BLD2021-0381+Application+3.15.2021_2.19.13_PM+2092993CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #934974 - 9813 215th St SW
Applicant
First Name Last Name Company Name
Timothy Newberry TN Desiqn
Number Street Apartment or Suite Number E-mail Address
2905 158th PI SW carbontim(cD_gmail.com
City State Zip Phone Number Extension
lynnwood WA 98087 8083891452
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
9813 215TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 27032500105000
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
Janine & Burke Mace Flowers
Number Street Apartment or Suite Number
9813 215TH ST SW
City State Zip
EDMONDS WA 98020
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: 3/15/2021 Submitted By: Timothy Newberry
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #934974 - 9813 215th St SW
Project Contact
Company Name: TN Design
Name: Timothy Newberry Email: carbontim@gmail.com
Address: 2905 158th PI SW Phone #: 8083891452
lynnwood WA 98087
Project Type
Single Family Residential
Activity Type Scope of Work
Structure Addition Residence
Project Name: 9813 215th St SW
Description of Work: Kitchen remodel and minor addition
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
Lot size in square feet
Proposed Lot Coverage as a percentage
There are no critical areas.
Clearing and Grading Information
Total cubic yards of cut and fill
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
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 does not involve adding any new heated
space
13939
42.28
X
Kitchen Remodel with proposed Kitchen Addition - 98
SF on upper level of existing split level home with
walkout basement.
$60,000
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