BLD2023-0501+Application+4.21.2023_4.32.09_PM+3495212CITY OF EDMONDS
MyBuitdingPermit.com
Building Application #1300119 - Lane Residence Add/Alt
Applicant
First Name
Last Name
Company Name
Mike
Shoffner
Michael Shoffner Architect
Number Street
Apartment or Suite Number
E-mail Address
18609 21st PI NE
shoffarch(cDaol.com
City State
Zip
Phone Number Extension
Shoreline WA
98155-4040
(206) 527-1281
Contractor
Company Name
Sayer Darwin LLC
Number Street
Apartment or Suite Number
6305 231 st St SW
City
State Zip
Phone Number Extension
MOUNTLAKE
WA 98043
2063351887
State License Number
License Expiration Date UBI #
E-mail Address
SAYERDL836DL
5/6/2023 604050667
info(a-)_sayerdarwin.com
Project Location
Number Street Floor Number Suite or Room Number
16120 72ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00513100005204
Associated Building Permit Number Tenant Name
2001-0734
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Christopher P & Pauline Y Lane
Number Street Apartment or Suite Number
16120 72ND AVE W
City State Zip
EDMONDS WA 98026-4517
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: 4/21/2023 Submitted By: Mike Shoffner
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1300119 - Lane Residence Add/Alt
Project Contact
Company Name: Michael Shoffner Architect
Name: Mike Shoffner Email: shoffarch@aol.com
Address: 18609 21st PI NE Phone #: (206) 527-1281
Shoreline WA 98155-4040
Project Type
Single Family Residential
Activity Type Scope of Work
Structure Addition Residence
Project Name: Lane Residence Add/Alt
Description of Upper floor convert 90 sf deck to conditioned space, remove partial roofs and construct
Work: new, re -roof all, repair decks, partial glazing upgrade; Main floor interior ceiling repair, repair
decks; Crawl space pour (5) footing pads and install posts.
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
The site has critical areas.
Critical Areas Designation has been completed for
the parcel
Clearing and Grading Information
Total cubic yards of cut and fill 1.3
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Upper floor convert 90sf deck to conditioned space,
Work Description/Location (example: 1 st floor, remove partial roofs and construct new, re -roof all,
Master Bath, Garage) repair decks, partial glazing upgrade, Main floor interior
ceiling repair, repair decks, Crawl space pour (5)
footing pads w/ posts.
Valuation
Fair Market Value of Construction Work $250,000
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