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FIR2022-0077+Application+8.9.2022_9.18.45_AM+3039767CITY OF EDMONDS MyBtaildingPermit.com Fire Application #1185125 - 4th Ave Apartments Elevator Upgrade Applicant First Name Last Name Company Name david mow Fire Protection Inc Number Street Apartment or Suite Number E-mail Address 17410 Ash Way Ste 8 david (�D_fpiseattle.com City State Zip Phone Number Extension Lynnwood WA 98037 (425) 290-9600 Contractor Company Name Fire Protection Inc Number Street Apartment or Suite Number 17410 Ash Way 8 City State Zip Phone Number Extension Lynnwood WA 98037 (425) 290-9600 State License Number License Expiration Date UBI # E-mail Address FIREPI*021 ML 7/13/2024 601848346 david(a-)_fpiseattle.com Project Location Number Street Floor Number Suite or Room Number 239 4TH AVE S FLOORS 1-3 ELEVATOR City Zip Code County Parcel Number EDMONDS 98020 00912500010100 Associated Building Permit Number Tenant Name 4th Ave Apartments Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name * WAITS FREDERICK & REITE ANN TRUST Number Street Apartment or Suite Number 239 4TH AVE S 101 City State Zip EDMONDS WA 98020-8453 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: 8/9/2022 Submitted By: david mow Page 1 of 2 CITY OF EDMONDS MyBuildingPerrnit.com Fire Application #1185125 - 4th Ave Apartments Elevator Upgrade Project Contact Company Name: Fire Protection Inc Name: david mow Email: david@fpiseattle.com Address: 17410 Ash Way Ste 8 Phone #: (425) 290-9600 Lynnwood WA 98037 Project Type Activity Type Scope of Work Multifamily Residential Alteration Fire Alarm Project 4th Ave Apartments Elevator Upgrade Name: THE EXISTING 3 STORY BUILDING IS FULLY SPRINKLED AND HAS AN EXISTING CONVENTIONAL FIRE ALARM CONTROL PANEL SILENT KNIGHT SK 5207 LOCATED IN THE BACK OF THE BUILDING. SITE IS MODERNIZING THEIR ELEVATOR WHICH HAS TWO EXISTING RECALL RELAYS. WE WILL BE ADDING one ELEVATOR FLASHING HAT RELAY Description one ELEVATOR PIT HEAT one SHUNT TRIP HEAT AND one SHUNT TRIP AC SUPERVISION. of Work: THE ELEVATOR SUPPORT COMPANY WILL PROVIDE AND INSTALL THE WIRING THE EQUIPMENT AND TERMINATION OF EQUIPMENT SHOWN IN THE DESIGN. FIRE PROTECTION INC. WILL BE PROVIDING FULL SYSTEM DRAWINGS TERMINATION OF WIRING ON FACP SYSTEM PROGRAMMING SYSTEM PRETEST AND FINAL ACCEPTANCE TEST. NO OTHER CHANGES TO THE EXISTING SYSTEM WILL BE MADE NO ADDITIONAL WORK IS INCLUDED IN THIS SCOPE. Project Details Transmitter Type Dual Line Digital Alarm Communicator Fire System Counts Number of Devices 4 Valuation Fair Market Value of Work $2,500 Type of Work Other Panel or Power Supply The work does not involve a new fire alarm panel or power supply Contact Information Owner Email Address DAVID@FPISEATTLE.COM Page 2 of 2