BLD2022-0155+Application+2.6.2022_11.09.15_AM+2664319CITY OF EDMONDS
MyBtaildingPermit.com
Building Application #1088121
-Ross Addition
Applicant
First Name Last Name
Company Name
Robin Michel
Michel Desiqn
Number Street
Apartment or Suite Number
E-mail Address
3617 BELLS BEACH RD
rwmichel1 (�D_me.com
City State Zip
Phone Number Extension
Langley WA 98260
2069302445
Contractor
Company Name
Reqent Construction Inc
Number Street
Apartment or Suite Number
3617 BELLS BEACH RD
City State Zip
Phone Number Extension
LANGLEY WA 98260
206-930-2445
State License Number License Expiration Date
UBI #
E-mail Address
REGENC1891K5 5/25/2023
603055500
rwmichel1(a-)_me.com
Project Location
Number Street
Floor Number Suite or Room Number
22624 105TH AVE W
City Zip Code
County Parcel Number
EDMONDS 98020
00610400001500
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
Donald Q Ross
Number Street Apartment or Suite Number
22624 105TH AVE W
City State Zip
EDMONDS WA 98020-5135
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: 2/6/2022 Submitted By: Robin Michel
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1088121 -Ross Addition
Project Contact
Company Name: Michel Design
Name: Robin Michel Email: rwmichel1@me.com
Address: 3617 BELLS BEACH RD Phone #: 2069302445
Langley WA 98260
Project Type
Single Family Residential
Activity Type Scope of Work
Structure Addition Residence
Project Name: Ross Addition
Description of Work: Add 1154 sq ft Two story 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
There are no critical areas.
Critical Areas Designation has been completed for
the parcel
Clearing and Grading Information
Total cubic yards of cut and fill
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 Construction Work
47
Addition located at back of existing home to the west.
$164,000
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