BLD2021-0994+Application+7.16.2021_3.30.07_PM+2306020CITY OF EDMONDS MyBuilaingPermit.com
Building Application #992480 - Otterlee Interior Remodel
Applicant
First Name Last Name Company Name
Jayne Otterlee
Number Street
Apartment or Suite Number E-mail Address
631 Birch
jaynedavis416(.@-yahoo.com
City State
Zip
Phone Number Extension
e WA
98020
(206) 369-1776
Contractor
Company Name
NORTHWEST HOME PROS
Number Street
Apartment or Suite Number
5305 136th PI
SW
City
State Zip
Phone Number Extension
EDMONDS
WA 98026
(253) 315-9192
State License Number
License Expiration Date
UBI # E-mail Address
NORTHHP850P8
11 /2/2021
601345254 patrick(cD_northwesthomepros.com
Project Location
Number Street
Floor Number Suite or Room Number
631 BIRCH ST
City
Zip Code
County Parcel Number
EDMONDS
98020
00539100001500
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
Mark & Jayne Otterlee
Number Street Apartment or Suite Number
631 BIRCH ST
City State Zip
EDMONDS WA 98020-4633
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: 7/16/2021 Submitted By: Jayne Otterlee
Page 1 of 2
CITY OF EDMONDS M BuildingPerrnit.com
Building Application #992480 - Otterlee Interior Remodel
Project Contact
Company Name: Puget Sound Planning, LLC
Name: Lee Michaelis Email: lee.a.michaelis@gmail.com
Address: 5005 200th St SW Suite Phone #: 4258301046
101-B
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Otterlee Interior Remodel
Description of Work: Remodel kitchen, master bathroom, and basement laundry room
Project Details
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 Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Remodel Kitchen, Master Bedroom, and basement
Laundry Room
$135,000
Page 2 of 2