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BLD2022-0076+Application+1.21.2022_2.38.35_PM+2634837CITY OF EDMONDS nn BuildingPermit.com Building Application #1078775 - Duncombe Residence Remodel, Concept 2 Applicant First Name Last Name Company Name Richard Okimoto Richard A. Okimoto, Architect Number Street Apartment or Suite Number E-mail Address 9924 225th Place SW raoarch(,@_outlook.com City State Zip Phone Number Extension EDMONDS WA 98020-5924 4256970983 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 18426 79TH PL W City Zip Code County Parcel Number EDMONDS 98026 00471000000800 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 Jason & Nasanzuu Duncombe Number Street Apartment or Suite Number 18426 79th Place W 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: 1/21/2022 Submitted By: Richard Okimoto Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1078775 - Duncombe Residence Remodel, Concept 2 Project Contact Company Name: Richard A. Okimoto, Architect Name: Richard Okimoto Email: raoarch@outlook.com Address: 9924 225th Place SW Phone #: 14256970983 EDMONDS WA 98020-5924 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Duncombe Residence Remodel, Concept 2 Remodel of an existing single-family residence to include - new enclosed living area on the Description of Upper Level over the existing, single -car Garage for new Dining/Family Room; New Bath and Work: remodeled Kitchen on Upper Level; remodeled Bath/Laundry Room on Lower Level; new concrete pad for kit -type Storage Shed to be owner built in the rear yard. Project Details 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 Critical Areas Designation has been completed for the parcel Clearing and Grading Information Total cubic yards of cut and fill 0 Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location New living area over the existing, single -car Garage for new Dining/Family Room; remodeled Kitchen and Work Description/Location (example: 1st floor, addition of New Bath on Upper Floor; remodeled Master Bath, Garage) Bath/Laundry Room on Lower Floor; new concrete slab for kit -type Storage Shed to be built by Owner in rear yard. Valuation Fair Market Value of Construction Work $146,000 Page 2 of 2