Building PermitFAMILY HOME Permit
City of Edmonds
PERMIT NUM
iL
EdmondsADULT
98020BLD2022-0557
www.edmondswa.gov
Type: ADULT FAMILY
Subtype: NEW AFH COMPLIANCE
Status: ISSUED
HOME
Parcel No: 00407700100601
Site Address: 7615 201ST ST SW EDMONDS,WA 98026-6837
Applied: 5/3/2022
Subdivision: 004077, SP S-32-84
Lot: 0
Issued: 5/12/2022
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $0.00
Occupancy Type: Construction Type:
Expiration Date: 5/12/2023
Code Edition: 0
No. Stories: 0 # of Dwelling Units: 0
Issued by: BAC
Scope of Work: EDMONDS COMFORT CARE-AFH COMPLIANCE, ADDING 6TH BEDROOM
WA State Contractor L & I #:
NAME TYPE
NAME
ADDRESS
r
PHONE
EMAIL
APPLICANT
CARMELO LAVISTE
216 NE 175TH STREET,
(206)683-2395
BONGNL@HOTMAIL.COM
SHORELINE WA 98155
CONTACT
CNL DESIGN
216 NE 175TH STREET,
(206)683-2395
bongnl@hotmail.com
SHORELINE WA 98155
CONTRACTOR
CONTRACTOR UNKNOWN
GENET & YAECOB SAMUEL
EDMONDS
OWNER
IGEBRE
17615201STSTSW,
WA 98026
7DESCRIPTION
ACCOUNT 91 AMOUNT
PAID
PAID DATE
RECEIPT#
�DILY COMPLIANCE -SUB001.000.322.10.000.00
$175.00
$175.00
5/12/22
R20202
MIT FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.000.00
$175.00
$175.00
5/3/22
R19885
BLDG PLAN REVIEW FEE
ADULT FAMILY COMPLIANCE SUB
001.000.342.40.000.00
$100.00
$100.00
5/12/22
R20202
FIRE INSP FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.100.00
$100.00
$100.00
5/3/22
R19885
FIRE PLAN REVIEW FEE
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/3/22
R19885
PER PERMIT
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
5/12/22
R20202
TOTALS: $596.50
$596.50
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Thursday, May 12, 2022 1:15:54 PM 1 of 2
-ADULT
FAMILY HOME • _
City of Edmonds PERMIT NUM
Edmondsrmit
98020 1 1
. •.
1- HOLD HARMLESS - Applicant on behalf of his or her spouse heirs assigns and successors
in interests, agrees to indemnify defend and hold harmless the City of Edmonds,
Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance of this permit. Issuance
of this permit shall not be deemed to modify, waive or reduce any requirements of any
City ordinance nor limit in any way the City's ability to enforce any ordinance provision.
\r\n2 - PERMIT DISCLOSURE - Any request for alternate design, modification, variance or
other administrative deviation from adopted codes ordinances or policies must be
specifically requested in writing and be called out and identified. Processing fees for such
requests shall be established by Council and shall be paid upon submittal and are
nonrefundable.\r\n3- SOUND OR NOISE - Sound/Noise originating from temporary
FOR
construction sites as a result of construction activity are exempt from the noise limits of
ALL BUILDING PERMITS
INFORMATION
ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am
to 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the
noise originating from construction sites/activities must comply with the noise limits of
Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.\r\n4 -
OCCUPANCY - Final approval on a project or final occupancy approval must be granted by
the Building Official prior to use or occupancy of the building or structure. Check the job
card for all required City inspections including final project approval and final occupancy
inspections. \r\n5 - PLUMBING - Plumbing contractor license laws are regulated by
Chapter 18.106 RCW. Property owners who hire an unlicensed plumber may assume the
risks and potential monetary liability for work performed by unlicensed plumbing
contractors. For more information contact L&I Department of Licensing at 1-800-647-
0982.
FIRE FINAL INSPECTION
FOR
Request final Fire Department Inspection 425-775-7720.
NFORMATION
The issuance of this permit in no way constitutes approval from any other agencies
REGULATING AGENCIES
FOR
having regulatory authority over the facility and this construction activity. It is the
INFORMATION
responsibility of the property owner to obtain any and all such required approvals.
COMPLETED RES
SEQID INSPECTION TYPE INSPECTOR
NOTES
DATE
X-1 FIRE FINAL
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL**
Printed: Thursday, May 12, 2022 1:15:54 PM 2 of 2