BLD20140454_2.PDFCb-
oV E DMO�s
CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
��c. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: FINAL 07/08/2014 _. ,�_�.;Perniit#:
Expiration Date: 01/08/2015 Project Address': 9231' OLVMPIC VIEW' DR
EDMOND&
Parcel No: 27031300101700
P ROP11;r IrY1]by►`I d; APPLICANT CI11►w i,RC' C11;
MENRIT Y & ELSHARAWY KASS FRANCIS MENRIT Y & ELSHARAWY KASS MENRIT Y & ELSHARAWY KASS FRANCIS
9231 OLYMPIC VIEW DR FRANCIS 9231 OLYMPIC VIEW DR
EDMONDS, WA 98020-2396 9231 OLYMPIC VIEW DR EDMONDS, WA 98020-2396
EDMONDS, WA 98020-2396
(206)423-8834 (206)423-8834 (206)423-8834
LICENSE #: EXP:
DESCRIPTIONJOB
MODULAR BLOCK RETAINING WALL. WALL HEIGHT NOT TO EXCEED 36" ABOVE ORIGINAL GRADE.
VALUATION: $0.00 r►AAA_
itt
PERMIT TYPE: Residential
PERMIT GROUP: 58 -Retaining W /
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: mw
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD: -
FENCE: ( 0 X 0 FT.)
CODE: 12
OTHER: ------- OTHER DESC:
ZONE: RS-12
NUMBER OF STORIES: 0
IVESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:0
BEDROOMS:0 BATHROOMS:0
1
LEQUIRED: See Below PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
IEIGHT ALLOWED:3 PROPOSED:3 REQUIRED: PROPOSED:
;ETBACK NOTES: No change proposed to existing setbacks. The retaining walls shall not exceed 3 feet in height over original grade since located withii
he minimum required setback areas.
PERMITAPPROVAL
1 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
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
'HIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID,
Signature Print Name Date
Released By
Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN11L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRC110.
= ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: FINAL
BLD20140454
• All work shall be entirely on the private property owned by Mr. El Sharawy.
• 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 from the noise limits
of ECC Chapter 5.30 only during the hours of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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 pen -nit. 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.
• Nothing in this permit approval process shall be interpreted as allowing or permitting the maintenance of any currently existing
illegal, nonconfonning or unpemvtted building, structure or site condition which is outside the scope of the permit application,
regardless of whether such building, structure or condition is shown on the site plan or drawing. Such building, structure or
condition may be the subject of separate enforcement action.
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) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS (425)771-0235 1 PR&TREATMFIVT 425 672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
reauested Contact Name and Phone Number, Date Prefereed andwbether you prefer mornine or afternoon.
• E-Engineering Final
• B-Building Final
�M.w
COW)
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5 b Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 it Fax 425.771.0221
»> 6
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLISTFOR SUBMITTAL REQUIREMENTS
i
PROJECT ADDRESS (Street, Suite #, City State, Zip):
ILarcel JL.276 a /a ddL / 760
231 b1\,1M12iL,
Subdivision/Lot #.
Project Valuation: $
APPLICANT: K
&A
PZO
Fax:
�
Address Street, City, St te, Zip :
E-Mail Address:
�� (�
PROPERTY OWN*--
Phone: s ,
Fax:
C
r"15
Address (Street, City, St,ate, Zip):
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City State Zip):
E-Mail Address:
CONTRACTOR:*
ZA
Phone:
Fax:
Address (Street, Ci fate ip):
E-Mail Address:
WA State License #/Exp. Date:
*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
City Business License #/Exp. Date:
DETAIL SCOP OF WORK: HnDULAL
Q C, cT l LWAz-z--
r o-T
r
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: ❑ Finished ❑ Unfinished
I" Floor: s . ft.
Garage/Carport: sq A.
2° Floor: s . ft.
Deck/Patio: s . ft.
Retaining. Wall: ❑ Yes ❑ No
Other: s .ft
I 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.
I
Print Name: d/xV8v GKA
Owner X gent/Other (specify):
Signature:
Date: .
MZX
FORM A LABuilding New Folder 2010\DONE & x-(erred to L-Building-New drive\Form A.doc Updated: 6/20/2013
:,4O
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING CHECKLIST
121 5's Avenue N, Edmonds, WA 98020
Phone 425.771.0220 Q Fax 425.771.0221
City of.Edmonds
PROJECT ADDRESS:
Plans shall be of sufficient clarity to indicate the location, nature, and extent of the work proposed, and conform to the provisions of
the adopted International Codes and City Ordinances.
SUBMITTAL REQUIREMENTS
The number indicates the number of copies for
;d
:�
° `✓
c n
o
submittal( if applicable). Check marks indicate
O
additional submittal requirement
'o o
Application Form A
11
I
Site Plan
3-
3
3•
3
3-.
3
3
Reduced Site Plan 11 X 14 or 8 '/2 x 11
1
1
1
1
1
1
Architectural Construction Drawings
2
2
2
2
2
Structural Drawing and Calculations
2'
2
2
2
2-
Energy Code Compliance (shown on plans)
✓ '
✓ ..
✓
Site Classification Worksheet stormwater
3
3
3
Drainage Plan/Stormwater Plan
:: 3.
3 :.
Drainage Report or sizing information on plans
3 : _
- 3
Grading Plan/Excavation/Fill
3 ''-
3 .:;
3
Critical Areas Determination or Checklist
Geotechnical Report > 14%sloe r3
3::'
.3:'.
3
Washington State Contractors License
✓ -
✓
✓ :,
✓
✓_
✓
✓;.;
Contractor's City of Edmonds Business License
::✓ .-
✓
✓`
✓
-.✓ .
✓
✓::`
Plan Check Fee (due upon submittal)
✓:.
✓
✓: :
✓
` `✓ .
✓
✓:
Peer Review Fee
;',/:;
: ' : ✓ ; =
: ` ✓.::.
✓
New one -family, two-family and townhouses
with living space greater than 3,000 sq. ft.
3
-
requires Fire Sprinkler plans and calculations.
-
Handouts and Standard Details may be found on the City's website www.ci.edmonds.wa.us or can be obtained at City Hall
during normal business hours.
Plans/calculation/reports prepared by state licensed architects or professional engineers must be stamped and signed by the
design professional.
Sidehill or steep slope construction is not considered conventional construction and soils reports are required for lots with
15% or more slope, unless determined unnecessary by the Building Official.
FORM A LABuilding New Folder 201000NE & x-ferred to L-Building-New drive\Form A.doc Updated: 6/20/2013
#P20
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received:
City Receipt #: _
Critical Areas File #: 00 &�D9-d o
Critical Areas Checklist Fee:`
Date Mailed to Applicant:_ 5 -/3-2
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infiaction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT
DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER i Iwt DATE �' O
Owner/Applicant:
K.
Name
q� I OZYM&I Ul Or
Street Address Q'
City State p Zip
Telephone: %.5-
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email address (optional): Email Address (optional):
r
#P20
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/ Location: C71P3 / OLYAMICyj�i
I CA File No:�V� "29
2. Property Tax Account Number: O6 / O Q
3. Approximate Site Size (acres or square feet): o t GZG -
4. Is this site currently developed?K yes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
t over. a horizontal distance of 33 to 66-feet).
y Steep:grades of eater than 30% resent on site a vertical rise of 10-feet over a horizontal
g'C' greater P (
distance of less than 33-feet).
Other (please describe):
{ . Site contains areas of year-round standing water. -� pp p -", A rox. Depth:
7. Site contains areas of seasonal standing water: ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course:'
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs. ; mixed ;
urban landscaped (lawn, shrubs etc) Je_
11. Obvious wetland is present on site:
1.
2.
3.
4.
For City Staff Use OnlyIt
Plan Check Number, if applicable? QnUl) QCn9 Mat
Site is Zoned?��
SCS mapped soil type(s)? 3 - &(o/er�c ,/,�cavelj� S�,dr tom ►s Ay D
Critical Areas inventory or C.A.
Site within designated earth subsidence landslide hazard area?
moo^ H�zA�� DETERMINATION
STUDY REQUIRED
WAIVER
Reviewed b
Date: