BLD2023-0750+Application+6.14.2023_11.45.49_AM+3608958CITY OF EDMONDS nn BuildingPermit.com
Building Application #1333063 - Nova Family Resources & Childcare Center
Applicant
First Name Last Name Company Name
Carole Harper Nova Family Resource and Childcare Center
Number Street Apartment or Suite Number E-mail Address
21010 76th AV W caroleh(�D_novafam.org
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 214-2493
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
21010 76TH AVE W
City Zip Code
EDMONDS 98026
Associated Building Permit Number
1333014
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Kim Chan
Number Street
PO BOX 524
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
1 1
County Parcel Number
00614300001604
Tenant Name
Nova Family Resources & Childcare Center
Last Name or Company Name
SKY PROPERTIES 8 LLC
Apartment or Suite Number
City State Zip
KIRKLAND WA 98083
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: 6/14/2023 Submitted By: Carole Harper
Page 1 of 2
CITY OF EDMONDS M BuildingPerrntt.com
Building Application #1333063 - Nova Family Resources & Childcare Center
Project Contact
Company Name: dwudesign
Name: David Wu Email: dwudesign@gmail.com
Address: 14632
432 14th Avenue SE 14th Avenue Phone #: (425) 512-1780
SE
Mill Creek WA 98012
Project Type Activity Type
Nonresidential Tenant Improvement - Change of Use
Project Name: Nova Family Resources & Childcare Center
Description of Work: Change of use from office to Childcare, upgrade existing restroom to accessible,
provide smoke and carbon detector and emergency exit signs per plan.
Project Details
Project Information
Square Feet -Tenant
Use Information
Use - existing
Use - proposed
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1,997
Only one of the rooms in the lower floor change from
office to childcare for low income foster child, all other
rooms remain the same office use.
Office
Lower Floor 721 sf existing office to childcare.
Page 2 of 2