BLD2021-0926+Application+7.1.2021_11.12.23_AM+2279262CITY OF EDMONDS nn BtaildingPermit.com
Building Application #978488 - Office Building Tenant Improvements
Applicant
First Name Last Name Company Name
brent deide cornerstone architectural qroup
Number Street Apartment or Suite Number E-mail Address
6161 ne 175th st. 101 bdeide(cb_cornerstonearch.com
City State Zip Phone Number Extension
kenmore WA 98028 (206) 682-5000
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
Number Street
7614 195TH ST SW
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
2 200,201
Zip Code County Parcel Number
98026 00539600100100
Tenant Name
SUMME MEDICAL CLINIC, PSM, INC.
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
*SVREAL EDMONDS MEDICAL CENTER LLC
Number Street Apartment or Suite Number
17338 20TH AVE NW
City State Zip
SHORELINE WA 98177
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: 7/1/2021 Submitted By: brent deide
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CITY OF EDMONDS MyBuildingPerrnit.com
Building Application #978488 - Office Building Tenant Improvements
Project Contact
Company Name: cornerstone architectural
group
Name: steve barnes Email: sbarnes@cornerstonearch.com
Address: 6161 ne 175th st. 101 Phone #: 2065509296
kenmore WA 98028
Project Type
Nonresidential
Project Name: Office Building Tenant Improvements
Activity Type
Remodel
TENANT IMPROVEMENTS TO EXISTING OFFICE BUILDING INCLUDING SELECTIVE
Description of DEMOLITION OF INTERIOR PARTITION WALLS, CEILINGS, HVAC, PLUMBING &
Work: ELECTRICAL. CONSTRUCTION OF NEW INTERIOR PARTITION WALLS, ACCESSIBLE
RESTROOMS, ACOUSTICAL CEILINGS, LIGHTING, HVAC, FLOORING, CASEWORK, ETC.
Project Details
Project Information
Square Feet -Tenant 2,320
Valuation
Fair Market Value of Construction Work $40,000
Exterior Changes?
The work does not involve changes to the exterior
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