BLD2020-0831+Application+8.10.2020_5.10.05_PMCITY OF EDMONDS M BuildingPermit.com
Building Application #841942 - Lieu Residence Foundation Stabilization
Applicant
First Name
Last Name Company Name
Beth
Campbell CG Engineering
Number Street
Apartment or Suite Number E-mail Address
250 4th Ave South
200 beth((_cgengineerinq.com
City State
Zip Phone Number Extension
Edmonds WA
98020 4257788500 117
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
16515 74TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00513100008803
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
Charlene A Lieu
Number Street Apartment or Suite Number
16515 74TH PL W
City State Zip
EDMONDS WA 98026-4911
Certification Statement - The applicant states:
I 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. I
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: 8/10/2020 Submitted By: Beth Campbell
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CITY OF EDMONDS MyBuitdingPermit.com
Building Application #841942 - Lieu Residence Foundation Stabilization
Project Contact
Company Name: CG Engineering
Name: Beth Campbell Email: beth@cgengineering.com
Address: 250 4th Ave South 200 Phone #: 4257788500 117
Edmonds WA 98020
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Lieu Residence Foundation Stabilization
Description of Work: Settlement has affected an existing single family home. The West side and a portion of
the North and South sides of the home will be stabilized with pipe piles.
Project Details
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, Settlement has affected an existing single family home.
Master Bath, Garage) The West side and a portion of the North and South
sides of the home will be stabilized with pipe piles.
Valuation
Fair Market Value of Remodeling Work $10,000
Exterior Changes?
The work does not involve changes to the exterior
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