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BLD2020-1359+Application+12.11.2020_8.57.56_AMCITY OF EDMONDS Building Application #895995 - Flores Addition Applicant First Name Last Name Neil Jorqensen Number Street Apartment or Suite Number PO Box 82581 City State Zip Kenmore WA 98028-0581 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 19804 81 ST PL W City Zip Code County Parcel Number EDMONDS 98026 00603400001000 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner i MyBuitdingPermit.com Company Name J3 Architects LLC E-mail Address neil(.@_j3-Ilc.com Phone Number Extension 2064129296 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Bernardo & Flores Victoria Flores Number Street Apartment or Suite Number 19804 81 ST PL 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: 12/11/2020 Submitted By: Neil Jorgensen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #895995 - Flores Addition Project Contact Company Name: J3 Architects LLC Name: Neil Jorgensen Email: neil@j3-Ilc.com Address: PO Box 82581 Phone #: 2064129296 Kenmore WA 98028-0581 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Flores Addition Description of Work: Construct new 107 SF master bedroom closet addition and existing master bathroom remodel 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. Mechanical Included? No 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 Construct new 107 sf master bedroom closet addition and existing master bathroom remodel $20,000 Page 2 of 2