BLD2023-0071+Application+1.17.2023_3.05.36_PM+3318891CITY OF EDMONDS MyBuilaingPermit.com
Building Application #1255224 - Brackett's Reserve Lot 07
Applicant
First Name Last Name Company Name
Rhonda Clancy Pacific Ridqe - DRH LLC
Number Street Apartment or Suite Number E-mail Address
17921 BOTHELL EVERETT HWY 100 RLClancy(D_pacificridgehomes.com
City State Zip Phone Number Extension
BOTHELL WA 98012 (425) 939-1164
Contractor
Company Name
PACIFIC RIDGE - DRH LLC
Number Street Apartment or Suite Number
17921 Bothell Everett HWY 100
City State Zip Phone Number Extension
Bothell WA 98012 (425) 939-1158
State License Number License Expiration Date UBI # E-mail Address
PACI FRD851 JB 4/5/2023 603487821 RLClancy(cD_pacificridgehomes. com
Project Location
Number Street Floor Number Suite or Room Number
23902 91ST PL W
City Zip Code County Parcel Number
EDMONDS 98026 00463301300303
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
PACIFIC RIDGE DRH LLC
Number Street Apartment or Suite Number
17921 BOTHELL EVERETT HW 100
City State Zip
BOTHELL WA 98012
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: 1/17/2023 Submitted By: Rhonda Clancy
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1255224 - Brackett's Reserve Lot 07
Project Contact
Company Name: Pacific Ridge - DRH LLC
Name: Rhonda Clancy Email: RLClancy@pacificridgehomes.com
Address: 17921 BOTHELL EVERETT Phone #: (425) 939-1164
HWY 100
BOTHELL WA 98012
Project Type
Single Family Residential
Activity Type
New Construction
Project Name: Brackett's Reserve Lot 07
Description of Work: new 3 story single family home
Project Details
Structure Type
Single Family Dwelling
Project Information
Square Feet - Deck
Square Feet - Floor 1
Square Feet - Floor 2
Square Feet - Floor 3
Total Bedrooms
Total Bathrooms
Total Dwelling Units
Critical Area Information
None
Contact Information
Owner Email Address
96
204
1,377
1,383
4
3
1
Scope of Work
Residence
Rhonda Clancy - RLClancy@pacificridgehomes.com
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