BLD2021-0175+Application+1.29.2021_3.59.55_PM+2023167CITY OF EDMONDS MyBuildingPermit.com
Building Application #916425 - Koszarek residence
Applicant
First Name Last Name Company Name
Heidi Helqeson H2D Architecture + Design
Number Street Apartment or Suite Number E-mail Address
23020 Edmonds Way 113 heidi(o-)_h2darchitects.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 542-3734
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
17916 73RD AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00473700003800
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
Lauren & Simmons Christopher Koszarek
Number Street Apartment or Suite Number
17916 73RD AVE W
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
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.
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: 1/29/2021 Submitted By: Heidi Helgeson
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #916425 - Koszarek residence
Project Contact
Company Name: H2D Architecture + Design
Name: Heidi Helgeson Email: heidi@h2darchitects.com
Address: 23020 Edmonds Way 113 Phone #: (206) 542-3734
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Structure Addition Residence
Project Name: Koszarek residence
Description of Work: kitchen remodel, addition, and new adu
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
Lot size in square feet
Proposed Lot Coverage as a percentage
Critical Areas Designation has been completed for
the parcel
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: 1 st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work
Beam, Column or Footing
Relocation or addition of a structural beam, column,
or footing
Heated Space
The work involves adding any new heated space
14509
23.9
RE
kitchen remodel, addition and adu
$175,000
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