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BLD2023-0389+Application+3.30.2023_3.11.48_PM+3454334CITY OF EDMONDS nn BuildingPermit.com Building Application #1288211 - MCGOURTY RESIDENCE FRONT ADDITION / ALTEI Applicant First Name Last Name Company Name CHARLENE SMITH DesignWorks NW Number Street Apartment or Suite Number E-mail Address 6523 California Ave SW Unit #244 c.k.s(a_comcast.net City State Zip Phone Number Extension Seattle WA 98136 (206) 450-9714 Contractor Company Name MacCoy Home Solutions LLC Number Street Apartment or Suite Number 5633 172nd PI SW City State Zip Phone Number Extension LYNNWOOD WA 98037 (206)271-2204 State License Number License Expiration Date UBI # E-mail Address MACCOHS867LZ 8/23/2024 603406541 MACCOYHOMESOLUTIONS(cD_GMAIL.0 Project Location Number Street Floor Number Suite or Room Number 1139 3RD AVE S City Zip Code County Parcel Number EDMONDS 98020 00582000200901 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 Kelly Mcgourty Number Street Apartment or Suite Number 1139 3RD AVE S City State Zip EDMONDS WA 98020 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: 3/30/2023 Submitted By: CHARLENE SMITH Page 1 of 2 i CITY OF EDMONDS MyBuildingPerm t.com Building Application #1288211 - MCGOURTY RESIDENCE FRONT ADDITION / ALTEI Project Contact Company Name: DesignWorks NW Name: CHARLENE SMITH Email: c.k.s@comcast.net Address: 6523 California Ave SW Unit #244 Phone #: (206) 450-9714 Seattle WA 98136 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: MCGOURTY RESIDENCE FRONT ADDITION / ALTERATION Description of NEW MASTER BEDROOM ADDITION (235 SF) AT EXISTING SINGLE-FAMILY Work: RESIDENCE FRONT WITH NEW EXTERIOR FRONT ENTRY COURTYARD, PER PLANS. 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. 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 3.39 Main Floor single -story Front Addition (235 SF) for new Master Bedroom $200,000 Page 2 of 2