Building Permit (3)FAMILY HOME Permit
City of Edmonds
PERMIT NUM
iL
EdmondsADULT
98020
BLD2023-0329
www.edmondswa.gov
Type: ADULT FAMILY
Subtype: NEW AFH COMPLIANCE
Status: ISSUED
HOME
Parcel No: 00488800600803
Site Address: 23921 76TH AVE W EDMONDS,WA 98026-8811
Applied: 3/15/2023
Subdivision: 004888, SP S-2003-53 Lot: 0
Issued: 3/31/2023
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $0.00
Occupancy Type: Construction Type:
Expiration Date: 3/25/2024
Code Edition: 0
No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: TESFAHUNEGN- ADULT FAMILY HOME COMPLIANCE, NO CONSTRUCTION
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
N/A -NO CONSTRUCTION
NARDOS B & LEAKEMARIA
23921 76TH AVE W, EDMONDS
OWNER
TESFAHUNEGN
WA 98026-8811
•' •
DESCRIPTION
7�DILY
ACCOUNT 91 AMOUNT
PAID
PAID DATE
RECEIPT#
COMPLIANCE -SUB001.000.322.10.000.00
$175.00
$175.00
3/31/23
R27480
MIT FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.000.00
$175.00
$175.00
3/16/23
R27146
BLDG PLAN REVIEW FEE
ADULT FAMILY COMPLIANCE SUB
001.000.342.40.000.00
$100.00
$100.00
3/31/23
R27480
FIRE INSP FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.100.00
$100.00
$100.00
3/16/23
R27146
FIRE PLAN REVIEW FEE
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
3/16/23
R27146
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$6.50
$6.50
3/31/23
R27480
- RES
TOTALS: $601.50
$601.50
• 1 •
CONDITION TYPE
STATUS
NOTES
Printed: Friday, March 31, 2023 12:01:51 PM 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.
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.
' • -wq- • •
M. 1• 1•
- • • • • . - •
INSPECTIONTYPE INSPECTOR COMPLETED
RESULT
NOTES
X-1 FIRE FINAL
B-6 AFH COMPLIANCE
X-3 BUILDING FINAL"
Printed: Friday, March 31, 2023 12:01:51 PM 2 of 2