DNS BLD2022-1293+Application+9.27.2022_2.17.01_PM+3114590CITY OF EDMONDS MyBuildingPermit.com
Building Application #1203379 - LRIV Addition
Applicant
First Name Last Name Company Name
Ron Jacobson RVJ Permit Consultinq
Number Street Apartment or Suite Number E-mail Address
17223 174TH Ave SE ronjacobson65(@gmail.com
City State Zip Phone Number Extension
Renton WA 98058 (206) 510-5931
Contractor
Company Name
AMERICAN CONSTRUCTION UNTD LLC
Number Street
11335 NE 122nd Way
City State Zip
Kirkland WA 98034
State License Number License Expiration Date UBI #
AMERICU822133 5/31/2024 604125418
Project Location
Number Street
18909 94TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00434600004705
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
103
Phone Number Extension
4252479907 (206)307-6522
E-mail Address
ufford.paul(cDbelonghome.com
Floor Number Suite or Room Number
First Name Last Name or Company Name
Alexis LRIV INVESTMENTS INC
Number Street Apartment or Suite Number
57 DARBYS RUN COURT
City State Zip
HIRAM GA 30141
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: 9/27/2022 Submitted By: Ron Jacobson
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1203379 - LRIV Addition
Project Contact
Company Name: RVJ Permit Consulting
Name: Ron Jacobson Email: ronjacobson65@gmail.com
Address: 17223 174TH Ave SE Phone #: (206) 510-5931
Renton WA 98058
Project Type
Single Family Residential
Activity Type Scope of Work
Structure Addition Residence
Project Name: LRIV Addition
Description of Work: Add 108 sf to main floor living space Add 1202 sf to upper floor living space
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 10
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, Main and upper addition
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work $200,000
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