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FIR2022-0034+Application+3.31.2022_10.24.43_AM+2773172 (2)CITY OF EDMONDS MyBuitdingPermit.com Fire Application #1117014 - El Capitan FA Replacement for elevator Applicant First Name Last Name Company Name Evan Robbins 16D LLC Number Street Apartment or Suite Number E-mail Address PO Box 804 evan(cb,16dllc.com City State Zip Phone Number Extension Vashon WA 98070 2532256025 Contractor Company Name 16d LLC Number Street Apartment or Suite Number 10602 SW 110th ST PO Box 804 City State Zip Phone Number Extension Vashon WA 98070 (206) 218-4890 (206) 354-0876 State License Number License Expiration Date UBI # E-mail Address 16DLLL*882JT 5/15/2022 603092523 shelley(aD_16dllc.com Project Location Number Street Floor Number Suite or Room Number 200 JAMES ST All All common City Zip Code County Parcel Number EDMONDS 98020 00678200010100 Associated Building Permit Number Tenant Name Buildinq core and common areas Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Susan K Reed Number Street Apartment or Suite Number 200 JAMES ST 101 City State Zip EDMONDS WA 98020 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: 3/31/2022 Submitted By: Evan Robbins Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1117014 - El Capitan FA Replacement for elevator Project Contact Company Name: 16D LLC Name: Evan Robbins Email: evan@16dllc.com Address: PO Box 804 Phone #: 2532256025 Vashon WA 98070 Project Type Activity Type Scope of Work Multifamily Residential Alteration Fire Alarm Project Name: El Capitan FA Replacement for elevator Description of For the purpose of elevator modernization, replace the fire alarm panel with addressable and Work: add required detection and relays for elevator control. Replace existing initiating devices with new, addressable. Install new notification in common areas. Install monitoring via AES radio. Project Details Transmitter Type Dual Line Digital Alarm Communicator Fire System Counts Number of Devices Valuation Fair Market Value of Work Type of Work Other Panel or Power Supply The work involves a new fire alarm panel or power supply 105 $26,195 Page 2 of 2