HomeMy WebLinkAboutLUA-07-064_Report 1..
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
EXTENSION OF TEMPORARY USE PERMIT
LAND USE ACTION FILE NO.:
PROJECT NAME:
PROJECT MANAGER:
OWN ER/ APPLICANT:
PROPOSAL DESCRIPTION:
PROJECT LOCATION:
May 18, 2015
LUA07-064, TP
Shaw Medical Hardship Temporary Use Permit
Angelea Wickstrom, Assistant Planner, 425-430-7312
Edmund Shaw; 160 Jericho Ave NE; Renton, WA 98059
Temporary siting of a manufactured home on a lot with
one existing single-family residence in a residential single-
family zone.
160 Jericho Ave NE
An extension of the Temporary Use Permit is hereby granted subject to the following condition(s):
1. Pursuant to RMC 4-9-240L3 further extensions of the temporary use permit based on a medical
hardship must be applied for prior to expiration of this extension and are subject to
demonstration of continuing medical hardship.
2. This extension expires with cessation of the medical necessity underlying the temporary use.
3. The manufactured home shall be removed within ninety days of expiration of this extension.
DATE OF PERMIT ISSUANCE:
PERIOD OF VALIDITY:
DATE OF EXPIRATION:
cc: Edmund Shaw
City of Renton Official File
April 15, 1986
April 15, 1986 -April 15, 2012
May 18, 2016
Jennifer Henning, Planning Di
Planning Division
•
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
EXTENSION OF TEMPORARY USE PERMIT
LAND USE ACTION FILE NO.:
PROJECT NAME:
PROJECT MANAGER:
OWN ER/ APPLICANT:
PROPOSAL DESCRIPTION:
PROJECT LOCATION:
May 18, 2015
LUA07-064, TP
Shaw Medical Hardship Temporary Use Permit
Angelea Wickstrom, Assistant Planner, 425-430-7312
Edmund Shaw; 160 Jericho Ave NE; Renton, WA 98059
Temporary siting of a manufactured home on a lot with
one existing single-family residence in a residential single-
family zone.
160 Jericho Ave NE
An extension of the Temporary Use Permit is hereby granted subject to the following condition(s):
1. Pursuant to RMC 4-9-240L3 further extensions of the temporary use permit based on a medical
hardship must be applied for prior to expiration of this extension and are subject to
demonstration of continuing medical hardship.
2. This extension expires with cessation of the medical necessity underlying the temporary use.
3. The manufactured home shall be removed within ninety days of expiration of this extension.
DATE OF PERMIT ISSUANCE:
PERIOD OF VALIDITY:
DATE OF EXPIRATION:
CONCURRENCE
DATE i.1' \ i '6 /Vil '5
NAME INITIAL/DATE,,-,
Jennifer T. Henning .j'fV\ '7 1 ()
Vanessa Dolbee / S
Sabrina Mirante
cc: Edmund Shaw
City of Renton Official File
April 15, 1986
April 15, 1986 -April 15, 2012
May 18, 2016
Jennifer Henning, Planning Director
Planning Division
UWMedicine
VAlL.EY
MlDICAl. CENHR
Valley Family
Medicine Clinic
3915 Talbot Rd S, Suite 401
Renton WA 98055-5738
Phone: 425-656-4224
Fax: 425-656-5099
Valley Medical Center
Valley Family Medicine Clinic
3915 Talbot Rd S, Suite 401 I Renton, WA 98055-5738
Phone: 425-656-4224 Fax: 425-656-5099
www.valleymed.org
April 6, 2015
Patient: Daisy E Bradbury
Date of Birth: 5/27/1942
Date of Visit: 4/6/2015
To Whom it May Concern:
Re: address fS5351 NE 2nd Street Renton WA 98059
f-'A·
Daisy Bradbury has various medical issues including congestive heart failure and
diabetes. She is 72 years old. She will be staying at this address to get medical
assistance as she needs.
Sincerely,
t··~ lv1L)
Katherine E Uvelli, MD
RECEIVED
APR 1 4 20'14
CITY OF RENTON
FL.f\l~N·NG ')1\1 :~.'(Y,J
RE: Bradbury, Daisy --MR#: 00658983 Page 1 of 1
DEPARTMENT OF COMMl, ___ TY
AND ECONOMIC DEVELOPMENT
EXTENSION OF TEMPORARY USE PERMIT
LAND USE ACTION FILE NO.:
PROJECT NAME::
PROJECT MANAGER:
OWNER/APPLICANT:
CONTACT (if other than Owner):
PROPOSAL DESCRIPTION:
PROJECT LOCATION:
August 3, 2011
LUA07-064, TP
Shaw Medical Hardship Temporary Use Permit
Rocale Timmons
Edmund Shaw; 160 Jericho Ave NE; Renton, WA 98059
Temporary siting of a manufactured home on a lot with
one existing single-family residence in a residential single-
family zone_
160 Jericho Ave NE
An extension of the Temporary Use Permit is hereby granted subject to the following condition(s):
1. Pursuant to RMC 4-9-240L3 further extensions of the temporary use permit based on a medical
hardship must be applied for prior to expiration of this extension and are subject to
demonstration of continuing medical hardship.
2. This extension expires with cessation of the medical necessity underlying the temporary use.
3. The manufactured home shall be removed within ninety days of expiration of this extension.
DATE OF PERMIT ISSUANCE:
PERIOD OF VALIDITY:
DATE OF EXPIRATION:
cc: Owner/Applicant
Contact
City of Renton Official File
April 15, 1986
April 15, 1986 -April 15, 2009
April 15, 2012
C. E. "Chip" Vincent, Planning Director
Planning Division
CLINIC NETvvORK
"$' Val1ey .Medical Center
Valley Family Medicine
3915 Talbot Rd S. Ste. 401
Renton. WA 98055-5738
Phone: 425-656-4224
Fax: 425-656-5099
RE: DAISY BRADBURY
Today's Date: 04/01 /11
DOB: 05/27/42
DAISY BRADBURY is a 68 year old female patient of ours. ~o,.yk-7 A.,~ /o
Below is a summary of their medical history:
Last Temp: 97.8 F
Last BP: 122/50
Major Problems:
GERO ()
DEPRESSION, NOS ( )
Hypertension Benign ( )
OM II CONTROLLED (250.00)
Hypertension ( 401.1)
,,,e. /'--de c.:U w /$ .At7.s
&,eAO~w-~(A7y .
{/,Potj/lM~5 .4;'.;,&-".":e
/,~ k'11~?l ,0,,E £;,,?;> / 1
Lt'rAC)/,-069, T,,<7
/
~;,t.),.e:_U,J,..cL· -4:/~/F~
~/"_..,(~~., "/A,'~_)/ __ _,,
C (~...e-,j "<cC.:>, ~ urrent Medications: -s:,<T"::w'7 ~..i) 5,-(,',,p-:.&/
Rx: NAPROXEN 500MG 1 TAB twice daily -days, 60, Ref: 11
Rx: GLUCOSE MONITOR 1 -days, 1, Ref: 0
Rx: FUROSEMIDE 20 MG 1 twice daily -days, 60, Ref: 11
Rx: BLOOD GLUCOSE TEST STRIPS test twice daily -days, 1 BOTILE, Ref: 3
Rx: GLUCOPHAGE 500MG 1 TAB twice daily -days, 60, Ref: 3
Rx: PAXIL 40 MG 1 tablet daily -days, 30, Ref: 3
Rx: PROCARDIA XL 30MG 1 TAB daily -days, 30, Ref: 3
Rx: LANCETS USE UD -days, 1 BOX, Ref: 3
Rx: TOPROL XL 100 MG 1 tablet daily -days, 30, Ref: 3
Rx: PRILOSEC OTC 20 MG 1 tablet daily -days, 30, Ref: 3
Rx: SIMVASTATIN 20 MG 1 tablet at bedtime -days, 30, Ref: 3
Rx: HYZAAR 100-25 MG 1 tablet daily -days, 30, Ref: 3
Rx: PLAVIX 75 MG 1 tablet daily -days, 30, Ref: 3
Rx: SIMETHICONE 80MG 1 TAB four times daily -days, 40, Ref: 0
Allergies:
IODINE (rash, hives), SHELLFISH (throat swelling)
Daisy Bradbury is a patient of our clinic Valley Family Medicine. She will be staying at
5351 NE 2nd Street in Renton. WA. 98059.
Daisy has various medical issues including congestive heart failure and diabetes. She is
68 years old.
She will be staying at this address to get medical assistance as she needs.
Sincerely,
Yuri Lee, MD
/'
# SIGNED BY uri A Lee, MD (YAL) 04/01/2011 09:21AM
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
City of~ .slr]~ ..... -". -·.·n·@·· ··.·V·a·· :,,. ·1 1 'C 0.£' ' ' : ' . -; ·~ I J .i
PLANNING DIVISION
TEMPORARY USE PERMIT
DATE OF PERMIT ISSUANCE:
LAND USE ACTION FILE NO.:
PROJECT NAME:
PROJECT MANAGER:
OWNER/APPLICANT:
PROJECT LOCATION:
DATE OF EXPIRATION:
April 5, 2010
LUA07-064, TP
Shaw Medical Temporary Use Permit
Rocale Timmons, Associate Planner
Edmund Shaw; 160 Jericho Ave NE; Renton, WA 98059
160 Jericho Ave NE
April 15, 2011
PROJECT DESCRIPTION: Temporary siting of a manufactured home on a lot with
one existing single-family resindence in a residential single-family zone.
An extension ofthe Temporary Use Permit is hereby approved and subject to the following
conditions:
CONDITIONS OF APPROVAL:
1} Pursiant to RMC 4-9-240L.3 further extensions of the temporary use permit based on a
medical hadship must be applied for prior to the expiration of this extension and are
subject to demonstration of continuing medical hardship.
2) This extension expires with cessation of the medical necessity underlying the temporary
use.
3} The manufactured home shall be removed within ninety day of expiration of this
extension.
'
c.c.,IJ,
" -
C.E. "Chip" Vincent, Planning Director
Planning Division
Date
<·
City of Renton Department af L unity & Economic Development
Shaw Medical Temporary Use Permit
DATE OF PERMIT: April 5, 2010
A« strative Temporary Use Permit
LUA07-064, TP
Page 2 of 2
APPEALS: Appeals of permit issuance must be filed with the City of Renton Hearing Examiner
by 5:00 p.m. on April 19, 2010. Appeals must be filed in writing, together with the required fee
to the City of Renton Hearing Examiner, City of Renton, 1055 South Grady Way, Renton, WA
98057. City of Renton Municipal Code Section 4-8-110 governs appeals to the Hearing
Examiner. Additional information regarding the appeal process may be obtained from the
Renton City Clerk's Office, (425) 430-6510.
March 10, 2010
FAIRWOOD PRIMARY CARE
";$' Valiey 1'v1edical Center
To whom it may concern:
WA07-0IJ-f
City nr ,.1 ' ,-ent Pt--· on ..inn1•·,..-, o· . '·~ iv1sion
MAR 1 6 2D70
Lillian Thompson is a patient at this clinic who is 85 years of age and
suffers from Alzheimer's and various other ailments.
The purpose of this letter is to establish the need for Ms. Thompson to
reside near Mr. Edmund Shaw at 160 Jericho Ave N.E. Renton, Washington
This arrangement is to make it possible for Mr. Shaw to provide
monitoring and assistance as needed for Ms. Thompson's care.
Sincerely,
Richard O Avalon, DO
Clinic Name: Fairwood Primary Care
Address: 14410 SE Petrovitsky Rd, Ste 104 Renton, Wa. 98058
Phone: 425.656.4242
'
DEPARTMENT OF COMMI rv
AND ECONOMIC DEVELOPMENT
EXTENSION OF TEMPORARY USE PERMIT
LAND USE ACTION FILE NO.:
PROJECT NAME::
PROJECT MANAGER:
OWN ER/ APPLICANT:
PROPOSAL DESCRIPTION:
PROJECT LOCATION:
June 3, 2009
LUA07-064, TP
Shaw Medical Hardship Temporary Use Permit
Rocale Timmons, Associate Planner, 425-430-7219
Edmund Shaw; 160 Jericho Ave NE; Renton, WA 98059
Temporary siting of a manufactured home on a lot with
one existing single-family residence in a residential single-
family zone.
160 Jericho Ave NE
An extension of the Temporary Use Permit is hereby granted subject to the following condition(s):
1. Pursuant to RMC 4-9-240L3 further extensions of the temporary use permit based on a medical
hardship must be applied for prior to expiration of this extension and are subject to
demonstration of continuing medical hardship.
2. This extension expires with cessation of the medical necessity underlying the temporary use.
3. The manufactured home shall be removed within ninety days of expiration of this extension.
DATE OF PERMIT ISSUANCE:
PERIOD OF VALIDITY:
DATE OF EXPIRATION:
cc: Owner/Applicant
Contact
City of Renton Official File
April 15, 1986
April 15, 1986 -April 15, 2009
April 15, 2010
C. E. "Chip" Vincent, Planning Director
Planning Division
Denis Law
Mayor
May 20, 2009
Edmund Shaw
160 Jericho Ave NE
Renton, WA 98056
[)
.~
Department of Community & Economic Development
Subject: Permit Extension for Manufactured Home for Medical Hardship
LUA07-064, TP
160 Jericho Ave NE
Dear Mr. Shaw,
This letter is being sent to inform you that we received an unsigned letter on May 13,
2009 from a Richard 0. Avalon, DO; that was not on physician/facility letterhead or
signed. Unfortunately this letter will not suffice for written verification from a physician.
An extension of the County's temporary use permit may be approved by the City subject
to the demonstration of continuing medical hardship. To obtain your permit extension,
please submit written verification from a physician, on physician/facility letterhead that
has been signed, stating that the temporary dwelling is necessary to provide daily care.
If written verification is not received within 30 days from the date ofthis letter, the
existing Temporary Use Permit would expire. The manufactured home would have to be
removed within ninety days of the expiration date.
Should you have any questions feel free to contact me at 425-430-7219.
Sincerely,
tj~~"""'
cc: LUA07-064
Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov
May 11,2009
RE: Lillian Thompson MAY I 3 2009
To whom it may concern:
Lillian Thompson is 84 years of age and a patient at this clinic.
She suffers from Alzheimer's and various other ailments.
The purpose of this document is to establish the need for Ms.
Thompson to reside near Mr. Edward Shaw at 160 Jericho Ave. N. E.
Renton WA 98059.
This arrangement is to make it possible for Mr. Shaw to provide
monitoring and assistance as needed for Ms. Thompson's care.
Sincerely,
Richard 0. Avalon, DO
Clinic Name: Fairwood Primary Care
Address: 14410 SE Petrovitsky Rd, Ste 104 Renton WA
Phone: 425-656-4242
.,::::.. Cr// o? -u6 f:' i7'
/
/-;,::, ,,-p/,//-(' s
/
L}i, ) Sf":;.0-U
Denis Law
Mayor
April 22, 2009
Edmund Shaw
160 Jericho Ave NE
Renton, WA 98056
Department of Community & Economic Development
Subject: Permit Extension for Manufactured Home for Medical Hardship
LUA07-064, TP
160 Jericho Ave NE
Dear Mr. Shaw,
Our records indicate that the current Medical Hardship Mobile Home permit expired on
4/15/2009. The City of Renton will be honoring the original permit issued by King
County, provided it is extended.
An extension of the county's temporary use permit may be approved by the city subject
to the demonstration of continuing medical hardship. To obtain your permit extension,
please submit written verification from a physician that the temporary dwelling is
necessary to provide daily care.
If you have any questions feel free to contact Roca le Timmons at 425-430-7219.
Sincerely,
'
'1 e,,·,--(t' J0"V)v'U.--j--·
Rocale Timmons, Associate Planner
cc: LUA07-064
Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov
CITY OF RENTON
DEPARTMENT OF COMMUNITY & ECONOMIC
DEVELOPMENT
MEMORANDUM
Date: June 16, 2008
To: City Clerk's Office
From: Stacy Tucker
Subject: Land Use File Closeout
Please complete the following information to facilitate project closeout and indexing by the City
Clerk's Office.
Project Name: Shaw Medical Hardship Temporary Use Permit
LUA (file) Number: LUA-07-064, TP
Cross-References:
AKA's: Shaw Mobile home
Project Manager: Rocale Timmons -inherited from King County
Acceptance Date: June 22, 2007
Applicant: Edmund Shaw
Owner: Same as Applicant
Contact: Same as Applicant
PID Number: 0847100065
ERC Decision Date:
ERC Appeal Date:
Administrative Approval: April 21, 2008
Appeal Period Ends: May 5, 2008
Public Hearing Date:
Date Appealed to HEX:
By Whom:
HEX Decision: Date:
Date Appealed to Council:
By Whom:
Council Decision: Date:
Mylar Recording Number:
Project Description: Annexed into the City of Renton with King County Temporary Use approval
for mobile home for medical hardship. 16 extensions were given from the County prior to
annexation under Building Permit #B95A29B5.
Location: 160 Jericho Avenue NE
Comm<!nts:
'
,~Y o CIT1 7 OF RENTON :~4~ I(~ uepartment of Community and
_ Economic Development
~ -~ Denis Law, Mayor Alex Pietsch, Administrator ~N~o~-~~----~~~~~~~~~~~_;.;;;;;;.;.;;.;;;;;;;:..;..;;;;;;;;;.;;;.;;.;;;;;.;...~
April 21, 2008
Edmund Shaw
160 Jericho Ave NE
Renton, WA 98059
Subject: Extension Shaw Medical Hardship Temporary Use Permit
160 Jericho Ave NE
Dear Mr. Shaw,
This letter is to infom1 you that we ha, e extended your Temporary Use Pem1it until April
15, 2009. Your property was recently annexed into the City of Renton. King County
Department of Development and Environmental Services forwarded over the file history
for Building Pem1it #895A2985. The temporary use permit was granted for locating a
manufactured home on a lot with one existing single-family residence, in a residential
single-family zone, due to medical hardship. The City of Renton will be honoring the
original pennit issued by King County.
The letter (dated April 14, 2008) submitted from Dr. Richard 0. Avalon, DO
demonstrated continued medical hardship. Please note that approval of the extension is
subject to the original conditions of approval of the Temporary Use Permit.
If you have any qr,estions feel free to contact me at 425-430-7219.
Sincerely,
1j~~
Rocale Timmons
Associate Planner
cc: Yellow File
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@ This p.aper_~ntains 50% recycled rnatenal, 30% post consumer
AHEAD OF·-THE CURVE
[~----
Extension of
Temporary Use Permit
Project Name:
Renton File Number:
Location:
Project Description:
Property Owner:
Applicant:
Date of Permit Issuance:
Period of Validity:
Extension Granted until:
Date ofExpiration:
Conditions of Approval:
Shaw Medical Hardship Temporary Use Permit
LUA07-064, TP
160 .Jericho Ave NE
Temporary siting of a manufactured home on a
lot with one existing single family residence in a
residential single-family zone.
Edmund Shaw
160 Jericho Ave NE
Renton, WA 98059
Edmund Shaw
160 Jericho Ave NE
Renton, WA 98058
April 15, 1986 (King County)
April 15, 1986 -April 15, 2008
April 15, 2009
April 15, 2009
1. Pursuant to RMC 4-9-240L3 further extensions of the temporary use permit based
on a medical hardship must be applied for prior to expiration of this extension and
are subject to demonstration of continuing medical hardship.
2. This extension expires with cessation of the medical necessity underlying the
temporary use.
3. The manufactured home shall be removed within ninety days of expiration of this
extension.
Approved by Neil ,vatts
Development Services Director
4:,1 z 11 zoo&
Date
Appeals: Appeals of permit issuance must be filed in writing by 5:00 pm on May 5, 2008
together with the required $75.00 application fee to the City of Renton Hearing Examiner, City of
Renton, l 055 South Grady Way, Renton, WA 98057. Appeals to the Examiner are governed by
the C!ly of Renton Municipal Code Sectton 4-8-110. Additional information regarding the appeal
process may be obtained from the Renton City Clerk's Office, (425) 430-6510.
~ITYOFflE~ TO,\
qECE!VED
APR I 4 2JJ6
BUILDINGDIV/S/ON
April 14, 2008
RE: Lillian Thompson
To whom it may concern:
Lillian Thompson is an 82 YO female who is a patient at this clinic.
She suffers from Alzheimer's and other ailments.
The purpose of this letter is to establish the need for Ms. Thompson to
reside near Mr. Edward Shaw at 160 Jericho Ave. N.E. Renton, Wa. 98059.
This arrangement is to make it possible for Mr. Shaw to provide
monitoring and assistance as needed for Ms. Thompson's care.
Richard O Avalon, DO
Clinic Name: Fairwood Primary Care
Address: 14410 SE Petrovitsky Rd, Ste 104 Renton, WA. 98058
Phone: 425.656.4242
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February 1, 2008
Edmund Shaw
160 Jericho Ave NE
Renton, WA 98059
CITY >F RENTON
Planning/Building/Public Works Department
Gregg Zimmerman P.E., Administrator
Subject: Need for Permit Extension for Manufactured Home for Medical Hardship
160 Jericho Ave NE
Dear Mr. Shaw,
As you may well know, 160 Jericho .\ ,·c NI: has been recently annexed into the City of
Renton. King County Depai1ment or Dc,·clopmcnt and Environmental Services has
forwarded over the file history for Building Permit #B95A2985.
The county records indicate that the current Medical Hardship Mobile Home permit
expired on 6/15/2007. The City of Renton will be honoring the original permit issued by
King County, provided it is extended .
.An extension of the county's tempornry use permit may be approved by the city subject
to the demonstration of continuing 111cdicc1l hardship. To obtain your permit extension,
please submit written verification from a physician that the temporary dwelling is
necessary to provide daily care.
If you have any questions feel free to contact Rocale Timmons at 425-430-72 I 9.
Sincerely,
' r I ' , r;t(;' /Va/ i(Ja,~ /
Neil Watts
Development Services Director
cc: Roca le Tinunons, Assistant Planner
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CITY -F REN'J'(_)N ~-~-~ __ :R'~; '1' ~ Kathy Keolker, Mayor (:,'.'\''f()1;-------------------------------
Planning/Building/Public Works Department
Gregg Zimmerman P.E., Administrator
June 22, 2007
Edmund Shaw
13214-1441h Avenue SE
Renton, WA 98056
Subject: Need for Permit Extension for Manufactured Home for Medical Hardship
13214 144th Avenue SE
Dear Mr. Shaw:
As you may well know, 13214 -1441h Avenue SE has been recently annexed into the City of
Renton. King County Department of Development and Environmental Services has forwarded
over the file history for Building Permit #B95A2985.
The county records indicate that the current Medical Hardship Mobile Home permit expired on
6/15/2007. The City of Renton will be honoring the original permit issued by King County,
provided it is extended.
An extension of the county's temporary use permit may be approved by the city subject to the
demonstration of continuing medical hardship. To obtain your permit extension, please submit
written verification from a physician that the temporary dwelling is necessary to provide daily
care.
If you have any questions feel free to contact Rocale Timmons at 425-430-7289.
Sincerely,
' ' ; ./ I .
/ \,1 ,::,,·:_,<
Neil Watts, Director
Development Services Division
cc: Rocale Timmons, Assistant Planner
-~
1055 South Grady Way-Renton. Washingto-n-98_0_5_7 _______ RE N T Q N'
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KingCounty
Department of Development
and Environmental Services
900 Oakesdale Avenue Southwest
Renton, WA 98057-5212
206-296-6600 TTY 206-296-7217
www.metrokc.gov
June 7, 2007
Building Department
City of Renton
\
South Grady Way, 6th Floor
Renton, WA 98055
RE: B95A2985
To Whom It May Concern:
CITY OF Al;:N tQr-.
RECEIVED
JUN I 12007
BUILDING DIVISION
Attached is a building permit that has being incorporated in the City of
Renton. If you have any questions, regarding this permit, please
contact me at (206) 296-6719.
Thank you.
Sin~rely, /:atvJ flc;rrz~
Ruby Hlrron, Supervisor
Records Center
Attachment -Building Permit
Lw2
•
soc Page I of I
DDES f
King County
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton, Washington 98055-1219
June 6, 2007
Summarv of Related Activities/Proiects/Dev.
Applicant: SHAW, EDMUND D Activity Number:
13214 l44THAVE SE Project Number:
RENTON, WA 98059-4914 Development Number:
ABC
425-255-3117 Status:
.. """ .. --"""-""
B99B0010
FINALED
Activity/Project# Comp Type Status Fee Charges Hours Charges Payments Balance Due
B99BOOIO ABC FINALED $1,803.54 $0.00 $1,803.54
A98M0491 PREAPP-M COMPLETE $0.00 $0.00 $0.00
BOIX0737 EXTENSN EXT-CLSD $214.50 $0.00 $214.50
B02X0560 EXTENSN EXT-CLSD $214.50 $0.00 $214.50
B03X0628 EXTENSN EXT-CLSD $224.25 $0.00 $224.25
B04X0547 EXTENSN EXT-CLSD $235.47 $0.00 $235.47
B93A2939 R-EXTEND EXT-CLSD $113.00 $0.00 $113.00
B94A254l R-EXTEND EXT-CLSD $119.00 $0.00 $119.00
B95A2985 R-EXTEND TRANSFER $589.94 $0.00 $589.94
F02T0023 REMVTANK CLOSED $0.00 $0.00 $0.00
R8903566 R-RENEW EXT-CLSD $75.00 $0.00 $75.00
R9004788 R-RENEW EXT-CLSD $75.00 $0.00 $75.00
R9I02724 R-RENEW EXT-CLSD $100.00 $0.00 $100.00
R9204266 R-RENEW EXT-CLSD $80.00 $0.00 $80.00
TOTAL: $3,844.20 $0.00 $3,844.20
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to ODES at the time of application.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DOES issues Final Approval, T.C.O. or C.O.
Wednesday, Jun 06, 2007 02:18 PM
BWoo Printout
•
'
:H413SE132NDST KC '.
SHAW, EDMUND o. •, 4413 SE 132ND s(' Kc··-· ,,,,,,___ .
·SHAW.EDMUNDO··-,-. ,,,, 14413S(132ND ST. KC··-·······-··-·-·-·· .
sHAwfiii.iuiiD o 14413 sE 1J2Noffrc
_SHAW.EDMOND_ ... ····--···················J14413 SE 13lND.S.T ... KC ..
SHAW.EDMOND i14413SE 132N0ST KC
004710«li5 09980010 iABC •ABC P 02/0411999 FINALED SHA\oJ,EDMUND D j 13214 144TH AVE SE KC ...• ,.,.,,,, __ _
084710«li5 E0100653 iENFDROi ENFORCE P 04/30/2001 • CLOS°E"D .. SHAW EDMUND D +TERRIE '132ffi 1441HAVE SE KC
084710-0065 E9800l69 i ENFOR.9J_ENFOACE P 06/2911998 'CLOSED . . SHAW.EDMUND &TERRI '132ffi 144TH AVE SE KC ·---·-----·
004710-00!JS F02Tto.3 iREMVTA'REM\ITANK A 03/18/2002 CLOSED EDMUND SWAN i132ffi1"THAVESE KC . .
084710-0065 R8003566 iR-RENEI. A-RENEW A 04/0511989'EXT-CLS0 "sHAW,EDMOND ............,-,44l.'.lSE132NDST KC --~~:=::_::_:·_:: _ _::=:
004710«li5 R9004788 R-RE NEI. A-RENEW A 05/0711990 EXT-iis6 ' SHAW, EDMOND . ___ _! 14413 SE 13lNQ_ST K.~ ..
084710«li5. . R9102724 IA-RENE\, A-RENEW A 04/22/1991 iEXT-CLSD SHAW.EDMOND. . 14413SE 132N0ST KC
084710«li5 . R9204266 'R-RENEI. A-RENEW A 06/01/l~;i:xi-cCso SHAW.EDMOND . '.14413SE13lNDST KC ...
004710-0)35 --·--X00007~'f : UNKOEV UNKDEV D ~(30/2002 LINK SHAW EOMUNO D +TEAAl E . ·1·14413 SE 132ND ST 1(C " . ·-----· ..
Wednesday, Jun 06, 2007 02:10 PM
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Wednesday, Jun 06, 2007 02:09 PM
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Wednesday, Jun 06, 2007 02:09 PM
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soc Page 33 of 60
® Uep,a,; mem of D<>Uelop,mem
,"tnd l:nuJronmenti1t Sor\Piee-s
·=u :1 r:i-:-,l.e::-'dCll'3 .4.\'GrA..JC S\•V KING COUNTY
BUILDING INSPECTIONS
~P . Permit ~ roJect Type
IB95J\2985IB99B00 l O R-EXTEN
APPLICANT INFORMATION
EDMUND DSHAW
13214 144TH AVE SE
RENTON WA 98059
!Expiration Date: 6/15/2007
Subtype Date Issued Status
R-EXTEND 6/16/1995 EXTENDED
FEru,u:T INFORMATION
!Title: 13951\2985: l 5TH-l YR MEDl\1H EXTN
Description: MEDICAL HARDSHIP MOBILE HOME PERMIT
FOR GRANT ZUFELT; SEE ALSO ABC PERM!T 13
Location: 14413 SE 132ND ST
Parcel#: 084 7100065
.Jurisdiction: Renton
Ed-mund Shaw d you that this permit will expire on the date referenced ·
1so J,richo Ave. NE 1spection apprm al by the expiration date, a permit cxtcn 1011 or other
Renton, WA. 96059-4946 I , . w l . . 1 b h . . d !!1..'.::.:::::.::_:~:..;_---J..i::,.-...,roJect recerws Jrna rnspectron approva y t e exprratron ate, no
~ ~ ·1 extensrons arc issued for a one year peri:J_od· the extcns10n fee is noted /
w _.,,. ,. y£..£,1',.-~v vtc~ 56;111r;r11,1/
(_) _!_ 61 ry' A-/-?,t:7~ ~ ~
Prior to the expiranon date, you may extend this permit in person at DOES, 3rd floor, Buildin
Inspections Section. To obtain a permit extension b) mail, please submit a check or money ore
in the amount indicated; made payable to the KC Office of Finance. Please indicate, 'Building /) I I,,
Inspections' and the permit number on your payment. By the expiration date, please retur~a "1, C[)/
copy of this notice with payment to: / tvt l/1}'. 'ln r
KC DOES -Building Inspections f4/' V6'-:Jbtj,f' \
900 Oakesdale Aunue SW /V O~
Renton,'t\A 98055-1219 ' / {Cl ,G
You may contact DOES, Building Inspections at (206) 296-6630 for any questions regarding buildini/J~
permit extension procedures for this permit If you need to request a residential, \q IQ
commerciiil/rnultifamily or new construct1011 l!re inspection, please call the automated 24-hour
inspection request line at 1-888-546-7728. Inspection codes are noted on the permit. t/P
5/1 7 /20\tJ0
~i
soc Page 33 of 60
® u,er,ilf"1ment of U"'•erop,ment
;ctnd l:nutronment:at Scnrice,s
·~o-=i (1.:-11.e:s:.:lrtle fa.ver.ue SV./ KING COUNTY
BUILDING INSPECTIONS
B~. t Permit roJec Type Subtype Date Issued
IB95A2985IIB99BOO l OIIR-EXTENDI R-EXTEND 6/16/1995
I APPLICANT, INFORMATION II PERMIT INFORMATION
EDMUNDO SHAW !Title: B95A2985: 15TH-1YRMEDMIIEXTN
Status
EXTENDED
13214 144TH AVE SE
RENTON WA 98059
Description: :v!EDICAL HARDSHIP MOBILE HOME PERMIT
FOR GRANT ZUFELT; SEE ALSO ABC PERMIT B
Location: 14413 SE 132ND ST
Parcell/ 084 7100065
Jurisdiction: Renton
!Owner~l'Df\ll ND D SH/\~\\,~'F~~F~~~~9 ~~~~1
!Phone: 425.2553117 I . . . .
!Expiration Date: 6/15/2007 I Extension Fees: $5
Ed-niund Shaw d you that this permit will expire on the date referenced
160 J,ncho A ... NE 1spection approval by the expiration date, a permit ex ten. ,on or other
Renton, WA 98059"4946 . . -J . . 1 b h , , d L.:::.:..._:_-----·~-i·roJect rece,,es t11rn 111spect1011 approva y t e exp1rat1011 ate, no
~ ;: · extensions me issued for a one year peridod· the extenswn fee is noted /
~ .:r ,. .Y/2,!/(A'/V VI.ch, ,4'6,,,1.rt?//
_J .!__ ,:£1 rj/ A--/7~:i?jr:. ~ ~
Prior to the expiranon date, you may extend this permit in person at ODES, 3rd floor, Buildin
Inspections Section. To obtain a permit extension by mail, please submit a check or money ord
in the amount indicated; made payable to the KC Office of Finance. Please indicate, 'Building /) IV
Inspections' and the permit number on your payment. By the expiration date, please retur~a , 1,, tll/
copy of this notice with payment to:
1
(,)it
1
/1?. LO f
KC ODES -Building Inspections ft/} 4#'l_kt \
900 Oakesdale Avenue SW V/U/ t~
Rcnton,WA 98055-1219 ' / YJ ~
'\' J ,t
You may contact DDES, Building Inspectwns al (206) 296-6630 for any questions regarding buildinJ)'W
permit extension procedures for this permit lf 1 ou need to request a resi.@_ntial, \°' ;/)
commercial/multifamily or new constrµct1on fire inspection, please call the automated 24-hour ~
inspection request line at 1-888-546-7728. I nspcction codes are noted on the permit. t(P
s117120\t\,L.O
~o.;
®~
King county
··?ROYAL
/
Inspector:_ ~ \s\ '/ __ · _· -;,-------.F!"'-
Department of Development / · . ~
and Envi,,.,nmental Services Dut1:• 1-,,;\ v\ /
900 OtitL<kle Avenue Southwest ·---· I ' ~ \.). =00"-0 =·· ····
J
. '. 891A2986'·'
Renter,, Washington 98055-1219
Construction Permit
Applicant Name:
I. Work Subject to Approved Plans and Conditions. Work author· ed by this permit is subject to the approved plans and
corrections shown thereon and the attached conditions of permit pprovaL Fail · nee
construction is begun may necessitate an immediate work sto nt1 such time as compliance with the stipulated
conditions is attained.
2. Posting on the job site. This permit must be posted on the job site at all times in a visible and readily accessible location.
3. Scheduling Inspections. Inspection requests for residential, commercial/multifamily, and new construction fire permits
may be scheduled by calling the DDES Voice Inspection Line at l-888-546-7728. This request line is available 24 hours a
day, 7 days a week for your convenience. Inspection requests must be called in prior to 3:00 pm, M-F to appear on the
schedule for the following business day. Inspectors are available by phone M-F, 7:30 am to 8:30 am only at 206-296-6630.
Scheduling and inspector availablility is subject to approved holidays. You may obtain inspection results by calling the
DDES Voice Inspection Line, reviewing the inspection information left on site, or contacting the inspector of record. You
may obtain general inspection information M-F, 7:30 am to 4:30 pm at206-296-6630.
4. Expiration. Please note the expiration date on this permit located in the upper right comer. A permit may be extended or
renewed in accordance with the King County Code only if a request to do so is received at least 30 days prior to theexpiration
date.
5. Compliance with State and Federal laws and the Endangered Species Act. The applicant is responsible for making a
diligent inquiry regarding the need for concurrent state or federal permits to engage in the work requested under this permit,
and to obtain the required permits prior to issuance of this permit. It is understood that the granting of this permit shall not be
construed as satisfying the requirements of other applicable Federal, State or Local laws or regulations. In addition this
permit does not authorize the violation of regulations. In addition, the granting of this permit does not authorize the violation
of the Endangered Species Act as set forth at 16 U.S.C. § 1531-1543, including the prohibition on the "take" of threatened or
endangered species. "Take" is defined at I 6 U.S.C. § 1532( 19). It is the applicants sole responsibility to determine whether
such "take" restrictions would be violated by work done pursuant to this permit, and is precluded by Federal Law from
undertaking work authorized by this permit if that work would violate the "take" restrictions set forth at 16 U.S.C. §1538, 50
C.F.R. § 17.21, 50 C.F.R. § 17.31, 50 C.F.R. §223 and 50 C.F.R. §224.
6. Fees due: Enforcement. The King County Code states that fees associated with the review and inspection of projects
requiring permit applications are due at the time of application for service, or within fifteen days of receipt of an invoice from
King County's Department of Development and Environmental Services (DDES) stating that currently hourly rates are due.
DDES may require a deposit of between twenty to eighty percent of the total cost of the review and inspection of a permit
application at the time of application. Failure to pay fees in a timely manner is a civil violation. It is King County's policy to
take enforcement action including, but not limited to, the issuance of a Notice and Order and/or Stop Work Order, when an
applicant has violated the King County Code by failing to pay fees when due. By accepting issuance of this permit, the
applicant acknowledges that if he/she fails to pay fees when due, ODES may bring a code enforcement action to recover
unpaid fees.
10/26/2004 INSPECTORS COPY BP_PRMSOFT
N1
King County '
Ueparhnent ofDcvcloprncnt
and Envirornnental Services
:JGOO -13Gth Pl<icc Southc,1s1
Bellevue, YV.ashingtun 9800f.i-1400
August 19, 1996
Mr. Edmund Shaw
13214 -144th Ave SE
Renton, WA 98056
RE: Medical Hardship_Mobile Home btcns101L Pem1it No.B95A2985
Dear ivlr. Shaw:
Our records indicate that the Medical Hlldship Mobile Home pennit for the location of 13214 -144th
Ave. SE expired on 6/15/96.
This letter may not provide sufficient notice of expiration if your pennit has recently expired or is near
expiration. lfthis is the case, we will allow you thirty (30) calendar days from the date of this letter to
extend your pem1it. 111is docs not change your permit e:...:piration date.
We have calcubtcd your permit extension fee to be $119 .00.
For your convenience ,vc will issue your permit C:\.tcnsion by m~il. To obtain your pcm1it extension,
please submit a check or money order for the permit extension fee to the Building Inspection Section:
please make your check or money order pa,ablc to the King County Office of Finance.
We arc enclosing a Medical Hardship Physician Affidavit which is required each year to be filled
out by the attending physician. Please submit the completed affidavit with your permit extension
fee.
If you have any questions about permit c:'(tc:nsion requirements or procedures for your project, please
contact our office at 296-6630. To request an inspection, please contact our inspection request line at
296-6635.
1Ji)
1'.~rl~;tc ,~J /j,i0~lAvNA'~---. f /, (/
Mike Dykeman
Building Inspection Supervisor
Enclosure (1)
cc: Pcnnit File
r-ext,;nd\meJmh(mh)
•
®
King County · FIN!\L, 1
Permit Number:
Date Issued:
Expiration Date:
Perm it Status:
Department of Developmenq nspcctur: __ ... ,.!
and Environmental Services ~ .r '
900 Oakesdale Avenue Soutl>y,!]s,t. ,A .. ·
Renton, Washington 98055-121'9l · ~ /
Construction Permit
'Permit Type, Subtype: R-EXTEND, R-EXTEND
Title: B95A2985: 14TH-1YR MEDMH EXTN
B95A2985
06/16/1995
06/15/2006
EXTENDED
'
Description: MEDICAL HARDSHIP MOBILE HOME PERMIT FOR GRANT ZUF .. ELL.fil;J; __
ALSO ABC PERMIT B99B0010 (POLE BARN & OFFICES) ON SAME
PARCEL; BOTH PERMITS FILE TOGETHER
Location: N200' W1/2 L 10 BLACK LOAM 5ACR
List of Parcels: 084710-0065
Site Address: 1ii!14'~~TI I N/E: SE:~
Valuation: $0.00
Applicant Name: SHAW, EDMUND D
Comments and Conditions
I. Work Subject to Approved Plans and Conditions. Work authorized by this permit is subject to the approved plans and
corrections shown thereon and the attached conditions of permit approval. Failure to comply with all conditions once
construction is begun may necessitate an immediate work stoppage until such time as compliance with the stipulated
conditions is attained.
2. Posting on the job site. This permit must be posted on the job site at all times in a visible and readily accessible location.
3. Scheduling Inspections. Inspection requests for residential, commercial/multifamily, and new construction fire permits
may be scheduled by calling the DDES Voice Inspection Line at 1-888-546-7728. This request line is available 24 hours a
day, 7 days a week for your convenience. Inspection requests must be called in prior to 3:00 pm, M-F to appear on the
schedule for the following business day. Inspectors arc available by phone M-F, 7:30 am to 8:30 am only at 206-296-6630.
Scheduling and inspector availablility is subject to approved holidays. You may obtain inspection results by calling the
DDES Voice Inspection Line, reviewing the inspection information left on site, or contacting the inspector of record. You
may obtain general inspection information M-F, 7:30 am to 4:30 pm at 206-296-6630.
4. Expiration. Please note the expiration date on this permit located in the upper right comer. A permit may be extended or
renewed in accordance with the King County Code only if a request to do so is received at least 30 days prior to the expiration
date.
5. Compliance with State and Federal laws and the Endangered Species Act. The applicant is responsible for making a
diligent inquiry regarding the need for concurrent state or federal permits to engage in the work requested under this permit,
and to obtain the required permits prior to issuance of this permit. It is understood that the granting of this permit shall not be
construed as satisfying the requirements of other applicable Federal, State or Local laws or regulations. In addition this
permit does not authorize the violation of regulations. In addition, the granting of this permit does not authorize the violation
of the Endangered Species Act as set forth at 16 U .S.C. § 1531-1543, including the prohibition on the "take" of threatened or
endangered species. "Take" is defined at 16 U.S.C. § 1532( 19). It is the applicants sole responsibility to determine whether
such "take" restrictions would be violated by work done pursuant to this permit, and is precluded by Federal Law from
undertaking work authorized by this permit if that work would violate the "take" restrictions set forth at 16 U.S.C. §1538, 50
C.F.R. §17.21, 50 C.F.R. §17.31, 50 C.F.R. §223 and 50 C.F.R. §224.
6. Fees due: Enforcement. The King County Code states that fees associated with the review and inspection of projects
requiring permit applications are due at the time of application for service, or within fifteen days of receipt ofan invoice from
King County's Department of Development and Environmental Services (DDES) stating that currently hourly rates are due.
DDES may require a deposit of between twenty to eighty percent of the total cost of the review and inspection of a permit
application at the time of application. Failure to pay fees in a timely manner is a civil violation. It is King County's policy to
take enforcement action including, but not limited to, the issuance of a Notice and Order and/or Stop Work Order, when an
applicant has violated the King County Code by failing to pay fees when due. By accepting issuance of this permit, the
applicant acknowledges that if he/she fails to pay fees when due, DDES may bring a code enforcement action to recover
unpaid fees.
I 0/26/2004 OFFICE COPY RP_PRMSOFT ~1
soc
®
• King County
Department of Development
and Environmental Services
90~ Oakesdale Ave SW
Renton, Washington 98055-1219
June 13, 2006
Page I of I
Summary of Charges and Payments
1Appli~ant: .. ·~ti~~~~1!~4914 ·--· ··--rr:~~t~:::~~~:e~-::t~t~·~r· -1
425-255-3117
Charges
Description
Bldg Extension/No hourly
Bldg lnsp Counter Fee
Bldg Inspection
SUB TOTAL CHARGES:
Payments
Description
Cash
Suspense Account
Check#
2387
115
SUB TOTAL PAYMENTS:
BALANCE:
' """ '" '·---"---·----"'"'"··-
Checklogid
P+ Migrated.
83823
Payee
I Permit Type: R-EXTEND
·---····' Status: ··--··E_)(TENDED ___ .
Amount
$368.30
$102.64
$119.00
$589.94
ED"1UND D. SHAW
Date Entered
6/16/1995
7/1/2005
Amount
($119.00)
($235.47)
($354.47)
$235.47
'The fees shown above represent current charges as of this date and are an estimate based on the information
!provided to ODES at the time of application.
I For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
!worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
!any other outstanding fees.
!Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
!billed to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.O. or C.O.
06/02/2006 14:33
~
4252358710
®
HPS
DepM1ment f!il 0-lopmelll _ E......__ .. s., ...
900 Olllk.~111~ l'tvanuo $tr,/
King Qiunly RfflOf\,W.,., 980SS-1219
ITLE: B95A2985: 14TH-IYRMEDMH EXTN
PAGE 02
Page I of2
13214144TH AVE SE
RENTON WA 98059
ESCRIPTION: MEDICAL HARDSHIP MOBILE HOME
ERMIT FOR GRANT ZUFELT; SEE ALSO ABC PERMIT B
OCATION: 14413 SE 132ND ST
....
lbis notice is intended to remind you that this pennit will expire on the date referenced above. Permit extensions are
ill~li,;:"1 fv1 Cl VU'!.' 1~ p~1iuJ cmJ ,u.._.,t h,;. A"°~on:,p,ui,icd -with o. Phyoi.oiono Af{ida.vit., provided below. Thl.e aff'i.da,,it rnu8t l:,,e
oomplotcd h:,,• tho attondins phyciol•n each )'N,I" th•t • medk;.\I h:1r1.khip ,..nnrWinn 1":'Villltlll Tn nhtA1n ~ r,r.rm;t r:-xrt:nAinn hy
mail, please submit a check or money order in the amount indicated above; made payable to the KC Office of Finance.
Please indicate, 'Building Inspections' and the pennit number on your payment. By !he expiration date, please mail the
pe,:mit extension fee and the 9.rizmgl completed Physicians Affidavit to:
KC DOES. Building lliipeciion•
9(10 Oake,dale Avenue SW
Renton,WA 98055-1219
You may contact DDES, Building Inspections at 206-296-6630 for any questions regarding building pem:iit extension
proccdW'es for !his permit
__ .. ,,,, . ..,. __ .., _______ ,.----······---··--··-·--·····""""······---··--"·····---------------------·-----
To AppliCll!l.l''l. P!!Y~i.,i~.: This form is required to be completed by the ottending physician each year the medical
hardship condition exislS. C l ? fa,_ ["( l I ~ the Attending Physician for 'LA,., , 1 l hereby verify that this person requires
"daily care:". \ f
Physician (Signature Requir;(///t/U'-c",.,_f (,~::::v~
Date C, -') -0 G r Phone Number ______________ _
Medical Facility Address Stamp:
MICHAEl D AlLISON, M.O., M.P.H.
VALLEi OR 1AOPEOIC A~36e.
101 l TALBOT RD. S. SUITE 300
RENTON, WA 9805S
(425) 656-5060
Wood, Bob-H
From:
Sent:
To:
Cc:
Subject:
Wood, Bob-H
Wednesday, September 21, 2005 4: 19 PM
King, Janise
Rubalcaba, Vicki
RE B95A2985
Janise: Sorry for the lengthy delay in replying but I was out al! last week not feeling so great. But all fine now and
after puz:ding over this deal for awhile, am finally understanding. First, ALL permits (10 previous extns) !tsted
below as "EXT-CL SD" are previous medical hardship permits, and if the "new" primary is 14413 SE 132nd St, then
all of them (dead and gone or not) should be changed to that as well for consistency & historical accuracy.
I'm sure, since this MHMH started life as #100023 in 1986 with the 13214 address, and was extended twfr:e under
the "pre-Sierra" system before continwng life under Sierra/Acee/la starting as R8903566 1n 1989, it just kept
rolling along after they made a new entrance or something to that effect. Only odd part is that Edmund Shaw has
always used -and d,d on this past extension -the 13214 144th Ave SE address. My concern 1s that both he and the
post office agree on the 14413 SE 132nd address. I think he's getting along 1n years and it may cause him some
confusion. Otherwise, that's it -have at it and change all old as discussed Thanks Jamse ... BWoo
1
i.,.....~084~no-0065, __ """
08471().0065
0847\0-0065
08471().0065
084710-0065
08471().0065
. 12/05/1998 MTG-HELD_ ~i:"18W, EDMUND· • ----··---L.13.?1:
07/18/2001 EXT-CLSD SHAW.EDMUND D. i132ot 05/30/2002 EXT -CLSD ---·---------····+····-·····
···--·-SHAW.EDMIJND D. , ·····-----D320I
06/26/2003 EXT -CLSD SHAW. EDMUND D I 1320I
06/17/2004 EXT·CLSD SHAW EDMUND D ··--l1320i
05/07/1993 00-CLSD SHAW.EDMOND . -i1321,
05/31/1994 EXT·CLSD SHAW.EDMOND -·------------~
a;,,,,~084c::,.:7.:.;10::_:·006=5:____+B~99B=00~1.c::O:..+A::,,Bc,:Cc_,,..±AB"°C,,_ __ . . 02/04/1999 FINALED SHAW, EDMUND D 11321•
084710-0065 E0100653 ENFOAO ENFORCE ... -. ~_04/30/2001 CLOSED SHAW EDMUND D +TEAl'l_l E ·-:·--r,320(
084710-0065 £9800669 ENFOAO ENFORCE IP 06/29/1998 CLOSED SHAW, EDM_!JN!)J_TERR!. 11320l
084710-0065 . ......J_rn=2r""0023=.....i.:A"-"EMVTA AEMVTANK! A 0~31:-:18/2002=--=::.i.:CL=o=-=s=E-=-D-i.=E-=-D"'MU::cN.:.:D:....::.sw'-":t>.N=--·----·---~ 1 m
1--.i.:084:::: 710-0065 AB903566 A-RENE\ A-RENEW IA . ~/05/1989 EXT·_CLSD SHAW, EDM_DND [ 1321•
1-~08C1:4ce71c,:0-0065.=~--...l.'A~09004=:.:.788:::::_-1.i A-RENE\ A:f'lENE\11 A 05/07/1990 EXT -CLSD SHAW, EDMOND ; 1321,
084n0-0065 A9102724 A-RENE\ A-RENEW A 04/22/1991 EXT·CLSD SHAW, EDMOND .. i 1321•
084710-0065 ____ ._ A9204266 A-RENE\ R·RENE:W
0
A . 06/01/1992 EXT-CLSQ. SHAW.EDMOND 11321,
084710-006_5 __ X0000728 UNKDEV UNKD~V ! D · 05/30/2002 LINK SHAW EDMUND D.+TERRI E ····--··· J.1320l
Record: 8 of 17
--·--Original Message----·
From:
Sent:
To:
Subject:
King, Janise
Monday, September 12, 2005 8:44 AM
Wood, Bob-H
FW: B95A2985
Bob· I need your assistance. The address at B95A2985 (medical hardship MH) has been changed to 14413 SE 132ND
ST (see below details). Are there other associated permits that I need to update the address as well? Thanks, Janise
-----Original Message-----
From: King, Janise
Sent: Monday, September 12, 2005 8:24 AM
To: Dom, Jeanne
Subject: B95A2985
Hi Jeanne,
I looked at the orthophoto and it does look like the MH has a driveway off of SE 132nd St, in which case the 14413 SE
132nd St would be acceptable. I'll update our records. Thanks for letting me know.
Janise
2
-----Original Message-----
From: , , Dom, Jeanne
Sent: Wednesday,'September 07, 2005 8:37 AM
To: King, Janise; Rubalcaba, Vicki
Subject:
Hi Janise, ,
Could you please take a look at: 895A2985? It is a medical hardship mobile home. It' has been "erroneously"
addressed as 13214 144th Ave SE (that is the correct address for the ABC pole barn, permit no. 89980010). According to
the property owner, the correct address of B95A2985 should be:
14413 SE 132nd St.
I don't know if it's okay to just take the property owner's "word" about addresses or not...Anyway, that's
what he told me! Thanks, Jeanne Dorn
3
Codes:
Cataaorio:':s: AP d "' Approve
l
S = Selb~cks FP"' fireplace , . . _ . , . . PA= Partial Approval
FO = Foun<lat1on (includes Mobile Home) ME= Mechanical ({urnace/ducls/concl1t1on1ng/ho0Js) CN ., Correct ion Not kc
DR= Drainage/Erosion Controls IV= Investigation NR = Not Ready
FR = Framing (& /·\obi le Home sd up) FD "' Fire Dam.:igc Report ~ NA= No Access/Not Home
EN= Ene,-gy (Insulation Compliuncc) RE= Relocation Report . . _ . . RlJ = Report \Jr1tten
Fl= frnal (includes Mobile Home) CE= Code Compl1ance . . LN = See log Notes
-t
\JS"' \Joodstove HI"' Hin1mum llous1ng 4
0 0 h ( l
. ) SP = Stop Vork Posted -m
~ t er exp a1n SL = §top Vork Li f tc-::1
SO = Status Only ---t
.)>
DATE S FO DR FR EN Fl WS FP ME IV FD RE CE Ml I O SW SW l'UI.L DATE COMMENTS . LJ
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Thursday, Jun 30, 2005 04:08 PM
Bobby's Business
Thursday, Jun 30, 2005 01:14 PM
Bobby's Business
PREAPP· PREAPP·M A SHAW. EDMUND
SHAW. EDMUND D.
SHAW. EDMUND D.
SHAW. EDMUND D
SHAW EDMUND D
SHAW. EDMOND
SHAW, EDMOND
: 13214 144TH AVES
l13206144TH AVE S
i 13206144TH AVE S
! 13206144TH AVE S
13206144TH AVES
13214144TH AVES
! 13214144TH AVES
SHAW. ED ! 13214144TH AVES ···-----·-···--········---···--·-··--····--+------·-----SHAW EDMUND D +TERRIE i 13206144TH AVES
SHAW. EDMUND & TERRI f13206144TH AVES
EDMUND SWAN . . [ 13206144TH AVE ----·------····-·---·l,---------SHAW. EDMOND ________________ [ 13214 144TH AVE S
SHAW.EDMOND 14144THAVE S
SHAW.EDMOND 14144THAVE S
SHAW, EDMOND S
SHAW EDMUND O + TERRI_L ____ j 13206144TH AVE S
soc
ODES
King County
Department of Development
and Etll.vironntental Services
900 Oakesdale Ave SW
Renton, Washington 98055-1219
June 30, 2005
Summarv of Char!!es and Pavments
Applicant: SHAW, EDMUND D
13214 144TH AVE SE
RENTON, WA 98059-4914
Charges
Description
425-255-3117
Bldg Extension/No hourly
Bldg lnsp Counter Fee
Bldg Inspection
SUB TOT AL CHARGES:
Pavmcnts
Description
Cash
Check#
2387
SUB TOTAL PAYMENTS:
BALANCE:
Checklogid
P+ Migrated.
Payee
Activity Number:
Project Number:
Development Number:
Permit Type:
Status:
Date Entered
6/16/1995
Page 1 of,1
B95A2985
B99B0010
R-EXTEND
EXTENDED
Amount
$132.83
$102.64
$119.00
$354.47
Amount
($119.00)
($119.00)
$235.47
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DOES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the aoolicant. All fees must be paid in full before DOES issues Final Approval, T.C.0. or C.0.
soc
DDEs·
King County
Department of Development
and E<11vironnlental Services
900 Oakesdale A vc SW
Renton, Washington 98055-1219
June 30, 2005
Page 1 of 1 ' '
Summary of Related Activities/Projects/Dev.
Applicant: SHAW, EDMUND D Activity Number:
13214 144TH AVE SE Project Number: B99BOOIO
RENTON, WA 98059-4914 Development Number:
ABC
425-255-3117 Status: ISSUED
Activity/Project# Comp Type Status Fee Charges Hours Charges Payments Balance Due
B99B0010 ABC ISSUED $1,803.54 $0.00 $1,803.54 $0.00
A98M0491 PREAPP-M MTG-HELD $0.00 $0.00 $0.00 $0.00
BOIX0737 EXTENSN EXT-CLSD $214.50 $0.00 $214.50 $0.00
B02X0560 EXTENSN EXT-CLSD $214.50 $0.00 $214.50 $0.00
B03X0628 EXTENSN EXT-CLSD $224.25 $0.00 $224.25 $0.00
B04X0547 EXTENSN EXT-CLSD $235.47 $0.00 $235.47 $0.00
B93A2939 R-EXTEND EXT-CLSD $113.00 $0.00 $113.00 $0.00
B94A2541 R-EXTEND EXT-CLSD $119.00 $0.00 $119.00 $0.00
B95A2985 R-EXTEND EXTENDED $354.47 $0.00 $119.00 $235.47
F02T0023 REMVTANK CLOSED $0.00 $0.00 $0.00 $0.00
R8903566 R-RENEW EXT-CLSD $75.00 $0.00 $75.00 $0.00
R9004788 R-RENEW EXT-CLSD $75.00 $0.00 $75.00 $0.00
R9102724 R-RENEW EXT-CLSD $100.00 $0.00 $100.00 $0.00
R9204266 R-RENEW EXT-CLSD $80.00 $0.00 $80.00 $0.00
TOTAL: $3,608.73 $0.00 $3,373.26 $235.47
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DOES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before ODES issues Final Annroval, T.C.O. or C.O.
•
<®
Ki.ng County
Department of Development
and Environmental Services
900 Oakesdale Avenue Southwest
Renton, Washington 98055-1219
I J,t
.\ _ 1L\PPROV;
Permit Number:B04X0547
Date lssued:06/17/2004
Expiration Date: 06/15/2005
Permit Status:ISSUED
Permit Extension
Permit Type:EXTENSN , BUILDING
Title:EXTN OF B03X0628 (#100023)
Description:MEDICAL HARDSHIP MOBILE HOME PERMIT
FOR DOROTHEA & GRANT ZUFELT; SEE ALSO ABC PERMIT
89980010 (APPROVED, READY FOR ISSUE) ON SAME PARCEL. ,.. .
Location:
List of Parcels:084710-0065
Site Address:13206 144TH AVE SE KC
Valuation: $0.00
Applicant:SHAW EDMUND D
Contact the Inspections Section at 206-296-6635 to schedule the Inspection.
1. This extension does not replace the original permit --it does extend
the life of the original permit to the new expiration date. This
extension must be posted on the job site with the original permit in
a visible and readily accessible location.
2. This permit is subject to all corrections indicated on the associated
plans and conditions.
3. Work may proceed only at the direction of the field inspector. Please
call the inspector at 206-296-6630 between 7:30 and 8:30 a.m.
Monday through Friday.
date printed 06-17-2004
bp_3extn
soc
DDES
King County
Department of Development
and Environffiental Services
900 Oakesdale Ave SW
Renton, Washington 98055-1219
June 17, 2004
Summary of Char{!es and Payments
Applicant: SHAW EDMUND D
13214 144TH AVE SE
RENTON, WA 98059-4914
425.255.3117
Charges
Description
Bldg Insp Counter Fee
Bldg Inspection/No Hrly
SUB TOT AL CHARGES:
Pavm..:nts
Description Check#
SUB TOTAL PAYMENTS:
BALANCE:
Checklogid
Activity Number:
Project Number:
Development Number:
Permit Type:
Status:
Payee Date Entered
Pi;ige I o{ I
B04X0547
X0000072
EXTENSN
ISSUED
Amount
$102.64
$132.83
$235.47
Amount
$0.00
$235.47
The fees shown above represent current charges as of this date and are an estimate based on the infonnation
provided to DDES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.O. or C.O.
soc
DDES
King County
Department of Development
and Environmental 'Services
900 Oakesdale Ave SW
Renton, Washington 98055-1219
June 17, 2004
Pagf, I of I
Summarv of Related Activities/Proiects/Dev.
Applicant:
Activity/Project# Comp Type Status
X0000072 LINKPROJ LINK
BOIX0737 EXTENSN EXT-CLSD
B02X0560 EXTENSN EXT-CLSD
803X0628 EXTENSN EXT-CLSD
B04X0547 EXTENSN ISSUED
893A2939 R-EXTEND EXT-CLSD
B94A2541 R-EXTEND EXT-CLSD
B95A2985 R-EXTEND EXT-CLSD
F02T0023 REMVTANK CLOSED
R8903566 R-RENEW EXT-CLSD
R9004788 R-RENEW EXT-CLSD
R9102724 R-RENEW EXT-CLSD
R9204266 R-RENEW EXT-CLSD
TOTAL:
Activity Number:
Project Number: X0000072
Development Number:
LINKPROJ
Status:
Fee Charges Hours Charges
$0.00 $0.00
$214.50 $0.00
$214.50 $0.00
$224.25 $0.00
$235.47 $0.00
$113.00 $0.00
$119.00 $0.00
$119.00 $0.00
$0.00 $0.00
$75.00 $0.00
$75.00 $0.00
$100.00 $0.00
$80.00 $0.00
$1,569.72 $0.00
LINK
Payments Balance Due
$0.00 $0.00
$214.50 $0.00
$214.50 $0.00
$224.25 $0.00
$0.00 $235.47
$113.00 $0.00
$119.00 $0.00
$119.00 $0.00
$0.00 $0.00
$75.00 $0.00
$75.00 $0.00
$100.00 $0.00
$80.00 $0.00
$1,334.25 $235.47
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DDES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DOES issues Final Approval, T.C.O. or C.O.
soc
DOES
King County
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton, Washington 98055-1219
June 17, 2004
Pi;tge I o~ I
Summary of Char!!es and Payments
Applicant:
Charges
Description
Bldg Inspection
Bldg Plan Check
Civil Penalty
SHAW,ED
13214 144TH AVE SE
RENTON, WA 98059
425-255-3117
Counter Service Fees
Health-Septic Sys. Cert.
State Building Code
SUB TOTAL CHARGES:
Pavmcnts
Description
Cash
Check # Checklogid
FM A98M0491
Suspense Account 11091 22717
SUB TOT AL PAYMENTS:
BALANCE:
Activity Number:
Project Number: B99BOOIO
Development Number:
Permit Type:
Status:
Payee
EDMUND D. SHAW TERRI SHAW
ABC
APPROVED
Date Entered
2/5/1999
12/22/2000
Amount
$356.01
$356.0 I
$837.02
$125.00
$125.00
$4.50
$1,803.54
Amount
($190.00)
($1,803.54)
($1,993.54)
($190.00)
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DDES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.O. or C.O.
084710-006_5 __ J B93A2939 R-EXTEN A-EXTEND : 0510711993 EXT.ct.SO SHAW, EDMOND 113214144TH AVE SE
1=:!:.084~710-0065 I B94A2541 I R-EXTEN A-EXTEND i ()513111994 EXT-Cl.SD SHAW, EDMOND -. -r,32i"rf-i4THAVESE
084710-0065---+a-~ R-EXTEN A-EXTEND I 0611611995-EXT-Cl.SD SHAW, EDMO~---·· ·-·J13214·144TH AVE S
084710-0065 99980010 ABC ABC 02/04/1999 APPROVED SHAW,ED 13214144THAVES
084710-0065 i E0100653 I ENFORO ENFORCE P 1.04/30/2001 APP-RCVD I SHAW EDMUND D +TERRIE--··· j13206144TH AVE SE
084710-0065 I E9800669! ENFORO ENFORi:E" p ... i 06/2911998 i CLOSED I SHAW, EDMUND & TERRI ·-:==113206 l~tl:l~Y} SE
084710-0065 -]F02T0023-I REMVTA REMVTANK A I 03/1812002 I CLOSED I EDMUND SWAN 113206144TH AVE SE
, R89035S6 i A-RENE\ A-RENEW A . 04/051i989 I EXT-CLSD SHAW, EDMOND ·-!132ff144TH AVE SE
. R9004788 I A-RENE\ A-RENEW ~ ()5/07119@ I EXT-CLSD SHAW, EDMOND ·--=~-=:JI:gi4144THAVES~
:R9102724 A-RENE\ A-RENEW A 104/2211991 IEXT-CLSD SHAW,EDMOND !13214144THAVESE
A-RENE\ A-RENEW A ·06/01/19921EXT-CLSD SHAW,EDMOND·-·---·-···r13214144TH.AVE°SE
084710-0065 lX0000072 LINKPRO LINKPROJ P 104/1812001 LINK SHAW EDMUND o·;TERRI c···-····fT3206.144TH AVE SE
084710-0065 _____ !XOOOil728 _IT[NKDEV LINKDEV _ D .. lo5/30/2002iUNK .. _JSHAWEOMUND D +TERRI_E_ •.•..... ·11.32061.44TH.AVE SE
Thursday, Jun 17, 2004 03:56 PM
Bobby's Business
13214144TH AVE SI
ll£N1'0N, WA 91HM914
xteuion Fees: S235.47
PA<,;:. 1'1
I
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'
1bil .oi>tke i• mleodecl tu remd you tlMit !Iii, pomiit will expir• on !he dau, refllNIIC:cd above. ·1 .extcoaiom are illlued for a
oac y,,er puiod and must be r,ccnmpanicd wldl • Physician, ~da'fit, pr(r(idod below, 11lia davit -bit complcud by the
auonding pbysicilll =h )'CJl1 diat a ir.edical htrdsbip cond.irio!I cxltls. To oblain • ptl'lllit ell.~ by mall, p1-l\ll,mil a check
or mllne)I order in 1M arno11Dt indicated above; made payable to 1!u, KC Office of Pinll)(:e. P indicate, 'Building lllspectiOM'
&n<I ~ pemil11111Ulber on yoU( 1)11:imeot, Sy !ho ""Pirlti® date, pleue mall the pmnit flL!ellai fee aod Ilic ~ ~ompleted
Physklans Affidavit 1n: . /
KC ODES -Bldldfns l,upecllOIII I
900 Oakadale Anna,, SW '
R.•11100,WA !II055-lll9
.,. __ . __ ....... ------····--·-··~~-__________ .,_._,... ----
1
I ~kl! B~hl~otill,..89111$.l'JnJkfu Allidayjt ; ·-,. . . ..
'
Io 4PJ,ljcant', fA)'akianc Thia (onn L• ~«1 to b< coropl•ted by the a~ing pb~idan wlb year the inedi~! hardtllip
condition etlBt,. · I • . '
•
Mecl.i.ul facility Adihos S1a11q>:
-4--~--------L------
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· · ~1 :J. "1 :~ ·,: 4 '1 ·. ·: ·.·: F. ,.i,,;
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, .... ,· ·.•• \jc ~\ 'i ~J, ®
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June 9, 2004
To: Whom it may concern
RE: Dorothea and Grant Zufelt
Mr. and Mrs Zufelt are patients in our clinic at
Valley Orthopedics. They are currently living in a
trailer on the property of Mr Ed Shaw due to
Mr. Zufelt's disability. The purpose of this
letter is to confirm the need for them to live
next door to Mr. Shaw so that he may assist Mr.
Zufelt with activities of daily living. This will be
a permanent arrangement until Mr. Zufelt should
decide to move his trailer to another location.
··---·----·---·---·-···-·----· -· -····-·····"'· -
Sincerely,
Michael Allison, MD, MPH
• •
To: fcl 5hui uJ
From: 1-/:e {Aj t\Q-1( _ _ __ _
u: t ra vvt cufc/ rt
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fict,ae!]er
}: -' .... am :n
cvlidt iison . .M.D.
40li Talij:Jt Rd. Sc. #500
Re.cto.o, WA 98055
Phone j, I( 425) 656-50t-O
Fzx #: (~ ) 656-5047
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Tl"li.5 ;·r;forrn.::ir:,Hi il:i-.5 b~cn ctisdcscU u:: :,·,J:J t"r;;m r~cords .,,,,ho-sc en fidcntia!i~.1 is protectcL'Jy
.::rrrrc bw or rr1:1y ,·;c JJ: :"cder::lt .:,1n!idcndJiitY :-:J!e.s. St~:tc ;:1w pr0
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ibiu ."OU from m~king :l:l)'
l11rthl:'~ disdos:_i;r-ct r wit:iouc i:hL r:ecd1~ .... 'r·r"1tt(?'n .::nn5enc r;f :-ll~ pqrson ~o whonl 1t p<!r ... n~n!i. or
-=-· .. :·~·-::. "
0;·~~-;.,5:·, ~~·;"· _,, -1/:::,,/~~_:=-6~-r:~·,1 :tS ,,.;cbcr,',,'-1...· ~;errnat~,) J;v H~He J:iw. I . \jf·;.:.:.J:\ ,'.' I,.'!' ;or. i, ' i,, ·:·;,: ,1 :11,1,1,::,r,,11:~,.~1·1:1:R;,,... ·17• I'·~~· r .
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CATEGORIES:
FO = Foundation (includes Mobile Homes)
DR= Drainage/Erosion Control
FR ::.: Framing
UF = Underfloor inspection
FI = r tnal for use or oc01pancy
0 = Other (Desmoe in comments)
INSPECTOR DATE
I
I
i
I
INSPECTION LOG
FP = fireplace
ME= Mechanical (All Types)
IV= Investigate
ES = Exterior Shearing nailing
WS = Woodstove
SW= Stop Work Actions
FO DR UF ES
I I
I I
I
J
I I
.
I
-
I
FR
I
ACTION TA.KEN CODES
. AP = Approved
PA = Partial Approval
CN = Correction Notice
NR = Not Ready
OC = Other/w/Comrnents
Fl IVIE FP ws
I
I
I
I
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IV
I
I
SP = Stop Work Posted
SL= Stop Work Lifted
SW I 0
I
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-
COMMENTS
--------
.
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Subtype
BUILDING ISSUED
ITLE: EXTN OF B02X0560 #100023 EDUMND D SHAW
13214 144TH AVE SE
RENTON, WA 98059
ESCRIPTION: MEDICAL HARDSHIP MOBILE HOME
ERMIT FOR GRANT ZUFELT
OCATION: 13206 144THAVE SE
Z,ou 3 IParcel/1: 084 7100065
µurisdiction: King c;ounty
10wncr: EDUMND D SHAW
!Phone: 425.255.3117
!Expiration Date: 06/15/2004 !!Extension Fees: $235.47
This notice is intended to inform you that your Medical Hardship Permit will expire on the above referenced expiration
date. For your convenience we will issue your permit extension by mail. To obtain your permit extension, please submit a
check or money order made payable to the King County Ot1ice of Finance, along with your completed physicians
affidavit. This affidavit Must be completed by your attending physician each year that you request a medical hardship
permit extension.
If you have any questions about this extension, please contact Building Inspections at (206)296-6630.
----------------------------------------------------
Medical Hardship Mobile Home
Physician Affidavit
To: Applicant's Physician: This form is required to be completed EACH YEAR when a permit extension is
requested by the applicant.
As the physician for. ______________ ~, I hereby verify that this person requires "daily care".
Physician (Signature Required), ________________ _
Date. ______________ Phone (5<.2"'>) 6._r',C-5,_:_,1'.>C
Office Address. __ 7'-.,:_ . .!., ~""7_,/c.2/_~--z::;:p<....£"-'/'"6'--.,;.._, "';,_,,_-_,,<"--'--_.,'T._°"71,_,r"'--~'--' _:-~'"'--""·,,...o,,/._._W-,__-~<:'.,_,-"·u"'''-''~L=--~-c;,,~'-'-~_-c_. ____ _
.,,e:.,,.,.,vo.J c.Jp
'
05/13/2004
soc
ODES
King County
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton, Washington 980554219
June 26, 2003
Summary of Charges and Payments
Applicant: SHAW, EDMUND D
13214 1441H AVE SE
RENTON, WA 98059
425.255.3117
Charges
Description
Bldg Insp Counter Fee
Bldg Inspection/No Hrly
SUB TOTAL CHARGES:
l'a~ mcnts
Description Check#
SUB TOT AL PAYMENTS:
BALANCE:
Activity Number:
Project Number:
Development Number:
Perm it Type:
Status:
Checklogid Payee Date Entered
Page I o{ I
B03X0628
xooooon
EXTENSN
ISSUED
Amount
$97:7.5
$126.50
$224.25
Amount
$0.00
$224.25
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to ODES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DOES issues Final Approval, T.C.O. or C.O.
soc
DOES
King County
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton, Washington 98055Ul9
June 26, 2003
Page I o( I
Summary of Related Activities/Projectsillev.
Applicant:
Activity/Project # Comp Type Status
X1l000072 Llffl(!'RPJ;;. .· LINK
BOIX0737 EXTENSN EXTENDED
BO:i~0560< EX'T'l,NSN:'., EX'T'l,NDED
B03X0628 EXTENSN ISSUED
B9Jl!l.:Z939 R-EX~ EX'T'l,NDED
B94A254I R-EXTEND EXTENDED
B95l'li~85 RsEX'fEND EX~ED
F02T0023 REMVTANK CLOSED
R8903;i66 'itiRENEW EXTENDED
R9004788 R-RENEW EXTENDED
R9I02724 R,RENEW· i'EXTENDED
R9204266 R-RENEW EXTENDED
TOTAL:
Activity Number:
Project Number: X0000072
Development Number:
LINKPROJ
Status: LINK
Fee Charges Hours Charges Payments
. ·•. $0.()(} $()!QQ ·. ·.; ;:,,;:;;;< $!WO
$214.50 $0.00 $214.50
$~l4.50[!: · $0:i!Q
$224.25 $0.00
~\13.0t'.llt $0.00
$119.00 $0.00
$\l9,00''" '$0,00
$0.00 $0.00
$7~.00;; ,:.,k · ·
$75.00
$100,00
$80.00
$1,334.25
$0.00
,·j$fJ.OO)<U·'
$0.00
$0.00
...
$0.00
.. ,$1'U,00
$119.00
$119.{!0
$0.00
$75.00
$75.00
<:::11hoo:uo
$80.00
$1,374.00
Balance Due
$0.00
$0.00
($!2.@t.00)
$224.25
$.O.QO
$0.00
$0:fJO
$0.00
$Q,90
$0.00
$0,00
$0.00
($39.75)
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DDES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
· worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.O. or C.O.
®
King County
Dep,µtment of Development
and Environmental Services
900 Oakesdale A venue Southwest
Renton, Washington 98055-1219
1
[) <! •.
Date lssued:06/26/2003
Expiration Date: 06/15/2004
Permit Status:ISSUED
60 <{ XO _s,-q'7
---------· Permit Extension
Permit Type:EXTENSN , BUILDING
Title: EXTN OF B02X0560 (#100023)
Description:MEDICAL HARDSHIP MOBILE HOME PERMIT
FOR GRANT ZUFELT
Location:
List of Parcels:084710-0065
Site Address:13206 144TH AVE SE KC
Valuation: $0.00
Applicant:SHAW, EDMUND D
Contact the Inspections Section at 206-296-6635 to schedule the Inspection.
1. This extension does not replace the original permit --it does extend
the life of the original permit to the new expiration date. This
extension must be posted on the job site with the original permit in
a visible and readily accessible location.
2. This permit is subject to all corrections indicated on the associated
plans and conditions.
3. Work may proceed only at the direction of the field inspector. Please
call the inspector at 206-296-6630 between 7:30 and 8:30 a.m.
Monday through Friday.
date printed 06-26-2003
bp_3extn
I
llepai-tment or ueueiopment
and l:nuironmental Ser11ice:s ® '.:,((1 OokesciA~ Aven.1e Sv'/
King O;,unty r.,;,r.,:w, V'/A 96055-1219
KING COUNTY
BUILQING INSPECTIONS
NOTICE OF PERMIT STATUS
I Perm~t IIProjectll P;;:!t II Subtype II Date Issued Status
1Bo2xo56o/[xooooonll EXTENSN II BUILDING II 0513012002 ISSUED
I APPLICANT INFORMATION II PERMIT INFORMATION
SHAW, EDMUND D. [ITLE: EXTN OF B01X0737 (#100023)
13214 144TH AVE SE
RENTON WA 98059
ESCRIPTION: MEDICAL HARDSHIP MOBILE HOME
ERMIT FOR GRANT ZUFELT
!LOCATION: 13206 144THAVESE
~arcd#: 084 7; 00065
~urisdiction: King County
!Owner: SHAW EDMUND D +TERRIE
!Phone: 425.255.3117
!Expiration Date: 06/15/2003 ilExtension Fees: $224.25
This notice is intended to inform you that your Medical Hardship Permit will expire on the above referenced expiration
date. For your convenience we will issue your permit extension by mail. To obtain your permit extension, please submit a
check or money order made payable to the King County Office of Finance, along with your completed physicians
affidavit. This affidavit Must be completed by your attending physician each year that you request a medical hardship
permit extension.
If you have any questions about this extension, please contact Building Inspections at (206)296-6630.
Medical Hardship Mobile Home
Physician Affidavit
To: Applicant's Physician: This form is rt:quircti tu Le i.:omplded EACH YEAR ,Yhcn a p~omit extension is
requested by the applicant.
As the physician for+(~,..)~,!;,E===· ~· ~A_,=M=~"-'~fl.~:.z.=··=::.-1)~----'' I hereby verify that this person requires "daily care".
Physician (Signature Required) ________________ _
Date _______________ Phone:---------------
Office Address __________ _
06/06/2003
,
V,\IL'f:Y . ,
ORIHOPEDIC
ASSOCIATES
A DIVlslon of
~roMnee Surieoos, Inc,
ORlHOPEOIC SUAGERY
Cm1g: Am:z. MD
Wi·\iam P Barrett .. M_J
1i;ici G. ear1nel, l\'.D
"'.,;
RoOert H Cancro, M.D .. · ~; :-:~,
Su~n ;,, c~ro t/i D
~>0:11 M. i1endricllson, MD
frednc\.: S Huang_ ti D
t"4.1C~ C Remington, M.D .. Pti D.
.;.;mes w.. Russo. W. 0.
M;,11m S :11llus. M.D.
Rober! G. Ve11t M.iJ.
OCCUPATIONAL &
SPORTS MEOICIHE
r,1,icr..:ie1 O, Allison.MD. M_~ ...
RHEUMAlOLOGY
V. Joyce Ga<Jlhlo<, lv',D Ph.D.
OCCUPATIONAL MEDICINE
6. 0ani&I Chi:cruk, M D
HjCTflOOIAGNOSIS
K,ya Hasanoglu, tl,D,
R. Mat:hew ,i lion
C~,iel Secu!ive O!licer
MAlN OFFICE
Talbol Pro1esslonal Cenler
4011 Talbot Road Soulh, # 300
Ronlon. WA 98055
425,656,5060 (Phone)
425,656,5047 (Fu)
COVINGTON OFFICE
16850 SE 272nd SL# 200
Covington, WA 98042
253·395· 1971 (Phone)
,.,.. n ,.,.._. ..i l"I\~ ''"···'
'
; ; l i
,£)
JUNE 10, 200:l
RE: Dorthea and Grant Zufelt
To Whom it May Concern
Mr. And Mrs. Zufelt are patients in our clinic at Valley Orthopedic
Associates. They are currently living in a trailer on the property:ofMc Ed
Shaw due to Mr. Zufolt's disability. The purpose of this letler is to
confirm the need for them to live next door to Mr Shaw so that he may
assist Mr. Zufelt wnh activtLes of daily living. This wiU be a permanent
arrangement until Mr. Znfelt should decide to move his trailer to; another
location. ·
Sincerely,
Michael D. Allison, MD, :v!PH
MDH/klh
cc: (\,fr. Ed Shaw
®
King County
Department of Development
and Environmental Services
FI~
Inspect1
PPROVAL
Permit Number:B02X0560
Date Issued :05/30/2002
Expiration Date: 06/15/2003 900 Oakesdale Avenue Southwest
Renton. Washington 98055-1219 "~""""'j'.'~~JJ".'6~.
Permit Extensi~
Permit Type:EXTENSN, BUILDING
Title:EXTN OF B01X0737 (#100023)
Description:MEDICAL HARDSHIP MOBILE HOME PERMIT FOR
GRANT ZUFELT
Location:
List of Parcels:084710-0065
Site Address:13206144TH AVE SE KC
Valuation: $0.00 B°At.30010
Applicant:SHAW, EDMUND D.
Contact the Inspections Section at 206-296-6635 to schedule the Inspection.
1. This extension does not replace the original permit--it does extend
the life of the original permit to the new expiration date. This
extension must be posted on the job site with the original permit in
a visible and readily accessible location.
2. This permit is subject to all corrections indicated on the associated
plans and conditions.
3. Work may proceed only at the direction of the field inspector. Please
call the inspector at 206-296-6630 between 7:30 and 8:30 a.m.
Monday through Friday.
date printed 05-30-2002
bp_3extn
soc
DOES
King County
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton. Washington 980551219
May 30, 2002
Summary of Charges and Payments
Applicant: SHAW, EDMUND D.
13214 144THAVE SE
RENTON WA 98059
425.255.3 l l 7
Charges
Description
Bldg Insp Counter.Fee
Bldg Inspection/No Hrly
SUB TOT AL CHARGES:
Payments
Description Check#
SUB TOT AL PAYMENTS:
BALANCE:
Activity Number:
Project Number:
Development Number:
Permit Type:
Status:
Checklogid Payee Date Entered
Page I of I
B02X0560
X0000072
EXTENSN
ISSUED
Amount
$93.50
$121.00
$214.50
Amount
$0.00
$214.50
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DDES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.0. or C.O.
soc
DDES
King County
Department of Development
and Erivironmental Services
900 Oakesdale Ave SW
Renton, Washington 980551219
May 30, 2002
Page I of 1
Summary of Related Activities/Projects/Dev.
Applicant:
Activity/Project# Comp Type Status
X0000,)12 LINKPROJ LINK
13_0 I )(0731 EXTENSN ISSUED
B02X0560 EXTENSN ISSUED
1393A2939 R-EXTEND EXTENDED
!}94A2541 R-EXTEND EXTENDED
139:5J\.2985 R-EXTEND EXTENDED
f02T0023 REMVTANK APPROVED
R8903566 R-RENEW EXTENDED
R9004788 R-RENEW EXTENDED
R9_1Q2724 R-RENEW EXTENDED
R9204266 R-RENEW EXTENDED
TOTAL:
Activity Num her:
Project Number: xooooon
Development Number:
LINKPROJ
Status:
Fee Charges Hours Charges
$0.00 $0.00
$214.50 $0.00
$214.50 $0.00
$113.00 $0.00
$119.00 $0.00
$119.00 $0.00
$0.00 $0.00
$75.00 $0.00
$75.00 $0.00
$100.00 $0.00
$80.00 $0.00
$1,110.00 $0.00
LINK
Payments Balance Due
$0.00 $0.00
$214.50 $0.00
$0.00 $214.50
$113.00 $0.00
$119.00 $0.00
$119.00 $0.00
$0.00 $0.00
$75.00 $0.00
$75.00 $0.00
$100.00 $0.00
$80.00 $0.00
$895.50 $214.50
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DDES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be
billed to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.O. or C.O.
Wood;Bob-H
From: Wood, Bob-H
Sent:
To:
Thursday, May 30, 2002 1 56 PM
Andres, Rose
Cc: Turner, William; Rubalcaba, Vicki; Moore, Bernard
Subject: PENDING ABC B98B0010 + PENDING CE FILE E0100653; PARCEL 084710-0065 (Edmund
Shaw)
Rose (& Bill): I've received extension fee for the Medical Hardship Mobile Home associated with this
parcel/file, and have generated B02X0560. It brings up the fact that the above noted ABC and the
associated CE files have sat rather stagnant since last year. Your quote of 7/9/01 in L/H/N is:
"Recieved Affidavit Regarding Medical Hardship along with required Doctor's Letter -routed to
BWOO in Inspections for extension processing on medical hardship mobile home 895A2985. I
am satisfied that this handles the issue of the mobile home on the property and will issue the
permit once the Health Department approves the application."
And on the Code Enforcement file E0100653, comment from Gail Philips on 10/01/01 simply says
that effective that date, this case is handled by Bill Turner. Beyond that, nothing has been entered in
either file (other than my just entered comments).
I also realize that there is a prior CE file -E9800669 -that has a Status of APP-RCVD, but that the
newer file is the "action" file so to speak. But the earlier file contains most of the historical information
-much of it from Sheryl Lux -so it too has value.
One final interesting item that I noted under the S.O.C. is the fact they have a credit under
B99B001 O of $1,803.54, paid in December 2000. Since the permit is still PENDING, I presume this is
normal until issued. I gather also from reading the Comments, that Health has posed a stumbling
block in this issue, but of course I don't know. Do we continue to grant the MHMH under these
circumstances, and for how long?
Thanks for your time .... Bwoo
Bob Wood, Administrative Speck1/ist II
Building Inspections Section
DDES/Build1ng Services Division
Phone: 206,296.7111; Email: bob-h.wood@metrokc.gov
1
VAI.l.EY
ORIHOPEDIC
ASSOCIATES
A Divis1ori ol Orth011edic
Consultant. ol W,shinglon
ORTHOPEDIC SURGEONS
~;1.fi.ig '-A1n:2. M.D.
w111iarr P Bari~!! \1.D
P,(lt:,,;>rl fi. C;;n-::ic, MO , t ~c., ;:·
SusaG R. Ce:o M.D
lol'1'· M. H.sodw:k~ort., M.O
F1tdrid S. :1u:mg, M.D
Ma~.,. C. Rem111gt:rn, M_D .. ?.'l.D
j~rr1es \1 FMs::i M.D.
t}ar'.in S. T1.l11Js. M.0
Robert G Veit~. M.D.
OCCUPATIONAl &
SPO~TS MEDICINE
M.cna~ o. All·son, MD M fH
RHEUMATOLOGY
V. ~1~ice G:iut~ier, M.0. Ph.D.
Andrew~-Holman. M.D
OCCUPATIONAL MEDICINE
~-Oari,el c1qcruk. fi1. D
ELECTRODIAGNOSIS
Kay, Hmnog1u. M D
R, Mal thew Kl .'lon
Chiet Ex~cutivi: Officer
Talbot Professional Conltr
4011 Talbol Road South
Suite 300
R!nlM, WA 98055
425-555·5060 IPluine)
425-656-504 7 I Fax)
June 21, 2002
RE: Dorthea and Grnnt Zufelt
To Whom it May Co11cem:
Mr. And Mrs. Zufelt are patients in our clinic a1 Valley Orthopedic
Associates. They are currently living in a trailer on the property of Mr. Ed
Shaw due lo Mr. Zufelt's disability. The purpose of this letter is to
confirm the need for them to live next door to Mr. Shaw so that he may
assist Mr. Zufelt with activities of daily living. This will be a permanent
arrangement until Mr. Zufelt should decide to move his trailer to another
location.
Sincerely.
.~
Michael D Allison, MD, MPH
MDH/klh
cc, Mr. Ed Shaw
" i. L
soc
DDES
King County
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton, Washington 980551219
May 30, 2002
Summary of Charges and Payments
Applicant: SHAW, EDMUND D.
13214 144TH AVE SE
RENTON WA 98059
425.255.3117
Charges
Description
Bldg lnsp Counter Fee
Bldg Inspection/No Hrly
SUB TOTAL CHARGES:
Payments
Descri lion Check#
SUB TOT AL PAYMENTS:
BALANCE:
Activity Number:
Project Number:
Development Number:
Permit Type:
Status:
~age I o.f I
B02X0560
X0000072
EXTENSN
ISSUED
Amount
$93.50
$121.00
$214.50
Amount
$0.0.(l_
The fees shown above represent current charges as of this date and are an estimate based on the information
provided to DOES at the time of application.
For services that are rendered on an hourly basis, the cost of those services will be based on the actual hours
worked. Hourly fees are charged at the rate in effect at the lime of service, and will be billed monthly, along with
any other outstanding fees.
Fees that have been posted prior to permit Issuance will be collected at that lime. Fees subsequently posted will be
billed to the applicant All fees mus.t be paid In full before ODES issues Flm1l~ppro.val, T.c,o. or C.O.
' ' King Comity ,_!__-:: <:_') ls I i 1
\ 1// I~ r r"'\ -,~-LE~
® Department of Dev erop ment MA\' 2 9 ,rn2 J. and Environmental Seivices '"-'IJ 900 Oakesdale Ave SW KING c Rentor, Washin~n 98055-1219 BUILDING IN~i:;i:;_ _
c--, --1 c-· ', ,-----.,
I ..J (r\..J rt..~ f' r -
:\OTI k\l!T :sTYII_.,.;
Permit Project I Permit Type II Subtype I Date Issued ii Status
. B01X0737 X0000072 I EXTENSN II BUILDING II 07/18/2001 II ISSUED
APPLICANT INFORMATION I PERMIT INFORMATION
[itle: EXTN OF B95A2985 (#100023}
SHAW, EDMUND D. loescrietion:
13214 144TH AVE SE Location: 13206 144TH AVE SE
RENTON, WA 98059-4914 Parcel#: 0847100065 / I )
urisdiction: King County / r ;(._
Owner: SHAW, EDMUND D. / I p
Phone: 425.255.3117 / / L., I
'
Rxoiration Date: 06/15/2002 Extension Fees: $4'.7K.50 /1 ' 1
/~
ThS notice • irneoded <o inf= yon tlm< ynITT penni< will e<Pire oo {hose tL: a ·i . y date. If your project has not received final inspection approval by the noted expiration date, a p rmit
extension or other resolution will be required. If your project has recieved final inspection approval,
no further action is necessary. Your extension fee is noted above.
You may extend your permit in person here at DDES, 3rd floor, Building Inspections, or, to
obtain your permit extension by mail, please submit a check or money order in the amount
referenced above, made payable to the King County Office of Finance. Please indicate:
"Building Inspections", and permit number on your payment. tf 2u1t~ Please return a copy of this notice with your payment to:
KCDDES ;? ~ ;:::v1,t/ 1
900 Oakesdale Ave SW
Renton,WA 98055-1219
Please contact the Building Inspections Section at (206) 296-6630 if you have any questions about
permit extension requirements or procedures for your project. If you need to request a residential
inspection, please call our 24 hour Residential Inspection Request Line at (206)296-6635. If you need
to request a commercial or multifamily inspection, please call our 24 hour Commercial Inspection
Request Line at (206) 296-6615.
Thank you.
05/13/2002
..
~'
ENFORCE
,
King County
Department of Development
and Environmental Services
n_l ~S~!?:. Lm• 0 roJect Ne : )?'f P9ae · :
D::ite Js::1Jed:
89',A29,35
~890391S
l J t i
[:<::,1res : 1J6/l5 kc_
F'er·mi t T'.,..1pe
T 1 t 1 e
Descr iot ion
Occup 1 '.,,i/T'.,}Pe:
C .·.
L. I Ii~ f' wJ .::-_ /~i, ooo 9, ?" S .. %"'··'-···-·=-·. ---=-=.:::. -= -
Tt.)DE: Code~ F'-E>:TEt·-1[; 0 ES1DENT1AL PERMIT ,ON ~ -t1 Valuation: SEE c_EGAL/1·1EC, HRuS··,• .i!'~ · '· L H. ')a i
1
d. b,,,: EGAFc
E '·'TENC!ON OF 894A2':_::c···· -7 ~ , . ,.,.., ...., -----,. t'P,,<~ Un 1 ts: 0 Class: ,:·~ Blags.
I).
-----------------------_______________ J
Location
Pa r·ce 1
Lei t
Apol1i::ant
Apo 1. Ad1jr es.s:
13214 144TH AVE SE
084710-006'5
10
SHAl0, ED1·10r,1D
13214 144TH AVE SE
RENTON, WA 980~6 -
Fee de:scr 1pt ion
Temp. Har·dsh10 Mobile Home(\'es/!·
Fees Required
Fees:
Ad .iustrnents;
Total Fees:
)O
119. !)(J
. 00
119. 0 0
U...P
i.: Fer;:; cic't.,::.<11:
Amount oo.sted thia date:
Total Cr-edits:
:otal Pa:)ments:
Balance Due:
A Jr/v : 61::,m, u_,J 6
425~235-~10
$
,:1Jt'1!1Et ..•. ·· ·:DHD IT IONS
. 0 IJ
119. ;J[I
• 0 IJ
s~E A\'
-1-co ~ /...).;
or 1 (,~(01
11'?.IJ!J
1. This oermit must be oosted or
read i l\..i acce:56 ib le location,
This ~~rmit 15 sub1ect to all
and a~tached cond1t1ons.
·ci site: at a.11 t 1me:s 1n a '.J 1 s 1 b l e and
2.
7
j.
n.~ 'G(;:1
"''"''" .....
-_,_::ions 1nd1cated
Work may oroceed oni~ at the the field
an 1nspect1on at worl\ compiet 1~~.
ere, ft:. !Z5 I/
on the a:ssoc1ate1j plans
inspec t,:ir. To req1..1e.st
ENFORCE ENFORCE P 04/30/2001 i PENDING SHAW EDMUND D + TERRI E 13206 144TH AVE SE
--~----.,--s••--·--c.·,-a---·-·L ·--"-~------·--_ -~-.---·
ENFORCE ENFORCE P 06/29/1998 iAPP·RCv'D SHAW, EDMUND & TERRI 13206 144TH AVE SE
Fl-RENE\; Fl-RENEW
R-RENE\; R-RENEW
R-RENE\; Fl-RENEW
Friday, Jul 20, 2001 12:24 PM
Bob Wood/BINS
A
A
A
A
04/05/1989 EXTENDED SHAW, EDMOND 13214 144TH AVE SE
05/0711990 f EXTENDED SHAW, EDMOND 13214 144TH AVE SE
04/22/1991 : EXTEND ED SHAW. EDMOND 13214 144TH AVE SE
os10111 ss2 jExitfibEb SHAW. EDMOND 13214 144TH AVE SE
04/18/2001 I LI 11 K
KC
KC
KC
KC
FINAL APPROVAL
®cmss
Inspector:----------
1'ate: \ ·~ .... ~~'!'~'=' ........... ____ __
King County
Department of Development Permit Number:B01 X0737
and Environmental Services Date lssued:07/18/2001
900 Oakesdale Avenue Southwest Expiration Date: 06/15/2002
Renton, Washington 98055-1219 Permit Status:ISSUED ._SC:: O
tfc ;z I ca:, c! -c1:
Perm it Extension,-------------?
Permit Type:EXTENSN , BUILDING
Title:EXTN OF 895A2985 (#100023)
Description:MEDICAL HARDSHIP MOBILE HOME PERMIT
FOR GRANT ZUFELT; SEE ALSO ABC PERMIT 89980010
& CODE ENFORCEMENT FILE E0100653 ON SAME PARCEL
(PERTAINING TO POLE BARN & OFFICES)
Location:
List of Parcels:084710-0065
Site Address:13206 144TH AVE SE KC
Valuation:$0.00
Applicant:SHAW, EDMUND D.
Contact the Inspections Section at 206-296-6635 to schedule the Inspection.
1. This extension does not replace the original permit--it does extend
the life of the original permit to the new expiration date. This
extension must be posted on the job site with the original permit in
a visible and readily accessible location.
2. This permit is subject to all corrections indicated on the associated
plans and conditions.
3. Work may proceed only at the direction of the field inspector. Please
call the inspector at 206-296-6630 between 7:30 and 8:30 a.m.
Monday through Friday.
date printed 07-18-2001
bp_3extn
® :ODES
King County
Departinent of Development
and Environmental Services
900 Oakcsd,dc AVl'nut· Southwt:st
Renton, WA mso55-121B
/'(.·. ,' /' '.'
(.l!;.; I
AFFIDAVIT REGARDING MEDICAL HARDSHIP
Mobile Home Permit
--.,. '1'' . '-, .-r, .. I ,,
.. ,.;__). -. '-''
I, E0..1?-?cµ,.Jt2 5Af6?0 am the applicant for a medical hardship
mobile home permit number8 9--;,£?9&<,and I hereby certify that:
1. The temporary dwelling is necessary to provide daily care defined in Chapter
21A.06.262 of the King County Code as: medical procedures, monitoring and
attention that are necessarily provided at the residence of the patient by the
primary provider of daily care on a 24-hour basis.
2. The primary provider of such daily care will reside on-site.
I acknowledge that I understand that the mobile home is temporary in nature and must
be removed within 90 days of the permit expiring or when daily care is no longer
required. I understand that the permit must be extended on an annual basis and that
an updated physician's letter must be submitted each time the permit is extended.
Additionally, I have attached a statement from the physician certifying that a resident of
the p;operty requires daily care as defi,;ed in Chapter 21A.06.262 of the King County
Code and the statement contains an original signature and is dated within the last 90
days.
Signed: ~4~ Date: 6 -~.9-e>I
Subscrilled-"'M<i~worn to, before me the 2 S day of -S V\/1. 3'.'. 2o b ) ---'{ r,. Vij; 11
; ~ ······· 0( ,, ~,._'!(--_.·;;,s1otvj·· .. o •1 ~ ~ .. -~ '-to·. ,, . . ' (L
f :~ ,,QTARy <p·~ ~ ( ___ .,,. ·
/ :0\" l'1'• I /··· A -..
~ :o --en: ~ -·Ir c~fi({'' .
11\~~";;;~~~~~'.~.'l:-·~'&J NOTARY PUBLiin and for~ Washington
,,, OFWAS'r<~ _.: ,,,,,,,, ...... ---
King ~ounty
Department of Development
and Environmental Services
900 Oakesdale Ave SW
Renton, Washington 98055-1219
Wednesday, July 18, 2001
SUMMARY OF CHARGES AND PAYMENTS
Activity Number:
Project Number:
Permit Type:
CHARGES
Description
Bldg Inspection/No Hrly
Counter Service Fees
SUB TOTAL:
BALANCE:
B0IX0737
xooooon
EXTENSN
Check#
Applicant: SHAW, EDMUND D.
13214144TH AVE SE
RENTON, WA 98059-4914
425.255.3117
Checklogid Payee Date Entered
--~,
Amount
---~f2TOU-
S9T50
$214.50
$214.50
The fees shown above represent an estimate based on the information provided to us at time of application.
For services that are rendered on an hourly basis, the cost of the services will be based on actual hours worked. Hourly
fees are charged at the rate in effect at time of service, and are billed approximately monthly, along with any other
outstanding fees.
Fees that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be billed
to the applicant.
900 Oaksdale Avenue SW, Renton, WA 98055-1219
,Bu1ld1ng inspections: 206-296-6630
Fax Number: 206-296-7002
24 Hour Residential Inspections Requests: 206-296-6635
24 Hour Commercial Inspections Requests: 206-296-6615
Fax
To: Et>MU.AJD SHAW
Fax: 42.'5-235 -F 710
Phone: 42'5-25$" -3117
Date 7 / 13/01
Re: /.395A z.qgs
DOES-Building Services Division
Building Inspections
Commercial-Residential
From: V, 'ch·
Pages: Co vE:e--ON'L y
Phone: 20 " -2 '7 ~ _ G:, G,, .3 D
Time: 2 : 50 P· h") •
CC:
D Urgent D For Review D Please Comment l:li:_Please Reply D Please Recycle
Monday, Jul 09, 2001 03:02 PM
Bob Wood/BINS
VALLEY
ORTHOPEDIC
ASSOCIATES
ORTHOPEDIC SURGEONS
Craig f. Arntz, M.D.
William P. Barrett, M.D
Robert H. Cancro. M.D .. 1:
Susan R. Ceco. i~.o
Tl1omas 0. Chi, M.D.
John M. I lcndrickson, M.D.
Mark C. Remington. M.D, Ph.D
James fv1. Russo, M.D.
Martin S. Tul 1 us. MD
Robert G. Veith. \1.0
OCCUPATIONAL &
SPORTS MEDICINE
Michael D. Allison, M.D. M.PH
RHEUMATOLOGY
V. Joyce Gauthier. MJ) PhD.
Andrr.w J Holman, M.D
OCCUPATIONAL MEDICINE
R. Danrel Chilczuk M.D
ELECTRO DIAGNOSIS
Kaya Hasanoglu, M.D.
RADIOLOGY
MRI
PHYSICAL THERAPY
OCCUPATIONAL THERAPY
SURGERY CENTER
June 4, 2001
RE: Grant Zufelt
To Whom It May Concern:
Mr. Zufelt is status post a closed head injury.
Consequently, this has left him with some cognitive
impairment. The family would prefer to have Mr. Zufelt
next door in a mobile home, to provide quick assistance to
activities of daily living.
The purpose of this letter is to support such a move on the
family's property.
Sincerely,
/
I . / ! {
I
/
' { (, L (
Michael D. All~sur1, M.D., M.P.H.
MDA/shr
Talbot Pro1essional Center, 4011 Talbot Road SuuH1. SJ1l~ 300. f-<.Llnton, Washington 98055 (425) 656-5060 Fax (425) 656-5047
Ac,,,,,~-~1 u-:11,Jp,cel c ·;: ·sJitants ,:it Washingtc,n Inc.
ISSUED
/!
..... . . ~<f. King County J ,/J!-:' ,,.,, '
I)epartment of'Development "
.lnd Environmental Services ci!'"',ill.4,f.,
3600 -136th Place Southeast 'T:;1 I
Bellevue, Washuigton 98006-14(}L
.-., .:. .. ,, ~2
!!
Inspeoto~:-~"-'-..... :, ..... ,-.. ~-.~.~f.~~-
"--. ,::.:". l: _.I l:! .:.. ~ !"l -r:: Date:.,.L~~~__......;,,_.-,...,. ..... ~-
* C O t,J S T P E R M
He t 1 ·~' i t :.) r·-fo :
Project Mo :
Page
Date Iss'ued:
Exp 1r es
T
··-... -'
894H2i;;.:+1
;.:-:3903915
l Of l
0~,/3 l/'?4
Jl)/31.·'9~
--==-·=-~=-=====-======----=-===-----=-------~ -------===============~--=-===
Permit Type
Tit le
Description
Occup 1 '..,,1/l\1pe:
Location
Parcel
Lot
Appl 1 cant
Hpp 1. Addre:ss:
RES I DOH l AL PERl1 IT
SEE LEGAL/MED HRDSH
EXTENSION OF 893A2·
Class:
13214 144TH AUE SE
084710-006'5
lU
'3HAlJ , EDf'IUHD
13214 144TH AVE SE
RE~lTC~·l, GJA 980~6
Fee di::.5cr i;:;t. 10n
Ternp. H.:ir·d:sh1p t·1ob1le Homer"(ez,/t·
*** Fees ReqLired *~~
Fee:::.:
AdJu5trnents:
119. 1)1)
. 00
119. !JO Total Fees:
(Fee detail c,
(lrnount posted this date: 06/.0l/9
1.
3 .
.r.z.
This oermit must be posted o
read 1 l:,,,1 access 1b le location.
This permit 1s subyect to ~IA
and attached cond1t1ons.
Work may proceed only at the
an inspection of· work comple
for 1nspect1on& made 6fter 3~=
da>' ser• . ..iice.
:ON
E rl~1
__ ,
~.
~:'. r,
Bldqs;• !J
-::::· .i:·,
SE ,, r·-iE 1 15 -2 3 -015
l\ipe C::ode:
Valuation:
l),3 l id . b ~-):
Ur; 1 t :::. :
Zo r: a:
Bluet-<.:
BLACK ~DAM F:UE-ACRE
R-Ei'.TE.HC•
,,.
\'.
t•.1-
:J
-------------------------~~--
ehonr.:;:
OU,Xk:_WA vV
UJ6 l / 1\/1) Ovrt'e
_,_,, .1nue un ne:-:t page)
$ 119.0D
CIJl·ID 111 !JtiS
-
·. b .::, i t e at a 1 l t 1 mes 1 n a 'v' 1 :s 1 b ! e -::I il d
.on of the r1eld inspector. To r eque.;; ::
I 296-e63S, 2~-hour-s a day. Reque:=.ts
~,ii 11 not we proce-=:.sed 1n t 1me t"Or ne)'.:t
• i·~s,.JO:'
'.;(}& .. ~ ', \,:)' ,.,~~·~·
King Counti:
Oepartmc1lt' of Dwelopment
and Em,ironmental Services
:-l(iOO -13\lth Pl;wc Snuthl'ast
lkllc1;uc. Wa~hington ~ll:\OOG-1400
May 25, 1995
Ms. Terri Shaw
13214 -144th Avenue Southeast
Renton, WA 98056
RE: Reminder of Permit ~xpiration B94A2541
Dear Ms. Terri Shaw:
Our records indicate that the medical hardship mobile home permit
for the location of 13214 -144th Avenue Southeast will expire on
May 31, 1995.
Effective January 1, 1994 the extension fee increased to $119 per
Ordinance #11141. Please make your check payable to the King
County Office of Finance and mail it to Residential Inspections,
3600 -136th Place SE, Bellevue, Washington 98006.
Each year a letter from the patient•s physician stating "daily
care" is required must accompany your check. Enclosed is a
verification form designed for the physician's use.
If you have any questions, please call 296-6630.
Lee Sundquist, Acting Residential Inspections Supervisor
Building Services Division
LS:sw
Enclosure
MHMEDHD2.LTR
cc: Permit File
®
King County
Department of Development
and Environmental Services
3GOO -13Gth Place Southeast
Be)leme, Wa~hington 98006"1400
May 25, 1995
TO:
FM:
RE:
"' )j ~idential Inspections supervisor
Verification-Activity #B94A254l
As physician of Mr. Edmond Shaw, I hereby verify that this person
requires "daily care."
Physician
Date
Office Address
Phone
NOTE: This form is required to be completed each year when
renewals are requested by the applicant.
LS:sw
C:\DOCS\WPSl\FORMS\MHVERIFY.MEM
~GrolJP·
-~t: :t~CooHealth '' perative
of Puget Sound
®
King County
Department of Development
and Environmental Services
3600 -136th Place Southeast
Bellevue, Washington 96006-1400
May 2, 1994
TO: Applicant's Physician
FM: -~r{~n H. Ewing, Interim Residential Inspections Supervisor
RE: Temporary Hardship Verification-Activity #B93A2939
As physician of ~~~t:=~--~c~0~'.~'~~~---''~-l'.~·/l.,.__··__,cc-_s-~"t{~~~d.~.~~··~L~!--~~~-' I hereby
verify that this person requires "daily care."
Physician
Date /
Office Address
Phone
·---;/ ;;;;,,, l C ' ,
't/
7 LAWRENCE A. KU>.SSEN, M.0
27 5 BRONSON WAY N.E
RENTON, WA. 9S0a6
(206)-235-2980
NOTE: This form is required to be completed each year when
renewals are requested by the applicant.
SHE:sw
C: \Docs\ WP51 \ CCRMS\MHVERI FY Ml.rn
@
•«•cuo .....
r
®
King County
Department of Development
and Environmental Services
3600 -136th Place Southeast
Bellevue, Washington 9800fi-1400
May 2, 1994
p:/rn l.(.l'ld
EdmoHel-Shaw
13214 -144th Avenue Southeast
Renton, WA 98056
RE: Reminder of Permit_ ExoJ,ration B93A2939
Dear Mr. Shaw:
Our records indicate that the medical hardship mobile home permit
for the location of 13214 -144th Avenue Southeast will expire
effective May 5, 1994.
Effective January 1, 1994 the extension fee increased to $119 per
Ordinance #11141. Please make your check payable to the King
County Office of Finance and mail it to Residential Inspections,
3600 -136th Place SE, Bellevue, Washington 98006.
Each year a letter from the patient's physician stating "daily
care" is required must accompany your check. Enclosed is a
verification form designed for the physician's use.
If you have any questions, please call 296-6630.
Sincerely,
Jk,-Z'/'n<2, v ;)!/ ~,,-,7 ,;,(-
Sherman H. Ewing, Interim Residential Inspections Supervisor
Building Services Division
SHE:sw
Enclosure
MHMEDHD2.LTR
cc: Permit File
tl:-J ~ -~
N ' .
\J\
f'o: ·~ -...
Cstagor l es:
S • Setbacks
FO • Foundation (Includes Hobile Home)
~•Drainage/Erosion Controls
FR• Framing (& 1-k>bile Home set up)
EN• Energy (Insulation Compliance)
FI• Final (includes Mobile Home)
VS• Voodsto,,.e
INSPECTOR DATE s FO DR
.
FP • Fireplace
1-£ • Hechenical (furnece/ducts/conditioning/hoods)
JV• Investigation
FD• Fire Damage Report
RE• Relocation Report
CE• Code Compliance
H-i • Hin iJnum Hous i ng
0 • Other (explain)
FR EN Fl WS
"
FP ME IV FD RE CE MH 0 SW
I
Codes:
Iv'• Approved
PA• Partial Approval
(}j • Correction Notice
t-R • Nat Ready_
NA• No Access/Nat Home
RV• Report Vritten
LN • Sec log Notes
SP• Stop Vork Posted
SL• Stop Vork Lifted
SO• Status Only
SW PULL DATE COMMENTS
"
-
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1 S,C;UED
King County
Building Services Division
Department ofl)e',t,lopment
and Envirornnenw.! Service::,
3GOO -136th Place Southe3st
Bellevue, W,1.sbington 98006-1400
*
=====~========~=============~=====
"1,
., ..
.. ~
Art i ,.,... 1 t i..._J No :
Project.No
Page
Date ls5uecl:
*
..... ' '
893A2939
*8903915
l of 1
05/1)7/93
0 C5 / 0 :,, /9 4
··-============ "\" ======================::.::==
Pe rrn it T\Jpe
Tit 1 e
Des er ipt ion
Occup 1 ))/T).1pe:
RE:', J DFHT JAL PERMIT c· : f-· ::c,' DH
SFE LEGAL . ./MF"D HROSr .. :' .. ; r·-·1· ;:...:: [ ( E Hf"I
EXTENSION OF R9204~~0
Type Code:
V;,,luat,on:
Ualid. by:
R-EXTEtlD
EGf,R
Class: Cl Bldgs: Units: 0
l..ocat 10n
Parcel
13214 144TH AUE SE
o:'14710 oot.5
------------~· ~------------------------
Zc1ne: SPl?tJOO ~
L.o t 10
--;E, 11E, l'5-~3-115 81 ock: ~~
> ,,, 1 : 81 ACI< LCIA11 F Jl!F -ACRE TF"0,
Appl i~ant
Appl. Ade! ress,:
SHAI.J , EDl11;1~D
13214 144TH (-1'JE '.3E
RFNTON, ld?", 98 056
Fee. dP.:=::,cription
Te mp.
***
H,'lrdship Mobile Home(YAs/t-i,.' ·
Fees ReqLijred •** *
Fe.es:
,id iustments:
ll3.IJO
. 0 I)
113.no Tot,31 Fee~:
1 .
r, '-.
3 .
.f?.
(Fe.e deta). l
COMMEi
Thi~ pArm~t m1~st be posted o;·.
readily acce~siblB location.
1'his permit i5 s1Jbject to all
and attached conditions.
Work may proceed only at the
an inspection of work complete
for inspect ions made after-3: :1
day service.
-----------------------------------------
Phone: ~
------------------------------------------
Un 1 t:;;_. Fee/Unit Ext fee D,"":I ta
113.011 '{
Fees Collected & Credi\5 ***
Tntal Credits:
Total Payments:
Balance Due:
·.-1,.'in1.1e on next p,913e)
$
' ",! . cmm l T [CHIS
.on
113.IJ(I
.on
113.00
h s 1 t e at a I l t i me 5 1 n a vis i b le and
~
~
-,-t:"• tions indicated on thF.:: as-sor::iated plan::=,
,-,..,.,~ t_ ion of the field inspector. To request
~-. L 296-6635 1 24-hours a day. Requests
o-~l. will not be processed in time for next
King Cuwity
Department of Development
and Emiroru'nental Services
3600 -136th Place S.::iut 1
Bcllente, Wa~hingtn
Date , 3'-.:2-93
TO:
FM:
Applicant's P~jician
Dave Peterson,~nspections Supervisor
RE: Temporary Hardship Verification-Activity 17?9,9..a'/ol/:zb
Physician
Date
Office Address
Phone
NOTE: This form is required to be completed each year when
renewals are requested by the applicant.
DP:sr
C:\OOCS\111'51\FORMS\MHVERIFY.MEM
. ' . '•" .. ~'
r (?1' ;~
' .
•
~/
King COllllty
Dep~ent fJf l)e,1elopment
and Environmental Services
3600 -136th Place Southeast
Bellevue, Washington 98006-1400
March 2, 1993
Edmond Shaw
13214 -144th Avenue SE
Renton, WA 98056
RE: Reminder of Permit Expiration R92-04266
Dear Mr. Shaw:
.. .
' .... ... .
•
Our records indicate that the medical hardship mobile home permit
for the location of 13214 -144th Avenue SE will expire effective
May 5, 1993.
Effective January 1, 1993, the extension fee increased to $113
per Ordinance #92-794. Please make your check payable to the
King County Office of Finance and mail it to Residential
Inspections, 3600 -136th Place SE, Bellevue, Washington 98006.
Each year a letter from your physician stating "daily care" is
required must accompany your check. Enclosed please find a form
designed for the physician's use.
If you have any questions, please call 296-6630.
Sincere~y, ~ _ Mi .--
David F, Peterson, Inspections Supervisor
Building Services Division
DFP:sr
Enclosure
MHNEDHD2.LTR
cc: Permit File
•
q,;;,. 642_~:<c . ... .... ~
•
King county
Building & Land Development Division
Parks, Planning and Resources Department
3600 -136th Place Southeast
Bellevue, Washington 98006-1400
APPLICANT:
SHAW, EDMOND
13214 144TH AVE SE
RENTON, WA 98056 I
ALERT --~O DAY NOTICE
PERMIT EXPIRA'l1J:ON -EXTENSION REQUEST
/
DATE: 03-01-93
SITE ADDRESS: 13214
ACTIVITY NUMBER:
EXPIRATION DATE:
Building and Land
required inspecti
//
AVE SE
inspection records show the
been completed on your permit.
If you can compl te the work prior to expiration disregard
this notice but all 296-6635 to request an inspection.
For extension· formation, call 296-6630 and ask for the
fee amount and a review of work progress. First exten-
sions normally may be granted if there are no substantial
changes. Sec d extensions may require your plan to be
updated to met current code requirements if substantial
progress has ot _t>een shown.
Office hours
when the ho
cc: File
re 8:30 a.m. to 4:30 p.m. except Wednesdays
s are 10:30 a.m. to 4:30 p.m.
"' " .r,
"'
~
~
~
~ w ~
Categories:
S • Setbeck1
FD• Foundation (includes Mobile Ho..)
~•Drainage/Erosion Controls
FR• Fra•ing {& Mobile Hoae set up)
EN• Energy (Insulation Compliance)
Fl• Final (includes Mobile Honie)
US• Uc.odstove
-
INSPECTOR DATE s FO DR
FP • Fireplece
l'E • Mechanic.al (furnace/ducts/conditioning/hoods)
IV• Investigation
FD• Fire O..age Report
RE• Relocation Report
CE • Code Coo,pl iance
t+I • Mini-.. Housing
0 • Other (explain)
FR EN Fl WS FP ME IV FD RE CE MH 0 SW
Codes:
N> • App,-oved
PA• Partial Ap::Jroval
C>4 • Correction Notice
tf\ • Not Ready
NA • No Access/Not Hoae
RU• Report Uritten
LN • See Log Notes
SP• Stop Uork Posted
SL• Stop Vork Lifted
SO• Status Only
SWPUUDATE COMMENfS
·-
-·
.
.
l
,JI
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)>
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....-.i
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•
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·.-·K,.
. 1~Countv . , e,...t<!ing & 4' d .
' Parks, Planning an~ Re:velopment Divi8ion
3600. 136th Pia rces Department
Bellevue, \Vashi~e Southeast • , gton 98006-1400
c;,
§::
0:, ,::r,
0 0 ;=,
# 'T•
-·-..... . ~:·r--
. .:l:r -;::, ·~. ...
;..i-1 l.{''1 _, ,;::::,
. '
' ., ' '.' ~
~".
\
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King,County
Building & Land Development Division
~arks, Plan'ning aod Resources Department
3600 -136th Place Southeast
Bellevue, Washington 98006-1400
•
•
,,.
tc·
,
· '. · · 9c;)· r'-,lc:J C:,t ·. (t:·~· Group · \; Health .
• • Cooperative
of Pu.get Sound
·~nv I S\9£ ,.i, 1 • ..I,,
Renton Medical Center
275 Bronson Way N.E. Renton, WA 98055 (206) 226-1620
l.,h,, ,-'·-{
-J "-·,
(.;\.,,'.~-7 ('c, .·
(' . '~~ i.._, './'.._ j,/'. ,......__ ,, i
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-......,. 1~';.
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.d C-v,) ,/1,P,,-,j,,_,,/ (',.-,
I i,--Pi C /.' .~· ..:.-~-
•1. ,·r t--' .. :. ,. , ;· . r---..-.,.,-( '. \ '. ··/ ' ;·
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BUILDING & LAND DEVELOPMENT
INSPECTOR'S COPY
Permit No. -'1~··.~1 '-: _' ::__L:-:--', ,'--:'.;_;1-'-;/_· ----~·Phone ________ _
•
Address / ~t ?. /,<· .. · /
-----~·
(1) Your temporary mobile home permit has expired.
(2) You have ten (10) days from this date to renew your permit.
,(3) The mobile home renewal fee is $ __ .'--:;-'','--"-· ·_:.· (_·~--'r."',:·._i ____ _
.. per Ordinance #9719 .
. {4). Please make your check payable to the King County Office
• · of Finance and mail it to Residential Products, Building and
Land Development, 3600 -136th Place SE, Bellevue, WA
98006-1400.
(!;i-) For Medical Hardship cases, a letter from your physician is •, required every year.
(6.) If you have any questions, please call me between 7:30 and
8:30 a.m. at 296-7088, or 296-6630.
Thank you.
Corrections must be inspected
before proceeding. Please call for
reinspection when ready.
6/91
Building Inspector
-
~ .
::>
t:. u·
0-
~
Categories:
S • Setbacks
FD• Foundation (Includes Mobile Home)
DR• Drainage/Erosion Controls
FR• Framing (& Mobile Hoine set up)
EN• Energy (Insulation Compliance)
Fl• Final {includes Mobile Home)
\IS• Voodstove
INSPECTOR DATE s
_,
FO DR
FP • Fireplace
M:. • HecheniCBl (furnace/ducts/conditioning/hoods)
IV• lnvestig6tion
FD• Fire Damage Report
RE• Relocation Report
CE• Code Compliance
,... • Minimum Housing
0 • Other (explain)
FR EN Fl ws FP ME IV FD RE
'
CE MH 0 SW
I
Codes~
Af' • Approved
PA• Partial Approval
CN • Correction Notice
I'll• Not Ready
NA• No Access/Not Home
RV• Report Uritten
LN • See Log Notes
SP• Stop Vork Posted
SL• Stop Vork Lifted
SO• Status Only
SW PULL DATE
I
COMMENTS
-
" -
--
.
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, .' t Division ~ . . County evelopmen ® Ku~g_. .. g & l..ak"l.d D , J)Ppartment ' •Bu1Io1n d ResourcE'~
I nm~ an Pur ks Pan outhea~,
' 100 J36thP!ace:, g
8
oofil40U l, \\ashinie;ton !kllv\ uc·
P· 1)·
. .. . . ..
· ty t Division l:(.ing Coun d Developm -
..,. Building & Lan noes Oepactment ng and Resou Parks, Pia.nm ~ utheast
3600. 136th Place a 98006-1400 BellE!vue. Washington
-~
1 1 1£1[.:, ;J~. , ..
7 #000720(' ~j~_
;/
S-RE'.;
75,00
. c~, -.;..R ~ fJ .~ '17 8 Y
~ty f<.'91-·0~7~'f
Building & t..:tnd Development Division
Parks, Planning and Resources Department
3600 -136th Place Southeast
Bellevue, \-\'ashington 98006-1400
April 11, 1991
Edmond Shaw
13214 -144th Avenue SE
Renton, WA 98056
RE: Hardship Renewal Fee
Dear Mr. Shaw:
. -•
Your check #1957 for $75 is enclosed. This year's fee is $100.
With your return of this amount, I will authorize renewal.
Please call our office each year and verify what the fee will be.
If you have further questions, you can reach me at 296-6630.
Sincerely,
'P~ 1 ~.s.r--,.__
David F. Peterson, Assistant Manager
Residential Products Section
DFP:sr
Enclosure
cc: Permit File R9004788
• • . .
.. ... '·
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275 Bronson Way N.E. Renton, WA 98055 (206) 235-2il00--~ J'?} Renton Medical Center
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Group Health Coo~rative
of Puget Sound
Renton Medical Center· 275 Bronson Way N.E. · Renton, WA 98055 · (206) 226-1620
1/ IC, I 9 !)
-I' J ~, l'.388
To Whom It May Concern, RE: EDMUND A. SHAW
This patient is severly disabled by spinal deformity.
Ile requires in-home or very close-by caretaker/assisting
person. Otherwise he would be unable to maintain his
semi-independent status. I understand this statement
is required to allow his relative to continue to live
on his property. I recommend that.
An equal cmplovmenc opportunity employer
'
' . ' ..
Achoo Blanks:
S = setback
Fo = foundation
Fr = lrarning
En = energy compliance verified
F p = fireplace
St = stove lheatl
Me = mechanical lfurnace, ducts, conditioning, hoodsl
NM = inspection not made
I 11spector Date s Fo r
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A= approved
P = partial approved
C = correction
N = not ready
V = verified
T = temporary occupancy (final only}
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Enter "F" fnr fire da,nag,, inspection "' Enter "f1" for 1elor:alio11
Enler "f I" for 111i11i11111111 ln111si11!1 code
StW: Stop Work. Enter "C" wl1"11 pmti,d
Entr.1 "A" wlu,n lilto,rl
Use comnw111 I Hix ~,H 11!asrn1s
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Group Health Cooperative
of Puget Sound
Renton Medical Center· 275 Bronson Way N.E. · Renton. WA 98055 · (206) 226-1620
/) tdr11/v/t{ ?\-c{ ~
Tn Whnm It May Concern, RE: EDMUND
This patient is severly disabled by spinal deformity.
_)l'e requires in-home or very close-by caretaker/assisting
person. Otherwise he would be unable to maintain his
semi-independent status. I understand this statement
is required to allow his relative to continue to live
on his propetty. I recommend that.
DR. J ELLIOTT-BLAKESLEE MAY 2 798f
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J~tJ {~ !y lj
I"'\ (' (' \_, N <1,Jv C{/z __ ),1/-tf)
;---..________
An equal employment opportunity employer
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f(/!fJ 14'v? /.-(U; /JJ {U,(f
:i>unty
.B-,~"5 & Land Development Div"
Park,, Planning and Resources Department
, 3600 -13l3th Place Southeast
', llellexue, Washingtoll 98006-i400
1
APPLICATION. FOR PERM IT BUILDING PERMIT NUMBER
-52"5!7/
I~ 11 #, i2-t 1G?i-Zf> I 8,81
TRACKING NUMBA DATE RECEIVED
,::. I I ~I
DATE EXPIRES
OWNER INFORMATION
77#.4-,v L_J
OWNER'S NAME LAST PHONE NUMBER
OWNER'S MAILING~DDAESS / /
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HOUSE NUM'" DIR STREET NAME OA NUMBER
1&¢1~
STREET TYPE DIA
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STATE ZIP CODE
RMATION
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PREFIX SUFFIX
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y. SECT TWN RANGE ZONE CLASSIFICATION p
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IF LOCATION r"c,,,tm,,1
rs IN A SUBDIVISION, <>F cl--'---'-
LEGAL DESCRIPTION
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OWNER
PRIVATE i
PUBLIC 2 0
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PU D SHORELINE
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USE L.Z2£J I I I I 1°~ I *3,(2.H/r' ~/-5 .!!;7/:, (,,"' q /uc,02 '.;,) PERMIT # #
TYPE CODE UNITS BLOGS.
A
R ---~------------E 1ST 2ND BASEMENT GARAGE/ DECK COVERED COM. it OF COM. TOTAL VALUATION A. FLOOR FLOOR CARPORT PATIO STORIES AREA
p ORD s FIRE H/W H/S z NRG MECH MECHANICAL FEES FEE DISTRIBUT~N
L PERMIT FEE ;,!_,ca:, /3{6, J-/}'P BUILDING ;:5 ""-"
A FURNACE PLAN REVIEW L PLAN TO TRAFFIC --r---r;-9o MECHANICAL REQUIRED SHOWN FIREPLACE
R PARKING STALLS PARKING TOTAL
E PLAN TO DRAINAGE SEPA
V BUILDING & !-AND DEVEL,oPMENT P SUFFIX
I PLAN TO HEAL TH ., ] ,, i ' LANDSCAPE
E P. (_ ,IL:'!/(
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FIRE w PLAN TO PUD PUD ~----SENSITIVE
PLAN TO P SUFFIX SUB -----., i-r; 1-v "' PLAN TO SHORELINES CIV DIS
SENT RETURNED SH. __ ·_ TRAFFIC
TRAFFIC/DRAINAGE GRADING STATE
BOND TOTAL LANDSCAPE_ HEALTH
CONDITIONS LANDSCAPE BOND
SENSITIVE AREA ~ D NO SUB TOTAL
D LESS PAID HEALTH YES
BALANCE DUE
D , SEWER, D , SEPTIC, D WATER S.E.P.A.
CAT EXEMPT NEG. DEC. E.I.S. STATE/COUNTY # D D D ACCESS BY BY PERMIT# APPROVED
I CERTIFY UNDER PENAL TY OF PERJURY UNDER THE LAWS OF THE STATE OF
WASHINGTON THAT INFORMATION FURNISHED BY THE OWNER OR OWNERS
AGENT IN SUPPORT OF THIS APPLICATION IS TRUE AND CORRECT. I F-UATHER
CERTIFY THAT ALL APPLICABLE KING COUNTY REQUIREMENTS FOR THE WORK
AUTHORIZED BY THIS PE AMIT WILL BE MET.
CONTRACTOR·$ NAME
OWNER~T s<it:u~ REGISTRATION ·Ii
DATE PLACE
ADDRESS
RECEIVED ~ ____ _ J..-7-i ISSUED ~ ____ _
OWNER/AGENT PHONE CONTAACTORSPHONE
INSl"ECTOltS
Action Blanks:
S = setback
Fo = foundation
Fr = framing
A = approved
P = partial approved
C = correction
N = not ready
0: Other. Enter "X" and use comment QQ¥ toe
Enter "F" for fire damage inspecticin
Enter "R" for relocation· '
Enter "H" for minimum housing· co_d
En = energy compliance verified
Fp = fireplace
V = verified 1
T :,, temporary occupancy (final only) StW: Stop Work. Enter "C" when posted
Enter "A" when lifted St = stove ( heat)
Me = mechanical (furnace, ducts, conditioning, hoods)
NM = inspection not made
Use commenfbox for reasons
Inspector Date Bd ,O Grading StW Pull date . Comment
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FOR SYSTEM SERVICES USE
File dumber Maior No. Lot No, Thru
PLAT NMIE '
Page ----of pages
Name & J\ddress of J\pplicant & Representatives
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PL5500 LISTING OF MEAL PROPERTY ACCOUNTS EXTRACTEC FO~ PLANNING PU~POSES
BATCH NO: JC LU5TOMEM NUMBER: ~88•4842
084710•C071·09 kURKA N K & R 0
084710-~051·03 REYNOLDS LYNNE
084710·0053•01 8AREl LOUIS
084710•0077•03 LO(ANO~ER BILLY L
152305•9090•03 GRAY JACKIE G
084710•0049·0~ HARSCH FRANKLIN D
084710·0070·00 LEE CHARLES T
084710·0063·09 LEE CHARLES T
1523Q5·9064•3y MOSIER LAUREN w
084710•0C66·06 QUESNEL MAURICE
084710·0140•06 BENTLEY CLARENCE L JR
084710·0068·04 OtwEY MICHAELE~ LINDA J
084710·0069•03 HAYES DEAN A & SHELLY ANN
v ~; 4 71 :} -2 :.; 7 £:. -v (' n l Lt--. J ;-~ I C 1-i AH .J
0 •: '-+ 7 1 0 -~. C •J 4 -l 'i t-1 l ( I\. S r< l C ..-, AP 0 ~·
Gd4710•c:J4~-~·i ,~~A ~G~ALU J
084710·0050•04 LARNIN REBECCA J
084710•0054•00 MEYER PHYLLIS 0
C84710•0C74•C6 RICt 8YRCN
084710·0065·07 SHAw EDMUND H
084710·0075•GS ~OFfCRO ~lLLIAM E
084710·0052·02 TALLEY ALBERT
08471~·0073•07 BRENDEN ROGER
'
673G52 175J9 SE 267TH PL
t--ENT WA
849999 28202 193RU AVE sr
l'.ENT WA
E071:lu 614 S 18TH
RENTON WA
C028l PO BC~ 2264
RENTCr-. wA
E048U 13015 144TH AVE SE
RENTON t/A
fll80 13G56 144TH AVE 5[
fiENTUN wA
12855 44TH S[
RENTON ioA
C0¢75 12855 144TH Sf
RENTON -A
13025 144TH AVE sr
1-<t.NTllN WA
13216 144TH Sf
flENTON WA
C0781 13605 144TH AVE SE
RENTON 1oA
6C1391 1J2C5 146TH AVE SE
RENTON WA
J5999~ 14415 SE 132ND ST
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~·,?~C,,.·j,1 i-5u4:..' 144Tr-1 '::.f
t-<.t1'i TUN •A
67999~ 14422 SE 132ND ST
RENTON WA
JN1457 14454 SE 132ND ST
«cNTON ;,iA
832517 14219 140TH SE
f<ENTON i,/1
002039 14413 SE 132ND ST
RENTLlN ,IA
642~51 13323 146TH AVE Sf
RENTON wA
2911 2ND AVE
.,EATTLE wA
7~072~ 10040 62ND AVES
»EATTLE YIA
.,. .1
98042
9eO<t2
)8055
Y8055
~8055
9805:,
980:55
98055
,, eo 5 5
"i8055
98056
98056
.; ,~ ;• ~ t·
I ·j I.. ::: ·'~
'; ·) ~
·...;Q\J:.)0
98056
98056
98056
98056
9805c
98121
98178
IIJP~ AV
29.200
32,600
12,900
7.900
0
41,700
17,200
39,000
27.400
40.)00
3~,400
25,300
24,400
J " {\ ,_ . \,' ~
~:: •':'.Cl'
) • j:) i.)
z,;;, 100
23,009
21,JOO
6!.218
4,407
JJ,900
~l.900
05/31/e~
L At\C AV
19,d()C
2<'.., 5CC
1Y,80C
27,000
7,)00
21.bCO
19,eOC
21.000
29,'+00
25.2cc.
47,50C
19,c\CG
2 2 , o C ~
_j,:~l,I_
1 ,, ' -~ -~ ,.-
c.:' 1 ' -.l !j \
JC.cOC
27,90G
19,bCG
2e,4CC
J2,~0G
21 "60 C
..2is • .2cc
-'> ""·
PAGE
GROSS AV
49,000
55,100
32,70G
34.900
7,300
o3.,30C
37,0CO
66,000
56,800
65,500
85,900
45,100
"~, 900
') .... ", ,::
: .. t' I ;_:; C,:.
• C", CC
66,300
50,909
4 1 ,t 00
89,618
36,607
55,500
77,100
1
STA
T
T
1
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T
T
T
T
T
T
T
T
T
T
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T
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PL S5C 0 LISTING OF REAL ~RUPERTY ACCGUNTS EXTRACTEC FC~ PLANNl~G PURPCSES
EATCH NO! JC CUSTOMER NUMBER! Rbd-4842
084 71 o-001a-02 ·eRENDEN ROGER
r .·
7~072~ 10G4b 62ND AVES
:,l:.ATTLE WA
NUM~ER OF PARCELS=
,817'!
,! 4
IMPS AV
17,400
651,834
05/21/88
LAI\C AV
22 .50(.;
,;t,,i.ooc
---------
PAGE 2
<.,f<OSS AV STA
39,900 T
1,218,434
.. '
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KING COIJNTY
,
;
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B\JILDING & 1:.AND DEVELOPMENT DIVISION 11 I ' '' .
1 1 , • l
450 KING COUNTY ADMINISTRATION BUILDING
500 FOURTH AVENUE -SEATTLE, WA 98104
APPLICATION FOR PERM IT
I , ,r ;j 1 ':'t ,
TAACKING?NUMBER
• l .j ·t · 1 I /
DATE RECEIVED DATE EXPIRES
OWNER INFORMATION
(__ / /.
OWNER'S NAME LAST FIRST
OWNER'S MAILING ADDRESS
BUILDING PERMIT NUMBER
I L f 't
DATi:c ISSUED
PHONE NUMBER
I
I ,; :: ;, I ··,! LI ~~ILi ~-~-'--~~-~-'-~~-~-'-~~-~..,___1 ~_._~ ' ,<:; ::, ,,-J
STREET TYPE HOUSE NUMBER DIR STREET NAME OR NUMBER
./. , .. ; -, . ,:' , ·,1 .-',. /~ / ..._ __ ,,. -·,. r:-
CITY STATE ZIP CODE
PROPERTY INFORMATION
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DIR
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HO USE NU MBE A DI R '--..___-'---'-~-..___,"ST--c-RLE E~T~N~ALM~E..-'OLR,_..LN-U~MLB~E-"R~'---'-'-'---'-~
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KROLL PAGE
IF LOCATION
PREFIX
Lf
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IS IN A SUBDIVISION:
LEGAL OESCRIPTlON
I /, '·I
LOT
LwLu
SECT TWN
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BLOCK
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RANGE
STREET TYPE DIR
SUFFIX
~ -L.1.._3 ·, C1•·'J :.j -LJ
ZONE CLASSIFICATION P
! Type
Const.
PLAT NAME
OWNER
PRIVATE 1 [!]
PUBLIC 2 0
LJ LJ
PU D SHORELINE
l___u
DIV
Account Number
'' ,
A
R
~ 1ST 2ND BASEMENT GARAGE/
FLOOR FLOOR CARPORT
p ORD s FIRE H/W HIS z NRG MECH
L
A
L
PARKING STALLS
R REQUIRED SHOWN
E PLAN TO PUB. WORKS
V
PLAN TO HEALTH I ---
E PLAN TO PUD w
PLAN TO P SUFFIX ----
PLAN TO SHORELINES
SENT RETURNED
PUBLlv vvORII.S
BOND TOTAL
FCZD (SWNIL SAMA)
SWM CONDITIONS -------
-HEALTH
D, SEWER, D , SEPTIC, D WATER -
#
BY
APPROVED
-----
DECK COVERED CCM. #OF COM. TOTAL
PATIO STORIES AREA
MECHANICAL FEES
PERMIT FEE ,! -a,. t;" 1-.rf'
FURNACE ;1.-fr;,_;Rv
FIREPLACE --,-y"f
TOTAL
t:; -':,
BUILDING & LAND DEVELOPMENT
P. ~--~ /1r;112= PUB
SUB
CN ---
SH. --·--
GRADING {.\) -· • A
i
LANDSCAPE_
LANDSCAPE BOND
SENSITIVE AREA
D NO
D YES --
ORD. 3026 K.E.P.A.
CAT EXEMPT NEG. DEC. E.LS.
D D D
BY -----
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TYPE CODE
VALUATION
Lr::J ;;
SLOGS
FEE DISTRIBUTION
BUILDING . --, C
PLAN REVIEW
MECHANICAL
PARKING
SEPA
PSUFFIX
LANDSCAPE
FIRE
SENSITIVE ---· ·-::-7 ~ -· --; -;-· ,
PUBLIC WORKS DIS
SWM
TRAFFIC
'STATE
HEALTH
SUBTOTAL
LESS PAID
BALANCE DUE -·-7;:: ' :. .
STATE/COUNTY
ACCESS
PERMITH
1 CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
WASHINGTON THAT INFORMATION FURNISHED BY THE OWNER OR OWNERS
AGENT IN SUPPORT OF THIS APPLICATION IS TRUE AND CORRECT. I FURTHER
CERTIFY THAT ALL APPLICABLE KING COUNTY REQUIREMENTS FOR THE WORK
AUTHORIZED BY THIS PERMIT WILL BE MET.
CONTRACTOR'S NAME
r REGISTRATION#
OWNERJAGEN:T SIGNATURE DATE PLACE
ADDRESS
RECEIVED l...:.:.J ISSUED l....L_J
OWNER/AGENT PHONE CONTRACTORS PHONE
INc;PECTORS
Acfon Blanks:
S ~ setback
A ~ approved
P ~ partial approved
C :.::. correction
0: Other. Enter "X" and use comment box to ,xpl.i1n
Enter "F" ror lire damage inspectioi::
Fo -foundation
Fr ...: framing
En :::_ Pncrgy compliance verifit~d
Fp ~~ r;,n~placP.
N ~ not ready
V -::-veri tied
T ~ temporary occupancy (liqal only)
Enter "R" for relocation
Enter "H" for minimum housing cor,::
•
St c:: stove ( heat)
l\tiu 0.:. rncc/1Jnit:al (furnace, dur:ts, conditioning, hoods}
S tW: Stop Work Enter "C" when posted
Enter "A" when 1·1fted
Use comment box for reusons • ·, •
NM inspec1iun not made
•
Fr ET, Fp St Me Final Units Bd ,0 Grading StW Pull date Comment
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File Number
FOR SYSTEM SERVICES USE
Ma-jor No. Lot No. -'.Fhru
PLAT NAME _______________ _ I 5-.1 "'>c1 s.-'7r;l, ~1 -'.'
Cit) au -Page ___ _ of pages
" --
Name & Addres.s of Applicant & Representatives
C-/'> ~ </7 ',,
,-, 0 L) C} r.>
/"' " q ,.
{/ c, )~O
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,-•1/"l <.·-.,
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• '
500' Radius Properties
.
F-237
5.5 0 0 LISTING OF REAL PROPERTY ACCOUNTS EXTRACTED FOR PLANNING PURPOSES
TCH NO: JE CUSTOMER NUMBER: 687-8715
4710-0071-09 KURK~ N K & RD 673052 17509 SE 267TH PL
KENT WA
47l0-0053-0l BARE! LOUIS E0780 614 S 18TH
RENTON WA
14710-0077-03 COCANOWER BILLY L C0281 PO BOX 2264
RENTON WA
,2305-9090-03 GRAY JACKIE G E0480 13015 144TH AVE SE
RENTON WA
34710-0049-08 HARSCH FRANKLIN D E1180 13056 144TH AVE SE
RENTON WA
34710-0070-00 LEE CHARLES T 12855 44TH SE
RENTON -A
94710-0063-09 LEE CHARLES T C0675 12655 144TH SE
RENTON wA
52305-9064-05 MOSIER LAUREN w 13025 144TH AVE SE
RENTON wA
84710-0066-06 QUESNEL MAURICE 13218 144TH SE
RENTON WA
84710-0051-03 REYNOLDS OLIVE H C0479 13034 144TH AVE SE
P~NTON WA
b47lO-U064-0~ W~lF KG 40127b l44l9 SE 132 51 A~~,u~
U471D-Ol40-0~ JfNTL~Y CLARENCE L JR C07Bl 13605 L44Th AVf SE
RENTON WA
.~1•710-00oH-~4 ~C~:~Y V[(•1A~L [ & L(~OA J 6D1J9l 1J~05 146TH AV~ St
RENTON WA
;4710-00b9-03 HAYES DEAN A & SHELLY ANN 359999 14415 SE 132ND ST
RENTON WA
54710-0072-08 HICKS RICHARD 712545 14419 SE 132ND ST
RENTON WA
34710-0048•09 KUNA DONALD J 569999 13048 144TH SE
RENTON WA
34710-0050-04 LARKIN PEBECCA J 679999 14422 SE 132ND ST
RENTON WA
34710-0054-00 MEYER PHYLLIS 8 3N1457 14454 SE 132ND ST
RENTON wA
34710-0074-06 RICE BYRON A 259999 13219 146TH AVE SE
RENTON WA
?4710-0065-07 SHAW EDMUND H 602039 14413 SE 132ND ST
RENTON WA
J4710-0075-05 wOFFORD wlLLIAM E 642351 13323 146TH AVE SE
RENTON WA
!4710-0052-02 TALLEY ALBERT 2911 2ND AVE
SEATTLE ~A
147L0-0073-07 8RE~DEN ROGER 4Nl273 10039 OCCIDENTALS
SEATTLE WA
•A
98042
98055
98055
96055
98055
98055
98055
98055
98055
9~055
":lb0:,5
980:,6
9~0:>o
98056
98056
98056
96056
98056
98056
98056
96056
98121
98168
IMPS AV
29,200
12,900
0
0
41 , 700
17,200
39,000
27,400
40,300
32,600
30,500
.JB,400
2'2,jOO
24,400
2,900
39,300
29,700
23,605
21,300
32,200
4,407
33,900
51,900
05/28/67
LAND AV
19,800
19,800
27,000
7,300
21,600
19,800
27,000
28,600
25,200
22,500
ld,000
47,500
1 9 , !:, 0 C
22,500
3,600
21,600
36,600
27,900
19,600
28,400
32,200
21,600
25,200
PAGE ~
GROSS AV STA
49,000
32,700
27,000
7,300
63,300
37,000
66,000
56,200
65,500
55,100
48 ,,:,co
85,900
4t:,100
46,900
6,500
60,900
66,300
51,505
41,100
60,600
36,607
55,500
77,100
T
T
T
T
T
T
T
T
T
T
T
T
1
T
T
T
T
T
T
T
T
T
1
,·
'
55QO LISTING OF REAL PROPERJ'f ACCOUNTS EXTRACTED FOR PLANNING PURPOSES
. TCH NO: JE CUSTOMER NUMBER: 887-8715
,4710-007d-02 BRENDEN ROGcR 4N1273 10039 OCCIDENTALS
SEATTLE ilA
.. ---· --
NUMBER OF PARCELS:
98168
24
IMPS AV
17,400
615,512
05/28(87
LANO AV
22,500
566,000
PAGE ..
GROSS AV STA
39,90-0 T
1.ia1,sr2
•
•
•
• •• •
•
•
•
. ~
I
DATE:
F-182
6/78
KING COUNTY.
BUIL IG & LAND DEVELOPMENT DIV ... ., ION
JOB LOG
. '
DATE:
F-182
6/78
· .. : '!I
KING COUNTY
BUILDING & LAND DEVELOPMENT DIVISION •
, ..
JOB LOG
•
Pick up: M T WT F S GP.OUP HEALTH
MEDICAL CENTERS
t30THEL L
BURIEN
CAPITOL HILL
CENTRAL
' ; 1 • -.:; E I 3 3-vd j:t
~A TllN
CUSHMAN
DOWNTOWN ri (;-·,.,,,, ,I Ir
EAST SIOE
FEDERAL WAY
LYNNWOOD
MADRONA
NORTHGATE
OLYMPIA
PORT ORCHARD
RAINIER
RENTON
pf}M,UtJP fl$ ff Aw
· r1:lft'>-s,c1z 1tci 4 "
~t;N'-Tt?.Af ())A,, tjlJC/J-0
BIRTH
MO '"R I FILE' I
HFffTIVE' (ODE
+MED HIST NO
'•
-'">-
l. ('\ V
--~· ·•·i !_ ' ,. . ... -' . ' .. ·,. ' ---"" ... --..... _r>.;·--~fj: .. -. ·<---.. -_ _.;_
1.1, "' 1 ,., ,,
UUILUIN(; I\, L/\NIJ IJlVll.Ol'Ml,N I
'' . ' CORJIECtlON >TICE ·
__ 1_·1~1g permit hnve ex1d red. _ --·
~u have 10 ( ten) days from_!h is date Lo rcne~your __ _
·.. permits, or you lll~)I_Jie subject Lo additiu,ri,1~1arge5.~-·--
{i11he_mob LW11m1c . r.e11ewa LJ cc . is.._$ 78. 50 _Jhe _amounL u f ___ _
Lyour re,;identlill_re11cwal fee is.determined at the Pen11i t
Counter, 34~-G710. ---·-·----·--------------~-·---·--·----·-···-
Please make yuur check_payable to the King CounLy_OfJic:e
iA,-"'-o'-f _,F_,i na~~_nr~d_n1a i I j_t _ _t.o_ Code __ l~1!forc:e111e_n t, Room ~ ~O, _
('.-Ki~_ County_l\.d~rirlistration Uuildi_119, ~_c~_t_tle,_W/19lll01 __
Is)' For medical hanJs.)iip_c:_ilSCS, i1 lctLcrfromyo11r_pl1ysi_ci.111
----------------
=-4'---._!f,_y_9_1J___have_~QY___g!J_Ccs_t i 01i;;_,_1!l_e.ase call me between 7 :30 __
_ and 9:30 a.111. at 3~1-6/15 .. ____________ _
-· JbQnk_~ou, __ _
Correction~ must be inspec!cd befo1f!
proceeding. Please call for rolnspeclion
whenrnadv. Uil I lluLchcr
tc .
'~: ·._ r: ,----···-·· . 'ii ''.
1:'· I
l ,f'
.1('·'
'"'"·'""'" ......... r: '""
DATE:
F-182
6/78
Kl1"G COUNTY
BUILDING & LA'.,D DEVELOPMENT DIVISION
JOB LOG
.... n..,vr-ni;;,..L,n
MEDICAL CENTERS
BURIEN
CAPITOL HILi
CENTRAl
CUSHMAN
DOWNTOWN
EAST SIDE
t...
A.DDRf·.
'EJtRAl '.NAY
~YNNWOQD
MADRON A
NQRTHGATE ""N"'''" L,I CZ I cs ,21 OYR 'll0YR FILE
CODE
'..i '.,
OLYMPIA
PORT Q;.,::f-iARC'
l<'f"J iON
]y lABEl r~
GROUP
~ r-
RlFILL UP ro ___ , TIMES
PM 49.1 .' 10/81' i4 03UC
DR ii
.f j
j':::-(;f/i_'
/
BIRTH EHEUIVE
;jJclA +MED HIST NO
fNROll NO
/ --
;,;:.q" ~-~-!'.:' __ -.-' ~--
--===,-,.,c-=--~MD DISPENSE AS WRITTEN
P";oo,::Z_s
,/~,f'/1,. /-'~~-,,,~--
,
...
. ~ ,e-,.
'I ~ .....
' > > KING COUNTY
B,li1L,,01N.G &·LANI;) DE.VEL0·MENT DI. ,SION
450 "ING COUNl'Y AOMll\'STRATION BUILDING
500 FOURTH AVENUE-SEATTLE, WA 98104
• ·~ ,:: ..... ,, '
APPLICATION FOR PERM IT BUILDING PERMIT NUMBER
( I JL,_I~~-~
TRACKING NUMBER
OWNER INFORMATION
OWNER'S NAME LAST
OWNER'S MAILING ADDRESS
DATE RECEIVED
FIRST
, I , I , I
DATE EXPIRES I I I
DATE ISS ED
PHONE NUMBER
L.i._J
HOUSE NUMBER DIR STREET NAME OR NUMBER STREET TYPE DIR
CITY STATE ZIP CODE
PROPERTY INFORMATION
LL.J
HOUSE NUMBER STREET TYPE DIA
SUFFIX
OWNER
PRIVATE 1 0
PUBLIC 2 0
I I LJ Lu L.i_J LL.J L_i_J L_i_J LL..J -LJ._J ~' ~~~' -LJ LJ LJ
KAOLLPAGE E/W % Y.i SECT TWN RANGE ZONE CLASSIFICATION P PUO SHORELINE
IF LOCATION
IS IN A SUBOIVISION, 1 I
LOT BLOCK PLAT NAME
LEGAL DESCRIPTION
~
E 1ST 2ND BASEMENT GARAGE/
A FLOOR FLOOR CARPORT
p ORD s FIRE HIW HIS z NRG MECH
L
A
L
PARKING STALLS
R REQUIRED SHOWN
E PLAN TO PUB. WORKS
V PLAN TO HEALTH I -----
E PLAN TO PUD w >
PLAN 'ro p SUFFIX -----
PLAN TO SHORELINES
SENT RETURNED
PUBLIC WOHI\S
BOND TOTAL
FCZD (SW/WL SAMA)
SWM CONDITIONS
-HEALTH
D, SEWER, D , SEPTIC, D WATER
-
# ----
BY
APPROVED
--~ -
I Type
Const
DECK COVERED COM. #OF
PATIO STORIES
MECHANICAL
PERMIT FEE
FURNACE
FIREPLACE
TOTAL
COM. TCTAL
AREA
FEES
----
BUILDING & LAND DEVELOPMENT
P. --
PUB ------
SUB -
~~DIN~z; ·71H1;;-,
LANDSCAPE ----
LANDSCAPE BOND.
SENSITIVE AREA
D NO
D YES __
ORD, 3026 K,E,P,A
CAT EXEMPT NEG. DEC. E.I.S.
D D D
BY ---
LL.J
DIV
1..-J......L---'-...L...L...JI -'-' -'-.L--'---'
Account Number
LL..J LJ
PERMIT
TYPE CODE
#
UNITS
VALUATION
4-J
SLOGS
FEE DISTRIBUTION
BUILDING
PLAN REVIEW
MECHANICAL
PARKING
SEPA
PSUFFIX
LANDSCAPE
FIRE
SENSITIVE
PUBLIC WORKS DIS
SWM
TRAFFIC
STATE
HEALTH
SUB TOTAL
LESS PAID
BALANCE DUE
STATE/COUNTY
ACCESS
PERMIT#
I CERTIFY UNDER PENAL TY OF PERJURY UNDER THE LAWS OF THE STATE OF
WASHINGTON THAT INFORMATION FURNISHED BY THE OWNER OR OWNERS
AGENT JN SUPPORT OF THIS APPLICATION IS TRUE AND CORRECT I FURTHER
CERTIFY THAT ALL APPLICABLE KING COUNTY REQUIREMENTS FOR THE WORK
AUTHORIZED BY THIS PERMIT WILL BE MET.
CONTRACTOR'S NAME
REGISTRATION#
OWNER/AGENT SIGNATURE DATE Pl_ACE
ADDRESS
IRECEIVED_,_1_1 ______ 1_ss_u_E_D_l_1_1 __ ~~~~J OWNER/AGENT PHONE CONTRACTORS PHONE
-::;TORS
,
-
Action Blanks:
S = setback
Fo = foundation
Fr = framing
A = approved
P = partial approved
C = correction
0: Other_ Enter "X" and use comment box to explain
Enter "F" for lire damage inspection· -•
Enter "R" for relocation
N = not ready Enter "H" for minimum housing cod@· •
En = energy compliance verified
Fp -fireplace
St = stove ( heat)
V = verified
T = temporary occupancy (final only) StW: Stop Work. Enter "C" when posted
Enter "A" when lifted
'
• ·. r.
.lo,,.
Me = mechanical (furnace, ducts, conditioning, hoods)
NM = inspection not made
Use comment box for reasons·
S /Fo rr
1
,En tP i51 \e rinal Units
1
Bd
1
o Grading rtW 1Pull date
1
commen1
i ···+-!-! + ~-r++ --+ · 1--t ---· -1-+-·-~-1--1
_ _J ____ ----~--I-f--~--i--i --t-----1--i -+----------i-· ~---_/ -------i-------------
~------1-~--!--~-;--+-~-----' -+ J__ ---++ __ J __ i --1-, , · J 1 , : 1 1 : 1 : 1 1 I --------1---1---~--I·, --t--r-1--t----------1--~.i -----------1--t---L ----··--· -,
. . · . I I . ' I j ---i ---------1---+----i--t---11. --t-,--rl ---------i---, t---------,--r----l --
J I I ' 1 ' ' ' L ! ----·--·---·1-----------,----'.-----i---'-.--T.--r----i--t-------·-+-----------·----+-----·------------. I I i ! I ' I I I' I I
, L __ t---1----~-J---.:--~-~--------L---~---------l ~-----
, ' I ' I I I I i I ' I I I I ' I j / ; ' ' : I I ' I : / / -4---,---r-1----+---r-·1--'----------· --!-i --t ------I --r--_L __ f___ ------
1---: ---',.· ~--!, -L ~--!--1-------
1
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_: __ '' i_ --I__ I _1_ -~--l __ l ___ J __ L __ J ----_ --, _l ____ L_
'"'""' ~
'
Date
----
I -_ _J_ __,_ __
j__
I
1-----
i
•
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• w
... ·~·-:•-
-<
~
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''
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~ ~ ... '
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'nit\ \
~ .. ' ' ' ~ ' 'L " \l -"' ..... ' ' ' ' ~"' "\ ..... ~"?\ .......
IJJ , ~-
8
...... ,:._, "'
.... ' ' .... .... ' .... ' ' ~ ~ ~ ~
~ . /'\ ' ' I.\ ~ ·~ ; .~{ rj ~-'\ \ .,, /c. ..:...r,.,, : 1\-
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-----,,oo'I:'---------~~
-,:-':' \:
. ~· ~.. . ~
~,$£.1,"!'TL.1:·~ Cou~TY DEPAIITMll:NT' OF Pua.ic ALTM
ENVIRONMENTAL HEALTH SERVICES r_ '.
SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAt. SYSTEM.
'-
(Submit 5 eop1es of application wllh 3 cop,• of plant)
(This accompanies lhe building permil applicatlOfl and Is pre<equ1s1te lo the isauance of the lndivictua( Sewage Disposal System Permit.
Accep!ance of plan expires one year from date ol acceptance Using !his plan to secure a building pemut con.liMes 89reemen1 lo adhere IO the
reqwrements of tt,e pianJ ·
"JOT£ It the p<operty is within the l>Oundanes of a sewer service area. 1t wlll be necessary to obtain Wl'itten permission from the
sewering authority allowing use Cit an individual sewage disposal aystem ..
AperoX1mate Location of Property-st-t Address /3 21 $( ( ·· ; </"},(.> IE:
Addition or Subdivision µ ~ao., -':)f,z_ BL.ACX 1-()f"t») ID d:w rd Lot Bloek __ _
(Or attach legal description) Sewer Service Area Yes-No .,d::" lleser-.e ReQUaed _5Q'lb ~ ~
Type of Buildifll: New O Sinljle Family Residence a( (No lhdrooms..3 l
North End
Eastside
Southeast
Southwest
Central
Existing O Other }11 fSpec,iy) j/,4;« [?$#/_r-
10501 Meridian Ave. N. Seatt>e 98133
2424 156 N.E .. Bellevue 98004
3001 N.E. 4th Street. Renton 98055
10821 8th s.w. 98146
172 20th Ave. Seattle 98122
363-4765 -
885-1278 or 747-1760
228-2620
244-6400
.. ~·2763
~ Street Address _.L..c..,1.Z.L-!-"-..:;~4'z...___..L__'.~Yc:...,'Yoc...S..£L&:..,,,,~-----
Owner _--"'~:::--£? .. -:::._____.._>:"+-H-"-'4=."-!U""'------C,ty-Zip Code gjif,,j)n2;,..;; Phone 1 S:::C 3V:7
Street Address------------------
Builder------------...------City Zip Code-..,.,,,...--.,_....,,...._ Phone-------
\
Designer j,) . ) Street Address /r;l_ 3' 3 ;l SE/,-:~
,&£Ca ,,=-Al A//<,..L/&,,"t.,$-c1ty•Zip Code Bl"'LV:n:~ Phone 2, 2...S.:J&,,;-
Soil Log Tests (Descrsbe soils encountered pr•ferably by SCS soil classification system) Min,mum depth 48 inches.
Hole No. I ·~II' AL .S~~ .('.:O&....-n ~: M&fl .S~l-~'4....., ~,<A~
Hole No. 2 _ ';. '" '' ~-1 ' ,.,,. C1a.,, I''
., C-->~ n ,i //) ,1 ,~ >1 , ,
Hole No. 3 ,.; ~ • --' " J 6 ~
Hole No. 4 J b '" 'r '' I '~ "~ '· ', ..:Jf,I #,
Evidence of seasonal Water Table. (Probable minimum distance from ground surface) AJA,....§:'<' e 3/ -3 4 ,,
Source of Domestic Water Supply 15: c wp #-,_-L..9:-=c, ___________ _
Percolation Tests (Fall in minutes per inch. bottom 6 inches of test hole)------------------
Depth ,, ,,
Hole No. I
Hole No. 2 ,, ,,
Hole No. 3 •, I/
Hole No. 4 '" ' '
Hole No. 5. d /, !:ID FOB 24 M ov#·
Hole No. 6 (r;:""-o,a.11;. o[APPfr "'".;.
(For additional remarl<s or comments attach letter in triplicate or utilize unused spaces~ drawing on reverse side of
application.) /
Signature-Designer t,(~ cvf .f -_._Li~~-~Oate of 1est,~~-6
alth Department) (District Office Use)
Accepted x~"T-'Lfl£-"'----.l<...dl...,!.U:.,O""-'---#-'...f7,--------------, FEB 13 1986
Not Accepted 'J --,::--c--,-----
ma1e1
. .
I
(
1 {/..(/ & /µ /t-L
SG/L
11-
. ' .
m:;~~:;.:;;i--j:Y,4,&?;c ~
Ac::.;_c,.~:..:......:7-:..;~-• ,l.//~ r9., ,A.) Ac {,c )<.
j/~_,1--:'j? /-r+1-?
o;c<. / ..).4.-r:£" /,':
TA/.5L_£'
/)l/1/J.l??V»l T,/,{,E"NC#-P£?~...Y I~,,
,,
' ?. ,,
/) //x..4 _____ .--·-
c -,,c:-/LL ,:.?/?,.1-~~77/
it ' .
~EFTIC Y ~~~ SFECIF1CATI0~~
REf~C\'AL CF OP.IGTKAL PERlf.:'..".'LS
SCILec 10 POf'( THE DRATNF"!Elf A1~I:
PE'.':':EVE AP.FAS NAY REC:'.'LT I:,
DE::IAL CF JNC:ALLl\'G PER~I".'
FOR THE SEFTIC '.;Y3TEI,,
It wD 1 h· the c=Pr' s o-
b1~i lc!8r2 1"'P;'po;:~1hilty to
i ;1 forrr -thr-J l ur.1 tne con t;2 r "': (:'. r :·
of tfcc rLr "t•inf 2ti;t Pl€\'8 "",i OSio'
as noted on thP decif'T]
F!'iC'r to in~tc.]la.-t)o!'! ct .i:i.,c
,·ertic sy,,te:r, dc·imer ,·hall
re notified ty the ~e1tir
~y~te~ inrtall~r to rn~ke t•.t
r,] ur.1"1n2" :ctul 1n::pectior,,
Fl''KP~NG ST\:B Ml:ST BE IiL'TJ..I;_SD
AND EXPCSED
DPriF~er ~ha]l ~e no~ifie~ ~1rc~
ror"J<>_ ti0n cf ir:::-t~rlla.ticL cf
~entic ~yste~ fo~ inspectic~
to cover
Notification for in~p0cti0n to
ccv0r will to made to thF Health
Department by the dcci&nor
D0,i.c-ner shall be notifio~ ·;pen
rornr,lction of final PTadi:·1, bv
ne· own<>1· C'Y' builder at w",icr:
tirre the "iral insr"ct lon will
·N, rr.adc ty the de,igner
Additional ,itr, in~pectiC'~·· cf
~r·rt ic sys terr: due to owne!·· • .: ,
l•ui]dPr~. or 2cPtic sv~te~
l·n~~~,1P~'0 ~~=,1,~E· t
00 cc~•.·},· • • ' Cl .... • .. • J {.I. ..l ..J.. ...... • _, • • • J
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7~-drillar:-tiry· ~ii.€ ir,spe::t.ion
payatle in ~civance
DiVf.:Y-t dovrnf·:rout, foot~")' arid
ant :·~,_1:f:-lre wa t,-~r dY';! ·: r·!~,,-f.,
away fro~ thE sc~ti~ t~,.~ and
drni;,.fi~ld ar(:R
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dnill cori:,ly wit~ th ?ea; He
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MEQJC:AL HAROSrlIP
~leB~e re~·1etJ th~ attacheM pl~
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____ Re,:.ccd the f,Jllm,.1 ing tre
TPA~lSMifTAL MESSAGE;-
-I -
·'1 HENT Pr_:::Rt1I r P~PPI __ . .A\JON ·tF.:A\\l':it/ilTTA.L
[1M·! E: C,i .1 .1 =:t/Si;
PF:Ft'ilT r[~i~H -EG!J.J
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FELf\TfO F\LE:
\el (206)2SS-3ll7
Q= lS-?.?.'.--01."._; "?.,:.,r"<ing: C:P1S.(Z1\?t:71-
Hi5-+· .,en.f-__ Area-SEP.A--
Use Var. S~.SOev,Per. Sh,i)r1r.
~-,~(~;'T"l \ + Type C:o<Je · 2Gti
'3tcw i ~-5:
[ii;;:'·=· fc',
\Jalu~tion· $300000
T0~i:<! c;q,Fi:
Gar-/,.-:-.p. 'J the,-
P 11.<J
1r1 dicate your f1n3l ect.10n below. Jf
0ot ~0ld p1Bn5 ~t yc0r w0r~ ~tetion.
C.TlCN TfWEN
< F11JNL:
APPROUE0 -WJih 2 ~FEE
NUT APPFO~iEO because
$
-----------
tc ----------------------------
DATE:
.1' •.
DATE:
'
1C1111 eou.ney beeudn .
~~L Department of Planning and Community Development
Holly Miller. Di"aot' .
April 15, 1986
NOTICE OF APPLICATION
FOR TEMPORARY MOBILE HOMES PERMIT
MEDICAL HARDSHIP
Per Ordinance No. 5316, notice is hereby given that
Edmond Shaw · is applying for permit Job
No. R8~1043 to temporarily place a mobile home on
a lot w ich contains an existing residence at 13214
144th Ave. SE •
Any person wishing to express his views on this application
must submit in writing to the Manager, Division of Building
and Land Development, Room 450, King County Administration
Building, Seattle, Washington, 98104, within two weeks of
this notice.
If you have any further questions, please contact Ellen
Wolff , 344-7900.
'.
•
•
. 1'1111 CDu.nty 11:uadh,e . .
~~L Department of Plannlng and CoaimunJty Development
Koll,-Miller. Dina/It' .
DATE: April 15, 1986
NOTICE OF APPLICATION
FOR TEMPORARY MOBILE HOMES PERMIT
MEDICAL HARDSHIP
Per Ordinance No. 5316, notice is hereby given that
Edmond Shaw is applying for permit Job
No. R86-10~3 to temporarily place a mobile home on
a lot whic contains an existing residence at 13214
144th Ave. SE •
Any person wishing to express his views on this application
must submit in writing to the Manager, Division of Building
and Land Development, Room 450, Xing County Administration
Building, Seattle, Washington, 98104, within two weeks of
this notice.
If you have any further questions, please contact Ellen
Wolff , 344-7900.
/
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, ;z:h.i.s·, ,cert':i.f'icate provide, ':le
Qepari:me'nt of •Heal,th and
Building & Land Development
with information necessary to
evaluate deve~opm~nt proposals.
. ' ' \. ~ ' .. '.
,Please return to: .
BUILDING & LAND DEVELOPMENT'
Edward 8. Sand, Manager
450 Admin1strat1on Building
r
Seattle, Washtngtofl 98104
206-344-7900
KING COUNTY CERTIFICATE OF WATER AVAILABILITY
not write•in this box
number
~ Building Permit
0 Short Subdivision
name
[] Preliminary Plat or PUD
[] Rezone or other ------------
APPLICANT'S NAME £, p..._. °S!--\A..110
PROPOSED
(Attach map & legal description if necessary)
# # # # # # # # # # # # # # # #
WATER PURVEYOR INFORMATION
l.
2.
3.
4.
a. l5?J
OR
b. 0
OR
Water will be pro)lj.ded by
water main feeML ,:,.....9
/ //
service connection only to an existing E::, ·-------feet from the site. size
Water service will require an improvement to the water system of:
[] (l) ________ ...;feet of water main to reach the site; and/or
[](2) the construction of a distribution system on the site; and/or
[] (3) other (describe) __________________ _
{Must be completed if l.b above is checked)
The water system is in conformance with a county approved water comprehensive plan.
The water system improvement will require a water comprehensive plan amendment.
The proposed project is within the corporate limits of the district, or has been
granted Boundary Review Board approval for extension of service outside the district
or city, or is within the County approved service area of a private water purveyor.
b. [J Annexation or BRB approval will be necessary to provide service.
a. 1"71 Water is/or will be available at the rate of flow and duration indicated below at
OR
b.
~ no less than 20 psi measured at the nearest fire hydrant ,S°O(,) feet from the
building/property (or as marked on the attached map) : ,l'/,P/0,e'o,I(.
Rate of Flow Duration
[] less than 500 gpm (approx. _____ gpm) [] less than l hour
[] 1 hour to 2 hours
Bl_ 2 hours or more
[] 500 to 999 gpm
[] 1000 gpm or m'lre
@ flow test of 70 y gpm
D calculation of. _____ gpm
FOR
[] other--------
(Commercial Building Permits require flow
test or calculation) 0 Water system is not capable of providing fire flow.
COMMENTS/CONDITIONS, ______________________________ ~
I hereby certify that the above water purveyor information is true. This
certification shall be valid for one year from date of signature.
• Agency Name
Title Date
. fi:'J:! r.". -----
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PLS SC>O LISTING OF REAL PROPERTY ACCOUNTS EXTRACTED FOR PLANNING PURPOSES
BAlCH NO; TH CUSTOMER Nltll'.Ef:; R86-l043
Ob47 h)-006S-C4
.,1,4 -110-0053-0l
Cb4 710-0077-03
l 52305-9090-03
064710-0050-04
i.,84 710-JC:;49-CS
l!b't 710-0070-00
Cb4 710-00&3-09
l 52305-9064-0S
Oo4-r.l.0-006o-06
,•h4-710-0051-G3
l;.~11~-v~64-~J
lc~--i~G-J14(l-(,0
~·t4f~~-0)69-05
ClA "I W-0065-07
0 &4 -, l0-0048-09
v8411::i-0054-00
1.04 7 J.U-0074-06
Co4 7 i.0-0071-09
lib4 7 lo.:-Q075-05
C, 84 7 10-0.;52-CZ
08 4 ·, 10,00 73-o.:7
li84 710'"0078-02
UNlTtD-5TA1ES GOVT-HUD
b,t,.R U LOU15
CvCANOWEk BILLY L
GRAY JACKIE G
GREAThGUSE CLARENCE A
HAKSLK FKANKLIN D
LEE LHARLE:S 1
LEE CHARLES T
MOS li::fl LAG KEN W
QUE SN!::L MAUfdCE
REY~1LLOS CLIVE H
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JORGLN!.EN CAl.rlUUN TRUSTEE
1726 NE ~41H
KUN,-DONALL J
MEYEf PhYLLIS B
RICE bYKON A
PEOPLt:'., MURTGAGt:
WUFFCkU WILLIAM E
TALLLY ALl:E"l
BRE NLt: N KCGE: R
BRENL!Ll;i RLGEK
509999
E O 78 0
co2a1
EO<t80
E 1180
C0675
cc,,79
4)1,:76
i... l 70 1
J'::>')'i-'-i9
429999
589999
3Nl457
259999
549999
Cll7ll
4Nl273
<tN1273
UNKNOWN
WASHI'4GTllN DC
61'+ S 18TH
RENTON WA
PO BOX 2264
RENTON WA
13015 144 TH AYE SE
RENTON WA
14422 SE l 32NO
RENTON 'NA
13056 144TH AYE SE
RENTON WA
128 55 '+4TH SE
RENTON WA
12855 144TH SE
RENTON WA
13025 144TH AVE SE
RENTON WA
13218 144TH S E
RENTON WA
13034 14~T~ AVE SE
r:,;:r,i1u·~ -l'i:~
14,;.l'cl '.:, E u;. ST
~2NTJ.~ ~A
lJo~.,:; 1....-.... 11--· ,\V~ St
/:~i'iT'..:.:''1 ,,;1-.
1~41~ SL:. 1J.2;·'4C .!)T
RENTON WA
SHAW EDMUND A TRUSTEE
RENTON WA
13041.! 14-.TH SE
RENTON WA
14454 SE 132ND S1
RENTON WA
13219 146TH AVE SE
RENTON WA
PO BOX 1781.!
SEATTLE WA
9685 EMPIRE WAYS
SEATTLc: WA
2911 2ND AVE
SEA TT LE >IA
10039 OCCID~NTAL S
SEATTLE WA
10039 OCCIDENTAL S
SEATTLE WA
000(;0
98055
98055
98055
98055
98055
98055
98055
98055
98055
9KG5')
9{) J '"'.,:::.
Y8C• ._~b
98056
98056
98056
98056
98056
98111
98118
9812 l
98lb8
98168
IMPS AV
33,900
14,200
0
0
38,400
47,800
21,800
48,800
39,200
50,100
4 7 , 1 :Ji)
!7,7JO
_:...:.,3:JO
.. o,ooo
50,800
45,500
2.:, ,400
25,100
21,800
4,190
42,100
53,400
17,000
04/10/£6
LAND AV
14,0CO
13,500
17,000
10,000
28,900
13,500
14,000
36 1 2CO
22,200
18 ,coo
l ~ ,L. (.(.,
'-J, 6 (.,'(.
~i. 't.h .. "i • .:
1~,500
25,700
13,500
20,900
14,00C,
14,000
25,400
13,5()0
16,50(;
14 ,COO
PAGE l
GROSS AV STA
47 ,900
27 , 7 00
l7 ,000
10 ,000
67 ,300
61,300
35 ,800
85 ,000
61 ,-.JO
6a, 1 oo
62 ' l '-~-1)
47,3...,J
".IC ,.J,.__,..,
55 ,5 00
76 ,500
59 ,UOO
44,300
39, I uJ
35 ,80Q
29 ,590
55 ,&C/0
74 ,9CO
31,000
1·
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LS500 Li.:C.T.LNG GF REAL PROPERTY ACC:JUNTS EXTRACTED FOR PLANNlNb PURPOSES
,AT(.H NO: TH CUSTQMi:k NIJMBER: R&6-1043
;;;;4 7 lJ-:)072-08 WOLF-K.icNt{t TH G
•
~
•
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(·
34.i.877 PO BOX 657
WAITSBURG WA
NUMBER OF PARCELS:
99361
24
IMPS AV
0
745,590
04/10/.:16
LAND AV
J ,lliO
439,900
PA GE 2
GROSS AV STA . .>
3,000 T
1,185,490
>