Building PermitADULT FAMILY HOME Permit
City of Edmonds
PERMIT NUM
iL
www.edmondswa.gov
Type: ADULT FAMILY
Subtype: AFH ADDITION -REMODEL
Status: ISSUED
HOME
Parcel No: 27042900305100
Site Address: 22021 76TH AVE W EDMONDS,WA 98026-7905
Applied: 4/20/2023
Subdivision: 005939
Lot: 0
Issued: 10/4/2023
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $56,000.00
Occupancy Type: Construction Type:
Expiration Date: 9/28/2024
Code Edition: 0
No. Stories: 0 # of Dwelling Units: 0
Issued by: BAC
Scope of Work: HENOK-AFH REMODEL, PLB NOT INCL
WA State Contractor L & I #:
•
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
ERMIAS KOTU
105 MALL WAY 1027,
(206)775-1471
ERMIAS@EMDDESIGNPRACTICE.COM
MARYSVILLE WA 98270
CONTACT
EMD
105 MALL WAY 1027,
(206)775-1471
ERMIAS@EMDDESIGNPRACTICE.COM
MARYSVILLE WA 98270
CONTRACTOR
HOMEOWNER EXEMPTION
HENOK B & WOLDEYES KO
1504 50TH ST SE, EVERETT WA
OWNER
YESHEWAERGET
98026
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT#
APPLIANCE VENT
001.000.345.83.000.00
$17.00
$17.00
10/3/23
R31693
BLD - RES VALUE BASED FEE
001.000.345.83.000.00
$792.00
$792.00
10/3/23
R31693
BLD - RES VALUE BASED REVIEW
001.000.345.83.000.00
$673.20
$673.20
4/25/23
R28107
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
4/25/23
R28107
PERMIT
ENG - INSPECTIONS
001.000.345.83.400.00
$126.00
$126.00
10/3/23
R31693
FAN CONNECTED TO A SINGLE
001.000.345.83.000.00
$51.00
$51.00
10/3/23
R31693
DUCT
MECHANICAL BASE PERMIT FEE
001.000.322.10.000.00
$57.00
$57.00
10/3/23
R31693
STATE BUILDING CODE SURCHARGE
001.000.237.150
$6.50
$6.50
10/3/23
R31693
-RES
TOTALS: $1,767.70
$1,767.70
CONDITION TYPE
STATUS
NOTES
Printed: Wednesday, October 04, 2023 12:29:18 PM 1 of 3
-ADULT
FAMILY HOME • _
rmit
-
City of • • •
. •. � •
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:OOam to 6:OOpm on weekdays and 10:OOam to 6:OOpm 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
SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOMS AND ON EACH LEVEL IN
FOR
CARBON MONOXIDE SYSTEMS
NEW CONSTRUCTION AND IN EXISTING DWELLINGS WHEN ALTERATIONS, REPAIRS OR
INFORMATION
ADDITIONS REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE SLEEPING ROOMS
ARE ADDED OR CREATED.
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.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
FOR
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
INFORMATION
REQUIREMENTS.
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufactures installation instructions on site for Building Inspector.
Sound or noise originating from temporary construction sites as a result of construction
activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of
FOR
7:OOam to 6:OOpm on weekdays and 10:OOam and 6:OOpm on Saturdays, excluding
SOUND AND NOISE
INFORMATION
Sundays and Federal Holidays. At all other times the noise originating from construction
sites and activities must comply with the noise limits of Chapter 5.30, unless a variance
has been granted pursuant to ECC 5.30.120.
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.
INSPECTIONTYPE INSPECTOR COMPLETED RESULT
!NOTES
X-1 FIRE FINAL
A-1 BUILDING PRECON
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-ADULT FAMILY HOME • _ rmit
City of Edmonds-
www.edmondswa.gov
B-3 MECH ROUGH IN
B-4 DRYWALL FASTENING
B-4 FRAMING
B-5 INSULATION ENERGY
B-6 AFH COMPLIANCE
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
A-1 TESC AND MOBILIZE
X-2 ENGINEERING FINAL
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