Building PermitType: RESIDENTIAL BLDG Subtype: DECK I Status: ISSUED
Parcel No: 00488800600503 Site Address: 23915 76TH AVE W EDMONDS,WA 98020
Subdivision: 004888, SP S-2003-53, SP S-97-71 Lot: 0
Fire Sprinklers: Lot Area: 10,018 Zoning: RS-8
Valuation: $2,070.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: BOORIAK- DECK
Applied: 7/26/2023
Issued:8/18/2023
Final:
Expiration Date: 2/18/2024
Issued by: NED
I WA State Contractor L & I #: WORDWWC778MU I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE EMAIL
APPLICANT
CARMELO LAVISTE
216 NE 175TH STREET,
(206)683-2395
CNLDESIGN.DRAFTING@GMAIL.COM
SHORELINE WA 98155
CONTACT
CNL DESIGN
216 NE 175TH STREET,
(206)683-2395
cnldesign.drafting@gmail.com
SHORELINE WA 98155
CONTRACTOR
WORD WORKS
1085 TYLER 1AMES LN, CAMANO
(360)672-4086
CONSTRUCTION
ISLAND WA 98292
23915 76TH AVE W, EDMONDS
OWNER
PATRICIA M BOORIAK
WA 98026
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
BLD -RES VALUE BASED FEE
001.000.345.83.000.00
$189.00
$189.00
8/17/23
R30783
BLD - RES VALUE BASED REVIEW
001.000.345.83.000.00
$160.65
$160.65
7/31/23
R30380
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
7/31/23
R30380
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$6.50
$6.50
8/17/23
R30783
- RES
TOTALS: $401.15 $401.15
CONDITIONS
CONDITION TYPE
STATUS
NOTES
It is the owner's responsibility to repair/replace all damage of utilities or frontage
DAMAGE TO FRONTAGE
FOR
improvements in City right of Ways or Easements to City Standards caused by or
IMPROVEMENTS
INFORMATION
occurring during the permitted project.
FOR
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
INFORMATION
REQUIREMENTS.
FOR
All utilities shall be located prior to any excavation. New locates shall be called for if at
UTILITY LOCATES
INFORMATION
time of excavation, original locates are no longer identifiable.
117SPECTTONTYPE]INSPECTOR COMPLETED RESULT NOTES
B-1 SETBACKS
Printed: Friday, August 18, 2023 9:03:21 AM 1 of 2
Printed: Friday, August 18, 2023 9:03:21 AM 2 of 2