Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
APPLICATION
of ED-4 BUILDING PERMIT APPLICATION Development Services Building Division 121 Sth Ave N / Edmonds, WA 98020 425.771.0220 For handouts, submittal requirements, permit status and inspection scheduling information go to: httn://www.edmondswa.gov/ JOB SITE INFORMATION/LOCATION: (Where the work is taking place) Job Site Address: 546 Paradise Lane Parcel: 27032600302600 Lot /Unit/Suite #: Subdivision: PROPERTY OWNER: Name: Paradise Heights HLD LLC Mailing Address: City/State/Zip: 24144 E. Greystone Lane Woodway, WA 98020 Phone #: 425-750-5965 Email: jsrett@gmail.com OWNER INSTALLATION: *If yes, read and sign* Will work be performed by the property owner? ❑ Yes ❑ No I own, reside in, or will reside in the completed structure. This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange according to RCW 18.27.090. Owner Signature: APPLICANT/ CONTACT INFORMATION: Name of Applicant: Rob Michel Mailing Address: 7305 Soundview Drive City/State/Zip: Edmonds, WA 98026 Phone #: 206-930-2445 E-mail: rwmichel@nwlink.com GENERAL CONTRACTOR: (If different from applicant) General Contractor: Regent Construction, Inc. Mailing Address: 7305 Soundview Dr City/State/Zip: Edmonds, WA 98026 Phone #: 206-930-2445 E-mail: rwmichel@nwlink.com WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE: REGENCI891 K5 CITY OF EDMONDS BUSINESS LICENSE #: BL-010892 Office Use. Permit #: F LD% 0 q✓ -©� TYPE OF ❑ Accessory Structure/ Detached Garage -.-a - ❑ Addition ❑ Demolition ❑ Mechanical ❑ New Single Family / Duplex ❑ Plumbing ❑ Fire Sprinkler ❑ Remodel 0 New Commercial/ Mixed Use ❑ Re -Roof ❑ Signs ❑ Tank ❑Tenant Improvement ❑ Other Remodel Permitfees are based on: The value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. Valuation: SQUAREPROPOSED NEW APPLICATION Basement sq ft: 465 Finished X Unfinished ❑ 1st Floor, sq ft: 3,852 2nd Floor, sqft: 3,735 Garage/Carport:, sq ft: 3,060 Deck/Covered Porch/Patio: 438 Other sq ft- PROJECT w�- Ci V 1 l� LC� �e W E1111T S VV I certify that the information I have provided on this form/application is true, correct and complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Edmonds. Robin W. Michel Print Name: Signature: Date 1/0819