Building Permit (3)FAMILY HOME Permit
City of Edmonds
PERMIT NUM
iL
EdmondsADULT
98020
1 1
www.edmondswa.gov
Type: ADULT FAMILY
Subtype: NEW AFH COMPLIANCE
Status: ISSUED
HOME
Parcel No: 27041800307700
Site Address: 19301 86TH AVE W EDMONDS,WA 98026-6109
Applied: 12/15/2022
Subdivision: SP S-15-88
Lot: 0
Issued: 12/30/2022
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $0.00
Occupancy Type: Construction Type:
Expiration Date: 12/25/2023
Code Edition: 0
No. Stories: 0 # of Dwelling Units: 0
Issued by: BAC
Scope of Work: A KIND HEART INC-ADULT FAMILY HOME, COMPLIANCE ONLY
WA State Contractor L & I #:
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
DAWIT MAMO
19301 86TH AVE W, EDMONDS
(206)792-6940
MAMODAWIT10@YAHOO.COM
WA 98026
CONTACT
LOVING TIME AFH
19301 86TH AVE W, EDMONDS
(206)792-6940
mamodawitl0@yahoo.com
WA 98026
CONTRACTOR
OWNER
ESEGENET & MAMO DAWIT
AVE W, EDMONDS
OWNER
11930186TH
TADESSE
WA 98026
•'Lei=
DESCRIPTION
7�DILY
ACCOUNT
91 AMOUNT
PAID
PAID DATE
RECEIPT#
COMPLIANCE -SUB001.000.322.10.000.00
$175.00
$175.00
12/29/22
R25318
BLDGPERMIT FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.000.00
$175.00
$175.00
12/15/22
R25038
BLDG PLAN REVIEW FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.342.40.000.00
$100.00
$100.00
12/29/22
R25318
FIRE INSP FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.100.00
$100.00
$100.00
12/15/22
R25038
FIRE PLAN REVIEW FEE
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
12/15/22
R25038
PER PERMIT
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
12/29/22
R25318
TOTALS:
$596.50
$596.50
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Friday, December 30, 2022 10:18:21 AM 1 of 2
-ADULT
FAMILY HOME • _
rmit
City of • • • -
9:0i D1 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.
2 - 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.
3- SOUND OR NOISE - Sound/Noise originating from temporary construction sites as a
ALL BUILDING PERMITS
FOR
result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only
INFORMATION
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.
4 - 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.
5 - 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.
CARBON MONOXIDE ALARMS SHALL BE INSTALLED OUTSIDE OF EACH SEPARATE
FOR
SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOMS AND ON EACH LEVEL IN
CARBON MONOXIDE SYSTEMS
INFORMATION
NEW CONSTRUCTION AND IN EXISTING DWELLINGS WHEN ALTERATIONS, REPAIRS OR
ADDITIONS REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE SLEEPING ROOMS
ARE ADDED OR CREATED.
FOR
If any electrical work is done on this project obtain Electrical Permit from State
ELECTRICAL PERMIT
INFORMATION
Department of Labor and Industries 425-290-1309.
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.
INSPECTIONS
- Schedule Online
at https://inspection.mybuildingpermit.com
INSPECTIONTYPE INSPECTOR
COMPLETED
RESULT
NOTES
X-1 FIRE FINAL
B-6 AFH COMPLIANCE
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
A-1 BUILDING PRECON
INSPECTOR: ramp was preexisting. please verify ramp
is AFH compliant. also verify exit route map is
accurate.
Printed: Friday, December 30, 2022 10:18:21 AM 2 of 2