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FIR2024-0016+Application+2.21.2024_7.34.21_AM+4071992CITY OF EDMONDS MyBuildingPermit.com Fire Application #1445601 - Wander Guard and Fire Alarm System interface Applicant First Name Last Name Company Name Colin Pine Siemens Number Street Apartment or Suite Number E-mail Address 15900 SE Eastqate #200 colin.pine(o-)_siemens.com City State Zip Phone Number Extension Bellevue WA 98008 (425) 233-5245 Contractor Company Name Siemens Industry Inc Number Street 15900 SE Eastqate Way City State Zip Bellevue WA 98008 State License Number License Expiration Date SIEME11919PP 11/2/2025 Project Location Number Street 750 EDMONDS WAY City Zip Code EDMONDS 98020 Associated Building Permit Number NA Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension (425) 233-5245 UBI # E-mail Address 601906563 colin.pine(cDsiemens.com County Parcel Number 27032500306200 Tenant Name Sunrise Of Edmonds Floor Number Suite or Room Number All main floors NA First Name Last Name or Company Name *Nate Younq SJV1 EDMONDS LLC Number Street Apartment or Suite Number BROOKFIELD PL NEW YORK, 250 City State Zip NEW YORK NY 10281 Certification Statement - The applicant states: 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. 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: 2/21/2024 Submitted By: Colin Pine Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1445601 - Wander Guard and Fire Alarm System interface Project Contact Company Name: Siemens Name: Colin Pine Email: colin.pine@siemens.com Address: 15900 SE Eastgate #200 Phone #: (425) 233-5245 Bellevue WA 98008 Project Type Multifamily Residential Activity Type Alteration Scope of Work Fire Alarm Project Name: Wander Guard and Fire Alarm System interface Siemens will provide 9 relays and will be installed by our subcontractor and run the necessary Description of wiring from the nearest addressable device to the relay and the wiring from the relay to the door Work: locking hardware power supply. These doors are located on the third -floor stairwell doors, second floor stairwell doors, one of the first stairwell door, the main first floor entry door, northeast exit door two porch, southeast exit door to porch and first floor back area exit door. Project Details Transmitter Type Digital Alarm Communicator With Cellular Back Up Fire System Counts Number of Devices Valuation Fair Market Value of Work 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 $40,817 colin.pine@siemens.com Page 2 of 2