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BLD2022-1227+Application+9.14.2022_6.27.52_PM+3109357CITY OF EDMONDS MyBuildingPermit.com Building Application #1202094 - Nice Residence Applicant First Name Last Name Company Name Robin Kearsley Kearsley Homes Number Street Apartment or Suite Number E-mail Address 6631 Norma Beach Road r(@_kearsleyhomes.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 478-6380 Contractor Company Name KEARSLEY HOMES INC Number Street Apartment or Suite Number 6631 Norma Beach Road City State Zip Phone Number Extension Edmonds WA 98026 (425) 478-6380 State License Number License Expiration Date UBI # E-mail Address KEARSH1005NH 10/23/2023 602023362 r(cDkearsleyhomes.com Project Location Number Street Floor Number Suite or Room Number 848 PUGET WAY City Zip Code County Parcel Number EDMONDS 98020 00496000001100 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 Ryan & Tiffany Nice Number Street Apartment or Suite Number 848 PUGET WAY City State Zip EDMONDS WA 98020 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: 9/14/2022 Submitted By: Robin Kearsley Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1202094 - Nice Residence Project Contact Company Name: Kearsley Homes Name: Robin Kearsley Email: r@kearsleyhomes.com Address: 6631 Norma Beach Road Phone #: (425) 478-6380 Edmonds WA 98026 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Nice Residence Description of Work: Remodel parts of existing interior. New master bedroom addition and new upstairs addition. 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 There are no critical areas. 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 Remodel parts of existing interior. New master bedroom addition and new upstairs addition. $450, 000 Page 2 of 2