BLD2022-0463+Application+4.12.2022_3.57.54_PM+2798309CITY OF EDMONDS nnysuilaingPermit.com
Building Application #1123633 - Stark Residence Foundation Repair
Applicant
First Name Last Name Company Name
Brandon Lang CG Engineering
Number Street Apartment or Suite Number E-mail Address
250 4th Ave South 200 brandonl(.@_cgengineering.com
City State Zip Phone Number Extension
Edmonds WA 98020 2066371637
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
133 SUNSET AVE
City Zip Code County Parcel Number
EDMONDS 98020 00434401300500
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
May Ann Stark
Number Street Apartment or Suite Number
133 SUNSET AVE
City State Zip
EDMONDS WA 98026
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: 4/12/2022 Submitted By: Brandon Lang
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1123633 - Stark Residence Foundation Repair
Project Contact
Company Name: CG Engineering
Name: Brandon Lang Email: brandonl@cgengineering.com
Address: 250 4th Ave South 200 Phone #: 2066371637
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Stark Residence Foundation Repair
Description of Work: Stabilize existing foundation with pin piles and helical anchors
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 does not involve changes to the exterior
Lower Level, Crawl Space
$66,000
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