Building PermitFAMILY HOME Permit
City of Edmonds
PERMIT NUM
iL
EdmondsADULT
98020BLD2023-10313
www.edmondswa.gov
Type: ADULT FAMILY
Subtype: NEW AFH COMPLIANCE
Status: ISSUED
HOME
Parcel No: 00434600002105
Site Address: 8419 192ND ST SW EDMONDS,WA 98026-6124
Applied: 8/9/2023
Subdivision: LLA LL-98-193, SP
S-06-21, SP S-1-91, SP S-6-77, SP S-2001-40,
Lot: 0
Issued: 8/25/2023
004346
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $0.00
Occupancy Type: Construction Type:
Expiration Date: 8/19/2024
Code Edition: 0
No. Stories: 0 # of Dwelling Units: 0
Issued by: BAC
Scope of Work: BIRU-ADULT FAMILY HOME COMPLIANCE
WA State Contractor L & I #:
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
ZENA BIRU
19615 88TH AVE W, EDMONDS
(206)405-0044
ACESENIORCAREHOME@GMAIL.COM
WA 98026
19615 88TH AVE W, EDMONDS
CONTACT
ZENA BIRU
(206)405-0044
acecarehomesLLC@gmail.com
WA 98026
CONTRACTOR
OWNER
19615 88TH AVE W, EDMONDS
OWNER
ZENA BIRU
WA 98026
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
ADULT FAMILY HOME COMPLIANCE
001.000.345.83.000.00
$528.00
$528.00
8/14/23
R30683
BLD - PERMIT BASE FEE
001.000.322.10.000.00
$100.00
$100.00
8/14/23
R30683
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
8/14/23
R30683
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$6.50
$6.50
8/14/23
R30683
- RES
TOTALS: $679.50
$679.50
• •
CONDITION TYPE
STATUS
NOTES
Printed: Friday, August 25, 2023 9:20:40 AM 1 of 2
-ADULT FAMILY HOME • _ rmit
-
City of • • •
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.
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.
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
FOR
officials, employees, and agents from any and all claims for damages of whatever nature,
HOLD HARMLESS
INFORMATION
arising directly or indirectly from the issuance for 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.
MAINTENANCE BONDS
FOR
Maintenance Bond(s) required at FINAL.
NFORMATION
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
INSPECTIONS - Schedule Online at https://inspection.mybuildingpermit.com
INSPECTIONTYPE INSPECTOR COMPLETED RESULT
NOTES
X-1 FIRE FINAL
X-3 BUILDING FINAL"
Printed: Friday, August 25, 2023 9:20:40 AM 2 of 2