FIR2020-0091+Application+10.28.2020_8.58.03_AM (2)CITY OF EDMONDS MyBuilaingPermit.com
Fire Application #876931 - Safeway 1297 Starbucks Edmonds
Applicant
First Name Last Name Company Name
Tommy Li Western States Fire Protection
Number Street Apartment or Suite Number E-mail Address
14690 NE 95th St Unit 101 tommy.li(,§b_wsfp.us
City State Zip Phone Number Extension
Redmond WA 98052 2064718209
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 (425) 736-8214
State License Number License Expiration Date UBI # E-mail Address
WESTESF136QF 1/19/2021 601049394 tommy.li(a)_wsfp.us
Project Location
Number Street Floor Number Suite or Room Number
23632 HIGHWAY 99 1 none
City Zip Code County Parcel Number
EDMONDS 98026 00451900100401
Associated Building Permit Number Tenant Name
Safeway 1297 Starbucks
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 790830
Last Name or Company Name
FW WA -AURORA MARKETPLACE LLC
Apartment or Suite Number
City State Zip
SAN ANTONIO TX 78279
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: 10/28/2020 Submitted By: Tommy Li
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CITY OF EDMONDS Mysu;iaingPerrnit.com
Fire Application #876931 - Safeway 1297 Starbucks Edmonds
Project Contact
Company Name: Western States Fire Protection
Name: Tommy Li Email: tommy.li@wsfp.us
Address: 14690 NE 95th St Unit 101 Phone #: 2064718209
Redmond WA 98052
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Sprinkler Systems
Project Name: Safeway 1297 Starbucks Edmonds
Description of Plug 2 sprinklers in existing kiosk. Add 2 sprinklers for new kiosk location and
Work: configuration. Existing sprinklers above to remain as is. Existing branch line and mains to
remain as is.
Project Details
Fire System Type
NFPA 13
Fire System Counts
Number of Heads Added 2
Number of Heads Capped or plugged 2
Valuation
Fair Market Value of Work $5,865
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