BLD2021-0870+Application+6.22.2021_12.56.07_PM+2263047CITY OF EDMONDS MyBuilaingPermit.com
Building Application #980851 - Gundersen House Addition
Applicant
First Name Last Name Company Name
Scott Boyer Mithun
Number Street Apartment or Suite Number E-mail Address
12216 Corliss Avenue North scottb((_mithun.com
City State Zip Phone Number Extension
Seattle WA 98133 2062350935
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
7811 200TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27041900102600
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
Edward & Michelle Gundersen
Number Street Apartment or Suite Number
7811 200TH ST SW
City State Zip
EDMONDS WA 98026-6834
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: 6/22/2021 Submitted By: Scott Boyer
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #980851 - Gundersen House Addition
Project Contact
Company Name: Mithun
Name: Scott Boyer Email: scottb@mithun.com
Address: 12216 Corliss Avenue North Phone #: 2062350935
Seattle WA 98133
Project Type
Single Family Residential
Activity Type Scope of Work
Structure Addition Residence
Project Name: Gundersen House Addition
Description of Work: 215 SF dining room addition to existing single story home. Work to include kitchen
remodel.
Project Details
Project Information
Square Feet - of Attached ADU
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
There are no critical areas.
Clearing and Grading Information
Total cubic yards of cut and fill
Mechanical Included?
No 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
No relocation or addition of a structural beam,
column, or footing
215
L
1 st floor dining room addition & kitchen remodel
including overframed roof (existing home roof to
remain) over new addition
$50,000
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