BLD2023-1166+Application+9.14.2023_12.58.14_PM+3783437CITY OF EDMONDS nnysuilaingPermit.com
Building Application #1376286 - SMC Edmonds WDS Project
Applicant
First Name
Last Name
Company Name
Fernando
Melendez
Providence Swedish
Number Street
Apartment or Suite Number
E-mail Address
1124 Columbia
Suite 210
fernando.melendez(&_providence.org
City State
Zip
Phone Number Extension
Seattle WA
98104
(425) 295-5424
Contractor
Company Name
CONVERGINT TECHNOLOGIES
LLC
Number Street
Apartment or Suite Number
450 Shattuck Ave
S
100
City
State Zip
Phone Number Extension
Renton
WA 98057
(425) 891-4585
State License Number
License Expiration Date
UBI #
E-mail Address
CONVETL995N9
8/29/2024
602133088
dave.hovater(a--)convergint.com
Project Location
Number Street
Floor Number Suite or Room Number
21601 76TH AVE W
1 None
City
Zip Code
County Parcel Number
EDMONDS
98026
00580700002500
Associated Building Permit Number
Tenant Name
Swedish
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: 9/14/2023 Submitted By: Fernando Melendez
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1376286 - SMC Edmonds WDS Project
Project Contact
Company Name: Providence Swedish
Name: Fernando Melendez Email: fernando.melendez@providence.org
Address: 2124 Columbia Suite Phone #: (425) 295-5424
Seattle WA 98104
Project Type
Nonresidential
Project Name: SMC Edmonds WDS Project
Activity Type
Remodel
INSTALL A WEAPONS DETECTION SYSTEM AT AMBULATORY CARE CENTER
PEDESTRIAN ENTRANCE AT SWEDISH MEDICAL CENTER EDMONDS. SYSTEM WILL BE
Description of A SINGLE LANE UNIT LOCATED INSIDE THE ENTRY VESITIBULE DOORS. NO CHANGE
Work: TO EXISTING FIRE AND LIFE SAFETY PLAN INCLUDING: NO CHANGE TO EXISTING
FIRE -RATINGS. NO CHANGE TO EXISTING USE AND OCCUPANCY CLASSIFICAITON. NO
CHANGE TO EXISTING OCCUPANT LOAD. NO CHANGE TO EXISTING EXITS, EXIT
ACCESS, EXIT PATH, OR TRAVEL DISTANCES.
Project Details
Project Information
Square Feet -Tenant 150
Valuation
Fair Market Value of Construction Work $10,000
Exterior Changes?
The work does not involve changes to the exterior
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