BLD2023-1509+Application+11.22.2023_9.56.04_AM+3854398CITY OF EDMONDS MyBuildingPermit.com
Building Application #1393355 - GBNW-Edmonds_Fabian_K23-013
Applicant
First Name Last Name Company Name
Owen Keeper KB Pro Desiqn
Number Street Apartment or Suite Number E-mail Address
400 NW Gilman Blvd #171
City
State Zip
Issaquah
WA 98027
Contractor
Company Name
Green Built Northwest
LLC
Number
Street
17713 15th Ave NE, Ste 201
City
State Zip
SHORELINE
WA 98155
State License Number
License Expiration Date
GREENBN861
QE 11/5/2024
Project Location
Number Street
9212 192ND PL SW
City Zip Code
EDMONDS 98020
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
owen(D,kbprodesign.com
Phone Number Extension
(425) 414-4264
Apartment or Suite Number
Phone Number Extension
(206) 274-9226
UBI # E-mail Address
603448643 fabian(c_greenbuiltnw.com
County Parcel Number
00434600005301
Tenant Name
Floor Number Suite or Room Number
First Name Last Name or Company Name
Jorqe Fabian Quiroqa
Number Street Apartment or Suite Number
7815 5TH AVE NE
City State Zip
SEATTLE WA 98115
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: 11/22/2023 Submitted By: Owen Keeper
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1393355 - GBNW-Edmonds_Fabian_K23-013
Project Contact
Company Name: KB Pro Design
Name: Owen Keeper Email: owen@kbprodesign.com
Address: P.O. BOX #171 Phone #: (425) 414-4264
Issaquah WA 98027
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: GBNW-Edmonds_Fabian_K23-013
Remodel of the Existing Single Family residence. No new S.F. is being added per this permit.
Description of The area of alteration is on both Levels of the House and the Main Alteration is Above the
Work: Garage as it is being rebuild with New Roof Line Being Higher then the Existing and Previous
Roof.
Project Details
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 Remodeling Work
Exterior Changes?
The work involves changes to the exterior
Contact Information
Owner Email Address
Lower Level and the Upper Level is Being Partially
remodeled.
$75,000
owen@kbprodesign.com
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