• Quantity - Wrenches - P/N 325390 (1/2");
P/N 312366 (L.O.)
UWAM68C
FIRE SPRINKLER CORPORATION
'1/2" NPT
t VERTICAL SIDEWALL SPRINKLER cULus LISTED FOR LIGHT HAZARD ONLY.
PENDENT VERTICAL SIDEWALL cULus LISTED FOR U MIN. SPACING.
UPRIGHT VERTICAL SIDEWALL cULus LISTED FOR 9' MIN. SPACING.
§ HORIZONTAL SIDEWALL cULus LISTED FOR DEFLECTOR 4" TO 12" BELOW
THE CEILING, FM APPROVED 4" TO 6".
GLOBE° PRODUCT WARRANTY
Globe agrees to repair or replace any of its own manufac-
tured products found to be defective in material or workmanship
for a period of one year from date of shipment.
For specific details of our warranty please refer to Price List
Terms and Conditions of Sale (Our Price List).
4077 AIRPARK DRIVE, STANDISH, MICHIGAN 48658
989-846-4583
1-800-248-0278
FAX 989-846-9231
www.globesprinkler.com
MAY 2011
PRINTED U.S.A.
BULLETIN GL5615, REV. #7