BLD20150426.PDFOp E 041
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"° CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 06/25/2015
Expiration Date: 12/25/2015
Parcel No: 27041800203800
[---7.----.--- - ---- ------.,---� ---- Permit #:.BLD' 20150426
Project Address: 9122 OL
EDMONDS.
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APPLICANT f117ITFRAC O t
TAKUMI MIZUKOSHI
TAKUMI MIZUKOSHI LOHRKE & SONS
9122 OLYMPIC VIEW DR
9122 OLYMPIC VIEW DR PO BOX 998
EDMONDS, WA 98026
EDMONDS, WA 98026 DUVALL, WA 98109
(425)232-5340
LICENSE #: LOHRKSP963MG EXP:07/27/2016
UTILIZE AN EXISTING SLAB AS THE BASE OF A 9' x 13" NATURAL SONTE PATIO. W INDSOR BLOCKS WILL BE USED AS A
PERIMETER BORDER TO LEVEL PATIO AND TO STABILIZE THE UPPER EDGE OF TH = . M 'VALUATION: $2,500.00 In m
PERMIT TYPE: Residential
PERMIT GROUP: 43 - Miscellaneous
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE: 2012
OTHER ------- OTHER DESC
ZONE RS-12
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER 0
3RD FLOOR 0 GARAGE 0 DECK 0 OTHER 0
BED 0OOMS:0 BATHROOMS:O
1 BEDROOMS:0 BATHROOMS:0
REQUIRED: N 25 PROPOSED: 25+ REQUIRED: W 10 PROPOSED: 10+ REQUIRED: S25 PROPOSED: 25+
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: *E 6.66 PROPOSED: 8
SETBACK NOTES: *Patio only = meets exception in ECDC 16.20.040.0
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
nn WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27,
APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10.
ONLINE APPLICANT ASSESSOR E56 OTHER
STATUS: ISSUED
BLD20150426
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
771-0220 EXT. 1333 1 ENGINEERING (425) 77
PUBLIC WORKS 425 771-0235 1 PR&TREATNIEN 425) 672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please lease the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
E-Subgrade for Pervious Stone
• &Engineering Final
-� °,E E DV
v DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
Fsr t gq� 121 5`h Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 4 Fax 425.77.1.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
9122 Olympic View Drive Edmonds WA 98026
Parcel #:
27041800203800
Subdivision/Lot #:
Lot 1, City of Edmonds Short Plat S-7-90
Project Valuation: $
$2 500.00
APPLICANT:
Lohrke and Sons
Phone:
425-232-5340
Fax:
Address (Street, City, State, Zip):
P.O. Box 998, Duvall, WA 98019
E-Mail Address:
lohrkeandsons@comcast.net
PROPERTY OWNER:
Phone:
206-491-9337
Fax:
Address (Street, City, State, Zip):
9122 Olympic View Drive
E-Mail Address:
LENDING AGENCY:
N/A
Phone:.
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Lohrke and Sons
Phone:
425-232-5340
Fax:
Address (Street, City, State, Zip):
P.O. Box 998, Duvall, Wa 98019
E-Mail Address:
Lohrkeandsons@comcast.net
*Contractor must have a valid City of Edmonds business license prior to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
LOHRKSP963MG/7-27-2016
City Business License #/E . Date:
41
DETAIL THE SCOPE OF WORK: Utilize an existing on -site slab (8'x5')as the base of a 9'x13'
natural stone patio. Windsor blocks will be used as a perimeter border, to level patio and
to stabilize the upper edge of the slope.
PROPOSED NEWSQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: Finished LJ Unfinished LJ
t" Floor: s . ft.
Garage/Carport: s . ft.
2"d Floor: s . ft.
Deck/Cvrd Porch/Patio: 114 s . ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: AE I., -sq. ft.
Fire Sprinklers: Yes LJ No
Retaining Wall: Yes
No
Grading: Cut 2.5 cu. yds. Fill 1.81 cu.yds.
I Cut/Fill in Critical Area: Yes No
1 declare under penalty of perjury laws that the information I have provided on this form/application is true, correct and
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to
the City of Edmonds.
Print Natne: TO Lohrke A Owner ❑ Agent/Other 9(specify):
Signature: / - 4 Date: S
FORM A L:\Building New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014
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ITY OF EDMONDS 'o
ILDING DEPARTMENT m
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Applicant shall repair/replace all damage to
utilities or frontage improvements in City
right-of-way per C;ty standards that is caused
or occurs during the permitted project.
I_.
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL: AND DRAINAGE
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JWNER/CUN1 RACTOR RESPONSIBLE
FOR LOCATING ALL ON -SITE UTILITIES.
RELOCATIOWREVISION TO ANY UTILITIES
MAY REQUIRE SEPARATE PERMIT.
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