BLD2021-0873+Application+6.23.2021_10.35.40_AM+2265250CITY OF EDMONDS nnysuilaingPermit.com
Building Application #979097 - McCallum Residence
Applicant
First Name Last Name Company Name
Brianna Bliven CG Engineering
Number Street Apartment or Suite Number E-mail Address
250 4th Ave S Suite 200 briannab(.@_cgengineerinq.com
City State Zip Phone Number Extension
Edmonds WA 98020 4257788500
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
21630 98TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27032500109500
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
John McCallum
Number Street Apartment or Suite Number
21630 98TH W
City State Zip
EDMONDS WA 98020
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: 6/23/2021 Submitted By: Brianna Bliven
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #979097 - McCallum Residence
Project Contact
Company Name: CG Engineering
Name: Brandon Lang Email: brandonl@cgengineering.com
Address: 250 4th Ave S 4th Ave S Phone #: 4257788500
Edmonds WA 98020
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: McCallum Residence
Description of Settlement has occurred in an existing single-family home. The settlement is limited to the
Work: northwest corner and west side of the house. The northwest corner of the house will be
supported on pipe piles and the existing second story deck footings will be stabilized.
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work involves changes to the exterior
Stabilizing northwest corner of the house and existing
2nd story deck on west side of house.
$1,000
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