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Denis Law Mayor November 24, 2009 Deborah and Ken Root 18036 118" Ave SE Renton, WA 98058 City of Yir ,, Department of Community and Economic Development Alex Pietsch, Administrator Subject: Extension of Root Medical Hardship Temporary Use Permit 18036 118th Ave SE King County File #B01L0762, City File #LUA08-143 Dear Mr. and Mrs. Root: King County had previously granted you a temporary use permit 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 continue to honor the original permit issued by King County. This letter is to inform you that we have extended your Temporary Use Permit until November 28, 2010. The November 6, 2009 phychiatrist's letter submitted by Dane Wingerson demonstrates continued medical hardship. Please note that approval of the extension is subject to the original conditions of approval of the Temporary Use Permit. Please let us know in writing by late October of 2010 if you will be needing another permit extension. Please reference your City file number (LUA08-143) and attach an updated doctor's affidavit. Currently, there is no fee for medical permit extensions. If you have any questions regarding this letter, feel free to contact me at 425-430-7294. Sincerely, Laureen Nicolay, Senior Planner Planning Division c: File LUA08-143 Rentor citi Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov Nov. 2009�o� pity F To: The City of Renton � C,v',sion Laureen Nicolay P1l From: Deborah Root`' �u19 18036 118th Ave. S.E, Renton, Wa . 98058 Reference: City file #LUA08-143 TP Old King County #BO1LO762 Enclosed is the letter you requested from the Veterans Administration medical staff in support of the continued use of the mobile home on our property for my disabled brother, Michael Corbett. Also, could you please clear something up for us? Your letter states that we are in a single family zone. However, according to the City of Renton Municipal code under the maximum housing density category, a R-4 zone is 4 dwelling units per I net acre. We have 2/3 of an acre. How should we interpret this information? Thank you very much for your assistance. Sincerely, Deborah Root s ,F WTIQ l�J 9 i y c sT•+TEs aF n American Lake Division Tacoma, WA 98493-5000 Seattle Division Seattle, WA 98108-1597 November 6, 2009 To The City of Renton RE: Michael Corbett SS# Ladies and Gentlemen: PARTMENT OF VETERANS AFFAI Puget Sound Healthcare System 1660 South Columbian Way Seattle, WA 98108-1597 In Reply Refer To: S-116-MHC Mr. Corbett has been treated for a severe and persistent psychotic disorder at the Seattle VA medical center since 1997. The treatment team here including Psychiatrists, psychologist, psychiatric nurses and MSW social workers believe it is absolutely necessary that Mr. Corbett lives very near his family. Mr. Corbett has a severe and persistent psychiatric condition that necessitates constant monitoring. Even at night Mr. Corbett has issues that need attention. At times he is incontinent of urine, he has dreams, walks in his sleep etc. Caring for Mr. Corbett is a 24 hour a day job. Mr. Corbet"s medications must be monitored. In other words the care giver sets the meds up and observes him taking each and every dose. He is not reliable to take his medications on his own and he has a history of non compliance with medications. When Mr. Corbett does not take his medications his psychiatric condition become unmanageable and this leads to commitments to psychiatric facilities. Mr. Corbett needs help and direction with his activities of daily living. His ADL's include eating, dressing, washing himself, keeping clothes clean, brushing his teeth etc. He requires assistance in getting to his outpatient appointments and community programs. It is ideal to have family involved. So many of the Veteran's in Mike's situation have no support. Often the families are "burnt out" and have lost patience with the high intensity of care this population requires. Mr. Corbett's family is very committed to his care. We hope to support Mr. Corbett's highest level of independence which separate quarters will promote. At the same family provided daily care is a must. It is not often we have this kind of family involvement and support, We highly support the housing plan made possible by the City of Renton and the Root family. If you need more information, please call me at 764-2874. Sincerely, Dane Wingerson Psychiatrist Mary Lou McClure psychiatric RN Carol Guthrie psychiatric RN CITY OF RENTON DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT MEMORANDUM Date: April 17, 2009 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: Root Medical Hardship LUA (file) Number: LUA-08-143, TP Cross -References: King County File #60111-0762 AKA's: Project Manager: Laureen Nicolay Acceptance Date: December 17, 2008 Applicant: Deborah & Ken Root Owner: same as applicant Contact: same as applicant PID Number: 6197200383 ERC Decision Date: ERC Appeal Date: Administrative Approval: December 18, 2008 Appeal Period Ends: December 30, 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: Temporary siting of a manufactured home on a lot with one existing single- family residence in a residential single-family zone. Location: 18036 1181h Avenue SE Comments: Denis Law, Mayor December 17, 2008 Deborah and Ken Root 18036 1181h Ave SE Renton, WA 98058 CITY [ RENTON Department of Community and Economic Development Alex Pictsch, Administrator Subject: Extension of Root Medical Hardship Temporary Use Permit 18036 1181h Ave SE King County File #1301L0762, City File #LUA08-143 Dear Mr. and Mrs. Root: Your property was recently annexed into the City of Renton. King County Department of Development and Environmental Services forwarded the file history for Building Permit #B01 L0762. The County had previously granted you this temporary use permit 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 honor the original permit issued by King County. This letter is to inform you that we have extended your Temporary Use Permit until November 28, 2009. The November 12, 2008 physicians affidavit submitted by Dr. E. Alexandra Ashleigh demonstrates continued medical hardship. Please note that approval of the extension is subject to the original conditions of approval of the Temporary Use Permit. Please let us know in writing by late October of 2009 if you will be needing another permit extension. Please reference your City file number (LUA08-143) and attach an updated doctor's affidavit. Currently, there is no fee for medical permit extensions. If you have any questions regarding this letter, feel free to contact me at 425-430-7294. Sincerely, Laureen Nicolay, Senior Planner Development Planning Division 1055 south Grady Way - Renton, Washington 98057 RThis material .3CY ppstconvwmer RENTON AHr:A11 01: 1 lIT: C1:FVF. City of Renton Department of Community and Economic Development Extension of Temporary Use Permit Project Name: Root Medical Hardship Temporary Use Permit Renton File Number: LUA08-143, TP Location: 18036 1 l 8`h Ave SE Project Description: Temporary siting of a manufactured home on a lot with one existing single family residence in a residential single-family zone. Property Owner: Deborah and Ken Root 18036 118`h Ave SE Renton, WA 98058 Date of Original Permit Issuance: November 28, 2001 (King County) Last County Expiration Date: November 28, 2008 City Extension Granted until: November 28, 2009 Date of Expiration: November 28, 2009 Period of Validity: One year Conditions of Approval: 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 Chip Vincent Planning Director 2 a Date Appeals: Appeals of permit issuance must be filed in writing by 5:00 pm on December 30, 2049 together with the required $75.00 application fee to the City of Renton 1 fearing Examiner, City of Renton, 1055 South Grady Way, Renton, WA 98057_ Appeals to the Examiner are governed by the City of Renton Municipal Code Section 4-8-110. Additional information regarding the appeal process may be obtained from the Renton City Clerk's Office, (425) 430-6510. William Scharer General Inspector III Building Inspection Section Building Services Division Department of Development and OAK-DE-0100 900 Oakesdale Avenue Southwest Renton, WA 9E057-5212 bill. scharer@king county_gov www. kingcounty.gov Lff King County Environmental Services 206-296-6775 Fax 206-296-7002 TTY 206-296-7217 Wood, Bob-H From: Wood, Bob-H Sent: Monday, November 17, 2008 4:15 PM To: Scharer, Bill Cc: Rubalcaba, Vicki; Moore, Bernard Subject: B01 L0762: MHMH NOW WITHIN CITY OF RENTON Bill & Vicki: I did not post any fee on this - see explanation below that I've entered under the permit's comments (as a Notice). Could not figure how to even post it as a "manual" entry without assigning some sort of classification number to it, so that's why I went to Kim (since Mary is off on Mondays) to make sure to do it as per their wishes, Just make sure we let them know soon about what to do about the check they are holding. Following is my entry in the file: "11/17/08: Rcvd extn fee (copy of check fm/Finance) this date; found site annexed to City of Renton effective 3/1/2008; Checked with Kim Simpson as to how wanted the $236.00 posted; she prefers we do not post any fee at all, but will have Cashier hold actual check until we decide if any fee will be charged - or permit just sent to Renton. if no fee, then Finance will simply return their check to them; Permit to BSCH to process; Assigned SUSPEND status until transfer (or whatever) is completed. We are to let Kim know decision ASAP so we don't hold "live" check too long." Thank you... BWoo Bob Wood Administrative Specialist II Building Inspections Section DDES/Building Services Division 206-296-7111 bob-h. wood@kingcounty.gov From: Wood, Bob-H Sent: Monday, November 17, 2008 4:15 PM To: Scharer, Bill Cc: Rubalcaba, Vicki; Moore, Bernard Subject: B01 L0762: MHMH NOW WITHIN CITY OF RENTON Bill & Vicki: I did not post any fee on this - see explanation below that I've entered under the permit's comments (as a Notice). Could not figure how to even post it as a "manual" entry without assigning some sort of classification number to it, so that's why I went to Kim (since Mary is off on Mondays) to make sure to do it as per their wishes. Just make sure we let them know soon about what to do about the check they are holding. Following is my entry in the file: "11/17/08: Rcvd extn fee (copy of check fm/Finance) this date; found site annexed to City of Renton effective 3/1/2008; Checked with Kim Simpson as to how wanted the $236.00 posted; she prefers we do not post any fee at all, but will have Cashier hold actual check until we decide if any fee will be charged - or permit just sent to Renton. If no fee, then Finance will simply return their check to them; Permit to BSCH to process; Assigned SUSPEND status until transfer (or whatever) is completed. We are to let Kim know decision ASAP so we don't hold "live" check too long." Thank you... BWoo Bob Wood Administrative Specialist 11 Building Inspections Section DDBS/Building Services Division 206-296-7111 bob-h. woodCdkingcounty. gov LA44zE,r�-,b N f r-oz-&X _0tTVaF 9�� G� 801 L07612 Allwts_ Parcel Alerts Alerts lnht� rited from tl :Parcel Parcel No. Text Notice 61972 [1383 Annexed to �e City c�( F�,arrtcn efieclive Match 7, 2008. r:�y t�dinar�ce 5327. a Continue Monday, Nov 17, 2008 03:35 PM Bobby Printout Distribotec _�_ e Withir 24 Houm 1 Trarsfer Database i� Xe�n & Debbie Root 18o;6 a8th -Ave. yE Rentan, W-A 98v58 t ;C)UNTY U1'�_�JINCA 4NSPFCMONS sac t�ING COUNTY BUILDING INSpEGTIDNS"�Cowity Department of Development and Environmental Services 900 Oakesdale Avenue SW Renton, WA 90057-5212 Page 2 of 2 Permit Project Pit Subtype Date Issued Status Type BQ 1 LQ762 Q1 LQ762 MEDI-MH MOBILE 11 /28/2001 EXTENDED APPLICANT INFORMATION PENT INFORMATION ROOT DEBORAH & KEN l-itle: BOIL0762: 6TII MHMH EXTN 18036 118TH AVE SE WHAEL ription: MEDICAL HARDSHIP MOBILE HOME PERMIT FOR RENTON WA 98058 CORBETT ocation: 18036 118TH AVE SE arcel#: 6197200383 urisdiction: King Count Owner: ROOT, KEN W 425 277-2868 ration Date: 11/28/2008 xtension Fees: $236.00 This notice is intended to inform you that your Medical Hardship Permit has expired. If you do not extend your permit or notify us that you do not need this permit within 10 days of the date of this letter, your permit will be referred to code enforcement. For your convenience we will issue your pen -nit 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 perinit 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 forpA 1', VA I CA11-14 ef) ; i liercby verify that this person requires "daily care". Physician (Signature Requimd) Z� C-t aA& Date .. -� 0 f Phone: c�)C 7 - f Office Address' ^' � p ro/ / 1.t_ I y' 101127; 2008 soc Page 1 of 1 Department of Development 110111 and Environmental Services KingCournty 900 Oakesdale Ave SW Renton, Washington 98057-5212 November 17, 2008 Summary of Charges and Payments I Applicant: ROOT, DEBORAH & KEN 1 Activity Number: 18036 118TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 i Development Number: Permit 'Type: MEDI-MII (425) 277-2868 Status: SUSPEND Description Amount Bldg Extension/No hourly $531.32 Bldg FireFlow Review $165.00 Bldg Insp Counter Fee $410.56 Bldg Inspection $275.00 Counter Service Fees $187.00 Health -Septic Sys. Cert. $210.00 State Building Code $4.50 SUB TOTAL CHARGES: $1,783.38 Description Check # Checklogid Payee Date Entered Amount Check 3544 ROOT, DEBORAH & KEN 6/19/2001 ($562.00) Check 3780 ROOT, DEBORAH & KEN l 1,128/2001 ($279.50) Suspense Account 5410 76760 KEN W ROOT 11/24/2004 ($235.47) Suspense Account 5994 89766 ROOT, KEN W. & CORBETT-ROOT, DEBORAH G, 12/13/2005 (S235.47) Suspense Account 6138 101145 ROOT, KEN W. & CORBETT-ROOT, DEBORAH G. 11/22/2006 ($235.47) Suspense Account 6621 115937 ROOT, KEN W & CORBETT-ROOT, DEBORAH G 11/30/2007 ($235.47) SUB 'TOTAL PAYMENTS: ($1,783.38) BALANCE: S0.00 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. T , soc Page 1 of 1 DDES Kiang County Department of Development and Environmental Services 900 Oakesdale Ave 5W Renton, Washington 98057-5212 November 17, 2008 Summary of Related Activities/Projects/Dev. Applicant: ROOT, DEBORAH & KEN 18036 118TH AVE SE RENTON, WA 98058 (425)277-2868 Activity Number: Project Number: BOIL0762 Development Number: MEDI-MH Status: SUSPEND Activity/Project # Comp Type Status Fee Charges Hours Charges Payments Balance Due BOIL0762 MEDI-MH SUSPEND $1,783,38 $0.00 $1,783.38 $0.00 B03XO115 EXTENSN- EXT-CLSD $224.25 $0.00 $224,25 $0.00 B03X1230 EXTENSN EXT-CLSD $224.25 $0.00 $224.25 $0.00 TOTAL: $2,231.88 $0.00 $2,231.88 $0.00 ie fees shown above represent current charges as of this date and are an estimate based on the information ovided to DDES at the time of application. )r services that are rendered on an hourly basis, the cost of those services will be based on the actual hours orked. Hourly fees are charged at the rate in effect at the time of service, and will be billed monthly, along with iy other outstanding fees. ,es that have been posted prior to permit issuance will be collected at that time. Fees subsequently posted will be [led to the applicant. All fees must be paid in full before DDES issues Final Approval, T.C.O. or C.O. Number:: 1BOIL0762 Addre= Status:" E}CTENDED ICANT': Date ` E�11912CIA1 �uiise �r W e i' � nr. 03611 BTH AVE SE KC 30T.DEBORAH&KEN y I 1 M 9311 IRA y' IEV 1 9�,13- .. s �. :A...A .... .„ :r 'S tatus �� 75 trdaEe :... f,r 8a.�c Job T&8011.07U2 STH MHMH EXTN !]esciii MEC?IC+4L HAF3C7SHIP iUBILE-H ME. PERMITIIFOR h11i HAZEL C A : 061191O01 :. Rair'elPlumber 16197 -D383. : ApMon Compl6t� !_! Site Addie ji0911gyp AVE SE KU. _ :.. '.' Vesting Date: !_ { Approved: 111 n712101 Orin .. ROOT. KEPI W Issued: 1117972601 Appkc k:,, .... ROOT. DEBORAH &..KE 1 .,.. . �..: '� - � ._<; 1 st Pemit E xiens'wan:_ 11122l:�D4 .-Sf M ■ M M k.k Y,M NX X Y .............. • .4'.k a - ■ 1t ]R X - 2nd Pern E xtenskw - em�t P boas " Eaq*es 111�3 .;_ Final Actin Legal: JRW 33- Y05 Pubk fJv .:::� . _ Date Entered: 106/19/2001 Class 025 Entered By:. PI NTHF Validated by, Issued by BWOO lnspecti'Ami _ EREENq O 2 ire E* ; Yew.. ksed .,Fgnat Tools TgMe W*rdow Help M . 7C 141 PM wmmo Monday, Nov 17. 2008 03:41 PM Bobby Printout King County Department of Development and Environmental Services 900 Oakesdale Avenue Sout Renton, Washington 98055-' FINAL I R(NAJ Le Inspector. west Ilk` pit Number: B01 L0762 ate Issued: 11/2812001 xpiration Date: 11/2812008 ermit Sta%Z7�5z 7b e l TV O)t7764-,-no Permit Type, Subtype. MEDI-MH, MOBILE 7��/ Tim.'901L0762: ", UMH FX°TN S Description: MEDICAL HARDSHIP MOBILE HOME PERMIT FOR MICHAEL CORBETT Location: LOT 3 BLOCK 2 NORTHWESTERN GARDEN TRS DIV#2 List of Parcels: 619720-0383 Site Address: 18036 118TH AVE SE KC Valuation: $0.00 Applicant Name: ROOT, DEBORAH & KEN Comments and Conditions 1. 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 are available by phone M-F, 7:30 am to 830 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 corner. 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 pem7it 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 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, DDES may bring a code enforcement action to recover unpaid fees. 1U2612004 OFFICE COPY BP PRMSOFT SOC Page 1 of 2 Department of Development and Environmental Services am 900 Cakesdale Avenue SSW 7 - �V1 U LS K — KING COUNTY NOTICE OF PERMIT STATUS Permit Permit Project Subtype Date',Issuefl Status: Typlib 1301 L0762 B01 L0762 iViEDI-MH MOBILE 11/28/2001 EXTENDED ..'.:: ...APiz1:`iCANT INF'[SRMATION .:..._..:`.,.PERMIT INFORMATION - ROOT, DEBORAH & KEN ITLE: B01 L0762: 5TH - 1 YR MHMH EXT 18036 118TH AVE SE DESCRIPTION: MEDICAL HARDSHIP MOBILE HOME (DOUBLE -WIDE 1981 FUOUA/PARKWAY, 2 BDRMS/1 BA RENTON, WA 98058 425) 277-2868 ILOCATION: 18036 118TH AVE SE II 6197200383 urisdiction: King Coun )wner: KEN W ROOT (Expiration Date: 11/28/2007 IlExtensian Fees: $235.47 II This notice is intended to remind you that this permit will expire on the date referenced above. Permit extensions are issued for a one year period and must be accompanied with a Physicians Affidavit, provided below. This affidavit must be completed by the attending physician each year that a medical hardship condition exists. To obtain a permit extension by 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 permit number on your payment. By the expiration date, please mail the permit extension fee and the original completed Physicians Affidavit to: KC DDES - Building Inspections 900 Oakesdale Avenue SW Renton,WA 98057-5212 G You may contact DDES, Building Inspections at 206-296-6630 for any questions regarding building permit 1xt�rsion procedures for this permit. !//� % Medical Hardship Mobile. Home Physician. Affidavit To Applicant's Physician: This form is required to be completed by the attending physician each year the medical hardship condition exists. As the Attending Physician for lG�1q, �i� ram/ I hereby verify that this person requires "daily care". Physician (signature Required) Date I 1 Phone Number -- Medical Facility Address Stamp: &i SDC Page 1 of 1 King County Department of Development and Environmental Services 900 Oakesdale Ave S W Renton, Washington 98057-5212 November 30, 2007 Summa. .ry of Charges and Payments ................ Applicant: ROOT, DEBORAH & KEN Activity Number: 18036 118TH AVE SE Project Number: B01L0762 RENTON, WA 98058 Development Number: Permit Type: MEDi-MH (425) 277-2868 Status: EXTENDED Description Amount Bldg Extension/No hourly $531.32 Bldg FireFlow Review $165.00 Bldg Insp Counter Fee $410.56 Bldg Inspection $275.00 Counter Service Fees $187,00 Health -Septic Sys. Cert. $210.00 State Building Code $4.50 SUB TOTAL CHARGES: $1,783.38 Payments Description Check # Checklogid Payee Date Entered Amount Check 3544 ROOT, DEBORAH & KEN 6/19/2001 ($562.00) Check 3780 ROOT, DEBORAH & KEN 11/28/2001 ($279.50) Suspense Account 5410 76760 KEN W ROOT 11/24/2004 ($235.47) Suspense Account 5994 89766 ROOT, KEN W, & CORBETT-ROOT, DEBORAH G. 12/13/2005 ($235.47) Suspense Account 6138 101145 ROOT, KEN W. & CORBETT-ROOT, DEBORAH G. 11/22/2006 ($235.47) SUB TOTAL PAYMENTS: ($1,547.91) BALANCE: $235.47 The fees shown above represent current charges as of this date and are an estimate based on the information provided to DDE5 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 DDE5 issues Final Approval, T.C.O. or C.O. King County FINAL APPROVAL, Permit Number: B01 L0762 Department of Development Inspector: Date Issued: 11/28/2001 and Environmental Services k 900 Oakesdale Avenue Southwest Renton, Washington 98055-1219 04ty, Construction Permit Permit Type, Subtype: MEDI-MH, MOBILE B01 L0762; 5TH - 1YRMHMHEXT Description: (DOUBLE -WIDE 1981 FUQUA/PARKWAY, 2 BDRMS/1 BATH, 28X36; FOR MICHAEL CORBETT Location: NW 33-23-05: L3 Blk2 Northwestern Garden Tr List of Parcels: 619720-0383 18036 118TH AVE SE il a ual ion $0.00 Applicant Name: ROOT, DEBORAH & KEN Comments and Conditions 1. 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 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 corner. 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 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. §1T21, 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, DDES may bring a code enforcement action to recover unpaid fees. 10/26/2004 INSPECTORS COPY BP PRMSOFT J 60614 Page 1 of 1 King County Department of Development and Environmental Services 900 Oakesdale Ave SW Renton, Washington 98055-1219 November 21, 2006 ! Applicant: i Summary of Charges and Payments ROOT, DEBORAH & KEN 18036 118TH AVE SE RENTON, WA 98058 (425) 277-2868 Description Bldg; FireFlow Review Bldg Insp Counter Fee Bldg Inspection Bldg Inspection/No Hrly Counter Service Fees Activity Number: Project Number: BOIL0762 Development Number: Permit Type: MEDI-MH Status: EXTENDED Amount $165.00 $205.28 $275.00 $265.66 $187.00 Health -Septic Sys. Cert. $210.00 State Building Code $4.50 SUB TOTAL CHARGES: $1,312.44 Description Cheek # Checklogid Payee Date Entered Amount Check 3544 ROOT, DEBORAH & KEN 6/19/2001 ($562.00) Check 3780 ROOT, DEBORAH & KEN 11 /28/2001 ($279.50) Suspense Account 5410 76760 KEN W ROOT 11/24/2004 ($235.47) Suspense Account 5994 89766 ROOT, KEN W. & CORBETT-ROOT, DEBORAH G. 12/13/2005 ($235.47) SUS TOTAL PAYMENTS: ($1,312.44) BALANCE: PAID $0.00 .... _... _------ ------- 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 iworked. 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. ...... ................... ......... R Page 1 of 2 Depaft nt cid' Veaelopment and Enmrawnentaf Seraicem King Cuunty F L)r% VVA 98(,--� -t )1 s Permit Permit Projecte Typ 1 1UUMM Subtype Date Issued Status BO ] L0762 B01 L0762 MEDI-MI I MOBILE 11/28/2001 EXTENDED APPLICANT INFORt4ATION PERMIT INMP1-%TY0N ROOT, DEBORAH & KEN 18036 118TH AVE SE RENTON, WA 98058 ITLE: BO 1 L0762: 4TH - 1 YR MHMH EXT ESCRIPTION: MEDICAL HARDSHIP MOBILE HOME (DOUBLE - WIDE 1981 PU UA/PARKWAY, 2 BDRMS/1 BA LOCATION: 18036 1 18TH AVE. SE arcel#: 6197200383 urisdiction: King Count K ner: KEN W ROOT j Phonc: 425 277-2868 x iration Date: 11/28/2006 Extension Fees: S235.47 This notice is intended to remind you that this permit will expire on the date referenced above. Permit extensions are issued for a one year period and must be accompanied with a Physicians Affidavit, provided below. This affidavit must be completed by the attending physician each year that a medical hardship condition exists. To obtain a permit extension by 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 permit number on your payment. By the expiration date, please mail the permit extension fee and the original completed Physicians Affidavit to: KC DDES - Building Inspections 900 Oakesdale Avenue SW Renton,WA 98055-1219 You may contact DDES, Building Inspections at 206-296-6630 for any questions regarding building permit extension procedures for this permit. Medical hardship Mobile Home Physician Affidavit To Applicant's Physician: This form is required to be completed by the attending physician each year the medical hardship condition exists. As the Attending Physician for M *C, OL Q t C06&� , I hereby verify that this person requires "daily care". Physician (signature Required) - X Date / I I o- / — t — Phone Number Medical Facility Address Stamp: VA t,IEDj'jALCENM (116 MHQ 1660 FINAL APPROVAL King County Permit Number: Department of Development Inspector: Date Issued: and Environmental Services Expiration Date: 900 Oakesdale Avenue Southwest Permit Status: Renton, Washington 98055-1219 Date: Construction Permit Permit Type, Subtype: MEDI-MH, MOBILE Title: B01L0762: 4TH - 1YR MHMH EXT Description: MEDICAL HARDSHIP MOBILE HOME (DOUBLE -WIDE 1981 FUQUA/PARKWAY, 2 BDRMS/1 BATH, 28X36; FOR MICHAEL CORBETT Location: NW 33-23-05: L3 BIk2 Northwestern Garden Tr List of Parcels: 619720-0383 Site Address: 18036 118TH AVE SE KC Valuation: $0.00 Applicant Name: ROOT, DEBORAH & KEN Comments and Conditions B01 L0762 11/28/2001 11/28/2006 EXTENDED 1. 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 1-888-546-772S. 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 corner. 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 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 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, DDES may bring a code enforcement action to recover unpaid fees. 10/26/2004 INSPECTORS COPY BP_PRMSOFT Is Page 1 of 3 ll epawrtrrrerd ot Develepment i� and EnWronmefflat Services X-1.0 Oekesdale AYCr S%-V 45 3i. sl 1u,Ps "y King Opurrtg Rer'dor-,, V4A 960 ,-- 'i �i5.1C iN �' T1ON Nang OF PERMIT STATUS PQ�l3..t Perlilit Project S at ar+e� )Hate Is axed fE e Status: OIL0762 POIL0762 MEDI-MH 11 MOBILE ] 11/28/2001 EXTENDED lPSAbSI:T.::. 3CHF4T9N ; AFl>�XC1ii4T 1tiNb11'!!I,b}N 7 77 , ROOT, DEBORAH & KEN ITLE: BOIL0762: 3RD 1YR MHMH EXTN 18036 118TH AVE SE ESCRIPTION. MEDICAL HARDSHIP MOBILE HOME (DOUBLE - WIDE 1981 FU UA/PARKWAY, 2 BDRMS/1 BA RENTON, WA 98058 OCATION: 18036 118TH AVE ,SE arcel#: 6197200383 urisdiction: King Count Owner: KEN W ROOT Phone: 425 277-2868 Expiration Date: 11/28/2005 ltxtension Fees: $235.47 This notice is intended to remind you that this permit will expire on the date referenced above. Permit extensions are issued for a one year period and must be accompanied with a Physicians Affidavit, provided below. This affidavit must be completed by the attending physician each year that a medical hardship condition exists. To obtain a permit extension by 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 permit number on your payment. By the expiration date, please mail the permit extension fee and the ordinal completed Physicians Affidavit to: KC DDES - Building Inspections 900 Oakesdale Avenue SW Renton,WA 98055-1219 You may contact DDES, Building Inspections at 206-296-6630 for any questions regarding building permit extension procedures for this permit - Medical Hardship Mobile Home Physici.an.Aflidavit 'lo AWicant's_Physician, This torm is required to be completed by the attending physician each year the medical hardship condition exists. As the Attending Physician for ((. �� CL r+g7[r , I hereby verify that this person requires "daily care". Physician (Signature Required) Date ] 3e � S Phone Number ` � 762 Medical Facility Address Stamp: U" '91 0- �fll - / 1f C 0 ( L, b., i C,�- Wn I/ JJ.7t . 1� / () 4 6 - I I (C, - meci, SOC Page I of 1 King County Department of Development and Environmental Services 900 Oakesdale Ave SW Renton, Washington 98055-1219 December 13, 2005 fl r !1 1 ll OUlllllldl"v Vl %.11dl r'CS dllu rdvlllCilll Applicant: ROOT, DEBORAH & KEN Activity Number: 18036 118TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 Development Number: Permit Type: MEDI-MH (425) 277-2868 Status: EXTENDED Charges Description Amount Bldg FireFlow Review $165.00 Bldg Insp Counter Fee $205.28 Bldg inspection $275.00 Bldg Inspection/No Hrly $265.66 Counter Service Fees $187.00 Health -Septic Sys. Cert. $210.00 State Building Code $4.50 SUB TOTAL CHARGES: $1,312.44 Pavine:nts Description Check # Cheeklogid Payee Date Entered Amount Check 3544 ROOT, DEBORAH & KEN 6/19/2001 ($562.00) Check 3780 ROOT, DEBORAH & KEN 11/28/2001 ($279.50) Suspense Account 5410 76760 KEN W ROOT 1 1/24/2004 ($235.47) SUB TOTAL PAYMENTS: (S1,076.97) BALANCE: $235.47 The fees shown above represent current charges as of this date and are an estimate based on the information provided to DDE5 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 1[lsp,CLtor: �. _,-. Permit Number: B01L0762 Department of Development V Date Issued: 11/28/2001 and Environmental Services Expiration Date: 11/28/2005 900 Oakesdale Avenue Southl)64 - Permit Status: EXTENDED Renton, Washington 98055-1219 Construction Permit Permit Type, Subtype: MEDI-MH, MOBILE Title: B01L0762-.3RD 1YR MHMH EXTN Description: MEDICAL HARDSHIP MOBILE HOME { FUQUA/PARKWAY, 2 BDRMS/1 BATH, 28X36; FOR MICHAEL CORBETT Location: NW 33-23-05: L3 BIk2 Northwestern Ga List of Parcels: 619720-0383 Site Address: 18036 118TH AVE SE KC Valuation: $0.00 Applicant Name: ROOT, DEBORAH & KEN Comments and Conditions 1. 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 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 at 206-296-6630, 4. Expiration. Please note the expiration date on this permit located in the upper right corner. 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.A. §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, DDES may bring a code enforcement action to recover unpaid fees. M2612004 OFFICE COPY RP_PAI49SOF1' e)($1 SOC Page 1 of 1 DDES King County Department of Development and Environmental Services 900 Oakesdale Ave SW Renton, Washington 98055-1219 November 22, 2004 0 r -I> > r au][11111al-V Ul t.11al-p-cs dllu rdVillelits Applicant: ROOT, DEBORAH & KEN Activity Number: 18036 118TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 Development Number: Permit Type: MEDI-MH (425) 277-2868 Status: EXTENDED charges ,. Description Amount Bldg FireFlow Review $165.00 Bldg Insp Counter Fee $102.64 Bldg Inspection $275.00 Bldg Inspection/No Hrly $132.83 Counter Service Fees $ l 87.00 Health -Septic Sys. Cert. $210.00 State Building Code $4.50 SUB TOTAL CHARGES: $1,076.97 Pav'111elit" Description Check # Checklogid Payee Date Entered Amount Check 3544 ROOT, DEBORAH & KEN 6/19/2001 ($562.00) Check 3780 ROOT, DEBORAH & KEN 11 /28/2001 ($279.50) SUB TOTAL PAYMENTS: ($841.50) BALANCE: $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 DDES issues Final Approval, T.C.O. or C.O. �aFYrTPQA RTMENT OF VETERANS AFF, 3 hs get Sound Healthcare System lj�-1660 South Columbian Way Seattle, WA 98108-1597 ST/TES Of A'� KM� ��pEV�ta�� American Lake divisi�riujo" Tacoma, WA 98493-5000 November 9, 2004 Seattle Division Seattle, WA 98108-1597 RE: Michael Corbett SS# 568-92-0215 Gentlemen: In Reply Refer To: 5-116-MHC Mr. Corbett has been my patient since 1997. 1 believe it would be quite beneficial for Mr. Corbett to live very near his family. Mr. Corbett has a psychiatric condition that necessitates monitoring on a daily basis, and he requires daily care. He needs help and direction with his medications and activities of daily living. He requires assistance in getting to his outpatient appointments and community programs. It is ideal to have the family in his proximity to help with the above and yet not in the same physical space. We hope to support Mr. Corbett's highest level of independence which separate quarters will promote, at the same time have family provide needed daily care. It is not often we have this kind of family involvement and support, I highly recommend the housing plan proposed by the Root family. If you need more information, please call me at 764-2007. Sincerely, E. Alexandra Ashleigh, M.D. Staff Psychiatrist Seattle V. A. Medical Center and Clinical Associate Professor Department of Psychiatry and Behavioral Sciences (i) and EnfkrenmeWel Services WO Oakesdale Avenue SIN King County Fkerjon.vVA 98055-121 NOTICE OF PERMIT STATUS k�}�mmpp B03Xi2x�3T�0 5 �'1 tbt 0 i7 ype— r 7i3, r 3 BUILDING ISSUED 12/04/22Y0tY0y3� TTO1L07}}Y62EY.X�TENSN l!�.y��yy.���.y. tt TlBiVaiilYVl4Y;�li.?f. DEBORAH G & KEN W ROOT 18036 118TH AVE SE RENTON, WA 98058 ITLE: EXTN OF B03X0115 B02LO763 ESCRIPTION: MEDICAL HARDSHIP MOBILE HOME ERMIT FOR MICHAEL T CORBETT OCATION: 18036 118TH AVE SE _ arceW. 6197200383 kisdiction: King County Owner: DFBORAH G & KEN W ROOT Phone, 425 277-2868 x iration Date: 11/28/2004 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 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. __......tom _ 3 _ I Medical.Hardship Mobile Home P�nAffidavit KING COUNTY To: Applicant's Ph EiUILDINsician: This form is required to be completed EACH YEAR when a pe requested by the applicant. As the physician for , I hereby verify that this person requires "daily care". Physician (Signature Required) Date Phone: Office Address 11/02/2004 Monday, Nov 22, 2004 03:43 PM Bobby's Business EXPIRED SINGLE FAMILY RESIDENTIAL PERMIT STATUS CHECK INSPECTION FORM PERMIT # aC 2 DATE OF REFERRED: ' 03 ADDRESS: CURRENT STATUS OF PROJECT: 4 CURRENT INSPETIO STATUS: ANY OBSERVED LIFE -SAFETY HAZARDS?: ANY OTHER OBSERVED VIOLATIONS?: ANY ADDITIONAL CONTACT INFORMATION?: _ Person: Tele# Address: COMMENTS: /,..& 4y- �,tx 6, 7x'r i INSPECTOR DATE OF INSPECTION J73c) C -3 OO King county Department of Development and Environmental Services 900 Oakesdale Avenue Southwest Renton, WA 98055-1219 EXPIRED SINGLE FAMILY RESIDENTIAL PERMIT CODE ENFORCEMENT REFERRAL FORM Permit # Address: Inspector Parcel# Date VIOLATION: Expiration of Permit: Code Cites: K.C.C. 16.04.05013; 1997 UBC, Sec. 106.4.4.2 Description: Permit expired without completion of all required work. To Comply: Extend Permit # in conformance with the King County Code and any applicable inter - local agreement. VIOLATION: Required Approval: Code Cites: K.C.C. 16.04.011; 1997 UBC, Sec. 108.4 Description: Work done beyond the stage of inspection approval. To Comply: VIOLATION: Use and Occupancy: Code Cites: K.C.C. 16,04.05025; 1997 UBC, Sec. 109.01 Description: Structure used or occupied without occupancy and/or final inspection approval. To Comply: Complete all required work and obtain occupancy and/or final inspection approval, or..... Other: Vacate the structure, secure from entry until permit approvals and or Certificate of Occupancy has been obtained. VIOLATION: Code Cites: Description: To Comply: FINAL APPROVAL King County Dais: Department of Development Permit Number:B03XI 230 and Environmental Services Date Issued:1210412003 900 Oakesdale Avenue Southwest Expiration Date: 11/28/2004 Renton, Washington 98055-1219 Permit Status. -ISSUED Permit Extension Permit Type:EXTENSN , BUILDING Title:EXTN OF B03XO115 (13021-0763) Description:MEDICAL HARDSHIP MOBILE HOME PERMIT FOR MICHAEL T CORBETT Location:NW 33-23-05 List of Parcels:619720-0383 Site Address:18036 118TH AVE SE KC Valuation: $0.00 Applicant:ROOT, DEBORAH & KEN 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 12-04-2003 bp_3extn Q ,cINCa "00 ri-:T10N� De partrrve nt or D fi va bit p nierit and Enuiranmenlet Services King Cvurrty Rt"or�, VA 9005'-5-1.219 NOTICEOF PERMIT STATUS Permit rmit Project Type FP Subtype Date Tsisued Status 03XO1I5 01L0762 EXTENSN BUILDING 02/07/2003 ISSUED APPLICANT INFORMATION PERMIT INFORMATION DEBORAH G & KEN W ROOT 18036 118TH AVE SE RENTON, WA 98058 ITLE: EXTN OF BOIL0762 ESCRIPTION: MEDICAL HARDSHIP MOBILE HOME FOR ICHAEL CORBETT OCATION: 18036 118TH AVE SE arcel#: 6197200383 [jurisdiction: Kira T County Owner: DEBORAH G & KEN W ROOT hone: 425 277-2868 Expiration Date: 11/28/2003 xtension 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 required to be completed EACH YEAR when a permit extension is requested by the applicant. As the physician for �' < « J _ c' r .�`c' I liereby verity that this person,cquires "daily care". Physician (Signature Required) '� Date Phone: 4• ° ( LJr�L� �1 Office Address ' ' �� t � �t�'? Z.L Yy� - � � � , �f�E.��-� -� ` l f E_ 10/30/2003 SOC . Page .1 of 1 King County Department of Development and Environmental Services 400 Oakesdale Ave SW Renton, Washington 980554219 December 4, 2003 Summary of CharlZes and Payments Applicant: ROOT, DEBORAH & KEN Activity Number: B03X1230 18036 118TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 Development Number: Permit Type: EXTENSN (425) 277-2868 Status: ISSUED Description Amount Bing hrisp Counter Fee 97.75 Bldg inspection/No Hrly $126.50 SUB TOTAL CHARGES: $224.25 Description Check # Checklogid Payee Date Entered Amount SUB TOTAL PAYMENTS: $0.00 BALANCE: $224.25 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. I F I NI A LL A P kIR;1 I', !n�l7ectc7t": �-- King County Date - Department of Development Permit Number:B03XOI IS and Environmental Services Date Issued:0210712003 900 Oakesdale Avenue Southwest Expiration Date: 11128/2003 Renton, Washington 98055-1219 Permit Status:ISSUED � J 3' Permit Extension Permit Type:EXTENSN , BUILDING Title:EXTN OF B01 L0762 Description: MEDICAL HARDSHIP MOBILE HOME FOR MICHAEL CORBETT Location: NW 33-23-05 List of Parcels:619720-0383 Site Address:18036 118TH AVE SE KC Valuation: $0.00 Applicant:ROOT, DEBORAH & KEN 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 02-07-2003 bp_exten SOC Page l of 1 DDES King County Department of Development and Environmental Services 900 Oakesdale Ave SW Renton, Washington 980554219 February 7, 2003 Summary of Charges and Payments Applicant: ROOT, DEBORAH & KEN Activity Number: B0.3X01 1.5 1.8036 118TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 Development Number: Permit Type: EXTENSN (425) 277-2868 Status: ISSUED Description Amount Bldg:lnsp Counter Fee. $97.75 Bldg lnspection(No Hrly $126,50 SUB TOTAL CHARGES: $224.25 Description Check # Checklogid Payee Date Entered Amount SUB TOTAL PAYMENTS: $0.00 BALANCE: 5224.25 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. SOC Page I of'1 King County DepartmentofDevclop ment FE — 5 e'^13 .� 7 4u�J and Environmental Services 900 Oakesdale Ave SW KING COUNTY Rentor4 Washi gtan98055-1219 BUILDING INSPECTIONS NOTICE. /fit Ip[pi [' D4 [i 3. Lr [ €�#/ ea 111€ 11 TYPO i 01L0762 01L0762 MEDI-MHF MOBILE j 11/28/2001 ISSUED AqA7i SNF{TTON ='.€ F�RM;.0@7 MW "I itle: L3 BIk2 Northwestern Garden Tr RO ; ., DEBORA P. & KEN escription: temporary Medical Hardship Mobile Home - double �ide i98i Fuqua/Parhway; 2 bdn-ns/1 bath, 2SX36 Location: 18036 118TH AVE SE 18036 118TH AVE SE RENTON, WA 98058 areel#: 6197200383 urisdiction: Kin Count Owner: ROOT, DEBORAH & KEN hone- 425 277-2868 Ex iration Date: 11/28/2 002 Extension Fees: $224.25 This notice is intended to inform you that your Medical Hardship Permit has expired. If you do not extend your permit or notify us that you do not need this permit within 10 days of the date of this letter, your permit will be referred to code enforcement. 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 P�ician 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 !"j C(olI 1 hereby verify that this person requires "daily care". Physician (Signature Required);dgoj:�o _ (/-` D01 ate 0 2 Phone: �p/ Office Address L "I AUi1L11 Si1� h, �. VA MEDICAL CENTER (116DTC) i�' � �Tr^ L �i ALTH CLINIC 66C SOUTH COLUMBIAN WAY WiTTLE, WASHINGTON 98108 01/30/2003 r+ ff �P of .. King County Department of Development � � � �� and Environmental Services 900 Oakesdale Avenue Southwest Menton, Washington 98055-1219 Permit Number: B01 L0762 Date Issued: 11/2812001 Expiration Date: 11/2812002 Permit Status: ISSUED 071-)� �GS� BEM HN MtdA90S*V-- Construcn Permit Permit Type: MEDI-MH , MOBILE Title: L3 BIk2 Northwestern Garden Tr Description: temporary Medical Hardship Mobile Home - double wide 1981 Fuqua/Parkway; 2 bdrms/1 bath; 28X36 Location: NW 33-23-05 List of Parcels: 619720-0383 Site Address: 18036 118TH AVE SE KC Valuation: $0.00 Applicant: ROOT, DEBORAH & KEN Comments and Conditions 1. This permit is subject to all corrections indication on the associated plans and attached conditions and must be posted on the job site at all times in a visible and readily accessible location. 2. This permit is subject to all corrections indicated on the associated plans and attached conditions. 3. Work may proceed only at the direction of the field inspector. To request an inspection of work completed, call 206-296-6635. 4. Please note the expiration date on this permit located in the upper right corner. A permit may be extended or renewed only if a request to do so is received at least 30 days prior to the expiration date. -*ITrORS ' COPY BPRES3 y BoLMols4 ;�jA-aPORIES- yo = Fouiadat,o❑ (includes Mobile Howes) R= Dra1B-A,llJfl0S)iJD Control Frain} Undcriloor ius�cc=tiara l WA for ttSt of oCCUp3DCj OLha (Dcscnbc in comments) MSPE C TION LOCH A -TION TA-KEIN CODES FF' _) urplacc AP Approved � = r:l�l»��l (All ram} PA = PwmAl Approval SP =Stop Work Posed tv = luvcsti-a(r CN = Concctiou Noucc ES =_.Exterior Shc rui� uailing NR — Na( RrarSy SL =Slop Work Liftc� WS = wQcj lavc .00 otbalwlCommcI) SW = Stop Woik Actions ,- FI hiE ;rP WS irry 5w0�� COMMENTS LNSPCTQR DATA FO DR LTk FS� FK t,77�- 17 ev' L (4r�j f--- o-L lea n! � I__I_ I I L L_I I I `�t_DY<<•�tr-- - __ J-- r I I_ �1,fJF�E�i�G Ofl �i��.JU�A�i�JRiiZ ° V=JC�uA-"�✓KWh�{ Mel F i.+7 I 4-7170-Ct -Zoo f Co { Accv d -�v u f 1/afvaf�o� o 4. ((-(, tcl a-P - Fdv. -P"ear-+i -f-A* - -72 470,a e-d n p� c ~f I z �) -�5co -d v c' cq . [=1`4vti-t- Cv - IMO . soc Page 1 Of 1 King County Department of Development and Environmental Services 900 Oakesdale Ave SW Renton, Washington 9805sa 219 November 28, 2001 31,11Q1Illai-V Ul k_1l1ai-2CS all I aV111U IS Applicant: ROOT, DEBORAH & KEN Activity Number: 18036 l 18TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 Development Number: Permit Type: MEDI-MH (425) 277-2868 Status: [SSUED Description Amount Bldg FireFlow Review $165.00 Bld- Inspection S275.00 Counter Service Fees $187.00 Health -Septic Sys. Cert. $210.00 State Building Code $4.50 SUB TOTAL CHARGES: 5841.50 Description Check ## Checklogid Payee Date Entered Amount Check 3544 ROOT. DEBORAH & KEN 6119,72001 ($562.00) SUB TOTAL PAYMENTS: (5562.00) BALANCE: 5279.50 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. r ' ProjectlActivity Numb - S_T (•.i 1(.� '.�y�•j .. . r Date: )q aj Intake Technician: V P�-+j Parcel # -7 -Zo - 4 38•3 Comments:c�:'� (, Number Dir street Naame Kroll E11N Y4 "14 Section Township Range ` T Lot Block Plat Name Division ZONING:~ Setbacks: Street Garage Interior. Maximum Building Height: Max Impervious Surface % _ MPS School Fire Dist. Comm. Plan Lot Size ❑ Sewer (or) C Septic ❑ Well (or) ❑ Public Water i 20d Other TOTAL Garage Porches Decks REVIEWS Addressing Health — Fire Flow ❑ Drainage ❑ RSCR ❑ PLTR ❑ GEO ❑ Wetlands ❑ Shorelines ❑ Streams ❑ GRADing ❑ SEPA ❑ Farmland Preservation SENSITIVE AREAS ❑ Erosion 0 Landslide 0 Flood Plain ❑ Seismic ❑ Wetlands ❑ Coal Mine 0 Streams 11 Shorelines Submittal Requirements Checklist ❑ Certification (and Transfer) of Applicant Status ❑ Affidavit for Application ❑ Property Tax Account # (parcel) ❑ Legal Description ❑ Site Plan (to scale on legal or letter)° ❑ Working Drawings 2. ❑ Water Availability Letter ❑ Sewer Availability Letter ❑ Proof of Legal Lot (NEW RES) 0 Septic Design Approval (NEW RES) ❑ Fire District Receipt (NEW RES) ❑ Contractors License (by issuance) Are Taxes Current? ❑ yes ❑ no Issue Permit by Mail? ❑ yes ❑ no K�-27-01 TUE 03:10 PM EASTGATE ENVIHON. HEALTH FAX NO. 60946 F, 01 ITPublic Health Seattle & King County HALT}{Y K-0' PLE. f4F.AiTHY COMMUNtit£5. Alamo L. Plough, PIc.D , MPH, Dfmctor FAX 271e following facsimile message is CONI'lDEATIAT, atul is intended only for the use of the person to whom it is addressed. Any distribution, ropying or other use by artyorte is vo rtly praiufrtfed. If you trave received rltis fax in error; pieiLse te1e{3horte the sender irwaediatety and destroy this fax, TO: j %'.. _ ._� FROM: DATF: �t z : t FAX#:f.. t�'`'�;�,L_.. FAX#: _ - TEL#.-- .. _- --- _ ... - TEL#: Number of pages including this MESSAGE: Urgent Review r_ Crwirpnnioo4at licaNi Seivicc 5 f astgata Public i Ic-alill (:ente( 14350 SE Laslcgate Way — Beffovwt . WA 95007 TO: (24G) 29G 4932 lax- (200) 799 4919 Comment U NOV-27-01 TUE,03:1'0,PM 'EASTGATE ENVIRON, HEALTH FAX NO, 60946 P. 02 SP-.1ttle-Kin County Dc filivilt of Public 11c,11111 op Istient Approv: il of Building Permh Applicafion for lte.alth Depat FOT JIMISCS OF SCk'VC(I by All 011-SiLQ .3CW,'Ige (SCJ)iiw) SYS1C.In rasi vitwic Ifemoi Cenier 14351) SE Fastgale Way Fol. DDES Itsc I 1 11 Y C (206) 296-4432 Ajq=Won Fro S2 . ROO Ulm Rcc6vQd 6-4-01 iLaI—oIJ.c")IK 'I Ilk, 1161141IL1111 SopporL CICI4AIIIIQIVS ilICIMIC: 1. d01 ded roue ,imp and dircclions W propolly 2. jillot jilast scilud at F"ZW or 1 "-30' 11 x 17 ULM SiZT, i i(Lq!uj Q_ qP llow'c I-oulprint and .lily proposed cilangos to that rootprilli • localinu ot-willic lank and pupil Wilk, d1ainfleld and all Tirllt sovvr lilies • loraijoil of reserve llraillkleld :ivca (repair arca) • all wiiwr lilies and Wt. Out dion, 10011 radius womd A W sites • location or.,fll oLli t�ijilding . s • location ol'all driveways awl jmikilig aicas, • all prl.)pci-ty boiwdarie.N ajid cascinciAs mid bmlic--, of water 3. lloor phus 4who N chmid, A the bWMkg 11 x 17 man she, Tvacking No. bo I L (?-7(,2- - --- I'CrInit ToVII m0TL' y-f" ill) rce No -W Address of Pi-ol-ierly [If K w- ncol No- Avplicaiits Namcv44kIe.-+- V--e-vk.--V00 T Applicauti Malin Addwss &-p(I.-I-A ()vi cr t Manc -PAfx_,rf _Z jL -J-�7cDoyL 'P_ lIonQ -�Tcl Apu of I Ioiiso � faLjDi�11LX:,u tO tIC11CSI lliblk, sewer _r FXiMing QUO f0OWgUUIh0"L of cxistiiig, UE:100111 S Ntimber of bcdroonvr heing ldrk:d tX'scriplion Of pruposcd clmllgcs. Im CAL— HAYY-�i(- L AlVioxinau dates wjAb wK Additions or w0w to sewage symm (Ove Ws and docribe biivily) Ca7ellIC10 or cov -ty abs Sch Public wafer system (-Ater mpply Wh 2 of mom cmu1LC6aw) Privaic (well, zpting, del awdi cupics of W lop, well covouinq chmninl/brinedubg1d smqIc ru Cllc:lltis 11ma-0111cli1 Use Ott �r-: jlfcli�awd Iniliak Date ApprovL IW; El BY - ET im Ca i n n w i i -.,/Condil i 0 1 L-, P in, BY, JUL 0 2 2001 .. 60, - 'MTGAI F nelbl�eIFTF' V�A- cAnevveLt�'t't'-.... 6RTMENT m I kAdh (Alicc, m.ij wriLhm li)i; Any r of ciTicalwn lot avv6vnI Kmr. Illy S N%.t`.c jtcv;c%Y Cmnnmwc irAw so MW 60 d"c of A Am dyawn dw. Nijidti14 l';:i1jiiI Apiflw:llion 1,P)') vur.wil .1 Y 0 n070 n�nc��a t EO d 9V609 'OM XVd HIIHIH 'NOHIAN3 HiVO.SH Wd II:EO 301 IO-Lz-AON o =Q"&�Zuw"s King County Department of Development and Environmental Services 900 Oakesdale Avenue Southwest Renton, Washington 98055-1219 Application Acknowledgement An application has been received for the following work: Application Number:13011-0762 Application Date: 06/1912001 Applicant:ROOT, DEBORAH & KEN Location:NW 33-23-05 Site Address: I h� �_ %- i161A Parcel: 619720-0383 f C .- �. t1. �,: (,- -- ' 1 Permit Type:MEDI-MH , MOBILE Title:L.3 B.2 NORTHWESTERN GARDEN #2 Description:temporary Medical Hardship Mobile Home - double wide 1981 Fuqua/Parkway; 2 bdrmsl1 bath; 28X36 Valuation:$0.00 Questions about this application and ifs status should be directed to the permit service center at: 206-296-6600. Date Printed:06-29-2001 bp_appl 8-20-99 r f f%001. JU�{2001 . . +�t A�� �k aJk o Icing County Department of Development and Environmental Services "Oatcmlale Awnuc Southwest Renton, WA IM55-1219 UV L DATE: .�7044 K.CA U L L. li U Y T T ATTENTION OF: �{;— (�► D�. (BSD STAFF/SECTION) Return this form and related submittal items to the King County Building Services Division Permit Center. If you have any questions, please call 206-296-6600. This slip MUST accompany all submittals of additional information to King County Building Services Division. SUBMITTALS WILL NOT BE ACCEPTED WITHOUT THIS COMPLETED FORM. KING COUNTY TRACKING NUM PROJECT NAME: Vhb&k "r l GCJD T N t" ADDRESS OF PROJECT: ICa �' G- (� •5� ANY QUESTIONS ABOUT THIS ADDITIONAL INFORMATION SHOULD BE DIRECTED TO: FIRM NAME: PHONE NUMBER: MAILING ADDRESS:_ KOhe `7. - CITY, ST & ZIP: r��t1 s �� "! f o STATE THE SCOPE OF ANY CHANGES OR DEFINE THE ADDITIONAL INFORMATION PROVIDED WITH THIS DOCUMENT. rA DOCUMENTS SUMITTED (LIST ALL DOCUMENTS AND THEIR QUANTITIES): Y ITEM QTY DESCRIPTION 2 3 4 S G f I• � King County Department of Development and Environmental Services 940 Oaksdale Ave SW Renton, Washington 98055-1219 Tuesday, June 19, 2001 FEE RECEIPT Activity Number: BOIL0762 Applicant: ROOT, DEBORAH & KEN 18036 118TH AVE SE Project Number: BOIL0762 RENTON, WA 98058 Description (425)277-2868 Chccklog Check # Payee Date Entered Amount Counter Service Fees $187.00 DEF-Bldg FireFlow Rev $165.00 DEF-Bldg Inspection $275,00 Health -Septic Sys. Cert. S210.00 State Building Code $4.50 SUB TOTAL: S841.50 Description Checklog Check # Payee Date Entered Amount Check 3544 ROOT, DEBORAH & KEN 06/19/2001 ($562.00) SUB TOTAL: ($562.00) CHANGE GIVEN: $0.00 BALANCE DUE: $279.50 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. DDES permit fees were restructured effective March 1st, 1999. Many fees previously assessed a flat fee, now are assessed as hourly charges. Because of this change, and to ensure that our customers secure permits as quickly as possible, permits may be issued prior to all hourly charges being recorded into our billing system. 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_ Page l of 1 King County Department of Development and Environmental Services 900 Oakesdale Ave SW Renton, Washington 98055-1219 Tuesday, June 19, 2001 PERMIT FEES Activity: B01 L0762 Applicant; ROOT, DEBORAH & KEN Phone: (425) 277-2868 Project: B01 L0762 Address: 18036 118TH AVE SE Type: MEDI-MH RENTON, WA 98058 Description: Counter Service Fees DEF-13T g Flreow Rev DE -Srdg nsp-1 ecfion -- Hea�f�-Sep is Sys. Cert`— - Stafe-13uild-ing—CoUe - Totals by Category: TOTAL FEES: Due at Application: Due at Settlement: $187.00 $165.00 - _ 5.09 -- f $2T0.00 l — - $4 M $562.00 $279.50 $841.50 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. • F1of�i l� U u pC 1E4FR��J T _ A A r 1 ,L� ES C, �o- DEPARTMENT OF VETERANS AFF....5 Puget Sound Healthcare System 1660 South Columbian Way Seattle, WA 98108-1597 In Reply Refer To: S-I 16-MHC American Lake Division Tacoma, WA 98493-5000 Seattle Division Seattle, WA 98108-1597 June 20, 2001 RE: Michael Corbett SS# 568-92-0215 Gentlemen: Mr. Corbett has been my patient since 1997. I believe it would be quite beneficial for Mr. Corbett to live very near his family. Mr. Corbett has a psychiatric condition that necessitates monitoring on a daily basis, and he requires daily care. He needs help and direction with his medications and activities of daily living. He requires assistance in getting to his outpatient appointments and community programs. It is ideal to have the family in his proximity to help with the above and yet not in the same physical space. We hope to support Mr. Corbett's highest level of independence which separate quarters will promote, at the same time have family provide needed daily care. It is not often we have this kind of family involvement and support, I highly recommend the housing plan proposed by the Root family. If you need more information, please call me at 764-2007. Sincerely, E. Alexandra Ashleigh, M.D. Staff Psychiatrist Seattle V. A. Medical Center and Clinical Associate Professor Department of Psychiatry Subscribed and, Worn to before me the _ day of �Ilh _ Din `v' 'ExPrq aF� G C) moo;: N ARY PUBLIC in and forth 41ApG�;.• � .. A -rE a King County Department of Development and Environmental Services 900 Ouk sdalc Avenue Southwest Renton, WA 9M55-1219 AFFIDAVIT REGARDING MEDICAL HARDSHIP Mobile Home Permit I, r o '6 r Q do i am the applicant for a medical hardship mobile home permit number 6? 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 property requires daily care as defined in Chapter 21A.0 .262 of the King County Code and the statement contains an original signature and is dated within the last 90 days. to of Washington lk k Pum-v�eme (�) Tf;VA A fi 01 P-0- --- 71 I� L►Nr1_n] loll J.- 0 I P-v G 0 a K111ia County Department of Development and Environmental Services 9W oakesdak, Awmuc Southm-st Fenton, WA HY M-221y TO THE ATTENTION OF: (BSD STAFF/SECTION) Return this form and related submittal items to the King County Building Services Division Permit Center. If you have any questions, please call 206-296-6600. This slip MUST accompany all submittals of additional information to King County Building Services Division. SUBMITTALS WILL NOT BE ACCEPTED WITHOUT THIS COMPLETED FORM. KING COUNTY TRACKING NUMBER: fo i L- 0762 PROJECT NAME: A!�K%1 EV r `► A001 - PEyi C&L �Ha ►�- 20+1 j� /Y 08i LE Af-Jwt� ADDRESS OF PROJECT: l O � " a U`Q' e5. . L n+o ANY QUESTIONS ABOUT THIS ADDITIONAL INFORMATION SHOULD BE DIRECTED TO: NAME: 4 E or - FIRM NAME: l - PHONE NUMBER:`-t 1T7�� —7 DCO MAILING ADDRESS: V � U ��'1 �L i�`P• `� �_ CITY, ST & ZIP: !7ek1` or r W&' � To STATE THE SCOPE OF ANY CHANGES OR DEFINE THE ADDITIONAL INFORMATION PROVIDED WITH THIS DOCUMENT. DOCUMENTS SUMMED (LIST ALL DOCUMENTS AND THEIR QUANTITIES): cumr , ©m A r r V w M_ r 9 L 1J - UU JUN 27 2001 K.C. D.IJ.E.J. certificate provides Certificate : 3493 rnation necessary to rate development :Psals. SOOS CREEK WATER AND SEWER DISTRICT CERTIFICATE OF WATER AVAILABILITY Type: Building Pen -nit: licant's Name: Kenneth & Deborah Root Proposed Use: Accessory Dwelling Location: Lot: 3 Block: 2 Development: NORTHWESTERN GARDEN TRA Parcel: 619720 0383 Address: 18036 118TH AVE SE, RENTON Information: WATER PURVEYOR INFORMATION Must apply for an Extended Service Agreement. 1. a �,/j Water will be provided by service connection only to an existing 6" inch water main, 12 feet from the site. And / Other b ❑ Water service will require an improvemnt to the water system of: 2, a C The water system is in conformance with a County approved water comprehensive plan. b ❑ The water system improvement will require a water comprehensive plan amendment. 3, a D 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 ❑ Annexation or Boundary Review Board approval will be necessary to provide service. 4. a U Water is/or will be available at the rate of flow and duration indicated below at no less than 20 psi measured at the nearest fire hydrant 200 feet from the building/property (or as marked on the attached map): Rate of Flow: 1,000 gpm Duration: 2 hours or More b ❑ Water systems is not capable of providing fire flow. Cross Connection Control devices must be in conformance with state laws. Service is subject to the applicants agreement to comply and perform to make such installation and/or connections to the standards, regulations, requirements and conditions of this District and such other agency or agencies having jurisdiction. This District is not representing that it's facilities will be extended or otherwise modified to mate such service availabie to the applicant. It is the responsibility of the applicant to make any required extension of facilities to serve their Property. I hereby certify that the above water purveyor information is true. This certification shall be valid for one year from date of signature. SODS CREEK WATER & SEWER DISTRICT Agency Name Development Coordinator Title Sous ClmkWater & Sewur District "rptAvaUSulglePoucNAddWater" 16;96 Lori Westendorf 6127l01 Signatory Name Date Signature Date Development .nental Services Avmue southwest .k1055-1219 DATE: Lo TO THE ATTENTION OF: 6( [ (BSD STAFF/SECTION) Return this form and related submittal items to the King County Building Services Division Permit Center. If yI have any questions, please call 206-296-6600. This slip MUST accompany all submittals of ad nXir r�ti�n� g my Building Services Division. SUBMITTALS WILL NOT BE ACCEPTED WITHOUT THIS C L I tt``�� KING COUNTY TRACKING NUMBER: L� JUN 2 8 2001 uu ADDRESS OF PROJECT: }O�J(p 1 ��i- i�[,U�• `J' O GlT ci �c��v ANY QUESTIONS ABOUT THIS ADDITIONAL INFORMATION SHOULD BE DIRECTED TO: NAME: lk�& e O V, Ken 1LO-0- ' FIRM NAME: A PHONE NUMBER:C�� MAILING ADDRESS: Koko f_ V e ' !l- % CiCY, ST &ZIP:Ph-v STATE THE SCOPE OF ANY CHANGES OR DEFINE THE ADDITIONAL INFORMATION PROVIDED WITH THIS DOCUMENT. DOCUMENTS SUMITTED (LIST ALL DOCUMENTS AND THEIR QUANTITIES): ITEM QTY DESCRIPTION 2 3 4 5 6 Medical Hardship permit application for mobile home: Parcel # 619720-0383 Zoning R6r50 approved for mobile home Root Residence: 18036 118th Ave. S.E. Renton,W.A. 98058 We certify that the following information is accurate and true: • The primary provider(s) will be Debbie and Ken Root and will reside on site. • We understand that the mobile home is temporary in nature and must be removed within 90 days of permit expiring or when daily care is no longer required. • We understand that the permit must be extended on an annual basis and that an updated affadavit must be submitted. Signed this day of 2001 �:• o° Debbie Roo0.,•.30.2042• `a Ken Root- Notary Public in and for the �Ste of Washington residing at My appointment expires kkaA'7 DR: sr VAellbutrin SFU (bupropion HCI} *Ae-tis i�mwa�o,y r -41 r IF VETERANS AR S Healthcare System h Columbian Way VA 98108-1597 In Reply Refer To: 5-116-MHC _ 1997. 1 believe it would be quite beneficial for Mr. ett has a psychiatric condition that necessitates d direction with his medications and activities of [,Corbett's o his outpatient appointments and community proximity to help with the above and yet not in the highest level of independence which separate quarters will promote. It is not often we have this kind of family involvement and support, I highly recommend the housing plan proposed by the Root family. If you need more information, please call me at 764-2007. Sincerely, E. Alexandra Ashleigh, M,D. Staff Psychiatrist Seattle V. A. Medical Center and Clinical Associate Professor Department of Psychiatry and Behavioral Sciences King County Department of Development and Environmental Services 9W Oakesdalc Avcnuc Southwest Renton, WA 98055-1219 DATE: �r� TO THE ATTENTION OF: i`40 1� Tel a'-Vk 61(BSD STAFF/SECTION) Return this form and related submittal items to the King County Building Services Division Permit Center. If you have any questions, please call 206-296-6600. This slip MUST accompany all submittals of additional information to King County Building Services Division. SUBMITTALS WILL NOT BE ACCEPTED WITHOUT THIS COMPLETED FORM. KING COUNTY TRACKING NUMBER:-- 1 "D 71CE �2. O r 7 V-C e [ 4 ea%rz;�p —0'5" PROJECT NAME: ee4i +-i2e _[_e -9-©G7T H ft(C kL- +fiXIfd Vk i 77 rr'ot l't 4vW1-p' ADDRESS OF PROJECT:—, j� ,,p tl - (A t ' "! CC - teml 7 n Cj-2GI - k-roc -1 ANY QUESTIONS ABOUT THIS ADDITIONAL INFORMATION SHOULD BE DIRECTED TO: NAME: 2�'biP or 1�eii 2Qof- FIRM NAME:! PHONE NUMBER:�'1 MAILING ADDRESS: � —((1�HCITY, ST & ZIP: I U-)(A - ( STATE THE SCOPE OF ANY CHANGES OR DEFINE THE ADDITIONAL INFORMATION PROVIDED WITH THIS DOCUMENT. !�2-1 fie !12(& v1 ` DOCUMENTS SUMITTED (LIST ALL DOCUMENTS AND THEIR QUANTITIES): ITEM QTY DESCRIPTION 1 "P('4-E 12ta-n 0 1 2 3 4 S D 6 f� "UN Z 9 2001 K.C. D. D. E. S. tic King County r� Department of Development and Environmental Services 900 Oakesdale Avenue Southwest Renton, Washington 98055-(IVG Application Acknowledgement An application has been received for the following work: Application Number:B011-0762 Application Date: 06119/2001 Applicant:ROOT, DEBORAH & KEN Location:NW 33-23-05 Site Address: Parcel: 619720-0383 ; Permit Type:MEDI-MH ,MOBILE Title:L.3 B.2 NORTHWESTE ARDEN #2 Description:tempora edical Hardship Mobile Home - double wide 1981 Fuqua/Parkway; drrim bath; 28X36 Valuation:$0.00 Questions about this application and it's status should be directed to the permit service center at: 206-296-6600. Date Printed:06-29-2001 bp_appl 8-20-99 , nn r�r h' ,A rJ N :7 m � I LglQygh Q,D , I G 7 'JRS ti9'06r o u � 1 i vSto121 r9 A67. ra ,y�i bl sg'IIS7 - '1 v afr riL'Lox � ,40 a}� 8'f7raZ ►8.4i N r�4Ltg �a � I i f_� � h 4 aya , Z o In 9 954 �0 ycfro r 4, 1 ti Ll rA 0 1 {� 1r,. �� ► z '6 6 z Q� �Ly�p�OloR l �' v ;/ti, !d 66! �..- !�7�J qo�£SIyL a}c'6�¢RryGJu ncrC! tq o; i rtlj A + w �g �`'3 o (N a coy fr'66,5�0 � .4)4&PyOil CD ;A�L ^,Z�1 err � ~ `��p� Iti p py� SEi C ` C r r) Jsr S['F.til� Sri S 4\!6 OS'66 f 1L'66Z li ; v�ve+ 71.11 G r LD sa r +- S;C� 014 su ysr� rr o rl's'o so .-- Z.— T _ 9N•4G$ .ire 66r r i 30 q d� �1 c9 Q F✓ cet.t,os.stn�?� �� ���� o'�'at " :�•. �� �l9{�+ y p4'� �`. r % V TTT G� I V i II` a Lc ti 6 G ( ff a or lao� o+�i[ rr cor r� se ka Qa c~ �rll 01:1 flE: 4 L { 7RO.DS-ri Fl /f'P97 {6t v£9 x/ °ry v�vPP �T�QpI i t�49 �,+ LyRS �a4`�� y I R w:qi czlnur ! rt r1 rt L rS7�^- s: ist• 0�3T � x� y aSi _ r�osr -ram-� -- I � I sr'If9 6..;wo U' �. 4. �fl I � .0, King County Dept. of Development and Environmental Services BufldM8 sesmm M"aw 900 Oaresdale Ave Southwest Renton , Washington 98055-1219 Date: 60- Let , 0 i DDES Pre -Application File Number: Proposal: Te—I11yy Ira ic ail I Ca-1 �ardgh i lz kt1N er H-oft Tax Lot(s): � 77'! d Applicant: Ve-f?{7( — *- V,42yi Y2c10't` - - The applicant has discussed the above referenced proposal with a representative from the Building Services Division. Based on this discussion, I agree to waive the following submittal requirements as determined to be unnecessary for review of this application: X, 1 Water an /or Sewer Availability Certificate(s) ❑ 2. Septic System Design Approved by Health ❑ 3. Certificate(s) of Future Connection ❑ 4. Environmental Checklist (due to EIS/prior determination) ❑ 5. Fire District Receipt ❑ 6. Proof of Separate Lot ❑ 7. Certificate of Transportation Concurrency ❑ 8. Certificate of Applicant or Applicant Transfer Form ❑ 9. Site Plans Containing ail Required Information ❑ 10. Architectural/Structural/Mechanical Plans ❑ 11. Documents & Plans Per Surface Water Design Manual ❑ 12. Variance(s) Required/obtained Under 21A ❑ 13, Other ❑ 14. Comments The director or his designee may require the submittal of additional information including, but not limited to the submittal requirements waived above, if it is determined the information is necessary for the accur review o application. i uilding Services Division Manager or Director's Designee White copy - Permit File Pink Copy - Managers Fife F44A—t.d.dx 4n419712:56 rM King county Department of Development and Environmental Services 900 oakesdak Avcmue Southx'mt Renton, WA 96055-1219 Application number assigned: Parcel Number: _600NI'ZO, a-:51 Legal Description: CCrr $loCl�. 04% P0V--t .W-f�'1aPr"VY [Dry rd e-in Ti�ac-r5 !?LV. Address of proposed work: No � t I true. :7 • f • ❑ address not assigned yet (if not yet assigned, check box at right) Related Permits or PreApp number: Descriptive summary of proposed work: �uIIOL+Ivk1 C7f 'J"• ACCPCY_20V-4 17Wet1l'J,4 HOJ71 le fi2 "10 Valuation of project: Contractor's License #: Expiration Date: Check aUapplicable items This is: ❑ New Construction ❑ Remodel/Addition $[Accessory Structure ❑ Sign ❑ Tenant Improvement ❑ Other This is, ❑ Single Family ❑ Duplex or Multi -Family ❑ Commercial/Industrial ❑ Retail/Office ❑ Agricultural ❑ Other �F n F�°1r Property Owner: re �io i la Ro o-r Telephone Number: _415 � Z �? � — � R w g Mailing Address: fh(A%MA7. City: M1 kvN State:O , zip: 41CN71 Applicant Name: n orT042owi.h Tftop +- Telephone Number. 4-7-1) 11(,, h Mailing Address: Mae I( +h 0Vel C-7- City: Te0140ki State:" zip: $pS Contact/Agent Name: Telephone Number: Mailing Address: City: State: Zip: Sensitive Area Compliance: The undersigned applicant declares: 1. That the applicant is competent to be a witness herein; 2. That the- applicant is the applicant for the above project; 3. That to the best of the applicant's knowledge, the sensitive areas on the development proposal site have not been illegally altered; and 4. That the applicant has not previously been found in violation of sensitive areas regulations for any property in King County, or alternatively, that if there have been any violations, such violations have been cured to the satisfaction of King County. I am submitting for a permit authorized by the uniform building, fire or mechanical codes and in anticipation of having it approved or approved with conditions I have read the following statement and understand that 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. I certify that I have made a diligent inquiry regarding the need for concurrent state or federal permits to engage in the work requested under this building permit, and no such permits are required or I will have obtained the required permits prior to issuance of this permit. I understand 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 I understand and agree that this permit does not authorize the violation of regulations. In addition, I understand and aaree that this building 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). I fully understand that it is my sole responsibility to determine whether such "take" restrictions would be violated by work done pursuant to this permit, and I understand that I am 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. I certify under penalty of perjury and under the laws of the State of Washington the foregoing is true and correct. I further certify that all easements, deed restrictions, or other encumbrances restricting the use of the property are shown on the site plans submitted with this application. I accept financial responsibility for all fees associated with this permit or approval and will receive any refunds. Please mail any refunds to the address above. Applicant Signatur 41t& Date D L11 ATTENTION WP1IMUM 8{ k.01W SET&',C KS STREET J INTfifom 5. _ mEASUREMENT ALONG CENTER LINE OF C"VE41tAY TO FACE OF ^wkpACX, GAW10W OR OTC FENCED PARKING AREA REFER 70 KC.C. TITLE 21A.12.170 FOA A{„LQWAEkX MDJET TION WT© THE REOLAREfD SFTOAf , ATTENTION Maximum Impervious Surface Allowed 124c, sq ft Maximum Bldg Height Allowed Ref: K.C.C.21A.12.030 for specific requirements 0 1