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BLD2024-0990+Application+7.29.2024_10.35.31_PM+4408763CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1521378 - Lindberg Remodel/Addition Applicant First Name Last Name Company Name Tim Olson Tim Olson Architect Number Street Apartment or Suite Number E-mail Address 1571 3rd St tim.olson6('gD_frontier.com City State Zip Phone Number Extension Kirkland WA 98033 (425) 889-9066 Contractor Company Name KCBC CONSTRUCTION SERVICES LLC Number Street Apartment or Suite Number 16938 157th St SE City State Zip Phone Number Extension Monroe WA 98272 (425) 281-3908 State License Number License Expiration Date UBI # E-mail Address KCBCCCS809MT 8/17/2024 604618811 remodelingiames(a)gmail.com Project Location Number Street Floor Number Suite or Room Number 743 MELODY LN City Zip Code County Parcel Number EDMONDS 98020 00461500000702 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 Darlene A Lindberq Number Street Apartment or Suite Number 743 MELODY LN 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: 7/29/2024 Submitted By: Tim Olson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1521378 - Lindberg Remodel/Addition Project Contact Company Name: Tim Olson Architect Name: Tim Olson Email: tim.olson6@frontier.com Address: 1571 3rd St Phone #: (425) 889-9066 Kirkland WA 98033 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Lindberg Remodel/Addition Description of Work: Conversion of existing 95 SF covered deck to heated space, along with kitchen remodel. 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 There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill 0 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, covered deck, Kitchen Master Bath, Garage) Valuation Fair Market Value of Construction Work $55,000 Page 2 of 2