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BLD2021-1546+Application+11.12.2021_8.07.11_AM+2517064CITY OF EDMONDS nn BuildingPermit.com Building Application #1048525 - McCallum Residence Deck/Patio/Driveway 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 ADVANCED FNDTN SUPPORTS LLC Number Street Apartment or Suite Number 22102 Spruce Drive City State Zip Phone Number Extension MONROE WA 98272 (206)852-2450 (206)852-2450 State License Number License Expiration Date UBI # E-mail Address ADVANFS903DH 3/9/2022 602996985 howard(cD_foundationsupports.com 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: 11/12/2021 Submitted By: Brianna Bliven Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1048525 - McCallum Residence Deck/Patio/Driveway Project Contact Company Name: CG Engineering Name: Brandon Lang Email: brandonl@cgengineering.com Address: 250 4th Ave S, Suite 200 4th Ave Phone #: 4257788500 S, Suite 200 Edmonds WA 98020 Project Type Single Family Residential Activity Type Deck or Porch Project Name: McCallum Residence Deck/Patio/Driveway A portion of the concrete driveway and concrete patio will be replaced with a new concrete Description of driveway and patio. The existing deck above the patio will also be replaced with a deck of Work: equal size. It will have open decking. The size of the deck, patio and driveway will not change. Project Details Structure Type Deck Project Information Square Feet - Deck 415 Page 2 of 2