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BLD2023-0077+Application+1.19.2023_2.48.08_PM+3323634CITY OF EDMONDS nnysuilaingPermit.com Building Application #1256592 - Rodman Residence Applicant First Name Last Name Company Name Albert Cohen Al Cohen Desiqn Company Number Street Apartment or Suite Number E-mail Address 330 Dayton St. Suite 6 alcohendesign(&_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 776-7373 Contractor Company Name NORSK DESIGN BUILD Number Street Apartment or Suite Number 14963 NE 95th Street City State Zip Phone Number Extension Redmond WA 98052 (425) 881-3539 State License Number License Expiration Date UBI # E-mail Address NORSKDB881 DR 3/19/2024 601753859 karl.droppinq(a_Norskhome.com Project Location Number Street Floor Number Suite or Room Number 8709 191 ST PL SW City Zip Code County Parcel Number EDMONDS 98026 00672700001400 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 Cara & Rodman James Rodman Number Street Apartment or Suite Number 8709 191 ST PL SW 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: 1/19/2023 Submitted By: Albert Cohen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1256592 - Rodman Residence Project Contact Company Name: Al Cohen Design Company Name: Albert Cohen Email: alcohendesign@gmail.com Address: 330 Dayton St. Suite 6 Phone #: (425) 776-7373 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Rodman Residence Description of Work: New addition to laundry room and dining room, relocate kitchen, new wet bar, remodel powder room and pantry, miscellaneous window and door changes. 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 Critical Areas Designation has been completed for the parcel 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 0.5 Addition to laundry room, addition to dining room, kitchen and master bath remodel $176,000 Page 2 of 2