BLD2022-0071+Application+1.20.2022_2.39.55_PM+2632671CITY OF EDMONDS MyBuilaingPermit.com
Building Application #1079613 -Anthology of Edmonds
Applicant
First Name Last Name Company Name
Michael Duqqan CA Senior Edmonds Property Owner, LLC
Number Street Apartment or Suite Number E-mail Address
130 E. Randolph Street Suite 2100 mduggan(&_ca-ventures.com
City State Zip Phone Number Extension
Chicaqo IL 60601 3122482091
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
21200 72ND AVE W
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2021-0088
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number
UBI # E-mail Address
County Parcel Number
00580700000401
Tenant Name
Anthology of Edmonds
Floor Number
1
Apartment or Suite Number
Extension
Suite or Room Number
None
First Name Last Name or Company Name
JAS GROUP LLC
Number Street Apartment or Suite Number
154 LAKE WASHINGTON BLVD E
City State Zip
SEATTLE WA 98112
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: 1/20/2022 Submitted By: Michael Duggan
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Building Application #1079613 -Anthology of Edmonds
Project Contact
Company Name: CA Senior Edmonds Property
Owner, LLC
Name: Michael Duggan Email: mduggan@ca-ventures.com
Address: 130 E. Randolph Street Suite Phone #: 3122482091
2100
Chicago IL 60601
Project Type Activity Type
Mixed Use Partial Demolition
Project Name: Anthology of Edmonds
Description of Work: Demolition of the existing, on -site building to make way for the construction of a 6-story
assisted living facility with at -level and below -grade parking.
Project Details
Demolition Scope
More than interior nonbearing walls are being
demolished.
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