BLD2023-0498+Application+4.21.2023_1.15.44_PM+3498194CITY OF EDMONDS MyBoildingPermit.com
Building Application #1302781
- Edmonds professional Center
Applicant
First Name Last Name
Company Name
Kevin DuBois
Installer Direct
Number Street
Apartment or Suite Number E-mail Address
21604 148th Ave SE
installerdirect((:D_outlook.com
City State Zip
Phone Number Extension
Kent WA 98042
(206) 234-9133
Contractor
Company Name
DUBOIS, KEVIN
Number Street
Apartment or Suite Number
21604 148th Ave S.E.
City State Zip
Phone Number Extension
Kent WA 98042
2532934007
State License Number License Expiration Date
UBI # E-mail Address
DUBOIK*033CS 6/27/2024
601762367 installerdirect(cb_outlook.com
Project Location
Number Street Floor Number Suite or Room Number
7315 212TH ST SW 2 208/209
City Zip Code County Parcel Number
EDMONDS 98026 00566900500600
Associated Building Permit Number Tenant Name
Quest Diaqnostic
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
* GAHC4 EDMONDS WA MOB LLC
Number Street Apartment or Suite Number
18191 VON KARMAN AVE
City State Zip
IRVINE CA 92612
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: 4/21/2023 Submitted By: Kevin DuBois
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1302781 - Edmonds professional Center
Project Contact
Company Name: Installer Direct
Name: Kevin DuBois Email: installerdirect@outlook.com
Address: 21604 148th Ave SE Phone #: (206) 234-9133
Kent WA 98042
Project Type
Nonresidential
Activity Type
Tenant Improvement
Project Name: Edmonds professional Center
Description of 208-209 had a wall removed by previous owners and now we are changing it back to a
Work: divided space. We are replacing a wall in a passage that is 3ft 7in by 6ft 7in tall. We used
5/8 sheet rock over metal studs, finished and painted to match.
Project Details
Project Information
Square Feet -Tenant
Use Information
Use - existing
Use - proposed
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1,100
There are two tenants in the spaces 208-209, Edmonds
eye clinic (Dr.Andy) and 209 is Quest Diagnostic
208 and 209 where combined for the last owners and
now we are putting the dividing passage back up to
create 208 and 209 separation again
2nd floor street level access, we are changing a
combined space back to it original two spaces. We
added a wall between 208-209 3ft7in by 6ft7in that was
once a wall and removed and now replaced. We used
5/8 sheet rock and metal studs.
Valuation
Fair Market Value of Construction Work $1,500
Exterior Changes?
The work does not involve changes to the exterior
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