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BLD2021-1548+Application+11.12.2021_2.34.22_PM+2518222CITY OF EDMONDS Building Application #1038101 -Beebe addition Applicant First Name Last Name Neil Jorgensen Number Street Apartment or Suite Number 11702 98th Ave NE 105 City State Zip KIRKLAND WA 98034 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 8223 200TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900117800 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name J3 Architects LLC E-mail Address neil@i3dlc.com Phone Number Extension 2064129296 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Adam Jefferson & Elyse Anne Beebe Number Street Apartment or Suite Number 8223 200TH ST SW City State Zip EDMONDS WA 98026 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: 11/12/2021 Submitted By: Neil Jorgensen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1038101 -Beebe addition Project Contact Company Name: J3 Architects LLC Name: Neil Jorgensen Email: neil@j3-Ilc.com Address: 11702 98th Ave NE 105 Phone #: 2064129296 KIRKLAND WA 98034 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Beebe addition Description of Work: 2 BEDROOM UPPER FLOOR ADDITION OVER EXISTING MAIN FLOOR- ADDITION WILL RESULT IN NEW 392 SF OF HEATED AREA. Project Details Increasing Building Height? The height of the building is increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface 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 2 bedroom upper floor addition over existing main floor - addition will result in new 392 sf of heated area. $25,000 Page 2 of 2