BLD2023-0103+Application+1.24.2023_3.45.46_PM+3329191CITY OF EDMONDS MyBuildingPermit.com
Building Application #1257546 - Elliott residence addition
Applicant
First Name Last Name Company Name
Jeremy Elliott
Number Street
Apartment or Suite Number E-mail Address
23422 74th Avenue West
jmgn750(.@_gmail.com
City State
Zip
Phone Number Extension
Edmonds WA
98026
(206) 960-2476
Contractor
Company Name
Contractor Unknown
Number Street
Apartment or Suite Number
City
State Zip
Phone Number Extension
State License Number
License Expiration Date
UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
23422 74TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00488800300501
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
Jeremy Elliott
Number Street Apartment or Suite Number
23422 74TH AVE W
City State Zip
EDMONDS WA 98026-8506
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: 1/24/2023 Submitted By: Jeremy Elliott
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1257546 - Elliott residence addition
Project Contact
Company Name: Hjert-Bernardi / Architect
Name: Jeri Hjert-Bernardi Email: hiert_bernardi@hotmail.com
Address: 9228 39th Avenue South Phone #: (206) 632-0287
Seattle WA 98118
Project Type Activity Type Scope of Work
Single Family Residential Structure Addition Residence
Project Name: Elliott residence addition
Description of Work: Addition of 107 sq. ft. on the basement level, 549 sq. ft. on the main level of an
existing single-family residence.
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?
No 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
81.7
Basement and main level addition on to an existing
single-family residence
$300,000
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