BLD2023-0043+Application+1.11.2023_12.08.27_PM+3309166CITY OF EDMONDS MyBuildingPermit.com
IF
Building Application #1252545 - Moll Residence - Phase II
Applicant
First Name Last Name Company Name
Brian Moll SCBC Enqineerinq, PLLC
Number Street Apartment or Suite Number E-mail Address
543 Main St. 106 brian.moll.se(@gmail.com
City State Zip Phone Number Extension
EDMONDS WA 98020 (206) 351-2217
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
16121 N MEADOWDALE RD
City Zip Code County Parcel Number
EDMONDS 98026 00513100004901
Associated Building Permit Number Tenant Name
19990253,20000783
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Brian E Moll
Number Street Apartment or Suite Number
16121 N MEADOWDALE RD
City State Zip
EDMONDS WA 98026-4547
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: 1/11/2023 Submitted By: Brian Moll
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1252545 - Moll Residence - Phase II
Project Contact
Company Name: SCBC Engineering, PLLC
Name: Brian Moll Email: brian.moll.se@gmail.com
Address: 543 Main St. 106 Phone #: (206) 351-2217
EDMONDS WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Structure Addition Residence
Project Name: Moll Residence - Phase II
Description of Approx 300SF addition to existing residence which was constructed in 1999-2000. The
Work: slab on grade and foundations for this addition were placed at the time of the original
construction so are existing.
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
Critical Areas Designation has been completed for
the parcel
Clearing and Grading Information
Total cubic yards of cut and fill 0
Mechanical Included?
Mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Work Location
Approx 300SF living room/home office addition to
Work Description/Location (example: 1st floor, residence constructed in 1999-2000. The slab on grade
Master Bath, Garage) and foundations for this addition were poured with the
1999 construction.
Valuation
Fair Market Value of Construction Work $45,000
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