BLD2021-1073+Application+7.30.2021_4.25.43_PM+2331932CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #998344 - Rudberg Addition
Applicant
First Name Last Name Company Name
Matt Rudberq
Number Street Apartment or Suite Number E-mail Address
8421 202nd St. SW 5rudbergs(�D_gmai1.com
City State Zip Phone Number Extension
Edmonds WA 98026 2067944017
Contractor
Company Name
Owner
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
8421 202ND ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27041900207500
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Matt and Sarah Rudberg
Number Street Apartment or Suite Number
8421 202nd St. SW
City State Zip
EDMONDS WA 98026-7349
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: 7/30/2021 Submitted By: Matt Rudberg
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #998344 - Rudberg Addition
Project Contact
Company Name:
Name: Matt Rudberg Email: 5rudbergs@gmail.com
Address: 8421 202nd St. SW Phone #: 206 794 4017
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential Structure Addition Residence
Project Name: Rudberg Addition
Description of Single story residential addition coming off the back of our rambler. Addition will be a
Work: kitchen, main bedroom, main bathroom, and office. Adding a front porch structure as well.
The addition is 1208 Sqft.
Project Details
Increasing Building Height?
The height of the building is increasing.
Impervious Surface
Adding/Replacing less than 2,000 square feet of hard
surface
Site Information
There are no critical areas.
Clearing and Grading Information
Total cubic yards of cut and fill 10
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
Beam, Column or Footing
No relocation or addition of a structural beam,
column, or footing
1 st floor addition coming off back of rambler that
includes kitchen, main bedroom and bathroom, and
office.
$175,000
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