BLD2024-0091+Application+1.19.2024_3.11.47_PM+4010245CITY OF EDMONDS MyBuitdingPermit.com
Building Application #1426252 - Gronvold Residence - Fire Damage Repair
Applicant
First Name
Last Name Company Name
Chris
Bacus Pacific Enqineerinq Technoloqies
Number Street
Apartment or Suite Number E-mail Address
2150 N. 107th St.
320 cbacus(a_)_pacengtech.com
City State
Zip Phone Number Extension
Seattle WA
98133 (206) 281-7500
Contractor
Company Name
BELFOR USA GROUP INC
Number Street
Apartment or Suite Number
4320 S 131 st PI
100
City
State Zip Phone Number Extension
Seattle
WA 98168 (206) 549-4604
State License Number
License Expiration Date UBI # E-mail Address
BELFOUG99OBJ
12/20/2024 602089710 todd.durgan(aD_us.belfor.com
Project Location
Number Street
Floor Number Suite or Room Number
8101 240TH ST SW
City
Zip Code County Parcel Number
EDMONDS
98026 00451900201905
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
Kari Gronvold
Number Street Apartment or Suite Number
8101 240TH ST SW
City State Zip
EDMONDS WA 98026-9119
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: 1/19/2024 Submitted By: Chris Bacus
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1426252 - Gronvold Residence - Fire Damage Repair
Project Contact
Company Name: Pacific Engineering Technologies
Name: Chris Bacus Email: cbacus@pacengtech.com
Address: 2150 N. 107th St. 320 Phone #: (206) 281-7500
Seattle WA 98133
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Gronvold Residence - Fire Damage Repair
Description of Work: Fire Damage Repair to an existing single family residence
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1 st floor, Whole House
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work $251,000
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address Owner does not have email
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