BLD2024-0847+Application+6.26.2024_3.41.35_PM+4345824CITY OF EDMONDS MyBuitdingPermit.com
Building Application
#1505782 - Healthcare Realty Transformation Care Network
Applicant
First Name
Last Name
Company Name
Amanda
Promisloff
TGB Architects
Number Street
Apartment or Suite Number E-mail Address
21911 76th Ave W
Suite 210 apromisloff(a�tgbarchitects.com
City State
Zip
Phone Number Extension
Edmonds WA
98026
(425) 778-1530
Contractor
Company Name
AXIOM NORTHWEST CONST INC
Number Street
Apartment or Suite Number
2232 Broadway
101
City
State Zip
Phone Number Extension
Everett
WA 98201
(425) 903-4038
State License Number
License Expiration Date
UBI # E-mail Address
AXIOMNC920LJ
7/28/2024
602838426 ryan(a)axiomnw.com
Project Location
Number Street
Floor Number Suite or Room Number
21701 76TH AVE W
3 300
City
Zip Code
County Parcel Number
EDMONDS
98026
00580700002702
Associated Building Permit Number
Tenant Name
Transformation Care Network
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 92129
Last Name or Company Name
HR ACQUISITION I CORPORATION
Apartment or Suite Number
City State Zip
SOUTHLAKE TX 76092
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: 6/26/2024 Submitted By: Amanda Promisloff
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1505782 - Healthcare Realty Transformation Care Network
Project Contact
Company Name: TGB Architects
Name: Amanda Promisloff Email: apromisloff@tgbarchitects.com
Address: 21911 76th Ave W Suite Phone #: (425) 778-1530
Edmonds WA 98026
Project Type
Nonresidential
Activity Type
Tenant Improvement
Project Name: Healthcare Realty Transformation Care Network
Description of Work: remodel of existing suites 300A, 300B, and 306 into one suite, work to include a new
reception and waiting and offices for patient care
Project Details
Project Information
Square Feet -Tenant
4,790
Use Information
Use - existing
b-business
Use - proposed
b-business
Work Location
Work Description/Location (example: 1 st floor,
suite 300, third floor
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work
$300,000
Exterior Changes?
The work does not involve changes to the exterior
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