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BLD2020-0564+Application+6.2.2020_11.11.17_AMCITY OF EDMONDS nnyst,ilaingPermit.com Building Application #811753 - LARSEN RESIDENCE Applicant First Name Last Name Company Name Lisa Montalvo H2D Architecture + Design Number Street Apartment or Suite Number E-mail Address 23020 Edmonds Way 113 lisa(�D_h2darchitects.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 542-3734 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 7329 158TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00513300002700 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 Sharon E Larsen Number Street Apartment or Suite Number 9832 MARINE VIEW DR City State Zip MUKILTEO WA 98275 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: 6/2/2020 Submitted By: Lisa Montalvo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #811753 - LARSEN RESIDENCE Project Contact Company Name: 1-12D Architecture + Design Name: Lisa Montalvo Email: lisa@h2darchitects.com Address: 23020 Edmonds Way 113 Phone #: (206) 542-3734 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: LARSEN RESIDENCE Description of Work: EXISTING S.F.R. MAIN FLOOR REMODEL; MAIN FLOOR ADDITION W/ NEW DECK. NEW 2ND STORY ADDITION. NEW ATTACHED GARAGE. Project Details Increasing Building Height? The height of the building is increasing. Impervious Surface Adding/Replacing 2,000 square feet or more of hard surface Site Information Lot size in square feet Proposed Lot Coverage as a percentage The site has critical areas. Critical Areas Designation has been completed for the parcel Clearing and Grading Information Total cubic yards of cut and fill Mechanical Included? Mechanical work will occur during this project. Plumbing Included? No 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 26811 1720 10 MAIN FLOOR REMODEL, MAIN FLOOR ADDITION, DECK ADDITION, NEW 2ND STORY ADDITION, NEW ATTACHED GARAGE ADDITION $280,000 Page 2 of 2