BLD2021-0344+Application+3.8.2021_6.09.48_AM+2079932CITY OF EDMONDS
MyBuildingPermit.com
Building Application
#931620 - Fiore Addition & Remodel
Applicant
First Name
Last Name
Company Name
Michael
Fiore
Number Street
Apartment or Suite Number
E-mail Address
9401 215th St SW
tom(�D_lerendesign.com
City State
Zip
Phone Number Extension
Edmonds WA
98020
(206) 954-4145
Contractor
Company Name
Haider Construction
Number Street
Apartment or Suite Number
5607 244th St. SW
City
State Zip
Phone Number Extension
Mountlake Terrace
WA 98043
4257713515
State License Number
License Expiration Date UBI #
E-mail Address
HAIDEC*914DB
4/5/2021 602903374
tom@lerendesign.com
Project Location
Number Street Floor Number Suite or Room Number
9401 215TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00496100000200
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
Michael Fiore
Number Street Apartment or Suite Number
9401 215TH ST SW
City State Zip
EDMONDS WA 98020
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: 3/8/2021 Submitted By: Michael Fiore
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #931620 - Fiore Addition & Remodel
Project Contact
Company Name: PLCet Sound Planning,
Name: Lee Michaelis
Address: 5005 200th St SW
Suite 101-B
Lynnwood WA 98036
Project Type
Single Family Residential
Email: lee.michaelis@pugetsoundplanning.com
Phone #: 4258301046
Activity Type Scope of Work
Structure Addition Residence
Project Name: Fiore Addition & Remodel
Description of Project includes the construction of a 293 square foot first floor addition to include new
Work: kitchen, laundry room and mud room. Project also includes construction of a new 20
square foot entryway.
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
10845
19.2
4
First Floor east side of existing structure
$85,000
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