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BLD2021-0177+Application+1.29.2021_3.52.32_PM+2022195CITY OF EDMONDS Building Application #915427 - 9530 Remodel Applicant First Name Last Name Morqan Kruse Number Street Apartment or Suite Nun 250 4th Avenue S Suite 200 City State Zip Edmonds WA 98020 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location MyBuildingPermit.com Company Name CG Engineering E-mail Address MorganK(D_cgengineerinq.com Phone Number Extension 4257788500 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 9530 215TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00528200001400 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Chevy & Joann Chase Number Street Apartment or Suite Number 20301 MAPLEWOOD DR City State Zip EDMONDS WA 98026-6669 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: 1/29/2021 Submitted By: Morgan Kruse Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #915427 - 9530 Remodel Project Contact Company Name: CG Engineering Name: Morgan Kruse Email: MorganK@cgengineering.com Address: 250 4th Avenue S Suite 200 Phone #: 4257788500 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: 9530 Remodel Description of Work: Interior remodel, close in existing carport to make additional square footage. Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information Lot size in square feet Proposed Lot Coverage as a percentage There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Construction Work Beam, Column or Footing Relocation or addition of a structural beam, column, or footing Heated Space The work involves adding any new heated space 10019 18 X carport, laundry room, master bedroom (the east side of the structure) $50,000 Page 2 of 2