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BLD2022-1559+Application+11.14.2022_8.21.40_AM+3207196CITY OF EDMONDS MyBuilaingPermit.coin Building Application #1226392 - Garage Conversion_K22-021 Applicant First Name Last Name Company Name Owen Keeper KB Pro Design Number Street Apartment or Suite Number E-mail Address 400 NW Gilman Blvd #171 City State Zip Issaquah WA 98027 Contractor Company Name Green Built Northwest LLC Number Street 18604 76th Ave W City State Zip Edmonds wa 98026 State License Number License Expiration Date GREENBN861QE 11/5/2024 Project Location Number Street 19015 80TH AVE W City Zip Code EDMONDS 98026 Associated Building Permit Number 1226392 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner office(�D_kbprodesign.com Phone Number Extension (425) 414-4264 Apartment or Suite Number Unit B Phone Number Extension (206)274-9226 UBI # E-mail Address 603448643 fabian(a)_greenbuiltnw.com County Parcel Number 00451200000305 Tenant Name Floor Number Suite or Room Number First Name Last Name or Company Name Colin Trevor Sully Number Street Apartment or Suite Number 19015 80TH AVE 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: 11/14/2022 Submitted By: Owen Keeper Page 1 of 2 CITY OF EDMONDS MyBuildingPerrnit.com Building Application #1226392 - Garage Conversion_K22-021 Project Contact Company Name: KB Pro Design Name: Owen Keeper Email: office@kbprodesign.com Address: 400 NW Gilman Blvd #171 Phone #: (425) 414-4264 Issaquah WA 98027 Project Type Single Family Residential Project Name: Garage Conversion_K22-021 Activity Type Scope of Work Remodel Residence THE SCOPE OF WORK OF THIS PROJECT WAS TO CONVERT THE EXISTING GARAGE AND STORAGE AREA INTO A LIVABLE AREA. NEW PLAN LAYOUT AS PER A/A2.0 THAT Description of INCLUDES 3 BEDROOMS, FULL BATH AND LAUNDRY. EXISTING SHOWER IN THE Work: EXISTING BATHROOM IS TO BE REMOVED AND REPLACED WITH A NEW SHOWER/TUB COMBO. NO CHANGE TO THE STRUCTURE OF THE HOUSE IS BEING DONE PER THIS SCOPE OF WORK. NO SITE WORK IS BEING PERFORMED PER THIS PERMIT. Project Details Mechanical Included? 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 Remodeling Work Exterior Changes? The work involves changes to the exterior Contact Information Owner Email Address EXISTING GARAGE AND STORAGE IS BEING CONVERTED INTO NEW LIVABLE AREA. ALL WORK IS IN THE BASEMENT/LOWER LEVEL. $25,000 APPLICANT/DESIGN PROFESSIONAL: office@KbProDesign.com Owner: colin.sully@yahoo.com Page 2 of 2