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FIR2024-0039_Application_5.17.2024_8.26.13_AM_4263844CITY OF EDMONDS M BuildingPermit.com Fire Application #1490111 - VIRGINIA MASON CONF.ROOM/STAFF SUPPORT Applicant First Name Last Name Company Name Oleg Sergeev Reliance Fire Protection Number Street Apartment or Suite Number E-mail Address 8168 304th ave SE Oleg@reliancefire.com City State Zip Phone Number Extension Preston WA 98050 (206) 682-6636 Contractor Company Name RELIANCE FIRE PROTECTION INC Number Street Apartment or Suite Number 8168 304th Ave SE PO Box 428 City State Zip Phone Number Extension Preston WA 98050 (206) 682-6636 State License Number License Expiration Date UBI # E-mail Address RELIAFP102L1 7/12/2025 FD194giF;n Oleg@reliancefire.com Project Location Number Street Floor Number Suite or Room Number 7315 212TH ST SW 1 Conference Rm City Zip Code County Parcel Number EDMONDS 98026 00566900500600 Associated Building Permit Number Tenant Name Virginia Mason Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name GAHC4 EDMONDS WA MOB LLC Number Street Apartment or Suite Number 18191 VON KARMAN AVE City State Zip I RVI N E CA 92612 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: 5/17/2024 Submitted By: Oleg Sergeev Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1490111 - VIRGINIA MASON CONF.ROOM/STAFF SUPPORT Project Contact Company Name: Reliance Fire Protection Name: Oleg Sergeev Email: Oleg@reliancefire.com Address: 8168 304th ave SE Phone #: (206) 682-6636 Preston WA 98050 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Sprinkler Systems Project Name: VIRGINIA MASON CONF.ROOM/STAFF SUPPORT Description of Work: TENANT IMPROVEMENT WITH 3 ADDED/RELOCATED PENDENT SPRINKLERS PER NEW WALLS AND CEILINGS LAYOUT Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added Number of Heads Relocated Valuation Fair Market Value of Work Contact Information Owner Email Address 2 1 $3,000 scott.strausbaugh@commonspirit.org Page 2 of 2