BLD2022-1353+Application+10.4.2022_4.03.48_PM+3145978CITY OF EDMONDS M BtaildingPermit.com
Building Application #1209870 - Carport Addition for Nielsen Residence
Applicant
First Name
Last Name Company Name
Glenn
Steiner Glenn Steiner, Architect
Number Street
Apartment or Suite Number E-mail Address
842 Kimberly Ave
gssmesllc(D_gmail.com
City State
Zip Phone Number Extension
Kent WA
98030 (425) 749-8271
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
608 SUNSET AVE
City Zip Code County Parcel Number
EDMONDS 98020 00520100000200
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
NIELSEN4 LLC
Number Street Apartment or Suite Number
5506 SIXTH AVE S 210
City State Zip
SEATTLE WA 98108
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: 10/4/2022 Submitted By: Glenn Steiner
Page 1 of 2
CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1209870 - Carport Addition for Nielsen Residence
Project Contact
Company Name: Glenn Steiner, Architect
Name: Glenn Steiner Email: gssmesllc@gmail.com
Address: 842 Kimberly Ave Phone #: (425) 749-8271
Kent WA 98030
Project Type Activity Type Scope of Work
Single Family Residential New Construction Accessory Building
Project Name: Carport Addition for Nielsen Residence
Description of Work: Scope of work is the construction of a new 509 sf carport.
Project Details
Structure Type
Accessory Structure
Project Information
Square Feet - Building 509
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Contact Information
Owner Email Address crisn@gateway-ti.com
Page 2 of 2