Building PermitADULT FAMILY HOME
Permit
PERMIT NUM
City of • • •
98020BLD2021-0367
www.edmondswa.gov
Type: ADULT FAMILY HOME
Owner/ Business: ZENA BIRU
Status: ISSUED
Subtype: NEW AFH COMPLIANCE
Parcel No: 00549200000602 Site Address: 19615 88TH AVE W EDMONDS,WA 98026
Applied: 3/12/2021
Subdivision: SP S-2005-70, 005492,
SP S-26-85
Lot: 0
Issued: 4/19/2021
Fire Sprinklers: Lot
Area: Zoning:
Final:
Valuation: $0.00 Occupancy Type: R4 Construction
Type: VB
Expiration Date: 4/14/2022
Code Edition: 2018 No. Stories: 2 # of Dwelling
Units: 1
Issued by: NED
Scope of Work: ACE SENIOR CARE HOME- ADULT FAMILY HOME
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
ZENA BIRU
19615 88TH AVE W, EDMONDS
(206)405-0044
ACESENIORCAREHOME@GMAIL.COM
WA 98026
CONTACT
ZENA BIRU
19615 88TH AVE W, EDMONDS
(206)405-0044
aceseniorcarehome@gmail.com
WA 98026
CONTRACTOR
OWNER
OWNER
ZENA BIRU
19615 88TH AVENUE WEST,
(120)640-5004
EDMONDS WA 98026
11L
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE RECEIPT#
ADULT FAMILY COMPLIANCE - SUB
001.000.322.10.000.00
$175.00
$175.00
4/19/21
R11780
BLDG PERMIT FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.000.00
$175.00
$175.00
3/24/21
R11251
BLDG PLAN REVIEW FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.342.40.000.00
$100.00
$100.00
4/19/21
R11780
FIRE INSP FEE
ADULT FAMILY COMPLIANCE - SUB
001.000.345.83.100.00
$100.00
$100.00
3/24/21
R11251
FIRE PLAN REVIEW FEE
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
3/24/21
R11251
PER PERMIT
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
4/19/21
R11780
TOTALS: $596.50
$596.50
wr
• R •
CONDITION TYPE
STATUS
71!
NOTES
Printed: Monday, April 19, 2021 1:35:21 PM 1 of 2
-ADULT FAMILY HOME Permit
NU
City of Edmonds
EdmondsPERMIT
980206LBLD2021-03367
www.edmondswa.gov-
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.
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.
INSPECTIONS•• •nline
at: https://Inspection.MyBuildingPermit.co
COMPLETED RESULT
SEQID INSPECTION TYPE INSPECTOR
NOTES
DATE
B-6 AFH COMPLIANCE
X-3 BUILDING FINAL"
Printed: Monday, April 19, 2021 1:35:21 PM 2 of 2