Laserfiche WebLink
0 <br />Fire Sprinkler Permit Application <br />Job Information <br />Job Address: <br />1321 Colby Ave, Everett, WA 98201 <br />Floor and Suite #: <br />4th Floor <br />Property Owner: <br />Providence Health & Services <br />Tenant: <br />Providence Behavioral Health Unit <br />Project Name (if applicable): <br />Providence BHU <br />Value of Work (fair market <br />value of labor & materials): <br />$ 44,671 <br />Parcel #: 00438524600000 <br />Customer/Tenant Information <br />Customer: <br />Mortenson Company <br />Customer Contact: <br />Erin Erwin <br />Phone: <br />702.526.6378 <br />Email: <br />Erin.Erwin@mortenson.com <br />Scope of Work <br />Type of System: Wet <br />Number of Risers 1 <br />Are we installing a backflow preventer as part of our scope of work? <br />Y <br />N <br />V <br />Y <br />N © <br />Quick Response Head Change Out: —_—Heads - K factor and spacing must match <br />existing. No head relocations. <br />Y 0N <br />Recalled Head Change Out: Heads - K factor and spacing must match <br />existing. No head relocations. <br />Y P <br />N ❑ <br />Tenant Improvement/Alteration <br />Relocating 101 Heads <br />Adding 34 Heads <br />TOTAL heads 135 <br />Capping/plugging 10 Heads <br />Verify Each of the Following Required Conditions <br />© <br />All work completed in accordance with applicable NFPA standards, city ordinances and/or standards. <br />No change of use. Previous use (if known) <br />© <br />Proposed use In -patient care facility <br />© <br />Work will not change hydraulic calculations. <br />m <br />No moving/relocating mains or cross mains. <br />m <br />Limited to Light/Ordinary Hazard. <br />COMMENTS <br />Contact for payment: <br />Rob Fix <br />RobFi@McKinstry.com <br />(206)790-1091 <br />L_ <br />Q!tryCONFIDENTIAL & PROPRIETARY <br />at m, eoudm9 <br />